Live Day 3 – Friday, April 9, 2021

7:45 AM – 8:45 AM

Education Forum

F-168 | A.I., Machine Learning, and Big Data and the Impact on Burn Injury Treatment and Research

Course Directors: Soman Sen, MD; Hooman Rashidi, MD, MS, FASCP; Nam K. Tran, PhD, HCLD (ABB), FAACC

The explosion of big data in health care coupled with advances in computer technology and software has ushered the health care profession into the era of machine learning (ML) and artificial intelligence (AI). In this session, we introduce an overview of ML and AI and how they can and are being used in healthcare.  We highlight research using ML and AI in burn-injured patients and discuss the future use of ML and AI in both research and treatment of burn-injured patients.

Objectives:

  • Demonstrate an understanding of Machine Learning and Artificial Intelligence for healthcare.
  • Describe the current and potential use of Machine Learning and Artificial Intelligence in healthcare.
  • Demonstrate an understanding of using Machine Learning and Artificial Intelligence in improving burn injury treatment.
  • Demonstrate an understanding of using Machine Learning and Artificial Intelligence in improving burn injury research.
F-361 | Nutrition Monitoring for Burn Patients

Course Director: Kate Wallace

There are many strategies for monitoring nutrition provision for both adult and pediatric burn patients, this session will review literature and share best practices regarding metabolic cart studies, urinary urea nitrogen measurements (UUN), and other monitoring tools.

Objectives:

  • Define metabolic cart studies and UUN measurements.
  • Interpret results of metabolic cart studies and UUN to adjust nutrition needs for burn patients.
  • Utilize tools available for nutrition monitoring in the pediatric burn population.
9:00 AM – 11:00 AM

Plenary

P-391 | Top 6 Abstracts

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

The Top SIX Abstracts, based on the scores of reviewers, will be presented at the Plenary to allow all attendees to hear the highest-rated abstracts and listens to invited discussants ask their questions to the presenting authors.

The Top 6 Abstracts:

  • Initial Results of the American Burn Association (ABA) Multi-Center Evaluation on the Effectiveness of the Burn Navigator
  • One Year Follow up Results of the DETECT Enzymatic Debridement Multicenter RCT
  • Are Burns a Chronic Condition: Examining Physical and Mental Functioning up to 20 Years after Injury
  • Impact of Opioid-Minimizing Pain Protocols after Burn Injury
  • The Impact of Burn Survivor Pre-injury Income and Payer on Health Related Quality of Life Outcomes
  • Burn Survivors Can Perform Mild/moderate-intensity Exercise in Thermoneutral Conditions Without a Risk of Excessive Elevations in Core Body Temperature
11:15 AM –12:15 PM

Symposia

S-112 | Are All Burn Patients Treated Equally?

Moderators: Linwood Haith, MD FACS FCCM; Juvonda Hodge, MD; Debbie Minter, MSPT; Jennifer Kennedy, MS, OTRL

This session will be an open discussion and exchange of ideas about disparities and how to reduce bias and discrimination in ourselves, our hospitals, and our organization.

Objectives: 

  • Identify implicit bias in staff/providers.
  • List steps to promote inclusively within your organization.
  • Strategize ways to address disparities in your population.
S-204 | Finding the Sweet Spot: The Management of Hyperglycemia and Diabetes in Burn Patients

Moderators: Allison N. Boyd, PharmD, BCCCP; Todd A. Walroth, PharmD, BCPS, BCCCP, FCCM

There is a paucity of data regarding the optimal management of hyperglycemia and diabetes in the hypermetabolic burn patient in both the inpatient and outpatient setting. The purpose of this session will be to allow attendees to share local practices, successes, and barriers for achieving glycemic control in burn patients. Discussion topics will include: bridging between care settings, using insulin vs. oral agents, transitioning off continuous insulin infusions to subcutaneous insulin, the ideal goal blood glucose range, carbohydrate counting, perioperative management, patient education, endocrine service involvement, and discharge support.

Objectives: 

  • Identify the causes of hyperglycemia in a patient experiencing a burn injury.
  • Develop a treatment plan for hyperglycemia in a burn patient.
S-208 | Moral Distress and Moral Injury: What? Why? How?

Moderators: Monica L. Gerrek, PhD; Anjay Khandelwal, MD, FACS, FICS; Mikki J. Rothbauer, MSW, LICSW

Moral distress occurs when one knows what the right thing to do is, but is unable to pursue that course of action. Such distress arises for healthcare providers when doing what is best for the patient conflicts with what is best for other patients, other providers, the organization, family, or society. Moral injury occurs when a provider bears witness, fails to prevent, or perpetrates an act that transgresses deeply held moral beliefs. Both moral distress and moral injury can lead to provider burn out, illness, and, death. We will discuss these concerns and ways of addressing them.

