May 23-24, 2019 Presented by: Institute of Continuing Education for Nurses, Department of Nursing LAC+USC Medical Center 26 th Annual USC National Trauma, Emergency Surgery and Acute Care Symposium Langham Huntington Pasadena, CA Eli g ible f or Ame r i c an Boa r d of S ur g e r y (ABS)-M O C self-assessment c r edit maxi m um of 17.5 AMA P R P P A R R Ca t e g e o r y 1 C r r edits™
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May 23-24, 2019
Presented by:
Institute of Continuing Education for Nurses, Department of Nursing LAC+USC Medical Center
26th AnnualUSC National Trauma, Emergency Surgery andAcute Care Symposium
Langham HuntingtonPasadena, CA
Eligible forff r American Board off
Surgr ery (ABS)-MOC self-assessment credit maximum of 17.5 AMA PRPP A RR
Catett ge ogg ry 1 Cr rCC edits™rr
presented by the Division of Acute Care Surgery at the Los Angeles Countytt +Universivv ty ott f Southern Califoff rnia (LALL CAA +USC) Medical Center,rr one of the largest trauma centers in the United
surgery,yy t, rauma and surgical critical care. A . balance betwtt een evidence-based principles and innovativethought-provovv kikk ng discussion will be maintained during livevv lyll expert debates. E. ach session foff cuses on understanding the latest medical controversies and thd e implementation of practical proceduralskills.TARGET AUDIENCE
and trauma care, as well as all allied health professiff onals who care forff adults and seek to enhancetheir understanding of trauma care and treatment options to optimize management of their patients.
COURSE DESCRIPTION
PROGRAM
6:30 am Registration and Breakfast7:15 am WelcWW ome
Demetrios Demetriades,s MDMM ,D PhDOpening RemarksVaVV ughn A. Statt rnes,s MDDean Laura Mosquedarr ,a MD
Session 1: Prehospital and Emergency Department I Moderator: Kenji Inaba, MD, MSc7:30 am Active Shooter,rr Is, Your HospitalYY
Ready? Kenji Inaba,a MDMM ,D MSc
7:50 am Human and Animal Bites Matthieu P.PP DeClP ell rckrr , MD 8:10 am “War DogsWW ”
CDR PaPP ul WisniWW ewski,i DO 8:30 am K9s, A C, ritical Part of the LAPD
Team TTSgt.tt HenHH ry Millr ell r,rr LALL PAA D PP
8:50 am Discussion9:00 am Presentation of Prehospital Service
AwaAA rdKenji Inaba,a MDMM ,D MSc
Session 2: Keynote Speaker: Chief Michel R. Moore, LAPD Introduction: Kenji Inaba, MD, MSc9:05 am Keynote Lecture: LAPD in 2019
Michcc el R. MoMM ore,e Chiefeff LALL PAA DPP9:35 am BreakSession 3: Prehospital and Emergency Department II Moderator: Marianne Gausche-Hill, MD10:05 am Advanced Field Interventions in
TrTT auma: TouTT rniquets, TXTT AXX , REBOA,Other? Marc Ecksrr teintt , MD,MM MPMM H PP
10:20 am Re-T- rTT iage, A, re We Doing WW Our Patients Harm? Claytontt KaKK zan, MD
10:50 am Discussion Session 4: Challenging Problems in Surgery! Moderator: H. Gill Cryer, MD, PhD
Local Management of Entero-Atmospheric Fistulas Markrr KapKK lan, MD
11:10 am Advances in the Management of Acute Diverticulitis: Challenging Conventional Practices! Brant Arr . Putnam, MD
11:20 am Minimizing Stomal Complications:Tips and Pitfalls Glenn T.TT Ault,tt MD,MM MSEd
11:30 am Percutaneous Cholecystectomy: Indications, Timing and Need for ff Elective Cholecystectomy H.HH Gill CrCC yr er,rr MD,MM PhD
11:40 am Discussion 11:50 am Lunch Pick-UpSession 5: Luncheon Session Introduction: Demetrios Demetriades, MD, PhD12:00 pm Preparing for a Depositiff on as an
