Category Archives: SCCM News

Hurricanes Harvey and Irma

The Society of Critical Care Medicine (SCCM) continues to monitor all developments related to Hurricanes Irma and Harvey. Leadership is in contact with those in the affected regions and stands ready to assist and provide support. The Society has already distributed disaster response-related materials to those in the affected areas and is poised to send calls for volunteers should such requests be made.

The Society has posted a number of complimentary disaster-related resources helpful in the response to hurricanes at www.sccm.org/disaster. This site will be updated regularly as the situation develops as pertains to Hurricanes Harvey and Irma.

If you have information to share or need assistance, please know you may contact the Society at emergency@sccm.org.

If you are in the affected areas, please know that your ongoing efforts to ensure care for patients and families during these disasters are so very much appreciated! We will continue to monitor the situation and work with the remainder of SCCM’s community to support you as much as possible.

Our best wishes during this challenging situation.

Raising Malnutrition Awareness

You are encouraged to participate in the American Society for Parenteral and Enteral Nutrition’s (ASPEN) sixth annual Malnutrition Awareness Week™, which will take place September 18–22, 2017. 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 2017 week is scheduled to have five webinars:

Improving Standardization of Oral Nutrition Supplement Provision in Malnourished Patients – Monday, September 18 – 3 p.m. (CT)

A Multi-Disciplinary Approach to Increasing Awareness of Enteral Nutrition in the Pediatric Patient: A Provider and Parent Perspective – Tuesday, September 19 – 3 p.m. (CT)

On the Fast Track with the Enhanced Recovery After Surgery (ERAS) Protocol –  Wednesday, September 20 – 3 p.m. (CT)

Approaching an Audit through Accurate Documentation and Coding for Malnutrition Diagnosis – Thursday, September 21 – 3 p.m. (CT)

Electronic Clinical Quality Measures (eCQMs): A Malnutrition Quality Improvement Initiative – Friday, September 22 – 11 a.m. (CT)

Participants will receive continuing education credits for participating in the webinars. ASPEN is accredited to provide medical, pharmacy, nursing and dietetic credits.

Society of Critical Care Medicine members can participate in the webinars for free by using discount code MAW-SCCM.

Visit the official Malnutrition Awareness Week™ site to register or for more information about the week.

Podcast Discusses PANGEA Study

In the newly available iCritical Care podcast SCCM Pod-345 International Survey of Critically Ill Children with Acute Neurological Insults, Margaret Parker, MD, MCCM, speaks with Ericka L. Fink, MD, MS, about the Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment (PANGEA) study.

Published in the April 2017 issue of Pediatric Critical Care Medicine (PCCM), this study offers a worldwide snapshot of acute neurologic conditions among critically ill children.

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.

World Sepsis Congress

As part of Sepsis Awareness Month, the Global Sepsis Alliance and the World Health Organization are teaming up to host the World Sepsis Congress (WSC) Spotlight: Maternal and Neonatal Sepsis on September 12, 2017.

The WSC Spotlight is a free online congress in which 25 renowned experts from all around the world will give presentations on all aspects of maternal and neonatal sepsis, as well as give updates on sepsis in general.

For more information on the program, speakers, time zones, and to register for free, visit www.wscspotlight.org.

Also, if you have not already done so, you are also encouraged to review the new adult sepsis guidelines 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).

Africa Needs Our Support

In many African countries, critical care medicine remains informal, uncoordinated, or even absent. A shortage of trained healthcare providers can put thousands of sick and injured patients at risk every day.

To help address these issues, the Society of Critical Care Medicine (SCCM) will send healthcare providers to the All Africa Anaesthesia Congress in Abuja, Nigeria, in November 2017. There they will work to train more than 200 participants from African countries in six different Fundamentals courses.

We need your support to ensure that this vital training is provided to healthcare professionals in Africa who can improve the quality of care provided to critically ill and injured patients.

Join SCCM in bringing critical care education to a part of the world where it is truly needed. Visit www.sccm.org/donate to make a donation towards resource-limited areas today.

Apply for Pharmacist Traineeship

The American Society of Health-System Pharmacists (ASHP) Research and Education Foundation is now accepting applications for its Critical Care Concentrated Traineeship.

During this 5-month, ACPE-accredited educational experience, trainees will receive intensive distance and experiential training that accelerates their ability to be the medication expert on interdisciplinary teams to optimize the safety, quality and care of critically ill patients.

The deadline to submit applications is October 10, 2017.

Discovery Call for Proposals

Discovery, the Critical Care Network, is encouraging members to submit proposals for review and discussion at upcoming Discovery Clinical Investigators Meetings. The Discovery Clinical Investigators Meetings provide an opportunity for investigators to present clinical proposals in an inclusive and supportive environment. For this call for proposals, accepted proposals will have the opportunity to present at either the Fall or Winter Clinical Investigators Meetings. The Fall meeting is being held on Wednesday and Thursday, November 8 and 9, 2017, in Bethesda, Maryland, while the Winter meeting will be held on February 25, 2018, in San Antonio, Texas, during SCCM’s Annual Congress. Members may also participate virtually by videoconference for both of these meetings.

The deadline for proposal submission is Tuesday, September 5, 2017. Investigators will be notified of the status of their submission by mid-October. Please use the following link to submit proposals:

https://www.surveymonkey.com/r/NC8BCBY

The investigator-initiated 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 highest-ranked 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 the meetings. The proposals that are not selected for live presentation at the Discovery Clinical Investigators Meetings 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 study’s 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.

If you have questions, please contact Discovery@sccm.org.

