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WELCOME FROM THE ATMS COMMITTEE

Dear Colleague,

On behalf of The Association of Trauma & Military Surgery, wewelcome you to this year’s conference in Harrogate.

We wish to thank Professor Nicholas Gair and all his colleaguesat ASGBI, as we once again hold our conference in parallel withtheir International Surgical Congress. We also offer a special voteof thanks to the Royal British Legion, whose generous financialsupport enables us to attract the highest possible calibre ofdistinguished speaker.

To deliver our 2014 keynote Guthrie Lecture, we welcome Dr David Hoyt, ExecutiveDirector of the American College of Surgeons. Tying in with the ‘Education and Innovation’theme, and alongside our friends of the International Conference on Surgical Educationand Training (ICOSET), we will be hosting a session on trauma preparedness for militarysurgeons, with perspectives from both sides of the Atlantic. There is also a session focusingon the vexed problem of violence against women and girls. We have assembled a group ofinternational speakers to deliver an overview of all the challenges facing those caring forwomen and girls subjected to violence at home and in the setting of war and conflict.

A conference highlight will be our annual dinner on Wednesday night and, this year, wewill be dining at the iconic Sun Pavilion in Harrogate, enjoying music by the Royal MarineBand. We encourage all delegates to come along with their partners/friends.

In the centenary year of the outbreak of the First World War, trauma care in both thecivilian and uniformed military arenas couldn’t be more relevant. We welcome you to theTrauma & Military Surgery Conference 2014 and hope that the academic forum providedwill allow us to share advances in trauma care across the full spectrum and enable us tobuild networks for collaboration and cooperation for the future.

Lt Col Douglas M Bowley RAMCOn behalf of the ATMS Organising Committee

ASSOCIATION OF TRAUMA& MILITARY SURGERY CONFERENCE

Wednesday 30th April 2014

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REGISTRATION ANDINNOVATION & SIMULATION ZONE

COFFEE BREAKAND INDUSTRY EXHIBITION

8:00

9:00

9:00

10:30

10:30

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Session 1: ATMS SYMPOSIUM

Chair: Surgeon Captain Mark J Midwinter RN

VIOLENCE AGAINST WOMEN & GIRLS:OVERVIEW

Janet Veitch (OBE)(Non-Executive Director,

End Violence Against Women Coalition,London, UK)

CLINICAL MANAGEMENT OFRAPE SURVIVORS

Dr Catherine White (OBE)(Clinical Director

St Mary’s Sexual Assault Referral Centre,Manchester, UK)

FEMALE GENITAL MUTILATIONDr Comfort Momoh (MBE)

(FGM Consultant / Public Health SpecialistAfrican Well Woman’s Clinic, Guy’s & StThomas Foundation Trust, London, UK)

RAPE AS A WEAPON OF WARLt Col Ngozi E Dufty RAMC

(Consultant Physician in Sexual Healthand HIV, Birmingham Heartlands Hospital,

Birmingham, UK)

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Session 2: JOINT ATMS & ICOSET SYMPOSIUM

Chairs: Mr Craig McIlhenny

(Royal College of Surgeons of Edinburgh)

Lt Colonel Douglas Bowley RAMC

State of the Art Lecture sponsored by RCSEdTEAM TRAINING - SHOULD IT BE

MANDATORY FOR ALL SURGEONS?Professor Eduardo Salas

(Chair & Pegasus Professor of PsychologyUniversity of Central Florida, USA)

TRAINING IN TRAUMA SURGERY:UK PERSPECTIVE

Surgeon Captain Mark Midwinter RN(Defence Professor of Surgery

Royal Centre for Defence Medicine,Birmingham, UK)

TRAINING IN TRAUMA SURGERY:US PERSPECTIVE

Captain Eric Elster(Professor and Chairman, Norman M. RichDepartment of Surgery, Uniformed Services

University, Bethesda, USA)

IMPLEMENTATION OF TEAM TRAININGFOR ALL SURGEONSDr Bryn Baxendale

(Director, Trent Simulation and ClinicalSkills Centre, Nottingham University

Hospitals NHS Trust , Nottingham, UK)

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ASSOCIATION OF TRAUMA& MILITARY SURGERY CONFERENCE

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LUNCH BREAK ANDINNOVATION & SIMULATION ZONE

12:40

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13:30

14:10

Session 3: PLENARY GUTHRIE LECTURE

Chair: Lt Colonel Douglas Bowley RAMC

RESUSCITATION: PAST AND PRESENTProfessor David B Hoyt

(Executive DirectorAmerican College of Surgeons,

Chicago, USA)

