On-Demand Content will be available throughout the entire event.

F-261 | Beyond the Basics of Bioethics

Course Directors: Monica L. Gerrek, PhD; Todd F. Huzar, MD, FACS; Oliver Schirokauer, PhD, MD

Burn care providers are not expected to be experts in ethics, nor should they be. However, a limited understanding of bioethical principles and concepts often leads to confusion about how to apply them and can result in unnecessary ethical quandaries. The purpose of this workshop is to provide learners with the information they need to better utilize bioethical principles and concepts in patient care to optimize ethical decision making. In addition to the the four principles of bioethics, topics covered will include informed consent, end-of-life decision making, surrogate decision making, and decision making for pediatric patients among others.

Objectives:

  • Define bioethics terminology correctly.
  • Discuss medical decision making with patients and surrogates.
F-366 | Burn Center Based Laser Scar Revision

Course Directors: Taryn E. Travis, MD; Jeffrey W. Shupp, MD, FACS

This educational forum will cover a range of topics useful to team members working to establish a laser scar revision program at their burn centers. Topics covered include business plan development, patient selection, practice logistics, billing and coding, safety, and tools and technology of a burn center-based laser practice.

Objectives:

  • Design effective documentation in a burn center-based laser scar revision practice.
  • Discuss intraoperative and postoperative pain associated with laser scar revision.
  • List various laser and light technologies and their unique benefits.
  • Define important safety considerations in the use of laser and light technologies.
F-367 | Burn Nursing Practice – Update on Specialty Recognition and Certification

Course Directors: Gretchen J. Carrougher, MN, RN; Sheila Giles, BSN, RN, CPN

The presentations and discussions will focus on the recent goal of achieving specialty recognition for burn nursing within the American Nurses Association. In addition, an update to a burn nursing certification program will be provided.

Objectives:

  • Define the current status of burn nursing as a recognized specialty by the American Nurses Association.
  • Identify how to access the accepted Burn Nursing: Scope and Standards of Practice document.
  • Differentiate the BNCI competencies and those listed in the Burn Nursing: Scope and Standards publication.
  • Describe the current status and proposed timeline for specialty certification.
F-364 | Global Burn Injury Prevention and Control

Course Directors: Barclay T. Stewart, MD, PhD, MPH; Michael Peck, MD, ScD, FACS

This forum will provide updates and examples of epidemiology-, health system strengthening-, and community-based approaches to reduce the incidence of burn injuries and improve survival and recovery after injury globally. Additionally, the session will discuss advocacy and policy mechanisms to reduce the burden of burn injuries in low-resource settings and mitigate specific types of injuries, like chemical assault and burn-related violence against women and girls.

Objectives:

  • Describe methodological differences, strengths and weaknesses of community-based surveys and hospital-based registries to identify prevention targets.
  • Describe three burn care paradigms that are unique to low-resource settings.
  • List operational advantages of community-based burn rehabilitation and recovery programs in low-resource communities.
  • Describe an advocacy strategy for burn injury prevention and control.
F-374 | What in the Wound Are You Doing?

Course Directors: Anjay Khandelwal, MD, FACS, FICS; Soman Sen, MD

Wound infections are one of the leading causes of sepsis in burn patients leading to significant morbidity and mortality.  Despite the critical nature, wound infections remain elusive in terms of diagnosis and management with significant practice variation across the world.  This interactive, multi-disciplinary forum will shed light on etiology, definitions, diagnosis and treatment with the goal to enable burn centers to develop their own guidelines and algorithms to effectively and efficiently manage wound infection based on literature, expert consensus and accepted practices.

Objectives:

  • Describe the etiology of common wound infections seen in burn patients.
  • Recognize the clinical presentation and classification of wound infections.
  • Discuss treatment options including indication for topical vs systemic antibiotic therapy and duration of therapy.
  • Identify various diagnostic methods for wound infections with an emphasis on practicality.
F-264 | Bubbles and Bandages: Trauma Informed Practice and Pediatric Psychosocial Care in the Burn Center

Course Directors: Alexis Castro, MS, CCLS

Supporting children and families throughout their burn treatment is often challenging, with many factors involved. This session will provide a framework for how trauma, adverse childhood experiences, and development impact a child’s coping with treatment.  Techniques and tools to facilitate developmentally appropriate care will be shared. The impact of a child’s coping style and a parent’s role in the child’s adjustment will be discussed as they relate to transitioning to the outpatient setting. Promoting post-traumatic growth and resiliency will also be discussed.

