2018 Trauma Symposium

Transcription

1 2018 Trauma Symposium Stop the Bleed Campaign FRIDAY, JUNE 15, 2018 Hilton Omaha Hotel 1001 Cass Street Omaha, Nebraska DESIGNED FOR: Trauma Surgeons, General Surgeons, Emergency Medicine Physicians, Physicians Providing Trauma and Critical Care, Primary Care Physicians, Nurse Practitioners, Physician Assistants, Pharmacists, Nurses, EMS Personnel, Fellows, Residents, Students, Public Health Professionals and Other Interested Health Care Providers JOINTLY PROVIDED BY: Division of Trauma Surgery and Surgical Critical Care CHI Health Creighton University Medical Center Trauma Program Creighton University EMS Education Creighton University College of Nursing Education CHI Health LifeNet Air Medical Services Health Sciences Continuing Education

2 Purpose and Objectives PURPOSE: This year s symposium will focus on the critical need of the Stop the Bleed initiative, a nationwide campaign to empower individuals through current first aid training, clinically relevant information and educational resources in the assessment and treatment of trauma patients. OBJECTIVES: At the end of this program, the participants should be able to: SESSION I Explain the origins of Stop the Bleed Campaign Outline the objectives of the campaign Describe how to implement this program at the local, regional and state level SESSION II Describe the complex anatomy of the neck and neck vessels including the carotid artery and its branches Cite the complex techniques required for the management of carotid injuries Correlate the outcomes for these injuries with the surgical techniques used for their management Review the techniques of hemorrhagic shock management Discuss the principles of shock management including surgical techniques Review the principles of shock management based on actual cases Describe the Navy s capabilities, logistics and responses to handle wartime injuries, military catastrophes and civilian catastrophes SESSION III Explain the basic principles of Traumatic Brain Injury (TBI) management including ventilator support and osmotherapy Examine the role of ICP management Discuss the Brain Trauma Foundation guidelines for the management of Traumatic Brain Injuries Describe the role of immunology and the immune response in the trauma patient Identify different components of the immune system in the trauma patient Describe how the immunological system may become depressed in the trauma patient Discuss the latest tactics for the management of infections in trauma patients Examine complications of antibiotic therapies in the trauma patient Evaluate optimal treatment of specific trauma-related infection processes SESSION IV Review surgical strategies employed to treat our previous Commanders-in-Chief Review entire spectrum of post-traumatic stress disorder and its pervasive effects in U.S. combat veterans SESSION V Describe the care of an interesting and complex trauma patient from the initial injury through the rehabilitation process Illustrate the integration of multiple services from field care, transport by EMS, trauma surgical and surgical critical care, and nursing care Discuss the integration of multiple hospital services in the care of complex trauma patients, including rehabilitation care 2

3 Education Credit Category 1: Education designates this live activity for a maximum of 7 AMA PRA Category 1 Credit(s) TM. Physicians should claim only credit commensurate with the extent of their participation in the activity. EMS: This educational activity has been approved for up to 6.75 continuing education hours for all levels of EMS personnel through Creighton University. Accreditation Statement: AAPA accepts AMA category 1 credit for the PRA from organizations accredited by ACCME. Nurse CE: Education designates this activity for 7.0 contact hours for nurses. Nurses should claim only credit commensurate with the extent of their participation in the activity. Pharmacy: Education (HSCE) is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education (CPE). The 2018 Trauma Symposium is accredited for 7.0 hour(s) for completion of all CE Sessions on June 15, The 2018 Trauma Symposium is a knowledge-based activity. AAFP: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. In support of improving patient care, this activity has been planned and implemented by Creighton University Health Sciences Continuing Education, CHI Health and LifeNet Air Medical Services. Education (HSCE) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team. Disclosure Policy: It is the policy of Creighton University Health Sciences Continuing Education, to ensure balance, independence, objectivity and scientific rigor in all its educational activities. All faculty participating in this activity are expected to disclose to the audience any significant financial interest or other relationship he/ she has with the manufacturer(s) of any commercial product(s) discussed in an educational presentation. 3

