Presented by the American Trauma Society The Trauma Program Manager Course emphasizes key components of a Trauma Program. Taught by expert Trauma Program Managers, it is recognized throughout the trauma community as the premier course for learning the role and importance of the Trauma Program Manager as well as the role of other essential members of a trauma program.

If you have already completed the Stop the Bleed Training and would like to train others during TraumaCon, please attend this meeting. Training times and assignments will be discussed during this session.

Advanced Practice SIG
Geriatric SIG
Injury Prevention SIG
TOPIC Committee
ATCN Committee

Government Affairs & Public Policy
Membership and Marketing
Pediatric Committee
Leadership Development Committee

This Geriatric Workshop will provide an overview on how we as trauma nurses can prepare for the aging trauma population. The objective of this workshop is to assist trauma nurses in understanding the importance of focused care on the older adult trauma patient. The Geriatric SIG will provide resource tools, share strategies, and provide educational opportunities that will allow attendees to take steps forward in focusing on the unique needs of the older adult trauma patient. The session will be broken out into four focus areas, including Trauma Program Development, Injury Prevention, Guidelines and Protocols, and Education. The session will end with a question and answer session with the Geriatric SIG faculty.

The STN Leadership Workshop is designed for trauma professionals who are interested in gaining knowledge in leadership principles, effective communication strategies and identification of new tools to advance their careers. The leadership workshop will be facilitated by experienced and knowledgeable leaders who have served in various roles within the trauma community. The leadership workshop should be attended by both novice and experienced leaders who are seeking opportunities to excel in their careers.

Network with your colleagues and vendor partners Hearty appetizers Cash Bar Visit the Exhibits Play Exhibit Hall Game

The purpose of the Stop the Bleed Campaign is to build national resilience by better preparing the public to save lives by raising awareness of basic actions to stop life threatening bleeding following everyday emergencies and man-made and natural disasters. This is a training session for health care professionals to educate them on the program and provide them with the resources to train others, including lay people.

This session will cover new advances in trauma care, from training new staff to advances in diagnostics and treatment technology and strategy.
Objectives:

• Understand the differences between live tissue and simulation based training outcomes
• Understand the impact of extending trauma care closer to the point of injury
• Describe examples of technology impacting trauma care delivery

When it comes to your teen patients, do you ever find yourself saying, “Why do they do that?” This session will explore teen development and the unique risks for injury in this age group. Current well-publicized fads found in social media leading to injury in teens will be discussed. There will be a focus on the number one killer of teens (motor vehicle crashes), the circumstances surrounding accidents involving teen drivers, and injury prevention strategies directed toward adolescents.

Objectives:

• Describe recent findings in adolescent brain development
• List factors causing teen driver motor vehicle crashes
• List recent injury trends seen in social media

Understanding and implementing recent EAST guidelines in the context of Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology can be difficult. Dr. Bryce Robinson, Chair of the EAST PMG Section, will lead a one-hour panel discussion explaining GRADE and the format of EAST PMGs. Drs. Nicole Fox (Blunt Aortic Injury) and Samuel Galvagno (Blunt Thoracic Pain Control) will review the content and provide real-world guidance for the implementation of their PMGs.

Objectives

• Explain the use of the GRADE methodology in the context of EAST PMGs. 
• Analyze and appraise the EAST PMG “Evaluation and Management of blunt traumatic aortic injury” from the primary author, Nicole Fox MD, MPH.
• Analyze and appraise the joint EAST and Trauma Anesthesiology Society PMG “Pain management for blunt thoracic trauma” from the primary author, Samuel Galvagno DO, PhD.

Optimal care of the rural trauma patient involves a rapid expert prehospital response, transport to the most appropriate health facility or trauma center where proper application of ATLS & RTTDC principles are implemented, and when needed, expeditious transfer to a definitive trauma center. Many challenges exist in the rural environment of trauma care, including: resources, weather, geography, distance, educational needs, low volume - high acuity patients, etc. Interactive discussions will provide resources and ideas for optimal care of the injured patient in a rural setting.

Objectives

• The participant will list three priorities the American College of Surgeons - Rural Committee on Trauma - is currently working on.
• The participant will describe the importance of a relationship between rural trauma facilities and a regional trauma system.
• The participant will list two means of integrating a performance improvement process with the trauma referral center and other regional trauma facilities.

Healthcare personnel focused on care of the injured frequently encounter complex clinical cases. EAST’s Career Section, “Engage the Masters,” discusses such cases via literature based incite from “Master” healthcare personnel. A similar, but unique, inter-professional and multidimensional session dynamic at STN will facilitate open exploration of how direct clinical care issues are not isolated issues, but instead, interrelate with indirect clinical care issues (team-related communication or systems-level opportunities for improvement).

