Pediatric Trauma Symposium

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1 Seventh Annual John M. Templeton Jr. Pediatric Trauma Symposium M A R C H 2 ~ 3, The Omni William Penn Hotel Pittsburgh, Pennsylvania Course Directors: Barbara A. Gaines, MD, FACS, FAAP Kerry Larkin, RN, BSN, CEN Christine McKenna, RN, MSN, CRNP Matthew Moront, MD, FACS Michael L. Nance, MD, FACS, FAAP Marla L. Vanore, RN, MHA The University of Pittsburgh School of Medicine, Center for Continuing Education in the Health Sciences is the ACCME accredited provider for this activity.

2 OVERVIEW Trauma is the leading cause of childhood death and disability. However, pediatric trauma care continues to provide significant and unique challenges. This two-day symposium will provide the health care practitioner with up-to-date clinical information for the management of injured children and their families. Current issues will be addressed throughout the continuum of trauma care. COURSE OBJECTIVES At the conclusion of this conference, participants should be able to: Describe current treatment and technologic advances that decrease pediatric death and disability. Discuss how trauma impacts the physical and emotional future of the pediatric patient. Identify strategic measures to reduce the incidence of pediatric traumatic injuries. 2

3 CONTINUING EDUCATION CREDIT The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this educational activity for a maximum of 12.5 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded 1.25 continuing education units (CEU s) which are equal to 12.5 contact hours. An application for contact hours has been submitted to the UPMC Provider Unit of the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Please call Marianne Miller, RN, CCRN at (412) for more information about contact hours. The Children s Hospital of Philadelphia is approved as a provider for continuing EMS education by the PA Department of Health. An application for PA EMS credits has been submitted for both days. This conference is for the advanced pre-hospital provider/phrn. WHO SHOULD ATTEND This multidisciplinary conference is designed for surgeons who care for injured children, emergency medicine physicians, other physicians, physician assistants, nurse practitioners, nurses, pre-hospital providers, injury prevention specialists and other health care professionals involved with injured children. MEETING LOCATION AND HOTEL ACCOMMODATIONS Omni William Penn Hotel 530 William Penn Place Phone: (412) Parking is on your own and not covered in the cost of conference tuition. Parking will cost approximately $20 for the day. A limited block of rooms has been reserved at the Omni William Penn. Please call the hotel directly to reserve a room for this conference. Rates are $119 for single and double occupancy and are subject to applicable taxes. The cut off date for accepting reservations at this preferred rate is January 30,

4 PROGRAM Friday, March 2nd 7:15 am Registration, Exhibits, Continental Breakfast 7:50 am Welcome and Introduction Barbara A. Gaines, MD, FACS, FAAP Michael L. Nance, MD, FACS, FAAP 8:00 am KEYNOTE LECTURE ~ Heal Without Steel: Maturation of the Treatment of Pediatric Splenic Injury David Wesson, MD 9:00 am What s New in Pediatric Trauma Barbara A. Gaines, MD, FACS, FAAP, Matthew Moront, MD, FACS, and Michael L. Nance, MD, FACS, FAAP 9:45 am Partners for Child Passenger Safety: Progressing from Injury to Action Kristy Arbogast, PhD 10:30 am Break and Exhibits Pediatric Resuscitation: New Strategies and Current Practice Moderator: Michael L. Nance, MD, FACS, FAAP 11:00 am The New CPR Robert Hickey, MD, FAAP, FAHA 11:25 am Fluid Resuscitation: Beyond Lactated Ringers Margaret A. Priestley, MD 4

5 Friday, March 2nd continued 11:50 am Emergency Care of Children: Findings from the Institute of Medicine Report Nancy Bonalumi, RN, MS, CEN 12:15 pm Panel Discussion/Questions and Answers 12:30 pm Lunch and Exhibits Care of the Critically Ill Child with Multiple Injuries Moderator: Matthew Moront, MD, FACS 1:30 pm Abdominal Emergencies David Wesson, MD 1:55 pm Orthopedic Emergencies Martin J. Herman, MD 2:20 pm Neurosurgical Emergencies P. David Adelson, MD, FACS, FAAP 2:45 pm Panel Discussion/Questions and Answers 3:00 pm Break and Exhibits Friday Schedule continues 5