Expert, De, fendant orff Witness:Tips and Pitfalls! Michcc ael Sise,e MD
Tina MaTT rie VandVV edd rhorst 1:05 pm Donation After Caff rdiac Death:
Myths and Facts Adam J. TeTT llell r,rr CPTCC CTT ,CC CTBS TT 1:20 pm Discussion Session 7: Challenging Problems Moderator: Brant A. Putnam, MD1:30 pm TeTT chniques, Tips and Pitfalls in
Complications and Long-TeTT rmResults of Stent Grafts ffGrege ory Mar ga egg e,e MD
4:09 pm Discussion Session 10: One Hour with Dimitri: Believe It or Not! Moderator: Demetrios Demetriades, MD, PhD4:20 pm Panel:
Michcc ael Sise,e MD Carlosrr VVVRVV . Brown, MDPePP tett r Rhee,e MD,MM MPMM H PP
Markrr KapKK lan, MDD Brant Arr . Putnam, MD
5:20 pm Adjourn
8:00 am Endocrine Emergencies in theSurgical Intensive Care Unit
Elizabeth Bealell ,e MD 8:15 am Hemodynamic Monitoring in the
ICU MeMM ghan Le ewis,s MD
8:30 am Discussion
CONCURRENT SESSION: “HYPER-REALISTIC TRAUMA SIMULATION”Sponsored by the US Navy Trauma Training Center
Description: Havaa e you ever wondered what it would be like to do a resuscitation and surgery on a severely injured trauma patient on a military deployment? In this session, you wiyy ll be part of a damage control surgery team and perfoff rm life-saving surgiff cal interventions on hyperrealisticsimulators.Moderators: LCDR Andrea Austin, MD and CDR , Paul Wisniewski, DO
Prior sign-up required by May 1aa , 2019, . Maxi. mum 12 participants per session.
ACKNOWLEDGEMENT The Division of Acute Care Surgery, Institute of Continuing Education for Nurses, Department of Nursing and LAC+USC Medical Center is grateful to KCI for an educational grant in support of the symposium.
Session 12: Community Outreach Programs Moderator: Lydia Lam, MD8:40 am USC Tattoo RemTT oval Program
Damon H.HH Clarkrr , MD 8:55 am Patient to Community Service
Jose Lemus 9:10 am Non-Medical Assistance: One
Man’s Solution Damian KeKK vitt
9:25 am TrTT auma Survivor Reunion ProgramLyL dia Lam, MD
9:35 am Discussion Session 13: Military Session Moderator: Col. Todd Rasmussen, MD 9:45 am Combat Casualty Care: Military
Lessons TrTT anslated to Civilian Practice Lt.tt CoCC l.ll Brian J.JJ GaGG vitt,tt MD,MM MPMM HPPH
9:55 am 16 Years of USCYY Navy TrTT auma
Planning for theff FutuFF re CDR PaPP ul WisniWW ewski,i DO 10:05 am Anesthesia Tips and Pitfalls in War WW
TrTT auma CaCC pta .tt Joshua M.MM TobinTT , MD
10:15 am Discussion10:25 am BreakSession 14: Keynote Speaker: David A. Spain, MD Introduction: Demetrios Demetriades, MD, PhD10:55 am Keynote Lecture: After theff TrTT auma
David A. SpS ain, MDSession 15:
11:25 am Fatal Automobile VersusVV Pedestrian Collisions frff om the Coroner’s Perspective Matthew Millell r,rr MD
11:45 am Pulmonary Fat Embolism: A FatalSurgical Complication YulaiYY WanWW gn ,gg MD
12:05 pm Discussion12:15 pm Lunch Pick-UpSession 16: Luncheon Session Moderator: Demetrios Demetriades, MD, PhD12:25 pm Civilian and Military Partnerships in
1:43 pm DiscussionSession 18: Challenging and Controversial Issues Moderator: Daniel R. Margulies, MD 1:53 pm CD Colitis: Pitfalls in the Diagnosis,
Advances in Prevention and TrTT eatment! Brarr d SpS ellbll ergr ,gg MD
2:03 pm Alcohol and Stimulant Illicit Drug
TrTT auma Patients? Aaron Strumwasser,rr MD
Outcomes? Michcc ael Sise,e MD
