Mass Casualty Conference

Resources

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*Day One*	Developing Crisis Standards of Care

7:30-8:15:	Registration and Continental Breakfast

8:15-8:30:	Welcome Address
	Sareth Neak, President and Publisher of Homeland Security Outlook Juzar Ali, M.D., Medical Director, LSU Interim Public Hospital

8:30-9:15:	Opening Keynote: State of Louisiana's goals and initiatives in it's preparedness and response planning for mass casualty incidents (Presentation coming soon)
	Jimmy Guidry M.D., State Health Officer/DHH Medical Director, State of Louisiana

9:15-10:15:	Crisis Standards of Care in an Influenza Pandemic This presentation will address: Institute of Medicine's levels of care Crisis standard of care definition (altered vs crisis standards Ethics and guiding principles How and when are crisis standards instituted State level activities
	Karen Stassi, RN, MS, Pandemic Flu Coordinator, State of Louisiana

10:15-10:45:	Networking Break

10:45-11:30:	Critical Issues in Planning for Crises Standard of Care: A multidisciplinary approach This presentation will focus on: Concept and background Tailoring Guidelines to specific institutions and populations Need for an intra and inter multidisciplinary approach Lingering issues and moving forward
	Juzar Ali, M.D., Medical Director, LSU Interim Public Hospital

11:30-12:30:	Moral and Ethical Considerations in Crisis Standards of Care Ethics are a set of guides of conduct handed down to us over centuries but are they situational? Do ethics change in a disaster? Are there deeper issues that arise in resource austere environments? Perhaps more importantly are there steps we can take now to "ethics proof" our disaster response? There are some givens, one is when the event is over critics will replace volunteers and for those systems which adopted the Outback approach of No Rules Just Right may find themselves wishing there had been more planning and more collaboration. This session will review recent ethical concerns emanating from Haiti and elsewhere and suggest steps to move closer to ethics proofing your organization.
	Carl W. Taylor, Assistant Dean, University of South Alabama College of Medicine, Director, Center for Strategic Health Innovation (CSHI) and the National Center for Disaster Medical Response

12:30-1:30:	Networking Lunch

1:30-2:30:	Legal Issues to Consider in Developing Crisis Standards of Care Tort liability is not a problem in disaster response Federal and state regulatory flexibility is necessary and does require standards modifications Federal and state disaster plans under estimate risk and over promise response, creating unrealistic public expectations Unrealistic public expectations create real legal and moral hazards
	Edward P. Richards, III, J.D., M.P.H., Director, Program in Law, Science, and Public Health, Harvey A. Peltier Professor of Law Paul M. Hebert Law Center Louisiana State University

2:30-3:00:	Networking Break

3:00-4:00:	Disaster Medicine: Medical, Ethical and Legal Challenges (Please contact us to gain access to the presentation at customerservice@hsoutlook.com) Hurricane Katrina represented an unprecedented disaster of cataclysmic proportions. Local, state and federal resources were ill-prepared and overwhelmed, as were hospital systems. During disasters, resources (hospital and other) may be overwhelmed and/or limited. When this occurs, rules of daily clinical practice do not always apply. The catastrophic events surrounding Hurricane Katrina highlighted the need for widely accepted medical guidelines for altered standards of care, in particular for allocation of resources, widely accepted triage protocols for mass casualty events in the United States and the need for legal protection for those health care providers rendering care under extreme circumstances. During her presentation, Dr. Anna Pou will help the audience: Become familiar with disaster triage and associated ethical issues Understand the need for medical and ethical guidelines to be used during disasters/mass casualty events Understand the legal risks and strategies for legal protection of healthcare providers during disasters Understand the the model legislation passed in Louisiana regarding disaster medicine reform
	Anna Pou, M.D.,Program Director, Resident Education Member, LSU Stanley S. Scott Cancer Center
4:00-4:45:	Facilitated Group Discussion on Crisis Standards of Care Dr. James Aiken will lead the audience in a facilitated discussion on developing crisis standards of care by highlighting the recommendations and issues discussed during all of the presentations earlier.
	James Aiken, M.D., Clinical Associate Professor of Medicine, Section of Emergency Medicine, Director of Homeland Defense Program, LSU Health Science Center, School of Medicine New Orleans

4:45-6:00:	Networking Reception in Sponsors Area


*Day Two*	Evaluating and Enhancing Surge Capacity

7:30-8:15:	Continental Breakfast

8:30-9:30:	Opening Keynote: Hospital Incident Command Best Practice
	Lisa Cole, RN, BSN, CHEP, Senior Director, Trauma and Emergency Mgmt, Methodist Healthcare System, Advisory Board Member, Hospital Incident Command System

9:30-10:30:	Patient Surges: Planning, Response and Recovery Objectives: A review of a hazards that can result in patient Surges. Brief summary of April 27, 2011 Tornado outbreak in Alabama and the impact on hospitals in the state Discussion of issues that drive Surge planning, and how those came into play in Alabama during the tornadoes
	David L. Wallace, D.V.M., Director, Preparedness Training, Center for Strategic Health Innovation

10:30-10:45:	Networking Break

10:45-11:15:	Primary Triage : Disaster Site and Evacuation This session will discuss: Different types of triage systems in place now How an initial triage decision may change by the time the patient reaches definitive medical care
	Chris Hector, Louisiana Emergency Response Network

11:15-11:45:	Secondary Triage: Alternate Care Site This session will discuss: Triage for alternative care sites and how it differs from day to day triage Real world examples such as the use of TMOSA during Hurricane Katrina and Gustav
	Jeff Elder, M.D., Director/Medical Director, New Orleans Emergency Medical Services

11:45-12:15:	Tertiary Triage: In-Hospital Treatment This session will discuss: Understand what tertiary triage is Identify who is appropriate to conduct tertiary triage Describe when tertiary triage is needed and should be utilized
	Lisa Cole, RN, BSN, CHEP, Senior Director, Trauma and Emergency Mgmt, Methodist Healthcare System, Advisory Board Member, Hospital Incident Command System

12:15-1:15:	Mass Casualty Incident Management Overview
	Cynthia Davidson, R.N., Louisiana Region 1, Hospital Designated Regional Coordinator

1:15-2:00:	Medical Triage Facilitated Group Discussion Dr. James Aiken will lead the audience in a facilitated discussion on the three levels of medical triage by highlighting the recommendations and issues discussed during all of the presentations earlier.
	James Aiken, M.D., Clinical Associate Professor of Medicine, Section of Emergency Medicine, Director of Homeland Defense Program, LSU Health Science Center, School of Medicine New Orleans

2:00-2:15:	Closing Remarks
	Sareth Neak, President and Publisher of Homeland Security Outlook Juzar Ali, M.D., Medical Director, LSU Interim Public Hospital

The information shared at the MCIM Conference will be provided for educational purposes only. Because information at the conference will come from many different sources, the information provided at the MCIM Conference does not represent official positions or views of Homeland Security Outlook (HSO) or its sponsors. HSO and it's sponsors disclaim any responsibility for the content or views expressed during the MCIM conference of any third party.

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