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20 th European Congress of Trauma & Emergency Surgery May 5 – 7, 2019 l Clarion Congress Hotel Prague Prague, Czech Republic PROGRAMME Sharing Knowledge – Improving Trauma Care Organised by European Society for Trauma & Emergency Surgery Česká společnost úrazové chirurgie © 605440376 l Catarina Belova l shuerstock.com

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20th European Congress ofTrauma & Emergency SurgeryMay 5 – 7, 2019 l Clarion Congress Hotel PraguePrague, Czech Republic

ProgrammE

Sharing Knowledge – Improving Trauma Care

Organised byEuropean Society for Trauma & Emergency SurgeryČeská společnost úrazové chirurgie

© 605440376 l Catarina Belova l shutterstock.com

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© 92523139 l AdobeStock

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TABLE OF CONTENTS

Welcome ............................................................................................................................... 4

Organisation and Committees ............................................................................................. 6

ESTES Board of Directors ..................................................................................................... 7

ESTES Society ........................................................................................................................ 9

General Information ............................................................................................................. 11

Programme at a Glance ........................................................................................................ 12

Scientific Programme Sunday, May 5 ................................................................................................................ 15 Monday, May 6 ............................................................................................................... 29 Tuesday, May 7 ............................................................................................................... 39

Poster Walks Sunday, May 5 ................................................................................................................ 49 Monday, May 6 ............................................................................................................... 69 Tuesday, May 7 ............................................................................................................... 103

Networking Opportunities ................................................................................................... 109

Sponsor Acknowledgements ............................................................................................... 110

Exhibition .............................................................................................................................. 110

Media Cooperations ............................................................................................................. 110

Exhibition Floor Plan ............................................................................................................. 111

Industry Supported Sessions ............................................................................................... 112

Index of Speakers, Chairs and Presenting Authors ............................................................. 114

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WELCOmE l MESSAGE FROM THE ESTES PRESIDENT 2018–2019

Dear friends of ESTES,

it is a great pleasure for me to welcome you in Prague for the 20th European Congress of Trauma and Emergency Surgery on behalf of the European Society for Trauma and Emergency Surgery.

We have prepared an exciting programme that will enhance your knowledge in trauma and emergency surgery care, and we hope to encourage international exchange and to provide an interdisciplinary approach. As in the past years, we will host several guest symposia includ-ing several European and non-European scientific societies like IATSIC, DGU, ATLS, ATCN and AOTrauma. This year, we are happy to announce Japan as our Guest Nation.

As introduced in Valencia, we will continue with session formats such as pro and con presenta-tions and debate sessions alongside the instructional lectures and presentations of scientific papers such as case presentations. For the first time, speakers give their presentations on 60-inch screens during poster walks. Additionally, several pre-congress courses will introduce young specialists to trauma and emergency care.

It is my pleasure to announce Pol Maria Rommens and Ari Leppaniemi for Otmar Trentz and Sten Lennquist lecture. Both present the ideal of an academic surgeon in an exemplary man-ner. These speakers also have enriched the medical society with their extraordinary surgical skills, their educational ability and their path-breaking publications.

Once again, welcome to our congress in Prague – the Golden City – providing a spectacular surrounding and atmosphere to complement our congress.

I look forward to seeing you in Prague for an unforgettable congress.

Christoph Josten

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WELCOmE l mESSAGE FROm THE ECTES 2019 PRESIDENT

Dear colleagues,

it is a great pleasure for me and the organising committee of ECTES 2019 in Prague to wel-come you to the 20th Congress of the European Society of Trauma and Emergency Surgery (ESTES). Previous ESTES congresses have generated a growing interest and become increas-ingly important not only for Europeans, but also for colleagues from all over the world. We appreciate that very much.

The congress has two aspects. First to present and discuss the latest diagnostic and therapeutic approaches to the treatment of trauma and emergency surgery: to report evidence-based results, to discuss them and to highlight controversies. Its second aim is to bring people to-gether: to develop close partnerships and friendship, to exchange experiences and to establish the basis for scientific and professional cooperation. For all this Prague provides a unique ambience and opportunity.

All of that underlines our motto for the congress: AUGMENT kNOWLEDGE – IMPROVE TRAUMA CARE.

ESTES was formed in 2007 by the merger of the European Association for Trauma & Emer-gency Surgery and the European Trauma Society. Since then it has continued to promote best practice in the provision of emergency and trauma surgery from pre-hospital care through diagnosis, intervention and intensive care to rehabilitation. This is underpinned by interna-tional collaboration, scientific research, development and delivery of training courses, and the work of the specialist sections.

ESTES is an umbrella organisation for the national trauma and emergency surgery societies in Europe. The society has 34 institutional organisation members and 922 individual members. The scientific programme was put together by all the section chairs of the society, Disaster and Military Surgery, Emergency Surgery, Polytrauma, Visceral Trauma, Skeletal Trauma and Sports Medicine, as well as the Permanent Education Committee.

As the President of the congress and on behalf of the Local Organisational Committee I would like to give my warmest thanks to the International Organising Committee, to the colleagues from the organising company, Conventus, and to all sponsors. Without all of them, this con-gress would not be held.

Peter Wendsche

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ORGANISATION AND COmmITTEES

Under the auspieces of the Minister of Health of the Czech Republic, Adam Vojtěch.

VenueClarion Congress Hotel PragueFreyova 945/33, Vysočany I 190 00 Prague I Czech Republic

Congress PresidentPeter Wendsche (Brno I Czech Republic)

Congress SecretaryPavel Dráč (Olomouc I Czech Republic)

Organising CommitteePavel Dráč (Czech Republic)Jaromir kočí (Czech Republic) Hayato kurihara (Italy)Christoph Josten (Germany)Josef März (Czech Republic)Jan kees Ponsen (Netherlands)Peep Talving (Estonia)Jonathan Tilsed (United kingdom)František Vyhnánek (Czech Republic) Peter Wendsche (Czech Republic)

Professional Congress OrganisationConventus Congressmanagement & Marketing GmbHAriane kärgerCarl-Pulfrich-Straße 1 I 07745 Jena I GermanyPhone +49 3641 31 [email protected] I www.conventus.de

Design/LayoutLayout krea.tif-studio UG (limited liability)Print SilberDruck oHGCirculation 1,500Editorial deadline April 17, 2019

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ESTES BOARD OF DIRECTORS

ESTES Executive Board Christoph Josten (Germany), President 2018–2019Marius keel (Switzerland), Past PresidentJonathan Tilsed (United kingdom), Vice PresidentCarlos Mesquita (Portugal), President Electklaus Wendt (Netherlands), General SecretaryHayato kurihara (Italy), TreasurerMauro Zago (Italy), Advisory Council ChairIngo Marzi (Germany), EJTES Editor-in-Chief

Section Chairs & Co-ChairsEmergency Surgery Andreas Shamiyeh (Austria), ChairJorge Pereira (Portugal), Vice-Chair

Disaster and military SurgeryRoberto Faccincani (Italy), ChairItamar Ashkenazi (Israel), Vice-Chair

Skeletal Trauma & Sports medicine Radko komadina (Slovenia), ChairRichard kdolsky (Austria), Vice-Chair

Visceral TraumaChristine Gaarder (Norway), ChairLouis Riddez (Sweden), Vice-Chair

PolytraumaHans-Christoph Pape (Switzerland), ChairAitor Landaluce-Olavarria (Spain), Vice-Chair

Permanent Education CommitteePeep Talving (Estonia), ChairLuca Ponchietti (Spain), Vice-Chair

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ESTES BOARD OF DIRECTORS

National DelegatesFrédéric Lodier, ATCN EuropeJoakim J. Jørgensen, ATLS in EuropeAgron Dogjani, Albanian Society of Trauma and Emergency SurgeryAndreas Hartmann, Austrian Trauma SocietyGuy Putzeys, Belgian Orthopaedic Trauma AssociationStefaan Nijs, Belgian Trauma SocietyStuart Matthews, British Trauma SocietyBore Bakota, Croatian Trauma SocietyPavel Dráč, Czech Trauma Societykees-Jan Ponsen, Dutch Trauma Societykari Isotalo, Finnish Trauma SocietyFrancois Pons, French Emergency Surgery SocietyFrank Hildebrand, German Trauma SocietySpiros Stergiopoulos, Hellenic Society for Trauma and Emergency SurgeryEndre Varga, Hungarian Trauma SocietyHany Bahouth, Israeli Trauma societyMauro Zago, Italian Trauma and Emergency Surgery Society (SICUT)Henrique Alexandrino, Lusitanian (Portugese) Association of Trauma & Emergency Surgery Sten Lennquist, Medical Response on Major Incidents & DisastersChristine Gaarder, Norwegian Trauma Competency ServiceChrysanthos Georgiou, Pancyprian Association of Trauma and Emergency SurgeryAndriy kalashnikov, Pan-Ukrainian Association of Traumatology and OsteosynthesisJorge Pereira, Portuguese Surgical SocietyMircea Beuran, Romanian Society for Trauma and Emergency Surgery (SRCUT)Milorad B. Mitkovic, Serbian Trauma SocietyPeter Simko, Slovakian Trauma SocietyRadko komadina, Slovenian Association of Surgeons (SAS)Matej Cimerman, Slovenian Society of Trauma SurgeonsIsidro Martínez, Spanish Surgeons Association-SSA Louis Riddez, Swedish Trauma AssociationAndreas Platz, Swiss Society of General Surgery and TraumatologyDominik Heim, Swiss Trauma Society (SGTV)Mahir Ozmen, Turkish Association for Trauma and Emergency SurgeryErtugrul Aksahin, Turkish Society of Orthopedics & Traumatology

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ESTES SOCIETy

General AssemblyMonday, May 6, 16:30–18:00, Room: Zenit

Agenda1. Opening and welcome 2. Approval of the agenda 3. Approval of the minutes of the General Assembly on May 7, 2018, in Valencia, Spain 4. Election of Manuela Walland as recording secretary 5. Report of the Secretary General 6. Approval of new members and termination of membership 7. Change of the registerered ESTES Office from Belgium to Austria 8. Election of the President Elect (2019–2020) Suggestion: Radko komadina, Slovenia 9. Election of the Treasurer (2020–2023) Suggestion: Isidro Martinez Casas, Spain 10. Report of the Treasurer 11. Report of the Financial Committee Chairman 12. Discharge of the Treasurer from his responsibility 13. Appointment of the Financial Committee members for the year 2019 14. Presidential Report 15. Report of the Chairman of the Advisory Council 16. Approval of the Advisory Council Chair (2019–2022) 17. Report of the Editor-in-Chief of the European Journal of Trauma and Emergency Surgery 18. Report of the Section and Education Committee Chairs a. Disaster & Military Surgery b. Emergency Surgery c. Skeletal Trauma & Sports Medicine d. Visceral Trauma e. Polytrauma f. Education Committee 19. Outlook at future ESTES Congresses 20. Miscellaneous 21. Closing Remarks

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ESTES SOCIETy

Executive Board Meeting Saturday, May 4, 08:00–12:30, Room: Benada Lounge

Advisory Council Meeting Saturday, May 4, 13:00–18:00, Room: Benada Lounge

Section Meetings

EJTES Editorial Board MeetingSaturday, May 4, 14:00–18:00, Room: Stella

EJTES Large Board MeetingSunday, May 5, 12:45–13:45, Room: Stella

ESTES Individual MembershipFor more information visit the ESTES Booth in the exhibition area or go online onwww.estesonline.org.

EBSQ ExaminationsEBSQ Examination in Trauma SurgerySunday, May 5, 08:00, Room: StellaChair: Hans-Jörg Oestern (Germany)

EBSQ Examination in Emergency SurgeryFriday, May 3, 08:30, Hotel ILF (Budějovická 15 l 141 00 Prague 4)Chair: Jonathan Tilsed (United kingdom)

PolytraumaSunday, May 507:30–08:30Room: Leo & Virgo

Education Committee Sunday, May 512:45–13:45Room: Leo & Virgo

Skeletal Trauma & Sports medicineMonday, May 607:30–08:30Room: Leo & Virgo

Emergency SurgeryMonday, May 612:45–13:45Room: Stella

Disaster & militaryMonday, May 615:30–16:30Room: Nadir

Visceral TraumaMonday, May 615:30–16:30Room: Leo & Virgo

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GENERAL INFORmATION

Abstract Online SupplementYou will find the abstracts of the 20th ECTES in the online archive of the “European Journal of Trauma and Emergency Surgery”. To access the publications, please follow this link: http://link.springer.com/article/10.1007/s00068-019-01109-1

Best Oral Presentation & Best Poster AwardsThree awards for Best Oral Presentation (of 1000 EUR/500 EUR/free congress reg-istration for ECTES 2020), two awards for the best Research Posters (of 500 EUR/free congress registration for ECTES 2020) and awards for the two Best Case Study Posters (of 500 EUR/free congress registration for ECTES 2020) will be awarded during the Closing Ceremony on Tuesday, May 7. Please note that award winners need to be present at the ceremony to be eligible to receive the prize.

CME Credits and Certificate of AttendanceThe conference applied for certification with at the European Accreditation Council for Continuing Medical Education (EACCME®). The EACCME is an institution of the European Union of Medical Specialists (UEMS, www.uems.net). The Ameri-can Medical Association (AMA) recognises EACCME credits as valid CME credits towards the Physician’s Recognition Award (PRA). To convert EACCME credits into AMA PRA category 1 credits, please contact AMA (www.ama-assn.org/education/earn-credit-participation-international-activities).To obtain your CME credits, please provide daily proof of presence by scanning your name badge at the provided counter. Afterwards, you will receive a certificate of attendance indicating the amount of CME credits obtained via e-mail.Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. Later requests are discouraged.

Speakers’ Preview CentreThe Speakers’ Preview Centre is located in the room Quadrant. Staff and equipment will be available for you to arrange and preview your PowerPoint presentation.

Coffee Break within the Industrial ExhibitionCoffee during the indicated coffee break is included in the registration fee and will be served in the exhibition area.

WiFi AccessWiFi will be available in the congress centre. For log-in data please ask at the registration desk.

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PROGRAmmE AT A GLANCESunday, may 5

Zenit Nadir Aquarius & Taurus

Leo & Virgo Tycho Stella ePoster Exhibition

07:30–08:30

08:00–12:00p. 15

08:30–10:00 08:30–10:00 08:30–10:00 08:30–10:00 08:30–10:00

p. 15 p. 15 p. 16 p. 17

10:30–12:00 10:30–12:00 10:30–12:00 10:30–12:00 10:30–12:00

p. 18 p. 18 p. 19 p. 19 p. 1512:10–12:40

12:45–13:45 12:45–13:45 12:45–13:45 12:45–13:45

p. 49 p. 21 p. 49

14:00–15:30 14:00–15:30 14:00–15:30 14:00–15:30 14:00–15:30 14:00–15:30

p. 21 p. 21 p. 22 p. 22 p. 23 p. 2415:30–16:00Poster Session 2

16:00–17:30 16:00–17:30 16:00–17:30 16:00–17:30 16:00–17:30

p. 25 p. 25 p. 26 p. 27

17:45–18:45

p. 2818:45–20:15Welcome Reception within the Industrial Exhibition

Visceral Trauma The Critically Injured Patient with Visceral Injuries in ICU

Free Papers 4 Emergency Surgery and Soft Tissue Infections

Opening Ceremony

Skeletal Trauma Dislocation Fractures of the Knee Joint

Visceral Trauma Junctional Injuries

Education Severe Paediatric Trauma

Skeletal Trauma Pelvic Injuries and Severe Bleeding

Education Committee Meeting

Sten Lennquist Lecture

Polytrauma Reassessment of Polytrauma Patients

Skeletal Trauma Foot and Ankle

Poster Session 1

Section Meeting Polytrauma

Disaster and Military Pre- and Postop-erative Issues in Global Surgery

Free Papers 1 Bleeding, Massive Transfusion and Coagulopathy

Section Meeting EBSQ Exam – Trauma Surgery

Free Papers 2 Abdominal In-juries, Endovascu-lar Interventions, Bleeding

Japanese Session Multidisciplinary Approach for Abdominal Sepsis

Free Papers 3 Chest Injuries, Surgical Critical Care and Burns

ATCN Guest Symposium

EJTES Large Board Meeting

Poster Session 1

Polytrauma Therapy strate-gies of mangled extremity injuries

Education Prehospital Care

Czech Trauma Society Guest Symposium

EFORT Guest Symposium

Emergency Surgery Anastomotic Leakage

Polytrauma Polytrauma in Children

Education The Pregnant Surgical Patient

p. 16

p. 20

p. 21

p. 21

p. 62

p. 109

p. 26

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PROGRAmmE AT A GLANCEmonday, may 6

Zenit Nadir Aquarius & Taurus

Leo & Virgo Tycho Stella ePoster Exhibition

07:30–08:30

08:30–10:00 08:30–10:00 08:30–10:00 08:30–10:00 08:30–10:00

p. 29 p. 29 p. 30 p. 30 p. 3110:00–10:30Poster Session 3

10:30–12:00 10:30–12:00 10:30–12:00 10:30–12:00 10:30–12:00

p. 32 p. 33 p. 3312:10–12:40

12:45–13:45 12:45–13:45 12:45–13:45 12:45–13:45 12:45–13:45 12:45–13:45 12:45–13:45

p. 112 p. 75 p. 75

14:00–15:30 14:00–15:30 14:00–15:30 14:00–15:30 14:00–15:30

p. 35 p. 37 p. 3715:30–16:30 15:30–16:30 15:30–16:30 15:30–16:30

p. 38 p. 89 p. 8916:30–18:00

p. 38

Visceral Trauma Damage Control Principles in Trauma and Resuscitation

Section Meeting Skeletal Trauma & Sports Medicine

Section Meeting Emergency Surgery

Free Papers 5 Military and Disaster, Prehospital Care

Poster Session 4

19:00–21:00Congress Dinner at the Hard Rock Cafe Prague

Section Meeting Disaster & Military

General Assembly

Poster Session 5 Poster Session 5

Poster Session 4

Free Papers 6 Skeletal Trauma and Bone Infec-tions – Lower Extremity

Otmar Trentz Lecture

Free Papers 7 Skeletal Trauma and Bone Infec-tions – Pelvis and Pine

Disaster and Military Difficult Decisions in the Surgical Care of Military Casualties

Visceral Trauma The Challenging Abdominal Wall

Japanese Session Fragility Fractures of the Pelvis

Skeletal Trauma Complex Trauma of Shoulders

DGU Guest Symposium

Visceral Trauma Operative vs. Non-Operative Management in Visceral Trauma

Section Meeting Visceral Trauma

Polytrauma Polytrauma in the Very Old Patient (Octogerians)

Industry Supported Sessions

Skeletal Trauma Problems in Orthopedic Surgery Today

Emergency Surgery Severe Soft Tissue Infection

Stop the Bleed Campaign

AO Trauma Guest Symposium

p. 29

p. 69

p. 35

p. 35

p. 36

p. 38

p. 34 p. 32

p. 36

p. 109

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Abbreviations O Oral presentation PC ePoster presentation I Case Study PR ePoster presentation I Clinical Research

BATTLE Battle SessionCD Case Discussion

Debate Debate DiscussionICL Instructional Course LecturePD Panel Discussion

TED TED Talk Session

Zenit Nadir Aquarius & Taurus

Leo & Virgo Tycho ePoster Exhibition

08:30–10:00 08:30–10:00 08:30–10:00 08:30–10:00 08:30–10:00

p. 39 p. 40 p. 4010:00–10:30Poster Session 6

10:30–12:00 10:30–12:00 10:30–12:00 10:30–12:00 10:30–12:00

p. 42 p. 42 p. 43 p. 4312:10–13:40 12:10–13:40 12:10–13:40 12:10–13:40 12:10–13:40

p. 45 p. 45 p. 46 p. 46 p. 4713:40–14:40

p. 48

Legend

Invited LecturesFree Paper SessionsGuest SymposiumPoster SessionsIndustry Supported Sessions

ESTES MeetingsNamed Lectures & Networking

Polytrauma New Definition of a Major Fracture in Polytrauma

Free Papers 9 Polytrauma

Gerhard Küntscher Society Guest Symposium

Disaster and Military Prehospital and Inhospital Triage in Major Events

Disaster and Military Disaster Train-ing – How I Do It

Skeletal Trauma Infected Bone

Free Papers 10 Future Developments and New Techniques

Closing Ceremony

Education Surgical Education

Emergency Surgery Surgical Critical Care

Skeletal Trauma Complex Trauma and Revision Surgery

Visceral Trauma Chest Injuries – Multidisciplinary and Challenging

Emergency Surgery Decision Making in Emergency Surgery

Emergency Surgery Exploratory Laparoscopy in Acute Care Surgery

Free Papers 8 Skeletal Trauma and Bone Infec-tions – Upper and Lower Extremity

IATSIC Guest Symposium

p. 39 p. 41

p. 103

p. 43

PROGRAmmE AT A GLANCETuesday, may 7

LegendESTES MeetingsNamed Lectures & Networking

Invited LecturesFree Paper SessionsGuest Symposium

Poster SessionsIndustry Supported Sessions

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07:30–08:30 Section Meeting – PolytraumaLeo & Virgo

08:00–12:00 EBSQ Exam – Trauma SurgeryStella

The examination consists of 3 parts: a) Multiple choice: 30 Questions b) General Viva: Case discussions c) Academic: Discussion of a scientific paper

08:30–10:00 Skeletal Trauma ICLZenit Dislocation Fractures of the knee Joint – Incidence and TherapyModeration P. M. Rommens (Mainz/DE), M. krivohlavek (Liberec/CZ)

Steps in Primary Diagnosis – Is an Angiography Mandatory? J. Jørgensen (Oslo/NO)

Compartimental Syndrome E. Varga (Szeged/HU)

First Steps in Therapy M. krivohlavek (Liberec/CZ)

Definitive Treatment of Ligamentous Injuries P. Hepp (Leipzig/DE)

08:30–10:00 Visceral Trauma ICLNadir Junctional Injuries – How to Manage in a Sub-Specialising Europe?Moderation R. Peralta (Doha/QA), D. Mariani (Legnano/IT)

Relevant Case Discussion Presented by the Chair with Panel (Case before the Talks, To Finish at the End) R. Peralta (Doha/QA)

Neck, Thoracic Inlet or Outlet – My Strategy M. Croce (Memphis/US)

Thoracoabdominal Injuries – keep It Simple D. Demetriades (Los Angeles/US)

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SCIENTIFIC PROGRAmmESunday, may 5

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Penetrating and Blunt Groin Injuries – A Practical Approach D. A. Spain (Stanford/US)

How Do We Prepare Trauma Teams in Europe to Deal with Junctional Injuries? C. Gaarder (Oslo/NO)

08:30–10:00 Disaster and Military TEDAquarius & Taurus Preoperative and Postoperative Issues in Global SurgeryModeration I. Ashkenazi (Hadera/IL), Y. Otomo (Tokyo/JP)

keynote lecture: Major Surgery in Resource Constrained Environment: Pre-Operative Assessment and Post-Operative Care W. Schecter (San Francisco/US)

Major Surgery with Limited Resources C. Pilasi Menichetti (London/GB)

Alternatives to Major Surgery S. Mirosavljev (Geneva/CH)

0ICU Treatment without ICU – Priorities M. Sosa (Barcelona/ES)

Dealing with Medical Errors W. Schecter (San Francisco/US)

08:30–10:00 Polytrauma PDLeo & Virgo Reassessment of Polytrauma Patients – What Parameters are Best in 2019?Moderation k. J. Ponsen (Alkmaar/NL), A. B. Peitzman (Pittsburgh/US)

Which Indicator of Coagulopathy? E. Moore (Denver/US)

Lactate – How Sensitive Is It Really? H.-C. Pape (Zurich/CH)

Experiences from a Level One Trauma Center – The Cologne Approach M. Maegele (Cologne/DE)

What to use in practice on a daily basis M. Nerlich (Regensburg/DE)

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08:30–10:00 Free Papers 1Tycho Bleeding, Massive Transfusion and CoagulopathyModeration P. A. Næss, R. Coimbra (San Diego/US)

O 1 One Size Does Not Fit All – Clinically Relevant Hyperfibrinolysis Depends on InjurySeverity and ShockN. Vigneshwar, J. Sumislawski (Aurora/US), E. Moore (Aurora, Denver/US), H. MooreM. Bartley (Aurora/US), M. Cohen (Denver/US) A. Sauaia (Aurora/US)

O 2 Evaluation of Tranexamic Acid in Trauma Patients in JapanN. Urushibata, k. Murata (Matsudo/JP), Y. Otomo, k. Fushimi (Tokyo/JP)

O 3 Analysis of Massive Transfusion Protocols in Six Level 1 Trauma Centers in the NetherlandsT. Rijnhout (Nijmegen/NL), A. Bek (Breda/NL), F. Noorman, M. Zoodsma (Leiden/NL)R. Hoencamp (Leiden, Leiderdorp/NL)

O 4 Epidural Catheters Are Associated with an Increased Risk of Venous ThromboembolismM. Vella (Philadelphia/US), R. Dumas (Philadelphia, Dallas/US)k. Chreiman (Philadelphia/US), T. Wasser (Harrisburg/US), B. Smith, P. Reilly, M. Seamon A. Shiroff (Philadelphia/US)

O 5 Microparticles Profiling in Trauma Patients: High level of Microparticles InduceActivation of Primary Haemostasis via Platelets in VitroM. Caspers, N. Schaefer, M. Froehlich, B. Bouillon, M. Mutschler, M. Maegele (Cologne/DE)

O 6 Obesity Is Independently Associated with Postinjury Fibrinolysis Shutdown.J. Samuels (Aurora/US), E. Moore (Denver/US), J. Coleman, M. Bartley, N. VigneshwarA. Banerjee, C. Silliman, A. Sauaia (Aurora/US)

O 7 Pregnancy in Trauma: A Level-1 Trauma Center’s Experience over Ten YearsJ. Coleman (Aurora/US), E. Moore (Denver/US), J. Samuels (Aurora/US)P. Roberts (Denver/US), H. Carmichael, M. Bartley, N. Vigneshwar (Aurora/US), M. CohenR. Lawless (Denver/US), C. Silliman, A. Banerjee, A. Sauaia (Aurora/US), M. AndersonS. Fabbri (Denver/US)

O 8 Coagulation Factor Replacement Does Not Explain Benefits of Plasma-Based Resuscitation after InjuryJ. Sumislawski, G. Stettler, E. Moore (Denver/US), L. kornblith, A. Conroy (San Francisco/US)A. Colvis (Denver/US), R. Callcut (San Francisco/US), C. Silliman, A. SauaiaM. Cohen (Denver/US)

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O 9 Impact of Pre-Injury Anticoagulants and Antiplatelet Agents: Focus on Direct OralAnticoagulants.k. J. Felix, J. Demma, H. Awessat, M. Bala (Jerusalem/IL)

O 10 Feasibility of Blind versus Ultrasound-Guided Vascular Access and REBOA on Boardof a Medical Transport Helicopter in a Haemorrhagic Ovine ModelV. Reva, A. Perevedenzev, E. Semenov, A. Pochtarnik, M. khupov, A. kalinina, I. YablokovI. Samokhvalov (Saint-Petersburg/RU)

10:00–10:30 Coffee Break within the Industrial Exhibition

10:30–12:00 Skeletal Trauma ICLZenit Pelvic Injuries and Severe Bleeding – My Indication for…Moderation C. Josten (Leipzig/DE), E. Moore (Denver/US)

… External Fixation A. Platz (Zurich/CH)

… Packing L. Leenen (Utrecht/NL)

… Embolisation I. Marzi (Frankfurt am Main/DE)

... REBOA T. Hörer (Örebro/SE)

… Hemipelvectomy as a Salvage Procedure N. N.

10:30–12:00 Education ICLNadir Severe Paediatric TraumaModeration B. A. Gaines (Pittsburgh/US), P. Talving (Tallinn/EE)

Recent Advancements in Paediatric Trauma Surgery D. Notrica (Phoenix/US)

Paediatric Head Injuries N. N.

