Worldwide Pediatric Trauma Web Symposium

The Childress Institute for Pediatric Trauma sponsored a Worldwide Interactive Web Symposium on Pediatric Trauma to share cutting edge practices and results with doctors, nurses and emergency responders around the world. CIPT's Executive Director Dr. Wayne Meredith, chairman of the Department of Surgery at Wake Forest School of Medicine, co-hosted with Dr. Martin Eichelberger, professor of surgery and pediatrics at Children's National Medical Center.

Please click here to see the full agenda.

Results:

  • The symposium was sold out!
  • Reached 428 registrants
  • Total audience was 1,012 participants in 33 countries
  • Broadcast centers in hospitals and institutions all over the world
  • Included a broadcast to a US Army FST (Forward Surgical Team) deployed to Jalalabad, Afghanistan
  • Feedback after the webinar that knowledge learned from the symposium saved the lives of injured children!

Webinar Presentation Summaries

The videos for the webinars are broken into six sections. Please click the video links below to view the presentations. We have included the time where the presentation starts on the accompanying video. Please click on the titles below to view a PDF of each presentation.

Video #1 - 0:00 - 09:48- Intro
Starts at 09:49 - New Concepts in Pediatric Trauma: Blast Injury
, Kenneth Azarow, MD
According to this research, children have increased injury and death rates due to head injuries and burns from blast injury.  The pattern of injury from a blast is different in children than it is in adults. 

Starts at 24:39 - Damage Control Resuscitation: A New Paradigm, David K. Shellington, MD 
Successful resuscitation of pediatric trauma patients depends on preventing development of a "lethal triad" of conditions that can cause rapid decline in condition.  New evidence suggests that certain rates of blood transfusion can also help the prognosis. 

Starts at 41:22 - Blast Injury Treatment , Mary J. Edwards, MD
The priority in treating blast injuries is controlling the bleeding.  In these types of injuries it is essential to be aggressive and operate if necessary.

Video #2
Starts at 00:00
New Concepts in Pediatric Abdominal Trauma, Sebastian van As 
Diagnostic imaging, including exposure to radiation, should be kept to as little as possible for pediatric patients.  Minimally invasive surgery is now seen as a key diagnostic tool, and suggested treatment for these types of injuries is changing. 

Starts at 9:25 - Pediatric Trauma: New Concepts and Controversies , Jeremy W. Cannon, MD, SM, FACS - LtCol, USAF, MC
The first step in managing pediatric patients with a vascular injury (injury to an artery or a vein) is damage control resuscitation.  When the injury is located on an extremity, a tourniquet can be applied.  There are other techniques that are useful in diagnosing and treating these injuries, including CT angiogram, shunt placement, and fasciotomy. 

Starts at 23:29 - Spine: Evaluation and Clearance, Michael L. Nance, MD 
Imaging techniques such as CT scans and MRI are not very useful for evaluating spinal injuries, so clinical examinations should be used as fully as possible.

Starts at 54:55 - Pediatric Trauma - Updates in Imaging , Dorothy Bulas, MD 
CT scans should only be done as needed in pediatric patients, and in some cases MRI may be useful to assess some spinal injuries.  Evidence of internal bleeding in the abdomen is only moderately helpful in determining a strategy for treating pediatric patients.

Video #3
Starts at 00:00
- Bladder and Kidney Injuries,
Jean-Michel Guys, MD, PhD 
Because bladder rupture can occur due to even minor trauma in children, CT scans are useful for determining the extent of renal trauma and bladder rupture to predict the patient's prognosis.  Other considerations must be kept in mind following these types of injuries, such as potential harm from inserting a catheter. 

Starts at 12:59 - Pediatric Head Trauma, Robert Keating, MD
While new therapies for treatment of head trauma in children seem promising, there is no concrete evidence that they are effective in practice.

Starts at 31:27 - Mild Head Injury Diagnosis and Management, Julian E. Bailes, MD

Video #4
Starts at 8:57 - Thoracic Trauma, Kenneth L. Mattox, MD 
New concepts need to be considered in thoracic (heart and lung) trauma.  

Starts 21:03 - Surgical Damage Control, David Feliciano, MD
Damage control in this case mostly refers to some type of metabolic failure, such as internal bleeding.  When this occurs in the abdomen the best technique is a surgical exploration of the area, along with proper care of the open abdomen and during follow-up operations. 

Starts at 41:36 - Laparoscopy: Is There a Role in Pediatric Trauma?, Timothy D. Kane, MD, FACS

Video #5
Starts at 00:00 - New Concepts in Pediatric Burns, Rob Sheridan
Treatment of burns, especially deep burns, in children should be individualized and focused on the needs of each patient.

Starts at 09:46 - Advanced Prosthesis: The Future is Now!, Geoffrey Ling, MD, PhD, FAAN 

29:00-56:45 - Panel Discussion

Video #6
Starts at 00:00 - New Concepts in Pediatric Abdominal Trauma , Eric Elster, MD
Injury treatment cannot always take place in the perfect environment, so team communication is essential. 

Starts at 13:15 - New Concepts in Managing Penetrating Abdominal Injuries, Randall S. Burd, MD, PhD
Abdominal CT scans are helpful in some patients with penetrating abdominal injuries, such as stab or gunshot wounds.  Management of these injuries without surgery is also an option in some patients, and diagnostic techniques such as laparoscopy can be considered as well.

Starts at 28:50 - New Concepts in Pediatric Abdominal Trauma, Wolfgang Stehr, MD 
There are new developments in how to treat children with abdominal injuries depending on location of injury and how much blood transfusion is needed. 

 

Starts at 45:47 Wartime Decompressive Craniectomies in Children , Min S. Park, MD 
Early treatment of severe traumatic brain injuries in children should be carefully evaluated for immediate and long term effects as well as resources available.

Starts at 55:09 - Damage Control Laparotomy, Mary Fallat, MD

Orthopedic Injury to Children , Joseph Alderete, MAJ, MC, USA 
This document outlines the best ways to treat children who are severely injured and have multiple open wounds due to blast injuries and burns.