AAST 2014 Preliminary Program

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PRELIMINARY PRO GRAM

73

RD

ANNUAL MEETING AMERICAN ASSOCIATION FOR THE SURGERY OF TRAUMA AND

CLINICAL CONGRESS OF ACUTE CARE SURGERY

S E P T E M B E R 10 - 1 3 , 201 4 P H I L A D E L P H I A M A R R I O T T D O W N T O W N , P H I L A D E L P H I A , PA

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P R E S I D E N T ’ S & P R O G R A M C HA I R M A N ’ S M E S S A G E S The 73 rd Annual Meeting of the AAST and Clinical Congress of Acute Care Surgery is almost upon us. The meeting will be held in Philadelphia, Pennsylvania, the birthplace of our country. Our annual meeting will coincide with City Center Restaurant Week in Philadelphia and I suggest that you avail yourself of this unique culinary opportunity.

The program is now set and consists of 66 oral presentations and 140 scientific posters.

Additionally, there will be two master surgeon lectures by Alex Valadka, MD, and Andrew Peitzman, MD, and the Fitts Oration will be given by Dr. Ronald Tompkins. We will once again have a Challenging Cases panel moderated by Past President, Dr. L.D. Britt.

Dr. Todd Rasmussen will lead a discussion of current funding opportunities within the Department of Defense to help educate us on the current landscape of DoD trauma research funding. On Wednesday morning we will once again hold our ACS - MOC education event which will include CME designed to qualify for MOC Part II. In addition, our lunch sessions, to be held on Thursday and Friday, will also include self-assessment opportunities.

I look forward to seeing each of you at the 73 rd Annual Meeting of AAST and Clinical Congress of Acute Care Surgery. Now is the perfect time to register, book your hotel room, and begin your preparations to enjoy this unique educational event.

WILLIAM G. CIOFFI, MD AAST President Dear Members of the AAST, The scientific program for the 73rd Annual Meeting of the AAST and Clinical Congress of Acute Care Surgery has been finalized and includes high quality work done by our members in the U.S. and abroad.

We will continue this year with the very well received and popular “Quick Shots” session with 25 presentations (five more than last year). Past President Bill Schwab agreed to moderate this important session again this year. Similar to last year, authors will have three minutes to present a maximum of five slides in a very focused and objective manner. An expert on the subject will ask two very objective questions. Presenters are encouraged to submit a manuscript for possible publication in the Journal of Trauma & Acute Care Surgery, although it is not mandatory.

The program also includes 66 oral presentations, two master surgeon lectures, two panels, the Fitts Oration, the Presidential Address, 140 posters, and 12 lunch sessions.

I hope you come to Philadelphia ready to discuss great science, share your own experiences and enjoy a great program, and the camaraderie of our members. See you soon.

RAUL COIMBRA, MD, PhD AAST Program Chairman 2

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TA B L E O F C O N T E N T S Maintenance of Certification Session . . . . . . . . . . 4 Optional Sessions . . . . . . . . . . . . . . . . . . . . . . . . 5 Overview & Policies . . . . . . . . . . . . . . . . . . . . 6 -7 Hotel and Travel Information . . . . . . . . . . . . . . . . 7 Lunch Sessions . . . . . . . . . . . . . . . . . . . . . . . 8 -10 Fitts Oration and Master Surgeon Lectures . . . . 11 Schedule At-A-Glance . . . . . . . . . . . . . . . . . 12-19 City of Philadelphia Attractions . . . . . . . . . . . . . 20 Registration Form . . . . . . . . . . . . . . . . . . . . 21-22 Exhibitor Information . . . . . . . . . . . . . . . . . . . . . 23

O P T I O NA L S E S S I O N S Acute Care Surgery – Maintenance of Certification The Inaugural Injury Prevention Coordinators Symposium and Summit Sponsored by the Trauma Prevention Coalition

Military Liaison Symposium Sponsored by the Military Liaison Committee

AAST Pediatric Preconference: Pediatric Resuscitation: Practical Information for Practicing Surgeons Generously funded by the Childress Institute for Pediatric Trauma in partnership with the Children’s Hospital of Philadelphia

Social Media 101: Tools, Tips and Tricks for the Busy Surgeon Sponsored by the Publications & Communications Committee

Trans-Agency Research Consortium for Trauma Induced Coagulopathy (TACTIC)

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M A I N T E NA N C E O F C E R T I F I C AT I O N S E S S I O N

2014 Acute Care Surgery

Maintenance of Certification Session Wednesday, September 10, 2014 • 7:00 am – 11:30 am MODERATORS:

Lena Napolitano, MD, Chair e-Learning/MOC Committee Stephen Barnes, MD, Vice Chair e -Learning/MOC Committee

“COMPLICATED DIVERTICULITIS: LAPAROSCOPIC LAVAGE, PERCUTANEOUS DRAINAGE OR SURGICAL RESECTION? EVIDENCE-BASED RECOMMENDATIONS” SPEAKER:

Frederick Moore, MD

OBJECTIVES:

1. Review national guidelines for diverticulitis management with indications for surgery 2. Describe the new technique of laparoscopic lavage and its potential indications 3. Outline the optimal treatment for complex diverticulitis based on Hinchey classification

“SEPSIS MANAGEMENT UPDATE 2014” SPEAKER:

Laura Moore, MD

OBJECTIVES:

1. Discuss new surviving sepsis guidelines, including recommendations 2. Review the recently published process study and its implications for sepsis management

“C. DIFFICILE-ASSOCIATED DISEASE: NEW GUIDELINES/ALGORITHMS” SPEAKER:

Brian Zuckerbraun, MD

OBJECTIVES:

1. Review the new guidelines for treatment of C. difficile-associated disease, including recommendations for surgical management – ileostomy with lavage vs. total colectomy 2. Discuss importance of severity scoring and optimal medical management and outcomes 3. Review optimal methods for diagnosis, and management of recurrent/persistent disease

“LOWER GI BLEEDS: DIAGNOSIS AND THERAPEUTIC PITFALLS” SPEAKER:

Scott Sagraves, MD

OBJECTIVES:

1. Approach, diagnosis and management of lower GI bleeding

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O P T I O NA L S E S S I O N S The Inaugural Injury Prevention Coordinators Symposium and Summit Sponsored by the Trauma Prevention Coalition Objectives: • Provide a forum for the trauma program injury prevention coordinators to network, exchange ideas, and identify common goals • Introduce the Trauma Prevention Coalition and review its mission, vision, and objectives • Outline revisions to the injury prevention chapter in the new edition of the ACS COT’s “Resources for Care of the Injured Patient” • Introduce and discuss the Society of Trauma Nurses’s “Injury Prevention Course Curriculum” 7:00 am The Trauma Prevention Coalition – “Who Are We and Why Are You Here?”

8:00 am Injury Prevention and “Optimal Resources for the Injured Patient: 2014” 9:00 am Break 9:15 am Introduction to the Injury Prevention Coordinator Course 10:15 am Injury Prevention Coordinator’s Summit – “Next Steps” Military Liaison Symposium 7:30 - 8:00 am No Drift: Maintaining military trauma care expertise in the post-war environment 8:00 -10:30 am Evolution of the military casualty care continuum 8:00 - 8:30 am Role 1 – Prehospital care 8:30 - 9:00 am Role 2 – Resuscitative surgery 9:00 - 9:30 am Role 3 – Theater hospitals 9:30 -10:00 am Role 4 – Strategic evacuation center 10:00-10:30 am Role 5 – U.S. military medical centers 10:30-11:00 am Military Casualty Care: Perspectives from Wounded Warriors 11:00 -11:30 am Open discussion with panelists Self-Assessment has been applied for.

Pediatric Resuscitation: Practical Information for Practicing Surgeons Generously funded by the Childress Institute for Pediatric Trauma and in partnership with the Children’s Hospital of Philadelphia 7:00 - 7:20 am Registration/continental breakfast 7:20 - 7:30 am Welcome and logistics 7:30 - 9:00 am Three didactic sessions 7:30 - 8:00 am Pediatric Resuscitation: Beyond the A, B, C’s – 8:00 - 8:30 am Pitfalls in Pediatric Resuscitation 8:30 - 9:00 am Resuscitating the Pediatric Brain 9:00 - 9:20 am Break 9:20 -11:00 am Simulation session Group a: Skills stations 9:20 -10:05 am; Resuscitation scenario 10:15 11:00 am; Group b: Resuscitation scenario 9:20 10:05 am; Skills stations 10:15 11:00 am 11:00 -11:45 am “Debriefing” and light lunch Social Media 101: Tools, Tips, and Tricks for the Busy Surgeon** The session will introduce attendees to various types of social media that are currently available and how to use these platforms professionally and socially.

