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From Critical Care Explorations. In this commentary, the authors provide specific recommendations for the rapid implementation of clinical distancing techniques.
From Pediatric Critical Care Medicine. The authors sought to determine whether currently available pediatric illness severity scores can predict duration of critical care resource use. A pediatric disaster triage algorithm that includes both likelihood for survival and for requiring critical care resources could minimize subjectivity in resource allocation decision-making.
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.
Steve Pastores, MD, co-author of the Critical Care Explorations article "Rationale for Prolonged Corticosteroid Treatment in the Acute Respiratory Distress Syndrome Caused by Coronavirus Disease 2019," answers question regarding the use of corticosteriod treatment for ARDS caused by COVID-19. This is SCCM curated COVID-19 microlearning content.
SCCM's president-elect Greg S. Martin, MD, MSc, FCCM, is among the experts tapped to lead a national effort to super-charge the innovation, development, and commercialization of a COVID-19 testing by fall 2020.
Steve Pastores, MD, co-author of the Critical Care Explorations article "Rationale for Prolonged Corticosteroid Treatment in the Acute Respiratory Distress Syndrome Caused by Coronavirus Disease 2019," discusses the timing, dosing and duration recommendations for the use of corticosteriod treatment for COVID-19. This is SCCM curated COVID-19 microlearning content.
Steve Pastores, MD, co-author of the Critical Care Explorations article "Rationale for Prolonged Corticosteroid Treatment in the Acute Respiratory Distress Syndrome Caused by Coronavirus Disease 2019," discusses the disparities in the use of corticosteriod treatment for ARDS caused by COVID-19 by different organizations. This is SCCM curated COVID-19 microlearning content.
Steve Pastores, MD, co-author of the Critical Care Explorations article "Rationale for Prolonged Corticosteroid Treatment in the Acute Respiratory Distress Syndrome Caused by Coronavirus Disease 2019," discusses the use of corticosteriod treatment for ARDS caused by 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 April 15, 2020.
This pre-recorded webinar presents an overview of the nutritional management of the critically ill patient with COVID-19 infection and addresses the vital need for nutrition, nutritional requirements, and the appropriate indications and management of enteral and parenteral nutrition in the context of COVID-19 management.
This interactive webinar focused on key elements of critical care pharmacotherapy and pharmacy operations in the SARS-CoV-2 pandemic.
Review neurologic manifestations of COVID-19 and other severe respiratory viral contagions (Robinson C, et al. Crit Care Explor. 2020;2:e0107).
Explore the Surviving Sepsis Campaign’s Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) (Alhazzani W, et al. Crit Care Med. 2020 Mar 27; Epub ahead of print) with host Kyle B. Enfield, MD, and authors Mitchell M. Levy, MD, MCCM, and Waleed Alhazzani, MD, MSc, FRCPC.
This presentation is an overview of using ECMO for COVID -19 patients. This is SCCM curated COVID-19 microlearning content.
This presentation describes what it has been like for a retired clinician to come back to work on the frontines during the pandemic. This is SCCM curated COVID-19 microlearning content.
Point of Care (PoC) Refresher Training
Point of Care (PoC) Refresher Training. While current recommendations for respiratory support in COVID-19 support the use of the high-flow nasal cannula for hypoxia, oxygen supplementation strategies vary by institution. Make sure to follow your institution's protocols.
Find educational materials to help your team understand the foundations of the ICU Liberation Campaign.
The purpose of these recommendations is to provide a transparent, equitable, and consistent approach to allocation of scarce resources during a COVID-19-declared emergency in which crisis standards of care have been implemented.
The COVID-19 pandemic has presented a unique set of challenges. These challenges have been tempered to some extent by provisions made by the American Medical Association and Centers for Medicare and Medicaid Services (CMS) to assist with the billing and documentation burden.
Guidance to make resource allocation decisions in a crisis.
With hospitals in hardest-hit areas clamoring for clinicians, supplies, and equipment during the COVID-19 pandemic, SCCM has been working with other nonprofits and corporations to answer the hospitals' call for help. SCCM partnered with Direct Relief to send ICU kits that included more than 86,000 units of essential pharmaceuticals to hospitals in New York and South Dakota.
