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2018 Trauma Symposium Stop the Bleed Campaign FRIDAY, JUNE 15, 2018 Hilton Omaha Hotel 1001 Cass Street Omaha, Nebraska DESIGNED FOR: Trauma Surgeons, General Surgeons, Emergency Medicine Physicians, Physicians Providing Trauma and Critical Care, Primary Care Physicians, Nurse Practitioners, Physician Assistants, Pharmacists, Nurses, EMS Personnel, Fellows, Residents, Students, Public Health Professionals and Other Interested Health Care Providers JOINTLY PROVIDED BY: Creighton University School of Medicine Department of Surgery Division of Trauma Surgery and Surgical Critical Care CHI Health Creighton University Medical Center Trauma Program Creighton University EMS Education Creighton University College of Nursing Creighton University Health Sciences Continuing Education CHI Health LifeNet Air Medical Services Health Sciences Continuing Education
Transcript
Page 1: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma SymposiumStop the Bleed Campaign

FRIDAY, JUNE 15, 2018Hilton Omaha Hotel1001 Cass StreetOmaha, Nebraska

DESIGNED FOR:Trauma Surgeons, General Surgeons, Emergency Medicine Physicians, Physicians Providing Trauma and Critical Care, Primary Care Physicians, Nurse Practitioners, Physician Assistants, Pharmacists, Nurses, EMS Personnel, Fellows, Residents, Students, Public Health Professionals and Other Interested Health Care Providers

JOINTLY PROVIDED BY:Creighton University School of MedicineDepartment of SurgeryDivision of Trauma Surgery and Surgical Critical CareCHI Health Creighton University Medical Center Trauma ProgramCreighton University EMS EducationCreighton University College of NursingCreighton University Health Sciences Continuing EducationCHI HealthLifeNet Air Medical Services

Health Sciences Continuing Education

Page 2: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

Schedule

4

7 a.m.Registration, Continental Breakfast and Visit Exhibits

7:15 a.m.Welcome and Introduction of Keynote SpeakerJuan A. Asensio, MD, FACS, FCCM, FRCS (England), KM

SESSION IKeynoteMODERATOR: Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM

7:30 a.m.The Stop the Bleed Campaign—Implications for the Care of Our Fellow CitizensLenworth M. Jacobs Jr, MD, MPH, DSc (Hon), FACS, FWACS (Hon)

8:15 a.m.Session I Q&ALenworth M. Jacobs Jr, MD, MPH, DSc (Hon), FACS, FWACS (Hon)

Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM

SESSION IIControversies and Challenges in Trauma SurgeryMODERATOR: Michel Wagner, MD, FACS

8:30 a.m.Carotid Injuries—Lethal Injuries Requiring Complex Surgical TechniquesJuan A. Asensio, MD, FACS, FCCM, FRCS (England), KM

8:50 a.m.Bleeding KillsAndrew B. Peitzman, MD, FACS

9:10 a.m.The Navy’s Role in Military and Civilian CatastrophesMiguel A. Cubano, MD, MBA, FACS

9:30 a.m.Session II Q&AJuan A. Asensio, MD, FACS, FCCM, FRCS (England), KM

Miguel A. Cubano, MD, MBA, FACS

Andrew B. Peitzman, MD, FACS

Michel Wagner, MD, FACS

10 a.m.Break and Visit Exhibits

SESSION IIISecrets of the Master Trauma SurgeonsMODERATOR: Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM

10:15 a.m.Traumatic Brain Injury—Changes in Management Across the Spectrum of Age and TimeGail T. Tominaga, MD, FACS

10:35 a.m.Immunology in the Trauma PatientChristine S. Cocanour, MD, FACS, FCCM

10:55 a.m.Antibiotics in Trauma Patients —Friends vs. FoesPhilip S. Barie, MD, MBA, Master CCM, FIDSA, FACS

11:15 a.m.SESSION III Q&AJuan A. Asensio, MD, FACS, FCCM, FRCS (England), KM

Philip S. Barie, MD, MBA, Master CCM, FIDSA, FACS

Christine S. Cocanour, MD, FACS, FCCM

Gail T. Tominaga, MD, FACS

11:45 a.m.Lunch and Visit Exhibits

SESSION IVContemporary Challenges for Nurses and PhysiciansMODERATOR: Carlos A. Fernandez, MD, FACS

12:45 p.m.Surgical Care of American Presidents —How Would They Fare Today?Daria C. Ruffolo, DNP, RN, CCRN, ACNP-BC

1:15 p.m.Post-Traumatic Stress Disorder —Pathophysiology, Pharmacology, and Impact on Combat VeteransSriram Ramaswamy, MD

1:45 p.m.Session IV Q&ACarlos A. Fernandez, MD, FACS

Sriram Ramaswamy, MD

Daria C. Ruffolo, DNP, RN, CCRN, ACNP-BC

2 p.m.Break and Visit Exhibits

SESSION VInterprofessional Approach to Challenging Trauma Cases at Creighton University from the Scene to DischargeMODERATOR: David L. Cornell, MD, FACS

2:15 p.m.Field Assessment in Transportation —The EMS PerspectiveGina Wood, EMT-P CCP

2:25 p.m.Patient Presentation from the Initial Presentation, Operative Intervention and Surgical Critical CareSamuel R. Brown, MD

2:45 p.m.Trauma Patients Rescue and Transportation—Dilemmas and ChallengesAlice ‘Twink’ Dalton, RN, MS, CNS, NREMT-P

3:15 p.m.Pharmacological Challenges During Hemodynamic Instability—The Pharmacologists PerspectiveStacey K. Dull, PharmD, BCPS

3:25 p.m.Operative Challenges for the OR NurseRobin Vineyard, RN, BSN, MSN, MBA

3:35 p.m.Surgical Critical Care Nursing ChallengesLindsey Swantek, RN, BSN

Lauren B. Magill, RN, BSN

3:45 p.m.Evaluation and Adjournment

Page 3: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Jointly Provided by: Creighton University School of Medicine, Department of Surgery

Division of Trauma Surgery and Surgical Critical Care CHI Health Creighton University Medical Center Trauma Program

Creighton University EMS Education Creighton University College of Nursing

Creighton University Health Sciences Continuing Education CHI Health

LifeNet Air Medical Services

The Symposium We will make every attempt to stay with the times that are printed on the schedule.

Courtesy

For the concentration and comfort of our participants, we ask that all cell phones and pagers be silenced during sessions of the conference. Breaks are provided for your

communication convenience. Thank you for your cooperation.

Breaks These times are designed to allow you the opportunity to take a pause from the content of

this conference and to visit with other conference participants. We suggest you use this time to learn from others, share your ideas, and establish new professional contacts.

Messages

Please check at the registration table if you anticipate receiving calls. In the event of an emergency, today's program will be interrupted to deliver the message.

Evaluations & Continuing Education Credit Certificates

Following today’s program, please go to the HSCE Website at https://healthsciences.creighton.edu. Click on the Continuing Education tab located near

the top right, then click on Course Evaluations. Please complete the evaluation for the 2018 Trauma Symposium by July 2, 2018. Upon completion of the evaluation, you will be

automatically directed to a page to complete and print your continuing education certificate. The certificate you print will serve to document the continuing education

credit you receive for the conference. Please keep the certificate for your records. If you have any questions, please contact Health Sciences Continuing Education at 402.280.1830.

Thank You!

Page 4: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Acknowledgment This program is funded in part by financial support from the following companies which had no control over its content:

Exhibits

CHI Health Creighton University Medical Center Bergan Mercy

Acelity

Belmont

CHI Health St. Elizabeth Burn Center

CSL Behring

DePuy Synthes

Edwards Lifesciences

Haemonetics

Immanuel Rehabilitation Institute

Integra

which had no control over its content.

Page 5: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Acknowledgment This program is funded in part by financial support from the following companies which had no control over its content:

Exhibits

Janssen

KLS Martin

La Jolla

LifeNet Air Medical Services

Mallinckrodt Pharmaceuticals

Masimo

Midwest Medical Transport

QuickClot

Verathon - Glidescope

Zimmer Biomet

which had no control over its content.

Page 6: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Course Directors

Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery and Vice-Chairman

Chief, Division of Trauma Surgery & Surgical Critical Care Director of Trauma Center & Trauma Program, Department of Surgery

Professor, Department of Clinical and Translational Science Creighton University School of Medicine CHI Creighton University Medical Center

Omaha, Nebraska Adjunct Professor, Department of Surgery

Uniformed Services University of the Health Sciences Walter Reed National Military Medical Center

Bethesda, Maryland

Michel Wagner, MD, FACS Assistant Professor of Surgery

Department of Surgery Division of Trauma Surgery and Surgical Critical Care

Assistant Professor, Department of Clinical and Translational Science Creighton University School of Medicine CHI Creighton University Medical Center

Omaha, Nebraska

Keynote Speaker

Lenworth M. Jacobs, Jr, MD, MPH, DSc (Hon), FACS, FWACS (Hon) Professor of Surgery

Professor of Traumatology and Emergency Medicine University of Connecticut

Director, Trauma Institute at Hartford Hospital Chairman of the Hartford Consensus, Joint Committee to Increase Survival from

an Active Shooter and Intentional Mass Casualty Event Member, Board of Regents, American College of Surgeons

Hartford, Connecticut

Page 7: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Guest Faculty

Philip S. Barie, MD, MBA, Master CCM, FIDSA, FACS Professor of Surgery and Professor of Public Health in Medicine

