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July 2, 2015

Concise Critical Appraisal

The Utility of High-Flow Nasal Cannula in Acute Hypoxic Respiratory Failure
Effect of RBC Transfusion on Cerebral Autoregulation in Severe TBI Patients

Education

Webcast to Review Ethics Relating to Recent Ebola Outbreak
Register for Upcoming ICU Liberation Events
On-Site Registration Available for Critical Care Ultrasound Courses
Discounted Rates for Adult Board Review Course End Soon
New Advanced Knowledge Assessment in Pediatric Critical Care Question Set
Reduced Registration Rates for Ultrasound Courses End Soon
On-Site Registration Available for 2015 Adult Board Review Course
Register for Upcoming ICU Liberation Events
New Electronic Comprehensive Board Prep Bundle: Adult

SCCM News

SCCM Releases New Statements Regarding Care in the ICU
Grant Funding Available for Research Projects
Reminder: Participate in International Survey on CLABSI
Results from IMPreSS Study Released
Participate in Survey on Ethics Issues
Application Deadlines Approaching for Research Grants
ICU Design Citation Award Applications Due August 15
Effect of RBC Transfusion on Cerebral Autoregulation in Severe TBI Patients

What is the impact of red blood cell (RBC) transfusion on cerebral autoregulation in patients with severe traumatic brain injury (TBI)? Seeking to find out, Sekhon et al conducted a retrospective, single-center, cohort study to evaluate the relationship between RBC transfusion and cerebral autoregulation as measured by pressure reactivity index (PRx).

They found that RBC transfusion in severe TBI patients results in worsening PRx, indicating impaired cerebral autoregulation.

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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The Utility of High-Flow Nasal Cannula in Acute Hypoxic Respiratory Failure

High-flow nasal cannula (HFNC) is a relatively new technology that allows clinicians to treat patients with severe hypoxemia using significantly larger, humidified gas flows compared to traditional nasal cannula. Frat and colleagues compared the outcomes of patients with hypoxemic respiratory failure who were treated with HFNC, a combination of noninvasive positive-pressure ventilation and HFNC, and standard face mask oxygen therapy.

The authors found no difference in endotracheal intubation rates among the three groups at 28 days (their predefined primary outcome). However, an improvement in 90-day mortality and in subjective patient comfort was noted with HFNC over the other two treatment arms.

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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Register for Upcoming ICU Liberation Events

The Society of Critical Care Medicine’s (SCCM) ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. Take advantage of two upcoming learning opportunities that will provide strategies to help reduce the risk of long-term consequences from an intensive care unit (ICU) stay.

Live Event: ICU Liberation and Animation: Implementing the Pain, Agitation and Delirium Guidelines
September 9-10, 2015
Register online today

Reduced registration rates end August 12, 2015, for the ICU Liberation and Animation conference, which will be held September 9 and 10, 2015, at Vanderbilt University Medical Center in Nashville, Tennessee, USA. This two-day didactic and simulation conference, a partnership of SCCM and Vanderbilt University Medical Center, will review implementation strategies and discuss approaches to enable a more effective and lasting application of the pain, agitation and delirium (PAD) guidelines by utilizing the multiprofessional team.

Learning Objectives

  • Discuss the state of science in regards to the PAD guidelines and ABCDEF bundle
  • Dispel the myths and misconceptions of breathing and sedation trials
  • Describe strategies for the management of pain, agitation, delirium, and immobility in the ICU
  • Apply the available tools and simulate multiple patient scenarios
  • Design a culture change model for PAD monitoring and management using PDSA cycles
  • Develop and implement discipline-specific interventions in the ICU

Make your hotel reservation by August 11, 2015, to receive SCCM’s discounted rate at the Loews Vanderbilt Hotel Nashville. Reservations made after this date may not receive SCCM’s discounted rate. For more details on hotel and travel, visit www.sccm.org/ICULiberation.

Webcast: Family Engagement – AACN Clinical Scene Investigator Academy Project
August 26, 2015
1:00 p.m. – 2:00 p.m. Central Time
Registration is complimentary
Register online today

August 6 eNews AACN CIS Academy PictureThe American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy team at Massachusetts General Hospital (MGH) is composed of four nurses from the cardiac intensive care unit (CICU). This team administered an educational program on the ABCDEF bundle to an audience of intensive care unit nurses at MGH. The final bundle element, family engagement and empowerment, was added to represent the value of family involvement in the overall patient plan.

In this webcast, Maurene A. Harvey, RN, MPH, MCCM, critical care educator and consultant, Erica Edwards, RN, MSN, CCRN-CMC, CHFN, CICU attending nurse and AACN CSI Academy team member at MGH, and Alicia Sheehan, RN, BSN, CICU staff nurse and AACN CSI Academy team member at MGH, will provide the evidence for this addition, as well as illustrate how family engagement is implemented in the CICU.

