SCCM Podcast

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.