Chief, Preston A. Wade Acute Care Surgical Service NewYork-Presbyterian Hospital/Weill Cornell Medical Center

Weill Cornell Medicine New York, New York

Christine S. Cocanour, MD, FACS, FCCM Section Chief, Surgical Critical Care

Division of Trauma Surgery Director, Surgical Critical Care Fellowship

Department of Surgery, University of California, Davis UC Davis Medical Center

Sacramento, California

Miguel A. Cubano, MD, MBA, FACS Associate Professor of Surgery

Department of Surgery Uniformed Services University of the Health Sciences

Walter Reed National Military Medical Center Bethesda, Maryland

Commanding Officer of Naval Health Clinics Corpus Christi, Texas

Alice ‘Twink’ Dalton, RN, MS, CNS, NREMT-P EMS Director / Education Coordinator (Retired)

Mountain View Fire Protection District Longmont, Colorado

Page 8: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Guest Faculty con’t

Andrew B. Peitzman, MD, FACS Professor and Executive Vice-Chairman

Vice-Chairman, General/Community Surgery Mark M. Ravitch Chair in Surgery Chief, Division of General Surgery

Vice-President for Trauma and Surgical Services, UPMC Department of Surgery University of Pittsburgh

Former President American Association for the Surgery of Trauma (AAST) University of Pittsburgh Pittsburgh, Pennsylvania

Daria C. Ruffolo, DNP, RN, CCRN, ACNP-BC Adjunct Faculty, Marcella Niehoff School of Nursing- Graduate School

Acute Care Nurse Practitioner Department of Anesthesia

Loyola University Medical Center Maywood, Illinois

Gail T. Tominaga, MD, FACS Professor of Surgery

Department of Surgery University of California, San Diego Chief, Trauma Section

Scripps Memorial Hospital La Jolla La Jolla, California

Page 9: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Faculty

Samuel R. Brown, MD Resident-Surgery

Department of Surgery Creighton University School of Medicine

David L. Cornell, MD, FACS

Assistant Professor of Surgery Department of Surgery

Division of Trauma Surgery and Surgical Critical Care Assistant Professor, Department of Clinical and Translational Science

Creighton University School of Medicine CHI Creighton University Medical Center

Stacey K. Dull, PharmD, BCPS

Assistant Professor Department of Pharmacy Practice

Creighton University School of Pharmacy and Health Professions

Carlos A. Fernandez, MD, FACS Assistant Professor of Surgery

Department of Surgery Division of Trauma Surgery and Surgical Critical Care

Assistant Professor, Department of Clinical and Translational Science Creighton University School of Medicine CHI Creighton University Medical Center

Lauren B. Magill, RN, BSN Trauma and Surgical Intensive Care Senior Nurse

Department of Surgery, Division of Trauma Surgery CHI Health Creighton University Medical Center

Page 10: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Faculty con’t

Sriram Ramaswamy, MD Professor of Psychiatry

Associate Chair for Research Creighton University School of Medicine

Staff Psychiatrist U.S. Department of Veterans Affairs

Lindsey Swantek, RN, BSN Trauma and Surgical Intensive Care Senior Nurse

Department of Surgery, Division of Trauma Surgery CHI Health Creighton University Medical Center

Gina Wood, EMT-P CCP Firefighter-PS, EMS Division

Omaha Fire Department

Robin Vineyard, BSN, RN Operating Room Supervisor and Surgical Coordinator

Division of Trauma Surgery Department of Surgery

CHI Health Creighton University Medical Center

Planning Committee: Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM; Michel Wagner, MD, FACS; David L. Cornell, MD, FACS; Robert P. Bertellotti, MD, FACS; Carlos A. Fernandez, MD, FACS; Colin T. Dworak, BSBA; Michael G. Miller, EdD, MS, BSEMS, RN, NRP; Lindsay M. Iverson, DNP, APRN-NP, ACNP-BC; Jeremy Moore, CFRN; Katie Pierce, BSN, RN, CEN, CPEN; Kimberly E. Sieck, MSN, RN, CCRN-E; Devendra K. Agrawal, PhD; Brenda Welter

Page 11: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

The following faculty and planning committee members have listed no financial interest/arrangement or affiliation that would be considered a conflict of interest.

