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August 7, 2014

Concise Critical Appraisal

Red Blood Cell Transfusion and Associated Outcomes

Education

On-Site Registration: 2014 Adult and Pediatric Board Review Courses
On-Site Registration: Advanced Critical Care Ultrasound
Webcast: Palliative Sedation in the ICU
Webcast: Collaborating with Families to Improve Patient Care and Transitions
Educational Series to Discuss Advanced Practice Providers in the ICU

SCCM News

New Surviving Sepsis Campaign Facebook Page
Proposal Will Assign New Designated Seats to Two SCCM Specialty Sections
ASHP Foundation Seeking Applicants for Critical Care Traineeship
Red Blood Cell Transfusion and Associated Outcomes

Many studies have detailed increasing risks of morbidity and mortality associated with anemia in critically ill patients.  Despite these findings, transfusion of red blood cells (RBCs) to optimize oxygen delivery has been shown to carry its own inherent risks, ranging from the development of acute lung injury to immunomodulation to problems with the storage lesion and oxygen delivery. A study by Hassan et al adds to the mounting evidence regarding the deleterious effects of RBC transfusion by retrospectively looking at the impact of transfusion on pediatric trauma patients. The authors compared the outcomes of 81 children with trauma who were transfused with RBCs to 282 who did not receive any blood products.

They found that transfusion of packed RBCs is associated with higher risk of adverse outcomes independent of injury severity. Due to its retrospective nature, this study does not provide any new evidence proving that transfusion of RBCs can be harmful to critically ill patients, but it adds to the evidence of the effects in pediatric trauma patients.

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: 2014 Adult and Pediatric Board Review Courses

Join your colleagues August 12 to 16, 2014, in Chicago, Illinois, USA, for the Society of Critical Care Medicine’s (SCCM) Adult and Pediatric Multiprofessional Critical Care Board Review Courses (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 and Pediatric MCCBRC each offer 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.

Adult MCCBRC
The SCCM registration desk will be open during the following hours in the Imperial Ballroom Foyer:

Monday, August 11            4:00 p.m. – 7:00 p.m.
Tuesday, August 12            6:45 a.m. – 6:00 p.m.
Wednesday, August 13      6:15 a.m. – 6:15 p.m.
Thursday, August 14           6:15 a.m. – 6:15 p.m.
Friday, August 15                 6:15 a.m. – 6:15 p.m.
Saturday, August 16            6:15 a.m. – 12:00 p.m.

Pediatric MCCBRC
The SCCM registration desk will be open during the following hours in the International Ballroom Foyer:

Monday, August 11            4:00 p.m. – 7:00 p.m.
Tuesday, August 12            7:15 a.m. – 5:15 p.m.
Wednesday, August 13      7:15 a.m. – 5:30 p.m.
Thursday, August 14           7:15 a.m. – 5:30 p.m.
Friday, August 15                 7:15 a.m. – 5:15 p.m.
Saturday, August 16            7:15 a.m. – 12:00 p.m.

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On-Site Registration: Advanced Critical Care Ultrasound

On-site registration will take place Tuesday, August 19, 2014, for the Society of Critical Care Medicine’s (SCCM)  popular Advanced Critical Care Ultrasound course, 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 6:45 a.m. on August 19.

This course is intended for those who have previously attended an ultrasound course or are experienced in basic skills and procedures. It will focus on the specialty-specific use of echocardiography in the management of the critically ill patient. Participants will expand on their fundamental skills and knowledge while learning to gather important cardiovascular information for the noninvasive management of the hemodynamically unstable patient.

Course Learning Objectives

  • Describe the use of echocardiography in the assessment of hemodynamic parameters
  • Perform the quantitative assessment of left ventricular systolic function
  • Recognize the regional wall motion abnormalities
  • Describe the basic assessment of valvular pathology
  • Describe the limitations of echocardiography in intensive care unit settings
  • Describe the use of ultrasonography for evaluation of pulmonary edema

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

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Webcast: Palliative Sedation in the ICU

Use of palliative sedation in patient care is widely debated among intensive care unit (ICU) clinicians. In the webcast, Palliative Sedation in the ICU, the latest offering from the Society of Critical Care Medicine’s (SCCM) Controversies in Critical Care series, Douglas B. White, MD, will begin the discussion by introducing the topic of palliative sedation. Expert faculty will then debate about when and under what conditions such treatment is warranted and what types of sedation regimens are included under this rubric. Margaret L. Campbell, PhD, RN, FPCN, will discuss clinical considerations for use of palliative sedation in the ICU, and Mark Siegel, MD, will review the ethical foundations and potential pitfalls with this form of sedation.

Learning Objectives

  • Distinguish palliative sedation from the use of opioids/sedatives for symptom management
  • Identify clinical reasons to continue ICU care with palliative sedation using case examples
  • Explain ethical arguments for and against palliative sedation and its use in the ICU
  • Contrast palliative sedation to euthanasia and decisions to forgo life-sustaining treatment

This webcast will take place on Wednesday, August 13, 2014, at 1:00 p.m. Central Time. Participants will receive 1 hour of continuing education credit.

Register online today using your customer ID and password. The registration fee for this 60-minute webcast is $30 ($40 for nonmembers). For institutions seeking unlimited participation at a single location, a $200 group rate is available. Please contact SCCM Customer Service at +1 847 827-6888 to inquire about the group rate.

The Controversies in Critical Care webcast series is a joint project of the SCCM Scientific Review Committee and the American College of Critical Care Medicine’s Ethics Committee. This series is intended to provide insight into topics in critical care medicine for which there is no clear consensus or unequivocal evidence for guiding practice decisions.

