Aast winter 2014 newsletter

American Association for the Surgery of Trauma (AAST) Winter 2014

President’s Message - Thomas M. Scalea, MD I am very pleased to write my first message to the AAST members as president. I attended my first AAST meeting in 1985 in Boston where I made my first national presentation. The combination of excitement and anxiety was hard to control. When Drs. Trunkey and Lewis got up to ask me questions, the anxiety greatly increased. I have similar feelings of excitement and anxiety as I become president of AAST. It is an honor I never expected and I pledge to do my best to continue the wonderful work that has preceded me.

I first must thank those who have served the organization for the last several years: Drs. Heidi Frankel, Raul Coimbra, Susan Briggs, and L.D. Britt. I also welcome the new members of the board: Drs. Grace Rozycki, President-Elect; Richard Gamelli, Vice President; David Spain, Recorder and Program Chairman; and Edward Cornwell III, Board of Manager at Large. They will join Drs. Martin Croce, Rosemary Kozar, Eileen Bulger, Orlando C. Kirton, Ernest E. Moore, J. Wayne Meredith, Robert Mackersie, and William Cioffi who continue to serve.

Certainly one of the big themes for the next year will be research. As President Cioffi outlined in Philadelphia, we have partnered with the National Trauma Institute to form The Center for National Trauma Research CNTR. CNTR is a real entity and other organizations like EAST, WTA, COT and the ATS have signed on, as well. Other organizations have also expressed interest. I look forward to building a large strong multidisciplinary coalition focused on advancing our trauma research agenda. Already, we have formed an executive committee that will meet at the ACS Clinical Congress. A clinical trials network is forming which will dovetail with our MITC. A data repository committee will collate the data collected. CNTR has convened a senior group of clinician/scientists to define the trauma research agenda. Finally, we are planning a legislative day in February to lobby our elected officials, particularly those legislators who we believe can be helpful to support trauma research. We will be contacting selected AAST members and I would encourage everyone who is contacted to do so. CNTR has existed for only three months - not to bad a job. Drs. Cioffi, Meredith, Gamelli and I will represent the AAST as we get CNTR up and going.

CNTR will not be our only research endeavor. The science at the Philadelphia meeting was impressive; some of the best science I have seen in recent years presented at the podium and in the poster session.

Many of the papers presented on the first day were multi center studies, and many of those were organized via the MITC. This demonstrates the great strides the MITC has made. We look forward to more in the coming year. We will also continue to interface with our industry colleagues to investigate new scholarships and other ways we can work together to further the AAST's mission.

The AAST once was defined primarily by the meeting but we now have many other areas of concentration.

Most of this work is done by our committees. The committees did a fabulous job of defining projects and seeing them through last year. Committee chairs have been appointed for this year and the committees populated.

I believe that everyone who requested to be on a committee, either formally or informally, has been assigned to a committee. Sharon Gautschy and I have met with each committee chair by phone to define directions for the next year. We met at the ACS Clinical Congress and refined the agendas and be sure that the committees have the resources necessary to be successful.

In This Issue

I thank all of the members of the AAST for placing their confidence in me to be the president. This promises to be an exciting year as we build on past successes but also plan new initiatives. I look forward to communicating these with all of you during the upcoming months.

Message from Secretary-Treasurer - pg. 2 Message from Program Chairman - pg. 2 2014 Annual Meeting Highlights - pg. 4 New Members - pg. 5 In Memory - pg. 5 Committee Spotlight - pg. 6 1

Message from Secretary-Treasurer - Martin A. Croce, MD Well, number 73 is in the books. I didn’t think it was possible to top last year’s meeting, but I believe we did. Attendance was higher, and the quality of the program continues to soar. Already I can’t wait until next year’s meeting!

Let’s start off with special thanks to the AAST staff – Sharon Gautschy, Tamara Jenkins, Jermica Smith, and Bridgett McLaughlin – for all their hard work. The group from the ACS – Karla Stuecker, Stephanie McGee, Judy Hambrick, and Kathy Madryk– wasn’t too shabby either! All did an outstanding job, and we all owe them a debt of gratitude.

Our financial status remains strong. Next year’s budget will continue with an emphasis on research. This fits with the exciting new coalition of the AAST and NTI, along with EAST, WTA, COT, and ATS. This Coalition for National Trauma Research – CNTR – will speak with one voice for advancing trauma related research. Stay tuned for more information on this exciting organization.