Learning Objectives

  • Identify factors described in the literature about the importance of family engagement
  • Describe the background of family inclusion in the CICU
  • Discuss the implementation of family engagement and empowerment in the ABCDEF bundle

This webcast is held in collaboration with the AACN CSI Academy.

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

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Webcast to Review Ethics Relating to Recent Ebola Outbreak

The Society of Critical Care Medicine’s (SCCM) Controversies in Critical Care series has collaborated with the World Health Organization (WHO) to bring you the webcast, The Ethics of Outbreaks. Dr. Marie-Paule Kieny, Assistant Director-General for the WHO, and Dr. Abha Saxena, Coordinator of Global Health Ethics for the WHO, will review ethical dilemmas that arose during the recent Ebola outbreak. Vaccine trials, cultural imperatives and the ethics of preparing for future outbreaks will be discussed.

Learning Objectives

  • Identify and describe the challenges faced in the implementation of clinical trials during an epidemic
  • Recognize the cultural imperatives during an outbreak
  • Discuss the challenges to forming a global plan for intervention in future outbreaks

This webcast will take place on Tuesday, July 7, 2015, at 9:00 a.m. Central Time.

Register online today using your Customer ID and password. 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 SCCM’s Controversies in Critical Care series in collaboration with the WHO. The series is supported by SCCM’s Ethics Committee and 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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On-Site Registration Available for Critical Care Ultrasound Courses

On-site registration will take place August 16, 2015, through August 18, 2015, for the Society of Critical Care Medicine’s (SCCM) popular Critical Care Ultrasound courses, which will be held at the Fairmont Chicago, Millennium Park, in Chicago, Illinois, USA. A staff member will be available to assist you at the SCCM registration desk in the International Ballroom Foyer beginning at 6:15 a.m. on August 16.

Critical Care Ultrasound and Critical Care Ultrasound – Pediatric will be held on August 16 and 17, 2015, and are intended for those looking to obtain the realistic training needed to perform and interpret ultrasound imaging. During these two-day courses, participants benefit from guided, focused skill stations featuring live models and interactive presentations to reinforce key learning points. Extensive faculty coverage ensures a significant hands-on experience for each participant.

Attend Advanced Critical Care Ultrasound or Advanced Critical Care Ultrasound – Pediatric on August 18, 2015, to expand upon your fundamental echocardiographic skills and knowledge and focus on the specialty-specific use of echocardiography in the management of the critically ill patient. Participants in these one-day courses are provided with important cardiovascular information for the noninvasive management of the hemodynamically unstable patient.

Please contact SCCM Customer Service at +1 847 827-6888 with any questions.

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Discounted Rates for Adult Board Review Course End Soon

Discounted registration rates for the Society of Critical Care Medicine’s (SCCM) upcoming Adult Multiprofessional Critical Care Board Review Course (MCCBRC) are only available through Wednesday, July 15, 2015. To take advantage of special pricing, register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

This 4.5-day event provides the most comprehensive review in the diagnosis, monitoring and management of critically ill patients. The course includes interactive board preparation sessions and features practice board questions, answers and rationales. World-class faculty focus on preparing fellows and attendings for their critical care certification and recertification. MCCBRC also provides an excellent update for any critical care professional seeking the most current review of the field.

The 2015 Adult MCCBRC will be held August 11 to 15, 2015, at the Fairmont Chicago, Millennium Park, in Chicago, Illinois, USA. Reserve your room online by Monday, July 13, 2015, to receive low rates on your hotel stay. Reservations made after this date may not receive SCCM’s discounted hotel rate. Additional hotel and travel details are available online.

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New Advanced Knowledge Assessment in Pediatric Critical Care Question Set

Assess your pediatric critical care knowledge with the new Advanced Knowledge Assessment in Pediatric Critical Care Question Set 3 from the Society of Critical Care Medicine (SCCM).

This self-study tool is designed for physicians wanting to review their critical care knowledge while receiving maintenance of certification (MOC) credit. A collection of 100 questions and rationales with accompanying study materials, Advanced Knowledge Assessment in Pediatric Critical Care Question Set 3 joins two earlier question sets and expands SCCM’s pediatric product offerings.

Participants will benefit from:

  • 100 multiple-choice questions, as well as evidence-based rationales
  • A list of content areas and references from missed questions for further study
  • 20 points toward MOC part 2 in pediatrics

In addition, physicians, nurses, and pharmacists are eligible to receive 6 hours of continuing education credit.

