Category Archives: SCCM News

Resources for Researchers

The National Heart, Lung and Blood Institute (NHLBI) awarded a large 5-year R-24 research infrastructure grant to Society member Dale Needham, FCPA, MD, PhD, for a project entitled “Improving Long-Term Outcomes Research for Acute Respiratory Failure.”

Dr. Needham is Director of the Outcomes After Critical Illness and Surgery (OACIS) Group, a multidisciplinary clinical and research group focused on understanding and improving patient outcomes after critical illness and surgery, at Johns Hopkins University School of Medicine.

This NIH-funded project has completed the development of many resources for researchers conducting long-term follow-up of patients surviving acute respiratory failure and acute respiratory distress syndrome (ARF/ARDS), including:

  • Recommendations for long-term outcomes and associated measurement instruments for research in this patient population. A database of recommended survey instruments and clinical testing methods for evaluating the long-term physical, cognitive, and mental health outcomes of survivors of ARF/ARDS is available at www.improvelto.com/instruments.
  • Practical tools for maximizing patient cohort retention for longitudinal long-term outcomes research studies. Cohort retention tools are available at www.improvelto.com/cohort-retention-tools.
  • Statistical tools and programs to appropriately address the competing risk of mortality in analyzing long-term functional outcomes in this patient population. A software tool that imputes missing data among survivors and then implements statistical approaches for addressing mortality when evaluating long-term functional outcomes is available at www.improvelto.com/stats-tools.

Visit www.improvelto.com to learn more about this project and stay up to date on its progress.

PANGEA Study Findings

The April 2017 issue of Pediatric Critical Care Medicine (PCCM) released the latest findings from the Prevalence of Acute critical Neurological disease in children: a Global Epidemiological Assessment (PANGEA) study.

This study offers a worldwide snapshot of acute neurologic conditions among critically ill children. One-hundred-seven hospital ICUs participated by providing information on children with acute neurologic conditions, contributing information on a total of 924 patients.

Overall, 16.2% of children in the reporting ICUs had acute neurologic conditions. Many children had preexisting medical conditions, but 61% had normal neurologic status before their current hospitalizations.

Cardiac arrest, resulting in lack of blood flow to the brain, was the most common overall cause of acute neurologic conditions (23%). Other causes included traumatic brain injury (19%), central nervous system infection or inflammation (16%), and stroke or a mass, such as a brain tumor (9% each).

The study found that regions differed in terms of most common condition reported. Infection/inflammation was the most common cause in Asia, South America, and the sole African hospital contributing to the study. In all other regions, cardiac arrest was the main cause.

Ericka L. Fink, MD, MS, and coauthors believe that the PANGEA data “suggest a vital need for resources to assist in the challenge of improving outcomes for these children throughout the span of the periods of emergency care through to rehabilitation.”

Society of Critical Care Medicine members who are also part of the Pediatrics Section can access the full content of PCCM online by logging into MySCCM.

Podcast on Acute Care Research

In the newly available iCritical Care podcast SCCM Pod-338 Building Global Collaboration in Acute Care Research Ludwig Lin, MD, speaks with John C. Marshall, MD, FRCSC, FACS, about his talk given at the 46th Critical Care Congress, “Building Global Collaboration in Acute Care Research.” Listen to the podcast and then watch Dr. Marshall’s Congress talk and familiarize yourself with the Society of Critical Care Medicine’s newest endeavor: Discovery, the Critical Care Research Network.

You can listen to all of the Society’s podcasts at www.sccm.org/iCriticalCare. Here are the latest:

SCCM Pod-337 Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient: 2016 Update

SCCM Pod-336 Surviving Sepsis Campaign Guidelines: 2016 Update

SCCM Pod-335 SCCM President Ruth Kleinpell Discusses the Year Ahead

SCCM Pod-334 Vasopressors: Future Research

Critical Care Awareness Month

As May approaches, it is time for intensive care unit (ICU) teams to consider how they will celebrate 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.

Discovery Call for Proposals

Discovery, the Critical Care Research Network, is encouraging members to submit proposals for review and discussion at the Discovery Spring Clinical Investigators Meeting. The Discovery Spring Clinical Investigators Meeting provides an opportunity for investigators to present clinical proposals in an inclusive and supportive environment. The meeting is being held on Monday, May 22, 2017, from 2:00 p.m. to 5:00 p.m. Eastern Time in Washington, DC, USA, during the American Thoracic Society annual meeting. Members may also participate virtually by videoconference.

