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sccm.org/criticalconnections • facebook.com/SCCM1 • twitter.com/SCCM Volume 13, Number 2
Volume 17 Number 5
April/May 2014
Critical Connections
October/November 2018
The Complete News Source for Critical Care Professionals
Thank you for your membership in Clinical Spotlight
the Society of Critical Care Medicine.
Learn more about the benefits of
Transforming Care: Developing a
membership at www.sccm.org or
call +1 847 827-6888.
Patient- and Family-Centered ICU
Advance Program
Patient-centered care in the intensive care unit (ICU) requires a com-
mitment by the ICU team to the “Right Care, Right Now,” delivering
In This Issue… the right care at exactly the right moment to achieve optimal patient
outcomes. But in addition to this important goal, our team, the surgical
Patient- and Family-Centered
intensive care unit (SICU) at the University of Michigan in Ann Arbor,
Care
Michigan, USA, began a journey in 2005, seeking to establish the ideal
Learn how to enhance communication patient- and family-centered care (PFCC) experience. To accomplish
with families in the ICU . . . . . . . . . . . 6 this, we assembled a multidisciplinary team to establish an environment
that fosters the concept of being continually responsive to the needs,
See how one ICU team worked toward priorities and choices of patients and their families.
excellence in family-centered care . . . 8 The SICU is a 20-bed unit caring for a wide variety of critically ill
adult surgical patients (general, specialty and transplant surgery). It also
Delve into the intricacies and nuances of
serves as a regional acute respiratory distress syndrome referral center
patient blood management . . . . . . . 12
for extracorporeal membrane oxygenation (ECMO). In 2005, the unit
February 17-20, 2019 | San Diego Convention Center | San
transitioned to having all patients cared for by a multidisciplinary ICU
Diego, California, USA
team, led by a board-certified surgical or anesthesiology intensivist.
Evidence-based critical care was promoted, using standardized proto-
cols and policies and implemented strategies to prevent complications
in an effort to achieve optimal patient outcomes.
Utilizing evidence-based practice guidelines from the Society of
Critical Care Medicine, the American Association of Critical-Care
Nurses and the Institute for Patient- and Family-Centered Care, our
concurrent goal was to adopt the concept that patient- and family-
centered care is a critical component of optimizing patient outcomes
in the SICU.
“Transforming Care: Developing a
Patient- and Family-Centered ICU” p9
The Value and Future of Patient-
Centered Outcomes Research
Healthcare is no longer a disease-centric process. Modern healthcare is
patient-centric, where patients (and their families) are active participants in
care. This change in focus is part of the National Quality Agenda. A patient-
centered process is seen in new programs implemented by the Centers
for Medicare and Medicaid as mandated in the Patient Protection and
Affordable Care Act. Improving the patient experience of care is a com-
R EGBetter
ponent of the “Triple Aim” (“Better Health, ISTE Care,
R Lower Cost”) of
EAR LY Tprocesses
healthcare in the United States.1 Patient-centered O of care embrace
S E C U R E YO
the idea that patients (and their families) know themselves best and that
CHOICE Sof patients U R TOP
optimal outcomes arise from integration IN COUand RSES
families into those
AN Dparticipation
processes.2 For example, patient ACCOM M inOmedical decision making has
A D A TIO N
been associated with improvedT patient
TH E Lsatisfaction
OWE ST R and, perhapsS more impor-
tantly, with outcomes. 3 A T E S
To
register, v
sccm.org/C isit
ongresOutcomes
“The Value and Future ofoPatient-Centered s Research” p4
r contact S
CCM
Customer
Service at
+1 847 82
7-6888.
Congress Advance Program Register Today at sccm.org/Congress October/November 2018 | 1
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Critical Connections
The Complete News Source
for Critical Care Professionals
Contents
Volume 17, Number 5 October/November 2018
Editor
Samuel A. Tisherman, MD, FCCM
Professor, Department of Surgery, Program in Trauma
University of Maryland School of Medicine
Director, Center for Critical Care and
Trauma Education
Baltimore, Maryland, USA
Editorial Advisory Board
President
Jerry J. Zimmerman, MD, PhD, FCCM
Faculty and Emeritus Chief, Pediatric Critical Care
Seattle Children’s Hospital
Seattle, Washington, USA
President-Elect
Heatherlee Bailey, MD, FCCM
Assistant Professor, Emergency Medicine
Durham VA Medical Center
Durham, North Carolina, USA
Treasurer
Lewis J. Kaplan, MD, FCCM
Section Chief, Surgical Critical Care
Corporal Michael J Crescenz VA Medical Center
Associate Professor of Surgery
Perelman School of Medicine,
University of Pennsylvania
Philadelphia, Pennsylvania, USA
Secretary
Greg S. Martin, MD, MS, FCCM
Professor of Medicine
Emory University
Atlanta, Georgia, USA
Immediate Past President
Ruth M. Kleinpell, RN-CS, PhD, FCCM
48th Critical Care Congress Advance Program
Director, Center for Clinical Research and Scholarship
Rush University Medical Center
Chicago, Illinois, USA
Congress Highlights. . . . . . . . . . . . . . . . . . . . . . . 7 Hotel Accommodations. . . . . . . . . . . . . . . . . . . . 26
Critical Connections Staff Plenary Sessions . . . . . . . . . . . . . . . . . . . . . . . . . 7 Sightseeing Activities. . . . . . . . . . . . . . . . . . . . . 27
Managing Editor
Melissa Nielsen
mnielsen@sccm.org
Pre- and Post-Congress Educational Sessions. . . 8 Travel Information . . . . . . . . . . . . . . . . . . . . . . . 27
+1 847 827-7405
Communications Specialist
Abstract Presentations. . . . . . . . . . . . . . . . . . . . . 8 Registration Information. . . . . . . . . . . . . . . . . . 27
Bethany Fresen
bfresen@sccm.org Fellowship Program Directors Luncheon . . . . . . . 8
+1 847 827-6721 Departments
Advertising Advanced Practice Provider Networking
Desiree Ng President’s Message. . . . . . . . . . . . . . . . . . . . . . . 4
dng@sccm.org Luncheon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
+1 847 827-7188
Section and Chapter News. . . . . . . . . . . . . . . . . 29
Director of Marketing Schedule of Events. . . . . . . . . . . . . . . . . . . . 10-25
Curt Powell
Chief Executive Officer and Executive Vice President
David Julian Martin, CAE
Graphic Designer
Cavedweller Studio
From the Editor...
