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November 20, 2014

Concise Critical Appraisal

Is the Sun Setting on Goal-Directed Resuscitation for Septic Shock?

Education

On-Site Registration: Critical Care Ultrasound – Pediatric
Register for Webcast on Comprehensive Patient-Centered Care in the ICU
MCCKAP Advance Registration Deadline Is Approaching
MCCKAP Early Registration Ends Next Week
Webcast: Spontaneous Awakening and Breathing Trials

SCCM News

Discover Clinical Breakthroughs during Congress
Carry the Entire Congress Program in the Palm of Your Hand
Extra Educational Opportunities at Congress
Latest News from the SCCM eCommunity
Check out SCCM’s New NIH Grant Indexer
Is the Sun Setting on Goal-Directed Resuscitation for Septic Shock?

Since the landmark 2001 trial by Rivers et al, early goal-directed therapy (EGDT) for septic shock has been endorsed as the standard of care. The multicenter Australasian Resuscitation in Sepsis Evaluation (ARISE) trial was designed to test the hypothesis that EGDT, as compared with usual care, would reduce all-cause mortality at 90 days among patients presenting to the emergency department with early septic shock. The study was a prospective, randomized, parallel-group trial hosted in 51 tertiary care and nontertiary care hospitals in Australia, New Zealand, Finland, Hong Kong, and Ireland.

The authors concluded that EGDT does not offer a survival advantage in patients presenting to the emergency department with early septic shock. This work represents the second published study in a triad of trials. The Protocolised Management in Sepsis (ProMISe) trial has yet to be published; the results of the Protocolized Care for Early Septic Shock (ProCESS) trial were published earlier this year. Strengths of the ARISE trial include an appropriate sample size, the multicenter nature of the study and high compliance with the intervention. However, early resuscitation and antibiotic administration likely are now regarded as “usual care,” and this may have had a significant impact before randomization. A meta-analysis of all three trials is planned when the ProMISe trial is completed. This meta-analysis — which could have greater power than any individual study — may demonstrate benefits of EGDT in certain patient populations.

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.

The Surviving Sepsis Campaign recently released an updated statement regarding hemodynamic and oximetric monitoring. This statement is in response to the ProCESS and ARISE trials. The statement highlights recently released data from the Surviving Sepsis Campaign, which confirms that “adherence to quality improvement measures in severe sepsis and septic shock is associated with mortality decline.”

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On-Site Registration: Critical Care Ultrasound – Pediatric

On-site registration will take place Wednesday, January 21, 2015, for the Society of Critical Care Medicine’s (SCCM) popular Critical Care Ultrasound – Pediatric course, which will be held at the Sheraton Phoenix Downtown Hotel in Phoenix, Arizona, USA. A staff member will be available to assist you at the SCCM registration desk in the Third Street Foyer beginning at 6:30 a.m. on January 21.

Learn how to perform and interpret pediatric ultrasound imaging with SCCM’s comprehensive, two-day 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.

Learning Objectives

  • Demonstrate a foundation of ultrasound knowledge
  • Practice acquisition of high-quality images via hands-on exercises
  • Demonstrate image interpretation and utilization of ultrasound as a diagnostic tool

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

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Register for Webcast on Comprehensive Patient-Centered Care in the ICU

Registration is now open for the webcast, Comprehensive Patient-Centered Care in the ICU, the latest offering from the Society of Critical Care Medicine’s (SCCM) Project Dispatch series. This session will discuss how patient- and family-centered care considers and anticipates the needs of patients and their families, all of whom are important members of the support and care team. The multidisciplinary team in a mixed medical-surgical adult intensive care unit (ICU) at Memorial Sloan Kettering Cancer Center (MSKCC) in New York received the ICU Design Citation award in 2009 for their creation of an ICU that focuses on this approach.

In this presentation, Neil A. Halpern, MD, FCCM, Chief, Critical Care Medicine Service at MSKCC, will describe how his unit developed a calming, healthy, safe, and healing ICU environment by ensuring shared decision making and frequent communications with patients and families through the ICU stay to end of life. He will discuss innovative programs and technologies linked to direct patient care, such as advanced alarm management systems, early mobility programs for ventilated patients and integrative medicine consultation for bedside massage, music therapy and meditation.

Dr. Halpern will also review the extensive accommodations made for patients and families, as well as how the MSKCC program encompasses patients’ entire ICU experience. Some unique features include video displays to soothe patients, family members and visitors, volunteer greeters in the waiting room to help orient families and visitors to the ICU, food and coffee service, weekly multidisciplinary rounds and end-of-week conferences to discuss the full spectrum of patient and family issues, communication skills training for staff through the Department of Psychiatry and Behavioral Sciences, child visits, and the use of a survey to assess how patients, family members and visitors cope with a difficult situation.