Trans-Agency Research Consortium for Trauma Induced Coagulopathy (TACTIC) TACTIC is funded by the National Heart, Lung, and Blood Institute of the National Institutes of Health and is a cooperative effort with the Department of Defense and academic trauma research centers around the country. For more information: www.tacticproject.org. This session is open to registered attendees at no charge, but registration is required.

Introduction and Overview • Organization • Coagulation Overview • Inflammation Overview • DoD Trials Overview • Early Translational Applications Group (ETAG) • Coagulation Projects • Mechanism and Extent of Thrombin Generation in Trauma-Induced Coagulopathy • Microfluids: Hemophilia, Trauma and Platelet Inhibition • The Role of Factor XIA in TIC • Inflammation Projects • Histones and Polyphosphates Involvement in TIC • Coagulation & Fibrinolysis Interface in TIC • Effects of Histones, Polyphosphates and Thrombin on Native Endothelium in Trauma • Panel Discussion

• Welcome and introduction of moderator and panel • Social Media – What is It? Explain and show examples • Introduce various social media platforms available (Facebook, LinkedIn, Instagram, and Twitter) • Instruction on how to create accounts and use social media • Facebook • LinkedIn • Twitter • Questions from attendees **Attendees who participate will be required to tweet and use Facebook during the AAST Annual Meeting. ** CME will be applied for, but not guaranteed for the session. **Session will cap at 50 people. You must be registered for the AAST Annual Meeting to attend.

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OV E RV I EW SCIENTIFIC PROGRAM PRESENTATIONS/PANELS This year 66 oral presentations will be offered over four days. Each presentation will be twenty minutes in length; ten minutes will be allotted for the presentation and ten for discussion from the audience.

QUICK SHOTS On Friday, September 12, from 8:00 - 10:55 am 25 quick shots will be presented. Each presenter will have three minutes to speak, and can use up to five slides, to give a brief background of their topic. Then, A discussant will have one minute to ask two questions, and the presenter is give two final minutes to respond. Don’t miss this dynamic new session.

SCIENTIFIC POSTERS A total of 140 scientific posters will be available for viewing beginning Wednesday, September 10th at 5:00 pm through Thursday, September 11th at 12:00 pm. Poster categories and professors will be listed in the final program book available on-site at the meeting. The Poster Rounds will be held on Wednesday, September 10, from 5:30 – 7:30 pm.

INDUSTRY EXHIBITS At this year’s meeting AAST will host an array of industry leading companies. These exhibitors are available to discuss the latest products and services, and exchange information with attendees. Please see page 23 for exhibit hall hours and a list of participating companies to date.

NETWORKING & SPECIAL BREAKFASTS Resident, Medical Student, and In-Training Fellows Breakfast – Thursday, September 11th from 6:30 – 7:30 am AAST holds a special breakfast at each Annual Meeting for all attendees who are Residents, Medical Students, or In-Training Fellows.

President-Elect Dr. Thomas Scalea will give a short presentation. This is also an opportunity for residents, students, and in-training fellows to network with each other. This breakfast requires pre-registration and is a ticketed event. Please check the box, next to this event, either online or on the paper form if you are planning to attend.

There is no cost to attend this breakfast.

International Attendee Breakfast – Friday, September 12th from 6:30 – 7:30 am AAST invites all international attendees to a special breakfast to learn more about the AAST, network with other international attendees, and meet the International Relations Committee. The breakfast requires pre-registration and is a ticketed event. Please check the box next to this event, either online or on the paper form if you are planning to attend. There is no cost to attend this breakfast. Dr. Hans-Christopher, PresidentElect of ESTES, will be the presenter.

New Fellow Breakfast – Saturday, September 13th from 7:00 – 8:00 am This special breakfast is for new members who have joined AAST within the last two years. AAST encourages all new members at the meeting to attend. This is a chance to meet the new AAST President, as well as other members of the AAST Board of Managers. This breakfast requires preregistration and is a ticketed event. Please check the box, next to this event, either online or on the paper form if you are planning to attend. There is no cost to attend this breakfast.

POLICIES Cancellation Policy Requests for refunds must be made in writing and received on or before Friday, August 29, 2014. There is a $75 processing fee for all refunds and returned checks. Cancellations and registrations postmarked after August 29 will not be eligible for refunds. Conference attendee substitution is permitted, and will be handled on a case-by-case basis. AAST reserves the right to cancel any regularly scheduled session prior to the start of the meeting. Please contact AAST Registration Services with any questions.

Registration Services Email: registration@facs.org Phone: (312) 202-5244 Fax: (312) 202-5003 Press Policy The program has been made available to local science editors, and a pressroom has been reserved for science writers to interview essayists.

The decision to be interviewed will be the prerogative and responsibility of the essayist.

Press will be admitted into the meeting once they have read and agree to the AAST press policy.

An embargo policy is available and will be sent to any press registrants.

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Children Please note that children under the age of 16 are not permitted to attend AAST scientific events. Those who register as “Guests” are permitted to bring children to the daily continental breakfasts and children are allowed in the AAST Banquet if they have a ticket.

Security Badges MUST be worn to gain entry into the exhibit hall, educational sessions, and all other events. We appreciate your cooperation with this security measure.

Special Assistance If, due to a disability, you will require any special accommodations while in attendance at this meeting, or have any special restrictions, please let us know by contacting Karla Stuecker, Senior Meeting Planner, at (312) 202-5353 or kstuecker@facs.org.

AAST Dress Code The dress code for the meeting is Business Attire. The Friday night Banquet is Black Tie optional.

HOTEL INFORMATION 73rd Annual Meeting of the American Association for the Surgery of Trauma and Clinical Congress of Acute Care Surgery will be held at: Philadelphia Marriott Downtown 1201 Market Street Philadelphia, PA 19107 Telephone: (215) 625-2900 Hotel home page: http://www.marriott.com/ hotels/travel/phldt-philadelphia-marriottdowntown/ Booking Your Room AAST has secured a block of rooms for attendees at the Philadelphia Marriott Downtown. The AAST Single/Double Rate is $205 per night plus 15.2% occupancy tax. The group rate will be honored three days prior (September 7) and three days post-meeting (September 16), based on availability. The cut-off date to reserve a room at the group rate is August 11, 2014, or until the block sells out. After this date, AAST cannot guarantee the rate attendees will receive.

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OV E RV I EW C O N T I N U E D Online Booking To book a room, please visit: https://aws.passkey.com/g/20869011 *Booking through the hotel’s main website will result in a higher room rate.

Telephone Booking To book your room, please call (877) 212-5752 and reference the group: American Association for Surgery of Trauma to receive the AAST group rate.

Please note: one night’s deposit is required at the time of booking.

TRAVEL INFORMATION Airport Locations Philadelphia International Airport (PHL) is the primary airport servicing the Philadelphia area. The airport is approximately 10 miles from the hotel.

Air Transportation Special meeting discounts are available on American Airlines. These special discounts are available by calling American Airlines directly at (800) 433-1790 from 6:00 to 12:00 am CST. Be sure to indicate the name of the meeting, and refer to the authorization code A7594BP to obtain special fares.

This discount can also be booked online at www.aa.com/group, for AA/AE flights only, without a ticketing charge. When booking online please drop the preceding “A” from the authorization code.

available on a wide selection of GM and other fine cars. To receive these special rates, be sure to mention your Avis Worldwide Discount (AWD) number when you call.

Avis Reservations (800) 331-1600 www.avis.com AWD Number: B169699

ADDITIONAL INFORMATION CONTACT Educational or General Questions: AAST aast@aast.org or (800) 789-4006 Hotel/Housing or Special Dietary Needs: Karla Stuecker kstuecker@facs.org or (312) 202-5353

Driving Directions and Parking: For driving directions, please contact the hotel directly or visit: http://www.marriott.com/ hotels/maps/travel/phldt-philadelphia-marriottdowntown/

Registration: Registration Services registration@facs.org or (312) 202-5244

Parking is $48 overnight and valet only.

