Level I Regional Pediatric Trauma & Burn Center
Level I Regional PediatricTrauma & Burn CenterChildren’s Hospital Colorado -1-Trauma and Burn Center
Children’s Hospital Colorado -2-Trauma and Burn Center
Children’s Hospital ColoradoLevel I Regional Pediatric Trauma and Burn Center2016 Annual ReportWelcome .5Trauma .6Pediatric Surgeons .9Emergency Medical Services .10Pediatric Emergency Medicine .11Neurosurgery .12Orthopedics .13Otolaryngologists.14Critical Care .15Child Protection Team .16Rehabilitation .17Burn .18Burn Camps.19Juvenille Fire Setters .19Education and Outreach .20Community Outreach .22Charitable Contributions .23Injury Prevention .24Publications & Research .26Children’s Hospital Colorado -3-Trauma and Burn Center
Children’s Hospital Colorado -4-Trauma and Burn Center
From the Desk of the Medical directorDear Colleague,The Children’s Hospital Colorado Trauma and Burn Center 2016 Annual Report highlights some ofthe extraordinary work that is carried out everyday by our pre-hospital partners, physicians, nurses,therapists and staff. We work together, in a coordinated fashion, to restore health and provideoptimal outcomes for our patients and yours.As always, we look forward to hearing from you! Whether you need a quick phone consult aboutan ill or injured child, or immediate referral for a severely injured patient from infancy throughadolescence, we are always available to assist you. You may reach the on-call, in-house pediatricsurgeon at any time, day or night, by dialing One Call (720-777-3999) or the Transfer Center (720777-8838). You may reach me, or any of the other physicians or services highlighted in this report,by calling the Trauma/Burn Program (720-777-6282) Monday – Friday, 7 a.m. – 5 p.m. You can alsofind us at www.childrenscolorado.org/trauma or www.childrenscolorado.org/burn. Your questions,comments and suggestions are always welcome.Steven Moulton, MDDirector, Trauma and Burn ProgramChildren’s Hospital Colorado, B-32313123 E. 16th Ave.Aurora, CO 80045WELCOMEOffice: 720-777-3625Email: steven.moulton@childrenscolorado.orgChildren’s Hospital Colorado -5-Trauma and Burn Center
LEVEL I PEDIATRIC TRAUMA CENTERThe Level I Regional Pediatric Trauma and Burn Center at StaffingChildren’s Hospital Colorado is a large, multi-disciplinaryprogram. We provide timely, comprehensive, costTrauma/Burn Medical Directoreffective care for children with single or complexTrauma/Burn Program Managermulti-system trauma and burn-related injuries.Trauma CoordinatorsTrauma RegistrarsWe are the only American College of Surgeons LevelStaff AssistantI Pediatric Trauma Center and the only pediatric burncenter in Colorado and the seven-state Rocky Mountain Trauma Outreach Coordinatorregion. As a regional resource center, we aim to set thestandard for pediatric trauma and burn care.2015 Regional Referral MapWe treat children with traumatic injuries such as: Epidural/subdural hematomaThoracic/cardiac injuriesSolid organ InjuriesPelvis/femur fracturesNon-accidental traumaBurn injuriesWe coordinate pediatric transport within our statewideand regional-referral trauma systems. We staff adedicated 24/7- pediatric specialty transport team witha critical care ground ambulance. We have a nurse/respiratory/emergency medicine technician team thatserves the entire multi-state region. This team is the onlyone in the region that offers high frequency ventilationand nitric oxide therapies.Children’s Colorado also operates emergency andurgent care services at its South Campus in HighlandsRanch, North Campus in Broomfield, and its locations atBriargate in Colorado Springs, Uptown Denver,Wheat Ridge and Parker Adventist Hospital.The trauma service provides care 24 hours/day, sevendays/week throughout the year. The administrativehours of operation are: 7:00 a.m. – 5:00 p.m., Mondaythrough Friday.Children’s Hospital Colorado -6-1552827113612Trauma and Burn Center14
