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Pediatric Trauma Society

Accreditation Information

Jointly Accredited Provider 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.

Physicians
Cine-Med designates this live activity for a maximum of 18.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses
This activity provides 18.25 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.

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Wednesday, November 2, 2022
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
Grace Arteaga, MD
Marc Auerbach, MD
Mark X. Cicero, MD
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
Columbia
5:00 pm - 6:00 pm
Program Committee Meeting
Mt. Hood
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
Grace Arteaga, MD
Marc Auerbach, MD
Mark X. Cicero, MD
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 - 8:00 pm
Nurse Leadership Committee Meeting
Columbia

Thursday, November 3, 2022
6:45 am - 8:20 am
Continental Breakfast, Visit Exhibits
6:45 am - 3:45 pm
Registration
6:45 am - 3:45 pm
Speaker Ready Room
6:45 am - 3:45 pm
Exhibit Hall
6:45 am - 3:45 pm
View Scientific Posters
7:15 am - 8:05 am
Early Riser Session 1A*
*Separate registration required

Early Risers 1*: Fifty Shades of Grey - Update on ACS Guidelines

Objectives:
  • Briefly describe the process for revision of the Optimal Guide standards
  • Discuss the timeline for implementation of the standards
  • Review those standards that changed, in particular that relate to Pediatric Trauma Centers
  • Discuss the reasoning behind the revisions
Session Description: A opportunity to hear from members of the PTS and ACS COT VRC that participated in the just released revision of the “Resources for the Optimal Care of the Injured Patient” as they discuss the reasoning behind many of the revisions, in particular with respect to Pediatric Trauma Centers. We hope to keep this a “lively” and “interactive” discussion, and answer any questions and address any concerns.

Moderator: Lisa Nichols, MBA, BSN, RN, CCRN-K

Speakers:

Nilda Garcia, MD
Chair. American College of Surgeons Committee on Trauma Verification and Review Committee
Dell Children's Medical Center, Austin, TX

R. Todd Maxson, MD
Arkansas Children's Hospital, Little Rock, AR

Robert W. Letton Jr., MD
Chair. American College of Surgeons Committee on Trauma Pediatric Trauma Subcommittee
Neumours Children's Specialty Care, Jacksonville, FL
8:15 am - 8:20 am
Welcome and Opening Remarks
Michael L. Nance, MD
Pediatric Trauma Society President
8:20 am - 9:20 am
Keynote Address:
Introduction: Michael Nance, MD

Setting an Agenda for a National Pediatric Trauma System
Mary E. Fallat, MD
Norton Children's Hospital, Louisville, KY
9:25 am - 10:20 am
Scientific Session 1A: Verification Success with Clinical Guidelines: Navigating the Journey through Selection, Implementation and Quality Improvement

Objectives:
  • Develop strategies to select, create and modify guidelines for your trauma center
  • Demonstrate how to utilize your TQIP report and trauma registry to help direct your guideline needs
  • Discover Implementation Science; Evidence-based approaches to guideline implementation that lead to quality improvement
  • Equity in Pediatric Trauma Care: Does optimizing guideline implementation help or hurt?
  • Discover paths to integrate research into your guidelines implementation journey
Session Description: As the Pediatric Trauma Society's Guidelines Committee develop clinical practice guidelines, the challenge shifts towards implementation. How can Trauma Centers with varying resources select, pilot, implement, and refine application of these guidelines to the care they deliver families?
Moderator: Shannon W. Longshore, MD

Where to Start
Katherine Flynn-O'Brien, MD, MPH
Children's Hospital of Wisconsin, Milwaukee, WI

Leverage Lessons from Implementation Science & Consider Health Equity
Julia Price, PhD
Nemours Children's Health System, Wilmington, DE

Discover Paths to Implement Research into Your Guidelines Journey
Mauricio A. (Tony) Escobar, MD
Mary Bridge Children's Hospital & Health, Tacoma, WA

Loop Closure, Performance Improvement and Assuring Compliance with Guidelines
Karen Macauley, DHA, MEd, BSN
Johns Hopkins All Children's Hospital, St. Petersburg, FL

Pearls and Pitfalls of Clinical Guidelines
Kara Mitchell, MSN, RN, CPEN
Phoenix Children's, Phoenix, AZ

Discussion
9:25 am - 10:20 am
Scientific Session 1B: Abstract Presentations
(7 minute presentation, 3 minutes discussion)
Moderators: Madeline Gehrig & John K. Petty, MD
1.
Use of Autologous Cell Harvesting Device Reduces Number of Autografting Procedures Required for Treatment of Pediatric Full-thickness Burn Injuries
Kevin Foster1, Rajiv Sood2, Jeffrey E. Carter3, Joseph Molnar4, James H. Holmes, IV4
1Valleywise Health Medical Center, Phoenix, AZ; 2 Burn and Reconstructive Centers of America, Augusta, GA; 3 Louisiana State University, New Orleans, LA; 4 Wake Forest University School of Medicine, Winston-Salem, NC
2.
Emergency Resuscitative Thoracotomy in Children: A Pediatric Trauma Society (PTS), Western Trauma Association (WTA), and Eastern Association for the Surgery of Trauma (EAST) Systemic Review
Leigh Selesner1, *Matthew Martin2, *Shannon Longshore3, *Claire Gerall4, *Grace Ng5, *Kaushik Mukherjee6, *Romeo Ignacio7, Jennifer Freeman8, *Katherine Flynn-O'Brien9, Marie Crandall10, *Rajan Thakkar11, *Brian Yorkgitis10, *Mubeen Jafri1
1Oregon Health and Sciences University, Portland, OR;2 Madigan Army Medical Center, Joint Base Lewis-McChord, WA;3 Eastern Carolina University, Greenville, NC;4 UT Health San Antonio, San Antonio, TX;5 Texas Tech University Health Sciences Center, El Paso, TX;6 Loma Linda University Health, Loma Linda, CA;7 Rady Childrens Hospital, San Diego, CA;8 Baylor Scott & White Health, Dallas, TX;9 Childrens Wisconsin, Milwaukee, WI;10 University of Florida Health, Jacksonville, FL;11 Nationwide Children's Hospital, Columbus, OH
3.
Impact of Institutional Prophylaxis Guidelines on Rates of Pediatric Venous Thromboembolism Following Trauma - A Multicenter Study From the PTS Research Committee
Daniel F. Labuz1, Joseph Tobias1, Aaron Cunningham1, Christopher W. Marenco2, Mauricio Escobar3, Max D. Hazeltine4, Muriel A. Cleary4, Meera Kotagal5, Richard A. Falcone5, Adam M. Vogel6, Taleen MacArthur7, Denise B. Klinkner7, Aashka Shah8, Artur Chernoguz8, Alberto Orioles9, Alicia Zagel9, Ankush Gosain10, Maria Knaus10, Nicholas A. Hamilton1, *Mubeen A. Jafri1
1Ohsu, Portland, OR; 2Madigan Army Medical Center, Tacoma, WA; 3Mary Bridge Children's Hospital, Tacoma, WA; 4University of Massachusetts Medical School, Worcester, MA; 5Cincinnati Children's Hospital Medical Center, Cincinnati, OH; 6Texas Children's Hospital, Houston, TX; 7Mayo Clinic, Rochester, MN; 8Floating Hospital for Children at Tufts Medical Center, Boston, MA; 9Children's Hospital and Clinics of Minnesota, Minneapolis, MN; 10University of Tennessee Health Sciences Center, Memphis, TN
4.
Derivation of a Pediatric Cervical Spine Injury Decision Rule
*Julie C. Leonard1, Monica Harding2, Lawrence J. Cook2, Jeffrey R. Leonard1, Kathleen Adelgais3, Fahd Ahmad4, Lorin Browne5, Rebecca K. Burger6, Pradip Chaudhari7, Daniel J. Corwin8, Nicolaus Glomb9, Robert W. Hickey10, Lois K. Lee11, Lauren Riney12, Alexander J. Rogers13, Daniel M. Rubalcava14, Robert E. Sapien15, *Matthew Szadkowski Szadkowski16, Leah Tzimenatos17, Caleb Ward18, Kenneth Yen19, Nathan Kuppermann17
1Nationwide Children's Hospital, Columbus, OH; 2University of Utah, Salt Lake City, UT; 3Children's Hospital Colorado, Denver, CO; 4Washington University in St. Louis, St. Louis, MO; 5Medical College of Wisconsin, Milwaukee, WI; 6Children's Healthcare of Atlanta, Atlanta, GA; 7Children's Hospital Los Angeles, Los Angeles, CA; 8Children's Hospital of Philadelphia, Philadelphia, PA; 9University of San Francisco Benioff Children's Hospital, San Francisco, CA; 10University of Pittsburgh Medical Center, Pittsburgh, PA; 11Boston Children's Hospital, Boston, MA; 12Cincinnati Children's Hospital Medical Center, Cincinnati, OH; 13C.S. Mott Children's Hospital, Ann Arbor, MI; 14Texas Children's Hospital, Houston, TX; 15University of New Mexico Health Sciences Center, Albuquerque, NM; 16Primary Children's Medical Center, Salt Lake City, UT; 17University of California Davis, Davis, CA; 18Children's National Medical Center, Washington, DC; 19University of Texas Southwestern Medical Center, Dallas, TX
5.
The Utah Pediatric Trauma Network, a State-wide Pediatric Trauma Collaborative Can Safely Help Non-pediatric Trauma Hospitals Admit Children With Mild Traumatic Brain Injury
*Stephen J. Fenton, *Robert A. Swendiman, Matthew Eyre, Kezlyn Larsen, *Katie W. Russell
University of Utah School of Medicine, Salt Lake City, UT
10:25 am - 10:50 am
Coffee Break: Visit Exhibits and Posters
10:50 am - 11:35 am
Scientific Session 2A: Pediatric Spinal Cord Injury -- Special Considerations in Multidisciplinary Care

