Long-Term Quality of Life Among Survivors of Severe Sepsis

Severe sepsis currently accounts for 10% of all intensive care unit admissions and is the leading cause of death in U.S. hospitals. Studies have shown that sepsis survivors suffer from many long-term after-effects. Among survivors, mobility and the ability to perform daily activities tend to be limited and are used as markers of quality of life (QoL). However, these prior studies have been small and have not taken into account high burdens of chronic disease prior to sepsis admission. A study conducted by Yende et al is a secondary analysis of two international, randomized clinical trials (A Controlled Comparison of Eritoran and placebo in patients with Severe Sepsis [ACCESS] and PROWESS-SHOCK), with the aim of describing QoL in sepsis survivors. The two cohorts analyzed included only adults with severe sepsis who were fully functional and living at home prior to sepsis hospitalization.

They found that approximately one-third of patients (as described above) who survived hospitalization for severe sepsis had died at six months. A further one-third had not returned to independent living by six months.

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.

Join the CDC in Marking Sepsis Awareness Month

In honor of Sepsis Awareness Month this September, the U.S. Centers for Disease Control and Prevention (CDC) has sponsored and/or promoted numerous events stressing the importance of detecting this life-threatening condition early and taking preventative measures.

Help to continue raising awareness by participating in the CDC’s webinar, Empowering Nurses for Early Sepsis Recognition, on Thursday, September 22, at 1:00 p.m. (CT).

Keep the conversation going on social media by using the following hashtag: #ThinkSepsis.

If you have not already done so, you are also encouraged to review resources related to the new sepsis definitions released earlier this year and to familiarize yourself with the Society of Critical Care Medicine’s Surviving Sepsis Campaign and its THRIVE initiative, which centers on addressing post-intensive care syndrome (PICS).

SCCM Releases Policy Statement Regarding Interventions

The Society of Critical Care Medicine and four other major critical care organizations have recently released a policy statement endorsing a seven-step process to resolve disagreements about potentially inappropriate treatments.

Titled “Defining Futile and Potentially Inappropriate Interventions: A Policy Statement from the Society of Critical Medicine Ethics Committee,” the material was published in the September 2016 issue of Critical Care Medicine.

No Cost, Online CE Activities on Acute Decompensated Heart Failure

Earn free continuing education credits by viewing the educational content from the Society of Critical Care Medicine’s (SCCM) 2016 Congress session, Tailoring Therapy and Improving Outcomes in Patients with Acute Decompensated Heart Failure (ADHF), supported by an educational grant from Novartis Pharmaceuticals Corporation. Available in two formats, you can choose from the webcast version, Tailoring Therapy & Improving Outcomes in Patients with ADHF, or the electronic publication, Acute Decompensated Heart Failure Monograph.

Both versions contain discussions from experts in the field on the diagnosis and classification of ADHF, existing therapies, new guidelines and safety and efficacy data for new and emerging treatment therapies, as well as strategies for individualizing therapy to improve patient outcomes. Physicians, nurses and pharmacists are eligible to receive continuing education credits.

Other Online CME Available

Whether you missed SCCM’s 2016 Critical Care Congress or couldn’t make it to all the sessions of interest, you can still participate in the most popular sessions online at your convenience. Earn free continuing medical education credits by viewing any of the following webcasts and then applying for credit:

Every Patient Has a Story: Individualizing the Management of Invasive Fungal Infections in the Critical Care Setting
Supported by an educational grant from Astellas Pharma Global Development, Inc.

Improving Clinical Outcomes and Pathogen-Directed Therapy for Serious Bacterial Infections in the Critical Care Setting
Supported by an educational grant from Merck & Co., Inc.

Optimizing Treatment and Improving Care Transitions in Chronic Heart Failure
Supported by an educational grant from Amgen

The Role of Biomarkers in Acute Kidney Injury Risk Assessment
Supported by an educational grant from Astute Medical, Inc.

