Opening Remarks and Land Acknowledgement
Agenda:
| Time (ET) | Session Title | Presenter |
|---|---|---|
| 10:00-10:10 | Opening Remarks and Land Acknowledgment | David Carlbom, MD Associate Professor of Medicine, Pulmonary Critical Care and Sleep Medicine University of Washington School of Medicine Medical Director, Respiratory Care Department Attending Physician, Medical and Trauma-Surgical Intensive Care Units Harborview Medical Center Katy Grainger Sepsis Survivor and Advocate |
Speaker Biographies:
David Carlbom, MD
David Carlbom, MD, is the Medical Director, Respiratory Care Department and Attending Physician in the Medical and Trauma-Surgical Intensive Care Units at Harborview Medical Center. He is also an Associate Professor of Medicine, Pulmonary Critical Care & Sleep Medicine, Department of Medicine, at the University of Washington School of Medicine.
His passion is in early recognition and early resuscitation of critically ill patients. He is actively involved in leadership and teaching activities at the local, regional, and international level. He is a major resource for sepsis resuscitation and pre-ICU critical care expertise at UW Medicine. He lectures extensively to multiple different professionals and works systematically to identify and initiate rapid treatment of critically ill sepsis patients. In 2020, he was awarded the individual Global Sepsis Award in recognition for his commitment to educate others about sepsis. His bias is “good people trying hard, of any educational level, can take great care of critically ill patients if they work as a team, communicate, and have compassion for humans.”
Katy Grainger
In September 2018, Katy’s life was turned upside down when she nearly died from septic shock because of a small, infected cut on her thumb. Because of complications from sepsis, she now lives as a bilateral below-knee amputee who also lost seven partial fingers. One in five deaths worldwide are caused by sepsis, yet few people have heard of it and even fewer can identify the signs and symptoms. Katy has made it her mission to do everything she can to prevent others from experiencing what she went through.
Katy serves on the Board of Directors of Sepsis Alliance and shares her story to highlight this important public health crisis. She has reached millions of people with information about sepsis and disability through social media channels, articles, podcasts and speaking engagements. She has impacted medical policy in the United States by speaking to policy makers in Washington DC, Hawaii and Washington State. Katy has become a body inclusive model and actor. She is currently writing a book about her journey with sepsis and amputations, highlighting the patient experience, lessons learned and the strength she had gained.
Session 1: Implementation of Pediatric Sepsis Phoenix Criteria Across the Globe: Building Equity?
Description:
The new Pediatric Sepsis Phoenix Criteria released in 2024 by the Society of Critical Care Medicine (SCCM) Pediatric Sepsis Definition Task Force sought to develop and validate new clinical criteria for pediatric sepsis and septic shock using measures of organ dysfunction through a data-driven approach. SCCM used a retrospective cohort of patients in ten health systems in the US, Colombia, Bangladesh, China, and Kenya, three of which were used as external validation sites. The Phoenix Sepsis Score was developed and validated using markers of organ dysfunction with a higher positive predictive value and higher or similar sensitivity compared with the 2005 International Pediatric Sepsis Consensus Conference (IPSCC) criteria. How will this be implemented across the globe? Can it work in Low- & Middle-Income locations?
Learning Objectives:
At the end of this session, the learner will be able to:
- Describe how Pediatric Sepsis Phoenix Criteria was developed.
- Design methods to best implement across the globe.
- Ideate and develop next steps to best apply in all clinical settings.
