PDF version - The Society for Academic Emergency Medicine
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SAEM<br />
<strong>Society</strong> <strong>for</strong> <strong>Academic</strong><br />
<strong>Emergency</strong> <strong>Medicine</strong><br />
2013 Annual meeting<br />
<strong>The</strong> Westin Peachtree Plaza<br />
May 14-18, 2013<br />
Jointly sponsored by the University of Cincinnati<br />
atlanta
Table of Contents<br />
General In<strong>for</strong>mation 2 - 4<br />
Senior Leadership Faculty Forum 5-6<br />
AEM Consensus Conference 7<br />
Grant Writing Workshop 8<br />
Residency Program Update 8<br />
Resident Leadership Forum 9<br />
Medical Student Symposium 10<br />
Junior Faculty Development Forum 11<br />
SAEM Annual Business Meeting 12<br />
Best of CORD 13<br />
Photo Exhibit and Visual Diagnosis Contest 14<br />
Daily Schedule and Meetings 23-32<br />
Maximize Your Time at the SAEM Annual Meeting 33<br />
Didactic Presentation 34-54<br />
Abstracts <strong>for</strong> Presentation 53-73<br />
Innovations in <strong>Emergency</strong> <strong>Medicine</strong> Education (ME) 74-75<br />
European <strong>Society</strong> of <strong>Emergency</strong> <strong>Medicine</strong> (EuSEM) Abstracts 75<br />
Gallery of Excellence Nominees 76-78<br />
Acknowledgements 78<br />
Late Breaker Abstracts 79-81<br />
Moderators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82<br />
Abstract Submission Reviewers 83<br />
Disclosures 84-87<br />
Exhibitor Announcements 90-91<br />
<strong>The</strong> Westin Peachtree Plaza 92-95<br />
200 Peachtree Conference Center 96<br />
Visit our Exhibitors in Peachtree Ballrooms (8th Level)<br />
• Thursday, May 16, 2013: 7:00 am - 5:00 pm<br />
Morning Coffee service at 7:00 am - 8:00 am<br />
• Friday, May 17, 2013: 7:00 am - 5:00 pm<br />
Morning Coffee service at 7:00 am - 8:00 am<br />
Coffee Break at 3:00 pm - 3:30 pm<br />
i<br />
<strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
SAEM is not responsible <strong>for</strong> printing errors or omissions.
SAEM<br />
<strong>Society</strong> <strong>for</strong> <strong>Academic</strong><br />
<strong>Emergency</strong> <strong>Medicine</strong><br />
2013 Annual meeting<br />
<strong>The</strong> Westin Peachtree Plaza<br />
May 14-18, 2013<br />
Welcome to the SAEM Annual Meeting!<br />
This program is our best ever and includes the best of the best emergency medicine education and research. Here at the annual<br />
meeting, you have the chance to interact with the presenters, authors, and researchers who have produced this work. In this process,<br />
you have the opportunity not only to learn and grow, but also to teach. Engage with the presenters, question, debate, and in this method<br />
you will make the work better, more thoughtful, and, I believe, make a contribution to the advancement of the science. Most of all, have<br />
fun. This meeting is the place we can all come together to share and celebrate our accomplishments and the joy we derive from our<br />
professional roles. Enjoy your time in Atlanta. You are the best and brightest emergency medicine has to offer, so contribute and make<br />
this the best SAEM Annual Meeting ever!<br />
Thanks <strong>for</strong> coming to the 2013 SAEM Annual Meeting in Atlanta.<br />
Cherri Hobgood MD, FACEP<br />
President<br />
SAEM<br />
Welcome to Atlanta <strong>for</strong> the 2013 SAEM Annual Meeting!<br />
How does one begin to summarize such a spectacular meeting? This year represented the largest submission of didactics, abstracts,<br />
and innovations ever <strong>for</strong> the annual meeting. In order to showcase these spectacular submissions, your Program Committee has<br />
scheduled the most didactics, abstracts, and innovations in the history of SAEM. We were able to secure a wonderful keynote speaker,<br />
Dr. Thomas Frieden, Director of the CDC, as one of the highlights of the meeting. This keynote address will occur on Thursday, May 16,<br />
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<br />
submissions to the meeting by showcasing them in the “Gallery of Excellence.” This extravaganza will run concurrently with the opening<br />
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<br />
abstracts whilst enjoying the company of colleagues and friends. This year’s Consensus Conference, “Global Health and <strong>Emergency</strong><br />
Care: A Research Agenda,” will focus on emergency medicine on a global scale. Our specialty is expanding worldwide with a phenomenal<br />
trajectory, so be sure to register to participate and contribute to the ongoing development of emergency medicine on an international<br />
scale. <strong>The</strong> perennial favorites SIM Wars and SonoGames are back, so feel free to come and cheer on the teams as they aim <strong>for</strong><br />
SAEM glory as victors of the games. Senior and Junior Faculty Development Forums, Resident Leadership Forum, Medical Student<br />
Symposium, Residency and Fellowship Fair…the list goes on! Worried about missing important parts of the meeting? Don’t. This year’s<br />
