SCCM Podcast: Recent Episodes
Society of Critical Care Medicine (SCCM)
The Society of Critical Care Medicine (SCCM) Podcast features in-depth interviews with leaders in critical care. Experts discuss hot topics in intensive care with perspectives from all members of the critical care team. Guests include authors from SCCM's peer-reviewed journals, Critical Care Medicine, Pediatric Critical Care Medicine, and Critical Care Explorations, as well as thought leaders within the field. This is a new and updated channel, formerly known as the iCritical Care Podcast All Audio Channel.
Retaining highly skilled advanced practice nurses and physician assistants in intensive care units is vital for maintaining excellent quality and safety in critical care. In the third episode of SCCM's podcast series on quality and safety in critical care, Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Roy H. Constantine, MPH, PA-C, PhD, FCCM, and Jose Chavez, DNP, CNS, RN, CCRN, FCCM, to discuss best practices for retention and how retention impacts patient outcomes in critical care settings.
The importance of retaining seasoned physicians in the ICU is crucial for maintaining high standards of patient care. In the second episode of SCCM’s podcast series on quality and safety in critical care, Elizabeth H. Mack, MD, MS, FCCM, is joined by Alexander O. Sy, MBA, MD, MSL, FCCM, to discuss effective retention strategies, their direct impact on patient outcomes, and the broader effects on healthcare teams and organizational efficiency.
Host Samantha Gambles Farr, MSN, AG-ACNP, FNP-C, RNFA, is joined by Roman Melamed, MD, to discuss the comparative effectiveness of reduced-dose versus full-dose alteplase for acute pulmonary embolism, focusing on patient outcomes and complications. They will highlight study findings on significant improvements in hemodynamic and respiratory parameters in both groups, with a lower rate of hemorrhagic complications in the reduced-dose group (Melamed R, et al. Crit Care Med. 2024;52:729-742). Dr. Melamed is a critical care intensivist and director of the Pulmonary Embolism Program at Abbott Northwestern Hospital in Minneapolis, Minnesota, USA, and an adjunct associate professor at the University of Minnesota.
Host Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Catherine Beni, MD, PhD, to discuss a study aimed at determining outcomes of extracorporeal CPR (ECPR) in pediatric patients without congenital cardiac disease and identifying associations with in-hospital mortality of factors such as initial arrest rhythm and patient demographics (Beni CE, et al. Pediatr Crit Care Med. 2023 Nov;24:927-935). Catherine Beni, MD, PhD, is a resident physician in the department of surgery at the University of Washington in Seattle, Washington.
Host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, is joined by Michael C. McCrory, MD, MS, FCCM, to discuss a multicenter retrospective study evaluating the impact of neighborhood, as categorized by the Child Opportunity Index, on pediatric intensive care unit (PICU) outcomes such as mortality, illness severity, and PICU length of stay. The study highlights the disparities in PICU admissions based on socioeconomic factors (McCrory MC, et al. Pediatr Crit Care Med. 2024 Apr;25:323-334). Michael C. McCrory, MD, MS, FCCM, is an associate professor in the departments of Anesthesiology and Pediatrics at Wake Forest University School of Medicine in Winston-Salem, North Carolina.
Host Elizabeth H. Mack, MD, MS, FCCM, is joined by Samuel Snider, MD, and Michael Fong, MD, to discuss a retrospective cohort study that examined factors such as cardiac arrest, brain neoplasms, and EEG patterns to determine their association with status epilepticus and isolated seizures in critically ill patients, aiming to improve monitoring and treatment strategies for high-risk patients (Snider SB, et al. Crit Care Med. 2023 Aug;51:1001-1011). Samuel Snider, MD, is a board-certified neurologist at Brigham and Women's Hospital and an instructor of neurology at Harvard Medical School in Boston, Massachusetts. Michael Fong, MD, is an assistant professor adjunct at the Yale School of Medicine in New Haven, Connecticut.
Host Elizabeth H. Mack, MD, MS, FCCM, is joined by Luregn J. Schlapbach, MD, PhD, FCICM, to discuss the Pediatric Critical Care Medicine article, "Resuscitation With Early Adrenaline Infusion for Children With Septic Shock: A Randomized Pilot Trial" (Harley A, et al. Pediatr Crit Care Med. 2024 Feb;25:106-117). The study found that a fluid-sparing algorithm for children presenting with septic shock using early adrenaline is feasible. Dr. Schlapbach is a professor and chief of intensive care and neonatology at the University Children's Hospital in Zurich, Switzerland.
Host Kyle B. Enfield, MD, FCCM, is joined by Daisuke Kawakami, MD, to discuss the Critical Care Medicine article, “Evaluation of the Impact of ABCDEF Bundle Compliance Rates on Postintensive Care Syndrome: A Secondary Analysis Study.” (Kawakami D, et al. Crit Care Med. 2023 Dec;51:1685-1696). The study examines how compliance with the ICU Liberation Bundle (A-F) impacts post-intensive care syndrome and intensive care unit mortality rates Dr. Kawakami is a physician in the Department of Emergency and Critical Care Medicine at St. Marianna University School of Medicine in Kawasaki, Japan. Learn more about the ICU Liberation Bundle at sccm.org/iculiberation.
Delve into the realm of implementation science and its significance in bridging the gap between research-based evidence and critical care practice. Host Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Anne E. Sales, PhD, RN, to discuss the complexity of implementation science, which involves understanding human behavior change within organizational constraints. They explore examples such as hypertension treatment to illustrate the challenges and opportunities of implementing evidence-based practices. They discuss the importance of context, resources, and stakeholder engagement in successful implementation efforts in the critical care setting where complex interventions and rapid changes are common. Dr. Sales is a nurse and professor at the Sinclair School of Nursing and the Department of Family and Community Medicine in the School of Medicine at the University of Missouri, and associate dean for implementation research and health delivery effectiveness in the School of Medicine. She is a research scientist at the Center for Clinical Management Research at the VA Ann Arbor Health System in Ann Arbor, Michigan, USA.
Improving health literacy is vital for addressing disparities in healthcare access and quality. Join Host Kyle B. Enfield, MD, FSHEA, FCCM, and Jerome Adams, MD, MPH, FASA, as they discuss the urgent need for health equity initiatives and innovative solutions to systemic healthcare challenges. Learn why providing accessible information and empowering individuals to advocate for their health is key. Dr. Adams was the 20th U.S. Surgeon General when the COVID-19 pandemic began and had a front-row seat to the government’s response to COVID-19. Dr. Adams provided his perspective on that response in his book Crisis and Chaos: Lessons from the Front Lines of the War Against COVID-19, which was published in October 2023. The book examines the past three years since the pandemic began, but Dr. Adams said that it also applies to America’s future unless changes are made. He presented his perspectives during the 2024 Critical Care Congress in a thought leader session and shares additional insights during this podcast episode. While Dr. Adams was U.S. Surgeon General, from 2017 to 2021, he led the 6000-person U.S. Public Health Service through responses to three category 5 hurricanes and an opioid epidemic in addition to the COVID-19 pandemic. Previously he was Indiana’s state health commissioner, where he addressed Ebola, Zika, and HIV crises. Today he is the executive director of health equity initiatives at Purdue University in West Lafayette, Indiana, USA, where he is also a distinguished professor of practice in the public health and pharmacy practice departments.
The Society of Critical Care Medicine’s (SCCM) new global health project, Africa Infrastructure Relief and Support (AIRS), will ensure the availability of medical oxygen to patients in the Gambia, Liberia, and Sierra Leone, made possible by a $5.5 million grant from Direct Relief and in collaboration with the Johns Hopkins Global Alliance of Perioperative Professionals (GAPP) and the Institute of Global Perioperative Care (IGPC).Host Samantha Gambles Farr, MSN, AG-ACNP, FNP-C, CCRN, RNFA, is joined by John B. Sampson, MD, executive director of GAPP and a critical care anesthesiologist at Johns Hopkins University, to discuss the AIRS project. AIRS tackles challenges such as energy shortages and outdated infrastructure to tailor solutions to each country. AIRS prioritizes sustainability and capacity building to empower local communities and address global health disparities. Listeners are urged to support AIRS by raising awareness, advocating for sustainable healthcare, and exploring collaboration and funding opportunities.
This episode of the Society of Critical Care Medicine Podcast offers insights on hemodynamics monitoring in critically ill patients. Kyle Enfield, MD, FCCM, is joined by Courtney Bennett, DO, FCC, FASE, to discuss foundational concepts in hemodynamic monitoring and shock management, stressing the importance of understanding data quality and ongoing debates in critical care. SCCM offers a hemodynamic monitoring skills precourse as part of its Critical Care Congress programming. Courtney Bennett, DO, FCC, FASE, is an associate professor at Lee Valley Health Network in Allentown, Pennsylvania, USA.
While advanced monitoring technology can provide valuable information, the importance of clinical judgment and examination should not be minimized. Host Ludwig H. Lin, MD, is joined by Maurizio Cecconi, MD, to discuss the integration of clinical judgment with technology when assessing hemodynamic instability and shock. They emphasize the importance of fluid challenges tailored to individual patient characteristics, along with standardized approaches. Dr. Cecconi explores the role of big data and artificial intelligence (AI) in treatment refinement and advocates for global access to care. He highlights fluid responsiveness dynamics and the interaction between fluids and vasopressors, urging a cautious approach to fluid administration due to its drug-like effects.Dr. Cecconi is an anesthesiologist and intensive care specialist and chair of the Department of Anesthesia and Intensive Care at Humanitas Research Hospital and University in Milan, Italy. This podcast is sponsored by Baxter Healthcare.
Host Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Susanna Rudy, ACNP, DNP, to discuss her journey from developing ultrasound training programs to volunteering in conflict zones and pandemic hotspots. She also highlights the crucial role of advanced practice providers (APPs) in critical care. Dr. Rudy is an acute care family medicine and emergency medicine nurse practitioner at Vanderbilt University in Nashville, Tennessee, USA. Dr. Rudy believes in seizing opportunities for professional growth and humanitarian service.
This is the fifth episode of SCCM's Current Concepts Series, in which authors unveil exclusive insights into the 2024 Current Concepts Course. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Paritosh Prasad, BA, BS, MBA, MD, to discuss the management of acute and acute-on-chronic liver failure.
This is the fourth episode of SCCM’s Current Concepts Series. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Kwame A. Akuamoah-Boateng, DNP, ACNP-BC, FCCM, and Collin Sprenker, PA-C, to discuss effective, culturally sensitive end-of-life care. Discover why this topic is a crucial current concept in critical care as the guests share insights and personal experiences in dealing with end-of-life care.
In the first of a series of podcast episodes focused on quality and patient safety, host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, is joined by Anita J. Reddy, MD, MBA, FCCP, FCCM, and Jose Chavez, DNP, RN, ACCNS-AG, CCRN, FCCM. They discuss the links among patient safety, workforce retention, and how the COVID-19 pandemic shifted the landscape. They explore effective staff retention strategies that can impact patient care and enhance the resilience of healthcare organizations.
Unlock the key to captivating your audience with our Leadership, Empowerment, and Development (LEAD) Program. Have you ever left a presentation wondering if anyone was really paying attention? In this episode, Kyle Enfield, MD, FCCM is joined by Amanda R. Emke, MD, MHPE, to discuss the essential skills needed to create presentations that leave a lasting impression. From weaving compelling narratives to incorporating interactive elements, learn how to command the stage with confidence and ensure your audience walks away truly moved.
As advanced practice provider (APP) postgraduate programs expand, what lessons have we learned as program directors? In this second episode of the APP Fellowship series, Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, is joined by Melissa Ricker, DMSc, PA-C, and Sarah Peacock, DNP, APRN to discuss their experiences as program directors of APP fellowships in critical care. This episode will focus on the benefits and barriers of APP fellowship programs, focusing on the program director’s experience.
As advanced practice provider (APP) postgraduate programs expand, what can we learn from the graduates themselves? Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, is joined by Dalton Gifford PA-C and Benjamin Lassow, PA-C to discuss their experiences as recent graduates of APP fellowships in critical care; focusing on the benefits and barriers of APP fellowship programs, and the learner’s experience.
Host Elizabeth H. Mack, MD, MS, FCCM, is joined by John Lin, MD, to discuss the transformative impact of the ICU Liberation Bundle (ABCDEF) on caring for critically ill children. This episode delves into the Pediatric Critical Care Medicine article, "Caring for Critically Ill Children With the ICU Liberation Bundle (ABCDEF): Results of the Pediatric Collaborative," exploring the implementation, outcomes, and the potential for enhancing pediatric ICU care (Pedtr Crit Care Med. August 2023; 24(8):636-651). Dr. Lin is Associate Professor of Pediatrics, Critical Care Medicine, and Service Chief for Respiratory Failure and Sepsis in the PICU, as well as the Medical Director of Respiratory Care at St. Louis Children’s Hospital in St. Louis, Missouri.
Host Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, FAAN, is joined by Dr. Lakshmi Raman, MD, to explore critical insights into pediatric ECMO, addressing neurological complications and their potential mitigation strategies and other topics associate with the article "Early Changes in Arterial Partial Pressure of Carbon Dioxide and Blood Pressure After Starting Extracorporeal Membrane Oxygenation in Children: Extracorporeal Life Support Organization Database Study of Neurologic Complications" (Pedtr Crit Care Med. July 2023; 24(7):541-550). Dr. Raman is Professor of Pediatrics and Medical Director of ECMO at the University of Texas Southwestern Medical Center and Children's Medical Center in Dallas, Texas.
Host Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, FAAN, is joined by William Sveen, MD, MA, to discuss the article "Adverse Events During Apnea Testing for the Determination of Death by Neurologic Criteria" (Sveen, W.N., et al. Pedtr Crit Care Med. 2023 May;24(5):399-405). Explore the prevalence of adverse events in pediatric apnea testing and gain insights from this single-center retrospective cohort study. Dr. Sveen is an Assistant Professor in Pediatric Critical Care Medicine at the University of Minnesota.
Host Kyle B. Enfield, MD, FSHEA, FCCM is joined by Danielle K. Maue, MD, to discuss improving outcomes for bronchiolitis patients through a high-flow nasal cannula protocol, as discussed in the Pediatric Critical Care Medicine article, "Improving Outcomes for Bronchiolitis Patients After Implementing a High-Flow Nasal Cannula Holiday and Standardizing Discharge Criteria in a PICU." (Maue DK, et al. Pedtr Crit Care Med. 2023 Mar;24:233-244). Together, they explore groundbreaking initiatives that significantly improved outcomes for bronchiolitis patients using a high-flow nasal cannula protocol, the key interventions, and their impact. Dr. Maue is an Assistant Professor of Clinical Pediatrics for Riley Hospital for Children at Indiana University in Indianapolis, Indiana.
Host Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Joy Peterson, PharmD, BCPS, BCIDP, Neha Paranjape, MD, MPH, to discuss the article, "Outcomes and Adverse Effects of Baricitinib Versus Tocilizumab in the Management of Severe COVID-19," (Crit Care Med. March 2023 51(3):337-346) which delves into the comparative outcomes, mortality rates, and adverse effects of baricitinib and tocilizumab in severe COVID-19 cases. Dr. Peterson is a Clinical Pharmacy Specialist in infectious disease, and Dr. Paranjape is an Infectious Disease Specialist at Wellstar Health System in Marietta, Georgia.
This is the third episode of SCCM’s Current Concepts Series, in which authors unveil exclusive insights into the 2024 Current Concepts Course. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Aaron Goodwin, PA-C, MS, and Brett Hogan, ACNP, BSN, MS, RN, to discuss updates in toxidromes and illicit drug abuse in the ICU. The guests explain why this is an important topic and share their surprising discoveries while researching the topic.
This is the second episode of SCCM’s Current Concepts Series, in which authors unveil exclusive insights into the 2024 Current Concepts Course. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Nasim Motayar, MD, to discuss updates in hemostatic resuscitation for traumatic and nontraumatic hemorrhage. Dr. Motayar offers a concise overview of this Current Concepts chapter, providing valuable takeaways for healthcare professionals looking to enhance their clinical practice.
Gain valuable insights and tools on topics including mentorship, leadership, and workplace relationships that are specific to practitioners in critical care. Experts from SCCM’s Leadership, Empowerment, and Development (LEAD) Committee discuss the leadership and management skills to enhance your professional role.
