TraumaCon 2024

Geriatric hip fractures (GHF) are a common injury with substantial morbidity and mortality. There are risk factors associated with GHF and some are preventable. This interactive session will discuss how GHF care is different across the globe. Practice guidelines and prevention programs from various countries will be reviewed and discussed. Participants will be discussing and determining why some initiatives are successful as the group tries to develop a more universal practice guideline.

Learning Objectives:

1. Identify which countries have the most geriatric hip fractures
2. Recognize which co-morbidities are universal for geriatric hip fracture patients
3. Classify evidence-based practice guidelines to prevent the top three complications in geriatric hip fracture patients
4. Distinguish which geriatric hip fracture prevention programs are successful and why they succeed

During this 4-hour session, subject matter experts will share their successes (and failures) in the areas of efficiency for data processes, useful math for various rates, clinical practice management guidelines monitoring, and the culture of safety. Case scenarios will be utilized to drill down on critical concepts.

Learning Objectives:

1. Describe ways of creating efficient, paperless, LEAN data processes that lead to concurrent processes
2. Incorporate different ways to monitor care through accurate calculations of audit filters, complication rates, and over-under triage
3. Streamline the process of measuring compliance with practice guidelines
4. Implement ways to showcase trauma care through data
5. Integrate patient care scenarios for issue identification through to event resolution

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Comprehensive review of the diagnosis and management of hemorrhagic shock including signs and symptoms associated with amount of blood loss, common traumatic etiologies, stop the bleed techniques, use of tranexamic acid (TXA), use of four-factor prothrombin complex (4-PCC), and use of fresh frozen plasma (FFP).

Learning Objectives:

1. To identify the four classes of hemorrhagic shock
2. To identify five sources of exsanguination
3. To learn external and internal signs of intraabdominal injury
4. To understand methods of hemorrhage control
5. To learn appropriate use of tranexamic acid in trauma
6. To learn appropriate use of fresh frozen plasma in trauma

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Are you struggling with impactful injury prevention for children and adolescents? Are you looking for where to start your injury prevention program and get the biggest “bang for your buck”? This session is for you! Come learn about new ways to create impactful injury prevention for your young patients. Tips for data collection, fostering community partnerships, developing program focus, and more will be discussed as well.

Learning Objectives:

1. Data sourcing, interpretation, presentation
2. New technology to help create prevention education and expand your program’s reach
3. How to develop meaningful relationships
4. It’s all about presentation- putting together a strategic plan for the C-Suite.

Join our discussion as we share innovative methods for mitigating variations in TQIP data within the trauma registry and performance improvement platforms to improve the performance improvement process and patient outcomes. Optimizing practices prior to the MTDB submission will help to prevent inaccurate, unfavorable, TQIP reports.

Learning Objectives:

1. The learner will be able to identify the specific NTDB events used to generate TQIP Pre-driller reports from the trauma registry and PI databases
2. The learner will be able to describe the process for comparing data in the trauma registry and PI reports prior to data submission to TQIP to help inform inter-rater reliability practices
3. The learner will be able to decipher their TQIP pre and post driller reports to determine areas for improvement in the PI process and improve patient outcomes

We've all heard of Willy Wonka and the Chocolate Factory but what you didn't know is that was a cover for his ketamine factory. Come and listen to the retelling of this classic story and how ketamine can be used in a variety of settings in your clinical practice. Learn about the golden clinical trial winners and their use of ketamine. Don't worry, there is still the villainous Mr. Slugsworth who spreads rumors about the contraindications of ketamine use but that will also be discussed.

Learning Objectives:

1. Listeners will be able to describe the physiologic effect of ketamine in the body
2. Listeners will identify the patient population that would benefit from ketamine administration
3. Listeners will be able to discuss the controversial use of ketamine in recent years and how to overcome those challenges.

Patients with chest wall trauma experience high morbidity (48% complication rate) and mortality (22% in the geriatric population). Developing the skills to assess, intervene, and monitor these patients using a multidisciplinary approach promotes effective care to mitigate complications. Evidence-based interventions presented in this high-level session include pulmonary hygiene, multimodal pain regimens, mobility, chest tube management, and surgical rib fixation for adult and geriatric patients.

