Childress Institute for Pediatric Trauma 2015 Annual Report

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2015 STATE OF THE INSTITUTE REPORT

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Our 2015 report provides a recap of our accomplishments with photos and next steps on research, education and advocacy programs.

Transcript of Childress Institute for Pediatric Trauma 2015 Annual Report

2015 STATE OF THE INSTITUTE REPORT

MISSION We discover and share the best ways to prevent and treat severe injuries in children. “The Childress Institute for Pediatric Trauma will be the focal point of a national movement to improve the level of pediatric trauma care available across the country.

We will assemble the right team to conquer this national crisis. The Childress family is committed to making the Childress Institute the leader in pediatric trauma care and will lead the charge on behalf of injured children everywhere.” — Richard and Judy Childress

When Richard and Judy found out that traumatic injury was responsible for the death of more children in the U.S. than all other causes combined and how little attention this crisis was receiving nationally, they knew they had to do something about it. The Childresses teamed up with Wake Forest Baptist Medical Center to launch the Childress Institute for Pediatric Trauma. Their goal is to help save the lives of injured children throughout the U.S. and all over the world.

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From the Executive DirectorAfter a year of brainstorming in 2014, the team and I hit our stride in 2015 and started forming our plans for the future of the Childress Institute for Pediatric Trauma. We strategically selected programs that fulfilled our focus to 1) improve pediatric trauma care and 2) reduce injuries in youth recreation and sports. As in years past, we achieved these goals by funding research, providing education and leveraging advocacy opportunities.

We started the year strong by hosting the second Childress Summit of pediatric trauma leaders. With our medical advisor Dr. J. Wayne Meredith’s help, we led 50 pediatric trauma clinicians from all over the U.S. to formalize several projects that can most quickly improve the way injured children receive care. We look forward to carrying these projects to fruition over the next few years.

We continue to see results from our research projects that have been collecting data for several years. Our two national research grants have proved to be solid pilot studies that will improve care for injured kids. Our ATV and iTAKL studies are going strong and provided us with action we can share, including ways we help make recreation and sports safer for kids.

As part of our public safety education initiatives, we recruited NASCAR drivers Austin and Ty Dillon to introduce ATV safety tips for kids, parents and caregivers. We also worked with our friends at Richard Childress Racing to provide bike safety education to elementary school students. We partnered with Kids & Pros, two local hospitals and youth booster clubs to provide Heads Up football safety education to kids and concussion injury recognition and prevention for their parents, coaches and trainers.

Our clinician education outreach flourished with new speaking opportunities and continuing education courses thanks to our partners who were generous with their time and funding. We reached caregivers around the world thanks to an international web symposium with Cincinnati Children’s Hospital, and sports injury expert Jeff Hinshaw’s speeches at EMS World Expo. We also co-funded pediatric trauma education for nurses, paramedics and emergency department staff from Alabama, Mississippi and Tennessee. We ended the year by helping our friends at Wake Forest Baptist Health’s Brenner Children’s Hospital and the Pediatric Trauma Society with their pediatric trauma education needs.

I was fortunate to be included in several important initiatives in Washington, D.C., and around the U.S., including an NCAA concussion meeting, Brain Injury Awareness Day, and a planning session with the National Institute of Child Health and Human Development. We held several successful new fundraising events last year and plan to continue them again in 2016.

You can help save injured kids by supporting our events, buying items from our store and auctions, or funding one of our programs. Visit SaveInjuredKids.org or find us on social media to learn more about our mission, programs and sponsorship opportunities.

Thanks for your continued support! Stay inspired!

Bob Gfeller

Bob Gfeller, Executive Director

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Pediatric Trauma Leaders Converge for SummitThe Institute hosted 50 key leaders in pediatric trauma for a summit at Graylyn International Conference Center in Winston-Salem, N.C. Summit participants formalized plans for projects that will make the most impact in saving severely injured children across the U.S.

“Traumatic events result in the death of nearly 10,000 children each year – that’s more than all other causes combined – and many more children are left with a lengthy rehabilitation or lifelong disability,” said Robert J. Gfeller, executive director of the Childress Institute. “It’s our goal to improve care for all injured children in America, and we can achieve this faster and smarter if we work together. Everyone that participated in the summit is passionate about saving the lives of injured kids.”

