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May 21, 2015

Concise Critical Appraisal

GCR Expression in Critically Ill Children with Cardiovascular Dysfunction

Education

Register for Upcoming ICU Liberation Events
Register Now for Sepsis Without Walls Conference
Virtual Critical Care Rounds: Adult Now Available
Gain Realistic, Hands-On Ultrasound Training

SCCM News

Apply Now for THRIVE Support Group Network Funding
Submit Your Abstract for SCCM’s 45th Critical Care Congress
Volunteers Sought for Nepal Relief Efforts
Listen to the Latest iCritical Care Podcasts
GCR Expression in Critically Ill Children with Cardiovascular Dysfunction

Various efforts have been made to better understand the interplay of glucocorticoid receptor (GCR) expression and critical illness, but many unknowns remain. Shibata et al hypothesized that a subset of critically ill children with cardiovascular (CV) collapse would demonstrate decreased expression of GCR and would have more severe illness (based on Pediatric Risk of Mortality [PRISM] III measurements) and more organ failure than critically ill children with no CV collapse.

In a comparison of these two groups, the investigators discovered a statistically significant decrease in GCR expression in CD4+ and CD8+ cells in critically ill children with CV failure. They also discovered that this diminished expression could be found in patients with higher PRISM III scores and those with greater organ failure burden. Ultimately, this study’s findings suggest that the lack of GCR expression in critically ill patients could serve as a risk factor for worsening severity of illness and CV failure.

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.

Webcast: Successfully Overcoming Assessment and Treatment Challenges for ICU Pain
May 28, 2015
1:00 p.m. – 2:00 p.m. Central Time
Register online today

In this webcast, Céline Gélinas, PhD, RN, associate professor of nursing at McGill University, Aaron M. Joffe, DO, associate professor, Department of Anesthesiology & Pain Medicine at Harborview Medical Center, and Kathleen Puntillo, RN, PhD, FAAN, FCCM, professor emerita of nursing at University of California, San Francisco, will provide an overview of the landscape of pain assessment and management in ICU patients within the context of the ABCDEF bundle and offer suggestions for interventions. The presentation will conclude with a question-and-answer segment.  Registration for this webcast is complimentary.

Learning Objectives

  • Describe the importance of pain assessment and analgesic management within the framework of the ABCDEF bundle
  • Discuss the assessment of pain in non-communicative patients through use of the Critical-Care Pain Observation Tool (CPOT)
  • Evaluate pharmacological options for treating pain in critically ill patients
  • Provide answers to frequently asked questions about pain assessment and management challenges that occur in critical care practice

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

Secure your seat for this two-day didactic and simulation conference, held in partnership with Vanderbilt University Medical Center. Participants 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.

During this conference, which will be held at Vanderbilt University Medical Center in Nashville, Tennessee, USA, internationally recognized faculty will present lectures on patient management strategies and engage participants in clinical scenarios through small-group simulation labs. Hospitals are encouraged to send a team of two or more participants who will then be able to implement these strategies within their hospital’s ICU after the conference.

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

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Register Now for Sepsis Without Walls Conference

The Society of Critical Care Medicine (SCCM) and The Johns Hopkins University School of Medicine have partnered to bring you Sepsis Without Walls: Ensuring All Patients Receive Optimal, Time-Sensitive Care, which will be held September 25, 2015, at The Johns Hopkins University School of Medicine in Baltimore, Maryland, USA. The focus of this one-day interactive conference will be on strategies to identify, diagnose and manage patients who present with signs and symptoms of sepsis, irrespective of their care unit.

Early detection of sepsis, with the timely administration of appropriate antibiotics, appears to be the single most important factor in reducing morbidity and mortality from sepsis. Thus, healthcare providers need a high index of suspicion for the presence of sepsis and must begin appropriate antimicrobials quickly. Join the multiprofessional panel of leading experts who will focus on problem solving through case studies in developing effective strategies in specific patient populations.

Space for this course is limited. Register online or contact SCCM Customer Service at +1 847 827-6888 to reserve your spot.

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Virtual Critical Care Rounds: Adult Now Available

Virtual Critical Care Rounds (VCCR), developed by the Society of Critical Care Medicine (SCCM), is designed to better prepare students, residents and fellows to contribute to the diagnosis and management of the critically ill patient during their intensive care unit (ICU) rounds.

VCCR: Adult, the enhanced replacement for the Adult Resident ICU (RICU) program, features:

  • Professionally narrated modules with clear learning objectives, engaging case studies, interactive questions, and a list of additional resources for further exploration
  • An expanded topic selection with lectures developed by leading experts on each subject
  • SCCM’s new, more efficient learning management platform, which allows program directors to view and monitor participants’ progress throughout the courses

The VCCR: Adult program contains two courses. VCCR I focuses on student level learning and features 18 modules covering topics such as antibiotics in the ICU, basic mechanical ventilation and organ donation. VCCR II, aimed at the resident and fellow levels, contains 15 modules exploring such topics as neurologic emergencies, sepsis and septic shock, and hemorrhagic shock. The VCCR courses are available as program director-led or self-directed products.