Objectives
Further explore the interdependent surgeon/nurse dynamic as it relates to clinical care issues in direct patient careFurther explore the interdependent surgeon/nurse dynamic as it relates to non-clinical care issues in indirect patient care.Present clinical cases to EAST “Master” and expert panel for introspection and stop-point exercises linking clinical management, communication, and quality; breaking down silos in careEmpower APPs in PI using the integrative Masters session by introducing clinical, administrative, education, and research based loop closure

This presentation will focus on the current research and Brain Trauma Foundation (BTF) evidence based guidelines related to managing intracranial pressure, blood pressure and flow, and oxygen delivery to the patient with severe traumatic brain injury. Critical thinking algorithms will be presented and applied to actual case studies. The team interventions used in each of the cases will be contrasted and prioritized.

Trauma resuscitations are complicated and highly dynamic systems of care involving variable members across multiple disciplines, complex patients with multiple incomplete clinical diagnoses, frequent hand-offs, and a compressed timeframe, often in a noisy and crowded environment. These complex variables may lead to errors and challenge team function and reliability. This session will discuss the identification, development, and implementation of an organized, focused process designed to improve safety and reliability in the trauma resuscitation room.

Objectives

• Describe the effectiveness of a model of teamwork during trauma resuscitation focused on improving safety and reliability practices. 
• Discuss the use of defined roles and responsibilities of team members in promoting a culture of safety in trauma resuscitation.
• Describe the trauma team time out and 60 seconds of silence process utilized in modeling safety behaviors. 
• Provide participants with actionable tools and processes to improve safety and reliability in their own facility.

The top three submissions in the Evidence-Based Practice category are presented at this session:

• Heads Up: Describing and Implementing a Time-Saving Head Strike Protocol at a Level II Trauma Center: Sharon Wacht, RN, CEN
• How Cool Are You? Hypothermia in the Prehospital Setting: Ashley Metcalf, MSN, RN, CEN, TCRN
• Closing the Loop of Performance Improvement Indicators and Safety Taxonomy Using an Electronic Database at a Level One Trauma Center: Darlene Sweet-Marzullo, MSN RN

The purpose of this session is to enable the learners to increase their knowledge for understanding the complex medical needs and neuropathology of this injury that affect recovery and prognosis. Assessment, treatment and long term outcomes will be discussed.

Objectives

• Understand Neuropathology (effects on the brain)
• Define Neurological Syndromes (effects on the person)  
• Describe Natural History of Impairments and Recovery (prognosis)
• Review Disorders of Consciousness treatment paradigm

Polytrauma refers to multiple traumatic injuries that can be life threatening. In a child, these injuries are a major cause of morbidity and mortality. Polytrauma occurs less often in children than adults, therefore, trauma nurses lack experience in management of these patients. Based on best practice, this session will discuss the differences in pediatric and adult anatomy and how it can influence the injury complex, identification, and management of orthopedic injuries and possible associated sequelae.

Objectives:

• Discuss anatomical differences in the pediatric patient that can influence the initial management during resuscitation
• Identify associated patterns of injury in the child with orthopedic injuries
• Describe ongoing management of the polytrauma child with orthopedic injuries.

This session discusses risks and non-infectious complications associated with administration of blood products in trauma patients. The transfusion of blood products is one of the most common interventions required by critically injured trauma patients often emergently due to hemorrhage, or less emergently to increase hemoglobin and improve oxygen delivery. Blood transfusions are associated with an increased risk for multiple adverse events, even death. An in-depth review of the most serious complications—TRALI, TACO, and TRIM—will be discussed.

Objectives

• Identify patient related risk factors associated with the development of TRALI, TACO and TRIM.
• Differentiate the clinical presentation and management strategies of TRALI, TACO, and TRIM.
• Discuss strategies to attenuate the prevalence of TRALI, TACO, and TRIM in the trauma patient.

Electronic medical records (EMR) are changing how we, the clinical staff, chart on patients who suffer traumatic injuries. This new documentation is done with a push of a button and the click of a mouse. This session will begin with a review of the history of documentation in clinical practice. Trauma patients are unique and may not fit the standard. Do some C.Y.A. charting (Cover Your Assessments)! There will be helpful tips and guides for audience members to take back and share, plus real-life examples. Take a fun and educational tour through EMRs and learn how to C.Y.A. your Chart!

