Definitive Surgical Trauma CareTM course (DSTC) Definitive Anesthesiology Trauma Care course (DATC)

Advanced Surgical Skills for Exposure in Trauma (ASSET)

Course Timetable Ecole de Chirurgie de Lyon 05-07 April 2016

Lectures in English ; Skills in English or French -EricVOIGLIO(Lyon-France),Directeurducours-TinaGAARDER(Oslo-Norvège),DirecteurscientifiqueDSTC-MarkBOWYER(Bethesda-USA),DirecteurscientifiqueASSET-CatherineHEIM(Lausanne-Suisse),DirecteurscientifiqueDATCDSTC:-HayatoKURIHARA(Milan-Italie)-VincentDUBUISSON(Bordeaux-France)-ThomasSCHILLING(Allemagne)-MaximilienTHOMA(Bruxelles-Belgique)-DominiqueGYGER(Châteaud’Œx-Suisse)-TobiasZINGG(Lausanne-Suisse)DATC:-ChristianBALMER,(Sion-Suisse)-KarimBENDJELID,(Genève-Suisse)-ChrisBLEEKER(Nijmegen-Pays-Bas)-Jean-StéphaneDAVID(Lyon-France)-PatrickSCHOETTKER(Lausanne-France)-BurkhardMICHAELI,(Sion-Suisse)

Tuesday, 5 April 2016 07h30 – 07h50 Registration Participants 07h50 – 08h00 Welcome and introduction E. Voiglio, C. Heim 08h00 – 08h30 Course overview and surgical decision making T. Gaarder 08h30 – 09h00 Damage control M. Bowyer 09h00 – 09h30 Massive haemorrhage and coagulopathy J.S. David 09h30 – 10h15 Trauma laparotomy M. Thoma 10h15 – 10h45 Case Presentation All Faculty 10h45 – 11h00 Break 11h00 – 11h30 Neck / Mediastinum trauma M. Bowyer 11h30 – 12h00 Thoracic trauma E. Voiglio 12h00 – 12h30 Cardiac and lung repair T. Schilling 12h30 – 13h00 Case presentation All Faculty 13h00 – 13h45 Lunch 13h45 – 14h30 Overview of abdominal trauma M. Thoma 14h30 – 15h00 Trauma to the liver D. Gyger 15h00 – 15h30 Trauma to the spleen T. Zingg 15h30 – 16h00 Trauma to the pancreas and duodenum T. Schilling 16h00 – 16h30 Case Presentation All Faculty 16h30 – 16h45 Break 16h45 – 17h15 Pelvic trauma V. Dubuisson 17h15 – 17h45 Case Presentation All Faculty 17h45 – 19h00 Introduction to FAST Echography H. Kurihara

Wednesday, 6 April 2016, SURGEONS 07h30 – 08h00 Urological trauma T. Zingg 08h00 – 08h30 Case Presentation All Faculty 08h30 – 08h45 Moving to ASSET (Surgeons) Change into scrubs (Surgeons) 08h45 – 10h45 Extremity 10h45 – 11h15 Break 11h15 – 12h45 Head & Neck 12h45 – 13h30 Lunch 13h30 – 14h00 Change into scrubs 14h00 – 16:00 Thorax and root of the neck 16h00 – 16h30 Break 16h30 – 19h10 Abdomen & Pelvis 20h00 – 22h00 Course dinner

Wednesday, 6 April 2016, ANAESTHETISTS

DATC 07h30 - 07h45 Welcome and introduction C. Heim / J.S. David 07h45 – 08h00 Non-technical skills C. Balmer 08h05 – 08h25 Airway management in trauma P. Schoettker 08h30 – 08h45 Induction of patient in haemorragic shock B. Michaeli 08h50 – 09h10 Acute traumatic coagulopathy C. Heim 09h15 - 09h30 Principles of viscoelastic tests B. Michaeli 09h30 – 09h45 Break 09h45 – 11h30 Damage control resuscitation (DCR) 09h45 – 10h00 - Identification of patients in need of DCR C. Balmer 10h05 – 10h20 - DCR-Pillar I : Fluid resuscitation B. Michaeli 10h25 – 10h40 - DCR-Pillar II : Permissive hypotension C. Heim 10h45 – 11h00 - DCR-Pilar III : Haemostatic resuscitation P. Schoettker 11h05 – 11h30 Case discussion P. Schoettker / all 11h30 – 12h15 ICU 11h30 – 11h45 Endpoints of resuscitation C. Balmer 11h45 – 12h15 Overlap to ICU / DCR in ICU K. Bendjelid 12h20 – 12h40 Pretest discussion B. Michaeli/ C. Bleeker 12h45 – 13h30 Lunch 13h45 – 16h30 Practical Skills (4 groups, Rotations 45’)

1. ROTEM guided transfusion management B. Michaeli 2. Perioperative assessment of volemia K. Bendjelid 3. Airway management in trauma P. Schoettker 4. Ultrasound C. Balmer

16h30 – 16h45 Break 16h45 – 17h00 Change into scrubs 17h00 – 19h00 Cadaver session (3 cadavers, 3 groups, rotation 40 ‘)

1. Thoracostomy, Thoracic drainage C. Bleeker/ E. Voiglio 2. Trauma Ariway management P. Schoettker 3. Advanced vascular accesses B. Michaeli

20h00 – 22h00 Course dinner

Thursday, 7 April 2016 08h00 – 08h15 Surgical skills: Ethics lecture E. Voiglio 08h15 – 08h30 “Tearing down the blood-brain barrier” with café-croissant All Faculty 08h30 – 09h00 Change into scrubs 09h00 – 12h30 Skills laboratory 5 tables, 3 surgeons + 2 anaesthesiologists Participants distribution according to spoken language (English / French) 12h30 – 13h15 Lunch 13h15 – 13h30 Photo 13h30 – 14h15 Damage Control Resuscitation – the principles C. Heim 14h15 – 14h45 Case presentation All Faculty 14h45 – 15h30 In the ICU - Endpoints of resuscitation P. Schoettker 15h30 – 16h45 Complex cases All Faculty 16h45 – 17h15 Closure Course Directors Discussion and input regarding course Presentation of course certificates