2017 Childress Institute for Pediatric Trauma Annual Report

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2017 STATE OF THE INSTITUTE REPORT


The Childress Family Commitment The Childress Institute for Pediatric Trauma has been a champion to improve care for injured children since July 2008. As the Institute heads into its 10th year, Richard and Judy Childress can be proud of the strides they helped make to save injured kids. As they hoped, the Childress Institute has become the focal point of a national movement to improve the level of pediatric trauma care available across the country. The Childress commitment is more than financial. The Childress and Dillon families help us throughout the year to raise funds and awareness for research, education and advocacy initiatives to save injured kids. The 2017 report shows how their legacy helps kids get back to being kids.

OUR MISSION: Richard and Judy Childress, Pediatric Trauma Champions

WE DISCOVER AND SHARE THE BEST WAYS TO PREVENT AND TREAT SEVERE INJURIES IN CHILDREN.


From the Executive Director Everyone at the Childress Institute for Pediatric Trauma is feeling reflective. As we end our 9th year of saving injured kids and prepare for our 10th anniversary milestone, we are looking back at how we’ve grown. As a typical “9-year-old,” we are excited to complete our formative years and head toward that next decade. The dollars given by our supporters help fund research, education and advocacy initiatives across the U.S. The outcomes from pediatric trauma leaders at the Childress Summit in 2015 continue to drive our research projects with major progress on three big initiatives. Although we pride ourselves on funding pilot programs to get important research off the ground, we’ve refocused slightly to make sure those dollars have the most impact. For example, we funded a $100,000 national research project that had applications from all over the U.S. and the most responses to date. We were also able to grow the national scale of our education initiatives. We packaged our sports medicine education course and Heads Up youth football safety clinics and took them on the road to Atlanta and New York City in 2017. Our scholarship opportunities for emergency medical professionals and athletic trainers also grew with conferences in New York City, New Orleans, Charleston, Miami and more. Thanks to the leadership of sports medicine expert Jeff Hinshaw and his collaborators, NC EMS for Children, and a super creative team, we produced the “Player Down!” youth sports injury video that was launched nationally for educators and youth sports first responders. Our advocacy efforts took flight this year with another Pediatric Trauma Caucus briefing to Congress for virtual care and a “Hill” day chock full of meetings with representatives and senators to support pediatric trauma initiatives. Despite changing times in Washington, we’re excited to see our cause gaining traction. As you will see, we continue to celebrate the superheroes that help us fulfill and share our mission. The world is right when kids are playing. Our goal is to keep them healthy, active and strong, and back to being kids as soon as possible. You can help save injured kids by supporting our events, buying items from our store and auctions, or funding one of our programs. Visit SaveInjuredKids.org or find us on social media to learn more about our mission, programs and sponsorship opportunities. Thanks for your continued support! Stay inspired!

Bob Gfeller

Childress Institute for Pediatric Trauma team: Bob, Michelle, Kara, Sara, Brittany and new teammate, Jeannie.

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RESEARCH Youth Football

We continued our support of the iTAKL and BRP head impact studies in 2017 and the team published results: • “Head Impact Exposure in Youth Football: Comparing Age- and Weight-Based Levels of Play” was published in the Journal of Neurotrauma Key findings: Head impact exposure varies significantly among levels of play within youth football. • “Head impact exposure measured in a single youth football team during practice drills” was published in Journal of Neurosurgery: Pediatrics Key findings: Results demonstrate significant variability in head impact exposure among youth football practice drills, with open field tackling having a distribution with the highest head accelerations and contact drills with multiplayer involvement resulting in higher impact frequency. • “Applications of Resting State Functional MR Imaging to Traumatic Brain Injury” was published in Neuroimaging Clinics Key findings: This article will help clinics properly integrate advanced MRI and MEG in their diagnosis and treatment of TBI.

National Research Grant

We selected Dr. Vincent Duron’s research project to receive a $100,000 grant based on its overall impact to enhance standard pediatric trauma care practices. The project will study the effects of restricted fluid management on seriously injured children. Dr. Duron is the Director of Pediatric Surgical Critical Care at New York-Presbyterian Morgan Stanley Children’s Hospital at Columbia University Medical Center.

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Youth Soccer

We are funding a pilot study to research the effects of repetitive head trauma in female soccer players, ages 13-14, over the course of a single season. Researchers developed a custom mouthpiece that measures head impact data during practices and games. The researchers investigated differences in how the ball was delivered to the athlete prior to a header (e.g., headed, kicked, thrown) and found that head impact exposure varies significantly between impact sources. This study has been submitted for publication and the team continues to expand their efforts studying youth soccer and further developing the mouthpiece.

