‘Amakihi on ‘ōhi‘a lehua. Photo © John De Mello/Nature Conservancy

Hilton Hawaiian Village, Honolulu, Hawai‘i

August10 & 112018

Friday, August 10, 2018 Saturday, August 11, 2018

7:00 am Registration • Continental Breakfast • Exhibits

7:50 am Welcome – Michael Hayashi, MD

8:00 am Progress in Prosthetics: New Frontiers in Amputation Rehabilitation – Mark Bowyer, MD

8:30 am Smile! You’re on Candid Camera: the Use of Digital Video Recordings in the Outpatient Setting – Byron Izuka, MD

9:00 am PulsePoint – Ian Santee, MICT, MPA

9:30 am Break • Exhibits

10:00 am Trauma is Getting Old: Geriatric Trauma – Mark Bowyer, MD

10:30 am Fire Rescue & Airport Disaster Response – Glen Mitchell

11:00 am Concussion Panel: From Sideline to School and Beyond – Rachel Coel, MD, PhD – Daniel Donovan, MD – Ross Oshiro, MS, ATC, LMT

12:00 pm Lunch • Exhibits

1:00 pm The Human Microbiome: We Aren’t Who We Think We Are and It Makes a Difference – Steven Johnson, MD

1:30 pm Trauma Nursing Research You Should Know About – Karen Johnson, PhD, RN

2:00 pm Review of the Opioid Crisis and Debunking the Myths – Michael Jones

2:30 pm Blunt vs. Penetrating Traumatic Arrest Protocol and Field Termination Criteria – David Miramontes, MD

3:00 pm Break • Exhibits

3:30 pm Burnout in the ICU: A Call for Action – Karen Johnson, PhD, RN

4:00 pm Sepsis Following Trauma: Update 2018 – Steven Johnson, MD

4:30 pm Trauma Pharmacology: Pre-Hospital Whole Blood, TXA and Antibiotics – David Miramontes, MD

5:00 pm Adjourn

SYMPOSIUM CHAIRMichael S. Hayashi, MD, FACSTrauma Medical DirectorThe Queen’s Medical CenterState Trauma Medical Director Panel, ChairCOT Region 9, State of Hawai‘i ChairFaculty, General Surgery Residency & Surgical Critical Care Fellowship ProgramsAssistant Clinical Professor, Department of SurgeryThe University of Hawai‘i, John A. Burns School of Medicine

Guest Faculty

Col (ret) Mark W. Bowyer, MD, FACS, DMCCBen Eiseman Professor of SurgerySurgical Director of SimulationThe Uniformed Services University andWalter Reed National Military Medical CenterBethesda, MD

Karen L. Johnson, PhD, RNDirector, Nursing ResearchBanner HealthPhoenix, AZ

Steven B. Johnson, MD, FACS, FCCMProfessor and Chairman, Department of SurgeryUniversity of Arizona College of Medicine - PhoenixChief of SurgeryBanner - University Medical Center, PhoenixPhoenix, AZ

David A. Miramontes, MD, FACEP, FAAEMS, NREMT-BMedical DirectorSan Antonio Fire DepartmentAssistant Clinical ProfessorUT Health Science Center – San AntonioSchool of Health ProfessionsDepartment of Emergency Health SciencesSan Antonio, TX

Mike Taigman, MAEMS Improvement GuideAuthorEducatorSanta Barbara, CA

Hawai‘i Faculty

Rachel A. Coel, MD, PhD, FAAP, CAQSMMedical Director, Queen’s Center for Sports MedicineThe Queen’s Medical CenterClinical Assistant Professor, University of Hawai‘iJohn A. Burns School of MedicineHead Team Physician, HPU, HBA, Roosevelt High School

Daniel J. Donovan, MDNeurosurgeonThe Queen’s Medical Center

Senator Joshua B. Green, MDPhysicianLegislator, Hawai‘i State SenateMedical Director, Hawaii Independent Physicians Association

Vernon K. Hara, EMT-PCaptain, EMS BureauHawai‘i County Fire Department

Anthony J. Herrera, MDRadiology Associates of Hawai‘iAssistant Clinical Professor, University of Hawai‘iJohn A. Burns School of Medicine, Department of Surgery

Byron H. Izuka, MDAssociate Professor, University of Hawai‘iDivision of Orthopaedic Surgery

Michael J. Jones, AEMTCaptain, Honolulu Fire Department Training & Research BureauMedical Section

Tiffany Lightfoot, RN, EMT-P, MSState Trauma Program CoordinatorEmergency Medical Services & Injury Prevention System BranchHawai‘i State Department of Health

Glen MitchellFire Chief, Airport Rescue Fire FightingHonolulu International AirportState of Hawai‘i, Department of Transportation – Airports

Ross Oshiro, MS, ATC, LMTCoordinator, Queen’s Center for Sports MedicineThe Queen’s Medical Center

Ian T.T. Santee, MICT, MPADeputy DirectorHonolulu Emergency Services DepartmentCity & County of Honolulu

7:00 am Registration • Continental Breakfast • Exhibits

7:45 am Welcome & Opening Remarks – Michael Hayashi, MD

8:00 am Aortic Occlusion: REBOA vs. Thoracotomy – Steven Johnson, MD

8:30 am Spinal Motion Restriction: Stop Putting People on the Plastic Slip and Slide – David Miramontes, MD

