Webcast to Discuss the Surviving Sepsis Campaign as Model for Mentoring

The Physician Assistant (PA) Section of the Society of Critical Medicine (SCCM) has identified the Surviving Sepsis Campaign (SSC) as a prime model for mentoring that improves patient care while affording PAs unique growth opportunities. This type of relationship can be applied to all professionals on the sepsis care team.

In this latest offering from the SSC webcast series, the PA Section will share examples of prime mentoring activities from the SSC. Presentations from the viewpoint of the mentee, mentor, and an objective educator will set the stage for participants to implement a mentoring program that can provide significant professional growth for all involved while furthering the reach of the SSC. Presenters include Ryan O’Gowan, MBA, PA-C, FCCM, from St. Vincent’s Hospital, Mari Mullen, MD, from the University of Massachusetts, and Emanuel P. Rivers, BS, MD, MPH, IOM, from Henry Ford Hospital. During this webcast, faculty will:

  • Describe the role of mentor and mentee in a healthcare setting
  • Explain the benefits of serving as a mentor
  • Outline goals for a mentoring relationship using the SSC as a model

The SSC as a Model for Mentoring webcast will be held on Tuesday, October 15, 2013, at 1:00 p.m. Central Time (view additional time zones).

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

Previous SSC webcasts and related educational slide presentations are also available on a variety of topics.

This webcast series is supported by the Gordon and Betty Moore Foundation

Gordon and Betty Moore Foundation

Surviving Sepsis Campaign Implementation Kits
The Surviving Sepsis Campaign has developed pre-packaged kits to help clinicians improve sepsis identification, management and treatment within their institutions. Each kit contains two posters featuring the graded recommendations from the latest guidelines, 25 pocket guides, 25 bundle cards and a package of 15 Surviving Sepsis Campaign logo pins. Visit www.survivingsepsis.org/improvement for more resources.

Help Shape the Future of Critical Care Medicine

Learn about new developments and tools to help expand your knowledge and advance your practice of critical care at the Society of Critical Care Medicine’s (SCCM) 43rd Critical Care Congress, to be held January 9 to 13, 2014, in San Francisco, California, USA.

This five-day event will offer opportunities to make valuable connections and draw diverse perspectives from all members of the multiprofessional critical care team. Participate in cutting-edge educational sessions, hands-on workshops, captivating symposia, and popular plenary sessions promoting innovative developments in critical care.

Plenary sessions are given by distinguished, world-renowned leaders in the critical care field. Speakers will include:

Rosemary Gibson, MSc
Senior Advisor
The Hastings Center
Section Co-Editor, Less is More
JAMA Internal Medicine
Arlington, Virginia, USA
C. William Hanson III , MD, FCCM
Professor of Anesthesiology and Critical Care
Chief Medical Information Officer
University of Pennsylvania Health Systems
Philadelphia, Pennsylvania, USA
Patrick M. Kochanek, MD, MCCM
Professor and Vice Chair, Department of Critical Care Medicine
Professor of Anesthesiology,
Pediatrics and Clinical and Translational Science
Director, Safar Center for Resuscitation Research
University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania, USA
Geoffrey Ling, MD, PhD, FAAN
Deputy Director, Defense Sciences Office,
Defense Advanced Research Projects Agency
Attending Physician and Director, Neurosciences Critical Care,
Department of Critical Care Medicine,
Walter Reed National Military Medical Center
Washington, DC, USA
Peter J. Pronovost, MD, PhD, FCCM
Professor, Departments of Anesthesiology/
Critical Care Medicine and Surgery
The Johns Hopkins University School of Medicine
Baltimore, Maryland, USA
Basil A. Pruitt, Jr., MD, FACS, MCCM
Clinical Professor of Surgery
Betty and Bob Kelso Distinguished Chair in Burn and Trauma Surgery
University of Texas Health Science Center
San Antonio, Texas, USA
Jean-Louis M. Vincent, MD, PhD, FCCM
Professor of Intensive Care Medicine
Université Libre de Bruxelles
Head, Department of Intensive Care
Erasme University Hospital
Brussels, Belgium

