Sept. 20 - Grand Rounds: Joe Carcillo, MD
Oct. 4 - Grand Rounds: Hernando Gomez, MD
Oct. 18 - Grand Rounds: Andrew Shaw, MD
Oct. 19 - 7th Annual AKI Symposium
Oct. 31 - Ake and Inger Grenvik Lectureship: Monty Mythen, MBBS, MD
Nov. 1 - Grand Rounds: Monty Mythen, MBBS, MD
Nov. 17-18 - APAKI Pittsburgh, two-day symposium
Skrtich joined us mid-August as the Clinical Project Director for
the ICU Service Center. Aimee will be rolling out quality improvement
initiatives and undertaking strategic planning and project management for
the ICU Service Center. For the last five years, she was the Unit
Director of the Mercy Adult Medical ICU. You can find Aimee in room 637
of Scaife Hall. She holds a BSN from Waynesburg University, and MSN and
DNP from the University of Pittsburgh.
Rubin, MD, joined us as Assistant Professor and Attending
Physician. Her research focuses on early recognition and prevention of
childhood critical illness, and informatics applications for improving
clinical outcomes. Previously, she was an assistant professor at the Keck
School of Medicine the University of Southern California. She
received her medical degree from The Chicago Medical School, and BA from
the University of Virginia.
pleased to welcome a cohort of some of our most successful fellows to our faculty ranks. Six
pediatric intensivists joined the team at Children’s. Kendra Woods,
MD, is a full-time Instructor and Catherine
Gretchen, MD, and Wonshill
Koh, MD, are a full-time Clinical Instructors. Jessica Wallisch,
MD, and Idris
Evans, MD, joined as casual Clinical Instructors; they
are also T32 post-doctoral scholars in the Safar Center. Rounding out the
pediatric intensivist ranks is Chris
Horvat MD, MHA, who is an Assistant Professor and
our fellowship program are Alexander
Preus, MD, who is a full-time Clinical Assistant
Professor based at Mercy ICU, and Raj
Padmanabhan, MD, who is a full-time Clinical Instructor
working at Presby ICU. Raj is also undertaking the one-year ECMO
training program. Joshua
Keegan, MD, joined us on August 15 as a Clinical
Assistant Professor providing clinical services in our recently-acquired
faculty ranks from the University of Virginia, where he completed a
neurocritical care fellowship, is Firas
Abdulmajeed, MD. He is a full-time Assistant Professor
providing clinical services at Mercy ICU. Firas completed his MBChB at
the University of Baghdad College of Medicine and his internal medicine
internship and residency training at Canton Medical Education Foundation
graduate of the CCM Anesthesiology Fellowship Program, Mary Przybysz,
MD, returns as an Assistant Professor after three years in Charlotte, NC,
where she was a Critical Care Associate at Carolina Medical Center. She
will provide clinical services at Mercy ICU.
Anderko first worked for CRISMA as a student worker two-and-half
years ago, then was employed as a laboratory technician. She has begun a
new phase in her academic career doing a PhD in Infectious Disease in
Microbiology at the Graduate School of Public Health. Her last day was
CCM by the Numbers*
144 Staff members
Adult Fellowship programs
Pediatric Fellowship programs
Department of Critical Care Medicine
numbers are approximate
create a more compelling PowerPoint, need insight on how to manage a
large project, or simply want to improve your photography skills? These
topics and so much more are available to employees with Pitt credentials
at Lynda.com. Go to the Online
Tech Training icon on the right sidebar of your MyPitt portal.
David Wallace, MD was awarded an R03 grant
from the NIH’s National Heart, Lung and Blood Institute to study the
causes and effects of hospital-level changes on ICU bed supply. His
project runs through the end of July 2019.
The Center for Critical
Care Nephrology begins a new research project
thanks to a two-year grant from Astute Medical awarded to John Kellum, MD.
Priyanka, BAMS, MPH, Edvin Music, MSIS, MBA, and Michele Elder,
RN, BSN, will also work on the project, which aims to determine the
patient outcomes and costs associated with alternative decisions for the
initiation of renal replacement therapy for acute kidney injury.
Jeremy Kahn, MD was awarded a $1.5 million,
four-year grant from the Agency for Healthcare Research and Quality. He
will be evaluating the impact of New York's state-wide sepsis regulations
to determine their effects on sepsis quality and costs. Results from the
project will help other states design sepsis policies in ways that lead
to optimal patient outcomes.
In early September, Ann Thompson, MD,
MHCPM, was honored as an Inspirational Physician by the American Medical
Association’s Women Physicians Section, which recognizes physicians who
have offered their time, wisdom and support to advance women with careers
in medicine. In nominating Ann, Lori Shutter, MD, said Ann “excels
at identifying leadership opportunities for women in medicine … and has
broken barriers in critical care medicine to allow the advancement of
hundreds of women in the field.”
Congratulations to Nicole ‘Cole’ Steffy,
Senior Professional Staff Nurse, for her recent UPMC ACES award. Cole is,
“One of our nursing stars at Magee ICU,” says Ragi Murugan. She is a role
model for professionalism, a patient advocate, and a champion for staff
education. We’re thrilled to have you on our team, Cole.
Jake Corbin, CRNC, Family Nurse Practitioner at Magee ICU received The DAISY
Award, a national award to honor the super-human work nurses do for
patients and families every day. Jake was nominated by the eight-year-old
daughter of one of his critically-ill patients, who had not been told
about her health situation prior to being flown here from another
hospital. In nominating Jake, she said, “Jacob has the I Care About the
Patients and he explains every thing to you And if you have questions he
will take the time to tell you and explain the question to you very
thourally. He is an excelent nurse. I would recomend him to another
patient and family member. I like Jacob as my moms nurse [sic].”