Speaking of research, don’t forget to organize your best ideas and submit a grant to the AAST Scholarship Committee. Awards will be given for trauma and acute care surgery and the deadline is February 1, 2015. Finally, I’d like to congratulate our new officers: Dr. Grace Rozycki, President-Elect; Dr. Richard Gamelli, Vice President; Dr. David Spain, Recorder, and Dr. Eddie Cornwell, Board of Manager at Large. Congratulations to all, and I look forward to working with all of you.

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Message from Program Chairman - David A. Spain, MD

I am incredibly humbled to serve the AAST and the membership as Recorder and Program Chair – but I have big shoes to fill. Raul Coimbra has done an amazing job over the last 3 years. His innovations and refinements of the program have set a high bar for all of us. We owe him a huge debt of gratitude. I would also like to thank Mary Fallat and George Velmahos who completed their terms on the program committee and welcome new members Todd Rasmussen and John Holcomb.

The 2015 annual meeting of AAST & Clinical Congress of Acute Care Surgery will be in Las Vegas. We look forward to hearing your best science, so start planning those abstract submissions now. I look forward to working with all of you.

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Message from Executive Director - Sharon Gautschy

The 73rd Annual Meeting of AAST & Clinical Congress of Acute Care Surgery was a success with over 1,220 attendees. The meeting abstracts are on the AAST website in the Annual Meeting section. The abstract system will open January 1, 2015 for the 74th Annual Meeting that will be held at the Wynn in Las Vegas, NV. AAST is sponsoring a six paper session during the World Congress of Surgery (WCS) 2015. The abstract system is currently open for this session, October 1 – December 1. To find out more, click meeting partners under the Annual Meeting tab.

The AAST Research and Education Foundation has three scholarships available for July 2015-June 2016. For information, visit the AAST Foundation section on our website. The deadline for applications is February 1, 2015.

The 2015 dues notices were mailed out in October. Please pay your dues prior to January 1, 2015 to avoid disruption to your Journal of Trauma & Acute Care Surgery subscription. Dues can also be paid online, by logging into the website and clicking on “Pay your dues” in the yellow box under the Foundation tab. Keep watching the AAST home page for more news.

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AAST Research & Education Foundation Chairman - Michael J. Sise, MD Colleagues and Friends of the AAST, Our 2014 AAST Annual Meeting was a spectacular success. Not only did we share outstanding papers, posters, lunch sessions, and master surgeon lectures, we accomplished much more. Thanks to your generosity, the foundation raised over $35,000 to support the mission of our Association, which, support all of us who care for our critically injured and ill patients. Your donations have been essential in funding our programs such as the scholarships for medical students and residents to attend our Annual Meeting and research scholarships to support our young surgeon scientists. I’m very proud to be your friend and colleague.

Now is the time for you to consider a monthly credit card donation to the AAST. If you think of all the other routine expenses you have each month, setting up a monthly deduction to help the AAST provide these valuable programs is a great way to join in this effort. I hope you will make this important commitment by following the link below. If you have any questions or need assistance with making your donation, please contact the central office at 1(800) 789-4006 or jsmith@aast.org. www.aast.org/Foundation All the best, Mike Sise

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Grand Rounds & AAST e-Learning/CME The final 2014 Grand Rounds webcast will be held at 5:00 p.m. (eastern time) on November 19th. AAST Past President Dr. Steven Shackford will present TQIP Guidelines for Geriatric Trauma Care/Other Cutting Edge Issues in Geriatric Care?

CME is available for those who participate in the live webcast. The 2015 dates of Grand Rounds webcasts are listed below. Previous webcasts are available for viewing in the education section of the website. If you are interested in being a presenter for a future webcast or becoming a participating site, please contact Sharon Gautschy at sgautschy@aast.org or (312) 202-5252.

The AAST e-Learning/CME portal has over 100 hours of CME available. AAST members receieve ALL content for free. Non-members are charged a nominal fee and have the option to purchase package course credits. For more information, visit: www.aast.org/Education.aspx.