Learning Objectives:

1. Describe assessment strategies based on mechanism of injury
2. Choose appropriate interventions based on clinical presentation & assessment
3. Identity roles and responsibilities of multidisciplinary team to promote optimal outcomes

The success of any trauma program depends on the continuation of all operations regardless of outside influences. Could your program maintain “Business as usual” if your personnel are not available? Some programs can, some cannot. Succession planning and creation of redundancy in key positions are an important component of every trauma program. While this is of utmost importance, are we planning for it? Can we foresee who will or won’t be our colleague’s tomorrow, next week, or next year?

Learning Objectives:

1. Assess the current state of their program with identification of gaps or redundancy within the staff
2. Assess growth potential in the current staff and develop specific goals for growth with the emphasis on promotion
3. Have a clear plan to transition leadership roles
4. There should be an ongoing process for knowledge sharing and continuity amongst the entire staff. This should be discussed on an annual basis with the group

The Trauma Survivors Network(TSN) is a community of patients and families looking to connect with one another and rebuild their lives after a serious injury. The American Trauma Society(ATS), in partnership with trauma centers around the country, is committed to supporting and growing the TSN by providing the programs and resources patients and families need to manage their recovery and improve their lives. During this session you can learn about the TSN programs and the power of peer support.

Learning Objectives:

1. Describe the programs offered through the TSN
2. Explore the ways in which TSN support can be offered at individual trauma centers with different staffing and funding capabilities
3. Understand the importance of peer support and psychosocial support for trauma patients and their families

Acute stress disorder and post-traumatic stress disorder are sequalae that pediatric trauma patients can experience. Children and adolescents can react differently to traumatic events that they have experienced. It’s important to screen and identify these patients at risk and provide support and resources for them during their hospitalization. The American College of Surgeons have implemented new mental health standards.

Learning Objectives:

1. The learner should be able to define acute stress disorder and post-traumatic stress disorder
2. Identify symptoms of acute stress disorder and post-traumatic stress disorder
3. The learner should be able to identify recommended screening tools from TQIP Best Practice Guidelines

The perspective of care through the family’s point of view can be enlightening towards the improvement of family centered care of the traumatically injured patient. Shakeva will provide her experience at the bedside as family member and discuss how this molded her into the trauma provider that she is today. She attributes her personal experience to helping her to develop an understanding of the importance of family-centered care and screening for PTSD in traumatically injured patients.

Learning Objectives:

1. Assess the importance of family centered care in their practice
2. Integrate methods of family centered-care in their practice
3. Examine the historical and current practices of screening for PTSD in trauma care

Prioritization of acute airway compromise remains central dogma in emergency medicine and patients experiencing traumatic injury. This presentation will discuss prehospital intubation compared to patients intubated within ten minutes of ED arrival.

Learning Objectives:

The objective of this presentation is to compare prehospital airway management techniques; their impact on scene times, and patient outcomes to patients intubated within 10 minutes of ED arrival.

STN and IAFN-funded researchers evaluated longitudinal retrospective data on Interpersonal Violence (IV) survivors and interviewed ED nurses to inform RN evidence-collection training. Age, gender, and ethnicity were statistically associated with assault occurrence and reporting time. An RN evidence-collection training was completed in which a significant increase in knowledge scores was observed in both cohorts of the evidence-collection training, p<.001, with large effect sizes (r<.78).

Learning Objectives:

1. Discuss different methodologies for analyzing IV survivor data, such as retrospective patient data and semi-focused interviews with ED RN staff
2. Discuss how GIS mapping will facilitate the identification of community-based IV hotspots
3. Identify essential elements of the RN training on evidence collection
4. Articulate the advantages of using graphic medicine comics in educational instruction

An updated version of the "Resources for the Optimal Care of the Injured Patient" was released in March of 2022 with a December 2022 update. The goal of this session will be to provide multi-institutional (adult and pediatric) perspectives and insight on the December 2022 version. The hospitals represented all have re-verified under the new edition. How those hospitals interpreted the "grey" book, and the results of their site visits under the new requirements will be offered.