TrTT auma: Is It a Morbidity? Carlosrr VVV RVV . Brown, MD2:33 pm Acute Cholecystitis: Same Admission Operation or Cool Down and
Elective Operation? Daniel R. Margulies,s MD
2:43 pm Discussion2:55 pm BreakSession 19: International Medicine Moderator: Elizabeth R. Benjamin, MD, PhD 3:25 pm Refugee Crisis and Medical
Challenges: First-Hand Experience inthe Mediterranean Daniel Schnocc rr,rr MD
3:45 pm 5 Years CoYY llaboration Betwtt een Nanshan Hospital and USC: LessonsLearned JeJJ rryr WuWW ,u MD
4:05 pm TrTT auma in TaiwanTT : With the Eyes of a USC-T- rTT ained FeFF llow
Li-Chien Max-Chien, MDMM ,D MBMM A BB4:25 pm DiscussionSession 20: Rheeopardy Moderator: Peter Rhee, MD, MPH 4:35 pm Panel
Andrdd ew WanWW gn ,gg MDMM ,D Neil NN PaPP tett l,ll MD & Zachacc ryr WaWW rriner,rr MD
KEYNOTE SPEAKERS Michel R. Moore, Chief of Police, Los Angeles Police Department
David A. Spain, MD, FACS, Professor and Chief of Acute Care Surgery, Stanford University
Chief Michel R. Moo. re is a 37-year veteran of the Los Angeles P olice Depa r tment . D u r ing his tenu r e he a dvanced th r ough the r anks ,working various assignments and promoting to the upper levels of the
twtt o Operational Bureaus, and as Assistant Chie, f,ff he was the Di, rector
sworn in as the 57th Chief of Police for the Ciff ty of Los Angeles.
Chief Moore has a Bachelor of Science degree in Business andManagement and a Master’s Degree in Business Administration.Chief Moore has completed advanced coursework in emergency management, counter-ter, rorism, and p, rocess improvement. He has.received various notable commendations and awards for his policeffservice including the Department’s Medal of ValoVV r,rr the, Police Medal,the Police Star,rr and the Me, ritorious Service Medal.
Policing with Purpose, with C, ompassion, and in, Partnership is Chief Moore’s leadership philosophy and overall focus to suppoff rt the City of Los Angeles and the communities the Department serves.
David A. Spain, M, D, FAFF CS is the David L. G. regg, MD, Professor ffand Chief of Acute Care Surgery,yy Depa, rtment of Surgery,yy Stanfoff rd
surgical critical care and havaa e focusedff on shock, sepsis, , int, roductionand assessment of new technology in patient care and the assessment of trauma system perfoff rmance. He has se. rved in many leadershippositions in national organizations and societies. He is cur. rently theDirector for theff American Board of Surgery and the President-elect of the American Association for theff Surgery of TrTT auma (AAST). He.serves on the editorial boards of the Journal ofo Trarr uma Acute Catt re Surgr ,ggSurgr egg ry and r PLoS OnPP e,e Surgr egg ry and rCrCC itical Care orr fo the Surgif cal Patient PP and the Merck Manual.
PROGRAM OPTIONAL ADVANCED CADAVER COURSES OFFEREDRegister for theff foff llowing courses with Angela Martinez at [email protected] .Course location is at LAC+USC Medical Center,rr Los Angeles, Cali, foff rnia.Basic Endovascular Skills forff TrTT auma (BEST)TuesdTT ayaa ,yy M, ay 21aa , 2019 f, rff om 9:00 am to 12:30 pmTuitiTT on: $1,500, includes breakfaff st, lunch and all lab feff es.Advanced Surgr ical Skills for Exposuff re in TrTT auma (ASSET)WednesdWW ayaa ,yy M, ay 22aa , 2019 f, rff om 8:30 am to 5:00 pmTuitiTT on: $1,000 includes ASSET manual/DVD, b, reakfast, lun, ch and all lab feesff ..
