International Multidisciplinary Conference on THE TREATMENT OF WAR INJURIES 3-4 October 2018 | Ahuzat Sandrine, , Scientific Program Wednesday, October 3, 2018 Morning Session I 08:00-09:00 Registration, Reception & Exhibition 09:00-09:30 Opening remarks Morning Session II - War wounded around the world. Chairpersons: William Schecter M.D, FACS | Vladimir V. Khominets, MD, PhD 09:30-09:45 Extending a helping hand Col. Noam Fink - Commander of Northern Medical Corps. I.D.F 09:45-10:00 Vascular Trauma in Time of War: Increasing William Schecter, MD, FACS - Professor Emeritus of Clinical Technical Capability, Decreasing Clinical Proficiency? Surgery, Emeritus University of California, San Francisco, USA 10:00-10:15 Contemporary military trauma care: Challenges of Vladimir V. Khominets, MD, PhD - Chief of Military Traumatology modern war and Orthopedics, Department of the Military Medical Academy, (Saint Petersburg, Russia) A Colonel of Medical Corps, Russian Army 10:15-10:30 Prevention of infection in combat related trauma: Joseph Hsu, MD - Prof. Carolinas Medical Center, Optimizing of rehabilitation and outcome in lower Dept. of Orthopedics, Charlotte, N.C. USA extremity trauma 10:30-10:45 Blast injury Yaron Bar-Lavie, MD, FCCP, Chairman, Israeli Society of Critical Care Medicine. Chairman, Division of Critical Care Medicine, Rambam Medical Center, , Israel 10:45-11:00 Discussion 11:00-11:15 TBA Guest speaker- TBA 11:15-11:45 Coffee break & Exhibition Morning Session III - Galillee Medical Center- A leading center for treatment of the Syrian war wounded Chairpersons: Dafna Willner MD | Haim Shtarker MD 11:45-12:00 Reconstruction after facial injury Eyal Sela, MD - Head of Otolaryngology Head & Neck Department, Galillee Medical Center 12:00-12:15 Severe gunshot maxillofacial trauma, when & where Samer Srouji, DMD, Ph.D - Head of Oral & Maxillofacial to start? Surgery, Oral Medicine Institute, Medical Center, Nahariya, Israel 12:15-12:30 Severe infected orthopedic injuries Haim Shtarker, MD - Head of Dept. of Orthopedics "A", , Nahariya, Israel 12:30-12:45 Multidisciplinary treatment of extremity injuries Leonid Kogan, MD - Head of Dept. of General Surgery "B", Galilee Medical Center, Nahariya, Israel 12:45-13:00 Dilemma of sutured surgical wounds Mu'adh Faraj, MD - Depty.Director, General Surgery B", Galilee Medical Center, Nahariya, Israel 13:00-13:15 Syria civil war pediatric casualties treated at a single Sweed Yechiel, MD - Head of Dept. Pediatric Surgery, Galilee medical center Medical Center, Nahariya, Israel 13:15-13:30 Discussion 13:30-14:30 Lunch & Exhibition Parallel Sessions Nurses session Chairpersons: Simcha Breznis RN | Smadar Okampo RN See page 3 Neurosurgery session Chairpersons: Lion Levi MD | Guy Rosental MD See page 4 Orthopedic session Chairpersons: Alexander Lerner MD | Igor Kaftanjiev M.D, PhD See page 5 Chairpersons: Joseph Hsu MD | Mikhail Samchukov MD Syrian wounded - asset or burden? Dr. Erez On, 14:30-18:30 CEO The Baruch Padeh Medical Center, Panel discussion with hospital CEOs Poriya, Tiberius, Israel Chairperson: Massad Barhum MD Dr. Massad Barhoum , CEO Galilee Medical Center, Nahariya, Israel Dr. Salman Zarka, CEO, Ziv Medical Center , Sefad, Israel Brigadier General Tarif Bader, MD, M.H.A., MA, Surgeon General of the (IDF) 18:30-18:40 Conclusions The capabilities of the IDF (Israel Defense Force) field hospital intensive care unit and operating room will be presented for the first time.

