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Pediatric Trauma Society

Jointly Accredited Provider
Accreditation
In support of improving patient care, this activity has been planned and implemented by Cine-Med and the Pediatric Trauma Society. Cine-Med is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Cinι-Med designates this live activity for a maximum of 6.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity provides 6.75 contact hours for nurses.

All other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of Certificates of Participation for activities designated for AMA PRA Category 1 Credits™, consult your professional licensing board.

PTS LIVE Program | Joseph Tepas Paper Competition


PTS Pre LIVE Evening: Thursday, November 5, 2020
6:00 pm – 7:15 pm
JOSEPH TEPAS PAPER COMPETITION
Moderators: Jennifer Fritzeen, MSN, RN, TCRN, CCNS & Robert W. Letton, Jr., MD
7:15 pm – 8:15 pm
VIRTUAL HAPPY HOUR

PTS LIVE (Learning In a Virtual Environment): Friday, November 6, 2020, 10:00 am – 5:45 pm EDT
10:00 am – 10:05 am
WELCOME & OPENING REMARKS
(Including the announcement of theTepas Competition)
10:05 am – 11:05 am
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
11:05 am – 11:50 am
SESSION II: PEDIATRIC DISASTER CENTERS OF EXCELLENCE: UPDATE ON BEST PRACTICES, RESOURCES, TRAINING AND TOOLS
Moderator: Rita Burke, PhD, MPH

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.

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

What Katrina Can Teach Us About Children and Disasters: Have Lessons Been Learned?
Michael Anderson, MD, MBA, FAAP
UCSF Benioff Children's Hospitals, Oakland, CA

Questions and Answer with Entire Panel
11:50 am – 12:05 pm
BREAK – Visit Digital Marketplace
12:05 pm – 12:35 pm
Session III: Pediatric TBI- Keep Your Program Up To Date!
Moderators: Ian Mitchell, MD & 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, Tracy Larsen
Regions Hospital, St. Paul, MN
12:35 pm – 1:35 pm
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-Mathuria2
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. Blackwell2
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 Slidell1
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. Brown2
1Austin-Travis County EMS, Austin, TX; 2Cincinnati Children's Hospital Medical Center, Cincinnati, OH; 3Centene, Cincinnati, OH
1:35 pm – 1:50 pm
Break – Visit the Digital Marketplace
1:50 pm – 2:50 pm
Session V: Everything is Better in Hindsight - #hindsight2020
Moderators: Kara Mitchell, Susan Ziegfeld, MSN, PNP-BC

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
2:50 pm – 3:50 pm
Session VI: Implementation Science in Pediatric Trauma Care: From Conceptual Frameworks to Case Studies
Moderator: Ankush Gosain, MD, PhD

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
3:50 pm – 4:05 pm
BREAK- Visit the Digital Marketplace
4:05 pm – 4:35 pm
SESSION VII: PAPERS THAT SHOULD CHANGE YOUR PRACTICE: CURRENT TRAUMA LITERATURE: A YEAR IN REVIEW OF PEDIATRIC TRAUMA
Speakers: Karen B. Lidsky MD
Heidi Altamirano
Roberta Miller, MSN, RN, CPN, CPEN, TCRN
Kim Wallenstein, MD, PhD
4:35 pm – 5:35 pm
SESSION VIII: PTSD IN THE MEDICAL CONTEXT: SCREENING TO TREATMENT
Julia Price
Nemours Children's Health System, Wilmington, DE
5:35 pm – 5:45 pm
CLOSING REMARKS