Featuring the brave and impressive work done by the critical care community during the COVID-19 pandemic.
What is the benefit of early versus late nutrition in critically ill children? In this Concise Critical Appraisal, Daniel E. Sloniewsky, MD, FCCM, offers a deep dive on this Pediatric Critical Care Medicine article by Srinivasan et al, which sought to answer this question using data from the Heart and Lung Failure-Pediatric Insulin Titration (HALF-PINT) study.
This webinar discusses COVID-19 cases from the front-line at the University of Nebraska Medical Center Recorded on: April 17, 2020
This presentation is an overview of proper staff preparation during a pandemic to help avoid burnout. This is SCCM curated COVID-19 microlearning content.
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 segment offers an opportunity to experience the power of deep relaxation through a guided visualization. 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 Question and Answer Webcast Series - Webcast 2 held on April 10, 2020.
COVID-19 Guideline Resource. SCCM has released its Surviving Sepsis Campaign COVID-19 guidelines to manage critically ill adults with COVID-19 in the intensive care unit (ICU).
This presentation discusses the mortality factors regarding COVID-19. This is SCCM curated COVID-19 microlearning content.
This presentation is an overview of symptoms, diagnosis and mortality concerns seen when treating pediatric patients with COVID-19. This is SCCM curated COVID-19 microlearning content.
Acute inpatient care - and critical care in particular - has responded to the COVID-19 pandemic in unprecedented ways. Hospital entry screening, reduction or near-elimination of visitation, universal masks, and concerns regarding the supply of beds, medications, personal protective equipment (PPE), ventilators, and ICU team members are chief among the changes. But these are not the only changes that now characterize our daily work and workflow.
This presentation reviews how clinicians are sharing COVID-19 stories and management information through an online communication tool during the pandemic. This is SCCM curated COVID-19 microlearning content.
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.
This presentation is an overview of the use of non-FDA approved respirators when treating COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
COVID-19 - - Quick Reference Chart. This chart is to be used as a rapid resource regarding infection control and testing when treating COVID-19 patients.
COVID-19 - - Quick Reference Chart. This chart is to be used as a rapid resource when choosing ventilation options for managing COVID-19 patients.
COVID-19 - - Quick Reference Chart. This chart is to be used as a rapid resource when choosing hemodynamic options for managing COVID-19 patients.
This presentation is an overview of proper nutrition recommendations approved by SCCM and ASPEN for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
This presentation is an overview of proper transport procedures of COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
SCCM COVID-19 Report. Nearly 5,000 U.S. intensive care unit (ICU) clinicians say that their ICUs are not prepared for the potential onslaught of COVID-19 patients. According to the Society of Critical Care Medicine's (SCCM) ICU Readiness Assessment Report, their specific concerns range from shortages of supplies and staff, patient surge and overcrowding, and personal protective equipment.
Nutrition recommendations for caring for the critically ill patient with COVID-19. Joint Recommendations from SCCM and ASPEN.
Extenuating circumstances call for extraordinary coping. During this webcast, James C. Jackson, PsyD, and Megan Hosey, PhD, described common mental health symptoms that clinicians may experience during this crisis.
COVID-19 - SCCM Joint Statement. This joint society consensus statement provides advice to clinicians considering placing multiple patients on a single mechanical ventilator.
COVID-19 SSC Guidelines Infographic. This rapid resource is aligned with the SSC COVID-19 Guidelines.
COVID-19 Checklist (Spanish Version). This checklist can be used to help prepare your institution during the COVID-19 surge.
COVID-19 - SCCM Joint Statement. The Society of Critical Care Medicine (SCCM) and the American Society of Anesthesiologists (ASA) announce their plans to collaborate to address the COVID-19 crisis.
COVID-19 - SCCM Joint Statement. Production and distribution of personal protective equipment (PPE) and life-saving equipment.
This is presentation covers the renal issues that can attributed to COVID-19 infection. This is SCCM curated COVID-19 microlearning content.
