JOSEPH TEPAS PAPER COMPETITION**
*Separate registration required
Moderators: Jennifer Fritzeen, MSN, RN, TCRN, CCNS & Robert W. Letton, Jr., MD

VIRTUAL SOCIAL NETWORKING SESSION**
*Separate registration required **Not eligible for CME/CEU credit through the PTS joint sponsor.

WELCOME & OPENING REMARKS
(Including the announcement of theTepas Competition)

SESSION I: THE GUIDELINES OF THE YEAR!
Moderators:

Mubeen A. Jafri, MD

Ian Mitchell, MD

Objectives:

1. The audience member will be familiar with the new PTS guidelines and Systematic Reviews published and/or in press this year.
2. The listener can identify the results of the EAST Alcohol Screening systematic review, and consider these in context of their own practice.
3. Identify the location and content structure of the Pediatric Trauma Guidelines HUB.

Session Description:
As we continue to mature as a guidelines committee, it is inherent that our wider membership is aware of what new guidelines our society is publishing. This not only informs our members but spreads the word to the wider trauma community. Our collaboration with EAST also allows us to hear from experts not the adult side that have guidelines that are not pediatric based, but may have an important bearing that we may miss otherwise. Finally, we wish to demonstrate our new guidelines hub, to show what features members can use.

Fractures and Child Abuse, Does Age Matter?

Ian Mitchell, MD Children's Hospital of San Antonio, San Antonio, TX

Pediatric Massive Transfusion and Coagulopathy

Adam M. Vogel, MD Texas Children's Hospital, Houston, TX

Trauma Transfer Systematic Review

Matthew T. Santore, MD Emory University – CHOA, Atlanta, GA

The EAST Alcohol Screening Systematic Review

Lisa M. Kodadek, MD Yale School of Medicine, New Haven, CT

What the HUB can do for You, Your Patients and Your Program!

Kayla M. Floyd, MS University of the Incarnate Word School of Medicine, San Antonio, TX

SESSION II: PEDIATRIC DISASTER CENTERS OF EXCELLENCE: UPDATE ON BEST PRACTICES, RESOURCES, TRAINING AND TOOLS
Moderator:

Rita Burke, PhD Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA

Objectives:

1. To identify and understand key terms, concepts, definitions, facilitators and barriers in establishing a coordinated pediatric disaster response.
2. To identify strategies for implementing a coordinated regional pediatric disaster response.
3. To provide cutting edge best practices resources, tools and training for pediatric disaster preparedness that have emerged as a result of the effort.
4. To discuss the Hurricane Katrina experience, the changes it inspired to disaster medicine, and applications to the current COVID-19 pandemic.

Session Description:
In 2019, the Assistant Secretary for Preparedness and Response funded two pilot sites to create centers of excellence for comprehensive regional pediatric disaster management: Eastern Great Lakes Pediatric Consortium for Disaster Response led by University Hospitals Rainbow Babies and Children's Hospital of Cleveland and the Western Region Alliance for Pediatric Emergency Management led by University of California, San Francisco (UCSF) Health System and UCSF Children’s Hospitals. The goal of the funding was to establish two pediatric disaster centers of excellence to enhance capacity of regional trauma centers to address the needs of children in the event of a disaster. As part of the effort, the two sites have included many of the western and mid-west states pediatric medical centers, disaster coalitions, large community health care systems, representatives from state and local agencies, and coalition partners. The groups include subject matter expertise in Chemical, Biological, Radiological, Nuclear, and Explosive materials (CBRN), trauma, burns, disaster mental health, telemedicine, education, EMS, obstetrics, ethics and law. Training was developed to enhance the capacity and capabilities for responding to pediatric patients involved in mass casualty events. Participants will learn about the Hurricane Katrina experience and its resulting implications to disaster medicine.

