Registration Available On Site for 2013 Adult Board Review Course

Join your colleagues August 10 to 14, 2013, in Washington, DC, USA, for the Society of Critical Care Medicine’s (SCCM) Adult Multiprofessional Critical Care Board Review Course (MCCBRC).

The Adult MCCBRC is the premier source for any critical care professional seeking the most comprehensive review in the diagnosis, monitoring and management of critically ill patients. Led by founding directors Joseph E. Parrillo, MD, MCCM, and Henry Masur, MD, FCCM, the Adult MCCBRC offers four-and-a-half days of expert guidance on the core areas of critical care medicine. Whether you need to certify, recertify or simply review, this course provides an excellent update and thorough overview of the field.

Registration will be available on site at the JW Marriott in the Grand Ballroom Foyer. An SCCM staff member will be available to assist you at the SCCM registration desk during the following hours:

Friday, August 9              4:00 p.m. – 7:00 p.m.

Saturday, August 10        6:45 a.m. – 5:45 p.m.

Sunday, August 11          6:00 a.m. – 6:15 p.m.

Monday, August 12         6:00 a.m. – 6:00 p.m.

Tuesday, August 13         6:00 a.m. – 6:00 p.m.

Wednesday, August 14    6:00 a.m. – 12:00 p.m.

Vision Grant Application Deadline Approaching

Submit your application by August 31, 2013, to be considered for the Society of Critical Care Medicine’s (SCCM) 2014 Vision Grant.  Through generous funding, $50,000 is offered to support member researchers. Basic, translational and clinical research submissions are encouraged.

Eligible research should focus on one or more of the following areas of investigation:

  • Basic Research: Expand our understanding of complex critical illness processes.
  • Bench to Bedside: Improve patient care by translating basic scientific findings into therapeutic interventions for critical care patients.
  • Clinical Outcomes: Advance our understanding of patient outcomes and continuous improvement practices.

For more information or to download the application, visit www.sccm.org/VisionGrant.

Congress Abstract Submission Closes September 3

Make your contribution to the advancement of critical care by submitting your original investigative research and case reports for the 43rd Critical Care Congress. Abstracts will be accepted until 12:00 p.m. Central Time on September 3, 2013. No extensions or late-breaking abstracts will be permitted.

If accepted, your work will be on display throughout Congress and your  abstract also will appear in the pages of Critical Care Medicine, the #1 critical care sub-specialty journal. And don’t forget: Individuals whose abstracts are accepted are also eligible for peer evaluation and awards.

Hypothermia and Normothermia After Severe Traumatic Brain Injury in Children (Cool Kids)

Therapeutic hypothermia (TH) has been shown to be effective in improving outcomes in adults and neonates with hypoxic-ischemic encephalopathy.  The theory is that TH can diminish the secondary injury by decreasing the brain’s metabolic demands, the amount of inflammation and lipid peroxidation, and the excitotoxicity that occurs with brain injuries.  Because of these effects , as well as successful studies in animal models, attempts have been made to use TH to improve outcomes in patients who have sustained traumatic brain injury (TBI). However, clinical trials have not definitively shown any improvement in clinical outcomes.  The design of the Cool Kids trial altered some of the parameters used in the previous phase 3 trials – specifically, starting the cooling process earlier and continuing it for longer – in hopes of bolstering outcomes.

Read more…

Arrive Early for Pre-Congress Educational Sessions

The Society of Critical Care Medicine’s (SCCM) 43rd Critical Care Congress will be packed with essential clinical information to keep you well-informed on the latest groundbreaking research and developments in critical care. Each year the Pre-Congress educational sessions reflect the most up-to-date topics and evidence-based information so you can incorporate the latest clinical treatments and administrative strategies into your everyday practice. Space for each course is limited, so register early to guarantee your top choices.

