PREHOSPITAL TRAUMA CARE AND TRAUMA REGISTRIES

Radiology technician, Occupational therapist. • Educational objective: Guidelines - Protocols - Procedures CERTIFICATE OF ATTENDANCE Certificates of a...

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PRELIMINARY PROGRAM

TRAUMA UPDATE PREHOSPITAL TRAUMA CARE AND TRAUMA REGISTRIES Monday, December 9th, 2019 MILAN Aula Magna ASST Grande Ospedale Metropolitano Niguarda PROMOTED BY

u SCIENTIFIC COMMITTEE

u INTERNATIONAL EXPERTS



Osvaldo Chiara (Milan)



Sharon M. Henry (Baltimore, MD, USA)



Stefania Cimbanassi (Milan)



Marc Maegele (Cologne, Germany)



Arturo Chieregato (Milan)



Thomas M. Scalea (Baltimore, MD, USA)



Roberto Fumagalli (Milan)

u TRAUMA UPDATE COORDINATION COMMITTEE

u FACULTY

Gabriele Bassi (Milan)



Osvaldo Chiara (Milan)



Osvaldo Chiara (Milan)



Stefania Cimbanassi (Milan)



Arturo Chieregato (Milan)



Carlo Coniglio (Bologna)



Elvio De Blasio (Benevento)



Luigi Festi (Varese)



Giovanni Gordini (Bologna)



Roberto Fumagalli (Milan)



Riccardo Giudici (Milan)



Giovanni Gordini (Bologna)



Sharon M. Henry (Baltimore, MD, USA)



Marc Maegele (Cologne, Germany)



Claudio Mare (Milan)



Maurizio Migliari (Milan)



Fabrizio Sammartano (Milan)



Thomas M. Scalea (Baltimore, MD, USA)

u TRAUMA UPDATE TECHNICAL AND SCIENTIFIC COMMITTEE

Vanessa Agostini (Cesena)



Giovanni Bini (Cesena)



Stefania Cimbanassi (Milan)



Emiliano Cingolani (Rome)



Carlo Coniglio (Bologna)



Giuseppe Gristina (Roma)



Francesca Mengoli (Bologna)



Alessandro Monesi (Bologna)



Concetta Pellegrini (Napoli)



Daniele Poole (Belluno)



Gianfranco Sanson (Trieste)



Claudio Tacconi (Bologna)



Annalisa Volpi (Parma)

SCIENTIFIC PROGRAM 08.00 Registration 08.45 Welcome from General Manager



of Niguarda Hospital



Chairmen: O. Chiara, S. Cimbanassi, R. Fumagalli

09.00 Introduction: The development of a Trauma



System Registry in Lombardia O. Chiara

09.20 SESSION 1: ORGANIZATION OF THE 11.20 PRE-HOSPITAL SYSTEM



Coordinates: G. Gordini



Main questions • How many ALS in the area? Which criteria to activate the ALS pre-hospital care? • Which differences in urban and rural systems? Which problems in mountain areas? • Nurses, doctors, technicians on the scene. What is better? In which settings? Which training?

09.20 Clinical case TBD 09.35 Designing the pre-hospital system. Number



of ALS/BLS in an urban area. The model of dispatch M. Migliari

09.55 Organization of the pre-hospital system in



mountain areas L. Festi

10.15 How to staff the pre-hospital system.

Doctors, nurses, technicians in the call center and in ambulances/helicopter. Which training (PHTLS, ATLS, ETC) ? TBD 10.35 Discussion with the audience 11.00 Lecture: The North America EMS: the past,



the present and the future T. Scalea

11.20 SESSION 2: CRITERIA OF CENTRALIZATION 13.00 Coordinates: M. Maegele

Main questions • Unstable patient with on scene ALS: when to transport to the closest hospital and when to the hospital of definitive care? • Is high energy mechanism of trauma in patients with normal vital signs an appropriate indication to centralize? • Which are the causes of undertriage?

