1. science
2. medicine
3. surgery

22nd Annual
USC National Trauma,
Emergency Surgery and
Surgical Critical Care
Symposium
Friday and Saturday
May 29-30, 2015
Langham Huntington
Pasadena, California
Presented by:
Institute of Continuing Education for Nurses, Department of Nursing
Los Angeles County+USC Medical Center
COURSE DESCRIPTION
Symposium is hosted by the Division of Acute Care Surgery from the Los Angeles
County+University of Southern California Medical Center, one of the largest trauma
ber plenary sessions, interactive and provocative panel discussions, and inspiring keynote
balance between evidence-based principles and innovative thought-provoking discussion
will be maintained during lively expert debates and video sessions. Each session focuses
on understanding the latest medical controversies and the implementation of practical
procedural skills.
TARGET AUDIENCE
emergency medical technicians, paramedics and other medical personnel working in the
care for adults and seek to enhance their understanding of trauma care and treatment
options to optimize management of their patients.
PROGRAM
Pre-Course: 9:00 am-5:00 pm
American College of Surgeons’ ASSET Course (Advanced Surgical Skills for Exposure
in Trauma)LAC+USC Medical Center. Course Director: Lydia Lam, M.D.
Separate registration required. Contact Angela Martinez at [email protected]
Friday, May 29, 2015
6:15 am Registration and Breakfast
7:30 am Opening Remarks
Demetrios Demetriades, M.D.,
Ph.D.
7:40 am Welcome
M.B.A. & Daniel Castillo, CEO
LAC+USC Medical Center
Session 1: L.A. County Health System
M.D., M.B. A.
8:55 am
Quality Improvement
Programs: Tips and Pitfalls
Stephanie Hall, M.D.
9:15 am Proliferation of Trauma
Centers: Saving Lives or
Weakening the Trauma
Systems?
Ronald Stewart, M.D.
9:30 am Discussion
Session 3: J.L. Buckingham Keynote
Lecture
7:50 am From L.A. D.H.S. Director’s
Perspective
Mitchell H. Katz, M.D.
8:10 am Disruptive Innovation in
Healthcare
Hal Yee, Jr., M.D., Ph.D.
Moderator: Demetrios Demetriades, M.D.,
8:30 am Discussion
10:10 am Discussion
Session 2: Improving Quality of Care
Moderator: Brad Spellberg, M.D.
10:20 am Break
8:35 am Preparing for Trauma Center
Orange Book!
Chris Cribari, M.D.
Ph.D.
9:40 am
Recovering from a Terrorist
Attack: A Personal Odyssey
Frank Gardner, O.B.E.,
B.B.C. Security Correspondent
Book Signing by Frank Gardner
3:45 pm
10:50 am Conductive Energy Devices:
What the Trauma Surgeon
Needs to Know
Lakshmanan Sathyavagiswaran, M.D.
11:10 am
A Medical Examiner’s
Perspective
Mark A. Fajardo, M.D.
11:30 am Abusive Abdominal Trauma
James Ribe, M.D.
11:50 am Discussion
12:00 pm Lunch
Session 5: Wound Care
Moderator: Lydia Lam, M.D.
1:20 pm
Preventing Infection of
Surgical Incisions and Treating Soft Tissue Infections
Mark Kaplan, M.D.
3:53 pm
4:01 pm
4:09 pm
4:18 pm
Is Interval Appendectomy
the Standard of Care?
Tobias Haltmeier, M.D.
Appendicitis in Pregnancy
Stefan W. Leichtle, M.D.
Appendicitis in the Elderly
Glenn Ault, M.D.
Outpatient Appendectomy
David Rosen, M.D.
Discussion
Session 8: An Hour with Dimitri:
Believe it or Not!
4:25 pm
Panel: Ronald Stewart, M.D.
Chris Cribari, M.D.
Daniel Margulies, M.D.
Mark Kaplan, M.D.
5:30 pm
Adjourn
Saturday, May 30, 2015
6:45 am
Registration and Breakfast
Session 9: Military Session: Lessons
Learned from the Wars in Iraq and
Afghanistan
Moderator: LCDR Daniel J. Grabo, M.D.
1:35 pm
Abdomen
Mark Kaplan, M.D.
1:50 pm Discussion
Session 6: Critical Care I
Moderator: Howard Belzberg, M.D.
2:00 pm Ventilator-Associated Events,
Complications, Possible VAP,
Probable VAP and More
Confusion!
Paul Holtom, M.D.
2:15 pm Resistant Organisms in ICU:
Fighting with Intelligent
Weapons!