Learning Objectives

  • Describe the comprehensive program at MSKCC
  • Formulate plans to implement elements of the MSKCC program in the participants’ own organizations
  • Evaluate the impact these types of programs have on patient and family satisfaction

This webcast will take place on Thursday, December 11, 2014, at 12:00 p.m. Central Time.

Register online today using your customer ID and password. Complimentary registration is made possible by a grant from the Agency for Healthcare Research and Quality (AHRQ).

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

This webcast was organized by SCCM’s Project Dispatch. Project Dispatch focuses on the patient and family experience. The initiative highlights a number of patient-centered care approaches to encourage awareness and adoption at the bedside among SCCM’s members. This project is supported by grant number R18HS21940 from AHRQ. The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ.

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MCCKAP Advance Registration Deadline Is Approaching

The advance registration deadline is January 28, 2015, for the Society of Critical Care Medicine’s (SCCM) 2015 Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP). The exam will be administered from February 26 to March 6, 2015.

The MCCKAP online exam assesses critical care fellowship programs nationally. Held annually, the MCCKAP exam 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 exam is offered exclusively online and consists of 200 multiple-choice questions pertaining to critical care knowledge and patient management. Exam content is developed by critical care professionals experienced in exam preparation and analysis.

Immediate preliminary scores and analysis are available to the examinee and the program director upon completion of the test. Final results will be available approximately five weeks following the exam.

Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. Sign-up by January 28, 2015, to take advantage of discounted registration rates.

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Webcast: Spontaneous Awakening and Breathing Trials

Registration is now open for the webcast, Spontaneous Awakening and Breathing Trials: Strategies to Optimize Patient Outcomes, the first event in the Society of Critical Care Medicine’s (SCCM) newly developed ICU Liberation series. In this session, Michael J. Cawley, PharmD, RRT, CPFT, FCCM, and Kenneth D. Hargett, MHA, RRT, FAARC, FCCM, will focus on the use of spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) to reduce the intensive care unit (ICU) length of stay (LOS) and to help improve ICU outcomes. Through a case study, polling questions and audience interaction, this webcast will examine team communications and offer both pharmacological perspectives and ventilator liberation strategies. Learn why protocols and quality standards are priorities and share in discussions about culture change. Teams are welcome to participate.

Learning Objectives

  • Explore the role of SAT/SBT as a quality strategy in reducing ICU LOS and ventilator use
  • Discover how team communications can be improved to facilitate implementation of standardized care plans
  • Discuss the role of pharmacological weaning in achieving care plan goals to move patients from mechanical ventilation

This webcast will take place on Wednesday, February 4, 2015, from 1:30 p.m. to 2:30 p.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.

The ICU Liberation initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. This webcast series will explore resources vital in assessing, treating and preventing these conditions and tools helpful in implementing the early mobility strategies that can help reduce the risk of long-term consequences from an ICU stay.

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MCCKAP Early Registration Ends Next Week

Early registration ends November 26, 2014, for the Society of Critical Care Medicine’s (SCCM) 2015 Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP). The exam will be administered from February 26 to March 6, 2015.

The MCCKAP online exam assesses critical care fellowship programs nationally.  Held annually, the MCCKAP exam 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 exam is offered exclusively online and consists of 200 multiple-choice questions pertaining to critical care knowledge and patient management. Exam content is developed by critical care professionals experienced in exam preparation and analysis.

Immediate preliminary scores and analysis are available to the examinee and the program director upon completion of the test. Final results will be available approximately five weeks following the exam.

Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. Sign-up by November 26, 2014, to take advantage of discounted registration rates.

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Carry the Entire Congress Program in the Palm of Your Hand

Get ready for the Society of Critical Care Medicine’s (SCCM) 44th Critical Care Congress by downloading the Congress App. Point your mobile browser to www.sccm.org/ccc44app to access this handy tool. Search “SCCM” in Google Play or the iTunes store.

The Congress App offers a convenient way to access comprehensive Congress information, allowing you to:

  • Build your own custom schedule and “favorite exhibitor” list.
  • Access the Professor Walk Rounds schedule and detailed abstract descriptions.
  • Connect with friends and colleagues at the meeting via your favorite social media sites.
  • Access detailed session, speaker, business meeting, and exhibitor information from your smartphone.
  • Navigate the Phoenix Convention Center and Exhibit Hall with interactive maps.
  • Receive real-time notifications such as schedule, room or speaker changes.