SCCM volunteers traveled twice to Lviv, Ukraine, in 2023 to train nearly 500 clinicians on lifesaving education focused on point-of-care ultrasound (POCUS), Fundamental Critical Care Support: Surgical, and ICU Liberation. In this very special 500th episode of the SCCM Podcast, these volunteer faculty share insights into their inspiring and educational mission.
Mentorship has been used within critical care for the transfer of specialized knowledge and expertise. Critical care practitioners have leaned on mentorship to acquire not only technical skills but also clinical decision-making abilities that come with experience. But is mentorship a thing of the past or a necessity for the future of healthcare? Host Kyle B. Enfield, MD, is joined by Lewis J. Kaplan, MD, FACS, FCCP, FCCM and Kenneth E. Remy, MD, MHSc, MSCI, FCCM, to discuss whether mentorship is obsolete in our modern healthcare environment. The information discussed in this podcast was provided by the Society of Critical Care Medicine’s Leadership, Empowerment, and Development (LEAD) Committee.
Dive into the inaugural episode of SCCM’s Current Concepts Series, where we unveil exclusive insights into the 2024 Current Concepts Course, directly from the authors themselves. Samantha Gambles Farr, MSN, NP-C, CCRN, RNFA is joined by Diane C. McLaughlin, DNP, AGACNP-BC, CCRN as they discuss the latest developments in the realm of coma, delving into essential aspects vital for the intricacies of critical care management. Don't miss this riveting exploration of cutting-edge knowledge in the field.
Discover how our evolving healthcare landscape is shaped by the interplay between experienced veterans and emerging talents, and how these generational shifts influence decision-making, communication, and the development of future critical care professionals. In this follow-up to the intriguing session held at the 2023 Critical Care Congress LEAD pre-course, titled "Generational Differences in Practice and Learning,” host Ludwig Lin, MD, is joined by Sergio L. Zanotti-Cavazzoni, MD, FCCM, to explore the dynamics of generational differences in critical care. Dr. Zanotti-Cavazzoni is Chief Medical Officer for Sound Physicians in Tacoma, Washington.
Millions of people have long COVID and may experience cognitive, mental health, and physical side effects. Elizabeth H. Mack, MD, MS, FCCM, is joined by James C. Jackson, PhD, PsyD, to discuss practical strategies to move patients from merely surviving to thriving. Drawing on research and vast clinical experience with ICU survivors with long COVID, Dr. Jackson highlights the value of acceptance, self-care, boundary setting, social support, and posttraumatic growth - coping strategies that can help patients foster meaningful lives, even in the face of chronic conditions.
Join host Pamela M. Peeke, MD, MPH, FACP, FACSM, as she delves into the critical topic of acute kidney injury (AKI) and its significant impact on critically ill patients. Guest Javier Neyra, MD, MSCS, offers a comprehensive overview of renal replacement therapy (RRT) in AKI, exploring the preferred modalities and technical considerations. With a focus on the benefits of continuous therapy versus hemodialysis, the discussion sheds light on indications for continuous RRT (CRRT), emphasizing the importance of early intervention and nephrology consultation. This podcast is sponsored by Baxter Healthcare Corporation.
Pamela M. Peeke MD, MPH, FACP, FACSM, is joined by Rajesh Speer, PharmD, MSHA, MS, to delve into continuous renal replacement therapy (CRRT) and anticoagulation. Unravel the intricacies of anticoagulation options, with an emphasis on citrate variations. Understand low- versus high-concentrate citrate and the nuances between compounding and commercially available products. Gain invaluable insights from a pharmacist’s standpoint about the ideal anticoagulation strategies for CRRT. This podcast is sponsored by Baxter Healthcare Corporation.
The Society of Critical Care Medicine's (SCCM) ICU Liberation Bundle (A-F) is unique because it can be applied to every patient, every day, by the full team. By fostering a holistic approach to treating patients and improving ICU team communication, the ICU Liberation Bundle has been proven in multiple studies to reduce: the likelihood of hospital death, delirium and coma days, physical restraint use, ICU readmissions, and discharges to rehabilitation facilities. Ludwig H. Lin, MD, was joined by Kristina A. Betters, MD, and Christopher Adams, PharmD, BCCCP, BCPS, FCCM, during the 2023 Critical Care Congress to discuss the future of ICU Liberation, including large-scale implementation, culture change, translation of existing tools, and implementation in resource-limited settings. This podcast is sponsored by Etiometry.
COVID-19 survivors who experience severe critical illness are at risk even when they leave the ICU. Long COVID is becoming recognized as a widespread problem, resulting in lower quality of life and productivity. Ludwig H. Lin, MD, is joined by E. Wesley Ely, MD, MHP, MCCM, to discuss the range of symptoms encompassing long COVID, as well as the latest research and treatment. Dr. Ely is a subspecialist in pulmonary and critical care medicine who conducts patient-oriented health services research as a professor of medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University Medical Center in Nashville, Tennessee, USA. He is a practicing intensivist and the author of Every Deep-Drawn Breath: A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU. As associate director for research for the VA Tennessee Valley Geriatric Research Education and Clinical Center, his focus is on geriatric ICU care.
COVID-19 transformed healthcare and presented specific long-term challenges for the nursing profession. Samantha Gambles Farr, MSN, NP-C, CCRN, RNFA, was joined by Norma J. Shoemaker Honorary Lecturer Ernest J. Grant, PhD, RN, FAAN, at the 2023 Critical Care Congress to discuss the shortage of critical care nurses. Survey results reveal that nurses continue to experience burnout and frustration. They discuss how to leverage data to best support nurses now and in the future.
Can healthcare professionals use social media to enhance delivery of medical education and deliver the same educational content to a larger, more diverse, and more engaged audience? Ludwig H. Lin, MD, was joined by Nicolas M. Mark, MD, at the 2023 Critical Care Congress to discuss the role of social media in medical education. Dr. Mark is a board-certified intensivist at Swedish Medical Center First Hill in Seattle, Washington, USA.
The Assessment of Implementation of Methods in Sepsis and Respiratory Failure (AIMS) Study seeks to determine the safest and most effective approach to sepsis intervention using the evidence-based Surviving Sepsis Campaign guidelines. Marylin N. Bulloch, PharmD, BCPS, FCCM, was joined by Mitchell M. Levy, MD, MCCM, at the 2023 Critical Care Congress to discuss the goal of the AIMS Study and the elements of both the Hour-1 and 3-Hour bundles. Dr. Levy is chief of the Division of Critical Care, Pulmonary, and Sleep Medicine and professor of medicine at the Warren Alpert Medical School of Brown University. He is also the medical director of the medical ICU at Rhode Island Hospital in Providence, Rhode Island, USA.
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.
According to the United Nations, climate change is the defining crisis of our time and is happening more quickly than anticipated. Can critical care professionals be the spark that lights the fire of change? Kyle B. Enfield, MD, FSHEA, FCCM, was joined by Srinivas Murthy, MD, MDCM, MHSc, at the 2023 Critical Care Congress to discuss the intersection of climate change and critical care. Dr. Murthy is a pediatric infectious diseases and intensive care physician at the University of British Columbia in Vancouver British Columbia, Canada. His academic and clinical interests are in emerging and severe infections, innovative clinical trials, and global public health.
Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Craig M. Coopersmith, MD, FACS, MCCM, to discuss optimal strategies for preventing sepsis and septic shock in the hospital setting. Explore the challenges faced in integrating these strategies into hospital workflows and gain insights into the significant contributions made by multiple team members. This podcast is funded by the Gordon and Betty Moore Foundation through a grant program administered by the Council of Medical Specialty Societies.
The power of scientific collaboration has a broad reach. During the COVID-19 pandemic, more than 7000 clinical trials were registered, with more than 100 different countries represented. Samantha Gambles Farr, MSN, NP-C, CCRN, RNFA, was joined by SCCM Lifetime Achievement Award Recipient John C. Marshall, MD, FRCSC, FACS, at the 2023 Critical Care Congress to discuss the importance of research and scientific collaboration. Dr. Marshall has been involved in research programs with researchers around the globe and is a well-known speaker with nearly 600 published manuscripts. This podcast is sponsored by Dompe Pharmaceutical.
The ICU Liberation Campaign aims to liberate patients from the harmful effects of an intensive care unit (ICU) stay. The campaign is expanding to include more resources for children and infants. Host Ludwig Lin, MD, was joined by Jerry Zimmerman, MD, PhD, FCCM, at the 2023 Critical Care Congress to discuss ICU Liberation and how it is being adapted to improve care in the pediatric ICU. Dr. Zimmerman is an attending physician in the pediatric ICU at Seattle Children’s Hospital and professor of pediatrics and anesthesiology at the University of Washington School of Medicine in Seattle, Washington, USA. This podcast is sponsored by Etiometry.
Implicit bias is a form of automatic and unintentional bias that affects judgments, decisions, and behaviors. Implicit bias can pose a barrier to the diagnosis and treatment of critical illness. Ludwig H. Lin, MD, is joined by Varun U. Shetty, MD, to discuss ways that critical care professionals can mitigate diagnostic delays and errors by being aware of their own implicit biases. Dr. Shetty is an adult intensivist who focuses on caring for critically ill patients in global health settings. He has worked both in the United States and abroad in resource-limited settings and has presented several lectures on healthcare disparities with a specific focus on the care of critically ill patients. This podcast is funded by the Gordon and Betty Moore Foundation through a grant program administered by the Council of Medical Specialties.
Guidelines recommend against red blood cell (RBC) transfusion in hemodynamically stable children without cardiac disease who meet certain criteria. Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Katherine Steffen, MD, MHS, to discuss the clinical and economic impacts of compliance with RBC transfusion guidelines, as discussed in "The Impact of Restrictive Transfusion Practices on Hemodynamically Stable Critically Ill Children Without Heart Disease: A Secondary Analysis of the Age of Blood in Children in the PICU Trial" published in the February issue of Pediatric Critical Care Medicine (Steffen K et al. Pediatr Crit Care Med. 2023;24:84-92). Dr. Steffen is a clinical associate professor of pediatrics at Stanford University School of Medicine in Palo Alto, California, USA.
For more than 10 years, the Society of Critical Care Medicine has offered an in-person critical care ultrasound course that spanned two days, interspersing lectures with interactive training. This format has now been replaced by a hybrid format, allowing more countries to host the course, virtually or in person, to ensure that healthcare professionals continue to receive optimized ultrasound training and education. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, was joined by Sarah E. Bain, MD, at the 2023 Critical Care Congress to discuss the critical care ultrasound course, how it has evolved, and how it is expanding around the world. Sarah E. Bain, MD, is division head of cardiovascular thoracic and structural heart anesthesiology at Virginia Mason Hospital in Seattle Washington, USA.
Marilyn N. Bulloch, PharmD, BCPS, FCCM, and Daleen Penoyer, PhD, RN, CCRP, FCNS, FAAN, FCCM, discuss how to develop and operationalize performance improvement teams to implement the Surviving Sepsis Campaign’s (SSC) Hour-1 Bundle, which was developed in 2021 to minimize time to treatment for patients with sepsis and septic shock. Explore how to overcome barriers teams encounter in implementing the bundle, including inflexibility, lack of awareness about the bundle, competing priorities, and insufficient staffing. This podcast is funded by the Gordon and Betty Moore Foundation through a grant program administered by the Council of Medical Specialty Societies.
During the COVID-19 pandemic, hospitals implemented tele-critical care medicine to help patients while keeping staff safe from exposure. Now that patient care has gone back to normal, what is the role of tele-critical care medicine? Donald S. Prough, MD, FCCM, was joined by Krzysztof Laudanski, MD, PhD, FCCM, and Sonia S. Everhart, PharmD, BCPS, BCCCP, FCCM, during the 2023 Critical Care Congress to discuss how tele-critical care medicine was implemented during the COVID-19 pandemic and its continued benefits after the pandemic. Sonia S. Everhart, PharmD, BCPS, BCCCP, FCCM, is a clinical pharmacy specialist in critical care at Atrium Health in Charlotte, North Carolina, USA. Krzysztof Laudanski, MD, PhD, FCCM, is a senior associate consultant at the Mayo Clinic in Rochester, Minnesota, USA. This podcast is sponsored by Equum Medical and CLEW Medical.
Although the variety of noninvasive interfaces for pediatric patients has grown in the past 10 years, they are still limited. Pediatric interfaces are typically scaled down from adult to child sizes, which does not consider the contours of a growing child’s face, causing poor fit in patients of certain ages. Donald S. Prough, MD, FCCM, was joined by Natalie Napolitano, MPH, RRT-NPS, during the 2023 Critical Care Congress to discuss how clinicians’ need to have the right equipment for their patients led to a device development project using 3D imaging that obtained sample sizes from various age groups to bridge the fit gap and lessen pressure point injury among pediatric patients. Natalie Napolitano, MPH, RRT-NPS, is a respiratory therapist and research clinical specialist at the Children's Hospital of Philadelphia in Philadelphia, Pennsylvania, USA.
The Viral Infection and Respiratory Illness Universal Study (VIRUS) is a prospective, cross-sectional, observational study and registry of all eligible adult and pediatric patients who are admitted to a hospital. Marilyn N. Bulloch, PharmD, BCPS, FCCM, was joined by Rahul Kashyap, MD, MBA, at the 2023 Critical Care Congress to discuss the Discovery VIRUS COVID-19 Registry. Dr. Kashyap is an assistant professor and clinical research scientist at Mayo Clinic in Rochester, Minnesota, USA.
From the earliest days of critical care medicine, the importance of measuring cardiac output and hemodynamic monitoring were recognized in understanding the physiology of critically ill patients, especially those in shock. However, methods for measuring cardiac output were cumbersome or not widely available. Ashish K. Khanna, MD, FCCP, FCCM, is joined by Margaret M. Parker, MD, MCCM, to discuss the evolution of the pulmonary artery catheter in critically ill patients, as discussed in "The Story of the Pulmonary Artery Catheter: Five Decades in Critical Care Medicine," published in the February issue of Critical Care Medicine (Parker M et al. Crit Care Med. 2023;51:159-163). Dr. Parker is professor emeritus of pediatrics at Stony Brook University School of Medicine in Stony Brook, New York, USA.
Discovery, the Critical Care Research Network, is an SCCM program that aims to expand research and improve outcomes. Discovery has launched the Data Science Campaign to leverage large-scale (big) data for research, seeking to apply these data in a clinical environment through standardized models and shared resources. Kyle B. Enfield, MD, FSHEA, FCCM, was joined by J. Perren Cobb, MD, FACS, FCCM, and Karin Reuter-Rice, PhD, NP, FAAN, FCCM, at SCCM's 2023 Critical Care Congress to discuss the future of data science and critical care research.
Intensive care unit (ICU) clinicians pride themselves on their ability to care for others, even at the expense of caring for themselves. Kyle B. Enfield, MD, FSHEA, FCCM, was joined by Emily K. Valcin, DNP, RN, FCCM, during SCCM’s 2023 Critical Care Congress to discuss ICU clinician well-being and the importance of self-care.
Healthcare professionals who want to make a job change often do not know how to go about it. Impending job searches seem daunting. Ludwig Lin, MD, was joined by Mojdeh Heavner, PharmD, BCCCP, BCPS, FCCM, during SCCM's 2023 Critical Care Congress to discuss the dos and don'ts of changing jobs mid-career.
Confident, well-rounded leaders can increase the efficiency of their critical care unit, improve the performance of their teams, and ultimately achieve better patient outcomes. Marilyn Bulloch, PharmD, BCPS, FCCM, was joined by Judith Jacobi, PharmD, BCCCP, MCCM, during SCCM’s 2023 Critical Care Congress to discuss how the new Leadership, Empowerment, and Development (LEAD) Committee will engage participants in a variety of didactic and small-group sessions to facilitate their progress as mentors, managers, leaders of trainees, coworkers, critical care teams, volunteers, and future leaders within SCCM.
