SAN DIEGO DAY OF TRAUMA. Extreme Trauma: Taking it to the Limit with Life in the Balance. November 6, 2015 Kona Kai Resort, San Diego, CA

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1 The 2015 Extreme Trauma: Taking it to the Limit with Life in the Balance November 6, 2015 Kona Kai Resort, San Diego, CA Scripps Conference Services & CME

2 Course Overview The San Diego Day of Trauma is a nationally accredited continuing medical education conference designed for physicians, nurses, physician assistants and first responders in the fields of trauma, emergency, and critical care medicine. Nationally renowned speakers will present state of the art management of life threatening emergencies commonly encountered in the field. Conference speakers will include specialists in the fields of pre-hospital care, trauma surgery, and critical care. Lectures, real-life case presentations, and interactive sessions will engage attendees and promote improved patient outcomes. Conference Highlights Concise and focused lectures by experts in trauma and critical care medicine Case presentation segment focusing on real-life trauma cases Extensive audience participation, panel discussions, and Q&A with expert faculty Mobile conference app with access to course materials and recordings from the convenience of your mobile device or computer Educational Objectives After attending this activity, participants should be able to: Outline high-risk situations in trauma care where critical thinking and decisive action is required. Discuss pre-hospital scenarios in which airway is lost and immediate action is necessary. Identify key decision points in managing severe hemorrhagic shock. Summarize the challenge of caring for badly injured and abused children. Demonstrate characteristics of successful trauma and critical care teams in practice. Illustrate the essential elements of managing extreme injuries and potential challenges that may arise. Target Audience Trauma Specialists Critical Care Specialists Emergency Medicine Specialists Pre-hospital Personnel First Responders Accreditation & Disclosure Physicians Scripps Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Scripps Health designates this live activity for a maximum of 8 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. Board of Registered Nursing For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit(s) issued by organizations accredited by the ACCME. For the purpose of re-licensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credit(s). The majority of state boards accept AMA PRA Category 1 Credit(s) as meeting continuing education requirements for license renewal. Nurses should check with their state s Board of Registered Nursing regarding use of CME credit. Emergency Medical Services The County of San Diego, Division of EMS, has approved this course for 4.5 hours, San Diego County EMS Provider # Physician Assistants The American Academy of Physician Assistants accepts Category I credit from AMA Category I CME organizations accredited by the ACCME. Commercial Support This course is supported, in part, by educational grants from industry, in accordance with ACCME accreditation Standards for Commercial Support. At the time of printing, a complete listing of commercial supporters was not available. Appropriate acknowledgement will be given to all supporters at the time of the educational activity. Conference Location & Hotel Information Kona Kai Resort 1551 Shelter Island Dr San Diego, CA Reservations: Hotel Direct: Please make your own room reservations and be sure to request the Scripps reduced rate of only $199 per night plus tax and parking. This low rate also includes: No resort fee Complimentary high-speed internet access in guest rooms Complimentary use of the fitness center Discounted overnight self-parking Private beach access Make your reservations early! A specially priced block of rooms is being held until October 15, 2015 or until the block fills, whichever comes first. After October 15, 2015 reservations will be accepted on a space and rate availability basis only. Please note: Attendees who book their room through an online, third-party service (Hotels.com, Expedia.com, Priceline.com, etc.) are not eligible to receive the amenities listed above.

