Mccunn cv by Larry Roberts

Curriculum Vitae

Maureen McCunn, M.D., M.I.P.P. Associate Professor Department of Anesthesiology University of Maryland School of Medicine Divisions of Trauma Anesthesiology and Surgical Critical Care R Adams Cowley Shock Trauma Center Personal Information Business Address

Business Phone Fax Number Pager E-mail

Division of Trauma Anesthesiology Division of Surgical Critical Care R Adams Cowley Shock Trauma Center University of Maryland School of Medicine 22 South Greene Street Baltimore, Maryland 21201, USA 410-328-2359 410-328-7175 (FAX) Pager 410-328-2337 #7623 mmccunn@gmail.com

Education Bachelor of Arts Doctor of Medicine Masters of International Public Policy

The College of Notre Dame of Maryland The Medical College of Pennsylvania Johns Hopkins University School of Advanced International Studies

1977 1990 2004

The Medical College of Pennsylvania Thomas Jefferson University Hospital University of Maryland Hospital

1990 - 1991 1992 - 1995 1995 - 1997

Critical Care Board Certification American Board of Anesthesiology certificate number 28165 Written Certification Oral Certification ACLS (Advanced Cardiac Life Support), Instructor ATLS (Advanced Trauma Life Support), Instructor PALS (Pediatric Advanced Life Support)

1997

Post Graduate Education Intern in Medicine Resident in Anesthesiology Fellow in Anesthesiology & Critical Care Certifications

1995 1996

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Medical Licensure State of Pennsylvania State of Maryland #D0047971

1993 – 1997 1995 – present

Pharmaceutical Sales Representative Pfizer Incorporated Rhode Island Clinical Research Associate Ciba-Geigy Pharmaceuticals Philadelphia, Pennsylvania Attending Physician, Department of Anesthesiology, Neurosurgical/Neurological ICU University of Maryland Hospital Baltimore, Maryland 21201 USA Attending Physician, Respiratory Failure Service, Critical Care Transport (air/ground), Extracorporeal Support Service, R Adams Cowley Shock Trauma Center Baltimore, Maryland 21201 USA Attending Physician, Division of Trauma Anesthesiology Division of Surgical Critical Care Multitrauma ICU, Neurotrauma ICU R Adams Cowley Shock Trauma Center Anesthesiology and Critical Care Medicine Baltimore, Maryland 21201 USA Medical Director, Continuous Renal Replacement Therapies University of Maryland Hospital and R Adams Cowley Shock Trauma Center Medical Director, Neurotrauma ICU R Adams Cowley Shock Trauma Center Acting Medical Director, Kernan Rehabilitation ICU

1979 - 1981

Employment History

Professional Memberships American Society of Anesthesiology Society of Critical Care Medicine International Trauma Anesthesia and Critical Care Society

1991 - 1992 1997 - present 1997 - 1998 1998 - Sep 2000

1997 - present

Sep 2001 – Oct 2006

July 2002 – Oct 2006

Jan 2005 - Jun 2005 1992 - present 1995 - present 1994 - present 2

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European Society of Intensive Care Medicine (elected member) Extracorporeal Life Support Organization Health Volunteers Overseas Maryland/DC Society of Anesthesiology Honors and Awards Beta Beta Beta Biological Honor Society, Member/President Dean’s List/State Senatorial Scholarship Recipient Top District Representative (Pfizer, Incorporated): fourth quarter Top District Representative (Pfizer, Incorporated): second, third, and fourth quarters Clinical Honors: Surgery, Pediatrics, Neurology, and Psychiatry “Hero Award” for outstanding patient care, R Adams Cowley Shock Trauma Gala “Teacher of the Year” Awards, Surgical Critical Care

2000 - present 1997 - 2000 2001 - present 1998 - present 1975 - 1977 1976 - 1977 1979 1980 1988 - 1989 May 2001, April 2002, April 2003, April 2006, April 2007 July 2000 - June 2001 July 2003 – June 2004

Administrative Services Institutional Services Medical Director, Neurotrauma Intensive Care Unit Interview prospective medical students Chair and Physician Director, Continuous Renal Replacement Therapies Working Group University of MD Department of Anesthesiology Promotions Committee Severe Traumatic Brain Injury Management Protocols Group Ventilator Research Group ICU Sedation Committee ICU Committee Member Quality Assurance Committee Division of Anesthesiology, R Adams Cowley Shock Trauma Center Critical Care Transport (Air/Ground) Team Physician Extracorporeal Lung Assist /ARDS Team Physician, R Adams Cowley Shock Trauma Center Developed standardized order forms for ICU admissions Developed guidelines for use of Plasma-lyte® as dialysate for CRRT

