Sepsis Awareness Month

As part of Sepsis Awareness Month, the Global Sepsis Alliance and the World Health Organization are teaming up to host the World Sepsis Congress (WSC) Spotlight: Maternal and Neonatal Sepsis on September 12, 2017.

The WSC Spotlight is a free online congress in which 25 renowned experts from all around the world will give presentations on all aspects of maternal and neonatal sepsis, as well as give updates on sepsis in general.

For more information on the program, speakers, time zones, and to register for free, visit www.wscspotlight.org.

The U.S. Centers for Disease Control and Prevention (CDC) is also marking Sepsis Awareness Month, recently launching an initiative entitled Get Ahead of Sepsis that urges healthcare professionals, patients and caregivers to be alert to the symptoms, act fast if sepsis is suspected, and to prevent infections that can lead to sepsis. As part of this initiative, the CDC will be hosting the Get Ahead of Sepsis Twitter chat on September 12 at 12 p.m. ET. Join the conversation with #SepsisChat.

Also, if you have not already done so, you are also encouraged to review the new adult sepsis guidelines released earlier this year and to familiarize yourself with the Society of Critical Care Medicine’s Surviving Sepsis Campaign and its THRIVE initiative, which centers on addressing post-intensive care syndrome (PICS).

Hurricanes Harvey and Irma

The Society of Critical Care Medicine (SCCM) continues to monitor all developments related to Hurricanes Irma and Harvey. Leadership is in contact with those in the affected regions and stands ready to assist and provide support. The Society has already distributed disaster response-related materials to those in the affected areas and is poised to send calls for volunteers should such requests be made.

The Society has posted a number of complimentary disaster-related resources helpful in the response to hurricanes at www.sccm.org/disaster. This site will be updated regularly as the situation develops as pertains to Hurricanes Harvey and Irma.

If you have information to share or need assistance, please know you may contact the Society at emergency@sccm.org.

If you are in the affected areas, please know that your ongoing efforts to ensure care for patients and families during these disasters are so very much appreciated! We will continue to monitor the situation and work with the remainder of SCCM’s community to support you as much as possible.

Our best wishes during this challenging situation.

Register for Ultrasound Courses

Join the Society of Critical Care Medicine (SCCM) in San Antonio, Texas, USA, for the two-day critical care ultrasound courses. Critical Care Ultrasound: Adult and Critical Care Ultrasound: Pediatric and Neonatal will take place on February 28 and March 1, 2018, at the Marriott Rivercenter Hotel. 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 these comprehensive courses.

During each course, participants benefit from guided, focused skill stations and interactive presentations to reinforce key learning points. Additional course benefits include:

  • Immediate integration of learned skills into your clinical practice​​
  • Increased diagnostic skills and scanning proficiency
  • Continuing medical education credit hours available to physicians and nurses
  • A review from field experts on the latest strategies in ultrasound image interpretation and diagnostic challenges, as well as new innovations and procedures
  • High-quality education from prominent faculty, including nurse practitioners, physician assistants and more
  • A significant hands-on experience, ensured by a five-to-one attendee-to-faculty ratio

Both courses will follow SCCM’s 47th 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 the Critical Care Ultrasound: Adult and Critical Care Ultrasound: Pediatric and Neonatal event registration page.

Webcast on APP Onboarding

Register today for the upcoming webcast, Processes that Maximize Advanced Practice Provider (APP) Onboarding and Competency, from the Society of Critical Care Medicine. This webcast will take place on Wednesday, September 20, 2017, at 1:00 p.m. Central Time.

Bringing new APPs, including nurse practitioners (NPs), physician assistants (PAs), and clinical nurse specialists (CNSs), onboard is a daunting task. Inconsistencies in training processes influence the development of acquired knowledge, skill sets, and professional interaction. Programs that enhance employee satisfaction can minimize attrition and can result in improved patient satisfaction, patient safety, and quality outcomes.

During this session, Vishal Bakshi, PA-C, Chief APP Intensivist of Emory Healthcare, and Deborah E. Stein, ACNP-BC, CCRN, Clinical Program Director, NP Fellowship, of Memorial Sloan Kettering Cancer Center, will focus on advanced practice provider (APP) onboarding strategies and maximizing competencies.

