Examining Angiotensin II

Vasodilatory shock that does not respond to high-dose vasopressors is associated with high mortality. Khanna et al therefore investigated the effectiveness of angiotensin II for the treatment of patients with this condition.

They found that angiotensin II effectively increased blood pressure in patients with vasodilatory shock that did not respond to high doses of conventional vasopressors.

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.

Pediatric Nutrition Support Guidelines

The Society of Critical Care Medicine (SCCM) and the American Society for Parenteral and Enteral Nutrition (ASPEN) recently released guidelines addressing nutrition support therapy in the critically ill pediatric patient.

Titled “Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition,” the material was published in the July 2017 issue of Pediatric Critical Care Medicine.

“The guidelines offer basic recommendations that are supported by review and analysis of the current literature and a blend of expert opinion and clinical practicality,” notes lead author Nilesh M. Mehta, MD. These guidelines are intended for use by all healthcare providers involved in nutrition therapy of the critically ill child, primarily physicians, nurses, dietitians, and pharmacists.

Guideline findings include:

  • There is a significant gap in proper nutritional interventions, particularly among malnourished pediatric patients
  • Early intervention makes a difference
  • The timing and method of nutrient delivery is important
  • A skilled nutrition support team is a key differentiator
  • Ongoing monitoring is critical to avoid unintended caloric under- or overfeeding
  • Determining how much nutrition is needed is an important factor

Members and nonmembers alike can access these and other SCCM guidelines for free by visiting www.sccm.org/guidelines or by downloading the Guidelines App.

Research Grants

The deadline to apply for the Society of Critical Care Medicine (SCCM) Research Grants is August 1, 2017. Applications are being accepted for investigator-initiated research focused on improving patient care both during and after an intensive care unit stay. SCCM member researchers are encouraged to apply; grant support will begin in 2018.

The Society offers several funding opportunities through the SCCM Research Grants for critical care professionals seeking support for their research that helps advance and improve clinician understanding of critical illness and patient care.

Funding will be provided by the following grants:

  • SCCM-Weil Research Grants, including up to two grants of $50,000 each
  • Discovery Research Grants, for a total of $100,000

To begin the application process for a grant, log in to www.MySCCM.org, and click on “Submit an application for SCCM Research Grants” located in the right column.

Help spread the word and make sure to share these opportunities with your colleagues. Note that you must be a current SCCM member to apply for the SCCM Research Grants.

If you have any questions, please feel free to contact SCCM Customer Service at +1 847 827-6888.

Earn Free CE Online

The opportunity to earn free continuing education credits is still available for 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. Acute Decompensated Heart Failure Monograph is an electronic publication available in the SCCM store.

Ileana L. Piña, MD, MPH, of Montefiore Einstein Center for Heart and Vascular Care, Javed Butler, MD, MPH, MBA, of Stony Brook University, and Peter S. Pang, MD, MS, FACEP, FACC, FAHA, of Indiana University School of Medicine, discuss 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. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Study Mission to Cuba

The deadline to register for the Society of Critical Care Medicine’s (SCCM) Study Mission to Cuba, is approaching. Space is limited and filling up fast. Register by August 1, 2017, for this unique opportunity to earn continuing education, which is scheduled for December 4 to 9, 2017. Continuing medical education credits are available for physicians, pharmacists, and nurses.

The Study Mission to Cuba will offer participants a unique opportunity to earn continuing education. Immerse yourself in Cuban culture and engage with fellow Cuban medical professionals while learning about the challenges and advances of medicine in Cuba. Participants will gain firsthand experience and knowledge on the inner workings of healthcare in this country, and attend meetings and meaningful site visits each day.

Topics to be covered include:

  • organizational structure and healthcare delivery systems of various critical care units in Cuba
  • quality processes and how change is implemented to improve patient care
  • cultural differences for patients and families faced with end-of-life decisions
  • resource limitations in caring for critically ill patients
  • and more

Following the study mission is an optional Excursion to Matanzas, from December 9 to 12, 2017. During this excursion, participants will discover local architecture, learn from artisans skilled in ceramics and the creation of hand crafted books, visit the Elian Gonzalez Museum and Castle of San Severino, and much more.