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Webcast: Collaborating with Families to Improve Patient Care and Transitions

Registration is now open for Collaborating with Families to Improve Patient Care and Transitions, the latest webcast from the Society of Critical Care Medicine’s (SCCM) Project Dispatch series. This session will discuss patient transfers out of the intensive care unit (ICU), one of the most stressful times for patients and their families. Common concerns include what to expect and how to help the patient upon departure from the ICU. Furthermore, patients are being transferred with higher acuities after shorter lengths of stay, adding to “relocation stress” and contributing to slower recovery and discharge from the hospital.

Through patient satisfaction data and feedback from a formal rounding survey, the medical 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.

Andrea Meaburn, RN, MSN, ANP-BC, CCRN, from the Medical University of South Carolina, 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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Educational Series to Discuss Advanced Practice Providers in the ICU

The demand for and implementation of advanced practice providers (APPs)  — such as nurse practitioners (NPs) and physician assistants (PAs)  — in the intensive care unit (ICU) has generated great interest in the healthcare community in general and the medical community in particular. In the new Advanced Practice Providers: Administration, Leadership and Outcomes series from the Society of Critical Care Medicine (SCCM), speakers will bring their local and national expertise to a variety of subject areas, providing participants with the comprehensive view needed to establish a multiprofessional ICU provider team.

This four-part educational series sponsored by SCCM’s eLearning NP/PA Task Force will feature three webcasts and a live, half-day course and is designed to provide information on building an APP service model.

Webcasts
The webcasts cover a spectrum of topics on designing, initiating and maintaining a skilled APP program.

Financial and Administrative Considerations for the Development of an ICU NP/PA Practice
Thursday, August 21, 2014
12:00 p.m. – 1:00 p.m. Central Time

Developing Formal Orientation and Onboarding for Advanced Practice Providers
Tuesday, September 30, 2014
11:00 a.m. – 12:00 p.m. Central Time

Ensuring Initial and Ongoing Competency of Advanced Practice Providers in the ICU
Wednesday, October 8, 2014
12:00 p.m. – 1:30 p.m. Central Time

Live Event
The half-day course will be held at SCCM’s 2015 Critical Care Congress and will focus on identifying care models that integrate APPs in the ICU, national trends in NP and PA practice, fiscal approaches, and benchmarking to assess  program value.

Advanced Practice Providers: Administration, Leadership and Outcomes
Saturday, January 17, 2015
8:00 a.m. – 12:00 p.m.  Mountain Standard Time
Phoenix Convention Center
Phoenix, Arizona, USA

Register online today using your customer ID and password. The registration fee is $295 ($348 for nonmembers) and includes all three webcasts, On Demand access to content after the webcasts and the live event. Attendees of the live event are eligible to receive continuing education credit. Components of the series are not available to purchase separately. Please contact SCCM Customer Service at +1 847 827-6888 for details.

If you plan to attend this course in conjunction with Congress, register at www.sccm.org/Congress.

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New Surviving Sepsis Campaign Facebook Page

The Surviving Sepsis Campaign (SSC), a joint collaboration of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine, just launched its own Facebook page.

The new page will feature regular updates on the Campaign and provide pertinent information related to the 2012 SSC guidelines and the recommendations contained therein. It will also provide a forum for interested parties to connect and exchange meaningful ideas about the management of sepsis in critically ill patients.

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Proposal Will Assign New Designated Seats to Two SCCM Specialty Sections

The Society of Critical Care Medicine (SCCM) is pleased to announce that SCCM Council supported and approved the Emergency Medicine Section and the Neuroscience Section each being considered for a designated seat on SCCM Council. As a result, an amendment to the SCCM bylaws will be drafted and presented to the SCCM membership for a vote prior to SCCM’s 2015 Critical Care Congress. If the bylaw revision is accepted by the SCCM membership, the Emergency Medicine Section and the Neuroscience Section will each have a Designated Seat on SCCM Council beginning in 2016.

The Society strongly urges all members to participate in the election this fall. A strong turnout by the sections will be essential for an electoral victory.

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ASHP Foundation Seeking Applicants for Critical Care Traineeship

The American Society of Health-System Pharmacists (ASHP) Research and Education Foundation is seeking applicants for its 2014-2015 Critical Care Traineeship.

The application deadline is September 19, 2014.

The ASHP Foundation’s Critical Care Traineeship is a five-month, Accreditation Council for Pharmacy Education-accredited educational experience during which pharmacists will be trained to develop and maintain specialized services for the management of critically ill patients. Trainees will receive intensive distance and experiential training that prepares them to participate on interdisciplinary, patient-care teams as the health professional who is responsible and accountable for patients’ medication-related outcomes. This program allows participants to support their hospital/health system’s efforts to ensure safe, quality care for critically ill patients.

The traineeship was designed for pharmacists in acute settings who are providing specialized services for critically ill patients. Participants will learn to design patient-specific pharmacotherapy, solve drug therapy problems, and develop protocols, policies and/or procedures for complex patient treatments. The robust, four-month distance education component addresses 28 topics through independent reading assignments, Web-based education programs and case-based teleconferences. The program also includes 10 contiguous days of experiential training and completion of post-training activities. Participants will observe and participate in the care of critically ill patients. The clinical skills developed, along with the long-term guidance offered by the traineeship preceptor, will position the trainees to develop critical care pharmacy services at their institutions.

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12th Annual NCS Meeting

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