atlanta

saemonline

atlanta

SAem

Society for Academic

emergency medicine

Jointly sponsored by the University of Cincinnati

2013 AnnuAl meeting

the Westin Peachtree Plaza

may 14-18, 2013

atlanta


i

Table of ConTenTs

General Information 2 - 4

Senior Leadership Faculty Forum 5-6

AEM Consensus Conference 7

Grant Writing Workshop 8

Residency Program Update 8

Resident Leadership Forum 9

Medical Student Symposium 10

Junior Faculty Development Forum 11

SAEM Annual Business Meeting 12

Best of CORD 13

Photo Exhibit and Visual Diagnosis Contest 14

Daily Schedule and Meetings 23-32

Maximize Your Time at the SAEM Annual Meeting 33

Didactic Presentation 34-54

Abstracts for Presentation 53-73

Innovations in Emergency Medicine Education (ME) 74-75

European Society of Emergency Medicine (EuSEM) Abstracts 75

Gallery of Excellence Nominees 76-78

Acknowledgements 78

Late Breaker Abstracts 79-81

Moderators 82

Abstract Submission Reviewers 83

Disclosures 84-87

Exhibitor Announcements 90-91

The Westin Peachtree Plaza 92-95

200 Peachtree Conference Center 96

ViSit our exhibitorS in PeAchtree bAllroomS (8th level)

• thursday, may 16, 2013: 7:00 am - 5:00 pm

Morning Coffee service at 7:00 am - 8:00 am

• Friday, may 17, 2013: 7:00 am - 5:00 pm

Morning Coffee service at 7:00 am - 8:00 am

Coffee Break at 3:00 pm - 3:30 pm

Society for Academic Emergency Medicine

SAEM is not responsible for printing errors or omissions.


SAEM

Society for Academic

Emergency Medicine

Welcome to the SAem AnnuAl meeting!

This program is our best ever and includes the best of the best emergency medicine education and research. Here at the annual

meeting, you have the chance to interact with the presenters, authors, and researchers who have produced this work. In this process,

you have the opportunity not only to learn and grow, but also to teach. Engage with the presenters, question, debate, and in this method

you will make the work better, more thoughtful, and, I believe, make a contribution to the advancement of the science. Most of all, have

fun. This meeting is the place we can all come together to share and celebrate our accomplishments and the joy we derive from our

professional roles. Enjoy your time in Atlanta. You are the best and brightest emergency medicine has to offer, so contribute and make

this the best SAEM Annual Meeting ever!

Thanks for coming to the 2013 SAEM Annual Meeting in Atlanta.

Cherri Hobgood MD, FACEP

President

SAEM

Welcome to AtlAntA for the 2013 SAem AnnuAl meeting!

2013 AnnuAl MEETing

The Westin Peachtree Plaza

May 14-18, 2013

How does one begin to summarize such a spectacular meeting? This year represented the largest submission of didactics, abstracts,

and innovations ever for the annual meeting. In order to showcase these spectacular submissions, your Program Committee has

scheduled the most didactics, abstracts, and innovations in the history of SAEM. We were able to secure a wonderful keynote speaker,

Dr. Thomas Frieden, Director of the CDC, as one of the highlights of the meeting. This keynote address will occur on Thursday, May 16,

from 2:00 - 3:00 pm, just prior to the Plenary Session from 3:30 - 5:00 pm. This year we also decided to recognize the best abstract

submissions to the meeting by showcasing them in the “Gallery of Excellence.” This extravaganza will run concurrently with the opening

reception, also on Thursday, May 16, and our hope is that you will be able to browse through the offerings and enjoy the quality of the

abstracts whilst enjoying the company of colleagues and friends. This year’s Consensus Conference, “Global Health and Emergency

Care: A Research Agenda,” will focus on emergency medicine on a global scale. Our specialty is expanding worldwide with a phenomenal

trajectory, so be sure to register to participate and contribute to the ongoing development of emergency medicine on an international

scale. The perennial favorites SIM Wars and SonoGames are back, so feel free to come and cheer on the teams as they aim for

SAEM glory as victors of the games. Senior and Junior Faculty Development Forums, Resident Leadership Forum, Medical Student

Symposium, Residency and Fellowship Fair…the list goes on! Worried about missing important parts of the meeting? Don’t. This year’s

digital and social media will keep you up and running. With your own personal planner available on the website, the mobile app, email

updates, Twitter feeds, Facebook updates, and message boards, you will be able to keep it all straight and enjoy everything SAEM has

to offer.

This year’s meeting should meet the needs of everyone in the emergency department, from medical student to seasoned veteran.

This meeting is a dynamic forum for educators, researchers, policy makers, and administrators to exhibit the very best of the specialty.

It will provide you with opportunities to learn something new, develop new ideas, improve your patient care, network with a colleague,

and most importantly, pause to appreciate what we as a specialty have achieved and inspired.

Thanks for coming to the 2013 SAEM Annual Meeting in Atlanta.

Christopher Ross MD

Chair of the 2013 Program Committee

SAEM

May 14-18, 2013 | atlanta, GeorGia

1


generAl informAtion

Welcome to the 2013 Society for Academic Emergency Medicine Annual Meeting. As you attend the meeting, hopefully you will notice

the many significant innovations we have implemented for 2013.

regiStrAtion

For the cost of the basic registration fee, attendees may attend all paper, poster, and didactic sessions, except those sessions that

have limited enrollment, require pre-registration, or require an additional registration fee. For those who have pre-registered to attend

sessions that require pre-registration, be sure to arrive a few minutes early.

continuing medicAl educAtion

Target Audience: This conference has been created for emergency medicine physicians who want to expand and update their knowledge

of quality instruction in emergency medicine training programs and improve the quality of emergency medical care.

Overall Program Objectives:

• Apply research findings to your emergency medicine practice.

• Apply key statistical indicators in analyzing research results.

• Utilize acceptable research methods and study design in the development of research projects.

• Realize the details of the framework for ABEM so that the intended practice improvements are vetted through this prism.

Joint Accreditation Statement:

This activity has been planned and implemented in accordance with the essential areas and policies of the Accreditation Council for

Continuing Medical Education through the joint sponsorship of the University of Cincinnati and Society for Academic Emergency

Medicine.

2 Society for Academic Emergency Medicine


The University of Cincinnati is accredited by the ACCME to provide continuing medical education for physicians. The University

of Cincinnati designates this live activity for a maximum of 24 AMA PRA Category 1 Credit(s). Physicians should only claim credit

commensurate with the extent of their participation in the activity.

Faculty Disclosure Declaration:

According to the disclosure policy of the University Of Cincinnati College Of Medicine, all faculty, planning committee members, and

other individuals who are in a position to control content are required to disclose any relevant relationships with any commercial

interest related to this activity. The existence of these interests or relationships is not viewed as implying bias or decreasing the

value of the presentation, and any conflict of interest is resolved prior to the activity. All educational materials are reviewed for fair

balance, scientific objectivity and levels of evidence. Disclosure will be made at the time of the activity.

learner Assurance Statement:

The University of Cincinnati is committed to resolving all conflicts of interest issues that could arise as a result of prospective

faculty members’ significant relationships with drug or device manufacturer(s). The University of Cincinnati is committed to

retaining only those speakers with financial interests that can be reconciled with the goals and educational integrity of the

CME activity.

AnnuAl BuSineSS meeting

The Annual Business Meeting will be held on Friday, May 17, 2013, from 3:30 - 5:00pm, in Plaza Ballroom A-B-C. Keynote speakers,

Gordon Wheeler, Atul Grover MD, PhD and Walter J. Koroshetz MD will discuss “The Future of Health Care Reform and Implications for

Emergency Medicine. The SAEM Board of Directors elections will be announced, in addition, the Young Investigator Award Recipients;

the recipients of the Research Training, Institutional Research Training; and the recipients of the 2012 Annual Meeting Best Presentation

Awards will be presented to the membership.

Cherri Hobgood MD, will present her presidential summary address to the membership. Incoming President Alan Jones MD, will then be

introduced and address the membership with his preview of the coming year.

clinicAl PAthologic cASe PreSentAtion

The 2013 Semi-Final CPC Competition will be held on Wednesday, May 15, 2013, 8:00 am-5:00 pm in the following rooms: International

B/C/D/E/F/F. Annual Meeting attendees are encouraged to attend the competition and support the various residency program

participants. There is no registration fee to attend the competition, which showcases EM residency programs. The CPC consists of the

presentation and discussion of the best 72 cases submitted. The competition finalists from each of the tracks will be announced during a

reception held from 5:30pm-8:00pm on Wednesday in Augusta Room 1-2. The CPC Final Competition, consisting of presentations by the

six semi-finalist teams, will be held during the ACEP Scientific Assembly, in Seattle, Washington, in October 2013. The CPC Competition

is sponsored by ACEP, CORD, EMRA, and SAEM.

AcADEMy MEETing DATES AnD TiMES

AAAEM Academy of Administrators in Academic Emergency Medicine

• Business Meeting: Wednesday, May 15, 2013 8:00a-12:00p Vinings Room I (6th Level)

AEuS Academy of Emergency ultrasound

• Business Meeting: Friday, May 17, 2013 8:00a-12:00p Vinings Room I (6th Level)

AgEM Academy of geriatric Emergency Medicine

• Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Vinings II (6th Level)

AWAEM Academy for Women in Academic Emergency Medicine

• Business Meeting: Friday, May 17, 2013 8:00a-12:00p Vinings II (6th Level)

• Luncheon: Friday, May 17, 2013 12:00p-2:00p Conference Room 1-2 (7th Level)

cDEM clerkship Directors in Emergency Medicine

• Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Conference Room 5 (7th Level)

gEMA global Emergency Medicine Academy

• Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Vinings Room I (6th Level)

SiM Simulation Academy

• Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Conference Room 4 (7th Level)

ADiEM Academy for Diversity & inclusion in Emergency Medicine

• Business Meeting: Wednesday, May 15, 2013 1:00p-5:00p Vinings Room I (6th Level)

May 14-18, 2013 | atlanta, GeorGia

3


SociAl eventS

Opening Reception & gallery of Excellence

Join us on Thursday, May 16, 2013, for the opening reception from 5:30pm-

7:00pm. This is a great opportunity to socialize and network with other

SAEM members. It will be located in the Grand Atrium.

AWAEM luncheon

The 4th Annual AWAEM Luncheon will be held on Friday, May 17, 2013

from 12:00-2:00pm in PT-Conference Room 1-2 (7th Level). This is a great

opportunity to network and discuss hot topics within emergency medicine

today. Lunch is $75.00 per person and seating is limited.

“cocktails and Dreams” Foundation Awareness Reception

Wednesday, May 15, 2013 from 4:30pm-6:30pm in Carnegie Foyer.

Enjoy FREE wine/beer and hors d’oeuvres while learning how the SAEM

Foundation helps young physicians jump start their careers. Also, register

to win the latest iPad.

Visit us on Facebook & Twitter

See what everyone is saying about the Annual Meeting on Twitter and join

in on the conversation. Use the hashtag #SAEM13 on Twitter and follow

@SAEMOnline.

Visit and like us on Facebook at www.facebook.com/saemonline.

Cocktails

&

Dreams

Wednesday, May 15, 2013

4:30 – 6:30 pm

In Carnegie Foyer

Join us for a free glass of beer or wine

and discover how the SAEM Foundation has

helped to jump start the careers of many

young emergency medicine physicians.

4 Society for Academic Emergency Medicine

2013 AnnuAl meeting

ProgrAm committe

Harrison Alter MD

Alameda County Medical Center

Highland Hospital

Gillian Beauchamp MD

University of Cincinnati

College of Medicine

Steven Bird MD

University of Massachusetts

Medical Center

Andra Blomkalns MD

University of Cincinnati-College

of Medicine (SAEM BOD Liaison)

Jennifer Carey MD

Brown University

Moira Davenport MD

Allegheny General Hospital

Kevin Ferguson MD

University of Florida

Susan Fuchs MD

Children’s Memorial Hospital

Chris Ghaemmaghami MD

University of Virginia

Eric Gross MD

Hennepin County Medical Center

Sanjey Gupta MD

New York Hospital Queens

Todd Guth MD

University of Colorado

Carolyn Holland MD

University of Florida -

Gainesville

Jason Hoppe MD

University of Colorado

Denver Health Science

Lauren Hudak MD

Emory University

School of Medicine

Gabe Kelen MD

Johns Hopkins University

Hollynn Larrabee MD

West Virginia University

JoAnna Leuck MD

Carolinas Medical Center

Jason Liebzeit MD

Emory University

School of Medicine

Henderson McGinnis MD

Wake Forest Baptist Health

Joseph Miller MD

Henry Ford Hospital

Henderson McGinnis MD

Wake Forest University

Angela Mills MD

University of Pennsylvania

Dave Milzman MD

Georgetown University

James Olson, PhD

Wright State University

Charissa Pacella MD

University of Pittsburgh

Daniel Pallin MD

Brigham and Women’s Hospital

and Children’s Hospital Boston

Peter Pryor MD

Denver Health

Ali Raja MD

Brigham and Women’s Hospital

Megan Ranney MD

Brown University

Rhode Island Hospital

Linda Regan MD

Johns Hopkins University

Kevin Rodgers MD

Indiana University

Sarah Ronan MD

University of Cincinnati

College of Medicine

Brett Rosen MD

York Hospital

Christopher Ross MD

Cook County Hospital

(Program Committee Chair)

Todd Seigel MD

Brown University

Rhode Island Hospital

Lorraine Thibodeau MD

Albany Medical Center

R. Jason Thurman MD

Vanderbilt University

Medical Center

Jody Vogel MD

Denver Health Medical Center

Joshua Wallenstein MD

Emory University

Robert Woolard MD

Texas Tech El Paso


Senior leAderShiP fAculty forum

PT - 200 COnFEREnCE ROOM 3

TUESDAY, MAY 14, 2013 - WEDnESDAY, MAY 15, 2013 - 8:00 AM - 5:00 PM

TuESDAy, MAy 14, 2013

8:00 - 8:15 am Welcome/introduction – K Robinson

8:15 – 10:00 am leadership lessons – Barsan/Hockberger

Participants in this session will be able to answer the following questions:

1. What is the difference between management and leadership?

2. What leadership qualities are most important for success?

3. What particular leadership style best fits my personal traits and skills?

4. How do I develop a vision for others to follow?

5. How do I develop relationships that lead to results?

6. What leadership goals should I set for myself in the coming year?

10:00 – 10:50 am Developing and Sustaining a Vision – B Zink

This session will describe how a leader can collaboratively formulate

a vision for his/her organization. We will examine the components of

a successful vision statement, how to track and measure success of

the vision, and how to revise the vision as the organization succeeds

and matures.

Objectives:

1. Participants will learn how to create a strong vision statement for

their organization.

2. Participants will consider the components of a vision statement

and how to measure and track the success of a vision statement.

3. Participants will learn how to assess, and revise the vision as the

organization moves forward.

10:50 – 11:10 am Break

11:10 am – 12:00 pm Facilitating Effective Meetings – R Strauss

“Oh no! not another meeting!” This course will review when to and

when nOT to have a meeting, and how to make the meetings you do

have more effective and rewarding. Learn how to guide the discussion,

create focus and deal with the overbearing, the sarcastic, the bashful,

and the detractor. Discover effective methods to open and close

discussions. This is one meeting that will help to improve the rest of

your meetings. During the presentation, interspersed pre-recorded

vignettes will be used to demonstrate points and generate discussion.

Objectives:

At the conclusion of this presentation, the participant will be able to:

1. Describe when to and when not to have a meeting.

2. Describe effective meeting planning and preparation

and “rules of engagement”.

3. Develop an effective and accomplishable agenda.

4. List problems that occur during a meeting and methods

to resolve them.

5. Review common traps that chairs fall into, such as wandering

discussion, taking a side, berating members.

6. Describe what to do when the meeting has concluded,

accountability and follow-up.

7. Using pre-taped scenarios, discuss methods to bring

the meeting back on track.

*Additional fee and ticket required

12:00 – 1:00 pm lunch

1:00 – 1:50 pm Building a Team – T crocco

This presentation will cover the essential elements of team building.

The differences between team work and effective team building will

be discussed. Additionally, common mistakes in building a team will

be highlighted. At the conclusion of this presentation, participants

should have a new perspective on team development.

Objectives:

1. To understand the purpose of a team.

2. To explain the difference between team work and establishing an

effective team.

3. To discuss the essential elements of team building.

2:00 – 2:50 pm conflict Resolution – J Adams

Objectives:

1. List the common, predictable causes of conflict in the

healthcare environment.

2. Describe how our human nature is designed to create conflict

3. Describe techniques that will reduce the negative,

destructive conflicts.

4. Explain the techniques of communication that will facilitate

conflict resolution and achievement of productive goals.

2:50 – 3:10 pm Break

3:10 – 4:00 pm Strategic Planning – S Schneider

The course will summarize the strategic planning procedures starting

with why and when to undertake strategic planning. A general outline

of the procedure will be discussed with examples of tools often used

in the drafting of a plan such as SWOT analysis. Several templates

of strategic plans will be discussed. Finally implementation and

evaluation of the plan will be examined.

Objectives:

1. Describe the benefits of strategic planning and optimal times to

undertake this endeavor.

2. Describe the tools for creating a plan, including mission statement,

vision statement, SWOT analysis.

3. Describe the creation of a timeline and check points for the

implementation of a strategic plan.

4:00 – 5:30 pm Reception

WEDnESDAy MAy 15, 2013

7:30 – 8:20 am Human Resources – l Zun

Physician managers in emergency medicine frequently deal with

human resource issues. Rarely are emergency physicians trained

in hiring, firing, compensating and evaluating physicians, midlevel

providers and others providers in the emergency department. Many of

the human resource challenges will be addressed such as dealing with

disruptive physicians, identifying impaired physicians, recruitment

challenges and hiring the wrong care provider. Land mines that can

May 14-18, 2013 | atlanta, GeorGia

5


Senior leAderShiP fAculty forum

PT - 200 COnFEREnCE ROOM 3

TUESDAY, MAY 14, 2013 - WEDnESDAY, MAY 15, 2013 - 8:00 AM - 5:00 PM

interfere with operations of the emergency department such as

wrongful discharge, conflict resolution and remediation will also

be discussed. This presentation will provide the basic approach to

human resource management for emergency physician managers to

address many of the challenges and to avoid many of the landmines

through a case based approach. This discussion will not address

credentialing or privileging issues.

Objectives:

1. To understand the essential issues in human resources management.

2. To use the best approach in hiring, firing, compensating, and

advancing.

3. To avoid the pitfalls in human resource management.

8:30 – 9:20 am ED Operations Overview – K Robinson

This presentation provide an overview of ED operations, including

recent history, models and evidenced process improvements in ED’s,

with a focus on academic ED when possible.

Objectives:

1. Describe the context in which ED operations performance

improvement projects are conducted.

2. Describe the most widely accepted model of Input-Throughput-

Output for describing ED operations.

3. Describe evidenced-based process improvements for many steps

in the Input-Throughput-Output model.

4. Identify key resources for further understanding of the ED

Operations literature.

9:30 – 10:20 am change Management – T Sanson

Leaders are judged in times of adversity and change, not in times

of success. Change is very much a part of our everyday lives.

Change leadership needs to be part of any leader’s essential skills.

This presentation will identify the characteristics of leaders who

initiate, guide, and provoke change. We will discuss how to catalyze

people around change, how to recognize the personal and emotional

difficulties people have with change. We will discuss how to encourage

risk during volatile times while maintaining trust and wellness for

your organization. We will learn how to effectively lead staff to move

through periods of disengagement and crisis.

10:20 – 10:40 am Break

10:40 – 11:30 am negotiating for your Department/Faculty

– K Heilpern

Objectives:

1. To understand the interests of the university or administration.

2. To understand the interests of the department or faculty.

3. To gain knowledge about how to most effectively negotiate in

support of your department or faculty.

*Additional fee and ticket required

6 Society for Academic Emergency Medicine

11:30 am – 12:30 pm lunch

12:30 – 1:20 pm Overview of Department Finance – J Bihun

This session will focus on describing the various sources of

departmental funding. It will help you appreciate what can be done

to understand and to influence your department’s financial position.

Objectives:

1. Understand where departmental funds come from.

2. Appreciate how funding amounts are determined.

3. Learn about productivity and process variables that influence the

financials.

4. Gain a perspective on the typical expenses in an academic

environment.

1:30 – 3:30 pm communication Skills – B clyne

Part i-interpersonal communication

What type of first impression do you make? Does your body language

convey confidence? Are you readily perceived as trustworthy? This

interactive session focuses on the power of personal “presence” and

how seemingly minor, yet controllable behaviors affect our ability

to engage others and lead effectively. Participants will learn and

practice nonverbal communicating skills to increase confidence,

decrease stress and increase their leadership potential.

Objectives:

1. Understand the science and power of non-verbal communication.

2. Learn to use body language and facial expressions to build rapport.

3. Understand how posture and gesture affect confidence and

leadership ability.

Part ii-Presenting To change The World

Are you an exceptional public speaker? Do you communicate clearly

and with credibility? Exceptional presentation skills open doors

to leadership opportunities. The first step toward improvement is

understanding the components of any presentation. In this interactive

session, participants will learn to create presentations with:

• A Message that is focused and relevant.

• Visuals that are simply designed and uncluttered.

• A Delivery that is authentic and conversational.

Objectives:

1. Understand how to organize, refine and structure a presentation.

2. Learn to create powerful visual aids that reinforce key points.

3. Practice techniques for engaging the audience.

4. Learn to reduce nervous energy and avoid verbal fillers.


SAem’S 14th AnnuAl Aem conSenSuS conference

GLOBAL HEALTH AnD EMERGEnCY CARE: A RESEARCH AGEnDA

WEDnESDAY, MAY 15, 2013 – PLAzA BALLROOMS A, B and C (10TH LEVEL)

7:30 - 8:00 am Registration

8:00 - 8:10 am Welcome, Opening Remarks, consensus Process Principles

8:10 - 8:35 am Plenary Session 1: Defining Acute and Emergency care as a Human Right and a global Research Agenda

Jeffrey P. Koplan MD, MPH, Vice President for Global Health; Director, Emory Global Health Institute Emory University

8:35 - 9:20 am Discussion: Evidenced-Based Summary of the Trajectory of global Emergency care Research

Adam C. Levine MD, MPH, Assistant Professor of Emergency Medicine Co-Director, Global Emergency Medicine Fellowship,

Brown University Alpert Medical School; Clinical Advisor for Emergency and Trauma Care Partners in Health - Rwanda

9:20 -9:50 am Plenary Session 2: HiV as a global Emergency: unique Opportunities in Treatment and Prevention

Myron Cohen MD, J. Herbert Bate Distinguished Professor of Medicine, Microbiology and Immunology, and Epidemiology and

Associate Vice Chancellor for Global Health, University of north Carolina at Chapel Hill

9:50 - 10:00 am Break

10:00 am - 12:00 pm concurrent Breakout Session 1: global Research, collaboration from nations to Specialties

Breakout

Topic

Breakout

Session

leader(s)

1: Medical Education

(uME, gME, cME)

Generating a research agenda for undergraduate,

graduate, and post-graduate medical education in a

global health setting, with the goal of better defining

learner competencies, learner and program evaluation

practices, and outcomes to learners and patients

Ian Martin

Janis Tupesis

2: Data collection,

Management & Analysis

Analyzing how emergency care

data informs systems development

and prevention, such as burden of

emergency care disease

Hani Mowafi

Teri Reynolds

Mark Bisanzo

Cameron Crandall

Phillip Seidenberg

Mark Hauswald

3: Ethical issues

in Research:

Discussing key ethical

issues, including cultural

considerations, consent

IRBs, and publications

Bhakti Hansoti

Michelle Biros

Jon Mark Hirshon

Mark Hauswald

Kinjal Sethuraman

May 14-18, 2013 | atlanta, GeorGia

4: Funding

Surveying global trends in

research funding priorities

for global acute and

emergency care

Scott Sasser

Alex Vu

Herbie Duber

12:00 - 12:15 pm Break

12:15 - 1:30 pm lunchtime Keynote Panel Discussions: cross-cutting issues in conducting global Research

Linda C. Degutis DrPH, MSn (Moderator), Director, national Center for Injury Prevention and Control Centers for Disease Control

and Prevention

Meena nathan Cherian MD, Emergency & Essential Surgical Care (EESC) Clinical Procedures Unit, Department of Health Systems Policies

& Workforce, World Health Organization

Lee Wallis, MBChB, MD, FRCS, FCEM, FCEM(SA), FIFEM, Head of Emergency Medicine, Provincial Government Western Cape; Head,

Division of Emergency Medicine, University of Cape Town and Stellenbosch University; President, African Federation for Emergency

Medicine (AFEM)

Margaret M. Murray, PhD, Director, Global Alcohol Research Program, national Institute on Alcohol Abuse and Alcoholism, U.S. national

Institutes of Health

1:30 - 1:40 pm Break

1:40 - 3:40 pm concurrent Breakout Session 2: Practical issues in implementing and Sustaining Emergency care Research in the global Environment

Breakout

Topic

Breakout

Session

leader(s)

5: Health Services

Examining critical vs. desired

services in acute medical care at

all levels of the healthcare system

(community, primary health clinic,

district hospital, referral hospital)

Rachel T. Moresky

Mark Bisanzo

Regan Marsh

6: clinical/

Translational Research:

Defining goals, priorities, and

metrics when integrating

research in a developing

emergency care system

Michael Runyon

Hendry Sawe

7: Health Systems Research: Vertical +

Horizontal = Diagonal

Investigating Health Systems Research, one of a few

dominant “health system” theories proposing that

models can usefully deconstruct complex systems

into more basic functions and components

Christian Theodosis

Emilie Calvello

Lee Wallis

3:40 - 3:55 pm Break

3:55 - 4:40 pm Discussion: consensus Building for a global Research Agenda in Emergency care

4:40 - 5:00 pm closing Remarks

*Additional fee required

8: Basic Sciences

Research/

Resuscitation

Learning about emerging

resuscitation research, with

a particular focus on injury

and cardiac resuscitation

Tom Aufderheide

Marcus Ong

7


2013 SAem grAnt Writing

WorkShoP

WEDnESDAY, MAY 15, 2013

InTERnATIOnAL H (6TH LEVEL)

BREAKOUT SESSIOnS In

TOWER ROOMS 1405, 1406 & 1407

7:30 am continental Breakfast

7:55 am introduction (Prasanthi Govindarajan MD,

University of California, San Francisco)

8:00 am Developing your Funded EM Research

Program (Lori Post PhD, Yale University)

9:00 am The Anatomy of Science (Mark Angelos MD,

The Ohio State University)

9:30 am Writing the Specific Aims Section of the

grant (Jeffrey Kline MD, Indiana University)

10:00 am Break

10:15 am Developing the grant Budget: Managing the

Project Requirements within the Budget

Restrictions (James Holmes MD, MPH, UC

Davis)

10:45 am Responding to Reviews and Resubmitting

(Alan Jones MD, University of Mississippi)

11:15 am niH Review Session

(Walter Koroshetz MD, nInDS)

12:00 pm networking lunch (with course faculty)

1:00 pm Small group Session (with course faculty) *

2:30 pm Break

2:50 pm career Development Awards

(Manish Shah MD, University of Rochester)

3:20 pm career Development grant Panel Discussion

(Manish Shah MD, University of Rochester,

moderator)

3:50 pm Wrap-up and Transition to Optional

Breakout Session (with course faculty) **

4:00 pm Optional Breakout Session

5:00 pm close

*Small group Session: Participants will rotate through four 20-minute skillbuilding

stations which will each focus on a specific aspect of successful grant

writing. Stations will include: specific aims section, training plan and letter of

recommendation from primary mentor, revising and resubmitting grants, and

managing your grant budget.

**Optional Breakout Session: During this optional session, participants who

have submitted grants for feedback will have the opportunity to speak one-onone

with reviewers to discuss how they can improve their applications.

Additional fee and ticket required

8 Society for Academic Emergency Medicine

reSidency ProgrAm

uPdAte SeSSion:

WHAT YOU HAVE TO KnOW FROM THE RRC,

TO THE nAS TO THE CCC

WEDnESDAY, MAY 15 – 8:30-2:30

PT-200 COnFEREnCE ROOM 1, 7TH LEVEL

Be sure to keep up-to-date with all of the latest information to

keep your residency running smoothly as we transition into the

next Accreditation System!

Two sessions will focus predominantly on the latest information

from the ACGME including the next Accreditation System (nAS),

Milestones and Clinical Competency Committees. Sessions will

focus on practical information that you can use when you return

home. The remaining two sessions will tackle the tough topics of

faculty accountability and resident motivation, especially important

as we move forward with more complex educational systems.

8:30 - 9:50 am RRc update and Q&A Session:

Wallace A. Carter MD &

Lynne Meyer PhD, MPH

10:00 - 11:00 am Faculty Accountability - From

Didactics to the Bedside

Sarah Stahmer MD

11:00 am - 12:00 pm Trophies, Blue Ribbons...and the

Woodshed - Motivating Residents in

the Age of Milestones

Damon Kuehl MD

12:00 - 1:00 pm Break for lunch

1:00 - 2:30 pm Workshop on clinical competency

committees (ccc) - Everything you need

to Know to create a Successful ccc

Susan Promes MD & Mary Jo Wagner MD


2013 SAem reSident leAderShiP forum

THURSDAY, MAY 16, 2013

PT-200 COnFEREnCE ROOM 1-2-3

RESiDEnT lEADERSHiP TRAcK

7:00 - 7:30 am Breakfast/introductions

7:30 - 8:00 am Hidden gems:

Developing the leader Within you

(Top 10 Attributes of Successful Leaders)

Robert Hockberger and Bill Barsan

8:00 - 8:30 am Talk the Talk: Maximizing your

communication & negotiation Skills

Jim Adams

8:30 – 9:00 am Have A Vision: identifying and

Developing your career leadership Track

Andra L. Blomkalns

9:00 - 9:30 am Reaching for the Stars:

Roadmap to national leadership

Cherri Hobgood

9:30-10:00 am Break / Move to Separate Track Rooms

cHiEF RESiDEnT FORuM TRAcK

10:00 - 10:30 am Wish i’d Thought of That:

Transitioning to the cR leadership Role

Felix Ankel and Eric Katz

10:30 - 11:00 am caught in the Middle!

The Art of Middle Management

(Delegation, Meetings, 360° Management,

Managing Up/Managing Down)

Jennifer Walthall MD

11:00 – 11:50 am Don’t Waste your Energy:

RRc non-negotiables

(Lunch with the Program Directors)

PDs

11:50 am - 12:00 pm Break

12:00 - 1:15 pm you can’t Do That:

Managing Difficult Resident Problems

(Dealing with the “Resident in Crisis”:

Depression/Suicide, Drug / Alcohol Abuse,

Unprofessional / Disgruntled / Tardy

Resident; Sexual Harassment, Resident

Health Issues, Confidentiality and Fairness

Issues)

Phillip Shayne MD

Mary Jo Wagner MD

Steve Bowman MD

1:15 - 1:45 pm And The Answer is…

Pearls and Pitfalls From Former cRs

(SAEM / EMRA / AAEM RSA

Chief Resident Panel)

EMRA/AAEMRSA

1:45 - 2:00 pm Move to Keynote

2:00 - 3:00 pm SAEM Keynote Address:

Dr. Thomas Frieden, cDc Director

3:00 - 3:30 pm Break

3:30 - 5:00 pm SAEM Plenary Session

RESiDEnT AcADEMic TRAcK

10:00 - 10:30 am is This For Me?

Selecting and Planning an Academic career

(includes Promotion and Tenure discussion)

Carey Chisholm

10:30 - 11:15 am Point-counterpoint: All Academic Faculty

Should Be Fellowship Trained

Don Yealy and Paul Pepe

11:15 am - 12:05 pm lunch with Academic leaders

12:05 - 12:15 pm Break

12:15 - 12:45 pm Fostering Academic Productivity &

Research for All Faculty

Alan Jones

12:45 - 1:15 pm in the Spotlight: Teaching Anywhere

Mike Epter

1:15 - 1:45 pm Survival 101: Work-life Balance/Wellness

Jason Liebzeit

1:45 - 2:00 pm Move to Keynote

2:00 - 3:00 pm SAEM Keynote Address:

Dr. Thomas Frieden, cDc Director

3:00 - 3:30 pm Break

3:30 - 5:00 pm SAEM Plenary Session

May 14-18, 2013 | atlanta, GeorGia

9


medicAl Student SymPoSium

FRIDAY, MAY 17, 2013 – 8:00AM - 2:00PM

AUGUSTA ROOM 1-2-3 (Seventh Level)

OBJEcTiVES

The Medical Student Symposium is primarily tailored

to medical students who have identified emergency

medicine as their future specialty but is also valuable

for students still contemplating specialty choice. The

symposium includes presentations from seasoned EM

educators, roundtable discussions geared for more

individualized guidance, lunch with residency program

directors, and a panel discussion with current EM

residents. Major themes of the symposium include

highlighting career options within EM and navigating the

residency application and selection process. The program

is followed by a residency fair representing most EM

programs from across the county

At the completion of the session,

participants will be able to:

1) Assess their personal and career goals

that make EM a good “fit”,

2) Identify the multitude of career paths

that exist within EM,

3) Optimize their fourth-year schedule,

4) Maximize their performance in the EM clerkship,

5) Identify key factors and variables

in selecting potential training programs,

6) Assemble a strong and compelling application

package, and

7) Perform their best during interviews.

10 Society for Academic Emergency Medicine

7:30 – 7:45 am Welcome

Todd Guth MD, University of Colorado

7:45 - 8:15 am is EM Right for Me?

Jason Liebzeit MD, Emory University

8:15 - 8:45 am Oh, the Places you’ll go: career Paths in EM

Herbert Hern MD, Alameda County Medical Center

8:45 - 9:15 am Q&A with Drs. liebzeit & Hern

9:15 - 9:30 am Break

9:30 – 10:00 am How to Shine and get the Most

out of your EM clerkship

Gus Garmel MD,

Stanford University/Kaiser Permanente

10:00 – 10:30 am Finding the Match Made in Heaven: How to Select

the Right Residency

James Colletti MD, Mayo Clinic, Rochester

10:30-11:00 am Mistakes EM Students and Applicants Make

Maria Moreira MD,

Denver Health Medical Center - University of Colorado

11:00 – 11:30 am Q&A with Drs. garmel, colletti & Moreira

11:30 am – 1:00 pm lunch with Program Directors

1:00 – 1:30 pm The Written Word: SlORs, MSPE,

& the Personal Statement

Bernard Lopez MD, Jefferson Medical College

1:30 – 2:00 pm The interview: Selling yourself without

Shooting yourself

Michael Gisondi MD, northwestern University

2:00 – 2:15 pm Q&A with Drs. lopez and gisondi

2:15 – 3:00 pm Small group Breakout Sessions

3:00 - 3:15 pm Break

Osteopathic Students -

Marc Squillante DO,

University of Illinois College of Medicine at Peoria

Women in EM

Tracy Sanson MD, University of South Florida

international Medicals Students

Christain Jacobus MD, Synergy Medical Education

Alliance

Strategic Planning for M1&M2 Students

Jeffrey Barrett MD, Temple University

Optimizing your Fourth-year Schedule

Jennifer Avegno MD, Louisiana State University

3:15 - 4:30 pm Resident Panel (EMRA and AAEM-RSA)

4:30 – 6:30 pm Residency Fair


Junior fAculty develoPment forum

FRIDAY, MAY 17 – 8:00 AM - 2:00 PM

PT COnFEREnCE ROOM 3

Overall Workshop Objectives:

• Provide specific guidance on building a

foundation for success in academic EM

• Develop and cultivate junior faculty to

become the next generation of academic

leaders in research, administration and

education

• nurture emergency medicine junior faculty

collegiality and collaborations across

institutions

By the end of this program,

participants will

1. Understand the structure of a career in

academic emergency medicine, including a

general overview of the promotion process

2. Receive an overview of 3 major career

pathways in academic EM: Administration,

Research and Education

3. Gain insight into the skills and steps

required for success in EM administration

4. Review strategies for success in medical

education, including mechanisms for more

effective teaching and feedback

5. Understand fundamental skills of creating

a career in EM research, including a review

of funding mechanisms

6. Receive specific advice for successful

professional development from current

leaders in the field

8:00 – 8:55 am Overview of Academic Medicine: How to Survive

& Thrive

Speakers: Philip Shayne MD and Terry Kowalenko MD

• Summarize the three pillars of academic medicine: clinical care, research and education.

• Understand what makes a career in academic medicine unique.

• Examine the distinctive challenges that face junior faculty.

9:00 – 9:55 am Developing Skills in EM Administration

Speakers: Leon Haley MD and Eric Gross MD

• Review ED administration positions and potential avenues to reach these positions/careers.

• Highlight the pros and cons of ED Administration roles.

• Describe leadership principles and characteristics necessary for ED Administration.

10:00 – 11:25 am Developing Skills in EM Education

Speakers: Fiona Gallahue MD, David Gordon MD and Brian Stettler MD

• Gain a basic understanding of the continuum of medical education and relevant accreditation

agencies and requirements.

• Examine educational leadership opportunities in medical education.

• Identify the diverse venues and learners faculty teach at academic medical centers.

• Highlight the critical need to provide effective feedback to learners.

• Acquire basic skills in teaching, giving feedback and evaluation.

• Discuss the challenges and strategies for managing poorly performing residents.

11:30 am – 12:55 pm Developing Skills in Research

Speakers: Jason Haukoos MD, MS, Tamara Espinoza MD and David Cone MD

• Provide a general overview of funding structures for academic medicine and EM more specifically.

• Detail the step-by-step process for setting up a research project.

• Highlight skills necessary to lead effective and successful research programs.

• Understand the importance of fostering innovation and teamwork/collaboration for a successful

research career.

• Discuss grant opportunities.

• Identify the varied venues for sharing research findings with academic colleagues.

12:40 - 1:55 pm Senior Faculty Roundtable: “lessons learned: if i

Knew Then What i Know now…”

• Learn from senior faculty the opportunities, support, resources, and relationships that will foster a

successful academic career.

• Understand the benefits and the logistics of identifying and working with a mentor.

Moderator: Andra Blomkalns MD

Speaker: Brian zink MD

Roundtable Discussants: Brian Clyne MD, Deborah Diercks MD, Kate Heilpern MD,

Cherri Hobgood MD, Alan Jones MD

May 14-18, 2013 | atlanta, GeorGia

11


Keynote SpeaKerS: the Future oF health Care reForm

and ImplICatIonS For emergenCy medICIne

a. Gordon Wheeler, Associate Executive Director of the Public

Affairs Division/Washington Office, ACEP

b. Atul Grover MD, PhD, Chief Public Policy Officer, AAMC

c. Walter J. Koroshetz MD, Deputy Director, National Institute of

Neurological Disorders and Stroke (NINDS), Acting Director, NIH

Office of Emergency Care Research

Saem awardS – CherrI d. hobgood md and

alan e. JoneS md

a. Hal Jayne Excellence in Education Award

- Michael S. Beeson MD, FACEP

b. Excellence in Research Award – Gail D’Onofrio MS, MD

c. John Marx Leadership Award – Vincent P. Verdile MD, FACEP

d. Young Investigator Awards

– Nathan J. White MD, MS; Daniel K. Nishijima MD, MAS;

Comilla Sasson MD, MS

e. Advancement of Women in Academic Emergency

Medicine Award

- Kathleen J. Clem BSN, MD, FACEP

f. Master Clinician Bedside Teaching Award: Erik G. Laurin MD

grant preSentatIonS

– Spadafora toxicology Scholarship

Meghan Spyres MD, NYU School of Medicine

– research training grant

J. Scott VanEpps MD, PhD, University of Michigan

– Institutional research training grant

Roland C. Merchant MD, MPH, ScD, Rhode Island Hospital

Saem-approved reSearCh FellowS

Jestin Carlson MD, University of Pittsburgh

Anitha Mathew MD, Emory University

Danielle McCarthy MD, Northwestern University

Bryn Mumma MD, University of California, Davis

Saem aCademy awardS

– academy for diversity & Inclusion in emergency medicine

• Marcus L. Martin Leadership Award - Lisa Moreno-Walton

MD, Louisiana State University Health Sciences Center

• Visionary Educator Award - Iris M. Reyes MD, Perelman

School of Medicine, University of Pennsylvania

• Outstanding Academician Award - Jeffrey P. Druck MD,

University of Colorado School of Medicine

• Outstanding Future Academician Award - Juron Foreman MD,

Emory University School of Medicine

SAEM ANNuAl buSiNESS MEEtiNg

Friday, may 17, 2013, 3:30 – 5:00 pm

the westin peachtree plaza, atlanta, ga – room: plaza ballroom a-b-C

All SAEM members are urged to attend

12 Society for Academic Emergency Medicine

– academy for women in academic emergency medicine

• Early Career Faculty Award - Renee Yuen-Jan Hsai MD, MSc

• Outstanding Resident Award - Laura N. Medford-Davis MD

• Research Award - Debra Elaine Houry MD, MPH

– Clerkship directors in emergency medicine

• Outstanding Clerkship Director Award

• Outstanding Young Educator Award

• Innovation in Medical Education Award

– global emergency medicine academy

• Presidential Lifetime Achievement Award

• EM Globalization and Advancement Award

• Academic Achievement Award

• Humanitarian Service Award

• Young Physician Award

2012 annual meetIng awardS

best Faculty presentation

– Alan E. Jones MD, University of Mississippi Medical Center

best young Investigator presentation

– William J. Meurer MD, University of Michigan Medical School

best basic Science presentation

– Nathan J. White MD, University of Washington

School of Medicine

best resident presentation

– Nicole Dubosh MD, Beth Israel Deaconess Medical Center/

Harvard Medical School

best Fellow presentation

– Darlene R. House MD, Indiana University School of Medicine

best medical Student presentation

– Andrew J. Thomas MPH, Oregon Health & Science University

School of Medicine

resident visual diagnosis Contest winner

– Elizabeth Placzek MD, Regions Hospital/Children’s Hospital

medical Student visual diagnosis Contest winner

– Felix Huang, University of Illinois College of Medicine

Saem annual buSIneSS meetIng

a. AEM Report

b. Treasurer’s Report

c. Election Results

d. Recognition of Board of Director members whose terms

are expiring

e. Remarks of Outgoing President – Cherri D. Hobgood MD

f. Introduction of 2013-14 President – Alan E. Jones MD

other new buSIneSS

adJournment

note: Newly elected members of the Board of Directors, Nominating Committee, and Constitution/Bylaws Committee, along with all award, fellowship, and grant recipients, are asked

to remain after the annual business meeting to participate in a brief photo session. Photos will be published in upcoming issues of the SAEM Newsletter.


BeSt of cord

FRIDAY, MAY 17, 2013 – 10:00 AM - 12:00 PM

InTERnATIOnAL ROOM B (SEVEnTH LEVEL)

WEB 2.0: 10:00-10:45 AM

Robert Cooney MD; Michael Bond MD; Michelle Lin MD

This session will detail the current trends in Web 2.0 technology and how they

apply to emergency medicine education. Participants will learn how people

are using blogs, wikis, and podcasts in medical education and will be given a

plan how to develop their own blog, wiki, or podcast. In addition to covering

the basics of voice recording and podcast design, the presenters will discuss

and demonstrate how to incorporate vodcasting (video and audio) into

medical education.

Objectives:

• Understand the uses of web 2.0 tools, including blogs, podcasts, and wikis

• Choose among the tools and effectively apply the tools to medical education

at their institution

• Demonstrate the basic principles of creating a basic blog, wiki, and podcast

• Understand how to use vodcasting in medical education

SOciAl MEDiA & PROFESSiOnAliSM: 10:45-11:30AM

Hollynn Larrabee MD; Janis Tupesis MD

Social Media plays an increasingly large role in our day-to-day interactions.

Studies have demonstrated an increasing number of physicians are using

Facebook, Google, Twitter, and other electronic accounts in their daily life.

This session will discuss the current social media environment as well as the

possible risks to professionalism that can occur. The session will address how

to educate your department on the pitfalls of social media using examples

from medical education and legal cases. The talk will conclude with examples

of how to develop an individualized social media policy.

Objectives:

• Describe how social media has impacted professionalism

• Discuss social media utilization effectively with residents and faculty

• Develop social media policies to protect your department and institution.

ED TRAnSiTiOnS OF cARE - WHAT cOnSTiTuTES A gOOD

HAnDOFF BETWEEn ED RESiDEnTS: 11:30 AM - 12:00 PM

Gene Hern MD

Handoffs present a risk for communication error and may adversely affect

appropriate patient care. Although standardization is widely believed to be

the means to improve handoff efficacy, consensus on the procedural and

logistical components of an effective handoff has not yet been reached. This

workshop will use several simulated resident-to-resident handoff videos,

followed by small group discussions of the data points required for a safe,

effective handoff. This session serves as an opportunity to reflect on the

needed communication skills of residents delivering handoff information

to peers in the time-pressured, easily distractible environment of a busy

ED. Tools to provide resident feedback and education in the context of Joint

Commission national Patient Safety Goals and ACGME expectations will be

reviewed, as will the assessment of resident competency with the handoff

process. Strategies for clear documentation of the time for transition of

care will also be explored.

Objectives:

• Describe best practices for what constitutes a good handoff.

• Define best practices for safe, complete resident handoffs.

• Describe best practices for effective feedback to residents after

handoffs have occurred.

May 14-18, 2013 | atlanta, GeorGia

13


PhotogrAPhy eXhiBit & viSuAl diAgnoSiS conteSt

There were 52 cases and photos submitted to the Program

Committee for consideration of presentation at the Annual Meeting.

Selected photos and cases will be displayed in two formats.

Medical students and residents will be invited to participate in

the Visual Diagnosis Contest. Winners in both medical student

and resident categories will be awarded a one-year membership

to SAEM, including a subscription to the Academic Emergency

Medicine Journal (AEM), free registration to attend the 2014 SAEM

Annual Meeting in Dallas, a major emergency medicine textbook,

and a subscription to the SAEM newsletter. Recipients will be

announced in the July/August issue of the SAEM newsletter.

“Clinical Pearls” photos will be displayed for the benefit of all

attendees. These photos will include a case history, as well as the

diagnosis and “take home” points. SAEM is proud to display original

photos of educational value and gratefully acknowledges the efforts

of the individuals who contributed to this year’s Clinical Pearls and

Visual Diagnosis Contest entries.

2013 SAEM MEdicAl PhotogrAPhy

Exhibit/ViSuAl diAgnoSiS contESt

Please join us for our annual exhibition of outstanding medical

photographic images, which will be on display throughout

the duration of our Annual Meeting in the main poster hall.

The images will be presented initially as case unknowns, with

challenging questions to answer for the viewer’s interest. If

desired, residents and medical students may enter answer

sheets for a contest that will reward the highest scoring entrant

in each category with a copy of the textbook, The Atlas of

Emergency Medicine, featuring over 1,500 high-quality medical

images. Entries for the contest will be accepted from May 15

at 8:00 am to May 16 at 4:00 pm, when the contest officially

closes. At this time, all answers for the case unknowns will be

posted alongside the images. Additionally, we will offer teaching

rounds for anyone interested, and our faculty volunteers will

“round” on the cases with participants at 4:00 pm on May 16,

9:00 am on May 17, and 3:00 pm on May 17, teaching on the

cases and answering questions along the way. We look forward

to seeing you at the exhibit this year!

14 Society for Academic Emergency Medicine

PHOTOgRAPHy ExHiBiT &

ViSuAl DiAgnOSiS PARTiciPAnTS

Brett Monroe MD

Baylor College of Medicine

Patrick Sullivan MD

Brown University/Rhode Island

Hospital

neha Raukar MD, MS, FAcEP

Brown University/Rhode Island

Hospital

nicholas caputo MD

Columbia University Medical Center

Elizabeth Dubey MD

Columbia University Medical Center

Sukru Ardic MD

Gulhane Military Medical Academy

ibrahim Arziman MD

Gulhane Military Medical Academy

Teymur caferov MD

Gulhane Military Medical Academy

M. Emre Kesim MD

Gulhane Military Medical Academy

Ken Adams MD

Lincoln Medical & Mental Health Center

lisa Moreno-Walton MD, MS, MScR

Louisiana State University

Marney gruber MD

Louisiana State University

ian c. May MD

Madigan Army Medical Center

gerald J. Hopkins MD

Madigan Army Medical Center

ian Wedmore MD

Madigan Army Medical Center

Suzanne Bialeck MD

Maimonides Medical Center

David Saloum MD

Maimonides Medical Center

lawrence Haines MD

Maimonides Medical Center

Steve c. christos DO, MS, FAcEP,

FAAEM

Resurrection Medical Center

Joseph grueter MD

Resurrection Medical Center

Suzanne Roozendaal MD

St. Luke’s University Health network

grant lipman MD

Stanford University School of Medicine

Eric ladd MD

Stanford University School of Medicine

Randy Barros MD

SUnY Upstate Medical University

nicholas E. nacca MD

SUnY Upstate Medical University

Brian T. Kloss MD

SUnY Upstate Medical University

Richard cantor MD

SUnY Upstate Medical University

Meenal Sharkey MD

The Ohio State University

Sarah greenberger MD

The Ohio State University

Maxwell Hill MD

The Ohio State University

Tapan Desai DO

Thomas Jefferson University

Masashi Rotte MD

Thomas Jefferson University

Van Ton MD

Thomas Jefferson University

Joseph Portale MD

Thomas Jefferson University

natalie Kreitzer MD

University of Cincinnati

Francisco Fernandez MD

University of Cincinnati

Jeremy Fried MD

University of Connecticut

Veronica Tucker DO

University of Connecticut

Joseph Shiber MD

University of Florida, Jacksonville

Emily Fontane MD

University of Florida, Jacksonville

Petra Duran MD, RDMS

University of Florida, Jacksonville

Brian Hawkins MD

University of Kentucky

Kelly Barnett MD

University of Kentucky

Zachary Dezman MD

University of Maryland

T. Andrew Windsor MD

University of Maryland

nicholas Daniel MD

University of nebraska

Brian Doane MD

University of Southern California

Shannon langston MD

Vanderbilt University Medical School

greg christiansen DO, Med, FAcOEP

Virginia Commonwealth University


Business Meeting ~ Wednesday, May 15, 2013

8:00 am - 12:00 pm

Vinings Room I on 6th Level

8:00 am - 9:30 am

General Business Meeting

9:30 am - 11:30 am

Presentation of the AAAEM

Annual Benchmark Survey Results

Panel discussion on how to use

data within your department,

hospital or clinical practice.

11:30 am - 12:00 pm

Wrap Up

For more information on how to

become a member of AAAEM

visit us www.saem.org

May 14-18, 2013 | atlanta, GeorGia

15


Our Mission

To promote equal access to

quality healthcare and the

elimination of disparities in

treatment and outcomes for

all groups regardless of race,

sexual orientation, disability,

or socioeconomic status

through education and

research

To enhance the retention and

promotion of those historically

underrepresented in

medicine and to create an

inclusive environment for the

training of emergency

medicine providers;

specifically using the AAMC’s

guide “to unite expertise,

experience, and innovation to

inform and guide the

advancement of diversity and

inclusion in emergency

medicine”

To enhance the professional

development of all EM faculty

and residents with respect to

culturally competent medical

care

Why is ADIEM important?

Although the U.S. population

continues to become more

diverse, ethnic and racial

health care disparities persist.

The benefits of a diverse

medical workforce have been

well described, but the

percentage of emergency

medicine residents from

underrepresented groups is

small and has not significantly

increased. ADIEM has

partnered in a more powerful

way with SAEM, working

towards the realization of our

common goals of diversifying

the physician workforce at all

levels, eliminating disparities

in health care and outcomes,

and insuring that all

emergency physicians are

delivering culturally

competent care.

Academy for Diversity and

Inclusion in Emergency Medicine

Dear friends,

16 Society for Academic Emergency Medicine

In ADIEM’s inaugural year, we are delighted to highlight our events for the SAEM

Annual Meeting. It is particularly meaningful for me as president of ADIEM and faculty

at Emory to welcome you to my home city of Atlanta. We are particularly pleased with

ADIEM’s didactics, including one that takes a historical look at diversity and inclusion

in emergency medicine in SAEM, and our groundbreaking didactic on LGBT health.

