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September 19, 2013

Concise Critical Appraisal

Physiotherapy in Intensive Care


Webcast to Discuss the Surviving Sepsis Campaign as Model for Mentoring
Help Shape the Future of Critical Care Medicine


Join the Sepsis Point Prevalence Study
AMA Releases Simplified Toolkit in Light of New HIPAA Rules
Physiotherapy in Intensive Care

Historically, respiratory physiotherapy has been considered as an integral part of the daily rehabilitation of the intensive care unit (ICU) patient. However, not since 2000 has there been a specific evaluation of the various physiotherapy modalities available. Kathy Stiller, PhD, conducted a systematic review to evaluate evidence appearing over the last 13 years either supporting or refuting the role of physiotherapy in the care of the adult, intubated ICU patient.

The review is deliberately broad, encompassing clinical studies as well as expert opinion pieces and surveys. A literature review focused on papers published between 1999 and 2012 and accessible through PubMed, MEDLINE, CINAHL, Embase, the Physiotherapy Evidence Database and the Cochrane Library databases. The broad criteria naturally resulted in culling studies with variable study designs and outcomes, hence precluding a meta-analysis. Eighty-five new studies were identified including 12 focused systematic literature reviews. The identified trials evaluated several physiotherapy interventions including multimodality respiratory physiotherapy (an umbrella term encompassing diverse interventions such as manual or ventilator hyperinflation, positioning, chest wall vibrations, and rib-cage compression), mobilization, inspiratory muscle training and neuromuscular electrical stimulation. Read more…

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Webcast to Discuss the Surviving Sepsis Campaign as Model for Mentoring

The Physician Assistant (PA) Section of the Society of Critical Medicine (SCCM) has identified the Surviving Sepsis Campaign (SSC) as a prime model for mentoring that improves patient care while affording PAs unique growth opportunities. This type of relationship can be applied to all professionals on the sepsis care team.

In this latest offering from the SSC webcast series, the PA Section will share examples of prime mentoring activities from the SSC. Presentations from the viewpoint of the mentee, mentor, and an objective educator will set the stage for participants to implement a mentoring program that can provide significant professional growth for all involved while furthering the reach of the SSC. Presenters include Ryan O’Gowan, MBA, PA-C, FCCM, from St. Vincent’s Hospital, Mari Mullen, MD, from the University of Massachusetts, and Emanuel P. Rivers, BS, MD, MPH, IOM, from Henry Ford Hospital. During this webcast, faculty will:

  • Describe the role of mentor and mentee in a healthcare setting
  • Explain the benefits of serving as a mentor
  • Outline goals for a mentoring relationship using the SSC as a model

The SSC as a Model for Mentoring webcast will be held on Tuesday, October 15, 2013, at 1:00 p.m. Central Time (view additional time zones).

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

Previous SSC webcasts and related educational slide presentations are also available on a variety of topics.

This webcast series is supported by the Gordon and Betty Moore Foundation

Gordon and Betty Moore Foundation

Surviving Sepsis Campaign Implementation Kits
The Surviving Sepsis Campaign has developed pre-packaged kits to help clinicians improve sepsis identification, management and treatment within their institutions. Each kit contains two posters featuring the graded recommendations from the latest guidelines, 25 pocket guides, 25 bundle cards and a package of 15 Surviving Sepsis Campaign logo pins. Visit for more resources.

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Help Shape the Future of Critical Care Medicine

Learn about new developments and tools to help expand your knowledge and advance your practice of critical care at the Society of Critical Care Medicine’s (SCCM) 43rd Critical Care Congress, to be held January 9 to 13, 2014, in San Francisco, California, USA.

This five-day event will offer opportunities to make valuable connections and draw diverse perspectives from all members of the multiprofessional critical care team. Participate in cutting-edge educational sessions, hands-on workshops, captivating symposia, and popular plenary sessions promoting innovative developments in critical care.

