76th Annual Meeting of the American Association for the Surgery of Trauma and Clinical Congress of Acute Care Surgery September 13 - September 16, 2017 BALTIMORE MARRIOTT WATERFRONT BALTIMORE, MD HISTORICAL BACKGROUND AAST The American Association for the Surgery of Trauma started with conversations at the meetings of the Western Surgical Association and Southern Surgical Association in December, 1937. The 14 founders, who were present at one or both of these meetings, sub- sequently invited another 68 surgeons to a Founding Members meeting in San Francisco on June 14, 1938. The first meeting of the AAST was held in Hot Springs, Virginia, in May, 1939, and Dr. Kellogg Speed’s first Presidential Address was published in The American Journal of Surgery 47:261-264, 1940. Today, the Association holds an annual scientific meeting, owns and publish- es The Journal of Trauma and Acute Care Surgery, initiated in 1961, and has over 1,300 members from 30 countries. American Association for the Surgery of Trauma (AAST) Annual Meeting of AAST and Clinical Congress of Acute Care Surgery Learning Objectives and Outcomes This activity is designed for surgeons. Upon completion of this program, participants will be able to: • Exchange knowledge pertaining to current research practices and training in the surgery of trauma. • Design research studies to investigate new methods of preventing, correcting, and treating acute care surgery (trauma, surgical critical care and emergency surgery) injuries. CONTINUING MEDICAL EDUCATION CREDIT INFORMATION Accreditation This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Surgeons and American Association for the Surgery of Trauma. The American College of Surgeons is accredited by the ACCME to provide continuing medical education for physicians. AMA PRA Category 1 Credits™ - Annual Meeting The American College of Surgeons designates this live activity for a maximum of 31.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Of the AMA PRA Category 1 Credits™ listed above, a maximum of 17.00 credits meet the requirements for Self-Assessment. Of the AMA PRA Category 1 Credits™ listed above, a maximum of 14.75 credits may qualify as Trauma.* Of the AMA PRA Category 1 Credits™ listed above, a maximum of 2.00 credits may qualify as Surgical Critical Care.* Of the AMA PRA Category 1 Credits™ listed above, a maximum of 4.50 credits may qualify as Pediatric Trauma.* * The content of this activity may meet certain mandates of regulatory bodies. ACS has not and does not verify the content for such mandates with any regulatory body. Individual physicians are responsible for verifying the content satisfies such requirements. i Educational Grants American Association for the Surgery of Trauma wishes to recognize and thank the following companies for their ongoing support : Siemens Medical Solutions – the Hybrid OR Tour and Webinar InfoTech – Multi-Institutional Trials Committee Presession – “From Application to Publication – Developing a Successful AAST Multi-Institutional Trial” Systems Management, Inc. ii AMERICAN COLLEGE OF SURGEONS | DIVISION OF EDUCATION Blended Surgical Education and Training for Life JOINT SPONSORSHIP PROGRAM Disclosure Information 76th Annual Meeting of AAST and Clinical Congress of Acute Care Surgery September 13-16, 2017 Baltimore, MD In accordance with the ACCME Accreditation Criteria, the American College of Surgeons, as the accredited provider of this activity, must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. Therefore, it is mandatory that both the program planning committee and speakers complete disclosure forms. Members of the program committee were required to disclose all financial relationships and speakers were required to disclose any financial relationship as it pertains to the content of the presentations. The ACCME defines a ‘commercial interest’ as “any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients”. It does not consider providers of clinical service directly to patients to be commercial interests. The ACCME considers “relevant” financial relationships as financial transactions (in any amount) that may create a conflict of interest and occur within the 12 months preceding the time that the individual is being asked to assume a role controlling content of the educational activity. ACS is also required, through our joint sponsorship partners, to manage any reported conflict and eliminate the potential for bias during the activity. All program committee members and speakers were contacted and the conflicts listed below have been managed to our satisfaction. However, if you perceive a bias during a session, please report the circumstances on the session evaluation form. Please note we have advised the speakers that it is their responsibility to disclose at the start