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November 19, 2015

Concise Critical Appraisal

Use of Budesonide/Surfactant to Prevent Bronchopulmonary Dysplasia

Education

Register for Webcasts on Patient Safety in the ICU
New Self-Directed Sepsis Performance Improvement Course Is Now Available
MCCKAP Early Registration Ends Wednesday
Register for February ECMO Management Course

SCCM News

CMS Issues Final Rule That Addresses Advance Care Planning
Use of Budesonide/Surfactant to Prevent Bronchopulmonary Dysplasia

Bronchopulmonary dysplasia (BPD) is one of the most common complications in premature infants and is characterized by lung injury that affects alveolar and pulmonary vascular development. Yeh et al sought to compare intra-tracheal administration of surfactant/budesonide with that of surfactant alone on the incidence of death or BPD in very-low-birth-weight infants with severe respiratory distress syndrome.

They found that in very-low-birth-weight infants with severe respiratory distress syndrome, intra-tracheal administration of surfactant/budesonide compared with surfactant alone significantly decreased the incidence of BPD without immediate adverse effect.

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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Register for Webcasts on Patient Safety in the ICU

The Society of Critical Care Medicine’s (SCCM) Project Dispatch is offering a unique webcast series titled “Patient Safety During Bedside Procedures in the ICU.” Register today to take advantage of two upcoming learning opportunities from this series, which is held in collaboration with the Surgery Section Patient Safety Committee. These webcasts were organized and will be moderated by Surgery Section Patient Safety Committee Co-Chair Roy Constantine, PhD, RPA-C, FCCM, Assistant Director of Mid-Level Practitioners at St. Francis Hospital – The Heart Center. Registration is complimentary for both webcasts.

Patient Monitoring and the Use of Checklists During Bedside Procedures in the ICU
1:00 p.m. – 2:00 p.m. Central Time
December 9, 2015
Register online

When it comes to patient safety and successful outcomes, the value of checklists is becoming more apparent in the face of a crisis. During this session, Teodoro Forcht Dagi, MD, DMedSc, MPH, FAANS, FACS, FCCM, FRCSEd, of Harvard Medical School and Queen’s University Belfast, will discuss optimization of patient monitoring and the use of checklists for crisis responses during bedside procedures in the intensive care unit (ICU). The implementation of tools and practice to reinforce this safety culture will also be emphasized.

Learning Objectives

  • Assess preparedness to respond to crises during bedside procedures
  • Implement crisis checklists in the ICU
  • Train and practice emergency response

Electronic Distraction in the ICU: An Impediment to Patient Safety
1:00 p.m. – 2:00 p.m. Central Time
December 16, 2015
Register online

In this session, Peter J. Papadakos, MD, FCCM, FAARC, Director of Critical Care Medicine and Professor of Anesthesiology, Surgery, Neurology and Neurosurgery at the University of Rochester School of Medicine, will focus on limiting noise and distractions in the ICU in order to create a safer environment for the patient and the procedural team. Additional information will be provided on how electronic devices can spread infection and what can be done to avoid it. Preventable medical errors in our ICUs are associated with a culture that focuses on patient safety, and the implementation of tools and practice to reinforce this safety culture will be emphasized in this webcast.

Learning Objectives

  • Assess levels of noise and distraction in the ICU
  • Articulate how the spread of infection via electronic devices occurs

Register online for both webcasts using your Customer ID and password. For more information on both webcasts, please visit the Project Dispatch webpage. If you have any questions regarding either event, please contact SCCM Customer Service at +1 847 827-6888.

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 the Agency for Healthcare Research and Quality (AHRQ). The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ.

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New Self-Directed Sepsis Performance Improvement Course Is Now Available

pi-lg-SEPSISPIONImprove your strategies for the recognition and treatment of sepsis with Self-Directed Sepsis Performance Improvement. This online course provides a relaxed experience to learn at your own pace from the comfort and convenience of your home or office.

Sepsis remains a disorder of epidemic incidence and severe consequences, with an unacceptably high death rate and devastating long-term effects. Application of sepsis care tools has reduced mortality in hospitals that implemented the Surviving Sepsis Campaign Bundles. Published data clearly show that delays in the recognition and treatment of sepsis are associated with worse outcomes, while early treatment improves survival.

Learning Objectives:

  • Assess knowledge of the updated Surviving Sepsis Campaign Bundles
  • Collect data to assess compliance with bundle targets
  • Analyze performance data to assess compliance with the three-hour bundle
  • Implement educational interventions to address variations in performance outcomes
  • Re-collect data to determine improved compliance with bundle targets

Self-Directed Sepsis Performance Improvement includes 13 online videos with synchronized speaker audio. Physicians and nurses are eligible to receive 20 hours of continuing education credit.

Purchase Self-Directed Sepsis Performance Improvement today at the price of $110 for members ($145 for nonmembers). If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

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MCCKAP Early Registration Ends Wednesday

Early registration ends November 25, 2015, for the Society of Critical Care Medicine’s (SCCM) 2016 Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP). The examination will be administered from March 3 to 11, 2016.

The MCCKAP online examination assesses critical care fellowship programs nationally. Held annually, the MCCKAP examination helps program directors:

  • Prepare fellows for the subspecialty board examinations in critical care
  • Identify specific areas of strength and weakness with lists of references and key terms for missed questions
  • Assess results for each individual fellow and the overall program, as well as the institution’s national ranking

Available in both adult and pediatric formats, the examination is offered exclusively online and consists of 200 multiple-choice questions pertaining to critical care knowledge and patient management.

Examination content is developed by critical care professionals experienced in examination preparation and analysis.

Immediate preliminary scores and analysis are available to both the examinee and the program director upon completion of the examination. Final results will be available approximately five weeks after the examination.

Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. Sign up by November 25, 2015, to take advantage of discounted registration rates.

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Register for February ECMO Management Course

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

Learning Objectives

  • Identify the different components of the ECMO circuit and diagnose equipment malfunction
  • Determine the optimal ECMO settings in diseases commonly treated by ECMO
  • Recognize and manage the most common ECMO emergencies

This course will be held February 25 and 26, 2016, in Tampa, Florida, USA, following the 45th Critical Care Congress in Orlando, Florida, USA. Transportation between Orlando and Tampa will be available for participants attending both events, but please note that bus transportation back to Orlando will be limited.

Register online today with your customer ID and password. If you plan to attend the ECMO Management course in conjunction with Congress, register at www.sccm.org/Congress. If you wish to attend the ECMO Management course and not attend Congress, register at www.sccm.org/ECMO. If you have already registered for Congress and would like to attend this course, please contact SCCM Customer Service at +1 847 827-6888 to have it added to your existing registration.

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CMS Issues Final Rule That Addresses Advance Care Planning

The Centers for Medicare & Medicaid Services (CMS) issued a final rule under which it will reimburse clinicians who conduct advance care planning (ACP) conversations with their patients who are seriously ill. This change is effective January 1, 2016.

The rule notes that “most patients desire access to ACP services as they prepare for important medical decisions.”

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