Participate in SCCM Journal Club Twitter Chat

The Society of Critical Care Medicine’s (SCCM) Social Media Task Force is hosting its first-ever Journal Club Twitter chat. The chat will take place from 7:00 p.m. to 8:00 p.m. Central Time on Thursday, October 29, 2015.

Christopher Seymour, MD, will be discussing his Critical Care Medicine article, County-Level Effects of Prehospital Regionalization of Critically Ill Patients: A Simulation Study, with moderator and SCCM Social Media Task Force Co-chair Anthony Gerlach, PharmD, BCPS, FCCP, FCCM. Join Dr. Seymour (@seymoc) and Dr. Gerlach (@SICUPharmD) in this highly informative discussion. Come prepared with any relevant questions you may have for Dr. Seymour and make sure to use #SCCMJC in your tweets.

Controversies in Fluid Resuscitation On Demand is Now Available

The recent webcast, Controversies in Fluid Resuscitation: A Clinical Debate on Colloids Versus Crystalloids, is now available for purchase On Demand. Advance your knowledge of fluid resuscitation with this offering from the Society of Critical Care Medicine’s (SCCM) Controversies in Critical Care series, held in collaboration with SCCM’s Physician Assistant Section.

Controversies in Fluid Resuscitation: A Clinical Debate on Colloids Versus Crystalloids On Demand allows you to access the video containing slide presentations and synchronized speaker audio from the event. Enjoy this access from the comfort and convenience of your home or office and review the content on your own time and at your own pace.

Available in the SCCM Store, Controversies in Fluid Resuscitation: A Clinical Debate on Colloids Versus Crystalloids On Demand can be purchased for $35 for members and $45 for nonmembers.

Once you have made your purchase, you can access the materials as often as you like by logging in to MySCCM.org using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Sepsis Without Walls On Demand is Now Available

Sepsis Without Walls On Demand is now available for purchase. Experience the same didactic sessions from the Society of Critical Care Medicine’s (SCCM) live 2015 Sepsis Without Walls course from the comfort of your home or office. With searchable slide presentations and synchronized speaker audio, you can access the entire program as if you were there.

Sepsis Without Walls On Demand provides strategies to identify, diagnose and manage patients who present with signs and symptoms of sepsis, irrespective of their care unit. A multiprofessional panel of leading experts focuses on problem solving through case studies and developing effective strategies in specific patient populations.

SCCM members can purchase Sepsis Without Walls On Demand for $155. Cost for nonmembers is $195.

Once you have purchased Sepsis Without Walls On Demand, you can access it as often as you like by logging in to MySCCM.org using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

2016 MCCKAP Registration Open

Registration is now open for the Society of Critical Care Medicine’s (SCCM) 2016 Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP). The examination will be administered from March 3 to 11, 2016.

The MCCKAP online examination assesses critical care fellowship programs nationally. Held annually, the MCCKAP examination helps program directors:

  • Prepare fellows for the subspecialty board examinations in critical care
  • Identify specific areas of strength and weakness with lists of references and key terms for missed questions
  • Assess results for each individual fellow and the overall program, as well as the institution’s national ranking

Available in both adult and pediatric formats, the examination is offered exclusively online and consists of 200 multiple-choice questions pertaining to critical care knowledge and patient management.

Examination content is developed by critical care professionals experienced in examination preparation and analysis.

Immediate preliminary scores and analyses are available to both the examinee and the program director upon completion of the examination. Final results will be available approximately five weeks after the examination.

Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. To receive the best rates, register by November 25, 2015.

Register for the 2016 Study Mission and Excursion to India

Registration is now open for a unique opportunity to earn continuing education credits while visiting local intensive care units in northern India during the Society of Critical Care Medicine’s (SCCM) Study Mission to India, which will be held March 8-18, 2016. Participants will meet with their colleagues in a number of local hospitals and clinics in Delhi, Agra and Jaipur and will also visit various historical sites in these cities. These historical sites include the Red Fort, Humayun’s Tomb and the Gandhi memorial at Raj Ghat in Delhi; the Taj Mahal and Agra Fort in Agra; and the Amber Fort, Palace of Winds and the Jantar Mantar in Jaipur.