Objectives:
  • Participants will list the unique aspects of treatment required in pediatric spinal cord injury as compared to adults
  • Participants will communicate the benefits of early mobilization in spinal cord injury
  • Participants will utilize an early prognostication rubric using ASIA exam scoring
  • Participants will describe neurosurgical considerations in the growing child with acute spinal cord injury
Session Description: Pediatric spinal cord injury is a diagnosis that embodies the true need for multidisciplinary care. From the onset of injury to the chronic phases, multiple disciplines and specialists are necessary to ensure best outcomes. Pediatric spinal cord injury differs from adult spinal cord injury in a number of ways that require attention in the acute, subacute and chronic phases. Organizational systems at hospitals differ though there is clear benefit to having teams established to ensure that each component of care is covered. In this session, we will discuss ways to optimize care, the PTS HUB guideline for spinal cord injury and a number of anticipatory guidance elements that can give providers tools to empower their patients and families.
Moderator: Nathan Rosenberg, MD

Introduction
Nathan Rosenberg, MD
Nationwide Children's Hospital, Columbus, OH

Neurosurgical Considerations
Eric A. Sribnick, MD, PhD
Nationwide Children's Hospital, Columbus, OH

Unique Pediatric Aspects
Alecia K. Daunter, MD
University of Michigan Health, Ann Arbor, MI

Benefits of Early Mobilization
Angeline Bowman MD
University of Michigan Health, Ann Arbor, MI

Effective Early Prognostication
Nathan Rosenberg, MD
Nationwide Children's Hospital, Columbus, OH

Discussion
10:50 am - 11:35 am
Scientific Session 2B: Quick Shot Abstracts
(4 minute presentation, 2 minutes discussion)
Moderators: Patricia Morrell, BSN, RN-BC & Derek Wakeman, MD
6.
Use of Pre-hospital Reverse Shock Index Times Glasgow Coma Scale to Identify Children Who Require the Most Immediate Trauma Care
Marina Reppucci, Margo Nolan, Emily Cooper, Jenny Stevens, Swati Jujare, Lauren Gallagher, Bailey Lyttle, Steven Moulton, Denis Bensard, Shannon Acker
Children's Hospital Colorado, Aurora, CO
7.
Trauma Billing: More Complex Than You Think!
*Lee Ann Wurster, *Rajan Thakkar, Deborah Faehnle
Nationwide Children's Hospital, Columbus, OH
8.
Reduced Funding of Youth Services is Associated with Higher Levels of Violent Trauma: A Decade of Experience in a UK Major Trauma Network
*Louise Morris, David N. Naumann, Sam Kitchen, John-Joe Reilly, Adam Brooks
East Midlands Major Trauma Centre, Nottingham, United Kingdom
9.
Effects of All-terrain Vehicle Laws on Pediatric Trauma
Yezan "iPod" Hassan, Benjamin E. Padilla, *Todd A. Nickoles
Phoenix Children's Hospital, Phoenix, AZ
10.
Emergency Department Psystart Rapid Mental Health Triage for Children with Traumatic Injury
*Julie C. Leonard1, Rong Guo2, Annie Truelove1, David Elashoff2, Merritt D. Schreiber2
1Nationwide Children's Hospital, Columbus, OH; 2University of California, Los Angeles, Los Angeles, CA
11.
Golf Cart Injuries in Children: An Analysis of State Trauma Centers Over a 5-year Period Compared to All-terrain Vehicles
Henry L. Chang1, *Brian Yorkgitis2, Lindsey B. Armstrong1, *Keith A. Thatch1, *Donald A. Plumley3, Robin T. Petroze4, Shawn D. Larson4, *John W. Fitzwater5, Oliver Lao6, *Michele Markley7, Anne Fischer8, Felipe Pedroso9, Holly L. Neville6, *Christopher W. Snyder1
1Johns Hopkins All Children's Hospital, St. Petersburg, FL;2University of Florida - Jacksonville, Jacksonville, FL; 3Arnold Palmer Hospital for Children, Orlando, FL; 4University of Florida, Gainesville, FL; 5St. Joe's Children's, Tampa, FL; 6Joe DiMaggio Children's Hospital, Hollywood, FL; 7Broward Health, Plantation, FL; 8St. Mary's Medical Center, West Palm Beach, FL; 9Nicklaus Children's Hospital, Miami, FL
12.
Evaluating the Effect of Burn Injury Characteristics on Quality Of Life in Pediatric Burn Patients
Kelli N. Patterson1, Tariku J. Beyene1, Katherine Lehman2, Sarah N. VerLee1, Dana Schwartz1, *Renata Fabia1, *Rajan K. Thakkar1
1Nationwide Children's Hospital, Columbus, OH; 2Ohio State University College of Medicine, Columbus, OH
11:40 am - 11:50 am
Research Grant Presentation Recipient
Reversal of Systemic Immune Suppression following Traumatic Brain Injury Polytrauma

