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August 17, 2017

Concise Critical Appraisal

Examining Stress Ulcer Prophylaxis

Education

Congress Abstract Presentations

SCCM News

World Sepsis Congress
Podcast Discusses PANGEA Study
Addressing Post-Intensive Care Syndrome
Africa Needs Our Support
Discovery Call for Proposals
Raising Malnutrition Awareness
Examining Stress Ulcer Prophylaxis

A decreased frequency of upper gastrointestinal bleeding and a possible association of proton pump inhibitor use with Clostridium difficile and ventilator-associated pneumonia have raised concerns recently. The Reevaluating the Inhibition of Stress Erosions (REVISE) Pilot Trial determined the feasibility of undertaking a larger trial investigating the efficacy and safety of withholding proton pump inhibitors in critically ill patients.

The results support the feasibility of a larger trial to evaluate the safety of withholding stress ulcer prophylaxis.

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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Congress Abstract Presentations

Expand your critical care knowledge and enhance the care you deliver to patients by attending the Society of Critical Care Medicine’s (SCCM) 47th Critical Care Congress. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

The Society’s annual Congress will be held February 25 to 28, 2018, in San Antonio, Texas, USA. Learn about the latest developments in critical care by attending the always-popular abstract presentations offered at Congress:

Star Research Presentations
These presentations will be scheduled, unopposed, on Sunday, February 25, 2018, from 2:45 p.m. to 5:45 p.m. The top 64 abstracts submitted will be highlighted.

Awards Presentations
Winners of SCCM’s abstract-based awards will be recognized during a ceremony on Tuesday, February 27, 2018.

Research Snapshot Theaters
Research Snapshot award winners and authors of abstracts and the top case reports will present their submissions with time for questions and answers. Sessions will be moderated by noted faculty and experts to facilitate the exchange of ideas and commentary. Presentations will be held in designated sections of the Exhibit Hall on Sunday, February 25, through Tuesday, February 27, 2018.

For more information about Congress, or to view the Preliminary Program, visit www.sccm.org/Congress.

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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).

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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.

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Addressing Post-Intensive Care Syndrome

You are encouraged to check out an informative article centered on post-intensive care syndrome (PICS) that was recently published in U.S. News & World Report.

After reading the article, you are encouraged to learn more about what the Society of Critical Care Medicine is doing to combat PICS. Also, make sure to keep the conversation about PICS going on social media by using #PICSyndrome.

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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.

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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.

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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.

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