Mountain States Health Alliance and

The Office of Continuing Medical Education at Quillen College of MedicinePresent:

7th Annual Rural Trauma SymposiumAugust 27th 2015

Schedule Session Learning ObjectivesAs a result of participating

in this activity, the learner will be able to…

7:30 AM — 7:55 AM Registration and breakfast

7:55 AM — 8:10 AM Welcome and Trauma 2015 Video

8:10 AM — 8:40 AM

Ballroom

Injury Prevention – Utilizing a Public Health Model in Healthcare Settings Terrence R. Love, MSInjury Prevention ManagerDivision of Family Health and Wellness/Injury and Violence PreventionTennessee Department of HealthNashville, TN

Understand state injury data; prevention priorities; and evidence-based programs

Understand how tocan support injury prevention efforts in their professional roles

Understand how healthcare settings can utilize a public health model to impact population level change

8:40 AM — 9:10 AM

Ballroom

Differences in Mechanism of Injury: Pediatrics vs. AdultsSam DeLaune, MDGeneral Pediatrics and Pediatric Emergency Medicine, Niswonger Children’s Hospital,Johnson City , TN

Identify the Anatomical and Physiological needs of the pediatric trauma patient that contribute to systems associated with trauma

Identify the causes, types, mechanisms and patterns of the injury associated with pediatric trauma

Describe how to systematically assess the pediatric trauma patient

Identify interventions needed to care for the pediatric patient

9:15 AM — 9:50 AM Concurrent Session #1- Choose from morning session options

9:50AM — 10:10 AM Break

10:10 AM —10:45 AM Concurrent Session #2- Choose from morning session options

10:50 AM — 11:25 AM Concurrent Session #3- Choose from morning session options

11:25 AM — 11:45 AM Break and Buffet Lunch (return to Ballroom)

11:45 AM – 12:35 PM

Ballroom

Annual Keynote Address - Process, Performance and other Administrative TermsJeffrey Coughenour, MDAssistant Professor of Surgery and Emergency MedicineMedical Director, Frank L. Mitchell, Jr. MD Trauma Center,Columbia, MOAssociate Medical Director, Staff for Life Helicopter ServiceUniversity of Missouri - School of MedicineDepartment of SurgeryDivision of Acute Care Surgery

Recognize the importance of standardization of care

Implement a new process

Describe a functional “performance improvement and patient safety” program

12:35 PM – 12:55 PM

Ballroom

Trauma Survivor Story

12:55 PM — 1:10 PM Break

1:10 PM — 1:45 PM Concurrent Session # 4- Choose from afternoon session options

1:50 PM — 2:25 PM Concurrent Session # 5- Choose from afternoon session options

2:30 PM — 3:05 PM Concurrent Session # 6- Choose from afternoon session options

3:10 PM — 3:40 PM

Ballroom

Non-Accidental Trauma in Children: What Are We Missing?Allen D. Davis, ParamedicFlight Paramedic Wings Air RescueJohnson City Medical CenterJohnson City TN

Identify types of child maltreatment

Manage, assess and treat a child with suspected abuse

Identify injuries associated with abuse

3:40 PM — 4:40 PM

Ballroom

Walking Wounded PanelEric Roth, PsyD, Roth Neuropsychology & Behavioral Health Associates, Johnson City, TNGuynn Edwards, Director of Crumley House, Limestone, TNSeth Brown, MD, Johnson City Medical Center, Johnson City, TN

4:40 PM —4:50 PMBallroom

Tennessee, Trauma, and a Tribute to Those Who Serve

5:00 PM Adjourn

Morning Concurrent Sessions Schedule Each of the following sessions will be repeated three times(First Session: 9:15—9:50 AM; Second Session: 10:10—10:45 AM; Third Session: 10:50—11:25 AM)

Hands on Splinting- Room 225, 2nd FloorTodd Horton, MDClinical Assistant Professor of Surgery,East Tennessee State University Quillen College of MedicineOrthopaedic Hand & Upper Extremity Surgeon Director Hand & Upper Extremity Division Department of Orthopaedic Surgery & Trauma Mountain States Medical Group, Johnson City Medical Center

Holly Pilson, MDDirector, Orthopaedic Trauma Service,Mountain States Medical Group

Learn and perform splinting techniques to stabilize fractures of upper and lower extremity Learn the proper application of pelvic binder for treatment for pelvic ring injuries

Abdominal Compartment Syndrome- Room 115, 1st Floor Diane Cobble, MD, Surgeon

Recognize the risk factors for development of ACS Recognize the physiologic derangements secondary to ACS Understand the Treatment for ACS