Regardless of your profession or role on the critical care team, you will find opportunities to enhance your practice. Act by November 6, 2013, to take advantage of early bird discounts. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Physiotherapy in Intensive Care

Historically, respiratory physiotherapy has been considered as an integral part of the daily rehabilitation of the intensive care unit (ICU) patient. However, not since 2000 has there been a specific evaluation of the various physiotherapy modalities available. Kathy Stiller, PhD, conducted a systematic review to evaluate evidence appearing over the last 13 years either supporting or refuting the role of physiotherapy in the care of the adult, intubated ICU patient.

The review is deliberately broad, encompassing clinical studies as well as expert opinion pieces and surveys. A literature review focused on papers published between 1999 and 2012 and accessible through PubMed, MEDLINE, CINAHL, Embase, the Physiotherapy Evidence Database and the Cochrane Library databases. The broad criteria naturally resulted in culling studies with variable study designs and outcomes, hence precluding a meta-analysis. Eighty-five new studies were identified including 12 focused systematic literature reviews. The identified trials evaluated several physiotherapy interventions including multimodality respiratory physiotherapy (an umbrella term encompassing diverse interventions such as manual or ventilator hyperinflation, positioning, chest wall vibrations, and rib-cage compression), mobilization, inspiratory muscle training and neuromuscular electrical stimulation. Read more…

Critical Care Training Offered to Pharmacists

The American Society of Health-System Pharmacists’ Research and Education Foundation is offering a Critical Care Traineeship to pharmacists who would like specialized training in caring for critically ill or injured patients. During this five-month educational experience, pharmacists will be trained to develop and maintain specialized services for the management of critically ill patients. Trainees will receive intensive distance and experiential training that prepares them to participate within multiprofessional teams as the health professional responsible and accountable for patients’ medication-related outcomes. The deadline to apply is October 15, 2013.

Access Webcasts from the 42nd Critical Care Congress

Several videos featuring the industry-supported sessions from the Society’s Critical Care Congress in San Juan, Puerto Rico, are now available free of charge at LearnICU.org. Access these presentations and earn continuing education credit:

Registration Now Open for January 2014 Ultrasound Course

Ultrasonography has become an invaluable tool in the management of critically ill and injured patients due to its portability, ease of use and accurate evaluation. Ultrasound is relatively inexpensive and presents little threat to patients and practitioners. With demand for ultrasound on the rise and new developments in technology, it is imperative that critical care practitioners stay up to date in this advanced modality.

Obtain the latest ultrasound information available at the Society of Critical Care Medicine’s (SCCM) popular course, Fundamentals of Critical Care Ultrasound, to be held January 8 and 9, 2014, at the San Francisco Marriott Marquis in San Francisco, California, USA.  At the conclusion of this course, participants will be able to:

  • Demonstrate a foundation of ultrasound knowledge
  • Practice acquisition of high-quality images via hands-on exercises
  • Demonstrate image interpretation and utilization of ultrasound as a diagnostic tool

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

Webcast on Pediatric Guidelines from the SSC

SSC Logo

Too often we have heard of a usually healthy child’s complaints being attributed to “just the flu” or “he seemed out of sorts,” when early recognition of sepsis symptoms can mean the difference between life and death.  Overall mortality from sepsis is much lower in children than in adults in the well-resourced setting, but specific concerns related to age-specific factors must be top of mind when treating a pediatric patient with severe sepsis or septic shock.

