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July 17, 2014

Concise Critical Appraisal

Increased Mortality with Use of Isotonic Saline for Sepsis

Education

Upcoming Webcast: Palliative Sedation in the ICU
Registration Open for Advanced Practice Providers Series
Use of Corticosteroids in Septic Shock On Demand Is Now Available
Webcast on Presenting Patient-Centered Outcomes Data to Improve Care

SCCM News

Check Out New Surviving Sepsis Campaign Presentations
Congress Abstract Submission Closes August 1
Application Deadline Approaching for Vision Grant
Last Call: Apply Now for SCCM Awards
Increased Mortality with Use of Isotonic Saline for Sepsis

Recent preclinical and observational research has demonstrated adverse effects when using isotonic saline versus balanced fluids (i.e., lactated Ringer’s solution or Plasmalyte) for intravenous resuscitation. Raghunathan and colleagues conducted a retrospective cohort study to assess the association between choice of crystalloids and in-hospital mortality during the resuscitation of critically ill adults with sepsis.

They found that resuscitation with balanced fluids was associated with a lower risk of in-hospital mortality. However, generalizing this result could prove difficult since the study excluded pediatric and surgical patients. In addition, some degree of residual confounding is possible due to the observational nature of this work. Additional clinical trials are required to confirm this finding.

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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Upcoming Webcast: Palliative Sedation in the ICU

Registration is now open for Palliative Sedation in the ICU, the latest webcast from the Society of Critical Care Medicine’s (SCCM) Controversies in Critical Care series. Palliative sedation remains a complex and contentious topic in the intensive care unit (ICU). Douglas B. White, MD, will begin the discussion by introducing the topic of palliative sedation. Expert faculty will then debate about when and under what conditions such treatment is warranted and what types of sedation regimens are included under this rubric. Margaret L. Campbell, PhD, RN, FPCN, will discuss clinical considerations for use of palliative sedation in the ICU, and Mark Siegel, MD, will review the ethical foundations and potential pitfalls with this form of sedation.

Learning Objectives

  • Distinguish palliative sedation from the use of opioids/sedatives for symptom management
  • Identify clinical reasons to continue ICU care with palliative sedation using case examples
  • Explain  ethical arguments for and against palliative sedation and its use in the ICU
  • Contrast palliative sedation to euthanasia and decisions to forgo life-sustaining treatment

This webcast will take place on Wednesday, August 13, 2014, 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 to inquire about the group rate.

The Controversies in Critical Care webcast series is a joint project of the SCCM Scientific Review Committee and the American College of Critical Care Medicine’s Ethics Committee. This series is intended to provide insight into topics in critical care medicine for which there is no clear consensus or unequivocal evidence for guiding practice decisions.

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Registration Open for Advanced Practice Providers Series

Register for the new Advanced Practice Providers: Administration, Leadership and Outcomes series from the Society of Critical Care Medicine (SCCM). The demand for and implementation of advanced practice providers (APPs) — such as nurse practitioners (NPs) and physician assistants (PAs) — in the intensive care unit (ICU) has generated great interest in the healthcare community in general and the medical community in particular.

Sponsored by SCCM’s eLearning NP/PA Task Force, this four-part educational series will feature three webcasts and a live, half-day course and is designed to provide information on building an APP service model. In every component of the series, speakers will bring their local and national expertise to each subject area, providing the participant with the comprehensive view needed to establish a multiprofessional ICU provider team.

Webcasts

The webcasts cover a spectrum of topics on designing, initiating and maintaining a skilled APP program.

Financial and Administrative Considerations for the Development of an ICU NP/PA Practice
Thursday, August 21, 2014
12:00 p.m. – 1:00 p.m. Central Time

Developing Formal Orientation and Onboarding for Advanced Practice Providers
Tuesday, September 30, 2014
11:00 a.m. – 12:00 p.m. Central Time

Ensuring Initial and Ongoing Competency of Advanced Practice Providers in the ICU
Wednesday, October 8, 2014
12:00 p.m. – 1:30 p.m. Central Time

Live Event

The half-day course will be held at SCCM’s 2015 Critical Care Congress and will focus on identifying care models that integrate APPs in the ICU, national trends in NP and PA practice, fiscal approaches, and benchmarking to assess  program value.

