WEDNESDAY AUGUST 8, 2012

8:00 – 5:00 PM - Pre conference workshop

EMS Street Survival - (limited to 30 participants) - First Sergeant Keith A. McMinn and Senior Trooper Steven F. Proctor - Maryland State Police EMS- This one day program is designed to give EMS providers of all levels an overview of basic survival. The class will include hands-on scenarios with simulated weapons and attacks. (Additional Fee required- $100)

3:00 – 7:00 PM - Exhibitor set-up

6:00 – 8:00 PM - Early Registration


THURSDAY, AUGUST 9, 2012

7:15- 8:00 AM- Conference Registration- Exhibits - Continental Breakfast

8:15-8:30 AM- Welcome and Introductions: Peter M. Rhee, MD

8:30-9:05 AM- General Session Key Note Speaker- Richard Carmona, MD- “The Politics of Trauma” - The Surgeon General is often challenged by many national and global problems, but none is more virulent than the plague of politics.

9:10-10:00 AM- The Future of Head Injury - Geoffrey Ling, MD The director of the U.S. military’s research program discusses projects currently in progress and ideas not yet developed for new ways of managing head injuries.

10:00-10:30 AM – BREAK AND EXHIBITORS

10:30-11:55 AM- GENERAL SESSIONS- 25 MINUTES EACH

10:30- 10:55 AM – Caring for the Mangled Extremity - John Ruth, MD The enormous challenges of dealing with the severely-mangled extremity will be presented.

11:00-11:25 AM–“Go Live” Reimplantation - Warren Breidenbach, MD Badly mangled and fully- and partially-amputated extremities can be effectively managed by re-implantation involving complex repairs and reconstructions involving bone, soft tissue, vessels, and nerves.

11:30-11:55 AM- “Go Bionic” - Geoffrey Ling, MD Cutting-edge mechanical/ electronic artificial extremity replacement will be described. Where are we now with this technology, and what may the future hold with the “bionic-man” approach?

12:00-1:15 PM- LUNCH-– Heart Trauma Videos - Peter M. Rhee, MD Dr. Rhee shows actual videos of cardiac trauma, taken during initial resuscitation and in the operating room, and showing how trauma center teams deal with such dramatic injuries.

1:30-2:55 PM- CONCURRENT TRACKS- 25 minutes each
(A. EMS; B. EMERGENCY DEPARTMENT, C. ADVANCED)

1:30-1:55 PM
(A) Disaster Triage - Joshua Gaither, MD- Imagine you are on shift when things go bad. Will you be able to effectively triage and start treatment when a disaster strikes? In this session we discuss current triage systems, what works best, and how to apply them.

(B) Care in the Air -Kelly Bowman RN Providing care for a trauma victim in rotor aircraft presents unique challenges. We will discuss lessons learned and anecdotal experiences from 9 years of military air transport at home and abroad. How can what we know about flying patients in Iraq, Afghanistan or across the Pacific Ocean affect the way you provide care to your patient?

(C) Spinal Trauma - Sergio Rivero, MD- What can EMS and trauma care teams do to improve outcomes for those with serious injuries to the spine and spinal cord? Things you should know.

2:00-2:25 PM
(A) Street Safety Part 1- Steve Proctor-, EMTP -Situational Awareness- How EMS providers can be proactive in their approach to scene management always keeping safety in mind

(B) Tele-What? - Bellal Joseph, MD- The latest twist in trauma telemedicine using smart phones. Can your iPhone connect you immediately with the trauma experts? Is instant, two-way, live video-conferencing from rural ER’s or moving ambulances possible and useful?

(C) Thoracic Trauma -D.J. Green, MD Some of what you were taught about chest trauma may not be such a good idea. What should you know and know how to do, for common serious chest trauma.

2:30-2:55 PM
(A) Street Safety Part 2 -Keith McMinn EMTP – Is your patient concealing a weapon? What to do now?

(B) Trauma Gadgets- Kara Snyder, RN – Kara describes the latest cool gadgets that promise improvement in how we do trauma care. Have you seen one of these yet?

(C) Wound Care - Katherine Mehaffey, RN - Weird Wounds- Clinical presentations, diagnosis, treatment and dressing options.

