Kentucky Statewide Trauma and Emergency Medicine Symposium. The Brown Hotel 335 W. Broadway, Louisville, Kentucky

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1 Kentucky Statewide Trauma and Emergency Medicine Symposium 2009 Kentucky Statewide Trauma and Emergency Medicine Symposium October 28-30, 2009 The Brown Hotel 335 W. Broadway, Louisville, Kentucky Jointly sponsored by Deadlines For Hotel and Early Bird Symposium rate: September 28, 2009 October 28-30, 2009 Mailing panel The Brown Hotel 335 W. Broadway, Louisville, Kentucky Jointly sponsored by

2 Kentucky Statewide Trauma and Emergency Medicine Symposium 2009 Planning Committee Co-Directors Philip A. Bernard, M.D. Assistant Professor of Pediatrics Medical Director, Transport and Outreach Kentucky Children s Hospital Mary E. Fallat, M.D. Inaugural Hirikati S. Nagaraj, M.D. Endowed Chair in Pediatric Surgery Professor and Director, Division of Pediatric Surgery Department of Surgery University of Louisville School of Medicine Chief of Surgery, Kosair Children s Hospital Louisville, Kentucky David S. Foley, M.D. Assistant Professor, Division of Pediatric Surgery Department of Surgery University of Louisville School of Medicine Director of Trauma and Burns, Kosair Children s Hospital Louisville, Kentucky Glen A. Franklin, M.D. Associate Professor of Surgery Department of Surgery University of Louisville School of Medicine Director, Trauma Outreach & Prevention Program Medical Director, SICU and Burn Unit University of Louisville Hospital Louisville, Kentucky Joseph A. Iocono, M.D. Assistant Professor of Surgery Pediatric Director, Pediatric Trauma Program Assistant Director, Minimally Invasive Surgery Program Paul A. Kearney, M.D., F.A.C.S. Professor of Surgery Department of General Surgery Chief, Section of Trauma and Critical Care Julia E. Martin, M.D., F.A.C.E.P. Associate Professor of Emergency Medicine Dear Colleague, On behalf of Norton Healthcare, the University of Louisville and the University of Kentucky, it is our privilege to invite you to participate in the Kentucky Statewide Trauma and Emergency Medicine Symposium Now in its fourth year in joint sponsorship, this event provides an exciting opportunity for health care professionals seeking innovative approaches to trauma and emergency care. The program will cover clinical management of the trauma patient, including pre-hospital care, resuscitation, acute care and rehabilitation. Designed for the team approach, this multidisciplinary forum will feature national and local physicians, nurses, medical examiners and other experts. Faculty Disclosure and Conflict of Interest Resolution As a CME provider accredited by the Kentucky Medical Association (KMA) to sponsor CME for physicians, it is the policy of Norton Healthcare to ensure balance, independence, objectivity and scientific rigor in all sponsored or jointly sponsored educational activities. All individuals who are in a position to control the content of the educational activity (course directors, planning committee members, presenters) must disclose all relevant financial relationships they have with any commercial interest(s) as well as the nature of the relationship that may be a potential conflict of interest. Financial relationships of immediate family members must also be disclosed, if the nature of the relationship could influence the objectivity of the individual in a position to control the content of the CME. Further, potential conflicts must be reconciled prior to the activity. This process is intended to assure that all activities are free of commercial bias and do not advance the financial interests of any activity s commercial supporter, planner and/or presenter. All presenters are also expected to disclose if the products he/she will be discussing are not labeled for the use under discussion or the product is still investigational. Speaker Commercial Relevant Financial Relationship Interest Received/Role Theresa Baker, R.N. None Nothing to disclose Andrew C. Bernard, M.D. American College of Surgeons Instructor fee Rural Trauma Team Development Course Philip Bernard, M.D. None Nothing to disclose Beth A. Broering, R.N. None Nothing to disclose Charles S. Cox, Jr., M.D. Autocell, Inc., Honoraria as research sponsor Athersys, Inc., CBR, Inc. David S. Foley, M.D. None Nothing to disclose Glen A. Franklin, M.D. None Nothing to disclose Brian G. Harbrecht, M.D. None Nothing to disclose Christoph R. Kaufmann, M.D. None Nothing to disclose Paul A. Kearney, M.D. None