Operative Management With Traumatic Shock – Case Scenarios- Room 230, 2nd FloorIan Darling, MDAnesthesiologist

Understand basic anesthesia assessment of the trauma patient Basic airway management in trauma Intraoperative anesthetic management of trauma patients

TXA- Old drug- New use- Lifesaving - Room 130, 1st FloorBrad Fields, BS, FP-CFlight ParamedicWings Air Rescue

Describe the mechanism in which TXA works Indications for TXA administration Contraindication for TXA administration Risks of administering TXA

Disaster Preparedness – Room 120, 1st FloorGarik Misenar, MD, FACEPAssociate ProfessorEast Tennessee State University, Quillen College of MedicineMedical Director – Emergency DepartmentJohnson City Medical Center

Evaluate preparedness of their organization Recognize deficiencies in preparedness Develop a plan to address deficiencies Coordinate available resources

Radiological Reads and Review- Room 125, 1st FloorJocelyn L. Medina, Diagnostic Radiologist,Mountain Empire RadiologyDepartment Chair and Medical Director, Department of Radiology,Johnson City Medical Center, Mountain States Health Alliance

Explain basic imaging algorithms in trauma Define different imaging modalities used in trauma imaging and associated risks Distinguish basic, critical findings on imaging

Outcomes of TBI Following Decompressive Craniotomy- Ballroom, 2nd FloorValentine Nduku, DO

Demonstrate management of TBI Examine outcomes after Decompressive Craniotomy

Afternoon Concurrent Sessions Each of the following sessions will be repeated three times (First Session: 1:10—1:45 PM; Second Session: 1:50—2:25 PM; Third Session: 2:30—3:05 PM)

Hands on Splinting- Room 225, 2nd FloorTodd Horton, MDClinical Assistant Professor of Surgery,East Tennessee State University Quillen College of MedicineDepartment Chairman, MSMG Orthopedic Trauma

Holly Pilson, MDDirector, Orthopaedic Trauma Service,Mountain States Medical Group

Learn and perform splinting techniques to stabilize fractures of upper and lower extremity Learn the proper application of pelvic binder for treatment for pelvic ring injuries

Drains, Drains, and More Drains- Room 115, 1st FloorLaura Crowder, BSN,RN, ICU Clinical EducatorJohnson City Medical centerDeborah Parks, BSN, RN, OR Clinical EducatorJohnson City Me

Identify types of surgical drains Describe the functions of different surgical drains

Pediatric Trauma Simulation - Room 230, 2nd FloorMarisa L Moyers, RNRN Pediatric Trauma/CRPC outreach/Disaster Coordinator Children’s Hospital at Erlanger

Emergently assess the pediatric trauma patient Prioritize the immediate concerns Intervene in the pediatric trauma patient’s best interest Clarify what the continuum of care really means to the pediatric trauma patient

Anatomical Principals Involving Common Brain and Spinal Cord Injuries - Room 125, 1st FloorThomas Kwasigroch, PhDAssociate Dean of Student AffairsProfessor, Department of AnatomyQuillen College of MedicineEast Tennessee State UniversityJohnson City, TN

Visualize the relationship between the brain and the skull Discuss common injuries affecting the brain Visualize the relationship between the spinal cord and the vertebral column Discuss common injuries affecting the vertebral column and the spinal cord

Basic Ventilating and Respiratory Physiology - Room 130, 1st FloorMelissa Powell, MDAssociate Professor, Trauma Surgeon

Identify most common modes of ventilation Troubleshoot a ventilated patient having difficulty Identify Changes in respiratory and cardiac physiology of ventilation patients Interpret basic arterial blood gas results

Update of Neurocritical Care Pharmacotherapy – Room 120, 1st FloorVera Wilson, PharmD, BCPSEmergency Services Clinical Pharmacy SpecialistDepartment of PharmacyJohnson City Medical Center

Recognize evidence-based treatment options and their dosing for elevated intracranial pressure Develop monitoring plans for mannitol and hypertonic saline use Identify contraindications and precautions to ketamine administration Describe emergent reversal options of warfarin and target-specific oral anticoagulants for life-

threatening bleeding

Mission Statement

The mission of the Office of Continuing Medical Education at the James H. Quillen College of Medicine is to provide lifelong learning opportunities that meet the needs of faculty, community physicians and other health professionals. In addition, the Office of CME is committed to excellence and dedicated to the improvement of healthcare in Northeast Tennessee and the surrounding Appalachian Region.

Accreditation:

ACCME Accreditation: Quillen College of Medicine, East Tennessee State University, is accredited by the Accreditation Council for Continuing Medical Education for physicians.