2015 Grand Rounds Webcast Schedule January 21, 2015 February 18, 2015 March 18, 2015 April 15, 2015 May 20, 2015

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June 17, 2015 July 15, 2015 August 19, 2015 October 21, 2015 November 18, 2015

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2014 A n n u al Meeting Highlights Optional Pre-Meeting Sessions 1

Meeting Speakers and Presenters 3

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Poster Reception and Exhibitors

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Business Meeting 11

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Banquet 15

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1. Pediatric Resusitation: Practical Information for Practicing Surgeons 2. Injury Prevention Coordinators Session 3. AAST President Dr. William Cioffi opening the 73rd Annual Meeting 4. Master Surgeon Lecturer Dr. Andew Peitzman 5. Master Surgeon Lecturer Dr. Alex Valdka 6. Fitts Lecturer Dr. Ronald Tompkins 7. Dr. Thomas Scalea introducing Dr. William Cioffi 8. Dr. William Cioffi giving the Presidential Address 9. Scholarship research recipient presenter Dr. Susan Evans 10. Scholarship research recipient presenter Dr. Robert Winfield 11. President Cioffi and President-Elect Dr. Thomas Scalea presenting plaques to the 2014-2015 AAST Research & Education Scholarship recipients Drs. Jacob Glaser, Angela Ingraham and Jon Simmons 12. and 13. President Cioffi presenting board plaques to Vice President Dr. Susan Brggs and Program Chairman/Recorder Dr. Raul Coimbra 14. President Cioiff and Dr. Heidi Frankel presenting the International Paper Award to Dr. Nobuyuki Saito 15. President Cioffi and Critical Care Manager-at-Large Dr. Orlando Kirton presenting the Resident Paper Award to Dr. Joshua Brown 16. President Cioffi and Manager-at-Large Dr. Rosemary Kozar presenting the Canizaro Award to AAST member Dr. Sarah Majercik 17. and 18. President Coiffi passing the gavel to President-Elect Dr. Thomas Scalea and Dr. Scalea presenting the Presidents Plaque

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Congratulations to our New Members We would like to welcome the following new members elected into AAST during the 73rd Annual Meeting. These new members will recieve their membership certificates during the 74th Annual Meeting September 9-12, 2015 at the Wynn in Las Vegas, NV. Travis Polk, MD Sasha Adams, MD Nabil Issa, MD Robert Sawyer, MD Matthew Benns, MD Randeep Jawa, MD Stacy Shackelford, MD Jennifer Knight, MD John Bini, MD Brian Leininger, MD Stanislaw Stawicki, MD Anthony Charles, MD Susan Steinemann, MD Jill Cherry-Bukowiec, MD Gary Lindenbaum, MD Lance Stuke, MD Alan Cook, MD Alicia Mangram, MD Mamta Swaroop, MD Shokei Matsumoto, MD Philip Efron, MD Mark Midwinter, MD Sheldon Teperman, MD Susan Evans, MD Michael Mosier, MD Eric Voiglio, MD Gerald Fortuna, Jr., MD Sonlee West, MD Adam Fox, MD Timothy Novosel, MD Daniel Yeh, MD James O’Connor, MD Charles Fox, MD Mauro Zago, MD Wendy Greene, MD Michael O’Mara, MD Ho Phan, MD Brian Zuckerbraun, MD Shea Gregg, MD Kirby Gross, MD Fredric Pieracci, MD

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In Memory Every year, AAST pays tribute to those members who have passed during the year. Below is a list of members who have passed away in recent years. If you know if any members who are deceased, please contact the AAST Central Office at: (800) 789-4006 or email: aast@aast.org.

William Wei-Lein Shaw, MD (1942-2010) R. Donald Woodson, MD (1931-2012) Ben Eiseman, MD (1922-2011) Joseph Anthony Moylan, MD (1938-2013) Harilaos T. Sakellarides, MD (1922-2011) William R. Clark, Jr., MD (1934-2014) William M. Stahl, MD (1922-2012) Frank Thomas Padberg, Sr., MD (1918-2014) John A. Waldhausen, MD (1929-2012)

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AAST Member Receives Distinguished Service Medal Dr. Donald H. Jenkins was presented the highest honor that The American Legion can bestow, the Distinguished Service Medal, at the 96th National Convention on August 26. Dr. Jenkins, a retired colonel, is currently the director of the trauma center at the Mayo Clinic in Rochester, MN. As a result of his work and that of other military medical pioneers, the United States has experienced a far lower combat fatality rate than what was recorded in wars prior to 9/11. Jenkins and his colleagues began using a different transfusion formula while deployed to Oman in 2002 which reduced the mortality rate from 70 percent to 20 percent, and reintroduced the use of tourniquets on the battlefield, which for many years was discouraged.