Brad Spellberg, M.D.
2:30 pm Nutrition of the Critically Ill:
When, How, What, How
Much?
Subarna Biswas, M.D.
3:00 pm
Liver Failure
Damon Clark, M.D.
3:15 pm Discussion
3:25 pm Break
Session 7: Rapid Session:
Capsule Commentaries
Moderator: Elizabeth Benjamin, M.D.
7:30 am Advances in Aeromedical
Evacuation in a Combat Zone
CDR Joshua M. Tobin, M.D.
7:45 am Combat Hemostatic Agents
LCDR Leonardo Rodriguez, M.D.
8:00 am Special Forces Trauma
Training
LCDR Daniel J. Grabo, M.D.
8:15 am Discussion
Session 10: Complex Problems and
Other Hot Issues
8:20 am Complications from Bariatric
Surgery and the Acute Care
Surgeon
Peter Crookes, M.D.
8:35 am End of Life Issues
Heidi Hotz, R.N.
8:50 am Two for One: Trauma in
Pregnancy
Daniel Margulies, M.D.
ACKNOWLEDGEMENT
The Division of Acute Care Surgery, Institute of Continuing Education for Nurses, Department of Nursing and
Los Angeles County+USC Medical Center is grateful to KCI for an educational grant in support of the symposium.
9:05 am Minimally Invasive Surgery
in Trauma: An Oxymoron?
Edward Kwon, M.D.
9:20 am Discussion
Session 11: Legal Issues
Moderator: Chris Cribari, M.D.
9:30 am
Been Sued!
Michael Sise, M.D.
9:50 am
Discussion
Session 12: High Impact Literature
2014-2015
Moderator: Demetrios Demetriades, M.D.,
Ph. D.
9:55 am
Ten Papers You Should Know
About!
Ronald Stewart, M.D.
10:15 am Break
Session 13: Donating Life
Moderator: Lydia Lam, M.D.
10:35 am
Introduction By Tom Mone,
CEO, One Legacy
Oran Pentz, Brandon Pentz’ Father
10:45 am Organ Donation:
RN Perspective
Maybeth Francone, R.N.
10:55 am Optimal Management of the
Potential Organ Donor:
Updates
Lydia Lam, M.D.
Session 14: Distinguished Professor and
Keynote Speaker
Moderator: Demetrios Demetriades, M.D.,
Ph.D.
11:05 am Death at Home and on the
for Improvement
Ronald Stewart, M.D.,
Chairman COT American College
of Surgeons
Session 15: Get Involved!
Moderator: Michael Sise, M.D.
11:30 am Surgical Advocacy: Why is it
Important and How to Be
Brian Gavitt, M.D.
11:45 am
Patient Activist
Damian Kevitt
12:00 pm Discussion
12:05 pm Luncheon Lecture
Global Outreach:
It Makes a
Lydia Lam, M.D.
12:20 pm Lunch
Session 16: Video Session: Surgical
Techniques in Trauma
Moderator: Elizabeth Benjamin, M.D.
1:30 pm Iliac Vascular Injuries
Gregory Magee, M.D.
1:37 pm Brachial Artery Injuries
Aaron Strumwasser, M.D.
1:44 pm Duodenal Injuries
Elizabeth Benjamin, M.D.
2:01 pm Superior Mesenteric Vessels
Kazuhide Matsushima, M.D.
2:08 pm Measuring Compartment
Pressures in the Lower Leg
David Duvall, M.D.
2:15 pm How to Do Escharotomy in
Burns
Anupama Mehta, M.D.
Session 17: Debates
Moderator: Kenji Inaba, M.D.
2:22 pm Indications for Emergency
Room Resuscitative
“Rigor Mortis” (15 min.)
Peter Rhee, M.D.
Proven Indications (15 min.)
Resolution (10 min.)
Session 18: Critical Care II
Moderator: Kenji Inaba, M.D.
3:02 pm Pulmonary Embolism:
Unfractionated Heparin,
Mechanical Intervention
Michael Kearns, M.D.
3:12 pm Survival Sepsis Guidelines:
Saving Lives or Perpetuating a
Fallacy?
Robert Preston, M.D.
3:22 pm Discussion
3:30 pm Break
PROGRAM
Session 19: Resuscitation Updates
Moderator: Howard Belzberg, M.D.
3:55 pm Massive Transfusion Protocol: Final Results of the PROPPR National Study
Kenji Inaba, M.D.
4:10 pm Is the Massive Transfusion Protocol Applicable to Non-Traumatic Bleeding?