6 Friday, March 2nd continued 3:30 pm - CONCURRENT BREAKOUT SESSIONS 5:00 pm Participants may choose between two concurrent break out sessions. Please indicate your preference on the registration form. Requests will be filled on a first-come, first-served basis. Session 1A: Challenging Cases in Pediatric Trauma I* Session 1B: Minimizing Trauma in the Trauma Bay Trauma experts from Pennsylvania s Trauma Centers Moderator: Nancy Bonalumi, RN, MS, CEN will present interesting cases with discussion and audience participation encouraged. 3:30 pm Case and Questions/Answers 3:30 pm Vascular Access in the Injured Child Richard Saladino, MD 4:00 pm Case and Questions/Answers 3:55 pm Pain Management & Sedation with Procedures Christopher J. Haines, DO 4:30 pm Case and Questions/Answers 4:20 pm The Debate Over Family Presence in Trauma Resuscitation Pro: Sabina B. Singh, MD Con: Marla L. Vanore, RN, MHA 4:45 pm Panel Discussion/Questions/Answers 5:00 pm Friday Adjournment and Reception 5:00 pm Friday Adjournment and Reception *NOTE: The cases presented in Sessions 1A (Friday) and 2A (Saturday) will be different. Registrants may choose to attend both. 6

7 PROGRAM Saturday, March 3rd 7:15 am Registration, Exhibits and Continental Breakfast 7:50 am Welcome and Introduction Barbara A. Gaines, MD, FACS, FAAP Matthew Moront, MD, FACS 8:00 am KEYNOTE LECTURE ~ Bedside Nursing: A Critical Link in Optimal Patient Outcomes Jeannie Cimiotti, DNS, RN, CRNP 9:00 am Perspectives from a Trauma Pioneer Andrew Peitzman, MD, FACS 9:45 am Break and Exhibits PANEL: Violence and the Child: Villain or Victim? Moderator: Monica Liebman, RN, MSN, PHRN 10:15 am Recurring Violence-Patterns and Responses John M. Templeton Jr., MD 11:05 am Sexual Abuse: Demystifying the Evaluation Maria D. McColgan, MD 11:35 am Street Drugs and Violence Detective Aaron Borello 12:05 pm Panel Discussion/Questions & Answers 12:15 pm Lunch Saturday Schedule continues 7

8 Saturday, March 5th continued 1:15 pm - CONCURRENT BREAKOUT SESSIONS 3:00 pm Participants may choose between two concurrent break out sessions. Please indicate your preference on the registration form. Requests will be filled on a first-come, first-served basis. Session 2A: Challenging Cases in Pediatric Trauma II* Session 2B: Pearls and Pitfalls in the ED Trauma experts from Pennsylvania s Trauma Centers Moderator: Kerry Larkin, RN, BSN, CEN will present interesting cases with discussion and audience participation encouraged. 1:15 pm Case and Questions/Answers 1:15 pm Challenging Airways in the ED John H. Archer, MD 1:40 pm Case and Questions/Answers 1:45 pm Hypothermia: Helpful or Harmful? S. Danielle Brown, RN, MS Jacqualyn English, MPAS, PA-C 2: 05 pm Case and Questions/Answers 2:15 pm Evaluation and Management of Pediatric Oropharyngeal Trauma David Mandell, MD, FAAP 2:30 pm Case and Questions/Answers 2:45 pm Panel Discussion/Questions & Answers 3:00 pm Saturday Conference Adjournment 3:00 pm Saturday Conference Adjournment *NOTE: The cases presented in Sessions 1A (Friday) and 2A (Saturday) will be different. Registrants may choose to attend both. 8