Advanced Practice Providers: Administration, Leadership and Outcomes
Saturday, January 17, 2015
8:00 a.m. – 12:00 p.m. Mountain Standard Time
Phoenix Convention Center
Phoenix, Arizona, USA

Register online today using your customer ID and password. The registration fee is $295 ($348 for nonmembers) and includes all three webcasts, On Demand access to content after the webcasts and the live event. Attendees of the live event are eligible to receive continuing education credit. Components of the series are not available to purchase separately. Please contact SCCM Customer Service at +1 847 827-6888 for details.

If you plan to attend this course in conjunction with Congress, register at www.sccm.org/Congress.

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Use of Corticosteroids in Septic Shock On Demand Is Now Available

The recently broadcast Use of Corticosteroids in Septic Shock webcast is now available for purchase On Demand.

In this webcast from the Society of Critical Care Medicine’s (SCCM) Controversies in Critical Care series, Djillali Annane, MD, and Greet Van den Berghe, MD, PhD, discuss the rationale for use or avoidance of corticosteroids in critically ill patients with septic shock and highlight the controversies surrounding the use of low-dose corticosteroids and the association with clinical outcomes.

Use of Corticosteroids in Septic Shock On Demand gives you access to videos containing both slide presentations and synchronized speaker audio for every lecture in a searchable format, making it the next best thing to attending the live event. Once you’ve purchased Use of Corticosteroids in Septic Shock On Demand, you can access the materials as often as you like by logging into www.MySCCM.org.

Use of Corticosteroids in Septic Shock On Demand is available for purchase in the SCCM store. The registration rate is just $35 for members ($45 for nonmembers).

If you participated in the live event, your subscription to the On Demand service was included in your registration fee. The materials can be accessed by logging into www.MySCCM.org with your customer ID and password.

The Controversies in Critical Care webcast series is a joint project of the SCCM Scientific Review Committee and the American College of Critical Care Medicine’s Ethics Committee. This series is intended to provide insight into topics in critical care medicine for which there is no clear consensus or unequivocal evidence for guiding practice decisions.

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Webcast on Presenting Patient-Centered Outcomes Data to Improve Care

sq-Quality-Project-Dispatch v1_0Patient-reported outcome measures and results have become a regular part of healthcare. Clinical trials and other research studies often examine symptoms, quality of life and the impact of a specific health condition and its treatment from the patient’s perspective. This information can be used to inform treatment decisions and can be invaluable in managing and tailoring an individual patient’s care.

During Presenting Patient-Centered Outcomes Data to Improve Care,  the upcoming webcast from the Society of Critical Care Medicine’s (SCCM) Project Dispatch series, Claire Snyder, PhD, from The Johns Hopkins University School of Medicine, will share her experience in the area of patient-reported outcomes research, as well as early results from her Patient-Centered Outcomes Research Institute-funded project. Complimentary registration is made possible by a grant from the Agency for Healthcare Research and Quality (AHRQ).

Learning Objectives

  • Describe ways that patient-reported outcomes can be used to promote patient-centered care
  • Identify barriers to patients’ and clinicians’ understanding and use of patient-reported outcome data in practice
  • Present initial results regarding best practices for presenting patient-reported outcome data, as well as key challenges that require further exploration

This 60-minute webcast will take place on Thursday, July 31, 2014, at 12:00 p.m. Central Time.

Register online today using your Customer ID and password. 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 AHRQ. The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ.

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Check Out New Surviving Sepsis Campaign Presentations

The Surviving Sepsis Campaign, a joint collaboration of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine, recently made available 12 individual presentations that provide background on the recommendations and suggestions incorporated in the 2012 Surviving Sepsis Campaign guidelines. In addition, a presentation inclusive of all the slides is available.

Developed by the authors of the guidelines, these slides may be used for educational purposes to improve knowledge and team performance.