9:00 am Post-Extubation Dysphagia: To Feed or Not to Feed – Karen Johnson, PhD, RN

9:30 am Break • Exhibits

10:00 am Culture of Safety – Tiffany Lightfoot, RN, EMT-P, MS

10:30 am Improving ICU Patient and Family Participation in Decision Making – Karen Johnson, PhD, RN

11:00 am Pneumatosis Intestinals: Catastrophic or So What? – Steven Johnson, MD

11:30 am The MARCHES Protocol Method of Trauma Stabilization – David Miramontes, MD

12:00 pm Lunch • Exhibits

1:00 pm Trauma System from the Perspective of a Critical Access Hospital & How to Make Change Happen in the Hawai’i Legislature – Senator Josh Green, MD

1:30 pm Community Paramedicine on the Big Island – Vern Hara, EMT-P

2:00 pm Transforming Trauma Training with Simulation: The Next Revolution – Mark Bowyer, MD

2:30 pm EMS Agenda 2050 – Mike Taigman, MA

3:00 pm Break • Exhibits

3:30 pm Taser: A Stunning or Deadly Experience – Mark Bowyer, MD

4:00 pm Interventional Radiology Techniques for Embolization in Trauma Patients – Anthony Herrera, MD

4:30 pm Science of Performance Improvement as Applied to Trauma – Mike Taigman, MA

5:00 pm Adjourn

About the SymposiumIn Hawai‘i, trauma injuries are responsible for more deaths of children and young adults, ages 1 through 40, than all other causes combined. Among residents of all ages, injury is the third leading cause of death, both locally and nationally. On an average week in Hawai‘i, 13 residents die from an injury, another 109 are hospitalized, and nearly 1,600 others are treated in emergency departments.

While fatal injuries represent less than 1% of all injuries requiring medical attention; the majority of non-fatal injuries have the greatest public health implications. This includes human suffering, long-term disabilities, productive life years lost, and a staggering financial cost for medical treatment and care. The physical, emotional, economic, and societal burden of trauma is one we all share.

In Hawai‘i, our unique trauma system is led by the Emergency Medical Services and Injury Prevention System Branch of the Department of Health to ensure a coordinated approach for providing optimal care of injured patients across our island communities. They also help sponsor our annual Hawaiian Islands Trauma Symposium; a two-day program of cutting-edge, evidence-based presentations and discussions directed at a wide variety of current issues related to care of the trauma patient. Our multidisciplinary faculty of locally and nationally renowned leaders will undoubtedly expand your knowledge in the ever evolving field of Trauma.

We hope you join our comprehensive mix of pre-hospital providers, trauma technicians, nurses, therapists, nurse practitioners, physician assistants, trauma program personnel, physicians, and other health care professionals. You each play an essential role in our unique trauma system and the care of Hawai‘i’s injured patients, whether kama‘aina or malihini. Welina mai.

Educational ObjectivesAfter completing this educational activity, participants should be able to:

• Discuss optimal management of the critically ill and injured patient, with specific consideration in areas of Pre-hospital Care, Critical Care Medicine, Emergency Medicine, Disaster Management and Response, Geriatric Trauma, Pediatric Orthopedic Trauma, Surgical Education and Post-Traumatic Care.• Describe successful system-based practices and strategies in response to the challenges facing the trauma system.• Identify new approaches and challenges to the management of subspecialty trauma issues.• Explore special challenges of rural access and legislation impacting trauma care.• Explore the evaluation, treatment, and management of concussions.• Examine challenges in the prehospital, hospital and community setting.• Explore new technologies and initiatives for efficient use of limited resources and improved patient care and systems.• Review guidelines, protocols, research studies and tools that impact the care of trauma patients.

Hawaiian Islands TRAUMA SYMPOSIUM

Friday, August 10, 2018 Saturday, August 11, 2018

7:00 am Registration • Continental Breakfast • Exhibits

7:50 am Welcome – Michael Hayashi, MD

8:00 am Progress in Prosthetics: New Frontiers in Amputation Rehabilitation – Mark Bowyer, MD

8:30 am Smile! You’re on Candid Camera: the Use of Digital Video Recordings in the Outpatient Setting – Byron Izuka, MD

9:00 am PulsePoint – Ian Santee, MICT, MPA

9:30 am Break • Exhibits

10:00 am Trauma is Getting Old: Geriatric Trauma – Mark Bowyer, MD

10:30 am Fire Rescue & Airport Disaster Response – Glen Mitchell

11:00 am Concussion Panel: From Sideline to School and Beyond – Rachel Coel, MD, PhD – Daniel Donovan, MD – Ross Oshiro, MS, ATC, LMT

12:00 pm Lunch • Exhibits

1:00 pm The Human Microbiome: We Aren’t Who We Think We Are and It Makes a Difference – Steven Johnson, MD

1:30 pm Trauma Nursing Research You Should Know About – Karen Johnson, PhD, RN

2:00 pm Review of the Opioid Crisis and Debunking the Myths – Michael Jones

2:30 pm Blunt vs. Penetrating Traumatic Arrest Protocol and Field Termination Criteria – David Miramontes, MD