Eric A. Sribnick, MD, PhD
11:50 am - 12:00 pm
PTS Lifetime Achievement Award Presentation
Introduced by: Michael L. Nance, MD
Recipient: Martin R. Eichelberger, MD
12:00 pm - 1:00 pm
Highlights of the 2022 AAST Meeting Lunch Session
Eileen M. Bulger, MD
Harborview Medical Center, Seattle, WA
12:00 pm - 1:00 pm
Special Interest Group Lunch: Registry
Mt. Hood
12:00 pm - 1:00 pm
Special Interest Group Lunch: Critical Care
Columbia
12:00 pm - 1:00 pm
Special Interest Group Lunch: EMS
Eugene
12:00 pm - 1:00 pm
Special Interest Group Lunch: Rehabilitation
Portland
1:00 pm - 2:15 pm
Scientific Session 3: STN Award Competition & Abstract Session
(7 minute presentation, 3 minutes discussion)
Moderators: Terri Elsbernd, MS, RN, CEN, CPEN, TCRN & Lisa Nichols, MBA, BSN, RN, CCRN-K
*13.
Acute Stress Screening After Discharge of Injured Children: A Quality Improvement Initiative
*Katie Downie, Valerie Amador, *Mubeen Jafri
Randall Children's Hospital, Portland, OR
*14.
A Quality Improvement Initiative to Characterize and Address Delirium in Critically Ill Pediatric Trauma Patients
Amy Vestovich, Stephen Strotmeyer, Michelle Shaffer, *Ward Richardson, *Barbara A. Gaines, Dennis W. Simon, *Christine Perlick
UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA
*15.
Trauma Nursing Documentation Quality Improvement Bundle
Jennifer McKnight, *Garret Clark, Irene Pastrana-Hudson, *Ian Mitchell
The Children's Hospital of San Antonio, San Antonio, TX
*16.
A Role for Routine Urine Drug Screen in Pediatric Trauma (88)
*Katie Downie, Alicia McIntire, *Mubeen Jafri, Dan Leonhardt
Randall Children's Hospital, Portland, OR
17.
Impact of Center Designation on Mortality Following Pediatric Firearm Injury
Gwyneth A. Sullivan1, Susheel Reddy2, Audra J. Reiter2, Suhail Zeineddin3, Andrew Hu2, *Rashmi Kabre3, Anne M. Stey2, Mehul V. Raval3
1Rush University Medical Center, Chicago, IL; 2Northwestern University, Chicago, IL;3Lurie Children's Hospital, Chicago, IL
18.
Admission to a Verified Pediatric Trauma Center is Associated with Improved Outcomes in Severely Injured Children
Walter A. Ramsey, Carlos T. Huerta, Christopher F. O'Neil, Rebecca A. Saberi, Gareth P. Gilna, Brandon M. Parker, Daniel D. Yeh, Eduardo A. Perez, Juan E. Sola, Nicholas Namias, *Chad M. Thorson, Jonathan P. Meizoso
University of Miami, Miami, FL
19.
Whole Blood Deployment Initiative for Mass Casualty Incidents: Regional Experience in South Texas
Angelo Ciaraglia, MD1; Erika Brigmon, MD1; Maxwell Braverman, DO1; Emily Kidd, MD2; CJ Winckler3; Eric Epley3; Jose Flores3; John Barry3; Daniel DeLeon3; Elizabeth Waltman3; Brian Eastridge, MD1; Ronald Stewart, MD1; Lillian Liao, MD1; Susannah Nicholson, MD, MS1; Donald Jenkins, MD1
1University of Texas Health Science Center at San Antonio, Department of Surgery, San Antonio, TX; 2Acadian Ambulance Service, San Antonio, TX; 3STRAC Regional Whole Blood Program, San Antonio, TX
2:15 pm - 2:45 pm
Coffee Break: Visit Exhibits and Posters
2:45 pm - 3:45 pm
Local Case Study Session
Moderators: Shawn D. Larson, MD & Jose M. Prince, MD
4:00 pm - 6:00 pm
Publications Committee Meeting
Mt. Hood
4:00 pm - 5:00 pm
Advanced Practice Providers Committee Meeting
Eugene
4:00 pm - 5:00 pm
Education Committee Meeting
Portland
4:00 pm - 5:00 pm
Research Committee Meeting
Columbia
4:00 pm - 6:00 pm
Publications Committee Meeting
Mt. Hood
5:00 pm - 6:00 pm
Guidelines & HUB Committee Meeting
Columbia
5:00 pm - 6:00 pm
Injury Prevention Committee Meeting
Eugene
5:00 pm - 6:00 pm
Membership Committee Meeting
Portland

Friday, November 4, 2022
6:45 am - 5:15 pm
Registration
6:45 am - 5:15 pm
Speaker Ready Room
6:45 am - 6:00 pm
Exhibit Hall
6:45 am - 6:00 pm
View Scientific Posters
6:45 am - 8:00 am
Continental Breakfast, Visit Exhibits
7:15 am - 8:05 am
Early Risers Sessions 2A* & 2B*
*Separate registration required

Early Riser 2A*: How to PI: The 411 on the PI Toolkit

Objectives:
  1. Explain the development and implementation of the Pediatric PI Coordinator's Toolkit.
  2. Discuss how to implement the Toolkit at your trauma center.
  3. Discuss challenges and opportunities encountered in the creation of the Pediatric PI Coordinator's Toolkit and lessons learned.
  4. Discuss best practices and American College of Surgeons (ACS) recommendations of PI process.
Session Description: This early riser session will introduce the newly created Pediatric PI Coordinator's Toolkit to nurse leaders and PI coordinators. The Pediatric PI Toolkit was designed using current ACS PI recommendations, with input from leaders of programs with existing robust PI programs. There will be a discussion with specific examples on how the tools provided within the PI Toolkit could support a PI process or issue. This session will also describe ways in which leaders can use the Toolkit for the onboarding, training, or expansion of the PI Coordinator role within their own trauma programs.
Moderator: Kara Mitchell, MSN, RN, CPEN

Speakers:
Trey Babino, BSN, RN, CEN
Texas Children's Hospital, Houston, TX

Jennifer Fritzeen, MSN, RN, TCRN, CCNS
Children's National Hospital, Washington, DC

Nicole A. Plouffe, MSN, RN, CEN, CPEN, TCRN
Children's Health Orange County, CA

Tiffany Taylor, MSN, MBA, RN, TNS, TCRN, CPEN
Cardinal Glennon Children's Hospital, St. Louis, MO

Natalie Zaragoza, MSN, RN, CPEN
Phoenix Children's Hospital, Phoenix, AZ

Early Risers 2B*: Expanding the Reach and Impact of Your Academic Efforts: How to Take Your Single-Center Trauma Research, QI Projects, or Implementation Efforts to the Next Level

Objectives:
  • To review a number of options for developing research projects that could help make your work more impactful.
    • Approaches to moving from local QI projects to broadly impactful QI research
    • Dissemination and (De)implementation research
    • Conducting multidisciplinary research within a single institution
    • Conducting multicenter research trials.
    • Regional research collaboratives
    • Consensus-driven research projects
  • Describe research methodologies for these kinds of projects.
  • Research Pearls and Pitfalls associated with each study type
Session Description: This session is a collaboration between the Research and Guidelines Committee. The session will review the types of review articles and how to select the appropriate one based on the desired purpose and outcome. We will also review the practical application of a review article to clinical practice. Participants will leave with a greater understanding of the process of selecting and creating systematic reviews, as well as the salient application to practice.
Moderators: Isam W. Nasr, MD & Mark B. Slidell, MD, MPH

Introduction
Isam W. Nasr, MD
Johns Hopkins Hospital, Baltimore, MD

&

Mark B. Slidell, MD, MPH
The University of Chicago, Chicago, IL

Each Presenter will have 9 minutes to present followed by a group discussion

Pearls and Pitfalls in Pulling Together a Multi-Institution Research Project
Vincent Duron, MD
Morgan Stanley Children's Hospital, New York, NY

Building a Regional Trauma Research Consortium
Derek Wakeman, MD
University of Rochester, New York, NY

&

Tiffany Fabiano, MSN, CPNP
Oishei Children's Hospital, Buffalo, NY

Lessons Learned from Developing A Consensus Conference on, "The Treatment of Pediatric Trauma Patients in Hemorrhagic Shock"
Robert Russell, MD, MPH
Children's Hospital of Alabama, Birmingham, AL

Dissemination, Implementation, and De-Implementation of Your Pediatric Trauma Research
Jonathan E. Kohler, MD, MA
University of California Davis, Sacramento, CA

Discussion
8:15 am - 9:15 am
Scientific Session 4A: Tele-Health in Pediatric Trauma: Panel Discussion on How to Make it Work for your Program

Objectives:
  1. Define the various clinical practice settings of Telehealth/Telework for the pediatric trauma.
  2. Discuss common barriers to Telehealth/Telework in pediatric trauma.
  3. Explore alternative therapies that could use technology/Telehealth to provide care pediatric trauma patients.
  4. Compare various institutions billing/pay structures related to Telehealth in pediatric trauma.
  5. Describe the regulatory issues related to Telehealth in pediatric trauma care.
Session Description: This session will highlight several institutions that are using technology to provide healthcare and resources to patients and institutions that are a great distance from the Pediatric Level 1 Trauma centers. This panel will discuss how Telehealth will impact and enhance the continuum of multi-disciplinary pediatric trauma care. We will look at common barriers and regulatory issues related to providing care. We will also explore the use of technology as an institutional resource management for smaller rural institutions for stabilization of pediatric trauma patients. The panel will be multi-disciplinary and represent a wide geographic area of the country.

Moderators: Brandi Farrell, DNP, CPNP-AC, PC & Katie M. Swenson, DMSc, MBA, PA-C

Each speaker will have 8 minutes to highlight

Julia Smith, MSN, CPNP
Trauma Performance Improvement and Telehealth Lead
Pediatric General Surgery & Trauma
Primary Children's Hospital, Salt Lake City, Utah

Heidi Altamirano, RN, MS
Program Director for Burn, Trauma, and Telemedicine
Regions Hospital, Saint Paul, MN

Mikki Rothbauer, MSW, LICSW
Burn and Trauma Psychotherapist
Regions Hospital, Saint Paul, MN

Elizabeth Waibel, MSN, CPNP
Pediatric Trauma/Burn Nurse Practitioner
Trauma/Burn PI Coordinator
Children's National Hospital, Washington, DC

Discussion
8:15 am - 9:15 am
Scientific Session 4B: Writing your research for a publication - Key Concepts and Mistakes to Avoid

Objectives:
  1. Understand key components to writing a scientific paper
  2. Understand How to teach Mentees to write a manuscript
  3. Understand What are the critical errors to avoid in writing a publishable manuscript.
Session Description: Dr. Fred Rivara is a Professor of Pediatrics at the University of Washington and a journal Editor for over 21 years. He has extensive experience in trainee injury researchers. He will lead an interactive seminar with members of PTS publication committee on writing a successful scientific paper. The session will focus on structure and writing techniques and assisting young researchers in preparing their work for publication.

Moderator: Peter F. Ehrlich, MD

Frederick P. Rivara, MD, MPH
University of Washington, Seattle, WA
9:15 am - 9:45 am
Coffee Break: Visit Exhibits and Posters
9:45 am - 10:45 am
Scientific Session 5: Joseph Tepas Paper Competition - Part 1
(7 minute presentation, 3 minutes discussion)
Moderators: Robert W. Letton, Jr. & Peter F. Ehrlich, MD
20.
Infiltrating Monocytes Modulate Microglial Activation Through TLR4-interferon Dependent Pathways Following TBI
Mahmoud El Baassiri, Simon Rahal, William Fulton, Chhinder Sodhi, *Isam W. Nasr
John Hopkins, Baltimore, MD
21.
Pharmacologic TLR4 Inhibition Skews Astrocytes Toward a Favorable A1/A2 Ratio Improving Neurocognitive Outcomes Following Traumatic Brain Injury
Simon Rahal, Mahmoud El Baassiri, William Fulton, Chhinder Sodhi, *Isam W. Nasr
John Hopkins, Baltimore, MD
22.
Utility of Continuous Pulse Co-oximetry for Monitoring Hemoglobin Levels in Pediatric Trauma Patients with Solid Organ Injuries in Urban Level 1 Trauma Centers
*Mark L. Ryan1, Sarah Cairo2, Cory McLaughlin3, Lela Herring4, *Regan Williams3
1Children's Medical Center Dallas, Dallas, TX; 2UT Southwestern, Dallas, TX; 3University of Tennessee Health Science Center, Memphis, TN; 4Le Bonheur Children's Hospital, Memphis, TN
23.
Social Vulnerability Index is Strongly Associated with Pediatric Firearm Violence in Four Major U.S. Cities
Ann M. Polcari, *Mark B. Slidell, Kylie Callier, Lea E. Hoefer, Tanya L. Zakrison, *Marion C. Henry, Andrew J. Benjamin
University of Chicago, Chicago, IL
24.
No Time To Die: Blood Product Ratios are Dynamic and Time-dependent During Massive Transfusion for Pediatric Trauma
*Christopher W. Snyder1, *Lucas P. Neff2, Nicole M. Chandler1, Jeffrey D. Kerby3, *Robert T. Russell4
1Johns Hopkins All Children's Hospital, Saint Petersburg, FL; 2Brenner Children's Hospital at Wake Forest Baptist Health, Wake Forest, NC; 3 University of Alabama at Birmingham, Birmingham, AL;4Children's Hospital of Alabama, Birmingham, AL
10:50 am - 12:00 pm
Scientific Session 6A: Hindsight is 20/20 - Everything is Better in Hindsight