Objectives:

  • Describe the roles played by stress and trauma in shaping physical, developmental, and psychological processes in pediatric burn injuries.
  • Describe Trauma Informed Care and how it can be implemented as a comprehensive approach to improving patient and family outcomes.
  • Identify nonpharmacological techniques for providing age-appropriate care with the goal of decreasing pain, increasing opportunities for patient mastery, and creating positive coping skills.
  • Describe ways for promoting post-traumatic growth and resiliency and the caregiver’s role in their child’s adjustment.
F-372 | Chronic Disease After Burn Injury: Developing a Collaborative Approach to an Underrecognized Aspect of Aftercare

Course Directors: Diana Tenney; Radha K. Holavanahalli, PhD; Jeffrey C. Schneider, MD

Survival rates on large burns are commendable, but have we comprehensively addressed the reality of the chronic effects of burns throughout the course of our patients’ post-burn lives? Little research has been done on chronic effects of burn injury and long-term sequelae. When the burn survivor transitions care to the general medical population, they are often uninformed of long-term conditions and complications that affect the survivor’s life. This session aims to (i) provide a comprehensive understanding of specific long-term needs and experiences of survivors, and (ii) offer a collaborative approach to address those needs to improve overall patient care.

Objectives:

  • Describe current evidence and gaps in evidence regarding possible/probable long-term chronic conditions of burn survivors through existing research and burn survivor reported cases.
  • Formulate a long-term discharge plan to include information on chronic conditions that are prevalent post-discharge to patient, family members, Primary Care Physicians and other Multi-Disciplinary Care Team stakeholders.
  • Examine future research needs on chronic conditions.
  • Recognize common conditions through collaboration with burn survivors and other post-discharge care team members to form an optimal life-long personalized plan of care.
F-368 | Controversies in Modern Burn Care: The ABA Pro/Con Debates

Course Directors: Victor C. Joe, MD; Robert Cartotto, MD FRCS(C)

Not all therapeutic decisions in burn care are informed by large prospective randomized studies. There are often opposing approaches to the same clinical problem. Burn care providers often disagree about various therapeutic interventions for the burn patient. This session will highlight four controversial areas in burn treatment. Experts from the burn team will debate these resolutions, defending their stance on a particular care plan or strategy. Audience polling will be used to identify the attendee’s biases before the debate and their positions after the debate to see if the presented arguments change opinions.

Objectives:

  • Identify the advantages and disadvantages of two opposing therapeutic approaches to the same clinical problem.
  • Use the most appropriate evidence-based therapeutic approach to a clinical problem.
  • Appraise the nuances in the arguments, pro and con, for controversial clinical problems where the evidence is not definitive.
F-370 | Implementing Quality Improvement in the Burn Centre: A Symphony in Five Parts

Course Directors: Yvonne Singer, RN, BSc,GDip,CF; David T. Harrington, MD, FACS

Providing safe, evidenced-based, high-quality burn care is challenging in the complex healthcare environments within which Burn Centers function. This education forum is an insightful journey into implementing Quality Improvement (QI) in the Burn Center. It will shine a light from the past to the future on the ABA registry and the newly developed ABA Burn Quality Data Platform and Quality programs. It will dive into implementation science and human factors to identify strategies and resources to implement successful and sustainable QI changes, and finally, it will explore differences and similarities between research and QI methodologies.

Objectives:

  • Apply new skills to develop healthcare improvement projects in burn care.
  • Describe the ABA’s National Burn Registry and BQDP.
  • Improved competence in beginning to use registry data to implement improvement strategies.
  • Implement healthcare improvement projects in burn care.
F-373 | Noninvasive Tools for Assessment of Wound Depth and Scars in Burn Care: Do We Have What We Need?

Course Directors: Lauren Moffatt, PhD; Jeffrey W. Shupp, MD, FACS

Despite decades of research devoted to non-invasive technologies to aid in burn care there is a lack of consensus on their use. During this session the learner will be informed of the most notable technologies for the assessment of acute burn wounds and burn hypertrophic scars. Data will be presented on the accuracy and efficacy of each technology and the gaps and barriers as to why these technologies are not universally adopted. Question and answer chat will be moderated with the intent of understanding the needs of the burn care community and future directions.

Objectives:

  • Describe the technologies available to assist in burn care.
  • List reasons why many of these technologies are not universally adopted.
  • Define future directions for research in this space.
F-166 | The Complex Problem of Recognising and Responding to Clinical Deterioration in the Burn Center

Course Directors: Yvonne Singer, RN, BSc,GDip,CF; Eduardo Gus, MD; Elizabeth L. Capell

Patients with severe burns are at risk of clinical deterioration because of the complex nature of burn injury, subsequent treatments, and systemic complications. Evidence shows that most adverse events occur because of failures in the afferent/recognition process. Identification of deteriorating patients is complex, influenced by factors such as knowledge and skills, team culture, and environment. This forum will explore: complexities of recognizing and responding to clinical deterioration in burn care; human factors, quality improvement, and implementation science strategies that can effect process, system, and cultural changes to improve the team’s capacity to recognize and respond to clinical deterioration.