3:00 pm Break • Exhibits

3:30 pm Burnout in the ICU: A Call for Action – Karen Johnson, PhD, RN

4:00 pm Sepsis Following Trauma: Update 2018 – Steven Johnson, MD

4:30 pm Trauma Pharmacology: Pre-Hospital Whole Blood, TXA and Antibiotics – David Miramontes, MD

5:00 pm Adjourn

SYMPOSIUM CHAIRMichael S. Hayashi, MD, FACSTrauma Medical DirectorThe Queen’s Medical CenterState Trauma Medical Director Panel, ChairCOT Region 9, State of Hawai‘i ChairFaculty, General Surgery Residency & Surgical Critical Care Fellowship ProgramsAssistant Clinical Professor, Department of SurgeryThe University of Hawai‘i, John A. Burns School of Medicine

Guest Faculty

Col (ret) Mark W. Bowyer, MD, FACS, DMCCBen Eiseman Professor of SurgerySurgical Director of SimulationThe Uniformed Services University andWalter Reed National Military Medical CenterBethesda, MD

Karen L. Johnson, PhD, RNDirector, Nursing ResearchBanner HealthPhoenix, AZ

Steven B. Johnson, MD, FACS, FCCMProfessor and Chairman, Department of SurgeryUniversity of Arizona College of Medicine - PhoenixChief of SurgeryBanner - University Medical Center, PhoenixPhoenix, AZ

David A. Miramontes, MD, FACEP, FAAEMS, NREMT-BMedical DirectorSan Antonio Fire DepartmentAssistant Clinical ProfessorUT Health Science Center – San AntonioSchool of Health ProfessionsDepartment of Emergency Health SciencesSan Antonio, TX

Mike Taigman, MAEMS Improvement GuideAuthorEducatorSanta Barbara, CA

Hawai‘i Faculty

Rachel A. Coel, MD, PhD, FAAP, CAQSMMedical Director, Queen’s Center for Sports MedicineThe Queen’s Medical CenterClinical Assistant Professor, University of Hawai‘iJohn A. Burns School of MedicineHead Team Physician, HPU, HBA, Roosevelt High School

Daniel J. Donovan, MDNeurosurgeonThe Queen’s Medical Center

Senator Joshua B. Green, MDPhysicianLegislator, Hawai‘i State SenateMedical Director, Hawaii Independent Physicians Association

Vernon K. Hara, EMT-PCaptain, EMS BureauHawai‘i County Fire Department

Anthony J. Herrera, MDRadiology Associates of Hawai‘iAssistant Clinical Professor, University of Hawai‘iJohn A. Burns School of Medicine, Department of Surgery

Byron H. Izuka, MDAssociate Professor, University of Hawai‘iDivision of Orthopaedic Surgery

Michael J. Jones, AEMTCaptain, Honolulu Fire Department Training & Research BureauMedical Section

Tiffany Lightfoot, RN, EMT-P, MSState Trauma Program CoordinatorEmergency Medical Services & Injury Prevention System BranchHawai‘i State Department of Health

Glen MitchellFire Chief, Airport Rescue Fire FightingHonolulu International AirportState of Hawai‘i, Department of Transportation – Airports

Ross Oshiro, MS, ATC, LMTCoordinator, Queen’s Center for Sports MedicineThe Queen’s Medical Center

Ian T.T. Santee, MICT, MPADeputy DirectorHonolulu Emergency Services DepartmentCity & County of Honolulu

7:00 am Registration • Continental Breakfast • Exhibits

7:45 am Welcome & Opening Remarks – Michael Hayashi, MD

8:00 am Aortic Occlusion: REBOA vs. Thoracotomy – Steven Johnson, MD

8:30 am Spinal Motion Restriction: Stop Putting People on the Plastic Slip and Slide – David Miramontes, MD

9:00 am Post-Extubation Dysphagia: To Feed or Not to Feed – Karen Johnson, PhD, RN

9:30 am Break • Exhibits

10:00 am Culture of Safety – Tiffany Lightfoot, RN, EMT-P, MS

10:30 am Improving ICU Patient and Family Participation in Decision Making – Karen Johnson, PhD, RN

11:00 am Pneumatosis Intestinals: Catastrophic or So What? – Steven Johnson, MD

11:30 am The MARCHES Protocol Method of Trauma Stabilization – David Miramontes, MD

12:00 pm Lunch • Exhibits

1:00 pm Trauma System from the Perspective of a Critical Access Hospital & How to Make Change Happen in the Hawai’i Legislature – Senator Josh Green, MD

1:30 pm Community Paramedicine on the Big Island – Vern Hara, EMT-P

2:00 pm Transforming Trauma Training with Simulation: The Next Revolution – Mark Bowyer, MD

2:30 pm EMS Agenda 2050 – Mike Taigman, MA

3:00 pm Break • Exhibits

3:30 pm Taser: A Stunning or Deadly Experience – Mark Bowyer, MD

4:00 pm Interventional Radiology Techniques for Embolization in Trauma Patients – Anthony Herrera, MD

4:30 pm Science of Performance Improvement as Applied to Trauma – Mike Taigman, MA

5:00 pm Adjourn

About the SymposiumIn Hawai‘i, trauma injuries are responsible for more deaths of children and young adults, ages 1 through 40, than all other causes combined. Among residents of all ages, injury is the third leading cause of death, both locally and nationally. On an average week in Hawai‘i, 13 residents die from an injury, another 109 are hospitalized, and nearly 1,600 others are treated in emergency departments.

