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February 19, 2015

Concise Critical Appraisal

Autologous BMMNC Therapy and Pediatric Traumatic Brain Injury

SCCM News

New iCritical Care Podcast Hosts
Join the Creative Community
Care of the Child with Ebola Virus Disease
ICU Liberation Initiative Featured in HealthLeaders Media Article
2016 Congress Call for Session Proposals
Autologous BMMNC Therapy and Pediatric Traumatic Brain Injury

Traumatic brain injury (TBI) is a major cause of death and disability in children. Most of the therapies available in TBI management focus on management of intracranial pressure in a tiered fashion. Liao et al used a novel technique in TBI management, infusing autologous bone marrow-derived mononuclear cells (BMMNCs). Using data obtained from a phase 1 trial published in 2011, the  authors compared the therapeutic intensity needed to prevent intracranial hypertension in 10 pediatric patients who received infusions of BMMNCs between 2006 and 2008 versus 19 control patients who were admitted with TBI between 2000 to 2008. The authors employed the Pediatric Intensity Level of Therapy (PILOT) scoring system, a validated tool used to identify therapeutic intensity.

They found that PILOT scores were significantly lower in the treatment group compared to the control group, starting at 24 hours posttreatment and lasting through the first week. Liao and colleagues should be applauded for pursuing this unconventional and novel approach to TBI management.  However, more work needs to be done—perhaps in a multicenter trial—before this therapy is applied.

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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New iCritical Care Podcast Hosts

The Society of Critical Care Medicine (SCCM) extends a warm welcome to our new iCritical Care podcast hosts, Ludwig H. Lin, MD, and Todd Fraser, MD. Drs. Lin and Fraser will be working alongside our current hosts, Margaret Parker, MD, MCCM, and Michael Weinstein, MD, FACS, FCCP, both of whom have hosted dozens of insightful podcasts during their stellar tenures.

Below are the initial podcasts hosted by Drs. Lin and Fraser. You’re encouraged to check them out!

SCCM Pod-246 Interaction Between Fluids and Vasoactive Agents on Mortality in Septic Shock (Fraser)

SCCM Pod-252 44th Critical Care Congress: Creating a Healthy Work Environment Through Compassionate Care (Lin)

SCCM Pod-256 The Burden of Influenza-Associated Critical Illness Hospitalizations (Lin)

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Join the Creative Community

Joining the Society of Critical Care Medicine’s (SCCM) Creative Community is one of the most important contributions a member can make in helping the Society achieve its mission and vision.  If you are interested in serving as an SCCM volunteer by joining the Creative Community, the online committee application must be completed by logging into www.MySCCM.org and selecting the “My Involvement” tab.  Applications are due May 1, 2015. Appointments are made each September for the following year.

Please note that reappointment to a committee is not automatic. If you are already a committee member and your term is about to expire, you will need to reapply.

Members of the Creative Community not only play an active role in Society activities and initiatives, they also gain leadership skills and networking opportunities.

Visit the Creative Community Resource Center for more information.

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Care of the Child with Ebola Virus Disease

You are encouraged to check out a timely and important article entitled “Care of the Child with Ebola Virus Disease,” which appears in the February 2015 issue of Pediatric Critical Care Medicine. The article provides clinicians with practical considerations for the care of children with Ebola virus disease in resource-rich settings.

The Society of Critical Care Medicine continues to actively monitor the Ebola outbreak and provide pertinent information to the critical care community. A variety of resources are available at www.sccm.org/disaster.

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ICU Liberation Initiative Featured in HealthLeaders Media Article

The Society of Critical Care Medicine’s ICU Liberation initiative featured prominently in a recent HealthLeaders Media article. The efficacy and reach of the initiative, which aims to engage clinicians in improving practice and patient outcomes related to pain, agitation and delirium is discussed at length.

You’re encouraged to regularly visit www.ICULiberation.org to access the latest news and educational resources affiliated with the initiative, such as the inaugural webcast, Spontaneous Awakening and Breathing Trials: Strategies to Optimize Patient Outcomes, in the newly developed ICU Liberation series.

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2016 Congress Call for Session Proposals

Have an idea for a session at the Society of Critical Care Medicine’s (SCCM) 45th Critical Care Congress? Submit your suggestions by March 3, 2015, for possible inclusion in the 2016 program.

Session proposals are submitted using the Congress Session Builder, located on www.MySCCM.org under the MY INVOLVEMENT tab. You need not be an SCCM member to submit and multiple sessions may be suggested for consideration. For complete instructions and to review frequently asked questions, visit www.sccm.org/SessionProposals or contact SCCM Customer Service at +1 847 827-6888.

The 2016 Critical Care Congress will be held February 20 to 24, 2016, in Orlando, Florida, USA. This five-day event will bring together more than 6,000 critical care clinicians from around the world and will offer opportunities to share creative and stimulating ideas, make valuable connections and obtain inspired perspectives.

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