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January 16, 2014

Concise Critical Appraisal

Short- Versus Long-Duration Antibiotic Regimens for Ventilator-Associated Pneumonia

Education

Webcast to Discuss Family Satisfaction Assessment Tool
Register by January 29 for the MCCKAP Exam

SCCM News

SCCM’s 43rd Critical Care Congress Breaks Records, Opportunities to Learn Continue All Year
Critical Care Societies Collaborative: Choosing Wisely
Short- Versus Long-Duration Antibiotic Regimens for Ventilator-Associated Pneumonia

The use of shorter antibiotic regimens (7-8 days) for ventilator-associated pneumonia (VAP) may help reduce adverse drug effects, prevent proliferation of multidrug resistant organisms, and decrease costs. Dimopoulos and colleagues performed a systematic review and meta-analysis to determine if shorter therapeutic antimicrobial regimens for VAP were associated with adverse outcomes.

Read more…

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Webcast to Discuss Family Satisfaction Assessment Tool

sq-Quality-Project-Dispatch v1_0The Family Satisfaction-Intensive Care Unit (FS-ICU) survey is an extensively validated instrument for assessing family satisfaction with general care and shared decision making. The neuroscience ICU at Yale-New Haven Hospital (YNHH NICU) is using the FS-ICU survey to collect continuous data from all families of patients whose length of stay exceed 72 hours. The survey is also being sent to families of patients who died or received comfort measures in the unit. Results of the survey will be used in to further research and quality improvement initiatives.

In this presentation, David Y. Hwang, MD, and Jennifer Robinson, APRN, will discuss what prompted the YNHH NICU team to initiate this effort, what has been learned so far, and what new projects the results have generated. They will also discuss the logistics of using the FS-ICU survey and cost-effective strategies for continuous measurement of family satisfaction.

Learning Objectives

  • Review the components of the FS-ICU survey, and compare this instrument to others designed to assess the family experience in critical care environments
  • Explore recent results of the ongoing FS-ICU study by the YNHH NICU
  • Share insights on fostering local multidisciplinary interest in improving family satisfaction and launching cost-effective research initiatives

The webcast, Using the FS-ICU Survey Instrument to Understand and Improve Family Satisfaction in a Neuroscience ICU, will take place on Wednesday, February, 5, 2014, at 12:00 p.m. Central Time (view additional time zones).

Register online today. Registration is complimentary for all participants. 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 the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality.

Project Dispatch iCritical Care Podcasts

SCCM Pod-232: Assessing Family Satisfaction using the FS-ICU Instrument in a Neuroscience Intensive Care Unit

Michael Weinstein, MD, FACS, FCCP, speaks with David Hwang, MD, Assistant Professor of Neurology in the Division of Neurocritical Care and Emergency Neurology at the Yale School of Medicine and a neurointensivist at the Yale-New Haven Hospital. Dr. Hwang will be hosting a webcast in 2014 featuring the FS-ICU tool, a well validated survey instrument utilized to assess family satisfaction with ICU care and shared decision-making. He will discuss the data collected from his Neuro ICU as well as his unit’s experience and why they became interested in family satisfaction research.  Released: 1/2/14

SCCM Pod-231: Family Presence: Evidence vs. Emotion

Margaret Parker, MD, FCCM speaks with Cathie Guzzetta, RN, PhD, HNC, FAAN, Director of Holistic Nursing Consultants at Children’s National Medical Center in Washington, DC. Dr. Guzzetta has been mentoring nurses and physicians in conducting family presence research and developing family presence programs since the mid-1990s. She will discuss Family Presence during CPR and invasive procedures.

These podcasts were made possible through a grant from the Agency for Healthcare Research and Quality in support of Project Dispatch — Disseminating Patient-Centered Outcomes Research to Healthcare Professionals. This project was supported by grant number R18HS21940 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality.

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Register by January 29 for the MCCKAP Exam

Advance registration rates end January 29, 2014, for the Society of Critical Care Medicine’s (SCCM) 2014 Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP). The exam will be administered online February 27 to March 7, 2014.

The MCCKAP online exam assesses critical care fellowship programs nationally. Held every spring, the MCCKAP exam 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
  • Review preliminary scores and analysis immediately upon completion of the test

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

Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

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SCCM’s 43rd Critical Care Congress Breaks Records, Opportunities to Learn Continue All Year

sq-CongressThank you to all who attended the 43rd Critical Care Congress in beautiful San Francisco, California, USA, last week. This year’s meeting proved to be the largest yet, breaking records with more than 4,600 intensive care professionals enjoying all Congress had to offer, from enlightening didactic presentations and hands-on learning, to networking and social activities.

Video from key Congress sessions, including the Presidential Address from J. Christopher Farmer, MD, FCCM, and plenary sessions, are now available. Look for Congress On Demand to be available soon.

Plan now to attend the 44th Critical Care Congress, which will be held January 17-21, 2015, in Phoenix, Arizona, USA.

It’s Sepsis and You Know It!

If you missed this great video from the University of Kansas at the Congress Opening Session, or just want to get the song stuck in your head again, it’s worth checking out.

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Critical Care Societies Collaborative: Choosing Wisely

The Critical Care Societies Collaborative (CCSC) released a list of “Five Things Physicians and Patients Should Question” in critical care as part of the Choosing Wisely® campaign, led by the ABIM Foundation. The list identifies five targeted, evidence-based recommendations that can support physicians and patients in making wise choices about their care:

  • Don’t order diagnostic tests at regular intervals (such as every day), but rather in response to specific clinical questions.
  • Don’t transfuse red blood cells in hemodynamically stable, non-bleeding ICU patients with a hemoglobin concentration greater than 7 g/dL.
  • Don’t use parenteral nutrition in adequately nourished critically ill patients within the first seven days of an ICU stay.
  • Don’t deeply sedate mechanically ventilated patients without a specific indication and without daily attempts to lighten sedation.
  • Don’t continue life support for patients at high risk for death or severely impaired functional recovery without offering patients and their families the alternative of care focused entirely on comfort.

CCSC nominated 10 individuals to represent all four societies and several disciplines including internal medicine, surgery, anesthesiology, emergency medicine, and critical care nursing. The taskforce created a list of 58 items for consideration. They put the list through various evaluations, debates and grading systems to come up with a penultimate list of five that all four societies could endorse.

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