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SUNDAY, May 6, 2018 08:30 – 10:00 / Auditorium 1 Critical injured patient, how to prioritize? Visceral Trauma / ICL + Case Scenario Moderator: Tina Gaarder, Oslo, NO & Fernando Turegano, Madrid, ES 1. Junctional injuries – how to prioritize Fernando Turegano, Madrid, ES 2. Torso vascular injuries – who needs operation vs. role for endovascular Demetrios Demetriades, Los Angeles, US 3. Blunt vs penetrating injuries – difference in approach? Juan Carlos Puyana, Pittsburgh, US 4. The ischemic extremity in the critically injured patient Joakim Jorgensen, Oslo, NO 5. Case presentation & Panel discussion & Take-Home message Tina Gaarder, Oslo, NO 08:30 – 10:00 / Auditorium 2 Trends in geriatric trauma Polytrauma / ICL + Case Scenario Moderators: Matej Cimerman, Ljublijana, SL & Pilar Camacho, Barcelona, ES 1. Developing of geriatric trauma centre Johannes Bastian, Berne, CH 2. Intensive care of polytrauma patient Juan Antonio Llompart, Mallorca, ES 3. Pelvic ring insufficiency fracture – why and how to fix Pol M. Rommens, Mainz, DE 4. Periprosthetic acetabular fractures - fix or replace the cup Marius Keel, Zurich/Berne, CH 5. Case presentation of a civilian elderly trauma patient Pilar Camacho, Barcelona, ES + Panel Discussion 6. Take Home Message (3 min) Matej Cimerman, Ljublijana, SL 08:30 – 10:00 / Auditorium 3 Acute biliary diseases: Stones and nightmares Emergency Surgery / ICL + Case Scenario Moderators: Andrea Anderloni, Rozzano, IT & Jose María Jover, Madrid, ES 1. Severe acute cholecystitis, percutaneous drainage or subtotal cholecystectomy? Jose Manuel Aranda, Malaga, ES 2. Is there anything else someone can do? Andrea Anderloni, Rozzano, IT 3. Economical impact of acute biliary disease on general surgery Hayato Kurihara, Rozzano, ITF 4. Bile duct injury 0% Selman Uranues, Graz, AT 5. Management of bile duct stones. Do surgeons still have a role? Rendez vous?

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Page 1: SUNDAY, May 6, 2018 Critical injured patient, how to ... · 1) Nailing of proximal humeral fractures. Roland Biber, Nürnberg, DE 2) How to do a proper nailing of the humeral shaft

SUNDAY, May 6, 2018

08:30 – 10:00 / Auditorium 1

Critical injured patient, how to prioritize?

Visceral Trauma / ICL + Case Scenario

Moderator: Tina Gaarder, Oslo, NO & Fernando Turegano, Madrid, ES

1. Junctional injuries – how to prioritize

Fernando Turegano, Madrid, ES

2. Torso vascular injuries – who needs operation vs. role for endovascular

Demetrios Demetriades, Los Angeles, US

3. Blunt vs penetrating injuries – difference in approach?

Juan Carlos Puyana, Pittsburgh, US

4. The ischemic extremity in the critically injured patient

Joakim Jorgensen, Oslo, NO

5. Case presentation & Panel discussion & Take-Home message

Tina Gaarder, Oslo, NO

08:30 – 10:00 / Auditorium 2

Trends in geriatric trauma

Polytrauma / ICL + Case Scenario

Moderators: Matej Cimerman, Ljublijana, SL & Pilar Camacho, Barcelona, ES

1. Developing of geriatric trauma centre

Johannes Bastian, Berne, CH

2. Intensive care of polytrauma patient

Juan Antonio Llompart, Mallorca, ES

3. Pelvic ring insufficiency fracture – why and how to fix

Pol M. Rommens, Mainz, DE

4. Periprosthetic acetabular fractures - fix or replace the cup

Marius Keel, Zurich/Berne, CH

5. Case presentation of a civilian elderly trauma patient

Pilar Camacho, Barcelona, ES

+ Panel Discussion

6. Take Home Message (3 min)

Matej Cimerman, Ljublijana, SL

08:30 – 10:00 / Auditorium 3

Acute biliary diseases: Stones and nightmares

Emergency Surgery / ICL + Case Scenario

Moderators: Andrea Anderloni, Rozzano, IT & Jose María Jover, Madrid, ES

1. Severe acute cholecystitis, percutaneous drainage or subtotal cholecystectomy?

Jose Manuel Aranda, Malaga, ES

2. Is there anything else someone can do?

Andrea Anderloni, Rozzano, IT

3. Economical impact of acute biliary disease on general surgery

Hayato Kurihara, Rozzano, ITF

4. Bile duct injury 0%

Selman Uranues, Graz, AT

5. Management of bile duct stones. Do surgeons still have a role? Rendez vous?

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Jorge Pereira, Viseu, PT

6. Clinical scenario and panel discussion

Jose María Jover, Madrid, ES

08:30 – 10:00 / Room 4

Proximal Femur Fractures – still a problem?

Guest Symposium EFORT

Moderator: Peter Giannoudis, Leeds, UK & Christoph Josten, Leipzig, DE

1. What is proven in hip fracture treatment?

Jean-Christophe Bel, FR

2. Fractures around the hip and anticoagulation medication – what to do? Peter Giannoudis, Leeds, UK

3. What is proven in hip fracture treatment?

Christoph Josten, Leipzig, DE

4. Implant related fractures of the femur

Josep Munoz Vives, ES

+Discussion & Interesting cases

08:30 – 10:00 / Room 8+9

Roles of the nurses in major incidents

Guest Symposium ATCN

Moderator: Candida Durão, Lisboa, PT & Frederic Lodier, Lyon, FR

5. Terrorism attack on Promenade des anglais in Nice

Carole Boutet, Nice, FR

6. Train accident near Berlin

Benjamin Riedl, Berlin, DE

7. Bomb and gun shooting in Oslo

Knut Magne Kolstadbraten, Oslo, NO

8. Terrorism attack in Brussels

Yves Maule, Brussels, BE

9. Medical Incident Command on the field, a special role for special nurses (French

military)

Jean-François Ringeval, Toulon, FR

10. Terrorism attack in Barcelona

Manuel Muñoz Mancisidor, Barcelona, ES

11. The January 25th 2018 train crush in Milano

Riccardo Sannicandro, Milan, IT

+ Round table with participation of Itamar Ashkenazi, Hadera, IL

What is the role of the nurses during these particular events?

What can we learn after? How can we improve our practices?

What kind of trainings for us?

08:30 – 10:00 / Room 5

Complex hip and pelvic fractures

Skeletal Trauma and Sports Medicine / Free Paper session

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Moderators: Andriy Kalashnikov, Kiew, UA & Olivera Lupescu, Bucharest, RO

O001 - Quality of life in multiply injured patients with lower extremity trauma 20 and 30 years

after trauma: A comparison study

R. Pfeifer1, G. Osterhoff1, K. Sprengel2, E. Zilkens1, H. Pape1; 1Zürich, CH, 2Zurich, CH

O002 - Fracture progression may cause prolonged pain in patients with fragility fractures of the

pelvis

Y. Ueda1, T. Inui2, H. Tsuji1, Y. Kurata1, J. Saito1; 1Sapporo, JP, 2Tokyo, JP

O003 - Preperitoneal pelvic packing for initial hemorrhagic control in hemodynamic unstable

patients due to complex pelvic fractures in an Iranian busy trauma center

S. Paydar1, H. Ravaii1, H. Abbasi1, S. Bolandparvaz1, R. Askarynezhadbehzady1, S.

Mohseni2; 1Shiraz, IR, 2Orebro, SE

O004 - Comparative Biomechanical Study of Precontoured Angular Plate and Reconstruction

Plate in Treating Posterior Wall Fractures of the Acetabulum

G. Saka, G. Altun; Istanbul, TR

O005 - Comparison of operation time and fluoroscopy time in subtrochanteric fractures

treatment between SIF (Selfdynamisable Internal Fixator) group and literature datas for other

internal fixation types

M. M. Mitkovic, S. Milenkovic, I. Micic, I. Kostic, P. Stojiljkovic, M. B. Mitkovic; Nis, RS

O006 - Long-term quality of life in patients with pelvic fractures; a multicenter study

