Schedule

Saturday November 9, 2019

Pre-conference Activities

Advanced Burn Life Support Provider Course

8:00am - 5:00pm

Location: Maine Medical Center - Dana Center

The Advanced Burn Life Support Instructor Course is for nurses, physician assistants, and nurse practitioners. A pre-requisite is successful completion of an ABLS Provider Course. Instructors should have: (1) demonstrated experience in providing burn care; (2) an interest in the content of the course and the process of teaching; and (3) a commitment to serve as a faculty member for the ABLS Provider courses. Following a lecture on “Teaching How to Teach,” attendees will present a five-minute mini-lecture on an assigned topic, lead a group discussion of case studies, and lead a patient assessment stabilization scenario.

 

As a result of this activity, the learner should be able to:

  • Assess and manage the burn patient during the first 24 hours post injury

  • Perform a patient assessment through simulation of a patient with a burn injury

  • Identify American Burn Association referral criteria

Burn Therapist Course

8:00am - 4:00pm

Location: Maine Medical Center - Dana Center

This burn therapist workshop is designed to combine knowledge and expertise from multiple burn centers to expand consistency and best practice across the region. Topics include burn center verification, pediatric burn therapy, scar contracture management, frostbite injuries and early mobility.

 

As a result of this activity, the learner should be able to:

  • Provide clinic reasoning and appropriate rationale as to the benefits and risks associated with mobility and immobility of burn patients

  • Demonstrate improved comradery among burn centers while creating an open discussion and ongoing line of communication to discuss best practice

  • Improve understanding of difficulties associated with splinting pediatric burn patients and identify new techniques

Sunday November 10, 2019

Westin Portland Harborview

Breakfast with the exhibitors

7:00am - 8:00am

Welcome

8:00am - 8:15am

Speaker: Damien W. Carter, MD

Plenary Session I: "Training to be a Coach: How the Burn Team Can Make a Difference in Social Reintegration"

8:15am - 9:15am

Moderator: Colleen Ryan, MD, FACS, Hillary Littlefield, OTR/L 

Speakers: Rebekah Allely, OTR/L, Mona Krueger, MSW, MA 

 

This is an interactive session, teaching burn team members how to coach patients in learning valuable social skills prior to their discharge from the hospital and throughout their rehabilitation. Participants will hear from burn survivors to better understand common social challenges. Participants will learn “how to” teach STEPS, Rehearse Your Responses and the Staring Tool. 

As a result of this activity, the learner should be able to: 

  • Gain a better understanding of the social challenges common to burn survivors 

  • Learn how to talk with a patient and coach them in specific social skills 

Coffee with the Exhibitors

9:15am - 945am

Presidential Keynote Address:Surviving Burn Injury: Outcomes other than Mortality

9:45am - 10:45am

William G. Cioffi, MD, FACS 

ABA President 

Moderator: Damien W. Carter, MD, FACS 

Over the years in burn care there have been numerous improvements in care with a subsequent decline in the mortality rates. Although the patient has survived the injury there are still many factors to take into consideration. In this presentation there will be a discussion on improvement in patient outcomes following burn injury and the need to study the long-term consequences to our patients.

 

As a result of this activity, the learner should be able to: 

  • Discuss the improvements in outcomes following burn injury 

  • Discuss the need to study the long-term consequences of burn injury 

Scientific Program: Correlative Session I: Correlative I

10:45am - 12:15pm

Rines B Conference Room

Moderator: Linwood Haith, MD, FACS; Michael Marano, MD, FACS 

  1. Auricular Splinting Following Severe Facial Burn Injury and Reconstruction 

  2. Effective Donor Site Management 

  3. Affixing Split Thickness Skin Grafts with Surgical Micro-Porous Strips (Steri-Strips) in Place of Traditional Suture or Staple Methodology in Burn Patients 

