Live Day 2 – Thursday, April 8, 2021

7:45 AM – 9:00 AM

Special Session

P-192 | 20/20 Vision: The Wide-ranging Effects on Multidisciplinary Burn Care Through the Lens of the COVID-19 Pandemic, Pt. 1

Course Directors: Victor C. Joe, MD; Leopoldo C. Cancio, MD, FACS

The COVID-19 pandemic dramatically impacted the continuum of burn care from supply chain to aftercare. Its exposed vulnerabilities in burn care from unforeseen threats and demonstrated that a burn disaster is not limited to scenarios with large numbers of patients with thermal injuries. Any disaster that threatens the shared resources of a medical system can increasingly put pressure on burn care delivery systems leading to the implementation of altered standards of care. This course will examine the effect of the COVID-19 pandemic on burn centers, evaluate our response vis-a-vis the current preparedness framework, and explore solutions for future disaster preparedness.

Objectives:

  • Examine the effect of the COVID-19 pandemic on the care of burn patients throughout the continuum of care (acute, rehabilitation, outpatient, aftercare) in the context of burn center operations and as component parts of hospital systems.
  • Assess the American Burn Association’s disaster preparedness framework through an analysis of our response to the COVID-19 pandemic, evaluating what worked and what did not to attain an improved understanding and application of the principles of mass casualty response.
  • Provide steps necessary for the formulation of enhanced preparedness and response to future disaster events.
  • Identify ethical issues that arise in burn care during a pandemic, compare and contrast these issues from those that arise during a disaster event.

Education Forum 

F-167 | Care of the Elderly Burn Patient: Optimizing Quality of Life and Long Terms Outcomes

Course Directors: Arek J. Wiktor, MD, FACS; Marc G. Jeschke, MD PhD FACS FCCM FRCS(C)

Elderly burn patients pose unique challenges to the burn team including optimization of the quality of life (QOL) and appraising end-of-life options.  Geriatric studies show that the aging population is exceedingly vulnerable to adverse health outcomes, such as falls, prolonged hospitalization, institutionalization, and death.  Hospitalizations are likely to be longer, lead to functional decline, require additional support, and eventual transition to nursing homes. This session will review and provide guidance to enhance elderly burn patients’ QOL by improving physical, psychological, social/spiritual components of care.  A multidisciplinary team of presenters will be followed by a panel discussion with elderly burn survivors.

Objectives:

  • Explain ways to enhance elderly QOL by recent advances in pain management and frailty assessments.
  • Explain physical and occupational therapy considerations in the elderly patient.
  • Discuss ways to optimize the psychological support and spiritual needs of the elderly patient.
  • Discuss the benefits of early palliative care consultation, and how to best utilize this service for the elderly patient.
9:15 AM – 10:30 AM

Special Session

P-292 | 20/20 Vision: The Wide-ranging Effects on Multidisciplinary Burn Care Through the Lens of the COVID-19 Pandemic, Pt. 2

Course Directors: Victor C. Joe, MD; Leopoldo C. Cancio, MD, FACS

The COVID-19 pandemic dramatically impacted the continuum of burn care from supply chain to aftercare. It exposed vulnerabilities in burn care from unforeseen threats and demonstrated that a burn disaster is not limited to scenarios with large numbers of patients with thermal injuries. Any disaster that threatens the shared resources of a medical system can increasingly put pressure on burn care delivery systems leading to the implementation of altered standards of care. This course will examine the effect of the COVID-19 pandemic on burn centers, evaluate our response vis-a-vis the current preparedness framework, and explore solutions for future disaster preparedness.

Objectives:

  • Examine the effect of the COVID-19 pandemic on the care of burn patients throughout the continuum of care (acute, rehabilitation, outpatient, aftercare) in the context of burn center operations and as component parts of hospital systems.
  • Assess the American Burn Association’s disaster preparedness framework through an analysis of our response to the COVID-19 pandemic, evaluating what worked and what did not to attain an improved understanding and application of the principles of mass casualty response.
  • Provide steps necessary for the formulation of enhanced preparedness and response to future disaster events.
  • Identify ethical issues that arise in burn care during a pandemic, compare and contrast these issues from those that arise during a disaster event.

Education Forum 

F-162 | Burn Reconstruction Educational Symposium

Course Directors: Sigrid Blome-Eberwein, MD; Daniel Driscoll, MD, FACS

The Burn Reconstruction educational symposium is an ongoing program, focusing on reconstruction and reintegration of the burn survivor through functional and aesthetic reconstruction. First, the approach to burn reconstruction in general will be discussed, elaborating on general reconstructive surgical and non-surgical techniques. Each course then concentrates on a focus area (like hands, face, breast, feet etc.) with specialists presenting their approach through case presentations and interdisciplinary teamwork examples. Some literature review and evidence will be integrated into the presentations. Finally, a panel and audience discussion offer the opportunity to deal with some problem areas in detail.