FACULTYSYMPOSIUM DIRECTORS Keck School of Medicine of USC Los Angeles, California Demetrios Demetriades, MD, PhD, FAFF CSAAProfessor of ff SurgeryDirector,rr Divisi, on of Acute Care SurgeryDivision of Acute Care Surgeryy
eraClacitirClacigruSdna
Kenji Inaba, MD, MSc, FAFF CSAA , FRCSCProfessor of ff Surgery,yy,Emergency Medicine and AnesthesiaVice Chair,rr Depa, rtment of SurgeryMedical Director,rr Surgical ICUDivision of Acute Care Surgeryand Surgical Critical Care
LyLL dia Lamyy , MD, FAFF CSAAAssistant Professor of Cliniff cal Surgeryand Emergency MedicineDivision of Acute Care Surgeryyand Surgical Critical Care
Elizabeth R. Benjamin, MD, PhD, FAFF CSAAAssociate Professor of Cliniff cal Surgeryand Emergency Medicine Division of Acute Care Surgery and Surgical Critical CareSPECIAL INVITED GUEST
Laura Mosqueda, MD Dean May aa S. and J. ohn H. Ho. oval Dean’s Chair in MedicineProfessor of ff Family Medicine and GeriatricsKeck School of Medicine of USCLos Angeles, CAGUEST FACULTY
Carlos V.VV R. Brown, MD, FAFF CS AAProfessor of ff SurgeryChief,ff Divisi, on of Acute Care SurgeryyDell Medical School, Uni, versity of Texas at TT AustinAustin, TX TTLi-Chien Max Chien, MD, MBADepartment of Emergency MedicineTaipei CiTT ty Hospital TaipeiTT , Taiwan TTH. Gill Cryeyy r,rr MD, PhD, FAFF CSAAProfessor and ChiefffDivision of TrTT aumaRonald Reagan UCLA Medical CenterLos Angeles, CA
Marianne Gausche-Hill, MD, FAFF CAA EP,PP FAAP FF Medical DirectorrLos Angeles County EMS Agency y Professor of Cliniff cal Medicine and Pediatrics
Los Angeles, CA
Brian J. Gavitt, MD, MPH, FAFF CS AALieutenant Colonel, Medi, cal Corps, US Air , FoFF rceAssistant Professor of ff SurgeryyDivision of TrTT auma, C, ritical Care, & , Acute Care SurgeryyyyDepartment of Surgery University of Cincinnati Medical Center Cincinnati, OH,
Mark r Kaplan, MD, FAFF CS AAProfessor of ff Surgery and Director of Acute Care SurgeryAlbert Einstein Medical Center Philadelphia, PA PP
Clayaa ton Kazan, MDMedical Director,rr Los Angeles County Fire DepartmenttLos Angeles, CA Damian KevittExecutive Director,rr Streets Are For EFF veryone (SAFE)Los Angeles, CA Jose LemusChild Social WoWW rker Department of Children and Family ServicesLos Angeles, CA Daniel R. Margulies, MD, FAFF CSAAProfessor of ff SurgeryyDirector of TrTT auma and Acute Care SurgeryyCedars-Sinai Medical CenterLos Angeles, CA
Sgt. Henry Miller Los Angeles Police DepartmentLos Angeles, CA
Matthew Miller,rr MD Deputy Medical ExaminerrLos Angeles County Medical Examiner-CoronerLos Angeles, CA
Brant A. Putnam, MD, FAFF CSAAProfessor of ff Surgery
Chief,ff Divisi, on of TrTT auma/A// cute CareSurgery/Surgical Critical CareHarbor-UCLA Medical CenterLos Angeles, CAAToddTT Rasmussen, MD, FAFF CSAAColonel, Medi, cal Corps, US Air , FoFF rce Professor of ff SurgeryyAssociate Dean of ResearchUnifoff rmed Services University of the Health SciencesDirector,rr C, ombat Casualty Care Research ProgramUS Army Medical Research& Materiel CommandrasmusWashingtWW on, DC
Peter Rhee, MD, MPH, FAFF CS AAProfessor of ff Surgery y Unifoff rmed Services, Uni, versity of Health SciencesAtlanta, GA ,Ali Salim, MD, FAFF CSAADivision Chief,ff TrTT auma, Bu, rns, & , Surgical Critical CareDepartment of TrTT auma, Bu, rns, & , Surgical Critical Care Brigham & WoWW men’s HospitalProfessor of ff Surgery,yy Ha, rvard Medical School Boston, MA ,Daniel Schnorr,rr MDClinical FacultyDepartment of Emergency MedicineHarbor-UCLA Medical Center TorTT rance, CA
FACULTYYGUEST FACULTY Michael Sise, MD, FAFF CSAAClinical Professor of ff SurgeryyUC San Diego