  4. Minimally invasive contracture band release in Burn scars with significant gain in range of motion 

  5. Chronic, Neuropathic Pain Following Hand Burns: Etiology, Treatment, and Long-Term Outcomes 

  6. Subcutaneous Scar Release with Minimally Invasive Technique `

Scientific Program: Correlative Session II

10:45am - 12:15pm

Ballroom

Moderators: Laura S. Johnson, MD, FACS; Miriam Ramirez, RN 

  1. Trends in Pediatric Acuity at a Single Verified Burn Center 

  2. Avoiding Avoidable Days in a Burn Center 

  3. 24 hour patterns of vital signs as predictors of blood infection in pediatric burn patients 

  4. Recent advancements in medicine have vastly improved the survival chances of patients with a burn injury 

  5. Hypopigmentation in hypertrophic scar can be treated with synthetic alpha melanocyte stimulating hormone 

  6. Operation Minute’s Notice: Hotwash for the American Burn Association Northeast Region Response 

Lunch with the Exhibitors

12:15pm - 1:00pm

Plenary Session II: "The Importance of Sleep for Behavioral and Physical Well-Being"

1:00pm - 2:00pm

Moderator: David Petruccelli, FF; Dominick Marino, FF 

Speaker: David Rainey, MD, MPH, MEd 

Sleep is imperative for our bodies to recover physically from daily activity and to improve our ability to concentrate. Adequate daily sleep is needed to perform optimally and be healthy. Sleep deprivation is linked with increased errors in tasks requiring alertness, vigilance and quick decision-making. Long work hours for first responders and medical professionals are often associated with chronic sleep loss, which may result in decreased ability to think clearly and feelings of depression, stress and irritability. Addressing sleep deprivation and the effects on our personal and professional lives may lead to an increase in awareness and improved health and well-being. 

As a result of this activity, the learner should be able to: 

  • Explain sleep deprivation and the impact on job performance, physical and emotional health 

  • Discuss options to maintain a healthy lifestyle in the midst of sleep deprivation 

Plenary Session III: “Pain Management Amidst the Opioid Crisis”

2:00pm - 3:00pm

Moderator: Pat Delaney, RN, Paula Alem, APN 

Speakers: Jonathon Friedstat, MD, FACS, Kathryn Smith, PharmD 

In this course, we will explore alternatives to opioid pain management in burn care. Topics include non-opioid multi-modal analgesia, non-pharmacologic therapies and management of the burn patient with opioid dependence. 

As a result of this activity, the learner should be able to: 

