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Event program AONeuro Course—Neurotrauma December 11–13, 2017 Davos, Switzerland Lecture hall: Dischma

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Page 1: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Event program

AONeuro Course—NeurotraumaDecember 11–13, 2017 Davos, Switzerland

Lecture hall: Dischma

Page 2: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

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Discussion groups

Lecture hall

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2 AONeuro Course—Neurotrauma

Page 3: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Content2 Floor plan

3 Welcome

4 Goal of the course

4 Target participants

4 Learning objectives

4 Course description

5 Chairpersons

5 Faculty

6 Monday, December 11, 2017

7 Tuesday, December 12, 2017

8 Wednesday, December 13, 2017

9 Event organization

10 Event information

11 Event venue

11 Business center

11 Exhibitions

11 Wireless network

12 Principles of AO Educational Events

13 AO Research Institute Davos

14 Sponsors

14 Upcoming AO Courses

The first AO Course was held in Davos in 1960—these early courses pioneered psychomotor techniques by teaching practical skills of AO Techniques. Since those early days over 455,000 surgeons and 155,000 ORP from over 110 countries have attended AO Courses.

On behalf of the AO Foundation and your AONeuro faculty, it is my pleasure to welcome you to this neurotrauma educational event!

Through its major focus on education, the AO Foundation brings educational excellence to over 46,000 surgeons at 750 AO events worldwide each year.

As part of the AO Foundation, AONeuro serves as a worldwide, multispecialty community of cranial neurosurgeons, neurologists, neurointensivists, and neurology-related professionals who are committed to improving neuro patient outcomes.

AONeuro’s educational offering focuses on Traumatic Brain Injury, Skull Base Surgery, and Cerebrovascular Surgery.

To enhance the effectiveness of our programs, we cooperate with regional, national, and international neurosurgical organizations, as well as with our AOSpine and AOCMF colleagues. This way, we can bring you the latest developments in the treatment of brain, facial, spinal cord trauma, and congenital anomalies.

Our case-based learning approach, together with practical skill training in the laboratory, enables you to develop your skills using the newest equipment, along with the latest scientific knowledge.

After this course concludes, please visit our website, www.aoneuro.org, where you can sign-up for our newsletter, find additional educational materials, and learn about upcoming educational activities.

We thank you for your participation and wish you a successful AONeuro course experience.

Yours sincerely,

Welcome

Paul N MansonAO Board of Directors appointed Coordinator for AONeuro

AONeuro Course—Neurotrauma 3

Page 4: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Course descriptionThis course covers the current best strategies and considerations for managing neurotrauma patients. It features an international faculty of experts and is based on the competencies defined in AONeuro’s neurotrauma curriculum.

The course content is delivered using multiple educational methods. Comprehensive lectures—including a special lecture in 3-D—concentrate on the understanding of core material. Interactive case presentations further deepen this knowledge and facilitate the discussion in trauma management. Newly developed practical exercises enable participants to apply AO principles in the management of common injuries. Case-based discussions link the lecture material and practical skills with the clinical problems commonly encountered in everyday practice.

Goal of the courseThe AONeuro Course—Neurotrauma covers the theoretical basis and practical principles for managing neurotrauma, addressing complications, and performing state-of-the-art reconstructive surgery.

Target participantsThe course has been developed for certified surgeons who manage neurotrauma and reconstruction and who have a strong interest in these fields. It focuses on interdisciplinary care and is appropriate for neurosurgeons, CMF, ENT, trauma, and other surgeons.

Learning objectivesUpon completion of this course, participants should be able to:• Apply current classification systems and guidelines in

neurotrauma• Manage neurotrauma and skull base fractures in

adult, pediatric, and polytrauma patients• Conduct advanced neuromonitoring• Plan and perform appropriate operative treatment

(eg, decompressive craniotomy, complex cranial reconstruction)

• Manage cerebrospinal fluid leaks and other complications and perform dural repairs

4 AONeuro Course—Neurotrauma

Page 5: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Anthony FigajiUniversity of Cape TownCape Town, South Africa

International FacultyGuo-Yi Gao Renji Hospital Shanghai Shanghai, China

David Le Feuvre University of Cape Town Cape Town, South Africa

Stephen Lewis Perth Neurosurgery Perth, Australia

Wai Poon Prince of Wales Hospital Hong Kong, China

Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia

Shelly Timmons Penn State University Hershey Hershey, USA

Regional FacultyBo-Michael Bellander Karolinska University Hospital Stockholm, Sweden

