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August 6, 2015

Concise Critical Appraisal

Effect of RBC Transfusion on Cerebral Autoregulation in Severe TBI Patients
Indications and Effects of Plasma Transfusions in Critically Ill Children

Education

Register for Upcoming ICU Liberation Events
On-Site Registration Accepted for ECMO Management Course
On-Site Registration Available for Critical Care Ultrasound Courses
Reduced Registration Rates End Soon for Sepsis Without Walls Conference
Register for Webcast on Family Engagement and Empowerment in the ICU
New Advanced Knowledge Assessment in Pediatric Critical Care Question Set
On-Site Registration Available for 2015 Adult Board Review Course

SCCM News

Attend Popular Congress Events and Sessions
SCCM Releases New Statements Regarding Care in the ICU
Watch New Educational Tutorials from the Surviving Sepsis Campaign
Listen to the Latest iCritical Care Podcasts
Results from IMPreSS Study Released
ASHP Foundation Seeking Applicants for Critical Care Traineeship
Application Deadlines Approaching for Research Grants
ICU Design Citation Award Applications Due August 15
Indications and Effects of Plasma Transfusions in Critically Ill Children

Plasma transfusions are frequently prescribed for critically ill children, although their indications lack a strong evidence base. Many physicians often transfuse critically ill children who have abnormal coagulation tests and who are not bleeding. Karam et al conducted an international multicenter observational point-prevalence study involving 101 pediatric intensive care units in 21 countries. They sought to characterize indications leading to plasma transfusions in critically ill children and assess the effect of plasma transfusions on coagulation tests.

They found that approximately one-third of transfused patients were not bleeding and had no planned procedure. In addition, in most patients, coagulation tests were not sensitive to increases in coagulation factors resulting from plasma transfusion.

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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Effect of RBC Transfusion on Cerebral Autoregulation in Severe TBI Patients

What is the impact of red blood cell (RBC) transfusion on cerebral autoregulation in patients with severe traumatic brain injury (TBI)? Seeking to find out, Sekhon et al conducted a retrospective, single-center, cohort study to evaluate the relationship between RBC transfusion and cerebral autoregulation as measured by pressure reactivity index (PRx).

They found that RBC transfusion in severe TBI patients results in worsening PRx, indicating impaired cerebral autoregulation.

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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On-Site Registration Accepted for ECMO Management Course

Explore the basic management principles common to extracorporeal membrane oxygenation (ECMO) programs by attending the Society of Critical Care Medicine’s (SCCM’s) ECMO Management course, to be held August 28 and 29, 2015, at the University of Arizona Center for Simulation and Innovation in Phoenix, Arizona, USA.

Registration for a limited number of participants will be accepted on site on a first-come, first-served basis at the SCCM registration desk at the University of Arizona Center for Simulation and Innovation in the first floor lobby next to the elevators during the following hours:

Friday, August 28 7:00 a.m. – 5:30 p.m.
Saturday, August 29 7:30 a.m. – 5:30 p.m.

Held in partnership with the Extracorporeal Life Support Organization and led by expert faculty, this intense two-day simulation course will provide a comprehensive overview of ECMO programs. Participants will rotate through lectures and simulation scenarios. Each simulation group will have a maximum of 10 participants and two facilitators. Topics include basic physiology of ECMO, equipment and patient selection, and economic and ethical considerations.

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Register for Upcoming ICU Liberation Events

The Society of Critical Care Medicine’s (SCCM) ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. Take advantage of two upcoming learning opportunities that will provide strategies to help reduce the risk of long-term consequences from an intensive care unit (ICU) stay.

Live Event: ICU Liberation and Animation: Implementing the Pain, Agitation and Delirium Guidelines
September 9-10, 2015
Register online today

Reduced registration rates end August 12, 2015, for the ICU Liberation and Animation conference, which will be held September 9 and 10, 2015, at Vanderbilt University Medical Center in Nashville, Tennessee, USA. This two-day didactic and simulation conference, a partnership of SCCM and Vanderbilt University Medical Center, will review implementation strategies and discuss approaches to enable a more effective and lasting application of the pain, agitation and delirium (PAD) guidelines by utilizing the multiprofessional team.

Learning Objectives

  • Discuss the state of science in regards to the PAD guidelines and ABCDEF bundle
  • Dispel the myths and misconceptions of breathing and sedation trials
  • Describe strategies for the management of pain, agitation, delirium, and immobility in the ICU
  • Apply the available tools and simulate multiple patient scenarios
  • Design a culture change model for PAD monitoring and management using PDSA cycles
  • Develop and implement discipline-specific interventions in the ICU

Make your hotel reservation by August 11, 2015, to receive SCCM’s discounted rate at the Loews Vanderbilt Hotel Nashville. Reservations made after this date may not receive SCCM’s discounted rate. For more details on hotel and travel, visit www.sccm.org/ICULiberation.