Our business meeting lends itself to

networking and sharing of ideas to expand our

mission of addressing cultural awareness for

all people. We had several submissions from

across the nation, and we look forward to

learning more and engaging in these very

important topics. The poster presentations

include “Barriers to the Emergency

Department Utilization of Interpreter Services”

and “Cultural Competencies in Emergency

Medicine: Caring for Muslim-American

Patients from the Middle East.”

Each year, we also honor and celebrate

SAEM members in several award categories.

This year’s winners are:

Marcus L. Martin Leadership Award

Dr. Lisa Moreno-Walton, LSU Health Science Center

Visionary Educator Award

Dr. Iris Reyes, Univ. of Pennsylvania’s Perelman SOM

Outstanding Academician Award

Dr. Jeffrey Druck, Univ. of Colorado

Outstanding Future Academician Award

Dr. Juron Foreman, Emory SOM

Lastly, another activity on the horizon in which several

ADIEM members participate is the upcoming conference

of the National Medical Association Section of

Emergency Medicine. Leaders of ACEP and AAEM will

be present at this event, scheduled to be held July

27-31 in Toronto, Canada. All are invited to participate in

a national discussion on health disparities with this

year’s focus on the obesity epidemic and how

emergency providers can be part of the solution. Visit

www.nmanet.org for more information.

Thank you for your commitment to and engagement in the

topics of diversity and inclusion in Emergency Medicine.

Sincerely,

Sheryl Heron, MD, MPH

President - ADIEM

www.saem.org : membership@saem.org

ADIEM Events at SAEM

Business meeting

(May 15 1:00 - 5:00 pm - Vinings Rm I [6th

floor])

Inaugural Didactic Presentations

(May 16 8:00 - 10:00 am -

International Rm B [6th floor])

“LGBT Health: Educating EM Physicians

to Provide Equitable and Quality Care”

“Disparities and Diversity in Emergency

Medicine: SAEM - Where are we now?”

NMA Annual Convention

and Scientific Assembly


All are invited to AGEM’s exciting slate of didactic and research presentations . . . . . . .

DIDACTIC PRESENTATIONS

Thursday, May 16 (Vinings II Room – 6 th DIDACTIC PRESENTATIONS

Thursday, May 16 (Vinings II Room – 6 Level)

th Floor)

8:00 - 9:00 am AGEM Business Meeting

9:00 - 10:00 am “Oncologic Emergency Medicine: An Emerging Subdiscipline?”

Knox H. Todd, MD, MPH

Professor and Chair; Department of Emergency Medicine, MD Anderson Cancer Center

10:00 - 11:00 am "Working with Your Institution to Geriatricize Your ED"

Kevin Biese MD, MAT, Associate Professor, Emergency Medicine Residency Director,

University of North Carolina

and

Ula Hwang, MD, MPH, Associate Professor of Emergency Medicine, Geriatrics, and

Palliative Medicine, Icahn School of Medicine at Mount Sinai

AGEM FEATURED PRESENTATION

11:00 am - 12:00 pm “Seeking AGEM Grant Support FEATURED from PRESENTATION

Foundations: Understanding Mission-Driven

11:00 am - 12:00 pm

Philanthropy”

“Seeking Grant Support from Foundations: Understanding Mission-Driven

Marcus

Philanthropy”

Escobedo, MPA

Program Officer, The John

Marcus

A. Hartford

Escobedo,

Foundation

MPA, Program

Officer, The John A. Hartford Foundation

Friday, May 17 (International Room D, 6 th Friday, May 17 (International Room D, 6 Level)

8:00 - 9:30 am “Informed Consent in Emergency Research – Pitfalls and Practical Pearls.”

Ula Hwang MD, MPH; Adit Ginde MD, MPH; Jin Han MD, MSc; Lynne Richardson, MD

th Floor)

8:00 - 9:30 am “Informed Consent in Emergency Research – Pitfalls and Practical Pearls.”

Ula Hwang MD, MPH; Adit Ginde MD, MPH; Jin Han MD, MSc; Lynne Richardson, MD

9:30 – 10:00 am “Models of Subspecialty Geriatric Emergency Departments – The Silver Tsunami: The

Top Ten Interventions for Establishing a Geriatric (-Friendly) ED”

Kathleen Walsh, MD

GERIATRICS-RELATED ORAL PRESENTATIONS

Wednesday May 15 11:00 am – 12:00 pm Geriatric Pain Oral Presentations (Atlanta G)

Thursday May 16 8:00 – 9:00 am Geriatrics Oral Presentations (Atlanta B)

Thursday May 16 12:00 – 1:00 pm Geriatric Trauma Oral Presentations (Atlanta A)

Friday May 17 9:00 – 10:00 am Geriatrics Lightning oral (Roswell 2)

Friday May 17 1:00 – 2:00 pm Geriatrics Lightning oral (Atlanta A)

AGEM is grateful for the support of the following institutions through AGEM group memberships:

May 14-18, 2013 | atlanta, GeorGia

17


Thursday, May 16

Thursday, May 16

AEUS small group meetings

(committee members only)

AEUS small group meetings

Room: Tower Room 1401

(committee members only)

Room: Tower Room 1401

8:00 -8:50 am REASON Trial

9:00 8:00 – -8:50 9:50 am am REASON EUSFellowships Trial

9:00 10:00 – – 9:50 10:50 am am EUSFellowships

AEUS Board Meeting

11:00 10:00 – 11:50 10:50 am International AEUS Board Meeting Subcommittee

11:00 12:00 – 11:50 12:50 pm am International Resident Subcommittee/Med

Subcommittee

Student

12:00 – 12:50 pm Resident Subcommittee/Med

Student 1:00– 1:50 pm Membership Subcommittee

2:00 1:00– – 1:50 2:50 pm Membership Social Media/Grants Subcommittee

2:00 – 2:50 pm Social Media/Grants

Friday, May 17

Friday, May 17

AEUS Business Meeting

AEUS Business Meeting

Room: Vinings Room I (6th floor)

8:00 am – 12:00 pm

Teaching in the Modern World: Social

Media, Apps and other technologies.

Panel of Experts on Tele-Ultrasound;

uses, challenges and solutions.

Pearls of Grant Writing

Awards and 2013-2014 BOD

introductions

AEUS Didactic Sessions

Room: International Rooms E-F (6th Room: Vinings Room I (6

floor)

1:00 – 3:00 pm

Controversies in Emergency Ultrasound:

The Debate Rages On

(1:00 – 1:50 pm)

Resident Education in Ultrasound: Meeting

the Milestone

(2:00 – 2:50pm)

th floor)

8:00 am – 12:00 pm

Teaching in the Modern World: Social

Media, Apps and other technologies.

Panel of Experts on Tele-Ultrasound;

uses, challenges and solutions.

Pearls of Grant Writing

Awards and 2013-2014 BOD

introductions

AEUS Didactic Sessions

Room: International Rooms E-F (6th floor)

1:00 – 3:00 pm

Controversies in Emergency Ultrasound:

The Debate Rages On

(1:00 – 1:50 pm)

Resident Education in Ultrasound: Meeting

the Milestone

(2:00 – 2:50pm)

www.saem.org/academy-emergency-ultrasound

www.saem.org/academy-emergency-ultrasound

18 Society for Academic Emergency Medicine

Activities 2013

Activities 2013

Saturday, May 18

Saturday, May 18

SonoGames 2013

SonoGames 2013

Room: Plaza Ballrooms A-B-C Combined

8:00 am – 12:00 pm

Join us for the 2nd Room: Plaza Ballrooms A-B-C Combined

8:00 am – 12:00 pm

Join us for the 2

annual SonoGames

and watch resident teams compete to be

the nation’s top sonologists.

All aspects of ultrasound competence will

be assessed, including image acquisition,

image interpretation, and incorporation

into clinical practice.

Will Boston Medical Center retain its title

of SonoChamps? Or will a new team claim

the Cup?

nd annual SonoGames

and watch resident teams compete to be

the nation’s top sonologists.

All aspects of ultrasound competence will

be assessed, including image acquisition,

image interpretation, and incorporation

into clinical practice.

Will Boston Medical Center retain its title

of SonoChamps? Or will a new team claim

the Cup?


22

2 0 1 3 S A E M A N N U A L M E E T I N G

AWAEM Didactics

The AWAEM Meeting Initiative Committee

has prepared a remarkable Didactic lineup

for the 2013 SAEM Annual Meeting.

These didactics include cutting-edge content,

nationally recognized speakers, and

stimulating formats.

AWAEM Annual Meeting

Tips & Tricks for Women

Navigating Academic EM

May 17, 8:00 am-12:00 pm

Vinings II (6th floor)

AGENDA

-AWAEM Business Meeting

- Navigating the Academic Compass,

Directions for

Success: An

invaluable 80

minute faculty

development

session for medical

students, residents

and faculty in all career stages that will

include six topics, moderated by

Jeannette Wolfe: 1) Pros and Cons of

Academic versus Private EM by Kinjal

Sethuraman; 2) Tips for Residents to

Jump Start their Academic Career by

Alyson McGregor; 3) Hitting the Ground

Up and Running: A Guide for the First

Two Years of Your Academic Career by

Stephanie Abbuhl; 4) Educator's Portfolio:

How to Stay Organized and On Track by

Gloria Kuhn; 5) Networking: Why, How

and Where to Connect with Peers and

Mentors in Academic EM by Bhakti

Hansoti; and 6) Possibilities, Pearls and

Pitfalls of Part Time Academics by

Jeannette Wolfe.

- Managing People in Academic

Emergency Medicine: Tools of the Trade

for New Investigators by Kinjal

Sethuraman

- Technology: How Women Can

Maximize Their Productivity by

Utilizing Social Media, A Social Media

Primer by Bhakti Hansoti

AWAEM Annual

Networking Luncheon &

Awards Presentation

May 17, 2013 12:00p-2:00p

Conference Room 1-2 (7th floor)

Mining the Hidden Science in Your

EM Research: Gender-Specific Study

Design and Analysis

May 18th, 8:00 – 9:30am

International Room C (6th floor)

Two hours of the SAEM Annual Meeting

have been designated for AWAEM’s

support of gender-specific emergency

medicine. This first didactic aims to

stimulate interest in research on genderspecific

medicine and understand the

challenges and solutions of performing

gender-based analyses. This

session will be a

moderated panel led

by Esther Choo. A

statistical expert,

Heemun Kwok, will

discuss a framework

for considering

relevant genderspecific

research questions within

diverse areas of emergency medicine

research and analytical strategies for

approaching the question of the impact

on gender on clinical outcomes. Two

additional EM researchers, Deborah

Diercks and David Wright, will

demonstrate how they have applied

these methods in their own work using

specific approaches and analytical

methods.

Gender-Specific Men’s Health –

Top 5 Plays of the Day

May 18th, 9:30-10:00am

International Room C (6th floor)

The second presentation in the SAEM

Annual Meeting will take the audience

through five physiologic systems using

the ESPN style of “Top 5 Plays of the

Day.” Each expert presenter, led by

Alyson

McGregor,

will update

the audience

on the top

genderspecific

EM

articles for

2012-13 and how they impact men’s

health. You will hear updates in

Cardiology with Basmah Safdar, Sports

Medicine with Neha Raukar, Traumatic

Injuries with Federico Vaca, Sepsis with

David Portelli and Neurologic

Emergencies with Nina Gentile. Hold

onto your hat! This fast paced program

will be sure to provide a stimulating

learning opportunity.

A big thank you to the

AWAEM Meeting

Initiative Committee,

led by Alyson McGregor,

with members Esther Choo,

Basmah Safdar, Julie Welch,

Jeannette Wolfe, Tracy Madsen,

and Preeti Jois.

May 14-18, 2013 | atlanta, GeorGia

19


20 Society for Academic Emergency Medicine

CDEM Programming for SAEM Annual Meeng 2013

Educators of all levels are encouraged to aend the following sessions

surrounding emergency medicine educaon.

Thursday, May 16, 2013

8:00 am - 12:00 pm CDEM Business Meeng

PT – 200 Conference Room 5 (7th Level)

8:00 – 9: 00 am Business Meeng

9:00 -11:00 am CORD Take-Aways: Highlights from CDEM at CORD that each Clerkship

Director must have

11:00 am -12:00 pm Networking Fair

Milestones for Medical Students (Stacy Poznanski, Wright State)

SLOR Update (SLOR Task Force)

Naonal Exam vs. CDEM Exam (Emily Senecal, Corey Heitz)

CDEM Iniaves Fair: CDEM Anyme Anywhere (Self-study modules,

iBooks, iTunes U), Social Media, CDEM Communicaons Commiee –

newsleer, Assessments in EM – SAEMTests/ ACE EM ACE, EM OSCE

Friday, May 17, 2013

8:00 - 8:50 am Educaonal Porolio: Your Secret Weapon for Promoon

Internaonal E-F combined (6th level)

9:00 - 9:50 am Good to Great: Effecve Feedback to Learners with Difficules

Internaonal E-F combined (6th level)

1:00 - 3:00 pm Educaonal Topics and Educaonal Research (Formally Best of CDEM)

Hugh A. Stoddard, M.Ed., Ph.D.

“Dr. Strangedata: or, how I learned to stop worrying and love

accreditaon"

1:00 pm How Good Are You, The LCME and ACGME Want to Know! Program

Assessment, Evaluaon and Improvement

Internaonal Room B (6th level)


Th e Globalization of Emergency Medicine Aff ects YOU

When you travel, do you want to be taken care of by professional emergency physicians? Do you want to know

they have had the right training? Do you want a good pre-hospital care system to take you to the right hospital?

All around the world, EM is emerging as a specialty. Working together, we can mutually strengthen our specialty.

GEMA (the Global Emergency Medicine Academy) of SAEM is YOUR VEHICLE to further academic emergency

medicine around the world.

Join us during our academy meeting

May 16, 2013

8:00 am - 12:00 pm

Vinings Room I (6th Level)

8:00 am - 9:30 am GEMA Business Meeting and Awards Ceremony

9:30 am -10:30 am GEMA Global EM Fellowships Showcase

10:30 am -10:45 am 2013 AEM Consensus Conference Highlights

10:45 am - 11:00 am Break/Refreshments

11:00 am - 12:00 pm How to Get Global EM-related Endeavors Published?

GEMA Didactic Sessions

May 17, 2013 -International Room E-F (6th level)

10:00 am - 10:50 am - Life and a Career in Global Health: Can You Have It

All?

11:00 am - 11:50 am - Th e Top 10 Global Emergency Medicine Articles from

2012: Highlights from the Global Emergency Medicine

Literature Review

May 14-18, 2013 | atlanta, GeorGia

21


Thursday, May 16, 2013 ~ 8:00 am - 12:00 pm

Conference Room 4 on 7th level

o 08:00 to 08:30 Simulaon Academy Board

o 08:30 to 10:00 Simulaon Academy Business Meeng

o 10:00 to 12:00 Didacc / Q & A Panel on Educaonal

Stascs

SIM WARS

Friday, May 17, 2013 ~ 8:00 am - 1:00 pm

Plaza Ballrooms A-B-C on 10th floor

An EMRA-sponsored educational program and an inter-disciplinary simulation competition

between healthcare providers.

22 Society for Academic Emergency Medicine

Your Simulation Academy is comprised of

emergency medicine physicians who are

committed to enhancing education, research,

and patient safety through the use of simulation

Didacc Descripon: The NAS Taskforce has been

working with stascians to create a data analysis plan

for simulaon-based milestones data. This panel

discussion will consider choice of analysis methods and

sample size consideraons. Topics include Classical

Reliability Tesng, Item Response Theory, and

Generalizability Theory. Strengths, drawbacks, and the

reasoning behind our evolving choices will be discussed

in a panel Q&A format, with brief didacc introducon

by Dr. Bruce Center PhD.


dAily Schedule – WedneSdAy, mAy 15, 2013

7:30 - 9:00 am

Academy Meeting

• Committee of Academy Leaders meeting (COAL)/

PT-200 conference Room

8:00 - 5:00 pm

Other Sessions

• Leadership Conference/PT-200 conference Room 3

• Grants Workshop/international H

• AEM Consensus Conference/Plaza Ballroom ABc

• CPC Finals/international Rooms B/c/D/E/F/g

• MERC sessions/international A

8:00 AM - 12:00 PM

Academy Meeting

• AAAEM Academy Business Meeting/Vinings i

9:30-11:30 Presentation of the AAAEM Annual Benchmark

Survey Results – Panel discussion on how to use data within your

department, hospital or clinical practice.

8:00 - 8:50 am

Didactics

• The Role of Electroencephalography and of Reduced Lead EEG in

the Emergency Department/Peachtree A & B

Jay Brenner MD, Ed Michelson MD

• How to Effectively Supervise and Teach Residents:

Entrustment and Autonomy/Peachtree c

Bill Bassin MD, Sally Santeen MD, Katie Saxon MD, Meg Wolff MD

• In the Middle: non Physician Providers in the Emergency

Department/Peachtree D

Henderson McGinnis MD, Jeff Hinshaw PA,

Randy Howell DO, FACOEP

• Development of Clinical Decision Instruments in Emergency

Medicine/Peachtree E

Robert Rodriguez MD, James Holmes MD,

Nate Kuppermann MD, PhD, William Mower MD, PhD

9:00 - 9:50 am

Didactics

• ED-Based Critical Care Resident Rotations & Experiences

as Opportunities for Teaching Critical Care in the Emergency

Department/Peachtree A & B

Kevin Ferguson MD, Lillian Emlet MD,

Robert Sherwin MD, FACEP, FAAEM, Scott Wiengart MD

• Impact of the 2010 AHA Post-Cardiac Arrest Care Guidelines:

Assessing Knowledge Translation & Implementation/Peachtree D

Kelly Sawyer MD, MS, Teresa Camp-Rogers MD, MS,

Michael Kurz MD, MS-HES

9:00 - 10:00 am

Abstracts

• Pediatric Abdominal Pain/Presentation # 7-10/Atlanta A

Moderator: Nathan Kuppermann MD, MPH

• Hemorrhagic Shock/Presentation # 19-22/Atlanta g

Moderator: Michael Gibbs MD

• Measures for Emergency Medicine/Presentation # 23-28/Atlanta B

Moderator: Jeremiah D. Schuur MD

• Congestive Heart Failure and Dyspnea/

Presentation # 29-34/Atlanta c & D

Moderator: Alan B. Storrow MD

Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.

• Emergency Medical Services/Presentation # 35-40/Roswell 1

Moderator: Michael Runyon MD

• Toxicology/Presentation # 41-46/Roswell 2

Moderator: Ed Otten MD

9:00 - 10:20 am

Didactics

• not Another Boring Lecture:

Five Ways to Spice Up Your Didactics!/Peachtree c

Meg Wolff MD, Mary Jo Wagner MD,

Sally Santen MD, PhD, Stacey Poznanski MD

• Introduction to Statistics/Peachtree E

Roger Lewis Harbor MD, PhD

9:00 - 11:00 am

Abstracts

• Ultrasound/Presentation # 11-18/Atlanta E & F

Moderator: James H. Moak MD

10:00 - 10:50 am

Didactics

• The Current State of Critical Care Fellowship Training for

Emergency Medicine Residency Graduates/Peachtree A & B

Kevin Ferguson MD, Andrea Gabrielli MD,

Jay Menaker MD, Mike Winters MD

• Fulfilling the Residency Educational Mission at Independent

Academic Medical Centers/Peachtree D

Arvind Venkat MD, Moira Davenport MD,

Gus Garmel MD, Eric Katz MD

10:00 - 11:00 am

Abstracts

• STEMI/Presentation # 73- 76/Atlanta g

Moderator: Deborah B. Diercks MD

• Clinical Efficiency/Presentation # 87-92/Roswell 2

Moderator: Richard Zane MD

10:00 - 12:00 pm

Abstracts

• Radiology/Presentation # 47-55/ Atlanta A

Moderator: Ali S. Raja MD, MPH, MBA

• Traumatic Brain Injury/Presentation # 56-63/Atlanta B

Moderator: Opeolu Adeoye MD

• Acute Coronary Syndromes/Presentation # 64-72/Atlanta c & D

Moderator: Chad E. Darling MD

• Pediatrics/Presentation # 77-85, 817, 834/Roswell 1

Moderator: Brent R. King MD

10:30 - 11:50 am

Didactics

• Systems Milestones for Academic Programs:

Moving from novice to Expert/Peachtree c

Felix Ankel MD, Robin Hemphill MD, Sally Santen MD, PhD

• Team Science in Research:

What is the Role of Emergency Medicine?/Peachtree E

Chadwick Miller MD, MS, Roger Lewis MD, PhD,

Alan Storrow MD, Gregory Fermann MD

May 14-18, 2013 | atlanta, GeorGia

23


11:00 - 11:50 am

Didactics

• Advances in EMS Education for Residents/Peachtree A & B

Michael Hilton MD, David Cone MD, Jonathan Fisher MD, MPH,

Christian Martin-Gill MD, MPH

• The non-Quantitative Aspect of Resident Training in the

Community ED/Peachtree D

Michael Hochberg MD, Al Sacchetti MD,

Kevin Klauer MD, Chad Kessler MD

11:00 - 12:00 pm

Abstracts

• Critical Care/Presentation # 93-96 Atlanta E & F

Moderator: Robert Rodriguez MD

• Geriatric Pain/Presentation # 97-100/Atlanta g

Moderator: Robert Woolard MD,

• Accelerate Your ED/Presentation # 101-106/Roswell 2

Moderator: David F. Brown MD

1:00 - 1:50 pm

Didactics

• Thriving in the Wilderness: What Wilderness Medicine Fellowship

Applicants and Directors need to Know/Peachtree A & B

N. Stuart Harris MD, MFA, Tracy Cushing MD, MPH

• Investigator Initiated Research without an Existing Research

Infrastructure: How to Succeed in Any Practice Setting/Peachtree D

John Cienki MD, MSPH, Robert J Hoffman MD,

Brigitte Baumann MD, MSCE, Judd Hollander MD

• Asking the Question that Clinicians Want Answered within an

Adaptive Comparative Effectiveness Trial/Peachtree E

William Meurer MD, MS, Jason Connor PhD, Roger Lewis MD, PhD

1:00 - 2:00 pm

Abstracts

• Health Services Research/Presentation # 107-110/ Atlanta A

Moderator: Keith E. Kocher MD

• Clinical Decision Rules/Presentation # 111-114/Atlanta c & D

Moderator: Ian G. Stiell MD

• Critical Care/Presentation # 115-118/Atlanta E & F

Moderator: Michael Gibbs MD

• Renal Colic/Presentation # 119-122/Atlanta g

Moderator: Romolo Gaspari MD

• Learning Styles/Presentation # 123-128/Roswell 2

Moderator: Brandon Maughan MD, MHS

• Imaging in Trauma/Presentation # 129-134/Atlanta B

Moderator: Greg Hendey MD

• Triage/Presentation # 135-140/Roswell 1

Moderator: Gabor Kelen MD

1:00 - 2:20 pm

Didactics

• Taking Advantage of the Teachable Moment: A Workshop for

Efficient, Learner-Centered Clinical Teaching/Peachtree c

Todd Guth MD, Elise Lovell MD, Sneha Shah MD, Mike Epter DO

1:00 - 5:00 pm

Poster Session

(Posters will be attended by authors from 2:00-4:00)

• Presentation # 141-263/200 gallery -level 6

Academy Meeting

ADIEM Academy Business Meeting/Vinings i

24 Society for Academic Emergency Medicine

WedneSdAy, mAy 15, 2013

2:00 - 2:50 pm

Didactics

• From the Bleachers to the Sidelines: Careers and Opportunities in

Sports Medicine/Peachtree A & B

Jeffrey Feden MD, Daniel Garza MD, Moira Davenport MD

• Creating a Successful Research Assistant Program in Your

Emergency Department/Peachtree D

Daniel Keyes MD, MPH, Ed Panacek MD, MPH,

Judd Hollander MD, Daniel Pallin MD, MPH

• Real Strategies for Quasi-Experiments: How to Identify Causation

Using non-Randomized Data/Peachtree E

Lisa Schweigler MD, MPH, MS, Jason Haukoos MD, MSc,

Christopher Kabrhel MD, MPH

2:30 - 3:50 pm

Didactics

• Is the Patient Safe? Assessing Procedural Competence/Peachtree c

Laura Hopson MD, Suzanne Dooley-Hash MD, Doug Ander MD,

Ernest Wang MD

3:00 - 3:50 pm

Didactics

• The Business of EM: Defining Productivity/Peachtree D

Michael Hochberg MD, Brent King MD,

Richard Zane MD, Kirsten Rounds RN, MS

• An Introduction to Qualitative Methods in Emergency Medicine

Research/Peachtree E

Jeremiah Schuur MD, MHS, Karin Rhodes MD, MS,

Adam Landman MD, MS, MIS

3:00 - 4:20 pm

Didactics

• How to Become a Trailblazer: Perspectives of Resident Innovators/

Peachtree A & B

Marie Vrablik MD, Carey Chisholm MD, Jonathan Heidt MD,

Karen Lind MD, Shereaf Walid MD

4:00 - 5:00 pm

Abstracts

• Cardiac Risk Stratification/Presentation # 264-270/ Atlanta A

Moderator: Andra L. Blomkalns MD

• Psychiatry/Presentation # 271-275/Atlanta B

Moderator: Rebecca Cunningham MD

• Trauma Resuscitation/Presentation # 276-281/Atlanta c & D

Moderator: Eric Legome MD

• Ultrasound/Presentation # 282-287/ Atlanta E & F

Moderator: Romolo Gaspari MD

• Toxicology/Presentation # 288-293/Atlanta g

Moderator: Aaron Skolnik MD

• Clinical Decision Rules/Presentation # 294-297/Roswell 1

Moderator: Michael Brown MD, MSc

• Training Competencies/Presentation # 298-303/ Roswell 2

Moderator: Jeffrey Love MD

4:30 - 6:30 pm

Event

• Cocktails and Dreams Reception/carnegie Foyer

5:30 - 8:00 pm

Event

• CPC Reception/Augusta Room 1-2

Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.


tueSdAy - WedneSdAy, mAy 14-15, 2013

The Following SAEM committees/interest groups/Task Forces

will nOT be meeting at the 2013 Annual Meeting in Atlanta:

• Constitution & Bylaws Committee • Fellowship Certification Task Force • CPR/Ischemia/Reperfusion Interest Group

• Observational Medicine Interest Group • Palliative Medicine Interest Group

• Quality Medical Management Interest Group • Uniformed Services Interest Group

Tuesday, May 14, 2013 – SAEM and committee/Task Force/Academy interest group/Board Meetings

8:00am-5:00pm SAEM BOD Meeting Executive Boardroom (6th Level)

4:00-5:00pm SAEM PC Sub-Committee Meeting TBD

Tuesday, May 14, 2013 – Affiliated Meetings

7:00am-5:00pm ABEM- EM Model Review Task Force PT-200 Conference Room 1 (7th Level)

9:00am-5:00pm EMRA BOD Meeting PT-200 Conference Room 2 (7th Level)

Wednesday, May 15, 2013 – SAEM and committee/Task Force/Academy interest group/Board Meetings

7:00-8:00am PC Daily Meeting PT-200 Conference Room 5 (7th Level)

7:30-9:00am SAEM Committee of Academy Leaders meeting (COAL) PT-200 Conference Room 4 (7th Level)

8:00am-12:00pm AAAEM Academy of Administrators in

Academic Emergency Medicine-Business Meeting Vinings Room I (6th Level)

9:00-10:00am SAEM Social Media Committee Meeting Tower Room 1401 (14th Level)

9:00-10:00am SAEM Disaster Medicine Interest Group Meeting Tower Room 1201 (12th Level)

9:30-11:00am SAEM/ABEM Ex. Committee Meeting Ex. Board Room (6th Level)

11:30am-1:00pm SAEM Faculty Development Committee Meeting Tower Room 1401 (14th Level)

1:00-2:00pm SAEM Development Committee Meeting Tower Room 1207 (12th Level)

1:00-2:30pm SAEM Evidence Based Medicine Interest Group Meeting Tower Room 1403 (14th Level)

1:00-2:30pm SAEM CBAPO Task Force Meeting Tower Room 1401 (14th Level)

1:00-5:00pm ADIEM Academy for Diversity & Inclusion in

Emergency Medicine- Business Meeting Vinings Room I (6th Level)

2:00-3:00pm SAEM External Collaboration Committee Meeting Tower Room 1208 (12 Level)

2:00-3:00pm SAEM International Outreach TF Meeting Tower Room 1402 (14th Level)

2:00-3:30pm SAEM Academic Informatics Interest Group Meeting Tower Room 1404 (14th Level)

2:30-3:30pm SAEM Trauma Interest Group Meeting Tower Room 1403 (14th Level)

5:00-6:00pm SAEM neurologic Emergencies Interest Group Meeting Tower Room 1407 (14th Level)

Wednesday, May 15, 2013 – Affiliated Meetings

8:00am-5:00pm neurological Emergencies Treatment Trials nett Collaborative Meeting Tower Room 1408 (12th Level)

9:00am-12:00pm EMRA BOD meeting Tower Room 1203 (12th Level)

1:30-2:30pm EMRA Committee Chair/Vice Chair Orientation Tower Room 1204 (12th Level)

1:30-2:30pm EMRA Regional Representative Committee Tower Room 1205 (12th Level)

1:30-5:30pm EMRA Medical Student Governing Council Tower Room 1206 (12th Level)

2:30-3:00pm EMRA Conference Committee Orientation Meeting Augusta Room 3 (7th Level)

3:00-4:00pm EMRA Reference Committee Public Hearing Augusta Room 3 (7th Level)

3:00-6:00pm national HIV Testing Consortium Meeting Tower Room 1201 (12th Level)

4:00-5:00pm EMRA Reference Committee Work Meeting Augusta Room 3 (7th Level)

4:00-5:30pm EMRA Quiz Show Contest PT-200 Conference Room 5 (7th Level)

4:00-6:00pm EMCREG-International Steering Committee- By Invitation Only Tower Room 1208 (12th Level)

6:30-9:30pm U of M Society for Academic EM Dinner - By Invitation Only PT-200 Conference Room 2-3 (7th Level)

May 14-18, 2013 | atlanta, GeorGia

25


dAily Schedule – thurSdAy, mAy 16, 2013

7:00 - 9:30 am

Other Session

• Resident Leadership Forum: in AM joint session/

PT-200 conference Room 2

8:00 - 8:50 am

Didactics

• LGBT Health: Educating EM Physicians to Provide Equitable and

Quality Care. Academy Sponsored - ADIEM/ international B

Paul Krieger MD, Joel Moll MD, Thea James MD,

Ellen Slaven MD, Ted Corbin MD

• Future Directions in Electrocardiography in Acute Coronary

Syndromes/international c

Stephen Smith MD

• Choosing a High-Impact Resident or Student Quality Improvement

Project and Getting it Published/Plaza Ballroom A

Jeremiah Schuur MD, MHS, John J. Kelly DO, FACEP,

Arjun Venkatesh MD, MBA

• Careers & Opportunities at the CDC/Plaza Ballroom B

Kevin Munjal MD, MPH, David Sugerman MD, MPH,

Samuel Graitcer MD

8:00 - 9:00 am

innovations

• Didactics Spotlight/Presentation # 8-11/ Atlanta H

Abstracts

• Geriatrics/Presentation #304-307/Atlanta B

Moderator: Christopher R. Carpenter MD

• Clinical Efficiency/Presentation #324-327/Atlanta g

Moderator: Tom Scaletta MD

• Atrial Fibrillation/Presentation # 328-333/Atlanta A

Moderator: Richard Summers MD

• IV Access/Presentation # 334-339/Roswell 1

Moderator: Alexander T. Limkakeng

• Disaster Management/Presentation # 340-344/Roswell 2

Moderator: Richard Zane MD

8:00 - 10:00 am

Abstracts

• Sepsis/Presentation #308-315/Atlanta c & D

Moderator: Emanuel Rivers MD, MPH

• Therapeutic Hypothermia/Presentation #316-323/Atlanta E & F

Moderator: Stephen Trzeciak MD

8:00 am - 12:00 pm

innovations

• Innovations Exhibits/Presentation # 1-7, 11/200 gallery -level 6

Posters

• Presentation # 366-490/200 gallery -level 6

Innovations Exhibits and Posters will be attended by

authors from 10:00am-12:00pm

Academy Meeting

• SIM Academy Business Meeting/PT-200 conference Room 4

8:00am-12:00pm (7th Level)

8:00-8:30am Simulation Academy Board

8:30-10:00am Simulation Academy Business Meeting

10:00am-12:00pm Didactic / Q&A Panel on Educational

Statistics

26 Society for Academic Emergency Medicine

• CDEM Business Meeting/PT-200 conference Room 5

8:00-9:00am Business Meeting / Awards

9:00-11:00am CORD Highlights

Milestones for Medical Students

SLOR Update

national Exam vs CDEM Exam

11:00am-12:00pm networking Fair:

CDEM Initiatives Fair: CDEM Self-study

Modules

Twitter

CDEM newsletter

Exam

• AGEM Business Meeting/Vinings ii

8:00 - 9:00am AGEM Business Meeting

9:00 - 10:00am Oncologic Emergency Medicine:

An Emerging Subdiscipline?

10:00 - 11:00am Working with Your Institution to

Geriatricize Your ED

11:00am - 12:00pm Seeking Grant Support from Foundations:

Understanding Mission-Driven Philanthropy

• GEMA Business Meeting/Vinings i

8:00 - 9:30am GEMA Business Meeting and Awards Ceremony

9:30 -10:30am GEMA Global EM Fellowships Showcase

10:30 -10:45am 2013 AEM Consensus Conference Highlights

10:45 -11:00am Break/Refreshments

11:00am -12:00pm How to Get Global EM-related

Endeavors Published?

9:00 - 9:50 am

Didactics

• Disparities & Diversity in Emergency Medicine: SAEM -

Where Are We now? Academy Sponsored -ADIEM/international B

Sheryl Heron MD, MPH, Marcus Martin MD,

Michelle Biros MS, MD, Lynne Richardson MD

• Harnessing the Emergency Medicine Perspective: Emphasizing

Key Differences Between Adult and Pediatric Chief Complaints

to Enhance Resident Training in Pediatric Emergency Medicine/

international c

Jeffrey Hom MD, MPH, Robert Cloutier MD, MCR

• The War on MRSA: Lessons for Success in Planning, Funding, and

Executing Clinical Research in Infectious Diseases/Plaza Ballroom B

Daniel Pallin MD, MPH, Jeremiah Schuur MD, MS, David Talan MD

9:00 - 10:00 am

innovations

• Technology Spotlight/Presentation # 12-15/Atlanta H

Abstracts

• Abdominal Pain in Adults/Presentation # 356-360/Atlanta A

Moderator: Brigitte M. Baumann MD, MSCE

• Sickle Cell Management in the Emergency Department/

Presentation # 361-365/Roswell 2

Moderator: Jeffrey A. Glassberg MD

• Out of Hospital Telemedicine/Presentation # 345-348/Atlanta B

Moderator: Steven Horng MD

• Anticoagulants/Presentation # 349-352/Atlanta g

Moderator: Daniel K. Nishijima MD

• AEM Consensus Conference on Global Health/

Presentation # 353-355/Roswell 1

Moderator: Jon Mark Hirshon MD

Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.


9:00 - 10:20 am

Didactics

• The Inside Scoop: Background Information and Tips on Using the

Large national Datasets Provided by nCHS and HCUP, including

nHAMCS and nE/Plaza Ballroom A

Lisa Schweigler MD, MPH, MS, Brendan Carr MD, MS

Linda McCaig MPH, Ryan Mutter PhD,

Stephen Pitts MD, MPH, Emilie Powell MD, MS, MBA

10:00 - 11:20 am

Didactics

• navigating the AMA Discharge - Case Studies/international B

Mark Clark MD, James Adams MD

• The Great Pediatric Sedation Debate!/international c

Amy Drendel DO, MS, Frank Petruzella MD, Patrick Solari MD,

Rakesh Mistry MD, MS, Robert Kennedy MD

• Minimizing the Pain of Maximizing Pain Relief: Strategies for

Emergency Physicians To Treat Pain Safely/Plaza Ballroom B

Lewis Nelson MD, Jeanmarie Perrone MD, Edward Boyer MD, PhD,

Robert Hendrickson MD

10:00 am - 2:00 pm

Other Session

• Resident Leadership Forum: Chief Resident Forum Track (Lunch)/

international E-F

• Resident Leadership Forum: Resident Academic Track

international D

10:30 - 11:50 am

Didactics

• Can We Trust Clinical Practice Guidelines?/Plaza Ballroom A

Eddy Lang AB, Michael Brown MD, MSc, Francis Fesmire MD,

Clifton Callaway MD, PhD

11:30 am - 12:50 pm

Didactics

• Challenging the Physician-Patient Relationship: negotiating

Deception, Manipulation, and Medical Mistakes/international B

Joel Moll MD, Jean Abbott MD, MPH,

Tammie Quest MD, Mark Clark MD

• We All Make Mistakes - But What Do You Do Afterwards?/

international c

Robert Wears MD, MS, PhD, Kathleen Lanava MD, Albert Wu MD,

MPH, Terry Fairbanks MD, MS

• Building Blocks for Establishing Hospital-Based Violence

Intervention Programs in (Your) Emergency Departments/

Plaza Ballroom B

Thea James MD, Theodore Corbin MD, Rochelle Dicker MD

12:00 - 12:50 pm

Didactics

• Optimizing Electronic Health Records in an Academic Emergency

Department: The Administrative and Informatics Perspective/

Plaza Ballroom A

Daniel Handel MD, MPH, Kevin Baumlin MD, Nicholas Genes MD,

PhD, Mark Moseley MD, MHA

Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.

thurSdAy, mAy 16, 2013

12:00 - 1:00 pm

innovations

• Medical Student Spotlight/Presentation # 3, 16-18 /Atlanta H

Abstracts

• Milestones in Training/Presentation # 491-494/Atlanta B

Moderator: Christopher Ross MD

• Patient Communication/Presentation #495-498 /Atlanta c & D

Moderator: Emilie Powell MD, MS, MBA

• Geriatric Trauma/Presentation # 499-502 /Atlanta E & F

Moderator: Timothy F. Platts-Mills MD

• Ischemic Conditioning/Presentation # 503-506 /Atlanta g

Moderator: Daniel J. Pallin MD, MPH

• Emergency Department Quality/Presentation # 507-512 /Atlanta A

Moderator: Arjun K. Venkatesh MD

• Undergrad Education/Presentation # 513-518 /Roswell 1

Moderator: Lorraine Thibodeau MD

• Prehospital CPR/Presentation # 519-524 /Roswell 2

Moderator: Jane Brice MD

2:00 - 3:00 pm

Keynote

Thomas Frieden, Director

- Centers for Disease Control and Prevention/Plaza Ballroom ABc

3:30 - 5:00 pm

Plenary

• Presentations # 1-7/Plaza Ballroom ABc

Moderator: David Cone MD

• Voices from the Past Informing the Future of Academic

Emergency Medicine: Brian zink MD/Plaza Ballroom ABc

5:30 - 7:00 pm

Event

• Opening Reception and Gallery of Excellence/grand Atrium

May 14-18, 2013 | atlanta, GeorGia

27


thurSdAy, mAy 16, 2013

Thursday, May 16, 2013 – SAEM and committee/Task Force/Academy interest group/Board Meetings

7:30-8:00am PC Daily Meeting International Room H (7th Level)

8:00-9:00am SAEM Consultation Services Committee Meeting Tower Room 1202 (12th Level)

8:00-10:00am Ex. Leadership of EM Organizations-By Invitation Only Tower Room 1201 (12th Level)

8:00am-12:00pm AEM CC 2014 Planning Meeting Tower Room 1205 (12th Level)

8:00am-12:00pm AGEM Academy of Geriatric Emergency Medicine-Business Meeting Vinings Room II (6th Level)

8:00am-12:00pm CDEM Clerkship Directors in Emergency Medicine -Business Meeting PT-200 Conference Room 5 (7th Level)

8:00am-12:00pm GEMA Global Emergency Medicine Academy-Business Meeting Vinings Room I (6th Level)

8:00am-12:00pm SIM Simulation Academy - Business Meeting PT-200 Conference Room 4 (7th Level)

9:00-10:30am SAEM Public Health Interest Group Meeting Tower Room 1207 (12th Level)

10:30-11:30am SAEM ED Crowding Interest Group & Clinical Directors

Interest Group Meeting Tower Room 1202 (12th Level)

11:00am-12:00pm SAEM EM Medical Education Research IG Meeting Tower Room 1204 (12th Level)

11:00am-12:30pm SAEM Research Committee Meeting Tower Room 1203 (12th Level)

11:00am-12:30pm SAEM Research Directors Interest Group Meeting Tower Room 1206 (12th Level)

12:00-1:00pm SAEM EMS Interest Group Meeting Tower Room 1204 (12th Level)

12:00-1:00pm SAEM Medical Toxicology Interest Group Meeting Tower Room 1205 (12th Level)

12:00-1:30pm AEM Reviewers Lunch International Room H (7th Level)

12:30-1:30pm SAEM Health Services & Outcomes Interest Group Meeting Tower Room 1404 (14th Level)

12:30-2:00pm SAEM Grants Committee Meeting Tower Room 1206 (12th Level)

1:00-2:00pm SAEM Pediatric EM Interest Group Meeting Tower Room 1204 (12th Level)

5:00-7:00pm International EM Fellowship Consortium Meeting Tower Room 1206 (12th Level)

6:00-10:00pm AACEM Dinner-By invitation Only Commerce Club

Thursday, May 16, 2013 – Affiliated Meetings

8:00-8:30am EMRA Rep. Council Welcome Breakfast & Registration Augusta Room 1-2 (7th Level)

8:00am-5:00pm AAEM/RSA Board of Directors Meeting Tower Room 1408 (12th Level)

8:00am-5:00pm CORD Committee Meetings Tower Room 1403 (12th Level)

8:00am-12:00pm Physio-Control Usability Interviews- By Invitation Only Tower Room 1402 (12th Level)

8:30am-12:00pm EMRA Rep Council Meeting & Town Hall Augusta Room 1-2 (7th Level)

10:30-11:30am ACEP Joint Milestones Task Force Meeting Tower Room 1208 (12th Level)

11:00am-2:00pm WestJEM Advisory Board and Educational Meeting - By Invitation Only Tower Room 1406 (12th Level)

11:30am-2:00pm ABEM/ACEP Officer’s Meeting Executive Boardroom (6th Level)

12:00-1:00pm EMRA Rep Council Lunch Augusta Room 3 (7th Level)

12:00-1:30pm ACEP Research Forum Meeting Tower Room 1208 (12th Level)

12:00-2:30pm Emergency ID net Investigators Meeting -By invitation only Tower Room 1207 (12th Level)

1:30-3:30pm EMRA International Committee Augusta Room 1 (7th Level)

1:30-3:30pm EMRA Health Policy Committee Augusta Room 2 (7th Level)

1:30-3:30pm EMRA Research Committee Meeting Tower Room 1201 (12th Level)

1:30-3:30pm EMRA Critical Care Committee Meeting Tower Room 1202 (12th Level)

1:30-3:30pm EMRA Technology Committee Meeting Tower Room 1203 (12th Level)

3:30-5:30pm EMRA Awards Committee Tower Room 1201 (12th Level)

3:30-5:30pm EMRA EMS Committee Meeting Tower Room 1202 (12th Level)

3:30-5:30pm EMRA Wilderness Medicine Committee Meeting Tower Room 1203 (12th Level)

3:30-5:30pm EMRA EM Resident Advisory Committee Meeting Tower Room 1204 (12th Level)

3:30-5:30pm EMRA Education Committee Meeting Augusta Room 1 (7th Level)

3:30-5:30pm EMRA Ultra Sound Committee Meeting Tower Room 1207 (12th Level)

28 Society for Academic Emergency Medicine


dAily Schedule – fridAy, mAy 17, 2013

8:00 - 8:50 am

Didactics

• Diagnostic Imaging and Radiation Exposure: How Much is

Too Much?/international B

Jennifer Marin MD, MSc, Angela Mills MD,

Kimberly Applegate MD, MS

• Preventing Opioid Analgesic Overdose Among ED Patients/

international c

Edward Boyer MD, PhD, Kavita Babu MD

• Educational Portfolio: Your Secret Weapon for Promotion/

Academy Sponsored - CDEM/international E-F

Corey Heitz MD, Gloria Kuhn DO, PhD, Douglas Ander MD

8:00 - 9:00 am

innovations

• Oral Presentations/Presentation #19-22/Atlanta H

Abstracts

• Pain Management/Presentation #525-528/Atlanta B

Moderator: Sergey M. Motov MD

• Patient Informed Consent/Presentation #536-539/Atlanta g

Moderator: Daniel J. Pallin MD, MPH

• Academic Emergency Medicine/Presentation # 540-545/Atlanta A

Moderator: Susan Promes MD

• novel Cardiovascular Ideas/Presentation #546-551/Atlanta c & D

Moderator: Chad E. Darling MD

• Injury Prevention/Presentation #552-557/ Roswell 1

Moderator: Megan Ranney MD

• Emergency Department Discharge/

Presentation #558-563/Roswell 2

Moderator: Ziad Obermeyer MD

8:00 - 9:20 am

Didactics

• Informed Consent in Emergency Research - Pitfalls and Practical

Pearls. Academy Sponsored - AGEM/international D

Ula Hwang MD, MPH, Adit Ginde MD, MPH,

Jin Han MD, MSc, Lynne Richardson MD

8:00 - 10:00 am

Abstracts

• Ultrasound/Presentation # 529-535/Atlanta E & F

Moderator: David J. Blehar MD

Other Session

• EuSEM Session/PT-200 conference Room 3

Overcrowding in EDs: What Are the Solutions in Europe?

Eric Revue

Organisation of STEMI Care: What Is the Difference between

USA and Europe?

Abdel Bellou

Evolution of Mortality of Acute Heart Failure in Europe :

Said Laribi

Policy on Quality Metrics in Emergency Medicine in Europe :

Nathalie Flacke

Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.

8:00 am - 12:00 pm

innovations

• Innovations Exhibits/Presentation #23-28/200 gallery -level 6

Poster Session

• Presentation #155, 236, 594-717/200 gallery -level 6

Innovations Exhibits and posters will be attended by

authors from 10:00 am - 12:00 pm

Academy Meeting

• AWAEM Business Meeting/Vinings ii

• AEUS Business Meeting/Vinings i

8:00 am - 1:00 pm

Other Sessions

• SIM WARS/Plaza Ballroom ABc

8:00 am - 3:00 pm

Other Sessions

• Residency & Fellowship Fair/grand Atrium

• Junior Faculty Forum/PT-200 conference Room 5

9:00 - 9:50 am

Didactics

• Mapping the Path for Current and Future Research for Safe,

Effective, and Appropriate Trauma Imaging/international B

Kaushal Shah MD, Michael Gibbs MD, Ian Stiell MD,

Eric Legome MD, Ali Raja MD, MPH, MBA

• Good to Great: Effective Feedback to Learners with Difficulties.

Academy Sponsored - CDEM/international E-F

Sorabh Khandelwal MD, Marcia Perry MD,

Sally Santen MD, PhD, Lalena Yarris MD, MCR

9:00 - 10:00 am

innovations

• Oral Presentations/Presentation #29-32/Atlanta H

Abstracts

• Frequent Emergency Department Users/

Presentation #572-577/Atlanta A

Moderator: Martin Reznek MD, MBA, FACEP

• neurology/Presentation # 578-583/Atlanta g

Moderator: Edward Jauch MD, MS

• Pediatric Decision Tools/Presentation #584-587/Roswell 1

Moderator: Michele Nypaver MD

• Geriatrics/Presentation #588-563/Roswell 2

Moderator: James Miner MD

• Pain Management/Presentation #564-567/ Atlanta B

Moderator: Sergey M. Motov MD

• Coronary Angiograph/Presentation # 568-571/Atlanta c & D

Moderator: Judd Hollander MD

9:00 - 10:20 am

Didactics

• Identifying the Value of Emergency Care in the

Climate of Health Reform/international c

Keith Kocher MD, MPH, MPhil, Arthur Kellermann MD, MPH,

Brent Asplin MD, MPH, Jeremiah Schuur MD, MHS,

Adam Sharp MD, MS

May 14-18, 2013 | atlanta, GeorGia

29


9:30 - 9:50 am

Didactics

• Models of Subspecialty Geriatric Emergency Departments.

Academy Sponsored - AGEM/international D

Kathleen Walsh DO, MS, Mark Rosenberg MD, Knox H. Todd MD

10:00 - 10:50 am

Didactics

• Where is the Evidence III: Common Pediatric Infections in

Emergency Medicine/international D

Rakesh Mistry MD, MS, Todd Florin MD, MSCE

• Life and a Career in Global Health: Can You Have It All?

Academy Sponsored - GEMA/ international E-F

Bhakti Hansoti MD, Stephanie Kayden MD, MPH,

Tracy Sanson MD, Bobby Kapur MD, MPH

10:00 am - 12:00 pm

Other Session

• Best of CORD/international B

10:30 - 11:50 am

Didactics

• Policy Change 101: A How-To Primer for Emergency Physicians/

international c

Lauren Hudak MD, MPH, Megan Ranney MD,

Art Kellerman MD, MPH, Sara Patterson MA

11:00 - 11:50 am

Didactics

• Emergency Department Evaluation and Management of Pediatric

Concussion and Mild Traumatic Brain Injury/international D

Mark Zonfrillo MD, MSCE, Rachel Bengtzen MD

• The Top 10 Global Emergency Medicine Articles from 2012:

Highlights from the Global Emergency Medicine Literature Review.

Academy Sponsored - GEMA/international E-F

Gabrielle Jacquet MD, Adam Levine MD, MPH

1:00 - 1:50 pm

Didactics

• Pediatric Airway Management in the 21st Century:

Muddling to Mastery/international D

Nathan Mick MD, Joshua Nagler MD, Aaron Donoghue MD

• Controversies in Emergency Ultrasound: The Debate Rages On.

Academy Sponsored - AEUS/ international E-F

Christopher Raio MD, Andrew Liteplo MD, J. Christian Fox MD

1:00 - 2:00 pm

innovations

• Oral Presentations/Presentation #33-36/Atlanta H

Abstracts

• Electronic Medical Records/Presentation #718-721/Atlanta B

Moderator: John P. Marshall MD

• Cardiovascular Basic Sciences/

Presentation # 722-725/Atlanta c & D

Moderator: Michelle Biros MS, MD

• Geriatrics/Presentation #726-731/Atlanta A

Moderator: Kevin Baumlin MD

30 Society for Academic Emergency Medicine

• Health Services Research/Presentation # 732-737/Atlanta E & F

Moderator: Jesse M. Pines MD

• Video Laryngoscopy/Presentation #738-743/Atlanta g

Moderator: Ron Walls MD

• Pediatric Trauma/Presentation #744-747/Roswell 1

Moderator: Rakesh Mistry MD

• new Ideas in Education/Presentation #748-752/Roswell 2

Moderator: Kevin Rodgers MD

1:00 - 2:20 pm

Didactics

• Inauguration of the nIH Office of Emergency Care Research/

international c

Charles Cairns MD, Roger Lewis MD, PhD,

Walter Korshetz MD, Scott Somers PhD

1:00 - 3:00 pm

• Hot Topics in Medical Education and Education Research/

international B

2:00 - 2:50 pm

Didactics

• Child Abuse Pediatrics Research Update - new Innovations, new

Best Practice/international D

Daniel Lindberg MD, Philip Scribano DO, MSCE

• Resident Education in Ultrasound: Meeting the Milestone.