digital and social media will keep you up and running. With your own personal planner available on the website, the mobile app, email<br />
updates, Twitter feeds, Facebook updates, and message boards, you will be able to keep it all straight and enjoy everything SAEM has<br />
to offer.<br />
This year’s meeting should meet the needs of everyone in the emergency department, from medical student to seasoned veteran.<br />
This meeting is a dynamic <strong>for</strong>um <strong>for</strong> educators, researchers, policy makers, and administrators to exhibit the very best of the specialty.<br />
It will provide you with opportunities to learn something new, develop new ideas, improve your patient care, network with a colleague,<br />
and most importantly, pause to appreciate what we as a specialty have achieved and inspired.<br />
Thanks <strong>for</strong> coming to the 2013 SAEM Annual Meeting in Atlanta.<br />
Christopher Ross MD<br />
Chair of the 2013 Program Committee<br />
SAEM<br />
May 14-18, 2013 | Atlanta, Georgia 1
General In<strong>for</strong>mation<br />
Welcome to the 2013 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong> Annual Meeting. As you attend the meeting, hopefully you will notice<br />
the many significant innovations we have implemented <strong>for</strong> 2013.<br />
Registration<br />
For the cost of the basic registration fee, attendees may attend all paper, poster, and didactic sessions, except those sessions that<br />
have limited enrollment, require pre-registration, or require an additional registration fee. For those who have pre-registered to attend<br />
sessions that require pre-registration, be sure to arrive a few minutes early.<br />
Continuing Medical Education<br />
Target Audience: This conference has been created <strong>for</strong> emergency medicine physicians who want to expand and update their knowledge<br />
of quality instruction in emergency medicine training programs and improve the quality of emergency medical care.<br />
Overall Program Objectives:<br />
• Apply research findings to your emergency medicine practice.<br />
• Apply key statistical indicators in analyzing research results.<br />
• Utilize acceptable research methods and study design in the development of research projects.<br />
• Realize the details of the framework <strong>for</strong> ABEM so that the intended practice improvements are vetted through this prism.<br />
Joint Accreditation Statement:<br />
This activity has been planned and implemented in accordance with the essential areas and policies of the Accreditation Council <strong>for</strong><br />
Continuing Medical Education through the joint sponsorship of the University of Cincinnati and <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong><br />
<strong>Medicine</strong>.<br />
2 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
<strong>The</strong> University of Cincinnati is accredited by the ACCME to provide continuing medical education <strong>for</strong> physicians. <strong>The</strong> University<br />
of Cincinnati designates this live activity <strong>for</strong> a maximum of 24 AMA PRA Category 1 Credit(s). Physicians should only claim credit<br />
commensurate with the extent of their participation in the activity.<br />
Faculty Disclosure Declaration:<br />
According to the disclosure policy of the University Of Cincinnati College Of <strong>Medicine</strong>, all faculty, planning committee members, and<br />
other individuals who are in a position to control content are required to disclose any relevant relationships with any commercial<br />
interest related to this activity. <strong>The</strong> existence of these interests or relationships is not viewed as implying bias or decreasing the<br />
value of the presentation, and any conflict of interest is resolved prior to the activity. All educational materials are reviewed <strong>for</strong> fair<br />
balance, scientific objectivity and levels of evidence. Disclosure will be made at the time of the activity.<br />
Learner Assurance Statement:<br />
<strong>The</strong> University of Cincinnati is committed to resolving all conflicts of interest issues that could arise as a result of prospective<br />
faculty members’ significant relationships with drug or device manufacturer(s). <strong>The</strong> University of Cincinnati is committed to<br />
retaining only those speakers with financial interests that can be reconciled with the goals and educational integrity of the<br />
CME activity.<br />
Annual Business Meeting<br />
<strong>The</strong> Annual Business Meeting will be held on Friday, May 17, 2013, from 3:30 - 5:00pm, in Plaza Ballroom A-B-C. Keynote speakers,<br />
Gordon Wheeler, Atul Grover MD, PhD and Walter J. Koroshetz MD will discuss “<strong>The</strong> Future of Health Care Re<strong>for</strong>m and Implications <strong>for</strong><br />
<strong>Emergency</strong> <strong>Medicine</strong>. <strong>The</strong> SAEM Board of Directors elections will be announced, in addition, the Young Investigator Award Recipients;<br />
