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The Society of Critical Care Medicine’s (SCCM) new global health initiative, Africa Infrastructure Relief and Support (AIRS), will ensure the availability of medical oxygen to patients in the Gambia, Liberia, and Sierra Leone, made possible by a $5.5 million grant from Direct Relief and in collaboration with the Johns Hopkins Global Alliance of Perioperative Professionals (GAPP) and the Institute of Global Perioperative Care. Officials in the Gambia, Liberia, and Sierra Leone will identify specific medical oxygen-related needs, including hospital-based infrastructure, oxygen-generating plants, and solar energy. SCCM plans to eventually expand the initiative to additional countries.
José L. Díaz-Gómez, MD, FASE, FCCM, rides his bicycle to work every day in Houston, Texas. He passes the Texas Medical Center, where he sees a large Ukrainian flag on one of the hospital buildings. The flag symbolizes support for Ukraine in its ongoing war with Russia, and now when Dr. Díaz-Gómez passes it, he sees something more. He sees courage, responsibility, and hope.
In 2014, Nibras F. Bughrara, MD, FASA, FCCM, joined Albany Medical Center (AMC) in Albany, New York, USA, after completing a critical care medicine fellowship and perioperative echocardiography training at Johns Hopkins School of Medicine. At the time, he was the only intensivist at AMC using point-of-care ultrasound (POCUS).
Before Michael J. Waxman, MBA, MD, FCCM, heads out to teach an FCCS course, he goes into his attic, where his simulation and teaching equipment is stored. He selects what he needs among the mannequins, defibrillators, ventilators, and other supplies, packs it all into his car, and hits the road.
Mary J. Reed, MD, FCCM, began teaching FCCS about 25 years ago. From there, her involvement expanded to teaching multiple SCCM courses, helping to develop courses, and teaching the courses overseas.
Khorog, the regional capital of Gorno-Badakhshan Autonomous Oblast (GBAO), sits at an elevation of 2200 meters among the beautiful but rugged and isolated Pamir Mountains, where some people live at elevations of 4000 meters or more. In this resource-limited region, the Soviet-era healthcare system differs markedly from that of the United States.
The Society of Critical Care Medicine’s (SCCM) 2023 Critical Care Congress in San Francisco marked the in-person return of the largest multiprofessional critical care gathering, bringing together thousands of colleagues and experts from around the world. This year’s Congress theme of “Better Together” recognized the meaningful ways in which critical care professionals collaborate with each other and contribute to the communities in which they live and work.
Social media star and comedian Dr. Glaucomflecken, aka ophthalmologist William E. Flanary, MD, along with his wife, Kristin Flanary, MA, shared social media insights as well as his experience as an ICU patient during his presentation of the Peter Safar Honorary Lecture, “Wife and Death: Featuring Dr. and Lady Glaucomflecken,” on January 22, 2023, at the Society of Critical Care Medicine’s (SCCM) 2023 Critical Care Congress in San Francisco, California.
Is there an association between fluid accumulation (FA) and adverse outcomes in critically ill pediatric patients, and is there a threshold FA associated with these outcomes? This Concise Critical Appraisal explores a retrospective cohort study of PICU patients over a 5-year period that found that FA was common among critically ill mechanically ventilated children within the first 7 days of admittance. Higher FA was associated with adverse outcomes; however; only greater than 20% FA was associated with worse outcomes.
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).
Aggregating and analyzing COVID-19 treatments from EHRs and registries globally
Clinicians and data scientists collaborate to address real-world critical care issues and improve patient care.
The latest from leading medical journals.
Leverage the opportunities afforded by the rapidly evolving field of data science.
Become an SCCM Select member to enjoy exclusive benefits.
Investigate in-hospital cardiac arrests and post-resuscitation care.
Bloodstream infections acquired in the ICU are potentially preventable. Listen to a discussion on the article, “Epidemiology of ICU-Onset Bloodstream Infection: Prevalence, Pathogens, and Risk Factors Among 150,948 ICU Patients at 85 U.S. Hospitals.” This podcast is sponsored by Sound Physicians.
Although only a small number of patients hospitalized with COVID-19 present with a secondary bacterial pneumonia, a large percentage are unnecessarily treated with antibiotics. Hear about how physicians and hospitalists can identify when antibiotics are unnecessary for hospitalized patients with moderate to severe respiratory infections. This podcast is sponsored by bioMérieux.
The American Heart Association’s cardiopulmonary resuscitation guidelines recommend against the routine administration of IV calcium during pediatric cardiopulmonary arrest; however, IV calcium is routinely used. Learn more in this discussion of “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."
Early active mobilization has been shown to mitigate ICU-acquired weakness, reduce disability and, most importantly, reduce mortality. This Concise Critical Appraisal describes a recent article published in the New England Journal of Medicine about mobilization during mechanical ventilation that reevaluates the effects of sedation minimization and daily physiotherapy on serious adverse events and mortality at 180 days.
