scientific programme · 19 sunday, may 6, 2018 s unday, m ay 6, 2018 • semergency surgery...

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19 Sunday, May 6, 2018 SUNDAY, MAY 6, 2018 Emergency Surgery Disaster & Military Polytrauma Skeletal Trauma & Sports Medicine Visceral Trauma Educaon SCIENTIFIC PROGRAMME Sunday, May 6, 2018 08:30 – 10:00 Auditorium 1 ICL + Case Scenario CRITICALLY INJURED PATIENT, HOW TO PRIORITISE? Moderator: Tina Gaarder, Oslo, NO & Fernando Turegano, Madrid, ES 1. Junconal injuries – how to priorise Fernando Turegano, Madrid, ES 2. Torso vascular injuries – who needs operaon vs. role for endovascular Demetrios Demetriades, Los Angeles, US 3. Blunt vs penetrang injuries – difference in approach? Juan Carlos Puyana, Pisburgh, US 4. The ischemic extremity in the crically injured paent Joakim Jorgensen, Oslo, NO 5. Case presentaon & Panel discussion & Take-Home message Tina Gaarder, Oslo, NO 08:30 – 10:00 Auditorium 2 ICL + Case Scenario TRENDS IN GERIATRIC TRAUMA Moderators: Matej Cimerman, Ljublijana, SL & Pilar Camacho, Barcelona, ES 1. Developing a geriatric trauma centre Johannes Basan, Berne, CH 2. Intensive care of polytrauma paent Juan Antonio Llompart, Mallorca, ES 3. Pelvic ring insufficiency fracture – why and how to fix Pol M. Rommens, Mainz, DE 4. Periprosthec acetabular fractures – fix or replace the cup Marius Keel, Berne/Zurich, CH 5. Case presentaon of a civilian elderly trauma paent Pilar Camacho, Barcelona, ES + Panel Discussion 6. Take-Home Message (3 min) Matej Cimerman, Ljublijana, SL

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Page 1: SCIENTIFIC PROGRAMME · 19 Sunday, May 6, 2018 S UNDAY, M AY 6, 2018 • SEmergency Surgery SDisaster & Military S Polytrauma S Skeletal Trauma & Sports Medicine S Visceral Trauma

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• Emergency Surgery • Disaster & Military • Polytrauma • Skeletal Trauma & Sports Medicine • Visceral Trauma • Education

SCIENTIFIC PROGRAMME

Sunday, May 6, 2018

08:30 – 10:00 Auditorium 1ICL + Case Scenario •CRITICALLY INJURED PATIENT, HOW TO PRIORITISE? Moderator: Tina Gaarder, Oslo, NO & Fernando Turegano, Madrid, ES

1. Junctional injuries – how to prioritise 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 2ICL + Case Scenario •TRENDS IN GERIATRIC TRAUMA Moderators: Matej Cimerman, Ljublijana, SL & Pilar Camacho, Barcelona, ES

1. Developing a 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, Berne/Zurich, 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

Page 2: SCIENTIFIC PROGRAMME · 19 Sunday, May 6, 2018 S UNDAY, M AY 6, 2018 • SEmergency Surgery SDisaster & Military S Polytrauma S Skeletal Trauma & Sports Medicine S Visceral Trauma

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08:30 – 10:00 Auditorium 3ICL + Case Scenario •ACUTE BILIARY DISEASES: STONES AND NIGHTMARESModerators: 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, IT

4. Bile duct injury 0% Selman Uranues, Graz, AT

5. Management of bile duct stones. Do surgeons still have a role? Jorge Pereira, Viseu, PT

6. Clinical scenario and panel discussion Jose María Jover, Madrid, ES

08:30 – 10:00 Room 4Guest Symposium EFORT

PROXIMAL FEMUR FRACTURES – STILL A PROBLEM? GUEST SYMPOSIUM EFORTModerator: Peter Giannoudis, Leeds, UK & Christoph Josten, Leipzig, DE

1. What is proven in hip fracture treatment? Jean-Christophe Bel, Lyon, 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, Andorra la Vella, AD +Discussion & Interesting cases

Page 3: SCIENTIFIC PROGRAMME · 19 Sunday, May 6, 2018 S UNDAY, M AY 6, 2018 • SEmergency Surgery SDisaster & Military S Polytrauma S Skeletal Trauma & Sports Medicine S Visceral Trauma

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• Emergency Surgery • Disaster & Military • Polytrauma • Skeletal Trauma & Sports Medicine • Visceral Trauma • Education

08:30 – 10:00 Room 5Free Paper session •COMPLEX HIP AND PELVIC FRACTURESModerators: Andriy Kalashnikov, Kiew, UA & Olivera Lupescu, Bucharest, RO

1. 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 nominated for the Best Oral Award

2. 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

3. 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

4. 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

5. 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

6. 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

7. O007 - The bone quality in patients with sacrum fractures J. Berger-Groch, D. Thiesen, M. Hartel; Hamburg, DE

8. O008 - A biomechanical study of sacroiliac rod fixation for unstable pelvic ring injuries: verification of the “within ring" concept K. Futamura, Kamakura City, JP