Agenda:
| Time (ET) | Session Title | Presenter |
|---|---|---|
| 10:10-10:15 | Introductions | Moderator: Scott P. Sherry, MS, PA-C, FCCM Sepsis Program Manager Oregon Health and Science University Doernbecher Children’s Hospital |
| 10:15-10:30 | Development of the Phoenix Criteria for Sepsis and Septic Shock in Children | Nelson Sanchez-Pinto, MD, MBI, FAMIA Northwestern University - Feinberg School of Medicine |
| 10:30-10:45 | The Phoenix Pediatric Sepsis Definitions - Applying Them in South Africa | Andrew Argent, MBBCh, MMed, MD, FRCPCH (UK) |
| 10:45-10:55 | Panel Discussion | David Carlbom, MD Nelson Sanchez-Pinto, MD, MBI, FAMIA Andrew Argent, MBBCh, MMed, MD, FRCPCH(UK) |
Sessions and Speakers:
Moderator: Scott P. Sherry, MS, PA-C, FCCM
Development of the Phoenix Criteria for Sepsis and Septic Shock in Children
Learning Objectives:
1. Describe the development of the Phoenix Sepsis Score and the new criteria for sepsis;
2. Identify the key differences between the previous pediatric sepsis criteria and the updated Phoenix criteria;
3. Restate the implications of implementing the Phoenix sepsis criteria in clinical practice, including its potential impact on timely diagnosis and clinical management, research, and improving patient outcomes.
Nelson Sanchez-Pinto, MD, MBI, FAMIA
L. Nelson Sanchez-Pinto, MD, MBI, FAMIA, is a pediatric critical care physician, biomedical informatics specialist, and data science researcher at Northwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children's Hospital of Chicago. His research focuses on applying data science and artificial intelligence approaches to improve the care provided to acutely ill patients, with a particular focus on pediatric sepsis.
The Phoenix pediatric sepsis definitions – applying them in South Africa
Learning Objectives:
1. Describe the contextual information of health services and their interactions with children suffering from sepsis in South Africa (and in sub-Saharan Africa)
2. Restate the challenges and objectives of applying the pediatric sepsis definitions to the care of critically ill children in South Africa, addressing the question of how to “think globally and act locally”
3. Describe processes currently in place (and are being considered) to translate the definitions into clinical practice and collect data on patients identified as having sepsis.
Andrew Argent, MBBCh, MMed, MD (Paediatrics), FRCPCH (UK)
Andrew Argent, MBBCh, MMed, MD, FRCPCH(UK) has worked in critical care in Cape Town for more than 30 years and directed the largest pediatric intensive care unit in Africa until 2019. He is a past President of the World Federation of Pediatric Intensive and Critical Care societies. Although retired, he remains involved in the development of clinical approaches to the recognition and management of sepsis in children. He has a particular interest in the provision of care to critically ill children in countries across the world and has been involved in the development and implementation of training programs for healthcare workers in pediatric critical care. Dr. Argent continues to be involved in consultations regarding multiple aspects of the care of critically ill children.
Session 2: Challenges & Opportunities for Improving Maternal Sepsis Care
Description:
Maternal sepsis is the third most common cause of maternal mortality during pregnancy, childbirth, post-abortion, or the postpartum period. Despite this sobering fact, it is often under-recognized and treated differently across the globe. Come learn about the impact of maternal sepsis, updates in systems approach to improving care, and utilizing new maternal sepsis guidelines in your own practice to improve patient outcomes.
Learning Objectives:
At the end of this session, the learner will be able to:
- Compare & contrast maternal sepsis care in different resource settings;
- Describe new maternal sepsis guidelines.
Agenda:
| Time (ET) | Session Title | Presenter |
|---|---|---|
| 11:00-11:05 | Introductions | Moderator: Scott P. Sherry, MS, PA-C, FCCM Sepsis Program Manager Oregon Health and Science University Doernbecher Children’s Hospital |
| 11:05-11:18 | Midwives’ role in preventing maternal and neonatal sepsis in Low- and Middle-Income Countries | Cathryn Ellis. BFA, MSc. PhD, RM (non-practicing)
Associate Professor Emeritus University of British Columbia |
| 11:18-11:31 | Addressing Maternal Sepsis: A Large-Scale Quality Improvement Approach | Elliott K. Main, MD Professor of Obstetrics and Gynecology Stanford University School of Medicine |
| 11:31-11:44 | Practical approaches to addressing maternal sepsis in Low-to-Middle Income Countries | María Fernanda Escobar Vidarte, MD Chief of the Global Health Equity Unit Universidad del Valle, Cali - Colombia |
| 11:44-11:55 | Panel Discussion |
Sessions and Speakers:
Moderator: Scott P. Sherry, MS, PA-C, FCCM
Midwives’ role in preventing maternal and neonatal sepsis in Low- and Middle-Income Countries
Learning Objectives:
