Agenda

Bad Blood – Where Did We Go Wrong?

• Understand the greater than 100 year history of whole blood transfusion
• Explain the advantages of use of Low titer O whole blood in the trauma patient
• Discuss the implications of providing whole blood in the prehospital environment

Presenter: Dr. Jay Johannigman

EMS Session: Cases Where EMS and Toxicology Intersect

• Describe how the poison center can assist pre-hospital and transport staff in real time
• Provide case examples where EMS and the poison center helped each other keep patients safe

Speaker: Dr. Dan McCabe, University of Iowa Healthcare

Nursing Session: Frostbite Injuries
(Session details coming soon)
Speaker: Dr. Robert Bertellotti

Physician Session: Pelvic Fractures and Pediatric Orthopedic Trauma Cases

• Understand some nuances of Pediatric Orthopedic trauma and how the immature skeleton is treated differently compared to adult orthopedic trauma
• Understand associated injuries of Pediatric Orthopedic trauma
• Become more familiar with red flag symptoms that may require expedited surgical intervention

Speaker: Dr. Chinedu Nwosa & Dr. Stephen Carveth, MercyOne Des Moines

Hospital Preparedness Session: Iowa Trauma System 101

This session will focus on the overall trauma system in Iowa. We will explore state code and administrative rules, the hospital trauma center verification process, and how the trauma program can link with preparedness stakeholders throughout Iowa.

• Summarize the inclusive trauma system in Iowa
• Identify areas of collaboration between the hospital preparedness and trauma sectors.
• Examine the role of the hospital trauma program in disaster and emergency preparedness.

Speaker: Jill Wheeler, Bureau of Emergency & Trauma Services, Iowa HHS

Public Health Preparedness Session: The Mendon Amtrak Crash; Lessons for the Rural EMS Service
Learn about the events of the 2022 Mendon AMTRAK Derailment with the following in mind: Apply principles of Mass Casualty Response to the Rural EMS setting; understand unique benefits and limitations of an MCI in a rural location; understand the role of the Rural EMS Medical Director in a mass casualty event; adopt lessons learned back to own agency for implementation
Speaker: Dr. Joshua Stilley, University of Missouri

EMS Session: High Risk Refusals
In this session learn about the following objectives: Review concepts of competence and capacity; Describe how to assess for capacity; Review concepts of informed decision-making; Documentation and Legal Concerns; High risk populations (Alcohol, Neurodegenerative disease,  Psychiatric illness, Opioid/Narcan, Hypoglycemia).
Speaker: Dr. Pete Georgakakos, University of Iowa Hospitals & Clinics

Nursing Session: Managing the Pregnant Trauma Patient

At the conclusion of the presentation, the participant will be able to:

• Review the incidence of trauma in pregnancy
• Review the various potential injuries that can occur in the pregnant patient
• Review initial emergency care of the pregnant trauma patient

Speaker: Dr. Azeemuddin Ahmed, University of Iowa Hospitals & Clinics

Physician Session: Geriatric Trauma
At the conclusion of the presentation, the participant will be able to: describe the epidemiology of elderly trauma; understand the unique considerations in the evaluation of injured elderly people; outline some best practices in the management of injuries in elderly patients.
Speaker: Dr. Richard Sidwell, UnityPoint Health Iowa Methodist Medical Center

Hospital Preparedness Session: Sport related concussions for the trauma professional
At the conclusion of the presentation, the participant will be able to: understand updated and current recommendations for management of sport related concussions; incorporate new guidelines for recommendations on return to learn and return to sport.
Speaker: Richelle Williams, Drake University

Public Health Preparedness Session: Mental Health for First Responders – Assessing Resilience – a different set of vital signs.
This session will cover exploring what resilience is, what it looks like in your life practically; identifying the ‘vital signs’ or measures of your personal resilience; understanding why self-care isn’t selfish and other obstacles to resilience; creating your personal plan to grow your resilience.
Speaker: Gus Henrici, International Critical Incident Stress Foundation

EMS Session: A Journey into PTSD
Roughly 1 in 3 of all emergency responders have either been diagnosed with or report symptoms of stress-related disorders. However, experts estimate the true number may be as high as 50% or more. Meanwhile, similar numbers have been reported among healthcare workers, especially since the COVID-19 pandemic. While awareness about stress-related disorders has increased in recent years, we continue to lose alarming numbers of providers to burnout and in the worst cases, suicide. Using his personal experience from his own PTSD diagnosis in 2017, Jacob will provide a candid look at how PTSD affects healthcare providers, recognizing the manifestations of stress-related disorders in both ourselves and our co-workers, as well as effective mitigation strategies that can be used to prevent and manage PTSD within our professions. The primary goal of this presentation is to erase the stigma that “not being okay” is a weakness, and instead facilitate frank discussions about the importance of mental health in our professions.
Speaker: Jacob Dodds, Iowa HHS