SPONSORED BY

AUDITORIUM

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16:00Session 5:

ATMS SYMPOSIUM

Chair: Surgeon Commander

Christopher Streets RN

Short Paper Presentations

Session 4: ATMS SYMPOSIUM

Chair: Lt Colonel Ben Banerjee RAMC(V)

Short Paper Presentations

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TEA BREAK ANDINNOVATION & SIMULATION ZONE

PRESENTATION OF PRIZES ANDCONFERENCE CLOSURE

17:45

19:15

17:35

17:35

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17:30

ATMS ANNUAL GENERAL MEETING

ATMS CONFERENCEANNUAL BLACK TIE DINNER

The Sun Pavilion, HarrogateRoyal Marine Band

SESSION 4: ATMS SYMPOSIUM

Chair: Lt Colonel Ben Banerjee TA

14:15 A bio-inspired swellable microneedleadhesive for mechanical interlockingwith tissueMr Joon Faii Ong

14:23 The impact of a major traumacentre on open tibial fracturemanagementMr Matthew Wordsworth

14:31 Factors influencing infection in10-years of battlefield open tibiafracturesMr Jowan Penn-Barwell

14:39 Virtual-world hospital simulationfor real-world disaster response:design and validation of a virtual realitysimulator for mass casualty incidentmanagementDr Philip Pucher

14:47 Hyperbaric warm perfusion maintainstissue composites ex-vivo beyondnormal limits of cold ischemiaDr Anton Fries

14:55 Outcome of penetrating intracranialinjuries in a military settingMr Stuart Harrisson

15:03 Evolution in vascular traumamanagement through 12 years ofcontinuous conflictMr Adam Stannard

15:11 Non-technical skills performance andcare processes in the management ofthe acute trauma patientDr Philip Pucher

15:19 Hydrogen sulphide mitigatesIschemia Reperfusion Injury invascularised compositeallotransplantation and delays theonset of acute rejectionDr Anton Fries

SESSION 5: ATMS SYMPOSIUM

Chair: Surgeon CommanderChristopher Streets RN

16:00 Development of a Swine Model of Bi-Lateral Hind Limb Ischemia Reperfusionand Acute Organ Injury Achieved byTerminal Aortic Balloon OcclusionDr Kira Long

16:08 A comparison of military and civilianliver trauma over 10 yearsSqn Ldr Christopher Lamb

16:16 Prehospital blood transfusion in the enroute management of severe combattrauma: a matched cohort studyMr David O’Reilly

16:24 Triage to resuscitation affects outcome inelderly patients suffering major traumaMs Nabeela Malik

16:32 The effect of normobaric hypoxia oncytokine levels in uninjured volunteersSqn Ldr Christopher Lamb

16:40 Whole Blood Resuscitation as an Adjunctto Passive Aortic Occlusion ImprovesSurvival and Physiologic Parameters in aHighly Lethal Swine Model of Non-compressible Torso HemorrhageDr Kira Long

16:48 Maintaining expertise in the surgicalmanagement of abdominal trauma –experience from a major trauma centreMr Sean Strong

16:56 Preparedness for Trauma Surgery -where are the training gaps? A UK-wide survey of the ASGBI membershipDr. Farid Froghi

17:04 Improving rates of negativelaparotomies in rural South AfricaDr Sumrit Bola

17:12 Penetrating Knife and Ballistic Traumaat a Major Trauma Centre: Outcomes,Recidivism and Geographical mappingwith a Sphere of Influence MapMs Rachael Weatherburn

SHORT PAPER PRESENTATIONS

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Damage Control in Maxillofacial TraumaDr R Adrian Scott

Management of Penetrating Neck Trauma at aLondon Trauma CentreDr Allan Nghiem

Pattern of Spinal Injuries in Modern Conflict –Op HERRICK 15, AfghanistanDr Gary Chow

Improving pre-hospital haemorrhageidentification and control – A national traumaquestionnaireMr Muzzafer Chaudery

Return to Duties after Arthroscopic ShoulderStabilisation Surgery In UK Military PersonnelDr Jonathan Quayle

Emergency Preservation and Resuscitation: ASystematic Review of the LiteratureMr Patrick MacGoey

Prevalence of radiographic features of femoral-acetabular impingementsyndrome in asymptomatic active servicemenDr Sandy Wood

How soon will solid organs heal after bluntabdominal injury? A remarkable case evaluatedby laparoscopy. A video presentationMr Suren Arul