Pediatric Nutrition Support Guidelines

The Society of Critical Care Medicine (SCCM) and the American Society for Parenteral and Enteral Nutrition (ASPEN) recently released guidelines addressing nutrition support therapy in the critically ill pediatric patient.

Titled “Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition,” the material was published in the July 2017 issue of Pediatric Critical Care Medicine.

“The guidelines offer basic recommendations that are supported by review and analysis of the current literature and a blend of expert opinion and clinical practicality,” notes lead author Nilesh M. Mehta, MD. These guidelines are intended for use by all healthcare providers involved in nutrition therapy of the critically ill child, primarily physicians, nurses, dietitians, and pharmacists.

Guideline findings include:

  • There is a significant gap in proper nutritional interventions, particularly among malnourished pediatric patients
  • Early intervention makes a difference
  • The timing and method of nutrient delivery is important
  • A skilled nutrition support team is a key differentiator
  • Ongoing monitoring is critical to avoid unintended caloric under- or overfeeding
  • Determining how much nutrition is needed is an important factor

Members and nonmembers alike can access these and other SCCM guidelines for free by visiting www.sccm.org/guidelines or by downloading the Guidelines App.

Research Grants

The deadline to apply for the Society of Critical Care Medicine (SCCM) Research Grants is August 1, 2017. Applications are being accepted for investigator-initiated research focused on improving patient care both during and after an intensive care unit stay. SCCM member researchers are encouraged to apply; grant support will begin in 2018.

The Society offers several funding opportunities through the SCCM Research Grants for critical care professionals seeking support for their research that helps advance and improve clinician understanding of critical illness and patient care.

Funding will be provided by the following grants:

  • SCCM-Weil Research Grants, including up to two grants of $50,000 each
  • Discovery Research Grants, for a total of $100,000

To begin the application process for a grant, log in to www.MySCCM.org, and click on “Submit an application for SCCM Research Grants” located in the right column.

Help spread the word and make sure to share these opportunities with your colleagues. Note that you must be a current SCCM member to apply for the SCCM Research Grants.

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

ICU Design Citation Award

Applications for the ICU Design Citation award are now being accepted. Co-sponsored by the Society of Critical Care Medicine (SCCM), the American Association of Critical-Care Nurses (AACN), and the American Institute of Architects Academy of Architecture for Health, this award honors a critical care unit that combines functional ICU design with the humanitarian delivery of critical care.

Entries are blindly reviewed and evaluated on the following criteria:

  • Commitment to promote a healing environment
  • Safety, security and efficiency of the unit
  • Innovative, unique aesthetic and creative design features

The award is given to the unit that best resolves both functional and humanitarian issues in a unique and complementary manner. The patient bedside area, overall unit design, integration of technology, staff/support areas, and family/waiting areas also are assessed.

The winning unit receives two plaques and one complimentary registration to the annual meetings of SCCM and AACN. Honorable mentions will also be awarded with two plaques. Citation recipients will be notified in November 2017.

Visit www.sccm.org/ICUDesignCitation for requirements and to begin the application process. The deadline to apply is August 15, 2017.

Healthcare-Associated Infection Podcast

The Agency for Healthcare Research and Quality (AHRQ) has released a podcast series as part of its Healthcare-Associated Infection Program.

In this series of podcasts, senior leaders from the field are interviewed about their efforts to reduce the rate of central line-associated blood stream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) in hospital intensive care units with elevated rates of these infections.

Podcast 1: Why Senior Leadership Engagement Matters (Transcript)
Podcast 2: What Does It Mean to Be Engaged? (Transcript)
Podcast 3: Implementing Strategies and Tools (Transcript)

PBS Features ICU Liberation Team

“I am very aware that I am not the same person who went into the hospital with sepsis,” said intensive care unit (ICU) survivor Paul Turpin in an interview with PBS NewsHour.

This broadcast, entitled, Why a Stay in the ICU Can Leave Patients Worse Off, shares the story of Turpin’s experience with post-intensive care syndrome (PICS) and what the ICU Liberation team at Vanderbilt University Medical Center and others across the country are doing to prevent and manage PICS for patients.

Learn more about SCCM’s ICU Liberation Campaign and access the pain, agitation, and delirium clinical practice guidelines by visiting http://www.iculiberation.org.

Resolution on Sepsis

On May 26, 2017, the World Health Organization (WHO) held its 70th World Health Assembly in Geneva, Switzerland. During this assembly, delegates agreed on a resolution to improve the prevention, diagnosis and treatment of sepsis, outlining these important actions for WHO:

  • Urge governments to strengthen policies and processes related to sepsis and emphasize the importance of reinforcing health worker training to more effectively diagnose and treat sepsis
  • Develop a report on sepsis and guidance for its prevention and management
  • Help countries develop the necessary infrastructure, laboratory capacity, strategies and tools to reduce the burden of sepsis
  • Assist developing countries in gaining access to quality, safe, efficacious and affordable sepsis treatments and tools for infection prevention and control

Learn more about this resolution on sepsis by visiting the WHO assembly website.

Journal Impact Factors

The 2016 impact factors for the Society of Critical Care Medicine’s (SCCM) two journals, Critical Care Medicine (CCM) and Pediatric Critical Care Medicine (PCCM), have been released. CCM’s impact factor is now 7.050, and PCCM’s impact factor is now 3.495.

Stay up to date with these top journals in critical care by subscribing to their respective electronic table of contents (eTOC) at CCM and PCCM online. And don’t forget to follow CCM and PCCM on Twitter to stay caught on the latest journal releases, including ahead-of-print and editor’s choice articles, and the SCCM guidelines.