The summit moved theoretical ideas to concrete action plans behind two core projects:

• Rural health care provider needs assessment• Pediatric trauma educational platform – a

variety of resources available to all health care providers

Small group sessions were led by:

• Dr. Mary Fallat, Kosair Children’s Hospital • Dr. David Mooney, Boston Children’s Hospital • Kathy Haley, Nationwide Children’s Hospital• Dr. Jeffrey Upperman, Children’s Hospital

Los Angeles

Next steps include collaboration to produce and publish a paper on the Summit’s findings from Children’s Hospital of Pittsburgh at UPMC. The 2015 summit is a follow up meeting to the first Childress Summit held in 2013 to assess the state of pediatric trauma care in the U.S. and create a 10-year plan for best practices in research, treatment and education, the results of which were published in the September 2014 issue of the Journal of Trauma.

The summit included pediatric trauma leaders from 15 states across the U.S., as well as several national organizations from Washington, D.C., and a representative from Canada:

• American College of Surgeons• Boston Children’s Hospital• Brenner Children’s Hospital at Wake

Forest Baptist Medical Center• Children’s Hospital of Philadelphia• Children’s Hospital Los Angeles• Children’s Hospital of Pittsburgh• Children’s Hospital of Wisconsin• Children’s National Health System• Cincinnati Children’s Hospital• Emergency Medical Services for Children

National Resource Center• Eunice Kennedy Shriver National Institute

of Child Health & Human Development/National Institutes of Health

• Kosair Children’s Hospital• KY Hospital Association• Maternal Child Health Bureau / Health

Resources and Services Administration• Nationwide Children’s Hospital• Phoenix Children’s Hospital• San Antonio Military Medical Center• Texas Children’s Hospital• Uniformed Services University

of the Health Sciences• University of Toronto• University of Utah• University of Washington

Treatment at a trauma center improves chance of survival by 25 percent

25%

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ResearchATVs

Did you know?• There were 30,000 ER visits in the U.S. in 2012 due

to ATV-related injuries • Routine safety recommendations for ATV drivers

are not followed by child drivers• There have been no ATV safety programs that

have lowered injuries in children

Through a review of statistics and safety information in the marketplace, Andrea Doud, M.D.; Thomas Pranikoff, M.D. and Laura Veach, Ph.D. developed an intervention model could make an impact in ATV safety and secondary injury prevention. We produced a video featuring NASCAR drivers Austin and Ty Dillon to explain the importance of wearing a helmet, riding the right ATV for your size, avoiding paved roads and safe riding behaviors.

The study will compare pre-and post-intervention data regarding safety knowledge and attitudes of pediatric ATV riders in clinical and hospital environments, using intervention opportunities with:

• Trauma Center patients – Researchers will share the ATV safety video and safety tips with injured children who are at heightened risk for future ATV-related injuries.

• Primary care patients – Tailored toward at-risk youths (potential ATV riders and drivers) during routine health visits at their pediatrician’s office.

Next step: Collect and measure results, then prepare data to publish and share.

iTAKL

As detailed in previous annual reports, we continue to provide funding for the iTAKL (Imaging Telemetry And Kinematic modeLing) Study, which evaluates the cumulative effects of head impacts in youth football players over many years. In 2014, with the help of the Christopher Budd endowment, we added an athletic trainer at all practices and games.

Researcher Jill Urban, Ph.D., measured the impact an athletic trainer had on the players through injury and concussion prevention, recognition and treatment. Statistics show that:

• Only 37 percent of high schools have a full-time athletic trainer

• Only a few of the 3.5 million youth tackle football players have access to an athletic trainer

• The rate for concussions in youth players is similar to those of high school and college football players

Despite these significant risks, most youth sporting events do not have medical personnel on the sidelines. Studies have shown that the presence of a medical professional at youth and high school sporting events improves the identification of concussion and may reduce the number of concussions that are not reported or missed.