Paediatric Chest/Abdomen P. A. Næss (Oslo/NO)

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Paediatric Vascular Injuries J. Jørgensen (Oslo/NO)

Paediatric Surgical Critical Care B. A. Gaines (Pittsburgh/US)

10:30–12:00 Japanese Session (Visceral/Emergency)Aquarius & Taurus Multidisciplinary Approach for Abdominal SepsisModeration R. Coimbra (San Diego/US), Y. Mizobata (Osaka/JP)

Critical Care for Abdominal Sepsis T.-a. Nakada (Chiba/JP)

Hybrid ER for Emergency Surgery H. Watanabe (Shimane/JP)

Open Abdomen Management for Abdominal Sepsis T. Nagao (Tokyo/JP)

Difficult Closure in Open Abdomen – How to Deal with It? R. Coimbra (San Diego/US)

Enteroatmosferic Fistula and Nutrition in Open Abdomen Y. Otomo (Tokyo/JP)

10:30–12:00 Skeletal Trauma ICLLeo & Virgo Foot and AnkleModeration S. Rammelt (Dresden/DE), R. kdolsky (Vienna/AT)

Operative Techniques of Acute Achilles Tendon Tears A. Čretnik (Maribor/SI)

Nonoperative Techniques of Acute Achilles Tendon Tears – Is It Still State of the Art? W. Friedl (Aschaffenburg/DE)

Treatment after Failed Treatment of Achilles Tendon Tears S. Rammelt (Dresden/DE)

Achillodynie vs.Chronic Partial Tears of Achilles Tendon R. kdolsky (Vienna/AT)

Treatment of Acute Achilles Tendon Tears in Patients Older than 70 L. kopp (karlovy/CZ)

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10:30–12:00 Free Papers 2Tycho Abdominal Injuries, Endovascular Interventions, BleedingModeration R. komadina (Celje/SI), M. Zago (Bergamo/IT)

O 11 Nonoperative Management of Abdominal Gunshot Wound: Prospective Study.F. E. Silva (Niterói, São Gonçalo/BR), A. M. Rangel, J. A. C. PadilhaR. P. Pereira (São Gonçalo/BR)

O 12 Predictive Scores for Bowel and Mesenteric Injuries after Blunt Trauma.M. Fernández Martínez, C. Ruiz Moreno, M. L. Fernández VázquezJ. T. Morales Bernaldo de Quirós, R. C. Colombari, Y. T. Moreno SalazarB. Rodríguez Esplandiu, C. Rey Valcárcel, F. Turegano Fuentes (Madrid/ES)

O 13 Modern Management of Splenic Trauma in a Uk Trauma CentreN. Misra, M. Mesri, R. Patel, A. Camenzuli, E. Nevins (Liverpool/GB)

O 14 Parenchimal Blunt Trauma Management: an Italian National SurveyD. Parini (Rovigo/IT), D. Mariani (Legnano/IT), M. Zago, N. S. Network Group (Bergamo/IT)

O 15 Is Focused Assessment with Sonography in Trauma (FAST) Useful in Trauma Patients with Unstable Pelvic Ring Fracture?A. Campos-Serra, S. Montmany-Vioque, P. Rebasa-Cladera, R. Gracia-Roman, A. Luna-AufroyS. Navarro-Soto (Sabadell/ES)

O 16 No Significant Differences in Mortality Using Prehospital Pelvic Circular Compression Devices for Pelvic Fractures in Severely Injured Trauma PatientsJ. Berger-Groch, D. M. Thiesen, A. S. Spiro, P. Czorlich, J. M. Rueger (Hamburg/DE)R. Lefering (Witten/Herdecke/DE), J. P. Petersen (Hamburg/DE),M. Hoffmann (Neustadt in Holstein/DE)

O 17 Prediction of Arterial Extravasation of Pelvic Fracture Patients with Stable Hemodynamics by Using Coagulation BiomarkersM. Aoki, T. Ogura, M. Murata, S. Hagiwara, J. Nakajima, Y. Ichikawa, Y. Isshiki, Y. SawadaM. Nakamura, k. Oshima (Gunma/JP)

O 18 Complex Abdominal Wall Reconstruction in Acute Phase Injury or Intra-AbdominalCatastrophe Using Biologic MeshS. Gogna, G. George, D. Samson, k. Prabhakaran, J. Con, A. Policastro, R. Latifi (Valhalla/US)

O 19 The Potential Number of Yearly Candidates for REBOA in a Major Trauma Center inSwedenV. Mill, C. Montan (Stockholm/SE)

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O 20 Predicting Optimal REBOA Length from Anatomical Surface MeasurementsR. Thompson, N. Chilvers, R. Townend, C. Brassett, B. Izu (Cambridge/GB)

12:10–12:40 Sten Lennquist LectureZenit

What Is Surgery and What Makes a Good Surgeon? A. Leppäniemi (Helsinki/FI)

12:45–13:45 Poster Session 1 (please see page 49)ePoster exhibition

12:45–13:45 Education Committee MeetingLeo & Virgo

12:45–13:45 Large Board Meeting of the European Journal of Trauma and Emergency Stella Surgery

12:45–13:45 Coffee Break within the Industrial Exhibition

14:00–15:30 Polytrauma CDZenit Therapy Strategies of Mangled Extremity InjuriesModeration L. Leenen (Utrecht/NL), I. Marzi (Frankfurt am Main/DE)

Presenters P. A. Grützner (Ludwigshafen/DE), k. J. Ponsen (Alkmaar/NL) H. Minehara (Tokyo/JP)

Panel Discussion P. Simko (Brescia/Sk), H.-C. Pape (Zurich/CH), G. Putzeys (Bellegem/BE) P. Drac (Olomouc/CZ), J. A. Asensio (Omaha/US)

14:00–15:30 Emergency Surgery ICLNadir Anastomotic Leakage – Post Operative Abdominal SepsisModeration J. Tilsed (York/GB), L. F. Pinheiro (Viseu/PT)

Abdominal Sepsis – Classificafion of Peritonitis P. Lochman (Brno/CZ)

Upper GI Anastomotic Leakage G. Bass (Dublin/IE)

Anastomotic Leakage After Bariatric Surgery M. Ozmen (Istanbul/TR)

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Colon Anastomotic Leakage A. Fingerhut (Chambourcy/FR)

Rectal Anastomotic Leakage I. Gockel (Leipzig/DE)

Can We Prevent It? L. F. Pinheiro (Viseu/PT)

14:00–15:30 Education ICLAquarius & Taurus Prehospital CareModeration P. Talving (Tallinn/EE), D. Demetriades (Los Angeles/US)

Non-Lethal Weapons – Law-Enforcement Use and Injuries We Should know P. Talving (Tallinn/EE)

Optimal Airway for an Urban Trauma Victim – To Intubate or Not? S. Ponchietti (Siena/IT)

Prehospital Needle Thoracostomy – Use and Abuse M. Molmer (Hillerød/Dk)

Prehospital Tourniquets in Civilian Settings – A Friend or Foe? B. Schnüriger (Bern/CH)

Optimal Fluid in Contemporary Prehospital Trauma Care L. Riddez (Solna/SE)

14:00–15:30 Czech Trauma Society Leo & Virgo Guest SymposiumModeration P. Wendsche (Brno/CZ)

Critical Trauma – Recent Advances and Future Challenges for Intensivists J. Drabkova (Prague/CZ)

Antibiotics Stewardship in Emergency Surgery V. Adamkova (Prague/CZ)

Treatment of Cartilage Degeneration with Hyaluronic Acid or PRP R. Hart (Znojmo/CZ)

Mensicus Transplantation – 10 Years Results L. Pasa (Brno/CZ)

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Innovated Judet Rib Plates for Treatment of Trauma Chest Wall Instabilities F. Vyhnanek (Prague/CZ)

14:00–15:30 Free Papers 3 Tycho Chest Injuries, Surgical Critical Care and BurnsModeration S. Mohseni (Örebro/SE), N.N.

O 21 Video-Assisted Thoracoscopic Surgery Versus Tube Thoracostomy Re-Insertion forthe Persistent/Retained Traumatic Haemothorax: Update on Results of a Randomised Prospective StudyS. Edu, P. Navsaria, A. Nicol (Cape Town/ZA)

O 22 Traumatic Cardiac Injuries – 10 Year Experience from a Level I Trauma CentreV. k. Shanmuganathan, D. Bagaria, S. k. Garg, B. Mishra, A. Gupta, S. Sagar (Delhi/IN)

O 23 Can Chest Ultrasonography Replace the Chest X-Rays During the Initial Evaluation of Stable Patients with Penetrating Thoracic Trauma?J. J. Serna, A. Gonzalez, A. Garcia, A. Salcedo, R. Urzola, J. F. Osorno, R. Manzano, D. AceroC. Ordoñez (Cali/CO)

O 24 Predictors for Retained Hemothorax among Patients with Penetrating Thoracic InjuriesJ. J. Serna, A. Salcedo, A. Gonzalez, A. Garcia, D. Valdes, R. Manzano, D. Acero, S. GuerreroC. Ordoñez (Cali/CO)

O 25 Medial Clavicle Injuries as a Gatekeeper of the Thorax: Epidemiological Data and Therapeutic Strategies of Sternoclavicular Joint Dislocation and Medial Clavicle Fracture in GermanyS. Bakir, J. Unterkofler, A. Hönning, L. Haralambiev, E. Henning, S. kim, A. EkkernkampS. Schulz-Drost (Berlin/DE)

O 26 In-Hospital Outcomes after Operative Fixation of Multiple Rib Fractures with Non-Flail Chest. A Propensity Matched AnalysisA. Azim, J. Con, M. khan, k. Prabhakaran, R. Latifi (Valhalla/US)

O 27 Diagnostic Accuracy of Ultrasound in the Diagnosis of Occult Penetrating Cardiac WoundsJ. J. Serna, A. Gonzalez, A. Garcia, A. Salcedo, J. F. Osorno, R. Manzano, A. HerreraC. Ordoñez (Cali/CO)

O 28 Treatment of Deep Wound Defects in Trauma Surgery – Use of a Collagen Matrix and Split-Thickness Skin Grafts in One-Step Procedure in Critical SituationsE. Sagnak, M. Schepers, D. Heinze (Hamburg/DE)

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O 29 Prevalence and Risk Factors for Delirium in Elderly Patients with Severe Burns; A Retrospective Cohort StudyD. van Yperen, J. Raats, J. Dokter, B. Ziere, G. Roukema, M. van Baark. van der Vlies (Rotterdam/NL)

O 30 Predicting the Need for Early Tracheostomy in Trauma Patients without Severe Head Injury: Analysis from Trauma Quality Improvement Program (TQIP)A. Azim, k. Prabhakaran, J. Con, R. Latifi (Valhalla/US)

14:00–15:30 Advanced Trauma Care for Nurses (ATCN) Stella Trauma System: Roles of the Nurses from the Field to the Operating RoomModeration C. Durao (Lisbon/PT), F. Lodier (Lyon/FR)

From the Field to Definitive Care in Different Countries – Italy Part 2 F. Pignatta (Turin/IT)

From the Field to Definitive Care in Different Countries – Italy Part 1 L. Testa (Milan/IT)

From the Field to Definitive Care in Different Countries – Estonia M. Tarraste (Tallinn/EE)

From the Field to Definitive Care in Different Countries – Portugal H. Ribeiro (PT)

From the Field to Definitive Care in Different Countries – France L. Gallego (Lyon/FR)

Trauma Nurse Education – Norway k. M. kolstadbraten (Oslo/NO)

Trauma Nurse Education – Portugal T. Leal (Lisbon/PT)

Discussion

15:30–16:00 Poster Session 2 (please see page 62)ePoster exhibition

15:30–16:00 Coffee Break within the Industrial Exhibition

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16:00–17:30 Polytrauma Debate/ICLZenit Polytrauma in Children (Younger than 10 Years)Moderation D. Notrica (Phoenix/US), I. Marzi (Frankfurt/DE)

Debate on Imaging in Truncal Injuries – pro CT B. A. Gaines (Pittsburgh/US)

Debate on Imaging in Truncal Injuries – pro Ultrasound D. Notrica (Phoenix/US)

How to Treat Long Bone Fractures? P. Havránek (Prague/CZ)

Abdominal Trauma – How Aggressive We Should Be? B. A. Gaines (Pittsburgh/US)

Pelvic Injuries – Seldom But Severe M. keel (Berne, Zurich/CH)

Spine Fracture – What Are Indications to Operate? C. Josten (Leipzig/DE)

16:00–17:30 Education PDNadir The Pregnant Surgical PatientModeration J. Pereira (Viseu/PT), L. Ponchietti (Torrevieja, Alicante/ES)

Acute Abdomen in Pregnancy – The Gynaecologist Perspective C. Pilasi Menichetti (London/GB)

Diagnostic Modalities in Acute Abdomen in Pregnancy P. Oppelt (Linz/AT)

Surgical Potions in Acute Abdomen in Pregnancy J. Pereira (Viseu/PT)

Acute Appendicitis in Pregnancy P. Talving (Tallinn/EE)

Biliary Colic and Acute Cholecystitis in Pregnancy L. Ponchietti (Torrevieja, Alicante/ES)

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16:00–17:30 Visceral Trauma ICLAquarius & Taurus The Critically Injured Patient with Visceral Injuries in ICUModeration S. Mohseni (Örebro/SE), M. Croce (Memphis/US)

Thromboprophylaxis – When to Start and What Drug and Dose? S. Mohseni (Örebro/SE)

Nutrition in The Critically Injured Patient H. kurihara (Rozzano/IT)

Is There a Role for Early Renal Replacement Therapy? M. Croce (Memphis/US)

ECMO in Trauma – When and How? N. N.

End of Life Decisions – The Difficult Dilemmas D. A. Spain (Stanford/US)

Case discussion with panel

16:00–17:30 European Federation of National Associations of Orthopaedics Leo & Virgo and Traumatology (EFORT) Implant Related Infection – What to Do?Moderation M. McNally (Oxford/GB), P.M. Rommens (Mainz/DE)

Diagnostics and Definition of Implant Related Infection M. McNally (Oxford/GB)

Maintenance of Hardware – Yes or No? I. Flesch (Tübingen/DE)

Infected Non-Union – What to Do? M. Cimerman (Ljubljana/SL)

Local and/or Systemic Antibiotic Treatment? M. Militz (Murnau/DE)

Discussion and Interesting Cases

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16:00–17:30 Free Papers 4 – Emergency Surgery and Soft Tissue InfectionsTycho

Moderation A. B. Peitzman (Pittsburgh/US), N. Misra (Liverpool/GB)

O 31 Anterolateral Thigh Pedicled Flap (ALT Flap) for Reconstruction of Complex Defects of the Abdominal WallV. M. Durán Muñoz-Cruzado, L. Tallón Aguilar, A. Sanchez Arteaga, J. Tinoco GonzálezA. Lagares Borrego, F. Barrera Pulido, J. Padillo Ruiz, F. Pareja Ciuró (Seville/ES)

O 32 Wind of Change: The Paradigm Shift in Antimicrobial Therapy in Soft-Tissue Blast InjuriesP. Boonthum, B. Sangthong, O. Akaraborworn, k. Thongkhao, k. kaewsaengrueangP. Chainiramol, N. Pruphetkaew (Hat Yai, Songkhla/TH)

O 33 Electronifying Surgical Ward Rounds to Improve Patient SafetyH. Johal, G. Bond-Smith (Oxford/GB)

O 34 The Impacts of Compliance of Tokyo Guideline 2018 (TG18) for Acute Cholecystitis Treatment Suggestion: Both Clinical and Health-Economic AspectsY.-N. Lin (Taoyuan City/TW), C.-H. Hsieh, B.-C. Lin, Y.-P. Hsu, S.-C. kang, E.-H. Liu, C.-Y. FuI.-M. kuo, S.-Y. Wang, C.-H. Liao, C.-H. Ou Yang, S.-J. Yang, J.-F. Huang, C.-P. HsuC.-T. Cheng, Y.-T. Wu, F.-J. Hsieh, C.-A. Liao, L.-W. kuo, Y.-S. Tee (Taoyuan/TW)

O 35 Laparoscopic Peritoneal Lavage versus Laparoscopic Sigmoidectomy: Results from a Prospective Multicenter StudyD. Tartaglia (Pisa/IT), S. Di Saverio, W. Stupalkowska (Cambridge/GB), S. GiannessiV. Robustelli (Pistoia/IT), F. Coccolini (Bergamo/IT), O. Ioannidis (Thessaloniki/GR)G. E. Nita (Reggio Emilia/IT), V. M. Durán Muñoz-Cruzado, F. Pareja Ciuró (Seville/ES)M. Chiarugi (Pisa/IT)

O 36 National Emergency Laparotomy Audit (NELA) Impact on Emergency Abdominal Surgery in a Uk Tertiary Trauma CentreA. Rawashdeh, M. Alzoubi, B. Yuen, J. kirkby-Bott (Southampton/GB)

O 37 Impact of Interhospital Transfer on Outcomes of Non-Trauma Patients Undergoing Emergency Abdominal SurgeryJ.-B. Dubuis, J. Lavanchy, S. Winterhalder, T. Haltmeier, D. Candinas, B. Schnüriger (Bern/CH)

O 38 The Role of Preoperative Factors and Early Surgery in Predicting Mortality and Hospital Stay in Necrotizing Soft Tissue InfectionsR. Latifi, D. Samson, S. Gogna, G. George, A. Tirumani, k. Prabhakaran, J. Con, P. AndersonA. Policastro (Valhalla, New York/US)

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O 39 Emergency Laparotomy: Long Term Survival of 1,030 PatientsP. Tamvakeras, R. Griffin, E. Psarelli, N. Misra (Liverpool/GB)

O 40 Ankle Arthrodesis Using the Masquelet Technique for Open Ankle Fracture with Substantial Osteochondral Defect: A Case ReportY. Oh, A. Tano, T. kaku, A. Okawa (Tokyo/JP)

17:45–18:45 Opening CeremonyZenit

18:45–20:15 Welcome Reception within the Industrial Exhibition (please see page 109)

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SCIENTIFIC PROGRAmmEmonday, may 6

07:30–08:30 Section Meeting Leo & Virgo Skeletal Trauma & Sports Medicine

08:30–10:00 Polytrauma ICLZenit Polytrauma in the Very Old Patient (Octogerians) – What is Different?Moderation A. Landaluce-Olavarria (Vizcaya/ES), D. Demetriades (Los Angeles/US)

Damage Control Surgery k.-D. Schaser (Dresden/DE)

Thoracic Trauma D. Demetriades (Los Angeles/US)

Spinal Injuries M. Nerlich (Regensburg/DE)

Pelvic Injuries k. Wendt (Groningen/NL)

Blood Loss J. A. Asensio (Omaha/US)

08:30–10:00 Emergency Surgery ICLNadir Severe Soft Tissue InfectionModeration C. Pilasi Menichetti (London/GB), I. Martinez Casas (Jaén/ES)

Classification of Soft Tissue Infection L. Riddez (Solna/SE)

Epidemiologic Features of Necrotising Fasciitis A. Leppäniemi (Helsinki/FI)

Diagnostic Strategies I. Martinez Casas (Jaén/ES)

Appropriate Antimicrobial Therapy P. Apfalter (Linz/AT)

Surgical and Wound Care Thechniques A. B. Peitzman (Pittsburgh/US)

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08:30–10:00 Stop the Bleed in Europe – Where Are We? Aquarius & Taurus

Moderation M. Croce (Memphis/US), M. Zago (Bergamo/IT)

Stop the Bleed Campaign Implementation – Results and Tip&Tricks from the North American Experience A. B. Peitzman (Pittsburgh/US)

From Stop the Bleed to the European STOP the Bleeding Campaign – Any Improvement After Launch in 2013? B. Bouillon (Cologne/DE)

Experiences from Europe l Germany – S. Schulz-Drost (Berlin/DE) l Norway – J. Jørgensen (Oslo/NO) l Netherlands – L. Geeraedts (Amsterdam/NL) l Italy – A. Mingoli (Rome/IT) l Slovenia – R. komadina (Celje/SI)

Panel and Audience Discussion

Any Role for ESTES? M. Zago (Bergamo/IT)

08:30–10:00 AO Trauma – Complex Forearm Injuries Leo & Virgo

Moderation F. Seibert (Graz/AT), P. Drac (Olomouc/CZ)

Invitation F. Seibert (Graz/AT), P. Drac (Olomouc/CZ)

Proximal Forearm Fractures M. krivohlavek (Liberec/CZ)

Essex-Lopresti Injury D. Rikli (Basel/CH)

Monteggia and Galeazzi Injuries P. Drac (Olomouc/CZ)

Complex (Nasty) Forearm Fractures F. Seibert, D. Lumenta (Graz/AT)

Closing Remarks F. Seibert (Graz/AT), P. Drac (Olomouc/CZ)

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08:30–10:00 Free Papers 5 Tycho Military and Disaster, Prehospital CareModeration M. Haverkort (Utrecht/NL), I. Gerogiannis (London/GB)

O 41 Evacuation of an Emergency Hospital – Experiences from a Simulation Exercisek. Lennquist Montán (Stockholm/SE)

O 42 Surgery of Weapon Caused Extremity Injuries in Resource Scarce Settings in Northwestern Pakistan Unchanged during 20 YearsM. Muhrbeck (Norrköping/SE), k. Holmgren (Odense/Dk), Z. Osman (Geneva/CH)J. von Schreeb (Stockholm/SE), A. Wladis (Linköping/SE; Geneva/CH)P. Andersson (Norrköping, Linköping/SE)

O 43 War Surgery in Afghanistan – A Role Model for Mass Causalities in Terror Attacks?C. Deininger, F. Wichlas (Salzburg/AT)

O 44 Purulent Complications Lower Limb Amputations after Mine-Blast Injuries.S. Pilnikov, A. Vojnovskij, A. kovalev, M. Barkalev, k. Nikolaev (Moscow/RU)

O 45 Global Surgery for Pediatric Casualties in Armed Conflict: Injury Patterns and Treatment NeedsF. Haverkamp, L. van Gennip (Nijmegen/NL), M. Muhrbeck (Norrköping/SE)H. Veen (Geneva/CH), A. Wladis (Norrköping/SE; Geneva/CH; Linköping/SE)E. C. T. H. Tan (Nijmegen/NL)

O 46 Prehospital Shock Index Correlates with Transfusion, Resource Utilization and Mortality; Role of First Patient Vitals.F. Jehan, J. Con, M. khan, k. Prabhakaran, A. Policastro, G. Lombardo, R. Latifi (Valhalla/US)

O 47 Modelling for Surgical Capacity in Mass Casualty IncidentsC. McCarrick, G. Bass, P. Ridgway (Dublin/IE)

O 48 The Implementation of Pre-Hospital Trauma Life Support (PHTLS) Algorithms Is Associated with Improved Pre-Hospital Care in a European Metropolitan AreaM. Teuben, J. Loehr, k. Jensen, M. Brueesch, S. Mueller, L. Mica, H.-C. Papek. Sprengel (Zurich/CH)

O 49 Traumatic Cardiac Arrest: There Are Survivors – Outcome Analysis after On-Scene Resuscitation in Severely Injured Patients.O. Özkurtul, J. Fakler, G. Osterhoff, T. Weber, C. Josten (Leipzig/DE)

O 50 Development of a Prehospital Prediction Model for Severe Head InjuryR. Lokerman, E. van Rein, R. van der Sluijs (Utrecht/NL), M. van Es (Utrecht/NL)R. M. Houwert, L. Leenen, M. van Heijl (Utrecht/NL)

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10:00–10:30 Poster Session 3 (please see page 69)ePoster exhibition

10:00–10:30 Coffee Break within the Industrial Exhibition

10:30–12:00 Skeletal Trauma ICLZenit Complex Trauma of ShouldersModeration D. Heim (Frutigen/CH), M. kloub (České Budějovice/CZ)

Floating Shoulder – What and How to Fix? R. Babst (Lucerne/CH)

Complex Dislocated Fracture of the Shoulder M. Nerlich (Regensburg/DE)

Concomittant Neurovascular Injuries S. Lambert (London/GB)

Borderline Nailing M. kloub (České Budějovice/CZ)

Dorsal Shoulder Dislocation-Fracture F. Biggi (Monza/IT)

Indication for Arthoplasty N. N.

10:30–12:00 Visceral Trauma DebateNadir Operative vs. Non-Operative Management in Visceral TraumaModeration A. Biloslavo (Trieste/IT), P. A. Næss (Oslo/NO)

10:30 Pancreatic Injuries in Children – Illustrated with Cases P. A. Næss (Oslo/NO)

10:42 Panel Discussion

10:47 The Role of Laparoscopy in Trauma N. N.

10:59 Panel Discussion

11:04 Hepatic Injuries – Who Do We Really Need to Operate and How? R. Coimbra (San Diego/US)

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11:16 Panel Discussion

11:21 Splenic Injuries – Observe, Embolize or Operate? D. Mariani (Legnano/IT)

11:33 Panel Discussion

11:38 Follow-Up after Visceral Trauma Including Mobilization – Where Is the Evidence? A. Biloslavo (Trieste/IT)

11:50 Discussion

10:30–12:00 Visceral Trauma ICLAquarius & Taurus The Challenging Abdominal WallModeration A. Leppäniemi (Helsinki/FI), M. Sugrue (Letterkenny/IE)

Case Discussion with Panel A. Leppäniemi (Helsinki/FI)

Late Reconstruction after Trauma and Radical Surgery C. Gaarder (Oslo/NO)

Is There a Role of Prophylactic Mesh in Emergency Surgery? M. Sugrue (Letterkenny/IE)

Should the Open Abdomen and Complex Abdominal Wall Reconstructions Be Regionalised? H. kurihara (Rozzano/IT)

The Open Abdomen in ICU – The Intensivist View A. Leppäniemi (Helsinki/FI)

10:30–12:00 Japanese Session (Skeletal Trauma) Leo & Virgo Fragility Fractures of the PelvisModeration C. Josten (Leipzig/DE), E. Shoda (Nishinomiya/JP)

Case Introduction C. Josten (Leipzig/DE)

Introduction (Diagnosis, Assessment and Conservative Treatment) – Japanese Way T. Noda (Okayama/JP)

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Introduction (Diagnosis, Classification, Assessment and Conservative Treatment) – European Way P. M. Rommens (Mainz/DE)

Operative Treatment – Strategy and Clinical Results – Japanese Way Y. Ueda (Sapporo/JP)

Operative Treatment: Strategy and Clinical Results – European Way F. Hildebrand (Aachen/DE)

Advances in Biomechanical Analysis and Less Invasive Surgery with Navigation System – Japanese Way N. Shiota (Okayama/JP)

10:30–12:00 Free Papers 6 Tycho Skeletal Trauma and Bone Infections – Lower ExtremityModeration J. Amaya Aliaga (Leuven/BE), N. N.

O 51 Is Masquelet´s Technique a Good Alternative in Acute Bone Defects?G. Luengo Alonso, S. Mills, A. Abarquero Diezhandino, D. Lopez Salas, V. Rodriguez VegaA. Capel Agundez, I. Auñón Martín (Madrid/ES)

O 52 Blood Transfusion after Hip Fracture Surgery: The Effect of Topical Application of Tranexamic AcidG. Georgiadis, S. Botsari, D. Tsiampas, A. kitsos, S. Pakos (Filiates/GR)

O 53 Management and Complications in Open Tibial Fractures: A Single Center Retrospective Cohort Study.A. Emmen, F. W. Bloemers, W. P. Zuidema, G. Giannakópoulos (Amsterdam/NL)

O 54 Segmental Tibial FracturesM. Urban, J. Skala-Rosenbaum, V. Džupa (Prague/CZ)

O 55 Surgical Outcome of Distal Femoral Fracture in Elderly Patients Treated with MIPO: Can Percutaneous Cerclage Wiring Reduce Bone Healing Time? k.-C. Park, S.-H. Park, J.-H. Lee (Guri/kR), J. W. kim (Seoul/kR)

O 56 Risk Factors for Surgical Site Infections in Operatively Treated Tibial Head Fractures – A Retrospective Multicenter Study.R. Henkelmann (Leipzig/DE), T. Gensior (Duisburg/DE), C. Ull (Bochum/DE)P.-J. Braun (Berlin/DE), R. Glaab (Aarau/CH), E. Müller (Hamburg/DE)J. C. katthagen (Münster/DE), C. Josten, P. Hepp (Leipzig/DE)

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O 57 Comparsion of Treatment Methods and Complications in Tibial Plafond FracturesJ. Trávník, R. Veselý (Brno/CZ)

O 58 Proximal Oblique Locking Screw and Risk of Common Peroneal Nerve Injury in Intra-medullary Tibial NailingM. Stockinger (Zell am See, Salzburg/AT), L. Reissig, B. Maurer, W. J. WeningerM. Humenberger (Vienna/AT)

O 59 Comparison of Biomechanical Evaluations between Extramedullary and Intramedullary Reductions in Unstable Intertrochanteric Fracture Fixation with Intramedullary Nailing.T. kawamura, H. Minehara, T. Matsuura, R. Tazawa, M. Takaso (Sagamihara/JP)

O 60 Proximal and Distal Periprosthetic Fractures of the Femur: A Difference in Outcome on Affecting the Need for Surgical Revision and Mobility?A. kanovsky, E. Müller (klagenfurt/AT)

12:10–12:40 Otmar Trentz LectureZenit

Paradigm Shift in Geriatric Fracture Treatment P. M. Rommens (Mainz/DE)

12:45–13:45 Industry Supported Sessions (please see page 112)

12:45–13:45 Poster Session 4 (please see page 75)ePoster exhibition

12:45–13:45 Section Meeting Stella Emergency Surgery

12:45–13:45 Coffee Break within the Industrial Exhibition

14:00–15:30 Skeletal Trauma DebateZenit Problems in Orthopedic Surgery TodayModeration F. Hildebrand (Aachen/DE), P. Cibur (košice/Sk)

Femur Fracture plus Thoracic Injury – I Nail E. Varga (Szeged/HU)

Femur Fracture plus Thoracic Injury – I Don’t Nail B. Bakota (karlovac/HR)

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Operative Treatment of Periprosthetic Fractures – It Is Urgent M. Cimerman (Ljubljana/SI)

Operative Treatment of Periprosthetic Fractures – It Is Not Urgent k. Wendt (Groningen/NL)

Panel Discussions

14:00–15:30 Disaster and Military CDNadir Difficult Decisions in the Surgical Care of Military CasualtiesModeration P. Lochman (Brno/CZ), P. Ortenwall (Gothenburg/SE)

Case Presentation P. Lochman (Brno/CZ)

Case Presentation R. Hoencamp (Leiden/NL)

Case Presentation G. Achatz (Ulm/DE)

Case Presentation F. Pons (Clamart/FR)

Case Presentation P. Ortenwall (Gothenburg/SE)

14:00–15:30 Visceral Trauma PDAquarius & Taurus Damage Control Principles in Trauma and Resuscitation – What’s New?Moderation H. Alexandrino (Coimbra/PT), C. Gaarder (Oslo/NO)

Case Discussion by Chairs H. Alexandrino (Coimbra/PT), C. Gaarder (Oslo/NO)

Trauma Induced Coagulopathy – How Does Current knowledge Translate into Clinical Practice and Where Are We Moving? E. Moore (Denver/US)

Initial Resuscitation in Hospital – The Surgical View N.N.

The DCR Patient in ICU – Multidisciplinary Challenges and Solutions D. A. Spain (Stanford/US) The DCR in the Elderly – Definition of Futile Care or Is It Worth the Effort? H. Alexandrino (Coimbra/PT)

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14:00–15:30 Deutsche Gesellschaft für Unfallchirurgie e. V. (DGU) Leo & Virgo Operative Solutions for Distal Tibial FracturesModeration C. Josten (Leipzig/DE), I. Marzi (Frankfurt am Main/DE)

Primary or Secondary Reconstruction – Depending on Classification? T. Lustenberger (Frankfurt am Main/DE)

A-Type Fractures – Nailing or Plating M. Münzberg (Ludwigshafen/DE)

B/C-Type Fractures – Joint Reconstruction and Stabilisation R. Gaulke (Hanover/DE)

Primary or Secondary Open Fractures – Soft Tissue Coverage C. Nau (Frankfurt am Main/DE)

Posttraumatic Arthritis – Cartilage Repair or Arthrodesis S. Rammelt (Dresden/DE)

14:00–15:30 Free Papers 7 Tycho Skeletal Trauma and Bone Infections – Pelvis and PineModeration M. keel (Zurich/CH)

O 61 Surgical Treatment of Pelvic Fractures in Elderly Patients Is Associated with Very High Inpatient Complication and Mortality Rates.A. Höch, I. Schneider, P. Pieroh (Leipzig/DE), T. Hohmann (Halle a. d. S./DE)F. M. Stuby (Murnau/DE), C. Josten (Leipzig/DE)

O 62 A Classification of Dome Impaction in Acetabular Fractures: “Gull Sign” Is Positive in Case of Superomedial Type. S. kanezaki, N. Notani, T. Sakamoto, T. Sone, H. Tsumura (Yufu/JP)

O 63 Reconstruction of Femoral Head Impaction Injuries Using Osteochondral Shell Autografts Harvested from the Head-Neck Junction – Minimal 4-Year Follow-UpM. S. Hanke, M. keel, J. Cullmann Bastian, k. A. Siebenrock, J. D. Bastian (Bern/CH)

O 64 Does Non-Operative Treatment of LC-1 Pelvic Ring Injuries Result in Good Functional Outcome?H. Banierink (Groningen/NL)

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O 65 Long-Term Results in Acetabular Fractures Surgically Treated. G. Luengo Alonso, E. Vacas Sánchez, D. Bustamante, J. Cuarental García, A. Barberia Biurrun J. L. Leon Baltasar, P. Caba Doussoux (Madrid/ES)

O 66 Validation of Surgical Indication Based on the Rommens Classification for Fragility Fractures of the PelvisY. Ueda, H. Tsuji, Y. kurata, J. Saito, H. Matsui, k. Sato (Sapporo/JP)

O 67 Early Spine Fixation for Polytrauma Patients; Using Percutaneous Pedicle Screw System in Lateral PositionR. Tamura, T. Tokioka, T. Matsumoto, k. Tada (kochi/JP)

O 68 Percutaneous versus Open Pedicle Screw Fixation in the Treatment of Thoracolumbar Burst Fractures.J. kocis, T. Pavlacky, M. kelbl, T. kocis, R. Veselý (Brno/CZ)

O 69 Early Decompression (< 8 Hours) Improves the Neurological, Functional and Bladder Outcome after Traumatic Thoracolumbar Spinal Cord InjuryC. Wutte (Murnau/DE), B. klein (Salzburg/AT), J. Becker, O. Mach, M. Strowitzki, V. BührenD. Maier (Murnau/DE), L. Grassner (Murnau/DE; Salzburg/AT)

O 70 Prospective Comparison of Clinical and Radiographic Outcomes of the Treatment of Thoracolumbar A3 and A4 (AO) Burst Fractures without Neurology. Open vs Percutaneous Pedicle Screw Instrumentation vs Percutaneous Vertebral Augmentation with Cranio-Caudal Expandable Implant Spinejack®S. Adamski, R. Pankowski, M. Roclawski (Gdansk/PL), W. kloc (Gdansk, Olsztyn/PL)S. Bielocerkowski, A. Agustyniak, M. Ceynowa, P. kurlandt, J. Wisniewski, k. Aleksandrowicz k. Basinski, T. Mazurek (Gdansk/PL)

15:30–16:30 Section Meeting – Disaster & MilitaryNadir

15:30–16:30 Section Meeting – Visceral TraumaLeo & Virgo

15:30–16:30 Poster Session 5 (please see page 89)ePoster exhibition

16:30–18:00 General AssemblyZenit

19:00–21:00 Congress Dinner at the Hard Rock Cafe Prague (please see page 109)

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08:30–10:00 Emergency Surgery PDZenit Laparoscopy in Acute Care Surgery (Case Scenario with Expert Panel)Moderation H. kurihara (Rozzano/IT), L. Fattori (Monza/IT)

Standard of Care – Acute Appendicitis and Cholecystitis M. Paduraru (Milton keynes/GB), C. Moreno Sanz (Ciudad Real/ES) B. Socea (Bucharest/RO)

Emergent Roles – Acute Diverticulitis and Small Bowel Obstruction L. Ponchietti (Torrevieja, Alicante/ES)

Difficult peptic ulcer perforation – Laparoscopy vs. open approach A. Shamiyeh (Linz/AT)

An Exploratory Laparoscopy? S. Uranues (Graz/AT)

Is There Any Consensus? – Summary L. Fattori (Monza/IT)

08:30–10:00 Education ICLNadir Surgical EducationModeration I. Gerogiannis (London/GB), M. Zago (Bergamo/IT)

Ten Highest Impact Emergency Surgery Papers Published in 2018 E. Moore (Denver/US)

UEMS Emergency Surgery Exam – How to Pass? J. Tilsed (York/GB)

Is Continuous Medical Education (CME) for Emergency Surgeons in European Countries Mandatory? B. Diaconescu (Bucharest/RO)

Symbiosis of ESTES and AMEE – A Mutual Benefit? N. N.

