Trauma & Critical Care Symposium

November 3-4, 2014 • Monday-Tuesday
Workshops November 2, 2014 • Sunday
The Fairmont Copley Plaza
138 St. James Ave, Boston, MA 02116



The care of injured and critically ill patients is complex and challenging. The Harvard Trauma & Critical Care Symposium aims to give clear guidelines to practicing clinicians who manage such patients. This symposium offers an ideal mix of the traditional standard-of-care principles with new, cutting edge information. It explores issues in several areas including resuscitation, surgical techniques, bleeding control, inflammation and infection, respiratory care, nutrition, prehospital care, rehabilitation, and ethics. Multiple learning modalities will be incorporated into the course to engage the learner in the educational process. This will assist the learners to develop new strategies they can apply in their own practice setting.

LEARNING OBJECTIVES

Upon completion of this course, participants will be able to:

  • Apply newly acquired knowledge in the management of trauma patients
  • Formulate complete resuscitation strategies based on evidence-based guidelines and expert opinion
  • Select appropriate diagnostic and therapeutic algorithms for specific trauma presentations
  • Evaluate the evidence supporting diagnostic algorithms and clinical pathways
  • Compare and contrast standard-of-care management with cutting-edge treatments

WHO SHOULD ATTEND

Physicians, nurse practitioners, physician assistants and nurses.

ACCREDITATION

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this live activity for a maximum of 19.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AMA PRA Category 1 Credits™ claimed by physicians attending live events certified and organized in the United States for AMA PRA Category 1 Credits™ can be claimed through the agreement on mutual recognition of credits between UEMS and AMA, considered as being equal to the European Continuous Medical Education Credits (ECMEC©) granted by the UEMS. One AMA PRA Category 1 Credit™ is equivalent to one (1) hour of European EACCME Credit (ECMEC©), therefore up to 19.50 ECMEC© Credits are available. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.