Diagnostic delays and errors are significant contributors to patient illness, injury, and death in the United States. According to the Society to Improve Diagnosis in Medicine, diagnostic errors impact nearly 12 million Americans every year, leading to prolonged hospital stays, increased nonreimbursed healthcare costs, and even more harm when combined with other medical errors. Maureen Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Mary Jo C. Grant, ACNP, PhD, FAAN, to discuss how to reduce diagnostic delays and errors, with an emphasis on sepsis. This podcast is funded by the Gordon and Betty Moore Foundation through a grant program administered by the Council of Medical Specialty Societies. 0.5 hours of accredited continuing education credit is available for this podcast through March 31, 2024. Visit sccm.org/store and search the podcast name to find details.
The contribution of adverse events to the deaths of patients in the pediatric ICU (PICU) who die despite a low predicted mortality risk is unknown. Elizabeth H. Mack, MD, MS, FCCM, is joined by Carin W. Verlaat, MD, to discuss adverse events in low-risk nonsurvivors compared with low-risk survivors and high-risk PICU survivors and nonsurvivors and the contribution of adverse events to mortality. The podcast centers around the article, Adverse Events in Pediatric Critical Care Nonsurvivors With a Low Predicted Mortality Risk: A Multicenter Case Control Study (Verlaat C, et al. Pediatr Crit Care Med. 2023;24:4-16). Dr. Verlaat is a pediatric intensivist at Radboud University Medical Center in Nijmegen, Netherlands.
Bloodstream infections (BSIs) acquired in the ICU are potentially preventable. Kyle B. Enfield, MD, FSHEA, FCCM, is joined by Sameer S. Kadri-Rodriguez, MD, MS, to discuss the article, Epidemiology of ICU-Onset Bloodstream Infection: Prevalence, Pathogens, and Risk Factors Among 150,948 ICU Patients at 85 U.S. Hospitals, (Gouel-Cheron A, et al. Crit Care Med. 2022;50:1725-1736). Dr. Kadri-Rodriguez is a critical care and infectious diseases physician at the National Institutes of Health Clinical Center in Bethesda, Maryland. This podcast is sponsored by Sound Physicians.
Although only a small number of patients hospitalized with COVID-19 present with a secondary bacterial pneumonia, a large percentage are unnecessarily treated with antibiotics. Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by George Sakoulas, MD, to discuss how physicians and hospitalists can identify when antibiotics are unnecessary for hospitalized patients with moderate to severe respiratory infections. Dr. Sakoulas is chief of infectious disease at Sharp Rees-Stealy Medical Group in San Diego, California, and an adjunct professor in the Division of Host-Microbe Systems and Therapeutics Center for Immunity, Infection, and Inflammation at the University of California San Diego School of Medicine in La Jolla, California. This podcast is sponsored by bioMérieux.
The American Heart Association's (AHA) cardiopulmonary resuscitation guidelines recommend against the routine administration of IV calcium during pediatric cardiopulmonary arrest because of its association with worse outcomes. However, IV calcium is routinely used in children with heart disease who have cardiopulmonary arrest. Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Gurpreet S. Dhillon, MD, to discuss the article, Calcium Administration During Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest in Children With Heart Disease is Associated With Worse Survival - A Report From the American Heart Association's Get With the Guidelines-Resuscitation (GWTG-R) Registry, published in the November issue of Pediatric Critical Care Medicine (Dhillon G, et al. Pediatr Crit Care Med. 2022;23:860-871). Dr. Dhillon is a pediatric cardiac intensivist at Lucile Packard Children's Hospital at Stanford in Palo Alto, California.
Untreated hyperammonemia can cause irreversible neurologic damage, coma, or death. A high level of clinical suspicion is necessary to quickly recognize and implement emergency interventions for hyperammonemia in the acute presentation of urea cycle disorders (UCDs). 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 UCDs. Dr. Niemi is a neonatologist and associate professor at Rady Children’s Hospital in San Diego, California, USA. This podcast is sponsored by Horizon Therapeutics.
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? Elizabeth H. Mack, MD, MS, FCCM, is joined by Martha Kienzle, MD, to discuss the article: Weight-Based Versus Flat Dosing of Epinephrine During Cardiac Arrest in the PICU: A Multicenter Survey, published in the October 2022 issue of Pediatric Critical Care Medicine. Dr. Kienzle is an attending physician in the Department of Anesthesiology and Critical Care Medicine at Children's Hospital of Philadelphia.
Clinicians aim to communicate with surrogates of ICU patients in ways that both inform them of the patient’s medical condition and support their emotional needs. 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. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Jared Greenberg, MD, MSc, to discuss the article "Daily Written Care Summaries for Families of Critically Ill Patients: A Randomized Controlled Trial," published in the September 2022 issue of Critical Care Medicine. Dr. Greenberg is assistant professor of internal medicine in the Division of Pulmonary, Critical Care and Sleep Medicine at Rush University Medical Center in Chicago, Illinois. This podcast is sponsored by Sound Physicians.
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 of clazakizumab for treatment of COVID-19 are under way 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, published in the September 2022 issue of Critical Care Medicine. Dr. Lonze is a faculty transplant surgeon at NYU Langone in New York, New York, USA, focusing primarily on kidney transplants. As vice chair for research of the NYU Langone Transplant Institute, she leads the research group on clinical trials and regulatory oversight.
Are there bullies in the world of advanced practice providers (APPs)? How is bullying defined in a clinical environment? In this podcast, hosted by Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, three APPs from different hospitals debate incivility and workplace culture. They also address interpersonal relationships among APPs, physicians, and nurses.
Unrecognized clinical deterioration during illness requiring hospitalization is associated with high risk of mortality and long-term morbidity among children. In this podcast hosted by Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, Anoop Mayampurath, PhD, discusses a novel machine learning model that identifies ICU transfers in hospitalized children more accurately than current tools.
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.
This podcast will educate clinicians on the unfamiliar parameters of processed EEG (pEEG). Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Meghan B. Lane-Fall, MD, MSHP, FCCM, to discuss the benefits of pEEG 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.
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. (Sacha G, et al. Crit Care Med. 2022;50:614-623). Dr. Sacha is a critical care clinical specialist at Cleveland Clinic in Cleveland, Ohio. This podcast is sponsored by Sound Physicians.
While little is known about the epidemiology of ventilator-acquired pneumonia among COVID-19 patients, some studies suggest a higher risk of ventilator-associated pneumonia in this specific population. Ashish K. Khanna, MD, FCCP, FCCM, is joined by Charles-Herve Vacheron, MD, to discuss the Cohort exposed/nonexposed study among the REA-REZO surveillance network.
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.
This podcast will describe the principle of albumin dialysis of the molecular adsorbent recirculating system (MARS). Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Ram M. Subramanian, MD, MBA, FCCM, to discuss the logistics of starting a MARS program to outline indications for MARS. Dr. Subramanian is a hepatologist at Emory University in Atlanta, Georgia. This podcast is sponsored by Baxter.
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.
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. Host Pamela Peeke is joined by Javier Neyra to discuss clinical cases and the use of extracorporeal blood purification in COVID-19 patients.
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 (McGowan S, et al. Crit Care Med. 2022 Jan;50:1-20). Dr. McGowan is a first-year fellow in pulmonary and critical care at University of California in San Francisco, California, USA. This podcast is sponsored by Sound Physicians.
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. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by Lauren Rissman, MD, to discuss the eye-opening experience Dr. Rissman had when she was admitted to the ICU from the labor and delivery unit and the importance of having a patient advocate.
Since the publication of the Surviving Sepsis Campaign guidelines, the focus has been on sepsis management, early identification, and treatment. (Evans L, et al. Crit Care Med. 2021;49:e1063-e1143). As more patients are surviving sepsis, they may be left with short- and long-term problems that need to be addressed. Host Ludwig H. Lin, MD, is joined by Christa A. Schorr, DNP, MSN, RN, FCCM, to discuss the implementation of initiatives for preventing impairments due to sepsis. They will also discuss the challenges faced by survivors of sepsis and the difficulties of matching care to the patient's and family's goals of care.
Family nurse practitioners (FNPs) who do not have acute care certification may be recruited to work in ICUs that lack enough acute care nurses, which is a challenge for both the ICU and the FNP. When the FNP moves on to another institution, that institution may not consider the FNP's ICU experience to be an adequate qualification. Host Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, is joined by Christian Santos, MSN, FNP-BC, and Mariah Rose, ARNP, both nurse practitioners at Mayo Clinic in Jacksonville, Florida, to discuss the difficulties of FNPs who need acute care certification to work in ICUs. Christian Santos, MSN, FNP-BC, is a nurse practitioner at Mayo Clinic Hospital in Jacksonville, Florida, USA. Mariah Rose, ARNP, is a nurse practitioner at Mayo Clinic in Jacksonville, Florida, USA.
When should clinicians intubate preterm infants? The answer is not always straightforward, according to podcast guest Deepak Jain, MD, FAAP. He and host Pamela M. Peeke, MD, MPH, FACP, FACSM, discuss strategies that optimize noninvasive ventilation and when such strategies are appropriate.
The increasing use of electronic health records (EHRs) has inspired the need for a more dynamic checklist. Geva et al conducted a before-after quality improvement study by replacing a static checklist with an updated dynamic checklist.
This webcast will be a comparative analysis of conventional heparin-versus bivalirudin-based systemic anticoagulation in adult and pediatric patients supported on extracorporeal membrane oxygenation (ECMO).
Healthcare workload has emerged as an important metric associated with poor outcomes. To measure workload, studies have used bed occupancy as a surrogate. However, few studies have examined frontline clinician workload and outcomes.
This podcast discusses patients who develop acute kidney injury (AKI) and how AKI is independently associated with mortality in critically ill infants, neonates, and larger children.
BioFire FilmArray is the latest in technologies for rapidly identifying pathogens that cause Lower Respiratory Tract Infections (LRTI). Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Tufik Assad M.D., M.S.C.I. to discuss how this technology can be integrated into clinical care to improve patient outcomes.
As a proof of concept, a recurrent neural network (RNN) model was developed using electronic medical record (EMR) data capable of continuously assessing a child's risk of mortality throughout an ICU stay as a proxy measure of illness severity.
Learn about the importance of utilizing dynamic assessments of fluid responsiveness to guide treatment in patients with viral sepsis, including COVID-19, and understand how they can be used to help improve patient outcomes in sepsis patients.
Two previously published trials (ARDS et Curarisation Systematique and Reevaluation of Systemic Early Neuromuscular Blockade) presented equivocal evidence on the effect of neuromuscular blocking agent infusions in patients with acute respiratory distress syndrome.
Rapid delivery of antibiotics is a cornerstone of sepsis therapy, although time targets for specific components of antibiotic delivery are unknown. Host Ludwig H. Lin, MD, is joined by Stephanie Parks Taylor, MD, to discuss the significance of time lead for suspected sepsis patients, how to use a generous time window wisely, and new and reconfigured technologies opportunities.
The prevalence and consequences of dyssynchronies are largely underestimated due to frequent lack of monitoring.
Enteral feed intolerance occurs frequently during enteral nutrition delivery in the critically ill and is associated with lower enteral nutrition delivery and worse clinical outcomes.
Extubation is a high-risk endeavor in some COVID-19 patients. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Joshua H. Atkins, MD, PhD; Christopher Rassekh, MD; and Ara Chalian, MD, to discuss recognizing risks surrounding extubation in ventilated COVID-19 patients.
Targets for treatment of raised intracranial pressure or decreased cerebral perfusion pressure in pediatric neurocritical care are not well defined.
COVID-19 complicated critical care clinicians' decision-making with regard to tracheostomy.
Five new recommendations to reduce waste and enhance value in the practice of critical care address invasive devices, proactive liberation from mechanical ventilation, antibiotic stewardship, early mobilization, and providing goal-concordant care.
With widespread utilization of continuous renal replacement therapy, its critical to know about how citrate may have a role.
Mannitol is a commonly used osmotherapy agent in raised intracranial pressure (ICP) but the side effects are significant.
Continuous renal replacement therapy (CRRT) is complex, and dosing varies among institutions.
Each year, approximately 790,000 patients in the United States develop acute respiratory failure that requires intubation and mechanical ventilation.
Severe COVID-19 infection can be a form of viral sepsis with occasionally concomitant bacterial infection.
Continuous renal replacement therapy (CRRT) requires considerable involvement from the bedside nurse.
Cystic fibrosis patient care has advanced greatly in recent years and the mortality rate has improved.
Continuous monitoring on hospital wards can prevent adverse events and unnecessary ICU admissions.
COVID-19 is associated with a high prevalence of coagulopathy and venous thromboembolism.
Procalcitonin testing on admission seems to be a valuable piece of information for early risk assessment and ruling out bacterial co-infection in COVID-19 patients.
The increase in acute kidney injury in COVID-19 patients is resulting in more utilization of renal replacement therapy (RRT) and continuous renal replacement therapy (CRRT).
Alternative strategies are needed to combat and prevent antibiotic-resistant bacterial infections. Host Ashish K. Khanna, MD, FCCP, FCCM, talks with David R. Cameron, PhD, about the potential for bacteriophage prophylaxis in the context of experimental ventilator-associated pneumonia due to methicillin-resistant Staphylococcus aureus in rats.
Review how to best utilize parameters provided by minimally invasive advanced hemodynamic monitors. Host Michael Smith, MD, talks with Michael Scott, MBChB, about clinical thresholds that may warrant continuous advanced hemodynamic monitoring and the application of parameters such as stroke volume and stroke volume variation when administering fluid.
Montefiore Medical Center in the Bronx, New York, USA, quickly converted a children's hospital to an adult COVID-19 hospital.
Clinicians are working to understand and formulate an effective treatment for COVID-19-associated acute respiratory distress syndrome.
In a situation where ventilators are in short supply, multiple patients on a single ventilator could be a strategy of last resort.
The National Institutes of Health has released Coronavirus Disease 2019 (COVID-19) Treatment Guidelines.
Discovery, the Critical Care Research Network's Viral Infection and Respiratory Illness Universal Study creates a real-time COVID-19 registry of current ICU and hospital care patterns.
Explore the need for randomized COVID-19 clinical trials and the difficulties and potential consequences of misinformation with host Ashish K. Khanna, MD, FCCP, FCCM, and Nicholas E. Ingraham, MD.
Gain valuable insight on the clinical management of COVID-19 and its relevance to the pediatric critical care provider with host Elizabeth H. Mack, MD, MS, FCCM, and Jacqueline Ong, MB BChir, MMed (Paeds), MRCPCH
Margaret M. Parker, MD, MCCM, and Christopher S. Parshuram, MBChB, PhD, discuss clinician moral distress in Canadian pediatric and neonatal intensive care units.
Review neurologic manifestations of COVID-19 and other severe respiratory viral contagions with host Ludwig H. Lin, MD, and author Christopher P.
Explore the Surviving Sepsis Campaign Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)
Kyle B. Enfield, MD, and Craig M. Lilly, MD, discuss the newly released guidance for vaping-associated respiratory distress syndrome, published in Critical Care Explorations.
Margaret M. Parker, MD, MCCM, and Jerry J. Zimmerman, MD, PhD, FCCM talk about the trajectory of long-term mortality and significant health-related quality of life disability among children encountering septic shock.
Margaret M. Parker, MD, MCCM, and Scott L. Weiss, MD, FCCM, discuss the release of: Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children
Ludwig H. Lin, MD, and Michael G.S. Shashaty, MD, MS, discuss acute kidney injury (AKI) biomarkers and whether they are ready for clinical use.
Margaret M. Parker, MD, MCCM, speaks with Rashid Alobaidi, MD, on his article titled Population-Based Epidemiology and Outcomes of Acute Kidney Injury in Critically Ill Children published in the January 2020 issue of Pediatric Critical Care Medicine.
Margaret M. Parker, MD, MCCM, and Mitchell M. Levy, MD, MCCM discuss the Hour-1 Bundle, the controversies of the Surviving Sepsis Campaign, and the future of sepsis.
Kyle B. Enfield, MD, and Marin H. Kollef, MD, discuss the findings and design of the cluster randomized crossover trial on early palliative care consultation in the medical intensive care unit (ICU) published in the December 2019 issue of Critical Care Medicine.
Michael Smith, MD, and Jayshil Patel, MD discuss the factors associated with managing malnutrition in the critical ill utilizing enteral nutrition.