E. Hermans1, J. Biert1, M. Edwards1, L. Brouwers2, K. Lansink2, T. van Gent1; 1Nijmegen,

NL, 2Tilburg, NL

O007 - The bone quality in patients with sacrum fractures

J. Berger-Groch, D. Thiesen, M. Hartel; Hamburg, DE

O008 - A biomechanical study of sacroiliac rod fixation for unstable pelvic ring injuries:

verification of the “within ring" concept

K. Futamura, Kamakura City, JP

O009 - Prevention of medial re-displacement in geriatric acetabular fractures with disruption of

the quadrilateral plate - a biomechanical study

M. Egloff1, C. May2, A. Butscher3, M. Keel4, A. This5, K. Siebenrock6, J. Bastian6; 1Vechigen,

CH, 2Reutlingen, DE, 3Bettlach, CH, 4Zürich, CH, 5Zuchwil, CH, 6Bern, CH

O010 - Mid-term functional results after internal fixation of acetabular fractures involving the

anterior column using the Pararectus approach

C. von Rüden, L. Wenzel, J. Becker, A. Thannheimer, A. Woltmann, V. Bühren, M. Perl; Murnau,

DE

10:00 – 10:30 / Auditorium 2

Barrier dysfunction after polytrauma

Guest Symposium ESS

Speaker: Markus Huber-Lang, Ulm, DE

10:30 – 12:00 / Auditorium 1

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Open abdomen

Visceral Trauma / ICL + Case Scenario

Moderator: Ari Leppäniemi, Helsinki, FI + Joan Sancho, Barcelona, ES

1. Success factors for optimal outcome. How to optimize abdominal closure rates?

Joan Sancho, Barcelona, ES

2. Complex abdominal wall reconstruction – a place for creativity?

Fernando Ferreira, Matosinhos, PT

3. Enteroatmospheric fistulae – prevention and treatment (20min)

Michael Sugrue, Letterkenny, IE

4. Case presentation & Panel discussion & Take-Home message

Ari Leppäniemi, Helsinki, FI

10:30 – 12:00 / Auditorium 2

Controversies in treatment of geriatric fractures

Skeletal Trauma and Sports Medicine/ Pros & Cons

Moderators: Klaus Wendt, Groningen, NL & Miquel Videla, Barcelona, ES

1) Femoral neck fracture: fixation vs. Femoral neck fracture: arthroplast

Tedi Cicvarič, Rijeka, HR vs. Pilar Camacho, Barcelona, ES

+ Discussion

2) Extra-articular proximal femur fracture: intramedullary nailing vs extra medullary

device

Radko Komadina, Celje, SL vs. Andreas Platz, Zurich, CH

+ Discussion

3) Proximal humerus fractures: operative vs conservative treatment

Miquel Videla, Barcelona, ES vs. Klaus Wendt, Groningen, NL

+ Discussion

10:30 – 12:00 / Auditorium 3

Recent disasters: Lessons learned – implications on EMS and hospital response

Military and Disaster / ICL

Chairs: Roberto Faccincani, Milan, IT & Julio Ruiz Palomino, Madrid, ES

1) Syria

TBA

2) Spain

Jorges Morales, Barcelona, ES

3) UK

Bob Dobson, London, UK

4) France

Eric Voiglio, Monaco, MC

5) Sweden

Kristina Lennquist, Stockholm, SE

6) Germany

Stefan Schulz-Drost, Berlin, DE

7) Turkey

Mahir Ozmen, Ankara, TK

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8) Norway

Pal Aksel Naess, Oslo, NO

+ Panel discussion

10:30 – 12:00 / Room 4

Back to basics in Intramedullary Nailing Guest Symposium Küntscher Society

Moderator: Georg Gradl, Munich, DE & David Seligson, Louisville, US

1) Nailing of proximal humeral fractures.

Roland Biber, Nürnberg, DE

2) How to do a proper nailing of the humeral shaft.

Jan Verbruggen, Maastricht, NL

3) Tips & Tricks in proximal femoral nailing

Wilhelm Friedl, Aschaffenburg, DE

4) Tips & tricks in femoral nailing.

David Seligson, Louisville, US

5) Nailing the tibia.

Rüdiger Haase, Berlin, DE

6) Blocking screws for reduction and stability.

Peter Thaller, Munich, DE

10:30 – 12:00 / Room 8+9

World Association against Infection in Orthopedics and Trauma (WAIOT)

Guest Symposium WAIOT

Moderators: Guenter Lob, Munich, DE & Heinz Winkler, Vienna, AT

1) The Global Threat of Orthopedic Infections: Introduction to WAIOT

Guenter Lob, Munich, DE

2) Musculo Sceletal Infections in Saudi Arab, Actual Problems and Solutions

Hazem Alkhwashki, Ryad, KSA

3) Septic Bone Defect: Bone Transport

Pablo Corona Perez-Cardona, Barcelona, ES

4) External versus Internal Fixation in Infection: Are Paradigms changing ?

Heinz Winkler, Vienna, AT

5) Early Implant-Associated Infection: Removal or Maintenance of the Hardware

Ingo Flesch, Tuebingen, DE

6) The Role of Antibacterial Cautings in Osteosynthesis: What is the Evidence ?

Carlo Romano, Milano, IT

10:30 – 12:00 / Room 5

Minimally invasive techniques in trauma and emergency surgery

Emergency Surgery & Visceral Trauma / Free Paper session

Moderators: Jonathan Tilsed, Beverly, UK & Fernando López Mozos, Valencia, ES

O011 - Economic impact of use of endoloop in surgical treatment of acute appendicitis.

V.M. Durán Muñoz-Cruzado, L. Tallón-Aguilar, J. Tinoco-González, M.J. Tamayo-Lopez, A.

Sánchez-Arteaga, I. Alarcón-del Agua, J. Padillo-Ruíz, F. Pareja-Ciuró; Seville, ES

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O012 - Experience in Diagnostic and Therapeutic Laparoscopy for Patient with Abdominal Stab

Wounds

H. Lin, Y. Chen; Banqiao District, New Taipei, TW

O013 - Hybrid Treatment in Severe Trauma: Experience at a Level 1 Trauma Center in a upper-

middle income country

J. Carbonell1, A. Del Valle1, H. Munevar1, A. Garcia1, R. Ferrada1, J.C. Puyana2, C. Navarro3, J.

Bayona1, J. Trochez1; 1Cali, CO, 2Pittsburgh, PA/US, 3Talca, CL

O014 - Achieving higher rates of transcystic choledochoscopy during laparoscopic common bile

duct exploration (LCBDE)

J. Almusawi, L. Navaratne, K. Qurashi, A. Isla; London, GB

O015 - Is computed tomography tractography reliable in patients with anterior abdominal stab

wounds?

İ.S. Sarici, M.U. Kalayci; İstanbul, TR

O016 - Is laparoscopic treatment in perforated peptic ulcer safe for all patients?

K. Thorsen1, J.A. Søreide2, K. Søreide1; 1Stavanger, NO, 2Bergen, NO

O017 - Adhesive Small Bowel Obstruction: Single Adhesive Bands or Matted Adhesions? The

Answers are on CT Scan.

J. Guerrini1, G. Costa1, L. Samà1, S. Mei1, A. Ardito2, A. Biloslavo3, D. Zugna4, M. Ceolin1, H.

Kurihara2; 1Rozzano, Milano, IT, 2Rozzano, IT, 3Trieste, IT, 4Torino, IT

O018 - Characteristics and Prevalence of Acute Cholecytitis in Patients with Hematologic

Malignancies

A. El Rifai, K. Naja, M. EL Hechi, A. Hallal; Beirut, LB

O019 - Transcatheter Arterial Embolization versus Splenectomy in Patients with Isolated Blunt

Splenic Injury

T. Suzuki1, A. Shiraishi2, Y. Otomo3; 1Chiba, JP, 2Kamogawa, JP, 3Tokyo, JP

O019A - Factors associated with Mortality in Patients undergoing Emergency Laparotomy for

Non-Traumatic Intrabdominal Pathology; a Statistical Analysis.