Objectives:
  1. Identify an opportunity for improvement occurring with a trauma patient that will impact the care of future pediatric trauma patients.
  2. Explain the development and implementation of the action plan leading to loop closure.
  3. Discuss challenges and opportunities encountered in the loop closure process.
  4. Discuss how to collaborate within your institution to drive performance improvement process measures.
Session Description: This breakout session is designed for clinicians who are interested in using the performance improvement process to identify, develop, and evaluate issues affecting pediatric trauma patient care. This interactive session will walk the participant through the PI process of two cases that identify an issue, developed an action plan to solve, and evaluated their process outcomes.
Reducing Bias in Recognition of Child Physical Abuse
Christi Thornhill DNP, APRN, ENP, ACNP-BC, CPNP-AC, CP-SANE
Cook Children's Medical Center, Fort Worth, Texas

Massive Transfusion and Hyperkalemia
Kyndra Holm, MSN, RN, CEN, TCRN
Augusta University – Children’s Hospital of Georgia, Augusta, GA
10:50 am - 12:00 pm
Scientific Session 6B: Quick Shot Abstracts
(4 minute presentation, 2 minutes discussion)
Moderators: Robert Russell, MD, MPH & Ann M. Bacevice, MD
25.
Validation of the Predictive Model for Operative Intervention Afterblunt Abdominal Trauma in Children Withequivocal Ct Findings: A Multi-institutional Study
Abdulraouf Lamoshi1, Raymond Lay2, Derek Wakeman2, Mary Edwards3, Kim Wallenstein4, Tiffany Fabiano5, Zorawar Singh3, Jacob Zipkin3, Soyun Park6, Jihnhee Yu6, Mitchell Chess7, Vali Kaveh8
1Cohen Children's Medical Center, New Hyde Park, NY; 2University of Rochester, Rochester, NY; 3Albany Medical College and Center, Albany, NY; 4Upstate Medical University, Syracuse, NY; 5John R. Oishei Children's Hospital, Buffalo, NY; 6University at Buffalo, Buffalo, NY; 7University of Rochester Medical Center, Rochester, NY; 8John R. Oishei Children's Hospital, Buffalo, NY
26.
Cervical Spine Imaging - An Important Adjunct in Children with Abusive Head Trauma
*Heather Ann Hartman, *Peter F. Ehrlich, *Arul S. Thirumoorthi
University of Michigan, Ann Arbor, MI
27.
Predictors of Acute Compartment Syndrome among Pediatric Trauma Patients: A Nationwide Analysis
Khaled El-Qawaqzeh, Lourdes Castanon, Hamidreza Hosseinpour, Collin Stewart, Sai Krishna Bhogadi, Tanya Anand, Michael Ditillo, Lynn Gries, Adam Nelson, Bellal Joseph
University of Arizona, Tucson, AZ
28.
Retrospective Review of Angioembolization in Traumatic Blunt High-Grade Liver Injuries in Adolescent Age Children
Samara Lynn Lewis1, Kenneth E. Stewart2, Zooona Sarwar2, Ryan Kennedy2, *Jeremy J. Johnson1
1Oklahoma Children's Hospital, Oklahoma City, OK; 2University of Oklahoma Health Science Center, Oklahoma City, OK
29.
Custom Mini-fellowship Improves Care for Complex Pediatric Orthopedic Trauma
Cristine S. Velazco, *Todd A. Nickoles, Jamie C. Harris, William S. Wood, Katherine P. Davenport
Phoenix Children's Hospital, Phoenix, AZ
30.
Antibiotics within One Hour for Pediatric Open Lower Extremity Fractures May Not Be Warranted as a Quality Metric
Marlene D. Jacobo, Areg Grigorian, Lourdes Swentek, *Laura F. Goodman, Yigit Guner, Alliya Qazi, Patrick T. Delaplain, Jeffry Nahmias
University of California, Irvine, School of Medicine, Irvine, CA
31.
Pediatric Cervical Spine Imaging and Injury: A 10-year Evaluation at a Level 1 Pediatric Trauma Center
*Robert A. Swendiman1, Stephanie E. Iantorno1, Rajiv R. Iyer1, Douglas L. Brockmeyer1, Karch M. Smith1, Natalya E. Polukoff1, Kezlyn E. Larsen1, *Stephen J. Fenton1, Kenji Inaba2, *Katie W. Russell1
1University of Utah, Salt Lake City, UT; 2University of Southern California, Los Angeles, CA
32.
Effects of Hypocalcemia in Severely Injured Pediatric Trauma Patients
Angelo Ciaraglia, Thomas Oh, Lauran Barry, Derek Lumbard, Benjamin Deschner, Donald Jenkins, Brian Eastridge, Ronald Stewart, *Lillian Liao, Susannah Nicholson
UT Health Science Center - San Antonio, San Antonio, TX
33.
Institutional Outcomes of Blunt Liver & Spleen Injury in the Atomac Era
Shai Stewart1, James A. Fraser1, Neal Shah2, Rebecca M. Rentea1, *Pablo Aguayo1, *David Juang1, Jason D. Fraser1, Charles L. Snyder1, Richard J. Hendrickson1, Shawn D. St. Peter1, Tolulope A. Oyetunji1
1Children's Mercy Hospital, Kansas City, MO; 2University of Missouri-Kansas City, Kansas City, MO
34.
Incidence of Blunt Cerebrovascular Injury in Pediatric Hangings and Recommendation for Screening
Alena A. Golubkova, Heather Liebe, Tyler Leiva, Kenneth Stewart, Zoona Sarwar, Catherine J. Hunter, *Jeremy J. Johnson
University of Oklahoma Health Sciences Center, Oklahoma City, OK
12:00 pm - 1:00 pm
Understanding and Promoting Diversity, Equity, and Inclusion in Pediatric Trauma Lunch Session

Introduction of DEI Mentees

Overcoming Barriers and Bias
Bindi Naik-Mathuria, MD, MPH
Texas Children's Hospital, Houston, TX

Garrett D. Hall, BSN RN CST
ESO, Belcamp, MD

What are Microaggressions
Yolanda Marrow
Baystate Medical Center, Springfield, MA

What is "Trauma Informed Care"
Marion C. Henry
University of Chicago, Chicago, IL