Scripps Mercy HospitalSan Diego, CA
Adam J. TeTT ller,rr CPTC, CTBS Clinical Resource SpecialistOne Legacy Los Angeles, CA
Tina Marie VandeVV rhorstrr tSpecial Guest Speaker
YulaiYY WanWW g, MD Senior Deputy Medical ExaminerrLos Angeles CountyLos Angeles, CA
Jerry WuWW , MD Director of Emergency Medicine and Critical Care Nanshan HospitalShenzhen, China,
Keck School of Medicine of USC and LAC+USC Medical Center Bradley AlAA len, MD Volunteer VV SurgeonDivision of Acute Care Surgeryand Surgical Critical Care
Glenn T.TT AultAA , MD, MSEd, FAFF CS AAAssociate Dean, Clini, cal AdministrationAssociate Professor of ff SurgeryyDivision of Colorectal Surgery
Andrea AusAA tin, MD Lieutenant Commander,rr Medi, cal Corps, US, NavyyAssistant Professor of Emerff gency MedicineUnifoff rmed Services UniversityyNavy TrTT auma TrTT aining Center
Elizabeth Beale, MD Assistant Professor of Cliniff cal MedicineDepartment of Medicine
Subarna Biswas, MD, MS Assistant Professor of Cliniff cal Surgery y Division of Acute Care Surgery andSurgical Critical Care
Carl R. Chudnofskff ykk ,yy MD, FAFF CAA EP Professor of Cliniff cal Emergency MedicineChair,rr Emer, gency MedicineDepartment of Emergency Medicine
Damon H. Clark, MD Assistant Professor of Cliniff cal SurgeryyAssociate Medical Director,rr,Surgical Critical Care, Ke, ckDivision of Acute Care Surgery and Surgical Critical Care
J. Perren Cobb, MD, FAFF CSAA , FCCM Professor of Cliniff cal Surgery and AnesthesiologyDirector,rr Surgical Critical Care, Ke, ckkDivision of Acute Care Surgery andSurgical Critical Care
Matthieu P.PP DeClerck, MD Assistant Professor of Cliniff cal Emergr ency MedicineDepartment of Emergency Medicine
Marc Eckstein, MD, MPH, FAFF CAA EP Professor of Emerff gency MedicineDirector of Pre-Hospital Care, LAC+USC
tnemtrapeDeriFAL,r,otceriDlacideM
Meghan Lewis, MD, FAFF CSAAAssistant Professor of Cliniff cal SurgeryAssociate Director,rr SIC, U, LAC+USCDivision of Acute Care Surgery andSurgical Critical Care
Gregory Maga ee, MDAssistant Professor of Cliniff cal SurgeryyDivision of Vascular VV Surgery and
Kazuhide Matsushima, MD, FAFF CSAAAssistant Professor of Cliniff cal SurgeryyDivision of Acute Care Surgery and Surgical Critical Care
Rodney McKeevevv r,rr MD, DABADD , FCCPClinical Assistant Professor of ff AnesthesiologyyAssistant Director of Clinical Operations,Operation Room Coordinator Department of AnesthesiologyLAC+USC Medical Center
Professor Emeff ritus Surgery and Emergency Medicine
Morgr an Schellenbergr , MD, MPHAssistant Professor of Cliniff cal SurgeryyDivision of Acute Care Surgery and Surgical Critical Care
Brad Spellbergr , MD, FIDSA, FAFF CP AA Professor of Cliniff cal Medicine
LAC+USC Medical Center
Vaughn AVV . Starnes, MD Distinguished Professor andff Chair,rr Depa, rtment of SurgeryH. Russell Smith FoundatiFF onChair,rr E, xecutive Director of the Cardiovascular
Aaron Strumwassemm r,rr MD Assistant Professor of Cliniff cal SurgeryyDivision of Acute Care Surgery andSurgical Critical Care
COURSE OBJECTIVES At the conclusion of the program the participant should be able to:•Outline optimal care in the prehospital setting.•Integrate new technology and devices for mff onitoring and treatment in trauma and critical care.•Outline methods to improve mass casualty and disaster planning at your hyy ome institution.•Plan an evidence-based approach to current controversies in trauma and critical care patient management.•Devise methods to improve organ donation programs at your home institution.
