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Pediatric Trauma Society

Program and Abstracts

WEDNESDAY, NOVEMBER 13, 2019
12:00 pm - 2:00 pm
Developing and Delivering Successful Pediatric Trauma Simulations: A Train the Trainer Course*
*Separate registration required
Faculty: Maria Carmen G. Diaz, MD, FAAP, FACEP
Manu Madhok, MD
Daniel J. Scherzer, MD
Barbara Walsh, MD

Overview: This hands on course is designed for clinicians who are interested in implementing successful multi-disciplinary pediatric trauma simulations at their institution. We will review a step wise approach that highlights needs assessments, instructor-centered and learner-centered objectives, use of a scenario design template and debriefing tips. Participants will have the opportunity to practice these skills during this session.

Objectives:
  • Evaluate educational needs through a structured needs assessment
  • Identify instructor-centered and learner-centered objectives that match the identified needs assessment
  • Develop a simulation scenario using a scenario design template
2:00 pm - 5:00 pm
PTS Board Meeting
5:00 pm - 6:00 pm
Committee Meetings
5:00 pm - 7:00 pm
JumpStart to Pediatric Disaster Triage Education: An Immersive Simulation-based Workshop
*Separate registration required
Faculty: Maria Carmen G. Diaz, MD, FAAP, FACEP
Manu Madhok, MD
Daniel J. Scherzer, MD
Barbara Walsh, MD

Overview: Participants will experience three different types of simulation modalities that may be used for disaster triage education: tabletop simulation, video game-based simulation and live simulation. We will discuss nuances of each modality as well as real-life applications to disaster triage education and other educational endeavors. Participants will be able to implement, utilize and teach the tools learned in this workshop in their own institutions.

Objectives:
  • Participants will review and evaluate pediatric disaster triage algorithms and disaster training principles.
  • Participants will compare and contrast various simulation modalities that may be used in disaster education.
  • Participants will identify specific education gaps that simulation could address in disaster triage training.
6:00 pm - 7:00 pm
Committee Meetings

THURSDAY, NOVEMBER 14, 2019
6:30 am - 7:30 am
Committee Meetings
7:00 am - 7:50 am
Early Risers Sessions 1A* & 1B*
*Separate registration required

Early Risers 1A*: Research Methodology
Building a Trauma Research Program: From Finding Funding to Measuring Impact

Moderator: Rita Burke, PhD, MPH

Objectives:
  • To identify potential sources of funding for trauma research
  • To select appropriate data sources to conduct trauma research
  • To discuss potential metrics to assess program impact
Sources of Funding
Teresa M. Bell, PhD
Indiana University School of Medicine, Indianapolis, IN

Existing Data Sources (including electronic records)
Gina M. Berg, PhD, MBA
Wesley Medical Center, Wichita, KS

Measuring the Impact of your Trauma Research Program
Ankush Gosain, MD, PhD, FACS, FAAP
University of Tennessee Health Sciences Center, Memphis, TN

Early Risers 1B*: Tips & Tricks for ACS Verification
Moderators: David Mooney, MD, Lynn Haas, RN, MSN

Objectives:
  • The learner will understand the steps of an ACS consultation and verification visit
  • The learner will review the changes in the verification requirements that are coming from the American College of Surgeons
  • The learner will learn how to optimize the presentation of their review material to get the most out of the site visit.
What the Reviewers are Looking For
David Mooney, MD
Boston Children's Hospital, Boston, MA

How to Put Your Best Foot Forward
Lynn Haas, RN, MSN
Cincinnati Children's Hospital, Cincinnati, OH
8:15 am - 8:30 am
Welcome and Opening Remarks
Randall S. Burd, MD, PhD
Pediatric Trauma Society President
8:30 am - 10:00 am
Scientific Session 1A: Neurotrauma Abstracts
(8 minute presentation, 4 minutes discussion)
Moderators:
1.
Reducing CT-scan Utilization For Pediatric Minor Head Injury In The Emergency Department: A Quality Improvement Initiative
Rajan Arora1, Yagnaram Ravichandran1, Usha Sethuraman1, Ahmad Farooqi1, Emily White2, Kristin Watson1, Nancy Radovic1, Elena Sikaleski1, Elizabeth Yost1, Deborah Niedbala1
1Children's Hospital of Michigan, Detroit, MI; 2University of Michigan, Ann Arbor, MI
2.
Helmets Protect Pediatric Bicyclists From Head Injury And Do Not Increase Risk Of Cervical Spine Injury: Time For A Universal Helmet Law
Areg Grigorian1, Bima Hasjim1, Sebastian D Schubl1, Michael Lekawa1, Dennis Kim2, Nicole Bernal1, Jeffry Nahmias1
1University of California, Irvine, Anaheim, CA; 2University of California, Los Angeles - Harbor, Torrance, CA
3.
GCS-pupil Score Is A Better Predictor Of Mortality Than GCS Alone In Severe Pediatric Traumatic Brain Injury.
Binod Balakrishnan, *Sheila J Hanson, Heather Trimmer, Raquel Farias-Moeller
Medical College of Wisconsin, Wauwatosa, WI
4.
Machine Learning And Visual Recognition In Computer-Aided Diagnosis: A Proof-of-Concept Acute Intracranial Hemorrhage Screening And Classification Model
Alejandra M Casar Berazaluce, Brandon E Colvin, Todd A Ponsky, *Richard A Falcone, Jr.
Cincinnati Children's Hospital Medical Center, Cincinnati, OH
5.
Elevated Systemic Inflammatory Mediators In Pediatric Traumatic Spinal Cord Injury
Naomi-Liza Denning1, Ibrahim Abd el-shafy2, Adrianna Vlachos1, Debra J Morrison3, *Jose M Prince1, Ona E Bloom3
1Cohen Children's Medical Center at Northwell Health, New Hyde Park, NY; 2Maimonides Medical Center, Brooklyn, NY; 3Feinstein Institute for Medical Research at Northwell Health, Manhasset, NY
6.
SITI Scale: A Clinical Tool For Communicating Potential Need For Surgery Following Pediatric Traumatic Brain Injury
*Eric A Sribnick, Jeffrey R Leonard, David David Dornbos, III
Nationwide Children's Hospital, Columbus, OH
7.
Predictive Model For Early Tracheostomy Requirement In Pediatric Trauma Patients With Head Injury - A National Trauma Databank Study
Radu Filipescu1, Colin Powers1, Han Yu2, David Rothstein1, Carroll Harmon1, Weidun Guo3, Kathryn Bass1
1Oishei Children's Hospital, Buffalo, NY;2Rosswel Oncologic Institute, Buffalo, NY; 3Department of Surgery, SUNY, Jacobs School of Medicine, Buffalo, NY
8:30 - 10:00 am
Scientific Session 1B: The Guidelines You Need To Know 2019
Moderator: Ian Mitchell, MD