1. Recognize ways that midwives in LMIC’s prepare the environment to prevent infections;
2. Discuss how working with communities can increase access to timely care and prevent maternal infection;
3. Describe ways that midwifery education reduces pathways to infection at birth in Nepal, Somalia and Somaliland;
4. Discuss barriers to reducing maternal and neonatal infection in LMICs.
Cathryn Ellis. BFA, MSc. PhD, RM (non-practicing)
Dr. Cathryn Ellis is an Associate Professor Emeritus at the University of British Columbia, where she taught in the UBC Midwifery Program from 2004 to 2022. She was lead for UBC’s Midwifery Global Placement from 2004 to 2024 and developed a global maternal-infant health theory and practice course for UBC health science students. Her special interest in global midwifery and maternal-infant care has led her to teach community-level and university-trained midwives in Mexico, Nicaragua, Kosovo, Zambia, Uganda, Bangladesh, Nepal, South Sudan, Somalia, and Somaliland. With a PhD in Global Health from Simon Fraser University, Cathy's research and practice focus on improving maternal health outcomes in remote and underserved communities. She is currently the UBC lead for CAM’s Strengthening Midwifery Education and Practice in Somalia project.
Addressing Maternal Sepsis: A Large-Scale Quality Improvement Approach
Learning Objectives:
1. Identify the reasons that obstetric sepsis is different that sepsis in other populations;
2. Describe the rationale for a two-step approach to screening and diagnosis of obstetric sepsis;
3. Describe how improving care for sepsis can be a model for addressing multiple causes of Severe Maternal Morbidity.
Elliott K. Main, MD
Elliott Main, MD founded and directed the California Maternal Quality Care Collaborative (CMQCC) for 16 years until 2023 and served as the Chair of the California Maternal Mortality Review Committee during those years. Nationally, Dr. Main is the co-founder and currently the lead for QI Implementation for Alliance for Innovation on Maternal Health ( AIM), the national project, funded thru the Health Resources and Services Administration ( HRSA) and based at American College of Obstetricians and Gynecologists (ACOG), for supporting state Perinatal Quality Collaboratives in their efforts to reduce maternal mortality and severe morbidity. He has coauthored multiple California Maternal Quality of Care Collaborative (CMQCC) Toolkits and AIM National Safety Bundles including recent one on obstetric sepsis. Currently Dr Main is co-principal investigator with Dr. Melissa Bauer of an NIH sponsored two-state quality improvement collaborative to reduce maternal sepsis. Dr. Main is Professor of Obstetrics and Gynecology at Stanford University in the Dunlevie Division of Maternal Fetal Medicine.
Practical approaches to addressing maternal sepsis in Low-to-Middle Income Countries
Learning Objectives:
1. Determine the impact of maternal sepsis in LMIC;
2. Formulate a simple and applicable diagnostic proposal for maternal sepsis, from low to high complexity;
3. Establish a management protocol for maternal sepsis by the intervention packages (bundles).
María Fernanda Escobar Vidarte, MD
María Fernanda Escobar Vidarte, MD is a Gynecologist and Obstetrician from the Universidad del Valle, Cali- Colombia; specialist in Critical Medicine and Intensive Care from the Universidad del Valle and the University of Pittsburgh, USA. Dr. Escobar-Vidarte holds a master’s degree in Clinical Epidemiology from the Universidad de la Frontera, Temuco- Chile and a master’s degree in Management for Social Innovation from the ICESI University, Cali. Currently, Dr. Escobar-Vidarte is Chief of the Global Health Equity Unit and leader of the Hospital Padrino strategy of the Fundacion Valle del Lili and Colombia in alliance with the Ministry of Health of Colombia. She is a professor at the Faculty of Medicine of the Icesi University, Cali – Colombia, and a mentor of the same university's Obstetrics and Gynecology research group. She has represented Latin America in the Safe Motherhood and Childbirth Health Committee of the International Federation of Gynecology and Obstetrics (FIGO). Dr. Escobar-Vidarte is also a consultant to the Pan American Health Organization (PAHO) and the World Health Organization (WHO).
