Day 2 - Tuesday , 21 November 2023


Time

Agenda/ Learning Outcomes

Time

Agenda/ Learning Outcomes

7.30am to 8am

Registration & coffee

8am to 8.20am

Group 1-4

Lecture: Urologic Trauma
IA, TB

By the end of this session, participants will be able to:

  • Describe the anatomy and physiology of the kidneys and urological system.
  • Discuss the mechanisms of urologic injury.
  • Identify the appropriate diagnostic procedures.
  • Explain the surgical techniques and management options.

8am to 8.30am

Group 5 & 6

Discussion: Anaesthesia for Trauma 
GS, GF

By the end of this session, participants will be able to discuss the following:

  • Vascular access strategies
  • Hypothermia and impaired coagulation factor
  • Anaesthesia - timing of RSI, pharmacology and pitfalls
  • Airway
  • Traumatic brain injury

8.20am to 8.50am

Group 1-4

Lecture: Extremity Trauma
SK, SB

By the end of this session, participants will be able to:

  • Discuss the importance of “Save life before limb”.
  • Recognize “hard signs” usually mandate operation.
  • Explain why imaging must not delay the vascular repair.
  • Describe the reconstruction options - repair, shunts, grafts.
  • List the indications of amputation.
  • Summarize advantages of Guillotine vs Flaps amputation.

8.30am to 9.30am

Group 5&6

Discussion: Anaesthesia and Airway Trauma 
KN, GF

By the end of this session, participants will be able to discuss the following:

  • When and why to intubate?
  • Pre-hospital vs in-hospital airway management
  • Difficult airway

8.50am to 9.10am

Group 1-4

Case presentation: Child run over
RP, Guy Brisseau)

By the end of this session, participants will be able to:

  • Outline the multi-trauma occurrence in children
  • Discuss the use and interpretation of FAST and CT imaging in children
  • Discuss the multi-trauma solid organ injury in children and the non-operative interventions.

9.10am to 9.40am

Group 1-4

Lecture: Splenic Injury
RP, TB

By the end of this session, participants will be able to:

  • Discuss the physiological changes in splenic injury and treatment decisions.
  • Discuss splenectomy for hemodynamically unstable patients.
  • Outline the non-operative management (NOM) and Angioembolization for hemodynamically stable patients

9.30am to 10am

Group 5 & 6

Discussion: Complex Clinical Cases
SB, SR

By the end of this session, participants will be able to discuss the key points in the general and anaesthetic management of the following case presentations:

  • High speed 3 vehicle crash (case 8)
  • Explosion (case 12)
  • Impalement(case19)

9.40am to 10am

Group 1-4

Case Presentation: Multiple Vehicle Collison (MVC) 
KN, IA

By the end of this session, participants will be able to:

  • Outline the associated injuries with MVC.
  • Discuss surgical and non-surgical interventions for MVC injuries.

10am to 10.30am

Coffee break

10.30am to 10.50am

Group 1-4

Lecture: Pancreatic & Duodenal Repair HT, KN

By the end of this session, participants will be able to:

  • Discuss surgical and non-surgical interventions for Pancreatic and duodenal injuries.
  • Outline the indications of main pancreatic duct injury.
  • Describe the damage control strategies associated with Pancreatic and duodenal injuries.
  • Explain the early referral and transfer to definitive care for complex injuries.

10.20am to 10.40am

Group 5&6

Introduction to Live Tissue Laboratory - rules of engagement 
AH, SB, GS

10.50am to 11.10am

All groups

Case Presentation: Gunshot Wound to Epigastrium and Lower Chest
IA, SB

By the end of this session, participants will be able to:

  • Describe the associated injuries with gunshot wound.
  • Discuss the tractotomy with bleeding control/control of air leak.
  • Outline indications of close chest with chest drains.

Summarize the indications of temporary abdominal closure.

11.10am to 11.40am

All groups

Lecture: Trauma Coagulopathy + Clinical Cases TEG & ROTEM
SR, KN

By the end of this session, participants will be able to:

  • Describe the mechanisms, spectrum, and risk factors of trauma-induced coagulopathy
  • Recognize blood and clotting factors that are lifesaving and the need for monitoring the clot.
  • Review the importance of minimizing fluids
  • Discuss the importance of a Massive Transfusion Protocol
  • Recognize the need for TXA for all bleeding trauma

11.40am to 12.10pm

All groups

Lecture: Head Injury
TB, SR

By the end of this session, participants will be able to:

  • Describe the mechanisms, spectrum, and risk factors for traumatic brain injury
  • Discuss resuscitation principles and medical management
  • Discuss the indications for surgery particularly burr hole

12.10pm to 1.10pm

Lunch break

1.10pm to 1.40pm

All groups

Thoracic Trauma
AL, TB

By the end of this session, participants will be able to:

  • Describe the assessment strategies for blunt injuries.
  • Summarize the treatment strategies for blunt injuries.