9. 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

10. 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

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08:30 – 10:00 Room 8+9Guest Symposium ATCN

ROLES OF THE NURSES IN MAJOR INCIDENTSModerators: Candida Durão, Lisboa, PT & Frederic Lodier, Lyon, FR

1. Terrorism attack on Promenade des anglais in Nice Carole Boutet, Nice, FR

2. Train accident near Berlin Benjamin Riedl, Berlin, DE

3. Bomb and gun shooting in Oslo Knut Magne Kolstadbraten, Oslo, NO

4. Terrorism attack in Brussels Yves Maule, Brussels, BE

5. Medical Incident Command on the field, a special role for special nurses (French military) Jean-François Ringeval, Toulon, FR

6. Terrorism attack in Barcelona Manuel Muñoz Mancisidor, Barcelona, ES

7. The January 25th 2018 train crash 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 afterwards? How can we improve our practice? — What kind of trainings for us?

10:00 – 10:30 Auditorium 2Guest Symposium ESS

BARRIER DYSFUNCTION AFTER POLYTRAUMASpeaker: Markus Huber-Lang, Ulm, DE

10:30 – 12:00 Auditorium 1ICL + Case Scenario •OPEN ABDOMENModerators: Ari Leppäniemi, Helsinki, FI + Joan Sancho, Barcelona, ES

1. Success factors for optimal outcome. How to optimise 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

Page 5: SCIENTIFIC PROGRAMME · 19 Sunday, May 6, 2018 S UNDAY, M AY 6, 2018 • SEmergency Surgery SDisaster & Military S Polytrauma S Skeletal Trauma & Sports Medicine S Visceral Trauma

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• Emergency Surgery • Disaster & Military • Polytrauma • Skeletal Trauma & Sports Medicine • Visceral Trauma • Education

10:30 – 12:00 Auditorium 2Pros & Cons •CONTROVERSIES IN TREATMENT OF GERIATRIC FRACTURESModerators: 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 3ICL •RECENT DISASTERS: LESSONS LEARNED – IMPLICATIONS ON EMS AND HOSPITAL RESPONSE Chairs: Roberto Faccincani, Milan, IT & Julio Ruiz Palomino, Madrid, ES

1. Italy Roberto, Faccincani, Milan, IT

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

8. Norway Pal Aksel Naess, Oslo, NO + Panel discussion

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10:30 – 12:00 Room 4Guest Symposium Küntscher Society

BACK TO BASICS IN INTRAMEDULLARY NAILINGModerators: 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+9Guest Symposium WAIOT

WORLD ASSOCIATION AGAINST INFECTION IN ORTHOPEDICS AND TRAUMA (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 Coatings in Osteosynthesis: What is the Evidence? Carlo Romano, Milano, IT

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• Emergency Surgery • Disaster & Military • Polytrauma • Skeletal Trauma & Sports Medicine • Visceral Trauma • Education

10:30 – 12:00 Room 5Free Paper session • •MINIMALLY INVASIVE TECHNIQUES IN TRAUMA AND EMERGENCY SURGERYModerators: Jonathan Tilsed, Beverly, UK & Fernando López Mozos, Valencia, ES

1. 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

2. O012 - Experience in Diagnostic and Therapeutic Laparoscopy for Patient with Abdominal Stab Wounds H. Lin, Y. Chen; Banqiao District, New Taipei, TW

3. O013 - Hybrid Treatment in Severe Trauma: Experience at a Level 1 Trauma Center in an 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

4. O014 - Achieving higher rates of transcystic choledochoscopy during laparoscopic common bile duct exploration (LCBDE) J. Almusawi, L. Navaratne, K. Qurashi, A. Isla; London, GB

5. O015 - Is computed tomography tractography reliable in patients with anterior abdominal stab wounds? İ.S. Sarici, M.U. Kalayci; İstanbul, TR

6. O016 - Is laparoscopic treatment in perforated peptic ulcer safe for all patients? K. Thorsen1, J.A. Søreide2, K. Søreide1; 1Stavanger, NO, 2Bergen, NO

7. 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

8. O018 - Characteristics and Prevalence of Acute Cholecytitis in Patients with Hematologic Malignancies A. El Rifai, K. Naja, M. EL Hechi, A. Hallal; Beirut, LB

9. 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

10. 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

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12:10 – 12:40 Auditorium 1

STEN LENNQUIST LECTURE | LAPAROSCOPY FOR SURGERY: DAILY PRACTICE AND THE EVIDENCESpeaker: Selman Uranues, Graz, AT

12:45 – 13:45 / Poster Area

POSTER WALKS — Anaesthesia

Chair: María Serna, Valencia, ES — Emergency Surgery 1

Chair: Spiros Stergiopolous, Athens, GR — Emergency Surgery 2

Chair: Yasuhiro Otomo, Tokyo, JP — Emergency Surgery 3

Chair: Fernando Ferreira, Porto, PT — Emergency Surgery 4

Chair: Michael Sugrue, Letterkenny, IE — Emergency Surgery 5

Chair: Dieter Morales García, Maliaño, 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