While fatal injuries represent less than 1% of all injuries requiring medical attention; the majority of non-fatal injuries have the greatest public health implications. This includes human suffering, long-term disabilities, productive life years lost, and a staggering financial cost for medical treatment and care. The physical, emotional, economic, and societal burden of trauma is one we all share.

In Hawai‘i, our unique trauma system is led by the Emergency Medical Services and Injury Prevention System Branch of the Department of Health to ensure a coordinated approach for providing optimal care of injured patients across our island communities. They also help sponsor our annual Hawaiian Islands Trauma Symposium; a two-day program of cutting-edge, evidence-based presentations and discussions directed at a wide variety of current issues related to care of the trauma patient. Our multidisciplinary faculty of locally and nationally renowned leaders will undoubtedly expand your knowledge in the ever evolving field of Trauma.

We hope you join our comprehensive mix of pre-hospital providers, trauma technicians, nurses, therapists, nurse practitioners, physician assistants, trauma program personnel, physicians, and other health care professionals. You each play an essential role in our unique trauma system and the care of Hawai‘i’s injured patients, whether kama‘aina or malihini. Welina mai.

Educational ObjectivesAfter completing this educational activity, participants should be able to:

• Discuss optimal management of the critically ill and injured patient, with specific consideration in areas of Pre-hospital Care, Critical Care Medicine, Emergency Medicine, Disaster Management and Response, Geriatric Trauma, Pediatric Orthopedic Trauma, Surgical Education and Post-Traumatic Care.• Describe successful system-based practices and strategies in response to the challenges facing the trauma system.• Identify new approaches and challenges to the management of subspecialty trauma issues.• Explore special challenges of rural access and legislation impacting trauma care.• Explore the evaluation, treatment, and management of concussions.• Examine challenges in the prehospital, hospital and community setting.• Explore new technologies and initiatives for efficient use of limited resources and improved patient care and systems.• Review guidelines, protocols, research studies and tools that impact the care of trauma patients.

Hawaiian Islands TRAUMA SYMPOSIUM

Friday, August 10, 2018 Saturday, August 11, 2018

7:00 am Registration • Continental Breakfast • Exhibits

7:50 am Welcome – Michael Hayashi, MD

8:00 am Progress in Prosthetics: New Frontiers in Amputation Rehabilitation – Mark Bowyer, MD

8:30 am Smile! You’re on Candid Camera: the Use of Digital Video Recordings in the Outpatient Setting – Byron Izuka, MD

9:00 am PulsePoint – Ian Santee, MICT, MPA

9:30 am Break • Exhibits

10:00 am Trauma is Getting Old: Geriatric Trauma – Mark Bowyer, MD

10:30 am Fire Rescue & Airport Disaster Response – Glen Mitchell

11:00 am Concussion Panel: From Sideline to School and Beyond – Rachel Coel, MD, PhD – Daniel Donovan, MD – Ross Oshiro, MS, ATC, LMT

12:00 pm Lunch • Exhibits

1:00 pm The Human Microbiome: We Aren’t Who We Think We Are and It Makes a Difference – Steven Johnson, MD

1:30 pm Trauma Nursing Research You Should Know About – Karen Johnson, PhD, RN

2:00 pm Review of the Opioid Crisis and Debunking the Myths – Michael Jones

2:30 pm Blunt vs. Penetrating Traumatic Arrest Protocol and Field Termination Criteria – David Miramontes, MD

3:00 pm Break • Exhibits

3:30 pm Burnout in the ICU: A Call for Action – Karen Johnson, PhD, RN

4:00 pm Sepsis Following Trauma: Update 2018 – Steven Johnson, MD

4:30 pm Trauma Pharmacology: Pre-Hospital Whole Blood, TXA and Antibiotics – David Miramontes, MD

5:00 pm Adjourn

SYMPOSIUM CHAIRMichael S. Hayashi, MD, FACSTrauma Medical DirectorThe Queen’s Medical CenterState Trauma Medical Director Panel, ChairCOT Region 9, State of Hawai‘i ChairFaculty, General Surgery Residency & Surgical Critical Care Fellowship ProgramsAssistant Clinical Professor, Department of SurgeryThe University of Hawai‘i, John A. Burns School of Medicine

Guest Faculty

Col (ret) Mark W. Bowyer, MD, FACS, DMCCBen Eiseman Professor of SurgerySurgical Director of SimulationThe Uniformed Services University andWalter Reed National Military Medical CenterBethesda, MD

Karen L. Johnson, PhD, RNDirector, Nursing ResearchBanner HealthPhoenix, AZ

Steven B. Johnson, MD, FACS, FCCMProfessor and Chairman, Department of SurgeryUniversity of Arizona College of Medicine - PhoenixChief of SurgeryBanner - University Medical Center, PhoenixPhoenix, AZ

David A. Miramontes, MD, FACEP, FAAEMS, NREMT-BMedical DirectorSan Antonio Fire DepartmentAssistant Clinical ProfessorUT Health Science Center – San AntonioSchool of Health ProfessionsDepartment of Emergency Health SciencesSan Antonio, TX

Mike Taigman, MAEMS Improvement GuideAuthorEducatorSanta Barbara, CA

Hawai‘i Faculty

Rachel A. Coel, MD, PhD, FAAP, CAQSMMedical Director, Queen’s Center for Sports MedicineThe Queen’s Medical CenterClinical Assistant Professor, University of Hawai‘iJohn A. Burns School of MedicineHead Team Physician, HPU, HBA, Roosevelt High School