Exhibits: Judy Hambrick jhambrick@facs.org or (312) 202-5034

IMPORTANT INFORMATION Conference Check-In All attendees must check in at registration prior to attending any educational sessions.

Badges must be worn at all times. Any attendee not wearing a badge will not be permitted into the educational sessions or the exhibit and poster halls. Single day registrants must have a badge displaying the correct day to enter the educational sessions.

IMPORTANT DATES August 11: Last day to make hotel reservations at the AAST rate (based on availability) August 18: Last day to register at early bird rate August 29: Last day to request a refund

Registration will be held during the following dates and times: Wednesday, September 10: 6:30 am - 5:30 pm Thursday, September 11: 6:30 am - 4:00 pm Friday, September 12: 7:00 am - 3:00 pm Saturday, September 13: 7:00 am - 10:00 am

Ground Transportation • Taxi cabs from the airport to the Marriott are approximately $26 USD one-way.

• The subway is approximately $8 USD one way.

• Limo and Town Car Service: a town car or limo can be arranged to meet you at PHL airport. The approximate cost of a one-way trip is $105.00 including a $6 airport parking fee (does not include gratuity). To arrange for private transportation, please contact Tropiano Shuttle at (215) 616-5370.

Car Rental Avis is designated as the official car rental company for the 73rd Annual Meeting of AAST and Clinical Congress of Acute Care Surgery.

Special meeting rates and discounts are

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2014 LUNCH SESSIONS

THURSDAY: Lunch Session I

Management of Complications in the Bariatric Patient by the Acute Care Surgeon MODERATOR: Therese Duane, MD SPEAKERS: John Como, MD, and Mark Shapiro, MD

With the increase in morbid obesity in this country, more ICU’s are dealing with the management of these patients. This session will address both the differences in pathophysiology that needs to be considered as well as some of the mechanical adjustments that need to be made to ensure optimal care, both in the operating room and in the ICU. Included in these discussions will be recognition of the comorbidities and outcomes for this patient population.

SPONSORED BY: Acute Care Surgery Committee

organized approach including rapid transfusion protocol along with trauma surgeons that possess the appropriate operative skills to deal with cardiac, pulmonary, thoracic vascular and esophageal injuries. Life threatening thoracic injuries also poses unique challenges for the trauma surgeons with regards to timing and the incisions required accessing them.

In this session, Drs. Asensio and Scalea will utilize a case-based format to illustrate the maneuvers and principles required for the management of these patients and will concentrate in organ specific surgical management including an in-depth review of surgical techniques.

SPONSORED BY: Program Committee

Lunch Session IV

Writing and Reviewing for the Journal II: Critical Skills MODERATOR: Steven Shackford, MD, Associate Editor,

Journal of Trauma and Acute Care Surgery SPEAKERS: Ernest Moore, MD, Editor, Journal of Trauma and

Lunch Session II

Topical Hemostatics in Trauma and Emergency Surgery: When, What and How MODERATOR: Stephen Barnes, MD SPEAKERS: Martin Schreiber, MD, and Matthew Martin, MD

Topical hemostatic agents are used as an adjunct to standard surgical techniques for hemorrhage control in trauma and emergency surgery. A wide range of different topical hemostatic agents are available to the acute care surgeon. The mechanism of action, indications and the appropriate clinical application of the most common topical hemostatic agents will be reviewed in detail, including guidelines for determining which agents are optimal for use in specific indications.

SPONSORED BY: Education/CME Committee

Lunch Session III

Penetrating Thoracic Injuries: The Cases, the Pitfalls and the Challenges SPEAKERS: Juan Asensio, MD, and Thomas Scalea, MD

Although penetrating thoracic trauma is relatively common in America’s Trauma Centers, life threatening thoracic injuries requiring immediate lifesaving surgical interventions are uncommon and account for approximately 10-15% of the cases.

For these critically injured patients to survive, they require an

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Acute Care Surgery; and Steven Shackford, MD This session will present the basic and advanced reviewing skills for those who aspire to review for the Journal of Trauma and Acute Care Surgery. These skills will be emphasized by using a faux manuscript submission as a demonstration. The faux submission will be emailed to attendees in advance of the meeting. The attendees will be asked to write a review using the Journal reviewer format and to bring that with them to the lunch session. The faux submission will contain embedded flaws and these flaws, along with the substance of a good review, will be the subjects of the presentation and the discussion.

SPONSORED BY: The Journal of Trauma and Acute Care Surgery

Lunch Session V

Recognition and Management of Pediatric Acute Care Emergencies MODERATOR: Mary Fallat, MD SPEAKERS: Todd Maxson, MD, and Jon Groner, MD

Particularly in rural areas, children with emergent surgical problems may require diagnostic studies and operative management at a Trauma/Acute Care Surgery Center. This session will include relevant cases and strategies for the workup and initial or definitive care of children who present with a variety of problems: the acute abdomen (malrotation with volvulus, intussusception), foreign body ingestion/aspiration (button batteries, magnets), incarcerated hernia/acute scrotum, initial coverage of abdominal wall defects, GI bleeding, rectal prolapse,

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2014 LUNCH SESSIONS and emergency issues in medically fragile children (g-tubes, tracheostomies, and stomal prolapse).

SPONSORED BY: Pediatric Trauma Ad Hoc Committee

Lunch Session VI

REBOA: New Kid on the Block MODERATOR: John Holcomb, MD SPEAKERS: Todd Rasmussen, MD; Timothy Fabian, MD;

be challenging, in part related to the increasing use of novel oral anticoagulants (NOACs), including rivaroxaban (Xarelto), dabigatran (Pradaxa), apixaban (Eliquis) and others. National guidelines now recommend PCC (rather than FFP) as first-line therapy for warfarin reversal in bleeding patients. Unlike warfarin, NOACs have no specific reversal agents. This session will review the use of a systematic approach (based on an understanding of the properties of these drugs, the appropriate use and interpretation of coagulation tests, and awareness of available therapeutic strategies) to provide evidence-based strategies for prompt anticoagulation reversal in patients with hemorrhage and TBI.

and Laura Moore, MD SPONSORED BY: AAST Education/CME Committee

Description: Overview of the indications of REBOA in the management of severely injured patients presenting with severe hypotension or hemorrhagic shock. Available clinical and animal data will be presented. Necessary equipment, resources, and personnel required for the development of a successful program will be discussed. A process for program development, education and training, credentialing, and maintenance of certification will be clearly described to serve as a guide for centers wanting to have such a program. Pitfalls and legal aspects will also be discussed.

Lunch Session III

Surgical Management of Arterial and Venous Pelvic Hemorrhage SPEAKERS: Raul Coimbra, MD, PhD, and David Feliciano, MD

Should address: Developing a program, training and education, credentialing, and maintenance of competency.

Surgical approach and management of severe arterial and venous pelvic hemorrhage will be discussed. Illustrative cases will be presented. Complication and pitfalls will be outlined.

SPONSORED BY: Program Committee

SPONSORED BY: Program Committee

FRIDAY:

Lunch Session IV

Lunch Session I

Managing Unexpected Findings at Emergency Laparotomy MODERATOR: Clay Cothren-Burlew, MD SPEAKERS: Patrick Reilly, MD, and Hasan Alam, MD

As the population ages, more patients present with acute surgical emergencies are presenting with other findings at the time of laparotomy. A case based discussion identifying common intraoperative “surprises” will be presented.

SPONSORED BY: Acute Care Surgery Committee

Lunch Session II

What’s New in Reversal of Systemic Anticoagulation: New Drugs, New Challenges MODERATOR: Mitchell Cohen, MD SPEAKERS: Donald Jenkins, MD, and Ballal Joseph, MD

Rapid reversal of anticoagulation is required in acute care surgery patients with hemorrhage and traumatic brain injury (TBI). This can

What every trauma surgeon should know about managing an unexpected, multiple casualty disaster MODERATOR: Joseph Rappold, MD, and Susan Briggs, MD SPEAKERS: M. Margaret Knudson, MD; George Velmahos, MD,

PhD; and Jay Doucet, MD Responding to and successfully managing a disaster (natural or man-made) requires a set of skills that are not traditionally taught during surgical residencies and/or trauma fellowships.