N. Misra, M. Campbell, J. Taylor; Liverpool, GB

12:10 – 12:40 / Auditorium 1

Sten Lennquist Lecture: Laparoscopy for trauma: daily practice and the evidence

Speaker: Selman Uranues, Graz, AT

12:45 – 13:45 / Poster Area

Poster Walks

Anesthesia

Chair: María Serna, Valencia, ES

Emergency Surgery 1

Chair: Spiros Stergiopolous, Athens, GR

Emergency Surgery 2

Chair: Yasuhiro Otomo, Tokyo, JP

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Emergency Surgery 3

Chair: Fernando Ferreira, Porto, PT

Emergency Surgery 4

Chair: Michael Sugrue, Letterkenny, IE

Emergency Surgery 5

Chair: Dieter Morales García, ES

Emergency Surgery 6

Chair: Eduardo Garcia Granero, Valencia, ES

Infection 1

Chair: Juan Sancho, Barcelona, ES

Infection 2

Chair: Ari Leppäniemi, Helsinki, FI

Pediatric trauma 1

Chair: Pal Aksel Naess, Oslo, NO

Pediatric trauma 2

Chair: Ingo Marzi, Frankfurt, DE

Pediatric trauma 3

Chair: Ismet Gavrankapetanovic, Sarajevo, BA

Polytrauma 1

Chair: Hans-Christoph Pape, Zurich, CH

Polytrauma 2

Chair: Roman Pfeifer, Zurich, CH

Polytrauma 3

Chair: Rebecca Hasler, Berne, CH

Polytrauma 4

Chair: Juan Antonio Llompart, Mallorca, ES

Polytrauma 5

Chair: Rolf Lefering, Cologne, DE

REBOA

Chair: Tal Hörer, Örebrö, SE

14:00 – 15:30 / Auditorium 1

Definition Polytrauma revisited

Polytrauma / ICL

Moderators: Hans-Christoph Pape, Zurich, CH & Rolf Lefering Cologne, DE

1) Usage of scoring systems for the definition of polytrauma

Hans-Christoph Pape, Zurich, CH

2) What was published from the German Trauma Registry

Rolf Lefering, Cologne, DE

3) Influence of the TARN data on the management of polytrauma in Berne

Rebecca Hasler, Berne, CH

4) Usage of scoring systems in the ICU

Juan Antonio Llompart, Mallorca, ES

5) Translational research for polytrauma

Roman Pfeifer, Zurich, CH

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14:00 – 15:30 / Auditorium 2

Bleeding control in pelvic trauma

Skeletal Trauma and Sports Medicine/ Pros & Cons

Moderator: Tal Hörer, Örebro, SE & Pedro Caba, Madrid, ES

1) Pelvic Binder: Pros vs. Cons

Peter Giannoudis, Leeds, UK vs. Demetrios Demetriades, Los Angeles, US

+ 10 min Discussion

2) Indication for vascular control and/or pelvic packing

Josep Muñoz-Vives, Andorra la Vella, AD

3) Angiography/Embolization with or without CT angio

Thomas Lustenberger, Frankfurt, DE

4) Indication for REBOA

Tal Hörer, Örebrö, SE

5) Panel Discussion & Take-Home Message

Pedro Caba, Madrid, ES

14:00 – 15:30 / Auditorium 3

Acute diverticulitis

Emergency Surgery / Battle Session

Moderator: Andreas Shamiyeh, Linz, AT & David Costa-Navarro, Alicante, ES

1) Laparoscopy vs. Interventional Radiology

Andreas Shamiyeh, Linz, AT vs. Leo Lawler, Dublin, IE

2) Lavage & Drainage vs. Surgical resection

Gary Bass, Dublin, IE vs. Luca Ponchietti, Alicante, ES

3) Hartmann vs. Damage Control and Reconstruction

Mahir Ozmen, Ankara, TK vs. Bogdan Diaconescu, Bucharest, RO

4) Case Presentation & Panel Discussion

David Costa-Navarro, Alicante, ES

14:00 – 15:30 / Room 4

DISASTER MEDICINE AND PREPAREDNESS

Guest Symposium IATSIC

14:00 – 15:30 / Room 5

Thoracic and Spine injuries

Skeletal trauma and Sports Medicine / Free Paper session

Moderators: Fernando Cozar, Jaen, ES & Christoph Josten, Leipzig, DE

O020 - Extensive thoraco-abdminal surgery causes intra-operative neutropenia despite the

emerge of banded (CD16dim/CD62Lbright) neutrophils in peripheral blood

M. Teuben, Utrecht, NL

O021 - Selecting Cervical Spinal Cord Injury Patients for Early Tracheostomy

D. Scanting1, J. Fazendin2, A. Teichman2, A. Galvez2, J. Eakins2, B. McCracken1; 1Philadelphia,

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PA/US, 2Philadelphia, US

O022 - Bone mass and length depending on screw pathway in pedicle screw fixation in S1

D. Wagner1, L. Kamer2, T. Sawaguchi3, H. Noser2, P. Rommens1; 1Mainz, DE, 2Davos,

CH, 3Toyama, JP

O023 - Stability studies of combined fractures of the thoracic spine and the sternum on the

human corpse preparation (PMHB)

S. Schulz-Drost1, A. Langenbach2, F. Hennig2, S. Krinner3; 1Berlin, DE, 2Erlangen,

DE, 3Bubenreuth, DE

O024 - Lung resection for trauma: an updated analysis from the National Trauma Data Bank.

A. Aiolfi1, K. Inaba2, D. Khor2, K. Matsushima2, S. Siboni2, E. Benjamin2, D. Demetriades2; 1Los

Angeles, US, 2Los Angeles, CA/US

O025 - Rib fixation versus conservative treatment for flail chest and multiple rib fractures after

blunt thoracic trauma. A multicenter cohort study.

R. Beks1, M. de Jong1, D. Reetz2, R. Groenwold1, F. Hietbrink1, M. Edwards2, L. Leenen1, R.

Houwert1, J.P. Frolke2; 1Utrecht, NL, 2Nijmegen, NL

O026 - Clinical and Radiological Midterm Results after Hybrid Stabilization of Unstable

Osteoporotic Vertebral Fractures of the Thoracolumbar Spine

U. Spiegl, J. Jarvers, C. Josten, C. Heyde; Leipzig, DE

O027 - WITHDRAWN

O028 - 1-year outcome of plate versus intramedullary fixation of Robinson 2B.1 and 2B.2

clavicle fractures

G. Chan1, Z. Korac2, M. Miletic2, D. Vidovic3, M. Staresinic3, J. Phadnis1, B. Bakota1; 1Brighton,

GB, 2Karlovac, HR, 3Zagreb, HR

O029 - Gunshot penetrating chest wounds accompanied by shock – surgical tactics

D. Ivchenko, A. Koltovich, K. Zhestkov, K. Nikolaev; Moscow, RU

15:30 -16:00 / Auditorium 2

Special session for Invited Country “INDIA”

Moderators: Marius Keel, Zurich/Berne, CH & Klaus Wendt, Groningen, NL

1) Is Augmentation required for the unstable Intertrochanteric fractures? A new Method

Sunil Kulkarni, IN

2) Neck of Femur fractures in young adults - Delayed presentation / Nonunion

Sushrut Babhulkar,IN

15:30 -16:00 / Auditorium 3

S3 Guidelines in Polytrauma

Special Session

Speaker: Bertil Bouillon, Colgne, DE

16:00 – 17:30 / Auditorium 1

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Pseudoarthrosis and Infections (Failure and complex cases)

Skeletal Trauma and Sports Medicine / Case Scenario with Expert Panel

Moderator: Josep Muñoz-Vives, Andorra la Vella, AD & Klaus Wendt, Groningen, NL

Presenter: Marius Keel, Zurich/Berne, CH & Josep Muñoz-Vives, Andorra la Vella, AD & Klaus

Wendt, Groningen, NL

Panellist: Lars Peter Müller, Cologne, DE & Bore Bakota, Zagreb, HR & Heinz Winkler, Vienna,

AT & Salvi Prat, Barcelona, ES

16:00 – 17:30 / Auditorium 2

Torso above diaphragm

Visceral Trauma / Battle Session

Moderator: Pal Aksel Naess, Oslo, NO & Alex Sammel, Valencia, ES

1) Prehospital clamshell thoracotomy, really?

Christine Gaarder, Oslo, NO

2) Surgical rib fixation: Nice to do vs. makes a difference?

Fernando Cozar, Jaen, ES & TBA

3) Critical care treatment challenges in the severe chest injury

Luke Leenen, Utrecht, NL

4) Case presentation & Panel discussion & Take-Home message

Pal Aksel Naess, Oslo, NO

16:00 – 17:30 / Auditorium 3

Disaster medicine, is it a surgical problem?

Military and Disaster / Round table

Moderator: Sten Lennquist, Stockholm, SE & David Nott, London, UK

1) Surgery in austere envirolment, is there a limit

Andreas Wladis, ICRC, SE

2) Meeting surgical needs in austere enviroment

Seema Biswas, London, UK

3) Surgical outcome and advocacy

Mohana Amirtharajah, Amsterdam, NL

4) Round table– what should surgeons train for

a. Maritime disasters

Stefan Schulz-Drost, Berlin, DE

b. Avalanches

Dominik Heim, Frutigen, CH

c. Refugees in camps in Turkey

Mahir Ozmen, Ankara, TK

d. Refugees migrants in the Mediterranean

Mohana Amirtharajah, MSF, NL

e. Refugees on the move

Boris Hreckovski, Slavonski Brod, HR

f. Discussion

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16:00 – 17:30 / Room 4

Upper GI Bleeding

Emergency Surgery / Team Session

Moderator: Jorge Pereira, Viseu, PT & Eduardo Garcia Granero, Valencia, ES

1) Gastroenterology input

Andrea Anderloni, Rozzano, IT

2) Interventional radiology

Leo Lawler, Dublin, IE

3) Resuscitation – who is ”stable”?

