TraumaCon 2021 Agenda: Friday, March 26

The US Department of Defense (DoD) recognizes the importance of warfighter brain health with the establishment of the Warfighter Brain Health Initiative and Strategy. For a warfighter, also known as a service member, to perform at their highest level, cognitive and physical capabilities must be optimized. This initiative addresses brain health, brain exposures, to include blast overpressure exposures from weapons and munitions, traumatic brain injury (TBI), and long-term or late effects of TBI. The DoD’s pursuit of maximal strength hinges on the speed of decisions (neurocognitive) and detection of brain injury when it occurs. The strategy creates a framework for deliberate, prioritized, and rapid development of end-to-end solutions for warfighter brain health. Through this strategy, DoD is addressing the needs of our service members, their families, line leaders/commanders, and their communities at large. The implications of this initiative and strategy are noteworthy for practitioners because the DoD Warfighter Brain Health construct lends itself to nurse practitioner engagement in clinical practice, patient education, policy development, and emerging research.

This keynote lecture will discuss considerations for driving evidence-based practice in trauma care, with special consideration of translating the American College of Surgeons (ACS) recommendations for rehabilitation care of people with spinal cord injury or brain injury to prepare them for rehabilitation and optimal outcomes.

Objectives:

• Discuss the important considerations and role of the clinician scientist in a trauma care setting
• Consider how to build an evidence-based culture for ongoing knowledge translation activities in the trauma center to facilitate the clinician scientist
• Apply the concepts for adoption of best practices to prepare people with spinal cord injury or brain injury for rehabilitation and optimal outcomes

This session will focus on applying the transformational leadership theory in promoting process improvement lead by Trauma and ED nursing leadership. With the development of a workgroup, we were capable of establishing clinical excellence expectations surrounding MTP and lead the charge by developing a committed team invested in breaking down barriers, utilizing data, and developing a realistic and sustainable action plan to achieve and sustain success.

Objectives:

• Identification of barriers to timely and accurate MTP in a trauma resuscitation
• Review of data to confirm barriers
• Creation and implementation of an action plan by trauma and ED nursing leadership applying the transformational leadership theory
• Evaluation and evolution of action plans

Babak Sarani is a Professor of Surgery and Emergency Medicine and the Chief of Trauma Surgery at the George Washington University School of Medicine. He graduated from the George Washington University School of Medicine and Health Sciences in 1997. He then completed his training in General Surgery at GW in 2004. Following this, he completed fellowship training in Trauma and Critical Care Surgery at the University of Pittsburgh. He began his career as an Assistant Professor of Surgery in the Division of Trauma, Emergency Surgery, and Critical Care Surgery at the University of Pennsylvania. He was recruited back to GW in 2011 where he is the Founder and Director of the Center for Trauma and Critical Care Network at The George Washington University Hospital, a Level 1 Trauma Center, and at Virginia Hospital Center, a soon-to-be level 2 trauma center. His research interests include measurement of coagulopathy following injury, chest wall injury and reconstruction, and processes to mitigate.

Timeliness of trauma transfers out to a tertiary level of care is a challenge for many Level III or IV trauma centers. Identifying the multifactorial causes of delays in transfer is difficult at best, as many of the data points rely on precise and timely documentation. Drilling down on data from each step of the process utilizing tools such as Microsoft Power BI, the trauma registry, and Lean Six Sigma methodology can assist in identifying opportunities for improvement and effective resolution.

Objectives:

• Learn to develop time goals for each step of the transfer process.
• Comprehend how data can drive effective performance improvement process.
• Understand how tools such as Microsoft Power BI can identify and clarify performance improvement.

This presentation will be of interest to anyone caring for the injured adolescent. It will encompass the care journey of several teenagers from the scene of a traumatic injury through rehabilitation and discharge.

Objectives:

• Identify children at risk for PTSD
• Discuss the impact of traumatic injury in the teenage population
• Discuss interventions designed to minimize risk of PTSD in injured teens

Trauma nurses can work in any unit that cares for critically injured patients. This includes, but is not limited to, the ED, OR, Interventional Radiology, SICU and pre-hospital or transport settings, as REBOA patients can be an inter-facility transfer.

Objectives:

• Identify the most common reasons REBOA is utilized.
• Describe how REBOA is inserted and deployed.
• Identify the 5 most common complications associated with utilizing REBOA.

This session will discuss using technology for Injury Prevention in the mist of a pandemic, and converting an in-hospital, in-person teen injury prevention program into a virtual option for teachers and students. This presentation will discuss how to create a virtual option to promote injury prevention education. We will discuss options for converting your current injury prevention programs to a virtual format, maintain the ability to collect data, while growing your injury prevention program.

Objectives:

• Discuss use of technology options for injury prevention programs
• Identify key Stakeholders for virtual option
• Identify pitfalls and pearls of converting to a virtual platform

This session will look at the risk factors, mechanism of injury, hemodynamic resuscitation and the need for early and serial surgical intervention. These infections are characterized by tissue destruction, signs of toxicity, and high mortality. They can transition to life threatening infections very quickly. There will be a discussion of biologic dressings, negative pressure wound care and hyperbaric oxygen. There will be a discussion of novel pain management, fecal diversion and nutrition.

Objectives:

• The participant will be able to discuss the risk factors and co-morbidities that put a trauma patient at risk for developing a NSTI.
• The provider will leave this session with a working knowledge of these risk factors and therefore be better poised to prevent NSTI or provide early and effective management/intervention should it arise in their patient.

Coming soon...

Participants will learn of the impact of the coronavirus pandemic on trauma centers and systems around the globe. Discussion will include the impact of the coronavirus pandemic on the delivery of trauma care, changes to clinical guidelines and policies specific to trauma, impacts to administrative and operational functions for trauma programs/centers, and the most pressing concerns for trauma care providers at this time.

Participants will learn of the current and newly created educational programs and resources that the Society of Trauma Nurses offers. Participants will learn of ways to implement these opportunities into their area of the world.

Participants will learn of personal experience of resiliency during times of multiple disaster.