Objectives:
  • Familiarize the listener with most important guidelines in pediatric trauma care published this year
  • Discuss implementation strategies for those guidelines
  • Understand how these advance the care of the pediatric patient
Session Description
A collaborative session between EAST and PTS whereby two EAST members discuss recent adult guideline results that may have some bearing on pediatric practice. PTS members will discuss non-PTS guidelines of major importance (TBI update and new APSA guideline for example). The goal of the session will be to coincide with updates on our website and social media platforms that address these guidelines.

Solid Organ Injury Guideline
Regan Williams, MD
University of Tennessee Health Science Center, Memphis, TN

Pancreas Guideline Update
Bindi Naik-Mathuria, MD (PTS)
Texas Children's Hospital, Houston, TX

TBD
A. Britton Christmas, MD, FACS (EAST)

Blunt Cerebrovascular Injury
Rachael A. Callcut, MD, MSPH, FACS (EAST)
10:00 am - 10:30 am
Coffee Break: Visit Exhibits and Posters
10:30 am - 12:00 pm
Scientific Session 2A: Everything is Better in Hindsight
Moderators: Terri A. Elsbernd & Tricia Morrell
Moderators Working the Audience: Lisa Gray & Lisa Nichols

Case Presentations:

The New TPM and the Case of the Sawed Log
Joshua Dugal
SSM Health Cardinal Glennon Children's Hospital, St. Louis, MO

The Complex Management of a 4 kg Infant with 58% TBSA Burns: Lessons Learned and Progressive Changes to a Nurse-Managed Protocol
Lydia Gray and Stephanie Morgenstern
Johns Hopkins Children's Center, Baltimore, MD

Panel Discussion
Terri A. Elsbernd
Lisa Gray
Michele Herndon
Tricia Morrell
Susan Ziegfeld
10:30 am - 12:00 pm
Scientific Session 2B: Coagulopathy, Massive Transfusion, and Hemostatic Resuscitation in Pediatric Trauma: Who, Why, Where, When and How
Moderator: Adam Vogel, Texas Children's Hospital

Objectives:
  • Discuss the role of massive transfusion and massive transfusion protocols in the management of pediatric traumatic coagulopathy.
  • Describe the concept of hemostatic resuscitation and the role of blood product therapy and pharmacologic adjuncts.
  • Discuss challenges and opportunities in implementing a comprehensive strategy for the management of traumatic coagulopathy in children from the transfusion medicine, blood bank, and pediatric trauma program perspective.
Introduction/Scope (5 mins)
Adam Vogel, MD
Texas Children's Hospital

Massive Transfusion and Massive Transfusion Protocols (15 min)
Robert T. Russell, MD, MPH

Hemostatic Resuscitation, Viscoelastic Monitoring, and Pharmacologic adjuncts (15 min)
Robert Finkelstein, MD, CM
Weill Cornell Medical Center

Whole Blood (10 min)
Barbara A. Gaines, MD
Children's Hospital of Pittsburgh of UPM

Blood Bank Perspective (15 min)
Denise Malicki, MD, PhD
Rady Childrens Hospital San Diego

Putting it all Together: Trauma Program Manager Perspective (15 min)
Jennifer Fritzeen, MSN
Children's National Medical Center

Discussion (10 min)
12:00 pm - 1:00 pm
Lunch Break
12:00 pm - 1:00 pm
Stop the Bleed Hands On Course
*Separate registration required
Register

Course Faculty:
Didactic: Cindy Colson, MSN, RN, CCRN, TCRN, NRP
Trainers: Cindy Colson, MSN, RN, CCRN, TCRN, NRP
Danny Little
Mouny James
Christine Frugard, MSN, RN, CCRN
Jon Johnson
Sarah A. Jones Sapienza, MD
12:00 pm - 1:00 pm
NEW THIS YEAR Special Interest Group Networking Lunch**

