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August 21, 2014

Concise Critical Appraisal

Early Antibiotic Administration in Severe Sepsis and Septic Shock

Education

Self-Directed Pediatric Fundamental Critical Care Support is Now Available
Participate in Pre- and Post-Congress Educational Sessions
Register for Webcast on Improving Patient Care and Transitions

SCCM News

Exchange Ideas and Resources in SCCM’s Disaster eCommunity
Military Personnel Take Advantage of PFCCS Course
Surviving Sepsis, ICU Liberation Offer Guidelines in Numerous Languages
ICU Liberation Releases Informative Presentations
Project Dispatch Offers up Complimentary Educational Material
Early Antibiotic Administration in Severe Sepsis and Septic Shock

Several retrospective studies have demonstrated improved survival when antibiotics are administered early in septic shock and severe sepsis. However, the results of the recent Protocolized Care for Early Septic Shock (ProCESS) trial have prompted intense debate in the critical care community regarding which elements of sepsis resuscitation bundles are most beneficial. Ferrer and colleagues sought to analyze the association between timing of antibiotic administration and mortality. The authors also evaluated whether an optimal time window for empiric antibiotic administration can be determined.

Using the database compiled for the Surviving Sepsis Campaign (SSC), the authors examined data entered between January 2005 and February 2010. Specifically, they analyzed data from 17,990 of 28,150 patients in the SSC database with severe sepsis and septic shock. They found that delay in antibiotic administration was associated with increased in-hospital mortality. As with any retrospective study, there is potential for residual confounding. In addition, appropriateness of antibiotics was not captured in this work. Despite these limitations, the strength of association demonstrated in this study appears to support current SSC guidelines.

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.

In the most recent issue of Critical Connections, SCCM President J. Christopher Farmer, MD, FCCM, also touches on the debate and controversy of the ProCESS trial.

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Self-Directed Pediatric Fundamental Critical Care Support is Now Available

Self-Directed Pediatric Fundamental Critical Care Support (PFCCS) provides a relaxed learning experience with access to the same didactic sessions found in the live version of the Second Edition PFCCS course. Learn at your own pace from the comfort and convenience of your home or office and then assess your knowledge through the use of pre- and post-tests.

Self-Directed PFCCS includes 16 modules with synchronized speaker audio and the PFCCS textbook (English), which is an excellent desktop reference. Physicians, nurses, pharmacists, dieticians, physician assistants, and respiratory therapists are eligible to receive 6.5 hours of continuing education credit.

Self-Directed PFCCS is available for purchase in the SCCM store.

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Participate in Pre- and Post-Congress Educational Sessions

The Society of Critical Care Medicine’s (SCCM) 44th Critical Care Congress will be packed with essential clinical information to keep you well-informed on the latest groundbreaking research and developments in critical care. The pre- and post-Congress educational sessions reflect the most up-to-date topics and evidence-based information so you can incorporate the latest clinical treatments and administrative strategies into your everyday practice. Space for each course is limited, so register early to guarantee your top choices.

Pre-Congress Educational Sessions

Half-Day
Saturday, January 17

  • 2015 Coding and Billing
  • Advanced Practice Providers: Administration, Leadership and Outcomes
  • Critical Care Skills Lab

Full-Day
Friday, January 16 and Saturday, January 17

  • Current Concepts in Adult Critical Care
  • Current Concepts in Pediatric Critical Care
  • ECMO Management
  • Veterinary Critical Care

Saturday, January 17

  • Acute Kidney Injury and Renal Replacement Therapies
  • Airway Management in the Critically Ill
  • Critical Care of the Patient with Liver Disease
  • Critical Care Pharmacotherapy: Challenges and Controversies
  • Fundamental Critical Care Support (FCCS) Instructor Course
  • Fundamental Disaster Management (FDM) Instructor Course
  • Pediatric Fundamental Critical Care Support (PFCCS) Instructor Course

Post-Congress Educational Sessions

Full-Day
Wednesday, January 21 and Thursday, January 22

  • Critical Care Ultrasound
  • Critical Care Ultrasound – Pediatric

Mark your calendar and join more than 6,000 members of the critical care community in the Valley of the Sun for SCCM’s 44th Critical Care Congress, to be held January 17 to 21, 2015, in Phoenix, Arizona, USA. The 2015 Congress will provide unique opportunities to network with leadership in critical care and enjoy enlightened and innovative learning experiences that highlight the most up-to-date, evidence-based developments in critical care medicine.

Register online today with your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

For information on hotel and travel reservations, visit www.sccm.org/Congress.

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Register for Webcast on Improving Patient Care and Transitions

Through patient satisfaction data and feedback from a formal rounding survey, the medical intensive care unit (ICU) at the Medical University of South Carolina developed a patient- and family-centered transfer brochure to help reduce the psychological and physiological problems that can materialize after an ICU stay. These problems include posttraumatic stress disorder, which can affect a patient’s recovery and quality of life.

