INTERNATIONAL TRAUMA

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INTERNATIONALTRAUMAconferenceSPONSORED BY INTERNATIONAL TRAUMA LIFE SUPPORTTROPICANA LAS VEGASINTERNATIONALNOVEMBER 12-16, 2019TRAUMAconferenceWorld-class trauma education andnetworking on the Las Vegas StripSPONSORED BY INTERNATIONAL TRAUMA LIFE SUPPORTInternationalTRAUMA CONFERENCESponsored byITRAUMA.org/conferenceThis activity has been approved for AMA PRA Category 1 Credit

INTERNATIONALTRAUMAconferenceSPONSORED BY INTERNATIONAL TRAUMA LIFE SUPPORTINTERNATIONALTROPICANALAS VEGAS NOVEMBER 12-16, 2019TRAUMAWho should attend: conferenceJoin us in November for the world’s premier traumaParamedics Nurses EMTs and SPONSORED BYconferenceINTERNATIONALattractingTRAUMA LIFE EMSSUPPORTand trauma care profesfirst responders Emergencysionals from around the globe. Catch up with oldphysicians Trauma surgeons friends and make new connections at a programthat celebrates the diversity of trauma worldwide.EMS administrators EMS educatorsInternationalTRAUMA NITIES Julie L. Bacon, MSN-HCSM,CPN, CPEN, C-NPT, RN-BC,NE-BC Bryan Bledsoe, DO,FACEP, FAEMSITRAUMA.org/conference exhibit . sponsorJamesFrench, BM,tomizeBSc, Dip IMC RCS(Edinburgh), FRCEM (UK) Craig Goolsby, MD,MEd, FACEP. cus-

REGISTERITRAUMA.org/conferenceRegister before October 10 and SAVE!World-class trauma education andnetworking on the Las Vegas StripPediatric trauma Stop the Bleed K9 field care Trauma ultrasound Early detection of shock Silvertrauma Crew resource management More#trauma19Hot topics on the 2019 agenda:

Conference SpeakersJulie L. Bacon, MSN-HCSM,CPN, CPEN, C-NPT, RN-BC,NE-BCJames French, BM, BSc,Dip IMC RCS (Edinburgh),FRCEM (UK)Program Manager and Chief Flight Nurse, JohnHopkins All Children’s Hospital, Land O’ Lakes,Florida, USAAssistant Professor, Department of EmergencyMedicine, Faculty of Medicine, Dalhousie University, Halilfax, Nova Scotia, Canada; EmergencyPhysician, Department of Emergency Medicine,Horizon Health Network, Saint John, New Brunswick, CanadaBryan Bledsoe, DO, FACEP,FAEMSProfessor, Department of Emergency Medicine,University of Nevada, Las Vegas School of Medicine; Attending Physician, University Medical Center of Southern Nevada; Las Vegas, Nevada, USABradley S. Butler, MD, FACEP,CDR MC (FMF), USNAttending Faculty, Maricopa Medical Center EMResidency; Associate Professor, University of Arizona College of Medicine - Phoenix; AssociateProfessor, Creighton University College of Medicine; Medical Director, ITLS Arizona Chapter;Commander Medical Corps, U.S. Navy Reserve;Specialty Leader for Emergency Medicine, U.S.Navy Reserve; Phoenix, Arizona, USAJason Chancey, MSN, EMT-P,CEN, CFRNDirector of Clinical Education, Baptist HealthCare, Pensacola, Florida, USAMarkus Dorsey-Hirt, RN,CFRNChief Flight Nurse, Care Flight, Reno, Nevada, USAITRAUMA.org/conferenceCraig Goolsby, MD, MEd,FACEPAssociate Professor and Vice Chair, Education,Department of Military and Emergency Medicine;Science Director, National Center for DisasterMedicine and Public Health, Uniformed ServicesUniversity of the Health Sciences, Bethesda,Maryland, USAChris J. Hartman, MD,FACEPAttending Emergency Physician, Franciscan St.Francis Health, Indianapolis, Indiana, USAPeter B. Letarte, MD, FAANS,FACSNeurosurgeon, Premier Health, Dayton, Ohio,USAAlan Moloff, DO, MPD, COL(Ret.) USAAdjunct Faculty, Rocky Vista University, ParkerColorado, USA; Associate Medical Director, Regional Emergency Medical Services Authority(REMSA), Reno, Nevada, USA#trauma19

