Addition through Subtraction? Advancing Nutrition Care in the STICU

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Please note, this webinar needs to be completed by April 7,2022.

The Safe Elimination of Routine Gastric Residual Volume (GRV) Checks

Presented by Phillip J. Prest, D.O., FACOS, FACS.

This webinar will discuss the experience of formalizing a standardized enteral nutrition feeding program at an ACS verified level one trauma center. Specific areas of discussion will be on the initiation of a volume-based feeding program and the safe elimination of routine gastric residual volumes. Additional areas of consideration will be the unique challenges of enteral feeding within a surgical and trauma intensive care unit (STICU), as well as the most appropriate way to predict nutritional needs.

Learning Objectives

At the end of the session, the participate should be able to:

1. Describe the importance of early enteral nutrition in surgical and trauma patients
2. Discuss the evidence supporting volume-based feeding in this population
3. Discuss the evidence in support of eliminating routine gastric residual volume checks
4. Discuss the applicability of these principles to COVID-19 patients

After participating in this webinar, you may ask the instructor questions by using the interactive "Discussion" tab. All participants will have access to this discussion board to interact with the instructor and other attendees.

Phillip J. Prest, D.O., FACOS, FACS

Dr. Prest did his undergraduate at Bowdoin College in Brunswick, Maine, where he majored in English. He later completed a Master of Medical Sciences at Drexel University in Philadelphia. At the Philadelphia College of Osteopathic Medicine he earned his Doctorate of Osteopathic Medicine, and also completed his General Surgery Residency. He then went on to Emory University and Grady Memorial Hospital in Atlanta, Georgia, to complete a Fellowship in Trauma and Surgical Critical Care.

Dr. Prest has practiced trauma, surgical critical care, and emergency general surgery at Prisma Health Richland Hospital’s Level 1 Trauma Center in Columbia, South Carolina since 2015. He is the assistant program director of the Prisma Health/Midlands – University of South Carolina School of Medicine General Surgery Residency, and the co-director of the surgical clerkship.