Pre-Congress educational sessions will be offered on Wednesday, January 8 and Thursday, January 9, 2014. Choose from the following:

  • Current Concepts in Adult Critical Care
  • Current Concepts in Pediatric Critical Care

Postgraduate courses will explore the following topics:

  • Case-Based Pearls in Neurocritical Care
  • Fundamentals of Extracorporeal Membrane Oxygenation (ECMO)
  • ICU Management Paradigms for the 21st Century
  • Less Invasive Hemodynamic Monitoring
  • Optimizing Mechanical Ventilation: Sharing Data Between Adult and Pediatric Patients
  • Veterinary Respiratory Diagnostics and Therapeutics

SCCM’s 43rd Critical Care Congress will be held January 9 to 13, 2014, at the Moscone Center South in San Francisco, California, USA. The Society’s annual Congress is the largest multiprofessional critical care event of the year and the “City by the Bay” is the ideal setting to combine creative and inspirational ideas for the critical care field.

Register online today with your username (INSERT_CUSTOM02) and password, or contact SCCM Customer Service at +1 847 827-6888.

Optimize Antibiotic Timing and Dosing for Sepsis

Studies have demonstrated that timely administration of appropriate antibiotics reduces mortality in patients with severe sepsis. Proper selection of antibiotics that provide broad coverage and adequate dosing to achieve therapeutic concentrations are essential to positive outcomes. A team-based approach to protocol-initiated antibiotics, including a representative from pharmacy, can optimize time-to-antibiotic and appropriate selection and dosing, thereby improving patient care.

The Society of Critical Care Medicine’s (SCCM) webcast, Antibiotics and Sepsis: Appropriate Timing and Dosage, will take place on August 7, 2013, at 1:00 p.m. Central Time. Diana Wells, PharmD, BCPS, and Jeffrey Fish, PharmD, BCPS, will provide evidence and case-based information to achieve early and optimal impact from antimicrobial agents in sepsis patients. At the conclusion of this webcast, participants should be able to:

  • Summarize literature that supports appropriate choice and timing of antibiotics in sepsis
  • Using a patient case, develop an antimicrobial dosing regimen to achieve early and optimal exposure to appropriate antimicrobial agents
  • Recognize patient factors that may affect antibiotic dosing for patients with severe sepsis or septic shock

This event, part of SCCM’s Surviving Sepsis Campaign (SSC) webcast series, provides strategies for successful application of the SSC guidelines. This webcast was developed in collaboration with the SCCM Pharmacy Section. An initiative of the European Society of Intensive Care Medicine (ESICM) and SCCM, the SSC aims to improve the management, diagnosis and treatment of sepsis in order to reduce its high mortality rate.

Register online today. Registration is complimentary for all participants. No CME is available. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Does Sodium Bicarbonate Prevent Kidney Injury After Cardiac Surgery?

Up to 50% of all patients requiring cardiopulmonary bypass during cardiac surgery develop acute renal failure, with less than 5% requiring renal replacement therapy. Consequently, post-cardiac surgery acute kidney injury (AKI) is associated with increased morbidity and mortality. In the July Critical Care Medicine, McGuinness and colleagues designed a multicenter Phase IIb trial to test the hypothesis that a perioperative infusion of sodium bicarbonate might attenuate AKI in cardiac surgery patients. Read more…

Journals Rank High Among Critical Care Resources

PCCM CCMThe Society of Critical Care Medicine extends its congratulations and thanks to Critical Care Medicine editor-in-chief Joseph E. Parrillo, MD, MCCM, and Pediatric Critical Care Medicine editor Patrick Kochanek, MD, MCCM, as well as to the editorial boards and staff involved in both journals on maintaining their standings among critical care journals. CCM received a 2012 impact factor of 6.124 and an immediacy index of 2.614, maintaining its position as the premier peer-reviewed journal in critical care medicine. PCCM received a 2012 impact factor of 2.354, with an immediacy index (an indicator of how quickly articles are cited) of 1.093 (an increase compared with last year’s 0.937), it now ranks 26th among pediatric journals and 14th among all critical care journals.