3 Faculty COURSE DIRECTOR Michael J. Sise, MD, FACS Clinical Medical Director, Division of Trauma ASSISTANT COURSE DIRECTOR Vishal Bansal, MD, FACS Assistant Trauma Medical Director CONFERENCE FACULTY Carlos V.R. Brown, MD, FACS Associate University of Texas Southwestern-Austin Chief of Trauma University Medical Center Brackenridge Austin, Texas Raul S. Coimbra, MD, PhD, FACS The Monroe E. Trout Surgeon-in-Chief Executive Vice-Chairman Department of Surgery Chief, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery UCSD Medical Center Imad S. Dandan, MD, FACS Trauma Medical Director Scripps Memorial Hospital La Jolla La Jolla, California Demetrios Demetriades, MD, PhD, FACS Keck School of Medicine University of Southern California Director Division of Acute Care Surgery (Trauma, Emergency Surgery and Surgical Critical Care) LAC+USC Medical Center Los Angeles, California James V. Dunford, MD, FACEP Professor Emeritus Department of Emergency Medicine City EMS Medical Director Bruce E. Haynes, MD, FACEP Medical Director San Diego County EMS Romeo C. Ignacio, Jr., MD, FACS Assistant Clinical Professor (Voluntary), General Surgery Residency Program Director Naval Medical Center San Diego Kenji Inaba, MD, FRCSC, FACS Medical Director, Surgical ICU Program Director Surgical Critical Care Fellowship Assistant Division of Trauma Surgery and Surgical Critical Care LAC+USC Medical Center Los Angeles, California Frank R. Kennedy, MD, FACS Chair, San Diego Committee on Trauma Trauma Office Sharp Memorial Hospital M. Margaret Knudson, MD, FACS UCSF School of Medicine Medical Director of the Military Health System Strategic Partnership American College of Surgeons (MHSSPACS) Trauma Surgeon, San Francisco General Hospital and Trauma Center San Francisco, California Kimberly A. Peck, MD, FACS Trauma and General Surgeon Division of Trauma Ali Salim, MD, FACS Division Chief Trauma, Burns, and Surgical Critical Care Brigham and Women s Hospital Boston, Massachusetts Beth Sise, JD, RN, MSN, CPNP Director, Trauma Research & Injury Prevention Division of Trauma John T. Steele, MD, FACS Chair, Department of Trauma Trauma Program Medical Director Palomar Health North County Trauma Associates Escondido, California David. H. Wisner, MD, FACS Associate Dean for Clinical Affairs Executive Director Practice Management Board UC Davis School of Medicine Sacramento, California Faculty Disclosure: In accordance with the ACCME Standards for Commercial Support, course directors, planning committees, faculty and all others in control of the educational content of the CME activity must disclose all relevant financial relationships with any commercial interest that they or their spouse/partner may have had within the past 12 months. If an individual refuses to disclose relevant financial relationships, they will be disqualified from being a part of the planning and implementation of this CME activity. Employees of a commercial interest with business lines or products relating to the content of the CME activity will not participate in the planning or any accredited portion of the conference. Disclosure will be made to all participants at the conference location, prior to the educational activity commencement. Conference Materials Download the Scripps CME app for your smart phone or tablet! All conference information including a detailed agenda, faculty listing, faculty disclosures, industry support, attendee list, and course materials can be found on the free Scripps CME conference app for iphone, ipad, Android, and BlackBerry. To download the app on your smart phone or other device visit the appropriate app store and search ScrippsCME (must be one word). The app is free of charge and will be continuously updated during and after the course. Please note that no paper materials will be provided during this program. To access the site using a web browser:

4 AGENDA November 6, a.m. Registration, Continental Breakfast & View Exhibits 7:30 a.m. Welcome & Educational Overview Michael J. Sise, MD, FACS SESSION I Moderator: Frank R. Kennedy, MD, FACS 7:45 a.m. Pre-hospital Airway Lost: Putting the A in the ABCs James V. Dunford, MD, FACEP 8 a.m. How to Win a Street Fight Resuscitation for Profound Hemorrhagic Shock Vishal Bansal, MD, FACS 8:15 a.m. Managing the Crushed Liver in a Dying Child M. Margaret Knudson, MD, FACS 8:30 a.m. Severe Blunt Multiple Extremity Trauma with Hemorrhagic Shock Ali Salim, MD, FACS 8:45 a.m. Panel Discussion/Q&A 9:15 a.m. Break & View Exhibits SESSION II Moderator: M. Margaret Knudson, MD, FACS 9:45 a.m. DEBATE Combining Trauma and Emergency General Surgery Improves the Trauma Service PRO: Demetrios Demetriades, MD, PhD, FACS CON: David H. Wisner, MD, FACS SESSION III Moderator: Imad S. Dandan, MD, FACS 10:15 a.m. GSW Crossing the Base of the Neck Injuring Everything Kenji Inaba, MD, FRCSC, FACS 10:30 a.m. Getting Rapid Control of Life Threatening Torso Hemorrhage Raul S. Coimbra, MD, PhD, FACS 10:45 a.m. Crushed Pelvis and Profound Shock Demetrios Demetriades, MD, PhD, FACS 11 a.m. Calibrating Yourself: Up All Night without Losing Your Edge or Your Temper Carlos V.R. Brown, MD, FACS 11:15 a.m. Panel Discussion/Q&A SESSION IV Moderator: John T. Steele, MD, FACS 11:45 a.m. DEBATE All Hypotensive Trauma Patients Should Receive Pre-hospital Fluids PRO: James V. Dunford, MD, FACEP CON: Michael J. Sise, MD, FACS 12:15 p.m. Lunch Services 12:45 p.m. KEYNOTE PRESENTATION Creating the Successful Trauma Team: What It Takes To Be a Top Performing Trauma Center David H. Wisner, MD, FACS SESSION V Moderator: Michael J. Sise, MD, FACS 1:30 p.m. Case Management 2:30 p.m. Break & View Exhibits SESSION VI Moderator: Bruce E. Haynes, MD, FACEP 3 p.m. Saving the Badly Battered Child: Managing Your Emotions and Staying Focused Romeo C. Ignacio, Jr., MD, FACS 3:15 p.m. Late Pregnancy Trauma Mom s Dying, Baby s Still Alive M. Margaret Knudson, MD, FACS 3:30 p.m. Bad Blunt Lung Injury and Can t Oxygenate the Patient Vishal Bansal, MD, FACS 3:45 p.m. Life over Limb? Severe Torso Injuries with Shock and a Badly Mangled Extremity Carlos V.R. Brown, MD, FACS 4 p.m. Panel Discussion/Q&A SESSION VII Moderator: Kimberly A. Peck, MD, FACS 4:30 p.m. DEBATE Craniectomy for TBI with Refractory Intracranial Hypertension Saves Lives PRO: Kenji Inaba, MD, FRCSC, FACS CON: Ali Salim, MD, FACS 5 p.m. Course Summary and Final Adjournment Michael J. Sise, MD, FACS