In 2015.1,47991Injured children metcriteria for entryinto our traumaregistryHighestlevel traumaactivationsMechanism of InjuryPenetrating Trauma3%Burn Injuies7%90%Physician DemographicsChildren’s Hospital Colorado12 Trauma Surgeons 4 Urologists11Orthopedic4 ogists2 Plastic Surgeons4 Neurosurgeons 2 Hand Surgeons-7- Trauma and Burn CenterPEDIATRIC SURGEONSBlunt Trauma
The following data set comparesChildren’s Hospital Colorado withpediatric data from the National TraumaData Bank (NTDB). The NTDB isthe largest aggregation oftrauma registry data everassembled.Mean Age in Years10.48.2CHCONTDBThe mean age of children treated atChildren’s Hospital Colorado is youngerthan comparative hospitals reporting tothe NTDB.Ventilator DaysMortality Rate (%)1.31.9NTDBThe overall rate of deathfor injured children(aged 0-18) is lowerat Children’s HospitalColorado than atother hospitals acrossthe nation who treatchildren and contributedata to the NTDB.CHCOLEVEL I PEDIATRIC TRAUMA CENTERChildren’s and the NTDBChildren’s Hospital Colorado -8-CHCO3.04.6NTDBThe mean number of days an injured child (aged 0-18) is on aventilator at Children’s Hospital Colorado is lower than at otherhospitals who treat children and contribute data to the NTDBTrauma and Burn Center
Children’s Hospital Colorado is consistentlyranked among the top pediatric hospitalsin the country and offers several nationallyrecognized surgical procedures andprograms for young patients. Children’sColorado is the only dedicated Level IPediatric Trauma Center in the RockyMountain region, where twelve pediatrictrauma surgeons provide 24/7 in-housecoverage for trauma and burn care.Steve Moulton, MDAnn Kulungowski, MDKenneth Liechty, MDJohn Bealer, MDAhmed Marwan, MDDenis Bensard, MDDavid Partrick, MDJennifer Bruny, MDJonathan Roach, MDTimothy Crombleholme, MD Stig Somme, MDFrederick Karrer, MDMedical Director, Trauma and Burn ProgramPediatric Mid-LevelsBrianne Hall, PA-CErin Herhold, PA-CBecky Hill, NPChildren’s Hospital Colorado -9-Trauma and Burn CenterRichele Koehler, PA-CLauren Wilson, PA-CPEDIATRIC SURGERYPediatric Surgeons
Pre-Hospital PartnersEMERGENCY MEDICAL SERVICESOur Level I Regional Pediatric Trauma and BurnCenter serves a large geographic area, which extendsfrom the Canadian border south, though Montana,Wyoming, North and South Dakota, WesternNebraska, Kansas and the entire state of Colorado.Children’s Hospital Colorado builds relationshipswith emergency medical services (EMS) providersto ensure the best outcomes in pediatric traumacare. The Transfer Center (720-777-8838) facilitatescommunication between pre-hospital providers,emergency medicine physicians and traumasurgeons, so that we can anticipate each patient’sunique needs prior to arrival.Transport TypePrivate Vehicle30%Helicopter12%Fixed Wing4%Ambulance54%The most common transport method for referred patients isground ambulance.Children’s Hospital Colorado -10-Trauma and Burn Center
Pediatric Emergency Medicine PhysiciansTrauma LiaisonIn 2015.70,134Sarah Mellion, MDRakesh Mistry, MDTara Neubrand, MDArleta Rewers, MDKelley Roswell, MDMary Saunders, MDJessica Schnell, MDHalden Scott, MDErika Sidney, MDMarion Sills, MDSummer Smith, MDIrina Topoz, MDTien Vu, MDGeorge Wang, MDJoe Wathen, MDKeith Weisz , MD561Trauma Patient Dispositionfrom the Emergency Department487Children seen in the emergency department at Children’sColorado on the Anschultz Medical Campus.12,518Children treated with an injuryChildren’s Hospital Colorado -11-ORICU175HOME228Trauma and Burn CenterPEDIATRIC EMERGENCY MEDICINEMichelle Alletag, MDLalit Bajaj, MDCortney Braund, MDAlison Brent, MDKevin Carney, MDMicheal DiStefano, MDKathryn Emery, MDJulia Freeman, MDAngelique Ferayorni, MDTimothy Givens, MDJoe Grubenhoff, MDSarah Halstead, MDBernadette Johnson, MDIan Kane, MDJill Keyes, MDRoxanna Lefort, MDPatrick Mahar, MDMaria Mandt, MDINPATIENT FLOORKathleen Adelgais, MD