9 COURSE DIRECTORS Barbara A. Gaines, MD, FACS, FAAP Director, Benedum Pediatric Trauma Program Program Director, Pediatric Surgical Critical Care Program Assistant Professor of Pediatric Surgery University of Pittsburgh School of Medicine Kerry Larkin, RN, BSN, CEN Trauma Program Coordinator Christine McKenna, RN, MSN, CRNP Coordinator, Trauma Clinical Services Benedum Pediatric Trauma Program Matthew Moront, MD, FACS Director of Trauma Services Director, Injury Prevention Program Assistant Professor of Surgery Drexel University College of Medicine Michael L. Nance, MD, FACS, FAAP Director, Trauma and Surgical Critical Care Josephine J. and John M. Templeton Jr. Endowed Chair in Pediatric Trauma Division of Pediatric General, Thoracic and Fetal Surgery The Children s Hospital of Philadelphia Associate Professor of Pediatric Surgery University of Pennsylvania School of Medicine Marla L. Vanore, RN, MHA Trauma Program Manager President, Society of Trauma Nurses The Children s Hospital of Philadelphia ORGANIZING COMMITTEE Monica A. Liebman, RN, MSN, PHRN* Coordinator, Emergency Medical Services (EMS) Emergency Transport Team The Children s Hospital of Philadelphia Marianne Miller, RN, CCRN Pediatric Trauma Coordinator Benedum Pediatric Trauma Program Mary Jo Pedicino, RN, MSN Trauma Education Coordinator Trauma Program The Children s Hospital of Philadelphia Christine Vitale, RN, MSN Injury Prevention Coordinator Program Coordinator for Injury Free Coalition for Kids *also a member of the Faculty 9

10 10 COURSE FACULTY P. David Adelson, MD, FACS, FAAP Director, The Walter L. Copeland Neurosurgical Research Laboratory Director of Pediatric Neurotrauma Professor and Vice Chair Department of Neurosurgery University of Pittsburgh School of Medicine Kristy Arbogast, PhD Associate Director of Field Engineering The Center for Injury Research and Prevention The Children s Hospital of Philadelphia John H. Archer, MD Staff Anesthesiologist Assistant Professor of Anesthesiology Drexel University College of Medicine Robert D. Barraco, MD, MPH, FACS, FCCP Section Head of Pediatric and Geriatric Trauma Lehigh Valley Hospital Assistant Professor of Surgery Pennsylvania State University Allentown, PA Nancy Bonalumi, RN, MS, CEN 2006 President, Emergency Nurses Association Senior Consultant, Blue Jay Consulting LLC Lancaster, PA Detective Aaron Borello Pennsylvania State Police Vice Unit Washington, PA S. Danielle Brown, RN, MS Coordinator, Pediatric Neurotrauma Center Robert E. Cilley, MD Chief, Division of Pediatric Surgery Director, Pediatric Trauma Program Penn State Children s Hospital The Milton S. Hershey Medical Center Professor of Surgery and Pediatrics Pennsylvania State University Hershey, PA Jeannie Cimiotti, DNS, RN, CRNP Center for Health Outcomes and Policy Research Research Assistant Professor University of Pennsylvania School of Nursing Jacqualyn English, MPAS, PA-C Physician Assistant, Department of Surgery Harsh Grewal, MD, FACS, FAAP Chief of Pediatric Surgery Temple University Children s Medical Center Professor of Pediatrics Temple University Christopher J. Haines, DO Director of Operations Department of Pediatric Emergency Medicine Medical Director, Critical Care Transport Team Assistant Professor of Emergency Medicine & Pediatrics Drexel University College of Medicine

