2023 Northwest States Trauma Conference

NWSTC

The OHSU Trauma Program is thrilled to present the 34th Annual Northwest States Trauma Conference

Our distinguished international and national guest speakers this year are Dr. Karim Brohi from the Center for Trauma Sciences at Barts and the London School of Medicine & Dentistry, Queen Mary University of London, London England,  Dr. Rochelle Dicker from UCLA Medical Center in Los Angeles, California and Clinical Nurse Specialist Nicole Cook from WakeMed Health and Hospitals in Raleigh, North Carolina.

Register to watch the recordings!

Registration is $100 and includes:

  • The recordings of all the speaker’s presentations
  • Downloadable PDFs of the presentations (when available)
  • 14.0 hours of NCPD continuing education credits
  • Recordings and continuing education credits will remain available on the conference event site until December 31, 2024

Continuing Education

NCPD - 14.0 hours

OHSU is approved as a provider of nursing continuing professional development by the Oregon Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation#4003172.

EMS Debate: Stay and Play vs. Load and Go

Pre-hospital debate between Drs. Karim Brohi and Jon Jui: Load and Go vs. Stay and Play

Watch as Dr. Karim Brohi a Vascular and Trauma Surgeon from the Centre for Trauma Sciences, Barts and the London School of Medicine and Dentistry goes toe-to-toe with Dr. Jon Jui Emergency Medicine Physician at OHSU and EMS Medical Director for Multnomah County.

Who handles pre-hospital patient management better - the United Kingdom or the United States?

Did you know, in the UK, it's common practice for physicians to ride along in EMS vehicles and helicopters? They practice life-saving procedures in the streets, including thoracotomies and REBOA, in many ways, they bring the hospital to the scene of the trauma! In the US, it's our practice to get the patient to the hospital ASAP. 

Does the UK know something we don't? Join us as we debate both practices in pre-hospital care!!

Wednesday, April 26th

EMS Debate: Stay and Play vs. Load and Go   |   Karim Brohi, F.R.C.S., F.R.C.A. vs.  Jon Jui, M.D.  

Thursday, April 27th

Trauma Informed Care   |   Rochelle Dicker, M.D.

Vascular Trauma   |   Karim Brohi, F.R.C.S., F.R.C.A.

Building a System-Wide Whole Blood Program   |   Martin Schreiber, M.D.

After the Bay: The Trauma Resuscitation Continuum   |   Nicole Cook, MSN, APRN, AGCNS-BC, CEN, CCRN, TCRN

Best Practices for Imaging in Pediatric Trauma   |   Lucas McDuffie, M.D.

Secondary Trauma   |   Rochelle Dicker, M.D.                  

Musculoskeletal Trauma in a Rural Hospital   |   Jeff Disney, M.D.

Trauma Quality: Plugging the Holes in the Swiss Cheese   |   Nicole Cook, MSN, APRN, AGCNS-BC, CEN, CCRN, TCRN

Managing Traumatic Brain Injuries Without a Neurosurgeon   |   Jeff Disney, M.D.

Pediatric Burns   |   Lucas McDuffie, M.D.

Patient Story – Estelle Morley   |   Heather Hoops, M.D.     

Friday, April 28th

Ballistic Talk   |   Phil Van, M.D.

General Management of Facial Trauma   |   Erik Wolfswinkel, M.D.

Pre-Hospital Blood Program   |   Gary Zeigler, M.D.

43 Years of Autopsies at OHSU   |   Peter Stenzel, M.D., PH. D.

Trauma Systems: The UK Experience   |   Karim Brohi, F.R.C.S., F.R.C.A.

Oregon Disaster Response System   |   Jon Jui, M.D.