Devendra K. Agrawal, PhD Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Philip S. Barie, MD, MBA, Master CCM, FIDSA, FACS Robert P. Bertellotti, MD, FACS Samuel R. Brown, MD Christine S. Cocanour, MD, FACS, FCCM David L. Cornell, MD, FACS Miguel A. Cubano, MD, MBA, FACS Alice ‘Twink’ Dalton, RN, MS, CNS, NREMT-P Stacey K. Dull, PharmD, BCPS Colin T. Dworak, BSBA Carlos A. Fernandez, MD, FACS Lindsay M. Iverson, DNP, APRN-NP, ACNP-BC Lenworth M. Jacobs, Jr, MD, MPH, DSc (Hon), FACS, FWACS (Hon) Lauren B. Magill, RN, BSN Michael G. Miller, EdD, MS, BSEMS, RN, NRP Jeremy Moore, CFRN Andrew B. Peitzman, MD, FACS Katie Pierce, BSN, RN, CEN, CPEN Sriram Ramaswamy, MD Dario C. Ruffolo, DNP, RN, CCRN, ACNP-BC Kimberly E. Sieck, MSN, RN, CCRN-E Lindsey Swantek, RN, BSN Gail T. Tominaga, MD, FACS Robin Vineyard, RN, BSN Michel Wagner, MD, FACS Brenda Welter Gina Wood, EMT-P CCP

Page 12: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Ignatian Values in the Spirit of Creighton

As a part of Creighton University’s Mission, Ignatian values are a vital part of healthcare. Ignatian Values date back to the days of St. Ignatius Loyola, founder of the Society of Jesus (Jesuit Order). Ignatius believed that educators could teach students to care about others and motivate them to effect positive changes in the world around them.

Ignatian Values in Continuing Education: Academic Excellence Acceptance & Understanding of inter-religious differences Service to Others, especially to poor and socially disadvantaged Interface between faith & culture Education of the Whole Person: intellectual, professional, moral

and spiritual Learning is a lifelong process Respect for the dignity of each human person Promotion of a faith that does justice Forming of women and men of competence, conscience, and

compassion

Disclosure Policy It is the policy of Creighton University Health Sciences Continuing

Education, to ensure balance, independence, objectivity and scientific rigor in all its educational activities. All faculty participating in this activity are expected to disclose to the audience any significant financial interest or other relationship he/she has with the manufacturer(s) of any commercial

product(s) discussed in an educational presentation.

Page 13: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

2018 Trauma Symposium June 15, 2018

Education Credits

Category 1 Creighton University School of Medicine designates this live activity for a maximum of 7 AMA PRA Category 1 Credit(s) TM. Physicians should claim only credit commensurate with the extent of their participation in the activity.

AAPA accepts AMA category 1 credit for the PRA from organizations accredited by ACCME. Nurse CE Creighton University Health Sciences Continuing Education designates this activity for 7.0 contact hours for nurses. Nurses should claim only credit commensurate with the extent of their participation in the activity. Pharmacy Creighton University Health Sciences Continuing Education (HSCE) is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education (CPE). The 2018 Trauma Symposium is accredited for 7.0 hour(s) for completion of all CE Sessions on June 15, 2018. The 2018 Trauma Symposium is a knowledge-based activity. AAFP This Live Activity 2018 Trauma Symposium, with a beginning date of 06/15/2018, has been reviewed and is acceptable for up to 6.75Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity. EMS This educational activity has been approved for up to 6.75 continuing education hours for all levels of EMS personnel through Creighton University. Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Creighton University Health Sciences Continuing Education CHI Health and LifeNet Air Medical Services. Creighton University Health Sciences Continuing Education (HSCE) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Page 14: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

**Important – please complete this worksheet before starting the online evaluation**

Continuing Education Credit Worksheet 2018 Trauma Symposium

Please tabulate your credits on this worksheet before taking the online evaluation. This worksheet information will be needed when completing your HSCE credit certificate

following the evaluation.

Friday, June 15, 2018 Notes

Session I 1.00 Credits ______ ____________________________

Session II 1.50 Credits ______ ____________________________

Session III 1.50 Credits ______ ____________________________

Session IV 1.50 Credits ______ ____________________________

Session V 1.50 Credits ______ ____________________________

Total Credits Possible: 7.00 Credits _________ ____________________________

Please note this is a worksheet only and not a certificate of attendance.

Following today’s program, please go to the HSCE Website at https://healthsciences.creighton.edu . Click on the Continuing Education tab located near the

top right, then click on Course Evaluations located on the left side of the page. Please complete the evaluation for the 2018 Trauma Symposium by June 30, 2018. Upon completion of the

evaluation, you will be automatically directed to a page to complete and print your continuing education certificate. The certificate you print will serve to document the continuing education credit you receive for the conference. Please keep the certificate for your records. If you have

any questions, please contact Health Sciences Continuing Education at 402.280.1830.

Page 15: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

NOTES:

Page 16: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

NOTES:

Page 17: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

NOTES:

Page 18: 2018 Trauma Symposium - Creighton University€¦ · 2018 Trauma Symposium June 15, 2018 Course Directors Juan A. Asensio, MD, FACS, FCCM, FRCS (England), KM Professor of Surgery

NOTES:


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