COURSE INFORMATIONCourse ProceedingsgEmailed to all registrants befoff re and after the cff onfeff rence.Meeting g Locataa ionLangham Huntington Hotel, 1401 S. Oak Knoll Drive, Pasadena, CA 9A 1106Paraa kinr ggVaVV let parking is discounted $29 overnight/$14 daily.yyHotelTo boTT ok a room at the Langham Huntington, call (626) 568-3900 and ask for gff roup reservations. Menti. on USCTrTT auma Symposium or the Keck School of Medicine of USC to receive the special rate under the room block.Room rate is $259 Superior Room accommodations. Please make reservataa ions befoff re April 22, 2019 to securerate.CurrencyyAll registration payaa ments must be in US currency.yyAccreditataa ion Statement
ited by the Accreditation Council forff Continuing Medical Education (ACCME) to provide continuing medical education forff physicians.
Credit Desiggnataa ionmaximum
of 17.5 AMA PRPP A CaRR tett ge ory 1 Cr rCC edits™.rr Physicians should claim only the credit commensurate with the extent of their participation in the activity.yy
the ABS MOC Program.For FF additional infoff rmation on the ABS MOC program and its requirements, visit the ABS, website:
Prehospital CE will be offered by LAC+USC Prehospital # 19-0012, 8 hours each day.wwwww .absurww gery.oryy g.
FACULTYYKeck School of Medicine of USC and LAC+USC Medical Center Joshua M. TobinTT , MD Associate Professor of ff AnesthesiologyChief,ff Divisi, on of TrTT auma AnesthesiologyyCaptain, US, Navy
Paul Wisniewski, DO Commander,rr Medi, cal Corps, US, Navy y Assistant Professor of ff SurgeryUnifoff rmed Services UniversityyNavy TrTT auma TrTT aining Center
SURGICAL CRITICAL CARE FELLOWS
Grace Ng, MD,Erik J. Roedel. , M, D, FAFF CSMatt Strickland, M, D, M, BA, F, RCSCMarc D. TrTT ust, MD,Sebastian VrVV ouwuu e, M, D, F, RCSCTRAUMA FELLOWSMatthew FoFF restiere, MD, Bryan Love, MD,Zachary WarWW riner,rr MD,VISITING FELLOWSNeil Patel, MD ,Harbor-UCLA Medical Centerr
*TUITIONEarly registration fees appff ly until May 17, 2019, noon PDT.TTPhysician $500 May 23-24 aa $300 One Day aa AttendanceAllied Health Professiff onal $375 May 23-24 aa $200 One Day aa AttendanceFeFF llow/Resident/Student $300 May 23-24 aa $175 One Day aa AttendanceOn site registration fees appff ly after Mff ay 17, 2019, noon PDT.TTPhysician $550Allied Health Professiff onal $425FeFF llow/Resident/Student $350OPTIONAL CONCURRENT SESSION: “HYPER-REALISTIC TRAUMA SIMULATION”Prior sign-up required by May 1aa , 2019, . Maxi. mum 12 participants per session.May 23aa , 2019, only.yy Choose. one: 2:15 pm-3:30 pm 3:40 pm-5:00 pm METHOD OF PAYMENT
Check (Payable to USC) aa No cash accepted.Credit Card (American Express, Maste, rcard or Visa only)
Online: wwwww .usc.edu/cme andww click on Confeff rence CalendarPhone: (323) 442-2555 or toll-frff ee: 1(800) USC-1119 I Fax: 1(888) 665-8650Email: [email protected] I WebsiteWW : wwwww .usc.edu/cme wwOn site payaa ment: Huntington Ballroom at the Langham Huntington
May 23aa , 2019, : 6:30 am I May 24aa , 2019, : 7:00 am Cancellataa ion Policyy
by May 17aa , 2019, , no, on PDT for aff refund of tuition to be issued. A $50. cancellation feeffwill be applied. USC wi. ll not refund any travaa el costs incurred.In the event of course cancellation by confeff rence organizers, a, ll registration fees wiff ll befully refunded. USC wi. ll not refund any travaa el costs incurred.