Emergency Medicine
Critical Care
Trauma Registry and Quality Improvement
**Grab and go lunch in the exhibit hall, no separate registration necessary
1:00 pm - 2:30 pm
Scientific Session 3: STN Award Session
(8 minute presentation, 4 minutes discussion)
8.
Implementation Of An Abusive Head Trauma Prevention Program Through Interdisciplinary Collaboration: A Pilot Study
Susan McInerney, Heather Lavella, Autumn D Nanassy, Rebecca Sandhu, Rochelle Thompson, Catherine Markel, *Loreen Meyer
St. Christopher's Hospital for Children, Philadelphia, PA
9.
Moving Towards Standardized Pediatric Performance Improvement Measures In Non-accidental Trauma: A Modified Delphi Approach
*Todd Nickoles1, *Jodie Greenberg1, *LeAnne Young2, *Amy Randall3, *Michele Herndon4, *Maria Bautista-Durand5, *Linda Roney6, *Maria McMahon7
1Phoenix Children's Hospital, Phoenix, AZ; 2Joe DiMaggio Children's Hospital, Hollywood, FL; 3C. S. Mott Children's Hospital, Ann Arbor, MI; 4St. Louis Children's Hospital, St. Louis, MO; 5Children's Hospital Los Angeles, Los Angeles, CA; 6Egan School of Nursing and Health Studies, Fairfield University, Fairfield, CT; 7Boston Children's Hospital, Boston, MA
10.
Using Multidisciplinary Simulation To Prepare The Community For Pediatric Trauma Designation
*Katherine M Gautreaux, *John A. Coley, *Julie M. Hollan, *Christi M. Reeves, Gemma F. Elegores
Texas Children's Hospital, Houston, TX
11.
Nurse-Driven Electronic Medical Record Based Concussion Screening Improves Identification and Intervention In Pediatric Traumatic Brain Injury - A Quality Improvement Initiative
*Katie Downie1, *Aaron J Cunningham2, *Mubeen Jafri1
1Randall Children's Hospital at Legacy Emanuel Medical Center, Portland, OR; 2Oregon Health & Science University, Portland, OR
12.
Quality and Process Improvement Initiatives Can Decrease Emergency Department Length Of Stay In Severely Injured Children
*Lori Moss, Melinda Hartenstein, *Aaron J Cunningham, *Nicholas Hamilton, Erin Burns, *Mubeen Jafri
Oregon Health & Science University, Portland, OR
13.
Mirage To Oasis, The Fundamentals Of The Follow-up
*Cindy Colson
Children's National Medical Center, Washington, DC
14.
Establishing An Alternate Care Site (ACS) Within A Pediatric Emergency Department During A Patient Surge.
*Eric De Leon, Debra Rodriguez, Oscar Enriquez, *Eric Higginbotham, Elizabeth Fredeboelling, Kimberly Lewis
Dell Children's Medical Center, Austin, TX
2:30 pm - 3:00 pm
Coffee Break: Visit Exhibits and Posters
3:00 pm - 4:30 pm
Invited Speaker
4:30 pm - 5:30 pm
Local Case Study I
Title: Survive a Grade 5: Management of Severe Juxtahepatic Venous Injury in a Pediatric Patient
Speakers: Romeo Ignacio

Local Case Study II
Title: Swimming with the Sharks: Management of Complex Bite Injuries
Speakers: Romeo Ignacio
5:30 pm - 6:30 pm
Committee Meetings
6:30 pm - 7:30 pm
Committee Meetings

FRIDAY, NOVEMBER 15, 2019
6:30 am - 7:30 am
Committee Meetings
7:00 am - 7:50 am
Early Risers Sessions 2A* & 2B*
*Separate registration required

Early Rises 2A*: Trauma Video Review: A How to Workshop
(10 Minute Presentations, with 20 Minutes for Q and A)
Moderator: Ann Mary Bacevice, MD and Roberta Miller, MSN, RN

Objectives:
  • To discuss how to initiate a trauma video review program
  • To discuss legal barriers to videotaping trauma activations
  • To discuss ways that trauma video review can be used for quality improvement
  • To discuss ways that trauma video review can be used for education
Session Description
Are you new to video review? Have you a long established program? Join us for a discussion on implementing a trauma video review program at your institution. Once the recordings are up and running, we will discuss the quality and educational opportunities that can arise from trauma video review. Bring all of your questions for our expert panel.

Getting Started: Overcoming Institutional and Legal Barriers
Brendan T. Campbell, MD, MPH
Connecticut Children's Medical Center, Hartford, CT

Using Trauma Video Review as an Educational Tool
Francesca Bullaro, MD
Cohen's Children Medical Center, New Hyde Park, NY

Performance Improvement Using Video Review: The Tale of the Tape
Christine Perlick, RN, BSN
UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA

Early Risers 2B*: Practical Pearls on Scientific Writing
Moderator: Barbara A. Gaines, MD & Robert W. Letton, MD

Objectives:
  • Discuss the components of a well written scientific paper
  • Review the pitfalls of writing that can lead to rejection from publication
  • Review how to address the reviewers when responding to their criticisms
Steven R. Shackford, MD
Associate Editor, Journal of Trauma and Acute Care Surgery
8:10 am - 8:15 am
Introduction of Keynote Speaker
Randall S. Burd, MD, PhD
Pediatric Trauma Society President
8:15 am - 9:15 am
Keynote Address
Trauma Research in the Pediatric Emergency Care Applied Research Network (PECARN) and the PECARN TXA trial

