Wednesday, November 4, 2009

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 adult and pediatric patients and their families. Topics will encompass the continuum of trauma care, including injury prevention, pre-hospital, acute inpatient, rehabilitation and unique perspectives presented by family members impacted by traumatic injury.

 

PROGRAM

8:00 – 8:20am: Welcome/Continental Breakfast

8:20 – 8:35am: Opening Remarks

Toryono Green, EMT-P SEI, TFD Medical Services Officer

8:35 – 9:15am: Keynote Address -Current Issues in Trauma, Top 10 Trauma Topics

This presentation will discuss ten top trauma topics as identified by trauma directors from across the county. An eclectic mix of topics ranging from airway to zebras, but all dominating the interests of trauma programs everywhere.

Jerry Jurkovich, MD

9:15 – 9:30am: Break and Exhibits

9:30 – 10:30am: Matters of the Heart - Trauma Family Members’ Perspective

Moderated by Lori Olson, RN MN CCRN with Panelists Peter Braun, Bill Broderick, Jeanne Salvini, Judithe McBeath-Smith

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.

Thomas Hurt, MD; Jeffrey Blake, MD; Mike Newhouse, EMT-P SEI; Heather Marshall, MD; Jeff Bullard-Berent, MD

Pulmonary Contusion and Rib Fractures

A review of current and evolving management strategies for the consequences of blunt chest injuries

Paul Inouye, MD

What’s Different About Pediatric Trauma?

An overview of pediatric trauma focusing on what makes injured kids different from injured adults, and what makes a good pediatric trauma center.

Tony Escobar, MD

Compassion Fatigue: The Stress of Combat Medicine and the Cost of Caring

The longest war in U.S. history has taken its toll on military medicine and the health care providers that struggle to maintain a system that has been crippled by unprecedented levels of combat trauma. Presentation includes: Understanding compassion fatigue and related physiological problems, how combat and civilian trauma differ, and how advances in field medicine have created a historic number of severe trauma survivors.

Captain Ed ‘Riv’ Hrivnak, Nurse Corps, U.S. Air Force Reserve (Retired)

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.

Thomas Hurt, MD; Jeffrey Blake, MD; Mike Newhouse, EMT-P SEI; Heather Marshall, MD; Jeff Bullard-Berent, MD

Emergency Medical Staff and the Medical Examiner

Who the Medical Examiner is, what we do and why we do it. How does the Medical Examiner’s Office interact with Emergency Medical Staff? The Medical Examiner as a trauma expert.

Eric Keisel, MD

Management of Pediatric Cervical Spine Injuries: How are Children Different?

This presentation will contrast the differences and similarities in management of cervical spine injuries between pediatric and adult patients. Management of the most common c-spine injuries in children will be discussed. Techniques for maintaining c-spine immobilization in patients wearing helmets will be demonstrated. The limitations for clearing c-spines using the NEXUS criteria and Canadian C-spine rules will be presented as they pertain to pediatric patients.

Nick Rajacich, MD; Thomas Hurt, MD

Abdominal Compartment Syndrome

In this lecture we will define what is meant by Abdominal Compartment Syndrome (ACS) and discuss the etiology and predisposing factors to developing this syndrome. The clinical manifestations of ACS will be examined as well as strategies for patient management.

Dr. Thomas Ferrer, 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.

Thomas Hurt, MD; Jeffrey Blake, MD; Mike Newhouse, EMT-P SEI; Heather Marshall, MD; Jeff Bullard-Berent, MD

Emergency Medical Staff and the Medical Examiner

Who the Medical Examiner is, what we do and why we do it. How does the Medical Examiner’s Office interact with Emergency Medical Staff? The Medical Examiner as a trauma expert.

Eric Keisel, MD

Oral and Maxillofacial Trauma

The purpose of the course will be to discuss the basics of maxillofacial trauma examination, diagnosis and treatment. Triage settings and categorization will be briefly discussed as relevant to “on the scene” interventions. Some pearls for post operative management issues will also be offered.

Karen M. Keith, DDS, MD COL

Metropolitan Medical Response (MMRS): RESOURCES FOR MANAGING REGIONAL MASS CASUALTY EVENTS

A brief history of the MMRS and the regional resources available that may be used during large scale regional mass casualty events. Future planning and capability building.

Roger Edington, EMT-P, TFD Medical Services Officer

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.

Thomas Hurt, MD; Jeffrey Blake, MD; Mike Newhouse, EMT-P SEI; Heather Marshall, MD; Jeff Bullard-Berent, MD

Limb Salvage vs. Amputation

Guidelines for assessing the viability of severely injured limbs and review of care issues following limb loss.

Joanie Santucci, RN, MN, OCNS-C

Acute Management of Penetrating Abdominal Trauma

Initial resuscitation priorities - pulseless, hemodynamically unstable versus hemodynamically stable; Identify diagnostic procedures and imaging studies, including peritoneal lavage, FAST, CT scan and laparoscopy; Identify management options including damage control.

Michelle Strong, MD, PhD

Lessons Learned

This informative and encouraging lecture will review several Tacoma Trauma System cases with a focus on the actions taken by EMS personnel and the impact of those actions on patient outcome.

Steve Murphy, EMT-P, UPFD Division Chief

3:30 – 3:45pm: Break and Exhibits

3:45 – 4:30pm: General Session (Ballroom)

Trauma Resuscitation: Who, What, When and Why

Presentation will review trauma resuscitation over the years with emphasis on current standards. Review of literature relevant to trauma resuscitation including fluid types and massive transfusion.

Robert Jacoby, MD

4:30pm: Adjourn