1 International Multidisciplinary Conference on THE TREATMENT OF WAR INJURIES 3-4 October 2018 | Ahuzat Sandrine, Nahariya, Israel

Thursday, October 4, 2018 Morning Session I 08:00-08:30 Reception & Exhibition 08:30-08:40 Opening remarks Morning Session II - Israeli hospitals catastrophic scenarios Chairperson: Muad Faraj MD, IDF Representative 08:40-10:00 Forum Muad Faraj, Moderator, MD - Galilee Medical Center, Nahariya, Israel // Alex Braslavsky, MD - Ziv Medical Center, Sefad, Israel Milad Caravan, MD - Poriya Medical Center, , Israel // Yoram Kluger, MD - Rambam Medical Center, Haifa, Israel Hani Bahus, MD - Rambam Medical Center, Haifa, Israel // Yoram Klein, MD - , , Israel Meir Liebergall, MD - , , Israel // Mr. Davidson, MD - National Director for IDF representative Minister of Health representative 10:00-10:10 Discussion 10:10-10:30 Guest Speaker TBA 10:30-11:00 Coffee break & Exhibition Morning Session III - Flexible thinking under varying circumstances Chairpersons: Meir Liebergall MD | Gleb Korobushkin MD , PhD. 11:00-11:15 The US opioid epidemic: Lessons for the Joseph Hsu, MD - Carolinas Medical Center, Dept. of Orthopedics, international community Charlotte, N.C. USA 11:15-11:30 Damage control orthopedics in mass casualty Elhanan Bar-On, MD, MPH, Director, Israel Center for Disaster events and disasters Medicine, and Humanitarian Response, Sheba Medical Center at Tel HaShomer, Ramat Gan, Israel 11:30-11:45 The impact of trauma systems on civilian Tarek Razek, MD , FRCSC, FACS - Chief, Division of Trauma Surgery, outcomes - lessons learned and application McGill University, Montreal, Canada Health Centre. Chief, Trauma in areas of humanitarian response to conflict Services, Dept. of Surgery, McGill University, Montreal, Canada 11:45-12:00 Discussion Morning Session IV - Israeli Experience Chairpersons: Elhanan Bar-On MD, MPH | Jack Stolero MD 12:00-12:15 Lessons learned from mass casualty incidence Meir Liebergall, MD - Hadassah Medical Center, Jerusalem, Israel 12:15-12:30 Triage: principles in military medicine Hani Bahus, MD - Head of Trauma Unit, Rambam Medical Center, Haifa, Israel 12:30-12:45 Discussion Morning Session V - Galillee Medical Center: A leading center for treatment of the Syrian war wounded Chairpersons: Yael Ziv MD | Nikola Makhul M.D 12:45-13:00 Penetrating head injuries Jean Sustiel, MD - Head of Dept. of Neurosurgery, Galilee Medical Center, Nahariya, Israel 13:00-13:15 Minimally invasive & percutaneous treatment Nimrod Rahamimov, MD - Head, Dept. of Orthopedics B & Spine of penetrating spine injuries Surgery, Galilee Medical Center 13:15-13:30 Ethical considerations in coping with treating Ze’ev Zonis, MD - Head, Pediatric Intensive Care Unit, Galilee Medical Syrian patients Center, Nahariya, Israel 13:30-13:45 Discussion 13:45-14:30 Lunch & Exhibition Parallel Sessions Orthofix workshop TL-trauma tibial midshaft fracture reduction using Ras See page 6 Chairpersons: Haim Shtarker MD | Mikhail Samchukov MD 14:30-18:00 Facial trauma symposium - CMF session INSTITUTE See page 7 Chairperson: Samer Srouji MD Military and paramedic Chairperson: Muad Faraj MD, IDF Representative See page 8 General surgery Chairpersons: William Schecter M.D, FACS | Igor Waksman MD See page 9 Tarek Razek MD

