AONeuro Course Neurotrauma



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Stand: 12.02.15-KM Program AONeuro Course Neurotrauma July, 09 10, 2015 Murnau, Germany

2 AONeuro Course Neurotrauma, Murnau, Germany, 2015 Mission Our mission is to continuously set standards in postgraduate medical education and to foster the sharing of medically guided expertise in a worldwide network of healthcare professionals to improve patient care in trauma or disorders of the musculoskeletal system. The AO principles of fracture management 1 Fracture reduction and fixation to restore anatomical relationships. 2 Fracture fixation providing absolute or relative stability, as required by the personality of the fracture, the patient, and the injury. 3 Preservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling. 4 Early and safe mobilization and rehabilitation of the injured part and the patient as a whole.

AONeuro Course Neurotrauma, Murnau, Germany, 2015 3 Welcome On behalf of the AO Foundation and your AONeuro regional and international faculty, I would like to welcome you to this Neurotrauma educational event. AONeuro is a unique worldwide multi-specialty community that includes cranial Neurosurgeons, Neurologists, Neuro intensivists, Neuro anesthesiologists, Neuro traumatologists, and Neurological professionals involved in cranial neurological trauma, cranial oncologic and cerebrovascular surgery, cranial reconstruction, and cranial congenital anomalies surgery. Education has always been a major focus of the AO Foundation. Each year, more than 46,000 surgeons participate in 750 AO education events worldwide. AONeuro is committed to communicating the latest advances, literature, treatment information and protocols in education, equipment, and new developments as we strive to improve your educational experience by providing you education at the forefront of your specialty. Your cranial neurological colleagues are working diligently to bring you the latest in cranial neurological education, and have initiated specific programs in the area of traumatic brain injury, skull base surgery and cranial reconstruction. Cranial AO Neurosurgeons also collaborate with their AOSpine colleagues to bring you the latest developments in combined brain and spinal cord trauma. Here, AOSpine colleagues present related lecture material. Cranial neurological surgeons also cooperate with craniomaxillofacial colleagues in the areas of facial and cranial trauma, congenital craniofacial anomalies, skull base trauma, skull base surgery and reconstruction. We hope that your experience with us over the next few days will result in the acquisition of new knowledge, skills, and understanding that can directly be translated into improved care and outcomes for your patient. So, once again, I welcome you to this AONeuro event, and I wish you all a most successful few days ahead. Yours sincerely, Paul N Manson Coordinator, AONeuro

4 AONeuro Course Neurotrauma, Murnau, Germany, 2015 Goal of the course The AO Neurotrauma Course covers the theoretical basis and practical principles for managing neurotrauma, addressing complications, and performing state-of-the-art reconstructive surgery. Target participants The course has been developed for surgeons who manage neurotrauma and reconstruction and who have a strong interest in these fields. It has a focus on interdisciplinary care and is appropriate for neurosurgeons, CMF, ENT, trauma, and other surgeons. Course description This course covers the current best strategies and considerations for managing neurotrauma patients. It features an international faculty of experts and is based on the competencies defined in AONeuro s new curriculum in neurotrauma. The course content is delivered using multiple methods. Comprehensive lectures concentrate on the understanding of core material. Interactive case presentations further deepen this knowledge and enrich the discussion in trauma management. Practical sessions teach the application of AO principles to the management of common injuries. Case-based discussions link the lecture material and practical skills with the clinical problems encountered in real practice. Course objectives After the course, participants should be able to: Apply current classification systems and guidelines in neurotrauma Manage neurotrauma and skull base fractures in adult, pediatric, and polytrauma patients Conduct advanced neuromonitoring Plan and perform appropriate operative treatment (eg, decompressive craniotomy, complex cranial reconstruction) Manage CSF leaks and other complications and perform dural repairs

AONeuro Course Neurotrauma, Murnau, Germany, 2015 5 Invitation Dear colleagues, On behalf of AONeuro and your local and international faculty, we would like to welcome you to this AONeuro course. AONeuro has recently been established as an own specialty within the AO family, and we are very thankful to colleagues from AOCMF as well as Warren Schubert (Chairman AOCMF International) and Paul Manson (AO Board of Directors appointed Coordinator for AONeuro) who supported our group in the last years. Education has always been a major pillar in the AO and AONeuro is committed to remaining in the forefront of education and new developments as we strive to improve your educational experience with us. It is our goal to encourage and inspire younger neurosurgeons, but also those of neighbouring disciplines interested in the management of neurotrauma to pursue fulfilling careers in our field. This course will take place at the Trauma Centre Murnau, one of Germany s biggest trauma centres, and is organized in close collaboration with the Neurosurgical Department of the Ludwig- Maximillian-University Munich. We hope that your experience with us over the next few days will result in the acquisition of new knowledge, skills and understanding, which will translate into an improvement in the care that you are able to give your patients. We also hope that, as a result of this course, you will wish to develop a longer term relationship with AONeuro and become a member of our community. Make this organization yours by bringing in your opinions and ideas. Michael Bierschneider Chairman Aurelia Peraud Chairman

