Virtual Critical Care Rounds: Adult Now Available

Virtual Critical Care Rounds (VCCR), 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 patient during their intensive care unit (ICU) rounds.

VCCR: Adult, the enhanced replacement for the Adult 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: Adult program contains two courses. VCCR I focuses on student level learning and features 18 modules covering topics such as antibiotics in the ICU, basic mechanical ventilation and organ donation. VCCR II, aimed at the resident and fellow levels, contains 15 modules exploring such topics as neurologic emergencies, sepsis and septic shock, and hemorrhagic shock. The VCCR courses are available as program director-led or self-directed products.

Visit www.sccm.org/VCCR to make a purchase or for more details.

Register Now for Sepsis Without Walls Conference

The Society of Critical Care Medicine (SCCM) and The Johns Hopkins University School of Medicine have partnered to bring you Sepsis Without Walls: Ensuring All Patients Receive Optimal, Time-Sensitive Care, which will be held September 25, 2015, at The Johns Hopkins University School of Medicine in Baltimore, Maryland, USA. The focus of this one-day interactive conference will be on strategies to identify, diagnose and manage patients who present with signs and symptoms of sepsis, irrespective of their care unit.

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. Thus, healthcare providers need a high index of suspicion for the presence of sepsis and must begin appropriate antimicrobials quickly. Join the multiprofessional panel of leading experts who will focus on problem solving through case studies in developing effective strategies in specific patient populations.

Space for this course is limited. Register online or contact SCCM Customer Service at +1 847 827-6888 to reserve your spot.

Register for Upcoming ICU Liberation Events

The Society of Critical Care Medicine’s (SCCM) ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. Take advantage of two upcoming learning opportunities that will provide strategies to help reduce the risk of long-term consequences from an intensive care unit (ICU) stay.

Webcast: Successfully Overcoming Assessment and Treatment Challenges for ICU Pain
May 28, 2015
1:00 p.m. – 2:00 p.m. Central Time
Register online today

In this webcast, Céline Gélinas, PhD, RN, associate professor of nursing at McGill University, Aaron M. Joffe, DO, associate professor, Department of Anesthesiology & Pain Medicine at Harborview Medical Center, and Kathleen Puntillo, RN, PhD, FAAN, FCCM, professor emerita of nursing at University of California, San Francisco, will provide an overview of the landscape of pain assessment and management in ICU patients within the context of the ABCDEF bundle and offer suggestions for interventions. The presentation will conclude with a question-and-answer segment.  Registration for this webcast is complimentary.

Learning Objectives

  • Describe the importance of pain assessment and analgesic management within the framework of the ABCDEF bundle
  • Discuss the assessment of pain in non-communicative patients through use of the Critical-Care Pain Observation Tool (CPOT)
  • Evaluate pharmacological options for treating pain in critically ill patients
  • Provide answers to frequently asked questions about pain assessment and management challenges that occur in critical care practice

Live Event: ICU Liberation and Animation: Implementing the Pain, Agitation and Delirium Guidelines
September 9-10, 2015
Nashville, Tennessee, USA
Register online today

Secure your seat for this two-day didactic and simulation conference, held in partnership with Vanderbilt University Medical Center. Participants will review implementation strategies and discuss approaches to enable a more effective and lasting application of the pain, agitation and delirium (PAD) guidelines by utilizing the multiprofessional team.

During this conference, which will be held at Vanderbilt University Medical Center in Nashville, Tennessee, USA, internationally recognized faculty will present lectures on patient management strategies and engage participants in clinical scenarios through small-group simulation labs. 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.

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

GCR Expression in Critically Ill Children with Cardiovascular Dysfunction

Various efforts have been made to better understand the interplay of glucocorticoid receptor (GCR) expression and critical illness, but many unknowns remain. Shibata et al hypothesized that a subset of critically ill children with cardiovascular (CV) collapse would demonstrate decreased expression of GCR and would have more severe illness (based on Pediatric Risk of Mortality [PRISM] III measurements) and more organ failure than critically ill children with no CV collapse.

In a comparison of these two groups, the investigators discovered a statistically significant decrease in GCR expression in CD4+ and CD8+ cells in critically ill children with CV failure. They also discovered that this diminished expression could be found in patients with higher PRISM III scores and those with greater organ failure burden. Ultimately, this study’s findings suggest that the lack of GCR expression in critically ill patients could serve as a risk factor for worsening severity of illness and CV failure.

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.

Application Deadline Nearing for Grant-Funded ICU Liberation Collaborative

Applications to participate in the Society of Critical Care Medicine’s (SCCM) ICU Liberation grant-funded quality improvement initiative are due by May 19, 2015.