For complete details, please visit the event webpage. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Critical Care Review Course

There is still time to register for the Society of Critical Care Medicine’s (SCCM) Multiprofessional Critical Care Review Course (MCCRC): Adult, to be held July 25 to 29, 2017, in Rosemont, Illinois, USA.

Attend the full 4.5 days or participate in the day(s) that features relevant topics specific to your learning needs.

  • Tuesday: Respiratory Disease, Mechanical Ventilation, and Noninvasive Support
  • Wednesday: Hemodynamics and Cardiovascular Disease
  • Thursday: Kidney, Babies, Blood, and Endocrine Emergencies
  • Friday: Infectious Disease, Liver, and Gastrointestinal
  • Saturday: Brain Emergencies and Other Intracranial Problems

Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Registration will also be accepted on site at the Loews Chicago O’Hare Hotel.

Led by co-chairs Pamela A. Lipsett, MD, MHPE, MCCM, and Stephen M. Pastores, MD, FCCM, the 2017 MCCRC: Adult will provide the most comprehensive review and update of the diagnosis, monitoring, and management of critically ill patients.

For more information, including the agenda, faculty listing, and continuing education details, visit the course webpage.

Evaluating Transfusion Strategies

Cancer patients are at increased risk of septic shock. Therefore, Bergamin et al set out to assess whether a restrictive strategy of red blood cell (RBC) transfusion reduces 28-day mortality when compared with a liberal strategy in cancer patients with septic shock.

They observed a survival trend favoring a liberal transfusion strategy in cancer patients with septic shock when compared with the restrictive strategy.

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.

ICU Design Citation Award

Applications for the ICU Design Citation award are now being accepted. Co-sponsored by the Society of Critical Care Medicine (SCCM), the American Association of Critical-Care Nurses (AACN), and the American Institute of Architects Academy of Architecture for Health, this award honors a critical care unit that combines functional ICU design with the humanitarian delivery of critical care.

Entries are blindly reviewed and evaluated on the following criteria:

  • Commitment to promote a healing environment
  • Safety, security and efficiency of the unit
  • Innovative, unique aesthetic and creative design features

The award is given to the unit that best resolves both functional and humanitarian issues in a unique and complementary manner. The patient bedside area, overall unit design, integration of technology, staff/support areas, and family/waiting areas also are assessed.

The winning unit receives two plaques and one complimentary registration to the annual meetings of SCCM and AACN. Honorable mentions will also be awarded with two plaques. Citation recipients will be notified in November 2017.

Visit www.sccm.org/ICUDesignCitation for requirements and to begin the application process. The deadline to apply is August 15, 2017.

Healthcare-Associated Infection Podcast

The Agency for Healthcare Research and Quality (AHRQ) has released a podcast series as part of its Healthcare-Associated Infection Program.

In this series of podcasts, senior leaders from the field are interviewed about their efforts to reduce the rate of central line-associated blood stream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) in hospital intensive care units with elevated rates of these infections.

Podcast 1: Why Senior Leadership Engagement Matters (Transcript)
Podcast 2: What Does It Mean to Be Engaged? (Transcript)
Podcast 3: Implementing Strategies and Tools (Transcript)

PBS Features ICU Liberation Team

“I am very aware that I am not the same person who went into the hospital with sepsis,” said intensive care unit (ICU) survivor Paul Turpin in an interview with PBS NewsHour.

This broadcast, entitled, Why a Stay in the ICU Can Leave Patients Worse Off, shares the story of Turpin’s experience with post-intensive care syndrome (PICS) and what the ICU Liberation team at Vanderbilt University Medical Center and others across the country are doing to prevent and manage PICS for patients.

Learn more about SCCM’s ICU Liberation Campaign and access the pain, agitation, and delirium clinical practice guidelines by visiting http://www.iculiberation.org.

Resolution on Sepsis

On May 26, 2017, the World Health Organization (WHO) held its 70th World Health Assembly in Geneva, Switzerland. During this assembly, delegates agreed on a resolution to improve the prevention, diagnosis and treatment of sepsis, outlining these important actions for WHO:

  • Urge governments to strengthen policies and processes related to sepsis and emphasize the importance of reinforcing health worker training to more effectively diagnose and treat sepsis
  • Develop a report on sepsis and guidance for its prevention and management
  • Help countries develop the necessary infrastructure, laboratory capacity, strategies and tools to reduce the burden of sepsis
  • Assist developing countries in gaining access to quality, safe, efficacious and affordable sepsis treatments and tools for infection prevention and control

Learn more about this resolution on sepsis by visiting the WHO assembly website.

