Learn on Demand
Massive Orthopedic Trauma: Controlling Hemorrhage
Presenter: Regis Renard, MD
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Knowledge Gap: 
The purpose of this activity is to educate healthcare providers with the most up-to-date information on 
Massive Orthopedic Trauma: Controlling Hemorrhage.

Target Audience
The target audience includes all healthcare professionals such as physicians, nurses, pharmacists and allied health professionals who would like to learn about 
Massive Orthopedic Trauma: Controlling Hemorrhage and how it pertains to their respective profession.

 
Release and Expiration Dates
11/14/2017 -11/14/2020

Objectives

1.  Discuss the opportunities of the American College of Surgeons educational “Stop The Bleed” Campaign

2.  Define treatment options for active hemorrhage in the patient with musculoskeletal injuries

3. Apply specific interventions for active hemorrhage in patients with pelvic ring disruption

References:

•Injury and violence: The Facts 2014” World Health Organization 2014

•Kauvar et al. J Trauma. 2006;60:S3–S11

•L Bohler, “The Treatment of Fractures”5th English Edition, Grune & Stratton, 1956.

•DeBakey ME. Military surgery in World War II. A backward glance and a forward look. N Engl J Med. 1947;236:341-50

•King B and Jatoi I, The mobile Army surgical hospital (MASH): a military and surgical legacy.  J Natl Med Assoc. 2005 May;97(5):648-56.

•Tong MJ. Septic complications of war wounds. JAMA. 1972 Feb 21;219(8):1044-7.

•Beekley AC  et al. Prehospital tourniquet use in Operation Iraqi Freedom: effect on hemorrhage control and outcomes. J Trauma. 2008 Feb;64(2 Suppl):S28-37; discussion S37.

•Kragh JF Jr et al. Practical use of emergency tourniquets to stop bleeding in major limb trauma.

•J Trauma. 2008 Feb;64(2 Suppl):S38-49; discussion S49-50.

•Ode et al. Emergency tourniquets for civilians: Can military lessons in extremity hemorrhage be translated? J Trauma Acute Care Surg. 2015 Oct;79(4):586-91.

•Hoppe et al. Early versus delayed application of Thomas splints in patients with isolated femur shaft fractures: The benefits quantified. Injury, Int. J. Care Injured 46 (2015) 2410–2412

•Demetriades et al., J Am Coll Surg, 2002, 195:1-10

•Becker et al., J. Anat. (2010) 217, pp475–487

•Burgess et al., J Trauma, 1990, 30:848-856

•Baque P, Trojani C, Delotte J, et al. Anatomical consequences of “open-book” pelvic ring disruption: a cadaver experimental study. Surg Radiol Anat. 2005;27:487–490

•Huittinen V and Saltis P, “Postmortem angiography and dissection of the hypogastric artery in pelvic fractures.” Surgery, 1973;73:454–462

•Grimm et al., “Pressure-volume characteristics of the intact and disrupted pelvic retroperitoneum.” J Trauma, 1998;44(3):454–459

•Sadri et al., “Control of severe hemorrhage using C-clamp and arterial embolization in hemodynamically unstable patients with pelvic ring disruption.” Arch Orthop Trauma Surg (2005) 125: 443–447

•Eastern Association for the Surgery of Trauma Practice Management Guidelines for Hemorrhage in Pelvic Fracture—Update and Systematic Review. J Trauma. 2011;71: 1850–1868

Biographical Info

Dr. Renard is a board certified, orthopaedic traumatologist. He specializes in the care of peri-articular, pelvic and acetabular fractures; treatment of post-traumatic complications including nonunions, malunions and osteomyelitis; limb salvage; deformity correction; joint preservation and post-traumatic adult reconstruction of the hip, knee and ankle.

Dr. Renard graduated from the Johns Hopkins University with a Bachelor of Science in Biomedical Engineering specializing in Material Science as well as a minor in Applied Mathematics. He received a Master of Science in Biomedical Engineering from Rutgers, The State University of New Jersey. He graduated from The University of Medicine and Dentistry of New Jersey-The New Jersey Medical School, where he also completed his Orthopaedic Surgery training. He completed his Orthopaedic Traumatology fellowship at the University of Southern California where he also served on staff at the LAC-USC Medical Center in Los Angeles, California. Prior to joining UAMS, he was an orthopaedic trauma surgeon at Brookhaven Memorial Hospital Medical Center and Long Island Orthopaedic and Spine Specialists.

He has received several honors and awards throughout his medical career including the Gold Humanism Award and Chief Resident teaching award. He has authored several publications and textbook chapters relating to clinical and basic science aspects of orthopaedic injuries. Dr. Renard is a member of the American Association of Orthopaedic Surgeons, American College of Surgeons, Orthopaedic Trauma Association and AO trauma group. He is active teaching and lecturing locally and nationally for the Orthopaedic Trauma Association and AO-North America. His research interests include evaluation of fracture fixation constructs; pharmacologic means to improve fracture healing and evaluation of cartilage injuries associated with peri-articular fractures.

Speaker Disclosures:
The planners, speakers, moderators, peer reviewers and /or panelists of this CE activity have no relevant financial relationships with commercial interests to disclose.

Planners: 
Kim Miller  
Susan Smith Dodson
Mark Jansen

Speaker:
Regis Renard, MD

Peer Reviewers: 
Kim Miller, MCHES


Instructions to obtain credit:

1.       Launch the activity 
2.       View the entire activity online 
3.       Complete the post-test 
           (must pass the post-test with a score of 65% to receive credit)
           You may retake the post-test if you do not receive a passing score.
4.       Complete Evaluation 
Print certificate or transcript (Available in the “My Profile” tab).

Direct Provider Statement
In support of improving patient care, University of Arkansas for Medical Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Designation Statement 
The University of Arkansas for Medical Science Office of Continuing Education designates this live activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Arkansas for Medical sciences designates this enduring activity for a maximum of 1.00 ANCC contact hours. Nursing contact hours will be awarded for successful completion of program components based upon documented attendance and completion of evaluation materials.

Disclosure Policy statement

It is the policy of the University of Arkansas for Medical Sciences Office of Continuing Education to ensure balance, independence, objectivity and scientific rigor in all provided and jointly provided educational activities.  All individuals who are in a position to control the content of the educational activity (course/activity, directors, planning committee members, staff, teachers, or authors of CE) must disclose all relevant financial relationships they have with any commercial interest(s) as well as the nature of the relationship.  Financial relationships of immediate family members must also be disclosed, if the nature of the relationship(s) could influence the objectivity of the individual in a position to control the content.  The ACCME describes relevant financial relationships as those in any amount occurring within the past 12 months that create a conflict of interest.  Individuals who refuse to disclose are disqualified from participation in the development, management, presentation, or evaluation of the CE activity.

UAMS Office of Continuing Education

4301 W. Markham #525
Little Rock, AR 72205
Phone: 501-661-7962 Fax: 501-661-7968

Learn On Demand Contact Us:
For information regarding this educational activity or website, please contact

Center for Distance Health
4301 W. Markham #519
Little Rock, AR 72205
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855-234-3348
Email: cdheducation@uams.edu


Type:  Internet Activity (Enduring Material)
11 Registered Users
Credits
1 Hours> Non-Accredited

1 Credits> Accreditation Council for Continuing Medical Education> AMA PRA Category 1 Credit

1 Contact Hours> American Nurses Credentialing Center> ANCC

1 CECH, 1 CECH> University of Arkansas for Medical Sciences> CHES