In funding a five-year prospective multicenter study to determine the safest and most effective approach to sepsis intervention, the National Heart, Lung, and Blood Institute (NHLBI) is recognizing the significant accomplishments of the Surviving Sepsis Campaign (SSC) and the Society of Critical Care Medicine (SCCM) to improve outcomes in patients with sepsis.
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Use this letter to communicate with hosted training instructors.
Prepare healthcare professionals to care for critically ill and injured patients in resource-limited environments.
Prepare nonsurgical healthcare professionals to manage critically ill surgical patients.
Expand maternal/fetal critical care training for intensivists and nonintensivists.
Untreated hyperammonemia can cause irreversible neurologic damage, coma, or death. Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Anna-Kaisa Niemi, MD, PhD, and a patient who was hospitalized for hyperammonemia at age 8 years to discuss the importance of improved recognition of hyperammonemia and awareness of the underlying causes, such as urea cycle disorders. This podcast is sponsored by Horizon Therapeutics.
Pediatric advanced life support (PALS) guidelines include weight-based epinephrine dosing recommendations of 0.01 mg/kg with a maximum of 1 mg, which corresponds to a weight of 100 kg. But what are the actual practice patterns? This podcast discusses the Pediatric Critical Care Medicine article “Weight-Based Versus Flat Dosing of Epinephrine During Cardiac Arrest in the PICU: A Multicenter Survey.”
Paul E. Wischmeyer, MD, EDIC, FASPEN, FCCM, has a highly personal understanding of the challenges of recovering from an intensive care unit (ICU) stay. Diagnosed at age 15 with ulcerative colitis, his colon was removed when it perforated and caused septic peritonitis. Throughout his life, he has had 27 major surgeries and multiple ICU stays for bowel resections after bowel obstructions or to address complications from recurrent intestinal obstructions. These experiences have motivated his research to test a personalized, remotely monitored, coached exercise program to help patients recover after ICU discharge.
Equip clinicians to recognize critical illness and initiate care for critically ill pediatric patients.
Prepare healthcare professionals to sustain patient care during disasters.
Prepares nonintensivists to manage critically ill patients.
Rom A. Stevens, MD, FCCM, and Robert Kerr, MD, were planning to spend this past April sailing off the west coast of Alaska. The two retired Navy captains were looking forward to a relaxing escape, ready to soak in the breathtaking scenery of the last frontier. Instead, they found themselves in war-torn Ukraine, trying desperately to aid a country being decimated by ongoing Russian invasions.
When Russia invaded Ukraine, Jarone Lee, MD, MPH, FCCM, like so many others, wanted to help the Ukrainian people. But beyond donating money or supplies, Dr. Lee realized his unique combination of skills could help in a different way.
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Common causes of death in hospitals, such as sepsis and respiratory failure, are treatable and benefit from early intervention. Machine learning algorithms or early warning scores can be used for early identification and recognition to potentially help accelerate interventions and limit morbidity and mortality. This Concise Critical Appraisal explores an article published in Critical Care Medicine that looked at the impact of one of these early warning scores—electronic cardiac arrest risk triage (eCART)—on mortality for elevated-risk adult inpatients.
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. Learn more in this discussion of the Critical Care Medicine article “Daily Written Care Summaries for Families of Critically Ill Patients: A Randomized Controlled Trial." This podcast is sponsored by Sound Physicians.
Self-care is critical for clinician well-being.
Provide training to improve care for critically ill and injured patients.
Using education and technology for accurate and rapid-cycle sepsis diagnoses
Determine the safest, most effective approach to sepsis intervention.
The COVID-19 pandemic exposed major gaps in the U.S. healthcare system, prompting the National Emerging Special Pathogens Training and Education Center (NETEC) to form the National Special Pathogen System of Care (NSPS) to prepare the country for the next large-scale outbreak. Discovery, the Critical Care Research Network, and its Severe Acute Respiratory Infection – Preparedness (SARI-PREP) program are helping lead the way in this new vision. SARI-PREP is a key player in the effort to establish a coordinated and standardized healthcare network that provides high-quality care to parents with a special pathogen, while also protecting healthcare workers.
Clazakizumab is a monoclonal antibody against human interleukin-6 that may benefit patients hospitalized with severe or critical COVID-19 accompanied by hyperinflammation. Although not yet FDA approved, clinical trials are underway worldwide. Samantha Gambles Farr, MSN, NP-C, CCRN, RNFA, is joined by Bonnie E. Lonze, MD, PhD, to discuss the article, “A Randomized Double-Blinded Placebo Controlled Trial of Clazakizumab for the Treatment of COVID-19 Pneumonia With Hyperinflammation.”
Receive extensive coverage of core concepts in pediatric critical care.
Receive the most comprehensive review and update of the diagnosis, monitoring, and management of critically ill adult patients.