Journal Impact Factors

The 2016 impact factors for the Society of Critical Care Medicine’s (SCCM) two journals, Critical Care Medicine (CCM) and Pediatric Critical Care Medicine (PCCM), have been released. CCM’s impact factor is now 7.050, and PCCM’s impact factor is now 3.495.

Stay up to date with these top journals in critical care by subscribing to their respective electronic table of contents (eTOC) at CCM and PCCM online. And don’t forget to follow CCM and PCCM on Twitter to stay caught on the latest journal releases, including ahead-of-print and editor’s choice articles, and the SCCM guidelines.

Earn Free CE Online

The opportunity to earn free continuing education credits is still available for the Society of Critical Care Medicine’s (SCCM) 2016 Congress session, Optimizing Treatment and Improving Care Transitions in Chronic Heart Failure, supported by an educational grant from Amgen. It is available as an electronic publication, Chronic Heart Failure Monograph.

It contains discussions from experts Nancy M. Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, FAAN, of Cleveland Clinic, Jeffrey S. Borer, MD, of The Howard Gilman Institute for Heart Valve Diseases and the Schiavone Cardiovascular Translational Research Institute, and Paul J. Hauptman, MD, of Saint Louis University School of Medicine. Topics include the epidemiology, pathophysiology and diagnosis of chronic heart failure and how strategies to decrease hospital readmission rates and overall costs through better diagnosis and disease management impact patient outcomes. Safety, efficacy and clinical application of the current and emerging therapeutics, the new recommendation for the management of chronic heart failure, and appropriate strategies to optimize pharmacologic treatment of chronic heart failure are also discussed.

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

Nutrition Research Workshop

The Society of Critical Care Medicine’s (SCCM) newly released Self-Directed Nutrition Research Workshop: From Bench to Bedside provides a flexible learning experience with access to more than 5 hours of cutting-edge content including implementation of new guidelines, pilot study results, and implications of nutrition and mobility, circadian rhythms, and lipid mediators.

This complimentary course also features:

  • Discussion of the top four novel and cutting-edge investigations in the field of critical care medicine and nutrition that are expected to have clinical impact at the bedside in the ICU
  • Review of the scientific rationale for the recent changes in the interdisciplinary national guidelines for nutrition support in critically ill adults and children
  • Description of the bedside applications of the SCCM/American Society for Parenteral and Enteral Nutrition critical care nutrition guidelines 2015-2016 for adults and children

This course is supported by an educational grant from Abbott Nutrition.

The self-directed course format allows learners to:

  • Work through the content at their own pace from the comfort and convenience of their home or office
  • Review all lectures through interactive learning modules
  • Explore questions, answers, and rationales
  • Review current guidelines and references
  • Assess their knowledge through the use of pre- and posttests

Physicians, nurses, pharmacists, and dieticians are eligible to receive 6 hours of continuing education credit. This opportunity is available through May 2018.

Access this free course today.

ICU Liberation Early Registration

Register by July 19, 2017, to receive the lowest rates for ICU Liberation and Animation: Operationalizing the PAD Guidelines Through the ABCDEF Bundle. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Course participants will gain strategies for effective implementation of the pain, agitation and delirium (PAD) guidelines during this two-day didactic and simulation conference, which is held in partnership with the Society of Critical Care Medicine (SCCM) and Vanderbilt University Medical Center.

Internationally-recognized faculty will present lectures on patient management strategies and engage participants in clinical scenarios through small-group simulation labs. During the course, participants will:

  • Review the PAD guidelines and ABCDEF Bundle
  • Learn strategies for implementation and management of the PAD guidelines and ABCDEF Bundle in the intensive care unit (ICU)
  • Gain a significant hands-on experience by applying strategies during patient scenario simulations
  • Earn 14 continuing medical education credit hours (available to physicians, nurses and pharmacists)

Hospitals are encouraged to send a team of two or more participants who will then be able to implement these strategies within their hospital’s ICU after the conference.

ICU Liberation and Animation will be held September 12 and 13, 2017, at Vanderbilt University Medical Center in Nashville, Tennessee, USA. For more information including the agenda, faculty listing, and continuing education details, visit the course webpage.

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