The Society of Critical Care Medicine’s (SCCM) webcast, Pediatric Guidelines from the Surviving Sepsis Campaign (SSC): Considerations for Care, will take place on Thursday, September 19, 2013, from 10:00 a.m. to 11:00 a.m. Central Time. SCCM Past-President Margaret M. Parker, MD, will present an hour-long program focused on applying the SSC guidelines in the pediatric population. Attendees will be able to:

  • Apply the key recommendations of the Surviving Sepsis Campaign to the care of the pediatric sepsis patient
  • Describe the special considerations in the guidelines for care of pediatric sepsis patients and the differences between adult and pediatric patients
  • Utilize data from central line placement to benefit the patient’s care

This event, part of SCCM’s 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. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

This program is supported by the Gordon and Betty Moore Foundation

Moore

sq-Quality-Project-Dispatch v1_0There’s Still Time to Register for End-of-Life Care Webcast
Registration is still open for the inaugural Project Dispatch series webcast, Improving End-of-Life Care through Better Clinician-Patient Communication, which will take place on Tuesday, September 10, 2013, at 11:00 a.m. Central Time. J. Randall Curtis, MD, MPH, from the University of Washington in Seattle, will review the importance of his Patient Centered Outcomes Research Institute-funded study that focuses on ensuring patients receive the care they desire through improved patient-clinician communication. today. This webcast is support by the U.S. Agency for Healthcare Research and Quality.

Help SCCM Understand Your Educational Needs

The Society of Critical Care Medicine is conducting its semi-annual educational needs assessment survey.  This five-minute survey has been streamlined to be respectful of your time and to help us best identify your needs. Participation will give you an important opportunity to help shape the future of the Society’s educational programming. The Society is dedicated to ensuring excellence and consistency in the practice of critical care, and understanding your educational needs is vital to this pursuit.

Join the Sepsis Point Prevalence Study November 7

The Surviving Sepsis Campaign (SSC) will conduct a point prevalence study, the International Multicentre PREvalence Study on Sepsis (IMPRESS), on November 7, 2013, to better understand the global burden of severe sepsis and septic shock in adult patients. Conducted by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine, under the framework of the SSC, IMPRESS aims to help clinicians and researchers better understand the global burden of sepsis. De-identified patient-level data will be collected on patients presenting to a participating intensive care unit (ICU) or emergency department with severe sepsis or septic shock within a 24-hour period, midnight to midnight on November 7, 2013. Data collected as part of routine clinical care, including hospital and ICU characteristics, patient characteristics, severity of illness, adherence to SSC bundle elements, and mortality, will be used for this study.

Interested hospitals from all countries are encouraged to visit www.impress-ssc.com for further details or to register for the study. Instructions and information on institutional review board approvals are also provided.

Stay up to date on SSC events and resources at www.survivingsepsis.org. Recent updates include:

Can Surfactant Improve Outcomes in Pediatric ALI/ARDS?

Surfactant depletion and dysfunction play an important role in the pathophysiology of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). Reports have detailed impairments in surfactant activity related both to dilutional effects from leaking alveolar proteins and effects from chemical alterations by phospholipases and reactive oxygen species. Additionally, the content of large surfactant aggregates and surfactant proteins A and B, necessary to maintain alveolar integrity, are reduced secondary to problems with processing and metabolism.

As such, the notion that repletion of surfactant could improve outcomes in adult and pediatric patients with ARDS has been studied in a number of investigations. The authors of a trial published in the September issue of Pediatric Critical Care Medicine detail some of these works, explaining that most successes have been in small trials whose results were not replicated in larger ones.

Read more…

SCCM Wants Your Input on the Pain, Agitation, and Delirium Guidelines

The Society of Critical Care Medicine is conducting a brief survey of practitioners  to assess access to and implementation of “Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit,” published in the January 2013 issue of Critical Care Medicine.  Your input will help the Society in its efforts to understand the current state of practice. Please respond to this three-question survey about these guidelines by Friday, August 23.

Steroids for In-Hospital Cardiac Arrest

Neurologically favorable survival after cardiac arrest remains dismal, with a prevalence of severe disability ranging from 25% to 50%.  In previous preliminary work by Mentzelopoulos et al, patients resuscitated with vasopressin, steroids, and epinephrine (VSE) had less organ dysfunction and improved survival.  The question of whether the addition of steroids is beneficial in terms of neurologically favorable outcomes was addressed in the recent study led by Spyros Mentzelopoulos, MD, and colleagues at three centers in Greece.

