Program Overview
According to Kearney, Francis, and Clover (2018), resuscitation is a critical therapeutic intervention in managing acute burns. Although this may be the first intervention for patients, hospitals and trauma centers must pre-plan before managing burn patients and burn-related MCIs. Critical areas of planning identified by Kearns, et al. (2017) are planning and knowledge of the location of resources. Join Dr. Jeffrey Carter in the presentation "Advances in Burn Care & Burn Disaster Preparation." The goal is for you to walk away with increased knowledge of resuscitation rates, inhalation injuries management, and burn dressings. Lastly, start building the disaster resources needed for pre-planning.
Estimated completion time: >60 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:
- Participants will be able to identify the correct resuscitation rates for prehospital care.
- Participants will be able to identify the immediate steps for the diagnosis and treatment of inhalation injuries.
- Participants will be able to recall at least one burn dressing for partial thickness and full-thickness burn injuries.
- Participants will be able to state where disaster resources can be found and name at least one advancement in burn disaster care.
Moderator: Jami Blackwell
Faculty Presenter: Dr. Jeffrey Carter
Presenter Bio
Dr. Jeffrey E. Carter serves as the medical director of the new University Medical Center Burn Center in New Orleans and as associate professor of surgery at Louisiana State University Health Sciences Center. Prior to moving to New Orleans he served as the Associate Director for the Wake Forest Baptist Health Burn Center in Winston Salem, North Carolina, Medical Director for
the Wake Forest School of Medicine Center for Experiential and Applied Learning, and as the Director of Surgical Education.
He graduated from East Tennessee State University Quillen College of Medicine first in the class and pursued general surgery residency at Wake Forest University with an additional research fellowship in surgical education where he cofounded the Center for Applied Learning after raising $3.5 million as a second year resident. The center focused on experiential learning and produced improved patient care outcomes such as zero sentinel event rate in the operating room and improved trauma team efficiency gaining national recognition. He continued training at the University of North Carolina in Chapel Hill with a fellowship in Surgical Critical Care followed by another fellowship year in Burn Surgery where he received the Womack Scholar Award.
In 2008, his research in burn injuries was recognized by the American Burn Association with the Moyer Award, the highest award in the field of burn care for a physician in-training. He has won numerous teaching awards with clinical and research interests including advances in burn care and education, macroeconomics of medical education, and team-based education with novel biomimetic simulators.
Collaborating with fellow Wake Forest burn surgeons they developed an advanced technique to apply spray skin in large injuries dramatically reducing patient length of stay. He followed with the first application of autologous cell suspension (spray skin) on the face of burn victims on this hemisphere and received international recognition with outstanding results.
He serves on multiple national committees for the American Burn Association and combined his passion for teaching and burn care with a grant from the Childress Institute for Pediatric Trauma to develop an Advanced Burn Provider Course. This curriculum was developed with a national multidisciplinary needs assessment and new biomimetic burn simulators that were scaled for production following validation and publication. The course is now being evaluated by the ABA and the Organization and Delivery of Burn Care Committee. He plans to continue advancing burn care, emergency preparedness, and education while starting the new Burn Center at UMC.
Barbosa RR, Rowell SE, Fox EE, Holcomb JB, Bulger EM, Phelan HA, Alarcon LH, Myers JG, Brasel KJ, Muskat P, del Junco DJ, Cotton BA, Wade CE, Rahbar MH, Cohen MJ, Schreiber MA. Increasing time to operation is associated with decreased Survival in patients with a positive FAST examination requiring emergent laparotomy. J Trauma 2013;75:S48-52.
Barrow RE, Jeschke MG, Herndon DN. Early fluid resuscitation improves outcomes in severely burn children. Resuscitation 2000;45:91-96.
Branas CC, MacKenzie EJ, Williams JC, Schwab CW, Teter HM, Flanigan MC, Blatt AJ, ReVelle CS. Access to Trauma Centers in the United States. JAMA 2005;293:2626-34.
Haddix AC et al. Cost-effectiveness analysis of a smoke alarm giveaway program in Okalahoma City, Oklahoma. Injury Prevention, 2001, 7:276–281
Hawkins A, MacLennan PA, McGwin G Jr, Cross JM, Rue LW 3rd. The impact of combined trauma and burns on patient mortality. J Trauma 2005;58:284-8.
Healthcare Cost and Utilization Project, Statistical Brief #217, Agency for Healthcare Research and Quality https://www.hcup-us.ahrq.gov/reports/statbriefs/sb217-Burn-Hospital-Stays-ED-Visits-2013.pdf
Income in the Past 12 months Inflation-Adjusted. US Census accessed December 19, 2019. https://data.census.gove/cedsci/map
Karim AS, Shaum K, Gibson AL. Indeterminate-Depth Burn Injury- Exploring the Uncertainty. Jou Surg Res 2020;245:183-97.
Monstrey S, Hoeksema H, Verbelen J, Purayesh A, Blondeel P. Assessment of burn depth and burn wound healing potential. Burns 2008;34:761-69.
Moritz, AR, Herriques, FC Jr. Studies of thermal injuries: II The relative importance of time and surface temperature in the causation of cutaneous burns. Am J Pathol 1947; 23:695-720.
Mowery NT, Dougherty SD, Hildreth AN, Holmes JH 4th, Chang MC, Hoth JJ, Meredith JW, Miller PR. Emergency department length of stay is an independent predictor of mortality in trauma activation patients. J Trauma 2011;70:1317-25.
National Fire Protection Association. http://www.nfpa.org/public-education/by-topic/safety-in-the-home/escape-planning/basic-fire-escape-planning Accessed August 21, 2017.
Shields WC, et al. Still too hot: Examination of water temperature and water heater characteristics 24 years after manufacturers adopt voluntary temperature setting. J Burn Care Res. 2013 ; 34(2): 281–287.
Smith GA, Chounthirath T, Splaingard M. Effectiveness of a Voice Smoke Alarm Using the Child’s Name for Sleeping Children: A Randomized Trial. J Pediatr 2019;205:250-256.
Smith GA, Splaingard M, Hayes JR, Xiang H. Comparison of a personalized parent voice smoke alarm with a conventional residential tone smoke alarm for awakening children. Pediatrics 2006;118:1623-32.