Objectives:

• Participants will be able to compare and contrast current charting practice with C.Y.A. charting and be able to describe the way in which C.Y.A. charting can reduce errors.      
• Participants will be able to evaluate their own charting by applying C.Y.A. techniques and identify the gaps that contribute to errors.  
• Participants will be able to create C.Y.A. charting plan for their own intuition and apply it to daily charting.

The components of trauma mortality are hypothermia, coagulopathy, metabolic acidosis, and hypovolemia. They act synergistically to potentiate mortality and morbidity in patients with traumatic injuries. To understand the deadly impact, it is important to examine the individual pathology of each. They work together to become horsemen, riding together to create a slippery slope leading to the point of no return for the patient sustaining traumatic injuries. Prevention is the most important initial intervention, but when prevention fails, treatment should be early and aggressive.

Objectives

• Describe the components of trauma mortality.
• Apply physiologic characteristics of the components to trauma mortality.
• Link the components to therapeutic interventions.

The purpose of the Stop the Bleed Campaign is to build national resilience by better preparing the public to save lives by raising awareness of basic actions to stop life threatening bleeding following everyday emergencies and man-made and natural disasters. This is a training session for health care professionals to educate them on the program and provide them with the resources to train others, including lay people.

The top two submissions in the Research category are presented at this session:

• Post-Extubation Nursing Dysphagia Screen in the Adult Trauma Patient: Rita Hunsucker, DNP
• A Multi-Center Performance Improvement Program Uses Rural Trauma Filters for Benchmarking: An Evaluation of the Findings: Ray Coniglio, MSN, RN

Members of the trauma team will be armed with new tools to accurately determine burn size, degree, fluid resuscitation needs, and evidence-based practices that can improve the outcome of pediatric burns of all sizes. Case studies and vivid Power Point images of burns and their progression and healing are included.

Objectives

• Identify the immediate priorities of the initial stabilization following a thermal injury.  
•  Identify treatment interventions and their impact on the short-term and long-term patient outcomes.
• State three complexities of the burn injury and the American Burn Association criteria for referral to burn center

Are you contemplating taking the TCRN? Need an entertaining way to review for this task? Or just want a break from didactic lectures? Look no further! Lynn and Diana will entertain you while reviewing for the TCRN exam through the format of the popular TV game show Jeopardy! Be amazed at the knowledge you and your colleagues will recall. Topics and questions are from the TCRN content and review material available.

Objectives

• Interpret an advanced trauma assessment to identify risks for injury and associated interventions.
• Formulate an intervention plan for trauma patients ranging from stable to critical based on assessment information.
• Examine or critique how a trauma centers trauma program and it’s components (registry, quality, prevention) addresses missed injuries and complication.

Fat embolism syndrome (FES) is a poorly understood and often under diagnosed outcome of major trauma in adult and pediatric patients. Although rare, FES can be fatal and is challenging to diagnose, treat, or prevent. There are theories on mechanical or biochemical causes for the fat embolism, as well as major and minor diagnostic criteria. Significant outcomes are usually either pulmonary or cerebral, and can be devastating.

Objectives

• Identify the risk factors and causes of fat embolism syndrome
• Recognize the signs and symptoms of fat embolism syndrome following acute trauma
• Describe major and minor diagnostic criteria
• Describe the possible treatments and potential outcomes of pulmonary and cerebral fat embolism syndrome

Chest wall related trauma ranges from isolated rib fractures to devastating bilateral flail chest. Historically, these patients have been managed with aggressive pain control and mechanical ventilation. In recent years, new treatment modalities have become available and include paravertebral nerve blockade, multimodal pain regimens, and surgical fixation. This presentation aims to explore current treatment options, both medical and surgical, and evaluate their effectiveness.

Objectives

• Describe chest wall trauma and common concomitant injuries.
• Compare and contrast standards of care for chest wall trauma with novel pharmacologic therapies.  
• Identify indications, advantages, and disadvantages to surgical fixation of fractured ribs.

The evening shift on May 12, 2015 began like any other... until the first calls of a train derailment started coming in. The results were 54 patients presenting to Temple University Hospital’s Emergency Department in less than two hours. It took the efforts of the entire hospital to take care of the sudden surge of patients. This presentation will discuss their emergency planning efforts, the timeline of the night of the derailment and the ensuing days, and the lessons we learned from the event.

Objectives

• Define what a massive casualty incident is.
• Reflect on the events of the Amtrak Train Derailment of May 12, 2015 as it pertained to Temple University Hospital.
• Identify 3 injuries commonly seen in the train derailment.

This session will cover quality improvement in trauma care and how to affect change in your everyday practice.

The purpose of the Stop the Bleed Campaign is to build national resilience by better preparing the public to save lives by raising awareness of basic actions to stop life threatening bleeding following everyday emergencies and man-made and natural disasters. This is a training session for health care professionals to educate them on the program and provide them with the resources to train others, including lay people.