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• Emergency Surgery • Disaster & Military • Polytrauma • Skeletal Trauma & Sports Medicine • Visceral Trauma • Education

— Polytrauma 4 Chair: Juan Antonio Llompart, Mallorca, ES

— Polytrauma 5 Chair: Rolf Lefering, Cologne, DE

— REBOA Chair: Juan Asensio, Omaha, US

14:00 – 15:30 Auditorium 1ICL •DEFINITION POLYTRAUMA REVISITED 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 by 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

14:00 – 15:30 Auditorium 2Pros & Cons •BLEEDING CONTROL IN PELVIC TRAUMAModerators: 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/Embolisation 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

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14:00 – 15:30 Auditorium 3Battle Session •ACUTE DIVERTICULITISModerators: 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 4Guest Symposium IATSIC

DISASTER MEDICINE AND PREPAREDNESS Moderators: Elmin Steyn, Durban, ZA & Tina Gaarder, Oslo, NO

1. Developing a generic triage training program challenges and solutions Harald Veen, ICRC

2. Combining existing models to adjust for differences in resources? Carl Montan, Stockholm, SE

3. The Las Vegas shootings – lesson learned John Fildes, Las Vegas, US

4. During the MCI – my role as a surgeon Paal Naess, Oslo, NO

5. High volume centres as a training camp for MCIs? Benefits vs. ethical aspects Frank Plani, Johannesburg, ZA & Elmin Steyn, Durban, ZA

14:00 – 15:30 Room 5Free Paper session •THORACIC AND SPINE INJURIESModerators: Fernando Cozar, Jaen, ES & Christoph Josten, Leipzig, DE

1. O020 - Extensive thoraco-abdminal surgery causes intra-operative neutropenia despite the emerge of banded (CD16dim/CD62Lbright) neutrophils in peripheral blood M. Teuben, Utrecht, NL

2. O021 - Selecting Cervical Spinal Cord Injury Patients for Early Tracheostomy D. Scanting1, J. Fazendin2, A. Teichman2, A. Galvez2, J. Eakins2, B. McCracken1; 1Philadelphia, PA/US, 2Philadelphia, US

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3. 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

4. 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 nominated for the Best Oral Award

5. 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

6. 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

7. 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

8. O027 - WITHDRAWN9. 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

10. 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 – INDIAModerators: Marius Keel, Berne/Zurich, 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 3Special Session

S3 GUIDELINES IN POLYTRAUMASpeaker: Bertil Bouillon, Cologne, DE

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16:00 – 17:30 Auditorium 1Case Scenario with Expert Panel •PSEUDOARTHROSIS AND INFECTIONS (FAILURE AND COMPLEX CASES)Moderators: Josep Muñoz-Vives, Andorra la Vella, AD & Klaus Wendt, Groningen, NL

Presenters: Marius Keel, Berne/Zurich, 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 2Battle Session •TORSO ABOVE DIAPHRAGMModerators: 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 & Luke Leenen, Utrecht, NL

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 3Round table •DISASTER MEDICINE, IS IT A SURGICAL PROBLEM? 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, DEb. Avalanches

Dominik Heim, Frutigen, CH

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c. Refugees in camps in Turkey Mahir Ozmen, Ankara, TK

d. Refugees migrants in the Mediterranean Mohana Amirtharajah, MSF, NL

e. Refugee on the move Boris Hreckovski, Slavonski Brod, HR

f. Discussion

16:00 – 17:30 Room 4Team Session •UPPER GI BLEEDING Moderators: 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 5Free Paper session • •ADVANCES IN ANAESTHESIA AND ERAS IN TRAUMA AND EMERGENCY SURGERY Moderators: Diego Mariani, Legnano, IT & Isidro Martinez Casas, Jaen, ES

1. 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 nominated for the Best Oral Award

2. 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 nominated for the Best Oral Award

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3. 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 nominated for the Best Oral Award

4. 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

5. 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 nominated for the Best Oral Award

6. 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

7. 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, DK, 2Hvidovre, DK nominated for the Best Oral Award

8. 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

9. 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

10. 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

11. 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 1ICL •ACUTE CARE SURGERY UNITSModerators: Jonathan Tilsed, Beverley, UK & Dieter Morales García, Maliaño, 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, Maliaño, ES

5. Board Certification Jonathan Tilsed, Beverley, UK + 10 min Discussion

08:30 – 10:00 Auditorium 2Controversies in Disaster & Military medicine •DISASTER & MILITARY / BATTLE SESSIONModerators: 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 3Pros & Cons • •DAMAGE CONTROL ORTHOPAEDICS: SEVERE EXTREMITY INJURIESModerators: Guy Putzeys, Bellegem, BE & Stuart Matthews, Leeds, UK

1. Open tibial shaft fractures: Pro nail Stuart Matthews, Leeds, UK

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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: preliminary reports using topical sevoflurane. Manuel Gerónimo Pardo, Albacete, ES

