2025 Fall Trauma Nursing Conference

Fall Trauma Nursing Conference

The OHSU Trauma Program is pleased to present this year's Fall Trauma Nursing Conference

The Trauma Program would like to express our sincere gratitude to our national speakers, Kyndra Holm, Pediatric Trauma Program Manager at WellStar Medical Center in Augusta, Georgia, and Kristen Ray, Pediatric Trauma Performance Improvement Coordinator at Wolfson Children's Hospital in Jacksonville, Florida, and to all of our presenters for their time and for sharing their expertise.

Registration to watch the recordings includes:

  • Access to the live event site
  • 7.25 NCPD contact hours
  • PDFs of the speakers’ talks (when available)
  • Access to the recording of the entire conference
  • Recordings will be available to view the week of November 24, 2025, through September 18, 2026

The conference was recorded live on Saturday, October 18th, 2025.

Recordings will be available the last week of November through September 18, 2026

7.25 NCPD Continuing Education Hours

Attendees must watch the entire conference and submit an evaluation of the presentation to earn 7.25 NCPD contact hours. Participants who successfully complete the requirements will receive a Certificate of Successful Completion.

OHSU is approved as a provider of nursing continuing professional development by the Oregon Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

MORNING PLENARY SESSIONS

Shock in the Pediatric Trauma Patient   |   Kyndra Holm, MSN, RN, CEN, TCRN
Shock in pediatric trauma patients is a critical condition that requires a thorough understanding of its pathophysiology and the common causes associated with trauma. Providing appropriate care for these patients involves establishing priorities focused on stabilization and addressing the underlying causes of shock. Current treatment standards emphasize prompt intervention and evidence-based approaches tailored to the unique needs of pediatric patients. Additionally, ongoing research highlights emerging trends in shock management, which aim to improve outcomes for this vulnerable population.

From Trauma to Treatment: Reachable moments in caring for hospitalized patients with substance use disorders
Kathleen Young, BSN, RN, CARN & Bradley Parke, M.D.
Over the last decade, Oregon has seen a significant increase in the number of hospitalized patients with complications related to substance use and substance use disorders (SUD). Nurses make up the largest part of the workforce yet receive minimal education and training on caring for persons who use drugs (PWUD). Oregon Health and Science University's (OHSU) addiction consult service IMProving Addiction Care Team (IMPACT) is a valuable resource for nurses and has been providing education and training in hopes of increasing knowledge and confidence in caring for this patient population.  

 This presentation will examine the chronic disease model - which frames SUD as a long-term health condition requiring ongoing management. This talk will address how stigma within healthcare can negatively affect people who use drugs and provide ways to decrease stigma. Attendees will learn how to recognize signs of opioid withdrawal and what medications are used to treat withdrawal and opioid use disorder. Participants will also learn what harm reduction strategies they can incorporate into their nursing practice, increasing their confidence and comfort in this skill set and improving the care they provide to this vulnerable population. 

Beyond Survival: Navigating Life and Health After Spinal Cord Injury   |   West Livaudais, MPH
In this session, West Livaudais, MPH, MTS—founder and executive director of Oregon Spinal Cord Injury Connection (OSCI)—shares his personal journey following a spinal cord injury and the realities patients face once they leave the hospital. Drawing from both lived experience and public health expertise, West will highlight the critical role of OSCI in supporting individuals during the vulnerable transition from acute care to community life. The presentation will explore the personal and systemic challenges of navigating a fragmented healthcare system, the social determinants that shape long-term outcomes, and the barriers that newly injured people encounter in sustaining a positive health trajectory. Participants will gain insights into how healthcare providers, community health workers, and systems can work together to ensure people with SCI not only survive, but thrive.

Traumatic Brain Injury: Assessment, Intervention, and Evolving Tools in Acute Care   |   Kristen Ray, MSN, RN, CCRN-K, TCRN
Traumatic brain injuries (TBIs) demand rapid, coordinated care across prehospital and hospital settings. This multidisciplinary session provides a comprehensive overview of TBI pathophysiology, clinical assessment techniques, and evidence-based interventions for acute management. Designed for nurses, physicians, and EMS providers, the lecture emphasizes early recognition of neurological decline, effective communication across care teams, and practical strategies for optimizing outcomes. Emerging technologies such as automated pupillometry will be briefly introduced as adjuncts to traditional neuro assessments.