Visit the Surviving Sepsis Campaign website to download these offerings:

  • 01_SSC_Grading_06_03_14
  • 02_SSC_Initial_Resuscitation_Hemodynamic_Support_06_13_14
  • 03_SSC_Infection_Related_Issues_06_03_14
  • 04_SSC_Adjunctive_Therapy_06_03_14
  • 05_SSC_Mechanical_Ventilation_of_Acute_Respiratory_Distress_Syndrome_06_03_14
  • 06_SSC_Glucose_Control_06_03_14
  • 07_SSC_Nutrition_06_03_14
  • 08_SSC_Renal_Replacement_Therapy_06_03_14
  • 09_SSC_Prophylaxis_for_Venous_Thromboembolism_06_03_14
  • 10_SSC_Stress_Ulcer_Prophylaxis_06_03_14
  • 11_SSC_Setting_Goals_of_Care_06_03_14
  • 12_SSC_Pediatric_Considerations_06_03_14
  • SSC_All_Slides_2014
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Congress Abstract Submission Closes August 1

Submit your original investigative research and case reports and make your contribution to the advancement of critical care. Abstracts for the Society of Critical Care Medicine’s (SCCM) 44th Critical Care Congress will be accepted until noon Central Time on Friday, August 1, 2014. No extensions or late-breaking abstracts will be permitted.

If accepted, your work will be on display from January 18 to 20, 2015, and will be published in Critical Care Medicine, the number one critical care subspecialty journal. You also will benefit from:

  • Presentation Opportunity: Authors of the top 64 abstracts are granted the opportunity to give oral presentations.
  • Peer evaluation: Select posters will be visited by critical care experts who provide indispensable feedback.
  • Awards: Multiple awards are offered, including scientific awards, educational scholarships and research awards.

Presenting authors who are SCCM members at the time of abstract submission may have an opportunity to apply for complimentary Congress registration.

Visit www.sccm.org/abstracts for complete details on submission guidelines and categories.

Registration is now open for SCCM’s 44th Critical Care Congress, to be held January 17 to 21, 2015, in Phoenix, Arizona, USA.

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

For information on hotel and travel reservations, visit www.sccm.org/Congress.

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Application Deadline Approaching for Vision Grant

The deadline to apply for the Society of Critical Care Medicine’s (SCCM) Vision Grant is Monday, August 11, 2014. The Society is generously funding a Vision Grant of $50,000 in support of member researchers. Eligible members include those conducting basic, translational or clinical research, especially that which is related to SCCM’s mission of securing the highest quality care for all critically ill and injured patients.

Eligible research should focus on one or more of the following areas of investigation:

  • Basic Research: Expand our understanding of complex critical illness processes.
  • Bench to Bedside: Improve patient care by translating basic scientific findings into therapeutic interventions for critical care patients.
  • Clinical Outcomes: Advance our understanding of patient outcomes and continuous improvement practices.

Be sure to submit your application by August 11, 2014, to be considered for grant support in 2015.

For more information and to download the application, visit www.sccm.org/VisionGrant. Learn more about previous winners and their research.

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Last Call: Apply Now for SCCM Awards

The Society of Critical Care Medicine (SCCM) offers numerous awards that recognize dedication and contributions to the field of critical care. Nominate yourself or a colleague, or recognize your entire intensive care unit (ICU) team. Most award recipients receive a complimentary registration to the 44th Critical Care Congress. The deadline to apply for these opportunities — Friday, August 1, 2014 — is fast approaching.

Dr. Joseph and Rae Brown Award – Recognize an SCCM member who has advanced multiprofessional quality care at the regional or local level through exceptional leadership contributions that have furthered the vision and mission of chapters or affiliates.

Grenvik Family Award for Ethics – Acknowledge an SCCM member who has made significant contributions toward addressing ethical problems in critical care.

Norma J. Shoemaker Award for Critical Care Nursing Excellence – Recognize an SCCM nurse member who demonstrates excellence in clinical practice, education and/or administration in the field of critical care.

Barry A. Shapiro Memorial Award for Excellence in Critical Care Management – Nominate an SCCM member who has made significant contributions to the design and/or implementation of evidence-based practices that have improved clinical, operational or fiscal outcomes.

Family-Centered Care Innovation Award – Commend an ICU team that has succeeded in instituting a novel approach to compassionate care and has a desire to share that innovation with other teams.

ICU Heroes Award – Acknowledge a heroic ICU patient, their respective family members and the multiprofessional ICU team that delivered the care.

Dharmapuri Vidyasagar Award for Excellence in Pediatric Critical Care Medicine – Recognize an individual for sustained exemplary and pioneering achievement in the care of critically ill and injured infants and children.

ICU Design Citation Applications Due August 15

Submit your application for the ICU Design Citation, which is jointly sponsored by the Society of Critical Care Medicine, the American Association of Critical-Care Nurses, and the American Institute of Architects Academy of Architecture for Health. The award recognizes an operating critical care unit designed with attention to both functional and humanitarian issues.

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