5. Soft tissue defects: Indications for amputation or primary flap Bore Bakota, Karlovac, HR

6. Case Presentation Bore Bakota, Karlovac, HR

08:30 – 10:00 Room 4Guest Symposium DGU

SURGICAL STRATEGIES FOR THE REPAIR OF POSTTRAUMATIC BONE DEFECTSChairs: 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 5Free Paper session •STRATEGIES IN BLEEDINGModerators: Aitor Landaluce-Olavarria, Vizcaya, ES & Tal Hörer, Örebrö, SE

1. 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

2. O041 - Resuscitative endovascular balloon occlusion of the aorta in experimental cardiopulmonary resuscitation – aortic occlusion level matters E. Dogan, T. Hörer, K. Nilsson; Örebro, SE nominated for the Best Oral Award

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3. 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

4. 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

5. 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

6. 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

7. O047 - The association between ABO blood type and the mortality of severe trauma patients W. Takayama, A. Endo, Y. Otomo; Tokyo, JP

8. 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

9. 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

10. 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

11. 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 1ICL + Case Scenario • •COMPLEX PELVIC FRACTURESModerators: 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

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3. Urogenital TraumaPer Ortenwall, Gothenburg, SE

4. Rectal injuries and the role of fecal diversion in pelvic traumaPedro Yuste, Madrid, ES+ 10 min Discussion

5. Case presentation & Take-Home MessageLuke Leenen, Utrecht, NL

10:30 – 12:00 Auditorium 2Case Scenario with Expert Panel •EMERGENCY SURGERYModerators: Dieter Morales García, Maliaño, ES & Ari Leppäniemi, Helsinki, FI

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

Panelists: Chrysantos Georgiu, Nicosia, CYSpiros Stergiopolous, Athens, GRMauro Zago, Bergamo, ITIsidro Martínez Casas, Jaén, ES

10:30 – 12:00 Auditorium 3ICL + Panel Discussion • •REMAINING AND NEW CHALLENGES IN TRAUMA CAREModerators: Michael Rotondo, Rochester, US & Javier Uriarte, Bilbao, ES

1. Efficiency of trauma prevention programmesMichael Rotondo, Rochester, US

2. Incomplete trauma centers and split functionsSalvador Navarro, Barcelona, ES

3. Surgical sub-specialisations – how to overcome the threat totrauma?Martin Croce, Tennessee, US

4. Traumatic shock in the battlefield. What’s new?Javier Uriarte, Bilbao, ES

5. Panel discussion

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10:30 – 12:00 Room 4ICL + Case Scenario •UPDATE IN FOOT AND ANKLE FRACTURESModerators: Christoph Sommer, Chur, CH & Richard Kdolsky, Vienna, AT

1. Malleolar fracturesRuben Garcia, Barcelona, ES

2. Calcaneus fractureJ. S. K. Luitse, Amsterdam, NL

3. Talus fractureMartijn Poeze, Maastricht, NL

4. Chopart/ Lisfranc injuriesMatej Kastelec, Ljubijana, SL

5. Foot fractures in vasculopathyRichard Kdolsky, Vienna, AT

6. Case presentationAndreas Platz, Zurich, CH

7. Take-Home MessageChristoph Sommer, Chur, CH

10:30 – 12:00 Room 5Free Paper session •ADVANCES IN CIVILIAN AND MILITARY TRAUMA CAREModerators: Juan Asensio, Omaha, US & Alberto Hernandez Abadia, Madrid, ES

1. O051 - The burden of diseases and non-battle injuries during deploymentT. van Dongen1, E.P. Huizinga2, F.J. Idenburg3, R. Hoencamp1; 1Leiderdorp, NL, 2Utrecht,NL, 3Den Haag, NL nominated for the Best Oral Award

2. O052 - 28-day Thawed Plasma Maintains Capacity to Inhibit tPA-induced FibrinolysisSimilar to Freshly Thawed PlasmaG. Stettler1, E. Moore2, G. Nunns3, J. Coleman3, J. Samuels4, A. Banerjee1, C. Silliman4;1Auora, US, 2Denver, AL/US, 3Denver, US, 4Auora, CO/USnominated for the Best Oral Award

3. O053 - ‘Thinking lean’- The Use of Quality Improvement Models to Improve Trauma ClinicService Provision in a Single Centre in EnglandS. Waseem1, C. Sethu2, K. Wong2; 1London, GB, 2Salisbury, GB

4. O054 - Evaluation of the clinical competencies of young French surgeons in penetratingtrauma management and damage control surgery.J. Gaudric1, B. Malgras2, A. De Carbonnieres3, S. Bonnet3, E. HORNEZ3; 1Paris, FR, 2SaintMandé, FR, 3Clamart, FR

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5. O055 - E-Triage in mass casualties on the sea – an innovative backpack-system formaritime officersS. Schulz-Drost, J. Unterkofler, D. Merschin, S. Trach, M. Weigeldt, H. Ranke,A. Ekkernkamp, D. Gümbel; Berlin, DE