Learning Objectives:

Increase knowledge regarding the process, and our experiences regarding trauma re-verification using the December 2022 "Resources for the Optimal Care of the Injured Patient."

This activity aims to inspire trauma leaders at all levels, especially those who work with low-, mid-income, and war countries, to be creative, intuitive, and learn from others. The speaker inaugurated the trauma program in Lebanon in 2010 and has been actively involved on a national, regional, and international level in trauma education, management, & research. She created a new website to show MENA's achievements and innovations, and she is now working on a tool to improve population health.

Learning Objectives:

By the end of this presentation, the attendees will better understand the situation in the Middle East and see how the team reached a higher level of visibility and collegiality. Moreover, they can take away insight and collaborate with the MENA to duplicate the work in their regions.

Details coming soon!

Trauma registry data is the backbone of any trauma program in that it drives program quality and process improvement initiatives. As such, trauma programs need a concise, effective way to validate data in a consistent manner. This session is designed to help improve data validation in any trauma program by giving you the tools and education needed to develop an audit process specific to your program’s needs.

Learning Objectives:

1. Attendee will define the concept of inter-rater reliability (IRR) as it relates to data abstraction and registry utilization in trauma
2. Attendee will have an increased understanding of how inter-rater reliability audits can promote quality data abstraction and increase validity of benchmarking reports
3. Attendee will have the resources necessary to develop a registry audit process specific to their program needs

Upon arrival at the ED, hypocalcemia has been shown in almost 60% of patients involved in a traumatic event. It is associated with increased morbidity and mortality, as well as poor coagulation, among other pathologies. The goal of this project is to evaluate our trauma population to determine the prevalence of hypocalcemia via ionized calcium, plus, ongoing assessment of predictive factors, highest percentage of hypocalcemia occurrence, and expansion to multiple study sites.

Learning Objectives:

1. Increase awareness of calcium deficiency related to traumatic injury, and as an indicator of morbidity and mortality.
2. Share our facility's process of transition to ionized calcium and multi-site study expansion.

The healthcare system can be challenging to navigate and often survivors of gun violence have unique needs and are at a higher risk for poor quality of life outcomes including chronic pain, PTSD, and chronic physical disability. The development of the Nurse Navigator role along with the Trauma Quality of Life (TQoL) Follow up Clinic helps to address these unique challenges to assist in improved health outcomes and trust within the healthcare system, during hospitalization and after discharge.

Learning Objectives:

1. Identify reasons victims of gun violence are a high-risk population of focus for the Nurse Navigator and Trauma Quality of Life Clinic program.
2. Understand the importance of each role of interdisciplinary approach and structure of TQoL Clinic program and Nurse Navigator role
3. Explain the benefits to the hospital system including outpatient engagement (return to clinic rate of 92%), and reducing unnecessary healthcare visits (6 months cost-savings of over $100,000)

While patients with severe burns are rare, prepare yourself with knowledge of how to care for these patients to help optimize their resuscitation. This course will give an overview of burn physiology, airway considerations, overcoming challenges with vascular access, initial fluid resuscitation and wound care. Also, the course will cover groundbreaking frostbite treatments.

Learning Objectives:

1. Describe the pathophysiologic changes for patients with surface trauma and thermal injuries
2. Describe the care of the frostbite patient
3. Plan interventions for the care of patients with surface trauma and thermal injuries
4. Evaluate the effectiveness of the interventions

The ACS standards focus on the resources for optimal care of the injured patient. While defining best practices to drive high-quality care is an important component, demonstrating compliance through documentation is often challenging and inconsistent. Documentation is key to validating compliance with the standards as part of the verification review process. The session will examine multiple standards and offer examples of how one may demonstrate measures of compliance through the PIPS process.

Learning Objectives:

1. Discuss select ACS 2022 trauma standards and response requirements
2. Describe processes that will demonstrate standard compliance
3. Review examples of documentation that provides measures of compliance