February
Preparing For A Virtual Site Visit - Thursday, February 4, 2021
- Understand knowledge about the ACS view point and philosophy about virtual visits in the future
- Understand better the process in which to prepare for an ACS virtual Site Visit
- Obtain valuable information that will increase knowledge about how to host an ACS virtual Site visit during the visit
Session Description:
Join PTS as we navigate you through a virtual site visit through the eyes of an ACS reviewer, a trauma program manager and trauma program director. The esteemed faculty will let you in on knowledge on what a reviewer is looking for, how to prepare for the site visit, and how to present the material on the day of the visit. This session will begin with an overview from Dr. Maxson on a brief background on the virtual site visits from an ACS point of view, we will then lead into a panel discussion among the faculty on each step of the site visit including PRQ, chart selection, getting chart information to reviewers, and chart review. Following the panel discussion there will be ample opportunity for you to ask questions to the panel.
Moderator:
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Lisa Nichols, MBA, BSN, RN, CCRN-K Wolfson Children's Hospital, Jacksonville, FL |
Panelists:
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R. Todd Maxson Arkansas Children's Hospital, Little Rock, AR |
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Maria F. McMahon, MSN, RN, PNP-PC/AC, TCRN Boston Children's Hospital, Boston, MA View Presentation |
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David P. Mooney, MD, MPH Boston Children's Hospital, Boston, MA View Presentation |
Can We Prevent the Kid "Quake" – Identifying and Optimizing Injury Prevention Efforts Targeting Pediatric Falls
Objectives:
- To highlight the unpredictable and varied circumstances surrounding pediatric falls
- To review current national data and trends of pediatric falls
- To review current international, national, and local efforts targeting pediatric fall prevention
- To discuss actionable prevention strategies that may be applicable to individual centers
Falls in the adult population have become a significant safety concern as many lead to significant morbidity, prolonged length of stay, and all too often death. However, the impact around pediatric falls is more difficult to characterize. Children are explorers by nature and their boundless curiosity directly correlates with unexpected tumbles, ejections, and falls. Falls from recreational activities such as horseback riding, family trips to the market, or sporting events are commonly seen in pediatric emergency rooms. Over 200,000 children are seen annually in emergency departments following playground related injuries and falls. In more severe cases, children may fall from second story bedroom windows or off ladders and elevated platforms. In many pediatric centers, falls comprise the largest share of injures seen in our emergency rooms and eventually entered in our trauma registries. Pediatric injury prevention teams are tasked with a challenge to decrease the occurrence and morbidity for events that are by nature difficult to predict and multi-faceted.
Moderator:
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Session Introduction Dan Little, MD McLane Children’s Hospital, Temple, TX |
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| Kids will do the DARNDEST things... And then they fall | |||||
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Falls in the Suburbs Christine Frugard, MSN, RN, PNP-AC K. Hovnanian Children’s Hospital at Jersey Shore University Medical Center, Neptune City, NJ |
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Falls on the Farm Judith Egly, MSN, RN-BC, CSN Janet Weis Children’s Hospital, Danville, PA |
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Falls in the Arena Sharon Evans, RN, BSN, CPN, CPSTI, Cook Children’s Hospital, Fort Worth, TX |
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Falls in the Grocery Dan Little, MD McLane Children’s Hospital, Temple, TX |
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Strengthening Your Injury Prevention Approach through Accurate Registry Inclusion and Heat-Mapping Cindy Colson, MSN, RN, CCRN, TCRN, NRP Children’s National Medical Center, Washington D.C. |
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Exploring Novel Approaches To Home Safety through “Make Safe Happen” Carrie Rhodes, CPST-I Nationwide Children’s Hospital, Columbus, OH |
| Question and Answer with the Entire Panel | |||||
March
Checking the Trauma Research Box and Beyond
Objectives:- Identify approaches to enhance data collection efforts of performance improvement initiatives that lead to increased research output
- Describe how to maximize research output from existing internal data resources
- Identify ways performance improvement and research activities can inform each other to create a quality improvement cycle
Session Description:
This session is designed to address the needs of both trauma program managers and physicians interested in increasing research productivity and impact with limited time and resources. The session will discuss strategies to maximize the use of existing data sources, such as trauma registries, to produce multiple research products. It will also describe strategies to collect more robust data for performance improvement activities that can be used for future research projects, designing local prospective research studies, and informing the development of new interventions and guidelines. Finally, the session will discuss what issues trauma program managers and physicians need to consider before they begin to collect data for a performance improvement project.