Plenary sessions are given by distinguished, world-renowned leaders in the critical care field. Speakers will include:

Rosemary Gibson, MSc
Senior Advisor
The Hastings Center
Section Co-Editor, Less is More
JAMA Internal Medicine
Arlington, Virginia, USA
C. William Hanson III , MD, FCCM
Professor of Anesthesiology and Critical Care
Chief Medical Information Officer
University of Pennsylvania Health Systems
Philadelphia, Pennsylvania, USA
Patrick M. Kochanek, MD, MCCM
Professor and Vice Chair, Department of Critical Care Medicine
Professor of Anesthesiology,
Pediatrics and Clinical and Translational Science
Director, Safar Center for Resuscitation Research
University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania, USA
Geoffrey Ling, MD, PhD, FAAN
Deputy Director, Defense Sciences Office,
Defense Advanced Research Projects Agency
Attending Physician and Director, Neurosciences Critical Care,
Department of Critical Care Medicine,
Walter Reed National Military Medical Center
Washington, DC, USA
Peter J. Pronovost, MD, PhD, FCCM
Professor, Departments of Anesthesiology/
Critical Care Medicine and Surgery
The Johns Hopkins University School of Medicine
Baltimore, Maryland, USA
Basil A. Pruitt, Jr., MD, FACS, MCCM
Clinical Professor of Surgery
Betty and Bob Kelso Distinguished Chair in Burn and Trauma Surgery
University of Texas Health Science Center
San Antonio, Texas, USA
Jean-Louis M. Vincent, MD, PhD, FCCM
Professor of Intensive Care Medicine
Université Libre de Bruxelles
Head, Department of Intensive Care
Erasme University Hospital
Brussels, Belgium

Regardless of your profession or role on the critical care team, you will find opportunities to enhance your practice. Act by November 6, 2013, to take advantage of early bird discounts. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

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Join the Sepsis Point Prevalence Study

The Surviving Sepsis Campaign (SSC) will conduct a point prevalence study, the International Multicentre PREvalence Study on Sepsis (IMPRESS), on November 7, 2013. Conducted by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine, under the framework of the SSC, IMPRESS aims to help clinicians and researchers better understand the global burden of sepsis.

At least 1,000 institutions are sought to participate in the study. If your team has not yet joined, now is the time to be a part of this important effort.

More than 500 sites from 64 nations have registered to participate in IMPRESS, each recognizing their role in helping researchers better understand the global burden of severe sepsis and septic shock in adult patients.

De-identified patient-level data will be collected on patients with severe sepsis or septic shock presenting to a participating intensive care unit (ICU) or emergency department within a 24-hour period, midnight to midnight on November 7, 2013. Data collected as part of routine clinical care, including hospital and ICU characteristics, patient characteristics, severity of illness, adherence to SSC bundle elements, and mortality, will be used for this study.

The Sepsis Alliance recognized the Surviving Sepsis Campaign with its Sepsis Heroes Award, commending the group for its contributions to advancing sepsis care and awareness. Presented in New York during the Sepsis Alliance’s event, An Evening with Sepsis Heroes: Celebrating Champions of Sepsis Awareness, the award was accepted by European Society of Critical Intensive Care Medicine President Jean-Daniel Chiche , MD, and SSC co-founders, Mitchell M. Levy, MD, FCCM, and R. Phillip Dellinger, MD, MCCM, on behalf of the Society of Critical Care Medicine. James Obrien, MD, MSC, Chairman of the Board of Directors for the Sepsis Alliance, presented the award.


“The Surviving Sepsis Campaign has achieved incredible globalization and buy-in from both scientific organizations and practicing clinicians,” said Dellinger. “This is a tribute to the volunteers on the guidelines committee, the volunteer leadership and the volunteers in the trenches at hospitals participating in the Campaign’s performance improvement program.” Congratulations to the SSC on this achievement as it enters its tenth year.

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AMA Releases Simplified Toolkit in Light of New HIPAA Rules

A new toolkit released by the American Medical Association can help physicians navigate sweeping new revisions to the privacy and security rules of the Health Insurance Portability and Accountability Act (HIPAA). Physicians must comply with these new rules by September 23, 2013.

Among the key changes physicians must make for the September 23 deadline are new agreements with business associates who handle patient information, privacy notices to share with patients and increased security measures for patient data. Download the toolkit and visit the AMA website for additional resources, including a list of frequently asked questions. Read more…

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