Peter Hutchinson University of Cambridge Cambridge, United Kingdom

Christian Matula Universitätsklinik AKH Vienna Vienna, Austria

National FacultyMichael Reinert Ospedale Civico di Lugano Lugano, Switzerland

Special GuestIsabelle Germano The Mount Sinai Hospital New York, USA

Paul Manson John Hopkins University Baltimore, USA

Chairpersons

Ross BullockUniversity of Miami Miller School of MedicineMiami, USA

AONeuro Course—Neurotrauma 5

Page 6: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Monday, December 11, 2017TIME AGENDA ITEM WHO

LOCATION Dischma

13:00–13:05 Welcome and course objectives A Figaji

Module 113:05–13:10

Basics of neurotraumaIntroduction by the moderator

Moderator:R Bullock

13:10–13:30 Neurotrauma pathophysiology and epidemiology C Matula

13:30–13.50 So your navigation system is broken– finding your way with landmarks

A Rubiano

13:50–14:30 The anatomy is the key: 3-D neurotrauma anatomical principles S Lewis

14:30–14:50 COFFEE BREAK

Module 2 14:50–14:55

Diagnostics and monitoringIntroduction by the moderator

Moderator:A Figaji

14:55–15:15 Principles of imaging in traumatic brain injury (TBI) M Reinert

15:15–15:35 Controversies in intracranial pressure (ICP) monitoring R Bullock

15:35–15:55 Precision medicine in TBI A Figaji

LOCATION Landwasser 13-17

15:55–17:25 Small group discussions• Case of multimodal diagnostic and monitoring of ICP• Case of misinterpretation of ICP data and imaging• Case of nonsurgical management• Case of venous sinus lesion with epidural hematoma

All faculty

17:25–17:30 Evaluation and wrap up of day 1 R Bullock

6 AONeuro Course—Neurotrauma

Page 7: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Tuesday, December 12, 2017TIME AGENDA ITEM WHO

LOCATION Dischma

Module 308:00–08:05

TBI management—what to do and whenIntroduction by the moderator

Moderator:S Timmons

08:05–08:25 Nonoperative management of TBI B-M Bellander

08:25–08:45 Operative management in TBI P Hutchinson

08:45–09:05 Management controversies• The decompressive craniectomy

S Lewis

LOCATION Foyer B1, Altein/Ducan

09:05–11:00 Hands-on and practical exerciseWorkshop on:• Decompressive craniectomy• Posterior fossa decompression• Reconstruction (dura and bone flap)

All faculty

11:00–11:15 COFFEE BREAK

11:15–12:30 Hands-on and practical exercise Workshop on:• Placement of intraventricular catheter/ICP bolt

All faculty

12:30–12:45 LUNCH

12:45–13:45 AOTK Webcast "Meet the Expert—Optimizing surgical cranial access"

C MatulaS Lewis

LOCATION Dischma

Module 413:45–13:50

Dealing with problemsIntroduction by the moderator

Moderator:A Rubiano

13:50–14:10 Arterial injuries in TBI D le Feuvre

14:10–14:30 Cerebrospinal fluid (CSF) leaks, hydrocephalus management in TBI G-Y Gao

14: 30–14:50 It’s 2am and the sinus is torn…Venous injuries D le Feuvre

14: 50–15:10 Cranioplasty… and it’s problems S Timmons

LOCATION: Landwasser 13-17

15:10–16:10 Small group discussions• Surgical management case (decompressive craniectomy)• Skull Base Trauma case• CSF leak• Penetrating trauma

All faculty

16:10–16:30 COFFEE BREAK

16:30–17:55 Case-based reflections Moderator: S Timmons

17:55–18:00 Evaluation and wrap up of day 2 R Bullock

18:00–20:30 AO WORLD NIGHT

AONeuro Course—Neurotrauma 7

Page 8: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Wednesday, December 13, 2017TIME AGENDA ITEM WHO

LOCATION Dischma

Module 508:00–08:05

Special interests—from young to oldIntroduction by the moderator

Moderator:C Matula

08:05–08:25 TBI in pediatric patients A Figaji

08:25–08:45 TBI in elderly patients W Poon

08:45–09:05 Managing TBI in low-income countries—what are the priorities? A Rubiano

