th International Trauma Care Conference From Roadside to … · 2014. 2. 4. · 15th International Trauma Care Conference From Roadside to Rehab Park Inn Hotel TELFORD Shropshire,

15th International Trauma Care Conference From Roadside to Rehab Park Inn Hotel TELFORD Shropshire, TF3 4NA, UK

Sunday 23rd March - Friday 28th March 2014

To book a place or become a Trauma Care Member visit: www.traumacare.org.uk

Registration 8.00 - 9.00am

Sunday 23rd March 2014 First Aid Programme

Time Title of Talk Speaker

9.00 -9.45 CPD for First aiders’ Andy Whittington Network Coordinator

9.45 - 10.30 First Aid in the Mountains Katherine Wills Instructor at Active First Aid Training

10.30 - 11.00 COFFEE BREAK

11.00 - 11.45 Basic Sports First Aid in Rugby – Developing a volunteer workforce

Andy Cunningham Principal Lecturer in Sports Therapy at University of Central Lancashire

11.45- 12.30 Military First Aid SSgt Richard Lazarus Instructor Medical Training

12.30 - 13.30 LUNCH

13.30 - 14.15 Event First Aid Andy Thurgood Consultant Nurse & Immediate Care Practitioner

14.15 - 15.00 HSF Change & Employees Regulatory Requirements

David Arnold Chairman at Association of First Aiders


15.30 - 16.00 Assessing the Trauma Patient Andy Thurgood Consultant Nurse & Immediate Care Practitioner

16.00 - 16.30 Assessing the Burns Patient Darren North Lead First Aid Trauma Management Instructor Operational Training Support

16.30 - 17.15 – PLENARY

First Aid Based Research Andy Whittington Network Coordinator





Sunday 23rd March 2014 Community First Responders Programme


9.00 -9.45 Assessing the Burns Patient Darren North Lead First Aid Trauma Management Instructor Operational Training Support

9.45 - 10.30 Trauma Assessments Andy Thurgood Consultant Nurse & Immediate Care Practitioner


11.00 - 11.45 CPD for CFR’s’ Andy Whittington Network Coordinator

11.45- 12.30 A report on development & work in each region followed by Q&A

Andy Redgrave Community Engagement Manager at North West Ambulance Service NHS Trust

12.30 - 13.30 LUNCH

13.30 - 14.15 IT and Responding Gillian Hodgetts Deputy Director of Communications and Marketing

14.15 - 15.00 First Aid based research Andy Whittington


15.30 - 16.00 “Survivor Stories” Mark Evans Community Resuscitation Manager North West Ambulance Service

16.00 - 16.30 Mental Capacity and DNAR orders Rob Cole

16.30 - 17.15 – PLENARY






Sunday 23rd March 2014 "7th National Fire & Rescue Service Conference Programme"


9.00 -9.45 Updates & Cases in ‘A’ Airway Anil Hormis

Consultant in Anaesthesia, Critical Care & Pre-hospital Emergency Medicine at Rotherham NHS Trust

9.45 - 10.30 Updates & Cases in ‘B’ Breathing

Nick Crombie Consultant Trauma Anaesthetist at National Health Service


11.00 - 11.45 Limb Entrapment Gareth Davies

11.45 - 12.30 Updates & Cases in ‘C’ Circulation

12.30 - 13.30 LUNCH

13.30 - 14.15 Debate: ‘There should be no Plan B for extrication’

Darren North Lead First Aid Trauma Management Caroline Leech Consultant Emergency Medicine at NHS –

Tim Nutbeam

14.15 - 15.00 Burns Professor Steve Jeffrey University Hospital Birmingham


15.30 - 16.00 Traumatic cardiac arrest: it’s not ALS

Tim Nutbeam

16.00 - 16.30 International Search & Rescue Kalpesh Diyar

16.30 - 17.15 PLENARY






Monday 24th March 2014 Paramedic Programme


9.00 -9.45 Future developments in Pre Hospital Trauma Care

Dr Peter B Sherren SpR Anaesthesia, Royal London Hospital

9.45 - 10.30 A review of the drowning process - from Rescue to Resuscitation

Dr Paddy Morgan Anaesthetist / Intensivist HEMS doctor Great Western Air Ambulance, Bristol


11.00 - 11.45 A Spotlight on Trauma Education : A review of the 'College of Paramedics' Trauma Masterclass

James Rouse Senior Lecturer in pre hospital emergency and urgent care University of Greenwich London ance Service and London Air Ambulance Paramedic

11.45- 12.30 Trauma in Pregnancy Aimee Yarrington Paramedic at West Midlands Ambulance Service NHS Trust