The Role of the Advanced Practice Provider on the Trauma Service   |   Mindy Hamilton, PA and Nicolas Hall, AGAC-NP, MSN

Establishing a Hospital Violence Prevention Program   |   Roy Moore, Healing Hurt People

Active Shooter   |   Lt. Thomas Forsyth

Stretch Break & Raffle

Management of the Gun Shot Wound Patient - Panel Discussion 

  • Moderator - Martin Schreiber, M.D. 
  • OHSU Public Safety – Lt. Thomas Forsyth
  • Emergency Medicine – Jon Jui, M.D.
  • Trauma Surgeon – Phil Van, M.D.
  • Plastic Surgeon – Erik Wolfswinkel, M.D.

International and National Guest Speakers

Karim Brohi

Karim Brohi, F.R.C.S., F.R.C.A.
Professor of Trauma Sciences   |   Centre for Trauma Sciences, Barts and The London School of Medicine and Dentistry 

As a surgeon, Karim provides care for patients with vascular diseases and traumatic injury. As a scientist, Karim conducts research in the field of Trauma while supervising a range of researchers who are investigating different aspects of traumatic disease. 

In medical practice, trauma specialists use the available evidence to determine and deliver the best patient care. There are many instances where best practice has not been established because medical professionals currently don't fully understand the disease. Karim's aim is to improve the care of trauma patients by increasing our understanding of the disease processes.

Karim studied Medicine at University College Hospital London. At university, Karim also obtained an intercalated BSc in Computer Science and spent a 12-week elective in Trinidad and Tobago. Soon Karim realised that the management of trauma patients in the UK was extremely poor, which fuelled an ambition to improve the standards. Following this, Karim set up the trauma. org resources, which provides education, expert discussion and online support for trauma surgeons worldwide. Having been developed further, AfterTrauma.org has been developed to provide resources and support to patients and their families following a traumatic injury. 

Karim completed several years of training and became qualified in both Anaesthetics and Surgery. Viewed as unusual in many cases, Karim has an extremely useful set of skills for trauma patient management. Karim has worked for the Helicopter Emergency Medical Service (HEMS) in London and spent two years working at a Trauma Hospital in San Francisco. Following this, Karim obtained a Consultant post at The Royal London Hospital and returned to the UK to set up a trauma research department.

Trauma Sciences joined the Centre for Neuroscience in 2008. The centre is housed within the Blizard Institute at Barts and The London School of Medicine and Dentistry. The aim is to improve our understanding of trauma through laboratory experiments and then use those findings to improve patient outcomes by developing new treatment strategies. There collaborations with trauma units within Europe and the USA have been established, along with clinical trials for products designed for use in trauma. Conducting research in emergency surgical conditions is challenging but is essential if we are to make improvements for patients. In the UK, lack of trauma experience and poor organisation of trauma services means that patients are still dying from treatable injuries.

Karim's hope is the future includes specialist trauma centres which provide specialised trauma care from the moment of injury to the end of rehabilitation. Trauma research is an essential component of this process. Karim travels frequently to deliver lectures and teaching. In 2011, he set up an MSc in Trauma Science.

When he is not at work, he enjoys watching movies and enjoying good restaurants. Surgery is a very challenging career but it can also be very rewarding and Karim would encourage anyone who wants to pursue a career in surgery to do so. Trauma has finally been recognised as an important component of surgery in the UK so the future for this specialty is very exciting.

Rochelle Dicker

Rochelle Dicker, M.D.
Professor of Surgery and Anesthesia in Residence, Division of General Surgery   |   University of California, San Francisco

Dr Dicker's responsibilities also include: Director, San Francisco Wraparound Project; Co-Director, San Francisco Injury Center; and Co-Director, Center for Global Surgical Studies, Global Health Sciences Affiliate Faculty, UCSF Global Health Sciences.

Rochelle obtained a Bachelor of Arts from UC San Diego and subsequently obtained her MD degree from the University of Vermont College of Medicine, graduating with honors.  She then completed a General Surgery residency and finally a Fellowship in Trauma/Critical Care at the University of California, San Francisco.  She is double-Boarded in General Surgery and Critical Care.