The opportunity to explore the culture and scenery of central India is also available, during SCCM’s Excursion to India, which will be held March 17-23, 2016, immediately following the Study Mission. Participants will visit the Khajuraho stone temples, participate in tiger safaris in the Bandhavgarh National Park and visit the Hanging Gardens and Kamala Nehru Park in Mumbai.

Register online for the Study Mission to India and Excursion to India using your Customer ID and password. For complete details, including the preliminary agenda and terms and conditions, please visit the event webpage. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Please note that the Study Mission to India and the Excursion to India are two separate events. You must register for each event that you wish to attend. Study Mission attendance is not required to register for the Excursion to India.

Comparing Utility of First-Line Vasoactive Drugs in Pediatric Septic Shock

There have been many international consensus statements on the diagnosis and management of pediatric sepsis and septic shock during the past few decades. However, because of the complexity and variability in the presentation and natural course of the disease, specific recommendations regarding the ideal vasoactive agent remain controversial. Ventura et al used clinical and laboratory parameters to determine whether children with fluid-refractory septic shock would benefit more from a potent inotrope (i.e., epinephrine) than from dopamine.

Overall, the study suggested a significant benefit to using epinephrine as a first-line agent (compared to dopamine).

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.

Latest News from the SCCM eCommunity

You are encouraged to check out the latest Society of Critical Care Medicine eCommunity posts and join in the discussions. The eCommunity is a great forum in which to share valuable resources or offer insight on a variety of pertinent critical care topics.

Antibiotic Prophylaxis in Therapeutic Hypothermia

Administration of Metered Dose Inhaler Steroids or Long-Acting Beta-Adrenoceptor Agonists in Ventilated (Invasive or Non-Invasive) Patients

Apparent Transverse Cervical Nerve Injury from Internal Jugular Vein Placement

Webcast on Controversies in Fluid Resuscitation

Register today to advance your knowledge of fluid resuscitation with the upcoming webcast, Controversies in Fluid Resuscitation: A Clinical Debate on Colloids Versus Crystalloids, the latest offering from the Society of Critical Care Medicine’s (SCCM’s) Controversies in Critical Care series.

Presenters will review the most up-to-date research and argue the merits and pitfalls of colloids versus crystalloids for fluid resuscitation in critically ill patients in a variety of shock states.

Learning Objectives

  • Explore the pros and cons of crystalloid resuscitation
  • Explore the pros and cons of colloid resuscitation

This webcast will take place on Tuesday, October 6, 2015, at 11:00 a.m. Central Time. The registration fee for this 60-minute webcast is $30 for members and $40 for nonmembers. For institutions seeking unlimited participation at a single location, a $200 group rate is available.

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

This webcast is part of SCCM’s Controversies in Critical Care series and was developed in collaboration with the Physician Assistant Section. The Controversies in Critical Care series is intended to provide insight into topics in critical care medicine for which no clear consensus or unequivocal evidence is available to guide practice decisions.

New 2015 Self-Directed Board Review: Adult

Not able to attend the recent Adult Multiprofessional Critical Care Board Review Course? Self-Directed Multiprofessional Critical Care Board Review Course: Adult provides a relaxed learning experience with access to the same didactic sessions found in the 2015 live course. Learn at your own pace from the comfort and convenience of your home or office.

  • Review all lectures in any of the following formats: audio MP3, PDF or videos containing slide presentations and synchronized audio
  • Explore sample board review questions, answers and rationales
  • Assess your knowledge through the use of pre- and posttests

Physicians, nurses and pharmacists are eligible to receive 41.75 hours of continuing education credit. Maintenance of Certification credit is also available. Registrants have two years from the date of enrollment to complete the course.