Session 3: Bedside Education - Teaching Providers How to Apply Best Practices
Description:
Guidelines for best practice are often created to provide the safest recommendations for the widest possible population of patients. When applied to syndromes such as sepsis this may cause a lack of precision care for individual patients. During this session attendees will learn how to apply guidelines to specific patients and maintain optimism for guideline use by providers in various care settings, using examples of the growing crisis around Antimicrobial Resistance in African nations.
Learning Objectives:
At the end of this session, the learner will be able to:
- List one example of how to identify champions from interdisciplinary teams to effect durable knowledge translation that one can try in practice;
- Review how resource-constrained settings change techniques of engagement or pedagogical strategies;
- Apply specific patient and context considerations to implementing clinical practice guidelines;
- Reflect on major challenges related to resistance in clinical practice, innovation, financial models and equal distribution of medicines.
Agenda:
| Time (ET) | Session Title | Presenter |
|---|---|---|
| 12:30-12:35 | Introductions | Moderator: Rick Janik, BSN, RN, CEN, CFRN Flight Nurse Airlift Northwest |
| 12:35-12:53 | The Hard Part - Turning Guidelines Into Practice | Laura Evans, MD, MSc Professor and Medical Director, Critical Care University of Washington |
| 12:53-1:11 | Transformational Leadership: People-Centered Framework to Address Antimicrobial Resistance, the Silent Tsunami! | Halima Salisu-Kabara, FWACN, MPA, RN-RM, CCRN Vice-Executive Director African Sepsis Alliance (ASA) |
| 1:11-1:25 | Panel Discussion |
Sessions and Speakers:
Moderator: Rick Janik, BSN, RN, CEN, CFRN
The Hard Part - Turning Guidelines Into Practice
Learning Objectives:
1. Describe the strengths and the limitations of clinical practice guidelines for sepsis;
2. Apply specific patient and context considerations to implementing clinical practice guidelines.
Laura Evans, MD, MSc
Laura Evans, MD, MSc is a professor of medicine at the University of Washington and the Medical Director of Critical Care at the University of Washington Medical Center. Her interests focus on sepsis and preparedness for high-consequence infectious diseases, particularly on guideline development and implementation, and patient safety/quality improvement.
Dr. Evans earned her medical degree at the University of Michigan and did her residency in internal medicine at Columbia University. She completed pulmonary and critical care medicine fellowship training and earned a Master of Science in epidemiology at the University of Washington. She then joined the New York University and Bellevue Hospital faculty in 2006. In her role there, she led the evacuation of the Bellevue Hospital intensive care units in the aftermath of Hurricane Sandy. She was the clinical lead for New York City’s only patient with Ebola. She was associate program director for the pulmonary and critical care fellowship program at NYU for more than 10 years. After 14 years in NYC, she returned to Seattle in 2019.
She joined the steering committee of the Surviving Sepsis Campaign (SSC) in 2012 and was the co-chair of the past 2 revisions of the Surviving Sepsis Campaign adult sepsis guidelines, and SSC COVID management guidelines co-chair. She also served as the critical care team lead for the National Institutes of Health COVID Management Guidelines. She is the current chair of the American Board of Internal Medicine’s Critical Care Medicine specialty board.
Transformational Leadership: People-Centered Framework to Address Antimicrobial Resistance, the Silent Tsunami!
Learning Objectives:
1. Recognize antimicrobial resistance and identify the actions needed to address this increasingly serious global health threat;
2. Reflect on major challenges related to resistance in clinical practice, innovation, financial models and equal distribution of medicines;
3. Describe the extent of the Antimicrobial Resistance crisis, and accept transformational leadership as a model for policy change.