% Cases with Head AbbreviatedInjury Score (AIS) 3CHCO17%15%NEUROSURGERY PROGRAMNTDBChildren’s Hospital Colorado cares for a higher percentage of children witha severe head injury than the national aggregate.Pediatric Neurosurgery ProgramThe Pediatric Neurosurgery Program at Children’sHospital Colorado offers integrated, comprehensivecare for all types of disorders affecting the nervoussystem and skull, including traumatic injury, epilepsy,hydrocephalus, brain tumors and facial and skulldeformities.Children’s Hospital Colorado has the mostcomprehensive pediatric neurosurgical program inthe Rocky Mountain region. Our fellowship-trainedand board-certified pediatric neurosurgeons havemore than 50 years of combined experience andfocus solely on children.Children’s Hospital Colorado -12-Pediatric NeurosurgeonsBrent O’Neill, MDTrauma LiaisonMichael Handler, MDTodd Hankinson, MDCharles Corbett Wilkinson, MDTrauma and Burn Center
Orthopedics InstituteThe Orthopedic Institute at Children’s Hospital Colorado is ranked seventh on U.S. News and World Report’snational ranking of pediatric orthopedics programs. Below are 2015 data points that compare Children’s HospitalColorado Orthopedic Institute and other hospitals across the nation that treat children and contribute data to theAmerican College of Surgeons Pediatric Trauma Quality Improvement Program (ACS Pediatric TQIP ).Femur Fractures%CHCOTibia/Fibula FracturesPercentage of cases withtime to operative fixationgreater than 12 hoursPediatricTQIP16.0% 28.3%CHCOPediatricTQIPPediatric Orthopedic SurgeonsGaia Georgopoulos, MDJason Stoneback, MDTrauma LiaisonsJay Albright, MDNathan Donaldson, DOMark Erickson, MDSumeet Garg, MDNancy Hadley- Miller, MDTravis Heare, MDStephanie Mayer, MDJason Rhodes, MDOutpatientClinicVisits 2342201514062014Children’sChildren’s HospitalHospital ColoradoColorado -13-13- TraumaTrauma andand BurnBurn CenterCenterORTHOPEDIC INSTITUTE1.09.6%Percentage of cases withtime to operative fixationgreater than 24 hours
Pediatric Otolaryngology SurgeonsThe Department of Otolaryngology at Children’sHospital Colorado provides comprehensive ear,nose and throat care for children in the RockyMountain region. The department has one ofthe largest groups of fellowship-trained pediatricotolaryngologists in the western United States.Pediatric OtolaryngistsPeggy Kelley, MDOTOLARYNGOLOGYTrauma LiaisonGregory C. Allen, MDKenny H. Chan, MDNorman R. Friedman, MDJeremy Prager, MDMelissa Scholes, MDSven-Olrik Streubel, MDPatrica J. Yoon, MDChildren’s Hospital Colorado -14-Trauma and Burn Center
PICU Days3.353.54NTDBCHCOInjured patients who arecared for at Children’s HospitalColorado have shorter staysin the PICU compared to otherhospitals who treat children andcontribute to the NTDB.Pediatric Intensive Care Unit (PICU)Children’s Hospital Colorado houses the largest and most technologically advanced pediatric intensivecare unit (PICU) in the region. Private intensive care rooms offer patients and families more privacyand state-of-the-art monitoring and critical care equipment. Nursing stations allow critical care staff toremain just a few feet from each patient’s bed.Pediatric IntensivistsTodd Carpenter, MDTrauma LiaisonJoe Albietz. MDKim Bennett, MDTell Bennett, MDAmy Clevenger, MDAngela Czaja, MDGina DeMasellis, MDEva Grayck, MDCam Gunville, DOBrian Jackson, MDClaudia Kunrath, MDAline Maddux, MDPete Mourani, MDCarol Okada, MDLeslie Ridall, MDChildren’s Hospital Colorado -15-Kurt Stenmark , MDTiim Stidham, MDChristine Vohwinkel, MDCarleen Zebuhr, MDTrauma and Burn CenterCRITICAL CAREThe PICU staff provide comprehensive services for children with single or multi-organ system failure,severe chronic illness, those recovering from complex cardiac, orthopedic, neurologic and generalsurgeries, and patients undergoing solid organ transplantation.
