Registration Open for Webcast Series on Alarm and Alert Fatigue

Registration is now open for the upcoming two-part webcast series on alarm and alert fatigue from the Society of Critical Care Medicine (SCCM). The series is held in collaboration with the Surgery Section Patient Safety Committee. The first session, Alarm Fatigue: Evidence and Management Strategies, will take place on Thursday, March 30, 2017, at 1:00 p.m. Central Time. The second session, Alert Fatigue: Management Approaches and Appropriate Metrics, will take place on Wednesday, April 26, 2017, 1:00 p.m. Central Time.

In the first session, Maria M. Cvach, DNP, RN, FAAN, Director of Policy Management and Integration at The Johns Hopkins Health System, and Bradford D. Winters, MD, PhD, FCCM, Associate Professor, Anesthesiology and Critical Care Medicine and Surgery at The Johns Hopkins Hospital, will discuss how alarm fatigue has become a health technology hazard and will offer strategies for management. Missed alarms have resulted in patient injury and death; this hazard has been listed on the Emergency Care Research Institute’s Top 10 Health Technology Hazards list since its inception in 2007. The Joint Commission instituted a National Patient Safety Goal on Alarm Management in 2014 with a requirement that hospitals fully implement it by January 2016.

During the second session, Sandra L. Kane-Gill, PharmD, MS, FCCM, Associate Professor, Pharmacy and Therapeutics at the University of Pittsburgh School of Pharmacy, will discuss how clinical decision support systems (CDSSs) are commonly used for preventing medication errors, and how they are gaining interest as electronic syndromic surveillance systems for events such as sepsis and acute kidney injury. While CDSSs improve patient outcomes, the number of alerts increases the risk of alert fatigue. Approaches to managing alert fatigue are needed to ensure effective use of CDSSs.

Learning Objectives

Session 1

  • Discuss clinical alarm hazards and The Joint Commission’s National Patient Safety Goal on Alarm Management
  • Rate available evidence regarding alarm fatigue literature
  • Identify gaps in knowledge and research needs
  • Discuss alarm management strategies based on quality improvement initiatives

Session 2

  • Choose evidence-based guidance on tested interventions that reduce alert quantity with the intent of reducing fatigue with clinical decision support systems
  • Apply standardized metrics for alert fatigue

These 60-minute webcasts will be moderated by Joseph D. Catino, BS, MD. Registration is complimentary for all participants. Register online for Alarm Fatigue: Evidence and Management Strategies and Alert Fatigue: Management Approaches and Appropriate Metrics today using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

2017 Editions of Current Concepts Available: Adult & Pediatric

Each year, the Society of Critical Care Medicine’s (SCCM) popular precourses, Current Concepts in Adult Critical Care and Current Concepts in Pediatric Critical Care, deliver the latest clinical information relevant to patients in the intensive care unit. These courses are available On Demand and the companion textbooks are available in print and as eBooks.

Save over 10% by purchasing the Adult or Pediatric bundle, which include the 2017 book and unlimited access to the On Demand course.

A sample of topics featured at the 2017 Current Concepts in Adult Critical Care course include:

  • Management of Neuro-ICU Emergencies
  • Patient Safety and the Electronic Medical Record
  • Ethical Controversies in Critical Care
  • Fluid Management in Septic Shock

A sample of topics featured at the 2017 Current Concepts in Pediatric Critical Care course include:

  • Innovations in the Diagnosis and Management of Sepsis
  • Advances in Congenital Heart Surgery
  • Contemporary Issues in Renal Replacement Therapies
  • Update on Pediatric Damage Control Resuscitation

All of the Current Concepts resources are available for purchase. Visit www.sccm.org/AdultCC or www.sccm.org/PediatricCC. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Registration Open for 2017 Critical Care Review Course: Adult

Registration is now open for the Society of Critical Care Medicine’s (SCCM) Multiprofessional Critical Care Review Course (MCCRC): Adult.

The 2017 MCCRC: Adult will be held July 25-29, 2017, at 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.

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

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

Course highlights include:

  • Modular course content, allowing for single or multiday registration to meet comprehensive or specific learning needs
  • Interactive sessions that utilize audience response technology and practice questions, answers and rationales
  • Cutting-edge topics such as extracorporeal membrane oxygenation, choice of vasopressor in shock states, renal replacement therapy techniques, environmental injuries, emerging infections, and delirium.