Nursing Session: Under Pressure

• Recognize the clinical situations where crush injury can cause major morbidity and mortality
• Summarize the clinical features of compartment syndrome and crush syndrome
• Explain the prehospital and Emergency Department evaluation and treatment of crush injury

Speaker: Dr. Melvin Donaldson, University of Iowa Healthcare

Physician Session: American College of Surgeons Traumatic Brain Injury Best Practice Guidelines 2024: Recommendations for Trauma Systems
In 2015, the ACS Trauma Quality Improvement Program published the first Traumatic Brain Injury Best Practice Guidelines. The BPGs intention was to guide all accredited levels of trauma programs to provide the highest quality care for survivors of TBI through evidence and expert-based recommendations. The current BPGs have recently undergone revisions due to the continued evolving evidence related to improving the care and outcomes of survivors of TBI. The 2024 edition provides updates of previous BPG recommendations as well as new chapters focused on additional areas of TBI trauma care. This symposium will provide an overview of the updated TBI BPGs, methodological process of developing expert consensus on recommendations, and specific focus on De Novo chapters now included in the 2024 edition and how trauma systems can move towards implementation.

Participants will be able to: Describe the purpose of ACS TQIP TBI BPGs; identify De Novo chapters included in the 2024 TBI BPG edition; appraise facilitators and barriers of implementation of BPGs within trauma systems.
Speaker: Brooke Murtaugh, Madonna Rehabilitation Hospitals

Hospital Preparedness Session: Advances in Disaster Medicine: Treatment Considerations during a Disaster
Participants will understand: Describe the triage process for victims during a disaster; Define initial treatment considerations for patients following a disaster; list the guidelines for transferring patients to a burn center; assess the role of trauma and/or burn centers following a disaster
Speaker: Judy Placek, APRN

Public Health Preparedness Session: Tornado Lessons Learned
Participants will hear about lessons learned from the tornado that came went through Pella, Iowa and impacted Vermeer Manufacturing.
Speaker: Billy Fox, Vermeer Corporation

EMS/Nursing/Physician Session: Trauma Case Presentations

This session will explore cases of trauma patients who presented to rural hospitals and detail care provided at these hospitals and other tertiary care facilities to highlight optimal care for injured patients in our system.

• Describe quality care provided across multiple levels of the trauma system
• Explore optimal treatment resources at different levels of trauma centers
• Demonstrate the benefit of good communication in the care and transfer of trauma patients.

Speaker: Dr. Patrick McGonagill, Dr. Dionne Skeete, and panel

Hospital Preparedness Session: Preparing for Children: Ensuring Pediatric Readiness
Participants will understand the following after this session: Identify the unique physiologic differences in pediatric patients; understand developmental considerations for treating and protecting pediatric patients; identify equipment and medication needs specific to pediatrics; identify pediatric, adolescent, and young adult reactions to trauma and stress; understand special considerations for children with special health care, emotional and social needs; identify post-disaster/event considerations and mental health needs for pediatric patients; provide resources for preparing organizations and facilities; identify opportunities for advocacy, addressing needs, and information management.
Speaker: Dr. Amy Kimball, Madison County Health Care

Public Health Preparedness Session: Crisis Communications

This one-hour crisis communication presentation discusses the fundamentals of media and crisis communication in the post-pandemic environment. The Wixted speaker will begin by exploring the definition of a crisis versus an issue or controversy and the reasons crises gain so much attention. Hospital leaders will learn how the media works, how it has evolved in recent years, and how the 24/7 news cycle changes the way a story is developed.

We will examine the importance of audience analysis, the four phases of a crisis, and succinct message development during times of elevated stress. Other key learning elements include how to assemble an incident response team, the importance of gathering information, framing the event and managing the release of accurate information. Health care leaders will also learn how to best interact with the media when an incident or crisis is unfolding.

Speaker: Laurie Freking, Wixted & Co.

Trauma From the Other Side
My experience as a trauma patient at a Level 2 trauma center and the improvements it lead to in my own care of patients.
Speaker: Dr. Dustin Smoot