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Category: Procedures

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Concise Critical Appraisal: Cardiac Ultrasound in Pediatric Septic Shock Assessment

How can clinical information gleaned from focused cardiac ultrasound (FCU) be used to augment clinical assessments in children with suspected septic shock? This month’s Concise Critical Appraisal analyzes a study published in Pediatric Critical Care Medicine that sought to show how often a clinician’s hemodynamic characterization of a child with septic shock was altered by FCU and to further validate an expert-developed algorithm for these assessments.


SCCM Pod-459: Processed EEG Monitoring in the ICU

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. Dr. Lane-Fall is an associate professor of anesthesiology, critical care, and epidemiology at the University of Pennsylvania. This podcast is sponsored by Medtronic.


SCCM Pod-488: Getting to the Heart of the National Board of Echocardiography Examination

The National Board of Echocardiography has developed an examination to assess echocardiography and ultrasound skills, which are required by many medical programs. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, was joined by Sara Nikravan, MD, FASE, FCCM, at the 2023 Critical Care Congress to discuss advanced echocardiography and the National Board of Echocardiography examination. Sara Nikravan, MD, FASE, FCCM, is director of point-of-care ultrasound and associate program director of residency at the University of Washington in Seattle, Washington, USA. This podcast is sponsored by Echonous.


Concise Critical Appraisal: Timing of Prone Positioning During Venovenous ECMO for ARDS

This Concise Critical Appraisal explores a meta-analysis showing that prone positioning is beneficial for patients meeting criteria for venovenous extracorporeal membrane oxygenation (ECMO), especially when initiated within five days after ECMO initiation. When initiated within five days, patients had lower intensive care unit (ICU) mortality rates, higher likelihood of being discharged alive, shorter ECMO duration, and cumulative 90-day probability of being discharged from the ICU.


Falls: Non-ICU Emergency Cards

This resource details how manage falls of COVID-19 patients. This is SCCM curated COVID-19 microlearning content.


Altered Mental Status: Non-ICU Emergency Cards

This resource details how to assess the altered mental status of COVID-19 patients. This is SCCM curated COVID-19 microlearning content.


SCCM Members Extend Commitment to Ukrainian Clinicians

A multiprofessional group of SCCM members trained more than 300 clinicians in September, returning to Lviv, Ukraine to provide Fundamental Critical Care Support: Surgical, ICU Liberation, and Advanced Critical Care Ultrasound courses.


What is the role of antibody testing, and what is the PCR turnaround time, and the sensitivity and specificity?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.


Do ICU patients with COVID-19 require a high amount of sedation or paralysis?

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.


ECMO in COVID-19

This presentation is an overview of using ECMO for COVID -19 patients. This is SCCM curated COVID-19 microlearning content.


Prediction of Pediatric Critical Care Resource Utilization for Disaster Triage

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.


A Conceptual and Adaptable Approach to Hospital Preparedness for Acute Surge Events Due to Emerging Infectious Diseases

From Critical Care Explorations. This article addresses health care capacity strains and provides a framework for considering key resources during an acute surge event and an adaptable approach to the most common domains that should be addressed during the preparation for and response to acute surge events.


Are patients self-proning and are benefits resulting from it?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.


What is the latest research and level of evidence regarding convalescent plasma therapy?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.


How should airways be secured when proning intubated patients?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.


What are the current recommendations for COVID-19 patients undergoing tracheostomy

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.


ICU Guide for Airway Management in COVID-19 Patients

This is a quick airway management resource guide for treating COVID-19 patients . This is a community developed COVID-19 microlearning resource.


If heated high-flow nasal cannula is not available, can continuous positive airway pressure with nasal pillows be used instead?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.


Can you comment on the use of nebulizers for chronic obstructive pulmonary disease and other diseases that may respond to bronchodilators?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.


At what saturation levels should a patient be intubated and what strategies can be used to avoid intubation?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.