Efficacy of Combined Intravenous Thrombolysis and Thrombectomy

Mechanical thrombectomy (MT) improves clinical outcomes in patients with acute ischemic stroke (AIS) caused by a large vessel occlusion. However, it is not known whether intravenous thrombolysis (IVT) is of added benefit in patients undergoing MT. Coutinho et al set out to address this unknown.

The results indicate that treatment of patients experiencing AIS due to a large vessel occlusion with IVT before MT does not appear to provide a clinical benefit over MT alone.

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.

Dr. Shoemaker Remembered during 46th Critical Care Congress

William C. Shoemaker, MD, MCCM, one of the critical care community’s great visionaries and founders, was remembered during the Society of Critical Care Medicine’s 46th Critical Care Congress with a powerful memorial video.

Together with his wife, Norma, the Shoemakers were instrumental in founding the Society of Critical Care Medicine, helping to start the organization from the ground up.

Dr. Shoemaker was a key voice in the effort to have critical care considered a specialized area of medicine, and was a staunch believer that optimal critical care should be delivered by a multidisciplinary team. He served as the third SCCM president, from 1973 to 1974. In addition, one of his most impressive undertakings was serving as the first editor of Critical Care Medicine.

Congress Talk Centers on Science behind Liberating ICU Patients and Families

You are encouraged to check out video of an informative plenary session from the 46th Critical Care Congress entitled ABCDE and F Bundle: The Science Behind Liberating ICU Patients and Families.  It features E. Wesley Ely, MD, MPH, FCCM, describing the Society of Critical Care Medicine’s pain, agitation, and delirium (PAD) guidelines, reviewing the epidemiology and risk factors for critical illness brain injury, and introducing the evidence-based ABCDEF bundle and successful quality improvement methodology. Dr. Ely also discusses optimizing culture change to improve patient outcomes.

The plenary was accompanied by the release of Dr. Ely’s late breaking paper, The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families.

In the paper, published in the February 2017 issue of Critical Care Medicine, Dr. Ely notes: “One thing most physicians detest is being told what to do or seeing some ‘recipe’ put forth for their patients’ medical care. We know what we do is a professional calling and an art; we are not merely medical providers or technicians. ICU liberation is not meant as a recipe or a ‘protocol’ to be blindly followed.

Quite the opposite. Some of you may, without reading this synthesis, practice up-to-date and seamless ICU care. If so, then the science and philosophy of ICU liberation are yours, and this article will be of help perhaps as a way of ‘packaging’ what you already do. However, having visited many hundreds of ICUs around the world, I have not seen even one (including those in which I am privileged to serve patients and their families as an attending physician) that I think practices these ICU liberation concepts well enough.”

Dr. Ely also references the connection between ICU treatment and the Society’s THRIVE initiative, noting the importance of continuing to care for patients and families after the ICU.

After watching the plenary session and reading Dr. Ely’s paper, you are further encouraged to check out various ICU Liberation resources, including:

Additional resources related to the family-centered care guidelines include:

Gap Analysis Tool – Identification of Your ICU’s Practice Differences

Family-Centered Care Guidelines – Gap Analysis Tool Instructional Video​

Visit iculiberation.org for additional resources related to the family-centered care guidelines.

After you review the above material, keep the conversation going online using #ICULiberation.

Registration Open for 2017 Study Mission to Cuba

Registration is now open for a unique opportunity to earn continuing education credits during the Society of Critical Care Medicine’s (SCCM) Study Mission to Cuba, scheduled for December 4 to 9, 2017. Limited spots are available.

The Study Mission to Cuba will offer participants the opportunity to meet 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

Continuing medical education credits are available for physicians, pharmacists and nurses.

Following the study mission is an optional Excursion to Matanzas, from December 9 to 12, 2017.

For complete details, please visit the event webpage. The deadline to register for the Study Mission to Cuba is August 1, 2017. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

New Fundamental Critical Care Support, Sixth Edition

The Fundamental Critical Care Support (FCCS) course has been updated and enhanced to reflect the latest research and the most effective training approaches in critical care. The sixth edition curriculum emphasizes case-based education, with scenarios that mirror clinical reality.