PROGRAM SCHEDULE*

Sunday, November 2, 2014
Precourse 1: Surgical Exposures for Solid Visceral Injuries
George C. Velmahos, MD
9:00 am - 9:20 am Tips for a rapid splenectomy Ali Salim, MD
9:20 am - 9:40 am Liver packing, suturing, glueing George Kasotakis, MD
9:40 am - 10:00 am Total liver isolation and shunt George C. Velmahos, MD
10:00 am - 10:30 am Break  
10:30 am - 10:50 am Distal pancreatectomy (w/ or w/o splenic preservation) Marc A. deMoya, MD
10:50 am - 11:10 am Trauma Whipple Peter J. Fagenholz, MD
11:10 am - 11:30 am Nephrectomy and Nephrorraphy David R. King, MD
Precourse 2: Decision Making for Nurse Practitioners and Physician Assistants
Alice A. Gervasini, PhD
9:00 am - 9:05 am Introduction Alice A. Gervasini, PhD
9:05 am - 9:20 am Blunt Abdominal Trauma: Mechanicsm of Injury & Patterns of Trauma Frederick Millham, MD
9:20 am - 9:35 am Blunt Abdominal Trauma: Clinical Assessment & Diagnostic Work-up Peter J. Fagenholz, MD
9:35 am - 9:50 am Blunt Abdominal Trauma: Differentiating Urgent from Emergent & Who Gets Observed vs. OR Miguel M. Gaeta, MD
9:50 am - 10:30 am Case Presentantions - Panel Discussion Alice A. Gervasini, PhD
Carren T. Harris, RN
Cheryl Waldron, NP
Jacky Kennedy-Harte, RN
Kimberly Roth, NP
10:30 am - 10:45 am Break  
10:45 am - 11:00 am Penetrating Abdominal Pelvic Trauma: Mechanism of Injury and Patterns of Trauma Frederick Millham, MD
11:00 am - 11:15 am Penetrating Abdominal Pelvic Trauma: Clinical Assessment & Diagnostic Work-up Peter J. Fagenholz, MD
11:15 am - 11:30 am Penetrating Abdominal Pelvic Trauma: Differentiating Urgent From Emergent & Who Gets Observed, IR Emobolization, vs. OR Miguel M. Gaeta, MD
11:30 am - 12:10 pm Case Presentantions - Panel Discussion Alice A. Gervasini, PhD
Christopher DePesa, RN
Erin L. Mclaughlin, RN
Ben Hollingsworth, RN
Sandy Muse, RN
Ultrasound Use for the Trauma Bay and the ICU
Marc A. deMoya, MD
13:00 pm - 13:15 pm Extended FAST exam Daniel D. Yeh, MD
13:15 pm - 13:30 pm How do I assess my patient’s volume status? Jonathan Charnin, MD
13:30 pm - 13:45 pm How do I assess my patient’s cardiac function? Aranya Bagchi, MD
13:45 pm - 14:00 pm What do you mean I can use U/S to assess lungs? Kate Richard, MD
14:00 pm - 14:30 pm Simulation of Patient Scenario from Trauma Bay to the ICU  
14:30 pm - 16:30 pm Hands-on Practice (number of stations = 5)  
Monday, November 3, 2014
7:00 am - 7:30 am
Registration
7:30 am - 7:45 am
Welcome
George C. Velmahos, MD
BEFORE THE HOSPITAL
Alasdair K. T. Conn, MD
7:45 am - 8:00 am
Demystifying cardiac compression devices
Paul D. Biddinger, MD
8:00 am - 8:15 am
Prehospital Transexamic Acid: A Must or a No-No?
Suzanne K. Wedel, MD
8:15 am - 8:30 am
Tourniquets and what we learned from the Marathon
David R. King, MD
8:30 am - 8:45 am
Discussion
EMERGENCY DEPARTMENT
Ali S. Raja, MD
8:45 am - 9:00 am
Treatments of Head Injury before CT confirmation
Lisa A. Patterson, MD
9:00 am - 9:15 am
Chest tubes: Does size matter?
Marc A. deMoya, MD
9:15 am - 9:30 am
CT scanning kids: When can it be safely avoided?
Ann Christine Duhaime, MD
IMAGE AND VIDEO SESSION
Ali Salim, MD
9:30 am - 9:45 am
Combined vascular and orthopedic repair
Daniel D. Yeh, MD
9:45 am - 10:00 am
Rib fracture fixation
Andrew R. Doben, MD
10:00 am - 10:10 am
Discussion
10:10 am - 10:40 am
Break
BREAKTHROUGHS AND CONTROVERSIES
Jonathan D. Gates, MD
10:40 am - 10:55 am
Timed cardiac death and organ donation
Ali Salim, MD
10:55 am - 11:10 am
ECMO for the masses
