2017 Cutting Edge in Trauma Conference. From the field to the hospital, and beyond. October 26 th & 27 th, Visit us at:

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1 th 9 Annual Southeast Regional Trauma Advisory Council 2017 Cutting Edge in Trauma Conference October 26 th & 27 th, 2017 Photo Courtesy: Photo Courtesy Lauderdale Whitewater LaGrange Fire Department From the field to the hospital, and beyond Visit us at: Held again at Lake Lawn Resort, 2400 East Geneva Street, Delavan, Wisconsin 53115

2 Conference Accommodations Lake Lawn Resort & Conference Center 2400 East Geneva Street, Delavan, Wisconsin Luxury Lodge King Luxury Lodge Queen Luxury Lodge Loft King Luxury Lodge Loft Queen Conference Room Rates: $ night $ night $ night $ night A block of rooms is being held under SERTAC for attendees of the conference. Toll-free: Local: Fax: Spa and Golf packages are available, call the Resort for details Lake Lawn Resort & Conference Center is located in Delavan, Wisconsin, between Milwaukee and Madison. The Resort is conveniently situated less than 1 mile off of Interstate 43. Directions From Chicago/O Hare Take I-294 North to Highway 50 in Kenosha. Exit on Highway 50 West. Continue through Lake Geneva and go another 10 miles. Turn left into the resort. From Chicago/Western Suburbs Take 355 North to 53, continue North on 53 to Highway 12 North, exit on I-43 South to Highway 50 Delavan. Turn left on Highway 50, and the resort will be approx. 1/4 mile on your right. From Milwaukee/Mitchell International Take I-94 South to Highway 50 in Kenosha. Exit on Highway 50 West. Continue through Lake Geneva and go another 10 miles. Turn left into the resort. OR Take I-94 North from Mitchell Airport to I-894 West. Exit I-894 on I-43 South. Continue on I-43 South to Highway 50 in Delavan. Turn left on Highway 50, and the resort will be approx. 1/4 mile on your right. From Madison Take I-90 South to Janesville and exit on Highway 11/14 East. Continue on Highway 11/14 to Highway 50 in Delavan. Turn right on Highway 50 and continue through the city. Lake Lawn Resort will be approx. 1/4 mile East of I-43 on your right. Conference Planning Committee Jacob Dettmering, EMT-P SERTAC Coordinator Lisa Hass-Peters, BA, RN Conference Chairperson Karen Keys, BSN, RN, BA- HCM, TCRN Wisconsin State Site Reviewer Conference Treasurer Rick Boeshaar, BSN, RN, CCEMT-P Kristin Braun, MS, RN Kim Foss, RN Lisa Heinz, BSN, RN Robin Ihde, BSN RN Karen McCuaig, BSN, RN Gary Rowland, BSN, RN, AEMT Melanie Sinclair, BSN, RN Janet Stephens, BS, RRT- ACCS, RCP Chris Walters, CCEMT-P Kami Warren, BSE, EMT-P