This Concise Critical Appraisal describes two articles that illuminate the associations among the COVID-19 pandemic, clinician well-being, and burnout—an article on the perceptions of critical care shortages, resource use, and clinician well-being and an article comparing the effects of the pandemic among critical care professions.
The Research Plan provides the first U.S. government-wide national research agenda focused on advancing prevention, diagnosis, treatment, and provision of services and supports for individuals and families experiencing Long COVID. The reports represent the federal government’s response to ensure the acceleration of scientific progress and to provide individuals with Long COVID with the support and services they need. They affirm the U.S. government’s commitment to addressing the impacts of Long COVID with federal government resources, in collaboration with the private sector, and improving our Nation’s health and well-being.
The Services Report outlines federal services and mechanisms of support available to the public in addressing the longer-term effects of COVID-19. The reports represent the federal government’s response to ensure the acceleration of scientific progress and to provide individuals with Long COVID with the support and services they need. They affirm the U.S. government’s commitment to addressing the impacts of Long COVID with federal government resources, in collaboration with the private sector, and improving our Nation’s health and well-being.
Find educational events related to critical care from SCCM and other organizations.
Are there bullies in the world of advanced practice providers (APPs)? How is bullying defined in a clinical environment? In this podcast, three APPs from different hospitals debate incivility and workplace culture. They also address interpersonal relationships among APPs, physicians, and nurses.
Can arginine supplements improve the hemodynamics of children with severe pain or acute chest syndrome (ACS) related to sickle cell anemia? Although mortality rates in children with sickle cell disease (SCD) have improved over the past decade, ACS and vasoocclusive episodes (VOE) remain relatively common diagnoses in pediatric ICUs. This Concise Critical Appraisal explores an article in which Onalo et al completed the second phase of their work determining the role that L-arginine treatment may play in the cardiopulmonary status of children with SCD and VOE, with or without ACS. In the first phase of their work, the authors demonstrated decreased hospitalization time, decreased opioid use, and the absence of serious adverse events in children with SCD after receiving L-arginine therapy.
How can nurses champion change and improve outcomes by implementing the ICU Liberation Bundle (A-F)? Laura S. Maples, MSN, RN, CCRN-K, summarizes how nurses become early adopters of the bundle, focusing on advocacy for their patients’ best outcomes, and advocating for multiprofessional collaboration to successfully implement the elements of the bundle.
This podcast discusses a novel machine learning model that identifies ICU transfers in hospitalized children more accurately than current tools. The discussion centers on the article “Development and External Validation of a Machine Learning Model for Prediction of Potential Transfer to the PICU,” published in the July 2022 issue of Pediatric Critical Care Medicine.
The ongoing humanitarian crisis in Ukraine has quickly become historic for its magnitude. The conflict has also led to crisis within the Ukrainian healthcare system. Here is how the Society of Critical Care Medicine (SCCM) has been helping.
The COVID-19 pandemic created a new challenging environment in which healthcare workers must survive. Before the pandemic, healthcare workers experienced burnout due to resource allocation and shortages, mental anguish, and long work hours. The pandemic further exacerbated this situation, creating a new crisis within our already frayed healthcare system. This Concise Critical Appraisal dives into an article published in Critical Care Medicine that reviewed the causes of burnout and the correlation between the COVID-19 pandemic and workplace burnout.
Nosocomial infections are a prevalent cause of death and complications in critically ill children. Conventional cultures are able to detect only up to 25% of bacteremias. Several studies have suggested that molecular tests could be a faster and effective tool for detection of bacterial infections. Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Sylvia Belda Hofheinz, MD, to discuss the article, “Multiple Polymerase Chain Reaction for Direct Detection of Bloodstream Infection After Cardiac Surgery in a PICU.”
Host an FCCS: Crisis Management course and prepare healthcare professionals to sustain patient care during disasters.
With your support, the Society is making an impact worldwide. Learn about how your donations are put into action.
The recently released Morbidity and Mortality Weekly Report (MMWR), Symptoms of Depression, Anxiety, Post-traumatic Stress Disorder and Suicidal Ideation Among State, Tribal, Local and Territorial Public Health Workers During the COVID-19 Pandemic, and the Public Health Workforce Interests and Needs Survey (PH WINS) highlight the negative mental health consequences reported by the public health workforce as a result of the prolonged and ongoing COVID-19 pandemic, the public health response and the unprecedented vaccination campaign.
On May 23, United States Surgeon General Dr. Vivek Murthy issued a new advisory, the Surgeon General’s Advisory Addressing Health Worker Burnout, highlighting the urgent need to address the health worker burnout crisis across the country. This advisory details recommendations that different stakeholders can take to prevent burnout, improve health worker well-being, and strengthen the Nation’s public health infrastructure.
On April 25, 2022, the distribution process for COVID-19 therapeutics to state and territorial health departments transitioned from the previous allocation process to one that more closely aligns with the allocation and ordering process for vaccines.
