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June 2, 2016

Concise Critical Appraisal

Predicting Fluid Responsiveness by Passive Leg Raising

Education

Download the SCCM App Today
Board Review Discounted Registration Ends June 15
Reduced Registration Rates for Ultrasound Courses End Soon
Register for ECMO Management Course
Application Deadline for PCOR-ICU Collaborative is June 15

SCCM News

Application Deadline Tomorrow for THRIVE Support Group Network Funding
Join Us for a Journal Club Twitter Chat on Sepsis Definitions
AACN Publication Features Trailblazing THRIVE Initiative
Now Accepting Applications for Research Grants
Predicting Fluid Responsiveness by Passive Leg Raising

Passive leg raising creates a reversible increase in venous return, allowing for the prediction of fluid responsiveness. However, the amount of venous return may vary in various clinical settings, potentially affecting the diagnostic performance of passive leg raising. Therefore, Cherpanath et al performed a systematic meta-analysis determining the diagnostic performance of passive leg raising in different clinical settings with exploration of patient characteristics, measurement techniques and outcome variables.

They found that passive leg raising retains a high diagnostic performance in various clinical settings and patient groups. They also found that the predictive value of a change in pulse pressure on passive leg raising is inferior to a passive leg raising-induced change in a flow variable.

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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Download the SCCM App Today

The Society of Critical Care Medicine (SCCM) has launched the new SCCM App, which allows users to view all of the Society’s resources in one central location!

  • Access the Surviving Sepsis Campaign App
  • Stream all iCritical Care episodes
  • Search the SCCM Member Directory
  • View and download SCCM Guidelines
  • Access News and Career Central Updates
  • Much more!

Apps designed specifically for the iPhone, iPad and Android are available now! Search “SCCM” in Google Play or the iTunes store or download the app at www.sccm.org/SCCMApp.

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Board Review Discounted Registration Ends June 15

Discounted registration ends Wednesday, June 15, 2016, for the Society of Critical Care Medicine’s (SCCM) Adult and Pediatric Multiprofessional Critical Care Board Review courses (MCCBRC). Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Receive 4.5 days of expert guidance on the core areas of critical care medicine led by expert faculty. Whether you need to certify, recertify, or simply review, these courses provide an excellent update and thorough overview of the field.

Both the Adult and Pediatric board review courses include interactive board preparation sessions using audience response technology and feature practice questions, answers and rationales. Participants benefit by fulfilling continuing medical education requirements and gaining accurate assessments of their knowledge in critical care.

As a registered participant, you will benefit from:

  • Online access to practice questions
  • Comprehensive course syllabus
  • Networking opportunities with colleagues and world-renowned experts
  • Post-course online access to MCCBRC On Demand, which features videos containing the slide presentations and synchronized speaker audio from all sessions of the live course

The 2016 board review courses will be held in a new location: the Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA. Rosemont offers the convenience and amenities of downtown Chicago but at a lower price, and it’s just minutes from O’Hare International Airport. Complimentary shuttle transportation is available to and from O’Hare International Airport and other nearby destinations. The courses will be held July 19 to 23, 2016. Check out the adult or pediatric course online for details, including the agenda, faculty and hotel and travel information.

Can’t make it to the live event? SCCM offers a comprehensive line of board prep and review products that can be customized to your goals, schedule and learning style. For more information, visit www.sccm.org/adultboardreview or www.sccm.org/pediatricboardreview.

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Reduced Registration Rates for Ultrasound Courses End Soon

Reduced registration rates end June 15, 2016, for the Society of Critical Care Medicine’s (SCCM) Critical Care Ultrasound courses. Reserve your seat for Critical Care Ultrasound, Critical Care Ultrasound – Pediatric, Advanced Critical Care Ultrasound and Advanced Critical Care Ultrasound – Pediatric by using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. Space for these courses is limited. To receive SCCM’s discounted hotel rate, make your reservation by June 17, 2016.

Registration for these courses includes a complimentary copy of SCCM’s Comprehensive Critical Care Ultrasound eBook. The text covers the entire body and encompasses various views and diagnoses that clinicians will encounter at the bedside in both adult and pediatric populations. Full-color images and online video are also included.

With four courses to choose from, you can obtain the training you need to increase your ultrasound knowledge.

Held on July 16 and 17, 2016, 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 follow on July 18, 2016. 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.