09:05–09:25 Posttraumatic coagulopathy G-Y Gao

LOCATION Landwasser 13-17

09:25–10:25 Small group discussions• Concussion /TBI and sports• Pediatrics• Neurovascular• TBI and anticoagulation

All faculty

10:25–10:45 COFFEE BREAK

LOCATION Flüela

10:45–12:30 Virtual Training Simulation C Matula

12:30–13:00 LUNCH

LOCATION Dischma

13:00–13:05 Public Viewing: AONeuro Webinar—Practical Aspects of NeuromonitoringWelcome and introduction by the moderator

Moderator:A Figaji

13:05–13:15 Multimodality monitoring—an overview A Figaji

13:15–13:25 Principles and practice of brain oxygen monitoring P Hutchinson

13:25–13:35 Principles and practice of microdialysis B-M Bellander

13:35–13:40 Comments on other aspects: transcranial Doppler, continuous A Figaji

13:40–13:45 EEG, continuous recording and display, autoregulation A Figaji

13:45–14:00 Wrap up and take-home messages A Figaji

Module 614:00–14:05

Hot topicsIntroduction by the moderator

Moderator:R Bullock

14:05–14:25 Concussion and sports—an emerging dilemma S Lewis

14:25–14:45 The "new" neurotrauma guidelines R Bullock

14:45–15:05 The good, the bad, and the ugly of clinical trials in TBI S Timmons

15:05–15:25 Lessons learned from TBI trials P Hutchinson

15:25–15:45 Education in Neurotrauma I Germano

15:45–16:05 AONeuro history and structure P Manson

16:05–16:15 Evaluation and closing of the course R Bullock

8 AONeuro Course—Neurotrauma

Page 9: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Event organizationAONeuroTamara SchönauerClavadelerstrasse 87270 Davos, SwitzerlandPhone +41 81 414 25 33Fax +41 81 414 22 80Email [email protected]

AO funding sourcesUnrestricted educational grants from different sources are collected and pooled together centrally by the AO Foundation. All events are planned and scheduled by local and regional AO surgeon groups based on local needs assessments. We rely on industrial/commercial partners for in–kind support to run simulations/skills training if educationally needed.

AONeuro Course—Neurotrauma 9

Page 10: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Event informationEvent feeAONeuro Course—Neurotrauma: CHF 990.–Included in the course fee are a conference bag with documentation, coffee breaks, lunches, course certificate, and AO World Night.

Registrationhttps://aocmf2.aofoundation.org/eventdetails.aspx?id=1269

European CME AccreditationFor this event the UEMS-EACCME® in Brussels have granted 17 European CME credits (ECMEC®s).

Evaluation guidelinesAll AONeuro courses apply the same evaluation process, either online (pre- and post-event evaluation) or/and on-site by audience response system (ARS) or paper and pencil questionnaires. This helps AONeuro to ensure that we continue to meet your training needs.

Intellectual propertyEvent materials, presentations, and case studies are the intellectual property of the event faculty. All rights are reserved. Check hazards and legal restrictions on www.aofoundation.org/legal

Recording, photographing, or copying of lectures, practical exercises, case discussions, or any course materials is strictly forbidden. Participants violating intellectual property will be dismissed.

The AO Foundation reserves the right to film, photograph, and audio record during their events. Participants must understand that in this context they may appear in these recorded materials. The AO Foundation assumes participants agree that these recorded materials may be used for AO marketing and other purposes, and made available to the public.

SecuritySecurity checks may be conducted at the entrance of the building. Wearing of a name tag is compulsory during lectures, practical exercises, and group discussions.

No insuranceThe event organization does not take out insurance to cover any individual against accidents, theft, or other risks.

Use of mobile phonesUse of mobile phones is not allowed in the lecture halls and in other rooms during educational activities. Please be considerate of others by turning off your mobile phone.

Picture galleryCheck out aodavoscourses.org for a daily selection of pictures from the Davos Courses 2017, the best from last year's courses, and a selection of photographs from the first ever AO Davos Courses.

Dress codeWarm clothes and suitable shoes are advisable.

