SYMPOSIUM DIRECTORS• COL Brian Eastridge, MDBrooke Army Medical Center• COL John B. Holcomb, MDUS Army Institute of Surgical Research• LTC Alan Murdock, MDWilford Hall Medical Center• CDR Joseph Rappold, MDNaval Medical Center• Ronald Stewart, MDThe University of Texas Health Science Center
ABOUT THE TRAUMA SYMPOSIUMThis year’s symposium is a joint effort between The TraumaInstitute of San Antonio, Texas (TRISAT) and the US Navy.TRISAT is a civilian/military collaborative effort joiningforces to enhance preparedness through comprehensive care,integrated research, and innovative teaching. TRISAT includesthe US Army Institute of Surgical Research, BrookeArmy Medical Center, University Health System, Universityof Texas Health Science Center at San Antonio, and WilfordHall Medical Center.SYMPOSIUM OBJECTIVESAt the symposium’s conclusion, attendees will be able to:• Discuss advances in trauma care in their area of practice• Identify key variables related to their practice• Apply the information gained to their practiceINTENDED AUDIENCE• Pre-hospital care personnel• Emergency and trauma service personnel• Personnel in the surgical specialties• Anesthesia and Radiology personnelNo special prerequisites are required to attend this activity.ACCREDITATIONContinuing Medical EducationThe office of the Surgeon General, United States Air Force,designates this educational activity for a maximum of 15hours in AMA PRA Category 1 credit(s). Each physicianshould claim only those hours of credit he/she actually spentin the educational activity.This activity has been jointly planned and implemented inaccordance with the Essential Areas and ancillary policies ofthe Accreditation Council for Continuing Medical Education(ACCME) by the Office of the Surgeon General, UnitedStates Air Force and the Lackland AFB/859th. The Office ofthe Surgeon General, United States Air Force is accreditedby the ACCME to provide continuing medical education forphysicians and takes responsibility for the content, qualityand scientific integrity of this program.Continuing Nursing EducationUniversity Health System, is an approved provider of continuingnursing education by the Texas Nurses Association,an accredited approver by the American Nurses CredentialingCenter’s Commission on Accreditation. This activitymeets Type I criteria for mandatory continuing educationrequirements toward relicensure as established by the Boardof Nurse Examiners for the State of Texas. University HealthSystem provides up to 18 contact hours for completion ofthis educational activity.ACKNOWLEDGEMENTThe Trauma Institute of San Antonio, Texas (TRISAT) andthe US Navy gratefully acknowledge the unrestricted educationalgrants through the Henry M. Jackson Foundation.A list of commercial supporters will be made available at thesymposium.
PLENARY & BREAKOUT SESSIONSTuesday, September 19, 20068:05–8:30 a.m.Opening Ceremony:Color Guard and San Antonio Pipes and DrumsWelcome Remarks:William Henrich, MD, Dean, Medical School, UTHSCSA8:30–9:30 a.m.Plenary Session, Ballroom ACOL John B. Holcomb, MD, FACS, Trauma Consultant forthe Army Surgeon General Commander, US Army Instituteof Surgical Research10:00 a.m.