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Neurology
This podcast educates clinicians on the unfamiliar parameters of processed EEG. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Meghan B. Lane-Fall, MD, MSHP, FCCM, to discuss the benefits of processed EEG for monitoring sedated mechanically ventilated patients and patients undergoing neuromuscular blockade. This podcast is sponsored by Medtronic.
Catecholamine is used in patients with septic shock to augment hemodynamics and achieve goal mean arterial pressure. Ludwig H. Lin, MD, is joined by Gretchen L. Sacha BCCCP, PharmD, to discuss this retrospective observational study to evaluate the associations of catecholamine dose, lactate concentration, and timing from shock onset at vasopressin initiation with in-hospital mortality. This podcast is sponsored by Sound Physicians.
Has the rate of venous thromboembolism (VTE) in children changed over time? A 2009 study reported a 70% increase in VTE in acutely and chronically ill children. The reasons for this increase were not clear but were postulated to be related to improved survival of critically ill children, increased use of central venous catheters, and increased prevalence of adolescent obesity. This Concise Critical Appraisal dives into a 2022 article that sought to determine whether the rate of VTE continued to increase between 2008 and 2019.
Ritonavir, a strong cytochrome P450 (CYP) 3A4 inhibitor and a P-glycoprotein inhibitor, is coadministered with nirmatrelvir to increase the blood concentration of nirmatrelvir, thereby making it effective against SARS-CoV-2. Ritonavir may also increase blood concentrations of certain concomitant medications. Because ritonavir-boosted nirmatrelvir (Paxlovid) is the only highly effective oral antiviral for the treatment of COVID-19, drug interactions that can be safely managed should not preclude the use of this medication.
The Society of Critical Care Medicine (SCCM) has compiled and developed resources on what clinicians need to know about mpox (formerly monkeypox). While mpox is usually a self-limited disease with symptoms lasting two to four weeks, severe cases and death have occurred during the current outbreak, so it is important for critical care clinicians to recognize potential mpox infections. Visit SCCM’s mpox web page for additional details.
What clinicians need to know about the mpox outbreak
The Centers for Disease Control and Prevention (CDC) Nowcast data from April 5, 2022, estimates that the proportion of COVID-19 cases caused by the Omicron BA.2 variant is above 50% in all Health and Human Services (HHS) U.S. regions. Data included in the health care provider fact sheet show the authorized dose of sotrovimab is unlikely to be effective against the BA.2 sub-variant. Due to these data, sotrovimab is not authorized in any U.S. state or territory at this time.
On April 14, 2022, the FDA revised the Emergency Use Authorization (EUA) for the COVID-19 oral antiviral therapeutic Paxlovid to authorize an additional dose pack presentation with appropriate dosing for patients with moderate renal impairment within the scope of the EUA. As a result, Paxlovid will soon be available in two package presentations.
In a study supported by the National Institute of Allergy and Infectious Diseases (NIAID), the National Center for Advancing Translational Sciences, and the National Institute on Drug Abuse, researchers enrolled 209 people ages 18 to 89 who had laboratory-confirmed SARS-CoV-2 infections.
Little is known about the epidemiology of ventilator-acquired pneumonia among COVID-19 patients. Ashish K. Khanna, MD, FCCP, FCCM, is joined by Charles-Hervé Vacheron, MD, to discuss a cohort exposed/nonexposed study that found a higher incidence of ventilator-associated pneumonia among COVID-19 patients compared with the general population.
This podcast will examine a retrospective, observational cohort study that found an association between excessive oxygen supplementation in the first day of mechanical ventilation with multiple organ dysfunction syndrome on day 7 of admission and in-hospital mortality in critically ill children. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by L. Nelson Sanchez-Pinto, MD, MBI, to discuss the study’s findings. (Sanchez-Pinto LN, et al. Pediatr Crit Care Med. 2022;23:89-98). Dr. Sanchez-Pinto is a pediatric critical care physician, data scientist, clinical informaticist, and healthcare technologist at the Ann and Robert H. Lurie Children's Hospital in Chicago, IL.
Recently published guidelines have replaced the recommendations on temperature management after cardiac arrest included in the 2021 post-resuscitation care guidelines co-issued by the European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM). This Concise Critical Appraisal examines the previously reported recommendations and evidence, reviews the ERC-ESICM updated recommendations, and highlights the areas that still lack investigation and clarity.
Post-ICU COVID-19 clinics are newly established programs providing care for patients with post-intensive care syndrome (PICS) related to COVID-19. During this webcast, subject matter experts discussed how post-ICU COVID-19 clinics developed with an interdisciplinary model improve outcomes and support patients, family members, and transitions of care.
This podcast will describe the principle of albumin dialysis of the molecular adsorbent recirculating system (MARS) and discuss the logistics of starting a MARS program to outline indications for MARS.