Rafael Badenes, Valencia, ES

4) Surgical input

Selman Uranues, Graz, AT

5) Case presentation & Panel discussion & Take-Home message (40 min)

Jorge Pereira, Viseu, PT

16:00 – 17:30 / Room 5

Advances in anesthesia and ERAS in trauma and emergency surgery

Emergency Surgery & Visceral Trauma / Free Paper session

Moderators: Diego Mariani, Legnano, IT & Isidro Martinez Casas, Jaen, ES

O030 - Statins May Be A Better Agent For Thromboembolic Prophylaxis.

J. Samuels1, J. Coleman2, G. Stettler3, G. Nunns2, M. Kehler1, A. Banerjee1, C. Silliman4, E.

Moore1; 1Denver, CO/US, 2Denver, US, 3Auora, US, 4Aurora, CO/US

O031 - Peripheral nerve blockade in the elbow versus fracture hematoma infiltration for pain

relief during reduction of displaced distal radius fractures; results of a randomized trial

T. Haak1, M. Bronkhorst1, J. Keizer2; 1The Hague, NL, 2Nieuwegein, NL

O032 - Higher Transthyretin Levels Over Time as an Independent Predictor for Better Outcomes

in Critically Ill Trauma Patients

T. Haltmeier1, K. Inaba2, J. Durso3, M. Khan2, S. Siboni2, V. Cheng2, B. Schnüriger1, E.

Benjamin2, D. Demetriades2; 1Bern, CH, 2Los Angeles, CA/US, 3Los Angeles, US

O033 - Ketamine during tracheal intubation of trauma patients– A Systematic Review and Meta-

Analysis

J. Bækgaard1, T. Eskesen2, M. Sillesen2, L. Rasmussen2, J. Steinmetz2; 1København V,

DK, 2Copenhagen, DK

O034 - Thromboelastography (TEG) and Conventional Coagulation Tests (CCTS) in trauma

patients: Do we abandon CCTS in trauma patients?

P. Petrone1, J. Tur2, A. Axelrad1, C. Marini1, C. Brathwaite1; 1Mineola, Long Island,

NY/US, 2Terrassa, ES

O035 - Metabolic changes in the acute period after severe pediatric TBI

P. Menshchikov, A. Manzhurtsev, M. Ublinskiy, I. Melnikov, N. Semenova, T. Akhadov; Moscow,

RU

O036 - Low physical performance is associated with developing pulmonary complications

following acute high-risk abdominal surgery

L. Tengberg1, L. Jønsson2, N. Foss2, L. Ingelsrud2, T. Bandholm2, M. Kristensen2; 1Køge,

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DK, 2Hvidovre, DK

O037 - 31P MRS study of brain cellular metabolism activation by a low-pressure hyperbaric

oxygenation session

A. Manzhurtsev, O. Vasiukova, P. Menshchikov, N. Zaitseva, V. Sergeeva, M. Ublinskiy, T.

Akhadov, N. Semenova; Moscow, RU

O038 - A rise in neutrophil cell size precedes organ dysfunction after trauma.

L. Hesselink1, M. Heeres1, F. Paraschiakos1, M. ten Berg1, A. Huisman1, I. Hoefer1, M. de Groot1,

W. van Solinge1, M. Dijkgraaf2, P. Hellebrekers1, K. van Wessem1, L. Koenderman1, L. Leenen1,

F. Hietbrink1; 1Utrecht, NL, 2Amsterdam, NL

O039 - Shock Index In patient with Solid Organ Injury To Predict the Need for Blood

Transfusion and Laparotomy

A. El-Menyar1, H. Al-Thani1, M. Asim1, R. Latifi2; 1Doha, QA, 2Valhalla, NY/US

O040 - Determination of the innate immune status by a point-of-care automated load-and-go

flow cytometer in an acute trauma setting: a feasibility study

R. Spijkerman, P. Hellebrekers, L. Hesselink, L. Koenderman, L. Leenen, F. Hietbrink; Utrecht,

NL

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MONDAY, May 7, 2018

08:30 – 10:00 / Auditorium 1

Acute care surgery units

Emergency Surgery / ICL

Moderator: Jonathan Tilsed, Beverley, UK & Dieter Morales García, ES

1) Challenges in building an Acute Care Surgery Unit

Joan Sancho, Barcelona , ES

2) How do we train surgeons in Acute Care

Isidro, Martinez Casas, Jaen, ES

3) Is it a charming Cinderella? How to raise interest in Acute Care

Michael Sugrue, Letterkeny, IE

4) Economical advantages of ACS units

Dieter Morales García, ES

5) Board Certification

Jonathan Tilsed, Beverley, UK

+ 10 min Discussion

08:30 – 10:00 / Auditorium 2

Controversies in Disaster & Military medicine

Military and Disaster / Battle session

Moderator: Francois Pons, Clamart, FR & Javier Uriarte, Bilbao, ES

1) Scoop & run vs Stay & play

Bob Dobson, London, UK vs. Alex Sammel, Valencia, ES

2) Civilian injured in warzones Military/Civilian dilemma

Alberto Hernández Abadía, Madrid, ES vs. Seema Biswas, London, UK

3) Forward surgical team – Pros & Cons

Francois Pons, Clamart, FR vs. Per Ortenwall, Gothenburg, SE

4) CT scans in mass casualties: Focused-head CT vs. Total body

Louis Riddez, Stockholm, SE vs. Fernando Turegano, Madrid, ES

08:30 – 10:00 / Auditorium 3

Damage control orthopaedics: Severe extremity injuries

Polytrauma & Skeletal trauma and Sports Medicine / Pros & Cons

Moderators: Guy Putzeys, Bellegem, BE & Stuart Matthews, Leeds, UK

1) Open tibial shaft fractures: Pro nail

Stuart Matthews, Leeds, UK

2) Open tibial shaft fractures: Pro external fixator

Pedro Caba, Madrid, ES + 10 min Discussion

3) Vascular injuries: limb salvage strategies

Peep Talving, Tallinn/Tartu, EE

4) Soft tissue defects: Indication for Vacuum assisted closure

TBA

5) Soft tissue defects: Indications for amputation or primary flap

TBA

6) Case Presentation

Bore Bakota, Karlovac, HR

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08:30 – 10:00 / Room 4

Surgical Strategies for the Repair of Posttraumatic Bone Defects

Guest Symposium DGU

Chairs: Ingo Marzi, Frankfurt, DE & Christoph Müller, Karlsruhe, DE

1. Concepts of Bone Healing and Future Perspectives

Hans-Christoph Pape, Zurich, CH

2. Masquelet Technique – How can we improve the biological chamber?

Christoph Nau, DE

3. RIA Technique – Harvest of sufficient bone graft. Application and clinical results.

Christoph Müller

4. The vascularised graft technique

Olivera Lupescu, Bucharest, RO

5. Bone defect bridging by compression intramedullary nailing and bone grafts

Volker Bühren, Murnau, DE

08:30 – 10:00 / Room 5

Strategies in bleeding

Emergency Surgery / Free Paper session

Moderators: Tal Hörer, Örebrö, SE

O043 - Predictive value of IL-1 and IL-6 in polytrauma patients with pelvic fractures - can they

guide the treatment ?

O. LUPESCU1, M. NAGEA2, D. LUPESCU3, A. DIMITRIU2, N.M. CIUREA2, A.M.

Grosu2; 1Bucuresti, RO, 2Bucharest, RO, 3Buftea, RO

O041 - Resuscitative endovascular balloon occlusion of the aorta in experimental

cardiopulmonary resuscitation – aortic occlusion level matters

E. Dogan, T. Hörer, K. Nilsson; Örebro, SE

O042 - „Stop the bleed – save a life!“ Introducing civilian bystanders as immediate responders

in the Netherlands

L. Geeraedts1, G. Giannakopoulos1, I. Ambagtsheer1, D. Scholler1, E. Davies1, B. van Loon1, A.

Toor1, P. Pons2, L. Jacobs3; 1Amsterdam, NL, 2Denver, CO/US, 3Hartford, CT/US

O044 - Complications in Patients Who Did and Did Not Undergo Resuscitative Endovascular

Occlusion of the Aorta: A Propensity Score Matching Analysis

A. Shiraishi1, Y. Otomo2, J. Inoue3, T. Suzuki4; 1Kamogawa, JP, 2Tokyo, JP, 3Kofu, JP, 4Chiba, JP

O045 - A new occlusion device for temporary hemostasis of the Vena Cava is as effective as

total hepatic vascular isolation in a porcine model of retro-hepatic injury.