12.30 - 13.30 LUNCH

13.30 - 14.15 'Night HEMS : Clinical Operations in low light'

Dr Guy Ohringer Royal Berkshire Hospital

14.15 - 15.00 Effective clinical handover in Trauma Jez Loseby Critical Care Paramedic (South East Coast Ambulance Service & Kent Surrey Sussex Air Ambulance Trust)


15.30 - 16.30 Pre Hospital Trauma Care American Style : Supersized with Fries and a diet Coke

Frank Patrick Senior Physician Associate in Emergency and Trauma Care. Coordinator for Paramedic Education Colombia University School of Medicine USA

16.30 - 17.15 - PLENARY

Challenging Trauma Cases Simon Davies, MTC Co-ordinator, University of North Staffordshire





Monday 24th March 2014 Trauma in Austere & Wilderness Environment


9.00 -9.45 S**t, Sugar, Sun & Sex – the reality of Expedition Medicine

Dr David Hillebrandt

9.45 - 10.30 Cold Injury & Frostbite Professor Chris Imray


11.00 - 11.45 First-world trauma in the back of beyond Heather Seemann (Medevac Specialist Paramedic, North Slope, Alaska, USA)

11.45- 12.30 Major trauma with limited resources – experiences from Sri Lank

Dr Amy Hughes

12.30 - 13.30 LUNCH

13.30 - 14.15 Snakebite Professor John Harris

14.15 - 15.00 Good Medicine in Bad Places – Maritime SAR Challenge

Paul Savage OBE RNLI Clinical Operations Manager

and RAF SAR Winchman Edward Griffiths


15.30 - 16.00 Title TBC Lt Col Pete Davis

16.00 - 16.30 Mountain Medicine: lessons from Snowdonia The Bangor Mountain Medicine Project team

16.30 - 17.15 - PLENARY






Monday 24th March 2014 TARN [Trauma Audit Research Network]


9.00 -9.30 TARN 2013 Focus Day - Progress to date • Funnel Plots • The new model • MTC and TU Quality

Professor Fiona Lecky TARN Research Director

9.30 - 10.30 Clinical Reporting followed by Q&A with audience

Dr Dhushy Kumar , Mr Iain McFadyen, Directors of Clinical Audit, TARN


11.00 - 11.20 Data Quality Maralyn Woodford Executive Director, TARN

11.20- 12.30 The West Midlands Trauma Network – working example of good practice Speakers TBA

12.30 - 13.30 LUNCH

13.30 - 14.30 Major Trauma PROMs: Developing Patient Reported Outcome Measures for the injured patient

Antoinette Edwards Operations Director, Deputy to the Executive Director TARN

Esther Kwong National Medical Director's Clinical Fellow Clinical Fellow to Professor Keith Willett NHS England

14.30 - 15.00 Trauma Rehabilitation Speakers TBA


15.30 - 16.30 TARN Research Session Presentations of 4 current research projects from the TARN Research Portfolio

16.30 - 17.15 - PLENARY






Tuesday 25th March 2014 Paediatric Trauma


9.00 -9.45 Nice Head Injury Guidelines Dr. Mark Lyttle Consultant in Paediatric Emergency Medicine

9.45 - 10.30 Rehab Following Paediatric Head injury Dr. Martin Smith


11.00 - 11.45 Paediatric Trauma Imaging - Consensus Karl Johnson- Paediatric Radiologist Birmingham Children’s Hospital

11.45- 12.30 KIDS – how can support be provided Dr Sanjay Revanaa - KIDS retrival

12.30 - 13.30 LUNCH

13.30 - 14.15 Paediatric abdominal surgery Mr Ross Fisher Consultant Paediatric surgeon Leicester

14.15 - 15.00 Trauma triage systems Dr Sasha Rossaye, Paediatric Emergency Fellow


15.30 - 16.00 Practical tips in trauma management Dr Niall Mullen, Paediatric Emergency Medicine Consultant

16.00 - 16.30 Youth Violence – the problem, the costs and the case for change.

Ruth Del Tufo Director of Operations -Surgery, Imperial College Healthcare NHS Trust Asif Rahman, Emergency Medicine Consultant

16.30 - 17.15 - PLENARY

Paediatric resuscitation when to stop Dr Patrick Davies Consultant paediatric intensivist Nottingham





Tuesday 25th March 2014 Nursing Programme


9.00 -9.45 Trauma Nursing - a US perspective Lynne Smith Senior Clinical Nurse II at University of Maryland Medical Centre

9.45 - 10.30 Nursing Management of Spinal injuries Karen Whitehurst, University of North Staffordshire


11.00 - 11.45 Burns – the ED and beyond Eva Daníčková, Burns Unit, Chelsea and Westminster Hospital

11.45- 12.30 Cardiothoracic trauma Dr D Danitsch, Consultant Cardiothoracic Nurse, University Hospital of North Staffordshire

12.30 - 13.30 LUNCH

13.30 - 14.15 Models of trauma co-ordination – is there a right way?