Late-breaking information that can be used to help guide your multidisciplinary practice
More than 75% of healthcare professionals have self-reported burnout as well as increased frustration and feeling overwhelmed at work. Andrea Sikora, PharmD, BCCCP, MSCR, FCCM, discusses what can be done and highlights three recent articles offering recommendations on how to prevent burnout and establish effective mentorship opportunities.
Search past Critical Care Congress locations and resources.
The new Agency for Healthcare Research and Quality (AHRQ) Toolkit for Preventing CLABSI and CAUTI in ICUs offers customizable tools and training resources to help your facility prevent dangerous infections. Its unique design gives users resources to assess current clinical and safety practices, implement a reduction plan, and overcome common cultural and technical challenges in reduction efforts.
The ICU Heroes Award recognizes that patients and families are an integral part of intensive care unit (ICU) care. The award is given to an ICU patient and family and to the multiprofessional team that delivered the care.
Does your hospital use a checklist or bundle to minimize risk factors for delirium? Delirium is common in surgical and medical intensive care units (ICUs) and has shown to be associated with longer mechanical ventilation duration and longer ICU and hospital lengths of stay. This Concise Critical Appraisal explores a study that evaluated a multicomponent nonpharmacologic quality improvement intervention aimed at the sleep-wake cycle for reducing delirium in critically ill patients in the surgical critical care setting.
Frequently asked questions about membership, education, and more.
The Society of Critical Care Medicine’s (SCCM) dedication to diversity, equity, and inclusion (DEI) will be on full display at the 2022 Critical Care Congress. Congress will feature a number of sessions that delve deep into DEI topics, offering attendees suggestions for providing equitable care for all patients, as well as advocating for themselves and others in the intensive care unit (ICU).
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.
From Critical Care Explorations The authors describe the structure and process characteristics of existing and newly implemented ICU-RCs and COVID-RCs in a subset of large health systems in the United States.
From Critical Care Explorations The authors determine the factors associated with mortality in venovenous extracorporeal membrane oxygenation (V-V ECMO) patients with COVID-19 infection and provide an updated report of clinical outcomes for patients treated with V-V ECMO for COVID-19 in Minnesota.
From Critical Care Explorations In this Letter to the Editor the authors concluded that the pattern of albumin kinetics may be predictive of outcome in COVID-19 and sepsis-induced ARDS.
From Critical Care Explorations The authors compare the demographics and outcomes of hospitalized patients during New York City’s third wave of COVID-19 to the first two waves.
From Critical Care Medicine In this Letter to the Editor the authors write in reponse to Ibarra-Estrada et al.
From Critical Care Medicine In this Letter to the Editor the authors respond to Dandel et al.
From Critical Care Medicine In this Letter to the Editor the authors write in response to Chotalia et al.
From Critical Care Medicine In this Letter to the Editor the authors respond to Jha et al.
From Critical Care Medicine In this Letter to the Editor the authors write in reponse to Chotalia et al.
From Critical Care Medicine In this Editorial the authors write an accompanying piece to Mesotten et al.
From Critical Care Medicine The authors quantify the response to prone position, describe the differences between coronavirus disease 2019 acute respiratory distress syndrome and acute respiratory distress syndrome, and explore variables associated with survival.
From Critical Care Medicine The authors investigated healthcare system–driven variation in general characteristics, interventions, and outcomes in coronavirus disease 2019 (COVID-19) patients admitted to the ICU.
WHO has updated its living guidelines on COVID-19 therapeutics to include a conditional recommendation on molnupiravir, a new antiviral medicine. This is the first oral antiviral drug to be included in the treatment guidelines for COVID-19. As this is a new medicine, there is little safety data. WHO recommends active monitoring for drug safety, along with other strategies to mitigate potential harms.
Through this program, people are able to get tested and – if they are positive and treatments are appropriate for them – receive a prescription from a health care provider, and have their prescription filled all at one location. These “One-Stop Test to Treat” sites are available at hundreds of locations nationwide, including pharmacy-based clinics, Health Resources Services Administration (HRSA)-supported federally-qualified health centers (FQHCs), and long-term care facilities. People can continue to be tested and treated by their own health care providers who can appropriately prescribe these oral antivirals at locations where the medicines are distributed.
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Infectious Diseases Society of America (IDSA) COVID-19 Real-Time Learning Network. These resources are categorized as Professional Development
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Pulmonary
Brendan G. Carr, MD, MA, MS, will address some of the realities of the COVID-19 pandemic and how health systems can prepare during the Peter Safar Memorial Lecture at the 2022 SCCM Congress.
Explore pediatric critical care educational opportunities and practice resources.
Robert Truog, MD, discusses his article in the April 2006 issue of Critical Care Medicine, "Rationing in the Intensive Care Unit."
Jack Zimmerman, MD, FCCM, discusses his article in the May 2006 issue of Critical Care Medicine, "Acute Physiology and Chronic Health Evaluation (or APACHE IV): Hospital Mortality Assessment for Today's Critically Ill Patients."