Jose Garcia, MD
11:10 am - 11:25 am
Perioperative antibiotic use after penetrating trauma
Kimberly A. Davis, MD
THE BEST TRAUMA RESIDENT
11:25 am - 12:00 pm
Residents from 5 trauma centers compete
Reuven Rabinovici, MD
12:00 pm - 13:00 pm
Lunch
THE CASES THAT WILL HURT YOU
Michael S. Rosenblatt, MD
13:00 pm - 13:15 pm
Delayed splenic rupture
Haytham Kaafarani, MD
13:15 pm - 13:30 pm
Lateral duodenal gunshot wound
Frederick Millham, MD
13:30 pm - 13:45 pm
Minor pelvic fracture in the elderly
Miguel M. Gaeta, MD
THE JOHN F. BURKE KEYNOTE LECTURE
13:45 pm - 13:50 pm
Introduction
13:50 pm - 14:20 pm
Health care reform and its significance for trauma care
Michael J. Zinner, MD
BWH
14:20 pm - 14:45 pm
Break
PENETRATING TRAUMA
Timothy A. Emhoff, MD
14:45 pm - 15:00 pm
Sequelae after nonop management of liver injuries
Elliot R. Haut, MD
15:00 pm - 15:15 pm
Should all retroperitoneal hematomas be explored?
Peter J. Fagenholz, MD
15:15 pm - 15:30 pm
Pharyngeal and esophageal trauma: Different?
George Kasotakis, MD
15:30 pm - 15:45 pm
Discussion
15:45 pm - 16:45 pm
THE SURVIVOR GAME
George C. Velmahos, MD
Kathryn L. Butler, MD
Zara Cooper, MD
George Kasotakis, MD
Tuesday, November 4, 2014
NEVER EVENTS (AND OTHER FUNNY STORIES)
Ronald I. Gross, MD
8:00 am - 8:15 am
Falls in the hospital
Christopher DePesa, RN
8:15 am - 8:30 am
Pressure ulcer is the nurse's fault: Yeah right!
Sandra Muse, RN
8:30 am - 8:45 am
Better not screen for DVT?
Elliot R. Haut, MD
8:45 am - 9:00 am
Discussion
INJURY AT THE JUNCTIONAL AREA: CASE-BASED
George C. Velmahos, MD
9:00 am - 9:15 am
Injury at the axilla
Tracy Dechert, MD
Ronald I. Gross, MD
Ali Salim, MD
9:15 am - 9:30 am
Injury at the inguinal area
Tracy Dechert, MD
Ronald I. Gross, MD
Ali Salim, MD
9:30 am - 9:45 am
Injury at the base of the neck
Peter A. Burke, MD
Timothy A. Emhoff, MD
Elliot R. Haut, MD
9:45 am - 10:00 am
Injury at the thoracoabdomen
Peter A. Burke, MD
Timothy A. Emhoff, MD
Elliot R. Haut, MD
10:00 am - 10:30 am
Break
ROUND TABLE: SIMULATION AND CONSTIPATION
Marc A. deMoya, MD
10:30 am - 10:50 am
ASSET, ATOM, DMEP, TOPIC and other nice acronyms
Heena P. Santry, MD
Ronald I. Gross, MD
Susan M. Briggs, MD
10:50 am - 11:10 am
10 days postop and no gas: What's next?
Heena P. Santry, MD
Ronald I. Gross, MD
Susan M. Briggs, MD
TRAUMA JEOPARDY
David R. King, MD
11:10 am - 11:50 am
Trauma and critical care questions (and not only)
Haytham Kaafarani, MD
Alok Gupta, MD
Zara Cooper, MD
11:50 am - 12:50 pm
Lunch
RAPID FIRE CRITICAL CARE
Edward Kelly, MD
12:50 pm - 13:00 pm
The best weaning protocol
Luca M. Bigatello, MD
13:00 pm - 13:10 pm
The best empiric antibiotic regimen
Peter J. Fagenholz, MD
13:10 pm - 13:20 pm
The best sedation agent
Jarone Lee, MD
13:20 pm - 13:30 pm
The best treatment for delirium
Shamim H. Nejad, MD
13:30 pm - 13:45 pm
Discussion
DEBATE SESSION
George C. Velmahos, MD
13:45 pm - 13:50 pm
Case Presentation
George C. Velmahos, MD
13:50 pm - 14:05 pm
I will do everything to save your leg
Ali Salim, MD
14:05 pm - 14:20 pm
I will remove the leg to give you life
Elliot R. Haut, MD
14:20 pm - 14:30 pm
Discussion and Vote
14:30 pm - 14:50 pm
Break
NEVER EASY
Jarone Lee, MD
14:50 pm - 15:05 pm
Tips to identify child abuse
Peter T. Masiakos, MD
15:05 pm - 15:20 pm
Nutrition in the ICU
Daniel D. Yeh, MD
15:20 pm - 15:35 pm
When to stop blood transfusion ?
Askari Reza, MD
LAST PERSON STANDING!
George C. Velmahos, MD
15:35 pm - 16:15 pm
Interactive game with the audience
The audience