Learning Objectives

  • Discover the importance of a strong onboarding process
  • Articulate the importance of mentorship and collegial relationships
  • Introduce tracking methods that can be incorporated into performance metrics

This 60-minute webcast will be moderated by Roy H. Constantine, PhD, RPA-C, FCCM. The registration fee for this webcast is $30 for members ($40 for nonmembers). Register online today using your Customer ID and password.

Coding and Billing Webcast

Participate in the Society of Critical Care Medicine’s (SCCM) webcast, Understanding How to Code and Bill for Critical Care Services, to be held on Thursday, September 14, 2017, at 1:00 p.m. Central Time.

Deb Grider, CPC, COC, CPC-1, CPC-P, CPMA, CEMC, CCS-P, CDIP, a nationally recognized coding and documentation expert from Karen Zupko & Associates, Inc., will review coding for critical care, what services can be reported separately, and how to prepare proper documentation which are important for the financial stability and overall success of the provider organization.

Register online today. The registration fee for this webcast is $30 for SCCM members and $40 for nonmembers.

Learning Objectives

  • Recognize the definition and required elements for critical care.
  • Define when to report Modifier 24 or 25 on the same day that critical care is provided.
  • Identify what services are not included in critical care and how to bill to report them separately.
  • Recognize the E/M modifiers and how to appropriately use them.
  • Review documentation examples common to critical care.

This webcast is intended for physicians, nurses, nurse practitioners, physician assistants, administrators, and all other professionals who are involved in coding and billing.

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

mRNA Expression of CD74 and IL10

Intensive care unit-acquired infections (IAIs) result in increased hospital and intensive care unit stay, costs and mortality. To date, no biomarker has shown sufficient evidence and ease of application in clinical routine for the identification of patients at risk of IAI. Therefore, Peronnet et al evaluated the association of the systemic mRNA expression of two host response biomarkers, CD74 and IL10, with IAI occurrence in a large cohort of intensive care unit patients.

Their results suggest that two immune biomarkers, CD74 and IL10, could be relevant tools for the identification of IAI risk in intensive care unit patients.

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.

Examining Stress Ulcer Prophylaxis

A decreased frequency of upper gastrointestinal bleeding and a possible association of proton pump inhibitor use with Clostridium difficile and ventilator-associated pneumonia have raised concerns recently. The Reevaluating the Inhibition of Stress Erosions (REVISE) Pilot Trial determined the feasibility of undertaking a larger trial investigating the efficacy and safety of withholding proton pump inhibitors in critically ill patients.

The results support the feasibility of a larger trial to evaluate the safety of withholding stress ulcer prophylaxis.

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.

Raising Malnutrition Awareness

You are encouraged to participate in the American Society for Parenteral and Enteral Nutrition’s (ASPEN) sixth annual Malnutrition Awareness Week™, which will take place September 18–22, 2017. The purpose of this week is to raise public awareness as pertains to malnutrition and encourage healthcare professionals to assess for malnutrition and intervene early if appropriate. Malnutrition is common in hospitalized patients in the United States and is associated with unfavorable outcomes, including higher infection rates, poor wound healing, longer lengths of stay, and higher frequency of readmission.

The 2017 week is scheduled to have five webinars:

Improving Standardization of Oral Nutrition Supplement Provision in Malnourished Patients – Monday, September 18 – 3 p.m. (CT)

A Multi-Disciplinary Approach to Increasing Awareness of Enteral Nutrition in the Pediatric Patient: A Provider and Parent Perspective – Tuesday, September 19 – 3 p.m. (CT)

On the Fast Track with the Enhanced Recovery After Surgery (ERAS) Protocol –  Wednesday, September 20 – 3 p.m. (CT)

Approaching an Audit through Accurate Documentation and Coding for Malnutrition Diagnosis – Thursday, September 21 – 3 p.m. (CT)

Electronic Clinical Quality Measures (eCQMs): A Malnutrition Quality Improvement Initiative – Friday, September 22 – 11 a.m. (CT)

Participants will receive continuing education credits for participating in the webinars. ASPEN is accredited to provide medical, pharmacy, nursing and dietetic credits.

Society of Critical Care Medicine members can participate in the webinars for free by using discount code MAW-SCCM.

Visit the official Malnutrition Awareness Week™ site to register or for more information about the week.

Podcast Discusses PANGEA Study

In the newly available iCritical Care podcast SCCM Pod-345 International Survey of Critically Ill Children with Acute Neurological Insults, Margaret Parker, MD, MCCM, speaks with Ericka L. Fink, MD, MS, about the Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment (PANGEA) study.