2 International Multidisciplinary Conference on THE TREATMENT OF WAR INJURIES 3-4 October 2018 | Ahuzat Sandrine, Nahariya, Israel Nurses Session Wednesday, October 3, 2018

Agenda Chairpersons: Simcha Breznis RN | Smadar Okampo RN Opening Remarks - Tsvi Sheleg, MD, Deputy Director Galilee Medical Center 14:30 – 14:45 How an operating room team in an outlying hospital cope Larissa Zeidman, Deputy OR Nurse, Kaplan Hospital, with the fatally wounded following a terrorist attack Rechovot, Israel

14:45 – 15:00 Negative pressure treatment in trauma patients Sima Ben Shitrit MA RN, Wound and Burn Treatment Co-ordinator, Rambam Medical Center, Haifa, Israel

15:00 – 15:15 Sciatic bone transplant in a Syrian patient Mouflah Hib Abu Rachma Sali,Paediatric Surgery RN, Galilee Medical Center, Nahariya, Israel

15:15 – 15:30 Inpatient rehabilitation treatment for upper limb war Marwa Nahas M.Sc, Galilee Medical Center, injuries in Syrian patient Nahariya, Israel

15:30 – 15:45 Treatment of the war wounded – case study Sivan Shlomo,

15:45 – 16:00 Physiotherapy challenges in treatment of Syrian war Asaf Pompar, Physiotherapist, Galilee Medical wounded Center, Nahariya, Israel 16:00 – 16:15 Coffee break

16:15 – 16:30 Treating Syrian wounded – perspective of an OR nurse Simcha Breznis, Senior OR Nurse, Galilee Medical Center, Nahariya, Israel

16:30 – 16:45 War wounded Marina Goyzman, BA RN, Paediatric Surgery Dept., Galilee Medical Center, Nahariya, Israel

16:45 – 17:00 The stories behind the news Elena Gurevitz, BA RN, Paediatric Intensive Care, Galilee Medical Center, Nahariya, Israel

17:00 – 17:15 The social worker as a treatment manager for Syrian Inas Shaaban, Najla Masri MSW patients Hana Solomon MSW, Galilee Medical Center, Nahariya, Israel

17:15 – 17:30 Treatment of Syrian wounded – ethical and professional Marva Abu Taya, Paulina Weiner, Orthopedic aspects Nurses, Poriya Medical Center, Tiberius, Israel

17:30 – 17:45 From illness to recovery Oded and Adam, Lulu and Kerambola, Medical Clowns

17:45 – 18:00 Bridges of love Smadar Ocampo, BN, BsN, Senior Paediatric Surgery Nurse, Galilee Medical Center, Nahariya, Israel

3 International Multidisciplinary Conference on THE TREATMENT OF WAR INJURIES 3-4 October 2018 | Ahuzat Sandrine, Nahariya, Israel Neurosurgery Session Wednesday, October 3, 2018

Agenda Chairpersons: Leon Levi MD | Guy Rosental MD

Opening Remarks - Jean F. Soustiel,Department of Neurosurgery, Galilee Medical Center, Azrieli Faculty of Medicine, Bar Ilan University, Nahariya 14:35 – 14:40 Session Introduction Ygal Shoshan, MD - Head, Department of Neurosurgery, Hadassah Medical Center, Jerusalem, Israel

14:40 – 15:00 History of medical evacuation from the battle field: Moshe Feinsod, Professor Emeritus, Technion, Haifa, From the “ambulante” of Baron Larrey to contemporary Israel airlift medivac

15:00 – 15:20 Complex craniofacial penetrating head injuries from Samuel Tobias, MD - Deputy Director Department the Syria civil war of Neurosurgery, Galilee Medical Center, Nahariya, Israel