Child Advocacy and Protection TeamOur physicians were among the first in the country and are among the only ones in Colorado to beboard certified in the field of Child Abuse Pediatrics by the American Board of Pediatrics.Evaluation for suspected child maltreatment includes evidence gathering, family support andeducation covering the behavioral and emotional impacts of child maltreatment. Best practice careand treatment is offered in the most sensitive and family centered manner.Child Protection Team ServicesCHILD PROTECTION TEAMThe Child Protection Team provides comprehensive medical evaluations in our weekly outpatientclinic and through inpatient and emergency department consultations at Children’s Hospital Colorado.2015 Leading Mechanims of Fatal Injury at Children ColoradoAbuse continues to be theleading cause of traumarelated death at Children’sHospital Colorado.MVC21%Children’s Hospital Colorado -16-Trauma and Burn Center
Rehabilitation and TherapyThe primary goal of the rehabilitation program atChildren’s Hospital Colorado is to optimize eachchild’s abilities to adapt to the environment, to easethe effects of disability on the child’s development,and to allow the child to be fully included incommunity living. A child’s success in the programresults from the collaboration of the family withour highly trained team of pediatric specialists.At Children’s Hospital Colorado, the rehabilitationstaff, the child’s family and the child’s primary carephysician comprise each child’s rehabilitation team.Discharge DispositionIn 2015, more than 96% of pediatric patients admittedfor injury were dischaged to a home environment.1% - Death1% - Social Services1% - Other1% - RehabilitationTrauma and Burn CenterREHABILITATIONChildren’s Hospital Colorado -17-96% - Home
The Children’s Hospital Colorado Regional Burn Center is the only burn center in the RockyMountain region that is dedicated to providing consultation and treatment for burn-injuredchildren of all ages. The Burn Center was established in 1974 and continues to provide thehighest standard of burn care for children.Our multi-disciplinary burn team manages patients from acute care through the outpatient andrehabilitative settings. The burn team also consult for skin injuries including, but not limited to:exfoliative dermatoses (e.g. Stevens Johnson Syndrome, toxic epidermal necrolysis), IV infiltrates and traumaticabrasions. The program has placed an emphasis on burn education throughout Children’s network and within thepediatric community in the Rocky Mountain region.2015 Inpatient Burn MechanismsOutpatient Burn Clinic VisitsThe Children’s Hospital Colorado Burn Center OutpatientClinic saw a significant increase in visits in 2015.Electrical 2%Other 12%1755Chemical 1%Flame 4%1422 1445Scald 36%Children’s Hospital Colorado -18-Trauma and Burn Center20152014Contact 45%201312442012REGIONAL PEDIATRIC BURN CENTERRegional Pediatric Burn Center
Children’s Hospital Colorado Burn Camps70Campers (8-18) discovered confidence,strength and courage at Cheley/Children’sColorado Summer Burn Camp1226Teenagers learned to lead inthe Campers in LeadershipTraining Program (CILT)Teenagers learned to “ExpectGreatness” at Winter Burn Camp inSteamboat Springs, CO344653Participants united at Family BurnCamp in Estes Park, COVolunteer hours donatedin 2015Areas of Focus: Summer Camp Fun Facts:Skill development - social and emotionalBody imageChallenging negative and limiting beliefsAppropriate risk takingLife skillsPounds of spaghettiGallons of marinaraThe program is accredited by the American CampingAssociation and is a member of the InternationalAssociation of Burn Camps (Director Trudy Boulter ispresident).412 CookiesJuvenile Fire Setting ProgramThe Juvenile Fire Setting Program at Children’sColorado evaluates and treats children with riskfactors for continued fire setting. The programalso provides group counseling to the child andparents regarding identification of behaviors andinterventions for behavior changes.601515Training workshops for firstresponders and professionalsworking with youth70Children, siblings, and caregiversparticipated in fire settingpreventionChildren’s Hospital Colorado -19-Trauma and Burn Center80Referrals40Evaluations for high riskfire setting youth.BURN CAMPS & JUVENILE FIRE SETTINGThe Children’s Hospital Colorado Burn CampsProgram is a therapeutic, medical specialty campfor burn survivors, ages 8 to 24 years old. It is opento burn survivors from Children’s Hospital Coloradoand other international and national pediatricburn centers. The program is led by medical staffand camp professionals, who provide social andemotional support for children and young adultburn survivors through developmentally appropriateactivities. The program includes summer camp,winter teen camp, family camp and a young adultretreat.