Read the Journals on Your iPad

Read CCM and PCCM whenever and wherever it’s convenient for you. Both journal iPad apps offer a print-like reading experience plus article-sharing features, website links and more. Search “Critical Care Medicine” or “Pediatric Critical Care Medicine” in the iTunes store.

Webcast Will Explore the Impact of Coding for Sepsis

surviving sepsisCoding for severe sepsis and septic shock is a complex, highly nuanced skill that has wide implications for generating data to support the effort to reduce mortality from sepsis. Too often, coding is not clinically congruent with the incidence or severity of sepsis, in turn, providing misleading reports on the metrics of an institution’s patient population.

The Society of Critical Care Medicine’s (SCCM) webcast, Sepsis: Impact of Coding Upon Metrics, will take place on July 11, 2013, at 2 p.m. Central Time. Paul Evans, RHIA, CCS, CCDS, CCS-P, will provide insight into how actions by all members of the sepsis team affect the generation of valuable data from coding. Topics to be covered include:

  • Requirements by physicians that support accurate data collection
  • Impact of key terms on risk-adjusted mortality data
  • How sepsis should be coded
  • Tips to support sepsis coding

This event, part of SCCM’s Surviving Sepsis Campaign (SSC) webcast series, provides strategies for successful application of the SSC guidelines. An initiative of the European Society of Intensive Care Medicine (ESICM) and SCCM, the SSC aims to improve the management, diagnosis and treatment of sepsis in order to reduce its high mortality rate.

Register online today. Registration is complimentary for all participants. No CME is available. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Programs are supported by the Gordon and Betty Moore Foundation:

Discounted Rates for Adult MCCBRC Ends Soon

Discounted registration rates for the Society of Critical Care Medicine’s (SCCM) upcoming Adult Multiprofessional Critical Care Board Review Course (MCCBRC) are only available until Wednesday, July 17, 2013. Register online today using your Customer ID  and password, or contact SCCM Customer Service at +1 847 827-6888, to take advantage of special pricing.

The 2013 Adult MCCBRC will be held at the JW Marriott, August 10 to 14, in Washington, DC, USA. Reserve your housing by Wednesday, July 10, 2013, to receive low rates on your hotel stay. Reservations made after this day may not receive SCCM’s discounted hotel rate.

Led by founding directors Joseph E. Parrillo, MD, MCCM, and Henry Masur, MD, FCCM, the Adult MCCBRC offers four-and-a-half days of expert guidance on the core areas of critical care medicine. Whether you need to certify, recertify, or simply review, this course provides an excellent update and thorough overview of the field.

Critical Connections Features Congress Review

The June/July issue of Critical Connections features review articles from the 42nd Critical Care Congress:

Claim CE credit by ordering the Congress Review at the SCCM store at www.sccm.org/congressreview13. There is no cost for this transaction.

The latest issue also offers a preview of the 43rd Critical Care Congress, to be held January 9 to 13, 2014, in San Francisco, California, USA. Check out our pre-Congress educational sessions, popular events and sightseeing activities, as well as information on hotels and travel.

HES Solutions Warrant Additional Box Warning

The U.S. Food and Drug Administration (FDA) has found data that indicate an increased risk of mortality and renal injury requiring renal replacement therapy in critically ill adult patients treated with hydroxyethyl starch (HES) solutions. HES solutions are used for the treatment of hypovolemia when plasma volume expansion is indicated. After a public workshop, the FDA concluded that HES solutions should not be used in this patient population, and a Boxed Warning to include the risk of mortality and severe renal injury is warranted. In addition, the FDA reviewed a meta-analysis of studies conducted in patients undergoing open heart surgery in association with cardiopulmonary bypass and determined that an additional warning about excessive bleeding was needed in the Warnings and Precautions Section of the package insert. The FDA has created a list of recommendations for patients and healthcare providers to consider before use of HES solutions.