Academy Sponsored - AEUS/international E-F

Nova Panebianco MD, MPH, Resa Lewiss MD,

Saadia Akhtar MD, Jason Nomura MD

2:00 - 3:00 pm

Abstracts

• Information Technology/Presentation #754-757/Atlanta B

Moderator: D. M. Courtney MD

• Markers and Treatment of Sepsis/

Presentation # 758-761/Atlanta c & D

Moderator: Donald M. Yealy MD

• Emergency Medical Services/

Presentation #762-765/Atlanta E & F

Moderator: Theodore R. Delbridge MD

• Emergency Department Crowding/

Presentation #766-769/Atlanta g

Moderator: James Holmes MD

• Pediatric Infectious Diseases/

Presentation #770-775, 86/ Atlanta A

Moderator: TBD

• Health Services Research in Trauma/

Presentation # 776-782/Roswell 1

Moderator: Brendan Carr MD

• Residency Training/Presentation #782-788/Roswell 2

Moderator: Christian Arbelaez MD

3:30 - 5:00 pm

Business Meeting - The Future of Health Care Reform and

Implications for Emergency Medicine/Plaza Ballroom ABc

4:30 - 6:30 pm

Resident/Fellowship Fair/grand Atrium

fridAy, mAy 17, 2013

Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.


fridAy, mAy 17, 2013

Friday, May 17, 2013 – SAEM and committee/Task Force/Academy interest group/Board Meetings

7:00-8:00am SAEM Past Presidents, Breakfast Tower Room 1401 (14th Level)

7:00-9:00am AEM Editorial Board Meeting Breakfast PT-200 Conference Room 1 (7th Level)

7:30-8:00am PC Daily Meeting PT- Conference Room 2 (7th Level)

8:00-9:00am SAEM Web Evolution Committee Meeting Tower Room 1202 (12th Level)

8:00am-12:00pm AEUS Academy of Emergency Ultrasound-Business Meeting Vinings Room I (6th Level)

8:00am-12:00pm AWAEM Academy for Women in

Academic Emergency Medicine-Business Meeting Vinings Room II (6th Level)

9:00-10:00am SAEM Resident & Student Advisory Committee Meeting Tower Room 1206 (12th Level)

9:00-10:30am SAEM Ethics Committee Meeting Tower Room 1203 (12th Level)

9:00-11:00am SAEM GME Committee Meeting Tower Room 1202 (12th level)

9:30-10:30am SAEM Awards Committee Meeting Tower Room 1204 (12th Level)

10:00am-3:00pm 2014 PC Planning Meeting International Room A (7th Level)

12:00-1:00pm SAEM Patient Safety Interest Group Meeting Tower Room 1202 (12th Level)

12:00-1:00pm SAEM Sports Medicine Interest Group Meeting Tower Room 1203 (12th Level)

12:00-2:00pm SAEM Foundation Board Luncheon-By Invitation Only Ex. Board Room (6th Level)

12:00-2:00pm AWAEM Academy for Women in

Academic Emergency Medicine-Luncheon PT- Conference Room 1-2 (7th Level)

1:00-2:00pm SAEM Membership Committee Meeting Tower Room 1205 (12th Level)

5:00-6:30pm AWAEM/AAWEP Reception PT-200 Conference Room 3 (7th Level)

5:00-6:30pm SAEM Wilderness Medicine Interest Group Meeting Tower Room 1203 (12th Level)

Friday, May 17, 2013 – Affiliated Meetings

8:00am-1:00pm SIM WARS Plaza Ballroom A-B-C combined (10th Level)

8:00am-5:00pm CORD Committee Meetings Tower Room 1403 (12th Level)

8:00am-5:00pm Physio-Control Usability Interviews- By Invitation Only Tower Room 1402 (12th Level)

8:00-10:00am ACEP Academic Affairs Meeting Tower Room 1208 (12th Level)

8:30am-3:00pm EMRA BOD Meeting & Committee Updates Tower Room 1201 (12th Level)

10:00-11:30am ACEP-SAEM Research WG Meeting Tower Room 1208 (12th Level)

12:00-1:00pm Janssen Product Theater International H (6th Level)

12:30-2:00pm ACEP Research Committee Meeting Tower Room 1208 (12th Level)

5:00-6:00pm CTSA Research network Meeting PT-200 Conference Room 5 (7th Level)

6:00-7:00pm EMRA Spring Awards Reception PT-200 Conference Room 1 & 2 (7th Level)

5:30-7:00pm ACEP EMBERS’ Alumni Reception Tower Room 1207 (12th Level)

ViSiT OuR ExHiBiTORS in PEAcHTREE BAllROOMS (8th level)

• Thursday, May 16, 2013: 7:00 am - 5:00 pm

Morning Coffee service at 7:00 am - 8:00 am

• Friday, May 17, 2013: 7:00 am - 5:00 pm

Morning Coffee service at 7:00 am - 8:00 am

Coffee Break at 3:00 pm - 3:30 pm

May 14-18, 2013 | atlanta, GeorGia

31


dAily Schedule – SAturdAy, mAy 18, 2013

8:00 - 8:50 am

Didactics

• Motivating Success: Conducting High Quality Behavioral

Interventions for Addiction in Ed Patients - Lessons Learned From

The Smart-Ed Multisite Trial/international B

Cameron Crandall MD, Ryan McCormack MD,

Alyssa Forcehimes PhD

• Presentation Design - An Evidence-Based Approach to

Creating Impactful, Effective Visual Aids/international g

Malford Pillow MD, MEd

8:00 - 9:00 am

Abstracts

• Post-Cardiac Arrest Care/Presentation #809-814/Atlanta A

Moderator: Richard Summers MD

• Simulation in Emergency Medicine/

Presentation #815-820/Atlanta c & D

Moderator: Daniel Handel MD, MPH

• Prescription and Abuse of Opiates/

Presentation #821-826/ Roswell 1

Moderator: Steven B. Bird MD

• Toxicology/Presentation #827-833/ Roswell 2

Moderator: Kavita Babu MD

8:00 - 9:20 am

Didactics

• The Hidden Science in Your Emergency Medicine Research:

Gender-Specific Study Design and Analysis.

Academy Sponsored-AWAEM /international c

Esther Choo MD, MPH, Roger Lewis MD, PhD,

Deborah Diercks MD, David Wright MD

8:00 - 10:00 am

Abstracts

• Airway Management/Presentation #789-796/Atlanta B

Moderator: Diane Birnbaumer MD

8:00 - 11:30 am

Abstracts

• International Emergency/Presentation #797-808/ Atlanta E & F

Moderator: Charles Gerardo MD

8:00 am - 12:00 pm

Other Session

• SonoGames/Plaza Ballroom ABc

9:00 - 9:50 am

Didactics

• SAEM AnD EMF Grants:

Opportunities and Submission Process/international B

32 Society for Academic Emergency Medicine

James Holmes MD, MPH, Mark Courtney MD, MSCI,

Andrew Chang MD, MS, Comilla Sasson MD, MS

• Deliberate Practice: A Learning Technique That

Improves Mastery, Execution, and Retention of

Medical Knowledge/international g

Rodney Omron MD, MPH, Doug Franzen MD, M.Ed,

Rahul Patwari MD

9:30 - 9:50 am

Didactics

• Top 5 Plays of the Day: How Gender-Specific Medicine Impacts

Men’s Health. Academy Sponsored-AWAEM/ international c

Alyson McGregor MD, Frederico Vaca MD, MPH, Nina Gentile MD,

Basmah Safdar MD, Neha Raukar MD, David Portelli MD

10:00 - 10:50 am

Didactics

• nIH Individual Research Career Development (K) Awards:

A Pathway to Research Independence/international B

Jane Scott ScD, MSN, Lance Becker MD,

Benjamin Abella MD, MS, Sean Collins MD, MSc

• Enhancing the Quality and Transparency of Health Research:

An Introduction to the EQUATOR network and Implications

for Emergency Medicine/international c

Christopher Carpenter MD, MSc, Brian Hiestand MD, MPH,

Zachary F. Meisel MD, MPH, MSc

• Peer Mentoring: Enhancing Academic & Research Mentoring/

international g

Stephen Cico MD, Med, Kelly Black MD, MSc,

Joseph House MD, Cemal Sozener MD

• Improve Your Teaching: Evidence-Based Teaching Workshop Using

Articles That Will Change Your Teaching Practice/international H

Sally Santen MD, PhD, Sue Farrell MD, Med,

Robin Hemphill MD, MPH, Laura Hopson MD

11:00 - 11:50 am

Didactics

• nHLBI K12 Research Career Development Programs in

Emergency Medicine Research/international B

James Holmes MD, MPH, Arthur Kellermann MD, MPH,

Jane Scott ScD

• Superstars of Social Media: How to Incorporate

Social Media Into Teaching and Education/international c

James Miner MD, Michelle Lin MD, Scott Joing MD, Sean Fox MD

• Trauma and Teamwork: Lessons from Iraq/international g

Martin Makela MD

• Quantifying the Worth of My Publications for

Promotions and Grants: The h-Index, m-quotient, Eigenfactor,

and Other Measures of Academic Currency/international H

Christopher Carpenter MD, MSc, Cathy Sarli MLS, AHIP

Saturday, May 18, 2013 – Affiliated Meetings

9:00am-12:00pm EMRA BOD Meeting Tower Room 1201 (12th Level)

Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.


mAXimize your time At the SAem 2013 AnnuAl meeting:

A guide for reSidentS And medicAl StudentS

Winter has dragged on and on for many of us across the country. From

the record snowfalls in the northeast to the frigid temperatures in the

Midwest, spring seems a little far off, even for those of us out West with

ski slopes to enjoy the long winter! After all these cold months, SAEM

couldn’t have picked a better place for our 2013 Annual Meeting than the

Peach State, and ‘Hot-lanta’, as the locals affectionately call their capital

city. The nickname might stem from the warm weather of the South

or the exciting nightlife of Atlanta, but either way we have a lot to look

forward to, and we haven’t even talked about the conference yet! now,

let’s focus on a few of the many stand-out conference sessions available

to you at the 2013 meeting.

Day 1, May 15, offers some excellent sessions from a professional and

educational standpoint. Come be inspired by some former residents

(also known as junior faculty) selected from a nationwide search for

individuals who brought innovation and leadership to their respective

programs as residents (“How to Become a Trailblazer: Perspectives from

Resident Innovators” 3:00 pm.) If you are already thinking about what to

do after residency, check out some of the fellowship-focused sessions –

from critical care (“The Current State of Critical Care Training” 10:00 am)

to EMS (“Advances in EMS Education” 11:00 am) to wilderness medicine

(“Thriving in the Wilderness” 1:00 pm), there is something for every

interest.

Here’s hoping your after-hours activities on Day 1 didn’t run too late,

as the session “Choosing a High-Impact Quality Improvement Project as

a Resident or Student AnD Getting it Published” at 8:00 am promises

to provide maximum impact. All residents are required to engage in

quality improvement and scholarly works, so why not learn to tackle

both tasks simultaneously? Later in Day 2, “Challenging the Physician-

Patient Relationship: negotiating Deception, Manipulation and Medical

Mistakes” will deal with some controversial and hard-hitting topics we

will all face during our careers. And of course, don’t miss the keynote

speaker, Dr. Thomas Frieden, the director of the CDC, which can also be

found right here in Atlanta.

In the second half of the conference, we have some additional sessions

that we think would be worthwhile for residents to attend. Let’s start

with the sessions on Friday, May 17. Though we all like to sleep in to

some degree, “Diagnostic Imaging and Radiation Exposure: How Much

is too Much?” promises to be worth waking up to attend at 8:00 am! At

some point, a patient has asked you about the radiation exposure of all

the studies you order, and this talk will address some of these concerns.

Additionally, the 10:30 am didactic on “Policy Change 101: A How-To

Primer for the Emergency Physician” should be of value to residents

and students. In this day and age of graduate medical education cuts,

trimming of costs from hospitals, and yet even more patients, it is

important to be involved in the health policy debate.

On the last day of the conference, there are a number of outstanding

sessions. During residency (and beyond,) we will have to give a lecture

or presentation on a topic. At 8:00 am, “Presentation Design: An

Evidence-Based Approach” should help you with this important skill.

And finally, we are all hearing more and more about Twitter, Facebook,

LinkedIn, blogs, podcasts, and all other types of social media within EM.

Wondering what in the world is a hashtag? Or, do you keep hearing about

FOAM (Free Open Access Meducation) and want to know what the big

craze is about? One of the final sessions of the conference at 11:00 am

is about incorporating social media into education. See how this new

phenomenon is changing the way we learn and debate information. Also,

be sure to check out SonoGames; either bring your own ultrasound team

or be a spectator at the fight for sonographic supremacy!

The SAEM Annual Meeting is the premiere event for the latest and

greatest research within EM. no matter what sessions you choose

to attend, you are bound to learn something that will help you in your

practice. The more meetings you attend, the better you will be able to

critically evaluate posters and didactics. Use this information that you

gain to decide how to shape the way you practice EM. One of the authors

of this article (BR) has been to 5 annual meetings already and feels

strongly that the knowledge you will learn WILL shape your practice and

put you on the cutting edge of EM. Another great reason to come to the

meeting is for networking with your colleagues from across the country

(and the world!) Virtually all of the interest groups hold meetings here,

and you get to join one free with your membership! Additionally, all of

the academies have their own meetings. For residents and students, the

Residency & Fellowship Fair is a great place to network with program

directors and other faculty/residents/fellows from individual programs.

This is the best time to ask your questions and get a feel for the program

before deciding to apply. The list of programs at the fair is published

in advance - make sure you circle the ones you want to go to and have

questions ready for them. You will be surprised by how friendly everyone

is and how quickly you can catch someone’s eye or make a connection!

In conclusion, the Annual Meeting is the face of the Society and all that

it does over the course of the year. The Society is the only emergency

medicine organization that represents all residents in every program

throughout the country as THE academic society in emergency medicine.

It is worth attending as a student or resident at a minimum once. In

addition to all of the great academic material you will learn, you will have a

great time! Between the social events, experiencing Atlanta, and gaining

knowledge, it will be a great conference and we look forward to seeing

many of you here. And, of course, to those unable to attend because they

are staffing our emergency departments, we thank you too!

Brett Rosen MD – member, Resident and Student Advisory Committee

Marie Vrablik MD – co-chair, Resident and Student Advisory Committee

May 14-18, 2013 | atlanta, GeorGia

33


SAem 2013 AnnuAl meeting didActic PreSentAtionS

mAy 14 - 18, AtlAntA, gA

WEDnESDAy, MAy 15TH

The Role of Electroencephalography and of Reduced lead EEg in

the Emergency Department.

DS001 – Peachtree A & B

Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am

Historically, EEG has been used in the emergency department setting on a

limited basis when prompted by neurological consultants. Dr. Brenner has been a

proponent of the use of EEG with reduced lead to diagnose nonconvulsive status

epilepticus. Dr. Michelson has pursued the use of EEG in the recognition of stroke.

He will also review the recent literature and current trials on quantitative EEG

in assessment of traumatic brain injury. Together, they are studying the use of

reduced lead EEG in a multicenter trial. They will each review the indications and

limitations of reduced lead EEG in the emergency department setting.

Objectives: At the completion of this session, participants should be able to

recognize the indications for reduced lead EEG use in the ED and be aware of the

limitations of its interpretations.

Jay Brenner MD – submitter, presenter

SUnY-Upstate Medical University, Syracuse, nY

Ed Michelson MD - presenter

Case Western Reserve University, Cleveland, OH

How to Effectively Supervise and Teach Residents: Entrustment

and Autonomy

DS002 – Peachtree c

Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am

The purpose of residency is to train residents to manage patients independently

while the role of the attending faculty varies in supervision and allowing

autonomy. This concept has been termed entrustment (ten Cate, 2006). This is

the key to Entrustable Professional Activities which further delineate the new EM

Milestones. As residents progress along the milestones, the role of the supervising

physician is to facilitate incremental increase in responsibilities of patient care

to residents with concurrent reduction in clinical oversight. Entrustment varies

based on attending factors (experience, confidence), resident factors (level of

training, characteristics), patient factors (severity of illness, complexity) and

environment (volume, service expectations). In this session, we will discuss

how leveraging entrustment can create an effective learning environment. We

will explore resident perceptions of autonomy, the learning environment, and

strategies for faculty to enhance resident learning within this framework. The

workshop will be highly interactive, requiring participants to use and understand

resident supervision and autonomy, review their own current practice, and then

apply new techniques to their clinical teaching. This session will start with short

didactic presentation and large group discussion to understand entrustment and

autonomy. We will then incorporate facilitated small group discussions to further

understand the concepts and develop ways to improve each participant’s ability to

engage with a resident at an appropriate level of supervision and autonomy. Small

group facilitators: nadia Juneja, Robin Hemphill, Felix Ankel, and Sheryl Heron.

Objectives: At the completion of this session, participants should be able to:

1. Describe the factors affecting autonomy,

2. Demonstrate the ability to navigate the barriers to entrustment,

3. Appropriately facilitate resident autonomy and grant-trainee-suitable

entrustment of patient care to enhance resident education while maintaining

appropriate supervision.

Sally Santen MD, PhD – submitter, presenter

University of Michigan, Ann Arbor, MI

Ben Bassin MD - presenter

University of Michigan, Ann Arbor, MI

Katie Saxon MD - presenter

University of Michigan, Ann Arbor, MI

Meg Wolff MD - presenter

University of Michigan, Ann Arbor, MI

in the Middle: non-Physician Providers in the Emergency Department

DS003 – Peachtree D

Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am

34 Society for Academic Emergency Medicine

There are an increasing number of non-physician providers (nPs and PAs)

working in academic and community emergency medicine departments. Many

departments may have initially turned to non-physician providers as a way

to increase staffing and provide direct patient care. Some departments have

integrated the non-physician providers fully into their academic structure and

mission. These providers are now responsible for resident and student education,

research and professional development in addition to their duties of patient care.

Just like physicians, they must balance the demands on their time and chart a

course for career advancement. We will examine the evolution of opportunities

for non-physician providers in the emergency department and illustrate how

non-physician providers can become an integral part of an academic emergency

medicine department. There will also be a discussion for non-physician providers

on where to turn for resources for career development.

Objectives: At the completion of this session, participants should be able to:

1. Define current and future roles for non-physician providers in academic

emergency medicine.

2. Discuss the challenges and rewards of integration of non-physician providers

in emergency departments.

3. Review resources for education and integration of non-physician providers.

Henderson Mcginnis MD - submitter

Wake Forest Baptist Health, Winston Salem, nC

Jeff Hinshaw PA - presenter

Wake Forest Baptist Health, Winston-Salem, nC

Randy Howell DO, FAcOEP - presenter

West Virginia University, Morgantown, WV

Development of clinical Decision instruments

in Emergency Medicine

DS004 – Peachtree E

Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am

Decision Instruments (DIs) allow for safe, effective diagnostic test utilization

with resource savings and other notable benefits, such as decreased radiation

exposure. The following topics will be discussed: 1) Choice of DI topics (how

to choose appropriate topics for a DI), 2) Basics of DI study design (derivation

and validation techniques), 3) Study methodology including controlling for bias

(especially work-up bias), and 4) Statistical concepts (sample size, recursive

partitioning vs. logistic regression). During the first 36 minutes, presenters will

discuss the above topics in three 12 minute Power-point presentations. During the

last 14 minutes, the moderator will summarize the discussion and lead a question

and answer session.

Objectives: On completion of the session, participants should be able to:

1. Describe the utility of DIs and how to choose a topic for DI development.

2. Describe the basics of DI study design.

3. Define the need for controlling elements of bias4: Discuss basic statistical

concepts inherent in DI methodology.

Robert Rodriguez MD – submitter, presenter

UCSF, San Francisco, CA

James Holmes MD - presenter

UC Davis Dept of Emergency Med, Davis, CA

nate Kuppermann MD, PhD - presenter

UC Davis, Davis, CA

William Mower MD, PhD - presenter

UCLA Medical Center, Los Angeles, CA

ED-based critical care Resident Rotations &

Experiences as Opportunities for Teaching

critical care in the Emergency Department

DS005 – Peachtree A & B

Session Time: Wednesday, May 15, 2013 9:00 - 9:50 am

Critical Care has long been a major part of Emergency Medicine. For the most

part clinical critical care has been taught by inpatient intensivists on inpatient

ICU’s with the expectations the methods and techniques would be naturally

transitioned to the ED. Due to many factors including increasing numbers of

Emergency Intensivists on residency faculties providing bedside teaching of

critical care techniques has expanded. While inpatient ICU experiences are still

*Disclaimer: Didactics are placed in the program how they were submitted to SAEM.


of value in resident education programs are now creating ED-based critical care

rotations. This session will provide results of a survey of programs on the current

use of both inpatient and ED-based critical care education. Panelists will present

2 current ED-based critical care rotation designs describing the educational

methods and resident responses to the courses. After the panelist’s presentation

there will be time for questions from the audience about the survey results and the

courses described as well as the potential evolution for this type of experience in

other programs.

Objectives: At the completion of this session participants should be able to:

1. Describe the current critical care education methods reported in the survey of

residency programs.

2. Describe the emerging use of ED-based clinical critical care rotations and

experiences in resident education.

3. Define the facilities and resources needed to establish ED-based critical care

rotations.

4. Demonstrate how to create ED-based critical care experiences without a

dedicated ED critical care unit.

Kevin Ferguson MD - submitter

University of Florida., Gainesville, FL

lillian Emlet MD - presenter

University of Pittsburgh, Pittsburgh, PA

Robert Sherwin MD, FAcEP, FAAEM - presenter

Sinai Grace Hospital/Detroit Receiving Hospital, Detroit, MI

Scott Wiengart MD - presenter

Sinai School of Medicine & Elmhurst Hospital Center, new York, nY

not Another Boring lecture: Five Ways to Spice up your

Didactics!

DS006 – Peachtree c

Session Time: Wednesday, May 15, 2013 9:00 - 10:20 am

This session will challenge participants to branch out of their comfort zone by

demonstrating and encouraging the use of modern instruction. Learners only

retain 10-30% of what they hear in standard lectures often because little attention

is paid to learning theories and principles of instructional design that promote

improved attention and knowledge retention. During the session, participants will

participate in several methods of interactive teaching that demonstrate dynamic

opportunities for the teacher to engage the learner. These will include the flipped

classroom methods, slide presentation principles framed within Richard Mayer’s

cognitive theory of multimedia learning, embedding active learning in the lecture

format, and innovative lecture techniques. At the completion of the session,

participants will be able to incorporate new teaching methods into their practice.

Due to the interactive nature of this workshop there will be 4 facilitators: Robin

Hemphill, Ben Bassin, Mary Jo Wagner and Philip Shayne.

Objectives: At the completion of this session, participants should be able to:

1. Recognize examples of less effective instruction

2. Demonstrate a basic understanding of modern learning theories and their role

in instructional design

3. Employ new teaching tools effective for their environment.

Margaret Wolff MD - submitter, presenter

University of Michigan, Ann Arbor, MI

Mary Jo Wagner MD – presenter

Central Michigan University, Saginaw, MI

Sally Santen MD, PhD - presenter

University of Michigan, Ann Arbor, MI

Stacey Poznanski MD - presenter

Wright State University, Dayton, OH

impact of the 2010 AHA Post-cardiac Arrest care guidelines:

Assessing Knowledge Translation & implementation

DS007 – Peachtree D

Session Time: Wednesday, May 15, 2013 9:00 - 9:50 am

In 2010 AHA and ILCOR published guidelines that advocated implementation of

comprehensive post-cardiac arrest care, including therapeutic hypothermia,

to improve outcomes after cardiac arrest. Resuscitation research has surged

in the last decade explicitly because the results of two randomized controlled

trials showed that the application of mild therapeutic hypothermia after cardiac

arrest positively influenced neurologic outcomes. now over two years since the

2010 Guidelines, the impact on systems of care remains largely unknown and

highly variable. numerous factors play roles in the acceptance and adherence to

published guidelines, including 1) individual knowledge of such recommendations

and 2) institutional expertise, experience (patient volume), and resources.

In the US, there are several different models of post-arrest care, from the

multidisciplinary, on-call team approach to a protocol-driven order set initiated

upon admission to the intensive care unit. Emergency Medicine physicians

are uniquely positioned as experts in emergency care to resuscitate patients

suffering both in- and out of hospital cardiac arrest. As such, knowledge of current

guidelines and appreciation for potential limitations to their implementation may

improve our ability to initiate comprehensive post-arrest care and advocate in

the best interest for our patients. Evidence-based recommendations for postarrest

care will be reviewed though specific management techniques will not

be discussed. The conversation will incorporate a discussion of future research

directions within cardiac resuscitation as pertaining to the guidelines.

Objectives: At the completion of this session, participants should be able to:

1. Discuss the concept of comprehensive post-cardiac arrest care and the general

evidence-based goals as laid out in the 2010 Guidelines

2. Identify the variations in implementation of the 2010 Guidelines in the US

3. Describe limitations to knowledge translation and developing systems of care

for cardiac arrest

4. Identify future research directions within cardiac resuscitation

Kelly Sawyer MD, MS – submitter, presenter

William Beaumont Hospital, Royal Oak, MI

Teresa camp-Rogers MD, MS - presenter

UT Health Science Center at Houston, Houston, TX

Michael Kurz MD, MS-HES - presenter

Virginia Commonwealth University, Richmond, VA

introduction to Statistics

DS008 – Peachtree E

Session Time: Wednesday, May 15, 2013 9:00 - 10:20 am

To succeed in research and academia, a fundamental knowledge of important

statistical concepts is a necessity. This knowledge will allow investigators to plan a

sound research study, develop testable hypotheses, choose appropriate analytical

methods, and determine the feasibility of performing a study in a given population

and setting. In this session, Dr. Lewis will discuss introductory statistical topics

such as types of data, common statistical tests, p values, confidence intervals,

and sample size and power calculations. An overview of subgroup analysis, interim

data analysis, and intention to treat will also be provided. Through discussion of

these concepts at this session, attendees will increase their understanding of

statistical concepts and will be able to apply this knowledge to their research and

practice.

Objectives:

1. Describe types of data, common statistical tests, p values, and confidence

intervals

2. Apply sample size and power calculations

3. Distinguish subgroup analysis, interim data analysis, and intention-to-treat

concepts

Roger lewis. Harbor MD, PhD – submitter, presenter

UCLA Medical Center, Torrance, CA

The current State of critical care Fellowship Training for

Emergency Medicine Residency graduates

DS009 – Peachtree A & B

Session Time: Wednesday, May 15, 2013 10 - 10:50 am

Decades of effort to open Critical Care Training and certification to Emergency

Physicians are culminating in rapid expansion of Fellowships and Certification

Pathways. Currently ABEM and ABIM have defined a pathway to certification

for Emergency Physicians who have completed a 2 year IM based program.

Anesthesiology and Surgery are currently exploring and developing pathways for

Emergency Physicians to complete Critical Care fellowships in their programs.

This session will provide an update on these developments and provide insight

to the curriculums of the various programs. A survey of current CCM programs

accepting emergency physicians and current state of ABEM certification

agreements will be presented by the moderator. Panelists consisting of Program

Directors from Medicine, Anesthesiology and Surgery Fellowships that accept

EP’s will make brief presentations on their current or planned curriculum, pathways

to certification for their graduates and potential employment opportunities

as emergency intensivists in their institutions or departments. After the panel

presentations there will be a period of questions and answers from the audience

to the panel.

Objectives:

1. Summarize the results of a recent survey of critical care fellowship directors

regarding emergency physician applicants

May 14-18, 2013 | atlanta, GeorGia

35


2. Describe the differences in the curriculums of anesthesia, medicine and

surgery fellowships

3. Identify the various pathways to certification for graduates of the various

fellowships.

4. Define the potential career options as emergency intensivists in their

institutions and departments.

Kevin Ferguson MD - submitter, presenter

Univ. of Florida, Gainesville, FL

Andrea gabrielli MD - presenter

University of Florida, Gainesville, FL

Jay Menaker MD - presenter

Univ. of Maryland Medical Center, Baltimore MD

Mike Winters MD - presenter

University of Maryland, Baltimore MD

Fulfilling the Residency Educational Mission at independent

Academic Medical centers

DS010 – Peachtree D

Session Time: Wednesday, May 15, 2013 10 - 10:50 am

Independent academic medical centers represent an important setting for the

training of emergency physicians. neither university-based departments of

emergency medicine nor community hospitals serving as secondary training

sites, independent academic hospitals are home to nearly one-third of accredited

allopathic emergency medicine residency programs. This session will explore the

unique challenges and opportunities that exist in training emergency medicine

residents in the independent academic hospital setting. Dr. Katz will provide

an overview of the common practice setting differences between universitybased

and independent academic hospitals and their implications for residents

and faculty in the independent academic environment. Dr. Garmel will describe

the challenges and opportunities faced by faculty educating residents while

working at an independent academic hospital, with specific focus on didactic and

bedside teaching in this environment. Dr. Davenport will elucidate the challenges

and opportunities for emergency medicine residents who train at independent

academic hospitals, with specific focus on the clinical environment, the diversity

of teaching faculty, and approaches for residents to maximize their academic

preparation in this setting. Dr. Venkat will discuss the challenges and opportunities

for resident scholarly activity in the independent academic environment, with

specific focus on garnering resources for research and approaches to increasing

scholarly productivity by residents in this setting as preparation for an academic

career. The session will conclude with a question-answer session to further

discuss the challenges and opportunities of residency education in this setting.

Objectives: At the completion of this session, participants should be able to:

1. Describe the challenges to training emergency medicine residents at

independent academic medical centers, specifically within the categories of

clinical practice, didactics, and scholarly activity.

2. List ways to mitigate these challenges to advance the educational mission of

residencies in independent academic hospitals.

3. Describe the opportunities available for residents and faculty at independent

academic hospitals.

Arvind Venkat MD – submitter, presenter

Allegheny General Hospital, Pittsburgh, PA

Moira Davenport MD - presenter

Allegheny General Hospital, Pittsburgh, PA

gus garmel MD - presenter

Stanford/Kaiser Permanente, Palo Alto, CA

Eric Katz MD - presenter

Maricopa Medical Center, Phoenix, Az

Systems Milestones for Academic Programs: Moving from

novice to Expert

DS011 – Peachtree c

Session Time: Wednesday, May 15, 2013 10:30 - 11:50 am

The next Accreditation System (nAS) is based in the Dreyfus Model of individual

milestone development from novice to expert. A parallel development of

milestones for systems can be created for academic programs when leaders

manage the domains of autonomy, coping with complexity, and perceiving

context. The workshop will be highly interactive, requiring participants to reflect

on their programs and design elements of improvement in their academic program

in a strategic fashion. This session will start with a short didactic presentation

followed by a large group discussion. During the session participants will have

the opportunity to reflect on the Dreyfus’ Model, work in small groups to

develop a strategy that fits within the context of their institution’s culture, and

36 Society for Academic Emergency Medicine

develop a blueprint for moving academic programs towards the expert level.

To allow for effective small group facilitated discussion, additional small group

facilitators include: Stephanie Taft MD (Regions Hospital), Sheryl Heron MD

(Emory University), Laura Hopson MD (University of Michigan) and Sam Hauff MD

(University of Michigan).

Objectives: At the completion of this session, participants should be able to:

1. Describe the Dreyfus Model of novice, beginner, competent, proficient, and

expert through the domains of autonomy, context, and complexity

2. Reflect on systems milestones needed to develop expert programs

3. Design a 10-point blueprint for system expertise to bring back to participants’

local programs

Felix Ankel MD – submitter, presenter

Regions Hospital, Saint Paul, Mn

Robin Hemphill MD - presenter

national Center for Patient Safety, Veterans Health, Ann Arbor, Mn

Sally Santen MD, PHD - presenter

University of Michigan, Ann Arbor, Mn

Team Science in Research: What is the Role of

Emergency Medicine?

DS012 – Peachtree E

Session Time: Wednesday, May 15, 2013 10:30 - 11:50 am

Whether the project is basic science or clinical research, the team approach to

research is not only necessary but a competitive advantage. In these teams,

each member contributes specific resources or areas of expertise to accomplish

the goals of the project. Because EM is not disease specific, integrating EM

investigators into a research team can be less intuitive than with other specialties.

In the first part of this panel discussion, EM investigators who have been

successful PIs of large multi-disciplinary proposals will share tactics and pitfalls

associated with the EM investigator as team science PI. Topics covered will

include methods for leading a team, seeking out researchers and study personnel

from various disciplines, congealing the team, honing the approach, and keeping

team members accountable for deliverables. During the second part of this panel

discussion, experienced EM investigators will share examples of collaborations

in which their involvement as Co-I was successful and those that were not. These

examples will serve to outline a framework in which EM investigators generally

contribute: a) access to patients; b) research infrastructure for enrollment of ED

patients; and/or, c) intellectual expertise. Discussions will focus on negotiations

of items such as academic credit, expected deliverables, consumption of research

resources, and financial compensation. These experts will also provide examples

of EM investigators who have developed an area of intellectual expertise that

successfully integrates into research teams. In the conclusion of this presentation,

the panel will present a list of general principals to guide EM investigators as they

develop and contribute to research teams.

Objectives: At the completion of this session, participants should be able to:

1. Describe approaches for EM investigators to be successful research team

leaders

2. Conceptualize successful and unsuccessful arrangements when joining a

research team as a co-investigator.

3. Describe, with examples of successful teams involving EM investigators:

a. Implementation of a clinical trials unit,

b. Development of a multicenter federally sponsored clinical trial,

c. Definition of an area of intellectual expertise as an EM investigator.

chadwick Miller MD, MS – submitter, presenter

Wake Forest School of Medicine, Winston-Salem, nC

Roger lewis MD, PhD - presenter

David Geffen School of Medicine at UCLA, Torrance, CA

Alan Storrow MD - presenter

Vanderbilt University, nashville, Tn

gregory Fermann MD - presenter

University of Cincinnati, Cincinnati, OH

Advances in EMS Education for Residents

DS013 – Peachtree A & B

Session Time: Wednesday, May 15, 2013 11:00 - 11:50 am

The American Board of Medical Specialties recently established Emergency

Medical Services (EMS) as a sub-specialty of Emergency Medicine, recognizing

that EMS comprises a distinct practice and fund of knowledge. Emergency

Medicine residents have varied exposure to pre-hospital care and EMS systems

depending on their training location and departmental priorities/resources. The

SAEM EMS Interest Group and its EMS Curriculum Development Task Force have

sought to continue to develop the new sub-specialty, cultivate the fertile ground


for research, spark an interest in residents and students to pursue careers in

EMS, and improve patient care in all phases of healthcare that interact with EMS

by refining and further developing standard EMS curricula for EM residents and

students. This session will begin with overview of, and commentary on, the Interest

Group’s recommendations with a focus on resident education. The remainder of

the session will be devoted to a discussion of how to implement and achieve these

important educational objectives. Audience participation will be encouraged to

create a vibrant discussion. Ideas raised in this session will be incorporated into

the task force’s final report.

Objectives: At the completion of this session, participants should be able to

1. Describe the current model of EMS education for residents;

2. Describe EMS educational objectives for residents, as well as methods to

achieve these objectives.

Michael Hilton MD - submitter

University of Pittsburgh, Pittsburgh, PA

David cone MD - presenter

Yale University, new Haven, CT

Jonathan Fisher MD, MPH - presenter

Harvard University, Boston, MA

christian Martin-gill MD, MPH - presenter

University of Pittsburgh, Pittsburgh, PA

The nonquantitative Aspect of Resident Training in the

community ED

DS014 – Peachtree D

Session Time: Wednesday, May 15, 2013 11:00 - 11:50 am

We all remember what it was like to be a resident: the long days and the hard nights,

the feeling that maybe, perhaps, you missed something, the joy over successfully

intubating. Faculty in turn takes great pride in enriching the experience. However,

education is simply one piece of the resident-faculty interaction. Supervising

residents on a clinical shift can have other intended and unintended consequences

besides the creation of a positive learning environment. This session will explore

the additional responsibilities community based academic emergency physicians

encounter when residents are added into their departments. In particular topics

to be presented will include 1) The financial costs of residents (Most affiliates

now pay their salary) with a focus on the cost benefit of having a resident vs. midlevel

provider as caregiver 2) the time demands for bedside teaching and how

that influences physician coverage of other patients 3) the impact of residents

on patient flow, patient satisfaction, and HCAHPs 4) the relationships between

resident and medical staff, and resident and ancillary staff.

Objectives: At the end of this session, participants should be able to:

1. Identify both the positive and the negative aspects of having residents in

community teaching EDs.

2. Define the options available to resolve any adverse consequences, while at the

same time enhancing the good aspects of a residency program.

3. Describe how to establish programs and effectively communicate between

residency directors and ED community faculty.

Michael Hochberg MD – submitter, presenter

Saint Peter’s University Hospital/Drexel, Saint Peter’s University Hospital/

Drexel,

Al Sacchetti MD - presenter

Our Lady of Lourdes

Kevin Klauer MD - presenter

EMP

chad Kessler MD - presenter

Jesse Brown Hospital

Thriving in the Wilderness: What Wilderness Medicine

Fellowship Applicants and Directors need to Know

DS015 – Peachtree A & B

Session Time: Wednesday, May 15, 2013 1:00 - 1:50 pm

Wilderness Medicine Fellowships are an increasingly popular means of gaining

sub-specialty training in the provision of resource-limited medical care under

austere conditions. Wilderness Medicine Fellows are trained through clinical

and scholarly work at the nation’s major medical centers and in the planet’s most

austere and remote environments. Following graduation, fellows contribute to

the advancement of EM in a range of capacities: from starting new fellowships

at leading academic medical centers, to teaching & providing clinical care on the

slopes of Denali, the shores of post-tsunami Japan, and underserved areas of

Africa. Fellowships produce scholars with active research careers funded by the

nIH and other governmental sources. This panel discussion will provide emergency

medicine residents with actionable data on how to assess advanced training

options in wilderness medicine. We will describe how to create a vibrant research,

clinical care, and teaching career as academic wilderness medicine specialist.

We will provide a practical, pragmatic introduction to critical fellowship topics

including: realistic goals for field experience, how to get started in wilderness

medicine research, assessing research productivity and fit with applicant’s

interests, key features of WM curriculum, and sources of WM expertise.

Additional topics will include how to investigate potential WM field clinical care

experiences, how to arrange synergistic interactions with other fellowships, and

to highlight the benefits to EM residents and EM faculty provided by a vigorous

WM Fellowship. Finally, we will discuss the creation and content of the unified

national WM Fellowship Curriculum in the service of establishing ACGME/ABMS

certification for wilderness medicine fellowships.

Objectives: At the completion of this Panel, participants should be familiar

with methods for assessing the quality and personal fit of advanced wilderness

medicine training opportunities. They should be able to define the role of training

in research, teaching, and clinical care expertise in advanced wilderness medicine

practice. Additionally, this should provide directly applicable training on how

academic EPs can establish a successful wilderness medicine fellowship.

n. Stuart Harris MD, MFA

Massachusetts General Hospital, Harvard Medical School, Boston, MA

Tracy cushing MD, MPH

University of Colorado, Aurora, CO

Taking Advantage of the Teachable Moment: A Workshop for

Efficient, learner-centered clinical Teaching

DS016 – Peachtree c

Session Time: Wednesday, May 15, 2013 1:00 - 2:20 pm

When working in a chaotic emergency department with competing priorities,

clinical teaching may be sacrificed for the sake of patient flow and throughput.

An organized, efficient approach to clinical teaching based upon constructivist

educational theory helps focus the teaching on what the learner needs at that

moment, incorporates regular feedback, keeps the department on track, and

prevents over-teaching. In this interactive workshop, participants will discuss

characteristics of ideal clinical teachers, the theoretical underpinnings of

learner-centered education, and common barriers to effective clinical teaching.

Learner-centered teaching models, such as the one-minute preceptor, SnAPPS,

and L-CARE, will be compared. Videos illustrating examples of effective and

ineffective teaching encounters will serve as a springboard for small group,

case-based practice using the teaching models. At the end of this workshop,

participants will be prepared to seize the teachable moment and provide timely

and learner-centered clinical educational encounters.

Objectives: At the completion of this session, participants should be able to:

1. Discuss characteristics of ideal clinical teachers

2. Recognize constructivist educational theory applied to learner-centered

education

3. Discuss barriers to effective clinical teaching

4. Incorporate learner-centered teaching techniques into their clinical practice

Todd guth MD - submitter

University of Colorado, School of Medicine, Aurora, CO

Elise lovell MD - presenter

Advocate Christ Medical Center, Oak Lawn, IL

Sneha Shah MD - presenter

University of Massachusetts, Worcester, MA

Mike Epter DO - presenter

University of nevada, Las Vegas, nV

investigator-initiated Research Without an Existing Research

infrastructure: How to Succeed in Any Practice Setting

DS017 – Peachtree D

Session Time: Wednesday, May 15, 2013 1:00 - 1:50 pm

The focus of Emergency Medicine research has changed dramatically in the last 30

years. EM research has developed from a friendly homespun, investigator-initiated

endeavor into a highly complicated competitive undertaking on a multimillion

dollar national level. The nIH investment in emergency care research asks

emergency physicians to identify research areas that aim at improving efficiency

and resource utilization in our increasingly overburdened emergency care system.

Physicians from every practice in Emergency Medicine play a critical role in this

mission. But how can community based physicians and even those in academic

centers without existing emergency medicine infrastructure accomplish this in

our rapidly changing research landscape? Community-based academic medical

centers, midway between university-based departments of emergency medicine

and community hospitals without academic affiliation, frequently lack the

May 14-18, 2013 | atlanta, GeorGia

37


esearch infrastructure of a university based institution. Even many university

based programs lack sufficient infrastructure necessary to undertake seemingly

basic research questions. The lack of institutional support as well as barriers to

performing research can confound and overwhelm an unseasoned researcher. The

speakers will address steps to facilitate study design, maximize data collection,

and achieve support for research.

Objectives: The objective of this didactic is to help faculty and residents learn

the challenges and obstacles that face researchers in these settings, and various

methods for dealing with them. At the end of this session, participants should be

able to:

1. Identify sources to assist in the development of research proposals.

2. Identify the challenges in and find solutions for data collection and research

assistants.

3. Identify avenues for obtaining institutional and outside resources to conduct

this research.

John cienki MD, MSPH – submitter, presenter

Jackson Memorial Hospital, Miami, FL

Robert J Hoffman MD - presenter

Beth Israel Medical Center, new York, nY

Brigitte Baumann MD, MScE - presenter

Cooper University Hospital, Camden, nJ

Judd Hollander MD - presenter

Hospital of University of Pennsylvania, Philadelphia, PA

Asking the Question that clinicians Want Answered Within an

Adaptive comparative Effectiveness Trial

DS018 – Peachtree E

Session Time: Wednesday, May 15, 2013 1:00 - 1:50 pm

Our discussion of adaptive clinical trials will focus on a very specific class of

flexible designs. Our use of the term adaptive refers to trials which make use of

accumulating information from enrolled subjects to make changes in the conduct

of the ongoing trial. Importantly, all of these changes are prospectively planned

using extensive numerical simulation and sensitivity analyses. These designs

can help the trial investigators concurrently accomplish important scientific

and medical goals. In this session we will identify situations where specific types

of adaptive clinical trial designs could be useful. In addition, we will situations

in which adaptive designs may not be as useful or may even be less efficient.

Adaptive trials offer potential benefits in improving trial efficiency (smaller

trials which are more likely to be successful) that must be balanced against the

additional complexities (extensive up-front simulation work and the need to

rapidly incorporate accumulating data from participants within the on-going trial).

We will provide an overview of the key characteristics of high-quality adaptive

clinical trial designs, with a specific example of a comparative effectiveness trial

designed to determine which treatment or treatments to use for established

status epilepticus. In the workshop, we will present a real example of a simulated

trial (using statistical software package R – participants are encouraged to bring

laptops with R loaded), and demonstrate potential strengths of using simulation in

research planning. Finally, the panel discussion will focus on lessons learned from

the trial design process and the attendee will learn about potential methods to

enhance the efficiency of trial design.

Objectives: The learner should be able to:

1. Describe the taxonomy of adaptive clinical trial designs and areas where such

designs may be useful.

2. Describe the advantages of using numerical simulation in clinical trial design and

encourage attendees to consider using these methods when designing clinical

research

3. Anticipate potential process issues within trial or research design and use

best practices identified through ADAPT-IT to maximize the efficiency of the

process.

William Meurer MD, MS – submitter, presenter

University of Michigan, Ann Arbor, MI

Jason connor PhD - presenter

Berry Consultants, Austin, TX

Roger lewis MD, PhD - presenter

Harbor UCLA Medical Center, Los Angeles, CA

From the Bleachers to the Sidelines: careers and Opportunities

in Sports Medicine

DS019 – Peachtree A & B

Session Time: Wednesday, May 15, 2013 2:00 - 2:50 pm

Primary care sports medicine has traditionally been practiced by family medicine

physicians, internists, and pediatricians, but the subspecialty has seen growth in

emergency medicine in recent years as well. Emergency physicians offer a unique

38 Society for Academic Emergency Medicine

skill set and are well-positioned for success in sports medicine. With the proper

training, experience, or special interest, there are a variety of opportunities in

sports medicine available to the emergency physician. This session will discuss

the role of the emergency physician in sports medicine, the current state of

sports medicine fellowship training, and career paths and other opportunities for

residents and practicing emergency physicians with or without fellowship training.

Each speaker practices academic emergency medicine, clinical sports medicine,

and team medicine in settings encompassing high school, college, and professional

sports. Jeffrey Feden MD, will provide an overview of the subspecialty, options for

fellowship training, and typical career paths (10 minutes). Daniel Garza MD, a team

physician at Stanford University and Medical Director for the nFL’s San Francisco

49ers, will highlight the role of the emergency physician in team medicine (10

minutes). Moira Davenport MD, Associate EM Residency Director and sports

medicine fellowship faculty member at Allegheny General Hospital will offer her

perspective on balancing a career in academic emergency and sports medicine

(10 minutes). The program will conclude with a panel discussion moderated by

Dr. Feden, during which all three speakers will share their recommendations

for pursuing sports medicine within the academic setting (15 minutes). A brief

question and answer session will follow (5 minutes).

Objectives: At the completion of this session, participants should be able to:

1. Identify the fundamental practice of primary care sports medicine and routes of

entry into the subspecialty;

2. Define the role and unique qualifications of the emergency physician in sports

medicine;

3. Recognize the spectrum of career paths available to the fellowship-trained

emergency physician;

4. Identify areas of involvement for the interested resident or emergency

physician without formal training.

Jeffrey Feden MD - submitter, presenter

Brown University, Warwick, RI

Daniel garza MD - presenter

Stanford University, Palo Alto, CA

Moira Davenport MD - presenter

Allegheny General Hospital, Pittsburgh, PA

creating a Successful Research Assistant Program in your

Emergency Department

DS020 – Peachtree D

Session Time: Wednesday, May 15, 2013 2:00 - 2:50 pm

Emergency medicine core faculty faces difficult demands on their time and often

do not have the resources to initiate original research. Creating a team of research

assistants (RAs) to enroll patients is a core part of succeeding at this mission.

This session will describe two successful ways of accomplishing these goals:

1) University-based Research Associates Program: this method is sometimes

referred to as an Emergency Medicine Research Associates Program or EMRAP.

In this approach, a group of motivated students are selected for a college credit

program volunteer in the ED as RAs enrolling patients. The research associates

program recruits college students though a competitive process involving an

application and selected interviews. Those who are selected receive training in

research ethics, HIPAA compliance, use of the electronic medical record (EMR)

and live training on how to enroll patients into clinical study. These programs

often make use of a permanent research coordinator to co-direct the program.

It is estimated that as many as 20 of these programs exist around the US. This

segment will provide insight in how to start such a program at your site.2) Funding

salaried RAs through use of departmental funds and grants: this segment will

discuss ways to fund salaried research associates, who are employees in the ED.

Advantages of this approach include having longer-term RAs who require fewer

episodes of training, and to allow them to be paid for their services. Requirements

include establishing a long-term coordinator to run the program, and obtaining

initial and steady-state funding, through a mix of grants and contracts from

government, foundation and industrial sources.

Objectives: Upon completion of this session, participants should be able to:

1) Identify two ways to create a research associates team within an emergency

medicine residency program.

2) Describe the basic process of creating a program, as well as some of the pitfalls

that may occur, as well as growing and maturing the program.

Daniel Keyes MD, MPH – submitter/presenter

University of Michigan EM Residency Program, Ann Arbor, MI

Ed Panacek MD, MPH - presenter

University of California, Davis, Davis, CA

Judd Hollander MD - presenter

University of Pennsylvania, Philadelphia, PA

Daniel Pallin MD, MPH - presenter

Harvard University, Boston, MA


Real Strategies for Quasi-Experiments:

How to identify causation using non-Randomized Data

DS021 – Peachtree E

Session Time: Wednesday, May 15, 2013 2:00 - 2:50 pm

Many EM researchers are interested in determining whether an intervention

(any event impacting subjects) has an effect on practice or patient outcomes.

However, often it is not possible to do a true randomized, controlled experiment,

usually because of feasibility or ethical issues. In general, non-randomized,

non-controlled data need to be used cautiously when assessing the effect of an

intervention, as internal validity may be compromised by a number of factors such

as confounding, temporality, selection bias, diffusion of intervention effects, or

regression to the mean. Quasi-experimental study designs and analytic methods

minimize threats to internal validity using a variety of approaches. Some of the

methods to be discussed are also applicable to the analysis of observational data,

but the focus will be on how to work with data collected under circumstances

where the researcher has control over the intervention but not necessarily over

who is exposed.

Objectives: At the completion of this session, participants should be able to:

1. Describe principles of causal inference and related concepts

2. Discuss a broad range of quasi-experimental study methods and determine

whether and how to apply these methods to their own data and research

questions

3. Appreciate how quasi-experimental methods can be used to perform highquality

EM research.

lisa Schweigler MD, MPH, MS – submitter, presenter

Brown University/Rhode Island Hospital, Providence, RI

Jason Haukoos MD, MSc - presenter

University of Colorado/Denver Health Medical Center, Denver, CO

christopher Kabrhel MD, MPH - presenter

Harvard Medical School/Massachusetts General Hospital, Boston, MA

is the Patient Safe? Assessing Procedural competence

DS022 – Peachtree c

Session Time: Wednesday, May 15, 2013 2:30 - 3:50 pm

Procedural skills involve a complex combination of cognitive and technical skills.

The new ACGME milestones and potentially requirements for maintenance of

certification are increasingly requiring that learners and practitioners be formally

assessed for competency. In addition, assessment also provides an opportunity

for feedback to enhance skill development. Both of these goals require use of

effective and valid tools. This session will review the evidence supporting the use

of various assessment modalities including self-assessment, direct-observation,

use of non-physician evaluators, and simulation. It will also review available

assessment tools such as the OSATS instrument. The session will cover issues

related to determining the validity of an assessment and development of a toolbox.

Through the use of case examples and small groups participants will practice use

of common assessment instruments and strategies for their implementation.

Due to the interactive nature of the small group sessions, additional facilitators

may employed for these sections of the workshop including Samantha Hauff MD;

Alyssa Bryant MD; Jeff Siegelman MD; and Jared novack MD.

Objectives: At the completion of this session, participants should be able to:

1. Discuss the needs, benefits, and limitation of assessment of procedural

competency

2. Discuss the educational rationale behind assessment of skills

3. Identify methods that optimize use of available resources to perform procedural

assessment on trainees.

4. Develop a plan to implement an assessment of procedural skills

in a variety of scenarios

laura Hopson MD – submitter, presenter

University of Michigan, Ann Arbor, MI

Suzanne Dooley-Hash MD - presenter

University of Michigan, Ann Arbor, MI

Doug Ander MD - presenter

Emory University, Atlanta, GA

Ernest Wang MD - presenter

University of Chicago, Chicago, IL

How to Become a Trailblazer: Perspectives of Resident innovators

DS023 – Peachtree A & B

Session Time: Wednesday, May 15, 2013 3:00 - 4:20 pm

This novel session will be a moderated panel discussion including junior and senior

faculty. nominations for the panelists were solicited from program directors

via the CDEM listserve. After reviewing the nominations and descriptions, the

SAEM Resident & Student Advisory Committee voted for top candidates. Three

speakers were selected to describe a change they implemented at their program

– why it was needed, steps they took toward their goal, barriers they faced, and

outcomes. The panelists include Dr. Karen Lind, Maimonides Medical Center,

Dr. Shereaf Walid, Detroit Receiving Hospital, and Dr. Jon Heidt, Washington

University. Each panelist will be allotted 15 minutes to discuss their innovation or

leadership experience as a resident. Dr. Lind will discuss creating and pioneering

the education fellowship at her institution, Dr. Walid will discuss his transformation

of his program’s didactics, and Dr. Heidt will discuss his work on a national level as

a resident advocate in curricular reform. The senior faculty, Dr. Carey Chisholm,

Indiana University, serving as the expert on leading from within was selected

by the Committee co-chairs due to his tenure as the longest-serving program

director in EM and his commitment to innovation. He will be allotted 10 minutes in

closing remarks on what makes a resident successful in implementing change. In

the remaining 20 minutes participants will break into 3 groups led by each panelist

to discuss steps residents can take to create change in the panelists areas’ of

expertise: curricular reform, post-residency education and national committee

involvement. Dr. Marie Vrablik will serve as the session moderator.

Objectives: At the completion of this session, participants should be able to

describe a framework for promoting change and leading initiatives within a

residency program or department. Participants should also have the opportunity

to establish a network or identify a mentor for promoting specific changes to their

respective programs related to the panelists’ experiences.