Prof Rob Crouch Consultant Nurse – ED & Visiting Professor, University of Surrey

14.15 - 15.00 “Trauma Governance in Trauma Networks”

Simon Davies, MTC Co-ordinator, University of North Staffordshire Sue O’Keeffe Critical Care Network Manager


15.30 - 16.00 Establishing a trauma nursing network Jackie Thompson , South West London and Surrey Trauma Network

16.00 - 16.30 Leading the trauma service – the nursing perspective

Heather Jarman, Clinical Director for Major Trauma & Consultant Nurse St George’s Hospital MTC

16.30 - 17.15 - PLENARY






Tuesday 25th March 2014 Pre Hospital Emergency Medicine Programme


9.00 -9.45 Is there a role for ultrasound in pre-hospital trauma?

9.45 - 10.30 Ballooning – the use of aortic balloon occlusion in shock

Dr Gareth Davies, London Air Ambulance


11.00 - 11.30 PHEM subspecialists – the experience so far Dr Nick Foster, PHEM Registrar

11.30- 12.00

CCPs, APs, ECPs…. Prof Andy Newton, College of Paramedics

12.00 - 12.30 USAR nursing Ms Deborah Swann, UK ISAR Nurse

12.30 - 13.30 LUNCH

13.30 - 14.15 Hypothermia – friend or foe

14.00 - 14.30 Acidosis and coagulopathy – measuring and managing

14:30 - 15.00 Pre-hospital traumatic cardiac arrest

Prof David Lockey


15.30 - 16.00 Managing the critically injured child Dr Phil Hyde, Consultant Paediatric

Intensivist, Southampton

16.00 - 16.30 Multiple young casualty incidents

16.30 - 17.15 – PLENARY





Registration 8.00 - 9.00am Wednesday 26th March 2014 Trauma Imaging Programme


9.00 -9.30 Transfer of Trauma Patients to Radiology

Dr Michael Greenway, University Hospital of North Staffordshire

9.30 - 10.00 Imaging of the Chest in Trauma Dr Nick Watson, University Hospital of North Staffordshire

10.00 - 10.30 Imaging and Interventional Radiology in Paediatric Trauma

Dr Andrew Healey, Paediatric Interventional Radiologist Alder Hey Hospital


11.00 - 11.30 IVC filters in trauma: evidence, options and logistics

Dr Tim Fotheringham and Dr Nicolas Bunker, Barts Health NHS Trust

11.30- 12.00 Craniofacial Trauma Imaging Dr Changez Jadun, University Hospital of North Staffordshire

12.00 - 12.30 Intervention in Polytrauma - the London Experience

Dr Tim Fotheringham and Dr Nicolas Bunker, Barts Health NHS Trust

12.30 - 13.30 LUNCH

13.30 - 14.15 Aortic Injury Imaging and Intervention

Dr Mark Cowling, Consultant Vascular & Interventional Radiologist University Hospital of North Staffordshire

14.00 - 14.30 Pelvic trauma Imaging and Intervention

Professor Duncan Ettles, Consultant Interventional Radiologist Hull Royal Infirmary

14:30 - 15.00 Renal Trauma Imaging and Intervention

Dr John Asquith, University Hospital of North Staffordshire


15.30 - 16.00 Liver Trauma Imaging and Intervention

Dr Kamarjit Mangat, University Hospital Birmingham

16.00 - 16.30 Splenic Trauma Imaging and Intervention

Dr David Wells, University Hospital of North Staffordshire

16.30 - 17.15 - PLENARY

Ryan Lecture Lynne Smith Senior Clinical Nurse II at University of




Maryland Medical Centre


Wednesday 26th March 2014 Major Trauma in the Emergency Department


9.00 -9.45 The new demographics of major trauma Maralyn Woodford

9.45 - 10.30 Major chest trauma Richard Steyn Consultant Thoracic Surgeon and Prehospital Immediate Care


11.00 - 11.45 Major Pelvic Trauma Julian Cooper Consultant Orthopaedic Trauma Surgeon

11.45- 12.30 Trauma Team Leadership in 2014 Clare Bosanko Simon Davies

12.30 - 13.30 LUNCH

13.30 - 14.15 Shock and Trauma resuscitation Tim Harris

14.15 - 15.00 A history and the future of trauma management in the ED

Alastair Wilson


15.30 - 16.00 Why do we make mistakes in trauma management?