11 Martin J. Herman, MD Attending Orthopedic Surgeon Associate Professor of Orthopedic Surgery and Pediatrics Drexel University College of Medicine Robert Hickey, MD, FAAP, FAHA Chair, AHA Emergency Cardiovascular Care Committee Pediatric Emergency Medicine Associate Professor of Pediatrics University of Pittsburgh School of Medicine David Mandell, MD, FAAP Director, Pediatric Airway Center Division of Pediatric Otolaryngology Assistant Professor of Otolaryngology University of Pittsburgh School of Medicine Maria D. McColgan, MD Director, Child Protection Program Assistant Professor of Emergency Medicine and Pediatrics Drexel University College of Medicine Andrew Peitzman, MD, FACS Executive Vice Chair, Department of Surgery Presbyterian University Hospital of UPMC Professor and Chair, Division of General Surgery University of Pittsburgh School of Medicine Margaret A. Priestley, MD Associate Director of Trauma Department of Anesthesiology and Critical Care Medicine Clinical Director, Pediatric Intensive Care Unit The Children s Hospital of Philadelphia Assistant Professor of Anesthesia and Pediatrics University of Pennsylvania School of Medicine Max L. Ramenofsky, MD Associate in Pediatric Surgery Geisinger Medical Center Danville, PA Richard Saladino, MD Chief, Division of Pediatric Emergency Medicine Associate Professor of Pediatrics University of Pittsburgh School of Medicine Sabina B. Singh, MD Pediatric Emergency Medicine Attending John M. Templeton Jr., MD Adjunct Professor of Surgery University of Pennsylvania School of Medicine President, Pennsylvania Division, American Trauma Society David Wesson, MD Chief of Pediatric Surgery Texas Children s Hospital Professor of Surgery and Pediatrics Baylor College of Medicine Houston, TX In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, information about relationships of presenters with commercial interests (if any) will be included in materials distributed at the time of the conference. 11

12 12 REGISTRATION INFORMATION (See Registration Form on pages 13, 14 and 15) You may register: > On-line > Fax to (412) or > U.S. mail > On-line Registration We highly recommend registering on-line via our secure web site. It is the quickest and easiest way to register and will allow you to gain immediate confirmation of your registration. Our web site address is Click the On-line Registration link and scroll to the Pediatric Trauma Symposium section on this page. > Mailing Registrations Mail the registration form to the address listed on page 15. All registration forms must be postmarked by February 1, 2007 to pre-register for this conference. We cannot guarantee space in the program or any program inclusions for those registrations we receive after this date. A confirmation letter will be faxed or mailed if registration is completed by the registration deadline. If you register on-line, you will receive an immediate confirmation message. Please note: Registration is not complete until you receive this confirmation. If you do not receive this letter within 5-7 days of registration, please contact us at (412) You must bring this confirmation with you to the conference. Cancellation All cancellations must be in writing and sent to us via U.S. mail, or fax. Tuition for cancellations postmarked or date stamped before February 1, 2007 will be completely refunded. After February 1, 2007 a $35 administrative fee will be assessed. No refunds will be made after February 15, Cancellation requests can be made to: Amy Lederer, Conference Manager UPMC/Center for Continuing Education in the Health Sciences Medical Arts Bldg., Suite Lothrop St Phone: (412) or (412) Fax: (412) CCEHS@upmc.edu The UPMC/Center for Continuing Education in the Health Sciences reserves the right to cancel this program if sufficient registrations are not received. In the case of cancellation, the department will fully refund registration fees. Registration Fees (onsite registration add $25 to each category) Full Conference, One-day, Friday, One-day, Saturday, March 2-3 March 2nd Only March 3rd Only Physicians $375 $200 $200 Residents, nurses, and other $300 $175 $175 health care professionals Students $150 $75 $75 Registration fee includes: Continuing education credit Registration and course materials Breakfast, breaks, lunch, reception

13 REGISTRATION FORM (FOR USE ONLY IF NOT REGISTERING ON-LINE) Seventh Annual John M. Templeton Jr. Pediatric Trauma Symposium MARCH 2-3, 2007 COURSE # 1126 See Registration Information section on page 12. Please complete pages 13, 14 and 15 of this registration form. Please type or print. Photocopy all pages of the registration form for additional registrants. NO REGISTRATION WILL BE ACCEPTED WITHOUT PAYMENT. Last FIVE digits of your Social Security Number # * Prefix Dr. Mr. Mrs. Ms. Other (please indicate) First Name Last Name Suffix (Jr., Sr., etc.) Company/Institutional Affiliation Specialty This is how your name will appear on } your name badge. Address Degree* (List only one.) MD DO Resident PhD MPH RN Other (please indicate) Address City Work Telephone ( ) Fax ( ) How did you hear about this conference? I am a member of STN ACEP APSA APSNA EAST ENA Other I require vegetarian lunch. I require kosher lunch. I have no special dietary requirements. Yes, I will attend the reception. Registration Fees (onsite registration add $25 to each category) Full Conference, One-day, Friday, One-day, Saturday, March 2-3 March 2nd Only March 3rd Only Physicians $375 $200 $200 Residents, nurses, and other $300 $175 $175 health care professionals Students $150 $75 $75 Total Registration fee enclosed $ *Required State ZIP Code continued on reverse 13

