Congress-Advance-Program Sccm 2014 San Francisco

The Complete News Source for Critical Care Professionals

sccm.org/criticalconnections • facebook.com/SCCM1 • twitter.com/sccm

Critical ConnectionsVolume 12, Number 5

October/November 2013

Advance Program

REGISTER EARLY TO SECURE YOUR TOP CHOICES IN COURSES AND ACCOMMODATIONS AT THE LOWEST RATESTo register, see page 28, visit www.sccm.org/congress or contact SCCM Customer Service at +1 847 827-6888.

s January 9-13, 2014

s Moscone Center South

s San Francisco, California, USA

INVESTMENT + IMAGINATION

2014 congress October advanced program 21.indd 1 9/30/13 7:00 PM

of Critical Care UltrasoundFundamentals

January 8-9, 2014 | San Francisco Marriott Marquis | San Francisco, California, USA

With the power of visual medicine, you can make faster, better-informed clinical decisions that can improve patient outcomes.

Ultrasound examinations in the critical care setting are increasingly in demand because of equipment portability, ease of use and ability to provide immediate, accurate evaluations.

Advances in ultrasound technology continue to improve imaging capabilities, leading to ever-expanding applications.

Register today for the Society of Critical Care Medicine’s (SCCM) two-day comprehensive course and gain the training needed to perform and interpret ultrasound imaging.

Benefit from didactic presentations and hands-on skill stations. Topics to be covered include:

• LungUltrasound• EchocardiographicApproachtoShock• HypovolemiaandVolumeResponsiveness• HemodynamicMeasurementsandSystolic

Function• VascularAccessandNon-VascularProcedures

Space for this course is limited. Register today to guaranteeyourseat!Visitwww.sccm.org/ultrasoundor call SCCM Customer Service at +1 847 827-6888.

Ultrasound Fundamentals_Kingl pg.indd 1 9/27/13 10:06 AM2014 congress October advanced program 21.indd 2 9/30/13 7:00 PM

Congress Advance Program Register today at www.sccm.org/congress October/November 2013 | 3

Critical ConnectionsThe Complete News Source for Critical Care Professionals

EditorSecretaryCraig Coopersmith, MD, FCCMProfessor of SurgeryEmory University School of MedicineEmory Center for Critical CareAtlanta, Georgia, USA

Editorial Advisory Board

PresidentCarol L. Thompson, PhD, CCRN, ACNP, FCCMProfessor of Critical Care NursingUniversity of Tennessee Health Science CenterMemphis, Tennessee, USA

President-ElectJ. Christopher Farmer, MD, FCCMProfessor of MedicineChair, Department of Critical Care MedicineMayo Clinic ArizonaPhoenix, Arizona, USA

TreasurerTodd Dorman, MD, FCCMSenior Associate Dean for Education CoordinationAssociate Dean Continuing Medical EducationProfessor & Vice Chair for Critical CareDepartment of Anesthesiology & Critical Care

MedicineJoint Appointments in Medicine, Surgery and the

School of NursingJohns Hopkins University School of Medicine

Immediate Past PresidentClifford S. Deutschman, MD, MS, FCCMProfessor of Anesthesiology and Critical CareDirector, Sepsis Research ProgramPerelman School of Medicine at theUniversity of PennsylvaniaPhiladelphia, Pennsylvania, USA

Critical Connections Staff

Managing EditorMelissa [email protected]+1 847 827-7405

AdvertisingDesiree [email protected]+1 847 827-7188

Director of PublicationsLynn Retford

Chief Executive Officer and Executive Vice PresidentDavid Julian Martin, CAE

Graphic DesignerDave Zwierz

Editorial Contributions: You are invited to share your expertise and perspective. Please contact the managing editor at +1 847 827-7405 or [email protected]. Critical Connections reserves the right to edit all articles and classified ads.

Critical Connections’ mission is to provide SCCM members and critical care professionals with timely information regarding the practice of critical care and the Society’s activities.

Critical Connections is published bi-monthly by the Society of Critical Care Medicine, 500 Midway Dr., Mount Prospect, IL 60056-5811 USA. Application to mail at periodicals postage prices is pending at Mount Prospect, IL and additional post offices.

PostmastEr: Send address changes to Critical Connections, Society of Critical Care Medicine, 500 Midway Dr., Mount Prospect, IL 60056-5811 USA.

Canadian return mail address is Station A, Box 54, Windsor ON, N9A 6J5

Copyright © 2013 by the Society of Critical Care Medicine. All rights reserved. Statements of fact and opinion are the responsibility of the authors alone and do not imply an opinion on the part of the officers or members.

ContentsVolume 12, Number 5 October/November 2013

43rd Critical Care Congress Advance Program

Congress Highlights . . . . . . . . . . . . . . . . . . . . . . 6

Pre-Congress Educational sessions . . . . . . . . . . . 7

Postgraduate Courses . . . . . . . . . . . . . . . . . . . . . 7

abstract Presentations and Poster Hall Events . . . 7

learning objectives . . . . . . . . . . . . . . . . . . . . . . . 8

american College of Critical Care medicine . . . . . 8

schedule of Events . . . . . . . . . . . . . . . . . . . . . 9-22

World-renowned multiprofessional Faculty . . 23-26

Continuing Education Credit . . . . . . . . . . . . . . . 27

registration Form . . . . . . . . . . . . . . . . . . . . . . . 28

Hotel and travel information . . . . . . . . . . . . . . . 29

Guest registration Form . . . . . . . . . . . . . . . . . . 30

sightseeing activities . . . . . . . . . . . . . . . . . . . . 30

Departments

President’s message . . . . . . . . . . . . . . . . . . . . . . 4

section and Chapter news . . . . . . . . . . . . . . . . 31

We are looking for:

• Pulmonary and Critical Care Physicians in Virginia Beach, Norfolk, and Williamsburg, VA. Mixture of inpatient and outpatient services. Interventional bronchoscopies such as EVBUS and navigational bronchoscopy.

• Full-Time or Part-Time opportunities

• Dayshifts or Nightshifts

• Be a part of the original Tele-ICU Team

Are you a Pulmonary and/or Critical Care Physician looking to join an innovative healthcare system in a vibrant region? Look no further than Sentara Medical Group.

Scan the QR Code to Learn More About Sentara Medical Group

www.sentara.com/smgrecruitingEOE M/F/D/F • A Drug Free / Tobacco Free Workplace

Quality. Transformation. Innovation.Sentara Medical Group brings together more than 400 primary care and specialty physicians to care for patients across Virginia and Northeastern North Carolina – a beautiful and temperate region of Atlantic Ocean and Chesapeake Bay beaches, rivers and historical areas. It is a division of Sentara Healthcare, one of the most progressive and integrated health care organizations in the nation.

Additional benefits include:

• Competitive Compensation & Benefits

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• Reduced Individual Risks

• Access to Innovative Tools & Technologies

• The Support and Resources of a Broad-Based, Nationally Recognized Healthcare System

Can you see yourself here? We do. Your future is waiting. Contact us today.Kay Miller, Sentara Physician Recruitment [email protected] (757) 252-3032

Sentara Ad13.indd 1 9/23/13 1:52 PM

of Critical Care UltrasoundFundamentals

January 8-9, 2014 | San Francisco Marriott Marquis | San Francisco, California, USA

With the power of visual medicine, you can make faster, better-informed clinical decisions that can improve patient outcomes.

Ultrasound examinations in the critical care setting are increasingly in demand because of equipment portability, ease of use and ability to provide immediate, accurate evaluations.

Advances in ultrasound technology continue to improve imaging capabilities, leading to ever-expanding applications.

Register today for the Society of Critical Care Medicine’s (SCCM) two-day comprehensive course and gain the training needed to perform and interpret ultrasound imaging.

Benefit from didactic presentations and hands-on skill stations. Topics to be covered include:

• LungUltrasound• EchocardiographicApproachtoShock• HypovolemiaandVolumeResponsiveness• HemodynamicMeasurementsandSystolic

Function• VascularAccessandNon-VascularProcedures

Space for this course is limited. Register today to guaranteeyourseat!Visitwww.sccm.org/ultrasoundor call SCCM Customer Service at +1 847 827-6888.

Ultrasound Fundamentals_Kingl pg.indd 1 9/27/13 10:06 AM2014 congress October advanced program 21.indd 3 9/30/13 7:00 PM

4 | October/November 2013 +1 847 827-6869 Critical Connections

President’s Message

Updating Routine Care

It can be done. It must be done. We

can do it. These are common beliefs

in critical care; otherwise, in the face

of massive trauma, failing organs, and

dropping vital signs, we would just

walk away. Of course, generally we are

talking about trauma and disease. But

the science of routine care is changing,

and the publication Clinical Practice

Guidelines for the Management of Pain,

Agitation, and Delirium in Adult Patients

in the Intensive Care Unit indicates the

best care is a patient who is awake,

alert, actively participating in care

decisions, and actively participating in

mobility1. To this I say: it can be done; it

must be done; we can do it.

Bears hibernate, but humans cannot just lie around in bed; our metabolic system is different. (Yes, this really has been studied.2) Tissues break down. Turning alone is not sufficient as it does not maintain muscle strength. When patients leave the intensive care unit (ICU) where “hibernation” strategies have been employed, extensive rehabilitation has been shown to be necessary and some patients never do return to their normal activity levels.3

We used to think that sedating patients helped meet the high oxygen demand of critically ill patients. But we can give oxygen, and it was actually the tissue’s ability to use the circulating oxygen that was important. Our argument was that this was humane, but now we know that sedation was hiding the delirium and that sedative medications, doses, and duration were related to delirium.4 Patients have described this delirium as horrible and associated with long-term psychological effects on their quality of life after the ICU stay. The level of sedation commonly used also hindered our ability to measure pain. Many ICU procedures are painful, but we did not treat what we could not measure. Patients have described this pain as the most stressful aspect of their ICU experience.1

We now have pain, agitation, and delirium guidelines and the ABCDE bundle to help us Visualize Case Studies

at ImaCorInc.com/cardiac/cc

You can’t afford not to.

Midesophageal Four Chamber View

877.244.0657 I ImaCorInc.com

VISUALIZE THIS!A 66-year-old female was admitted to the ICU

following an Aortic Valve Replacement and a

CABG x3. Patient’s vitals: EF 35%, BP 107/57,

CVP 9, SVo2 60% and PAP 45/26. The patient

was on multiple vasopressors and inotropes.

In mere hours her condition worsened.

An ImaCor ClariTEE® probe was placed to

manage this patient’s hemodynamics. The

third hTEE™ imaging session was significant,

revealing the formation of a thrombus

adjacent to the left atrium. With the patient

becoming progressively unstable, the decision

was made to return to the OR to remove

the thrombus. The next morning hTEE™

was reviewed showing greatly improved

hemodynamics and LV function.

Why was hTEE™ significant in this patient?

hTEE™ management allowed the MD

to gauge fluid responsiveness more

confidently than with a PAC. And with

direct visualization over time the thrombus

was revealed and remedied.

ImaCor hTEE™ imaging provides vital

information on heart function, rapidly

changing management in critically ill

cardiac patients… saving money and lives.


Critical Connections www.sccm.org October/November 2013 | 5

with these issues.5 These tools help define the new standard of routine care for our patients while we address their diseases and illnesses.

As we think about routine care, let us not forget sleep. Sleep cycles are restorative, as we remember our physiology studies;6 all the more reason to provide environments conducive to maintaining rapid eye movement (REM) cycles in critically ill patients. With our many monitoring devices providing data trends and pumps that regulate drips precisely, surely we can establish time when lights are lowered, noise controlled, and interruptions minimized in consideration of the patient’s sleep needs. It can be scheduled like we schedule medications and morning labs.

Changing practice involves a true multiprofessional approach as it affects all of our disciplines. As we change our sedation and analgesia practice protocols, effective strategies must be developed so all team members are aware of the changes. Many teams use the morning rounds to revisit the protocol, check the pain, sedation, delirium, and mobility outcomes of the last 24 hours, and set goals for the day.

The most common question I am asked is: how can this be done with a limited nursing staff ? It can be done; it is being done around the world and not just with nurse-patient ratios of 1:1.7 Certainly every system is different, so the “how” does vary. Quality improvement strategies generally are used to identify what’s best for a given setting. However, the ICU staff has demonstrated extraordinary capabilities in routinely packing up patients, with all of their equipment and tubes, and taking them for computed tomography scans. Additionally, patients who are awake and alert, participating in their care, can reduce the time necessary for routine care. With the patients reporting what they need, the team can meet those needs and avoid complications that would consume more effort and lengthen ICU stays.

Of course, ambulation will take more staff time, but it can be planned for those times of day when resources are available. Some ICU systems have created shift change overlaps, set ambulation times between routine medication deliveries, or designated non-nurse team members to meet the resource needs. Other systems have physical therapy personnel direct this activity. Our industry partners have developed new ambulatory equipment and even in-bed bicycle-like equipment, much like the over-the-bed trapeze we now commonly use in orthopedics. The adage, an ounce of prevention is worth a pound of cure, is especially applicable to patient mobility. It must be done.

We can do it. Those pioneers who have tested no-sedation periods and ambulation with ventricular assist devices have shown it. They have proven that the risk of extubation and line loss with ambulation is insignificant when we identify the risk and secure these items for the activity.8 Seeing is believing.9

Change is never easy, but when you see the response to this new routine care from patients and families, you will know it is the right action.Updating routine care in the ICU is our challenge. It can be done. It must be done. We can do it.

Reference and disclosures are available at www.sccm.org/criticalconnections.

Register today at www.sccm.org/congress October/November 2013 | 5

Join the Leader in Intensivist Medicine

Improve Patient Outcomes Utilizing a Proven Hands-on Approach to Critical Care Medicine

Contact the Director of Recruiting Cathy Harbert 330-418-2226 or [email protected]

F o r m o r e i n F o r m a t i o n

cogenthmg.com/con

St. Bernadine San Bernardino, Ca - Staff Intensivist

u 463-bed hospital, 34-bed iCU

West

*new Program

Christus St. Michael texarkana, tX - Staff Intensivist

u 239-bed acute-care hospital with a 32-bed iCU

Memorial Hermann Memorial City* Houston, tX - Staff Intensivist, Program Medical Director

u 426-bed hospital, 40-bed iCU, state of the art facility located in West Houston

Southwest

Regional Medical Center of San Jose San Jose, Ca - Staff Intensivist

u 248-bed regional medical center, 18-bed iCU, located at the southern tip of San Francisco Bay

Raritan Bay* Perth amboy and old Bridge, nJ Program Medical Director

u 20-bed iCU, located close to nYC

St. Francis Hospital Wilmington, De - Staff Intensivist

u 395-bed / 12 bed iCU hospitalu 40 minutes outside of Philadelphia

Grandview Sellersville, Pa - Staff Intensivist

u an established intensivist Program in a suburban Philadelphia community

EastKennedy University Hospital Washington township, nJ - Staff Intensivist

u 219-bed teaching hospital / 23-bed iCUu 25 minutes outside of Philadelphia

0296-COG_CritCON_Oct-Nov_F.indd 1 8/27/13 12:51 PM

Carol Thompson, PhD, CCRN, ACNP, FCCM, is professor of critical care nursing at the university of tennessee Health science Center in memphis, tennessee, usa . she is serving as the 2013 president of the society of Critical Care medicine .

Learn more about pain, agitation and delirium and access the guidelines at www.sccm.org/Research/Quality.

Seeing is Believing

Check out this video highlighting the success of early mobility in the ICU!


6 | October/November 2013 Register today at www.sccm.org/congress Congress Advance Program

Congress Highlights

New and Notable

Earn Maintenance of Certification (MOC) Credit MOC is designed as an ongoing process of lifelong learning and self-assessment to continuously improve knowledge and clinical performance. Attendees of the 2014 Congress will be eligible to complete a pre and post self-assessment and earn 10 MOC Part 2 Lifelong Learning and Self-Assessment points for the following Boards: American Board of Internal Medicine, American Board of Anesthesia, The American Board of Pediatrics, American Board of Surgery.

Pre-Congress WebcastsTwo complimentary, non-CME webcasts will be held in November as pre-Congress learning opportunities. Both topics will be followed up at Congress with an intermediate session.

ICU Systems EngineeringThis webcast, aimed at eliminating preventable harm, optimizing patient and family outcomes and experiences, and reducing health care costs, will take place on Friday, November 8, 2013, at 12:00 p.m. Central Time. Improving the safety and quality of patient care through a systems approach and systems engineering principles will be discussed by skilled faculty.

Transfusing the Critically Ill ChildThis webcast, part of an ongoing educational effort to provide the latest information on transfusion practices to the critical care community, will take place on Thursday, November 14, 2013, at 1:00 p.m. Central Time. Expert faculty will explore the important topic of transfusion practices in critically ill pediatric patients.

Plenary Sessions

Attend thought-provoking presentations that promote innovative developments in critical care. Plenary sessions are held at unopposed times with presentations given by distinguished, world-renowned leaders in the critical care field. Speakers include:

Don’t Just Do Something, Stand ThereRosemary Gibson, MScSenior AdvisorThe Hastings CenterSection Co-Editor, Less is MoreJAMA Internal Medicine Arlington, Virginia, USA

Artificial “Intensigence:” The Merger of Man and Machines in the ICU

C. William Hanson III, MD, FCCMProfessor of Anesthesiology and Critical CareChief Medical Information OfficerUniversity of Pennsylvania Health SystemsPhiladelphia, Pennsylvania, USA

Tackling Brain Injury: “A Little Out of Focus”Patrick M. Kochanek, MD, MCCMProfessor and Vice Chair, Department of Critical Care MedicineProfessor of Anesthesiology, Pediatrics and Clinical and Translational ScienceDirector, Safar Center for

Resuscitation ResearchUniversity of Pittsburgh School of MedicinePittsburgh, Pennsylvania, USA

What’s New and What’s Cool?Geoffrey Ling, MD, PhD, FAANDeputy Director, Defense Sciences Office, Defense Advanced Research Projects AgencyAttending Physician and Director, Neurosciences Critical Care, Department of Critical Care Medicine,

Walter Reed National Military Medical CenterWashington, DC, USA

From Heroism to Safe Design in the ICUPeter J. Pronovost, MD, PhD, FCCMProfessor, Departments of Anesthesiology/Critical Care Medicine and SurgeryThe Johns Hopkins University School of MedicineBaltimore, Maryland, USA

Four Centuries of Biomedical Research in the US Army Medical Corps: Benefits and Challenges

Basil A. Pruitt, Jr., MD, FACS, MCCMClinical Professor of SurgeryBetty and Bob Kelso Distinguished Chair in Burn and Trauma SurgeryUniversity of Texas Health Science CenterSan Antonio, Texas, USA

Critical Care Around the World: Global Challenges

Jean-Louis M. Vincent, MD, PhD, FCCMProfessor of Intensive Care Medicine, Université Libre de BruxellesHead, Department of Intensive CareErasme University HospitalBrussels, Belgium

New Critical Connections CaféNew to the Exhibit Hall is the Critical Connections Café, a relaxed space designed to facilitate networking, knowledge sharing and conversation. Attend special presentations, update your SCCM profile, and more.

Postgraduate CoursesThis year, SCCM is offering a full set of brand new postgraduate courses: Case-Based Pearls in Neurocritical Care, Fundamentals of Extracorporeal Membrane Oxygenation, ICU Management Paradigms for the 21st Century, Less Invasive Hemodynamic Monitoring, Optimizing Mechanical Ventilation, and Veterinary Respiratory Diagnostics and Therapeutics. These key topics have been carefully selected by the Congress Program Planning Committee, and the expert speakers will equip you with strategies useful in everyday practice. See page 7 for course details.

Explore San FranciscoSan Francisco is known for its blend of cultures, incredible landmarks and fascinating history. The Society has arranged several sightseeing activities for attendees and their families, including tours of San Francisco and the Bay area’s various neighborhoods and famous landmarks, a Bay cruise with views of the Golden Gate Bridge and Alcatraz, a trip to see the magnificent Redwoods in Muir Woods and the charming town of Sausalito, private wine tastings and tours of renowned wineries in Sonoma, dim sum in Chinatown, and tours of the Legion of Honor and de Young Museum. See page 30 for details.



Pre-Congress Educational Sessions Postgraduate Courses

Oral PresentationsOral presentations will be scheduled, unopposed, for two hours on Friday, January 10, 2014. These presentations will highlight the top 64 abstracts submitted.

Poster Discussions and Awards PresentationsInteract and discuss original scientific research findings with abstract authors in the Poster Hall, which will be open Friday, January 10, through Sunday, January 12, 2014. Winners of SCCM’s abstract-based awards will be recognized during a ceremony on Sunday, January 12, 2014.

ePostersIn addition to the standard Poster Hall, attendees will have the opportunity to view all posters in an electronic format via computers, screens and other mobile views. These posters will be searchable, and will include enhanced information to provide the most recent critical care research available.

Professor Walk RoundsSelect poster presentations will be assigned by category to noted faculty and experts who will facilitate the exchange of ideas and commentary between younger scientists and established clinicians. Presentations will be scheduled during the lunch break on Friday, January 10, through Sunday, January 12, 2014.

Abstract Presentations and Poster Hall Events

Arrive in San Francisco early and participate in pre-Congress educational sessions. Each course is packed with essential clinical information to keep you well informed on various critical care topics. Course prices vary.

Current Concepts in Adult Critical CareJanuary 8-9, 2014 s Moscone Center SouthDeepen your critical care knowledge by attending this two-day multidisciplinary course, which highlights a variety of concepts pertinent to critical care professionals. The interactive format will include presentations on select topics, such as Postoperative Respiratory Failure and Role for Noninvasive Mechanical Ventilation (NIMV); Advanced Cardiac Life Support (ACLS) Update and Hypothermia After Cardiac Arrest; Transfusion for Critically Ill Patients; Delirium in the ICU; Practice Variability: What Does It Mean When We All Do Things Differently?; Resuscitation End Points: Which One Is the Optimal?; Management of Organ Donors in the ICU; Medical Ethics; and interactive case presentations.

The registration fee includes breakfast, lunch, a copy of the 2014 edition of Current Concepts in Adult Critical Care and access to the On Demand version of the course.

