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Donor-Funded Training Supports Fundamentals Courses in Rwanda

Learn how Society of Critical Care Medicine (SCCM) members turned a passion for improving care into action by holding donor-funded training in resource-limited areas.


Addressing Implicit Bias in the Critical Care Workforce

Implicit bias is an unconscious negative view of a group of people that can compromise relationships and, in the case of the medical community, stand in the way of good healthcare. Learn how to approach and mitigate implicit bias. 


The Future of Sepsis Treatment

Sepsis continues to affect Americans and hospital patients across the United States. The Centers for Disease Control and Prevention (CDC) estimates that approximately 1.7 million adult Americans develop sepsis each year1; this is more than the entire population of Phoenix, the fifth-largest city in the country.2 Approximately 270,000 of these patients die from sepsis.


Concise Critical Appraisal: Early Hemostatic Management of Disseminated Intravascular Coagulopathy

This Concise Critical Appraisal delves into a study published in Pediatric Critical Care Medicine that sought to determine whether early hemostatic intervention can prevent the development of DIC and improve outcomes.


Tocilizumab May Reduce Mortality in Certain COVID-19 Patients

Two recent trials suggest that immune-damping drugs such as tocilizumab may reduce mortality in patients with severe COVID-19.


Discovery VIRUS Registry Outcomes and STOP-VIRUS ICU Learning Collaborative

The first outcomes of VIRUS were recently published in Critical Care Medicine. More than 20 manuscripts are being prepared for publication during the next several months. Additionally, sites have been invited to submit ancillary study ideas drawing on registry data. Of the 150 proposed, more than 60 have been approved.
 
Join the registry today and contribute to this important data collection.


Achieving Buy-In for the ICU Liberation Campaign

As a bedside nurse in the intensive care unit (ICU), I did not have much understanding of the financial impact my care was having on the patients and my hospital. I have since graduated with a master’s degree in nursing as a clinical nurse specialist and achieved a doctorate of nursing practice. Since moving into an operations role nearly three years ago, I have seen the financial impacts of care to which I had been oblivious for the first part of my career. I ask myself: How do I advocate for the best patient care while balancing costs to ensure a financially healthy organization?

The answer: The ICU Liberation campaign.
 


Concise Critical Appraisal: Asynchronous and Distance Learning in the Age of COVID-19 and Beyond

The medical community has faced many challenges as a result of the COVID-19 pandemic, including ensuring continued medical education in the face of social distancing guidelines and the increased workloads of faculty and trainees. This Concise Critical Appraisal explores an article published in ATS Scholar that sought to outline distance learning options and develop a practical framework for transitioning content to a virtual platform.


Concise Critical Appraisal: Cardiac Ultrasound in Pediatric Septic Shock Assessment

How can clinical information gleaned from focused cardiac ultrasound (FCU) be used to augment clinical assessments in children with suspected septic shock? This month’s Concise Critical Appraisal analyzes a study published in Pediatric Critical Care Medicine that sought to show how often a clinician’s hemodynamic characterization of a child with septic shock was altered by FCU and to further validate an expert-developed algorithm for these assessments.


An Update on SCCM Relief Efforts in Haiti

SCCM President Greg S. Martin, MD, MSc, FCCM, provides an update on the SCCM relief efforts in Haiti.


Prepare for a Surge of Pediatric Patients With COVID-19

With children going back to school, continued outbreaks of respiratory syncytial virus (RSV), and the upcoming flu season, it is important to prepare for potential surges of pediatric patients with COVID-19.


Concise Critical Appraisal: Awake Prone Positioning For COVID-19 Acute Hypoxemic Respiratory Failure

This Concise Critical Appraisal explores an article in The Lancet Respiratory Medicine that evaluated the efficacy of awake prone positioning to prevent intubation or death in patients with severe COVID-19. This meta-trial used a new study design that allowed for the combination of six simultaneous national randomized, controlled, open-label trials.


ICU Liberation: How Pharmacists Can Champion Change and Improve Outcomes

Joanna L. Stollings, PharmD, FCCP, FCCM, and Devin N. Holden, PharmD, BCPS, BCCCP, summarize how pharmacists can play an important role in the development and implementation of each element of the ICU Liberation Bundle (A-F).


Concise Critical Appraisal: Epinephrine Dosing Intervals on Outcomes From Pediatric In-Hospital Card

The average annual incidence of pediatric in-hospital cardiac arrest (IHCA) has recently been estimated at more than 15,000 cases.1 Survival rates for pediatric patients who have had pulseless cardiac arrest have remained below 50% for the past decade.2,3 The American Heart Association currently recommends epinephrine, the cornerstone medication for cardiac arrest, dosed every 3 to 5 minutes in adult and pediatric cardiac arrest, although there is conflicting evidence about whether this is the best interval.4,5 Epinephrine is believed to acutely increase coronary perfusion pressure by increasing diastolic blood pressure (DBP).


SCCM Donations Fund Tele-Critical Care Project

On August 14, a 7.2-magnitude earthquake rattled the nation of Haiti, killing more than 2200 people and leaving thousands of Haitians injured and in need of assistance.1 Beyond the casualties, 66 health facilities were either damaged or destroyed, putting an impossible burden on an already fragile healthcare system.1


Concise Critical Appraisal: Rapid Implementation of an Intensivist-Led VV ECMO Cannulation Program

This Concise Critical Appraisal explores an article published in Critical Care Medicine on a program at Cooper University Hospital in Camden, New Jersey, USA, that implemented a previously published successful ECMO model, in which ECMO cannulation primarily performed by cardiothoracic surgeons is transitioned to medical intensivist-led cannulation. This article is significant in advancing the role of the medical intensivist in the cannulation of patients who require ECMO.


SCCM 2022 Critical Care Congress Is Now Virtual

SCCM has announced the cancelation of the 2022 Critical Care Congress in-person event and the postponement of the virtual event to April 18 through 21, 2022.


2022 Critical Care Congress Thought Leaders: Critical Care Nurses and COVID-19

John J. Gallagher, DNP, RN, CCNS, CCRN-K, TCRN, RRT, FCCM, will bring his experiences and teaching enjoyment to SCCM’s 2022 Critical Care Congress, where he will lead the thought leader session “Critical Care Nurses and COVID-19.”


Increased Mental Disorder Diagnoses in Children After Invasive Mechanical Ventilation

This Concise Critical Appraisal highlights an article in Pediatric Critical Care Medicine that sought to determine the association between invasive mechanical ventilation—a known predictor of adverse outcomes in children—and subsequent new neurodevelopmental and psychiatric disorders after pediatric intensive care unit hospitalization by reviewing Texas Medicaid Analytic eXtract data.


Five Years of Discovery, the Critical Care Research Network

Several years before the COVID-19 pandemic uprooted healthcare worldwide, the Society of Critical Care Medicine (SCCM) launched a task force to identify gaps in critical care research and determine how SCCM could address them. Within two years, this effort led to the establishment of Discovery, the Critical Care Research Network, and the timing could not have been more fortuitous.