–4:00 p.m.Concurrent Breakout SessionsPhysical Medicine and RehabilitationCo-Moderators: LTC Jennifer Menetrez, MD, MC, USA andJohn King, MD, UTHSCSAI 10:00–10:45 a.m.Update in Lower Extremity ProsthesisJohn Fergason, CPO, BAMC10:45–11:30 a.m.Neuropathic Pain ManagementJohn King, MD, UTHSCSAII 12:30–1:30 p.m.Scar and Contracture ManagementCAPT Ted Chapman, OTR/L, Fort HoodIII 1:30–2:30 p.m.Acute Spinal Cord Injury ManagementMark Fredrickson, MD, UTHSCSAIV 3:00–4:00 p.m.Acute Brain Injury Survivor’s ManagementAmy Bowles, MD, UTHSCSAPre-Hospital CareModerator: LTC Robert Gerhardt, MD, FACEP, BAMCI 10:00–11:00 a.m.Recognition and Field Treatment of Blast Injuries andNew Technology to Mitigate themLCDR Timothy A. Coakley, MD, FAAEM, NMC PortsmouthII 12:30–1:30 p.m.Impact of Emergency Medicine Specialists in Tactical Pre-Hospitaland En Route Care—What does the Available Data Say?LTC Robert Gerhardt, MD, FACEP, BAMCIII 1:30–2:30 p.m.“Just in Time” Pre-Deployment Combat Medical Trainingfor Deploying Healthcare Providers: Experience Thus FarLTC John McManus, MD, FACEP, ISR and MAJ JamesRice, AMEDD C/SIV 3:00–4:00 p.m.Optional Use of Ultrasound in Far Forward AreasLCDR Timothy A. Coakley, MD, FAAEM, NMC Portsmouth
OIF/OEFModerator: LTC Stephen Flaherty, MD,MNCI Surgeons Director, Joint TheatreI 10:00–11:00 a.m.Overview, Joint Theater Trauma SystemLTC Stephen Flaherty, MD, MNCI Surgeons Director,Joint Theatre andThe Army-Navy Game—It Really Does WorkCDR Joseph Rappold, MD, MC, USN, NMC, San DiegoII 12:30–1:30 p.m.The Experience at an AFTH Evacuation HubLTC Alan Murdock, MD, WHMC andPatient Movement in OIF/OEFLTC Tami Rougeau, USAFR, NC, SFNIII 1:30–2:30 p.m.The Employment of FSTs in OEFMAJ Jennifer Gurney-Weber, US Army andOcular Trauma in OIF/OEF, Management ConsiderationsLTC Anthony Johnson, Ophthalmology, BAMCIV 3:00–4:00 p.m.UXO: Not all Surprises are PleasingMAJ John Oh, MD, MC, Darnall Army Medical Center andThermal Injuries in OIF/OEFLTC Evan Renz, MD, USAISR Burn CenterTrauma SurgeryModerator: Stephen Cohn, MD, Chairman, Surgery, UTHSCSAPanel Members: J. David Richardson, MD, Professor and ViceChairman, Surgery, University of Louisville and William P.Schechter, MD, Professor of Clinical Surgery, University ofCalifornia, San FranciscoI 10:00–11:00 a.m.Session AAortic Tear: Early Operation /Stent vs. ObservationV. Sreenath Reddy, MD, UTHSCSAvs Scott Johnson, MD, UTHSCSASession BSplenic Injury: Angio vs OperationDaniel Dent, MD, UTHSCSAvs David Root, MD, UTHSCSAII 12:30–1:30 p.m.Session ADo We Need to do US? Why not just CT?John Myers, MD, UTHSCSAvs COL John Holcomb, MD, Commander, USAISRSession BTemporary Abdominal Closure: VAC vs Standard TreatmentMichael Corneille, MD, UTHSCSAvs LTC Alan Murdock, MD, WHMC
III 1:30–2:30 p.m.Session AUnstable Pelvic Fractures: Angio vs Butt BindersPeter Lopez, MD, UTHSCSAvs COL Brian Eastridge, MD, MC, US ArmySession BC-Spine Clearance in the Comatose: MRI vs CT AloneRonald Stewart, MD, UTHSCSAvs COL Toney Baskin, MD, BAMCIV 3:00–4:00 p.m.Panel—Trauma ICU Jeopardy (case based); TF Placement, postpyloric or gastric?; NIPPV for early extubation? LMH plusboots needed? IVC filters in which patients?; Who and When toTrach? Ethics of Waiver of Consent for Emergency ResearchUrologyModerator: COL Allen Morey, MD, BAMCI 10:00–11:00 a.m.Management of Traumatic Urethral StricturesCOL Allen Morey, MD, BAMCII 12:30–1:30 p.m.Case Studies in GU TraumaSteven B. Brandes, MD, Washington