1. Highlight the history of opioid use and the current public health crisis
2. Discuss the changing culture of opioid prescribing and the surgeon's role in the opioid epidemic
3. Review multimodal pain strategies and evidence based practices
4. Describe the effect of trauma on platelet function
5. Describe the application of Thromboelastography in measuring coagulopathy
6. Review literature on management of platelet dysfunction
7. Identify the possible causes of the difficulty with correcting platelet dysfunction

Accreditation Statement

In support of improving patient care, Indiana University School of Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Indiana University School of Medicine designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

References:


https://www.cdc.gov/drugoverdose/maps/rxstate2017.html

A prospective evaluation of platelet function in patients on antiplatelet therapy with traumatic intracranial hemorrhage.
Joseph B, Pandit V, Sadoun M, Larkins CG, Kulvatunyou N, Tang A, Mino M, Friese RS, Rhee P

Is There a Need for Platelet Transfusion After Traumatic Brain Injury in Patients on P2Y12 Inhibitors?
Jehan F, Zeeshan M, Kulvatunyou N, Khan M, O'Keeffe T, Tang A, Gries L, Joseph B

Traumatic brain injury and its effect on coagulopathy.
McCully SP, Schreiber MA

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