Objectives:

  • Describe what is clinical deterioration, and distinguish why clinical deterioration in burn patients can differ to other patient cohorts.
  • Discuss the multiple complex and dynamic human and system factors that can influence the capacity to recognize and respond to clinical deterioration.
  • Describe quality improvement and safety science initiatives that can improve a team’s capacity to anticipate, recognize, and respond to clinical deterioration.
F-163 | Vascular Endothelial Dysfunction in Thermal Injury

Course Directors: Lauren T. Moffatt, PhD; Jeffrey W. Shupp, MD, FACS

The burn care community continually challenges the dogma of burn shock resuscitation. To better inform future clinical care, new evidence and understanding of endothelial dysfunction must be further researched and integrated into our understanding of burn shock pathophysiology. This educational forum is designed to inform learners of the current translational research in endotheliopathy and how it could apply to advances in burn clinical care.  Through this forum, learners will better understand how resuscitation strategies like colloid supplementation may have mechanistic effects on perfusion and vascular leakage.

Objectives:

  • Describe and define endotheliopathy.
  • List potential future directions for research in endothelial dysfunction.
F-266 | When and How to Splint the Paediatric Burned Hand

Course Directors: Stephanie J. Wicks, BAppSc(Phty), CF, BT-C; Claire Toose, BAppSc(Phty); Trudy Boulter, OTR/L, CHT, BT-C

Burns scar contracture involving the paediatric hand is one of the most challenging areas to manage for burns therapists. Splinting the hand from the acute stage of wound healing and throughout scar development to maturation will be presented as a treatment option for management of hand burns in children. Outcome data related to the efficacy and safety of splinting in a paediatric cohort will be presented. Attendees will have the opportunity to see how to fabricate a range of splints and design a splinting regime aimed at preventing contracture of the hand.

Objectives:

  • Describe the current evidence related to splinting of paediatric hand burns and list important design and safety considerations in splinting this area.
  • Design and fabricate a range of hand splints for use in paediatric patients, using both Plaster of Paris and thermoplastic materials.
  • Formulate a splinting regime for a paediatric hand burn, aimed at preventing contracture while minimising risk of complications.
F-271 | Video Session: Burn Care: How I Do It

Course Directors: Robert Cartotto, MD, FRS(C); Ingrid Parry, MS, PT, BT-C

This session will highlight some of the innovative strategies burn care providers have used in the care of the burn injured patient.

F-164 | Working with Self-Inflicted Burn Patients and Families at the Burn Center

Course Directors: Kristen C. Quinn, CMHC; Kimberly Roaten, PhD, CRC;  Brent Smith, PhD, LP

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 findings regarding pre-morbid characteristics and outcomes.  The presenters will provide information about best practices when treating adult and adolescent 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.

Objectives:

  • Identify specific factors related to care provider moral injury and supporting staff when caring for this patient population.
  • Identify tools to use to support family members post a loved one’s self-inflicted burn injury.
  • Describe risk factors associated with self-inflicted burns in pediatric/adolescent populations and list important components of psychosocial treatment for this population.
  • Describe strategies for identifying, assessing, and reducing suicide risk among adult patients using evidence-informed practices.
  • Discuss patterns of physical and psychological outcomes for individuals with self-inflicted burn injuries.

Correlative Sessions

  • Correlative I – Aftercare and Reintegration
  • Correlative II – Clinical Sciences: Critical Care
  • Correlative III – Clinical Sciences: Nutrition and Metabolism
  • Correlative IV – Clinical Sciences: Wounds and Scars
  • Correlative IX – Pain and Pruritis
  • Correlative V – Disaster/Mass Casualty
  • Correlative VI – Medical Care (non-critical)
  • Correlative VII – Nursing
  • Correlative VIII – Outpatient Care
  • Correlative X – Prevention/Epidemiology/Public Health
  • Correlative XI – Psychological and Psychosocial
  • Correlative XII – Quality Improvement
  • Correlative XIII – Reconstruction
  • Correlative XIV – Rehabilitation
  • Correlative XV – Surgical Care (acute, non-reconstructive)
  • Correlative XVI – Translational Sciences: Critical Care and Metabolism
  • Correlative XVII – Translational Sciences: Wounds and Scars