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SCCM Pod-508 PCCM: Critical Care Revolution: Pediatric ICU Liberation

Host Elizabeth H. Mack, MD, MS, FCCM, is joined by John Lin, MD, to discuss the Pediatric Critical Care Medicine article, "Caring for Critically Ill Children With the ICU Liberation Bundle (ABCDEF): Results of the Pediatric Collaborative," exploring the implementation, outcomes, and the potential for enhancing pediatric ICU care.

Guidelines on Use of Corticosteroids in Sepsis, Acute Respiratory Distress Syndrome, and Community-Acquired Pneumonia

Chaudhuri D, Nei AM, Rochwerg B, et al. 2024 focused update: guidelines on use of corticosteroids in sepsis, acute respiratory distress syndrome, and community-acquired pneumonia. Crit Care Med. Online special article. January 19, 2024. doi: 10.1097/CCM.0000000000006172.

Guidelines on Glycemic Control for Critically Ill Children and Adults

Honarmand K, Sirimaturos M, Hirshberg E, et al. Society of Critical Care Medicine guidelines on glycemic control for critically ill children and adults 2024. Crit Care Med. Online special article. January 19, 2024. doi: 10.1097/CCM.0000000000006174.

Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU

Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine guidelines on recognizing and responding to clinical deterioration outside the ICU: 2023. Crit Care Med. 2024 Feb;52(2):314-330.

Critically Ill Children and the ICU Liberation Bundle

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.

The Impact of Blood Culture Positivity on Community-Acquired Sepsis

This Concise Critical Appraisal delves into the impact of blood culture positivity on community-acquired sepsis and evaluates the epidemiology, resistance profiles, and clinical outcomes of culture-positive and culture-negative sepsis. In a recent study, 14% of patients with community-acquired sepsis had positive blood cultures, in-hospital mortality was lower in patients with culture-positive sepsis, and 55% involved gram-negative bacilli.

SCCM Pod-489: The AIMS Trial: Battle of the Bundles, Hour-1 Versus 3-Hour

The Assessment of Implementation of Methods in Sepsis and Respiratory Failure (AIMS) Study seeks to determine the safest and most effective approach to sepsis intervention using the evidence-based Surviving Sepsis Campaign guidelines. Marilyn N. Bulloch, PharmD, BCPS, FCCM, was joined by Mitchell M. Levy, MD, MCCM, at the 2023 Critical Care Congress to discuss the goal of the AIMS Study and the elements of both the Hour-1 and 3-Hour bundles.

SCCM Diagnostic Excellence Program Seeks to Transform Sepsis Care With Support of CMSS Grant

Sepsis is the leading cause of hospitalization and hospital deaths in the United States. SCCM has received a grant from the Council of Medical Specialty Societies to improve diagnostic excellence. SCCM’s Diagnostic Excellence Program focuses on providing education and technology for accurate and rapid-cycle sepsis diagnosis via webcasts, podcasts, and toolkits.

ICU Liberation Bundle Implementation: Nurses Champion Change as Early Adopters

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.

AHRQ Releases New Experience-Based Toolkit for Intensive Care Units

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. 

SCCM Pod-90 New End-of-Life Guidelines

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."

SCCM Pod-176 PCCM: Guidelines for Pediatric TBI

Margaret Parker, MD, FCCM, associated podcast editor, speaks with Patrick M. Kochanek, MD, MCCM, about the revised guidelines for acute medical management of severe traumatic brain injury in infants, children, and adolescents, published as a supplement to the January 2012 Pediatric Critical Care Medicine.

SCCM Pod-180: Integrating Communication Bundles in the ICU

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.

SCCM Pod-201 CCM: New Glycemic Control Guidelines

Jeffrey Guy, MD, MSc, MMHC, speaks with Judith Jacobi, PharmD, FCCM, lead author on the new glycemic control guidelines from the Society of Critical Care Medicine's American College of Critical Care Medicine titled, “Guidelines for the Use of an Insulin Infusion for the Management of Hyperglycemia in Critically Ill Patients,” published in the December Critical Care Medicine.

SCCM Pod-213 Implementing the Surviving Sepsis Campaign Guidelines

Jeffrey Guy, MD, MSc, MMHC, speaks with Christa A. Schorr, RN, MSN, FCCM, about implementing the Surviving Sepsis Campaign (SSC) guidelines.

SCCM Pod-227 Highlights from the Surviving Sepsis Campaign Guidelines

Jeffrey Guy, MD, MSc, MMHC, speaks with R. Phillip Dellinger, MD, MCCM, co-chair of the updated Surviving Sepsis Campaign Guidelines.