Daniel J. Donovan, MDNeurosurgeonThe Queen’s Medical Center

Senator Joshua B. Green, MDPhysicianLegislator, Hawai‘i State SenateMedical Director, Hawaii Independent Physicians Association

Vernon K. Hara, EMT-PCaptain, EMS BureauHawai‘i County Fire Department

Anthony J. Herrera, MDRadiology Associates of Hawai‘iAssistant Clinical Professor, University of Hawai‘iJohn A. Burns School of Medicine, Department of Surgery

Byron H. Izuka, MDAssociate Professor, University of Hawai‘iDivision of Orthopaedic Surgery

Michael J. Jones, AEMTCaptain, Honolulu Fire Department Training & Research BureauMedical Section

Tiffany Lightfoot, RN, EMT-P, MSState Trauma Program CoordinatorEmergency Medical Services & Injury Prevention System BranchHawai‘i State Department of Health

Glen MitchellFire Chief, Airport Rescue Fire FightingHonolulu International AirportState of Hawai‘i, Department of Transportation – Airports

Ross Oshiro, MS, ATC, LMTCoordinator, Queen’s Center for Sports MedicineThe Queen’s Medical Center

Ian T.T. Santee, MICT, MPADeputy DirectorHonolulu Emergency Services DepartmentCity & County of Honolulu

7:00 am Registration • Continental Breakfast • Exhibits

7:45 am Welcome & Opening Remarks – Michael Hayashi, MD

8:00 am Aortic Occlusion: REBOA vs. Thoracotomy – Steven Johnson, MD

8:30 am Spinal Motion Restriction: Stop Putting People on the Plastic Slip and Slide – David Miramontes, MD

9:00 am Post-Extubation Dysphagia: To Feed or Not to Feed – Karen Johnson, PhD, RN

9:30 am Break • Exhibits

10:00 am Culture of Safety – Tiffany Lightfoot, RN, EMT-P, MS

10:30 am Improving ICU Patient and Family Participation in Decision Making – Karen Johnson, PhD, RN

11:00 am Pneumatosis Intestinals: Catastrophic or So What? – Steven Johnson, MD

11:30 am The MARCHES Protocol Method of Trauma Stabilization – David Miramontes, MD

12:00 pm Lunch • Exhibits

1:00 pm Trauma System from the Perspective of a Critical Access Hospital & How to Make Change Happen in the Hawai’i Legislature – Senator Josh Green, MD

1:30 pm Community Paramedicine on the Big Island – Vern Hara, EMT-P

2:00 pm Transforming Trauma Training with Simulation: The Next Revolution – Mark Bowyer, MD

2:30 pm EMS Agenda 2050 – Mike Taigman, MA

3:00 pm Break • Exhibits

3:30 pm Taser: A Stunning or Deadly Experience – Mark Bowyer, MD

4:00 pm Interventional Radiology Techniques for Embolization in Trauma Patients – Anthony Herrera, MD

4:30 pm Science of Performance Improvement as Applied to Trauma – Mike Taigman, MA

5:00 pm Adjourn

About the SymposiumIn Hawai‘i, trauma injuries are responsible for more deaths of children and young adults, ages 1 through 40, than all other causes combined. Among residents of all ages, injury is the third leading cause of death, both locally and nationally. On an average week in Hawai‘i, 13 residents die from an injury, another 109 are hospitalized, and nearly 1,600 others are treated in emergency departments.

While fatal injuries represent less than 1% of all injuries requiring medical attention; the majority of non-fatal injuries have the greatest public health implications. This includes human suffering, long-term disabilities, productive life years lost, and a staggering financial cost for medical treatment and care. The physical, emotional, economic, and societal burden of trauma is one we all share.

In Hawai‘i, our unique trauma system is led by the Emergency Medical Services and Injury Prevention System Branch of the Department of Health to ensure a coordinated approach for providing optimal care of injured patients across our island communities. They also help sponsor our annual Hawaiian Islands Trauma Symposium; a two-day program of cutting-edge, evidence-based presentations and discussions directed at a wide variety of current issues related to care of the trauma patient. Our multidisciplinary faculty of locally and nationally renowned leaders will undoubtedly expand your knowledge in the ever evolving field of Trauma.

We hope you join our comprehensive mix of pre-hospital providers, trauma technicians, nurses, therapists, nurse practitioners, physician assistants, trauma program personnel, physicians, and other health care professionals. You each play an essential role in our unique trauma system and the care of Hawai‘i’s injured patients, whether kama‘aina or malihini. Welina mai.

Educational ObjectivesAfter completing this educational activity, participants should be able to:

• Discuss optimal management of the critically ill and injured patient, with specific consideration in areas of Pre-hospital Care, Critical Care Medicine, Emergency Medicine, Disaster Management and Response, Geriatric Trauma, Pediatric Orthopedic Trauma, Surgical Education and Post-Traumatic Care.• Describe successful system-based practices and strategies in response to the challenges facing the trauma system.• Identify new approaches and challenges to the management of subspecialty trauma issues.• Explore special challenges of rural access and legislation impacting trauma care.• Explore the evaluation, treatment, and management of concussions.• Examine challenges in the prehospital, hospital and community setting.• Explore new technologies and initiatives for efficient use of limited resources and improved patient care and systems.• Review guidelines, protocols, research studies and tools that impact the care of trauma patients.