New Peds Neurocritical
Our pediatric critical
care fellows now have the opportunity to gain crucial neurocritical care
expertise with the launch of the new Pediatric Neurocritical Care
Fellowship track. Graduates are eligible to sit for the United
Council of Neurologic Subspecialties Neurocritical Care board exam. The
two-year program is completed during the PGY-5 and -6 of Pediatric
Critical Care Fellowship or may be started in
PGY-6 for fellows also completing a T32 Fellowship.
Deadline to apply is December 15, 2017. Contact Site Director Dennis
Simon, MD for
3 Questions for Aimee
What excites you about the ICU Service Center?
A: The thing that
excites me the most is the impact we can make across all of the ICUs in
the UPMC system. By standardizing care, through research and
evidenced-based practice, we ensure that patients get the
same treatment at UPMC Altoona as they would at UPMC Shadyside or
any other of our ICUs. That’s huge.
What project are you
working on at the moment?
A: The most
prominent project is the ABCDEF care bundle kick-off on October 2. The
event will help clinicians understand how to use all elements of the
bundle so that adult ICU patients have improved pain management, and
experience less delirium and reduced long-term consequences of an ICU
stay. I’m working with Chris in the Communications Office on a video for
the kick off. The video will show a doctor rounding with a live patient
and explain to clinicians the ideal way to use the ABCDEF bundle, and how
it works with the new M page.
Can you tell us
something that’s made you proud?
A: I have won two
Pitt Cameo of Caring awards. The first is the Donate Life Award,
which is given in collaboration with the Center for Organ Recovery and
Education, for my dedication to the organ donation process. The other was
the Advanced Practice Nurse in Management Award that I won in 2017
for my work at UPMC Mercy.
Aimee Skrtich, DNP,
RN, CCRN, NE-BC, is the Clinical Project Director for the ICU Service
Blood Sampling on
Don’t miss Monty Mythen’s talk
on “Human Tolerance of Hypoxia – Lessons from Everest.” He took
part in the Caudwell Xtreme Everest project during which eight physicians
reached the summit and sampled arterial blood at a mere 400 meters below
the peak on their descent. Dr. Mythen is the Smiths Medical Professor of
Anaesthesia and Critical Care at University College London, and will
deliver the Ake and Inger Grenvik Lectureship on October 31.
CCM Innovation Grants
Two different CCM
Innovation Grants provide our faculty with funding for new, innovative
research projects that will foster successful extramural funding
applications. The Traditional Award funds a pilot study or small
feasibility project; deadline to apply is April 1st each year. The
Supplemental Award, as its name suggests, will supplement an external
award; it has a rolling deadline. For information on both Innovation
Grants, check out the Innovation Grant Program webpage. For further questions, contact
Innovation Grant Program director, Ragi
For 15 minutes you get
to read, snooze or admire the view without bothering about parking when
you arrive. Catch the shuttle to Children’s from outside the main doors
of Scaife Hall and a quarter hour later you’ll arrive at the main
entrance of Children’s. The return shuttle leaves from the same spot at
Children’s. Be sure to hop off at WPIC on O’Hara Street. The latest
shuttle schedule is available on the UPMC intranet or you can download
Editorials & News Coverage
Congratulations to Idris Evans, MD
on his first-author paper in JAMA Pediatrics on the epidemiology of sepsis
among adolescents at western Pennsylvania community hospitals.
The August issue of Lancet Neurology ran an editorial first-authored
by Ruchi Jha,
MD, in which she discusses two traumatic brain injury papers.
A clinical trial
project conducted by Brad
Molyneaux, MD, PhD, about treatment for malignant
cerebral infarction was discussed by his co-investigator, Christopher
Streib, MD, MS, whose Q&A interview “Clarity Around Craniotomy” ran
in the August 3 issue of Medscape.
Ericka Fink, MD, MS, talked about the
PANGEA study (Prevalence of Acute Critical Neurological Disease in
Children: A Global Epidemiological Assessment) with Margaret Parker, MD,
MCCM, for the iCritical Care podcast series. The conversation aired on August 3.
A week later, Chris Seymour
participated in the same iCritical Care podcast series with Todd Fraser,
MD, discussing sepsis treatment. It aired on August 10.
Scott Gunn, MD, is the fourth author on a
randomized clinical trial published August 22 in JAMA on the effect of Ganciclovir on
critically ill adults with cytomegaloviarus-seropositive. MACRO
coordinated the enrollment of the Pitt patients. Perhaps you didn’t know
that Scott was the founding director of MACRO before handing over the
reins to David Huang, MD, MPH, in 2010.
Know Your Conditions?
They happen every day with
random regularity, but how many staff members actually know what the
condition announcements mean? Here’s a brief rundown on the Rapid
Condition A – Initiated for a pulseless or non-breathing
Condition C – Called for a variety of respiratory,
cardiovascular, neurological or other body system problems. It is used to
prevent a crisis, or to prevent the crisis from escalating.
Condition H – Called by a patient or family member wanting
emergency assistance relating to management of care and associated
Condition L – Activated when a disoriented or medically
unstable patient has left the unit without authorization. A
comprehensive, systematic search for the patient immediately follows.
Condition M – A behavioral alert called for patients
or visitors demonstrating behavior that could pose a potential threat to
themselves, patients, staff, or visitors.
Did You Know?
· There are nearly 200 Condition A and B
announcements made at Presby every month
· The Rapid Response Team is made up of CCM
physicians and APPs
· Ragi Murugan is the Director of the Rapid
200—to all members of the Rapid Response Team.