Advanced Knowledge Assessment in Pediatric Critical Care Question Set 3 is available for purchase in the SCCM Store for $150 for members ($195 for nonmembers). Question Sets 1 and 2 are also available for purchase.

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Reduced Registration Rates for Ultrasound Courses End Soon

Register by July 15, 2015, to take advantage of reduced rates for the Society of Critical Care Medicine’s (SCCM) Critical Care Ultrasound courses, which will be held at the Fairmont Chicago, Millennium Park, in Chicago, Illinois, USA. With four courses to choose from, you can obtain the training you need to help increase your ultrasound knowledge.

Held on August 16 and 17, 2015, Critical Care Ultrasound and Critical Care Ultrasound – Pediatric are comprehensive, two-day courses that will provide attendees with the realistic training needed to perform and interpret ultrasound imaging. Participants benefit from guided, focused skill stations featuring live models and interactive presentations to reinforce key learning points. Extensive faculty coverage ensures a significant hands-on experience for each participant.

The advanced courses will be held on August 18, 2015. Advanced Critical Care Ultrasound and Advanced Critical Care Ultrasound – Pediatric will expand upon your fundamental echocardiographic skills and knowledge. These courses focus on the specialty-specific use of echocardiography in the management of the critically ill patient and provide participants with important cardiovascular information for the noninvasive management of the hemodynamically unstable patient.

Space for these courses is limited.  Visit the ultrasound courses Web page and register today using your Customer ID and password to guarantee your seat, or contact SCCM Customer Service at +1 847 827-6888. To receive SCCM’s discounted hotel rate, make your reservation by July 13, 2015.

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On-Site Registration Available for 2015 Adult Board Review Course

Join your colleagues August 11 to 15, 2015, in Chicago, Illinois, USA, for the Society of Critical Care Medicine’s (SCCM) Adult Multiprofessional Critical Care Board Review Course (MCCBRC).

MCCBRC is the premier source for any critical care professional seeking the most comprehensive review in the diagnosis, monitoring and management of critically ill patients. Led by internationally recognized faculty, Adult MCCBRC offers 4.5 days of 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.

Registration will be accepted on-site at the Fairmont Chicago, Millennium Park. An SCCM staff member will be available to assist you at the registration desk located in the Imperial Ballroom Foyer during the following hours:

Monday, August 10 – 4:00 p.m. – 7:00 p.m.
Tuesday, August 11 – 6:45 a.m. – 6:00 p.m.
Wednesday, August 12 – 6:30 a.m. – 6:00 p.m.
Thursday, August 13 – 6:30 a.m. – 6:00 p.m.
Friday, August 14 – 6:30 a.m. – 6:00 p.m.
Saturday, August 15 – 6:30 a.m. – 11:45 a.m.

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Register for Upcoming ICU Liberation Events

The Society of Critical Care Medicine’s (SCCM) ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. Take advantage of two upcoming learning opportunities that will provide strategies to help reduce the risk of long-term consequences from an intensive care unit (ICU) stay.

Live Event: ICU Liberation and Animation: Implementing the Pain, Agitation and Delirium Guidelines
September 9-10, 2015
Register online today

Early bird rates for ICU Liberation and Animation end July 15, 2015. SCCM has partnered with Vanderbilt University Medical Center for this live, hands-on event, which will be held at Vanderbilt University Medical Center in Nashville, Tennessee, USA. Secure your seat for this two-day didactic and simulation conference, which will review implementation strategies and discuss approaches to enable a more effective and lasting application of the pain, agitation and delirium (PAD) guidelines by utilizing the multiprofessional team.

Learning Objectives

  • Discuss the state of science in regards to the PAD guidelines and ABCDEF bundle
  • Dispel the myths and misconceptions of breathing and sedation trials
  • Describe strategies for the management of pain, agitation, delirium, and immobility in the ICU
  • Apply the available tools and simulate multiple patient scenarios
  • Design a culture change model for PAD monitoring and management using PDSA cycles
  • Develop and implement discipline-specific interventions in the ICU

Webcast: An Integrated Approach to ICU Delirium Assessment, Prevention and Management
July 28, 2015
1:00 p.m. – 2:00 p.m. Central Time
Register online today

In this webcast, Michele Balas, PhD, RN, APRN-NP, CCRN, FCCM, associate professor, Center of Excellence in Critical and Complex Care at The Ohio State University College of Nursing, and John Devlin, PharmD, FCCM, FCCP, professor of pharmacy at Northeastern University, scientific staff and critical care pharmacist, Division of Pulmonary, Critical Care and Sleep Medicine at Tufts Medical Center, will discuss the importance of routine delirium screening in the critically ill and integrated strategies to boost the use of a validated instrument, such as the Confusion Assessment Method for the ICU (CAM-ICU) or the Intensive Care Delirium Screening Checklist (ICDSC).