Education ProgramFriday, Nov. 157:00 am - 8:00 pmContinental Breakfast and Visit theExhibits8:00 am - 8:15 am10:15 am - 10:25 amResearch Forum Presentation10:25 am - 10:45 amVisit the Exhibits10:45 am - 11:30 amWelcome and IntroductionStop the Bleed: Science andPractice to Save Lives8:15 am - 9:00 amCraig Goolsby, MD, MEd, FACEPI Shouldn’t Have Gotten Out ofBed This Morning: Pediatric TraumaCases to Make Your Toes CurlThe reality of modern society is that battlefield-styleinjuries have become increasingly commonplace offthe battlefield. Dr. Goolsby will introduce the Stop theBleed campaign, a grassroots initiative to increase survival from exsanguinating hemorrhage by engaginglaypeople as responders. He will discuss simple steps toapply a tourniquet, research efforts to identify innovative education methods to teach laypeople to providelifesaving trauma care before professional help arrives,and next steps the trauma community can take to meetthe campaign’s goals.Julie L. Bacon, MSN-HCSM, CPN, CPEN,C-NPT, RN-BC, NE-BCThe opening keynote address spotlights extreme pediatric trauma presentations, including atlanto-occipitaldisassociation and hangman’s fracture, with a focuson the higher survivability rate in children with earlyrecognition and intervention. Ms. Bacon will review theunique anatomical and physiological characteristics ofpediatric patients that impact trauma care, illustratinghow the pediatric baseline changes with injury. Secondscount when it comes to treating cervical spine injuriesin children – best practices can make the difference.11:30 am - 11:40 amResearch Forum Presentation11:40 am - 12:25 pmResearch Forum PresentationLightning Rounds:Hidden Dangers– What You Don’tSee Can Hurt You!9:10 am - 9:30 amTopics:9:00 am - 9:10 amVisit the Exhibits9:30 am - 10:15 amiPhone, iPad, iResuscitate –Distilling the Complex TraumaPatient through the Simplicityof UltrasoundGaining and MaintainingSituational AwarenessJason Chancey, MSN, EMT-P, CEN, CFRNScene ViolenceJames French, BM, BSc, Dip IMC RCS(Edinburgh), FRCEM (UK)Mechanism of InjuryChris J. Hartman, MD, FACEPBryan Bledsoe, DO, FACEP, FAEMSVisionaries such as Einstein, Leonardo da Vinci, andSteve Jobs agree: Complexity distilled is a thing of beauty. Bedside ultrasound as a prehospital tool puts theprinciple into action with sophisticated technology thatsimplifies diagnosis. Dr. Hartman will demonstrate theuse of ultrasound to navigate the complex patient, witha focus on its use in assessing and resuscitating criticallyill and severely injured patients.Make your safety a priority with lightning rounds focused on hidden dangers at a trauma scene. Identify thekey principles of situational awareness with Mr. Chanceyto improve confidence and responder safety. Examinescene violence with Dr. French, analyzing the factorsthat contribute and best practices for response. Evaluate the relationship between mechanisms of injury andtheir predictive value to indicate need for trauma centertransport with Dr. Bledsoe.Full agendaavailable online!See Pages 9-11for special eventsand pre-conferenceworkshops at theInternational TraumaConference

