Optimal Outcomes for Every Injured Patient” Celebrating 35 Years (1985-2020)
Total Page：16
File Type：pdf, Size：1020Kb
24th Annual PTSF Fall Conference “Optimal Outcomes for every Injured Patient” Celebrating 35 years (1985-2020) MONDAY, OCTOBER 19, 2020 8:00 AM Welcome and PTSF update . Meg Ashton, RN, BSN, MHA – PTSF Board Chair/ Trauma Program Manager, St. Mary Medical Center . Juliet Altenburg, RN, MSN—Executive Director Pennsylvania Trauma Systems Foundation Camp Hill, PA 8:15 AM Grief, Coping, and New Possibilities: Engaging COVID’s “New Normal” All of us are feeling the impact of COVID-19 professionally and personally in every facet of our lives. In this session the Hershey Medical Center team will touch on how the global pandemic is affecting our emotional health and will share best practices for supporting ourselves and others through this challenging time. Michael Hayes, PhD—Assistant Professor of Psychiatry Penn State Health Milton S. Hershey Medical Center Hershey, PA . Kelly Holder, PhD—Director, Office for Professional Mental Health Penn State College of Medicine Hershey, PA . David B. Simmons, DMin, MHA, BCC—Director, Department of Pastoral Care Penn State Health Milton S. Hershey Medical Center Hershey, PA 9:30 AM Break 9:40 AM 7th Annual PTOS Trauma Research Session This annual discussion features trauma researchers who utilize PTOS data from the PTSF central site database for their research studies. These studies offer attendees an opportunity to learn about these innovative research studies, and how this trauma research will impact care at the Commonwealth’s trauma centers. WELCOME & RESEARCH COMMITTEE OVERVIEW . Stanislaw Stawicki, MD—Chair, PTSF Trauma Research Committee Professor of Surgery and Chair, Department of Research & Innovation St. Luke’s University Health Network DISCUSSANTS . Daniel N. Holena, MD, MCSE, FACS, University of Pennsylvania . Adrian Ong, MD, Reading Hospital . Asanthi Ratnasekera, DO, FACS, Crozer-Keystone Health System . Stanislaw Stawicki, MD PTOS COMPLETED RESEARCH FINALISTS 9:50 AM Changes in Pennsylvania Trauma Outcomes Over Time . Presenter/2019 Grant Award Winner: Elinore J. Kaufman, MD, MSHP, Penn Presbyterian Medical Center DISCUSSANT: Asanthi Ratnasekera, DO Page 1 of 12 24th Annual PTSF Fall Conference “Optimal Outcomes for every Injured Patient” Celebrating 35 years (1985-2020) 10:05 AM Limb Salvage After Fasciotomy in Penetrating Vascular Extremity Injuries . Sirivan Seng, MD—presenting author Crozer-Keystone Health System, Upland, PA DISCUSSANT: Stanislaw Stawicki, MD 10:20 AM Trauma Center Activity and Surge Response During the Early Phase of the COVID-19 Pandemic—the Philadelphia Story . Jeremy W. Cannon, MD—presenting author, Penn Presbyterian Medical Center DISCUSSANT: Asanthi Ratnasekera, DO 10:35 AM The Homeless Population: Medical Refugees in a Mature Trauma System . Edward Skicki, DO—presenting author, Lancaster General Health DISCUSSANT: Stanislaw Stawicki, MD 10:50 AM Repeat Imaging of Blunt Splenic Injuries by Standard Protocol Identifies Early Complications . Lindsey L. Perea, DO—presenting author, Penn Medicine – Lancaster General Health DISCUSSANT: Adrian Ong, MD 11:05 AM Disparities in Rural vs. Urban Field Triage: Risk and Mitigating Factors for Undertriage . Joshua B. Brown, MD—presenting author, UPMC Presbyterian DISCUSSANT: Daniela Holena, MD 11:20 AM Break 11:30 AM 7th Annual PTOS Trauma Research Session—continues PaATS/PTSF PINA TEMPLETON INJURY PREVENTION RESEARCH COMPETION Award Overview: Stanislaw Stawicki, MD 11:30 AM Elderly Falls within York County, PA: Prevention Disparity . Kaitlyn Bechtel, BS, RN, WellSpan York Hospital . DISCUSSANT: Asanthi Ratnasekera, DO 11:45 AM Bleeding Control in Our Local Schools . Loreen Evans, MSN, RN, CCNS, CEN, TCRN, Crozer-Keystone Health System . DISCUSSANT: Daniel Holena, MD 12:00 PM Research Award Presentations 12:15 PM Break Page 2 of 12 24th Annual PTSF Fall Conference “Optimal Outcomes for every Injured Patient” Celebrating 35 years (1985-2020) 1:00 PM Identifying and Addressing Delirium: Confusion Assessment Measure-ICU . Erin L. Hall, PsyD—Clinical Psychologist Trauma Surgery & Critical Care Medicine Geisinger Medical Center Danville, PA This session addresses the importance and challenge of correctly identifying and addressing delirium. It will further explore this complex syndrome and the improvement of outcomes in the trauma population with targeted prevention efforts and improved identification. 