Category Archives: SCCM News

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.

Help SCCM Expand Fundamentals Training in Africa

Critical care remains in its infancy in many low-income countries in Africa. The care that critically ill patients receive in most parts of the continent is often informal, uncoordinated or even absent in many cases, resulting in a fatality rate that’s unacceptably high. In Africa, the mortality rate for head injuries in Benin is 70% and for eclampsia, a life-threatening complication of pregnancy, it is over 40% in both Senegal and Nigeria. Even more shocking, in 2013, approximately 180,000 women died during pregnancy or childbirth in Sub-Saharan Africa, according to the World Health Organization (WHO).

To help reverse this alarming trend, SCCM, in conjunction with the 2017 All-Africa Anesthesia Congress in Abuja, Nigeria, will be providing fundamentals education through a continent-wide training program. By co-locating our fundamentals course programs at this large gathering of care providers, SCCM will reach participants from 54 different countries from one central location. Healthcare providers will have a unique opportunity to choose from five different fundamentals courses. At this time, the Society anticipates offering training to approximately 200 participants in Fundamental Critical Care Support (FCCS), Pediatric FCCS, Fundamental Disaster Management, FCCS: Obstetrics (pilot version), and FCCS: Tropical Diseases.

If you would like to make a donation to help support the Society’s efforts in Africa, you can go to the SCCM donation page by clicking on the link www.sccm.org/donate and then clicking “Online Donation” and selecting “Resource Limited Areas” from the drop-down menu. This will ensure that your gift is directed toward this important effort. Please read the “Donor Prospectus” to learn more.

Your support is urgently needed to ensure that the proper training and tools are getting to healthcare professionals in Africa.

Dr. Shoemaker Remembered during 46th Critical Care Congress

William C. Shoemaker, MD, MCCM, one of the critical care community’s great visionaries and founders, was remembered during the Society of Critical Care Medicine’s 46th Critical Care Congress with a powerful memorial video.

Together with his wife, Norma, the Shoemakers were instrumental in founding the Society of Critical Care Medicine, helping to start the organization from the ground up.

Dr. Shoemaker was a key voice in the effort to have critical care considered a specialized area of medicine, and was a staunch believer that optimal critical care should be delivered by a multidisciplinary team. He served as the third SCCM president, from 1973 to 1974. In addition, one of his most impressive undertakings was serving as the first editor of Critical Care Medicine.

Congress Talk Centers on Science behind Liberating ICU Patients and Families

You are encouraged to check out video of an informative plenary session from the 46th Critical Care Congress entitled ABCDE and F Bundle: The Science Behind Liberating ICU Patients and Families.  It features E. Wesley Ely, MD, MPH, FCCM, describing the Society of Critical Care Medicine’s pain, agitation, and delirium (PAD) guidelines, reviewing the epidemiology and risk factors for critical illness brain injury, and introducing the evidence-based ABCDEF bundle and successful quality improvement methodology. Dr. Ely also discusses optimizing culture change to improve patient outcomes.

The plenary was accompanied by the release of Dr. Ely’s late breaking paper, The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families.

In the paper, published in the February 2017 issue of Critical Care Medicine, Dr. Ely notes: “One thing most physicians detest is being told what to do or seeing some ‘recipe’ put forth for their patients’ medical care. We know what we do is a professional calling and an art; we are not merely medical providers or technicians. ICU liberation is not meant as a recipe or a ‘protocol’ to be blindly followed.

Quite the opposite. Some of you may, without reading this synthesis, practice up-to-date and seamless ICU care. If so, then the science and philosophy of ICU liberation are yours, and this article will be of help perhaps as a way of ‘packaging’ what you already do. However, having visited many hundreds of ICUs around the world, I have not seen even one (including those in which I am privileged to serve patients and their families as an attending physician) that I think practices these ICU liberation concepts well enough.”

Dr. Ely also references the connection between ICU treatment and the Society’s THRIVE initiative, noting the importance of continuing to care for patients and families after the ICU.

After watching the plenary session and reading Dr. Ely’s paper, you are further encouraged to check out various ICU Liberation resources, including:

Additional resources related to the family-centered care guidelines include:

Gap Analysis Tool – Identification of Your ICU’s Practice Differences

Family-Centered Care Guidelines – Gap Analysis Tool Instructional Video​

Visit iculiberation.org for additional resources related to the family-centered care guidelines.

After you review the above material, keep the conversation going online using #ICULiberation.

SCCM’s 46th Critical Care Congress a Resounding Success

Thank you all for making the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress in Honolulu, Hawaii, USA, a great success! The 2017 Congress provided more than 6,000 critical care clinicians from around the world with unique opportunities to network with leadership in critical care and experience enlightened and innovative learning experiences.