INTERNATIONALTRAUMAconferenceEducation ProgramSPONSORED BY INTERNATIONAL TRAUMA LIFE AUMA12:25 pm - 1:45 pm8:45 am - 8:55 amLunch and Visit the ExhibitsResearch Forum Presentation1:45 pm - 5:45 pm9:05 am - 9:50 amTrauma CompetitionAfter the conferenceSPONSORED BY INTERNATIONAL TRAUMA LIFE SUPPORTEarn CE hours watching teams from around thesessions, participants willglobe compete in simulated trauma scenarios!have increased knowledgeof best practices based1:45 pm - 3:00 pmon current literatureLast Chance to Visit the Exhibitsregarding each sessionthat participants attend,applying the clinical,practical and educationreview points of each7:00 am - 8:00 pmattended session, allowingContinental Breakfastchange in practice byintegrating trauma’s8:00 am - 8:45 amlatest innovativeK9 Field Care: Medical Care ofstrategies in emergentcare arenas for theirWorking Dogs for Non-Veterihealth systems andnary ProviderscommunityBradley S. Butler, MD, FACEP, CDR MC(FMF), USNInternationalTRAUMA CONFERENCESaturday, Nov. 16The use of working dogs in the military and in civilian law enforcement is on the rise. Dr. Butler willoutline the framework of basic emergency treatmentfor working dogs in his keynote address specificallydesigned for non-veterinary providers. This sessionwill analyze the differences between canine and human patients in the trauma setting, including initialassessment, management, and medications and dosages.Altitudes, Attitudes and PatientCareAlan Moloff, DO, MPD, COL (Ret.) USADr. Moloff will break down physiological and psychological stressors that may impair optimal performance of the flight medical crew during rotary andfixed wing medical evacuation and transport. He willintroduce a variety of countermeasures and how toutilize them en route to mitigate adverse effects onthe crew and the patient.10:00 am - 10:45 amCrew Resource ManagementJames French, BM, BSc, Dip IMC RCS(Edinburgh), FRCEM (UK)Dr. French will explore the ramifications of the “human factor” on crew resource management and howkey CRM principles should be incorporated into allemergency care systems to minimize preventable human errors and maximize team effectiveness. He willdemonstrate the communication, teamwork, and adrenal control skills that contribute to optimized carecoordination – mitigating risks and ultimately savinglives in the field.10:45 am - 10:55 amResearch Forum Presentation11:00 am - 11:45 amGSW to the HeadPeter B. Letarte, MD, FAANS, FACSNeurosurgeon Dr. Letarte will assess recent evidence that describes improved outcomes for patientswith gunshot wounds to the head. His session willdemonstrate the elements of patient history, physical examination, and imaging that are predictive topatient outcomes, with a review of the history of current practice and an evaluation of the updated bestpractices.#trauma19

