Society of Critical Care Medicine
Critical Care eNewsletter

January 18, 2007

 

Contents

News

SCCM News

Education and Resources

Speaking of Critical Care

News

How Well Do ICU Patients Remember the Risks of and Reasons for Clinical Trials?

A small study published in the December 2006 issue of Critical Care suggests that intensive care unit (ICU) patients may be in an inadequate condition to give their informed consent for research and may fail to remember the purpose and risks of clinical trials soon after agreeing to participate.

The study involved 44 ICU patients who gave their consent to participate in a study of inflammation after a "protocolled informed consent procedure," including an informational pamphlet and a 20-minute presentation about the study, its purpose and risks. When interviewed 10 days later, 34 of the 44 patients (80%) remembered having participated in the trial. However, only 20 patients (45%) remembered the purpose of the study and 21 patients (48%) remembered the risks involved. Only 14 of 44 patients (32%) could recall their participation and the purpose and risks of the trial.

Researchers noted that the severity of the disease, the neurological status of the patients and the medications taken when informed consent was obtained and during the 24 hours afterward were similar in subjects with complete recall and those with incomplete recall.

Read the full Medscape article.

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The 5 Million Lives Campaign and Interventions for the ICU 

The Institute for Healthcare Improvement’s (IHI) 100,000 Lives Campaign proved successful in 2006, and the new year brings an expanded patient safety and quality effort with the 5 Million Lives Campaign. This new campaign aims to protect patients from five million incidents of medical harm over the next two years (from December 2006 to December 2008). The IHI will host several educational calls in the coming weeks that will include information about interventions relevant to critical care such as implementing rapid response teams and preventing surgical site infections. Several calls also will explain the Global Trigger Tool, a new tool to gauge medical harm in a facility.

The Society of Critical Care Medicine is proud to serve as a Scientific Partner in the 100,000 Lives Campaign and urges its members to build on their successes from the campaign or persuade their intensive care units to join the 5 Million Lives Campaign. The six interventions of the campaign include:

• Prevent harm from high-alert medications, starting with a focus on anticoagulants, sedatives, narcotics and insulin

• Reduce surgical complications by implementing all of the changes recommended by the Surgical Care Improvement Project

• Prevent pressure ulcers by using science-based guidelines for their prevention

• Reduce methicillin-resistant Staphylococcus aureus (MRSA) infection by implementing scientifically proven infection control practices

• Deliver reliable, evidence-based care for congestive heart failure to avoid readmissions

• Get boards on board by defining and spreading the best-known leveraged processes for hospital boards of directors so that they can become far more effective in accelerating organizational progress toward safe care

Click here for more information.

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SCCM News

Experience the Exciting Changes to SCCM's Web site

The Society of Critical Care Medicine (SCCM) has improved its Web site and expanded Web-based resources to deliver a far superior online experience. Visit these new resources today and further improve the care you deliver to all critically ill and injured patients. If you have questions, please contact SCCM at info@sccm.org and a staff member will reply within 48 hours.

Navigating SCCM’s Web site at www.sccm.org has been simplified. Find information faster and easier on the restructured home page. The Society is determined to provide all members and customers with the best possible online experience. See the new look along with the many other Web site improvements.

When www.mysccm.org is implemented fully, you will enjoy a single point of entry using one unified login to access SCCM’s numerous Web offerings. Customize a MySCCM Web page to reflect your interests and role in critical care. View and receive information on podcasts, RSS feeds, healthcare news, recent product orders, meetings, membership status and more.
 

The most current educational and clinical content is housed at www.learnicu.org  Visit this Web site to participate in online learning exercises and continuing education opportunities, watch streaming videos, listen to iCritical Care Podcast interviews and much more. This go-to source will help further your commitment to lifelong learning.
 

The iRooms portal features new integrated software that provides improved navigation and easier communication for SCCM’s Creative Community and workgroups as well as chapter and section members.
 


The Society developed www.myICUCare.org as a resource to help family and friends of patients who are critically ill or injured make important healthcare decisions. This public site offers information on medical conditions, treatments, tests, equipment, drugs, medical terms and many other aspects of the intensive care unit environment. Help spread awareness of critical care; inform your patients and their families about this useful Web site.

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Prepare to Celebrate Critical Care: May 18, 2007

Each year, critical care professionals eagerly await the month of May to celebrate National Critical Care Awareness and Recognition Month (NCCARM). This month-long celebration allows critical care team members to exemplify their dedication to patient care while creating more awareness of this demanding, lifesaving practice. The Society of Critical Care Medicine (SCCM) encourages everyone to applaud and to celebrate the efforts of critical care team members, and you can show your support by wearing blue on Friday, May 18.

Although NCCARM is celebrated in May, promotional kits and buttons are available now to allow ample time to coordinate with staff and to order supplies. Each kit of five posters, five buttons, five packs of sticky notes and five plastic travel mugs costs $28 for SCCM members and $35 for nonmembers. Bags of 25 NCCARM buttons also are available at $12 for members and $15 for nonmembers. To purchase, click here or contact SCCM Customer Service at +1 847 827-6888.