2:55-3:15 PM BREAK AND EXHIBITS

3:15-4:15 PM- RAPID FIRE TOPICS 10 minutes each-
(A. EMS; B. EMERGENCY DEPARTMENT, C. ADVANCED)
PLEASE STAY IN SAME TRACK

2:55-3:15 PM BREAK AND EXHIBITS

3:15-4:15 PM- RAPID FIRE TOPICS 10 minutes each-

3:15-3:25 PM
(A) Vehicle Intrusion –Stewart Wang, MD- Assessing vehicle intrusion during field triage. How much intrusion? Measured from where to where? Does it matter?

(B) Flight Physiology - Kelly Bowman- Transporting a trauma victim on a rotor aircraft will have a definite physiologic impact that is uniquely flight-induced. What both flight personnel and ED nurses need to know about this.

(C) Maggot Therapy – Katherine Mehaffey, RN - Everything you wanted to know, or not

3:25-3:35 PM
(A) Identifying the Nightmare Airway - Joshua Gaither, MD Placement of an advanced airway is difficult at best in the prehospital setting. Here we will discuss easy-to-use tools to help anyone identify airways that are likely to be more difficult than others.

(B) Binding Pelvic Fractures- John Ruth, MD. We know serious pelvis fractures should be immediately stabilized to prevent critical bleeding. But how? What is the best way? What really works?

(C) Pancreatic Trauma -Robert Maxson, MD - Less commonly injured than some other organs, pancreatic injury can be most serious, indeed. Dr. Maxson will present important things to know about this type of trauma.

3:35-3:45 PM
(A) Glidescope Intubation- John Sakles MD How this tool, can help with the most-difficult airways in the prehospital setting

(B) Tetanus- Peter Rhee, MD – All you need to know about tetanus immunization: lockjaw, Clostridium tetani, tetanus toxoid, DT, DPT, DTaP, Td, Tdap, 10 years, barnyard wounds, and dosing.

(C) Head Injury in the ICU -Geoff Ling , MD Cutting edge tools and techniques for dealing with complex brain trauma

3:45-3:55 PM
(A) Needle Decompression- Andrew Tang, MD - Tension physiology, the procedure itself, and what scientific studies have taught us about the utility of needle decompression.

(B) Methamphetamine and Trauma - Michael Sise, MD - Meth use may cause the trauma, but now you are trying to treat the patient, and the meth effects are still there.

(C) The Anticoagulated Trauma Patient- Bellal Joseph, MD - He’s hurt, he’s bleeding, and he is anticoagulated. Now what? Coumadin, aspirin, Plavix, Pradaxa, and other anticoagulants. How their effects differ and what you can do about it.

3:55-4:05 PM
(A) Trauma Commandments- Paul Werfel - NREMTP- If only someone had decided on rules to make the job easier.

(B) The art of Cactus Spine Removal - Dan Judkins, RN Tips and techniques. How to deal with the especially challenging case – like more than 500 cholla spines in the face. And: “death by cactus.”

(C) Clearing the Pipe -Carolynn Cassutt, RN, CRNI - You go to give that 2 am IVP medication and you find that you are unable to obtain a blood return or flush the catheter. What now?- Bellal Joseph, MD - He’s hurt, he’s bleeding, and he is anticoagulated. Now what? Coumadin, aspirin, Plavix, Pradaxa, and other anticoagulants. How their effects differ and what you can do about it.

4:05-4:15 PM
(A) Tranexemic Acid - Peter Rhee, MD – A new prehospital drug for hemorrhagic shock? Cheap, simple, easy-to-use, and effective

(B) Pigtail Catheters - Narong Kulvatunyou MD – What is a pigtail catheter, and how can it be used? Does it work? What are the advantages? Are they a replacement for chest tubes?

(C) Sleep and Recovery from Acute Injury and Critical Illness - Randy Friese MD Sleep is vital in the recovery process for acutely injured and critically ill patients. We will review the effects of sleep deprivation and the benefits of sleep promotion in the recovery process

5:30- 8:30 PM- Monsoon Madness Fiesta at Catalina Steakhouse- Starr Pass Golf Course BBQ Dinner and entertainment- $20 per person- limited to 150 tickets

FRIDAY, AUGUST 10, 2012

7:30- 8:20 AM- Registration /Sign-IN/ Continental Breakfast

8:20 AM- Housekeeping and Announcements

8:30-9:05 AM- General Session- 24 Hours at the Trauma Center- Michael Sise, MD -What really goes on

09:10-10:00 AM – General Session-– The Science Behind Field Trauma Triage - Stewart Wang, MD –As chair of the CDC committee that develops these standards, Dr. Wang will discuss the science behind identifying which patients should go to a trauma center, and why it matters. He will present the new 2011 revisions to The Guidelines for the Field Triage of Injured Patients.