Nothing to disclose Duane E. Lee, EMT-P None Nothing to disclose Julia Martin, M.D. None Nothing to disclose Jay K. Pershad, M.D. None Nothing to disclose William S. Smock, M.D. None Nothing to disclose Steven Stylianos, M.D. None Nothing to disclose Tom D. Taylor, EMT-P None Nothing to disclose M. Dawn Turner, M.D. None Nothing to disclose Symposium Planning Committee None Nothing to declare Planning Committee Penne Allison, R.N., B.S.N., MSOM (University of Kentucky) Theresa Baker, R.N. (University of Louisville Hospital) Vicki Hardwick-Barnes, R.N., M.S.N. (Kosair Children s Hospital of Norton Healthcare) Sandra Chambers, M.P.H. (University of Kentucky) Carol Fout-Zignani, B.S.N., M.S.N., C.C.M.E.C. (Norton Healthcare CME) Lisa Fryman, R.N. (University of Kentucky) Patricia K. Howard, R.N., Ph.D. (University of Kentucky) Ben Hughes (University of Louisville Hospital) Donna Irmscher, C.C.M.E.C. (Norton Healthcare) Shelly Marino, R.N. (Kentucky Children s Hospital of the University of Kentucky) Melissa Marksbury Roe (University of Louisville Hospital) Robin Marling, C.C.M.E.C. (Norton Healthcare CME) Bari Lee Mattingly, R.N. (Kentucky Children s Hospital of the University of Kentucky) John McKiernan (University of Louisvlle) Ashlee Melendez, B.S.N., M.S.P.H. (University of Louisville Hospital) Becky Parr (University of Louisville) Kenelle Patterson, R.N. (University of Kentucky) Joyce Swim, M.B.A. (University of Kentucky) Tom D. Taylor, EMT-P (Kentucky Board of Emergency Medical Services) Debora L. Williams, B.S.N., R.N. B.C. (Kosair Children s Hospital of Norton Healthcare)

3 Conference Program PRE-CONFERENCE WORKSHOPS GENERAL SESSIONS Pre-hospital Burns Course Wednesday, October 28, 2009 Location: The Brown Hotel Burns are a common cause of accidental death and injury, and experts know that proper pre-hospital care may enhance a burn patient's survival and decrease the risk or duration of long-term disability. The treatment of pre-hospital burns will be discussed. This course does not have a limited attendee number for registration. Cost: $ :30 A.M Registration 8:00 A.M. 12:00 P.M. Course Objectives: 1. Identify the role of medical control in managing the burn patient in the pre-hospital setting. 2. Determine the magnitude and severity of a burn injury. 3. Identify and establish priorities of emergency care in the pre-hospital setting. 4. Organize transfer and transport to appropriate facility. Instructor: Theresa Baker, RN Trauma Outreach and Prevention Coordinator Trauma Institute University of Louisville Hospital Louisville, KY Thursday, October 29, 2009 Friday, October 30, 2009 Advanced Pediatric Life Support (APLS) Wednesday, October 28, 2009 Location: The Brown Hotel Although this course is designated for physicians, other disciplines are encouraged to attend. The APLS Course focuses on the evaluation, diagnosis and initiation of treatment of many pediatric medical and surgical emergencies during the time the patient s condition is being stabilized in the clinic or emergency department. Major topics to be addressed include Pediatric Assessment, Pediatric Airway, Central Nervous System, Medical Emergencies, Cardiovascular System, and Trauma. Advanced Airway and Advanced Trauma Procedures skill stations will be included. The course will require advance acquisition of the textbook APLS: The Pediatric Emergency Medicine Resource and independent study and completion of online Check Your Knowledge questions for six chapters. A Course Completion Exam will administered at the end of the course. Course completion cards will be mailed to participants at a later date. Limited to 25 registrants. Cost: $ :00 A.M. Registration 7:30 A.M.-4:30 P.M. Course (Lunch provided) APLS Objectives: 1. Provide guidelines for being properly prepared in the emergency care of pediatric patients. 2. Describe the components of pediatric assessment. 3. Recognize the early signs of pediatric medical and surgical emergencies. 