Virtual Critical Care Rounds

Prepare students, residents, and fellows to contribute to the diagnosis and management of the critically ill patient during ICU rounds.

Virtual Critical Care Rounds (VCCR) is designed to better prepare students, residents, and fellows to contribute to the diagnosis and management of the critically ill patient during their intensive care unit (ICU) rounds. Adult and pediatric versions are available.

The program features:

Professionally-narrated modules with clear learning objectives, engaging case studies, interactive questions, and a list of additional resources for further exploration
An extensive topic selection with lectures developed by content experts on each subject
SCCM’s efficient learning management platform, which allows program directors to view and monitor participants’ progress throughout the courses

Upon completion of the course, participants should be able to:

Recognize emergent conditions and describe appropriate interventions
Analyze case scenarios and explain treatment options
Recommend treatment strategies for critically ill patients based on medical history, physical examination, and diagnostic data

VCCR is available in two different formats:

Program Director-Led Course: An online, instructor-led course.
- Students use a state-of-the-art online learning management system to complete the lecture portion of the course, and pre- and posttests assure their mastery of the educational content. Course directors and coordinators can monitor the progress of participants in real time through their personalized administrative dashboard.
Self-Directed Course: An online, self-study course.
- Access to the same didactic sessions found in the program director-led version of the course in a relaxed learning experience. Learners cover materials at their own pace from the comfort and convenience of their homes or offices and then assess their knowledge through pre- and posttests.

VCCR I: Adult VCCR II: Adult VCCR I: PediatricVCCR II: PediatricVCCR Podcasts

SCCM Pod-VCCR11 Workup, Management, and Critical Sequelae of Burn Injuries
Richard Iuorio, MD speaks with Laura Johnson, MD, and Jim Reilly, MD, about the workup, management, and critical sequelae of burn injuries.

Using a fictional burn case as an example, Dr. Johnson talks about airway considerations, resuscitation protocols, and fluid properties.

The team then speaks about the use of antibiotics, and weighs the respective merits of colloids vs. crystalloids before ending the podcast with a discussion on ventilation strategies and indications for emergent escharotomy.

Dr. Johnson is a trauma surgeon and burn specialist at MedStar Washington Hospital Center in Washington, District of Columbia.

Dr. Reilly is an Emergency Medicine resident at Lincoln Medical Center in the South Bronx. Published: 11/28/2017

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. Published: 11/14/2017

SCCM Pod-VCCR9 Continuous Renal Replacement Therapy
Sean P. Kane, PharmD, BCPS, speaks with Joshua Trob, MD about continuous renal replacement therapy. In the episode, the indications, timing of initiation, and intensity of renal replacement therapy are discussed.

Dr. Trob is a board certified nephrologist in private practice, the chair of the Pharmacy and Therapeutics committee at Advocate Condell Medical Center in Libertyville, Illinois, and the medical director of a dialysis clinic in Lake Bluff, Illinois Published: 7/13/2017

SCCM Pod-VCCR8 Ketamine for Refractory Status Epilepticus
Sean P. Kane, PharmD, BCPS, speaks with Karen Berger, PharmD, BCPS, BCCCP about refractory status epilepticus. In the episode, the use of continuous sedatives is discussed for refractory epilepticus with a focus on the novel use of ketamine in "super-refractory" status epilepticus patients.

Dr. Berger is a neurocritical care clinical pharmacist at Weill Cornell Medical Center in New York, New York and the President-Elect for the NYC Society of Health-System Pharmacists. Published: 6/29/2017

SCCM Pod-VCCR7 The Basics of Veno-Arterial and Veno-Venous ECMO and the Indications of ECMO Therapy
Sean P. Kane, PharmD, BCPS, speaks with Elliott Cohen, MD about extracorporeal membrane oxygenation (ECMO). In the episode, the basics of Veno-Arterial (VA) and Veno-Venous (VV) ECMO are outlined and the indications of ECMO therapy are discussed.

