Bleeding Control Basics

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MIEMSS Celebrates Maryland Providers: EMS Strong


2018 Point Counterpoint

The 37th Annual Point/Counterpoint Acute Care Surgery Conference

Course Overview

The 37th Annual Point/Counterpoint Acute Care Surgery Conference

June 11-12, 2018, Baltimore, Maryland

This Point/Counterpoint Acute Care Surgery Conference will take place June 11–12, 2018, in Baltimore, MD, at the Hilton Baltimore. It is designed to have a broad appeal to general surgeons and other specialty surgeons, along with emergency physicians and intensivists, nurses, paramedics, and others who actively participate with a high-performance team. As one past participant highlighted, “This is an appropriate course for anyone who has had to take emergency call or care for the critically ill.” The Point/Counterpoint guarantee is to have expert faculty, to facilitate meaningful intellectual exchange, and to enhance the overall educational experience of every participant.

The course remains committed to addressing relevant surgical and medical diseases and injuries in the three major categories of acute care surgery: emergency general surgery, trauma, and critical care. The classic point/counterpoint (pro/con) format allows for optimal critical analyses of the current body of evidence on specific disease entities and injuries.

The Point/Counterpoint Acute Care Surgery Conference is one of many acute care surgery conferences in the United States; however, this is the only one using the educational point/counterpoint debate format.

For each topic, one surgeon speaks in favor of a specific treatment option while another offers evidence against it. Audience members then have an open discussion on the preferred treatment and discuss why that approach is most appropriate. This teaching style is highly effective because attendees are provided with the best available information for each treatment strategy and actively participate.

Audience members leave the conference understanding the best practices for their hospitals. No other conference gives the opportunity to interact with top acute care surgeons at this level.


2018 Agenda:  Point Counterpoint 2018:  Damage Control and Controlling Damage

Monday, June 11, 2018

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

9:25 a.m. – 9:30 a.m.      Discussion

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 Marcozi

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

10:25 a.m. – 10:30 a.m.  Discussion

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

11:10 a.m. – 11:15 a.m.   Discussion

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 Schwab

One 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  Schwab

How I do a Forearm Fasciotomy-   Sharon Henry

Lower Extremity Fasciotomy – Habeeba Park

Complex Duodenal Repairs-  David Feliciano

The Difficult Pancreas   – David Effron

Operative Splenic Salvage – David Livingston

Controlling Damage

Continuous Renal Replacement Therapy to Clear Myoglobin- Paul Thurman

Optimal BP for Spinal Cord Injury – Karen McQuillian

Interpreting TEG – Babak Sarani

The Role of ECMO in 2018 – Jay Menaker

Positional Therapy for ARDS – H Neal Reynolds

Multimodality Therapy for TBI – Deborah Stein

3:30 p.m. – 3:45 p.m.   Break / Visit Vendors

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

Tuesday, June 12, 2018

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

8:40 a.m. – 8:45 a.m.      Discussion

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 FACS is Better Suited to Lead National Disaster Preparedness – Leonard Weireter

9:25 a.m. – 9:30 a.m.     Discussion

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

10:25 a.m. – 10:30 a.m.    Discussion

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

11:10 a.m. – 11:15 a.m.     Discussion

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 Rozycki

Ultrasound in Trauma and Critical Care 25 Years after FAST

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 Morrison

Operative Management of Pelvic Vascular Injuries    – Thomas Scalea

Penetrating Groin Injuries, Tips for the General Surgeon – David Feliciano

Pelvic Packing, How I do It – Kimberly Davis

Thoracic Damage Control – James O’Connor

When and How to Place Vascular Shunts – Joseph DuBose

Controlling Damage

Managing Trauma Patients on Novel Anticoagulants –  Mehrnaz Pajoumond

Update on Effective Use of Enteral Nutrition – Jose Diaz

Managing Agitation in the IMC and ICU – Daniel Herr

Who  Should We Actually Transfuse? Mayur Narayan

What is Proportional Pressure Support Ventilation? Nader Habashi

Tips on Managing Complex Wounds    Elena Keller

3:30 p.m. – 3:45 p.m.    Break / Visit Vendors

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