The webcast covered how to prepare for the COVID-19 pandemic, with lessons learned from hospitals in the Houston area that already established special isolation units.
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.
It seems COVID-19 patients remain intubated for a long period of time. Do you have any recommendations for early vs. late tracheostomy?
SCCM member Gregory Margolin, DO, FCCP, FCCM, will be volunteering in New York City next week. He has been treating critically ill patients with COVID-19 at his hospital in Scottsdale, Arizona, and will continue his efforts by treating patients at the Javits Center, the convention center in Manhattan repurposed for COVID-19 overflow.
COVID-19 - - Quick Reference Chart. This chart is to be used as a rapid resource when choosing therapeutic options for treating COVID-19 patients.
COVID-19 Guideline Resource.
Webcast participants were able to learn more about the recommendations included in the guidelines regarding infection control, laboratory diagnosis and specimens, hemodynamic support, ventilatory support
COVID-19 studies are being published rapidly. Find the latest articles from Critical Care Medicine, Pediatric Critical Care Medicine, and Critical Care Explorations.
Working to support critical care professionals on the front lines of the COVID-19 pandemic
Nearly 5000 U.S. intensive care unit (ICU) clinicians say that their ICUs are not prepared for the potential onslaught of COVID-19 patients. According to the Society of Critical Care Medicine’s (SCCM) ICU Readiness Assessment, their specific concerns range from shortages of supplies and staff, patient surge and overcrowding, and personal protective equipment.
Assistant Secretary for Health Admiral Brett P. Giroir, MD, a prominent critical care physician who has a long history of membership and involvement with the Society of Critical Care Medicine (SCCM), has been tapped to lead one of the most important missions in the government's COVID-19 response.
Access new resources to keep you on the cutting edge of critical care.
SCCM Member and disaster management expert Marie R. Baldisseri, MD, MPH, FCCM, is helping Italy remotely with their COVID-19 response plans. Dr. Baldisseri shares her knowledge about the situation in Italy and talks about what drives her to respond in times of crisis.
The Society of Critical Care Medicine (SCCM), American Association for Respiratory Care (AARC), American Society of Anesthesiologists (ASA), Anesthesia Patient Safety Foundation (ASPF), American Association of Critical-Care Nurses (AACN), and American College of Chest Physicians (CHEST) issue this consensus statement on the concept of placing multiple patients on a single mechanical ventilator.
The Society of Critical Care Medicine (SCCM) and the American Society of Anesthesiologists (ASA) announce their plans to collaborate to address the COVID-19 crisis.
A global COVID-19 registry that tracks ICU and hospital care patterns in near real time
The Society of Critical Care Medicine (SCCM) is rapidly developing and deploying resources to respond to coronavirus disease 2019 (COVID-19). Enter your email to receive updates about this information.
The Surviving Sepsis Campaign (SSC) has released Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19).
Free COVID-19 educational programs and webcasts for clinicains that may need additional critical care training.
With the onset of COVID-19, and the strong possibility of large percentages of the U.S. population being admitted to the hospital and intensive care unit (ICU), the Society of Critical Care Medicine (SCCM) has updated its statistics on critical care resources available in the United States.
Villar et al (Lancet Respir Med. 2020;8:267-276) attempted to demonstrate the effect of steroids in patients with moderate to severe acute respiratory distress syndrome (ARDS) along with modern standard ICU practices, including lung-protective mechanical ventilation.
The ICU Liberation Labs during the 49th Critical Care Congress featured information about the ICU Liberation Initiative – which aims to liberate patients from the harmful effects of pain, agitation/sedation, delirium, immobility, and sleep disruption that are common after ICU stays – and offered insights on the bundle’s implementation from ICU Liberation Collaborative members.
Named for Society of Critical Care Medicine’s (SCCM) founder and its first president, Max Harry Weil, MD, PhD, MCCM, the SCCM-Weil Research Grant is typically awarded to two SCCM members as a stepping-stone to carry out basic, translational, or clinical research. SCCM seeks to sponsor research efforts that will ultimately improve patient care in the intensive care unit (ICU) and after hospital discharge. For the first time, SCCM has increased the number of grants from two to three: Thomas S. Valley, MD, MSc; Jacob S. Brenner, MD, PhD; and Blair N. Wendlandt, MD, MSc.
