Molecular Detection of Pathogens

Microbiological diagnosis of infections remains insufficient. The resulting empirical antimicrobial therapy leads to multidrug resistance and inappropriate treatments. Cambau et al therefore evaluated the cost-effectiveness of direct molecular detection of pathogens in blood for patients with severe sepsis, febrile neutropenia, and suspected infective endocarditis.

They found that the addition of molecular detection to standard care improves microbiological diagnosis and thus efficiency of healthcare resource usage in patients with severe sepsis.

Read the full Concise Critical Appraisal by logging into the SCCM eCommunity. Concise Critical Appraisal is a regular feature aimed at highlighting the best and most relevant literature from a variety of academic journals and encouraging discussion around recent studies and research.

New VCCR Podcast

Tune into the Society of Critical Care Medicine’s (SCCM) new Virtual Critical Care Rounds (VCCR) Podcast series for in-depth interviews on critical care topics addressing the most challenging aspects of intensive care unit fellowship and residency. This series complements SCCM’s VCCR program.

The latest installment in the series is now available:

SCCMPod-VCCR3 Activated Charcoal in the Overdose Patient

After listening, keep the conversation going on twitter using #VCCRounds.

Family-Centered Care Award

The Neuroscience Intensive Care Unit (NICU) at Yale-New Haven Hospital in New Haven, Connecticut, USA, received this year’s Family-Centered Care Innovation Award in recognition for the unit’s novel methods for providing care to critically ill and injured patients and their families.

For the past four years, this multidisciplinary team of neurointensivists, surgeons, nurses, advanced practice providers, social workers, business associates, research staff, and clinician trainees has developed and rigorously tested an evolving family-centered service model for providing care to patients and their families.

The team implemented this service-model in two phases: The first phase promoted more frequent and direct communication between NICU staff and patient families by encouraging family members to attend daily morning intensive care unit (ICU) work rounds. The second phase focused on communicating with families during scheduled, advertised afternoon “family rounds” and providing emotional support to families of comfort measures only (CMO) patients with “memory box” care packages.

As part of the Society’s Patient-Centered Outcomes Research (PCOR)-ICU Collaborative, the Yale-New Haven Hospital NICU has formed a new Patient and Family Advisory Council (PFAC). The PFAC has been meeting and making recommendations to prioritize where the NICU team can improve upon its family-centered care model for the next phase, specifically looking at how to reach those families whose needs may not have been addressed because they were unable to attend prespecified rounding times.

“We are looking forward to the PFAC pointing us in new, effective directions,” said NICU team member David Y. Hwang, MD. “We have already gotten great ideas from our new council for plans for potential projects related to managing family expectations regarding ICU alarms, facilitating communication among family members for the same patient, and improving transitions of care from the NICU to the floor.”

It is time again to nominate a unit or program for the Society of Critical Care Medicine’s (SCCM) Family-Centered Care Innovation Award. If you know a unit or program that demonstrates novel, effective methods for providing care to critically ill and injured patients and their families, nominate them today.

Additional SCCM Awards
The Society offers numerous awards that recognize dedication and contributions to the field in a variety of areas. Nominate yourself or a colleague, or recognize your entire intensive care unit (ICU) team. Most award recipients receive complimentary registration to the 47th Critical Care Congress. Apply for these opportunities by August 1, 2017.

NCCARM: Wear Blue Tomorrow

You are encouraged to wear blue tomorrow (May 19) in celebration of National Critical Care Awareness and Recognition Month (NCCARM)!

Also, make sure to send us group photos of your ICU team celebrating NCCARM. If you do, you may become a star! That’s because the Society of Critical Care Medicine is seeking to highlight teams from around the world in an effort to show the global reach of critical care. Submit your team photo for a chance to be featured throughout the year and during the 47th Critical Care Congress. Share your photos on Twitter using #NCCARM, or post them to the Society’s Facebook page. You can also send your pictures to criticalconnections@sccm.org.

Ultrasound Early Registration

Take advantage of early registration rates and reserve your seat by June 7, 2017, for the Society of Critical Care Medicine’s (SCCM) summer Critical Care Ultrasound courses, which will be held July 30, 2017, to August 1, 2017, at the Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA. Registration for the ultrasound courses includes a complimentary copy of SCCM’s Comprehensive Critical Care Ultrasound ebook.

