SCCM Podcast

SCCM Pod-479: Is Tele-Critical Care Medicine the Future of Healthcare?

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.

SCCM Pod-478: Challenges of Ill-Fitting Noninvasive Interfaces for Pediatric Patients

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.

SCCM Pod-477: Going Viral With the Discovery VIRUS COVID-19 Registry

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.

SCCM Pod-476 CCM: The Evolving Story of the Pulmonary Artery Catheter

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.

SCCM Pod-475: Data Science and the Future of Critical Care Research

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.

SCCM Pod-474: Clinician Well-Being and the Importance of Self-Care

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.

SCCM Pod-473: Changing Careers Means Changing Perspectives

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.

SCCM Pod-472 Career Crossroads: Taking the LEAD in a New Direction

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.

SCCM Pod-471: Mitigating Diagnostic Delays and Errors With Emphasis on Sepsis

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.

SCCM Pod-470 PCCM: Adverse Events and Mortality in the PICU

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.

SCCM Pod-469 CCM: Method or Madness? Epidemiology of ICU-Onset Bloodstream Infection

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.

SCCM Pod-468: When Should Antibiotics Be Used to Treat Respiratory Infections?

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.

SCCM Pod-374 Angiotensin II Treatment in Patients with Vasodilatory Shock and Renal Replacement Therapy

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

SCCM Pod-375 Medical Emergency Calls and Hospital Mortality

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

SCCM Pod-396 Post-ICU Clinics and Peer Support Groups to Reduce Post-Intensive Care Syndrome (PICS)

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.

SCCM Pod-442 Continuous Prediction of Mortality in the PICU: A Recurrent Neural Network Model in a Single-Center Dataset

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.

SCCM Pod-446 Comparison of Bivalirudin Versus Heparin

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).

SCCM Pod-447 eSIMPLER: A Dynamic, Electronic Health Record-Integrated Checklist

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.

SCCM Pod-448 Noninvasive Respiratory Support: Opinion- or Evidence-Based Medicine?

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.

SCCM Pod-445 The Association of Workload and Outcomes in the Pediatric Cardiac ICU

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.