Y. Izawa1, S. Hishikawa1, T. Mato1, K. Matsushima2, K. Inaba2; 1Tochigi-Ken, JP, 2Los Angeles,

CA/US

O046 - REBOA: Evidence for direct bleeding control in hemodynamic unstable patients

B. Borger van der Burg1, T. van Dongen1, J. Morrison2, P. Hedeman Joosten1, J. DuBose3, T.

Hörer4, R. Hoencamp5; 1Leiderdorp, NL, 2Baltimore, MD/US, 3Sacramento, CA/US, 4Örebro,

SE, 5Leiden, NL

O047 - The association between ABO blood type and the mortality of severe trauma patients

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W. Takayama, A. Endo, Y. Otomo; Tokyo, JP

O048 - Protective effects of alcohol on coagulopathy is associated with alterations in the

inflammatory response following trauma.

A. Bonde1, P. Svenningsen1, M. Sillesen2; 1Copenhagen Ø, DK, 2Copenhagen, DK

O049 - The use of the Shock Index as a predictor of active bleeding in trauma patients

A. Campos Serra, S. Montmany Vioque, P. Rebasa Cladera, H. Llaquet Bayo, R. Gracia Roman,

S. Navarro Soto; Sabadell, ES

O050 - tPA-Challenged TEG: A New, More Reliable Predictive Assay for Scene-of-Injury Blood

Samples

M. Chapman1, F. Helfrich2, H. Moore3, C. Fleming2, A. Sauaia3, E. Moore1; 1Denver,

CO/US, 2Aurora, CO/US, 3Aurora, US

O050A - Goal-directed fluid management during high-risk laparotomy, a meta-analysis

G. Bass1, C. Duffy2, D. Honan3; 1Dublin, IE, 2Cork, IE, 3Wexford, IE

10:30 – 12:00 / Auditorium 1

Complex pelvic fractures

Visceral Trauma & Skeletal trauma and Sports Medicine / ICL + Case Scenario

Moderators: Luke Leenen, Utrecht, NL & Pol M. Rommens, Mainz, DE

1) Associated abdominal injuries: the acute care surgeon view

Peep Talving, Tallinn/Tartu, EE

2) Assoiciated injuries: the orthopedic trauma surgeon view

Pol M. Rommens, Mainz, DE

3) Urogenital Trauma

Per Ortenwall, Gothenburg, SE

4) Rectal injuries and the role of fecal diversion in pelvic trauma

Pedro Yuste, Madrid, ES

+ 10 min Discussion

5) Case presentation & Take-Home Message

Luke Leenen, Utrecht, NL

10:30 – 12:00 / Auditorium 2

Emergency Surgery

Emergency Surgery / Case Scenario with Expert Panel

Moderator: Dieter Morales García, ES & Ari Leppäniemi, Helsinki, FI

Presenter: David Costa-Navarro, Alicante, ES & Michael Sugrue, Letterkenny, IE

Panellist:

Chrysantos Georgiu, Nicosia, CY

Spiros Stergiopolous, Athens, GR

Mauro Zago, Bergamo, IT

Isidro Martínez Casas, Jaén, ES

10:30 – 12:00 / Auditorium 3

Remaining and new challenges in trauma care

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Polytrauma & Visceral Trauma / ICL + Panel Discussion

Moderators: Michael Rotondo, Rochester, US & Javier Uriarte, Bilbao, ES

1. Efficiency of trauma prevention programmes

Michael Rotondo, Rochester, US

2. Incomplete trauma centers and split functions

Salvador Navarro, Barcelona, ES

3. Surgical sub-specializations – how to overcome the threat to trauma?

Martin Croce, Tennessee, US

4. Rehabilitation programmes work / the evidence

Javier Uriarte, Bilbao, ES

5. Panel discussion

10:30 – 12:00 / Room 4

Updates in foot and ankle fractures

Skeletal trauma and Sports Medicine / ICL + Case Scenario

Moderators: Christoph Sommer, Chur, CH & Richard Kdolsky, Vienna, AT

1) Malleolar fractures

Ruben Garcia, Barcelona, ES

2) Calcaneus fracture

J. S. K. Luitse, Amsterdam, NL

3) Talus fracture

Martijn Poeze, Maastricht, NL

4) Chopart/ Lisfranc injuries

Matej Kastelec, Ljubijana, SL

5) Foot fractures in vasculopathy

Richard Kdolsky, Vienna, AT

6) Case presentation

Andreas Platz, Zurich, CH

7) Take Home Message

Christoph Sommer, Chur, CH

10:30 – 12:00 / Room 5

Advances in civilian and military trauma care

Military and Disaster / Free Paper session

Moderators: Juan Asensio, Omaha, US & Alberto Hernandez Abadia, Madrid, ES

O051 - The burden of diseases and non-battle injuries during deployment

T. van Dongen1, E.P. Huizinga2, F.J. Idenburg3, R. Hoencamp1; 1Leiderdorp, NL, 2Utrecht,

NL, 3Den Haag, NL

O052 - 28-day Thawed Plasma Maintains Capacity to Inhibit tPA-induced Fibrinolysis Similar to

Freshly Thawed Plasma

G. Stettler1, E. Moore2, G. Nunns3, J. Coleman3, J. Samuels4, A. Banerjee1, C. Silliman4; 1Auora,

US, 2Denver, AL/US, 3Denver, US, 4Auora, CO/US

O053 - ‘Thinking lean’- The Use of Quality Improvement Models to Improve Trauma Clinic

Service Provision in a Single Centre in England

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S. Waseem1, C. Sethu2, K. Wong2; 1London, GB, 2Salisbury, GB

O054 - Evaluation of the clinical competencies of young French surgeons in penetrating trauma

management and damage control surgery.

J. Gaudric1, B. Malgras2, A. De Carbonnieres3, S. Bonnet3, E. HORNEZ3; 1Paris, FR, 2Saint

Mandé, FR, 3Clamart, FR

O055 - E-Triage in mass casualties on the sea – an innovative backpack-system for maritime

officers

S. Schulz-Drost, J. Unterkofler, D. Merschin, S. Trach, M. Weigeldt, H. Ranke, A. Ekkernkamp,

D. Gümbel; Berlin, DE

O056 - Coping mass casualty incidences at sea – Results of a table-top exercise

E. Henning1, T. Görig1, S. Schulz-Drost2, A. Ekkernkamp2, D. Gümbel2; 1Greifswald, DE, 2Berlin,

DE

O057 - Fasciotomy for Compartment Syndrome after Arterial Repair in Lower Limb Trauma

J. Klocker, Innsbruck, AT

O058 - KOMPASS: An e-learning tool for maritime officers for triage in mass casualty incidents

at sea

H. Ranke, J. Unterkofler, D. Merschin, M. Weigeldt, D. Gümbel, A. Ekkernkamp, S. Schulz-

Drost; Berlin, DE

O059 - Is there difference between military, civilian terrorist attacks and civilian blast accident –

our experience with three Mass Casualty Events

G. Popivanov1, R. Cirocchi2, K. Kjossev1, H. Petrov1, M. Tabakov1, R. Ribarov1, B. Zlatev1, V.

Mutafchiyski1; 1Sofia, BG, 2Perugia, IT

12:10 – 12:40 / Auditorium 1

Otmar Trentz Lecture: Local and Systemic Inflammation after Severe Trauma -

Current Understanding and Clinical Implications

Speaker: Ingo Marzi, Frankfurt, DE

12:45 – 13:45 / Poster Area

Poster Walks

Education 1

Chair: Peep Talving, Tallinn/Tartu, EE

Education 2

Chair: Luca Ponchietti, Alicante, ES

Education 3

Chair: Joakim Jorgensen, Oslo, NO

Military & Disaster

Chair: Alberto Hernandez Abadia, Madrid, ES

Visceral Trauma 1

Chair: Demetrios Demetriades, Los Angeles, US

Visceral Trauma 2

Chair: Michael Rotondo, Rochester, US

Visceral Trauma 3

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Chair: Martin Croce, Tennessee, US

Visceral Trauma 4

Chair: Juan Carlos Puyana, Pittsburgh, US

Visceral Trauma 5

Chair: Juan Asensio, Omaha, US

Visceral Trauma Cases 1

Chair: Pantelis Vassiliu, Athens, GR

Visceral Trauma Cases 2

Isidro Martínez Casas, Jaén, ES

Visceral Trauma Cases 3

Chair: Diego Mariani, Legnano, IT

Visceral Trauma Cases 4

Chair: Aitor Landaluce, Bilbao, ES

Visceral Trauma Cases 5

Fernando Lopez Mozos, Valencia, ES

Visceral Trauma Cases 6

Chair: Salvador Navarro, Barcelona, ES

Visceral Trauma Cases 7

Chair: Andreas Platz, Zurich, CH

14:00 – 15:30 / Auditorium 1

The ideal team leader

Visceral Trauma / Battle session

Moderator: Hayato Kurihara, Rozzano, IT & Jose Maria Jover, Madrid, ES

1) The surgeon

Hayato Kurihara, Rozzano, IT

2) The emergency physician

Julio Ruiz Palomino, Madrid, ES

3) The Orthopaedic trauma surgeon

Ingo Marzi, Frankfurt, DE

4) The anaesthesiologist

Rafael Badenes, Valencia, ES

5) + Panel Discussion with Voting

14:00 – 15:30 / Auditorium 2

Surgical critical care in the septic patient

Emergency Surgery / Battle Session

Moderators: Ari Leppäniemi, Helsinki, FI & Mari Angeles Ballesteros, Santander, ES