  • Discuss a broad array of non-opioid medications for burn analgesia 

  • Consider non-pharmacologic options in the management of burn procedural pain 

  • Understand the emerging role of cannabis amidst expanding legalization 

  • Manage the patient population with pre-existing opioid dependence 

Break with the Exhibitors

3:00pm - 3:30pm

Scientific Program: Correlative Session III

3:30pm - 5:00pm

Rines B Conference Room

Moderator: Bruce Greenstein, MD, FACS, Ralph Burgos, RN 

  1. Charlie’s Legacy: A Preliminary Report on Current Burn Shock Resuscitation Using BQIP Data 

  2. Effect of BMI on Inflammatory State in Patients with Thermal Injury 

  3. Using the VDR to Safely Transport the Critically Ill Burn Patient to the OR 

  4. Identifying Barriers to Preventing Hypothermia in Burn Patients in the Pre-hospital Setting 

  5. Patients with injuries from exposure to extreme cold are triaged and admitted to burn centers. 

Scientific Program: Correlative Session IV

3:30pm - 5:00pm

Ballroom

Moderator: Jamie Heffernan, MSN, Derek Bell, MD

1. Treatment of Severe Burns with Autologous Skin Cell Suspension & Meshed Autograft with Allograft. 

2. Blister Grafting for Second Degree Burns – Does It Have a Better Outcome? 

3. Pressure Injury Management: A Quality Improvement Study 

4. Prevalence & Associated Predicators for Patients Developing Chronic, Neuropathic Pain 

5. Burn Nursing Consults-Providing Burn and Wound Competency throughout an Institution 

6. Protocoled Thrombolytic Therapy for Frostbite Improves Phalangeal Salvage Rates 

ERBDC/NRBC Planning Meetings

5:00pm - 5:30pm

Cocktail Reception

6:00pm - 8:00pm

Monday November 11, 2019

Westin Portland Harborview

Breakfast with the Exhibitors

7:00am - 8:00am

Welcome

8:00am - 8:05am

Damien W. Carter, MD, FACS

Updates and conference announcements

Poster Rounds With Professors

8:05am - 9:15am

Moderator: William Hughes, MD, FACS, Sylvia Dao, MS, MPA, RN

  1. Development of an Acute Injury Kidney Tool

  2. Newer closure Techniques for very large burns and their application on a single patient with 73% TBSA full thickness burns

  3. Pre-burn Malnutrition - does it make a difference

  4. Creating an Educational Module to Improve Calculation of Total Body Surface Burns

  5. Decreasing Hospital Acquired Pressure Injuries with implementation of Two RN skin check during hydrotherapy

  6. Factors Associated with Compliance to follow-up care after burn injuries in KwazuleNatal, South Africa

  7. Despite evidence-based practice to turn, reposition and offload patients in the burn center, hospital acquired pressure injuries continue to occur

  8. The effects of inhalation injury on mortality are well established, though little is known about the sequela that continues to impact survivors of inhalation injuries

  9. Mixed Methods Assessment of Pediatric Scald Burns to Guide Prevention Programming

Scientific Program: Correlative Session V

9:15am - 10:15am

Rines B Conference Room

Moderator: Jonathon Freidstat, MD, FACS, Michelle Hughes, RN

  1. A New Outcome Metric for Young Children with Burns: Item Pool Development for the Preschool LIBRE…

  2. Stable Neonates with Burn Injuries: Are They a Vulnerable Population?

  3. In Hot Water: Cooking-Related Burn Injuries in the Emergency Department

  4. Assessing the Impact of Burns on the Health Outcomes of Children 5-18 years: A Narrative Review of the Literature

Scientific Program: Correlative VI

9:15am - 10:15am

Ballroom

Moderators: Elizabeth Turner, MD, FACS; Vitina Esteves, RN, MSN

  1. Tranexamic Acid Suppresses the Release of Mitochondrial Damps and Reduces Lung Inflammation in a Murine Model

  2. Major Thermal Injury Induces Derangements in Markers of Fibrinolysis

  3. Introduction of Novel Nutritional Supplements at a University Burn Center

  4. Metabolomic Alteration in Thermal Injury in a Murine Model

Coffee with the Exhibitors

10:15am - 10:45am

Break-out Sessions

10:45am - 11:45am

Session I: Elderly Burns: Do We Stand a Chance?

Rines B Conference Room

Moderator: Carrie Cox, MSN, RN

Speakers: Damien W. Carter, MD, Alisa Savetamal, MD, FACS, Laura S. Johnson, MD, FACS, Rosemary Paine, MSN, NP-BC

Elderly burn patients tend to have a complex myriad of co-morbidities and require specialized care in order to achieve successful outcomes in alignment with their goals. This course will discuss the predictors of mortality, resuscitation strategies, surgical management and palliative care in the elderly burn population.

 

As a result of this activity, the learner should be able to:

  • Assess which factors impact mortality in the elderly burn population.

  • Describe evidence-based approaches to fluid resuscitation in the elderly.

  • Implement strategies for difficult to resuscitate elderly patients and those with pre-existing organ failure.

  • Understand the significance of nutritional support in elderly burn patients.

  • Describe the options for surgical management in elderly burn patients.