3 Marshall Beckman, M.D., MPH Associate Professor and Chair Trauma and Critical Care Surgery Lorin Browne, DO Assistant Professor s and Emergency Medicine Thomas Carver, MD Assistant Professor Trauma and Critical Care Surgery M. Riccardo Colella, DO, MPH, FACEP Associate Professor Chief, Section of EMS and Disaster Medicine EMS Fellowship Director Director of Medical Services Milwaukee County Office of Emergency Chris Davis, MD, MPH Assistant Professor of Surgery Division of Trauma and Critical Care State Chair, ACS Bleeding Control Initiative of Wisconsin Marc de Moya, MD Associate Professor and Chair Trauma and Critical Care Surgery Thomas Derrig, MD MMM FACS Trauma Medical Director Aurora Medical Center - Summit Catherine Ferguson, MD Assistant Professor Emergency Medicine Physician David Gummin, MD Associate professor Emergency Medicine SSA Philip Hale, MBA, JD Milwaukee FBI Office Conference Agenda & Outcomes Disaster Ethics 1. Understand the basic tenants of bioethics 2. Learn to apply those principles to day to day activities 3. Learn to apply the principles of bioethics more broadly in health care delivery Pain Rib Stabilization and Pain Field and Termination of Trauma Arrest 1. Discuss the epidemiology of pain in children 2. Review the challenges and strategies to pain assessment in children 3. Discuss non-pharmacologic and pharmacologic pain management options for children 4. Review recent advances in pain management techniques 1. Identify best practice for rib stabilization 2. Describe the current pain medication used for treatment 1. Describe the best practice of field management of a traumatic arrest 2. Identify when termination of resuscitation is appropriate Stop the Bleed 1. Identify the proper placement of a tourniquet 2. Identify the proper pressure points for wounds 3. Identify the proper care for a traumatic hemorrhage Intra-Abdominal Hypertension Trauma and the Morbidly Obese Patient Making Mistakes: The Culture of Blame and Shame 1. Describe the manifestations of abdominal hypertension 2. Describe the classification of intra-abdominal hypertension 3. Describe the treatment algorithm for intra-abdominal hypertension 1. Describe the ways in which the epidemic of morbid obesity affects the delivery of care with traumatically injured patients 2. Describe important factors needed in the assessment and transfer of morbidly obese trauma patient 3. Describe the management of blunt and penetrating injuries in the morbidly obese patient. 1. Describe how the culture of blame and shame in healthcare impacts health care providers, drives burnout, and negatively impacts wellness. 2. Define self-compassion and list its potential benefits to healthcare providers. 3. Identify systematic and personal strategies to foster resilience, mitigate shame, and prevent burnout. Designer Drugs 1. Identify the emerging street drugs 2. Identify the signs and symptoms of emerging designer drugs Emerging Threats 1. Provide updates on current threats to US 2. Provide history of terroristic events and threats Lisa Hass-Peters, BA, RN Adjunct Commander Wisconsin-1 DMAT Joshua Hunt, Ph.D Assistant Professor Trauma and Critical Care Surgery Karen Keys, RN, BSN, BA-HCM, TCRN Trauma Quality Coordinator Trauma Program Froedtert Hospital Tim Lenz, MD, EMT-P Assistant Professor Section of EMS & Disaster Medicine Department of Emergency Medicine Director of Medical Services Flight For Life Assistant Director of Medical Services Milwaukee County EMS Hurricane Harvey Medical Response Alternatives for Critical Incident Stress Debriefing Trauma Performance Improvement Trauma Case Studies 1. Participants will learn the mission for NDMS response to a disaster 2. Participants will learn the best practice and areas for improvement to a natural disaster 1. Participants will learn about normal, as well as pathological, responses to potentially traumatic events. 2. Discuss and critique the debate in the literature regarding posttraumatic psychopathology and interventions to prevent it. 3. A screen and treat approach to posttraumatic psychological distress in a medical center, that meets the requirements and suggestions of various evidence based practice guidelines, will be introduced. 1. Define the steps of a complete PI process, identification through loop closure 2. Recognize the importance of working collaboratively with your Quality Department 3. Validation methods everyone can use 4. The importance of the PI process and your successful site review 1. Develop difficult prehospital diagnoses 2. Gain an appreciation that Narcan is not always the solution 3. Understand critical obstetrical emergencies in the prehospital environment 4. Critically think through patients and situations that don t add up

4 Conference Agenda & Outcomes continued Jason M. Liu, MD, MPH Associate Professor Department of Emergency Medicine Associate Director of Emergency Medical Services-Special Operations & Disaster Medicine Milwaukee County EMS Aurora M. Lybeck, MD Assistant Out of Hospital Medical Director Aurora Regional EMS Stuart McVicar RRT, CNP-T, FP-C, CCEMT-P Transport Respiratory Therapist University Hospitals and Clinics Stephanie K. Post, MD Emergency Physician MD Trauma Liaison Germantown EMS Medical Control Physician Froedtert - Community Hospital Division Infinity Health Care Trauma and Rhabdomyolysis 1. Understand the common causes of rhabdomyolysis 2. Review the pathophysiology of rhabdomyolysis 3. Understand the general principles of clinical management of rhabdomyolysis ABCs of GCS 1. Provide a history of the Glasgow Coma Scale scoring system 2. Common errors in scoring 3. Special considerations in scoring 4. Practical Case reviews for scoring GCS Intraosseous Access in the Population 1. Indications for intraosseous line (EZ-IO) placement 2. Contraindications for intraosseous line placement 3. Complications of a intraosseous line placement 4. Equipment for intraosseous line placement 5. Proper positioning and technique for intraosseous line placement 6. Intraosseous line troubleshooting 7. Removing intraosseous lines Difficult Airways 1. To verbalize what elements can make airways difficult 2. To learn a standard approach to the difficult airway patient 3. To demonstrate how to execute advanced airway techniques 4. To verbalize different routes and apparatus s for securing a difficult airway Thomas Sato, MD Chief Executive Officer, Children's Specialty Group Professor, the General Surgeon Patricia Scanlin, RN, EMT-P Staff Nurse Emergency Department UW Hospital and Clinics Stephanie Schroter, MD and Patrick Drayna, MD Dr. Patrick Drayna Assistant Professor, Medical College of Wisconsin Emergency Medicine Physician Dr. Stephanie Schroter Emergency Medicine Fellow Dr. Michael Uihlein, MD Emergency Department, VA Medical Center, Milwaukee Adaptive Sports Medicine Clinic, VA Medical Center, Milwaukee Team Physician, US National Para-Olympic Hockey Team Tactical Physician, Ozaukee County SRT Burn Deer Hunting Injuries Airway The Wide, Wide, World of Sports Medicine-Case Reviews 1. Provide assessment of thermal injury by size, depth, and extent of injury 2. Describe initial management of pediatric burn injuries 3. List three treatments for partial thickness burn injuries 1. The responding providers anticipate any obstacles regarding terrain and weather. 2. Egress is as important as ingress 3. Be aware of the potential for a scene to be a crime scene 4. Expect injuries other than gunshots 1. Identify the differences in pediatric airway anatomy versus adult airway anatomy and how it applies to positioning to maximize effective ventilation. 2. Correctly identify the appropriate sized airway equipment. 3. Select the appropriate medications for pediatric rapid sequence intubation. 1. Review of some common pre-hospital sports related injuries. 2. Describe techniques used for common and advanced assessment for sports injuries. 3. Review of special and updated treatment plans for treating sports related injuries. 9 th Annual SERTAC Conference

5 Pre-Conference Events Thursday October 26 th, 2017 Hazards across the Spectrum Wisconsin Trauma Registry and Performance Improvement This 8 hour class is broken down into two parts, and will cover the Wisconsin Trauma Registry and successful incorporation of a performance improvement program. The State Trauma Registrar Eric Anderson, with Registrars Kurrie Pelegrin and Barbara Scott, will cover aspects of data entry into the state registry while Trauma Site Reviewer Karen Keys will discuss successful Performance Improvement programs. This course is intended for Trauma Registrars and Trauma Coordinators. Please bring a laptop to follow along. Violent Event Training This 3.5 hour program covers violent events and proper response. Topics covered include Active Shooter Response; See Something, Say Something; and Suspicious Package Identification. This course is intended for all care providers. Presenters include Captain Sharpie; Brooke Learner, PHD; and the Southeastern Wisconsin Threat Analysis Center (STAC). Mass Casualty Course This 3.5 hour course will introduce the participant to SALT Triage, Response Teams, current Wisconsin Patient Tracking initiatives, and conclude with a tabletop exercise. This course is intended for all care providers. Trauma Registry and PI Registration 0730 to 0800 Trauma Registry 0800 to 1200 Performance Improvement 1300 to 1700 Violent Event & Mass Casualty Morning 0730 to 0800 Registration Violent Event or Mass Casualty Morning 0800 to 1130 Violent Event & Mass Casualty 1200 to 1230 Afternoon Registration (Repeat ) Violent Event or Mass Casualty Afternoon (Repeat ) Evening Social by the Public Bonfire Hut or Drinks at the Geneva Club 1230 to to th Annual SERTAC Conference

6 Conference Schedule Friday October 27 th, Registration Continental Breakfast served in the Main Lobby Overview Overview: by Kristin Braun, MS, RN One Making Mistakes: The Culture of Blame and Shame by Catherine Ferguson, MD Morning Break Morning Break with the Vendors Breakout sessions EMS Track Track Two Trauma and the Morbidly Obese Patient Trauma and Rhabdomyolysis The Wide, Wide, World of Sports Medicine-Case Reviews Deer Hunting Injuries Pain Three Stop the Bleed Hurricane Harvey Medical Response Alternatives for Critical Incident Stress Debriefing Field and Termination of Trauma Arrest Intraosseous Access in the Population Lunch Lunch by: Chef Ross Lunch is served in the Lake Geneva and Queen s Table Rooms Four Trauma Performance Improvement Difficult Airways Intra- Abdominal Hypertension Trauma Case Studies Burn Five Rib Stabilization and Pain Designer Drugs Emerging Threats ABCs of GCS Airway Ice Cream Break ICE CREAM SOCIAL with the Vendors Six Disaster Ethics by Marshall Beckman, M.D., MPH Closing and Give Away Gifts Closing Notes and Parting Gifts by Melanie Sinclair, BSN, RN