The athletic trainer in the study also suggested steps to make the playing environment safer, such as creating an emergency action plan and assisting individual players with conditioning, stretching, hydration tips, and other topics. Urban and the iTAKL researchers will continue to study the long-term effects.

Results: Urban participated in the sports safety panel at the Safe Kids PREVCON conference in Washington, DC, to speak about the athletic trainer portion of the study. She also plans to publish a paper on her findings.

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LEARN MOREAthletic trainer Erica Konczal performs sideline concussion test.

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Childress Scholar Update

Congratulations to Childress Scholar Dr. Andrea Doud as she moves to her surgical residency. With the help of her mentors, Dr. Doud’s work was recognized in medical journals and at conferences:

• “Referral Patterns in Pediatric Burn Patients” in The American Surgeon

• “Mortality Risk in Pediatric Motor Vehicle Crash Occupants: Accounting for Developmental Stage and Challenging Abbreviated Injury Scale Metrics” and “Evaluation of Developmental Metrics for Utilization in a Pediatric Advanced Automatic Crash Notification Algorithm” in Traffic Injury Prevention

• “Prematurity and Neonatal Comorbidities as Risk Factors for Non-accidental Trauma” in the Journal of Pediatric Surgery

• “Predicting Patients that Require Care at a Trauma Center: Analysis of injuries and other factors” in Injury

• “It’s No Accident: Breastfeeding As a Protective Factor Against Non-Accidental Trauma” and “Quantification of Injury Risk As Predicted By Age, Height and Weight in Pediatric Motor Vehicle Crash Occupants” presented at the 2014 American Academy of Pediatrics National Conference

• “Management of Venous Bullet Embolus in a Child” in The American Surgeon

Pediatric Trauma Database

In 2014, Dr. Frederick Rivara at the University of Washington in Seattle received a grant from the Childress Institute and assembled a team of researchers, including Katherine Flynn-O’Brien, Mary Fallat, Tom Rice, and Christine Gall.

They reported that the efforts to improve pediatric trauma outcomes depend on the availability of detailed data to assess processes of care. These researchers developed the Pediatric Trauma Assessment and Management (PTAM) database by merging two independent data systems at five Pediatric Trauma Centers to assess the quality of care provided to critically injured children throughout their hospitalization.

Results: The merging of two existing databases helped successfully identify complications in injured children, which increases accuracy and accountability, and offers more accurate data for quality improvement at hospitals.

Pre-Hospital Care of Children with TBI Traumatic brain injury (TBI) can result in a lifetime of rehabilitation and medical costs for those who survive. Understanding how actions taken in the field by pre-hospital providers will affect the outcomes of seriously injured children with TBI is an important step to improving pediatric trauma care.

In 2015, Dr. Lawrence Cook at the University of Utah received a grant from the Childress Institute to test the impact of time to definitive pediatric care, on intensive care unit (ICU) and hospital length of stay and mortality in hospitalized children with moderate or severe TBI. His team linked pediatric patients in statewide emergency medical services, the trauma registry, and the Pediatric Health Information databases for years 2009 – 2013, and compared the relationship between time to definitive care and other variables.

Results: The study will serve as a pilot project for a larger proposal to create a comprehensive pediatric TBI database by linking a national pre-hospital database, a national trauma registry, and PHIS.

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EducationRural Pediatric Trauma Readiness

We are partnering with the Eddie Smith Foundation to create and fund a project at Vidant Medical Center. The study is titled “Saving Children in Rural America: The Impact of a Mobile, Simulation-based Educational Outreach Initiative on Pediatric Trauma Care and Outcomes in a Rural Trauma System.”

Vidant was awarded funds over two years to create an education project to improve rural pediatric trauma readiness. The researchers at Vidant are collaborating with East Carolina University’s Brody School of Medicine to build a mobile simulation unit to deliver pediatric trauma education and readiness for rural healthcare providers in eastern North Carolina. In addition to the pediatric-trauma specific knowledge, practicing how they will respond to an injured child gives caregivers confidence and increases skill.

If injured, one in five of our children are not close enough to a trauma ready hospital to be transported by air or ground within the critical “golden hour” of time after an injury. Increasing the regional medical provider’s access to pediatric trauma education is crucial to saving injured kids across the U.S.