Phil Barie, MD, MBA, FCCM, discusses his article from the April 2006 issue of Critical Connections on antibiotic prophylaxis.
Vera De Palo, MD, outlines several common questions healthcare professionals should consider to help prevent catheter-related bloodstream infections in the ICU. Her article "Catheter-Related Bloodstream Infections: Can We Make it Safer For Our Patients?" appears in the April 2006 issue of Critical Connections.
Brian Jacobs, MD, discusses how efforts in computerized physician order entry relate to patient safety. The ICIS system is a computer-based system implemented throughout the hospital through which all medical orders are entered and documented electronically.
Shannon S. Carson, MD, as well as John P. Kress, MD, discuss their article from the May 2006 Critical Care Medicine, "A Randomized Trial of Intermittent Lorazepam vs. Propofol With Daily Interruption in Mechanically Ventilated Patients."
Raina M. Merchant, MD, and Benjamin S. Abella, MD, discuss their article published in the July 2006 issue of Critical Care Medicine. The article, "Therapeutic Hypothermia Utilization Among Physicians After Resuscitation From Cardiac Arrest," addresses whether physicians are cooling patients after cardiac arrest.
Marie R. Baldisseri, MD, an intensivist from the University of Pittsburgh, discusses her article from the June 2006 issue of Critical Connections, titled "Rapid Response Systems: Have They Made a Difference?
Terry Clemmer, MD, FCCM, discusses computerized physician order entry and error detection in the intensive care unit.
Marin Kollef, MD, discusses his article in the August issue of Critical Care Medicine, "Methicillin-Resistant Staphylococcus aureus Sterile-Site Infection: The Importance of Appropriate Initial Antimicrobial Treatment."
Douglas White, MD, discusses his article in the August issue of Critical Care Medicine, "Decisions to Limit Life-Sustaining Treatment for Critically Ill Patients Who Lack Both Decision-Making Capacity and Surrogate Decision Makers."
Maged A. Tanios, MD, discusses his article, "A randomized, controlled trial of the role of weaning: Predictors in clinical decision making," from the October issue of Critical Care Medicine.
Daren Heyland, MD, MSc, is of the prominent keynote speakers set to present during the 36th Critical Care Congress. He discusses his presentation, "Pharmaco-Nutrition: A New Emerging Paradigm," and offers insight into his background and accomplishments in critical care.
Patrick Kochanek, MD, FCCM, is one of the prominent keynote speakers set to present during the 36th Critical Care Congress. He discusses his presentation, "Emergency Preservation for Resuscitation: Beyond CPR."
Mitchell Levy, MD, FCCM, discusses a perspectives article published in the October 19, 2006, issue of the New England Journal of Medicine, titled "Surviving Sepsis—Practice Guidelines, Marketing Campaigns, and Eli Lilly," which criticizes the campaign and its major funding source, Eli Lilly.
Derek Angus, MD, MPH, discusses a new, multicenter research consortium, called Protocolized Care for Early Septic Shock (ProCESS).
Yizhak Kupfer, MD, discusses his lecture, to be held during the 36th Critical Care Congress, "Reduction of Medication Errors in the Intensive Care Unit."
Saraswati Dayal, MD, and Edwin Deitch, MD, discuss an article published in the September issue of Critical Care Medicine, "ICU management of the trauma patient.."
Eric Pacht, MD, discuss an editorial published in the September issue of Critical Care Medicine, "Enteral therapy to decrease morbidity and improve survival in acute respiratory distress syndrome: Its time has come."
Stanley Nasraway, MD, FCCM, discusses an article in the December issue of Critical Care Medicine "Heparin-induced thrombocytopenia in the critical care setting: Diagnosis and management."
Frederick P. Ognibene, MD, FCCM, discusses his goals as the Society's president for 2007 as well as his decades-long involvement in SCCM and the critical care community.
Peter Pronovost, MD, PhD, FCCM, discusses his article published in the December 28 issue of the New England Journal of Medicine, titled "An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU."
John Mazuski, MD, FCCM, and Beth Taylor, MS, RD, CNSD, FCCM, discuss their article published in the February 2007 issue of Critical Connections, titled "Gastric vs. Intestinal Feeding: Does it Make a Difference?"
Howard Corwin, MD, FCCM, discusses hematological issues and anemia in the critically ill and injured.
Stephan Mayer, MD, FCCM, discusses cooling the neurological patient.
Gregory Martin, MD, discusses some of the topics from his presentation during the 36th Critical Care Congress, "Furosemide and Albumin in ARDS."
Arno Zaritsky, MD, discusses an article he and Dr. Ikram Haque published in the March 2007 issue of Pediatric Critical Care Medicine titled "Analysis of the Evidence for Lower Limit of Systolic and Mean Arterial Pressure in Children."
