Download the SCCM App Today

The Society of Critical Care Medicine (SCCM) has launched the new SCCM App, which allows users to view all of the Society’s resources in one central location!

  • Access the Surviving Sepsis Campaign App
  • Stream all iCritical Care episodes
  • Search the SCCM Member Directory
  • View and download SCCM Guidelines
  • Access News and Career Central Updates
  • Much more!

Apps designed specifically for the iPhone, iPad and Android are available now! Search “SCCM” in Google Play or the iTunes store or download the app at www.sccm.org/SCCMApp.

Predicting Fluid Responsiveness by Passive Leg Raising

Passive leg raising creates a reversible increase in venous return, allowing for the prediction of fluid responsiveness. However, the amount of venous return may vary in various clinical settings, potentially affecting the diagnostic performance of passive leg raising. Therefore, Cherpanath et al performed a systematic meta-analysis determining the diagnostic performance of passive leg raising in different clinical settings with exploration of patient characteristics, measurement techniques and outcome variables.

They found that passive leg raising retains a high diagnostic performance in various clinical settings and patient groups. They also found that the predictive value of a change in pulse pressure on passive leg raising is inferior to a passive leg raising-induced change in a flow variable.

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.

Virtual Critical Care Rounds: Pediatric Now Available

Virtual Critical Care Rounds (VCCR): Pediatric, developed by the Society of Critical Care Medicine (SCCM), is designed to better prepare students, residents and fellows to contribute to the diagnosis and management of the critically ill pediatric patient during their pediatric intensive care unit rounds.

VCCR: Pediatric, the enhanced replacement for the Pediatric Resident ICU (RICU) program, features:

  • Professionally narrated modules with clear learning objectives, engaging case studies, interactive questions and a list of additional resources for further exploration
  • An expanded topic selection, with lectures developed by leading experts on each subject
  • SCCM’s new, more efficient, learning management platform, which allows program directors to view and monitor participants’ progress throughout the courses

The VCCR: Pediatric program is composed of two courses. VCCR I: Pediatric focuses on student level learning and features 8 modules covering topics such as pediatric airway management, mechanical ventilation and pediatric shock. VCCR II: Pediatric, aimed at the resident and fellow levels, contains 13 modules exploring such topics as traumatic brain injury, acute kidney injury in children and acute severe asthma. The VCCR: Pediatric courses are available as program director-led or self-directed products.

To make a purchase or for more details, visit www.sccm.org/VCCRPeds.

Submit Your Abstract for SCCM’s 46th Critical Care Congress

Abstract submission for the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress is now open. Make your contribution to the advancement of critical care by submitting your original investigative research and case reports for the 46th Critical Care Congress, which will be held January 21 to 25, 2017, at the Hawaii Convention Center in Honolulu, Hawaii, USA.

If accepted, your work will be considered for presentation at Congress. Abstracts also will be published in Critical Care Medicine, the #1 critical care subspecialty journal. Those whose abstracts are accepted also enjoy other benefits:

  • Star Research Award presentation opportunity: Authors of the top 64 abstracts are invited to give oral presentations during the regular Congress program without competition from other CE/CME sessions.
  • Research Snapshot Theaters: Authors are invited to provide short presentations of their work moderated by a professor in the Exhibit Hall.
  • Awards: Multiple awards are offered for excellence and special accomplishments in critical care research, education and/or practice.

Complimentary registration is available to one author per accepted abstract. To be eligible, the person must be listed as the first author and be a SCCM member and non-full physician at the time of abstract submission.

Abstracts may be submitted until noon, Central Daylight Time, on August 3, 2016. Visit www.sccm.org/abstracts for complete details on submission instructions, formatting guidelines and available awards.

The 2017 Critical Care Congress will bring together more than 6,000 members of the critical care community and will feature internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. Registration opens June 2016 at www.sccm.org/Congress.

Higher Versus Lower Blood Pressure Targets for Vasopressor Therapy in Shock

In shock, hypotension may contribute to inadequate oxygen delivery, organ failure and death. Lamontagne et al conducted the Optimal Vasopressor Titration (OVATION) pilot trial to inform the design of a larger trial examining the effect of lower versus higher mean arterial pressure (MAP) targets for vasopressor therapy in shock.

