SCCM Resource Library-June Journal Club Critical Care Medicine (2023)

Video Transcription

Video Summary

In this Journal Club Critical Care Medicine webcast, two articles from the June 2023 issue of Critical Care Medicine were discussed. The first presentation focused on multimodal prediction of favorable outcomes following cardiac arrest. The study used a derivation cohort of nearly 500 patients and developed a multimodal score consisting of EEG parameters, neuron-specific enolase levels, and clinical assessment to predict favorable outcomes. The score had a sensitivity of 97% and a specificity of 65% in identifying patients with favorable outcomes. The validation cohort showed similar results. The second presentation discussed the ability of acute healthcare providers to recognize critically ill patients in the emergency department. The study compared the accuracy of the modified early warning score with the clinical judgment of EMS nurses, ED nurses, and ED physicians. The results showed that healthcare providers had lower sensitivity but higher specificity compared to the score. ED physicians had similar sensitivity and higher specificity compared to the score. The study suggests that healthcare providers can predict short-term critical illness, but have difficulty predicting 28-day mortality. Overall, the presentations highlighted the importance of multimodal approaches and clinical judgment in predicting outcomes in critically ill patients.

Asset Subtitle

Cardiovascular, Research, 2023

Asset Caption

The Journal Club: Critical Care Medicine webcast series focuses on articles of interest from Critical Care Medicine.
This series is held on the fourth Thursday of each month and features in-depth presentations and lively discussion by the authors.
Follow the conversation at #CritCareMed.

Meta Tag

Content Type Webcast

Knowledge Area Cardiovascular

Knowledge Area Research

Membership Level Professional

Membership Level Select

Tag Cardiac Arrest

Tag Outcomes Research

Year 2023

Keywords

Journal Club Critical Care Medicine

multimodal prediction

favorable outcomes

cardiac arrest

EEG parameters

neuron-specific enolase levels

clinical assessment

acute healthcare providers

emergency department

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