10 AONeuro Course—Neurotrauma

Page 11: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

Event venueCongress Center DavosTalstrasse 49A7270 Davos, SwitzerlandPhone +41 81 414 62 00Fax +41 81 414 62 29

General informationSunday to Wednesday 07:30–19:00Thursday 07:30–15:00

AO WorldSunday 15:00–17:00Monday to Wednesday 09:00–17:00 (Tuesday –20:30)Thursday 09:00–14:30

Industry exhibitionSunday 15:00–19:00Monday to Wednesday 09:00–17:00 (Tuesday –18:00)Thursday 09:00–14:30

Business centerThere are business centers facilities in the Congress Center which are accessible to everybody.

Services• Internet and e-mail access• Printer access• www.aofoundation.org

AO Course website offering course-related information

Opening hours• 30 minutes before the first course of the day starts

until• 30 minutes after the last course ends

DisclaimerThe use of your own computer in the business center network is inherently not secure. We strongly recommend that you take appropriate actions to protect your computer against unauthorized use or theft (eg. Firewall, VPN-Connection, VirusScanner). AO cannot be held responsible for any data loss or theft.For further information or support please contact:

AO FoundationPhone +41 81 414 62 15E-mail [email protected]

ExhibitionsAO WorldVisit the AO World in the main foyer, home to the AO Clinical Divisions, AO Institutes and the AO Foundation Initiatives. Here you can explore membership opportunities, browse our print and electronic publications and learn about groundbreaking activities within the AO. Discover research, development, fellowships, and other opportunities available to you by visiting all the booths in the AO World.

Industry exhibitorsVisit the exhibitions of our major industry partners DePuy Synthes and Siemens, who are also contributing in-kind support (material and logistics), and the other exhibitors: SYNBONE, Ethicon, Invibio, Victorinox, and ICUC.

Media exhibitorsLehmanns Media can be found at the entrance to the Congress Center.

Wireless networkHow to connect to the AO Wireless LAN

• Open the wireless network connection window• Choose the AO Business network as shown in the

printscreen below and click on the Connect button

• Our “AO Business” wireless network requires a WPAnetwork key:Network key: aowireless

• Then click on the OK button

AONeuro Course—Neurotrauma 11

Page 12: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

AO Foundation—Principles of AO Educational Events1) Academic independenceDevelopment of all curricula, design of scientific event programs, and selection of faculty are the sole responsibilities of volunteer surgeons from the AO network. All education is planned based on needs assessment data, designed and evaluated using concepts and evidence from the most current medical education research, and involving the expertise of the AO Education Institute (www.aofoundation.org).

Industry participation is not allowed during the entire curriculum development and planning process to ensure academic independence and to keep content free from bias.

2) Compliance to accreditation and industry codes

All planning, organization, and execution of educational activities follow existing codes for accreditation of high-quality education:• Accreditation Criteria of the Accreditation Council for

Continuing Medical Education, USA (www.accme.org)• ACCME Standards for Commercial Support:

Standards to Ensure Independence in CME Activities (www.accme.org)

• Criteria for Accreditation of Live Educational Events of the European Accreditation Council for Continuing Medical Education (www.uems.eu)

Events that receive direct or indirect unrestricted educational grants or in-kind support from industry also follow the ethical codes of the medical industry, such as: • Eucomed Guidelines on Interactions with Healthcare

Professionals (www.medtecheurope.org)• AdvaMed Code of Ethics on Interactions with

Health Care Professionals (www.advamed.org)• Mecomed Guidelines on Interactions with Healthcare

Professionals (www.mecomed.org)

3) Branding and advertisingNo industry logos or advertising (with the exception of the AO Foundation and AO Clinical Division) are permitted in the area where educational activities take place.

Sponsors providing financial or in-kind support are allowed to have a promotional booth or run activities outside the educational area with approval from the event chairperson.

4) Use of technologies and products in simulations

If case simulations are chosen as an educational method to educate skills, we only use technology approved by the AOTK System (AOTK)—a large independent group of volunteer surgeons developing and peer-reviewing new technology (more information about AOTK, its development and approval process can be found on the AO Foundation website: www.aofoundation.org).

5) PersonnelIndustry staff is not allowed to interfere with the educational content or engage in educational activities during the event.

12 AONeuro Course—Neurotrauma

Page 13: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

AO Research Institute Davos (ARI)MissionExcellence in applied Preclinical Research and Development within trauma and disorders of the musculoskeletal system and translation of this knowledge to achieve more effective patient care worldwide.