4. Discuss the importance of early intervention and initiation of treatment to prevent the occurrence of respiratory or cardiac arrest. Instructors: Philip Bernard, M.D. Assistant Professor of Pediatrics Medical Director, Pediatric Transport and Outreach Kentucky Children s Hospital University of Kentucky HealthCare Joseph A. Iocono, M.D. Assistant Professor of Surgery Pediatric Director, Pediatric Trauma Program Assistant Director, Minimally Invasive Surgery Program M. Dawn Turner, M.D. Assistant Professor of Pediatrics Morning Moderator: Mary Fallat, M.D. 7:00 A.M. Registration / Buffet Breakfast ~ Exhibits open 8:00 A.M. Welcome / Housekeeping 8:15 A.M. Opening Keynote: Solid Organ Injuries in Children: The Impact of Evidence-Based Guidelines and Expertise on Outcomes Steven Stylianos, M.D. 9:15 A.M. Geriatric Trauma Paul A. Kearney, M.D. Mid-Morning Moderator: Paul Kearney, M.D. 10:00 A.M. Break ~ Exhibits open 10:30 A.M. A Statewide Trauma System in Kentucky: Are We There Yet? Andrew C. Bernard, M.D. 11:15 A.M. Lunch (provided) Afternoon Moderator: Julia Martin, M.D. 12:30 P.M. Afternoon Keynote: Cerebral Resuscitation Charles S. Cox, Jr., M.D. 1:30 P.M. And How Are the Children? Tom Taylor, EMT-P 2:15 P.M. Break ~ Exhibits open 2:45 P.M. Educational Requirements for Healthcare Providers in the Trauma Center Beth Broering, R.N. 3:30 P.M. Tactical Emergency Medicine: Applications in the Civilian Environment William S. Smock, M.D. 4:15 P.M. Closing Keynote: Trauma In The Obese Patient Brian G. Harbrecht, M.D. 5:00 P.M. Evaluation / Adjournment Morning Moderator: David S. Foley, M.D. 7:30 A.M. Registration / Buffet Breakfast ~ Exhibits open 8:00 A.M. Welcome / Housekeeping 8:15 A.M. Morning Keynote: Challenges To Moving The Trauma System Forward Christoph R. Kaufman, M.D. 9:15 A.M. Stabilization and Management of the Pediatric Trauma Patient Outside of the Pediatric Trauma Center David S. Foley, M.D. 10:00 A.M. Break ~ Exhibits open Closing Moderator: Glen A. Franklin, M.D. 10:30 A.M. To Intubate or Not to Intubate: EMS Airway Care Duane E. Lee, EMT-P 11:15 A.M. Kentucky s Failing Report Card in Emergency Medicine: What Needs to Be Done? Julia Martin, M.D. 12:00 P.M. Lunch (provided) 1:00 P.M. Afternoon Keynote: Pitfalls in Pre-Hospital and ED Care of the Pediatric Trauma Patient Jay K. Pershad, M.D. 2:00 P.M. Injury Metrics and Mechanisms as Predictors of Injury Glen A. Franklin, M.D. 2:45 P.M. Evaluation / Adjournment

4 General Session Course Objectives Radiation Technologists 1. Identify epidemiological factors related to trauma/emergency. 2. Describe the pre-hospital, medical and nursing management of specific emergency conditions/injuries or complications. 3. Analyze selected contemporary issues affecting trauma/emergency care systems. 4. Examine current research and trends of care for the emergency/trauma patient. Continuing Education Physicians These activities have been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Norton Healthcare, the University of Louisville Hospital and the University of Kentucky. Accreditation: Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Refer to each activity s description below for designation statement of AMA PRA Category 1 Credits TM. For questions related to CME, please contact Carol Fout-Zignani, Director of Norton Healthcare CME, at (502) , fax (502) , or carol.fout-zignani@nortonhealthcare.org Nurses Provider: Kosair Children s Hospital Expiration date: December 31, 2011 Kentucky Board of Nursing approval of an individual nursing continuing education program does not constitute endorsement of program content. Nursing participants shall attend entire session and complete the evaluation form. No partial credit can be given. Each attendee must provide license number or employee ID (for Norton Healthcare employees) at time of registration. Refer to each activity s description below for designation of number of contact hours. For questions related to nursing credit, please contact Debora Williams, Clinical Education at Kosair Children s Hospital, at (502) , fax (502) , or debbie.williams@nortonhealthcare.org Emergency Medical Technicians and Paramedics Education credit will be provided by the Kentucky Board of Emergency Medical Services and the Kentucky Emergency Medical Services for Children Project. A certificate will be provided to each attendee. For questions related to EMT/paramedic credit, please contact Tom Taylor, Kentucky Board of EMS, at (502) , or tomd.taylor@kctcs.edu The Kentucky Cabinet for Health Services, Radiation Health Branch, approves the following KCE credits to Radiation Technologists that hold an x-ray operator s license in the state of Kentucky: APLS Course 6 KCE credit hours Burns Course 4 KCE credit hours Thursday General Session 5 KCE credit hours Friday General Session 4 KCE credit hours Other Allied Health Professionals All other disciplines (i.e., respiratory therapists, OR techs, etc.) for whom preapproval has not been achieved will be provided a certificate of attendance after the symposium. Each of these professionals