The recent events in Boston with the marathon bombing and in San Francisco with the crash of a major airline brought this fact to light. However, these special skills are a basic component of training in the military. This proposed session would draw on the experiences from our military colleagues in managing multiple/mass casualties including temporizing measures to control hemorrhage; in-hospital triage; multiple operative procedures occurring simultaneously; security issues; conservation of resources; psychological support and team decompression. As the result of this session, attendees would have a blueprint on how and where to obtain further training in this area. This might also lead to a skills session in the future endorsed by both the AAST and the ACS/COT as part of the disaster course that currently exists.

SPONSORED BY: Military Liaison Committee

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2014 LUNCH SESSIONS

Lunch Session V

Death, Dying and Futile Care in the ICU, ED and OR – What Have We Learned?

MODERATOR: Linda Maerz, MD SPEAKERS: Richard Miller, MD; Bryan Cotton, MD; and

Anne Mosenthal, MD Medical and surgical futility in the context of end-of-life care are encountered frequently in the practice of the acute care surgeon and surgical intensivist. Utilizing the results of a survey distributed to the AAST membership as a focal point of discussion, our attitudes and practices with respect to medical futility and end-of-life care in both trauma and emergency general surgery populations will be reviewed in this luncheon session.

SPONSORED BY: Critical Care Committee

Lunch Session VI

Assessment of Geriatric Patient After Falls MODERATOR: Fred Luchette, MD SPEAKERS: Zara Cooper, MD; Saman Arbabi, MD; and

Ellen Corman, MD Information on this session will be posted on the AAST website when it becomes available.

SPONSORED BY: Prevention and Geriatric Trauma Committees

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FITTS & MASTER SURGEON LECTURERS Fitts Oration Lecturer “Genomics of Injury - The Glue Grant Experience” - Ronald G. Tompkins, MD, ScD Dr. Ronald Tompkins is the Sumner M. Redstone Professor of Surgery at Harvard Medical School. He graduated from Tulane University School of Medicine as a member of Alpha Omega Alpha and earned SM and ScD degrees in chemical engineering at the Massachusetts Institute of Technology. He completed his surgical residency in 1986 at Massachusetts General Hospital where he has continued on the staff of the MGH Surgical Services. Dr. Tompkins directs the newly established center for research and innovation, which is based upon the Burns Division’s collaborative track record and expertise in securing more than $200 million in federal, foundation, and industrial support for basic research and clinical programs.

“Managing the TBI Patient: Too Much? Too Little? When Is It Just Right?” - Alex B. Valadka, MD Alex Valadka, MD, is Chairman and Chief Executive Officer of the Seton Brain and Spine Institute in Austin, Texas, and Adjunct Professor of Psychology at the University of Texas at Austin. He maintains a strong clinical and research interest in neurotrauma and critical care, including numerous papers, presentations, research grants, courses, seminars, and visiting professorships.

Dr. Valadka attended the University of Dallas and went on to medical school at the University of Chicago. His interest in neurotrauma and critical care led him to pursue his neurosurgical residency at the Medical College of Virginia. He returned to Texas in 1993 to join the faculty of the Department of Neurosurgery at Baylor College of Medicine. In 2006, he accepted a position as Professor and Vice Chairman of the Department of Neurosurgery at the University of Texas Medical School at Houston. In 2009, he moved to Austin to help create an academic medical center in Central Texas.

“Acute Cholecystitis: When to Operate and How to Do It Safely” - Andrew B. Peitzman, MD Dr. Peitzman completed his residency at the University of Pittsburgh. He spent two years in basic science research at New York Hospital Cornell Medical Center, under Dr. G. Tom Shires. He is currently the Mark M. Ravitch Professor of Surgery at the University of Pittsburgh Medical Center, Executive Vice Chairman of the Department of Surgery, Chief of General Surgery and the Section of Trauma/Surgical Critical Care. He is the Past President of the American Association for the Surgery of Trauma, and Past President of the Panamerican Trauma Society. He has co-edited 12 books, including The Trauma Manual, now in its fourth edition and Acute Care Surgery.

S T AY U P - T O - D A T E For all of the most current information on the 73rd Annual Meeting of the American Association for the Surgery of Trauma & Clinical Congress of Acute Care Surgery, please visit the AAST website at www.aast.org and click on the Annual Meeting tab. Follow AAST on twitter at @traumadoctors or like us on Facebook – American Association for the Surgery of Trauma.

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S C H E D U L E AT- A- G L A N C E

WEDNESDAY, SEPTEMBER 10, 2014 Optional Session see pages 4-6 for details 1:00 - 3:40 pm

SESSION I: PLENARY PAPERS 1 - 8 – Moderator: William Cioffi, MD; Recorder: Raul Coimbra, MD, PhD

TIME

PAPER# TITLE

PRESENTER

1:00 - 1:20 pm

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THE SPLENIC INJURY OUTCOMES TRIAL: AN AMERICAN ASSOCIATION FOR THE SURGERY OF TRAUMA MULTI-INSTITUTIONAL STUDY

Ben Zarzaur, MD, MPH

1:20 - 1:40 pm

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A CONTROLLED RESUSCITATION STRATEGY IS FEASIBLE AND SAFE IN HYPOTENSIVE TRAUMA PATIENTS: RESULTS OF A PROSPECTIVE RANDOMIZED PILOT TRIAL

Martin Schreiber, MD

Thomas Scalea, MD

1:40 - 2:00 pm

3

GETTING IT RIGHT: ADHERENCE TO AN ESTABLISHED DIAGNOSTIC THRESHOLD FOR VENTILATOR-ASSOCIATED PNEUMONIA CONTRIBUTES TO LOW FALSE-NEGATIVE RATES IN TRAUMA PATIENTS

John Sharpe, MD, MS

Christopher Michetti, MD

2:00 - 2:20 pm

4

REDUCING SECONDARY BRAIN INJURY IN TRAUMA PATIENTS: THE EFFECT OF REMOTE ISCHEMIC CONDITIONING

Bellal Joseph, MD

Deborah Stein, MD, MPH

2:20 - 2:40 pm

5

REGIONAL COLLABORATIVE QUALITY IMPROVEMENT FOR TRAUMA REDUCES COMPLICATIONS AND COSTS

Mark Hemmila, MD

2:40 - 3:00 pm

6

MITOCHONDRIAL DAMPS FROM FRACTURES SUPPRESS PULMONARY IMMUNE RESPONSES VIA FORMYL PEPTIDE RECEPTORS 1 AND 2

Haipeng Li, MD

3:00 - 3:20 pm

7

THE AAST PROSPECTIVE OBSERVATIONAL VASCULAR INJURY TREATMENT (PROOVIT) REGISTRY: MULTICENTER DATA ON MODERN VASCULAR INJURY DIAGNOSIS, MANAGEMENT AND OUTCOMES

Joseph DuBose, MD

3:20 - 3:40 pm

8

INTRACRANIAL PRESSURE MONITORING AND INPATIENT MORTALITY IN SEVERE TRAUMATIC BRAIN INJURY: A PROPENSITY-SCORE MATCHED ANALYSIS

Aaron Dawes, MD

3:40 - 4:10 pm

SESSION II: MASTER SURGEON I - Alex Valadka, MD Managing the TBI Patient: Too Much? Too Little? When Is It Just Right?