How to Review a Manuscript? M. Rüsseler (Frankfurt am Main/DE)

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08:30–10:00 International Association for Trauma and Intensive Care (IATSIC)Aquarius & TaurusModeration C. Gaarder (Oslo/NO), F. Lodier (Lyon/FR)

What Does the Trauma Patient Need? F. Hietbrink (Utrecht/NL)

How to Optimise Outcomes in Elderly Trauma Patients? P. A. Næss (Oslo/NO)

How to Involve General Surgeons in Countries with Skeletal Based Trauma Care? L. Leenen (Utrecht/NL)

How to Involve Orthopedic Surgeons Where General Surgery Has the Main Responsability? P. Ortenwall (Gothenburg/SE)

Educational Programs in Europe – Should We Standardise Competency Requirements? C. Mesquita (Coimbra/PT)

How to Secure Trauma Competence in the Nursing Staff? k. M. kolstadbraten (Oslo/NO)

Panel Discussion

08:30–10:00 Polytrauma PDLeo & Virgo New Definition of a Major Fracture in PolytraumaModeration H.-C. Pape (Zurich/CH), R. Lefering (Cologne/DE)

Results of an Open Discussion during Polytrauma Course R. komadina (Celje/SI)

Data Bank Strategies to Quantify the Major Fracture – Watson Strategy H.-C. Pape (Zurich/CH)

Experiences from a Level One Trauma Center – How I Do It E. Varga (Szeged/HU)

How to Generate Data for Analysis of Trauma Patients M. Nerlich (Regensburg/DE)

The Leuven Experience of Open Extremity Fracture J. Amaya Aliaga (Leuven/BE)

Discussion

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08:30–10:00 Free Papers 8 Tycho Skeletal Trauma and Bone Infections – Upper and Lower ExtremityModeration R. Babst (Lucerne/CH), R. kdolsky (Vienna/AT)

O 71 Is There a Relevant Rate of Pneumothoraces in Surgically Treated Clavicle Fractures? – A Retrospective AnalysisE. Roschke, J. D. Theopold, C. Josten, U. Spiegl (Leipzig/DE)

O 72 Postoperative Pain Factors of Calcaneal Fractures Treated by Sinus Tarsi ApproachS. Yokoo, T. Noda, M. Yorimitsu, T. Sato (Okayama/JP), k. Ogawa (Fukuyama/JP)Y. Shimamura, k. Saiga, T. Saito, k. Demiya, M. Matsuhashi, T. Ozaki (Okayama/JP)

O 73 The Prevalence of Nerve Rupture in Radial Nerve Palsy Associated with Humeral Fractures: A Systematic Review and Meta-AnalysisN. Saka, Y. Watanabe (Tokyo/JP)

O 74 Open Transsyndesmotic Ankle Fracture-Dislocation with Transverse Medial Laceration: The “Logsplitter” InjuryB. A. Zelle, C. W. Martin, J. H. Cabot, S. S. Ornell, A. A. Makhani, F. Ahmad, C. M. RomereC. Ryan (San Antonio/US)

O 75 “On-Table” Osteosynthesis of Comminutive Fractures of the Radial HeadJ. kraus, F. Burget, P. Banar, V. Sorelova (Prague/CZ)

O 77 The Effect of Different Positions of Sustentacular Screw on the Stability of the Plate Osteosynthesis of Calcaneal Fractures.J. Pazour (Liberec/CZ), Z. Horák (Jihlava/CZ), V. Džupa (Prague/CZ)

O 78 Pitfalls and Complications in Humeral Intramedullary Interlocking Nailing – 15 Years ExperienceA. Baltov, D. Enchev, M. Rashkov, B. Tasev, H. Hristov (Sofia/BG)

O 79 The Humeral Head Push-Pull Plate Technique Significantly Decreases Failure-Rate in Osteoporotic Varus Displaced Proximal Humeral Fractures.G. Putzeys (kortrijk/BE)

O 80 Surgical Treatment of Posttraumatic Lateral Ankle InstabilityT. kocourek, P. Prikryl (Prerov/CZ), J. kotrc (Jesenik/CZ)

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10:00–10:30 Poster Session 6 (please see page 108)ePoster exhibition

10:00–10:30 Coffee Break within the Industrial Exhibition

10:30–12:00 Skeletal Trauma ICLZenit Complex Trauma and Revision SurgeryModeration E. Varga (Szeged/HU), B. Bakota (karlovac/HR)

New Insights in Damage Control (Skeletal) Surgery k. Wendt (Groningen/NL)

What Makes the Therapy of Pelvic Trauma Difficult? M. keel (Berne, Zurich/CH)

New Developments in Preplanning and Operative Treatment of Acetabular Fractures F. Ijpma (Groningen/NL)

Complex Forearm Injury N. N.

Unthought of Solutions of Soft Tissue Coverage and Reconstruction after Fracture Complication P. Cibur (košice/Sk)

10:30–12:00 Emergency Surgery ICLNadir Surgical Critical CareModeration A. B. Peitzman (Pittsburgh/US), H. kurihara (Rozzano/IT)

Peritoneal Resuscitation – Does It Improve Survival? H. kurihara (Rozzano/IT)

Rescue Ventilation in ARDS – Where Are We Now? N.N.

Non-Occlusive Mesenteric Ischaemia – Improving Patient Outcomes L. F. Pinheiro (Viseu/PT)

Recognising and Managing Shock between Ward and ICU – Tools Any Surgeon Should Handle M. Zago (Bergamo/IT)

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Acute Confusion and Psychosis – How to Spot It and How to Treat A. B. Peitzman (Pittsburgh/US)

10:30–12:00 Disaster and Military BATTLEAquarius & Taurus Prehospital and Inhospital Triage in Major Events – What is the Correct Way?Moderation k. Lennquist Montan (Stockholm/SE), E. Voiglio (Monaco/MC)

Hurdles to Optimal Triage in Europe E. Voiglio (Monaco/MC)

The Best Way to Perform Prehospital Triage F. Lodier (Lyon/FR), B. Dobson (London/GB)

The Best Way to Perform In-Hospital Triage G. Achatz (Ulm/DE), M. Haverkort (Utrecht/NL), I. Ashkenazi (Hadera/IL)

10:30–12:00 Gerhard küntscher Society Leo & Virgo How Far Can We GoModeration G. Gradl (Munich/DE), W. Friedl (Wertheim/DE)

Deformity Nailing P. Thaller (Munich/DE)

Nailing the Very Distal Tibia W. Friedl (Wertheim/DE)

Tips & Tricks for Nailing in Comminuted Fractures G. Gradl (Munich/DE)

Lengthening and Defect Reconstruction with Nails P. Thaller (Munich/DE)

10:30–12:00 Free Papers 9 Tycho PolytraumaModeration k. J. Ponsen (Alkmaar/NL)

O 81 Correlation of Local Soft Tissue Microcirculation with Systemic Shock Parameters in Standardized Porcin Polytrauma ModelS. Halvachizadeh, N. Cesarovic, M. Teuben, P. Cinelli, R. Pfeifer, H.-C. Pape (Zurich/CH)T. Group (Aachen, Frankfurt, Munich, Ulm/DE)

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O 82 Intramedullary nailing does not deprive physiology nor inflammatory status in porcine polytrauma with rapid cardiopulmonary improvementM. Teuben, R. Pfeifer (Zurich/CH), k. Horst (Aachen/DE), Y. kalbas (Zurich/CH)F. Hildebrand (Aachen/DE), H.-C. Pape, TREAT Research Group (Zurich/CH)

O 83 Effects of Rewarming from Mild Hypothermia in a Rodent Model of Severe Hemorrhagic ShockM. Burggraf, S. Lendemans, J. k. Teloh, I. N. Waack (Essen/DE)

O 84 What Influence Has the Timing of Definitive Pelvic Fracture Stabilization on the Clinical Course of Multiple Injured Patients with Concomitant Severe Thoracic Trauma?S. Zeidler (Leipzig/DE), I. Graul (Eisenberg/DE), I. Marintschev, F. Gras (Jena/DE), A. HöchC. Josten (Leipzig/DE)

O 85 Whole Body Computed Tomography in the Emergency Treatment of Trauma Patients – A Consecutive Trauma Centre EvaluationC. T. J. Magyar, F. Mäder, M. Diepers (Aarau/CH), F. Amsler (Basel/CH), T. Gross (Aarau/CH)

O 86 Clinical Evolution and Mortality Variables in Politrauma Patients with Pelvic Ring Injury and Hemodynamic InstabilityJ. Cuarental García, E. Vacas Sánchez, G. Luengo Alonso, J. Ferrero RecasensI. Auñón Martín P. Caba Doussoux, L. R. Ramos Pascua (Madrid/ES)

O 87 The Relation between killing Capacity of Neutrophil Subsets and Infectious Complications after Severe TraumaL. Hesselink, R. Spijkerman, L. Leenen, L. koenderman, F. Hietbrink (Utrecht/NL)

O 88 Implications of Serum Myoglobin in Trauma Patients: A Retrospective Study over 5 Years in a Level 1 Trauma CenterR. Peralta, k. Ahmed, H. Abdelrahman, M. Saqr, A. Silva, S. Alkahky, J. Al QahtaniA. Mekkodathil, H. Al-Thani, B. Wahlen, A. El-Menyar (Doha/QA)

O 89 Restrictive vs. Liberal Oxygen for Trauma Patients. The TRAUMOX1 Pilot Randomized Clinical TrialJ. Stokholm Baekgaard, D. Isbye, C. Ikast Ottosen, M. Haslund Larsen (Copenhagen/Dk)J. Hessel Andersen (koege/Dk), L. S. Rasmussen, J. Steinmetz (Copenhagen/Dk)

O 90 Angioembolisation Is Successful in Polytrauma-Patients with Major Vascular Lesions Particularly in Patients with Pelvic InjuriesT. Weber, C. Schwarze, J. Fakler, O. Özkurtul, C. Josten (Leipzig/DE)

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12:10–13:40 Visceral Trauma CDZenit Chest Injuries – Multidisciplinary and ChallengingModeration L. Leenen (Utrecht/NL), k. M. kolstadbraten (Oslo/NO)

Relevant Case Discussion F. Hietbrink (Utrecht/NL)

Emergency Room Thoracotomy – Where, When, How, and by Whom? N. Misra (Liverpool/GB)

Surgical Rib Fixation – Have We Come Closer to Identifying the Right Patient? L. Leenen (Utrecht/NL)

Chest Vascular Injuries – Endovascular Treatment Follow-Up and Outcomes D. Demetriades (Los Angeles/US)

Critical Care Treatment Challenges in the Severe Chest Injury – Intensivist’s View R. Coimbra (San Diego/US)

12:10–13:40 Emergency Surgery: ICLNadir Decision Making in Emergency SurgeryModeration A. Shamiyeh (Linz/AT), M. Zago (Bergamo/IT)

Small Bowel Obstruction Pathway – From Conservative Treatment to Surgery B. Schnüriger (Bern/CH)

Subtotal Cholecystectomy – When and Why G. Bond-Smith (Oxford/GB)

SBO in Bariatric Patient I. Gerogiannis (London/GB)

Other Applications – Digestive perforation A. Shamiyeh (Linz/AT)

My Recent Nightmare Case L. Ponchietti (Torrevieja, Alicante/ES)

ESTES Acute Gallbladder Snapshot G. Bass (Dublin/IE)

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12:10–13:40 Disaster and Military TEDAquarius & Taurus Disaster Training – How I Do ItModeration R. Faccincani (Milan/IT), S. Herman (Ljubljana/SI)

The MRMI Training in Slovenia with the New Toxicon Scenario S. Herman (Ljubljana/SI)

TDSC Course in Germany G. Achatz (Ulm/DE)

Experience from the Netherlands M. Haverkort (Utrecht/NL)

MACSIM Training in Milan R. Faccincani (Milan/IT)

Large Scale Live Exercises in Israel I. Ashkenazi (Hadera/IL)

The MRMI Philosophy – Why Is It Important? k. Lennquist Montan (Stockholm/SE)

12:10–13:40 Skeletal Trauma ICLLeo & Virgo Infected BoneModeration R. komadina (Celje/SI), G. Putzeys (Bellegem/BE)

Post Traumatic Lower Limb Periimplant Surgery, Chronic Infections Treatment – An Up-To-Date R. komadina (Celje/SI)

Posttraumatic Pelvis Surgery, Chronic Infections Treatment – An Up-To-Date A. Gaensslen (Wolfsburg/DE)

Masquelet Technique, Myth or Reality N. N.

What’s New in Osteitis Posttraumatica H. Winkler (Vienna/AT)

Bone Defects B. Sluga (Ljubljana/SI)

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12:10–13:40 Free Papers 10 Tycho Future Developments and New TechniquesModeration J. A. Asensio (Omaha/US), A. Höch (Leipzig/DE)

O 91 Assessment of the Quality of the Reduction of Calcaneal Fracture by Measurement of the Orientation of the Posterior Subtalar Joint Facet on 3D Images.D. Misselyn, S. Nijs, S. De Buck, G. Matricali (Leuven/BE)

O 92 Assessment of the Impact Test of Fresh Porcine Liver and Spleen Filled with Blood under Standardized Intravascular PressureR. Pálek, P. kochova, A. Malečková, T. Bonkówski, M. Horák, P. Mik, J. Rosendorf, Z. TonarV. Liška, V. Třeška (Plzeň/CZ)

O 93 Battlefield Extracorporeal Cardiopulmonary Resuscitation (E-CPR) for Out-Of-Hospital Cardiac Arrest: A Pilot Feasibility Study on Large Animals.V. Reva, A. Emelyanov, E. Semenov, A. Pochtarnik, I. Samokhvalov, O. Reznik, A. SkvortzovR. Minnullin, R. kasimov (Saint-Petersburg/RU), D. kerslake (Edinburgh/GB)

O 94 Ultrasound Facilitated Removal of Intercostal Drains.R. Ang (Gothenburg/SE)

O 95 Ethnical Variation in Pelvic Anatomy – A Cohort Analysis of European and Japanese Pelves Based on A 3D Statistical CT ModelC. Arand, D. Wagner (Mainz/DE), H. Noser, L. kamer, R. G. Richards (Davos/CH)T. Sawaguchi (Toyama/JP), P. M. Rommens (Mainz/DE)

O 96 Impact of Granule Size of a Bone Graft Substitute on Periostal Reaction Using Masquelet’s Induced Membrane in a Critical Size Defect Model in the Rat’s FemurM. Leiblein, E. koch, A. Winkenbach, A. Schaible, C. Nau (Frankfurt am Main/DE)H. Buechner (Wehrheim/DE), k. Schroeder, I. Marzi, D. Henrich (Frankfurt am Main/DE)

O 97 A New Reliable Technique for Syndesmotic Reduction in Ankle Fracture.H. Hristov, B. Tasev (Sofia/BG)

O 98 Biomechanical Behaviour of Intra- vs. Extramdullar Osteosynthesis in Proximal Ulna FracturesJ. Hopf, T. Nowak, D. Mehler, P. M. Rommens (Mainz/DE)

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SCIENTIFIC PROGRAmmETuesday, may 7

O 99 Routine Incorporation of Long-Term Patient-Reported Outcomes into a Dutch Trauma RegistryQ. M. J. van der Vliet, A. R. Bhashyam, F. Hietbrink, R. M. Houwert, F. C. ÖnerL. Leenen (Utrecht/NL)

O 100 Point of Care Ultrasound in the General Surgeon’s Hand: The “Stethoscope” of the Future through 7 Clinical Scenarios. I. Gerogiannis (London/GB)

13:40–14:40 Closing CeremonyZenit

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12:45–13:45 POSTER SESSION 1

Poster Walk 1 Skeletal Trauma and Bone InfectionsTycho

Moderation N. N.

PR 98 Delayed Extension Block Pinning in 27 Patients with Mallet FractureT. kootstra (Nieuwegein/NL)

PR 99 Comparison of Different kinds of Calcaneal Fractures´Synthesisk. Gajdošíková (Brno/CZ)

PR 100 The Minimally Invasive Reduce Procedure with Ring Type External Fixation for Intra-Articular Calcaneal FracturesX. Wu, X. Peng, L. Lian (Shenzhen/CN), J. Hong (Guangzhou/CN), J. Li, X. Pan (Shenzhen/CN)

PR 101 Association of Polytrauma and High-Energy Injury Mechanism on Patient-Reported Outcomes after Distal Radius FractureQ. M. J. van der Vliet, A. A. R. Sweet, A. R. Bhashyam, S. Ferree, M. van Heijl, R. M. HouwertL. Leenen, F. Hietbrink (Utrecht/NL)

PR 102 Is Routine Radiography in the Follow-Up of Trauma Patients with Distal Radius Fractures (Cost) Effective?P. van Gerven (Leiden/NL), M. El Moumni (Groningen/NL), W. P. ZuidemaS. Rubinstein (Amsterdam/NL), P. krijnen (Leiden/NL), M. van Tulder (Amsterdam/NL)I. Schipper, M. Termaat (Leiden/NL)

PR 103 New Multidirectional Angular Stable Plate Fixation in Transcondylar Humerus Fractures (Trochlius Plate)W. Friedl (Wertheim/DE)

PR 104 Does Open Reduction and Internal Fixation of the Posterior Malleolus Fragment Restore Syndesmotic Stability Better than Conventional Methods?S. Baumbach, V. Herterich, A. Damblemont, F. Hieber, W. Böcker, H. Polzer (Munich/DE)

PR 105 Outcomes of Treatment of Foot- and Ankle Fractures: Which Are Important to the Patient?C. van Leeuwen (The Hague/NL), T. van der Geest, P. krijnen, L. van Bodegom-VosF. Termaat (Leiden/NL), J. Hoogendoorn (The Hague/NL), I. B. Schipper (Leiden/NL)

PR 106 The Effect of Aspirin on Blood Loss in Hip Fracture SurgeryT. Ohmori, k. Toda, T. kanazawa, Y. Yagata, Y. Ito (kobe/JP)

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PR 107 Cast-OFF Trial: One versus Four-Five Weeks of Plaster Cast Immobilization for Non-Reduced Distal Radius Fractures. A Randomized Clinical Trial. A Feasibility Trial.E. Boersma, J. P. Frolke, R. Nijhuis-van der Sanden, M. Edwards (Nijmegen/NL)

PR 108 Intertarsal Instability Is a Negative Predictor for Functional Outcome of Lisfranc Fracture Dislocation.G. Stollenwerck (Leiderdorp/NL), M. Poeze (Maastricht/NL)

Poster Walk 2 Abdominal InjuriesePoster Terminal 1

Moderation G. Bass (Dublin/IR)

PC 1 Atypical Presentation of Urachal CarcinomaR. Martins, S. Nogueira, B. Pinto, S. Almeida, A. Godinho, V. Nunes (PT)

PC 2 Post Traumatic Bronchobiliary FistulaN. Banerjee, A. Rattan, P. Priyadarshini, S. kumar (New Delhi/IN)

PC 3 Delayed Rupture of Hepatic Pseudoaneurysm after Blunt Abdominal TraumaY. G. Jo, Y. C. Park, J. kim (Gwangju/kR)

PC 4 Damage Control Sugery and Staged Hepatectomy after Vena Caval Stent for Retrohepatic Vena Caval InjuryJ. kim, E. Jeong, Y. C. Park, Y. G. Jo (Gwangju/kR)

PC 5 Endoscopic Retrograde Pancreatic Drainage for Grade IV Pancreatic Injury after Damage Control SurgeryJ. kim, E. Jeong, Y. G. Jo, Y. C. Park (Gwangju/kR)

PC 6 Laparoscpic Approach in Small Bowel Injury from Blunt Abdominal TraumaR. Monteiro, J. Gomes, G. Melo, S. Usurelu (Castelo Branco/PT)

PC 7 Delayed Onset of Perforating Non-Penetrating Hollow Viscus TraumaM. Jakopec, A. Fischinger, G. kunst (Ljubljana/SI)

PC 8 Pediatric Penetrating Trauma – Abdominal Evisceration and Post-Traumatic Facial PalsyN. Laezza, M. A. Silva, A. Guimarães, J. Lopes, C. Cunha, M. F. Lopes (Coimbra/PT)

PC 9 Conservative Treatment in Delayed Splenic Rupture – A Case ReportM. A. Silva (Coimbra/PT), N. Moreira (Aveiro/PT), A. Guimarães, N. LaezzaA. Norberto (Coimbra/PT)

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PC 10 Isolated Traumatic Bladder Rupture – A Case ReportU. Fernandes, A. S. Esteves, R. Marques, N. Tenreiro, P. Avelar, A. Melo, S. Silva, C. GomesA. Marçal, R. Vaz Pereira, G. Guidi (Vila Real/PT)

PC 11 Distal Pancreatectomy Following Resuscitative Endovascular Balloon Occlusion ofthe Aorta (REBOA) With Angioembolization: A Case of Blunt Pancreatic TraumaW. kang, S. Ahn, C. Y. Park (Iksan/kR)

PC 12 Successful Salvage of Spleen Using a Combined Laparoscopic Approach and Radiographic Intervention in a Grade V Splenic Injury: Lesson Learned from Hybrid Operating RoomH.-F. Lin, Z.-Y. Hsieh (New Taipei City/TW)

Poster Walk 3 Bleeding, Massive Transfusion and Coagulopath/Chest Injuries/ePoster Terminal 2 Trauma Systems and Prehospital CareModeration E. Moore (Denver/US), C. Josten (Leipzig/DE)

PC 13 Acquired Hemophilia after Multiple TraumaH. Aoki, R. Nakama, D. kaito, D. kujirai, T. kamo, M. Ano, Y. Izawak. kase (Utsunomiya-city/JP)

PC 14 Acute Gastrointestinal Bleeding Caused by Gestational Choriocarcinoma: A Case Report. C. Perali, M. Marconi, L. Del Prete, S. Zaccone (Milan/IT)

PC 15 Time Bomb Management: Gastrointestinal Bleeding From a Splenic Artery Pseudoaneurysm in Chronic PancreatitisC. Perali, M. Marconi, L. Del Prete, S. Zaccone (Milan/IT)

PC 16 Early Mortality Secondary to Pulmonary Hemorrhagic Contusions; Is There a Role for Non-Heparinized ECMO?T. katsichtis, J. Leistner, S. Priovolos (New York/US)

PC 17 Minimally Invasive Approach to Trauma InjuryR. Gonçalves Pereira, S. Patrocínio, S. Reis, A. Fernandes, J. Neves (Barreiro/PT)

PC 18 Resection of the Fractured Rib to Prevent Descending Aorta Injury: Two Cases ReportM. kuge, R. Tamura, T. Okamoto, T. Tokioka, T. Matsumoto, k. Tada (kochi/JP)

PC 19 Dangerous Gardening: Penetrating Chest Trauma with Haemopneumothorax Caused by an Intrapulmonary-Projected Foreign Body, Successfully Removed by VATSM. Cosci, A. Chimetto, E. Goldin, V. Szeman, M. Moro, F. De Marchi (Vicenza/IT)

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PC 20 When the Simple Becomes Complex – A Clinical Case ReportM. Ferreira, S. Oliveira, I. Mónica, N. Guimaraes, H. Ribeiro, J. Neves, I. BorgesL. Conceição (Figueira da Foz/PT)

PC 21 Endoscopic Management of Intragastric Chest DrainA. Sanchez Arteaga, V. M. Durán Muñoz-Cruzado, J. Tinoco González, V. Camacho-MarenteJ. Pintor Tortolero, G. Anguiano Díaz, L. Tallón Aguilar, F. Pareja CiuróJ. Padillo Ruiz (Seville/ES)

PC 22 Not So FAST! – Repair of Left Ventricular Cardiac Stab Wound Injury Identified on Serial FAST ExamR. Shah, M. Gomera Dipres, M. Lueders (New York/US)

PC 23 A Difficult Case to SwallowC. McCarrick, G. Bass, P. Ridgway (Dublin/IE)

PC 24 Wunderlich Syndrome, or, Spontaneous Nontraumatic Perinephric Hemorrhagek. Mahendraraj, D. Wolbrom, J. Leistner, S. McCalla, S. Priovolos, M. LuedersE. Irizarry (New York/US)

Poster Walk 4 Polytrauma/Skeletal Trauma and Bone Infections/The Frail PatientePoster Terminal 3

Moderation B. Bouillon (Cologne/DE)

PC 25 The Pelvic Binder as a Cause of Error in the Classification of Pelvic Fractures, In Polytraumatized Patients. A Case Report.A. Abarquero Diezhandino, A. N. Toro, E. Delgado, J. M. Cano, M. Alvarez, J. Ferrero RecasensP. Caba Doussoux (Madrid/ES)

PC 26 Arterial Trauma Associated with Trochanteric Fracture Fixation – A Two Cases Report.T. kurozumi, A. Honda (Tokyo/JP)

PC 27 Isolated Volar Dislocation of the Distal Radio-Ulnar Joint (Druj) in a ChildM. Michi (Leiderdorp/NL), A. Greeven, J.-H. Allema (The Hague/NL)G. Stollenwerck (Leiderdorp/NL)

PC 28 Severe Closed Bone and Soft Tissue Injury of the Upper Limb in a ChildM. De Pellegrin, D. Fracassetti, A. Drossinos, D. Moharamzadeh (Milan/IT)

PC 29 Compartment Syndrome of the Foot. A Case Reportk. Sato, H. Tsuji, Y. kurata, J. Saito, Y. Ueda, H. Matsui (Sapporo/JP)

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PC 30 Hypovolemic Shock after Scapulothoracic Dissociation without Significant Neurovascular Injury: A Rare Case Report and Review of Literaturek. X. LIM, C. Y. Chen (New Taipei City/TW)

PC 31 Revision Surgery of a Fracture Dislocation of the Femoral Head Poorly TreatedN. Simões, G. Pina, C. Martins, N. Borralho, S. Pinho (Celorico da Beira/PT)

PC 32 Hernioscopy: A Gold Standard in the Frail Patient with Incarcerated Hernia andHigh Suspect of Bowel Necrosis?R. Somigli, S. Spini (Florence/IT)

PC 33 The Importance of Complex Pain Management in Frailty Patients with FractureA. I. Pislaru, A. C. Ilie, R. Stefaniu, O. Alexa, I. D. Alexa (Iasi/RO)

PC 34 The Burden of Severe Concomitant Diseases Delays Surgery in Elderly Patient with Hip Fracture – What are the Risks? Case PresentationR. Stefaniu, I. Abdulan, A. C. Ilie, A. I. Pislaru, O. Alexa, I. D. Alexa (Iasi/RO)

PC 35 Periprosthetic Humerus Fracture in a Patient with Non-Cemented Inverted Shoulder Prosthesis.R. Serrano Serrano, P. Crespo Lastras, P. Vadillo Cardona, H. Garlito Diaz, D. Lopez DoradoF. Teodonno, C. Suarez Rueda (Valdemoro/ES)

PC 36 2-Stage Hepatic Hematoma?M. Laureano, J. Nobre, I. Gonçalves, N. Ferreira, T. Valente, S. Hilário, J. PaisM. Coelho dos Santos (Leiria/PT)

Poster Walk 5 Scorings in ER and ICU/Sports Trauma/Surgical Critical Care and BurnsePoster Terminal 4

Moderation S. Mohseni (Örebro/SE)

PR 37 CT Scan Quantification of Pelvic and Retroperitoneal Hematoma Predicts Transfusion Requirements, Pelvic Hemostatic Management and Outcome of Severe Trauma Patients with Pelvic FractureS. Ramin, P. Cavaille, G. Dagod, P. Deras, E. Courvalin, C. Maury, O. Martinez, X. CapdevilaJ. Charbit (Montpellier/FR)

PR 38 Instability of the Tarsal – Metatarsal Complex. Results of Closed Reduction and Percutaneous Fixation.J. Ferrero Recasens, M. Á. Mellado Romero, A. Abarquero Diezhandino, E. Vacas SánchezE. Sánchez Morata, J. Vilá y Rico (Madrid/ES)

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PR 39 Injuries at World Para Athletics European Championships 2018 in Berlin – Overview of Medical IncidentsS. Bakir, E. Henning, S. kim, A. Ekkernkamp, S. Schulz-Drost, D. GümbelL. Haralambiev (Berlin/DE)

