SCCM Pod-124 Achieving Success With Paragon
The Paragon Critical Care Quality Implementation Program is a quality-focused program aimed to bring effective, tailored improvement strategies to hospitals.

The Paragon Critical Care Quality Implementation Program is a quality-focused program aimed to bring effective, tailored improvement strategies to hospitals.
Society of Critical Care Medicine president Judith Jacobi, PharmD, BCPS, FCCM, discusses her goals and vision for the Society during her 2010 term.
Barbara McLean, ACNP, CCNS-NP, a nurse from Piedmont Healthcare in Atlanta, Georgia, discusses her recent volunteer efforts in Haiti following the January 12, 2010, earthquake that devastated the area. McLean discusses general disaster management strategies as well as patient populations and care challenges specific to the event.
Robert Tasker, MD, MBBS, discusses two editorials related to neurological issues in critical care.
Bradley D. Freeman, MD, discusses his article published in the December 2009 Critical Care Medicine, titled: Examination of Non-clinical Factors Affecting Tracheostomy Practice in an Academic Surgical Intensive Care Unit.
Wynne Morrison, MD, discusses an article published in the May issue of Pediatric Critical Care Medicine, which highlighted the results of a national survey of pediatric critical care medicine fellowship clinical and research time allocation.
Leticia Castillo, MD, FCCM, assistant professor at Baylor College of Medicine in Houston, Texas, discusses an article published in Pediatric Critical Care Medicine.
Margaret Parker, MD, FCCM, discusses her article published in the January 2009 Critical Care Medicine.
Michelle Gong, MD, MS, discusses her recent articled published in the August 2009 issue of Critical Care Medicine.
Elaine Meyer, RN, PhD, discuss a paper published recently in Pediatric Critical Care Medicine.
Constantine A. Manthous, MD, associate clinical professor of medicine at Bridgeport Hospital and Yale University School of Medicine in Connecticut, discusses his article published in the April 2009 issue of Critical Care Medicine.
Phillip S. Barie, MD, MBA, FCCM, discusses decontamination of the digestive tract and oropharynx in an attempt to prevent ventilator-associated pneumonia. He discusses a recent article published in The New England Journal of Medicine, "Decontamination of the Digestive Tract and Oropharynx in ICU Patients." Barie is Immediate Past President of the Society of Critical Care Medicine (SCCM), as well as professor of surgery and public health at Weill Medical College of Cornell University in New York....
Michael Diringer, MD, FCCM, discusses his article published in Critical Care Medicine about the management of acute aneurysmal subarachnoid hemorrhage. Diringer is professor of neurology, neurosurgery, anesthesiology and occupational therapy at Washington University School of Medicine in St. Louis, Missouri. He is also section chief of neurological critical care. Diringer discusses the anticipation, prevention, and management of secondary complications related to aneurysmal subarachnoid hemorrha...
Rosemarie Fernandez, MD, an assistant professor at Wayne State University in Michigan, discusses an article published in the June 2009 issue of Critical Care Medicine, "The Presence of a Family Witness Impacts Physician Performance During Simulated Medical Codes." This is second iCritical Care Podcast to address this topic; listeners also may reference SCCM Pod-72 PCCM: Family Presence During Pediatric CPR.
When faced with the complex conditions of critically ill and injured patients, eye care can sometimes be overlooked in the intensive care unit (ICU). However, attention to the eye is important, as these patients are at increased risk of exposure keratopathy.
Jeffrey P. Burns, MD, MPH, discusses an article from the March 2009 issue of Pediatric Critical Care Medicine, "Simulation at the Point-of-Care: Reduced cost, in-situ training via a mobile cart." Burns is chief of the division of critical care medicine at Children's Hospital in Boston as well as an associate professor at Harvard Medical School. Pediatr Crit Care Med. 2009;10(2):176 Released: 5/21/09
Naomi O'Grady, MD clarifies the strain of the current virus, discusses the difference between a pandemic and an epidemic, and outlines the prescription therapies available specific to H1N1 Influenza. O'Grady is a senior staff physician in the Clinical Center's Critical Care Medicine Department and the medical director of the department's Vascular Access and Conscious Sedation Services. She also is an attending physician with the Pediatric Critical Care Medicine Department of the Children's Natio...
John H. Beigel, MD, clarifies the definition of influenza and discusses the evolution of viruses, speculation on the mode of transmission and the role of vaccines and therapies as they relate to Influenza A (H1N1). The conversation references his recent publication in Critical Care Medicine (Beigel JH. Influenza. Crit Care Med. 2008; 36:2660-2666). Dr. Beigel is Director of Clinical Research at MacroGenics, Inc. in Rockville, Maryland, and a volunteer consultant at the National Institute of Alle...