Continuing Education11:45 am - 12:30 pm1:45 pm - 2:30 pmLightning Rounds:Silver TraumaCONCURRENT SESSION:Topics:Head and Spine TraumaPeter B. Letarte, MD, FAANS, FACSSpecial Considerations forGeriatric TransportMarkus Dorsey-Hirt, RN, CFRNAssessment-Based TraumaBryan Bledsoe, DO, FACEP, FAEMSFocus on the unique challenges of the geriatricpopulation with silver trauma lightning rounds.Dr. Peter Letarte will outline common head andspine trauma pathologies and the clinical presentations frequently seen among aging adults. Mr.Dorsey-Hirt will illustrate special considerations fortriage, initial stabilization, and transport of the geriatric trauma patient. Dr. Bryan Bledsoe will explorethe implications of age on assessment-based trauma with best practices for geriatric care.Every Child Needs a SherlockHolmes – Recognizing Signs ofNon-Accidental TraumaJulie L. Bacon, MSN-HCSM, CPN,CPEN, C-NPT, RN-BC, NE-BCThis session will ask providers to put on their detective caps to assess unexplained injury in children.Ms. Bacon will illustrate subtle – and not-so-subtle– signs of non-accidental trauma in pediatric patients, including in children with disabilities. She willalso distinguish mimic conditions to help providersbe confident in noticing red flags and reporting suspected abuse to protect this vulnerable population.2:45 pm - 3:30 pmCONCURRENT SESSION:12:30 pm - 1:45 pmSpin, Tumble and Yaw –Gunshot Wounds During OneDay in The Most DangerousPlace on EarthLunch (on your own)Chris J. Hartman, MD, FACEP1:45 pm - 2:30 pmCONCURRENT SESSION:Point of Care Ultrasound in theAeromedical Environment –Does It Make a Difference?Markus Dorsey-Hirt, RN, CFRNThis session will evaluate the use of point of careultrasound in the aeromedical environment, examining clinical application, feasibility, trainingrequirements, cost, and the impact of the technology of care processes and patient outcomes. Thepresentation will identify indications for ultrasounduse during patient assessment and outline possibleinterventions based on prehospital ultrasound findings.Dr. Hartman will examine ballistics and gunshotwounds amid the backdrop of Cite-Soleil, Haiti, oncereferred to as “the most dangerous place on Earth”by the United Nations. This gritty session will reviewthe pathophysiology of GSW with a focus on damage control resuscitation to replace massive fluidresuscitation as the standard of care. Dr. Hartmanwill take a unique real-life perspective, illustratingthe havoc of one 24-hour period in Cite-Soleil — 18bullets that found their mark on 11 victims.ITRAUMA.org/conferencePHYSICIANS: This activity has been plannedand implemented in accordance with the accreditation requirements and policies of theAccreditation Council for Continuing MedicalEducation (ACCME) through the joint providership of the American College of EmergencyPhysicians, Illinois College of Emergency Physicians, and International Trauma Life Support.The American College of Emergency Physiciansis accredited by the Accreditation Council forContinuing Medical Education to provide continuing medical education for physicians.The American College of Emergency Physicians designates this live activity for a maximum of 31.5 AMA PRA Category 1 Credits . Physicians should claim only the creditcommensurate with the extent of their participation in the activity.Approved by the American College of Emergency Physicians for a maximum of 31.5hours of ACEP Category I credit.PHYSICIAN ASSISTANTS: American Academy of Physician Assistants (AAPA) acceptscertificates of participation for educationalactivities certified for AMA PRA Category 1Credits from organizations accredited byACCME or a recognized state medical society.Physician assistants may receive a maximumof 31.5 hours of Category I credit for completing this program.PARAMEDICS AND EMTS: This continuingeducation activity is approved by CAPCE for amaximum of 31.5 continuing education hours:14.0 hours for 2-day conference, 16.0 hoursfor ITLS High Threat Provider Course, 8.0 forSlap the Cap: A Comprehensive CapnographyWorkshop, 4.0 hours for ITLS Duty to RespondTrain the Trainer Workshop, and 1.5 hours forITLS 9th Edition Instructor Update.NURSES: This activity has been submittedto the Emergency Nurses Association forapproval to award contact hours. The Emergency Nurses Association is accredited as anapprover of continuing nursing education bythe American Nurses Credentialing Center’sCommission on Accreditation.

INTERNATIONALTRAUMAconferenceSPONSORED BY INTERNATIONAL TRAUMA LIFE SUPPORTINTERNATIONALTRAUMAconference2:45 pm - 3:30 pmCONCURRENT SESSION:It’s All About Me! TakingCare of the CaregiverL. Bacon, MSN-HCSM, CPN,SPONSORED BY INTERNATIONAL TRAUMAJulieLIFE SUPPORTCPEN, C-NPT, RN-BC, NE-BCInternationalEarly registrationprices increaseOctober 10!Register early tosave up to 50Not enough rest, too much stress — health careproviders are notorious for not putting themTRAUMA CONFERENCEselves first! Self-care for the caregiver is a constant challenge but also a necessary skill, especially when patients depend on you as the firstline of defense. Ms. Bacon will demonstrate howto recognize telltale signs of fatigue. She willthen illustrate the process of building a foundation based on “ME FIRST,” resulting in betterpatient care and improved work-life balance.3:40 pm - 4:40 pmJoin us forthe OpeningReception!Thursday, November 146:00 pm - 8:30 pmIncluded with conference registration.Catch up with old friends and meet newones at this casual reception that includesappetizers and a cash bar. The ExhibitHall will open for networking with vendors.ITRAUMA.org/conferenceEarly Detection of Shock:Beyond Vital SignsBryan Bledsoe, DO, FACEP, FAEMSDr. Bledsoe goes beyond vital signs in the detection of shock to recognize the signs earlierand begin essential interventions sooner. Thissession will detail the pathophysiological chainof events leading to shock by examining normalphysiological events and how they vary. It willaddress shock from all causes as well as describe recent trends and changes in prehospitalshock management.#trauma194:40 pm - 4:45 pmClosing SessionDISCLAIMER: The materials presented at this conference are made available for educational purposes only. The materialis not intended to represent the only, nor necessarily the best methods for the medical situation discussed, but rather isintended to present an approach or opinion of the presenters which may be helpful or of interest to participants.Registration Desk OpenThursday, November 14 9:30 am - 6:00 pmFriday, November 15 7:00 am - 5:00 pmSaturday, November 16 7:00 am - 4:45 pm