Objectives: 

  • Define the terms: moral distress, moral dilemma, moral residue, and moral injury.
  • Demonstrate an understanding of how to deal with moral distress and moral injury.
S-105 | Spiritual Needs and the Burn Patient: Moving from Disorientation to Reorientation

Moderators: Sandra L. King, MA, BCC; Amy Acton; Monica L. Gerrek, PhD

Surveys of trauma survivors inform us that spiritual/religious beliefs play an important role in recovery.  Further research suggests that spiritual health/spiritual distress play an important role in how patients make meaning of their trauma injuries and how their arc of recovery unfolds.  A burn injury can bring with it many unique aspects of spiritual distress for the burn patient and family.  In this symposium, we will discuss these unique aspects and explore the question of how suffering through this distress can aid burn survivors in moving from reliving the story of their trauma to rewriting the story of their lives.

Objectives: 

  • Describe what is meant by “spiritual distress” and gain an understanding of how spiritual distress is experienced by the burn survivor and their family, as well as the burn provider.
  • Define “post-traumatic growth” and share how their own suffering can be and has been, fertile soil for post-traumatic growth.
  • Describe the many resources available for burn-injured patients, providers, and caregivers to aid in spiritual, emotional, and physical healing.
S-211 | Understanding the ABA Guidelines for Management of Acute Pain

Moderators: Kathleen S. Romanowski, MD, FACS; Joshua S. Carson, MD, FACS; Shelley A. Wiechman, PhD

New pain guidelines for the management of acute burn pain were developed by the Organization and Delivery of Burn Care Committee and are currently under consideration by the ABA board.  The purpose of this sunrise symposium would be to discuss the new guidelines, the rationale behind them, and future research that could be done to enhance our knowledge of the treatment of burn pain. Through this session, we will be able to disseminate the new guidelines and start a discussion about how best to treat acute burn pain.

Objectives: 

  • Describe the new ABA guidelines for the management of acute burn pain.
  • Discuss the rationale and process by which the ABA guidelines for the management of acute burn pain were developed.
  • Describe the future research which is needed for us to better understand the management of acute burn pain.
12:15 PM – 1:15 PM

Lunch Break and Solutions Expo

1:15 PM – 3:00 PM

Education Forums

F-268 | Extensive Burns – Current and Emerging Options for Wound Closure

Course Directors: Angela Gibson, MD, PhD, FACS; Tina L. Palmieri, MD

The single greatest challenge in extremely large burns is definitive wound coverage. Choosing the approach is not always straightforward. In this educational forum, topics will include cultured skin, spray on autologous skin cell suspension, dermal substitutes, bilayered substitutes, and surgical techniques for expanding autologous skin grafts (MEEK, Sandwich technique). The indications and pros/cons of each option and the overall strategy including choice and timing for use in extreme TBSA burns will be covered. Additionally, the use of these strategies at burn centers with lower volume large burns will also be discussed.

Objectives:      

  • Describe currently approved options and emerging technologies for coverage of extensive burns.
  • Recognize challenges in the timing of definitive coverage for extensive burns.
  • Define barriers and discuss options for treating extensive burns at low volume burn centers
  • Identify solutions to maintaining competency in definitive coverage for extensive burns during preoperative, intraoperative, and postoperative care phases.
F-371 | Survivorship in Discharge and Aftercare Planning: Engaging Families and Burn Survivors as Burn Team Members

Course Directors: Karen Badger, PhD, MSW; Pam Peterson, RN

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, which can assist 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, prepared, and empowered to assist the burn survivor with aftercare and social reintegration needs. Describe strategies to engage with burn patients and families and build relationships early to assist with individualized aftercare planning.

Objectives: 

  • Discuss potential challenges and needs families of burn survivors may experience during the burn survivor’s hospitalization and after discharge and identify mechanisms to include them in patient-entered aftercare planning.
  • Examine current practice and integrate motivational interviewing strategies to develop a compassionate understanding of patient and family experiences, assess strengths and abilities, and identify aftercare support needs.
3:15 PM – 4:15 PM

Business Meeting

4:15 PM – 5:00 PM

Closing Party Scavenger Hunt 

Get together will colleagues and friends for the Friday night closing party.  While we can’t be together in person to celebrate the work we do as burn care professionals, we will have a virtual toast to a challenging year and a brighter future as we look to meeting in person in 2022.  ABA volunteers will host a scavenger hunt that you can do from wherever and whatever time zone you are in at the moment.  Join the fun!  Prizes will be awarded.