4 Schedule 7 a.m. Registration, Continental Breakfast and Visit Exhibits 7:15 a.m. Welcome and Introduction of Keynote Speaker SESSION I Keynote MODERATOR: 7:30 a.m. The Stop the Bleed Campaign Implications for the Care of Our Fellow Citizens Lenworth M. Jacobs Jr, MD, MPH, DSc (Hon), FACS, FWACS (Hon) 8:15 a.m. Session I Q&A Lenworth M. Jacobs Jr, MD, MPH, DSc (Hon), FACS, FWACS (Hon) SESSION II Controversies and Challenges in Trauma Surgery MODERATOR: Michel Wagner, MD, FACS 8:30 a.m. Carotid Injuries Lethal Injuries Requiring Complex Surgical Techniques 8:50 a.m. Bleeding Kills Andrew B. Peitzman, MD, FACS 9:10 a.m. The Navy s Role in Military and Civilian Catastrophes Miguel A. Cubano, MD, MBA, FACS 9:30 a.m. Session II Q&A Miguel A. Cubano, MD, MBA, FACS Andrew B. Peitzman, MD, FACS Michel Wagner, MD, FACS 10 a.m. Break and Visit Exhibits SESSION III Secrets of the Master Trauma Surgeons MODERATOR: 10:15 a.m. Traumatic Brain Injury Changes in Management Across the Spectrum of Age and Time Gail T. Tominaga, MD, FACS 10:35 a.m. Immunology in the Trauma Patient Christine S. Cocanour, MD, FACS, FCCM 10:55 a.m. Antibiotics in Trauma Patients Friends vs. Foes Philip S. Barie, MD, MBA, Master CCM, FIDSA, FACS 11:15 a.m. SESSION III Q&A Philip S. Barie, MD, MBA, Master CCM, FIDSA, FACS Christine S. Cocanour, MD, FACS, FCCM Gail T. Tominaga, MD, FACS 11:45 a.m. Lunch and Visit Exhibits SESSION IV Contemporary Challenges for Nurses and Physicians MODERATOR: Carlos A. Fernandez, MD, FACS 12:45 p.m. Surgical Care of American Presidents How Would They Fare Today? Daria C. Ruffolo, DNP, RN, CCRN, ACNP-BC 1:15 p.m. Post-Traumatic Stress Disorder Pathophysiology, Pharmacology, and Impact on Combat Veterans Sriram Ramaswamy, MD 1:45 p.m. Session IV Q&A Carlos A. Fernandez, MD, FACS Sriram Ramaswamy, MD Daria C. Ruffolo, DNP, RN, CCRN, ACNP-BC 2 p.m. Break and Visit Exhibits SESSION V Interprofessional Approach to Challenging Trauma Cases at Creighton University from the Scene to Discharge MODERATOR: David L. Cornell, MD, FACS 2:15 p.m. Field Assessment in Transportation The EMS Perspective Gina Wood, EMT-P CCP 2:25 p.m. Patient Presentation from the Initial Presentation, Operative Intervention and Surgical Critical Care Samuel R. Brown, MD 2:45 p.m. Trauma Patients Rescue and Transportation Dilemmas and Challenges Alice Twink Dalton, RN, MS, CNS, NREMT-P 3:15 p.m. Pharmacological Challenges During Hemodynamic Instability The Pharmacologists Perspective Stacey K. Dull, PharmD, BCPS 3:25 p.m. Operative Challenges for the OR Nurse Robin Vineyard, RN, BSN, MSN, MBA 3:35 p.m. Surgical Critical Care Nursing Challenges Lindsey Swantek, RN, BSN Lauren B. Magill, RN, BSN 3:45 p.m. Evaluation and Adjournment 4