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Pediatric Care Conference Draws International Audience

The pediatric critical care community will gather in Geneva, Switzerland, for the 5th World Congress on Pediatric Critical Care. This conference, to be held June 25 to June 28, 2007, will bring experts from around the world to share personal experiences and knowledge with a global audience.

Held by the World Federation of Pediatric Intensive and Critical Care Societies (WFPICCS) and sponsored by many leading critical care organizations, the World Congress on Pediatric Critical Care will offer four days of learning, each with a different theme to ensure a well-rounded educational experience.

WFPICCS and the Society of Critical Care Medicine (SCCM) are linked strongly through the publication of Pediatric Critical Care Medicine, which serves as a key resource for the pediatric critical care community worldwide. Abstracts of the original scientific investigations presented at the 5th World Congress on Pediatric Critical Care will be published in Pediatric Critical Care Medicine.

“This is an excellent opportunity for those who practice in the United States to join our international colleagues to understand better the different aspects of critical care worldwide,” said Edward Conway, MD, MS, FCCM, chair of SCCM’s Pediatric Section. “It will afford members the opportunity to share the concerns and issues that we all encounter related to patient-centered care, evidence-based medicine and research evidence.” He added that the conference would allow for more communication and camaraderie within the international pediatric healthcare community, opening new doors for fellows and the next generation of pediatric intensivists, while also providing new learning opportunities for seasoned clinicians.

Early registration rates for this conference are available until February 28, 2007. Visit www.pcc2007.com for more information.

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Education and Resources

It’s Not Too Late to Register for Congress

The Society’s 36th Critical Care Congress is the largest multiprofessional critical care event of the year, offering attendees more than 300 presentations, workshops, pro/con debates, keynote sessions, and sponsored symposia as well as 150 exhibitions featuring the latest technologies, products, services and career opportunities. To attend, register on-site at the Gaylord Palms Resort and Convention Center in Orlando, Florida, USA. An SCCM staff member will be available to assist you starting Thursday, February 15, at 4 p.m. at the SCCM Registration Desk.

Earn Continuing Education Credit at ACCM's Town Hall Meeting

Congress offers continuing education credit opportunities to many different members of the multiprofessional team. Don’t miss this year’s American College of Critical Care Medicine Town Hall Meeting on Monday, February 19, from 6 to 7 p.m. in Sun Ballroom D of the Gaylord Palms Resort and Convention Center. Presentations at this year’s town hall meeting, “Simulation Application in the Intensive Care Unit,” will include:

  • Key Drivers for Simulation in Critical Care
    William F. Dunn, MD, Mayo Clinic, Rochester, Minnesota, USA
  • Application of Simulation Training as a Means to Implement Guidelines
    Claudia Spies, MD, Charite University Hospital, Berlin, Germany
  • Application of Aviation Principles to Healthcare
    William Rutherford, MD, Western Michigan University, College of Aviation, Battle Creek, Michigan, USA
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Decrease Mortality and Morbidity Rates Using Nutrition Therapy

The increase in microbial resistance has made many antibiotics relatively ineffective in the intensive care unit (ICU) setting. Preventing infections is becoming a subject of growing interest and attention. Several nutrients in specialized nutritional formulations have been shown to improve immune function and decrease infectious complications, which ultimately have led to a decrease in mortality and morbidity rates.

During the 6th Summer Conference in Intensive Care Medicine: Nutrition as a Therapeutic Agent to Improve Critical Care Outcomes, jointly sponsored by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine (ESICM), a multiprofessional international faculty will explore nutrition therapy as a way to improve patient care and outcomes. The conference will investigate effective application of nutrition therapy as well as current controversies surrounding the use of select nutrients.

Register today to discover successful strategies on how to maximize the benefits of nutrition therapy. The 6th Summer Conference in Intensive Care Medicine will be held from June 14 to 16, 2007, in Toronto, Ontario, Canada.

Additional Resources
U.S. residents should remember to obtain a passport before attending this meeting in Canada. The Intelligence Reform and Terrorism Prevention Act of 2004 requires that air travelers to or from Canada, Mexico, Central and South America, the Caribbean, and Bermuda have a passport by January 23, 2007. A driver’s license, state identification card or birth certificate will no longer be acceptable for those seeking to re-enter the United States. This is a change from prior travel requirements and affects all U.S. citizens returning from countries within the Western Hemisphere.

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Speaking of Critical Care

Your colleagues are posing questions and engaging in informative conversations in the Critical Care Forums. Ask a question or join the dialogue at http://forums.sccm.org/

Featured Forum: Long-Term Outcomes After Prolonged ICU Stays

I am looking for information about long-term morbidity rates and outcomes (particularly psychological) after prolonged ICU stays. Does anyone know of any studies on this topic?

Join this discussion in the General Discussion Forum.

 

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