Webcast: Family Engagement – AACN Clinical Scene Investigator Academy Project
August 26, 2015
1:00 p.m. – 2:00 p.m. Central Time
Registration is complimentary
Register online today

August 6 eNews AACN CIS Academy PictureThe American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy team at Massachusetts General Hospital (MGH) is composed of four nurses from the cardiac intensive care unit (CICU). This team administered an educational program on the ABCDEF bundle to an audience of intensive care unit nurses at MGH. The final bundle element, family engagement and empowerment, was added to represent the value of family involvement in the overall patient plan.

In this webcast, Maurene A. Harvey, RN, MPH, MCCM, critical care educator and consultant, Erica Edwards, RN, MSN, CCRN-CMC, CHFN, CICU attending nurse and AACN CSI Academy team member at MGH, and Alicia Sheehan, RN, BSN, CICU staff nurse and AACN CSI Academy team member at MGH, will provide the evidence for this addition, as well as illustrate how family engagement is implemented in the CICU.

Learning Objectives

  • Identify factors described in the literature about the importance of family engagement
  • Describe the background of family inclusion in the CICU
  • Discuss the implementation of family engagement and empowerment in the ABCDEF bundle

This webcast is held in collaboration with the AACN CSI Academy.

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

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Reduced Registration Rates End Soon for Sepsis Without Walls Conference

Reduced registration rates end September 2, 2015, for the Sepsis Without Walls conference, which will be held September 25, 2015, at Johns Hopkins University School of Medicine in Baltimore, Maryland, USA. The Society of Critical Care Medicine (SCCM) is partnering with Johns Hopkins University School of Medicine to offer this one-day interactive conference, which will focus on strategies to identify, diagnose and treat patients who present with signs and symptoms of sepsis, irrespective of the care unit in which they are located.

JHM_2C_P_HEarly detection of sepsis, with the timely administration of appropriate antibiotics, appears to be the single most important factor in reducing morbidity and mortality from sepsis. Therefore, healthcare providers need to have a high index of suspicion for the presence of sepsis and must begin appropriate antimicrobials quickly. Join the multiprofessional panel of leading experts who will focus on problem solving through case studies in developing effective strategies in specific patient populations.

Learning Objectives

  • Identify cutting-edge diagnostic algorithms for pathogen identification in sepsis
  • Analyze and implement sepsis pathways for patients who are not yet located in the intensive care unit
  • Compare and contrast the efficacy of current infection control practices
  • Summarize effective antibiotic recommendations for common nosocomial infections

SCCMReserve your seat by September 2, 2015, to receive the reduced rate using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Take advantage of discounted hotel rates. A limited block of hotel rooms has been reserved for conference attendees and will be available on a first-come, first-served basis. Make your hotel reservation  by August 18, 2015, to receive SCCM’s discounted rate.

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On-Site Registration Available for Critical Care Ultrasound Courses

On-site registration will take place August 16, 2015, through August 18, 2015, for the Society of Critical Care Medicine’s (SCCM) popular Critical Care Ultrasound courses, which will be held at the Fairmont Chicago, Millennium Park, in Chicago, Illinois, USA. A staff member will be available to assist you at the SCCM registration desk in the International Ballroom Foyer beginning at 6:15 a.m. on August 16.

Critical Care Ultrasound and Critical Care Ultrasound – Pediatric will be held on August 16 and 17, 2015, and are intended for those looking to obtain the realistic training needed to perform and interpret ultrasound imaging. During these two-day courses, participants benefit from guided, focused skill stations featuring live models and interactive presentations to reinforce key learning points. Extensive faculty coverage ensures a significant hands-on experience for each participant.

Attend Advanced Critical Care Ultrasound or Advanced Critical Care Ultrasound – Pediatric on August 18, 2015, to expand upon your fundamental echocardiographic skills and knowledge and focus on the specialty-specific use of echocardiography in the management of the critically ill patient. Participants in these one-day courses are provided with important cardiovascular information for the noninvasive management of the hemodynamically unstable patient.

Please contact SCCM Customer Service at +1 847 827-6888 with any questions.

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Register for Webcast on Family Engagement and Empowerment in the ICU

Register now for the latest webcast from the Society of Critical Care Medicine’s (SCCM’s) ICU Liberation series, Family Engagement – AACN Clinical Scene Investigator Academy Project , held in collaboration with the American Association of Critical-Care Nurses (AACN).

The AACN Clinical Scene Investigator (CSI) Academy team at Massachusetts General Hospital (MGH) is composed of four nurses from the cardiac intensive care unit (CICU). This team administered an educational program on the ABCDEF bundle to an audience of intensive care unit nurses at MGH. The final bundle element, family engagement and empowerment, was added to represent the value of family involvement in the overall patient plan.

