This issue talks about the ACS recertification process, orthopaedic research, upcoming trauma courses and events and more.
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Spring 2014

Team prepares for ACS recertification 

Members from the American College of Surgeons (ACS) will visit Le Bonheur Children’s June 11-12 to re-verify the hospital’s Level 1 Trauma Center accreditation, first earned in 2011. The review occurs every three years to evaluate the hospital’s commitment to quality pediatric trauma care.

The recertification process consists of several department tours, chart audits, a working panel dinner and an exit interview.

“The Le Bonheur trauma team has been hard at work making sure we are prepared for this upcoming review, and we’d like to thank each and every department that has worked collaboratively alongside our team to make this process a success,” said Trauma Program Manager Anissa Revels, RN, BSN. “We look forward to being re-verified as a nationally known Level I Pediatric Trauma Center.”

Learn how Le Bonheur’s ACS certification has helped the trauma team reach an underserved population

Researchers note changes in pediatric femur fracture management

Research conducted by Le Bonheur/Campbell Clinic’s pediatric orthopaedic team shows surgical treatment for pediatric femur fractures is being used more frequently for younger patients.

“Our patients mobilize faster, leave the hospital quicker and return to their normal activities sooner with surgical treatment in many cases,” said Derek Kelly, MD.

Researchers evaluated perceived changes in the management of pediatric femoral shaft fractures using the Kids’ Inpatient Database (KID), a national database that tracks ICD-9 codes for a number of pediatric inpatient diagnoses. The orthopaedic team looked at more than 64,000 pediatric femur fractures for the years 1997, 2000, 2003, 2006 and 2009 and divided patients into five age groups.

“While surgical treatment of femoral shaft fractures has been commonly used in adolescents for many years, it appears that there is now increased popularity for similar treatment in younger patients,” said Orthopaedic Surgeon Jeff Sawyer, MD.
Their findings showed that, for children ages 5 to 9 years, closed treatment for femoral fractures decreased from 58 percent of cases in 1997 to 18 percent in 2009. Open and internal fixation in this age group increased from 18 percent to 47 percent over the same time period.

APSA features trauma study

“Blunt Cerebrovascular Injury in Children,” a research study co-authored by James “Trey” Eubanks, MD, medical director of Trauma Services at Le Bonheur, was recently highlighted as one of the “Recently published articles of interest” in the journal of the American Pediatric Surgical Association.

Eubanks’ study found that blunt cerebrovascular injury (BCVI) in Level 1 pediatric trauma centers is diagnosed less frequently than in adult centers, and pediatric surgeons should be more vigilant about screening pediatric patients with high-risk criteria for BCVI.

Upcoming: courses, events

  • Trauma Nursing Core Course (TNCC): classes offered April 30-May 1 and Oct. 15-16        
  • Trauma & Emergency Services Symposium, Meridian, Miss., May 6-9: For more information or to register, email or call 601.635.5379.
  • EMS Week, May 19-23: We will celebrate our EMS providers with hot dogs, hamburgers and T-shirts.
  • Trauma Skills Day, Le Bonheur Emergency Department, June 30-July 2: Event will include educational stations, including a mock code station, equipment station, documentation and video review and more.

Check out Nationwide Children’s lecture

Members of Le Bonheur’s trauma team are encouraged to view a recent Grand Rounds lecture from Nationwide Children’s Hospital titled “Psychological impact of trauma of patients, families and caregiver staff.” The 35-minute video provides helpful information for our staff and can be accessed by clicking on the hyperlink above.

Stewart first in state to receive CAISS credential

Lead Trauma Registrar Kathryn Stewart is the first registrar in the state of Tennessee to receive the Certified Abbreviated Injury Scare Specialist (CAISS) credential. The certification is evidence of master of core trauma-related data and critical care processes.

 In 2005, Stewart became the first registrar in the state to receive the Certified Specialist in Trauma Registry certification, and she has maintained her EMT license for 37 years.

“Le Bonheur trauma registrars are pivotal people who manages the data that tracks the continuum of care,” said Trauma Program Manager Anissa Revels, RN, BSN. “They take the entire traumatic event of a patient and transform the information into accurate, comprehensive data that can be used by multiple organizations to continue to improve the field of trauma care.”

Congratulations, Kathryn!
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