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February 2, 2017

Concise Critical Appraisal

Culture Negative Severe Sepsis: Nationwide Trends and Outcomes

Education

Registration Deadline Approaching for 2017 MCCKAP Examination
New Publication Available on Adult and Pediatric Mechanical Ventilation

SCCM News

SCCM’s 46th Critical Care Congress a Resounding Success
Updated Surviving Sepsis Campaign Guidelines
Congress Session Centers on Physician-Assisted Suicide
SCCM Announces New Critical Care Research Network: Discovery
Culture Negative Severe Sepsis: Nationwide Trends and Outcomes

Although 28% to 49% of severe sepsis hospitalizations have been described as being “culture negative,” there are very limited data on the epidemiology and outcomes of those with culture negative severe sepsis (CNSS). The objectives of a study by Gupta et al were to investigate the proportion and trends of CNSS and its association with mortality.

They found that CNSS among hospitalized patients is common, and its proportion is on the rise. They also found that CNSS is associated with greater acute organ dysfunction and mortality.

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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Registration Deadline Approaching for 2017 MCCKAP Examination

The registration deadline is February 8, 2017, for the Society of Critical Care Medicine’s (SCCM) 2017 Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP). Register online using your customer ID and password. The examination will be administered from February 28 to March 7, 2017.

The MCCKAP online examination assesses critical care fellowship programs nationally. Held annually, the MCCKAP examination helps program directors:

  • Prepare fellows for the subspecialty board examinations in critical care
  • Identify specific areas of strength and weakness with lists of references and key terms for missed questions
  • Assess results for each individual fellow and the overall program, as well as the institution’s national ranking

Available in both adult and pediatric formats, the examination is offered exclusively online and consists of 200 multiple-choice questions pertaining to critical care knowledge and patient management. Examination content is developed by critical care professionals experienced in examination preparation and analysis.

Immediate preliminary scores and analysis are available to the examinee and the program director upon completion of the test. Final results will be available through the program director’s MySCCM account approximately five weeks following the examination.

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New Publication Available on Adult and Pediatric Mechanical Ventilation

The Society of Critical Care Medicine’s (SCCM) latest publication, Mechanical Ventilation: Essentials for Current Adult and Pediatric Practice, highlights new practices in managing adult and pediatric critically ill patients who require mechanical ventilation. Clinicians will find discussions on adult and pediatric populations valuable, regardless of their specialty.

The text focuses on specific diseases and disorders, and emphasizes clinical applicability of data, discussions and recommendations that clinicians can use at bedside.

Chapter topics include:

  • Clinical Design Features of Modern Mechanical Ventilators
  • Cardiopulmonary Interactions
  • Noninvasive Ventilation in the Adult
  • Strategies for Ventilator Discontinuance

Mechanical Ventilation: Essentials for Current Adult and Pediatric Practice is available in the SCCM Store, in both print and eBook formats, at the purchase price of $75 for members ($95 nonmembers) using your Customer ID and password.

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

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SCCM’s 46th Critical Care Congress a Resounding Success

Thank you all for making the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress in Honolulu, Hawaii, USA, a great success! The 2017 Congress provided more than 6,000 critical care clinicians from around the world with unique opportunities to network with leadership in critical care and experience enlightened and innovative learning experiences.

Videos from key Congress sessions, including plenary sessions and the Presidential Address from Ruth M. Kleinpell, RN-CS, PhD, FCCM, are now available.

You can also view video of the Critical Connections Live Broadcast from Congress. The broadcast featured live sessions, interactive interviews and highlights from Congress. The featured sessions centered on the ethics of physician-assisted suicide and euthanasia (PAS/E) in the intensive care unit and the methodology behind and features of the new International Guidelines for the Management of Sepsis and Septic Shock: 2016. Videos are available that feature the PAS/E session and the guidelines session, respectively, with accompanying related debrief sessions. After you’re done watching, keep the conversation going using #SCCMLive.

You are also encouraged to check out www.sccm.org/literature for information on all the late-breaking research and literature that was released in conjunction with Congress meeting sessions.