During her Fellowship training, she was educated in the public health model of injury prevention and is now actively involved as the Director of the San Francisco Injury Center.  Her special interests within the field of trauma include Violence Prevention for which she has been granted money from the American Association for the Surgery of Trauma and the City of San Francisco.  In addition, she is interested in development of systems for mass casualty and trauma in the developing world.

Nicole Cook, MSN, APRN, AGCNS-BC, CEN, CCRN, TCRN

Nicole Cook, MSN, APRN, AGCNS-BC, CEN, CCRN, TCRN
Trauma Clinical Nurse Specialist   |   WakeMed Health Raleigh, North Carolina 

Nicole Cook is a Trauma Clinical Nurse Specialist with nearly 19 years of nursing experience, including Med-Surg, Stepdown, Neuro and Surgical Trauma ICU, and Emergency Department. She is currently employed at WakeMed Health and Hospitals in Raleigh, North Carolina where she oversees the clinical activities, outcomes and performance improvement for the organization's Level 1 trauma program. She is actively engaged at the bedside throughout the trajectory of care, and is consulted on specialty populations to include spinal cord injury and geriatrics. Nicole is a published author, and has presented at the state, national, and international level on a variety of emergency and critical care topics. She is passionate about the creation of best practices surrounding trauma resuscitation, and ensuring those she teaches are able to translate her lessons into everyday practice. She is a Trauma Nursing Core Course (TNCC) director and Advanced Trauma Care for Nurses (ATCN) faculty, and has her CEN, CCRN, and TCRN.

Local Speakers

Jeff Disney

Jeff Disney, M.D.
Adjunct Faculty, Emergency Medicine   |   OHSU & Portland VA Medical Center

Dr. Disney is a graduate of the military medical school at the Uniformed Services University of Health Sciences in Bethesda, MD.  His residency in Emergency Medicine was completed at the Naval Medical Center, San Diego.  Dr. Disney’s military career took him to over 15 countries, often practicing in small facilities as the only EM provider; department chairman at the US Naval Hospital, Yokosuka, Japan.  Attached to the US Marines, he was deployed as front line support serving as a member of the Shock Trauma Platoon.  After leaving the military, Dr. Disney began his academic career in the Department of Emergency Medicine at OHSU.  He was recognized as “Teacher of the Year,” and “Academic Clinician of the Year.”  He then joined other colleagues, establishing the first all board certified EM Group at Providence Newberg Medical Center.  He has also worked at numerous other rural and semi-rural facilities across Oregon.  Dr. Disney has traveled internationally as visiting faculty in the ED at Tauranga Medical Center, Tauranga, New Zealand, as well as several facilities in Spain.  In 2016, he returned to his role as adjunct faculty, joining the team at the Portland VA Medical Center, where he now works as a Staff Attending in the Emergency Department.  In his spare time, Dr. Disney enjoys lifting weights, fly fishing and international travel.  

Lt. Thomas Forsyth
Public Safety Administration   |   OHSU

Hall

Nicolas Hall, AGAC-NP C, MSN
Instructor of Surgery, Division of Trauma, Critical Care and Acute Care Surgery   |   OHSU

Nic is a PNW native growing up outside Portland. He started his career in EMS in 2004 working with FEMA, ground EMS, and in technical wilderness rescue. In 2009 Nic graduated from Portland State University and transition into flight nursing. Throughout the next 10 years, he worked throughout the US but mainly in Bend, Oregon serving the surrounding communities. In 2020 I graduated from Maryville University as an acute care nurse practitioner, he joined the OHSU Trauma and Surgical Critical care team that year and have been practicing as an APP intensivist since. He still lives in Bend with my wife who is also a nurse and two girls. Nic and his family take advantage of the skiing, mountain biking, rafting, and climbing in Central Oregon at every opportunity.