Reserve Your Spot for Interprofessional Team Coaching in the ICU: Results

Reserve your spot for the second installment of the Society of Critical Care Medicine’s (SCCM) two-part ICU Liberation webcast series. “Interprofessional Team Coaching in the ICU: Results” will be conducted for interprofessional teams (IPTs) working together to implement the ABCDEF Bundle. Registration is open to both participants and nonparticipants of the ongoing ICU Liberation ABCDEF Bundle Collaborative. Those who did not attend the first session are still encouraged to register, and may view the first session before attending the webcast.

All members of the IPT responsible for bundle implementation (i.e., nurses, pharmacists, physical therapists, physicians, respiratory therapists, and administrative leads or nurse managers) are strongly encouraged to attend to ensure optimal impact. Results from participation will be most effective if attended by the entire team; partial team attendance is also acceptable.

During this second session, Mary Ann Barnes-Daly, MS-L, RN, CCRN, DC, Clinical Performance Improvement Consultant for Sutter Health and Dorothy Lingren, MA, Team Consultant for Sutter Health/Lingren Consulting, will provide an opportunity for teams to share the results of their test of change. In addition, the session will focus on how to address the influence and conflict challenges that frequently arise when working toward full ABCDEF Bundle implementation. At the end of the session, team members will have a preliminary list of activities to continue working collaboratively toward bundle implementation.

Learning Objectives include:

  • Report results from the test of change and plan the next test
  • Identify influences and conflict challenges that exist and practice using appropriate tools to address them
  • List activities that the team needs to address for successful ABCDEF Bundle implementation

This 60-minute webcast, which will be moderated by Diane Byrum, RN, MSN, CCRN, CCNS, FCCM, will take place on Wednesday, September 21, 2016, at 1:00 p.m. Central Time. Registration is complimentary for all participants. Physicians, nurses and pharmacists are eligible to receive continuing education credits. Please visit the event page for more information.

Register online for “Interprofessional Team Coaching in the ICU: Results” using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an ICU stay.

Register for Pre- and Post-Congress Educational Sessions

The Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress will be packed with essential clinical information to keep you well-informed on the latest groundbreaking research and developments in critical care. The pre- and post-Congress educational sessions reflect the most up-to-date topics and evidence-based information so you can incorporate the latest clinical treatments and administrative strategies into your everyday practice.

Pre-Congress Educational Sessions
Friday, January 20 and Saturday, January 21

  • Advances in Veterinary Critical Care
  • Critical Care Pharmacy Preparatory Review Course
  • Current Concepts in Adult Critical Care
  • Current Concepts in Pediatric Critical Care
  • ECMO Management
    * This course will take place at the Ala Moana Hotel in Honolulu, Hawaii, USA.

Saturday, January 21

  • Adult Multidisciplinary ICU Simulation Bootcamp
    * This course will take place at the University of Hawaii Translational Health Science Simulation Center in Honolulu, Hawaii, USA.
  • Adult Airway Management in the Critically Ill
  • Fundamentals Faculty Academy
  • Hemodynamic Monitoring: From Cardiovascular Physiology to Applied Intensive Care Medicine
  • Ho’ola hou (Revive): Resuscitation Officers Training Program (Code Blue and Medical Emergency Teams)
  • Liver Failure in the ICU: Key Concepts and Management Principles
  • Nutrition Research Workshop: From Bench to Bedside
  • What You Need to Know to Manage the Neurologically Critically Ill Patient

Post-Congress Educational Session
Wednesday, January 25 and Thursday, January 26

  • Critical Care Ultrasound
  • Critical Care Ultrasound: Pediatric
    *These courses will take place at the Hilton Hawaiian Village, in Honolulu, Hawaii, USA.

Space for each course is limited, so register early to guarantee your top choice. To view course descriptions, visit the Congress Program page.

If you plan to attend a course in conjunction with Congress, register at www.sccm.org/Congress. If you plan to attend a course and not Congress, register in the SCCM store by searching the course title. If you are currently registered for Congress, please contact SCCM Customer Service at +1 847 827-6888 to add a pre- and/or post-Congress educational session to your existing registration and for answers to any of your questions.

