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October 1, 2015

Concise Critical Appraisal

Furosemide Stress Test and Biomarkers for the Prediction of AKI Severity

Education

Register for February Ultrasound Courses
New 2015 Self-Directed Board Review: Adult
Webcast on Controversies in Fluid Resuscitation

SCCM News

Latest News from the SCCM eCommunity
Furosemide Stress Test and Biomarkers for the Prediction of AKI Severity

Acute kidney injury (AKI) is widely prevalent in the intensive care unit and is associated with significant morbidity and mortality. However, no accurate prediction model exists to determine which AKI cases will progress and, if so, to what severity. Chawla et al developed and standardized a furosemide stress test (FST), and Koyner et al assessed the utility of the FST plus biomarkers for prediction of AKI severity. The development of the FST and utility of the FST plus biomarkers were studied in the same two cohorts. Ultimately, the studies proposed, respectively, that (1) the FST in early AKI identifies those with severe and progressive AKI, and (2) the addition of biomarker levels to the FST improves the risk stratification of these patients.

In the end, the FST showed that, at the two-hour time point, urine output of 200 mL or less had the best sensitivity and specificity to predict progression to Acute Kidney Injury Network (AKIN) stage 3. The studies also showed that the FST was superior to the panel of biochemical biomarkers for all end points.

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 February Ultrasound Courses

Focused ultrasound examinations in the critical care setting have become an extension of the clinical assessment because of their rapid, precise detection capabilities. Assist in immediate patient management by learning or enhancing point-of-care skills during the Society of Critical Care Medicine’s (SCCM’s) critical care ultrasound courses.

Obtain the realistic training needed to perform and interpret ultrasound imaging with SCCM’s comprehensive, two-day Critical Care Ultrasound or Critical Care Ultrasound: Pediatric course. In each, 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.

These courses will be held February 19–20, 2016, at the Hyatt Regency Orlando in Orlando, Florida, USA, before SCCM’s 45th Critical Care Congress. Register online today with your customer ID and password. If you plan to attend an ultrasound course in conjunction with Congress, register at www.sccm.org/Congress. If you wish to attend an ultrasound course and not attend Congress, register at www.sccm.org/Ultrasound. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

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New 2015 Self-Directed Board Review: Adult

Not able to attend the recent Adult Multiprofessional Critical Care Board Review Course? Self-Directed Multiprofessional Critical Care Board Review Course: Adult provides a relaxed learning experience with access to the same didactic sessions found in the 2015 live course. Learn at your own pace from the comfort and convenience of your home or office.

  • Review all lectures in any of the following formats: audio MP3, PDF or videos containing slide presentations and synchronized audio
  • Explore sample board review questions, answers and rationales
  • Assess your knowledge through the use of pre- and posttests

Physicians, nurses and pharmacists are eligible to receive 41.75 hours of continuing education credit. Maintenance of Certification credit is also available. Registrants have two years from the date of enrollment to complete the course.

Enhance your learning experience by purchasing the Comprehensive Board Prep Bundle: Adult. The bundle includes Self-Directed Multiprofessional Critical Care Board Review Course: Adult, as well as the Comprehensive Critical Care: Adult textbook/eBook and both versions of Self-Assessment in Adult Multiprofessional Critical Care (print/eBook and interactive).

For more details and to view the complete line of board preparation and review products, visit www.sccm.org/adultboardreview.

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Webcast on Controversies in Fluid Resuscitation

Register today to advance your knowledge of fluid resuscitation with the upcoming webcast, Controversies in Fluid Resuscitation: A Clinical Debate on Colloids Versus Crystalloids, the latest offering from the Society of Critical Care Medicine’s (SCCM’s) Controversies in Critical Care series.

Presenters will review the most up-to-date research and argue the merits and pitfalls of colloids versus crystalloids for fluid resuscitation in critically ill patients in a variety of shock states.

Learning Objectives

  • Explore the pros and cons of crystalloid resuscitation
  • Explore the pros and cons of colloid resuscitation

This webcast will take place on Tuesday, October 6, 2015, at 11:00 a.m. Central Time. The registration fee for this 60-minute webcast is $30 for members and $40 for nonmembers. For institutions seeking unlimited participation at a single location, a $200 group rate is available.

Register online today using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

This webcast is part of SCCM’s Controversies in Critical Care series and was developed in collaboration with the Physician Assistant Section. The Controversies in Critical Care series is intended to provide insight into topics in critical care medicine for which no clear consensus or unequivocal evidence is available to guide practice decisions.

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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 the discussions. The eCommunity is a great forum in which to share valuable resources or offer insight on a variety of pertinent critical care topics.

Antibiotic Prophylaxis in Therapeutic Hypothermia

Administration of Metered Dose Inhaler Steroids or Long-Acting Beta-Adrenoceptor Agonists in Ventilated (Invasive or Non-Invasive) Patients

Apparent Transverse Cervical Nerve Injury from Internal Jugular Vein Placement

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