Management of Traumatic Hemorrhage
30 October, 2018
Location: HMC Simulation Center Chair: Dr. Ruben Peralta, MD, FACS, FCCM
Target Audience: Nurses, Physicians, EMT’s, Lab technicians
Number of attendees: 20
Objectives:
- Explain and describe the anatomy and pathophysiology of traumatic hemorrhage [TH] and coagulopathy of trauma [CoT].
- Present current concepts and updates in hemostatic resuscitation.
- Discuss criteria that can be used to predict hemorrhagic shock, the need for massive transfusion or hemostatic resuscitation [scores, mechanisms, labs].
- Demonstrate hemostatic interventions – drugs, devices and blood products
- Present options for monitoring and evaluating hemostatic resuscitation – TEG, ROTEM or INR
- Share valuable lessons for setting up an MTP
- Provide clinical scenarios for participants to apply their newfound skills and information
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Time
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Speaker
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Topic
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8am
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Registration and Pre-test
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Registration
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8.30am
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Dr. Ruben Peralta
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Welcome and Introduction
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8.40am
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Dr. Ruben Peralta
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Clinical scenario
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9am
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Speaker: Dr. Ruben Peralta
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The anatomy and pathophysiology of traumatic hemorrhage (TH) and coagulopathy
of trauma (CoT).
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9.20am
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Speaker: Dr. Husham Abdulrahman
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Current concepts and updates in hemostatic resuscitation
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9.40am
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Speaker: Dr. Khalid Ahmed
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MTP predicting scoring system
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10am
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Coffee break
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10.15am
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Speaker:
Pre-Hospital - Dr. Ajeth Gangaran
In-Hospital - Dr. Husham Abdelrahman
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Hemostatic interventions
a. Pre-Hospital/Scene: Stop bleeding, tourniquets, pelvic binder, topical hemostatics, Quick Clot
b. In-Hospital: Reboa, fracture & wound management: pressure, etc.
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10.50am
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Speaker: Dr. Ruben Peralta
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Evaluation and Managing of Trauma Induced Coagulopathy and Component Blood Therapy
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11.10am
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Speaker: Dr. Ruben Peralta
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The Massive Transfusion Protocol
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11.40am
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Speaker: Mr. Brahim Ait Hasin
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The role of Nursing: Preparation, Equipment and logistic support
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12pm
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Lunch and Prayer
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PRACTICAL SESSIONS
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PRACTICAL SESSIONS
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Group 1
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Group 2
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1.30pm
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Session #1: Resource management - Equipment, Transport & Nursing support
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Session #2: Guided Blood Utilization - MTP, POCT, LABS
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3pm
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Coffee break
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3.30pm
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Session #2: Guided Blood Utilization - MTP, POCT, LABS
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Session #1: Resource management - Equipment, Transport and Nursing support
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5pm
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Post-test
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5.30pm
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Dr. Ruben Peralta
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Summary remarks
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