The ICU Liberation ABCDEF Bundle Improvement Collaborative is seeking U.S. hospitals interested in improving outcomes for patients and families by reliably implementing the newly modified ABCDEF bundle. Participating hospitals would work with a team of leading national and regional experts to:

  • Optimize pain control plus reduce sedative exposure and time on mechanical ventilation
  • Extend time patients are free of delirium and coma
  • Improve a team approach to early mobilization
  • Engage families to participate in the care and healing of their loved ones
  • Validate compliance and improvement through use of an online data collection tool
  • Enhance teamwork through implementation of evidence-based care
  • Engage with leading experts who have demonstrated improved patient outcomes through the ABCDEF care bundle
  • Create partnerships with institutions doing the same improvement work across the United States

The Collaborative is funded by a grant from the Gordon and Betty Moore Foundation and will be operating in the Southeast, Midwest and West Coast regions, but applying hospitals need not be located in these regions. Hospitals of any type or size may apply, and no experience in implementing the bundle is required.

Apply or learn more about the Collaborative and participation requirements.

If you have any additional questions, please contact SCCM staff partner Diane Byrum at dbyrum@sccm.org.

Surviving Sepsis Campaign Six-Hour Bundle Revised

The leadership of the Surviving Sepsis Campaign (SSC) has believed since its inception that both the SSC guidelines and the SSC performance improvement indicators will evolve as new evidence improves our understanding of how best to care for patients with severe sepsis and septic shock.

With publication of the results of the Protocolized Care for Early Septic Shock (ProCESS) trial, the Australasian Resuscitation in Sepsis Evaluation (ARISE) trial, and the Protocolised Management in Sepsis (ProMISe) trial, the SSC Executive Committee has revised elements of the six-hour bundle.

Wear Blue Tomorrow to Support Critical Care

You are encouraged to wear blue tomorrow in celebration of National Critical Care Awareness and Recognition Month (NCCARM)!

Also, remember to share your photos on Twitter using #NCCARM, or post them to the Society’s Facebook page. We’d especially love to see any photos of you and your ICU team reuniting with former patients and their families! You can also send your pictures to criticalconnections@sccm.org.

Tragedy in Nepal: Disaster Resources, Ways to Donate

On behalf of its membership, the Society of Critical Care Medicine (SCCM) has reached out to those affected by the devastating earthquake and avalanche in Nepal, offering our deepest condolences and assistance in response efforts.

The Society maintains a website with various emergency response resources at www.sccm.org/disaster. There is also a thread on the SCCM Disaster eCommunity site specific to the situation in Nepal. This is a great forum for sharing pertinent resources and information.

At this time, there is no call for critical care volunteers, but the Society will continue to communicate with those in the affected region and do everything possible to assist in the effort. To learn more about critical care development in Nepal and ways to donate to relief efforts, please visit www.nccdfnepal.org. To the many SCCM members who have already contacted our headquarters offering to go to Nepal, thank you. And to those that have chosen to assist through other means, your efforts are very much appreciated and admired by your colleagues worldwide.

You are encouraged to listen to the recent iCritical Care podcast centering on post-disaster efforts in Nepal. Donation opportunities are also discussed.

SCCM Pod-272 Tragedy in Nepal: Post-Disaster Efforts, Ways to Help

In this podcast, Margaret Parker, MD, MCCM, speaks with Laura Hawryluck, MD, FRCPC, about Nepal’s critical care infrastructure and how it has been affected by the earthquake. They also discuss the post-disaster efforts and ways the critical care community can help. As noted in the podcast, those interested in contributing to the Nepal Critical Care Development Foundation can find more information at http://www.indiegogo.com/projects/nepal-icu-care-box. The Society has contributed to the relief efforts in this manner and encourages its members to do likewise as they are inclined and able. For additional information, contact Dr. Hawryluck at laura.hawryluck@gmail.com. Dr. Hawryluck works as a critical care physician at the University Health Network in Toronto, Ontario, Canada.

Pediatric Universal Life-Saving Effort, a nonprofit organization, is also raising funds for the Nepal relief efforts. Society members are encouraged to donate.

Special Surgery and Anesthesiology Sessions at MCCBRC

The Society of Critical Care Medicine’s (SCCM) Adult Multiprofessional Critical Care Board Review Course (MCCBRC) is the preferred resource for critical care professionals seeking a comprehensive review of content focused on the diagnosis, monitoring and management of critically ill patients.

New in 2015, special afternoon concurrent sessions have been specifically designed to review surgery and anesthesiology. Topics include: transplant, gastrointestinal and cardiovascular surgery, and pre-, intra- and postoperative anesthesia.

The 2015 Adult MCCBRC will be held August 11 to 15, 2015, at the Fairmont Chicago, Millennium Park, in Chicago, Illinois, USA. Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

To view the complete line of board prep and review products, visit www.sccm.org/adultboardreview.

