OBJECTIVES FOR AUSTIN TRAUMA AND CRITICAL CARE CONFERENCE 2010 1. - Discuss the following innovations in the care of the trauma patient in the ICU setting; blood glucose control, recognizing barriers to organ donation, management of adrenal insufficiency and the treatment of fungal infections 2. - Evaluate lessons learned from the military and discuss the impact of military advances on civilian trauma and acute care surgery 3. - Describe the key management principals for the patient requiring plastic surgery intervention for an extremity or facial injury or a wound requiring soft tissue coverage 4.-Recognize and discuss some of the challenging situations in trauma surgery such as clavicle fractures, abdominal wall reconstruction and spinal fixations. 5.- Identify and discuss changes in current Emergency Department procedures such as trauma patient intubations, use of RUSH Ultrasound and End tidal CO2 monitors, use of abdominal CT and reducing dislocations 6. - Assess new information relating to the treatment of ARDS, such as high frequency ventilation, proning, APRV and Inverse Ratio Ventilation and the use of inhaled nitric oxide. 7.-Discuss management techniques and the use of technology in the treatment of acute care surgical issues such as ruptured abdominal aortic aneurysm, complicated diverticulitis, necrotizing fasciitis and severe pancreatitis. 8.-Critique the current evidence for the following existing practices in trauma: negative pressure therapy, percutaneous tracheostomy, splenic angiography, removing chest tubes and placement of ICP monitors. 9.-Examine the impact of innovations in the care of the trauma victim such as: freeze-dried blood products, wireless vital sign monitoring, automated mechanical ventilation, stem cell therapy and the use of Prothrombin complex concentrate. 10.-Analyze and discuss the following challenges in the management of the trauma patient: injuries to the superior mesenteric artery, the difficult airway, the patient who is a Jehovah’s Witness. 11. - From the trauma cases presented, compare and contrast treatment plans and decision making between rural and urban trauma facilities. 12.-Describe how Prehospital trauma care in the military differs from that in civilian practice. 13. - Examine the difference in surgical techniques and overall management among patients suffering from different types of gunshot wounds- Transmediastinal, Transcervical, Transpelvic and Transcranial. 14. - Analyze the effect that the development of organized trauma systems has had on the following: Joint Trauma Theater system, non-trauma facilities and trauma care at the Mexico-US Border. 15. - Explain why the use of the following procedures and techniques are no longer recommended in the care of the trauma patient: plain x-ray of the c-spine, use of albumin for resuscitation, use of diagnostic peritoneal lavage and pulmonary artery catheters and mandatory colostomy for combat colon injuries.