Deep in the Heart of Trauma Care
March 30 – April 1, 2011 | Grand Hyatt San Antonio
San Antonio, TX
Conference Agenda
| 7:45 – 4:30 PM, Trauma Outcomes & Performance Improvement Course (TOPIC) | ||
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Heidi Hotz, RN Kathleen D. Martin, MSN, RN, CCRN TOPIC was developed by a seasoned group of trauma leaders, to assist participants with the Performance Improvement (PI) process in trauma care. This one-day course focuses on skill development for trauma program staff who are involved in the ongoing evaluation of trauma care across the continuum. It offers concrete strategies for the monitoring of trauma care, loop closure, and patient outcomes. The course provides practical lessons for all levels of trauma centers, from entry level to those who have achieved a mature phase of program development. TOPIC consists of 12 modules in PI and outcomes assessment, and includes over 50 case study examples, sample documents, and templates. Moderator – Connie Mattice, RN, MSN, CCRN, ANP |
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| 8:00 – 4:00 PM, Optimal Trauma Center Organization & Management Course | ||
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Frank "Tres" Mitchell, III, MD, MHA, FAC Amy Koestner, RN, MSN Judy Mikhail, RN, MSN, MBA The American College of Surgeons Committee on Trauma (ACS-COT) and the Society of Trauma Nurses (STN) have partnered to develop the Optimal Trauma Center Organization & Management Course.
 Moderator – Amy Koestner, RN, MSN |
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| 12:30 – 4:35 PM, Child Abuse: A Problem Bigger Than Texas | ||
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Karla Lawson, PhD, MPH Jamye Coffman, MD Sue Cox, RN, MSN, CEN, PHN Nilda Garcia, MD Rachel Berger, MD, MPH Jamie Ferrell, RN Lt. Andrew Carian Catherine Babbitt Desmond Runyan, MD, DrPH Violence against children presents trauma centers with one of their most serious and daunting challenges, regardless of geographiclocation. Affecting more than 12 children in a thousand, child abuse is responsible for the deaths of almost 1500 children per year—the majority occurring in children less than 4 years of age. STN's Pediatric Committee brings you this remarkable 4-hour pre-conference, which focuses on the screening, recognition, prosecution, treatment, and prevention of non-accidental injury against children. This program assembles national and regional experts to discuss topics from the epidemiology of abuse to successful prevention programs. This is essential information for trauma care providers who care for children of any age. Topics
 Moderators - Deb Brown, RN, BSN, MHA |
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| 12:30 – 4:35 PM, Severe Brain Trauma: Guidelines & Emerging Science | ||
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Claudia Robertson, MD Mary Kay Bader, RN, MSN, CCNS, FAHA Severe TBI patients require complex and coordinated monitoring and interventions. In the best of circumstances, these efforts are based on evidence-based practice guidelines that work to minimize secondary brain injury while optimizing cerebral perfusion. This half-day course is designed for acute care trauma providers, to enhance their ability to promote optimal outcomes for severe neuro-trauma patients. Its purpose is to review the evidence for current monitoring techniques, treatment parameters, interventions, and goals in severe brain trauma. The speakers will also address emerging science in neuro critical care, including an overview of research in intentional hypothermia for this population. Agenda
Moderators: Linda Reinhart, RN, MSN, CNS, CCRN |
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| 6:30 AM – 6:30 PM - Conference & Exhibitor Registration Open 7:00 AM – 9:00 AM - Continental Breakfast |
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| 7:30 – 8:30 AM: Opening Session & Welcome Moderator – 2011 STN President-Elect |
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President's Address and Annual Meeting Your journey to the heart of trauma care starts here, with the Annual Meeting and President's address. This session is open to all full conference attendees. Our incoming STN President, Betsy Seislove, will give an update of STN activities, introduce the Board of Directors, and discuss collaborative strategies for trauma nurses and for trauma centers within trauma systems. This session includes the presentation of STN Awards. Explore and learn more about STN and what it means to be an active member. |
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| 8:30 – 10:00 AM: PLENARY SESSION I: Trauma Systems & Disaster Management A discussion of trauma systems often prompts more questions than answers: Do trauma systems really save lives? What do trauma systems in different states and regions have in common? In the case of natural disasters or terrorist events, are resources dispersed better when there is a functioning trauma system in place? Are trauma systems worth the effort and expense? And finally, are trauma systems at risk in the current era of anti-regulation and cost constraints. These are among the questions that this panel of experts will attempt to address. |
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8:30 – 8:55 AM: Trauma Systems: A Comprehensive Review of Where We are Today |
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8:55 – 9:20 AM: Trauma System Survival |
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9:20 – 9:45 AM: Disaster Management: The Role of Trauma Systems |
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9:45 – 10:00 AM: Panel Q & A |
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| Concurrent Sessions I, 10:15 – 11:15 AM |
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PREVENTION Armed with the knowledge that infant crying behavior can lead to parent frustration and abusive head trauma, many centers now use prevention materials from the Period of Purple Crying program. A leading child abuse researcher shares information about this empirically tested program. Moderator – Sally Snow, RN, BSN, CPEN, FAEN |
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ENVENOMATION Snakebite presents challenges related to timeliness of care, availability of resources such as anti-venom, and skilled wound management. This talk provides an overview of the coordinated efforts required to save life and limb when the fangs strike. Moderator – Tracy Cotner-Pouncy, RN |
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CLINICAL MANAGEMENT Erik Barquist MD, FACS, FCCM 2011 EAST President, Jackson Health System• Miami, FL Michael D. Pasquale, MD, FACS, FCCM Lehigh Valley Medical Center, Allentown, PA Multiple rib fractures are a marker for underlying severe injury and are often associated with respiratory compromise, inadequate pain control, and prolonged ventilator care. In this session, two leading trauma surgeons discuss options for optimal treatment of this challenging and difficult to manage traumatic injury. Moderator – Vicki Bennett, RN, MSN, CEN, CCRN |
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RESEARCH & PUBLICATION Need help bringing your project findings from the analysis stage to publication? This session, presented by the Editor of JTN, will give you practical advice and writing tips designed to increase the chances of getting your work published. Moderator – Marie Dieter, MSN, RN, PHRN, CEN |
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NEURO Neuro ICU care has grown in complexity, and is compounded by the presence of devastating injury. Learn about the current state of multi-modality monitoring, including measurement of ICP, brain oxygen, cerebral blood flow, neurochemicals, pupil dynamics, and sedation levels, which enhance conventional neuro assessments. Moderator – Holly Bair, RN, MSN, NP |
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11:30 – 12:30 PM - Lunch in the Exhibit Hall: Grand opening of the Exhibit Hall Posters available for viewing/Start your "Texas Hold 'em"/Exhibit Hall will remain open until 6:30 PM |
| Concurrent Sessions II, 1:00 – 2:00 PM |
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PEDIATRIC TRAUMA Abusive head trauma among infants and young children is a leading cause of death from child abuse, and its incidence has risen dramatically in the U.S. over the past few years. A nationally recognized expert in the research and clinical care of children with abusive head trauma shares information about the factors influencing this phenomenon, including evaluation diagnosis. Moderator – Chris McKenna, MSN, RN, CRNP |
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CLINICAL MANAGEMENT Mass casualty events and multiple burn patients can exhaust surge capacity in a region, leaving non-burn centers to manage these patients for days instead of hours. In this session, learn from a burn program director about the key elements of early stabilization and management of burn patients. Moderator – Holly Bair, RN, MSN, NP |
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LEGISLATION Paula Yuma, MPH, CHES Dell Children's Medical Center of Central Texas, Austin, TX Timothy L. Ohrum The Hospital & Healthsystem Association of Pennsylvania Whether it's a booster seat law or funding a trauma system, passing trauma legislation requires collaboration among trauma centers, legislators, lobbyists, and organizations that share similar goals. In this session, two speakers share lessons learned from their legislative efforts. Moderator – Juliet Geiger, RN, MSN |
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ORAL PRESENTATIONS Authors, TBA Moderator – Marie Dieter, MSN, RN, PHRN, CEN |
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NEURO Neuro ICU care has grown in complexity, and is compounded by the presence of devastating injury. Learn about the current state of multi-modality monitoring, including measurement of ICP, brain oxygen, cerebral blood flow, neurochemicals, pupil dynamics, and sedation levels, which enhance conventional neuro assessments. Moderator – Vicki Bennett, RN, MSN, CEN, CCRN |
| Concurrent Sessions III, 2:15 – 3:15 PM |
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PEDIATRIC TRAUMA Factors like late reporting and the lack of external signs of injury make inflicted abdominal trauma in children more likely to have associated complications that can lead to death. In this session, a leading pediatric surgeon describes characteristics and treatment of non-accidental abdominal trauma in children. Moderator – Deb Brown, RN, BSN, MHA |
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CLINICAL MANAGEMENT Mass casualty events and multiple burn patients can exhaust surge capacity in a region, leaving non-burn centers to manage these patients for days instead of hours. Learn about the key elements of early stabilization and management of burn patients in this session, from a burn program director. Moderator – Rose Bolenbaucher, MSN, RN |
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ENVENOMATION Snakebite presents challenges related to timeliness of care, availability of resources such as anti-venom, and skilled wound management. This talk provides an overview of the coordinated efforts required to save life and limb when the fangs strike. Moderator – Tom Ellison, RN, MSN, CCRN |
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ORAL PRESENTATIONS Authors, TBA Moderator – Marie Dieter, MSN, RN, PHRN, CEN |
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RESEARCH & PUBLICATION Tackling an Evidence-Based Practice (EBP) project for the first time can be daunting, especially if the research seems far-removed from the bedside. This talk will help you get started with your EBP idea by discussing the steps needed for a successful project. Moderator – Betsy Seislove, RN, MSN, CCRN |
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| 6:30 AM – 4:30 PM - Conference Registration Open 7:00 AM – 9:00 AM - Continental Breakfast |