Objectives:

  • Recognize the reconstructive needs of burn survivors.
  • Identify available options for burn reconstruction.
  • Describe the limitations of burn reconstruction.
  • Recognize the absolute need for a team approach between surgeon, therapist, nurse, and burn survivor in order to achieve a good outcome.
10:45 AM – 12:15 PM

Education Forums

F-265 | Utilizing Community Partnerships for Better Burn Care Outcomes: Working with the Fire Service, Burn Foundations, Burn Survivors and Other Community Partners

Course Directors: Jennifer B. Radics-Johnson, MBA; Tom Flamm, Fire Fighter

The needs of burn patients are numerous and diverse. Patients are not only looking for positive surgical outcomes but are looking for a more holistic approach to healing including psychological healing, emotional support and knowledge about how to prevent future burn injuries. With limited time and resources, burn centers are stretched thin to meet all of their patients’ needs. This course will help burn centers recognize opportunities for collaboration and partnerships to assist with better burn patient outcomes and prevention of burn injuries, as well as provide examples of successful partnerships and collaborations between burn centers and community partners.

Objectives:

  • Identify community partners to assist with the needs of burn centers and their patients and community.
  • Recognize opportunities for collaboration and partnerships to assist with better long-term burn patient outcomes and prevention of burn injuries.
F-161 | Rehabilitation Workshop: Providing Therapy in the Critical Care Setting – How Do We Do It and What Has Changed?

Course Directors: Matthew Godleski, MD; Miranda L. Yelvington, OTR/L, BT-C; Renee Warthman, MS OTR/L, BT-C, CHT

There are many challenges to providing therapy services in the critical care setting, but also new opportunities to advance practices to allow for safe, early interventions for during periods of intensive care. This session will review current technologies, scientific studies regarding therapy in critical care, and practical approaches and guidance for implementing new 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.

Objectives:

  • Describe recent advances regarding therapy for critically ill patients.
  • List information about new techniques and protocols for early therapy to their home institution.
  • Explain measurements, medications, and equipment used in the intensive care unit.
12:15 PM – 1:15 PM

Lunch Break and Solutions Expo

1:30 PM – 3:15 PM

Education Forums

F-362 | Fearless Burn Prevention Messaging: Best Practices in Design & Delivery

Course Directors: Stephanie Campbell, MS RN CCRN-K; Rebecca Coffey, PhD MSN APPRN-CNP; Karla S. Klas, BSN, RN, CCRP

Burn centers, fire departments, and support organizations have unique opportunities to deliver burn prevention messaging to the community. This session will review current prevention messaging best practices, including how to create positive, accurate, and consistent messaging, how to vet programs and materials, and how to adapt your approach to your audience. Other topics of discussion will include eliminating scare tactics and utilizing language that is compatible with low health literacy.

Objectives:

  • Describe the current best practices in burn prevention messaging.
  • Design evidence-based burn prevention messages for materials and programming.
F-165 | Therapy Dosing and Intervention in the Multidisciplinary Care Environment: Examining Available Evidence, Practice Standards, and Protocols

Course Directors: Brooke Murtaugh, OTD, OTR/L, BT-C; Derek Murray, PT, MS, BT-C

What is the appropriate therapy dosing and intensity for the burn survivor? This question is fraught with ambiguity and dependent upon care setting, size of the burn, therapy staffing models, and therapist experience. The objective of this symposium is to review and discuss current burn literature and rehabilitation practice recommendations in various intervention domains. Moderators and attendees will examine how published evidence, practice recommendations, therapist expertise, and organizational barriers can lead to clinical decision-making regarding therapy dosing and intensity. This symposium aims to be an interactive session that promotes clinician networking, problem-solving and implementation of evidence-based burn rehabilitation.

Objectives:

  • Define therapy dosing and rehabilitation intensity in the burn care setting.
  • Identify the factors that impact therapy dosing for burn rehabilitation setting.
  • Describe current evidence-based burn rehabilitation practice recommendations as it relates to rehabilitation dosing and intensity.
3:30 PM – 4:00 PM

Vendor Education Sessions

Medline | Hyalomatrix Transformations

Speaker: Dr. Ram Velamuri, MD
Topic: Listen to Dr. Velamuri’s experience with Hyalomatrix

Molnlycke | Pediatric Burns and Wound Care: Current Practice with an Eye on Pain Control

Speaker: Paul M. Glat, MD
Topic: Presentation on current practice in pediatric burn/wound care and pain control

4:15 PM – 5:00 PM

Symposia

S-101 | Are Fear-avoidant Beliefs and Behaviors Impairing Burn Survivor’s Ability to Reengage in Activities?

