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February 5, 2015

Concise Critical Appraisal

The Efficacy of Subglottic Secretion Suctioning

Education

44th Critical Care Congress On Demand Is Now Available
Registration Open for 2015 Adult Board Review Course
Webcast to Discuss Prone Positioning of ARDS Patients

SCCM News

SCCM Forms the SCCM-Weil Research Trust
SCCM’s 44th Critical Care Congress a Resounding Success
International Liaison Committee on Resuscitation Seeking Input
The Efficacy of Subglottic Secretion Suctioning

Pneumonia is a common ventilator-associated event (VAE), yet consensus on its definition (it had been traditionally referred to as ventilator-associated pneumonia [VAP]) is lacking. Despite this, many strategies have been shown to decrease its incidence. Damas et al conducted a single-center, randomized controlled trial in Belgium assessing the effect of subglottic secretion suctioning on VAP incidence.

They found that subglottic secretion suctioning resulted in a significant reduction of VAP prevalence. Though we now have consistent evidence showing the benefit of subglottic suctioning, cost analyses touting its worth and guidelines recommending its use, why has the critical care community not adopted this practice more widely?

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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44th 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) 44th 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 symposia, at the 2015 Critical Care Congress in Phoenix, Arizona, USA. It is the next best thing from attending the live event. Once you’ve purchased Congress On Demand, you can access the materials as often as you like by logging into www.MySCCM.org.

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

Additionally, many of the pre-Congress courses are available for purchase. These include:

• 2015 Coding and Billing On Demand
• Acute Kidney Injury and Renal Replacement Therapies On Demand
• Advanced Practice Providers: Administration, Leadership and Outcomes On Demand
• Critical Care of the Patient with Liver Disease On Demand
• Critical Care Pharmacotherapy: Challenges and Controversies On Demand

Bring the Congress educational experience to your home or office.  Please contact SCCM Customer Service at +1 847 827-6888 with any questions.

If you attended this year’s Congress, your subscription to this service was included in your registration fee. If you were a registrant for a pre-Congress educational session, your Congress On Demand subscription includes complimentary access to that session. The materials can be accessed by logging into www.MySCCM.org with your customer ID and password.

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Registration Open for 2015 Adult Board Review Course

Registration is now open for the Society of Critical Care Medicine’s 2015 Adult Multiprofessional Critical Care Board Review Course (MCCBRC). Register online using your customer ID and password or contact SCCM Customer Service at +1 847 827-6888. The 2015 Adult MCCBRC will be held at the Fairmont Chicago, Millennium Park, August 11 to 15, 2015, in Chicago, Illinois, USA.

MCCBRC sets the standard in board preparation with a comprehensive review that prepares fellows and attending physicians for the certification and recertification examinations in critical care. Led by internationally recognized faculty, this 4.5-day course offers 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.

As a registered participant, you will benefit from:

• Online access to practice questions
• A comprehensive course syllabus
• Networking opportunities with colleagues and world-renowned experts
• Post-course online access to MCCBRC On Demand, which features slides and recorded speaker audio from all sessions of the live course

For more information and to view the complete line of available board review products, visit www.sccm.org/adultboardreview.

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Webcast to Discuss Prone Positioning of ARDS Patients

Prone positioning in patients with acute respiratory distress syndrome (ARDS) has been shown to significantly improve oxygenation and prevent ventilator-induced lung injury. In the pro/con webcast, Should We Prone All ARDS Patients?, the latest offering from the Society of Critical Care Medicine’s (SCCM) Controversies in Critical Care series, the latest evidence on the benefits, limitations and alternatives of prone positioning of patients with ARDS will be presented by Claude Guérin, MD, PhD, and Antonio Pesenti, MD, PhD. Jean-Louis Vincent, MD, PhD, FCCM, will moderate the discussion.

Learning Objectives

• Describe the rationale for using the prone position
• Explain the evidence supporting the use of the prone position
• Implement a proning strategy in the intensive care unit
• Identify limitations and alternatives to prone positioning

This webcast will take place on Tuesday, February 10, 2015, 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 for details.

The Controversies in Critical Care webcast series is intended to provide insight into topics in critical care medicine for which no clear consensus or unequivocal evidence is available to guide practice decisions.