Researchers seeking to evaluate the causes of PARDS and improve therapy options have been awarded the Discovery Research Grant, making it the first time the full grant has been awarded to a single project because of the strength of the grant.
Crit Care Med. 2020 March;48(3):415-419
Most people know Angelica Hale as the tenacious young lady who won hearts with her incredible performances on America’s Got Talent in 2017. But before she became the youngest runner-up in the show’s history, she was a severely ill four-year-old with sepsis and kidney failure. Read ICU Heroes Award winner Angelica Hale's story.
In 2001 a sepsis definitions conference was held to determine whether new data existed to inform updates to the sepsis criteria established in 1991. Afterward, the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM) announced plans to launch the Surviving Sepsis Campaign (SSC) with the goal of reducing mortality from sepsis by 25%. Given the prominence of sepsis and septic shock as emergency conditions, it is worthwhile to review how care has evolved to its current format and the future directions it may take.
Ped Crit Care Med. 2020 Feb;21(2)e52-e106
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).
Concern over the 2019 novel coronavirus (2019-nCoV) is growing. It is vital that those on the frontlines be prepared. This article highlights several strategic goals and special considerations related to caring for a critically ill patient who can transmit a deadly disease to you, your staff, or others in your hospital.
The Joint Commission (TJC) is proposing the addition of new and revised requirements for hospital, critical access hospital, ambulatory care, home care, behavioral healthcare, and nursing care center accreditation programs.
This Concise Critical Appraisal discusses how Carcillo et al (Pediatr Crit Care Med. 2019. Epub ahead of print) compared mortality in children with severe sepsis and MOF who present with one of four phenotypes: 1) immunoparalysis-associated MOF (IPMOF), 2) thrombocytopenia-associated MOF (TAMOF), 3) sequential liver failure-associated MOF (SMOF), and 4) MOF without any immunologic phenotype. The study investigated the association between these phenotypes and macrophage activation syndrome, a potential common pathway of uncontrolled inflammation (Carcillo et al. Pediatr Crit Care Med. 2017;18:S32-S45).
The ICU Liberation Implementation Toolkit allows multiprofessional critical care teams to measure their practice for performance improvement.
Review this case study and analysis about bridging the gap between comfort care and euthanasia.
Read about the set of updated recommendations that define new categories for ascending levels of pediatric intensive care unit (PICU) care for infants and children by the Society of Critical Care Medicine (SCCM) and the American Academy of Pediatrics (AAP).
Learn what to do when a payer audits your documentation.
Discover clinical considerations in managing the IVIG shortage.
The medication use process in hospitals is often complex; however, technology and automation have made medication use more efficient and have enhanced safety. Learn about automated dispensng cabinets in this Critical Connections article.
By accessing a podcast or webcast (collectively the "Products"), you acknowledge that the contents, design, and materials are the property of the Society of Critical Care Medicine (SCCM) or used by SCCM with permission.
Review the latest emerging strategies and hot topics for preventing hospital-acquired infection.
Poor sleep can adversely affect patients’ psychological well-being. Read about the importance of good sleep in the ICU.
Find out the impact of opioids on critical care delivery in the 21st century.
Learn different quality improvement strategies to address burnout and promote a healthy work culture.
Two experts in the field share their perspective ahead of their presentations at the 49th Critical Care Congress.
Learn about hot topics in critical care from the SCCM President.
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.
Lascarrou et al (N Engl J Med. 2019. Epub ahead of print) set out to test the effectiveness of moderate therapeutic hypothermia (MTH) in patients with nonshockable rhythms.
An interview with an ICU Liberation Collaborative Leader and Participant.
The Society of Critical Care Medicine (SCCM) held a session at the 48th Critical Care Congress that offered best practices for reducing CLABSI and CAUTI infections. Subject matter experts discussed quality improvement strategies as well as overcoming challenges and resistance to change. We’ve outlined the questions from the session and curated responses.
Find tools to implement the ICU Liberation Campaign.