7 Registration Please complete the Registration form and send via mail with payment before October 12 th, Please make the checks payable to: The Nonprofit Helping Hand Foundation Do Not Send Cash Check or Credit Card only Please Clearly Print: Please mail the registration form and payment to: Lisa Hass-Peters SERTAC Trauma Conference Froedtert and the Froedtert Hospital - Level 1 Trauma Center 9200 W Wisconsin Ave Milwaukee, WI Credit cards are now accepted for registration. Name: Address: City: State: Zip: Phone: ( ) - Employer: Specialty: Credit Cards now accepted for Registration. Please Print Clearly Card Type: Visa MC American Express Name on Card: Credit Card Number: CIV: Exp. Note: the charge on your credit card statement will be from the Non-Profit Helping Hand Foundation Please Indicate which Day(s) you plan on Attending: Pr e-conference: Violent Events Morning Afternoon 3.5 Hour Class $30.00 October 2 6 t h, 2017 Pr e-conference: Mass Casualty Morning Afternoon 3.5 Hour Class $ October 26 th, 2017 Pr e-conference: Trauma Registry and PI Friday Conference only 8 Hour Class, No Charge, October 26 th, 2017 s all day with vendors $90.00 October 27 th, 2017 Conference Special: Violent Events, Mass Casualty, & Friday Conference Military Discount (10 %) Two full days for only $ October 26 th and 27 th, 2017 Please remember to dress in layers to remain comfortable due to fluctuating room temperature throughout the day. Note: The ***Please charge note; on there your is credit an additional card statement $ charge will for on-site be from registration*** the Non-Profit Helping Hand Foundation Program Changes: The Conference Planning Committee is committed to providing this quality program as scheduled. However, due to any unforeseen circumstances, please be aware that substitutions or changes in the programs or materials and/or presentations may occur at the Planning Committees discretion. Cancellations or Changes: Any cancellation or change must be received and confirmed by the conference coordinator through written notice via letter (to the address listed above) or via to lisa.hass-peters@froedtert.com prior to October 13th, No refund will be granted after October 13th, 2017, and there will be no refunds for no-shows to the conference. Any refunds shall be processed within one month after the conference close, and will be less any bank handling charges Two Three Four Choose one Breakout topic from each and indicate your preference by placing a check mark in the box located to the left of each topic or circling the topic. Be sure to only choose one topic per session (i.e. color group). Trauma and the Morbidly Obese Patient Stop the Bleed Trauma Performance Improvement Trauma and Rhabdomyolysis Hurricane Harvey Medical Response Difficult Airways The Wide, Wide, World of Sports Medicine-Case Reviews Alternatives for Critical Incident Stress Debriefing Intra- Abdominal Hypertension Deer Hunting Injuries Field and Termination of Trauma Arrest Trauma Case Studies Pain Intraosseous Access in the Population Burn Five Rib Stabilization and Pain Designer Drugs Emerging Threats ABCs of GCS Airway Conference Contact: For information or questions regarding the conference, contact Lisa Hass-Peters, Conference Chairperson via lisa.hass-peters@froedtert.com or by (414)

8 Purpose Statement: The purpose of the full-day conference is to provide emergency response personnel and trauma care providers the opportunity to identify new practices and review current approaches in the care of the trauma patient. The Southeast Regional Trauma Advisory Council (SERTAC) promotes optimal trauma care across local, regional, and state boundaries through healthcare professionals who strive to provide quality care Conference Conference Objectives: At the end of the conference, attendees should be able to better understand Trauma and Preparedness programs; identify key variables related to their practice; apply the information gained to their practice and improve patient care. Target Audience: The intended audience includes Trauma Care Providers, Emergency Response Personnel, personnel involved in the continuum of care of trauma patients, and other persons interested in trauma or emergency preparedness. Continuing Education: Froedtert Hospital is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Application has also been made to the American Association for Respiratory Care (AARC) for continuing education contact hours for respiratory therapists. A certificate of attendance will be given at the end of the conference. This conference will offer 6.1 nursing contact hours. To receive the contact hours, participants must attend the entire program and complete evaluations for each session attended and the conference overall. Froedtert & the is the approved provider of nursing contact hours for this activity in a joint provider agreement with SERTAC. Application has been made to the American Association for Respiratory Care (AARC) for continuing education contact hours for respiratory therapists. Disclosures: It is the policy of the SERTAC Conference staff and Froedtert Hospital to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. All persons in a position to control the content of an educational activity are required to disclose any financial relationships with commercial interests occurring over the preceding 12 months. SERTAC Conference staff then determines whether the disclosed relationships are relevant to the content of the educational activity, and appropriate measures are taken to resolve any resulting conflicts of interest before the start of the activity. 9 th Annual SERTAC Conference Conference Sponsors This program has received commercial support and sponsorship in part by the following organizations. Any additional funding sources will be disclosed at the program. We wish to thank these sponsors for their support. October 26 th and 27 th, 2017 Lake Lawn Resort 2400 East Geneva Street, Delavan, WI Conference