Excellence in Trauma

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20 th Annual Trauma Conference Excellence in Trauma Thursday, April 5, 2018 7:15 a.m. - 4:30 p.m. Riley Center 1701 West Boyce Avenue Fort Worth, TX 76115 Register online at TexasHealth.org/CME Presented by

Target Audience / Conference Objectives The 20th Annual Trauma Conference is an interprofessional activity designed for physicians, physician assistants, nurse practitioners, and nurses in the following specialties: trauma, emergency medicine, orthopedics, critical care, pulmonary, hospitalists, geriatric medicine, physical medicine, general practice, respiratory, internal medicine and rehabilitation. In addition, pharmacists, physical therapists, health professional students, and allied health professionals who care for trauma patients are welcome to attend. Upon completion of this educational activity, participants should be able to: Pre-Hospital Interventions: When the Ordinary Just Won t Cut It Identify historical precedence, key individuals, and efforts necessary for surgical intervention in the pre-hospital setting Define pre-hospital challenges requiring mitigation prior to civilian field intervention Discuss emergent pre-hospital intervention from the perspective of bleeding control, airway management, thoracic injury care, vascular access challenges and expedited amputation Improve patient care through interprofessional problem-solving and collaboration Texas Trauma Quality Improvement Program (TQIP), The Basics Answered Describe the Trauma Quality Improvement Program (TQIP) Describe the Texas TQIP program Outline the importance of the Texas TQIP program Sport Concussion Management: A Multidimensional & Interdisciplinary Approach Recognize the epidemiology of sport concussion Describe the pathophysiology, clinical presentation and clinical recovery associated with sport concussion Discuss evidence-based practices for the management of sport concussion Identify the need for health care professionals to form an interdisciplinary team in order to work together to care for concussed patients Discuss when clinical care and professional responsibility ends for the concussed patient Case Study in Bleeding Control Recognize the importance of bleeding control in an emergency situation Determine how health care teams can collaborate and communicate effectively in the field from pre-hospital through discharge Discuss the importance of a collaborative approach to the Stop the Bleed Campaign and the need for our health care professionals to educate the public Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): An Overview and Update Describe the patient population who may benefit from Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Distinguish the indications and contra-indications for the use of REBOA Review REBOA protocol, procedural steps, and complications of REBOA Recognize the need for a multi-disciplinary team approach when implementing REBOA into a trauma program and its challenges For Goodness Snakes: Myths and Misconceptions in the Management of Snakebites Recognize the venomous snakes native to North Texas Describe the clinical features of pit viper and coral snake envenomation Discuss the general approach to managing envenomation Identify the indications for antivenom therapy Explain why surgical intervention, antibiotics and corticosteroids are not generally necessary for snakebites Discuss the role of various specialists in the management of envenomation To Bleed or Not to Bleed: Practical Considerations in Anticoagulation Reversal Review current literature and practice guidelines for the use of anticoagulation reversal agents Discuss the mechanism of action, pharmacokinetic and pharmacodynamics properties for common anticoagulation agents Identify safety concerns associated with utilizing reversal agents in high-risk patients Formulate clinical recommendations for reversal of commonly used anticoagulants Guidelines for the Treatment of Traumatic Brain Injury Describe the pathophysiology of traumatic brain injury Discuss the rationale for the therapeutic interventions utilized in the care of a brain-injured patient Review evidence-based recommendations for the care of the brain-injured patient

Agenda Format Didactic lectures with interactive question-andanswer time following presentation. 7:15 a.m. Registration & Breakfast 7:45 a.m. Welcome & Conference Overview 8 a.m. Pre-Hospital Interventions When the Ordinary Just Won t Cut It Scotty Bolleter, B.S., EMT-P 8:45 a.m. Texas Trauma Quality Improvement Program (TQIP), The Basics Answered Rajesh R. Gandhi, M.D., Ph.D., FACS, FCCP, FCCM 9:30 a.m. Break/Exhibitors 10 a.m. Sport Concussion Management: A Multidimensional & Interdisciplinary Approach Jacob E. Resch, Ph.D., AT 11 a.m. Panel Discussion: Case Study in Bleeding Control Derek Dombroski, M.D. Whitney Dudley, B.S.N., R.N., CEN Michael Farris, FP-C, CCEMT-P Jorie Klein, B.S.N., R.N. Allen Roberts, M.D., M.S., FACEP, FAAEM 11:45 p.m. Lunch & Exhibitors 12:45 p.m. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): An Overview and Update Gerald R. Fortuna, Jr., M.D., M.B.A., FACS 1:30 p.m. For Goodness Snakes: Myths and Misconceptions in the Management of Snakebites Spencer C. Greene, M.D., M.S., FACEP, FACMT 2:15 p.m. Break/Exhibitors 2:45 p.m. To Bleed or Not to Bleed: Practical Considerations in Anticoagulation Reversal Stephy R. George, Pharm.D., BCPS, BCCCP 3:30 p.m. Guidelines for the Treatment of Traumatic Brain Injury Olaide O. Ajayi, M.D. 4:15 p.m. Closing Remarks & Evaluations 4:30 p.m Adjourn Doctors on the medical staff practice independently and are not employees or agents of the hospital. Program Director & Moderator Presenters Olaide O. Ajayi, M.D. Neurosurgeon North Texas Neurosurgical & Spine Center Texas Health Physicians Group Scotty Bolleter, B.S., EMT-P Chief, Office of Clinical Direction Centre for Emergency Health Sciences Bulverde Spring Branch Emergency Services San Antonio, Texas Gerald R. Fortuna, Jr., M.D., M.B.A., FACS Col., Medical Corps, U.S. Air Force, SFS Assistant Professor of Surgery Section of Acute and Critical Care Surgery Department of Surgery Washington University St. Louis, Missouri Rajesh R. Gandhi, M.D., Ph.D., FACS, FCCP, FCCM John Peter Smith Trauma Center Associate Professor of Surgery University of North Texas Stephy R. George, Pharm.D., BCPS, BCCCP ED/Trauma ICU Clinical Specialist Spencer C. Greene, M.D., M.S., FACEP, FACMT Director of Medical Toxicology Assistant Professor of Emergency Medicine Assistant Professor of Pediatrics Baylor College of Medicine Houston, Texas Jacob E. Resch, Ph.D., AT Assistant Professor Department of Kinesiology University of Virginia Charlottesville, Virginia PANEL Derek Dombroski, M.D. Orthopedic Surgery Whitney Dudley, B.S.N., R.N., CEN Staff Nurse Michael Farris, FP-C, CCEMT-P Air Clinical Team Leader Fort Worth / Whitney Base Manager CareFlite Jorie Klein, B.S.N., R.N. Director, Trauma Program Rees-Jones Trauma Center at Parkland Dallas, Texas Allen Roberts, M.D., M.S., FACEP, FAAEM Emergency Medicine