Djillali Annane, MD, discusses a study on epinephrine versus norepinephrine for septic shock he presented during the 36th Critical Care Congress.
Christopher Carroll, MD, discusses an article published in Pediatric Critical Care Medicine titled, "Childhood Obesity Increases Duration Of Therapy During Severe Asthma Exacerbations."
Susan Bratton, MD, MPH, discusses an editorial published in the September 2006 issue of Pediatric Critical Care Medicine, "Physician Experience with Family Presence During Pediatric Cardiopulmonary Resuscitation."
Douglas Willson, MD, discusses an article he published in the July 2006 issue of Pediatric Critical Care Medicine, "The Collaborative Pediatric Critical Care Research Network."
Richard J. Wall, MD, MPH, and Nancy Chambers, MDiv, discuss an article published in the April issue of Critical Care Medicine titled, "Spiritual Care of Families in the ICU."
The Society of Critical Care Medicine's president-elect Phil Barie, MD, MBA, FCCM, discusses a study published in Annals of Surgery, titled "Early Antibiotic Treatment for Severe Acute Necrotizing Pancreatitis."
Wesley Ely, MD, FCCM, discusses new developments in delirium management, focusing on his presentation at the 36th Critical Care Congress.
John Kellum, MD, FCCM, a professor at the University of Pittsburgh, discusses his article from the August 2007 issue of Critical Connections, "Preventing Acute Renal Failure."
Christopher Cox, MD, and Shannon Carson, MD, discuss an article published in the August 2007 issue of Critical Care Medicine, titled "An economic evaluation of prolonged mechanical ventilation."
Peter C. Laussen, MD, discusses an article published in the May 2007 issue of Pediatric Critical Care Medicine, titled "Pediatric Staff Perspectives on Organ Donation After Cardiac Death in Children."
Roham T. Zamanian, MD, discusses an article published in the September 2007 issue of Critical Care Medicine, titled "Management Strategies for Patients with Pulmonary Hypertension in the ICU."
Martha A.Q. Curley, RN, PhD, discusses an article published in the May 2007 issue of Pediatric Critical Care Medicine, "Pediatric Staff Perspectives on Organ Donation after Cardiac Death in Children."
Robert D. Truog, MD, MA, discusses new guidelines published in the March 2008 issue of Critical Care Medicine, "Recommendations for End-of-Life Care in the ICU."
Folafoluwa O. Odetola, MD, MPH, discusses an article published in the January 2008 issue of Pediatric Critical Care Medicine, "Do Outcomes Vary According to the Source of Admission to the Pediatric Intensive Care Unit?"
Mitchell Levy, MD, FCCM, discusses his article, "Association between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit," published in the June 3, 2008, issue of Annals of Internal Medicine.
Paul Marik, MD, FCCM, discusses the June Critical Care Medicine article, "Recommendations for the Diagnosis and Management of Corticosteroid Insufficiency in Critically Ill Adult Patients: Consensus Statements from an International Task Force by the American College of Critical Care Medicine."
Jeanine Wiener-Kronish, MD, discusses an article published in the September 2008 issue of Critical Care Medicine, titled "Increased Mortality of Ventilated Patients with Endotracheal Pseudomonas Aeruginosa Without Clinical Signs of Infection."
Derek C. Angus, MD, MPH, FCCM, the recipient of the American College of Critical Care Medicine's (ACCM) Distinguished Investigator Award, discusses the state of critical care research as well as his unique background.
Richard D. Branson, RRT, FCCM, discusses his two upcoming presentations for the 38th Critical Care Congress, The Modes of Mechanical Ventilation and Mechanical Ventilation Modes: How and When.
Peter Pronovost, MD, PhD, FCCM, discusses patient safety research and future efforts to reduce infections in the intensive care unit in this special 100th episode of the iCritical Care Podcasts.
Paul E. Wischmeyer, MD, discusses nutrition in the intensive care unit, specifically addressing what role total parenteral nutrition might have for the critically ill or injured patient.
John McNelis, MD, FCCM, discusses leadership and mentorship in the critical care community.
Vladimir Kvetan, MD, FCCM, discusses the history and goals of the Critical Care Leadership Network of the Greater New York Hospital Association for which he is a founding member.
Society of Critical Care Medicine president Mitchell Levy, MD, FCCM, discusses his goals and vision for the Society during his 2009 term.
Randy S. Wax, MD, discusses the current outbreak of H1N1 Influenza, the triage protocol for critical care during an influenza epidemic, the public's role in taking necessary precautions, and educational resources that are available.
John H. Beigel, MD, clarifies the definition of influenza and discusses the evolution of viruses, speculation on the mode of transmission and the role of vaccines and therapies as they relate to H1N1 Influenza.
Naomi O'Grady, MD clarifies the strain of the current virus, discusses the difference between a pandemic and an epidemic, and outlines the prescription therapies available specific to H1N1 Influenza.