Chris Turner

16.00 - 16.30 Is your ED prepared for the bariatric trauma patient?

David Raven

16.30 - 17.15 - PLENARY

Ryan Lecture Lynne Smith Senior Clinical Nurse II at University of Maryland Medical Centre





Wednesday 26th March 2014 Wound Care Programme


9.00 -9.10 Welcome and Introduction (set scene for day)

Professor K Harding CBE

9.10 - 9.45 The Science of Normal Wound Healing Claire Stephens Complex Wound Care

9.45 - 10.30 Barriers to Wound Healing – Why some wounds fail to heal

Professor K Harding CBE


11.00 - 11.45 Traumatic Wounds Management: Military Surgeons Perspective

Professor Steven Jeffery Birmingham University

11.45- 12.30 Ongoing Reconstruction and Traumatic Wound Management: Specialist Nurse Perspective

Lesley Street Birmingham University Hospital

12.30 - 13.30 LUNCH

13:30 – 14:15 Post Traumatic Amputation Stump Management

Prof Peter Vowden – Bradford University Hospital

14:15 – 15:00 Identification and Management of yeast, mould and fungal infections

Prof Valerie Edward-Jones


15.30 - 16.00 Biofilms in Wound Care Dr Daniel Metcalf Senior Research Advisor Science and Technology

16.00 - 16.30 Rehabilitation into Community Post Traumatic Injury

Keith Moore – Major Bridgewater UH - Discussion Panel

16.30 - 17.15 - PLENARY

Ryan Lecture Lynne Smith Senior Clinical Nurse II at University of Maryland Medical Centre





Thursday 27th March 2014 Trauma Critical Care Programme


9.00 -9.45 Leading teams to improve clinical outcomes

Lt Col Andy Griffiths. Defence Medical Services

9.45 - 10.30 Timing of treatment in the trauma ICU, the second hit phenomenon'

Professor Susan Brundage, Professor of Trauma Education, Barts and The London School of Medicine and Dentistry, Queen Mary University of London


11.00 - 11.45 Cardiac and respiratory optimisation in the trauma patient requiring organ support.

Dr Mo Thavasothy. Consultant in Intensive Care Medicine and Anaesthesia, Royal London Hospital

11.45 - 12.30 Use of bedside echo to assess volume status in the severely injured

Surg Cdr Sam Hutchins. Consultant in Intensive Care medicine and Anaesthesia, Kings College Hospital London and Defence Medical Services.

12.30 - 13.30 LUNCH

13.30 - 14.15 Optimising trauma patients outside the critical care unit; a pain perspective

Dr Mike Husband. Pain Fellow, Barts and the London School of Anaesthesia

14:15- 15.00 ‘Managing paediatric trauma patients in an adult critical care unit; the Camp Bastion experience’

Dr David Inwald, Consultant, Paediatric Intensive Care Medicine, St Marys Hospital London


15.30 - 16.00 Trauma Governance in the Intensive Care Unit.

Dr Nick Bunker. Consultant in Intensive Care Medicine and Anaesthesia, Royal London Hospital

16.00 - 16.30 Bringing order into chaos; professionalising the international response to disasters.

Professor Tony Redmond. Professor of International Emergency Medicine, University of Manchester




16.30 - 17.15 - PLENARY

Top 10 Papers Jeff Garner


Thursday 27th March 2014 Musculoskeletal Trauma [Orthopaedics] Programme


9.00 -9.45 Managing Bone Infection in Trauma

Martin McNally

9.45 - 10.30 What’s New in IM Nailing Julian Cooper Consultant Orthopaedic Trauma Surgeon University Hospitals Birmingham NHS Foundation Trust


11.00 - 11.45 Unravelling the Mysteries of Locking Plates

Bob Handley

11.45 - 12.30

Damage Control Orthopaedics Professor & Chairman Academic Department of Trauma & Orthopaedic Surgery

12.30 - 13.30 LUNCH

13.30 - 14.15

'Biological enhancement of fracture non-union: What are the options?