Rethinking Burnout: A Nuanced Conversation for Nursing   |   Adrian Ramos, AGACNP-BC, FNP-C
Burnout in nursing is more than exhaustion—it’s a cultural and systemic challenge that shapes how we work, think, and feel. This talk reframes burnout through a more holistic definition, examining its cultural impact alongside the personal signs and sensations of burnout. Drawing on fresh insights from modern philosophy, participants will explore meaningful, hopeful approaches to recovery that go beyond quick fixes and foster long-term resilience in nursing practice.

ADULT TRAUMA MANAGEMENT

Ditch the Module- Trauma Escape Rooms   |   Misty Wadzeck, MDEM RN, BSN
This presentation will focus on the utilization of gamification with high-fidelity simulation mannequins for high-risk low low-volume scenarios with multidisciplinary teams.

Improving Inpatient Geriatric Care— Focus on Frailty, Falls and Four Ms   |   Alaina Ena, RN, MN
Year over year,  the number of geriatric trauma patients continues to increase.  In 2024, nearly 40% of all trauma patients seen at OHSU were aged 65 or over, and over half were admitted after a fall.  This session will provide a brief update on the latest geriatric best practices for teams to prioritize while caring for this growing population of adults in the inpatient setting. The Age-Friendly movement and 4Ms framework will be introduced as a way to simplify the plan of care for geriatric inpatients.   Outcomes of a local cross-sectional analysis will be shared to demonstrate the potential impact of small changes to align with the 4Ms framework.   Finally, an update will be provided on a new Centers for Medicare (CMS) rule that focuses on screening for frailty and social vulnerabilities for all adults 65+ who enter the emergency department, OR, and inpatient units. 

Managing the Difficult Airway: When Every Breath Matters   |   Adrian Ramos, AGACNP-BC, FNP-C
When a patient’s airway becomes difficult, seconds can mean the difference between life and death. This talk explores the psychological, physiological, and anatomical factors that create airway challenges and how the bedside nurse’s expertise can turn the tide. Through real-world insights and practical strategies, participants will learn to anticipate complications, act decisively, and collaborate seamlessly when every breath matters.

PEDIATRIC TRAUMA MANAGEMENT

Beyond the Flame: Pediatric Burn Assessment and Trauma Care Essentials   |   Kristen Ray, MSN, RN, CCRN-K, TCRN
Pediatric burn injuries present unique challenges that demand rapid, specialized care across the trauma continuum. This session offers an interdisciplinary overview of burn pathophysiology, initial assessment, and acute management strategies tailored to the pediatric population. Attendees will explore key differences in pediatric anatomy and physiology, fluid resuscitation principles, airway considerations, and pain management techniques. The lecture also highlights the critical role of EMS, emergency and critical care teams in early stabilization and coordination with burn centers. Designed for nurses, physicians, and EMS providers, this session equips frontline clinicians with practical tools to improve outcomes for pediatric burn patients.

BIG for Littles – Can a BIG style guideline for children aid clinical decision making for pediatric TBI?   |   Kyndra Holm, MSN, RN, CEN, TCRN
This presentation will explore the application of the Brain Injury Guidelines (BIG) in managing adult traumatic brain injuries (TBI) and the ongoing efforts to develop similar clinical guidelines for pediatric TBI. It will address the potential implications these guidelines could have on pediatric trauma care, particularly outside specialized pediatric trauma centers. The session aims to enhance understanding of how structured guidelines can benefit clinical decision-making in pediatric settings.

Pediatric Cervical Spine Injuries   |   Natalie Capacci, MSN, RN, CPEN & Anjelica Higgins, BA, EMT-B, RN, BSN  
Imaging decisions in a child with a traumatic injury can be difficult. We will discuss recognition, evaluation, and management of pediatric cervical spinal injuries in the Emergency Department. We will also review the latest research, which provides a new PCARN clinical decision rule that seeks to minimize unnecessary imaging for pediatric cervical spine injuries.

AFTERNOON PLENARY SESSIONS

Human Trafficking and Domestic Violence in the Clinical Setting: A Practical Approach to Empowering Survivors   |   Jenny Applegate, LCSW
In the hospital setting, the Emergency Department and Trauma teams are usually the first point of contact for patients experiencing Domestic Violence/Intimate Partner Violence and Human Trafficking. Nurses, especially, are tasked with screening for DV/IPV and human trafficking, but often lack the structural support to feel able to confidently or effectively intervene. This talk will discuss DV/IPV and human trafficking from a decolonial and abolitionist lens, offer concrete strategies for healthcare workers to help support survivors, and to center trauma-informed care practices when working with patients. 

