PTS Newsletter
December, 2014

Lee Ann Wurster, RN
Lee Ann Wurster, RN
Nationwide Children's Hospital

Terri Elsbernd, MS, RN, CEN, CPEN
Terri Elsbernd
Mayo Clinic Hospital

Richard Falcone, Jr, MD, MPH
Pediatric Trauma Society President
Director, Trauma Services
Cincinnati Children’s Hospital Medical Center
Cincinnati, Ohio

To Pediatric Trauma Society members,

It is an honor to send my first message to all of you as I begin my presidency of our Pediatric Trauma Society following an incredibly successful inaugural meeting.

This first meeting had 50 podium presentations, 14 posters and 2 wonderful panel sessions. We had 256 registrants representing 35 states and 8 countries. The presentations were of high quality and the participation by attendees was outstanding and thought provoking. I would like to acknowledge and congratulate Dr. Jeff Upperman and the amazing program committee for working so hard and putting together a truly great meeting.

1st Annual Meeting Presentations and Photos Now Available!
We are pleased to share that most of the fantastic presentations from the Pediatric Trauma Society 1st Annual Meeting are now available online! View the presentations.

WASIO Photography also captured the 1st Annual Meeting incredibly well. View the photo album by using the password pts.

Welcoming the 2015 Executive Board
We are happy to announce your newest Executive Board members:

President-Elect – Robert Letton, MD
Secretary – William Johnson Millikan, Jr., MD
Member-at-Large – Terri A. Elsbernd, MS, RN
Member-at-Large – Lisa Gray, RN, CPN

Congratulations and thank you for your continued support of the Pediatric Trauma Society!
PTS Laerdal Award
The first grant award originating from collaboration between PTS members has been awarded! The Principal Investigator (Rita Burke, PhD, MPH, Children's Hospital Los Angeles) and Co-Investigators (Richard Falcone, MD, MPH and E. Brooke Lerner, PhD, MPH, Cincinnati Children's Hospital Medical Center and Medical College of Wisconsin, respectively) will collect the activation criteria for the highest level activation from all 45 pediatric trauma centers across the United States in order to create categories of indicators and identify the indicators that yield the lowest over-and under-triage rates. The award was granted by the Laerdal Foundation for Acute Medicine.
Diane Hochstuhl MSN, RN, NP-C
Chair, Education Committee
Nemours/duPont Hospital for Children

The education committee was charged by the PTS board in 2014 to develop and execute all aspects of an annual meeting. Hence, the committee worked hand in hand with the conference planning committee to ensure a successful 1st Annual Pediatric Trauma Society conference, held November 14-15 in Chicago.

Rita V. Burke, PhD, MPH
Co-chair, Research Committee
Assistant Professor of Research
Pediatric Surgery, Children’s Hospital Los Angeles
Keck School of Medicine, University of Southern California

Matthew Borgman, MD
Co-chair, Research Committee
San Antonio Military Medical Center
There was some great discussion centered around the Research Committee during the PTS inaugural conference. The two primary goals for the Research Committee this coming year is to encourage members to use the Committee to vet and disseminate their proposed research studies and to increase utilization of the PTS Research Investigator Database.

Julie C. Leonard, MD MPH
Principal Investigator, Cervical Spine Study Group
Pediatric Emergency Care Applied Research Network
Associate Professor of Pediatrics
Nationwide Children’s Hospital and the Ohio State University

The numerous presentations addressing cervical spine injury (CSI) in children at the first annual PTS meeting highlights that there is no currently accepted standard of care. It also emphasizes the need for a forum such as the annual meeting to vet current research across the multiple disciplines that care for injured children.

Michael Nance, MD, FACS, FAAP
Director, Pediatric Trauma
Children’s Hospital of Philadelphia

In 2010, the American College of Surgeons (ACS) launched the Trauma Quality Improvement Program (TQIP), a risk-adjusted benchmarking initiative to allow trauma centers to compare outcomes and best practices. The program has been quite successful and has grown in just 4 years to include more than 270 participating centers.

Nancy Kassam-Adams, PhD
Children’s Hospital of Philadelphia

What does the research say?
After a very frightening or physically threatening event, posttraumatic stress symptoms can include unwanted and intrusive thoughts about what happened, extreme avoidance of reminders of the event, exaggerated startle responses and difficulty sleeping or concentrating. A substantial body of research has established that posttraumatic stress symptoms are common after pediatric injury: 5 in 6 injured children and their parents have a severe traumatic stress symptom within the first month, and 1 in 6 still have these symptoms many months later.

Dr. Jonathan Groner
Trauma Medical Director
Nationwide Children's Hospital
Columbus, Ohio

On Monday evening, September 15th, Mark Barden sat down on my living room couch and held up a photo of his three young children. He pointed at the middle child in the photo, named Daniel. He said that Daniel was the kind of first grader who always seemed to want to be with or talk to the kids who were quiet or shy. On December 14, 2012, Daniel - along with 19 of his fellow students and six of his teachers - were shot to death at Sandy Hook Elementary School.

Dr. Adam Vogel
St. Louis Children's Hospital

Steven Woods, RN, BSN, MBA
Manager, Trauma Services
St. Louis Children's Hospital
The use of tranexamic acid (TXA) for the management of patients suffering or at risk for hemorrhage and coagulopathy has gained widespread adults. The Clinical Randomization of Antifibrinolytic in Significant Hemorrhage-2 (CRASH-2) study, published in 2010, demonstrated an improved survival from bleeding, particularly in patients with severe shock. Based on this and other adult studies, accepted indications for early TXA administration include: unstable vital signs and a high clinical suspicion for hemorrhage.

Since the inception of PTS there has been great interest in matching the goals of the organization to the needs of health care professionals who care for injured children. Within months of its inception, the Pediatric Trauma Society membership climbed to over 1000, and has stayed steady at about 600 paid members since that time. The following map depicts PTS membership by state (international membership will be depicted in future newsletters) – further analysis is underway and will be instrumental in guiding strategic goals for the committee.

Call for Interest
PTS Membership Committee Chair, Kathy Haley and Vice-chair, Lynn Haas, are seeking 10 PTS members to begin terms in January, 2015. Representatives from various disciplines, US regions, and countries are needed. If you have an interest in engaging potential new members and participating in the growth of the organization please contact committee chairperson Kathy Haley at or Lynn Haas at

Like us on Facebook   Follow us on Twitter


Aurelie Alger
Executive Director

Katie Leavitt

Yvonne Grunebaum
Exhibits Manager