As a leader of military medical personnel, he provided life- and limb-saving care on the battlefield, in the back of transport aircraft, and at military and VA medical centers and facilities around the world. He performed emergency surgeries while serving in Iraq during the Battle of Fallujah in 2004, and retired four years later. Jenkins was presented the medal by National Commander Daniel M. Dellinger on behalf of the 2.4 million members of The American Legion. Dr. Jenkins became a member of AAST in 2005.

Information courtesy of the American Legion.

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Committee Spotlight Kimberly Davis, MD, MBA Chair, Acute Care Surgery Committee As I conclude my first year as committee chair, I am pleased to report on the following work product.

So far, we have two manuscripts submitted to the Journal of Trauma and Acute Care Surgery for consideration. The first, presented at this year’s annual meeting by Therese Duane, is a review of the two-year operative experience by our Acute Care Surgery fellows, based on an analysis of our case log data [1]. The second manuscript represents an overview of the revisions to the operative curriculum of the Acute Care Surgery fellowship, detailing the revised expectations for operative exposure during the two-year fellowship [2]. Details may also be found on the AAST website.

Other accomplishments during the past year include: • Under the leadership of Dr. James W. Davis, the Program Directors subcommittee has uniformly agreed to support participation in the match by all programs in Acute Care Surgery. They recom mended the following remediation for programs not participating in the match, which were ap proved by the Board of Managers during their April Board Meeting.

• First offense – a strongly worded warning from the AAST • Second offense – probationary status, posted on the AAST website • Third offense – sanctions up to and potentially including loss of AAST accreditation after approval by the BOM. • Discussions have begun with our case log vender, Infotech (San Diego CA) to revise the platform used by the fellows to capture operative data. It is anticipated that this revision will make the system more user friendly, both on the input side and on the analytic side.

• The committee sponsored two lunch sessions at the Annual Meeting in Philadelphia: • “Management of complications in the bariatric patient by the Acute Care Surgeon”, moderated by Therese Duane, and presented by John Como and Mark Shapiro.

• “Managing unexpected findings on emergency laparotomy”, moderated by Clay Burlew and presented by Pat Reilly and Hasan Alam.

• A survey was sent to all fellows who have graduated from approved ACS fellowships, with a 61% response rate to date. Initial feedback is positive, with 87% of fellows recognizing added value from their training. More to follow ….

• One new fellowship (Orlando Regional Medical Center) has been approved, and two sites (Den ver Health and UCSF – Fresno) have had revisits.

The committee appreciates the dedicated support of its members, the Program Directors’ subcommittee, the Board of Managers, and the Executive Director, Ms. Sharon Gautschy, without whom none of this would be possible.

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Duane TM, Dente CJ, Fildes JJ et al., Defining the Acute Care Surgery Curriculum. J Trauma Acute Care Surg, in review.

Davis KA, Dente CJ, Burlew CC et al., Refining the operative curriculum of the acute care surgery fellowship. J Trauma Acute Care Surg, in review.

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Carnell Cooper, MD, Chair, Prevention Committee The AAST Prevention Committee had a very busy and successful year. Dr. Dicker led our effort to develop a Prevention website. It is nearly complete and contains information our members will find very valuable. The Prevention Committee partnered with the Geriatric Committee to produce an excellent lunch session at this year’s Annual Meeting titled “Assessment of Geriatic Patient After Falls”. It was a very timely topic with enthusiastic, knowledgeable speakers. This resulted in a very lively interactive session.

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Dr. Glen Tinkoff led the effort that resulted in AAST hosting the inaugural Injury Prevention Coordinators Symposium & Summit. It was well attended. And finally, we continue to make progress on developing a Database of Prevention program activities at trauma centers around the country.

For the coming year we have a number of goals: • Complete development of the Prevention section of the AAST website.

• Plan the second Injury Prevention Coordinators Symposium & Summit • Submit a proposal to sponsor a Lunch Session at the 2015 Annual Meeting.

• Submit a proposal to host a AAST Grand Rounds Webcast on “ Fall Prevention” I want to thank the members of the committee: David Blake, Rochelle Dicker, A. Peter Ekeh, Richard Gonzalez, Michael Hirsch, David Jacobs, John Sherck, Sidney Miller, and Glen Tinkoff, for their enthusiastic support of our activities and Ms. Tamara Jenkins who has been essential for our success.