Welcome Statement from Secretary for Preparedness and Response

Michael Anderson, MD, MBA, FAAP Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services, Washington, DC

Overview of Establishing a Coordinated Regional Pediatric Disaster Response in the West: Facilitators, Barriers and Lessons Learned from WRAP-EM (Western Region Alliance for Pediatric Emergency Management)

Christopher Newton, MD Children's Hospital Oakland, Oakland, CA

The Great Lakes Experience: Mobilization and implementation Practice to Create a Coordinated Pediatric Disaster Response

Michael Dingeldein, MD Rainbow Babies & Children's Hospital Level I Trauma Center, Cleveland, OH

Resources, Training and Tools to Bring Back to Your Trauma Center: Findings from the Pediatric Disaster Center of Excellence Effort

Ann Mary Bacevice, MD Rainbow Babies & Children's Hospital Level I Trauma Center, Cleveland, OH

Michelle Moegling RN, BSN, CPN Rainbow Babies & Children's Hospital Level I Trauma Center, Cleveland, OH

Questions and Answer with Entire Panel

Session III: Pediatric TBI- Keep Your Program Up To Date!
Moderator:

Roberta L. Miller, MSN

Objectives:

1. To provide practical tools to incorporate the newest BTF guidelines data into their program.
2. The listener should be able to engage nursing and rehabilitation staff to help improve their program outcomes.

Session Description:
The most recent Brain Trauma Foundation 2019 guidelines are an exhaustive, but cumbersome and difficult to implement study of the treatment of severe TBI in children. They also represent an important, but overall small population of patients we see in our programs. While a broad topic, worthy of a week-long conference alone, TBI care can be broken down into digestible elements where the audience can hear the latest updates and take these pieces back to help improve their programs.

Each Speaker will have 10 minutes, with any remaining time for questions and discussion. The short time frame is meant to really focus on practical pearls that can inspire the audience member to examined their own practice and see if an update is needed. In addition, the speakers will highlight resources the audience can reference later to support their efforts.

TBI Rehabilitation for the Rest of Us

Jennifer C. Smid Wake Forest Baptist Medical Center, Winston Salem, NC

How to Educate Your ED and ICU Nursing Staff for TBI Excellence

Heidi Altamirano Regions Hospital, St. Paul, MN

Tracy Larsen Regions Hospital, St. Paul, MN

SESSION IV: STN AWARD PRESENTATION AND ABSTRACT PRESENTATIONS
(6 Minute Presentation, Followed by 3 Minute Discussion)

Moderators:

Shawn D. Larson, MD

Maria F. McMahon, MSN, RN, PNP-PC/AC, TCRN

STN Award Presentation:

1. Reducing Secondary Traumatic Stress and Fueling Knowledge of Child Maltreatment Among Healthcare Providers
*Katherine M. Gautreaux¹, Cary M. Cain², David E. Wesson², *Bindi Naik-Mathuria^2
1Texas Children's Hospital, Houston, TX; ²Baylor College of Medicine, Houston, TX

Abstract Presentations:

2. Whole Blood Hemostatic Resuscitation in Pediatric Trauma: A Nationwide Propensity Matched Analysis
Mohamad Chehab, *Marion Henry, Muhammad Khurrum, Letitia Bible, Samer Asmar, Michael Ditillo, Molly Douglas, Lourdes Castanon, Bellal Joseph
The University of Arizona, Tucson, AZ

3. Osteopontin is a Promising Candidate Blood Biomarker for Severe Traumatic Brain Injury in 3. Children; An Investigation of Influence of Systemic Trauma as Measured By Injury Severity Score
Andrew Reisner¹, Atul Vats¹, Iqbal Sayeed¹, *Alexis D Smith¹, *John C Bleacher², Reena R Blanco¹, Satyanarayana Gedela¹, Michael S. Sawvel¹, Scott M. Batchelor², Amanda J. Pierzchala², Chia-Yi Kuan³, Joshua J. Chern¹, Kimberly M. Hamilton¹, Laura S. Blackwell^2
1Emory University, Atlanta, GA; ²Childrens Healthcare of Atlanta, Atlanta, GA; ³University of Virginia, Charlottesville, VA

4. Tlr4 Inhibition with C34 Leads to an Increase in Infiltrating Anti-inflammatory Monocytes and Improved Cognitive Outcomes
Young Chun, Simon Rahal, William Fulton, Chhinder Sodhi Sodhi, David J. Hackam, *Isam W. Nasr
Johns Hopkins, Baltimore, MD

5. A Novel Trauma Composite Score is a More Reliable Predictor of Mortality than Injury Severity Score in Pediatric Trauma
Robert Keskey¹, David Hampton¹, Henry Biermann¹, Justin Cirone², Tanya Zakrison¹, Jennifer Cone¹, Ken Wilson¹, *Mark Slidell^1
1University of Chicago, Chicago, IL; ²Dartmouth-Hitchcock Department of Surgery, Lebanon, NH

