SCCM Podcast

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.

Javier Neyra, MD, MSCS, a critical care nephrologist and Associate Professor at UAB, dives into the complexities of renal replacement therapy for acute kidney injury. He highlights the staggering incidence of AKI and the critical need for early intervention. Neyra contrasts CRRT with traditional hemodialysis, emphasizing the benefits of continuous therapy for hemodynamically unstable patients. He also discusses logistical challenges in implementing CRRT programs and the necessity for coordinated care between intensivists and nephrologists.

Rajesh Speer, a pharmacist and nephrology research specialist, shares his expertise on continuous renal replacement therapy (CRRT) and anticoagulation strategies. He emphasizes the difference between citrate and heparin, showcasing citrate's benefits in minimizing bleeding risks. The discussion touches on the importance of balancing anticoagulation for circuits and patients, and highlights the challenges of compounding citrate versus using commercially available options. With practical insights, Speer advocates for standardized protocols to improve CRRT outcomes in critical care settings.

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.