2016 Hastings Center Cunniff-Dixon Physician Awards

The Hastings Center Cunniff-Dixon Physician Awards are presented to physicians, licensed and practicing in the United States, to recognize and support excellence in care near the end of life. To date, 28 of the nation’s leading physicians have received this prestigious award.

You are encouraged to nominate a deserving physician for the 2016 Hastings Center Cunniff-Dixon Physician Awards. Nominations for 2016 are due by December 31, 2015.

Information about the award and the nomination process can be found at http://physicianawards.org/.

Discover Clinical Breakthroughs during Congress

Learn about clinical breakthroughs and advances in patient care during the educational symposia at the Society of Critical Care Medicine’s (SCCM) 45th Critical Care Congress. Each stimulating session is presented by leading experts in critical care and offers a thorough analysis of the developments and issues affecting most intensive care unit (ICU) environments. These sessions are complimentary for all Congress registrants, and no additional registration is needed to attend.

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.
This session will explore invasive fungal infections in the critical care setting and how to identify and overcome diagnostic challenges. Managing at-risk patients and optimizing antifungal therapy will also be discussed.

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.
This session will offer an overview of epidemiology and current guidelines for multidrug-resistant bacterial infections, as well as strategies for implementing a pathogen-directed approach to tailoring therapies and new and emerging therapeutic options for treatment.

Tailoring Therapy and Improving Outcomes in Patients with Acute Decompensated Heart Failure (ADHF)
Supported by an educational grant from Novartis Pharmaceuticals Corporation
This session will review the diagnosis and classification of ADHF, existing therapies, new guidelines and the safety and efficacy data for new and emerging treatment therapies, as well as identify strategies for individualizing therapy to improve patient outcomes.

The Role of Biomarkers in Acute Kidney Injury (AKI) Risk-Assessment
Supported by an educational grant from Astute Medical, Inc.
This session will discuss the pathophysiology, etiology and epidemiology of AKI. Risk stratification scores, first-generation AKI markers and new markers of AKI and risk assessment will be examined.

These symposia will be held Monday, February 22, 2016, at the Orange County Convention Center. Seating is on a first-come, first-served basis. A continental breakfast will be available before each symposium, beginning at 6:00 a.m. The sessions will start promptly at 6:30 a.m.

Register for Congress online today using your Customer ID and password. Take advantage of the advance registration rate through January 13, 2016, and save up to $80.

To secure hotel accommodations at the best rates, registrants should reserve their rooms online by Friday, January 15, 2016.

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

Webcast to Review Continuous Electroencephalography in the ICU

Advance your intensive care unit’s (ICU) continuous electroencephalography (cEEG) program. In the webcast “Continuous Electroencephalography in the ICU,” the latest offering from the Society of Critical Care Medicine’s (SCCM) Controversies in Critical Care series, expert faculty will review the evidence and rationale for cEEG in the ICU.

Jan Claassen, MD, PhD, and Eva Ritzl, MD, will discuss the importance of cEEG in assisting with diagnosis and management of critically ill patients, and will review current recommendations and indications for cEEG in the ICU beyond neurologic injury. Key aspects, logistics, expert opinions and obstacles of implementing a successful cEEG program in the ICU will be explored.

Learning Objectives

  • Discuss state-of-the-art cEEG technology in the ICU
  • Review current guidelines, recommendations and expert opinion on how to successfully implement a cEEG monitoring program in the ICU

This webcast will take place Wednesday, January 13, 2016, at 3:00 p.m. Central Time.

Register online today using your Customer ID and password. The registration fee for this 60-minute webcast is $30 for members ($40 for nonmembers). For institutions seeking unlimited participation at a single location, a $200 group rate is available. Please contact SCCM Customer Service at +1 847 827-6888 for details.

This webcast is part of SCCM’s Controversies in Critical Care series and was developed in collaboration with the Neuroscience Section. The Controversies in Critical Care webcast 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.

Participate in an Ultrasound Course

Obtain the realistic training needed to perform and interpret ultrasound imaging with the Society of Critical Care Medicine’s comprehensive, two-day Critical Care Ultrasound or Critical Care Ultrasound – Pediatric course. 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 your point-of-care skills.

In 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 all attendees.

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 are a current Congress registrant, please contact SCCM Customer Service at +1 847 827-6888 to add an ultrasound course to your existing registration.

New Publication on Improving ICU Ultrasound Skills Now Available

Expand your ultrasound knowledge with Comprehensive Critical Care Ultrasound, the latest publication from the Society of Critical Care Medicine (SCCM). Featuring full-color images and online video, this book is a must-have for healthcare professionals who are interested in or currently practicing critical care ultrasound.