The deadline for proposal submission is Monday, May 1, 2017. Investigators will be notified of the status of their submission by May 15, 2017. Please use the following link to submit proposals:

https://www.surveymonkey.com/r/9DZK9ZF

The investigatorinitiated proposals are a unique opportunity to receive valuable peer feedback, network with the Society of Critical Care Medicine’s (SCCM) Discovery Steering Committee members, and solicit additional participant sites. Proposals will be reviewed and evaluated by the Discovery Steering Committee. The investigators of the six highestranked proposals will have an opportunity to present their proposals virtually or in person via PowerPoint presentation followed by questions. Those investigators invited to present can do so virtually and do not need to travel to Washington DC. The proposals that are not selected for live presentation at the Discovery Spring Clinical Investigators Meeting will receive valuable feedback; the abstracts will be shared with the Discovery Steering Committee with the opportunity to solicit additional study sites.

The peer review, feedback, additional study sites, and the letter of support on behalf of the SCCM Discovery Steering Committee will greatly increase the chance of your study obtaining funding, being published, and helping critically ill patients.

Criteria for Application:

-A minimum of two sites is required (a multi-institutional study)

-The research plan (questions 6-16) in the application should be concise and limited to no more than six pages. The research plan includes specific aims, background and significance, preliminary studies (where applicable), and research design and methods.

-The research plan should describe any assistance requested from Discovery (i.e., generation of datasets, data analysis, study sites, etc.)

-It is expected that the results (positive or negative) of all approved Discovery studies, including those considered non-publishable by the studys investigators, will be presented to the Discovery Steering Committee within six months of study completion.

-The Discovery Steering Committee should review all manuscripts resulting from the study prior to submission.

-All study investigators must submit any conflicts of interest.

-Intellectual property will be protected, and confidentiality statements will be required from all members of the Discovery Steering Committee reviewers.

For further information and inquiries, please email discovery@sccm.org.

MCCM Designation

Fellows of the American College of Critical Care Medicine (FCCM) are invited to nominate their FCCM colleagues for the Master of Critical Care Medicine (MCCM) designation. The deadline for submitting nominations is April 30, 2017.

Master members of the College have distinguished themselves through outstanding contributions in research and education, as well as service to the Society of Critical Care Medicine and the field of critical care. They have achieved national and international professional prominence due to personal character, leadership and eminence in clinical practice. Candidates must have been a Fellow for at least 10 years.

For additional information on the MCCM designation, please contact Carol Prendergast at cprendergast@sccm.org or +1 847 827-6826.

Apply for SCCM Awards

The Society of Critical Care Medicine (SCCM) 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.

Dr. Joseph and Rae Brown Award – Recognize an SCCM member who has advanced multiprofessional quality care at the regional or local level through exceptional leadership contributions that have furthered the vision and mission of chapters or affiliates.

Grenvik Family Award for Ethics – Acknowledge an SCCM member who has made significant contributions toward addressing ethical problems in critical care.

Norma J. Shoemaker Award for Critical Care Nursing Excellence – Recognize an SCCM nurse member who demonstrates excellence in clinical practice, education and/or administration in the field of critical care.

Barry A. Shapiro Memorial Award for Excellence in Critical Care Management – Nominate an SCCM member who has made significant contributions to the design and/or implementation of evidence-based practices that have improved clinical, operational or fiscal outcomes.

Family-Centered Care Innovation Award – Commend an ICU team that has succeeded in instituting a novel approach to compassionate care and has a desire to share that innovation with other teams.

Drs. Vidyasagar and Nagamani Dharmapuri Award for Excellence in Pediatric Critical Care Medicine – Recognize an individual for sustained exemplary and pioneering achievement in the care of critically ill and injured infants and children.

ICU Heroes Award – Acknowledge a heroic ICU patient, their respective family members and the multiprofessional ICU team that delivered the care.

Safar Global Partner Award – Recognize individuals and/or institutions making material contributions to SCCM’s achievement of its international strategic priorities.

ICU Design Citation Applications Due August 15
Submit your application for the ICU Design Citation, which is co-sponsored by the Society of Critical Care Medicine, the American Association of Critical-Care Nurses and the American Institute of Architects Academy of Architecture for Health. The award recognizes an operating critical care unit designed with attention to both functional and humanitarian issues.

