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April 6, 2017

Concise Critical Appraisal

Relative Bradycardia and Septic Shock

Education

Register for Alert Fatigue Webcast

SCCM News

Discovery Call for Proposals
Sepsis Guidelines Resources Available
Podcast Features SCCM President
THRIVE Developments
MCCM Designation
Apply for Awards
Relative Bradycardia and Septic Shock

Tachycardia is common in septic shock, but many patients with septic shock are relatively bradycardic. The prevalence, determinants, and implications of relative bradycardia in septic shock are unknown. Therefore, Beesley et al set out to determine mortality associated with patients who are relatively bradycardic while in septic shock.

They found that relative bradycardia in patients with septic shock is associated with lower mortality, even after adjustment for confounding.

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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Register for Alert Fatigue Webcast

Register today for the second part of the two-part webcast series on alarm and alert fatigue from the Society of Critical Care Medicine (SCCM). Alert Fatigue: Management Approaches and Appropriate Metrics, will take place on Wednesday, April 26, 2017, 1:00 p.m. Central Time. This series is held in collaboration with the Surgery Section Patient Safety Committee.

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. Register online today using your Customer ID and password. 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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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.

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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:

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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.

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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

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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.

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Apply for 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.

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