Next Step: If the model is successful, we hope it can be replicated throughout the U.S. to improve pediatric trauma readiness.

Bike Safety

We partnered with Richard Childress Racing, Wake Forest Baptist Health – Lexington Medical Center, local pediatricians and the police department’s bike patrol to educate students about bike safety. The speakers

stressed the importance of wearing a helmet to prevent brain injuries. Each child was properly fitted for and received a free helmet courtesy of Safe Routes to School NC. As a result, we provided approximately 500 helmets at Herbin-Metz in Greensboro, Welcome and Tyro Elementary schools in Davidson County, and the Winston-Salem Walk & Roll event, all in N.C.

Football Clinics

The Childress Institute for Pediatric Trauma and the Matthew Gfeller Foundation partnered to host two free Kids & Pros Heads Up football clinics led by former Atlanta Falcons Linebacker, Buddy Curry, in Davie and Davidson counties in N.C. Over 450 children participated in the clinics and approximately 200 parents attended the football safety educational meeting. Wake Forest Baptist Health-Lexington Medical Center and Wake Forest Baptist Health-Davie Medical Center were community supporters and provided safety education for parents.

PFCCS Course in Alabama

Thanks to a grant from The NASCAR Foundation, the Childress Institute was able to facilitate a two-day intensive pediatric trauma training course hosted at Children’s of Alabama in Birmingham for 22 emergency care providers. We provided life-saving pediatric-focused education to nurses, paramedics and doctors from 11 organizations and three states. The ripple effect from this knowledge can improve outcomes for thousands of injured kids.

Jeff Hinshaw Speaking Engagements

Jeff Hinshaw , P.A., presented two classes at continuing education events for the Institute in 2015: “Heads, Heat, and Hearts: Medical Emergencies in Athletes” and “The Spine Injured Athlete.” In May, Hinshaw spoke at the Piedmont Region’s EMS education course. The Childress Institute also provided 125 sports equipment removal toolkits to attendees. He presented both courses at the EMS World Expo in September in Las Vegas to large, crowded conference rooms. Hinshaw spoke in October at the NC Office of EMS’ EM Today conference in Greensboro to a standing room only crowd.

Next steps: Thanks to overwhelmingly positive feedback from reviews of Jeff’s presentations, we are

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seeking grants to host a four hour course in Winston-Salem for EMS providers, athletic trainers and youth and high school coaches. The course will include on-field, hands-on practice to simulate equipment removal on an injured athlete. We also hope to provide 500 toolkits to emergency responders in 2016. Pediatric Web Symposium

In December, the Institute partnered with Cincinnati Children’s Hospital to present “Pediatric Trauma - Are You Ready?” Panel members included Dr. John Petty, Dr. Richard Falcone and Lynn Haas. Experts from around the world discussed various methods to treat and manage pediatric trauma patients, including: • Global injury burden • Pediatric emergency readiness • Trauma system • Solid organ management • Pancreatic injury management

Results: • 56 countries participated • Total audience of approx. 1,500 • Participants received 3.50 CME credits

Pediatric Trauma Conferences

The Inaugural Southeastern Pediatric Trauma Conference was held on September 25 in Winston-Salem, N.C. The Childress Institute funded keynote speaker Dr. Barb Gaines, Director of Trauma and Injury Prevention at the Children’s Hospital of Pittsburgh at UPMC. The conference was a partnership of:

Upon completion of the course, participants were better prepared to help injured children because they learned:

• A standard approach for care and treatment• Innovative techniques and technology for the best care • Current injury prevention practices in use to help minimize the burden of injury

On November 6-7, the Institute was a silver sponsor and Bob Gfeller presented at the Pediatric Trauma Society’s 2nd annual meeting in Scottsdale, Ariz.

