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Five new recommendations to reduce waste and enhance value in the practice of critical care address invasive devices, proactive liberation from mechanical ventilation, antibiotic stewardship, early mobilization, and providing goal-concordant care. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by Jerry J. Zimmerman, MD, PhD, FCCM and Pamela L. Smithburger, PharmD, MS, BCPS, BCCCP, FCCP, FCCM, to formulate new “Choosing Wisely” for Critical Care recommendations that identify best practices to avoid waste and promote value while providing critical care (Zimmerman J, et al. Crit Care Med. 2021;49:472-481). Dr. Zimmerman is professor of pediatrics and anesthesiology and a faculty member and emeritus division chief of pediatric critical care medicine at Seattle Children's Hospital, Harborview Medical Center, and University of Washington School of Medicine in Seattle, WA. Dr. Smithburger is associate professor at University of Pittsburgh School of Pharmacy and pharmacist at University of Pittsburgh Medical Center, in Presbyterian in Pittsburgh, PA. This podcast is sponsored by Biofire.
Sudden cardiac arrest remains a leading cause of premature death worldwide. The reported likelihood of survival with favorable neurologic function is less than 10% in most communities, despite widespread CPR training and increased advanced care EMS systems. Host Margaret M. Parker, MD, MCCM, is joined by Paul E. Pepe, MD, MPH, MACP, FAEMS, MCCM, to review a practical, attainable roadmap for enhancing the likelihood of neurologically intact survival following sudden cardiac arrest (Pepe P, et al. Crit Care Explor. 2020;2:e0214). Dr. Pepe is professor of management policy and community health at the University of Texas Health Science Center in Houston, Texas, USA, and global coordinator of the Metropolitan EMS Medical Directors Alliance and medical director of the Dallas County emergency medical services in Dallas, Texas, USA. This podcast is sponsored by ZOLL.
Jeffrey Guy, MD, MSc, MMHC, speaks with Juliana Barr, MD, FCCM, lead author on the Society of Critical Care Medicine's American College of Critical Care Medicine, “Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit,” published in the January Critical Care Medicine. The guidelines provide a roadmap for developing integrated, evidence-based, and patient-centered protocols for preventing and treating pain, agitation and delirium (PAD) in critically ill patients. Bundles included in the guideline link management strategies with other intensive care unit (ICU) interventions, such as spontaneous awakening trials and early mobility protocols. Barr is an Associate ICU Medical Director at the Veterans Affairs Palo Alto Health Care System in Palo Alto, California, and Associate Professor in Anesthesia at Stanford University.
The Society of Critical Care Medicine (SCCM) is committed to reducing mortality and morbidity from sepsis and septic shock worldwide. The Surviving Sepsis Campaign (SSC) released its first evidence-based guidelines for the pediatric patient population. “Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children” was published in the February 2020 issue of Pediatric Critical Care Medicine (Weiss S, et al. Pediatr Crit Care Med. 2020;21(2);e52-e106).
Does use of the ICU Liberation Bundle (A-F) improve outcomes in critically ill children? Explore the first multicenter report on the impact of the entire ICU Liberation Bundle in critically ill children. Previous studies have focused only on individual bundle elements.
O’Grady NP, Alexander E, Alhazzani W, et al. Society of Critical Care Medicine and the Infectious Diseases Society of America guidelines for evaluating new fever in adult patients in the ICU. Crit Care Med. 2023 Nov;51(11):1570-1586.
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.
SCCM volunteers traveled twice to Lviv, Ukraine, in 2023 to train nearly 500 clinicians on lifesaving education focused on point-of-care ultrasound (POCUS), Fundamental Critical Care Support: Surgical, and ICU Liberation. In this very special 500th episode of the SCCM Podcast, these volunteer faculty share insights into their inspiring and educational mission.
This Concise Critical Appraisal explores a recent study evaluating the prevalence of bacterial codetection in infants with lower respiratory tract infections and its association with longer ventilator duration.
Kyle B. Enfield, MD, speaks with John W. Devlin, PharmD, FCCM, about the article "Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU" (Devlin JW, et al. Crit Care Med. 2018;46:e825-e873). Dr. Devlin discusses what’s new in the 2018 guidelines, including the added topics of rehabilitation/mobilization and sleep, the guideline development process, and implementation strategies. Dr. Devlin is an associate professor at Northeastern University in Boston, Massachusetts, USA, and has been involved in the ICU Liberation committees and collaboratives.
This presentation provides an overview of the types of strategies for approaching the E Element (Early Mobility) of the ICU Liberation Bundle in patients with COVID-19. This is SCCM curated COVID-19 microlearning content.
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 June 10th, 2020.
This resource is a patient guide detailing how Post-Traumatic Stress Disorder (PTSD) is seen in critical illness and intensive care. This is a community developed COVID-19 microlearning resource.
This presentation provides an overview of the types of strategies for approaching the D Element (Delirium) of the ICU Liberation Bundle in patients with COVID-19. This is SCCM curated COVID-19 microlearning content.
From Critical Care Medicine. In this national ICU clinician survey, it was found that there are continued concerns regarding personal protective equipment supplies with the chief issue being N95 respirator availability.
From Critical Care Medicine. In this Letter to the Editor, the authors share their view that - for COVID-19 patient - Intermediate Care Units (IMCUs) may be better suited for post-ICU care than ordinary hospital wards.
From Critical Care Medicine In this editorial, the authors discuss the factors behind why patients had a higher likelihood of surviving coronavirus disease 2019 in June 2020 compared to March 2020.
From Critical Care Medicine. In this study, the authors found that staff who developed coronavirus disease 2019 were less likely to have caught it from their patients in critical care. Other staff, other areas of the hospital, and the wider community are more likely sources of infection.
Fron Critical Care Medicine. This study shows that overburdening of ICU professionals during an extended period of time leads to symptoms of burnout.
From Critical Care Explorations. This point prevalence study showed low implementation of the ABCDEF bundle for patients with COVID-19.