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April 20, 2017

Concise Critical Appraisal

Prognostic Accuracy of Sepsis-3

Education

Learn the Fundamentals
Critical Care Review Course
Ultrasound Courses
Alert Fatigue Webcast
Earn CE in Cuba

SCCM News

Critical Care Awareness Month
Podcast on Acute Care Research
PANGEA Study Findings
Resources for Researchers
Prognostic Accuracy of Sepsis-3

Does the quick Sequential Organ Failure Assessment (qSOFA) score more accurately predict in-hospital mortality than the systemic inflammatory response syndrome (SIRS) or severe sepsis criteria among emergency department patients with suspected infection? Freund et al set out to answer this question.

They found that among patients presenting to the emergency department setting with suspected infection, the use of qSOFA resulted in greater prognostic accuracy for in-hospital mortality than either SIRS or severe sepsis.

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.

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Learn the Fundamentals

The Self-Directed Fundamental Critical Care Support (FCCS), Sixth Edition, is now available. This online course provides an interactive learning experience with access to the complete course modules. Learn at your own pace from the convenience of your home or office and then assess your knowledge through the use of pre- and posttests.

Self-Directed FCCS includes 16 interactive learning modules and the FCCS textbook (English), which is an excellent desktop reference.

The Sixth edition self-directed course has been enhanced with more interactive content to engage the learner. Content includes:

  • Added videos
  • Matching exercises
  • List ordering
  • Use of tabs for improved content organization

Physicians, nurses, pharmacists, and respiratory therapists are eligible to receive up to 6.5 hours of continuing education credit. Registrants have two years from the date of enrollment to complete the course.

Self-Directed FCCS is available for purchase in the SCCM store. Please contact the Fundamentals team at fccs@sccm.org or +1 847 827-6869 with any questions.

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Critical Care Review Course

Register today for the Society of Critical Care Medicine’s (SCCM) Multiprofessional Critical Care Review Course (MCCRC): Adult. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. To receive the lowest rates, register by May 31, 2017.

Led by co-chairs Pamela A. Lipsett, MC, MHPE, MCCM, and Stephen M. Pastores, MD, FCCM, the 2017 MCCRC: Adult will provide the most comprehensive review and update of the diagnosis, monitoring and management of critically ill patients.

Course highlights include:

  • Modular course content, allowing for single or multiday registration to meet comprehensive or specific learning needs
  • Accurate assessments of your knowledge in critical care
  • Interactive sessions that utilize audience response technology and practice questions, answers and rationales
  • World-class faculty that provide the most up-to-date information in critical care across all healthcare professions
  • Cutting-edge topics such as extracorporeal membrane oxygenation, choice of vasopressor in shock states, renal replacement therapy techniques, environmental injuries, emerging infections, and delirium
  • Online access to practice questions and post-course audio recordings of the lectures

The 2017 MCCRC: Adult will be held July 25 to 29, 2017, at the Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA. Rosemont offers the convenience and amenities of downtown Chicago but at a lower price, and it’s just minutes from O’Hare International Airport.

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Ultrasound Courses

Secure your seat for the Society of Critical Care Medicine’s (SCCM) summer Critical Care Ultrasound courses. These courses are expected to sell out early, and will be take place July 30, 2017, to August 1, 2017, at the Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA.

Registration for the ultrasound courses includes a complimentary copy of SCCM’s Comprehensive Critical Care Ultrasound eBook. The text covers the entire body and encompasses various views and diagnoses that clinicians will encounter at the bedside in both adult and pediatric populations.

Critical Care Ultrasound: Adult and Critical Care Ultrasound: Pediatric and Neonatal are comprehensive, two-day courses that will be held July 30 to 31, 2017. These courses will provide the ability to:

  • Immediately integrate learned skills into your clinical practice
  • Increase your diagnostic skills and scanning proficiency
  • Learn from field experts on the latest strategies in ultrasound image interpretation and diagnostic challenges, as well as new innovations and procedures
  • Experience high-quality education from prominent faculty, including nurse practitioners, physician assistants and more
  • Receive a significant hands-on experience, ensured by a five-to-one learner-to-faculty ratio

Register for the one-day Advanced Critical Care Ultrasound: Adult course to expand your fundamental echocardiographic skills and knowledge. This course will be held on August 1, 2017. The advanced course will provide attendees with an opportunity to:

  • Focus on the specialty-specific use of echocardiography in the management of the critically ill patient
  • Gain hands-on experience with faculty-assisted skill stations including, new in 2017, transesophageal echocardiography
  • Learn important cardiovascular information for the noninvasive management of the hemodynamically unstable patient.

All courses offer continuing medical education credit hours to physicians, nurses, and physician assistants. Register online today for Critical Care Ultrasound: Adult, Critical Care Ultrasound: Pediatric and Neonatal and Advanced Critical Care Ultrasound: Adult using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

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Alert Fatigue Webcast

The second part of the two-part webcast series on alarm and alert fatigue from the Society of Critical Care Medicine (SCCM) will take place next week on Wednesday, April 26, 2017, 1:00 p.m. Central Time. Register online today using your Customer ID and password. Registration is complimentary for all participants.

During this session, Sandra L. Kane-Gill, PharmD, MS, FCCM, Associate Professor, Pharmacy and Therapeutics at the University of Pittsburgh School of Pharmacy, will discuss how clinical decision support systems (CDSSs) are commonly used for preventing medication errors, and how they are gaining interest as electronic syndromic surveillance systems for events such as sepsis and acute kidney injury. While CDSSs improve patient outcomes, the number of alerts increases the risk of alert fatigue. Approaches to managing alert fatigue are needed to ensure effective use of CDSSs.

Learning Objectives

  • Choose evidence-based guidance on tested interventions that reduce alert quantity with the intent of reducing fatigue with clinical decision support systems
  • Apply standardized metrics for alert fatigue

This 60-minute webcast will be moderated by Joseph D. Catino, BS, MD, and is held in collaboration with the Surgery Section Patient Safety Committee. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

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Earn CE in Cuba

The Society of Critical Care Medicine’s (SCCM) Study Mission to Cuba, which is scheduled for December 4 to 9, 2017, will offer participants a unique opportunity to earn continuing education in Cuba. Meet and engage with fellow Cuban medical professionals while learning about the challenges and advances of medicine in Cuba. Participants will gain firsthand experience and knowledge on the inner workings of healthcare in this country, and attend meetings and meaningful site visits each day.

Topics to be covered include:

  • organizational structure and healthcare delivery systems of various critical care units in Cuba
  • quality processes and how change is implemented to improve patient care
  • cultural differences for patients and families faced with end-of-life decisions
  • resource limitations in caring for critically ill patients
  • and more

Continuing medical education credits are available for physicians, pharmacists and nurses.

Following the study mission is an optional Excursion to Matanzas, from December 9 to 12, 2017. During this excursion, participants will discover local architecture, learn from artisans skilled in ceramics and the creation of hand-crafted books, visit the Elian Gonzalez Museum and Castle of San Severino, and much more. 

For complete details, please visit the event webpage. Register today to secure your spot; space is limited. The deadline to register for the Study Mission to Cuba is August 1, 2017. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

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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.

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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

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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.

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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.

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