Critical Care Ultrasound: Adult and Critical Care Ultrasound: Pediatric and Neonatal are comprehensive, two-day courses that will take place on July 30 and 31, 2017. These courses provide the ability to:

  • Immediately integrate learned skills into your clinical practice
  • Increase your diagnostic skills and scanning proficiency
  • Learn from field experts on the latest strategies in ultrasound image interpretation and diagnostic challenges, as well as new innovations and procedures
  • Experience high-quality education from prominent faculty, including nurse practitioners, physician assistants and more
  • Receive a significant hands-on experience, ensured by a five-to-one learner-to-faculty ratio

Expand your echocardiographic skills and knowledge with the one-day Advanced Critical Care Ultrasound: Adult course. This course will be held on August 1, 2017. The advanced course provides attendees with an opportunity to:

  • Focus on the specialty-specific use of echocardiography in the management of the critically ill patient
  • Gain hands-on experience with faculty-assisted skill stations including, new in 2017, transesophageal echocardiography
  • Learn important cardiovascular information for the noninvasive management of the hemodynamically unstable patient

All courses offer continuing medical education credit hours to physicians, nurses, and physician assistants. Register online today for Critical Care Ultrasound: Adult, Critical Care Ultrasound: Pediatric and Neonatal and Advanced Critical Care Ultrasound: Adult using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Critical Care Review Course

The early registration deadline for the Society of Critical Care Medicine’s (SCCM) Multiprofessional Critical Care Review Course (MCCRC): Adult is Wednesday, May 31, 2017. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Course highlights include:

  • Modular course content, allowing for single or multiday registration to meet comprehensive or specific learning needs
  • Accurate assessments of your knowledge in critical care
  • Interactive sessions that utilize audience response technology and practice questions, answers and rationales
  • World-class faculty that provide the most up-to-date information in critical care across all healthcare professions
  • Cutting-edge topics such as extracorporeal membrane oxygenation, choice of vasopressor in shock states, renal replacement therapy techniques, environmental injuries, emerging infections, and delirium
  • Online access to practice questions and post-course audio recordings of the lectures

Led by co-chairs Pamela A. Lipsett, MC, MHPE, MCCM, and Stephen M. Pastores, MD, FCCM, the 2017 MCCRC: Adult will provide the most comprehensive review and update of the diagnosis, monitoring and management of critically ill patients.

The course will be held July 25 to 29, 2017, at the Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA. Rosemont offers the convenience and amenities of downtown Chicago but at a lower price, and it’s just minutes from O’Hare International Airport.

For more information including the agenda, faculty listing, and continuing education details, visit the course webpage.

Congress Abstract Submission

Submit your abstract for the Society of Critical Care Medicine’s (SCCM) 47th Critical Care Congress. Make your contribution to the advancement of critical care by submitting your original investigative research and case reports for the 47th Critical Care Congress, which will be held February 25 to 28, 2018, at the Henry B. Gonzalez Convention Center in San Antonio, Texas, USA.

If accepted, your work will be considered for presentation at Congress. Abstracts also will be published in Critical Care Medicine, the #1 critical care subspecialty journal. Those whose abstracts are accepted also enjoy other benefits:

  • Star Research Award presentation opportunity: Authors of the top 64 abstracts are invited to give oral presentations during the regular Congress program without competition from other continuing education sessions.
  • Research Snapshot Theaters: Authors are invited to provide short presentations of their work that will be moderated by faculty in the Exhibit Hall.
  • Awards: Multiple awards are offered for excellence and special accomplishments in critical care research, education, and practice.

Complimentary registration is available to the first author of each accepted abstract. To be eligible, the first author must also be an SCCM member at the time of submission, in one of the following categories: fellow, resident, intern, student, nurse, pharmacist, or respiratory therapist.

Abstracts may be submitted until noon Central Daylight Time on August 2, 2017. Visit www.sccm.org/abstracts for complete details on submission instructions, formatting guidelines, and available awards.

The 47th Critical Care Congress will feature innovative learning experiences that encompass the full range of developments in critical care. Join the critical care community in San Antonio, February 25 to 28, 2018, and enhance the care you deliver to patients. Registration opens June 2017 at www.sccm.org/Congress.

Maternal Sepsis Webinar

Register today for a free webinar offering continuing education credits hosted by the Centers for Disease Control and Prevention (CDC) in partnership with the Society of Critical Care Medicine, the American Nurses Association, and the Association of Women’s Health, Obstetric & Neonatal Nurses. Leading sepsis experts will discuss the CDC’s recent sepsis Vital Signs and protocols for early recognition of maternal sepsis.

Featured speakers include:

  • Elizabeth Rochin, PhD, RN, NE-BC; Vice President of Nursing, Education and Practice; Association of Women’s Health, Obstetric and Neonatal Nurses
  • Seun Ross, DNP, MSN, CRNP-F, NP-C, NEA-BC; Director of Nursing Practice and Work Environment, American Nurses Association
  • Sean Townsend, MD; Vice President of Quality & Safety, California Pacific Medical Center
  • Lauren Epstein, MD, MSc; Medical Officer, CDC’s Division of Healthcare Quality Promotion
  • Katarina Lanner-Cusin, MD; Medical Director Women’s Services, Sutter Health, Alta Bates Summit Medical Center
  • Lori Olvera, DNP, RNC-OB, EFM-C; Bedside Nurse, Anderson Lucchetti Women’s and Children Hospital; Kaiser Permanente

Sepsis Standard Work: Improving Compliance with Early Recognition and Management of Perinatal Sepsis will take place on Wednesday, May 17, 2017, at 11:00 a.m. Eastern Time. Registration is complimentary for all participants. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Examining Tracheal Intubation

Tracheal intubation is common during adult in-hospital cardiac arrest, but little is known about the association between tracheal intubation and survival in this setting. Andersen et al set out to determine whether tracheal intubation during adult in-hospital cardiac arrest is associated with survival to hospital discharge.