Hawaiian Islands TRAUMA SYMPOSIUM

Friday, August 10, 2018 Saturday, August 11, 2018

7:00 am Registration • Continental Breakfast • Exhibits

7:50 am Welcome – Michael Hayashi, MD

8:00 am Progress in Prosthetics: New Frontiers in Amputation Rehabilitation – Mark Bowyer, MD

8:30 am Smile! You’re on Candid Camera: the Use of Digital Video Recordings in the Outpatient Setting – Byron Izuka, MD

9:00 am PulsePoint – Ian Santee, MICT, MPA

9:30 am Break • Exhibits

10:00 am Trauma is Getting Old: Geriatric Trauma – Mark Bowyer, MD

10:30 am Fire Rescue & Airport Disaster Response – Glen Mitchell

11:00 am Concussion Panel: From Sideline to School and Beyond – Rachel Coel, MD, PhD – Daniel Donovan, MD – Ross Oshiro, MS, ATC, LMT

12:00 pm Lunch • Exhibits

1:00 pm The Human Microbiome: We Aren’t Who We Think We Are and It Makes a Difference – Steven Johnson, MD

1:30 pm Trauma Nursing Research You Should Know About – Karen Johnson, PhD, RN

2:00 pm Review of the Opioid Crisis and Debunking the Myths – Michael Jones

2:30 pm Blunt vs. Penetrating Traumatic Arrest Protocol and Field Termination Criteria – David Miramontes, MD

3:00 pm Break • Exhibits

3:30 pm Burnout in the ICU: A Call for Action – Karen Johnson, PhD, RN

4:00 pm Sepsis Following Trauma: Update 2018 – Steven Johnson, MD

4:30 pm Trauma Pharmacology: Pre-Hospital Whole Blood, TXA and Antibiotics – David Miramontes, MD

5:00 pm Adjourn

SYMPOSIUM CHAIRMichael S. Hayashi, MD, FACSTrauma Medical DirectorThe Queen’s Medical CenterState Trauma Medical Director Panel, ChairCOT Region 9, State of Hawai‘i ChairFaculty, General Surgery Residency & Surgical Critical Care Fellowship ProgramsAssistant Clinical Professor, Department of SurgeryThe University of Hawai‘i, John A. Burns School of Medicine

Guest Faculty

Col (ret) Mark W. Bowyer, MD, FACS, DMCCBen Eiseman Professor of SurgerySurgical Director of SimulationThe Uniformed Services University andWalter Reed National Military Medical CenterBethesda, MD

Karen L. Johnson, PhD, RNDirector, Nursing ResearchBanner HealthPhoenix, AZ

Steven B. Johnson, MD, FACS, FCCMProfessor and Chairman, Department of SurgeryUniversity of Arizona College of Medicine - PhoenixChief of SurgeryBanner - University Medical Center, PhoenixPhoenix, AZ

David A. Miramontes, MD, FACEP, FAAEMS, NREMT-BMedical DirectorSan Antonio Fire DepartmentAssistant Clinical ProfessorUT Health Science Center – San AntonioSchool of Health ProfessionsDepartment of Emergency Health SciencesSan Antonio, TX

Mike Taigman, MAEMS Improvement GuideAuthorEducatorSanta Barbara, CA

Hawai‘i Faculty

Rachel A. Coel, MD, PhD, FAAP, CAQSMMedical Director, Queen’s Center for Sports MedicineThe Queen’s Medical CenterClinical Assistant Professor, University of Hawai‘iJohn A. Burns School of MedicineHead Team Physician, HPU, HBA, Roosevelt High School

Daniel J. Donovan, MDNeurosurgeonThe Queen’s Medical Center

Senator Joshua B. Green, MDPhysicianLegislator, Hawai‘i State SenateMedical Director, Hawaii Independent Physicians Association

Vernon K. Hara, EMT-PCaptain, EMS BureauHawai‘i County Fire Department

Anthony J. Herrera, MDRadiology Associates of Hawai‘iAssistant Clinical Professor, University of Hawai‘iJohn A. Burns School of Medicine, Department of Surgery

Byron H. Izuka, MDAssociate Professor, University of Hawai‘iDivision of Orthopaedic Surgery

Michael J. Jones, AEMTCaptain, Honolulu Fire Department Training & Research BureauMedical Section

Tiffany Lightfoot, RN, EMT-P, MSState Trauma Program CoordinatorEmergency Medical Services & Injury Prevention System BranchHawai‘i State Department of Health

Glen MitchellFire Chief, Airport Rescue Fire FightingHonolulu International AirportState of Hawai‘i, Department of Transportation – Airports

Ross Oshiro, MS, ATC, LMTCoordinator, Queen’s Center for Sports MedicineThe Queen’s Medical Center

Ian T.T. Santee, MICT, MPADeputy DirectorHonolulu Emergency Services DepartmentCity & County of Honolulu

7:00 am Registration • Continental Breakfast • Exhibits

7:45 am Welcome & Opening Remarks – Michael Hayashi, MD

8:00 am Aortic Occlusion: REBOA vs. Thoracotomy – Steven Johnson, MD

8:30 am Spinal Motion Restriction: Stop Putting People on the Plastic Slip and Slide – David Miramontes, MD

