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The SCCM Podcast offers a wide selection of in-depth interviews on adult and pediatric topics.
SCCM Pod-466: Hyperammonemia, the Silent Killer
Untreated hyperammonemia can cause irreversible neurologic damage, coma, or death. Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Anna-Kaisa Niemi, MD, PhD, and a patient who was hospitalized for hyperammonemia at age 8 years to discuss the importance of improved recognition of hyperammonemia and awareness of the underlying causes, such as urea cycle disorders. This podcast is sponsored by Horizon Therapeutics.
SCCM Pod-465 PCCM: Who’s Got the Right Dose?
Pediatric advanced life support (PALS) guidelines include weight-based epinephrine dosing recommendations of 0.01 mg/kg with a maximum of 1 mg, which corresponds to a weight of 100 kg. But what are the actual practice patterns? This podcast discusses the Pediatric Critical Care Medicine article “Weight-Based Versus Flat Dosing of Epinephrine During Cardiac Arrest in the PICU: A Multicenter Survey.”
Category: PCCM Podcast
SCCM Pod-464 CCM: More Communication: Who Needs it? Families Do!
Written communication, as a supplement to traditional verbal communication, may overcome some of the challenges that clinicians face when engaging with families in the ICU. Learn more in this discussion of the Critical Care Medicine article “Daily Written Care Summaries for Families of Critically Ill Patients: A Randomized Controlled Trial." This podcast is sponsored by Sound Physicians.
Category: CCM Podcast
SCCM Pod-463 CCM: Clazakizumab for COVID-19: Friend or Foe?
Clazakizumab is a monoclonal antibody against human interleukin-6 that may benefit patients hospitalized with severe or critical COVID-19 accompanied by hyperinflammation. Although not yet FDA approved, clinical trials are underway worldwide. Samantha Gambles Farr, MSN, NP-C, CCRN, RNFA, is joined by Bonnie E. Lonze, MD, PhD, to discuss the article, “A Randomized Double-Blinded Placebo Controlled Trial of Clazakizumab for the Treatment of COVID-19 Pneumonia With Hyperinflammation.”
SCCM Pod-462 APP: Bullying in the Workplace
Are there bullies in the world of advanced practice providers (APPs)? How is bullying defined in a clinical environment? In this podcast, three APPs from different hospitals debate incivility and workplace culture. They also address interpersonal relationships among APPs, physicians, and nurses.
SCCM Pod-461 PCCM: A Novel Machine Learning Model to Predict PICU Transfer
This podcast discusses a novel machine learning model that identifies ICU transfers in hospitalized children more accurately than current tools. The discussion centers on the article “Development and External Validation of a Machine Learning Model for Prediction of Potential Transfer to the PICU,” published in the July 2022 issue of Pediatric Critical Care Medicine.
SCCM Pod-460 CCE: Multiple PCR for Direct Detection of Bloodstream Infection After Pediatric Cardiac Surgery
Nosocomial infections are a prevalent cause of death and complications in critically ill children. Conventional cultures are able to detect only up to 25% of bacteremias. Several studies have suggested that molecular tests could be a faster and effective tool for detection of bacterial infections. Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Sylvia Belda Hofheinz, MD, to discuss the article, “Multiple Polymerase Chain Reaction for Direct Detection of Bloodstream Infection After Cardiac Surgery in a PICU.”
Category: CCE Podcast
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. This podcast is sponsored by Medtronic.
SCCM Pod-458 CCM: Association of Catecholamine in Patients With Septic Shock
Catecholamine is used in patients with septic shock to augment hemodynamics and achieve goal mean arterial pressure. Ludwig H. Lin, MD, is joined by Gretchen L. Sacha BCCCP, PharmD, to discuss this retrospective observational study to evaluate the associations of catecholamine dose, lactate concentration, and timing from shock onset at vasopressin initiation with in-hospital mortality. This podcast is sponsored by Sound Physicians.
SCCM Pod-457 CCM: Increased Incidence of Ventilator-Acquired Pneumonia in COVID-19 Patients
Little is known about the epidemiology of ventilator-acquired pneumonia among COVID-19 patients. Ashish K. Khanna, MD, FCCP, FCCM, is joined by Charles-Hervé Vacheron, MD, to discuss a cohort exposed/nonexposed study that found a higher incidence of ventilator-associated pneumonia among COVID-19 patients compared with the general population.
SCCM Pod-456 PCCM: Effects of Excessive Oxygen Supplementation
This podcast will examine a retrospective, observational cohort study that found an association between excessive oxygen supplementation in the first day of mechanical ventilation with multiple organ dysfunction syndrome on day 7 of admission and in-hospital mortality in critically ill children. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by L. Nelson Sanchez-Pinto, MD, MBI, to discuss the study’s findings. (Sanchez-Pinto LN, et al. Pediatr Crit Care Med. 2022;23:89-98). Dr. Sanchez-Pinto is a pediatric critical care physician, data scientist, clinical informaticist, and healthcare technologist at the Ann and Robert H. Lurie Children's Hospital in Chicago, IL.
SCCM Pod-455 Introduction to Molecular Adsorbent Recirculating System Albumin Dialysis
This podcast will describe the principle of albumin dialysis of the molecular adsorbent recirculating system (MARS) and discuss the logistics of starting a MARS program to outline indications for MARS.
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.
SCCM Pod-453 Extracorporeal Blood Purification
Because COVID-19 can create a status of systemic inflammation, which can affect multiple organs, including the kidneys, the adjuvant therapy of blood purification has gained some recognition.
Category: COVID-19 Podcast
SCCM Pod-452 CCM: Racial Disparities in ICU Outcome
In this podcast, host Kyle B. Enfield, MD, FSHEA, FCCM, is joined by Samuel K. McGowan, MD, to discuss a systematic review that found significant differences in care and outcomes, including mortality rates, among intensive care unit (ICU) patients of different races.
SCCM Pod-451 PCCM: A Hard Learned Lesson on What It's Like to Be a Patient
In the ICU, medical staff do all they can to assist patients and get them back to health as quickly as possible. In the process of saving lives, bedside manner and communication may suffer.
SCCM Pod-450 Surviving Sepsis Campaign: Long-Term Goals of Care
Since the publication of the Surviving Sepsis Campaign guidelines, the focus has been on sepsis management, early identification, and treatment.
SCCM Pod-449 Family Nurse Practitioners in the ICU
Family nurse practitioners (FNP) who do not have acute care certification may be recruited to work in ICUs. But when the FNP moves to another institution, ICU experience may not be considered an adequate qualification. This podcast discusses the difficulties of FNPs who need acute care certification to work in ICUs.
SCCM Pod-448 Noninvasive Respiratory Support: Opinion- or Evidence-Based Medicine?
When should clinicians intubate preterm infants? This podcast discusses strategies that optimize noninvasive ventilation and when such strategies are appropriate.
SCCM Pod-447 eSIMPLER: A Dynamic, Electronic Health Record–Integrated Checklist
Host Margaret M. Parker, MD, MCCM is joined by Alon Geva, MD, MPH, to discuss how the implementation of eSIMPLER provided clinical decision support prompts with display of relevant data automatically pulled from the electronic health record and improved certain care processes.