14 continued from reverse Breakout Sessions Please choose one workshop from each session that you would like to attend. Workshop assignments will be based on space availability. Please register early to ensure your first selection. FRIDAY, MARCH 2ND FRIDAY, MARCH 2ND Session 1A OR Session 1B Challenging Cases in Minimizing Trauma in the Pediatric Trauma I Trauma Bay SATURDAY, MARCH 3RD SATURDAY, MARCH 3RD Session 2A OR Session 2B Challenging Cases in Pearls & Pitfalls in the ED Pediatric Trauma II NOTE: The cases presented in Sessions 1A (Friday) and 2A (Saturday) will be different. Registrants may choose to attend both. METHOD OF PAYMENT The following methods of payment are acceptable for the registration fee: Checks, personal or employer Credit Card UPMC Journal Entry Transfers Checks. Make payable to UPMC Presbyterian Shadyside. Employer check included Personal check included Employer or Personal check to arrive under separate cover. If your employer or personal check is arriving under separate cover, you may send or fax in your completed registration form now, but you must complete the Credit Card Payments section below with valid credit card information in order to hold your reservation. If the check payment is not received by four weeks post course, we will charge the registration fee to the credit card number provided. There is a $25.00 returned check fee. Credit Card Payments Visa MasterCard American Express Discover Credit Card No. Expiration Date (Month/Year) Signature continued 14

15 continued UPMC Journal Entry Transfer. If you are a UPMC employee and your department will be responsible for payment, we can charge your department directly. DO NOT SUBMIT a disbursement to UPMC Accounts Payable. Complete the following: Business unit Account number Department ID number Authorized department signature Telephone number NO REGISTRATION WILL BE ACCEPTED WITHOUT PAYMENT. SPECIAL NEEDS Participation by all individuals is encouraged. Advance notification of any special needs will help us provide better service. Please notify us of your needs at least two weeks in advance of the program by calling (412) VISIT THE CENTER FOR CONTINUING EDUCATION IN THE HEALTH SCIENCES WEB SITE Our Internet address is: The UPMC/Center for Continuing Education in the Health Sciences invites you to visit our web location. Receive information on CME programs, earn CME credits on the Internet, and access information about our formal courses and much more. Discover who we are and how you can contact us. Please visit our web location often to get updated information on upcoming programs. Mail payment, accompanied by the registration form to: UPMC/Center for Continuing Education in the Health Sciences Medical Arts Building, Suite Lothrop Street For additional information, contact: Amy Lederer, Conference Manager Telephone: (412) or (412) Fax: (412) CCEHS@upmc.edu The University of Pittsburgh, as an educational institution and as an employer, values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Accordingly, the University prohibits and will not engage in discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, age, marital status, familial status, sexual orientation, disability, or status as a disabled veteran or a veteran of the Vietnam era. Further, the University will continue to take affirmative steps to support and advance these values consistent with the University s mission. This policy applies to admissions, employment, access to and treatment in University programs and activities. This is a commitment made by the University and is in accordance with federal, state, and/or local laws and regulations. For information on University equal opportunity and affirmative action programs and complaint/grievance procedures, please contact: William A. Savage, Assistant to the Chancellor and Director of Affirmative Action (and Title IX and 504 Coordinator), Office of Affirmative Action, 901 William Pitt Union, University of Pittsburgh, 15260, (412)

16 Center for Continuing Education in the Health Sciences Medical Arts Building, Suite Lothrop Street Nonprofit Org. U.S. Postage PAID Permit No Seventh Annual John M. Templeton Jr. Pediatric Trauma Symposium M A R C H 2 ~ 3, The Omni William Penn Hotel Pittsburgh, Pennsylvania The Children s Hospital of Philadelphia University of Pittsburgh, Center for Continuing Education in the Health Sciences Visit us on-line at

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