9:00 am Post-Extubation Dysphagia: To Feed or Not to Feed – Karen Johnson, PhD, RN

9:30 am Break • Exhibits

10:00 am Culture of Safety – Tiffany Lightfoot, RN, EMT-P, MS

10:30 am Improving ICU Patient and Family Participation in Decision Making – Karen Johnson, PhD, RN

11:00 am Pneumatosis Intestinals: Catastrophic or So What? – Steven Johnson, MD

11:30 am The MARCHES Protocol Method of Trauma Stabilization – David Miramontes, MD

12:00 pm Lunch • Exhibits

1:00 pm Trauma System from the Perspective of a Critical Access Hospital & How to Make Change Happen in the Hawai’i Legislature – Senator Josh Green, MD

1:30 pm Community Paramedicine on the Big Island – Vern Hara, EMT-P

2:00 pm Transforming Trauma Training with Simulation: The Next Revolution – Mark Bowyer, MD

2:30 pm EMS Agenda 2050 – Mike Taigman, MA

3:00 pm Break • Exhibits

3:30 pm Taser: A Stunning or Deadly Experience – Mark Bowyer, MD

4:00 pm Interventional Radiology Techniques for Embolization in Trauma Patients – Anthony Herrera, MD

4:30 pm Science of Performance Improvement as Applied to Trauma – Mike Taigman, MA

5:00 pm Adjourn

About the SymposiumIn Hawai‘i, trauma injuries are responsible for more deaths of children and young adults, ages 1 through 40, than all other causes combined. Among residents of all ages, injury is the third leading cause of death, both locally and nationally. On an average week in Hawai‘i, 13 residents die from an injury, another 109 are hospitalized, and nearly 1,600 others are treated in emergency departments.

While fatal injuries represent less than 1% of all injuries requiring medical attention; the majority of non-fatal injuries have the greatest public health implications. This includes human suffering, long-term disabilities, productive life years lost, and a staggering financial cost for medical treatment and care. The physical, emotional, economic, and societal burden of trauma is one we all share.

In Hawai‘i, our unique trauma system is led by the Emergency Medical Services and Injury Prevention System Branch of the Department of Health to ensure a coordinated approach for providing optimal care of injured patients across our island communities. They also help sponsor our annual Hawaiian Islands Trauma Symposium; a two-day program of cutting-edge, evidence-based presentations and discussions directed at a wide variety of current issues related to care of the trauma patient. Our multidisciplinary faculty of locally and nationally renowned leaders will undoubtedly expand your knowledge in the ever evolving field of Trauma.

We hope you join our comprehensive mix of pre-hospital providers, trauma technicians, nurses, therapists, nurse practitioners, physician assistants, trauma program personnel, physicians, and other health care professionals. You each play an essential role in our unique trauma system and the care of Hawai‘i’s injured patients, whether kama‘aina or malihini. Welina mai.

Educational ObjectivesAfter completing this educational activity, participants should be able to:

• Discuss optimal management of the critically ill and injured patient, with specific consideration in areas of Pre-hospital Care, Critical Care Medicine, Emergency Medicine, Disaster Management and Response, Geriatric Trauma, Pediatric Orthopedic Trauma, Surgical Education and Post-Traumatic Care.• Describe successful system-based practices and strategies in response to the challenges facing the trauma system.• Identify new approaches and challenges to the management of subspecialty trauma issues.• Explore special challenges of rural access and legislation impacting trauma care.• Explore the evaluation, treatment, and management of concussions.• Examine challenges in the prehospital, hospital and community setting.• Explore new technologies and initiatives for efficient use of limited resources and improved patient care and systems.• Review guidelines, protocols, research studies and tools that impact the care of trauma patients.

Hawaiian Islands TRAUMA SYMPOSIUM

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Continuing Education Credit

Hawaiian Islands Trauma Symposium 2018 | REGISTRATION FORM

Name _________________________________________________________________________________

o MD/DO: Specialty: ______________________________________________________________________

o RN o EMS Personnel (EMT/MICT) o Other: ______________________________________________

Mailing Address __________________________________________________________________________

City _________________________________________ State ______________ Zip Code ______________

Daytime Phone ______________________________________ Fax ________________________________

E-mail Address __________________________________________________________________________Note: Confirmation, receipt and access to materials will be sent via email.

Please register me for:o Friday & Saturday, August 10 & 11 o Friday, August 10 (only) o Saturday, August 11 (only)

Registration fee: By July 27, 2018 After July 27, 2018 One Day Two Days One Day Two Days

Physician: QMC $155 $290 $175 $310

Physician: Non-QMC $180 $340 $200 $360

Nurse/Other: QMC $130 $250 $150 $270Nurse/Other: Non-QMC $150 $270 $170 $290EMT (Hawai‘i): #______________________ $110 $210 $130 $230

QMC rates are applicable to medical staff and professional staff of The Queen’s Health Systems.

o Please send me information on pre-ordering Trauma t-shirts.

