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.
symposium was sold out!
- Reached 428 registrants
audience was 1,012 participants in 33 countries
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!
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,
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
Starts at 00:00 -
New Concepts in Pediatric Abdominal Trauma,
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
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
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
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.
Starts at 8:57
- Thoracic Trauma, Kenneth L. Mattox, MD
New concepts need to be considered in thoracic (heart and lung) trauma.
- 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?,
Kane, MD, FACS
Starts at 00:00 - New Concepts in Pediatric Burns,
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,
29:00-56:45 - Panel Discussion
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
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
Starts at 55:09
- Damage Control Laparotomy, Mary Fallat,
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.