They concluded that their pilot study supports the feasibility of a large trial comparing lower versus higher MAP targets for shock. Further research may help delineate the reasons for vasopressor dosing in excess of prescribed targets and how individual patient characteristics modify the response to vasopressor therapy.

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.

Remembering Dr. Joseph Michael Civetta

Joseph Michael Civetta, MD, FCCM, passed away on March 30, 2016, in his home in the South Florida Keys at age 77.

Dr. Civetta was born in Mount Vernon, New York, USA, the only son of his parents Rose Mildred Pirone and Michael Joseph Civetta. He graduated magna cum laude in 1959 from the College of the Holy Cross in Worcester, Massachusetts, USA, and summa cum laude in 1963 from Boston University School of Medicine in Boston, Massachusetts, USA. He completed an internship and residency at Massachusetts General Hospital in Boston, followed by two years of military service as a major in the U.S. Air Force at Keesler Air Force Base in Biloxi, Mississippi. He returned to Massachusetts General from 1970 to 1972 as director of its surgical intensive care unit. While at Massachusetts General, he and Joseph C. Gabel, MD, described modern cardiovascular physiology.

Dr. Civetta then began a long and illustrious career at the University of Miami/Jackson Memorial Medical Center in Miami, Florida, USA, where he became a professor of surgery, anesthesiology, pathology and medicine. He served as director of the surgical intensive care unit from 1972 to 1997.

Dr. Civetta left Miami to become chairman of surgery at the University of Connecticut Health Center in Farmington, Connecticut, USA, and director of surgery at Hartford Hospital in Hartford, Connecticut, USA. He also assumed the role of director of the General Surgery Residency Program, and brought the University of Connecticut Residency Program to a new level. In 2002, he retired from these posts, but remained as vice-chairman of the Department of Surgery at the University of Connecticut Health Center until 2012.

Dr. Civetta’s critical care fellowship produced five presidents of the Eastern Association for the Surgery of Trauma and three presidents of the Society of Critical Care Medicine (SCCM), including its 2005–2006 president, Peter B. Angood, MD, MCCM.

“As a fellow, one was awed by (Dr. Civetta’s) commitments to patient care and insights to abnormal physiology. As a peer, one remained impressed with his energy and inquisitive nature to continually learn more,” recalled Dr. Angood. During his term as SCCM president, Dr. Angood was honored to award Dr. Civetta with the SCCM Lifetime Achievement Award.

Dr. Civetta served as president of SCCM from 1980 to 1981. His presidential address emphasized the importance of resource allocation and careful evaluation of the use of technology in the intensive care unit.

ODRC and AOPO Announce RFP for Organ Donation Research

The Organ Donation Research Consortium (ODRC) with additional support from the Association of Organ Procurement Organizations (AOPO) is pleased to offer up to $40,000 in funding to ODRC member(s) (or those willing to join and maintain ODRC membership through the life of the grant) conducting basic, translational or clinical research specifically related to the organization’s mission to advance the science of organ donation.

The ODRC seeks to sponsor research efforts that will ultimately improve the numbers and quality of organs available for transplantation in the United States. Applications are encouraged that focus on expanding our knowledge of donor management research, including, but not limited to, consent, organ donation physiology, clinical interventions to improve donor organs, and recipient outcomes. Single-center projects, for example, should specifically address the potential to generalize their findings to multisite settings.

Applications are due by 5:00 p.m. Pacific Standard Time on July 1, 2016. Additional information, including eligibility and submission requirements, are available on the ODRC website.

Survey: Determining Pediatric Palliative Care Practices in the United States

Stony Brook Children’s Hospital is conducting a national research study of pediatric hematologists/oncologists and pediatric intensive care physicians. As you know, pediatric palliative care has become a “hot topic” recently and there is an increasing demand for hospitals to provide these services. In order to provide the best care and the best education for trainees, we need to truly understand what the current state of pediatric palliative care is.