Kyle B. Enfield, MD, FCCM, and Azra Bihorac, MD, MS, FCCM, discuss best practices and complexities of implementing biomarkers for kidney stress and acute kidney injury (AKI) and what the future holds for AKI biomarker literature.
Margaret M. Parker, MD, MCCM, speaks with Danny Hames, MD, on his article titled: Risk Factors for Mortality in Critically Ill Children Requiring Renal Replacement Therapy, published in the November 2019 issue of Pediatric Critical Care Medicine.
Michael Smith, MD, and Sarah Vest Cogle, PharmD, BCCCP, review current methodologies for managing nutrition concerns for critically ill morbidly obese patients.
Ludwig H. Lin, MD, and John A. Kellum, MD, MCCM, review factors associated with renal recovery, therapies and techniques used to enhance recovery, and long-term consequences of nonrecovery in critical illness.
Kyle B. Enfield, MD, and Kimberley J. Haines, PhD, BHSc, discuss implementing post-ICU clinics and peer support groups following critical illness to help reduce the burden of post-intensive care syndrome.
Ranjit Deshpande, MD, and Pratik P. Pandharipande, MD, FCCM, discuss the impact of critical illness on neurocognitive and physical functions
Margaret M. Parker, MD, MCCM, speaks with Rakesh Lodha, MD, on his article titled Polyneuropathy in Critically Ill Mechanically Ventilated Children: Experience from Tertiary Care Hospital in North India, published the September issue of Pediatric Critical Care Medicine
Margaret M. Parker, MD, MCCM, and Lorry R. Frankel, MD, FCCM, discuss the updated pediatric critical care admission, discharge, and triage criteria and levels of care guidance published in the September issue of Pediatric Critical Care Medicine
Kyle B. Enfield, MD, and Michael J. Connor Jr, MD, discuss when to start renal replacement therapy (RRT) in critically ill patients
Margaret M. Parker, MD, MCCM, and Elizabeth Emrath, MD, discuss Dr. Emrath's talk on the new pediatric nutritional guidelines from the 48th Critical Care Congress precourse Current Concepts in Pediatric Critical Care
Ranjit Deshpande, MD, and Donna Lee Armaignac, PhD, APRN, CCNS, CCRN, discuss maximizing positive patient care outcomes through telemedicine
Margaret M. Parker, MD, MCCM, and Luregn Schlapbach, MD, FCICM, review a survey of international practice on prevention, diagnosis, and treatment of infections on extracorporeal life support in adults and children published in Pediatric Critical Care Medicine
Ranjit Deshpande, MD, and Ruth M. Kleinpell, PhD, RN, ACNP, FCCM, discuss the results of the Choosing Wisely national survey from the Critical Care Societies Collaborative
Kyle B. Enfield, MD, and Sheila A. Alexander, BSN, PhD, RN, FCCM, review targeted temperature management, especially its use in treating intracerebral hemorrhage
Kyle B. Enfield, MD, and Craig M. Lilly, MD, FCCM, examine tele-ICUs. Dr. Lilly presented on this topic at the 48th Critical Care Congress
Kyle B. Enfield, MD, and Paula Ferrada, MD, discuss Dr. Ferrada's talk from the 48th Critical Care Congress titled Clostridium difficile: Sparring With Spores
Margaret M. Parker, MD, MCCM, and Patrick M. Kochanek, MD, MCCM, discuss the updated pediatric severe traumatic brain injury guidelines
Ranjit Deshpande, MD, and Mark D. Cipolle, MD, PhD, FCCM, discuss Dr. Cipolle's talk from the 48th Critical Care Congress on what's new in anticoagulant reversal.
Ludwig H. Lin, MD, and Benjamin Moses, MD, MS, discuss Dr. Moses' talk from the 48th Critical Care Congress titled Drug-Seeking Behavior in the ICU. They review the opioid crisis and managing addiction in the ICU.
Margaret M. Parker, MD, MCCM, and Craig M. Coopersmith, MD, FCCM, discuss Dr. Coopersmith's talk from the 48th Critical Care Congress titled: The Gut as a Motor of Multiorgan Dysfunction in Critical Illness.
Margaret M. Parker, MD, MCCM, speaks with SCCM President Heatherlee Bailey, MD, FCCM, about Dr. Bailey's path to becoming SCCM's 2019 president and about her goals for SCCM during her term as president.
Ludwig H. Lin, MD, and Ashish K. Khanna, MD, FCCP, FCCM, discuss top-rated abstract, Derivation and Validation of a Novel Opioid-Induced Respiratory Depression Risk Prediction Tool
Ranjit Deshpande, MD, and Simon W. Lam, PharmD, MS, BCPS, BCCCP, FCCM, discuss procalcitonin guidance during different phases of antibiotics management in patients admitted to intensive care units.
Ludwig H. Lin, MD, and Philipp Schuetz, MD, discuss procalcitonin and how it impacts treatment of sepsis.
Kyle B. Enfield, MD, speaks with John W. Devlin, PharmD, FCCM, about the article: Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU
Todd Fraser, MD, speaks with John D. Santamaria, MBBS, MD, FRACP, FCICM, FCCP, about the article: Increasing the Number of Medical Emergency Calls Does Not Improve Hospital Mortality
Todd Fraser, MD, speaks with Rinaldo Bellomo, MD, MBBS, FRACP, FCICM, FAAHMS, about the article Outcomes in Patients with Vasodilatory Shock and Renal Replacement Therapy Treated with Intravenous Angiotensin II
Ranjit Deshpande, MD, speaks with Laurence W. Busse, MD, MBA, about Dr. Busse talk on preserving end-organ perfusion presented at the 46th Critical Care Congress in Honolulu, Hawaii, USA. Dr. Busse is an assistant professor in the Division of Pulmonary Critical Care, Sleep, and Allergy Medicine at Emory University in Atlanta, Georgia, USA
Margaret Parker, MD, MCCM, speaks with Nilesh M. Mehta, MD, about the article, Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition, published in the July 2017 issue of Pediatric Critical Care Medicine
Ranjit Deshpande, MD, speaks with Rajit Basu, MD, MS, FCCM, about treating volume overload in the intensive care unit with renal replacement therapy.
Kyle B. Enfield, MD, speaks with SCCM President Jerry J. Zimmerman, MD, PhD, FCCM, about the 2018 presidential address on high-value care that Dr. Zimmerman presented at the Society's 47th Critical Care Congress in San Antonio, Texas.
Margaret Parker, MD, MCCM, speaks with Stefanie G. Ames, MD, about the article Hospital Variation in Risk-Adjusted Pediatric Sepsis Mortality, published in the May 2018 issue of Pediatric Critical Care Medicine.
Kyle Enfield, MD, speaks with Colin K. Grissom, MD, FCCM, and Matthew W. Semler, MD, about fluid management in the critically ill.
Margaret Parker, MD, MCCM, speaks with Thomas V. Brogan, MD, about the article Variability in Antibiotic Use Across PICUs, published in the June 2018 issue of Pediatric Critical Care Medicine. Dr.
Ranjit Deshpande, MD, speaks with Matthew M. Churpek, MD, MPH, PhD, about the article, Predictors of In-Hospital Mortality After Rapid Response Team Calls in a 274 Hospital Nationwide Sample, published in the July 2018 issue of Critical Care Medicine.
Dr. Fraser, MD, speaks with Bruce A. Mueller, PharmD, FCCP, FASN, about his talk presented at the 47th Critical Care Congress in San Antonio, Texas, entitled Artificial Kidney Meets Mechanical Lung: Comanaging the Patient with Renal and Respiratory Failure.
Margaret Parker, MD, MCCM, speaks with Dana E. Niles, MS, about the article Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative, published in the May 2018 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Joseph A. Carcillo, MD, about the article, American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock, published in the June 2017 issue of Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Michael C. McCrory, MD, MS, about the article, Time of Admission to the PICU and Mortality, published in the October 2017 issue of Pediatric Critical Care Medicine.
Dr. Fraser, MD, speaks with Jean Baptiste Lascarrou, MD, about the article, Antibiotic Therapy in Comatose Mechanically Ventilated Patients Following Aspiration: Differentiating Pneumonia from Pneumonitis, published in Critical Care Medicine.
Todd Fraser, MD, speaks with Bradford D. Winters, PhD, MD, FCCM, about alarm and alert fatigue in critical care. Alarm fatigue is the desensitization that clinicians experience to frequent alarms, particularly those that do not provide useful clinical information, or false alarms.
Ludwig Lin, MD, speaks with Palash Kar, MBBS, about the article, Liberal Glycemic Control in Critically Ill Patients With Type 2 Diabetes: An Exploratory Study, published in Critical Care Medicine.
Ludwig Lin, MD, speaks with Daniel E. Leisman, BS, about the article, Patterns and Outcomes Associated With Timeliness of Initial Crystalloid Resuscitation in a Prospective Sepsis and Septic Shock Cohort, published in Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Jeffrey D. Edwards, MD, MA, MAS, about the article, Repeated Critical Illness and Unplanned Readmissions Within 1 Year to PICUs, published in the August 2017 issue of Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Scott L. Weiss, MD, MSCE, about the article, The Epidemiology of Hospital Death Following Pediatric Severe Sepsis: When, Why, and How Children With Sepsis Die, published in the September 2017 issue of Pediatric Critical Care Medicine.
Richard Iuorio, MD speaks with Laura Johnson, MD, and Jim Reilly, MD, about the workup, management, and critical sequelae of burn injuries.
Ranjit Deshpande, MD, speaks with James A. Russell, MD, about the article, The Septic Shock 3.0 Definition and Trials: A Vasopressin and Septic Shock Trial Experience, published in the June 2017 issue of Critical Care Medicine.
Richard Iuorio, MD, speaks with Kianoush Kashani, MD and Jim Reilly, MD about the pathophysiology and management of acute kidney injury.
Kyle Enfield, MD, speaks with John A. Kellum, MD, MCCM, about his talk presented at the 46th Critical Care Congress in Honolulu, Hawaii entitled, Are Biomarkers Ready for Prime Time?
Kyle Enfield, MD, speaks with Travis J. Moss, MD, MSc, and J. Randall Moorman, MD, about the article, New-Onset Atrial Fibrillation in the Critically Ill, published in the May 2017 issue of Critical Care Medicine.
Ludwig Lin, MD, speaks with Charles Hunley, MD, about his talk presented at the 46th Critical Care Congress in Honolulu, Hawaii entitled, Rapidly Distributing Critical Care Services in Response to a Surge Event with Multiple Casualties.
Ludwig Lin, MD, speaks with Grete Porteous, MD, about emergency preparedness in healthcare and the role of critical care personnel in catastrophic situations.
Margaret Parker, MD, MCCM, speaks with Shari Simone, DNP, about the article, Implementation of an ICU Bundle: An Interprofessional Quality Improvement Project to Enhance Delirium Management and Monitor Delirium Prevalence in a Single PICU, published in the June 2017 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Chani Traube, MD, about the article, Delirium in Critically Ill Children: An International Point Prevalence Study, published in the April 2017 issue of Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks Mark Duffett, PhD, about the article, High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators, published in the May 2017 issue of Pediatric Critical Care Medicine.
Todd Fraser, MD, speaks with Christopher W. Seymour, MD, MSc, about the article, Delays From First Medical Contact to Antibiotic Administration for Sepsis, published in Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Ericka L. Fink, MD, MS, about the PANGEA study (Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment), published in the April 2017 issue of Pediatric Critical Care Medicine.
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.
Todd Fraser, MD, speaks with Jenny Tcharmtchi, BSN, RN, CCRN, about the article, "Family Experience in the PICU," published in Critical Connections, the Society of Critical Care Medicine's newsletter.
Dr. Ludwig Lin, MD, speaks with Christina Jones, PhD, RN, about the ICU Patient Diary Network. Dr. Jones discusses the widespread adoption of ICU diaries in the United Kingdom, various models that institutions are using, and the overall positive impact that implementation has had on patients, families, and providers.
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.
Margaret Parker, MD, MCCM, speaks with John J. Marini, MD, about the Congress session Clinician Pro/Con: Paralysis and Proning in ARDS, which was presented at the 45th Critical Care Congress in Orlando, Florida.
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.
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.
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.
Ludwig Lin, MD, speaks with Brenda Pun, DNP, RN, ACNP, about the ICU Liberation ABCDEF Bundle Improvement Collaborative. Dr. Pun reflects upon Collaborative work, including origins and logistics of the project, team training and resource-sharing, and the importance of the interprofessional care model, as well as successes, challenges, and barriers to bundle implementation.
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.
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.
Ranjit Deshpande, MD, speaks with Patrick Kochanek, MD, MCCM, about his plenary talk at the 46th Critical Care Congress in Honolulu, Hawaii, entitled The Brain and Hypothermia: From Aristotle to Targeted Temperature Management, the Good Stuff Keeps Coming Back.
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.
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.
Stressful decision making often falls to family members because most patients in the ICU are too ill to participate in decisions. Ranjit Deshpande, MD, speaks with Judy E. Davidson, DNP, RN, FAAN, FCCM, and J. Randall Curtis MD, MPH, about the Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU.
Dr. Ludwig Lin, MD, speaks with John C. Marshall, MD, FRCSC, FACS, about his talk given at the 46th Critical Care Congress in Honolulu, Hawaii on, Building Global Collaboration in Acute Care Research.
Dr. Todd Fraser, MD, speaks with Michael J. Murray, MD, PhD, FCCM, FCCP, about the article, Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient, published in Critical Care Medicine.
Ludwig Lin, MD, speaks with Mitchell M. Levy, MD, MCCM, about the release of the Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016, presented at the 46th Critical Care Congress in Honolulu, Hawaii.
Ludwig Lin, MD, speaks with Ruth M. Kleinpell, PhD, RN, FAAN, FCCM. Dr. Kleinpell is Director at the Center for Clinical Research and Scholarship and Professor in the College of Nursing at Rush University in Chicago, Illinois.
Margaret Parker, MD, MCCM, speaks with Lakhmir S. Chawla, MD, about future research related to the Congress session: Bench-Pressing in the ICU: Which Vasopressor Agent Should I Choose for My Patient? which he presented at the 45th Critical Care Congress in Orlando, Florida.
Margaret Parker, MD, MCCM, speaks with David B. Kantor, MD, PhD, about the article, Ultrasound Guidance and Other Determinants of Successful Peripheral Artery Catheterization in Critically Ill Children, published in the December 2016 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Mary Jo C. Grant, APRN, PhD, about the article, Dexmedetomidine Use in Critically-Ill Children with Acute Respiratory Failure, published in the December 2016 issue of Pediatric Critical Care Medicine.
Todd Fraser, MD, speaks with Scott Kaatz, DO, FACP, SFHM, about his talk given at the 45th Critical Care Congress on, Bleeding Management and Reversal Strategies for the DOAC Patient: New and Future Approaches. Dr. Kaatz is Senior Staff Hospitalist and Medical Director for Professional Development and Research in the Division of Hospital Medicine at Henry Ford Hospital in Detroit, Michigan.
Todd Fraser, MD, speaks with Arjen Slooter, MD, PhD, about the article, Long-Term Mental Health Problems After Delirium in the ICU, published in Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Aaron C. Spicer, MD, MAS. Dr. Spicer completed a pediatric residency and critical care fellowship and now is a resident in the Department of Anesthesia, Critical Care, and Pain Medicine at the Massachusetts General Hospital in Boston, Massachusetts.
Ludwig Lin, MD, speaks with Sachin Yende, MD, MS, about his article, "Long-Term Quality of Life Among Survivors of Severe Sepsis: Analyses of Two International Trials," published in Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Mark C. Dugan, MD, about the article: Does Simulation Improve Recognition and Management of Pediatric Septic Shock, and If One Simulation Is Good, Is More Simulation Better?
Ludwig Lin, MD, speaks with Jane Taylor, Ed.D, about quality improvement science and her contributions to the Surviving Sepsis Campaign.
Margaret Parker, MD, MCCM, speaks with Christine Gall, DrPH, about the article, "Pediatric Triage in a Severe Pandemic: Maximizing Survival by Establishing Triage Thresholds," published in the September 2016 issue of Critical Care Medicine.