University, St. Louis, MOIII 1:30–2:30 p.m.Upper Urinary Tract Trauma—Current Controversies andTreatment TechniquesLTC Javier Hernandez, MD, MS, USA, MC, BAMC andThe Current Spectrum of Battlefield Urologic Injuries LTCDouglas W. Soderdahl, MD, MC, BAMCIV 3:00–4:00 p.m.Complications of Minimally Invasive Urologic SurgeryRobert Marcovich, MD, UTHSCSATrauma System/PreventionCo-Moderators: CDR James R. Dunne, MD, National NavalMedical Center, Bethesda, and Ronald Stewart, MD, Chiefof Trauma, Surgery, UTHSCSAI 10:00–11:00 a.m.Alcohol and Injury: Compliance with the NewCOT RequirementsLarry Gentilello, MD, UTSW, DallasII 12:30–1:30 p.m.The Importance of Injury Prevention in a ModernTrauma SystemRonald Stewart, MD, UTHSCSAIII 1:30–2:30 p.m.TBDAmy Sisley, MD, MPH, FACS, University of MarylandMedical Center, Baltimore, MDIV 3:00–4:00 p.m.Trauma Systems and Access to Emergency Medical CareDavid Ciesla, MD, Washington Hospital Center,Washington, DC
Critical CareCo–Moderators: LTC Alan Murdock, MD, WHMC, andCAPT Philip Perdue, MC, USNI 10:00–11:00 a.m.Infection Management in War-Related TraumaLCDR Timothy J. Whitman, MC, USNII 12:30–1:30 p.m.The Immune Response and Trauma: Strategies for SuccessCDR Eric Elster, MC, USNIII 1:30–2:30 p.m.Use of Vasopressin in Hemorrhagic ShockStephen Cohn, MD, UTHSCSA andUnderstanding Nutrition in Injured PatientsSteve Wolf, MD, UTHSCSAIV 3:00–4:00 p.m.Traumatic ARDSStephen Derdak, MD, WHMC
Wednesday, September 20, 20068:05–8:30 a.m.Welcome RemarksBG James Gilman, Commander, Brooke Army Medical Center8:30–9:30 a.m.Plenary Session, Ballroom ABasil Pruitt, MD, Professor of Surgery, Division of Trauma,UTHSCSA10:00 a.m.–4:00 p.m.Concurrent Breakout SessionsOrthopedic SurgeryCo-Moderators: COL Roman Hayda, MD, BAMC; LTC H.Michael Frisch, MD, Walter Reed Army Medical Center,and COL Mark Richardson, MD, WHMCI 10:00–11:00 a.m.Post-Traumatic OsteomyelitisBruce Ziran, MD, St. Elizabeth Health Center, Youngstown, OHII 12:30–1:30 p.m.Proximal Humerus FracturesBryan T. Kelly, MD, Weill Medical College of CornellUniversity, NYIII 1:30–2:30 p.m.Advances in Ring Fixators for TraumaJ. Tracy Watson, MD, Saint Louis University, St. Louis, MOIV 3:00–4:00 p.m.Geriatric FracturesJens Chapman, MD, Harborview Medical Center, Seattle, WAPre-Hospital CareModerator: LTC Robert Gerhardt, MD, FACEP, BAMCI 10:00–11:00 a.m.Civil Sector Tactical EMS–Scope of Practice, Ongoing Missions,and Potential Lessons-Learned for Combat ApplicationTBD, UTSW, DallasII/III 12:30–2:30 p.m.Panel—Consensus Conference: Pre-Hospital CombatHealth Support 2010: What Should our Azimuth Be?LTC Bruce Adams, MD, FACEP, BAMC; LCDR TimothyA. Coakley, MD, FAAEM, NMC Portsmouth; LTC RobDeLorenzo, MD, FACEP, BAMC; LTC Robert Gerhardt,MD, FACEP, BAMC; MAJ Leonard Gruppo, EMPA-C,BAMC; MAJ Donald Crawford, DO, FACEP, BAMC;Kathy Rinnert, MD, MPH, UTSW, DallasIV 3:00–4:00 p.m.New Developments in Civil Air Medical Transport andTranslational Concepts for Tactical MEDEVACKathy Rinnert, MD, MPH, UTSW, DallasBurnCo-Moderators: Steve Wolf, MD, UTHSCSA andCOL Lee Cancio, USAISR
