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Program

TRAUMA, CRITICAL CARE & ACUTE CARE SURGERY 2019
CAESARS PALACE • LAS VEGAS
April 15 – 17, 2019

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Sunday, April 14

7:00 am Registration Opens
MEDICAL DISASTER RESPONSE 2019
Palace Tower, 3rd Floor, Promenade Level
3:00-5:30 pm Early Registration
TRAUMA, CRITICAL CARE, & ACUTE CARE SURGERY 2019
Palace Tower, 4th floor, Emperors Level
Palace Ballroom Registration Desk

Monday, April 15

7:00-8:30 Continental Breakfast Served in Exhibit Hall
7:00 Registration
Palace Tower, 4th floor, Emperors Level

SESSION 1
HOT TOPICS

Moderator: Kenji Inaba

7:30-7:45 TCCACS 2019: Review/Preview
Kenneth L. Mattox
7:45-8:00 Unstable Patient in the ER – Imaging or OR?
Ali Salim
8:00-8:15 REBOA 2019: Where Are We Now?
Joseph J. DuBose
8:15-8:30 Managing Trauma Patients Without Narcotics
Richard A. Sidwell
8:30-8:45 Whole Blood – Greater Than the Sum of Its Parts
Martin A. Schreiber
8:45-9:00 Is Plasma More Than Just Factors? Factor Concentrates Versus Plasma-based Resucitation Strategies
Bellal A. Joseph
9:00-9:15 Is it Time to Rein In Nonoperative Management in Kids and Adults?
Andrew C. Bernard
9:15-9:30 Preventing Orthopedic Infections 2018
Milan K. Sen
9:30-10:00 Panel Discussion
10:00-10:30 Break & Visit Exhibits

SESSION 2
CASE MANAGEMENT

10:30 – 12:00
Moderator: Alison Wilson

Panelists:

Andrew C. Bernard
Demetrios Demetriades
Joseph J. DuBose
Alexander L. Eastman
Ali Salim
Matthew J. Wall, Jr.

SESSION 3
LUNCHEON SESSION

Moderator: Kenneth L. Mattox, MD, FACS

12:00 – 1:30
“Through the Eyes of the Surgeons: Maintaining Autonomy in An Era of Over Regulation”
David B. Hoyt, MD, FACS
Executive Director
American College of Surgeons
Chicago, IL

SESSION 4
HOW I DO IT

Moderator: Matthew J. Martin

1:30-1:40 Stop the Bleed – Nightmare Scenario: IVC Bifurcation
Demetrios Demetriades
1:40-1:55 Necrotizing Soft Tissue Infections – Too Late; Too Little
Robert C. Mackersie
1:55-2:10 Lower Extremity Vascular Injuries Tenets, Tips, and Tricks
Chris Cribari
2:10-2:25 What Incisions Where? Vascular Exposures
Michael J. Sise
2:25-2:40 Burn Care for the Non-Burn Surgeon
Chadwick P. Smith
2:40-2:55 Anterior Abdominal Wall Stab Wounds
Kenji Inaba
2:55-3:20 Panel Discussion
3:20-3:40 Break & Visit Exhibits

SESSION 5
INNOVATION & APPLICATION

Moderator: Andre R. Campbell

3:40-3:55 Extended Use of Ultrasound
David Zonies
3:55-4:10 Advances in Veterinary Medicine Lead to Advances in Trauma Patient Care
Kelly Hall
4:10-4:25 Social Media in Acute Care Surgery
Bellal A. Joseph
4:25-4:40 Bridging the Gap – What’s New in Simulation Training
Elizabeth Benjamin
4:40-5:00 Panel Discussion

SESSION 6
MEET THE MASTERS
TCC & ACS EXCITING OPPORTUNITIES

5:00-6:30
Moderator: Kenneth L. Mattox

  • Required focused or additional training or certification
  • Practice opportunities
  • Satisfaction levels for this area of surgery
  • Research opportunities
  • Ongoing education opportunities
  • New trends in the field

Tuesday, April 16

7:00-8:30 Continental breakfast served in Exhibit Hall

SESSION 7
CRITICAL TRAUMA/CRITICAL CARE TREATMENT

Moderator: Andrew C. Bernard

7:30-7:45 Impact of Rapid Response Team
Alison Wilson
7:45-8:00 ECMO – On the Outside Looking in…Is It Time to Get On Board?
David Zonies
8:00-8:15 Antibiotic Sanity and Insanity in the ICU
Mark J. Kaplan
8:15-8:30 Fungal Infections in the ICU
Carlos V.R. Brown
8:30-8:45 Timing of DVT Prophylaxis in Trauma Patients – Who calls the Shots?
Lynette Scherer
8:45-9:00 Does Rib Fixation Lead to Earlier Extubation?
Joseph J. DuBose
9:00-9:15 What’s New in Ventilation? Nothing — But Let Me Explain
Jay A. Johannigman
9:15-9:30 Non-evacuated Clotted Hemothorax: Fibrolytics, VATS, or Decortication
Matthew J. Wall, Jr.
9:30-10:00 Panel Discussion
10:00-10:30 Break & Visit Exhibits