Katie’s Story: Concussions in SoccerYouth sports concussion education, recognition and reporting are crucial to change the culture of sports, and treatment at a Level I pediatric trauma center can make a difference in the care a child receives. Katie is a 14-year-old girl who has been playing soccer for about 10 years. During soccer practice, she took a line drive to the head. She complained of a headache and sensitivity to light later that evening, and had one episode of vomiting. She returned to play the next day and had a head-to-head collision with another player during a game. Later that evening, she was taken to a pediatric emergency department with headaches and vomiting. She was admitted for observation and discharged the next day with instructions and educational material. During her assessment, she commented that she was taught to win at any cost. In her opinion, instead of coming out of the game, she needed to play. She received follow up care from a pediatric neurologist trained in concussion treatment. Katie continued to have trouble with headaches and keeping up in school for about three months, but is now symptom free. When kids are injured, the right treatment makes a difference. With increased concussion and head impact awareness, we can change the culture and improve the sports’ experience for kids.

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AdvocacyFour Corners ConsortiumThe Four Corners Consortium is a group of institutions, including the Childress Institute, that specialize in the field of traumatic brain injury and concussions to work collectively for fast and efficient results in various sports and recreational activities. We will focus on key research which will lead to educational programs for EMS, medical providers, athletic trainers, coaches, parents and children with measurable ways to accurately diagnose, treat and prevent concussion among youth athletes.

In March, Bob Gfeller and members of the Four Corners Consortium attended an NCAA meeting in Indianapolis held by their Chief Medical Officer, Dr. Brian Hainline, and Col. Dallas Hack, director of the U.S. Army’s Combat Casualty Care Research Program. The NCAA convened a group of about 30 experts in traumatic brain injury to discuss a national system to record and track concussion in youth sports. President Obama proposed a $5 million allocation in the budget, pending approval, to establish the system.

Congressional Hearings The Institute began a partnership with N.C. Congressman Richard Hudson to hold hearings with the U.S. House of Representatives’ Energy and Commerce committee with the goal of testifying to Congress in 2016 about the national needs to support pediatric trauma research and improve care for all injured children.

Bob Visits D.C.In March, Bob Gfeller attended the Brain Injury Association of America’s Hill Day as an advocate for traumatic brain injury research and treatment. Gfeller presented on the Childress Institute and was a panel member representing pediatric trauma nonprofits.

In December, he attended a planning session hosted by the Pediatric Trauma and Critical Illness Branch (PTCIB) at the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) to develop national strategies to improve medical care for injured children across the U.S. 2016 Funding Priorities

Research

Soccer Concussion Study $25,000

iTAKL Head Impact Study $50,000

Rural Needs Assessment $50,000

Development of Pediatric Medical Device for Golden Hour $50,000

Education

Sports Medicine Education Training Course $20,000

Advanced Burn Operative Management course $25,000

Pediatric Airway Management Education Course for NC EMS $35,000

National Pediatric Trauma Education Platform $50,000

Rep. Richard Hudson, center with staff, visits iTAKL research facility

Our PartnersWe are fortunate to have partners that help fund our mission through grants and sponsorships throughout the year.

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ATV Safety VideoThe Childress Institute launched an all-terrain vehicle safety video featuring NASCAR drivers Ty and Austin Dillon. The video provides tips for kids and parents to reduce injuries from ATV accidents. The Dillon brothers encouraged kids to be smart about being safe and recommended that kids follow their example in racing by wearing the right safety gear for the activity.

ATV Safety Tips:

• Wear a helmet – most fatal injuries on ATVs involve head trauma

• Don’t ride with more than one person on an ATV• Make sure kids ride vehicles appropriate for their size – many

accidents involve children riding vehicles too large for them to handle properly

• ATVs are made for off-roading – 33 percent of ATV deaths were on paved road

Visit SaveInjuredKids.org/atv to see our videos and safety tips.

Stephanie’s Story: ATV Wreck and RecoveryOn August 11, 2005, Stephanie was 15-years-old and with her family on vacation in Montana. She was driving an ATV down a gravel country road with her younger sister on the back. As they rounded a corner, the ATV’s left front wheel hit a rock and skidded, and they collided with a barbed wire fence. She looked down and saw that she was bleeding and she felt numbness and pain in her face and neck. As she continued to lose blood, she went into shock. Her father found them and Stephanie urgently informed him that her sister was hurt – unaware of the severity of her own condition.