Eric Bui, M.D.
4:25 pm Discussion
Session 20: USC “Rheeopardy”
Moderator: Peter Rhee, M.D.
4:30 pm Panel: Aaron Strumwasser, M.D.,
Gregory Magee, M.D.
Kazuhide Matsushima, M.D.
Session 21: Who Has the Best Resident? Cedars-Sinai, UCLA or USC?
Moderator: Kenji Inaba, M.D. and Lydia Lam, M.D.
5:00 pm Cedars Sinai, UCLA and USC Residents
5:30 pm
KEYNOTE SPEAKERS
Frank Gardner, O.B.E.,
B.B.C. Security Correspondent
Frank Gardner, is the B.B.C.’s award-winning full-time Security Correspondent, reporting for TV, radio and online on issues of both UK and
international security. In 2004 he was shot six times at close range by
.
with major injuries. He is an Arabist with a degree in Arabic and Islamic
Studies from Exeter University. As B.B.C. Middle East Correspondent
.
Middle East, notably Saudi Arabia and Yemen, as well as Afghanistan,
Pakistan, the US, Guantanamo Bay and the Horn of Africa, the Balkans
and South America.
to journalism, awarded Honorary Doctorates of Laws by six British universities, the McWhirter Award for Bravery, Spain’s El Mundo Prize for
International Journalism, the UAE’s Zayed Medal for Journalism,voted
Person of the Year by the UK Press Gazette and Journalist of the Year in
the European Diversity Awards. He is a Fellow of the Royal Geographical Society and his Sunday Times best-seller ‘Blood and Sand,’ describes
his 25 years of Middle Eastern experiences. A keen skier and scuba diver
despite using a wheelchair, he has been elected President oft he Ski Club
of Great Britain.
Ronald M. Stewart, M.D.,
F.A.C.S.
Ronald M. Stewart is a tenured Professor and Chair of Surgery and
also currently serves as the Chair of the ACS Committee on Trauma.
Dr. Stewart has served in numerous regional and national leadership
Institute, chair of the South Texas Chapter of the ACS Committee
on Trauma and the ACS COT Region VI Chief (Texas, New Mexico,
Louisiana and Arkansas). In 2000, Dr. Stewart was appointed by Governor George W. Bush to the Governor’s Emergency Medical Services and
Trauma Advisory Council where he served until 2014.
Dr. Stewart has received numerous awards for teaching and service,
ncluding the Presidential Award for Clinical Excellence, the Distinguished Alumnus of the UTHSCSA School of Medicine and the
Leonard Tow Humanism in Medicine Award. In 2013 he was the recipient of the National Safety Council Surgeons Award for Service to Safety
and the American College of Surgeon’s Arthur Ellenberger Award for
Excellence in State Advocacy.
FACULTY
SYMPOSIUM DIRECTORS
Keck School of Medicine of USC
Los Angeles, CA
DEMETRIOS DEMETRIADES, M.D.,
Ph.D., F.A.C.S.
Professor of Surgery
Director, Division of Acute Care Surgery
KENJI INABA, M.D., M.Sc., F.A.C.S.,
F.R.C.S.C.
Associate Professor of Surgery
Medical Director, Surgical ICU
LYDIA LAM, M.D., F.A.C.S.
Assistant Professor of Clinical Surgery
SPECIAL INVITED GUESTS
DEAN CARMEN A. PULIAFITO, M.D.,
M.B.A.
Keck School of Medicine of USC
Los Angeles, CA
DANIEL CASTILLO, M.H.A.
CEO LAC+USC Medical Center
THOMAS MONE
CEO, One Legacy
MARK KAPLAN, M.D., F.A.C.S.
Professor of Surgery and
Director of Acute Care Surgery
Albert Einstein Medical Center
Philadelphia, PA
MITCHELL H. KATZ, M.D.
Director of Health Services, L.A. County
Los Angeles, CA
DAMIAN KEVITT
Director, Finish the Ride
Los Angeles, CA
SATHYAVAGISWARAN LAKSMANAN,
M.D., F.R.C.P.(C)
Former Chief Coroner of L.A. County
Los Angeles, CA
DANIEL MARGULIES, M.D., F.A.C.S.
Chief, Acute Care Surgery
Professor of Surgery
Cedars Sinai Medical Center
Los Angeles, CA
THOMAS NOGUCHI, M.D.
Professor Emeritus
Keck School of Medicine of USC
Los Angeles, CA
CHRIS CRIBARI M.D., F.A.C.S.