Todd Fraser, MD, speaks with Joseph L. Nates, MD, MBA, FCCM, about the article, "Intensive Care Unit Admission, Discharge, and Triage Guidelines: A Framework to Enhance Clinical Operations, Development of Institutional Policies, and Further Research," published in Critical Care Medicine.
Todd Fraser, MD, speaks with Alexander B. Levitov, MD, FCCM, FCCP, RDCS. Dr. Levitov is a professor in the division of Pulmonary and Critical Care Medicine and Director of the Ultrasound Training Program at Eastern Virginia Medical School in Norfolk, Virginia.
Margaret Parker, MD, MCCM, speaks with Chadwick P. Smith, MD, about disaster and mass casualty response strategies in the wake of the Orlando shooting.
Margaret Parker, MD, MCCM, speaks with Marin H. Kollef, MD, about the article, Impact of Sepsis Classification and Multidrug-Resistance Status on Outcome Among Patients Treated With Appropriate Therapy, published in Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Neethi Pinto, MD, about her talk, Learning from Others: What We Can All Take from the Pediatrics Experience, presented at the 45th Critical Care Congress in Orlando, Florida.
Michael S. Weinstein, MD, FACS, FCCM, speaks with Zachariah Thomas, PharmD, about the article, A Multicenter Evaluation of Prolonged Empiric Antibiotic Therapy in Adult ICUs in the United States, published in Critical Care Medicine.
Todd Fraser, MD, speaks with Nick Daneman, MD, about the article, Duration of Antimicrobial Treatment for Bacteremia in Canadian Critically Ill Patients, published in Critical Care Medicine.
Todd Fraser, MD, speaks with Paul Young, FCICM, about the article, Effect of a Buffered Crystalloid Solution vs Saline on Acute Kidney Injury Among Patients in the Intensive Care Unit: The SPLIT Randomized Clinical Trial.
Margaret Parker, MD, MCCM, speaks with Steven L. Shein, MD, about the article, Effectiveness of Pharmacological Therapies for Intracranial Hypertension in Children With Severe Traumatic Brain Injury.
Margaret Parker, MD, MCCM, speaks with Clifford S. Deutschman, MD, FCCM, about his talk, Sepsis Redefined: Why Do We Need a New Definition? presented at the 2016 Critical Care Congress in Orlando, Florida.
Michael S. Weinstein, MD, FACS, FCCM, speaks with Charles V. Pollack, Jr., MD. Dr. Pollack is Professor and Senior Advisor for Interdisciplinary Research and Clinical Trials in the Department of Emergency Medicine at Sidney Kimmel Medical College of Thomas Jefferson University.
Margaret Parker, MD, MCCM, speaks with SCCM President Todd Dorman, MD, FCCM. Dr. Dorman is Senior Associate Dean for Education Coordination, Associate Dean of Continuing Medical Education, and Professor and Vice Chair for Critical Care.
The Society of Critical Care Medicine's Immediate Past-President, Craig Coopersmith, MD, FACS, FCCM, discusses the new sepsis definitions published in JAMA and unveiled during the 45th Critical Care Congress.
Margaret Parker, MD, MCCM, speaks with Philip Toltzis, MD. Dr. Toltzis is Professor of Pediatrics at Case Western Reserve University School of Medicine.
Margaret Parker, MD, MCCM, speaks with Benjamin Abella, MD. Dr. Abella is Associate Professor of Emergency Medicine and Vice Chair of Research in the Department of Emergency Medicine at the University of Pennsylvania in Philadelphia, Pennsylvania.
Margaret Parker, MD, MCCM, speaks with Joshua N. Goldstein, MD, PhD, FACEP, FAHA. Dr. Goldstein works as an Associate Professor of Surgery at Harvard Medical School.
Margaret Parker, MD, MCCM, speaks with Christina L. Cifra, MD. Dr. Cifra is a Pediatric Intensivist and an Assistant Professor in the Department of Pediatrics at the University of Iowa Carver College of Medicine in Iowa City, Iowa.
Ludwig Lin, MD, speaks with Derek C. Angus, MD, MPH, FRCP, about his upcoming talk which he will present this February at the 45th Critical Care Congress in Orlando, Florida.
Todd Fraser, MD, speaks with Derek Wheeler, MD. Dr. Wheeler works as an Intensive Care Specialist at the Cincinnati Children's Hospital Medical Center.
Margaret Parker, MD, MCCM, speaks with Courtney M. Rowan, MD. Dr. Rowan works as a Critical Care Intensivist in the Department of Pediatrics at Indiana University School of Medicine Riley Hospital for Children in Indianapolis, Indiana.
Ludwig Lin, MD, speaks with Maurene A. Harvey, MPH, RN, MCCM, about her upcoming plenary talk which she will present this February at the 45th Critical Care Congress in Orlando, Florida.
Margaret Parker, MD, MCCM, speaks with Ann-Marie Brown, ACNP, PhD, RN, FCCM, Assistant Professor of Nursing at the University of Akron and Advanced Practice Nurse in the Pediatric Intensive Care Unit at Akron Children's Hospital in Akron, Ohio.
Ludwig Lin, MD, speaks with Azra Bihorac, MD, MS, FCCM. Dr. Bihorac works as an Associate Professor of Anesthesiology, Surgery and Medicine at the University of Florida.
Margaret Parker, MD, MCCM, speaks with Mirjana Cvetkovic, FRCA. Dr. Cvetkovic works as a Clinical Fellow at the Children's Acute Transport Service at Great Ormond Street Hospital in London and a Consultant Intensivist in Anesthesia at Leicester Hospital.
Michael S. Weinstein, MD, FACS, FCCM, speaks with Giovanni Landoni, MD. Dr. Landoni works as an Associate Professor in the Department of Anesthesia and Intensive Care at IRCCS San Raffaele Scientific Institute in Milan, Italy.
Michael S. Weinstein, MD, FACS, FCCM, speaks with Stephen M. Pastores, MD, FCCM. Dr. Pastores serves as Program Director of Critical Care Medicine in the Department of Anesthesiology and Critical Care Medicine at Memorial Sloan-Kettering Cancer Center.
Margaret Parker, MD, MCCM, speaks with Michael Gaies, MD. Dr. Gaies is an Assistant Professor and works as a Cardiac Intensivist in the Division of Cardiology, Department of Pediatrics and Communicable Diseases at C.S. Mott Childrens Hospital and University of Michigan Medical School in Ann Arbor, MI.
Ludwig Lin, MD, speaks with Michael Blaivas, MD, FACEP, FAIUM. Dr. Blaivas serves as a Professor of Medicine at the University of South Carolina School of Medicine.
Michael S. Weinstein, MD, FACS, FCCM, speaks with C. Terri Hough, MD, MSc. Dr. Hough works as an Associate Professor of Medicine in the Division of Pulmonary and Critical Care Medicine at the University of Washington School of Medicine.
Margaret Parker, MD, MCCM, speaks with Donald D. Vernon, MD, FAAP. Dr. Vernon is a Professor of Pediatrics at the University of Utah in Salt Lake City, Utah.
Ludwig Lin, MD, speaks with Mark Mikkelsen, MD, MSCE. Dr. Mikkelsen works as an Assistant Professor of Medicine at the Hospital of the University of Pennsylvania in Philadelphia, Pennsylvania.
Michael S. Weinstein, MD, FACS, FCCM, speaks with C. David Mazer, MD, FRCPC, and Gerard F. Curley, MB, MSc, PhD, FCARCSI
Michael S. Weinstein, MD, FACS, FCCM, speaks with Janice L. Zimmerman, MD, and Courtenay R. Bruce, JD, MA
Todd Fraser, MD, speaks with John Kellum, MD, MCCM, Professor of Critical Care Medicine at the University of Pittsburgh.
Margaret Parker, MD, MCCM, speaks with Laura Hawryluck, MD, FRCPC, about Nepal's critical care infrastructure.
Margaret Parker, MD, MCCM, speaks with Azra Bihorac, MD, MS, and Charles E. Hobson, MD, MHA
Ludwig H. Lin, MD, speaks with Keri Nasenbeny, RN, MHA, Assistant Administrator of Critical Care at the University of Washington Medical Center in Seattle.
Michael Weinstein, MD, FACS, FCCP, discusses Ultrasound Credentialing with Michael Blaivas, MD, FAIUM, FACEP.
Michael Weinstein, MD, FACS, FCCP, speaks with E. Wesley Ely, MD, FCCM, at the 44th Critical Care Congress in Phoenix, Arizona.
Michael Weinstein, MD, FACS, FCCP, speaks with the Society of Critical Care Medicine 2015 President, Craig M. Coopersmith, MD, FCCM.
Ludwig H. Lin, MD, speaks with Dorrie K. Fontaine, PhD, RN, FAAN, Dean and Professor at the University of Virginia School of Nursing.
Michael Weinstein, MD, FACS, FCCP, speaks with Heidi J. Engel, PT, DPT of UCSF Medical Center.
Michael Weinstein, MD, FACS, FCCP, speaks with Brian Gehlbach, MD, Associate Professor in the Division of Pulmonary, Critical Care, and Occupational Medicine at the University of Iowa Hospitals and Clinics.
Margaret Parker, MD, MCCM, speaks with the Society of Critical Care Medicine President-Elect, Craig Coopersmith, MD, FCCM, and Jay Varkey, MD, about the Ebola epidemic.
Michael Weinstein, MD, FACS, FCCP, speaks with Adam Sapirstein, MD, Associate Professor in the Department of Anesthesia and Critical Care Medicine at the Johns Hopkins School of Medicine.
Michael Weinstein, MD, FACS, FCCP, speaks with Adam Sapirstein, MD, Associate Professor in the Department of Anesthesia and Critical Care Medicine at the Johns Hopkins School of Medicine.
Margaret Parker, MD, MCCM, speaks with Katherine J. Steineck, PharmD, pediatric clinical pharmacist at the University of Minnesota Amplatz
Margaret Parker, MD, MCCM, speaks with Kyle Rehder, MD, assistant professor of pediatrics in the division of pediatric critical care medicine at Duke Children Hospital.
Margaret Parker, MD, FCCM, speaks with Andrew Argent, MD, Medical Director of the Pediatric Intensive Care Unit (PICU) at the Red Cross War Memorial Childrens Hospital.
Michael Weinstein, MD, FACS, FCCP, speaks with Jessica Spence, BMR(OT), BSc(Med) MD, a PGY3 Resident at McMaster University.
Michael Weinstein, MD, FACS, FCCP, speaks with David Hwang, MD, Assistant Professor of Neurology in the Division of Neurocritical Care and Emergency Neurology at the Yale School of Medicine.
Michael Weinstein, MD, FACS, FCCP, speaks with Hayley Beth Gershengorn, MD, lead author on an article published in the August Critical Care Medicine.
Michael Weinstein, MD, FACS, FCCP, speaks with Judith Nelson, MD, JD, lead author on an article published in the October Critical Care Medicine.
Jeffrey Guy, MD, MSc, MMHC, speaks with R. Phillip Dellinger, MD, MCCM, co-chair of the updated Surviving Sepsis Campaign Guidelines.
Michael Weinstein, MD, FACS, FCCP, speaks with David John Murphy, MD, PhD, lead author on an article published in the October Critical Care Medicine.
Michael Weinstein, MD, FACS, FCCP, speaks with Neil A. Halpern, MD, FCCM, who discusses his lecture.
Margaret Parker, MD, FCCM, speaks with Mary Hartman MD, MPH, about her article published in the September Pediatric Critical Care Medicine.
Michael Weinstein, MD, FACS, FCCP, speaks with Jonathan Elmer, MD, lead author on an article published in the August Critical Care Medicine.
Michael Weinstein, MD, FACS, FCCP, speaks with Philip E. Empey, PharmD, PhD, BCPS, who discusses his Young Investigator Award winning abstract.
Michael Weinstein, MD, FACS, FCCP, speaks with Matthew Lissauer, MD, FACS, to discuss his surgical intensive care unit's efforts to improve the care provided to critically ill and injured patients and their families.
Jeffrey Guy, MD, MSc, MMHC, speaks with Omar Badawi, PharmD, MPH, to discuss his article published in the December Critical Care Medicine.
Margaret Parker, MD, FCCM, speaks with MD, MPH, Angela S. Czaja, MD, MSc, lead author on an article published in the July Pediatric Critical Care Medicine.
Margaret Parker, MD, FCCM, speaks with John T. Berger, MD, FCCM, Medical Director for Cardiac Critical Care at Childrens National Medical Center in Washington, DC, USA.
Michael Weinstein, MD, FACS, FCCP, speaks with Saqib A. Chaudhry, MD, lead author on an article published in the June Critical Care Medicine.
Jeffrey Guy, MD, MSc, MMHC, speaks with Christa A. Schorr, RN, MSN, FCCM, who is with us today to discuss implementing the Surviving Sepsis Campaign (SSC) guidelines.
Jeffrey Guy, MD, MSc, MMHC, speaks with David R. Janz, MD, lead author on an article published in the December issue of Critical Care Medicine.
Michael Weinstein, MD, FACS, FCCP, speaks with Warren C. Dorlac, MD, FACS, about his Critical Care Congress lecture.
Society of Critical Care Medicine president Carol L. Thompson, PhD, CCRN, ACNP, FCCM, discusses her professional background as a nurse.
Margaret Parker, MD, FCCM, speaks with Heidi J. Dalton, MD, FCCM, about extracorporeal membrane oxygenation (ECMO) in pediatric critical care.
Jeffrey Guy, MD, MSc, MMHC, speaks with Juliana Barr, MD, FCCM. The guidelines provide a roadmap for developing integrated, evidence-based, and patient-centered protocols for preventing and treating pain, agitation and delirium.
Margaret Parker, MD, FCCM, speaks with Victoria L. Pemberton, RN, MS, about her article published in the January Pediatric Critical Care Medicine
Michael Weinstein, MD, FACS, FCCP, speaks with Jill A. Marsteller, PhD, MPP, lead author on an article published in the November Critical Care Medicine
Jeffrey Guy, MD, MSc, MMHC, speaks with Judith Jacobi, PharmD, FCCM, lead author on the new glycemic control guidelines
Margaret Parker, MD, FCCM, speaks with Carl O. Eriksson, MD, MPH, lead author on an article published in the November Pediatric Critical Care Medicine
Margaret Parker, MD, FCCM, speaks with Ranjit S. Chima, MD, lead author of an article published in the November Pediatric Critical Care Medicine
Michael Weinstein, MD, FACS, FCCP, speaks with Amay Parikh, MD, MBA, MS, lead author on an article published in the October Critical Care Medicine
Michael Weinstein, MD, FACS, FCCP, speaks with Christopher W. Seymour, MD, MSc, lead author on an article published in the October Critical Care Medicine
Michael Weinstein speaks with Ewan Goligher, MD, FRCPC, lead author on an article published in the October Critical Care Medicine
Jeffrey Guy, MD, MSc, MMHC, speaks with Bradley D. Freeman, MD, FACS, to discuss his article published in the October Critical Care Medicine.
Use of Procalcitonin (PCT) for the diagnosis of infection has been studied extensively with conflicting results, in part because of the many different populations and clinical syndromes studied.
Michael S. Weinstein, MD, FACS, FCCP, speaks with Marc Moss, MD, lead author of an article published in the September Critical Care Medicine
Margaret Parker, MD, FCCM, speaks Katri Typpo, MD, MPH, lead author of an article published in the September 2012 issue of Pediatric Critical Care Medicine
Michael Weinstein, MD, FACS, FCCP, speaks with Joanne L. Hart, MD, about her article published in the September Critical Care Medicine
Jeffrey Guy, MD, MSc, MMHC, speaks with Theodore J. Iwashyna, MD, PhD, about his August Critical Care Medicine article
iCritical Care Podcast associate editor Michael Weinstein, MD, FACS, FCCP, speaks with Alyssa Majesko, MD, MS, about her article published in the August Critical Connections
iCritical Care Podcast associate editor Michael Weinstein, MD, FACS, FCCP, speaks with Constantine Manthous, MD
Jeffrey Guy, MD, MSc, MMHC, speaks with Nilesh Mehta, MD, about his article published in the July 2012 Critical Care Medicine
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Susan L. Bratton, MD, MPH, about her paper published in the July Pediatric Critical Care Medicine
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Denise M. Goodman, MD, MS, about her article published in the July Pediatric Critical Care Medicine
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Nana Coleman, MD, EdM, about her editorial published in the July Pediatric Critical Care Medicine
Robert M. Pearl, MD, discusses the state of U.S. medicine as well as the importance of information technology and the future of healthcare reform with podcast editor Jeffrey Guy, MD, MSc, MMHC.
