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Society of Critical Care Medicine, Jan. 21-25

The Society of Critical Care Medicine's 46th Critical Care Congress The annual Society of Critical Medicine's Critical Care Congress was held from Jan....
For critically ill children with hyperglycemia

SCCM: Tight Glycemic Control No Benefit in Peds Hyperglycemia

Low likelihood of benefit, evidence of possibility of harm in critically ill children with hyperglycemia
Therapeutic hypothermia is not associated with significant benefit in survival with favorable functional outcome among comatose children who survive in-hospital cardiac arrest

SCCM: Hypothermia No Benefit After Pediatric Cardiac Arrest

No significant benefit in survival with favorable functional outcome at one year for comatose children
For patients with an infection-related primary admission to the intensive care unit

SOFA Score Predicts In-Hospital Mortality for Adults in ICU

Increase in SOFA score of 2 or more points offers greater discrimination than qSOFA, SIRS criteria
For patients admitted to the intensive care unit

Procalcitonin Testing on ICU Admission Linked to Lower LOS

Testing linked to lower length of stay in hospital and ICU, less antibiotic exposure, and lower costs
A quality improvement initiative can reduce the number of human milk administration errors in the neonatal intensive care unit

Quality Improvement Initiative Cuts Milk Administration Errors

Reduction in number of expired milk, preparation, wrong-milk-to-wrong-infant errors
A critical illness event is associated with an increased risk of cardiac arrest or intensive care unit transfer for patients on the same ward

Critical Illness Events Linked to Worse Outcomes on Same Ward

Critical illness event tied to increased risk of cardiac arrest or intensive care unit transfer in same ward
For critically ill patients with convulsive status epilepticus

Induced Hypothermia Futile in Convulsive Status Epilepticus

At 90 days, functional outcome of critically ill patients on mechanical ventilation not significantly better
Having a 24/7 intensivist in pediatric intensive care units is associated with improved patient outcomes

24/7 Intensivist in Pediatric ICU Improves Patient Outcomes

Findings compared to critical care staffed with discretionary attending coverage
Staffing the intensive care unit with a communication facilitator is economically feasible

Communication Facilitator in ICU Economically Feasible

Maximal weekly savings with one full-time facilitator and 15 percent projected ICU mortality