Start planning your course, and order your sixth edition textbook today! Visit www.sccm.org/FCCS or contact the Fundamentals team at fccs@sccm.org or +1 847 827-6869.

Sixth Edition Highlights:

New Course Textbook

  • The FCCS textbook has updated material in all chapters, following the latest literature and current guidelines including more than 30 new case studies. The textbook is available in print and electronic formats.

Enhanced Skill Stations

  • More relevant: Skill stations have been redesigned to better integrate the core principles taught in the lectures.
  • Customizable: Course directors and instructors can choose relevant content from a variety of integrated scenarios.

Updated Pre- and Posttests

  • Pre- and posttests feature questions emphasizing clinical and practical application.

46th Critical Care Congress On Demand Is Now Available

Now you can experience the stimulating educational content from the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress as if you were there.

Congress On Demand provides access to the audio recordings and slides from hundreds of individual presentations drawn from the concurrent, joint and plenary educational sessions, as well as the afternoon symposia, from the 2017 Critical Care Congress. On Demand also includes Star Research Presentations, which highlight the top 64 abstracts submitted, and allows users to view and search all abstracts. Once you have purchased Congress On Demand, you can access the materials by logging in to MySCCM.org.

Congress On Demand is available for purchase in the SCCM store for $295 for SCCM members ($385 for nonmembers).

Additionally, many of the precourses are available for purchase. These include:

Bring the Congress experience to your home or office. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Save the Date for the 2018 Congress!
The 47th Critical Care Congress will be held February 24 to 28, 2018, in San Antonio, Texas, USA. The Society’s Congress is the largest multiprofessional critical care event of the year and features innovative learning experiences that encompass the full range of developments in critical care. Registration opens June 2017.

2017 Edition of Award Winning ICU Designs

The 2017 edition of Award Winning ICU Designs is now available. Functional intensive care unit (ICU) design is crucial to delivering quality critical care. To honor the best examples of such design, an annual awards program is cosponsored by the Society of Critical Care Medicine, the American Association of Critical-Care Nurses, and the American Institute of Architects Academy of Architecture for Health.

This interactive web-based program contains the top projects since 1992, with each project reviewed in short video segments. The companion PDF document contains the features and floor plan of each winning unit. Also included is the Society’s “Guidelines for Intensive Care Unit Design” and a preface from former Co-Chair Dan R. Thompson, MD, MA, FACP, FCCM. This product provides a complete, contemporary resource for creating a facility that fulfills the needs of both ICU patients and caregivers.

To purchase Award Winning ICU Designs, 2017 edition, visit the SCCM Store. Please contact SCCM Customer Service at +1 847 827-6888 with any questions.

SCCM’s 46th Critical Care Congress a Resounding Success

Thank you all for making the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress in Honolulu, Hawaii, USA, a great success! The 2017 Congress provided more than 6,000 critical care clinicians from around the world with unique opportunities to network with leadership in critical care and experience enlightened and innovative learning experiences.

Videos from key Congress sessions, including plenary sessions and the Presidential Address from Ruth M. Kleinpell, RN-CS, PhD, FCCM, are now available.

You can also view video of the Critical Connections Live Broadcast from Congress. The broadcast featured live sessions, interactive interviews and highlights from Congress. The featured sessions centered on the ethics of physician-assisted suicide and euthanasia (PAS/E) in the intensive care unit and the methodology behind and features of the new International Guidelines for the Management of Sepsis and Septic Shock: 2016. Videos are available that feature the PAS/E session and the guidelines session, respectively, with accompanying related debrief sessions. After you’re done watching, keep the conversation going using #SCCMLive.

You are also encouraged to check out www.sccm.org/literature for information on all the late-breaking research and literature that was released in conjunction with Congress meeting sessions.

Make plans to join us next year, February 24-28, 2018, in San Antonio, Texas, USA!

Congress Session Centers on Physician-Assisted Suicide

Physician-assisted suicide and euthanasia (PAS/E) is a topic of intense debate in society, not least among critical care medicine specialists, who treat many patients at or near the end of life.

