25th Annual Scientific Assembly

Bleeding to Death? What’s New in Military Hemorrhage Control

Saturday, March 9, 2019
12:30pm-5:45pm
Forum 15-17

Jointly provided by the Uniformed Services Chapter Division (USAAEM)

Course Description

Would you like to learn about translating military damage control resuscitation strategies into your civilian practice? A unique military-civilian partnership has allowed for the widespread deployment of low titer O+ whole blood (LTO+WB) in the San Antonio metropolitan area. The Uniformed Services Chapter Division of AAEM (USAAEM) will offer our experience with deploying LTO+WB in hospitals and on ground ambulances. We will also provide education on a variety of techniques (REBOA, modified thoracotomy, and AAJT) you can deploy in the setting of traumatic arrest and peri-arrest. Approximately 25% of the time will be dedicated to hand-on instruction and demonstrations.

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Previous USAAEM pre-conference course.

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There are no prerequisites for the course.

Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy of Emergency Medicine (AAEM) and the Uniformed Services Chapter Division of the American Academy of Emergency Medicine (USAAEM). The American Academy of Emergency Medicine (AAEM) is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement

The American Academy of Emergency Medicine designates this live activity for a maximum of 4.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Learning Objectives

Review history of whole blood transfusion and explore why it may be the ideal resuscitation fluid in hemorrhagic shock.
Review the US Military and London HEMS experience with implementing REBOA.
Discuss alternatives to invasive techniques for hemorrhage control such as the abdominal aortic junctional tourniquet (AAJT).
Review a modified thoracotomy procedure used by London HEMS.
Discuss the logistical challenges related to deploying LTO+WB in US hospitals and EMS services.

Course Fee

*$50 Physician
*$25 Student, Resident, and Allied Health Professional

*The registration fee will be refunded within 30 days after Scientific Assembly for USAAEM members who attend Bleeding to Death? What’s New in Military Hemorrhage Control course

Tentative Course Schedule

Saturday, March 9, 2019

12:30pm-1:00pm	Introduction
1:00pm-1:25pm	Whole Blood Resuscitation: Current Military Practice and Literature Review Julian Mapp, MD MBA MPH FAAEM
1:30pm-1:55pm	Deploying LTO+WB in a Civilian EMS System: The SAFD Experience CJ Winckler, MD
2:00pm-2:25pm	LTO+WB into your ED: The SAMMC Experience John G. Knight Jr., MD
2:30pm-2:55pm	Hands-on: Transfusing Fresh Whole Blood All Faculty
3:00pm-3:25pm	Single Provider REBOA: London HEMS Experience Ryan Newberry, DO MPH
3:30pm-3:55pm	A Better Thoracotomy: London HEMS Experience Ryan Newberry, DO MPH
4:00pm-4:25pm	AAJT: The Poor Man's REBOA? Julian Mapp, MD MBA MPH FAAEM
4:30pm-5:45pm	Hands-On: AAJT and REBOA Trainers All Faculty

Course Directors

Julian Mapp, MD MBA MPH FAAEM
Assistant Professor, Department of Military and Emergency Medicine, USUHS

Zachary Sletten, MD
CPT, MC, US Army, Staff Physician and Simulation Director, Brooke Army Medical Center, San Antonio TX

Course Faculty

CJ Winckler, MD
Deputy Medical Director, San Antonio Fire Department EMS, San Antonio, TX

John G. Knight Jr., MD
Director Operational Medicine, EM Residency and EDUS Fellowship Faculty, San Antonio, TX

Ryan Newberry, DO MPH
Physician Researcher, US Army Institute of Surgical Research, San Antonio, TX

Kevin Foss, MD
Emergency Medicine Chief Resident Madigan Army Medical Center