Build your critical care knowledge and enhance the care you deliver to patients by attending SCCM’s 46th Critical Care Congress, to be held January 21 to 25, 2017, in Honolulu, Hawaii, USA. Join more than 6,000 members of the critical care community at this five-day event. When the right people come together in one place, ideas become reality. Register online today.

Intensive BP Lowering in Patients with Acute Cerebral Hemorrhage

Limited data are available to guide the choice of a target for the systolic blood-pressure level when treating acute hypertensive response in patients with intracerebral hemorrhage. Qureshi et al therefore randomly assigned eligible participants with intracerebral hemorrhage and a Glasgow Coma Scale score of five or more to a systolic blood-pressure target of 110 to 139 mm Hg (intensive treatment) or a target of 140 to 179 mm Hg (standard treatment) in order to test the superiority of intensive reduction of systolic blood pressure to standard reduction.

They found that the treatment of participants with intracerebral hemorrhage to achieve a target systolic blood pressure of 110 to 139 mm Hg did not result in a lower rate of death or disability than standard reduction to a target of 140 to 179 mm Hg.

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.

Last Week of September Dedicated to Raising Malnutrition Awareness

You are encouraged to participate in the American Society for Parenteral and Enteral Nutrition’s (ASPEN) fifth annual Malnutrition Awareness Week™, which will take place September 26-30, 2016. The purpose of this week is to raise public awareness as pertains to malnutrition and encourage healthcare professionals to assess for malnutrition and intervene early if appropriate. Malnutrition is common in hospitalized patients in the United States and is associated with unfavorable outcomes, including higher infection rates, poor wound healing, longer lengths of stay, and higher frequency of readmission.

The 2016 week boasts the following webinars:

Improving Malnutrition from the Physician Perspective  – Monday, September 26 – 12 p.m. (CT)

Combating Malnutrition in the Spanish Speaking Population: Available Programs and Resources – Tuesday, September 27 – 12 p.m. (CT)

Malnutrition Interventions and Programs for the Older Adult – Thursday, September 29 – 12 p.m. (CT)

In addition, there is an event where you can chat with the experts:

Age Does Not Matter: Malnutrition in the Aging Population – Wednesday, September 28 – 12 p.m. (CT)

For additional information, visit ASPEN’s website.

New Podcast Follows Up on SSC Concepts and Implementation

In the newly available iCritical Care podcast SCCM Pod-326 Surviving Sepsis Campaign: Creating Spread for Quality Improvement, Ludwig Lin, MD, speaks with Jane Taylor, Ed.D, about quality improvement science and her contributions to the Surviving Sepsis Campaign.

This podcast follows up on the concepts addressed in the Campaign’s Spreading Quality Just in Time series—a series of videos consisting of short tutorials on the science and methods behind applying interventions at the right time in the right way.

Spreading Quality Just in Time

This series is part of the Sepsis in the Wards project from the Society of Critical Care Medicine and the Gordon and Betty Moore Foundation. It is relevant to those seeking information on sepsis screening quality improvement but can also be used by hospitals interested in hospital-wide expansion of any quality improvement initiative.

Join the CDC in Marking Sepsis Awareness Month

September is Sepsis Awareness Month, and the U.S. Centers for Disease Control and Prevention (CDC) is sponsoring and/or promoting numerous events to stress the importance of detecting this life-threatening condition early and taking preventative measures.

All events to be held in September dovetail nicely with a Vital Signs report released by the CDC late last month that centered on sepsis. The release of the report coincided with a related press conference held by the CDC that featured CDC Director Thomas R. Frieden and Mitchell Levy, MD, MCCM, FCCP, a founding and Executive Committee member of the Surviving Sepsis Campaign, discussing the report and emphasizing the importance of early identification.

Events in September include:

The 1st World Sepsis Congress – Thursday, September 8 and Friday, September 9
In 13 distinctive sessions, more than 70 speakers from more than 20 countries will give 10-minute keynotes and presentations on the number one preventable cause of death worldwide: sepsis. After each talk, the speakers will answer live questions from the audience.

