SCCM Podcast

SCCM Pod-499: Is Mentorship Obsolete in Our Modern Healthcare Environment?

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by Lewis J. Kaplan, MD, FACS, FCCP, FCCM and Kenneth E. Remy, MD, MHSc, MSCI, FCCM, to discuss whether mentorship is obsolete in our modern healthcare environment.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.

SCCM Pod-498 Current Concepts: New Initiatives, Diagnostics, and Management in Coma

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.

SCCM Pod-497: Generational Differences in Practice and Learning

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.

SCCM Pod-496: Moving From Surviving to Thriving With Long COVID

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.

SCCM Pod-495: Renal Resurgence: Exploring CRRT’s Impact on Critical Illness and AKI

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.

SCCM Pod-494: Mastering CRRT: Optimal Anticoagulation and Citrate Selection

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.

SCCM Pod-493: Bundle and Save: The Future of ICU Liberation

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.

SCCM Pod-492: The Long and Short of Long COVID

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.

SCCM Pod-491: Nursing the Wounds of Burnout

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.

SCCM Pod-490: The Role of Social Media in Medical Education

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.

SCCM Pod-489 The AIMS Trial: Battle of the Bundles, Hour-1 Versus 3-Hour

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.

SCCM Pod-488: Getting to the Heart of the National Board of Echocardiography Examination

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.

SCCM Pod-487: The Intersection of Climate Change and Critical Care

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.

SCCM Pod-486: Strategies for Preventing Sepsis and Septic Shock in the Hospital Setting

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.

SCCM Pod-485: Better Together: The Power of Collaboration

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.

SCCM Pod-484: ICU Liberation in the Pediatric Setting

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.

SCCM Pod-483 Clinicians, Patient Outcomes, and Implicit Bias

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.

SCCM Pod-482 PCCM: The Cost of Compliance: Restrictive Practices in the PICU

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.

SCCM Pod-481: Everything You Need to Know About Critical Care Ultrasound

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.

SCCM Pod-480: Optimizing Sepsis Care Hour-1 Bundle at a Time

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.