Randy S. Wax, MD, discusses the current outbreak of influenza A (H1N1), the triage protocol for critical care during an influenza epidemic, the public's role in taking necessary precautions, and educational resources that are available. Dr. Wax is an intensivist at Mount Sinai Hospital in Toronto, Ontario, Canada, and Assistant Professor of Medicine at the Faculty of Medicine, University of Toronto. He has multiple areas of expertise, including disaster management. This podcast is the first in a...
Society of Critical Care Medicine president Mitchell Levy, MD, FCCM, discusses his goals and vision for the Society during his 2009 term. Levy stresses the importance of professional collaboration and compassionate caregiving. Levy is professor of medicine at Brown University School of Medicine and director of the medical ICU at Rhode Island Hospital.
The Paragon Critical Care Quality Implementation Program is a quality-focused program that aims to bring effective, tailored improvement strategies to hospitals. William A. Brock, MD, FCCM, is outgoing chair of the Paragon committee and a Paragon coach. Carrie Ogilvie, CCRN, MS, RN, participated in the Paragon Pilot Program and also went on to become a coach. Both discuss the importance of quality improvement and detail the successes of this initiative.
Vladimir Kvetan, MD, FCCM, discusses the history and goals of the Critical Care Leadership Network of the Greater New York Hospital Association for which he is a founding member. Dr. Kvetan is director of critical care at Montefiore Medical Center in New York where he is a professor of medicine and anesthesiology at the Albert Einstein College of Medicine. The GNYHA seeks to serve healthcare providers, support patients in their journey toward better health and strengthen partnerships that promot...
John McNelis, MD, FCCM, discusses leadership and mentorship in the critical care community. McNelis is vice chairman of the department of surgery and director of surgical critical care and trauma at WinThuop University Hospital in Mineola, New York. In addition, he sits on the steering committee for the Critical Care Leadership Network of the Greater New York Hospital Association (GNYHA), a group of nearly 300 hospitals and continuing care facilities Thuoughout the New York area. The GNYHA seeks...
Paul E. Wischmeyer, MD, discusses nutrition in the intensive care unit, specifically addressing what role total parenteral nutrition might have for the critically ill or injured patient. Dr. Wischmeyer is a professor of anesthesiology at the University of Colorado Health Sciences Center in Denver, Colorado. Released: 2/18/09
Peter Pronovost, MD, PhD, FCCM, discusses patient safety research and future efforts to reduce infections in the intensive care unit in this special 100th episode of the iCritical Care Podcasts. Dr. Pronovost is professor in the departments of anesthesiology and critical care medicine and surgery at The Johns Hopkins School of Medicine and a professor in the department of health policy and management at the Bloomberg School of Public Heath in Maryland. He also serves as director of the Quality a...
Richard D. Branson, RRT, FCCM, discusses his two upcoming presentations for the 38th Critical Care Congress, The Modes of Mechanical Ventilation and Mechanical Ventilation Modes: How and When. Both sessions will highlight new developments in mechanical ventilation and increase understanding. Mr. Branson is an assistant professor, division of trauma and critical care at the University of Cincinnati Medical Center in Ohio.
Derek C. Angus, MD, MPH, FCCM, the recipient of the American College of Critical Care Medicine's (ACCM) Distinguished Investigator Award, discusses the state of critical care research as well as his unique background. Dr. Angus will accept the award during the 38th Critical Care Congress, where he also will be giving a presentation titled, "Change," during the ACCM Convocation and Award Ceremony. Dr. Angus is a professor of critical care at the University of Pittsburgh in Pennsylvania where he i...
Paul Rogers, MD, professor of critical care medicine at the University of Pittsburgh Medical Center in Pennsylvania, discusses themes from his upcoming keynote session, "Teaching Medicine is an Art, Valuing it is Critical," to be presented during the 38th Critical Care Congress. Dr. Rogers recently was awarded The Alpha Robert J. Glaser Distinguished Teaching Award, which recognizes significant contributions to medical education made by gifted teachers. Released: 1/5/09
Desmond Bohn, MC, BCH, discusses his editorial, "The Problem of Acute Hyponatremia in Hospitalized Children: The Solution is the Solution," which was published in the November 2008 issue of Pediatric Critical Care Medicine. The editorial was in response to an article by P. Alvarez-Montanana et al, published in the same issue titled, "The use of isotonic fluid as maintenance therapy prevents iatrogenic hyponatremia in pediatrics: A randomized, controlled open study." Dr. Bohn is Department of Cri...
James D. Fortenberry, MD, FCCM, discusses his editorial published in the September 2008 issue of Pediatric Critical Care Medicine, titled "8-Tracks, Betamax... Is the endotracheal tube next to go?" Fortenberry is a pediatric intensivist at Children's Healthcare of Atlanta in Georgia, where he also is the medical director of the system's clinical research. Dr. Fortenberry also is director, division of critical care medicine in the department of pediatrics at Emory University School of Medicine. T...