Learning Objectives

  • Recognize the importance of routine delirium screening in the ICU using the CAM-ICU or the ICDSC
  • Identify modifiable risk factors for delirium in the critically ill
  • Apply non-pharmacologic strategies to reduce the burden of delirium in the critically ill
  • Understand the limited role that medication-focused interventions have in treating delirium in the ICU

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

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New Electronic Comprehensive Board Prep Bundle: Adult

The Society of Critical Care Medicine (SCCM) offers a variety of adult board preparation and review solutions that can be customized to meet your goals, schedule and learning style. Benefit from high-quality educational programming and flexible, effective self-study options.

Enhance your learning experience by purchasing the new electronic version of the Comprehensive Board Prep Bundle: Adult, which includes Self-Directed MCCBRC: Adult, the Comprehensive Critical Care: Adult ebook, and both electronic versions of the self-assessment (ebook and interactive).

The electronic Comprehensive Board Prep Bundle: Adult is available for purchase in the SCCM store for $925 for members ($1,225 for nonmembers).

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SCCM Releases New Statements Regarding Care in the ICU

New statements developed in whole or in part by the Society of Critical Care Medicine address such varied topics as the structure and process of care in the intensive care unit (ICU), management of the potential organ donor in the ICU, and responding to requests for potentially inappropriate treatments in the ICU.

Critical Care Delivery: The Importance of Process of Care and ICU Structure to Improved Outcomes

Management of the Potential Organ Donor in the ICU

Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units

You are encouraged to listen to a recent iCritical Care podcast for a discussion of the consensus statement on ICU management of the potential organ donor.

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Grant Funding Available for Research Projects

The Society of Critical Care Medicine (SCCM) offers several grant opportunities for critical care professionals seeking funding for activities to improve care. SCCM member researchers may apply for funding through the following grants:

THRIVE Research Grant to Accelerate Recovery
Application Deadline: September 8, 2015

Through generous funding from SCCM, the THRIVE Grant offers $50,000 to support SCCM members conducting research aimed at improving patient and family support after critical illness. Investigator-initiated research should help advance and improve our understanding of survivorship from critical illness, as well as support and improve the experience of survivors and their families. For further information, visit www.sccm.org/THRIVEGrant.

Vision Grants
Application Deadline: August 18, 2015

Through generous funding from SCCM and the SCCM-Weil Research Trust, two Vision Grants of $50,000 each are now being offered to support member researchers. Basic, translational and clinical research submissions are encouraged. For further information, please visit www.sccm.org/VisionGrant, and learn about the research of last year’s recipient.

To begin the application process for these grants, log into www.My.SCCM.org. Click on the “Submit an Application for Vision Grant or THRIVE Grant” link located in the right column. You must be an SCCM member to apply for the THRIVE and Vision Grants.

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Reminder: Participate in International Survey on CLABSI

You are invited to participate in an international survey on the prevention of central line-associated bloodstream infections (CLABSI) in intensive care units.

This survey was created by a team from the Healthcare Associated Infections Unit, Scientific Institute of Public Health, Belgium, in collaboration with the European Programme for Intervention Epidemiology Training, part of the European Centre for Disease Prevention and Control. The Society of Critical Care Medicine joins the European Society of Intensive Care Medicine, the International Symposium on Intensive Care and Emergency Medicine, and the World Federation of Societies of Intensive and Critical Care Medicine in distributing this survey.

This survey seeks to document knowledge, attitudes and practices regarding CLABSI prevention in intensive care units worldwide. The team conducting this survey recently carried out a similar survey on prevention of ventilator-associated pneumonia, which gathered replies from 61 countries.

The survey is aimed at medical doctors and nurses working in intensive care units worldwide. It is provided in 10 languages for ease of use by respondents. The survey is short and can be completed in 10 minutes.

English
Spanish
Mandarin
Japanese
Portuguese
German
Russian
Italian
French
Dutch

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Results from IMPreSS Study Released

Results from the International Multicentre Prevalence Study on Sepsis (IMPreSS) were recently released.

IMPreSS was a global observational study undertaken by the European Society of Intensive Care Medicine (ESICM) and the Society of Critical Care Medicine (SCCM) as part of their joint collaboration, the Surviving Sepsis Campaign (SSC). The study looked at 1,794 patients from 62 countries who had either severe sepsis or septic shock. Compliance with the SSC bundles was tracked, as were outcomes. Compliance with all of the evidence-based bundle metrics was not high. However, successful completion of all elements was associated with a greater likelihood of survival after adjustment for confounders at both three and six hours.

The SSC is a joint collaboration of SCCM and ESICM committed to reducing mortality from severe sepsis and septic shock worldwide.

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