In this webcast, Maurene A. Harvey, RN, MPH, MCCM, critical care educator and consultant, Erica Edwards, RN, MSN, CCRN-CMC, CHFN, CICU attending nurse and AACN CSI Academy team member at MGH, and Alicia Sheehan, RN, BSN, CICU staff nurse and AACN CSI Academy team member at MGH, will provide the evidence for this addition, as well as illustrate how family engagement is implemented in the CICU.

Learning Objectives

  • Identify factors described in the literature about the importance of family engagement
  • Describe the background of family inclusion in the CICU
  • Discuss the implementation of family engagement and empowerment in the ABCDEF bundle

This 60-minute webcast will take place on Wednesday, August 26, 2015, at 1:00 p.m. Central Time. Registration is complimentary for all participants.
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 is held in collaboration with the AACN CSI Academy.
The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences from an intensive care unit stay.

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New Advanced Knowledge Assessment in Pediatric Critical Care Question Set

Assess your pediatric critical care knowledge with the new Advanced Knowledge Assessment in Pediatric Critical Care Question Set 3 from the Society of Critical Care Medicine (SCCM).

This self-study tool is designed for physicians wanting to review their critical care knowledge while receiving maintenance of certification (MOC) credit. A collection of 100 questions and rationales with accompanying study materials, Advanced Knowledge Assessment in Pediatric Critical Care Question Set 3 joins two earlier question sets and expands SCCM’s pediatric product offerings.

Participants will benefit from:

  • 100 multiple-choice questions, as well as evidence-based rationales
  • A list of content areas and references from missed questions for further study
  • 20 points toward MOC part 2 in pediatrics

In addition, physicians, nurses, and pharmacists are eligible to receive 6 hours of continuing education credit.

Advanced Knowledge Assessment in Pediatric Critical Care Question Set 3 is available for purchase in the SCCM Store for $150 for members ($195 for nonmembers). Question Sets 1 and 2 are also available for purchase.

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Attend Popular Congress Events and Sessions

Connect with colleagues, experience leading-edge innovations in critical care medicine, and stretch your imagination at the Society of Critical Care Medicine’s (SCCM’s) 45th Critical Care Congress. Register online using your customer ID and password, or contact SCCM Customer Service  at +1 847 827-6888.

congressThe Society’s annual Congress will take place February 20-24, 2016, in Orlando, Florida, USA, and will offer opportunities to make valuable connections and draw diverse perspectives from all members of the multiprofessional critical care team. Learn about the latest developments in critical care by attending the always-popular abstract presentations and poster hall events offered at Congress:

Poster Displays and ePosters
Abstracts of original scientific research findings will be on display in the Poster Hall, which will be open Sunday, February 21, through Tuesday, February 23, 2016. In addition, attendees will have the opportunity to view all posters in an electronic format via computers, screens and other mobile views. ePosters will be searchable and will include enhanced information to provide the most recent critical care research available.

Oral Presentations
Oral presentations will be scheduled, unopposed, for two hours on Sunday, February 21, 2016. These presentations will highlight the top 64 abstracts submitted. The abstracts presented during these sessions will not be on display in the Poster Hall but can be found as ePosters.

Research Snapshot Theaters
Research Snapshot award winners and authors of accepted 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 21, through Tuesday, February 23, 2016.

Abstract Awards Presentation
Winners of SCCM’s abstract-based awards will be recognized during a ceremony on February 21, 2016.

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

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On-Site Registration Available for 2015 Adult Board Review Course

Join your colleagues August 11 to 15, 2015, in Chicago, Illinois, USA, for the Society of Critical Care Medicine’s (SCCM) Adult Multiprofessional Critical Care Board Review Course (MCCBRC).

MCCBRC is the premier source for any critical care professional seeking the most comprehensive review in the diagnosis, monitoring and management of critically ill patients. Led by internationally recognized faculty, Adult MCCBRC offers 4.5 days of expert guidance on the core areas of critical care medicine. Whether you need to certify, recertify or simply review, MCCBRC provides an excellent update and thorough overview of the field.

Registration will be accepted on-site at the Fairmont Chicago, Millennium Park. An SCCM staff member will be available to assist you at the registration desk located in the Imperial Ballroom Foyer during the following hours:

Monday, August 10 – 4:00 p.m. – 7:00 p.m.
Tuesday, August 11 – 6:45 a.m. – 6:00 p.m.
Wednesday, August 12 – 6:30 a.m. – 6:00 p.m.
Thursday, August 13 – 6:30 a.m. – 6:00 p.m.
Friday, August 14 – 6:30 a.m. – 6:00 p.m.
Saturday, August 15 – 6:30 a.m. – 11:45 a.m.