Marie Vrablik MD – submitter, presenter

Indiana University, Indianapolis, In

carey chisholm MD - presenter

Indiana University, Indianapolis, In

Jonathan Heidt MD - presenter

Washington University, Saint Louis, MO

Karen lind MD - presenter

Maimonides Medical Center, Brooklyn, nY

Shereaf Walid MD - presenter

Wayne State University, Detroit, MI

The Business of EM: Defining Productivity

DS024 – Peachtree D

Session Time: Wednesday, May 15, 2013 3:00 - 3:50 pm

As EM physicians we are expected to perform a myriad of duties---the sum of

which is meant to define us within the context of an EM department. Academic

chairs are subsequently faced with the seemingly difficult burden to somehow

determine how much someone is worth. The days of simply saying that we teach

residents and therefore it equals 10 hours of protected time are long distant

memories. Academic emergency departments face the same dilemma that every

community organization faces: how to keep costs down and maximize profitability

for not just the department but for the organization at large. Every hour must be

accounted for, every academic obligation charted, and every clinical shift covered.

Justifying a new full time employee or someone’s protected time requires combing

through complicated formulas. Formulas which are meant to explain productivity.

From a clinical standpoint, our productivity is measured in RVUs; each of which is

generated from our procedures, our documentation, our level of billing and coding.

Ascribing a Relative Value Unit to resident education, clerkship directorships,

committee involvement, EMS oversight, and research (to name but a few of the

roles we play) is a much trickier and more complicated recipe. A panel of academic

administrators, chairs, and business leaders in EM will analyze and discuss how

productivity is defined; how to potentially maximize one’s productivity; and what

the potential impact of a tightening health care system will have on academic

dollars. A short question and answer period will follow at the end of the panel

presentation to allow for audience participation.

Objectives: At the end of this session, participants should be able to:

1. Define productivity in terms of clinical and academic output.

2. Identify the budget challenges academic departments face in the present and

the future

3. Promote how physicians can work collaboratively with administration to

create a set of goals to ensure that both the academic and clinical mission of a

department are met.

Michael Hochberg MD – submitter, presenter

Saint Peter’s University Hospital/Drexel, new Brunswick

Brent King MD - presenter

University of Texas-Houston, Houston, TX

Richard Zane MD - Presenter

University of Colorado, Aurora, CO

Kirsten Rounds Rn, MS - Presenter

Brown University/Rhode Island Hospital, Providence, RI

May 14-18, 2013 | atlanta, GeorGia

39


An introduction to Qualitative Methods

in Emergency Medicine Research

DS025 – Peachtree E

Session Time: Wednesday, May 15, 2013 3:00 - 3:50 pm

Qualitative research seeks to develop concepts to better understand complex

social phenomena in natural settings. Qualitative study designs commonly use

in-depth interviews, focus groups, and field observation. Qualitative methods are

particularly relevant in emergency medicine, where research questions often have

little existing research background and outcomes are difficult to measure. These

techniques are being used increasingly in emergency medical research, however,

they are frequently misunderstood and few emergency physicians have formal

training in this area. This introductory session will enhance participants’ capacity

to design and conduct scientifically sound qualitative research. The faculty are

emergency physician researchers with experience in qualitative methods and

will use their projects to highlight concepts. Dr. Landman will discuss when to use

qualitative methods and will describe how he used in-depth interviews to study

emergency medical services agencies implementation of electronic patient care

reports. Dr. Rhodes will provide an overview of qualitative methods focusing

on core principles and practices, including selecting a study design. Dr. Rhodes

will discuss how she used audiotaped ED visits to understand doctor-patient

communication and focus groups and semi-structured interviews to identify

asthma patients’ preferences for ED or primary care. Dr. Schuur will describe how

to plan a qualitative research study, find mentors and collaborators, and resources

required. Dr. Schuur will discuss how he used interviews and focus groups to

identify successful infection prevention strategies in EDs. A question and answer

session will follow.

Objectives: At the end of this session participants should be able to:

1. Define and describe qualitative research methods;

2. Select appropriate qualitative methods for emergency medicine research

questions;

3. Describe example emergency medicine qualitative research studies.

Jeremiah Schuur MD, MHS – submitter, presenter

Brigham & Women’s, Boston, MA

Karin Rhodes MD, MS - presenter

University of Pennsylvania, Philadelphia, PA

Adam landman MD, MS, MiS - presenter

Brigham & Women’s Hospital, Boston, MA

THuRSDAy, MAy 16TH

lgBT Health: Educating EM Physicians to

Provide Equitable and Quality care

DS026 – international B

Session Time: Thursday, May 16, 2013 8:00 - 8:50 am

In March 2011, the Institute of Medicine published a landmark report, The Health

of Lesbian, Gay, Bisexual and Transgender People: Building a Foundation for

Better Understanding. The report concluded that to advance understanding

of the health needs of all LGBT individuals, researchers need more data about

the demographics of these populations, improved methods for collecting and

analyzing data, and an increased participation of sexual and gender minorities

in research. The Joint Commission and the Department of Health and Human

Services have both followed suit with plans for addressing the health needs of

LGBT individuals, citing a need for education of health care providers. Recently,

JAMA reported that medical schools, on average, have less than 5 hours of LGBTspecific

content. The literature shows that 40% of LGBT patients cite lack of

provider education as a barrier to care; 10% report being refused care outright;

and 27% fear being treated poorly by providers. The SAEM position statement on

diversity highlights the imperative that all physicians be trained to treat patients

from all cultural backgrounds. As LGBT health takes a national spotlight, it is

essential that our specialty responds with the appropriate educational tools to

train the next generation of physicians to care for sexual minorities. The proposed

panel discussion will address key areas related to LGBT health and the status of

LGBT healthcare education.

Objectives: At the end of this session participants should be able to

1. List LGBT terminology and definitions

2. Describe the role of EM physicians in providing a better health care experience

for LGBT patients.

3. Describe LGBT health care disparities and the complex variables, including

current laws that affect LGBT health

4. Summarize the results of a survey of EM programs regarding their current LGBT

Health curricula and their educational gaps. Describe Public Health implications

for LGBT Health

40 Society for Academic Emergency Medicine

Paul Krieger MD – submitter, presenter

Beth Israel Medical Center/Albert Einstein, new York, nY

Joel Moll MD - presenter

Emory University, Atlanta, GA

Thea James MD - presenter

Boston Medical Center/BU School of Medicine, Boston, MA

Ellen Slaven MD - presenter

LSU Health Science Center, new Orleans, LA

Ted corbin MD - presenter

Drexel University College of Medicine, Philadelphia, PA

Future Directions in Electrocardiography in

Acute coronary Syndromes

DS027 – international c

Session Time: Thursday, May 16, 2013 8:00 - 8:50 am

The electrocardiogram is the initial test in patients with suspected ACS and the

defining element of ST segment elevation myocardial infarction (STEMI). Its most

important use is in the detection of acute coronary obstruction and it is the most

important, cost-effective, and immediately available initial test in the decision for

emergency reperfusion therapy. However, its full potential is not being realized.

In more than 25% of non-STEMIs, the infarct-related artery (IRA) is occluded,

and in these patients, biomarker levels and mortality are high. However, there is

little in-depth ECG analysis helpful in identifying this group. Thus, there is a high

false negative cath lab activation rate, and future research should be aimed at

improving the sensitivity and specificity of the EKG for acute coronary occlusion.

Objectives: At the completion of this session, participants should be able to:

1. To describe the State of the Art in the use of ECG in acute coronary occlusion,

2. Describe opportunities for research pathways in the future.

Stephen Smith MD – submitter, presenter

Hennepin County Medical Center, University of Minnesota School of Medicine, Mn

choosing a High-impact Resident or Student Quality

improvement Project and getting it Published

DS028 – Plaza Ballroom A

Session Time: Thursday, May 16, 2013 8:00 - 8:50 am

Emergency Medicine Residency competencies and milestones require a

substantive experience in quality improvement (QI). For example, the recently

released RRC-EM and ABEM Milestones consider participation in institutional

process improvement and the use of analytical tools to assess quality and

safety central to resident development. One key part of this is participation in

a QI project. A well-designed QI project gives a resident hands-on experience

in systems-based practice and excellent preparation for employment in our

rapidly changing healthcare environment. Yet in a resident’s busy schedule it can

be difficult to identify, develop and complete a QI project that has a meaningful

impact on the ED and can be presented in a manner that supports academic

development. This session will enhance participants’ capacity to identify, design

and conduct impactful QI projects and promote their work through presentation

and publication. The faculty members are national experts on quality improvement

who have worked with residents and students to conduct and publish QI projects.

Dr. Kelly will review residency requirements regarding quality improvement

and present a framework for resident involvement in QI across the duration of

residency. Dr. Schuur will review methods of QI project design that are likely to

lead to valid improvements and can be presented or published. Dr. Venkatesh will

identify venues for funding, presenting and publishing resident QI projects. Using

actual projects the presenters will review appropriate topics for student and

resident QI projects. A question and answer session will follow.

Objectives: At the completion of this session, participants should be able to:

1. Plan resident or student involvement in quality improvement across the duration

of residency

2. Select an appropriate topic for QI projects and a valid study design

3. Describe potential funding sources for QI projects and venues for academic

presentation and publication.

Jeremiah Schuur MD, MHS – submitter, presenter

Department of Emergency Medicine, Brigham & Women’s Hospital, Boston, MA

John J. Kelly DO, FAcEP - presenter

Department of Emergency Medicine, Albert Einstein Medical Center,

Philadelphia, PA

Arjun Venkatesh MD, MBA - presenter

Robert Wood Johnson Clinical Scholars Program, Yale University School of

Medicine, new Haven, CT


careers & Opportunities at the cDc

DS029 – Plaza Ballroom B

Session Time: Thursday, May 16, 2013 8:00 - 8:50 am

Many of our members entered emergency medicine because they wanted to

help people, make a difference or be on the front lines of healthcare. A few bold

individuals step outside the ER to join the elite ranks of the Center for Disease

Control & Prevention (CDC) where they conduct epidemiologic investigations in

the field, oversee public health surveillance, and fight the global burden of disease.

The role of the CDC, the guidelines they produce, and the coordination of resources

they provide become increasingly important as healthcare shifts to a focus on

population health. In this session, members will hear from several members of

the CDC who got their start in emergency medicine followed by a fellowship in

Epidemic Intelligence Services (EIS). Panelists include David Sugerman MD MPH,

a Medical Officer in the Division of Injury Response who will talk specifically

about his work in trauma systems and disaster surveillance and response, and

Samuel Graciter MD, a medical epidemiologist with the Immunization Services

Division. Both panelists will explain how their work and that of the CDC is relevant

to the practice of emergency medicine, how it relates to hospital emergency

management, and how it is effecting and effected by evolving trends in healthcare

policy. They will also discuss their career paths and ways to get involved with the

CDC. They will give an overview of next steps for emergency physicians interested

in a career or involvement with the CDC.

Objectives: At the completion of this session, participants should be able to:

1. Define career options that exist at the CDC within medical epidemiology,

including EIS, and disease prevention.

2. Describe recent CDC initiatives such as pandemic flu preparedness, updated

field triage guidelines, treating and containing AIDS in Africa and Asia, and

establishing guidelines for the treatment of Traumatic Brain Injury.

Kevin Munjal MD, MPH - submitter

Mount Sinai Medical Center, new York City, nY

David Sugerman MD, MPH - presenter

Center for Disease Control & Prevention, Atlanta, GA

Samuel graitcer MD - presenter

Center for Disease Control & Prevention, Atlanta, GA

Disparities & Diversity in Emergency Medicine: SAEM: Where

are we now?

DS030 – international B

Session Time: Thursday, May 16, 2013 9:00 - 9:50 am

It will be 10 years since publication of the Academic Emergency Medicine’s (AEM)

Consensus Conference special issue on Disparities in Emergency Health Care.

The goal of the AEM 2003 Consensus Conference was to improve the emergency

medical care of patients by critically evaluating the presence, causes, and

outcomes related to disparities in emergency health care. With the founding of

the Academy for Inclusion and Diversity in Emergency Medicine (ADIEM), we

take a historical look at where we are in EM as it relates to topics of Disparities

and Diversity in EM. In addition, SAEM’s position statement published in 2000

believes that attaining diversity in EM residencies and faculty that reflect our

multicultural society is a desirable and achievable goal. We have pioneers in EM

who have been key leaders on these topics who can reflect on SAEM’s past and

make recommendations for the future.

Objectives: At the end of this session participants should be able to:

1. Discuss the history of Diversity and Disparities work in SAEM.

2. Review EM education on health care disparities including best practices.

3. Identify ways to recruit, retain and promote a diverse EM physician workforce.

4. Illustrate strategies to ensure growth in SAEM’s mission to develop didactic,

educational, research and other programs to assist academic emergency

medicine departments to improve diversity at their institutions.

Sheryl Heron MD, MPH – submitter, presenter

Emory University, Atlanta, GA

Marcus Martin MD - presenter

University of Virginia, Charlottesville, VA

Michelle Biros MS MD - presenter

University of Minnesota, Minneapolis, Mn

lynne Richardson MD - presenter

Mt Sinai School of Medicine, new York, nY

Harnessing the Emergency Medicine Perspective: Emphasizing

Key Differences between Adult and Pediatric chief complaints

to Enhance Resident Training in Pediatric Emergency Medicine

DS031 – international c

Session Time: Thursday, May 16, 2013 9:00 - 9:50 am

General emergency physicians (EP) face the challenges of providing high quality

care for patients of all ages. Children are cared for by general emergency physicians

in 75% of all their Emergency Department encounters. In addition, greater than

90% of their care is provided in non-pediatric emergency departments. Children

present unique clinical challenges to EP’s. Current residency training requirements

dictate that only 16% of all patient encounters be pediatric; despite the fact in a

typical Emergency Medicine practice, children may account for 25% of all visits.

Therefore, training requirements do not reflect the patient mix encountered in

practice, making it imperative to maximize the efficiency and effectiveness of

resident Pediatric Emergency Medicine (PEM) training. As a PEM educational

framework, we seek to exploit the clinical acumen and heuristics resident utilize

for adult patient care and behaviorally translate it for applicability to pediatric

patients. Its clinical applicability to pediatric scenarios is largely shaped by

the notable clinical differences in children but done through a prism of more

developed general ED skills. Potentially, this framework could serve as a template

for other PEM educational opportunities. This didactic session will explore the

idea of harnessing key differences between adult and pediatric presentations to

enhance resident PEM training. Using the adult chest pain ABdominal pain and

resuscitative practice; we hope to transpose those elements of adult care most

applicable to PEM and highlight the notable differences to improve the EP’s

pediatric care acumen. Audience participation will be solicited along with an opendiscussion

following the session.

Objectives: At the completion of the course, participants should be able to:

1. List ways to maximally leverage general EM knowledge bases to enhance PEM

skill sets of residents in their PEM training and

2. Describe critical differences in pediatric and adult diagnoses with significant

morbidity and mortality.

Jeffrey Hom MD, MPH - submitter

Stony Brook University School of Medicine, Stony Brook, nY

Robert cloutier MD, McR – presenter

Oregon Health and Science University, Portland, OR

The inside Scoop: Background information and Tips On using

The large national Datasets Provided by ncHS and HcuP,

including nHAMcS and nEDS

DS032 – Plaza Ballroom A

Session Time: Thursday, May 16, 2013 9:00 - 10:20 am

The CDC’s national Center for Health Statistics (nCHS) and AHRQ’s Healthcare

Cost and Utilization Project (HCUP) provide well known national data resources,

including nHAMCS and nEDS, which EM researchers commonly employ to answer

questions and generate hypotheses on a national, regional, and state level. The

goal of this session is to provide inside perspectives on nCHS and HCUP data

products which will help EM investigators conduct novel and also appropriate

and effective research using these resources. At the beginning of the session, the

moderator will provide a brief overview of the data products provided by nCHS

and HCUP. Subsequently, two senior representatives from nCHS and HCUP will

give succinct presentations (20 minutes each) describing the resources available,

the history of these resources, how each resource is collected and made available,

how emergency medicine researchers may obtain access to the resources, and

how to use the resources most appropriately. This section will be followed by

presentations (10 minutes each) from two established emergency medicine

researchers on their experiences working with nCHS and HCUP data, focusing

on what kind of questions can be asked, examples of previous work, and issues

they have encountered in working with the data. The remaining time (15 minutes)

will be devoted to a panel discussion comparing the different resources available

and addressing common issues in their use, including how to most effectively work

with the nCHS and HCUP staff in conducting analyses and accessing internal files

and security processes, as well as answering audience questions.

Objectives: At the completion of this session, participants should be able to:

1. Describe the national data resources available through nCHS and HCUP.

2. Formulate research questions that may be addressed through use of the nCHS

and HCUP.

3. Identify potential issues they will encounter when using these resources and

how to overcome these issues.

lisa Schweigler MD, MPH, MS - submitter

Brown University/Rhode Island Hospital, Providence, RI

May 14-18, 2013 | atlanta, GeorGia

41


Brendan carr MD, MS - presenter

University of Pennsylvania, Philadelphia , PA

linda Mccaig MPH - presenter

CDC, national Center for Health Statistics, Hyattsville MD

Ryan Mutter PhD - presenter

AHRQ/HCUP, Rockville MD

Stephen Pitts MD, MPH - presenter

Emory University, Grady Memorial Hospital, Atlanta,, GA

Emilie Powell MD, MS, MBA – presenter

northwestern University, Chicago, IL

The War On MRSA: lessons for Success in Planning, Funding,

and Executing clinical Research in infectious Diseases

DS033 – Plaza Ballroom B

Session Time: Thursday, May 16, 2013 9:00 - 9:50 am

Emergency medicine researchers start out with a general area of interest.

The challenge lies in choosing a topic that will be fundable and bear fruit over

the course of several investigations. In this session, three panelists who have

succeeded in funding and executing patient-oriented research related to MRSA

will discuss their strategies for success. The presenters will demonstrate how

critical questions of importance to wide audiences can be pursued by descriptive

methods and modest budgets, and how descriptive research paves the way for

larger-scale work and interventional trials. They will use the example of MRSA

research to demonstrate: 1) Choice of a research question, 2) Selection of the

methodological approach, 3) Getting the resources needed to accomplish the

research, with discussion of funders including the nIH, CDC, AHRQ, intramural,

and industrial sources.

Dr. Pallin will give specific examples of publications, grants, and ongoing trials

related to MRSA. These will be used to demonstrate how important contributions

can be made with various methodologies and various budgets, ranging from

descriptive case series to large-scale epidemiology, surveys, qualitative research,

and clinical trials. Dr. Talan will describe n multicenter research from EMERGEncy

ID net, a national network of emergency departments that is funded by the CDC,

EMERGEncy ID net approach to CA-MRSA research. Dr. Schuur will demonstrate

how MRSA and other hospital-acquired infections can be a focus of healthcare

quality research, the importance of knowledge translation and mixed-methods

research in quality research, and discuss AHRQ as a funder of emergency medicine

research. There will be time for questions and open discussion.

Objectives: At the completion of this session, participants should be able to:

1. Incorporate a Change in viewpoint of research from project-based to topicbased,

accommodating career growth and multiple investigations.

2. Apply a general research interest to specific questions.

3. Describe patient-oriented research designs, from descriptive series to clinical

trials.

4. List greater than 4 avenues for financial support of clinical research

Daniel Pallin MD, MPH - submitter

Brigham and Women’s Hospital, Boston, MA

Jeremiah Schuur MD, MS - presenter

Brigham and Women’s Hospital, Boston, MA

David Talan MD - presenter

Olive View - UCLA, LA, CA

navigating the AMA Discharge: case Studies

DS034 – international B

Session Time: Thursday, May 16, 2013 10 - 11:20 am

This case-based interactive panel session will present actual cases of AMA

discharges followed by discussion and expert commentary from the panelists.

The discussion will clarify the most commonly encountered problematic aspects

of the AMA discharge and specifically address ethical and legal considerations

confronted by emergency physicians in practice. Specific topics to be covered

include: 1) What ethical and legal obligations does the emergency physician have

for these patients after an AMA discharge? 2) What are the nuts and bolts of the

AMA process? 3) What are the benefits and drawbacks to the commonly used

AMA forms? Does the signing of AMA forms lead to more or less risk and should

they be used? 4) When is a psychiatric evaluation of capacity required? 5) Does the

AMA discharge effectively relieve the EP from liability? 6) Are there populations

that are unsuitable for AMA discharge? 7) Is there evidence that AMA discharges

lead to preventable morbidity and mortality?

Objectives: At the completion of this session, participants should be able to:

1. Recognize the unique challenges inherent in the AMA discharge.

2. Describe best practices for navigating ethically and legally sound care to this

population and for teaching this topic to residents and junior faculty.

3. List ethical and legal pearls and pitfalls in the AMA process.

42 Society for Academic Emergency Medicine

4. Explain when a capacity evaluation is an appropriate requisite

for an AMA discharge.

5. Summarize the limits of legal protection provided by AMA discharges.

Mark clark MD –submitter, presenter

St. Luke’s Roosevelt, Columbia University, new York City, nY

James Adams MD - presenter

northwestern Feinberg School of Medicine, Chicago, IL

The great Pediatric Sedation Debate!

DS035 – international c

Session Time: Thursday, May 16, 2013 10 - 11:20 am

Want to learn more about the current evidence and variation in practice patterns

for pediatric procedural sedation across the country? Perplexed by the medication,

monitoring and resource utilization required for pediatric sedations? Few areas

of medical practice remain as non-standardized as pediatric sedation. During

this interactive session, 3 pediatric emergency medicine specialists with clinical

and research experience in procedural sedation will debate the management of 4

pediatric scenarios; including the use of alternatives to standard IV therapy and

discussion of innovative and state-of the-art approaches. This fast-paced session

will begin by utilizing an audience response system to determine the audience’s

approach to the scenario. The experts will then be given 3-5 minutes each to argue

the evidence supporting their sedation plan for this challenging case scenario. This

will be followed by a group discussion of the pros and cons of management choices

and the limitations of the current literature. At the conclusion of each scenario, an

audience response system will be used to tabulate whether the debate changed

the audience’s sedation plan. The audience is encouraged to bring their own

challenging pediatric scenario for panel discussion during the final 30 minutes of

the session. This session will critically evaluate the current literature, optimize

pediatric care and encourage an open exchange of ideas and practice styles that

will generate future research.

Objectives: At the completion of this session, participants should be able to:

1. Utilize the latest published evidence and guidelines for pediatric sedation to

make management decisions about challenging pediatric scenarios.

2. Discuss the current national variation in practice for sedation and treatment

of pain for children. 3. Identify limitations in the current pediatric sedation

literature that may result in future study.

Amy Drendel DO, MS – submitter, presenter

Medical College of Wisconsin, Milwaukee, WI

Frank Petruzella MD - presenter

Bon Secours St. Mary’s Hospital, Richmond, VA

Patrick Solari MD - presenter

Seattle Children’s Hospital/ University of Washing, Seatttle, WA

Rakesh Mistry MD, MS - presenter

Children’s Hospital of Philadelphia, Philadelphia, PA

Robert Kennedy MD - presenter

Washington University in St. Louis

School of Medicine St. Louis Children’s Hospital, St. Louis, MO

Minimizing the Pain of Maximizing Pain Relief: Strategies For

Emergency Physicians To Treat Pain Safely

DS036 – Plaza Ballroom B

Session Time: Thursday, May 16, 2013 10 - 11:20 am

Opioid analgesics are important therapeutics in patient care but are burdened

by misuse and an ongoing public health crisis. Emergency physicians, as major

prescribers of these potent analgesics, are wise to perform risk assessment

prior to prescribing opioid medications to attempt to detect patients at risk for

aberrant drug related behaviors. However, most existing screening tools have not

yet been validated in emergency department settings and may indeed be limited.

We will present the data underlying the need for cautious prescribing, describe

strategies to identify and mitigate aberrant use, present effective responses

to complex patient demands, and review effective alternatives to opioid-based

analgesia. The moderator will frame the problem of ED pain management in the

context of patient centered goals and the epidemic of opioid analgesic overdose.

The development of tolerance and dependence and its impact on aberrant opioid

using behavior, pitfalls in screening tools in the ED, and research needs at the

intersection of pain management and addiction will be discussed. Methods will

be demonstrated to adapt conversations about non-opioid pain management to

conform to patient expectations, particularly those with chronic pain. The utility

and limitations of state-based prescription drug monitoring programs will be

described.

Objectives: At the completion of this session, participants should be able to:

1. Describe the scope of prescription opioid misuse and the need for increased

scrutiny in ED opioid prescribing.


2. Convey pharmacologic and nonpharmacologic strategies to limit opioid

prescribing while maintaining patient centered care and satisfaction.

3. Summarize the current evidence supporting the use of PDMPs to identify

patients at risk for aberrant drug use and areas for future collaborative

research.

lewis nelson MD – submitter, presenter

new York University, new York, nY

Jeanmarie Perrone MD - presenter

University of Pennsylvania, Philadelphia, PA

Edward Boyer MD, PhD –presenter

University of Massachusetts, Worcester, MA

Robert Hendrickson MD - presenter

Oregon Health Sciences University, Portland, OR

can we Trust clinical Practice guidelines?

DS037 – Plaza Ballroom A

Session Time: Thursday, May 16, 2013 10:30 - 11:50 am

Clinical practice guidelines (CPGs) play a key role in support of the decision-dense

and algorithmic nature of EM practice. Furthermore the broad nature of EM

demands evidence based guidance and decision support sanctioned by respected

organizations adopting sound and unbiased methods. CPGs can standardize

practice and suggest quality measures that monitor their impact; they can also

mitigate medico-legal risk if followed. Unfortunately, they are also resource

intense to develop, frequently inactionable, often out of date and supported by a

weak evidence base leading to a paucity of strong recommendations. As a result,

they are frequently perceived as watered-down and directionless and thus viewed

skeptically by some target end-users. The International Liaison Committee on

Resuscitation (ILCOR) and the American College of Emergency Physicians are

the developers and guardians of the highest impact CPGs in EM. This session will

highlight developments in CPG methodology that are being adopted by these

organizations which are designed to address many of these limitations. Particular

emphasis will be placed on how ACEP is attempting to meet the standards laid out in

the recent Institute of Medicine report entitled Clinical Practice Guidelines we can

Trust as well as ILCOR’s transition to the GRADE approach to CPG development.

The session will also highlight other pertinent developments in guideline science

designed to facilitate the critical appraisal, adaptation and implementation

of CPGs at the local level as well as opportunities for EM academics to become

involved in important national and international initiatives.

Objectives: At the completion of this session participants should be able to:

1. Explain the rationale and methodology underlying changes in guideline

development by ILCOR and ACEP.

2. Summarize the international efforts to improve guideline development and

implementation through rigorously developed instruments that address

grading the quality of recommendations and the strength of recommendations

3. Describe the tools for guideline appraisal, adaptation and implementation.

Eddy lang AB - submitter

University of Calgary, Calgary AB

Michael Brown MD, MSc - presenter

University of Michigan, Grand Rapids, MI

Francis Fesmire MD - presenter

University of Tennessee, Chattanooga, Tn

clifton callaway MD, PhD - presenter

University of Pittsburgh, Pittsburgh, PA

challenging the Physician-Patient Relationship: negotiating

Deception, Manipulation, and Medical Mistakes

DS038 – international B

Session Time: Thursday, May 16, 2013 11:30 - 12:50 pm

The course will be based on the recently approved Ethics Curriculum produced

by the SAEM Ethics Committee, and approved by the SAEM Board of Directors.

It will serve as an introduction of the curriculum as a resource in addressing

ethical dilemmas and circumstances all emergency providers face in the practice

of emergency medicine. The complete curriculum is comprehensive, and as an

introduction, this course will focus only on the first module: The Physician Patient

Relationship. Specifically content will address concerns with competence,

beneficence, and compassion; confidentiality and privacy; and skillful

communication and truthfulness. After a general introduction to the curriculum

resources, participants will break into moderated small groups for a case based

discussion of ethical dilemmas. Groups will then reconvene and discuss in large

group format demonstrating use of the principles and resources of the newly

developed ethics curriculum.

Objectives: At the completion of this session, participants should be able to:

1. Discuss the relationship between physician competency and professional ethics.

2. Describe challenges to maintaining compassion and beneficence in emergency

medicine.

3. Explain the roles of confidentiality and privacy in the emergency department

management of patients.

4. List the potential barriers to maintaining privacy in the emergency department.

5. Discuss the ethical handling of medical errors and the arguments for and against

full disclosure of errors in the emergency department.

Joel Moll MD - submitter

Emory University, Atlanta, GA

Jean Abbott MD, MPH - presenter

University of Colorado, Denver, CA

Tammie Quest MD - presenter

Emory University, Atlanta, GA

Mark clark MD – presenter

St. Luke’s Roosevelt, Columbia University, new York City, nY

We All Make Mistakes. But What Do you Do Afterwards?

DS039 – international c

Session Time: Thursday, May 16, 2013 11:30 - 12:50 pm

You’re working a busy shift in the ED. Your next patient is an 82 year-old man who

tripped while getting out of bed last night; he has a 3.5 cm laceration to the left

eyebrow. There is some swelling around his eye but you don’t find anything else.

You suture the laceration and send him home. Five days later, he returns for suture

removal and is blind in the left eye. The ophthalmology consultant diagnoses

rupture of a previous corneal graft and endophthalmitis. The patient requires

enucleation of his left eye. In retrospect, you realize that the nurses forgot to

check a visual acuity (despite a policy in place about checking it on patients with

facial trauma). Also, the default H&P wording you accepted in the EMR failed to

document the extent of your physical exam and led to some incorrect statements.

now what? The emergency department is a high-risk environment for adverse

outcomes – some inevitable and some due to medical errors. This interactive

panel discussion will provide tools for what to do in the face of such outcomes,

whether you are the provider involved, a faculty member responsible for safety

and quality improvement, or a faculty member who wants to model an appropriate

response for residents. Panelists will use this actual case to illustrate three key

action steps: (1) full disclosure of any errors to the patient and family, along with

an offer to help mitigate the medical, social and economic impacts of the event;

(2) support for the second victim, the medical staff involved in the error; and (3)

a diligent analysis, looking for the system-level factors that contributed to the

outcome and changing the system in ways that will reduce the likelihood of similar

events in the future.

Objectives: At the completion of this session, participants should be able to:

1. Describe the pitfalls of the traditional response to crisis – a slow, stonewalling,

defensive approach that risks antagonizing patient and family, blaming the

provider, and missing opportunities for systems-level improvement

2. Work with colleagues to develop a response plan for adverse outcomes in their EDs

Robert Wears MD, MS, PhD - submitter

University of Florida, Jacksonville, FL

Kathleen lanava MD - presenter

University of Michigan Health System, Ann Arbor, MI

Albert Wu MD, MPH - presenter

Johns Hopkins, Baltimore MD

Terry Fairbanks MD, MS - presenter

Medstar, Washington, DC

Building Blocks for Establishing Hospital-based Violence

intervention Programs in (your) Emergency Departments

DS040 – Plaza Ballroom B

Session Time: Thursday, May 16, 2013 11:30 - 12:50 pm

Each year, over 1.5 million victims are treated in hospitals nationwide for nonfatal

gunshot, stabbing, and other physical-assault injuries. A national study found 44%

of those under age 24 and hospitalized for violent injuries were later readmitted

due to violence and 22% became victims of homicide. Violence is the leading

cause of death for young African American males aged 15-34, and the 2nd leading

cause of death for young Latino males (but only 5th among white males age 15-

34). Disadvantaged & minority youth are not only at higher risk of violent injury,

but also at higher risk of long-term mental and physical morbidity. In 1998, the

U.S. Department of Justice’s Office for Victims of Crime (VOC) responded to an

American Academy of Pediatrics’ report on youth violence and recommended that

hospital-based counseling and prevention programs be established in medical

May 14-18, 2013 | atlanta, GeorGia

43


facilities that provide services to gang violence victims. Today, the national

network of Hospital-based Violence Intervention Programs (nnHVIP) connects

17 member programs from Boston, Chicago, Oakland and other cities across the

country through: (1) a comprehensive service model for violently-injured youth,

beginning in the ED; and (2) education of emergency physicians and staff on the

VIP model. However, there is a need for the VIP model to disseminate across the

country. During this special session; a panel of nnHVIP members will discuss

the challenges and details of successful models that address violence in our

communities. During this didactic, attendees will learn why and how to apply the

VIP model in their own ED. The discussion will close with next steps for research,

education, and dissemination of this model.

Objectives: At the completion of this session, participants should be able to:

1. List steps to introducing ED hospital based violence intervention programs to

medical centers and create a plan to develop one at their own ED

2. Describe Trauma Informed Care

3. Create a standardized data base to capture quantitative and qualitative data for

evaluating programmatic efficacy and quality.

4. Conduct research for program evaluation

5. Discuss how cross-site evaluations can be performed.

Thea James MD – submitter, presenter

Boston University School of Medicine, Boston, MA

Theodore corbin MD - presenter

Drexel University College of Medicine, PA

Rochelle Dicker MD - presenter

University of California School of Medicine San Fr, San Francisco, CA

Optimizing Electronic Health Records in an

Academic Emergency Department:

The Administrative and informatics Perspective

DS041 – Plaza Ballroom A

Session Time: Thursday, May 16, 2013 12:00 - 12:50 pm

Whether an academic emergency department (ED) is still on paper or has an EDonly

electronic health record (EHR), sooner or later, we will all be using an electronic

health record system. As most academic emergency departments have already

made the transition to EHRs, the focus now is on how to use these tools to improve

care delivery. Given the content expertise of the moderator and panelists, all who

have led their respective academic EDs through this optimization, we will discuss

lessons learned on how best to harness the power available in EHRs. next, we will

discuss the administrative steps needed to maximize the potential of the system

to support ED operations (including how one factors in the additional complexity

of residents and other healthcare learners). Lastly, we will explore steps that can

be proactively taken to assure that good data is available, both to monitor the dayto-day

operations, but also for research and educational purposes.

Objectives: At the completion of this session, participants should be able to:

1. Discuss the current environment of ED-only vs. hospital-wide EHRs and the

pros and cons of each type.

2. Describe the steps needed for successful EHR optimization, and use EHRs to

optimize how an academic ED runs.

3. Use an EHR to provide meaningful data, both in real-time and for longitudinal

analysis.

4. Describe the roles faculty and residents must play in the optimization of EHRs.

Daniel Handel MD, MPH – submitter, presenter

OHSU, Portland, OR

Kevin Baumlin MD - presenter

Mt. Sinai School of Medicine, new York, nY

nicholas genes MD, PhD - presenter

Mt. Sinai School of Medicine, new York, nY

Mark Moseley MD, MHA - presenter

Ohio State University, Columbus, OH

FRiDAy, MAy 17TH

Diagnostic imaging and Radiation Exposure:

How Much is Too Much?

DS042 – international B

Session Time: Friday, May 17, 2013 8:00 - 8:50 am

The United States health care system has seen a dramatic rise in the use of

computed tomography (CT) during the past several decades. Emergency

departments are responsible for a large percentage of the CTs performed. In

many instances, CT scans are the optimal diagnostic modality in the ED, however,

at times CT is unnecessary and there can be significant drawbacks. Specifically,

CT scans are an important source of harmful radiation, lead to increased resource

44 Society for Academic Emergency Medicine

utilization and length of stay, and may unnecessarily increase health care

costs. Recently, the cancer risk associated with diagnostic radiation has been

rigorously studied and publicized in the media. Consequently, physicians should be

knowledgeable of the true risks associated with CT, and the up-to-date strategies

involved in minimizing the unnecessary use of this modality as well as techniques

available to minimize radiation dosing. This didactic will review the current

knowledge regarding diagnostic imaging and radiation, critically discuss how to

incorporate this knowledge into emergency medicine practice, and discuss stateof-the-art

research examining methods to decrease the unnecessary use of CT.

Objectives: At the completion of this session, participants should be able to:

1. Understand the radiation dosing associated with various computed tomography

(CT) scans and the implications for different patient populations\

2. Recognize strategies to minimize unnecessary use of CT imaging including the

use of electronic clinical decision support and alternative imaging modalities.

3. Describe strategies to minimize radiation dosing that can be discussed with

your home institution’s radiology department.

Jennifer Marin MD, MSc - submitter

University of Pittsburgh School of Medicine, Pittsburgh, PA

Angela Mills MD - presenter

University of Pennsylvania School of Medicine, Philadelphia, PA

Kimberly Applegate MD, MS - presenter

Emory University School of Medicine, Atlanta, GA

Preventing Opioid Analgesic Overdose Among ED Patients

DS043 – international c

Session Time: Friday, May 17, 2013 8:00 - 8:50 am

Many ED patients have legitimate needs for opioid analgesics for pain control, yet

mortality among inpatients from therapeutic opioid analgesic administration is

increasing. For two reasons, emergency department patients are at heightened

risk for adverse effects from opioid analgesic administration. First, unlike

anesthesiologists who can provide analgesia before a painful stimulus is

generated, emergency physicians are required to control pain that already

exists. Emergency physicians, therefore, frequently administer elevated doses

of analgesics relative to colleagues. Second, emergency physicians cannot

know the timing, dose, and potency of opioid analgesics that a patient might

take before or after an ED encounter. This didactic session will use real-world

examples to highlight methods for avoiding in-ED opioid toxicity. The moderator,

Kavita Babu MD, will frame the problem of management of pain in the ED in the

context of patient satisfaction and the epidemic of opioid analgesic overdose.

(10 minutes). The presentation will rely upon a series of concrete examples of ED

opioid over- and misprescribing that have led to patient morbidity and mortality.

Dr. Boyer will then 1) review the literature and analyzes each case from a toxicologic

perspective; 2) describe methods that avoid preventable morbidity and mortality;

and 3) discuss next steps for patient safety and overdose prevention research.

Anticipated cases include: co-administration of opioids and benzodiazepines;

administration of opioids to obese patients; dispensing fentanyl patches from

the ED; and administration of a single opioid dose (e.g., one for the road) prior to

discharge (40 minutes).

Objectives: At the completion of this session, participants should be able to:

1. Describe dangerous opioid prescribing practices;

2. Effectively utilize techniques to safely and effectively treat pain, while providing

adequate analgesia;

3. Describe important next steps for ED-based analgesia research.

Edward Boyer MD, PhD – submitter, presenter

UMass-Memorial Medical Center, Worcester, MA

Kavita Babu MD - presenter

UMass-Memorial Medical Center, Worcester, MA

informed consent in Emergency Research: Pitfalls and Practical

Pearls.

DS044 – international D

Session Time: Friday, May 17, 2013 8:00 - 9:20 am

Emergency clinical research, through design or execution, ideally should involve

situations or populations that may be challenging to include. In particular, consent

of subjects considered vulnerable based on their condition or situation may be

especially challenging. This panel session will discuss the recruitment and consent

of difficult populations including those from institutional settings, those with

cognitive impairment, and those facing life-threatening conditions. The speakers

will discuss frequently encountered barriers to consent and recruitment and

practical methods of overcoming these obstacles in multiple settings.

Objectives: At the completion of this session, participants should be able to:

1. Discuss challenges to recruitment and consent for institutionalized populations

and learn strategies to overcome these challenges.


2. List practical ways to overcome obstacles specific to performing ED research in

cognitively impaired elders, particularly obtaining consent.

3. Describe criteria for seeking an exception from informed consent for emergency

research on life-threatening conditions and responsibilities of investigators

who conduct such studies.

ula Hwang MD, MPH – submitter, presenter

Mount Sinai School of Medicine, new York, nY

Adit ginde MD, MPH - presenter

University of Colorado School of Medicine, Denver, CO

Jin Han MD, MSc - presenter

Vanderbilt University, nashville, Tn

lynne Richardson MD - presenter

Mount Sinai School of Medicine, new York, nY

Educational Portfolio: your Secret Weapon for Promotion

DS045 – international E-F

Session Time: Friday, May 17, 2013 8:00 - 8:50 am

Promotion within an institution can be challenging for someone with an

educational focus. Emergency medicine educators have varied responsibilities

and skill sets, some of which are difficult to highlight in a traditional curriculum

vitae format. An educational portfolio is a document, set of documents, website,

or other format which brings to attention and into one place all of the efforts put

forth by an educator. A properly completed portfolio can be quite powerful in

displaying your accomplishments to a P&T committee. This session will start by

briefly covering the creation and contents of an educational portfolio. This will

be followed by a panel discussion comprised of academic emergency physicians

who have experience with promotion and tenure decisions. These accomplished

academicians will provide examples of how educational portfolios can be used

to support promotion and will discuss features of portfolios which add to their

impact.

Objectives: At the completion of this session, participants should be able to:

1. Discuss the basic concept and philosophy of an educational portfolio

2. List the components of an educational portfolio

3. Describe how to use the educational portfolio to support promotion and tenure

decisions

corey Heitz MD - submitter

Virginia Tech Carilion School of Medicine, Roanoke, VA

gloria Kuhn DO, PhD - presenter

Wayne State University, Detroit, MI

Douglas Ander MD - presenter

Emory University, Atlanta, GA

Mapping the Path for current and Future Research for Safe,

Effective, and Appropriate Trauma imaging

DS046 – international B

Session Time: Friday, May 17, 2013 9:00 - 9:50 am

During the past decade there has been a trend toward earlier identification of all

injuries in the initial assessment of a trauma patient. With increased availability,

speed and accuracy of CT imaging, a dramatic increase in the use of CT imaging has

occurred in the trauma setting. Much of this has occurred without an evidence base

in the literature. As health care costs continue to rise and public concerns about

radiation exposure escalate, emergency physicians will play an essential role in

defining the future of trauma imaging research. This didactic session will explore

the current state of research on the topics of chest and abdominal imaging for

patients with trauma. A panel of experts in various disciplines within emergency

medicine (trauma practice, research, quality measures) are brought together to:

(1) discuss the basis of the current state of trauma imaging (e.g. does pan scanning

improve mortality?), (2) debate the philosophical importance of identifying every

injury versus only the clinically important ones (does a clinical decision rule need

to be 100% sensitive for all abnormal findings?), and (3) develop a roadmap for

future research goals (what is the ideal study design to develop a trauma imaging

clinical decision rule?). Dr. Steill will discuss what the research methodology

needed to determine ideal imaging strategies for patients with trauma. Dr.

Legome will discuss the present research obstacles that exist at trauma centers

in the US. Dr. Raja will describe the current state of trauma imaging and imaging

quality measures at Level I Trauma Centers. Our short-term goal is to develop a

white paper from this didactic that will define the emergency medicine research

agenda for trauma imaging, with the eventual goal of developing the topic into a

Consensus Conference.

Objectives: At the completion of this session, participants should be able to:

1. Describe the current state of the art regarding trauma imaging strategies

2. Discuss how a list of relevant clinical findings will drive future efforts to improve

imaging strategies can best be defined

3. Define an emergency medicine-based trauma imaging research roadmap and

the next steps needed to make progress

Kaushal Shah MD - submitter

Mt. Sinai School of Medicine, new York, nY

Michael gibbs MD - presenter

Carolinas Medical Center, Charolette, nC

ian Stiell MD - presenter

Ottawa Hospital, Ottawa, Ontario, CA

Eric legome MD - presenter

Downstate Medical Center, Brooklyn, nY

Ali Raja MD, MPH, MBA- presenter

Brigham & Womens Hospital, Boston, MA

identifying the Value of Emergency care in the

climate of Health Reform

DS047 – international c

Session Time: Friday, May 17, 2013 9:00 - 10:20 am

‘Value’ has become a buzzword in health policy circles. Yet the value of emergency

care remains poorly understood. This process is vital as health policy increasingly

focuses on accountability for costs and quality measures reflected in the move

toward Accountable Care Organizations, pay-for-performance, and bundled

payments. The ED is frequently stereotyped as being a wasteful cost center by

government and other payers who remain skeptical regarding the value of care

delivered in this setting, but emergency care must be assessed in the proper

context to understand its value. The reality is that EDs continue to see significant

patient demand for their services. Additional considerations include the societal

services the ED provides such as a universal safety net, disaster preparedness,

and public health surveillance that are important considerations when calculating

the value of emergency care. Emergency providers also sit at the cross roads of

the outpatient and inpatient arenas of the US health care system and control one

of the most routine expensive decisions in health care—the decision to admit or

discharge. Therefore, determining a value framework to measure emergency care

is critical due to the common and often costly decisions made in the ED setting.

Questions to be asked of the panel include: How would you define value in health

care? How is the value of emergency care best assessed by this definition? What

are 3 areas most ripe for measuring value in the practice of emergency medicine?

What are the top challenges to emergency providers in delivering value-based

health care? How will a focus on value under the current climate of health reform

most impact the everyday practice of emergency providers?

Objectives: At the completion of the session, participants should be able to

understand issues in defining and measuring value in emergency care, specifically:

1. Describe how value is defined in health care;

2. Conceptualize how value should be measured in emergency care;

3. Explore the implications of value-based health reform on the practice of

emergency medicine.

Keith Kocher MD, MPH, MPhil - submitter

University of Michigan, Ann Arbor, MI

Arthur Kellermann MD, MPH - presenter

RAnD Corporation, Santa Monica, CA

Brent Asplin MD, MPH - presenter

Fairview Medical Group, Minneapolis, Mn

Jeremiah Schuur MD, MHS - presenter

Brigham and Women’s Hospital, Boston, MA

Adam Sharp MD, MS, BA - presenter

University of Michigan/RWJ Clinical Scholars, Ann Arbor, MI

good to great: Effective Feedback to learners with Difficulties

DS048 – international E-F

Session Time: Friday, May 17, 2013 9:00 - 9:50 am

Rationale: This workshop builds upon previous workshops to look at the advanced

skill of providing feedback to learners with difficulty. While educators view

providing feedback as a crucial step towards improving learner performance,

less is understood about how to provide effective feedback to problem residents

and students. We will draw upon seminal articles in the feedback literature to

both enable the participant to understand the psychological impact of feedback

from the receiver’s perspective, and empower participants to employ practical

strategies to successfully engage the learner in accepting feedback. Course

description: This session will utilize a combination of short didactic presentations

exploring the science of feedback, video stimuli for facilitated discussion and

deliberate practice (using residents trained to be learners with difficulty) to enable

May 14-18, 2013 | atlanta, GeorGia

45


participants to understand the challenges and develop effective practice. The

workshop will utilize large and small group exercises to understand key concepts

and develop ways to improve each participant’s feedback skills. Additional

facilitators include: Ester Choo MD MPH, Robin Hemphill MD MPH, Josh Kornegay

MD, John Martel MD, PhD

Objectives: At the end of this session, participants should be able to:

1. Develop a plan to incorporate evidence from the feedback literature into their

clinical teaching practice

2. Outline steps required to provide effective feedback given the new conceptual

framework

3. Apply principles of feedback specific to the problem resident

Sorabh Khandelwal MD – submitter, presenter

The Ohio State University, Columbus, OH

Marcia Perry MD - presenter

University of Michigan, Ann Arbor, MI

Sally Santen MD, PhD - presenter

University of Michigan, Ann Arbor, MI

lalena yarris MD, McR - presenter

Oregon Health and Science University (OHSU), Portland, OR

Models of Subspecialty geriatric Emergency Departments

DS049 – international D

Session Time: Friday, May 17, 2013 9:30 - 9:50 am

Geriatric patients are considered vulnerable and have the potential to raise

complex challenges in emergency treatment. Recognition of this specific patient

population and their potential for unique emergent presentations has prompted

the development of specialty sections within larger emergency departments or

separate subspecialty emergency departments altogether. Elder patients can

often present with distinctive and sometimes complex medical conditions, stay

longer for more extensive diagnostic testing and treatment regimens, and require

special needs during their visit all of which may make rapid triage, diagnosis and

disposition difficult in the traditional emergency department setting. In response

to healthcare reform legislation, hospitals are identifying the emergency

department as a priority among future facility development plans including

upgrading infrastructure and technology to better serve the patient population.

As a result, many facilities are moving ahead with new construction to expand and/

or renovate existing emergency departments. In this lecture, we will address ways

to integrate changes to existing or future emergency departments specific to

geriatric patients. Issues addressed will include physical space, quality initiatives,

operational enhancements (observation protocols), staff and resident education

and overall coordination of hospital resources.

Objectives: At the completion of this session, participants should be able to:

1. Discuss the clinical reasoning behind the establishment of geriatric emergency

departments.

2. Describe the infrastructure and personnel needed to establish a geriatric

emergency department (or section within larger department).

3. List potential changes within your own emergency department for optimal care

of the geriatric patient.

Kathleen Walsh DO, MS – submitter, presenter

University of Wisconsin Hospital and Clinics, Madison, WI

Mark Rosenberg MD - presenter

St. Joseph’s Healthcare System, Paterson, nJ

Knox H. Todd MD - presenter

Anderson Cancer Center, TX

Where is the Evidence iii: common Pediatric infections in

Emergency Medicine

DS050 – international D

Session Time: Friday, May 17, 2013 10:00 - 10:50 am

Pediatric emergency visits are for suspected infectious diseases and very

common; fortunately, most are benign in their pathogenesis and self-limited,

such as common on upper respiratory infections. However, the presentation of

infections such as pneumonia and urinary tract infections are often diagnostically

challenging for many ED physicians. Meanwhile, infections of the skin and soft

tissues pose an increased burden in the ED setting, and lack of consensus in

management is the rule rather than the exception. Overall, dilemmas remain for

each of these aforementioned infections, with respect to clinical evaluation,

approach to diagnostic testing, and choice of most appropriate antimicrobial

therapy. Accumulated evidence, including more recent trials, have advanced our

knowledge of pediatric infectious diseases, and have permitted evidence-based

approaches to their diagnosis and treatment. In this session, the most up-todate

evidence for ED management of skin and soft tissue infection, pneumonia,

and urinary tract infections in children will be presented. The presenters will

46 Society for Academic Emergency Medicine

discuss current epidemiology and review the evidence-based approach to clinical

evaluation and diagnostic testing for each of these infections. The discussants will

also synthesize current literature with respect therapeutic decisions, and present

recommended therapies from recent guidelines released by the Infectious

Disease Society of America and the American Academy of Pediatrics. In addition,

discussion of ongoing large scale, ED-based clinical trials for these infections will

be presented. Following the presentation, audience participation will be solicited.

Objectives: At the completion of this session, participants should be able to:

1. Describe the epidemiology and diagnostic evaluation for skin infections,

pneumonia, and urinary tract infections in children.

2. Form evidence-based management strategies for pediatric skin infections,

pneumonia, and urinary tract infections evaluated in the ED setting.

Rakesh Mistry MD, MS –submitter, presenter

Children’s Hospital of Philadelphia, Philadelphia, PA

Todd Florin MD, MScE - presenter

Cincinnati Children’s Hospital Medical Center, OH

life and A career in global Health: can you Have it All?

DS051 – international E-F

Session Time: Friday, May 17, 2013 10:00 - 10:50 am

Many Emergency Medicine (EM) faculty, residents, and medical students have

some involvement in international collaborations and service. Despite the many

attractions in having a career in Global Emergency Medicine, there are inherent

challenges. These include child rearing, short-notice deployments, hazardous

work environments, among many others. The field of academic global health is

extremely diverse; this variability enables many different career options that

may allow flexibility when considering the constraints of work-life balance. By

sharing the collective experiences of successful GEMA and AWAEM members,

we will address some of the questions and concerns that emergency physicians

may have in pursuing this career choice. In this session, four nationally recognized

senior academicians in Global Emergency Medicine will participate in a panel

discussion on the trials and tribulations of choosing a career in global health. The

four panelists span a breath of global health-related career tracks and personal

life choices, thus making the discussion diverse and broad so that many issues are

discussed. Interspersed with the discussion, the moderator will provide a brief

review of the current statistics and literature in this field.

Objectives: At the completion of this session, participants should be able to:

1. Describe the breadth of global health career choices.

2. navigate their career choices depending on their personal and professional

priorities.

Bhakti Hansoti MD – submitter, presenter

Johns Hopkins University, Baltimore MD

Stephanie Kayden MD, MPH - presenter

Harvard Medical School, Boston, MA

Tracy Sanson MD - presenter

University of South Florida, Tampa, FL

Bobby Kapur MD, MPH - presenter

Baylor College of Medicine, Houston, TX

Policy change 101: A How-to Primer for Emergency Physicians

DS052 – international c

Session Time: Friday, May 17, 2013 10:30 - 11:50 am

With the passing of the PPACA in 2010, it is imperative for emergency physicians to

have the skills to educate policymakers about our hospitals, our patients, and our

specialty. However, few emergency physicians think of themselves as proficient

in this type of communication. We tend to focus on the immediate challenges in

the ED rather than working for change on an institutional, state, or national level.