Moderators: Bernadette Nedelec, PhD, B.Sc. OT (c), BT-C; Danielle Shashoua, Physiotherapist

The Fear-Avoidance Model describes a cascade of events after pain that is perceived as threatening, which may lead to avoidance of valued and meaningful life activities and greater disability. Literature examining burn survivors suggests they may experience fear-avoidance, however, there has been limited discussion among rehabilitation professionals who specialize in burn survivor rehabilitation. This session will facilitate discussion of the theoretical basis of fear-avoidant beliefs and behaviors in burn survivors and issues associated with evaluation and treatment.

Objectives:

  • Describe the theoretical basis for and evidence describing fear-avoidance in burn survivors.
  • Discuss the strengths and limitations of potential evaluation tools to determine whether burn survivors are experiencing fear-avoidant beliefs and behaviors.
  • Appraise how fear-avoidant beliefs and behaviors are limiting burn survivor’s ability to reengage in activities that they want or need to do.
  • Discuss treatment approaches applied to reduce fear-avoidant beliefs and behaviors.
S-102 | Burn Prevention: Worth It’s Weight in Gold

Moderators: Stephanie Campbell, MS RN CCRN-K; Karla S. Klas, BSN, RN, CCRP

Resources dedicated to burn prevention programming are often limited. It can be challenging to convince hospital administration or organizational leadership that programs designed to prevent burn injuries deserve more funding, dedicated time, and personnel. This session will encourage participants to share ideas about how to best advocate for more resources for burn prevention activities. We will brainstorm new approaches to demonstrating that efforts to prevent burn injuries in the community are worthy of our focus and our funds.

Objectives:

  • Describe strategies for engaging hospital or organizational leadership in efforts to strengthen burn prevention programming.
  • Discuss potential solutions to the barriers for increasing resources for burn prevention programming.
S-207 | It’s All About Teamwork: Nursing and Therapy Collaboration for Optimizing Function with Dressings and Treatment

Moderators: Cassandra O’Rourke, OTR/L, BCP; Emily Eschelbach, BSN, RN; Trudy Boulter, OTR/L, CHT, BT-C

This symposium will help burn care providers understand the value and importance of collaboration between nursing and therapy to maximize the functional outcomes of our burn survivors. Topics discussed and facilitated in the group would include set up and timing of dressing changes, supplies used, the timing of therapy, and 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, trunk). This approach allows burn survivors to have a maximum function when dressings are applied during the acute burn injury, which maximizes function long term.

Objectives:

  • Identify the value in collaboration between nursing and therapists for optimal timing of therapy and application of functional dressings to maximize function for the burn survivor.
  • Identify at least one new dressing technique that the participant will utilize upon return to their burn center to maximize the functional mobility of patients when in their burn dressings maintaining the integrity of the dressing.
S-209 | Outcome Measures: Applications in Burn Rehabilitation

Moderators: Lynne Benavides, OTR/L, CHT; Betsey Ferreira, MSPT

There are many outcome measures utilized in rehabilitation to assist in determining a patient’s current status, progress, and success of intervention. In functionally based recovery, domains of mobility and hand function are of great concern, and this session will aim to have an interactive, healthy discussion on utilizing adult-based outcome measures in PT/OT  practice to enhance documentation as well as evidenced-based practice. Focus specifically centered on mobility and hand/upper extremity outcome tools with the expectation of broader discussion including the effect of scar outcomes. Discussion also to include optimal timing of outcome measure administration and mode of administration.

Objectives:

  • Determine which outcome measures are most effective for use in burn rehabilitation in areas of impairment, activity, and participation.
  • Describe the most commonly used outcome measures in relation to domains of mobility and hand function.
  • Explain the importance of frequent re-administration of outcome tool to evaluate the effectiveness of therapy intervention allowing for modification of the plan of care to reach maximal functional outcomes.
S-212 | Youth Firesetting Intervention Programs

Moderators: Kara Garrett, BS, YFSIS; Paul Schwartzman, MS, L.M.H.C., D.A.P.A.

In this session, we will review what different agencies are using to run their Youth Firesetting Intervention Programs with partnering agencies. We will also review general statistics from different programs, databases that are utilized to run programs efficiently, and will discuss ideas on how to improve on current practices.

Objectives:

  • Demonstrate which key elements allow for a successful Youth Firesetting Intervention Program.
  • Define how partnering agencies can adequately instruct and assist families in a Youth Firesetting Intervention Program.
5:00 PM – 6:00 PM

International Association of Burn Camps Game Night

ABA and the International Association of Burn Camps invite you to a fun filled evening of games and virtual activities. Burn camps this year have found innovative ways to engage campers in the virtual world, you can be part of that fun. This event is hosted by the IABC. Prizes will be awarded.