Video Library

Pediatric Trauma 2013

Aired on 3.21.2013
FREE
Pediatric Trauma 2013
In 2013, Pediatric Trauma II attracted over 1200 participants from 33 countries.  The presentations are concise and the discussions of interest. Please enjoy this archived event.  It has always been extremely well attended!

Description

This course is directed by Drs. Marty Eichelberger, Wayne Meredith and Todd Ponsky and is the second installment of the pediatric trauma symposium series which was so popular last February. The topics will cover the mangement of the pediatric patient in the acute trauma setting, resucitation, and mangement of many traumatic injuries. The format will be brief presentations followed by lively discussion and debate fueled by key opinion leaders in the field of trauma. As always with our courses, the audience will be able to participate and ask questions.

Directors & Faculty

Directors

Martin Eichelberger, M.D.

Professor of Surgery and of Pediatrics, George Washington University, Children's National Medical Center. Safe Kids Worldwide, Founder. Washington, D.C.

Todd Ponsky, MD

Dr. Ponsky is a Professor of Surgery, and the Director of Clinical Growth and Transformation at Cincinnati Children’s Hospital, He is also a consultant pediatric surgeon at Akron Children’s Hospital.  

Wayne Meredith, M.D.

Executive Director of the Childress Institute for Pediatric Trauma, and Chair of General Surgery and Director of the Division of Surgical Sciences at Wake Forest Baptist Medical Center in Winston-Salem, NC.


Additional Faculty

Ernest E. Moore, MD

Professor, Vice Chair of the Department of Surgery, University of Colorado Health Sciences Center

Robert Sheridan, M.D.

Director, Acute Burn Service, Boston Shriners Hospital for Children; Associate Professor of Surgery at the Harvard Medical School. Boston, Massachusetts.

Min S. Park, MD

Mary Edwards, MD

Marc David Leclair, MD

Professor of Pediatric Surgery; Head of Dpt of Pediatric Surgery at NANTES University Hospital, Nantes, France; Research and clinical activities dedicated to pediatric urology and surgical oncology

Karim Brohi, MD

Professor of Trauma Sciences, Consultant Trauma & Vascular Surgeon at the Barts & THe London School of Medicine & Dentistry.

Joseph Tepas, MD

Professor of Surgery and Pediatrics; Chief, Division of Pediatric Surgery; Chief Medical Informatics Officer, Shands Jacksonville; Associate Dean for Clinical Informatics; College of Medicine - Jacksonville

John K. Petty, MD, FACS

Dr. John Petty is a pediatric surgeon at Brenner Children's Hospital in Winston-Salem, NC, where he serves as the director of the level 1 pediatric trauma center. He is an Associate Professor of Surgery and Pediatrics at Wake Forest School of Medicine, with research interests in pediatric trauma care and antireflux surgery.  He has been recognized for teaching excellence, and he is involved with student and resident training.  He is active in professional organizations, including the Pediatric Trauma Society, where he is currently the chair of the guidelines committee and in the Eastern Association for the Surgery of Trauma (EAST), where he is currently the liaison to the Pediatric Trauma Society.  He has been a core member of the Childress Institute for Pediatric Trauma and has shared in the efforts of the institute from the very beginning. His care for sick and injured children is animated by his love for his three children and the patience of his wife.

John Holcomb, MD

Jack H. Mayfield, MD Chair in Surgery; Professor and Vice Chair of the Department of Surgery; Chief of the Divisionof Acute Care Surgery; Director, Center for Translational Injury Research

Geoffrey Ling, MD, PhD, Col. (Ret)

Dr. Geoffrey Ling is a program manager at the Defense Advanced Research Projects Agency (DARPA). He is a professor in the Department of Neurology at the Uniformed Services University of the Health Sciences (USUHS), attending neuro critical care physician at Johns Hopkins Hospital and was recently appointed to White House Office of Science and Technology Policy (OSTP) in the Executive Office of the President of the United States.

Derek Bruce, MD

Dr. Bruce practices neurosurgery in Washington, District of Columbia. He is one of the pioneers of modern pediatric neurosurgery. His specialties include cranial base surgery, craniofacial anomalies, epilepsy, and brain tumors.

