Perineal Hydrostatic Jetstream Injury from Jet-Powered Watercraft

Perineal Hydrostatic Jetstream Injury from jet-powered watercraft.

Class Description: This presentation will be an interactive, case-based discussion, which will provide participants knowledge regarding perineal / genital injuries caused by the personal watercraft’s (PWC) hydrostatic Jetstream. The focus will be on identifying this type of injury, appropriate triage & transport, initial treatment, and long-term effects. A brief description of PWC engineering and propulsion will be included to better understand injury pattern and causes. Patient cases will help reinforce critical knowledge needed to help identify mechanism and transport destination. Florida has a high rate of PWC use, this injury can be life threatening and devastating if survived. Awareness and rapid identification/transport is critical to better patient outcomes. This session is appropriate for pre-hospital emergency care providers and hospital providers.

Presenter: Luis Derosa RN, EMT-P, CBRN

Bio: Luis DeRosa Jr. is the Outreach / Injury Prevention Coordinator for the Ryder Trauma Center (Ryder) and Miami Burn Center at Jackson Memorial Hospital. Ryder is an Adult and Pediatric Level 1 Trauma Center and ABA verified burn center. Luis has been with Jackson since 2007 and has worked in the Emergency Department, Trauma / Burn ICU, and the Trauma Resuscitation Unit (TRU) at Ryder which serves as the entry point for trauma & burn victims throughout Miami-Dade County, South Florida, and Caribbean. This high volume unit is also home to the nation’s only US Army Trauma Training site for Forward Surgical Teams deploying to combat. Luis (non-military) has proudly supported this unique military/civilian partnership throughout his years with army instructor orientation, mock traumas, and team clinical in the TRU. Luis is a licensed Paramedic as well and enjoys working with EMS to improve patient outcomes. He has lead multiple educational EMS initiatives throughout South Florida, with a focus on trauma and burns. One of his initiatives focuses on Recreational Water Sport traumatic injury including his Perineal Hydrostatic Jetstream Injury or “Phji” (pronounced fee-jee) water trauma project, which focuses on the rare and severe MOI caused by the PWC propulsion (pending publication Pan-American Journal of Trauma). To date, he has educated hundreds of Ocean Rescue and EMS providers throughout South Florida, including the US Coast Guard and Florida Fish & Wildlife agencies. He has also presented nationally at the US Lifesaving Association Nat’l Board of Directors Meeting, the Society of Trauma Nurses, and the Emergency Nurses Association conference. He recently achieved a major milestone with the inclusion of Perineal Hydrostatic Jetstream Injury into MDC trauma alert criteria (the Miami Dade County Fire Chief and Medical Directors Committee approved Luis’ recommendations 9/2024). Luis is an ABLS instructor and was selected by the Miami-Dade County Healthcare Coalition Burn Annex Task Force as a Subject Matter Expert (SME) regarding burn mass casualty incidents (BMCI). In 2021, Luis was selected to the ABA’s Advanced Burn Life Support (ABLS) Advisory Committee – helping to review and update the latest (2022) ABLS Provider manual. In 2023, Luis was also selected by the Board of Certification for Emergency Nursing (BCEN) as a subject matter expert (SME) for the Certified Burn Registered Nurse (CBRN) Passing Point Study, which is the final step in developing the world's first-ever burn nursing specialty certification. Luis is also a member of a federal disaster response team (NDMS) Trauma Critical Care Team with multiple disaster and special event deployments. Luis is also active in teaching “Stop the Bleed” to the public and is both an instructor for ATCN and course director for TNCC. Luis has interests in improving documentation and decreasing mouse clicks for nurses in an emergency setting, improving trauma department workflow, and the request for field amputation of the entrapped trauma patient - preparedness is vital for both EMS and Trauma Centers (especially NURSING). On his spare time, Luis enjoys spending time with his wife and 3 Kids to “trauma disconnect.” Occasionally, you can find him on social media educating and engaging those interested in trauma.

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Host or Publisher Miami Dade Fire Rescue ALS Team