Friday, February 17, 2012

Current Concepts and Controversies "How I Do It!"

• Participants will understand many of the common controversies with pediatric trauma and will understand popular views
• Participants will become familiar with standard of care practice for common pediatric injuries
• Participants will learn about management of difficult injury patterns that are becoming more common such as blast injury
• Participants will become familiar with cutting edge therapies for pediatric injuries

Show Schedule

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• 9:05 am Blast Injury: History

  Children in Harm's Way
  Land mines IED, UXO,
  Mechanism and pattern of injury
  Multi-organ Injury
  Kenneth Azarow

• 9:20 am Damage Control Resuscitation: A New Paradigm

  Whole Blood Reconstitution: Plasma, Platelets, RBC Hypothermia, Acidosis, Thrombocytopenia Permissive Hypotension Tourniquet, combat gauze When is blood necessary?
  David Shellington

• 9:35 am Blast Injury Treatment

  Paradigm Shift ("CBA vs ABC") Circulation: Control Hemorrhage Breathing: Pneumothorax, Thoracostomy Airway: Intubation FAST vs CT* Head, Pulmonary, Abdomen, Extremity, Burn
  Mary Edwards

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• 9:50 am Q&A Panel 1: Blast

  Kenneth Azarow
  David Shellington
  Mary Edwards
  John Holcomb
  Karim Brohi
  Eric Elster
  Don Trunkey

10:20am : Break

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• 10:30 am Abdominal Injury

  Indications for surgery: Blunt vs Penetrating
  Surgical Management of spleen, liver,, and
  pancreatic injury, intestine, bladder, kidney
  
  FAST vs CT vs neither OR vs Interventional
  Radiology Outcome studies
  Sebastian van As

• 10:45 am Vascular Injury

  Shunt, Timing of repair (peripheral and neck)
  Evaluation: Exam, Doppler, CTA, Angiogram
  Management: OR Endovascular, non-operative
  Outcome
  Posterior pharyngeal penetrating injury: Image or not
  Jeremy Cannon

• 11:00 am Spine: Evaluation and Clearance

  CT, MRI, Flex-ex, Collar
  PECARN Study
  Radiation concern
  Three points of view
  Nexus Trial
  Michael Nance
  

• 11:15 am Q&A Panel 2:
  Abdominal Injury, Spine, Vascular

  Sebastian van As
  Jeremy Cannon
  Michael Nance
  James Betts
  Huimin Xia
  Dorothy Bulas
  Jean Guy
  Anthony DeRoss

11:45am : Break

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• 12:00 pm Mild Head Injury Diagnosis
  and Management

  Evaluation
  Imaging (Scan)
  IMPACT
  Treatment
  Admission
  Jeremy Cannon

• 12:15 pm Traumatic Brain Injury:
  Blunt vs Penetration

  Resuscitation: Goals, Hypertonic, ICP Monitor,
  Rx, Craniectomy vs Closed
  Treatment
  Outcome
  National Guidelines
  Robert Keating
  

• 12:30 pm Q&A
  Panel 3: Traumatic Brain Injury

  Julian Bailes
  Robert Keating
  Min S. Park
  Geoffrey Ling
  Gerry Gioia
  Joe
  Tepas
  David Shellington
  

1:00 pm Break

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• 1:15 pm Tricks for Managing Difficult Injuries: Thoracic Injury

  Major vessels, lung, heart,
  (penetrating and blunt); imaging
  Three essential maneuvers
  Kenneth Mattox

• 1:30 pm Tricks for Managing Difficult Injuries:
  Surgical Damage Control

  Technique and Tactics
  Abdomen, Thorax
  Retroperitoneum (exposure)
  Pelvic Fracture Packing
  VAC Strategy: “Poor Man’s VAC!”
  David Feliciano
  

• 1:45 pm Tricks for Managing Difficult Injuries: Laparoscopy - Is There a Role?

  Indications
  Technique
  Outcome: one page summary
  Complications
  Timothy Kane
  

• 2:00 pm Q&A Panel 4: Thoracic, Damage Control, Laparoscopy

  Kenneth Mattox
  David Feliciano
  Tim Kane Mauro Basso
  Eric Elster
  David Mooney
  John K. Petty

• 2:30 pm: Fixation: Upper and lower extremity

  External and internal
  Damage control
  Vascular repair (timing)
  Fasciotomy (Demonstrate technique)
  Joseph Alderete
  

• 2:45 pm: Burn Resuscitation and Early Management

  Basic field treatment: prehospital
  Transport method: common complications
  Resuscitation strategy: fluid (when to initiate), pulmonary, renal
  Intubation: Indications
  Complications: Fasciotomy (technique),
  over hydration (treatment)
  Blast injury: impact upon fluid strategy
  Robert Sheridan
  

• 3:00 pm The Future is Now!: Artificial Limb Reconstruction

  New capacity for rehabilitation
  Approach to amputation: which provides best results?
  Rehabilitation: components for success
  Outcome from amputation
  Geoffrey Ling

• 3:15 pm Q&A Panel 5:
  Fixation, Burn, Artificial Limb

  Joseph Alderete
  Robert Sheridan
  Geoffrey Ling
  Johannes Mayer
  T ravis Methany
  Mauricio Pereima
  Andrew J.A. Holland




3:45 pm Break

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• 4:00 pm Difficult Case Presentations

  Blast injury with penetration of the chest, abdomen
  and amputation Eric Elster
  
  Penetrating injury to the thigh, Neck stab,
  Pancreatico-duodenal injury Randall Burd
  

• Difficult Case Presentations (cont'd)

  Athletic injury to the head, Blunt head, spleen and shock Min S. Park
  
  Penetration- thorax and abdomen, Pelvic fracture (packing) and shock;Multi-organ injury, Abdominal compartment VAC Strategy Mary Fallat




4:45 pm Ajournment

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