Discussion
12:00 pm - 1:00 pm
Special Interest Group Lunch: Disaster
Mt. Hood
12:00 pm - 1:00 pm
Special Interest Group Lunch: DEI Grant Lunch
Columbia
12:00 pm - 1:00 pm
Special Interest Group Lunch: Psychology
Eugene
1:00 pm - 1:15 pm
Introduction of the President
1:15 pm - 2:00 pm
Presidential Address
Lest History Repeat Itself
Michael L. Nance, MD
The Children's Hospital of Philadelphia, Philadelphia, PA
2:00 pm - 3:00 pm
Scientific Session 7: Joseph Tepas Paper Competition - Part 2
(7 minute presentation, 3 minutes discussion)
Moderators: Jennifer Fritzeen, MSN, RN, TCRN, CCNS & Isam W. Nasr, MD
35.
Diagnostic Accuracy of Screening Tools for Pediatric Blunt Cerebrovascular Injury: An ATOMAC Multicenter Study
*Todd A. Nickoles1, *James W. Eubanks, III2, *Ruth A. Lewit2, *Adam C. Alder3, *Jeremy Johnson4, *Robert T. Maxson5, *Jessica A. Naiditch6, *Karla A. Lawson7, M'hamed Temkit1, Benjamin Padilla1, *David M. Notrica1
1Phoenix Children's Hospital, Phoenix, AZ; 2Le Bonheur Children's Hospital, Memphis, TN; 3Children's Health - Plano, Dallas, TX; 4Oklahoma Children's Hospital, OU Health, Oklahoma City, OK; 5Arkansas Children's Hospital, Little Rock, AR; 6Dell Children's Medical Center of Central Texas, Austin, TX; 7Dell Medical School, University of Texas at Austin, Austin, TX
36.
Lower Incidence of Pediatric Blunt Cerebrovascular Injury when Properly Restrained: An ATOMAC Multicenter Study
*Todd A. Nickoles1, *James W. Eubanks, III2, *Ruth A. Lewit2, *Adam C. Alder3, *Jeremy Johnson4, *Robert T. Maxson5, *Jessica A. Naiditch6, *Karla A. Lawson7, M'hamed Temkit1, Benjamin Padilla1, *David M. Notrica1
1Phoenix Children's Hospital, Phoenix, AZ; 2Le Bonheur Children's Hospital, Memphis, TN; 3Children's Health - Plano, Dallas, TX; 4Oklahoma Children's Hospital, OU Health, Oklahoma City, OK; 5Arkansas Children's Hospital, Little Rock, AR; 6Dell Children's Medical Center of Central Texas, Austin, TX; 7Dell Medical School, University of Texas at Austin, Austin, TX
37.
Comparing Pediatric Trauma Outcomes By Special Health Care Needs Status
*Denise Lillvis1, Karen Sheehan2, Jihnhee Yu3, Katia Noyes3, Carroll Harmon1, Dennis Kuo3
1John R. Oishei Children's Hospital, Buffalo, NY; 2Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; 3University at Buffalo, Buffalo, NY
38.
Is There a Need for a National Consensus Document for Management of Firearm Injuries at Pediatric Trauma Centers?
*Lee Ann Wurster1, *Michele Herndon2, *Kelley Rumsey3, *Jennifer Fritzeen4, *Ginger Wilkins5, *David Seastrom6, *Moe Schmid7, *Kara Mitchell8
1Nationwide Childrens Hospital, Columbus, OH; 2Children's Hospital, St. Louis, St. Louis, MO;3 Children's Hospital of Richmond at VCU, Richmond, VA; 4Children's National Hospital, Washington, DC, DC ;5Atrium Health Wake Forest Baptist, Winston-Salem, NC; 6Children's Mercy, Kansas City, Kansas City, MO; 7Children's Healthcare of Atlanta at Egleston, Atlanta, GA; 8Phoenix Children's, Phoenix, AZ
39.
Using a Checklist Improves Team Confidence in Pediatric Major Trauma: An Observational Study
Marijke van Eerd, David N. Naumann, *Louise Morris
East Midlands Major Trauma Centre, Nottingham, United Kingdom
3:00 pm - 3:30 pm
Coffee Break: Visit Exhibits and Poster
3:30 pm - 4:30 pm
Scientific Session 8A: How to Be an Advocate for Pediatric Injury Prevention

Objectives:
  • Attendees will understand the role of their Injury Prevention Professional in the trauma care continuum
  • Attendees will reflect on the positive impact of past child safety and injury prevention legislation
  • Attendees will learn tools for making pediatric injury prevention part of their career
  • Attendees will recognize the importance of advocacy for pediatric injury prevention at institution, community, state, and national levels
  • Attendees will be able to express the benefit of pediatric healthcare providers as advocates
Session Description: The Pediatric Trauma Society's Injury Prevention committee benefits from the multidisciplinary nature of the organization - with injury prevention experts, bedside trauma nurses, trauma advance practice providers, surgeons, and trauma medical directors coming together to strategize about injury prevention. However, in daily practice we sometimes find ourselves siloed in our own niche. This limits opportunities for collaboration and advocacy. In 2022, now more than ever, it is important to stand up for our kids. This session will review prior "wins" in pediatric injury prevention, including examples of state and national laws that led to a decrease in pediatric traumatic injury. Injury prevention professionals will speak to their role in the trauma care continuum. Additionally, we will discuss the importance of clinical healthcare providers within the pediatric advocacy realm. Information will be provided on how to become involved in advocacy efforts, and how to incorporate advocacy into your career. Finally, we hope to instill a call to action to all members of the Pediatric Trauma Society to speak up, get involved, and keep our pediatric patients safe from traumatic injury.

Moderator: Kelly L. Wiseman, MSBS, PA-C

The History of Injury Prevention
Marion C. W. Henry, MD, MPH
University of Chicago, IL

The Injury Prevention Professional: Understanding Their Role and Opportunities for Provider Support
Cindy D. Colson, MSN, RN, NRP
Children's National Health System, Washington, DC

A Provider Perspective
Ben Hoffman, MD, CPST-I, FAAP
OHSU Doernbecher Children's Hospital, Portland, OR

Discussion
3:30 pm - 4:30 pm
Scientific Session 8B: Quick Shot Abstracts
(4 minute presentation, 2 minutes discussion)
Moderators: Michael Conti, MD & Eric Sribnick, MD
40.
Infectious Complications Following Pediatric Ballistic Wounds: A Single Center Review
Amy A. Howk, Mtthew Margol, *Amina M. Bhatia
Emory University, Children's Healthcare of Atlanta, Atlanta, GA
41.
Burden of Unintentional Pediatric Firearm Injury: An Examination of the National Readmission Database
Derek C. Lumbard1, Rachel Nygaard2, Chad Richardson2, *Lillian Liao1, Ronald Stewart1, Brian Eastridge1, Susannah Nicholson1
1UT Health San Antonio, San Antonio, TX; 2Hennepin Healthcare, Minneapolis, MN
42.
Making a Move: Using Simulation to Identify Latent Safety Threats to the Care of Injured Patients in a New Physical Space
*Meera Kotagal, *Richard A. Falcone, Jr., *Margot Daugherty, Brant Merkt, Gina L. Klein, Shawn McDonough, Stephanie D. Boyd, Gary L. Geis, Benjamin T. Kerrey
Cincinnati Children's Hospital Medical Center, Cincinnati, OH
43.
The Impact of Blunt Adrenal Trauma in the Pediatric Population
Anthony Duncan1, Dustin Nowotny1, Tyler Sang2, Mentor Ahmeti2
1University of North Dakota, Grand Forks, ND; 2Sanford Health Care System, Fargo, ND
44.
Effectiveness of Beta-blocker Use in Patients with Severe Traumatic Brain Injury: A Systematic Review and Meta-analysis
Micah Ngatuvai1, *Adel Elkbuli2
1Department of Surgery, Orlando Regional Medical Center, Orlando, FL; 2Orlando Regional Medical Center, Orlando, FL
4:35 pm - 5:20 pm
Scientific Session 9A: Health Disparities: Strategies for Studying Inequality and Closing the Equity Gap
Moderators: Meera Kotagal, MD, MPH & Mark B. Slidell, MD, MPH