Published in the April 2017 issue of Pediatric Critical Care Medicine (PCCM), this study offers a worldwide snapshot of acute neurologic conditions among critically ill children.

Overall, 16.2% of children in the reporting ICUs had acute neurologic conditions. Many children had preexisting medical conditions, but 61% had normal neurologic status before their current hospitalizations.

Cardiac arrest, resulting in lack of blood flow to the brain, was the most common overall cause of acute neurologic conditions (23%). Other causes included traumatic brain injury (19%), central nervous system infection or inflammation (16%), and stroke or a mass, such as a brain tumor (9% each).

The study found that regions differed in terms of most common condition reported. Infection/inflammation was the most common cause in Asia, South America, and the sole African hospital contributing to the study. In all other regions, cardiac arrest was the main cause.

Ericka L. Fink, MD, MS, and coauthors believe that the PANGEA data “suggest a vital need for resources to assist in the challenge of improving outcomes for these children throughout the span of the periods of emergency care through to rehabilitation.”

Society of Critical Care Medicine members who are also part of the Pediatrics Section can access the full content of PCCM online by logging into MySCCM.

World Sepsis Congress

As part of Sepsis Awareness Month, the Global Sepsis Alliance and the World Health Organization are teaming up to host the World Sepsis Congress (WSC) Spotlight: Maternal and Neonatal Sepsis on September 12, 2017.

The WSC Spotlight is a free online congress in which 25 renowned experts from all around the world will give presentations on all aspects of maternal and neonatal sepsis, as well as give updates on sepsis in general.

For more information on the program, speakers, time zones, and to register for free, visit www.wscspotlight.org.

Also, if you have not already done so, you are also encouraged to review the new adult sepsis guidelines released earlier this year and to familiarize yourself with the Society of Critical Care Medicine’s Surviving Sepsis Campaign and its THRIVE initiative, which centers on addressing post-intensive care syndrome (PICS).

Africa Needs Our Support

In many African countries, critical care medicine remains informal, uncoordinated, or even absent. A shortage of trained healthcare providers can put thousands of sick and injured patients at risk every day.

To help address these issues, the Society of Critical Care Medicine (SCCM) will send healthcare providers to the All Africa Anaesthesia Congress in Abuja, Nigeria, in November 2017. There they will work to train more than 200 participants from African countries in six different Fundamentals courses.

We need your support to ensure that this vital training is provided to healthcare professionals in Africa who can improve the quality of care provided to critically ill and injured patients.

Join SCCM in bringing critical care education to a part of the world where it is truly needed. Visit www.sccm.org/donate to make a donation towards resource-limited areas today.

Congress Abstract Presentations

Expand your critical care knowledge and enhance the care you deliver to patients by attending the Society of Critical Care Medicine’s (SCCM) 47th Critical Care Congress. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

The Society’s annual Congress will be held February 25 to 28, 2018, in San Antonio, Texas, USA. Learn about the latest developments in critical care by attending the always-popular abstract presentations offered at Congress:

Star Research Presentations
These presentations will be scheduled, unopposed, on Sunday, February 25, 2018, from 2:45 p.m. to 5:45 p.m. The top 64 abstracts submitted will be highlighted.

Awards Presentations
Winners of SCCM’s abstract-based awards will be recognized during a ceremony on Tuesday, February 27, 2018.

Research Snapshot Theaters
Research Snapshot award winners and authors of abstracts and the top case reports will present their submissions with time for questions and answers. Sessions will be moderated by noted faculty and experts to facilitate the exchange of ideas and commentary. Presentations will be held in designated sections of the Exhibit Hall on Sunday, February 25, through Tuesday, February 27, 2018.

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

Examining Chest Compressions

Mechanical chest compression (CC) during cardiopulmonary resuscitation (CPR) with AutoPulse or LUCAS devices has not improved survival from cardiac arrest. Cohort studies suggest risk of excess damage. Therefore, Koster et al studied the safety of mechanical CC compared with manual CC, as pertains to excess damage in patients with in-hospital cardiac arrest or with out-of-hospital cardiac arrest arriving with manual CPR at the emergency department.

They found that LUCAS does not cause significantly more serious or life-threatening visceral damage than manual CC. For AutoPulse, significantly more serious or life-threatening visceral damage than manual CC cannot be excluded.

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.

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