July 2002 – Oct 2006 September 2003 Sep 2001 – June 2006 Dec 2006 Aug 2001 – present April 2000 – Sep 2000 April 2000 – Sep 2000 1998 - present 1998 – Sep 2000 1996 - Sep 2000 1997 – Sep 2000 Oct 2000 Oct 2000

National Service Ad-Hoc Reviewer, Critical Care Medicine Member, Education Committee, Society of Critical Care Medicine Non-Heart Beating Donor Committee member, University of Maryland Hospital (in association with the Transplant Resource Center of Maryland) American Society of Anesthesiology Annual Meeting Panel Discussant: “General Anesthesia and Trauma”, San Francisco, CA

1998 - 2005 1998 - 2000 1999 Oct 2000 3

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Ultrasonography in Trauma (FAST) Symposium participant American Society of Anesthesiology Annual Meeting Panel Discussant: “General Anesthesia and Trauma”, Orlando, FL

June 2001 Oct 2002

International Service Co-Chairman, Critical Care Committee, International Trauma Anesthesia and Critical Care Society Chairman, “ Protocol for the use of isoflurane in the ICU” Committee Editorial Board TraumaCare Chairman, Critical Care Committee International Trauma Anesthesia and Critical Care Society World Health Organization Global Collaboration for Blood Safety initiative member Vice President, North American, International Trauma Anesthesia and Critical Care Society World Health Organization 1st meeting for the Global Initiative for Emergency and Essential Surgical Care invited participant, Geneva National Institutes of Health “Team leader” for Education for the Egyptian Ministry of Health Trauma and Injury Training Program Grant (Cairo/US) Royal Rajasthan Gala Physicians Committee

1998 - 1999 1999 – April 2000 1999 - present 1999 - present 2003 - present 2004 - present 2005 – present 2005- present Feb - Mar 2007

Teaching Service Daily ICU Rounds (Critical Care Fellows, 4th year medical students) Monthly Anesthesia/Critical Care lectures (Anesthesiology residents / Emergency Medicine residents / Anesthesia Nursing students) ATLS courses (4 – 6/year) Instructor, Biannual Extracorporeal Lung Assist Class Critical Care Fellows’ Lecture Series (Renal Failure, Dialysis workshop, Traumatic Brain Injury)

1997 - present 1999 - present 1997 - present 1998 - Sep 2000 2001 - present

Research Interests     

International Trauma Systems/Policies: Cultural/Societal/Religious/Political Differences Resuscitation following Traumatic Injury and Severe Traumatic Brain Injury Continuous Renal Replacement Therapies in Trauma Patients Nutritional Support of Critically Ill Patients Advanced Respiratory Support Modalities for Respiratory Failure

Research Projects  “National Institutes of Health: Fogarty International Trauma and Injury Training Program, University of Maryland/Egyptian Ministry of Health”. Co-investigator, “team leader” for training in critical care and resuscitation, through the Charles McMathias National Study Center for Trauma and Emergency Medical Services. Pat Dischinger, Ph.D., PI. 4

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 “Cultural and Societal Impediments to Trauma Care Around the World”. Ongoing. No funding.  “A Multi-Center, Open-Label, Randomized Phase II study to Assess Safety, Duration of Treatment and Preliminary Efficacy with the Renal Assist Device in Patients with Acute Renal Failure”. Co-Investigator. IRB#0803201. Funded by Nephros Therapeutics, Inc. $500,000. (10% salary support).  BEST (Beginning and Ending Therapy Kidney Study). A multi-center, international epidemiologic survey of continuous renal replacement therapy. PI at University of Maryland. PI: Rinaldo Bellomo, Melbourne Australia.  “Dissemination of an Interdisciplinary Experiential Training Model for End-of-Life Care and Organ Donation”. Co-Investigator (in coordination with Johns Hopkins Hospital and Transplant Resource Center of Maryland). Grant toward STC participation $11,000.  “Multicenter, Prospective, Randomized Controlled Pivotal Trial for Efficacy of Partial Liquid Ventilation (PLV) with Low and High Doses of Perflubron in Patients with Acute Lung Injury”. Co-investigator. Funded by Alliance Pharmaceuticals (study discontinued secondary to no difference in efficacy).  “Assessment of Brain Blood Flow following Concussion”. Co-Investigator. Application for $100,000 funding to NFL Charities.  “Unfractionated Heparin versus Low-Molecular Weight Heparin for the Prevention of Deep Vein Thrombosis in Patients with Severe Traumatic Brain Injury: Efficacy and Safety.” Principle Investigator. Awarded $7900 funding from STC Research Grant Committee.  “Recruitment Maneuvers in Patients with Acute Respiratory Failure following Traumatic Brain Injury”. Principle Investigator. Awarded $7000 funding from STC Research Grant Committee.  “Fluid Requirements in Patients with Traumatic Brain Injury receiving Propofol Infusion.” Awarded $5000 funding from the STC Research Committee.  “A Multi Centre observational study to evaluate the incidence and magnitude of haemorrhagic progression of cerebral contusions and the identification of important safety issues following traumatic brain injury”. Co-Investigator. Funded by NovoNordisk Pharmaceuticals.  “Transfusion requirements in patients following traumatic brain injury: effect of hemoglobin level on cerebral oxygenation”. Primary Investigator, $15,000 funding from the Don Meadows Foundation.  “Indicators of Need for Intubation in Patients with Cervical Spine Injury”. Primary Investigator. No funding. 5

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 “Attitudes of Healthcare Workers Regarding Anthrax and Smallpox Vaccinations: Survey at a Level One Trauma Center”. Primary Investigator. No funding. Publications Book Chapters 1.

MCCunn M., Karlin A.: “Non-Blood Fluid Resuscitation,” Anesthesiology Clinics of North America, March 1999.

Haljame, H., MCCunn M.: “Fluids – when, what and how much”? Pre-hospital Trauma Care. (Ed:) Soreide E, Grande, C. Marcel Dekker, Inc., NY, NY. July, 2001.

McCunn M.: “Management of the Patient with Post-traumatic ARDS”. Problems in Anesthesia, vol 13 (3), July 2001.

McCunn M., Habashi NM.: “Airway Pressure Release Ventilation in the Acute Respiratory Distress Syndrome following Traumatic Injury”. International Anesthesia Clinics, vol 40: 89-102, 2002.

Reynolds H.N., Habashi N.M., Cottingham C.A., Frawley P.M., McCunn M.: “Interhospital Transport of the Adult Mechanically Ventilated Patient”. Respiratory Clinics, vol 8: 37-50, 2002.

Habashi N.M., O’Connor J., McCunn M.: “Ventilatory Management and Critical Care Issues following Cardiothoracic Trauma”. Seminars in Cardiothoracic and Vascular Anesthesia, 3rd quarter, 2002.

Dutton R.P., McCunn M.: “Trauma Anesthesiology”. Miller Textbook of Anesthesia, 3rd Edition. Miller RD (ed): Elsevier, Philadelphia, Pa, 2005.

McCunn M., Beninati W.: “Intrahospital and Interhospital Transport of the Critically Ill Trauma Patient”. International Trauma Text. In publication. 9. McCunn M: “Estrategias ventilatorias en el tratramiento de la insuficiencia repiratoria pottraumatic”. Actualizacion en el manejo del Trauma Grave. Suescun AQ, Llevot JMR (ed): Ergon, Madrid, 2006.

Journal Articles 1.

Reynolds H.N., MCCunn M., Borg U., Habashi N.M., Cottingham C.A, Bar-Lavie Y.: “A Statewide Analysis of the Incidence and Mortality Associated with Adult Respiratory Distress Syndrome,” Critical Care (e-journal), 1998.

Reynolds H.N, Cottingham C.A., McCunn M. Habashi N.M., Scalea T.M.: “Extracorporeal Lung Support in a Patient with Traumatic Brain Injury: The 6

Maureen McCunn, MD Curriculum Vitae Page 7

Benefit of Heparin-Bonded Circuitry,” Perfusion 14: 489-493, 1999. 4.

Gebremichael M., Borg U., Habashi N.M., Cottingham C.A., Cunsolo L., MCCunn M., Reynolds H.N.: “Interhospital Transport of the Extremely Ill Patient: The Mobile Intensive Care Unit,” Critical Care Medicine 2000; 28: 79 – 85.

Reynolds H.N., Teiken P., Regan M., Habashi N.M., Cottingham C.A., MCCunn M., Scalea T.M.: “Hyperlactemia, Increased Osmolar Gap and Renal Dysfunction During Continuous Lorazepam Infusion,” Critical Care Medicine, May 2000; 28: 1631 – 1634.

MCCunn M., Reynolds H.N., Cottingham C.A., Habashi N.M.: “Extracorporeal Support for Severe Carbon Monoxide Poisoning: A Case Report,” Perfusion 2000; 15: 169 – 173.

MCCunn M., Dutton R.: “Endpoints of Resuscitation: How Much is Enough?,” Current Opinions in Anesthesiology 2000;13:147-153.

MCCunn M., Mirvis S., Reynolds H.N., Cottingham C.A.: “Physician Utilization of a Portable CT Scanner in the ICU,” Critical Care Medicine, December 2000; 28: 3808 3813.

McCunn M.: “Interhospital Transport of the Trauma Patient,” Scand J Trauma Emerg Med 2002; 10 (3).

10.

McCunn M.: “Mechanical Ventilation: Weapon of mass destruction or tool for liberation?” Editorial. Crit Care Med 2003;31(3).

11.

McCunn M., Mauritz W., Dutton R.P., Alexander C., Handley C., Scalea T.M.: “Impact of Culture and Policy on Organ Donation: A Comparison of Two Urban Trauma Centers in Developed Nations”, J Trauma 2003; 54:995 –999.

12.

Dutton R.P., McCunn M., Hyder M., D’Angelo M., O’Connor J., Hess J., Scalea T.M.: “Factor VIIa for Correction of Traumatic Coagulopathy”. J Trauma 2004; 57:709-719.

13.

Zimrin A.B., Dutton R.P., McCunn M., Hess J.: “Management of Postinjury Coagulopathy.” Trans Alternatives in Trans Med 2005; 6: 37 – 41.

14.

Como J, Greer E, McCunn M, Dutton R, Aarabi B, Scalea T: Characterizing the Need for Mechanical Ventilation Following Spinal Cord Injury with Neurologic Deficit.” J of Trauma 2005; 59: 912 - 16.

15.

McCunn M., Reynolds H.N., Reuter J., McQuillan K., McCourt, T., Stein, D.: “Continuous Renal Replacement Therapy in Patients following Traumatic Injury.” Int J Artif Org 2006; 29: 166 - 186. ABSTRACTS: 7

Maureen McCunn, MD Curriculum Vitae Page 8

MCCunn M., MacKenzie C.F., Delaney P.: “Compensatory Mechanisms and Predictors of Death in Hemorrhagic Shock,” American Society of Anesthesiology, 1996.

MCCunn M., Cottingham C.A., Reynolds H.N., Habashi N.M., Borg U.: “Prone Positioning Therapy for ARDS in Trauma Patients: Complications and Morbidity,” International Trauma Anesthesia and Critical Care Society, Vienna, Austria, May 1998.

MCCunn M., Reynolds H.N., Cottingham C.A., Habashi N.M.: “Craniotomy for Intracerebral Hemorrhage in an Adult with ARDS on Extracorporeal Support: Anesthetic Considerations,” International Trauma Anesthesia and Critical Care Society, Vienna, Austria, May 1998.

MCCunn M., Reynolds H.N., Cottingham C.A., Handley C., Habashi N.M., Borg U.: “Interhospital Transport of Trauma Patients with ARDS: Morbidity and Mortality,” International Trauma Anesthesia and Critical Care Society, Vienna, Austria, May 1998.

MCCunn M., Mirvis S.E., Cottingham C.A., Reynolds H.N., Habashi N.M.: “Extracorporeal Support in an Adult with Severe Carbon Monoxide Poisoning: A Case Report,” Extracorporeal Life Support Organization Symposium, September 1998, San Antonio, TX. Abstract published in Perfusion 1999: 14: 149-155.

MCCunn M., Mirvis S.E., Cottingham C.A., Reynolds H.N., Habashi N.M.:“Mobile Computerized Tomographic Scan in Adult Patients on Extracorporeal Support: applications, Indications and Complications,” Extracorporeal Life Support Organization Symposium, September 1998, San Antonio, TX. Abstract published in Perfusion 1999: 14: 149 – 155.

MCCunn M., Mirvis S., Reynolds H.N., Cottingham C.A.:”Impact of a Portable CT Scanner on Physician Ordering Patterns and Practices in the ICU”, Society of Critical Care Medicine, January 1999, San Francisco, CA.

MCCunn M., Shanmuganathan K., Reynolds H.N., Cottingham C.A., “Correlation of CT Scan Findings with Outcome from Extracorporeal Support in Patients with ARDS”. Extracorporeal Life Support Organization Symposium, September 1999, MI.

MCCunn M., Vanderheyden, B. “Bispectral Index During Isoflurane Administration in the Intensive Care Unit During Extracorporeal Support.” Society of Critical Care Medicine, February 2000, Orlando, FL.

10.

11.

MCCunn M., Mackenzie C.F.: “Bispectral Index in Hemorrhagic Shock,” Intensive Care Medicine : 26(3); S303. Presented: European Society of Intensive Care Medicine, October 2000, Rome, Italy.

12.

McCunn M., Linton A.: “NPO in the ICU: Starving for Attention”. Society of Critical Care 8

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Medicine, January, 2002, San Diego, CA. 13.

McCunn M., Reynolds H.N.: Plasma-lyte® as Dialysate for CRRT: Implementation and Evaluation of a New Therapy”. Critical Care 2002: 6; S1, P178. International Symposium of Emergency Medicine and Critical Care, March 2002, Brussels, Belgium.

14.

McCunn M, Linton A, Cliffton S, Scalea TM: “Change in Policy Reveals Safety of Enteral Feedings in Pre-operative ICU Patients.” J of Trauma 2002; 53: 1212.Eastern Association of Trauma, January 2003, Sanibel Island, FL.

15.

McCunn M., Mauritz W., Dutton R.P., Fridrich R., Pelinka L., Scalea, T.M.: “A Comparison of Trauma Center Mortality Following Severe Traumatic Brain Injury: US vs. Europe”. Crit Care Med 2002; 30: A57. Society of Critical Care Medicine, January 2003, San Antonio, TX.

16.

McCunn M., McCourt T., McQuillan K., Habashi N., Adams K., Andrews P., Sands F., Johnson S.: “Implementation of a Multi-disciplinary Continuous Renal Replacement Therapy Service: Process and Progress”. Crit Care Med 2002; 30: A151. Society of Critical Care Medicine, January 2003, San Antonio, TX.

17.

McCunn M., McCourt T., Johnson S.: “Intensivist-Run Continuous Renal Replacement Therapy: Inservice Training of Critical Care Fellows and Performance Evaluation”. Crit Care Med 2002; 30: A124. Society of Critical Care Medicine, January 2003, San Antonio, TX.

Maureen McCunn, MD Curriculum Vitae Page 10

18.

Thornton M, McCunn M, Johnson SB: “Use of Mobile Wireless Technology to Enhance Education and Efficiency during ICU Rounds in an Academic Medical Center.” Crit Care Med 2002; 30:A123. Society of Critical Care Medicine, January 2003, San Antonio, TX.

19. Dutton RP, McCunn M, Hyder M, Hess J, Scalea TM. “The Use of Recombinant Factor VIIa in Trauma Patients”. American Association for the Surgery of Trauma, September 2003, Minneapolis, MN. 20. McCunn M, McQuillan K, Moayed O, Dutton RP. “APRV versus Intraoperative Pressure Control Inverse-Ratio Ventilation for ICU Patients”. American Society of Anesthesiology. October 2003, San Francisco, CA. 21 Hyder M, McCunn M, O’Connor J, Moayed O, Dutton RP. “Impact of a Transesophageal Echocardiography Service on the Anesthetic and Intensive Care Management of Severely Injured Trauma Patients”. American Society of Anesthesiology, October 2003, San Francisco, CA. 22. McCunn M, Fowler, C: “A Central System for Organized Delivery of Trauma Care in Ho Chi Minh City (Saigon), Vietnam: A proposal”. 7th International Injury Prevention Conference, June 2004, Vienna. 23.

Thomas C, McCunn M, Campos L, York G, Scalea TM: “Right Upper Quadrant Exenteration for Crush Injury: A Case Report”. Western Association for Surgery of Trauma, March 2006, Montana.

INVITED PRESENTATIONS International Meetings “Endpoints of Resuscitation”  8th annual International Trauma Anesthesia and Critical Care Society, India, conference, Chennai, India, October 2005. “Extracorporeal Support in Trauma: Indications and Complications”  8th annual International Trauma Anesthesia and Critical Care Society, India, conference, Chennai, India, October 2005. “Current Standards for Management of Craniocerebral and Spinal Trauma: Development, Education and Training”  International Symposium on Teaching and Training in Severe Trauma. Iavante Foundation, Granada, Spain, November 2004. “Impact of Culture and Policy on Trauma Care Around the World”  7th Asia-Pacific Conference on Disaster Management, Shanghai, China, October 2004. 10

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“Factor VIIa: is There Any Evidence?”  Australia New Zealand Intensive Care Society Meeting, Melbourne, Australia, October 2004. “The Global Collaboration for Blood Safety”  International Trauma Anesthesia and Critical Care Society Annual Meeting, Sydney, Australia, October 2004. “Guidelines for Mechanical Ventilation in Critically Injured Patients”  International Trauma Anesthesia and Critical Care Society Annual Meeting, Sydney, Australia, October 2004. “Recombinant Factor VIIA for Coagulation Disturbances in Trauma”  Al Basheer Hospital and Jordan University Hospital, Amman, Jordan, July 2004. “Management of Severe Bleeding in Trauma and General Surgery”  Directorate of Royal Medical Services, Amman, Jordan, July 2004. “Regional Anesthesia in Trauma Patients: Pros and Cons”  Egyptian Society of Anaesthesia and Intensive Care Medicine Conference, Luxor, Egypt, February 2004. “Mechanical Ventilation: Weapon of Mass Destruction or Tool for Liberation”?  Egyptian Society of Anaesthesia and Intensive Care Medicine Conference, Luxor, Egypt, February 2004. “Blood Needs in the Treatment of Vehicular Injuries”  World Health Organization Global Collaboration for Blood Safety meeting, Tunis, Tunisia, December 2003. “Recombinant Factor VIIA for Coagulation Disturbances in Trauma”  2nd International Symposium on Intensive Care and Emergency Medicine for Latin America, Sao Paulo, Brazil, June 2003. “Management of Severe Bleeding in Trauma and General Surgery”  2nd International Symposium on Intensive Care and Emergency Medicine for Latin America, Sao Paulo, Brazil, June 2003. “Interhospital Transport of the Trauma Patient: Early versus Late”  15th Annual Trauma Anesthesia and Critical Care Society Meeting, Stavanger, Norway, May 2002. “Impact of Culture and Policy on Trauma Care Around the World”  The Fourth International Burden of Injury Conference, Montreal, Canada, May 2002. “Endpoints of Trauma Resuscitation”  The 8th World Congress of Intensive and Critical Care Medicine, Sydney, Australia, October 2001.  The 2nd International Symposium on Intensive Care and Emergency Medicine for Latin America, 11

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Sao Paulo, Brazil, June 2003. “ICU Management of ARDS”  7th annual Alexandria Society of Anaesthesia and Intensive Care conference, Alexandria, Egypt, October 2001. “Oxygen Debt Following Traumatic Injury: Does it Really Exist? What Should We Do About It?” 

Trauma Anesthesia and Critical Care Conference, Damanhour, Egypt, April 2000.

“Prone Positioning in ARDS: One Good Turn Deserves Another”  Trauma 2000, Clinic Reina Sofia, Bogota, Colombia, April 2000 (teleconference). “Extracorporeal Life Support in Trauma: Indications and Complications”  Trauma 2000, Clinic Reina Sofia, Bogota, Colombia, April 2000 (teleconference). “Shock”  Trauma Anesthesia and Critical Care Conference, Damanhour, Egypt, April 2000. “Management of the Injured Airway”  Trauma Anesthesia and Critical Care Conference, Damanhour, Egypt, April 2000. “Fluid Resuscitation in Trauma: Too Much Too Soon or Too Little Too Late?”  19th Egyptian Conference in Anaesthesia and Critical Care, Alexandria, Egypt, February 2003. “Anesthesia for the Trauma Patient” and “Transport of the Critically Ill and Injured Patient”  Trauma Anesthesia and Critical Care Conference, Damanhour, Egypt, April 2000. “Intraoperative Awareness”  6th annual Alexandria Society of Anesthesia and Intensive Care conference, September 2000, Alexandria, Egypt. “Anesthesia for the Head Injured Patient”  Trauma Anesthesia and Critical Care Conference, Damanhour, Egypt, April 2000. “Anesthesia for the Trauma Patient with ARDS”  Trauma Anesthesia and Critical Care Conference, Damanhour, Egypt, April 2000. “Oxygen Debt Following Traumatic Injury: Does it Really Exist? What Should We Do About It?”  International Trauma Anesthesia and Critical Care Society Annual Congress, Baltimore, Maryland, May 1997. National Conferences “Extracorporeal Life Support in Trauma: Indications and Complications”  ITACCS 11th annual symposium, Chicago, Illinois, May 1999. 12

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“Prone Positioning in ARDS: One Good Turn Deserves Another”  Acute Lung Injury and Ventilation Techniques Conference, R Adams Cowley Shock Trauma Center, Baltimore, Maryland, June 1997.  18th annual RA Cowley National Trauma Symposium, Baltimore, Maryland, November 1999. “Endpoints of Shock Resuscitation”  The 1st Annual Trauma Anesthesia and Critical Care Conference of the Milton S. Hershey Medical Center, June 2000, Hershey, PA. Management of the Trauma Patient  Panel discussant, American Society of Anesthesiology Annual Meeting, San Francisco, CA, October 2000.  Panel discussant, American Society of Anesthesiology Annual Meeting, Orlando, FL, October 2002. “Ventilator Induced Lung Injury: Are We the Culprits?”  Atlanta Society of Anesthesiologists, Atlanta, GA, November 2002. “What’s New in Trauma Anesthesia”  American Association of Nurse Anesthetists annual Meeting, Washington, D.C., August 2005. “Anesthetic Management of the Critically Injured Patient”  American Association of Nurse Anesthetists annual Meeting, Washington, D.C., August 2005. Grand Rounds “Oxygen Delivery and Oxygen Consumption: Supranormal vs. Normal: Morbidity and Mortality”  University of Maryland Medical Systems; Department of Anesthesiology Grand Rounds, December 1995.  “Hyperventilation in the Management of Severe Traumatic Brain Injury: Current Recommendations”  R Adams Cowley Shock Trauma Center, Department of Anesthesiology/Grand Rounds, October 1996. “ICU Management of ARDS”  Visiting Professor, Thomas Jefferson University Hospital, Department of Anesthesiology Grand Rounds, Philadelphia, Pennsylvania, September 1999. “Prone Positioning in ARDS: One Good Turn Deserves Another”  University of Maryland Medical Systems, Department of Anesthesiology/Grand Rounds, July 1997. “Severe Carbon Monoxide Poisoning and Shock following Smoke Inhalation”  University of Maryland Medical Systems, Department of Anesthesiology/Grand Rounds, September 1998.

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“Ventilator Induced Lung Injury: Are We the Culprits?”  R Adams Cowley Shock Trauma Center, Department of Anesthesiology Grand Rounds, July 1999. “Fluid Resuscitation in Trauma: Too Much Too Soon, or Too Little Too Late?”  Vanderbilt University, Department of Anesthesiology Grand Rounds, June 2002. “Ventilator Induced Lung Injury: Are We the Culprits?” Greater Atlanta Society of Anesthesiologists, November 2002. “Fluid Resuscitation in Trauma: Too Much Too Soon, or Too Little Too Late?”  Atlanta Medical Center, Department of Anesthesiology Annual Hust/Finlayson Memorial Lecture, November 2002. “Mechanical Ventilation: Weapon of Mass Destruction or Tool for Liberation?”  Morristown General Hospital, Departments of Anesthesiology and Surgery, Combined Grand Rounds, December, 2004. “Challenges in International Trauma Care: our Global Outreach”  R Adams Cowley Shock Trauma Center, University of Maryland Grand Rounds, March 2006. “Controversies in the Management of Patients with Severe Head Injuries”  University of Maryland Medical Systems, Department of Anesthesiology/Grand Rounds, August 2006. Special Presentations “Global Leadership Challenges for Shock Trauma Center”  R Adams Cowley Shock Trauma Center Retreat VISION 2010, October, 2005. “Multidisciplinary Management of the Critically Injured Patient”  Keynote Address, Special Topics in Nursing, R Adams Cowley Shock Trauma Center, November 2006.