Annual Fall Meeting of the United States Critical Illness and Injury Trials Group National Institutes of Health Bethesda, Maryland December 8-9, 2009 The US Critical Illness and Injury Trials Group (USCIIT Group) invites you to attend its Annual Fall Meeting, December 8-9, 2009, Natcher Conference Center, NIH Campus, Bethesda, Maryland. The dual missions of the USCIIT Group are to foster investigator-initiated hypothesis testing and to plan strategically a national level, acting as a “network of networks” for critical illness and injury investigators. The meeting is free and open to all those interested in furthering research and clinical trials for the critically ill and injured. Sessions at the annual meeting this year will include the following: Clinical Proposal Updates –This session offers updates by Team Leaders from two of last year’s group of 18 Clinical Projects (see the USCIIT Group web page for more details). These presentations highlight the accomplishments of these Projects and the resources available to USCIIT Group investigators. In addition, two new Clinical Projects will be presented from this year’s proposals, providing an opportunity for direct exchange between investigators and attendees. NIH Reports – Speakers will present recent progress made in the clinical research domains of emergency medicine and trauma. In addition, attendees will hear updates on the Clinical and Translational Science Awards and the considerable resources they provide. USCIIT Challenges – New for this year, five Challenges for the community will be presented, the subjects of which were suggested by USCIIT Group investigators. These topics include the following: Timing of tracheostomy: Determine the optimal timing for tracheostomy in patients on mechanical ventilation with subacute and chronic respiratory failure Clinical phenotyping: Devise an accurate, cost-effective strategy for classifying organ dysfunction and system failure secondary to critical illness and injury ICU metagenomics: Model environment-host-pathogen interactions to accurately predict state transitions from colonization to infection to sepsis Informatics: For the purpose of coupling clinical research with performance improvement, create software that allows individual clinicians to leverage real-time analysis of critical illness and injury informatics across participating centers Predisposition: Discover genetic and environmental determinants to "good" outcomes after critical illness and injury To reach consensus on how best to approach these Challenges, presentations on the afternoon of Day 1 will segue to dinner break-out discussions among small groups. The following day, spokespersons for each Challenge will be asked to articulate overarching aims and an organizational plan. It is hoped that from these discussions a consensus document (“white paper”) will be communicated for the purpose of exploring funding opportunities for each of these initiatives. Comparative Effectiveness Research (CER) – Opportunities to pursue CER will be made from representatives of the American Association of Critical Care Nurses (AACN), the Office of the Assistant Secretary for Planning and Evaluation (ASPE) in the Department of Health and Human Services, the National Heart, Lung, and Blood Institute (NHLBI), the Agency for Healthcare Research and Quality (AHRQ), and the Emergency Care Coordination Center (ECCC). A panel discussion will follow. MORE INFORMATION www.fgciitg.com STEERING COMMITTEE Scott D. Somers, PhD National Institute of General Medical Sciences, NIH, DHHS Anthony F. Suffredini, MD Critical Care Medicine Department, NIH Clinical Center, DHHS Robert L. Danner, MD Critical Care Medicine Department, NIH Clinical Center, DHHS Peter J. Munson, PhD Center for Information Technology, NIH, DHHS Ramona Hicks, PhD National Institute of Neurological Disorders and Stroke, NIH, DHHS Andrea Harabin, PhD National Heart, Lung, and Blood Institute, NIH, DHHS Carol Nicholson, MD National Institute of Child Health and Development, NIH, DHHS Mary Purucker, MD, PhD National Center for Research Resources, NIH, DHHS Basil A. Eldadah, MD, PhD National Institute on Aging, NIH, DHHS Charles B. Cairns, MD University of North Carolina, Chapel Hill J. Perren Cobb, MD, Massachusetts General Hospital ORGANIZING COMMITTEE Derek Angus, MD University of Pittsburgh Eileen Bulger, MD University of Washington in Seattle Nina Gentile, MD Temple University David Hoyt, MD University of California at Irvine Polly Parsons, MD University of Vermont College of Medicine Debra Schwinn, MD University of Washington Jeffrey Upperman, MD Childrens Hospital-Los Angeles Jeanine Wiener-Kronish, MD Massachusetts General Hospital Hector Wong, MD Cincinnati Children's Hospital Medical Center Sponsors National Institute of General Medical Sciences, NIH, DHHS Scientific Interest Group – Critical Injury and Illness Group, NIH, DHHS Co-Sponsor Massachusetts General Hospital