6. A New Paradigm for Delivery of Child Passenger Safety (CPS) Education and Resources: The Mobile CPS Lab
*Randy S. Chhabra¹, Gloria DelCastillo², Corazon A. Eaton³, Emma Costello², *Suzanne Moody², *Meera Kotagal², *Richard A. Falcone², *Rebeccah L. Brown^2
1Austin-Travis County EMS, Austin, TX; ²Cincinnati Children's Hospital Medical Center, Cincinnati, OH; ³Centene, Cincinnati, OH

Session V: Everything is Better in Hindsight - #hindsight2020
Moderators:

Kara Mitchell

Susan Ziegfeld, MSN, PNP-BC

Trials and Tribulations: Not Your Typical ED Thoracotomy

Carolyn Backes Krouse, MSN, RN, AGACNP-BC, TCRN Children's Hospital of Michigan, Detroit, MI

Hindsight 20/20: How Robust PI can Improve Trauma Systems and Patient Care Throughout an Organization

Katie Deemer, RN-BSN, CCRN Johns Hopkins All Children's Hospital, Saint Petersburg, FL

Raquel Gonzalez, MD Johns Hopkins All Children's Hospital, Saint Petersburg, FL

Session VI: Implementation Science in Pediatric Trauma Care: From Conceptual Frameworks to Case Studies
Moderator:

Ankush Gosain, MD, PhD Lebonheur Children's Hospital Level I Trauma Center, Memphis, TN

Objectives:

1. Identify and understand relevant terms, definitions, concepts, models, and methodological approaches in implementation science.
2. Identify strategies for increasing the adoption, implementation and sustainability of evidence-based practices in pediatric trauma care.
3. Identify methods for evaluating programs, including establishing and assessing indicators of success for new practices implemented.

Session Description
This session will provide an overview of implementation science concepts and their use in healthcare. Conceptual frameworks, terminology, best practices, and program evaluation methods used in the field of implementation science will be discussed along with how they apply to the pediatric trauma care setting. Multiple case reports will be presented discussing implementation of an evidence-based practice in a pediatric trauma center. Cases will highlight strategies for adopting new practices, barriers and facilitators of implementation, and evaluation processes and outcomes. Presenters will discuss how specific practices introduced were either successfully or unsuccessfully implemented in the clinical setting, as well as approaches to modifying practices to increase sustainability, fidelity, and adoption of new practices. Finally, the final speaker will summarize lessons learned from the case reports and how they underscore important concepts in designing programs than can be robustly evaluated.

Introduction

Ankush Gosain, MD, PhD Lebonheur Children's Hospital Level I Trauma Center, Memphis, TN

Overview of Implementation Science Concepts and Methodological Approaches

Teresa M. Bell, PhD University of Utah School of Medicine, Salt Lake City, UT

Reducing Adverse Events through Standardized Checklists

Tara Rhine, MD, MS Cincinnati Children's Hospital Medical C Level I Trauma Center, Cincinnati, OH

Large Scale Implementation: Lessons Learned from the Pediatric Emergency Care Applied Research Network

Julie C. Leonard MD, MPH Nationwide Children's Hospital, Columbus, OH

Summary of Lessons Learned and Importance of Program Evaluation

Rita Burke, PhD Children's Hospital Los Angeles. Los Angeles, CA

Question and Answer with Entire Panel

SESSION VII: PAPERS THAT SHOULD CHANGE YOUR PRACTICE: CURRENT TRAUMA LITERATURE: A YEAR IN REVIEW OF PEDIATRIC TRAUMA
Speakers:

	Concussion Management for Children Has Changed: New Pediatric Protocols Using the Latest Evidence Karen B. Lidsky MD
	Lawnmower Injuries in Children: A National 13-Year Study of Urban Versus Rural Injuries Heidi Altamirano, RN MS TCRN Regions Hospital, St. Paul, MN
	Pediatric Accidental Trauma: Screening and Reducing Psychological Impact Roberta Miller, MSN, RN, CPN, CPEN, TCRN Cook Children's Medical Center, Fort Worth, TX
	Cool Running Water First Aid Decreases Skin Grafting Requirements in Pediatric Burns: A Cohort Study of Two Thousand Four Hundred Ninety-Five Children Kim Wallenstein, MD, PhD Upstate Medical University, Syracuse, NY

SESSION VIII: PTSD IN THE MEDICAL CONTEXT: SCREENING TO TREATMENT

Julia Price, PhD Nemours Children's Health System, Wilmington, DE