Mindy Hamilton

Mindy Hamilton, PA-C
Instructor of Surgery, Division of Trauma, Critical Care and Acute Care Surgery   |   OHSU

An Oregon native from a rural town outside of Portland. In 2002 she completed by Bachelors’ of Science from Pacific University in Forest Grove, Oregon then went to George Washington University for a Masters’ of Science in Physician Assistant Studies graduating in 2004.  After spending 2 years with a Pulmonary and Critical Care group in Maryland and Washington DC, Mindy returned to Oregon for a Physician Assistant Critical Care Fellowship.  She joined the OHSU Trauma and Surgical Critical Care team in 2008.  Mindy is a mother of 5 who enjoys home teaching and outdoor activities.

 Heather Hoops

Heather Hoops, M.D.
Assistant Professor of Surgery, Division of Trauma, Critical Care and Acute Care Surgery   |   OHSU

Jonathan Jui, M.D., M.P.H., F.A.C.E.P.

Jonathan Jui, M.D., M.P.H., F.A.C.E.P.
Professor of Emergency Medicine   |   OHSU

Dr. Jui joined the Department of Emergency Medicine in 1981. His professional interests include sudden cardiac death, emerging infections, safety in Emergency Medical Services, resuscitation, wilderness medicine, infectious disease, hypothermia. In his free time, he enjoys running, skiing, backpacking, hiking, and traveling.

Lucas McDuffie

Lucas McDuffie, M.D.
Pediatric General and Thoracic Surgeon   |   MUSC Shawn Jenkins Children's Hospital, South Carolina
*Pediatric Trauma Medical Director   |   Doernbecher Children’s Hospital, OHSU *starting in September, 2023

Lucas McDuffie is a pediatric general and thoracic surgeon at the Medical University of South Carolina Shawn Jenkins Children's Hospital in Charleston, South Carolina. Dr. McDuffie cares for children with a wide range of surgical problems, ranging in severity from appendicitis and hernias, to patients with complex congenital anomalies and childhood cancer. He has a special interest in pediatric trauma and pediatric surgical oncology. He is Associate Medical Director of the Level 1 Pediatric Trauma Center and the Associate Director of the Pediatric Burn Center.

Dr. McDuffie completed his internship and residency training in General Surgery at Indiana University in Indianapolis, Indiana. He spent an additional two years training in oncologic surgery and research at the National Cancer Institute at the NIH in Bethesda, Maryland. Dr. McDuffie completed his fellowship in Pediatric General and Thoracic Surgery at Riley Hospital for Children at Indiana University in Indianapolis, where he trained to perform both minimally invasive and open operations for all pediatric general and thoracic surgical conditions.  During this time, he won numerous research and teaching awards, and was elected to the Alpha Omega Alpha Medical Honor Society and the Gold Humanism Honor Society. He has presented his research at national surgical conferences, and published numerous scientific and clinic journal articles related to surgical oncology, trauma, and pediatric surgery more broadly. He serves as a reviewer for surgical journals, sits on the editorial board for a surgical journal, and has written medical textbook book chapters on various subjects in surgery. Dr. McDuffie sits on the American Pediatric Surgery Associated National Committees on Pediatric Trauma and Pediatric Oncology.

Dr. McDuffie enjoys reading, all kinds of outdoor activities—especially biking, taking pictures with the therapy dogs in clinic, and hanging out with his family as much as possible.  

R. Moore

Roy Moore
Co-Director of Community Care Team, Healing Hurt People   |   OHSU

Roy Alexander Moore III has built a solid following in his community as a mentor and youth activity counselor focusing on at-risk youth who have struggled with drugs and gangs. Roy also works with I Am Academy where he goes into the youth juvenile system and speaks with kids about recidivism and the transition process in returning back to society. Roy was a gang member in his youth and later struggled with opioid addiction. Through his recovery, Roy has discovered that community outreach is a way to give back; “I find it so rewarding because I can try to prevent them from going down the same path that I went down. I’m giving back to the community that me and my generation took so much from.”