6 AONeuro Course Neurotrauma, Murnau, Germany, 2015 Course Chairs Dr. Michael Bierschneider Berufsgenossenschaftliche Unfallklinik Neurochirurgie Unfallklinik Murnau Prof.-Küntscher-Str. 8 82418 Murnau michael.bierschneider@bgu-murnau.de Priv.-Doz. Dr. med. Aurelia Peraud Klinikum der Universität München der LMU Campus Grosshandern Neurochirurgische Klinik und Poliklinik Marchioninistraße 15 81377 München aurelia.peraud@med.uni-muenchen.de Faculty Rolf-Dieter Bader, Murnau, Germany Francesco Biroli, Bergamo, Italy Bronek Boszczyk, Nottingham, United Kingdom José Fernández-Alén, Madrid, Spain Andreas Grillhösl, Murnau, Germany Stephen Lewis, Perth, Western Australia Christian Matula, Vienna, Austria Stephanie Panzer, Murnau, Germany Nikolaus Plesnila, Munich, Germany Joachim Schulz, Murnau, Germany Niklas Thon, Munich, Germany Raimund Trabold, Munich, Germany Andreas Unterberg, Heidelberg, Germany Frithjof Wagner, Murnau, Germany Katharina Wolf, Murnau, Germany

AONeuro Course Neurotrauma, Murnau, Germany, 2015 7 Thursday, July 09, 2015 TIME AGENDA ITEM WHO 07:30 08:00 Registration 08:00 08:20 Welcoming comments Aurelia Peraud / and objectives Michael Bierschneider 08:20 08:40 AO and AONeuro Initiative Christian Matula 08:40 08:45 Session 1: Moderator: Neurotrauma epidemiology, Niklas Thon pathomechanics, imaging 08:45 09:05 Neurotrauma epidemiology/ Niklas Thon classification 09:05 09:25 Neurotrauma and imaging Stephanie Panzer emergency 09:25 09:45 Neurotrauma and imaging Andreas Grillhösl prognosis 09:45 10:05 COFFEE BREAK 10:05 10:10 Session 2: Moderator: Nonoperative treatment and Stephen Lewis/ monitoring Christian Matula 10:10 10:30 TBI guidelines Stephen Lewis 10:30 10:50 Neuromonitoring and nonoperative Andreas Unterberg treatment 10:50 10:55 Session 3: Moderator: Surgical treatment Aurelia Peraud Decompressive craniectomy 10:55 12:15 Interactive case presentations and Michael Bierschneider/ discussion Joachim Schulz/ - Decompressive craniectomy Christian Matula/ (decision making) Andreas Unterberg/ - EDH, SDH, contusion Stephen Lewis - ICP monitoring, placement of bolt - Pitfalls in imaging (misinterpretation) 12:15 13:15 LUNCH BREAK 13:15 15:15 Practical exercises All Faculty 1. Decompressive craniectomy (including video and drilling) 2. Cranial reconstruction (including plates and screws, clamps) 15:15 15:35 COFFEE BREAK 15:35 15:40 Session 4: Moderator: Interdisciplinary management Michael Bierschneider multiple injured patient 15:40 16:00 Emergency room Frithjof Wagner primary assessment 16:00 16:20 Timing of surgery Michael Bierschneider 16:20 16:40 Injuries of the upper cervical spine Bronek Boszczyk (AOSpine) 16:40 17:00 CMF Rolf-Dieter Bader 17:00 End of day 1 19:00 Get-Together