  • Understand the role of palliative care for the elderly burn patient

Session II: Pediatric Burns

Sara Orne Jewett Conference Room

Moderator: Susan Reeder, RN, MSN

Speaker: Michael A. Marano, MD, FACS

 

Children are not simply “little adults”. Caring for them presents all members of the burn team with challenges related to age and weight ranges, developmental stages, cognition, language capability or lack thereof, cultural diversity and family circumstances. This forum is designed to address these topics and offer tools and techniques to support the clinical, psycho-social and developmental aspects faced when recovering the pediatric burn patient.

 

As a result of this activity, the learner should be able to:

  • Identify social, developmental or behavioral issues related to caring for pediatric patients

  • Implement age-appropriate measures related to recovery

  • Incorporate family or cultural preferences where appropriate

Session III: Competencies, Scope, Standards, Certification: What’s New in Burn Nursing

Ballroom

Moderator: Kathleen A. Hollowed, RN, MSN

Speaker: Linda Gibbons, MS, RN, Sylvia Dao, MS, MPA, RN

 

The ABA Professional Certification Committee members are actively working to achieve a pathway to Burn Nurse Certification. There are many moving parts to this process and we need to work together to get to the finish line! From competencies, to the scope of practice, to standards of care, all of which will lead to our ultimate goal of Burn Nurse Certification. We invite all nurses to join us in an active discussion as we continue our journey!

 

As a result of this activity, the learner should be able to:

  • Discuss current Scope of Burn Nursing Practice Statement and Standards

  • Discuss implementation of the BNCI competencies

  • Recognize current state of Burn Nurse Certification process

Plenary Session IV: PRO/CON Debate

11:45am - 12:45pm

Moderator: Lisa Rae, MD, FACS, Alisa Savetamal, MD, FACS

Speakers: Damien Carter, MD, FACS, Derek Bell, MD, FACS, Margaret Tandoh, MD, FACS, Elizabeth Turner, MD, FACS

 

Two debates will explore the controversies of (1) fixation of grafts during surgery and the (2) management of their donor sites. Presenters will attempt to persuade learners of the optimal management.

 

As a result of this activity, the learner should be able to:

  • Understand the risks, benefits and costs associated with silver impregnated dressings and alternatives

  • Understand the risks, benefits and costs associated with fibrin sealants and staples or other fixation devices

Wrap Up

12:45pm - 1:00pm

Plenary Session V: ABA Burn Care Quality Program Overview

12:45pm - 1:45pm

Moderator: Maureen T. Kiley, BS

Speakers: Palmer Q. Bessey, MD, FACS, MS, David T. Harrington, MD, FACS, Bart Phillips, BData President, Kim Hoarle, MBA, CAE

 

The quality program session will provide a global overview of the ABA quality improvement initiatives and describe how the burn care quality program supports QI. The ABA quality programs, interesting findings to improve quality (NBR key points, special studies), and BCQP (data collection changes, data dictionary revisions) will be presented to the audience.

 

As a result of this activity, the learner should be able to:

  • Explain why quality improvement is important for burn care

  • Describe things the ABA is doing to enhance quality programs

Monday November 11, 2019

Post-Conference Course

Maine Medical Center

Advanced Burn Life Support Instructor Course

2:00pm - 6:00pm

Maine Medical Center - Dana Center

The Advanced Burn Life Support Instructor Course is for nurses, physician assistants, and nurse practitioners. A prerequisite is successful completion of an ABLS Provider Course. Instructors should have: (1) demonstrated experience in providing burn care; (2) an interest in the content of the course and the process of teaching; and (3) a commitment to serve as a faculty member for the ABLS Provider courses. Following a lecture on “Teaching How to Teach,” you will present a five-minute mini-lecture on an assigned topic, lead a group discussion of case studies, and lead a patient assessment stabilization scenario.

 

As a result of this activity, the learner should be able to:

  • Describe adult learner methods

  • Demonstrate teaching techniques

  • Demonstrate a student critique

2019 NRBC