The 2019 Rhoads Lecture is awarded to David N. Herndon, MD. Dr. Herndon’s presentation will outline the historic basis for therapeutic modulation of the hypercatabolic response to burns and trauma that has been established by multiple investigators over the last 50 years. Specifically, catabolism can be lessened by maintenance of environmental temperatures and provision of appropriate diet. The presentation will discuss the impact of early definitive surgery on reducing the hypermetabolic response and ameliorating catabolism over time. Evidence for improvement in outcomes through early and sustained exercise will be given. An argument will be presented that interventions that address catabolic states must be continued for prolonged periods of time to be effective. Data indicating that genetic changes occur in almost 2/3 of the cells in the body in response to stress will be shown. Persistence of that response is dependent on the type of stress burn response lasting longer than trauma which lasts longer than sepsis. The possibility that these genetic changes may result in lifelong susceptibilities to other challenges will be raised.

Learning Objectives:

Recognize the genetic determinates' physiologic phenotypes of the hypercatabolic response
Determine appropriate treatment method of treatments for hypercatabolic responses
Modulate catabolism through environmental control and surgery, diet support, and pharmacologic methods

Dietitian CE Credit Only:

This program is approved for RDs, RDNs and DTRs under Activity Type 175 in accordance with CDR guidelines. RDs and RDNs may claim up to 30 CPEUs under this CPE Activity Type in a recertification cycle; DTRs may claim up to 20 CPEUS. For additional information, please click here.

The CE credit for this activity expires March 23, 2022. All CE credit must be claimed by this date.

Goal and Target Audience:

The ASPEN Nutrition Science & Practice Conference is designed for dietitians, nurses, physicians, pharmacists, researchers, and others who practice the sciences of clinical nutrition and metabolism. The conference provides nutrition support professionals with current and cutting-edge information in the field of nutrition support, clinical nutrition, and metabolism.

Successful Completion:

To obtain documentation of earned CE credit, listen to the recording in full and complete the evaluation.

Policies/Information:

Non-Commercialism: ASPEN subscribes to the ACCME Standards for Commercial Support. ASPEN does not provide programs that constitute advertisement or include promotional materials. ASPEN does not endorse any products.

Computer Requirements and Technical Support:

Participants will need a computer with internet connection and it is recommended that end users' devices satisfy the following requirements:

OS: Windows, Mac
Browser: Internet Explorer 11+, Firefox 52+, Chrome 58+, Safari 10+, Microsoft Edge 14+
o Internet Explorer 11 still requires the most recent version of the Adobe Flash plugin

Mobile support

Iphone 5s+ - Safari Browser - IOS 9+
Ipad 2+ - Safari Browser - IOS 9+
Android Running 4.0+ - Chrome Browser

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Refund Policy: Refunds are not available.

Grievances: Grievances must be submitted in writing to Director of Education and Research at ASPEN 8401 Colesville Road, Suite 510. Silver Spring, MD 20910.

Commercial Support and Sponsorship:

No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationship Disclosures and Conflicts of Interest:

Disclosures of conference faculty and planners is available in the conference disclosure supplement or https://www.nutritioncare.org/uploadedFiles/Documents/ASPEN19/ASPEN19%20Disclosure%20Supplement%20FINAL.pdf.

Accreditation Statement:

ASPEN, Provider AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Dietitians may post comments on this program on the CDR website www.cdrnet.org.

Total amount of credit is specified with each individual recording.

David Herndon MD

Director of Research, Shriners Hospitals for Children — Galveston; Director of Burn Services, University of Texas Medical Branch (UTMB), Galveston, TX

Appearances