Symposium Information

‘Amakihi on ‘ōhi‘a lehua. Photo © John De Mello/Nature Conservancy

Hilton Hawaiian Village, Honolulu, Hawai‘i

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PhysiciansThe Queen’s Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Queen’s Medical Center designates this live activity for a maximum of 14.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (August 10 – 7.0 credits; August 11 – 7.0 credits)

Emergency Medicine PhysiciansThis live activity has been approved by the American College of Emergency Physicians for a maximum of 14.0 hours of ACEP Category I credit.

NursesAMA PRA Category 1 CreditsTM issued by organizations approved by ACCME will be recognized by the American Nurses Credential-ing Center (1 CME credit = 1 contact hour) and most other nursing certifying bodies. Check with your certifying body. It will also be recognized by the State of Hawai‘i Board of Nursing for license renewal.

EMS Personnel (EMT / MICT)The Queen’s Medical Center is an approved provider of continuing education for Emergency Services Personnel - Hawai‘i Provider #005. This symposium has been approved for 14.0 hours. (August 10 – 7.0 credits; August 11 – 7.0 credits)

Other Health ProfessionalsA certificate of attendance will be provided to support your needs.

Symposium LocationHilton Hawaiian Village Waikiki Beach ResortCoral Ballroom2005 Kalia Road, Honolulu, Hawai‘i 96815

Self-parking at the hotel will be fully validated. This excludes participants who are staying at the hotel or valet parking.

RegistrationThe registration fee covers access to course materials, continental breakfast, lunch and validation for self-parking. Registration will be on space availability basis. Early registration by July 27, 2018 is strongly encouraged. Upon receipt of registration, registrants will receive via email: confirmation, payment receipt, and instructions to access course materials online.

Acknowledgements Special acknowledgement is given to the following for support of this activity: State of Hawai‘i Trauma Special Fund

For more information contact:The Queen’s Medical CenterOffice of Continuing Medical EducationPhone: (808) 691-4406Fax: (808) 691-5040Email: cme@queens.org

METHOD OF PAYMENTo Check or money order payable to: The Queen’s Medical Center

o VISA o MasterCard o American Express o Discover

Cardholder’s Name ____________________________________________ Total Payment $_______________

Cardholder’s Billing Address ___________________________________________________________________(if different from above)

City ________________________________________ State ______________ Zip Code _______________

Card Number ___________________________________________ Card Security ID Code* ________________ *3 or 4 digits printed on card or security strip

Signature _________________________________________________ Expiration Date ___________________ Please send completed registration form and payment to:The Queen’s Medical CenterOffice of Continuing Medical Education, Harkness 117, 1301 Punchbowl Street, Honolulu, HI 96813Phone: (808) 691-4406, Fax: (808) 691-5040

Special Needs: The Queen’s Medical Center fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you are in need of accommodation, two weeks’ notice prior to the activity will help us serve you better. Refund: To receive a refund for the registration fee, cancellation must be made in writing. Refunds will be processed less 20% service fee if made by July 27, 2018. No refunds will be made after that date.Cancellation: This activity is subject to cancellation. In the unlikely event that it should be canceled, refund of registration fees will be made in full; however, the sponsor is not responsible for any travel costs incurred.

Hawaiian Islands Trauma Symposium 2018 | REGISTRATION FORM

Name _________________________________________________________________________________

o MD/DO: Specialty: ______________________________________________________________________

o RN o EMS Personnel (EMT/MICT) o Other: ______________________________________________

Mailing Address __________________________________________________________________________

City _________________________________________ State ______________ Zip Code ______________

Daytime Phone ______________________________________ Fax ________________________________

E-mail Address __________________________________________________________________________Note: Confirmation, receipt and access to materials will be sent via email.

Please register me for:o Friday & Saturday, August 10 & 11 o Friday, August 10 (only) o Saturday, August 11 (only)

Registration fee: By July 27, 2018 After July 27, 2018 One Day Two Days One Day Two Days

Physician: QMC $155 $290 $175 $310

Physician: Non-QMC $180 $340 $200 $360

Nurse/Other: QMC $130 $250 $150 $270Nurse/Other: Non-QMC $150 $270 $170 $290EMT (Hawai‘i): #______________________ $110 $210 $130 $230

QMC rates are applicable to medical staff and professional staff of The Queen’s Health Systems.

o Please send me information on pre-ordering Trauma t-shirts.

METHOD OF PAYMENTo Check or money order payable to: The Queen’s Medical Center

o VISA o MasterCard o American Express o Discover

Cardholder’s Name ____________________________________________ Total Payment $_______________

Cardholder’s Billing Address ___________________________________________________________________(if different from above)

City ________________________________________ State ______________ Zip Code _______________

Card Number ___________________________________________ Card Security ID Code* ________________ *3 or 4 digits printed on card or security strip

Signature _________________________________________________ Expiration Date ___________________ Please send completed registration form and payment to:The Queen’s Medical CenterOffice of Continuing Medical Education, Harkness 117, 1301 Punchbowl Street, Honolulu, HI 96813Phone: (808) 691-4406, Fax: (808) 691-5040

Special Needs: The Queen’s Medical Center fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you are in need of accommodation, two weeks’ notice prior to the activity will help us serve you better. Refund: To receive a refund for the registration fee, cancellation must be made in writing. Refunds will be processed less 20% service fee if made by July 27, 2018. No refunds will be made after that date.Cancellation: This activity is subject to cancellation. In the unlikely event that it should be canceled, refund of registration fees will be made in full; however, the sponsor is not responsible for any travel costs incurred.