Through Healing Hurt People, Roy responds to the hospital whenever a person of color comes in suffering from community violence. “I’m there to support victims and their families, advocate for patients and bridge the gap between them and hospital staff.”

Martin A. Schreiber, M.D., F.A.C.S., F.C.C.M.

Martin A. Schreiber, M.D., F.A.C.S., F.C.C.M.
Professor of Surgery, Division of Trauma, Critical Care and Acute Care Surgery   |   OHSU

Dr. Schreiber’s special areas of interest are trauma surgery and surgical critical care. He received his medical degree in 1988 from Case Western Reserve University in Cleveland, OH. Dr. Schreiber completed his internship at Madigan Army Medical Center in Fort Lewis, WA., and his residency training at the University of Washington in Seattle. His trauma and critical care fellowship was completed at the University of Washington.

Peter Stenzel, M.D., Ph.D.

Peter Stenzel, M.D., Ph.D.
Associate Professor of Pathology & Laboratory Medicine   |   OHSU

Dr. Stenzel currently serves as the medical director of OHSU's autopsy service. His clinical interests include pediatric pathology and cardiovascular pathology, with research interests in neuropeptides in stress. He received his medical degree in 1966 from Oregon Health & Sciences University, and eight years laterer received his Ph.D. at the University of Oregon Medical School in Portland. Dr. Stenzel received his board certification in anatomic pathology in 1980.

Phil Van

Phil Van, M.D., F.A.C.S.
Associate Professor of Surgery, Division of Trauma, Critical Care and Acute Surgery   |   OHSU

Dr. Philbert Van is an Associate Professor of Surgery in the Division of Trauma, Critical Care & Acute care Surgery at OHSU. He joined the faculty in 2013. He completed his undergraduate and medical education in Pennsylvania at Carnegie Mellon University and Drexel University College of Medicine. After receiving his medical degree in 2005, Dr. Van returned to the west coast for General Surgery residency training at OHSU.  During his residency, Dr. Van spent two years at the Trauma Research Institute of Oregon at OHSU focusing on deep venous thrombosis prophylaxis, fluid resuscitation, and coagulation research. After completing his general surgery training, Dr. Van chose to stay at OHSU for fellowship training in Surgical Critical Care in 2012.

Dr. Van is also a general surgeon in the United States Army Reserve, Medical Corps. He has deployed four times to Afghanistan in support of Operation Enduring Freedom during the summer of 2014 and again in the winter of 2016, spring 2019, and summer of 2021 in support of Operation Freedom’s Sentinel.  He holds the rank of Lieutenant Colonel and is assigned to a Forward Resuscitative Surgical Detachment based in Vancouver, Washington.

Erik Wolfswinkel

Erik Wolfswinkel, M.D.
Assistant Professor of Surgery, Division of Plastic and Reconstructive Surgery   |   OHSU

Dr. Erik Wolfswinkel specializes in pediatric plastic and reconstructive surgery, craniofacial surgery and facial trauma. He is originally from New Mexico, attended UCLA graduating Magna Cum Laude with a Bachelor’s degree in Economics. At Baylor College of Medicine he received his Doctorate in Medicine with a special emphasis on healthcare management and policy on the Medical Management Track. Dr. Wolfswinkel completed his plastic surgery residency at the University of Southern California where he was recruited to stay and perform his fellowship at Children's Hospital Los Angeles.

In addition to his work on congenital pediatric plastic surgery, Dr. Wolfswinkel has published and presented papers extensively in multiple other areas of plastic surgery including gender affirming surgery, resident education, adult facial reconstruction, and microsurgery. He brings specialized pediatric surgical expertise to the division of plastic surgery as well as a commitment to education and research mentorship.

Gary Zeigler

Gary Zeigler, M.D., B.S.E.E., F.A.C.E.P.
EMS Medical Director, Wallowa County Medical Examiner, Emergency Medicine Medical Director   |   Wallow Memorial Hospital