CME Credit: College of Medicine, East Tennessee State University designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Contact hour credit: 8.0 Mountain States Health Alliance – Organizational Development is approved as a provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

Physical Therapy Credit: According to the Rules of The Tennessee Board of Physical Therapy, Chapter 1150-1-.12 5-d, courses, seminars, workshops, and symposia attended by the licensee and approved by…accredited physical therapy educational institutions are acceptable for Class I continuing competence evidence. East Tennessee State University is accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE). This course has been approved for 8.0 hours for physical therapists and physical therapist assistants.

CRCE Credit: The American Association for Respiratory Care has approved this course for 5.81 hours of CRCE Credit. Ref # 144922

ASRT Credit: This activity is approved for credit by the ASRT. Total max hours approved for this course program is 6.0. TND0085002,3,4,5,6,7,9,10,11,12,13.

Tennessee Pharmacists Consortium for Education: (0575-0000-15-037-L04-P) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This seminar will provide 6.75 hours of continuing education credits to pharmacists who attend the seminar and complete the online activities required to claim credit. Partial credit not available

CONTINUING MEDICAL EDUCATION

Joint Providership: 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 Quillen College of Medicine at East Tennessee State University and Mountain States Health Alliance.

The syllabus with Full Color Complete Presentations – if permitted by the speaker -- is available as a .pdf document on the conference website:

http://www.etsu.edu/com/cme

Please note that all presenters may not have provided handouts prior to the conference and may bring material with them for distribution at the time of their presentation.

Commercial Support Disclosure: It is the policy of the Office of Continuing Medical Education at Quillen College of Medicine, East Tennessee State University to disclose all Commercial Supporters of this educational activity from which educational grants were received. This activity has received no commercial support.

SAVE THE DATE8th Annual Regional Trauma Symposium

Thursday, August 25, 2016

Activity Director

Caro Jones , RNMountain States Health AllianceJohnson City, TN

Target Audience

Family Medicine Physicians, Internal Medicine Physicians, Pediatricians, Psychiatrists, Surgeons, Emergency Medicine Physicians, Neurosurgeons, Orthopedists, Maxillofacial Surgeons, Trauma Surgeons, Advanced Practice Nurses, Physician Assistants, Pharmacists, Psychologists, Respiratory therapist, Physical Therapists, Occupational Therapists, Speech pathologists, Radiography Technicians, Fire Personnel, EMS, Medics, Pre-Hospital Staff, Public Health professionals, and students.

Overall Conference

As a result of attending this conference, the participant will: Define the role of the rural Level 1 Trauma Center in the resuscitative,

Objectives diagnostic and acute care required for the severely ill and injured patient Recognize the multidisciplinary care required for a traumatically injured

patient. Discuss the training, skills and system of care required to treat the trauma

population across the continuum, including pre-hospital through rehabilitation

Recognize the needs of both the patient and family of the severely ill and injured patient

Discuss the characteristics and challenges faced by a rural region providing best practices in trauma care

Disclosure information and Potential Conflicts of Interest

East Tennessee State University’s Quillen College of Medicine, Office of Continuing Medical Education (OCME) holds the standard that it continuing medical education programs should be free of commercial bias and conflict of interest. It is the policy of CME that presenters and planning committee members of any educational activity must disclose any significant financial interest/arrangement of affiliation with corporate organizations whose products or services are being discussed in a presentation. All commercial support of an educational activity must also be disclosed to the conference attendees.

Speakers and Planning Committee Members with No Potential Conflict of Interest: All conference speakers and planning committee members have completed a disclosure from indicating that they or members of their immediate family do not have a financial interest/arrangement of affiliation that could be perceived as a real or apparent conflict of interest related to the content or supporters involved with this activity.

Handouts Presentations can be accessed at: http://www.etsu.edu/com/cme/RuralTrauma7Handouts.aspx

Transcripts of CME Credit

Please note that CME certificates will NOT be issued for this conference. Your credits will be added to your TRANSCRIPT which is maintained in the ETSU Office of CME. You may print your transcript at any time through our website at: http://www.etsu.edu/com/cme/transcripts.aspx. Please allow 3 weeks from the conference date before expecting to see your credits on your transcript. If you need a record of your credits sooner, please contact us at 423.439.8027.