Professor & Chairman Academic Department of Trauma & Orthopaedic Surgery

14:30 - 15.00 You have put the metal in; now what happens? Bob Handley


15.30 - 16.00 Orthopaedic Research Matthew Costa

16.00 - 16.30 Controversies in Paediatric fracture management

Ed Bache

16.30 - 17.15 - PLENARY






Thursday 27th March 2014 Musculoskeletal Trauma [Sports injuries & Rehab] Programme


9.00 -9.45 Spinal Injuries in Sport : Andy Smith

9.45 - 10.30 Cervical Spinal Injury: Assessment & Rehabilitation

Leslie McBride, Physiotherapist


11.00 - 11.45 Upper limb injuries: Diagnosis and investigations

Julian Widdowson

11.45 - 12.30 Upper limb injuries: Physiotherapy & Rehabilitation

Ian Horsley, Chartered Physiotherapist North West

12.30 - 13.30 LUNCH

13.30 - 14.15 Lower limb injuries: Diagnosis and investigations

Nigel Jones

14:30 - 15.00 Lower limb injuries: Physiotherapy & Rehabilitation

Barney Kenny England Rugby Head Physiotherapist


15.30 - 16.00 Sports Head injuries & Concussion: Simon Kemp, Chief Medical Officer, Rugby Football Union

16.00 - 16.30 Sports injuries - Management of Expectations Dave Jones:

16.30 - 17.15 - PLENARY






Friday 28th March 2014 Chest Trauma


9.00 -9.30 Pathophysiology of chest injuries

9.30 - 10.00 Pre-hospital management of chest injuries

10.00 - 10.30 Resuscitative Thoracotomy


11.00 - 11.45 Damage Control Thoracotomy

11.45 - 12.30 Urgent Thoracotomy

12.30 - 13.30 LUNCH

13.30 - 14.00 Management of complications (including empyema and retained haemothorax)

14.00 – 14.20 Rib stabilisation

14.20- 14.40 Chest drain physiology/different systems/management of drains

14:40 - 15.00 Vignettes for debate (“5 minutes” each) Cell salvage, cardiopulmonary bypass in trauma, co-location of cardiothoracic surgery and major trauma centres, antibiotics & chest drains/thoracostomies


15.30 - 16.30 Interactive case studies





Friday 28th March 2014 Rehabilitation


9.00 -9.45 Acute Paediatric Rehabilitation Karen Hodgkinson, Advanced Physiotherapist Neurosciences, Birmingham Children's Hospital

9.45 - 10.30 Advanced amputee rehabilitation, to include state-of-the-art prosthetics


11.00 - 11.45 Virtual reality research in trauma pain management

Dr Charlotte Small Research Fellow, Anaesthesia and Critical Care, Queen Elizabeth Hospital Birmingham

11.45 - 12.30 Updates on advanced musculoskeletal rehabilitation - from a military perspective

Major MRC Gough MBBS MRCP RAMC Rheumatology and Rehabilitation Registrar Headley Court

12.30 - 13.30 LUNCH

13.30 - 14.15 Acute spinal injury management with practical lessons

Mr Naveen Kumar Consultant in Spinal Injuries & Rehabilitation Medicine, Midlands Centre for spinal Injuries

14:30 - 15.00 Specialised seating for the polytrauma patient


15.30 - 16.00 Environmental control systems and advanced augmentative communication technologies

16.00 - 16.30 Early rehabilitation interventions in the critical care setting

Mr. David Mcwilliams, Clinical Specialist Physiotherapist in Critical Care





Friday 28th March 2014 Hand Trauma


9.00 -9.30 Wrist Facture update

9.30 - 10.00 Carpal Fractures and dislocations

Helen Whalley

10.00 - 10.30 Wrist Ligament Injuries Mark Brewster Consultant Hand Surgeon, University Hospital Birmingham


11.00 - 11.30 The hand and the brain: Optimising functional recovery following injury

Dominic Power Consultant Hand Surgeon, University Hospital Birmingham

11.30 - 12.00 Amputations & Replantation Rajive Jose Consultant Plastic & Hand Surgeon, University Hospital Birmingham

12.00 -12.30 Mutilating Hand Injuries Darren Chester, Consultant Plastic & Hand Surgeon, University Hospital Birmingham

12.30 - 13.30 LUNCH

13.30 - 14.00 Classification of PNI Dominic Power, Consultant Hand Surgeon, University Hospital Birmingham

14:00 - 14.30 Reconstruction Ladder in PNI Richard Pinder Hand Surgery Fellow

14.30 – 15.00 Adult Traumatic Brachial Plexus Injuries

Simon Tan, Consultant Hand Surgeon, University Hospital Birmingham


15.30 - 16.00 Other hand emergencies Manish Gupta, Consultant Hand Surgeon, University Hospital Birmingham

16.00 - 16.30 Infections in the upper limb Justin Chatterjee University Hospital Birmingham

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th International Trauma Care Conference From Roadside to … · 2014. 2. 4. · 15th International Trauma Care Conference From Roadside to Rehab Park Inn Hotel TELFORD Shropshire,