In preparation for our 52nd Annual Meeting in Orlando, we have collected our available burn therapist sessions to attend throughout the week below. Be sure to read up and register for your favorites!

Tuesday, March 17, 2020

7:30 am – 12:00 pm

The OT/PT SIG will present a comprehensive review of positioning, hand edema management, interdisciplinary team communication and use of adaptive equipment. The goal is to provide opportunities for active learning and application of these principles to better address the needs of the burn patient during acute phase of care.

8:00 am – 10:00 am

Volunteers are an invaluable component for burn camps. Without them, most camps would not be able to operate. Therefore, the training and management of these volunteers is crucial component to the success of these camps. This session will focus on effective training techniques and management of volunteers so as to create a positive camp experience for all.

10:00 am – 12:00 pm

Discussion on complex wound management and timing/indications for therapies such as laser treatments, scar release, steroids. The effectiveness of splints and the long-term results of splint therapy will be discussed. The psychosocial aspects of burn care specific to the pediatrics population will be reviewed.

11:00 am – 1:00 pm

Teens today are facing challenges unique to their generation. They are bringing those challenges with them; to their injury, to their treatment, and to their aftercare. We are in desperate need of education regarding adolescent brain development and how it interfaces with suicide and substance use/abuse. Assessment and interventions of these two topics will be our priority.

1:00 pm – 5:00 pm

This multi-disciplinary session will focus on leadership, mentorship, and team building in the burn unit.

Wednesday, March 18, 2020

6:30 am – 7:45 am

Socializing isn’t what is used to be. No matter how many times they may be “liked,” or despite the number of “friends” listed on their social media accounts, teenagers today are missing out. Burn camps are not only a place for recovery and healing, they are one of last places where adolescents and teens are finding connection. Learn how socialization and peer connection in the methods of songs, games, and activities break the barrier of a distracted and disconnected generation.

6:30 am – 7:45 am

The session will begin with an informal discussion about how attendees in the room defend and justify their prescribed frequency and duration of therapy in the inpatient burn center or unit. We will discuss methods that can be used to determine appropriate dosing: references in the literature for therapy volumes of care with acute burns, timelines to tissue tightness and range of motion loss, professional or published standards of care, and individual center protocols. The discussion will also focus on how physiotherapy can be administered in conjunction with other treatments, to include dressing changes and procedures.

6:30 am – 7:45 am

Obese burn patients present numerous unique challenges. Surgical interventions are more difficult and risky, and wound care can be compromised. Nutrition interventions must take into account not only weight-based effects but also the issue of diabetes which is prevalent in this population. Drug absorption and distribution can be altered in this population. Nursing care of these patients is physically taxing, and rehabilitation and especially mobilization pose their own unique challenges in the obese. In this session, participants will discuss these problems and their strategies for dealing with them.

10:00 am – 12:00 pm

There are many challenges to providing rehabilitation therapy services in the critical care setting, but also new opportunities to advance practices to allow for safe, early interventions during periods of intensive care. This session will review current technologies, scientific studies regarding mobilization in critical care, and practical approaches and guidance for implementing new therapy protocols. The session will be led by a multidisciplinary team of presenters to provide a holistic view of both the barriers and potential of therapy during the early time period following burn injury.

2:00 pm – 4:00 pm

How does a clinician become an “expert”? Learn common frameworks for professional reasoning and decision making that can be applied in the rehabilitation of burn survivors during the progression of a clinician from novice to expert. Experienced BT-C therapists will present interesting and complex cases in a variety of rehabilitation domains demonstrating the logical and progressive flow of reasoning required to achieve certification.

2:00 pm – 4:00 pm

The different aspects of burn reconstruction will be presented and discussed in a modular format, concentrating on one basic and overview topic (how to develop a reconstructive plan for an individual burn survivor), followed by a basic technique topic (local flaps), two special subjects (hand and reconstruction in the elderly), a module on new or adjunct technology (rehabilitation techniques like RF or ultrasound), concluding with a burn survivor’s perspective on reconstruction.

2:00 pm – 4:00 pm

This session will begin with a holistic discussion of the multi-faceted treatment of adult and adolescent patients with self-inflicted burn injuries. National data regarding prevalence will be presented as well as research finding regarding pre-morbid characteristics and outcomes. The presenters will provide information about best practices when treating adult and pediatric patients with self-inflicted injuries. The forum will also include discussion of the impact of caring for this unique patient population on the providers and strategies for supporting the burn team.