Conference Planner

Marta GougeCME PlannerEast Tennessee State UniversityQuillen College of Medicine423-439-8074gougemm@etsu.edu

If you have questions, concerns, or comments about this activity, please contact: Martha Whaley, Interim Associate Dean for Continuing Medical Education cmeadean@etsu.edu or 423-439-8081

Mark Your Calendar for these Upcoming Events:

Where: When:

o Target Audience: Internal Medicine physicians, Family Medicine physicians, Emergency Medicine physicians, Advance Nurse Practitioners, Physician

University Center Auditorium, University of Tennessee at Chattanooga, Chattanooga, TN

615 McCallie Ave. Chattanooga, TN 37403

August 27, 2015

Methodist University, Memphis, TN

1211 Union Ave.Suite 330Memphis, TN

October 6, 2015

Assistants, and Pharmacists and OB/GYN physicians, surgeons, pediatricians, psychiatrists, and pathologists

o Topics Include: Chronic Pain Guidelines 2015 Tennessee Controlled Substances Monitoring Database Program

o When: September 12, 2015 8:30 – 11:30 a.m.o Where: Sentara Northern Virginia Medical Center Hylton Education Center, Woodbridge, VA o Target Audience: Internal Medicine Physicians, Family Medicine

Physicians, OB/GYN Physicians, Surgeons, Pediatricians, Psychiatrists, Emergency medicine Physicians, Advanced Practice Nurses, Physician Assistants, Dentists, Pharmacists

o Topics Include: Why Prescriber Education is Important Assessing Patients for Treatment with ER/LA

Opioid Analgesic Therapy Initiating Therapy, Modifying Dosing, and

Discontinuing Use of ER/LA Opioid Analgesics Managing Therapy with ER/LA Opioid Analgesics

Counseling Patients and Caregivers About the Sage Use of ER/LA Opioid Analgesics

General and Specific Drug Information for ER/LA Opioid Analgesic Products

o When: September 26, 2015 7:30 - 9:30 a.m.o Where: Stanton-Gerber Hall, Small Auditorium

Building 178, VA Campus, Mountain Home, TN o Target Audience: Family Medicine Physicians, Internal Medicine

Physicians, OB/GYN Physicians, Pediatricians, Psychiatrists, Surgeons, Emergency Medicine, Advanced Practice Nurses, Physician Assistants, Pharmacists, Psychologists

o Topics Include: Presentation of the Chronic Pain Guidelines

o When: October 9, 2015 7:30 a.m. – 4:30 p.m.o Where: Millennium Centre, Johnson City, TN Centre

o Target Audience: Family Medicine Physicians, Internal Medicine Physicians, OB/GYN Physicians, Pediatricians, Psychiatrists, Emergency Medicine Providers, Advanced Practice Nurses, Physician Assistants, Pharmacists, Psychologists, Nurses, Social Workers, and Other Mental Health Professionals

o Topics Include: Psychoneuroimmunology and HIV Complementary & Alternative Medicine &

Communication Cardiovascular Health Opiates and Pregnancy Models of Integrated Care Problem Patients at the Interface of Psychiatry

and Primary Care

o When: October 9 – 10, 2015o Where: Breaks Interstate Park, VAo Target Audience: Primary care physicians practicing in, and residents training or considering practicing in the rural communities of SW VA and Central Appalachiao Topics Include:

Billing and Coding Cheap Meds Behavioral Issues in Peds Oral Health Resources Setting Up a Clinic in SW VA Cultural Competency/Stereotypes Cultural Experiences/Sharing WIC How to Feed a Family on a Budget

o When: October 16 – 17, 2015o Where: MeadowView Conference Resort & Convention Center,

1901 MeadowView Parkway, Kingsport Tennesseeo Target Audience: Primary Care Physicians (Including Internal, Family

Medicine, OB-GYN Specialists, and Pediatricians), APNs and PAs, Nurses, Physical Therapists, Pharmacists, and Other Healthcare Providers.

o Topics Include: Update on the Health status of the East TN/SW VA Region Population Health of the Region Transitional Health Care: Playbook for the Continuum of

Care Chronic Pain Guidelines Updates on CHF and COPD TBI/Concussion Falls End of Life Issues Orthopedic Diagnosis & Treatment of Shoulder Problems

Inflammatory Arthritis

o When: November 13, 2015 7:15 a.m. – 4:30 p.m.o Where: Millennium Centre, Johnson City, Tennesseeo Target Audience: Family Medicine Physicians, Internal Medicine

Physicians, OB/GYN Physicians, Pediatricians, Psychiatrists, Surgeons, Emergency Medicine Providers, Advanced Practice Nurses, Physician Assistants, Pharmacists, Psychologists, Nurses, Medical and Nursing Students, and Physical Therapists

o Topics Include: Misconceptions in Prescribing for Chronic Pain Maximum dosages and De-escalating - How to Drug Screening Medical THC Adjuvant Medications and Co-Prescribing with Opioids

FOR MORE INFORMATION on these or other upcoming CME programs, or to register for any activity,

please contact our office at 423-439-8027 or visit our website at http://www.etsu.edu/cme

NOTES