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May 5, 2016

Concise Critical Appraisal

Rate Control vs. Rhythm Control for Atrial Fibrillation after Cardiac Surgery

Education

Early Bird Rates for Ultrasound Courses End May 18
Early Registration Deadline Approaching for Adult and Pediatric MCCBRC

SCCM News

Wear Blue Tomorrow to Support Critical Care
Attend a PCOR-ICU Collaborative Live Informational Session
Survey: Determining Pediatric Palliative Care Practices in the United States
ODRC and AOPO Announce RFP for Organ Donation Research
Remembering Dr. Joseph Michael Civetta
Rate Control vs. Rhythm Control for Atrial Fibrillation after Cardiac Surgery

Atrial fibrillation continues to plague intensivists managing post-cardiac surgery patients. Large clinical trials in non-surgical populations have demonstrated that rhythm control offers no benefits over a simpler rate control strategy. However, it is unclear if these findings can be extrapolated to the post-cardiac surgical population. As such, Gillinov et al conducted a randomized controlled trial hoping to answer this very question.

They found that strategies for rate control and rhythm control to treat post-operative atrial fibrillation were associated with equal numbers of days of hospitalization, similar complication rates and similarly low rates of persistent atrial fibrillation 60 days after onset.

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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Early Bird Rates for Ultrasound Courses End May 18

Take advantage of early registration rates and reserve your spot by May 18, 2016, for the Society of Critical Care Medicine’s (SCCM) Critical Care Ultrasound courses. This summer, the popular courses will be held in a new location: 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.

Focused ultrasound examinations in the critical care setting have become an extension of clinical assessment because of their rapid, precise detection capabilities. Assist in the immediate management of patients by learning or enhancing point-of-care ultrasound skills with these valuable courses.

Critical Care Ultrasound and Critical Care Ultrasound – Pediatric provide the realistic training needed to perform and interpret ultrasound imaging. During each course, participants benefit from guided, focused skill stations and interactive presentations to reinforce key learning points. Extensive faculty coverage ensures a significant hands-on experience for each participant during these comprehensive two-day courses on July 16 and 17, 2016.

Advanced Critical Care Ultrasound and Advanced Critical Care Ultrasound – Pediatric will expand your fundamental echocardiographic skills and knowledge. The advanced courses will focus on the specialty-specific use of echocardiography in the management of the critically ill patient, and participants will explore the noninvasive management of the hemodynamically unstable patient. These one-day courses will be held on July 18, 2016.

The ultrasound courses traditionally sell out early. Receive reduced rates when you register by May 18, 2016, for Critical Care Ultrasound, Critical Care Ultrasound – Pediatric, Advanced Critical Care Ultrasound and Advanced Critical Care Ultrasound – Pediatric using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

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Early Registration Deadline Approaching for Adult and Pediatric MCCBRC

The early registration deadline for the Society of Critical Care Medicine’s (SCCM) Adult and Pediatric Multiprofessional Critical Care Board Review Courses (MCCBRC) is Wednesday, May 18, 2016. To receive the lowest rates, register online today using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

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

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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Wear Blue Tomorrow to Support Critical Care

You are encouraged to wear blue tomorrow in celebration of National Critical Care Awareness and Recognition Month (NCCARM)!

Also, remember to share your photos on Twitter using #NCCARM, or post them to the Society’s Facebook page. We’d especially love to see any photos of you and your ICU team reuniting with former patients and their families! You can also send your pictures to criticalconnections@sccm.org.

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Attend a PCOR-ICU Collaborative Live Informational Session

The Society of Critical Care Medicine (SCCM) is launching a new collaborative aimed at helping hospitals implement patient and family engagement programs.

The Society is seeking 50 intensive care unit (ICU) teams based in the United States interested in participating in the PCOR-ICU Collaborative: Improving Care for Critically Ill Patients and Families Through Research Dissemination and Implementation. Adult and pediatric ICUs will be considered. The deadline to submit an application is June 15, 2016.

Want to learn more about this unique collaborative opportunity?

Attend a complimentary informational call with Collaborative leaders Ruth M. Kleinpell, PhD, RN-CS, FAAN, FCCM, and Jerry J. Zimmerman, MD, PhD, FCCM. They will take questions and provide information about the application process, Collaborative goals, and much more.

  • Monday, May 9, 2016, at 11:00 a.m. – 11:30 a.m., Central Time
  • Tuesday, May 10, 2016, at 3:15 p.m. – 3:45 p.m., Central Time

Access Information

  • Dial-in telephone number: +1 866 740-1260
  • Access code: 8277157
  • No registration required
  • Complimentary

Visit www.sccm.org/PCOR to learn more about the application process and the many potential initiatives within the Collaborative.

The Patient-Centered Outcomes Research Institute (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. This program is funded through a PCORI Eugene Washington Engagement Award (2626-SCCM).