5 Logistics Handout Options: Please be advised that handout materials for this conference will not be included in the registration fee or be distributed as paper copies, but rather, made available online ahead of time (to the best extent possible). Participants can download and print the presentations prior to the conference, or follow along on their own laptop during the conference. A link will be sent by a week prior to the Conference to download and print the handouts needed before the event Please note if you require special accommodations (dietary, mobility, hearing, etc.) for the meeting, there will be an opportunity to enter them through the online registration. Meeting Place: Hilton Omaha Grand Central Ballroom 1001 Cass Street, Omaha, NE The Hilton Omaha has a limited amount of rooms available at a rate of $169/night plus tax to guests who would like to stay during the meeting. Please call to make reservations and reference the Creighton Trauma Symposium to receive the discounted rate. Reservations should be made prior to May 12, 2018, after this date subject to availability. Omaha.hilton.com Or you can go to visitomaha.com for a list of hotels in the area. Parking: Parking for this conference is free at the Hilton Omaha. Upon entering the Hilton parking garage, please take the white ticket to activate the arm to the garage entrance. This ticket can be left in the vehicle. You do not need to pay to enter the garage. At registration, you will be given a blue validated ticket to accompany the white ticket that will allow you to exit from the garage at no charge. Special Accommodations: Education wishes to ensure that no individual with special needs is excluded, denied services, segregated, or otherwise treated differently from other individuals because of the absence of auxiliary aids and services. If you are in need of auxiliary aids or services, please contact Health Sciences Continuing Education (HSCE) at or Climate and Dress: Casual dress is encouraged for the entire meeting. Temperature in meeting rooms can fluctuate. Layered clothing is suggested. Courtesy: For the concentration and comfort of our participants, we ask that all cell phones and pagers be silenced during sessions of the conference. Breaks are provided for your communication convenience. Thank you for your cooperation. Website: healthsciences.creighton.edu Cancellation: Please call OR by Tuesday, June 12, Refund less $20 if cancelling by June 12, No Refund after June 12, Money Back Guarantee: We are convinced you ll leave our programs with more than enough information to earn back your investment in these programs. However, if you feel you haven t received your money s worth by the end of the program, you will receive a 100% refund of your registration. In the unlikely event this program is cancelled, you will be notified by phone. Planning Committee: ; Michel Wagner, MD, FACS; David L. Cornell, MD, FACS; Robert P. Bertellotti, MD, FACS; Carlos A. Fernandez, MD, FACS; Colin T. Dworak, BSBA; Michael G. Miller, EdD, MS, BSEMS, RN, NRP; Lindsay M. Iverson, DNP, APRN-NP, ACNP-BC; Jeremy Moore, CFRN; Katie Pierce, BSN, RN, CEN, CPEN; Kimberly E. Sieck, MSN, RN, CCRN-E; Devendra K. Agrawal, PhD; Brenda Welter HSCE Program Review Committee: William Hunter III, MD; Tom Berry, BS, DDS; Susan Connelly, DNP, APRN-NP; Timothy F. Walker, DDS; Dan Hilleman, PharmD; Mark Malesker, PharmD; Mike G. Miller, EdD, MS, BSEMS, NRP; Colin T. Dworak, BSBA; Anne Schoening, PhD, RN, CNE; Michel Wagner, MD, FACS Emergency Phone: Identify the Creighton Trauma Symposium. 5

6 Welcome from the Course Directors We invite you to attend the 2018 Trauma Symposium and look forward to seeing you there! Faculty Course Directors MD, FACS, FCCM, FRCS (England), KM Professor of Surgery and Vice-Chairman Chief, Division of Trauma Surgery and Surgical Critical Care Director of Trauma Center and Trauma Program Professor, Department of Clinical and Translational Science CHI Creighton University Medical Center Omaha, Nebraska Adjunct Professor, Uniformed Services University of the Health Sciences Walter Reed National Military Medical Center Bethesda, Maryland Michel Wagner, MD, FACS Assistant Professor of Surgery Division of Trauma Surgery and Surgical Critical Care Assistant Professor, Department of Clinical and Translational Science CHI Creighton University Medical Center Omaha, Nebraska Michel Wagner, MD, FACS Keynote Speaker Lenworth M. Jacobs Jr, MD, MPH, DSc (Hon), FACS, FWACS (Hon) Professor of Surgery Professor of Traumatology and Emergency Medicine University of Connecticut Director, Trauma Institute at Hartford Hospital Chairman of the Hartford Consensus, Joint Committee to Increase Survival from an Active Shooter and Intentional Mass Casualty Event Member, Board of Regents, American College of Surgeons Hartford, Connecticut Guest Faculty Philip S. Barie, MD, MBA, Master CCM, FIDSA, FACS Professor of Surgery and Professor of Public Health in Medicine Chief, Preston A. Wade Acute Care Surgical Service NewYork-Presbyterian Hospital/Weill Cornell Medical Center Weill Cornell Medicine New York, New York Christine S. Cocanour, MD, FACS, FCCM Section Chief, Surgical Critical Care Division of Trauma Surgery Director, Surgical Critical Care Fellowship, University of California, Davis UC Davis Medical Center Sacramento, California 6