Goals• Contribute high quality applied Preclinical

Research and Development focused towards clinical applications/solutions.

• Investigate and improve the performance of surgical procedures, devices and substances.

• Foster a close relationship with the AO medical community, academic societies, and universities.

• Provide research environment/support/training for AO clinicians.

At the AO World booths, meet with our team including our ARI Medical Research Fellows, establish contacts, freely discuss your clinical problems, ideas, and learn about the latest results from the AO Research Institute Davos (ARI). Insight into the AO Center will show our infrastructure under one roof and enable you to meet some of our research team.

Areas:

Collaborative Research Programs• Annulus Fibrosus Rupture• Acute Cartilage Injury

Craniomaxillofacial• Imaging and planning of surgery, computer aided

preoperative planning• Medication-Related Osteonecrosis of the Jaw• Bone Regeneration

Spine• Degeneration and regeneration of the intervertebral disc• Fracture fi xation in osteoporotic bone

Trauma• Bone infection, including the development and

testing of active anti-infective interventions• Fracture fixation in osteoporotic bone including intra-

operative assessment of bone quality, augmentation techniques and prophylaxis

• Evaluation of the cortical and trabecular bone remodeling (with special regards to the porosity) in the proximal humerus and its impact on the fracture zones

• Development of smart surgical instruments and implant concepts for optimized bone healing

• Patient outcomes and biomarkers

Veterinary Medicine• Improving osteosynthesis for small and large animals

Multidisciplinary • Analysis of implant-specific functional anchorage with

CT-technology• Ex vivo testing using advanced biomechanical models• In vivo studies using established or newly developed

preclinical models• Gene transfer- non-viral and viral• Implant design using the Finite Element Methods• Implant positioning assistance, C-arm guided implant

placement• Telemetric monitoring of bone healing• In vivo and in vitro quantification of bone turnover

and scaffold degradation• Longitudinal analysis within in-vivo studies using

CT-technology• Medical image processing and analysis• Polymers to deliver cells and biological factors,

create potential space for tissue development and guide the process of tissue regeneration

• Prototype development and production• Stem cell therapies for the treatment of bone,

intervertebral disc and cartilage defects• Bioreactor culture systems and mechanobiology• Surface modification of PEEK to improve tissue

integration• Thermosresponsive gel for delivery of antibiotics,

stem cells, growth factors, transfected cells etc.• 3R – refinement of preclinical studies• Development, standardization, optimization and

improvement of preclinical models and methods

For the 2016 AO Research Institute Davos activity report and recent publications go to: www.aofoundation.org/ari/publications

AONeuro Course—Neurotrauma 13

Page 14: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

SponsorsWe thank our major industry partners DePuy Synthes and Siemens for contributing in-kind support (material and logistics) without which this event would not be possible. A special thanks to DePuy Synthes and Siemens for providing an unrestricted educational grant for this event.

We also extend our thanks to the following co-sponsors (unrestricted educational grants, in-kind support):Credit SuisseSynboneEthicon

Upcoming AO Courses—Davos 2018AO Courses— December 2–7, 2018• AOTrauma Course—Basic Principles of Fracture Management• AOTrauma Course—Advances Principles of Fracture Management• AOTrauma Course—Advanced Principles of Fracture Management for Swiss Residents• AOTrauma Masters Course—Current Concepts• AOTrauma Course—Foot and Ankle• AOTrauma Course—Pediatrics• AOTrauma Masters Kurs• AORecon Course

AO Courses—December 9–13, 2018• AOTrauma Course—Basic Principles of Fracture Management for Swiss Surgeons• AOSpine Courses• AOCMF Courses• AOVET Courses

List subject to changes. The final Davos courses list as well as worldwide courses lists will be available on www.aoneuro.org in January 2018.

14 AONeuro Course—Neurotrauma

Page 15: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

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Page 16: Event program AONeuro Course—Neurotrauma · Wai Poon Prince of Wales Hospital Hong Kong, China Andres Rubiano Universidad El Bosque Neiva (Huila), Colombia Shelly Timmons Penn State

http://tiny.cc/27189x

Visit the AONeuro Website for recorded webinars, lectures and much more …www.aoneuro.org

Sign up for the AONeuro NewsletterSign up for the AONeuro Newsletter