Editorial Contributions: You are invited to share your
expertise and perspective. Please contact the Staff Partner This special issue of Critical Connections highlights and will talk about “Extracorporeal Life Support in
at +1 847 827-7405 or mnielsen@sccm.org. the many exciting activities planned for the Society of Critical Care.” Ronald V. Maier, MD, will talk about
Critical Care Medicine’s (SCCM) 48th Critical Care “Response to Injury and Stress: A Genomic Storm.”
Critical Connections reserves the right to edit all articles
and classified ads. Congress, to be held February 17-20, in San Diego, And don’t miss the second annual Critical Care Quiz
California, USA. We hope you can join us. Show for some fun entertainment and maybe even some
Critical Connections is published bi-monthly by the Society
of Critical Care Medicine, 500 Midway Dr.,
The Society’s annual Congress is the largest education!
Mount Prospect, IL 60056-5811 USA. multiprofessional critical care event of the year, bringing Keeping with tradition, all components of this stellar
together more than 6,000 critical care professionals program were designed to highlight the most up-to-date,
Critical Connections’ mission is to provide SCCM
members and critical care professionals with timely from around the world. This four-day event will offer evidence-based developments in critical care medicine.
information regarding the practice of critical care and the opportunities to learn about cutting-edge research or One of the best aspects of Congress is the opportunity
Society’s activities.
review the fundamentals of critical care with experts to share creative ideas and inspired perspectives with old
POSTMASTER: Send address changes to Critical in the field in a variety of venues, from traditional colleagues or new friends who are all members of the
Connections, Society of Critical Care Medicine, 500
Midway Dr., Mount Prospect, IL 60056-5811 USA. lectures, to debates in the Critical Crosstalk Theater, to multidisciplinary, multiprofessional critical care team.
Roundtable Discussions, to the Tech Lab. Regardless of your profession or role in the critical
Canadian return mail address is Station A, Box 54,
Windsor ON, N9A 6J5
The Pre-Congress Educational Sessions keep getting care team, you will find opportunities to enhance your
better and better. This year, there will be three new practice at this year’s Congress.
Copyright © 2018 by the Society of Critical Care Medicine. topics: liver failure, palliative and end-of-life care, and
All rights reserved. Statements of fact and opinion are the research methodology. Congress highlights will include
Samuel A. Tisherman, MD, FCCM, is a Professor in the Department
responsibility of the authors alone and do not imply an exciting plenary sessions: Rana L. Awdish, MD, will
opinion on the part of the officers or members. of Surgery and the Program in Trauma of the University of Maryland
talk about “A View from the Edge: Creating a Culture School of Medicine. He serves as Director of the Center for Critical
of Caring.” Robert H. Bartlett, MD, will receive Care and Trauma Education and the Director of the Surgical ICU at the
University of Maryland Medical Center.
the Lifetime Achievement Award from the Society
Congress Advance Program Register Today at sccm.org/Congress October/November 2018 | 3
President’s Message
Leveraging SCCM Programs to Promote a
Learning Healthcare Environment in the ICU
Previous data derived from implementation of a 3-hour bundle
Critical care provider decision-making frequently involves life-and-death choices that are
suggested further beneficial effects if the bundle were imple-
impacted by multiple, interactive, complex variables. Ideally these choices reflect evidence- mented in less than 3 hours. It is likely that the hour-1 bundle will
based practice but are as likely to reflect pathophysiologic rationale and knowledge derived undergo additional iterative improvement as evidence evolves.
SCCM is also collaborating with ESICM to sponsor derivation of
from training and experience. Developing and fostering a learning healthcare environment pediatric SSC guidelines.
in the intensive care unit (ICU) identifies best practice, facilitates delivery of high-value
2. Designing clinical standard work modules to
patient and family care, and promotes wellness for the community of ICU practitioners reduce practice variation, conducting iterative plan-
do-study-act cycles of clinical standard work, and
working in the high-stakes, high-stress ICU environment.
displaying outcomes of continuous process improve-
ment activities
A learning healthcare environment occurs when clinical care, physical and emotional harm as well. Since publication of the Advantages of protocols for delivering ICU care have been
clinical research/quality improvement, and interdisciplinary original Choosing Wisely for critical care, multiple articles have summarized as follows: avoiding errors of omission, improv-
team-shared education are so intertwined and integrated that been published suggesting the benefits of less oxygen, less fluid, ing unit efficiency, decreasing cost, and maintaining a standard
they are basically inseparable. Each element informs and ben- less antibiotics, less imaging, and less immobilization in the of care. A standardized approach to care facilitates identifying
efits the other, with the end result being implementation of best ICU. Accordingly, the SCCM Quality and Safety Committee and eliminating waste, maintaining gains from rapid process
practices—evidence-based when possible and conscientiously is conducting a systematic literature review to identify new improvement, communicating between providers, establish-
consensus-derived when evidence is unavailable. candidates for Choosing Wisely for critical care. ing a baseline for continuous improvement, and minimizing
Infrastructure for developing and fostering a learning health- noise and controlling for nuisance variables when attempting to
care environment in the ICU is schematically represented as ICU Liberation
identify best practice. It has been emphasized that standardiza-
the house of continuous process improvement. This structure is The SCCM-sponsored ICU Liberation initiative provides a
tion represents the foundation for iterative process improvement
founded on the principle of patients and families first. Oversight framework for clinical standard work for provision of usual care
and, without standardization, measurements of improvement
is provided by an informed and engaged staff of interdisciplin- in the ICU. The elements of ICU Liberation are:
are impossible.
ary critical care professionals. Essential pillars of continuous A. Always prioritize treatment of pain.
Clinical standard work should be evidence-based whenever
process improvement include quality, cost, delivery, and safety. B. Undertake scheduled daily spontaneous breathing trials and
possible and consensus-derived among relevant stakeholders
Attention to the quality/cost ratio ensures high-value ICU care. spontaneous awaking trials.
when evidence is not available. ICU Liberation provides an
Developing and fostering a learning healthcare environment C. Be cognizant of the choice of drug classes used for sedation.
infrastructure for clinical standard work for usual care in the
in the ICU is based on the following six principles: D. Monitor for and minimize delirium.
ICU. Other SCCM areas of clinical standard work include the
E. Facilitate early mobilization.
Sepsis 3.0 definitions for adult sepsis and a similar ongoing ini-
1. Practicing evidence-based medicine F. Empower and engage families in the care plan.
tiative for pediatric sepsis. In both instances, the new definitions
whenever possible A variety of investigations have generated evidence for the
derive from actual patient data as well as a rigorous consensus
The Society of Critical Care Medicine (SCCM) has recently value of each of the ICU Liberation elements. In addition, two
process. Developing and updating a variety of guidelines related
fostered evidence-based medicine in three areas related to the recent publications have ascertained a dose-response effect of
to ICU practice remains a key initiative of SCCM’s American
practice of critical care: Choosing Wisely, ICU Liberation, and implementation of multiple ICU Liberation elements in terms
College of Critical Care Medicine; these guidelines provide the
the Surviving Sepsis Campaign (SSC). of improved ICU outcomes, including decreased ICU resource
most up-to-date information to inform development of local
utilization and reduced mortality. While a pediatric group is
Choosing Wisely clinical standard work that reflects best practice. Ideally any
analyzing data related to a pilot feasibility study of pediatric
The original 2014 Choosing Wisely activities for critical care clinical standard work should undergo regular plan-do-study-
ICU Liberation, the Adult ICU Liberation Group is examining
included: act cycles to iteratively improve the process toward an ideal
strategies to disseminate ICU Liberation.
1. Don’t order diagnostic tests at regular intervals (such as every state. Providing feedback in the form of run charts of clinically
day), but rather in response to specific clinical questions. Surviving Sepsis Campaign meaningful outcome data and celebrating successes encourages
2. Don’t transfuse red blood cells in hemodynamically stable, The SSC is a collaborative effort between SCCM and the ongoing interest and involvement of relevant stakeholders.
non-bleeding ICU patients with a hemoglobin concentration European Society of Intensive Care Medicine (ESICM) that
greater than 7 g/dL. began in 2002. This international quality improvement program
3. Participating in interdisciplinary teaching
3. Don’t prescribe parenteral nutrition for adequately has focused on the publication of evidence-based guidelines
and education
SCCM is the largest organization of critical care professionals.
nourished critically ill patients during the first seven days and iterative process improvement for rapid identification and
Clearly a paramount SCCM mission is development and
of an ICU stay. treatment of sepsis. The previous SSC 3- and 6-hour bundles
dissemination of interdisciplinary education materials. SCCM’s
4. Don’t deeply sedate mechanically ventilated patients without have recently been merged into an ideal state hour-1 bundle
Critical Care Congress highlights this activity. Multiple other
a specific indication and without daily attempts to lighten that emphasizes the earliest recognition and treatment of sepsis.
teaching venues that are relevant to the ICU team include
sedation. It includes the following elements:
adult and pediatric review and ultrasound courses, Congress
5. Don’t continue life support for patients at high risk for death 1. Measure the lactate level and remeasure if initial lactate is
pre-courses, focused topic summits, webinars, podcasts, and a
or severely impaired functional recovery without offering > 2 mmol/L.
wealth of information housed on SCCM’s website. SCCM’s
patients and their families the alternative of care focused 2. Obtain blood cultures before initiating antibiotics.
Fundamentals courses have flourished over the past several years
entirely on comfort. 3. Administer broad-spectrum antibiotics.
and are taught around the world. They now include several
These initial evidence-based guidelines were endorsed by 4. Begin rapid administration of 30 mL/kg of crystalloid for
specialty modules. SCCM committee involvement frequently
the Critical Care Societies Collaborative (CCSC) in an effort hypotension or lactate > 4 mmol/L.
affords members opportunities to participate in specialized
to reduce the diagnostic and treatment waste that have been 5. Apply vasopressors if the patient is hypotensive during or
education that may include development of white papers. SCCM
associated not only with patient financial harm, but with after fluid resuscitation to maintain mean arterial pressure
currently supports two specialty journals, Critical Care Medicine and
> 65 mm Hg.
4 | October/November 2018 Register today at sccm.org/Congress Congress Advance Program
Pediatric Critical Care Medicine, and is currently exploring publication of identifying best practice. Research should be a standard of ICU providers. Consequences of BOS include higher levels of
of an open-access online journal. Both of the traditional journals care for most ICUs. Multidisciplinary support of local research job dissatisfaction; shorter job tenure; more reported medical
are constantly exploring innovative approaches to engage and quality improvement enriches the ICU environment for errors; negative attitudes toward patients; patient dissatisfaction;
readers, particularly bringing new science related to critical care everyone and ultimately improves patient care. Maintaining and increased failed relationships, depression, alcohol abuse,
to the bedside. Increasingly SCCM members and sections are equipoise on important critical care issues by ICU providers fos- and suicidal ideation. To address this modern-day malady, the
connecting in real time using Twitter, Instagram, and Facebook. ters conduct of high-quality research in the ICU and ultimately National Academy of Medicine has emphasized the importance
underlies an evidence basis for practice. SCCM’s PCOR-ICU of provider well-being to support improved patient-clinician
4. Demanding a culture of safety collaborative identified practices to best engage ICU families in relationships, a high-functioning care team, and an engaged
By at least one published research account, medical error the care plan, while SCCM’s THRIVE initiative is examining and effective workforce. As part of the CCSC, in collabora-
represents the third leading cause of death in the United States. how patient support groups and post-ICU clinics can moderate tion with the American College of Chest Physicians, American
Provision of intensive care is uniquely challenging because of the the burden of long-term morbidity among ICU survivors and Thoracic Society, and American Association of Critical-Care
concurrent interactions of complex patients, complex therapies, their families. Nurses, SCCM supported a call for action to address BOS in
and a complex workplace, which frequently create the perfect Discovery, the Critical Care Research Network, is SCCM’s the ICU in 2016. Currently the CCSC is formulating a master
storm for medical errors. Alternatively, a safe ICU environment research enterprise, which is committed to enhancing all types plan of activities that will promote ICU provider well-being and
requires common purpose, multidisciplinary teamwork, standard of clinical research related to critical illness. Discovery manages resilience in an effort to enhance patient and family outcomes
work, focus on systems, anticipation of unintended consequences, pilot grants, provides detailed critique of research proposals, and experiences.
and individual accountability. Since miscommunication is matches research mentors with junior investigators, meets face-
frequently a root cause of medical errors, SCCM ICU Liberation to-face and virtually several times a year, and integrates SCCM Conclusion
and Patient-Centered Outcomes Research Institute – ICU research resources with researchers. Supporting validation It has been astutely noted that systems awareness and systems
(PCOR-ICU) programs both stress clear communication among studies for the new Sepsis 3.0 definitions and SSC guidelines design, like promotion of a learning healthcare environment in
ICU providers, patients, and families. Because hospital-acquired are other important areas of SCCM member involvement in the ICU, are important for healthcare professionals, but these
infections represent a common critical illness medical error, research. Currently SCCM is also submitting multiple research are not enough. Ultimately the secret of best-quality, lowest-
SCCM has supported efforts to reduce central line-associated proposals related to the Biomedical Advanced Research and cost, equitably delivered, and safe ICU care becomes love. Not
bloodstream infections, catheter-associated urinary tract Development Authority’s (BARDA) request for disruptive, just love for best practice and outcomes, but love for the patient
infections, and ventilator-associated infections. Medication errors innovative investigations to enhance national preparedness for and family as well as the multidisciplinary team.
represent the most common type of error and account for nearly natural and man-made disasters.
80% of serious medical errors in the ICU. SCCM’s Clinical
Pharmacy and Pharmacology Section is committed to improving 6. Promoting wellness and resilience for all ICU Jerry J. Zimmerman, MD, PhD, FCCM, is on the
the prescription, transcription, preparation, dispensation, and providers as well as patients and families faculty in Pediatric Critical Care Medicine at Seattle
administration of ICU medications. A learning health care environment requires a healthy ICU Children’s Hospital and at the University of Washington
multidisciplinary team. Burnout syndrome (BOS), character- School of Medicine in Seattle, Washington, USA.
5. Supporting clinical, translational, and quality ized by emotional exhaustion, depersonalization, cynicism, and
improvement research reduced personal accomplishment, threatens this workforce.
A learning healthcare organization embraces applied clini- Symptoms of BOS are reported by approximately 50% of
cal research and rigorous quality improvement as key aspects
Join Thought
Leaders
in Critical Care
Medicine
• Practice medicine by design - not default
• Work in collaborative, collegial teams with experienced peers
• Manage care with resources required to improve outcomes
• Discover a unique niche between academic and private practice
EXPLORE CAREERS
Sergio Zanotti, MD, FCCM
careers.soundphysicians.com
Chief Medical Officer and host
of the Critical Matters podcast
|
The Intensivist Group joined Sound Physicians in 2014 and is now Sound Critical Care – same great team, new name!
Congress Advance Program Register Today at sccm.org/Congress October/November 2018 5
NEWS UPDATE: NEW FDA CLEARANCE The Only Glucose Meter FDA Cleared for Capillary Testing with Critically Ill Patients Safety and accuracy was proven in an FDA correlation study of 16,778 capillary results from critically ill patients compared to laboratory venous results. StatStrip can now be used with venous, arterial or capillary samples from critically ill patients. Use of any other glucose meter in critical care is considered off label by the FDA and would require following high complexity testing procedures, including patient consent. CLIA-waived status for a meter is also lost if it is used off label on critically ill patients. A hospital cannot avoid these federal regulations by substituting their own meter validation testing or by redefining critically ill patients.
Congress Highlights
Don’t miss these popular Congress events while in San Diego.
Critical Care Quiz Show Critical Crosstalk Theater Roundtable Discussions Tech Lab
The 48th Critical Care Congress will Participate in stimulating discussions Discuss critical care topics and Learn, collaborate, and network with
feature an updated and more robust on critical care. This theater features network with peers on a variety of fellow attendees about the latest
Critical Care Quiz Show! Specialty educational sessions and debates professional, career, and leadership and best technologies available in
section teams will be invited to match wits focused on critical care topics subjects. These discussions are led your personal and professional life.
against each other. Attendees will gather in the fields of internal medicine, by experienced moderators and are Technology demonstrations, experiential
to watch and root for their teams during anesthesiology, surgery, and more. designed to provide participants with learning, social media analysis, and talks
the friendly competition, as contestants Discussions are led by SCCM faculty multiple quick learning opportunities about a variety of hot technology topics
show off their critical care knowledge in members and specialty section within each time block. will be featured.
this fast-paced game show. members.
NEW! Wellness Lab
The Wellness Lab will give clinicians an opportunity to
NEW! Select Membership Tours
focus on their own well-being, which is essential for safe and high- These unique tours are available only to
quality patient care, as well as reducing stress and burnout. A SCCM Select members and guests.
wellness expert will be on site to lead a variety of sessions on topics
including health and wellness habits, relaxation techniques, keys to • USNS Mercy Tour
healthy living, wellness technologies, and meditation techniques. • San Diego Safari Park and Zoo Hospital
Roundtable discussions will feature members discussing stress and
• San Diego Zoo Private Tour
burnout reduction success stories. Experiential approaches to stress
reduction will be introduced and demonstrated. Learn more at sccm.org/SelectTours.
Plenary Sessions Ronald V. Maier, MD, FACS, FRCS Ed (Hon)
Max Harry Weil Memorial Lecture
Attend thought-provoking presentations that promote innovative Response to Injury and Stress: A Genomic Storm
developments in critical care. Plenary sessions are held at Jane and Donald D. Trunkey Professor and Vice Chair of Surgery
unopposed times, with presentations given by distinguished, University of Washington
world-renowned leaders in the critical care field. Confirmed Seattle, Washington, USA
speakers include: Surgeon-in-Chief
Harborview Medical Center
Seattle, Washington, USA
Rana L. Awdish, MD, FACCP
Ake Grenvik Honorary Lecture Paul E. Pepe, MD, MPH, FACEP, FAEMS, MACEP, MCCM
A View from the Edge: Creating a Culture Peter Safar Memorial Lecture
of Caring
Critical Care Physician A 2020 Vision of CPR: Evolution, Revolution, and Novel Solution
Director of the Pulmonary Hypertension Professor of Medicine, Surgery, Pediatrics, Emergency Medicine, Public
Program, Henry Ford Hospital Health and Riggs Family Chair in Emergency Medicine,
Medical Director, Care Experience, Henry University of Texas Southwestern Medical Center at Dallas;
Ford Health System Medical Director for Emergency Medical Services / Public Safety Dallas
Detroit, Michigan, USA County
Dallas, Texas, USA
Robert H. Bartlett, MD Kathryn Rowan, PhD
Lifetime Achievement Award William Shoemaker Honorary Lecture
Extracorporeal Life Support in Critical Care Improving Critical Care and Outcomes Using National Clinical Audit
Professor Emeritus of Surgery Director of Scientific & Strategic Development and Clinical Trials Unit
University of Michigan Director - ICNARC
Ann Arbor, Michigan, USA Honorary Professor, London School of Hygiene & Tropical Medicine,
University of London
London, United Kingdom
Congress Advance Program Register Today at sccm.org/Congress October/November 2018 | 7
Popular Congress Events
and Sessions
Fellowship Program Directors Luncheon
Critical care fellowship program directors, fellows,
members of multiprofessional ICU teams, and
those with a passion for critical care education
are invited to participate in the Fellowship Pre- and Post-Congress Educational Sessions
Program Directors Luncheon to be held Monday,
February 18, 2019, from 12:00 p.m. to 1:15 p.m. Each course is packed with essential clinical information to keep you well informed
at the San Diego Convention Center. This year’s on various critical care topics. Course prices vary. Visit sccm.org/Congress to register.
luncheon session, titled “Mentorship Programs in
Critical Care: A Road Less Traveled,” will address
the need for appropriate multiprofessional Friday, February 15, and Saturday, February 16, 2019
mentorship programs in critical care education
around the world. This luncheon session will allow Critical Care Ultrasound: Adult
for an open-forum discussion with attendees Gain the realistic training needed to perform and interpret ultrasound imaging during this two-day
about the mentorship experience. Attendees will comprehensive course. Participants benefit from skill stations that allow the immediate integration
leave with new ideas and a fresh perspective of learned skills using live models. Hands-on learning with a high faculty-to-attendee ratio includes
and will be able to establish and support this topics such as Cardiac Output, Left/Right Ventricular Function, Focused Assessed Transthoracic
area of critical care training in their institutions. Echocardiography Examination, Vascular Ultrasound, and Ask the Expert. This course will be held at
This is a ticketed session and requires advance the Hilton San Diego Bayfront hotel.
registration and an additional fee to attend.
Critical Care Ultrasound: Pediatric and Neonatal
Advanced Practice Provider Networking Learn how to perform and interpret pediatric and neonatal ultrasound imaging during this comprehensive
Luncheon two-day course. Expert faculty will review the latest pediatric and neonatal strategies in ultrasound
Critical care advanced practice providers (APPs) image interpretation and diagnostic challenges. Extensive faculty coverage ensures a significant hands-
are invited to participate in an APP Networking on experience for each participant. Topics covered at the skill stations include Vascular and Guided
Luncheon to be held Tuesday, February 19, Procedures, Volume Status, Ventricular Function, and Ask the Expert. This course will be held at the
2019, from 12:00 p.m. to 1:15 p.m. APPs will Hilton San Diego Bayfront hotel.
have the opportunity to participate in informal
networking and roundtable discussions on topics Current Concepts in Adult Critical Care
related specifically to APPs and their professional Enhance and update your critical care knowledge by attending this two-day multidisciplinary course,
success. Content will be multiprofessional which will highlight a variety of topics applicable to the intensive care unit setting. The interactive format
in scope and will cover the most challenging will include presentations on select topics, including Drug Withdrawal Syndromes, Cytokine Release
topics for APPs in the critical care setting. This Syndrome, Inhaled Antibiotics for Respiratory Infection, and the pro/con discussion, Do Mandates Improve
is a ticketed session and requires advance Sepsis Care and Outcomes? Panel discussion provides attendees the opportunity to ask questions.
registration and an additional fee to attend. Space Attendees will receive an accompanying book written by the faculty.
is limited.
Current Concepts in Pediatric Critical Care
Educational Symposia Attain expert knowledge and bring home new information and approaches for your pediatric critical
Learn about clinical breakthroughs and advances care practice. This two-day interactive course with panel discussions will focus on clinical challenges
that lead to better patient care during these pertinent to the critical care practitioner and will provide insight into new and controversial topics. The
thought-provoking presentations. Each session 16 presentations will include Tiered Transfusion Strategies, Metabolic Emergencies, Pharmacologic and
is presented by leading experts in critical Mechanical Support in Pediatric Heart Failure, and Toxidromes of Emerging Street Drugs. Attendees will
care and offers a thorough analysis of the receive an accompanying book written by the faculty.
developments and controversies affecting most
Held in
intensive care unit (ICU) environments. These Disaster Medicine and Toxicologic Emergencies for the Veterinary
partnership with
industry sessions are complimentary for all Critical Care Specialist
Congress registrants; no additional registration Held in partnership with the American College of Veterinary Emergency and
is needed to attend. Critical Care
This two-day program is designed for veterinary emergency and critical care
practitioners, residents, and interns. The first day will feature an in-depth look
Abstract Presentations at common toxicities affecting cats and dogs. The program will emphasize
mechanism of action, diagnosis, and treatment of toxins leading to emergency presentation and requiring
Research Snapshot Theaters intensive care and support. Many veterinary intensive care units and emergency departments around the
Authors of abstracts and case reports will present United States have been faced with patient management in the face of a natural disaster. The second day
their submissions with time for questions and of the program will cover common environmental emergencies that occur with fires and hurricanes, as well
answers. Sessions will be moderated by noted as facility preparedness, disaster response teams, and unanticipated events based on the experiences of
faculty and experts to facilitate the exchange of the presenters.
ideas and commentary. Presentations will be held
Held in
in designated sections of the Exhibit Hall from Advanced VV ECMO Workshop
partnership with
Sunday, February 17, 2019, through Tuesday, Held in partnership with the Extracorporeal Life Support Organization
February 19, 2019. Led by expert faculty, this two-day workshop covers all elements of managing
severe hypoxemic and hypercapniec respiratory failure on VV ECMO. Topics
Star Research Presentations covered include ventilator management on VV ECMO, troubleshooting the ECMO
These presentations will be scheduled, circuit, anticoagulation management, awake ambulatory ECMO, ECMO as a
unopposed, on Sunday, February 17, 2019, from bridge to transplant, and the growing role of ECCO2R. Novel and challenging simulation sessions will
3:45 p.m. to 5:45 p.m. The top 64 abstracts complement lectures to provide an immersive educational experience.
submitted will be highlighted.
Fundamental Critical Care Support: Obstetrics
Awards Presentations This two-day, newly developed Fundamentals licensed course is designed for intensivists and other critical
Winners of SCCM’s abstract-based awards will care clinicians who focus on maternal/fetal critical care and those in obstetrics seeking additional education in
be recognized during a ceremony on Tuesday, critical care. Course content covers physiologic changes during pregnancy, specific obstetric medical conditions
February 19, 2019. and their appropriate treatment, maternal cardiovascular resuscitation and airway management of critically ill
pregnant patients, and appropriate steps in fetal assessment, delivery, and neonatal management. Skill stations
will complement the lectures and allow course participants to practice clinical scenarios.