Nathan Kuppermann, MD, MPH
UC Davis, Dept of Emergency Medicine, Sacremento, CA
9:15 am - 9:30 am
PTS Lifetime Achievement Award Presentation
Introduced by Randall S. Burd, MD, PhD, PTS President
Recipient: Mary E. Fallat
9:30 am - 10:00 am
Coffee Break: Visit Exhibits and Posters
10:00 am - 11:00 am
Scientific Session 4: Joseph Tepas Paper Competition - Part 1
(8 minute presentation, 4 minutes discussion)
15.
The Modified Pilot Score For Pediatric Traumatic Brain Injury: Clinical Effect Of Hypertonic Saline On Intracranial Pressure Management
Akshita Kumar, Louis Carrillo, Cynthia Bell, Claudia Pedroza, Margaret Jackson, Fanni Cardenas, Max Skibber, *Charles S Cox, Jr.
University of Texas Houston Health Science Center, Houston, TX
17.
Abnormal Spine Imaging Is Associated With Abusive Head Trauma: A Retrospective Case Control Study
Amelia C Lucisano1, *Barbara A Gaines2, Stephen J Strotmeyer2
1University of Pittsburgh Medical Center, Pittsburgh, PA; 2UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA
18.
Validation of Shock Index Pediatric-Adjusted (SIPA) For Children Injured In Warzones
*Christopher W Marenco1, Woo Do1, Daniel T Lammers1, John D Horton1, *Kenneth Azarow2, Matthew J Eckert1
1Madigan Army Medical Center, Tacoma, WA; 2Oregon Health And Science University Doernbecher Children's Hospital, Portland, OR
19.
Pediatric Trauma Triage: A PTS Research Committee Systematic Review
Carmen Mora1, Laura Veras1, *Rita Burke2, *Laura Cassidy3, *Nathan Christopherson4, Aaron Cunningham5, *Mubeen Jafri5, *Katie Leavitt6, *Karen Lidsky7, Lin Wu1, *Natalie Yanchar8, *Ankush Gosain1
1University of Tennessee HSC-Le Bonheur Children's, Memphis, TN;2University of Southern California/CHLA, Los Angeles, CA; 3Medical College of Wisconsin, Milwaukee, WI; 4Northwell Health, New Hyde Park, NY; 5Oregon Health & Science University, Portland, OR; 6PRRI Inc, Beverly, MA; 7University Hospitals of Cleveland, Cleveland, OH; 8Alberta Children's Hospital, Calgary, AB, Canada
11:00 am - 12:00 pm
Scientific Session 5: Joseph Tepas Paper Competition - Part 2
(8 minute presentation, 4 minutes discussion)
Moderators: Lisa Nichols, MBA, BSN, RN, CCRN-K & Barbara A. Gaines, MD
20.
Predictors of Substance Use Disorders And Overdose Following Adolescent Trauma
*Teresa M Bell1, *Jodi Raymond1, Ashley Vetor1, Zackary Adams1, *Thomas Rouse1, *Rita Burke2, Aaron Carroll1
1Indiana University, Indianapolis, IN; 2UCLA Children's Hospital, Los Angelos, CA
21.
Quantifying The Benefit Of Nurse Practitioners In Pediatric Trauma
Ainsley E Timmel1, *Jonathan E Kohler2, Benjamin Eithun2, Susan Jones2, Randi Cartmill2, Jessica Draper2
1University of Wisconsin SMPH, Madison, WI; 2University of Wisconsin, Madison, WI
22.
The Role Of A Level 1 Pediatric Trauma Center In A Statewide Stop The Bleed Initiative
Charles Wooley1, Clayton Goddard2, Cheria Lynsey3, *Kirsten Johnston1
1Arkansas Children's Hospital, Little Rock, AR; 2Metropolitan Emergency Medical Services, Little Rock, AR; 3Arkansas Department of Education, Little Rock, AR
23.
Pediatric Trauma Center Activation Charge Pricing Transparency: A National Evaluation Of Trauma Activation Cost By Geographical Region And Mortality
*Garrett D Hall1, Luis A de Leon2, *Christi Reeves1, *Katherine Gautreaux1, Trey Babino1, *Julie Hollan1, *John Coley1, *Adam M Vogel1, Sara C Fallon1, *Daniel Rubalcava1, *Allen Milewicz1, *David E Wesson1, *Bindi J. Naik-Mathuria1
1Texas Children's Hospital, Houston, TX; 2Baylor College of Medicine, Houston, TX
24.
The Secure And Responsible Drug Disposal Act Of 2010: How Effective Has It Been In Preventing Pediatric Deaths
Daniel Cheng, *Michael Scheidler
University of Nevada Las Vegas School of Medicine, Las Vegas, NV
12:00 pm - 1:00 pm
NEW THIS YEAR Special Interest Group Networking Lunch**

Disaster
Psychology
Rehabilitation
**Grab and go lunch in the exhibit hall, no separate registration necessary
12:00 pm - 1:00 pm
Stop the Bleed Hands On Course
*Separate registration required
Register

Course Faculty:
Didactic: Cindy Colson, MSN, RN, CCRN, TCRN, NRP
Trainers: Cindy Colson, MSN, RN, CCRN, TCRN, NRP
Danny Little
Mouny James
Christine Frugard, MSN, RN, CCRN
Jon Johnson
Sarah A. Jones Sapienza, MD
1:00 pm - 1:05 pm
Introduction of the President
Jennifer Fritzeen, MSN, RN, TCRN, CCNS
1:05 pm - 2:00 pm
Presidential Address
Improving the Outcomes of Injured Children: New Challenges and Opportunities
Randall S. Burd, MD, PhD
Children's National Medical Center, Washington DC
2:00 pm - 3:00 pm
Scientific Session 6A: Child Physical Abuse: Screening, CPS, PIPS
Moderators: Tony Escobar, Jr, MD and Tricia Morrell, BSN, RN-BC

