August Trauma Bulletin

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Iowa Division of Public Health

August 2023


Iowa Trauma Program Managers Monthly Webinar Series

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When: Friday, August 25, 2023, 10:00 - 11:00 a.m.

Where: Pre-registration is required for the webinar via this link. After registering, you will receive a confirmation email and can add the Zoom meeting link to your calendar.

Topic: "Let's Talk Audit Filters" and open forum

Presenter: Sarah Eason


Trauma Tip of the Month

It may be no surprise that falls are the leading cause of injures and injury-related deaths in Iowa. The trauma verification survey team anticipates all trauma programs include active injury prevention efforts that are focused on fall prevention in your community to satisfy the following trauma verification criteria:

(15-4) "Furthermore, these [trauma registry] findings must be used to identify injury prevention priorities that are appropriate for local implementation."

(18-1) "Trauma centers must have an organized and effective approach to injury prevention and must prioritize those efforts based on local trauma registry and epidemiologic data."


Q&A of the Month

Q: Should our Level IV trauma care facility have 1 or 2 levels of trauma activation?

A: A trauma alert/activation policy should be facility-defined, as long as it includes the minimum six required criteria (pictured below) for full trauma team activation, as referenced in Chapter 5 (CD 5-13) in Resources for Optimal Care of the Injured Patient (2014) AKA "Orange Book." Having 100 Level IV hospitals in Iowa, each with a wide variety of resources, the most helpful piece of guidance we provide is to stick with what works best for your team and to continuously evaluate the process to ensure the right resources are mobilized efficiently for the care of the injured. There is not a "one-size-fits-all" trauma activation policy due to the differing resources at each facility. Additionally, ensuring your trauma activation policy incorporates other relevant criteria (especially team member response expectations) would be best practice.

Routinely monitoring over- and undertriage can help guide your facility's activation criteria to optimize trauma team response when necessary without over-burdening staff if the extra resources are not needed. Oftentimes a Level IV facility that does not have surgical involvement with injured patients only utilizes a single level of trauma activation, while a Level IV facility that does involve surgical services in the care/evaluation of injured patients finds it useful to have a 2-tiered activation (with the Level I activations involving the surgical response). 

Helpful resource: Recorded June 2022 TPM Webinar regarding over- and undertriage monitoring

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Bureau of Emergency Medical and Trauma Services (BEMTS) Updates


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Please welcome Nicolas Foss, Ed.D. to the Bureau of Emergency Medical and Trauma Services! Nicolas will be serving in an epidemiologist role, working with trauma and EMS data, as well as vital records. He will eventually be the main point of contact for the ImageTrend trauma registry. His first day with BEMTS is on Friday, August 18.


Partner Sharing: Upcoming Education and Outreach Opportunities ⬇

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McSwain Third Thursday Trauma Talk

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Topic: "Do Not Panic in the Face of Blood: Prehospital Adjuncts for Hemorrhage"

When: Thursday, August 17, 8:00 p.m. CT

Location: Virtual Zoom webinar

Presenter: Alison Smith, MD, PhD, FACS

Cost: FREE!

The 3rd Thursday of each month, the McSwain Trauma Education Project (MTEP) hosts a one-hour presentation by experts in the field of trauma. Registration information can be found HERE.


STN Webinar

Unlocking the Pelvic Puzzle: Multidisciplinary Management of Complex Pelvic Trauma
Date: August 23, 2023   |   12:00 PM ET
Presented by Megan Quintana, MD
 Click here to register

This lecture will address the management principles for the patient who has sustained pelvic trauma. We will review the management of pelvic injuries to include the immediate priorities and treatment strategies when a patient first presents, principles of ongoing inpatient management, and the longer term rehabilitation needs and outcomes for these patients.


2023 Omaha Area Trauma Symposium and Chest Wall Injury Symposium

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Preventing Childhood Injury Conference

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Annual Iowa Falls Prevention Coalition Symposium

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Registration is FREE and encouraged for healthcare practitioners interested in falls prevention


Fundamental Critical Care Support: Crisis Management

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McSwain Trauma Education Project Conference

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The McSwain Trauma Education Project (MTEP), in partnership with Metropolitan Community College, will be holding our 2nd Annual Omaha Conference for Emergency, Prehospital and Trauma Care Workers on September 29, 2023, 8:00 a.m. - 5:00 p.m. at Metropolitan Community College, South Omaha Campus, Metropolitan Community College, 2909 Edward Babe Gomez Ave., Omaha, NE. 

Conference topics include:

  • Shock Index
  • Traumatic Brain Injury
  • Spinal Motion Resistance
  • Burns
  • Dead is Dead
  • Beyond the Golden Hour
  • 2 Live Crash Scenarios
  • Panel

Register early and save! $65 Today $75 after Friday, August 25th.


Do you have trauma events or information you would like to share?

Feel free to submit ideas to the contact listed below: