Wednesday, November 5, 2008
The Trauma Continuum of Care: Current Practices in Adult and Pediatric Trauma
8:00am – 4:30pm
Greater Tacoma Convention & Trade Center
1500 Broadway, Tacoma
This one day, multi-disciplinary conference will provide pre-hospital caregivers, physicians, nurses, and ancillary staff with up-to-date clinical information on the management of injured patients and their families. Topics will encompass the continuum of trauma care, including injury prevention, pre-hospital, acute inpatient, rehabilitation and community reintegration. Lectures will be given by trauma care providers involved in the daily practice of multidisciplinary pediatric and adult trauma care.
PROGRAM
8:00 – 8:30am: Welcome/Continental Breakfast
8:30 – 8:45am: Opening Remarks
Toryono Green, EMT-P SEI, TFD Medical Services Officer
8:45 – 9:30am: Keynote Address - Tacoma Trauma: It Takes a Village
Traumatic injuries nationally, statewide and locally will be discussed. The Tacoma Trauma system will be reviewed as well as the local demographics of injury.
Lori J. Morgan, MD MBA
9:30 – 9:45am: Break and Exhibits
9:45 – 10:30am: Mock Trauma Presentation
10:30 – 11:00am: Break and Exhibits
11:00 – 11:45am: Breakout Sessions 1
Managing the Difficult Airway: Adult and Peds (Skills Lab)
Teaching in small interactive groups and utilizing stimulating technology, expert physician and paramedic faculty offer hands-on experience in recognizing and managing the difficult and failed airway.
Jeffrey Blake, MD; Thomas L. Hurt, MD; Michael Newhouse, EMT-P SEI; Heather Marshall, MD; Ted Walkley, MD; Jeff Bullard-Berent, MD; Jaime Delcampo, MD
Acute Evaluation Management of Pelvic Ring Fractures
Pelvic and acetabular trauma in its complexity is a challenge similar to polytrauma requiring consistent management. Diagnostics and interventions are discussed ranging from pre-clinical management to rehabilitation, from simple pelvic fracture to complex pelvic trauma.
Keith A. Mayo, MD
War Stories from Operation Iraqi Freedom
A compilation of three perspectives of combat tours is presented by Army Surgeons and an Army Nurse. Enduring the most intensive combat casualty care in recent history, these military professionals are eager to share both their unique personal and professional perspective. Discussion includes lessons learned, and the toll on both mind and emotions.
LTC Matthew Martin, MD; LTC Alec Beekley, MD; LTC Greg Kidwell, RN
Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. Identification of serious intra-abdominal pathology is often challenging. Many injuries may not manifest during the initial assessment and treatment period. Coordinating a trauma resuscitation demands a thorough understanding of the pathophysiology of trauma and shock, excellent clinical and diagnostic acumen, skill with complex procedures, compassion, and the ability to think rationally in a chaotic milieu.
Thomas J. Ferrer, MD
11:45am – 12:45pm: Lunch (Ballroom) and Exhibits
12:45 – 1:30pm: Breakout Sessions 2
Managing the Difficult Airway: Adult and Peds (Skills Lab)
Teaching in small interactive groups and utilizing stimulating technology, expert physician and paramedic faculty offer hands-on experience in recognizing and managing the difficult and failed airway.
Jeffrey Blake, MD; Thomas L. Hurt, MD; Michael Newhouse, EMT-P SEI; Heather Marshall, MD; Ted Walkley, MD; Jeff Bullard-Berent, MD; Jaime Delcampo, MD
Recognizing the physical presentation of child abuse in the pre-hospital setting or in the Emergency Department is critical. Techniques and tips for speaking with family concerning child abuse will be discussed.
Yolanda Duralde, MD
Drug Impairment Detection through the Eyes
The eyes are the “window to the soul”. Different categories of drugs affect the eyes in different ways. A quick examination of the eyes can allow the examiner to identify which category or categories of drugs an individual may be under the influence of without having to wait for toxicology results to return from the lab.