In honor of the 20th anniversary of the annual conference, STN is hosting its first ever 5K Run/Walk! There is a $25 fee to register; all proceeds will go to the Interstate Disaster Medical Collaborative. The IDMC supports the Missouri disaster team and is negotiating with supporting heroes to help cover LOD risks for disaster teams. IDMC is also the candidate for regional assets such as mobile surgical capabilities which states are unlikely to support. To register for the 5K, visit https://register.chronotrack.com/r/27844.

These sessions will give you a chance to network with colleagues and meet with speakers and trauma leaders. Feel free to bring your thoughts, ideas or questions for discussion. Please reference the program syllabus onsite, for available topics. Table# Topic

1. PI at Level I & Level II
2. PI at a Peds Trauma Center
3. Journal of Trauma Nursing
4. Advanced Practice
5. Emergency Preparedness
6. ATCN: What’s New for 2017?
7. Geriatrics Committee
8. Research Grant Applications
9. Clinical Focus/Pediatric Trauma Challenges
10. Level III Trauma Center Issues
11. Clinical Committee
12. International Committee

This session will cover implementation and compliance with best practice guidelines and development of strategies to implement the PI taxonomy within trauma centers.
Overview:
This session will provide an overview of the new initiatives that promote Best Practice in trauma care by:

• Describing the structures and processes from adherence to Performance Improvement principles.
• Present the participants an outline of educational offerings such as webinars and online tutorials to help centers understand the criteria in the Optimal Care of the Injured Patient manual.
• Measure patient outcomes through risk-adjusted benchmarking.

Objectives:

• Discuss new initiatives for Best Practice Guidelines for patient care.
• Describe the benefits of PI Taxonomy as an engine to quality improvement.
• Provide participants with the schedule of educational activities such as webinars and online tutorials to help centers understand the criteria in the Optimal Care of the Injured Patient manual.
• Provide participants with a dashboard for quality outcomes and best practices.

Lisa Tofil, Partner, Holland & Knight LLP, represents a number of health care organizations. She is an experienced advocate on numerous healthcare issues and programs, including graduate medical education, biomedical research, transplantation, health resources issues, as well as public records and open meetings laws. During this session, she will discuss the current legislative environment and how it effects trauma care

Hemorrhagic shock in trauma challenges the team to provide treatment in stopping the hemorrhage/replacing critical blood products. Understanding trauma induced coagulopathy is critical to targeting appropriate treatment. TEG/TEG with platelet mapping are methods of analyzing coagulopathy caused by the impact of hemorrhage, and guide blood product administration. This session will present TEG technology, propose Tx based on TEG parameters, and use case studies to apply MTPs to clinical practice.

Objectives

• Identify specific trauma patient populations at great risk for hemorrhagic shock and pathophysiology of hemorrhage/Trauma Induced coagulopathy  
• Describe the normal/abnormal dynamic clotting parameters of Thromboelastography (TEG) and propose treatment using an algorithm  
• Strategize treatment options involving actual cases of hemorrhage

Amy Koestner is the Trauma Program Manager at Spectrum Health, a Level 1 Trauma Center in Grand Rapids, Michigan. Amy has 20 years experience in the role of trauma program manager. Her involvement in STN includes participation as a faculty member for the Optimal Trauma Center Organization & Management Course, STN chair liaison to the Committee on Trauma, and nurse leader for the ACS-COT PIPS collaboration initiative. She is a nurse reviewer for state designation organizations and the American College of Surgeons VRC.

This session will cover three presentations: resuscitation of trauma patients, programs supported by the ACS and STN for the management of exsanguinating hemorrhage, and the use of novel approaches to hemorrhage control in the trauma bay.

We are all familiar with assassinations that have happened over the course of our history. This session will stimulate your curiosity by reviewing several well known assassinations that have occurred in our past and reviewing the standard of care that was current at the time. Each case has a cause of death as determined by autopsy. Now, comparing those circumstances to the state of the art of trauma care today, would these individuals with the same injuries lived or died today? You decide.

Objectives

• Review the historical aspects of several famous assassinations that have occurred in history
• Apply the standard of care at that time to the treatment these individuals received
• Compare the current state of the art in trauma care to these same cases and determine outcome

STN and the American College of Surgeons Committee on Trauma (ACS-COT) have partnered to develop the Optimal Trauma Center Organization & Management Course. Both physicians and nurses teach this collaborative course. Its goal is to enhance trauma center performance and to improve patient care through implementation of the ACS COT Trauma Center Standards.