Objectives:
  1. To systematically review indices used to assess disparities
  2. To describe research methodology for conducting research on health disparities
  3. To discuss strategies to reduce inequalities using community-based participatory research and community engagement
Session Description: Health disparities have vastly grown as a topic of focus over the past few years, and there is significant evidence of disparities in child injury rates and outcomes. However, as these strategies are increasingly applied, there remain gaps in knowledge of how best to use indices measuring deprivation, how to conduct research, and even more importantly, how to address identified disparities to improve health equity. The session will review the commonly used indices to measure area deprivation, helping participants to understand which one to choose for a given research project and why. We will also review approaches to utilization of these indices in research. Lastly, we will focus on community-based participatory research (CPBR) and community engagement strategies to close equity gaps. Participants will leave with a greater understanding of health disparities research and how to use what they learn to improve health equity.

Introduction/Setting the Context for Studying Disparities in Pediatric Trauma
Meera Kotagal, MD, MPH
Cincinnati Children's Hospital Medical Center, Cincinnati, OH

Which Index Should I Choose?: Understanding the Strengths and Weaknesses of Measures of Area Deprivation
Stephen Trinidad, MD
Mt. Sinai, New York, NY

Assessing Disparities: Research Approaches to Studying Health Inequality
Chelsea Hicks, PhD, MPH
Harborview Injury Prevention Research Center at the University of Washington, Seattle, WA

Closing the Equity Gap: Using Community-Based Participatory Research and Community Engagement to Go Beyond Identifying Disparities to Eliminating Them
Carley Riley, MD, MPP, MHS
Cincinnati Children's Hospital Medical Center, Cincinnati, OH

Discussion
4:35 pm - 5:20 pm
Scientific Session 9B: Quick Shot Abstracts
(4 minute presentation, 2 minutes discussion)
Moderators: Barbara A. Gaines, MD & Kara Mitchell, MSN, RN, CPEN
45.
A Programming Approach towards Addressing Pediatric Drownings
Tiffaney Isaacson1, Yezan "iPod" Hassan1, Bianca Cardiel1, Angelica Baker1, Jodi Brigola2, Catherine Tretiakova1, Jessica Wani3, Brittany Baarson2, Roy Jedeikin2, Diana Bowman3
1Phoenix Children's Hospital, Phoenix, AZ; 2Phoenix Children's Care Network, Phoenix, AZ; 3Arizona State University, Tempe, AZ
46.
Firearm Screening and Gun Lock Distribution in a Pediatric ED
Theresa Timm, *Lindsay Clukies, Kristen Mueller, Melissa An, Monica Lim, Fahd Ahmad
Washington University in St. Louis, At. Louis, MO
47.
Iv Antibiotic Administration for Open Fractures: A Nurse-driven Performance Improvement Initiative
*Katherine Oag, Kaitlyn Kowaleski
Children's Hospital of Michigan, Detroit, MI
48.
The Reliability of Chart-based Assessment of Functional Impairment after Pediatric Injury Using the Functional Status Scale
Caroline Melhado1, Emily Kao2, Jacqueline Hogan-Schlientz3, Debbie Crane3, Caroline Q. Stephens1, Lauren Evans4, *Randall S. Burd5, *Aaron Jensen1
1University of California San Francisco, San Francisco, CA; 2University of California San Francisco East Bay, Oakland, CA; 3Benioff Children's Hospital Oakland, Oakland, CA;4Cedars-Sinai Medical Center, Los Angeles, CA; 5Children's National Hospital, Washington, DC
49.
Factors Associated with Exceeding Predicted Hospital Stays in Pediatric Trauma Patients
Michelle C. Coughlin, Elika Ridelman, Lydia J. Donoghue, Christina M. Shanti
Wayne State University/Children's Hospital of Michigan, Detroit, MI
50.
Optimizing Resource Utilization: Palliative Care Consultations in Pediatric Trauma Patients
Julie Goswami, Jacob W. Baxter, Brenda A. Schiltz, *Terri A. Elsbernd, Grace M. Arteaga, *Denise B. Klinkner
Mayo Clinic, Rochester, MN
51.
Trends in Pediatric Firearm Injuries in the State of Missouri: 2010-2019
Tsehay B. Abebe1, Anne Sescleifer2, Connor Fairfax3, *Michele Herndon3, Christopher Behr2, *Martin Keller1
1Washington University School of Medicine, St Louis, MO ; 2Saint Louis University School of Medicine, St Louis, MO; 3Saint Louis Children's Hospital, St Louis, MO
52.
Utility of Procalcitonin in Discriminating Sepsis From Neuro-storming in Children with Severe Traumatic Brain Injury
*Dimitra Maria Lotakis, Jack Vernamonit, *Peter Ehrlich, *Samir K. Gadepalli
University of Michigan, Ann Arbor, MI
5:20 pm - 6:20 pm
Reception and Scientific Poster Competition

Saturday, November 5, 2022
7:00 am - 12:00 pm
Registration
7:00 am - 12:00 pm
Speaker Ready Room
7:00 am - 8:30 am
Continental Breakfast
7:30 am - 8:30 am
PTS Membership Meeting (Members Only)
8:30 am - 9:30 am
What Makes the Pediatric Trauma Center (PTC) Different? Working Toward a Consensus Definition of PTC Resources
Moderators: Michael Conti, PhD, CRNA & Christopher Snyder, MD

Objectives:
  • Define the concepts of undertriage, overtriage, and pediatric trauma center (PTC) essential resources.
  • Discuss results of a multidisciplinary modified Delphi process for developing consensus criteria for PTC resources.
  • Participate in multidisciplinary discussion to refine a consensus statement regarding PTC resources.
Description: Pediatric trauma patients are triaged to pediatric trauma centers (PTCs) based on their anticipated need for PTC resources. But what are the unique resources of the PTC? What sets the PTC apart from a community hospital or adult trauma center? This session will present the findings of a multidisciplinary modified Delphi process seeking to answer these questions. The audience will also be able to participate in the final stage of the consensus process and help develop the PTS consensus statement.