Dr. Cohen is the medical director of Advocate Condell's Adult ECMO Program. He is co-medical director of Advocate Condell's Intensive Care Unit and medical director of the medical center's Pulmonary Rehabilitation Program in Libertyville, Illinois. Published: 6/8/2017

SCCM Pod-VCCR6 Vasopressor Selection in Septic Shock
Sean P. Kane, PharmD, BCPS, speaks with Scott T. Benken, PharmD, BCPS-AQ Cardiology about vasopressor selection in septic shock.

In the episode, each vasopressor agent is discussed individually regarding its receptor profile, adverse effect profile, and the comparative clinical evidence supporting its use in this patient population.

Dr. Benken is a clinical pharmacist in the medical and cardiothoracic surgery ICU at the University of Illinois Hospital & Health Sciences System in Chicago, Illinois. Published: 5/25/2017

SCCM Pod-VCCR5 Rumack-Matthew Nomogram and Acetaminophen Toxicity
Sean P. Kane, PharmD, BCPS, speaks with Nadia Awad, PharmD, BCPS about Rumack-Matthew nomogram and acetaminophen toxicity. In the episode, the toxidrome of acetaminophen overdose is outlined and the nuances (including clinical practice pearls) are discussed regarding the nomogram used to decide whether N-acetylcysteine is warranted for acetaminophen toxicity.

Dr. Awad is an emergency medicine pharmacist at Robert Wood Johnson University Hospital in New Brunswick, New Jersey and an Associate Editor of Emergency Medicine PharmD blog.

References mentioned in this episode are available at http://empharmd.blogspot.com Published: 5/24/2017

SCCM Pod-VCCR4 Common Sedatives and Paralytics for Rapid Sequence Intubation
Sean P. Kane, PharmD, BCPS, speaks with Joseph Muench, PharmD, BCPS about airway pharmacology. In the episode, the most common sedatives and paralytics for rapid sequence intubation are discussed, including concepts regarding dosing, adverse effects, onset and duration of effect, and clinical pearls.

Dr. Muench (known to his listeners as "Pharmacy Joe") is the host of The Elective Rotation: A Critical Care Pharmacy Podcast and author of A Pharmacist's Guide to Inpatient Medical Emergencies.

You can find the references mentioned in this episode at http://pharmacyjoe.com/VCCR Published: 5/17/2017

SCCM Pod-VCCR3 Activated Charcoal in the Overdose Patient
Sean P. Kane, PharmD, BCPS, speaks with Frank Paloucek, PharmD, DABAT about the use of activated charcoal in the overdose patient. In the episode, nuances of activated charcoal including dosing, dosage forms, administration, and efficacy are discussed.

Dr. Paloucek is a clinical professor and the PGY1 residency director at the University of Illinois at Chicago College of Pharmacy, a fellow of the American Academy of Clinical Toxicology, co-author of the Poisoning and Toxicology Handbook, and an attending with the Toxikon Consortium. Published: 5/11/2017

SCCM Pod-VCCR2 New Onset Atrial Fibrillation in Septic Shock
Sean P. Kane, PharmD, BCPS, speaks with Ishaq Lat, PharmD, about new onset atrial fibrillation in septic shock. In the epsiode, the issue of rate versus rhythm control is discussed as well as the need for anticoagulation among this patient population.

Dr. Lat is the associate director of clinical pharmacy services and a clinical pharmacist specialist in Critical Care at Rush University Medical Center in Chicago, Illinois. Published: 4/26/2017

SCCM Pod-VCCR1 Treatment Approaches for ACE Inhibitor-Induced Angioedema
Sean P. Kane, PharmD, BCPS, speaks with Craig Cocchio, PharmD, BCPS, about angiotensin-converting enzyme (ACE) inhibitor-induced angioedema.

In the episode, a variety of treatment approaches for ACE inhibitor-induced angioedema are discussed, including fresh frozen plasma, ecallantide, icatibant, and conventional therapies for undifferentiated angioedema.

Dr. Cocchio is an Emergency Medicine Clinical Pharmacist at Trinity Mother Frances Hospital in Tyler, Texas and the Editor-in-Chief of the Emergency Medicine PharmD blog.

References mentioned in this episode are available at http://empharmd.blogspot.com Published: 4/25/2017