*Program changes/substitutions may be made without notice.

REGISTRATION INFORMATION



Course Number #3414022

Tuition Fees:
Physician Fee $690.00 (USD)
Residents & Fellows $590.00 (USD)
Nurse/Allied Health Professionals $550.00 (USD)

PAYMENT INFORMATION

Registration by credit card (VISA, MasterCard or American Express) can be made here. Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School, Department of Continuing Education, P.O. Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information including registration confirmation, evaluation and certificate.

ACGME COMPETENCIES

This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies:

  • Patient care
  • Medical knowledge
  • Practice-based learning and improvement
  • Systems-based practice

DISCLOSURE POLICY

Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS's policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

TUITION REFUND POLICY

A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email or fax one week prior to this activity. No refunds will be made thereafter.

INQUIRIES

By phone 617-384-8600, Monday–Friday, 9 AM to 5 PM (EST)
or by email hms-cme@hms.harvard.edu.

COURSE LOCATION

All sessions for this course will be held at The Fairmont Copley Plaza, 138 St. James Avenue – Boston, MA 02116

ACCOMMODATIONS/TRAVEL

A limited number of rooms have been reserved at The Fairmont Copley Plaza, 138 St. James Avenue – Boston, MA 02116 until October 9, 2014. Please specify that you are enrolled in this course to receive a Fairmont room for $329.00 or a Deluxe room for $359.00 per night. Hotel arrangements can also be made online here. Please do not purchase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airfare reservations, contact the HMS Travel Desk toll free at 1-877-4-HARVMD (1-877-442-7863) Monday - Friday, 9 am to 5 pm (ET). From outside the U.S., Canada, and Virgin Islands, please call 1-617-559-3764.



Course #3414022





Offered by Department of Surgery

Course Director
George C. Velmahos
MD, PhD, MSEd
John F. Burke Professor of Surgery

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FACULTY

Symposium Director:
George C. Velmahos
MD, PhD, MSEd

John F. Burke Professor of Surgery, Harvard Medical School Chief, Division of Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital

Administrative Course Coordinator:
Rosangely Cintron Administrative Assistant & Symposium Coordinator Division of Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital


GUEST FACULTY

Luca M. Bigatello, MD
Director, Surgical Critical Care St. Elizabeth's Medical Center Professor of Anesthesiology Tufts University School of Medicine

Peter A. Burke, MD
Professor of Surgery Boston University School of Medicine Chief of Trauma & Surgical Critical Care & Emergency Surgery Program Director, Acute Care Surgery & Critical Care Fellowship Boston Medical Center

Kimberly A. Davis, MD
Professor of Surgery Yale University School of Medicine Vice Chair for Clinical Affairs Chief of Trauma, Surgical Critical Care and Surgical Emergencies Trauma Medical Director Surgical Director Quality & Performance Improvement Yale-New Haven Hospital

Tracey Dechert, MD
Assistant Professor of Surgery Associate Program Director, General Surgery Residency Division of Trauma and Surgical Critical Care Boston University Medical Center

Andrew R. Doben, MD
Assistant Professor of Surgery Tufts University School of Medicine Attending Surgeon Baystate Medical Center

Timothy A. Emhoff, MD
Clinical Associate Professor of Surgery University of Massachusetts Medical School Chief of Trauma and Surgical Critical Care UMass Memorial Medical Center

Ronald I. Gross, MD
Associate Professor of Surgery Tufts University School of Medicine Chief, Division of Trauma & Emergency Surgery Services Baystate Medical Center

Elliott R. Haut, MD
Associate Professor of Surgery The Johns Hopkins University School of Medicine Anesthesiology/Critical Care Medicine and Emergency Medicine The Johns Hopkins Hospital

George Kasotakis, MD
Assistant Professor of Surgery Division of Acute Care Surgery Boston University School of Medicine Boston Medical Center

Lisa A. Patterson, MD
Associate Professor of Surgery
Tufts University School of Medicine
Director, Trauma Services
Baystate Health Hospital.

Reuven Rabinovici, MD
Professor of Surgery Tufts University School of Medicine Chief, Division of Trauma & Acute are Surgery Vice-Chair for Research, Department of Surgery Tufts Medical Center

Michael S. Rosenblatt, MD
Clinical Associate Professor of Surgery Tufts University School of Medicine Chief Medical Officer & Director, Trauma Service Lahey Clinic Medical Center

Ali Salim, MD
Professor of Surgery Division Chief, Trauma Burn & Surgical Critical Care Brigham & Women’s Hospital

Heena P. Santry, MD
Assistant Professor of Surgery Trauma & Critical Care University of Massachusetts Medical School

Suzanne K. Wedel, MD
Assistant Professor of Surgery
Boston University School of Medicine
Chief Executive Officer and Medical Director
Boston MedFlight



HARVARD MEDICAL SCHOOL FACULTY

Aranya Bagchi, MD
Instructor in Anesthesia
Assistant in Anesthesia,
Critical Care & Pain Medicine
Massachusetts General Hospital

Paul D. Biddinger, MD
Assistant Professor of Surgery Vice Chair for Emergency Preparedness Vice Chair for Clinical Affairs (Interim) Director of MGH/Partners Healthcare Massachusetts General Hospital