10:00-10:30 AM - Break and Vendors

10:30-11:55 AM- 3 GENERAL SESSIONS- 25 MIN EACH

10:30-10:55 AM -Multi-Trauma Case Studies- Paul Werfel, NREMTP - Interesting cases will highlight how prehospital diagnosis and treatment compares with what happens at the trauma center.

11:00-11:25 AM - Child Abuse- Robert Maxson, MD How to detect intentional injury to children, the patterns that often emerge, and tips for how the trauma care provider can and should handle these challenges.

11:30-11:55 AM - Traumatic Brain Injury and the EPIC Project- Dan Spaite, MD. We’ve known the important actions and “don’t dos” for treating brain injury for over 15 years, but now many of the old and clinically dangerous treatment practices persist on a wide-spread basis. Dr Spaite will describe how the massive “EPIC” project will address this and lead to improved brain injury outcomes.

12:00-1:15 PM – LUNCH

1:30-2:55 PM- 3 CONCURRENT TRACKS- 25 MINUTE SESSIONS
(A. EMS; B. EMERGENCY DEPARTMENT, C. ADVANCED)

1:30-1:55 PM
(A) Prehospital TBI Management - Dan Spaite , MD Learn the latest science on the optimal ways to treat severe TBI in the field, Current controversies, including prehospital intubation, use of sedatives, hyper-oxygenation, permissive hypotension, glucose administration and other issues will be discussed.

(B) Penetrating Pediatric Trauma - Robert Maxson, MD - Assessing and treating gunshot and stab wounds in pediatrics.

(C) Beta-Blockers in Sepsis - Randy Friese, MD Current research is being performed on the use of beat-blockers in the septic patient. Beta-blockers are shown to improve the outcome of septic patients without negatively impacting hemodynamics.

2:00-2:25 PM
(A) How can Spinning and Knitting lead to Impalement- Jim Boise, RN CFRN- An interesting pediatric case study including video

(B) Two for one- Pregnancy in Trauma- Andrew Tang, MD - Unique challenges in caring for the pregnant trauma patient. Information you should remember and use with your next case.

(C) Vascular Challenges- Michael Sise, MD -A torn vessel – can we stop the bleeding? Difficult-to-reach and repair vascular trauma. What approaches work best?

2:30-2:55 PM
(A) Black Box Dispatch- Stewart Wang, MD - Cars now come with computerized sensors providing useful information to EMS and trauma care personnel. How do the new in-vehicle electronics predict the severity of injury even before the ambulance arrives on-scene?

(B) Legal Issues Related to Vascular Access and Infusions - Carolynn Cassutt, RN, CRNI –How to avoid a day in court- Focus on IV complications and legal implications.

(C) Early Mobility in the Trauma Patient -Kara Snyder, RN - Get ‘em up, and get ‘em, movin’. How this may save their life. Advantages, and how-to- tips.

2:55-3:00 PM BREAK AND EXHIBITS

3:00-3:25 PM- 3 Concurrent 25 minute sessions (A. EMS; B. EMERGENCY DEPARTMENT; C. ADVANCED)

(A) Pearls of Pediatric Trauma - Paul Werfel, EMTP- Prehospital personnel can think of few things as challenging as serious pediatric trauma. Tips on successfully dealing with the littlest trauma patients.

(B) Border Jumpers – Lynn Gries MD - The hazards of crossing the US-Mexico border fence, either over the top or around the long way, and what injuries to expect in these patients.

(C) Both sides of Trauma- D.J. Green, MD- Considering the parents of injured children - As a trauma surgeon and father, Dr. Green will share his experiences with severe trauma.

3:30-4:30 PM- General Session - Trauma Jeopardy - Peter Rhee, MD and D.J. Green, MD- Answers and questions from the conference- What did we learn?

4:30 PM- Prizes and Give-Aways- (You must be present to win)

4:45 PM- Continuing Education Certificates Ready

 

 

   
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