15:20 – 15:40 The impact of airlift medical evacuation on war casualties Nachshon Knoler, MD - Department of and in-hospital morbidity and mortality: The lessons Neurosurgery, Sheba Medical Center, Tel Hashomer, of the Lebanese wars Israel

15:40 – 16:00 Vascular cerebral lesions caused by penetrating head Yigal Shoshan, MD - Head, Department injuries and their management of Neurosurgery, Hadassah Medical Center, Jerusalem, Israel 16:00 – 16:30 Coffee break

16:30 – 16:50 Neurointensive care management: The challenge of Guy Rosenthal, MD - Director, Neurosurgical penetrating brain injuries Intensive Care Unit, Department of Neurosurgery, Hadassah Medical Center, Jerusalem, Israel

16:50 – 17:10 Bacteria without borders: Carriage and CNS infections Danny Glikman, MD - Pediatric Infectious Diseases caused by multi-drug resistant bacteria in Syrian children Unit, Galilee Medical Center, Nahariya, Israel hospitalized in Israel

17:10 – 17:30 Conservative strategy for management of shrapnel head Leon Levi, Department of Neurosurgery, Rambam injuries for reduction of parenchymal damage is not Medical Center, Haifa, Israel associated with increased CNS infections: Lessons of the Lebanon conflict 17:30-17:40 Closing Remarks

4 International Multidisciplinary Conference on THE TREATMENT OF WAR INJURIES 3-4 October 2018 | Ahuzat Sandrine, Nahariya, Israel Orthopedic Session Wednesday, October 3, 2018

Agenda Chairpersons: Alexander Lerner MD | Igor KaftanjievM.D, PhD

Opening Remarks - 14:30-14:40 Prevention of infection of combat related trauma Joseph Hsu, MD - Carolinas Medical Center, Dept. of Orthopedics, Charlotte, N.C. USA

14:40-14:50 Soft tissue reconstruction of combat related injuries Joseph Hsu, MD - Carolinas Medical Center, Dept. of Orthopedics, Charlotte, N.C. USA 14:50-15:00 Discussion

15:00-15:10 Ilizarov principles of bone defect management Mikhail Samchukov, MD - Head of Division Orthopaedic Research, Texas Scottish Rite Hospital, Dallas, Texas, USA

15:10-15:20 Acute shortening Alexander Lerner, MD - Director, Dept. of Orthopedic Surgery, Ziv Medical Center, Sefad, Israel

15:20-15:30 Cable bone transport Haim Shtarker, MD - Galilee Medical Center, Nahariya, Israel

15:30-15:40 Vascular fibular graft Arik Zaretzsky, MD - Department of Reconstructive and Aesthetic Surgery, Medical Center, Israel 15:40-15:50 Discussion 16:00-16:15 Coffee break & Exhibition Chairpersons: Joseph Hsu MD | Mikhail Samchukov MD 16:15-16:25 Muscle transfer Amin Abu Jabal, MD - Galilee Medical Center, Nahariya, Israel

16:25-16:35 The role of Nuclear Medicine in Post-traumatic Elite Arnon-Sheleg , MD - Head of Nuclear Medicine Dept. Osteomyelitis in Syrian casualties Galilee Medical Center, Nahariya, Israel 16:35-16:45 Discussion

16:45-16:55 Small bone fractures in major trauma. What should Gleb Korobushkin, MD - Russian State Medical University, be done with foot trauma? Department of Traumatology, Orthopedic surgery and Military Medicine

16:55-17:05 Our experience in the treatment of patients with Vladimir V. Khominets, MD, PhD gunshot wounds of long bones

17:05-17:20 The Syrian war wounded Saker Khamaisy, MD - Orthopedic Surgeon, Poriah Medical Center, Tiberia, Israel

17:20-17:35 Treatment of upper limb nerve injuries Sorin D. Iordache, MD - , Petach Tikva, Israel