PR 40 Operative versus Nonoperative Treatment for Achilles Tendon Rupture: 10 Years ResultsV. Balesar, I. Halperin, A. Greeven, S. Gillissen (The Hague/NL), E. Gorter (Leiden/NL)

PR 42 Lateral Collateral Ligament End-To-End Reconstruction Using Middle-Third Quadriceps Tendon Autograft in Conjunction with Posterior Cruciate Ligament ReconstructionC. C. Chang (New Taipei City/TW)

PR 43 Incidence of Competition Injuries in Junior Judo Athletes on European Cup LevelL. Haralambiev, S. Bakir, E. Henning, D. Gümbel, J. Lange (Greifswald/DE)

PR 44 Comparison of Conservative and Operative Treatment of Jones FractureJ. Demel (Ostrava/CZ)

PR 46 Treating patients with Injury Severity Score> 20 and Severe Immune Response: Using Hemofiltration as a New Approach to Regulating Patient Safety Responses to TraumaH. Abdolrahimzadeh Fard, S. Bolandparvaz, H. R. Abbasi, S. Paydar, G. Dabiri, Z. Ghahramani L. Shayan (Shiraz/IR)

PR 47 The Effect of Early Application of CRRT in Critically Ill Surgical PatientsJ. H. Park, J. Y. Jang, H. Shim, k. S. Bae (Wonju/kR)

PR 48 Decreased Leukocyte Viability after Surgery Is Associated with Clinical Deterioration.L. Hesselink, R. Spijkerman, P. Hellebrekers, A. Huisman, I. Hoefer, M. ten BergL. koenderman, L. Leenen, F. Hietbrink (Utrecht/NL)

Poster Walk 6 Emergency Surgery and Soft Tissue InfectionsePoster Terminal 5

Moderation V. Adamkova (Prague/CZ), S. Mirosavljev (Geneva/CH)

PR 49 Risk Factors for Complications in Acute CholecystitisA. M. González Castillo, E. Membrilla, M. De Miguel, V. Ruiz Artola, L. Lorente PochM. J. Pons Fragero, L. Grande Posa, J. J. Sancho Insenser (Barcelona/ES)

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PR 50 Does the Immunosuppressive Therapy Influence Postoperative Fracture Healing after Organ Transplantation?C. E. M. Pothmann, H.-C. Pape, H.-P. Simmen, V. Neuhaus (Zurich/CH)

PR 53 Observed vs. Expected Mortality in Non-Trauma Patients undergoing Damage-Control Surgery: A Systematic Review and Meta-AnalysisM. Falke, B. Schnüriger, D. Candinas, T. Haltmeier (Bern/CH)

PR 54 On-Demand vs Planned Relaparotomy in the Management of Severe PeritonitisM. Anastasiu, R. Dedu, O. Goidescu, A. Ilie (Buzau/RO)

PR 55 Long – Term Survival after Emergency Colorectal Resections is worse than Elective SurvivalM. Sammut, P. Tamvakeras, P. Skaife, N. Misra (Liverpool/GB)

PR 56 Emergency Colorectal Resections – Outcomes Based on Surgical Specializationk. kong, N. Misra, M. Bridge (Liverpool/GB)

PR 57 Relaparotomy after Major Abdominal Surgery – Analysis of Incidence and Risk Factors for Post-Operative Morbidity and MortalityM. F. Chiappetta, A. Trovato, A. Nigro, L. Degrate, L. Fattori, L. Gianotti (Monza/IT)

PR 58 Early Versus Delayed Cholecystectomy in Mild Gallstone Pancreatitis. A Systematic Review and Meta-Analysis of Randomised Controlled TrialsN. Moody, A. Adiamah, D. Gomez (Nottingham/GB)

PR 59 Experience of Emergency Tracheostomy in “Heratsi” № 1 HospitalA. Poghosyan, I. Malkhasyan, A. Minasyan, M. Misakyan, H. HovhanisyanR. Shahparonyan (Yerevan/AM)

PR 60 Outcomes in Patients Undergoing Emergency Laparotomy within a Dedicated Acute Surgical UnitJ. Wong, A. Papachristos, A. Skandarajah, B. Thomson, R. Shakerian (Melbourne/AU)

PR 527 Diagnosis and Management of Acute Appendicitis in Patients with Existing Ventriculoperitoneal Shunt: A Reviewk. Wang (Manchester/GB), G. Mori (Huddersfield/GB), Y. Wan (Oxford/GB)

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Poster Walk 7 Abdominal injuries/Complex Abdominal Reconstructions/ePoster Terminal 6 Endovascular Interventions/Vascular InjuriesModeration P. Lochman (Brno/CZ)

PC 66 A Case Report of Delayed Ruptured Splenic Pseudoaneurysm Developed 2 Months Following Blunt Abdominal Trauma.Y. Nakano, k. Hondo, H. koguchi, k. Suzuki, k. Morishita, Y. Otomo (Tokyo/JP)

PR 61 Intestinal and Bowel Injury in Abdominal TraumaJ. Rosendorf, V. Liška, R. Pálek, V. Třeška (Plzeň/CZ)

PR 62 Validity of Routine Reimaging of Blunt Renal Trauma Managed ConservativelyT. Zabkowski, P. Piasecki, R. Skiba, M. Saracyn (Warsaw/PL)

PR 63 Let Me See – The Role of Laparoscopy in TraumaM. Ferreira (Coimbra/PT), S. Oliveira, I. Mónica, N. Guimaraes, H. Ribeiro, J. Neves, I. Borges L. Conceição (Figueira da Foz/PT)

PR 64 Free Peritoneal Fluid in Trauma Patients: The Paradigm ShiftA. Cotirlet (Moinesti/RO), L. Gavril (Iasi/RO), E. Popa, R. Cosa (Moinesti/RO)

PR 65 Laparoscopy Approach in Abdominal TraumaA. Papachristou, V. Saridakis (Athens/GR)

PR 67 Pseudorecurrances after Laparoscopic Inguinal Hernia RepairP. A. Radu, M. Bratucu, D. Garofil, M. Zurzu, V. Paic, C. Iorga, F. PopaV. Strambu (Bucharest/RO)

PR 68 Initial Experience of Extracorporeal Membrane Oxygenation (ECMO) For Trauma Patients in Single Regional Trauma Center of South koreaP. Y. Jung, I. H. Park (Wonju-Si/kR)

PR 69 Trans-Arterial Embolization May Be Better than Colonoscopic Intervention as Initial Hemostasis for Colonic Diverticular HemorrhageH. Sakio, O. Yohei, I. toru, N. Hiromichi, I. Ryoji (kyoto/JP)

PR 70 Differences in Survival by Major Haemorrhage Site after Aortic Occlusion in Patients Exsanguinating from TraumaS. Irino, M. Takebe, Y. Sugawara, Y. Michiura, Y. kikuoka, k. Sekine (Tokyo/JP)

PR 71 Long-Term Outcome of Thoracic Endovascular Aortic Repair (TEVAR) for Blunt Thoracic Aortic InjuriesL. Halonen, T. Söderlund, M. Jormalainen, L. Handolin (Helsinki/FI)

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PR 72 New Treatment Strategy of Pink Pulseless Hand in Pediatric Supracondylar Fractures Using Ultrasound Sonography.T. Muraoka (Nobeoka/JP), S. Inoue (Miyazaki/JP)

Poster Walk 8 Education/Future Developments and New TechniquesePoster Terminal 7

Moderation M. Zago (Bergamo/IT)

PR 73 Is the Procedure Performance Improved after the Endovascular Training for Resuscitative Endovascular Balloon Occlusion of the Aorta (ET-REBOA) Course?S. W. Chang, Y. R. Chang, D. H. kim, S. W. Lee (Cheonan/kR)

PR 74 Some4surgery: A New Way of Learning?A. Landaluce-Olavarria (Galdacano/ES), B. Estraviz Mateos (Urduliz/ES), B. Ugarte-SierraI. Vicente Rodriguez, F. J. Ibañez Aguirre (Galdacano/ES), J. Mayol (Madrid/ES)G. Perbinder (Southampton/GB)

PR 75 Real-Time Operation of a Doctor Dispatch System Activated by Advanced Automatic Collision Notification (AACN) Relayed after Traffic Accidents: The D-Call Net System in Japan.T. Motomura, H. Matsumoto (Inzai, Chiba/JP), k. Mashiko (Hachioji, Tokyo/JP)H. Ishikawa (Chiyoda-ku, Tokyo/JP), T. Nishimoto (koriyama, Fukushima/JP)

PR 76 Impregnation of the Bone Allograft: Comparison of Methods of Heads Coloring.A. Rudenko (karaganda/kZ)

PR 77 The Investigation of Sex-Specific Differences of the Safe Zone and Insertion Angle of Infra-Acetabular Screws (IAS)M. Yoshida (Nagoya/JP)

PR 78 A Drill Stopper Is Safe and Effective In Making a Distal Drill Hole of Short Femoral NailT. Inoue, S. Inoue, T. Muraoka (Miyazaki City, Miyazaki/JP)

PR 79 A Comparative Study of Plate Fixation for Proximal Humeral Fractures – PPHP vs PHILOSY. Sato (Nagoya/JP)

PR 80 East Baltimore Lift Is a Safe and Effective Reduction Method for Traumatic Posterior Hip DislocationH. Furukawa (Miyazaki/JP)

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PR 81 Femoral Nerve Block for the Emergency DepartmentY. T. Wong, J. H. Pek (Singapore/SG)

PR 82 The Efficacy of a Novel Hybrid Emergency Room SystemH. Watanabe, S. kuramoto, T. Muronoi, k. Oka, Y. Shimojo, A. kidani, E. Hira (Izumo/JP)

PR 83 The Emergency Department Is the Best Service to Determine the Likelihood of Emergency General Surgery Pathology in Unselected Attenders.M. Honey, D. Masih, L. Evans (Norwich/GB)

PR 84 Analysis of Microcirculatory Changes after Conventional Reaming vs. the Reamer/Irrigator/Aspirator (RIA) SystemY. kalbas, S. Halvachizadeh, M. Teuben, N. Cesarovic, P. Cinelli, H. C. PapeR. Pfeifer (Zurich/CH)

Poster Walk 9 PolytraumaePoster Terminal 8

Moderation J. A. Asensio (Omaha/US), B. Diaconescu (Bucharest/RO)

PR 85 Factors Associated with Primary and Secondary Amputation in Acute Limb-Threatening Upper Extremity Trauma PatientsF. Nawijn (Utrecht/NL, Boston/US), R. Westenberg, C. Langhammer, N. Chenk. Eberlin (Boston/US)

PR 86 High Energy Pelvic Ring Injuries during the Last Ten Years, in a Tertiary Level Health Hospital: An Epidemiological StudyJ. Cuarental García, E. Vacas Sánchez, G. Luengo Alonso, J. Ferrero RecasensI. Auñón Martín, P. Caba Doussoux, L. R. Ramos Pascua (Madrid/ES)

PR 87 Psychiatric Sequelae More than 20 Years after Severe Trauma: Not Everything Gets WorseS. Halvachizadeh, H. Teuber, T. Berk, k. Jensen, k. Sprengel, V. Neuhaus (Zurich/CH)G. Osterhoff (Leipzig/DE), R. Pfeifer, H.-C. Pape (Zurich/CH)

PR 88 Analysis of Microcirculation in Abdominal Organs during Hemorrhagic Shock in a Standardized Porcine Trauma ModelS. Halvachizadeh, M. Teuben, N. Cesarovic, P. Cinelli, R. Pfeifer, H.-C. Pape (Zurich/CH)T. Group (Aachen, Frankfurt, Munich, Ulm/DE)

PR 89 Interobserver Study: Assessment of the Injury Severity of Polytraumatized PatientsE. Bolierakis (Aachen/DE), S. Schick (Munich/DE), J. Scherer (Zurich/CH)F. Hildebrand (Aachen/DE), H.-C. Pape, R. Pfeifer (Zurich/CH)

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POSTER WALkS Sunday, may 5

PR 91 The New Locking Nail Technique for Osteosynthesis of the Pubic Fractures in Polytrauma PatientsN. Zadneprovskiy, P. Ivanov, V. kalenskiy, A. Nevedrov (Moscow/RU)

PR 92 Trauma And Coagulopathy: Preliminary Results of the Pilot Study of Coagulopathy in Major Trauma at San Raffaele Hospital (Milan) P. Lugli, A. Agresti, R. Faccincani, M. E. Bianchi (Milan/IT)

PR 93 Major Vascular Injuries in Polytrauma Patients – Depending on the Body Region the Clinical Appaerence of the Patient Is DifferentT. Weber, C. Schwarze, O. Özkurtul, J. Fakler, C. Josten (Leipzig/DE)

PR 94 The Most Common Injury Distribution among Multiple Injured Patients: What Is the Minimum Requirement to Treat Multiple Traumatized Patients?S. Halvachizadeh, R. Steinemann, k. Jensen, V. Neuhaus, B. Hatz, L. Mica, H.-C. Papek. Sprengel (Zurich/CH)

PR 95 Pelvic Fractures Management: A 2018 Italian Preliminary SnapshotD. Mariani, L. R. SICUT network group, S. Bozzo (Legnano/IT)

PC 96 Late Post-Traumatic Diaphragm Rupture in a Polytraumatized Patient: A Case StudyA. Puzzovio, C. De Padua, I. Iannone, P. Ferrari, S. Santillo, F. Scarno, S. Ribaldi (Rome/IT)

Poster Walk 10 Trauma Systems and Prehospital CareePoster Terminal 10

Moderation G. Osterhoff (Leipzig/DE), B. Dobson (kingston upon Thames/GB)

PR 109 Visual Analytics in Polytrauma Treatment – A New Assessment Option Using WATSON Technology in Multiple Layers in a Sankey Diagram – A Step towards Artificial Intelligence.L. Mica (Zurich/CH), P. Bak, A. Yaeli (Haifa/IL), H.-C. Pape (Zurich/CH)

PR 110 A Comparison of Treatment and Outcome in Severely Injured Children between Southern Finland and Germany.k. Bianchi (Helsinki/FI)

PR 112 The Trauma Rating Index in Age, the Glasgow Coma Scale, Respitaroty Rate and Systolic Blood Pressure (TRIAGES) Score as a Prehospital Trauma Triage Score –A Prognostic Study from the Japan Trauma DatabankA. Shiraishi (kamogawa, Tokyo/JP), H. Matsui, Y. Otomo (Tokyo/JP)

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PR 113 Prehospital Ultrasound in Polytrauma Management: A Systematic Review of the LiteratureL. van der Weide, Z. Popal, F. kooij (Amsterdam/NL), H. ket (Amsterdam/NL)A. Exadaktylos (Bern/CH), W. Zuidema, G. Giannakópoulos (Amsterdam/NL)

PR 114 Tourniquet Use in Swedish Prehospital Care for Extremity TraumaE. Wellme, C. Montan (Stockholm/SE)

PR 115 The RABBIT Study – The Initial PhaseJ. Berkova, A. Truhlar, V. Rehacek, L. Seneta, J. koci (Hradec kralove/CZ)

PR 116 One Size Does Not Fit All: The Regional Variation of Volume-Outcome Relationship in Trauma PatientsJ.-J. kao, C.-W. Chen (kaohsiung City, kaohsiung/TW)

PR 117 A Single Dose of the Nonsteroidal Anti-Inflammatory Drug (NSAID; Meloxicam) Causes Duodenal Bleeding, Acute kidney Injury (AkI) and Papillary Necrosis in a Rabbit Model of Hemorrhagic Shock and Hypotensive (Prehospital) ResuscitationB. kheirabadi, N. Miranda, I. Terrazas, A. Voelker, A. Brown, M. Dubick (Sam Houston/US)

PR 119 An Examination of the Effects of Mechanism of Injury and Anatomical Injury Scores on Outcomes in Trauma Surgery.O. Ashiru, C. Findlay, A. Apampa, N. Misra (Liverpool/GB)

PR 120 The impact of the Trauma Triage App on Prehospital Trauma Triage: Design of the Stepped-Wedge, Cluster Randomized TESLA TrialR. van der Sluijs, A. Fiddelers, J. Waalwijk, L. Leenen, M. van Heijl, M. Poeze (Utrecht/NL)

Poster Walk 11 Emergency Surgery and Soft Tissue InfectionsePoster Terminal 9

Moderation N. N.

PR 121 Early Results Reporting a Novel Technique in Crohn’s Disease Emergency Surgery; End to End Single Layer Sero-Muscular Anastomosis Excluding the Mucosal Layer.M. Nasr (Riyadh/SA)

PR 122 Implementation of Acute Care Surgery at a University Hospital in Switzerland:First 2-year ExperienceB. Schnüriger, S. Winterhalder, T. Haltmeier, D. Candinas (Bern/CH)

PR 123 Incidence of Missed Diagnosis of Acute Appendicitis and Characteristics of Patients MissedI. Ashkenazi (Hadera/IL), H. Weinberger (Hadera, Haifa/IL)

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PR 124 AAST Mesenteric Ischemia Grading-A Proposed Modification to Enhance UtilityM. Sindall, P. Wallace, D. Davenport, A. Bernard (Lexington/US)

PR 125 The Use of ACS NSQIP Surgical Risk Calculator Tool to Predict Morbidity and Mortality in Emergency Surgery: Report of a Single Italian CenterM. Ceolin, G. Bellio, S. Mei, J. Guerrini, B. Luongo, H. kurihara (Rozzano; Milan/IT)

PR 126 Direct Peritoneal Resuscitation in Peritonitis – Time to Take Note – Technical OptionsJ. Coulter, M. H. Moore, L. O’Driscoll, L. Flanagan (Letterkenny/IE), M. Bucholc (Derry/GB)M. Sugrue (Letterkenny/IE)

PR 127 Prevention of Incisional Hernia Post Emergency Laparotomy: A Time to Change? A Case SeriesM. H. Moore, J. Coulter (Letterkenny/IE), M. Bucholc (Coleraine/GB), C.-A. WalkerM. Sugrue (Letterkenny/IE)

PR 128 Predictive Role of C-Reactive Protein and Procalcitonin in Anastomosis Leakage Diagnosis after Emergency SurgeryN. Palma Caucig, L. Martin Roman, B. Castro Catalan, M. D. Perez Diaz, C. Rey ValcarcelF. Turegano Fuentes (Madrid/ES)

PR 129 Does Seniority of the Registrar on Call Make Things Easier for the Consultant?O. Rutka, G. Williams (Newport/GB)

PR 130 Peritoneal Lavage May Be Omit in Perforated AppendcitisN. Ozlem (kirsehir/TR)PR 131 Exitus Laetalis after Diagnosis of Acute Cholecystitis. Are We Performig the Appropriate Treatment?A. M. González Castillo, E. Membrilla, M. De Miguel, V. Ruiz Artola, A. Bravo SalvaM. J. Pons Fragero, L. Grande Posa, J. J. Sancho Insenser (Barcelona/ES)

PR 132 Exhaustion of the Immune System by Group A Streptococcus Necrotizing FasciitisF. Nawijn (Utrecht/NL), E. Wassenaar (Utrecht, Nieuwegein/NL), D. Smeeing (Utrecht/NL)B. Vlaminckx (Nieuwegein/NL), J. S. Reinders (Gouda/NL), J. Wille (Nieuwegein/NL)L. Leenen, F. Hietbrink (Utrecht/NL)

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15:30–16:00 POSTER SESSION 2

Poster Walk 12 Abdominal InjuriesePoster Terminal 1

Moderation D. A. Spain (Stanford/US)

PR 133 Life Threatening Peri-Duodenal Perforation Complicating Endoscopic Retrograde Cholangiopanceatography – A Case SeriesH. Mousa, A. Hefny, F. Abu-Zidan (Al Ain/AE)

PR 134 Trends in the Treatment of Spleen Injury by Trauma: 16 Years Experience of a Single InstitutionM. J. kim, J. G. Lee (Seoul/kR)

PR 135 Evaluation of Different Modalities of Management of Penetrating Abdominal Trauma in Cairo University Hospitals” Accident and Emergency Department during the Post Revolution PeriodM. Alasmar (Manchester/GB, Cairo/EG), D. Mansour, H. Elwan, H. khairy (Cairo/EG)

PR 136 Experience of a Surgical Center in the Management of Esophageal Perforation: Time to Therapy Is Still a Major Prognostic FactorF. Azevedo, C. Canhoto, E. Santos, A. Ruivo, H. Alexandrino, C. MesquitaH. Carvalho (Coimbra/PT)

PR 137 Management of Liver Trauma, Two Years Expérience. A Rétrospective Study.A. Dogjani (Tirana/AL), k. Haxhirexha (Tetovo/AL), F. Shehu, H. BendoA. Blloshmi (Tirana/AL)

PR 138 The Most False-Positive CT Finding Indicating Blunt Abdominal Hollow Viscus Injury Is Perihepatic Free Air on Axial Image, Which Can Be Correctly Differentiated in Sagittal Reconstruction.N. kaneko, k. Nakagomi, M. Ueno (Fukaya, Saitama/JP)

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Poster Walk 13 Trauma Systems and Prehospital CareePoster Terminal 2

Moderation I. Ashkenazi (Hadera/IL)

PR 139 Identifying Objective Measures to Assess Trauma Center Access Using GIS-Based MethodologyS. Dijkink (Leiden/NL), R. Winchel (New York City/US), P. krijnen, I. Schipper (Leiden/NL)

PR 140 The Clinical Utility of Japan Coma Scale in Trauma Patients: An Analysis from the Japan Trauma Data BankY. Okada, T. kiguchi, T. Iwami, R. Iiduka, k. kaoru (kyoto/JP)

PR 141 Survey on Structural Preparedness for Treatment of Thoracic and Abdominal Trauma in German-Speaking Super-Regional Trauma CentersJ. Scherer, k. Sprengel, H.-P. Simmen, H.-C. Pape (Zurich/CH)G. Osterhoff (Leipzig/DE, Zurich/CH)

PR 142 Effect of Accidental Hypothermia on Mortality in Trauma Patients: A Systemic Review and Meta-AnalysisD. Rösli, B. Schnüriger, D. Candinas, T. Haltmeier (Bern/CH)

PR 143 Injuries Following Equestrian Trauma as Compared to Motor Vehicle Trauma – Presentation at a Regional Swedish HospitalB. Breitholtz, P. Törnqvist, Å. Anveden (Halmstad/SE)

Poster Walk 14 Skeletal Trauma and Bone InfectionsePoster Terminal 3

Moderation D. Heim (Frutigen/CH)

PR 145 Functional Outcome after Open or Minimally Invasive Plate Osteosynthesis of Proximal Humeral Fracture-Dislocations; A Reduction Technique and Retrospective Cohort StudyS. Haupt, H. Frima, C. Sommer (Chur/CH)

PR 146 Midterm Follow Up Of Volar Mini-Plate Fixation for Chronic Unstable Scaphoid NonunionP. Schormans, M. Jooijman, J. Ten Bosch, M. Poeze, P. Hannemann (Maastricht/NL)

PR 147 An Implant’s Elasticity Modulus. Is It Important?A. kalashnikov, O. Yukhymchuk, I. Stavinskyi (kyiv/UA), V. Malyk (Poltava/UA)

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PR 148 A 10-year Epidemiology Study of Suprachondylar Elbow Fractures in Uk Children: Data from an Ethnically Diverse Urban PopulationS. kauser, O. Riaz, D. Shaw, A. Aqil (Bradford/GB)

PR 149 Duration of Cast Immobilisation in Non-Operatively Treated Distal Radius Fractures, A Systematic Review.E. van Delft, T. G. van Gelder, R. de Vries (Amsterdam/NL), J. Vermeulen (Rotterdam/NL)F. W. Bloemers (Amsterdam/NL)

PR 150 Clinical Results for Fragility Fractures of the Proximal TibiaT. Noda, Y. Yamakawa, M. Matsuhashi, S. Yokoo, k. Demiya, Y. ShimamuraT. Ozaki (Okayama/JP)

Poster Walk 15 Skeletal Trauma and Bone InfectionsePoster Terminal 4

Moderation N. N.

PR 152 Optimal SUV Cutoff Values in 18F-FDG-PET/CT of Osteomyelitis Aiming for Image Guided SurgeryM. Takaki, S. Harada, T. Asahara, N. katoh, N. Takenaka (Fukushima, koriyama/JP)H. Sakuma, T. Saginoya, k. kubota (koriyama/JP), T. TeramotoT. Matsushita (Fukushima, koriyama/JP)

PR 153 The Diagnosis and Treatment of Isolated Type B Fibular Fractures: Results of a Nationwide SurveyC. van Leeuwen, R. Hoffman (The Hague/NL), C. Donken (The Hague, Nijmegen/NL)L. van der Plaat (Alkmaar, Nijmegen, The Hague/NL)T. Schepers (The Hague, Nijmegen, Alkmaar, Amsterdam/NL)J. Hoogendoorn (The Hague/NL)

PR 154 Long-Term Results of Displaced Intra-Articular Calcaneal Fractures Treated with Closed Reduction and Percutaneous Screw FixationM. Driessen, E. Hermans (Nijmegen/NL), M. Edwards, J. Biert (Nijmegen/NL)

PR 155 Time of Operation and Fluoroscopy in Trochanteric Fractures Treatment by Selfdinamysible Internal Fixator and by Gamma NailM. M. Mitkovic, S. Milenković, I. Micic, P. Stojiljkovic, I. kostic, M. B. Mitkovic (Nis/RS)

PR 156 Initial Treatment for the Distal Tibial Pilon FractureM. Yorimitsu, N. Shimizu (Okayama City/JP)

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Poster Walk 16 Emergency Surgery and Soft Tissue InfectionsePoster Terminal 5

Moderation S. Uranues (Graz/AT), M. Ozmen (Istanbul/Tk)

PR 157 Enhanced Recovery Pathway for Patients Undergoing Emergency Surgery for Obstructive Colon CancerN. Sizonenko, D. Surov, I. Soloviev, A. Demko, G. Martynova, O. Babkov, A. OsipovA. Sviatnenko, O. Balura (Saint-Petersburg/RU)

PR 158 Volumetric Criteria for Percutaneous Drainage of an Abdominal Abscess as a Complication of Acute DiverticulitisA. Sanchez Arteaga, M. J. Cuevas López, J. Tinoco González, V. M. Durán Muñoz-CruzadoV. Camacho-Marente, L. Tallón Aguilar, F. Pareja Ciuró, J. Pintor TortoleroJ. Padillo Ruiz (Seville/ES)

PR 159 Intraduodenal Bypass by Intraluminal TubeN. Ozlem (kirsehir/TR)

PR 160 Optimal Terms of Laparoscopic Cholecystectomy as the Second Stage of Treatment of Patients with Benign Acute Cholangitis.A. Osipov, D. Surov, A. Sviatnenko, N. Sizonenko, A. Demko (Saint-Petersburg/RU)

PR 161 Virtual Inpatient Service – Help or Illusion?O. Rutka, S. Lewis, G. Williams (Newport/GB)

PR 162 The Importance of Empiric Antibiotic Choice in Anastomotic Dehiscence after Elective Colonic Resection: Pay Attention to the Enterococcus!M. Ceresoli, N. Tamini (Monza/IT), D. Cassini (Abano Terme, Padua/IT), E. Pinotti, A. GianiL. Nespoli (Monza/IT), G. Baldazzi (Abano Terme, Padua/IT), L. Gianotti (Monza/IT)

Poster Walk 17 PolytraumaePoster Terminal 6

Moderation A. Landaluce-Olavarria (Vizcaya/ES)

PR 163 Damage Control Orthopedics vs. Early Total Care in Severely Injured Patients: Trends over 15 Years from the TraumaRegister DGU®F. Bläsius, M. Laubach, E. Bolierakis, H. Andruszkow, C. Weber, P. Lichte (Aachen/DE)R. Lefering (Aachen, Cologne/DE), F. Hildebrand, k. Horst (Aachen/DE)

PR 164 Innovative Care Management for Polytrauma Patients in a Level 1 Trauma Centre: A Pilot Study for Time Directed Treatment According to Diagnosis-Related-GroupsG. Jukema, F. Farokhzad, J. Volbracht, B. Bretscher, F. Jucker, k. Steigmiller, R. SpirigH. C. Pape (Zurich/CH)

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PR 165 Anatomical Locations for Rapid Ultrasound Diagnosis of Pneumothorax in Blunt TraumaA. Hefny (Al Ain/AE), F. kunhivalappil, M. Paul (Abu Dhabi/AE), F. Abu-Zidan (Al Ain/AE)

PR 166 Hepatic Trauma: Case Report of a V Grade Trauma Secondary to Road AccidentA. Gagliano, E. Ortolano, R. Faccincani, M. Carlucci, D. Baccilieri, A. Verzini (Milan/IT)

PR 167 Point of Care Neutrophil Measurement of All Severely Injured Patients in the Emergency Bay: The Start of a New Era.R. Spijkerman, L. Hesselink, P. Hellebrekers, L. koenderman, L. LeenenF. Hietbrink (Utrecht/NL)

PR 168 Malnutrition And Its Effects in Polytrauma Patients: A Systematic ReviewS. Dijkink, k. Meier, P. krijnen (Leiden/NL), D. D. Yeh (Miami/US), G. Velmahos (Boston/US)I. Schipper (Leiden/NL)

Poster Walk 18 Chest InjuriesePoster Terminal 7

Moderation k. M. kolstadbraten (Oslo/NO)

PR 169 Epidemiological Data and Treatment Strategies of Paediatric Medial Clavicle InjuriesS. Bakir, L. Haralambiev, E. Henning, D. Gümbel, S. kim, A. EkkernkampS. Schulz-Drost (Berlin/DE)

PR 170 The New AO-Classification: Results of the Validation of Fractures of the Anterior Rib CageJ. Groh, F. kern, S. krinner, A. Langenbach (Erlangen/DE), S. Schulz-Drost (Berlin/DE)

PR 171 The New AO Classification: Validation Results of Lateral and Posterolateral Chest Wall FracturesF. kern, J. Groh, S. krinner, A. Langenbach (Erlangen/DE), S. Schulz-Drost (Berlin/DE)

PR 172 Management of Severe Instability of the Chest Wall Secondary to Penetrating Trauma: Experience at a Level 1 Trauma Center. Cali, Colombia.A. Del Valle (Rancagua/CL), H. Munevar, M. Vasquez, I. Cujiño, R. Ferrada (Cali/CO)C. Navarro, J. C. Herrera (Talca/CL), J. C. Puyana (Pittsburgh/US), A. Garcia (Cali/CO)

PR 173 Management of Severe Sternal Trauma: Experience at a Level 1 Trauma Center in an Upper-Middle Income Country.A. Del Valle (Rancagua/CL), M. Velasquez, H. Munevar, I. Cujiño, R. Ferrada (Cali/CO)C. Navarro (Talca/CL), J. C. Puyana (Pittsburgh/US), A. Garcia (Cali/CO)

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PR 174 Don’t Rush to a Wide-Open Chest When Diagnosing a Hemopericardium in Hemodynamically Stable Patients with Penetrating Injuries to the Cardiac BoxJ.J. Serna, J. F. Osorno, A. Gonzalez, A. Salcedo, I. Angel, A. Garcia, R. Manzano, R. UrzolaC. Ordoñez (Cali/CO)