will be responsible for submission to their professional boards if credit is desired. Pre-Hospital Burns Course Physician CME Designation: Norton Healthcare designates this educational activity for a maximum of 4.00 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Nursing credits: Provided by University of Louisville Approved for 4.0 contact hours Advanced Pediatric Life Support Course Physician CME Designation: Norton Healthcare designates this educational activity for a maximum of 8.00 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Limited to 25 registrants. Nursing CEU : Approved by KBN for 8 (eight) contact hours General Sessions Physician CME Designation: Norton Healthcare designates this educational activity for a maximum of (6.50 hours on Thursday, 5.00 hours on Friday) AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Nursing CEU : Thursday, October 29, Approved by KBN for 6.5 (six and one half) contact hours Friday, October 30, Approved by KBN for 5.0 (five) contact hours General Information Target Audience This program is directed toward physicians, nurses, nurse practitioners, physician assistants, EMT/EMT-Ps, respiratory therapists, radiology technicians, and other allied healthcare professionals dealing with emergency and critical care patients. Location and Accommodations The Brown Hotel, an historic Four Diamond, AAA hotel in downtown Louisville features classic English Renaissance architecture. The Brown Hotel is located in the Theater district, a block from the Palace Theatre, adjacent to the Brown Theatre, two blocks from 4th Street Live, four blocks from the Kentucky International Convention Center and 5 minutes from Louisville International Airport (complimentary shuttle service available). A block of rooms is available in the hotel at the group rate range of $125.00, available only until September 28, Please mention that you are attending the Trauma Symposium to obtain the conference rate. Reservations and cost are the responsibility of the individual. To make a reservation, call (502) or Parking will be available in the attached parking lot at the cost of the attendee. Driving Directions to The Brown Hotel Traveling South on I-65: Continue on I-65 South into Louisville. Take Exit 136-C (Downtown / Jefferson Street). Follow Jefferson Street going one-way west, to 3rd Street - turn left. Follow 3rd Street 5 blocks to Broadway - turn right. Follow Broadway 1 block to 4th Street - turn right. Take first right past The Brown Hotel. Bear left into parking garage. Traveling North on I-65 (from Louisville International Airport): Continue on I-65 North into Louisville. Exit at Broadway/Chestnut Streets (Exit 136A) - Turn left onto Broadway. Follow Broadway 4 blocks to 4th Street - turn right. Take first right past The Brown Hotel. Bear left into parking garage. Traveling West on I-64: Continue on I-64 West into Downtown. Exit at 3rd Street/River Road (Exit 5B). Two lanes exit, stay in left lane. Continue on 3rd Street 9 blocks to Broadway - turn right. Follow Broadway 1 block to 4th Street - turn right. Take first right past The Brown Hotel. Bear left into parking garage. Traveling East on I-64: Continue on I-64 East into Louisville. Exit at 9th Street (Exit 4). Continue straight through light (This is 9th Street/Roy Wilkins Avenue). Follow 9th Street/Roy Wilkins 6 blocks to Broadway - turn left. Follow Broadway 5 blocks to 4th Street - turn left. Take first right past The Brown Hotel. Bear left into parking garage. Traveling South on I-71: Continue on I-71 South to I-64 West. Exit at 3rd Street/River Road (Exit 5B). Two lanes exit, stay in left lane. Continue on 3rd Street 9 blocks to Broadway - turn right. Follow Broadway 1 block to 4th Street - turn right. Take first right past The Brown Hotel. Bear left into parking garage. For Your Personal Comfort For both the workshops and general sessions, we suggest that you bring a sweater or jacket in order to maximize your comfort. It is our experience that climate controls do not always conform to individual preferences. Special Needs Norton Healthcare CME is committed to making its conference accessible to all individuals. If you have a disability, check the box on the registration form. Please attach a description of any auxiliary aids or services (identified in the Americans with Disabilities Act) which might be needed. Advance notification helps us better accommodate your requests. Return all to our office no later than September 28, Reasonable accommodations will be made.