Bundle of Strength: A Collaborative Care Approach to Reduce Length of Stay in Rib Fracture Recovery   |   KyLee Bowers MSN, RN, CCRN
Trauma patients with rib fractures often face long hospital stays due to complications. Our team developed the Trauma Care Bundle (TCB), focused on evidence-based approaches to decrease length of stay. Using a daily smart-phrase documentation tool, the TCB improved communication and consistency of care from day one. In our 30-bed trauma step-down unit, this approach reduced the average length of stay by 30% and improved care bundle documentation compliance. These results demonstrate that structured, collaborative care—paired with clear documentation—can significantly improve recovery and efficiency for rib fracture patients, offering a model adaptable to other areas of nursing and specialty care.

Disaster Response, Family Tracking & Reunification   |   Kameryn Mace, BSN, RN, CPEN & Lindsay Strother, RN, BSN, CEN
This presentation will focus on the important aspects of developing a family reunification plan. It aims to clarify the purpose, outline key considerations in its construction, and address common challenges faced during the planning process, while highlighting available resources to assist participants in initiating a family reunification plan.

National Guest Speakers

Kyndra Holm

Kyndra Holm, MSN, RN, CEN, TCRN
Pediatric Trauma Program Manager   |   WellStar Medical Center

Kyndra Holm is the Pediatric Trauma Program Manager at the Children’s Hospital of Georgia in Augusta, GA.   She has been a trauma nurse for more than 30 years and is constantly amazed and grateful for the many wonderful opportunities that she’s been given.  Kyndra began her career as a volunteer EMT where she quickly recognized her love for trauma and was fortunate to graduate into her first nursing job at the R Adams Cowley Shock Trauma Center in Baltimore where her passion for trauma continued to grow.   She currently resides outside of Augusta – but does not play golf – with her husband, Howard and 2 labradors, Finn and Sawyer. 

Kristen Rey

Kristen Ray, MSN, RN, CCRN-K, TCRN
Pediatric Trauma Performance Improvement Coordinator   |   Wolfson Children's Hospital

With over 20 years in nursing, Kristen Ray has served at multiple Level I trauma centers and now leads performance improvement at the region’s only Level I pediatric trauma center, Wolfson Children’s in Jacksonville, Florida. She holds a Master of Science in Nursing and certifications in critical care and trauma. Her roles have spanned bedside care, trauma education, and clinical quality leadership. A published author and editor for the Emergency Nurses Association’s Emergency Nursing Core Curriculum, 8th ed., she regularly presents at regional and national conferences. She has been featured in the Journal of the American College of Surgeons.

Local Speakers

Jenny Applegate

Jenny Applegate, LCSW
Licensed Clinical Social Worker, Emergency Department   |   OHSU

Jenny is a clinical social worker in the Emergency Department, and has worked for OHSU in outpatient, inpatient, and research clinics. Prior to OHSU, Jenny worked in the Emergency Department at Weill-Cornell Hospital in New York, as well as the Chelsea Center for Special Studies working with individuals living with HIV/AIDS.

Jenny also has worked as a private practice therapist for several years, with a focus on treating first responders and medical staff facing burnout, compassion fatigue, and moral injury. Jenny utilizes an intersectional feminist and anti-oppressive lens, practices from a trauma-informed and liberatory justice perspective, and specializes in service provision to vulnerable individuals experiencing mental health and medical crises, substance use, homelessness/houselessness, trauma and abuse.

KyLee Bowers

KyLee Bowers MSN, RN, CCRN
Clinical Practice Specialist, Critical Care   |   Salem Health

KyLee Bowers has been a dedicated member of the Critical Care Division since she began her registered nurse career in 2012. She obtained her Critical Care Nurse Certificate in 2016 and has continued to hold her credentials while taking on various roles, including Charge and Resource Nurse. In 2023, KyLee advanced to a Clinical Coordinator role for both intensive care units, where she gained extensive knowledge in neuro and trauma care. As of 2024, she applied for the Clinical Practice Specialist role while enrolled in her MSN - Leadership and Management program. Currently, KyLee supports all critical care units, including the Trauma Care Unit, and collaborates with nursing leaders and medical providers to identify and address opportunities for improving patient outcomes.