Enhance your learning experience by purchasing the Comprehensive Board Prep Bundle: Adult. The bundle includes Self-Directed Multiprofessional Critical Care Board Review Course: Adult, as well as the Comprehensive Critical Care: Adult textbook/eBook and both versions of Self-Assessment in Adult Multiprofessional Critical Care (print/eBook and interactive).

For more details and to view the complete line of board preparation and review products, visit www.sccm.org/adultboardreview.

Register for February Ultrasound Courses

Focused ultrasound examinations in the critical care setting have become an extension of the clinical assessment because of their rapid, precise detection capabilities. Assist in immediate patient management by learning or enhancing point-of-care skills during the Society of Critical Care Medicine’s (SCCM’s) critical care ultrasound courses.

Obtain the realistic training needed to perform and interpret ultrasound imaging with SCCM’s comprehensive, two-day Critical Care Ultrasound or Critical Care Ultrasound: Pediatric course. In each, 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.

These courses will be held February 19–20, 2016, at the Hyatt Regency Orlando in Orlando, Florida, USA, before SCCM’s 45th Critical Care Congress. Register online today with your customer ID and password. If you plan to attend an ultrasound course in conjunction with Congress, register at www.sccm.org/Congress. If you wish to attend an ultrasound course and not attend Congress, register at www.sccm.org/Ultrasound. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Furosemide Stress Test and Biomarkers for the Prediction of AKI Severity

Acute kidney injury (AKI) is widely prevalent in the intensive care unit and is associated with significant morbidity and mortality. However, no accurate prediction model exists to determine which AKI cases will progress and, if so, to what severity. Chawla et al developed and standardized a furosemide stress test (FST), and Koyner et al assessed the utility of the FST plus biomarkers for prediction of AKI severity. The development of the FST and utility of the FST plus biomarkers were studied in the same two cohorts. Ultimately, the studies proposed, respectively, that (1) the FST in early AKI identifies those with severe and progressive AKI, and (2) the addition of biomarker levels to the FST improves the risk stratification of these patients.

In the end, the FST showed that, at the two-hour time point, urine output of 200 mL or less had the best sensitivity and specificity to predict progression to Acute Kidney Injury Network (AKIN) stage 3. The studies also showed that the FST was superior to the panel of biochemical biomarkers for all end points.

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.

New Article Spotlights ICU Liberation Initiative

You are encouraged to read the following article, “Undone in the ICU,” which recently appeared in Vanderbilt Medicine, a magazine published by Vanderbilt University Medical Center. The article centers on efforts to better measure, understand and treat delirium in the intensive care unit (ICU). It also explores efforts to mitigate the long-term impact of delirium on ICU patients.

Discussed throughout is the work of Society of Critical Care Medicine (SCCM) member E. Wesley Ely, MD, MPH, FCCM, as co-chair of the ICU Liberation Initiative and as leader of Vanderbilt’s ICU Delirium and Cognitive Impairment Study Group. Both ABCDEF Bundle implementation and SCCM’s Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit are featured. So, too, is the ICU Liberation ABCDEF Bundle Improvement Collaborative, which involves 77 U.S. hospital ICUs committed to improving outcomes for patients and families by reliably implementing the bundle.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility.

Participate in a Pre-Congress Educational Session

Review airway management principles or discover the Society of Critical Care Medicine’s (SCCM’s) popular Fundamentals courses by participating in a pre-Congress educational session. These full-day courses will be held on February 20, 2016, before the 45th Critical Care Congress in Orlando, Florida, USA.

Register online today with your customer ID and password. If you plan to attend either course in conjunction with Congress, register at www.sccm.org/Congress. If you have already registered for Congress, please contact SCCM Customer Service to add either course to your existing registration.