Prehospital Care and Emergency Medicine
Jennifer F. Anders
John Hopkins Medicine, Baltimore, MD

Anesthesia and Critical Care
Catherine Chen, MD
Seattle Children's, Seattle, WA

Trauma Surgery and Surgical Subspecialties
TBD

Child Abuse
Carol Lilly, MD
University of South Florida, Tampa, FL

Discussion
9:30 am - 9:40 am
Tepas Award Presentations
STN Award Presentations
Poster Award Presentation

Lisa Nichols, MBA, BSN, RN, CCRN-K
Pediatric Trauma Society President-Elect
9:40 am - 10:30 am
Scientific Session 10: Papers That Should Change Your Practice: Current Trauma Literature: A Year in Review of Pediatric Trauma
Moderator: Kim Wallenstein, MD, PhD, FACS
Speakers: Lisa M. Hill, DNP, RN, TCRN, EMT-P, IC
Pediatric Trauma Coordinator
Ascension St. John Hospital, Detroit, MI

Roberta Miller, DNP, RN, CPN, CPEN, TCRN
Emergency Services Clinical Educator
Cook Children's Healthcare System, Fort Worth, TX

Kim G. Wallenstein, MD, PhD, FACS
Assistant Professor of Pediatric Surgery
Pediatric Trauma Medical Director
Upstate Medical University, Syracuse, NY

Denise B. Klinkner, MD, Med, FACS, FAAP
Associate Professor in Pediatric Surgery
Pediatric Trauma Medical Director
Mayo Clinic, Rochester, MN
10:30 am - 11:30 am
Scientific Session 11: Quick Shot Abstracts
(4 minute presentation, 2 minutes discussion)
Moderators: Pablo Aguayo, MD & Todd Nickoles, RN, BSN, MBA, TCRN
53.
Balanced From the Start- Initial Low Titer O Whole Blood during Massive Transfusion in Pediatric Penetrating Trauma
Jessica L. Rauh, Katherine M. Riera, Carolyn Foley, Nichole Reavis, Charlene Kramer, *John K. Petty, *Lucas P. Neff
Wake Forest, Winston Salem, NC
54.
Screening for Child Physical Abuse Using Icd-10 Diagnostic Codes: A Comparison of Three Methods
Leighton Reed, Lisa Odendal, Danielle Mercurio, *Christopher Snyder
Johns Hopkins All Children's Hospital, St Petersburg, FL
55.
Plasma Thrombin Generation Kinetics Vary By Injury Pattern and Resuscitation Characteristics in Injured Children and Young Adults
Taleen A. MacArthur, Julie Goswami, Annelise Howick, *Stephanie F. Polites, *Denise B. Klinkner, Myung S. Park
Mayo Clinic, Rochester, MN
56.
Pediatric Trauma Surgery in Iraq and Afghanistan: Indicators and Most Common Operating Room Interventions From 2007-2016
Andrew S. Oh1, Steven G. Schauer2, Kathleen Adelgais3
1Children's Hospital Colorado, Aurora, CO; 2US Army Institute of Surgical Research, JBSA Fort Sam Houston, TX; 3University of Colorado School of Medicine, Aurora, CO
57.
Assessment of Clinical Outcomes Among Transferred Severely Injured Pediatric Trauma Patients: Level I Versus Level II Pediatric Trauma Centers
Sai Krishna Bhogadi, Adam Nelson, Hamidreza Hosseinpour, Collin Stewart, Khaled El-Qawaqzeh, Michael Ditillo, Lynn Gries, Lourdes Castanon, Tanya Anand, Bellal Joseph
University of Arizona, Tucson, AZ
58.
Pediatric Trauma Boot Camp: Utilizing Interdisciplinary Education to Improve Pediatric Trauma Care
*Elizabeth M. Brigham, Amanda Levin, *Erica Hodgman, *Isam Nasr
Johns Hopkins Hospital, Baltimore, MD
59.
Prevalence and Outcomes of Low Vs High Ratio Plasma:RBC Resuscitation in a Multi-institutional Cohort of Severely Injured Children
Steven C. Mehl1, *Adam M. Vogel1, *Meera Kotagal2, *Regan F. Williams3, *Mark L. Kayton4, *Emily C. Alberto5, *Thomas J. Schroeppel6, Joanne E. Baerg7, *Laura A. Boomer8, *Eric M. Champion9, *Rachel M. Nygaard10, *Denise I. Garcia11, *Michaela Gaffley12, *Cynthia Greenwell13, Alicia M. Waters14, Brian K. Yorkgitis15, Jeffrey Pence16, *Matthew T Santore17, *Taleen MacArthur18, Shawn D Stafford19, Jessica Rea20, Bethany J. Farr21, Bavana Ketha22, Anna Goldenberg-Sandau23, *Stephanie F. Polites18
1Texas Children's Hospital, Houston, TX; 2Cincinnati Children's Hospital, Cincinnati, OH; 3Le Bonheur Children's Hospital, Memphis, TN; 4Florida and the Palm Beach Children's Hospital, West Palm Beach, FL; 5Children's National, Washington DC, DC; 6Children's Hospital of Colorado, Aurora, CO; 7Loma Linda University, Loma Linda, CA; 8Children's Hospital of Richmond, Richmond, VA; 9Denver Health Medical Center, Denver, CO; 10Hennepin Healthcare, Minneapolis, MN; 11The Medical University of South Carolina, Charleston, SC; 12Brenner Children's Hospital, Winston-Salem, NC; 13Children's Health Dallas, Dallas, TX; 14Children's of Alabama, Birmingham, AL; 15University of Florida-Jacksonville, Jacksonville, FL; 16Dayton Children's Hospital, Dayton, OH; 17Children's Healthcare of Atlanta, Atlanta, GA; 18Mayo Eugenio Litta Children's Hospital, Rochester, MN; 19Carilion Children's Hospital, Roanoke, VA; 20Children's Hospital Los Angeles, Los Angeles, CA; 21Boston Children's Hospital, Boston, MA; 22Arkansas Children's Hospital, Little Rock, AR; 23Cooper University Hospital, Camden, NJ
60.
Temporal Trends in Pediatric Injuries Due to Abuse, Personal Motorized Vehicles, and Firearms in Florida: Effects of the Pandemic and Social Determinants of Health
*Christopher W. Snyder1, Henry L Chang1, *Keith Thatch2, Lindsey B. Armstrong1, *Donald Plumley3, Robin T. Petroze4, *Shawn D. Larson4, Brian K. Yorkgitis5, John W. Fitzwater6, Oliver Lao7, Michele Markley8, Anne C. Fischer9, Felipe Pedroso10, Holly L. Neville7
1Johns Hopkins All Children's Hospital, Saint Petersburg, FL; 2Tampa General Children's Hospital, Tampa, FL; 3Orlando Health Arnold Palmer Hospital for Children, Orlando, FL; 4University of Florida Shands Children's Hospital, Gainesville, FL; 5University of Florida Jacksonville, Jacksonville, FL; 6St. Joseph's Children's Hospital, Tampa, FL; 7Joe DiMaggio Children's Hospital, Hollywood, FL; 8Broward Health Medical Center, Plantation, FL; 9Palm Beach Children's Hospital, West Palm Beach, FL; 10Nicklaus Children's Hospital, Miami, FL
61.
Effectiveness of Ems Handoff in Pediatric Trauma
Thomas Conway, *Francesca Bullaro, *Jency Philipose, David Teng, Oscar Muniz Seda, Matthew Harris
Northwell Health Cohen Children's Medical Center, Queens, NY
62.
Socioeconomic Deprivation Amongst Pediatric Stabbing Victims: An Observational Study
David N. Naumann, *Louise Morris, John-Joe Reilly, Lauren Blackburn, Adam Brooks
East Midlands Major Trauma Centre, Nottingham, United Kingdom
11:30 am - 11:45 am
Committee Updates
11:45 am
Adjourn
* STN Award Finalist