Moderator:
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Ankush Gosain, MD, PhD Lebonheur Children's Hospital Level I Trauma Center, Memphis, TN |
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Introduction Ankush Gosain, MD, PhD Lebonheur Children's Hospital Level I Trauma Center, Memphis, TN |
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Leveraging Your In-House Resources: Registrars, Research, and Other Staff Gina Berg, PhD Wesley Medical Center Univ of Kansas School of Medicine, Wichita, KS |
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How to Maximize Trauma Quality Improvement Data for Research Purposes Teresa Bell, PhD University of Utah School of Medicine, Salt Lake City, UT |
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Strategies to Improve the Quality of Data Collected for Performance Improvement Activities Rita Burke, PhD, MPH Keck School of Medicine, University of Southern California, Los Angeles, CA |
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| Question and Answer with the Entire Panel | |||||
April
Successfully Publishing your Research: Scientific Paper Writing Do's and Don'ts and How to Target the Right Journal
Objectives
At the end of the session the participants will have increased understanding of:
- Key concepts in journal article construction (introduction, methods, preparation of results and discussion)
- Fatal flaws to avoid in scientific paper writing
- What journal will publish your research and what does the journal impact factor mean
Session Description:
The PTS publication committee was formed to help PTS presenters publish their work in peer reviewed journals. Although the quantity and quality of research presented at the PTS annual meeting continues to rise, the quality of the manuscripts submitted can significantly improve. Unfortunately, excellent impactful research that is poorly presented may not be published or end up being published in a journal that no one reads.
This session will focus on the art and science of translating research into a manuscript that will have a high likelihood of publication. Each journal has a distinct style and content for their readership, and different expectations with respect to content and importance of the “impact factor”. The session will describe and show examples of how each section of a manuscript should be constructed, and what should and should not be included. We will include a discussion describing common pitfalls and flaws that will doom a manuscript from publication in a quality journal. In addition, we will describe the "impact factor" and discuss its implications with respect to what journals may or may not publish a manuscript. This will be followed by a question and answer period with researchers on the Publications Committee who are invited reviewers for the Journal of Trauma and Acute Care Surgery as well as a proven successful track record with publishing in JTACS.
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Welcome and Introduction
What is a Peer Review Journal, What is an Impact Factor and Targeting the Correct Journal? Peter F. Ehrlich, MD University of Michigan, Ann Arbor, MI |
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It Begins with the Right Question Robert W. Letton, Jr., MD Nemours Children's Specialty Care, Jacksonville, FL |
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Common Mistakes in Paper Writing from the Abstract, Introduction to the Discussion Aaron Jensen, MD UCSF Benioff Children's Hospital Oakland, Oakland, CA |
May
Anesthesiologist's Pitfalls and Pearls for Managing the Difficult Airway in Pediatric Trauma Patients
Objectives:
- Characterize known risk factors for difficult airway in pediatric patients- specifically, in all pediatric patients and for pre-hospital pediatric trauma patients.
- Review airway equipment, adjuvants, and drugs available to aid in the airway management of pediatric patients.
- Discuss how a multidisciplinary approach maximizes success and minimizes complications in a pediatric difficult airway.
- Discuss performance improvement examples to help optimize the first-pass success rate of endotracheal intubation in pediatric trauma patients, as well as support the functioning of a multi-disciplinary team approach.