The goals of the survey are:

  • To define current trends in pediatric palliative care education and clinical care
  • To understand the factors that inform these trends
  • To identify areas for improvement and growth locally and nationally

In order to meet these goals, your help is needed. Please consider taking a 10-minute online survey. After the data is analyzed, the results will be shared with those who participated in the research.

If you have any questions, you may email the study chairs, Rina Meyer, MD, and Laura Czulada, DO, at rina.meyer@stonybrookmedicine.edu or laura.czulada@stonybrookmedicine.edu, respectively.

Thank you for your time and attention.

Early Registration Deadline Approaching for Adult and Pediatric MCCBRC

The early registration deadline for the Society of Critical Care Medicine’s (SCCM) Adult and Pediatric Multiprofessional Critical Care Board Review Courses (MCCBRC) is Wednesday, May 18, 2016. To receive the lowest rates, register online today using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

These 4.5 day courses provide the most comprehensive review in the diagnosis, monitoring and management of critically ill patients. The courses include interactive board preparation sessions and feature practice questions, answers and rationales. World-class faculty focus on preparing fellows and attendings for their critical care certification and recertification. The courses also provide an excellent update for any critical care professional seeking the most current review of the field.

As a registered participant, you will benefit from:

  • Online access to practice questions
  • Comprehensive course syllabus
  • Networking opportunities with colleagues and world-renowned experts
  • Post-course online access to MCCBRC On Demand, which features videos containing the slide presentations and synchronized speaker audio from all sessions of the live course

The 2016 board review courses will be held in a new location: the Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA. Rosemont offers the convenience and amenities of downtown Chicago but at a lower price, and it’s just minutes from O’Hare International Airport. Complimentary shuttle transportation is available to and from O’Hare International Airport and other nearby destinations. The courses will be held July 19 to 23, 2016. Check out the adult or pediatric course online for details, including the agenda, faculty and hotel and travel information.

Can’t make it to the live event? SCCM offers a comprehensive line of board prep and review products that can be customized to your goals, schedule and learning style. For more information, visit www.sccm.org/adultboardreview or www.sccm.org/pediatricboardreview.

Early Bird Rates for Ultrasound Courses End May 18

Take advantage of early registration rates and reserve your spot by May 18, 2016, for the Society of Critical Care Medicine’s (SCCM) Critical Care Ultrasound courses. This summer, the popular courses will be held in a new location: Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA. Rosemont offers the convenience and amenities of downtown Chicago but at a lower price, and it’s just minutes from O’Hare International Airport. Complimentary shuttle transportation is available to and from O’Hare International Airport and other nearby destinations.

Focused ultrasound examinations in the critical care setting have become an extension of clinical assessment because of their rapid, precise detection capabilities. Assist in the immediate management of patients by learning or enhancing point-of-care ultrasound skills with these valuable courses.

Critical Care Ultrasound and Critical Care Ultrasound – Pediatric provide the realistic training needed to perform and interpret ultrasound imaging. During each 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 during these comprehensive two-day courses on July 16 and 17, 2016.

Advanced Critical Care Ultrasound and Advanced Critical Care Ultrasound – Pediatric will expand your fundamental echocardiographic skills and knowledge. The advanced courses will focus on the specialty-specific use of echocardiography in the management of the critically ill patient, and participants will explore the noninvasive management of the hemodynamically unstable patient. These one-day courses will be held on July 18, 2016.

The ultrasound courses traditionally sell out early. Receive reduced rates when you register by May 18, 2016, for Critical Care Ultrasound, Critical Care Ultrasound – Pediatric, Advanced Critical Care Ultrasound and Advanced Critical Care Ultrasound – Pediatric using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Rate Control vs. Rhythm Control for Atrial Fibrillation after Cardiac Surgery

Atrial fibrillation continues to plague intensivists managing post-cardiac surgery patients. Large clinical trials in non-surgical populations have demonstrated that rhythm control offers no benefits over a simpler rate control strategy. However, it is unclear if these findings can be extrapolated to the post-cardiac surgical population. As such, Gillinov et al conducted a randomized controlled trial hoping to answer this very question.

They found that strategies for rate control and rhythm control to treat post-operative atrial fibrillation were associated with equal numbers of days of hospitalization, similar complication rates and similarly low rates of persistent atrial fibrillation 60 days after onset.