Whether yours is a mature verified center or a hospital preparing for designation, this course is designed to help participants develop strategies, processes, and operations to support trauma systems, based on their unique environments. It is designed to help you take your trauma center to the next level, beyond verification or designation. The nuances of implementing or improving upon trauma center criteria within the structure of your specific facility will be reviewed in an interactive forum.

This two-day course was developed by seasoned injury prevention professionals across the country and is designed to cover 14 chapters related to establishing and expanding a comprehensive Injury Prevention Program within hospitals and trauma centers. This course is designed for individuals and organizations actively engaged in developing and implementing policies or programs that primarily target or secondarily impact the prevention of injury.

This activity has been approved for 12 CME Contact Hours through the District of Columbia Board of Nursing.The District of Columbia Board of Nursing is an accredited approver of continuing nursing education by CE Broker.

Pre-registration and approval is required for attendance. The Society of Trauma Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This event has been awarded 16.75 contact hours.

The ATCN Faculty Course is a two-day course designed to prepare students to become ATCN Faculty. This course will be held offsite. To register please contact Luciana Campobasso, lcampobasso@traumanurses.org.

Prerequisites:

• A student in the ATCN Faculty Course must be a licensed registered nurse who has successfully completed the ATCN Student Course.
• The successful completion of a Student Course must be current and within 4 years.
• Written recommendation from the Course Director of the ATCN student course they attended, or documentation verifying ATCN Instructor Potential.

This two-day course will feature expert speakers covering topics specific to the body of knowledge in trauma nursing across the continuum of care, from injury prevention through reintegration to home.

The Society of Trauma Nurses is pleased to announce that it has developed a Preparation Course, designed for nurses who are preparing for the Trauma Certified Registered Nurse (TCRN) exam, developed by the Board of Certification for Emergency Nursing (BCEN®).

Course Fee: The registration fee is $425, which includes continental breakfast, breaks and lunch for both days, and the course manual.

This course is designed for nurses who are preparing for the Trauma Certified Registered Nurse (TCRN) exam, developed by the Board of Certification for Emergency Nursing (BCEN®).

Please note: Participation in the STN TCRN Preparation Course is not mandatory, and will not impact your eligibility to sit for the national certification examinations offered by BCEN®. Disclaimer: Persons participating in the STN TCRN Preparation Course to help prepare for an examination offered by BCEN® acknowledge that there is no guarantee stated or implied that participation will assure passage of an examination. STN makes no warranties about the content of the STN TCRN Preparation Course.

This two-day course was developed by seasoned injury prevention professionals across the country and is designed to cover 14 chapters related to establishing and expanding a comprehensive Injury Prevention Program within hospitals and trauma centers. This course is designed for individuals and organizations actively engaged in developing and implementing policies or programs that primarily target or secondarily impact the prevention of injury.

This activity has been approved for 12 CME Contact Hours through the District of Columbia Board of Nursing.The District of Columbia Board of Nursing is an accredited approver of continuing nursing education by CE Broker.

Pre-registration and approval is required for attendance. The Society of Trauma Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This event has been awarded 16.75 contact hours.

The ATCN Faculty Course is a two-day course designed to prepare students to become ATCN Faculty. This course will be held offsite. To register please contact Matt Witt, mwitt@traumanurses.org.

Prerequisites:

• A student in the ATCN Faculty Course must be a licensed registered nurse who has successfully completed the ATCN Student Course.
• The successful completion of a Student Course must be current and within 4 years.
• Written recommendation from the Course Director of the ATCN student course they attended, or documentation verifying ATCN Instructor Potential.

This two-day course will feature expert speakers covering topics specific to the body of knowledge in trauma nursing across the continuum of care, from injury prevention through reintegration to home.

The Society of Trauma Nurses is pleased to announce that it has developed a Preparation Course, designed for nurses who are preparing for the Trauma Certified Registered Nurse (TCRN) exam, developed by the Board of Certification for Emergency Nursing (BCEN®).

Course Fee: The registration fee is $425, which includes continental breakfast, breaks and lunch for both days, and the course manual.

This course is designed for nurses who are preparing for the Trauma Certified Registered Nurse (TCRN) exam, developed by the Board of Certification for Emergency Nursing (BCEN®).

Please note: Participation in the STN TCRN Preparation Course is not mandatory, and will not impact your eligibility to sit for the national certification examinations offered by BCEN®. Disclaimer: Persons participating in the STN TCRN Preparation Course to help prepare for an examination offered by BCEN® acknowledge that there is no guarantee stated or implied that participation will assure passage of an examination. STN makes no warranties about the content of the STN TCRN Preparation Course.