Make plans to join us next year, February 24-28, 2018, in San Antonio, Texas, USA!

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Updated Surviving Sepsis Campaign Guidelines

Updated Surviving Sepsis Campaign guidelines (available in both Critical Care Medicine and Intensive Care Medicine) were released during the 46th Critical Care Congress, along with a viewpoint and synopsis published in JAMA. Materials are available at www.survivingsepsis.org.

Affiliated materials released in conjunction with the guidelines include:

– A Users’ Guide to the 2016 Surviving Sepsis Guidelines
Critical Care Medicine
Intensive Care Medicine

– Surviving Sepsis Guidelines: A Continuous Move Toward Better Care of Patients With Sepsis
JAMA Viewpoint

Management of Sepsis and Septic Shock
JAMA Clinical Guidelines Synopsis

Practice guidelines as implementation science: the journal editorsʼ perspective
Critical Care Medicine
Intensive Care Medicine

Video: Comparison of recommendations from 2012 to 2016

Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016 is a joint collaboration between the European Society of Intensive Care Medicine and the Society of Critical Care Medicine.

The guidelines, developed by a consensus committee of 55 international experts in sepsis, offer important advancements for clinicians caring for patients with sepsis and septic shock, starting with the need to identify at-risk patients sooner.

Keep the conversation going about the new sepsis guidelines by using #SCCMLive. You can also view video of the Congress session during which the guidelines were presented, which featured Laura E. Evans, MD, FCCM, Andrew Rhodes, FRCP, FRCA, FFICM, and Mitchell M. Levy, MD, MCCM, FCCP. The video also includes a session debrief with Lauren Epstein, MD, and R. Phillip Dellinger, MD, MCCM.

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Congress Session Centers on Physician-Assisted Suicide

Physician-assisted suicide and euthanasia (PAS/E) is a topic of intense debate in society, not least among critical care medicine specialists, who treat many patients at or near the end of life.

Core ethical issues involved in PAS/E were discussed and debated at a Congress session entitled Physician-Assisted Suicide and Euthanasia in the Intensive Care Unit: A Dialogue on Core Ethical Issues that featured experts Jan Bakker, MD, PhD, FCCP, and E. Wesley Ely, MD, MPH, FCCM. You are encouraged to watch a video that features the full session and debrief session with Mitchell M. Levy, MD, MCCM, FCCP. These issues are also discussed in an article in Critical Care Medicine that was released in conjunction with the session.

Continue the conversation about the PAS/E session and related article using #SCCMLive.

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SCCM Announces New Critical Care Research Network: Discovery

The Society of Critical Care Medicine (SCCM) recently unveiled its newest endeavor: Discovery, the Critical Care Research Network (#DiscoveryNet).

Through Discovery, SCCM will foster collaborative research to promote the advancement of science in the field to improve outcomes for critically ill and injured patients. Discovery will seek to exponentially increase research in the critical care field and use SCCM’s existing broad base of programs to disseminate its findings into practice.

Joining SCCM for the launch of this endeavor is the United States Critical Illness and Injury Trials (USCIIT) Group and the Critical Care Pharmacotherapy Trials Network (CCPTN), who will become part of the new Discovery program. Bringing together these highly successful existing networks will jump-start Discovery activities. Other existing research networks with a similar focus are also invited to join SCCM in this exciting endeavor.

The Society will support Discovery with a multimillion-dollar investment in professional staff, infrastructure and research grants. In addition, the Discovery Oversight Committee and Discovery Steering Committee have been established to provide guidance for an inclusive, diverse, integrated, and multidisciplinary network for research that improves outcomes across the continuum of care for critically ill patients and their families.

Please consider how Discovery can assist you in your research. Whether by connecting you with fellow investigators or accessing Discovery’s clinical informatics team, data and safety monitoring groups, Health Insurance Portability and Accountability Act (HIPAA)-compliant central registries or new SCCM-Weil research grants, Discovery is eager to engage with you and your investigators.

Join SCCM’s Research Section to keep abreast of Discovery activities and find out more about how you can participate. For further information and inquiries, please email discovery@sccm.org.

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