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April 18, 2013

Concise Critical Appraisal

Examining Utility of Specific First-Line Vasoactive Drugs in Pediatric Septic Shock

Education

Apply New SSC Bundles in Triage

SCCM News

Start Preparing for Critical Care Awareness Month
Call for 2014 Council Nominations
Join the Creative Community
New Bird Flu Virus Hits China
Apply New SSC Bundles in Triage

The recently revised Surviving Sepsis Campaign (SSC) guidelines identify triage in the emergency room as “time zero,” starting the clock on measuring compliance with the bundle elements. This measurement is central to the Campaign’s goals of performance improvement and mortality reduction. When determining patient eligibility for the three- and six-hour bundles, clinicians must understand the rationale for establishing triage as time zero and recognize how to implement the bundles in various scenarios.

During the Society of Critical Care Medicine’s (SCCM) April 23 webcast, The New Surviving Sepsis Campaign Bundles: From Time Zero to Tomorrow, senior leaders of the Surviving Sepsis Campaign will focus on the revised SSC bundles and the rationale for the changes. Additionally, they will highlight ongoing research efforts that are dependent upon the data from bundle implementation.

This event, part of SCCM’s newest webcast series, provides strategies for successful application of the SSC guidelines. An initiative of the European Society of Intensive Care Medicine (ESICM) and SCCM, the SSC aims to improve the management, diagnosis and treatment of sepsis in order to reduce its high mortality rate.

Register online today. Registration is complimentary for all participants. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

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Start Preparing for 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 17, 2013, and share your stories and photos with the Society of Critical Care Medicine. Your stories will inspire other ICUs as we all celebrate the extraordinary contributions of our critical care colleagues in May.

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Call for 2014 Council Nominations

The Society of Critical Care Medicine’s (SCCM) Nominating Committee is seeking candidates for the 2014 election. Council terms are for three years, and both at-large and designated seats are open. Elections for designated seats are staggered to allow for a sustained experience and memory of Council deliberations, as well as to promote fresh perspectives in the governance of the Society.

The following 2014 seats are open for nomination:

  • Designated Seat – Nursing
  • Designated Seat – Pediatrics
  • At-Large Seat #1
  • At-Large Seat #2

The Nominations Policy suggests that each section should nominate at least two and (usually) no more than three willing candidates to fill a designated seat. Nominations for the designated seats will also be entertained from the general membership. Nominations for the at-large seats can be submitted by the specialty sections or general membership.

Complete the online nominations form as soon as possible, but no later than May 1, 2013.

Questions can be directed to Diana Hughes, CAE, at dhughes@sccm.org.

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Join the Creative Community

There is still time to join the Society of Critical Care Medicine’s Creative Community. Participation is one of the most important contributions a member can make in helping the Society achieve its mission and vision. Applications to join are due May 1, 2013. Please note that reappointment to a committee is not automatic. If you are already a committee or task force member and your term is about to expire, you will need to reapply.

Members of the Creative Community not only play an active role in Society activities and initiatives, they also gain leadership skills and networking opportunities. Visit the Creative Community Resource Center for more information.

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New Bird Flu Virus Hits China

new bird flu virus, influenza A (H7N9), has killed or critically stricken patients in China. Genetic evaluation of the virus shows it has the ability to mutate readily.
The World Health Organization notes, “analysis of the genes of these viruses suggests that although they have evolved from avian (bird) viruses, they show signs of adaptation to growth in mammalian species.” So far, H7N9 has not been found to be transmissible from human to human; those who’ve contracted it have had contact with poultry.

The Centers for Disease Control and Prevention has developed a diagnostic test, advising clinicians to be on the lookout for H7N9 in “patients with respiratory illness and an appropriate travel or exposure history.” Most of the people identified with the new bird flu have had symptoms of severe pneumonia such as chest congestion, difficulty breathing, fever, and severe cough. The Society will continue to monitor this situation and will keep members abreast of any new information.

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Examining Utility of Specific First-Line Vasoactive Drugs in Pediatric Septic Shock

Observational and qualitative studies have suggested positive benefits associated with family presence during cardiopulmonary resuscitation (CPR). Family presence may help alleviate the emotional burden and improve the bereavement process. Concerns about interference with resuscitative efforts and medicolegal ramifications have yet to be answered in rigorously designed studies. Patricia Jabre and colleagues in France conducted a multicenter, randomized controlled trial to determine if family presence during CPR was associated with a reduction in the likelihood of posttraumatic stress disorder (PTSD)-related symptoms. Results were published in the March 14 issue of The New England Journal of Medicine.

The primary end point was the proportion of relatives with PTSD-related symptoms, while secondary end points included the effect of family presence on medical efforts at resuscitation, the well-being of the healthcare team, and the filing of medicolegal claims. Of the 570 family members enrolled in an intention-to-treat analysis, 79% of the experimental group witnessed resuscitation versus 43% in the control group. Seventeen percent (n=95) of family members did not complete the 90-day post-event psychological assessment. There were no significant differences between the two groups in the characteristics of the resuscitation procedure, survival or characteristics of patients or enrolled family members. One significant limitation to this work was the prehospital environment; the results from this trial deserve replication in an intensive care unit. Read the full Concise Critical Appraisal.

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