4:10 - 5:25 pm

SESSION III: CHALLENGING CASES PANEL - Moderator: L.D. Britt, MD, MPH Panelists: Ari Leppaniemi, MD; Jose Diaz, MD; Matthew Rosengart, MD, MPH; Roxie Albrecht, MD; and Angela Neville, MD

5:30 - 7:30 pm

SESSION IV: POSTERS SESSION AND EXHIBIT HALL OPENING

DISCUSSANT

Andrew Peitzman, MD

David Hoyt, MD Ronald Maier, MD

Howard Champion, FRCS

Alex Valadka, MD

THURSDAY, SEPTEMBER 11, 2014 6:15 am - 7:30 am

Resident/Student/In-Training Fellow Breakfast - Thomas Scalea, MD

7:30 - 8:00 am

SESSION V: MASTER SURGEON II - Andrew Peitzman, MD Acute Cholecystitis: When to Operate and How To Do It Safely

8:00 - 9:40 am

SESSION I: PLENARY PAPERS 9 - 12 – Moderator: Grace Rozycki, MD, MBA; Recorder: Raul Coimbra, MD, PhD

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PAPER# TITLE

PRESENTER

DISCUSSANT

8:00 - 8:20 am

9

RESUSCITATIVE ENDOVASCULAR BALLOON OCCLUSION OF THE AORTA (REBOA) IS A FEASIBLE ALTERNATIVE TO RESUSCITATIVE THORACOTOMY IN TRAUMA PATIENTS WITH NON-COMPRESSIBLE TRUNCAL HEMORRHAGE AND PROFOUND HEMORRHAGIC SHOCK

Laura Moore, MD

8:20 - 8:40 am

10

EVALUATION OF THE SAFETY AND FEASIBILITY OF RESUSCITATIVE ENDOVASCULAR BALLOON OCCLUSION OF THE AORTA IN JAPAN

Nobuyuki Saito, MD

8:40 - 9:00 am

11

THE EARLY EVOLVING SEX HORMONE ENVIRONMENT IS ASSOCIATED WITH SIGNIFICANT CLINICAL OUTCOME AND INFLAMMATORY RESPONSE DIFFERENCES POST-INJURY

Samuel Zolin, BS

Reuven Rabinovici, MD

9:00 - 9:20 am

12

SYSTOLIC BLOOD PRESSURE CRITERIA IN THE NATIONAL TRAUMA TRIAGE PROTOCOL FOR GERIATRIC TRAUMA: 110 IS THE NEW 90

Joshua Brown, MD

Frederick Luchette, MD

Timothy Fabian, MD

Matthew Wall, Jr., MD

9:20 - 9:40 am

Scholarships

9:40 - 10:00 am

Break

10:00 - 11:20 am

SESSION VIII: ACUTE CARE SURGERY PAPERS 13-16 – Moderator: Kimberly Davis, MD, MBA; Recorder: David Spain,MD

TIME

PAPER# TITLE

PRESENTER

DISCUSSANT

10:00 - 10:20 am 13

ARTERIOGRAPHY FOR LOWER GI BLEEDING: DOES A Christina Jacovides, BS PRECEDING ABDOMINAL CT ANGIOGRAM IMPROVE BLEED IDENTIFICATION AND OUTCOME?

Leslie Kobayashi, MD

10:20 - 10:40 am 14

SAME DAY COMBINED ERCP AND CHOLECYSTECTOMY: ACHIEVABLE AND COST EFFECTIVE

Muhammad Younus, MD

Michael Chang, MD

10:40 - 11:00 am 15

DEFINING THE ACUTE CARE SURGERY CURRICULUM

Therese Duane, MD

Ronald Stewart, MD

11:00 - 11:20 am 16

PROTOCOLIZED MANAGEMENT OF ADHESIVE MECHANICAL Janeen Jordan, MD SMALL BOWEL OBSTRUCTION: MOVING IT ALONG.

Clay Cothren-Burlew, MD

11:30 am - 12:30 pm

SESSION IX: PRESIDENTIAL ADDRESS – William Cioffi, MD “Responsibility”

12:30 - 1:45 pm

Lunch Session/Lunch on your own (see page 8-10 for Lunch Sessions information)

1:45 - 2:00 pm

Break in Exhibit Hall

2:00 - 5:00 pm

SESSION XA: PAPERS 17-25 – Moderator: Martin Croce, MD; Recorder: Christine Cocanour, MD

TIME

PAPER# TITLE

PRESENTER

2:00 - 2:20 pm

17

NOT ALL BELLIES ARE THE SAME: A COMPARISON OF DAMAGE CONTROL SURGERY FOR INTRA-ABDOMINAL SEPSIS VERSUS TRAUMA

Jason Smith, MD, PhD

2:20 - 2:40 pm

18

THE IMPACT OF TRANEXAMIC ACID ON MORTALITY IN INJURED PATIENTS WITH HYPERFIBRINOLYSIS

John Harvin, MD

DISCUSSANT

Andre Campbell, MD

Ernest Moore, MD

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19

OVERWHELMING TPA RELEASE, NOT PAI-1 DEGRADATION, Michael Chapman, MD IS RESPONSIBLE FOR HYPERFIBRINOLYSIS IN MASSIVELY TRANSFUSED TRAUMA PATIENTS

3:00 - 3:20 pm

20

LUNG PROTECTIVE VENTILIATION (ARDSNet) VERSYS APRV: VENTILATORY MANAGEMENT OF A COMBINED MODEL OF ACUTE LUNG AND BRAIN INJURY

3:20 - 3:40 pm

21

RECONSTITUTION FLUID TYPE DOES NOT AFFECT Sean McCully, MD, MS PULMONARY INFLAMMATION OR DNA DAMAGE FOLLOWING INFUSION OF LYOPHILIZED PLASMA

3:40 - 4:00 pm

22

CLEARLY DEFINING PEDIATRIC MASSIVE TRANSFUSION: CUTTING THROUGH THE FOG AND FRICTION WITH COMBAT DATA

Lucas Neff, MD

Michael Nance, MD

4:00 - 4:20 pm

23

ANGIOTENSIN INHIBITION DECREASES MULTIPLE ORGAN FAILURE IN OBESE TRAUMA PATIENTS

Robert Winfield, MD

Robert Cooney, MD

4:20 - 4:40 pm

24

TIME FOR CLOSURE: A DEDICATED TRAUMA ICU IS ASSOCIATED WITH LOWER POST INJURY COMPLICATION RATES AND DEATH AFTER MAJOR COMPLICATIONS

Marko Bukur, MD

4:40 - 5:00 pm

25

FACTOR VIIA ADMINISTRATION IN TRAUMATIC BRAIN INJURY: AN AAST-MITC PROPENSITY SCORE ANALYSIS

Sarah Lombardo, MD, MSc

2:00 - 5:00 pm

Yasuhiro Otomo, MD

Stephen Davies, MD, MPH

Orlando Kirton, MD

Frederick Moore, MD

Charles Adams, Jr., MD

M. Margaret Knudson, MD

SESSION XB: PAPERS: 26-34 – Moderator: Ari Leppaniemi, MD; Recorder: Robert Mackersie, MD

TIME

PAPER# TITLE

PRESENTER

DISCUSSANT

2:00 - 2:20 pm

26

OBESITY AND CLOTTING: BMI INDEPENDENTLY CONTRIBUTES TO HYPERCOAGULABILITY AFTER INJURY

Lucy Kornblith, MD

2:20 - 2:40 pm

27

THE NEW METRIC TO IDENTIFY LARGE-VOLUME HEMORRHAGE: RESULTS OF A PROSPECTIVE STUDY OF THE CRITICAL ADMINISTRATION THRESHOLD

Stephanie Savage, MD

John Holcomb, MD

2:40 - 3:00 pm

28

A PHARMACOLOGIC APPROACH TO VAGAL NERVE STIMULATION PREVENTS MESENTERIC LYMPH TOXICITY AFTER HEMORRHAGIC SHOCK

Joji Morishita, MD, PhD

William Cioffi, MD

3:00 - 3:20 pm

29

FIBRINOGEN CONCENTRATE ADMINISTRATION INHIBITS ENDOGENOUS FIBRINOGEN SYNTHESIS IN PIGS AFTER TRAUMATIC HEMORRHAGE

Wenjun Martini, PhD

3:20 - 3:40 pm

30

ARE WE MEASURING THE RIGHT THING? CARDIAC DYSFUNCTION, NOT CARDIAC OUTPUT, IS PREDICTIVE OF OUTCOME IN CRITICALLY ILL SURGICAL PATIENTS