The changing face of trauma at a generaldistrict hospitalDr Mike Hughes

Management of the Bus(t) FootMr Matthew Wordsworth

Assessment of sheep (ovis ares) as a largeanimal model for human plasma basedresuscitation research: a pilot studyDr Clayton Lewis

TachoSil® as an Adjunct to OperativeManagement of Liver InjuriesMr Patrick MacGoey

Approach to polytrauma in a Jehovah’s WitnessDr Simon Tallowin

Training future trauma surgeons; efficacy of the USdesigned Advanced Surgical Skills for Exposure inTrauma (ASSET) course for UK traineesMr Alex Navarro

Thoracotomy in Blunt Trauma - A Futile Exercise?Mr Phill Pearce

The epidemiology, management and outcomeof sport-related ankle fractures in a standard ukpopulationDr Sandy Wood

The impact of Orthopaedic Trauma Nurse Co-ordinators on achievement of Best PracticeTariff (BPT) standards for Hip FracturesMr Daniel Howgate

Toppling Televisions: A Hazard for ChildrenDr Karim Amer

Overuse of Computed Tomography in themanagement of isolated anterior abdominalstab woundsMs Emma Rose McGlone

A novel anatomical and physiological scoringsystem for military pelvic and perineal blastinjuries shows a significantly better predictiveoutcome than current scoring systems usedMs Somayyeh Mossadegh

Operative general surgical trauma – a trainee’spoint of viewMr Marc Wilkinson

Patterns, severity and management ofmaxillofacial injuries in a suburban secondaryhealth facility, South-western NigeriaMr Abraham Ayantunde

Medium term outcomes following severe opentibia fracture sustained in combatMr Jowan Penn-Barwell

Evolving use of selective angiography and orembolization in the emergency management ofpenetrating gluteal injuriesDr Peter Kyle

Sports-related fractures in South East Scotland– an analysis of 990 injuriesDr Sandy Wood

Evaluation of rapid training in ultrasoundguided tourniquet application skillsMr Usman Jaffer

E-POSTER PRESENTATIONS

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Scheduled to be held on 30th April 2014 at annualTrauma & Military Surgery Conference at 17:35pm in the

Kings Suite at Harrogate International Centre

Agenda

1. Welcome

2. Report from Organising Committee Chairman

3. Report on ATMS membership

4. Founding Governing Document and Bylaws

5. Appointment of the Elected Officers

6. Date of next Meeting: Wednesday 22nd April 2015 Trauma & Military Surgery Conference in Manchester

Wednesday 30th April 2014ATMS ANNUAL GENERAL MEETING

Thursday 1st May 2014JOINT ATMS AND ASGBI SESSIONS

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08:30 13:30SYMPOSIUM 6

JOINT ATMS & ASGBILEADERSHIP AND

PROFESSIONALISMSYMPOSIUM

Chairs:Professor Nicholas P Gair(Chief Executive, ASGBI)

Captain Steve Jackson, RN (Rtd)(Honorary Fellow, ATMS)

AN ACADEMIC OVERVIEW OFLEADING HIGH PERFORMING TEAMS

Professor Carlton Cooke(Carnegie Professor of Sport &

Exercise Science, LeedsMetropolitan University)

SURGICAL PROFESSIONALISM:OXYMORON, ANACHRONISM OR

WHAT?Mr Jacob Dreyer

(Dumfries and Galloway)

MANAGING MULTI-DISCIPLINARYMEDICAL TEAMS: THE MILITARY

PERSPECTIVELieutenant Colonel

Phillip de Rouffignac(Commanding Officer, 3 Medical

Regiment)

LEADERSHIP IN TEAM SPORTMs Rhona Howie

(Olympic Gold Medallist and TeamGB Women’s Curling Coach)

DISCUSSION

SYMPOSIUM 8JOINT ATMS & ASGBITRAUMA SYMPOSIUM

Chairs:Surgeon Captain Mark J Midwinter RN

(Defence Professor of Surgery,Birmingham)

Professor Nicholas P Gair(Chief Executive, ASGBI)

UNDERSTANDING THERESPONSE TO INJURY

Capt. Eric Elster(Professor and Chairman,

Norman M. Rich,Department of Surgery

Uniformed Services University,Bethesda, USA)

OPERATIVE THORACO-ABDOMINALTRAUMA DECISION MAKING

Professor David B Hoyt(Executive Director

American College of Surgeons,Chicago, USA)

LOWER LIMB RECONSTRUCTION:AN ORTHOPAEDIC PERSPECTIVE

Mr AF Graeme Groom(Consultant Orthopaedic Surgeon

King's College Hospital,London, UK)

DISCUSSION

10:00 15:00

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