Current Concepts in Pediatric Critical CareJanuary 8-9, 2014 s Moscone Center SouthObtain expert knowledge and bring home new information and approaches for your pediatric critical care practice. This interactive course will fortify the spectrum of pediatric critical care professionals with up-to-date knowledge and the latest clinical applications, and will add insight to new and controversial topics. A few of the course focus areas will include: Updates in Extracorporeal Membrane Oxygenation (ECMO); Prudent Antibiotic Use in the ICU; Procedural Sedation Out of the Pediatric ICU; Standardizing Care in the Pediatric ICU; Ethical Issues; and Role of Nutrition and Pharmaconutrition in Pediatric Critical Care. Interactive case presentations with expert faculty panels will stimulate discussion and sharing of experiences. The registration fee includes breakfast, lunch, a copy of the 2014 edition of Current Concepts in Pediatric Critical Care and access to the On Demand version of the course.

Receive a comprehensive update on the latest clinical treatments and administrative strategies that you can incorporate into your everyday practice. All of the postgraduate courses offered this year are new. Register early to guarantee your top choice, as space for each course is limited. Breakfast and lunch are included in the registration fee.

January 9, 2014 • Moscone Center South

Case-Based Pearls in Neurocritical CareThis year, Case-Based Pearls in Neurocritical Care will take a novel approach in the discussion of the differential diagnosis, workup, management and treatment of critically ill patients who present with neurological findings. Participants will review patients who present with falls, altered mental status, coma, seizures, headache or focal neurological findings. Topics will include: cardiac arrest, acute ischemic and hemorrhagic stroke, spontaneous subarachnoid hemorrhage, status epilepticus, neuromuscular disease, and acute spinal cord injury. The interplay of commonly used ICU medications and interventions and the neurological system, and prognosis for various neurological disease states will be discussed.

Fundamentals of Extracorporeal Membrane Oxygenation (ECMO) This one-day course will take you through the basic management principles common to ECMO programs for both adult and pediatric patients. This comprehensive overview will be taught by leading experts practicing ECMO. Topics include: patient selection, equipment options, cannula placement, roller versus centrifugal pumps, anticoagulation, staffing models, and sedation and weaning. Case studies will be presented, and participants will have the opportunity to interface with ECMO equipment.

ICU Management Paradigms for the 21st Century Leadership and ICU management in the 21st century will become increasingly more challenging as different payment models evolve. This course will present some of the newer care delivery models and controversies in today’s ICU environment. At the completion of this course, participants should have a better understanding of alternative care delivery models, some areas of controversy, and the financial structure within their ICUs.

Less-Invasive Hemodynamic Monitoring The diversity of minimally invasive hemodynamic monitoring requires knowledge of the various techniques and parameters for the devices as well as their clinical validity. This interactive, hands-on course will provide relevant experience at skill stations, taught by experienced faculty. Review and discuss less-invasive cardiac output monitors, how they work, their pros and cons, and use in the critical care setting. Topics will cover: pulse wave analysis, transpulmonary thermodilution, esophageal ultrasound, near-infrared spectroscopy, and carbon dioxide rebreathing.

Optimizing Mechanical Ventilation: Sharing Data Between Adult and Pediatric PatientsThis course covers management strategies to optimize mechanical ventilation for adult and pediatric critically ill patients. Particular emphasis will be placed on comparing and contrasting strategies between the adult and pediatric populations with a lively interactive discussion planned. Topics will include: invasive and noninvasive mechanical ventilation, permissive ventilation, strategies to promote spontaneous breathing, lung recruitment and adjunct therapies for acute lung injury.

January 8-9, 2014 • Moscone Center South

Veterinary Respiratory Diagnostics and TherapeuticsThis course is designed for veterinary emergency and critical care practitioners, residents and interns. The first day will focus on therapeutics and diagnostics for veterinary respiratory disease and will be given by the winner of the 2013 Jack Mara Scientific Achievement award. The second day will focus on advanced topics in veterinary critical care and will culminate in a mock exam for those preparing to sit for the ACVECC boards.

Plenary Sessions



Learning Objectives

American College of Critical Care Medicine

s ADMINISTRATION • Critical Care Practitioners: Who Is on the Horizon? • Getting Paid for Your Performance with Proper Coding • ICU Informatics and Advanced Decision Analysis • Novel Applications in Telemedicine • Specialization of ICUs: Is It Right or Wrong? • We Are the Champions: The Future of ICU Design

s CARDIOVASCULAR AND RESUSCITATION • Adult Congenital Heart Disease • Bionics in the ICU • Hydrogen Sulfide: A Potential Therapy in Disparate

Cardiovascular Disorders? • New Developments in the Management of Cardiac

Comorbidities • Rapid Response Update • Resuscitating in Austere Environments • What’s Hot in Cardiac Arrest Research? • Translation Research in Cardiopulmonary Resuscitation

Research: Lessons Learned (Laerdal Award) • Translational Resuscitation Science: An Evolving Story of

Pets and Men

s ENDOCRINE AND RENAL • Acute Kidney Injury: Armor Up! • Dialysis in the ICU • It’s Just Saline … How Can It Be Harmful?

s ETHICS AND END OF LIFE • Changing Definition of Death • Choosing Wisely: The Critical Care Societies Top 5 List

(Critical Care Societies Collaborative Joint Session) • Improving Critical Care Delivery to the Underserved • Improving Efficiency in the Use of ICU Beds: Current

Controversies • Palliative Care in the ICU • When the Patient Lacks Capacity

s GI – NUTRITION • Can We Feed? Ensuring Optimal Early Enteral Nutrition • Extrahepatic Issues in Decompensated Cirrhosis • Feed Your Brain: It’s Not Just About Calories! • Malnutrition: New International Etiology-Based Diagnosis • Stop Stressing Over Stress Ulcers

s HEMATOLOGY AND IMMUNOLOGY • The Emerging Biology of Inflammation-Induced Critical

Illness • Hemostatic Resuscitation and Acute Coagulopathy in the

ICU • Sepsis Immunosuppression • Stem Cell Therapies in Critical Illness • Update on Coagulation Sampling and Testing

s INFECTIOUS DISEASES • Bench to Bedside: The Endothelium in Infection • Optimizing Antimicrobial Therapy in the ICU • Update on Encephalitis

s NEUROSCIENCE • Delirium and Encephalopathy in the ICU • Implications of Bedside Advanced Neuromonitoring • Management of Cerebral Edema • Understanding Sleep in Critically Ill Patients

s PEDIATRICS • Children Are Not Small Adults and Adults Are Not Big

Kids: Congenital Heart Disease • Dazed and Confused in the Pediatric ICU • Pediatric Acute Lung Injury • The Psychological Impact of Admission to the Pediatric

ICU • Transfusing the Critically Ill Child • Update in the Management of Pediatric Acute Kidney

Injury • Utilization of Ultrasound in Pediatric ICU • What If? An Examination of Certain Policies Within the

Pediatric ICU

Join your colleagues in several American College of Critical Care Medicine (ACCM) activities. Support members as they are inducted into the College during the Convocation and Society of Critical Care Medicine (SCCM) Awards Ceremony, and network with ACCM leadership during the business meeting. As an organization devoted to creating a greater understanding of critical care, ACCM emphasizes quality management in the practice and administration of care, communication and public opinion. Become more involved with ACCM and SCCM during these events.

Become a Fellow of the American College of Critical Care Medicine Friday, January 10, 20143:45 p.m. - 4:45 p.m. Moscone Center South

Attend this year’s session to obtain information on joining your colleagues by becoming a Fellow of this distinguished body. You can also stop by the Critical Connections Cafe to obtain an application or contact Carol Prendergast at [email protected] for details. Applications are due March 15, 2014.

Fellows of the College are eligible to nominate other Fellows for the designation of Master of Critical Care Medicine. Contact Colette Punda at [email protected] to obtain the award criteria or visit www.sccm.org/ACCM.

ACCM Convocation and SCCM Awards Ceremony Saturday, January 11, 20146:30 p.m. - 8:00 p.m. San Francisco Marriott Marquis - Yerba Buena Ballroom

Members and guests are invited to attend the ACCM Convocation and SCCM Awards Ceremony, where new Fellows will be inducted into the College, and award and grant recipients will be honored. Come support your colleagues during this prestigious occasion.

Ernest E. Moore, MD, FACS, FCCM, will receive the 2014 ACCM Distinguished Investigator Award, ACCM’s highest recognition, given to an individual whose scientific and educational contributions to the art and science of critical care demonstrate career commitment. Join

your colleagues in congratulating Dr. Moore and plan on attending his address, What Would Osler Say?

ACCM Town HallSunday, January 12, 201411:00 a.m. - 12:30 p.m. Moscone Center South

All Congress attendees are invited to attend the ACCM Town Hall, where this year’s topic will be Infection Control: How Are We Doing?

ACCM Business MeetingSunday, January 12, 20141:30 p.m. - 2:00 p.m. Moscone Center South

The leadership of ACCM will announce election results for the 2014-2015 Board of Regents and summarize ACCM activities over the past year. This is a great opportunity to meet with board members and network with ACCM Fellows.

At the conclusion of the 43rd Critical Care Congress, participants should be able to:

s Apply new knowledge and strategies to optimize the care of the critically ill patient as provided by the multiprofessional team

s Examine evidence-based medicine techniques to evaluate and improve patient care s Review and integrate guidelines to measure performance and identify areas for further study and improvement

s PHARMACOLOGY AND SEDATION • Drug Shortages: Lessons Learned • Extracorporeal Treatments in Poisoning (EXTRIP) • Therapeutic Drug Monitoring: A Modern-Day

Approach

s PLENARY • From Heroism to Safe Design in the ICU • Four Centuries of Biomedical Research in the US

Army Medical Corps: Benefits and Challenges • Tackling Brain Injury: “A Little Out of Focus” • Don’t Just Do Something, Stand There • What’s New and What’s Cool? • Artificial “Intensigence”: The Merger of Man and

Machines in the ICU • Critical Care Around the World: Global Challenges

s PROFESSIONAL DEVELOPMENT • Authors’ Primer for Critical Care Journals • Best Science: Encore Presentations • Frontline Provider Models for Staffing ICUs • Late-Breaker I • Late-Breaker II • Merlin the Magician: Looking Back in Order to Look

Forward • Social Media and the Intensivist • Filling in Critical Care Educational Gaps with

Simulation • Infection Control: How Are We Doing? (ACCM

Town Hall)

s PULMONARY • Adult Acute Respiratory Distress Syndrome: The

Cutting Edge • Bridge to the Future: Extracorporeal Support in Adult

Respiratory Failure • Noninvasive Ventilation • Obstructive Lung Disease in the ICU • Pulmonary Hypertension • Strategies for Severely Impaired Gas Exchange

s QUALITY AND PATIENT SAFETY • Don’t Be Alarmed: Preventing the Distraction • Guidelines, Protocols and Checklists • Human Factors, Human Errors • Implementing the Pain, Agitation, Delirium, and

Immobility Guidelines in the ICU • Improving the Safety and Quality of Patient Care by

Systems Engineering • Is Personalized Critical Care Medicine Feasible? • Making Decisions: Evidence Versus Experience • Post-Intensive Care Syndrome

s SEPSIS • Emerging Modulators of Sepsis-Induced Organ

Failure and Death • Implementing the Surviving Sepsis Bundles in the

Medical-Surgical Unit • Novel Approaches in Sepsis • Retrospective Analysis of Experiences Learned

from Landmark Sepsis Trials (Joint SCCM/ESICM Session)

s SURGERY AND TRAUMA • The Stuff That Smells Bad • When Your ICU Becomes Your Operating Room

s YEAR IN REVIEW • Year in Review: Anesthesia • Year in Review: Internal Medicine • Year in Review: Neuroscience • Year in Review: Nursing • Year in Review: Pediatrics • Year in Review: Pharmacology • Year in Review: Surgery


Schedule of Events


This schedule is subject to change. Visit www.sccm.org/congress for the most up-to-date schedule.

= Additional charge to attend = Ticketed session

Wednesday, January 8

Wednesday, January 8, 20148:00 A.M. - 5:00 P.M.

• PRE-CONGRESS EDUCATIONAL SESSION

Current Concepts in Adult Critical Care - Day 1 (see page 10 for Day 2)

Moderators: Azra BIHORAC, Steven GREENBERGLEARNING OBJECTIVES•Evaluate patient cases and treatment modalities•Discuss diagnostic and treatment options and controversies in

the management of critical illness•Examine administrative topics and quality improvement

initiatives in the ICU

8:00 a.m. - 8:45 a.m. > Practice Variability: What Does It Mean When We All

Do Things Differently in the ICU?Avery TUNG

8:45 a.m. - 9:30 a.m. > Why Is the Kidney Important for Postoperative

Patients?Azra BIHORAC

9:30 a.m. - 10:15 a.m. > Postoperative Respiratory Failure and Role of

Noninvasive Mechanical VentilationEdward BITTNER

10:15 a.m. - 10:30 a.m. > Break

10:30 a.m. - 11:15 a.m. > Resuscitation End Points: Which One Is Optimal?

Michael PINSKY

11:15 a.m. - 12:00 p.m. > Transfusion for the Critically Ill Patient: When, What

and Who?Ronald PEARL

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:45 p.m. > Delirium in the ICU

Pratik PANDHARIPANDE

1:45 p.m. - 2:30 p.m. > Optimizing Sedation and Analgesia in the ICU: The

Role of NeuromonitoringGilles FRASER

2:30 p.m. - 3:15 p.m. > Innovation, Competency and Standardization in

Critical Care MedicineTimothy BUCHMAN

3:15 p.m. - 3:30 p.m. > Break

3:30 p.m. - 4:15 p.m. > Update on Nutrition in the Critically Ill

Marion WINKLER

4:15 p.m. - 5:00 p.m. > Case Presentations I

Edward BITTNER, Jennifer LaROSA

8:00 A.M. - 5:00 P.M.


Current Concepts in Pediatric Critical Care - Day 1 (see page 10 for Day 2)

Moderators: Mark RIGBY, Ana Lia GRACIANOLEARNING OBJECTIVES•Discuss disease processes and effective goal-directed

approaches to critical care management•Examine controversial topics and the risk/benefit ratios in

pediatric critically ill patients•Apply translational medical science to improve the outcomes of

pediatric critically ill patients•Evaluate patient cases and treatment modalities

8:00 a.m. - 8:45 a.m. > Venovenous: Extracorporeal Membrane Oxygenation Is

the Way to GoDavid TURNER

8:45 a.m. - 9:30 a.m. > New Horizons in Extracorporeal Membrane

Oxygenation CoagulationLeslie RAFFINI

9:30 a.m. - 10:15 a.m. > Prudent Antibiotic Use in the ICU

John CHRISTENSON

10:15 a.m. - 10:30 a.m. > Break

10:30 a.m. - 11:15 a.m. > Applications of Dexmedetomidine in the Pediatric ICU

and BeyondJoseph TOBIAS

11:15 a.m. - 12:00 p.m. > Procedural Sedation out of the Pediatric ICU

Patricia SCHERRER

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:45 p.m. > Case Studies I

Mark RIGBY, Joseph TOBIAS

1:45 p.m. - 2:30 p.m. > New Monitoring Devices in Critical Care: Functional

or Fad?Todd KILBAUGH

2:30 p.m. - 3:15 p.m. > How to Identify and Overcome Ethical Dilemmas in the

Pediatric ICUK. Sarah HOEHN

3:15 p.m. - 3:30 p.m. > Break

3:30 p.m. - 4:15 p.m. > Noninvasive Ventilation: Balancing Risks and Benefits

Ira CHEIFETZ

4:15 p.m. - 5:00 p.m. > Standardizing Care in the Pediatric ICU: It’s Time

Mark RIGBY

8:00 A.M. - 5:00 P.M.

• POSTGRADUATE COURSE

Veterinary Respiratory Diagnostics and Therapeutics - Day 1 (see page 11 for Day 2)

Moderator: Benjamin BRAINARD LEARNING OBJECTIVES•Compare the tools available for pulmonary assessment in small

animals•Discuss the theories and practice for mechanical ventilation of

the small animal patient•Assess breed-specific pulmonary disease

8:00 a.m. - 8:45 a.m. > Introduction

Benjamin BRAINARD

8:45 a.m. - 9:30 a.m. > Pulmonary Function Testing

Lesley KING

9:30 a.m. - 10:15 a.m. > Advanced Imaging for Thoracic Disease

Elizabeth ROZANSKI

10:15 a.m. - 10:30 a.m. > Break

10:30 a.m. - 11:15 a.m. > Positive Pressure Ventilation: 25 Years of Progress in

Veterinary MedicineLesley KING

11:15 a.m. - 12:00 p.m. > ARDS and Intra-Alveolar Coagulation

Elizabeth ROZANSKI

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:45 p.m. > Discussions

Lesley KING

1:45 p.m. - 2:30 p.m. > Case Discussions

Elizabeth ROZANSKI

2:30 p.m. - 3:15 p.m. > Case Discussions

Lesley KING

3:15 p.m. - 3:30 p.m. > Break

3:30 p.m. - 4:15 p.m. > TBD

TBD

4:15 p.m. - 5:00 p.m. > TBD

TBD


Schedule of Events




Thur

sday

, Jan

uary

9

Thursday, January 9, 20148:00 A.M. - 5:00 P.M.


Current Concepts in Adult Critical Care - Day 2 (see page 9 for Day 1)

Moderators: Azra BIHORAC, Steven GREENBERGLEARNING OBJECTIVES•Evaluate patient cases and treatment modalities•Discuss diagnostic and treatment options and controversies in

the management of critical illness•Examine administrative topics and quality improvement

initiatives in the ICU

8:00 a.m. - 8:45 a.m. > How Is the Affordable Care Act Going to Change the

Practice of Critical Care Medicine?Charles HOBSON

8:45 a.m. - 9:30 a.m. > Postoperative Care of the Cardiac Surgical Patient

Steven GREENBERG

9:30 a.m. - 10:15 a.m. > Management of the Patient with Acute-on-Chronic

Liver Failure in the ICURam SUBRAMANIAN

10:15 a.m. - 10:30 a.m. > Break

10:30 a.m. - 11:15 a.m. > Management of the Airway in the ICU

Stephen HEARD

11:15 a.m. - 12:00 p.m. > ACLS Update and Hypothermia After Cardiac Arrest

Michael O’CONNOR

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:45 p.m. > Critical Care Endocrinology

Aaron JOFFE

1:45 p.m. - 2:30 p.m. > Nosocomial Infections in the ICU: What’s New?

Mark KEEGAN

2:30 p.m. - 3:15 p.m. > Management of Organ Donors in the ICU:

Assessment of Brain Death and MoreAhmed BADR

3:15 p.m. - 3:30 p.m. > Break

3:30 p.m. - 4:15 p.m. > Medical Ethics in the ICU

David KAUFMAN

4:15 p.m. - 5:00 p.m. > Case Presentations II

Mark KEEGAN, Ahmed BADR

8:00 A.M. - 5:00 P.M.


Current Concepts in Pediatric Critical Care - Day 2 (see page 9 for Day 1)

Moderators: Mark RIGBY, Ana Lia GRACIANOLEARNING OBJECTIVES•Discuss disease processes and effective goal-directed

approaches to critical care management•Examine controversial topics and the risk/benefit ratios in

pediatric critically ill patients•Apply translational medical science to improve the outcomes of

pediatric critically ill patients•Evaluate patient cases and treatment modalities

8:00 a.m. - 8:45 a.m. > Life with a Single Ventricle: A Long and Winding Road

Ana Lia GRACIANO

8:45 a.m. - 9:30 a.m. > Anticoagulation and Clots in the Pediatric ICU

Edward Vincent FAUSTINO

9:30 a.m. - 10:15 a.m. > Progress and Participation in National Pediatric ICU

Study GroupsThomas RICE

10:15 a.m. - 10:30 a.m. > Break

10:30 a.m. - 11:15 a.m. > Late Career Practice Options

Thomas NAKAGAWA

11:15 a.m. - 12:00 p.m. > Independent Practitioners in the Pediatric ICU

Zena HARRIS

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:45 p.m. > Case Studies II

Ana Lia GRACIANO, Mark HALL

1:45 p.m. - 2:30 p.m. > Role of Nutrition and Pharmaconutrition in Pediatric

Critical CareBrian JACOBS

2:30 p.m. - 3:15 p.m. > Delirium and Neurodegeneration in the Pediatric ICU

Heidi SMITH

3:15 p.m. - 3:30 p.m. > Break

3:30 p.m. - 4:15 p.m. > Are Neurointensivists Needed in the Pediatric ICU?

Robert TASKER

4:15 p.m. - 5:00 p.m. > Immune Responsiveness: Benefit or Harm in Pediatric

Sepsis?Mark HALL

8:00 A.M. - 5:00 P.M.


Fundamentals of Extracorporeal Membrane OxygenationModerators: Lillian SU, Paul CHECCHIALEARNING OBJECTIVES•List the indications, risks and benefits of extracorporeal

membrane oxygenation (ECMO)•Review the physiologic concepts behind ECMO to

troubleshoot the most common emergencies• Identify the differences between the different kinds of ECMO:

venoarterial versus venovenous, roller versus centrifugal•Discuss the day-to-day issues that arise with ECMO, including

blood products, pharmacotherapy, and ventilation management

8:00 a.m. - 8:15 a.m. > Introduction to Course, Format and Agenda

Lillian SU

8:15 a.m. - 8:45 a.m. > ECMO Past, Present and Future: An Adult and

Pediatric Overview of Perspectives of Evidence and IndicationsHeidi DALTON, Steven CONRAD

8:45 a.m. - 9:15 a.m. > Picking the Appropriate Patients and What History

Tells UsDaniel BRODIE

9:15 a.m. - 9:45 a.m. > Overview of Devices, Cannula and Spare Parts: Roller

Versus CentrifugalSteven CONRAD

9:45 a.m. - 10:15 a.m. > Venovenous Versus Venoarterial: What’s All the Hype

About the Avalon?Marco RANIERI

10:15 a.m. - 10:45 a.m. > Break

10:45 a.m. - 11:15 a.m. > Managing the Ventilator on ECMO

Marco RANIERI

11:15 a.m. - 12:00 p.m. > Cannulation: How to Do It and How Not to Do It - A

Pictorial GuideDavid McMULLAN

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:45 p.m. > Basics of the Everyday Issues: Nutrition,

Pharmacology, SedationLara SHEKERDEMIAN

1:45 p.m. - 2:15 p.m. > Mobilization on ECMO

Daniel BRODIE

2:15 p.m. - 2:45 p.m. > Anticoagulation and Transfusion: What Do All Those

Different Tests Really Mean?Laurance LEQUIER

2:45 p.m. - 3:00 p.m. > Break

3:00 p.m. - 3:30 p.m. > Questions and Answers

Lillian SU

3:30 p.m. - 4:00 p.m. > Weaning from ECMO: How Do You Know When?

Heidi DALTON

4:00 p.m. - 5:00 p.m. > Hands-On Stations

Lillian SU, Heidi DALTON, Daniel BRODIE, Steven CONRAD, Laurance LEQUIER, David McMULLAN and Gary OLDENBURG


Schedule of Events




Thursday, January 9

8:00 A.M. - 5:00 P.M.


Veterinary Respiratory Diagnostics and Therapeutics - Day 2 (see page 9 for Day 1)

Moderator: TBD LEARNING OBJECTIVES•Compare the tools available for pulmonary assessment in small

animals•Discuss the theories and practice for mechanical ventilation of

the small animal patient•Assess breed-specific pulmonary disease

8:00 a.m. - 8:45 am > Advanced Hemodynamics: From Physiology to

Pathology Part 1 Andre SHIH

8:45 a.m. - 9:30 a.m. > Advanced Hhemodynamics and Transthoracic

Pressure Andre SHIH

9:30 a.m. - 10:15 a.m. > Transthoracic Pressure Manipulation: Make the Chest

Work for You!Andre SHIH

10:15 a.m. - 10:30 a.m. > Break

10:30 a.m. - 11:15 a.m. > Advanced Macrohemodynamic Monitoring

Edward COOPER

11:15 a.m. - 12:00 p.m. > Assessing Fluid Responsiveness: What Can We Do?

Edward COOPER

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:45 p.m. > Structure, Regulation and Assessment of the

Microcirculation Edward COOPER

1:45 p.m. - 3:45 p.m. > ACVECC Mock Board Examination

Benjamin BRAINARD

3:45 p.m. - 5:00 p.m. > TBD

TBD

8:00 A.M. - 5:00 P.M.


ICU Management Paradigms for the 21st CenturyModerators: Marc ZUBROW, Craig LILLY, Isabelle KOPECLEARNING OBJECTIVES•Discuss types of ICU care delivery models• Interpret financial reporting•Review ICU protocols

8:00 a.m. - 8:45 a.m. > How to Talk to Your CFO: The Language of Financial

ReportingJohn McILWAINE

8:45 a.m. - 9:45 a.m. > Intensivist Shortage and Staffing: Are We Obligated to

Have Intensivist Coverage?Derek ANGUS

9:45 a.m. - 10:15 a.m. > Tele-ICU

Marc ZUBROW

10:15 a.m. - 10:30 a.m. > Break

10:30 a.m. - 11:15 a.m. > Tele-ICU Case Presentation

Bruce GREENBERG, Isabelle KOPEC

11:15 a.m. - 12:00 p.m. > Do We Need 24-Hour Intensivists?

Carl SHANHOLTZ, Jeremy KAHN

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:45 p.m. > Breakout Session 1: How to Leverage Data to Select

Quality and Safety InitiativesCraig LILLY, Bruce GREENBERG, Isabelle KOPEC, John McILWAINE, Marc ZUBROW

1:45 p.m. - 2:30 p.m. > Advanced Practice Providers and Pharmacists as Part

of the ICU TeamTimothy BUCHMAN

2:30 p.m. - 3:15 p.m. > Do Weaning Protocols Work?

Robert KACMAREK

3:15 p.m. - 3:30 p.m. > Break

3:30 p.m. - 4:15 p.m. > Do Sedation/Analgesia Protocols Work?

Richard RIKER

4:15 p.m. - 5:00 p.m. > Breakout Session 2: Building High-Fidelity ICU Teams

on the FlyCraig LILLY, Bruce GREENBERG, Isabelle KOPEC, John McILWAINE, Marc ZUBROW

8:00 A.M. - 5:00 P.M.


Less-Invasive Hemodynamic MonitoringModerators: Michael WALL, Gregory KERR, Kristine LOMBARDOZZILEARNING OBJECTIVES•Explain how less-invasive cardiac output monitors work•List the pros/cons, limitations and contraindications of each

monitor•Discuss the use of these monitors in resuscitation of the

critically ill•Demonstrate hands-on experience with each monitor


Michael WALL

8:15 a.m. - 8:45 a.m. > Pulse Waveform Analysis

Wolf Benjamin KRATZERT

8:45 a.m. - 9:15 a.m. > Transpulmonary Thermodilution

Adam EVANS

9:15 a.m. - 9:45 a.m. > Esophageal Ultrasound

Brian WESSMAN

9:45 a.m. - 10:00 a.m. > Break

10:00 a.m. - 10:30 a.m. > Skill Station: Pulse Waveform Analysis (LIDCOO)

Gregory KERR, James OSORIO, Breandan SULLIVAN

10:30 a.m. - 11:00 a.m. > Skill Station: Pulse Waveform Analysis (FloTrac)

William MILES, Alan HEFFNER, Kristine LOMBARDOZZI

11:00 a.m. - 11:30 a.m. > Skill Station: Transpulmonary Thermodilution

Russell ROBERSON, Adam EVANS, Sean KILEY

11:30 a.m. - 12:00 p.m. > Skill Station: Esophageal Ultrasound

Michael WALL, Brian WESSMAN, Michael NUROK

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:30 p.m. > Endotracheal Cardiac Output Monitoring

Gregory KERR

1:30 p.m. - 2:00 p.m. > CO2 Rebreathing

Russell ROBERSON

2:00 p.m. - 2:30 p.m. > Near-Infrared Spectroscopy

James OSORIO

2:30 p.m. - 2:45 p.m. > Break

2:45 p.m. - 3:15 p.m. > Skill Station: Noninvasive Cardiac Output Monitoring

Gregory KERR, Kristine LOMBARDOZZI, Adam EVANS

3:15 p.m. - 3:45 p.m. > Skill Station: Endotracheal Cardiac Output Monitoring

Breandan SULLIVAN, William MILES, Sean KILEY

3:45 p.m. - 4:15 p.m. > Skill Station: CO2 Rebreathing

Russell ROBERSON, Michael NUROK, Wolf Benjamin KRATZERT

4:15 p.m. - 4:45 p.m. > Skill Station: Near-Infrared Spectroscopy

Michael WALL, James OSORIO, Adam EVANS

4:45 p.m. - 5:00 p.m. > Questions and Answers


Schedule of Events




Thur

sday

, Jan

uary

9

8:00 A.M. - 5:00 P.M.


Optimizing Mechanical Ventilation: Sharing Data Between Adult and Pediatric PatientsModerators: Ira CHEIFETZ, Robert HYZYLEARNING OBJECTIVES•Compare and contrast mechanical ventilation strategies for

adult and pediatric patients for the mutual education of both disciplines

•Discuss strategies to promote lung protective ventilation for critically ill patients

•Describe novel approaches for the management of adult and pediatric patients with refractory hypoxemic respiratory failure


Ira CHEIFETZ, Robert HYZY

8:15 a.m. - 9:30 a.m. > Conventional Mechanical Ventilation: Compare and

Contrast Adult and Pediatric Management ApproachesJohn MARINI, Ira CHEIFETZ

9:30 a.m. - 10:15 a.m. > Optimizing Lung Volume: Optimal PEEP and Lung

Recruitment ManeuversRobert KACMAREK

10:15 a.m. - 10:30 a.m. > Break

10:30 a.m. - 12:00 p.m. > Noninvasive Ventilation: Compare and Contrast Adult

and Pediatric Technology and Management StrategyNicholas HILL, James FORTENBERRY

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 2:30 p.m. > Strategies to Promote Spontaneous Breathing,

Optimize Synchrony, and Minimize Sedation RequirementsJohn KRESS, Heidi DALTON

2:30 p.m. - 3:15 p.m. > Permissive Ventilation (Permissive Hypercapnia;

Permissive Hypoxemia; Rationale; Physiology/Pathophysiology)Neil MacINTYRE

3:15 p.m. - 3:30 p.m. > Break

3:30 p.m. - 5:00 p.m. > Adjunct Approaches to Mechanical Ventilation:

Compare and Contrast Adult and Pediatric (Surfactant, Prone Positioning, Inhaled Medical Gases, Nutritional Supplements)Robert HYZY, John ARNOLD

8:00 AM - 5:00 PM


Case-Based Pearls in Neurocritical CareModerators: Cherylee Chang, Jose Javier Provencio, LEARNING OBJECTIVES•Utilize a case-based approach to formulate diagnoses,

treatment options and prognosis•Review guideline updates and current knowledge-base for

various neurological conditions

8:00 a.m. - 8:45 a.m. > The Girl Who Went Crazy and Shook

Matthew KOENIG

8:45 a.m. - 9:30 a.m. > The Confused Guy Sitting in the Corner

Michel TORBEY

9:30 a.m. - 10:15 a.m. > I Was Hiking and Got a Headache

J. HEMPHILL

10:15 a.m. - 10:30 a.m. > Break

10:30 a.m. - 11:15 a.m. > My World Went Blurry and I Couldn’t Walk

Nerissa KO

Continued

Case-Based Pearls in Neurocritical Care, Continued

11:15 a.m. - 12:00 p.m. > Jumpin’ on the Bed

Katherine BIAGAS

12:00 p.m. - 1:00 p.m. > Lunch

1:00 p.m. - 1:45 p.m. > The Code That Just Got Admitted

Carmelo GRAFFAGNINO

1:45 p.m. - 2:30 p.m. > The Worst Headache of My Life

Jose Javier PROVENCIO

2:30 p.m. - 3:15 p.m. > I Was Minding My Own Business and He Hit Me With

a BrickGeoffrey MANLEY

3:15 p.m. - 3:30 p.m. > Break

3:30 p.m. - 4:15 p.m. > Call a Neurology Consult: The Sepsis Patient Isn’t

Waking UpEdward MANNO

4:15 p.m. - 5:00 p.m. > The Woman Who Fell Down the Stairs

Lori SHUTTER


Schedule of Events




Friday, January 10

Friday, January 10, 20148:00 A.M. - 9:30 A.M.

• OPENING SESSION

Welcome from Congress Co-Chairs

Lifetime Achievement Award Winner

Presidential Address J. Christopher FARMER, MD, FCCMProfessor of Medicine and Consultant in Critical Care MedicineMayo ClinicPhoenix, Arizona, USA

• PLENARY SESSION

From Heroism to Safe Design in the ICUPeter J. PRONOVOST, MD, PhD, FCCM

Professor, Departments of Anesthesiology/Critical Care Medicine and SurgeryThe Johns Hopkins University School of MedicineBaltimore, Maryland, USA

LEARNING OBJECTIVES•Assess why current approaches to ICU care have largely failed

to improve quality, safety, and efficiency of care•Discuss how systems approaches have been applied to

improve quality and safety in other high-reliability industries•Define how systems approaches and systems engineering are

being used to improve ICU quality, safety, and costs

9:30 A.M. - 10:30 A.M.

Break

10:30 A.M. - 11:30 A.M.

Drug Shortages: Lessons LearnedModerator: Russel ROBERTSLEARNING OBJECTIVES•Review the observed clinical outcomes of drug shortages•Discuss how professional organizations can intervene in

shortages•Examine institutional plans for dealing with shortages

> Patient Outcomes from Drug ShortagesJohn LEWIN

> Strategies to Deal with Shortages on the Local LevelStephanie MALLOW-CORBETT

10:30 A.M. - 11:30 A.M.

Getting Paid for Your Performance with Proper CodingModerator: George SAMPLELEARNING OBJECTIVES•Differentiate complex care from critical care and code

appropriately•Determine how to bill for surgical and ICU procedures•Discuss how to manage your practice

> How Payors Define the Critically Ill PatientGeorge SAMPLE

> Coding for Surgery and ICU ProceduresR. REED

> Noncritical Care for ICU PatientsTodd DORMAN

10:30 A.M. - 11:30 A.M.

Obstructive Lung Disease in the ICUModerator: Scott MICEKLEARNING OBJECTIVES•Explain the breadth of chronic obstructive pulmonary disease•Recognize approaches to the severe asthmatic patient•Prescribe effective treatment to patients in the ICU with

obstructive lung disease•Utilize permissive hypercapnia as a therapeutic tool to patients

with obstructive lung disease in the ICU•Manage obstructive lung disease in patients in the ICU for

reasons other than lung disease

> Near-Fatal AsthmaPauline PARK

> Pharmacologic Management of Obstructive Lung DiseaseScott MICEK

> Permissive Hypercapnia in Obstructive Lung Disease: Gone But Not ForgottenRobert HYZY

10:30 A.M. - 11:30 A.M.

Understanding Sleep in Critically Ill PatientsModerator: Brian GEHLBACHLEARNING OBJECTIVES•Provide a historical perspective of sleep research in critical

illness•Review the data on risk factors for poor sleep in the ICU,

including noise, light and patient care interactions•Present data on the effects of medications and mechanical

ventilation on sleep•Review the latest research on the links between sleep and

outcomes, including delirium and post-ICU sleep disturbances•Present data on interventions to improve sleep in critically ill

patients

> Impact of Medication, Delirium and Mechanical Ventilation on Sleep in the ICUJohn DEVLIN

> Circadian Rhythms and Interventions to Improve Sleep in Critically Ill PatientsBrian GEHLBACH

> Sleep Disturbances After Recovery from Critical IllnessPaula WATSON

10:30 A.M. - 12:30 P.M.

Changing Definition of DeathModerator: Ira CHEIFETZLEARNING OBJECTIVES•Discuss the changing definitions of death in relation to organ

donation•Review death by neurologic criteria, including the management

of the patient with catastrophic brain injury•Discuss controversies surrounding donation after cardiac death•Examine pediatric-specific considerations in the organ donation

process

> Death by Neurologic CriteriaDavid GREER

> Impact of Cardiac Devices on the Definition of DeathMichael BANNON

> Controversies Surrounding Donation After Cardiac DeathThomas NAKAGAWA

> Panel DiscussionDavid GREER, Michael BANNON, Thomas NAKAGAWA, Christine TOEVS

10:30 A.M. - 12:30 P.M.

Improving the Safety and Quality of Patient Care by Systems EngineeringModerator: Brian PICKERINGLEARNING OBJECTIVES•Explain how systems engineering has been used to improve

performance in other high-reliability, highly complex industries•Review how ICU systems have evolved in the absence of

systems engineering and how this impacts the safety and quality

•Discuss ongoing efforts to use systems engineering to improve the design, function, and care delivery of the ICU

> The Moore Foundation Patient Care Program: Acute Care Initiative ProjectGeorge BO-LINN

> Interoperability: A Cornerstone of Systems IntegrationJulian GOLDMAN

> Project Emerge: A Pilot Systems Engineering Approach to Eliminate Harm in the ICUAdam SAPIRSTEIN

> AWARE: ICU in the CloudBrian PICKERING

10:30 A.M. - 12:30 P.M.

Emerging Modulators of Sepsis-Induced Organ Failure and DeathModerator: Jennifer KAPLANLEARNING OBJECTIVES•Review studies on emerging mediators of sepsis•Explain effects of dietary fat on sepsis pathophysiology•Discuss studies on peroxisome proliferator-activated receptor

as a potential therapeutic target•Examine work on heat shock proteins in sepsis and organ

failure•Describe role of the programmed death-1 protein in sepsis

> Dietary Fat and Sepsis-Induced Organ InjuryJennifer KAPLAN

> Peroxisome Proliferator-Activated Receptor a Novel Potential Therapeutic Agent for SepsisBasilia ZINGARELLI

> MicroRNAs in Sepsis and Other Inflammatory DisordersJessica MORELAND

> Programmed Death-1 Protein in SepsisRichard S. HOTCHKISS

11:30 A.M. - 12:30 P.M.

Delirium and Encephalopathy in the ICUModerator: Timothy GIRARDLEARNING OBJECTIVE•Discuss challenges in managing patients with delirium

> Physiology of DeliriumTBD

> PreventionTimothy GIRARD

> Workup and Treatment of the Delirious PatientAlejandro RABINSTEIN


Schedule of Events




Frid

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0

11:30 A.M. - 12:30 P.M.

Extracorporeal Treatments in Poisoning Workgroup (EXTRIP)Moderator: James MOWRYLEARNING OBJECTIVES•Present the Extracorporeal Treatments in Poisoning (EXTRIP)

initiative and its scope•Discuss how the EXTRIP methods apply to a specific toxin•Review EXTRIP recommendations with quick case

presentations

> The EXTRIP Initiative: Rationale, Objectives and MethodsJames MOWRY

> Applying the EXTRIP Process to a Specific Toxin: CarbamazepineMarc GHANNOUM

> Short Vignettes of Toxins Potentially Removable by Extracorporeal MethodsRobert HOFFMAN

11:30 A.M. - 12:30 P.M.

Improving Efficiency in the Use of ICU Beds: Current ControversiesModerator: Scott HALPERNLEARNING OBJECTIVES• Identify the patient populations and aspects of critical care

where efficiency is suboptimal•Discuss the consequences of optimizing bed use on costs and

patient outcomes

> What Is the Right Level of ICU Occupancy That Optimizes Patient Outcomes?Scott HALPERN

> Can We Reduce ICU Costs Through High-Quality End-of-Life Care?J. Randall CURTIS

> Improving the Efficiency of Discharge Decisions: What Is the Role of Long-Term Acute Care (LTACs)Jeremy KAHN

11:30 A.M. - 12:30 P.M.

Noninvasive VentilationModerator: Robert KACMAREKLEARNING OBJECTIVES•Review the latest techniques in providing noninvasive ventilation•Discuss the efficacy of noninvasive ventilation in treating

primary respiratory failure•Determine if the application of noninvasive ventilation is

effective in treating patients with secondary respiratory failure, i.e, post-operative, post-trauma, congestive heart failure

> The Nuts and Bolts: How to Provide Noninvasive VentilationRobert KACMAREK

> Noninvasive Ventilation for Primary Respiratory FailureNicholas HILL

> Noninvasive Ventilation for Secondary Respiratory FailureSean KEENAN

10:30 A.M. - 12:30 P.M.

Post-Intensive Care SyndromeModerator: Maurene HARVEYLEARNING OBJECTIVES•Describe the issues and symptoms related to post-intensive

care syndrome (PICS)•Discuss cost of PICS to families•Listen to a PICS survivor’s story

> PICS: Survivors and FamiliesRamona HOPKINS

> Costs of PICS Care to Families and SocietyTheodore IWASHYNA

> Recovering from the ICU: A Survivor’s StoryAlison CLAY

> Questions and AnswersMaurene HARVEY, Alison CLAY, Theodore IWASHYNA

10:30 A.M. - 12:30 P.M.

Transfusing the Critically Ill ChildModerator: Mark HALLLEARNING OBJECTIVES•Discuss the efficacy and safety of transfusions in critically ill

children•Review the current guidelines for red blood cell transfusions•Examine preliminary data from the Transfusion Requirements in

Pediatric Intensive Care Unit trial•Review newly recognized transfusion-related morbidity

> What Are Acceptable Transfusion Thresholds in the Cyanotic and Noncyanotic Pediatric ICU Patient?Allan DOCTOR

> Unexpected Transfusion Reactions: From Transfusion-Related Acute Lung Injury to Immune SuppressionMark HALL

> Red Blood Cell Storage and Clinical OutcomesPhilip SPINELLA

12:45 P.M. - 1:45 P.M.

Professor Walk Rounds

2:00 P.M. - 2:45 P.M.

• PLENARY SESSION

Four Centuries of Biomedical Research in the US Army Medical Corps: Benefits and ChallengesBasil A. PRUITT Jr., MD, FACS, MCCM

Clinical Professor of SurgeryBetty and Bob Kelso DistinguishedChair in Burn and Trauma SurgeryUniversity of Texas Health ScienceCenterSan Antonio, Texas, USA

LEARNING OBJECTIVES•Review the requirements for effective integration of clinical and

laboratory research• Identify improvements in burn and trauma patient care resulting

from integrated research•Discuss the reiterative nature of the integrated clinical/

laboratory research process

2:45 P.M. - 3:45 P.M.

Break

3:30 P.M. - 5:30 P.M.

• NON-CE SESSION

Developing a Competitive Application for Your First JobLEARNING OBJECTIVES • Identify differences between pathway careers in critical care• Identify appropriate mentorships•Understand the job search, interview process and how to

improve your chances for success•Develop academic skills

> Academic Medicine vs Private Practice: Similarities and DifferencesTBD

> Developing a CV and obtaining appropriate mentorship in and after trainingAnn THOMPSON

> Job search, interviews, and contract negotiatingTimothy YEH

> Creating an Expressive and Powerful PresentationPaul WISCHMEYER

3:45 P.M. - 4:45 P.M.

• NON-CE SESSION

Become a Fellow of the American College of Critical Care Medicine (See page 8 for all ACCM activities)

Moderator: Sandralee BLOSSERLEARNING OBJECTIVE•Define the eligibility criteria for Fellowship in the American

College of Critical Care Medicine

3:45 P.M. - 5:45 P.M.

Oral Abstracts

3:45 P.M. - 5:45 P.M.

• NON-CE SESSION

Project Dispatch: Sharing Patient-Centered Strategies to Improve Care at the Bedside Moderator: Ruth KLEINPELL LEARNING OBJECTIVE •Discuss strategies for integrating patient centered outcomes

research into clinical practices in the ICU •Highlight several initiatives that have successfully promoted

patient and family centered care in the ICU which serve as examples of applying patient centered outcomes research in clinical practice

3:45 p.m. - 5:45 p.m. > Training the Whole Team to Enhance Family

Communication in the ICUJudy E. DAVIDSON

3:45 p.m. - 5:45 p.m. > Transforming Care: Developing a Patient-Centered

ICUTBD

3:45 p.m. - 5:45 p.m. > Summary and Next Steps to Promoting Patient and

Family Centered Care as a Standard of Care in the ICU Tim BUCHMAN


Schedule of Events




saTurday, January 11

saTurday, January 11, 20146:30 A.M. – 8:00 A.M.

Breakfast Symposia

8:15 A.M. - 9:00 A.M.

• PLENARY SESSION

Tackling Brain Injury: “A Little Out of Focus”Patrick M. KOCHANEK, MD, MCCM

Professor and Vice Chair,Department of Critical CareMedicineProfessor of Anesthesiology,Pediatrics and Clinical andTranslational Science

Director, Safar Center for Resuscitation ResearchUniversity of Pittsburgh School of MedicinePittsburgh, Pennsylvania, USA

LEARNING OBJECTIVES•Recognize new therapeutic targets and re-examine old targets

in critical brain injury•Review novel approaches to define successful therapies for

critical brain injury•Define successful pathways for academic career achievement

in neurocritical care

9:00 A.M. - 10:00 A.M.

Break

10:00 A.M. - 11:00 A.M.

