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SCIENTIFIC PROGRAM

Acute Care Surgery – Point/Counterpoint Sunday June 2, 2013 4:00 – 6:00 PM Registration Monday June 3, 2013 Morning 7:00 AM Registration and Continental Breakfast 7:30 AM Introduction and Welcome LD Britt, MD, MPH, FACS 7:40 AM General Session I Gastrointestinal dilemmas and controversies Moderator: LD Britt MD, MPH, FACS  Adhesive small bowel obstruction: Is a 48-hour period (or greater) too long for conservative management when there is no substantial improvement? Pro: Elliott Haut, MD, FACS 7:40 Con: Therese Duane, MD, FACS 7:50 Resolution and Q & A 8:00-8:20 Is there a role for operative management in the patient who is having massive gastrointestinal bleeding without any identifiable source? Pro: Rao Ivatury, MD, FACS 8:20 Con: Mayur Narayan, MD, MPH, MBA, FACS 8:30 Resolution and Q & A 8:40-9:00 Laparoscopic appendectomy in the young, thin, male: Is it really more beneficial than the open approach? Pro: Terrence Fullum, MD, FACS 9:00 Con: David Efron, MD, FACS 9:10 Resolution and Q & A 9:20-9:40 Type II (paraesophageal) hiatal hernia: Is there a need for urgent intervention? Pro: Patricia Turner, MD, FACS 9:40 Con: Josè Diaz, MD, FACS 9:50 Resolution and Q & A 10:00-10:20

10:20 AM Break – Visit Exhibits 10:20-10:40 10:40 AM General Session I continued  Acute appendicitis presenting in the late evening: waiting until the next morning to operate is an option Pro: Therese Duane, MD FACS 10:40 Con: Elliott Haut, MD, FACS 10:50 Resolution and Q & A 11:00-11:20  Mechanical bowel preparation: Overrated? Pro: Jay Collins, MD, FACS 11:20 Con: Elliott Haut, MD, FACS 11:30 Resolution and Q & A 11:40-12:00 Luncheon Presentation State-of-the-Art Lecture The Impact of Healthcare Reform on American Surgery 12:00-1:00 Lecturer: David Hoyt, MD, FACS Q & A 1:00-1:40

Noon 

Monday June 3, 2013 Afternoon 1:40 PM  General Session II Colorectal management Moderator: LD Britt, MD, MPH, FACS Diverting the feculent stream: loop is preferred over an end colostomy Pro: Vincent Obias, MD, FACS 1:40 Con: Allen Chudzinski, MD, FACS 1:50 Resolution and Q & A 2:00-2:20 “Protective” diverting colostomy: never an indication Pro: Allen Chudzinski, MD, FACS 2:20 Con: Vincent Obias, MD, FACS 2:30 Resolution and Q & A 2:40-3:00

Robotic surgery in managing colorectal diseases in the acute care setting: Are there indications? Pro: Vincent Obias, MD, FACS 3:00 Con: Allen Chudzinski, MD, FACS 3:10 Resolution and Q & A 3:20-3:40

3:40 PM 4:00 PM

Break – Visit Exhibits 3:40-4:00 General Session III Management of biliary diseases Moderator: LD Britt, MD, MPH, FACS  Acute cholecystitis: Should we readdress the timing of cholecystectomy? Pro: Patricia Turner, MD, FACS 4:00 Con: Michel Aboutanos, MD, FACS 4:10 Resolution and Q & A 4:20-4:40 Asymptomatic cholelithiasis: Is there a need for cholecystectomy? (EAST Oriens Award Winner/Sponsor Debate) Pro: Charity Evans, MD 4:40 Con: David Shatz, MD, FACS 4:50 Resolution and Q & A 5:00-5:20 Common bile duct stone management in the post gastric bypass patient: a multidisciplinary approach Pro: Peter Geis, MD, FACS 5:20 Con: Terrence Fullum, MD, FACS 5:30 Resolution and Q & A 5:40-6:00 Welcome Dinner

7:00- 9:00 PM

Tuesday June 4, 2013 Morning 6:30 AM Continental Breakfast 7:30 AM General Session IV Trauma Management: Interventions, Innovations, and Biases Moderator: LD Britt, MD, MPH, FACS  Therapeutic laparoscopy in the trauma setting: Has the time come? Pro: Rao Ivatury, MD, FACS Con: Nathaniel McQuay, MD, FACS Resolution and Q & A Retained hemothorax and video-assisted thoracoscopy in trauma: an underutilized intervention Pro: Jay Collins, MD, FACS Con: David Efron, MD, FACS Resolution and Q & A Blunt aortic injury: Is there a role for an open approach? Pro: Wayne Meredith, MD, FACS Con: Thomas Scalea, MD, FACS Resolution and Q & A Extremity vascular injury: Is there a role for endovascular stenting for definitive management? Pro: John Ricotta, MD, FACS Con: Thomas Scalea, MD, FACS Resolution and Q & A Break – Visit Exhibits General Session IV continued Damage control management and the open abdomen: Do we need more strict criteria? Pro: Josè Diaz, MD, FACS Con: Lenworth Jacobs, Jr., MD, MPH, FACS Resolution and Q & A Embolization of solid organ injuries: still an underutilized therapeutic modality Pro: Thomas Scalea, MD, FACS Con: Michel Aboutanos, MD, FACS Resolution and Q & A

10:10 AM 10:30 AM

11:55 AM Luncheon Presentation Charles Wolferth Jr., MD Memorial Lecture Introduction: LD Britt, MD, MPH, FACS Lecturer: Wayne Meredith, MD, FACS

Tuesday June 4, 2013 Afternoon 1:30 PM General Session V Specific management and workforce issues Moderator: LD Britt, MD, MPH, FACS  Confirmed loss of vital signs upon arrival in the penetrating torso trauma patient: no intervention Pro: Lenworth Jacobs, Jr., MD, MPH, FACS Con: Megan Brenner, MD, FACS Resolution and Q & A  Grade 3 or 4 splenic injuries in the hemodynamically stable patient with severe head injury: Operate (splenectomy)? Pro: Nathaniel McQuay MD, FACS Con: Andrew Peitzman, MD, FACS Resolution and Q & A

2:50 PM 3:10 PM

Break- Visit Exhibits General Session V continued  Isolated pancreatic duct injury: an indication for stent repair Pro: Rao Ivatury, MD, MPH, FACS Con: Andrew Peitzman, MD, FACS Resolution and Q & A  The presumed tangential gunshot wound to the abdomen in the unevaluable and hemodynamically stable patient: Is there a role for open operative intervention? Pro: Megan Brenner, MD, FACS Con: Edward Cornwell, MD, MPH, FACS Resolution and Q & A “Vac” therapy for open wounds: Is it being overutilized? Pro: Leonard Weireter, MD, FACS Con: Sharon Henry, MD, FACS Resolution and Q & A  Mid-level providers in trauma care: A model that should be expanded? Pro: Leonard Weireter, MD, FACS Con: Mayur Narayan, MD, MBA, FACS Resolution and Q & A “Hot topics” Point/Counterpoint Panel        Massive transfusion protocols: Have they worked? Complex pancreaticoduodenal injuries: What are the tricks of the trade? Laparoscopy in trauma: Is it still evolving? Resuscitative thoracotomy: Outdated? Management of intracranial injuries without a neurosurgical service: When and how? Disaster management in the non-burn center trauma hospital? Mass causality preparedness: What are the essential recommendations?

5:50 PM

6:20 PM

Q & A and wrap up

Wednesday June 5, 2013 Morning 6:30 AM Continental Breakfast 7:30 AM General Session VI Controversies in Critical Care Moderator: LD Britt, MD, MPH, FACS State-of -the -Art Lecture Introduction: LD Britt, MD, MPH, FACS Lecturer: Patrick Reilly, MD, FACS Q&A 8:30 AM General Session VI continued

Thromboelastography (TEG) in the ICU setting: Hype? Pro: Amy Rushing, MD, FACS Con: William Chiu, MD, FACS Resolution and Q & A

“Immune-enhancing” enteral nutrition: Is this evidence-based? Pro: Sharon Henry, MD, FACS Con: Patrick Reilly, MD, FACS Resolution and Q & A

Traumatic Brain Injury (TBI) and DVT prophylaxis: early initiation of prophylaxis is indicated Pro: Adil Haider, MD, FACS Con: Sharon Henry, MD, FACS Resolution and Q & A Break-Visit Exhibits

10:30 AM 10:50 AM

General Session VI continued  Assessment of volume status: utilization of ultrasound is indicated Pro: William Chiu, MD, FACS Con: Amy Rushing, MD, FACS Resolution and Q & A  Determination of procalcitonin levels to reduce antibiotic use: evidence based? Pro: Adil Haider, MD, FACS Con: Leonard Weireter, MD, FACS Resolution and Q & A Acute Respiratory Disease Syndrome (ARDS): Is progress being made? Pro: Amy Rushing, MD, FACS Con: Andrew Peitzman, MD, FACS Resolution and Q & A

12:50 PM -1:20 PM Closing remarks