Sarah Murthi, MD

3:40 - 4:00 pm

31

POST-RESUSCITATIVE HYPERCHLOREMIC METABOLIC ACIDOSIS IS ASSOCIATED WITH ACUTE KIDNEY INJURY

Dennis Kim, MD

4:00 - 4:20 pm

32

NATIONAL ESTIMATES OF PREDICTORS OF OUTCOMES FOR EMERGENCY GENERAL SURGERY

Adil Shah, MD

Hasan Alam, MD

Peter Rhee, MD, MPH

Paula Ferrada, MD

Vicente Gracias, MD

Kristan Staudenmayer, MD, MS

Register by August 18, 2014 to receive the Early Bird Discount! www.aast.org

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33

IMPLEMENTATION OF AN ACUTE CARE SURGERY SERVICE IN A COMMUNITY HOSPITAL: IMPACT ON HOSPITAL EFFICIENCY AND PATIENT OUTCOMES

Michael Kalina, DO

4:40 - 5:00 pm

34

COMPARISON OF ATRIOCAVAL SHUNTING WITH Joshua Hazelton, DO PERIHEPATIC PACKING VS PERIHEPATIC PACKING ALONE FOR RETROHEPATIC VENA CAVA INJURIES IN A SWINE MODEL

Lewis Kaplan, MD

David Feliciano, MD

FRIDAY, SEPTEMBER 12, 2014 6:15 am - 7:30 am

International Breakfast – Hans-Christoph Pape, MD

7:30 - 8:00 am

SESSION XI: DEMYSTIFYING GOVERNMENT RESEARCH – Todd Rasmussen, MD

8:00 - 10:55 am

SESSION XII: QUICKSHOTS – Moderator: C. William Schwab, MD

TIME

QS#

TITLE

PRESENTER

8:01 - 8:07 am

QS1

CONTEMPORARY MANAGEMENT AND OUTCOMES OF BLUNT THORACIC AORTIC INJURY: A MULTICENTER RETROSPECTIVE STUDY

Megan Brenner, MD

8:08 - 8:14 am

QS2

EARLY WHOLE BLOOD AUTO-TRANSFUSION: AN UNDEFINED PRACTICE IN CIVILIAN TRAUMA

Peter Rhee, MD, MPH

8:15 - 8:21 am

QS3

DEFINING THE EXCESS MORBIDITY AND MORTALITY ATTRIBUTABLE TO EMERGENCY GENERAL SURGERY

Allan Peetz, MD

8:22 - 8:28 am

QS4

INDUCING ACUTE TRAUMATIC COAGULOPATHY IN VITRO

Benjamin Howard, MD, MPH

8:29 - 8:35 am

QS5

INHALED, NEBULIZED SODIUM NITRITE PROTECTS AGAINST TRAUMA/HEMORRHAGIC SHOCK INDUCED TISSUE INJURY AND INFLAMMATION

Benjamin Kautza, MD

8:36 - 8:42 am

QS6

TWO YEAR CESSATION OF RESIDENT TEAMWORK TRAINING IMPACTS TRAUMA RESUSCITATION PERFORMANCE AND EFFICIENCY

Charles Harris, MD

8:43 - 8:49 am

QS7

OPERATIVE VERSUS NON-OPERATIVE MANAGEMENT OF MULTIPLE RIB FRACTURES

Mauricio Velasquez, MD

8:50 - 8:56 am

QS8

A COMPARISON OF DIAGNOSTIC PERITONEAL LAVAGE TO COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF THORACO-ABDOMINAL STAB WOUNDS

Reza Salabat, MD

8:57 - 9:03 am

QS9

THE IMPACT OF IMAGE-SHARING ON THE EVALUATION OF Tanveer Zamani, MD TRAUMA TRANSFER PATIENTS IN A RURAL TRAUMA SYSTEM

9:04 - 9:10 am

QS10

LEVEL I ACADEMIC TRAUMA CENTER INTEGRATION AS A Rachel Hight, MD MODEL FOR SUSTAINING COMBAT SURGICAL SKILLS: THE RIGHT SURGEON IN THE RIGHT PLACE FOR THE RIGHT TIME

9:11 - 9:17 am

QS11

RISK ASSESSMENT MODELS FOR PREDICTING VENOUS THROMBOEMBOLISM IN TRAUMA PATIENTS ARE NOT ADEQUATE

DISCUSSANT

Michael Sise, MD

Juan Duchesne, MD

Shahid Shafi, MD

Walter Biffl, MD Rosemary Kozar, MD, PhD

Joseph Galante, MD

Marc de Moya, MD

Leonard Weireter, Jr., MD

Sharon Henry, MD Nicholas Namias, MD

Jan-Michael Van Gent,DO Avery Nathens,MD,PhD,MPH

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S C H E D U L E AT- A- G L A N C E TIME

QS#

TITLE

PRESENTER

9:18 - 9:24 am

QS12

IMPACT OF SOCIO-ECONOMIC STATUS ON HOSPITAL LENGTH OF STAY FOLLOWING INJURY: A MULTICENTER COHORT STUDY

Lynne Moore, PhD

9:25 - 9:31 am

QS13

REPAIR VERSUS LIGATION OF MAJOR VENOUS INJURY Casey Allen, MD AFTER PENETRATING TRAUMA: IS THERE A DIFFERENCE IN DEVELOPMENT OF PULMONARY EMBOLISM?

9:32 - 9:38 am

QS14

ULTRASOUND VS. PALPATION GUIDED RADIAL ARTERY CATHETERIZATION: A RANDOMIZED CONTROLLED TRIAL

Lucy Ruangvoravat, MD

9:39 - 9:45 am

QS15

A PROSPECTIVE EVALUATION OF SURGICAL RESIDENT INTERPRETATION OF CT SCANS FOR TRAUMA

Reinaldo Morales, MD

David Efron, MD

9:46 - 9:52 am

QS16

WELCOME BACK: FACTORS ASSOCIATED WITH EARLY READMISSION FOLLOWING TRAUMA

Jennifer Roberts, MD, MS

David King, MD

9:53 - 9:59 am

QS17

FIBRINOLYSIS DOES NOT OCCUR FOLLOWING RESUSCITATION IN SEVERE HEMORRHAGIC SHOCK REQUIRING IMMEDIATE OPERATION

Mona Taleb, MD

10:00 -10:06 am QS18

INTRACRANIAL PRESSURE MONITORING DURING THERAPEUTIC CEREBROSPINAL FLUID DRAINAGE: “ONLY PART OF THE STORY?”

Raymond Fang, MD

10:07 - 10:13 am QS19

COMPLICATIONS OF DAMAGE CONTROL AND DEFINITIVE LAPAROTOMY IN COMBAT: 2002-2011

Thomas Mitchell, MD

C. William Schwab, MD

10:14 - 10:20 am QS20

STRESS-INDUCED HYPERGLYCEMIA IS ASSOCIATED WITH Patrick Bosarge, MD HIGHER MORTALITY IN SEVERE TRAUMATIC BRAIN INJURY

Jay Doucet, MD

10:21 - 10:27 am QS21

DETERMINING FACTORS THAT IMPROVE RESPONSE TO Fred McLafferty, BA INPATIENT REHABILITATION IN PATIENTS WITH MODERATE TO SEVERE TRAUMATIC BRAIN INJURY

Garth Utter, MD

10:28 - 10:34 am QS22

THE DISPARITY GAP IN TRAUMA DOES NOT NARROW FOR UNINSURED ADULTS SUFFERING SEVERE INJURY

Jon Gerry, MD

Adil Haider, MD

10:35 - 10:41 am QS23

BLUNT DUODENAL TRAUMA, IS NON-OPERATIVE MANAGEMENT SAFE?

Matthew Bradley, MD

10:42 - 10:48 am QS24

MICROARRAY ANALYSIS OF GENE EXPRESSION PROFILES IN Matthew Delano, MD, PhD TRAUMATIC BRAIN INJURED PATIENTS: IMPACT OF PREHOSPTIAL FLUID RESUSCITATION

10:49 - 10:55 am QS25

CAN MESENCHYMAL STEM CELLS REVERSE CHRONIC STRESS-INDUCED IMPAIRMENT OF WOUND HEALING FOLLOWING TRAUMATIC INJURY?