Objectives:
  • Identify the risk factors and systematic screening programs that may help avoid escalation injuries which contribute to worse outcomes
  • Develop a Process Improvement Plan to effectively monitor screening for child abuse
  • Recognize that 48% child fatalities each year are a result of physical abuse, and ~ 12% of these fatalities involve families that had received CPS family preservation services in the 5 years preceding the fatal incident.
  • Endorse the concept of child physical abuse as a traumatic disease that justifies the resource utilization of a trauma system to assess, stabilize and manage this patient population in a standardized fashion
Description of Session:
Forty-eight percent of child fatalities each year are a result of physical abuse, and approximately 12% of these fatalities involve families that had received CPS family preservation services in the 5 years preceding the fatal incident. This breakout session will present practical tools to create a screening guideline for child abuse within the context of a trauma program, develop a hospital Process Improvement Program, and learn the process Child Protective Services follows when notified of potential abuse. This update will provide Trauma Programs with the latest evidence to help create or modify their own child abuse screening protocols.

Child Physical Abuse: Development of a Screening Guideline
Tony Escobar, Jr, MD
Mary Bridge Children's Hospital & Health, Tacoma, WA

CPS - Role in Working with Law Enforcement
Shalon M. Nienow, MD, FAAP
Rady Children's Hospital of San Diego, San Diego, CA

