|SCCM Pod-354 The Septic Shock 3.0 Definition and Trials
Ranjit Deshpande, MD, speaks with James A. Russell, MD, about the article, “The Septic Shock 3.0 Definition and Trials: A Vasopressin and Septic Shock Trial Experience,” published in the June 2017 issue of Critical Care Medicine. Dr. Russell discusses findings from his retrospective analysis of the Vasopressin and Septic Shock Trial (VASST) using the Septic Shock 3.0 definition, and implications for trial design in septic shock. Dr. Russell is a professor of medicine at the University of British Columbia, and principal investigator at the Centre for Heart Lung Innovation at St. Paul’s Hospital in Vancouver, BC, Canada. Crit Care Med. 2017; 45(6):940-948. Released: 11/16/17
SCCM Pod-VCCR10 Pathophysiology and Management of AKI
Richard Iuorio, MD, speaks with Kianoush Kashani, MD and Jim Reilly, MD about the pathophysiology and management of acute kidney injury. Dr. Kashani delves into novel biomarkers and resuscitation of the sepsis-associated AKI, and he gives his expert opinion on the administration of radiographic contrast in the setting of acute nephropathy. Dr. Kashani is an intensivist, renowned nephrologist, and hypertension specialist at the Mayo Clinic in Rochester, Minnesota. Dr. Reilly is an Emergency Medicine resident at Lincoln Medical Center in the South Bronx. He completed his undergraduate degree in Biochemistry at the University of California, Davis, and then attended Boston University School of Medicine. His academic interests lie mainly in critical care, and he hopes to continue his training as a critical care fellow in New York City.
SCCM Pod-353 Are Biomarkers Ready for Prime Time?
Kyle Enfield, MD, speaks with John A. Kellum, MD, MCCM, about his talk presented at the 46th Critical Care Congress in Honolulu, Hawaii entitled, “Are Biomarkers Ready for Prime Time?” Dr. Kellum works as an Intensivist in the Cardiothoracic ICU at the University of Pittsburgh Medical Center (UPMC) in Pittsburgh, Pennsylvania. He is also the Vice Chair for Research and Director of the Center for Critical Care Nephrology in the Department of Critical Care Medicine at UPMC. He discusses how the understanding of acute kidney injury (AKI) has evolved and which biomarkers are most effective in identifying risk of AKI. Released: 11/9/17
SCCM Pod-352 New-Onset Atrial Fibrillation in the Critically Ill
Kyle Enfield, MD, speaks with Travis J. Moss, MD, MSc, and J. Randall Moorman, MD, about the article, “New-Onset Atrial Fibrillation in the Critically Ill,” published in the May 2017 issue of Critical Care Medicine. Drs. Moss & Moorman discuss their study which set out to determine the association of new-onset atrial fibrillation with outcomes, including ICU length of stay and survival. Dr. Moss is a Fellow in the Division of Cardiovascular Medicine and Dr. Moorman is a Professor in the Division Cardiovascular Medicine at the University of Virginia Health System, in Charlottesville, Virginia. Crit Care Med. 2017; 45(5):790-797. Released: 10/24/17
SCCM Pod-351 2016 Orlando Pulse Nightclub Shooting: Lessons Learned
Ludwig Lin, MD, speaks with Charles Hunley, MD, about his talk presented at the 46th Critical Care Congress in Honolulu, Hawaii entitled, “Rapidly Distributing Critical Care Services in Response to a Surge Event with Multiple Casualties.” Dr. Hunley is Medical Critical Care Director at the Orlando Regional Medical Center in Orlando, Florida, and and was one of the chief triage physicians on duty the early morning of the 2016 mass shooting at Pulse nightclub in Orlando.
He discusses lessons learned in preparing for a mass casualty event, such as maintaining medical storage supplies, facilitating regular tabletop and coordinated drills, and encouraging collaboration between different disciplines to facilitate coordination and flexibility during a disaster. Dr. Hunley also describes the importance of establishing a command center and systems for rapid triage, communication with family members and press, and support services to address the emotional burden on patients, families, and providers. Dr. Hunley has no relevant disclosures. Released: 8/31/17
SCCM Pod-350 Emergency Preparedness in Healthcare
Ludwig Lin, MD, speaks with Grete Porteous, MD, about emergency preparedness in healthcare and the role of critical care personnel in catastrophic situations. Dr. Porteous advises on how to prepare institutions for disaster including evaluation of disaster plans, development of standard work processes and cognitive aids, and staff education and training. Dr. Porteous is an anesthesiologist and Associate Program Director of the anesthesiology residency at Virginia Mason Medical Center in Seattle, Washington. She is also an instructor in emergency preparedness at Homeland Security’s Center for Domestic Preparedness in Aniston, Alabama. Dr. Porteous has no relevant disclosures. Released: 8/31/17
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. Dr. Simone discusses results from her team's quality improvement project to improve detection, prevention, and management of delirium in the pediatric intensive care unit (PICU). Dr. Simone is Nurse Practitioner Clinical Program Manager for the Women's and Children's Services and a Nurse Practitioner in the Pediatric ICU at the University of Maryland Medical Center in Baltimore, Maryland. She is an Assistant Professor at the University of Maryland School of Nursing in the Pediatric Acute Care Nurse Practitioner program. Access ABCDEF Bundle resources and the Pain, Agitation, and Delirium guidelines at www.iculiberation.org. Pediatr Crit Care Med. 2017; 18(6):531-540. Released: 8/31/17
SCCM Pod-348 Delirium in Critically Ill Children
Margaret Parker, MD, MCCM, speaks with Chani Traube, MD, about the article, “Delirium in Critically Ill Children: An International Point Prevalence Study,” published in the April 2017 issue of Critical Care Medicine. Dr. Traube discusses the complexity of diagnosing pediatric delirium in pediatric intensive care unit (PICU) patients. Study findings showed that one out of every four children in the PICU was delirious, with hypoactive delirium being most common. Dr. Traube is an Associate Professor of Pediatrics at Weill Cornell Medical College in New York where she works as a PICU attending and clinical researcher. Crit Care Med. 2017; 45(4):584-590. Released: 8/29/17
Pod-347 High-Quality Randomized Controlled Trials in Pediatric Critical Care
Margaret Parker, MD, MCCM, speaks Mark Duffett, PhD, about the article, “High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators," published in the May 2017 issue of Pediatric Critical Care Medicine. In this article, Dr. Duffett and coauthors identify barriers and facilitators of conducting high-quality randomized controlled trials in pediatric critical care from the perspective of trialists in the field. Dr. Duffett is a Pharmacist in the Department of Pediatrics at McMaster University in Ontario, Canada. Pediatr Crit Care Med. 2017; 18(5):405-413. Released: 8/17/17
SCCM Pod-346 Delays in Antibiotic Administration for Sepsis
Todd Fraser, MD, speaks with Christopher W. Seymour, MD, MSc, about the article, “Delays From First Medical Contact to Antibiotic Administration for Sepsis,” published in Critical Care Medicine. Dr. Seymour's article contends that "the time from first healthcare contact to antibiotic administration in sepsis, termed 'total medical contact delay,'" is not fully understood. He discusses the association between total medical contact delay and in-hospital mortality among community-acquired sepsis patients in a large retrospective cohort. He also discusses strategies to help reduce delays. Dr. Seymour is Assistant Professor of Critical Care and Emergency Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, Pennsylvania. He is also a core faculty member in the Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center in the Department of Critical Care, where he contributes to the Program on Critical Care Health Policy. Crit Care Med. 2017; 45(5):759-765. Released: 8/10/17