Registration for Congress will be accepted on-site at the Phoenix Convention Center. An SCCM staff member will be available to assist you at the SCCM registration desk, located in the Phoenix Convention Center on the Lower Level, outside Exhibit Hall 5-6, beginning Thursday, January 15, 2015, from 4:00 p.m. to 7:00 p.m. For more information, visit www.sccm.org/Congress or view the Program and Exhibition Guide.

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Discover Clinical Breakthroughs during Congress

Learn about clinical breakthroughs and advances in patient care during the educational symposia at the Society of Critical Care Medicine’s (SCCM) 44th Critical Care Congress. Each stimulating session is presented by leading experts in critical care and offers a thorough analysis of the developments and issues affecting most intensive care unit (ICU) environments. These sessions are complimentary for all Congress registrants, and no additional registration is needed to attend.

Diagnosis and Application of Current and Emerging Therapeutic Interventions for Hyponatremia in the Critical Care Patient
Supported by an educational grant from Otsuka America Pharmaceutical, Inc.

This session will discuss the diagnosis, presentation and impact on patient outcomes of hyponatremia and will review the safety and efficacy of current and emerging therapies for its management. It will also outline individualized treatment approaches for patients with hyponatremia based on their clinical presentation, underlying etiology and severity of symptoms.

Best Practices for the Management of Invasive Fungal Infections in the ICU
Supported by an educational grant from Astellas Scientific and Medical Affairs, Inc.

This session will help participants identify patients at risk for invasive fungal infections. In addition, it will present current and emerging treatment options for the management of these infections and review strategies for the early diagnosis and initiation of appropriate antifungal therapy in patients at risk.

These symposia will be held on Monday, January 19, 2015, at the Phoenix Convention Center. Seating is on a first-come, first-serve basis. A continental breakfast will be available prior to each symposium beginning at 6:00 a.m. The sessions will start promptly at 6:30 a.m.

Register for Congress online today using your customer ID and password. Take advantage of the advance registration rate through December 10, 2014, and save up to $80.

To secure hotel accommodations at the best rates, registrants should reserve their rooms online by Friday, December 12, 2014.

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

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Extra Educational Opportunities at Congress

The Society of Critical Care Medicine’s (SCCM) 44th Critical Care Congress will be packed with essential clinical information to keep you informed on the latest groundbreaking research and developments in critical care. Each year, industry partners invest significant resources in research and development, placing them at the cutting edge of clinical practice. Take advantage of one of the many industry education opportunities offered.

Promotional Symposia
These non-continuing medical education programs are directly sponsored by industry partners and provide insight into the latest developments, such as candidemia in the intensive care unit and rapid response and code teams.

Promotional symposia take place in a relaxed off-site setting and are free to attend.

In-Booth Education
Visit the Exhibit Hall to gain new ideas and a heightened level of awareness on clinical topics and new technologies through in-booth learning opportunities. In-booth education will take place during normal exhibit hours:

Sunday, January 18, 2015       9:00 a.m. – 3:45 p.m.
Monday, January 19, 2015     9:00 a.m. – 3:15 p.m.
Tuesday, January 20, 2015     9:00 a.m. – 2:00 p.m.

Exhibitor-Sponsored Industry Education Workshops
Attend a session on the show floor at the exhibitor-sponsored industry education workshops, located within the Exhibit Hall. Increase your learning opportunities and gain insight on a late-breaking technology or clinical technique.

For full details, including information on newly added industry education workshops, visit the Congress Industry Education Web page or contact SCCM Customer Service at +1 847 827-6888.

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Latest News from the SCCM eCommunity

You are encouraged to check out the latest Society of Critical Care Medicine eCommunity posts and join in on the discussion.

Data Collection and Dissemination

How does your intensive care unit go about collecting and analyzing data?

Omega-3s and Infection in the ICU

What are your thoughts on omega-3 fatty acid-supplemented enteral nutrition versus standard enteral nutrition?

Patient and Family Resources

What resources do you use in your intensive care unit to improve patient care? Add on to the list of resources provided in this post.

App for Arterial Blood Gas (ABG) Report

Share your thoughts on a new app created by Robert Demers, BS, RRT, FAARC.

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Check out SCCM’s New NIH Grant Indexer

Are you curious about National Institutes of Health (NIH) grants related to critical care medicine?

If so, you are encouraged to utilize the Society of Critical Care Medicine’s (SCCM) new NIH Grant Indexer. You can use this tool to search for NIH grants related to critical care. Users can search by subject, project title, organization, principal investigator, or project leader name.

To access this tool, you must log in with your SCCM Customer ID and password.

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

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