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Former SCCM president Mitchell M. Levy, MD, FCCM, discusses communications bundles with podcast editor Jeffrey Guy, MD, MSc, MMHC. Levy was a presenter for the April 26th webcast titled “Integrating the Communication Bundles into your ICU,” which outlined strategies to reduce patient and family anxiety and to create a positive environment for the critically ill patient. Levy is a professor of medicine and a division chief of pulmonary and critical care medicine at Brown University School of Medicine in Providence, Rhode Island.
Fifteen-year-old Rowen Cartmill played basketball for Westside Christian High School’s freshman team on January 8, 2022. Three days later, he was in the pediatric intensive care unit (ICU) at Randall Children’s Hospital in Portland, Oregon, intubated, sedated, and paralyzed, and on extracorporeal membrane oxygenation (ECMO).
Clinicians aim to communicate with surrogates of ICU patients in ways that both inform them of the patient’s medical condition and support their emotional needs. Written communication, as a supplement to traditional verbal communication, may overcome some of the challenges that clinicians face when engaging with families in the ICU. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Jared Greenberg, MD, MSc, to discuss the article “Daily Written Care Summaries for Families of Critically Ill Patients: A Randomized Controlled Trial,” published in the September 2022 issue of Critical Care Medicine (Greenberg J, et al. Crit Care Med. 2022;50:1296-1305). Dr. Greenberg is assistant professor of internal medicine in the Division of Pulmonary, Critical Care and Sleep Medicine at Rush University Medical Center in Chicago, Illinois. This podcast is sponsored by Sound Physicians.
In the ICU, medical staff do all they can to assist patients and get them back to health as quickly as possible. In the process of saving lives, bedside manner and communication may suffer. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by Lauren Rissman, MD, to discuss the eye-opening experience Dr. Rissman had when she was admitted to the ICU from the labor and delivery unit and the importance of having a patient advocate (Rissman L. Pedtr Crit Care Med. 2021;22:1072-1073). Dr. Rissman is a pediatric specialist in the Division of Pediatric Critical Care Medicine at Ann and Robert H. Lurie Children’s Hospital of Chicago in Chicago, IL.
This presentation is an overview of why health literacy considerations are important when communicating with COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.
From Pediatric Critical Care Medicine. Using their experience in a pediatric intensive care unit, the authors surveyed the shortcomings of current visitation restrictions.
From Critical Care Medicine. In this qualitative study, the authors found that, among ICU clinicians, there was a sense of total professional engagement during the surge. Caring for critically ill coronavirus disease 2019 patients was fraught with challenges, and that the experience generated strong feelings of responsibility, as clinicians felt they had to compensate for the absence of family members.
From Critical Care Explorations. While the collaborative model can help promote ICU family engagement initiatives, the authors found that coronavirus disease 2019 has impeded implementation of these initiatives even among motivated units.
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on April 14th, 2021
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 12th, 2021
COVID considerations re: the "F" Element of the ICU Liberation Bundle. Cleveland Clinic example of Family Involvement & Engagement. This is SCCM curated COVID-19 microlearning content. Curriculum Topic: ICU Liberation Bundle Implementation & Challenges
The Patient Perspective (Ken Burkhom) What the Bedside Nurse Sees (Erin Strong) How the ICU Team Adapts (Jackie Guiliani, Preeti John) Addressing the Repercussions of “Social Distancing” Requests for inappropriate care, managing conflict (Alex Kon) Shared decision making, care at the end of life & Social justice considerations (Giora Netzer) Impact of contingency, crisis operations on communication challenges (Mary Faith Marshall) Curriculum Topic: Shared Decision-Making and End-of-Life Care
From Critical Care Explorations. The authors created evidence-based consensus statements for restricted ICU visitation policies to support critically ill patients, families, and healthcare professionals during current and future pandemics.
The American Heart Association’s (AHA) cardiopulmonary resuscitation guidelines recommend against the routine administration of IV calcium during pediatric cardiopulmonary arrest because of its association with worse outcomes. However, IV calcium is routinely used in children with heart disease who have cardiopulmonary arrest. Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Gurpreet S. Dhillon, MD, to discuss the article, “Calcium Administration During Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest in Children With Heart Disease is Associated With Worse Survival—A Report From the American Heart Association’s Get With the Guidelines-Resuscitation (GWTG-R) Registry," published in the November issue of Pediatric Critical Care Medicine (Dhillon G, et al. Pediatr Crit Care Med. 2022;23:860-871). Dr. Dhillon is a pediatric cardiac intensivist at Lucile Packard Children's Hospital at Stanford in Palo Alto, California.
This presentation is an overview of communicating strategies for dealing with COVID-19 patients and their families. This is SCCM curated COVID-19 microlearning content.
This webcast addressed the legal, social and logistical challenges in communicating with families during the pandemic. Topics covered included a conceptual and practical framework for remote family communication, the importance of having a coordinated interdisciplinary effort in these communications, and updates on CMS regulations for communications.