A car ride, ambulance lift, and helicopter flight later, Stephanie landed in St. Vincent Hospital’s emergency department, where she received a tracheostomy and over 1,100 stitches. After many surgeries and years of healing, Stephanie has graduated from college and is speaking out about her experience. She wants kids and parents to understand that ATVs are not toys and require appropriate training and safety education before they are driven.

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Events & AwarenessSporting Clays for Kids

Thanks to Rodgers Construction for presenting our inaugural Sporting Clays for Kids event on May 6. We raised over $40,000 thanks to our sponsors. The 2016 event will be held on April 19-20.

Save Injured Kids Golf Classic

We raised over $100,000 at our golf event on August 4 held at Sapona Ridge Country Club in Lexington, N.C. Thanks to presenting sponsor Insight and our other sponsors for attending the event. The 2016 event will be held on September 27-28.

T. Wayne Robertson Golf Tournament

T. Wayne’s friends and family joined forces at the 9th Annual T. Wayne Robertson Memorial Golf Tournament on October 26 to raise over $60,000 to help Save Injured Kids. Special thanks to our Silver Sponsor, the Jimmie Johnson Foundation.

Austin Dillon Partnership

In early 2015, NASCAR driver Austin Dillon decided he wanted to partner with the Childress Institute in a big way, culminating in the inaugural Austin Dillon 3-on-3 Celebrity Basketball Tournament. Dillon hosted pediatric trauma survivors at various events throughout the season to raise awareness about pediatric trauma. Multiple media outlets allowed Dillon to talk about his work to help save injured kids, including a press conference with Weezie Broughton, a pediatric trauma survivor.

We raised over $100,000 at the basketball tournament on November 3. Thanks to presenting sponsor Dow, our other generous sponsors and our celebrity team captains for supporting the event. Stay tuned for 2016 event details.

Visit SaveInjuredKids.org/basketball to see more photos.

Pediatric trauma survivors, Meredith Cross and Weezie Broughton, were invited to join Dillon and meet Taylor

Swift at her concert thanks to Xfinity, which was covered byNASCAR.com and other media outlets.

Motocross injury survivor Brayden “BB” Butler and pediatric trauma nurse Geni Smith attended the October Talladega Superspeedway race.

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Matt Gfeller Memorial Doughnut Run

The 2015 Matt Gfeller Memorial Doughnut Run, held on November 14, had 906 runners and raised over $60,000 for traumatic brain injury prevention, research and treatment. The funds are split between the Childress Institute and the Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center at UNC-Chapel Hill. The run has raised over $250,000 since 2008. The 2016 race date is November 12.

In December, People Magazine published a story about the Gfeller family and their work with the Childress Institute to raise money for traumatic brain injury research in memory of their son, Matthew.

Motocross injury survivor Brayden “BB” Butler and pediatric trauma nurse Geni Smith attended the October Talladega Superspeedway race.

Meredith Cross brought Dillon enough luck to join him in victory lane at the October Xfinity race at Charlotte Motor Speedway.

Weezie Broughton helped Dillon with media and autograph appearances at the October Sprint Cup race at Charlotte Motor Speedway.

Dillon’s team won the tournament thanks to help from (l to r) former NCAA champions Ben Brust and Jason Capel, guest coaches Meredith Cross and Weezie Broughton and Dow employee Derek Fillmore.

Dillon sported the 3-on-3 basketball tournament logo on his helmet at the October Martinsville race.

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Weezie’s Story: Surviving a Traumatic Brain InjuryIn November 2014, my family was in downtown Winston-Salem hosting a conference at the convention center. We were staying at the hotel across from the convention center and there is a walking tunnel under the conference center to access the hotel. During our outings on previous days, our daughter Weezie would use the tunnel to go back to the hotel from the Convention Center.

In the morning, Weezie was with me at the convention. As it got closer to lunch, Weezie told me she was going back to the office inside the convention center. I turned to speak with the event coordinator and a few moments later I heard someone say “where is she now?” Somehow I knew they were talking about me.

When I got to the street there was a crowd gathered. Weezie had just been hit by a car as she was trying to cross the street in front of the convention center. She was sitting up and obviously had been injured. Her face was bleeding, there was blood on her dress and it was torn.