Halima Salisu-Kabara, FWACN, MPA, RN-RM, CCRN
Halima Salisu Kabara, FWACN, MPA, RN-RM, CCRN is a Practice Development Consultant, and the Sepsis Coordinator for SIDOK Sepsis Research Group, a multidisciplinary team in Nigeria. Her vision is to reduce preventable deaths due to sepsis in Nigeria and Africa and provide patient-centered equitable care in low-resource countries.
She is proudly an EECC Champion and a Sepsis Ambassador. She is the Vice-Executive Director of the African Sepsis Alliance (ASA), and a Board member of the Global Sepsis Alliance (GSA).
Session 4: Bench to Bedside: Updates in Sepsis Science
Description:
The scientific basis of sepsis care is constantly changing, as thousands of researchers produce literature on how to improve sepsis diagnosis and treatment. This enormous body of work is impossible for busy clinicians to sort through. Come listen to an expert in evaluation of literature quality identify and discuss the most impactful new evidence around sepsis.
Learning Objectives:
At the end of this session, the learner will be able to:
- Demonstrate efficient bedside diagnostic clues and strategies to identifying sepsis;
- Contrast “low-resource” and “high-resource” sepsis interventions, discussing which are of greatest impact to patients.
Agenda:
| Time (ET) | Session Title | Presenter |
|---|---|---|
| 1:30-1:35 | Introductions | Moderator: Mary Jo Kelly DNP, ARNP-CNS, CCNS, CCRN System Level Clinical Nurse Specialist Providence Swedish Health System |
| 1:35-2:20 | Sepsis Research Update: Considerations for All Care Settings | Elizabeth Bridges PhD, RN, CCNS, FCCM, FAAN University of Washington Medical Center |
| 2:20-2:25 | Q&A |
Sessions and Speakers:
Moderator: Mary Jo Kelly DNP, ARNP-CNS, CCNS, CCRN
Sepsis Research Update: Considerations for All Care Settings
This presentation addresses three issues related to sepsis resuscitation: current research related to the selection of resuscitation fluids (saline vs balanced solutions), noninvasive assessment strategies, including considerations for individuals with darker skin tone, and the integration of macro- and microhemodynamic assessments to guide sepsis resuscitation.
Learning Objectives:
1. Summarize current research related to saline versus balanced solutions for sepsis resuscitation;
2. Identify options/limitations of noninvasive hemodynamic assessments;
3. Outline personalized management resuscitation/management strategies.
Elizabeth Bridges PhD, RN, CCNS, FCCM, FAAN
Elizabeth Bridges PhD, RN, CCNS, FCCM, FAAN has over 40 years of experience in critical care. She retired as a professor from the University of Washington School of Nursing/University of Washington Medical Center and is a retired colonel of the United States Air Force Nurse Corps. Her research focuses on the care of patients during long-distance military aeromedical evacuation and austere operational settings and the integration of hemodynamics into the care of critically ill patients. She is the editor of the TriService Nursing Research Program Battlefield and Disaster Nursing Pocket Guide, which is currently being translated into Ukrainian. She served as the President of the American Association of Critical Care Nurses in 2020-2021. Dr. Bridges is well known for her presentations on the integration of evidence into practice that includes multiple topics related to sepsis, hemodynamics, and operational care.
Session 5: Sepsis Survivorship
Agenda:
| Time (ET) | Session Title | Presenter |
|---|---|---|
| 2:30-2:35 | Introductions | Moderator: Sybil Hoiss, RN, MN Lead, Clinical Initiatives & Innovation Critical Care BC, Provincial Health Services Authority |
| 2:35-2:43 | Journey to Sepsis Survivorship: Patient Perspective | Hailey Bain
Sepsis Survivor and Patient Partner Sepsis Canada |
| 2:43-2:56 | Sepsis Aftercare: Improving the Lives of Sepsis Survivors | Mark E. Mikkelsen, MD, MSCE, FCCM Associate Chief Medical Officer, Critical Care University of Colorado Hospital |
| 2:56-3:09 | Sepsis Transition and Recover (STAR), Nurse Navigators Delivering Best Practice Post-Discharge Care | Stephanie Taylor, MD, MS Division Chief of Hospital Medicine University of Michigan |
| 3:09-3:25 | Panel Discussion |
Sessions and Speakers:
Moderator: Sybil Hoiss, RN, MN
Journey to Sepsis Survivorship: Patient Perspective
Hailey Bain
Hailey Bain is a 27-year-old sepsis survivor from Toronto, Canada. She experienced a ruptured appendix and was misdiagnosed, causing septic shock at the age of 23. Currently, she is a Patient Partner at Sepsis Canada and an active member of their Patient Advisory Council. She hopes by sharing her experience of surviving sepsis, patients can learn to advocate for their health and healthcare professionals can better understand the implications of sepsis.