Ped Crit Care Med. 2019 Sep;20(9): 847-887
Sign up to volunteer during the Critical Care Congress. Please read criteria carefully.
Submit a proposal for a new guideline or a focused update of a published SCCM guideline.
The National Institute of General Medical Sciences (NIGMS) is changing its priorities to invest in sepsis research in a more targeted and strategic way. In an important opportunity to help shape the future of sepsis research, NIGMS has issued a request for information related to its new priorities. The request for information is found here and is due by November 15, 2019.
Attending your first Critical Care Congress? Read on for some tips and tricks on navigating the meeting without becoming overwhelmed.
Moskowitz et al (Resuscitation. 2019. Epub ahead of print) set out to investigate the preventability of ICU-CAs and identify targets for future intervention.
In-hospital do-not-resuscitate (DNR) orders in the State of Texas have faced much tighter regulation since April 2018. With Senate Bill 11, both the meaning of a DNR order and the circumstances in which it can be entered are now more tightly defined.
Many factors influence the regulation of the healthcare profession in the United States. To address the complex challenges of healthcare regulation, the Society of Critical Care Medicine (SCCM) has evolved from a singular advocacy effort to a networked approach designed to leverage relationships to effectively address issues and improve the provision of critical care.
Early Identify of the Sepsis on the Hospital Floors: Insights for Implementation of the Hour-1 Bundle
Host an FCCS: Obstetrics course and build clinician confidence in caring for critically ill and injured pregnant patients.
Expand maternal/fetal critical care training for intensivists and nonintensivists.
Saini et al (J Pediatr. 2019;209:212-219.e1) sought to evaluate the clinical outcomes in pediatric patients receiving unfractionated heparin while being monitored using anti-factor Xa and to determine the correlation between anti-factor Xa, heparin, and activated partial thromboplastin time.
Download the must-have apps from SCCM that help make the most of your membership and clinical practice.
Surviving Sepsis Campaign Declarations
The SSC Resource Library includes materials aimed at educating clinicians about the SSC guidelines and bundle.
Learn about how documentation tells a story in critical care and what you need to document to support billing critical care services.
Examine this case and case analysis and learn how to navigate a child's care when the parents are resistant to care.
Shehabi et al (N Engl J Med. 2019;380:2506-2517) set out to examine the effects of using dexmedetomidine as the primary agent for early sedation among patients receiving ventilatory support and found that the dexmedetomidine group had a higher risk of adverse events and needed additional sedatives to achieve sedation goals.
Learn more about long-term outcomes from the Sepsis on the Wards Collaborative.
Read different perspectives on how Tele-Critical Care can improve ICU Quality.
Learn about SCCM's Family Engagement Collaborative.
Read about how Rana Awdish, MD's s experience as a critical care patient inspired her to create a culture for caring in the ICU.
Learn about how nonpharmacologic intervention is part of the ICU liberation bundle.
Hear from SCCM's President on quality improvement in the ICU.
The Surviving Sepsis Campaign App provides a screening tool to assist when identifying patients with sepsis.
Colleagues share the tools they have developed in their own institutions as they implement the Surviving Sepsis Campaign.
Find events, courses and online learning opportunities aimed at helping clinicians implement the Surviving Sepsis Campaign.
Learn to implement the SSC guidelines and bundle in the intensive care unit and beyond. The SCC offers numerous tools and educational resources for those committed to reducing sepsis mortality and morbidity rates.
Pediatric sepsis is the leading cause of death in children and infants worldwide.
SSC Adult Guidelines
The Surviving Sepsis Campaign regularly develops and updates resources and implementation tools to further its mission of reducing sepsis and septic shock.
The SSC is a joint initiative of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM).
Representatives from the Society of Critical Care Medicine and the European Society of Intensive Care Medicine provide direction for the Surviving Sepsis Campaign.
Initiated in 2002 the campaign progressed in phases that have expanded the scope and reach of publication of four editions of evidence-based guidelines, implementation of a performance improvement program
The international Surviving Sepsis Campaign (SSC) is a joint initiative of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM), who are committed to reducing mortality and morbidity from sepsis and septic shock worldwide.