SCCM Midwest Chapter

We hope to see you TODAY at the Midwest Chapter reception from 4-6pm! Enjoy Congress.

@franciscojlk @SCCM_Surgery And an excellent presentation at @SCCM

I just read this outstanding review by Prof. Michael Pinsky: 👉 “The Effective Management of Shock: From Physiology to Guidelines to Personalized Medicine” 🧠 Key paradigm shift: 👉 Shock is not about numbers 👉 It is about tissue perfusion and cellular metabolism ⚠️ Three brutal truths (often ignored in daily practice): 1️⃣ Once organ injury occurs → we cannot reverse it → We can only limit further damage 2️⃣ Monitoring alone does not improve outcomes → Only actions linked to effective therapies matter 3️⃣ Guidelines ≠ patient care → The clinician’s physiologic reasoning remains central 📊 Why many “standard” approaches failed: Targeting DO₂ “supranormal” levels → ↑ mortality EGDT bundles → not superior to good early care Fixed 30 mL/kg fluids → harmful in non-responders 👉 Lesson: One-size-fits-all resuscitation is physiologically wrong 🫀 Modern hemodynamic thinking: ✔️ Fluid responsiveness matters (PPV, SVV, PLR) ✔️ MAP alone is not enough ✔️ Focus on: Tissue perfusion pressure Critical closing pressure (Pcc) “Vascular waterfall” concept 👉 Increasing MAP ≠ improving microcirculation 🔥 Game-changing concept: 👉 Shock = failure of microcirculatory flow regulation Even with: Normal CO Normal MAP ➡️ Tissue hypoxia may persist 🧬 The real goal of resuscitation: ❌ Normalize numbers ✅ Restore effective tissue perfusion early ✅ Avoid iatrogenic harm 💡 Where we are going: Capillary refill time (CRT)-guided resuscitation Personalized MAP targets Dynamic physiology-based decisions AI-driven precision resuscitation 📌 Take-home message: 👉 The future of shock management is NOT: More fluids More drugs More devices 👉 It is: Better understanding of physiology + individualized care 🧠 And maybe the most important sentence in the paper: 👉 “The thoughtful bedside clinician remains the gold standard.” #CriticalCare #Shock #Hemodynamics #ICU #Sepsis #PersonalizedMedicine #Resuscitation #Pinsky

Wondering where the data stands on Stress Ulcer Prophylaxis? Our upcoming FREE Virtual Webinar with Critical Care Pharmacist Rebecca Hilton will be discussing exactly that! Wednesday, 4/22 at 6pm CST. RSVP REQUIRED: Email SCCMMWC@gmail.com to claim your spot!

SAVE THE DATE! March 23, at SCCM Congress, the Midwest chapter invites you to our Reception from 4-6pm. Where: 3rd floor of Marriott Marquis Chicago, RR Donnelley Room No RSVP required - stop by for food, drinks, and fun! MIDWEST CHAPTER MEMBERSHIP IS NOT REQUIRED to attend!

SAVE THE DATE! March 23, 2026, at SCCM Congress, the Midwest Chapter is thrilled to invite you to our Chapter Reception. When: 4-6pm Where: 3rd floor of the Marriott Marquis Chicago - RR Donnelley Room No RSVP required - stop by for some food, drinks, and a fun time!

Meet ICU Pharmacist Morgan Ridout, a member of the Midwest Chapter's Communications Committee. We had the opportunity to ask Morgan a few questions. Check out her answers below! Interested in joining SCCM - Midwest Chapter? Email sccmmwc@gmail.com to learn more!

12/ Pregnancy ACLS Fundamentals: ~Communicate with team early ~Standard ACLS ~Manual LUD is the standard ~No change in drug dosing ~Prepare for resuscitative delivery ~Deliver within 5 minutes

11/ 🚨Suspecting amniotic fluid or hemorrhage? Initiate massive transfusion protocol early with balanced blood products. ⚡ When standard CPR isn’t enough, consider extracorporeal CPR to support circulation!

1/ Code blue. The patient is 30 weeks pregnant. 🤰 Does ACLS change for pregnant patients? This thread will cover the 2025 AHA ACLS guidelines for pregnancy, highlighting the updates and what remains unchanged.

Great name too