Moreover, even those emergency physicians interested in policy often lack the

necessary knowledge base and skills to be effective. This interactive session will,

first, broadly introduce participants to the impact that effective education and

engagement of policymakers can have on our specialty and our patients. We will

then provide an overview of essential skills and communication that academic

emergency physicians must know to engage in the policy process. Finally, the

session will offer a few specific examples of academic emergency medicinerelated

policy successes. 1) Importance of the policy process for academic

emergency medicine (5 minutes) 2)Discussion of critical policy skills (25 minutes,

Sara Patterson) SP will describe key areas of the policy process: policy briefing vs.

analysis, policy implementation, policy promotion, and evaluation strategies. She

will then provide a focused overview of critical education and advocacy skills for

academic emergency physicians. 3) Examples of successful advocacy (30 minutes,

Art Kellerman) AK will discuss his experiences and challenges with health policy

and advocacy on national, state, and institutional policy levels. 4) Participant

round table breakout sessions with policy experts (20 minutes, 6 facilitators).


Objectives: At the completion of this session, participants should be able to:

1. Describe the importance of engaging in the policy process for the specialty of

emergency medicine

2. Describe the key aspects of the Policy Process

3. Identify the key components of educating policymakers

4. Develop an effective strategy for a research, safety, or practice-related issue

that is important to academic EM

lauren Hudak MD, MPH – submitter, presenter

Emory University, Atlanta, GA

Megan Ranney MD - presenter

Alpert Medical School, Brown University, Providence, RI

Art Kellerman MD, MPH - presenter

RAnD Corporation, Santa Monica ,CA

Sara Patterson MA - presenter

Centers for Disease Control and Prevention, Atlanta, GA

cDc Policy Specialists- presenter

Centers for Disease Control and Prevention, Atlanta, GA

Emergency Department Evaluation and Management of

Pediatric concussion and Mild Traumatic Brain injury

DS053 – international D

Session Time: Friday, May 17, 2013 11:00 - 11:50 am

Concussion or mild traumatic brain injury (mTBI) is a disruption in normal brain

function caused by the impact of biomechanical forces on the head or the body.

Approximately 100,000-140,000 children and adolescents present to the

emergency department for concussion each year in the United States. Immediate

recognition of concussion and prompt initiation of treatment in the form of

complete cognitive and physical rest is essential to promote recovery, and to

prevent prolonged physical, cognitive, and emotional symptoms. While emergency

departments frequently serve as the initial point of entry for the care of pediatric

concussion patients, providers may not have adequate training or tools necessary

to provide standardized and evidence-based care.

For this didactic session, the presenters will discuss the diagnosis, management,

and after-care for concussion. A growing body of basic and clinical research has

provided the evidence for standardized evaluation of concussion and prompt

treatment with physical and cognitive rest. General awareness of concussion

and a growing number of state laws requiring medical clearance before return

to activity has resulted in a significant increase in concussion-related visits in a

variety of clinical settings, including the emergency department. The presenters

will provide the recent literature and recommend evidence-based best practices

that emergency physicians can readily implement into their everyday practice.

Following the formal didactic presentation, there will be allotted time for

questions and discussion.

Objectives: At the completion of this session, participants should be able to:

1. Describe the principles of diagnosis and management of pediatric concussion.

2. Explain the role that emergency medicine physicians can play in initiating

cognitive and physical rest, and recommending appropriate follow-up.

Mark Zonfrillo MD, MScE – submitter, presenter

Children’s Hospital of Philadelphia, Philadelphia, PA

Rachel Bengtzen MD - presenter

Oregon Health and Science University, Portland, OR

The Top 10 global Emergency Medicine Articles from 2012:

Highlights from the global Emergency Medicine literature

Review

DS054 – international E-F

Session Time: Friday, May 17, 2013 11:00 - 11:50 am

The Global Emergency Medicine Literature Review (GEMLR) was developed in

2005 to help EM providers navigate the growing abundance of Global EM literature.

now in its eighth year, the GEMLR highlights and disseminates high-quality Global

Emergency Medicine research for use by both academics and practitioners in

the field. Each year, the GEMLR conducts a search of the Global EM literature,

producing about 7,000 articles from the published and grey literature. Our team

of 30 reviewers and editors then screen and score the articles using established

criteria to select those that are both high-quality and directly relevant to the

field of Global EM. The top articles selected each year by the GEMLR represent

a sample of the best research from around the world related to the bourgeoning

field of Global EM. In this didactic, we will highlight the ten original research and

review articles from 2012 that we believe will have the greatest impact on the

practice of Global Emergency Medicine while also stimulating future research in

this arena. For each article, we will not only summarize and critique its methods

and results, but also provide greater context to the research by discussing its

importance within the larger realm of global health. In order to save time, articles

with similar themes will be grouped together and discussed jointly. The didactic

will be presented by the current managing editor and editor-in-chief of GEMLR,

who will also be able to provide background during the discussion on how Global

Emergency Medicine research has evolved over the past decade.

Objectives: At the end of this session, participants should be able to:

1. Discuss the most recent, high-quality Global Emergency Medicine research

being conducted around the world

2. Describe evidence-based practices as it pertains to providing emergency care

around the world

3. Outline strategies for conducting ethical and high-quality Global Emergency

Medicine research, having learned from the experience of recent investigators.

gabrielle Jacquet MD – submitter, presenter

Johns Hopkins University School of Medicine, Baltimore MD

Adam levine MD, MPH - presenter

Brown University Alpert School of Medicine, Providence, RI

inauguration of the niH Office of Emergency care Research

DS055 – international c

Session Time: Friday, May 17, 2013 1:00 - 2:20 pm

This session will highlight the leadership of the nIH OECR, the nIH Emergency

Care Research Working Group, (which includes representatives from most

nIH institutes and centers) which oversees the OECR and the scientific and

administrative support group at the national Institute of General Medical Sciences

(nIGMS) which houses the OECR . The panel will provide input on the development,

design, priorities and function of the OECR. The nIH OECR leadership perspective

(30 minutes) will be given by Dr. Walter Koroshetz from nInDS, Acting Director of

the nIH OECR and Dr. Alice Maschette (Associate Director of nIH OECR). The nIH

Emergency Care Research Working Group perspective (15 minutes) by the Chair of

the Steering Committee member (Dr. Judith Greenberg, Acting Director of nIGMS)

and the nIGMS scientific and administrative perspective (15 minutes) by Dr. Scott

Somers (nIGMS Program Director and member of the nIH Working Group). Dr.

Charles Cairns and Dr. Roger Lewis will serve as the moderators. The moderators

will lead a panel discussion (20 minutes) on how the OCER will interact with current

nIH funding programs, prioritize research initiatives and interact with emergency

care investigators.

Objectives: At the completion of this session, participants should be able to:

1. Identify the leadership and support structure of the nIH OECR

2. Describe initial research initiatives of interest to emergency medicine

investigators.

charles cairns MD – submitter, presenter

University of north Carolina, Chapel Hill, nC

Roger lewis MD, PhD - presenter

Harbor-UCLA Medical Center, Torrance, CA

Walter Korshetz MD, - presenter

national Institutes of Health/nInDS, Bethesda MD

Scott Somers PhD - presenter

national Institutes of Health/nIGMS, Bethesda MD

Pediatric Airway Management in the 21st century: Muddling to

Mastery

DS056 – international D

Session Time: Friday, May 17, 2013 1:00 - 1:50 pm

Intubation in a small child is a low-volume, high-risk procedure and even a seasoned

Pediatric Emergency Medicine Attending will feel their pulse quicken when faced

with a challenging airway scenario in a small child. Pediatric airway management

is evolving rapidly with the advent of videolaryngoscopy and alternative airway

techniques coupled with research questioning some of the long-held basic tenets

of rapid-sequence intubation. In this session, 3 Pediatric Emergency physicians

from varied backgrounds (one Emergency Medicine-residency trained, one

Pediatric-residency trained and one dual-trained in Pediatric Emergency Medicine

and Pediatric Critical Care) will dissect the current state of the art in Pediatric

Airway Management with a focus on new techniques, the teaching of trainees

using simulation and current areas of controversy including ketamine in head

trauma and the use of atropine during RSI.

Objectives: At the completion of this session, participants should be able to:

1. Describe the advantages and disadvantages of videolaryngoscopy for pediatric

airway management based on current literature.

2. Explain the controversies over the use of etomidate and ketamine for induction

in pediatric RSI.

May 14-18, 2013 | atlanta, GeorGia

47


3. Assess the utility of simulation and critical-action training with regards to

pediatric airway management.

nathan Mick MD – submitter, presenter

Tufts University School of Medicine, Boston, MA

Joshua nagler MD - presenter

Harvard University, Boston, MA

Aaron Donoghue MD - presenter

Children’s Hospital of Philadelphia, Philadelphia, PA

controversies in Emergency ultrasound: The Debate Rages On

DS057 – international E-F

Session Time: Friday, May 17, 2013 1:00 - 1:50 pm

This session will feature a debate-style format with discussants utilizing an

evidence-based approach to dispute two controversial topics in emergency

ultrasound. First, should tele-sonography be employed in the clinical arena and

in what settings? Tele-sonography is the digital storage and transmission of

ultrasound images and video for either education and training or clinical use. The

role of Emergency Physicians in developing tele-sonography programs will be

discussed as well as issues related to implementation including synchronous vs.

asynchronous data transmission, image quality, appropriate clinical applications,

remote training, and technical and non-technical barriers to program development.

Second, what is the appropriate utilization of the FAST examination in trauma

patients? Discussants will review and debate issues related to the use of FAST in

blunt/penetrating trauma patients, non-operative trauma management, cardiac

imaging as a view in the FAST, limitations of the FAST, as well as outcomes data.

Objectives: At the completion of this session participants should be able to

describe these cutting edge and controversial issues in Emergency Ultrasound:

the utilization of tele-sonography around the globe the use of FAST exam in

trauma patients.

christopher Raio MD – submitter, presenter

north Shore U. Hospital, Manhasset, nY, nY

Andrew liteplo MD - presenter

Massachusetts General Hospital, Brookline, MA

J. christian Fox MD- presenter

University of California, Irvine Medical Center, Irvine, CA

Jason nomura - presenter

Christiana Care Health System, newark, DE

child Abuse Pediatrics Research update

- new innovations, new Best Practice

DS058 – international D

Session Time: Friday, May 17, 2013 2:00 - 2:50 pm

The last five years have seen an explosion of research in child abuse pediatrics, with

important implications for the practice of emergency physicians. Investigators

continue to negotiate unique ethical and logistical issues raised by abuse while,

at the same time, new technologies have been shown to improve screening. These

new techniques both support new guidelines to improve detection, and debunk

persistent dogma. This program will discuss recent and developing tools and

techniques in child abuse research, as well as the initial results of cutting edge

abuse research for the emergency physician. Attendees will improve their ability

to conduct research in child abuse detection and treatment in the emergency

department, and will understand current and developing best practice guidelines

for clinical practice.

Objectives: At the completion of this session participants should be able to:

1. Use new research techniques and technology in the design of child abuse

research protocols

2. Describe and incorporate recent advances to improve child abuse detection into

their clinical practice.

Daniel lindberg MD – submitter, presenter

Brigham & Women’s Hospital, Boston, MA

Philip Scribano DO, MScE - presenter

Children’s Hospital of Philadelphia, Philadelphia, PA

Resident Education in ultrasound: Meeting the Milestone

DS059 – international E-F

Session Time: Friday, May 17, 2013 2:00 - 2:50 pm

The Emergency Medicine Resident Review Committee of the ACGME in

conjunction with CORD ABEM, and other organizations in 2012 released the

Milestones in Emergency Medicine. Specifically PC12 addresses the education

48 Society for Academic Emergency Medicine

of EM residents in the use and integration of point of care ultrasound. Residency

programs will be responsible for meeting the implementation and assessment

of residents with regard to the Milestones. not all programs have ultrasound

directors to implement and assess the milestones for their residents. This

didactic session will discuss a model curriculum for resident education in point

of care ultrasound, minimum elements to meet the EM Milestones, and methods

of assessments. The discussion will provide a framework and information that

can utilized by programs with and without an ultrasound director. The discussion

will highlight consensus work done through SAEM and CORD about ultrasound

education to meet the Milestone requirements.

Objectives: At the completion of this session participants should be able to:

1. Detail and specify a model curriculum design and resident rotation for

emergency ultrasound

2. Describe minimum standards that should be accomplished at every EM

residency program.

3. Detail an updated standardized model ultrasound education curriculum for

emergency medicine residents

4. Describe competency assessment tools for the novice and advanced resident

sonographer, which complement the milestones with a focus on simulation,

blended and ultrasound-based learning.

nova Panebianco MD, MPH – submitter, presenter

University of Pennsylvania, Philadelphia, PA

Resa lewiss MD - presenter

St. Luke’s Roosevelt, new York, nY

Saadia Akhtar MD - presenter

Beth Israel, new York City, nY

Jason nomura MD- presenter

Christiana Care Health System, newark, DE

SATuRDAy, MAy 18TH

Motivating Success: conducting High Quality Behavioral

interventions for Addiction in ED patients:

lessons learned from the SMART-ED Multisite Trial.

DS060 – international B

Session Time: Saturday, May 18, 2013 8:00 - 8:50 am

Randomized clinical trials (RCTs) are potent tools that, if used properly, assess the

efficacy of potential therapeutic interventions for a wide range of problems and

patients. Conducting a high quality RCT is challenging under ideal circumstances;

conducting RCTs in the ED presents unique and often significant methodological

barriers compared to more traditional research settings. RCTs that test the

efficacy of behavioral interventions (BI) should ensure a high quality, high fidelity

BI across subjects, interventionists and sites. These challenges are particularly

problematic in chaotic environments, such as seen in many EDs. Many ED patients

with problematic substance use might appear ‘less-than-ideal’ subjects, given

economic barriers, homelessness and a generally unstable environment. We will

identify common challenges experienced by the researcher when conducting BI

in the acute care/ED setting. We will also describe strategies to identify, recruit

and maintain research subject interest, including strategies particularly useful for

the ‘less-than-ideal’ participant. We will draw upon our recent experience with the

SMART-ED (Screening, Motivational Assessment and Referral to Treatment in

Emergency Departments) multicenter trial. This nIDA funded trial delivered a high

fidelity BI across 6 different US ED sites. The design and sample size estimates

required enrollment of 1,285 subjects with at least 85% follow-up at 3-months

post-randomization. Because the efficacy of BIs for drug use in the ED is not

known, we will describe the steps used to ensure high fidelity and consistency of

the BI. We will describe challenges faced and strategies used to enroll our target

sample with nearly 90% follow-up at 3 months.

Objectives: At the completion of this session participants should be able to:

1. Discuss strategies and factors associated with the identification of subjects

during screening who will have a high probability of completing a behavioral

intervention (BI) study.

2. Describe steps and techniques to develop, test and maintain a high fidelity

behavioral intervention for substance use in ED patients.

3. Develop a cohort maintenance strategy to track and maintain participation of

subjects in a BI trial.

cameron crandall MD – submitter, presenter

University of new Mexico, Albuquerque, nM

Ryan Mccormack MD - presenter

Bellevue Hospital, nYU School of Medicine, new York, nY

Alyssa Forcehimes PhD - presenter

University of new Mexico, Department of Psychiatry, Albuquerque, nM


The Hidden Science in your Emergency Medicine Research:

gender-Specific Study Design and Analysis

DS061 – international c

Session Time: Saturday, May 18, 2013 8:00 - 9:20 am

There is now clear evidence that gender plays a key role in health and disease

at a biological level and can significantly impact patient outcomes. As a critical

emerging field, high quality gender based research and data analysis is sought

after by medical journals and by the national Institutes of Health. However, little

gender-specific research has been conducted within emergency medicine. EM

scholars can consider important gender-based questions within their current

area of research. Such inquiry potentially impacts the medical care of both sexes

and may provide researchers with additional opportunities for scholarship. This

session aims to stimulate interest in research on gender-specific medicine and

understand the challenges and solutions of performing gender-based analyses.

The session will be an 80-minute moderated panel presentation with: 1) a brief

introduction (5 minutes, Dr. Choo); 2) discussion of a general framework for

considering relevant gender-specific research questions within diverse areas

of emergency medicine research and analytic strategies for approaching the

question of the impact of gender on clinical outcomes (25 minutes, Dr. Lewis); and

3) demonstration of how EM physicians have applied these approaches, using as

examples a) research on the diagnostic testing for cardiovascular disease (20

minutes, Dr. Diercks) and b) research on female hormone therapy for traumatic

brain injury (20 minutes, Dr. Wright). The session will conclude with 10 minutes for

questions from the audience.

Objectives: At the completion of this session, participants should be able to:

1. Describe basic approaches that enable the study of the impact of gender on

clinical outcomes.

2. Detail the scientific approaches to research on diagnostic testing in cardiovascular

disease and use of female hormone therapy for traumatic brain injury

Esther choo MD, MPH – submitter, presenter

Brown Medical School, Providence, RI

Roger lewis MD, PhD - presenter

Harbor-UCLA Medical Center, Los Angeles, CA

Deborah Diercks MD - presenter

University of California Davis School of Medicine, Sacramento, CA

David Wright MD - presenter

Emory University School of Medicine, Atlanta, GA

Presentation Design: An Evidence-based Approach To creating

impactful, Effective Visual Aids

DS062 – international g

Session Time: Saturday, May 18, 2013 8:00 - 8:50 am

The ability to give effective presentations is a critical skill for educators. Despite

the multitude of tools available, there is very little formal teaching on the education

and design principles necessary to create effective presentations. Often, the

tools used to supplement the lecture (usually PowerPoint) do not fully utilize

educational and design principles to optimize learning. Some of this may be due

to a lack of knowledge of the principles, and some of this may be lack of familiarity

with presentation software. There has been a recent explosion of a variety of

new presentation software and presenting tools, as well as increased interest in

podcasts and e-learning. As we continue to expand our educational arsenal, the

principles underlying effective design become even more important. This session

will start by making a case for a medical educators’ approach to presentation

design. Medical education has specific goals, separate from business or marketing

presentations, which play a direct role in designing the elements of a presentation.

The session will then review the existing literature on optimal retention,

motivation, learning styles, generational differences, and other key education

principles that underlie a presentation. Finally, we will discuss and demonstrate

the application of these principles, including several easy presentation software

elements that can be used to implement the principles.

Objectives: At the end of this session, participants should be able to:

1. Review Mayer’s principles of multimedia design

2. Review Kosslyn’s theories on creating effective PowerPoint presentations

3. Discuss other key educational principles integral to effective presentation

design

4. List 3 principles of memory and retention in relation to presentation design

5. Take 3 example slides provided in the session and create 3 revised slides

implementing the principles discussed in the session.

Malford Pillow MD, MEd – submitter, presenter

Baylor College of Medicine, Houston, TX

SAEM AnD EMF grants: Opportunities and Submission Process

DS064 – international B

Session Time: Saturday, May 18, 2013 9:00 - 9:50 am

The SAEM Foundation and ACEP’s Emergency Medicine Foundation (EMF) provide

a variety of emergency medicine grants. Historically, many recipients of these

grants have gone on to highly successful research careers with federal funding.

These grants primarily target junior investigators including medical students,

residents, fellows and junior faculty. The most appropriate grant category and

application process, however, is often confusing to these interested individuals.

This session will provide an overview of each foundation’s grant offerings and the

submission and review process of each. Included will be the type of candidates

targeted for these grants, types of proposals that score well and the timeline of

review and the scoring system used.

Objectives: At the completion of this session, participants should be able to:

1. Describe the types of grants offered by SAEM and EMF

2. Summarize the keys to successfully applying for such a grant.

James Holmes MD, MPH – submitter, presenter

UC Davis School of Medicine, Sacramento, CA

Mark courtney MD, MSci - presenter

northwestern University, Chicago, IL

Megan Ranney MD - presenter

Alpert Medical School, Brown University, Providence, RI

comilla Sasson MD, MS - presenter

University of Colorado School of Medicine, Denver, CO

Deliberate Practice: A learning Technique That improves

Mastery, Execution, and Retention of Medical Knowledge

DS065 – international g

Session Time: Saturday, May 18, 2013 9:00 - 9:50 am

The concept of deliberate practice, first described in 1993 by Ericsson et al, has

gained traction in medical education as it did before in sport, music, chess, and

economics as a way to define the process of obtaining expert performance. It has

been definitively demonstrated that exceptional performance in diverse fields and

domains has a common set of causes and goes beyond genetics, with significant

influence contributed by practice and training. Furthermore, it has been shown that

by applying the principles of deliberate practice, a person who has reached expert

level performance can remain at the same level and prevent skill decay. The steps

of deliberate practice are: 1. buy-in from the learner; 2. active learning tasks; 3.

immediate feedback; 4. repeated performance to refine the activity. The didactic

component of this course will introduce the learner to the step by step process of

deliberate practice. During the lecture, participants will be given real examples of

how to institute a deliberate practice model into their education endeavors and will

be given opportunities to have their questions answered.

Objectives: At the completion of this session, participants should be able to:

1. Define the process of deliberate practice

2. Incorporate deliberate practice methods into the educational curriculum for

trainees and individual educational goals.

Rodney Omron MD, MPH – submitter, presenter

Johns Hopkins, Baltimore MD

Doug Franzen MD, M.Ed - presenter

Virginia Commonwealth University, Richmond, VA

Rahul Patwari MD - presenter

Rush University Medical Center, Chicago, IL

Top 5 Plays of the Day: How gender-Specific Medicine

impacts Men’s Health

DS066 – international c

Session Time: Saturday, May 18, 2013 9:30 - 9:50 am

Gender-specific medicine is not the same as women’s health. As defined by

the Partnership for Gender-Specific Medicine, this relatively new science is

the study of the differences in the normal function of men and women and in

their experiences of the same disease. This holds true across the spectrum of

prevention, diagnosis, evaluation, treatment and palliation. The Emergency

Department (ED) has become a primary point of contact for health care in the

United States with encounters that reflect acute presentation of a spectrum of

diseases. The specialty is just beginning to appreciate the areas of acute care

medicine in which gender-specific treatment decisions can rapidly and directly

impact the outcomes of both women and men. This presentation will take the

audience through 5 systems using the ESPn style of Top 5 Plays of the Day.

May 14-18, 2013 | atlanta, GeorGia

49


Each expert presenter will update the audience on the top Gender-Specific EM

articles for 2012-13 in Cardiology, Sports Medicine, Traumatic Injuries, Sepsis and

neurologic Emergencies and how they impact men’s health.

Objectives: At the completion of this session, participants should be able to:

1. Describe concrete examples of physiologic gender differences with significant

implications for men’s health.

2. Discuss examples of a gender-specific approach to crucial emergency medicine

topics of cardiology, neurology, sports medicine, sepsis and trauma.

3. Describe the top gender-specific EM articles for 2012-2013 and how they relate

to the clinical practice of EM.

Alyson Mcgregor MD - submitter

Brown University, Providence, RI

Frederico Vaca MD, MPH - presenter

Yale University School of Medicine, new Haven, CT

nina gentile MD - presenter

Temple University, Philadelphia, PA

Basmah Safdar MD - presenter

Yale University School of Medicine, new Haven, CT

neha Raukar MD - presenter

Brown University, Providence, RI

David Portelli MD - presenter

Warren Alpert Medical School of Brown University, Providence

niH individual Research career Development (K) Awards: A

Pathway to Research independence

DS067 – international B

Session Time: Saturday, May 18, 2013 10 - 10:50 am

Jane Scott, ScD, MSn, (Director, Office of Research Training and Career

Development, Division of Cardiovascular Sciences, nHLBI) will lead a discussion on

K awards. The K awards provide protected time for junior faculty as they conduct

research, write papers and compete for nIH grants, on their path to research

career independence. The goal of the session will be to provide a very brief

overview of the Institutional K12 awards and a more in-depth review of individual

K awards (K08 and K23). A panel of current and former K- awardee emergency

medicine investigators will discuss their experiences in applying for the K awards,

the benefits of the award, and comments on how the award helped them in their

research careers. Panelists will include: former K08 awardee Lance Becker MD,

former K23 awardee Benjamin Abella MD, MS, and current K23 awardee Sean

Collins MD, MS.

Objectives: At the completion of this session, the participants should be able to:

1. Describe the different types of K awards available to early career faculty and

fellows

2. Detail the benefits of such awards in seeking research career independence.

Jane Scott ScD, MSn – submitter, presenter

national Heart, Lung, and Blood Institute, national Institutes of Health MD

lance Becker MD – presenter

University of Pennsylvania SOM, Philadelphia, PA

Benjamin Abella MD, MS - presenter

University of Pennsylvania SOM, Philadelphia, PA

Sean collins MD, MSc - presenter

Vanderbilt University SOM, nashville, Tn

Enhancing the Quality And Transparency Of Health Research:

An introduction to the EQuATOR network and implications for

Emergency Medicine

DS068 – international c

Session Time: Saturday, May 18, 2013 10 - 10:50 am

Using didactic presentations this session will provide attendees with accessible

resources to guide the design, conduct, and reporting of emergency medicine

research. Publication guidelines for most research designs have been developed

and refined over the last decade. Researchers, methodologists, and journal editors

accepted all of these guidelines before disseminating them across a large variety

of clinical specialties. These guidelines include the COnSORT, PRISMA, STARD,

STROBE, and MOOSE statements. By promoting better-informed reporting

and enhanced reviewing, these guidelines minimize variability and reduce bias,

thereby enhancing the overall quality of the research product. Unfortunately,

most guidelines remain widely underutilized by research groups, journal editors,

and the readers of the medical literature. The result is highly variable, often

biased research reporting that increases the overall workload of the healthcare

consumer. The EQUATOR group is an international collaboration with the mission

to increase the general awareness, adoption and implementation of these

guidelines, while providing a forum for the refinement of future guidelines.

50 Society for Academic Emergency Medicine

The presentation will consist of three 15-minute presentations by Dr. Hiestand,

Dr. Meisel, and Dr. Carpenter discussing the methodological process to develop

publication guidelines, the EQUATOR dissemination model, and the impact that

these guidelines have upon manuscript quality.

Objectives: At the completion of this session, participants should be able to:

1. Understand why publication guidelines have been developed

2. Describe where to find appropriate publication guidelines

3. Detail how to incorporate the guidelines into ongoing work.

4. Describe resources to facilitate successful incorporation of these principles

into scientific and academic work-products.

christopher carpenter MD, MSc – submitter, presenter

Washington University, St. Louis, MO

Brian Hiestand MD, MPH - presenter

Wake Forest University School of Medicine, Winston-Salem, nC

Zachary F. Meisel MD, MPH, MSc - presenter

Perelman School of Medicine at the University of P, Philadelphia, PA

Peer Mentoring: Enhancing Academic & Research Mentoring

DS069 – international g

Session Time: Saturday, May 18, 2013 10:00 - 10:50 am

The rationale and need for mentors is a recognized part of a successful

academic career. Mentoring goes beyond passing on knowledge and skill, and

involves teaching, sponsorship, guidance, socialization into a profession, and

moral support. Mentoring has been shown to enhance career development and

satisfaction, productivity and networking. Traditional mentoring involves a

higher-ranked, more experienced advisor who mentors a newer, less experienced

mentee. Traditional mentoring has been shown to be very effective but can have

limitations such as a shortage of mentors, and lack of consistency of mentors skills

and abilities. Peer mentoring involves a model where all members are essentially

the same age, rank and experience level. Peer mentoring may have the added

benefits of shared commonalities (stage of life and career), the development of

friendships and longer lasting relationships, increased collegiality, and decreased

professional isolation. Peer mentoring can be used as an adjunct to traditional

mentoring or may stand alone.

Objectives: At the completion of this session, participants should be able to:

1. Justify the importance of mentoring in an academic career

2. Compare mentoring models traditional vs. peer

3. Describe the advantages and disadvantages of traditional and peer mentoring

4. Understand and interpret the current literature on peer mentoring

5. Apply the evidence to develop a peer mentoring model in their own setting

Stephen cico MD, MEd – submitter, presenter

Lurie Children’s Hospital & northwestern Univ., Chicago, IL

Kelly Black MD, MSc - presenter

Seattle Children’s and University of Washington, Seattle, WA

Joseph House MD - presenter

University of Michigan, Ann Arbor, MI

cemal Sozener MD - presenter

University of Michigan, Ann Arbor, MI

improve your Teaching: Evidence-Based Teaching Workshop

using Articles That Will change your Teaching Practice.

DS070 – international H

Session Time: Saturday, May 18, 2013 10:00 - 10:50 am

In teaching, medical educators, like in clinical practice, should use the evidence

from the education literature and incorporate it into their teaching practice.

This workshop will help participants translate the evidence from some landmark

education articles including: 1) How to incorporate the evidence in clinical reasoning

about intuitive (pattern recognition) and analytical thinking into your teaching 2)

Best evidence in medical education (BEME); how do journal clubs affect learning

and practice 3) Learning retention 4) Model for programmatic assessment 5) Hot

topic in education research- thinking about validity evidence. The journal articles

(evidence) will be briefly presented, then, in small groups the participants will

discuss how these findings might be applied to their own settings. The workshop

will be highly interactive, requiring participants to use both the evidence and

apply it to their teaching, learning and assessment practices. The workshop will

incorporate large and small group exercises to understand the concepts and

develop ways to improve each participant’s teaching skills. The participants will

understand the evidence in these areas for effective teaching and assessment,

take home strategies for improving their teaching using and develop a plan for

how they will incorporate the evidence into their teaching practice. Additional

facilitators: Emily Senecal MD and Suzanne Dooley-Hash MD and James Takayesu

MD, Joe House MD


Objectives: At the completion of this session, participants should be able to:

1. Challenge your thinking about traditional teaching

2. Learn evidence from the teaching and learning literature

3. Apply the evidence and develop strategies to change and improve your

teaching practice

Sally Santen MD, PhD – submitter, presenter

University of Michigan, Ann Arbor, MI

Sue Farrell MD, MEd - presenter

Harvard Partners, Boston, MA

Robin Hemphill MD, MPH - presenter

Veterans Association, Ann Arbor, MI

laura Hopson MD - presenter

University of Michigan, Ann Arbor, MI

nHlBi K12 Research career Development Programs in

Emergency Medicine Research

DS071 – international B

Session Time: Saturday, May 18, 2013 11:00 - 11:50 am

In July 2011 the national Heart, Lung, and Blood Institute (nHLBI) funded

six institutional research career development (K12) awards to promote

multidisciplinary clinical research training programs in emergency medicine.

These programs are designed to prepare clinician-scientists for independent

research careers and academic leadership roles in Emergency Medicine. This

five year, $21 million award represents a major opportunity for junior emergency

medicine researchers to obtain nIH funded, mentored research career training. A

brief overview of the K12 program will initially be provided (structure of the K12,

eligible applicants, goals, etc). The panel will include a member from each of the six

K12 award programs. Members from each program will provide a brief description

of their respective programs. These presentations will highlight the strengths and

unique attributes of each individual program, the types of candidates they are

targeting, and the application process. Following the panel, interested individuals

will be able to meet and discuss issues related to the K12 programs with members

from each program (including current K12 scholars).

Objectives: At the completion of this session, the participants should be able to:

1. Describe the goals of the nHLBI K12 program,

2. Define who the targeted applicants for the program are.

3. Describe the application process and characteristics of each of the six K12

programs.

James Holmes MD, MPH - submitter

UC Davis School of Medicine, Sacramento, CA

Arthur Kellermann MD, MPH - presenter

RAnD, Santa Monica, CA

Jane Scott ScD - presenter

nHLBI, Bethesda MD

Superstars of Social Media: How to incorporate Social Media

into Teaching and Education

DS072 – international c

Session Time: Saturday, May 18, 2013 11:00 - 11:50 am

The internet has become a ubiquitous presence in Medicine and Academics. The

use of Social Media has become an important part of communication, and has

assumed an increasing role in teaching and education. As utilization grows we

have quickly gained some experience in approaches that have and have not been

successful, although there is still a great deal to be learned. The best approaches

have yet to be determined, but certain groups have found successful Social Media

approaches in EM education. This didactic will review the use and development of

Social Media through three successful approaches. The overall approach, specific

techniques, and barriers to success will be discussed. Finally the discussion

will focus on recommendations for the incorporation of Social Media tools for

teaching and education. A video conference preview of the lecture will be posted

at Academic Emergency Medicine and on SAEM Facebook page several weeks

before the Annual Meeting in order to encourage electronic discussion of the

topic prior to the meeting. Information and important points will be broadcast via

Twitter with the hash tag #SAEM13 by the moderator during the presentation.

Objectives: At the completion of this session, participants should be able to:

1. Describe Social Media tools and their basic use.

2. Discuss the role of Social Media in education.

3. Provide recommendations for online engagement with learners.

4. Review current approaches in Social Media and discuss future directions.

James Miner MD – submitter, presenter

Hennepin County Medical Center, Minneapolis, Mn

Michelle lin MD - presenter

University of San Francisco, San Francisco, CA

Scott Joing MD - presenter

Hennepin County Medical Center, Minneapolis, Mn

Sean Fox MD - presenter

Carolinas Medical Center, Charlotte, nC

Trauma and Teamwork: lessons from iraq

DS073 – international g

Session Time: Saturday, May 18, 2013 11:00 - 11:50 am

This photo rich lecture chronicles the author’s experiences leading a Shock Trauma

Platoon in Fallujah Iraq, focusing specifically on traditional and innovative “onthe-job”

methods to create a highly functioning team from a group of physicians,

nurses, and technicians who had not previously worked together. This lecture

discusses alignment of roles and purpose, cross training, patient care, functioning

with limited resources, risk-benefit calculations, mass casualty and other issues

directly applicable to civilian Emergency Department operations. Discussion of

specific teamwork skills necessary for a satisfying Emergency Medicine shift and

are applicable to Emergency Physicians at any career level.

Objectives: At the completion of this session, participants should be able to:

1. Describe ways of improving teamwork within a newly formed team

2. Create a positive environment to foster innovative thinking

3. Understand some of the challenges of practicing Emergency Medicine with

limited assets in a battlefield environment, including the importance of true

teamwork when the entire team is under fire.

Martin Makela MD – submitter, presenter

University of Washington Medical Center, Seattle, WA

Quantifying the Worth of My Publications for Promotions

and grants: The h-index, m-quotient, Eigenfactor, and Other

Measures of Academic currency

DS074 – international H

Session Time: Saturday, May 18, 2013 11:00 - 11:50 am

Publications and grant funding are the promotional currency of academia.

These scholarly effort metrics are used to assess research performance, career

planning, and grant funding, as well as promotions and tenure. Traditionally,

promotions boards used the journal impact factor as estimates of relative value

of an individual researcher’s advancement package. Recent advancements

in technology have spurred new, more author-level specific measures to

demonstrate the impact of publications’ impact within the scientific and academic

community. These measures include the h-index, m-quotient, Eigenfactor, citation

counts, co-authorship patterns, usage data, and research foci trends. The first

25-minute presentation will introduce metrics based on publication data while

demonstrating how metrics are used to illustrate research impact from scholarly

publications. This didactic will introduce attendees to electronic resources

including the Web of Science® and SCOPUS which will be used to generate

h-index, citation reports, global dissemination, and collaborative publishing

reports and charts for individual researchers. The merits and disadvantages

of each source of publication impact will be reviewed. The second presentation

reviews two pragmatic applications for these impact metrics: promotions and

grant applications. The general considerations of promotions boards regarding

peer-reviewed publications will be summarized. Examples of annual academic

portfolios that incorporate author-level publication impact metrics will be

provided. In addition, a grant application incorporating measures of publication

impact to emphasize expertise within a field will be highlighted.

Objectives: At the completion of this session, participants should be able to:

1. Describe the strengths and weaknesses of contemporary measures that are

increasingly being used to assess the worth of individual publications at the level

of the author and the publication.

2. Find resources to generate their own measures of publication impact for grants

or promotional packages.

3. Incorporate measures of publication impact into promotional packages or

grants to demonstrate the strength of your application.

christopher carpenter MD, MSc – submitter, presenter

Washington University, St. Louis, MO

cathy Sarli MlS, AHiP - presenter

Washington University, St. Louis, MO

May 14-18, 2013 | atlanta, GeorGia

51


Your Life. Your Career. Your Partnership.

Ian Martin, MD current President of the Global Emergency Medicine Academy from

University of North Carolina, Chapel Hill is one individual who took the SAEM

Foundation challenge and BECAME ONE.

Will you take the challenge and BECOME ONE member who changed the

future of academic emergency medicine?

Make your donation online today at www.saem.org

52 Society for Academic Emergency Medicine

“Being part of a democratic group means that you

get to make decisions affecting your practice daily.”

“It’s an amazing experience. I absolutely enjoy it

and truly believe in CEP’s partnership model.”

—True McMahan, MD

ED Medical Director

Garden Grove Hospital

Find out why CEP America is different.

Visit our booth

at the Society for Academic Emergency Medicine’s Annual Meeting or

info.cep.com/saem2013


SAem AnnuAl meeting ABStrActS

mAy 15-18, 2013 AtlAntA, georgiA

Listed below are the title, presenter name, and presenter Institution for the 834 abstracts that have been selected for presentation at the 2013

SAEM Annual Meeting from the 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers do not

correspond to the original abstract numbers given at time of submission.

*SAEM Gallery of Excellence nominees 2013

PlEnARy PRESEnTATiOnS

Thursday, May 16, 3:30 - 5:00 pm in Plaza Ballroom ABc

Moderator: David Cone MD, Yale University School of Medicine

1 nExuS chest: Validation of a Decision instrument for Selective chest

imaging in Blunt Trauma*

Robert M. Rodriguez MD, UCSF/San Francisco General Hospital

2 intravenous cobinamide Versus Hydroxocobalamin for Acute Treatment of

Severe cyanide Poisoning in A Swine (Sus Scrofa) Model - a randomized,

controlled trial*

Vikhyat S. Bebarta, San Antonio Military Medical Center

3 Anaphylaxis; clinical Features and Evidence for A Mast cell-leukocyte

cytokine cascade in Humans.*

Simon G A. Brown MBBS, PhD, FACEM, Western Australian Institute for

Medical Research, Royal Perth Hospital and the University of Western

Australia

4 Accuracy of an ultra-low Dose cT Protocol for ED Patients with Suspected

Kidney Stone*

Chris Moore MD, RDMS, Yale University School of Medicine

5 latino caregiver Experiences with asthma Health communications: A

Qualitative Evaluation*

Antonio Riera MD, Yale University School of Medicine

6 Randomized Trial of Tenecteplase or Placebo with low Molecular Weight

Heparin for Acute Submassive Pulmonary Embolism: assessment of

Patient-Oriented cardiopulmonary Outcomes at Three Months*

Jeffrey A. Kline MD, Indiana University School of Medicine

WEDnESDAy, May 15th, 2013

Pediatric Abdominal Pain - Oral Presentations

Wednesday, May 15, 9:00 - 10:00 am in Atlanta A

Moderator: Nathan Kuppermann MD, MPH,

UC Davis

7 The Effect of Operator Experience on Test Performance characteristics

for Point-of-care ultrasound in Diagnosing Appendicitis in children:

implications for Reducing Misdiagnosis-Related Medical Errors.

Inna Elikashvili, Mount Sinai Medical Center

8 The Effect of Point-of- care ultrasonography on Emergency Department

length of Stay and cT utilization in children with Suspected Appendicitis.*

Inna Elikashvili, Mount Sinai Medical Center

9 Signs and Symptoms associated with Surgical intervention in children with

Abdominal Pain*

Melissa Tavarez MD, Children’s National Medical Center

10 Retrospective Review of Emergency Bedside ultrasound for Diagnosis of

Pediatric intussusception*

Samuel H. F. Lam, Advocate Christ Medical Center

ultrasound - Oral Presentations

Wednesday, May 15, 9:00 - 11:00 am in Atlanta E & F

Moderator: James H. Moak MD, RDMS, University of Virginia

11 ultrasound confirmation of central Femoral Venous line Placement: the

FluSH Study (Flush the line and ultrasound the Heart)*

Russ Horowitz MD, RDMS, Ann & Robert H. Lurie Children’s Hospital of Chicago

12 Accuracy of Emergency Medicine Residents during completion of the American

college of Emergency Physicians Minimum ultrasound Training Benchmarks: A

Multicenter Multiple Application longitudinal Validation Study*

John Bailitz Cook County (Stroger)

13 learning curves in Emergency ultrasound Education

David J. Blehar MD, University of Massachusetts Medical School

*Disclaimer: Abstracts are placed in the program how they were submitted to SAEM.

14 Prospective Evaluation of Bedside Soft-Tissue ultrasound Measurement

Threshold to yield Positive Purulence on ED drainage procedure

Carrie Fales MD, Carolinas Medical Center

15 Accuracy of ultrasound as a Tele-medicine component using a

commercially Available Tele-conferance System

Eric Zevallos MD, Georgia Health Science University

16 Success of lumbar Puncture After using ultrasound to identify landmarks

Kevin Rooney MS4, University of California Irvine

17 Sonographic inferior Vena cava Measurements to assess Hydration Status

in Football athletes During Preseason camp

Amish Shah MD, University of Arizona

18 The Effect of Patient Position on the Parasternal long cardiac ultrasound View

Brian Euerle, University of Maryland School of Medicine

Hemorrhagic Shock - Oral Presentations

Wednesday, May 15, 9:00 - 10:00 am in Atlanta g

Moderator: Michael Gibbs MD, Carolinas Medical Center

19 A Markov Model Describes the Dynamics of Resuscitation in a Porcine

Hemorrhagic Shock Model.*

Heemun Kwok MD, MS, University of Washington

20 comparison of intraosseous infusion Rates of Plasma under High Pressure

in An Adult Hypovolemic Swine Model in Two Different limb Sites*

Julio Lairet, Emory University School of Medicine

21 The Value of Peripheral Perfusion index in Predicting Mortality of Patients

Admitted to intensive care unit and Association with APAcHE ii, SOFA and

SAPS ii Scores

Yahya A. ACAR MD, Etimesgut Military Hospital

22 Fibrinogen concentrate Reduces Blood loss and improves Survival in A

Porcine Model of Freely Bleeding Hemorrhagic Shock

Nathan White MD, University of Washington

Measures for Emergency Medicine - lightning Oral Presentations

Wednesday, May 15, 9:00 - 10:00 am in Atlanta B

Moderator: Jeremiah D. Schuur MD,

Brigham & Womens Hospital/Harvard Medical School

23 Quality Measure Performance Varies Among Hospitals by Proportion of low

income Patients

Christopher W. Jones, Christiana Care Health System

24 Are crowding Measures associated with Acute Myocardial infarction

Mortality?

Rahul K. Khare, Northwestern University

25 Effect of Health information Exchange on Repeat imaging in the Emergency

Department

Keith E. Kocher MD, MPH, University of Michigan

26 Factors associated with Quality and costs for Elderly Patients with Acute

Myocardial infarction Who Present to Emergency Departments

Michael Wilson MD, PhD, Brigham and Women’s Hospital

27 Blood culture use in ED Patients with Pneumonia after Modification of a

national Quality Measure

Leah S. Honigman MD, Beth Israel Deaconess Medical Center

28 ED crowding Measures and in-hospital Sepsis Mortality: is less crowding

Really Better?

Emilie Powell MD, MS, MBA, Northwestern University

congestive Heart Failure and Dyspnea - lightning Oral Presentations

Wednesday, May 15, 9:00 - 10:00 am in Atlanta c & D

Moderator: Alan B. Storrow MD, Vanderbilt University

29 Bedside lung ultrasound for the Diagnosis of Pulmonary Edema in Patients

Presenting with Acute Dyspnea: A Systematic Review and Meta-analysis.

David Barbic, McGill University

30 The cuPiD Study: cardiopulmonary ultrasound Protocol in Dyspnea

Krithika Muruganandan MD, Brown University

May 14-18, 2013 | atlanta, GeorGia

53


31 Evaluation of Dyspnea Severity assessment Methods

Howard A. Smithline, Baystate Medical Center

32 The correlation Between Myocardial Ejection Fraction and MRproAnP

levels in ED Patients with Dyspnea

Orhan Cinar, Gulhane Military Medical Academy

33 Supplemental Thiamine for the Treatment of Acute Heart Failure

Howard A. Smithline, Baystate Medical Center

34 The Burden of Acute Heart Failure on uS Emergency Departments*

Alan B. Storrow MD, Department of Emergency Medicine, Vanderbilt

University Medical Center

Emergency Medical Services - lightning Oral Presentations

Wednesday, May 15, 9:00 - 10:00 am in Roswell 1

Moderator: Michael Runyon MD, Carolinas Medical Center

35 Degradation of Benzodiazepines After 120-Days of EMS Deployment*

Jason McMullan MD, University of Cincinnati

36 Do Prehospital levels of End-tidal carbon Dioxide Differ Between chronic

Obstructive Pulmonary Disease and congestive Heart Failure?*

Christopher Hunter MD, PhD, Orange County EMS System

37 Prehospital glasgow coma Scale and Risk Stratification in Major Pediatric

Traumatic Brain injury: Association with Mortality and non-Mortality

Outcomes*

Daniel W. Spaite MD, Arizona Emergency Medicine Research Center,

University of Arizona

38 Racial Disparities in Stroke Recognition by Pre-hospital Providers

Prasanthi Govindarajan MD, MAS, University of California, San Francisco

39 Validation of criteria to guide Pre-Hospital Antidote Administration for

Drug Overdoses

Matt S. Friedman MD, Fire Department of New York

40 intranasal Midazolam is a Viable Alternative to intravenous Midazolam for

Prehospital Seizure

Susanne J. Spano MD, FACEP, UCSF Fresno

Toxicology - lightning Oral Presentations

Wednesday, May 15, 9:00 - 10:00 am in Roswell 2

Moderator: Ed Otten, University of Cincinnati

41 Do Mnemonics Help Healthcare Professionals learn and Recall toxic

Syndromes for cholinergic Hazardous Materials?

Nicholas B. Hurst MD, University of Arizona

42 “Hard” Versus “Soft” Patient cues That influence Emergency Medicine

Provider Perception of Potential Opioid Misusers

Lisa M. Mannina MD, San Antonio Military Medical Center

43 cost Savings associated with Poison control consultation by EMS Dispatch

Michael Levine MD, University of Southern California

44 An assessment of Opioid Prescribing Practices among Emergency Medicine

Providers

Shawn M. Varney MD, San Antonio Military Medical Center

45 Prescription Stimulant Misuse in a Military Population - Prevalence and

Risk Factors for Misuse

Vikhyat S. Bebarta, San Antonio Military Medical Center; AF Enroute Care

Research Center

46 contribution of Serum Ethanol concentration to the Osmol gap: a

Prospective Volunteer Study

Shaun D. Carstairs, Naval Medical Center

Radiology - Oral Presentations

Wednesday, May 15, 10:00 - 12:00 pm in Atlanta A

Moderator: Ali S. Raja MD, MPH, MBA

Brigham and Women’s Hospital, Harvard Medical School

47 Should We communicate Radiation Risk from cT Scans to Patients? A

Mixed-Methods and normative Ethical Analysis*

Thomas E. Robey, Yale-New Haven Hospital

48 Evidence Based Diagnostics: Meta-Analysis of the Accuracy of Physical

Exam and imaging for Adult Scaphoid Fractures*

Ali S. Raja, Brigham and Women’s Hospital, Harvard Medical School

49 comparing the Diagnostic Performance of Bedside ultrasound to Plain

Radiography for Detecting Fractures of the Appendicular Skeleton in the

Emergency Department: A Prospective Study*

Paul E. Haiar DSc, PA-C, Mike O’Callaghan Federal Medical Center

50 Diagnostic Testing and Treatment of Pediatric Headache in the Emergency

Department

Matthew L. Hansen MD, OHSU

54 Society for Academic Emergency Medicine

51 Screening for Fever in the ED: the Role of Oral, Tympanic Membrane, and

Temporal Artery thermometry

Purvi D. Shah, Montefiore Medical Center

52 A Risk-Prediction Rule for contrast-induced nephropathy and Subsequent

long-term Mortality

Alice M. Mitchell MD, MS, Indiana University School of Medicine

53 Frequency Optimization for Detecting intracerebral Hemorrhage in an

invivo Porcine Model using Radiofrequency Electromagnetic Radiation

Joseph J. Korfhagen, University of Cincinnati

54 Adult Emergency Department cT utilization for Facial Trauma, Facial

Fracture Rates, and Procedural Repair: A Retrospective cohort Study

Joshua S. Broder MD, Duke University Medical Center

55 Test characteristics of Quick-Brain MRi for Shunt Evaluation in children: A

new Modality to Avoid unnecessary Radiation

Matthew Hansen MD, Oregon Health and Science University

Traumatic Brain injury - Oral Presentations

Wednesday, May 15, 10:00 - 12:00 pm in Atlanta B

Moderator: Opeolu Adeoye MD, University of Cincinnati

56 Emergency Department initiated interventions for Mild Traumatic Brain

injury; A Systematic Review

Jocelyn Gravel, CHU Sainte-Justine

57 Elevated levels of Serum SBDP150 in the Emergency Department Are

associated with Poor Outcome at One Month From Mild and Moderate

Traumatic Brain injury*

Linda Papa MD, CM, MSc, Orlando Regional Medical Center

58 Anti-platelet and Anti-coagulants Do not increase Traumatic intracranial

Bleeds in Elderly Fall Victims

Darin Agresti DO, St. Luke’s University Hospital

59 Early Results: Do All Patients with Traumatic intracranial Hemorrhage need

Hospital Admission?

Sarah K. Flaherty MD, Beth Israel Deaconess Medical Center

60 Performance of Early Serum gFAP and ucH-l1 individually and in

combination in Distinguishing Mild and Moderate Traumatic Brain injury

from Trauma controls and in Detecting intracranial lesions On cT*

Linda Papa MD, CM, MSc, Orlando Regional Medical Center

61 The Synergistic Effect of Prehospital Hypotension and Hypoxia in Major

Traumatic Brain injury: Profound impact on Mortality

Daniel W. Spaite MD, Arizona Emergency Medicine Research Center,

University of Arizona

62 Emergency Department Disposition of the Mild Traumatic Brain injured

Patient: A Multicenter Prospective cohort Study.