5 Registration Fees PRE-SESSION COURSES Pre-hospital Burns Course: APLS Workshop: Cost to all attendees is $ Cost includes breakfast, break, CE credit and syllabus. Cost to all attendees is $ Cost includes breakfast, break, lunch, CE credit and syllabus. GENERAL SESSIONS Physicians Both Thursday and Friday (Cost includes 2 breakfasts, 2 lunches, 4 breaks, CE credit, syllabus for each day) $ per person (By September 28, 2009) $ per person (After September 28, 2009) One Day Only (Cost includes 1 breakfast, 2 breaks, 1 lunch, CE credit, syllabus) $ per person (By September 28, 2009) $ per person (After September 28, 2009) Nurses / Physician Assistants/ Paramedics / EMTs / Radiation Techs / Other Both Thursday and Friday (Cost includes 2 breakfasts, 4 breaks, 2 lunches, CE credit, syllabus for each day) $ per person (By September 28, 2009) $ per person (After September 28, 2009) Thursday Only (Cost includes 1 breakfast, 2 breaks, 1 lunch, CE credit, syllabus) $80.00 per person (By September 28, 2009) $85.00 per person (After September 28, 2009) Friday Only (Cost includes 1 breakfast, 2 breaks, 1 lunch, CE credit, syllabus) $70.00 per person (By September 28, 2009) $75.00 per person (After September 28, 2009) Employees of both UK and UofL Hospitals / Kosair Children s Hospital Find your classification above. Subtract $20.00 from the General Session costs. Same registration deadlines apply. University of Louisville / University of Kentucky Students/ Interns / Residents in the Colleges / Schools of Medicine and Nursing $30.00 per person per day to cover costs of food, syllabus. Please complete and send Registration Form. (Accommodations for walk-in registrations cannot be guaranteed.) Confirmation of Registration / Cancellation of Registration All registrants will be sent a confirmation if registration is received prior to September 28, Registration fee is refundable if cancelled by participant prior to September 28, 2009, minus a $25 cancellation fee. Should the sponsors cancel this conference, registration fees will be reimbursed in full. However, no sponsor is responsible for any other costs incurred by the participant. Registration fees are nonrefundable after September 28, 2009.

6 Kentucky Statewide Trauma and Emergency Medicine Symposium 2009 Registration Form October 28-30, 2009 The Brown Hotel, Louisville, Kentucky Registration deadline for hotel and Early Bird symposium rate: September 28, 2009 Three convenient ways to register for symposium: Online: (keyword trauma ) Via mail: Fill out the form below and mail to (Mail with check/credit card information): Norton Healthcare Trauma/Emergency Symposium Cash Audit (N-52) PO Box Louisville, KY Via phone: (502) (Option 3) M.D. Nurse /Nurse Practitioner EMT/Paramedic RT Other UK Resident/Intern/Student UofL Resident/Intern/Student Name (Please print clearly) Street Address City State Zip Professional License # State of Licensure Telephone ( ) Fax ( ) Address Disability accommodations needed. Please describe auxiliary aids or services required. Name on card: Pre-Conference Workshops Pre-Hospital Burns Course $30.00 $ APLS $ $ TOTAL $ Physicians Thursday, October 29, 2009 $ (By 9/28/09) $ (After 9/28/09) $ Friday, October 30, 2009 $ (By 9/28/09) $ (After 9/28/09) $ Both Thursday and Friday $ (By 9/28/09)) $ (After 9/28/09) $ Employee of: Norton Healthcare UK UofL $ Nurses / Physician Assistants/ EMTs /Paramedics /RTs / Other Allied Health TOTAL $ Thursday, October 29, 2009 $80.00 (By 9/28/09) $85.00 (After 9/28/09) $ Friday, October 30, 2009 $70.00 (By 9/28/09) $75.00 (After 9/28/09)) $ Both Thursday and Friday $ (By 9/28/09) $ (After 9/28/09) $ Employee of: Norton Healthcare UK UofL $ Students/Residents/Interns in the Colleges/Schools of Medicine and Nursing TOTAL $ Thursday, October 29, 2009 $30.00 $ Friday, October 30, 2009 $30.00 $ Billing Address 1: Billing Address 2: TOTAL AMOUNT ENCLOSED $ City: State: Zip: Card type: Card number: Expires: