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POINT/COUNTERPOINT CONFERENCEJUNE 11-12, 2018

BALTIMORE HILTON

CONFERENCE DESCRIPTION

The 37th annual meeting of Point/Counterpoint will be held in Baltimore, Maryland on June 11 and 12. A number of things have changed. Again this year, the program will be two days. The focus will remain the same. This will be a review of state of the art management strategies for common clinical problems, as well as challenging and controversial topics. This year Point/Counterpoint offers afternoon breakout sessions tailored to the specifics of “Damage Control” and “Controlling Damage”. This choice of sessions will appeal to a variety of participants. Various topics presented by subject matter experts in the field will provide state of the art information in an informative manner.

This year, we have attempted to make the content more broadly applicable to nurses, EMS, advanced practice professionals, and physicians from a variety of disciplines. Gathering all who care for these challenging patients for two days can only serve to make us all better.

This year, the Charles C. Wolferth Jr., MD Memorial Lecture will be delivered by C. William Schwab, MD, FACS. On Friday, Grace S. Rozycki, MD, MBA, will be presenting the Sharon M. Henry/Maryland COT Lecture.

Point/Counterpoint will assemble an expert faculty. We intend this to be evidence-based and expect a lively intellectual exchange. Our course syllabus will include a synopsis of each presentation and will be distributed at registration.

COURSE OBJECTIVES

At the completion of this program, the attendee should be able to:• Cite evidence-based algorithms for management of the acutely ill patient population.• Describe specific management approaches to special injuries and different disease entities in managing damage

control.• Objectively analyze the ongoing controversies in damage control.

COURSE CONTENT

This meeting will address relevant issues in trauma, emergency general surgery, and critical care. The format of Point/Counterpoint, a pro/con debate, will allow for critical analyses of the current body of evidence with interaction from the moderators, the presenters, and the meeting participants.

COURSE DIRECTOR

Thomas M. Scalea, MD, FACS, MCCM

PLANNING COMMITTEE

ACCREDITATION & GENERAL INFORMATION

Early registration is encouraged. Space is limited. The registration fee includes tuition, course syllabus, two continental breakfasts, and two luncheon meetings. All checks should be made payable to MDCOT. Refunds will be given if cancellation notice is received prior to June 1, 2018. A processing fee of $100 will be withheld from all refunds requested after this date.

ACCREDITATION

The American College of Surgeons is accredited by the Accreditation Council of Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME CREDIT

14.50 CME credits will be provided for this activity.

HOTEL RESERVATION INFORMATIONPlease be sure to make your hotel reservation by May 10, 2018

ROOM RESERVATION INFORMATION:

Baltimore Hilton401 West Pratt StreetBaltimore, MD 21201https://aws.passkey.com/go/fa92d5d0

HOTEL PARKING GARAGE

Rates can vary for the hotel garage; we suggest viewing online options for parking areas within close proximity to the hotel.

TRAVEL

Driving directions and airport shuttle service information are available at: mdcot.org

NOTE

The American College of Surgeons wishes to recognize and thank the companies that provided commercial support for this meeting. Please see the on-site signage for a full list of these companies. If you need auxiliary aids, services, dietary restrictions or further information please contact:

Susan Briggs, MD, MPH, FACSJames Brown, MA, EMTKimberly Davis, MD, MBA, FACS, FCCMJose Diaz, MD, CNS, FACS, FCCM David Efron, MD, FACSDavid Feliciano, MD, FACSElliott Haut, MD, PhD, FACSSharon Henry, MD, FACS

David Livingston, MD, FACSKaren McQuillian, MS, RN, CNS-BC, CCRN, CNRN, FAANMayur Narayan, MD, MPH, MBA, MHPE, FACS, FCCM, FICSHabeeba Park, MD, FACSBabek Sarani, MD, FACS, FCCMLeonard Weireter, MD, FACS

Rate: $214.00 per room/per night (plus tax and occupancy)Group Rate Cut-Off: May 10, 2018Cancellation Policy- 72 hours prior to arrivalCheck-in 3:00 pm and Check-out 11:00 amHotel Phone Reservation : 443-573-8700

Claire LeidyOffice: 410-328-3662 Cell: 443-742-9900

Fax: 410-328-3665Email: [email protected]

SHARON M. HENRY/MARYLAND COT STATE OF THE ART LECTURE

Sharon M. Henry, MD, FACS, is the Anne Scalea Professor in Trauma at the University of Maryland School of Medicine and the Chief of the Division of Wound Healing and Metabolism at the R Adams Cowley Shock Trauma Center where she is also the Head of the Soft Tissue Infection Service. In addition to being recognized as an international expert in trauma surgery and soft tissue infections, Dr. Henry is also widely known for her untiring commitment to the educational efforts of the American College of Surgeons’ Committee on Trauma.

Upon becoming the State Chair of the Maryland COT in 2004, Dr. Henry set in motion the development of an impressive number of educational initiatives which culminated into a very successful Annual Maryland COT Trauma Care Symposium, which she spearheaded for several

years. Under her outstanding leadership, Maryland’s ATLS program became one the best in the country. While personally engaged in teaching TEAM (Trauma Evaluation and Management) to thousands of medical students, she also brought ATOM, ASSET, RTTDC, DMEP and other advanced trauma courses to the Maryland COT, making all of them regularly available at the R Adams Cowley Shock Trauma Center.

In recognition for her tireless efforts at optimizing the care of the trauma patient, Dr. Henry has already received three Governor’s Proclamations, two Shock Trauma Hero Awards, the Shock Trauma Superstar Award, the Department of Surgery Teaching Award and the Meritorious Service Award of the American College of Surgeons. In 2015, she was further acknowledged by the Maryland COT with the establishment of the Annual Sharon M. Henry, State of the Art Lecture.

Grace S. Rozycki, MD, MBA, Willis D. Gatch Professor of Surgery and Associate Chair, Department of Surgery at Indiana University School of Medicine will be the 2018 Sharon M. Henry, MD State-of-the-Art Lecturer.

CHARLES C. WOLFERTH, JR., MDMEMORIAL LECTURE

Charles C. Wolferth, Jr., a nationally known surgeon and medical expert, spearheaded a state law that created the Pennsylvania Trauma System Foundation. He battled for decades to develop a foundation that would monitor the quality of care in hospital trauma centers. His goal was to help prevent victims from dying needlessly during that “golden hour” – the first 60 minutes of care that can make the difference between life and death. Ultimately, the foundation became a model for other states. “Dr. Wolferth created a model that no other state can match,” said Dr. C. William Schwab, Founding Chief of Trauma and Critical Care Surgery at the Hospital of the University of Pennsylvania. Known as the “surgeon’s surgeon,” Schwab said, “there was no one better.” Dr. Wolferth was head of the Department of Surgery at Graduate Hospital when he retired in 1998. During his 44-year career, he was Department Head, surgeon and teacher at HUP, Hahnamann

University and Presbyterian Hospitals, and other medical centers. He was a member of 56 medical societies and the recipient of numerous awards, including the prestigious National Safety Council Surgeons Award for Services to Safety in 2000. Dr. Wolferth was the chief architect of the Point/Counterpoint Conference.

C. William Schwab, MD, FACS, Emeritus Professor of Surgery, Perelman School of Medicine, University of Pennsylvania, Founding Chief, Division of Traumatology, Surgical Critical Care & Emergency Surgery, will be the 2018 Charles C. Wolferth, MD Memorial Lecturer.

Sharon M. Henry, MD, FACS

Charles C. Wolferth, Jr,. MD

Point/CounterpointXXXVIIDamageControlControllingDamage

June 11-12, 2018 Baltimore HiltonBaltimore, Maryland

#pcpacs18

@PCounterpoint

facebook.com/PointCounterpointAcuteCareSurgeryConference/

mdcot.org

2018 PRECONFERENCE PROGRAMSaturday & Sunday, June 9 & 10, 2018“Get Traumatized”, a TCRN Review Course (8:00 AM–4:00 PM)Location: R Adams Cowley Shock Trauma Center (STC), STC Auditorium, 22 South Greene Street, Baltimore, MD 21201This two day course offers a comprehensive review for nurses interested in sitting for the Trauma Certified Registered Nurse specialty certification exam. The review course incorporates the body of knowledge in trauma nursing that exists across the continuum of care from injury prevention to reintegration back into society and is taught by TCRN-certified and active bedside clinical nurses of R Adams Cowley Shock Trauma Center. Previous offerings of this course have seen a 95% pass rate for those who chose to sit for the exam, and 100% of participants would recommend this course to their colleagues. Come join us and prepare to Get Traumatized! Accreditation: University of Maryland Medical Center is an approved provider of continuing nursing education by the Maryland Nurses Association, an accredited approver by the American Nurse’s Credentialing Center’s Commission on Accreditation. Nurses will receive 12.5 contact hours.For additional information about the course, contact:Course Coordinators:June Guadalupe, BSN, RN, CEN, CCRN, CMC, CNRN, TCRN [email protected] Westbrook, BSN, RN, CCRN, TCRN [email protected]

Sunday, June 10, 2018Stop The Bleed Training and Train The Trainer Classes (12 Noon–3:00 PM)Location: R Adams Cowley Shock Trauma Center - STC Area/Room #T1R15Dr. Habeeba Park – R Adams Cowley Shock Trauma Center - Could you jump in to help save someone’s life in the event of a bleeding emergency? Help spread this valuable training to your community! This session will teach you proper bleeding control techniques. Learn what to do during times of crisis - before additional help arrives! To Register: www.mdcot.org

Sunday, June 10, 2018Chest Wall Stabilization Course (8:30 AM-4:00 PM)Location: R Adams Cowley Shock Trauma Center for Critical Care and Trauma Education, Classroom #T1S12The Chest Wall Stabilization Course at the UMMC / STC is an advanced course for general, trauma, and thoracic surgeons who care for trauma patients with severe rib fractures. The course will include a didactic portion to review the current literature: indications, bone healing science/hardware, and minimally invasive surgical approaches. The course will transition to the cadaver lab where participants will have hands-on training to focus on the repair of chest wall injuries.At the conclusion of this activity, participants will be able to:

1. Recognize the indications for chest wall stabilization.2. Define and explain the surgical approaches to chest wall stabilization.3. Perform minimally invasive/muscle sparing approaches to rib plating.

Accreditation:The University of Maryland School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.Credit Designation:The University of Maryland School of Medicine designates this live activity for a maximum of 6 AMA PRA Category 1 Credit(tm).Physicians should claim only the credit commensurate with the extent of their participation in the activity.Register:To register for this 1 day course, please click on the link: https://cmetracker.net/UMD/Login?Formname=RegLoginLive&eventID=16066

Monday, June 11, 20187:00 a.m. – 8:00 a.m. Registration/Continental Breakfast/Vendors

8:00 a.m. – 8:20 a.m. We Have Clear Guidelines for Fluid Resuscitation after Trauma – David Livingston

8:20 a.m. – 8:40 a.m. We Cannot Agree on Type of or Volume of Fluid to Give – Sharon Henry

8:40 a.m. – 8:45 a.m. Discussion

8:45 a.m. – 9:05 a.m. Fresh Whole Blood Saves Lives - David Efron

9:05 a.m. – 9:25 a.m. Fresh Whole Blood Does Not Help – Leonard Weireter


9:30 a.m. – 9:45 a.m. Break/visit vendors

9:45 a.m. – 10:05 a.m. EMS is Best Suited to Transport Trauma Patients - David Marcozzi

10:05 a.m. – 10:25 a.m. Civilian Transport is Quicker and May Be Better – Elliott Haut


10:30 a.m. – 10:50 a.m. MRI is an Essential Component of Clearing the C-spine – Jose Diaz

10:50 a.m. - 11:10 a.m. CT Is All We Need – Habeeba Park


11:15 a.m. – 12:15 p.m. The Evolution of Military Damage Control – Todd Rasmussen The Evolution of Civilian Damage Control – David Feliciano

12:30 p.m. – 1:15 p.m. Charles C. Wolferth, Jr., MD Memorial Lecture - C. William SchwabOne Nation, One System: Advancing Together or Not at All?

1:15 p.m. – 1:30 p.m. Break/visit vendors

1:30 p.m. – 3:30 p.m. Damage Control

Damage Control for the Liver – C. William SchwabHow I do a Forearm Fasciotomy – Sharon HenryLower Extremity Fasciotomy – Habeeba ParkComplex Duodenal Repairs – David FelicianoThe Difficult Pancreas – David EfronOperative Splenic Salvage – David Livingston

Controlling Damage

Continuous Renal Replacement Therapy to Clear Myoglobin – Paul ThurmanOptimal BP for Spinal Cord Injury – Karen McQuillianInterpreting TEG – Babak SaraniThe Role of ECMO in 2018 – Jay MenakerPositional Therapy for ARDS – H. Neal ReynoldsMultimodality Therapy for TBI – Deborah Stein


3:45 p.m. – 4:15 p.m. Recovering after Severe Trauma: TSN, Post Discharge Programs, and Long Term Follow UpChristopher Foran

POINT/COUNTERPOINT CONFERENCEPROGRAM SCHEDULE

Tuesday, June 12, 20187:00 a.m. – 8:00 a.m. Registration/Continental Breakfast/Vendors

8:00 a.m. – 8:20 a.m. Surgeons Must Be the Ones to Place REBOA – Kimberly Davis

8:20 a.m. – 8:40 a.m. We Must Train Nonsurgeons as Well – Thomas Scalea


8:45 a.m. – 9:05 a.m. The Federal Government Should Lead National Disaster Preparedness – David Marcozzi

9:05 a.m. – 9:25 a.m. The American College of Surgeons is Better Suited to Lead National Disaster Preparedness – Leonard Weireter


9:30 a.m. – 9:45 a.m. Break/visit vendors

9:45 a.m. – 10:05 a.m. TXA is an Integral Part of a Massive Transfusion Protocol – Joseph DuBose

10:05 a.m. – 10:25 a.m. TXA is Unproven – Mayur Narayan


10:30 a.m. – 10:50 a.m. After Recent Disasters, We Are Finally Prepared for the Next One – Susan Briggs

10:50 a.m. - 11:10 a.m. We are Still Terribly Vulnerable – Babak Sarani


11:15 a.m. – 12:15 p.m. Pain Management and Palliative Care in the Era of the Opiate Crisis – Yvette Fouche´-Weber

12:30 p.m. – 1:15 p.m. Sharon M. Henry/Maryland COT State of the Art Lecture – Grace S. RozyckiThe Use of Ultrasound in the Acute Care Setting: Lessons Learned After 25 Years

1:15 p.m. – 1:30 p.m Break/visit vendors

1:30 p.m. – 3:30 p.m. Damage Control

Technical Tips for REBOA Insertion – Jonathan MorrisonOperative Management of Pelvic Vascular Injuries – Thomas ScaleaPenetrating Groin Injuries, Tips for the General Surgeon – David FelicianoPelvic Packing, How I do It – Kimberly DavisThoracic Damage Control – James O’ConnorWhen and How to Place Vascular Shunts – Joseph DuBose

Controlling Damage

Managing Trauma Patients on Novel Anticoagulants – Mehrnaz PajoumondUpdate on Effective Use of Enteral Nutrition – Jose DiazManaging Agitation in the ICU – Daniel HerrWho Should We Actually Transfuse? Mayur NarayanWhat is Proportional Pressure Support Ventilation? Nader HabashiTips on Managing Complex Wounds – Elena Keller


3:45 p.m. – 4:15 p.m. The Cutting Edge of Bleeding Control: Junctional Tourniquets, Foam and BeyondKyle Remick

Susan Miller Briggs MD, MPH, FACSAssociate Professor of Surgery Harvard Medical SchoolDirector, International Trauma and Disaster Institute Massachusetts General HospitalKimberly A. Davis, MD, MBA, FACS, FCCMProfessor of Surgery (Trauma)Chief of the Section of General Surgery, Trauma, and Surgical Critical Care Vice Chairman, Clinical Affairs, Department of Surgery Trauma Medical Director, Yale-New Haven HospitalSurgical Director, Performance and Quality ImprovementYale-New Haven HospitalJose J. Diaz, Jr., MD, CNS, FACS, FCCMProfessor of SurgeryVice Chair Quality and Safety Department of SurgeryChief, Division Acute Care SurgeryProgram Director Acute Care Surgery FellowshipProgram in TraumaR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterJoseph J. DuBose, MD, FACS, FCCMAssociate Professor of SurgeryUniformed Services University of the Health SciencesAssociate Professor of SurgeryUniversity of Maryland School of MedicineR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterDavid T. Efron, MD, FACSProfessor of SurgeryChief, Division of Acute Care SurgeryDirector of Adult TraumaDepartment of SurgeryThe Johns Hopkins HospitalDavid V. Feliciano, MDClinical Professor of SurgeryUniversity of Maryland School of MedicineAttending SurgeonR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterChristopher Foran, MDUSC-Los Angeles County HospitalGeneral Surgery Residency ProgramLT MC USNRYvette Fouche’-Weber, MDAssistant ProfessorUniversity of Maryland School of MedicineDepartment of AnesthesiologyDivision Director Trauma AnesthesiologyR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterNader M. Habashi, MD, FACP, FCCPProfessor of MedicineUniversity of Maryland School of MedicineMedical Director Multi-trauma Critical CareR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterElliott R. Haut, MD, PhD, FACSVice Chair of Quality & Safety, Department of SurgeryAssociate Professor of Surgery, Anesthesiology / Critical Care Medicine (ACCM) and Emergency Medicine

Division of Acute Care Surgery, Department of SurgeryThe Johns Hopkins University School of Medicine

Associate Professor of Health Policy & Management

The Johns Hopkins University Bloomberg School of Public Health

Core Faculty, The Armstrong Institute for Patient Safety and Quality, JHM

Sharon M. Henry, MD, FACSAnne Scalea Professor of TraumaUniversity of Maryland School of MedicineDirector of Wound Healing and Metabolism ServiceR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterDaniel L. Herr, MD, MS, FCCMAssociate Professor of SurgeryUniversity of Maryland School of MedicineChief Critical Care ServicesDirector, Cardiac Surgical Intensive Care UnitR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterElena C. Keller RN, MSN, FNP, CWSClinical Nurse SpecialistDivision of Wound Healing and Metabolism ServiceR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterDavid H. Livingston, MD, FACSWesley J. Howe Professor of SurgeryChief, Division of Trauma and Surgical Critical CareRutgers-New Jersey Medical SchoolDavid Marcozzi, MD, MHS-CL, FACEPAssociate ProfessorDirector of Population HealthUniversity of Maryland Department of Emergency MedicineAdjunct Associate ProfessorCo-Director of the Program in Health Disparities and Population HealthDepartment of Epidemiology and Public HealthAssistant Chief Medical Officer for Acute Care ServicesUniversity of Maryland Medical CenterKaren A. McQuillan, MS, RN, CNS-BC, CCRN, CNRN, FAANLead Clinical Nurse SpecialistR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterJay Menaker, MDProfessor of Surgery and Emergency MedicineUniversity of Maryland School of MedicineMedical Director, Lung Rescue and Critical Care Resuscitation UnitsPhysician Director of Quality ManagementR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterJonathan J. Morrison, MD, PhD, FRCSAssistant Professor of SurgeryUniversity of Maryland School of MedicineR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterMayur Narayan, MD, MPH, MBA, MHPE, FACS, FCCM, FICSAttending Trauma SurgeonAssociate Program Director, Surgical Critical Care FellowshipSurgical Director for Simulation, Skills Acquisition & Innovation LabWeill Cornell MedicineDivision of Trauma, Burns, Critical and Acute CareNew York-Presbyterian Hospital/Weill Cornell Medical CenterJames V. O’Connor, MD, FACS, FCCPProfessor of SurgeryUniversity of Maryland School of MedicineChief of Thoracic and Vascular TraumaR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterExecutive Medical DirectorShock Trauma Associates, PA

Habeeba Park, MD, FACSAssistant Professor, Department of SurgeryUniversity of Maryland School of MedicineR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterMehrnaz Pajoumand, PharmD.University of Maryland Medical CenterTodd E. Rasmussen, MD, FACSShumacker Professor of SurgeryAssociate Dean for Clinical ResearchF. Edward Herbert School of Medicine Uniformed Services University of the Health SciencesKyle N. Remick, MD, FACSColonel, US ArmyAssociate Professor of SurgeryTrauma, Emergency General Surgery, and Surgical Critical CareThe Department of Surgery at theUniformed Services University and Walter Reed National Military MedicalCenterH. Neal Reynolds, MDAssociate Professor of Medicine,University of Maryland School of MedicineCo-Director, Multi-Trauma Intensive Care UnitR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterGrace S. Rozycki, MD, MBAWillis D. Gatch Professor of Surgery and Associate Chair, Department of Surgery at Indiana University School of MedicineBabak Sarani, MD, FACS, FCCMAssociate Professor of Surgery and Emergency MedicineDirector, Center for Trauma and Critical CareGeorge Washington UniversityC. William Schwab, MD, FACSEmeritus Professor of SurgeryPerelman School of Medicine, University of PennsylvaniaFounding Chief, Division of Traumatology, Surgical Critical Care & Emergency SurgeryDeborah M. Stein, MD, MPH, FACS, FCCMR Adams Cowley Professor in Shock & TraumaUniversity of Maryland School of MedicineChief of TraumaMedical Director, Neurotrauma Critical CareR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterPaul Thurman, MS, RN, ACNPC, CCNS, CCRN Clinical Nurse SpecialistLung Rescue, Multi Trauma Critical Care, and Trauma Resuscitation UnitsR Adams Cowley Shock Trauma CenterUniversity of Maryland Medical CenterLeonard J. Weireter Jr., MD, FACSArthur and Marie Kirk Family Professor of SurgeryEastern Virginia Medical SchoolVice-Chair, American College of Surgeons, Committee on Trauma

THE POINT/COUNTERPOINT CONFERENCE SPEAKERSPOINT COUNTERPOINT XXXVII REGISTRATION

THE BALTIMORE HILTON/ 401 West Pratt Street, Baltimore, MD 21201JUNE 11 AND 12, 2018: 7:00 a.m. - 4:15 p.m.For Additional Information, please contact:

Claire Leidy 410-328-3662 / [email protected] www.mdcot.org

NAME: ________________________________________________________________________ Last First MI

Circle One: MD / DO / Attending / Resident / MS / RN / PA-C / CRNP / EMS

Street:__________________________________________________________________________

City / State / Zip :_________________________________________________________________

Day Phone / Cell Phone: __________________________________________________________

Email: __________________________________________________________________________

Hospital Affiliation: _______________________________________________________________

City/ State:______________________________________________________________________

Please Check Appropriate Specialty:___ Surgery (Subspecialty_____________________) ___ Critical Care ___ Emergency Medicine ___ Internal Medicine ___Family Practice ___ Anesthesia ___ Pediatrics ___Other

********************************************************************************

Please check appropriate registration:___I plan to attend 2018 Point Counterpoint ONLY on Day 1, June 11th

Registration Fees for Day 1 Conference Attendance:

___ EMS Providers: $110.00 ___ Nursing /Residents $125.00 ___ Physicians $175.00 ____ I plan to attend 2018 Point Counterpoint ONLY on Day 2, June 12th

Registration Fees for Day 2 Conference Attendance:

___ EMS Providers: $110.00 ___ Nursing/Residents $125.00 ___ Physicians $175.00

___ I plan to attend Point Counterpoint on Both June 11th and June 12th:EMS Providers: $200.00 ___ Nursing /Residents $225.00 ___ Physicians $325.00 ___

Checks Made Payable to: MDCOTMail to: Maryland Committee on TraumaAttn: Claire Leidy R Adams Cowley Shock Trauma Center 22 South Greene Street P1G03B Baltimore, MD 21201

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