Natalie Capacci

Natalie Capacci, MSN, RN, CPEN
Registered Nurse, Pediatric Emergency Department   |   OHSU

Natalie Capacci has been a nurse for a little over 20 years. The majority of that time has been in the Emergency Department.  She started her career commissioned in the U.S. Navy Nurse Corps and served for 4 years. She holds a BSN from Seattle University and an MSN from the University of San Diego. She has taught full-time at the University of Guam in the BSN program and is currently an adjunct faculty member at the University of Portland. She is also full-time at OHSU in the Pediatric Emergency Department, where she works as a night shift nurse. Natalie enjoys emergency nursing, especially her coworkers, and learns something new every day. 

Alaina Ena

Alaina Ena, MN, RN, GERO-BC, CMSRN
Geriatric Nursing Practice Leader   |   OHSU

Alaina is a geriatric nursing practice leader at OHSU hospital in Portland, Oregon. She is a member of the inpatient geriatric consult team within the division of internal medicine and geriatrics. Alaina started her career as a nursing assistant in rural eastern Oregon, where she worked in several long-term care communities before attending nursing school in 2004.  After graduating with her BSN, she began working at OHSU hospital in 2006 as a night shift acute care trauma nurse.  She then moved to the orthopaedics unit, as a charge nurse and staff educator for many years. In 2017 Alaina completed her master’s in health systems and organizational leadership and began a new position within the inpatient geriatric medicine team.  Alaina is currently focused on education and implementation of geriatric quality improvement initiatives across acute and critical care units as well as providing 1:1 consultation to bedside RNs and family caregivers in the care of hospitalized older adults with dementia and delirium. 

Anjelica Higgins

Anjelica Higgins, BA, EMT-B, RN, BSN 
Registered Nurse, Pediatric Emergency Department   |   OHSU

Anjelica, known as Jelly, is a certified pediatric emergency nurse with over nine years of experience in healthcare, including emergency, pediatric, and critical care settings. Currently, she works as the charge nurse and trauma nurse in the pediatric emergency room at Oregon Health & Science University.

West Livaudais

West Livaudais, MPH
Founder & Executive Director   |   Oregon Spinal Cord Injury Connection

West Livaudais is the founder and executive director of Oregon Spinal Cord Injury Connection (OSCI), the first and only organization in Oregon dedicated to championing the spinal cord injury (SCI) community. Drawing on his lived experience with SCI and background in public health, West has built an innovative model that employs community health workers with lived experience to guide peers through complex healthcare systems, foster authentic community connections, and promote health equity.

Prior to founding OSCI in 2014, West served as Program Coordinator and Senior Research Assistant at the Oregon Health & Science University’s Office on Disability and Health, where he advanced inclusive health promotion strategies, coordinated statewide accessibility assessments, and collaborated with local, state, and national partners, including the CDC and Oregon Health Authority.

Earlier in his career, West managed maternal and child health initiatives in rural Guatemala with Medical Teams International, leading cross-cultural teams, managing large-scale health projects, and integrating health education into community-based programs. He began his professional journey as a theology teacher and sustainability committee chair at Jesuit High School, where he taught ethics, social justice, and world religions while guiding immersive service-learning experiences.

West brings more than two decades of leadership experience across nonprofit, international development, education, and public health sectors. His work is rooted in a deep commitment to equity, community empowerment, and systems change.

Kameryn Mace

Kameryn Mace, BSN, RN, CPEN
Emergency Department Registered Nurse, Emergency Management Coordinator   |   Doernbecher Children’s Hospital

Kameryn has been a nurse at OHSU for 4 years, beginning her career as a trauma stepdown nurse before transitioning to the pediatric emergency department, where she works now as a charge nurse as well as the pediatric nursing representative for the emergency management committee. 

Bradley Parke, M.D.

Bradley Parke, M.D.
Addiction Medicine Fellow, Division of General Internal Medicine and Geriatrics, School of Medicine   |   OHSU

Bradley Parke, M.D., is a current fellow of addiction medicine at OHSU, where he previously trained in internal medicine. After completing his residency, he spent three years on the Pine Ridge Reservation with the Indian Health Service, initially as a fellow in rural health through the University of Washington and later as a federal employee. During this time, he focused on enhancing inpatient care for individuals with alcohol use disorder and collaborating with a physician task force to promote the use of Suboxone in outpatient settings. Currently, he is working on utilizing telemedicine to help address care gaps in rural populations.