I 10:00–11:00 a.m.Modern Burn CareSteve Wolf, MD, UTHSCSA andBurn DisastersCOL David Barillo, USAISRII/III 12:30–2:30 p.m.Recent Advances in the Understanding of Wound Healingfollowing Thermal InjuryEdward Tredget, MD University of Alberta, CanadaMicrobial Drug Resistance—Some New Thoughts aboutan Old ProblemRichard Gamelli, MD, Loyola University Medical Center,Maywood, ILBurn Care in IraqCOL Lee Cancio, USAISRIV 3:00–4:00 p.m.Advances in ResuscitationGeorge Kramer, PhD, UTMB, Galveston, TXInfections in BurnsMAJ Clinton Murray, BAMCAeromedical Evacuation of Burn Patients from IraqLTC Evan Renz, MD, USAISR Burn CenterTrauma NursingModerator: Jeni Wilson, MSN, RN, APRN,Trauma Surgery, UTHSCSAI 10:00–11:00 a.m.TBDTBDII 12:30–1:30 p.m.The Role of the Advanced Practice Nurse within theContinuum of Trauma CareJeni Wilson, MSN, RN, UTHSCSAIII 1:30–2:30 p.m.Forensics in the Hospital Setting: What Everyone WhoTouches the Patient Needs to KnowEvangeline Barefoot, RN, BSN, Johns Community Hospital,Taylor, TXIV 3:00–4:00 p.m.Pitfalls in Traumatic ResuscitationGreg Goodwiler, PA-C, UTHSCSAPediatricsModerator: COL Kenneth Azarow, MD, FACS, MC,Madigan Army Medical CenterI 10:00–11:00 a.m.Pediatric ICU Management During CombatMAJ Philip C. Spinella, MD, WHMCII 12:30–1:30 p.m.Hemodynamic Monitoring in Children with a Focuson Non-Invasive MonitoringLTC Matthew Martin, MD, Madigan Army Medical CenterIII 1:30–2:30 p.m.Damage Control Surgery in ChildrenRichard Pearl, MD, Pediatric Surgery Center, Peoria, IL
IV 3:00–4:00 p.m.Not Just for Adults: An Experience in Wartime Surgeryin IraqMAJ Christopher Coppola, MD, WHMCCraniofacialCo-Moderators: COL Joseph Brennan, MD, Program Director,Otolaryngology/Head and Neck Surgery, WHMC; andMAJ Manuel A. Lopez, MD, Chief, Facial Plastic andReconstructive Surgery, WHMCI 10:00–11:00 a.m.Reconstruction of the Traumatically Injured AnteriorCranial Vault: A Review and Technique DescriptionLTC David B. Powers, DMD, MD, WHMCII 12:30–1:30 p.m.Materials Used for Orbital ReconstructionMark Wong DDS, University of Texas Dental Branch,Houston, TXIII 1:30–2:30 p.m.Gunshot Wounds to the FaceJames Johnson, DDS, MS, UT Health Science Center,Houston, TXIV 3:00–4:00 p.m.Panel Moderator: MAJ Manuel A. Lopez, MD, Chief,Facial Plastic and Reconstructive Surgery, WHPanel members: LTC David B. Powers, DMD, MD,WHMC; Mark Wong DDS, University of Texas DentalBranch, Houston, TX; and James Johnson, DDS, MS, UTHealth Science Center, Houston, TXDisaster MedicineModerator: Rasa Silenas, MD, Medical Director, Office ofHomeland Security, TAMUS Health Science Center,Brooks City Base, TXI 10:00–11:00 a.m.NDLSF Building a Foundation Healthcare DisasterPreparedness: Local Response, Global Preparedness!Raymond Swienton, MD, UTSW, DallasII 12:30–1:30 p.m.Regionalization of Medical Disaster PreparednessEric Epley, Executive Director, Southwest TexasRegional Advisory Council for Trauma, San Antonio, TXIII 1:30–2:30 p.m.Mobile Medical Unit’s Response to KatrinaHolli Hoffman, RN, MSN, NC Office of EmergencyMedical Services, Raleigh, NCIV 3:00–4:00 p.m.Pandemic Infl uenza: What does it mean to us?Jan Patterson, MD, Infectious Disease, Medicine, UTHSCSA