8 | October/November 2018 Register today at sccm.org/Congress Congress Advance Program
Pre- and Post-Congress Educational Sessions
Saturday, February 16, 2019
UPDATED Airway Management for the Critically Ill Patient UPDATED Liver Failure in the ICU
This full-day course will include didactic discussion and hands-on The liver failure population lends unique challenges to management for the intensive
learning for emergent intubation, airway management pharmacology, care specialist. As liver transplantation has expanded both in the United States and
rescue techniques for maintaining ventilation, and traditional and novel abroad, more hospitals are becoming referral centers for patients with liver disease.
techniques and tools for difficult airway management in the adult and Featuring a combination of lectures and case studies, this half-day precourse is
pediatric population. Attendees will also learn from expert faculty at skill designed to highlight some of the common considerations in management of liver
stations encompassing laryngoscopy, fiberoptic intubation, surgical failure in the ICU.
approaches to airway establishment, and rescue strategies in adult and
pediatric airway management. Neurologic Monitoring in the Adult and Pediatric ICUs
This full-day course will examine the usefulness and implementation of a variety
Bedside Pharmacologic Management of advanced neurologic monitoring modalities in the ICU. Indications, choice of
The first- and second-line therapies failed; you are already “off the map” appropriate patients, advantages, and pitfalls will be discussed. Topics will include
in terms of guidelines, protocols, algorithms, and order sets. Now what? continuous EEG, including post-processing modalities such as quantitative and
What exactly are the rules and what skills do you need to (safely) break amplitude-integrated EEG, brain tissue oxygenation, transcranial Doppler, microdialysis,
them? Come and explore solutions for common clinical challenges— and neurosonology, including ophthalmic ultrasound, intracranial pressure monitoring,
and misadventures, whoops!—in medication management with leading biomarkers, and neuroimaging. A pediatric and adult case-based format will be
experts. Topics for this eight-hour course will include toxicology, incorporated, including medical and surgical clinical scenarios in cardiac arrest, stroke,
neurocritical care, pain, agitation, sepsis, and shock. There will be an traumatic brain injury, subarachnoid hemorrhage, and status epilepticus.
emphasis on skills and practice that challenge the new and seasoned
clinician alike. NEW! Palliative and End-of-Life Care in the ICU: State of the Art and Skills
for the Intensivist Team
Critical Care Quality Summit Providing palliative and end-of-life care in the ICU is one of a clinician’s greatest
NEW!
The Critical Care Quality Summit is a unique conference challenges. This half-day course provides both didactic and experiential learning with
focused on peer-to-peer learning led by expert faculty exploring hot multidisciplinary experts in the field. Attendees will learn the latest evidence in the
topics in critical care patient safety and quality. The intensive care unit fields of primary and specialty palliative care, as well as techniques to optimize complex
(ICU) team is encouraged to attend, as well as individuals who can plan discussions with clinicians, patients, and families. Participants will practice these skills
to return to their ICU equipped with innovative implementation strategies. in small group sessions focused on difficult conversations and formal family meetings.
This event will cultivate an environment of learning and sharing with
like-minded critical care professionals with the goal of improving bedside NEW! SCCM Critical Care Research Methodology and Career Trajectory
care. Foundation Course
Why select a research career in critical care? It is an integral part of hospital care,
ICU Simulation Bootcamp: A Multidisciplinary Approach to consuming a substantial proportion of the beds and the budget. With increasing
Bedside Emergencies and Teamwork critical care needs and better research infrastructure, critical care research is
This high-fidelity simulation course is designed for ICU providers in expected to boom. This full-day course will explore the nature and scope of choosing
training (senior residents and fellows) and all new-to-practice ICU an academic research career in critical care and will include topics such as identifying
providers (physicians, nurses, nurse practitioners, physician assistants, funding opportunities, writing grant proposals, finding mentors, and research
pharmacists, and respiratory therapists). Attendees will participate collaboration. This course is applicable to surgeons, physicians, anesthesiologists,
in high-fidelity simulated ICU emergencies to improve teamwork, pharmacists, and nurses. It will be predominantly directed toward trainees, residents,
leadership, and situational awareness in acute ICU care. Attendees fellows, and medical students but is also applicable to early career professionals.
will practice managing high-risk but infrequent ICU-type conditions
in a realistic environment and then debrief the learning experience
in collaborative and interactive sessions. This full-day course is not
intended for experienced intensivists or for medical or nursing students.
This course will take place at the Naval Medical Center in San Diego.
Round-trip transportation will be provided.
Because this course is held in a U.S. government facility and there is a
need for attendee security clearance, registration will be closed January
14, 2019. Attendee identification MUST be provided by January 14. No
registrations can be taken after this date or on site. Further details and
the mandatory identification form can be found at sccm.org/Congress
when registering.
Thursday, February 21, 2019
mergency Neurological Life Support (ENLS): What to Do in the First Critical Hour of a Neurological Emergency
E
Presented by the Neurocritical Care Society
Emergency Neurological Life Support (ENLS) is designed to help healthcare professionals improve patient care and outcomes during the
most crucial time—the critical first hours of the patient’s neurological emergency. ENLS covers a collaborative, multidisciplinary approach
that outlines a consistent set of protocols, practical checklists, decision points, and suggested communications to use during patient
management. Completion of this course and online assessment provides 15 hours of Level 1 CME, ANCC, ACPE and CAPCE credit, and two-year ENLS certification.
This course will be held from 8:00 a.m. to 4:30 p.m. Registration is being handled by the Neurocritical Care Society (NCS). To register, email enls@neurocriticalcare.org.
Congress Advance Program Register Today at sccm.org/Congress October/November 2018 | 9
Schedule of Events = Additional charge to attend
This schedule is subject to change. Visit sccm.org/Congress for the most up-to-date schedule.
= Ticketed session. Continental breakfast included with all pre- and post-Congress sessions.
FRIDAY, FEBRUARY 15, 2019 8:00 A.M. – 4:00 P.M. 8:00 A.M. – 5:00 P.M.
7:30 A.M. – 5:30 P.M. • PRE-CONGRESS EDUCATIONAL SESSION • PRE-CONGRESS EDUCATIONAL SESSION
Current Concepts in Pediatric Current Concepts in Adult Critical
FRIDAY, FEBRUARY 15
• PRE-CONGRESS EDUCATIONAL SESSION
Critical Care – Day 1 (see page 14 for Day 2) Care – Day 1 (see page 14 for Day 2)
Critical Care Ultrasound: Adult –
Moderators: Elizabeth H. Mack, Elizabeth S. Goswami Moderators: Ho Geol Ryu, Michael J. Connor
Day 1 (see page 13 for Day 2) 8:00 a.m. – 8:15 a.m. 8:00 a.m. – 8:05 a.m.