David Shellington, MD

Director of Pediatric Critical Care Research, Assistant Professor of Pediatrics, University of California, San Diego

Michael J. Bell, MD

Associate Professor, Critical Care Medicine, Neurological Surgery and Pediatrics; Director, Pediatric Neurotrauma Center; Director, Pediatric Neurocritical Care; Chair, Pediatric Neurocritical Care Research Group; Associate Director, Safar Center for Resuscitation Research; University of Pittsburgh School of Medicine

Agenda

11:00 am - 11:05 am
Introduction
11:05 am - 11:20 am
Blast Injury to Children
Children in Harm's WayLand Mines, IED, UXOMechanism and pattern of injury.
11:20 am - 11:35 am
Damage Control Resuscitation: A New Paradigm
Whole Blood Reconstitution: Plasma, Platelets, RBCHypothermia, Acidosis, ThrombocytopeniaPermissive HypotensionTourniquet, combat gauze.When is blood necessary?
11:35 am - 11:50 am
Blast Pulmonary Injury Treatment:
Mechanism of injury, BiophysicsEvaluation: trachea, bronchus, parenchyma endoscopyVentilation mecanicsSimple approach to initial managementThoracostomy vs. Thoracotomy
11:50 am - 12:05 pm

Panel 1: Blast Injury



12:05 pm - 12:10 pm
Case 1:
Blast injury with abdominal injury
12:10 pm - 12:20 pm
Case 2:
Blast injury with penetration of the chest with pulmonary contusion.
12:20 pm - 12:30 pm
Break
10 (mins)
12:30 pm - 12:45 pm
ICP: Acute Management
Pre-hospital: approachGoals of therapyAlgorithmFluid managment: volume and concentrationComplicationsOutcome
12:45 pm - 1:00 pm
Surgical Options
Evaluation: Exam, Doppler, CTA, AngiogramCraniectomy vs. CraniotomyIntraventricular monitor: complicationsDrainage
1:00 pm - 1:15 pm
New Brain Therapy: Potential
Genetic, Metabolism, Surgery
1:15 pm - 1:30 pm
Rehabilitation: current options
1:30 pm - 1:45 pm
Panel 2: Head Injury



1:45 pm - 2:00 pm
Case 2: Penetrating Head Injury
2:00 pm - 2:15 pm
Break
(15 mins)
2:15 pm - 2:30 pm
Tricks for Managing Difficult Injuries: Pelvic Fracture / Complex
Physical exam: signs, pattern of injuries strategyThree essential maneuversExternal Fixation, Vascular occlusionSurgical Approach: exposure
2:30 pm - 2:45 pm
Vacuum Assisted Closure
Technique and TacticsVAC StrategyAbdomen, ThoraxComplications
2:45 pm - 3:00 pm
Genito-Urinary Injury
Patterns of injury: urethra, bladder, ureter, kidneyIndicationsManagement approach: diversion vs. repairTechniqueComplications
3:00 pm - 3:15 pm
Burn Resuscitation & Management
Basic field treatment: pre-hospitalResuscitation strategy: fluid (when to initiate), pulmonary, renalOver hydration (treatment)Intubation: indicationsComplications: Fasiotomy (technique)Blast injury: impact upon fluid strategy
3:15 pm - 3:30 pm
Q & A
3:30 pm - 3:40 pm
Panel 3: Pelvic Fracture, VAC, Genito-urinary injury, Burn



3:40 pm - 3:50 pm
Case 1:
Pelvic Fracture, Abdominal Injury
3:50 pm - 4:00 pm
Case 2:
Pelvic Fracture with Genito-urinary injury and burn

Topics Covered

  • Burden of Injury to Children
  • Mechanism and Patterns of Injury
  • Damage Control Resuscitation
  • Blast Pulmonary Injury Assessment
  • Penetrating Chest Injuries and Pulmonary Contusions
  • Head Injuries and controversies
  • Surgical Options
  • Rehabilitation Options
  • New Brain Therapies
  • Pelvic Fracture
  • Vacuum Assisted Closures
  • Genito-Urinary Injury
  • Burn Resuscitation and Management
  • Multiple Case Presentations

Objectives

  1. Recognize new concepts of care of the injured child.
  2. Appreciate the controversies of treatment methods.
  3. Recognize the Blast Injury Syndrome and describe the approach to Treatment.
  4. Understand the impact of craniectomy on the outcome of severe head injury.
  5. Apply the concept of Damage Control Resuscitation and Surgery.
  6. Understand the use of new technology in rehabilitation of the injured extremity
  7. Understand surgical approach to pelvic fracture
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