Videos from key Congress sessions, including plenary sessions and the Presidential Address from Ruth M. Kleinpell, RN-CS, PhD, FCCM, are now available.

You can also view video of the Critical Connections Live Broadcast from Congress. The broadcast featured live sessions, interactive interviews and highlights from Congress. The featured sessions centered on the ethics of physician-assisted suicide and euthanasia (PAS/E) in the intensive care unit and the methodology behind and features of the new International Guidelines for the Management of Sepsis and Septic Shock: 2016. Videos are available that feature the PAS/E session and the guidelines session, respectively, with accompanying related debrief sessions. After you’re done watching, keep the conversation going using #SCCMLive.

You are also encouraged to check out www.sccm.org/literature for information on all the late-breaking research and literature that was released in conjunction with Congress meeting sessions.

Make plans to join us next year, February 24-28, 2018, in San Antonio, Texas, USA!

Congress Session Centers on Physician-Assisted Suicide

Physician-assisted suicide and euthanasia (PAS/E) is a topic of intense debate in society, not least among critical care medicine specialists, who treat many patients at or near the end of life.

Core ethical issues involved in PAS/E were discussed and debated at a Congress session entitled Physician-Assisted Suicide and Euthanasia in the Intensive Care Unit: A Dialogue on Core Ethical Issues that featured experts Jan Bakker, MD, PhD, FCCP, and E. Wesley Ely, MD, MPH, FCCM. You are encouraged to watch a video that features the full session and debrief session with Mitchell M. Levy, MD, MCCM, FCCP. These issues are also discussed in an article in Critical Care Medicine that was released in conjunction with the session.

Continue the conversation about the PAS/E session and related article using #SCCMLive.

SCCM Announces New Critical Care Research Network: Discovery

The Society of Critical Care Medicine (SCCM) recently unveiled its newest endeavor: Discovery, the Critical Care Research Network (#DiscoveryNet).

Through Discovery, SCCM will foster collaborative research to promote the advancement of science in the field to improve outcomes for critically ill and injured patients. Discovery will seek to exponentially increase research in the critical care field and use SCCM’s existing broad base of programs to disseminate its findings into practice.

Joining SCCM for the launch of this endeavor is the United States Critical Illness and Injury Trials (USCIIT) Group and the Critical Care Pharmacotherapy Trials Network (CCPTN), who will become part of the new Discovery program. Bringing together these highly successful existing networks will jump-start Discovery activities. Other existing research networks with a similar focus are also invited to join SCCM in this exciting endeavor.

The Society will support Discovery with a multimillion-dollar investment in professional staff, infrastructure and research grants. In addition, the Discovery Oversight Committee and Discovery Steering Committee have been established to provide guidance for an inclusive, diverse, integrated, and multidisciplinary network for research that improves outcomes across the continuum of care for critically ill patients and their families.

Please consider how Discovery can assist you in your research. Whether by connecting you with fellow investigators or accessing Discovery’s clinical informatics team, data and safety monitoring groups, Health Insurance Portability and Accountability Act (HIPAA)-compliant central registries or new SCCM-Weil research grants, Discovery is eager to engage with you and your investigators.

Join SCCM’s Research Section to keep abreast of Discovery activities and find out more about how you can participate. For further information and inquiries, please email discovery@sccm.org.

Updated Surviving Sepsis Campaign Guidelines

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:

– A Users’ Guide to the 2016 Surviving Sepsis Guidelines
Critical Care Medicine
Intensive Care Medicine

– Surviving Sepsis Guidelines: A Continuous Move Toward Better Care of Patients With Sepsis
JAMA Viewpoint

Management of Sepsis and Septic Shock
JAMA Clinical Guidelines Synopsis

Practice guidelines as implementation science: the journal editorsʼ perspective
Critical Care Medicine
Intensive Care Medicine

Video: Comparison of recommendations from 2012 to 2016

Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016 is a joint collaboration between the European Society of Intensive Care Medicine and the Society of Critical Care Medicine.

The guidelines, developed by a consensus committee of 55 international experts in sepsis, offer important advancements for clinicians caring for patients with sepsis and septic shock, starting with the need to identify at-risk patients sooner.

Keep the conversation going about the new sepsis guidelines by using #SCCMLive. You can also view video of the Congress session during which the guidelines were presented, which featured Laura E. Evans, MD, FCCM, Andrew Rhodes, FRCP, FRCA, FFICM, and Mitchell M. Levy, MD, MCCM, FCCP. The video also includes a session debrief with Lauren Epstein, MD, and R. Phillip Dellinger, MD, MCCM.

Listen to the Latest iCritical Care Podcasts

If you haven’t checked out our iCritical Care podcasts, listen to the latest releases and subscribe! Loyal listeners and newcomers, be sure to rate us on iTunes. Learn more at www.sccm.org/iCriticalCare.

