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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
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
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!
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.
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.
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
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
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
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
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
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
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.
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.
**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.
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