130In 2015, we reached overETOSBillings3,625OUTREACH & EDUCATIONEMS providers, nurses,mid-level providers andphysicians in the RockyMountain Region witheducational conferencesand lectures.140ETOSJackson185WPTCPark City3,170270 POPPC250 MTLS120 EMS Conference150 CPTC70 Burn Update2,230 EMS OutreachTRAUMA & EMSOutreachOutreach and EducationOur multi-disciplinary trauma, burn and EMS outreach team is engaged in outreach activities targeting a broad range ofmedical providers. The following outreach and educational events were provided in 2015:Emergency and Trauma Outreach Symposia (ETOS)Jackson, WY: April 29-30, 2015Billings, MT: August 27-28, 2015Grand Junction, CO: September 10-11, 2015ETOS events provide education for physicians, nurses and pre-hospital professionals in Colorado and the surrounding region.In 2015 our trauma, burn, and EMS programs partnered with local agencies to sponsor three events.Colorado Pediatric Trauma Conference (CPTC)Aurora, Colorado: November 18-19, 2015The annual pediatric trauma conference provides education on state-of-the-art care of the pediatric trauma patient.The conference is held at Children’s Hospital Colorado and is attended by local staff, as well as regional and nationalphysicians,nurses and ancillary providers.Children’s Hospital Colorado -20-Trauma and Burn Center
Western Pediaric Trauma Conference (WPTC)Park City, Utah: July 15-17, 2015The Western Pediatric Trauma Conference (WPTC) is a nationally renowned pediatric traumaconference led by Children’s Hospital Colorado, Phoenix Children’s Hospital, and Primary Children’sHospital with the aim to improve outcomes in pediatric trauma care. The 2015 conference was heldin Park City, Utah.Annual Pediatric EMS ConferenceThis non-profit two-day pediatric EMS conference is the largest in the region and is hosted atChildren‘s Hospital Colorado.Burn UpdateOctober 15, 2015In 2015, our burn center partnered with the University of Colorado Hospital Burn Center to host the2015 Burn Update. The Update focused on initial management of the burn injured child. Discussioncentered on basic wound care guidelines and the multi-disciplinary nature of both the Children’sJuly 20-22, 2016Burn Center and the University of Colorado Hospital Burn Center.Multi-disciplinary Trauma Lecture Series (MTLS)This lecture series supports our multi-disciplinary trauma providers by highlighting recent advancesin specialty care, including plastic surgery, critical care, orthopedics and other sub-specialties usingcase-based discussions, care protocols, and patient outcomes.WesternPediatric TraumaConferencePartnership In Outstanding Pediatric Pre-Hospital Care (POPPC)POPPC offers free pediatric education to pre-hospital professionals on a monthly basis.Children’s Hospital Colorado -21-Trauma and Burn Centerwww.pedtrauma.org
2015 Community EventsCOMMUNITY EVENTSBeing a positive part of our community isimportant to us at the Children’s HospitalColorado Regional Pediatric Trauma andBurn Center. That’s why we provide andparticiate in a wide range of events for parents,families and healthcare professionals - fromcommunity events and fundraising activities,to conferences and continuing education formedical professionals. We also partner withcommunity based organizations to keep kidsout of the hospital. Our injury preventionprogram has a long history of advocating toimprove the heath and safety of children.In 2015, we hosted community supportactivities at the Children’s Museum in Denver,CO, Active Athletics in Litttleton, CO and WinterSkate in Lousiville, CO.Our team also participated in safety eventswith the Evergreen Fire Department and theDenver Zoo.Children’s Hospital Colorado -22-Trauma and Burn Center