10:55 - 11:15 am

Break in Exhibit Hall Lunch Sessions (see pages 8-10)/Lunch on your own

11:15 am - 12:15 pm

16

Session XIII: Fitts Lecture – Ronald Tompkins, MD, ScD Genomics of Injury – The Glue Grant Experience

Amy Gore, MD

DISCUSSANT

Karen Brasel, MD, MPH

Ronald Simon, MD

Christine Cocanour, MD

Mitchell Cohen, MD

Susan Rowell, MD

Anna Ledgerwood, MD

Eric Ley, MD

Gregory Victorino, MD

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S C H E D U L E AT- A- G L A N C E 1:30 - 4:50 pm

SESSION XIVA: PAPERS 35-44 – Moderator: Donald Trunkey, MD; Recorder: Thomas Esposito, MD, MPH

TIME

PAPER# TITLE

1:30 - 1:50 pm

35

CORRELATION OF CEREBRAL OXYGEN DYNAMICS AND Michael Stiefel, MD METABOLIC CRISIS IN PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY (sTBI)

1:50 - 2:10 pm

36

A COST ANALYSIS OF SURGICAL STABILIZATION VERSUS Sarah Majercik, MD, MBA CONVENTIONAL MANAGEMENT OF SEVERE RIB FRACTURES

2:10 - 2:30 pm

37

CAN WE EVER STOP WORRYING ABOUT VENOUS THROMBOEMBOLISM AFTER TRAUMA?

Laura Godat, MD

2:30 - 2:50 pm

38

VARIATIONS IN IMPLEMENTATION OF ACUTE CARE SURGERY: RESULTS FROM A NATIONAL SURVEY OF UNIVERSITY-AFFILIATED HOSPITALS

Heena Santry, MD

John Fildes, MD

2:50 - 3:10 pm

39

IS IT A MYTH THAT THE WHOLE-BODY COMPUTED TOMOGRAPHY IMPROVES THE OUTCOME FOR POLYTRAUMA PATIENTS WITH AN ISS 16 AND OVER ?: A PROPENSITY-ADJUSTED ANALYSIS

Takashi Fujita, MD

H. Gill Cryer, MD, PhD

3:10 - 3:30 pm

40

THE ANATOMIC SEVERITY OF CHEST WALL INJURIES DOES Tejveer Dhillon, MD A PROSPECTIVE COHORT STUDY

3:30 - 3:50 pm

41

A GERIATRIC SPECIFIC RIB FRACTURE PROTOCOL SIGNIFICANTLY IMPROVES MORTALITY

Sean Monagahan, MD

3:50 - 4:10 pm

42

INTRODUCTION OF A MOBILE DEVICE BASED TERTIARY SURVEY APPLICATION REDUCES MISSED INJURIES: A MULTI-CENTER PROSPECTIVE STUDY

Bradley Moffat, MD

Leopoldo Cancio, MD

4:10 - 4:30 pm

43

PRIORITIZING QUALITY IMPROVEMENT IN ACUTE CARE SURGERY

Christopher McCoy, MD

David Harrington, MD

4:30 - 4:50 pm

44

DOES RESUSCITATION WITH PLASMA INCREASE THE RISK OF VENOUS THROMBOEMBOLISM?

Ashley Zander, DO

1:30 - 4:50 pm

PRESENTER

DISCUSSANT

Jose Pascual Lopez, MD

Suresh Agarwal, MD

Ali Salim, MD

Raminder Nirula, MD, MPH

Ronald Gross, MD

Heidi Frankel, MD

SESSION XIVB: PAPERS 45-54 – Moderator: Gustavo Fraga, MD, PhD; Recorder: David Livingston, MD

TIME

PAPER# TITLE

PRESENTER

DISCUSSANT

1:30 - 1:50 pm

45

USING A VIDEO DECISION-SUPPORT TOOL TO INFORM SURROGATE DECISIONS IN THE SURGICAL INTENSIVE CARE UNIT

Zara Cooper, MD, MSc

1:50 - 2:10 pm

46

LETHAL NOW OR LETHAL LATER: THE NATURAL HISTORY OF GRADE IV BLUNT CEREBROVASCULAR INJURY

Margaret Lauerman, MD

2:10 - 2:30 pm

47

THE VALIDITY OF ABDOMINAL EXAMINATION IN BLUNT TRAUMA PATIENTS WITH DISTRACTING INJURIES

Jack Rostas, MD

2:30 - 2:50 pm

48

SURGEON PERFORMED ULTRASOUND (SPUS) IN PREDICTING Christopher Barrett, MD WOUND INFECTIONS: NO COLLECTION, NO INFECTION.

David Livingston, MD

Martin Croce, MD

Andrew Kirkpatrick, MD, CD, MHSc Nicole Stassen, MD

Schedule subject to change. Please check conference app and program book for most up-to-date schedule.

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S C H E D U L E AT- A- G L A N C E TIME

PAPER# TITLE

PRESENTER

2:50 - 3:10 pm

49

AN ANALYSIS OF THE EFFECTIVENESS OF A STATE TRAUMA Dennis Ashley, MD SYSTEM: TREATMENT AT DESIGNATED TRAUMA CENTERS IS ASSOCIATED WITH AN INCREASED PROBABILITY OF SURVIVAL

3:10 - 3:30 pm

50

A REASSESSMENT OF THE IMPACT OF TRAUMA SYSTEMS Robert Winchell, MD CONSULTATION ON REGIONAL TRAUMA SYSTEM DEVELOPMENT

3:30 - 3:50 pm

51

INTIMATE PARTNER VIOLENCE – RISKS GO BEYOND THE Ashley Hink, MD, MPH VIOLENCE: ASSOCIATION OF INTIMATE PARTNER VIOLENCE WITH MENTAL ILLNESS AND SUBSTANCE ABUSE AMONG FEMALES ADMITTED TO A RURAL LEVEL-I TRAUMA CENTER

James Davis, MD

3:50 - 4:10 pm

52

IS TRAUMATIC VIOLENCE GETTING BETTER OR WORSE? Vincent Chong, MD, MS NON-FATAL GUN VIOLENCE AT AN URBAN TRAUMA CENTER

Lenworth Jacobs, Jr., MD, MPH

4:10 - 4:30 pm

53

TRAUMA PATIENT READMISSIONS: WHY DO THEY COME BACK FOR MORE?

Laura Petrey, MD

4:30 - 4:50 pm

54

MINIMALLY INVASIVE IS MAXIMALLY EFFECTIVE: THERAPEUTIC AND DIAGNOSTIC LAPAROSCOPY FOR PENETRATING ABDOMINAL INJURIES

Paul Chestovich, MD

4:50 - 5:00 pm

Military Awards

5:00 - 6:15 pm

AAST Annual Business Meeting

7:30 - 10:00 pm

Reception & Banquet

DISCUSSANT

Joseph Tepas, III, MD

Richard Mullins, MD

Mark Malangoni, MD

Rao Ivatury, MD

SATURDAY, SEPTEMBER 13, 2014 8:00 am - 12:00 pm

SESSION XV: PAPERS 55-66 – Moderator: Thomas Scalea, MD; Recorder: Susan Briggs, MD, MPH

TIME

PAPER# TITLE

PRESENTER

8:00 - 8:20 am

55

TWO ARE BETTER THAN ONE: SYNERGY OF BETABLOCKADE AND STATIN THERAPY ON SURVIVAL IN SEPSIS

Irada Ibrahim-Zada, MD, PhD

8:20 - 8:40 am

56

SAVING LIVES AND SAVING MONEY: HOSPITAL-BASED VIOLENCE PREVENTION IS COST-EFFECTIVE

Randi Smith, MD, MPH

8:40 - 9:00 am

57

PROSPECTIVE, MULTICENTER DERIVATION OF A CLINICAL DECISION RULE FOR THORACIC AND LUMBAR SPINE EVALUATION AFTER BLUNT TRAUMA

TBD

9:00 - 9:20 am

58

THE EVIL OF GOOD IS BETTER: MAKING THE CASE FOR BASIC LIFE SUPPORT TRANSPORT OF PENETRATING TRAUMA VICTIMS IN AN URBAN ENVIRONMENT

Joseph Rappold, MD

Norman McSwain, Jr., MD

9:20 - 9:40 am

59

MORTALITY FOLLOWING EMERGENCY SURGERY CONTINUES TO RISE AFTER DISCHARGE IN THE ELDERLY

Erika Rangel, MD, MS

George Velmahos, MD, PhD

9:40 - 10:00 am

60

PREVENTING MOTOR VEHICLE CRASHES THROUGH GRADUATED DRIVING LICENSING LAWS IN MASSACHUSETTS: A POPULATION-BASED STUDY

Haytham Kaafarani, MD, MPH

18

DISCUSSANT

Carl Hauser, MD

Carnell Cooper, MD

Carrie Sims, MD

Barbara Gaines, MD

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S C H E D U L E AT- A- G L A N C E TIME