Jonathan J. Ratcliff MD, MPH, University of Cincinnati

63 Significance of Prehospital glasgow coma Scale in Hospital Outcomes of

Traumatic Brain injury Patients

Irina F. Brennan MD, PhD, University of Florida

Acute coronary Syndromes - Oral Presentations

Wednesday, May 15, 10:00 - 12:00 pm in Atlanta c & D

Moderator: Chad E. Darling MD, UMass Medical School

64 The Association between Pretest Probability of coronary Artery Disease

and Stress Test utilization and Outcomes in a chest Pain Observation unit

Anthony Napoli, Warren Alpert Medical School of Brown University

65 External Validation of the Australasian ED Acute coronary Syndrome Score

Jeffrey Shih, Mayo Clinic

66 utility of Routine Echocardiography in low-to-intermediate Risk Patients

with Potential AcS

Judd Hollander, University of Pennsylvania

67 High Sensitivity Troponin implementation for Patients with Suspected Acs

increases the Rule-out Rate While Reducing Re-visits Resulting in Admission

Andrew McRae, University of Calgary

68 The Effect of implementing High-Sensitivity Troponin Testing on ED

Operational Efficiency in Three large urban Emergency Departments

Andrew McRae, University of Calgary

69 can a low-Risk chest Pain Protocol Reduce Admission Rates Among

Patients Presenting to the Emergency Department with chest Pain? A

Quality Project

Michael Zwank, Regions Hospital

70 cost-effectiveness of A Multi-disciplinary Observation Protocol for lowrisk

Acetaminophen Overdose in the Emergency Department

Gillian Beauchamp, University of Cincinnati


71 Potentially Avoidable chest Pain Observation unit utilization: Admission

of Very-low-Risk Patients

Simon A. Mahler, Wake forest University Medical School

72 Prospective Evaluation of Outcomes in geriatric chest Pain Patients in an

Emergency Department Observation unit

Matthew J. Fuller MD, University of Utah

STEMi - Oral Presentations

Wednesday, May 15, 10:00 - 11:00 am in Atlanta g

Moderator: Deborah B. Diercks MD, UC Davis

73 young Women are less likely to Meet Reperfusion guidelines for STEMi:

the ViRgO Study (Variation in Recovery: Role of gender On Outcomes)*

Gail D’Onofrio MD, Department of Emergency Medicine, Yale University

School of Medicine

74 Mode of Hospital Arrival in ST-Elevation Myocardial infarction: Ethnic and

language Differences in an urban STEMi Receiving center

Stephanie Y. Donald, George Washington University

75 Evaluation of the incidence and Outcomes of contrast-induced

nephropathy Following STEMi Protocol Activation

Brandon R. Allen MD, University of Florida

76 Risk Stratification of Acute chest Pain in an Emergency Setting: ST

Segment change on aVl lead as a Predictor of Future Mi

Andrew Keralis, University of Nebraska Medical Center

Pediatrics - lightning Oral Presentations

Wednesday, May 15, 10:00 - 12:00 pm in Roswell 1

Moderator: Brent R. King MD, University of Texas Medical School

77 Associations of length of Stay and Disposition in Pediatric Emergency

Department Patients

Isabel A. Barata MS, MD, North Shore University Hospital

78 Bronchiolitis Hospitalizations in the united States, 2000-2009

Kohei Hasegawa MD, MPH, Massachusetts General Hospital

79 urban and Rural Patterns in Emergent Pediatric Transfer

to a Higher level of care

Timothy Horeczko MD, MSCR, University of California, Davis

80 High Emergency Department and urgent care use When Sick children

cannot attend child care

Andrew N. Hashikawa MD, MS, University of Michigan

81 clinical Pathway Expedites Systemic corticosteroids for children with

Moderate-Severe asthma Exacerbation*

Christopher Fee MD, University of California San Francisco

817 Validation of A tool for the assessment of Trainees During Simulated

Pediatric Resuscitation

Jocelyn Gravel, Hôpital Sainte-Justine

82 Broselow Tape: A Time to Revisit?*

Muhammad Waseem MD, MS, Lincoln Medical & Mental Health Center

83 A new Pediatric Weight Estimation Device

Jennifer Watts MD, MPH, Children’s Mercy Hospital and Clinics

834 Self-assessment of clinical improvement by Pediatric Patients during an

Acute asthma Exacerbation*

Lori A. Montagna, Mount Sinai School of Medicine

84 Rapidly Administered Ketamine for Brief Pediatric Procedures: A Dose-

Finding Study

Sri Sankar Chinta MD, MBBS, Washington University in St. Louis

85 Does use of the needle Free Jet-injection System with Buffered lidocaine

Device (j-tip) improve iV Placement Success in children?

Maren M. Lunoe, Medical College of Wisconsin

clinical Efficiency - lightning Oral Presentations

Wednesday, May 15, 10:00 - 11:00 am in Roswell 2

Moderator: Richard Zane MD, University of Colorado

87 Financial and Quality impact of Voice Recognition versus Dictation/

Transcription on Emergency Medicine Records

Roshanak Didehban MHS, FACHE, Mayo Clinic

88 impact of Varying Biomarker Sampling intervals and Stress Testing Rates

and Availability On the length of Stay in An Emergency Department

Observation unit using A Simulation Model

Jeremiah D. Schuur MD, MHS, Brigham and Women’s Hospital

89 ED Hemolysis is More Strongly associated with Device used to Obtain Blood

Than Other Features of Phlebotomy*

Andrew Wollowitz MD, Department of Emergency Medicine, Albert Einstein

College of Medicine

90 Decreasing Turn-Around-Time with a Split ESi 3 Patient Flow Model

Rajiv Arya MD, UMDNJ-RWJMS New Brunswick

91 The Emergency Department contribution to the Burden of Hospital-

Acquired catheter-associated urinary Tract infections (cAuTi’s)

Timothy J. Reeder MD, East Carolina University

92 Patients Receiving Take Home Meds instead of Prescriptions Are More

likely to Return to the ED

Melissa Fleegler MD, University of New Mexico

critical care - Oral Presentations

Wednesday, May 15, 11:00 - 12:00 pm in Atlanta E & F

Moderator: Robert Rodriguez MD, UCSF/San Francisco General Hospital

93 The Relationship between lactic Acidosis and Thiamine levels in Patients

with Diabetic Ketoacidosis*

Ari Moskowitz MD, Beth Israel Deaconess Medical Center

94 Variability in intraosseous Flush Practices by Trained Emergency Physicians

Joseph Sontgerath, San Antonio Military Medical Center

95 correlation of central and Peripheral Venous Blood gas compared to

Arterial Blood gas in the undifferentiated critically ill Patient

J. Daniel Hess MD, Christiana Care Health System

96 Defining the geography of infection-Related Death Rates in the united

States: Hotspotting Areas for Targeted interventions.

Anish K. Agarwal MD, MPH, the University of Pennsylvania

geriatric Pain - Oral Presentations

Wednesday, May 15, 11:00 - 12:00 pm in Atlanta g

Moderator: Robert Woolard MD, Texas Tech University (El Paso)

97 Age-related Differences in Pain Recovery After Motor Vehicle collision: A

Prospective longitudinal Study*

Greg Pereira, University of North Carolina

98 Randomized clinical Trial of an iV Hydromorphone Titration Protocol

versus usual care for Management of Acute Pain in Older Emergency

Department Patients

Robert H. Meyer MD,

Albert Einstein College of Medicine, Montefiore Medical Center

99 Pain Treatment in Older Adults During Prehospital care in north carolina: A

Descriptive Analysis

Katherine M. Hunold BSPH, University of Virginia

100 Are there Disparities in the Quality of Acute Pain care for

geriatric Patients in the ED?

Ula Hwang, Mount Sinai School of Medicine

Accelerate your ED - lightning Oral Presentations

Wednesday, May 15, 11:00 - 12:00 pm in Roswell 2

Moderator: David F. Brown MD, Massachusetts General Hospital

101 lean-Based Systems Engineering improves Performance Measures in the

Emergency Department

Benjamin A. White MD, Massachusetts General Hospital

102 guest Relations assistants - How do They impact Perception of

care and loyalty?

Neil Majmundar MD, St. John Hospital & Medical Center

103 implementation of an Electronic Medical Record System Reduces Physician

Productivity in an Academic Emergency Department

Gregory Lamb MD, University of New Mexico

104 comparative Effectiveness of an Accelerated Diagnostic Protocol Versus

23-Hour Observation for chest Pain

Alan J. Smally MD,

Hartford Hospital and the University of CT School of Medicine

105 Building a Super Track: use of lean to Decrease Turnaround Times for low

Acuity Patients

Bruce M. Lo MD,

Eastern Virginia Medical School, Sentara Norfolk General Hospital

106 Motivation and Predictors of Physician Productivity in an Academic

Practice Setting

Amisha D. Parekh, New York Methodist Hospital

Health Services Research - Oral Presentations

Wednesday, May 15, 1:00 - 2:00 pm in Atlanta A

Moderator: Keith E. Kocher MD, University of Michigan

107 Ed use of Online Social Media - canadian national Survey of Physicians and

Trainees.

Maxim Ben-Yakov MD, CM, University of toronto

May 14-18, 2013 | atlanta, GeorGia

55


108 national Study of Health insurance and underlying Reasons for Emergency

Department Presentation

Adit A. Ginde, University of Colorado School of Medicine

109 comparison of geographic Distribution of u.S. urgent care centers and

Emergency Departments

Adit A. Ginde, University of Colorado School of Medicine

110 Do Emergency Department Patients Receive a Pathological Diagnosis? The

Provision of Diagnosis at ED Discharge in a nationally-Representative Sample

Leana S. Wen, Harvard Affiliated Emergency Medicine Residency

clinical Decision Rules - Oral Presentations

Wednesday, May 15, 1:00 - 2:00 pm in Atlanta c & D

Moderator: Ian G. Stiell MD, University of Ottawa

111 Randomized Trial of a Quantitative, computerized Method to Estimate

Pretest Probability of Acute coronary Syndrome and Pulmonary Embolism:

Effect on Patient Safety, Radiation Exposure, and cost of care*

Jeffrey Kline, Indiana University School of Medicine

112 HinTS Outperforms ABcD2 to identify Stroke in Acute Vestibular Syndrome*

David E. Newman-Toker MD, PhD, Johns Hopkins University School of

Medicine

113 Evaluation of clinical Prediction Rules for clinical Deterioration Shortly

After an Emergency Department Diagnosis of Pulmonary Embolism*

Christopher Kabrhel, Massachusetts General Hospital

114 Derivation of a Decision instrument for Selective chest imaging in Patients

with Falls from Standing

Ali S. Raja MD, MPH, MBA,

Brigham and Women’s Hospital, Harvard Medical School

critical care - Oral Presentations

Wednesday, May 15, 1:00 - 2:00 pm in Atlanta E & F

Moderator: Michael Gibbs MD, Carolinas Medical Center

115 Ventilator-associated Pneumonia Prevention Education

in the Emergency Department

Joe Peraza MD, University of Arizona Health Network

116 Pyruvate Dehydrogenase Activity Decreases in connection

with Profound Stress

Lars W. Andersen BS, Research Center for Emergency Medicine

117 Assessment of One-year Mortality Following Hospital Discharge Among

Survivors of cardiac Arrest Who Receive Pre-hospital Fluids

David A. Pearson MD, Carolinas Medical Center

118 Plasmin loaded echogenic liposomes: A novel Thrombolytic

Madhuvanthi A. Kandadai, University of Cincinnati

Renal colic - Oral Presentations

Wednesday, May 15, 1:00 - 2:00 pm in Atlanta g

Moderator: Romolo Gaspari MD, University of Massachusetts Medical School

119 ED Provider Pretest Probability Predicts nephrolithiasis in cTs for

Suspected Renal colic

Brock Daniels MD, Yale New Haven Hospital

120 normal Renal ultrasound identifies Renal colic Patients at low Risk for

urologic intervention: A Prospective Study.

Justin Yan, the University of Western Ontario

121 comparison of Emergency Physician Performed Bedside ultrasound vs.

computed tomography in the Diagnosis of Renal colic*

Megan Leo MD, RDMS, Boston Medical Center

122 Radiation Dose index of cTs for Kidney Stone Performed in the united

States

Adam Lukasiewicz MPH, Yale University School of Medicine

learning Styles - lightning Oral Presentations

Wednesday, May 15, 1:00 - 2:00 pm in Roswell 2

Moderator: Brandon Maughan MD, MHS, Brown University

123 Dual learning Enhances Knowledge Acquisition in an Emergency Medicine

Sub-internship

Jaime Jordan, Harbor-UCLA Medical Center

124 Do Emergency Medicine Residents and Faculty Have Similar learning

Styles When assessed with the Kolb learning Style inventory?

Jenna M. Fredette MD, Christiana Care Health System

125 A Structured Educational intervention Effectively improves Morbidity &

Mortality (M&M) Rounds - the Ottawa M&M Model

Lisa A. Calder, University of Ottawa

56 Society for Academic Emergency Medicine

126 An Effective Remediation Program to improve in-Training Exam Scores

David Saloum, Maimonides Medical Center

127 Development and implementation of an asynchronous curriculum using a

Web-based Platform

Joshua G. Kornegay MD, Oregon Health & Science University

128 Frequent interruptions Do not impact critical Decision Making by

Emergency Medicine Residents and Attendings

Jonathan L. Jones MD, University of North Carolina

imaging in Trauma - lightning Oral Presentations

Wednesday, May 15, 1:00 - 2:00 pm in Atlanta B

Moderator: Greg Hendey MD, University of California, San Francisco (Fresno)

129 Diagnostic yields of chest imaging in Blunt Trauma

Robert M. Rodriguez MD, UCSF/San Francisco General Hospital

130 Prevalence and clinical import of Thoracic injury identified by chest

computed tomography but not chest Radiograph in Blunt Trauma Patients

Mark I. Langdorf MD, MHPE, University of California, Irvine

131 imaging of the nExuS-negative Patient: When We Break the Rule

John Morrison MD, St. Luke’s University Hospital and Health Network

132 is cervical Spine imaging Required in Patients with Femur Fractures?

Robert T. Dahlquist MD, Carolinas Medical Center

133 Frequency and Mortality of non-contiguous Spine Fractures with cT Scan use

Preeti Dalawari MD, MSPH, Saint Louis University Hospital

134 can Sentinel clinical and cxR Findings Predict the likelihood of an

Abnormal chest cT Requiring intervention following Blunt Trauma?

Michael Manka MD,

SUNY at Buffalo School of Medicine, Erie County Medical Center

Triage - lightning Oral Presentations

Wednesday, May 15, 1:00 - 2:00 pm in Roswell 1

Moderator: Gabor Kelen MD, Johns Hopkins University School of Medicine

135 Does the implementation of An Emergency Department Triage System

improve the Timeliness of Analgesia Provision?

Sabine E. Lemoyne MD, Ghent University Hospital, Belgium

136 Reverse Triage in Pediatrics: A new Method to increase

in-Hospital Surge capacity

Eben Clattenburg, The Johns Hopkins School of Medicine

137 utilization of a Pneumonia Triage Pathway

Ryan Hunt MD, UC Davis Medical Center

138 Physician Telemedicine Triage in the Emergency Department: A Pilot Study

Stephen Traub MD, Mayo Clinic Arizona

139 Differences in noninvasive thermometers in the Adult Emergency Department*

Joshua Zwart MD, University of Rochester

140 The Ability of the Physiologic criteria of the Field Triage guidelines to

identify children Who need the Resources of a Trauma center

E. Brooke Lerner PhD, Medical College of Wisconsin Affiliated Hospitals

Poster Presentations

– Posters will be attended by authors from 2:00 – 4:00 pm

Wednesday, May 15, 1:00 - 5:00 pm in 200 gallery -level 6

141 Emergency Medicine Resident Facilitated Procedural Sedation in the

Emergency Department

Laura Magnuson MD, Orlando Health

142 Prospective, Open-label, Efficacy and Safety Trial of intranasal Ketorlac on

Pain in Adults in the Emergency Department

Sharon E. Mace MD, Cleveland Clinic

143 ED Pain care and its Effects on Short Term Hospitalization Outcomes.

Ammar Siddiqui, Mount Sinai School of Medicine

144 Evaluation of a novel tool for Pain assessment in the Emergency Department

Philip W. Craven, University of Utah

145 Video laryngoscopy May Reduce First attempt complications of Airway

Management in a Medical intensive care unit

Jarrod M. Mosier, University of Arizona

146 AcE-induced Angioedema in the Emergency Department:

An Observational Study

R. Mason Curtis, Queen’s University

147 The Association of Ventilating Technique and number of assisted Breaths

given after Rapid Sequence induction with the Occurrence of Hypoxia

During intubation attempts Among Patients intubated in the Emergency

Department

James R. Miner MD, Hennepin County Medical Center


148 Accuracy of ultrasound guided Marking of the cricothyroid Membrane Prior

to Simulated Failed intubation.

Keith Curtis MD, University of Utah

149 Determination of A learning curve for the Pediatric glidescope in infant

Airway Management novices - A Mannequin Study

Faizan H. Arshad, Yale New Haven Hospital

150 Are geriatric Patients High Risk for Emergency Department

Procedural Sedation

Sharon E. Mace MD, Cleveland Clinic

151 comparison of Airway ultrasonography and continuous

Waveform capnography to confirm Endotracheal Tube Placement

in cardiac Arrest Patients

Junho Cho, Inje University Haeundae Paik Hospital

152 use of a novel Electronic Pre-Sedation checklist improves Safety

Documentation in Emergency Department Sedations

R. Jason Thurman MD, Vanderbilt University School of Medicine

153 A Survey of graduating Emergency Medicine Residents’

Experience with cricothyrotomy

Andrew L. Makowski MD, St. Joseph’s Hospital

154 Theoretical Analysis of the Relative impact of Obesity On Hemodynamic

Stability During Acute Hemorrhagic Shock

Sarah A. Sterling, University of Mississippi Medical Center

156 utility of chest Radiographs in Emergency Department Patients

Presenting with Syncope

David T. Chiu, Beth Israel Deaconess Medical Center

157 utility of Trending cKMB in Emergency Department

chest Pain Observation unit.

Colin Mukubwa MD, VIdant Medical Center

158 comparison of Peak Troponin (cTni) levels Based on

Various Patient characteristics

Dave Milzman, Georgetown U School of Medicine

159 Failure of the north America chest Pain Rule and

“Sensitive” Troponin assays in low Risk Patients

Anwar D. Osborne, Emory University

160 can Emergency Physicians Accurately Diagnose Pericardial

Effusion On Point-of-care ultrasound?

Lori A. Stolz, University of Arizona

161 Survival Analysis of Patients Taking Dabigatran After consulting

Emergency Department for Acute Bleeding: A First Alarm

Raoul Daoust MD, MSc, Hôpital du sacré cœur de Montréal

162 Pilot Study of lactate levels as a Marker of Tissue Hypoperfusion in ED

Acute Heart Failure Patients

Kori Sauser MD, University of Michigan

163 Differences in nitrovasodilator use and Rationale to Treat Acute Heart

Failure Patients between Emergency Physicians, Hospitalists, and

cardiologists

Peter S. Pang MD, Feinberg School of Medicine, Northwestern University

164 improving Door to Balloon Time for ST Elevation Myocardial infarction

Patients By Decreasing Emergency Department Door to Ecg Time

Nicholas Testa, LAC+USC Medical Center

165 Safety of a Rapid Diagnostic Protocol with Accelerated Stress Testing

Olanrewaju Soremekun, University of Pennsylvania

166 initial ED cardiac Troponin is Highly Predictive of Drug Overdose Mortality

Alex F. Manini MD, MS, Mt. Sinai School of Medicine

167 A Randomized controlled Trial of the BOA ® -constricting iV Band by

Paramedics and nurses

Richard N. Bradley, The University of Texas Health Science Center at Houston

168 gender Disparities in Stress Test utilization in chest Pain unit patients

based upon the ordering Physician’s gender

Anthony Napoli, Warren Alpert Medical School of Brown University

169 Knowledge Deficiencies in Patients with Elevated Blood Pressure

Catherine T. Ginty MD, Cooper Medical School of Rowan University

170 Establishing a Threshold for D-dimer Testing in the Diagnostic Evaluation

of Aortic Dissection: A Decision Analysis

Richard A. Taylor, Yale University

171 Systematic Review of Anti-Arrhythmic Drug therapy compared to lidocaine

for Termination of Stable Monomorphic Ventricular Tachycardia

Richard Sinert DO, Downstate Medical Center

172 young Adult Patients with chest Pain: utility of the Emergency Department

Observation unit

Tamara Moores MD, University of Utah - Division of Emergency Medicine

173 Evaluation, Management and Disposition of ED Patients in Hypertensive crisis

Catherine T. Ginty MD, Cooper Medical School of Rowan University

174 Association Between Sex and Automated External Defibrillator Application

After Out-of-Hospital cardiac Arrest

Jody Vogel, Denver Health Medical Center

175 A Prospective Trial of Video Podcast use to improve Knowledge and confidence

in Violent Person Management within an Emergency Medicine clerkship

Caroline A. Ball, Loyola University Chicago

176 Performance in Trauma Resuscitation at an urban Tertiary

level i Pediatric Trauma center

Payal K. Gala, Children’s Hospital of Philadelphia

177 A Survey of the current utilization of asynchronous Education Among

Emergency Medicine Residents in the united States

Sarah Schlein MD, Univerisy of Utah

178 is An Email-based Evaluation System for Students in An EM clerkship

Superior to That of A Handwritten, End-of-shift Evaluation System?

Jeffrey Barrett MD, Temple University School of Medicine

179 improving Sign-out communication in the Emergency Department:

Outcomes using A Standardized Sign-out communication Method.

Grace Sousa MD, University at Buffalo SUNY

180 comparison of landmark Preformed lumbar Punctures versus ultrasound

guided lumbar Punctures in A novice Study group

David P. Evans, Virginia Commonwealth University

181 Knowledge of Sexually-Transmitted infections Among Patients

in an urban Emergency Medicine Department

Julia L. Moon MPH, Drexel University, School of Public Health

182 The impact of Standardized Testing on interview Scoring and

Emergency Medicine Applicants’ Rank Position

Meaghen Finan MD, St. Luke’s University Hospital and Health Network

183 improving Patient Ability to identify Acetaminophen-containing Products:

Preliminary Data of a Brief ED Educational intervention

Joseph S. Palter MD, Cook County ( Stroger)

184 improvement in AcgME core competency Specific Summative comments

by Faculty Following implementation of a core competency Specific Daily

Feedback cards program, a Faculty incentive Program and Specific Faculty

Development on the core competencies and giving Feedback to Residents

Todd Guth, University of Colorado

185 A close Examination of increased HiV Testing Following

A computer-based Video intervention in the ED

Theodore C. Bania MD, St. Luke’s - Roosevelt Hospital Center

186 Medical Student Peer Teaching in Simulation

Joseph House, University of Michigan

187 The current State of Emergency Medical Training in

u.S. Schools of Podiatric Medicine

David A. Wald DO, Temple University School of Medicine

188 Self-regulated learning and Study Time Allotment

Sally A. Santen MD, PhD, University of Michigan

189 comparison of Standard Peripheral intravenous cannulation versus ultrasound

guided Peripheral intravenous cannulation in A novice Study group

David P. Evans, Virginia Commonwealth University

190 A Required Fourth year Emergency Medicine clerkship improves Medical

Students Self-assessment of Procedural Experiences

Luan Lawson MD, Brody School of Medicine at East Carolina University

191 Evaluation of a Hands on Facial Anesthesia lab

Todd M. Phillips, University of Pittsburgh Medical Center

192 The Effect of Medical Students upon Patient Satisfaction

in a university-affiliated community ED

Christopher S. Kiefer MD, West Virginia University School of Medicine

193 interactive Spaced Online Education in Pediatric Trauma

Rohit Shenoi MD, Baylor College of Medicine

194 Are Emergency Medicine Resident Evaluations of Attending Faculty

influenced By their Performance Scores?

Sarina Doyle MD, Orlando Health

195 Variability by institution in Emergency Medicine inservice Reviews with

Audience Response units

Jaime Jordan, Harbor-UCLA Medical Center

196 The Effect of an Educational intervention on the Ability to identify

Peripheral nerves with ultrasound

Sandra J. Williams DO, MPH, Baylor College of Medicine

May 14-18, 2013 | atlanta, GeorGia

57


197 The use of an Endovaginal Task-Training Manikin as an Adjunct

in Teaching Emergency ultrasound of Early Pregnancy to Residents -

cORD Educational grant.

Micelle Haydel, LSU-New Orleans

198 An Observational Study of Superior Mesenteric Artery Blood Flow

in Septic Patients

Athena Mihailos, NY Methodist Hospital

199 Apples and Oranges? An Evaluation of 4-year Emergency Medicine

Residencies using Program Websites and the SAEM Residency Directory.

Daniel Runde, Harbor-UCLA Medical Center

200 Types of Diagnostic Errors in neurologic Emergencies in the ED

Nicole M. Dubosh MD, Beth Israel Deaconess Medical Center

201 current EM ultrasound Training in Residency: implications for Future Practice

Erin S. Rardon MD, West Virginia University

202 conducting a Patient Safety needs assessment for

undergraduate Medical Education

Paul S. Jansson BA, Northwestern University Feinberg School of Medicine

203 Factors Affecting Resident Perception of Faculty Entrustment of Autonomy

Benjamin S. Bassin MD, University of Michigan

204 Meaningful assessment of Resident Patient Handoffs Proves challenging

Michelle J. Chastain MD, Advocate Christ Medical Center

205 Bedside ultrasound Skills Acquisition by Medical Students

on Emergency Medicine Rotation

Christian Koziatek BA, Bellevue Hospital/NYU Medical Center

206 The implementation of ED Team Training Across Seven Hospitals

Carrie D. Tibbles, Beth Israel Deaconess Medical Center

207 ultrasound competency Assessment in Emergency

Medicine Residency Programs

Richard Amini, University of Arizona Medical Center

208 characteristics of the Emergency Medicine clerkship Director

David A. Wald, Temple University School of Medicine

209 Translating Relative Value units for clinical Productivity in a Mixed

Workload Academic Emergency Department

Amisha D. Parekh MD, New York Methodist Hospital

210 Validation of the BEEM Rater Scale: An instrument to

Define the “Best Evidence” for Emergency Medicine

Christopher R. Carpenter MD, MSc, Washington University in St. Louis

211 Race Related Healthcare Disparities Among california Workers

Randy Woo MD, University of California, Irvine

212 Trends in EMTAlA Violations from 2002-2012

Brian Raffetto MPH, LAC-USC

214 Time of Day, Severity of illness, and insurance Status Are associated with

Patients’ attempts to Seek Outpatient care Prior to ED Visits

Kathryn Groner, Christiana Care Health Systems

215 Assessing the Rates of Error and Adverse Events in the Emergency Department

Matthew Wong MD, Harvard Medical School, Beth Israel Deaconess

Medical Center

216 Hospital- and county-level Determinants of Emergency Department

Admission for Deep Vein Thrombosis

Kristin L. Rising MD, University of Pennsylvania Perelman School of Medicine

217 Survival and Health care utilization for ED Patients with Metastatic Solid

Tumors Randomized to Early Palliative care consultation versus care as usual

Corita R. Grudzen, Mount Sinai School of Medicine

218 Referral Systems for Patients in low-income countries: A case Study

from liberia

Jimin Kim MSc, University of Chicago

219 “Something is Fishy”: Emergency Department Visits for foreign Bodies in

the larynx and Pharynx in Korea and united States

Viktor Livshits MD, Morristown Medical Center

220 Assessing need for Prioritization of Emergency Services in fort liberte, Haiti

Ayesha Khan, Stanford University Hospital

221 The Academic contribution from Taiwan to Emergency Medicine Field from

1992 to 2011: A Perspective from Scientific Publications

Ching-Hsing Lee, Chang Gung Memorial Hospital

222 A novel First Aid curriculum improves First Aid Knowledge in

laypersons in Rural nicaragua

Breena R. Taira MD, MPH, Olive View UCLA Medical Center

58 Society for Academic Emergency Medicine

223 impact of An Emergency Triage assessment and Teatment (ETAT)-based

Triage Process in the Pediatric Emergency Department (PED) of A

guatemalan Public Hospital

Heather L. Crouse MD, Baylor College of Medicine/Texas Children’s Hospital

224 Development of low Fidelity Simulation for the low Resource Setting

Bhakti Hansoti MD, Johns Hopkins University

225 Analysis of Symptom Profiles in the ninDS Trial using latent classification

Opeolu Adeoye, University of Cincinnati

226 Frequency and Speed of Early Antihypertensive Treatment of Severe

Hypertension in Acute intracerebral Hemorrhage Patients in a Broad

community Setting.

Abraham Flinders, Keck School of Medicine USC

227 Safety and Efficacy of tPA administration in ischemic Stroke Patients

Requiring Aggressive Blood Pressure-lowering Treatment

Bryan F. Darger BA,MSII, University of Texas Medical School at Houston

228 The Efficacy of intravenous Morphine for Acute Migraine

Benjamin W. Friedman MD, Albert Einstein College of Medicine

229 Parenteral Treatment of Tension-type Headache: A Systematic Review

Danielle Weinman MD, Albert Einstein College of Medicine

230 lack of Association Between Headache Relief and Reduction in Blood

Pressure Among Patients Presenting to An Emergency Department with

Migraine and Elevated Blood Pressure

Binoy W. Mistry BSc, Albert Einstein College of Medicine

231 The neurocognitive Effect of Resistance and Simulated use of force

Encounters on Standardized Field Sobriety Testing

Jeffrey Ho, Hennepin County Medical Center

232 Evaluation of Primary intra-cerebral Hemorrhage by Age,

Race and Stroke Volume

John Martel MD, PhD, University of Michigan

233 The use of cTA Prior to Thrombolysis in Acute ischemic Stroke Was

associated with increased, But less Severe, intracranial Hemorrhage

Arif Azam MD, the University of Texas Health Science Center

234 impact of microEEg on clinical management and outcomes of Emergency

Department patients with altered mental status

Shahriar Zehtabchi, State University of New York, Downstate Medical Center

235 Management of Early Severe Hypertension in Acute intracerebral

Hemorrhage in Primary Stroke centers vs. non-Stroke center Hospitals.

Abraham Flinders, Keck School of Medicine USC

237 Monocyte count is associated with icH Mortality

Kyle B. Walsh, University of Cincinnati

238 impact of a county-wide Prehospital Routing Protocol On

Thrombolytic Rates for Acute ischemic Stroke

Brandon Minzer MA, EdM, University of Arizona College of Medicine - Phoenix

239 characteristics of Participants with Pseudo-seizures and Other nonepileptic

Spells Mimicking Status Epilepticus in the Pre-hospital Setting in

the Rapid Anticonvulsant Medication Prior to Arrival Trial (RAMPART)

Donna Harsh, University of Michigan

240 characterizing Emergency Department utilization By A Population-based

cohort of insured Pregnant Women

Karin V. Rhodes, University of Pennsylvania

241 Managing Missed Abortion in the Emergency Room with Manual Vacuum

aspiration: Factors Predicting Who Receives EDMVA

Kelly E. Quinley MD, Perelman School of Medicine, University of Pennsylvania

242 Ondansetron Versus Doxylamine/Pyridoxine for Treatment of nausea and

Vomiting in First Trimester Pregnancy: A Prospective Randomized Double-

Blind controlled Study

Lauren G. Oliveira DO, Naval Medical Center

243 Adherence to cDc guidelines in the Evaluation and Management of Women

with Pelvic complaints*

Dana E. Kozubal BS, Hospital of the University of Pennsylvania

244 Emergency Department Resident Physicians’ comfort levels with

Diagnosing and Treating Depression

Rasha Buhumaid MD, George Washington

245 incidence and Predictors of Traumatic Stress, Depression, and Substance

Abuse Diagnoses in Hospitalized Violently injured youth

Nathan A. Irvin MD, University of Pennsylvania

246 unmet legal needs among Emergency Department Patients

Matthew W. Miller BA, University of Colorado School of Medicine


247 caring for Homeless Patients in the Emergency Department: A Qualitative

Study of Emergency Medicine Residents’ Experiences

Kelly M. Doran MD, Robert Wood Johnson Foundation Clinical Scholars

Program, Yale University School of Medicine

248 Prevalence and Treatment needs of Patients Presenting to the Emergency

Department with Alcohol intoxication

Kenneth W. Dodd MD, Hennepin County Medical Center

249 Predictors of Post-concussive Syndrome after Mild TBi

Latha Ganti Stead MD, MS, MBA, University of Florida

250 Does A Wireless incentive Structure improve Retention, Subject

Satisfaction and Safety in intimate Partner Violence Research?

Melissa A. Rodgers BA, University of Pennsylvania

251 utilization and Safety of a Pulmonary Embolism Treatment Protocol in an

Emergency Department Observation unit

Matthew Stewart MD, University of Utah

252 Evaluation of An Age-adjusted D-dimer Threshold in the Diagnosis of Acute

Venous Thromboembolism

Joel C. Rowe MD, University of Florida

253 “A Doctor is a Doctor”: Reasons Adult Patients choose the Emergency

Department Over Outpatient offices for Acute asthma care - A Qualitative Study

Charlotte C. Lawson, University of Pennsylvania

254 The Effect of Empiric Systemic Anticoagulation Prior to imaging for

Pulmonary Embolism on Mortality

Daren M. Beam MD, MS, Indiana School of Medicine

255 The Ventilatory Effects of the Prone Maximal Restraint Position on Obese

Human Subjects

Christian Sloane MD, UCSD Medical Center

256 Recommended Tidal Volumes are not commonly Started in Emergency

Department Patients Developing ARDS.

Michael G. Allison MD, University of Maryland Medical Center

257 intercellular Shear Destabilizes the cell-cell Junction

in Models of Acute lung injury

Ramaswamy Krishnan PhD, Beth Israel Deaconess Medical Center

258 The Effects of ED crowding On Enrollment of Patients

in A Randomized controlled Trial

Daniel Jafari MD, MPH, University of Pennsylvania

259 The Validity of Self-Reported Primary Adherence Among Medicaid Patients

Discharged From the Emergency Department with A Prescription Medication

Ru Ding, George Washington University

260 Estimating negative likelihood Ratio confidence when Test Sensitivity is 100%

Keith A. Marill MD, Massachusetts General Hospital

261 Acuity Detection to Enhance Methods for Outbreak Biosurveillance

Meredith H. Arasaratnam ScD, National Collaborative for Bio-Preparedness

262 Handling Repeat Enrollments During an Emergency clinical Trial: the Rapid

Anticonvulsant Medications Prior to Arrival Trial (RAMPART)

William Meurer, University of Michigan

263 Derivation of An Abbreviated instrument for use in Emergency Department

low Back Pain Research: the Five-item Roland Morris Questionnaire*

Laura W. Mulvey BS, Albert Einstein College of Medicine

cardiac Risk Stratification - lightning Oral Presentations

Wednesday, May 15, 4:00 - 5:00 pm in Atlanta A

Moderator: Andra L. Blomkalns MD, University of Cincinnati

264 immediate Exercise Stress Echocardiography versus Hospital Admission for

Patients Presenting to the Emergency Department with low Risk chest Pain

Danielle Minett MD, MPH, Christiana Care

265 low Risk chest Pain Patients less Than 40 years Old do not Benefit from

Admission and Stress Testing

Anthony Napoli, Warren Alpert Medical School of Brown University

266 Emergency Department Recidivism and Outcomes of Previously Evaluated

chest Pain unit Patients*

Anthony Napoli MD, FACEP,

Warren Alpert Medical School of Brown University

267 yield of Provocative Testing in Emergency Department chest Pain unit Patients

Luke K. Hermann MD, Mount Sinai School of Medicine

268 Evaluation of a novel Risk Stratification tool vs. the TiMi Score for Patients

with chest Pain in an Emergency Department Observation unit

Matthew J. Fuller, University of Utah

269 utility of Serial Troponin Testing in the Emergency Department

Observation unit

Jason Dorais MD, University of Utah

270 High Rate of False-Positive cardiac Testing in an Emergency Department

Observation unit

Jason Dorais MD, University of Utah*

Psychiatry - lightning Oral Presentations

Wednesday, May 15, 4:00 - 5:00 pm in Atlanta B

Moderator: Rebecca Cunningham MD, University of Michigan

271 causal attribution, Perceived illness Severity, and Smoking Stages of

change in Emergency Department Patients

Michelle Jaques BA, University of Massachusetts Medical School

272 Knowledge, attitudes and Practices of Emergency Department Providers in

the care of Suicidal Patients

Marian E. Betz, University of Colorado School of Medicine

273 Predicting Psychiatrist continuation of ED issued Psychiatric Holds:

Examining the Predictive Validity of Alcohol use

Jerielle Adams MD, LSUHSC, Earl K. Long Medical Center

274 not Just for Kids: the Prevalence and correlates of Eating Disorders in

Adult Emergency Department Patients

Suzanne Dooley-Hash MD, University of Michigan

275 Prior Mental Health Services use Among Suicidal ED Patients with and

without Substance Abuse Histories

Lisa M. Schweigler MD, MPH, MS, The Warren Alpert Medical School of Brown

University

Trauma Resuscitation - lightning Oral Presentations

Wednesday, May 15, 4:00 - 5:00 pm in Atlanta c & D

Moderator: Eric Legome MD,

Kings County Hospital, SUNY Downstate College of Medicine

276 A 4-year Analysis of Outcomes for Traumatized Patients Stratified by

initial Systolic Blood Pressure

Colleen Tran DO, York Hospital

277 End Tidal co2 as a non-invasive Marker for Occult Shock in Trauma

Patients: A Prospective cohort Validation Study

Chris Stahmer MD, Lincoln Medical and Mental Health Center

278 Determining the Relationship of Base Excess and Serum lactate in Trauma:

is Base Excess useful as A Point of care Test?

Douglas Fields MD, Lincoln Medical and Mental Health Center

279 The influence of Prehospital Hypotension and Hypoxia on non-mortality

Outcomes in Moderate and Severe Traumatic Brain injury: implications for

implementing the EMS TBi Management guidelines

Daniel W. Spaite,

Arizona Emergency Medicine Research Center, University of Arizona

280 Serum gFAP Out-Performs S100B in Detecting Traumatic intracranial

lesions On cT in Trauma Patients

Linda Papa MD, CM, MSc, Orlando Regional Medical Center

281 Predictive Value and Appropriate Ranges of Prehospital Physiologic

criteria for identifying Seriously injured Older Adults During Field Triage*

Derek Richardson MD, Oregon Health & Science University

ultrasound - lightning Oral Presentations

Wednesday, May 15, 4:00 - 5:00 pm in Atlanta E & F

Moderator: Romolo Gaspari MD, University of Massachusetts Medical School

282 Pediatric Skin Abscesses Are More Difficult to Visualize with Bedside

ultrasound Than Adult Abscesses

Russell Johanson MD, University of Massachusetts Medical School

283 Does a novel Simulator Provide Effective Hands On Training Versus

Traditional Trauma ultrasound Training for a Disaster Response Team? A

Prospective Randomized Study

Michael Paddock DO, Cook County (Stroger)

284 impact of Decontamination therapy on ultrasound Visualization of

ingested Pills

Jason D. Bothwell MD, Madigan Army Medical Center

285 ultrasound guided central line Placement by Emergency Physicians in

Beijing, china

Joseph Walline, Saint Louis University

286 The BREATH Pilot Study: Bringing Research in Echocardiography

assessment to Haiti*

Krithika M. Muruganandan MD, Rhode Island Hospital

287 The number of FAST Exams Required for Proficiency*

Sharon Yellin MD, New York Methodist Hospital

May 14-18, 2013 | atlanta, GeorGia

59


Toxicology - lightning Oral Presentations

Wednesday, May 15, 4:00 - 5:00 pm in Atlanta g

Moderator: Aaron Skolnik MD, Banner Good Samaritan/Phoenix Children’s Hospital

Medical toxicology, Center for toxicology and Pharmacology Education

and Research, University of Arizona College of Medicine

288 intraosseous Versus intravenous cobinamide in Treating Acute cyanide

toxicity and Apnea in A Swine (Sus Scrofa) Model*

Vikhyat S. Bebarta, San Antonio Military Medical Center; USAF Enroute Care

Research Center

289 The Effects of increased Dosing of l-carnitine in a Model of Verapamil Toxicity*

Jason Chu, St. Luke’s-Roosevelt Hospital Center

290 Pharmacotherapy with a nicotinic Receptor Antagonist Protects the nMJ in

A Swine Model of Severe Parathion Poisoning

Steven B. Bird MD, University of Massachusetts Medical School

291 The Effect of intravenous lipid Emulsions in an Oral Verapamil toxicity Model

Jason Chu MD, St. Luke’s-Roosevelt Hospital Center

292 Pretreatment with intravenous lipid Emulsion Reduces Mortality from

cocaine toxicity in a Rat Model

Stephanie Carreiro MD, Alpert Medical School, Brown University

293 coral Snake Envenomations 2001-2011: Antivenin use and Outcomes

Benjamin W. Hatten MD, Oregon Poison Center, Department of Emergency

Medicine, Oregon Health and Science University

clinical Decision Rules - lightning Oral Presentations

Wednesday, May 15, 4:00 - 5:00 pm in Roswell 1

Moderator: Michael Brown MD, MSc, Michigan State University

294 narratives Outperform Summary content in Promoting Recall of Opioid

Prescription guideline Recommendations*

Austin Kilaru, Perelman School of Medicine at the University of Pennsylvania

295 Risk Factors for cardiovascular Events in ED Patients with Drug Overdose*

Alex F. Manini, Mt. Sinai School of Medicine

296 Modifying the Sgarbossa criteria to Diagnose ST-elevation Myocardial

infarction in the Presence of left Bundle Branch Block: A comparison of the

Smith ST/QRS Ratio Rule to the Selvester 10% Rule

Kenneth W. Dodd MD, Hennepin County Medical Center

297 Hypothesis listing and Justification Rule impact upon Data-gathering and

clinical Decision Making

Dane Michael Chapman, University of Missouri, Columbia, School of Medicine

Training competencies - lightning Oral Presentations

Wednesday, May 15, 4:00 - 5:00 pm in Roswell 2

Moderator: Jeffrey Love MD, Georgetown University School of Medicine

298 Development of A Simulation Based assessment tool to Measure

Emergency Medicine Resident competency

Kathleen Wittels, Brigham and Women’s Hospital

299 Outcome Feedback within Emergency Medicine Training Programs: An

Application of the Theory of Deliberate Practice

Timothy Dalseg MD, University of Ottawa

300 use of Electronically-Administered Patient Surveys to Evaluate Emergency

Medicine Residents on AcgME competencies

Edward Durant MD, MPH, Alameda County Medical Center- Highland Hospital

301 can We Rely On EM Resident Self-Assessment of EM Knowledge?

Katherine Jahnes, New York Methodist Hospital

302 A Randomized comparison Study to Evaluate the Effectiveness of a

computer-based Teamwork Training intervention on Medical Teamwork and

Patient care Performance

Rosemarie Fernandez MD, University of Washington

303 Agreement Between global assessment and individual competencies of

Medical Student Performance

David T. Chiu, Beth Israel Deaconess Medical Center

THuRSDAy, May 16th, 2013

geriatrics - Oral Presentations

Thursday, May 16, 8:00 - 9:00 am in Atlanta B

Moderator: Christopher R. Carpenter MD, Washington University in St. Louis

304 A Quick and Easy Delirium assessment for non-Physician Research Personnel*

Jin H. Han MD, MSc, Vanderbilt University

60 Society for Academic Emergency Medicine

305 comprehension of Emergency Department care and Discharge instructions

among Older community-Dwelling Patients

Adam Frisch, University of Pittsburgh

306 using Biomarkers to Detect Delirium Among Elderly Emergency

Department Patients*

Maura Kennedy MD, MPH, Beth Israel Deaconess Medical Center

307 impact of A new Senior Emergency Screening and Social Work intervention

On Patient Satisfaction as Measured By Press-ganey Survey Methodology

Nicholas Branscomb, University of Michigan EM Residency Program

Sepsis - Oral Presentations

Thursday, May 16, 8:00 - 10:00 am in Atlanta c & D

Moderator: Emanuel Rivers MD, MPH, Henry ford Hospital

308 Blood Transfusion Seemed not to be associated with Mortality among

Patients with Severe Sepsis in ED*

Chih-Yi Hsu MD, Chang Gung Memorial Hospital

309 The Prognostic Value of Brain natriuretic Peptide in combination with the

Sequential Organ Failure assessment Score in Septic Shock*

Won Young Kim MD, PhD, Beth Israel Deaconess Medical Center

310 Do gender Differences Exist in Sepsis Mortality, Overall Surviving

Sepsis campaign Bundle completion, or completion of individual Bundle

Elements?: the DiSPARiTy Study

Tracy E. Madsen MD, Alpert Medical School of Brown University

311 The impact of crowding upon implementation of Early goal Directed

therapy in the Emergency Department.

Anish K. Agarwal MD, MPH, the University of Pennsylvania

312 Rapid Development of Septic Shock in a Swine Model using cecal ligation

and Perforation Plus Fecal inoculation

Lawrence A. DeLuca, University of Arizona

313 long-Term Mortality After Sepsis

Henry E. Wang, University of Alabama at Birmingham

314 Risk Factors for infection with Resistant Organisms in Severe Sepsis

Patients Admitted from the Emergency Department

David F. Gaieski MD, The University of Pennsylvania

315 Higher Hospital case Volume is associated with Decreased in-hospital

Mortality in Patients with Severe Sepsis.

Munish Goyal MD, FACEP, Georgetown University School of Medicine

Therapeutic Hypothermia - Oral Presentations

Thursday, May 16, 8:00 - 10:00 am in Atlanta E & F

Moderator: Stephen Trzeciak MD, Cooper Hospital/University Medical Center

316 Emergency Department Prediction of Survival and neurologic Outcome

in comatose cardiac Arrest Patients undergoing Therapeutic Hypothermia

is unreliable.*

Catherine M. Wares MD, Carolinas Medical Center

317 The use of invasive Hemodynamic Monitoring in Evaluating Resuscitative

Endpoints in Post-cardiac Arrest Therapeutic Hypothermia

Anne V. Grossestreuer MS, University of Pennsylvania

318 neuromuscular Blockade is associated with improved Survival in Postcardiac

Arrest Patients undergoing induced Hypothermia

Michael Donnino, Beth Israel Deaconess Medical Center

319 Aassociation between Blood Pressure Measurements, Vasopressor use,

and Outcome in Post-cardiac Arrest Patients Treated with Therapeutic

Hypothermia From Four Sites

Sarah M. Perman MD, MS, University of Pennsylvania

320 The impact of Pre-Hospital Therapeutic Hypothermia on Mortality and

neurologic Outcomes in Out of Hospital cardiac Arrest: A Systematic

Review and Meta-Analysis*

Benton R. Hunter MD, Indiana University School of Medicine

321 Pre-hospital Activation of an Emergency Department cardiac Arrest

Response Team improves ROSc and Hypothermia utilization

Nathan Deal, Baylor College of Medicine

322 neurologically intact Survival After Prolonged cardiac Arrest in the Era of

induced Hypothermia

Tyler Giberson BS, Beth Israel Deaconess Medical Center

323 national Trends in the use of Post-cardiac Arrest Therapeutic Hypothermia

and Factors influencing utilization

Charles Pearce MD, Northwestern University


clinical Efficiency - Oral Presentations

Thursday, May 16, 8:00 - 9:00 am in Atlanta g

Moderator: Tom Scaletta MD, Edwards Hospital, Smart-ER

324 Scribes in the Emergency Department:

What is the Effect On Facility charges?

John H. Burton MD, Carilion Clinic

325 Decreasing ED Overcrowding Via implementation of a Hospital Wide Surge Plan*

Shira Schlesinger, LAC+USC Medical Center

326 computed tomography without Oral contrast for Abdominal Pain:

Effects on Emergency Department Efficiency and Patient Safety*

William C. Krauss MD, FACEP, Kaiser Permanente

327 impact of a computerized Decision Support System on Screening for

Hyperlactatemia among Adults with Sepsis*

Jeffrey P. Green, UC Davis Medical Center

Atrial Fibrillation - lightning Oral Presentations

Thursday, May 16, 8:00 - 9:00 am in Atlanta A

Moderator: Richard Summers MD, University of Mississippi Medical Center

328 An Evaluation of an Atrial Fibrillation clinic for the Follow-up of Patients

Presenting to the Emergency Department with newly Diagnosed or

Symptomatic Arrhythmia

Brandon Hone, University of Alberta

329 Emergency Department Visits for Atrial Fibrillation Between 2006 and

2009: Regional Variability in Hospitalization and cardioversion

Tyler W. Barrett MD, MSCI, Vanderbilt University Medical Center

330 Evaluation of the HATcH Score for Predicting Progression to Sustained

Atrial Fibrillation in Emergency Department Patients with newly Diagnosed

Atrial Fibrillation

Tyler W. Barrett MD, MSCI, Vanderbilt University Medical Center

331 incidence of 5-Day and 30-Day Adverse Events in a Prospective cohort of

Emergency Department Patients with Symptomatic Atrial Fibrillation and

Atrial Flutter

Tyler W. Barrett, Vanderbilt University Medical Center

332 Adaptation of a Disease-Specific Research instrument for Quality of life

assessments in Emergency Department Patients with Atrial Fibrillation/Flutter

Nimmie Singh BS, Kaiser Permanente Division of Research

333 nt-pro Bnp Rise as A Marker for cardiac Arrhythmia in Patients with Syncope

Giorgio Costantino MD, Università degli Studi di Milano

iV Access - lightning Oral Presentations

Thursday, May 16, 8:00 - 9:00 am in Roswell 1

Moderator: Alexander T. Limkakeng MD, Duke University

334 Association Between Multiple needlesticks and Patient Pain levels in the

Emergency Department

Nicole Piela MD, Thomas Jefferson University

335 lidocaine infiltration By injection vs. topical lET gel for Anesthesia for incision

and Drainage of cutaneous Abscesses: A Randomized controlled Study

Mark K. Ellis MD, University of Arizona

336 The Effect of Vapocoolant Spray on Pain Due to Venipuncture in Adults: A

Randomized, Blinded, Placebo-controlled Trial

Sharon Mace MD, Cleveland Clinic

337 using the VeinViewer Vision ® to increase the identification of Peripheral Veins

for intravenous catheter Placement in Adults in an Emergency Department

Bruce M. Becker MD, MPH, Brown University

338 Prevalence and characteristics of Patients Presenting with Difficult Venous

Access to the Emergency Department*

J. Matthew Fields MD, Thomas Jefferson University

339 Prevalence of needle Phobia in Patients with Difficult Venous Access

Leah A. Davis MA, Thomas Jefferson University

Disaster Management - lightning Oral Presentations

Thursday, May 16, 8:00 - 9:00 am in Roswell 2

Moderator: Richard Zane MD, University of Colorado

340 The Potability of and Analysis of Sterilization Techniques of Fresh Water

Sources Bordering the Flood Plain of South long island, ny and Queens, ny

Shiau Hui Chin MD, New York Hospital Queens

341 Effect of Hurricane Sandy on Prehospital Advanced life Support Volume

and Treatment

Kimberly Baldino MD, Morristown Medical Center

342 Hurricane Sandy: the Effect of Multiple ED closures on Patient Volume & Acuity

Gregg Husk MD, Beth Israel Medical Center

343 impact of Hurricane Sandy on the Presenting complaints of Prehospital

Advanced life Support Patients

Lisa Clayton DO, Morristown Medical Center

344 The Disease Frequency Among Evacuees After the great Eastern Japan

Earthquake and Tsunami

Takahisa Kawano, Fukui University Hospital

Out of Hospital Telemedicine - Oral Presentations

Thursday, May 16, 9:00 - 10:00 am in Atlanta B

Moderator: Steven Horng MD,

Beth Israel Deaconess Medical Center / Harvard Medical School

345 Prehospital Ecg Transmission is associated with Reduced

False-Positive cath lab Activations

Nichole Bosson MD, MPH, Harbor-UCLA Medical Center, Los Angeles

Biomedical Research Institute

346 use of a Medical toxicology Telemedicine consult Service to assist

Physicians Serving Overseas: 2005-2012

Joseph K. Maddry, Rocky Mountain Poison and Drug Center

347 Breaking Down Barriers to ePcR implementation in EMS: Turnaround Time*

Colby Redfield MD, Beth Israel Deaconess Medical Center

- Harvard Medical School

348 Real-time clinical information Exchange between EMS

and the Emergency Department

Colby Redfield MD, Beth Israel Deaconess Medical Center

- Harvard Medical School

Anticoagulants - Oral Presentations

Thursday, May 16, 9:00 - 10:00 am in Atlanta g

Moderator: Daniel K. Nishijima MD, University of California, Davis

349 Risk of intracranial Hemorrhage After Minor Head Trauma

in Patients On clopidogrel

Frank LoVecchio DO, Maricopa Medical Center

350 The Mortality and Severity of Bleeding in Trauma Patients Taking Dabigatran

Zachary DW. Dezman MD, MS, Department of Emergency Medicine,

University of Maryland

351 Does Anticoagulant use necessitate Triage to A level 1 Trauma center?

John J. Everett MD, William Beaumont Medical Center

352 intravenous lipid Emulsion Does not Reverse Dabigatran induced

Anticoagulation in a Rat Model

Stephanie Carreiro MD, Brown University

AEM consensus conference on global Health - Oral Presentations

Thursday, May 16, 9:00 - 10:00 am in Roswell 1

Moderator: Jon Mark Hirshon MD, University of Maryland, Baltimore

353 Prospective Evaluation of Patients Presenting to An ED in Kathmandu, nepal

Sneha Shrestha, Stanford School of Medicine

354 Assessment of Pneumonia in children in Resource-limited Settings

Payal Modi MD, MPH, Brown University

355 Overcrowding : European Emergency Department needs A new Management!

Eric Revue, Director of the Emergency and Prehospital EMS,

Louis Pasteur Hospital

Abdominal Pain in Adults - lightning Oral Presentations

Thursday, May 16, 9:00 - 10:00 am in Atlanta A

Moderator: Brigitte M. Baumann MD, MSCE,

Cooper Medical School of Rowan University

356 The Effect of Suspected Diagnosis on Physician Pretest Probability

for Abdominal Pain Patients undergoing computed tomography in the

Emergency Department*

Angela M. Mills MD, University of Pennsylvania

357 Emergency Physician interpretation of capsule Endoscopy: A Video Survey

Andrew C. Meltzer, George Washington University

358 is the incidence of intussusception increasing in the Adult Patient

Population and Do Age/gender Differences Exist?

