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January 21, 2016

Concise Critical Appraisal

Preventing Early Seizures in Children with TBI


MCCKAP Advance Registration Deadline Is Approaching
Attend a Breakfast Symposium at Congress


SCCM Releases Guidelines Addressing Nutrition in Critically Ill
Preventing Early Seizures in Children with TBI

Traumatic brain injury (TBI) is a leading cause of death and disability in children. Early posttraumatic seizures can exacerbate some of the metabolic and physiologic derangements seen with TBI. In a prospective observational study by Chung and O’Brien, the authors sought to evaluate the prevalence of early seizures after levetiracetam prophylaxis in children with moderate to severe TBI.

They found that early clinical posttraumatic seizures occurred frequently in children with moderate to severe TBI despite seizure prophylaxis with levetiracetam.

Read the full Concise Critical Appraisal by logging in to 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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MCCKAP Advance Registration Deadline Is Approaching

The advance registration deadline is January 27, 2016, for the Society of Critical Care Medicine’s (SCCM) 2016 Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP). The examination will be administered from March 3 to 11, 2016.

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 examination. Final results will be available approximately five weeks following the examination.

Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. Sign-up by January 27, 2016, to take advantage of discounted registration rates.

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Attend a Breakfast Symposium at Congress

Learn about clinical breakthroughs and advances in patient care during the educational symposia at the Society of Critical Care Medicine’s (SCCM) 45th Critical Care Congress. Each stimulating session is presented by leading experts in critical care and offers a thorough analysis of the developments and issues affecting most intensive care unit (ICU) environments. These sessions are complimentary for all Congress registrants, and no additional registration is needed to attend.

Bleeding Management and Reversal Strategies for the DOAC Patient: New and Future Approaches
Supported by an educational grant from Portola Pharmaceuticals
This session will examine general approaches and prothrombin complex concentrates. Reversal strategies for dabigatran and Xa inhibitors will also be reviewed.

Every Patient Has a Story: Individualizing the Management of Invasive Fungal Infections in the Critical Care Setting
Supported by an educational grant from Astellas Pharma Global Development, Inc.
This session will explore invasive fungal infections in the critical care setting and how to identify and overcome diagnostic challenges. Managing at-risk patients and optimizing antifungal therapy will also be discussed.

Improving Clinical Outcomes and Pathogen-Directed Therapy for Serious Bacterial Infections in the Critical Care Setting
Supported by an educational grant from Merck & Co., Inc.
This session will offer an overview of epidemiology and current guidelines for multidrug-resistant bacterial infections, as well as strategies for implementing a pathogen-directed approach to tailoring therapies and new and emerging therapeutic options for treatment.

Optimizing Treatment and Improving Care Transitions in Chronic Heart Failure
Supported by an educational grant from Amgen
This session will review the epidemiology, pathophysiology and diagnosis of chronic heart failure and how strategies to decrease hospital readmission rates and overall costs through better diagnosis and disease management impact patient outcomes. Safety, efficacy, and clinical application of the current and emerging therapeutics, the new recommendation for the management of chronic heart failure, and appropriate strategies to optimize pharmacological treatment of chronic heart failure will be discussed.

The Role of Biomarkers in Acute Kidney Injury (AKI) Risk-Assessment
Supported by an educational grant from Astute Medical, Inc.
This session will discuss the pathophysiology, etiology and epidemiology of AKI. Risk stratification scores, first-generation AKI markers and new markers of AKI and risk assessment will be examined.

Tailoring Therapy and Improving Outcomes in Patients with Acute Decompensated Heart Failure (ADHF)
Supported by an educational grant from Novartis Pharmaceuticals Corporation
This session will review the diagnosis and classification of ADHF, existing therapies, new guidelines and the safety and efficacy data for new and emerging treatment therapies, as well as identify strategies for individualizing therapy to improve patient outcomes.

These symposia will be held Monday, February 22, 2016, at the Orange County Convention Center. Seating is on a first-come, first-served basis. A continental breakfast will be available before each symposium, beginning at 6:00 a.m. The sessions will start promptly at 6:30 a.m.

Register for Congress online today using your Customer ID and password. Also, remember to secure your hotel accommodations. For more details, visit

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Register today for ICU: CLABSI/CAUTI Boot Camp, which will take place on Saturday, February 20, 2016.

Healthcare-associated infections (HAIs) are among the most common preventable causes of mortality in the United States, affecting one out of every 25 hospitalized patients. They are a significant cause of illness, death and excess cost in all healthcare settings. Central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infections (CAUTIs) are common types of healthcare-associated infection.

This afternoon session will review clinical interventions to reduce CLABSI and CAUTI in the intensive care unit (ICU), present strategies for organizational change and discuss ICUs that have successfully implemented quality improvement programs.

The ICU: CLABSI/CAUTI Boot Camp will be held before the Society of Critical Care Medicine’s 45th Critical Care Congress on February 20, 2016, from 1:30 p.m. to 5:00 p.m. at the Hyatt Regency Hotel in Orlando, Florida, USA. Register online by February 1, 2016, to secure your seat.

Complimentary registration is made possible by a grant from the Agency for Healthcare Research and Quality (AHRQ).

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SCCM Releases Guidelines Addressing Nutrition in Critically Ill

The Society of Critical Care Medicine (SCCM) recently released guidelines addressing the provision and assessment of nutrition support therapy in the adult critically ill patient.

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)

On a separate note, the Society also recently released a policy statement addressing shared decision making in intensive care units.

Shared Decision Making in ICUs: An American College of Critical Care Medicine and American Thoracic Society Policy Statement

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