PANGEA Study Findings

The April 2017 issue of Pediatric Critical Care Medicine (PCCM) released the latest findings from the Prevalence of Acute critical Neurological disease in children: a Global Epidemiological Assessment (PANGEA) study.

This study offers a worldwide snapshot of acute neurologic conditions among critically ill children. One-hundred-seven hospital ICUs participated by providing information on children with acute neurologic conditions, contributing information on a total of 924 patients.

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.

Podcast on Acute Care Research

In the newly available iCritical Care podcast SCCM Pod-338 Building Global Collaboration in Acute Care Research Ludwig Lin, MD, speaks with John C. Marshall, MD, FRCSC, FACS, about his talk given at the 46th Critical Care Congress, “Building Global Collaboration in Acute Care Research.” Listen to the podcast and then watch Dr. Marshall’s Congress talk and familiarize yourself with the Society of Critical Care Medicine’s newest endeavor: Discovery, the Critical Care Research Network.

You can listen to all of the Society’s podcasts at Here are the latest:

SCCM Pod-337 Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient: 2016 Update

SCCM Pod-336 Surviving Sepsis Campaign Guidelines: 2016 Update

SCCM Pod-335 SCCM President Ruth Kleinpell Discusses the Year Ahead

SCCM Pod-334 Vasopressors: Future Research

Critical Care Awareness Month

As May approaches, it is time for intensive care unit (ICU) teams to consider how they will celebrate National Critical Care Awareness and Recognition Month (NCCARM). ICUs mark this special month in various ways, from sharing blue treats with staff or providing educational symposia, staff recognition ceremonies or ICU tours. Other units invite former patients and their families to meet staff and share their progress.

Regardless of how you celebrate NCCARM this year, be sure you wear blue on Friday, May 19, 2017! Also, make sure to send us group photos of your ICU team celebrating NCCARM. If you do, you may become a star! That’s because the Society of Critical Care Medicine is seeking to highlight teams from around the world in an effort to show the global reach of critical care. Submit your team photo for a chance to be featured throughout the year and during the 47th Critical Care Congress. Share your photos on Twitter using #NCCARM, or post them to the Society’s Facebook page. You can also send your pictures to

ICU Liberation Offering

Gain strategies for effectively implementing sedation liberation and promoting patient mobility with Self-Directed ICU Liberation Performance Improvement, a new online training course developed by the Society of Critical Care Medicine (SCCM).

Self-Directed ICU Liberation Performance Improvement is designed to help you create a lean, sustainable and highly functional multiprofessional intensive care unit (ICU) team.

Learning Objectives include:

  • Recognize valid and reliable assessment tools to prevent and manage pain, agitation and delirium in ICU patients, using the ABCDEF Bundle
  • Develop strategies for integrating a multiprofessional team culture
  • Identify weaknesses or gaps in current ABCDEF Bundle practice and data collection
  • Assess skills using case vignettes and self-assessment tools

Participants will employ a template to assess sample patient data and identify areas for improvement. The course also uses tests to evaluate weaknesses and identify opportunities for bundle implementation to improve patient care. Self-Directed ICU Liberation Performance Improvement includes eight online videos with synchronized speaker audio. Physicians and nurses are eligible to receive 7 hours of continuing education credit.

Purchase Self-Directed ICU Liberation Performance Improvement today at the price of $185 for members ($225 for nonmembers). If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Critical Care Review Course

Register today for the Society of Critical Care Medicine’s (SCCM) Multiprofessional Critical Care Review Course (MCCRC): Adult. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. To receive the lowest rates, register by May 31, 2017.

Led by co-chairs Pamela A. Lipsett, MC, MHPE, MCCM, and Stephen M. Pastores, MD, FCCM, the 2017 MCCRC: Adult 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
  • Accurate assessments of your knowledge in critical care
  • Interactive sessions that utilize audience response technology and practice questions, answers and rationales
  • World-class faculty that provide the most up-to-date information in critical care across all healthcare professions
  • Cutting-edge topics such as extracorporeal membrane oxygenation, choice of vasopressor in shock states, renal replacement therapy techniques, environmental injuries, emerging infections, and delirium
  • Online access to practice questions and post-course audio recordings of the lectures

The 2017 MCCRC: Adult will be held July 25 to 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.

Ultrasound Courses

Secure your seat for the Society of Critical Care Medicine’s (SCCM) summer Critical Care Ultrasound courses. These courses are expected to sell out early, and will be take place July 30, 2017, to August 1, 2017, at the Loews Chicago O’Hare Hotel in Rosemont, Illinois, USA.

Registration for the ultrasound courses includes a complimentary copy of SCCM’s Comprehensive Critical Care Ultrasound eBook. The text covers the entire body and encompasses various views and diagnoses that clinicians will encounter at the bedside in both adult and pediatric populations.