PDR Drug Alerts provides immediate, electronic delivery of safety information from the U.S. Food and Drug Administration. Society of Critical Care Medicine members can sign up to receive complimentary alerts as well as updates reflecting labeling changes.

Clopidogrel in Infants with Systemic-to-Pulmonary-Artery Shunts

Medications approved for adults often have additional uses in pediatric patients. Such is the case — as described by Wessel and colleagues — for clopidogrel, an agent that blocks the P2Y12 component of adenosine diphosphate (ADP) receptors on the surface of platelets. ADP receptors prevent the activation of the glycoprotein IIb/IIIa receptor complex, thereby reducing aggregation. Clopidogrel is used most commonly as a prophylactic antiplatelet therapy in adults with atherosclerotic cardiovascular disease, but is increasingly employed in the pediatric population, particularly in those with cardiac disease. Pediatric cardiovascular practitioners are using clopidogrel (along with the standard aspirin) to prevent the thrombosis of systemic-to-pulmonary-artery shunts in patients with complex cyanotic heart disease; however, the safety and efficacy of this practice have never been looked at prospectively. In the June 20 issue of The New England Journal of Medicine, investigators created a multicenter, event-driven trial to evaluate clopidogrel’s effect on infants.

A total of 906 subjects were enrolled, 467 in the clopidogrel group and 439 in the placebo group. The authors found that adding clopidogrel to conventional therapies (i.e., aspirin) did not affect mortality from any cause or shunt-thrombosis-related morbidity. Although  no statistically significant differences were detected in total subjects with adverse events,  the authors found more neurologic events in the clopidogrel group versus the placebo group. Read the full Concise Critical Appraisal.

SCCM Awards Recognize Dedication to Critical Care

The Society of Critical Care Medicine (SCCM) offers numerous awards that recognize dedication and contributions to the field in a variety of areas. Nominate yourself or a colleague, or recognize your entire intensive care unit (ICU) team. Most award recipients receive a complimentary registration to the 43rd Critical Care Congress. Apply for these opportunities by August 1, 2013.

Dr. Joseph and Rae Brown Award – Recognize an SCCM member who has advanced multiprofessional quality care at the regional or local level through exceptional leadership contributions that have furthered the vision and mission of chapters and/or affiliates.

Grenvik Family Award for Ethics – Acknowledge an SCCM member who has made significant contributions toward addressing ethical problems in critical care.

Norma J. Shoemaker Award for Critical Care Nursing Excellence – Recognize an SCCM nurse member who demonstrates excellence in clinical practice, education and/or administration in the field of critical care.

Barry A. Shapiro Memorial Award for Excellence in Critical Care Management – Nominate an SCCM member who has made significant contributions to the design and/or implementation of evidence-based practices that have improved clinical, operational or fiscal outcomes.

Family-Centered Care Innovation Award – Commend an intensive care unit team that has succeeded in instituting a novel approach to compassionate care and has a desire to share that innovation with other teams.

ICU Design Citation Applications Due August 15

Submit your application for the ICU Design Citation, which is co-sponsored by the Society of Critical Care Medicine, the American Association of Critical-Care Nurses, and the American Institute of Architects Academy on Architecture for Health. The award recognizes an operating critical care unit designed with attention to both functional and humanitarian issues.

Vision Grant Now Includes New Categories for Research Projects

Through generous funding from the Society of Critical Care Medicine (SCCM), a Vision Grant of $50,000 is offered to support member researchers. Basic, translational and clinical research submissions are encouraged. Submit your application by August 31, 2013, to be considered for grant support in 2014.

Eligible research should focus on one or more of the following areas of investigation:

  • Basic research: Expand our understanding of complex critical illness processes.
  • Bench to bedside: Improve patient care by translating basic scientific findings into therapeutic interventions for critical care patients.
  • Clinical outcomes: Advance our understanding of patient outcomes and continuous improvement practices.

For more information or to download the application, visit www.sccm.org/VisionGrant.

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