Are you attending the 2016 American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition® May 16 to 19, 2016, in New Orleans, Louisiana, USA? If so, please visit the Society of Critical Care Medicine (SCCM) at Booth #3408 and enter to win a free Apple iPad®. Enduring materials offering continuing medical education credits from the Society’s 45th Critical Care Congress will be available.

Information about joining the new PCOR-ICU Collaborative will also be available. Dr. Kleinpell will be taking questions in the SCCM booth from 10:30 a.m. to 12:00 p.m. on Tuesday, May 17, 2016.

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Survey: Determining Pediatric Palliative Care Practices in the United States

Stony Brook Children’s Hospital is conducting a national research study of pediatric hematologists/oncologists and pediatric intensive care physicians. As you know, pediatric palliative care has become a “hot topic” recently and there is an increasing demand for hospitals to provide these services. In order to provide the best care and the best education for trainees, we need to truly understand what the current state of pediatric palliative care is.

The goals of the survey are:

  • To define current trends in pediatric palliative care education and clinical care
  • To understand the factors that inform these trends
  • To identify areas for improvement and growth locally and nationally

In order to meet these goals, your help is needed. Please consider taking a 10-minute online survey. After the data is analyzed, the results will be shared with those who participated in the research.

If you have any questions, you may email the study chairs, Rina Meyer, MD, and Laura Czulada, DO, at rina.meyer@stonybrookmedicine.edu or laura.czulada@stonybrookmedicine.edu, respectively.

Thank you for your time and attention.

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ODRC and AOPO Announce RFP for Organ Donation Research

The Organ Donation Research Consortium (ODRC) with additional support from the Association of Organ Procurement Organizations (AOPO) is pleased to offer up to $40,000 in funding to ODRC member(s) (or those willing to join and maintain ODRC membership through the life of the grant) conducting basic, translational or clinical research specifically related to the organization’s mission to advance the science of organ donation.

The ODRC seeks to sponsor research efforts that will ultimately improve the numbers and quality of organs available for transplantation in the United States. Applications are encouraged that focus on expanding our knowledge of donor management research, including, but not limited to, consent, organ donation physiology, clinical interventions to improve donor organs, and recipient outcomes. Single-center projects, for example, should specifically address the potential to generalize their findings to multisite settings.

Applications are due by 5:00 p.m. Pacific Standard Time on July 1, 2016. Additional information, including eligibility and submission requirements, are available on the ODRC website.

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Remembering Dr. Joseph Michael Civetta

Joseph Michael Civetta, MD, FCCM, passed away on March 30, 2016, in his home in the South Florida Keys at age 77.

Dr. Civetta was born in Mount Vernon, New York, USA, the only son of his parents Rose Mildred Pirone and Michael Joseph Civetta. He graduated magna cum laude in 1959 from the College of the Holy Cross in Worcester, Massachusetts, USA, and summa cum laude in 1963 from Boston University School of Medicine in Boston, Massachusetts, USA. He completed an internship and residency at Massachusetts General Hospital in Boston, followed by two years of military service as a major in the U.S. Air Force at Keesler Air Force Base in Biloxi, Mississippi. He returned to Massachusetts General from 1970 to 1972 as director of its surgical intensive care unit. While at Massachusetts General, he and Joseph C. Gabel, MD, described modern cardiovascular physiology.

Dr. Civetta then began a long and illustrious career at the University of Miami/Jackson Memorial Medical Center in Miami, Florida, USA, where he became a professor of surgery, anesthesiology, pathology and medicine. He served as director of the surgical intensive care unit from 1972 to 1997.

Dr. Civetta left Miami to become chairman of surgery at the University of Connecticut Health Center in Farmington, Connecticut, USA, and director of surgery at Hartford Hospital in Hartford, Connecticut, USA. He also assumed the role of director of the General Surgery Residency Program, and brought the University of Connecticut Residency Program to a new level. In 2002, he retired from these posts, but remained as vice-chairman of the Department of Surgery at the University of Connecticut Health Center until 2012.

Dr. Civetta’s critical care fellowship produced five presidents of the Eastern Association for the Surgery of Trauma and three presidents of the Society of Critical Care Medicine (SCCM), including its 2005–2006 president, Peter B. Angood, MD, MCCM.

“As a fellow, one was awed by (Dr. Civetta’s) commitments to patient care and insights to abnormal physiology. As a peer, one remained impressed with his energy and inquisitive nature to continually learn more,” recalled Dr. Angood. During his term as SCCM president, Dr. Angood was honored to award Dr. Civetta with the SCCM Lifetime Achievement Award.

Dr. Civetta served as president of SCCM from 1980 to 1981. His presidential address emphasized the importance of resource allocation and careful evaluation of the use of technology in the intensive care unit.

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