Register for ECMO Management Course

Attend the Society of Critical Care Medicine’s (SCCM) intense two-day ECMO Management course and explore the basic management principles common to extracorporeal membrane oxygenation (ECMO) programs for both adult and pediatric patients.

Led by expert faculty, this course will provide a comprehensive overview of ECMO programs. Participants will rotate through lectures and simulation scenarios. Each simulation group will have a maximum of 10 participants and two facilitators. Topics include: basic physiology of ECMO, equipment and patient selection, and economic and ethical considerations.

This course will be held August 28 and 29, 2015, at the University of Arizona Center for Simulation and Innovation in Phoenix, Arizona, USA.

Register online today with your customer ID and password. Please contact SCCM Customer Service at +1 847 827-6888 with any questions.

Register Now for ICU Liberation Webcasts

In the month of May, the Society of Critical Care Medicine (SCCM) will feature two webcasts from the ICU Liberation series. Registration is complimentary for all participants.

Road Map for Implementing the New ABCDEF Bundle in Your ICU
Tuesday, May 12, 2015
2:00 p.m. Central Time
Register online today

Mary Ann Barnes-Daly, RN, BSN, CCRN, DC, clinical performance improvement consultant at Sutter Health, and Juliana Barr, MD, FCCM, associate professor of anesthesiology, perioperative and pain medicine at Stanford University and staff anesthesiologist and intensivist at VA Palo Alto Health Care System, will provide a strategy for intensive care unit (ICU) teams striving to implement the new ABCDEF bundle. Faculty will examine the new element of the bundle: family engagement and empowerment. The bundle includes:

A = Assess, Prevent and Manage Pain
B = Both Spontaneous Awakening Trials and Spontaneous Breathing Trials
C = Choice of Sedation
D = Delirium: Assess, Prevent and Manage
E = Early Mobility and Exercise
F = Family Engagement and Empowerment

Learning Objectives

  • Review elements of the new ABCDEF bundle
  • Develop a mental model for successful implementation of bundle elements in an ICU

Successfully Overcoming Assessment and Treatment Challenges for ICU Pain
Thursday, May 28, 2015
1:00 p.m. Central Time
Register online today

Pain management in the ICU may be difficult because of a patient’s severity of injury and unstable health status. During this session, Céline Gélinas, PhD, RN, associate professor of nursing at McGill University, Aaron M. Joffe, DO, associate professor, Department of Anesthesiology & Pain Medicine at Harborview Medical Center, and Kathleen Puntillo, RN, PhD, FAAN, FCCM, professor emerita of nursing, at University of California, San Francisco, will provide an overview of the landscape of pain assessment and management in ICU patients within the context of the ABCDEF bundle and offer suggestions for interventions. The presentation will conclude with a question-and-answer segment.

Learning Objectives

  • Describe the importance of pain assessment and analgesic management within the framework of the ABCDEF bundle
  • Discuss the assessment of pain in non-communicative patients through use of the Critical-Care Pain Observation Tool (CPOT)
  • Evaluate pharmacological options for treating pain in critically ill patients
  • Provide answers to frequently asked questions about pain assessment and management challenges that occur in critical care practice

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

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

Predicting Weaning-Induced Cardiac Dysfunction

Weaning-induced cardiac dysfunction is one of the most frequent and treatable causes of weaning failure. Dres et al initiated a study to determine whether the presence of cardiac preload independence before a spontaneous breathing trial (SBT) is associated with weaning failure related to cardiac dysfunction.

They found that detection of cardiac preload independence by passive leg raising (PLR) performed before an SBT reliably predicted the occurrence of weaning-induced cardiac dysfunction. These study results provide compelling support for using PLR as an assessment tool for SBT failure. It is now a matter of waiting for confirmatory studies.

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.

Apply Now for THRIVE Support Group Network Funding

In support of the THRIVE initiative, the Society of Critical Care Medicine (SCCM) is proud to fund the first round of seed grants to foster an international network of in-person support groups linking survivors of critical illness and their families. These groups will offer survivors mutual support and the opportunity to share solutions to the challenges of recovery after an intensive care unit (ICU) stay.

Via a brief, expedited application process, SCCM will select up to five sites to inaugurate the initial networks. Participation is open to institutions that already have a support group in place, as well as those that wish to establish a new support system for patients. Participants will join together in regular calls to share knowledge about nurturing such groups and helping them grow. The goal of these grants is not to fund ICU follow-up clinics but rather to develop peer-support models with strong survivor co-leadership as the foundation for growing an international network. SCCM expects to add additional groups in each of the next two years.

Applications are due June 15, 2015.

If you have any questions, please contact SCCM staff partner Adair Andrews at aandrews@sccm.org.

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