Poster Walk 19 The Frail PatientePoster Terminal 8

Moderation R. Somigli (Florence/IT)

PR 175 Radiation Exposure During Direct Versus Indirect Image Acquisition during Fluoroscopy-Controlled Internal Fixation of a Hip Fracture: Results of a Randomized Controlled Trial L. de Jong, G. Roukema, V. vanrijckevorsel, R. van Onkelen, J. Bekken, C. van der VliesE. van Lieshout (Rotterdam/NL)

PR 176 Delirium after Hip Hemiarthroplasty for Proximal Femoral Fractures in Elderly Patients; Risk Factors and Clinical Outcomes.L. de Jong, V. Vanrijckevorsel, J. Raats, T. klem, M. kuijper, G. Roukema (Rotterdam/NL)

PR 177 The Optimal Timing of Hip Fracture SurgeryS. C. Voeten, V. M. Baart, P. krijnen, I. B. Schipper (Leiden/NL)

PR 178 Percutaneous Cholecystostomy versus Gallbladder Aspiration in Patients with Surgical High Risk Acute Cholecystitis PatientsI. H. A. Solak, I. S. Sarici, U. Topal, M. U. kalayci (Istanbul/TR)

PR 179 Sarcopenia as Predictor of Mortality in Elderly Patients Undergoing Emergency Abdominal SurgeryJ. T. Morales Bernaldo de Quirós, R. C. Colombari, M. L. Fernández VázquezM. Fernández Martínez, S. kayser Mata, L. Martin Roman, M. J. García RedondoC. Rey Valcárcel, F. Turegano Fuentes (Madrid/ES)

PR 180 Association between Early Postoperative Activities of Daily Living Level and Recovery of Walking Ability among the Patients with Intertrochanteric Fractures: A Retrospective StudyT. Inui, Y. Watanabe (Tokyo/JP), Y. kurata (Sapporo/JP), k. Matsui, k. Ishii, T. kurozumiT. Suzuki, H. kawano (Tokyo/JP)

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Poster Walk 20 Complex Abdominal Reconstructions/Bleeding, Massive ePoster Terminal 9 Transfusion and Coagulopathy/Chest InjuriesModeration R. komadina (Celje/SI)

PR 181 Fasciotens Abdomen for Preventing Fascial Retraction in the Open Abdomen: First Clinical ExperienceC. krieglstein (Cologne/DE)

PR 182 Should We Change Our Approach about Resuscitation of Victims by Femur Fracture? A Clinical Experience of a Busy Trauma Center S. Paydar, A. TaheriAkerdi, S. Nikseresht, H. Abdolrahimzadeh Fard, S. BolandparvazH. R. Abbasi, Z. Ghahramani (Shiraz/IR)

PR 183 Inhibition of Platelet-Derived Polyphosphates in Trauma Decreases Clot Propagation and Strength and Increases FibrinolysisJ. Coleman (Aurora/US), E. Moore (Denver/US), S. Smith (Ann Arbor/US)M. Cohen (Denver/US), J. Samuels, M. Bartley, N. Vigneshwar, A. Banerjee, A. SauaiaC. Silliman, E. Peltz (Aurora/US), J. Morrissey (Ann Arbor/US)

PR 184 The New AO Chest Wall Model – An Innovative Milestone in Surgical TrainingS. Schulz-Drost (Berlin/DE, Davos/CH, Erlangen/DE), L. Mathern, M. Grosso (Erlangen/DE)M. Gasparri, E. A. Black, A. Martella (Davos/CH), A. Langenbach (Erlangen/DE)

PR 185 Spontaneous Pneumomediastinum; Much Ado about Nothing?G. Medrano, T. katsichtis, S. Melton, E. Bonfils (New York/US)

PR 186 Diaphragmatic Injury in Trauma Patients Undergoing Chest Wall Stabilization for Multiple Rib Fractures and Flail ChestE.-C. Caragounis, Y. Xiao, H. Granhed (Gothenburg/SE)

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POSTER WALkS monday, may 6

10:00–10:30 POSTER SESSION 3

Poster Walk 21 Abdominal Injuries/Vascular InjuriesePoster Terminal 1

Moderation E. Voiglio (Monaco/MC)

PR 187 12-Years Review of the Management of Hepatic Trauma in a Tertiary Referral CenterR. Gracia-Roman, S. Montmany-Vioque, A. Campos-Serra, P. Rebasa-Cladera, A. Luna-Aufroy S. Navarro-Soto (Sabadell/ES)

PR 188 Blunt Traumatic Small Bowel and Mesenteric Injuries: A Careful Interpretation of Abdominal CT Findings Helps to Avoid a Delayed TreatmentR. Fantacci, S. Strambi, D. Tartaglia, G. Ghio, L. Cobuccio, A. Bertolucci, I. CengeliC. Galatioto, M. Chiarugi (Pisa/IT)

PR 189 Traumatic Mesenteric Hematoma: The Place of Surgeryk. Andrea, J. R. Nzamushe, P. Lebert, C. Schipman, I. Plenier (Lille/FR)

PR 191 Incidence of Corona Mortis in Multiracial Asian Hemipelvis Cadavers in a Malaysian Tertiary HospitalN. A. khirul Ashar, P. Hussin (Serdang, Selangor/MY), M. A. Ibrahim (kajang, Selangor/MY)I. I. Ismail, M. Mawardi (Serdang, Selangor/MY)R. L. R. Panjalingam (Cheras, kuala Lumpur/MY)

PR 192 Clinical Outcomes of Thoracic Aortic Injuries in Polytrauma Patients: A 5-year Experience from a Level I Trauma Centre in IndiaN. Banerjee, A. kumar, S. Sagar, S. kumar, A. Gupta, B. Mishra (New Delhi/IN)

Poster Walk 22 Trauma Systems and Prehospital CareePoster Terminal 2

Moderation N. N.

PR 193 Railway Associated Injuries: A 5-year Experience from a Level I Trauma Centre in IndiaN. Banerjee, D. Bagaria, A. Gupta, S. Sagar, S. kumar, B. Mishra (New Delhi/IN)

PR 194 Severe Road Traffic Injury Patterns and Trends for Workers in Qatar [2011–2017], Findings from Qatar Foundation National Priorities Research Program Grant NPRP 7-1120-3-288 R. Consunji, N. Hirani, A. Abeid, T. Sekayan, A. El-Menyar, H. Al-Thani, R. Peralta (Doha/QA)

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PR 195 Child Restraint Use in Young Children in Qatar: Summary Findings from the Young kids in Safe Seats Grant [Qatar Foundation NPRP No. 7 - 1681 - 3–429]R. Peralta, S. Malik, A. Abeid, T. Sekayan, H. Al-Thani, R. Consunji (Doha/QA)

PR 196 Simultaneous Treatment of Multiple Severely Injured Patients and Impact on Outcome – An Analysis of the German Trauma RegistryM. Teuben (Zurich/CH), C. Mand, L. Moosdorf (Marburg/DE), R. PfeiferS. Ruchholtz (Zurich/CH), R. Lefering (Cologne/DE), H.-C. Pape, k. Jensen (Zurich/CH)

PR 197 The Injury Control Strategy and the Observation of Novel Trauma Scores Are Suitable for Multiple Injuries in the Suburbs of ChinaJ. Li (Guangzhou, Shenzhen/CN), B. Bian (Shenzhen/CN), X. Pan (Shenzhen, Guangzhou/CN)Y. Pan, X. Wu, J. Zhou, L. He, W. ke (Shenzhen/CN)

PR 198 Is Prehospital Blood Transfusion Effective and Safe in Haemorrhagic Trauma Patients? A Systematic Review and Meta-Analysis.T. W. H. Rijnhout, k. E. Wever (Nijmegen/NL), R. H. A. R. Marinus (Groningen/NL)N. Hoogerwerf (Nijmegen/NL), L. M. G. Geeraedts jr. (Amsterdam/NL)E. C. T. H. Tan (Nijmegen/NL)

Poster Walk 23 Skeletal Trauma and Bone InfectionsePoster Terminal 3

Moderation N. N.

PR 199 Treatment of Proximal and/or Middle One-Third Diaphyseal Fractures with aHelical Plate.V. Maes, G. Putzeys (kortrijk/BE)

PR 200 The Value of Routine Radiography in the Follow-Up of Extremity Fractures. A Systematic ReviewP. van Gerven (Leiden/NL), S. Rubinstein (Amsterdam/NL), C. Nederpelt, M. TermaatP. krijnen (Leiden/NL), M. van Tulder (Amsterdam/NL), I. Schipper (Leiden/NL)

PR 201 How Implant Characteristics Can Improve the Outcome and Our Strategy in the Mangement of Proximal Femour FracturesW. Friedl (Wertheim/DE)

PR 202 Dislocated Distal Radial Fractures in Adult Patients: Four Weeks versus Six Weeks of Cast Immobilisation Following Reduction, A Multicenter Randomized Controlled Trial – Study ProtocolE. van Delft, F. W. Bloemers (Amsterdam/NL), N. L. Sosef (Haarlem/NL)H. J. Bonjer (Amsterdam/NL), N. Schep, J. Vermeulen (Rotterdam/NL)

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PR 203 What Is the Risk Factor of Fracture Type Progression in Fragility Fractures of the Pelvis?Y. Sato (Nagoya/JP)

PR 204 Big Bone Defect- Strategy Treatment Acording Sabic (Fix AS)N. Šabić, E. Šabić (Zenica/BA)

Poster Walk 24 Skeletal Trauma and Bone InfectionsePoster Terminal 4

Moderation G. Putzeys (kortrijk/BE)

PR 205 Surgical Treatment of Fractures of the Proximal Femur in ChildrenM. Petrov, P. Daria (Moscow/RU)

PR 206 Influence of Preoperative Waiting Time on the Incidence of Early PeriprostheticInfection in Elderly with Femoral Neck FractureM. Ghanem, J. Behrends, A. Brand, A. Höch, A. Roth, D. Zajonz, C. Josten (Leipzig/DE)

PR 207 Utilization of MRI in the Emergency Department Following Minor Traumak. Domanska, R. Callanan, U. Cronin, D. Ryan (Limerick/IE)

PR 208 Using of Different Articulated External Fixation Frames in the Treatment of Complex Distal Tibial FracturesM. B. Mitkovic, S. Milenković, I. Micic, M. M. Mitkovic (Nis/RS)

PR 209 Significant Variation in the Management of Distal Radius Fractures in Adults and Children: A National Survey of Practice in Acute Hospitals in England and Scotland.C. Deacon, S. Craxford, B. Marson, B. Ollivere (Nottingham/GB)

PR 210 Treatment of Post Trauma SSI for Local Antibiotics Administration System to Bone and Soft Tissue by Imap and Isap.A. Maruo, S. Tachibana, Y. Hiranaka, k. Ikuta, T. Oshima, H. Miya, H. Muratsu (Himeji/JP)

Poster Walk 25 Emergency Surgery and Soft Tissue InfectionsePoster Terminal 5

Moderation N. N.

PR 211 Petersen’s Hernia after Gastric By-Pass Procedure: An Increasingly Frequent Condition in Emergency SurgeryA. Bertolucci, D. Tartaglia, L. Cobuccio, C. Galatioto, R. Fantacci, M. Chiarugi (Pisa/IT)

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PR 212 Appendectomy: Is Nighttime the Right Time?A. Zucca, S. Terranova, G. Scotton, L. Bernardi, G. Del Zotto, D. Cosola, A. BiloslavoN. de Manzini (Trieste/IT)

PR 213 Appendiceal Stump Closure by Laparoskopik knotting-Purse String Suture Technique in the Management of Complicated Acute AppendicitisT. Donmez, E. Gemici, A. Yahya Gumusoglu (Istanbul/TR)

PR 214 Protocol Proposal and Pilot Study of EUS-Guided Gastro and Duodenal-Cholecystostomy in Very High Risk Patients with Acute CholecystitisA. La Greca, V. Cozza, G. Altieri, P. Pozzi, F. Attili, I. Boskoski, P. Familiari, A. LarghiS. Magalini, G. Sganga (Rome/IT)

PR 215 The Open Abdomen for Surgical Source Control in Abdominal Sepsis: 109 Consecutive Cases Reviewed.D. Tartaglia, J. N. Marin, A. De Palma, R. Fantacci, L. Cobuccio, A. Bertolucci, I. CengeliM. Pucciarelli, L. Decanini, C. Galatioto, M. Chiarugi (Pisa/IT)

PR 216 Laparostomy- 2.5-year Experience of Open Abdomen in a Tertiary Referral and Trauma Centre in Bristol, South West England.S. Granger, J. Fallon, A. Pullyblank (Bristol/GB)

Poster Walk 26 EducationePoster Terminal 6

Moderation M. Molmer (Hillerød/Dk)

PR 217 Post-Operative Analgesia for Laparoscopic Appendicectomy: Opioids Are Not Needed.L. Ponchietti, A. Garcea (Torrevieja/ES)

PR 218 Comparative Effectiveness Analysis of Two Different Trauma Room Team Trainings on Trauma Team CommunicationL. Thorsson, S. kusch, M. Zentgraf, M. Ruesseler (Frankfurt am Main/DE)

PR 219 Comparative Effectiveness Analysis of Checklist-Based Versus Algorithm-Based Team Training for Polytrauma Care – A Prospective, Multi-Centered Randomized Simulation-Based StudyM. Zentgraf, L. Thorsson, S. kusch, M. Ruesseler (Frankfurt am Main/DE)

PR 220 Peer Counseling Project after (Post)traumatic Major Amputation: Evaluation of a Feasibility StudyS. Bakir, I. Matthes, E. Beraha, A. Ekkernkamp, M. Beirau (Berlin/DE)

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PR 221 Self-Efficacy of Surgeons and Anaesthesiologists after a Trauma Surgery CourseT. Rijnhout, M. W. G. Rensink, A. Alken, E. C. T. H. Tan (Nijmegen/NL)

PR 222 Influence of the Learning Environment on the Acquired Competencies in Emergency Medicine – A Comparative Effectiveness AnalysisJ. kasparek, A. Abt, C. Stefanescu, J. Sterz, M. Ruesseler (Frankfurt am Main/DE)

Poster Walk 27 The Frail PatientePoster Terminal 7

Moderation M. Nerlich (Regensburg/DE)

PR 223 Emergency Surgery in the Chronic Complex Patient (CCP).J. A. Dárdano-Berriel, M. Saladich-Cubero, J. Gardenyes Martínez, T. Palau FigueroaN. A. Medina-Gallardo, H. Vallverdu-Cartié (Vic/ES)

PR 224 The Value of Nonoperative versus Operative Treatment of Frail Institutionalized Elderly Patient with a Proximal Femoral Fracture in the Shade of Life (FRAIL-HIP); Protocol for a Multicenter Observational Cohort StudyP. Joosse, S. Loggers (Alkmaar/NL), M. van de Ree (Tilburg/NL), R. van Balen (Leiden/NL)J. Steens (Hoorn/NL), R. Zuurmond (Zwolle/NL), T. Gosens (Tilburg/NL)S. van Helden (Zwolle/NL), S. Polinder (Rotterdam/NL), H. Willems (Amsterdam/NL)E. van Lieshout (Rotterdam/NL), F.-H. Studygroup (variable/NL)

PR 225 Acute Appendicitis in Elderly Patients: A Systematic Review of a Single-Centre Experience.M. F. Chiappetta, S. Letizia, M. Montuori, A. Nigro, A. Trovato, L. DegrateL. Fattori (Monza/IT)

PR 226 Evaluation of Frailty as Predictor of Adverse Outcomes Undergoing Emergency Surgery in Elderly PatientsA. Sanchez Arteaga, G. Anguiano Díaz, V. Camacho-Marente, V. M. Durán Muñoz-CruzadoJ. Tinoco González, J. Pintor Tortolero, L. Tallón Aguilar, F. Pareja CiuróJ. Padillo Ruiz (Seville/ES)

PR 227 The Use of an E-Bike Is Associated with a Lower Quality of Life in Patients with Mild Traumatic Brain Injury Due to a Bicycle Related AccidentR. N. M. Hogenbirk, H. P. A. M. Poos, I. R. Reininga, k. Wendt (Groningen/NL)

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Poster Walk 28 Disaster and Military SurgeryePoster Terminal 8

Moderation P. Ortenwall (Gothenburg/SE), R. Hoencamp (Leiden/NL)

PR 228 From the Battlefield to Ems and Civilian Use, The Recent Evolution of Extremity TourniquetsC. J. Yánez Benítez (Zaragoza/ES), P. Ottolino (Santiago/CL), A. Güemes (Zaragoza/ES)M. Bernabe (Huesca/ES)

PR 229 Orthopedic Trauma Surgeon in Sierra Leone. How to keep One´s Head over Water.C. Deininger (Salzburg/AT), S. Tsitsilonis (Berlin/DE), F. Wichlas (Salzburg/AT)

PR 230 Title: External Fracture Fixation for Military Combat Operations, Humanitarian Disaster Response and Civilian Terrorism Front Line Carek. Cornum (Palisade/US)

PR 231 General Hospital Preparedness for Mass Casualty IncidentsF. Burget, P. Baňař, J. kraus (Prague/CZ)

Poster Walk 29 Spinal InjuriesePoster Terminal 9

Moderation N. N.

PR 232 Lumbar A3 (Burst) Fractures Treated with Transpedicular Fixation and kyphoplastyR. Hart, D. Nahlik (Znojmo/CZ)

PR 233 Results in Dorsal Percutaneous C1/C2-Screw-Osteosynthesis in Unstable Odontoid Fractures Type Anderson 2 in the ElderlyS. Hauck, T. Weiss, J. Vastmans, O. Gonschorek (Murnau/DE)

PR 234 Cement Augmentation of an Anterior Standard Screw Fixation of Type II Odontoid Peg FracturesJ. Skála-Rosenbaum, P. Řehoušek, M. krbec (Prague/CZ)

PR 235 Injury Patterns in Paragliding Accidents during Start, Flight and LandingJ. Vastmans, S. Hackl, P. Augat, F. M. Stuby (Murnau/DE)

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12:45–13:45 POSTER SESSION 4

Poster Walk 30 Skeletal Trauma and Bone InfectionsTycho

Moderation B. Bakota (karlovac/HR), F.Hildebrand (Aachen/DE)

PR 308 A Retrospective Study of Postoperative Infection in Cases of Free Flap Surgery. –Scheduled Irrigation Is Valuable in Cases of Deep Infection or Severely Contaminated WoundH. Matsui (Sapporo/JP)

PR 309 Strategies for the Management of Hemodynamically Unstable Pelvic Fractures: From Preperitoneal Pelvic Packing to Definitive Internal FixationH. k. Song (Suwon/kR)

PR 310 Venous Thromboembolism Following Delayed Surgery of a Hip FractureJ. W. kim (Seoul/kR), k. C. Park (Guri/kR)

PR 312 Quality Of Life of Trauma Patients with a Combined Pelvic and Acetabular Fracture: A Retrospective Cohort Study Comparing Pelvic and Acetabular FracturesP. kalmet, V. Versteegh, M. de krom, J. Jansen, J. Vebruggen, M. Poeze (Maastricht/NL)

PR 313 The Morphology of the Sacrum as Risk Factor for Complicated Fragility Fracture of the PelvisD. Wagner (Mainz/DE), M. kisilak (Ljubljana/SI), F. von Haaren (Mainz/DE)A. Hofmann (kaiserslautern/DE), P. M. Rommens (Mainz/DE)

PR 314 Mathematical Rationale of the Risk of the Acetabular Damage in Development and Progression of Posttraumatic and Idiopathic CoxarthritisV. Lutsyshyn (Vinnytsia/UA), A. kalashnikov (kyiv/UA), V. Mayko, O. Mayko (Vinnytsia/UA)

PR 315 Can a New Nomogram Solve an Old Problem? Calculating the Risk of Cut-Out after Cephalomedullary Nail Fixation of Pertochanteric Femur FracturesC. Claudi, M. Schüler, D. Sauter (Muensterlingen/CH)

PR 316 A Comparison of Nonoperative and Operative Treatment of Neer Type II Distal Clavicle FracturesM. Uchino (Tokyo/JP)

PR 317 Analysis of the Bone-Implant Interface of Different Screws With µct after Cyclical Loading of Scaphoid Bones.D. Gruszka, R. Herr, H. Goetz, H. Hely, P. M. Rommens (Mainz/DE)

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PR 318 Trochanteric Fractures: Clinical and Biomechanical StudyR. Bartoska, F. Svatoš, J. Marvan, J. Skála-Rosenbaum (Prague/CZ)V. Baca (Jihlava/CZ)

PR 319 Incidence of Heterotopic Ossification in Unstable Fractures of AcetabulumL. Nechvatal, J. Trlica, J. koci (Hradec králové/CZ), M. Frank (Hradec králové, Brno/CZ)T. Dedek (Hradec králové/CZ)

Poster Walk 31 Abdominal Injuries/Complex Abdominal Reconstructions/Emergency ePoster Terminal 1 Surgery and Soft Tissue Infections/Future Developments and New TechniquesModeration N. N.

PC 236 Anastomotic Reinforcement with Cyanoacrylate Glue and Damage Control with Vacuum Assisted Closure Therapy in the Management of Esophago-Gastric Necrosis Due to Caustics Ingestion- A Case ReportA. Picciariello, V. Papagni, G. Martines, N. Palasciano, D. F. Altomare (Bari/IT)

PC 237 Handlebar Injury in a Pediatric Patient Causing an Acute Hernia and Devascularization of Right ColonR. Shah, G. Medrano, S. kigongo-Mwesezi (New York/US)

PC 238 Spontaneous Splenic Hematoma Associated with Oral AnticoagulantsM. Laureano, J. Nobre, I. Gonçalves, N. Ferreira, T. Valente, S. Hilário, J. PaisM. Coelho dos Santos (Leiria/PT)

PC 239 A Case of Blunt Traumatic Rupture of Intraductal Papillary Mucinous Neoplasm (IPMN) of Pancreas Undergone Emergency Pancreaticoduodenectomy.D. kujirai, Y. Izawa, D. kaito, R. Nakama, T. Terauchi, H. Shinozaki, k. kasek. kobayashi (Utsunomiya, Tochigi/JP)

PC 240 Evisceration through a Prolapsed Loop Colostomy during a Conflict between Prisoners. An Impressive Surgical Emergency.C. Iordanou, C. Farazi-Chongouki, E. Akritidou, A. Pachi, A. Raftopoulos, G. PapaioannouM. Vidali, G. Douridas, I. Pouggouras, A. Ninos, S. Pierrakakis (Magoula/GR)

PC 241 The Dangers of the Playground: A Clinical Case Report.I. Mónica, S. Oliveira, N. Guimaraes, M. Ferreira, H. Ribeiro, J. Neves, V. Vieira, F. MeloL. Conceição (Figueira da Foz/PT)

PC 242 When the Safety Belt Is Not So Safe: A Clinical Case Report.I. Mónica, S. Oliveira, N. Guimaraes, H. Ribeiro, M. Ferreira, J. Neves, C. Granja FerreiraF. Melo, L. Conceição (Figueira da Foz/PT)

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PC 243 When One knife Is Not Enough I. Gonçalves, J. Nobre, M. Laureano, N. Ferreira, T. Valente, S. Hilário, C. AnicetoM. Coelho dos Santos (Leiria/PT)

PC 244 The Successful Use of the Amplatzer™ Cardiac Septal Occluder to Heal a Recurrent High Output Enteroatmospheric FistulaG. Del Zotto, T. Cipolat Mis, A. Cubisino, G. Bellio, A. Zucca, S. Terranova, A. BiloslavoN. de Manzini (Trieste/IT)

PC 245 Obstructing Gastrointestinal Stromal Tumor of the Rectum Requiring Complex ResectionA. kumar, S. Safadjou, M. Lueders, E. Irizarry (Bronx/US)

PC 246 A Rare Case of Reverse Midgut Rotation and Digiunal Transmesenteric Internal Hernia in an Adult with Beckwith-Wiedemann Syndrome: “A Time Bomb Lying Within”.M. Guerra, G. Scotton, G. Poilucci, L. Bernardi, G. Bellio, D. Cosola, A. BiloslavoN. de Manzini (Trieste/IT)

PC 247 Laparoscopic Transgastric Removal of a Foreign Body. A Case ReportI. Gerogiannis (London/GB)

Poster Walk 32 Disaster and Military Surgery/Emergency Surgery and Soft Tissue InfectionsePoster Terminal 2

Moderation A. Dogjani (Tirana/AL)

PC 248 Medical management for mass causality incidences at seaE. Henning, L. Haralambiev, S. Bakir, S. kim, S. Schulz-Drost, A. EkkernkampD. Gümbel (Greifswald/DE)

PC 249 Septic Shock and Extensive Retroperitoneal Abscess: A Severe Complication of a Laparoscopic AppendectomyC. J. Yánez Benítez, J. L. Blas, B. Cros (Zaragoza/ES)

PC 250 The Unexpected Benefit of a Laparoscopic Approach to a Strangled Hernia.L. Parry, L. Evans (Norwich/GB)

PC 251 Caecal Internal Herniation to the Lesser Sac – A Case ReportM. Sammut, C. Barben (Liverpool/GB)

PC 252 Intestinal Malrotation Associated with Mesentero-Axial Intermittent Gastric Volvulus, Rare Causes of Misdiagnosed Appendicular Peritonitis and Subsequent Postoperative High Intestinal ObstructionL. Roxana, S. Ludmila, T. Irina, D. Radu, T. Daniel, I. Lidia (Iasi/RO)

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PC 253 Wooden Foreign Bodies: Are X-Ray and Wound Revision Enough?A. Rajšter koren, E. Hrovat, A. kristan (Ljubljana/SI)

PC 254 Forgotten Ladd’s Band in Adult Emergency SurgeryL. Ionescu, I. Trifescu, L. Dorneanu, L. Stirbu, R. Danila, D. Timofte, R. Livadariu (Iasi/RO)

PC 255 Necrotising Fasciitis of the Lumbar Region – A Rare Paediatric Complication of Varicella InfectionM. Jakopec, M. Macura, D. Semenič (Ljubljana/SI)

PC 256 A Case Report of Liver Dysfunction and Hyperbilirubinemia after Laparoscopic Appendectomy: Is There a Prognostic Significance?T. katsichtis, E. Irizarry, M. Lueders (New York/US)

PC 257 Successful Open Abdomen Management of a Critically Ill Obese Patient with Mesh-Mediated Fascial Traction and Negative Pressure Wound Therapy – Is Excellent Functional Outcome Possible?E. Santos, M. J. Cardoso, F. Azevedo, M. Serôdio, A. Manso, C. MesquitaH. Alexandrino (Coimbra/PT)

PC 258 Isolated Duodenal Rupture Due to Go karting- AccidentN. Ozlem (kirsehir/TR)

PC 259 Laparoscopic Approach of Penetrating Hepatic Trauma by WireD. Morales, L. Cristobal, P. Martinez, A. Lozano, M. Lainez, R. GarciaJ. C. Sanjuan (Santander/ES)

Poster Walk 33 PolytraumaePoster Terminal 3

Moderation P. Simko (Brescia/Sk), D. Demetriades (Los Angeles/US)

PC 260 Pelvic Trauma – A Multidisciplinary ChallengeA. S. Costa, M. R. Vaz, T. Fontaínhas, M. Sá, J. Constantino, J. A. Gomes, J. Pereira (Viseu/PT)

PC 261 Femoral Head Fracture Associated with Posterior Recurrent Hip Dislocation Treated by Latarjet-Like ProcedureI. Rubio Sáez, D. De Godos Martinez, S. Gonzalez Escobar, J. Pallares SanmartinA. Ibarzábal Gil, J. M. Martinez Diez, R. Merino Rueda, J. C. Rubio SuarezF. Escamez Fernandez, L. Bellostas Muñoz (Madrid/ES)

PC 262 Delayed Jejunal Perforation in Polytrauma PatientD. Morales, C. Gil, P. Martinez, S. Castanedo, E. Gutierrez, J. A. Blasco, A. LozanoE. Gonzalez (Santander/ES)

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PC 263 Massive Heterotopic Ossification in Polytrauma Patient. Complications of Bed Immobilization. How Can We Fight It?J. M. Pardo García, G. Luengo Alonso, L. M. Ramos Ramos, V. Rodriguez VegaP. Caba Doussoux (Madrid/ES)

PC 264 Traumatic Diaphragmatic Hernia, An Uncommon but Devastating Diagnosis to keep an Eye on in Polytrauma Care. S. Mills, R. Merino Rueda, G. Talavera Buedo, A. Ibarzábal Gil, J. C. Rubio SuarezG. Luengo Alonso (Madrid/ES)

PC 265 Spleen Preserving Surgery after Blunt Abdominal TraumaD. Costa Santos, H. Gameiro, D. Sousa, A. Cruz, D. Marinho, A. Ferreira, M. ClaroA. Abreu da Silva, J. A. Martins (Santiago do Cacém/PT)

PC 266 A Case Report: Cardiac Arrest Secondary to Haemorrhagic Shock and Hypothermia Treated with Percutaneous Cardiopulmonary SupportS. Seki, H. Yoshioka (Tokyo/JP)

PC 267 Early Fixation of Sternal Fracture in Acute Cranio-Thoracic TraumaV. Tkalich, D. Miasnikov, Y. Nedilia (kyiv/UA)

PC 268 Treatment of Large Bone and Soft Tissue Defect in Lower Extremities with a Combination of Skin Graft, Vacuum Sealing Drainage and Bone Transport – Case ReportB. Veliceasa, B. Puha, D. Popescu, A. Filip, O. Alexa (Iasi/RO)

PC 269 Airway Obstruction by Giant Goiter in the Traumatized PatientR. Vaz Pereira, G. Guidi, U. Fernandes, A. Marçal, C. Gomes, A. Melo, S. Silva, R. MarquesA. S. Esteves, A. Monteiro, C. Santos, P. Avelar (Vila Real/PT)

PC 270 Quality in Emergency Surgery: Managing Multitrauma Patient Complications in SICU a Case Report Presentation V. kaldis, A. Tsatsaragkou, N. Skoupas, L. Lambropoulos, E. Skantzos, A. SpiropoulouA. Dimas, M. Guillaume, A. kokkofitis (Tripoli/GR)

PC 271 Camouflaged Bleeding- The Story of How Circulatory Injury Was Masked and Identified in a Young Polytrauma PatientH. L. C. Wang, H.-F. Lin (New Taipei City/TW)

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Poster Walk 34 Endovascular Interventions/Vascular InjuriesePoster Terminal 4

Moderation C. Gaarder (Oslo/NO), J. Tilsed (York/GB)

PC 277 External Iliac Arterial Injury by Open Pelvic Ring Fracture: A Case ReportT. kaku (Tokyo/JP), Y. Oh (Tokyo, Nagano/JP), Y. kurosa (Nagano/JP), A. Okawa (Tokyo/JP)

PC 272 Massive Hematoma of Rectus Sheath Following Enoxaparin InjectionI. Gonçalves, J. Nobre, M. Laureano, N. Ferreira, T. Valente, S. HilárioM. Coelho dos Santos (Leiria/PT)