6. O056 - Coping mass casualty incidences at sea – Results of a table-top exerciseE. Henning1, T. Görig1, S. Schulz-Drost2, A. Ekkernkamp2, D. Gümbel2; 1Greifswald, DE,2Berlin, DE

7. O057 - Fasciotomy for Compartment Syndrome after Arterial Repair in Lower Limb TraumaJ. Klocker, Innsbruck, AT

8. O058 - KOMPASS: An e-learning tool for maritime officers for triage in mass casualtyincidents at seaH. Ranke, J. Unterkofler, D. Merschin, M. Weigeldt, D. Gümbel, A. Ekkernkamp,S. Schulz-Drost; Berlin, DE

9. O059 - Is there a difference between military, civilian terrorist attacks and civilian blastaccidents – our experience with three Mass Casualty EventsG. 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 IMPLICATIONSSpeaker: 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 — Disaster & Military

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

Chair: Martin Croce, Tennessee, US

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— 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 Chair: Isidro Martínez Casas, Jaén, ES

— Visceral Trauma Cases 3 Chair: Diego Mariani, Legnano, IT

— Visceral Trauma Cases 4 Chair: Aitor Landaluce-Olavarria, Vizcaya, ES

— Visceral Trauma Cases 5 Chair: 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 1Battle session •THE IDEAL TEAM LEADERModerators: Hayato Kurihara, Rozzano, IT & Jose Maria Jover, Madrid, ES

1. The surgeonHayato Kurihara, Rozzano, IT

2. The emergency physicianJulio Ruiz Palomino, Madrid, ES

3. The Orthopaedic trauma surgeonIngo Marzi, Frankfurt, DE

4. The anaesthesiologistRafael Badenes, Valencia, ES

5. + Panel Discussion with Voting

14:00 – 15:30 Auditorium 2Battle Session •SURGICAL CRITICAL CARE IN THE SEPTIC PATIENTModerators: Ari Leppäniemi, Helsinki, FI & Mari Angeles Ballesteros, Santander, ES

1. Use and abuse of open abdomen in PeritonitisFernando Ferreira, Porto, PT & Ari Leppäniemi, Helskinki, FI

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2. Use and abuse of CT Scan on post-operative complicationsFernando Turegano, Madrid, ES vs. Jonathan Tilsed, Beverely, UK

3. Vasopressors & enteral nutritionMario Chico, Madrid, ES

4. Case Presentation & Panel Discussion & Take-Home MessageMari Angeles Ballesteros, Santander, ES

14:00 – 15:30 Auditorium 3Guest Symposium AOTrauma

ELBOW FRACTURESChairs: 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 fracturesLars Peter Müller, Cologne, DE

5. Postoperative stiffness after trauma: how and when to operate followed by which rehabprogram?Denise Eygendaal, Breda, NL

14:00 – 15:30 Room 4Tandem session •CONFLICTS AND HEALTHModerator: Moderator: Andreas Wladis, ICRC, SE & Mohana Amirtharajah, MSF, NL

1. Confronting civilian victims of war and disasters – the ICRC approachAndreas Wladis, IRCR, SE

2. Confronting civilian victims of war and disasters – the MSF approachMohana Amirtharajah, MSF, NL

3. Novel techniques to be used in next conflictYasuhiro Otomo, Tokyo, JP

4. Tourniquets in civilian settingsOfer Merin, Jerusalem, IL

5. Long term results of military casualtiesThijs van Dongen, Leiden, NL,

6. Stab wound zone 1 neck injuriesOfer Merin, Jerusalem, IL

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7. The impact of MRMI training on real mass casualty incidents in SloveniaSimon Herman, Ljubliana, SI

8. Mass casualty incident debreifing-where, when and how: Update of the NATO workshopoutcomesGila Hyams, IL

14:00 – 15:30 Room 5Free Paper session •TRAUMA REGISTRIESModerators: Fernando Cozar, Jaen, ES & Christoph Josten, Leipzig, DE

1. O060 - Patients’ personality and long-term outcome in severely injured trauma patientsK. van Delft-Schreurs1, M. de Jongh1, K. Lansink2, M. Verhofstad3, J. de Vries1; 1Utrecht,NL, 2Tilburg, NL, 3Rotterdam, NLnominated for the Best Oral Award

2. O061 - What You Don't Know Can Hurt You: Chronic Disease Portends IncreasedMortality after Injury in Low Resource SettingsS. 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

3. O062 - Evaluating Trauma Management, Outcomes and Economic Data in a System inCrisis: Changes required for improvement.A. Prionas, A. Tooulias, A. Tsolakidis, C. Christou, G. TSOULFAS, V. Papadopoulos;Thessaloniki, GR

4. O063 - Value of Inferior Vena Cava Diameters as Predictor of Hemodynamic Deteriorationin Severe Trauma Patients: How much “flatness”?N. Palma Caucig, C. Martinez Moreno, S. Kayser Mata, C. Rey Varcalcel, L. GarciafiliaCabrera, J. Zulueta, F. Turégano Fuentes; Madrid, ES