Moderators: Sara Nikravan, Paul K. Mohabir >> Welcome and Opening Remarks >> Welcome and Opening Remarks
7:30 a.m. – 7:45 a.m. Elizabeth H. Mack Ho Geol Ryu, Michael J. Connor
>> Welcome and Introductions 8:15 a.m. - 8:55 a.m. 8:05 a.m. – 8:50 a.m.
Sara Nikravan, Paul K. Mohabir >> Latest in Management of Pediatric Strokes >> Drug Withdrawal Syndromes: Managing Our Drugs or
7:45 a.m. – 8:15 a.m. Jennifer C. Erklauer Theirs
>> Pretest Review 8:55 a.m. – 9:35 a.m. Judith Jacobi
Sara Nikravan >> Targeted Temperature Management Post-Arrest 8:50 a.m. – 9:35 a.m.
8:15 a.m. – 9:00 a.m. Utpal S. Bhalala >> Updates in the Management of Increased Intracranial
>> Basic Physics and Knobology 9:35 a.m. – 9:50 a.m. Pressure
Christopher Schott >> Break Jose J. Provencio
9:00 a.m. – 9:45 a.m. 9:50 a.m. – 10:30 a.m. 9:35 a.m. – 10:00 a.m.
>> Fundamental Echocardiography Views >> Preparing Your Children’s Hospital for Disaster >> Conversing With the Experts: Panel Discussion
Nibras Bughrara Steven E. Krug Judith Jacobi, Jose J. Provencio
9:45 a.m. – 10:00 a.m. 10:30 a.m. – 11:10 a.m. 10:00 a.m. – 10:15 a.m.
>> Break >> Tiered Transfusion Strategies >> Break
10:00 a.m. – 12:00 p.m. Marianne Nellis 10:15 a.m. – 11:00 a.m.
>> Skill Stations: 11:10 a.m. – 11:30 a.m. >> Sleep in the ICU
>> Panel Discussion Gerald L. Weinhouse
>> 1. Apical Views
Jennifer C. Erklauer, Utpal S. Bhalala, Steven E. 11:00 a.m. – 11:45 a.m.
>> 2. Parasternal Views Krug, Marianne Nellis >> Palliative and End-of-Life Care in the ICU
>> 3. Subcostal Views 11:30 a.m. – 12:30 p.m. Rebecca A. Aslakson
Sarah E. Bain, Monika Aplyn, Nibras Bughrara,
Michael C. Woo, Vidya K. Rao, Vi Am Dinh, Peter >> Lunch 11:45 a.m. – 12:00 p.m.
E. Croft, Jose L. Diaz-Gomez, John Klick, Marcos 12:30 p.m. – 1:10 p.m. >> Conversing With the Experts: Panel Discussion
Lopez, Daniel W. Johnson, Jan Kasal, Sara Nikravan, >> Drug Dosing Considerations in AKI and RRT Gerald L. Weinhouse, Rebecca A. Aslakson
Michael J. Lanspa, Ng Niu, Paul K. Mohabir, Antonio Elizabeth S. Goswami 12:00 p.m. – 1:00 p.m.
Hernandez, Jason M. Parente, Enyo Ablordeppey, 1:10 p.m. – 1:50 p.m. >> Lunch
Lisa Rapoport, Christopher Schott, Daniel A. >> Hot Issues in Pediatric Liver Transplantation 1:00 p.m. – 1:25 p.m.
Sweeney, Carla Venegas-Borsellino, Mark P. Satish N. Nadig >> Do Mandates Improve Sepsis Care and Outcomes? Pro
Hamlin, Stephanie Cha 1:50 p.m. – 2:05 p.m. Tiffany M. Osborn
12:00 p.m. – 1:00 p.m. >> Break 1:25 p.m. – 1:50 p.m.
>> Lunch and Clinical Cases 2:05 p.m. – 2:45 p.m. >> Do Mandates Improve Sepsis Care and Outcomes? Con
Michael C. Woo, Monika Aplyn >> New Nutrition Guidelines Michael Klompas
1:00 p.m. – 1:30 p.m. Elizabeth Emrath 1:50 p.m. – 2:30 p.m.
>> Basic Evaluation of Left Ventricular Function and Cardiac 2:45 p.m. – 3:25 p.m. >> Pro/Con Debate
Output >> Metabolic Emergencies Not to Be Missed Tiffany M. Osborn, David C. Kaufman, Michael
Daniel W. Johnson Jamie Fraser Klompas
1:30 p.m. – 2:00 p.m. 3:25 p.m. – 3:45 p.m. 2:30 p.m. – 2:45 p.m.
>> Basic Evaluation of Right Ventricular Function >> Panel Discussion >> Break
Paul K. Mohabir Elizabeth S. Goswami, Elizabeth Emrath, Jamie L. 2:45 p.m. – 3:35 p.m.
2:00 p.m. – 2:30 p.m. Frasier, Satish N. Nadig >> Circulatory Shock and Current Management Concepts
>> Intravascular Volume Assessment 3:45 p.m. – 4:00 p.m. Ho Geol Ryu
Daniel A. Sweeney >> Closing Remarks 3:35 p.m. – 4:20 p.m.
2:30 p.m. – 2:45 p.m. Elizabeth H. Mack >> Cytokine Release Syndrome
>> Break Stephen M. Pastores
2:45 p.m. – 4:45 p.m. 4:20 p.m. – 4:40 p.m.
>> Skill Stations: >> Conversing with the Experts: Panel Discussion
>> 1. Cardiac Output Ho Geol Ryu, Stephen M. Pastores
>> 2. Volume Assessment
>> 3. Left/Right Ventricular Function
Sarah E. Bain, Monika Aplyn, Nibras Bughrara,
Michael C. Woo, Vidya K. Rao, Vi Am Dinh, Peter
E. Croft, Jose L. Diaz-Gomez, John Klick, Marcos
Lopez, Daniel W. Johnson, Jan Kasal, Sara Nikravan,
Michael J. Lanspa, Ng Niu, Paul K. Mohabir, Antonio
Hernandez, Jason M. Parente, Enyo Ablordeppey,
Lisa Rapoport, Christopher Schott, Daniel A.
Sweeney, Carla Venegas-Borsellino, Mark P.
Hamlin, Stephanie Cha
4:45 p.m. – 5:30 p.m.