Visit www.sccm.org/VCCR to make a purchase or for more details.

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Gain Realistic, Hands-On Ultrasound Training

The Society of Critical Care Medicine (SCCM) now offers four Critical Care Ultrasound courses to help you build and enhance your ultrasound knowledge. The Critical Care Ultrasound courses will be held August 16 to 18, 2015, at the Fairmont Chicago, Millennium Park, in Chicago, Illinois, USA.

Obtain the realistic training needed to perform and interpret ultrasound imaging at Critical Care Ultrasound and Critical Care Ultrasound – Pediatric. 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 skills and knowledge and focus on the specialty-specific use of echocardiography in the management of the critically ill patient. In both of these one-day courses, participants are provided with important cardiovascular information for the noninvasive management of the hemodynamically unstable patient.

These courses are expected to sell out early. Visit the ultrasound courses webpage and register today to guarantee your seat or contact SCCM Customer Service at +1 847 827-6888.

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Apply Now for THRIVE Support Group Network Funding

In support of the THRIVE initiative, the Society of Critical Care Medicine (SCCM) is proud to fund the first 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 up to five sites to inaugurate the initial networks. 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. SCCM expects to add additional groups in each of the next two years.

Applications are due June 15, 2015.

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

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Submit Your Abstract for SCCM’s 45th Critical Care Congress

Abstract submission for the Society of Critical Care Medicine’s (SCCM) 45th Critical Care Congress is now open. Contribute to the advancement of critical care by submitting your original investigative research and case reports for presentation at the 2016 Congress, to be held in Orlando, Florida, USA. If accepted, your work will be on display in the Poster Hall from February 21 through February 23, 2016, and be published in Critical Care Medicine, the number one critical care subspecialty journal. You also will benefit from:

  • Star Research Presentation Opportunity: Authors of the top 64 abstracts are invited to give oral presentations during the regular Congress program without competition from other continuing education/continuing medical education sessions.
  • Research-in-Focus Theaters: Authors are invited to provide short presentations of their work moderated by a professor in the Exhibit Hall.
  • Awards: Multiple awards are offered for excellence and special accomplishments in critical care research, education and/or practice.

Complimentary registration is also available to one author per accepted abstract. To be eligible, the individual must be listed as the primary author on the original abstract form and be a member of SCCM in a category other than full physician as of August 3, 2015.

Abstracts may be submitted until 12:00 p.m. Central Daylight Savings Time on August 3, 2015. Visit www.sccm.org/abstracts for complete details on submission instructions, formatting guidelines and available awards.

The 2016 Critical Care Congress will be held February 20 to 24, 2016, in Orlando, Florida, USA. This five-day event will bring together more than 6,000 critical care clinicians from around the world, offering opportunities to share creative and stimulating ideas, make valuable connections and obtain inspired perspectives. Registration opens June 2015.

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Volunteers Sought for Nepal Relief Efforts

Pediatric Universal Life-Saving Effort, a nonprofit organization, is seeking individuals for volunteer efforts in Nepal. If you’re interested, fill out and submit the applicable form. The organization is also raising funds for the Nepal relief efforts. Society members are encouraged to donate.

As a reminder, the Society maintains a website with various emergency response resources at www.sccm.org/disaster. The SCCM Disaster eCommunity site also has a thread specific to the situation in Nepal. This is a great forum for sharing pertinent resources and information.

If you have not already, you are encouraged to listen to the recent iCritical Care podcast centering on post-disaster efforts in Nepal. Donation opportunities are also discussed.

SCCM Pod-272 Tragedy in Nepal: Post-Disaster Efforts, Ways to Help

In this podcast, Margaret Parker, MD, MCCM, speaks with Laura Hawryluck, MD, FRCPC, about Nepal’s critical care infrastructure and how it has been affected by the earthquake. They also discuss the post-disaster efforts and ways the critical care community can help. As noted in the podcast, those interested in contributing to the Nepal Critical Care Development Foundation can find more information at http://www.indiegogo.com/projects/nepal-icu-care-box. The Society has contributed to the relief efforts in this manner and encourages its members to do likewise as they are inclined and able. For additional information, contact Dr. Hawryluck at laura.hawryluck@gmail.com. Dr. Hawryluck works as a critical care physician at the University Health Network in Toronto, Ontario, Canada.

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Listen to the Latest iCritical Care Podcasts

If you haven’t checked out our iCritical Care podcasts, listen to the latest releases and subscribe! Loyal listeners and newcomers, be sure to rate us on iTunes. Learn more at www.sccm.org/iCriticalCare.

Two of the latest releases feature experts discussing acute kidney injury (AKI). One podcast centers on the risks associated with AKI, the other on renal repair after AKI.

SCCM Pod-269 National Surgical Quality Improvement Program Underestimates Risk Associated With Mild and Moderate Postoperative AKI

SCCM Pod-275 44th Critical Care Congress: Is Repair After AKI Linked to Long-Term Outcomes?

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Ensuring the Safe Use of Parenteral Nutrition

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