Annual Congress and Medicare Expo on Trauma & Critical Care March 07-09, 2016 Madrid, Spain

Biography:

Benjamin KASAO has completed B.A at the age of 35 years from Great Lakes School of Theology of Bujumbura as a part of George Fox University, State of Oregon/USA and High School studies from Nyabiondo Institute, Masisi Territory in North-Kivu Province of DRC. He is the Founder and Coordinator of CO.PA.D ″ Collectif “Paix et Développement” located in Goma Town, a Trauma and Hearing the Memories Organization in the Province. He has published 5 papers in reputed journals and has been serving as a Pastor, Peace artisan, Trauma Healer and Manager. These are the published papers: 1.″Trauma″ a sickness which must be healed by people 2. Healing is Yourself 3.Peace “ The content of the Gospel of Jesus″ 4.The need of Hearing Survival of Memories in Congo 5.Begin the Step to Development

Abstract:

Democratic Republic of Congo is becoming a country which all several and critical situations of every bad things are. The situation of war in the East part of Congo is the target place of all army groups and all people who want to driver disorder in the country. The government is unable to stabilize the country and to stop war here. Several number of NGO’s and International Organization are working in the country to help memories but they fell because they don’t know the really problems which Congolese are traveling in. Several consequences are numbered and make people in ″Brain and Stress Disorders″. The Trauma situations are caused by sexual Violence’s, tortures, kidnapping and end by suicides. There are also other problems of poverty and cohabitation of ethnics in the Provinces and the need of Conflict Resolutions, mediation and Peace Building into communities here. Trauma in DRC is becoming a great and critical situation which all people ignore and no one is helping the memories. It’s in that way that I should like to participate to the conference of Trauma so I should have other skills to help the memories in the DRC.

Biography:

Mihailo Bezmarevic finished MSc postgraduate studies in 2009 at Belgrade University, School of Medicine. He finished residency in general surgery in 2014 at the Department of Hepatobiliary and Pancreatic Surgery, Military Medical Academy, Belgrade. He is PhD candidate and a member of the European Pancreatic Club, International Association of Pancreatology, American Pancreatic Association and European Society for Clinical Nutrition and Metabolism. He bases his research on inflammation and pathophysiology of acute pancreatitis, pancreatic cancer and clinical nutrition. He has published more than 30 papers in reputed journals and he is an Editorial Board Member and reviewer of several journals.

Abstract:

There is growing evidence in the literature that development of abdominal compartment syndrome (ACS) in patients with severe acute pancreatitis (SAP) has a strong impact on the course of disease. Incidence of ACS in patients with SAP is around 20%. In recent published review the mortality rate in patients who developed ACS during SAP is 49%, while it is 11% in patients without this complication. Due to more aggressive fluid resuscitation, a bigger proportion of patients treated conservatively or by a minimal invasive approach, and efforts to delay open surgery, the number of patients with ACS has increased. The development of organ failure in SAP is in correlation with presence of intra-abdominal hypertension (IAH). IAH can deteriorate already compromised pancreatic perfusion and perfusion of gut in early stages of SAP. It may increase the necrosis of pancreatic tissue and could contribute in bacterial translocation from gut with a higher incidence of infective complications and sepsis. The existence of ACS complicates the treatment of SAP itself including fluid resuscitation, nutritional support and planning for minimal invasive approach for necrotizing pancreatitis. If conservative treatments do not alleviate IAH, interventional procedures should be considered. So far, there have not been standard recommendations for surgical or some other interventional treatment of patients who develop ACS during the course of SAP. Several interventional procedures were proposed but the surgical technique used should be individualized in each patient. The complexity associated with ACS management calls for the multi-disciplinary team approach involving interventional radiologists, surgeons and intensivists.

Biography:

Aleksandar R Karamarković currently works as a Professor in General Surgery, Faculty of Medicine University of Belgrade and Director, Clinic for Emergency Surgery, University Clinical Center of Serbia, Belgrade/Serbia. He completed his medical education as a faculty and PhD at University of Belgrade. He was Elected as a Assistant Professor of Surgery, Faculty of Medicine University of Belgrade/Serbıa (1996-2004) and Associate Professor of Surgery, Faculty of Medicine University in (2004-2010). He was invited as an International speaker for 14th International and 15th and 16th International Postgraduate course of the International Association of Surgeons, Gastroenterologists and Oncologists at Greece, 7th Congress of Croatian Society of Digestive Surgery, Opatija, Croatia in 2007 and 18th World Congress of the International Association at Istanbul, Turkey, 2008. From 2007-2014 he attended many world congress meetings.