11.20 Clinical case TBD

11.35 Triage decision tree in stable and unstable

trauma patients. Ground or air transportation? C. Coniglio

11.55 Tiered trauma team activation:



is it a solution for pre-hospital overtriage? S. Cimbanassi

12.15 Undertriage in trauma patients.



Which are the causes? R. Giudici - G. Bassi

12.35 Discussion with the audience 13.00 Lunch break 14.00 14.00 Lecture: Twenty-five years of Trauma DGU.



Lesson learned M. Maegele

14.20 SESSION 3: PRE-HOSPITAL ADVANCED

16.20

AND DAMAGE CONTROL PROCEDURES Coordinate: R. Fumagalli - C. Mare Main questions • Pre-hospital intubation: is it useful? • Pre-hospital damage control procedures (REBOA, Extra-peritoneal packing, resuscitative thoracotomy, transfusions). Is there any indication? • Which protocol in pre-hospital cardiac arrest in trauma patient?

14.20 Clinical case TBD 14.35 Prehospital intubation in trauma patients.



Yes or no S. Henry

14.55 Pre-hospital blood and plasma infusion.



Which indications? F. Sammartano

15.15 Pre-hospital fibrinogen. Does it prevent TIC?



M. Maegele

15.35 Pre-hospital damage control procedures:



decompression thoracotomy, resuscitative thoracotomy, REBOA, pelvic packing T. Scalea

15.55 Discussion with the audience 16.20 Take Home Messages



O. Chiara, R. Fumagalli

SUPPORT TO THE CONFERENCE HAS BEEN REQUESTED TO THE FOLLOWING ORGANIZATIONS* Trauma Update Network AAST American Association for the Surgery of Trauma ACOI Associazione Chirurghi Ospedalieri Italiani ACS American College of Surgeons ESTES European Society for Trauma and Emergency Surgery IDMA International Disaster Medicine Association OTODI Ortopedici e Traumatologi Ospedalieri d’Italia SIAARTI Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva

SICUT Società Italiana Chirurgia d’Urgenza e del Trauma SIMEU Società Italiana di Medicina di Emergenza-Urgenza SIMS Società Italiana Midollo Spinale SINCH Società Italiana di Neurochirurgia SIOT Società Italiana di Ortopedia e Traumatologia SITI Società Italiana di Terapia Intensiva SLC Società Lombarda di Chirurgia

VENUE

REGISTRATION

Aula Magna (Pavillon nr. 1) ASST Grande Ospedale Metropolitano Niguarda P.zza Ospedale Maggiore, 3 - 20162 Milan (Italy)

LANGUAGE

English is the official language. Simultaneous translation from/to English/Italian will be provided.

CME CREDITS

• Provider: Noema srl unipersonale (Id. 891) • Id. event: TBD • Number of credits: 1,8 • Categories included in CME accreditation: Physician (Specialties’ list available on Age.Na.S. website), Neurophysiopathology technician, Nurse, Orthopaedic Technician, Pediatric nurse, Physiotherapist, Psychologist, Radiology technician, Occupational therapist. • Educational objective: Guidelines - Protocols Procedures

CERTIFICATE OF ATTENDANCE

Certificates of attendance will be sent by email to each participant by the Organizing Secretariat at the end of the Congress.

*Requests under evaluation

On-line registration at www.noemacongressi.it. The staff of Niguarda Hospital interested in joining the Congress can contact the Secretary of DEA-EAS Department (Tiziana Filomia - ph. +39 02 64447209 [email protected]). Registration Fees • Full fee: Eur 120,00 + 22% VAT • Reduced fee: Eur 85,00 + 22% VAT (Resident, Nurse, Pediatric Nurse, Occupational Therapist, Orthopedic Technician, Physiotherapist, Radiology Technician, Technician in Neurophysiopathology) The fee includes: admittance to the Congress sessions, Congress kit, certificate of attendance, CME credits (if achieved).

CANCELLATION POLICY

Cancellation of registration has to be compulsorily notified in writing (by email or fax) to the Organizing Secretariat. 70% of the amount paid will be refunded if cancellation is made no later than November 8th, 2019. After that date there is no refund.

ORGANIZING SECRETARIAT AND CME PROVIDER Via Orefici, 4 - 40124 Bologna (Italy) Ph. +39 051 230385 [email protected] www.noemacongressi.it