Adrian Ramos

Adrian Ramos, AGACNP-BC, FNP-C
Instructor of Surgery, Lead APP, Division of Trauma, Critical Care and Acute Care Surgery   |   OHSU

Adrian Ramos is an advanced practice provider specializing in critical care and trauma, with extensive experience in high-acuity Level I trauma centers. He currently serves as Division Lead APP for Trauma & Acute Care Surgery at OHSU. His background also includes critical care in medical ICUs in North/Central Texas during the COVID-19 pandemic. Adrian is recognized for his calm leadership in emergencies, passion for empowering and mentoring new APPs, and collaborative approach to delivering exceptional patient care.

Lindsay Strother

Lindsay Strother, RN, BSN, CEN
Emergency Department Registered Nurse   |   OHSU

Lindsay Strother has been an Emergency Department nurse for 16 years and is recognized as a strong leader within her department. She started her career in Austin, TX and moved to Portland, OR in 2013 on a travel contract. She started her career at OHSU Emergency Department in 2013, taking on roles such as Charge Nurse, Trauma Response, Triage Lead as well as serving on several committees and other process improvement roles. With extensive frontline experience and a passion for high acuity care and emergency management, Lindsay is dedicated to advancing emergency preparedness. She joined the ED disaster committee early on in her years at OHSU and traveled to Anniston, AL for formal FEMA training. Lindsay has been the emergency management representative for the Adult ED for the last 4 years. While in this role she has led initiatives to strengthen emergency preparedness and streamline trauma response.  

Misty Wadzeck, MDEM RN, BSN

Misty Wadzeck, MDEM RN, BSN
Emergency Department & Care Management Nurse Manager   |   Peace Harbor Medical Center   

Misty Roze Wadzeck, MDEM, RN, BSN, is a highly skilled nurse leader with over 15 years of experience in clinical practice and management, specializing in emergency, trauma, and disaster preparedness. Currently, she holds the position of Emergency Department, Trauma Program, and Care Management Nurse Manager at PeaceHealth Peace Harbor Medical Center. In this role, she manages critical access emergency services and Level III trauma care, while also overseeing inpatient care management. Misty earned her Master’s in Disaster & Emergency Management from American Military University and her Bachelor of Science in Nursing, graduating cum laude from California State University, Chico. 

Recognized for her contributions to healthcare, Misty has received several prestigious awards, including the PeaceHealth Mission and Values Award and the Patient Safety Award. She actively participates in state and national healthcare committees, such as the Oregon Health Authority Emergency Medical Services Advisory Board, and has presented on topics including trauma quality improvement and vaccination equity. Her extensive background spans various healthcare sectors, including hospital care, tribal health, oncology, interventional radiology, and school health, embodying a commitment to clinical excellence and community-oriented healthcare leadership.

Kathleen Young, BSN, RN, CARN

Kathleen Young, BSN, RN, CARN
Outpatient Parenteral Antimicrobial Therapy (OPAT), Division of Infectious Diseases   |   OHSU

Kathleen Young works as a nurse in two departments at Oregon Health and Science University (OHSU) in Portland, Oregon. She is an Outpatient Parenteral Antimicrobial Therapy (OPAT) RN Coordinator within the Division of Infectious Diseases coordinating care for patients who need long term IV antibiotics outside of the hospital. She has multiple roles within the Addiction Medicine consult service: IMProving Addiction Care Team (IMPACT). She is the nurse for a clinical study utilizing contingency management for hospitalized patients with stimulant use disorder, she consults patients for harm reduction, and is the nurse technical assistant in supporting IMPACT as they help increase the presence of addiction medicine to other hospitals in the Portland area and throughout Oregon.

She is passionate about educating and increasing awareness about substance use disorders, harm reduction and opioid overdose prevention to fellow nurses, other health care workers, community members, and anyone else who will listen. She also volunteers with Portland Street Medicine caring for Portland’s houseless community.

Kathleen spends her free time listening to Taylor Swift and true crime podcasts, enjoying the food and wine scene in Portland, and hanging out with her partner and their 2 sweet dogs. 


Upcoming Trauma Educational Events

2025

December 12, 2025 

Pediatric Trauma Across the Care Continuum (PTACC) - Flyer

The STN Pediatric Trauma Across the Care Continuum (PTACC) course is an essential educational program designed specifically for nurses who provide care to pediatric patients admitted with trauma-related injuries.

2026

March 13, 2026

Pediatric Trauma Across the Care Continuum (PTACC) - Flyer

The STN Pediatric Trauma Across the Care Continuum (PTACC) course is an essential educational program designed specifically for nurses who provide care to pediatric patients admitted with trauma-related injuries.

May 20-22, 2026

Northwest States Trauma Conference at Salishan Coastal Lodge 

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