Susan M. Briggs, MD
Associate Professor of Surgery Affiliate Faculty, Department of Global Health & Social Medicine Senior Surgeon, Director of International Trauma & Disaster Institute Massachusetts General Hospital

Kathryn L. Butler, MD
Assistant in Surgery
Associate Clerkship Director
Massachusetts General Hospital

Alasdair K.T. Conn, MD
Medical Director, MGH Inpatient Access and Transfer Center Chief Emeritus, Department of Emergency Medicine Associate Professor of Surgery Massachusetts General Hospital

Zara Cooper, MD
Assistant Professor of Surgery Division of Trauma, Burn and Critical Care Brigham and Women’s Hospital

Christopher DePesa, RN
Trauma Nurse Coordinator Division of Trauma, Emergency Surgery, & Surgical Critical Care Massachusetts General Hospital

Ann Christine Duhaime, MD
Nicholas T. Zervas Professor of Neurosurgery Chief, Pediatric Neurosurgery Massachusetts General Hospital

Marc A. deMoya, MD
Associate Professor of Surgery Medical Director, Medical/Surgical ICU Program Director, Acute Care Surgery Massachusetts General Hospital

Peter J. Fagenholz, MD
Instructor in Surgery Division of Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital

Miguel M. Gaeta, MD
Instructor in Surgery Massachusetts General Hospital Trauma Medical Director Elliot Hospital

Jose Garcia, MD
Surgical Director, Cardiothoracic Transplantation & Artificial Heart & lung Program Cardiac Surgery Massachusetts General Hospital

Jonathan D. Gates, MD
Assistant Professor of Surgery Vascular Surgeon & Director, Trauma Center Brigham & Women’s Hospital

Alice A. Gervasini, PhD
Instructor in Surgery Nurse Director of Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital

Alok Gupta, MD
Instructor in Medicine Acute Care Surgeon Trauma Beth Israel Deaconess Medical Center

Caren T. Harris, NP
Senior Nurse Practitioner Pediatric Trauma & Surgical Services Massachusetts General Hospital for Children

Benjamin Hollingsworth, NP
Division of Trauma, Emergency Surgery and Surgical Critical Care Massachusetts General Hospital

Haytham Kaafarani, MD
Instructor in Surgery Division of Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital

Jaqueline Kennedy-Harte, RN
Critical Care Nurse Practitioner Surgical Intensive Care Unit Massachusetts General Hospital

David R. King, MD
Assistant Professor of Surgery Division of Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital

Edward Kelly, MD
Assistant Professor of Surgery Director of Surgical Critical Care & Acute Care Surgery Programs Brigham & Woman’s Hospital

Jarone Lee, MD
Assistant Professor in Surgery Division of Trauma, Emergency Surgery, Surgical Critical Care Massachusetts General Hospital

Peter T. Masiakos, MD
Assistant Professor of Surgery Pediatric Surgeon Massachusetts General Hospital for Children

Erin L. McLaughlin, NP
Nurse Practitioner Division of Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital

Frederick Millham, MD
Clinical Associate Professor of Surgery Massachusetts General Hospital Chair of Surgery Newton Wellesley Hospital

Sandra Muse, NP
Nurse Director Surgical Intensive Care Unit Massachusetts General Hospital

Shamim H. Nejad, MD
Burns and Trauma Psychiatry Consultant Department of Surgery and Psychiatry Massachusetts General Hospital

Ali S. Raja MD
Assistant Professor Vice Chair for Network Development Department of Emergency Medicine Brigham & Women’s Hospital

Askari Reza, MD
Instructor in Surgery Associate Trauma Director Brigham & Women’s Hospital

Kate Richard, MD
Instructor in Anesthesia Medical Director of Pre-Admission Testing Massachusetts General Hospital

Kimberly Roth, NP
Churchill Trauma and Emergency Surgery Nurse Practitioner Division of Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital

Cheryl Waldron, NP
Nurse Practitioner Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital

Daniel D. Yeh, MD
Clinical Instructor of Surgery Division of Trauma, Emergency Surgery & Surgical Critical Care Massachusetts General Hospital

Keynote Lecturer:
Michael J. Zinner, MD

Surgeon in Chief Chairman, Department of Surgery Brigham & Women’s Hospital

 

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    Last update 7.10.2014