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AAST Leadership 2014-2015

BOARD OF MANAGERS 2014-2015 President - Thomas M. Scalea, MD President-Elect - Grace S. Rozycki, MD, MBA Vice-President - Richard Gamelli, MD, Secretary-Treasurer - Martin A. Croce, MD Recorder - David A. Spain, MD Editor, JOT-ACS - Ernest E. Moore, MD Past President, 2011-2012 - J. Wayne Meredith, MD Past President, 2012-2013 - Robert C. Mackersie, MD Immediate Past President, 2013-2014 - William G. Cioffi, MD Manager-at-Large (2015) - Eileen M. Bulger, MD Manager-at-Large (2016) - Rosemary A. Kozar, MD, PhD Manager-at-Large (2017) - Edward Cornwell, III, MD Critical Care Manager-at-Large (2016) - Orlando C. Kirton, MD

REPRESENTATIVES 2014-2015 THE AMERICAN BOARD OF SURGERY Martin A. Croce MD (2012-2015)

THE BOARD OF GOVERNORS OF THE AMERICAN COLLEGE OF SURGEONS Kimberly Davis, MD, MBA (2013-2016) Therese Duane, MD (2012-2015) THE ACS GENERAL SURGERY ADVISORY BOARD Michael Chang, MD (2013-2016) THE ABS TRAUMA, BURNS & CRITICAL CARE COMPONENT BOARD Robert C. Mackersie, MD (2010-2016) Eileen Bulger, MD (2012-2015) THE AMERICAN ASSOCIATION OF BLOOD BANKS John Holcomb, MD (2007-2015) ARCHIVIST Basil A. Pruitt, Jr., MD (1996- )

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Welcome New Board Members and Committee Chairs We would like to welcome our new board members and committee chairs. A complete list of AAST leadership as well as committee chairs and committee members can be found on the AAST website under the “About” tab.

New Board Members • Grace S. Rozycki, MD, MBA - President-Elect • Richard Gamelli, MD - Vice President • David A. Spain, MD - Program Chairman/Recorder • Edward Cornwell, III, MD - Manager-at-Large New Committee Chairs • Robert Barraco, MD, MPH, FCCP - Chair, Geriatric Trauma/ACS Ad Hoc Committeee • Marie Crandall, MD - Chair, Injury Assessement & Outcomes Committee • Ronald Maier, MD - Chair, International Relations Committee • Michel Aboutanos, MD - Vice Chair, International Relations Committeee • Raymond Fang, MD - Chair, Military Liaison Committee • Joe Galante, MD - Vice Chair, Military Liaison Committee • Jason Sperry, MD, MPH - Chair, Multi-Institutional Trial Committee • Michael Rotondo, MD - Chair, Publications & Communication Committee • Kimberly Nagy, MD - Vice-Chair, Publications & Communications Committee • William G. Cioffi, MD - Chair, Trauma Research Funding Ad Hoc Committee (New Committee)

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Upcoming Meetings Of Interest XXVII Panamerican Trauma Congress

EAST 28th Annual Scientific Assembly

Western Trauma Association 45th Annual Meeting

November 11 - 14, 2014 Hotel Sheraton Panama City, Panama

January 13 - 15, 2015 Disney Contemporary Resort Lake Buena Vista, FL www.east.org

March 1 - 6, 2015 Telluride Conference Center Telluride, CO

www.panamatrauma2014.org

www.westerntrauma.org

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IMPORTANT REMINDERS November 19, 2014 December 31, 2014 January 1, 2015 January 21, 2015 February 18, 2015 March 18, 2015 February 1, 2015 February 2, 2015

Grand Rounds Webcast (5:00 p.m. eastern time) Last day to make a 2014 donation to the AAST Research & Education Foundation Abstract system opens for the 74th Annual Meeting Grand Rounds Webcast (5:00 p.m. eastern time) Grand Rounds Webcast (5:00 p.m. eastern time) Grand Rounds Webcast (5:00 p.m. eastern time) AAST scholarship applications due AAST/ASC Health Policy Scholarship application deadline

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THANK YOU to our 2014 Corporate Sponsors Silver Sponsor

Bronze Sponsors

Questions or comments about this issue, please contact: Tamara Jenkins Senior Manager, Marketing & Communications 633 N. Saint Clair Street Suite 2600 Chicago, IL 60611 Phone: 312-202-5468 Fax: 312-202-5064 Email: tjenkins@aast.org Like us on Facebook facebook.com/AASTtraumasurgeons

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