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2018 Trauma University: Penetrating Trauma
Release and Expiration Dates
Release Date: 3/24/2020
Expiration Date: 11/29/2025
Last Reviewed Date
2018 Trauma University: Penetrating Trauma
Program Overview
Penetrating Trauma, is a course offered in series two of Trauma University, which debuted at TCAA's 2018 Annual Conference. Course topics are contributed by TCAA members and are designed to provide practitioners with clinical education opportunities. The purpose of this activity is to provide an overview of penetrating trauma and its protocols.

Estimated completion time: 30 minutes

Target Audience: The Trauma healthcare team and other clinical departments

Learning Objectives
At the conclusion of this course, the learner should be better able to:
1. Define the difference between high energy and low energy penetrating trauma
2. Describe the ballistics of firearm injuries and why it matters to the trauma team
3. Outline resuscitation and diagnostic strategies for penetrating traumatic injuries.

Moderator: Timothy Murphy
Faculty Presenter:  Dr. A. Britton Christmas

Presenter Bio
A. Britton Christmas received his B.A. degree from the University of Virginia in Charlottesville in 1996 and his M.D. degree from the University of Louisville School of Medicine in 2000. He completed his internship, residency, and surgical critical care fellowship in the Department of Surgery at the University of Louisville from 2000-2006 where he was inducted into the Alpha Omega Alpha Honor Medical Society. He joined the faculty of The F. H. Sammy Ross, Jr. Trauma Center at Carolinas Medical Center in Charlotte, North Carolina in 2006 where he currently serves as an attending surgeon for trauma, critical care, and acute care surgery, Professor of Surgery, Associate Medical Director and Vice Chief of Trauma, and Co-Medical Director of Pediatric Trauma. He also serves as Adjunct Associate Professor of Surgery for the University of North Carolina at Chapel Hill. He has authored/co-authored, 65 peer reviewed publications, 8 book chapters, and 180 presented abstracts. Society memberships include the American College of Surgeons (ACS), the Eastern Association for the Surgery of Trauma (EAST), the Pediatric Trauma Society, the American Association for the Surgery of Trauma (AAST) and the Southern Surgical Association. He is a former recipient of the EAST Leadership Development Scholarship, the recipient of the inaugural EAST Foundation Brandeis Scholarship in Health Policy and Management, and the recipient of the 2016 ACS Young Fellows Leadership and Advocacy Summit Scholarship. He currently serves on the Board of Directors and Executive Committee as President for EAST, the Board of Directors for the Trauma Centers Association of America (TCAA), and as Vice Chair for the North Carolina ACS Committee on Trauma. Current national committee appointments include the TCAA Finance Committee, the AAST Acute Care Surgery Committee, and the Southeastern Surgical Congress Finance Committee.
Gunshot wounds: A review of ballistics related to penetrating trauma: Journal of Acute Disease (2014) 178-185; Panagiotis K. Stefanopoulos1*, Georgios F. Hadjigeorgiou2, Konstantinos Filippakis3, Dimitrios, Gyftokostas4.

TEG-guided resuscitation is superior to standardized MTP resuscitation in massively transfused penetrating trauma patients: Trauma and Acute Care Surgery(February 2013)- Volume 74- Issue 2- p 378-386. Tapia, Nicole M. MD; Chang, Alex MD; Norman, Michael MD; Welsh, Francis MD; Scott, Bradford MD; Wall, Matthew J. Jr MD; Mattox, Kenneth L. MD; Suliburk, James MD
Timothy Murphy
Dr. Christoph Kaufman
Jennifer Ward
Deb Myers
Dr. Britt Christmas
Peer Reviewer
Dr. Alexander Canales
Availability: On-Demand
Cost: FREE
Credit Offered:
0.5 CE Credit
0.5 COP Credit
0.5 TCAA CME Credit
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