They found that among adult patients with in-hospital cardiac arrest, initiation of tracheal intubation within any given minute during the first 15 minutes of resuscitation, compared with no intubation during that minute, was associated with decreased survival to hospital discharge.

Read the full Concise Critical Appraisal by logging into the SCCM eCommunity. Concise Critical Appraisal is a regular feature aimed at highlighting the best and most relevant literature from a variety of academic journals and encouraging discussion around recent studies and research.

Podcast on Family-Centered Care

In the newly available iCritical Care podcast SCCM Pod-339 Guidelines for Family-Centered Care in the ICU, Ranjit Deshpande, MD, speaks with Guideline co-chairs Judy E. Davidson, DNP, RN, FAAN, FCCM, and J. Randall Curtis, MD, MPH, about the recently released “Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU.”

Listen to the podcast and then watch the Congress talk on family-centered care and research in the intensive care unit.

The new guidelines are based on evidence showing that family-centered care may prevent or lessen the impact of post-intensive care syndrome—lingering physical and mental health effects that can occur in family members as well as patients. Access the guidelines and related tools at www.sccm.org/guidelines.

Honoring Two Legends

If you have not already done so, you are encouraged to read about the 2017 winners of the Society’s Lifetime Achievement Award and Distinguished Investigator Award: Patrick M. Kochanek, MD, MCCM, and Gordon R. Bernard, MD, respectively.

Dr. Kochanek was honored for his contributions to the understanding of traumatic and ischemic brain injury in the field of critical care, among a myriad of other accomplishments. Dr. Bernard was honored for his many research contributions, including those related to improving the care and outcomes of critically ill patients with sepsis and acute respiratory distress syndrome.

Please note that the Society of Critical Care Medicine offers numerous awards that recognize dedication and contributions to the field in a variety of areas. Visit www.sccm.org/awards to learn more.

VCCR Podcast Series

The Society of Critical Care Medicine (SCCM) is pleased to announce the Virtual Critical Care Rounds (VCCR) Podcast, a new podcast series that will offer in-depth interviews on critical care topics while addressing the most challenging aspects of intensive care unit fellowship and residency. This series complements SCCM’s VCCR program.

After listening to the podcasts, keep the conversation going on twitter using #VCCRounds.

Critical Care Awareness Month

May is National Critical Care Awareness and Recognition Month (NCCARM)! ICUs mark this special month in various ways, from sharing blue treats with staff or providing educational symposia, staff recognition ceremonies or ICU tours. Other units invite former patients and their families to meet staff and share their progress.

Regardless of how you celebrate NCCARM this year, be sure you wear blue on Friday, May 19, 2017! Also, make sure to send us group photos of your ICU team celebrating NCCARM. If you do, you may become a star! That’s because the Society of Critical Care Medicine is seeking to highlight teams from around the world in an effort to show the global reach of critical care. Submit your team photo for a chance to be featured throughout the year and during the 47th Critical Care Congress. Share your photos on Twitter using #NCCARM, or post them to the Society’s Facebook page. You can also send your pictures to criticalconnections@sccm.org.

ICU Liberation Conference

Gain strategies for effective implementation of the pain, agitation and delirium (PAD) guidelines during the two-day didactic and simulation conference, ICU Liberation and Animation: Operationalizing the PAD Guidelines Through the ABCDEF Bundle, held in partnership with the Society of Critical Care Medicine (SCCM) and Vanderbilt University Medical Center. Internationally-recognized faculty will present lectures on patient management strategies and engage participants in clinical scenarios through small-group simulation labs.

During the course, attendees will:

  • Review the PAD guidelines and ABCDEF Bundle
  • Learn strategies for implementation and management of the PAD guidelines and ABCDEF Bundle in the ICU
  • Gain a significant hands-on experience by applying strategies during patient scenario simulations
  • Earn 14 continuing medical education credit hours (available to physicians, nurses and pharmacists)

Hospitals are encouraged to send a team of two or more participants who will then be able to implement these strategies within their hospital’s ICU after the conference.

ICU Liberation and Animation will be held September 12 and 13, 2017, at Vanderbilt University Medical Center in Nashville, Tennessee, USA. Register online using your Customer ID and password (usually your last name). If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Shock CE Activity

Experience the educational content from the Society of Critical Care Medicine’s (SCCM) 2017 Congress session, The Modern Approach to the Diagnosis and Treatment of Shock, from the comfort of your home or office. This session was supported by an educational grant from La Jolla Pharmaceutical Company.

During this complimentary continuing education activity, expert faculty explore emerging therapeutic strategies, preserving end-organ perfusion and volumetric assessment in shock. This product includes videos containing slide presentations and synchronized speaker audio of the session, as well as a pre- and posttest.

Physicians, nurses, and pharmacists are eligible to receive 1.5 hours of continuing education credit. This opportunity is available through April 2018.

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