General Session I Foregut and Midgut Emergencies
Moderator: L.D. Britt MD

Perforated duodenal ulcers: Is there still a role for acid reduction surgery in the acute setting?
Pro: Thomas Genuit, MD
Con: David V. Feliciano, MD
Resolution and Q&A

Perforated gastric ulcers: Is a wedge resection the best option?
Pro: James G. Cushman, MD
Con: David Efron, MD
Resolution and Q&A

Surgical intervention for foregut perforations: Is there a role of laparoscopy in the emergency setting?
Pro: Patricia L. Turner, MD
Con: W Peter Geis, MD
Resolution and Q&A

Distal esophageal rupture: Is a celiotomy the preferred approach?
Pro: Steven B.Johnson, MD
Con: James V. O’Connor, MD
Resolution and Q&A

Paraesophageal hiatal hernia: Is urgent or emergency intervention required?
Pro: Terrence Fullum, MD
Con: W Peter Geis, MD
Resolution and Q&A

Acute mesenteric ischemia: Is preoperative arteriography essential?
Pro: Julie A. Freischlag, MD
Con: Grant V. Bochicchio, MD
Resolution and Q&A

General Session II Hindgut emergencies
Moderator: L. D. Britt, MD

Acute diverticulitis: Should definitive operative intervention occur after the first bout?
Pro: Sidney Brevard, MD
Con: Rao Ivatury, MD
Resolution and Q&A

Diversion of the feculent stream: Is an end colostomy superior to a loop colostomy?
Pro: Sharon Henry, MD
Con: David B. Hoyt, MD
Resolution and Q&A

Sigmoid volvulus: Is a sigmoidectomy essential for definitive management?
Pro: Amy C. Sisley, MD
Con: James M. Haan, MD
Resolution and Q&A

General Session II Hindgut emergencies con’t
Moderator: L. D. Britt, MD

Pneumoperitoneum after colonoscopy: Is there a role for non-operative management?
Pro: Thomas Wright, MD
Con: Deborah M. Stein, MD
Resolution and Q&A

Perirectal abscess drainage: Is the operating room the only venue for definitive management?
Pro: Thomas M. Scalea, MD
Con: Thomas Wright, MD
Resolution and Q&A

General Session IV Controversies in Trauma Management

In-house trauma call: Should it be a mandatory requirement?
Pro: Edward E. Cornwell, MD
Con: William C. Chiu, MD
Resolution and Q&A

Damage control operative management: Are we abandoning “one-step” definitive management?
Pro: David V. Feliciano, MD
Con: Sharon Henry, MD
Resolution and Q&A

Splenic injuries: Should the preference be angiography/embolization over operative intervention?
Pro: Thomas M. Scalea, MD
Con: Lenworth M. Jacobs, MD
Resolution and Q&A

Recombinant factor VIIa: Should it be used in patients with closed head injuries?
Pro: Deborah Stein, MD
Con: Roger Shere-Wolf, MD
Resolution and Q&A

Controversies in Trauma Management con’t

Closed head injuries and insertion of intracranial pressure monitors: Should this procedure be strictly done by neurosurgeons only?
Pro: David T. Efron, MD
Con: Lenworth M. Jacobs, MD
Resolution and Q&A

Vascular repair in the contaminated environment: Are prosthetic conduits safe?
Pro: James V. O’Connor, MD
Con: David V Feliciano, MD
Resolution and Q&A

Trauma, Death and Compassion:
Reality and Reflections in the Eyes of the Artist.
Introduction: L.D. Britt, MD
Lecturer: H. Leon Pachter, MD

General Session IV Controversies in Trauma Management con’t

Penetrating neck injuries: Is expectant (observation) management evidence-based?
Pro: Rao R. Ivatury MD
Con: James G. Cushman, MD
Resolution and Q&A

Stab wounds to the anterior abdomen: Is local wound exploration necessary?
Pro: Sidney Brevard, MD
Con: Andrew B Peitzman, MD
Resolution and Q&A

General Session V Evolving Technology and Applicability

Laparoscopy for penetrating abdominal trauma: Is there a role for therapeutic intervention?
Pro: Rao R. Ivatury, MD
Con: Andrew B. Peitzman, MD
Resolution and Q&A

Catheter-based intervention (endoluminal stenting) and traumatic aortic rupture: Is it standard of care?
Pro: Thomas M. Scalea, MD
Con: David V Feliciano, MD
Resolution and Q&A

Video assisted thoracoscopy: Is it underutilized?
Pro: James V. O’Connor, MD
Con: Edward E. Cornwell, MD
Resolution and Q&A

New topical hemostatic agents: Are they cost effective?
Pro: Lenworth Jacobs, MD
Con: Elliot R. Haut, MD
Resolution and Q&A

• Mangled extremity: Preservation vs. primary amputation
• Renal injuries: salvage vs. nephrectomy
• Pediatric trauma management: Pediatric vs. adult surgeons
• FAST: Are we trying to do too much?
• Wound vacuum devices: Who, when and how?
• Retroperitoneal hematomas: Explore or not explore?
• Acute care surgery: What’s next?

Acute respiratory distress syndrome: Have there been any advances that have improved overall care?
Pro: Pamela A. Lipsett, MD
Con: Steven B. Johnson, MD
Resolution and Q&A

Extracorporeal membrane oxygenation (ECMO) for adults: Is it ready for primetime?
Pro: Sarah B. Murthi, MD
Con: Andrew B. Peitzman, MD
Resolution and Q&A

Glycemic control in the ICU: Is it too tight?
Pro: Grant V Bochicchio, MD
Con: William C. Chiu, MD
Resolution and Q&A

Presumptive antifungal therapy: Have we become too aggressive?
Pro: Pamela A. Lipsett, MD
Con: Steven B. Johnson, MD
Resolution and Q&A

Critical care management and workforce shortage: Should emergency physicians fill the void?
Pro: Pamela A. Lipsett, MD
Con: Leonard J. Weireter, MD
Resolution and Q&A