Pediatric Trauma Device

For the second year in a row, we partnered with the Philadelphia Pediatric Medical Device Consortium to fund a pediatric trauma device grant. The 2017 award was granted to InfraScan Inc. for the Infrascanner™ – a portable screening device that uses near-infrared technology to screen patients for brain bleeds.


Pediatric Trauma Toolkit

The toolkit project will develop and make recommendations for assembling essential pediatric trauma reference resources for moderate and high-volume hospitals that care for injured children. The team will make their assessment by aggregating and analyzing information from existing toolkits and materials to identify all available resources and best practices. They will then design and create an online needs assessment survey and disseminate to a sample of representative hospitals. Results are expected in 2018.

Rural Needs Assessment

We funded a rural needs assessment that collected information from 55 Critical Access Hospitals (CAHs) in Iowa, Montana, Texas and Wisconsin to determine what resources should be included in a Virtual Pediatric Trauma Network. Experts envision that a virtual network will provide webbased support 24 hours a day, 7 days a week. It could provide a variety of support, from pediatric trauma trainings to live consultations for emergency care providers treating patients. The goal of the project was to determine the perceived needs of CAHs representing rural areas regarding the emergency and acute care of the pediatric patient, and concluded that CAHs have limited pediatric resources when a child is seriously injured. A broader evaluation with more hospitals over more states is warranted to begin establishing communication for a Virtual Pediatric Trauma Network. Researchers plan to submit findings to the Journal of Rural Health, as well as an abstract to the Rural Health Association’s Annual Meeting.

ATV Research

Researchers working on the ATV injury intervention project began enrollment with pediatricians in August 2016 and continue enrolling injured youth participants in the Safety Intervention Feasibility in Trauma (SIFT) study. They presented a poster at the Pediatric Trauma Society meeting in November.

Pediatric Trauma Dashboard Report

We funded a research project that will develop a national report on the status of pediatric trauma system planning in the U.S. Collaborators include the University of Louisville, National Association of State EMS Officials, American College of Surgeons Committee on Trauma and EMSC Innovation and Improvement Center. The “dashboard� report will compare states to assess needs and include questions related to pediatric representation in state trauma advisory leadership, center designation, triage guidelines, a pediatric trauma registry, and integration of children into the state disaster plan. The goal is to encourage federal strategies to update trauma recommendations to include the needs of children and advise national trauma leadership.

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EDUCATION

From left to right: Bryan Lake, Shannon Longshore, Eddie Smith, Skip Robey and Bob Gfeller

Mobile Simulation Education

The Vidant Medical Center mobile simulation unit was unveiled in May 2017 and is equipped with a hospital resuscitation bay, an ambulance compartment, high fidelity mannequins and a video monitoring system. It’s one of only nine in the country and it will travel around eastern NC to provide pediatric trauma training for emergency medical professionals. The Vidant team’s paper, “An in-situ simulation-based educational outreach project for pediatric trauma care in a rural trauma system,” was published in the October 2017 of the Journal of Pediatric Surgery. Special thanks to Eddie Smith for providing funding for this program.

Pediatric Trauma Webinars Thanks to our continued partnership with Cincinnati Childrens and GlobalCastMD, we sponsored a three-part webinar series “The 3 A’s: Abdomens, Abuse and Ammo.” Experts around the U.S. discussed three pediatric trauma issues: evaluation of the pediatric abdomen following blunt trauma, standardized screening for nonaccidental trauma and pediatric gun violence.

Pediatric Airway Course

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We partnered with the North Carolina Office of Emergency Medical Services to offer a free online course for all emergency medical providers on pediatric airway management. Over 2,500 emergency professionals in NC have taken the course since its launch in October 2016 and it provided the basis for an international webinar on January 25, 2018 led by Drs. Darrell Nelson and Tripp Winslow. Take the course at SaveInjuredKids.org/EMSC

Sports Medicine Education

We provided sports medicine continuing education in Atlanta and New York in 2017. Based on his successful EMS World Expo courses, sports medicine expert Jeff Hinshaw developed the hands-on course, which has been adapted for other states. The course brings together coaches, athletic trainers, and emergency medical professionals to discuss youth athletic injuries, with a focus on concussions, emergency action plans and spinal injury management. Hinshaw also led a sports medicine webinar with EMS World that launched the “Player Down!” youth sports injury video, which covers sports equipment removal and emergency action plans. The webinar had a record 1,200 registrants.