Twitter Chat Centered on Sepsis – Tuesday, September 13, at 12:00 p.m. (CT)
The chat will feature Dr. Richard Besser of ABC News discussing sepsis. Dr. Richard Besser is the Chief Health and Medical Editor for ABC News. To participate, use #abcDrBchat.

CDC Webinar – Advances in Sepsis: Protecting Patients Throughout the Lifespan – Tuesday, September 13, at 2:00 p.m. (CT)

CDC Webinar – Empowering Nurses for Early Sepsis Recognition – Thursday, September 22, at 1:00 p.m. (CT)

Before, during and after the above events, you are encouraged to keep the conversation going on social media by using the following hashtag: #ThinkSepsis.

If you have not already done so, you are also encouraged to review resources related to the new sepsis definitions released earlier this year and to familiarize yourself with the Society of Critical Care Medicine’s Surviving Sepsis Campaign and its THRIVE initiative, which centers on addressing post-intensive care syndrome (PICS).

Register for Interprofessional Team Coaching in the ICU: Results

Register today for the second installment of the Society of Critical Care Medicine’s (SCCM) two-part ICU Liberation webcast series. “Interprofessional Team Coaching in the ICU: Results” will be conducted for interprofessional teams (IPTs) working together to implement the ABCDEF Bundle. Registration is open to both participants and nonparticipants of the ongoing ICU Liberation ABCDEF Bundle Collaborative. Those who did not attend the first session are still encouraged to register.

For optimal impact, all members of the IPT responsible for bundle implementation (i.e., nurses, pharmacists, physical therapists, physicians, respiratory therapists, and administrative leads or nurse managers) are strongly encouraged to attend. Results from participation will be most effective if attended by the entire team; partial team attendance is also acceptable.

During this second session, Mary Ann Barnes-Daly, MS-L, RN, CCRN, DC, Clinical Performance Improvement Consultant for Sutter Health and Dorothy Lingren, MA, Team Consultant for Sutter Health/Lingren Consulting, will provide an opportunity for teams to:

  • Report results from the test of change and plan the next test
  • Identify influences and conflict challenges that exist and practice using appropriate tools to address them
  • List activities that the team needs to address for successful ABCDEF Bundle implementation

This 60-minute webcast, which will be moderated by Diane Byrum, RN, MSN, CCRN, CCNS, FCCM, will take place on Wednesday, September 21, 2016, at 1:00 p.m. Central Time. Registration is complimentary for all participants. Physicians, nurses and pharmacists are eligible to receive continuing education credits. Please visit the event page for more information.

Register online for “Interprofessional Team Coaching in the ICU: Results” using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an ICU stay.

Participate in Twitter Chat Centered on Sepsis

You are encouraged to participate in a twitter chat on Tuesday, September 13, 2016, at 12:00 p.m. (CT) that will feature Dr. Richard Besser of ABC News discussing sepsis. Dr. Richard Besser is the Chief Health and Medical Editor for ABC News.

To participate, use #abcDrBchat. This chat is part of World Sepsis Day, which is on September 13.

If you have not already done so, you are encouraged to review resources related to the new sepsis definitions released earlier this year in advance of the twitter chat.

Register for January Ultrasound Courses

Focused ultrasound examinations in the critical care setting have become an extension of the clinical assessment because of their rapid, precise detection capabilities. Assist in immediate patient management by learning or enhancing point-of-care skills during the Society of Critical Care Medicine’s (SCCM) critical care ultrasound courses.

Obtain the realistic training needed to perform and interpret ultrasound imaging with SCCM’s comprehensive, two-day Critical Care Ultrasound or Critical Care Ultrasound: Pediatric course. In each, participants benefit from guided, focused skill stations and interactive presentations to reinforce key learning points. Extensive faculty coverage ensures a significant hands-on experience for each participant. Learn from a world-renowned faculty comprised of physicians, nurse practitioners, physician assistants and more.

Both courses will be held January 25 and 26, 2017, at the Hilton Hawaiian Village in Honolulu, Hawaii, USA, following SCCM’s 46th Critical Care Congress. Register online today with your customer ID and password. If you plan to attend an ultrasound course in conjunction with Congress, register at www.sccm.org/Congress. If you wish to attend an ultrasound course and not attend Congress, register at the Critical Care Ultrasound or Critical Care Ultrasound: Pediatric event registration page.