Jeffrey Guy, MD, MSc, MMHC, speaks with Marek A. Mirski, MD, PhD, about his article published in the June 2012 Critical Care Medicine
iCritical Care associate editor Michael S. Weinstein, MD, FACS, FCCP, speaks with Ellen Cowen Meltzer, MD, MSc.
Former SCCM president Mitchell M. Levy, MD, FCCM, discusses communications bundles with podcast editor Jeffrey Guy, MD, MSc, MMHC.
Jeffrey Guy, MD, MSc, MMHC, speaks with Clifford S. Deutschman, MD, FCCM, and Craig M. Coopersmith, MD, FCCM, who each serves as lead authors in two Critical Care Medicine papers related to critical care research.
Ainsley Malone, RD, MS, LD, GNSD, discusses goal-directed nutrition with podcast editor Jeffrey Guy, MD, MSc, MMHC.
iCritical Care associate editor Michael S. Weinstein, MD, FACS, FCCP, talks with Peter M. Dodek, MD, MHSc, FRCPC, FACP, about his article published in the May 2012 Critical Care Medicine.
Margaret Parker, MD, FCCM, associated podcast editor, speaks with Patrick M. Kochanek, MD, MCCM, about the revised guidelines for acute medical management of severe traumatic brain injury.
New iCritical Care associate editor Michael S. Weinstein, MD, FACS, FCCP, speaks with Kenneth Christopher, MD, about his paper published in the May 2012 Critical Care Medicine.
Bryan A. Cotton, MD, MPH, discusses damage control resuscitation with new iCritical Care Podcast editor Jeffrey Guy, MD, MSc, MMHC.
Ericka L. Fink, MD, discusses her latest article published in Pediatric Critical Care Medicine
Carol E. Nicholson, MD, MS, FAAP, is the Project Scientist for the Collaborative Pediatric Critical Care Research Network (CPCCRN) and Program Director for Pediatric Care and Rehabilitation Research (PCCR).
Jennifer A. Frontera, MD, discusses national trends in the prevalence, cost and discharge disposition of patients after subdural hematoma.
Matthew Paden, MD, discusses his Pediatric Critical Care Medicine article: Recovery of Renal Function and Survival After Continuous Renal Replacement Therapy During Extracorporeal Membrane Oxygenation.
Brian F. Joy, MD, a fellow in the Department of Pediatric Cardiology at Childrens Memorial Hospital in Chicago, Illinois, USA, discussed an article published in the May 2011 Pediatric Critical Care Medicine
Ali Al-Khafaji, MD, MPH, is the lead author of an article published in the May 2011 Critical Care Medicine
M. Cholette, MD, is the lead author of an article published in the January Pediatric Critical Care Medicine
Todd W. Rice, MD, MSc, is the lead author of an article published in the May 2011 Critical Care Medicine.
Ramya Srinivasan, MD, discusses her article published in the January Pediatric Critical Care Medicine.
Allan J. Walkey, MD, MSc, is the lead author of an article published in the June 2011 Critical Care Medicine.
Graeme MacLaren, MD, FCCM, is the lead author on an article published in the March Pediatric Critical Care Medicine.
Kristine Lombardozi, MD, FCCM, discusses her article published in the August Critical Connections.
SCCM president-elect Clifford S. Deutschman, MD, FCCM, professor of anesthesiology and critical care at the University of Pennsylvania School of Medicine in Philadelphia.
Mark Hall, MD, is a pediatric intensivist at Nationwide Childrens Hospital in Columbus, Ohio, where he is also an assistant professor of pediatrics at the University College of Medicine.
The Fourth National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society was designed to identify and study serious airway complications occurring during anaesthesia in the intensive care unit and emergency department.
Cindy L. Munro, RN, PhD, ANP-C, authored an article in the 2009 American Journal of Critical Care, titled: Chlorhexidine, Toothbrushing, and Preventing Ventilator-Associated Pneumonia (VAP) in Critically Ill Adults.
Troy E. Batterton, PharmD, a pharmacist at Lakeland Regional Medical Central, and Dean Sandifer, MD, an internist, both practicing at Lakeland Regional Medical Center in Lakeland, Florida.
Pratik Pandharipande, MD, FCCM, is an assistant professor of anesthesiology at Vanderbilt University Medical Center in Nashville, Tennessee.
Samuel A. Tisherman, MD, is a professor of critical care medicine and surgery at the University of Pittsburgh Medical Center in Pennsylvania, and director of critical care fellowship at the University of Pittsburgh.
Babak Sarani, MD, is a trauma surgeon and an assistant professor of surgery at the University of Pennsylvania.
Craig Coopersmith, MD, FCCM, is a professor of surgery at Emory University School of Medicine in Atlanta, Georgia.
Marin H. Kollef, MD, is lead author of an article published in the March 2011 Critical Care Medicine.
Kathleen A. Puntillo, RN, DNSc, is the lead author of an article published in the November 2010 Critical Care Medicine.
Ravi Thiagarajan, MD, MBBS, MPH, discusses his article published in the January Pediatric Critical Care Medicine.
George A. Sample, MD, is a senior attending in critical care at Washington Hospital Center in Washington, DC.
Jerry J. Zimmerman, MD, PhD, FCCM, discusses his article published in the January Pediatric Critical Care Medicine
William Meadow, MD, PhD, is the lead author of an article published in the March Critical Care Medicine titled: Power and limitations of daily prognostications of death in the medical ICU
Randy S. Wax, MD, and Marie Baldisseri, MD, FCCM, discuss disaster management and their relief efforts after the 2010 Haiti earthquake.
Judith Jacobi, PharmD, BCPS, FCCM, discusses drug shortages in the intensive care unit and how such shortages affect critical care patients and those requiring anesthesia.
Society of Critical Care Medicine president Pamela A. Lipsett, MD, MHPE, FCCM, discusses her professional background and research interests.
Alan R. Schroeder, MD, lead author of an article published in the July Pediatric Critical Care Medicine
Steven B. Leder, PhD, discusses his article, Dysphagia Testing and Aspiration Status in Medically Stable Infants Requiring Mechanical Ventilation Via Tracheotomy, published in the July 2010 Pediatric Critical Care Medicine.
Christopher L. Carroll, MD, FCCM, lead author of an article published in the May 2010 issue of Pediatric Critical Care Medicine.
Monica Vavilala, MD, discusses her recent article published in the May issue of Pediatric Critical Care Medicine.
Better understanding of important aspects of trial design and interpretation, such as whether patients enrolled in both intervention arms were comparable and whether the primary outcome of the trial is clinically important, will assist the bedside clinician in determining whether to apply the findings from the clinical study into clinical practice.
Adam Keene, MD, MS, discusses his paper published in the January 2010 issue of Critical Care Medicine
Amy Creel, MD, a pediatric critical care physician at Childrens Hospital in New Orleans, Louisiana, served as lead author on an article published in the May 2009 issue of Pediatric Critical Care Medicine
Niranjan Kissoon, MD, FCCM, discusses his article published in the September 2009 issue of Pediatric Critical Care Medicine
M. Luce, MD, FCCM, discusses his latest article: A history of resolving conflicts over end-of-life care in intensive care units in the United States
Matthew C. Scanlon, MD, discuses his article: Value of human factors to medication and patient safety in the intensive care unit.
Lewis J. Kaplan, MD, FCCM, discusses acute care surgery, its relation to surgical critical care, and his predictions for the future of acute care surgery, trauma surgery and surgical critical care.
Joseph F. Dasta, MSc, FCCM, discusses his article published in the February 2010 issue of Critical Care Medicine.
Amelia Hopkins, MD, FCCM, discusses her article published in the September 2009 issue of Pediatric Critical Care Medicine.
John A. Kellum, MD, FCCM, discusses how one uses RIFLE to take care of patients with acute kidney injury (AKI).
Anthony Carlese, MD, DO, discusses management of the patient after cardiac surgery, specifically his approach to caring for patients in the ICU who have just undergone coronary artery bypass surgery.
Ruth Kleinpell, RN, PhD, RN-CS, FCCM, discusses her experience as a nurse practitioner as well as her research into the role of nurse practitioners and physician assistants in the ICU.
Michael Cheatham, MD, FCCM, director of the surgical intensive care units at Orlando Regional Trauma Center in Florida, discusses his latest paper.
Michael West, MD, PhD, FCCM, discusses his unique career path into critical care and his background as a trauma/critical care surgeon. West is chief of surgery at San Francisco General Hospital and professor and vice chair in the department of surgery at the University of California, San Francisco. He served as chair of the 39th Critical Care Congress
The Paragon Critical Care Quality Implementation Program is a quality-focused program aimed to bring effective, tailored improvement strategies to hospitals.
Society of Critical Care Medicine president Judith Jacobi, PharmD, BCPS, FCCM, discusses her goals and vision for the Society during her 2010 term.
Barbara McLean, ACNP, CCNS-NP, a nurse from Piedmont Healthcare in Atlanta, Georgia, discusses her recent volunteer efforts in Haiti following the January 12, 2010, earthquake that devastated the area. McLean discusses general disaster management strategies as well as patient populations and care challenges specific to the event.
Robert Tasker, MD, MBBS, discusses two editorials related to neurological issues in critical care.
Bradley D. Freeman, MD, discusses his article published in the December 2009 Critical Care Medicine, titled: Examination of Non-clinical Factors Affecting Tracheostomy Practice in an Academic Surgical Intensive Care Unit.
Wynne Morrison, MD, discusses an article published in the May issue of Pediatric Critical Care Medicine, which highlighted the results of a national survey of pediatric critical care medicine fellowship clinical and research time allocation.
Leticia Castillo, MD, FCCM, assistant professor at Baylor College of Medicine in Houston, Texas, discusses an article published in Pediatric Critical Care Medicine.
Margaret Parker, MD, FCCM, discusses her article published in the January 2009 Critical Care Medicine.
Michelle Gong, MD, MS, discusses her recent articled published in the August 2009 issue of Critical Care Medicine.
Elaine Meyer, RN, PhD, discuss a paper published recently in Pediatric Critical Care Medicine.
Constantine A. Manthous, MD, associate clinical professor of medicine at Bridgeport Hospital and Yale University School of Medicine in Connecticut, discusses his article published in the April 2009 issue of Critical Care Medicine.
Phillip S. Barie, MD, MBA, FCCM, discusses decontamination of the digestive tract and oropharynx in an attempt to prevent ventilator-associated pneumonia. He discusses a recent article published in The New England Journal of Medicine, "Decontamination of the Digestive Tract and Oropharynx in ICU Patients." Barie is Immediate Past President of the Society of Critical Care Medicine (SCCM), as well as professor of surgery and public health at Weill Medical College of Cornell University in New York. He is also the director of surgical critical care and the surgical intensive care unit at New York Presbyterian Hospital. While Barie has not authored either of these articles, he is considered an expert in this field, which is very important to critical care practice.
Michael Diringer, MD, FCCM, discusses his article published in Critical Care Medicine about the management of acute aneurysmal subarachnoid hemorrhage. Diringer is professor of neurology, neurosurgery, anesthesiology and occupational therapy at Washington University School of Medicine in St. Louis, Missouri. He is also section chief of neurological critical care. Diringer discusses the anticipation, prevention, and management of secondary complications related to aneurysmal subarachnoid hemorrhage.
Rosemarie Fernandez, MD, an assistant professor at Wayne State University in Michigan, discusses an article published in the June 2009 issue of Critical Care Medicine, "The Presence of a Family Witness Impacts Physician Performance During Simulated Medical Codes." This is second iCritical Care Podcast to address this topic; listeners also may reference SCCM Pod-72 PCCM: Family Presence During Pediatric CPR.
When faced with the complex conditions of critically ill and injured patients, eye care can sometimes be overlooked in the intensive care unit (ICU). However, attention to the eye is important, as these patients are at increased risk of exposure keratopathy.
Jeffrey P. Burns, MD, MPH, discusses an article from the March 2009 issue of Pediatric Critical Care Medicine, "Simulation at the Point-of-Care: Reduced cost, in-situ training via a mobile cart." Burns is chief of the division of critical care medicine at Children's Hospital in Boston as well as an associate professor at Harvard Medical School. Pediatr Crit Care Med. 2009;10(2):176 Released: 5/21/09
Naomi O'Grady, MD clarifies the strain of the current virus, discusses the difference between a pandemic and an epidemic, and outlines the prescription therapies available specific to H1N1 Influenza. O'Grady is a senior staff physician in the Clinical Center's Critical Care Medicine Department and the medical director of the department's Vascular Access and Conscious Sedation Services. She also is an attending physician with the Pediatric Critical Care Medicine Department of the Children's National Medical Center and an assistant professor in the Department of Internal Medicine's Division of Infectious Diseases at Johns Hopkins University School of Medicine. This podcast is the third in a series focused on the H1N1 Influenza outbreak.
John H. Beigel, MD, clarifies the definition of influenza and discusses the evolution of viruses, speculation on the mode of transmission and the role of vaccines and therapies as they relate to Influenza A (H1N1). The conversation references his recent publication in Critical Care Medicine (Beigel JH. Influenza. Crit Care Med. 2008; 36:2660-2666). Dr. Beigel is Director of Clinical Research at MacroGenics, Inc. in Rockville, Maryland, and a volunteer consultant at the National Institute of Allergy and Infectious Diseases at the National Institutes of Health. This podcast is the second in a series focused on the H1N1 influenza outbreak.
Randy S. Wax, MD, discusses the current outbreak of influenza A (H1N1), the triage protocol for critical care during an influenza epidemic, the public's role in taking necessary precautions, and educational resources that are available. Dr. Wax is an intensivist at Mount Sinai Hospital in Toronto, Ontario, Canada, and Assistant Professor of Medicine at the Faculty of Medicine, University of Toronto. He has multiple areas of expertise, including disaster management. This podcast is the first in a series focused on the influenza A (H1N1) outbreak.
Society of Critical Care Medicine president Mitchell Levy, MD, FCCM, discusses his goals and vision for the Society during his 2009 term. Levy stresses the importance of professional collaboration and compassionate caregiving. Levy is professor of medicine at Brown University School of Medicine and director of the medical ICU at Rhode Island Hospital.
The Paragon Critical Care Quality Implementation Program is a quality-focused program that aims to bring effective, tailored improvement strategies to hospitals. William A. Brock, MD, FCCM, is outgoing chair of the Paragon committee and a Paragon coach. Carrie Ogilvie, CCRN, MS, RN, participated in the Paragon Pilot Program and also went on to become a coach. Both discuss the importance of quality improvement and detail the successes of this initiative.
Vladimir Kvetan, MD, FCCM, discusses the history and goals of the Critical Care Leadership Network of the Greater New York Hospital Association for which he is a founding member. Dr. Kvetan is director of critical care at Montefiore Medical Center in New York where he is a professor of medicine and anesthesiology at the Albert Einstein College of Medicine. The GNYHA seeks to serve healthcare providers, support patients in their journey toward better health and strengthen partnerships that promote high-quality, more affordable healthcare.
John McNelis, MD, FCCM, discusses leadership and mentorship in the critical care community. McNelis is vice chairman of the department of surgery and director of surgical critical care and trauma at WinThuop University Hospital in Mineola, New York. In addition, he sits on the steering committee for the Critical Care Leadership Network of the Greater New York Hospital Association (GNYHA), a group of nearly 300 hospitals and continuing care facilities Thuoughout the New York area. The GNYHA seeks to serve healthcare providers, to support patients in their journey toward better health, and to strengthen partnerships that promote high-quality, more affordable healthcare. The Critical Care Leadership Network presented several posters during the 38th Critical Care Congress, which McNelis also will discuss. This podcast is one of a two-part series focused on leadership and mentorship in critical care.