2:00 PM Break 2:10 PM Hospital Event V-A-P: Easy as 1-2-3 . Kimberly Shoff, BSN, RN, CCRN-K—Trauma/Clinical Performance Improvement Coordinator WellSpan Health – WellSpan York Hospital York, PA . Gabrielle Wenger, RHIT, CAISS, CSTR, CPC—Trauma Registry Auditor Pennsylvania Trauma Systems Foundation Camp Hill, PA This session addresses the importance and challenge of correctly identifying Hospital Events while targeting Ventilator- Associated Pneumonia (VAP). Results of the PTSF PIPS Committee Occurrence Reporting Work Group 2019 VAP survey will be discussed; lessons learned are shared. This includes review of the VAP definition and use of a checklist to support event reporting. Includes audience participation by polling for each scenario and live Q&A throughout the presentation. 3:25 PM Break 3:35 PM Pediatric Imaging Update . Barbara A. Gaines, MD—Associate Surgeon-in-Chief UPMC Children’s Hospital of Pittsburgh Pittsburgh, PA 4:35 PM Conference closes for the day Page 3 of 12 24th Annual PTSF Fall Conference “Optimal Outcomes for every Injured Patient” Celebrating 35 years (1985-2020) TUESDAY, OCTOBER 20, 2020 8:30 AM Whole Blood in Trauma: Developing a LTOWB Program at Your Center . George Koenig, DO, MS, FACS—Trauma Program Medical Director Jefferson Health – Jefferson University Hospitals Thomas Jefferson University Hospital Philadelphia, PA This session highlights current literature on blood replacement therapy, the benefits of low titer whole blood in trauma patients, and efficiency benefits of transfusing whole blood versus component therapy. Content includes lessons learned from developing a low titer whole blood transfusion program at an academic trauma center. This trauma program management session gives attendees the opportunity to ask questions in an open Q&A forum. 9:30 AM Break 9:40 AM Trauma Center Mentor & Mentee Collaboration: How to Make it Work . Peter Thomas, DO—Trauma Program Medical Director . Rebecca Wilde-Onia, MSN, RN, CCRN—Trauma Program Manager St. Luke’s University Health System – St. Luke’s University Hospital Bethlehem Campus Bethlehem, PA . Stephanie Noll, MSN, RN, CNL—Trauma Program Coordinator St Luke’s University Health System – St Luke’s Hospital Lehighton Campus Pursuing level four trauma accreditation Lehighton, PA Collaborating in Trauma Center development and maturation can be complex. This session offers a system-wide perspective on relationship best-practices, including lessons learned. Content includes mentor/mentee agreements, application, and performance improvement review. This trauma program management session gives attendees the opportunity to ask questions in an open Q&A forum. 10:40 AM Break 10:50 AM Performance Improvement Tools: Nelson and NFTI . Robbie Dumond, MHA, BSN, TCRN, AEMT—Senior Director of Trauma and Burn Services University of Colorado Hospital Aurora, CO Performance Improvement is a key element of a Trauma Program’s success. Evaluation of Triage and Non-Surgical Service Admissions are two components of a robust PI program. This session highlights two tools utilized to effectively evaluate these metrics. The Nelson and Need for Further Trauma Intervention (NFTI) Tools will be described including best-practice and scenario discussions. This session gives attendees the opportunity to ask questions in an open Q&A forum. 11:50 AM “Virtual Lunch Break” Page 4 of 12 24th Annual PTSF Fall Conference “Optimal Outcomes for every Injured Patient” Celebrating 35 years (1985-2020) 12:30 PM PaCOT Resident Trauma Papers Competition MODERATED BY: Forrest Fernandez, MD, FACS—Section Chief, Trauma & Acute Care Surgery; PaCOT Chair Grand View Health – Grand View Hospital Sellersville, PA 12:35 PM Risk Factors Associated with Need for Neurosurgical Intervention in Geriatric Patients with Traumatic Intracranial Hemorrhage Presenting as GCS 13-15 . Presenter: Puja Patel, DO (PGY-2) Lehigh Valley Health Network Allentown, PA . Discussant: Forrest B. Fernandez, MD, FACS—Grand View Health – Grand View Hospital, Sellersville, PA 12:47 PM Obesity is Associated with Longer ICU Stay and Mechanical Ventilation in Transferred Rural Trauma Patients . Presenter: Melissa Linskey Dougherty, MD (PGY-5) PennState Health –Milton S. Hershey Medical Center Penn State University College of Medicine Hershey, PA . Discussant: P. Jason Granet, MD—Guthrie Robert Packer Hospital, Sayre, PA 12:59 PM Adult Trauma Patients with Autism Spectrum Disorder: A Case-Control Study to Evaluate Outcomes After Injury . Christopher J. McLaughlin, MD (PGY-2) PennState Health –Milton S. Hershey Medical Center Penn State University College of Medicine Hershey, PA . Discussant: P. Jason Granet, MD—Guthrie Robert Packer Hospital, Sayre, PA 1:11 PM Disproportionately Affected and Underinsured: Trauma and Violence in Young African American and Latino Men Extend Beyond Major Urban Centers . Nakosi Stewart, MD (PGY-2) St. Luke’s University Hospital Bethlehem, PA . Discussant: Mark J. Seamon, MD, FACS—Penn Medicine – Penn Presbyterian Medical Center, Philadelphia, PA 1:23 PM A Dedicated Trauma Floor Decreases Emergency Department Length of Stay for Trauma Patients . Christopher Thacker, MD (PGY-2) Geisinger Medical Center