Sepsis Aftercare: Improving the Lives of Sepsis Survivors
Learning Objectives:
1. Identify the long-term health consequences experienced by adult sepsis survivors;
2. Describe how to educate patients more effectively about the timing and causes of hospital readmission after sepsis;
3. Develop partnerships with post-acute care to implement strategies to enhance recovery after sepsis.
Mark E. Mikkelsen, MD, MSCE, FCCM
Mark E. Mikkelsen, MD, MSCE, FCCM is the Associate Chief Medical Officer for Critical Care at the University of Colorado Hospital. Dr. Mikkelsen served as the Co-Chair of the Society of Critical Care Medicine's Thrive: Supporting Survivors of Critical Illness Initiative for 6 years. He has partnered with CMS and state hospital and healthcare associations to improve care coordination and reduce hospital readmissions for sepsis survivors.
Sepsis Transition and Recover (STAR), Nurse Navigators Delivering Best Practice Post-Discharge Care
Learning Objectives:
1. List common complications experienced by sepsis survivors after hospital discharge;
2. Identify best practices for caring for patients after a sepsis hospitalization;
3. Describe health system strategies for providing best-practice transition and recovery care for sepsis survivors.
Stephanie Taylor, MD, MS
Stephanie Taylor, MD, MS focuses her research on improving patient outcomes and developing innovative practices to promote optimal care for sepsis in both early antibiotic management and post-discharge transition and recovery. She employs her expertise in health services research, pragmatic trials, large datasets, and implementation science to identify and address essential healthcare questions related to quality, value, and equity of care. Dr. Taylor is also the Division Chief of Hospital Medicine.
Closing Remarks: Pulling It All Together
Agenda:
| Time (ET) | Session Title | Presenter |
|---|---|---|
| 03:30-04:00 | Closing Remarks: Pulling It All Together | Fatima Sheikh, MSc PhD Candidate, Department of Health Research Methods, Evidence, and Impact Communications Assistant, Sepsis Canada Katy Grainger Sepsis Survivor and Advocate |
Speaker Biographies:
Fatima Sheikh, MSc
Fatima Sheikh is a PhD student in the Health Research Methodology program at McMaster University. Her research aims to investigate the effects of social determinants of health on the incidence and outcomes of sepsis; and develop knowledge of the effects of social determinants of health on healthcare to inform health policy, responsible use of evidence, and equitable healthcare practices. She hopes that training in both research and teaching will allow her to develop the skills and aptitudes to establish a program of research focused on equitable healthcare practices, specifically within critical care.
Katy Grainger
In September 2018, Katy’s life was turned upside down when she nearly died from septic shock because of a small, infected cut on her thumb. Because of complications from sepsis, she now lives as a bilateral below-knee amputee who also lost seven partial fingers. One in five deaths worldwide are caused by sepsis, yet few people have heard of it and even fewer can identify the signs and symptoms. Katy has made it her mission to do everything she can to prevent others from experiencing what she went through.
Katy serves on the Board of Directors of Sepsis Alliance and shares her story to highlight this important public health crisis. She has reached millions of people with information about sepsis and disability through social media channels, articles, podcasts and speaking engagements. She has impacted medical policy in the United States by speaking to policy makers in Washington DC, Hawaii and Washington State. Katy has become a body inclusive model and actor. She is currently writing a book about her journey with sepsis and amputations, highlighting the patient experience, lessons learned and the strength she had gained.