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SCCM Forms the SCCM-Weil Research Trust

Meeting at the conclusion of its 44th Annual Critical Care Congress, the Society of Critical Care Medicine’s (SCCM) governing Council voted to create the SCCM-Weil Research Trust.

Seeded with $1 million transferred from SCCM’s reserves, earnings from investment of the trust’s assets will be used to fund research grants in perpetuity. Society members and others motivated to support the expansion of critical care research will be invited to contribute to the trust.

“This investment allows us to double the amount of funding SCCM is giving out in grants to those researching ways to improve the care we provide to our patients,” Society President Craig M. Coopersmith, MD, FCCM, said. “It demonstrates our commitment to being part of the discovery and innovation needed to help secure future advances in the ICU.”

Explaining the motivation of SCCM’s leadership, Dr. Coopersmith added, “Our research seeks to help patients in the future, but has foundations in our past. The Society’s founder, Dr. Max Harry Weil, was a true visionary who committed his entire life to the pillars of academic life – patient care, discovery and innovation, and education. In addition to founding SCCM, Dr. Weil had a lifelong focus on performing patient-oriented research. The naming of this trust for Dr. Weil honors his legacy, and is a transformative step for our organization.”

The first grant from the SCCM-Weil Trust will be awarded in 2016 at the 45th Critical Care Congress in Orlando using the same criteria, rules and selection processes that govern the previously established Vision Grant program.

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SCCM’s 44th Critical Care Congress a Resounding Success

Thank you all for making the Society of Critical Care Medicine’s (SCCM) 44th Critical Care Congress in Phoenix, Arizona, USA, a great success! The 2015 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 Craig M. Coopersmith, MD, FCCM, are now available. You can also access bonus video interviews conducted with thought leaders in the field.

In addition, our iCritical Care podcast hosts had the opportunity to interview numerous Congress speakers and prominent members of the critical care community. Listen to these podcasts, including a sit-down with Dr. Coopersmith.

You are also encouraged to check out new articles released by JAMA and Critical Care Medicine during a late-breaker session at the 2015 Congress:

“Protocolized Sedation vs. Usual Care in Pediatric Patients Mechanically Ventilated for Acute Respiratory Failure”

• Accompanying Editorial

“Chlorhexidine Bathing and Health Care-Associated Infections: A Randomized Clinical Trial”

• Accompanying Editorial

“The Impact of Hospital and Intensive Care Unit Organizational Factors on Outcome in Critically Ill Patients: Results from the EPIC II Study”

“The Epidemiology of Chronic Critical Illness in the United States”

See you next year, February 20 to 24, 2016, in Orlando, Florida, USA, for SCCM’s 45th Critical Care Congress!

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International Liaison Committee on Resuscitation Seeking Input

The International Liaison Committee on Resuscitation (ILCOR) seeks to finalize systematic evidence evaluations for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC), relevant to the critical care community. ILCOR is using an online public commenting process (www.ilcor.org) and seeks important input from general members of the Society of Critical Care Medicine. The American Heart Association, in collaboration with ILCOR, is seeking public comment about scientific evidence evaluation questions that will be used to develop the 2015 guidelines, anticipated to be published on October 15, 2015.

Over 80 clinical and education questions and draft recommendations on a variety of resuscitation topics are now posted for review on ILCOR’s Scientific Evidence Evaluation and Review System at ILCOR.org/SEERS. More will be posted in the coming days. Public comments will be accepted through February 28. Each question posted focuses on a specific resuscitation topic and includes scientific evidence from relevant, peer-reviewed journals.

A number of topics are of high interest to the critical care community, including:

• Induced Hypothermia and Targeted Temperature Management
• Oxygen Dose after Return of Circulation
• Percutaneous Coronary Intervention after Return of Circulation
• Prognostication after Cardiac Arrest when Therapeutic Hypothermia Has Been Implemented

ILCOR’s Consensus on Science with Treatment Recommendations (CoSTR) is scheduled for online publication in the journal Circulation on October 15, 2015. Based in part on CoSTR, the 2015 AHA Guidelines for CPR and ECC will be published on the same date.

As key stakeholders in critical care and resuscitation, ILCOR encourages you and your peers to visit ILCOR.org/SEERS and to participate in the CoSTR public comment process.

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