Accreditation Physicians Texas Health Research & Education Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Texas Health Research & Education Institute designates this live activity for a maximum of 6.50 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The presentation, Sport Concussion Management: A Multidimensional & Interdisciplinary Approach, has been designated by Texas Health Research & Education Institute for 1 credit of education in medical ethics and/or professional responsibility. Advanced Practice Providers Both the National Commission on Certification of Physician Assistants (NCCPA) and the American Nurse Credentialing Center (ANCC) state that AMA PRA Category 1 Credit is acceptable for continuing medical education requirements for recertification, and Texas licensing agencies accept them for relicensure. Pharmacists Texas State Board of Pharmacy accepts AMA PRA Category 1 Credit from organizations accredited by the Accreditation Council for Continuing Medical Education. Nurses Texas Health Fort Worth-Texas Health Resources University is an approved provider of continuing nursing education by the Texas Nurses Association Approver, an accredited approver with distinction, of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. 6.50 nursing contact hours will be provided. Nurses must attend the entire conference to receive contact hours. HULEN CAMP BOWIE S UNIVERSITY GRANBURY W LANCASTER McCART ROSEDALE 8TH CLEBURNE SWBTS W BERRY W SEMINARY JAMES S MAIN N Registration Information Advanced registration is encouraged. To receive a registration discount, your registration must be received no later than Friday, March 30, 2018. All registrations will be confirmed. After March 30, 2018, only on-site registration will be available. Please note, Texas Health Fort Worth employees are required to pay a registration fee to attend this CME activity. Register by Online: TexasHealth.org/CME Mail: Texas Health Research & Education Institute CME Department 8440 Walnut Hill Lane PB4 Suite 200 Dallas, TX 75231 Call Toll-Free: 1-866-295-3269 Fax: 214-345-8328 Registrations received via fax or phone must indicate credit card information in order to be processed. Please make checks payable to Texas Health Research & Education Institute. Conference Location Riley Center 1701 West Boyce Avenue Fort Worth, TX 76115 is located between McCart and James Ave., just off W. Seminary. The Riley Center is located on the corner of James Ave. and W. Boyce Ave. For Additional Information For additional information, contact the Office of Continuing Medical Education toll-free at 1-866-295-3269. Acknowledgements A complete list of supporters will be available in the conference syllabus. Special thanks for operational support provided by Texas Health Resources University.

CME Registration Form 20 th Annual Trauma Conference - Thursday, April 5, 2018 PHYSICIANS NURSES, ADVANCED PRACTICE PROVIDERS, ALLIED HEALTH, RESIDENTS, STUDENTS AND OTHER HEALTH CARE PROFESSIONALS $150 Received by March 30 $75 Received by March 30 $175 On-site April 5 $90 On-site April 5 Payment must be included for registration to be processed. On-site registrations only after March 30, 2018 Friendly Note: A sweater/light jacket is suggested, room temperatures may vary. First Name Last Name Last 4 digits of SSN Texas Health Resources Employee ID# (if applicable) Select as appropriate: MD DO PhD PharmD PA APRN RN PT OT ST Other Hospital Affiliation Specialty Home Address City, State, Zip Preferred Phone #: WK HM Cell Fax # E-mail (Confirmation will be sent to the e-mail address above) Do you have any special physical, dietary or other needs? No Yes If yes, please describe: Register online by visiting TexasHealth.org/CME or call toll-free 1-866-295-3269 Payment Information Credit Card Type: Visa MasterCard Discover AmEx Credit Card # Exp. Date Customer Code Amount to be charged (3 digit # on back of credit card) Billing Address (if different from above) City, State, Zip Code Signature of Cardholder Authorization number (CME Office Use) Emergency Contact Information Emergency Contact Name Emergency Phone Number Cancellation If you have registered but cannot attend, you may submit a written request for refund of the registration fee (less $30 administrative fee). Requests must be received by Friday, March 22, 2018. No refunds will be issued after this date. There is no charge for a substitute registrant. In the event of conference cancellation, notification will be given two weeks in advance of the conference and the fee fully refunded. MB 1872 1/18