Live Day 1 – Wednesday, April 7, 2021
7:45 AM – 8:45 AM
8:00 AM – 9:30 AM
P-191 | Opening Ceremony & Presidential Address
Speaker: William Hickerson, MD, FACS
10:15 AM – 12:00 PM
F-267 | Burn Nursing Practice: A Clinical Pro/Con Debate
Course Directors: Gretchen J. Carrougher, MN, RN; Tara Lerew, BSN, RN, NE-BC
Debates concerning clinical practice are nothing new to healthcare. Discussions (aka: debates) that are evidence-based are crucial to ongoing discussions for determining clinical standards of care and practice. As nurse members of the American Burn Association are seeking specialty recognition, we need to be able to define our practice – to include those ‘gray areas’ which may be controversial or lack evidence. This forum will bring together nurses with fundamental knowledge of the issues for a discussion and pro/con debate.
- Describe the evidence to negate (CON) or support (PRO) nursing practice concerning: 1) use of unit-based burn wound care teams, 2) the practice of popping acute burn wound blisters, 3) use of silver-impregnated dressings for acute burn wounds, and 4) MD vs RN responsibility for burn size calculations.
- Describe the evidence for how best to maintain nurse competency in low-volume, high-risk procedures.
- Identify topics in need of further research that have high impact on the practice of burn nursing and/or nursing care of the burn-injured patient.
F-262 | One Size Does Not Fit All: Applying the 2018 Society of Critical Care Medicine Guidelines for Pain, Agitation, Delirium, Immobility, and Sleep to Burn Patients
Course Directors: Allison N. Boyd, PharmD, BCCCP; Todd A. Walroth, PharmD, BCPS, BCCCP, FCCM; Samuel P. Mandell, MD, MPH
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.
- State the recommendations included in the 2018 PADIS Guidelines.
- Compare and contrast available burn-specific literature for each section of the 2018 PADIS Guidelines.
- Interpret the information from the 2018 PADIS Guidelines and literature review to the burn patient population in a standardized manner.
12:00 PM – 1:15 PM
Lunch Break/Exhibit Hall
1:15 PM – 3:00 PM
F-263 | What the Burn Provider Needs to Know About Sepsis: Current Literature, Special Considerations, Case-based Discussions, and Future Directions
Course Directors: Steven Kahn, MD; Laura S. Johnson, MD
This course on burn sepsis is a mix of didactic lectures and case-based, and discussions. The participant will be given a presentation on the most current literature (Sepsis-3), followed by specific considerations when caring for burn patients. Next, there will be case presentations accompanied by discussion from a panel of experts- with audience participation. Finally, there will be a presentation on the newest “cutting-edge” care and potential future directions in sepsis management.
- Summarize Sepsis- 3 guidelines Explain paradigms unique to burn patients when managing sepsis.
- Demonstrate evidence-based information of Sepsis-3 guidelines into case base discussion.
- Discuss potential future directions in sepsis management.
F-369 | MAC-Forum, Effective Meeting Strategies for Burn Rounds
Course Directors: Annette F. Newman, MS, RN, CCRN-K; Caran Graves, RDN MS CNSC; Vincent Gabriel, MD; Philip H. Chang, MD, FACS
This MAC forum session will review common strategies used during most Burn Centers’ daily and weekly burn rounds. We will also present current organizational behavior research to propose new ways of effective team communication and discuss recent changes due to COVID-19.
- Discuss methods of planning and carrying out an effective team meeting.
- Compare communication strategies for sharing clinical information.
- Describe Burn Center team communication strategies and how the recent COVID-19 crisis has affected them.
4:00 PM – 4:45 PM
S-111 | Managing the Morbidly Obese Burn Patient in the Burn Center
Moderators: Charles J. Yowler, MD, FACS, FCCM; Amanda P. Bettencourt, PhD, APRN, CCRN-K, ACCNS-P; Sharon Quallich, ACNP, CNS
Describe the challenges that arise in the care of the morbidly obese patient with burn injury or other complex soft tissue wounds such as NSTI and calciphylaxis.
- Critique the morbidly obese patient and identify barriers to wound care.
- Recognize comorbidities common to the morbidly obese patient Identify medical and nursing issues unique to the morbidly obese patient.
- Examine treatments for soft tissue injuries more common in morbidly obese patients such as NSTI and calciphylaxis.
S-206 | Inhalation Injury 2020: A Comprehensive Update
Moderators: Todd F. Huzar, MD, FACS; Kevin K. Chung, MD, FCCM, FACP; Ronald Mlcak, MBA, PhD, RRT, FAARC
Despite advances in the management of inhalation injury over the last 70 years, current management schemes are often supportive and morbidity as well as mortality remain high in these patients. Those that suffer inhalation injury may sustain thermal damage to the supraglottic airways, chemical irritation of the lower airways, systemic toxicity from carbon monoxide (CO) and/or cyanide (CN), or the hallmark of inhalation injury, the combination of these previously described insults. This sessions will cover inhalation injury, modes of ventilation, inhaled adjuncts, management of CO and CN, and chemical inhalation injury.
- Describe the types of inhalation injury and understand how they independently and in combination effect patient’s respiratory tract.
- List the types of conventional and non-conventional ventilation and describe the role each plays in the management of inhalation injury.
- Describe the pathophysiology of both carbon monoxide and cyanide toxicity and demonstrate an understanding of the appropriate management of both systemic toxins.
- Define chemical inhalation injury, list some of the more common agents, and discuss the ways in which chemical inhalation may be difficult to both diagnosis and manage.
S-107 | The Burn Unit Staffing Roller-Coaster – Unique Staffing Challenges
Moderators: Rudi Shlomovitch, BA; Laura Vey, BScN, RN
Discussion will focus on determinants for staffing levels and the ways to make adjustments during acuity surges and downtimes. What is the optimal staffing model and how to make it sustainable, while maintaining standards of care and improving patient outcomes?
- Critique ongoing staffing requirements and optimize patient care utilizing resources available.
- Define the staffing model appropriate for Burn Unit specific needs.
S-203 | Does This Have to Be so Difficult? Using Implementation Science to Accelerate Changes in Burn Care Practice
Moderators: Victor C. Joe, MD; Audrey E. Wolfe, MPH
High-quality clinical research evidence takes years to become integrated into routine care. Implementation science seeks to narrow this evidence-to-practice gap by accelerating the uptake of research findings and best practices. The products of implementation science, like toolkits or tailored implementation interventions, can help overcome common barriers faced by burn care providers when trying to change practice.
Moderators will facilitate a discussion of 1) contextual and clinician-specific factors that influence the ability to translate research to real-world practice settings, 2) how implementation science can overcome barriers, and 3) the integration of dissemination and implementation into burn research and quality improvement projects.” Identify existing implementation science frameworks and strategies that can be used to accelerate the success of evidence-based practice projects, research findings, and local quality improvement efforts by clinicians.
- Determine the applicability of implementation science concepts to clinical practice.
- Determine how to integrate dissemination and implementation science into research project proposals and plans.
5:00 pm – 6:00 pm
Details are in the works!