5. O064 - Main errors in the management of trauma patients: analysis of a hospital traumaregistryM. Burneo Esteves1, A. Sanchez Arteaga2, A. Lusilla López1, A. Garcia Sevilla3, R. OrtiRodriguez4, M.D. Pérez Díaz1, C. Rey Varcalcel1, F. Turégano Fuentes1; 1Madrid, ES, 2Sevilla,ES, 3Ciudad Real, ES, 4Santa Cruz De Tenerife, ES

6. 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

7. O066 - Intracranial Pressure Monitoring in Isolated Severe Traumatic Brain Injury: AnEvaluation of Outcomes and Compliance with Guidelines Using a Matched Cohort fromthe Trauma Improvement Quality Program (TQIP) DatabaseR. Ahl1, B. Sarani2, G. Sjolin3, S. Mohseni3; 1Stockholm, SE, 2Washington, WA/US, 3Orebro, SE

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8. 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

9. O068 - Regain of the pre-fracture basic mobility at the time of acute hospital discharge isassociated with the risk of 30-day post-discharge mortality – A 1-year nationwide registerstudy of 5,154 Danish patients with hip fractureM. Kristensen1, B. Öztürk2, N. Rock3, A. Ingeman4, H. Palm1, A. Pedersen4; 1Hvidovre, DK,2X, DK, 3Odense, DK, 4Aarhus, DK

10. O068A - Leaving the hospital against medical advice after traumatic injuryN. 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

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

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— 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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08:30 – 10:00 Auditorium 1Case Scenario with Expert Panel •POLYTRAUMAModerators: Juan Asensio, Omaha, US & Luke Leenen, Utrecht, NL

Presenters: Christoph Josten, Leipzig, DEKeesJan Ponsen, Amsterdam, NLSoledad Monton, Pamplona, ES

Panelists: Salvi Prat, Barcelona, ESPantelis Vassiliu, Athens, GRHans-Christoph Pape, Zurich, CHJuan Carlos Puyana, Pittsburgh, USGuy Putzeys, Bellegem, BE

08:30 – 10:00 Auditorium 2ICL + Case Scenario •DAMAGE CONTROL PRINCIPLES IN RESUSCITATIONModerators: Louis Riddez, Stockholm, SE & Mari Angeles Ballesteros, Santander, ES

1. Achievable vs optimal Resus algorithmsMari Angeles Ballesteros, Santander, ES

2. Trauma induced coagulopathyChristine Gaarder, Oslo, NO

3. The future of damage controlMichael Rotondo, Rochester, US

4. Case Discussion and Take-Home MessageLouis Riddez, Stockholm, SE

08:30 – 10:00 Auditorium 3ICL •DEBATE IN SPINAL INJURIESModerators: Christoph Josten, Lepzig, DE & Endre Varga, Szeged, HU

1. Polytrauma and spinal injuriesKlaus Wendt, Groningen, NL

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2. Timing of decompressionMarius Keel, Berne/Zurich, CH

3. Cervical spine: anterior or posterior fixationSven Hoppe, Berne, CH

4. Role of navigation for pedicle screws in traumaVolker Bühren, Murnau, DE

5. Posterior and/or anterior fusion in thoracic/lumbar spineChristoph Josten, Leipzig, DE

6. Initial and definitive treatment concepts of displaced sacral fracturesEndre Varga, Szeged, HU

08:30 – 10:00 Room 4ICL •MILITARY VS. CIVILIAN EXPERIENCE IN THE TREATMENT OF VICTIMS OF EXPLOSIONSModerators: Itamar Ashkenazi, Hadera, IL & Alberto Hernández Abadía, Madrid, ES

1. Outcomes of consensus meeting in Israel (2008) and in Spain (2009) on the treatment ofthe victim of explosionFernando Turegano, Madrid, ES

2. Airway breathing managementa. The military experience

Francois Pons, Clamart, FRb. The civilian experience

Itamar Ashkenazi, Hadera, IL+ Discussion

3. Circulatory managementa. The military experience

Thijs van Dongen, Leiden, NL,b. The civilian experience

Ofer Merin, Jerusalem, IL+ Discussion

4. Injuries by biologic foreign bodiesItamar Ashkenazi, Hadera, IL

5. Ethical dilemmas in treating terror victimsOfer Merin, Jerusalem, IL

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08:30 – 10:00 Room 5Free Paper session • • •ACUTE ELDERLY PATIENTModerators: Peter Simko, Bratislava, SK & Andreas Shamiyeh, Linz, AT

1. 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 nominated for the Best Oral Award

2. 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

3. O071 - Development And Validation Of A New Pre-Operative Index To Assess Frailty In Elderly Patient Who Underwent Emergency Surgical Procedures: Emergency Surgery Frailty Index (Emsfi) G. Massa, G. Costa, P. Fransvea, B. Frezza, L. Bragaglia, G. Balducci; Rome, IT

4. 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

5. O073 - Intestinal ischemia in the elderly surgical patient. P. Colsa1, D. Morales2; 1Vargas (puente Viesgo), ES, 2Santander, ES