5 International Multidisciplinary Conference on THE TREATMENT OF WAR INJURIES 3-4 October 2018 | Ahuzat Sandrine, Nahariya, Israel Orthofix Session Thursday, October 4, 2018

Agenda Chairpersons: Haim Shtarker MD | Mikhail Samchukov M.D

Opening Remarks 14:00-15:00 Orthofix workshop TL-trauma tibial midshaft Mikhael Samchukov, MD - Head of Division Orthopaedic fracture reduction using Ras Research, Texas Scottish Rite Hospital, Dallas, Texas, USA Haim Shtarker, MD - Head of Dept. Orthopaedic Surgery A Galilee Medical Center, Nahariya, Israel. Congress Chairperson

15:00-15:30 TL-Hex tibial midshaft malunion: Frame application Mikhael Samchukov, MD - Head of Division Orthopaedic and data acquisition Research, Texas Scottish Rite Hospital, Dallas, Texas, USA 15:30-15:45 Coffee break

15:45-16:45 TL-Hex tibial midshaft malunion: Deformity Mikhael Samchukov, MD - Head of Division Orthopaedic correction Research, Texas Scottish Rite Hospital, Dallas, Texas, USA

16:45-17:30 Hex Ray Introduction: Paper lab Mikhael Samchukov, MD - Head of Division Orthopaedic Research, Texas Scottish Rite Hospital, Dallas, Texas, USA

17:30-17:40 Conclusions Haim Shtarker, MD - Head of Dept. Orthopaedic Surgery "A" Galilee Medical Center, Nahariya, Israel. Congress Chairperson

6 International Multidisciplinary Conference on THE TREATMENT OF WAR INJURIES 3-4 October 2018 | Ahuzat Sandrine, Nahariya, Israel Facial Trauma Symposium CMF Session - October 4, 2018

INSTITUTE International Faculty

Dr. Majeed Rana Dr. Agnes Jedig Vice Director of Dept. Oral & Maxillofacial Surgery Dept. Oral & Maxillofacial Surgery, Düsseldorf, Germany Klinik für Mund, Düsseldorf, Germany Local Faculty

Dr. Ran Yahalom Prof. Adi Rachmiel Prof. Samer Srouji Head of Dept. Head of Dept. Head of Dept. Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery Chair Sheba Medical Center Rambam Medical Center Galilee Medical Center

Agenda Chairperson: Samer Srouji MD Session 1: Clinical & Decision-Making Review 14:30 – 14:35 Welcome & objectives of the CMF Session S. Srouji 14:35 - 14:55 Primary orbital reconstruction after trauma M. Rana 14:55 - 15:15 Facial penetrating injuries R. Yahalom 15:15 - 15:35 Transoral endoscopic assisted condylar fracture treatment A. Jedig 15:35 - 15:55 Management of Panfacial Fractures A. Rachmiel 15:55 - 16:15 Primary & secondary mid-facial recon after trauma using PSI M. Rana 16:15 – 16:35 Coffee Break Session 2: Workshop “Advanced Midface Reconstruction” 16:35 - 17:20 PSI planning webinar with Materialize / Orbital recon demonstration with Matrix 17:20 - 17:25 Groups Rotation 17:25 - 18:05 PSI planning webinar with Materialize / Orbital recon demonstration with Matrix *PSI: S. Srouji & M. Rana **Recon: R. Yahalom, A. Rachmiel & A. Jedig Session 3: Panel Discussion 18:05 - 18:20 Future of PSI in maxillofacial trauma treatment All Faculty 18:20 – 18:35 Take home messages & closing remarks

7 International Multidisciplinary Conference on THE TREATMENT OF WAR INJURIES 3-4 October 2018 | Ahuzat Sandrine, Nahariya, Israel General Surgery Session Thursday, October 4, 2018

Agenda Chairpersons: William Schecter M.D, FACS | Igor Waksman MD | Tarek Razek MD