This year’s ultrasound courses will be held at a new location: the Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA. Complimentary shuttle transportation is available to and from O’Hare International Airport and other nearby destinations.

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Register for ECMO Management Course

Attend the Society of Critical Care Medicine’s (SCCM) intense two-day ECMO Management course and explore the basic management principles common to extracorporeal membrane oxygenation (ECMO) programs for both adult and pediatric patients.

Led by expert faculty, this course will provide a comprehensive overview of ECMO programs. Participants will rotate through lectures and simulation scenarios. Each simulation group will have a maximum ratio of six participants to one facilitator. Topics include: basic physiology of ECMO, equipment and patient selection, and economic and ethical considerations.

This course will be held September 29 and 30, 2016, at the University of Arizona Center for Simulation and Innovation in Phoenix, Arizona, USA.

Register online today with your Customer ID and password. Please contact SCCM Customer Service at +1 847 827-6888 with any questions.

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Application Deadline Tomorrow for THRIVE Support Group Network Funding

In support of the THRIVE initiative, the Society of Critical Care Medicine (SCCM) is proud to fund the second round of seed grants to foster an international network of in-person support groups linking survivors of critical illness and their families. These groups will offer survivors mutual support and the opportunity to share solutions to the challenges of recovery after an intensive care unit (ICU) stay.

Via a brief, expedited application process, SCCM will select five new sites to join the collaborative. Participation is open to institutions that already have a support group in place, as well as those that wish to establish a new support system for patients. Participants will join together in regular calls to share knowledge about nurturing such groups and helping them grow. The goal of these grants is not to fund ICU follow-up clinics but rather to develop peer-support models with strong survivor co-leadership as the foundation for growing an international network.

Applications are due June 17, 2016.

If you have any questions, please contact SCCM staff partner Adair Andrews at aandrews@sccm.org.

Also, learn more about post-intensive care syndrome and the efficacy of peer support groups by reading an informative peer-reviewed article that recently appeared in Advanced Critical Care.

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Application Deadline for PCOR-ICU Collaborative is June 15

The deadline to submit an application for the Society of Critical Care Medicine’s (SCCM) Patient-Centered Outcomes Research – Intensive Care Unit (PCOR-ICU) Collaborative: Improving Care for Critically Ill Patients and Families Through Research Dissemination and Implementation is June 15, 2016.

The PCOR-ICU Collaborative will bring together ICU teams to implement patient- and family-centered initiatives, and is led by SCCM Executive Committee Members Ruth M. Kleinpell, PhD, RN-CS, FAAN, FCCM, and Jerry J. Zimmerman, MD, PhD, FCCM. SCCM is seeking 50 ICU teams based in the United States to participate in the new collaborative. Adult and pediatric ICUs will be considered.

Potential projects include:

  • Integrating patient and family participation in rounds (patient- and family-centered rounds)
  • Integrating structured patient and family care conferences to mutually establish the goals of care
  • Disseminating information and providing support to families about ways to assist with the care of their loved one
  • Implementing open visitation (nonrestricted ICU hours)
  • Enabling family presence during invasive procedures in the ICU
  • Enabling family presence during resuscitation in the ICU
  • Facilitating the use of patient and family ICU diaries
  • Investigating and planning for implementation of a post-ICU clinic
  • Implementing integrative therapies, such as music or pets, in the ICU setting
  • Forming or enhancing an effective patient and family advisory group
  • Other project of the team’s choice relevant to patient- and family-centered care

For additional information, visit www.sccm.org/PCOR or contact Kathy Vermoch at kvermoch@sccm.org.

This program is funded through a Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington Engagement Award (2626-SCCM). PCORI is an independent, nonprofit organization authorized by the U.S. Congress in 2010. Its mission is to fund research that will provide patients, their caregivers, and clinicians with the evidence-based information needed to make better-informed healthcare decisions. PCORI is committed to continually seeking input from a broad range of stakeholders to guide its work.

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Join Us for a Journal Club Twitter Chat on Sepsis Definitions

Join us on Wednesday, June 22, 2016, from 10:00 a.m. to 11:00 a.m. Central Time for the SCCM Social Media Task Force’s Journal Club Twitter chat on the new sepsis definitions. Special guest SCCM President Todd Dorman, MD, FCCM, will be on hand as SCCM Social Media Task Force member Mary E. Lough, CCRN, CNS, PhD, RN, moderates.