Developed by a team of critical care ultrasound specialists, Comprehensive Critical Care Ultrasound covers the entire body and encompasses various views and diagnoses that clinicians encounter at the bedside in both adult and pediatric populations. Eight key sections on the following topics are featured:

  • The Basics
  • The Heart
  • The Lungs
  • The Abdomen
  • Procedural Guidance
  • Clinical Problem Solving
  • Logistics
  • Pediatrics

The text also highlights administrative aspects of critical care ultrasound, including quality improvement, billing and certification.

Comprehensive Critical Care Ultrasound is available in the SCCM Store for the purchase price of $195 for members ($255 for nonmembers). If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Registration is Now Open for Webcast on Preventing Surgical Fires

Registration is now open for the upcoming webcast, “Surgical Fires Are Preventable Medical Errors,” from the Society of Critical Care Medicine’s (SCCM) Project Dispatch Series, held in collaboration with the Surgery Section’s Patient Safety Committee. This webcast is the third and final of a unique series titled “Patient Safety During Bedside Procedures in the ICU,” and is organized and moderated by Surgery Section Patient Safety Committee Co-Chair Roy Constantine, PhD, RPA-C, FCCM, Assistant Director of Mid-Level Practitioners at St. Francis Hospital – The Heart Center. Registration is complimentary.

According to the FDA, hundreds of surgical fires occur in the United States each year. In this webcast, Soham Roy, MD, FACS, FAAP, Associate Professor and Director of Pediatric Otorhinolaryngology at the University of Texas Health Science Center at Houston Medical School, will discuss improving the surgical team’s ability to classify, assess, prevent and manage the risk of fires. The implementation of tools and practices to reinforce this safety culture will be emphasized.

Learning Objectives

  • Identify elements of the fire triangle
  • Assess high fire risk in ICU practice
  • Implement fire risk safety initiatives

This 60-minute webcast will take place Tuesday, January 12, 2016, at 1:00 p.m. Central Time.

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

Project Dispatch aims to improve the quality, efficacy, accessibility and cost-effectiveness of healthcare in the United States by developing and distributing resources for critical care clinicians focused on patient-centered research. This project is supported by grant number R18HS21940 from the Agency for Healthcare Research and Quality (AHRQ). The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ.

Examining Last Year of Life in Children with Life-Threatening CCCs

Although many adults experience resource-intensive and costly healthcare in the last year of life, less is known about these healthcare experiences in children with life-threatening complex chronic conditions (CCCs). In a study by Ananth et al, the authors sought to describe the characteristics, resource use and healthcare costs for children with life-threatening CCCs in the last year of life and to determine which medical interventions were administered in the terminal admission.

They found that hospital use for children with life-threatening CCCs in the last year of life varies significantly across the type and number of conditions. They also found that children with hematologic/immunologic or multiple conditions have the greatest hospital use.

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 iCritical Care Podcast Discusses PICS and ICU Liberation

You are encouraged to listen to an in-depth iCritical Care podcast featuring former Society of Critical Care Medicine (SCCM) President Maurene A. Harvey, MPH, RN, MCCM, in which she raises awareness about post-intensive care syndrome (PICS) and related research and management strategies. Such strategies include ICU Liberation ABCDEF Bundle implementation.

SCCM Pod-303 Post-Intensive Care Syndrome: Truth About Consequences, Right Care Right Now … and Later

The podcast provides a nice preview of Ms. Harvey’s upcoming plenary session at SCCM’s 45th Critical Care Congress.

On a related note, you are encouraged to check out educational content centered on ABCDEF Bundle implementation strategies that are available in PDF format on the ICU Liberation website.

Implementing the A Component of the ABCDEF Bundle
Implementing the B Component of the ABCDEF Bundle
Implementing the C Component of the ABCDEF Bundle
Implementing the D Component of the ABCDEF Bundle
Implementing the E Component of the ABCDEF Bundle
Implementing the F Component of the ABCDEF Bundle

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility, along with educating and empowering patients and families.

LearnICU.org Resource: Critical Care Protocol Toolkit

You are encouraged to check out a very useful LearnICU.org resource titled the Critical Care Protocol Toolkit.

Developed by the Society of Critical Care Medicine’s (SCCM) Clinical Pharmacy and Pharmacology Section Education Committee, this resource is meant to assist members of the critical care team with identifying clinical problems and developing, implementing and sustaining success in the provision of critical care services through the use of protocols, which can be defined as “a standard set(s) of tasks that define precisely how classes of patients should be managed or treated.”

Join Us for a Journal Club Twitter Chat

Join us on Tuesday, December 15, 2015, from 2:00 p.m. to 3:00 p.m. Central Time for the Society of Critical Care Medicine (SCCM) Social Media Task Force’s Journal Club Twitter chat.