Rosemarie Fernandez, MD, discusses an article published in the June 2009 issue of Critical Care Medicine, “The Presence of a Family Witness Impacts Physician Performance During Simulated Medical Codes.”
Michael Diringer, MD, FCCM, discusses his article published in Critical Care Medicine about the management of acute aneurysmal subarachnoid hemorrhage.
Phillip S. Barie, MD, MBA, FCCM, discusses decontamination of the digestive tract and oropharynx in an attempt to prevent ventilator-associated pneumonia. He discusses a recent article published in The New England Journal of Medicine, “Decontamination of the Digestive Tract and Oropharynx in ICU Patients.”
Constantine A. Manthous, MD, associate clinical professor of medicine at Bridgeport Hospital and Yale University School of Medicine in Connecticut, discusses his article published in the April 2009 issue of Critical Care Medicine, “Why Not Physician-Assisted Death?”
Elaine Meyer, RN, PhD, discusses a paper published recently in Pediatric Critical Care Medicine, titled “Difficult Conversations: Improving Communication Skills and Relational Abilities in Healthcare.”
Margaret Parker, MD, FCCM, discusses her article published in the January 2009 issue of Critical Care Medicine, titled “An International Survey: Public Awareness and Perception of Sepsis.”
Leticia Castillo, MD, FCCM, discusses an article published in Pediatric Critical Care Medicine, “Secondary HLH and Severe Sepsis/Systemic Inflammatory Response Syndrome/Multiorgan Dysfunction Syndrome/Macrophage Activation Syndrome Share Common Intermediate Phenotypes on a Spectrum of Inflammation.”
Wynne Morrison, MD, discusses an article published in the May issue of Pediatric Critical Care Medicine, which highlighted the results of a national survey of pediatric critical care medicine fellowship clinical and research time allocation.
Bradley D. Freeman, MD, discusses his article published in the December 2009 issue of Critical Care Medicine, titled “Examination of Non-Clinical Factors Affecting Tracheostomy Practice in an Academic Surgical Intensive Care Unit.”
Barbara McLean, ACNP, CCNS-NP, discusses her recent volunteer efforts in Haiti following the January 12, 2010, earthquake that devastated the area. McLean discusses general disaster management strategies as well as patient populations and care challenges specific to the event.
Society of Critical Care Medicine president Judith Jacobi, PharmD, BCPS, FCCM, discusses her goals and vision for the Society during her 2010 term. As the first pharmacist president of the organization, Jacobi stresses the importance of pharmacists and their role in critical care in addition to outlining various anticipated projects
Michael West, MD, PhD, FCCM, discusses his unique career path into critical care and his background as a trauma/critical care surgeon.
Michael Cheatham, MD, FCCM, director of the surgical intensive care units at Orlando Regional Trauma Center in Florida, discusses his latest paper titled, “Is the Evolving Management of Intra-Abdominal Hypertension and Abdominal Compartment Syndrome Improving Survival,” published in the February 2010 issue of Critical Care Medicine.
Ruth Kleinpell, RN, PhD, RN-CS, FCCM, discusses her experience as a nurse practitioner as well as her research into the role of nurse practitioners and physician assistants in the ICU.
Anthony Carlese, MD, DO, discusses management of the patient after cardiac surgery, specifically his approach to caring for patients in the ICU who have just undergone coronary artery bypass surgery and the different situations and that he encounters.
John A. Kellum, MD, FCCM, discusses how one uses RIFLE to take care of patients with acute kidney injury (AKI). He also discusses his review article, published in the April 2008 Supplement issue of Critical Care Medicine, titled “Acute Kidney Injury.”
Amelia Hopkins, MD, FCCM, discusses her article published in the September 2009 issue of Pediatric Critical Care Medicine, “Pediatric Critical Care Telemedicine in Rural Underserved Emergency Departments.”
Joseph F. Dasta, MSc, FCCM, discusses his article published in the February 2010 issue of Critical Care Medicine, titled “A Cost Minimization Analysis of Dexmedetomidine Compared with Midazolam for Long-Term Sedation in the Intensive Care Unit.”
Lewis J. Kaplan, MD, FCCM, discusses acute care surgery, its relation to surgical critical care, and his predictions for the future of acute care surgery, trauma surgery and surgical critical care.
Matthew C. Scanlon, MD, discuses is article, “Value of Human Factors to Medication and Patient Safety in the Intensive Care Unit,” published as part of a supplement to the June 2010 issue of Critical Care Medicine.
John M. Luce, MD, FCCM, discusses his latest article, “A History of Resolving Conflicts Over End-of-Life Care in Intensive Care Units in the United States,” published in the August 2010 issue of Critical Care Medicine.
Niranjan Kissoon, MD, FCCM, discusses his article published in the September 2009 issue of Pediatric Critical Care Medicine, titled “World Federation of Pediatric Intensive and Critical Care Societies: Its Global Agenda.”