7 Miguel A. Cubano, MD, MBA, FACS Associate Professor of Surgery Uniformed Services University of the Health Sciences Walter Reed National Military Medical Center Bethesda, Maryland Commanding Officer of Naval Health Clinics Corpus Christi, Texas Alice Twink Dalton, RN, MS, CNS, NREMT-P EMS Director / Education Coordinator (Ret.) Mountain View Fire Protection District Longmont, Colorado Andrew B. Peitzman, MD, FACS Professor and Executive Vice-Chairman Vice-Chairman, General/Community Surgery Mark M. Ravitch Chair in Surgery Chief, Division of General Surgery Vice-President for Trauma and Surgical Services, UPMC University of Pittsburg Former President American Association for the Surgery of Trauma (AAST) University of Pittsburg Pittsburgh, Pennsylvania Daria C. Ruffolo, DNP, RN, CCRN, ACNP-BC Adjunct Faculty, Marcella Niehoff School of Nursing- Graduate School Acute Care Nurse Practitioner Department of Anesthesia Loyola University Medical Center Maywood, Illinois Gail T. Tominaga, MD, FACS Professor of Surgery University of California, San Diego Chief, Trauma Section Scripps Memorial Hospital La Jolla La Jolla, California Stacey K. Dull, PharmD, BCPS Assistant Professor Department of Pharmacy Practice Creighton University School of Pharmacy and Health Professions Carlos A. Fernandez, MD, FACS Assistant Professor of Surgery Division of Trauma Surgery and Surgical Critical Care CHI Creighton University Medical Center Lauren B. Magill, RN, BSN Trauma and Surgical Intensive Care Senior Nurse, Division of Trauma Surgery CHI Health Creighton University Medical Center Sriram Ramaswamy, MD Associate Professor Department of Psychiatry Associate Professor and Director of Psychopharmacology Associate Chair for Research Lindsey Swantek, RN, BSN Trauma and Surgical Intensive Care Senior Nurse, Division of Trauma Surgery CHI Health Creighton University Medical Center Gina Wood, EMT-P CCP Firefighter-PS, EMS Division Omaha Fire Department Robin Vineyard, RN, BSN, MSN, MBA Operating Room Supervisor and Surgical Coordinator, Division of Trauma Surgery CHI Health Creighton University Medical Center Faculty Samuel R. Brown, MD Resident-Surgery David L. Cornell, MD, FACS Assistant Professor of Surgery Division of Trauma Surgery and Surgical Critical Care CHI Creighton University Medical Center 7

8 Nonprofit Org U.S. Postage PAID Creighton University California Plaza Omaha, Nebraska Trauma Symposium FRIDAY, JUNE 15, 2018 Registration Register by June 12, 2018 DON T MISS OUT REGISTER ONLINE TODAY AT: 2018trauma.eventbrite.com Physicians, Nurse Practitioners, Physician Assistants, Pharmacists Nurses, Public Health Professionals, Other Interested Health Care Providers $115 $75 EMS Personnel $65 Fellows, Residents and Full-Time Students (Verification of full-time student status may be requested either by phone or from appropriate authority.) $65 Remote Site via Telehealth: $45 Walk-ins are welcome; however seating cannot be guaranteed. If registration fee is being paid by check in advance, please make check out to Creighton University and mail to: Creighton University Health Sciences Continuing Education California Plaza Omaha, Nebraska TELEHEALTH The 2018 Trauma Symposium will be available via remote video conferencing for those areas located 100 miles outside the city of Omaha, Nebraska. This is a web-based conferencing system and can be viewed on most electronic devices individually or as a group. Each video conferencing participant will be assessed a registration fee. This fee applies to each video conferencing participant regardless of the number of attendees at each site and the profession of each participant. Individuals that have registered to attend the conference via remote video conferencing will receive an Outlook meeting invite a week prior to the date of the conference. This invite will include the link and access code to view the conference along with directions on using the system. FOR MORE INFORMATION CALL: Creighton University Health Sciences Continuing Education S186