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.

Obtain Free CE Credit with Activities from the 45th Critical Care Congress

Whether you missed the Society of Critical Care Medicine’s (SCCM) 2016 Critical Care Congress in Orlando, Florida, USA, or couldn’t make it to all sessions of interest, you can now experience several of the industry-supported sessions online. Review the content at your own pace from the comfort and convenience of your home or office and earn free continuing education credit by viewing any of the following complimentary 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.

Tailoring Therapy and Improving Outcomes in Patients with Acute Decompensated Heart Failure
Supported by an educational grant from Novartis Pharmaceuticals Corporation

Physicians, nurses and pharmacists are eligible to receive 1.5 hours of continuing education credit for each webcast. This opportunity is available through April 2017.

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

New Location for Summer Critical Care Ultrasound Courses

This summer, the Society of Critical Care Medicine’s (SCCM) Critical Care Ultrasound training courses will be held in a new location: the Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA. Rosemont offers the convenience and amenities of downtown Chicago but at a lower price, and it’s just minutes from O’Hare International Airport.

Assist in the immediate management of patients by learning or enhancing point-of-care skills during SCCM’s popular ultrasound training courses.

Critical Care Ultrasound and Critical Care Ultrasound – Pediatric provide the realistic training needed to perform and interpret ultrasound imaging. During each 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 during these comprehensive two-day courses on July 16 and 17, 2016.

Advanced Critical Care Ultrasound and Advanced Critical Care Ultrasound – Pediatric will expand your fundamental echocardiographic skills and knowledge. The advanced courses will focus on the specialty-specific use of echocardiography in the management of the critically ill patient, and participants will explore the noninvasive management of the hemodynamically unstable patient. These one-day courses will be held on July 18, 2016.

These ultrasound courses traditionally sell out early. Register online for Critical Care Ultrasound, Critical Care Ultrasound – Pediatric, Advanced Critical Care Ultrasound and Advanced Critical Care Ultrasound – Pediatric using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Register for Second Sepsis Redefined Webcast

Due to overwhelming interest in the original webcast, the Society of Critical Care Medicine (SCCM) will hold a second “Sepsis Redefined” webcast featuring the same content. Register today to reserve your spot on Tuesday, April 26, 2016, at 2:00 p.m. Central Time. Space is limited for this complimentary 90-minute webcast.

Moderated by Craig M. Coopersmith, MD, FACS, FCCM, this webcast will feature leading sepsis experts who will discuss the recently published The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) and a related response that has been provided by the Surviving Sepsis Campaign (SSC). Preparation for this webcast may include review of the primary Sepsis-3 manuscript available from the Journal of the American Medical Association and the SSC statement responding to Sepsis-3.

Clifford S. Deutschman, MS, MD, FCCM, and Mitchell M. Levy, MD, MCCM, FCCP, will explore such topics as the rationale for the new definitions of sepsis and septic shock, the quick Sepsis-Related Organ Failure Assessment (qSOFA) and how this definition might apply to bedside sepsis screening.

Learning Objectives

  • Understand The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) and related clinical assessment tools
  • Recognize the rationale behind the new definitions for sepsis and septic shock
  • Understand the relationship of the new sepsis definitions to bedside screening and treatment of sepsis patients

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

Keep the discussion going on Twitter by using #SepsisRedefined. Join the #SepsisRedefined conversation group for updates on upcoming Twitter Chats on this topic.

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

Chronic Hypoxemia in Children with CHD Mars Airway Epithelial Na+ Transport

Ambient hypoxia impairs the airway epithelial Na+ transport, which is crucial in lung edema reabsorption. Whether chronic systemic hypoxemia affects airway Na+ transport has remained largely unknown. Kaskinen et al have therefore investigated whether chronic systemic hypoxemia in children with congenital heart defect affects airway epithelial Na+ transport, Na+ transporter-gene expression, and short-term lung edema accumulation.

They found that the impaired airway epithelial amiloride-sensitive Na+ transport activity in profoundly hypoxemic children with cyanotic congenital heart defect may hinder defense against lung edema after cardiac surgery.

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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