Guidelines, Protocols and ChecklistsModerator: David CHONGLEARNING OBJECTIVES•Describe the concerns of implementing checklists and how to

avoid common pitfalls•Recognize important guidelines and how to most effectively

implement them•Discuss the success of the implementation of guidelines and

checklists in the ICU environment

> Strategies for Implementation of Evidence-Based ProtocolsWesley McMILLIAN

> The Dark Side of ChecklistsDavid CHONG

> Process of Care: Checklists and OutcomesJaclyn LeBLANC

10:00 A.M. - 11:00 A.M.

Management of Cerebral EdemaModerator: Michel TORBEYLEARNING OBJECTIVES•Examine the role of osmotic therapy in the treatment of cerebral

edema•Discuss the role of hyperoncotic solutions in cerebral edema•Review the surgical management of cerebral edema

> Osmotic Approach to Cerebral EdemaJeff FLETCHER

> Oncotic Approach to Cerebral EdemaMichel TORBEY

> Surgical Approach to Cerebral EdemaMark CIPOLLE

10:00 A.M. - 11:00 A.M.

Strategies for Severely Impaired Gas ExchangeModerator: Robert HYZYLEARNING OBJECTIVES•Discuss outcomes with the use of neuromuscular blocking

agents•Review goal-oriented respiratory management strategies in the

ICU

> To Breathe or Not to Breathe: Does Paralysis Work Early in Acute Respiratory Distress Syndrome?Robert HYZY

> Is Oscillation Dead?David HAGER

> Extracorporeal Membrane OxygenationPauline PARK

10:00 A.M. - 12:00 P.M.

Bionics in the ICUModerator: Paul CHECCHIALEARNING OBJECTIVES•Describe new devices for cardiovascular and pulmonary

support•Review specifics of resuscitation as they relate to ventricular

assist devices (VADs)•Assess pharmacological challenges with cardiac assist devices•Assess use of bionics in the pediatric ICU

> By the Way, I Have a VADMichael O’CONNOR

> Update on Extracorporeal Respiratory Assist DeviceJohn KELLUM

> Anticoagulant Considerations with VADs and Extracorporeal Respiratory Assist DevicesChristopher PACIULLO

> Hypovolemic Shock in the VAD PatientSrinivas MURALI

> Mechanical Support in PediatricsPaul CHECCHIA

10:00 A.M. - 12:00 P.M.

• CRITICAL CARE SOCIETIES JOINT COLLABORATIVE

Choosing Wisely: The Critical Care Societies Collaborative Top 5 ListModerator: Scott HALPERNLEARNING OBJECTIVES•Discuss the background on Choosing Wisely campaign in

critical care• Identify the top 5 priorities in critical care•Describe future strategies for success

> The American Board of Internal Medicine’s Choosing Wisely Campaign: Is It Right for You?Scott HALPERN

> The Top 5 List in Critical Care MedicineHannah WUNSCH

> What Is Next? Promoting Adherence to the ListJeremy KAHN

> Panel DiscussionCarol THOMPSON, Curtis SESSLER, Patricia FINN, Kathryn ROBERTS

10:00 A.M. - 12:00 P.M.

Filling in Critical Care Educational Gaps with SimulationModerator: Geoffrey LIGHTHALLLEARNING OBJECTIVES•Discuss the variables in critical care education•Explain key elements in designing scenarios•Compare different methods of successful teamwork

> Overview of Simulation and Applicability to Critical Care EducationGeoffrey LIGHTHALL

> Disease Management and Scenario DesignErin HENNESSEY

> Difficult ConversationsTBD

> Procedures and TasksTBD

> TeamworkMichael DeVITA

> Ideas to Spice Up What You Are Already DoingTBD

10:00 A.M. - 12:00 P.M.

Merlin the Magician: Looking Back in Order to Look ForwardModerator: Katherine BIAGASLEARNING OBJECTIVE•Listen to past SCCM Presidents as they update their

presidential addresses by discussing: what became reality, what they might change, and how they see things differently today

> President, 1984-1985Dharmapuri VIDYASAGAR

> President, 1988-1989Peter HOLBROOK

> President, 1992-1994Russell RAPHAELY

> President, 2001-2002Ann THOMPSON

> President, 2004-2005Margaret PARKER

> President, 2011-2012Pamela LIPSETT

10:00 A.M. - 12:00 P.M.

The Stuff That Smells BadModerator: Robert SHERIDANLEARNING OBJECTIVES•Contrast soft tissue injury and infection including the basic

underpinnings of the host response•Explain what is new in the diagnosis or therapy of necrotizing

soft tissue infection (NSTI)•Describe the management of complex postoperative or

postinjury wounds by a multiprofessional team•Apply hyperbaric oxygen as an adjunct in wound care

> Basic Mechanisms of Host Response to Burns and Environmental InjuryRobert SHERIDAN

> NSTI: What Is New in Diagnosis and Therapy?Addison MAY

> Complex Wound Management with a Multiprofessional TeamJohn KIRBY

> Hyperbaric Oxygen as a Wound Care AdjunctAllan PHILP


Schedule of Events




saTu

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10:00 A.M. - 12:00 P.M.

Year in Review: PediatricsModerator: Ken TEGTMEYERLEARNING OBJECTIVES•Review the past year’s critical care studies relevant to pediatric

critical care•Apply information gained from this review to practice•Evaluate the critical care literature using an evidence-based

approach•Review the state of ongoing clinical research

> Basic ScienceJessica MORELAND

> Clinical ScienceFola ODETOLA

> Current Clinical ResearchMartha CURLEY

> Safety and Clinical PracticeKen TEGTMEYER

11:00 A.M. - 12:00 P.M.

Making Decisions: Evidence Versus ExperienceModerator: Clifford DEUTSCHMANLEARNING OBJECTIVES•List pros and cons associated with evidence-based medicine•List pros and cons associated with using experience to make

decisions•Develop a strategy for balancing all forms of evidence in making

decisions

> All Decisions Should Be Evidence BasedSean Townsend

> Experience Should Be Used to Make DecisionsBrian KAVANAGH

> Balancing Evidence and Experience to Make the Most Cost-Effective DecisionCurtis HAAS

11:00 A.M. - 12:00 P.M.

Social Media and the IntensivistModerator: Christopher CARROLLLEARNING OBJECTIVES•Discuss how social media is being used in today’s healthcare

environment for both networking and education•Review some of the pitfalls of using social media

> The Top 5 Things ICU Providers Should Know About Social Media: Whose Face and What Book?Christopher CARROLL

> Twitter ICU with a Friend? Using Social Media as a Learning Tool, Coach and MentorJanine Elizabeth ZEE-CHENG

> Twitter-Do and Twitter-Don’t: Hazards of Social Media in the ICU SettingAlice ACKERMAN

11:00 A.M. - 12:00 P.M.

Stem Cell Therapies in Critical IllnessModerator: Michael MATTHAYLEARNING OBJECTIVES•Review the current basic and translational research on the role

of stem cell therapy in critical illness•Describe research findings on use of different types of stem

cells in acute lung injury•Review research on use of microvesicles derived from stem

cells

> Mesenchymal Stem Cells in Acute Lung InjuryMichael MATTHAY

> Human Embryonic Stem Cells in Polymicrobial Sepsis and Lung InjuryAsrar MALIK

> Mesenchymal Stem Cells in Hemorrhagic ShockShibani PATI

12:15 P.M. - 1:15 P.M.


12:15 PM - 1:30 PM ROOM 120

• NON CE LUNCHEON

Fellowship Directors LuncheonModerator: TBDLEARNING OBJECTIVES•Define the eligibility criteria for Fellowship in the American

College of Critical Care Medicine

12:15 PM 1:30 PM > Welcome

TBD

12:15 PM 1:30 PM > PanelDiscussion:•AssessmentofCoreCompetencies•ProceduralCompetency •Professionalism•AFellow’sPerspectiveonTrainingExpectations and NeedsStephen PASTORES, Neal COHEN, Addison MAY, Laura WATKINS

12:15 PM 1:30 PM > Update on ACGME Requirements and the Milestones

ProjectStephen PASTORES

12:15 PM 1:30 PM > Open Discussion

1:30 P.M. - 2:15 P.M.

• PLENARY SESSION

Don’t Just Do Something, Stand ThereRosemary GIBSON, MSc

Senior AdvisorThe Hastings CenterSection Co-Editor, Less is MoreJAMA Internal MedicineArlington, Virginia, USA

LEARNING OBJECTIVES•Discuss the underlying forces external to medicine that are

shaping the direction of the nation’s healthcare system•Present scenarios of the impact of unabated healthcare

spending on patient care•Propose three actions to ensure the sustainability of high-

quality care and maintain/resurrect joy in medical practice

2:15 P.M. - 3:15 P.M.

Break

3:15 P.M. - 4:15 P.M.

Adult Congenital Heart DiseaseModerator: Lara SHEKERDEMIANLEARNING OBJECTIVES•Discuss complications in adults with congenital heart disease•Discuss cardiac issues during the perioperative period

> Challenge: When a Congestive Heart Failure Patient Develops SepsisSteven HOLLENBERG

> ICU Management Strategies for the Surgical Adult Congenital Heart Disease PatientSheri CROW

3:15 P.M. - 4:15 P.M.

Authors’ Primer for Critical Care JournalsModerator: Edwin DEITCHLEARNING OBJECTIVES•Describe how to improve the chance of getting articles into

critical care journals•Define what reviewers are looking for•Define ethical and conflict of interest issues

> My Manuscript: Does It Have a Chance?Edwin DEITCH

> Editor Decisions: What Is He/She Telling Me?Joseph PARRILLO

> How Do I Respond to Peer Review to Show the Best Side of My Manuscript?Margaret PARKER

3:15 P.M. - 4:15 P.M.

Can We Feed? Ensuring Optimal Early Enteral NutritionModerator: Robert MARTINDALELEARNING OBJECTIVES• Implement the practical mnemonic, “CAN WE FEED”, to assist

in the development and initiation of early enteral nutrition therapy in the ICU

•Apply compensatory enteral nutrition administration techniques•Explore evidence around fasting prior to procedures• Implement strategies to reduce the incidence of aspiration and

aspiration-related pneumonia in critically ill, tube-fed patients

> CAN WE FEED? A New Mnemonic for Merging Nutrition and ICU ManagementRobert MARTINDALE

> Volume-Based and Compensatory Delivery of Enteral Nutrition in the ICURafael BARRERA

> Fasting, Delayed Enteral Feeding, NPO Status: How Necessary, How Long?Pamela LIPSETT

3:15 P.M. - 4:15 P.M.

Dialysis In the ICUModerator: TBDLEARNING OBJECTIVES•Summarize the latest information regarding dialysis modalities•Determine dosing strategies for hemodialysis• Integrate prognostic data into the allocation of dialysis in

critically ill patients•Discuss key principles in determining medication regimens

during dialysis

> Mode of the Day: Continuous Versus Extended Versus IntermittentTBD

> Does Dialysis Dose Matter?TBD

> Dosing Failure: Dialysis and Supporting MedicationsTyree KISER

3:15 P.M. - 4:15 P.M.

Pediatric Acute Lung InjuryModerator: Philippe JOUVETLEARNING OBJECTIVES•Discuss consensus criteria for pediatric acute lung injury•Describe the potential applications of closed loop ventilation in

the pediatric critical care setting•Explain the early use of venovenous extracorporeal membrane

oxygenation (ECMO) as a lung protective strategy

> Pediatric Acute Lung Injury: Do We Have Consensus?Neal THOMAS

> Mechanical Ventilation: Closed Loop ManagementPhilippe JOUVET

> Early Venovenous ECMO as a Lung Protective StrategyIra CHEIFETZ


Schedule of Events




saTurday, January 11

3:15 P.M. - 4:15 P.M.

Sepsis ImmunosuppressionModerator: Jorge HIDALGOLEARNING OBJECTIVES•Examine the common immunologic features of the sepsis

syndrome•Discuss immune deficiencies to the pathophysiology of

complications in septic patients•Summarize immunopathogenesis in sepsis

> Anergy in SepsisSteven OPAL

> Apoptosis of ImmunityRichard HOTCHKISS

> Opportunistic Infections as a Result of ImmunosuppressionJorge HIDALGO

3:15 P.M. - 4:15 P.M.

The Emerging Biology of Inflammation-Induced Critical IllnessModerator: TBDLEARNING OBJECTIVES•Review the emerging concepts in the basic science of sepsis•Examine the connection between inflammation and organ failure• Identify new targets for the therapeutic treatment of sepsis

> DAMPS, PAMPS and Inflammatory PhysiologyTBD

> Inflammasomes in SepsisTBD

> The New Biology of Inflammation-Induced Organ FailureSteven OPAL

3:15 P.M. - 4:15 P.M.

When the Patient Lacks CapacityModerator: Christine TOEVSLEARNING OBJECTIVES•Describe how to determine a patient’s level of capacity•Explain what is required in obtaining informed consent•Define the roles of healthcare proxy, family members and friends

when making decisions for a patient

> How Informed Is Informed? The Ethics of Informed ConsentNatalia IVASCU

> Who Can Decide When the Patient Can’t Consent?Dan THOMPSON

> From Assent to Consent: The Pediatric DilemmaAlexander KON

3:15 P.M. - 4:15 P.M.

Year in Review: SurgeryModerator: Vicente GRACIASLEARNING OBJECTIVES•Review current evidence-based surgical literature that has

changed practice patterns over previous years• Identify key changes in critical care practice as directed by a

literature review•Access this literature and a reference list for further discussion

> Literature ReviewTerence O’KEEFFE

> Literature ReviewBabak SARANI

> Literature ReviewDouglas NAYLOR

4:30 P.M. - 5:30 P.M.

Critical Care Practitioners: Who Is on the Horizon?Moderator: Stephen PASTORESLEARNING OBJECTIVES•Describe the critical care practitioner of the future• Identify how hospitalists can help in the ICU setting•Describe how veterinarians can help improve human healthcare

delivery

> Emergency Room Docs: The Maze of CertificationBrian WESSMAN

> Alternate Pathways for Internists to Become IntensivistsStephen PASTORES

> Hospitalists: Where Do They Fit In?Andrew AUERBACH

4:30 P.M. - 5:30 P.M.

Improving Critical Care Delivery to the UnderservedModerator: Gregory KERRLEARNING OBJECTIVES•Recognize and describe known disparities in ICU patients• Identify the potential for disparities in disease incidence, patient

management and clinical outcomes•Develop strategies to minimize the occurrence of clinical disparities

> What Disparities Exist in Healthcare?John THORNTON

> Strategies to End Healthcare DisparitiesGregory KERR

> Using Telemedicine: Where There Are No IntensivistsBela PATEL

4:30 P.M. - 5:30 P.M.

Malnutrition: New International Etiology-Based DiagnosisModerator: Marion WINKLERLEARNING OBJECTIVES• Integrate cutting edge, international, etiology-based malnutrition

diagnosis in the ICU•Examine the influence of inflammation in the etiology of

malnutrition and in nutrition response•Examine the impact of malnutrition on clinical and functional

outcomes•Select accurate tools to measure body composition in critically

ill children•Outline characteristics of malnutrition in the critically ill patient

> Inflammation and Nutrition in Acute Injury and IllnessPaul WISCHMEYER

> Etiology-Based Diagnosis of Adult and Pediatric Malnutrition: CharacteristicsAinsley MALONE

> Resolving the Malnutrition Query QuandaryMarion WINKLER

4:30 P.M. - 5:30 P.M.

• JOINT SCCM/ESICM SESSION

Retrospective Analysis of Experiences Learned from Landmark Sepsis Trials:Moderators: Carol THOMPSON, Gloria RODRIGUEZ-VEGALEARNING OBJECTIVES•Discuss the role of insulin versus glucose control in sepsis•Review the data and support, and refute the use of steroids in

sepsis•Assess the impact of industry sponsorship on sepsis trials

> Glucose Control in SepsisBrian KAVANAGH

> Steroids in SepsisJudi JACOBI

> Sepsis and IndustryJean-Louis VINCENT

4:30 P.M. - 5:30 P.M.

• LAERDAL AWARD

Translation Research in Cardiopulmonary Resuscitation Research: Lessons LearnedModerator: Vinay NADKARNILEARNING OBJECTIVES•Discuss how outcomes of sudden death have not changed

since the introduction of cardiopulmonary resuscitation•Examine how many established standards of medical care are

wrong or less than perfect

> Translation Research in Cardiopulmonary ResuscitationWanchun TANG

4:30 P.M. - 5:30 P.M.

Update in the Management of Pediatric Acute Kidney InjuryModerator: Elizabeth FARRINGTONLEARNING OBJECTIVES•Describe the pathophysiology and etiology of acute kidney

injury and the role of diuretic therapy•Explain principles of renal replacement therapy in the pediatric

patient with acute kidney injury•Develop strategies for drug dosing in the pediatric patient with

acute kidney injury

> Renal Angina: Stop the PainStuart GOLDSTEIN

> Renal Replacement Therapy: It’s About Time (Literally)Timothy BUNCHMAN

> Drug Dosing in Pediatric Acute Kidney Injury: Small Doses, Big ChallengesElizabeth FARRINGTON

4:30 P.M. - 5:30 P.M.

Update on Coagulation Sampling and TestingModerator: Robert GOSSELINLEARNING OBJECTIVES•Discuss ways to minimize poor sampling and reporting of

coagulation tests•Compare the advantages and disadvantages of the various

types of coagulation testing methods

> Coagulation Point-of-Care Testing: Improving Sampling and ReportingTBD

> Coagulation Testing: PlasmaRobert GOSSELIN

4:30 P.M. - 5:30 P.M.

Year in Review: AnesthesiaModerator: Aryeh SHANDERLEARNING OBJECTIVES•Review the current controversies in critical care•Access the literature of controversial issues•Determine which current data can contribute to a change in

practice

> Respiratory Acidosis Is HarmfulDaniel JOHNSON

> Aggressive Antibiotics Improve Outcome in ICU Patients: Surgical ICU DataMiguel COBAS

> Bleeding Patients Benefit from Liberal TransfusionAryeh SHANDER

> Questions and AnswersAryeh SHANDER

6:30 P.M. - 8:00 P.M.

ACCM Convocation and SCCM Awards Ceremony (see page 8 for details)



Schedule of Events



sund

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sunday, January 12, 20148:15 A.M. - 9:00 A.M.

• PLENARY SESSION

What’s New and What’s Cool?Geoffrey LING, MD, PhD

Deputy Director, Defense SciencesOffice, Defense AdvancedResearch Projects AgencyAttending Physician and Director,Neurosciences Critical Care,Department of Critical Care

Medicine, Walter Reed National Military MedicalCenterWashington, DC, USA

LEARNING OBJECTIVES•Discuss the biomedical innovation process at Defense

Advanced Research Projects Agency (DARPA)•Review exciting new innovations that are on the near horizon•Discuss innovations on the distant horizon

9:00 A.M. - 10:00 A.M.

Break

10:00 A.M. - 11:00 A.M.

Novel Approaches in SepsisModerator: Greg MARTINLEARNING OBJECTIVES•Establish the relationship of micronutrients to mortality in

severe sepsis•Describe the impact of endotoxin removal on outcomes in

severe sepsis•Review the role of vitamin D in the pathophysiology and

outcomes in severe sepsis

> Micronutrients and TherapiesHector WONG

> Endotoxin Removal in SepsisR. Phillip DELLINGER

> Vitamin D and SepsisGreg MARTIN

10:00 A.M. - 11:00 A.M.

Optimizing Antimicrobial Therapy in the ICUModerator: Jorge HIDALGOLEARNING OBJECTIVES•Discuss the potential risks associated with unnecessary,

excessive or prolonged antimicrobial therapy for both the patient and institution

•Review antimicrobial resistance issues in critically ill patients•Discuss the role of de-escalation strategies

> Septic Shock: Empiric Therapy and Source Control in Septic ShockJohn MARSHALL

> Antibiotics Resistance: The Bacteria Strike BackJorge HIDALGO

> Biomarker-Guided De-escalationSteven OPAL

10:00 A.M. - 11:00 A.M.

Year in Review: NeuroscienceModerator: Jose Javier PROVENCIOLEARNING OBJECTIVES•Highlight and review the most recent neurocritical care-related

guidelines•Review the latest articles and updates

> A Year Review of GuidelinesGretchen BROPHY

> A Year Review of ArticlesSusanne MUEHLSCHLEGEL

10:00 A.M. - 11:00 A.M.

Rapid Response UpdateModerator: Marilyn HRAVNAKLEARNING OBJECTIVES•Evaluate recent data on the effectiveness of a rapid response

system• Identify how to collect and analyze data to determine the effect

of system interventions•Determine what type of rapid response is best for an

organization

> Do Rapid Response Systems Work? A Fresh Look at the DataBradford WINTERS

> Which Rapid Response System Is Best? Choose a System That Fits Your OrganizationMichael HOWELL

> Epidemiology of Rapid Response System Events: Where, When, and Why?Marilyn HRAVNAK

10:00 A.M. - 12:00 P.M.

Extrahepatic Issues in Decompensated CirrhosisModerator: Rahul NANCHALLEARNING OBJECTIVES•Describe pulmonary complications in cirrhosis•Review renal derangements in cirrhosis• Identify hematologic abnormalities in cirrhosis•Describe infectious issues in cirrhosis•Outline hemodynamic derangements in cirrhosis

> Pulmonary Complications in CirrhosisRam SUBRAMANIAN

> Acute Kidney Injury in CirrhosisKai SINGBARTL

> Hematologic Derangements in CirrhosisTBD

> Infectious Complications in CirrhosisRahul NANCHAL

> Cardiovascular Derangements in CirrhosisSteven HOLLENBERG

10:00 A.M. - 12:00 P.M.

Palliative Care in the ICUModerator: Rebecca ASLAKSONLEARNING OBJECTIVES•Describe methods to overcome barriers to integrating palliative

care•Review the data supporting the integration of palliative care into

the ICU•Recognize the specific issues affecting palliative care in the

pediatric population

> Integrating Palliative Care: Overcoming the BarriersZara COOPER

> Using Evidence-Based Palliative Medicine to Improve ICU QualityRebecca ASLAKSON

> Palliative Care Through TeamworkJudith NELSON

> Little People and Their FamiliesChristine ZAWISTOWSKI

10:00 A.M. - 12:00 P.M.

Pulmonary HypertensionModerator: Jeffrey WILTLEARNING OBJECTIVES•Describe basic management principles in patients with

pulmonary hypertension•Explain the role of inhaled therapies for pulmonary hypertension•Develop a medication treatment plan for pulmonary

hypertension

> Etiology and PathophysiologyJeffrey WILT

> Diagnosis and MonitoringJeffrey FINEMAN

> Management Strategies: It’s Not Just DrugsTBD

> Medications and Novel TherapiesAmy DZIERBA

10:00 A.M. - 12:00 P.M.