PIPS
Lisa Nichols
Dell Children's Medical Center, Austin, TX
2:00 pm - 3:00 pm
Scientific Session 6B: Quick Shot Abstracts
(3 minute presentation, 2 minutes discussion)
25.
Disparities In Incidence And Case Fatality Rates Of Abusive Head Trauma
*Miriam Nuno1, Courtney D Shelley1, Beatrice Ugiliweneza2, Julia N Magaña3
1UC Davis, Davis, CA;2University of Louisville, Louisville, KY;3UC Davis Medical Center, Sacramento, CA
26.
Infiltrating Monocytes Attenuate The Neuroinflammatory Response After Traumatic Brain Injury
Young Chun, Miles Gilliam, William Fulton, Chhinder Sodhi, David Hackam, *Isam Nasr
Johns Hopkins, Baltimore, MD
27.
A Standardized Protocol For The Evaluation Of Cervical Spine Injuries Reduces Radiation Exposure And Hospital Charges
Christopher Pennell1, L. Grier Arthur1, Martin Herman1, Jayesh Gupta2, Michael March2, Erika Lindholm1, Rajeev Prasad1, Sean Ciullo1, *Harsh Grewal1
1St. Christopher's Hospital for Children, Philadelphia, PA;2Drexel University College of Medicine, Philadelphia, PA
28.
Random Forests - A Better Anatomical Injury Severity Characterization (National Trauma Databank 2011-2015 Study)
Radu Filipescu1, Colin Powers1, Han Yu2, David Rothstein1, Carroll M Harmon1, Brian Clemency3, Weidun A Guo4, Kathryn Bass1
1Oishei Children's Hospital, Buffalo, NY;2Roswell Park Comprehensive Cancer Center (Biostatistics and Bioinformatics), Buffalo, NY;3Department of Emergency Medicine, SUNY Jacobs School of Medicine, Buffalo, NY;4Department of Surgery, SUNY Jacobs School of Medicine, Buffalo, NY
29.
Prehospital Blood Administration In Pediatric Trauma Patients
Christopher A Behr1, Stephen J Strotmeyer1, Francis X Guyette2, *Barbara A Gaines1
1UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA;2Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA
30.
Traumatic Injury Clinical Trial Evaluating Tranexamic Acid In Children: A Pilot And Feasibility Randomized Controlled Trial
Daniel Nishijima1, John VanBuren2, Hilary Hewes3, Sage R Myers4, Rachel M Stanley5, Nam Tran1, Sarah Barnhard1, Simona Ghetti1, Matthew Bobinski1, P. David Adelson6, Ian Roberts7, James Holmes1, Leah Tzimenatos1, Walton Shalick, III8, *J. Michael Dean2, *Nathan Kuppermann, MD, MPH1
1UC Davis, Sacramento, CA;2University of Utah, Salt Lake City, UT;3Primary Children's Hospital, Salt Lake City, UT;4Children's Hospital of Philadelphia, Philadelphia, PA;5Nationwide Children's Hospital, Columbus, OH;6Barrow Neurological Institute at Phoenix Children's Hospital, Phoenix, AZ;7London School of Hygiene and Tropical Medicine, London, United Kingdom8University of Wisconsin, Madison, WI
31.
Optimal Timing Of Tracheostomy In Injured Children
*Elissa K Butler1, Elizabeth Y Killien1, *Jonathan I Groner2, Saman Arbabi1, *Monica S Vavilala1, *Frederick P Rivara1
1University of Washington, Seattle, WA; 2Nationwide Children's Hospital, Columbus, OH
32.
Early Intubation Of Pediatric Trauma Patients: Do Surgeons Need To Show Up?
*Paul McGaha1, Kenneth Stewart1, Tabitha Garwe1, Jeremy Johnson1, *Robert Letton2
1University of Oklahoma Health Science Center, Oklahoma City, OK; 2Nemours Children's Specialty Care, Jacksonville, FL
33.
Variations In Analgesic, Anxiolytic And Sedative Practices Among Trauma And Non-trauma Critically Ill Children
Megan E Cunningham1, Michael D Chance2, Huirong Zhu2, Sara C Fallon1, Dustin M Hipp2, Sohail R Shah1, *Bindi J Naik-Mathuria1, Nicholas A Ettinger2, *Adam M Vogel1
1Baylor College of Medicine, Houston, TX;2Texas Children's Hospital, Houston, TX
35.
Surgical Interventions After Pediatric Dog Bite Injury In The United States: Analysis Of The Kids' Inpatient Database
Joseph D Forrester, Jared A Forrester, Lakshika Tennakoon, Stephanie Chao, *David A Spain
Stanford University, Stanford, CA
36.
Safety In Seconds TM A Theory-based Injury Prevention Mobile App For Parents
Andrea Gielen1, David Bishai1, Elise Omaki1, Eileen McDonald1, Wendy Shields1, Mary Aitken2
1Johns Hopkins University, Baltimore, MD;2Arkansas University Medical Sciences, Little Rock, AR
3:00 pm - 3:30 pm
Coffee Break: Visit Exhibits and Posters
3:30 pm - 4:30 pm
Scientific Session 7A: Resuscitation and Hemorrhage Control Abstracts
(8 minute presentation, 4 minutes discussion)
37.
Validation Of The Pediatric Resuscitation And Trauma (PRESTO) Outcome Model In A Middle-income Country
Michael D Traynor, Jr.1, Etienne St. Louis2, Ahmed S Alsayed1, Matthew C Hernandez1, *Denise B Klinkner1, Robert Baird2, Dan Poenaru2, Victor Y Kong3, *Chirstopher R Moir1, Martin D Zielinski1, Damian L Clarke3
1Mayo Clinic, Rochester, MN;2McGill University Health Centre, Montreal, QC, Canada3University of KwaZulu Natal, Durban, South Africa
38.
Shock Index And Systolic Blood Pressure As Triggers For Pediatric Massive Transfusion
Caroline S. Zhu1, Ashley C. McGinity1, Tracy Cotner-Pouncy2, Brian J. Eastridge1, Sondra Epley2, Rachelle B. Jonas1, Randall Schaefer3, *Lillian F. Liao1, Susannah E. Nicholson1, Ronald M. Stewart1, Christopher J. Winckler1, Donald H. Jenkins1
1UT Health San Antonio, San Antonio, TX;2University Hospital, San Antonio, TX;3Southwest Texas Regional Advisory Council, San Antonio, TX
39.
Resuscitative Endovascular Balloon Occlusion Of The Aorta (REBOA) In A Pediatric Swine Model: Is 60 Minutes Too Long?
Kaeli Yamashiro1, Laura Galganski2, Connor Caples1, J. Kevin Grayson3, Marguerite Spruce1, Carl Beyer1, M. Austin Johnson2, Andrew Wishy1, A. Francois Trappey1, Jacob Stephenson1
1David Grant USAF Medical Center, Travis Air Force Base and University of California, Davis, Sacramento, CA;2University of California, Davis, Sacramento, CA;3David Grant USAF Medical Center, Travis Air Force Base, Fairfield, CA
40.
Characteristics And Outcomes Of Extracorporeal Life Support In Pediatric Trauma Patients
Christopher A Behr1, Stephen J Strotmeyer1, Justyna Swol2, *Barbara A Gaines1
1UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA;2University Hospital Würzburg, Würzburg, Germany
41.
Use Of Angioembolization In Blunt Splenic Trauma: A Propensity Score Analysis Of The National Trauma Data Bank
Robert A Swendiman1, Myron Allukian, III2, *Stephen J Fenton3, Matthew A Goldshore1, *Michael L Nance2
1Hospital of the University of Pennsylvania, Philadelphia, PA;2Children's Hospital of Philadelphia, Philadelphia, PA;3University of Utah, Salt Lake City, UT
3:30 pm - 4:30 pm
Scientific Session 7B: Managing Burn Injuries Outside of a Burn Center
Moderator: Jennifer Fritzeen MSN, RN, PCNS

Objectives:
  • Implement evaluation, treatment and discharge planning of the child with a small burn
  • Recognize the abuse patterns in the burn injured child
  • Describe the care of the complex burn injury in the initial hours of care prior to transfer to a burn center
Session Description
Approximately 450,000 burn injuries receive medical treatment each year. In 2011 the ACS Health Policy Research Institute identified 123 burn centers in the United States. Based on these data points it is obvious that many burn injured patients seek treatment in non-burn centers. This panel is designed to outline care of the burn injured patient to trauma providers at non-burn centers. The panel will discuss the evaluation and treatment of children with small and large burns, focusing on dressing options, fluid resuscitation, discharge, and referral as well as the potential abuse aspect of burn injuries.