Thursday, March 19, 2020

6:30 am – 7:45 am

This sunrise symposium will be help burn care providers understand the value and importance of collaboration between nursing and therapy to maximize the functional outcomes of our burn survivors. We will discuss set up and timing of dressing changes, supplies used, and timing of therapy. We plan a practical (hands on) portion to allow nurses and therapists to collaborate and apply a dressing to a highly functional area together (i.e. shoulder, hand, hip). This approach allows burn survivors to have maximum function when dressings are applied during the acute burn injury, which maximizes function long term.

6:30 am – 7:45 am

The use of improvisational theatre techniques has been used extensively in the medical community to help professionals improve both communication and empathy. Participants will be led through various improv exercises to help them listen and connect with colleagues and with patients. These skills can be easily be translated from the classroom to the workplace.

6:30 am – 7:45 am

Most burn patients complain that skin graft donor site pain is more intense and affected them more during recovery from surgery. This session will explore the mechanisms of pain for skin graft donor site and help attendees understand that they involve different pain pathways than burn wounds. The session will also address other factors that affect donor site pain such as nursing care, dressing changes, physiotherapy, and mobilization. All available options for pain management for common locations for skin graft donor site will be discussed. Participants will share their experiences and proven ideas. We will emphasize a multi-modal approach and use of regional anesthesia as well as novel molecules like lipsomal bupivacaine in our discussions.

6:30 am – 7:45 am

Specialty burn centers often cover a large catchment area. Discharging patients who require specialized care can be a challenge, especially in rural areas where access to healthcare is limited. Integration of care with local providers is essential to a smooth transition back to the burn survivor’s community. Topics to address will include wound care and assessment, pain management, rehab therapies, and psychosocial support. Follow-up modalities, including the use of telemedicine will be discussed. This symposium will explore ways to provide continuity of care and ensure successful rehabilitation of burn-injured patients in rural areas after discharge from a burn center.

2:00 pm – 4:00 pm

Supporting children throughout their burn treatment can be challenging. This session will educate on the role of the child life specialist and how this multidisciplinary role supports the mission of the burn team and family-centered care. This session will also provide multidisciplinary staff with education on post-traumatic growth and developmentally informed care and tips and tricks for age-appropriate interactions.

2:00 pm – 4:00 pm

The 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU provide a foundation for standardization of these disorders in critically ill patients. However, these guidelines do not specifically address the burn patient population and literature in this area is limited. The purpose of this session is to summarize the guidelines and to extrapolate these recommendations to burn patients accounting for inherent limitations in this population.

2:00 pm – 4:00 pm

Burns scar contracture involving the hand is one of the most challenging areas to manage for burn therapists. Principle and methods of splinting of the hand, from the acute stage of wound healing and throughout scar development to maturation will be presented for management of these burns in children. Outcome data related to the efficacy and safety of splinting in a paediatric cohort will be presented and attendees will have the opportunity to learn how to fabricate splints and design a splinting regime aimed at preventing common hand contractures.

4:15 pm – 5:30 pm

Burn care providers may approach the same clinical problem using different techniques and strategies. Video is an ideal way to demonstrate a technique and convey information about a specific approach to a clinical problem in burn care. In this session, burn care provider will present a 5-7 minute video recording, of a technique involving care and treatment of a burn patient, using the theme of “How I Do It”. This session will be multidisciplinary in nature and will feature technical descriptions of treatments and interventions provided by many members of the burn team. Each video session will be followed by a 5 minute Q&A and discussion with the audience.

Friday, March 20, 2020

12:15 pm – 1:45 pm

This forum will allow therapists who are interested in applying for Burn Therapist Certification (BT-C) to hear about the changes to the BT-C program, learn tips for succeeding, and include a question and answer session with successful applicants who will describe their experience and how they prepared for certification.

2:00 pm – 4:00 pm

Psychosocial burn recovery requires interprofessional team expertise and patient and family inclusion. An early start in aftercare planning can help the team understand the challenges, worries, strengths, resources, coping skills, goals, and hopes of families and patients. It assists with building a compassionate understanding of their experiences and assessing readiness to plan and discuss reintegration and aftercare needs and resources. Engagement strategies are presented with a specific focus on family experiences as survivors of the burn injury, and ways through which they can be supported and empowered to assist the burn survivor with aftercare and social reintegration needs.

2:00 pm – 4:00 pm

Team work is essential for patient safety as well as staff well-being. This session will review key elements of team development through a series of fun and engaging activities. Each activity will highlight specific skills and strategies to improve communication and team building.

2:00 pm – 4:00 pm

There are many outcomes measures utilized in health care. This session will offer the learner information on the trends and application of outcome measures in burn rehabilitation therapy, with focus on relationship of measures to the World Health Organization International Classification of Functioning (ICF) framework, including what qualities constitute a good outcome measure, what are the domains of mobility and hand function; and how outcome measures are used in practice to enhance documentation as well as to demonstrate evidence-based practice.