J Sousley, Deputy, PC Sheriff’s Dept.
This session will compare and contrast traditional resuscitation strategies to current research. Discussion to include trends in management of: Coagulopathies, intercranial hemorrhage, antibiotic resistance, glycemic control, and radiation risks associated with diagnostic imaging.
Paul Inouye, MD
1:30 – 1:45pm: Break and Exhibits
1:45 – 2:30pm: Breakout Sessions 3
Managing the Difficult Airway: Adult and Peds (Skills Lab)
Teaching in small interactive groups and utilizing stimulating technology, expert physician and paramedic faculty offer hands-on experience in recognizing and managing the difficult and failed airway.
Jeffrey Blake, MD; Thomas L. Hurt, MD; Michael Newhouse, EMT-P SEI; Heather Marshall, MD; Ted Walkley, MD; Jeff Bullard-Berent, MD; Jaime Delcampo, MD
Hypothermia—Acidosis—Coagulopathy: Resuscitation Priorities and Consequences
Recognizing and managing hypothermia, acidosis and coagulopathy in the critically ill trauma patient is essential to survival. Discussion will include principals of thermoregulation, oxygen delivery, coagulation, and identification of risk factors.
Stephen J. Datena, MD
Thoracic Trauma
Thoracic injuries are severe and potentially lethal. Respiratory insufficiency and hemorrhagic shock are two serious derangements that must be immediately identified and treated. Pathophysiology and priority interventions for multiple life-threatening lesions will be discussed.
Dennis D. Nichols, MD
Traumatic Carotid Injuries
This presentation will discuss traumatic carotid injuries. Topics presented will include the mechanism of injury, appropriate evaluation and treatment options.
Lori J Morgan, MD, MBA
2:30 – 2:45pm: Break and Exhibits
2:45 – 3:30pm: Breakout Sessions 4
Managing the Difficult Airway: Adult and Peds (Skills Lab)
Teaching in small interactive groups and utilizing stimulating technology, expert physician and paramedic faculty offer hands-on experience in recognizing and managing the difficult and failed airway.
Jeffrey Blake, MD; Thomas L. Hurt, MD; Michael Newhouse, EMT-P SEI; Heather Marshall, MD; Ted Walkley, MD; Jeff Bullard-Berent, MD; Jaime Delcampo, MD
Just as mechanisms of injury are associated with particular injury patterns, so too are certain populations prone to particular injuries, complications or outcomes. This session will explore the more common mechanisms of injury and their related injuries, we will also explore the injury patterns and outcomes in the extremes of age and the morbidly obese. Anticipation of injuries and outcomes improve the rapidity of diagnosis and the initiation of treatment.
Robert C. Jacoby, MD
Thoracic Trauma
Thoracic injuries are severe and potentially lethal. Respiratory insufficiency and hemorrhagic shock are two serious derangements that must be immediately identified and treated. Pathophysiology and priority interventions for multiple life-threatening lesions will be discussed.
Dennis D. Nichols, MD
Effects of Prolonged Immobilization
The occurrence of pressure ulcers in patients in different settings is high enough to warrant concern. Prevention of pressure ulcers in adults at risk is the overall goal of this presentation. Most can be prevented. The participants will be able to (1) identify at-risk individuals who need preventive intervention and the specific factors placing them at risk; (2) maintain and improve, tissue tolerance to pressure in order to prevent injury; (3) protect against the adverse effects of external mechanical forces (pressure, friction, and shear); and (4) reduce the incidence of pressure ulcers through educational programs.
Mary Anne Dilllloway RN, BS, PHN, CWOCN
3:30 – 3:45pm: Break and Exhibits
3:45 – 4:30pm: General Session - Trauma Systems: Do They Work?
During the past century, there have been notable advances not only in the treatment of individual patients, but also in the establishment of effective systems of pre-hospital and hospital based care. A review of theses accomplishments in the United States, with a special emphasis on the evidence that trauma systems have reduced morbidity and mortality of injury will be discussed.
Jerry Jurkovich, MD
4:30pm: Adjourn