6. O074 - Abdominal Injuries After Fall from Standing – Intervention is predictable without routine Imaging N. Hagan, H. Berdel, A. Tefft, A. Bernard; Lexington, KY/US

7. 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

8. 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

9. 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

10. 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

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10:30 – 12:00 Auditorium 1ICL • •BLEEDING AND RESUSCITATION Moderators: Mario Chico, Madrid, ES & Demetrios Demetriades, Los Angeles, US

1. Non-invasive monitoring of resuscitation in traumaMario Chico, Madrid, ES

2. Limitations of REBOA Demetrios Demetriades, Los Angeles, US

3. Injured Jehovas witnessJuan Carlos Puyana, Pittsburgh, US

4. Use of blood products in massive transfusionGonzalo Tamayo, Bilbao, ES

10:30 – 12:00 Auditorium 2Consensus Meeting •POINT OF CARE ULTRASOUND IN ACUTE SURGICAL DISEASES: THE FIRST CONSENSUS MEETINGModerators: Mauro Zago, Bergamo, IT & Maria Serna, Valencia, ES

1. Overview of established and ongoing applicationsTBA

2. US & acute diverticulitisDaniel D. Dumbrava, Dublin, IE

3. US and acute appendicitisDiego Mariani, Legnano, IT

4. US and Shock (basic & advanced applications)Maria Serna, Barcelona, ES

5. US & Cholecystitis: musts and limitsJorge Pereira, Viseu, PT

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

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10:30 – 12:00 Auditorium 3ICL + Case Scenario • •SEVERELY INJURED CHILD Moderators: Ingo Marzi, Frankfurt, DE & Klaus Wendt, Groningen, NL

1. Solid organ injuries in children – an updatePeep Talving, Tallinn/EE

2. How do children differ from adults during resuscitation and in ICUPedro Dominguez Sampedro, Barcelona, ES

3. The ideal institution for the severely injured child in EuropePal Aksel Naess, Oslo, NO

4. Displaced shaft fractures: ESIN or external fixatorIngo Marzi, Frankfurt, DE

5. Indications for acute surgical treatment of articular fracturesLars Peter Müller, Cologne, DE

6. Case PresentationKlaus Wendt, Groningen, NL

Room 4

Room 5•

10:30 – 12:00

GUEST SYMPOSIUM ATLS

10:30 – 12:00 Free Paper session

NEW DEVELOPMENTS IN FRACTURE CAREModerators: Ismet Gavrankapetanovic, Sarajevo, BA & Milorad Mitkovic, Nis, SE

1. O079 - Biomechanical testing on ex-vivo model of fractured pig femur fixed with newbiodegradable polymer composite glue.M. Krticka, L. Michlovska, V. Nekuda, M. Zboncak, K. Sojka, J. Kaiser, L. Vojtova; Brno, CZnominated for the Best Oral Award

2. O080 - The effectiveness of intraoperative 3D fluoroscopy in the treatment of intra-articular distal radius fractures: a randomized controlled trialC. Selles1, R.J.O. de Muinck Keizer1, S. Beerekamp1, P.A. Leenhouts1, M. Maas1,J.C. Goslings1, N. Schep2; 1Amsterdam, NL, 2Rotterdam, NLnominated for the Best Oral Award

3. O081 - In-vivo testing of a low-alloyed biodegradable magnesium alloyM. 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, CHnominated for the Best Oral Award

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4. O082 - 3D navigation technique in treatment pelvic fractures.M. Křivohlávek, Liberec, CZ

5. 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

6. O084 - The Effect of 3D Modeling on Surgical Decision in Trimalleolar FracturesG. Altun1, H. Reis2, İ. Türkmen1, S. Duman1, G. Saka1, N. Sağlam1; 1Istanbul, TR,2Gumushane, TR

7. O085 - Percutaneous retrograde transpubic screw fixation – a statistical analysis ofavailability, length of the screw corridor and local bone stock based on a 3D statisticalmodel of the pelvic ringC. Arand1, D. Wagner1, D. Gehweiler2, L. Kamer2, H. Noser2, G. Richards2, P. Rommens1;1Mainz, DE, 2Davos, CH

8. 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

9. O087 - The Determination of Sacroiliac Screw Loosening using 2D and 3D techniques incadavers: Intra- and Interrater Reliability and Method ComparisonP. Pieroh1, M. Lenk1, T. Hohmann2, R. Grunert1, A. Höch1, D. Wagner3, C. Josten1,J. Böhme1; 1Leipzig, DE, 2Halle (saale), DE, 3Mainz, DE

10. O088 - Rapid prototyping in midshaft clavicle fracture repairR. van der Linde1, R. van Doremalen2, J. Kootstra3, S. van Helden1, E. Hekman2; 1Zwolle,NL, 2Enschede, NL, 3Hardenberg, NL

12:00 – 13:30 Auditorium 1ICL • NEW DEVELOPMENTS IN SKELETAL TRAUMA CAREModerators: Marius Keel, Zurich/Berne, CH & Salvi Prat, Barcelona, ES