PC 273 A Case of Veno-Venous Extracorporeal Membrane Oxygenation for Severe Blunt Thoracic Trauma.T. Sakai, F. Ogawa, N. Nakayama, k. Yamaguchi, k. Takahashi, M. kato, N. SuzukiM. Shinohara, M. kuroyanagi, T. Abe, k. Takahashi, M. Iwashita, I. Takeuchi (Yokohama/JP)

PC 274 Super Selective Mesenteric Embolization as Guide for Surgical Resection in Active Bleeding Small Bowel Angiodysplasia. Two Case Reports.P. Germani, J. Galvanin, S. Martinolli, G. Bellio, A. Biloslavo, L. Bernardi, H. kuriharaN. de Manzini (Trieste/IT)

PC 275 Two Cases of Gluteal Muscle Necrosis Following Transcatheter Angiographic Embolization for Pelvic Ring Fracture.A. Morizane, R. Tamura, Y. Hata, Y. Noda, J. Ishihara, T. Nishida (kochi/JP)

PC 276 Mechanical Trombectomy with Aspiration Device (Penumbra) in Patients with Massive Pulmonary Tromboembolism (PTE)M. Espindola, G. Sepulveda, M. Maureira, J. Peñuela, S. Saavedra, F. Muñoz, L. BobadillaF. Vielma (Santiago/CL)

PC 278 A Case of Ruptured Dual Coronary Artery Aneurysms with Coronary-Pulmonary Arterial FistulaT. Nakano, T. Ito (kawasaki/JP)

PC 279 Penetrating Abdomen Gunshot with Aorta Artery, Cava and Renal Vein Injuries: Case Report.F. E. Silva (Niterói, São Gonçalo/BR), F. A. Bahia, F. V. da Silva, P. Renata PozziR. Adriana Martins, J. A. C. Padilha (São Gonçalo/BR)

PC 280 Airway Obstruction due to Minor Blunt Neck Trauma: A Case ReportH. Oiwa, T. Miyake, H. Okada, Y. kakino, N. kanda, k. kumada, S. Ogura (Gifu-shi/JP)

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PC 281 Suprarenal Ivc Ligation – All Is Not LostV. k. Shanmuganathan, B. Mishra, D. Bagaria, V. Purushothaman, A. Gupta (Delhi/IN)

PC 282 Management of Penetrating Vessel Injury after Scooter AccidentR. Planje, R. Dettmers, G. Stollenwerck (Leiderdorp/NL)

PC 283 A Curious Case of Acute Limb IschaemiaN. Guimaraes (Figueira da Foz/PT), M. Ferreira (Figueira da Foz/PT), P. MonteiroJ. Campos, P. Sousa, A. Coelho, R. Augusto, E. Pinto, A. C. Semião, J. P. RibeiroA. Canedo (Vila Nova de Gaia/PT)

Poster Walk 35 Bleeding, Massive Transfusion and CoagulopathyePoster Terminal 5

Moderation F. Hietbrink (Utrecht/NL), N. Misra (Liverpool/GB)

PR 284 Acute Traumatic Coagulopathy – Outcome Related to Massive Transfusion ProtocolsJ. Pometlova, R. Jecminkova, L. Pleva (Ostrava/CZ)

PR 285 Finding Predictors of Coagulopathy in Polytrauma Patients to Improve Use of Coagulation Products in Centers without Point of Care Coagulation Monitoring S. Paydar, M. Daryanavard, H. R. Abbasi, H. Abdolrahimzadeh FardS. Bolandparvaz (Shiraz/IR)

PR 286 Efficacy of Novel Modified Collagen-Based Sponge Dressings on Hemostasis in a Porcine Bleeding ModelC.-C. Lin, H.-Y. Lien (Tainan/TW)

PR 287 Incidence of Coagulation Derangement in Severe Trauma Patients after the Establishment of a Viscoelastic Point of Care Testing in a Level I Trauma Center in the Middle East.R. Peralta, B. Wahlen, A. ElMenyar, k. Ahmed, M. Asim, H. Al-Thani (Doha/QA)

PR 288 Preliminary Results of a Study Evaluating the Resuscitation Markers in Trauma PatientsA. Campos-Serra, S. Montmany-Vioque, P. Rebasa-Cladera, M. Barquero-LópezJ. Mesquida-Febrer, A. Larruzea-Ibarra, R. Gracia-Roman, S. Navarro-Soto (Sabadell/ES)

PR 289 Fibrinolysis Shutdown in Adult and Elderly Patients with Traumatic Brain Injury (TBI)M. Quattrone, A. Bernard, D. Davenport (Lexington/US), J. Taylor (Lexington, Little Rock/US)

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PR 290 Fibrinogen Concentrate Don’t Decrease Total Amount of Transfusion in Severe Trauma Patients.k. Murata, N. Urushibata (Matsudo/JP), Y. Otomo, k. Fushimi (Tokyo/JP)

PR 291 Clot Strength and Fibrinolysis Are Distinct Contributors to Trauma-Induced CoagulopathyM. Bartley, J. Sumislawski (Aurora/US), E. Moore (Aurora, Denver/US), J. SamuelsJ. Coleman N. Vigneshwar (Aurora/US), M. Cohen (Denver/US), C. SillimanA. Banerjee (Aurora/US), A. Sauaia (Denver/US)

PR 292 REBOA in a Major Trauma Center; The Dutch ExperienceR. Maayen (Leiderdorp, Rotterdam/NL), S. M. Vrancken (Leiderdorp/NL)T. T. C. F. van Dongen (Rotterdam, Leiderdorp/NL), B. L. S. Borger van der BurgO. van Waes, R. Hoencamp (Leiderdorp, Rotterdam/NL)

PR 293 The Feasibility and Challenges in the U.S. Military”s Use of Group-O Low Titer Whole Blood in Iraq, Syria, and Afghanistan During Recent Combat Operations.J. Gurney (San Antonio/US), C. Vanderspurt (Ft. Benning/US), P. Spinella (St. Louis/US)J. Corley (Fall Church/US), A. Cap (San Antonio/US)

PR 294 Emergency Department Predictors for Emergency Surgery to Achieve Traumatic Bleeding Control: A RetrospectivestudyS. Magnone, N. Allievi, M. Pisano, E. Poiasina, L. Campanati, M. Marini, D. PiazzalungaP. Fugazzola, A. Ferrari, A. Lucianetti (Bergamo/IT)

PR 295 Preemptive Administration of Catecholamine and Fibrinogen Concentrate Improves Short-Term Prognosis of Severe Pelvic Fracture Patients.T. Imamoto, M. Sawano, k. Inokuchi, M. Matsuda, S. Sugiyama (kawagoe/JP)

Poster Walk 36 Emergency Surgery and Soft Tissue InfectionsePoster Terminal 6

Moderation A. Shamiyeh (Linz/AT)

PR 296 Gossypiboma Case SerieN. Ozlem (kirsehir/TR)

PR 297 The Old Fashioned Plain AXR – Useful or Useless in the Diagnosis and Management of SBO?A. Mihailescu, M. Roode, G. Pokusevski (Ashton-under-Lyne/GB)

PR 298 Laparoscopic Colorectal Surgery in the Emergency SettingM. Abu Talib, E. Sharpe (Billingham/GB)

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PR 299 What Is the Rate of Negative Appendicectomy in Children?W. Evans (Blackburn/GB)

PR 300 Preliminary Study on ERAS (Enhanced Recovery after Surgery) Protocol in Emergency Colorectal SurgeryV. Cozza, A. La Greca, F. Marzi, M. Di Grezia, G. Pepe, G. Tropeano, F. Zotta, F. Topa, D. GuiG. Sganga (Rome/IT)

PR 301 Acute Management of Analgesia in Biliary Colic on an Emergency Surgery Unit – Analysis of Pain Scores and Length of StayL. O’Leary, R. Butler, J. Taylor, D. Hoban, N. Misra (Liverpool/GB)

PR 302 Complicated Colorectal Cancer – Our ExperienceA. Ursu, C. Scerbatiuc-Condur, R. Gurghis, A. Dolghii, I. Gagauz, V. GaftonG. Rojnoveanu (Chisinau/MD)

PR 303 Diverticular Disease of the Appendix in the Differential Diagnosis of Acute Appendicitis.S. Dios-Barbeito, A. Sánchez-Arteaga, M. Rubio-Manzanares-Dorado, J. M. Masero-Carretero J. A. Navas-Cuellar, V. Camacho-Marente, J. Padillo Ruiz, L. Tallón Aguilar (Seville/ES)

PR 304 Is Hartmann’s Procedure Still Actual? A Single Center Study.P. Losurdo, M. Guerra, F. Porcelli, N. de Manzini (Trieste/IT)

PR 305 Emergency Colorectal Surgery – The Effect of Operator Seniority and Timing of Surgery on OutcomeT. Gilbert, N. Spiteri, N. Misra, J. Arthur (Liverpool/GB)

PR 306 0% Conversion Rate for Laparoscopic Cholecystectomy – Is It Feasible to Even Think about It?A. Mihailescu, G. Pokusevski, A. L. Bubuianu (Ashton-under-Lyne/GB)

PR 307 Prevalence of Wound Infection on Trauma WardJ. Pometlova, T. Varady-Brazova, M. Šír, L. Pleva (Ostrava/CZ)

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Poster Walk 37 Skeletal Trauma and Bone InfectionsePoster Terminal 8

Moderation R. Hart (Znojmo/CZ), B. Bouillon (Cologne/DE)

PR 320 Investigation of Surgical Site Infection after Ankle Joint Fracture Surgery.Y. Iesaki (Nagoya/JP)

PR 321 Operative Management of Transverse Sacral Fractures: Single-Centre Report of Initial Management and Long Term OutcomeL. Peterer, C. Michelitsch, T. S. Müller, C. Sommer (Chur/CH)

PR 322 Is Subclinical Infection a Risk Factor for Early Cotyloiditis after Hip Hemiarthroplasty?R. Merino Rueda, S. Mills, G. Talavera Buedo, I. Rubio Sáez, P. Diaz FreireR. Fernández Fernández (Madrid/ES)

PR 323 Clinical Outcomes of Periprosthetic Femoral Fracture after Osteosynthesis for Femoral FractureT. Negayama, T. Iwakura, Y. Terashima, A. SakuraiS. Sawamura (Shioya Sumoto Hyogo/JP)

PR 324 High Prevalence of Osteoporotic Vertebral Fracture in Patients with Proximal Femoral Fracturek. Takayama, T. kita, Y. Onishi, H. Sakanaka, Y. Yamano (Osaka/JP)

PR 325 Treatment of Open Fractures of the Lower Leg in the ElderlyT. Iwakura, Y. Terashima, A. Sakurai, S. Sawamura (Sumoto/JP)

PR 326 Results of Reinforced and Non-Focal Osteosynthesis with Metastatic Limb Bone InjuryV. Protsenko, A. Abudayeh (kyiv/UA)

PR 327 Utilization of Magnetic Resonance Imaging in Identifying Occult Injuries after Shoulder DislocationZ. Szerényi, L. Faludi, I. Polyák, k. Orbán, E. Csonka, E. Varga (Szeged/HU)

PR 328 Optimal Treatment for Unstable Distal Claviclular Fractures Using a Novel Plate,”Scorpion Plate” and “Scorpion Neo Plate”, without Crossing Acromioclavicular JointT. Waki, S. Tanaka, k. kuroshima, k. Anjiki, T. Yano, k. Ito, S. Matsushima (Akashi/JP)

PR 329 Complications of Distal Periprosthetic Femur Fractures in Patients with Total knee ArthoplastyA. kanovsky, E. Müller (klagenfurt/AT)

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PR 330 Comparison between Distraction Osteogenesis and Fracture Healing in Histomorphometry and MicroRNAs expressionY. Sun (Shenzhen/CN), S. Lin, L. Xu, G. Li (Hong kong/CN), X. Pan (Shenzhen/CN)

PR 331 Fibular Bone Fixation after Shin Fractures. Is It Required?A. kalashnikov, I. Litun, M. Shydlovskyi (kyiv/UA), V. Malyk (Poltava/UA), I. Lazarev (kyiv/UA)

Poster Walk 38 Spinal InjuriesePoster Terminal 9

Moderation H.-C. Pape (Zurich/CH)

PR 332 Results in Percutaneous Posterior Screw Fixation C1/C2 for Stabilization of Pseudarthrosis of Odontoid after Previous Ventral Screw Fixation in Unstable Odontoid Fractures Type Anderson 2 in the Elderly.S. Hauck, T. Weiss, J. Vastmans, O. Gonschorek (Murnau/DE)

PR 333 Results with a Trabecular Metal – Cage for the Monosegmental Thoracoscopic Spondylodesis of Fresh Unstable Thoracolumbar Spinal Fractures in 95 CasesS. Hauck, T. Weiss, O. Gonschorek (Murnau/DE)

PR 334 Percutaneous Triangular Stabilization of Geriatric Pelvic Ring Fractures Using 3D X-Ray Avoids Implant-Associated Perioperative Complications. Technical Features and Indication.M. Spalteholz, J. Gulow (Leipzig/DE)

PR 335 Analysis of Predictors for Extravasation in Sacral FractureN. Notani, S. kanezaki, T. Sone, H. Tsumura (Yufu-city, Oita/JP)

PR 336 Minor Trauma with Tetraparesis in Cervical Spinal Stenosis. Does the Surgery Time Influence the Outcome?J. M. Przybyl, N. von der Höh, C.-E. Heyde, A. Völker (Leipzig/DE)

PR 337 Cervical Spine X-Rays Should We Bother?O. Cristiu, C. kelly, N. Thomas (Drogheda/IE)

PR 338 Vertebral Artery Injury in the Blunt Cervical Spine TraumaF. Wakita, H. Yamamoto, T. Nishimura, T. Noda, k. Uchida, Y. Mizobata (Osaka/JP)

PR 339 Conservative Treatment of Fragility Fracture of the PelvisT. kanazawa, k. Toda, k. Nakago, Y. Yagata, T. Omori, T. kikuchi, Y. Ito (kobe/JP)

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PR 340 How to Approach L5? Treatment of Lumbar Plexus Injury after Pelvic Vertical Shear Fractures via Pararectus Approach: A Case SeriesS. Haeckel, S. Hoppe, J. D. Bastian, L. Benneker (Bern/CH), M. keel (Zurich, Bern/CH)

PR 342 Surgical Treatment of Pathological Vertebral Fractures in ChildrenM. Petrov, P. Daria (Moscow/RU)

PR 343 Epidemiology and Predictors of Cervical Spine Fractures – A 6-year studyA. S. Costa, M. R. Vaz, C. Martins, M. Sá, J. A. Gomes (Viseu/PT)

Poster Walk 39 Disaster and Military Surgery/Scorings in ER and ICU/Surgical Critical Care ePoster Terminal 10 and Burns/Traumatic Brain InjuriesModeration R. Faccincani (Milan/IT), S. Herman (Ljubljana/SI)

PR 344 Treatment Features of Gunshot Fractures of the Upper and Lower ExtremitiesM. Ankin, L. Ankin, T. Petryk, V. Ladyka (kyiv/UA)

PR 345 How We Improve the Pre-Hospital Triage in High Mountain Train Disaster with Instant Message ApplicationC.-H. Chen, T.-Y. Wong, H.-C. Chen, J.-F. Huang (Chiayi/TW)

PR 346 Security Surveillance Cameras as a Tool for Evaluation of Surprise Mass Casualty Incident (MCI) DrillsI. Ashkenazi, A. Offir, A. Dvash, B. Abbou (Hadera/IL)

PR 347 Causes Of Death among Seventy-Four Military Casualties in the Ukrainian Armed ConflictO. Danyljuk (kyiv/UA), C. Meghoo (kyiv-1/UA), O. Linchevskyy (kyiv/UA), S. GaievskyiG. Goy (kyiv/UA), W. Vanderlan (Bethesda, New Orleans/US)

PR 348 External Fixation or Intramedullary Nailing in Lower Limb Fractures in Children in Mass Casualty Incidents?M. De Pellegrin, L. Marcucci, A. Drossinos, D. Moharamzadeh (Milan/IT)

PR 349 A Model for Validation and Comparison of Different Techniques for Teaching of Emergency Preparedness on Undergraduate Levelk. Lennquist Montán, R. Bolander, M. Björling (Stockholm/SE)

PR 350 Medical Response to Military Maritime Incidents a Multinational Maritime Unit TrialC. Montan (Stockholm/SE), I. Austlid (Bergen/NO), k. Lennquist Montán (Stockholm/SE)

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PR 351 Surgical Activity of the Russian Forward Role2 Medical Units during Maneuvered OperationsI. Samokhvalov (Saint-Petersburg/RU), A. Zavrazhnov, V. Badalov, A. PetrovA. Goncharov (Saint-Petersburg/RU)

PR 352 The Challenge of Low Surgical Workload Deployments in Dutch Combat Operation ExperiencesC. Vermeulen (Rotterdam, Utrecht/NL), P. keijzers (Enschede, Utrecht/NL)E. Fredriks (Veldhoven, Utrecht/NL), P. van der Hee (Utrecht/NL)O. van Waes (Rotterdam, Utrecht/NL), R. Hoencamp (Leiderdorp, Utrecht/NL)

PR 353 A Modified Quick-SOFA Score Is a Better Predictor of Survival than Quick-SOFA(qSOFA) Alone in Patients with Complicated Intra-Abdominal InfectionsE. Dimitrov, E. Enchev, G. Minkov, k. Halacheva, Y. Yovtchev (Stara Zagora/BG)

PR 355 Report of Morbi-Mortality in Decompressive Craniectomy for Trauma Brain Injury in a French Military HospitalF. Mathilde, A. kané, J.-M. Delmas (Clamart/FR), A. Dagain, C. Joubert (Toulon/FR)R. Dulou (Clamart/FR)

Poster Walk 40 The Frail PatientePoster Terminal 7

Moderation N. N.

PR 356 Trauma, Treatment and Rehabilitation: A Patients’ PerspectiveE. Visser, B. Den Oudsten, T. Gosens, M. Traa, J. De Vries (Tilburg/NL)

PR 357 Posterior Pelvic Ring Injuries Are More Common than Expected in ElderlyR. Hart, M. Bartekova (Znojmo/CZ)

PR 358 Pelvic Ring Injury in the Elderly: Fragile Patients with Substantial Mortality and Long-Term Physical ImpairmentH. Banierink (Groningen/NL)

PR 360 Rotation Malalignment after Nailing of Trochanteric Fractures – A Retrospective CT AnalysisJ. Maléř, J. Skála-Rosenbaum, M. Michna, J. Weichet, M. Buk (Prague/CZ)

PR 361 Trauma in Elderly Patients: Causes of InjuriesB. Solgun, O. Polat, M. Günalp, A. koca Tanriverdi, S. Genç, A. B. Oğuz (Ankara/TR)

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PR 362 The Relationship between Blood Parameters and Mortality in Geriatric Trauma PatientsB. Solgun, O. Polat, M. Günalp, A. koca Tanriverdi, A. B. Oğuz, S. Genç (Ankara/TR)

PR 363 Epidemiology and Outcome of Pelvic Injury in the Elderly: What Is the Impact of Concurrent Injuries?M. Teuben (Zurich/CH), J. Herhold (Aachen/DE), R. Pfeifer (Zurich/CH)G. Osterhoff (Leipzig/DE), k. Sprengel (Zurich/CH), T. Dienstknecht (Duren/DE)F. Hildebrand (Aachen/DE), H.-C. Pape, k. Jensen (Zurich/CH)

PR 364 The Dutch Hip Fracture Audit: Evaluation of the Quality of Multidisciplinary Hip Fracture Care in the NetherlandsS. C. Voeten (Leiden/NL), A. J. Arends (Rotterdam/NL)M. W. J. M. Wouters (Amsterdam, Leiden/NL)B. J. Blom (Almere/NL), M. J. Heetveld (Hoofddorp/NL)M. S. Slee-Valentijn (Amsterdam/NL), P. krijnen, I. B. Schipper (Leiden/NL)J. H. Hegeman (Hengelo/NL)

PR 365 A Retrospective Cohort Study on Incidence, Risk Factors and Outcomes of Delirium in Elderly Patients with Rib Fractures after Blunt Chest Wall Trauma. T. Janssen, E. Hosseinzoi, D. Vos, E. Veen, P. Mulder, J. van der HolstL. van der Laan (Rotterdam/NL)

PR 366 High Energy Pelvic Ring Fractures in Elderly Patients: Still a killing Fracture?D. Romijn, M. Edwards, J. Biert, E. Hermans (Nijmegen/NL)

PR 367 Mortality in Distal Femoral Fractures in the ElderlyI. Rubio Sáez, R. Merino Rueda, A. Ibarzábal Gil, L. Bellostas Muñoz, J. M. Martinez DiezJ. Pallares Sanmartin, J. C. Rubio Suarez (Madrid/ES)

PR 359 Can Total Hip Arthroplasty Be Indicated for Elderly Patients with Displaced Femoral Neck Fractures?T. kaku, k. Miyatake, Y. Oh, A. Tano, T. Jinno, A. Okawa (Tokyo/JP)

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15:30–16:30 POSTER SESSION 5

Poster Walk 41 Skeletal Trauma and Bone InfectionsTycho

Moderation B. Sluga (Ljubljana/SI)

PR 464 Cause and Complications of Hip Fracture in Young Adults under Age of 65, According to Injury Mechanism.A. Abarquero Diezhandino, J. Gallardo, C. Ojeda, P. Caba Doussoux, L. R. Ramos Ramos (Madrid/ES)

PR 465 Evaluation of Damage Control Orthopaedics Using External Fixation for the Treatment of Unstable Pelvic Ring FracturesT. Minato, H. Minehara, T. Matsuura, T. kawamura, S. Shoji, R. Tazawa, Y. AsariM. Takaso (Sagamihara/JP)

PR 466 3D Fracture Analysis of Tibial Plateau FracturesN. Assink, J. kraeima, A. Meesters, k. ten Duis, M. J. H. Witjes, F. Ijpma (Groningen/NL)

PR 467 Calcaneal Fractures Involving Calcaneocuboid Joint: Anatomy, Implant Positioning and Functional Outcomes – Preliminary ResultsV. Bába, L. kopp (Ústí nad Labem/CZ), D. kachlík, A. Samešová (Prague/CZ)

PR 468 Complex Fractures of the knee (“Floating knee”)G. Croitor, A. Betisor, D. Hincota, C. Bat (Chisinau/MD)

PR 469 Comparison the Outcome of Headless Screw Fixation and Low-Profile Plate for Radial Head Fractures; Our Experience in FEMHW.-T. Wang, Y.-J. Chen (New Taipei City/TW)

PR 470 Bilateral Hip Disarticulation with Total Thigh Flap For Sacrum and Ischium Massive Pressure Ulcers in a SCI Patient: Case ReportW.-T. Wang, C.-S. Chen (New Taipei City/TW)

PR 471 Retrospective Study of Temporal Trends in Hip Fracture in Tertiary Hospital – UMC Ljubljana from 2013 to 2017G. Govekar, L. A. Zore, A. Fischinger (Ljubljana/SI)

PR 472 Spinopelvic (L5 – Ilium) Screw Fixation in the Treatment of Unstable Sacral Fractures.D. kourtzis, P. Zogakis, M. Tzurbakis, k. Papagiannakos (Athens/GR)

PR 473 Thrombo-Embolic Risk in “Bellow-The-knee Trauma”-A New PerspectiveO. Lupescu, M. Nagea, A. L. Dimitriu, N. M. Ciurea (Bucharest/RO), D. Lupescu (Buftea/RO)

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PR 474 Segmental Bone Infections Following Complex Limb Trauma- Theraputic ProblemsO. Lupescu, M. Nagea, A. L. Dimitriu, N. M. Ciurea, A. M. Grosu, G. I. Popescu (Bucharest/RO)

PR 475 Negative Pressure Wound Therapy in Complex Limb Injuries O. Lupescu, M. Nagea, N. M. Ciurea, A. M. Grosu, A. L. Dimitriu, G. I. Popescu (Bucharest/RO)

Poster Walk 42 Abdominal Injuries/Vascular InjuriesePoster Terminal 1

Moderation H. Watanabe (Shimane/JP)

PC 368 Major Bleeding Due to Internal Jugular Vein Rupture after a Penetrating Neck Trauma in a 13 Years Old Child. A Challenging Case for a General Surgeon in a General Adult Hospital.A. Raftopoulos, C. Iordanou, V. Berdelis, E. Akritidou, P. Ioannidis, A. MihopoulouG. Doulgerakis, O. Georgiou, A. kalitsis, S. Pierrakakis (Magoula/GR)

PR 369 Abdominal Pain and Computed Tomography Indication in Blunt Abdominal TraumaJ. M. Silva Rodrigues, R. M. Paiva Dos Anjos, A. C. Mongeli TrindadeY. Rezende Sassatani (Sorocaba/BR)

PR 370 Accuracy of Abdominal Pelvic Computed Tomography Findings for Identifying Hollow Viscus Injury in Abdominal Trauma PatientT. H. Hong (Anyang-si/kR)

PR 371 Outcomes of Fifty-Two Surgically Managed Cases of Blunt Pancreatic Injuryk. Okawara, M. Sawano, T. Imamoto, M. Matsuda (kawagoe-shi, Saitama/JP)

PR 372 Optimal Timing of Intestinal Anastomosis in Patients Requiring Open Abdominal Management.M. Yamada, A. Usui, Y. Tsunetoshi, k. Amano, k. Inukai, N. Muikai, Y. NakataJ. Yokota (Sakai-city/JP)

PR 373 Management of High Grade Blunt Splenic Injuries in a Level One Trauma CenterR. Spijkerman, T. Nijdam, L. Hesselink, F. Hietbrink, L. Leenen (Utrecht/NL)

PR 374 Management of Paediatric Blunt Abdominal Trauma in a Dutch Level 1 Trauma CentreL. Bulthuis, R. Spijkerman, L. Hesselink, L. Leenen, I. de Bruin (Utrecht/NL)

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PR 375 Approach to Blunt and Penetrating Liver Trauma: Hemodynamic Status, Rather Than Lesion Grade Is Still the key Decision FactorF. Azevedo, C. Canhoto, E. Santos, H. Alexandrino, C. Mesquita, H. Carvalho (Coimbra/PT)

PR 376 Hollow Viscus Injury in Blunt Abdominal Trauma: What Is the Impact of Treatment Delay?G. Ricci, E. Adami, L. Papa, E. Piccioni, S. Manfroni, R. Mancuso, A. Impagnatiello, E. Cingolani P. Marini (Rome/IT)

PR 377 Solid Organ Injury after Pediatric Trauma. Where Do We Stand?M. khan, J. Con, F. Jehan, A. Azim, G. Lombardo, A. Policastro, k. PrabhakaranR. Latifi (Valhalla/US)

PR 378 Isolated Low-Grade Blunt Solid Organ Injury in Adult Trauma Patients: Impact ofTrauma Center Designation on Management NAD Outcmoes A. Azim, k. Prabhakaran, M. khan, J. Con, F. Jehan, R. Latifi (Valhalla/US)

PR 379 Popliteal Vessel Trauma: Surgical Approaches and the Vessel-First StrategyV. Makaloski, P. Fairhurst, J. Schmidli, T. Wyss (Bern/CH)

Poster Walk 43 Emergency Surgery and Soft Tissue InfectionsePoster Terminal 2

Moderation C. Nau (Frankfurt am Main/DE), G. Bond-Smith (Oxford/GB)

PC 380 Fickle Sickle Cell DiseaseU. Cockerill, D. Saleh, M. Nair, I. Drami, S. Z. M. Bukhari (London/GB)

PC 381 “What`S on the Menu?” Interesting Case of Multiple Foreign Body Ingestions in a Psychiatric PatientM. Mancas (Steeton/GB)

PC 382 A Rare Case of Femoral Artery Pseudoaneurysm Following Fournier’s Gangrene.L. Ionescu, A. Lucian, I. Trifescu, L. Dorneanu, D. Timofte, L. Stirbu, R. Danila (Iasi/RO)

PC 383 Emphysematous Gastritis – A Case Report of this Devastating DiseaseJ. Perez, E. S. Nakahira, J. S. Miranda, E. M. Utiyama (São Paulo/BR)

PC 384 Metallic Foreign Body in the Neck: Case ReportC. Afonso, N. Santos, J. Pereira, C. Casimiro (Viseu/PT)

PC 385 Hepatic Subcapsular Abscess Secondary to Gallbladder Perforation: Two Steps TreatmentM. Yamazumi, J. Parra, R. Rasslan, A. Bitran, E. Utiyama (São Paulo/BR)

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PC 386 Emphysematous Gastritis: A Rare Emergency Case of Stomach InfectionA. Pachi, C. Farazi-Chongouki, V. Mperdelis, E. Akritidou, C. Iordanou, A. Ninos, I. Pouggouras, M. karamanidi, G. Papaioannou, M. Vidali, S. Pierrakakis (Athens/GR)

PC 387 Cecum with Necrosis and Strangulation in Chest: A Rare Case ReportT. Piperos, k. Theodoulou (Marousi Athens/GR), E. Nikou, M. Zarokosta, M. TzalonikouA. Foutsitzi (Athens/GR), M. Sgantzos (Larissa/GR), T. Troupis (Athens/GR)I. Tsiaousis (Heraklion/GR), T. Mariolis-Sapsakos (Athens/GR)

PC 388 Cholecystoduodenal Fistula: A Rare Case ReportT. Piperos (Marousi, Athens/GR), D. Chrysikos, E. Nikou, A. Varlatzidou, D. kakaviatosT. Troupis (Athens/GR), I. Tsiaousis (Heraklion/GR), T. Mariolis-Sapsakos (Athens/GR)

PC 389 Fulminant Oedema Caused from Viper’s Venomous Snake Bite:A Case Report Presentation V. kaldis (Tripoli, Argos/GR), T. Zarokostas, S. Mourtarakos, D. Giannakopoulos (Argos/GR)

PC 390 Spontaneous Rupture of Hepatocellular Carcinoma: A Rare Cause of Acute Abdomen.I. Lintzeris, A. kokkofitis, P. Athanasiou (Athens/GR)

PC 391 Spontaneous Colonic Perforation in Connective Tissue DisordersR. Cresner, A. Scarlett, W. Sherwood (London/GB)

Poster Walk 44 Endovascular Interventions/Spinal Injuries/Sports Trauma/Surgical Critical ePoster Terminal 3 Care and Burns/Traumatic Brain InjuriesModeration P. Talving (Talinn/EE)

PC 392 Surgical Extraction of an Air Gun Bullet near the Vertebral Artery under Endovascular StandbyC. Pfeifle, M. Moche, C.-E. Heyde (Leipzig/DE)

PC 393 The Investigation of 8 Cases of Traumatic Retropharyngeal Hematoma.M. Tanaka, T. Yonemitsu, T. Nakashima, N. Shibata, S. kawashima, k. Miyamoto, k. UedaY. Iwasaki, S. kato (Wakayama City/JP)

PC 394 Percutaneous Atlas Ring Reconstruction in Gehweiler Iiib Fracture –Case RaportS. Adamski (Gdansk/PL), W. kloc (Gdansk, Olsztyn/PL), R. Pankowski, M. Roclawskik. Basinski, k. Aleksandrowicz, P. kurlandt, J. Wisniewski (Gdansk/PL)

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PC 395 Spinal Injury with Ankylosing Spine Disorders Could Be a Primary Reason of Death. – Report of 2 Cases T. Miyake, N. kanda, H. Okada, k. Suzuki, T. Yoshida, H. Oiwa, N. YoshiyamaS. Ogura (Gifu-shi/JP)

PC 396 Acute High Cervical Tetraparesis of a Healthy Adult after Minor TraumaA. Brand, N. von der Höh, N. Schopow, J.-S. Jarvers, C. Josten, C.-E. Heyde (Leipzig/DE)

PR 397 What Is the Optimal Timeframe to Stabilize Spinal Injuries in Multiple Injured Patients?S. Halvachizadeh, J. Luetscher, k. Jensen, T. Berk, B. Hatz, L. Mica, H.-C. Papek. Sprengel (Zurich/CH)

PC 398 The Misfortune of a Young Handball Player – The Importance of Medical SurveillanceJ. Páscoa Pinheiro, E. Santos, A. Rocha, M. J. Frade, M. Barbosa (Coimbra/PT)

PR 550 The Musculotendinous Connections of the Pubic Ligaments and Their Differences in Size and Area- Do We Need a New Anatomical Concepts?P. Pieroh (Mainz/DE), Z. Li, S. kawata, Y. Ogawa (Tokyo/JP), F. Dehghani (Halle a. d. S./DE)H. Steinke (Leipzig/DE), M. Itoh (Tokyo/JP), C. Josten (Leipzig/DE)

PC 400 Fatal Metformin-Induced Lactic Acidosis after Spinal Fusion SurgeryH. Lopez-Quinones, A. kumar, S. Melton, M. Lueders (Bronx/US)

PC 401 Penetrating Injury on Head Caused by a Wild Boar Attack in South korea: A Case ReportH. R. kim, J. B. Ye, J. H. Choi (Cheongju-si/kR)

PC 402 Dural Sinus Thrombosis – The Silent Entity Who Needs DebateJ. Páscoa Pinheiro, D. Carneiro, A. Rocha, M. J. Frade, M. Barbosa (Coimbra/PT)

PC 403 A Case of Impalement Brain Injury That Could Be Achieved Good Neurological Outcome by Introducing Early Sedation and Immobilization Strategyk. Suzuki, W. Takayama, Y. Otomo (Tokyo/JP)

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Poster Walk 45 Skeletal Trauma and Bone InfectionsePoster Terminal 4

Moderation N. N.