THRIVE Developments

The THRIVE initiative is proud to announce the selection of 10 institutions to a new Post Intensive Care Unit (ICU) Clinic Collaborative:

  • Brigham and Women’s Hospital, Boston, MA*
  • Eskenazi Health, Indianapolis, IN
  • Geisinger Medical Center, Danville, PA
  • Guy’s and St Thomas’ NHS Foundation Trust, London, UK*
  • NHS Greater Glasgow and Clyde, Glasgow, UK*
  • National Jewish Health, Denver, CO
  • Springfield Clinic, Springfield, IL
  • University of Kentucky, Lexington, KY
  • University of Pittsburgh Medical Center (Mercy Hospital), Pittsburgh, PA
  • Wake Forest University, Winston-Salem, NC*

The purpose of the THRIVE Post ICU Clinic Collaborative is to build an international network of hospitals focused on developing post-ICU clinics to provide comprehensive care to ICU survivors. The Collaborative is a partnership between the Society of Critical Care Medicine (SCCM) and the 10 inaugural sites. Together in the collaborative, the goals will be:

  • Improve patient outcomes after ICU discharge
  • Address post-intensive care syndrome (PICS) using a multidisciplinary team
  • Decrease readmission rates and morbidities
  • Improve the quality of life for patients after critical illness
  • Collect data for quality improvement

On another note, in support of the THRIVE initiative, SCCM is proud to fund the third round of seed grants to foster an international network of in-person support groups linking survivors of critical illness and their families. These groups will offer survivors mutual support and the opportunity to share solutions to the challenges of recovery after an ICU stay.

The goal of these grants is not to fund ICU follow-up clinics but rather to develop peer-support models with strong survivor co-leadership as the foundation for growing an international network.

Applications are due June 1, 2017.

If you have any questions, please contact SCCM staff partner Adair Andrews at aandrews@sccm.org.

*Currently participating in the Thrive Peer Support Collaborative

Podcast Features SCCM President

In the newly available iCritical Care podcast SCCM Pod-335 SCCM President Ruth Kleinpell Discusses the Year Ahead, Ludwig Lin, MD, speaks with Society of Critical Care Medicine (SCCM) President Ruth M. Kleinpell, PhD, RN, FAAN, FCCM, about some of SCCM’s new initiatives, including the PCOR-ICU Collaborative and Discovery, the Critical Care Research Network, as well as goals she would like to accomplish during her tenure as president.

Hear more from Dr. Kleinpell about the Society’s focus on research in her latest president’s message and her Critical Connections Live interview about her 2017 Presidential Address from the 46th Critical Care Congress.

Sepsis Guidelines Resources Available

The 46th Critical Care Congress announced the release of the updated Surviving Sepsis Campaign guidelines (available in both Critical Care Medicine and Intensive Care Medicine).

Since Congress, various new resources related to the guidelines and sepsis care have become available:

If you were unable to attend this Congress session, you can see what you missed by watching Critical Connections Live: New Guidelines for the Management of Sepsis and Septic Shock, which brings you the full session along with commentary after the broadcast. Also available are the Surviving Sepsis guidelines presentation slides.

In the newly available iCritical Care podcast SCCM Pod-336 Surviving Sepsis Campaign Guidelines: 2016 Update, Ludwig Lin, MD, speaks with Mitchell M. Levy, MD, MCCM, about the release of the updated Surviving Sepsis Campaign guidelines.

Members and nonmembers alike can access the SCCM guidelines for free by downloading the Guidelines App. The new sepsis guidelines can also be found on the Surviving Sepsis Campaign App

The Society of Critical Care Medicine has endorsed the Statement on Maternal Sepsis released by the World Health Organization.

For additional resources related to the guidelines and sepsis care, check out the list below and visit www.survivingsepsis.org:

Stay Up to Date on the Latest SCCM Guidelines with Free Access

Help ensure that critical care patients are receiving consistent, evidence-based care by staying up-to-date on the latest Society of Critical Care Medicine (SCCM) guidelines.

Members and nonmembers alike can access the SCCM guidelines for free by visiting www.sccm.org/guidelines and Critical Care Medicine online or by downloading the Guidelines App.

