REBOA Workshop

TITLE of PROGRAM

Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Workshop

WHERE

Center for Advanced Medical Learning and Simulation (CAMLS), Tampa, Florida
124 S. Franklin, Tampa, Florida 33602

WHEN

 

November 17th, 2017

 

PROGRAM DESCRIPTION

Description
Statement of the Problem

Hemorrhage is a significant cause of potentially preventable death in both military and civilian trauma patients worldwide.1,2 In the United States, 60% to 70% of deaths presenting with potentially survivable injuries were attributed to noncompressible torso hemorrhage (NCTH).3 NCTH occurs when there is vascular disruption to the chest, abdomen, and/or pelvis. The patient’s fate is dependent on whether the first responder is timely and effective in administering the intervention. Delay in NTCH intervention can lead to rapid cardiovascular collapse and death.

Current Practice

Aortic occlusion has traditionally been achieved by performing a resuscitative thoracotomy (RT) and aortic cross-clamping.3 The purpose of RT is to control bleeding and maintain core organ profusion. Although RT has proven to be effective, it is a highly invasive procedure with varying survival rates ranging from 0% to 89%.4 There is also a risk of infection when RT is performed in emergency departments.

Closing the Gap

A less invasive endovascular method for hemorrhage control and resuscitation is Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). REBOA involves the insertion of a balloon into the aorta, via a femoral access approach, that is subsequently inflated to provide hemostasis. REBOA can be used as a proactive measure when a risk of cardiovascular collapse is identified resulting in prompt control of the hemorrhage, an increase in cardiac afterload and a rise in central aortic pressure as hemostasis is reached.

Innovations such as a new fluoroscopy-free system and recent success in clinical studies have intensified the recommendation of REBOA in treating traumatic injury. Studies demonstrate that REBOA surpasses the aortic cross-clamping procedure—outcomes indicate higher survival rates and fewer early deaths. REBOA is also being re-evaluated as an adjunct for hemorrhage control to address combat injury on the battlefield.

Although REBOA has the potential to save lives, non-vascular surgeons and other practitioners who care for hemorrhagic shock may not consider REBOA use due to lack of knowledge, skills or equipment to perform the procedure. Novice interventionalists, such as emergency physicians and acute care surgeons, should be given opportunities to learn and develop confidence in endovascular skills. CAMLS offers the REBOA Workshop (Resuscitative Endovascular Balloon Occlusion of the Aorta) as an educational activity to bridge the gap. This course will provide learners with comprehensive instruction on REBOA, as well as allow for REBOA practice in a risk-free, simulated environment.

TARGET AUDIENCE (WHO SHOULD ATTEND?)

This course is designed for Trauma Surgeons, Acute Care Surgeons, Emergency Department Physicians, Military Providers who care for hemorrhagic shock, as well as Trauma/Acute Care Fellows, General Surgery Residents, Emergency Department Residents, and Vascular Surgery Residents and Fellows.

LEARNING OBJECTIVES

Upon completion of this course, learners will be able to:

Objectives
  • Explain the current support for REBOA in peer-reviewed literature
  • Label all pertinent vascular anatomy points and superficial landmarks used in REBOA
  • Name each instrument in the REBOA toolkit and describe its use
  • Identify 2 recommended aortic treatment zones for REBOA
  • Recognize clinical indications and contra-indications of REBOA
  • Describe 8 possible errors that may occur during the REBOA procedure and the available solutions
  • Demonstrate the 8 critical steps of successful REBOA in a simulated environment (under critical observation)

Overall learning objectives apply to all professions in the target audience.

DISTINGUISHED FACULTY

 

Mark Mattos, MD
Vascular Surgeon, Michigan Vascular Center
Program Director, Vascular Surgery Fellowship
Michigan State University-Michigan Vascular Center
Flint, MI

Gerald Fortuna, MD
Col, USAF, MC, SFS
Director, CSTARS St. Louis
Washington University Depts of Trauma and Vascular Surgery
St. Louis, MO

Zaffer Qasim, MBBS FCEM FRCPC(EM)
Assistant Professor of Emergency Medicine and Emergency Critical Care
Resuscitation and Critical Care Unit (ResCCU)
Department of Emergency Medicine
Perelman School of Medicine at the University of Pennsylvania
Philadelphia, PA

Lena Napolitano, MD, FACS, FCCP, MCCM
Joyce and Don Massey Family Foundation Professor
Professor of Surgery
Division Chief, Acute Care Surgery
Director, Trauma & Surgical Critical Care
Trauma Burn Center
University of Michigan Health Systems

Peter R. Nelson, MD, MS, FACS
Associate Professor of Surgery and Molecular Pharmacology and Physiology
Associate Chairman, Surgery Research and Innovation
USF Morsani College of Medicine

Competencies

ACGME/ABMS

  • Patient Care and Procedural Skills (PCP)
  • Systems-Based Practice (SBP)
  • Medical Knowledge (MK)
  • Interpersonal and Communication Skills (ICS)

Institute of Medicine (IOM)

  • Provide Patient-Centered Care (PPC)
  • Work in Interdisciplinary Teams (WIT)
  • Employ Evidence-Based Practice (EEB)

AGENDA

Click here to view Agenda.

FEES

Registration Fee: $1,750

REGISTRATION

November 17th, 2017 Registration please click here.

The registration fee for this course includes course content, simulation procedure training, program materials, breakfast, lunch, parking and CME credit.

REGISTRATION CANCELLATION

Cancellations must be requested in writing via fax to 813‐224‐7864 or e-mail to cpdsupport@health.usf.edu, and received by Friday November 3rd, 2017 in order to receive a refund.  A $75 cancellation fee will be assessed to cover administrative costs. There are no refunds for no-shows or for cancellations received after November 3rd, 2017.  Substitutions are welcome without penalty.

USF Health Office of Continuing Professional Development reserves the right to cancel this activity due to unforeseen circumstances, in which the full registration fee will be refunded. USF Health is not responsible for travel expenses incurred by the participants in the unlikely event that this activity is cancelled.

ACCOMODATIONS

Hotel rooms at a discount rate are available within walking distance to The Center for Advanced Medical Learning and Simulation (CAMLS).

Hotels

Partner Hotels:
  CAMLS has three partner hotels in the area all of which offer special “CAMLS Discounts”.  Please  visit the Partner Hotels page here and click on the individual hotels to see which hotel best fits your needs. You may also call each hotel and ask for the CAMLS  rate.

The Marriott Courtyard:  Marriott Courtyard Tampa Downtown at 102 E Cass St, Tampa, Florida 33602 is also offering a discounted rate.  The hotel is a 5 minute walk from CAMLS and has complementary morning and evening shuttle service.  Follow this link to access their discounted rate.  Or call the hotel at 813-229-1100 and ask for the CAMLS preferred rate.

ACCREDITATION

Physicians
USF Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

USF Health designates this live activity for a maximum of 8 AMA PRA Category 1 CreditsTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DISCLAIMERS & DISCLOSURES

USF Health adhere to ACCME Standards regarding commercial support of continuing medical education.  It is the policy of USF Health that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved.  Detailed disclosure will be made in the course syllabus.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

USF is an Equal Opportunity / Affirmative Action / Equal Access Institution.

FURTHER INFORMATION

If you have activity related questions please contact cpdsupport@health.usf.edu, or call 813-224-7860.