Philanthropic SupportChildren’s Hospital Colorado -23-PHILANTHROPIC SUPPORTOur work would not be possible withoutthe philanthropic support of multiplepartner organizations, including CoBank,QEP Resources, Denver FirefightersBurn Foundation, BCER Engineering,Inc., Hot Times Kool Cars, Ralph SchompAutomotive, and the Colorado FirefighterCalendar. We greatly appreciatetheir volunteer efforts and financialcontribuions, both of which contributeto the growth and development of ourtrauma and burn centers.Trauma and Burn Center
Injury Prevention Program - 2015 HighlightsIn 2015, the Injury Prevention Program continued making great strides in preventing injuries through the cooperative efforts ofgovernment agencies, voluntary and professional organizations, the faith community, and numerous other community partners.By leveraging our resources to join the best knowledge and practices with strong partnerships to effectively prevent injuries, weare improving the quality of life for our state’s children and their families, while saving our state millions of dollars each year. Ourwork is accomplished by raising public awareness, building community capacity for injury prevention efforts, making changes tothe physical environment, and forwarding public policy and organizational practices that prevent injuries. These highlights build onprevious efforts, and are the result of a variety of internal and external collaborations designed to achieve a common goal: keepingColorado kids safe.Public PolicyINJURY PREVENTIONProtecting Kids from Off-Highway Vehicle Injuries:Protecting Kids from Liquid Nicotine:We worked to defeat a bill that would have expanded the useWe worked to lobby the Colorado Congressional delegation toof Off-Highway Vehicles (also known as All-Terrain Vehicles orsupport S.142, the Child Nicotine Poisoning Prevention Act ofATVs) on county roads by children as young as 10 years old, even2015. This important legislation would require liquid nicotinethough most of these vehicles are specifically designed not to becontainers to be sold with child-resistant packaging, just like alldriven on roads, and 10 year olds are not proficient drivers.other medications.Safety Store2015 Child Passenger Safety408Car seats provided to familiesin need.Over the past three years, we have documented arise in child booster seat use from 37% to 46%.5201481Inspections of child restraintsfor proper use, installation andrecall histories.46%320137%Children’s Hospital Colorado -24-Trauma and Burn CenterChildren’s HospitalColorado opened aSafety Store at ourSouth Campus inHighlands Ranch on February 28,2015. A wide selection of productsare available for transportationsafety (including car seats), bike andpedestrian safety, infant safe sleep,fire, and home safety.
Safe Kids ColoradoOur injury data mapping project has been able to identify daysand times when kids are most likely to be injured, and by whatmechanism they are injured, in a particular neighborhood. Wehave shared these findings with neighborhood gatekeeper to tailorcommunity-based interventions and prevent injuries from occurring.Awards Local Community Prevention Program Award by the Safe States Alliance “Pitch Your Project” by Safe Kids Worldwide Excellence in Advocacy Award by Safe Kids WorldwideSafe Kids Colorado SpringsThe Safe Kids Colorado Springs coalition and its partners conducted57 programs, reaching over 1,200 adults and more than 4,600children with evidence-based safety interventions in targetedschools and neighborhoods. Additionally, the coalition’s signatureSafety Day event at Chapel Hills Mall drew more than 8,500participants.Safe Kids Denver MetroIn 2015, the coalition and its community partners invested morethan 1600 volunteer hours in prevention-focused activities. Ourpedestrian safety events educated over 3400 students in pedestriansafety. A drowning prevention program provided swim lessonsfor 23 children in an at-risk community in Thornton. The Fire & LifeSafety Educators of Colorado recognized Safe Kids with their “Friendsof Fire & Life Safety Award.”Children’s Hospital Colorado -25-Trauma and Burn Center
