TRAUMA UPDATE
News from the Trauma Center at Bryan Medical Center WINTER 2016
Barrel racer survives injuries to compete again in pro rodeos
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ct. 12, 2013, Linda Kay of Lawrence, Kansas, was preparing to compete in Women’s Professional Rodeo Association (WPRA) Barrel Racing at the Lancaster Event Center. As she mounted her horse, Linda’s
new jacket became entangled on the saddle horn. Unfortunately, the horse spooked and began moving around, leaving Linda unable to free herself. Linda fell approximately fifive ve feet and struck her head on the concrete. When Lincoln Fire and Rescue (LFR) arrived, Linda lay on the cement flfloor, oor,
Professional barrel racer Linda Kay is back on the professional rodeo circuit after recovering from a 2013 accident at the Lancaster Event Center.
unconscious and bleeding. LFR assessed and immediately transported her to Bryan Trauma Center as a Level II trauma. Upon arrival, Linda had a Glasgow Coma Scale (GSC) of 13, multiple episodes of projectile vomiting and presented with bradycardia. She sustained a left temporal supratentorial hematoma and a large left temporal cerebral contusion. In addition, there were contusions to bilateral frontal lobes and medial and lateral temporal lobe on the right. Linda’s husband, Tom, was washing the truck elsewhere on the Event Center grounds when Linda’s accident occurred. When he arrived at the Bryan Trauma Center on the Bryan West Campus, Tom learned Linda had sustained severe injuries to her brain. The medical team was unsure if Linda would be able to ride horses, let alone compete, ever again. Tom was allowed to see Linda after she was admitted to the ICU — but because of her injuries, he barely recognized her. Neurosurgeon Daniel Tomes, MD, and the Intensive Care Unit stabilized Linda over the next four days. Once she was medically stabilized, she was transferred to the Acute Inpatient Rehabilitation Unit on Bryan West Campus. During Linda’s 31-day stay in the unit, she began to wake up. She was restless and agitated and constantly
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She’s back in the saddle again wanting to leave, so the rehab nursing team kept her safe and comfortable. The Kays say the rehabilitation team was excellent at providing the right care, and their ability to keep her calm was amazing. Linda does not remember her accident nor at first did she remember her husband of 51 years or her son. Her first memories are on the rehab unit where she recalls being very frightened and scared. She especially appreciates speech language pathologist Ricque Harth and occupational therapist Erin Roepke, who provided early interventions to restore her memory and recall.
Linda says, “The entire rehab team was so good and patient with me. “I am very blessed and fortunate to have been in Lincoln where the rescue squad, Bryan Trauma Center and Emergency Department, Intensive Care Unit and Bryan Acute Inpatient Rehab Unit provided excellent, early and aggressive interventions. Words cannot express how thankful I am.” This year Linda celebrated her 70th birthday and 53 years of marriage to Tom. She has returned to her normal life of doing everything, such as taking care of her home, driving, shopping and caring for their eight horses.
Most exciting is Linda has returned to barrel racing in the WPRA, her lifelong profession. She competed in the World Finals Barrel Racing in Waco, Texas, on Oct. 22–24, 2015 — and placed 6th in the Gold Card category! Linda and Tom would like to express how thankful they are for the aggressive and early intervention. According to the couple, from the first responders, Bryan Trauma Center, Intensive Care Unit and Acute Inpatient Rehabilitation Unit, everyone provided excellent care and encouragement. Linda, you are an inspiration.
Bryan Trauma Center hosts Trauma Nurse Coordinator Workshop
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n Aug. 28, the Bryan Trauma Center hosted over 30 Trauma Nurse Coordinators for a day-long workshop. The purpose of the workshop was to gather the trauma leaders throughout the region and bring them together for an informative and meaningful workshop held by the lead trauma center in Region 2. Topics included: Trauma Systems and Designation, Meaningful Performance Improvement, Trauma Registry, an open question and answer with the entire Bryan Trauma Team, as well as a presentation from Bryan Trauma Medical Director Reginald Burton, MD, titled The Components: Putting it all together.
Participants gathered for a photo with the Trauma Team after the Trauma Nurse Coordinator Workshop on the Bryan West Campus. The reviews from attendees were extremely positive, and plans are under way for the 2nd annual TNC Workshop, which will be held Oct. 28, 2016.
If you would like more information about attending the workshop, contact trauma outreach and injury prevention coordinator Heather Talbott at 402-481-4087.
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Bryan Trauma Team welcomes Dr. Bixenmann, Hazen, Keebler and Van Cleef Benjamin Bixenmann, MD
Kristen Keebler, APRN-NP
Dr. Bixenmann has joined the Nebraska Neurosurgery Group, 402-904-4729. He received a bachelor’s degree at Hillsdale College, Hillsdale, Michigan, and graduated in 2009 from the University of Nebraska Medical Center College of Medicine, Omaha, and completed a neuroscience residency at the University of Cincinnati, Ohio. Dr. Bixenmann has coauthored several medical research papers.
Kristen Keebler earned her advanced practice nursing degree from the University of Nebraska Medical Center in 2009. In her advanced practice role, she has experience working at Nebraska Heart Hospital, as well as being a provider in the Nebraska Correctional System. Kristen joined Bryan Medical Center as a Trauma Nurse Practitioner in September 2015. Kristen lives in Adams with her husband and three children. In her free time she enjoys reading, working out and traveling with her family.
Deborah Hazen, BSN, RN Deborah Hazen began working at Bryan Medical Center as a Care Management RN, and she joined the Bryan Trauma Team in January 2016. She graduated from the University of Nebraska College of Nursing in 2010 and went on to become Board Certified in Gerontological Nursing. Deborah has experience working as a charge nurse in a rehabilitation facility, as well as in hospice.
Kirsten Van Cleef, MSW Kirsten Van Cleef grew up in Carleton. She attended Nebraska Wesleyan University and earned her bachelor’s degree in Spanish and Sociology and went on to earn her master’s in Social Work with an emphasis in child welfare at the University of Denver. Kirsten worked in Colorado in a Sex Abuse and Intake Unit, as well as being an intake child protection case worker. She began working at Bryan Medical Center and joined the trauma team in September.
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Symposium addresses trauma topics
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ore than 170 participants attended the 12th annual Trauma Symposium at Bryan Medical Center West on Sept. 15. Attendees heard lectures from two keynote speakers, the first being Alexander Eastman, MD, Trauma Medical Director at Parkland Medical Center and Chief of Trauma at the University of Texas South Western Medical Center in Dallas. Dr. Eastman discussed core competencies in active shooter situations, ballistic/tactical medicine preparedness, as well as the latest in hemorrhage control techniques. Tourniquet use for first responders as well as within the hospital setting was encouraged and discussed at length. The second keynote speaker was Kenneth Lee, MD, Chief of Spinal Cord Injury Division at Zablocki VA Medical Center, Milwaukee, and associate professor in the Department of Physical Medicine and Rehabilitation at
the Medical College of Wisconsin. Dr. Lee retired from the Army in 2013 with a rank of colonel in the Wisconsin Army National Guard with the final duty assignment of State Surgeon. Dr. Lee delivered a riveting account of his tour in Iraq, as well as a sobering view of the injuries he sustained both physically and emotionally. His insight into a soldier’s struggle, both on the battlefront and during casualty evacuation back to the United States, gave everyone a better sense of the recovery challenges that wounded individuals face. Listeners left with a better understanding of how the manifestation of PTSD can occur with combat veterans and trauma victims. In addition to the keynote speakers, attendees also participated in four different breakout sessions with hands-on activities in trauma simulation, tourniquet application, pediatric trauma care and a telemedicine overview. The day concluded with Bryan Trauma Medical Director Reginald Burton, MD, speak-
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Presenters and planning committee members Dr. Kenneth Lee (left), Dr. Reginald Burton, Robbie Dumond, Heather Talbott and Dr. Alex Eastman pose at the annual Trauma Symposium. ing on what was new in trauma and presenting a case review of a patient who suffered a bite from a neonatal pit viper and was treated at the Bryan Trauma Center. Dr. Burton drew in the audience with the reality that poisonous snakes are in our communities as pets, and
we all need to be aware of
how to treat a snake bite. Stanley Okosun, MD, gave his much anticipated trauma case review in picture format, and Robbie Dumond, RN, EMT-I, discussed state trauma designation and its importance for our communities and the people we serve.
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After the symposium, participants were encouraged to leave feedback. Here are some of the comments we received: “Best workshop overall I’ve attended in many years.”
“All speakers very knowledgeable, and all sessions informative and useful.” “I love listening to people who can talk and joke and keep a crowd interested in the topic that they are speaking about.”
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“It’s a very informative, yet fun learning environment.” There were also multiple comments that individuals would be taking what they learned and implementing it into everyday practice. Some examples being, getting tourniquets in their EDs and throughout their hospitals for staff to use, using the pediatric/infant sheet handed out in the breakout session, using telemedicine at the facility they are from, and staying away from snakes!
Thank you to everyone who presented, sponsored and helped to prepare this Trauma Symposium. The planning committee already is busy planning next year’s event, and we are excited for everyone to attend. Please save Sept. 23, 2016, as the date for the next symposium at Nebraska’s Innovation Campus in Lincoln. We look forward to seeing you next fall!
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Dr. Kenneth Lee (Photo 1) presents “From Battlefront to Home Front.” Participants also heard Dr. Stanley Okosun (2) at the Mock Trauma breakout session, Dr. Reginald Burton (3) at the Pediatric Station, Dr. Alex Eastman (4) on“Improving Survival from the Active Shooter” and Shane Fleming (5) regarding the benefits of telemedicine.
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Patients and staff share memories at Acute Inpatient Rehabilitation reunion
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his past September, the Bryan Acute Inpatient Rehabilitation Unit celebrated National Rehabilitation Month with a luncheon. Former patients who suffered a lifealtering event, such as a brain injury, stroke, amputation or trauma, were reunited with their health care team. Patients were able to share their stories of hope, achievement and success. It provided an opportunity for patients to thank the dedicated team members of Bryan Trauma Center, Emergency department, Intensive Care Unit, medical surgical units and Acute Inpatient Rehabilitation Unit. The team of dedicated health care professionals working together for each patient allowed them to return to doing the activities and things they love to do. Natalie Kurtenbach of Lindsay shared her appreciation and gratitude to the entire health care team. Lincoln Fire and Rescue (LFR) found her lying in the road following a head-on collision with another vehicle. Natalie had been ejected 200 feet from her car. LFR acted quickly, providing life-saving measures and transporting her to the Bryan Trauma Center. Natalie sustained a brain injury, punctured lungs and spleen. She was transferred to the Intensive Care Unit and once medically stabilized, transferred to the Bryan Acute Inpatient Rehabilitation Unit on the Bryan West Campus, where her rehabilitation journey begin. “The care I received from the first responders, trauma team, ICU nurses, and the Acute Inpatient Rehabilitation team was amazing,” says Natalie. “I cannot thank everyone enough for saving my life.
Dr. Stanley Okosun poses with former rehabilitation patient Natalie Kurtenbach (left) and her mother, Jane, at a reunion luncheon sponsored by the Bryan Acute Care Inpatient Unit during National Rehabilitation Month. “I have formed a friendship and special bond with occupational therapist Stacy Thoene, physical therapist Tracy Loveless, and Stacie Meder, RN. These are friendships I will hold in my heart and treasure.” The student adds, “As I pursue my nursing degree at Bryan College of Health Sciences, I know that I will be a much better nurse for going through this experience. “To the entire Bryan Health team, thank you.” The Acute Inpatient Rehabilitation Unit serves over 600 persons per year. We are proud to share that outcomes for our patients are above regional and national norms. Our discharge to home rates meet and exceed national norms while our patient experience is in the top 10 percent of all Rehab Units in
the Avatar National and Regional Data Base. Our location within an acute trauma hospital allows for easy and immediate access to a collaborative team of health care specialists every minute of every day. Bryan Acute Inpatient Rehab is a 30-bed CARF accredited facility located on the Bryan West Campus of Bryan Medical Center. If you or your loved one needs our services, the preadmissions coordinator can be contacted at 402481-9326 to determine qualification. The Bryan Acute Inpatient team of rehab experts collaborates to continually enhance the lives of the people we serve. Our commitment to you is the relentless pursuit of excellence.
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Trauma Registry update
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he Bryan Trauma Program recently made a significant enhancement to the regional trauma registry. This upgrade allows all of the 23 hospitals in Region 2 to be able to enter trauma patient information via a web-based system provided by Digital Innovations, Inc. All of the facilities in Region 2 that currently submit data through the system are now able to access and run reports off of their own records with the assistance of the regional trauma registrar. Due to these upgrades, the
availability of data and the ability to run reports on the data has become much more user friendly for staff. Also, a new feature with this upgrade allows the Region 2 facilities to import the EMS/E-NARSIS data with a “push of a button” into the regional trauma registry without having to locate the reports in the State system and enter the information manually. The enhancement allows for easy upload of data to the State of Nebraska Statewide Trauma Registry and the National Trauma Data Bank. These data are used to enhance the
care and achieve optimal outcomes for trauma patients across the region and the country. Facilities in Region 2 that are not currently entering data into the registry and feel like this would benefit them can contact Region 2 trauma registrar Deb Schleiger, CSTR, or Trauma Program manager Robbie Dumond, RN, for more information.
Sign up for these 2016 Trauma Education Courses These courses are in the Conference Center on the Bryan West Campus, unless noted otherwise. Trauma Grand Rounds Presented from noon-1 p.m. Friday, Feb. 26: Challenges in Management of Trauma Patients: A Midlevel Provider’s Perspective, presented by Scott Schroeder, APRN-NP. Friday, March 25: Traumatic Foot and Ankle Care in the Acute Care Setting, presented by Keith Hughes, MD. Future Grand Rounds sessions will be offered: April 22, May 27, June 24, July 22 and Aug. 26.
Emergency Nursing Pediatric Course (ENPC) Thursday, Friday, April 14 and 15 Thursday-Friday, Oct. 20 and 21 Trauma Nursing Core Course (TNCC) Thursday-Friday, June 9 and 10 Thursday-Friday, Nov. 3 and 4 Advanced Trauma Life Support (ATLS) Thursday-Friday, July 7 and 8 Thursday-Friday, Oct. 6 and 7 Thursday-Friday, Dec. 8 and 9 Advanced Trauma Life Support-Refresher (ATLS-R) Friday, Oct. 14
Trauma Nurse Coordinator Workshop Friday, Oct. 28 Trauma Symposium Friday, Sept. 23 Mock Trauma Team members come to your facility and provide Mock Trauma training in a non-threatening environment. For additional questions regarding courses or free trauma education provided at your facility or in your community, contact trauma outreach and injury prevention coordinator Heather Talbott at 402-481-4087, or email heather. talbott@bryanhealth.org.
Trauma Update is published for friends of Bryan Health. Your comments and suggestions are welcome. Direct correspondence to the Advancement Department at Bryan, or you may telephone the editor at 402-481-8674. Trauma Update also is available at bryanhealth.org/traumacenter. Kimberly Russel, President and CEO, Bryan Health; John Woodrich, President and COO, Bryan Medical Center; Edgar Bumanis, Director of Public Relations; Paul Hadley, Editor
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1-800-873-6572 If you would like to be added to the Trauma Update mailing list, call trauma outreach and injury prevention coordinator Heather Talbott at 402-481-4087, or email her at heather.talbott@bryanhealth.org.
We salute Trauma Champions on April 7 This year’s Tribute to Trauma Champions, presented by Union Bank and Trust, is Thursday, April 7, beginning at 6:30 p.m. at the Lincoln Marriott Cornhusker Hotel and Convention Center, 333 S. 13th St. We’re recognizing trauma survivors Heather Boulais and Merri Kaye Bradley and the many dedicated professionals from throughout the statewide trauma system who were involved in saving them. In April, bryanhealth.org will feature video stories about Heather and Merri Kaye. To learn more about this annual event — and how to get tickets — please go to bryanhealth.org/ tribute-trauma-champions. n
California native Heather Boulais was injured while setting up for gymnastics practice at Union College.
Merri Kaye Bradley of Crete was treated at Bryan following a two-car crash near Lincoln.