1) Use and abuse of open abdomen in Peritonitis

Fernando Ferreira, Porto, PT & Ari Leppäniemi, Helskinki, FI

2) Use and abuse of CT Scan on post-operative complications

Fernando Turegano, Madrid, ES vs. Jonathan Tilsed, Beverely, UK

3) Vasopressors & enteral nutrition

Mario Chico, Madrid, ES

4) Case Presentation & Panel Discussion & Take-Home Message

Mari Angeles Ballesteros, Santander, ES

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14:00 – 15:30 / Auditorium 3

Elbow fractures

Guest Symposium AOTrauma

Chairs: Reto Babst, Luzern, CH & Pedro Caba, Madrid, ES

1. Distal Humerus Fracture: Approaches and fixation tactics?

Reto Babst, Luzern, CH

2. Distal Humerus Fracture in the elderly: Reconstruction, Hemi or total

Arthroplasty?

Lars Adolfsson, Linköping, SE

3. Multifragmented Radial head fracture: Reconstruction, Replacement or

Arthroplasty?

Pedro Caba, Madrid, ES

4. Operative tactics in elbow dislocation fractures

Lars Peter Müller, Cologne, DE

5. Postoperative stiffness after trauma: how and when to operate followed by which

rehab program?

Denise Eygendaal, Breda, NL

14:00 – 15:30 / Room 4

Conflicts and health

Military and Disaster / Tandem session

Moderator: Moderator: Andreas Wladis, ICRC, SE & Mohana Amirtharajah, MSF, NL

1) Confronting civilian victims of war and disasters - the ICRC approach

Andreas Wladis, IRCR, SE

2) Confronting civilian victims of war and disasters - the MSF approach

Mohana Amirtharajah, MSF, NL

3) Novel techniques to be used in next conflict

Yasuhiro Otomo, Tokyo, JP

4) Tourniquets in civilian settings

Ofer Merin, Jerusalem, IL

5) Long term results of military casualties

Thijs van Dongen, Leiden, NL,

6) Stab wound zone 1 neck injuries

Ofer Merin, Jerusalem, IL

7) The impact of MRMI training on real mass casualty incidents in Slovenia

Simon Herman, Ljubliana, SI

8) Mass casualty incident debreifing-where, when and how: Update of the NATO workshop

outcomes

Gila Hyams, IL

14:00 – 15:30 / Room 5

Trauma registries

Polytrauma / Free Paper session

Moderators: Fernando Cozar, Jaen, ES & Christoph Josten, Leipzig, DE

O060 - Patients’ personality and long term outcome in severely injured trauma patients

K. van Delft-Schreurs1, M. de Jongh1, K. Lansink2, M. Verhofstad3, J. de Vries1; 1Utrecht,

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NL, 2Tilburg, NL, 3Rotterdam, NL

O061 - What You Don't Know Can Hurt You: Chronic Disease Portends Increased Mortality after

Injury in Low Resource Settings

S..A. Christie1, F. Dissak-Delon2, A. Chichom-Mefire3, G.A. Etoundi Mballa2, R. Dicker4, C.

Juillard1; 1San Francisco, CA/US, 2Yaounde, CM, 3Buea, CM, 4Los Angeles, CA/US

O062 - Evaluating Trauma Management, Outcomes and Economic Data in a System in Crisis:

Changes required for improvement.

A. Prionas, A. Tooulias, A. Tsolakidis, C. Christou, G. TSOULFAS, V. Papadopoulos; Thessaloniki,

GR

O063 - Value of Inferior Vena Cava Diameters as Predictor of Hemodynamic Deterioration in

Severe Trauma Patients: How much “flatness”?

N. Palma Caucig, C. Martinez Moreno, S. Kayser Mata, C. Rey Varcalcel, L. Garciafilia Cabrera, J.

Zulueta, F. Turégano Fuentes; Madrid, ES

O064 - Main errors in the management of trauma patients: analysis of a hospital trauma

registry

M. Burneo Esteves1, A. Sanchez Arteaga2, A. Lusilla López1, A. Garcia Sevilla3, R. Orti

Rodriguez4, M.D. Pérez Díaz1, C. Rey Varcalcel1, F. Turégano Fuentes1; 1Madrid, ES, 2Sevilla,

ES, 3Ciudad Real, ES, 4Santa Cruz De Tenerife, ES

O065 - Does ASA add value to the predictive ability of TRISS in the ageing trauma population?

L. de Munter1, S. Polinder2, N. ter Bogt3, M. de Jongh4; 1Tilburg, NL, 2Rotterdam, NL, 3Enschede,

NL, 4Utrecht, NL

O066 - Intracranial Pressure Monitoring in Isolated Severe Traumatic Brain Injury: An

Evaluation of Outcomes and Compliance with Guidelines Using a Matched Cohort from the

Trauma Improvement Quality Program (TQIP) Database

R. Ahl1, B. Sarani2, G. Sjolin3, S. Mohseni3; 1Stockholm, SE, 2Washington, WA/US, 3Orebro, SE

O067 - A Clinical and Forensic Study into Mortality from Road Traffic Accidents in the U.K.

N. Spiteri1, G. Bessant2, M. McFall1, J. Taylor1, N. Misra1; 1Liverpool, GB, 2Leeds, GB

O068 - Regain of the pre-fracture basic mobility at the time of acute hospital discharge is

associated with the risk of 30-day post-discharge mortality – A 1-year nationwide register study

of 5,154 Danish patients with hip fracture

M. Kristensen1, B. Öztürk2, N. Rock3, A. Ingeman4, H. Palm1, A. Pedersen4; 1Hvidovre, DK, 2X,

DK, 3Odense, DK, 4Aarhus, DK

O068A - Leaving the hospital against medical advice after traumatic injury

N. Balakrishnan1, M. Mohammed2, J. Blansfield2, H. Wing2, S. Sanchez2, C. Narsule2, R.

Schulze2, P. Burke2, G. Kasotakis2; 1Boston, US, 2Boston, MA/US

15:30 – 16:30 / Poster Area

Poster Walks

Emergency Surgery Cases 1

Chair: Bogdan Diaconescu, Bucharest, RO

Emergency Surgery Cases 2

Chair: Andreas Shamiyeh, Linz, AT

Emergency Surgery Cases 3

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Chair: Jorge Pereira, Viseu, PT

Emergency Surgery Cases 4

Chair: Mahir Ozmen, Ankara, TK

Emergency Surgery Cases 5

Chair: Fernando Lopez Mozos, Valencia, ES

Emergency Surgery Cases 6

Chair: David Costa-Navarro, Alicante, ES

Skeletal Trauma Cases 1

Chair: Radko Komadina, Celje, SL

Skeletal Trauma Cases 2

Chair: Ruben Garcia, Valencia, ES

Skeletal Trauma Cases 3

Chair: Pol M. Rommens, Mainz, DE

Skeletal Trauma 1

Chair: Matej Cimerman, Ljubljana, SL

Skeletal Trauma 2

Chair: Milorad Mitkovic, Nis, RS

Skeletal Trauma 3

Chair: Dominik Heim, Frutigen, CH

Skeletal Trauma 4

Chair: Pilar Camacho, Barcelona, ES

Skeletal Trauma 5

Chair: Pavel Drac, Olomouc, CZ

Skeletal Trauma 6

Chair: Matej Kastelec, Ljublijana, SL

Skeletal Trauma 7

Chair: Christoph Sommer, Chur, CH

Skeletal Trauma 8

Chair: Miguel Videla, Barcelona, ES

Skeletal Trauma 9

Chair: Martyn Poeze, Maastricht, NL

Skeletal Trauma 10

Chair: Josep Muñoz-Vives, Andorra la Vella, AD

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TUESDAY, May 8, 2018

08:30 – 10:00 / Auditorium 1

Polytrauma

Polytrauma / Case Scenario with Expert Panel

Moderator: Juan Asensio, Omaha, US & Luke Leenen, Utrecht, NL

Presenter:

Christoph Josten, Leipzig, DE

KeesJan Ponsen, Amsterdam, NL

Soledad Monton, Pamplona, ES

Panelist:

Salvi Prat, Barcelona, ES

Pantelis Vassiliu, Athens, GR

Hans-Christoph Pape, Zurich, CH

Juan Carlos Puyana, Pittsburgh, US

Guy Putzeys, Bellegem, BE

08:30 – 10:00 / Auditorium 2

Damage control principles in resuscitation

Visceral Trauma / ICL + Case Scenario

Moderator: Louis Riddez, Stockholm, SE & Mari Angeles Ballesteros, Santander, ES

1) Achievable vs optimal Resus algorithms

Mari Angeles Ballesteros, Santander, ES

2) Trauma induced coagulopathy

Christine Gaarder, Oslo, NO

3) The future of damage control

Michael Rotondo, Rochester, US

4) Case Discussion and Take-Home Message

Louis Riddez, Stockholm, SE

08:30 – 10:00 / Auditorium 3

Debate in spinal injuries

Skeletal trauma and Sports Medicine / ICL

Moderators: Christoph Josten, Lepzig, DE & Endre Varga, Szeged, HU

1) Polytrauma and spinal injuries

Klaus Wendt, Groningen, NL

2) Timing of decompression

Marius Keel, Zurich/Berne, CH

3) Cervical spine: anterior or posterior fixation

Sven Hoppe, Berne, CH

4) Rule of navigation for pedicle screws in trauma

Volker Bühren, Murnau, DE

5) Posterior and/or anterior fusion in thoracic/lumbar spine

Christoph Josten, Leipzig, DE

6) Initial and definitive treatment concepts of displaced sacral fractures

Endre Varga, Szeged, HU

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08:30 – 10:00 / Room 4

Military vs. civilian experience in the treatment of victims of explosions

Military and Disaster / ICL

Moderator: Itamar Ashkenazi, Hadera, IL & Alberto Hernández Abadía, Madrid, ES

1) Outcomes of consensus meeting in Israel (2008) and in Spain (2009) on the treatment

of the victim of explosion

Fernando Turegano, Madrid, ES

2) Airway breathing management

a. The military experience

Francois Pons, Clamart, FR

b. The civilian experience

Itamar Ashkenazi, Hadera, IL

+ Discussion

3) Circulatory management

a. The military experience

Thijs van Dongen, Leiden, NL,

b. The civilian experience

Ofer Merin, Jerusalem, IL

+ Discussion

4) Injuries by biologic foreign bodies

Itamar Ashkenazi, Hadera, IL

5) Ethical dilemmas in treating terror victims

Ofer Merin, Jerusalem, IL

08:30 – 10:00 / Room 5

Acute Elderly Patient

Emergency Surgery & Skeletal Trauma and Sports Medicine & Visceral Trauma / Free Paper

Session

Moderators: Peter Simko, Bratislava, SK & Andreas Shamiyeh, Linz, AT

O069 - Enhancement of deteriorated wound healing in diabetic mice by lipid mediator 11,12

Epoxyeicosatrienoic acid (EET)

K. Sommer1, A. Sander1, D. Henrich2, I. Marzi2, J. Frank2; 1Frankfurt, DE, 2Frankfurt Am Main,

DE

O070 - Fibrinolysis Phenotypes in the Elderly: Implication for Empiric Anti-fibrinolytics

G. Nunns1, H. Moore2, E. Moore2, G. Stettler3, J. Sumislawski2, B. Cotton4, C. Silliman5, A.

Banerjee2, M. Cohen2, A. Sauaia2; 1Denver, US, 2Aurora, US, 3Auora, US, 4Houston,

AL/US, 5Aurora, CO/US

O071 - Development And Validation Of A New Pre-Operative Idex To Assess Frailty In Elderly

Patient Underwent Emergency Surgical Procedures: Emergency Surgery Frailty Index (Emsfi)

G. Massa, G. Costa, P. Fransvea, B. Frezza, L. Bragaglia, G. Balducci; Rome, IT

O072 - Management of Elderly Blunt Head Trauma Patients Taking Antithrombotics: Who Really

Needs Repeat Imaging?

D. Scanting, J. Williamson, R. Kucejko, B. McCracken; Philadelphia, PA/US

O073 - Intestinal ischemia in the elderly surgical patient.

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P. Colsa1, D. Morales2; 1Vargas (puente Viesgo), ES, 2Santander, ES

O074 - Abdominal Injuries After Fall from Standing - Intervention is predictable without routine

Imaging

N. Hagan, H. Berdel, A. Tefft, A. Bernard; Lexington, KY/US

O075 - Fibrinolysis Shutdown in Hemodialysis Patients: Empiric TXA May Hold Unforeseen Risks

in This Population

M. Chapman1, E. Moore1, F. Helfrich2, H. Moore3, A. Sauaia3; 1Denver, CO/US, 2Aurora,

CO/US, 3Aurora, US

O076 - Risk factors of postoperative dilirium in > 65 years patients undergoing emergency

surgery

A. HERNANDO SANZ, B. Fernandez-Velilla, I. Eguaras, J. Mateo, A. Goikoetxea, I. Otegi, P.

Sanchez, J. Herrera; Pamplona, ES

O077 - Emergency Surgery Acuity Score: Is it a useful tool in our population?

L. Garciafilia Cabrera, J. Gil Rodriguez, L. Martin Roman, C. Rey Varcalcel, M. Sanz Sánchez, F.

Turégano Fuentes; Madrid, ES

O078 - Predicting mortality in geriatric trauma ICU patients: A comparison of the Geriatric

Trauma Outcome Score and the TRISS methodology

J. Barea Mendoza1, M. Chico Fernández1, M. Sánchez Casado2, I. García Sáez3, M..A. Ballesteros

Sanz4, F.I. Pino Sánchez5, I. Molina Díaz6, K. Nanwani1, J.M. Jiménez Moragas7, J. Llompart-

Pou8; 1Madrid, ES, 2Toledo, ES, 3Donostia, ES, 4Santander, ES, 5Granada, ES, 6Santa Cruz De

Tenerife, ES, 7Cádiz, ES, 8Palma De Mallorca, ES

10:30 – 12:00 / Auditorium 1

Bleeding and resuscitation

Polytrauma & Visceral trauma / ICL

Moderator: Mario Chico, Madrid, ES & Demetrios Demetriades, Los Angeles, US

1) Non-invasive monitoring of resuscitation in trauma

Mario Chico, Madrid, ES

2) Limitations of REBOA

Demetrios Demetriades, Los Angeles, US

3) Injured Jehovas witness

Juan Carlos Puyana, Pittsburgh, US

4) Use of blood products in massive transfusion

Gonzalo Tamayo, Bilbao, ES

10:30 – 12:00 / Auditorium 2

Point Of Care UltraSound in Acute Surgical Diseases: the first Consensus Meeting

Emergency Surgery / Consensus Meeting

Moderator: Mauro Zago, Bergamo, IT & Maria Serna, Valencia, ES

1) Overview of established and ongoing applications

TBA

2) US & acute diverticulitis

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Daniel D. Dumbrava, Dublin, IE

3) US and acute appendicitis

Diego Mariani, Legnano, IT

4) US and Shock (basic & advanced applications)

Maria Serna, Barcelona, ES

5) US & Cholecystitis: musts and limits

Jorge Pereira, Viseu, PT

Panelists: Gary Bass, Dublin, IE & Luca Ponchietti, Alicante, ES & Diego Mariani, Legnano, IT &

Isidro Martinez Casas, Jaen, ES

10:30 – 12:00 / Auditorium 3

Severely injured child

Visceral Trauma & Skeletal Trauma and Sports Medicine / ICL + Case Scenario

Moderators: Ingo Marzi, Frankfurt, DE & Klaus Wendt, Groningen, NL

1) Solid organ injuries in children – an update

Peep Talving, Tallinn/EE

2) How do children differ from adults during resuscitation and in ICU

Pedro Dominguez Sampedro, Barcelona, ES

3) The ideal institution for the severely injured child in Europe

Pal Aksel Naess, Oslo, NO

4) Displaced shaft fractures: ESIN or external fixator

Ingo Marzi, Frankfurt, DE

5) Indications for acute surgical treatment of articular fractures

Lars Peter Müller, Cologne, DE

6) Case Presentation

Klaus Wendt, Groningen, NL

10:30 – 12:00 / Room 4

Guest Symposium ATLS

10:30 – 12:00 / Room 5

New developments in fracture care

Skeletal Trauma and Sports Medicine / Free Paper session

Moderators: Ismet Gavrankapetanovic, Sarajevo, BA & Milorad Mitkovic, Nis, SE

O079 - Biomechanical testing on ex-vivo model of fractured pig femur fixed with new

biodegradable polymer composite glue.