Fred Fiesseler, Morristown Medical Center

359 The Finding of gallstones Alone On Bedside ultrasound Has Excellent

Sensitivity for Acute cholecystitis.

Julian Villar MD, MPH, UCSF

360 Variation by Sex and Body Mass index in Anterior Positioning of the

Acutely inflamed Appendix in Relation to the Psoas Muscle

Craig Sisson MD, RDMS, University of Texas Health Science Center

San Antonio

May 14-18, 2013 | atlanta, GeorGia

61


Sickle cell Management in the Emergency Department -

lightning Oral Presentations

Thursday, May 16, 9:00 - 10:00 am in Roswell 2

Moderator: Jeffrey A. Glassberg MD, Mount Sinai

361 A Randomized-controlled Trial of Paracetamol Versus Morphine for the

Treatment of Acute Painful crisis of Sickle cell Disease*

Rifat Rehmani MD, MSc, King Abduaziz Hospital

362 The use of low Dose Ketamine and Hydromorphone for Patients in Sickle

cell crisis

Erin L. Simon DO, Akron General Medical Center

363 Variability in Pediatric ED care of Sickle cell Disease and Fever*

Angela M. Ellison MD, MSc, University of Pennsylvania School of Medicine

364 Elevated lactate levels in the Emergency Department Are associated with

Positive Blood cultures in children with Sickle cell Disease*

Jay G. Ladde MD, Orlando Regional Medical Center

365 Emergency Provider attitudes towards Sickle cell Patients

Caroline Freiermuth MD, Duke University Medical Center

Posters 2 - Poster Presentations -

Posters will be attended by authors from 10:00 am – 12:00 pm

Thursday, May 16, 8:00 am - 12:00 pm in 200 gallery -level 6

366 Risk Factors associated with urologic intervention in Emergency

Department Patients with Suspected Renal colic.

Justin Yan, the University of Western Ontario

367 The Effect of Shorter Resident Shifts On Emergency Department Efficiency

Brian N. Beer MD, Scott & White Healthcare

368 Team STEPPS Training: the Effect of Training on Both nursing Staff

Perceptions Regarding Physician Behaviors and Patient Satisfaction Scores

in the Emergency Department

Shari Brand, Mayo Clinic Hospital

369 Does implementation of a formal Sick call System Affect the utilization of

Sick Days by Emergency Attendings?

Michael Heller, Beth Israel Medical Center

370 Minimizing Transfer Time to an ST Segment Myocardial infarction

Receiving center: A Delphi consensus

Conrad Williamson BS, UC Davis

371 Effect of a Dedicated Emergency Department Pharmacist on Antibiotic

Administration Times in Sepsis

Robert Graham DO, Geisinger Medical Center

372 correlation of Emergency Department Operational Factors with the Percent

of Patients Who leave the Emergency Department without Being Seen and

the Average length of Stay of Admitted Patients

Kenneth Robinson MD, Hartford Hospital

373 name calling in the Emergency Department:

How Do Patients Want to Be Addressed?

Nathaniel Minnick DO, St John Hospital and Medical Center

374 Prospective Registry of Advanced iV Access: External Jugular Versus

Peripheral ultrasound guided

Michael D. Witting, University of Maryland

375 Variables associated with community Hospital Overcrowding

Steven Weiss MD, University of New Mexico

376 impact of ED crowding on Time to Antibiotic initiation for Sepsis

Arica Nesper BA,

University of California, Davis Medical Center, Sacramento, CA

377 Accuracy of ED Medication Reconciliation as Determined By Mass

Spectrometry Analysis of urine

Allyson A. Kreshak MD, University of California San Diego

378 Successful Hospital-Wide Practice change Targeting crowding in A Setting

of increasing Demand

Drew Richardson MD, Australian National University

379 The Effect of Vessel Depth, Diameter, and location on Success Rates for

Placement of ultrasound-guided, Extended-Dwell Midline catheters: a

comparison Between Two Brands.

Tristan Wihbey, Hospital of the University of Pennsylvania

380 Board or Walk Rounds?

Bobby Desai, University of Florida

381 Do Standardized Written Handoff cards improve interservice communication

During Emergency Department to general Medical unit Transfers?

Sharmistha Dev MD, MPH, Henry ford Hospital

62 Society for Academic Emergency Medicine

382 The Effect of Vessel Depth and location on the longevity of ultrasoundguided,

Extended-Dwell Midline catheters: a comparison Between Two Brands.

Tristan Wihbey, Hospital of the University of Pennsylvania

383 A Shorter Delay Before Analgesia Administration Has A Better Association

with A Reduction in Emergency Department length of Stay Than Adequate

Analgesia in Patients with Severe Pain.

Raoul Daoust, Sacré-Coeur Hospital

384 using computer Modeling to Study the impact of Adding

A Fast Track to A crowded ED

Hari Balasubramanian PhD, University of Massachusetts

385 Effect of Dezoning Physician Teams on Emergency Department Efficiency

Czarina Sanchez MD, BIDMC

386 Patient Satisfaction Variability by chief complaint in an urban community

Emergency Department

Kurt M. Isenberger MD, Regions Hospital

387 Hourly Measures of Patients Waiting to be Seen are Accurately Predicted

by a Discrete Event Simulation Model.

Eric J. Goldlust MD, PhD, Brown University

388 Reducing Alarm Fatigue in the Emergency Department

William Fleischman MD, Mount Sinai School of Medicine

389 improving Transfer of care Accuracy and information Delivery in the

Emergency Department

Justin Mazzillo, UT Health Science Center at Houston

390 Evaluating the Effect of Emergency Department crowding on Triage

Decision Making and Patient Outcomes

Erin O’Connor MD, University of Ottawa

391 Prospective Evaluation of computerized Physician Order Entry in the

Emergency Department

Steven Horng MD, MMSc, Beth Israel Deaconess Medical Center / Harvard

Medical School

392 The impact of interventions to Reduce length of Stay in the Emergency

Department: A Systematic Review

Jameel Abualenain, The George Washington University

393 The Accuracy of interqual Acute care criteria in Determining Observation versus

Hospitalization need in chronic Heart Failure Patients in Emergency Department

David Fernandez MD, JPS Health Network

394 A Retrospective Review of cardiac Stress Tests Ordered from the

Emergency Department (ED)

Lisa Moreno-Walton MD, Louisiana State University Health Sciences

Center-New Orleans

395 Physician Situational Awareness in the Emergency Department

Raphaelle Beard, Johns Hopkins University

396 ultrasound-guided Midline catheters: Patient and Operator Satisfaction.

Tristan Wihbey, Hospital of the University of Pennsylvania

397 An Online Teaching Module to improve critical care coding

Eric Steinberg DO, Beth Israel Medical Center

398 Balancing Responsiveness and Efficiency with Flexibility in the ED:

A Simulation Model

Lauren F. Laker MBA, University of Cincinnati

399 The Relationship between Patient Diagnoses and Observation Failure in a

24-hour clinical Decision unit

Andrew Chen, North Shore LIJ Health System

400 compliance of u.S. camps with guidelines for Health and Safety Practices:

the camp Prepared Study

Kaylee M. Hollern, Penn State College of Medicine

401 Does a Patient Advocate during the Emergency Department Discharge

Process improve 48-Hour and 6-Week Post-Discharge Patient Satisfaction?

Stephanie Haddad MD, North Shore University Hospital

402 Spatial Dynamics of Alcohol Misuse: Does Density of crime and Alcohol

Outlets characterize likelihood of youth Alcohol Misuse independent of

neighborhood and individual Risk Factors?

Manya F. Newton MD, MPH, MS, University of Michigan

403 influence of Riding in Bike lanes vs. Traffic lanes on injury Severity of

Bicyclists involved in crashes with Motor Vehicles

Dietrich Jehle, SUNY@Buffalo

404 The Prevalence of injury Vs. illness in children with and without ADD/ADHD

Presenting for Treatment to A Pediatric Emergency Department

Bruce M. Becker MD, MPH, Warren Alpert School of Medicine at

Brown University


405 changes in Bicycle-related injuries in urban and non-urban EDs in

Massachusetts 2007-2010

Christopher Fischer MD, Beth Israel Deaconess/Harvard Medical School

406 Does An Educational Video improve the Knowledge of Pediatric asthma

Patients Visiting A level 1 Pediatric Trauma center Emergency Department?

Jay G. Ladde MD, Orlando Regional Medical Center

407 BMc Violence intervention Advocacy Program: understanding challenges

to Recovery to Optimize Service Delivery for Victims of Violent injury

Thea L. James MD, Boston Medical Center, Boston University

School of Medicine

408 Drink Driving and associated Prescription Drug Misuse among High-risk

urban youth Seeking Emergency Department care

Patrick M. Carter MD, University of Michigan

409 Behaviors increasing the Risk of crash injury in latino Adolescent Males:

the influence of Acculturation and Parent connectedness

Daniel L. Summers MPH, Yale School of Medicine

410 Adolescent Balloon Analog Risk Task Performance and Behaviors that

influence Risk of injury

Jessica M. Walthall BS, Yale University School of Medicine

411 comparing the Effects of Age, BMi and gender On Severe injury (AiS 3+) in

Motor Vehicle (MVc) crashes

Patrick M. Carter MD, University of Michigan

412 assault-injured youth Presenting to the Ed for care: Who? What? Why?

Megan L. Ranney MD, MPH, Alpert Medical School, Brown University

413 Distracted Drivers, at Risk child Passengers

Michelle Macy, University of Michigan

414 Presence of Third Molars Predicts increased Mandible Fractures

in Blunt Facial Trauma

Dave Milzman, Georgetown U School of Medicine

415 Home Falls in the Elderly: Eliciting the Mechanisms

Responsible for Severe injury

Christopher W. Davis MD, University of Arizona

416 car Ratings Take a Back Seat to Vehicle Type:

Outcomes of SuV vs. Passenger car crashes

Dietrich Jehle, SUNY@Buffalo

417 A Prospective Randomized Prevention Trial assessing Paper-tape in

Endurance Distances (Pre-TAPED)

Mark Ellis MD, Stanford University School of Medicine

418 A Systematic Review and Meta-analysis of Smoking cessation interventions

for Adult Emergency Department Patients

Jonathan H. Pelletier, Maine Medical Center Research Institute

419 The Effect of legalized Sunday Alcohol Sales on Emergency Department

Visits for Alcohol Withdrawal

David L. Gutteridge MD, MPH, Mount Sinai School of Medicine

420 characteristics and Outcomes associated with Medicaid and uninsured

Patients Presenting to the ED with non-Emergent complaints Previously

Evaluated by Other Health care Providers

Meredith Camp. Binford MHS, Yale School of Medicine

421 is Health literacy associated with Medication and Dietary compliance in

Patients with Pre-existing Hypertension?

Emma Dwyer, St. Louis University

422 Emotions and Patient Satisfaction: Does a Patient Education and Expectation

Pamphlet (PEEP) improve Patient Satisfaction?

Candice T. Cardon MD, Christus Spohn Memorial

423 Validation of An icD-9 code for Accurately identifying Emergency

Department Patients Who Suffer An Out-of-hospital cardiac Arrest

Steve B. Chukwulebe BS, BBA, University of Pennsylvania

424 Visit urgency amongst the chronic Disease Population in a large

Metropolitan Region Emergency Department network

Gary M. Vilke MD, University of California, San Diego

425 Patient contact with Outpatient Providers Prior to

Visiting the Emergency Department

Kathryn Groner MD, Christiana Care Health Systems

426 Antiemetic use in united States Emergency Departments

Elizabeth Savko DO, Saint Vincent Health Center

427 Planning for the Demographic Shift: Analyzing the Resources Required for

Managing Patients with cancer in the Emergency Department

Anjana Patel, Mayo Clinic

428 comparison of Mortality, charges, and Procedure use Among injured Adults

at Hospitals and Trauma centers in california

Mark Zocchi MPH, George Washington University

429 Patient literacy and Reasons for ED use

Ann Tsung, University of Florida

430 Disparity in Patient Self-reported versus charted Medication Allergy

information

Preeyaporn Sarangarm Pharm D., University of New Mexico

431 correlation Between Opiate Prescribing Rates and State Medicaid costs

Sarina Doyle, Orlando Health

432 Patterns of Recidivism in an urban Academic Tertiary care Emergency

Department

Lora AlKhawam MD, Northwestern University

433 Physician Practice Patterns and Association with ED length of Stay for

Discharged Patients with Type 2 Diabetes with Severe Hyperglycemia

Brian E. Driver MD, Hennepin County Medical Center

434 The Effect of Emergency Department crowding On Physicians’ Decision to

Admit Patients with Transient ischemic attack Or Minor Stroke.

Maxim Ben-Yakov, University of toronto (Division of Emergency Medicine)

435 The Role of Observation Services in 30 Day Recidivism

Amongst Patients with congestive Heart Failure (HF)

Sean M. Lowe MD, Emory University

436 A needs-Analysis of uninsured Patients at the university of california,

irvine Medical center

Shahram Lotfipour MD, MPH University of California, Irvine

437 Public Participation in Research in the Emergency Department:

a national Study of Predisposing Factors

Enesha Cobb MD, MTS, University of Michigan

438 it Matters More Than you Think: Tg in the ED

Makini Chisolm-Straker MD, Mount Sinai School of Medicine

439 Pharmacists in the Emergency Department: A Study of Feasibility and cost

Jesse B. Cannon MD, Emory University, Atlanta VA Medical Center

440 linkage to care and Healthcare utilization Subsequent to

HiV Diagnosis from an ED HiV Testing Program

Andrew H. Ruffner MA, University of Cincinnati

441 How can We improve the Emergency Department Experience for Patients?

A Multiphasic Study using Kano Methodology.

Dipti Agarwal MBBS, Mayo Clinic

442 identifying iowa’s icu Staffing Models and Defining the

Role of the Emergency Physician

Elizabeth Hassebroek MD, University of Iowa Hospitals and Clinics

443 Percentage of Medicare- and Medicaid-funded Patients Seen in

uS ED’s increased Between 2006 and 2010

Susan Watts PhD, Texas Tech University Health Sciences Center

444 impact of gender on Patient Preferences for Technology Based

Behavioral interventions

David J. Kim, The Warren Alpert Medical School of Brown University

445 Trail to Examine Text Message Based mHealth in ED Patients

with Diabetes (TExT-MED)

Sanjay Arora, Keck School of Medicine of the University of Southern California

446 Assessing the Satisfaction of Mobile Health (mHealth) Amongst ED

inner-city Patients with Diabetes Who Received the TExT-MED intervention

Sanjay Arora, Keck School of Medicine of the University of Southern California

447 Evaluating the Association Between Mental Health Professional

Availability and ED Visits and Hospitalizations for Mental Health

Related conditions in california

Sophie Terp MD, MPH, Department of Emergency Medicine, University of

Southern California Keck School of Medicine

448 Text-message Reminders increase Patient attendance at Outpatient

Appointment Following ED Visits

Elizabeth Burner MD, MPH, University of Southern California

449 Estimation of the impact of Population Aging On us Emergency Department

Visits and Hospitalizations Through 2050

Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital

450 The influence of insurance Status On the Decision to Transfer Or Admit

Patients Presenting with Orthopedic injuries

Dana Kindermann, George Washington University Hospital

451 Discharges to nursing Homes Or Home with Additional Services is associated

with increased Readmissions Through the ED After An index Hospitalization

Peter Smulowitz MD, MPH, Beth Israel Deaconess Medical Center

452 Factors associated with Super users of Emergency Department

Resources Admitted to Acute care

Edward M. Castillo PhD, MPH, University of California, San Diego

May 14-18, 2013 | atlanta, GeorGia

63


453 use of Short assessment of Health literacy for Spanish Adults (SAHlSA-50)

to Determine the Health literacy Rate of the Spanish-speaking Population in

an urban Emergency Department

Sheetal Thaker MD, Baylor College of Medicine

454 Variation in Emergency Department Admission Rates at the Hospital level:

Role of Payer mix, Volume and case Mix.

Amber K. Sabbatini MD, MPH, Department of Emergency Medicine,

University of Michigan

455 Variation in national ED Admission Rates by clinical condition, 2009

Arjun K. Venkatesh MD, MBA, Yale University

456 A comparison of injury Severity and Resource utilization between

Motorcycle Trauma and gunshot Trauma

Sarah Fabiano MD, University of Rochester

457 Prevalence of undiagnosed Acute and non-Acute HiV

in a lower Prevalence urban Emergency Department

Phillip Moschella MD, PhD, University of Cincinnati

458 Discharge glucose levels and Amount of glucose Reduction Are not

associated with Short-term Adverse Outcomes in Discharged Patients with

Type 2 Diabetes with Severe Hyperglycemia

Brian E. Driver MD, Hennepin County Medical Center

459 Pediatric ED Observation Protocol care: A cost comparison

Julie S. Weber, Wayne State University School of Medicine

460 Emergency Department Hospitalization case Volume

and Mortality in the united States

Keith E. Kocher, University of Michigan

461 Describing the Mobile Health capacity of inner city latino Emergency

Department Patients: Are national Estimates Accurate?

Sanjay Arora MD, Keck School of Medicine of the University of

Southern California

462 The Rapid Rise in Opioid Prescribing in u.S. Emergency Departments:

A cause for concern

Jesse Pines MD, MBA, MSCE, George Washington University

463 Orthopedic Observation units Reduce Hospital Admissions

Amy Ernst MD, University of New Mexico

464 Pain Management in children with Multi-System Trauma

Michael Kim MD, University of Wisconsin School of Medicine and Public Health

465 The Association Between Parental language and 72-hour Revisits Following

Pediatric Emergency Department Discharge

Margaret E. Samuels-Kalow MD, MPhil, Children’s Hospital of Philadelphia

466 Return to School in Students After A Sport-related concussion:

the Role of the School nurse

Robert P. Olympia MD, Penn State Hershey Medical Center

467 Protocol-Directed Observation care in Existing

Pediatric Emergency Department Space

Allison D. Cator MD, PhD, University of Michigan

468 car Safety Seat usage in the State of Arizona and the

Adherence to the 2002 American Academy of Pediatrics guidelines

Allison Peasley MD, University of Arizona

469 Adult chest Pain in the Pediatric Emergency Department:

Treatment and Timeliness From Door to Departure

Jeffrey H. Sacks MD, Emory University School of Medicine

470 Broselow Tape: How Reliable is Weight Estimation in Hispanic children?

Muhammad Waseem MD, MS, Lincoln Medical & Mental Health Center

471 Survey of Parents’ attitudes and Beliefs of Over the counter cold/cough

Medications in the Pediatric Emergency Department

Urvi Thakker, Newark Beth Israel Medical Center

472 How Well can Adolescents assess their Own asthma Symptoms?

Tiffany Jan MD, the University of Chicago Medical Center

473 Emergency Department Presentation of the Pediatric Systemic

inflammatory Response Syndrome (SiRS)

Timothy Horeczko MD, MSCR, University of California, Davis Medical Center

474 Frequency of Teratogenic Drug Administration without Pregnancy Testing

Among Adolescent Emergency Department Patients

Monika Goyal MD, Children’s National Medical Center,

The George Washington University

475 Do Pediatric Patients with Psychiatric Symptoms need Screening

Tests to Rule Out Medical Etiology?

Reena Blanco MD, Emory University

64 Society for Academic Emergency Medicine

476 Parental attitudes towards the use of the Federal Exception From informed

consent (EFic) for Emergency Studies of Severe Traumatic Brain injuries

Nicholas J. Rademacher, University of Michigan

477 Knowledge and attitudes about Pediatric cardio-pulmonary Resuscitation

(p-cPR) among Parents Bringing their children to the Pediatric Emergency

Department (ED)

Lisa Moreno-Walton MD,

Louisiana State University Health Sciences Center-New Orleans

478 cost of Screening laboratory Tests for Medical clearance of Pediatric

Psychiatric Patients in the Emergency Department

J. Joelle Donofrio DO, Harbor UCLA Medical Center

479 External Validation and comparison of Three Popular clinical Dehydration

Scales in children

Joshua M. Jauregui MD, Brown University Department of Emergency Medicine

480 Rate of Adherence to cDc guidelines for Treatment of influenza in a Pediatric

Emergency Department

Hamid R. Alai, Department of Emergency Medicine, Johns Hopkins University

481 ill Appearing, not ill Appearing, Or not Sure?

Paul Walsh, University of California Davis

482 The growth of Fellowship Programs in Medical Simulation

Paul S. Jansson BA, Northwestern University Feinberg School of Medicine

483 Ability of Emergency Medicine Residents to Meet the Standard of care for

tPA During Small Team-based Simulation

Timothy Koboldt MD, Washington University in St. Louis School of Medicine

484 Physiology of Residents in Simulation Medicine

Dale Cotton MD, UC Davis Medical Center

485 Does a Physician Advanced Directive Survey Predict Bedside Response in

Simulated End of life Scenarios?

Christopher R. Carpenter MD, MSc, Washington University in St. Louis

486 Design and Validation of a Difficult Airway Training Model:

A Prospective Observational Trial

Joan Noelker MD, Washington University St Louis

487 Evaluation of A Simulation-Based curriculum for

Rotating Residents in the Emergency Department

David H. Salzman MD, Northwestern University

488 Simulation Emergency Department Thoracotomy:

A novel Simulation Teaching Model to Enhance Residency Training

Erinn Hama MD, Georgetown University and Washington Hospital Center

489 Effectiveness of an internal, computer-Based chest compression

Simulator on cPR Training: A longitudinal Study

Peter L. Griffin BS, Penn State University Hershey Medical Center

490 initiating and assessing a Team Training curriculum

for the Emergency Department

Ambrose H. Wong MD, NYU School of Medicine

Milestones in Training - Oral Presentations

Thursday, May 16, 12:00 - 1:00 pm in Atlanta B

Moderator: Christopher Ross MD, Cook County Hospital

491 How competent are Emergency Medicine interns for level 1 Milestones:

Who is Responsible?*

Laura Hopson MD, University of Michigan

492 inter-Rater Agreement of Emergency Medicine Milestone

Pc12 for goal-Directed Focused ultrasound is Excellent*

Stephen Leech, Orlando Regional Medical Center

493 Self-assessment and Feedback are Both important Factors in the Retention

and Execution of learning goals by EM Residents

Amish Aghera, Maimonides Medical Center

494 How Do Practicing EM attendings Self-evaluate On the EM Milestones?

Timothy C. Peck MD, Beth Israel Deaconess Medical Center

Patient communication - Oral Presentations

Thursday, May 16, 12:00 - 1:00 pm in Atlanta c & D

Moderator: Emilie Powell MD, MS, MBA, Northwestern University

495 Preferences for Resuscitation and intubation Among Patients with

Do-not-resuscitate/do-not-intubate Orders: A 1 year Follow up Study.*

John E. Jesus MD, Christiana Care Health Center

496 Does Anyone Know What We Are Talking About? A comparative Analysis of

Emergency Department Verbal communication and Patient Knowledge

Kirsten G. Engel, Northwestern University

497 Targeted Bedside Emergency Department HiV Screening

Does not impact length of Stay

Bradley Hernandez MD, Regions Hospital


498 Evaluation of competency for Physicians who Self Translate for limited

English Proficiency Patients in the Emergency Department

David T. Chiu, Beth Israel Deaconess Medical Center

geriatric Trauma - Oral Presentations

Thursday, May 16, 12:00 - 1:00 pm in Atlanta E & F

Moderator: Timothy F. Platts-Mills MD, University of North Carolina Chapel Hill

499 Derivation of A Decision Rule for Obtaining A Head cT in the Elderly Fall

Patient with Baseline Mental Status

Darin Agresti DO, St. Luke’s University Hospital and Health Network

500 Elderly Falls On level ground: A Descriptive Study

Khalief Hamden MD, St. Luke’s University Hospital and Health Network

501 Do Trauma Patients Age 55 and Older Benefit From Air Medical Transport?

Howard A. Werman MD, Ohio State University

502 cervical Spine injuries in Elderly Fall Patients Who Do not Meet

Trauma Alert criteria

Khalief Hamden MD, St. Luke’s University Hospital and Health Network

ischemic conditioning - Oral Presentations

Thursday, May 16, 12:00 - 1:00 pm in Atlanta g

Moderator: Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital

503 Fibroblast growth Factor Receptor Signaling in Endothelium Mediates

Post-ischemic Vascular Remodeling and Functional Recovery in an in Vivo,

closed-chest Model of Acute Myocardial infarction

Stacey L. House MD, PhD, Washington University in St. Louis

504 Opposite Effect of TnF Receptor 1 and Receptor 2 in Post-Mi Remodeling and

the underlying Mechanisms involved

Yajing Wang MD, PhD, Thomas Jefferson University Hospital

505 critical role of Sphingosine-1-Phosphate Receptor 2 in Blood Brain

Barrier Disruption, intracerebral Hemorrhage and neurovascular injury in

Experimental Stroke.

Teresa Sanchez, Beth Israel Deaconess Medical Center

506 long Term Adiponectin Administration Protects Against Myocardial

ischemia/Reperfusion injury in High-Fat Diet induced Diabetic Mice

Wayne Bond Lau MD, Thomas Jefferson University Hospital

Emergency Department Quality - lightning Oral Presentations

Thursday, May 16, 12:00 - 1:00 pm in Atlanta A

Moderator: Arjun K. Venkatesh MD, Yale University

507 There is no Difference in Bystander cPR Rates for Male Versus Female

9-1-1 callers

David E. Slattery, University of Nevada School of Medicine

508 implementation of checklists for central line associated Blood Stream

infection Prevention in the Emergency Department.*

Robert Klemisch AB, Washington University School of Medicine in St. Louis

509 Reducing Blood culture contamination in a community Hospital Emergency

Department with a Standardized Sterile collection Technique*

Wesley H. Self MD, MPH, Vanderbilt University Medical Center

510 Emergency Physician Perceptions of the Quality improvement and

Educational Value of a formal Peer Review committee

Martin Reznek MD, MBA, University of Massachusetts Medical School and

UMassMemorial Medical Center

511 Emergency Department Error characterization: Findings from 18 months of

formal Peer Review-based Error Analysis

Martin Reznek MD, MBA, University of Massachusetts Medical School and

UMassMemorial Medical Center

512 impact of A change in intensive care unit Admission Policy

On length of Stay and Morbidity.

Jonathan McCoy, RWJUH/RWJMS

undergrad Education - lightning Oral Presentations

Thursday, May 16, 12:00 - 1:00 pm in Roswell 1

Moderator: Lorraine Thibodeau MD, Albany Medical College

513 Directing Medical Students to a comprehensive Set of

chief complaints can Standardize their clinical Experience

Timothy Peck MD, Beth Israel Deaconess Medical Center

514 current State of undergraduate Education in Emergency Medicine

Sorabh ‘Khandelwal, Ohio State University

515 The national Emergency Medicine M4 Exam - an update

Corey Heitz, Virginia Tech Carilion School of Medicine

516 The Efficacy of Electronic Versus Paper Medical Student Evaluations

David T. Chiu, Beth Israel Deaconess Medical Center

517 Text Messaging Enhanced curriculum for Medical Student Emergency

Medicine clerkship

Marjorie L. White MD, MPPM, MEd, University of Alabama Birmingham

518 Medical Student Perception of Resident and Attending contributions to

Education during the EM clerkship

Brian Barbas, Cooper Medical School of Rowan University

Prehospital cPR - lightning Oral Presentations

Thursday, May 16, 12:00 - 1:00 pm in Roswell 2

Moderator: Jane Brice MD, University of North Carolina

519 Prehospital life Saving interventions in Patients with cardiac Arrest

in A combat Setting - A Prospective, Multicenter Study

Vikhyat S. Bebarta, San Antonio Military Medical Center;

US Army Institute of Surgical Research

520 concordance of Prehospital and Emergency Department cardiac Arrest

Resuscitation with Documented End-of-life choices in Oregon*

Derek K. Richardson, Oregon Health & Science University

521 Differences in Prognosis of Secondary Shockable Rhythms

in Out-of-Hospital cardiac Arrest

Andrew J. Thomas, Oregon Health & Science University

522 The impact of Pre-hospital non-invasive Positive Pressure Support

Ventilation in Adult Patients with Severe Respiratory Distress: A Systematic

Review and Meta-Analysis*

Sameer Mal MD, University of Western Ontario

523 improvements in Survival for Out-of-hospital cardiac Arrests

in Singapore Over 10 years

Hsuan Lai, Duke-NUS Graduate Medical School

524 gender and Survival in Out-of-hospital cardiac Arrest (OHcA) - Results From

the OPAlS (Ontario Prehospital Advanced life Support) Study*

Basmah Safdar MD, Yale University

Keynote Speaker - Thomas R. Frieden MD, MPH

- Plenary Presentations, Thursday, May 16, 2:00 - 3:00 pm

Plenary Presentations - Plenary Presentations

Thursday, May 16, 3:30 - 5:00 pm in Plaza Ballroom ABc

Moderator: David Cone MD, Yale University School of Medicine

1 nExuS chest: Validation of a Decision instrument for Selective chest

imaging in Blunt Trauma

Robert M. Rodriguez MD, UCSF/San Francisco General Hospital

2 intravenous cobinamide Versus Hydroxocobalamin for Acute Treatment of

Severe cyanide Poisoning in A Swine (Sus Scrofa) Model - a randomized,

controlled trial

Vikhyat S. Bebarta, San Antonio Military Medical Center

3 Anaphylaxis; clinical Features and Evidence for A Mast cell-leukocyte

cytokine cascade in Humans.

Simon G.A. Brown MBBS, PhD, FACEM, Western Australian Institute for Medical

Research, Royal Perth Hospital and the University of Western Australia

4 Accuracy of an ultra-low Dose cT Protocol for ED Patients with Suspected

Kidney Stone

Chris Moore MD, RDMS, Yale University School of Medicine

5 latino caregiver Experiences with asthma Health communications: A

Qualitative Evaluation

Antonio Riera MD, Yale University School of Medicine

6 Randomized Trial of Tenecteplase or Placebo with low Molecular Weight

Heparin for Acute Submassive Pulmonary Embolism: assessment of Patient-

Oriented cardiopulmonary Outcomes at Three Months

Jeffrey A. Kline MD, Indiana University School of Medicine

Voices from the Past informing the Future of

Academic Emergency Medicine

Thursday, May 16, 5:00 - 5:30 pm in Plaza Ballroom ABc

Moderator: Brian Zink MD, Alpert Medical School of Brown University

FRiDAy, May 17th, 2013

Pain Management - Oral Presentations

Friday, May 17, 8:00 - 9:00 am in Atlanta B

Moderator: Sergey M. Motov MD, Maimonides Medical Center

May 14-18, 2013 | atlanta, GeorGia

65


525 Transbuccal Fentanyl Provides More Rapid Pain improvement

Than Oral Oxycodone

Peyton Holder MD, University of Oklahoma Department of Emergency Medicine

526 Opioid Pain Reliever (OPR) Adminstration and Prescribing Pattern in An

urban ED for Patients Presenting with chronic Back Pain

Nate Egger MD, Wayne State University

527 Dental Pain in the ED, costs that Hurt Patients and EDs

Joseph S. Kim MD, University of Kentucky

528 Analgesia Prescriptions for ED Patients with low Back Pain:

A national Perspective*

Adam J. Singer MD, Stony Brook University

ultrasound - Oral Presentations

Friday, May 17, 8:00 - 10:00 am in Atlanta E & F

Moderator: David J. Blehar MD, University of Massachusetts Medical School

529 Evaluation of an ultrasound Observed Structured competency Exam (OScE)

Over the course of A Emergency Medicine Residency

Stephen Leech, Orlando Regional Medical Center

530 Bedside ultrasound in the Diagnosis of Subcutaneous Abscess Requiring

incision and Drainage.

Isaac J. Farrell, University of Arizona

531 Sonographic characteristics of MRSA Skin Abscesses

Romolo Gaspari MD, PhD, University of Massachusetts Medical School

532 The Diagnostic Accuracy of Bedside Echocardiography in the Emergency

Department Patient with Suspected Acute coronary Syndrome

Jordan Singleton MD, University of Arizona

533 Bedside ultrasound for the Detection of Dehydration in youth (Buddy Study)

Joshua M. Jauregui MD, Alpert Medical School of Brown University, Department

of Emergency Medicine

534 What Are the Baseline Measurements for Physeal Plate Widths in Healthy,

uninjured children?

Lorraine Ng MD, NYP Morgan Stanley Children’s Hospital of New York

535 The Diagnostic Accuracy of Bedside Ocular ultrasound in the Diagnosis of

Retinal Detachment: A Systematic Review and Meta-analysis.*

Hal J. Minnigan MD, Indiana University School of Medicine

Patient informed consent - Oral Presentations

Friday, May 17, 8:00 - 9:00 am in Atlanta g

Moderator: Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital

536 Perceptions of Risk and informed consent in the Emergency Department

James Ahn, University of Chicago

537 Are Well-informed Potential Trial Participants More likely to Participate?

Alexander T. Limkakeng, Duke University

538 The impact of Race and Sex of Study Personnel On the Decision to

Participate in Research*

Kimberly W. Hart, MA, University of Cincinnati

539 Which Parts of an informed consent Document Do Potential Trial Participants

consider important?

Alexander T. Limkakeng, Duke University

Academic Emergency Medicine - lightning Oral Presentations

Friday, May 17, 8:00 - 9:00 am in Atlanta A

Moderator: Susan Promes MD, University of California, San Francisco

540 Academic career interest in American Emergency Residents*

John Burkhardt, University of Michigan

541 Description and Productivity of Emergency Medicine Researchers Receiving

K23 Or K08 Mentored Research career Development Awards*

Daniel K. Nishijima, University of California, Davis

542 Quantifying Federal Funding and Scholarly Output Resulting From the

Academic Emergency Medicine consensus conferences

Daniel K. Nishijima, University of California, Davis

543 Faculty Prediction of in-training Examination Scores of

Emergency Medicine Residents

Amer Z. Aldeen MD, Northwestern University

544 Performance on cOMlEx-uSA Exams Predicts Performance

on EM Residency in-training Exams

Deborah L. Pierce DO, MS, Einstein Medical Center

545 correlation of the national Emergency Medicine clerkship Exam with uSMlE

Examination Performance

Luan Lawson MD, Brody School of Medicine at East Carolina University

66 Society for Academic Emergency Medicine

novel cardiovascular ideas - lightning Oral Presentations

Friday, May 17, 8:00 - 9:00 am in Atlanta c & D

Moderator: Chad E. Darling MD, UMass Medical School

546 cerebral Oximetry Monitoring During cPR is associated with Return of

Spontaneous circulation but not Survival in ED Patients in cardiac Arrest

Adam J. Singer MD, Stony Brook University

547 An Evaluation of Two Electronic control Devices using A Swine comparative

cardiac Safety Model

Donald M. Dawes MD, Lompoc Valley Medical Center

548 Pleth Variability index Does not Predict Fluid Responsiveness as Measured

By Pulmonary Artery cathether thermodilution.

Brandon C. Maughan MD, MHS, Department of Emergency Medicine, Alpert

Medical School of Brown University

549 Ecg Predictors of 30-Day cardiac Events After Syncope

Benjamin Sun, Oregon Health and Science University

550 A Prospective Study on Point-of-care Focused cardiac ultrasound in

assessing for Thoracic Aortic Dimensions, Dilation, and Aneurysm in

correlation with cT Angiogram in Suspected cases of Pathology

Faizan Arshad, Yale New Haven Hospital

551 A Prospective Observational Study of inter-observer Agreement for Pretest

Probability assessment of Deep Venous Thrombosis*

Krista Brucker MD, Northwestern University

injury Prevention - lightning Oral Presentations

Friday, May 17, 8:00 - 9:00 am in Roswell 1

Moderator: Megan Ranney MD, Alpert Medical School, Brown University

552 Outpatient Follow up and Management of ED Patients with

Elevated Blood Pressure

Brigitte M. Baumann MD, MSCE, Cooper Medical School of Rowan University

553 characterizing intimate Partner Violence Victims unwilling or

unable to Participate in a Follow-up intervention

Justin Schrager, Emory University School of Medicine

554 Safe Zones and Danger Zones: a geographic Study of Violence and

associated Resilience Factors in the urban Environment

Ward P. Myers, Boston University

555 One Dose of iV Antibiotics increases the Risk of Antibiotic associated

Diarrhea in Patients Discharged Home from the Emergency Department

John P. Haran MD, University of Massachusetts Medical School

556 can A Social network HiV Testing Program Expand HiV Testing Beyond the

usual Emergency Department Population?

Robbie E. Paulsen MD, University of Cincinnati

557 A Qualitative Study of client Perception of Effectiveness and impact of the

Boston Medical center Violence intervention Advocacy Program Peer Model

Salma Bibi MPH, Boston Medical Center

Emergency Department Discharge - lightning Oral Presentations

Friday, May 17, 8:00 - 9:00 am in Roswell 2

Moderator: Ziad Obermeyer MD, Brigham and Women’s Hospital/Harvard University

558 Short-Term Bounce-back Admissions Following Emergency Department

Discharge in Medicare Patients

Gelareh Z. Gabayan MD, MSHS, West Los Angeles VA and UCLA

559 Emergency Department crowding and 7-Day Bounceback Admissions

Following Discharge

Gelareh Z. Gabayan, West Los Angeles VA and UCLA

560 use of Teachback Discharge instructions Does not improve Patient

Satisfaction in the ED

Yonitte Kinsella MD, Washington University in Saint Louis

561 Evaluation of Patient understanding of ED Discharge instructions:

use of a Scale to assess Self Efficacy to carry Out Discharge instructions

Luke A. Stevens MA, Boston University School of Medicine

562 Verbal communication of Discharge instructions:

Where Are the Deficits greatest?

Kirsten G. Engel, Northwestern University

563 limitations of Teach-Back Method in the Emergency Department

Maureen E. Gross MD, Barnes Jewish Hospital/Washington University

Pain Management - Oral Presentations

Friday, May 17, 9:00 - 10:00 am in Atlanta B

Moderator: Sergey M. Motov MD, Maimonides Medical Center

564 Does Treatment for Pain influence Emergency Medicine Research Participation?

Alexander T. Limkakeng, Duke University


565 lack of Association Between Body Mass index and clinical Response to 1 mg

intravenous Hydromorphone

Shujun Xia MD, Albert Einstein College of Medicine

566 Randomized clinical Trial of the 2 mg Hydromorphone Bolus Protocol vs.

the “1+1” Hydromorphone Titration Protocol in Treatment of Acute,

Severe Pain in the First Hour of ED Presentation

Andrew E. Chertoff MD, Albert Einstein College of Medicine, Montefiore

Medical Center

567 low-dose Ketamine Versus Morphine for Acute Pain in the Emergency

Department - A Randomized, Prospective, Double-blinded Trial*

Joshua P. Miller MD, SAUSHEC

coronary Angiograph - Oral Presentations

Friday, May 17, 9:00 - 10:00 am in Atlanta c & D

Moderator: Judd Hollander MD, University of Pennsylvania

568 clear for A year: coronary cTA Follow-up for low-risk ED Patients in the

community Hospital Setting.

Aveh Bastani, Troy Beaumont Hospital

569 Risk Stratification of candidates for coronary ct Angiography using High

Sensitivity Troponin i.

Frederick K. Korley, Johns Hopkins

570 coronary cTA in Elderly ED Patients with low-to-intermediate Risk chest

Pain

Adam J. Singer MD, Stony Brook University

571 One year Outcomes of Patients Following coronary computerized

tomographic Angiography in the Emergency Department*

Judd E. Hollander, University of Pennsylvania

Frequent Emergency Department users - lightning Oral

Presentations

Friday, May 17, 9:00 - 10:00 am in Atlanta A

Moderator: Martin Reznek MD, MBA, FACEP, UMass Memorial Medical Center and

University of Massachusetts Medical School

572 comorbidity among Frequent Emergency Department users with a

Psychiatric associated Discharge Diagnosis

Jesse J. Brennan MA, University of California, San Diego

573 Asthma Exacerbations in Japan: Who Are the Frequent utilizers of the

Emergency Department?

Hiroko Watase MD, MPH, Japanese Emergency Medicine Research Alliance

574 Factors associated with Frequent users of california

Emergency Department Resources

James P. Killeen MD, University of California, San Diego

575 Frequent Emergency Department users: Examining Service Duplication

Across Hospital Systems

Bahareh Aslani MD, Henry ford Hospital

576 Reducing Frequent Attendance by chronic Kidney Disease Patients at the

Emergency Department.

Connie Boh, Duke-National University Singapore Graduate Medical School

577 impact of Social Services case Management on Homeless, Frequent users of

Emergency Departments

Theodore C. Chan MD, University of California, San Diego

neurology - lightning Oral Presentations

Friday, May 17, 9:00 - 10:00 am in Atlanta g

Moderator: Edward Jauch MD, MS,

Medical University of South Carolina College of Medicine

578 A Prospective cohort Study to Differentiate Traumatic Tap from True

Subarachnoid Hemorrhage

Jeffrey J. Perry, University of Ottawa

579 Quantitative EEg for identification of Brain Dysfunction in cT negative

Acute Stroke Patients

Edward A. Michelson MD, FACEP, University Hospitals Case Medical Center

580 Thymosin 4 in the Treatment of Acute Stroke: A Dose Response Study

Daniel C. Morris MD, Henry ford Health System

581 A Randomized controlled Trial of intravenous Ketorolac Versus intravenous

Metoclopramide + Diphenhydramine for Acute Treatment of non-migraine,

Bland Recurrent Headache*

Victoria Adewunmi MD, Albert Einstein College of Medicine

582 intramuscular Midazolam versus intravenous lorazepam for the Pre-Hospital

Treatment of Status Epilepticus in the Pediatric Population

Robert D. Welch, Wayne State University

583 use and importance of Emergency Medical Services in Rural Hospital

Delivery of Thrombolytics in Acute ischemic Stroke

Cemal B. Sozener MD, University of Michigan

Pediatric Decision tools - lightning Oral Presentations

Friday, May 17, 9:00 - 10:00 am in Roswell 1

Moderator: Michele Nypaver MD, University of Michigan

584 impact of An Evidence-based guideline On Rates of

Diagnostic Testing for Pediatric Syncope*

Megan OBrien, Boston University School of Medicine

585 Emergency Department Variation in Head computed

Tomography Scanning Among Pediatric Patients with Head Trauma*

Jennifer R. Marin MD, MSc, University of Pittsburgh School of Medicine

586 Performance of Plain Pelvis Radiography in children with Blunt torso Trauma*

James Holmes, University of California -Davis

587 External Validation of the PEcARn Head injury criteria for Verbal (Age 2-18)

children in a community Hospital Setting

Aveh Bastani, Troy Beaumont Hospital

geriatrics - lightning Oral Presentations

Friday, May 17, 9:00 - 10:00 am in Roswell 2

Moderator: James Miner MD, Hennepin County Medical Center

588 A Rapid assessment to Predict ED Revisits, Hospital Admissions or

Death at 30 days Following ED Discharge in Older individuals*

James D. Dziura PhD, Yale School of Medicine

589 Trends in Short Stay Hospitalizations for Older Adults from 1990-2010,

implications for geriatric Emergency care*

Peter W. Greenwald MD, MS, Weill Cornell Medical College

590 is it the Volume Or the Hospital? A national look at

ED Admission Rates for geriatric Patients

Scott M. Dresden, Northwestern University Feinberg School of Medicine

591 Emergency Department geriatric Visits Are not increasing Faster Than

increases in total Visits

Michael E. Silverman, Morristown Medical Center

592 geographic Variation in Emergency Department use by

Older Adults in north carolina

Timothy F. Platts-Mills, University of North Carolina Chapel Hill

593 gEDi WiSE: the Quality of care Transitions for Older Adults Discharged

from the ED to Home

Corita R. Grudzen MD, MSHS, Mount Sinai School of Medicine

Posters 3- Poster Presentations- Posters will be attended by authors

from 10:00 am – 12:00 pm

Friday, May 17, 8:00 am - 12:00 pm in 200 gallery -level 6

155 identification of Sphingosine-1-Phosphate Receptor 2 as A critical Modulator

of Vascular inflammation During Endotoxemia

Teresa Sanchez, Beth Israel Deaconess Medical Center

236 EMS Accuracy for Stroke identification: Seizures lead to Overdiagnosis

Ethan Brandler, SUNY Downstate University Hospital of Brooklyn

594 low Acuity Heart Failure Patients That Bypass

the ED Observation unit - Room for improvement?

Matthew Wheatley, Emory University School of Medicine

595 Risk Estimates for the canadian cT Head Rule

in Patients with Minor Head injury

Edward R. Melnick MD, Yale School of Medicine

596 Examining clinical Decision Support integrity:

is clinician Self-Reported Data Entry Accurate?

Anurag Gupta MD, MBA, Brigham and Women’s Hospital

597 Derivation and Validation of a clinical Prediction Rule for Symptomatic

ureteral Stone: the “S.T.O.n.E. Score”

Chris Moore MD, RDMS, Yale University School of Medicine

598 Systemic Antibiotics after incision and Drainage of Simple Abscesses:

A Meta-Analysis

Adam J. Singer MD, Stony Brook University

599 What is the Acceptability of using Text Messaging communication

for notification of normal and Abnormal laboratory Results Amongst

Emergency Department Patients?

Adrienne Hughes, Baylor College of Medicine

600 A Translational Study: Emergency Department Administrators’ interest in the

Adoption of an unstaffed computer Kiosk for Health Screening and Education

Katie E. Dean MD, Emory

May 14-18, 2013 | atlanta, GeorGia

67


601 Medication Adherence Emerges as A Strong Target for Mhealth interventions

in Qualitative Analysis of Text-med (Trial to Examine Text-based Mhealth for

Emergency Department Patients with Diabetes)

Elizabeth Burner MD, MPH, University of Southern California

602 How Do ED Patients compare to the general Population in their use of

information Technology

Lori Post, Yale University School of Medicine

603 limiting Acute lung injury in the Emergency Department

Brian Fuller MD, Washington University in St. Louis School of Medicine

604 The Efficacy and use of Bolus-Dose Phenylephrine for Peri-intubation

Hypotension in the Emergency Department.

Jarrod M. Mosier, University of Arizona

605 How Does Performing Bedside ultrasound impact utilization of ct Scans in

critically ill Patients with undifferentiated Hypotension?

Hamid Shokoohi, George Washington University

606 Body Mass index is associated with inappropriate Tidal Volume Settings in

Adult Patients intubated in the ED

Shannon Graf MD, MedStar Washington Hospital Center

607 Physiologic instability in the Emergency Department Predicts clinical

Deterioration

Daniel J. Henning MD, Beth Israel Deaconess Medical Center

608 Palliative care Screening for icu Admissions

Cheryl Courage, Wayne State University

609 gender Specific Differences in the Prevalence and Emergency Department

Management of Anaphylaxis: A Multicenter Study

Jonathan Bastian MD, University of Calgary

610 cT imaging of Pediatric chest Deformation during Simulated cPR

George Glass, University of Virginia

611 The use of An ultrasonic cardiac Output Monitoring (uScOM) Device

in Addition to cardiac ultrasound in Patients undergoing Treatment for

undifferentiated Shock

Johanna C. Moore MD, Hennepin County Medical Center

612 intravenous Thiamine increases Oxygen consumption in critically ill Patients

Katherine Berg MD, Beth Israel Deaconess Medical Center

613 Do Do-not-Resuscitate (DnR) Orders Affect Treatment and interventions

Performed By Emergency Physicians?

Danielle Hollingworth, Orlando Health

614 Prehospital intubation Duration Does not increase Risk for Early Ventilatorassociated

Pneumonia in Trauma Patients

Nicholas M. Mohr, University of Iowa Carver College of Medicine

615 A Survey investigation of Knowledge and confidence in the Performance of

Pediatric cardiopulmonary Resuscitation Among Parents of Patients in A

Middle Eastern Hospital

Lisa Moreno-Walton MD,

Louisiana State University Health Sciences Center-New Orleans

616 EcMO as Rescue Strategy for Refractory cardiac Arrest and Profound Shock.

David F. Gaieski, University of Pennsylvania School of Medicine

617 lactate clearance is not Prognostic in cardiac Arrest Patients

David A. Pearson MD, Carolinas Medical Center

618 Modified Shock index but not cross Product Predictive

of Outcomes after cardiac Arrest

David F. Gaieski, University of Pennsylvania School of Medicine

619 Measurement of Retinal Venous Oxygen Saturation During Progressive

Hypoxia in Swine in vivo using the Blue-green Minima Technique

Lawrence A. DeLuca, University of Arizona

620 comparison of the normal Saline and Heparinized Solutions for Maintenance

of Arterial catheter Pressure-wave.

Yuri Ishii, Tokyo Medical University Hospital

621 initial Prospective Analysis of therapeutic Hypothermia for inpatient

Survivors of Sudden cardiac Arrest in comparison to Historical controls

Kenneth Will MD, Cook County (Stroger) Hospital

622 Practical Skill Retention in Medical Students: improving cardiopulmonary

Resuscitation with Hands-On Practice

Alexander M. Dabrowiecki BS, St. George’s University

623 lack of Agreement Between Swan-ganz continuous cardiac Output and

FloTrac Vigileo cardiac Output in a Swine Model of Septic Shock

Lawrence A. DeLuca, University of Arizona

624 Factors associated with Delayed cooling in cardiac Arrest Patients

David A. Pearson MD, Carolinas Medical Center

68 Society for Academic Emergency Medicine

625 Time to Epinephrine and Survival Following in-Hospital cardiac Arrest

Michael Donnino, Beth Israel Deaconess Medical Center

626 Patient Perceived “Acceptable Risk” of chest computed tomography in

Trauma and Pregnancy

Eric C. Silverman MD, Cooper Medical School of Rowan University

627 How Many ultrasound Examinations Are necessary to gain Proficiency in

Accurately identifying the nerves of the forearm?

Anthony De Lucia DO, University of South Florida

628 Determination of a Body Mass index upper limit in Adults for the Diagnosis

of Acute Appendicitis using a High Frequency linear ultrasound Transducer

Craig Sisson MD, RDMS,

University of Texas Health Science Center San Antonio

629 Severity of DKA is associated with length of Stay for low-income, Resource

Poor Patients

Elizabeth Burner MD, MPH, University of Southern California

630 Does cT Scan Affect Diagnosis and Management of Patients with Suspected

Renal colic?

Michael D. Zwank, Regions Hospital

631 Retrospective Validation of High yield criteria for Obtaining chest x-ray in

non-traumatic chest Pain

Karl Weller DO, St. Luke’s University Hospital

632 Reduction in Abdominal computed tomography use in Adult Trauma Patients

as use of the Focused assessment with Sonography in Trauma increases

Alexander Y. Sheng MD, Massachusetts General Hospital

633 Bedside ultrasonography as an Adjunct to Routine Workup to Evaluate for

Possible Acute Appendicitis in the Emergency Department

Samuel H. F. Lam, Advocate Christ Medical Center

634 Does the Finding of gestational Sac On Point of care ultrasound Decrease

the Risk of Ectopic Pregnancy?

Brooke Hensley MD, UCSF

635 History and Physical Exam plus laboratory Testing and ultrasonography for

the Diagnosis of urolithiasis: An Evidence-Based Review

Richard Sinert DO, Downstate Medical Center

636 Bedside Echocardiography in cardiac Arrest, Predicting Return of

Spontaneous circulation: A Systematic Review and Meta-Analysis.