SCCM Pod-248 Achieving Nutrient Delivery Goals with a Stepwise Enteral Nutrition Algorithm

Margaret Parker, MD, MCCM, speaks with Nilesh M. Mehta, MD, about the article, “A Stepwise Enteral Nutrition Algorithm for Critically Ill Children Helps Achieve Nutrient Delivery Goals,” published in Pediatric Critical Care Medicine.

SCCM Pod-254 44th Critical Care Congress: The ABCDEF Bundle Evolution

Michael Weinstein, MD, FACS, FCCP, speaks with E. Wesley Ely, MD, FCCM, at the 44th Critical Care Congress in Phoenix, Arizona. Dr. Ely discusses the "Evolution of the ABCDEF Bundle" and the Society’s ICU Liberation initiative, which aims to help practitioners become more familiar with the Pain, Agitation and Delirium guidelines and assessment tools.

SCCM Pod-286 Clinical Practice Guideline on Management of the Critically Ill Organ Donor

Michael S. Weinstein, MD, FACS, FCCM, speaks with Gerard J. Fulda, MD, about the guideline, “Management of the Potential Organ Donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement,” published in Critical Care Medicine.

SCCM Pod-296 Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography

Ludwig Lin, MD, speaks with Michael Blaivas, MD, FACEP, FAIUM, about the article, “Guidelines for the appropriate use of bedside general and cardiac ultrasonography by the intensivist in the evaluation of critically ill patients—Part I: general ultrasonography,” published in Critical Care Medicine.

SCCM Pod-324 Intensive Care Unit Admission, Discharge, and Triage Guidelines

Todd Fraser, MD, speaks with Joseph L. Nates, MD, MBA, FCCM, about the article, “Intensive Care Unit Admission, Discharge, and Triage Guidelines: A Framework to Enhance Clinical Operations, Development of Institutional Policies, and Further Research,” published in Critical Care Medicine.

SCCM Pod-336 Surviving Sepsis Campaign Guidelines: 2016 Update

Ludwig Lin, MD, speaks with Mitchell M. Levy, MD, MCCM, about the release of the “Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016,” presented at the 46th Critical Care Congress in Honolulu, Hawaii.

SCCM Pod-339 Guidelines for Family-Centered Care in the ICU

Ranjit Deshpande, MD, speaks with Guideline co-chairs Judy E. Davidson, DNP, RN, FAAN, FCCM, and J. Randall Curtis MD, MPH, about the newly released “Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU.”

SCCM Pod-341 Reflections on the ICU Liberation ABCDEF Bundle Improvement Collaborative

Ludwig Lin, MD, speaks with Brenda Pun, DNP, RN, ACNP, about the ICU Liberation ABCDEF Bundle Improvement Collaborative.

SCCM Pod-349 Implementation of an ICU Bundle in the PICU

Margaret Parker, MD, MCCM, speaks with Shari Simone, DNP, about the article, “Implementation of an ICU Bundle: An Interprofessional Quality Improvement Project to Enhance Delirium Management and Monitor Delirium Prevalence in a Single PICU,” published in the June 2017 issue of Pediatric Critical Care Medicine.

SCCM Pod-364 Characterization of Pediatric In-Hospital CPR Quality Metrics

Margaret Parker, MD, MCCM, speaks with Dana E. Niles, MS, about the article “Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative,” published in the May 2018 issue of Pediatric Critical Care Medicine.

SCCM Pod-376 2018 PADIS Guidelines

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).

SCCM Pod-393 Updated Pediatric Admission, Discharge, and Triage and Levels of Care Guidance

Margaret M. Parker, MD, MCCM, and Lorry R. Frankel, MD, FCCM, discuss the updated pediatric critical care admission, discharge, and triage criteria and levels of care guidance published in the September issue of Pediatric Critical Care Medicine (Frankel L, et al. Pediatr Crit Care Med. 2019;20:847-887).

SCCM Pod-403 Sepsis: The Hour-1 Bundle, the Future of Research, and More

Margaret M. Parker, MD, MCCM, and Mitchell M. Levy, MD, MCCM discuss the Hour-1 Bundle, the controversies of the Surviving Sepsis Campaign, and the future of sepsis.

SCCM Pod-406 Surviving Sepsis Campaign Children's Guidelines

Margaret M. Parker, MD, MCCM, and Scott L. Weiss, MD, FCCM, discuss the release of "Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children," published in the February 2020 issue of Pediatric Critical Care Medicine (Weiss S, et al. Pediatr Crit Care Med. 2020;21(2);e52-e106).