8 AONeuro Course Neurotrauma, Murnau, Germany, 2015 Friday, July 10, 2015 TIME AGENDA ITEM WHO 08:00 08:05 Session 5: Moderator: Cranioplasty/dural repair Francesco Biroli 08:05 08:25 Dural repair (general) Francesco Biroli 08:25 08:45 Skull base fractures and traumatic Christian Matula CSF leak management 08:45 09:05 Reconstruction of the cranial vault Raimund Trabold 09:05 10:05 Interactive case presentation and All Faculty discussion - Skull base fracture - CMF reconstruction - Cranial vault reconstruction in trauma - Traumatic scalp defect management 10:05 10:30 COFFEE BREAK 10:30 10:35 Session 6: Moderator: Rehabilitation/delayed Michael Bierschneider complications 10:35 10:55 Rehabilitation Katharina Wolf 10:55 12:00 Interactive case presentations All Faculty to show and discussion (3 cases) 1 case My worst case/delayed complications 12:00 13:00 LUNCH BREAK 13:00-14:00 Practical exercise Primary assessment / decision making 14:00 14:05 Session 7: Moderator: Special interests Stephen Lewis 14:05 14:25 Vascular injuries in neurotrauma José Fernandéz-Alén 14:25 14:45 Pediatric TBI Aurelia Peraud 14:45 15:05 Concussion in sports Stephen Lewis 15:05 15:20 Future developments/research Nikolaus Plesnila/ in TBI Raimund Trabold 15:20 15:30 AONeuro Perspectives for the future Christian Matula 15:30 Evaluation and closing of the course Michael Bierschneider/ and certificates Aurelia Peraud

AONeuro Course Neurotrauma, Murnau, Germany, 2015 9 General information Course Organization AO Foundation AONeuro Linda Domeisen Clavadelerstrasse 8 7270 Davos, Switzerland Phone: +41 81 414 25 59 Fax: +41 81 414 22 80 Email: info@aoneuro.org www.aoneuro.org Course Logistics Industrial Partner Johnson & Johnson Medical GmbH Geschäftsbereich DePuy Synthes Vertrieb Umkirch Veranstaltungsmanagement Im Kirchenhürstle 4-6 79224 Umkirch Phone: +49 7665 503 241 Fax: +49 7665 503 193 www.synthes.com Course Venue Berufsgenossenschaftliche Unfallklinik Murnau Hörsaal (Lecture-Room) Prof.-Küntscher-Str 8 82418 Murnau, Germany Phone: +49 8841 48 0 Fax: +49 8841 48 2600 Information, Registration online http://aoneuro_murnau2015.aocmf.org If you need assistance with the registration, we are pleased about your call or email. Thank you! Local Organization Johnson & Johnson Medical GmbH Geschäftsbereich DePuy Synthes Vertrieb Umkirch Veranstaltungsmanagement Postfach 1163, 79220 Umkirch Administration: Kathrin Stork Phone: +49 7665 503 338 Fax: +49 7665 503 193 Email: stork.kathrin@synthes.com Technical Course Support: Enno Scharf Phone: +49 7665 503 314

10 AONeuro Course Neurotrauma, Murnau, Germany, 2015 Course fee 475,- Please transfer the course fee to: Remittee: KPMG AG (Heinrich-von-Stephan-Straße 23, 79100 Freiburg) Account-No. 070 985 700 (BLZ 100 700 00) Deutsche Bank Berlin BIC (Swift-Code): DEUTDEBB, IBAN: DE33 1007 0000 0070 9857 00 Keyword: AONeuro Course, Murnau (name participant) Cancellation policy: 20% of course fee until 7 days before event starts. Course language English

AONeuro Course Neurotrauma, Murnau, Germany, 2015 11 Evaluation guidelines All AONeuro courses apply the same evaluation process, either ARS (audience response system) or paper and pencil questionnaires. This will help AONeuro to ensure that we continue to meet your training needs. In some regions, CME accreditation is dependent on the participant s evaluation results. Intellectual property Course materials, presentations, and case studies are the intellectual property of the course faculty. All rights are reserved. Check hazards and legal restrictions on www.aofoundation.org/legal. The AO Foundation reserves the right to film, photograph, and audio record during their events. Participants must understand that in this context they may appear in these recorded materials. The AO Foundation assumes participants agree that these recorded materials may be used for AO marketing and other purposes, and made available to the public. Recording, photographing, or copying of lectures, practical exercises, case discussions, or any course materials is absolutely forbidden. Recording, photographing, or copying of lectures, practical exercises, case discussions, or any course materials is absolutely forbidden. Security Security check at the entrance of the building. Wearing of a name tag is compulsory during lectures, workshops, and group discussions. No insurance The course organization does not take out insurance to cover any individual against accidents, thefts or other risks. Mobile phone use Mobile phone use is not allowed in the lecture halls and in other rooms during educational activities. Please be considerate of others by turning off your mobile phone. Dress code Casual

AO Foundation AONeuro Clavadelerstrasse 8, 7270 Davos, Switzerland Phone +41 81 414 25 50 Fax +41 81 414 22 80 info@aoneuro.org www.aoneuro.org Logistics and support provided by an educational grant from Johnson & Johnson Medical GmbH, Division DePuySynthes.