Nicolaus Hawbaker MD, University of Arizona

637 Factors interfered with the Accuracy of noninvasive and Portable total

Hemoglobin Monitoring Device in Emergency Department Subjects

Chien-Hsiung Huang MD, Chang Gung Memorial Hospital

638 A comparison of “Hockey Stick” and conventional linear Array Transducers

in the Detection of foreign Bodies

Daniel Jafari MD, MPH, University of Pennsylvania

639 correlation of Resident Training level with identification of Soft Tissue

foreign Bodies

David J. Thomas, East Carolina University

640 ultrasound Measurement of Renal Resistive index: A comparison of

Emergency Physicians Versus Registered Sonographers

Christina M. Millhouse MD, UC Davis Health System

641 A comparison of Three Different Approaches for ultrasound guided central

Venous cannulation of the Right internal Jugular Vein

Amy Heard MD, Stony Brook University

642 A lack of Data Supporting contrast-induced nephropathy Following cT:

A Meta-Analysis

Ryan D. Aycock, Staten Island University Hospital

643 utility of ultra-low Dose cT Scans to Detect ureteric Stones in the

Emergency Department

Brian O’Neil MD, Wayne State University School of Medicine

644 Preliminary Analysis of Factors Related to ct use in Evaluation of cervical

Spine Trauma in low to Moderate Risk Patients

Steven Katz, Barnes-Jewish/Washington University in St. Louis

645 Effect of Educational intervention on ED Physician Ability to Perform a

Rapid, Bedside ultrasound assessment in late Pregnancy

Sachita Shah, University of Washington School of Medicine

646 Analysis of lawsuits involving Emergency Physician Performed

Point-of-care ultrasound

Lori A. Stolz MD, University of Arizona

647 image Quality Evaluation of a Pocket-Sized ultrasound Machine for the

FAST Examination

Brian Euerle, University of Maryland School of Medicine

648 Bedside ultrasonography in the Diagnosis of Symptomatic nephrolithiasis

Matthew Kostura MD, University of Arizona


649 ultrasound-guided Peripheral iV Access:

A Systematic Review and Meta-analysis

Lori A. Stolz, University of Arizona

650 Earthquake-Related injuries in the Pediatric Population: A Systematic

Review

Gabrielle A. Jacquet MD, MPH, Johns Hopkins University School of Medicine

651 computer versus Paper-based Hospital Triage in a Mass casualty Event

Eric C. Cioe MD, State University of New York Downstate Medical Center

652 Analysis of Twitter users’ Sharing of official new york city Preparedness

Messages During the Sandy Storm

Nicholas Genes, Mount Sinai School of Medicine

653 child in Hand - A Hazard identification, Vulnerability, and Disaster

Preparedness Analysis of Orphanages and Schools in Haiti

Srihari Cattamanchi MD,

Beth Israel Deaconess Medical Center / Harvard Medical School

654 Effect of EMS Airway Selection on neurologic Status of Survivors

After Out of Hospital cardiac Arrest

Jason McMullan, University of Cincinnati

655 impact of Viewing an ultra-Brief chest compression Only

cPR Video on lay Bystander cPR Performance in a Shopping Mall

Omar Meziab, University of Arizona College of Medicine

656 Published Research is inadequate for the Development of guidelines for

the Basic life Support Management of Airway Obstruction in Adults:

Results of a Systematic Review

Richard N. Bradley, The University of Texas Health Science Center at Houston

657 Association between Prevalence of Diabetes and incidence of Out-of-Hospital

cardiac Arrest According to Age group: a nationwide case-control Study

Sang Do Shin MD, Seoul National University College of Medicine

658 Strategic Placement of Automated External Defibrillators using A

community-Based Participatory Research Approach

Comilla Sasson MD, MS, University of Colorado Denver School of Medicine

659 Probability of Return of Spontaneous- circulation as a Function of Timing of

Vasopressor Administration in Out-of-Hospital cardiac Arrest

William P. Bozeman, Wake forest University

660 A Validation of the Association Between A Quantitative cT Scan Measure of

cerebral Edema and Outcomes Post cardiac Arrest

Cristal Cristia MD, Beth Israel Deaconess Medical Center

661 Prehospital End Tidal carbon Dioxide levels Are More Accurate in Predicting

in-hospital Mortality than Traditional Vital Signs

Christopher L. Hunter MD, PhD, Orlando Regional Medical Center

662 Abnormal Prehospital End Tidal carbon Dioxide levels Are associated with

a Diagnosis of an Acute ST-segment Elevation Myocardial infarct in the

Emergency Department

Christopher L. Hunter MD, PhD, Orlando Regional Medical Center

663 Do the 2011 Revisions to the Field Triage guidelines improve under- and

Over-Triage Rates for Pediatric Trauma Patients?

E. Brooke Lerner PhD, Medical College of Wisconsin Affiliated Hospitals

664 Distributive Education can Be used to Train Basic Emts to Treat Opioid

Overdose with intranasal naloxone

Michael W. Dailey MD, Albany Medical Center

665 compliance and Opportunity in the use of a Prehospital continuous Positive

Airway Pressure Protocol in Acute Decompensated Heart Failure

Chad M. Kovala DO, St. John Hospital & Medical Center

666 assessing Prehospital Airway Management using the Florida EMS Tracking

and Reporting System (EMSTARS)

Salvatore Silvestri, Orlando Regional Medical Center

667 Paramedic Time to Endotracheal Tube Placement using a Video laryngoscope

Joshua G. Salzman MA, Regions Hospital

668 Factors associated with Positive catheterization Among Patients who

Present to the Emergency Department with Prehospital ST-Elevation

Myocardial infarction notification

Ke Zheng MD, New York Hospital Queens

669 The Effects of Statewide Protocols On Helicopter

EMS utilization in Maryland

Asa M. Margolis DO, MPH, MS, Johns Hopkins

670 Patients with confirmed Myocardial infarctions are Frequently undertriaged

as non-Emergent by Medical Priority Dispatch System

Amy Cutright, East Carolina University

671 Factors associated with Delay to Out-of-hospital Ecg in Patients with

Symptoms Suggestive of AcS

Alison L. Sullivan MD, Baystate Medical Center

672 Patient Recidivism in EMS: the los Angeles Experience

Stephen Sanko MD, LAC-USC Medical Center, Los Angeles Fire Department

673 Ambulance Paramedics in a Metropolitan Australian Ambulance Service

frequently misdiagnose anaphylaxis

Craig Ellis, West Australian Institute for Medical Research

674 A Prospective, Observational cohort Study of a Prehospital Protocol

for Fluid Resuscitation of Trauma Patients: compliance and Outcomes

Samuel J. Prater MD, University of Texas Medical School @ Houston,

Department of Emergency Medicine

675 Markers of Acidosis and Stress in a Sprint Versus a

conducted Electrical Weapon

Donald M. Dawes, Lompoc Valley Medical Center

677 Patient Survey of the Rationale of using EMS Services vs. Alternate

Transportation for Medical Emergencies

Viral Patel MD, ME., St. Luke’s - Roosevelt Hospital Center

678 Factors associated with in-Hospital Mortality Among Patients who

Present to the Emergency Department with Prehospital Hypotension

Shih-Chin Chou MD, New York Hospital Queens

679 impact of attitudes and understanding of Reporting Requirements on latino

immigrants’ Presentations to Emergency Department in Texas and california

Robert A. Weston MD, University Medical Center at Brackenridge

680 is there Agreement Between Emergency Physicians’ and Patients’

interpretation of A Do not Resuscitate Order?

Danielle Hollingworth, Orlando Health

681 Adequacy of non-contrast ct in the Evaluation of Abdominal Pain in Older Adults

Mary C. Bhalla, Summa Akron City Hospital

682 A Survey to Define the Minimally Essential attributes of the geriatric

Emergency Department

Christopher R. Carpenter MD, MSc, Washington University in St. Louis

683 Performance of an Emergency care Telemedicine Program for Older Adults

Manish N. Shah, University of Rochester

684 characteristics of Patients with Diabetic Ketoacidosis and concurrent

infections at a large urban county Teaching Hospital

Sophie Terp MD, MPH, Department of Emergency Medicine, University of

Southern California Keck School of Medicine, Los Angeles, CA

685 can Physicians Predict Wound infections?

James Quinn MD, MS, Stanford University

686 Rapid universal Opt-out HiV Screening in Adolescents and

Adults of All Ages in An urban level i Trauma center Emergency Department

James T. Scribner MD, John Peter Smith Health Network

687 lipoproteins inhibit HMgB1 Release and cytokine Activities.

Haichao Wang, North Shore University Hospital

688 Diagnostic characteristics of a clinical Screening tool in combination with

POcT lactates in ED Patients with Suspected Sepsis

Adam J. Singer MD, Stony Brook University

689 chief complaints of Patients Testing Positive in a universal HiV

Screening Program

Michael Sanders, Orlando regional medical center

690 Mandatory Human immunodeficiency Virus Testing in the Emergency

Department: An Evaluation of Statewide Testing in new york State

Since the 2010 legislation Making it law

Daniel J. Egan MD, St. Luke’s Roosevelt Hospital Center

691 increased Endotoxin Activity is associated with clinical Deterioration in

Moderate Severity Emergency Department Sepsis Patients: A pilot study

Ryan Arnold MD, Cooper University Hospital

692 Synthesis of Recombinant Proteins to Facilitate Development of a novel

Staphylococcus aureus Diagnostic Test

Tichaendepi Mundangepfupfu, Lincoln Medical and Mental Health Center

693 Defining the impact of Delayed Antibiotic Administration using a

comprehensive Electronic Health Record screen to identify Severe Sepsis

Ryan Arnold MD, Cooper University Hospital

694 incidence of Emergency Department Visits Due to Pneumonia in the united

States, 2006-2009: Findings from the nationwide Emergency Department

Sample (nEDS)

Wesley H. Self MD, MPH, Vanderbilt University Medical Center

695 Demographic and Treatment Patterns for infections in Ambulatory Settings

in the united States, 2009

Larissa May MD, George Washington University

May 14-18, 2013 | atlanta, GeorGia

69


696 The Evaluation of Febrile infants less Than One year of Age between

Emergency Medicine Physicians and Pediatric Emergency Medicine Physicians

Antonio Muniz MD, Dallas Regional Medical Center

697 A Fungus Among uS: Patients Presenting to the Emergency Department

After Exposure to Fungus-contaminated Epidural Steroid injections

Janet S. Young MD, Carilion Clinic

698 Antigen-Specific influenza Antibody Responses in Acute Respiratory Tract

infections and it’s Relation to influenza infection and Disease course

John P. Haran, University of Massachusetts Medical School

699 Blood culture use and Appropriateness in uS EDs, 2002-2010

Leah S. Honigman, Beth Israel Deaconess Medical Center

700 Are High Risk Patients More likely to Say yes to An Human

immunodeficiency Virus Test? An Evaluation of Emergency Department

Patients in a Rapid Testing Program

Rishi Vohra MD, St. Luke’s- Roosevelt

701 clinical and laboratory Findings to Differentiate Herpes Simplex from

Enteroviral Meningitis

Layli Sanaee MD, University of Ottawa

702 Factors associated with Patients Declining Kiosk-Facilitated HiV Self-Testing

in the Emergency Department

Kaylin Beck BA, Johns Hopkins University School of Medicine

703 Surgical and Antimicrobial Treatment of Skin infections in the Age of cA-MRSA

Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital

704 loading Doses of Vancomycin in the Emergency Department: is it Safe?

Jamie Rosini, Christiana Care

705 utilizing An Electronic Algorithm and notification System to improve ED

Treatment of Health care-associated Pneumonia in Patients with Severe

Sepsis Or Septic Shock

Adrian Garofoli MD, Mayo Clinic

706 challenges to Preventing new HiV infections in a High-Risk urban Population

Daniel Egan, St. Luke’s-Roosevelt

707 Viral Respiratory Detections in children and Adults with communityacquired

Pneumonia compared with asymptomatic controls: Evaluating the

Role of Viral Pathogens in Pneumonia

Wesley H. Self MD, MPH, Vanderbilt University Medical Center

708 Trends in Emergency Department Abscess care

Melanie K. Prusakowski MD, Carilion Clinic

709 Organ Dysfunction in Survivors of Septic Shock Treated with Early

Quantitative Resuscitation

Sarah A. Sterling, University of Mississippi Medical Center

710 loading Vancomycin in the Emergency Department: A Prospective Study of

initial Vancomycin Dosing

Brian Levine, Christiana Care

711 A consensus-Based gold Standard for Who needs a Trauma center

Brian Willenbring BA, NREMT-B, Medical College of Wisconsin Affiliated Hospitals

712 comparison of a clinical Decision Rule Versus usual care to Risk Stratify

children for intra-abdominal injury after Blunt Abdominal Trauma: A cost-

Effectiveness Analysis

Daniel K. Nishijima, University of California, Davis

713 Does increased cT Scan usage improve Mortality for Patients with Blunt Trauma?

Juliana Wilson DO, the State University of New York at Buffalo

714 is the Accuracy of FAST interpretation by Emergency Medicine Residents

consistent Across Trauma Team Activation levels?

Joshua Parker, Scott and White Memorial Hospital

715 Efficacy and Safety of Eight centimeter catheters for needle chest

Decompression - A Radiographic Analysis

Samuel J. Chang MD, Carolinas Medical Center

716 The Role of necroptosis in Burn injury Progression in a Rat comb Burn Model

Avanish S. Reddy BS, Stony Brook University

717 using the Alcohol, Smoking and Substance involvement Screening Test

(ASSiST) to Determine the Prevalence of Substance Abuse in the Rhode

island Trauma Population

Ralph Rogers, Warren Alpert Medical School of Brown University

Electronic Medical Records - Oral Presentations

Friday, May 17, 1:00 - 2:00 pm in Atlanta B

Moderator: John P. Marshall MD, Maimonides Medical Center

718 An Estimate of inaccurate Physician Documentation using Electronic Medical

Records in the Emergency Department

Jonathan W. Heidt MD, Washington University School of Medicine in Saint Louis

70 Society for Academic Emergency Medicine

719 Patient Perceptions of Electronic Medical Record Data Entry Methods

Peyton Holder MD, University of Oklahoma Department of Emergency Medicine

720 An EHR-integrated Mobile App Quantitatively improves Emergency Medicine

Resident niH Stroke Scale Documentation

James R. Foster II MD, Department of Emergency Medicine, Beth Israel

Deaconess Medical Center, and Harvard Medical School

721 Effect of a computerized Decision Support System on Time to Antibiotic

initiation for Severe Sepsis

Brandan Crum MD, University of California Davis Medical Center

cardiovascular Basic Sciences - Oral Presentations

Friday, May 17, 1:00 - 2:00 pm in Atlanta c & D

Moderator: Michelle Biros MS, MD, University of Minnesota

722 A Soluble guanylate cyclase Stimulator, Bay 41-8543, Preserves Pulmonary

Artery Endothelial Function in Experimental Pulmonary Embolism*

John A. Watts PhD, Carolinas Medical Center

723 co-targeting of Thrombomodulin and EPcR to the Pulmonary Endothelium is

Protective in A Mouse Model of Sepsis-induced Acute lung injury

Colin F. Greineder MD, PhD, University of Pennsylvania

724 A novel Esophageal Device Successfully induces and Maintains therapeutic

Hypothermia in a large Animal Model

Erik Kulstad, Advocate Christ Medical Center

725 Activation of Sphingosine-1-Phosphate Receptor 1 Provides

neuroprotection after ischemic Brain injury in a Brain Derived

neurotrophic Factor (BDnF)-Dependent Way

Teresa Sanchez, PhD, Beth Israel Deaconess Medical Center,

Harvard Medical School

geriatrics - lightning Oral Presentations

Friday, May 17, 1:00 - 2:00 pm in Atlanta A

Moderator: Kevin Baumlin MD, Mt. Sinai School of Medicine

726 Focusing on inattention: A Very Brief Method to Detect Delirium in the

Emergency Department*

Jin H. Han MD, MSc, Vanderbilt University

727 Adoption of new Media by ED geriatric Patients

Lori A. Post, Yale University School of Medicine

728 A Qualitative Exploration of Emergency Department Revisits by Older Adults

Stacy Salerno, University of Rochester School of Medicine and Dentistry

729 Screening for Frailty in Older community-Dwelling Patients: How Well Do

Patient and care giver Agree on Deficits?

Adam Frisch MD, University of Pittsburgh

730 gEDi WiSE: improvement in Patient Satisfaction After implementation of a

geriatric Emergency Department

Nicholas Genes, Mount Sinai School of Medicine

731 Developing and Validating the ED gRAy(geriatric Readmission assessment

at yale)

Lori A. Post, Yale University School of Medicine

Health Services Research - lightning Oral Presentations

Friday, May 17, 1:00 - 2:00 pm in Atlanta E & F

Moderator: Jesse M. Pines MD, George Washington University

732 A Prospective, Randomized Evaluation of Facilitated Primary care Follow up

After ED utilization*

Michael Bouton, Beth Israel Deaconess

733 A Study to Evaluate Emergency Provider Efficiency and cognitive load using

Different Methods of computerized Physician Medication Order Entry*

Dipti Agarwal MBBS, Mayo Clinic

734 Evaluating the Association Between Primary care Provider Availability

and ED Visits and Hospitalizations for Ambulatory care Sensitive

conditions in california

Sophie Terp MD, MPH, Department of Emergency Medicine, University of

Southern California Keck School of Medicine

735 Reducing Racial Disparities in Access to care: Health care utilization Trends

in the Era of the children’s Health insurance Program

Adrianne Haggins MD, MS, University of Michigan

736 Does the “invisible Hand” Optimally Regionalize Acute care Providers?

Ari B. Friedman, University of Pennsylvania

737 can a Mobile Health intervention (TExT-MED) Reduce Emergency

Department utilization and Hospital Admissions in Patients with Diabetes?

Sanjay Arora, Keck School of Medicine of the University of Southern California


Video laryngoscopy - lightning Oral Presentations

Friday, May 17, 1:00 - 2:00 pm in Atlanta g

Moderator: Ron Walls MD, Brigham & Womens Hospital/Harvard Medical School

738 Video laryngoscopy Reduces the Rate of Esophageal intubations Performed

by Emergency Medicine Residents compared to Direct laryngoscopy

Parisa P. Javedani MD, University of Arizona

739 Success of intubation by novice intubators using Direct laryngoscopy, Video

laryngoscopy (glideScope), and Supraglottic Airway laryngopharyngeal

Tube (S.A.l.T)

Kimberly Leeson MD, CHRISTUS Spohn Texas A&M University Emergency

Medicine Residency

740 Timeliness of Simulated Endotracheal intubation by Emergency Medicine

Residents: A comparison of Direct and Video laryngoscopy

Erik M. Angles MD, Maine Medical Center

741 Do Emergency Medicine Residents Receive Appropriate Video

laryngoscopy Training? A Survey to compare the utilization of Video

laryngoscopy Devices in Emergency Medicine Residency Programs and

community Emergency Departments

Anand Swaminathan, NYU/Bellevue

742 Effect of Blood on First Pass Success Rate of Videolaryngoscopes

used in Emergent intubations

John C. Sakles MD, University of Arizona

743 Video laryngoscopy improves First attempt Success and

Quality of laryngoscopic View compared to Direct laryngoscopy

in a Medical intensive care unit

Jarrod M. Mosier, University of Arizona

Pediatric Trauma - lightning Oral Presentations

Friday, May 17, 1:00 - 2:00 pm in Roswell 1

Moderator: Rakesh Mistry MD, University of Pennsylvania School of Medicine

744 Oral contrast in the Evaluation of intra-Abdominal injuries

in children with Blunt torso Trauma

Angela M. Ellison, University of Pennsylvania

745 importance and Performance of the Abdominal Examination to identify

children with Abdominal injuries

Kathleen M. Adelgais MD, MPH, University of Colorado

746 Pediatric Prehospital lifesaving interventions in A combat Setting -

A Prospective, Multicenter Study

Vikhyat S. Bebarta, San Antonio Military Medical Center; US Army Institute of

Surgical Research

747 Progesterone for children with Serious Traumatic Brain injury (TBi):

A Feasibility Study in the Pediatric Emergency care Applied Research

network (PEcARn)*

Rachel Stanley, University of Michigan

new ideas in Education - lightning Oral Presentations

Friday, May 17, 1:00 - 2:00 pm in Roswell 2

Moderator: Kevin Rodgers MD, Indiana University

748 Evaluation of Differences in care Provided During A novel, thematically

Paired Simulation assessment Between Adult and Pediatric Populations

Yuemi An-Grogan MD, Northwestern University

749 Development and Evaluation of a Multidisciplinary Simulation-based crisis

Resource Management curriculum to improve non-technical Skills in Trauma

Resuscitations

Benjamin S. Bassin MD, University of Michigan

750 The Effects of Expressive Writing on Medical Student Anxiety and Performance

Anne K. Merritt MD, Yale University School of Medicine

751 Predictive Value of a Multiple Mini interview (MMi) for Pgy-1 Performance in

Emergency Medicine.

Laura R. Hopson MD, University of Michigan

752 Deliberate Practice for the Development of Expert Performance in Basic

cardiopulmonary Resuscitation

David Scordino MD, Johns Hopkins University School of Medicine

information Technology - Oral Presentations

Friday, May 17, 2:00 - 3:00 pm in Atlanta B

Moderator: D. M. Courtney MD, Northwestern University

754 Health Evaluation and Referral assistant (HERA): improving linkage with

Tobacco Treatment

Edwin D. Boudreaux PhD, the University of Massachusetts Medical School*

755 Effect of computerized Physician Order Entry (cPOE) on Emergency

Department Throughtput Metrics and Test utilization*

Michael Manka MD, SUNY at Buffalo School of Medicine,

Erie County Medical Center

756 The Effect of clinical Decision Support on Physician Adherence to Evidence-

Based guidelines for use of cT Pulmonary Angiography in Patients with

Suspected Pulmonary Embolism in the ED

Anurag Gupta MD, MBA,

Brigham and Women’s Hospital, Harvard Medical School

757 Automated Outcome classification of Emergency Department

cT imaging Reports

Kabir Yadav MDCM, MS, the George Washington University

Markers and Treatment of Sepsis - Oral Presentations

Friday, May 17, 2:00 - 3:00 pm in Atlanta c & D

Moderator: Donald M. Yealy MD,

University of Pittsburgh / University of Pittsburgh Physicians

758 Randomized controlled Trial of Safety and Efficacy of l-carnitine infusion for

the Treatment of Vasopressor Dependant Septic Shock*

Michael A. Puskarich, University of Mississippi Medical Center

759 Tanshinone iiA Sodium Sulfonate inhibits HMgB1-induced chemokine

Release and Protects against lethal Endotoxemia.

Haichao Wang, North Shore University Hospital

760 Single nucleotide Polymorphisms (SnPS) in Emergency Department Patients

with Repeated Admissions for Sepsis

Michael Koury, University of Mississippi Medical Center

761 Performance of Procalcitonin as a Marker of Septic Shock in Adults with

community- Acquired Pneumonia

Wesley H. Self MD, MPH, Vanderbilt University Medical Center

Emergency Medical Services - Oral Presentations

Friday, May 17, 2:00 - 3:00 pm in Atlanta E & F

Moderator: Theodore R. Delbridge MD, East Carolina University

762 Barriers to calling 9-1-1 in High-Risk neighborhoods with Primarily latinos in

Denver, colorado*

Comilla Sasson MD, MS, University of Colorado Denver

763 Association Between Emergency Department Operation characteristics,

length of Stay, and Elopements by change in ED Volumes*

Daniel Handel MD, MPH,

Oregon Health & Science University School of Medicine

764 individuals who Self-Report Previous cPR Training Do not Demonstrate

Higher Performance confidence or Accuracy

Jennifer Sayegh MS, University of Cincinnati

765 The Effect of cPR Quality on Survival and neurological Outcome

After Out-of-Hospital cardiac Arrest

Uwe Stolz PhD, MPH, University of Arizona

Emergency Department crowding - Oral Presentations

Friday, May 17, 2:00 - 3:00 pm in Atlanta g

Moderator: James Holmes MD, UC Davis School of Medicine

766 Effects of Emergency Department Expansion on Emergency

Department crowding

James Y. McCue BS, UC Davis

767 The Effects contact Precaution Policies On Emergency Department

Flow and Hospital length of Stay

Kevin Kotkowski MD, University of Massachusetts

768 The Association Between Timely Percutaneous coronary intervention for

ST-Elevation Myocardial infarction and Emergency Department crowding

Christopher W. Jones, Christiana Care Health System

769 Emergency Department crowding is negatively associated with

Pneumonia Quality Measure Performance

Christopher W. Jones MD, Christiana Care Health System

Pediatric infectious Diseases - lightning Oral Presentations

Friday, May 17, 2:00 - 3:00 pm in Atlanta A

Moderator: TBD

770 Asymptomatic gonorrhea and chlamydia Screening within the Pediatric

Emergency Department of A Disease Prevalent Population

Devra Gutfreund, Newark Beth Israel

771 Management Practices for Febrile neonates in uS Pediatric Emergency

Departments

Shabnam Jain MD, Emory University

May 14-18, 2013 | atlanta, GeorGia

71


772 Are Emergency Medicine clinicians Recognizing Acute Kidney injury in

Pediatric Sepsis ?

Marie-Carmelle Elie-Turenne MD, University of Florida

773 identification of inflammatory RnA Biosignatures in Adolescent Patients in a

Pediatric Emergency Department with Pelvic inflammatory Disease

Fran Balamuth, Children’s Hospital of Philadelphia

774 There’s an App for That: An Electronic Health Record Sepsis Registry and

clinical Protocol to improve Quality of care

Fran Balamuth MD, PhD, Children’s Hospital of Philadelphia

775 Practices, Beliefs, and Perceived Barriers to Adolescent HiV Screening in the

Emergency Department (ED)

Rakesh Mistry MD, MS, Children’s Hospital of Philadelphia

86 use of nasal capnography as a Measure of Hydration Status in children

Presenting to a Pediatric Emergency Department with gastroenteritis

Tovah G. Ellman MD, Orlando Health System

Health Services Research in Trauma - lightning Oral Presentations

Friday, May 17, 2:00 - 3:00 pm in Roswell 1

Moderator: Brendan Carr MD, University of Pennsylvania

776 no Man is An island: living in A More Disadvantaged neighborhood increases

the likelihood of Developing Persistent Moderate Or Severe neck Pain 6

Weeks After Motor Vehicle collision*

Samuel McLean MD, MPH, University of North Carolina at Chapel Hill

777 The Association Between geographic Access to Trauma care and injury Death

in the uS

Catherine S. Wolff MS, University of Pennsylvania

778 The impact of Adding level ii & iii Trauma centers On Volume and

Severity of Disease at A nearby level i Facility

Brendan G. Carr MS, MS, University of Pennsylvania

779 Disparities in Access to Trauma centers in the united States

Ariel Bowman, University of Pennsylvania

780 Analysis of Road Traffic Accident Related injuries and Outcomes at a Tertiary

Teaching Hospital in lusaka, Zambia

Kate Cerwensky MPH, Center for Global Health and Development, Boston

University School of Public Health

781 cost of care Relating to Road Traffic injuries in Two Tertiary care centers in

the District of Kandy, Sri lanka

Catherine A. Lynch MD, Division of Emergency Medicine, Duke School of

Medicine, DGHI,Duke University

782 is Being insured a Risk Factor for Admission to a non-Trauma center vs.

Transfer Out Among Patients Presenting with Major Trauma?

M. Kit Delgado, Stanford University School of Medicine

Residency Training - lightning Oral Presentations

Friday, May 17, 2:00 - 3:00 pm in Roswell 2

Moderator: Christian Arbelaez MD, Brigham and Women’s Hospital

783 increasing off-Service Resident Productivity while on their Emergency

Department Rotation using the Hawthorne Effect

Deena Ibrahim MD, University of California, Irvine, School of Medicine

784 The Prevalence of lesbian, gay, Bisexual, and Transgendered (lgBT) Health

Education - Training in Emergency Medicine (EM) Residency Programs:

What Do We Know?

Joel Moll, Emory University

785 Residents Are Hesitant to Report Hollow-bore needle Sticks and Most

commonly Report Feeling Rushed During Procedures When Stuck

Jessica S. Rose MD, East Carolina University

786 Preparing Emergency Physicians for Malpractice litigation: A Joint

Emergency Medicine Residency - law School Mock Trial competition

Stacey Marlow MD, JD, University of South Florida

787 implementation of a Structured Handoff tool, SOunD, leads to an

improvement in Patient Handoffs in a Pediatric Emergency Department

Priya R. Gopwani, Children’s National Medical Center

788 Self-reported Sleep Disturbances Presage Decreases in Residents’

Psychological Well-being

Julie M. Carland MD, University of Arizona Medical Center

72 Society for Academic Emergency Medicine

SATuRDAy, May 18th, 2013

Airway Management - Oral Presentations

Saturday, May 18, 8:00 - 10:00 am in Atlanta B

Moderator: Diane Birnbaumer MD, Los Angeles County-Harbor-UCLA

789 intubation Skills correlate with Accuracy of Self-assessment*

Amish Aghera MD, Maimonides Medical Center

790 Declining Rate of Direct laryngoscopy intubations in an Academic

Emergency Department

John C. Sakles MD, University of Arizona

791 identifying Predictive Factors for Degradation of intubation Skills

Brian Gillett, Maimonides Medical Center

792 Repeated intubation attempts by an Operator associated with a Decreased

Success Rate in the Emergency Department: An Analysis of Multicenter

Prospective Observational Study in Japan.

Tadahiro Goto MD, University of Fukui Hospital

793 complications of Airway Management Following Failed noninvasive

Ventilation

Jarrod M. Mosier MD, University of Arizona

794 The impact of Obesity on the First Pass Success Rate of Emergency

Department intubations

John Sakles, University of Arizona

796 incidence and Duration of Oxygen Desaturation During Emergency

Department intubation using continuous Data Acquisition Software

Jerry B. Bodily MD, University of New Mexico

international Emergency - Oral Presentations

Saturday, May 18, 8:00 - 11:30 am in Atlanta E & F

Moderator: Charles Gerardo MD, Duke Global Health Residency/Fellowship

797 Physicians’ Diagnostic Accuracy in using Simple clinical Signs for Detecting

Anemia and its Severity in Patients Seen at the Emergency Department of A

Tertiary Referral Hospital in Tanzania.*

Hendry R. Sawe MD, Muhimbili University of Health and Allied Sciences

798 The Prevalence of Suspected undiagnosed Diabetes Mellitus and use of

Random Blood Sugar to Detect Elevated A1c Among Emergency Department

Patients in a Developing country*

Candace McNaughton, Vanderbilt University

799 characteristics of Adult Patients Presenting to

Two Public Referral Hospitals in cambodia*

Lily Yan, Stanford University School of Medicine

800 assessment of the Revised Kampala Trauma Score (KTSii) to Predict

Mortality, need for Admission, and use of Hospital Resources at university

Teaching Hospital in lusaka, Zambia

Hani Mowafi MD, MPH, Boston University

801 improving Patient Flow in ghana with the use of computer Simulation

Allyson Best, University of Cincinnati

802 characteristics of Pediatric Population Presenting to Two Public Referral

Hospitals in cambodia

Mackensie A. Yore, Stanford University School of Medicine

803 characterizing Prehospital Transported Patients in the Ashanti Region of ghana

C. Nee-Kofi Mould-Millman, Emory University

804 Motor Vehicle crash Patients: An international comparison china V. the uS

Paul Ko MD, SUNY Upstate Medical University

805 Trends in ED and Hospital Mortality associated with Opening of

A Full capacity Emergency Department in A Tertiary level Hospital

in Sub-Saharan Africa

Hendry R. Sawe MD, Muhimbili University of Health and Allied Sciences

806 Activated learning in global Health Education - A Pilot Study

Jaime Jordan, Harbor-UCLA Medical Center

807 Access to care among Adults with Previously and newly Diagnosed

cardiovascular Disease Presenting to the Emergency Department of a

Tertiary Referral Hospital in nairobi, Kenya

Rita K. Kuwahara MIH, UNC-Chapel Hill School of Medicine

808 Epidemiology of injuries, Outcomes, and Hospital Resource utilization at

A Tertiary Teaching Hospital in lusaka, Zambia

Philip Seidenberg MD, University of New Mexico


Post-cardiac Arrest care - lightning Oral Presentations

Saturday, May 18, 8:00 - 9:00 am in Atlanta A

Moderator: Richard Summers MD, University of Mississippi Medical Center

809 lactate clearance is associated with improved Survival and neurological

Outcome in Post-cardiac Arrest*

Lars W. Andersen BS, Research Center for Emergency Medicine

810 Microcirculatory impairment in Post-cardiac Arrest Patients*

Yasser Omar MD, Beth Israel Deaconess Medical Center

811 initial Hyperoxia is associated with Survival in Post-Arrest Patients Enrolled

in the PATH Database

David F. Gaieski MD, University of Pennsylvania

812 initial Base Deficit and Arterial carbon Dioxide level associated with

Survival in Post-Arrest Patients

David F. Gaieski, University of Pennsylvania School of Medicine

813 Time to Target Temperature and neurologic Outcome in Survivors of cardiac

Arrest

Sarah M. Perman, University of Pennsylvania

814 Emergent cT Does not Delay cooling in Patients After cardiac Arrest*

David A. Pearson MD, Carolinas Medical Center

Simulation in Emergency Medicine - lightning Oral Presentations

Saturday, May 18, 8:00 - 9:00 am in Atlanta c & D

Moderator: Daniel Handel MD, MPH,

Oregon Health & Science University School of Medicine

815 Emergency Medicine Resident leadership Ability: A Simulation-Based

longitudinal Study*

Matthew C. Carlisle, UC Davis

816 Effect of Simulated Rare Procedures clinic on EM Faculty clinical Procedural

Knowledge and confidence

Amanda J. Carlson MD, Regions Hospital

818 Effects of Team Training on 4th year Medical Student Management of

Simulated critically ill Patients

Daniel Runde MD, Harbor-UCLA Medical Center

819 A comparison of Evaluation Metrics for High-Fidelity AclS-based Simulation

cases for Pgy-1 and Pgy-3 level learners

Jo Anna Leuck MD, Carolinas Medical Center

820 Surgical Specialty Residents Perform Better in Simulation Based central

Venous catheter insertion assessment Than Medical Specialty Residents

Kosuke Mori, Department of Emergency Medicine, Tokyo Bay Urayasu/Ichikawa

Medical Center, Noguchi Hideyo Memorial International Hospital

Prescription and Abuse of Opiates - lightning Oral Presentations

Saturday, May 18, 8:00 - 9:00 am in Roswell 1

Moderator: Steven B. Bird MD, University of Massachusetts Medical School

821 Association Between Opioid Prescribing in Florida

and Statewide Morbidity and Mortality

Erin Caddell, University of Central Florida, College of Medicine

822 u.S. Prescription Opioid Overdose Death: A Health Disparities Paradox

Tracy Macintosh MD, MPH, Yale-New Haven Hospital

823 Prevalence of Adverse Events From Opiates in the Emergency Department

Raoul Daoust, Université de Montréal

824 Does Prescribing Opiate Medication correlate with Emergency Department

Patient Satisfaction Scores?

Matt Burge MD, Scott & White

825 Prevalence and correlates of nonmedical Prescription Opiate and

nonmedical Prescription Sedative use Among A group of Adolescents and

young Adults with current Drug use in An urban Emergency Department

Lauren K. Whiteside, University of Washington, Division of Emergency Medicine

826 The Association Between Statewide Opiate Prescribing Patterns

and Drug-specific Mortality Rates Over A 10 year Period

Sarina Doyle MD, Orlando Health

Toxicology - lightning Oral Presentations

Saturday, May 18, 8:00 - 9:00 am in Roswell 2

Moderator: Kavita Babu MD, University of Massachusetts

827 Survival from Organophosphate Poisoning induces

changes in Respiration During Sleep

Romolo Gaspari MD, PhD, University of Massachusetts Medical School

828 Measurement of Venom and clotting Function in Patients with Russell’s

Viper coagulopathy and Response to Antivenom

Geoffrey K. Isbister FACEM, MD, Discipline of Clinical Pharmacology, University

of Newcastle and Department of Clinical toxicology, Calvary Mater Newcastle

829 The impact of the Bugaboo Wild Fires on Regional Emergency Department

and inpatient Visits

Glenn R. Gookin PhD, University of Central Florida

830 inhalant Abuse: Trends from united States Poison centers

Janna H. Villano MD, Advocate Christ Medical Center, Department of

Emergency Medicine

831 Performance of a Multi-disciplinary Observation Protocol for

Acetaminophen Overdose in the Emergency Department

Gillian A. Beauchamp MD, University of Cincinnati

832 What characteristics can Be used to Predict Ethylene glycol ingestion?

Cole A. Wiedel BA, University of Colorado School of Medicine

833 The Efficacy of cyP2D6 Dependent Analgesics and Antiemetics in

Emergency Department Patients

Andrew A. Monte MD, University of Colorado

May 14-18, 2013 | atlanta, GeorGia

73


2013 innovAtionS in emergency medicine educAtion (me)

*SAEM Gallery of Excellence nominees 2013

thurSdAy, mAy 16, 2013

innovations Exhibits

8:00 am - 12:00 pm in 200 gallery -level 6

1. Predicting Annual inservice Scores using Audience Response System

Lucienne Lutfy-Clayton 1 , Kaushal Shah 2 , Grant Wei 3 , David P. Lisbon

Jr 4 , Sally A Santen 5 , Katherine Jahnes 6 , Jaime Jordan 7 . 1 Tufts University

Medical School Baystate Medical Center, Springfield, MA; 2 Mt. Sinai

School Of Medicine, new York, nY; 3 UMDnJ-Robert Wood Johnson, new

Brunswick, nJ; 4 The University Of Kansas Hospital, Kansas City, KS;

5 University Of Michigan, Ann Arbor, MI; 6 new York Methodist Hospital,

Brooklyn, nY; 7 Harbor-UCLA, Los Ángeles, CA

2. ultrasound-guided Vascular Access Education:

A Homemade Phantom with Various Feedback capabilities

Daniela Morato, Dina Seif. LAC+USC Medical Center, Los Angeles, CA

3. competency-Based Disaster Training for Medical Trainees

in less Than One Day

Lancer A. Scott. MUSC, Charleston, SC

4. geriatric Abdominal Pain game

nikki B. Waller, Kevin Biese, Kristen Barrio, Chris Howarth,

Ellen Roberts, Jan Busby-Whitehead.

University of north Carolina at Chapel Hill, Chapel Hill, nC

5. Development of a Simulated “night on call” Experience within a

capstone course at One u.S. Medical School

David A. Wald, Alisa Peet, Jane Cripe, Michael Curtis.

Temple University School of Medicine, Philadelphia, PA

6. critical Actions in common Floor Emergencies - A Multimedia,

Multimodal And Simulation Based Approach

nelson Wong, Scott Goldberg, Christopher Strother.

Mount Sinai School of Medicine, new York, nY

7. Resuscitation Elective for Emergency Medicine Residents interested in

critical care

Jarrod M. Mosier, Alice Min, Albert Fiorello.

University of Arizona, Tucson, Az

11. Emergency Medicine Resident Education in Ophthalmology

Lara Phillips, Lawrence Stack. Vanderbilt, nashville, Tn

innovations - Didactics Spotlight

8:00 - 9:00 am in Atlanta H

8. using iTunesu as a novel Emergency Medicine curriculum

Deployment Device.*

Janis P. Tupesis, nestor Rodriguez, Katy Oksuita, Matt Anderson,

Carrie Voss-Harvey, Will Sanderson.

University of Wisconsin School of Medicine and Public Health, Madison, WI

9. Developing Residency Education with Andragogy and Multimedia: The

DREAM curriculum*

Karen R. Lind, Brian Gillett, David Saloum, Eitan Dickman, John Marshall.

Maimonides Medical Center, Brooklyn, nY

10. Teams Teaching Other Teams: An interactive Educational Session*

Chandra Aubin, Rebecca Bavolek, Evan Schwarz.

Washington University School of Medicine, St. Louis, MO

11. Emergency Medicine Resident Education in Ophthalmology*

Lara Phillips, Lawrence Stack. Vanderbilt, nashville, Tn

innovations - Technology Spotlight

9:00 - 10:00 am in Atlanta H

12. The EM10 project: A High yield, Mobile Device Based learning Platform

for Medical Student Education during Emergency Department Shifts*

Jeffrey R. Vlasic. University of Michigan Medical School, Ann Arbor, MI

13. Emergency Medicine E-learning: Articulating the Facts,

Moving to the Future*

Cynthia Leung, Aaron Bernard, nicholas E. Kman.

The Ohio State University Medical Center, Columbus, OH

74 Society for Academic Emergency Medicine

14. Must-Read Article Of The Month: cloud-based

Asynchronous Journal club

James C. O’neill, Iltifat Husain.

Wake Forest Baptist Health, Winston Salem, nC

15. cloud-based Online continuing Medical Education for an Emergency

Medicine System

James C. O’neill, Iltifat Husain, Casey Glass, David Manthey,

Cedric Lefebvre. Wake Forest Baptist Health, Winston Salem, nC

innovations -Medical Student Spotlight

12:00 - 1:00 pm in Atlanta H

16. The Mentorship gap: Bridging Residents and Medical Students through

a near Peer Mentoring Program*

Robbie E. Paulsen, Matthew J. Stull, Sarah Ronan-Bentle.

University of Cincinnati College of Medicine, Cincinnati, OH

17. EMig: A Student-Driven integrative curriculum Approach

to Simulation*

Annette Dorfman. George Washington University, Washington, DC

18. Assessment of level 1 EM Milestones in incoming interns

Laura Hopson, Marcia Perry, Samantha Hauff, Eve Losman,

James Mattimore, Monica Lypson, Sally Santen.

University of Michigan, Ann Arbor, MI

3. competency-Based Disaster Training for Medical Trainees

in less Than One Day

Lancer A. Scott. MUSC, Charleston, SC

fridAy, mAy 17, 2013

innovations – Oral Presentations

8:00 - 9:00 am in Atlanta H

19. Milestone Tracking and Documentation Augmented via an Electronic

Tool Tailored to an Emergency Medicine Simulation curriculum*

Raymond P. Ten Eyck. Wright State University, Kettering, OH

20. Attending Emergency Physician Airway Skills Assessment: The

Annual checkride

Daniel R. Rodgers, Kevin C. King, Thomas E. Terndrup.

Penn State Hershey, Hershey, PA

21. Development Of A novel, competency-based Emergency Medicine

“Dean’s letter”*

Cemal B. Sozener, Laura R. Hopson, Joseph House,

Suzanne L. Dooley-Hash, Samantha R. Hauff, Monica L. Lypson,

Sally A. Santen. University of Michigan, Ann Arbor, MI

22. Team Based learning - Electrocardiogram interpretation and

Application for Emergency Medicine Residents

Rebecca A. Bavolek, Chandra D. Aubin, Albert J. Kim. Washington

University in St. Louis School of Medicine, St. Louis, MO

innovations Exhibits

8:00 - 12:00 pm in 200 gallery -level 6

23. An innovative Approach to Simulating the Repair of an injured nailbed

Tara Martin, nicholas Greek, Claudia Ranniger.

George Washington University, Washington, DC

24. A novel clear Ballistics gel Phantom for ultrasound Training

Richard Amini, Lori Stolz, Srikar Adhikari. University of Arizona Medical

Center, Tucson, Az

25. Emergency Medicine interpersonal communication Skills curriculum

Marquita n. Hicks 1 , Pooja Gajare1, Lisa Moreno-Walton 2 . 1 University of

Alabama at Birmingham, Birmingham, AL; 2 Louisiana State University

Health Sciences Center-new Orleans, new Orleans, LA

26. Equianalgesic Opioid conversion Worksheet for cancer

Pain Management

Kyle D. Minor, zachary Binney, Tammie Quest.

Emory University, Atlanta, GA

27. Teaching Health Policy: Developing a Portable E-learning Tool for

Medical Student Education

Stephanie Y. Donald, nathan Seth Trueger, Aisha Liferidge,

Janice Blanchard, Steven Davis, Malika Fair, Joneigh Khaldun,

Ali Pourmand, Cedric Dark.

George Washington University, Washington, DC


28. innovation in Education: integration of Emergency Medicine in The

Preclinical years With A First year course, “introduction To Emergency

Medicine.”

Amy Leuthauser. Mount Sinai School of Medicine, new York, nY

innovations – Oral Presentations

9:00 - 10:00 am in Atlanta H

29. Voodoo or Valid? An Exercise to Promote Academic and clinical

integration toward Evidence Based Practice

Joel Moll. Emory University, Atlanta, GA

30. integration of High Fidelity Simulation and learning Management

Software to Effectively Teach Mechanical Ventilation in Emergency

Medicine

Amish Aghera, Brian Gillett, Anatoliy Golster. Maimonides Medical

Center, Brooklyn, nY

31. using an Online Discussion Board for Asynchronous learning in an

Emergency Medicine curriculum

Christine zink, Christopher zernial, Salim Rezaie, Dan Mosely.

UTHSCSA, San Antonio, TX

32. A Flashcard Based Approach to Teaching critical Appraisal Skills

Tom Evens 1 , Julie-Anne Greenslade 2 , Shweta Gidwani 2 . 1 Ealing Hospital

nHS Trust, London, United Kingdom; 2 northwick Park Hospital, London,

United Kingdom

innovations - Oral Presentations

1:00 - 2:00 pm in Atlanta H

33. A collaborative Approach to a novel, goal Directed Echocardiography

Training for Emergency Medicine and critical care Physicians for

Management of Patients in Shock

Jarrod M. Mosier, Lori Stolz, Albert Fiorello, John Bloom, Srikar Adhikari.

University of Arizona, Tucson, Az

34. The next generations’ Journal club: An innovative Approach to

Multimedia and Evidence Based Medicine

Evan Pushchak, Charles Pearce, Mark Courtney.

northwestern University, Chicago, IL

35. Direct Observation of Resident-to-Resident communication during

Transition of care in the Emergency Department

Adam z. Tobias, Michele L. Dorfsman, Allan B. Wolfson.

University of Pittsburgh School of Medicine, Pittsburgh, PA

36. Development of low Fidelity Simulation for the low Resource Setting

Bhakti Hansoti 1 , John Foggle 2 , Braden Hexom 3 , Jared novack 4 ,

David Walker 5 , Ernest Wang 4 . 1 Johns Hopkins University, Baltimore MD;

2 Brown University, Providence, RI; 3 Mount Sinai School of Medicine,

new York, nY; 4 northshore University HealthSystem, Chicago, IL;

5 Elmhurst Hospital Center, Elmhurst, nY

euroPeAn Society of emergency

medicine (euSem) ABStrActS

Friday, May 17, 20138:00 - 10:00am

PT-200 conference Room 3

Overcrowding in EDs: what are the

solutions in Europe

Eric Revue

Organization of STEMi care: what is the difference

between uSA and Europe

Abdel Bellou

Evolution of mortality of Acute Heart

Failure in Europe

Said Laribi

Policy on Quality metrics in Emergency Medicine

in Europe

nathalie Flacke

2013 SAem AWArd reciPientS

2013 JOHn MARx lEADERSHiP AWARD

– Vincent Verdile MD, FACEP - Albany Medical College

2013 yOung inVESTigATOR AWARD

– nathan J. White MD, MS

University of Washington School of Medicine

2013 yOung inVESTigATOR AWARD

– Daniel K. nishijima MD, MAS

University of California, Davis

2013 young investigator Award

– Comilla Sasson MD, MS - University of Colorado-Denver

HAl JAynE ExcEllEncE in EDucATiOn AWARD

– Michael Beeson MD, MBA, FACEP

Akron General Medical Center

2013 ExcEllEncE in RESEARcH AWARD

– Gail D’Onofrio MS, MD

Yale University School of Medicine

2013 ADVAncEMEnT OF WOMEn in

AcADEMic EMERgEncy MEDicinE

– Kathleen Clem BSn, MD, FACEP - Loma Linda University

2013 MASTER cliniciAn AWARD

– Eric G. Laurin MD - University of California, Davis

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May 14-18, 2013 | atlanta, GeorGia

75


SAem gAllery of eXcellence nomineeS 2013 ABStrActS

1 nExuS chest: Validation of a Decision instrument for Selective chest imaging in

Blunt Trauma

Robert M. Rodriguez MD, UCSF/San Francisco General Hospital

2 intravenous cobinamide Versus Hydroxocobalamin for Acute Treatment of

Severe cyanide Poisoning in A Swine (Sus Scrofa) Model - a randomized,

controlled trial

Vikhyat S. Bebarta, San Antonio Military Medical Center

3 Anaphylaxis; clinical Features and Evidence for A Mast cell-leukocyte cytokine

cascade in Humans.

Simon G A. Brown MBBS PhD FACEM, Western Australian institute for Medical

Research, Royal Perth Hospital and the University of Western Australia

4 Accuracy of an ultra-low Dose cT Protocol for ED Patients with Suspected

Kidney Stone

Chris Moore MD, RDMS, Yale University School of Medicine

5 latino caregiver Experiences with asthma Health communications: A Qualitative

Evaluation

Antonio Riera MD, Yale University School of Medicine

6 Randomized Trial of Tenecteplase or Placebo with low Molecular Weight Heparin

for Acute Submassive Pulmonary Embolism: assessment of Patient-Oriented

cardiopulmonary Outcomes at Three Months

Jeffrey A. Kline MD, Indiana University School of Medicine

8 The Effect of Point-of- care ultrasonography on Emergency Department length

of Stay and cT utilization in children with Suspected Appendicitis.

Inna Elikashvili, Mount Sinai Medical Center

9 Signs and Symptoms associated with Surgical intervention in children with

Abdominal Pain

Melissa Tavarez MD, Children’s National Medical Center

10 Retrospective Review of Emergency Bedside ultrasound for Diagnosis of

Pediatric intussusception

Samuel H. F. Lam, Advocate Christ Medical Center

11 ultrasound confirmation of central Femoral Venous line Placement: the FluSH

Study (Flush the line and ultrasound the Heart)

Russ Horowitz MD, RDMS, Ann & Robert H. Lurie Children’s Hospital of Chicago

12 Accuracy of Emergency Medicine Residents during completion of the American

college of Emergency Physicians Minimum ultrasound Training Benchmarks: A

Multicenter Multiple Application longitudinal Validation Study

John Bailitz, Cook County (Stroger)

19 A Markov Model Describes the Dynamics of Resuscitation in a Porcine

Hemorrhagic Shock Model.

Heemun Kwok MD, MS, University of Washington

20 comparison of intraosseous infusion Rates of Plasma under High Pressure in An

Adult Hypovolemic Swine Model in Two Different limb Sites

Julio Lairet, Emory University School of Medicine

34 The Burden of Acute Heart Failure on uS Emergency Departments

Alan B. Storrow MD, Department of Emergency Medicine, Vanderbilt University

Medical Center

35 Degradation of Benzodiazepines After 120-Days of EMS Deployment

Jason McMullan MD, University of Cincinnati

36 Do Prehospital levels of End-tidal carbon Dioxide Differ Between chronic

Obstructive Pulmonary Disease and congestive Heart Failure?

Christopher Hunter MD, PhD, Orange County EMS System

37 Prehospital glasgow coma Scale and Risk Stratification in Major Pediatric

Traumatic Brain injury: Association with Mortality and non-Mortality Outcomes

Daniel W. Spaite MD, Arizona Emergency Medicine Research Center, University of

Arizona

47 Should We communicate Radiation Risk from cT Scans to Patients? A Mixed-

Methods and normative Ethical Analysis

Thomas E. Robey, Yale-New Haven Hospital

48 Evidence Based Diagnostics: Meta-Analysis of the Accuracy of Physical Exam

and imaging for Adult Scaphoid Fractures

Ali S. Raja, Brigham and Women’s Hospital, Harvard Medical School

49 comparing the Diagnostic Performance of Bedside ultrasound to Plain

Radiography for Detecting Fractures of the Appendicular Skeleton in the

Emergency Department: A Prospective Study

Paul E. Haiar DSc, PA-C, Mike O’Callaghan Federal Medical Center

76 Society for Academic Emergency Medicine

57 Elevated levels of Serum SBDP150 in the Emergency Department Are associated

with Poor Outcome at One Month From Mild and Moderate Traumatic Brain injury

Linda Papa MD.CM, MSc, Orlando Regional Medical Center

60 Performance of Early Serum gFAP and ucH-l1 individually and in combination in

Distinguishing Mild and Moderate Traumatic Brain injury from Trauma controls

and in Detecting intracranial lesions On cT

Linda Papa MD.CM, MSc, Orlando Regional Medical Center

73 young Women are less likely to Meet Reperfusion guidelines for STEMi: the

ViRgO Study (Variation in Recovery: Role of gender On Outcomes)

Gail D’Onofrio MD, Department of Emergency Medicine, Yale University School of

Medicine

81 clinical Pathway Expedites Systemic corticosteroids for children with Moderate-

Severe asthma Exacerbation

Christopher Fee MD, University of California San Francisco

82 Broselow Tape: A Time to Revisit?

Muhammad Waseem MD, MS, Lincoln Medical & Mental Health Center

89 ED Hemolysis is More Strongly associated with Device used to Obtain Blood

Than Other Features of Phlebotomy

Andrew Wollowitz MD, Department of Emergency Medicine, Albert Einstein

College of Medicine

93 The Relationship between lactic Acidosis and Thiamine levels in Patients with