Initial Treatment, Discharge and Referral of the Small Burn Injury
Pablo Aguayo, MD

Recognizing Abusive Burn Injuries
Susan Ziegfeld, MSN, PNP-BC

Initial Care of the Large Burn Injury Prior to Transfer
Shelia Giles and Rajan Thakkar, MD
4:30 pm - 5:30 pm
Scientific Session 8A: How Can We Prevent Pediatric Gun Injuries? A Point-Counterpoint Discussion
Moderator: Brendan T. Campbell, MD, MPH

Objectives:
  • Review the epidemiology of pediatric firearm injury.
  • Identify opportunities for the pediatric trauma community to reach a consensus-based, non-partisan approach to firearm injury prevention.
  • Discuss actionable items for firearm injury prevention using a public health framework.
Session Description
Firearm injuries are a leading cause of death and injury for American children. This session will discuss the issue of pediatric firearm injury using a public health approach. Dr. Campbell will frame the discussion, and Dr. Keller and Martin will briefly present perspectives from both sides of the issue. The 4 panelists will discuss a wide variety of legislative and programmatic prevention strategies with the overarching objective of identifying constructive solutions that could potentially impact thousands of American children's lives annually.

Pediatric Firearm Injury: Seeing it from Both Sides
Brendan T. Campbell, MD, MPH

CON Perspective: Firearms Decrease Personal Liberty by Increasing Risk of Harm
Martin S. Keller, MD

PRO Perspective: Firearms are Beneficial, Necessary and a Protected Right
Jonathan Martin, MD

Panelists:
Con: David P. Mooney, MD, MPH
Pro: Robert W. Letton, MD
4:30 pm - 5:30 pm
Scientific Session 8B: Quick Shot Abstracts
(3 minute presentation, 2 minutes discussion)
42.
Improving Survival In Pediatrics Patients With Severe Traumatic Brain Injury: A Novel Therapy
Alexandra Barbosa, Kamil Hanna, Mohammad Hamidi, Marion Henry, Narong Kulvatunyou, Michael Ditillo, Muhammad Zeeshan, Bellal Joseph
University of Arizona, Tucson, AZ
43.
The Outcomes Of Pediatric Inhalation Injuries In Lesser Burns: Still A Deadly Injury
*Salomon Puyana1, Samuel Ruiz1, Francisco Amador2, *Shaikh Hai1, Rizal Lim1, Morad Askari1, *Mark Mckenney1, Haaris Mir1
1Kendall Regional Medical Center, Miami, FL; 2Universidad del Norte, Barranquilla, Colombia
44.
Impact of a Multidiscipinary Teleburn Program On Pediatric Burn Care In A Rural Area
*Heidi Altamirano, *Mark Johnston, *William Mohr
Regions Hospital, St. Paul, MN
45.
Differences In Pediatric And Adult Methods Of Suicide And Self-inflicted Injury At A Rural Level 1 Pediatric Trauma Center
Jacob Hartman-Kenzler1, Mark Hamill1, Dan Freeman2, Sarah Parker2, Tanya Trevilian2, *Shawn Safford1
1Virginia Tech Carilion School of Medicine, Roanoke, VA; 2Carilion Clinic, Roanoke, VA
46.
Lawnmower Injuries In Children: A National 13 Year Study Of Urban Vs Rural Injury Rates And The Impact Of Safety Guidelines
Ronit Shah, Divya Talwar, Theodore Ganley
Children's Hospital of Philadelphia, Philadelphia, PA
47.
The Injury Prevention Priority Score In Pediatric Trauma: Matching Preventative Resources To Injuries
Luis deLeon1, Huirong Zhu2, Sara C Fallon2, *Bindi Naik-Mathuria2, *Adam M Vogel2
1Baylor College of Medicine, Houston, TX; 2Texas Children's Hospital, Houston, TX
49.
Avoiding The CT Scam: Prospective Evaluation Of An Evidence-based Guideline To Reduce CT Use In The Assessment Of Blunt Pediatric Abdominal Trauma
Michaela Gaffley, Leah M Sieren, *Kristen A Zeller, *Lucas P Neff, *Thomas Pranikoff, Tammy Rush, *John K Petty
Wake Forest School of Medicine, Winston Salem, NC
50.
The Intensive Care Unit Risk Ratio (ICU-RR): Working Towards A Better Metric To Quantify Burden Of Disease In Pediatric Trauma
*Christopher Snyder1, David Ciesla2, Nicole Chandler1, Raquel Gonzalez1, Paul Danielson1, Kristin Partain3, Nicholas Poulos4, Pam Pieper5, *Joseph Tepas5, Etienne Pracht2
1Johns Hopkins All Children's Hospital, Saint Petersburg, FL; 2University of South Florida, Tampa, FL; 3Mayo Clinic College of Medicine, Jacksonville, FL; 4Nemours Children's Specialty Care, Wolfson Children's Hospital, Jacksonville, FL; 5Wolfson Children's Hospital, Jacksonville, FL
51.
Stop The Bleed Training Outreach Initiatives Targeting High School Students In South Florida: It Takes A Community To Save A Life
*Adel Elkbuli, Brianna Dowd, Astrid Casin, Mark McKenney, Dessy Boneva
Kendall Regional Medical Center, Miami, FL
52.
Pediatric Mild Traumatic Brain Injury In Maryland: Associations With Early Return To The Emergency Department
Eva Seligman1, Usman Aslam2, *Isam Nasr3
1Johns Hopkins University School of Medicine, Baltimore, MD; 2New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY; 3Johns Hopkins University School of Medicine, Baltimore, MD
53.
Air Transportation In Pediatric Trauma Remains An Over-utilized Resource
*Pam Choi, Charlene Dekonenko, *Pablo Aguayo, *David Juang
Children's Mercy Hospital, Kansas City, MO
5:30 pm - 7:00 pm
Reception and Scientific Poster Competition

SATURDAY, NOVEMBER 16, 2019
7:00 am - 11:00 am
Registration
7:00 am - 11:00 am
Speaker Ready Room
7:00 am - 8:00 am
Continental Breakfast
7:30 am - 8:30 am
PTS Membership Meeting (Members Only)
8:30 am - 8:45 am
Tepas Award Presentations
STN Award Presentations
Poster Award Presentation
Terri Elsbernd, MS, RN, CEN, CPEN
Pediatric Trauma Society President-Elect
8:45 am - 9:45 am
Scientific Session 9: Papers That Should Change Your Practice: Current Trauma Literature: A Year in Review of Pediatric Trauma
Moderators: Ann Mary Bacevice, MD
Roberta Miller, MSN, RN
Speakers: Stephen Murphy, MD
Francesca Bullaro, MD
Kim Wallenstein, MD
Lisa Hill, MSN RN EMT-P IC
9:45 am - 10:45 am
Scientific Session 10: Quick Shots
(3 minute presentation, 2 minutes discussion)
55.
Adherence To Pecarn Criteria In Patients Transferred To A Pediatric Trauma Center: An Opportunity For Improvement?
Christopher Pennell1, L. Grier Arthur1, Tyler Wilson2, Adam Dykie2, Madeleine Bruce2, Sean Ciullo1
1St. Christopher's Hospital for Children, Philadelphia, PA; 2Drexel University College of Medicine, Philadelphia, PA
56.
Temporal Trends In Pediatric Firearm Injuries Using The National Trauma Data Bank
Elizabeth Alore, Huirong Zhu, Mario Vera, *Bindi Naik-Mathuria
Baylor College of Medicine, Houston, TX
57.
Ratios Of Resuscitation For Pediatric Trauma Massive Transfusions: Kids Really Aren't Just Small Adults
Manmeet Sehdev1, Areg Grigorian2, Catherine Kuza2, Matthew Dolich2, Boris Borazjani2, Michael Lekawa2, *Jeffry Nahmias2
1UC Irvine School of Medicine, Irvine, CA; 2UC Irvine Medical Center, Orange, CA
58.
Penetrating Trauma Is “Just Ok” For Pediatric Trauma Triage
*Paul McGaha1, Kenneth Stewart1, Tabitha Garwe1, Jeremy Johnson1, *Robert Letton2
1University of Oklahoma Health Science Center, Oklahoma City, OK; 2Nemours Children's Specialty Care, Jacksonville, FL
59.
Use Of NFTI To Evaluate Undertriage In Pediatric Trauma Patients
Niti Shahi1, Ryan Phillips1, Christen Rodenberg1, Maxene Meier1, John Recicar1, Denis Bensard2, Steven Moulton1
1Children's Hospital Colorado, Aurora, CO; 2Denver Health, Denver, CO
60.
Shock Index, Pediatric-Adjusted (SIPA) Does Not Predict The Trauma Activation When Using The Consensus Definition
Alexander T Gibbons, *Hali Ramsey, *Heather Schober, *Avraham Schlager
Akron Children's Hospital, Akron, OH
61.
Use Of Forced Vital Capacity To Triage Adolescents With Rib Fractures
*Patrick C Bonasso, Rachel L Warner, Richard A Vaughan, James M Bardes, Daniel J Grabo, Alison M Wilson
West Virginia University, Morgantown, WV
62.
Admission For Grade I & II Blunt Solid Organ Injuries. Is It Necessary?
*Erin Butt, *Kaaren Shebesta, *Allison Youngs, *Margot Daughtery, *Suzanne Moody, *Meera Kotagal, *Richard Falcone, Jr.
Cincinnati Children's Hospital, Cincinnati, OH
63.
A Standardized Bicycle Safety Counseling Program Is Effective At Improving Bicycling Behaviors In An Adolescent Population
Christine Santos1, Lauren Malloy2, Beatrice C Brathwaite1, Rosemary Acosta Wright1, Karen Sun3, Sinan Akosman3, *Susan Ziegfeld1, *Felipe E Pedroso1, *Isam W Nasr1
1Johns Hopkins Children's Center, Baltimore, MD; 2Johns Hopkins Medicine, Baltimore, MD; 3Johns Hopkins University, Baltimore, MD
64.
Catching The Red Eye: A Retrospective Review Of Predictors Of Retinal Hemorrhage In Non-accidental Trauma
Brandon Colvin, Alejandra M Casar Berazaluce, Zishaan Farooqui, Todd Jenkins, *Suzanne Moody, *Richard Falcone, *Kaaren Shebesta
Cincinnati Children's Hospital Medical Center, Cincinnati, OH
65.
The Pediatric Trauma Society Annual Meeting: An Analysis Of Scholarly Output From The First Five Years
Maria Knaus1, *Gina Berg2, *Adam M Vogel3, *Jose Prince4, *Randall S. Burd5, *Ankush Gosain1
1Le Bonheur Children's Hospital, University of Tennessee Health Sciences Center, Memphis, TN;2The University of Kansas School of Medicine, Wichita, KS;3St. Louis Children's Hospital, Washington University in St. Louis School of Medicine, St. Louis, MO;4Cohen Children's Medical Center, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY;5Children's National Medical Center, Washington, DC
10:45 am - 11:00 am
Committee Updates
11:00 am
Adjourn


Sunset over Palm Trees
Ships at night
Laguna
Balboa Park