Special EventsBusiness Session for Voting DelegatesThursday, November 14, 2019 3:30 pm - 6:00 pmA single Business Session will be held Thursday, November 14 before the conference begins.The Business Session will include voting for Board of Directors candidates and presentationof ITLS’ annual awards. Credentialing will be open from 9:30 AM to 10:30 AM, 12:30 PMto 1:15 PM, and 3:15 to 3:30 PM on Thursday. Delegates must be credentialed before entry.Opening ReceptionThursday, November 14, 2019 6:00 pm - 8:30 pmCatch up with old friends and make new connections at the opening party to kick off the International Trauma Conference. The Exhibit Hall will open and light appetizers will be served.A cash bar will be available. Don’t miss it!Trauma CompetitionFriday, November 15, 2019 1:45 pm - 5:45 pmTeams from around the world will compete using the ITLS assessment to triage and treattrauma patients in simulated scenarios. Bring a team and showcase your patient care skillsat this conference favorite event! Teams will complete 3 scenarios; the team with the highestaccumulative score will be declared the winner. All team members must be registered for thefull conference (special Competition Team rates available). The team captain is required tobe a current ITLS-certified provider or instructor. Find out more at ITRAUMA.org/competition.Research ForumFriday, November 15 & Saturday, November 16, 2019 - IntermittentThe Research Forum presents thought-provoking original research, scheduled intermittentlythroughout the 2-day conference. Selected abstracts will be presented as ePosters, developedas a 10-minute PowerPoint presentation of research highlights followed by a brief Q&A session. An Excellence in Research award will be presented to the top investigator.

ITLSDUTY TO RESPONDFIRST ON SCENE RAPID TRAUMA MANAGEMENTEDITORSMatthew D. Sztajnkrycer,MD, PhD, FACEP, FACMT, FAACTAnthony Connelly,EMT-P, BHSc, PGCEd.Pre-Conference WorkshopsITLS HIGH THREATPROVIDER COURSESLAP THE CAP:A COMPREHENSIVECAPNOGRAPHY WORKSHOPITLS DUTY TO RESPONDTRAIN THE TRAINERWORKSHOPWednesday, November 138:00 am - 4:30 pmWednesday, November 131:00 pm - 5:15 pmThe ITLS High Threat course addresses theunique challenges of providing care in a highthreat environment, centrally designed aroundthe MARCH algorithm with the military or civilian high threat provider in mind. The courseensures compliance with TCCC and C-TECCguidelines. The High Threat foundation emphasizes hands-on instruction in elements ofMARCH with integration into patient scenarios,including MCI and casualty collection point scenarios, as well as lessons from the most recentmilitary conflicts and civilian terrorist events.This interactive workshop focuses on capnography as an integral skill that should be used inevery patient scenario, with value far beyondjust a tool to confirm airway placement. Ledby capnography expert Bob Page, the 1-daycourse is designed to prepare the participantwith the knowledge and skill to effectively incorporate capnography into courses and practice. It will utilize lecture, real case reviews,hands-on skills practice, plus anecdote-basedinstructor tips to demonstrate the benefits andlimitations of this key patient assessment tool.Eligibility: Open to all providers who are EMTor national equivalent; 68W or military equivalent; or have an operational need for TCCC-AC orTECC level training. Students receive an ITLS HighThreat Provider certification upon completion.Eligibility: Open to all levels of providers; noprerequisites. This is not a certification course.ITLS Duty to Respond is a 1-day hands-on practical trauma management course designed forfirst responders who have a duty to respond toemergencies. The course focuses on initial patient evaluation and critical interventions re

Pediatric trauma Stop the Bleed K9 field care Trauma ultrasound Early detection of shock Silver trauma Crew resource management More . Dorsey-Hirt will illustrate special considerations for triage, initial stabilization, and transport of the geri-atric

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