What If? An Examination of Certain Policies Within the Pediatric ICUModerator: James FORTENBERRYLEARNING OBJECTIVES•Address ongoing controversies with critical care of the

pediatric patient•Examine whether certain pediatric ICU policies are beneficial or

destructive to the pediatric ICU staff

> What If Your Pediatric ICU Adopted a Futility Policy?James FORTENBERRY

> What If Your Pediatric ICU Refused to Follow Donation After Cardiac Deaths?Scott HALPERN

> What If Your Pediatric ICU Abandoned the Concept of Maintenance IV Fluids?Stuart GOLDSTEIN

> What If Your Pediatric ICU Utilized a Mandatory Tracheostomy Order After a Certain Number of Ventilated Days?Alan FIELDS

10:00 A.M. - 12:00 P.M.

What’s Hot in Cardiac Arrest Research?Moderator: Samuel TISHERMANLEARNING OBJECTIVES• Identify the targets for resuscitation from cardiac arrest being

trialed by the E26NIH-funded Resuscitation Outcomes Consortium

•Review mechanisms of multi-organ failure that follow cardiac arrest, ischemia and reperfusion

•Discuss the integration of new clinical data to resuscitation

> National Institutes of Health Resuscitation Outcomes ConsortiumTBD

> Just Say No to Drugs During Cardiac ArrestClifton CALLAWAY

> Should We Cool Trauma Patients Who Arrest?Samuel TISHERMAN



Schedule of Events



sunday, January 12

11:00 A.M. - 12:00 P.M.

Bench to Bedside: The Endothelium in InfectionModerator: Basilia ZINGARELLILEARNING OBJECTIVES•Review the change to signalling pathways involved in

endothelial activation during infection•Describe the expression of endothelial-derived cell surface

molecules in infection•Examine potential new therapies directed towards modification

of endothelial interactions

> The Biochemistry of Endothelial ActivationBasilia ZINGARELLI

> Endothelial Innate Immune Pathways in SepsisJudith HELLMAN

> Endothelial Modification in InfectionCarolyn CALFEE

11:00 A.M. - 12:00 P.M.

Implications of Bedside Advanced NeuromonitoringModerator: Jan CLAASSENLEARNING OBJECTIVES•Evaluate the current neurological monitoring devices and

thresholds for treatment•Assess whether use of these modalities improves or predicts

clinical outcomes

> Continuous Electroencephalography Findings: What Do They Mean for My Patient?Jan CLAASSEN

> Using and Interpreting Results of Brain Tissue Partial Pressure of Oxygen and Cerebral MicrodialysisPaul VESPA

> Methods and Uses for Monitoring Cerebral Blood FlowDavid MENON

11:00 A.M. - 12:00 P.M.

Resuscitating in Austere EnvironmentsModerator: Christine TOEVSLEARNING OBJECTIVES•Discuss how to manage shock in a resource-limited

environment•Explain concepts of resuscitation in situations where supplies

are limited•Apply resuscitation principles to the logistic realities of austere

locations

> The Ethics of Triage: Should We Leave You Behind?Christine TOEVS

> Lessons Learned from Developing CountriesAndrew PATTERSON

> Lessons Learned from the Military ExperienceLisa FLYNN

11:00 A.M. - 12:00 P.M.

Update on EncephalitisModerator: Mark WAINWRIGHTLEARNING OBJECTIVES•Describe the molecular changes in the blood-brain barrier

during encephalitis•Review the epidemiology of viral encephalitis in the United

States•Examine potential therapies utilized in viral encephalitis

> Biochemical and Cellular Changes in the Blood-Brain Barrier in EncephalitisMark WAINWRIGHT

> Epidemiology of EncephalitisMark ROWIN

> New Therapies in Viral EncephalitisThomas BLECK

11:00 A.M. - 12:30 P.M.

• ACCM TOWN HALL

Infection Control: How Are We Doing? (See page 8 for all ACCM activities)

Moderator: Michael MURRAYLEARNING OBJECTIVES• *Provide evidence to improve patient outcomes regarding

health-associated infections• *Identify implementation strategies to change practice

> Evidence vs. Tradition: Examining the Science on Bathing Critically Ill Patients TBD

> TBDPhilip BARIE

> TBDTBD

12:15 P.M. - 1:15 P.M.


1:00 P.M - 1:30 P.M.

SCCM Business Meeting

1:30 P.M. - 2:00 P.M.

ACCM Business Meeting (See page 8 for all ACCM activities)

1:30 P.M. - 2:00 P.M.

Abstract-Based Awards Ceremony

2:00 P.M. - 2:45 P.M.

• PLENARY SESSION

Artificial “Intensigence”: The Merger of Man and Machines in the ICUC. William HANSON III, MD, FCCM

Professor of Anesthesiology and Critical CareChief Medical Information OfficerUniversity of Pennsylvania Health SystemsPhiladelphia, Pennsylvania, USA

LEARNING OBJECTIVES•Assess the implications of “big data” for care of the critically ill•Discuss closed loop medication administration and ventilation

systems•Compare lessons from other highly automated industries for

care of the critically ill

3:00 P.M. - 4:00 P.M.

Best Science: Encore PresentationsModerator: Clifford DEUTSCHMANLEARNING OBJECTIVE•Review the top research that has been recently presented at

respected societies

> Best Research: Shock SocietyCraig COOPERSMITH

> Best Research: Pediatric Academic SocietyThomas SHANLEY

> Best Research: American Thoracic SocietyPatricia FINN

3:00 P.M. - 4:00 P.M.

Bridge to the Future: Extracorporeal Support in Adult Respiratory FailureModerator: Daniel BRODIELEARNING OBJECTIVES•Discuss the role of interfacility transport in facilitating care in

severe respiratory failure•Review the potential use and benefits of extracorporeal support

in exacerbation of chronic obstructive pulmonary disease (COPD)

•Examine the current evidence and clinical trials of extracorporeal support in acute respiratory distress syndrome (ARDS)

•Review the role of extracorporeal support pre-lung transplantation

•Discuss the ethics and implications of discontinuing futile extracorporeal membrane oxygenation support

> Bridge to Regionalization: Interfacility TransportDaniel BRODIE

> Bridge to Recovery: COPD and ARDSMarco RANIERI

> Bridge to Transplantation in End-Stage Lung DiseaseJames BLUM

3:00 P.M. - 4:00 P.M.

Children Are Not Small Adults and Adults Are Not Big Kids: Congenital Heart DiseaseModerator: Lara SHEKERDEMIANLEARNING OBJECTIVES•Discuss the prevalence of adults with congenital heart disease

and the complications from lifelong congenital heart disease•Evaluate the relationship of adult congenital heart disease

(ACHD) patients with critical heart failure, pulmonary hypertension and postoperative care

• Identify critical complications in ACHD

> Anesthetic Management of the ACHD Patient Undergoing SurgeryRichard LEVY

> Management Strategies in the ICU for the Postoperative ACHD PatientSheri CROW

> Location, Location, Location: Is a Pediatric or Adult ICU the Place for ACHD Patients?Lara SHEKERDEMIAN

3:00 P.M. - 4:00 P.M.

Don’t Be Alarmed: Preventing the DistractionModerator: Sandra KANE-GILLLEARNING OBJECTIVES•Review the literature and Joint Commission recommendations

on alarm fatigue•Explore new alert and alarm system developments to maximize

signal-to-noise ratios

> Avoiding Alarm OverloadDiane BYRUM

> Pediatric PerspectiveChristopher BONAFIDE

> Managing Alert Overload: Clinical Decision SupportSandra KANE-GILL



Schedule of Events



sund

ay, J

anua

ry 1

2

3:00 P.M. - 4:00 P.M.

Frontline Provider Models for Staffing ICUsModerator: Ruth KLEINPELLLEARNING OBJECTIVES•Review national data on the use of nurse practitioners (NPs)

and physician assistants (PAs) in the ICU•Discuss models of ICU care using NPs and PAs

> What Are the National Trends on the Use of NPs and PAs in the ICU?Ruth KLEINPELL

> Creating Models of ICU Care Using NPs and PAsTimothy BUCHMAN

3:00 P.M. - 4:00 P.M.

Is Personalized Critical Care Medicine Feasible?Moderator: Timothy CORNELLLEARNING OBJECTIVES•Assess current developments in the area of pharmacogenomics

and applications in the intensive care unit setting.• Identify how changes in gene expression or cellular phenotype

impact illness in the critically ill patient.•Discuss how devices used to manage various medical

problems can be tailored for individuals to improve outcome

> Pharmacogenomics of Critical CareWilliam DAGER

> Epigenetics in Critical CareTimothy CORNELL

> Personalized Medicine for Device TherapyRaghavan MURUGAN

3:00 P.M. - 4:00 P.M.

New Developments in the Management of Cardiac ComorbiditiesModerator: Lewis KAPLANLEARNING OBJECTIVES•Discuss new developments in the diagnosis and treatment of

cardiovascular disease•Compare treatments of cardiovascular comorbidities, including

extracorporeal membrane oxygenation (ECMO)• Identify complications arising from the use of newer

cardiovascular treatments

> Crashes from the Catheter Lab: True Horror Stories from the ICUGlenn WHITMAN

> ECMO, Here We Go! Extravascular SupportPauline PARK

> The Monitor I UseMichael O’CONNOR

3:00 P.M. - 4:00 P.M.

Therapeutic Drug Monitoring: A Modern-Day ApproachModerator: Scott MICEKLEARNING OBJECTIVES•Describe methods for monitoring anticoagulants beyond

international normalized ratio (INR) and antiplatelet therapy•Discuss the role of beta-lactase serum concentrations in the

critically ill•Review the role of monitoring antifungal concentrations in the

critically ill

> Anticoagulants: More than INR and Partial Thromboplastin TimeFarooq BANDALI

> Beta-Lactams: It’s Not Just Minimum Inhibitory ConcentrationScott MICEK

> Antifungals: I Need to Get a Level?Simon LAM

3:00 P.M. - 4:00 P.M.

Year in Review: Internal MedicineModerator: Laura EVANSLEARNING OBJECTIVES•Review the past year’s internal medicine studies relevant to

critical care•Apply information gained from this review to practice•Evaluate the internal medicine literature using an evidence-

based approach

> Literature ReviewPaul YODICE

> Literature ReviewFred RINCON

4:15 P.M. - 5:15 P.M.

Adult Acute Respiratory Distress Syndrome: The Cutting EdgeModerator: Ognjen GAJICLEARNING OBJECTIVES•Review the implications of changing acute respiratory distress

syndrome (ARDS) epidemiology•Update the latest clinical trials in ARDS

> ARDS: Fewer Cases and Lower Mortality, or Not?Greg MARTIN

> SAILing Along: Statins Save Lives?Jonathon TRUWIT

> ARDS Prevention: PROOF of LIPS?Ognjen GAJIC

4:15 P.M. - 5:15 P.M.

Dazed and Confused in the Pediatric ICUModerator: Lauren SORCELEARNING OBJECTIVES•Disseminate the results of the Randomized Evaluation of

Sedation Titration for Respiratory Failure (RESTORE) trial• Identify use of the Pediatric Confusion Assessment Method

(P-CAM) tool for pediatric delirium and related outcomes•Discuss utilization of early mobility in the pediatric ICU

> Clinical TrialsMartha CURLEY

> Delirium in the Pediatric ICU: Use of the P-CAM?Lauren SORCE

> Early Mobilization in the Pediatric ICUIra CHEIFETZ

4:15 P.M. - 5:15 P.M.

Human Factors, Human ErrorsModerator: Michael DeVITALEARNING OBJECTIVES•Review the data on the impact of improved patient safety

through simulation training•Examine communication strategies to reduce human error

> Lessons Learned from SimulationMichael DeVITA

> Multidisciplinary Team Communication and Patient SafetyDavid MURPHY

4:15 P.M. - 5:15 P.M.

Specialization of ICUs: Is It Right or Wrong?Moderator: Andrew PATTERSONLEARNING OBJECTIVES• Identify various models of care for subspecialty units•Compare the financial outcomes of subspecialized units•Discuss the impact on nursing outcomes

Continued

Specialization of ICUs..., Continued

> Different Models and Continuum of Specializing and Subspecializing ICUs: Pros and ConsKenneth KRELL

> The Nursing Perspective on Subspecializing an ICUDennis TAYLOR

> What Are the Financial Impacts to a Hospital That Subspecializes ICUs?Andrew PATTERSON

4:15 P.M. - 5:15 P.M.

Translational Resuscitation Science: An Evolving Story of Pets and MenModerator: Dennis CROWELEARNING OBJECTIVES•Compare the similarities between cardiac arrest and trauma in

canine and human patients•Discuss the utility of spontaneous large animal disease models

in development of resuscitation research strategies•Review the limitations of current preclinical animal models in

resuscitation science

> Cardiopulmonary Resuscitation: One Step Toward Bridging the Animal-Human GapManuel BOLLER

> Spontaneous Trauma in Animals: A New Opportunity for Preclinical TrialsKelly HALL

4:15 P.M. - 5:15 P.M.

When Your ICU Becomes Your Operating RoomModerator: Philip BARIELEARNING OBJECTIVES•Explore the implications of operating in the ICU•Explain the issues involved from the perspectives of the

surgeon, anesthesiologist, nurse, veterinarian and administrator

> Surgeon PerspectivePhilip BARIE

> Anesthesiologist PerspectiveJeffery VENDER

> Nursing PerspectiveLynn KELSO

4:15 P.M. - 5:15 P.M.

Year in Review: NursingModerator: Linda MORRISLEARNING OBJECTIVES•Review the year’s critical care studies relevant to both adult and

pediatric nursing•Evaluate the literature using an evidence-based approach•Utilize information gained from this session to guide clinical

nursing practice

> Pediatric Literature ReviewAnn-Marie BROWN

> Adult Literature ReviewSandy SWOBODA

4:15 P.M. - 5:15 P.M.

Year in Review: PharmacologyModerator: Lance OYENLEARNING OBJECTIVES•Discuss data associated with managing substance withdrawal

in the critically ill patients•Evaluate relevant studies surrounding critically ill patients•Review recent literature related to toxicology

> Substance WithdrawalRussel ROBERTS

> Care of the Critically Ill Transplant PatientHeather PERSONETT

> ToxicologyCassie BARTON



Schedule of Events



Monday, January 13

Monday, January 13, 20148:15 A.M. - 9:00 A.M.

• PLENARY SESSION

Critical Care Around the World: Global ChallengesJean-Louis VINCENT, MD, PhD, FCCM

Professor of Intensive Care Medicine, Université Libre de BruxellesHead, Department of Intensive CareErasme University HospitalBrussels, Belgium

LEARNING OBJECTIVES•Compare international differences in critical care supply and

demand•Examine global differences in critical care organizations and the

impact of these differences on patient care and outcome•Discuss how improved international communication and mutual

understanding can help promote and establish effective critical care for all

9:00 A.M. – 9:30 A.M.

Break

9:30 A.M. - 10:30 A.M.

Hemostatic Resuscitation and Acute Coagulopathy in the ICUModerator: William DAGERLEARNING OBJECTIVES•Discuss the issues surrounding plasma and factor concentrates•Describe management of bleeding with the new anticoagulants

> The Sunset of Plasma: Prothrombin Complex Concentrate, Factor Concentrates, Recombinant von Willebrand Factor, Recombinant Antithrombin IIIAryeh SHANDER

> New Anticoagulants: Managing Bleeding in Their MidstWilliam DAGER

9:30 A.M. - 10:30 A.M.

ICU Informatics and Advanced Decision AnalysisModerator: Andrew ROSENBERGLEARNING OBJECTIVES•Describe state-of-the-art strategies to address the challenges

of ICU data overload and analysis• Identify consensus approaches to protect patient privacy during

data collection for multi-institutional studies•Assess the potential of national data integration for

transformational change in critical care

> Data Elements and Interoperability: A Primer for CliniciansRaquel BARTZ

> ICU Data Overload: Solutions for Data Aggregation and AnalysisJames BLUM

> Putting It All Together: “Big Data” and Advanced Decision AnalysisKristan STAUDENMAYER

9:30 A.M. - 10:30 A.M.

It’s Just Saline…How Can It Be Harmful?Moderator: Lewis KAPLANLEARNING OBJECTIVES•Review the mechanisms by which saline can cause adverse

outcomes•Explain the influence of saline resuscitation on kidney function•Review evidence for harm associated with the composition of

intravenous fluids

> Why Would Saline Be Harmful?John KELLUM

> Saline Boluses and Increased Mortality in Pediatric SepsisTBD

> Saline and the Risk of Acute Kidney InjuryRinaldo BELLOMO

9:30 A.M. - 10:30 A.M.

Stop Stressing Over Stress UlcersModerator: Jeffrey BARLETTALEARNING OBJECTIVES•Describe risk factors for clinically significant bleeding and

indications for stress ulcer prophylaxis•Compare the available pharmacological agents used for stress

ulcer prophylaxis•Describe the adverse effects of stress ulcer prophylaxis

> Stress Ulcers: Who Gets Them?Deborah COOK

> Proton Pump Inhibitors and Histamine 2 Receptor Antagonists: Which One?Jeffrey BRUNO

> Stress Ulcer Prophylaxis: Not For Everyone; Consequences of OveruseMitchell BUCKLEY

9:30 A.M. - 10:30 A.M.

Utilization of Ultrasound in Pediatric ICUModerator: Ellie HIRSHBERGLEARNING OBJECTIVE•Discuss the use of ultrasound in the assessment and

management of critically ill children

> Is the Use of Ultrasound Standard of Care? Contributions to Quality and CredentialingAkira NISHISAKI

> Use of Bedside Procedures: Clinical CasesEllie HIRSHBERG

> Incorporating Ultrasound into an Educational CurriculumErik SU

9:30 A.M. - 11:30 A.M.

Implementing the Pain, Agitation, Delirium, Immobility Guidelines in the ICUModerator: Judy DAVIDSONLEARNING OBJECTIVES• Illustrate what a patient experiences within an ICU•Discuss strategies for improving outcomes• Identify strategies and barriers to guideline implementation

> My Experience in the ICUAnthony RUSSO

> Centers for Disease Control and Prevention Multisite Wake Up and Breathe ProgramMichael KLOMPAS

> Panel Discussion: Implementation Strategies and Barriers; Lessons Learned

> Questions and AnswersHeidi ENGEL, Mary Ann DALY, Patricia POSA

9:30 A.M. - 11:30 A.M.

Implementing the Surviving Sepsis Bundles in the Medical-Surgical UnitModerator: R. Phillip DELLINGERLEARNING OBJECTIVES•Discuss data collection and analysis for performance

improvement• Identify how to create a team model of care between the

emergency department, ICU and medical-surgical floor•Compare and contrast several different models of care

> Data-Driven FeasibilityMitchell LEVY

> Models of Care in the United KingdomAndrew RHODES

> Models of Care in the United StatesSean TOWNSEND

> Panel Discussion

9:30 A.M. - 11:30 A.M.

We Are the Champions: The Future of ICU DesignModerator: Neil HALPERNLEARNING OBJECTIVES•Discuss design ideas to improve outcome and patient

satisfaction•Showcase the previous winners of the SCCM design award•Review the pitfalls and positives in building a new ICU

> 2013 ICU Design WinnerMichael KELLEHER

> 2014 ICU Design WinnerTBD

> Virtual Reality Techniques for Adapting HospitalsGregory SMITH




Schedule of Events

Mon

day,

Jan

uary

13


10:30 A.M. - 11:30 A.M.

Acute Kidney Injury: Armor Up!Moderator: John KELLUMLEARNING OBJECTIVES•Apply the basic science of kidney injury to clinical care in the

ICU•Review drug dosing in the setting of acute kidney injury (AKI)•Contrast the benefits and risks of the use of radiologic contrast

media.• Integrate guidelines into the treatment of patients at risk for AKI

> AKI: Toxic or Flow-Based Phenomenon?TBD

> Protecting the At-Risk Kidney from DrugsSteven OPAL

> New KDIGO Guidelines: Integrating Them into PracticeJohn KELLUM

10:30 A.M. - 11:30 A.M.

Feed Your Brain: It’s Not Just About Calories!Moderator: Gail CRESCILEARNING OBJECTIVES• Identify the basic concepts for optimal ICU nutritional support•Update recent clinical trials for ICU nutrition, including

antioxidants, glutamine and arginine•Examine pros and cons of pre- and probiotic use in the ICU•Translate research findings into ICU management protocols

> Overview Role of Dosing for Immune Benefits Versus “Nutritional Support”Robert MARTINDALE

> Pre- and Probiotic Use in the ICUGail CRESCI

> Clinical Trials in Nutrition SupportThomas ZIEGLER

10:30 A.M. - 11:30 A.M.

Hydrogen Sulfide: A Potential Therapy in Disparate Cardiovascular Disorders?Moderator: TBDLEARNING OBJECTIVES•Describe the broad effects of hydrogen sulfide in multiple

processes encountered in critically ill patients•Define specific organs and systems that may eventually benefit

from hydrogen sulfide therapy•List methods for delivery of hydrogen sulfide•Review potential side effects of hydrogen sulfide therapy

> Hydrogen Sulfide Therapy in Cardiac ArrestFumito ICHINOSE

> Hydrogen Sulfide in Acute Lung InjuryWarren ZAPOL

> Hydrogen Sulfide in SepsisTBD

10:30 A.M. - 11:30 A.M.

Novel Applications in TelemedicineModerator: Bela PATELLEARNING OBJECTIVES• Identify new clinical areas in which telemedicine can be used to

improve the quality of critical care•Evaluate different methods for applying ICU telemedicine for

maximal effect•Develop strategies to address regulatory and legal issues

facing ICU telemedicine

> Integrating Telemedicine in the ICU: Hub and Spoke ModelMiles ELLENBY

> Telepharmacy: Getting Drugs OnlineAllison FORNI

> Telemedicine: Outreach to the CommunityBela PATEL

10:30 A.M. - 11:30 A.M.

The Psychological Impact of Admission to the Pediatric ICUModerator: Wynne MORRISONLEARNING OBJECTIVES•List the prevalence rates of post-traumatic stress reactions in

children and parents after a pediatric ICU admission•List three different screening measures of pediatric ICU-related

distress in children and their families• Identify three different approaches to preventing and/or treating

post-traumatic stress in this population

> Prevalence of Post-Traumatic Stress Reactions in Children and Parents After Intensive Care AdmissionWynne MORRISON

> Family-Centered Approaches to Decreasing Distress During and After Pediatric ICU StayGillian COLVILLE

> Preventing Post-Traumatic Stress: Web-Based Approaches for Parents and Children?Nancy KASSAM -ADAMS



World-Renowned Multiprofessional Faculty Preliminary faculty list subject to change. Visit www.sccm.org/congress for the most recent program.

Alice D. ACKERMAN, MBA, MD, FCCMCarilion Roanoke Memorial Hospital Roanoke, Virginia, USA

Derek C. ANGUS, MD, MPH, MCCMUniversity of Pittsburgh Critical Care Medicine - CRISMA Laboratory Pittsburgh, Pennsylvania, USA

John H. ARNOLD, MD Harvard Medical School Boston, Massachusetts, USA

Rebecca A. ASLAKSON, MDThe Johns Hopkins Medical Institutions Baltimore, Maryland, USA

Andrew D. AUERBACH, MD, MPHUCSF Medical Center San Francisco, California, USA

Ahmed E. BADR, MD, FCCM, FACS Texas Tech University Health Science Center El Paso, Texas, USA

Farooq A. BANDALI, BCPS, PharmDMonmouth Junction, New Jersey, USA

Michael P. BANNON, MD Mayo Clinic Rochester Rochester, Minnesota, USA

Philip S. BARIE, MD, MBA, FCCM Weill Cornell Medical College New York, New York, USA

Jeffrey BARLETTA, PharmD, FCCMMidwestern University College of PharmacyGlendale, Arizona, USA

Rafael BARRERA, MD, FCCMLong Island Jewish Medical Center New Hyde Park, New York, USA

Cassie A. BARTON, PharmDFletcher Allen Health Care Portland, Oregon, USA

Raquel R. BARTZ, MDDuke University Medical Center Durham, North Carolina, USA

Rinaldo BELLOMO, MDAustin Hospital Melbourne, Victoria, Australia

Katherine V. BIAGAS, MD, FCCMColumbia University, College of Physicians and Surgeons New York, New York, USA

Azra BIHORAC, MD, MS, FCCMUniversity of Florida School of Medicine Gainesville, Florida, USA

Edward A. BITTNER, MD, PhDMassachusetts General Hospital Boston, Massachusetts, USA

Thomas P. BLECK, MD, FCCMRush Medical College Chicago, Illinois, USA

James M. BLUM, MD, FCCMUniversity of Michigan Health System Ann Arbor, Michigan, USA

George BO-LINN Moore Foundation Palo Alto, California, USA

Manuel BOLLER, DVM, MTR, DACVECCUniversity of Melbourne Veterinary HospitalWerribee, Victoria, Australia

Christopher BONAFIDE, MD, MSThe Children’s Hospital of Philadelphia Philadelphia, Pennsylvania, USA

Benjamin BRAINARD, DVM, VMDUniversity of GeorgiaAthens, Georgia, USA

Daniel BRODIE, MDNew York Presbyterian Hospital-Columbia Campus New York, New York, USA

Gretchen M. BROPHY, BCPS, PharmD, FCCMVirginia Commonwealth University Richmond, Virginia, USA

Ann-Marie BROWN, MSN, FCCMAkron Children’s Hospital Akron, Ohio, USA

Jeffrey J. BRUNO, BCPS, PharmDMD Anderson Cancer Care Center Houston, Texas, USA

Timothy G. BUCHMAN, MD, PhD, MCCMEmory University School of MedicineAtlanta, Georgia, USA

Mitchell S. BUCKLEY, PharmD, BCPS, FCCMBanner Good Samaritan Medical Center Phoenix, Arizona, USA

Timothy E. BUNCHMAN, MDVCU School of Medicine - Children’s Hospital of Richmond Richmond, Virginia, USA

Diane BYRUM, RN, MSN, CCRN, FCCMPresbyterian Hospital Huntersville Huntersville, North Carolina, USA

Carolyn CALFEE, MDUniversity of California San Francisco, California, USA

Clifton W. CALLAWAY, MDUniversity of Pittsburgh Pittsburgh, Pennsylvania, USA

Christopher L. CARROLL, MD, FCCMConnecticut Children’s Medical Center Hartford, Connecticut, USA

Cherylee W. CHANG, MD, FCCMThe Queen’s Medical Center Honolulu, Hawaii, USA

Paul A. CHECCHIA, MD, FCCMTexas Children’s Hospital Houston, Texas, USA

Ira M. CHEIFETZ, MD, FCCMDuke University Medical Center Durham, North Carolina, USA

David H. CHONG, MD, FCCM, FCCP, FACPColumbia University College of Physicians and Surgeons New York, New York, USA

John C. CHRISTENSON, MDIndiana University School of Medicine Indianapolis, Indiana, USA

Mark D. CIPOLLE, MD, PhD, FCCMChristiana Care Health Services Newark, Delaware, USA

Jan CLAASSEN, MDColumbia University New York, New York, USA

Alison CLAY, MDDuke UniversityDurham, North Carolina, USA

Miguel A. COBAS, MD, FCCMJackson South Community Hospital Miami, Florida, USA

Neal H. COHEN, MD, MPH, FCCMUniversity of California San Francisco Medical CenterSan Francisco, California, USA

Gillian COLVILLE, BSc, MPhil CPsychol St. George’s Hospital London, United Kingdom

Steven A. CONRAD, MBA, MD, PhD, FCCMLouisiana State University Health Sciences Shreveport, Louisiana, USA

Deborah J. COOK, MDMcMaster University Hamilton, Ontario, Canada

Edward COOPER, DVMOhio State University Veterinary Teaching HospitalColumbus, Ohio, USA

Zara COOPER, MDBrigham and Women’s Hospital Boston, Massachusetts, USA

Craig M. COOPERSMITH, MD, FCCMEmory University School of Medicine Atlanta, Georgia, USA

Timothy CORNELL, MDC.S. Mott Children’s Hospital at the University of Michigan Ann Arbor, Michigan, USA

Gail CRESCI, PhD, RD, LDCleveland ClinicCleveland, Ohio, USA

Sheri CROW, MDMayo Clinic Rochester, Minnesota, USA

Dennis Tim CROWE, DVM, FCCM, DACVSVeterinary Surgery and Emergency - Critical Care Consulting Bogart, Georgia, USA

Martha A.Q. CURLEY, RN, PhDUniversity of Pennsylvania School of Nursing Philadelphia, Pennsylvania, USA

J. Randall CURTIS, MD, MPHHarborview Medical Center Seattle, Washington, USA

William E. DAGER, BCPSUniversity of California Davis Medical Center Sacramento, California, USA

Heidi J. DALTON, MD, FCCMPhoenix Children’s Hospital Phoenix, Arizona, USA

Mary Ann DALY, CCRNSutter Health Sacramento, California, USA

Judy E. DAVIDSON, RN, CNS, DNP, FCCMScripps HealthSan Diego, California, USA

Edwin A. DEITCH, MDUniversity of Medicine and Dentistry New Jersey Medical School Newark, New Jersey, USA

R. Phillip DELLINGER, MD, MCCMCooper University Hospital Camden, New Jersey, USA

Clifford S. DEUTSCHMAN, MS, MD, FCCMPerelman School of Medicine at the University of Pennsylvania Philadelphia, Pennsylvania, USA

Michael A. DeVITA, MD, FCCM Harlem Hospital CenterNew York, New York, USA

John W. DEVLIN, BCPS, PharmD, FCCMNortheastern University School of Pharmacy Boston, Massachusetts, USA

Allan DOCTOR, MDWashington University School of Medicine St. Louis, Missouri, USA

Todd DORMAN, MD, FCCMJohns Hopkins University School of Medicine Baltimore, Maryland, USA

Amy L. DZIERBA, PharmD, BCPS, FCCMNew York Presbyterian HospitalNew York, New York, USA

Miles S. ELLENBY, MDOregon Health and Science University Hospital Portland, Oregon, USA

Heidi J. ENGEL, PT, DPTUCSF Medical CenterLafayette, California, USA

Adam EVANS, MDMount Sinai HospitalNew York, New York, USA

Laura E. EVANS, MD, MSNew York University School of Medicine New York, New York, USA

Elizabeth A. FARRINGTON, BCPS, PharmD, FCCMNew Hanover Regional Medical Center Wilmington, North Carolina, USA

Edward Vincent FAUSTINO, MDYale University School of Medicine New Haven, Connecticut, USA

Alan I. FIELDS, MD, MCCMChildren’s National Medical Center Washington, DC, USA

Jeffrey R. FINEMAN, MDUniversity of California San Francisco Medical Center San Francisco, California, USA

Patricia W. FINN, MDUniversity of Illinois at Chicago Chicago, Illinois, USA



World-Renowned Multiprofessional Faculty

Jeff J. FLETCHER, MDUniversity of Michigan Ann Arbor, Michigan, USA

Lisa M. FLYNN, MDWayne State University/Detroit Medical Center Detroit, Michigan, USA

Allison A. FORNI, BCPSBrigham and Women’s Hospital Boston, Massachusetts, USA

James D. FORTENBERRY, MD, MCCMChildren’s Healthcare of Atlanta at Egleston Atlanta, Georgia, USA

Gilles L. FRASER, BS, PharmD, FCCMMaine Medical Center Portland, Maine, USA

Ognjen GAJIC, MD, FCCMMayo Graduate School of Medicine (Rochester) Rochester, Minnesota, USA

Brian K. GEHLBACH, MDUniversity of Iowa Hospitals and Clinics Iowa City, Iowa, USA

Marc GHANNOUM, MDUniversity of Montreal Montreal, Quebec, Canada

Rosemary GIBSON, MScThe Hastings CenterArlington, Virginia, USA

Timothy D. GIRARD, MDVanderbilt University Nashville, Tennessee, USA

Julian M. GOLDMAN, MDMassachusetts General Hospital Boston, Massachusetts, USA

Stuart L. GOLDSTEIN, MDCincinnati Children’s Hospital Medical Center Cincinnati, Ohio, USA

Robert GOSSELIN, MDUniversity of California Davis Medical CenterSacramento, California, USA

Ana Lia GRACIANO, MD, FAAPChildren’s Hospital of Central California Fresno, California, USA

Vicente H. GRACIAS, MD, FCCMRobert Wood Johnson University Hospital New Brunswick, New Jersey, USA

Carmelo GRAFFAGNINO, MDDuke University Medical Center Durham, North Carolina, USA

Bruce GREENBERG, MDNational Capital ConsortiumBethesda, Maryland, USA

Steven GREENBERG, MDNorthshore University Health System Evanston, Illinois, USA

David M. GREER, MD, MA, FCCMYale New Haven Hospital New Haven, Connecticut, USA

Curtis E. HAAS, PharmDStrong Memorial Hospital Rochester UniversityRochester, New York, USA

David N. HAGER, MDJohns Hopkins University Hospital Baltimore, Maryland, USA

Kelly E. HALL, DVMUniversity of Minnesota St. Paul, Minnesota, USA

Mark W. HALL, MD, FCCMNationwide Children’s Hospital Columbus, Ohio, USA

Neil A. HALPERN, MD, FCCMMemorial Sloan-Kettering Cancer Center New York, New York, USA

Scott D. HALPERN, MD, PhDUniversity of Pennsylvania School of Medicine Philadelphia, Pennsylvania, USA

C. William HANSON III, MD, FCCMUniversity of Pennsylvania Philadelphia, Pennsylvania, USA

Zena L. HARRIS, MD, FCCMAnn and Robert H. Lurie Children’s Hospital Chicago, Illinois, USA

Maurene A. HARVEY, RN, MPH, MCCMConsultants in Critical Care Inc. Glenbrook, Nevada, USA

Stephen O. HEARD, MD, FCCMUMass Memorial Medical Center Worcester, Massachusetts, USA

Alan C. HEFFNER, MDCarolinas HealthCare System Charlotte, North Carolina, USA

Judith HELLMAN, MDUniversity of California San Francisco San Francisco, California, USA

J. Claude HEMPHILL, MD, MASUniversity of California San Francisco General Hospital San Francisco, California, USA

Erin K. HENNESSEY, MDStanford University Department of Anesthesia Stanford, California, USA

Jorge Luis HIDALGO, MD, FCCMUniversal Health Services and Karl Heusner Memorial Hospital Belize City, Belize

Nicholas S. HILL, MDTufts-New England Medical Center Boston, Massachusetts, USA

Ellie HIRSHBERG, MDUniversity of Utah Intermountain Medical Center Salt Lake City, Utah, USA

Charles E. HOBSON, MD, MHAMalcom Randall VA Medical CenterGainesville, Florida, USA

K. Sarah HOEHN, MDUniversity of Kansas Medical Center Kansas City, Kansas, USA

Robert S. HOFFMAN, MDNYU School of Medicine New York, New York, USA

Peter R. HOLBROOK, MD, FCCMChildren’s National Medical Center Washington, DC, USA

Steven M. HOLLENBERG, MD, FCCMCooper Medical School of Rowan University Cooper University Hospital Camden, New Jersey, USA

Ramona O. HOPKINS, PhDIntermountain Medical Center Murray, Utah, USA

Richard S. HOTCHKISS, MDWashington University School of Medicine St. Louis, Missouri, USA

Michael D. HOWELL, MDSilverman Institute for Health Care Quality and Safety Boston, Massachusetts, USA

Marilyn HRAVNAK, RN, PhD, FCCMUniversity of Pittsburgh Pittsburgh, Pennsylvania, USA

Robert C. HYZY, MD, FCCMUniversity of Michigan Ann Arbor, Michigan, USA

Fumito ICHINOSE, MDMassachusetts General Hospital Boston, Massachusetts, USA

Natalia S. IVASCU, MDWeill Medical College and Graduate School New York, New York, USA

Theodore J. IWASHYNA, MD, PhDUniversity of Michigan Health System Ann Arbor, Michigan, USA

Judith JACOBI, BCPS, PharmD, FCCMIndiana University Health Methodist HospitalIndianapolis, Indiana, USA

Brian R. JACOBS, MD, FCCMChildren’s National Medical Center Washington, DC, USA

Aaron M. JOFFE, DOUniversity of Washington Harborview Medical Center Seattle, Washington, USA

Daniel W. JOHNSON, MDUniversity of Nebraska Medical CenterOmaha, Nebraska, USA

Philippe JOUVET, PhDGroupe Hospitalier Necker Enfants Malades Montreal, Quebec, Canada

Robert M. KACMAREK, RRT, PhD, FCCMMassachusetts General Hospital Boston, Massachusetts, USA

Jeremy M. KAHN, MS, MDUniversity of Pittsburgh Pittsburgh, Pennsylvania, USA

Sandra L. KANE-GILL, PharmD, MS, FCCMUniversity of Pittsburgh Pittsburgh, Pennsylvania, USA

Jennifer Melissa KAPLAN, MDCincinnati Children’s Hospital Cincinnati, Ohio, USA

Lewis J. KAPLAN, MD, FCCMYale University School of Medicine New Haven, Connecticut, USA

Nancy KASSAM-ADAMS, PhDChildren’s Hospital of Philadelphia Philadelphia, Pennsylvania, USA

David C. KAUFMAN, MD, FCCMUniversity of Rochester Strong Memorial Hospital Rochester, New York, USA

Brian P. KAVANAGH, MDHospital for Sick Children Toronto, Ontario, Canada

Mark T. KEEGAN, MDMayo Clinic Department of Anesthesiology Rochester, Minnesota, USA

Sean P. KEENAN, FRCPCRoyal Columbian Hospital New Westminster, British Columbia, Canada

Michael D. KELLEHER, MDAnn and Robert H. Lurie Children’s HospitalChicago, Illinois, USA

John A. KELLUM, MD, MCCMUniversity of Pittsburgh Medical Center Pittsburgh, Pennsylvania, USA

Lynn A. KELSO, RN, ACNP, FCCMUniversity of Kentucky Lexington, Kentucky, USA

Gregory E. KERR, MD, MBA, FCCMNew York Presbyterian Hospital New York, New York, USA

Todd J. KILBAUGH, MDChildren’s Hospital of Philadelphia Philadelphia, Pennsylvania, USA

Sean P. KILEY, MDUniversity of Florida College of Medicine Gainesville, Florida, USA

Lesley KING, BVM, DACVECC, DACVIMUniversity of PennsylvaniaHospital University of PennsylvaniaPhiladelphia, Pennsylvania, USA

John P. KIRBY, MD, MSWashington University St. Louis, Missouri, USA

Tyree H. KISER, PharmD, BCPS, FCCMUniversity of Colorado at Denver and Health Sciences Center Aurora, Colorado, USA

Ruth M. KLEINPELL, PhD, RN-CS, FCCMRush University Medical Center Chicago, Illinois, USA

Michael KLOMPAS, MDDepartment of Population Medicine Boston, Massachusetts, USA

Nerissa KO UCSF Neurology San Francisco, California, USA

Patrick M. KOCHANEK, MD, MCCMUniversity of Pittsburgh Medical Center Pittsburgh, Pennsylvania, USA

Matthew A. KOENIG, MDJohns Hopkins University Hospital - The Queens Medical Center Honolulu, Hawaii, USA

Alexander A. KON, MD, FCCMNaval Medical Center San DiegoSan Diego, California, USA

Isabelle C. KOPEC, MDAdvanced ICU Care Medical Group St. Louis, Missouri, USA

Preliminary faculty list subject to change. Visit www.sccm.org/congress for the most recent program.



Wolf Benjamin KRATZERT, MD, PhDUniversity of New Mexico Health Sciences Center Albuquerque, New Mexico, USA

Kenneth E. KRELL, MDEastern Idaho Regional Medical Center Idaho Falls, Idaho, USA

John P. KRESS, MDUniversity of Chicago Chicago, Illinois, USA

Simon W. LAM, PharmDCleveland Clinic Cleveland, Ohio, USA

Jennifer A. LaROSA, MD, FCCMNewark Beth Israel Medical Center Newark, New Jersey, USA

Jaclyn Marie LeBLANC, PharmDQuispamsis, New Brunswick, Canada

Laurance L. LEQUIER, MDWalter Mackenzie Center Edmonton, Alberta, Canada

Mitchell M. LEVY, MD, FCCMBrown University School of Medicine Providence, Rhode Island, USA

Richard J. LEVY, MDChildren’s National Medical Center Washington, DC, USA

John J. LEWIN III, MBA, PharmDThe Johns Hopkins HospitalBaltimore, Maryland, USA

Geoffrey LIGHTHALL, MDVeterans Affairs Medical Center Palo Alto Palo Alto, California, USA

Craig M. LILLY, MD, FCCMUniversity of Massachusetts Memorial Medical Center/EICU Support Center Worcester, Massachusetts, USA

Geoffrey S.F. LING, MD, PhDWalter Reed Army Medical Center Washington, DC, USA

Pamela A. LIPSETT, MD, MHPE, FCCM Johns Hopkins Medical Institutions Baltimore, Maryland, USA

Kristine A.K. LOMBARDOZZI, MD, FCCMRegional Surgical Specialists Spartanburg, South Carolina, USA

Neil R. MacINTYRE, MDDuke University Medical Center Durham, North Carolina, USA

Asrar B. MALIK University of Illinois Chicago, Illinois, USA

Stephanie MALLOW CORBETT, PharmD, FCCMUniversity of Virginia Health System Charlottesville, Virginia, USA

Ainsley MALONE, RDMount Carmel West Columbus, Ohio, USA

Geoffrey T. MANLEY, MDSan Francisco General Hospital San Francisco, California, USA

Edward M. MANNO, MD, FCCMCleveland Clinic Cleveland, Ohio, USA

John J. MARINI, MDRegions Hospital St. Paul, Minnesota, USA

John C. MARSHALL, MDSaint Michael’s Hospital Toronto, Ontario, Canada

Greg S. MARTIN, MD, MS, FCCMGrady Memorial Hospital Atlanta, Georgia, USA

Robert G. MARTINDALE, MD, PhDOregon Health and Science University Portland, Oregon, USA

Michael A. MATTHAY, MDUniversity of California Cardiovascular Research Institute San Francisco, California, USA

Addison K. MAY, MD, FCCMVanderbilt University Medical Center Nashville, Tennessee, USA

John K. McILWAINE, DOGeisinger Health System Danville, Pennsylvania, USA

Wesley D. McMILLIAN, PharmD, BCPSFletcher Allen Health Care Burlington, Vermont, USA

David Michael McMULLAN, MDSeattle Children’s Hospital Seattle, Washington, USA

David K. MENON, MDAddenbrooke’s Hospital Cambridge, United Kingdom

Scott MICEK, PharmD, BCPSBarnes-Jewish Hospital St. Louis, Missouri, USA

William S. MILES, MD, FCCMCarolinas Medical Center Charlotte, North Carolina, USA

Jessica G. MORELAND, MDUniversity of Iowa Hospital and Clinics Iowa City, Iowa, USA

Linda L. MORRIS, CNS, PhD, FCCMNorthwestern Memorial Hospital Chicago, Illinois, USA

Wynne E. MORRISON, MD, FCCMThe Children’s Hospital of Philadelphia Philadelphia, Pennsylvania, USA

James MOWRY, PharmD, DABAT FAACTClarian Health Partners Indianapolis, Indiana, USA

Susanne MUEHLSCHLEGEL, MD, MPHMassachusetts General Hospital Worcester, Massachusetts, USA

Srinivas MURALI, MDTemple University Hospital Philadelphia, Pennsylvania, USA

David J. MURPHY, MD, PhDJohns Hopkins University Hospital Atlanta, Georgia, USA

Raghavan MURUGAN, MD, MS, FRCPUniversity of Pittsburgh Medical Center - CRISMA Lab Pittsburgh, Pennsylvania, USA

Vinay M. NADKARNI, MD, FCCMChildren’s Hospital of Philadelphia Philadelphia, Pennsylvania, USA

Thomas A. NAKAGAWA, MD, FCCMWake Forest University School of Medicine Winston Salem, North Carolina, USA

Rahul NANCHAL, MDMedical College of Wisconsin Milwaukee, Wisconsin, USA

Douglas F. NAYLOR, MD, FCCMThe Cleveland Clinic Foundation Cleveland, Ohio, USA

Judith E. NELSON, MD, JDMount Sinai School of Medicine New York, New York, USA

Akira NISHISAKI, MDThe Children’s Hospital Philadelphia Philadelphia, Pennsylvania, USA

Michael NUROK, MD, PhDHospital for Special Surgery New York, New York, USA

Michael F. O’CONNOR, FCCMUniversity of Chicago Chicago, Illinois, USA

Fola ODETOLA, MD, MPHUniversity of Michigan Ann Arbor, Michigan, USA

Terence O’KEEFFE, MB, ChB, BScUniversity of Arizona College of Medicine Tucson, Arizona, USA

Gary OLDENBURG, RRTChildren’s National Medical CenterWashington, DC, USA

Steven M. OPAL, MDMemorial Hospital of Rhode Island Pawtucket, Rhode Island, USA

James A. OSORIO, MDWeill-Cornell Medical Center New York, New York, USA

Lance J. OYEN, BCPS, PharmD, FCCMMayo Clinic Rochester, Minnesota, USA

Christopher PACIULLO, PharmD, BCPSEmory University Hospital Atlanta, Georgia, USA

Pratik P. PANDHARIPANDE, MD, FCCMVanderbilt University Medical Center Nashville, Tennessee, USA

Pauline K. PARK, MD, FCCMUniversity of Michigan Hospitals Ann Arbor, Michigan, USA

Margaret M. PARKER, MD, FCCMStony Brook University Stony Brook, New York, USA

Joseph E. PARRILLO, MD, MCCMHeart and Vascular Hospital, Hackensack University Medical Center Hackensack, New Jersey, USA

Stephen M. PASTORES, MD, FCCMMemorial Sloan-Kettering Cancer Center New York, New York, USA

Bela PATEL, MD, DABSMUTHSC Houston Medical School Houston, Texas, USA

Shibani PATI, MDThe University of Texas - Health Science Center Houston, Texas, USA

Andrew J. PATTERSON, MD, PhD, FCCMStanford University Stanford, California, USA

Ronald G. PEARL, MD, PhD, FCCMStanford University Stanford, California, USA

Heather A. PERSONETT, PharmDMayo Clinic-Saint Mary’s Hospital Rochester, Minnesota, USA

Allan S. PHILP, MD, FCCMUnited States Air Force HospitalHampton, Virginia, USA

Brian W. PICKERING, MD, MB, BCh, BAOMayo Clinic - College of Medicine Rochester, Minnesota, USA

Michael R. PINSKY, MD, MCCMUniversity of Pittsburgh School of Medicine Pittsburgh, Pennsylvania, USA

Patricia J. POSA, BSNSaint Joseph Mercy Hospital Ann Arbor, Michigan, USA

Peter J. PRONOVOST, MD, PhD, FCCMJohns Hopkins University School of Medicine Baltimore, Maryland, USA

Jose Javier PROVENCIO, MD, FCCMThe Cleveland Clinic Cleveland, Ohio, USA

Basil A. PRUITT Jr., MD, FACS, MCCMUT Health Science Center at San Antonio San Antonio, Texas, USA

Alejandro RABINSTEIN, MDMayo Clinic and Foundation Rochester, Minnesota, USA

Leslie RAFFINI, MDChildren’s Hospital of Philadelphia Philadelphia, Pennsylvania, USA

Thomas G. RAINEY, MD, MCCMCriticalMed, Inc. Bethesda, Maryland, USA

Marco RANIERI, MDUniversita di Torino Ospedale S. Giovanni Battista Torino, Italy

Russell C. RAPHAELY, MD, MCCMAlfred I. DuPont Hospital for Children Wilmington, Delaware, USA

R. Lawrence REED, MD, FCCMClarian Health Methodist Hospital Indianapolis, Indiana, USA

Andrew RHODES, MDSt. George’s Hospital London, United Kingdom




Thomas B. RICE, MDChildren’s Hospital of Wisconsin Milwaukee, Wisconsin, USA

Mark R. RIGBY, MD, PhD, FCCMRiley Hospital for Children Indianapolis, Indiana, USA

Richard R. RIKER, MD, FCCMMaine Medical Center Portland, Maine, USA

Fred RINCON, MD, MS, FCCMThomas Jefferson University Hospital Philadelphia, Pennsylvania, USA

Russell S. ROBERSON, MDUT Southwestern Medical CenterDallas, Texas, USA

Kathryn E. ROBERTS, RN, MSN, CNS, CCRNChildren’s Hospital of Philadelphia Philadelphia, Pennsylvania, USA

Russel J. ROBERTS, PharmDTufts Medical Center Dedham, Massachusetts, USA

Gloria M. RODRIGUEZ-VEGA, MD, FCCMUniversity of Puerto Rico School of Medicine San Juan, Puerto Rico

Andrew L. ROSENBERG, MDUniversity of Michigan Ann Arbor, Michigan, USA

Elizabeth ROZANSKI, DVMTufts University School of Veterinary MedicineNorth Grafton, Massachusetts, USA

Mark E. ROWIN, MDChildren’s Hospital at Erlanger Chattanooga, Tennessee, USA

Anthony RUSSO Fairfield, California, USA

George A. SAMPLE, MDWashington Hospital Center Washington, DC, USA

Adam SAPIRSTEIN, MDJohns Hopkins School of Medicine Baltimore, Maryland, USA

Babak SARANI, MD, FCCM, FACSGeorge Washington University Washington, DC, USA

Richard H. SAVEL, MD, FCCMMontefiore Medical Center Brooklyn, New York, USA

Curtis N. SESSLER, FCCMMedical College of Virginia at Virginia Commonwealth UniversityRichmond, Virginia, USA

Patricia D. SCHERRER, MDUniversity of Virginia Children’s Hospital Charlottesville, Virginia, USA

Aryeh SHANDER, MD, FCCMEnglewood Hospital and Medical Center Englewood, New Jersey, USA

Carl B. SHANHOLTZ, MDUniversity of Maryland School of Medicine Baltimore, Maryland, USA

Thomas P. SHANLEY, MD, FCCMMICHR Ann Arbor, Michigan, USA

Lara S. SHEKERDEMIAN, MD, FRACP, FCICMBaylor College of Medicine/Texas Children’s Hospital Houston, Texas, USA

Robert L. SHERIDAN, MDMassachusetts General Hospital Boston, Massachusetts, USA

Andre C. SHIH, DVMUniversity of FloridaGainesville, Florida, USA

Lori A. SHUTTER, MD, FCCMUniversity of Pittsburgh Medical Center Pittsburgh, Pennsylvania, USA

Kai SINGBARTL, MDUniversity of Pittsburgh Hershey, Pennsylvania, USA

Gregory SMITH, LEED APTurner Construction Company Philadelphia, Pennsylvania, USA

Heidi A.B. SMITH, MDVanderbilt Children’s Hospital Nashville, Tennessee, USA

Lauren R. SORCE, RN, MSN, FCCMAnn and Robert H. Lurie Children’s Hospital Chicago, Illinois, USA

Philip C. SPINELLA, MD, FCCMWashington University in St. Louis St. Louis, Missouri, USA

Kristan L. STAUDENMAYER, MDStanford University Medical Center Stanford, California, USA

Erik SU, MDJohns Hopkins Hospital Baltimore, Maryland, USA

Lillian SU, MDChildren’s National Medical Center Washington, DC, USA

Ram SUBRAMANIAN, MDEmory University Atlanta, Georgia, USA

Breandan L. SULLIVAN, MDUniversity of Colorado, Denver Aurora, Colorado, USA

Sandy M. SWOBODA, RN, MS, FCCMJohns Hopkins Hospital Baltimore, Maryland, USA

Wanchun TANG, MD, MCCMWeil Institute of Critical Care Medicine Rancho Mirage, California, USA

Robert C. TASKER, MD, MBBSChildren’s HospitalBoston, Massachusetts, USA

Dennis A. TAYLOR, ACNP, DNP, MBACarolinas HealthCare System Charlotte, North Carolina, USA

Ken TEGTMEYER, MD, FCCM, FAAPCincinnati Children’s Hospital Cincinnati, Ohio, USA

Neal J. THOMAS, MD, FCCMPenn State Children’s Hospital Hershey, Pennsylvania, USA

Ann E. THOMPSON, MD, MCCMChildren’s Hospital of Pittsburgh Pittsburgh, Pennsylvania, USA

Carol L. THOMPSON, PhD, ACNP, CCRNUniversity of Tennessee Health Science Center Memphis, Tennessee, USA

Dan R. THOMPSON, MD, MA, FCCMAlbany Medical College Albany, New York, USA

John THORNTON, MD, MPHMetroHealth Medical Center Cleveland, Ohio, USA

Samuel A. TISHERMAN, MD, FCCMUniversity of Pittsburgh Medical Center Pittsburgh, Pennsylvania, USA

Joseph D. TOBIAS, MDNationwide Children’s Hospital Columbus, Ohio, USA

Christine C. TOEVS, MD, FCCMWest Penn Allegheny Health System Pittsburgh, Pennsylvania, USA

Michel TORBEY, MD, MPH, FCCM, FAHAOhio State University Columbus, Ohio, USA

Sean R. TOWNSEND, MDCalifornia Pacific Medical Center San Francisco, California, USA

Jonathon D. TRUWIT, MDUniversity of Virginia Health Systems Charlottesville, Virginia, USA

Avery TUNG, MD, FCCMUniversity of Chicago Chicago, Illinois, USA

David A. TURNER, MDDuke UniversityDurham, North Carolina, USA

Jeffery S. VENDER, MD, FCCMNorthshore University Health SystemEvanston, Illinois, USA

Paul M. VESPA, MD, FCCMUCLA Health Sciences Center Los Angeles, California, USA

Dharmapuri VIDYASAGAR, MD, FCCMUniversity of Illinois at Chicago Medical Center Chicago, Illinois, USA

Jean-Louis VINCENT, MD, PhD, FCCMErasme University Hospital Brussels, Belgium

Mark WAINWRIGHT, MD, PhDNorthwestern University Feinberg School of Medicine Chicago, Illinois, USA

Michael H. WALL, MD, FCCMBarnes-Jewish Hospital - Washington University School of Medicine St. Louis, Missouri, USA

Paula L. WATSON, MDVanderbilt University Medical Center Nashville, Tennessee, USA

Brian WESSMAN, MDWashington University in St. Louis School of Medicine St. Louis, Missouri, USA

Derek S. WHEELER, MD, FCCMCincinnati Children’s Hospital Medical Center Cincinnati, Ohio, USA

Glenn J.R. WHITMAN, MDThe Johns Hopkins Hospital Baltimore, Maryland, USA

Jeffrey L. WILT, MDBorgess Medical Center Kalamazoo, Michigan, USA

Marion F. WINKLER, RD, PhDRhode Island Hospital Providence, Rhode Island, USA

Bradford D. WINTERS, MD, PhD, FCCMJohns Hopkins Hospital Baltimore, Maryland, USA

Paul WISCHMEYER, MDUniversity of Colorado at Denver School of Medicine Aurora, Colorado, USA

Hector R. WONG, MDCincinnati Children’s Hospital Medical Center Cincinnati, Ohio, USA

Hannah WUNSCH, MD, MScColumbia University Medical Center New York, New York, USA

Timothy S. YEH, MD, FCCMSaint Barnabas Medical Center Livingston, New Jersey, USA

Paul C. YODICE, MD, FCCM, FCCPSaint Barnabas Medical Center Livingston, New Jersey, USA

Warren M. ZAPOL, MDMassachusetts General Hospital Boston, Massachusetts, USA

Christine A. ZAWISTOWSKI, MDNYU Langone Medical CenterNew York, New York, USA

Janine Elizabeth ZEE-CHENG, MDIndiana University, Riley Hospital for Children Indianapolis, Indiana, USA

Thomas R. ZIEGLER, MDEmory University HospitalAtlanta, Georgia, USA

Basilia ZINGARELLI, MD, PhDCincinnati Children’s Hospital Cincinnati, Ohio, USA

Marc T. ZUBROW, MD, FCCMUniversity of Maryland School of Medicine Baltimore, Maryland, USA




Continuing Education Credit

Type of activityThis activity includes elements that increase knowledge, application and practice.

Learning ObjectivesAt the conclusion of the 43rd Critical Care Congress, participants should be able to:

s Apply new knowledge and strategies to optimize the care of the critically ill patient as provided by the multiprofessional team

s Examine evidence-based medicine techniques to evaluate and improve patient care

s Review and integrate guidelines to measure performance and identify areas for further study and improvement

CompetenciesSCCM supports recommendations that will promote lifelong learning through continuing education. SCCM promotes activities that encourage the highest quality in education that will enhance knowledge, competence or performance in critical care practice. This activity will meet the following:

s Professionalism s Patient Care and Procedural Skills

s Medical Knowledge s Practice-based Learning and Improvement

s Interpersonal and Communication Skills

s Systems-based Practice

Target AudienceThis continuing education offering is intended to meet the needs of all practitioners who care for critically ill patients:

s Advanced Practice Nurses s Anesthesiologists s Clinical Pharmacists s Critical Care Educators s Emergency Department Physicians

s Family Practice Physicians s ICU Medical Directors s ICU Nurse Managers s In-Training s Internists s Neurosurgeons s Neurologists s Nurses, Adult and Pediatric s Physicians s Physician Assistants s Respiratory Care Practitioners s Research Scientists s Trauma Surgeons s Other Critical Care Practitioners

Obtaining Credit

To obtain credit, please complete the evaluation by accessing the website www.MySCCM.org. Once logged in with your SCCM customer ID (found on your badge) and password (your last name unless you have changed it), select the MY LEARNING tab on the orange bar, and choose the link labeled “43rd Critical Care Congress.”

Maintenance of Certification Part II SCCM is offering Maintenance of Certification (MOC) Part II in addition to Continuing Medical Education for Board-Certified Physicians of the Boards: ABIM, ABA, ABS, and ABP. For the attendees claiming the MOC credits, the program consists of a pre-test, targeted MOC lectures, and a post-test. The pre-test will close at 7:00 a.m. on Monday, January 13, so please log in prior to this time. To access the pre-test, log in to www.MySCCM.org with your Customer ID (found on your badge) and password. Next, choose the MY LEARNING tab on the orange bar, scroll down and click on the link labeled “43rd Critical Care Congress.” The MOC pre-test button will be active until Congress ends. You will be asked to supply your Board ID number and date of birth so that we may report your passing score to your board. After the course, you will access this link to complete the MOC post-test.

s American Board of Surgery: This course meets the requirements for Maintenance of Certification (MOC) Part II. To claim MOC Part II, you must pass the post-test, select the option for Surgery MOC II, and print the score report to submit to the board.

s American Board of Anesthesia: This course meets the requirements for Maintenance of Certification (MOC) Part II. To claim MOC Part II, you must pass the post-test, select the option for Anesthesia MOC II, and enter your ABA number with your date of birth. Your score report will be reported directly to the board.

s American Board of Internal Medicine: This course meets the requirements for Maintenance of Certification (MOC) Part II. To claim MOC Part II, you must pass the post-test, select the option for Internal Medicine MOC II, and enter your ABIM number. Your score report will be reported directly to the board.

s American Board of Pediatrics: This course meets the requirements for Maintenance of Certification (MOC) Part II. To claim MOC Part II, you must pass the post-test, select the option for Pediatric MOC II, and enter your ABP number with your date of birth. Your score report will be reported directly to the board

Computer stations will be available on site, near Registration. If you have questions, please email [email protected] or call +1 847 827-6888.

PhysiciansSCCM is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation StatementSCCM designates this live educational activity for the maximum AMA PRA Category 1 Credits™, as listed below. Physicians should only claim credit commensurate with the extent of their participation in the activity.

s Overall Congress (Concurrent Sessions) 21.5 AMA PRA Category 1 Credits™ s Current Concepts in Adult Critical Care Course 15 AMA PRA Category 1 Credits™ s Current Concepts in Pediatric Critical Care Course 15 AMA PRA Category 1 Credits™ s Postgraduate Courses up to 7.5 AMA PRA Category 1 Credits™

NursesThis program has been approved by the California Board of Registered Nursing, Provider No. 8181, for a maximum number of hours, as listed below:

s Overall Congress (Concurrent Sessions) 21.5 Contact Hours s Current Concepts in Adult Critical Care Course 15 Contact Hours s Current Concepts in Pediatric Critical Care Course 15 Contact Hours s Postgraduate Courses up to 7.55 Contact Hours

PharmacistsSCCM is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmaceutical education. This course provides contact hours of continuing education. SCCM

reports to a continuing pharmacy education (CPE) tracking service using your NABP member number and date of birth. You are responsible for providing accurate information to SCCM. The CPE Monitor will authenticate and store data for completed CPE units received by pharmacists and pharmacy technicians. The tracking system will make CPE data for each participant available to the state boards of pharmacy with which the participant is licensed or registered. After CPE units are processed by ACPE and NABP, pharmacists and pharmacy technicians will be able to log into a comprehensive electronic profile to access information about their completed CPE.

Respiratory TherapistsApplication has been submitted to the American Association for Respiratory Care for CRCE credit.

Registered Dietitians and Dietetic TechniciansSCCM has submitted this program for approval from the Commission on Dietetic Registration (CDR).



Register for the 43rd Critical Care Congress

s Daily registration for the Critical Care Congress is available Friday through Sunday only. With the purchase of a daily registration, you will be able to attend educational sessions, access the Exhibit Hall and register for ticketed events only on the day for which your registration was purchased.

s Congress registration is required for any other ticketed sessions. Daily rates are applicable, but you must be registered for the day the event takes place.

s You may not register for courses that conflict in time with one another.

s Changes to ticketed sessions will be accepted until December 4, 2013 .

s Pre-registration will be accepted until December 4, 2013. Thereafter, registration will be accepted on site only.

RegISteR By NovemBeR 6, 2013, foR the BeSt RateS!

REGISTRANT INFORMATION

Last Name (Surname) _________________________________ First ___________________________ Middle Initial__________Customer/Member # ___________

Degrees/Credentials (ex.: ACNP, MD, PharmD, RN, RRT, etc.) ___________________________________________________________ Gender: Male Female

Organization _____________________________________________________________ Address_______________________________________________________

City _______________________________________________________________________ State_________________________ Zip/Postal Code _______________

Country __________________________________________________ Home Office Phone_______________________________________________________

Fax _______________________________________________________ Email ______________________________________________________________________

CANCELLATION/REFUND POLICY

PAYMENT INFORMATION (Please send payment with registration form.)

Check (must be U.S. funds drawn on a U.S. bank) or International Money Order

Wire Transfer (Please contact SCCM Customer Service for wire transfer information.)

Credit Card: American Express Discover MasterCard Visa

Card Number _________________________________________________________________________ Expiration Date ____________________________________

Cardholder Name _______________________________________________________________________________________________________________________

Cardholder Signature ___________________________________________________________________________ Date ____________________________________

Check here or email [email protected] if you have special needs related to a disability and an SCCM staff member will contact you to determine specific requirements.

__________________________________________

2014 CONGRESS REGISTRATION RATES

Early Rate Advance Rate On-Site Daily by 11/6/2013 by 12/4/2013 Rate Rate

MEMBERPhysician $730 $830 $900 $450Healthcare Prof.* $530 $630 $700 $350Student* $275 $325 $350 $175

NONMEMBERPhysician $930 $1,030 $1,100 $550Healthcare Prof.* $670 $770 $840 $420Student* $355 $405 $430 $215

*Fellows and residents register at the Healthcare Professional rate. Training verification letter must accompany registration form for fellows, residents and students.

FOR DAILY RATES, PLEASE INDICATE WHICH DAY BELOW:With daily registration, you may attend educational sessions, access the Exhibit Hall and register for ticketed events only on the day for which your registration was purchased.

Friday, Jan. 10 Saturday, Jan. 11 Sunday, Jan. 12

CONGRESS TUITION $_________________

Tuition includes online access to Congress On Demand post Congress and admission to all general Congress sessions, Exhibit Hall and Exhibit Hall refreshment breaks, Poster Hall, and Professor Walk Rounds.

ADDITIONAL TICKETED SESSIONS/EVENTSYou do not need to be registered for Congress to attend these courses.*If you are not registered for Congress, a $50 charge per course will beapplied to your registration fee.

WEDNESDAY, JAN. 8 AND THURSDAY, JAN. 9

Current Concepts in Adult Critical Care $_________

Physician $395 ($445*) Healthcare Professional/Student $320 ($370*)

Current Concepts in Pediatric Critical Care $_________


THURSDAY, JAN. 9 Case-Based Pearls in Neurocritical Care $295 ($345)

$_________

Fundamentals of Extracorporeal Membrane Oxygenation (ECMO) $295 ($345)

$_________

ICU Management Paradigms for the 21st Century $295 ($345)

$_________

Less Invasive Hemodynamic Monitoring $295 ($345)

$_________

Optimizing Mechanical Ventilation: Sharing Data Between Adult and Pediatric Patients $295 ($345)

$_________

Veterinary Respiratory Diagnostics and Therapeutics $320 ($370)

$_________

SATURDAY, JAN. 11

Fellowship Directors’ Luncheon $75 ($125*) $_________

Pre-registration will be accepted until December 4, 2013. Thereafter, registrations will be accepted on site only.

REGISTRATION FEES $MEMBERSHIP DUES $

TOTAL DUE $

Cancellations must be submitted in writing. All cancellations are subject to a $75 non-refundable processing fee and must be postmarked prior to December 4, 2013, to be eligible for a refund. Any cancellation postmarked after this date will not be refunded. Exchanges and substitutions are not allowed at any time. Dates for the 43rd Critical Care Congress are subject to change and/or cancellation. In the event of a change/cancellation, only individual registration fees will be reimbursed. Please allow four weeks to process refunds.

CHOOSE FROM FOUR EASY WAYS TO REGISTER:

▲ January 9-13, 2014 ▲ San Francisco, California, USA ▲ Moscone Center South

43rd CRITICAL CARE CONGRESS: REGISTRATION FORM

1. Online at www.sccm.org/store 2. Call SCCM Customer Service at +1 847 827-6888 3. Fax the completed form to +1 847 493-6444 4. Mail the completed form to: 35083 Eagle Way, Chicago, IL 60678-1350 USA

Please use this form to register for the 43rd Critical Care Congress. Please type or print clearly and keep a copy of this form for your records.


Last Name (Surname) _________________________________ First ___________________________ Middle Initial__________Customer/Member # ___________

Degrees/Credentials (ex.: ACNP, MD, PharmD, RN, RRT, etc.) ___________________________________________________________ Gender: Male Female

Organization _____________________________________________________________ Address_______________________________________________________

City _______________________________________________________________________ State_________________________ Zip/Postal Code _______________

Country __________________________________________________ Home Office Phone_______________________________________________________

Fax _______________________________________________________ Email ______________________________________________________________________

CANCELLATION/REFUND POLICY


Check (must be U.S. funds drawn on a U.S. bank) or International Money Order

Wire Transfer (Please contact SCCM Customer Service for wire transfer information.)