Abstract:

Background: Severe liver injury in trauma patients still accounts for significant morbidity and mortality. Operative techniques in liver trauma are some of the most challenging. They include the broad and complex area, from damage control to liver resection. Materials & Methods: This is a retrospective study of 121 trauma patients with hepatic trauma American Association for Surgery of Trauma (AAST) grade III–V who have undergone surgery. Indications for surgery include refractory hypotension not responding to resuscitation due to uncontrolled hemorrhage from liver trauma; massive hemoperitonem on Focused assessment by ultrasound for trauma (FAST) and/or Diagnostic peritoneal lavage (DPL) as well as Multislice Computed Tomography (MSCT) findings of the severe liver injury and major vascular injuries with active bleeding. Results: Non-survivors have significantly higher AAST grade of liver injury and higher Injury Severity Score (ISS) (p = 0.000; p = 0.0001). Non-survivors have significant hypotension on arrival and lower Glasgow Coma Scale (GCS) on admission (p = 0.000; p = 0.0001). Definitive hepatic repair was performed in 62(51.2 %) patient. Damage Control, liver packing and planned re-laparotomy after 48 h were used in 59 (48.8 %). There was no statistically significant difference in terms of the surgical approach. There was significant difference in the amount of red blood cells (RBC) transfusion in the first 24 h between survivors and non-survivors (p = 0.001). Overall mortality rate was 33.1 %. Regarding complications non-survivors had significantly prolonged bleeding and higher rate of Acute respiratory distress syndrome (ARDS) (p = 0.0001; p = 0.0001), while survivors had significantly higher rate of pleural effusion (p = 0.0001). Conclusion: All efforts in the treatment of severe liver injuries should be directed to the rapid and effective control of bleeding, because uncontrollable hemorrhage is the cause of early death and it requires massive blood transfusion, all of which contributes to the late fatal complication.

Biography:

Manoj Joshi has completed his Postdoctoral degree MCh in paediatric surgery from SMS medical college Jaipur, State of Rajasthan, India in 2004 and is presently working in capacity of Professor and Head in department of Paediatric surgery at Pondicherry Institute of Medical sciences (PIMS) Pondicherry, which is a well-known tourist destination and educational hub located in south eastern coast of India. His areas of interest are pediatric minimal accses surgery, paediatric urology and pediatric trauma. He has about 15 publications and is a principle investigator of at least 5 ongoing research studies in department. He is a fellow of Indian association of paediatric surgeons and an executive member of its research section. He is also on editorial board and reviewer of many prestigious national and international journals.

Abstract:

Trauma is one of the major cause of morbidity and mortality in children. In this era of rapid growth and urbanization, child safety at home and on roads is getting jeopardized. Under 14 year incidence of childhood injuries are on the rise in India and it needs urgent application of preventive policies to ensure safety in childhood. We present our analysis on childhood injuries at a tertiary care Centre in south India, and compare our results with available series. Objective: To evaluate the pattern of pediatric trauma cases and their subsequent morbidity and mortality. Methods: Retrospective review of all cases (less than 12 years) referred to pediatric surgery unit of a teaching hospital over a period of 26 months (October 2011-November 2013). Burns, isolated head injury, ophthalmic injuries, and orthopedic injuries were excluded.The following parameters was assessed: Age group, sex, mode of trauma, and type of injury, place where the trauma occurred, time interval between injury and presentation and the overall morbidity as well as mortality. Results: A total of 218 cases of trauma were assessed and 24 cases, in which the details were incomplete, were excluded. Maximum number of cases (n= 84) involved the children in school going age. Male to female ratio was 2.3:1. Majority of the cases (74%) were trivial trauma. Road (36.5%), home (35%) and school/playground (28.3%) were almost equally unsafe in our series. The median time interval in presentation was 3 hours (Range 30 min- 7 days). In lieu with present management protocol, majority of patients were managed conservatively and 14 cases (7.2%) required operative intervention. Among them none had any major complications till last follow up. There was no mortality in the series. Limitations: The study is based on hospital data and hence the injury patterns and results cannot be generalized to the entire community. Conclusion: Preventive strategies are needed to make our roads and home safe for children, through better coordinated political and social efforts by means of execution / enforcement of legislation.

Biography:

Prakash Mohanasundaram has completed MBBS in Sree Siddhartha Medical College, Karnataka, India at the age of 25. He completed MD (Accident and Emergency Medicine) from Vinaya Missions University, Salem, Tamilnadu, India which is a reputed Institute for Emergency Medicine in the country. He is currently Assistant professor of Emergency Medicine at PSG Institute of Medical sciences and Research Hospital, Coimbatore, India. He is also member of the Editorial board for The “National Journal of Emergency Medicne”. He also held positions with the Society for Emergency Medicine, India. He is the present President of the “Federation of Emergency Medicine India [EPI]”.

