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September 15, 2016

Concise Critical Appraisal

Long-Term Quality of Life Among Survivors of Severe Sepsis

Education

Register for Pre- and Post-Congress Educational Sessions
Reserve Your Spot for Interprofessional Team Coaching in the ICU: Results
No Cost, Online CE Activities on Acute Decompensated Heart Failure

SCCM News

SCCM Releases Policy Statement Regarding Interventions
Join the CDC in Marking Sepsis Awareness Month
Last Week of September Dedicated to Raising Malnutrition Awareness
Long-Term Quality of Life Among Survivors of Severe Sepsis

Severe sepsis currently accounts for 10% of all intensive care unit admissions and is the leading cause of death in U.S. hospitals. Studies have shown that sepsis survivors suffer from many long-term after-effects. Among survivors, mobility and the ability to perform daily activities tend to be limited and are used as markers of quality of life (QoL). However, these prior studies have been small and have not taken into account high burdens of chronic disease prior to sepsis admission. A study conducted by Yende et al is a secondary analysis of two international, randomized clinical trials (A Controlled Comparison of Eritoran and placebo in patients with Severe Sepsis [ACCESS] and PROWESS-SHOCK), with the aim of describing QoL in sepsis survivors. The two cohorts analyzed included only adults with severe sepsis who were fully functional and living at home prior to sepsis hospitalization.

They found that approximately one-third of patients (as described above) who survived hospitalization for severe sepsis had died at six months. A further one-third had not returned to independent living by six months.

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 Pre- and Post-Congress Educational Sessions

The Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress will be packed with essential clinical information to keep you well-informed on the latest groundbreaking research and developments in critical care. The pre- and post-Congress educational sessions reflect the most up-to-date topics and evidence-based information so you can incorporate the latest clinical treatments and administrative strategies into your everyday practice.

Pre-Congress Educational Sessions
Friday, January 20 and Saturday, January 21

  • Advances in Veterinary Critical Care
  • Critical Care Pharmacy Preparatory Review Course
  • Current Concepts in Adult Critical Care
  • Current Concepts in Pediatric Critical Care
  • ECMO Management
    * This course will take place at the Ala Moana Hotel in Honolulu, Hawaii, USA.

Saturday, January 21

  • Adult Multidisciplinary ICU Simulation Bootcamp
    * This course will take place at the University of Hawaii Translational Health Science Simulation Center in Honolulu, Hawaii, USA.
  • Adult Airway Management in the Critically Ill
  • Fundamentals Faculty Academy
  • Hemodynamic Monitoring: From Cardiovascular Physiology to Applied Intensive Care Medicine
  • Ho’ola hou (Revive): Resuscitation Officers Training Program (Code Blue and Medical Emergency Teams)
  • Liver Failure in the ICU: Key Concepts and Management Principles
  • Nutrition Research Workshop: From Bench to Bedside
  • What You Need to Know to Manage the Neurologically Critically Ill Patient

Post-Congress Educational Session
Wednesday, January 25 and Thursday, January 26

  • Critical Care Ultrasound
  • Critical Care Ultrasound: Pediatric
    *These courses will take place at the Hilton Hawaiian Village, in Honolulu, Hawaii, USA.

Space for each course is limited, so register early to guarantee your top choice. To view course descriptions, visit the Congress Program page.

If you plan to attend a course in conjunction with Congress, register at www.sccm.org/Congress. If you plan to attend a course and not Congress, register in the SCCM store by searching the course title. If you are currently registered for Congress, please contact SCCM Customer Service at +1 847 827-6888 to add a pre- and/or post-Congress educational session to your existing registration and for answers to any of your questions.

Build your critical care knowledge and enhance the care you deliver to patients by attending SCCM’s 46th Critical Care Congress, to be held January 21 to 25, 2017, in Honolulu, Hawaii, USA. Join more than 6,000 members of the critical care community at this five-day event. When the right people come together in one place, ideas become reality. Register online today.

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Reserve Your Spot for Interprofessional Team Coaching in the ICU: Results

Reserve your spot 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, and may view the first session before attending the webcast.

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 to ensure optimal impact. 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 share the results of their test of change. In addition, the session will focus on how to address the influence and conflict challenges that frequently arise when working toward full ABCDEF Bundle implementation. At the end of the session, team members will have a preliminary list of activities to continue working collaboratively toward bundle implementation.

Learning Objectives include:

  • 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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No Cost, Online CE Activities on Acute Decompensated Heart Failure

Earn free continuing education credits by viewing the educational content from the Society of Critical Care Medicine’s (SCCM) 2016 Congress session, Tailoring Therapy and Improving Outcomes in Patients with Acute Decompensated Heart Failure (ADHF), supported by an educational grant from Novartis Pharmaceuticals Corporation. Available in two formats, you can choose from the webcast version, Tailoring Therapy & Improving Outcomes in Patients with ADHF, or the electronic publication, Acute Decompensated Heart Failure Monograph.

Both versions contain discussions from experts in the field on the diagnosis and classification of ADHF, existing therapies, new guidelines and safety and efficacy data for new and emerging treatment therapies, as well as strategies for individualizing therapy to improve patient outcomes. Physicians, nurses and pharmacists are eligible to receive continuing education credits.

Other Online CME Available

Whether you missed SCCM’s 2016 Critical Care Congress or couldn’t make it to all the sessions of interest, you can still participate in the most popular sessions online at your convenience. Earn free continuing medical education credits by viewing any of the following webcasts and then applying for credit:

Every Patient Has a Story: Individualizing the Management of Invasive Fungal Infections in the Critical Care Setting
Supported by an educational grant from Astellas Pharma Global Development, Inc.

Improving Clinical Outcomes and Pathogen-Directed Therapy for Serious Bacterial Infections in the Critical Care Setting
Supported by an educational grant from Merck & Co., Inc.

Optimizing Treatment and Improving Care Transitions in Chronic Heart Failure
Supported by an educational grant from Amgen

The Role of Biomarkers in Acute Kidney Injury Risk Assessment
Supported by an educational grant from Astute Medical, Inc.

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SCCM Releases Policy Statement Regarding Interventions

The Society of Critical Care Medicine and four other major critical care organizations have recently released a policy statement endorsing a seven-step process to resolve disagreements about potentially inappropriate treatments.

Titled “Defining Futile and Potentially Inappropriate Interventions: A Policy Statement from the Society of Critical Medicine Ethics Committee,” the material was published in the September 2016 issue of Critical Care Medicine.

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Join the CDC in Marking Sepsis Awareness Month

In honor of Sepsis Awareness Month this September, the U.S. Centers for Disease Control and Prevention (CDC) has sponsored and/or promoted numerous events stressing the importance of detecting this life-threatening condition early and taking preventative measures.

Help to continue raising awareness by participating in the CDC’s webinar, Empowering Nurses for Early Sepsis Recognition, on Thursday, September 22, at 1:00 p.m. (CT).

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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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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