Pediatric Othopedic SurgeryChild Protection TeamPUBLICATIONS & RESEARCH1. Ngo KD, Pain P, Hanfland R, Nichols CS, Merritt GR,4. Chatterjee D, Agarwal R, Bajaj L, Teng SN, Prager JD.Airway Management in Laryngotracheal Injuries fromBlunt Neck Trauma in Children. Paediatr Anaesth. 2016Feb;26(2):132-8. doi: 10.1111/pan.12791. Epub 2015Nov 4.1. Mehra M, Chiesa AE, Sirotnak AP. Two Cases of SublingualCampbell D, Ing RJ. Cardiac Injury After All-Terrain VehicleHematoma as a Manifestation of Child Abuse. Ear NoseAccidents in 2 Children and Review of the Literature.Throat J. 2015 Dec;94(12):494-6.Pediatr Emerg Care. 2015 Oct 13. [Epub ahead of print]2. Hymel KP, Herman BE, Narang SK, Graf JM, Frazier TN,2. Mayer S, Albright JC, Stoneback JW. Pediatric KneeStoiko M, Christie LM, Harper NS, Carroll CL, Boos SC, Dias 5. Alisic E, Hoysted C, Kassam-Adams N, Landolt MA, CurtisS, Kharbanda AB, Lyttle MD, Parri N, Stanley R, Babl FE;Dislocation and Physeal Fractures About the Knee. J AMM, Pullin DA, Wang M; Pediatric Brain Injury ResearchPediatric Emergency Research Canada (PERC); PediatricAcad Orthop Surg. 2015 Sep;23(9):571-80. doi: 10.5435/Network (PediBIRN) Investigators; Pediatric Brain InjuryEmergency Medicine Collaborative Research CommitteeJAAOS-D-14-00242. Epub 2015 Aug 13.Research Network PediBIRN Investigators. Potentialof the American Academy of Pediatrics (PEMCRC);Impact of a Validated Screening Tool for Pediatric Abusive3. Stone JD, Hill MK, Pan Z, Novais EN. Open Reduction ofPediatric Emergency Research in the United KingdomHead Trauma. J Pediatr. 2015 Dec;167(6):1375-81.e1. doi:Pediatric Femoral Neck Fractures Reduces Osteonecrosisand Ireland (PERUKI); Research in European Pediatric10.1016/j.jpeds.2015.09.018. Epub 2015 Oct 23.Risk. Orthopedics. 2015 Nov;38(11):e983-90. doi:Emergency Medicine (REPEM); Pediatric Emergency10.3928/01477447-20151020-06.Pediatric Emergency MedicineCare Applied Research Network (PECARN); PediatricResearch in Emergency Departments International4. Flierl MA, Carry PM, Scott F, Georgopoulos G, Hadley-Miller 1. Freeman JF, Ciarallo C, Rappaport L, Mandt M, Bajaj L. UseCollaborative (PREDICT); Pediatric Emergency ResearchN. Rotation and Displacement Predict Adverse Eventsof Capnographs to Assess Quality of Pediatric VentilationNetworks (PERN); Pediatric Emergency Research Canadain Pediatric Supracondylar Fractures. Orthopedics. 2015with 3 Different Airway Modalities. Am J Emerg Med. 2016PERC; Pediatric Emergency Medicine CollaborativeAug;38(8):e690-5. doi: 10.3928/01477447-20150804-56.Jan;34(1):69-74. doi: 10.1016/j.ajem.2015.09.012. EpubResearch Committee of the American Academy of2015 Sep 21.5. Chaus GW, Carry PM, Pishkenari AK, Hadley-Miller N.Pediatrics PEMCRC; Pediatric Emergency Research inOperative versus Nonoperative Treatment of Displaced2. Mahajan P, Kuppermann N, Tunik M, Yen K, Atabaki SM,the United Kingdom and Ireland PERUKI; ResearchProximal Humeral Physeal Fractures: a Matched Cohort. JLee LK, Ellison AM, Bonsu BK, Olsen CS, Cook L, Kwok MY,in European Pediatric Emergency Medicine REPEM;Pediatr Orthop. 