Critical Care Ultrasound: Adult and Critical Care Ultrasound: Pediatric and Neonatal are comprehensive, two-day courses that will be held July 30 to 31, 2017. These courses will provide the ability to:

  • Immediately integrate learned skills into your clinical practice
  • Increase your diagnostic skills and scanning proficiency
  • Learn from field experts on the latest strategies in ultrasound image interpretation and diagnostic challenges, as well as new innovations and procedures
  • Experience high-quality education from prominent faculty, including nurse practitioners, physician assistants and more
  • Receive a significant hands-on experience, ensured by a five-to-one learner-to-faculty ratio

Register for the one-day Advanced Critical Care Ultrasound: Adult course to expand your fundamental echocardiographic skills and knowledge. This course will be held on August 1, 2017. The advanced course will provide attendees with an opportunity to:

  • Focus on the specialty-specific use of echocardiography in the management of the critically ill patient
  • Gain hands-on experience with faculty-assisted skill stations including, new in 2017, transesophageal echocardiography
  • Learn important cardiovascular information for the noninvasive management of the hemodynamically unstable patient.

All courses offer continuing medical education credit hours to physicians, nurses, and physician assistants. Register online today for Critical Care Ultrasound: Adult, Critical Care Ultrasound: Pediatric and Neonatal and Advanced Critical Care Ultrasound: Adult using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Earn CE in Cuba

The Society of Critical Care Medicine’s (SCCM) Study Mission to Cuba, which is scheduled for December 4 to 9, 2017, will offer participants a unique opportunity to earn continuing education in Cuba. 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. During this excursion, participants will discover local architecture, learn from artisans skilled in ceramics and the creation of hand-crafted books, visit the Elian Gonzalez Museum and Castle of San Severino, and much more. 

For complete details, please visit the event webpage. Register today to secure your spot; space is limited. 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.

Alert Fatigue Webcast

The second part of the two-part webcast series on alarm and alert fatigue from the Society of Critical Care Medicine (SCCM) will take place next week on Wednesday, April 26, 2017, 1:00 p.m. Central Time. Register online today using your Customer ID and password. Registration is complimentary for all participants.

During this 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

  • 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

This 60-minute webcast will be moderated by Joseph D. Catino, BS, MD, and is held in collaboration with the Surgery Section Patient Safety Committee. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Learn the Fundamentals

The Self-Directed Fundamental Critical Care Support (FCCS), Sixth Edition, is now available. This online course provides an interactive learning experience with access to the complete course modules. Learn at your own pace from the convenience of your home or office and then assess your knowledge through the use of pre- and posttests.

Self-Directed FCCS includes 16 interactive learning modules and the FCCS textbook (English), which is an excellent desktop reference.

The Sixth edition self-directed course has been enhanced with more interactive content to engage the learner. Content includes:

  • Added videos
  • Matching exercises
  • List ordering
  • Use of tabs for improved content organization

Physicians, nurses, pharmacists, and respiratory therapists are eligible to receive up to 6.5 hours of continuing education credit. Registrants have two years from the date of enrollment to complete the course.

Self-Directed FCCS is available for purchase in the SCCM store. Please contact the Fundamentals team at or +1 847 827-6869 with any questions.

Discovery Call for Proposals

Discovery, the Critical Care Research Network, is encouraging members to submit proposals for review and discussion at the Discovery Spring Clinical Investigators Meeting. The Discovery Spring Clinical Investigators Meeting provides an opportunity for investigators to present clinical proposals in an inclusive and supportive environment. The meeting is being held on Monday, May 22, 2017, from 2:00 p.m. to 5:00 p.m. Eastern Time in Washington, DC, USA, during the American Thoracic Society annual meeting. Members may also participate virtually by videoconference.

The deadline for proposal submission is Monday, May 1, 2017. Investigators will be notified of the status of their submission by May 15, 2017. Please use the following link to submit proposals:

The investigatorinitiated proposals are a unique opportunity to receive valuable peer feedback, network with the Society of Critical Care Medicine’s (SCCM) Discovery Steering Committee members, and solicit additional participant sites. Proposals will be reviewed and evaluated by the Discovery Steering Committee. The investigators of the six highestranked proposals will have an opportunity to present their proposals virtually or in person via PowerPoint presentation followed by questions. Those investigators invited to present can do so virtually and do not need to travel to Washington DC. The proposals that are not selected for live presentation at the Discovery Spring Clinical Investigators Meeting will receive valuable feedback; the abstracts will be shared with the Discovery Steering Committee with the opportunity to solicit additional study sites.

The peer review, feedback, additional study sites, and the letter of support on behalf of the SCCM Discovery Steering Committee will greatly increase the chance of your study obtaining funding, being published, and helping critically ill patients.