PAPER# TITLE

PRESENTER

Travis Frantz, MS4

DISCUSSANT

10:00 -10:20 am 61

THE EFFECT OF TISSUE DAMAGE VOLUME ON SYSTEMIC INFLAMMATION AND ORGAN FAILURE

Basil Pruitt, Jr., MD

10:20 - 10:40 am 62

DOES SIZE MATTER, OR IS EXPERIENCE WHAT REALLY Richard Doty, MD COUNTS? ANNUAL CLINICAL EXPERIENCE (PER SURGEON) IS ASSOCIATED WITH IMPROVED SURVIVAL

Joseph Minei, MD

10:40 - 11:00 am 63

THE CLINICAL SIGNIFICANCE OF SOLUBLE RAGE IN PATIENTS WITH SEVERE SEPSIS

Hisatake Matsumoto, MD

Eileen Bulger, MD

11:00 - 11:20 am 64

THE PEDIATRIC TRAUMA CENTER AND THE INCLUSIVE TRAUMA SYSTEM: IMPACT ON SPLENECTOMY RATES

Emily Murphy, MD

11:20 - 11:40 am 65

EMERGENCY GENERAL SURGERY OUTCOMES IN TEACHING VERSUS NON-TEACHING HOSPITALS

Syad Nabeel Zafar, MD, MPH

Gregory Jurkovich, MD

11:40 am -12:00 pm 66

PNEUMOMEDIASTINUM FOLLOWING BLUNT TRAUMA: WORTH WHILE A WORKUP?

Konstantinos Chouliaras, MD

Oscar Guillamondegui, MD

Mary Fallat, MD

Schedule subject to change. Please check conference app and program book for most up-to-date schedule.

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P H I L LY AT T R A C T I O N S There are many attractions the city of Philadelphia has to offer to visitors year round. Below are some of our top picks. For information on the city, visit visitphilly.com or contacting the Independence Visitor Center (information about the center is below).

Independence Visitor Center Philadelphia Located in Independence National Historical Park, the Independence Visitor Center is the official visitor center of Philadelphia and the region. The concierge staff is fluent in nine foreign languages and has over 70 years of combined visitor service experience.

One North Independence Mall West, 6th and Market Streets, Philadelphia, PA 19106 Phone: 800-537-7676 • Hours: 8:30 am – 7:00 pm • Website: www.phlvisitorcenter.com • Email: info@phlvisitorcenter.com

Reading Terminal Market (located across the street from the Philadelphia Marriott Downtown) Mouth-watering aromas. Locally grown and exotic produce. Amish specialties. Fresh meats, seafood, and poultry. Handmade confections and baked goods straight from the oven. Everything you need to create a memorable meal, from cookbooks, to table linens, to kitchen ware, to fresh cut flowers, and more. Plus the widest variety of restaurants under one roof. Find it all here at Philadelphia’s historic public market, Reading Terminal Market!

51 North 12th Street, Philadelphia, PA 19107 Phone: 215-922-2317 • Hours: Monday-Saturday 8:00 am – 6:00 pm & Sunday 9:00 am – 5:00 pm • www.readingterminalmarket.org

The Liberty Bell Center The Liberty Bell has a new home, and it is as powerful and dramatic as the Bell itself. Throughout the expansive, light-filled Center, larger-than-life historic documents and graphic images explore the facts and the myths surrounding the Bell.

X-rays give an insider’s view, literally, of the Bell’s crack and inner-workings. In quiet alcoves, a short History Channel film, available in English and eight other languages, traces how abolitionists, suffragists and other groups adopted the Bell as their symbol of freedom.

526 Market Street, Philadelphia, PA 19106 Phone: (215) 965-2305 • Hours: 9:00 am – 5:00 pm

Franklin Square Franklin Square, one of Philadelphia’s five original public squares laid out by William Penn in his original plan for the city, has undergone a dramatic renovation.

The park now boasts several family-friendly attractions, including a miniature golf course, classic carousel, burger joint, storytelling bench, picnic area and more.

6th and Race Streets, Philadelphia, PA 19103 Phone: (215) 629-4026 • Email: info@historicphiladelphia.org

LOVE Park A favorite destination for tourists and locals alike, John F. Kennedy Plaza gets its famed nickname “LOVE Park” due to its famous sculpture.

Located near City Hall, LOVE Park serves as the grand entrance to the Benjamin Franklin Parkway.

The plaza, designed by famed City Planner Edmond Bacon, father of actor Kevin Bacon, was originally constructed over an underground parking garage in 1965.

The plaza expanded in 1969 with the addition of beautifully curved granite steps and a majestic fountain.

Robert Indiana’s iconic LOVE statue was not installed until the bicentennial in 1976, only to be removed two years later. Due to its immense popularity, the sculpture was purchased by the Chairman of the Philadelphia Art Commission, F. Eugene Dixon, Jr., and permanently returned to the plaza.

Aside from photo opportunities, LOVE Park also features the Fairmount Park Welcome Center and Gift Shop and is a favorite spot to grab a bite to eat from some of the city’s top food trucks.

16th and JFK Boulevard, Philadelphia, PA 19102

The Rocky Statue and the Rocky Steps The Rocky Statue and the “Rocky Steps” — better known as the Art Museum Steps — are two of the most popular attractions in Philadelphia. Visiting the statue, running up the steps, and taking a picture at the top is pretty much a “must” on your first visit to Philadelphia. It’s a right of passage.

One of Philadelphia’s most famous pieces of public art is a bigger-than-life boxer… literally. Originally created for Rocky III, the sculpture is now a real-life monument to a celluloid hero. The fictional Rocky Balboa of Sylvester Stallone’s Rocky movies was immortalized in bronze in 1980. After filming for the movie completed, Stallone donated the statue to the City of Philadelphia.

The statue is located at the bottom of the stairs at the Philadelphia Museum of Art, so be sure to get a photo with Rocky Balboa himself.

Philadelphia Museum of Art (to the right of the base of the art museum steps) 2600 Benjamin Franklin Parkway, Philadelphia, PA 19019

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E X H I B I T O R I N F O R M AT I O N

2014 AAST Annual Meeting Exhibitors (as of June 13, 2014) Acute Innovations American College of Surgeons Committee on Trauma Applied Medical Technology, Inc. Belmont Instrument Corporation CSL Behring CSL Behring Medical Affairs Daxor Corporation DePuy Synthes CMF Elsevier EmCare Acute Care Surgery Haemonetics ImaCor Inc. J&J Ethicon KCI **Siemens Synapse Biomedical Trauma Centers Association of America United Regional Healthcare Systems Wolters Kluwer Health (formerly Lippincott Williams & Wilklins) **2014 AAST Silver Sponsor

Passport to Prizes Attendees must visit at least 10 of the exhibitor displays during the meeting and have a company representative stamp opposite his/her company’s name per each passport card. All registered physicians and medical personnel are eligible to participate.

Drawings will take place in the exhibit hall on Thursday at 1:45 pm, and on Friday at 11:10 am.

2 Cards (one for Thursday & one for Friday) Get 10 exhibitors to stamp each card for a chance to win: · A trip to the 74th Annual Meeting of AAST & Clinical Congress of Acute Care Surgery, September 9-12, 2015 at the Wynn in Las Vegas, NV –OR– · A trip to the 75th Annual Meeting of AAST & Clinical Congress of Acute Care Surgery, September 14-17, 2016 at the Hilton Waikoloa Village in Waikoloa, HI · prizes include: Complimentary meeting registration, 4 nights hotel stay and either 1 extra banquet ticket or 2 lunch sessions and a ACS/MOC session registration 23

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AMERICAN ASSOCIATION FOR THE SURGERY OF TRAUMA 633 N. St. Clair St., Suite 2600 Chicago, IL 60611

BY REGISTER

8 1 T S U AUOGRECEIVE THE T

D R I B Y L R A E RATE!

SEE YOU IN PHILLY!

For more information on this year’s meeting or on The American Association for the Surgery of Trauma, please visit www.aast.org