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Critical Connections Blog

Concise Critical Appraisal is a regular feature aimed at highlighting the best and most relevant literature from a variety of academic journals and encouraging discussion around recent studies and research.
 

Recent Posts

Configuring the ICU in the COVID-19 Era: Real-World Experience
Because all of us are learning as we go and hungry for insights from other healthcare professionals and facilities that have been treating patients who are critically ill with COVID-19, SCCM has created the report Configuring ICUs in the COVID-19 Era: Collection of Evolving Experiences.
 
Posted: 7/6/2020 | 0 comments
Countering COVID-19 Delirium with the ICU Liberation Bundle
The ICU liberation Bundle (formerly known as the A-F bundle) is more important than ever in the COVID-19 era. While the pandemic has changed much inside intensive care units (ICUs), the commitment to provide multiprofessional, high-quality care is unwavering.
Posted: 6/17/2020 | 0 comments
Concise Critical Appraisal: Early Self-Proning in Awake, Nonintubated Patients in the ED
This Concise Critical Appraisal explores an article by Caputo et al published in Academic Emergency Medicine describing the use of early self-proning in awake, nonintubated patients in the emergency department (ED) during the COVID-19 pandemic. 
 
Posted: 6/10/2020 | 0 comments
Message From the SCCM President
Currently, we face extraordinary challenges on a global scale, with multiple crises erupting one after another. Each of them compels us to thoughtfully reexamine the professional and deeply personal aspects of how we work and live within our communities.
Posted: 6/9/2020 | 0 comments
SCCM’s Decision on In-Person Meetings
SCCM is adjusting the format of its meetings and conferences to reflect these new realities. After careful consideration and feedback from many members, SCCM has come to the difficult decision to reposition its upcoming in-person meetings and educational programs. 
Posted: 6/1/2020 | 0 comments
SCCM and Its Members Rise to the COVID-19 Challenge
There is no doubt we are living in a new world. The COVID-19 pandemic is challenging organizations and individuals to react quickly and adapt overnight.
Posted: 5/27/2020 | 0 comments
What Critical Care Clinicians Need to Know Today About MIS-C
Clinicians are sharing early findings about an emerging critical illness predominantly affecting school-aged children and young adults. The Centers for Disease Control and Prevention (CDC) has defined criteria, calling it Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19.  
Posted: 5/22/2020 | 0 comments
Sharing Data is the Key to Unlocking Remdesivir Challenges
Critical care teams should consider using remdesivir to treat patients with severe acute SARS-CoV-2 infection, but supply of the drug is limited and best practices for maximizing its effectiveness are not completely understood.
Posted: 5/15/2020 | 0 comments
Concise Critical Appraisal: Planning and Provision of ECMO for Severe ARDS From COVID-19
This Concise Critical Appraisal explores a Lancet Respiratory Medicine article by Ramanathan et al, which outlines how to plan for extracorporeal membrane oxygenation (ECMO) for patients with severe acute respiratory distress syndrome (ARDS) related to COVID-19. ECMO is a complex therapy usually restricted to specialized centers. World Health Organization guidelines suggest that carefully selected patients with ARDS may benefit. The authors explore how good planning can help during outbreaks of emerging infectious diseases.
Posted: 5/13/2020 | 0 comments
Clinicians Report High Stress in COVID-19 Response
Critical care clinicians are feeling increased personal stress about COVID-19 and are especially worried about infecting loved ones, while also expressing continued concern about personal protective equipment (PPE) and staffing shortages, according to a rapid-cycle survey from SCCM.
Posted: 5/5/2020 | 0 comments
SCCM President-Elect to Fast-Track COVID-19 Testing
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.
Posted: 5/1/2020 | 0 comments
SCCM Deploys Supplies and Volunteers to Support ICUs in Need
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.
Posted: 4/24/2020 | 0 comments
Concise Critical Appraisal: Use of Early Versus Late Enteral Nutrition in Critically Ill Children
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.
Posted: 4/22/2020 | 0 comments
Message from the President: COVID-19
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.
Posted: 4/17/2020 | 0 comments
SCCM Member Volunteers to Care for NYC COVID-19 Patients
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.
Posted: 4/10/2020 | 0 comments
ICU Readiness Assessment: We Are Not Prepared for COVID-19
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, their specific concerns range from shortages of supplies and staff, patient surge and overcrowding, and personal protective equipment.
Posted: 4/1/2020 | 0 comments
Critical Care Physician Tapped to Lead COVID-19 Testing Efforts
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.
Posted: 3/30/2020 | 0 comments
SCCM Member Provides Remote Disaster Response to Italy
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. 
Posted: 3/30/2020 | 0 comments
United States Resource Availability for COVID-19
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.
Posted: 3/13/2020 | 0 comments
Concise Critical Appraisal: Dexamethasone Use in the Treatment of ARDs
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.
Posted: 3/10/2020 | 0 comments
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