Recognize the signs and symptoms of non-accidental injury. Describe treatment guidelines for lower extremity fractures.

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1 Learning Objectives Recognize the signs and symptoms of non-accidental injury. Decide the usefulness of using alternate light sources when evaluating patients for abuse. Perform a Wood s lamp exam on children presenting with non-accidental injury to assess for subclinical bruising. Recognize and appropriately diagnose the different etiology of traumatic burns. Apply appropriate therapies for the etiology of a traumatic burn and relative age of the patient. Describe treatment guidelines for lower extremity fractures. Recognize lower extremity injuries requiring emergent treatment. Describe the management of traumatic urethral injuries. Discuss the association between pelvic fractures and traumatic urethral injuries. Recognize special considerations in the management of pediatric trauma patients. Discuss the management of the pediatric trauma patient throughout the continuum of care. Identify the unique challenges that are faced by health care providers in the management of pediatric trauma patients. Recognize the classic visual presentation of illness and injuries in children. Describe abnormalities on a variety of pediatric radiographs The Nemours Foundation. Nemours is a registered trademark of the Nemours Foundation

2 Office of Continuing Medical Education 1600 Rockland Road Wilmington, DE 19803

3 Best Practices in Pediatric Trauma Care Friday, September 27, 2013 Wilmington, DE

4 FACULTY PROGRAM CO-CHAIRS Stephen G. Murphy, MD Trauma Director KEYNOTE SPEAKER Karen Santucci, MD, FAAP Medical Director and Section Chief Pediatric Emergency Medicine Yale-New Haven Children s Hospital Associate Professor of Pediatrics Yale University School of Medicine Diane Hochstuhl, RN, MSN, NP-C Director, Trauma & Transport Program GUEST SPEAKER Kevin T. C. Geffe, DO Surgical Critical Care Fellow Christiana Care Health System Newark, DE NEMOURS FACULTY Maria Carmen G. Diaz, MD, FAAP, FACEP Medical Director of Simulation Clinical Associate Professor of Pediatrics and Emergency Medicine Jefferson Medical College Sean Elwell, MSN, RN, EMT Trauma Program Manager T. Ernesto Figueroa, MD Chief, Pediatric Urology Clinical Associate Professor of Urology Jefferson Medical College Richard W. Kruse, DO, MBA Attending Orthopedic Pediatric Surgeon Clinical Associate Professor of Pediatric Orthopedics Jefferson Medical College Maura McManus, MD Division Chief Rehabilitation Medicine Shirley D. Viteri, MD Attending Physician Pediatric Intensive Care Unit Denise Karasic, DO Attending Pediatric Emergency Medicine Physician Elizabeth Johnson-Salerno, MSN, RN, PCNS-BC, CPEN Clinical Nurse Specialist Emergency Department

5 AGENDA Friday, September 27, :15 a.m. Registration/refreshment/exhibits 7:45 a.m. Welcome/Introduction Stephen G. Murphy, MD 8:00 a.m. Non-Accidental Injury: What You Don t Want to Miss Karen Santucci, MD, FAAP 9:00 a.m. Ouch!...That Hurts! A Review of Traumatic Burns and Treatment in the Pediatric Population Kevin T. C. Geffe, DO 10:00 a.m. BREAK 10:15 a.m. Lower Extremity Injuries Richard W. Kruse, DO, MBA 10:45 a.m. Posterior Urethral Injuries T. Ernesto Figueroa, MD 11:30 a.m. LUNCH/ Exhibits 12:15 p.m. Pediatric Trauma: The Continuum of Care From Injury Through Recovery Pre-Hospital Sean Elwell, MSN, RN, EMT Emergency Department Denise Karasic, DO and Elizabeth Johnson- Salerno, MSN, RN, PCNS-BC, CPEN Trauma Stephen G. Murphy, MD PICU Shirley D. Viteri, MD Rehab Maura McManus, MD 2:15 p.m. BREAK/ Exhibits 2:30 p.m. Pediatric Jeopardy Maria Carmen G. Diaz, MD, FAAP, FACEP 3:30 p.m. Adjourn

6 COURSE REGISTRATION Fees: The conference registration fee is $85. This fee includes all course material, refreshments and meals as noted on the schedule. Registration: Advance registration is required and should be received by September 16, All registration received by this date will be confirmed in writing. Registration is limited and will be honored in the order of the date received. To Register with a Credit Card: If you are paying by Master Card, VISA, American Express or Discover Card, please complete the registration form found online at To Register with a Check: Return the completed registration form with full payment using check (payable to ) to the Continuing Medical Education Office, dupont Hospital for Children, PO Box 269, Wilmington, DE Cancellation Policy: A full refund will be given for written cancellations received before September 16, No refunds will be given after that date. The hospital is not responsible for any cancellations or change fees assessed by airlines, travel agencies or hotels. For More Information: Contact Claire Cooper, Nemours/Alfred I. dupont Hospital for Children, Office of Continuing Medical Education, P.O. Box 269, Wilmington, DE 19899, phone (302) or ccooper@nemours.org.

7 CONFERENCE DETAILS Site: The program will be held in the Third Floor Lecture Hall of the Nemours/Alfred I. dupont Hospital for Children, located at 1600 Rockland Road, Wilmington, DE. Accreditation: Nemours is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Nemours designates this live activity for a maximum of 6.25 AMA PRA Category 1 Credits. Physicians should only claim the credit commensurate with the extent of their participation in this activity. Application has been made to The Delaware Office of Emergency Medical Services for BLS and ALS credit. Disclosure Policy: As a provider accredited by the ACCME, Nemours must ensure balance, independence, objectivity and scientific rigor in its educational activities. All faculty involved in the development of CME content are required to disclose to Nemours their relevant financial relationships. An individual has a relevant financial relationship if she/he has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Nemours has policies in place to resolve potential financial conflicts of interest. Relevant financial relationships will be disclosed to the activity audience. Commercial Support: This program may be supported in part by unrestricted educational grants in accordance with ACCME Standards. At the time of this printing, a list of commercial supporters was not available. Appropriate acknowledgement will be given to all exhibitors and supporters in conference materials at the time of the meeting. Accessibility: In accordance with the Americans with Disabilities Act, the Nemours/ Alfred I. dupont Hospital for Children will provide modifications in teaching methodologies to accommodate individual needs. To request disability accommodations, contact the Department of Medical Education at least 15 days in advance of the program at (302)

8 REGISTRATION FORM Best Practices in Pediatric Trauma Care, September 27, 2013 Registration Deadline: September 16, 2013 Name: Name as it should appear on Name Badge: Title/Degree: Employer/Practice: Address to which confirmation should be mailed: City: State: Zip Code: Telephone Number: Fax Number: Address: Profession/Specialty: Nemours Associates Only Lawson ID # FEES: The conference registration fee is $ Full payment is due with registration. INDICATE METHOD OF PAYMENT: Register with credit card online at PedsUniversity.org. Enclosed is my check for $85 made payable to: Nemours/Alfred I. dupont Hospital for Children. Send check with registration to Claire Cooper at. Office of Continuing Medical Education, P.O. Box 269, Wilmington, DE PedsUniversity.org Your source for online pediatric continuing medical education from Nemours

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