SCCM Pod-409 SSC COVID-19 Guidelines

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;46:854-887) with host Kyle B. Enfield, MD, and authors Mitchell M. Levy, MD, MCCM, and Waleed Alhazzani, MD, MSc, FRCPC.

SCCM Pod-430 Optimal Bundle of Management for Cardiac Arrest

Sudden cardiac arrest remains a leading cause of premature death worldwide and survival with favorable neurologic function is less than 10%. Review a practical, attainable roadmap for enhancing the likelihood of neurologically intact survival in this podcast.

SCCM Pod-454 PCCM: PANDEM Guidelines

The PANDEM guidelines evaluate current practices and provide recommendations for management of pain, agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, ICU environment, and early mobility in critically ill infants and children. Host Margaret M. Parker, MD, MCCM, is joined by Heidi A. B. Smith, MD, MSCI, FAAP, to discuss the guidelines.

Leapfrog Dashboard Tracking of Postoperative Sepsis: An Opportunity for Quality Improvement

This article describes the new Leapfrog quality metrics and their methodology, focusing on postoperative sepsis identification and the potential impact of dashboard performance tracking moving forward. Critical care professionals routinely encounter patients with sepsis and play an integral role in the formulation and implementation of management plans for postoperative sepsis, making them key participants in this effort.

SCCM Releases PANDEM Guidelines for Critically Ill Children and Infants

Emphasize importance of continual assessment, nonpharmacologic interventions, and family involvement. The PANDEM guidelines for children and infants were published in the February 2022 issue of Pediatric Critical Care Medicine.

Innovating Consistency in Care Through the STOP-VIRUS ICU Learning Collaborative

In the preliminary analysis of the VIRUS COVID-19 Registry of Discovery, the Critical Care Research Network, investigators discovered significant variations in mortality that were not readily explained by patient comorbidities, demographics, or severity of illness. It became evident that much of the disparity in outcomes was tied to variations in processes of care from one intensive care unit (ICU) to another. This realization inspired the creation of the STOP-VIRUS Learning Collaborative, which seeks to help participants rapidly evaluate and effectively implement best practice recommendations from the ever-evolving body of knowledge related to the care of critically ill patients with COVID-19.

Comparison of Published Guidelines for the Diagnosis and the Management of Vaccine-Induced Immune Thrombotic Thrombocytopenia

From Critical Care Explorations. In this Narrative Review, the authors conclude that clinicians should be prepared for the early identification of patients with suspicious symptoms and prompt treatment should be initiated to avoid catastrophic deterioration. They note that major societal guidelines provide useful recommendations for the diagnosis and management of patients with vaccine-induced immune thrombotic thrombocytopenia.

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).

Updated Guidelines on Management of Clostridioides difficile Infection in Adults

Clostrididioides difficile infection (CDI) occurs in about 4% of ICU patients, causing fulminant colitis and death in nearly 60% of symptomatic critically ill patients, so it is imperative for ICU professionals to stay abreast of the evidence-based advancements of CDI management. In June 2021, the Infectious Diseases Society of America and Society for Healthcare Epidemiology of America updated their recommendations on the management of CDI in adults. This Concise Critical Appraisal offers a review of the updated guidelines.

Concise Critical Appraisal: Surviving Sepsis Campaign COVID-19 Guidelines Update

The updated Surviving Sepsis Campaign (SSC) COVID-19 guidelines are now available, reflecting the learnings from the latest major studies. This month’s Concise Critical Appraisal dives into the update to outline the changes and new recommendations made by the international panel and discusses limitations of the available data.

ICU Liberation: The Role of Rehabilitation Professionals

The ICU Liberation Bundle (A-F) can help rehabilitation practitioners and respiratory care practitioners (RCPs) assess the broad, long-term goals of patients while zooming in on the immediate steps needed to achieve short-term goals. Physical therapists (PTs), occupational therapists (OTs), speech language pathologists (SLPs), and RCPs all have a role in using the ICU Liberation Bundle when caring for patients in the intensive care unit (ICU).

SCCM Pod-409 SSC COVID-19 Guidelines

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.

ICU Liberation Labs: Engaging the Team Ensures the ICU Liberation Bundle Improves Patient Outcomes

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.

Surviving Sepsis Campaign Releases First Children’s Sepsis Guidelines

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).

Joint Commission Proposes Changes to Medication Management Standard

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.

How ICU Liberation Brought Value to Our Patients, Team Members, and Administrators

An interview with an ICU Liberation Collaborative Leader and Participant.