She was out of her mind and combative, asking “where’s my mom, where’s my mom?” I immediately got to her and said “Weezie, I’m here, I’m here,” but she was still disoriented and agitated. The ambulance arrived about the time I reached her and I rode with her the short distance to Wake Forest Baptist Health’s Brenner Children’s Hospital. The EMS and hospital employees tried to calm her down. They explained it was probably part of her head injury, but Weezie is very feisty.

My husband and our other children met us at the hospital and we waited and prayed. Eventually a nurse told us Weezie had been stabilized. At some point she was moved up to the pediatric ICU. Although much of the experience is a blur, I remember clearly that first night talking with Dr. Tom Pranikoff who said although Weezie looked bad from her head trauma and facial injuries that she would be okay. I clung to that so much. We didn’t know if she would have brain damage from her head injury and we were anxious for her to wake up.

After many hours of watching and waiting, Weezie finally woke up. She was diagnosed with a traumatic brain injury, multiple facial fractures, and a hip fracture. She was in the Pediatric ICU for two days. Weezie saw multiple doctors in a variety of pediatric specialties, including Orthopedics, Ophthalmology, Neurology, and Ear, Nose and Throat.

Slowly we saw her personality coming back. The doctors did a neurological test and she did well. Thanksgiving was in a few days and Weezie was determined to get released in time for our big family gathering. Before we left the hospital, Dr. Pranikoff emphasized how serious Weezie’s head injury was and how lucky we were that the hospital was only four minutes from where she was hit. He said if we had been somewhere else it could have been a different story and that many children die every day from these injuries. Weezie was discharged in time for Thanksgiving, and there wasn’t a dry eye around the table when all 18 of us shared the year’s abundant thanks and blessings.

We continue to have checkups for the fractures around her eyes and regular MRIs to make sure she is healing correctly. Having these resources and specialists specifically for children made such a difference in our experience. Saturday, November 22 was an awful day for our family and we were shaken to our core. But we were also blessed beyond measure by the excellent and kind and outstanding care Weezie received. We will be forever grateful.

“We absolutely know that being close to a Level I pediatric trauma center made THE

difference in Weezie’s outcome.”

– Holley Broughton, mom to 12-year-old

Louisa “Weezie” Broughton, a pediatric trauma survivor

Financial StatementsOperating AccountJuly 2014 - June 2015

Assets and LiabilitiesTotal Current Assets: $4,334Total Current Liabilities: $174,382Total Net Assets: $(170,048)Unrestricted net assets: $(170,048)Total Change in unrestricted net assets: $(170,048)

RevenuesThird party contributions: $234,084Unrestricted contributions: $991,324Total Revenue: $1,225,408

Endowment AccountsGeneral Endowment $5,912,825Budd Pediatric Trauma Education Endowment $116,094Total $6,028,919

ExpensesFunctional Expenses TOTAL Services Mgmt. and General Fundraising

Grants and allocations 180,000 180,000Compensation of officers, directors, etc. 191,791 153,433 23,015 15,343

Other salaries and wages 296,812 237,450 35,617 23,745Other employee benefits 103,785 83,028 12,454 8,303Accounting fees 613 613Legal fees 32,219 16,110 16,109Supplies 5,758 4,606 691 461Printing and publications 12,367 12,367Travel 20,484 20,484

Conferences, conventions and meetings 120,627 120,627

Other expenses not covered above 131,000 104,800 15,720 10,480

Total Expense Amounts: Total: Program Services: Mgmt. and General: Fundraising:

TOTAL EXPENSES: 1,095,456 916,795 104,220 74,441

13Financials are preliminary Federal 990 tax return information. Official Childress Institute for Pediatric Trauma tax return filing for fiscal year 2015 is May 15, 2016.

Childress Institute for Pediatric TraumaWake Forest Biotech Place575 N. Patterson Ave., Suite 148, Winston-Salem, NC [email protected] \ 866-635-8190

An electronic version of this report can be found at SaveInjuredKids.org

The Childress Institute for Pediatric Trauma was founded at and receives considerablesupport from Wake Forest Baptist Medical Center. The Institute was established through the generosity of Richard and Judy Childress.

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