>> Clinical Cases and Interactive Questions
Enyo Ablordeppey, Carla Venegas-Borsellino
10 | October/November 2018 Register today at sccm.org/Congress Congress Advance ProgramThis schedule is subject to change. Visit sccm.org/Congress for the most up-to-date schedule.
= Additional charge to attend = Ticketed session. Continental breakfast included with all pre- and post-Congress sessions. Schedule of Events
8:00 A.M. – 5:00 P.M. 8:00 A.M. – 5:00 P.M. 8:30 A.M. – 7:00 P.M.
• PRE-CONGRESS EDUCATIONAL SESSION • PRE-CONGRESS EDUCATIONAL SESSION • PRE-CONGRESS EDUCATIONAL SESSION
Disaster Medicine and Fundamental Critical Care Support: Critical Care Ultrasound: Pediatric
FRIDAY, FEBRUARY 15
Held in
Toxicologic Emergencies partnership with Obstetrics – Day 1 (see page 15 for Day 2) and Neonatal – Day 1 (see page 12 for Day 2)
for the Veterinary Moderators: Lauren A. Plante, Scott A. Harvey Moderator: David Kantor
Critical Care Specialist: 8:00 a.m. – 8:15 a.m. 8:30 a.m. – 8:45 a.m.
>> Welcome and Course Introduction >> Welcome and Overview
Approach to the Marie R. Baldisseri, Lauren A. Plante, Scott A. David Kantor
Critically Ill Toxicology Harvey 8:45 a.m. – 9:30 a.m.
Patient – Day 1 (see page 15 for Day 2) 8:15 a.m. – 8:45 a.m. >> Knobology, Physics, and Artifacts
>> Pretest Jason Z. Stoller
Moderator: Elizabeth Davidow 8:45 a.m. – 9:15 a.m. 9:30 a.m. – 10:00 a.m.
8:00 a.m. – 9:30 a.m. >> Physiologic Changes During Pregnancy >> Vascular Access and Guided Procedures
>> Review of Antidotes in Veterinary Toxicology Frederico G. Rocha Sonali Basu
Justine A. Lee 9:15 a.m. – 10:00 a.m. 10:00 a.m. – 10:15 a.m.
9:30 a.m. – 10:15 a.m. >> Hemodynamic Monitoring >> Break
>> Emergency Management and Treatment of Cardiotoxins Marie R. Baldisseri 10:15 a.m. – 10:45 a.m.
Justine A. Lee 10:00 a.m. – 10:15 a.m. >> Focused Assessment With Sonography in Trauma
10:15 a.m. – 10:30 a.m. >> Break (FAST)/Abdominal Examination
>> Break 10:15 a.m. – 11:00 a.m. Mark D. Weber
10:30 a.m. – 12:00 p.m. >> Preeclampsia/Eclampsia 10:45 a.m. – 11:30 a.m.
>> Journal Review: What’s New in Toxicology A. Jason Vaught >> Basic Cardiac Views
Justine A. Lee 11:00 a.m. – 12:00 p.m. Jesse Wenger
12:00 p.m. – 1:00 p.m. >> Skill Station: Management of Severe Preeclampsia and 11:30 a.m. – 12:30 p.m.
>> Lunch Eclampsia >> Lunch and Clinical Cases
1:00 p.m. – 2:30 p.m. Marie R. Baldisseri, A. Jason Vaught Jeff Burzynski
>> Hemodialysis and Extracorporeal Treatment in Veterinary 12:00 p.m. – 12:45 p.m. 12:30 p.m. – 2:30 p.m.
Toxicology >> Lunch >> Skill Stations:
Sheri J. Ross 12:45 p.m. – 1:30 p.m.
2:30 p.m. – 3:15 p.m.
>> 1. FAST/Abdominal Examination
>> Airway Management in the Pregnant Patient >> 2. Vascular and Guided Procedures
>> Liver Let Die: Hepatotoxins Frank M. O’Connell
Tina Wismer 1:30 p.m. – 2:15 p.m. >> 3. Knobology
3:15 p.m. – 3:30 p.m. Sonali Basu, Karen Boretsky, Jeff Burzynski, Maria
>> Mechanical Ventilation V. Fraga, Christie Glau, Ellie Hirshberg, David
>> Break Scott A. Harvey Kantor, Jae H. Kim, Jason Z. Stoller, Mark D. Weber,
3:30 p.m. – 4:15 p.m. 2:15 p.m. – 3:00 p.m. Jesse Wenger, Bereketeab Haileselassie, Adam
>> Urine, or You’re Out: Renal Toxins >> Maternal Mortality and Cardiac Arrest Himebauch
Tina Wismer Lauren A. Plante 2:30 p.m. – 2:45 p.m.
4:15 p.m. – 5:00 p.m. 3:00 p.m. – 3:15 p.m. >> Break
>> Tweakers, Tokers, and Other Nervous System Toxicants >> Break 2:45 p.m. – 3:15 p.m.
Tina Wismer 3:15 p.m. – 4:45 p.m. >> Left Ventricular Function
>> Skill Station: Cardiac Arrest in the Pregnant Patient Ellie Hirshberg
Lauren A. Plante, Randy S. Wax 3:15 p.m. – 3:45 p.m.
3:15 p.m. – 4:45 p.m. >> Thoracic Examination
>> Skill Station: Urosepsis Complicated by ARDS Christie Glau
Scott A. Harvey, Frank M. O’Connell 3:45 p.m. – 4:15 p.m.
4:45 p.m. – 5:00 p.m. >> Ultrasound in Neonates: Procedural
>> Day 1 Wrap-Up Maria V. Fraga
Lauren A. Plante, Scott A. Harvey, Marie R. 4:15 p.m. – 4:45 p.m.
Baldisseri, Frank M. O’Connell, Mary J. Reed,
Frederico G. Rocha, A. Jason Vaught, Randy S. Wax
>> Administration/Program Development
David Kantor
4:45 p.m. – 5:00 p.m.
>> Break
5:00 p.m. – 7:00 p.m.
>> Skill Stations:
>> 1. Apical Views
>> 2. Parasternal Views
>> 3. Subcostal Views
Sonali Basu, Karen Boretsky, Jeff Burzynski, Maria
V. Fraga, Christie Glau, Ellie Hirshberg, David
Kantor, Jae H. Kim, Jason Z. Stoller, Mark D. Weber,
Jesse Wenger, Bereketeab Haileselassie, Adam
Himebauch
Congress Advance Program Register Today at sccm.org/Congress October/November 2018 | 11You can also read