Paul E. Wischmeyer, MD, discusses nutrition in the intensive care unit, specifically addressing what role total parenteral nutrition might have for the critically ill or injured patient. Dr. Wischmeyer is a professor of anesthesiology at the University of Colorado Health Sciences Center in Denver, Colorado. Released: 2/18/09
Peter Pronovost, MD, PhD, FCCM, discusses patient safety research and future efforts to reduce infections in the intensive care unit in this special 100th episode of the iCritical Care Podcasts. Dr. Pronovost is professor in the departments of anesthesiology and critical care medicine and surgery at The Johns Hopkins School of Medicine and a professor in the department of health policy and management at the Bloomberg School of Public Heath in Maryland. He also serves as director of the Quality and Safety Research Group at the Center for Innovations in Quality Patient Care Division of Adult Critical Care. Dr. Pronovost was selected to participate in the 100th iCritical Care Podcast because of his continued dedication to critical care, embodying the spirit of I AM SCCM.
Richard D. Branson, RRT, FCCM, discusses his two upcoming presentations for the 38th Critical Care Congress, The Modes of Mechanical Ventilation and Mechanical Ventilation Modes: How and When. Both sessions will highlight new developments in mechanical ventilation and increase understanding. Mr. Branson is an assistant professor, division of trauma and critical care at the University of Cincinnati Medical Center in Ohio.
Derek C. Angus, MD, MPH, FCCM, the recipient of the American College of Critical Care Medicine's (ACCM) Distinguished Investigator Award, discusses the state of critical care research as well as his unique background. Dr. Angus will accept the award during the 38th Critical Care Congress, where he also will be giving a presentation titled, "Change," during the ACCM Convocation and Award Ceremony. Dr. Angus is a professor of critical care at the University of Pittsburgh in Pennsylvania where he is currently chairman of the department of critical care. Released: 1/22/09
Paul Rogers, MD, professor of critical care medicine at the University of Pittsburgh Medical Center in Pennsylvania, discusses themes from his upcoming keynote session, "Teaching Medicine is an Art, Valuing it is Critical," to be presented during the 38th Critical Care Congress. Dr. Rogers recently was awarded The Alpha Robert J. Glaser Distinguished Teaching Award, which recognizes significant contributions to medical education made by gifted teachers. Released: 1/5/09
Desmond Bohn, MC, BCH, discusses his editorial, "The Problem of Acute Hyponatremia in Hospitalized Children: The Solution is the Solution," which was published in the November 2008 issue of Pediatric Critical Care Medicine. The editorial was in response to an article by P. Alvarez-Montanana et al, published in the same issue titled, "The use of isotonic fluid as maintenance therapy prevents iatrogenic hyponatremia in pediatrics: A randomized, controlled open study." Dr. Bohn is Department of Critical Care Medicine Chief at The Hospital for Sick Children in Toronto, Canada. (Pediatr Crit Care Med. 2008;9[6]:658) Released: 12/1/08
James D. Fortenberry, MD, FCCM, discusses his editorial published in the September 2008 issue of Pediatric Critical Care Medicine, titled "8-Tracks, Betamax... Is the endotracheal tube next to go?" Fortenberry is a pediatric intensivist at Children's Healthcare of Atlanta in Georgia, where he also is the medical director of the system's clinical research. Dr. Fortenberry also is director, division of critical care medicine in the department of pediatrics at Emory University School of Medicine. The editorial was in response to an article published in the same issue by Leticia J. Yanez et al., "A prospective, randomized, controlled trial of non-invasive ventilation in pediatric acute respiratory insufficiency." (Pediatr Crit Care Med. 2008;9[5]:536) Released: 11/19/08
Jeanine Wiener-Kronish, MD, discusses an article published in the September 2008 issue of Critical Care Medicine, titled "Increased mortality of ventilated patients with endotracheal Pseudomonas aeruginosa without clinical signs of infection." Dr. Wiener-Kronish is a professor of research and teaching in anaesthetics and anaesthesia at Harvard Medical School, and Chief of Anesthesia, Massachusetts General Hospital in Boston, (Crit Car Med 2008.36(9): 2495)
Paul Marik, MD, FCCM, discusses the June Critical Care Medicine article, "Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients: Consensus statements from an international task force by the American College of Critical Care Medicine." Dr. Marik is the chief of pulmonary and critical care medicine at Thomas Jefferson University in Philadelphia, Pennsylvania, USA. (Crit Care Med 2008;36[6]:1937)
Mitchell Levy, MD, FCCM, discusses his article, Association between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit, published in the June 3, 2008, issue of Annals of Internal Medicine. Levy offers background about the study as well as his opinions about the controversial results. (Ann Intern Med. 2008;148:801-809) Released: June 25, 2008
Folafoluwa O. Odetola, MD, MPH, discusses an article published in the January 2008 issue of Pediatric Critical Care Medicine, "Do outcomes vary according to the source of admission to the pediatric intensive care unit?" Dr. Odetola is from Mott Children's Hospital, University of Michigan Health System, and from the Child Health Evaluation and Research Unit Department of Pediatrics and Communicable Diseases at the University of Michigan Ann Arbor. (Pediatr Crit Care Med. 2008;9[1]:20)
Robert D. Truog, MD, MA, discusses new guidelines published in the March 2008 issue of Critical Care Medicine, "Recommendations for End-of-Life Care in the ICU." Dr. Truog is professor of medical ethics and anesthesia (pediatrics) at Harvard Medical School and senior associate in critical care medicine at Children's Hospital Boston in Massachusetts. (Crit Care Med. 2008;36:953-963)
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Martha A.Q. Curley, RN, PhD, associate professor of nursing, anesthesia and critical care medicine at the University of Pennsylvania and nurse scientist at Childrens Hospital in Boston, discusses an article published in the May 2007 issue of Pediatric Critical Care Medicine, Pediatric staff perspectives on organ donation after cardiac death in children.
Roham T. Zamanian, MD, discusses an article published in the September 2007 issue of Critical Care Medicine, titled "Management strategies for patients with pulmonary hypertension in the ICU." Dr. Zamanian is acting assistant professor of medicine at Stanford University Medical Center. (Crit Care Med. 2007;35[9]:2037)
SCCM President Frederick P. Ognibene, MD, FCCM, shares his experiences and accomplishments as president, offers his vision for the Society and discusses current topics in critical care. Dr. Ognibene is director of the office of clinical research training and medical education at the National Institutes of Health (NIH) Clinical Center and the director of clinical research training program. He also is an attending in the medical intensive care unit at the NIH Clinical Center.
Peter C. Laussen, MD, discusses an article published in the May 2007 issue of Pediatric Critical Care Medicine, titled "Pediatric Staff Perspectives on Organ Donation After Cardiac Death in Children." Dr. Laussen is director of the cardiac intensive care unit at Children's Hospital Boston. This is the first podcast in a two-part interview. Part two will feature an interview with lead author Martha A.Q. Curley, RN, PhD. (Ped. Crit. Care Med. 2007;8[3]:212).
Christopher Cox, MD, and Shannon Carson, MD, discuss an article published in the August 2007 issue of Critical Care Medicine, titled "An economic evaluation of prolonged mechanical ventilation." Dr. Cox, the lead author of this article, is an assistant professor at Duke University and Dr. Carson is an associate professor at the University of North Carolina. (Crit Care Med 2007; 35(8):1918)
John Kellum, MD, FCCM, a professor at the University of Pittsburgh, discusses his article from the August 2007 issue of Critical Connections, "Preventing Acute Renal Failure." (Crit Conn. 2007;6[4]:1)
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Roy Ilan, MD, assistant professor in the department of internal medicine at Queen's University, Kingston, Ontario, discusses his article published in the July 2007 issue of Critical Care Medicine, "Knowledge Translation in Critical Care: Factors Associated with Prescription of Commonly Recommended Best Practices for Critically Ill Patients." Carolyn Bekes, MD, FCCM, senior vice president of academic affairs at the Cooper Health System in Camden, New Jersey, joins the interview as the author of an accompanying editorial. (Ilan R, et al. Crit Care Med. 2007; 35: 1696)
Jerry Zimmerman, MD, PhD, FCCM, discusses an article published in the January 2007 issue of Pediatric Critical Care Medicine, titled Adrenal Status in Children with Septic Shock Using Low Dose Stimulation Test. Dr. Zimmerman is professor of pediatric critical care medicine at the University of Utah.
Wesley Ely, MD, FCCM, discusses new developments in delirium management, focusing on his presentation at the 36th Critical Care Congress. Dr. Ely is a professor in the department of medicine at the Vanderbilt University School of Medicine and an outcomes researcher with the Vanderbilt Center for Health Services Research. His presentation was summarized in the Congress Review, which offers education credit. Crit Conn 2007;6(3):22
The Society of Critical Care Medicine's president-elect Phil Barie, MD, MBA, FCCM, discusses a study published in Annals of Surgery, titled "Early Antibiotic Treatment for Severe Acute Necrotizing Pancreatitis." Dr. Barie is professor of surgery and public health at Weill Medical College of Cornell University in New York and was a co-author in this important study. (Ann Surg. 2007; 245: 674)
H. Bryant Nguyen, MD, associate professor of emergency medicine at Loma Linda University in California, discusses an article published in the April 2007 edition of Critical Care Medicine, Implementation of a Bundle of Quality Indicators for the Early Management of Severe Sepsis and Septic Shock is Associated with Decreased Mortality.(Crit Care Med. 2007;35(4):1105)
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Richard J. Wall, MD, MPH, and Nancy Chambers, MDiv, discuss an article published in the April issue of Critical Care Medicine titled Spiritual Care of Families in the ICU. Dr. Wall is a senior research fellow in the division of pulmonary of critical care medicine and Reverend Chambers is the director of spiritual care in the University of Washington healthcare system. (Crit Care Med 2007;35 (4):1084
Douglas Willson, MD, discusses an article he published in the July 2006 issue of Pediatric Critical Care Medicine, "The Collaborative Pediatric Critical Care Research Network." Dr. Willson is medical director of the pediatric intensive care unit at the University of Virginia Health Sciences Center and the chairman of the Steering Committee for the Collaborative Pediatric Critical Care Research Network. (Pediatr Crit Care Med. 2006; 7:301)
Presidential Address Frederick P. Ognibene, MD, FCCM, outlines his goals and aspirations for the Society during his presidential address at the 36th Critical Care Congress in Orlando, Florida, USA.
Susan Bratton, MD, MPH, discusses an editorial published in the September 2006 issue of Pediatric Critical Care Medicine, "Physician Experience with Family Presence During Pediatric Cardiopulmonary Resuscitation." Dr. Bratton is professor of pediatric critical care medicine at the University of Utah. (Niranjan K. Ped Crit Care Med. 2006;7:505)
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Christopher Carroll, MD, discusses an article published in Pediatric Critical Care Medicine titled, "Childhood Obesity Increases Duration Of Therapy During Severe Asthma Exacerbations." Dr. Carroll is a pediatric intensivist at Connecticut Children's Medical Center. (Pediatr Crit Care Med. 2006:527-31)
Djillali Annane, MD, discusses a study on epinephrine versus norepinephrine for septic shock he presented during the 36th Critical Care Congress. Dr. Annane is professor of critical care Raymond Poincare Hospital in Garches, France.
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Arno Zaritsky, MD, discusses an article he and Dr. Ikram Haque published in the March 2007 issue of Pediatric Critical Care Medicine titled "Analysis of the Evidence for Lower Limit of Systolic and Mean Arterial Pressure in Children." Dr. Zaritsky is professor and chief of pediatric critical care at the University of Florida College of Medicine in Gainesville, Florida.
Gregory Martin, MD, discusses some of the topics from his presentation during the 36th Critical Care Congress, "Furosemide and Albumin in ARDS." Dr. Martin is assistant professor of medicine at Emory University in Atlanta, Georgia, and the section head of pulmonary and critical care division at Grady Memorial Hospital where he is also the director of the medical and coronary ICUs.
Stephan Mayer, MD, FCCM, discusses cooling the neurological patient. Dr. Mayer is director of the neurological intensive care unit at Columbia University Medicine Center and he is an associate professor in neurology and neurosurgery Columbia University College of Physicians and Surgeons. He presented during the 36th Critical Care Congress on this topic.
Howard Corwin, MD, FCCM, discusses hematological issues and anemia in the critically ill and injured. Dr. Corwin professor of medicine and section chief of critical care medicine at Dartmouth-Hitchcock Medical Center in New Hampshire and presented during the 36th Critical Care Congress on this topic.
John Mazuski, MD, FCCM, and Beth Taylor, MS, RD, CNSD, FCCM, discuss their article published in the February 2007 issue of Critical Connections, titled "Gastric vs. Intestinal Feeding: Does it Make a Difference?" Dr. Mazuski is a professor of surgery at Washington University in St. Louis, Missouri, and Ms. Taylor is a nutrition support dietitian at Barnes Jewish Hospital in St. Louis. (Crit Conn 2007 Vol. 6, No. 1)
Peter Pronovost, MD, PhD, FCCM, discusses his article published in the December 28 issue of the New England Journal of Medicine, titled "An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU." Dr. Pronovost and researchers showed Thuough this study that simple measures, such as hand washing, can have a dramatic effect in reducing bloodstream infections. They focused on improved teamwork between doctors, nurses and other intensive care unit professionals, collecting data from 103 Michigan hospitals for up to 18 months. The reference for this article is NEJM 2006 Volume 355, Number 26:2725-2732.
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Frederick P. Ognibene, MD, FCCM, discusses his goals as the Society's president for 2007 as well as his decades-long involvement in SCCM and the critical care community. Dr. Ognibene is director of the office of clinical research training and medical education at the National Institutes of Health (NIH) Clinical Center and the director of clinical research training program, OIR. He also is an attending in the medical intensive care unit at the NIH Clinical Center.
William Dager, PharmD, and John S. MacGregor, MD, PhD, discuss an article in the December 2006 issue of Critical Connections, titled "Recent Advances in Cardiology Pharmacotherapies for the ICU Clinician." The article was written by Joseph Dasta, PharmD, from The Ohio State University, and Jaclyn LeBlanc, PharmD, BCPS, from The University of Oklahoma. Dr. Dager is a pharmacist specialist at UC Davis Medical Center and a clinical professor of pharmacy at UC San Francisco School of Pharmacy. Dr. MacGregor is a professor of medicine in the division of cardiology at the University of California San Francisco Medical Center and is director of the cardiac catheterization laboratory at San Francisco General Hospital.
Stanley Nasraway, MD, FCCM, discuss an article in the December issue of Critical Care Medicine "Heparin-induced Thuombocytopenia in the critical care setting: Diagnosis and management." The reference is Critical Care Medicine. 2006 34(12):2898-2911. This article offers continuing medical educational credit.
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Eric Pacht, MD, discuss an editorial published in the September issue of Critical Care Medicine, "Enteral therapy to decrease morbidity and improve survival in acute respiratory distress syndrome: Its time has come." Dr. Pacht is a pulmonary and critical care specialist and the director of the intensive care unit at Licking Memorial Hospital in Ohio. (Crit Care Med; 2006 34(9):2292-2493)
Saraswati Dayal, MD, and Edwin Deitch, MD, discuss an article published in the September issue of Critical Care Medicine, "ICU management of the trauma patient.." The review examines closely the most important intensive care unit issues and approaches unique to trauma patients. Dr. Dayal is an attending in trauma and surgical critical care at Hacksensack University Memorial Center in New Jersey. Dr. Deitch is professor and chairman of the department of surgery at the New Jersey Medical School of the University of Medicine and Dentistry of New Jersey. (Crit Care Med; 2006 34(9):2294-2301)
Yizhak Kupfer, MD, discusses his lecture, to be held during the 36th Critical Care Congress, "Reduction of Medication Errors in the Intensive Care Unit." Dr. Kupfer is an associate professor of medicine at SUNY Downstate School of Medicine and is the director of the medical intensive care unit at Maimonides Medical Center in New York, New York.
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Derek Angus, MD, MPH, discusses a new, multicenter research consortium, called Protocolized Care for Early Septic Shock (ProCESS). The consortium is beginning a large-scale study to determine whether specific interventions can halt the progression to severe sepsis and septic shock. Dr. Angus along with SCCM members Mitchell Fink, MD, and Donald Yealy, MD, will lead a team of intensive care unit and emergency department personnel. The study is likely to offer valuable insight on the best ways to treat sepsis and the value of early goal-directed therapy. Dr. Angus is vice chairman of research for the University of Pittsburgh School of Medicine's critical care department.