SESSION 8
HOUDINI SESSION

Moderator: Robert C. Mackersie

10:30-10:45 Mediastinal Traverse
Matthew J. Martin
10:45-11:00 Giant Gastric Ulcer – What Now?
Miguel Cubano
11:00-11:15 Caustic Burns of Upper GI Tract
David M. Notrica
11:15-11:30 Trauma Patient on Three Bad Anticoagulants
Sheldon H. Teperman
11:30-11:45 Severe Necrotizing Pancreatitis
Andrew C. Bernard
11:45-12:00 The Pregnant Trauma Patient
Andre R. Campbell
12:00-12:15 Common Bile Duct Injury – Now What?
Jennifer M. Gurney
12:15-12:30 Panel Discussion

INDEPENDENT SATELLITE LUNCHEON PROGRAM*

12:30 – 2:00
*Independent satellite luncheon program(s) are not accredited by or affiliated with the American College of Surgeons or Trauma, Critical Care & Acute Care Surgery 2019.

SESSION 9
CAPSULE COMMENTARIES – EVOLVING ISSUES AND ANNUAL UPDATES

Moderator: Elizabeth Benjamin

2:00-2:08 Tips and Pitfalls in Measuring Bladder Pressures
Demetrios Demetriades
2:08-2:16 Initial Stabilization of Exremity Fractures
Sydney J. Vail
2:16-2:24 Hybrid Rooms – Are They All They Are Cracked Up To Be?
Matthew J. Wall, Jr.
2:24-2:32 Trauma to the Face – What To Do?
Lynette Scherer
2:32-2:40 Blunt Abdominal Trauma in Children
David M. Notrica
2:40-2:48 Small Bowel Obstruction – How NOT to Diagnose
Scott R. Steele
2:48-2:56 Minimal TBI – Keep or Send?
Bellal A. Joseph
2:56-3:20 Break & Visit Exhibits

SESSION 10
CASE MANAGEMENT SESSION “STRICTLY RURAL”

3:20 – 4:45
Moderator: Jay A. Johannigman

Panelists:

Chris Cribari
Matthew J. Eckert
Col. Stephen C. Rush
Richard A. Sidwell
Lynette Scherer
Alison Wilson

SESSION 11
COMPLICATIONS OF TRAUMA & ACUTE CARE SURGERY

4:45 – 6:30
Moderator: Lynette Scherer

4:45-5:00 Nonocclusive Mesenteric Ischemia
Michael J. Sise
5:00-5:15 Blunt Duodenal Trauma –
A Complication From the “Get Go”
Carlos V. R. Brown
5:15-5:30 Pelvic Fracture Bleeding – Has Zone III REBOA
Changed the Algorithm?
Martin A. Schreiber
5:30-5:45 The Geriatric Trauma Patient – What Can Go Wrong?
Ali Salim
5:45-6:00 The Trauma Patient with Comorbidities
James A. Sebesta
6:00 – 6:30 Panel Discussion

SESSION 12
MEET THE PROFESSOR/DISCUSS THE ISSUES RECEPTION/DANCE

7:00 – 9:30
RECEPTION/DANCE
Augustus Ballroom, Palace Tower, 4th floor

Wednesday, April 17

SESSION 13
HENRY C. CLEVELAND FORUM ON CONTEMPORARY ISSUES IN TRAUMA, CRITICAL CARE & ACUTE CARE SURGERY

Moderator: Michael J. Sise

6:30-8:30 Continental Breakfast Served in Exhibit Hall
7:00-7:15 What are the Risks of Risk Assessment Tools?
Scott R. Steele
7:15-7:30 Pediatric Trauma Patient at Adult Trauma Center – What Next?
David M. Notrica
7:30-7:45 Pre-medication in the Field/EC – Consequences to Patient and Surgical ICU Post Operative Team
Kenji Inaba
7:45-8:00 Unblinding Trauma Center Outcomes
Mark J. Kaplan
8:00-8:30 Panel Discussion

SESSION 14
ANNUAL TRAUMA DEBATE

8:30 – 9:30
Moderator: Alexander L. Eastman

Resolved:

Prehospital TXA is essential to safe and effective care of the trauma patient

Pro Position: Alison Wilson
Con Position: Martin A. Schreiber

9:30-10:00 Break & Visit Exhibits

SESSION 15
WE HAVE MET THE ENEMY, AND “HE IS US”

Moderator: Carlos V.R. Brown

10:00-10:15 PAN Scan – Scan Them ‘Till They Glow
Sydney J. Vail
10:15-10:30 Practice Guildelines – Do They Always Lead You Down the Right Path?
Alexander L. Eastman
10:30-10:45 Heroic Saves in Elderly and Children – Knowing When to Stop
Sheldon H. Teperman
10:45:11:00 Has the General Surgeon Given “The Farm” to the Specialists?
Chris Cribari
11:00-11:25 Panel Discussion

SESSION 16
COMMENTARY ON LESSONS LEARNED

11:25-1:00 Commentary On and Review of Presentations
Kenneth L. Mattox

Future Meeting Dates

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