Core ethical issues involved in PAS/E were discussed and debated at a Congress session entitled Physician-Assisted Suicide and Euthanasia in the Intensive Care Unit: A Dialogue on Core Ethical Issues that featured experts Jan Bakker, MD, PhD, FCCP, and E. Wesley Ely, MD, MPH, FCCM. You are encouraged to watch a video that features the full session and debrief session with Mitchell M. Levy, MD, MCCM, FCCP. These issues are also discussed in an article in Critical Care Medicine that was released in conjunction with the session.

Continue the conversation about the PAS/E session and related article using #SCCMLive.

Culture Negative Severe Sepsis: Nationwide Trends and Outcomes

Although 28% to 49% of severe sepsis hospitalizations have been described as being “culture negative,” there are very limited data on the epidemiology and outcomes of those with culture negative severe sepsis (CNSS). The objectives of a study by Gupta et al were to investigate the proportion and trends of CNSS and its association with mortality.

They found that CNSS among hospitalized patients is common, and its proportion is on the rise. They also found that CNSS is associated with greater acute organ dysfunction and mortality.

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.

SCCM Announces New Critical Care Research Network: Discovery

The Society of Critical Care Medicine (SCCM) recently unveiled its newest endeavor: Discovery, the Critical Care Research Network (#DiscoveryNet).

Through Discovery, SCCM will foster collaborative research to promote the advancement of science in the field to improve outcomes for critically ill and injured patients. Discovery will seek to exponentially increase research in the critical care field and use SCCM’s existing broad base of programs to disseminate its findings into practice.

Joining SCCM for the launch of this endeavor is the United States Critical Illness and Injury Trials (USCIIT) Group and the Critical Care Pharmacotherapy Trials Network (CCPTN), who will become part of the new Discovery program. Bringing together these highly successful existing networks will jump-start Discovery activities. Other existing research networks with a similar focus are also invited to join SCCM in this exciting endeavor.

The Society will support Discovery with a multimillion-dollar investment in professional staff, infrastructure and research grants. In addition, the Discovery Oversight Committee and Discovery Steering Committee have been established to provide guidance for an inclusive, diverse, integrated, and multidisciplinary network for research that improves outcomes across the continuum of care for critically ill patients and their families.

Please consider how Discovery can assist you in your research. Whether by connecting you with fellow investigators or accessing Discovery’s clinical informatics team, data and safety monitoring groups, Health Insurance Portability and Accountability Act (HIPAA)-compliant central registries or new SCCM-Weil research grants, Discovery is eager to engage with you and your investigators.

Join SCCM’s Research Section to keep abreast of Discovery activities and find out more about how you can participate. For further information and inquiries, please email discovery@sccm.org.

Updated Surviving Sepsis Campaign Guidelines

Updated Surviving Sepsis Campaign guidelines (available in both Critical Care Medicine and Intensive Care Medicine) were released during the 46th Critical Care Congress, along with a viewpoint and synopsis published in JAMA. Materials are available at www.survivingsepsis.org.

Affiliated materials released in conjunction with the guidelines include:

– A Users’ Guide to the 2016 Surviving Sepsis Guidelines
Critical Care Medicine
Intensive Care Medicine

– Surviving Sepsis Guidelines: A Continuous Move Toward Better Care of Patients With Sepsis
JAMA Viewpoint

Management of Sepsis and Septic Shock
JAMA Clinical Guidelines Synopsis

Practice guidelines as implementation science: the journal editorsʼ perspective
Critical Care Medicine
Intensive Care Medicine

Video: Comparison of recommendations from 2012 to 2016

Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016 is a joint collaboration between the European Society of Intensive Care Medicine and the Society of Critical Care Medicine.

The guidelines, developed by a consensus committee of 55 international experts in sepsis, offer important advancements for clinicians caring for patients with sepsis and septic shock, starting with the need to identify at-risk patients sooner.

Keep the conversation going about the new sepsis guidelines by using #SCCMLive. You can also view video of the Congress session during which the guidelines were presented, which featured Laura E. Evans, MD, FCCM, Andrew Rhodes, FRCP, FRCA, FFICM, and Mitchell M. Levy, MD, MCCM, FCCP. The video also includes a session debrief with Lauren Epstein, MD, and R. Phillip Dellinger, MD, MCCM.

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