Adult Airway Management in the Critically Ill
Register Online
This hands-on course will provide information on airway anatomy, management of the difficult airway, anatomic surprises, airway devices, and pharmacologic support. The afternoon will consist of skill stations for direct laryngoscopy, percutaneous and surgical cricothyroidotomy, channeled and non-channeled airway devices, and King airway insertion and removal.

Fundamentals Faculty Academy
Register Online
This single-day course will introduce intensivists and other intensive care unit clinicians to Fundamental Critical Care Support (FCCS), Pediatric Fundamental Critical Care Support (PFCCS) and Fundamental Disaster Management (FDM). Offered for both those interested in bringing FCCS, PFCCS or FDM to their institutions and individuals from institutions currently hosting a Fundamentals course, leading course consultants and developers will share strategies for ways to improve how the course is provided within a variety of environments. In addition, each registrant will be able to choose a complimentary version of Self-Directed FCCS, Self-Directed PFCCS, or Self-Directed FDM.

To view other available precourses, visit the Congress Program page.

Build your critical care knowledge and enhance the care you deliver to patients by attending SCCM’s 45th Critical Care Congress, to be held February 20 to 24, 2016, in Orlando, Florida, 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.

Webcast on Early Progressive Mobility in the ICU

Register today for Early Progressive Mobility in the ICU – AACN Clinical Scene Investigator Academy Project, the latest webcast from the Society of Critical Care Medicine’s (SCCM’s) ICU Liberation series. It will explore the implementation of an early progressive mobility protocol by Duke Raleigh Hospital’s medical-surgical intensive care unit (ICU), under the guidance of the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy.

The goal of this protocol was to decrease ICU lengths of stay and ventilator days, while increasing mobility and positive patient outcomes through reduced incidence of hospital-acquired infections and complications.

Implementation of the protocol has resulted in a large number of successful outcomes, a strengthened ICU team and a collaborative interprofessional culture in the unit. Presenters will discuss the team’s approach to implementation, project planning and protocol structure. They will also highlight challenges, qualitative and quantitative outcomes, and meaningful patient stories.

Learning Objectives

  • Identify different goals and strategies for successful implementation of an early progressive mobility protocol for critically ill patients, including tests of change, staff education, interprofessional collaboration, and addressing perceived barriers
  • Discuss initial and sustained outcomes and measurements resulting from the project
  • Describe how meaningful recognition and nurse leadership impact the success or failure of a project of this scale

This 60-minute webcast will take place on Tuesday, September 29, 2015, at 1:00 p.m. Central Time. Registration is complimentary for all participants.

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

This webcast is held in collaboration with Project Dispatch, funded by the Agency for Healthcare Research and Quality, and AACN.

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.

On-Site Registration Available for Sepsis Without Walls Conference

On-site registration will be available on Friday, September 25, 2015, for the Society of Critical Care Medicine’s (SCCM’s) Sepsis Without Walls conference, which will be held at The Johns Hopkins University School of Medicine in Baltimore, Maryland, USA. A staff member will be available to assist you at the SCCM registration desk in the Turner Concourse beginning at 7:00 a.m. on September 25.

SCCM is partnering with The Johns Hopkins University School of Medicine to offer this one-day interactive conference, which will focus on strategies to identify, diagnose and manage patients who present with signs and symptoms of sepsis, irrespective of the care unit in which they are located. Early detection of sepsis, with the timely administration of appropriate antibiotics, appears to be the single most important factor in reducing morbidity and mortality from sepsis. Join the multiprofessional panel of leading experts who will focus on problem solving through case studies in developing effective strategies in specific patient populations.

Learning Objectives

  • Identify cutting-edge diagnostic algorithms for pathogen identification in sepsis
  • Analyze and implement sepsis pathways for patients who are not yet located in the intensive care unit
  • Compare and contrast the efficacy of current infection control practices
  • Summarize effective antibiotic recommendations for common nosocomial infections

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

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