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Watch New Educational Tutorials from the Surviving Sepsis Campaign

The Sepsis in the Wards project, from the Society of Critical Care Medicine and the Gordon and Betty Moore Foundation, sought to ensure that every patient was screened for sepsis on every shift each day in a pilot inpatient ward. When the results of patient screening were positive, teams intervened with the Surviving Sepsis Campaign bundle.

Hospitals participating in the Sepsis in the Wards project shared insights on screening interventions and eventually facilitated knowledge transfer across units within the hospital.

The Spreading Quality Just in Time series offers short tutorials on the science and methods behind applying interventions at the right time in the right way. This series is relevant to those seeking information on sepsis screening quality improvement but can also be used by hospitals interested in hospital-wide expansion of any quality improvement initiative.

Spreading Quality Just in Time

Watch Sepsis-Related Video Recorded at 2015 Congress
Earn free continuing medical education credit by viewing this session from the 44th Critical Care Congress.
Fluids Make the Difference in Organ Function and Survival with Sepsis
Supported in part by an educational grant from Baxter Healthcare Corporation.
In this session, faculty discuss the current evidence for fluid therapy in sepsis, the application of individualized intravenous fluids based on composition and safety profile.

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SCCM Releases New Statements Regarding Care in the ICU

New statements developed in whole or in part by the Society of Critical Care Medicine address such varied topics as the structure and process of care in the intensive care unit (ICU), management of the potential organ donor in the ICU, and responding to requests for potentially inappropriate treatments in the ICU.

Critical Care Delivery: The Importance of Process of Care and ICU Structure to Improved Outcomes

Management of the Potential Organ Donor in the ICU

Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units

You are encouraged to listen to a recent iCritical Care podcast for a discussion of the consensus statement on ICU management of the potential organ donor.

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Results from IMPreSS Study Released

Results from the International Multicentre Prevalence Study on Sepsis (IMPreSS) were recently released.

IMPreSS was a global observational study undertaken by the European Society of Intensive Care Medicine (ESICM) and the Society of Critical Care Medicine (SCCM) as part of their joint collaboration, the Surviving Sepsis Campaign (SSC). The study looked at 1,794 patients from 62 countries who had either severe sepsis or septic shock. Compliance with the SSC bundles was tracked, as were outcomes. Compliance with all of the evidence-based bundle metrics was not high. However, successful completion of all elements was associated with a greater likelihood of survival after adjustment for confounders at both three and six hours.

The SSC is a joint collaboration of SCCM and ESICM committed to reducing mortality from severe sepsis and septic shock worldwide.

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Listen to the Latest iCritical Care Podcasts

If you haven’t checked out our iCritical Care podcasts, listen to the latest releases and subscribe! Loyal listeners and newcomers, be sure to rate us on iTunes. Learn more at www.sccm.org/iCriticalCare.

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Application Deadlines Approaching for Research Grants

The Society of Critical Care Medicine (SCCM) offers several grant opportunities for critical care professionals seeking funding for activities to improve care, with grant support beginning in 2016. SCCM member researchers may apply for funding through the following grants:

Vision Grants
Application Deadline is August 18, 2015

Through generous funding from SCCM and the SCCM-Weil Research Trust, two Vision Grants of $50,000 each are being offered to support member researchers. Basic, translational and clinical research submissions are encouraged.

Eligible research should focus on one or more of the following areas of investigation:

  • Basic Research: Expand our understanding of complex critical illness processes.
  • Bench to Bedside: Improve patient care by translating basic scientific findings into therapeutic interventions for critical care patients.
  • Clinical Outcomes: Advance our understanding of patient outcomes and continuous improvement practices.

For further information on the Vision Grant, please visit www.sccm.org/VisionGrant, and learn about the research of last year’s recipient.

THRIVE Research Grant to Accelerate Recovery
Application Deadline Extended to September 8, 2015

Through generous funding from the Society of Critical Care Medicine (SCCM), the THRIVE Grant offers $50,000 to support SCCM members conducting research aimed at improving patient and family support after critical illness. Investigator-initiated research should help advance and improve our understanding of survivorship from critical illness, as well as support and improve the experience of survivors and their families.

Eligible areas of investigation include:

  • Clinical interventions to improve patient experience or outcomes
  • Identification of modifiable mechanisms or testing of innovations that promote recovery
  • Explorations of cultural and educational factors among survivors to facilitate networks and improve support

For further information on this grant and other THRIVE initiatives, visit www.sccm.org/THRIVE.

To begin the application process for these grants, log in to www.My.SCCM.org. Click on the “Submit an application for Vision Grant or THRIVE Grant” link located in the right column. Note that you must be a current SCCM member to apply for the THRIVE and Vision Grants.

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