If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Free CE Credit Activities from the 45th Critical Care Congress

If you were unable to attend the Society of Critical Care Medicine’s (SCCM) 2016 Critical Care Congress in Orlando, Florida, USA, or simply couldn’t make it to all sessions of interest, you can still experience several popular industry-supported sessions online. Review the content at your own pace from the comfort and convenience of your home or office and earn free continuing education credit by viewing any of the following complimentary webcasts and then applying for credit.

Every Patient Has a Story: Individualizing the Management of Invasive Fungal Infections in the Critical Care Setting
Supported by an educational grant from Astellas Pharma Global Development, Inc.

Improving Clinical Outcomes and Pathogen-Directed Therapy for Serious Bacterial Infections in the Critical Care Setting
Supported by an educational grant from Merck & Co., Inc.

Optimizing Treatment and Improving Care Transitions in Chronic Heart Failure
Supported by an educational grant from Amgen

The Role of Biomarkers in Acute Kidney Injury Risk Assessment
Supported by an educational grant from Astute Medical, Inc.

Tailoring Therapy and Improving Outcomes in Patients with Acute Decompensated Heart Failure
Supported by an educational grant from Novartis Pharmaceuticals Corporation

Physicians, nurses and pharmacists are eligible to receive 1.5 hours of continuing education credit for each webcast. This opportunity is available through April 2017.

Please contact SCCM Customer Service at +1 847 827-6888 with any questions.

Reserve Your Spot for Upcoming ICU Liberation Webcasts

Reserve your spot for the upcoming two-part webcast, “Interprofessional Team Coaching in the ICU” and “Interprofessional Team Coaching in the ICU: Results,” from the Society of Critical Care Medicine’s (SCCM) ICU Liberation series. The webcasts will be conducted for interprofessional teams (IPTs) working together to implement the ABCDEF Bundle. Registration is open to both participants and non-participants of the ongoing ICU Liberation ABCDEF Bundle Collaborative, and is complimentary for all.

For optimal impact, it is strongly encouraged that all members of the IPT responsible for bundle implementation (i.e., nurses, pharmacists, physical therapists, physicians, respiratory therapists, and administrative leads or RN managers) attend both sessions. Results from participation will be most effective if attended by the entire team; partial team attendance is also acceptable.

During the first session, Mary Ann Barnes-Daly, MS-L, RN, CCRN, DC, Clinical Performance Improvement Consultant for Sutter Health and Dorothy Lingren, MA, Team Consultant for Sutter Health/Lingren Consulting, will address the role of the IPT and the key abilities of partnership, cooperation, and coordination that make the team successful. Teams who attend will commit to implementing a test of change that they will implement as a team.

Learning objectives include:

  • Articulate the purpose, key abilities and success factors for the IPT
  • Explore IPT practices that facilitate successful bundle implementation
  • Identify a test of change for your IPT to conduct and report on at a subsequent session

The second session will provide an opportunity for teams to share the results of their test of change. In addition, the session will focus on how to address the influence and conflict challenges that frequently arise when working toward full ABCDEF Bundle implementation. At the end of the session, team members will have a preliminary list of activities to continue working collaboratively toward bundle implementation.

Learning objectives include:

  • Report results of test of change and plan next test (partnership)
  • Identify influence and conflict challenges that exist and practice using appropriate tools to address them (cooperation)
  • List activities that the team needs to address for successful ABCDEF Bundle implementation (coordination)

The 60-minute webcasts, which will be moderated by Diane Byrum, RN, MSN, CCRN, CCNS, FCCM, will take place on Wednesday, August 31, 2016, at 1:00 p.m. and Wednesday, September 21, 2016, at 1:00 p.m. Central Time. Physicians, nurses and pharmacists are eligible to receive continuing education credits. Please visit the event page for more information.

Register online for “Interprofessional Team Coaching in the ICU” and “Interprofessional Team Coaching in the ICU: Results” using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an intensive care unit stay.

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