SCCM Pod-332 Dexmedetomidine Use in Critically-Ill Children with Acute Respiratory Failure

SCCM Pod-331 Bleeding Management and Reversal Strategies for the DOAC Patient: New and Future Approaches

SCCM Pod-330 Long-Term Mental Health Problems After Delirium in the ICU

SCCM Pod-329 A Bedside Model for Mortality Risk in Pediatric Patients with ARDS

SCCM Pod-328 Long-Term Quality of Life Among Survivors of Severe Sepsis: Analyses of Two International Trials

Critical Connections Live Broadcast from Congress

Can’t come to this year’s Critical Care Congress? View live sessions, interactive interviews and highlights at Critical Connections Live. Tune in Monday, January 23, 2017, beginning at 1:00 p.m. Eastern Standard Time (EST) (see more time zones). Join us at www.sccm.org/Live and follow the hashtag #SCCMLive.

To receive a reminder to tune in, please provide your contact information.

Critical Connections Live Program Schedule

1:00 p.m. – 1:30 p.m. EST
Congress highlights and interviews with key members of the critical care community, SCCM leaders and attendees.

1:30 p.m. – 2:45 p.m. EST
Hot Topics and Late-Breaking Science: Physician-Assisted Suicide and Euthanasia in the Intensive Care Unit: A Dialogue on Core Ethical Issues
A pro/con debate and panel discussion with Jan Bakker, MD, PhD, FCCP, and E. Wesley Ely, MD, MPH, FCCM, featuring their late-breaking article to be released at Congress in Critical Care Medicine just before the session.

Live Post-Session Discussion Panelist #SCCMLive
Mitchell M. Levy, MD, MCCM
Professor of Medicine
Division Chief, Pulmonary and Critical Care Medicine
Brown University School of Medicine
Providence, Rhode Island, USA

2:45 p.m. – 4:30 p.m. EST
Congress highlights and interviews featuring key sessions from Sunday’s opening session, including:

  • 2017 Presidential Address by Ruth M. Kleinpell, RN-CS, PhD, FCCM
  • Plenary session: “Fallen”: A Transdisciplinary Tale of Disturbance and Recovery, by Nalini Nadkarni, PhD

4:30 p.m. – 5:45 p.m. EST
International Guidelines for the Management of Sepsis and Septic Shock: 2016
Laura E. Evans, MD, FCCM, Andrew Rhodes, FRCP, FRCA, FFICM, and Mitchell M. Levy, MD, MCCM, review the methodology and what’s new in the Surviving Sepsis Campaign Guidelines, to be released at Congress in Critical Care Medicine just before the session.

Live Post-Session Discussion Panelists #SCCMLive
Lauren Epstein, MD
Medical Officer
Centers for Disease Control and Prevention
Atlanta, Georgia, USA

R. Phillip Dellinger, MD, MCCM
Chairman/Chief, Department of Medicine
Senior Critical Care Attending Physician
Cooper University Hospital
Camden, New Jersey, USA

Live from Congress Hosts
Richard H. Savel, MD, FCCM
Professor of Clinical Medicine and Neurology
Albert Einstein College of Medicine
New York, New York, USA

Christopher L. Carroll, MD, MS, FCCM
Connecticut Children’s Medical Center
Hartford, Connecticut, USA

Participate in Industry Education at Congress

The Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress will be packed with essential clinical information to keep you informed on the latest groundbreaking research and developments in critical care. Each year, industry partners invest significant resources in research and development, placing them at the cutting edge of clinical practice. Take advantage of one of the many industry education opportunities offered.

Promotional Symposia
These non-continuing medical education programs are directly sponsored by industry partners and provide insight into the latest developments, such as super-refractory status epilepticus, resistant gram-negative organisms, perioperative nutrition, and catecholamine-resistant hypotension.

Promotional symposia take place in a relaxed off-site setting, and attendance is complimentary.

In-Booth Education
Visit the Exhibit Hall to gain new ideas and a heightened level of awareness on clinical topics and new technologies through in-booth learning opportunities. In-booth education will take place during normal Exhibit Hall hours:

Sunday, January 22, 2017 – 7:30 a.m. – 2:00 p.m.
Monday, January 23, 2017 – 7:15 a.m. – 1:45 p.m.
Tuesday, January 24, 2017 – 7:15 a.m. – 1:45 p.m.

Exhibitor-Sponsored Industry Education Workshops
Attend a session on the show floor at the exhibitor-sponsored industry education workshops, located in the Exhibit Hall. Increase your learning opportunities and gain insight on a late-breaking technology or clinical technique.

For full details, visit the Congress Industry Education Web page.