Azra Bihorac, MD, MS, FCCM, and Chuck Hobson, MD, MHA, will be discussing the Critical Care Medicine article, Critical Care Delivery and ICU Structure: The Elephant in the Room, with moderator and SCCM Social Media Task Force Co-chair Anthony Gerlach, PharmD, BCPS, FCCP, FCCM. Their letter to the editor sought to identify unanswered questions provoked by a paper published by the American College of Critical Care Medicine Task Force on Models of Critical Care. The authors also recommend reading a paper published by Mitchell Fink, MD, MCCM, on the future of critical care and an article by Anthony McLean, MD, that offers examples about critical care medicine organizational structure in New Zealand and Australia.

Join Drs. Bihorac (@azrabihorac), Hobson (@CHobsonMD) and Gerlach (@SICUPharmD) in this highly informative discussion.

The authors will explore the many forces bearing on intensivists, the importance of the organization of critical care in the intensive care unit and how the organization of critical care training can impact these forces. The authors will discuss financial pressures to maximize quality while minimizing complications, hospital readmissions, and lengths of stay. They also will tackle workforce issues, including the limited supply of board-certified providers.

The letter to the editor and related articles are available for free until the conclusion of the Twitter chat:

Come prepared with any relevant questions you may have and make sure to use #SCCMJC in your tweets.

What is a Twitter chat?
A Twitter chat is a live event on Twitter, moderated and focused around a general topic. To filter all the chatter on Twitter into a single conversation, a hashtag is used. A set time is also established.

How do you participate?
To participate, all you need to do is tweet during the designated time using the conversation hashtag. It’s easiest to follow and participate at www.twubs.com/SCCMJC.

SCCM Releases Critical Care Ultrasonography Guidelines

The Society of Critical Care Medicine recently released guidelines addressing critical care ultrasonography.

Titled “Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part I: General Ultrasonography,” the material was published in the November 2015 issue of Critical Care Medicine.

After reviewing the document, you’re encouraged to listen to an in-depth iCritical Care podcast that discusses the nuances of the guidelines.

SCCM Pod-296 Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography

Congress Early Registration Ends Wednesday, December 16

Register by Wednesday, December 16, 2015, for the Society of Critical Care Medicine’s (SCCM) 45th Critical Care Congress and save over 15% off the registration fee. Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Build your critical care knowledge and enhance the care you deliver to patients by attending SCCM’s annual 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.

To secure hotel accommodations at the best rates, reserve your room online by January 15, 2016.

For more information about Congress, or to view the Advance Program, visit www.sccm.org/Congress.

Research Workshop: Fat Emulsions and Protein Delivery to Critically Ill Patient

The Society of Critical Care Medicine (SCCM) and the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) have collaborated to bring you a new educational program, Research Workshop – Fat Emulsions and Protein Delivery to the Critically Ill Patient. This workshop is a precourse to A.S.P.E.N.’s Clinical Nutrition Week and will be held Saturday, January 16, 2016, from 7:30 a.m. to 4:00 p.m. in Austin, Texas, USA.

Morning Session: The Use of New and Traditional IV Fat Emulsions in the Critically Ill Patient Population

The morning session will:

  • Focus on metabolomics/lipidomics as a new biomarker discovery science for personalized medicine in the intensive care unit
  • Explore the impact of omega-3 polyunsaturated fatty acids (PUFAs) on specialized lipid mediators and inflammation
  • Review the published clinical and metabolic data on low-soy-based fat emulsions versus the longstanding soybean-oil-based emulsions
  • Examine the impact of different lipid emulsions on cellular structure and function
  • Examine the data behind existing guidelines for administration of fat emulsions in critical care

Afternoon Session: The Optimal Dose of Protein Provided to Critically Ill Patients: How Do We Know When Enough Is Enough?

The afternoon session will:

  • Review current literature relating to protein/amino acid administration in the critically ill patient and clinical outcomes
  • Discuss key measurement and methodological features of future studies that should be done to inform the optimal protein/amino acid dose provided to critically ill patients

Registration is handled by A.S.P.E.N. and can be completed online or by phone at +1 301 587-6315 (toll-free: +1 800 727-4567). Participants are eligible to receive 6.5 hours of continuing education credit. For more information, including a list of faculty and topics, visit the course webpage.

Intravascular Complications of Central Venous Catheterization by Insertion Site

Three anatomical sites are commonly used to insert central venous catheters, but insertion at each site has the potential for major complications. In a multicenter trial, Parienti et al randomly assigned nontunneled central venous catheterization in patients in the adult intensive care unit to the subclavian, jugular, or femoral vein (in a 1:1:1 ratio if all three insertion sites were suitable [three-choice scheme] and in a 1:1 ratio if two sites were suitable [two-choice scheme]). The primary outcome measure was a composite of catheter-related bloodstream infection and symptomatic deep-vein thrombosis.

In this trial, subclavian vein catheterization was associated with a lower risk of bloodstream infection and symptomatic thrombosis and a higher risk of pneumothorax than jugular vein or femoral vein catheterization.

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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