Scholarships

As part of our goals to improve care and reduce injury, we fund continuing education scholarships for emergency medical professionals, athletic trainers and pediatric trauma caregivers across the U.S. We funded 25 scholarships for over $16,000 total. Here are photos of some of our superhero scholars this year.

NYU Langone Concussion Conference

Eastern NC Pediatric Trauma Conference

Pediatric Trauma Society Annual Meeting

Advanced Burn Provider Course We provided a grant to Drs. Jeff Carter, Jimmy Holmes and Jim Johnson to develop an Advanced Burn Provider Course with a hands on workshop at the Southern Region Burn Conference in Miami in November, the first national course to offer this type of advance burn procedure simulation. They were able to provide the procedure task simulators for the hands-on training – a total of 10 legs and 10 arms made from synthetic tissues were designed for wound care and tissue regeneration. It was so popular that it will be offered at the American Burn Association national meeting in Chicago in April 2018 and again at the Southern Region Burn Conference meeting in Mobile, Ala. in November 2018.

Safe Kids Partnership We granted funds to Safe Kids Northwest Piedmont to provide home safety kits for parents with young children, send car seat installation technicians to a certification course, support bike helmet, and car seat safety education events that provided replacement seats as needed. Safe Kids NWP serves five counties in NC.

EMS World Scholarship We offered a scholarship for a paramedic or EMT to receive registration and a $1,500 travel stipend at EMS World Expo 2017 in Las Vegas. We chose paramedic Lisa La Russo from Riverside County, CA. After several years of seeing tragic childhood drownings, she created the Splash Medics program to teach children and parents that water safety can save lives. Lisa also wrote “Toby the Dolphin and Water Safety” and has read it to over 2,000 children.

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ADVOCACY Pediatric Trauma Caucus U.S. Congress Rep. Richard Hudson (R-NC) and Rep. G. K. Butterfield (D-NC) sponsored the launch of the bipartisan Pediatric Trauma Caucus in May 2016. Both are members of the Energy and Commerce Committee and co-chair the caucus. In addition to the two Congressional Pediatric Trauma briefings in 2016, they hosted another briefing on virtual pediatric trauma care on June 15, 2017.

Richard Childress spoke at the briefing about why his family started the Childress Institute. The briefings are an opportunity for Members of Congress and staff to learn more about pediatric trauma issues to improve the nation’s trauma system and reduce traumatic injury in kids. The caucus now has 21 members.

GAO report

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On April 26 the U.S. Government Accountability Office (GAO) published a report titled “Pediatric Trauma Centers: Availability, Outcomes, and Federal Support Related to Pediatric Trauma Care.� This is an important piece to help Congress understand the importance of pediatric trauma readiness and care within the larger healthcare landscape in the U.S. The report confirms nearly half of the children in the U.S. do not live within 30 miles of a high-level Pediatric Trauma Center.

In October, the Childress Institute hosted 17 pediatric trauma leaders for a full day of meeting with senators and representatives to discuss the pediatric trauma system needs in many states and encourage membership for the Pediatric Trauma Caucus.


AWARENESS Player Down! Video

Sports medicine expert Jeff Hinshaw’s expertise and a partnership with NC EMS for Children resulted in the “Player Down!” sports medicine video. The video is used as a training tool to take youth sports first responders and athletic trainers through step-by-step sports equipment removal and injured youth player scenarios. Learn more on youtube.com/ChildressInstitute

Twitter @injuredkids Atlanta Facebook.com/ChildressPediatricTrauma

YouTube.com/ChildressInstitute New York

Youth Football Safety Clinics In conjunction with our sports medicine education courses in Atlanta and New York City, we held two free Kids & Pros youth football safety clinics. The first was in July at Atlanta Motor Speedway thanks to a grant from Speedway Children’s Charities of Atlanta, with a parent session hosted by Children’s Healthcare of Atlanta that covered concussion recognition, as well as proper equipment fitting. The second was in August at Columbia University’s Wien Stadium. The athletic trainers and parent session were provided by NYU Langone Health’s Concussion Center.

Our Superheroes We partner with many superheroes throughout the year to save injured kids and want to share their stories. We’re able to fund research, education and advocacy programs thanks to the generous support of the Childress / Dillon family, and everyday heroes like you. Your donation of any size will give a child a better chance to survive, no matter when or where they are hurt.

Stop the Bleed Campaign “Stop the Bleed” is a national campaign to build resilience by better preparing the public to save lives by raising awareness of basic actions to stop life threatening bleeding following emergencies. We funded a local portion of the campaign to provide almost 100 bleeding control kits to all Davidson County, Lexington City and Thomasville City schools in N.C.

YOU CAN HELP BY LEARNING HOW TO STOP THE BLEED: 1. Apply Pressure with Hands, 2. Apply Dressing and Press 3. Apply Tourniquet.

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EVENTS

Sporting Clays for Kids Thanks to Rogers Builders for presenting the 3rd Annual Sporting Clays for Kids and raising $40,000. The 2018 event will be held on April 25 at the Fork Farm.

Dillon Brothers Basketball Tournament Special thanks to RCR, ECR and the Childress and Dillon family for all they do each year to support our events. Richard Childress Racing drivers and brothers Austin and Ty Dillon co-hosted the 3rd Annual 3-on-3 Celebrity Basketball Tournament presented by The Dow Chemical Company at Catawba College on July 26. The 16-team, double-elimination tournament raised $126,000 to help save injured kids. Former Carolina Panther D’Angelo Williams was our celebrity emcee, and players included NASCAR drivers David Ragan, Ricky Stenhouse, Jr., and Bubba Wallace; TV personalities Rick Allen, Larry McReynolds, and Hermie Sadler; as well as former NFL player Jason Sehorn. Stay tuned for details on the summer 2018 tournament.

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Childress 5K

Thanks to ECR Engines, Richard Childress Racing, Childress Vineyards and presenting sponsor PSI for raising over $16,000. This year we moved locations to the Vineyard and tripled our participants. The 2018 run will be held on Sept. 22 at Childress Vineyards.


Save Injured Kids Golf Classic The 3rd Annual Save Injured Kids Golf Classic presented by Ahead at Sapona Ridge Country Club raised over $165,000. Special thanks to our other top sponsors the Burwood Group, Dell/EMC, Epic and Insight for their support. The 2018 event will be announced soon.

Winemakers’ Dinner

Our Winemaker’s Dinner was held on April 25 at Childress Vineyards. Special thanks to pediatric trauma survivor Grace Stokes and her family for sharing their story, as well as donor Grace Mynatt for speaking about her gift. Stay tuned for details on our 10th Anniversary celebration!

Furnitureland South Golf Tournament Thanks to the Harris Brothers and Furnitureland South for splitting the $70,000 proceeds from their annual golf tournament with the Childress Institute and Wake Forest Baptist Medical Center’s Brenner Children’s Hospital.

T. Wayne Robertson Golf Tournament The 11th Annual T. Wayne Robertson Memorial Golf Tournament presented by Specialized Mobile Exhibits was held on Oct. 23 and raised over $45,000 to help Save Injured Kids.

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GROWING OUR IMPACT IN 2017 Our Research, Education and Advocacy efforts grew to cover more of the United States in one year than ever before. The 26 highlighted states include our partners in research projects, education programs and scholarships, and states covered by the Pediatric Trauma Caucus Members and partners that participated in our advocacy efforts.

MT

MN WI

OR

MI

NY

IO

NE

PA

IL MO

AZ

TN

OK MS TX

DC

KY

CA

NC SC GA

LA FL

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MA CT


SPONSORS We are fortunate to have partners that fund our mission through grants and sponsorships throughout the year. Special thanks to those that supported us at $5,000 and above:

Congressional Sportsmen’s Foundation Hendrick Family Foundation Pacific Life Foundation Stanly County Community Foundation Strickland Family

The Childress Institute for Pediatric Trauma is a registered 501c3 charitable organization. Our financial information and Form 990 can be found at

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FUNDRAISING Matthew Gfeller Education Fund After close to a decade of good works to successfully honor Matthew Gfeller’s legacy, the board of the Matthew Gfeller Foundation decided to dissolve the foundation at the end of 2017. The Gfeller family will continue to support programs to carry on their passion to improve sport related traumatic brain injury research, education and care. With a founding gift from the Matthew Gfeller Foundation, the Gfeller family established the Matthew Gfeller Education Fund at the Childress Institute to provide youth sports safety continuing education. Financial support for this new fund will send first responders to conferences to improve their knowledge and skills. Gifts of any size can make a big impact.

