EMS & Trauma Education

15th Robert Carell Trauma Symposium

The Need for Speed

UMDNJ-Robert Wood Johnson Medical School
675 Hoes Lane West, Piscataway, NJ

Saturday, November 17, 2001

presented by
UMDNJ-Robert Wood Johnson Medical School
Section of Trauma/Surgical Critical Care
and
Department of EMS & Trauma Education
Robert Wood Johnson University Hospital

Credit

This conference has been approved for 4.0 elective EMT CEUs to the NJ Department of Health and Senior Services Office of Emergency Medical Services. NJ MICU personnel will be awarded credit as determined by their program's Clinical Coordinator/EMS Educator.

Cost

Registration is $20.00 and covers registration, materials, parking, and refreshments. Eligible NJ volunteer EMTs may utilize the NJ EMT Training Fund.

Conference Coordinators

Bryan Fischberg, NREMT-P
Janemary Lutz, NREMT-P
Michael Panté, NREMT-P
EMS Educators
Department of EMS & Trauma Education
Robert Wood Johnson University Hospital

Conference Medical Director

Jeffrey Hammond, MD, MPH
Chief, Section of Trauma/Surgical Critical Care
Professor of Surgery
UMDNJ-Robert Wood Johnson Medical School

Overview

Speed disables and kills-- we see it all the time in trauma care. Kinematics describes the interaction of externally applied energy and injury. EMS personnel are introduced to the basics of examining the interaction of the scene and patient. ED and hospital personnel are rarely exposed to this. It involves examining the scene to determine the mechanism of injury and suspicion of injuries then confirmed on examination. This symposium will examine the two major components of kinematics--the patient and the crash scene. Our first presentation will look at the pattern and severity of injuries in the patient. The second talk will take us a step beyond the basics on how to analyze the scene for relevant information. Then, we'll review some actual cases to prove how it all comes together. We offer additional information for the EMS provider and a solid primer for the hospital-based emergency/trauma worker.

Conference Agenda

8:15am Welcome and Continental Breakfast

8:30am Energy is the Enemy - Jeffrey Hammond, MD, MPH

Understanding kinematics, how energy is transferred to the patient, is fundamental to forming an index of suspicion, anticipation, and treatment of injuries. This presentation will review how acceleration and deceleration induce injury in predictable ways. The relationship between forces, injury patterns, and concepts such as compression, distraction, rupture, and shear in the victim will be illustrated.
Dr. Hammond is Professor of Surgery at UMDNJ-Robert Wood Johnson Medical School and is Chief of the Section of Trauma/Surgical Critical Care in the Division of General Surgery. He is Chairman of the New Jersey Committee on Trauma for the American College of Surgeons and Medical Director for the Emergency Medical Technology-Paramedic Program at the UMDNJ-School of Health Related Professions.

9:30am Break and Another Cup of Coffee

9:45am Surveying the Silent Scene - Trooper Eric Heitman

Crash investigators rarely see the patient. But, they intently and systematically examine the scene to deduce what happened. There is a high correlation between their findings and those from the patient. This presentation will introduce the approach and key clues used by accident investigators that could provide practical information to healthcare professionals caring for trauma patients in motor vehicle crashes.
Trooper II Eric Heitman is an investigator for the New Jersey State Police Fatal Accident Investigation Unit. With the NJSP for ten years, he has advanced training in accident reconstruction and has been investigating fatal accidents for the past five years.

10:45am Break

11:00am Dead Men Tell Tales - Mary Ann Clayton, MD

The correlation of speed and injury is ultimately evident to the trauma team and pathologists. This presentation will tie together the concepts from our previous two sessions with actual cases (sometimes graphic) that demonstrate the interaction of energy at the scene and injuries in the patient--both fatal and otherwise.
Dr. Clayton is the Deputy Medical Examiner for the Office of the Bergen County Medical Examiner. A graduate of the Rutgers Medical School, where the conference is being held, she is a popular lecturer in her field with emergency service and law enforcement audiences.

12:30pm Closing Comments and Evaluations

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