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Concise Critical Appraisal: Professional Development Despite ICU Burnout and Staff Shortages

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.


Discovery and SARI-PREP Have Roles in Preparing for Next Pathogen Outbreak

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.


SCCM Member Creates Telehealth Nonprofit to Help Ukrainians

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.


SCCM Member Efforts in Ukraine

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.


NIH Funds SCCM Discovery Study on the Use of Sepsis Bundles in the Emergency Department

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.


Early Mobilization During Mechanical Ventilation: Pain With No Gain

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.


Concise Critical Appraisal: Impact of a Machine Learning Early Warning Score on Hospital Mortality

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.


Fluid Accumulations and Adverse Outcomes in Critically Ill Pediatric Patients

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.


Dr. Glaucomflecken Shares Humor on Social Media and at 2023 Critical Care Congress

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.


The Critical Care Community Shares Why It’s “Better Together” at Congress 2023

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.


Donor-Funded Training Supports Fundamentals Courses in Rwanda

Learn how Society of Critical Care Medicine (SCCM) members turned a passion for improving care into action by holding donor-funded training in resource-limited areas.


Addressing Implicit Bias in the Critical Care Workforce

Implicit bias is an unconscious negative view of a group of people that can compromise relationships and, in the case of the medical community, stand in the way of good healthcare. Learn how to approach and mitigate implicit bias. 


The Future of Sepsis Treatment

Sepsis continues to affect Americans and hospital patients across the United States. The Centers for Disease Control and Prevention (CDC) estimates that approximately 1.7 million adult Americans develop sepsis each year1; this is more than the entire population of Phoenix, the fifth-largest city in the country.2 Approximately 270,000 of these patients die from sepsis.


Discovery VIRUS Registry Outcomes and STOP-VIRUS ICU Learning Collaborative

The first outcomes of VIRUS were recently published in Critical Care Medicine. More than 20 manuscripts are being prepared for publication during the next several months. Additionally, sites have been invited to submit ancillary study ideas drawing on registry data. Of the 150 proposed, more than 60 have been approved.
 
Join the registry today and contribute to this important data collection.


Concise Critical Appraisal: Asynchronous and Distance Learning in the Age of COVID-19 and Beyond

The medical community has faced many challenges as a result of the COVID-19 pandemic, including ensuring continued medical education in the face of social distancing guidelines and the increased workloads of faculty and trainees. This Concise Critical Appraisal explores an article published in ATS Scholar that sought to outline distance learning options and develop a practical framework for transitioning content to a virtual platform.


Concise Critical Appraisal: Improving Training for Invasive Bedside Procedures

Invasive bedside procedures (IBPs) require a high degree of familiarity and skillful expertise. Yet effective and thorough bedside training can be haphazard or unattainable. Chest published a systematic review and meta-analysis that highlights gaps in research on IBP training in critical care. The study included four focus groups of pulmonary and critical care medicine faculty and fellows from four U.S. medical centers. The focus groups identified traits, behaviors, and context as common themes of effective teachers. This Concise Critical Appraisal takes a deep dive into the study and the takeaways for experts and novices seeking to improve procedural knowledge and increase patient safety.


An Update on SCCM Relief Efforts in Haiti

SCCM President Greg S. Martin, MD, MSc, FCCM, provides an update on the SCCM relief efforts in Haiti.


Concise Critical Appraisal: Awake Prone Positioning For COVID-19 Acute Hypoxemic Respiratory Failure

This Concise Critical Appraisal explores an article in The Lancet Respiratory Medicine that evaluated the efficacy of awake prone positioning to prevent intubation or death in patients with severe COVID-19. This meta-trial used a new study design that allowed for the combination of six simultaneous national randomized, controlled, open-label trials.


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).


Remembering a Founder: Ake Grenvik, MD, PhD, MCCM

Ake Grenvik, MD, PhD, MCCM, a founding member of the Society of Critical Care Medicine (SCCM) and one of the earliest pioneers of critical care, died on September 5, 2021. He was 92.