Simon Finfer, MD, MBBS, MRCP, is one of the prominent keynote speakers set to present during the 36th Critical Care Congress February 17 to 21, 2007. He discusses his keynote presentation "The Clinical Role of Albumin in the Critically Ill" as well as his latest critical care endeavors. Dr. Fifner is a senior staff specialist in intensive care at Royal North Shore Hospital of Sydney. Dr Finfer received his training from London University and Westminster Medical School, London University. He also trained in pediatric intensive care at the world-renowned Hospital for Sick Children in Toronto, Canada.
Mitchell Levy, MD, FCCM, discusses a perspectives article published in the October 19, 2006, issue of the New England Journal of Medicine, titled Surviving Sepsis-Practice Guidelines, Marketing Campaigns, and Eli Lilly, which criticizes the campaign and its major funding source, Eli Lilly.
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Patrick Kochanek, MD, FCCM, is one of the prominent keynote speakers set to present during the 36th Critical Care Congress February 17 to 21, 2007. He discusses his presentation, "Emergency Preservation for Resuscitation: Beyond CPR," as well as his background and expertise in critical care. Dr. Kochanek is director of the Safar Center for Resuscitation Research and is a tenured professor in the department of critical care medicine with secondary appointments in pediatrics and anesthesiology as well as the editor of Pediatric Critical Care Medicine.
Daren Heyland, MD, MSc, is of the prominent keynote speakers set to present during the 36th Critical Care Congress, to be held February 17 to 21, 2007. He discusses his presentation, "Pharmaco-Nutrition: A New Emerging Paradigm," and offers insight into his background and accomplishments in critical care. Dr. Heyland is professor of medicine at Queens University in Kingston, Ontario, Canada.
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Maged A. Tanios, MD, discusses his article, "A randomized, controlled trial of the role of weaning: Predictors in clinical decision making," from the October issue of Critical Care Medicine. Dr. Tanios is the director of the ICU at St. Mary Medical Center and assistant professor of medicine at the University of California, Los Angeles School of Medicine. (Crit. Care Med. 34(10):2530-2535, October 2006)
The Society of Critical Care Medicine's eNewsletter provides members of the critical care community with vital news relevant to their practice as well as updates on Society activities and programs.
Charles Durbin Jr., MD, FCCM, president of SCCM, shares his insights on some of the highlights from the past year and discusses the future of SCCM with the membership. Dr. Durbin is more than halfway Thuough his SCCM presidency in a year that has been marked by many accomplishments in the critical care community. In addition to his seat at the helm of Society, Dr. Durbin is professor of anesthesiology and surgery and medical director of respiratory care at the University of Virginia, Charlottesville
Douglas White, MD, discusses his article in the Aug issue of Critical Care Medicine, "Decisions to Limit Life-Sustaining Treatment for Critically Ill Patients Who Lack Both Decision-Making Capacity and Surrogate Decision Makers." Dr. White is an assistant professor of medicine at the University of California San Francisco Medical Center.(Crit Care Med; 2006, 34(8):2053-2059)
Marin Kollef, MD, assistant professor of medicine in the department of pulmonary and critical care medicine at the Washington University School of Medicine and director of medical critical care at Barnes-Jewish Hospital, discusses his article in the Aug issue of Critical Care Medicine, "Methicillin-Resistant Staphylococcus aureus Sterile-Site Infection: The Importance of Appropriate Initial Antimicrobial Treatment." (Crit Care Med; 2006, 34(8):2069-2074)
Phillip Dellinger, MD, FCCM, professor of medicine at Robert Wood Johnson Medical School and director of the critical care section at Cooper University Hospital, and Roman Jaeschke, MD, a clinical professor at McMaster University discuss an article published in the Aug issue of Critical Connections. The article, "Revising the Surviving Sepsis Guidelines: A Closer Look," details the guideline revision process. (Crit Conn 2006 Vol.5 No. 4)
Terry Clemmer, MD, FCCM, discusses computerized physician order entry and error detection in the intensive care unit. This podcast was recorded during the Society's 35th Critical Care Congress and released to complement the Excellence in Quality and Safety in Critical Care conference to be held September 21 to 23, 2006. Dr. Clemmer is the director of critical care at LDS Hospital in Utah and professor of medicine at the University of Utah School of Medicine.
Gordon Bernard, MD, shares his thoughts on the recently released Fluid And Catheter Treatment Trial or FACTT trial published in the May issue of The New England Journal of Medicine. The Society of Critical Care Medicine conducted this interview as part of its commitment to translating research to the bedside. Dr. Bernard serves as the steering committee chairman for ARDSNet, the group that published this study, and he shares his insight on its importance and future impact on critical care. Dr. Bernard also is the Melinda Owen Bass professor of pulmonary medicine, assistant vice-chancellor for research and director of the division of allergy, pulmonary, and critical care medicine at Vanderbilt University School of Medicine in Tennessee. (Pulmonary-artery vs. central venous catheter to guide treatment of acute lung injury NEJM 2006; 354: 2213-2224 and Comparison of two fluid-management strategies in acute lung injury NEJM 2006; 354: 2564-2575).
Marie R. Baldisseri, MD, an intensivist from the University of Pittsburgh, discusses her article from the June issue of Critical Connections, titled "Rapid Response Systems: Have They Made a Difference?" Dr. Baldisseri is an associate professor of critical care medicine at the University of Pittsburgh School of Medicine.
Raina M. Merchant, MD, a resident in emergency medicine at the University of Chicago, and Benjamin S. Abella, MD, an assistant professor of medicine in the section of emergency medicine at the University of Chicago, discuss their article published in the July issue of Critical Care Medicine. The article, "Therapeutic Hypothermia Utilization Among Physicians After Resuscitation From Cardiac Arrest," addresses whether physicians are cooling patients after cardiac arrest (Crit Care Med Volume 34, Number 5, Jul 2006 pp 1935-1940).
Shannon S. Carson, MD, assistant professor of medicine at the University of North Carolina at Chapel Hill and associate medical director of the medical and respiratory ICUs at the UNC Medical Center, as well as John P. Kress, MD, assistant professor of medicine at the University of Chicago, discuss their article from the May 2006 Critical Care Medicine, "A Randomized Trial of Intermittent Lorazepam vs. Propofol With Daily Interruption in Mechanically Ventilated Patients." (Crit Care Med Volume 34, Number 5, May 2006 pp 1326-1332)
Brian Jacobs, MD, project director of Integrating Clinical Information Systems, or ICIS, at Cincinnati Children's Hospital Medical Center, discusses how efforts in computerized physician order entry relate to patient safety. The ICIS system is a computer-based system implemented Thuoughout the hospital Thuough which all medical orders are entered and documented electronically. The system, believed to be the most comprehensive in any pediatric hospital in the United States, is expected to reduce medical errors significantly.
Vera De Palo, MD, outlines several common questions healthcare professionals should consider to help prevent catheter-related bloodstream infections in the ICU. Her article "Catheter-Related Bloodstream Infections: Can We Make it Safer For Our Patients?" appears in the April issue of Critical Connections. Dr. DePalo is associate chief of medicine and director of critical care at Memorial Hospital of Rhode Island. She also is an associate professor of medicine at Brown Medical School.(Crit Conn 2006 Vol.5 No.2)
Phil Barie, MD, MBA, FCCM, discusses his article from the April edition of Critical Connections on antibiotic prophylaxis. He addresses when this therapy is most useful as well as the consequences of overuse. Dr. Barie is professor of surgery and public health at Weill Medical College of Cornell University in New York City, and he sits on the executive committee of the Society of Critical Care Medicine. (Crit Conn 2006 Vol.5 No.2)
Jack Zimmerman, MD, FCCM, discusses his article in the May 2006 edition of Critical Care Medicine, "Acute Physiology and Chronic Health Evaluation (or APACHE IV): Hospital Mortality Assessment for Today's Critically Ill Patients." Dr. Zimmerman is professor emeritus of anesthesia and critical care medicine at George Washington University Medical Center in Washington, D.C. (Critical Care Medicine Volume 34, Number 5, May 2006 pp 1297-1310)
Robert Truog, MD, discusses his article in the April issue of Critical Care Medicine, "Rationing in the Intensive Care Unit." Dr. Truog is professor of medical ethics and anesthesia, pediatrics at Harvard Medical School, Childrens Hospital Boston. The article focuses on how ICU caregivers distribute resources in the ICU.
Stanley Nasraway, MD, FCCM, discusses his article published in the April issue of Critical Care Medicine, titled "Morbid Obesity Is an Independent Determinant of Death Among Surgical Critically Ill Patients." Dr. Nasraway is associate professor of surgery, medicine and anesthesia at Tufts University and chief of the surgical intensive care units at Tufts-New England Medical Center in Boston, Massachusetts. His article addresses the growing number of morbidly obese patients entering the intensive care unit and suggests that customized processes be developed to address this unique and challenging patient population. (Critical Care Medicine Volume 34, Number 4, Apr 2006 pp 964-970)
Jean-Louis Vincent, MD, PhD, FCCM, discusses an article from the March issue of Critical Care Medicine, "Does dopamine administration in shock influence outcome? Results of the Sepsis Occurrence in Acutely Ill Patients (SOAP) Study." (Critical Care Medicine, Volume 34, Number 3, Mar 2006, pp 589-597.)
Martha Curley, RN, PhD, discusses her article in the Mar 2006 issue of Pediatric Critical Care Medicine, titled "State Behavioral Scale: A Sedation Assessment Instrument for Infants and Young Children Supported on Mechanical Ventilation." Dr. Curley, director of nursing research in critical care and cardiovascular nursing research at The Children's Hospital in Boston, Massachusetts, is a recognized expert in pediatric critical care nursing. She discusses the development and validation of the State Behavioral Scale, a tool used in the evaluation of the level of sedation in pediatric patients requiring mechanical ventilation. (Pediatric Care Medicine, Volume 7, Number 2 Mar 2006 pp 107-114)
Michael Cheatham, MD, FCCM, is director of the surgical trauma intensive care unit at Orlando Regional Medical Center in Florida. He discusses his article published in the February issue of Critical Connections titled, "Consensus Definitions for Intra-Abdominal Hypertension and Abdominal Compartment Syndrome." Dr. Cheatham is vice president of the World Society of the Abdominal Compartment Syndrome and has studied the impact of elevated intra-abdominal pressures for more than a decade.
Michael Gropper, MD, PhD, is director of critical care medicine for the University of California San Francisco Medical Center and professor of medicine and anesthesiology at the medical school. He is one of the many healthcare professionals who have found success in implementing the Surviving Sepsis Campaign guidelines and discusses the strategies for implementation as well as the challenges his institution faced.
Anthony Slonim, MD, DrPH, FCCM, and Angela Hsu, MD, both from the Children's National Medical Center at the George Washington University School of Medicine in Washington, D.C., discuss their article in the February issue of Critical Connections, titled "Preventing Pediatric Trauma: The Role of the Critical Care Professional." They focus on the different levels of prevention in this patient population and how critical care professionals can play a more active role in making sure fewer young patients are treated for trauma. (Crit Conn 2006 Vol.5 No.1)
Mitchell Levy, MD, FCCM, and Jean-Louis Vincent, MD, PhD, FCCM, discuss their article in the October issue of Critical Care Medicine. The article, "Early Changes in Organ Function Predict Eventual Survival in Severe Sepsis," can help clinicians identify variables associated with good outcomes in sepsis. The authors explain that if patients with sepsis are not getting better at the end of 24 hours, they may be getting worse. (Critical Care Medicine, Volume 33(issue 10) October 2005 pp 2194-2201).
Gordon Bernard, MD, serves as the ARDSNet Steering Committee Chairman and shared his knowledge of the ARDSNet project with attendees of the 35th Critical Care Congress during his keynote presentation,"ARDSNet: Success and Challenges of the National Heart, Lung, and Blood Institute's First Critical Care Research Network." Dr. Bernard is the Melinda Owen Bass professor of pulmonary medicine, assistant vice-chancellor for research and director of the division of allergy, pulmonary, and critical care medicine at Vanderbilt University School of Medicine in Tennessee.
Lt. Col. Chet Morrison, MD, director of surgical critical care at Michigan State University, shares his experiences serving as a military surgeon in Iraq and gives insight to critical care in combat settings.
Timothy Quill, MD, one of seven prominent critical care leaders presenting during the plenary sessions at the 35th Critical Care Congress, discusses the Terry Schiavo case and how courts have played a role in end-of-life decision making. Dr. Quill is a professor of medicine, psychiatry and medical humanities, as well as the director of the Center for Palliative Care and Clinical Ethics at the University of Rochester Medical Center, Rochester, N.Y.
The Society's of Critical Care Medicine's incoming president, Charles Durbin Jr., MD, FCCM, discusses the goals he would like to help the Society achieve as well as current topics in the profession, including implementing guidelines in critical care and utilizing the multiprofessional team.
J. Randall Curtis, MD, MPH, discusses his article in the December 2005 issue of Critical Connections, "Improving Family Conferences About End of Life Care in the ICU." Dr. Curtis is the director of the end-of-life research program at the University of Washington in Seattle. He shares advice on how healthcare professionals can build trust with families with open and honest conversations about patient care and offers techniques and procedures associated with "successful" family conferences. (Crit Conn 2005 Vol.4 No.6)
Karin Kirchhoff, MSN, PhD, discusses her article published in the December 2005 issue of Critical Connections, "Getting Our ICU Language Straight." Dr. Kirchhoff is a professor at the University of Wisconsin-Madison School of Nursing. She discusses how every member of the multiprofessional team can improve families experiences at the end of life by being sensitive to the language they use and involving the family at every stage of care. (Crit Conn 2005 Vol.4 No.6)
Robert Truog, MD, FCCM, discusses his article published in the December 2005 issue of Critical Connections, "Pediatric End of Life: Special Needs for Special Children." Dr. Truog is professor of medical ethics and anesthesia, pediatrics at Harvard Medical School, Children's Hospital Boston. He discusses the unique challenges faced in the pediatric intensive care unit by physicians and family members. (Crit Conn 2005 Vol.4 No.6)
The Society of Critical Care Medicine president, Peter Angood, MD, FCCM, discusses the growth and success of the Society as he prepares to pass the leadership torch at the end of the year. He cites the Society growing international scope, its collaboration with other organizations and its Right Care, Right Now campaign as being among SCCM most distinguishable accomplishments.
Adrienne Randolph, MD, MSc, served as guest editor for the May 2005 supplement to Pediatric Critical Care Medicine. Dr. Randolph shares her thoughts on the importance of the 1st International Sepsis Forum on Sepsis in Infants and Children and the Pediatric Acute Lung Injury and Sepsis Investigator's (PALISI) Network. She also highlights the most important aspects from the supplement, which she played such an instrumental role in producing. (Pediatr Crit Care Med 2005 Vol. 6, No. 3 (Suppl.)
Cathie Guzzetta, RN, PhD, HNC, discusses the experiences that led her to interest in the holistic approach to critical care. She shares her thoughts on caring for the mind, body and spirit of patients and families, including the controversies behind allowing some families to be present during CPR and invasive procedures. Guzzetta is director of Holistic Nursing Consultants in Washington, D.C., and one of seven prominent critical care leaders to present during the plenary sessions at the 35th Critical Care Congress January 7 to 11 in San Francisco, California.
Brian Silverstein, vice president of Sg2 Health Care Intelligence, a consulting organization that provides medical professionals with information on changes in the technology, financing and delivery of healthcare services, shares his thoughts on advising in the healthcare industry. He addresses the challenges that institutions face in communication and culture as well as his thoughts on the anticipated increase in demand for critical care services, a topic he will provide more detail on during his keynote presentation at the 35th Critical Care Congress
Dr. Scott Dulchavsky's studies of critical care in space may have major influences in intensive care on Earth. Learn more about him and his work before he takes the stage during a 35th Critical Care Congress plenary session.
Two Society members discuss their experiences treating evacuees of Hurricane Katrina, the level of preparedness they saw within their hospitals and what lessons they will take from this disaster.