PC 404 Established Scaphoid Nonunion in a Child Treated Conservatively: A Case ReportG. Georgiadis (Filiates/GR), S. Theodorou, D. Theodorou, C. Papakostidis (Ioannina/GR)

PC 405 Boxer´s Fracture – Intramedullary Pinning as Golden Standard for SurgycalTreatmantV. Gajski, J. kolodziej, D. kikić (Nova Gradiška/HR)

PC 406 The Well-Leg Compartment Syndrome: Sometimes an Iatrogenic Complication.E. Grosso, S. Cavallo, M. C. Aguiari, A. Massè, M. Berardino (Turin/IT)

PC 407 Posterolateral Approach for the Treatment of Posterolateral Shearing Tibial Plateau FractureM. Fujita (Toyohashi/JP)

PC 408 Periprosthetic Femoral Fracture with Features of Atypical Femoral Fracture: A Case ReportY. kumabe, T. Niikura, k. Oe, T. Fukui, k. kudo, R. kuroda (kobe City/JP)

PC 409 Treatment Strategy for Postoperative Infection of Radio-Induced Pathological Femoral Fracture: Two Cases ReportM. Matsuhashi, T. Saito, k. Demiya, S. Yokoo, T. Noda, T. Ozaki (Okayama/JP)

PC 410 Two Cases of Atlanto-Occipital Joint DislocationH. Yoshioka, S. Seki (Tokyo/JP)

PC 411 Osteoplasty by Bone Substitute in External Column Fractures of the Distal Humerus with Significant Bone Loss: Case PresentationB. Puha, T. S. Gheorghevici, B. Veliceasa, D. Popescu, G. Puha, O. Alexa (Iasi/RO)

PC 412 Traumatic Avulsion of Tibialis Anterior Muscle Tendon – Case ReportP. Obruba, V. Skálová, J. Malý, L. kopp (Ústí nad Labem/CZ)

PC 413 Combination of Magnetic Intramedullary Nailing System and Circular Frame to Treat Posttraumatic Bone Defect and DeformitiesG. Luengo Alonso, L. M. Ramos Ramos, J. M. Pardo García, R. Diaz Suarez, J. Cuarental García J. Ferrero Recasens, J. C. Garcia de la Blanca (Madrid/ES)

PC 414 Revision THR in Type 3B Paprosky Defect of the AcetabulumV. Spassoff, P. Sakelariev, k. kazalakova, M. Fidanov (Sofia/BG)

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Poster Walk 46 Chest Injuries/Surgical Critical Care and BurnsePoster Terminal 5

Moderation L. Leenen (Utrecht/NL), B. Diaconescu (Bucharest/RO)

PR 416 Osteosynthesis of Sternal Fractures and Pseudoarthroses with Double Locking Compression Plate Fixation; A Retrospective Cohort StudyN. kalberer, H. Frima, C. Michelitsch, C. Sommer (Chur/CH)

PR 417 The New AO/OTA Chest Wall Fracture Classification System- First Results of an Analysis of the Fracture ModifiersL. Schnittker, F. kern, J. Groh (Erlangen/DE), S. Schulz-Drost (Erlangen, Berlin/DE)

PR 418 Is the Digital Air Leak Measurement of Chest Tubes in Traumatic Pneumothorax Effective?k. Takahashi, M. kato, M. Masuda (Yokohama/JP), N. Morimura (Tokyo/JP)

PR 419 The Impact of Multiple Rib Fractures in the Elderly Patient Is Not Correlated with More Pulmonary ComplicationsS. Vogel, G. Stollenwerck, R. Hoencamp, M. Bénard, M. Leijnen (Leiderdorp/NL)

PR 420 Occult Pneumothorax in Trauma Patients: Incidence, Risk Factors and OutcomesI. H. Park, P. Y. Jung, Y. U. Chou (Wonju/kR)

PR 421 Risk Factors for Prolonged Thoracostomy by Blunt Traumak. Takahashi, M. kato, k. Yamaguchi, F. Ogawa, T. Abe, M. MasudaI. Takeuchi (Yokohama/JP)

PR 422 Video Assisted Thoracoscopy – The Opportunity in the Control of Thoracic Trauma BleedingI. Cigoreanu, I. Florea, I. Maxim, G. Rojnoveanu (Chisinau/MD)

PR 423 Bedside Surgeon-Performed E-FAST Thoracic Scans for Daily Management of Thoracic Complications as Effective Alternative to Chest X-RayA. Malagnino, M. Montuori, G. Mauri, R. Pirovano, M. Ciocca, G. Carrara, S. BozzoM. Zago (Ponte San Pietro/IT)

PR 424 IL-6 Levels on Admission Significantly Predict the Development of Lung Failure in Patients with Severe Chest TraumaP. Störmann, T. Lustenberger, J. T. Vollrath, N. Wagner, I. Marzi (Frankfurt am Main/DE)

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PR 425 The Significance of a Concomitant Clavicle Fracture in Flail Chest Patients as a Result of a Polytrauma: Incidence, Concomitant Injuries, Clinical Course and Outcome – An Analysis of 73141 Patients from the TraumaRegister DGU®.S. Schulz-Drost (Erlangen/DE), M. Pinther (Berlin/DE), M. Grosso (Erlangen/DE)S. Bakir (Berlin/DE), S. krinner (Erlangen/DE), A. Ekkernkamp (Berlin/DE)A. Langenbach (Erlangen/DE)

PR 426 Tracheostomies within Burns CareC. McCarrick, O. Shelley (Dublin/IE)

PR 427 Medial Clavicular Injury – Sometimes More than Fracture or Dislocation!S. Schulz-Drost (Berlin, Erlangen/DE), L. Haralambiev (Greifswald, Berlin/DE), A. Ekkernkamp S. Bakir (Berlin, Greifswald/DE)

Poster Walk 47 Emergency Surgery and Soft Tissue InfectionsePoster Terminal 6

Moderation N. N.

PC 428 Cystic Endosalpingiosis of the Small Bowel: A Rare Cause of Unresolved Small Bowel Obstruction?D. Saleh, U. Cockerill, M. Nair (London/GB)

PR 429 Retroperitoneal Combined Access in the Therapy of Necrohaemorragic Acute PancreatitisB. Ugarte-Sierra, M. Lopez, R. Maniega, A. Landaluce-Olavarria, I. Vicente RodriguezJ. Echevarria, C. Sanudo, A. Bernal, F. J. Ibanez Aguirre (Galdakao-Usansolo/ES)

PR 430 Predictors of Negative Appendicectomy and Subsequent Late ReadmissionC. Thompson-Reil, C. kirchhoff, L. Evans (Norwich/GB)

PR 431 Laparoscopic Repair for Perforated Duodenal Ulcer: A Retrospective StudyO. Shepetko-Dombrovskyi, G. Shepetko-Dombrovskyi (kyiv/UA)

PR 432 Quality Control Audit of Paediatric Appendicectomy and Analysis of Factors in Clinical Diagnosis of Appendicitis E. Spencer, J. Corkill, M. Nair (London/GB)

PR 433 Effect of Surgical Timing and Outcomes for Appendicitis SeverityH. Cho, M. kim (Uijeongbu City, Gyeonggi-Do/kR)

PR 434 The Clinical Value of Cholangiography via Percutaneous Transhepatic Gallbladder DrainageY.-L. Hung, S.-Y. Wang (Guishan Dist., Taoyuan City/TW)

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PR 435 Prevention of Evisceration in Emergency Laparotomies with Absorbable MeshA. Landaluce-Olavarria, I. Vicente Rodriguez, B. Ugarte-Sierra (Galdacano/ES)B. Estraviz Mateos (Urduliz/ES), F. J. Ibañez Aguirre (Galdacano/ES)

PR 436 Preoperative Lactate Level as a Prognostic Value of Postoperative Mortality in Patients with Acute Bowel IschemiaJ. p. Choi, S. k. Hong (Seoul/kR)

PR 437 Analysis of the Profiles of Exosomal Non-Coding RNAs of Diabetic Foot Ulcer PatientsY. Pan, X. Pan, S. Cai, X. Wu, B. Bian, j. ye, H. ke, H. Zhang, J. Zhou, L. He, Z. Lin (Shenzhen/CN)

PR 438 Disease Spectrum, Interventions and Outcomes in Geriatric Emergency General SurgeryE. Downie, R. Shakerian (Melbourne/AU)

PR 439 Diagnostic Imaging of Acute AppendicitisJ. M. Silva Rodrigues, R. M. Paiva Dos Anjos, L. Buzacarini AlvimA. T. Goncalves Campos (Sorocaba/BR)

Poster Walk 48 Skeletal Trauma and Bone InfectionsePoster Terminal 7

Moderation B. Bakota (karlovac/HR)

PR 440 Treatement of Ankle Fractures with the Locked Intramedullary Straight XS Nail in Complex Fractures, Osteoporotic Bone and Soft Tissue Damage.W. Friedl (Wertheim/DE)

PR 441 Is MRI Examination after Gliding Nail (GN-Intercus Company) Safe?W. Friedl (Wertheim/DE)

PR 442 Fractures under Tenssion in Sports Injuries. New Possibilities in Primary Weight Bearing Capacity and Function Restauration with the XS Nail.W. Friedl (Wertheim/DE)

PR 443 Pre-, Intra- and Postoperative Assessment of Gaps and Step-Offs in Acetabular Fracture TreatmentA. Meesters, J. kraeima, H. Banierink, k. ten Duis, k. Wendt, M. WitjesF. Ijpma (Groningen/NL)

PR 444 Treatment of Children’s Pelvic Bones Fractures N. Serova, S. Sidorov, S. Nikishov, L. Roshal, D. Basargin, D. Vorobyev, A. LushnikovA. kushnarev, I. korneev (Moscow/RU)

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PR 445 Factors Affecting the Rate of Postoperative Surgical Site Infections in Patients after Hip HemiarthroplastyL. de Jong, T. klem, M. kuijper, G. Roukema (Rotterdam/NL)

PR 446 Long-Term Outcome in Operatively and Non-Operatively Treated Isolated Type B Fibula FracturesC. van Leeuwen, R. Hoffman, J. Hoogendoorn (The Hague/NL)

PR 447 Accuracy of Percutaneous Screw for Superior Pubic Ramus Fracture without Navigation SystemS. Tachibana, A. Maruo, S. Araki, Y. Hiranaka, k. Ikuta, T. Oshima, T. koga, H. MiyaH. Muratsu (Himeji City/JP)

PR 448 Reliability of Advising a Reduction after a Fracture of the Distal Radius.E. Boersma, R. Nijhuis-van der Sanden, M. Edwards (Nijmegen/NL), D. Ring (Austin/US)

PR 449 The Impact of Malnutrition on Surgical Site Complications in Orthopaedic Trauma Patients with Femoral Shaft FracturesB. A. Zelle, R. Egbert, T. Bouck, N. Gupte, M. Pena, S. S. Ornellk. H. Dang (San Antonio/US)

PR 450 Clinical Outcomes of Osteosynthesis for Fractures of the Acetabulum.k. Demiya, T. Noda, S. Yokoo, M. Matsuhashi, Y. Yamakawa, T. Saito, k. Saiga, Y. Shimamura T. Ozaki (Okayama City/JP)

PR 451 Surgical Treatment of Type C Ankle Fractures with Posterior Malleolus Fracture: The Role of Posterior Fragment Fixation on Reduction of Syndesmosis and Functional Mid-Term OutcomeF. Huizing (The Hague/NL), D. Boersma, F. Beeres (Lucerne/CH)J. Hoogendoorn (The Hague/NL)

Poster Walk 49 Polytrauma/Scorings in ER and ICUePoster Terminal 8

Moderation S. Rammelt (Dresden/DE)

PR 452 E-FAST Performed by Intensivist on the Way to Emergency Room from Heliport or Ambulance Can Direct the Patient Straight to CT Scan, Which Significantly Shortens Time to CT Scan CompletionM. Durila, M. Grunt, J. Berousek, E. Beitl, T. Vymazal (Prague/CZ)

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PR 453 The Trunk Injury of the Body Due to Seatbelt: A Case Series Analysis.W. Ishii, R. Iiduka (kyoto/JP), N. Sato (Touon/JP), H. Takemura, T. Deguchi, M. Miyagunik. kandori, T. Yoshida, A. Okada, S. Hiraki, Y. Oiwa, Y. Nakamura, Y. Arai, k. SakakibaraH. Narumiya (kyoto/JP)

PR 454 Results of Treatment of Acetabular Fractures Using Modified Stoppa ApproachB. Veliceasa, B. Puha, R. I. Malancea, A. Filip, D. Popescu, O. Alexa (Iasi/RO)

PR 455 The Effect of Prehospital Time on Mortality in Polytrauma Patients: A Retrospective AnalysisE. Berkeveld, Z. Popal, C. Brouwers, W. P. Zuidema, F. W. BloemersG. Giannakópoulos (Amsterdam/NL)

PR 456 Emergency Thoracotomy with Thoracic Aortic Cross-Clamping: Experience from a High Volume Trauma CentreA. Whitley, M. Očadlík, R. Billich, J. Štefka, F. Vyhnanek, R. Gürlich (Prague/CZ)

PR 457 Pediatric Bicycle-Related Injuries: A Terciary Trauma Center ExperienceF. Jalles, R. Roquette, E. Vieira, M. Gonçalves (Lisboa/PT)

PR 458 Hypotension, Head Injury and Glasgow Coma Scale as Predictors for Mortality in Trauma SurgeryC. Findlay, N. Misra, k. Shahzad, R. Lunevicius, O. Ashiru, A. Apampa (Liverpool/GB)

PR 459 Polytrauma Epidemiology, Injury Mechanisms and Outcomes in LatviaL. Geibijeva (Riga/LV), A. Čaplinskis (Riga/LV), A. Melderis, R. kovaļenko, H. PlaudisG. Pupelis (Riga/LV)

PR 460 Blood Alcohol and Lactate Concentration Has a Poor Relation to the Polytrauma MechanismA. Čaplinskis, L. Geibijeva, A. Melderis, R. kovaļenko, H. Plaudis, G. Pupelis (Riga/LV)

PR 461 Cathepsin D Plasmatic Activity as Biomarker for Survive Prediction in Polytrauma. Pilot Research.O. Arnaut, I. Grabovschi, S. Sandru, R. Baltaga, G. Rojnoveanu, A. Saulea (Chisinau/MD)

PR 462 Predictive Score of Multiple Severe Injuries Detected by Whole-Body Computed Tomography for Blunt TraumaR. Nakama (Utsunomiya-City/JP), T. Ogura (Maebashi-City/JP), D. kujiraiY. Izawa (Utsunomiya-City/JP)

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PR 463 Is the Prehospital GAP Score Better than T-RTS in Predicting Mortality in Trauma?M. Cuende Diez, N. Palma Caucig, M. Fernández Martínez, C. Rey Valcarcel, M. D. Perez Diaz F. Turegano Fuentes (Madrid/ES)

Poster Walk 50 Future Developments and New TechniquesePoster Terminal 9

Moderation M. Rüsseler (Frankfurt am Main/DE)

PR 488 Differences in Platelet Rich Fibrin Constitution after Surgical InterventionR. Verboket, B. Anbar, A. Schaible, k. kerstin, I. Marzi, D. Henrich (Frankfurt am Main/DE)

PR 489 An Innovative Modified Central Pancreatectomy Technique without Gastro-Enteric Drainage; Evidence Proved New Concept. M. Nasr (Riyadh/SA)

PR 490 Anterior Rectus Sheath Autograft in WRAP-Augmentation of Achilles Tendon RuptureF. Schäfer (Zurich/CH)

PR 491 Brain Metabolism and Functional Connectivity Activation after One Hyperbaric Oxygenation Session: rsfMRI and 1H MRS StudyA. Manzhurtsev, N. Zaitseva, V. Sergeeva, I. Melnikov, T. Akhadov, P. MenshchikovM. Ublinskiy, N. Semenova (Moscow/RU)

PR 492 How Reliable Is the Fragility Fractures of the Pelvis Classification? – A Multicenter Agreement Study.P. Pieroh, A. Höch (Leipzig/DE), T. Hohmann (Halle a. d. S./DE), F. Gras (Jena/DE)S. Märdian (Berlin/DE), A. Pflug (Jena/DE), S. Wittenberg (Berlin/DE), C. Ihle (Tuebingen/DE) N. Blankenburg (Leipzig/DE), D.-L. kevin (Ulm/DE), T. Schröder, S. C. Herath (Homburg/DE)D. Wagner (Mainz/DE), H.-G. Palm (Ulm/DE), C. Josten (Leipzig/DE)F. M. Stuby (Tuebingen/DE)

PR 493 Mass Spectrometry (Imaging) for Fracture Hematoma AnalysesJ. Gruisen, S. Nauta, M. Poeze, T. Porta Siegel, T. Blokhuis, M. Eveque, B. Cillero-PastorR. Heeren (Maastricht/NL)

PR 494 Does U Nail Improve Cerclage Wire Stability in Femoral Fractures? A Comparative Biomechanical Study of a New Designed ImplantM. N. konya (Afyonkarahisar/TR)

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PR 495 Patient and Clinician Perceptions about Remote Video Visits for Musculoskeletal Problems: A Qualitative Study.A. Dekker, I. kleiss, D. Ring, k. Claborn (Austin/US)

PR 496 Is Postoperative USS of the Stomach a Useful Tool to Tailor Oral Feeding after Emergency Surgery?A. La Greca, V. Cozza, F. Marzi, S. Tempera, D. Di Giorgio, L. Barberis, S. Magalini, D. GuiG. Sganga (Rome/IT)

PR 497 Outcomes of non-operatively managed emergency general surgical patient and comparative analysis of patients with biliary disease: an acute care surgical unit experienceA. khan, B. Thomson, A. Skandarajah, R. Shakerian (Parkville/AU)

PR 498 Trauma Video Review Utilization: A Survey of Practice in the United StatesR. Dumas (Dallas/US), M. Vella, J. Hatchimonji, L. Ma, Z. Maher, D. Holena (Philadelphia/US)

PR 499 Unlocked Yet Untapped – The Ubiquitous Smartphone and Utilization of Emergency Medical Identification Technology in the Care of the Injured PatientM. Vella, H. Li, P. Reilly, S. Raza (Philadelphia/US)

Poster Walk 51 The Frail Patient/Traumatic Brain InjuriesePoster Terminal 10

Moderation H. Alexandrino (Coimbra/PT)

PR 476 Life Prognosis of Proximal Femur Fractures in Dialysis-Dependent Elderly Patients.M. Iguchi (Miyazaki Prefecture Higashiusukigun/JP), T. MuraokaS. Inoue (Miyazaki Prefecture/JP)

PR 477 Epidemiological Factors Neglected In Patients with Proximal Humerus Fracture –10-Year Monocentric Analysis of 1,137 PatientsR. Henkelmann, J. kitsche, P.-V. Link, M. Mende, J. D. Theopold, C. JostenP. Hepp (Leipzig/DE)

PR 478 Older Patients with Traumatic Shock Are Less Likely to Exhibit Tachycardia: An Analysis of the Nationwide Trauma Database in JapanY. Yoshioka (Tokushima/JP), A. Shiraishi (Chiba/JP)

PR 479 Drain versus No Drain after Hip Hemi-Arthroplasty for Femoral Neck Fractures; Differences in Clinical OutcomesV. A. J. I. M. van Rijckevorsel, L. de Jong, T. klem, M. kuijper, G. Roukema (Rotterdam/NL)

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PR 480 The Protective Effects of Metformin on the Neurological Scores, Brain Edema and Brain -Blood Barrier after Severe Traumatic Brain Injury in Male Rats: The Role of AMPk (AMP-Activated Protein kinase)A. Siahposht-khachaki, A. Ferdowsi (Sari/IR)

PR 481 Regular Alcohol Consumption May Protect against Late Pituitary Dysfunction after Mild Traumatic Brain InjuryI. Frendl, M. katko, E. Galgoczi, J. Boda, N. Zsiros, Z. Nemeti, J. kappelmayer, A. ErdeiJ. Posta, B. Turchanyi, F. Urban, E. V. Nagy (Debrecen/HU)

PR 482 Five Case Analysis of Traumatic Coagulopathy with Traumatic Brain Injuryk. Nagao, H. Manaka, T. kawasaki, M. Gakumazawa, M. Shinohara, F. OgawaI. Takeuchi (Yokohama/JP)

PR 483 Metabolic and Microstructural Changes in Children with Severe TBI. DTI and 1H MRS StudyM. Ublinskiy, N. Semenova, T. Akhadov, A. Manzhurtsev, P. MenshchikovI. Mel’nikov (Moscow/RU)

PR 484 Preliminary 1H MRS Study of Neurotransmission Disturbances after Mild TBIA. Ivantsova, M. Ublinskiy, P. Menshchikov, T. Akhadov, N. Semenova (Moscow/RU)

PR 485 Comparison of Neurochemical Parameters in Patients with Severe TBI in Neuro-ICUA. Minasyan, U. Westhause (Chemnitz/DE)

PR 486 Safety of Early MRI Examinations in Severe TBI: A Test Battery for Careful Patient SelectionO. Petr, D. Pinggera, M. Luger, M. Bauer, C. Thomé (Innsbruck/AT)

PR 487 Dysbalanced Inflammatory Response and Higher Mortality Rates in Geriatric Trauma Patientsk. Mörs, B. Relja, I. Marzi (Frankfurt am Main/DE)

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POSTER WALkS Tuesday, may 7

10:00–10:30 POSTER SESSION 6

Poster Walk 52 Endovascular InterventionsePoster Terminal 1

Moderation W. Schecter (San Francisco/US)

PR 500 Evaluation of Organ Perfusion in Partial REBOA Analyzed by CT Perfusion inSwineY. Matsumura, A. Higashi (Chiba/JP), S. Hishikawa, Y. Izawa (Shimotsuke/JP)H. kondo (Itabashi/JP), V. Reva (St Petersburg/RU), S. Oda (Chiba/JP)J. Matsumoto (kawasaki/JP)

PR 501 The Reliable Pressure Indicator for the Degree of Partial REBOA: Pressure Analysis with CT Image EvaluationA. Higashi, Y. Matsumura (Chiba/JP), S. Hishikawa, Y. Izawa (Shimotsuke/JP)H. kondo (Itabashi/JP), V. Reva (St Petersburg/RU), S. Oda (Chiba/JP)J. Matsumoto (kawasaki/JP)

PR 502 İs REBOA the Swiss knife in Hemorrhage Control? Indications and Limitations of Endovascular Interventions in Severely Injured Patients – A Case Report.O. Özkurtul, J. Fakler, A. Höch, B. Ondruschka, T. Weber, C. Josten (Leipzig/DE)

PR 503 Blood Flow of Venous System during REBOA: Non-Invasive Evaluation Using a Phase Contrast MRIY. Izawa (Utsunomiyashi, Shimotsuke/JP), Y. Matsumura (Chiba/JP), S. HishikawaT. Mato (Shimotsuke/JP)

PR 504 Splenic Injury – The Role of Angiographic EmbolizationJ. kúdelová, T. Dedek, J. Raupach, A. krajina (Hradec králové/CZ)

PR 505 Migration of Aortic Occlusion Balloons in a Porcine Flow ModelB. L. S. Borger van der Burg (Leiderdorp/NL), J. van Schaik, J. J. W. M. Brouwers (Utrecht/NL) C. Y. Wong (Leiderdorp/NL), T. E. Rasmussen (Bethesda/US), J. F. Hamming (Leiden/NL)T. T. C. F. van Dongen (Leiderdorp, Utrecht/NL)R. Hoencamp (Leiderdorp, Utrecht, Leiden/NL)

Poster Walk 53 Trauma Systems and Prehospital CareePoster Terminal 2

Moderation L. Ponchietti (Torrevieja, Alicante/ES), B. Schnüriger (Bern/CH)

PR 506 The Necessity of Adjustment of TCCC Cources in National Conditions. The Hellenic Example.N. Degermetzoglou, D. Economou, S. Theofanidou, S. Stamoulis, I. Bountouris (Athens/GR)

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PR 507 Where the kids Go: Is There Any Difference in Surgical Sub-Specialty Outcomes among Trauma Centertypes?D. Scantling (Philadelphia/US), T. Wasserman (Harrisburg/US)M. Jankowski (Philadelphia/US)

PR 508 The Pre-hospital to In-hospital Injury Death Ratio in Qatar from 2007–2015: Evidence for Improved Access to Care or More Injury Prevention?R. Consunji, A. El-Menyar, H. Al-Thani, R. Peralta (Doha/QA)

PR 510 The Challenge of Time ManagementM. Maris, W. Verhoef, S. Berben, E. Tan (Nijmegen/NL)

PR 511 Burden of Road Traffic Injuries (RTI) – Findings from a Prospective Trauma Registry Developed at Level 1 Apex Trauma Center of IndiaA. Sharma, A. Gupta (New Delhi/IN)

Poster Walk 54 Skeletal Trauma and Bone InfectionsePoster Terminal 3

Moderation F. Ijpma (Groningen/NL)

PR 512 The Running Pattern Analysis of the Superior Gluteal Artery out of the Pelvis-CT Angiography-Based StudyS. kitada, E. Shoda (Nishinomiya City, Hyogo/JP)

PR 513 Carpal Alignment: A New Method for AssessmentC. Selles, L. Ras, M. Walenkamp, M. Maas, J. C. Goslings, N. Schep (Amsterdam/NL)

PR 514 Surgical Treatment of Calcaneus Fractures with C-Nail.P. Baňař, F. Burget, J. kraus (Prague/CZ)

PR 515 Pelvic Rami Fractures In the Elderly: Evaluation of Initial Management in the Emergency DepartmentD. Bustamante, G. Luengo Alonso, D. Alonso, D. López, I. Auñón Martín (Madrid/ES)

PR 516 Primary Shortening – Secondary Lengthening as the Method of Choice for Treatment Big Defect of Long Bone and Soft Tissue of Extremities.E. Šabić, N. Šabić (Zenica/BA)

PR 517 Validation of the Dutch-Flemish Translation of the PROMIS V2.0 Physical Function Upper Extremity Item Bank in Dutch Patients with Musculoskeletal Disorders of the Upper ExtremityS. van Bruggen, C. Lameijer, C. Terwee (Amsterdam/NL)

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POSTER WALkS Tuesday, may 7

Poster Walk 55 PolytraumaePoster Terminal 4

Moderation R. Lefering (Witten/Herdecke/DE), J. A. Asensio (Omaha/US)

PR 518 Are Preclinical Trauma Deaths Preventable? A Systematic Review of LiteratureR. Pfeifer, S. Halvachizadeh (Zurich/CH), S. Schick (Munich/DE), M. Teuben, k. Sprengelk. Jensen, H.-C. Pape (Zurich/CH)

PR 519 The Effect of Socioeconomic Status on Severe Traumatic Injury: A Statistical AnalysisZ. Popal, E. Berkeveld, H. Goei, C. Brouwers, W. ZuidemaG. Giannakópoulos (Amsterdam/NL)

PR 520 Importance of the Involvement of Interventional Radiology Team for Patients with Severe Polytrauma Using Prompt and Rapid Endovascular Strategies in Traumatic Occasions (PRESTO) ConceptN. kiriu, H. Yoshioka, k. Morimoto, Y. Ichinose (Tokyo/JP), J. Matsumoto (kanagawa/JP)

PR 521 Associated Fractures in Patient with Acetabular FracturesO. Alexa, B. Puha, D. Popescu, T. S. Gheorghevici, B. Veliceasa (Iasi/RO)

PR 522 Predictors of In-Hospital Mortality in Polytrauma Patients with Blunt Chest Injuries. Translating Findings of Poor Outcome from a Level I Trauma Center in Greece. D. Lioumpas, I. Stamatatos, E. Metaxas, E. Benakis, k. Boumpoulis, G. AnagnostopoulosL. Pavlidis, M. Theodorou, F. Tsagkarakis, I. katogiritis, P. Tomos (Athens/GR)

PR 523 Diagnostically and Surgical Tactile Mistakes during Diaphragm InjuryZ. Chkhaidze, T. Gvenetadze (Tbilisi/GE)

Poster Walk 56 Emergency Surgery and Soft Tissue InfectionsePoster Terminal 5

Moderation T. Lustenberger (Frankfurt am Main/DE), M. Paduraru (Milton keynes/GB)

PR 524 Correlation between Surgeons and Pathologists in the Severity Grading of Acute AppendicitisM. Saladich-Cubero, J. Gardenyes Martínez, S. Fernández-Planas, J. A. Dárdano-BerrielR. Guerrero López, J. Molinas Bruguera, H. Vallverdu-Cartié (Vic/ES)

PR 525 Acute Cholangitis of Benign Etiology. Urgent Treatment Strategy.A. Osipov, A. Demko, A. Sviatnenko, D. Surov (Saint-Petersburg/RU)

PR 526 The Use of Flexi-Seal Fecal Management in Fournier’s GangreneG. Vuilleminot, P. Erika, D. Mathieu, I. Plenier, C. Schipman, J. R. Nzamushe (Lille/FR)

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POSTER WALkSTuesday, may 7

PR 528 Analysys about Impact of Use Images in Patients with Complicated and Negative Appendicitis in a High Complexity Center of a Middle-High Income CountryA. Garcia, J. Chica, A. Sanchez, M. P. Naranjo, M. A. Hincapié, M. Garces (Cali/CO)

PR 529 Treatment of Ruptured Abdominal Aortic Aneurysms in Vascular Surgery Clinic of 251 Hellenic Air Force Hospital – 25 Years Experience.N. Degermetzoglou, D. Economou, S. Stamoulis, I. Bountouris (Athens/GR)

Poster Walk 57 Education/Future Developments and New TechniquesePoster Terminal 6

Moderation N. N.