Medical Director Acute Care Services
Medical Center of the Rockies
Loveland, CO
PETER RHEE, M.D., M.P.H., F.A.C.S.
Professor of Surgery
Director of Trauma,
Critical Care and Emergency Surgery
University of Arizona
Tucson, AZ
HENRY CRYER III, M.D., F.A.C.S.
UCLA Medical Center
Los Angeles, CA
JAMES RIBE, M.D.
Senior Coroner, L.A. County
Los Angeles, CA
MARK A. FAJARDO, M.D.
Chief Medical Examiner and Coroner of
L.A. County
Los Angeles, CA
MICHAEL SISE, M.D., F.A.C.S.
Director of Trauma
Scripps Mercy Hospital
San Diego, CA
GUEST FACULTY
MAYBETH FRANCO, R.N.
RN Administrator,
LAC+USC Medical Center
Los Angeles, CA
STEPHANIE HALL, M.D.
CMO, Keck USC Hospital
Los Angeles, CA
HEIDI HOTZ, R.N.
Trauma Program
Cedars Sinai Medical Center
Los Angeles, CA
BRAD SPELLBERG, M.D., F.I.D.S.A.,
F.A.C.P.
CMO, LAC+USC Medical Center
Los Angeles, CA
JEFFREY UPPERMAN, M.D., F.A.C.S.,
F.A.A.P.
Associate Professor of Surgery
Director, Trauma Program
Children Hospital Los Angeles
Los Angeles, CA
HAL F. YEE, JR., M.D., Ph.D.
CMO, L.A. D.H.S.
Los Angeles, CA
FACULTY
KECK SCHOOL OF MEDICINE
OF USC and
LAC+USC MEDICAL CENTER
FACULTY
Los Angeles, CA
GLENN AULT, M.D., M.S.Ed.,
F.A.C.S.
Chief of Surgery,
LAC+USC Medical Center
Associate Dean, Clinical Administration
Associate Professor of Surgery
HOWARD BELZBERG, M.D.,
F.C.C.P., F.C.C.M., F.A.C.P.
Associate Professor of Surgery,
Anesthesiology and Emergency Medicine
ELIZABETH BENJAMIN, M.D.,
Ph.D.
Assistant Professor of Clinical Surgery
THOMAS BERNE, M.D., F.A.C.S.
Professor Emeritus of Surgery
NICOLAI A. BILDZUKEWICZ, M.D.
Assistant Professor of Clinical Surgery
SUBARNA BISWAS, M.D.
Assistant Professor of Clinical Surgery
DAMON CLARK, M.D.
Assistant Professor of Clinical Surgery
PETER CROOKES, M.D., F.A.C.S.
Associate Professor of Surgery
DANIEL J. GRABO, M.D., F.A.C.S.
Lieutenant Commander
Medical Corps, U.S. Navy
Assistant Professor of Clinical Surgery
Navy Trauma Training Center
PAUL HOLTOM, M.D.
Hospital Epidemiologist
LAC+USC Medical Center
Professor of Medicine and Orthopedics
Division of Infectious Diseases,
USC Department of Medicine
MICHAEL KEARNS, M.D.
Commander, Medical Corps, U.S. Navy
Navy Trauma Training Center
EDWARD KWON, M.D.
Assistant Professor of Clinical Surgery
ROBERT PRESTON, M.D.
Assistant Professor of Clinical Surgery
LEONARDO RODRIGUEZ, M.D.
Lieutenant Commander
Medical Corps, U.S. Navy
Assistant Professor of Clinical Surgery
Navy Trauma Training Center
JOSHUA M. TOBIN, M.D.
Commander
Medical Corps, U.S. Navy
Assistant Professor of Anesthesiology
Navy Trauma Training Center
FELLOWS
ERIC BUI, M.D.
Surgical Critical Care Fellow
DAVID DUVALL, M.D.
Surgical Critical Care Fellow
BRIAN GAVITT, M.D.
Surgical Critical Care Fellow
TOBIAS HALTMEIER, M.D.
Trauma Research Fellow
STEFAN LEICHTLE, M.D.
Surgical Critical Care Fellow
GREGORY MAGEE, M.D.
Trauma Clinical Fellow
KAZUHIDE MATSUSHIMA, M.D.
Trauma Clinical Fellow
ANUPAMA MEHTA, M.D.
Surgical Critical Care Fellow
DAVID ROSEN, M.D.
Surgical Critical Care Fellow
AARON STRUMWASSER, M.D.