5 2015 November 6, 2015 Kona Kai Resort The 2015 Conference Fees Included: Course tuition, breakfast, breaks, lunch, electronic course materials, internet, and recordings Not Included: Travel costs, lodging, parking, and dinners Thru Sept 30 Oct 1 - Nov 3 After Nov 3 Physicians $300 $325 $350 RN / NP / PA / Allied Health Care Professionals $250 $275 $300 Active Duty Military / Residents / Fellows $150 $175 $200 Pre-Hospital Personnel $100 $125 $150 WAYS TO REGISTER Online Fax Mail Scripps Conference Services & CME Day of Trauma North Torrey Pines Road Suite 200, Maildrop: SCRC200 La Jolla, California Questions Contact Scripps Conference Services & CME Phone med.edu@scrippshealth.org Would you like to receive the Scripps Conference Services & CME newsletter? Yes No By completing this registration form and returning it to Scripps you are acknowledging compliance with all attendance policies. Please print clearly and provide your direct contact information in order to receive any conference communications or updates. FIRST, MI, LAST NAME DEGREE (MD, DO, PHD, RN, ETC) AFFILIATION/HOSPITAL/COMPANY SPECIALTY MAILING ADDRESS CITY/STATE/ZIP PHONE FAX (This is required and will be your user name when accessing your online account.) Please indicate any special needs (including dietary restrictions): Special requests will be considered and accommodated in full compliance with the Americans with Disabilities Act (ADA). Office Use Only: Date rec d Check no/approval CD Amount Confirmation Sent Initials PAYMENT METHOD Check Please make checks payable to Scripps (in U.S. dollars only). If paying by credit card, please fill out the information below. Visa MasterCard Amex Discover CREDIT CARD NUMBER EXPIRATION DATE SECURITY CODE NAME ON CARD SIGNATURE BILLING ADDRESS (if different from above) Attendee Cancellation, Substitution, Refund The course tuition is refundable, minus a $100 processing fee (MD, RN, PA) or a $50 processing fee (Military, Resident, Fellow, Pre-hospital), if your cancellation is received in writing no later than Friday, October 30, Attendee substitutions are allowed, but notification must be made in writing by October 30, After this date, under no circumstances will refunds, credits, or substitutions be granted. No refunds or credits will be given to no shows. Scripps Conference Modification or Cancellation Scripps reserves the right to modify the course s schedule or program as necessary. Scripps also reserves the right to cancel this conference, in which case a full refund of the registration fee will be provided. We are unable to refund any travel costs (flight, hotel, etc.) in the case of Scripps cancellation. Recording and Photography Clause Scripps reserves exclusive rights to record (audio and video) and/or photograph all conference proceedings for use in marketing materials, presentations and course content sales.

6 Scripps Conference Services & CME N. Torrey Pines Road Suite 200, Maildrop: SCRC 200 La Jolla, California The 2015 Extreme Trauma: Taking it to the Limit with Life in the Balance November 6, 2015 Kona Kai Resort, San Diego, CA The 2015 Extreme Trauma: Taking it to the Limit with Life in the Balance November 6, 2015 Kona Kai Resort, San Diego, CA Scripps Conference Services & CME

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