1. News in MIPO techniquesChristoph Sommer, Chur, CH

2. Alternative approaches in acetabular surgery (pararectus and surgical hip dislocation)Marius Keel, Berne/Zurich, CH

3. Pre-operative 3D planning and custom made osteosynthesis plateFrank Ypma, Groningen, NL

4. Role of mensenchymal stem cells in orthopaedic practiceSalvi Prat, Barcelona, ES

5. Cement augmentation for implantsSven Hoppe, Berne, CH

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12:00 – 13:30 Auditorium 2Case Scenario with Expert Panel •

OPERATIVE VS. NON-OPERATIVE IN VISCERAL TRAUMAModerators: Juan Asensio, Omaha, US & Luke Leenen, Utrecht, NL

Presenters:Luke Leenen, Utrecht, NLSalvador Navarro, Barcelona, ES

Panelists:Christine Gaarder, Oslo, NOCarlos Mesquita, Madeira, PTYasuhiro Otomo, Tokyo, JPMichael Rotondo, Rochester, USBeat Schnüriger, Berne, CH

12:00 – 13:30 Auditorium 3ICL • •

EDUCATION FOR TRAUMA: WHAT’S NEW? Moderators: Peep Talving, Tallinn/Tartu, EE & Aitor Landaluce-Olavarria, Vizcaya, 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 traumaFabiana 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 4ICL + Case Scenario •

PROTECTION OF HEALTH CRITICAL INFRASTRUCTUREModerators: Ofer Merin, Jersualem, IL & John Rodrigues, Lisbon, PT

1. Is the health critical infrastructure a targetRoberto Faccincani, Milan, IT

2. What does the health critical infrastructure need to be more secure (SOTA)John Rodrigues, Lisbon, PT

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3. Case Presentation (10 min each)a. Hospital under fire – Seema Biswas, London, UKb. Hospital under fire – Boris Hreckovski, Slavonski Brod, HRc. ICRC under fire – Andreas Wladis, ICRC, SEd. MSF under fire – Mohana Amirtharajah, MSF, NL

4. What do we need to be prepared for terrorist attacks in Europea. The use of MACSIM

Kristina Lennquist, Stockholm, SEb. The TDSC course

Gerhard Achatz, Ulm, DEc. The Austere Environment (STAE) course

David Nott, London, UK

12:00 - 13:30 Room 5Free Paper session •

COMMON PROBLEMS IN ACUTE CARE SURGERYModerators: Soledad Monton, Pamplona, ES & Juan Carlos Puyana, Pittsburgh, US

1. O089 - The Emergency Surgery Score (ESS) as a Triage Tool Predicting the PostoperativeICU need of Emergency General Surgery PatientsN. 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

2. O090 - The Nature Course of Patients with Percutaneous Transhepatic GallbladderDrainage without Later Elective Laparoscopic CholecystectomyS.Y. Wang1, Y.L. Hung2; 1Tauyuan, TW, 2Taoyuan, TWnominated for the Best Oral Award

3. O091 - Surgeon-performed ultrasound (SPUS) in suspected appendicitisA. Natroshvili, A. Shulutko, F. Nasirov; Moscow, RUnominated for the Best Oral Award

4. O092 - Acute Cholecystitis in High Risk Patients: Cholecystostomy vs Cholecystectomy vsEUS-guided drainage. Results of a retrospective studyA. 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

5. O093 - Daily use of Surgeon-performed ultrasound in a General and Emergency SurgeryUnit. Overall analysis of a two tears prospective Registry.S. Bozzo1, G. Carrara1, S. Coppola2, R. Pirovano1, M. Zago2; 1Ponte San Pietro, IT, 2Bergamo, IT

6. O094 - An optimum antibiotic regimen for pediatric complicated appendicitis can minimizeinfection rateS.C. Ha, C. Koh, Y. Chen; New Taipei City, TW

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7. O095 - Enteroatmospheric fistula incidence and influence of visceral protective layer inopen abdomen therapy due to peritonitis – a propensity score matched case control analysisA. Willms1, C. Güsgen1, S. Schaaf1, R. Schwab1, J. Kalff2, M. von Websky2; 1Koblenz, DE,2Bonn, DEnominated for the Best Oral Award

8. O096 - Unplanned Readmission to Hospital Post-Appendectomy; a Systematic Reviewand Meta-Analysis.K. Bailey, M. Sugrue, J. Lawler, M. Choynowski, A. Badrin, U. Kabir; Donegal, IE

9. O097 - Surgeon-performed ultrasound on management of patients with acute abdominal painA. Natroshvili, A. Shulutko, F. Nasirov, E. Osmanov; Moscow, RU

10. O098 - Hospital Complications Of Intestinal Anastomosis After Blunt Abdominal TraumaI. Mahmood, F. Mustafa, B. Younis, K. Ahmed, A. El-Menyar, M. Asim, A. AlHassani,R. Peralta, H. Al-Thani; Doha, QA