Criteria for Application:

-A minimum of two sites is required (a multi-institutional study)

-The research plan (questions 6-16) in the application should be concise and limited to no more than six pages. The research plan includes specific aims, background and significance, preliminary studies (where applicable), and research design and methods.

-The research plan should describe any assistance requested from Discovery (i.e., generation of datasets, data analysis, study sites, etc.)

-It is expected that the results (positive or negative) of all approved Discovery studies, including those considered non-publishable by the studys investigators, will be presented to the Discovery Steering Committee within six months of study completion.

-The Discovery Steering Committee should review all manuscripts resulting from the study prior to submission.

-All study investigators must submit any conflicts of interest.

-Intellectual property will be protected, and confidentiality statements will be required from all members of the Discovery Steering Committee reviewers.

For further information and inquiries, please email

Relative Bradycardia and Septic Shock

Tachycardia is common in septic shock, but many patients with septic shock are relatively bradycardic. The prevalence, determinants, and implications of relative bradycardia in septic shock are unknown. Therefore, Beesley et al set out to determine mortality associated with patients who are relatively bradycardic while in septic shock.

They found that relative bradycardia in patients with septic shock is associated with lower mortality, even after adjustment for confounding.

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.

MCCM Designation

Fellows of the American College of Critical Care Medicine (FCCM) are invited to nominate their FCCM colleagues for the Master of Critical Care Medicine (MCCM) designation. The deadline for submitting nominations is April 30, 2017.

Master members of the College have distinguished themselves through outstanding contributions in research and education, as well as service to the Society of Critical Care Medicine and the field of critical care. They have achieved national and international professional prominence due to personal character, leadership and eminence in clinical practice. Candidates must have been a Fellow for at least 10 years.

For additional information on the MCCM designation, please contact Carol Prendergast at or +1 847 827-6826.

Apply for Awards

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 complimentary registration to the 47th Critical Care Congress. Apply for these opportunities by August 1, 2017.

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 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 ICU team that has succeeded in instituting a novel approach to compassionate care and has a desire to share that innovation with other teams.

Drs. Vidyasagar and Nagamani Dharmapuri Award for Excellence in Pediatric Critical Care Medicine – Recognize an individual for sustained exemplary and pioneering achievement in the care of critically ill and injured infants and children.

ICU Heroes Award – Acknowledge a heroic ICU patient, their respective family members and the multiprofessional ICU team that delivered the care.

Safar Global Partner Award – Recognize individuals and/or institutions making material contributions to SCCM’s achievement of its international strategic priorities.

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 of Architecture for Health. The award recognizes an operating critical care unit designed with attention to both functional and humanitarian issues.

THRIVE Developments

The THRIVE initiative is proud to announce the selection of 10 institutions to a new Post Intensive Care Unit (ICU) Clinic Collaborative:

  • Brigham and Women’s Hospital, Boston, MA*
  • Eskenazi Health, Indianapolis, IN
  • Geisinger Medical Center, Danville, PA
  • Guy’s and St Thomas’ NHS Foundation Trust, London, UK*
  • NHS Greater Glasgow and Clyde, Glasgow, UK*
  • National Jewish Health, Denver, CO
  • Springfield Clinic, Springfield, IL
  • University of Kentucky, Lexington, KY
  • University of Pittsburgh Medical Center (Mercy Hospital), Pittsburgh, PA
  • Wake Forest University, Winston-Salem, NC*

The purpose of the THRIVE Post ICU Clinic Collaborative is to build an international network of hospitals focused on developing post-ICU clinics to provide comprehensive care to ICU survivors. The Collaborative is a partnership between the Society of Critical Care Medicine (SCCM) and the 10 inaugural sites. Together in the collaborative, the goals will be:

  • Improve patient outcomes after ICU discharge
  • Address post-intensive care syndrome (PICS) using a multidisciplinary team
  • Decrease readmission rates and morbidities
  • Improve the quality of life for patients after critical illness
  • Collect data for quality improvement

On another note, in support of the THRIVE initiative, SCCM is proud to fund the third 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 ICU stay.

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.

Applications are due June 1, 2017.

If you have any questions, please contact SCCM staff partner Adair Andrews at

*Currently participating in the Thrive Peer Support Collaborative

Podcast Features SCCM President

In the newly available iCritical Care podcast SCCM Pod-335 SCCM President Ruth Kleinpell Discusses the Year Ahead, Ludwig Lin, MD, speaks with Society of Critical Care Medicine (SCCM) President Ruth M. Kleinpell, PhD, RN, FAAN, FCCM, about some of SCCM’s new initiatives, including the PCOR-ICU Collaborative and Discovery, the Critical Care Research Network, as well as goals she would like to accomplish during her tenure as president.

Hear more from Dr. Kleinpell about the Society’s focus on research in her latest president’s message and her Critical Connections Live interview about her 2017 Presidential Address from the 46th Critical Care Congress.

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