Abstract:

The Impact of trauma in victims is a global concern. Most often they are the bread winners of family. A sudden change in the victim’s lifestyle after a trauma is a huge setback for the family. The concept of Platinum minutes and Golden hour is very important in trauma victims so as to treat the insults related to the second peak. The most important factors of secondary insults are Hypoxia, Hypotension and Hypercapnia. Approach to Shock in polytrauma can be complex. The role of ultrasound in ED for trauma patients to evaluate the cause and type of shock has proven extremely beneficial over the last decade, also guiding and monitoring the therapy. Ultrasound can give a clear analysis in situation where there are clinically diagnostic dilemmas.

Biography:

Engida has completed his MSc in Reproductive and Maternal Health Nursing at the age of 24 years from Addis Ababa University. He is a lecturer and researcher at the Department of Nursing and Midwifery, School of Alllied Health Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia. He has published more than 4 papers in reputed journals and has been serving as a reviewier of different international journals.

Abstract:

Background Road traffic injuries are the eighth leading cause of death globally, and the leading cause of death for young people. More than a million people die each year on the world’s roads, and the risk of dying as a result of a road traffic injury is highest in Africa. Methods We performed a prospective hospital based study to assess injury characteristics and outcome of road traffic accident among victims at Adult Emergency Department of Tikur Anbessa specialized hospital. The data were collected using structured pre-tested questionnaire and analyzed using SPSS Version 20.0. Results A total of 230 road traffic accident victims were studied. The majority of the study subjects were men 165 (71.7 %). The victims’ ages ranged from 14 to 80 years with the mean and standard deviations of 32.15 and ± 14.38 years respectively. Daily laborers (95 (41.3 %)) and students (28 (12.2 %)) were the majority of road traffic accident victims. Head (50.4 %) and musculoskeletal (extremities) (47.0%) were the most common body region injured. Fractures (78.0%) and open wounds (56.5%) were the most common type of injuries sustained. The overall length of hospital stay (LOS) ranged from 1 day to 61 days with mean (± standard deviation) of 7.12 ± 10.5 days and the mortality rate was 7.4 %. Hierarchical multiple regression analysis showed that age of the victims (ß = 0.16, p < 0.05), systolic blood pressure on admission (ß = -0.35, p < 0.001) and Glasgow coma scale (ß = -0.44, p < 0.001) were statistically significant predictors of fatalities among the victims. Conclusions There was diverse injury characteristics and high morbidity and mortality among the victims presented to Emergency Department of Tikur Anbessa specialized hospital and this reflect that road traffic accident is a major public health problem.

Biography:

Dr. Gilbert Abou Dagher will be appointed as Assistant Professor of Clinical Emergency Medicine effective February 1, 2012. He graduated with an MD degree from the American University of Beirut in 2005. After which, he completed his residency training in Internal Medicine at Henry Ford (2006-2009) and in Emergency Medicine (2009-2011). Dr Abou Dagher is board certified in Internal Medicine and board eligible in emergency medicine.

Abstract:

Biography:

Noman Shahzad is a professor department of Surgery at Aga Khan University Hospital, Karachi,Pakistan

Abstract:

Introduction: Though short term survival advantage of damage control laparotomy in management of critically ill trauma patients is established, there is little known about the long term quality of life of these patients. Facial closure rate after damage control laparotomy is reported to be 20-70 percent. Abdominal wall reconstruction in those who failed to achieve facial closure is challenging and can potentially affect quality of life of these patients. Methodology: We conducted retrospective matched cohort study. Adult patients who underwent damage control laparotomy from Jan 2007 till Dec 2013 were identified through medical record. Patients who had concomitant disabling brain injury or limb injuries requiring amputation were excluded. Age, gender and presentation time matched non exposure group of patients who underwent laparotomy for trauma but no damage control were identified for each damage control laparotomy patient. Quality of life assessment was done via telephonic interview at least one year after the operation, using Urdu version of EuroQol Group Quality of Life (QOL) questionnaire EQ5D after permission. Wilcoxon signed rank test was used to compare QOL scores and McNemar test was used to compare individual parameters of QOL questionnaire. Study was approved by institutional ethical review committee. Results: Out of 32 patients who underwent damage control laparotomy during study period, 20 fulfilled the selection criteria for which 20 matched non damage control group patients were selected. Median age of patients (IQ Range) was 33 (26-40) years. Facial closure rate in damage control laparotomy group was 40% (8/20). One third of those who did not achieve facial closure (4/12) underwent abdominal wall reconstruction. Self-reported QOL score of damage control laparotomy patients was significantly worse than non-damage control group (p = 0.032). There was no statistically significant difference in two groups regarding individual QOL measures. Significantly more patients in damage control group were requiring use of abdominal binder, and more patients in damage control group had to either change their job or had limitations in continuing previous job. Our study was not adequately powered to detect factors responsible for worse QOL in damage control group. Conclusion: Quality of life of damage control patients is worse than their age and gender matched patients who underwent trauma laparotomy but not damage control. Adequately powered studies need to be conducted to explore factors responsible for this finding for potential improvement.