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February 16, 2017

Concise Critical Appraisal

Efficacy of Combined Intravenous Thrombolysis and Thrombectomy

Education

2017 Edition of Award Winning ICU Designs
46th Critical Care Congress On Demand Is Now Available
New Fundamental Critical Care Support, Sixth Edition
Registration Open for 2017 Study Mission to Cuba

SCCM News

Congress Talk Centers on Science behind Liberating ICU Patients and Families
Dr. Shoemaker Remembered during 46th Critical Care Congress
Efficacy of Combined Intravenous Thrombolysis and Thrombectomy

Mechanical thrombectomy (MT) improves clinical outcomes in patients with acute ischemic stroke (AIS) caused by a large vessel occlusion. However, it is not known whether intravenous thrombolysis (IVT) is of added benefit in patients undergoing MT. Coutinho et al set out to address this unknown.

The results indicate that treatment of patients experiencing AIS due to a large vessel occlusion with IVT before MT does not appear to provide a clinical benefit over MT alone.

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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2017 Edition of Award Winning ICU Designs

The 2017 edition of Award Winning ICU Designs is now available. Functional intensive care unit (ICU) design is crucial to delivering quality critical care. To honor the best examples of such design, an annual awards program is cosponsored 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.

This interactive web-based program contains the top projects since 1992, with each project reviewed in short video segments. The companion PDF document contains the features and floor plan of each winning unit. Also included is the Society’s “Guidelines for Intensive Care Unit Design” and a preface from former Co-Chair Dan R. Thompson, MD, MA, FACP, FCCM. This product provides a complete, contemporary resource for creating a facility that fulfills the needs of both ICU patients and caregivers.

To purchase Award Winning ICU Designs, 2017 edition, visit the SCCM Store. Please contact SCCM Customer Service at +1 847 827-6888 with any questions.

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46th Critical Care Congress On Demand Is Now Available

Now you can experience the stimulating educational content from the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress as if you were there.

Congress On Demand provides access to the audio recordings and slides from hundreds of individual presentations drawn from the concurrent, joint and plenary educational sessions, as well as the afternoon symposia, from the 2017 Critical Care Congress. On Demand also includes Star Research Presentations, which highlight the top 64 abstracts submitted, and allows users to view and search all abstracts. Once you have purchased Congress On Demand, you can access the materials by logging in to MySCCM.org.

Congress On Demand is available for purchase in the SCCM store for $295 for SCCM members ($385 for nonmembers).

Additionally, many of the precourses are available for purchase. These include:

Bring the Congress experience to your home or office. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Save the Date for the 2018 Congress!
The 47th Critical Care Congress will be held February 24 to 28, 2018, in San Antonio, Texas, USA. The Society’s Congress is the largest multiprofessional critical care event of the year and features innovative learning experiences that encompass the full range of developments in critical care. Registration opens June 2017.

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New Fundamental Critical Care Support, Sixth Edition

The Fundamental Critical Care Support (FCCS) course has been updated and enhanced to reflect the latest research and the most effective training approaches in critical care. The sixth edition curriculum emphasizes case-based education, with scenarios that mirror clinical reality.

Start planning your course, and order your sixth edition textbook today! Visit www.sccm.org/FCCS or contact the Fundamentals team at fccs@sccm.org or +1 847 827-6869.

Sixth Edition Highlights:

New Course Textbook

  • The FCCS textbook has updated material in all chapters, following the latest literature and current guidelines including more than 30 new case studies. The textbook is available in print and electronic formats.

Enhanced Skill Stations

  • More relevant: Skill stations have been redesigned to better integrate the core principles taught in the lectures.
  • Customizable: Course directors and instructors can choose relevant content from a variety of integrated scenarios.

Updated Pre- and Posttests

  • Pre- and posttests feature questions emphasizing clinical and practical application.
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Registration Open for 2017 Study Mission to Cuba

Registration is now open for a unique opportunity to earn continuing education credits during the Society of Critical Care Medicine’s (SCCM) Study Mission to Cuba, scheduled for December 4 to 9, 2017. Limited spots are available.

The Study Mission to Cuba will offer participants the opportunity to meet and engage with fellow Cuban medical professionals while learning about the challenges and advances of medicine in Cuba. Participants will gain firsthand experience and knowledge on the inner workings of healthcare in this country, and attend meetings and meaningful site visits each day. Topics to be covered include:

  • organizational structure and healthcare delivery systems of various critical care units in Cuba
  • quality processes and how change is implemented to improve patient care
  • cultural differences for patients and families faced with end-of-life decisions
  • resource limitations in caring for critically ill patients
  • and more

Continuing medical education credits are available for physicians, pharmacists and nurses.

Following the study mission is an optional Excursion to Matanzas, from December 9 to 12, 2017.

For complete details, please visit the event webpage. The deadline to register for the Study Mission to Cuba is August 1, 2017. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

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Congress Talk Centers on Science behind Liberating ICU Patients and Families

You are encouraged to check out video of an informative plenary session from the 46th Critical Care Congress entitled ABCDE and F Bundle: The Science Behind Liberating ICU Patients and Families.  It features E. Wesley Ely, MD, MPH, FCCM, describing the Society of Critical Care Medicine’s pain, agitation, and delirium (PAD) guidelines, reviewing the epidemiology and risk factors for critical illness brain injury, and introducing the evidence-based ABCDEF bundle and successful quality improvement methodology. Dr. Ely also discusses optimizing culture change to improve patient outcomes.

The plenary was accompanied by the release of Dr. Ely’s late breaking paper, The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families.

In the paper, published in the February 2017 issue of Critical Care Medicine, Dr. Ely notes: “One thing most physicians detest is being told what to do or seeing some ‘recipe’ put forth for their patients’ medical care. We know what we do is a professional calling and an art; we are not merely medical providers or technicians. ICU liberation is not meant as a recipe or a ‘protocol’ to be blindly followed.

Quite the opposite. Some of you may, without reading this synthesis, practice up-to-date and seamless ICU care. If so, then the science and philosophy of ICU liberation are yours, and this article will be of help perhaps as a way of ‘packaging’ what you already do. However, having visited many hundreds of ICUs around the world, I have not seen even one (including those in which I am privileged to serve patients and their families as an attending physician) that I think practices these ICU liberation concepts well enough.”

Dr. Ely also references the connection between ICU treatment and the Society’s THRIVE initiative, noting the importance of continuing to care for patients and families after the ICU.

After watching the plenary session and reading Dr. Ely’s paper, you are further encouraged to check out various ICU Liberation resources, including:

Additional resources related to the family-centered care guidelines include:

Gap Analysis Tool – Identification of Your ICU’s Practice Differences

Family-Centered Care Guidelines – Gap Analysis Tool Instructional Video​

Visit iculiberation.org for additional resources related to the family-centered care guidelines.

After you review the above material, keep the conversation going online using #ICULiberation.

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Dr. Shoemaker Remembered during 46th Critical Care Congress

William C. Shoemaker, MD, MCCM, one of the critical care community’s great visionaries and founders, was remembered during the Society of Critical Care Medicine’s 46th Critical Care Congress with a powerful memorial video.

Together with his wife, Norma, the Shoemakers were instrumental in founding the Society of Critical Care Medicine, helping to start the organization from the ground up.

Dr. Shoemaker was a key voice in the effort to have critical care considered a specialized area of medicine, and was a staunch believer that optimal critical care should be delivered by a multidisciplinary team. He served as the third SCCM president, from 1973 to 1974. In addition, one of his most impressive undertakings was serving as the first editor of Critical Care Medicine.

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