Session Description: Management of pediatric airways remains a challenge for all those caring for injured child. Difficult airways in pediatric trauma patients can present significant challenges to the pediatric trauma team and result in life-threatening consequences. A difficult airway is described as difficulty with face mask ventilation and/ or laryngoscopy and intubation. Lack of a standardized difficult airway algorithm in pediatrics, difficulty with front of neck procedures in neonates, and general poor apneic reserve in pediatric patients are some of the factors that confer difficulty with minimizing secondary injury from hypoxia, hypercarbia, and hypotension. This webinar will be a case based discussion on pitfalls and pearls in caring for the injured child with a difficult airway. Equipment, adjuvants, and medications to assist with the management of the pediatric difficult airway will be demonstrated to show how they help mitigate the complications of the difficult airway that may propagate secondary injury on our pediatric patients. Furthermore, thoughtful discussion and reflection of the multidisciplinary contributions during the management of a difficult airway in a pediatric trauma patient can enhance success and reduce complications, as well as identify under-utilized resources present at institutions during these experiences.
Moderators: Nicole Dobija, MD & Rebecca Nause-Osthoff, MD
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Nicole Dobija, MD University of Michigan CS Mott Children’s Hospital of Michigan Medicine, Ann Arbor, MI |
Known Risk Factors for Pediatric Difficult Airway
Trauma Cases and Airway Equipment Brief Overview of Anesthetic Drugs in Pediatric Trauma |
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Rebecca Nause-Osthoff, MD University of Michigan CS Mott Children’s Hospital of Michigan Medicine, Ann Arbor, MI |
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Benefits of a Multidisciplinary Approach Peter Ehrlich, MD University of Michigan CS Mott Children’s Hospital of Michigan Medicine, Ann Arbor, MI |
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Supporting Performance Improvement Amy Randall, MSN, RN, TCRN University of Michigan CS Mott Children’s Hospital of Michigan Medicine, Ann Arbor, MI |
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| Question and Answer with the Entire Panel | |||||
June - Screening Tools in Pediatric Trauma
Objectives of Session:
- Define screening tools in pediatric trauma identifying ACS mandates and best practices
- Identify barriers to screening
- Review strategies/interventions for positive screens
Session Description: CRAFFT, NAT, PTSD…so many screenings. What's required by the ACS? What’s considered best practice? How does a provider find time to administer the screen and what should be done if it’s positive? Our multidisciplinary panel can help guide you and your institution.
Moderators:
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Elizabeth Waibel, MSN, CPNP Children's National Medical Center, Washington, DC |
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Brandi Farrell, DNP UT Health Science Center, San Antonio, TX |
Faculty:
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Trauma Medical Director: Mark B. Slidell, MD, MPH The University of Chicago, Chicago, IL View Presentation |
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Trauma Program Manager: Lisa Nichols, MBA, BSN, RN, CCRN-K Wolfson Children's Hospital, Jacksonville, FL View Presentation |
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APP: Dana L. Noffsinger, RN, MS, AC, MS, ACPNP Nationwide Children's Hospital, Columbus, OH View Presentation |
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Social Worker: Marie Ritzo, LICSW Children's National Medical Center, Washington, DC View Presentation |
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Psychologist: Carisa Parrish, PhD Johns Hopkins School of Medicine, Baltimore, MD View Presentation |
July - Traumatic Brain Injury: The Road from First Response to Recovery
Objectives:
- Delineate the general timeline of care for a severe TBI patient.
- Describe the principles for why and how neurosurgeons perform a hemicraniectomy for trauma.
- Describe reasons why early rehabilitation involvement in traumatic brain injury can enhance functional outcomes
- Know the timeline for the ability to make evidence-based outcome predictions in traumatic brain injury.
Session Description: A single patient case will be utilized to highlight major intervention points in care from the moment of injury to the long term rehabilitation phases. Individual phases of care include EMS/initial trauma response, emergency department care, ICU care, transition to acute care, transition to rehabilitation and outpatient care. We will discuss potential points where outcomes can be optimized and the evidence behind these. Case-specific imaging will be utilized to delineate points of intervention. Family communication will also be covered, both in the acute and chronic phases.
Faculty:
| Eric A. Sribnick, MD Nationwide Children's Hospital, Columbus, OH |
Nathan Rosenberg, MD Nationwide Children's Hospital, Columbus, OH |