Opening Remarks: Eli Kakiashvili, MD | Moderators: William Schecter, Igor Waksman, Tarek Razek. 14:30-14:45 Enteroatmospheric Fistula-A Strategy for William Schecter, MD, FACS - University of California, USA Management

14:45-15:00 Training teams to work in areas of conflict – Tarek Razek, MD, MGH - University of McGILL, Montreal, Canada the dilemma of over specialization

15:00-15:30 Controversies in the Management of Acute William Schecter, MD, FACS - University of California, USA Pancreatitis

15:30-15:45 The role of thoracotomy in resuscitation vs the Tarek Razek, MD - MGH, University of McGILL, Montreal, Canada emerging role of REBOA

15:45-16:00 The Syrian conflict: care of abdominal trauma in Amitay Bikel, MD - Galilee Medical Center, Nahariya, Israel patients with delayed arrival Kostya Akinichev MD, Galilee Medical Center, Nahariya, Israel

16:00-16:15 Experience of Rivka Ziv Medical Center In the Anton Kvasha, MD - Rivka Ziv Medical Center, Zfat, Israel management of Syrian military trauma patients 16:15-16:30 Coffee break

16:30-16:45 Selective conservative management of Muad Farage, MD - Galilee Medical Center, Nahariya, Israel penetrating abdominal injuries due to military conflict who presented with delayed evacuation

16:45-17:00 Use of REBOA in military setting: where we are Boris Kessel, MD - Hillel Yaffe Medical Center, , Israel now?

17:00-17:15 When a vehicle becomes a weapon: Experience of Miklosh Balam, MD - Hadassa Medical Center, Jerusalem, Israel Hadassah Medical Center in the management of terror victims

17:15-17:30 Severe ocular injuries in low intesity combat and Guy Ben Simon, MD & Daphna Prat, MD - Opthamology the possible role of protective eye wear Department, Sheba Medical Center, Ramat Gan, Israel

17:30-17:45 Treatment of penetrating intraocular injuries Eliezer Krauz, MD - Opthalmology Department, Galilee Medical among Syrians evacuated to the Galilee medical Center, Nahariya, Israel Center

17:45-18:00 Five years’ experience in traumatic orbit injuries Reli Ovadia, MD - Opthalmology Department, Galilee Medical from the Syrian War Center, Nahariya, Israel 18:00-18:10 Discussions

18:10-18:15 Closing remarks Eli Kakiashvili, MD, Galilee Medical Center, Nahariya, Israel

8 International Multidisciplinary Conference on THE TREATMENT OF WAR INJURIES 3-4 October 2018 | Ahuzat Sandrine, Nahariya, Israel Trauma Military and Paramedic Thursday, October 4, 2018

Agenda Chairpersons: Zakhar Bramnik MD | Jacob Hen MD

14:35-14:40 Session introduction Mu'adh Faraj, MD - Deputy Director of General Surgery B Dept. Galilee Medical Center, Nahariya, Israel

14:40-15:00 Pre-hospital airway management, case Jacob Rotshild, MD, IDF presentation

15:00-15:20 Airway intervension in the Israel Forces- The Need Jacob Chen, MD for Paradigm Change Head of TCMB Trauma and Combat Medicine Branch, IDF, Israel 15:20-15:40 Pre-hospital airway management Magen David Adom, Israel 15:40-16:00 Discussion 16:00-16:30 Coffee break

16:30-16:50 Treatment of syrian war casualties in GMC Bar Haim Ronit, MD - Senior Surgery B Dept, Galilee Medical Center

16:50-17:10 TopClosure® of large abdominal wall defect Andrei Fedorenko, MD - Senior general surgery Dept. instead of staged hernia repair as part of damage Rivka Zieff, Medical Center, Sefad, Israel control laparotomy 17:10-17:30 Discussion 17:30 Closing remarks

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