2015 Apr-May;35(3):234-9. doi: 10.1097/Lillis K, Holmes JF; Intra-abdominal Injury Study Group ofPediatric Emergency Care Applied Research NetworkBPO.0000000000000265.the Pediatric Emergency Care Applied Research NetworkPECARN; Pediatric Research in Emergency Departments(PECARN). Comparison of Clinician Suspicion Versus aPediatric NeurosurgeryInternational Collaborative PREDICT; Pediatric EmergencyClinical Prediction Rule in Identifying Children at RiskResearch Networks PERN. Psychosocial Care for Injured1. O’Neill BR, Handler MH, Tong S, Chapman KE. Incidencefor Intra-abdominal Injuries After Blunt Torso Trauma.Children: Worldwide Survey among Hospital Emergencyof Seizures on Continuous EEG Monitoring FollowingAcad Emerg Med. 2015 Sep;22(9):1034-41. doi: 10.1111/Department Staff. J Pediatr. 2016 Mar;170:227-233.e6.Traumatic Brain Injury in Children. J Neurosurg Pediatr.acem.12739. Epub 2015 Aug 20.doi:10.1016/j.jpeds.2015.10.067. Epub 2015 Dec 17.2015 Aug;16(2):167-76. doi: ndriniE,BallardDW,PEDS14263. Epub 2015 May 8.6. Comstock RD, Currie DW, Pierpoint LA, Grubenhoff JA,Norris R, Tzimenatos L, Swietlik M, Tham E, GrundmeierFields SK. An Evidence-Based Discussion of Heading2. Hymel KP, Herman BE, Narang SK, Graf JM, Frazier TN,RW, Kuppermann N, Dayan PS; Pediatric Emergency CareStoiko M, Ch
LEVEL I PEDIATRIC TRAUMA CENTER The Level I Regional Pediatric Trauma and Burn Center at Children’s Hospital Colorado is a large, multi-disciplinary program. We provide timely, comprehensive, cost- . Trauma/Burn Medical Director Trauma/Burn Program Manager Trauma Coordinators Trauma Registrars Staff Assi
KERN COUNTY EMS Kern 1 Kern County Kern Medical Center 1830 Flower Street Bakersfield, CA 93305 Hospital: (661) 326-2161 (Public) Trauma: (661) 326-5658 11/01/2001 California Designated Trauma Centers as of October 2013 Page 3. Appendix E Level I Trauma Center Level I Trauma Center Level II Trauma Center Level I Trauma .
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Behind the Term: Trauma Prepared in 2016 by Development Services Group, Inc., under contract no. HHSS 2832 0120 0037i/HHSS 2834 2002T, ref. no. 283– 12–3702. 1 Behind the Term: Trauma Related terms: complex trauma, historical trauma, human-caused trauma, naturally caused trauma, trauma,
categories of trauma as a framework for trauma assessment. “Little t” trauma “Big T” trauma Complex trauma “Little t” Trauma “Little t” trauma involves events that we encounter day to day that can make life difficult but are not out of the ord
The assessed content included prima - ry survey, secondary survey, airway and ventilation, circulation, shock, thoracic trauma, head/spinal trauma, abdomen/pelvis trauma, musculoskeletal trauma, paediatric trauma, geriatric trauma, obstetric trauma, trans - fer of care, and other course specific inclusions.
Pediatric trauma centers and hospital-based care are only one aspect of a larger trauma system. An . Special planning considerations must be made for pediatric patients based on the availability of pediatric trauma resources within the geographic area that the trauma
Objectives Review current pediatric trauma statistics at UMC/EPCH Understand why children are not small adults Discuss tools to evaluate the pediatric trauma patient How to perform an initial evaluation of the pediatric trauma patient Discuss
The first course, Section 4B75, is Python Programming (1/7/19 – 2/11/19), the second course, Section 4B83, is Big Data Analysis & Visualization (2/11/19 – 3/25/19), and the last course in the series, Section 4B84, is Unix Operating Systems (3/25/19 – 4/29/19). In Python and Unix, it is assumed students have no knowledge of programming or computing. All of these courses will use data sets .