of their presentation if they will be describing the use of a device, product, or drug that is not FDA approved or the off-label use of an approved device, product, or drug or unapproved usage. The requirement for disclosure is not intended to imply any impropriety of such relationships, but simply to identify such relationships through full disclosure and to allow the audience to form its own judgments regarding the presentation. Nothing Disclosure Presenter to Disclose Company Role Received Aaron Marcos Strumwasser No Aaron Strumwasser No Abid D Khan No Adam Embree Dowell No Adele P Williams No Adil H Haider No Adrian Maung No Akinori Osuka No Alberts Federico Garcia No Depuy- Alec C. Beekley Yes Synthes Teaching/Consulting Teaching Fees Alessandro Orlando No Alexander Axelrad, MD No Alexander Eastman Yes Z Medica Speaker Travel Support iii Alexis L Lauria No Alyssa Tutunjian No Ambar Mehta No Amy J. Goldberg No Amy Rushing, MD, FACS No Andre Campbell, MD No Andrew Bernard No Andrew Kerwin No Andrew Peitzman No Angela M. Ingraham No Anna Liveris No Anna Mullenix Knight No Anthony Chan No Anupamaa Seshadri No Anuradha Subramanian No Aravind K Bommiasamy No Ari Leppaniemi, MD, PhD No Atsushi Shiraishi No Bellal Joseph, MD No Ben Zarzaur, Jr. No Benjamin Cragun No Bobby Darnell Robinson No Brandon Bruns No Brendan C. Visser No Brian Eastridge No Brian Thomas Bentley No Brian Williams No Bruce Crookes No US Department Of Defense - Independent Bryan C Morse Yes SC2i contractor Salary Bryce E Haac No Bryce N. Taylor No Carlos Alberto Ordoaez Delgado No iv Carlos V.R. Brown No Carrie Sims No Casey T Walk No Catherine E Sharoky No Charles Adams No Charles DiMaggio No Charles Patrick Shahan No Charles Townsend Harris No Charlotte Mary Rajasingh No Chistoph Josten No Chris Cribari No Chris Newton No Christine Gaarder No Christine M Leeper No Christopher B Horn No Christopher Dente No Christopher James Tignanelli No Christopher Michetti No Clay Cothren Burlew No Clement Douglass Marshall No Colin Gerard DeLong No Colston Edgerton No Cordelie E Witt No Dan Bonville No Isomark, LLC, Chief Scientific Daniel E Butz Yes Madison, WI Officer Salary Daniel Grabo No Daniel Holena No Daniel Lewis Golden No Darwin Ang No David A. Spain No David B. Hoyt No David Efron, MD No David Feliciano No v David Harrington No David J Ciesla No David King No David Livingston, MD No David Skarupa No David Williams No David Zonies No Salary Support through University of Maryland Scool of Medicine; Travel USAF-Grand; Principle reimbursement Decisio Investigator/ Co-PI; should that Deborah Stein, MD, MPH Yes Health, Inc. Advisor occur Demetrios Demetriades, MD, PhD No Denis Bensard, MD No Dennis Yong Kim No Derek Jason Roberts No Devin B Gillaspie No Donald Jenkins No Edward Cornwell III No Edwin Robert Faulconer No Eileen Bulger No Eleanor Winston No Elinore Juliana Kaufman No Elizabeth Benjamin No Elizabeth Padgett Scherer No Elliott Haut, MD, PhD No Emilie Joos No Isomark, LLC, Emily A Breunig Yes Madison, WI Employment Salary Eric H Bradburn No Eric J Ley No Erik Barquist, MD No Erik Scott DeSoucy No vi Erika Rangel No Erin C. Hall No Independent Research Ernest Moore, MD Yes Haemonetics Contractor support Faisal Jehan No Forest Sheppard No Forrest Bryan Fernandez No Franchesca Hwang No Fred Luchette No Frederick B Rogers No DePuy Speaker and Fredric Michael Pieracci Yes Synthes Teaching Honoraria Gail T Tominaga No George Velmahos No Gilead Gina M Simoncini Yes Sciences, Inc FOCUS Program Grant Funding Goro Tajima No Grace Rozycki No Grant O'Keefe, MD No Grant Vincent Bochicchio Yes Optiscan Investigator Trial Funding Gregory J. Jurkovich No Gregory John Roberts No Gregory Victorino No Hasan Alam, MD No Hayato Kurihara No Heena Santry No Hitoshi Yamamura No Ian Elliott Brown No Iver Anders Gaski No J. David Richardson No Jacob B. Avraham No Jacob Watkin Roden- Foreman No James Davis No vii James Hoth No James M Bardes No James P Byrne No Jamie Coleman No Jana B.A. MacLeod No Jason A. Brocker No Jason D Sciarretta No Jason L. Sperry No Jason Smith No Jay Doucet No Jay Menaker No Jeffrey A Claridge No Jeffrey T Howard No Jennifer Smith No Jenny Michelle Held No Author- Extremity Royalties paid Jeremy Cannon Yes UpToDate Injuries and REBOA to UPENN Jeremy Levin Holzmacher No Jerry Fortuna, MD No Jessica Lee Weaver No Jessica Lynn Gross No Jessica M. Louie No Jill Watras No Joao B Rezende-Neto No Joaquim Havens No Joelle Getrajdman No John Agapian No John Andrew Harvin No viii Prytime medical; Decisio Health; Chief Medical Teurmo BCT; Officer; Founder Thermal and Board Logistics Member; John B Holcomb Yes Solutions consultant; Salary; Stock John Como No John Fildes No John Francis Bilello No John Harvin No John W Scott No Jon Simmons No Jonathan Groner, MD No Jonathan P.