M. Krticka, L. Michlovska, V. Nekuda, M. Zboncak, K. Sojka, J. Kaiser, L. Vojtova; Brno, CZ

O080 - The effectiveness of intraoperative 3D fluoroscopy in the treatment of intra-articular

distal radius fractures: a randomized controlled trial

C. Selles1, R.J.O. de Muinck Keizer1, S. Beerekamp1, P.A. Leenhouts1, M. Maas1, J.C. Goslings1,

N. Schep2; 1Amsterdam, NL, 2Rotterdam, NL

O081 - In-vivo testing of a low-alloyed biodegradable magnesium alloy

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M. Humenberger1, M. Eilenberg1, S. Pajenda1, L. Schwitter1, P. Heimel1, M. Dumanic1, S. Beck2,

B. Mingler3, S. Nürnberger1, S. Tangl1, P. Uggowitzer4, W. Mayr1, H. Bergmeister1; 1Vienna,

AT, 2Oberdorf, CH, 3Wr. Neustadt, AT, 4Zürich, CH

O082 - 3D navigation technique in treatment pelvic fractures.

M. Křivohlávek, Liberec, CZ

O083 - Can we easily predict the optimal implant position on the clavicle?

M. Herteleer1, S. Vancleef2, T. Tollens3, P. Herijgers2, I. Jonkers2, S. Nijs2, J. Vander

Sloten2; 1Schaarbeek, BE, 2Leuven, BE, 3Bonheiden, BE

O084 - The Effect of 3D Modeling on Surgical Decision in Trimalleolar Fractures

G. Altun1, H. Reis2, İ. Türkmen1, S. Duman1, G. Saka1, N. Sağlam1; 1Istanbul, TR, 2Gumushane,

TR

O085 - Percutaneous retrograde transpubic screw fixation – a statistical analysis of availability,

length of the screw corridor and local bone stock based on a 3D statistical model of the pelvic

ring

C. Arand1, D. Wagner1, D. Gehweiler2, L. Kamer2, H. Noser2, G. Richards2, P.

Rommens1; 1Mainz, DE, 2Davos, CH

O086 - New minimally invasive reduction and fixation technique for ilium fractures (Rommens’

classification FFP type IIIa)

K. Ogawa1, C. Terada1, T. Noda2, T. Ozaki3; 1Hiroshima, JP, 2Okayama City, JP, 3Okayama, JP

O087 - The Determination of Sacroiliac Screw Loosening using 2D and 3D techniques in

cadavers: Intra- and Interrater Reliability and Method Comparison

P. Pieroh1, M. Lenk1, T. Hohmann2, R. Grunert1, A. Höch1, D. Wagner3, C. Josten1, J.

Böhme1; 1Leipzig, DE, 2Halle (saale), DE, 3Mainz, DE

O088 - Rapid prototyping in midshaft clavicle fracture repair

R. van der Linde1, R. van Doremalen2, J. Kootstra3, S. van Helden1, E. Hekman2; 1Zwolle,

NL, 2Enschede, NL, 3Hardenberg, NL

12:00 – 13:30/ Auditorium 1

New developments in skeletal trauma care

Skeletal trauma and Sports Medicine / ICL

Moderator: Marius Keel, Zurich/Berne, CH & Salvi Prat, Barcelona, ES

1) News in MIPO techniques

Christoph Sommer, Chur, CH

2) Alternative approaches in acetabular surgery (pararectus and surgical hip dislocation)

Marius Keel, Zurich/Berne, CH

3) Pre-operative 3D planning and custom made osteosynthesis plate

Frank Ypma, Groningen, NL

4) Role of mensenchymal stem cells in orthopaedic practice

Salvi Prat, Barcelona, ES

5) Cement augmentation for implants

Sven Hoppe, Berne, CH

12:00 – 13:30/ Auditorium 2

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Operative vs. non-operative in visceral trauma

Visceral Trauma / Case Scenario with Expert Panel

Moderators: Juan Asensio, Omaha, US & Luke Leenen, Utrecht, NL

Presenter:

Luke Leenen, Utrecht, NL

Salvador Navarro, Barcelona, ES

Panel:

Christine Gaarder, Oslo, NO

Carlos Mesquita, Madeira, PT

Yasuhiro Otomo, Tokyo, JP

Michael Rotondo, Rochester, US

Beat Schnüriger, Berne, CH

12:00 – 13:30/ Auditorium 3

Education for trauma: What’s new?

Polytrauma & Visceral Trauma / ICL

Moderator: Peep Talving, Tallinn/Tartu, EE & Aitor Landaluce, Bilbao, ES

1) How to train your trauma team?

Pal Aksel Naess, Oslo, NO

2) Simulation in trauma education(

Gonzalo Tamayo, Bilbao, ES

3) Non technical skills in trauma

Fabiana Cambiagni, Milan, IT

4) What’s new in ATLS?

Joakim Jorgensen, Oslo, NO

5) ETC – Is it complimentary to ATLS?

Carlos Mesquita, Madeira, PT

+ Panel Discussion

12:00 – 13:30/ Room 4

Protection of health critical infrastructure

Military and Disaster / ICL + Case Scenario

Moderator: Ofer Merin, Jersualem, IL & John Rodrigues, Lisbon, PT

1) Is the health critical infrastructure a target

Roberto Faccincani, Milan, IT

2) What does the health critical infrastructure need to be more secure (SOTA)

John Rodrigues, Lisbon, PT

3) Case Presentation (10 min each)

a. hospital under fire – Seema Biswas, London, UK

b. hospital under fire – Boris Hreckovski, Slavonski Brod, HR

c. ICRC under fire – Andreas Wladis, ICRC, SE

d. MSF under fire – Mohana Amirtharajah, MSF, NL

4) What do we need to be prepared for terrorist attacks in Europe

a. The use of MACSIM

Kristina Lennquist, Stockholm, SE

b. The TDSC course

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Gerhard Achatz, Ulm, DE

c. The Austere Environment (STAE) course

David Nott, London, UK

12:00 - 13:30/ Room 5

Common problems in acute care surgery

Emergency Surgery / Free Paper session

Moderators: Soledad Monton, Pamplona, ES & Juan Carlos Puyana, Pittsburgh, US

O089 - The Emergency Surgery Score (ESS) as a Triage Tool Predicting the Postoperative ICU

need of Emergency General Surgery Patients

N. Kongkaewpaisan1, H. Kaafarani1, J.M. Lee1, G. Velmahos2, D. King2, P. Fagenholz2, N.

Saillant2, A. Mendoza2, M. Rosenthal2, A. Nordestgaard2, A. Eid2, S. Van Wijck2, M.

Kongwibulwut2, K. Han2, N. Sangji1; 1Boston, MA/US, 2Boston, US

O090 - The Nature Course of Patients with Percutaneous Transhepatic Gallbladder Drainage

without Later Elective Laparoscopic Cholecystectomy

S.Y. Wang1, Y.L. Hung2; 1Tauyuan, TW, 2Taoyuan, TW

O091 - Surgeon-performed ultrasound (SPUS) in suspected appendicitis

A. Natroshvili, A. Shulutko, F. Nasirov; Moscow, RU

O092 - Acute Cholecystitis in High Risk Patients: Cholecystostomy vs Cholecystectomy vs EUS-

guided drainage. Results of a retrospective study

A. La Greca, V. Cozza, G. Pepe, M. Di Grezia, C. Lodoli, A. Di Giorgio, M. Foco, G. Di Flumeri, F.

Attili, M. Bossola, S. Magalini, G. Costamagna, D. Gui; Rome, IT

O093 - Daily use of Surgeon-performed ultrasound in a General and Emergency Surgery Unit.

Overall analysis of a two tears prospective Registry.

S. bozzo1, G. Carrara1, S. Coppola2, R. Pirovano1, M. Zago2; 1Ponte San Pietro, IT, 2Bergamo, IT

O094 - An optimum antibiotic regimen for pediatric complicated appendicitis can minimize

infection rate

S.C. Ha, C. Koh, Y. Chen; New Taipei City, TW

O095 - Enteroatmospheric fistula incidence and influence of visceral protective layer in open

abdomen therapy due to peritonitis – a propensity score matched case control analysis

A. Willms1, C. Güsgen1, S. Schaaf1, R. Schwab1, J. Kalff2, M. von Websky2; 1Koblenz, DE, 2Bonn,

DE

O096 - Unplanned Readmission to Hospital Post-Appendectomy; a Systematic Review and Meta-

Analysis.

K. Bailey, M. Sugrue, J. Lawler, M. Choynowski, A. Badrin, U. Kabir; Donegal, IE

O097 - Surgeon-performed ultrasound on management of patients with acute abdominal pain

A. Natroshvili, A. Shulutko, F. Nasirov, E. Osmanov; Moscow, RU

O098 - Hospital Complications Of Intestinal Anastomosis After Blunt Abdominal Trauma

I. Mahmood, F. Mustafa, B. Younis, K. Ahmed, A. El-Menyar, M. Asim, A. AlHassani, R. Peralta,

H. Al-Thani; Doha, QA