Clifford S. Deutschman, MS, MD, FCCM, a lead author on the article, The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), and Manu Shankar-Hari, MD, MSc, also an author on Sepsis-3, will discuss and take questions via Twitter about the article.

Since its release in February by the Journal of the American Medical Association, the sepsis definitions article has been viewed more than 1 million times, making it one of the top 5% research outputs ever tracked by Altmetric.

Dr. Shankar-Hari is also the lead author of Developing a New Definition and Assessing New Clinical Criteria for Septic Shock, which offers insight into the processes of the Sepsis Definitions Task Force.
These thought leaders will offer highlights for understanding Sepsis-3 and related clinical assessment, take questions via Twitter related to the material and offer additional resources. We expect robust discussion about the impact of Sepsis-3, items of clarification and thoughtful questions from the audience.

Come prepared with relevant questions and make sure to use #SCCMJC and #SepsisRedefined in your tweets.

What is a Twitter chat?
A Twitter chat is a live event on Twitter, moderated and focused around a general topic. To filter all the chatter on Twitter into a single conversation, a hashtag is used. A set time is also established.

Find your chat leaders.

– Follow these sepsis thought leaders on Twitter: @CDMD62 (Dr. Deutschman) and @msh_manu (Dr. Shankar-Hari)

– Follow these key contributors on Twitter: @SCCMPresident (Dr. Dorman) and @maryloughPhD_RN (Dr. Lough)

– Follow these organizations that will offer key content: @SCCM (Society of Critical Care Medicine) and @ESICM (European Society of Intensive Care Medicine)

How do you participate?
To participate, all you need to do is tweet during the designated time using the conversation hashtags #SCCMJC and #SepsisRedefined. It’s easiest to follow and participate at www.twubs.com/SCCMJC.

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AACN Publication Features Trailblazing THRIVE Initiative

The latest issue of AACN Advanced Critical Care centers on post-intensive care syndrome (PICS), with specific mention of the Society of Critical Care Medicine’s (SCCM) trailblazing efforts to address this phenomenon via its THRIVE initiative and MyICUCare website.

Published by the American Association of Critical-Care Nurses (AACN), the issue features an article, written by leaders of the THRIVE initiative, entitled Peer Support as a Novel Strategy to Mitigate Post–Intensive Care Syndrome.
Clinicians are encouraged to point their patients to SCCM’s PICS-related resources, including the MyICUCare website, the August/September 2015 issue of Critical Connections, which centered on PICS, and a SCCM video series featuring intensive care unit survivors sharing their stories.

As a reminder, SCCM offers several grant and award opportunities related to the THRIVE initiative:

THRIVE Peer Support Collaborative – This collaborative offers grants aimed at fostering an international network of in-person support groups linking survivors of critical illness and their families.

THRIVE Innovation Award – This award recognizes an individual, team or center for innovation in survivor partnership that addresses the needs of survivors of critical illness, including the family, to optimize recovery through novel paradigms of care delivery, improved coordination of care, and/or the design and implementation of virtual or in-person support groups.

THRIVE Research Grant to Accelerate Recovery – This grant offers up to $50,000 in funding to SCCM members conducting research aimed at improving patient and family support after critical illness.

AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium.

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Now Accepting Applications for Research Grants

The Society is now accepting applications for the THRIVE Research Grant to Accelerate Recovery and the SCCM-Weil Research Grant. SCCM member researchers may apply by August 12, 2016, to be considered for grant support in 2017.

THRIVE Research Grant to Accelerate Recovery
Through generous funding from SCCM, the THRIVE Grant offers up to $50,000 to support 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 experiences of survivors and their families.

For information on eligible areas of investigation on this grant and other THRIVE initiatives, visit www.sccm.org/THRIVE.

SCCM-Weil Research Grant
Through generous funding from the SCCM-Weil Research Trust, SCCM is offering two grants of $50,000 each to support member researchers. Investigator-initiated research should help advance and improve our understanding of critical illness and patient care. Basic, translational and clinical research submissions are encouraged.

For information on eligible areas of investigation for this grant, visit www.sccm.org/WeilResearchGrants. Also, learn about the recipients of last year’s grants.

To begin the application process for these grants, log in to www.MySCCM.org. Click on “Submit an application for SCCM-Weil Research Grant or THRIVE Grant” located in the right column. Note that you must be a current SCCM member to apply for the SCCM-Weil Research Grant or the THRIVE Grant, and you may not apply for both grants in the same year.

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