This study was a multicenter, randomized, double-blind, placebo-controlled, parallel-group clinical trial.  Patients with in-hospital cardiac arrest requiring vasopressors were included.  The control group was  treated according to the European Resuscitation Council (ERC) 2005 Guidelines, with a saline placebo provided in lieu of the steroid.  Patients in the experimental group (VSE group) received arginine vasopressin, epinephrine, and one dose of methylprednisolone (40 mg).  Surviving patients in the VSE group received stress-dose hydrocortisone (300 mg /day) for up to seven days post-arrest. The primary endpoint was return of spontaneous circulation for 20 minutes or longer and survival to hospital discharge with a favorable neurological recovery as assessed by the Glasgow-Pittsburgh Cerebral Performance Category.  Several secondary endpoints were also studied, including complications related to steroids.  Multivariable regression techniques, including a Cox regression analysis, were used to analyze data.
Read more…

New Critical Care Medicine Certification Pathway Announced

A co-sponsored pathway to critical care medicine certification from the American Board of Anesthesiology (ABA) and the American Board of Emergency Medicine (ABEM) has been approved. The American Board of Medical Specialties approved a formal training pathway as well as a limited grandfathering pathway (expiring 2018). The new pathway requires that the emergency medicine/critical care medicine candidate complete two years of critical care fellowship training at an approved anesthesiology/critical care medicine site. (These programs must apply and be approved for a two-year track.) The fellowship curriculum allows latitude for multidisciplinary clinical exposure but requires specific surgical critical care time (both during the first year and by completion of the training cycle).

This new pathway to certification joins the existing one co-sponsored by ABEM and American Board of Internal Medicine, as well as the pathway to surgical critical care through the American Board of Surgery.

The landscape for emergency medicine/critical care medicine has changed significantly over the past two years with multiple opportunities for training and formal certification. An archived presentation detailing the routes to certification is available in the Professional Development Knowledge Line at LearnICU.org.

Listen to the Latest iCritical Care Podcasts

Subscribe on iTunes to the iCritical Care Podcasts or check out the latest releases at www.sccm.org/iCriticalCare.

SCCM Pod-222: Therapeutic Hypothermia in Children
Michael Weinstein, MD, FACS, FCCP, speaks with Philip E. Empey, PharmD, PhD, BCPS, about his Young Investigator Award-winning abstract, “Phenytoin Concentrations Are Elevated in Children Receiving Therapeutic Hypothermia Following Traumatic Brain Injury,” which he presented on during the 42nd Critical Care Congress in San Juan, Puerto Rico. His research found that therapeutic hypothermia significantly reduced phenytoin elimination in children with severe traumatic brain injury, leading to increased, supratherapeutic drug levels for an extended time after cooling. Dr. Empey is an Assistant Professor of Pharmacy and Therapeutics at the University of Pittsburgh in Pennsylvania. Released: 7/24/13

SCCM Pod-221: Improving Patient and Family Satisfaction in the Surgical ICU
Michael Weinstein, MD, FACS, FCCP, speaks with Matthew Lissauer, MD, FACS, to discuss his surgical intensive care unit’s efforts to improve the care provided to critically ill and injured patients and their families. His efforts were rewarded when his institution received the Society of Critical Care Medicine’s 2013 Patient and Family-Centered Care Award. Their efforts have led to a noticeable improvement in communication, patient satisfaction, collegiality, and discussion of issues with people who aren’t often in the ICU. Dr. Lissauer is an assistant professor of surgery at the University of Maryland School of Medicine. Clinically, he is an acute care surgeon, surgical intensivist and the Medical Director of the Surgical Intensive Care Unit at the R Adams Cowley Shock Trauma Center of the University of Maryland Medical Center in Baltimore, Maryland.

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