SCCM’s guidelines cover a variety of topics including family-centered care, sustained neuromuscular blockade, reversal of antithrombotics in intracranial hemorrhage, and the management of sepsis and septic shock. View the complete list online.

Congress Session Addresses Antibiotic Stewardship in Sepsis

A session during the 46th Critical Care Congress addressed balancing early antibiotic administration and stewardship in sepsis.

At the start of the session, Mitchell Levy, MD, MCCM, notes the importance of the topic. “Through the Surviving Sepsis Campaign … we’ve produced sepsis performance metrics, which have now been adopted nationally by [the Centers for Medicare & Medicaid Services]. They mandate rapid institution of appropriate antibiotics for all patients suspected of sepsis within the first hour.”

That’s the good news. The bad news, according to Dr. Levy, is that “we live in a time of serious concerns about antibiotics resistance.” He noted many people say “the performance measures may have… unintended deleterious consequences by driving antibiotics into patients that turn out later to not have infections. That’s often been used as the reason to not to adhere to or accept the performance measures.”

The Society of Critical Care Medicine has been collaborating with the Centers for Disease Control and Prevention (CDC) and has been in conversation with the American College of Emergency Physicians (ACEP) and the Infectious Diseases Society of America (IDSA) to address this issue.

“We’ve come to see how to balance this by marrying the rapid institution of appropriate antibiotics with antibiotic stewardship,” Dr. Levy said. Panelists discussed the drive to make early antibiotics effective while minimizing how long patients receive antibiotics.

Panelists took questions from the audience and debated several questions, including whether the goals of integrating antibiotic stewardship with the rapid treatment of severe sepsis and septic shock were mutually exclusive. The group discussed practical and lesser-known benefits of a robust antibiotic stewardship program, and how to balance rapid antibiotic choices while still protecting against antimicrobial resistance.

Panelists included Lauren Epstein, MD, from the CDC, Tiffany Osborn, MD, MPH, FCCM, FACEP, representing the ACEP, and Stephen Weber, MD, representing the IDSA. The session aimed to review coordination and staging of timely antibiotic administration and to recognize the impact that antibiotic resistance has in clinical medicine and sepsis.

Dr. Epstein, along with Surviving Sepsis Campaign founder, R. Phillip Dellinger, MD, MCCM, served as guest panelists during the Critical Connections Live broadcast on the New Guidelines for the Management of Sepsis and Septic Shock.

The updated Surviving Sepsis Campaign guidelines (available in both Critical Care Medicine and Intensive Care Medicine) were released during the 46th Critical Care Congress, along with a viewpoint and synopsis published in JAMA. Materials are available at www.survivingsepsis.org.

Affiliated materials released in conjunction with the guidelines include:

Apply for THRIVE Peer Support Collaborative Funding

In support of the THRIVE initiative, the Society of Critical Care Medicine (SCCM) is proud to fund the third round of seed grants to foster an international network of in-person support groups linking survivors of critical illness and their families. These groups will offer survivors mutual support and the opportunity to share solutions to the challenges of recovery after an intensive care unit (ICU) stay.

The goal of these grants is not to fund ICU follow-up clinics but rather to develop peer-support models with strong survivor co-leadership as the foundation for growing an international network.

Applications are due June 1, 2017.

If you have any questions, please contact SCCM staff partner Adair Andrews at aandrews@sccm.org.

2018 Congress Session Builder to Close Tomorrow

For those working on session proposals for the Society of Critical Care Medicine’s 2018 Critical Care Congress, please note that the 2018 Congress Session Builder will close tomorrow.

Access a PDF about the Session Builder, which gives pointers on building a good session. After reviewing the information, go to MySCCM.org, click on the My Involvement tab and select Session Builder. For complete instructions and to review frequently asked questions, visit www.sccm.org/SessionProposals. Click on the tab titled Session Proposals.

Please note: The Congress Program Planning Committee reserves the right to change, alter, merge, and reject sessions, titles, content, moderators, and speakers to meet programming needs. Incomplete submissions will not be reviewed.

In 2018, SCCM will bring the critical care community to San Antonio, Texas, USA. Everything is bigger in Texas and the 47th Critical Care Congress will encourage you to embrace new perspectives and develop innovative ideas that push beyond limitations and challenge the current state of critical care. We invite you to join us February 25 to 28, 2018, for the largest multiprofessional critical care event of the year. Registration opens June 2017.