Thursday, September 21, 20068:05–8:30 a.m.Welcome RemarksCOL Miguel Montalvo, USAF, MC, FS, MPH,Command Surgeon8:30–9:30 a.m.Plenary Session, Ballroom AJorie Klein, RN, Director, Emergency and Trauma Services,Parkland Memorial Hospital, Dallas, TX10:00 a.m.–4:00 p.m.Concurrent Breakout SessionsTrauma SurgeryModerator: Brian Eastridge, MD, COL, MC, US ArmyI 10:00–11:00 a.m.CCATT – Then, Now, and What’s Next?Jay Johannigman, MD, FACS, VCCM, COL, USAFR MC FSII 12:30–1:30 p.m.Damage Control ResuscitationCOL John Holcomb, MD, Commander, USAISRIII 1:30–2:30 p.m.Things that go Boom: Injuries from ExplosivesBrian Eastridge, MD, COL, MC, US ArmyIV 3:00–4:00 p.m.Mass Casualty in Combat: Lessons LearnedAlec C. Beekley, MD, FACS, MAJ, USAMCOrthopedic SurgeryCo-Moderators: COL Roman Hayda, MD, BAMC; LTC H.Michael Frisch, MD, Walter Reed Army Medical Center,and COL Mark Richardson, WHMCI 10:00–11:00 a.m.Improving Results in Posterior Wall Acetabular Fracture SurgeryBerton R. Moed, MD, St. Louis University School ofMedicine, St Louis, MOII and III 12:30–2:30 p.m.MILITARY SESSION From Iraq – Back to Iraq: Modern CombatOrthopedic Care• Introduction to War SurgeryCOL Roman Hayda, MD, BAMC• Battlefield CareLCDR MT Mazurek, MC, USN, NMC, San Diego• Casualty Evacuation: Transport of the Severely InjuredCOL Mark Richardson, WH• Reconstruction of Complex Injuries: Success and ChallengesLTC Romney Andersen, MC, USN , National NavalMedical Center• Amputee Care: Current ConceptsLTC H. Michael Frisch, MD, Walter Reed ArmyMedical Center• Future Directions in the Care of the War InjuredCOL James Ficke, BAMC
IV 3:00–4:00 p.m.Experience of First Deployed ENT Team in OperationIraqi FreedomCOL Joseph Brennan, MD, WHMCAnesthesiologyModerator: LTC Kurt W. Grathwohl, MD, FS, FCCP, MC,USA, BAMCI 10:00–11:00 a.m.Monitoring Trauma PatientsMichael J. Murray, MD, PhD, Mayo ClinicII 12:30–1:30 p.m.Newer Methods of Hemodynamic MonitoringGary Welch, MD, BAMCIII 1:30–2:30 p.m.Obstetric TraumaThomas Archer, MD, Anesthesiology, UTHSCSAIV 3:00–4:00 p.m.Use of the Supraglottic Airways in the OR and in TraumaDavid Ferson, MD, Anesthesiology, MD AndersonCancer Center, Houston, TX
Registration InformationRegister online with your VISA, MasterCard, orAmerican Express card at http://www.hjf.org/events. Onsiteregistration will be available (at an increased registration fee)Conference feesOn-line registration costs (up until September 15, 2006):Active duty DoD Personnel – $75Reservists on Active Duty – $75DoD Contract full-time/Civil Service – $75Health Professions Students & Residents – $75Non-DoD Personnel – $200On site registration costs (after September 15, 2006):Active duty DoD Personnel – $100Reservists on Active Duty - $100DoD Contract full-time/Civil Service - $100Health Professions Students & Residents - $100Non-DoD Personnel - $250Remote Site RegistrationLIVE SATELLITE BROADCAST – register online athttp://www.hjf.org/events/traumasat.htmlMealsContinental breakfast, a mid-morning coffee break, and anafternoon refreshment break are included in the conferencefees.Hotel ReservationsThe conference hotel is the Menger Hotel located at 204Alamo Plaza (210) 223-4361 or Toll-Free: (800) 345-9285http://mengerhotel.com. Please request the group rate for theSan Antonio Trauma Meeting. The conference rate is $96 fora single, $106 for a double. The deadline for the special rateis August 18th.
Save the Date13 th Annual San Antonio Trauma SymposiumAugust 20–22, 2007Henry B. Gonzalez Convention CenterSan Antonio, TexasSponsored byTRISAT (Trauma Institute of San Antonio)and the US NavyCivilian and military physicians, nurses, and othertrauma care providers are encouraged to attend.