| 7:30 – 8:40 AM: DAYBREAK PLENARY SESSION II: Data, Quality, and Outcomes Moderator - Madonna Walters, MS, RN To improve patient care for the injured, trauma centers are expected to benchmark their data and trend complications, 'never' events, mortality, and other outcomes. The goal of benchmarking is to identify opportunities for improvement that ultimately lead to better clinical practices and better trauma care. In this session, you can enhance your understanding of the "how to" of data trending with lessons from TQIP, the military's JTTR, and internal error analysis. This session is open to all who have registered for the full conference. |
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7:30 – 7:50 AM: TQIP (Trauma Quality Improvement Program): Do the Data Tell the Whole Story About Outcomes |
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7:50 – 8:10 AM: Performance Improvement & Battlefield Outcomes: Impact of the JTTR (Joint Theater Trauma Registry) |
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8:10 – 8:30 AM: Trauma CSI: Using Error Analysis to Identify Opportunities for Improvement |
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8:30 – 8:40 AM: Panel Q & A |
| 8:50 AM – 10:00 AM: PLENARY SESSION III: Trauma Resuscitation Moderator - Vicki Bennett, RN, MSN, CEN, CCRN Effective trauma resuscitation is a keystone of trauma care, and requires a coordinated effort and communication from all team members. While the A-B-C's provide structure, the team must be ready, vigilant, and organized to achieve success—regardless of civilian or military settings. During this plenary session, three trauma leaders discuss common errors in resuscitation, challenges in hemorrhage control, and resuscitation of the elderly. |
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8:50 – 9:10 AM: Stop the Bleeding |
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9:10 – 9:30 AM: Common Errors in Resuscitation |
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9:30 – 9:50 AM: Trauma Resuscitation in the Elderly |
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9:50 – 10:00 AM: Panel Q & A |
| 10:00 AM – 10:30 AM: BREAK—EXHIBITS OPEN |
| 10:30 AM – 11:50 AM: PLENARY SESSION IV: Challenging Times, Compassion, and Transparency Moderator - Melinda Case, RN For some time now, family presence during resuscitation has been controversial, and families are sent to waiting rooms while the trauma team performs life-saving measures. These practices endure in spite of growing research that family presence is beneficial to patients and families. Some resistance stems from fear of malpractice lawsuits, though recent studies suggest that the opposite may be true: Family presence fosters appreciation for the trauma team's efforts to do "everything possible." These three speakers will explore the issues surrounding both family presence during resuscitation and the perceived versus actual malpractice risk associated with open discussion of errors. |
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10:30 – 10:50 AM: Family Presence During Resuscitation: Looking Back 10 Years |
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10:50 – 11:20 AM: Are We Ready for Family Presence? |
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11:20 – 11:40 AM: Open Discussion of Errors: Does it Increase Malpractice Risk? |
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11:40 – 11:50 AM: Panel Q & A |
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11:50 – 1:15 PM: LUNCHEON and DISTINGUISHED LECTURESHIP Donald Jenkins, MD, FACS The Society of Trauma Nurses is pleased to announce Dr. Donald Jenkins as the recipient of the 2011 Distinguished Lectureship Award. Dr. Jenkins is the 2010 president of the Eastern Association for the Surgery of Trauma (EAST). In 2008, he retired from the U.S. Air Force after having served as the Trauma Medical Director at Lackland Air Force Base in Texas. For over a decade, Dr. Jenkins was responsible for all trauma medical care and administration at Wilford Hall USAF Medical Center in San Antonio, Texas, the USAF's only American College of Surgeons Verified Level 1 Trauma Center. He was also the Flight Commander and Chairman of General Surgery for 59MDW. How fitting that he should return to San Antonio for this award. Currently, Dr. Jenkins is a Senior Associate Consultant for the Division of Trauma of Critical Care and Surgery for the Mayo Clinic in Rochester, Minnesota, as well as the Trauma Medical Director and Associate Professor of Surgery in the College of Medicine there. He is also an Assistant Professor of Surgery for the Uniformed Services University in Bethesda, Maryland. |
| 1:15 – 2:15 PM - Poster-Viewing, Networking & Prize Drawing |
| 2:15 PM – 3:15 PM : PLENARY SESSION V: Rapid Fire Countdown Moderator - Betsy Seislove, RN, MSN, CCRN We countdown to the end of this year's conference, and wrap up with four "rapid fire" trauma topics that should keep you thinking on your way home. Marilyn "Mac" McFarland describes the top ten ways to avoid being fooled by patients at triage, including some lessons we tend to forget. Holly Bair offers sage advice about improving throughput time, to reduce waiting, frustration, and costs. Wendi McNabb distills the key elements of initial burn assessment to the top five that should be done in the first five minutes of care. And Paula Yuma offers three injury prevention strategies that can reap immediate positive results without the expenditure of any money. |
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Trauma Patient Triage: 10 Ways to be Schooled, Not Fooled |
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Top Ways to Improve Your Throughput Time |
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Burn Assessment: Five Things in Five Minutes |
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Three for Free: Injury Prevention Strategies |
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Panel Q & A |
| 3:15 PM - Closing remarks - Committee and SIG Information |
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3:15 PM – 4:30 PM: Special Interest Group (SIGs) & Committee Meetings Committee Meetings
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