Trauma Clinical Fellow
COURSE OBJECTIVES
At the conclusion of the program the participant should be able to:
•Discuss the new trauma center criteria and strategy for integrating into your home
program.
•Identify and implement critical care management of the ICU patient to include new
resistant organisms and ventilator associate pneumonia.
•Outline methods to improve organ donation programs at your home institution.
trauma patients.
•Integrate new guidelines of sepsis management and other infectious diseases.
COURSE INFORMATION
Course Proceedings
Meeting Location
Langham Huntington Hotel, 1401 S. Oak Knoll Drive, Pasadena, California 91106
Parking
Valet parking is discounted $25 overnight/$12 daily. Self-parking is available at the
discounted rate of $10.
Internet Access
Electricity availability is limited. No internet access provided in meeting room.
Hotel
To book a room at the Langham Huntington, call (626) 568-3900 and ask for group
reservations. Mention USC Trauma Symposium or the Keck School of Medicine of
USC to receive the special rate under the room block. Room rate is $212 single or
double. Please make reservations before May 14, 2015.
Cancellation Policy
email by May 22, 2015, 4:00 PM P.S.T. for a refund of tuition to be issued. A $50
cancellation fee will be applied. USC will not refund any travel costs incurred.
In the event of course cancellation by conference organizers, all registration fees will
be fully refunded. USC will not refund any travel costs incurred.
Currency
All registration payments must be in U.S. currency. Personal checks, bank drafts, or
money orders must be issued from U.S. banks. A $25 fee will be applied to process
payments submitted in other than U.S. dollars or when there is a disparity in the
calculated rate of exchange.
Accreditation Statement
Accreditation Council for Continuing Medical Education (ACCME) to provide continuing
medical education for physicians.
Credit Designation
activity for a maximum of 16 AMA PRA Category 1 Credits™. Physicians should claim only the
credit commensurate with the extent of their participation in the activity.
Provider approved by the California Board of Registered Nursing, Provider Number CEP00105
California EMS CE Provider #19-0012. Objectives available upon request.
REGISTRATION FORM
22nd Annual USC National Trauma, Emergency Surgery and
Surgical Critical Care Symposium on May 29-30, 2015
NAME____________________________________________________________
DEGREE_________________ MEDICAL LICENSE# ___________________
TELEPHONE__________________________ FAX_______________________
ADDRESS_________________________________________________________
CITY______________________________________ STATE ________________
ZIP CODE _________________ SPECIALTY ___________________________
EMAIL ADDRESS*_________________________________________________
INSTITUTIONAL AFFILIATION ___________________________________
SPECIAL DIETARY OR PHYSICAL NEEDS___________________________
* Correspondence and confirmations are sent by email.
TUITION
Early registration fees apply until May 22, 2015, noon P.S.T.
Physician
T$500 May 29-30 T$300 One Day Attendance
Allied Health Professional T$400 May 29-30 T$225 One Day Attendance
Fellow/Resident/Student T$300 May 29-30
Optional Printed Syllabus T$35 Must be pre-ordered and paid by May 13, 2015.
Late registration fees apply after May 22, 2015 at noon P.S.T.
Physician
T$550
Allied Health Professional T$450
Fellow/Resident/Student T$350
METHOD OF PAYMENT
TCheck (Payable to USC)
TCredit Card (Visa or Mastercard only)
Visa/Mastercard # ___________________________________________________
Authorized Signature ___________________________ Amount $ ____________
REGISTRATION
Mail completed registration form and check payment to:
Online: www.usc.edu/cme. Scroll down to 22nd Annual USC National Trauma,
Emergency Surgery and Surgical Critical Care Symposium
Phone: (323) 442-2555 or toll-free: 1(800) USC-1119 I Fax: 1(888) 665-8650
Email: [email protected] I Website: www.usc.edu/cme
On site payment: Huntington Ballroom at the Langham Huntington
May 29, 2015: 6:15 am I May 30, 2015: 6:45 am
Cancellation Policy
by May 22, 2015, 4:00 PM P.S.T. for a refund of tuition to be issued. A $50 cancellation
fee will be applied. USC will not refund any travel costs incurred.
In the event of course cancellation by conference organizers, all registration fees will be
fully refunded. USC will not refund any travel costs incurred.
May 29-30, 2015
Langham Huntington: 1401 S. Oak Knoll Avenue
Pasadena, California 91106
22nd Annual
USC National Trauma, Emergency Surgery and
Surgical Critcal Care Symposium
1540 Alcazar Street, CHP 223
Los Angeles, CA 90033
Non-Profit
U.S. Postage
PAID
University
of Southern
California