A Gift in Honor of a Super Grandma So much good has been done across the nation by folks from working families in small communities thanks to deferred giving. One such example is a gift by Henry Church that stands to benefit children all over the country through the Childress Institute. Church, an artist, started his career with the original Lowe’s as what he termed a “jack of all trades,” during which time he designed by hand the well-known Lowe’s Home Improvement logo. After about 25 years, he moved on to establish Freedom Graphics with his beloved late wife, Lyn. “She was a great manager and accountant, and, ultimately, a super grandma — truly one of the world’s greatest grandmothers, so it was clear when we talked about our estate planning that anything to do with children, well, she wanted to help out,” Church said.

Facebook.com/SaveInjuredKids

After Lyn Church’s passing, her husband wanted to continue her interest in helping children through her belief in the work of the Childress Institute. “The primary drive behind my gift was to help the Childress Institute. As an extra benefit, there is a tax advantage on the income received from the gift as a charitable gift annuity (CGA).”

YouTube.com/ChildressInstitute Church appreciated the ease with which he was able to establish the CGA, saying, “Setting up a charitable gift annuity was easier than booking an airline ticket.”

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HONORING OUR 10TH ANNIVERSARY Staying on Track Together Please join our campaign as we launch a 10-year multimillion dollar strategic plan that will create more preventative and therapeutic resources for seriously injured children. Our three primary objectives have critical funding priorities:

Improve medical care for severely injured children and adolescents

GOAL: $750,000

Going In Circles Can Be Fun, But Our Vision is About Going Forward. With 10 solid years behind us, the Childress Institute begins its second decade ready to expand our efforts on behalf of traumatically injured children all over the world. Whether it’s securing mobile simulation units to educate pre-hospital medical providers or developing a national pediatric trauma dashboard for every state to identify regional needs and inform future research, the Institute’s influence will be present anywhere there are children. Our relationships with healthcare providers, research organizations, and generous donors like you give us exciting momentum. By staying on track together, let’s continue to make a positive difference in the lives of injured kids and their families.

No one ever expects A devastating injury. The Childress Institute for Pediatric Trauma discovers and shares the best ways to prevent and treat severe injuries in children by focusing on research, education and advocacy. With 10 years of experience, the Institute is a leader in rethinking established treatment methods, educating healthcare professionals on pediatric issues, and supporting innovation of medical devices to reduce death and disability to injured children. Our many successes include: • •

• •

Providing national grants for new pediatric trauma research and technologies Launching a sports medicine education course bringing together EMS, athletic trainers and coaches Providing international learning opportunities through webinars focused on pediatric trauma care Funding scholarships for pediatric trauma care providers Improving rural pediatric trauma readiness

These are just a few of the Institute’s highlights… all of them made possible thanks to the generous involvement of donors like you.

RESEARCH to enhance standard practices in pediatric trauma management. EDUCATION for all those in the healthcare workforce who serve traumatically injured children. CLINICAL SUPPORT for Level 1 Pediatric Trauma Centers.

Prevent and treat injuries in youth recreation and sports

GOAL $150,000 RESEARCH to prevent and treat injuries with special emphasis on traumatic brain injury. EDUCATION of emergency medical professionals and athletic trainers with a focus on concussion and spine management. PREVENTION to decrease the likelihood of serious sports-related injury through clinics on proper equipment, safe tackling techniques, helmet protection, and concussion recognition.

Establish a national advocacy and public policy agenda

GOAL $100,000 To catalyze PUBLIC AWARENESS and to increase the amount of public FUNDING available for initiatives that advance the issues surrounding pediatric trauma.

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Childress Institute for Pediatric Trauma Medical Center Blvd., Winston-Salem, NC 27157 CIPT@wakehealth.edu \ 866-635-8190

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Twitter @injuredkids

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Twitter @injuredkids Twitter @injuredkids

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Twitter @injuredkids

Twitter @injuredkids Facebook.com/ChildressPedia

Facebook.com/ChildressPediatricT YouTube.com/ChildressInstitut Twitter @injuredkids

YouTube.com/ChildressInstitute Facebook.com/ChildressPediatricTraum YouTube.com/ChildressInstitute

An electronic version of this report can be found at SaveInjuredKids.org

The Childress Institute for Pediatric Trauma was founded at and receives considerable support from Wake Forest Baptist Medical Center. The Institute was established through the generosity of Richard and Judy Childress.


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