During Collaborating with Families to Improve Patient Care and Transitions, the latest webcast from the Society of Critical Care Medicine’s (SCCM) Project Dispatch series, Andrea Meaburn, RN, MSN, ANP-BC, CCRN, CHPN, will share the medical ICU staff’s experience in creating a comprehensive transfer brochure. She will discuss how the brochure supports patients and families and how it fits into their broader patient-centered care approach. Ms. Meaburn’s presentation will be followed by an opportunity for audience questions. Complimentary registration is made possible by a grant from the Agency for Healthcare Research and Quality (AHRQ).

Learning Objectives

  • Define the concerns patients and families have about transfer from the ICU
  • Identify ways to alleviate patient and family stress to improve outcomes
  • Deploy strategies that lead to a less stressful experience
  • Evaluate the effectiveness of these efforts

This 60-minute webcast will take place on Wednesday, August 27, 2014, at 12:00 p.m. Central Time.

Register online today using your Customer ID and password.

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

This webcast was organized by the Society of Critical Care Medicine’s Project Dispatch.  Project Dispatch aims to improve the quality, efficacy, accessibility, and cost-effectiveness of healthcare in the United States by developing and distributing resources for critical care clinicians focused on patient-centered research. This project is supported by grant number R18HS21940 from AHRQ. The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ.

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Exchange Ideas and Resources in SCCM’s Disaster eCommunity

The Society of Critical Care Medicine (SCCM) is poised to respond to natural and man-made disasters and emergencies by providing a variety of resources to the critical care community. One such resource is the Society’s eCommunity, which has a forum dedicated to disaster response.

Interested parties are encouraged to visit this forum to share valuable resources or offer insight on a variety of disaster-related topics, including the recent Ebola outbreak. You can subscribe to the Disaster eCommunity to stay abreast of recent postings.

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Military Personnel Take Advantage of PFCCS Course

PFCCCOURSE-1More than 60 members of the United States military recently took advantage of the Society of Critical Care Medicine’s (SCCM) Pediatric Fundamental Critical Care Support (PFCCS) course held in Japan at the U.S. Naval Hospital Okinawa.

Healthcare personnel from the Army, Navy and Air Force learned best practices for treating and managing critically ill pediatric patients. Led by an all-military instructor team, course participants gleaned pertinent knowledge from interactive lectures, small-group skill stations and high-fidelity simulations. The motivated students worked their way through case presentations involving respiratory failure, hypovolemic shock, electrolyte abnormalities, pediatric trauma, and post-operative care.

“I wish I had this course before I deployed,” said Air Force Capt. Debbie Dorsey, who served as a flight nurse at Camp Bastion in Afghanistan.

This sentiment was echoed by other students who noted that military personnel often encounter critically ill children in war zones and areas impacted by man-made and natural disasters.

Looking to learn at your own pace from the comfort and convenience of your home or office? Self-Directed Pediatric Fundamental Critical Care Support (PFCCS) is available for purchase in the SCCM store.

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Surviving Sepsis, ICU Liberation Offer Guidelines in Numerous Languages

The Society of Critical Care Medicine’s American College of Critical Care Medicine offers numerous guidelines to help ensure consistent, evidence-based care of critical care patients using the most up-to-date and relevant knowledge available.

The most recent guidelines released relate to the Surviving Sepsis Campaign and the ICU Liberation initiative. Both initiatives are dedicated to improving care worldwide, with the Surviving Sepsis Campaign aimed at reducing sepsis mortality and ICU Liberation focused on providing tools and resources to assess, treat and prevent pain, agitation and delirium (PAD). These guidelines have been translated into various languages to ensure worldwide distribution.

ICU Liberation (PAD Guidelines)

Japanese Guidelines Translation

Surviving Sepsis Campaign (2012 Guidelines)

Chinese Guidelines Translation

French Guidelines Translation

German Guidelines Translation

Japanese Guidelines Translation

Persian Guidelines Translation

Portuguese Guidelines Translation

Spanish Guidelines Translation

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ICU Liberation Releases Informative Presentations

The ICU Liberation initiative is focused on providing tools and resources to assess, treat and prevent pain, agitation and delirium (PAD). The following presentations — delivered at the Society of Critical Care Medicine’s 43rd Critical Care Congress — feature leaders from the initiative discussing the nuances of PAD guideline implementation and strategies for improving patient outcomes. In addition, one of the presentations features a patient sharing his intensive care unit survivor experience.

Remember to regularly check the ICU Liberation YouTube playlist for the latest available presentations.

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Project Dispatch Offers up Complimentary Educational Material

The Society of Critical Care Medicine’s (SCCM) Project Dispatch initiative aims to put a spotlight on efforts to improve patient- and family-centered care by disseminating the latest research in this exciting field. Complimentary educational material is consequently made available with regularity. One recently released offering centers on the efficacy of music and pet therapy in the intensive care unit.

Project Dispatch is supported by grant number R18HS21940 from the Agency for Healthcare Research and Quality (AHRQ). The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ.

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