PR 530 Are Surgeons in Andalusia Prepared to Correctly Treat the Polytraumatized Patient?V. M. Durán Muñoz-Cruzado, L. Tallón Aguilar, A. Sanchez Arteaga, J. Tinoco GonzálezJ. Padillo Ruiz, F. Pareja Ciuró (Seville/ES)

PR 531 Impact of the Rub-In Technique on the Hygienic Hand Disinfection in Surgical Training: A Comparative Effetiveness Analysis of Two Techniquesk. D. Sakmen, J. Sterz, C. Stefanescu, B. Bernd, M. Ruesseler (Frankfurt am Main/DE)

PR 532 Teaching Humanitarian Surgery: Filling the Gap between NGO Needs and Subspecialized Surgery through a Novel Inter-University Certificate.M. Thoma, L. Dominguez, M. Ledecq, J.-P. Goolaerts, R. Moreels, I. Nyaruhirira (Brussels/BE) J.-F. Brichant (Liège/BE), T. Roumeguère, R. Reding (Brussels/BE)

PR 533 Perception of Surgical Skills in Internal Surgery at Pedro De Valdivia University, Chile.F. Vielma, L. Bobadilla, J. Peñuela, S. Saavedra, F. Muñoz (Santiago/CL)

PR 534 Energy Status and Altered Metabolism in Acute Severe TBI: First Results of a Prospective 31P-MRS StudyO. Petr, D. Pinggera, M. Luger, R. Beer, A. Grams, C. Thomé (Innsbruck/AT)

PR 535 3D Printing in Joint Fracture SurgeryM. Tomazevic, A. Fischinger, M. Cimerman (Ljubljana/SI)

PR 536 Development of New Implant for Trochanteric Fractures with Subtrochanteric InvolvementM. B. Mitkovic, M. M. Mitkovic (Nis/RS)

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POSTER WALkS Tuesday, may 7

Poster Walk 58 Traumatic Brain InjuriesePoster Terminal 7

Moderation N. N.

PR 537 Cerebral Intracellular Metabolic Concentrations: 40 Hours and 3 Months after Severe Pediatric TBI. P. Menshchikov, A. Manzhurtsev, M. Ublinskiy, A. Ivantsova, T. AkhadovN. Semenova (Moscow/RU)

PR 538 Incidence of Hypotension in Patients with Isolated Traumatic Brain Injury: Analysis of National Trauma Registry.A. Becker (Afula, Haifa/IL), k. Peleg, A. Givon (Israel/IL), B. kessel (Haifa, Hadera/IL)

PR 539 Functional Disturbances of Cerebellum in Patients with Mild TBI. rsfMRI Study.M. Ublinskiy, N. Semenova, T. Akhadov, P. Menshchikov, A. ManzhurtsevI. Mel’nikov (Moscow/RU)

PR 540 Lenticulostriate Arteries Pathology in Children with Basal Ganglia Stroke Following Mild Head Trauma.M. Akhlebinina, M. Ublinskiy, I. Melnikov, T. Akhadov (Moscow/RU)

PR 541 What to do? – The Traumatic Brain Injury (TBI) Approach in a Secondary Level HospitalM. Ferreira, S. Oliveira, I. Mónica, N. Guimaraes, H. Ribeiro, J. Neves, I. BorgesL. Conceição (Figueira da Foz/PT)

Poster Walk 59 Skeletal Trauma and Bone InfectionsePoster Terminal 8

Moderation N. N.

PR 543 Complex Regional Pain Syndrome Type 1 after Conservative Treatment of a Distal Radius Fracture; A Post Traumatic Symptom Rather than a Disease. A Clinical Observational Study. E. Boersma, H. van de Meent, F. klomp, J. P. Frolke, R. Nijhuis-van der SandenM. Edwards (Nijmegen/NL)

PR 544 Functional Outcome Following a Modified Weaver-Dunn Procedure in Patients with a Chronic Tossy Type III Acromioclavicular SeparationJ. Halm, T. Schepers, J. C. Goslings (Amsterdam/NL), N. Schep (Rotterdam/DE)R. Peters (Amsterdam/NL)

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POSTER WALkSTuesday, may 7

PR 545 Changes in the Treatment of Acetabulum Fractures. Is the Modified Stoppa Approach the New Workhorse for Anterior Acetabulum Fixation?J. T. Vollrath, T. Lustenberger, P. Störmann, I. Marzi (Frankfurt am Main/DE)

PR 546 Can the Timed-Up and Go Test Be Used in Young Patients with Pelvic Ring Injury?S. Tiziani, H.-C. Pape, G. Osterhoff (Zurich/CH)

PR 547 Operative Strategy in Posteromedial Proximal Tibial Fracture Associated with Bicondylar Tibial Plateau Fracture.S. Ajnin (Birmingham/GB)

Poster Walk 60 MiscellaneousePoster Terminal 9

Moderation J. Jørgensen (Oslo/NO)

PR 548 Craniofacial Trauma in Pediatric Trauma Hospital.A. Timofeeva, A. Melnikov, A. Gorelik, Z. Semenova, O. karaseva (Moscow/RU)

PC 399 Cervical Spine Injury after VR (Virtual Reality) Gaming: A Case Report.D. Baur, C. Pfeifle, C.-E. Heyde (Leipzig/DE)

PR 551 Characteristics of Emergency Department Hypothermic Patients Associated with Increased Severity of IllnessP. Petrone (Mineola/US), I. Miller (Valhalla/US), C. Brathwaite, R. Howell (Mineola/US)D. Cochrane (Morristown/US), W. Rodríguez-Velandia, C. Rahn (Mineola/US)J. Allegra (Morristown/US)

PR 552 The Lateral Reconstruction of the Ankle Joint Complicated with the Shortening and Deformity of the Distal Fibula and Also the Instability of the Ankle Joint Related to Trauma and Osteochondral LesionN. Takenaka (Fukushima/JP), k. Ootsuka (Nagasaki/JP), T. Teramoto, T. Asahara, N. katohS. Harada, M. Takagi, T. Matsushita (Fukushima/JP)

PR 553 Surgical Procedure and Usefulness of Distal Tibial Oblique Osteotomy (DTOO) Treated for the Malunion and the Traumatic Varus Ankle OsteoarthritisT. Teramoto, N. Takenaka (Fukushima/JP), k. Ootsuka (Nagasaki/JP), T. Asahara, N. katohS. Harada, M. Takagi, T. Matsushita (Fukushima/JP)

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Opening Ceremony & Welcome ReceptionSunday, May 5 l Location: Clarion Congress Hotel Prague

A warm welcome in Prague! During our opening ceremony, the organising committee, the min-ister of health as well as the mayor of Prague will welcome you in Prague! A Czech clarinet orchestra will add a local touch.

After that we invite you to socialise with your colleagues, delegates and exhibitors in a pleasant atmosphere in the industrial exhibi-tion. Snacks and drinks will be served and a Cimbalom band will frame the evening.

Congress DinnerMonday, May 6 I Location: Hard Rock Cafe Prague Dům U Rott a Malé Náměstí 3 I 110 00 Prague

Prague says Hello! Feel free to enjoy an exciting mix of American and Czech culture and food in the oldest Hard Rock Cafe in the world. Join us for a culinary experience and reflect on the lectures and conversations of the last two days.DJ Lui Jack will inspire you to hit the dance floor.

A ticket is 80 EUR and registration is possible. Please ask the staff at the registration desk.

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Gold Partner

CSL Behring GmbH

Silver Partner DePuy Synthes

ExHIBITION

List of Exhibitors Booth No.7S MEDICAL AG 2AVANOS Medical, Inc. 13Canon Medical Systems Europe B.V. 5ChM sp. z o.o. 14CSL Behring GmbH 16DePuy Synthes 15European Society for Trauma and Emergency Surgery 17Fasciotens GmbH 3International Committee of the Red Cross (ICRC) 4königsee Implantate GmbH 9MEDIN, a.s. 10MedSkin Solutions Dr. Suwelack AG 11PHAMETRA GmbH 12Wisepress, Ltd. 1ZipLine Medical, Inc. 8

mEDIA COOPERATIONSBiermann Verlag GmbHKompakt Anästhesiologie und Intensivmedizin

Dr. Reinhard kaden Verlag GmbH & Co. kGChirurgische Allgemeine

Medicom Verlags GmbHIntensiv News

Springer Nature Switzerland AGEuropean Journal of Trauma and Emergency Surgery

Thieme Publishers Georg Thieme Verlag kGThe Surgery Journal State at printing

SPONSOR ACkNOWLEDGEmENTS

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ExHIBITION FLOOR PLAN

State at printing

StellaMeeting Room Tycho

Lecture Hall& ePoster

Presentations

ZenitLecture Hall

MeridianePoster Terminals

Aquarius & TaurusLecture Hall

Leo & VirgoLecture Hall

QuadrantSpeakers‘ Preview

Area

Registration& Cloakroom

Lobby Bar Tempus

8 9

1

2

345 10

1214

13

15

17

P1 P2

P4 P5

P3

P6

P9

P8

P10

P7

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Entrance

KeplerePoster

Terminals

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ESTES Village

11

P1

1 Exhibition Booths

Elevators

Map Key

Coffee Stations

Escalators

Bathrooms

ePoster Terminals P1–P10

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112

INDuSTRy SuPPORTED SESSIONSmonday, may 6

12:45–13:45 Industrial Workshop I CSL Behring GmbH

Zenit Management of Bleeding and Coagulopathy Following Major TraumaModeration R. komadina (Celje/SI), I. Marzi (Frankfurt am Main/DE)

Update European Trauma Guidelines M. Maegele (Cologne/DE)

Goal-directed Therapy of Bleeding – Change in Transfusion Paradigm D. Fries (Innsbruck/AT)

(Emergency) Interventions in Patients under DOAC´s H. Schoechl (Vienna/AT)

12:45–13:45 Industrial Lunch Symposium Nadir Johnson & Johnson Institute Advances in Geriatric Hip Fracture Management: Clinical Experience from Two Large Trauma Centres

Welcome & Introduction F. kralinger (Vienna/AT)

Treatment Protocol F. kralinger (Vienna/AT)

Why TFNA? F. kralinger (Vienna/AT)

Why Augmentation? C. kammerländer (Munich/DE)

Why FNS? C. kammerländer (Munich/DE)

Q&A All Faculty

Summary & Close F. kralinger (Vienna/AT)

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INDuSTRy SuPPORTED SESSIONSmonday, may 6

12:45–13:45 Industrial Symposium I Canon Medical Systems Aquarius & Taurus Redefining Traumatology – Lessons LearnedModeration T. Hörer (Örebro/SE)

T. kinoshita (Osaka/JP)

12:45–13:45 Industrial Workshop I MedSkin Solutions Dr. Suwelack AG Leo & Virgo Management of Soft Tissue Defects with MatriDerm® Dermal Matrix

MatriDerm® Dermal Matrix Case Presentation and Application Combined with Split-Thickness Skin Graft E. Sagnak (Hamburg/DE)

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INDEx OF SPEAkERS, CHAIRS AND PRESENTING AuTHORS

114

AAbarquero Diezhandino, A. 52 , 89Abdolrahimzadeh Fard, H. 54Abu Talib, M. 82Achatz, G. 36, 43, 46Adamkova, V. 22, 54Adamski, S. 38, 92Afonso, C. 91Ajnin, S. 108Akhlebinina, M. 107Alasmar, M. 62Alexa, O. 53, 105Alexandrino, H. 36, 101Amaya Aliaga, J. 34, 40Anastasiu, M. 55Andrea, k. 69Ang, R. 47Ankin, M. 86Aoki, H. 51Aoki, M. 20Apampa, A. 60Apfalter, P. 29Arand, C. 47Asensio, J. A. 21, 29, 47, 58, 105Ashiru, O. 60Ashkenazi, I. 16, 43, 46 60, 63, 86Assink, N. 89Azevedo, F. 62, 91Azim, A. 23, 24, 91

BBába, V. 89Babst, R. 32, 41Bakir, S. 23, 54, 66, 72Bakota, B. 35, 42, 75, 97Bala, M. 18Baltov, A. 41Baňař, P. 104Banerjee, N. 50, 69Banierink, H. 37, 87Bartley, M. 82Bartoska, R. 76Bass, G. 21, 45, 50Baumbach, S. 49Baur, D. 108Becker, A. 107Berger-Groch, J. 20Berkeveld, E. 99Berkova, J. 60Bertolucci, A. 71Bianchi, k. 59Biggi, F. 32Biloslavo, A. 32, 33

Blokhuis, T. 100Boersma, E. 50, 98, 107Bolierakis, E. 58, 65Bond-Smith, G. 45, 91Boonthum, P. 27Bouillon, B. 30, 52, 84Bozzo, S. 59Brand, A. 93Breitholtz, B. 63Bulthuis, L. 90Burget, F. 74Burggraf, M. 44Bustamante, D. 104

CCampos-Serra, A. 20, 81Čaplinskis, A. 99Caragounis, E.-C. 68Caspers, M. 17Ceolin, M. 61Ceresoli, M. 65Chang, C. C. 54Chang, S. W. 57Chen, C.-H. 86Chen, C. Y. 53Chiappetta, M. F. 73Chkhaidze, Z. 105Cho, H. 96Choi, J. P. 97Chou, Y. U. 95Cibur, P. 35, 42Cimerman, M. 26, 36Claudi, C. 75Cockerill, U. 91, 96Coimbra, R. 17, 19, 32, 45Coleman, J. 17, 68Cornum, k. 74Cosci, M. 51Costa, A. S. 78, 86Costa Santos, D. 79Cotirlet, A. 56Coulter, J. 61Cozza, V. 83Cresner, R. 92Čretnik, A. 19Cristiu, O. 85Croce, M. 15, 26, 30Croitor, G. 89Cuarental García, J. 44, 58

DDanyljuk, O. 86de Jong, L. 67, 98De Padua, C. 59

De Pellegrin, M. 52, 86Deacon, C. 71Degermetzoglou, N. 103, 106Deininger, C. 31, 74Dekker, A. 101Del Valle, A. 66Del Zotto, G. 77Demel, J. 54Demetriades, D. 15, 22, 29 45, 78Demiya, k. 98Diaconescu, B. 39, 58, 95Dijkink, S. 63, 66Dimitrov, E. 87Dobson, B. 43, 59Dogjani, A. 62, 77Domanska, k. 71Donmez, T. 72Downie, E. 97Drabkova, J. 22Drac, P. 21, 30Driessen, M. 64Dubuis, J.-B. 27Dumas, R. 101Durán Muñoz-Cruzado, V. M. 27, 106Durao, C. 24Durila, M. 98

EEdu, S. 23, 24Emmen, A. 34Espindola, M. 80Evans, L. 58, 77, 96Evans, W. 83

FFaccincani, R. 46, 86Falke, M. 55Fantacci, R. 69Fattori, L. 39Fernandes, U. 51Fernández Martínez, M. 20, 67Ferrari, P. 59Ferreira, M. 52, 56, 81, 107Ferrero Recasens, J. 53Findlay, C. 99Fingerhut, A. 22Flesch, I. 26Frendl, I. 102Friedl, W. 19, 43, 49, 70Fries, D. 112Fujita, M. 94Furukawa, H. 57

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INDEx OF SPEAkERS, CHAIRS AND PRESENTING AuTHORS

115

GGaarder, C. 16, 33, 36, 40, 80Gaensslen, A. 46Gagliano, A. 66Gaines, B. A. 18, 19, 25Gajdošíková, k. 49Gajski, V. 94Gallego, L. 24Garcia, A. 106Gaulke, R. 37Geeraedts, L. 30Geibijeva, L. 99Georgiadis, G. 34, 94Germani, P. 80Gerogiannis, I. 31, 39, 45, 48Ghanem, M. 71Gilbert, T. 83Gockel, I. 22Gogna, S. 20Gonçalves, I. 77, 80Gonçalves Pereira, R. 51González Castillo, A. M. 54, 61Gracia-Roman, R. 69Gradl, G. 43Granger, S. 72Groh, J. 66Grosso, E. 94Gruisen, J. 100Gruszka, D. 75Grützner, P. A. 21Guerra, M. 77Gurney, J. 82

HHaeckel, S. 86Halonen, L. 56Halperin, I. 54Halvachizadeh, S. 43, 58, 59, 93Hanke, M. S. 37Haralambiev, L. 54Hart, R. 22, 74, 84, 87Hauck, S. 74, 85Haupt, S. 63Haverkamp, F. 31Haverkort, M. 31, 43, 46Havránek, P. 25Hefny, A. 66Heim, D. 32, 63Henkelmann, R. 34, 101Henning, E. 77Hepp, P. 15Herman, S. 46, 86Hesselink, L. 44, 54Hietbrink, F. 40, 45, 81Higashi, A. 103Hildebrand, F. 34, 35

Höch, A. 37, 47Hoencamp, R. 36, 74Hogenbirk, R. N. M. 73Holena, D. 101Hondo, k. 56Hong, T. H. 90Hopf, J. 47Hörer, T. 18, 113Hristov, H. 47Hrovat, E. 78Huizing, F. 98Hung, Y.-L. 96

IIannone, I. 59Iesaki, Y. 84Iguchi, M. 101Ijpma, F. 42, 104Imamoto, T. 82Inoue, T. 57Inui, T. 67Ionescu, L. 78, 91Iordanou, C. 76Irino, S. 56Irizarry, E. 77Ishii, W. 99Iwakura, T. 84Izawa, Y. 103

JJakopec, M. 50, 78Jalles, F. 99Janssen, T. 88Jehan, F. 31Jeong, E. 50Jo, Y. G. 50Johal, H. 27Jørgensen, J. 15, 19, 30, 108Josten, C. 18, 25, 33, 37, 51Jukema, G. 65Jung, P. Y. 56

kkaku, T. 80, 88kalashnikov, A. 63, 75, 85kalbas, Y. 58kalberer, N. 95kaldis, V. 79, 92kalmet, P. 75kammerländer, C. 112kanazawa, T. 85kaneko, N. 62kanezaki, S. 37kang, W. 51kanovsky, A. 35, 84

kao, J.-J. 60kasparek, J. 73katsichtis, T. 51, 68, 78kauser, S. 64kawamura, T. 35kdolsky, R. 19, 41keel, M. 25, 37, 42kern, F. 66khan, A. 101khan, M. 91kheirabadi, B. 60khirul Ashar, N. A. 69kim, H. R. 93kim, J. W. 75kim, J. 50, 62kim, M. J. 62kinoshita, T. 113kiriu, N. 105kitada, S. 104kloub, M. 32koca Tanriverdi, A. 87, 88kocourek, T. 41kolstadbraten, k. M. 24, 40 45, 66komadina, R. 20, 30, 40, 46 68, 112kong, k. 55konya, M. N. 100kootstra, T. 49kopp, L. 19kourtzis, D. 89kralinger, F. 112kraus, J. 41krieglstein, C. 68krivohlavek, M. 15, 30kúdelová, J. 103kuge, M. 51kujirai, D. 76kumabe, Y. 94kumar, A. 77kurihara, H. 26, 33, 39, 42kurozumi, T. 52

LLa Greca, A. 72, 101Laezza, N. 50Lambert, S. 32Landaluce-Olavarria, A. 29, 57 65, 96, 97Latifi, R. 27Laureano, M. 53, 76Leal, T. 24Leenen, L. 18, 21, 40, 45, 95Lefering, R. 40, 105Leiblein, M. 47

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116

Lennquist Montán, k. 31, 86Leppäniemi, A. 21, 29, 33Lewis, S. 65Li, J. 70Lim, k. X. 53Lin, C.-C. 81Lin, H.-F. 51Lin, Y.-N. 27Lintzeris, I. 92Lioumpas, D. 105Lochman, P. 21, 36, 56Lodier, F. 24, 40, 43Loggers, S. 73Lokerman, R. 31Lopez-Quinones, H. 93Losurdo, P. 83Lueders, M. 77Luengo Alonso, G. 34, 38, 94Lugli, P. 59Lumenta, D. 30Lupescu, O. 89, 90Lustenberger, T. 37, 105Lutsyshyn, V. 75

mMaayen, R. 82Maegele, M. 16, 112Maes, V. 70Magnone, S. 82Magyar, C. T. J. 44Mahendraraj, k. 52Makaloski, V. 91Malagnino, A. 95Maléř, J. 87Mancas, M. 91Mariani, D. 15, 33, 59Maris, M. 104Martinez Casas, I. 29Martins, R. 50Maruo, A. 71, 98Marzi, I. 18, 21, 25, 37, 112Mathilde, F. 87Matsuhashi, M. 94Matsui, H. 75Matsumura, Y. 103McCarrick, C. 31, 52, 96McNally, M. 26Meesters, A. 97Meier, k. 66Merino Rueda, R. 84Mesquita, C. 40Mesri, M. 20Mica, L. 59Michi, M. 52

Mihailescu, A. 82, 83Militz, M. 26Mill, V. 20Mills, S. 79Minasyan, A. 102Minato, T. 89Minehara, H. 21Mingoli, A. 30Mirosavljev, S. 16, 54Misra, N. 27, 28, 45, 60, 81Misselyn, D. 47Mitkovic, M. M. 64Mitkovic, M. B. 71, 106Miyake, T. 93Mizobata, Y. 19Mohseni, S. 23, 26, 53Molmer, M. 22, 72Mónica, I. 76Montan, C. 20, 60, 86Moody, N. 55Moore, E. 16, 18, 36, 39, 51Moore, M. H. 61Morales, D. 78Morizane, A. 80Mörs, k. 102Motomura, T. 57Muhrbeck, M. 31Münzberg, M. 37Muraoka, T. 57Murata, k. 82

NNæss, P. A. 17, 18, 32, 40Nagao, k. 102Nagao, T. 19Nakada, T.-a. 19Nakama, R. 99Nakano, T. 80Nasr, M. 60, 100Nau, C. 37, 91Nawijn, F. 58, 61Nechvatal, L. 76Negayama, T. 84Nerlich, M. 16, 29, 32, 40, 73Nikolaev, k. 31Noda, T. 33, 64Notani, N. 85Notrica, D. 18, 25Nzamushe, J. R. 69

OObruba, P. 94Oh, Y. 28Ohmori, T. 49

Oiwa, H. 80Okada, Y. 63Okawara, k. 90O‘Leary, L. 83Oppelt, P. 25Ortenwall, P. 36, 40, 74Osipov, A. 65, 105Osorno, J. F. 67Osterhoff, G. 59, 63Otomo, Y. 16, 19Özkurtul, O. 31, 103Ozlem, N. 78, 82Ozmen, M. 21, 65

PPachi, A. 92Paduraru, M. 39, 105Palma Caucig, N. 61, 100Pan, X. 70Pan, Y. 97Papachristou, A. 56Papagni, V. 76Pape, H.-C. 16, 21, 40, 85Pardo García, J. M. 79Parini, D. 20Park, J. H. 54Park, S.-H. 34Pasa, L. 22Páscoa Pinheiro, J. 93Pavlacky, T. 38Paydar, S. 68, 81Pazour, J. 41Peitzman, A. B. 16, 27, 29 30, 42, 43Perali, C. 51Peralta, R. 15, 44, 69, 70 81, 104Pereira, J. 25Perez, J. 91Peterer, L. 84Peters, R. 107Petr, O. 102, 106Petrone, P. 108Petrov, M. 71, 86Pfeifer, R. 105Pfeifle, C. 92Picciariello, A. 76Pieroh, P. 93, 100Pignatta, F. 24Pilasi Menichetti, C. 16, 25, 29Pinheiro, L. F. 21, 22, 42Piperos, T. 92Planje, R. 81Platz, A. 18

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Poghosyan, A. 55Pometlova, J. 81, 83Ponchietti, L. 25, 39, 45 72, 103Ponchietti, S. 22Pons, F. 36Ponsen, k. J. 16, 21, 43Popal, Z. 105Pothmann, C. E. M. 55Protsenko, V. 84Przybyl, J. M. 85Puha, B. 94Putzeys, G. 21, 41, 46, 70, 71

QQuattrone, M. 81

RRadu, P. A. 56Raftopoulos, A. 90Rajšter koren, A. 78Ramin, S. 53Rammelt, S. 19, 37, 98Rawashdeh, A. 27Reva, V. 18, 47Ribeiro, H. 24Ricci, G. 91Riddez, L. 22, 29Rijnhout, T. W. H. 70Rikli, D. 30Rojnoveanu, G. 83, 95, 99Romijn, D. 88Rommens, P. M. 15, 34, 35Roschke, E. 41Rosendorf, J. 47, 56Rösli, D. 63Roxana, L. 77Rubio Sáez, I. 78, 88Rudenko, A. 57Rüsseler, M. 39, 100Rutka, O. 61

SŠabić, E. 104Šabić, N. 71, 104Safadjou, S. 77Sagnak, E. 23, 113Saka, N. 41Sakai, T. 80Sakelariev, P. 94Sakio, H. 56Sakmen, k. D. 106Saladich-Cubero, M. 73, 105Salcedo, A. 23

Saleh, D. 91, 96Sammut, M. 55, 77Samokhvalov, I. 87Samuels, J. 17Sanchez Arteaga, A. 52, 65, 73Santillo, S. 59Santos, E. 78Sarici, I. S. 67Sato, k. 52Sato, Y. 57, 71Scantling, D. 104Scarno, F. 59Schäfer, F. 100Schaser, k.-D. 29Schecter, W. 16, 103Schnittker, L. 95Schnüriger, B. 22, 45, 60, 103Schoechl, H. 112Schormans, P. 63Schulz-Drost, S. 30, 68, 96Scotton, G. 77Seibert, F. 30Seki, S. 79Selles, C. 104Serna, J. J. 23Serova, N. 97Serrano Serrano, R. 53Shah, R. 52, 76Shamiyeh, A. 39, 45, 82Shanmuganathan, V. k. 23, 81Sharma, A. 104Shepetko-Dombrovskyi, O. 96Shiota, N. 34Shiraishi, A. 59Shoda, E. 33Siahposht-khachaki, A. 102Silva, F. E. 20, 80Silva, M. A. 50Silva Rodrigues, J. M. 90, 97Simko, P. 21, 78Simões, N. 53Sindall, M. 61Skála-Rosenbaum, J. 74Sluga, B. 46, 89Solak, I. H. A. 67Somigli, R. 53, 67Song, H. k. 75Sosa, M. 16Spain, D. A. 16, 26, 36, 62Spalteholz, M. 85Spencer, E. 96Spijkerman, R. 66, 90Stockinger, M. 35Stokholm Baekgaard, J. 44

Stollenwerck, G. 50Störmann, P. 95Sugrue, M. 33Sumislawski, J. 17Sun, Y. 85Suzuki, k. 93Szerényi, Z. 84

TTakahashi, k. 95Takaki, M. 64Takayama, k. 84Takenaka, N. 108Talving, P. 18, 22, 25, 92Tamura, R. 38Tamvakeras, P. 28Tanaka, M. 92Tarraste, M. 24Tartaglia, D. 27, 72Tasev, B. 41Teramoto, T. 108Testa, L. 24Teuben, M. 31, 44, 70, 88Thaller, P. 43Thoma, M. 106Thompson, R. 21Thorsson, L. 72Tilsed, J. 21, 39, 80Timofeeva, A. 108Tiziani, S. 108Tkalich, V. 79Tomazevic, M. 106Trávník, J. 35Trovato, A. 55

uUblinskiy, M. 100, 102, 107Uchino, M. 75Ueda, Y. 34, 38Uranues, S. 39, 65Urban, M. 34Urushibata, N. 17Usurelu, S. 50

Vvan Bruggen, S. 104van Delft, E. 64, 70van der Sluijs, R. 60van der Vliet, Q. M. J. 48, 49van der Weide, L. 60van Dongen, T. T. C. F. 103van Gerven, P. 49, 70van Leeuwen, C. 49, 64, 98

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van Rijckevorsel, V. A. J. I. M. 101van Yperen, D. 24Varga, E. 15, 35, 40, 42Vastmans, J. 74Vaz Pereira, R. 79Veliceasa, B. 79, 99Vella, M. 17, 101Verboket, R. 100Vermeulen, C. 87Vielma, F. 106Vigneshwar, N. 17Visser, E. 87Voeten, S. C. 67, 88Vogel, S. 95Voiglio, E. 43, 69Vollrath, J. T. 108Vuilleminot, G. 105Vyhnanek, F. 23

WWagner, D. 75Waki, T. 84Wakita, F. 85Wang, H. L. C. 79Wang, k. 55Wang, W.-T. 89Watanabe, H. 19, 58, 90Weber, T. 44, 59Wellme, E. 60Wendsche, P. 22Wendt, k. 29, 36, 42Whitley, A. 99Winkler, H. 46Wong, J. 55Wong, Y. T. 58Wu, X. 49Wutte, C. 38Wyss, T. 91

yYamada, M. 90Yamazumi, M. 91Yánez Benítez, C. J. 74, 77Yokoo, S. 41Yorimitsu, M. 64Yoshida, M. 57Yoshioka, H. 94Yoshioka, Y. 101

ZZabkowski, T. 56Zadneprovskiy, N. 59Zago, M. 20, 30, 39, 42 45, 57, 95Zeidler, S. 44Zelle, B. A. 41, 98Zentgraf, M. 72Zore, L. A. 89Zucca, A. 72

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21st European Congress ofTrauma & Emergency SurgeryApril 26 – 28, 2020 l Norges VaremesseOslo, Norway

Organised byEuropean Society for Trauma & Emergency SurgeryNorwegian Nati onal Advisory Unit for Trauma

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ESTES Congress 2019

Monday, May 6th 2019 | 12:45–13:45 hClarion Congress Hotel PragueRoom ZenitPrague / Czech RepublicCHAIR: RADKO KOMADINA, Solvenia INGO MARZI, Germany

Update European Trauma Guidelines MARC MAEGELE, Germany

Goal-directed therapy of bleeding: change in transfusion paradigm DIETMAR FRIES, Austria

(Emergency) Interventions in patients under DOAC‘s HERBERT SCHOECHL, Austria

CSL BEHRING SATELLITE SYMPOSIUM MANAGEMENT OF BLEEDING AND COAGULOPATHY FOLLOWING MAJOR TRAUMA