Credit Card: American Express Discover MasterCard Visa

Card Number _________________________________________________________________________ Expiration Date ____________________________________

Cardholder Name _______________________________________________________________________________________________________________________

Cardholder Signature ___________________________________________________________________________ Date ____________________________________


__________________________________________

2014 CONGRESS REGISTRATION RATES

Early Rate Advance Rate On-Site Daily by 11/6/2013 by 12/4/2013 Rate Rate

MEMBERPhysician $730 $830 $900 $450Healthcare Prof.* $530 $630 $700 $350Student* $275 $325 $350 $175

NONMEMBERPhysician $930 $1,030 $1,100 $550Healthcare Prof.* $670 $770 $840 $420Student* $355 $405 $430 $215

*Fellows and residents register at the Healthcare Professional rate. Training verification letter must accompany registration form for fellows, residents and students.

FOR DAILY RATES, PLEASE INDICATE WHICH DAY BELOW:With daily registration, you may attend educational sessions, access the Exhibit Hall and register for ticketed events only on the day for which your registration was purchased.

Friday, Jan. 10 Saturday, Jan. 11 Sunday, Jan. 12

CONGRESS TUITION $_________________

Tuition includes online access to Congress On Demand post Congress and admission to all general Congress sessions, Exhibit Hall and Exhibit Hall refreshment breaks, Poster Hall, and Professor Walk Rounds.

ADDITIONAL TICKETED SESSIONS/EVENTSYou do not need to be registered for Congress to attend these courses.*If you are not registered for Congress, a $50 charge per course will beapplied to your registration fee.

WEDNESDAY, JAN. 8 AND THURSDAY, JAN. 9

Current Concepts in Adult Critical Care $_________


Current Concepts in Pediatric Critical Care $_________


THURSDAY, JAN. 9 Case-Based Pearls in Neurocritical Care $295 ($345)

$_________

Fundamentals of Extracorporeal Membrane Oxygenation (ECMO) $295 ($345)

$_________

ICU Management Paradigms for the 21st Century $295 ($345)

$_________

Less Invasive Hemodynamic Monitoring $295 ($345)

$_________

Optimizing Mechanical Ventilation: Sharing Data Between Adult and Pediatric Patients $295 ($345)

$_________

Veterinary Respiratory Diagnostics and Therapeutics $320 ($370)

$_________

SATURDAY, JAN. 11

Fellowship Directors’ Luncheon $75 ($125*) $_________

Pre-registration will be accepted until December 4, 2013. Thereafter, registrations will be accepted on site only.

REGISTRATION FEES $MEMBERSHIP DUES $

TOTAL DUE $

Cancellations must be submitted in writing. All cancellations are subject to a $75 non-refundable processing fee and must be postmarked prior to December 4, 2013, to be eligible for a refund. Any cancellation postmarked after this date will not be refunded. Exchanges and substitutions are not allowed at any time. Dates for the 43rd Critical Care Congress are subject to change and/or cancellation. In the event of a change/cancellation, only individual registration fees will be reimbursed. Please allow four weeks to process refunds.



43rd CRITICAL CARE CONGRESS: REGISTRATION FORM


Please use this form to register for the 43rd Critical Care Congress. Please type or print clearly and keep a copy of this form for your records.

Registration Policies Cancellation/Refund PolicyCancellations must be submitted in writing. All cancellations are subject to a $75 nonrefundable processing fee, and must be postmarked prior to December 4, 2013 , to be eligible for a refund. Any cancellation postmarked after this date will not be refunded. Exchanges and substitutions are not allowed at any time. Dates for the 43rd Critical Care Congress are subject to change and/or cancellation. In the event of a cancellation, only individual registration fees will be reimbursed. Please allow four weeks to process refunds.

Congress tuition includes:•Admission to all Congress

sessions •Online access to Congress

On Demand (available post-Congress)

•Refreshment breaks in the Exhibit Hall

•Poster exhibits and Poster Hall Walk Rounds

Become an SCCM member and save!Become an SCCM member or renew your membership today and save up to 25% off the nonmember Congress registration fee. Simply add your dues amount to the Congress registration form to take advantage of the SCCM member rates.

Membership Options/Dues

Physician - $375

Healthcare Professionals - $162Advanced practice nurses, registered nurses, pharmacists, physician assistants, respiratory therapists, scientists, and other healthcare professionals and industry personnel, excluding physicians

International Physicians* - $258 Physicians who reside outside the United States

Young Physicians* - $200 Physicians who have completed a fellowship training program within the last three years

In-Training* - $85 Current fellows, residents and students in specialty training programs or pursuing healthcare

education

*International physician and in-training memberships do not include the right to make motions, vote or hold office. Consider full physician or healthcare professional membership. In-training and young physician registrants must include a verification letter with the registration form.



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Take advantage of discounted Congress hotel rates by making your reservation through the SCCM Housing Bureau. Reserve your room online at www.sccm.org/congress. The deadline for booking at discounted SCCM rates is Thursday, December 12, 2013. Room reservations for all Congress hotels will be handled on a first-come, first-served basis. All reservations are subject to availability. Room rates listed below are quoted in USD and do not include fees and applicable taxes. For housing questions, including reservation changes or cancellations, please call +1 800 974-3084 (Domestic) or +1 847 996-5876 (International), or email [email protected] Monday through Friday between 8:00 a.m. and 5:00 p.m Central Time.

Note: All official SCCM hotels listed below are within walking distance to Moscone Center South.

VISIT WWW.SCCM.ORG/CONGRESS FOR ADDITIONAL HOUSING DETAILS

1. San Francisco Marriott Marquis780 Mission Street Rate: $264 Single/$284 Double

Features: s Full-service business center s High-speed wireless Internet access s On-site dining options s Fitness center and spa s Indoor pool and whirlpool

Headquarters Hotel

2. InterContinental San Francisco Hotel888 Howard StreetRate: $250 Single/Double

3. The Mosser Hotel54 Fourth StreetRate: $168 Single/Double

4. The Palace Hotel2 New Montgomery StreetRate: $268 Single/DoubleMinimum two-night stay required

5. The W San Francisco Hotel181 Third StreetRate: $278 Single/DoubleMinimum two-night stay required

6. Westin San Francisco Market Street Hotel50 Third StreetRate: $248 Single/ $258 Double

Additional HousingAir Travel SCCM has arranged for discounted airfare with United Airlines for travel to San Francisco, California, for the 43rd Critical Care Congress. Please visit www.sccm.org/Congress for details.

All travelers may also contact SCCM’s travel agency, Association Travel Concepts (ATC) during normal business hours Monday through Friday, 9:00 a.m. to 6:30 p.m. Eastern Time. Phone: +1 800 458-9383. Note: A $35 booking fee will apply. Calls placed after normal business hours will incur an additional $25 service fee.

Car Rental SCCM has negotiated special car rental rates during Congress with Hertz. Discounted rates are available for rentals checked out and returned between January 2 and 20, 2014. To receive the discounted rates, please refer to the information below.+1 800 654-2240 (U.S. and Canada)+1 405 749-4434 (International)www.Hertz.comCV # 022Q6337

Airport Shuttle/Taxi Service

Save time and money with the following airport and taxi services. Order online or through your mobile device.

Shuttle service from/to the San Francisco International Airportwww.gosfovan.comGroup ID / Discount Code: SCCM2014+1 415 334-9000

Transportation around town as well as from/to the San Francisco and Oakland International Airports. Visit www.sccm.org/Congress for details.Promo Code: SFCCC SCCM $20 discount valid January 8 to 20, 2014 for new customers using black car ride service only. Taxi service available at standard rates.



Sightseeing Activities

SCCM is offering the following organized tours for attendees who want to experience some of the San Francisco area’s main attractions.

The City and the BayThis tour offers the perfect overview of the many landmarks that make San Francisco “Everybody’s Favorite City.” You will see the Golden Gate Bridge and a breathtaking view from Vista Point; the mystical wonders of Chinatown; the famous Victorian homes, known as Painted Ladies; and of course, glimpses of San Francisco’s unique neighborhoods.

Magical Marin: Muir Woods and SausalitoCross the Golden Gate Bridge for a wonderful morning in stunning Marin County! You will begin the tour in Muir Woods, named for the conservationist, John Muir. Here, you will see the magnificent Redwoods, many of them thousands of years old. Next, you will visit the charming and eclectic town of Sausalito, with beautiful streets, unique shops and one-of-a-kind art galleries. You will have time to shop and browse in Sausalito.

The Best of the California Wine CountryEnjoy two very different wineries on this all-day wine country experience. This tour begins in the heart of Sonoma’s wine country at Ravenswood. Journey through this renowned winery’s vineyards and cellars with a private tasting and tour. Stop in the delightful town of Yountville for time to stroll and shop, and enjoy lunch on your own. A final stop at Clos du Val, a small boutique winery, will allow you to sample another of California’s wine country gems before heading back to San Francisco.

Chinatown Discovery: A Walking Excursion (with Dim Sum Lunch)Once you enter the historic Lion Gates, you will be transported to San Francisco’s renowned Chinatown. You will walk down Grant Avenue, the main street of exotic Chinatown, where shops abound with jade, ivory and silk, as well as novelty and gift items. Your tour may include a visit to an authentic fortune cookie factory or a Chinese temple. Since the aromas of the neighboring restaurants will certainly stimulate your appetite, the tour will conclude with dim sum lunch.

Emphasis on Art: Legion of Honor and de Young MuseumOn this tour, docents will lead you through the California Palace of the Legion of Honor, one of San Francisco’s most prestigious landmarks. Next is the de Young Museum, located in Golden Gate Park.


SPOUSE/GUEST REGISTRATION (If you need more space, please make a copy of this form.)

TOURS


Gender: Male Female over 18

QTY TOTALFriday, January 10, 2014

The City and the Bay 8:00 a.m. – 12:30 p.m. $60 _____ $_________

Saturday, January 11, 2014 _____ $_________

_____ $_________

Sunday, January 12, 20148:30 a.m. – 12:30 p.m. $80 (includes lunch) _____ $_________

12:30 p.m. – 5:30 p.m. $60 (includes private docent tour of deYoung Museum. Please eat prior to departure.)

_____ $_________

Please use this form to register guests for the 43rd Critical Care Congress and/or to purchase tickets for tours.Please type or print clearly. Please keep a copy of this form for your records.


Last Name (Surname)______________________ First____________________Middle Initial_____ Customer/Member # __________________________

Organization __________________________________________________________________________________________________________________

Address ______________________________________________________________________________________________________________________

City_____________________________________ State____________ Zip/Postal Code_____________ Country ________________________________

Spouse/guest registration is required for anyone over 18 years of age who will be participating in SCCM activities. Registration includes admission to the Exhibit Hall and an SCCM gift. Spouses/guests must be registered for Congress in order to purchase tickets for tours. Spouse/guest registration is $25 per guest over 18 and does not include admission to any educational session.

QTY:____________ TOTAL $___________

TOTAL DUE $ __________________

Last Name (Surname) First Middle Initial







Tours will depart from Moscone Center South. Anyone under 18 must be accompanied by an adult. Tours may be canceled due to low enrollment. (Please indicate ticket quantity.)

The City and the Bay 12:30 p.m. – 5:00 p.m. $60 _____ $_________

Magical Marin: Muir Woods and Sausalito 9:00 a.m. – 1:00 p.m. $65 (lunch on own)

8:30 a.m. – 4:00 p.m. $129 The Best of the California Wine Country

Chinatown Discovery with Dim Sum Lunch

Emphasis on Art: Legion of Honor and de Young Museum

Check payable to SCCM (must be U.S. funds drawn on a U.S. bank) or International Money Order Wire Transfer (Please contact SCCM Customer Service for wire transfer information.) Credit Card: American Express Discover MasterCard Visa

Card Number ____________________________________________________ Expiration Date ____________________________________________________

Cardholder Name __________________________________________________________________________________________________________________

Cardholder Signature________________________________________________________ Date __________________________________________________



43rd CRITICAL CARE CONGRESS: GUEST/TOUR REGISTRATION FORM



SPOUSE/GUEST REGISTRATION (If you need more space, please make a copy of this form.)

TOURS



QTY TOTALFriday, January 10, 2014

The City and the Bay 8:00 a.m. – 12:30 p.m. $60 _____ $_________

Saturday, January 11, 2014 _____ $_________

_____ $_________

Sunday, January 12, 20148:30 a.m. – 12:30 p.m. $80 (includes lunch) _____ $_________

12:30 p.m. – 5:30 p.m. $60 (includes private docent tour of deYoung Museum. Please eat prior to departure.)

_____ $_________

Please use this form to register guests for the 43rd Critical Care Congress and/or to purchase tickets for tours.Please type or print clearly. Please keep a copy of this form for your records.


Last Name (Surname)______________________ First____________________Middle Initial_____ Customer/Member # __________________________

Organization __________________________________________________________________________________________________________________

Address ______________________________________________________________________________________________________________________

City_____________________________________ State____________ Zip/Postal Code_____________ Country ________________________________

Spouse/guest registration is required for anyone over 18 years of age who will be participating in SCCM activities. Registration includes admission to the Exhibit Hall and an SCCM gift. Spouses/guests must be registered for Congress in order to purchase tickets for tours. Spouse/guest registration is $25 per guest over 18 and does not include admission to any educational session.

QTY:____________ TOTAL $___________

TOTAL DUE $ __________________








Tours will depart from Moscone Center South. Anyone under 18 must be accompanied by an adult. Tours may be canceled due to low enrollment. (Please indicate ticket quantity.)

The City and the Bay 12:30 p.m. – 5:00 p.m. $60 _____ $_________

Magical Marin: Muir Woods and Sausalito 9:00 a.m. – 1:00 p.m. $65 (lunch on own)

8:30 a.m. – 4:00 p.m. $129 The Best of the California Wine Country

Chinatown Discovery with Dim Sum Lunch

Emphasis on Art: Legion of Honor and de Young Museum

Check payable to SCCM (must be U.S. funds drawn on a U.S. bank) or International Money Order Wire Transfer (Please contact SCCM Customer Service for wire transfer information.) Credit Card: American Express Discover MasterCard Visa

Card Number ____________________________________________________ Expiration Date ____________________________________________________

Cardholder Name __________________________________________________________________________________________________________________

Cardholder Signature________________________________________________________ Date __________________________________________________



43rd CRITICAL CARE CONGRESS: GUEST/TOUR REGISTRATION FORM




&Section Chapter News

The Society of Critical Care Medicine has 14 Specialty Sections to

accommodate members of various professions and disciplines.

Members may join up to three sections for unique opportunities

to network with colleagues and become more involved in proj-

ects and initiatives while advancing the mission of the Society.

learn more about joining a specialty section or Chapter at www .sccm .org/membership .

Clinical Pharmacy and Pharmacology SectionThe 43rd Critical Care Congress in San Francisco,

January 9 to 13, 2014, is fast approaching. This year’s schedule is unique, with a Thursday through Tuesday schedule. The Clinical Pharmacy and Pharmacology (CPP) Section’s annual pre-meeting symposium, Tools for Today, Visions for Tomorrow: Advancing Clinical Pharmacy, and networking activities will be held Thursday, January 9. Please plan to attend and kick off Congress with our section events, a detailed schedule of which will be sent to section members via email and archived in the iRoom.

The CPP Section has a high priority for patient safety and primum non nocere. The Patient Safety Committee is engaged in patient safety-oriented projects, such as develop-ing patient education brochures, offering awards, and coor-dinating research initiatives. You can find related materials in the iRoom, under Committee Documents. Open the Patient Safety Committee folder and review the activities and information. Patient safety-related questions may be directed to Eric Mueller, PharmD, BCPS, at [email protected].

The CPP Journal Club webcast occurs on the third Friday of each month. If you miss the live discussion, you may access the archived sessions in the Archived Presentation section of the Pharmacology Knowledge Line at LearnICU.org.

Those interested in becoming either a mentor or men-tee for any aspect of his or her practice may contact Jenni Morris, PharmD, BCPS, at [email protected]. You do not have to be a senior member to be a mentor, and you do not have to be right out of training to be a mentee. You just need to want a professional relationship to give or receive support!

Contact Lance Oyen at [email protected] or any Steering Committee member if you are interested in becoming involved within the section.

Emergency Medicine Section UpdateWe are pleased to announce that the American Board

of Medical Specialties approved the proposed pathway to formal critical care medicine certification co-sponsored by the American Board of Anesthesiology (ABA) and the American Board of Emergency Medicine (ABEM). The June announcement presented both a formal training path-way as well as a limited grandfathering pathway (expiring 2018). The new pathway requires that the emergency medi-cine/critical care medicine (EM/CCM) candidate complete two years critical care fellowship training at an approved anesthesiology/critical care medicine site. (Anesthesiology/CCM programs will have to apply and be approved for an EM/CCM two-year track.) The fellowship curriculum allows latitude for multidisciplinary clinical exposure but requires the completion of specific surgical critical care time (both during the first year and by completion of the training cycle). Further details, including frequently asked questions, have been posted on the ABA and ABEM websites.

This pathway joins the existing critical care medicine cer-tification pathway co-sponsored by the ABEM and American Board of Internal Medicine as well as the pathway to surgical critical care through the American Board of Surgery. The landscape for EM/CCM has radically changed over the past two years with multiple opportunities for training and formal certification. An archived presentation detailing the three pathways is available in the Professional Development Knowledge Line at LearnICU.org.

The next section webinar, Coagulopathy in Trauma and Critical Illness, will be held November 14, 2013, at 5:00 p.m. EST.

We look forward to seeing you at the annual Emergency Medicine Section Business Meeting during the 43rd Critical Care Congress in San Francisco, January 9 to 13, 2014.

Internal Medicine Section UpdateThe Internal Medicine Section continues to have a

productive year. The Intensivists in Practice Subcommittee, led by Drs. Leo Rotello and Paul Yodice, participates on regularly scheduled conference calls to advance the interests of practicing intensivists and intensivists in-training who intend to practice in the community. The section also is seeking to revitalize the SCCM program related to fulfill-ing American Board of Internal Medicine Maintenance of Certification requirements. We encourage members interested in participating in such an endeavor to contact a member of the Section Steering Committee.

Don’t forget to vote in the upcoming SCCM Council elections! Your participation is vital to represent the inter-ests of SCCM members.

As always, we encourage you to share your ideas and suggestions to better serve the section and to advance our collective interests. We hope to see you at the 43rd Critical Care Congress in San Francisco! • Laura E. Evans, MD, MS, Section Chair:

[email protected]• Jonathan E. Sevransky, MD, FCCM, Chair-Elect:

[email protected]• Mark E. Mikkelsen, MD, MSCE, Secretary/Treasurer:

[email protected]• Nicholas S. Ward, MD, FCCM, Past Chair:

[email protected]• Antoinette Spevetz, MD, FCCM, Consultant Advisor:

[email protected]• Elliott D. Crouser, MD, Member At-Large:

[email protected]• Bob Hyzy, MD, FCCM, Member At-Large:

[email protected]• Greg Martin, MD, MSc, FCCM, Member At-Large:

[email protected] • Fred Rincon, MD, MSc, MBE, FACP, Member At-Large:

[email protected]• Colette Punda, Staff Partner: [email protected]

Nursing Section UpdateA few reminders as you plan for the upcoming year.

Please join us at 43rd Critical Care Congress in San Francisco, January 9 to 13, 2014. The Nursing Section Business Meeting/Expert Nurse Panel and Member Breakfast Reception will be held on Saturday, January 11. You will receive an email with the time and location as well as the dates and times of the section subcommittee meet-ings. Remember, all Nursing Section members are welcome to attend the section committee meetings.

During the Nursing Section Business meeting, we hold the elections for open leadership positions within the Steering Committee. We will be voting for the chair-elect and one member-at-large positions. If you are interested in either position or would like more information, please contact Section Chair Barbara Birriel, ACNP-BC, FCCM, at [email protected].

Prepare healthcare professionals to treat critical care and disaster management cases.

Acquire the latest information and necessary skills for teaching healthcare professionals to manage critically ill or injured patients, as well as plan for a disaster, at the Society of Critical Care Medicine’s (SCCM) upcoming instructor courses.

Fundamental Disaster Management (FDM) Instructor CourseJanuary 9, 2014 s San Francisco Marriott Marquis This course will provide training on how to teach the Fundamental Disaster Management (FDM) course so that you can prepare healthcare professionals to treat victims of mass casualty events. The FDM program provides the latest information on disaster response, communications, natural disasters, and man-made disasters (biological, chemical and radiation) through comprehensive skill stations. This instructor curriculum incorporates a structured and formal approach to adult learning concepts with a focus on teaching strategies. Visit www.sccm.org/FDM for instructor criteria. The registration fee includes a copy of the FDM textbook, as well as breakfast and lunch. This course is intended for aspiring instructors only. Course content is not suitable for those desiring FDM provider status.

Pediatric Fundamental Critical Care Support (PFCCS) Instructor Course January 9, 2014 s San Francisco Marriott Marquis During this one-day instructor training, you will learn to teach Pediatric Fundamental Critical Care Support (PFCCS) with the content from the new, second edition textbook. The PFCCS program has been updated to reflect the latest skills and techniques practitioners need to address pediatric-specific topics, such as shock, respiratory failure and transport of the critically ill child. This instructor curriculum incorporates a structured and formal approach to adult learning concepts with a focus on teaching strategies. It is recommended that participants be currently practicing in pediatric critical care. Visit www.sccm.org/PFCCS for instructor criteria. The registration fee includes a copy of the second edition PFCCS textbook, as well as breakfast and lunch. This course is intended for aspiring instructors only. Course content is not suitable for those desiring PFCCS provider status.

Fundamental Critical Care Support (FCCS) Instructor Course January 9, 2014 s San Francisco Marriott Marquis Learn to teach Fundamental Critical Care Support (FCCS) based on content from the fifth edition textbook during this one-day instructor course training. The FCCS program has been updated, enhanced and expanded to reflect the latest skills and techniques practitioners need to treat critically ill and injured patients in the absence of an intensivist. This instructor curriculum incorporates a structured and formal approach to adult learning concepts with a focus on teaching strategies. It is recommended that participants be currently practicing in critical care, as the traditional two-day FCCS course is condensed into a one-day program. Visit www.sccm.org/FCCS for instructor criteria. The registration fee includes a copy of the current FCCS textbook, as well as breakfast and lunch. This course is intended for aspiring instructors only. Course content is not suitable for those desiring FCCS provider status.

Register for these courses at www.sccm.org/fundamentals


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Congress-Advance-Program Sccm 2014 San Francisco

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