1.40pm to 2pm

All groups

Case Presentation: Gunshot Wound (GSW) to Shoulder
SK, TB

By the end of this session, participants will be able to:

  • Recognize that physiology drives diagnostics, resuscitation and management options for GSW
  • Discuss the importance of identifying trajectory.

Review the need for transfer and specialist support when available

2pm to 2.30pm

All groups

Lecture: Neck Trauma
HT, AH

By the end of this session, participants will be able to:

  • Describe the assessment strategies for penetrating and blunt injuries.
  • Summarize the treatment strategies for penetrating and blunt injuries.

2.30pm to 2.50pm

All groups

Case Presentation: Meat Cleaver to Head
HT, AH

By the end of this session, participants will be able to:

  • Recognize the importance of monitoring head injury patients closely.
  • Discuss the low threshold for CT scan in penetrating head injuries.
  • Discuss optimization of medical management of raised ICP
  • Describe the craniotomy technique.

2.50pm to 3.20pm

Group 1-4

Lecture: Penetrating Thoracic Trauma (Heart/ Lung Trauma) 
GF, GS

By the end of this session, participants will be able to:

  • Discuss the probabilities of life-threatening injuries associated with penetrating thoracic trauma.
  • Recognize that trajectory predicts injury identification.
  • Review the need for early surgical interventions in unstable thoracic injuries.
  • Recognize the common pitfalls in penetrating trauma injuries.

2.40pm to 3.10pm

Group 5 & 6

Discussion: Managing Traumatic Brain Injury in the Critical Care (Multimodal Monitoring) 
Vishi Verma, GS, TB

By the end of this session, participants will be able to:

  • Define what an ICU trauma patient is
  • Discuss the goals in treating an ICU trauma patient.
  • Review the choice of resuscitative fluids based on the
  • patient’spathology.
  • Discuss the prevention and early treatment of complications.

(To continue after coffee break)

3.20pm to 3.40pm

Prayer break

3.40pm to 4pm

Group 1-4

Case Presentation: Gunshot Wound to Chest #14 
RP, KN

By the end of this session, participants will be able to:

  • Discuss the physiological considerations for induction
  • Discuss prioritizing thoracotomy vs laparotomy based on patient findings.

3.40pm to 4.20pm

Group 5 & 6

Discussion: Managing Severely Injured Patients in the Critical Care 
GS, Vishi Verma, TB

By the end of this session, participants will be able to:

  • Define what an ICU trauma patient is
  • Discuss the goals in treating an ICU trauma patient.
  • Review the choice of resuscitative fluids based on the patient’s pathology.

 

 

4pm to 4.20pm

Group 1-4

Lecture: Trauma Laparotomy + Temporary Abdominal Wall Closure (TAC) 
SK, SB

By the end of this session, participants will be able to:

  •    List the advantages of TAC.
  •    Discuss the recommended technique for TAC.
  •    Identify the pitfalls of TAC.

 

 

4.20pm to 4.50pm

All groups

Lecture: Massive Hemorrhage – Bleeding and Coagulopathy     
RP, AH

By the end of this session, participants will be able to:

  •    Describe trauma coagulopathy
  •    Discuss massive hemorrhage and review the goals of transfusion
  •    Summarize the benefits, limitations, and complications of the use of blood

4.50pm to 5.20pm

All groups

Lecture: Pediatric Trauma
Guy Brisseau, AH

By the end of this session, participants will be able to:

  •    Recognize specific injury patterns in children
  •    Define the desired endpoints
  •    Explain the diagnostic and therapeutic challenges

5.20pm to 5.50pm

Prayer and coffee break

5.50pm to6.20pm

All groups

Case presentation: Damage Control Surgery (DCS) and Polytrauma 
SK, SB

By the end of this session, participants will be able to:

  •    Discuss the most appropriate surgical interventions in a polytrauma patient.
  •    Review the practical aspects of thoracotomy in ED and OR
  •    Explain damage control transfusion (resuscitation) and Discuss the considerations in DCS.

6.20pm to 7pm

All groups

Lecture: Intra-operative communication
AH, GF

By the end of this session, participants will be able to:

  •    List the core components of Teamwork.
  •    Discuss in detail the mechanism that connects the teamwork behaviors – Shared mental model, mutual trust and closed-looped communication.

End of Day 2