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September 1, 2016

Concise Critical Appraisal

Intensive BP Lowering in Patients with Acute Cerebral Hemorrhage


Register for Interprofessional Team Coaching in the ICU: Results


Join the CDC in Marking Sepsis Awareness Month
New Podcast Follows Up on SSC Concepts and Implementation
Last Week of September Dedicated to Raising Malnutrition Awareness
Intensive BP Lowering in Patients with Acute Cerebral Hemorrhage

Limited data are available to guide the choice of a target for the systolic blood-pressure level when treating acute hypertensive response in patients with intracerebral hemorrhage. Qureshi et al therefore randomly assigned eligible participants with intracerebral hemorrhage and a Glasgow Coma Scale score of five or more to a systolic blood-pressure target of 110 to 139 mm Hg (intensive treatment) or a target of 140 to 179 mm Hg (standard treatment) in order to test the superiority of intensive reduction of systolic blood pressure to standard reduction.

They found that the treatment of participants with intracerebral hemorrhage to achieve a target systolic blood pressure of 110 to 139 mm Hg did not result in a lower rate of death or disability than standard reduction to a target of 140 to 179 mm Hg.

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 Interprofessional Team Coaching in the ICU: Results

Register today for the second installment of the Society of Critical Care Medicine’s (SCCM) two-part ICU Liberation webcast series. “Interprofessional Team Coaching in the ICU: Results” will be conducted for interprofessional teams (IPTs) working together to implement the ABCDEF Bundle. Registration is open to both participants and nonparticipants of the ongoing ICU Liberation ABCDEF Bundle Collaborative. Those who did not attend the first session are still encouraged to register.

For optimal impact, all members of the IPT responsible for bundle implementation (i.e., nurses, pharmacists, physical therapists, physicians, respiratory therapists, and administrative leads or nurse managers) are strongly encouraged to attend. Results from participation will be most effective if attended by the entire team; partial team attendance is also acceptable.

During this second session, Mary Ann Barnes-Daly, MS-L, RN, CCRN, DC, Clinical Performance Improvement Consultant for Sutter Health and Dorothy Lingren, MA, Team Consultant for Sutter Health/Lingren Consulting, will provide an opportunity for teams to:

  • Report results from the test of change and plan the next test
  • Identify influences and conflict challenges that exist and practice using appropriate tools to address them
  • List activities that the team needs to address for successful ABCDEF Bundle implementation

This 60-minute webcast, which will be moderated by Diane Byrum, RN, MSN, CCRN, CCNS, FCCM, will take place on Wednesday, September 21, 2016, at 1:00 p.m. Central Time. Registration is complimentary for all participants. Physicians, nurses and pharmacists are eligible to receive continuing education credits. Please visit the event page for more information.

Register online for “Interprofessional Team Coaching in the ICU: Results” using your Customer ID and password. 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 examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an ICU stay.

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Join the CDC in Marking Sepsis Awareness Month

September is Sepsis Awareness Month, and the U.S. Centers for Disease Control and Prevention (CDC) is sponsoring and/or promoting numerous events to stress the importance of detecting this life-threatening condition early and taking preventative measures.

All events to be held in September dovetail nicely with a Vital Signs report released by the CDC late last month that centered on sepsis. The release of the report coincided with a related press conference held by the CDC that featured CDC Director Thomas R. Frieden and Mitchell Levy, MD, MCCM, FCCP, a founding and Executive Committee member of the Surviving Sepsis Campaign, discussing the report and emphasizing the importance of early identification.

Events in September include:

The 1st World Sepsis Congress – Thursday, September 8 and Friday, September 9
In 13 distinctive sessions, more than 70 speakers from more than 20 countries will give 10-minute keynotes and presentations on the number one preventable cause of death worldwide: sepsis. After each talk, the speakers will answer live questions from the audience.

Twitter Chat Centered on Sepsis – Tuesday, September 13, at 12:00 p.m. (CT)
The chat will feature Dr. Richard Besser of ABC News discussing sepsis. Dr. Richard Besser is the Chief Health and Medical Editor for ABC News. To participate, use #abcDrBchat.

CDC Webinar – Advances in Sepsis: Protecting Patients Throughout the Lifespan – Tuesday, September 13, at 2:00 p.m. (CT)

CDC Webinar – Empowering Nurses for Early Sepsis Recognition – Thursday, September 22, at 1:00 p.m. (CT)

Before, during and after the above events, you are encouraged to keep the conversation going on social media by using the following hashtag: #ThinkSepsis.

If you have not already done so, you are also encouraged to review resources related to the new sepsis definitions released earlier this year and to familiarize yourself with the Society of Critical Care Medicine’s Surviving Sepsis Campaign and its THRIVE initiative, which centers on addressing post-intensive care syndrome (PICS).

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New Podcast Follows Up on SSC Concepts and Implementation

In the newly available iCritical Care podcast SCCM Pod-326 Surviving Sepsis Campaign: Creating Spread for Quality Improvement, Ludwig Lin, MD, speaks with Jane Taylor, Ed.D, about quality improvement science and her contributions to the Surviving Sepsis Campaign.

This podcast follows up on the concepts addressed in the Campaign’s Spreading Quality Just in Time series—a series of videos consisting of short tutorials on the science and methods behind applying interventions at the right time in the right way.

Spreading Quality Just in Time

This series is part of the Sepsis in the Wards project from the Society of Critical Care Medicine and the Gordon and Betty Moore Foundation. It is relevant to those seeking information on sepsis screening quality improvement but can also be used by hospitals interested in hospital-wide expansion of any quality improvement initiative.

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Last Week of September Dedicated to Raising Malnutrition Awareness

You are encouraged to participate in the American Society for Parenteral and Enteral Nutrition’s (ASPEN) fifth annual Malnutrition Awareness Week™, which will take place September 26-30, 2016. The purpose of this week is to raise public awareness as pertains to malnutrition and encourage healthcare professionals to assess for malnutrition and intervene early if appropriate. Malnutrition is common in hospitalized patients in the United States and is associated with unfavorable outcomes, including higher infection rates, poor wound healing, longer lengths of stay, and higher frequency of readmission.

The 2016 week boasts the following webinars:

Improving Malnutrition from the Physician Perspective  – Monday, September 26 – 12 p.m. (CT)

Combating Malnutrition in the Spanish Speaking Population: Available Programs and Resources – Tuesday, September 27 – 12 p.m. (CT)

Malnutrition Interventions and Programs for the Older Adult – Thursday, September 29 – 12 p.m. (CT)

In addition, there is an event where you can chat with the experts:

Age Does Not Matter: Malnutrition in the Aging Population – Wednesday, September 28 – 12 p.m. (CT)

For additional information, visit ASPEN’s website.

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