the recipients of the Research Training, Institutional Research Training; and the recipients of the 2012 Annual Meeting Best Presentation<br />
Awards will be presented to the membership.<br />
Cherri Hobgood MD, will present her presidential summary address to the membership. Incoming President Alan Jones MD, will then be<br />
introduced and address the membership with his preview of the coming year.<br />
Clinical Pathologic Case Presentation<br />
<strong>The</strong> 2013 Semi-Final CPC Competition will be held on Wednesday, May 15, 2013, 8:00 am-5:00 pm in the following rooms: International<br />
B/C/D/E/F/F. Annual Meeting attendees are encouraged to attend the competition and support the various residency program<br />
participants. <strong>The</strong>re is no registration fee to attend the competition, which showcases EM residency programs. <strong>The</strong> CPC consists of the<br />
presentation and discussion of the best 72 cases submitted. <strong>The</strong> competition finalists from each of the tracks will be announced during a<br />
reception held from 5:30pm-8:00pm on Wednesday in Augusta Room 1-2. <strong>The</strong> CPC Final Competition, consisting of presentations by the<br />
six semi-finalist teams, will be held during the ACEP Scientific Assembly, in Seattle, Washington, in October 2013. <strong>The</strong> CPC Competition<br />
is sponsored by ACEP, CORD, EMRA, and SAEM.<br />
Academy Meeting dates and times<br />
AAAEM Academy of Administrators in <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
• Business Meeting: Wednesday, May 15, 2013 8:00a-12:00p Vinings Room I (6th Level)<br />
AEUS Academy of <strong>Emergency</strong> Ultrasound<br />
• Business Meeting: Friday, May 17, 2013 8:00a-12:00p Vinings Room I (6th Level)<br />
AGEM Academy of Geriatric <strong>Emergency</strong> <strong>Medicine</strong><br />
• Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Vinings II (6th Level)<br />
AWAEM Academy <strong>for</strong> Women in <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
• Business Meeting: Friday, May 17, 2013 8:00a-12:00p Vinings II (6th Level)<br />
• Luncheon: Friday, May 17, 2013 12:00p-2:00p Conference Room 1-2 (7th Level)<br />
CDEM Clerkship Directors in <strong>Emergency</strong> <strong>Medicine</strong><br />
• Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Conference Room 5 (7th Level)<br />
GEMA Global <strong>Emergency</strong> <strong>Medicine</strong> Academy<br />
• Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Vinings Room I (6th Level)<br />
SIM Simulation Academy<br />
• Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Conference Room 4 (7th Level)<br />
ADIEM Academy <strong>for</strong> Diversity & Inclusion in <strong>Emergency</strong> <strong>Medicine</strong><br />
• Business Meeting: Wednesday, May 15, 2013 1:00p-5:00p Vinings Room I (6th Level)<br />
May 14-18, 2013 | Atlanta, Georgia 3
Social Events<br />
Opening Reception & Gallery of Excellence<br />
Join us on Thursday, May 16, 2013, <strong>for</strong> the opening reception from 5:30pm-<br />
7:00pm. This is a great opportunity to socialize and network with other<br />
SAEM members. It will be located in the Grand Atrium.<br />
AWAEM Luncheon<br />
<strong>The</strong> 4th Annual AWAEM Luncheon will be held on Friday, May 17, 2013<br />
from 12:00-2:00pm in PT-Conference Room 1-2 (7th Level). This is a great<br />
opportunity to network and discuss hot topics within emergency medicine<br />
today. Lunch is $75.00 per person and seating is limited.<br />
“Cocktails and Dreams” Foundation Awareness Reception<br />
Wednesday, May 15, 2013 from 4:30pm-6:30pm in Carnegie Foyer.<br />
Enjoy FREE wine/beer and hors d’oeuvres while learning how the SAEM<br />
Foundation helps young physicians jump start their careers. Also, register<br />
to win the latest iPad.<br />
Visit us on Facebook & Twitter<br />
See what everyone is saying about the Annual Meeting on Twitter and join<br />
in on the conversation. Use the hashtag #SAEM13 on Twitter and follow<br />
@SAEMOnline.<br />
Visit and like us on Facebook at www.facebook.com/saemonline.<br />
Cocktails<br />
&<br />
Dreams<br />
Wednesday, May 15, 2013<br />
4:30 – 6:30 pm<br />
In Carnegie Foyer<br />
Join us <strong>for</strong> a free glass of beer or wine<br />
and discover how the SAEM Foundation has<br />
helped to jump start the careers of many<br />
young emergency medicine physicians.<br />
2013 Annual Meeting<br />
Program Committe<br />
Harrison Alter MD<br />
Alameda County Medical Center<br />
Highland Hospital<br />
Gillian Beauchamp MD<br />
University of Cincinnati<br />
College of <strong>Medicine</strong><br />
Steven Bird MD<br />
University of Massachusetts<br />
Medical Center<br />
Andra Blomkalns MD<br />
University of Cincinnati-College<br />
of <strong>Medicine</strong> (SAEM BOD Liaison)<br />
Jennifer Carey MD<br />
Brown University<br />
Moira Davenport MD<br />
Allegheny General Hospital<br />
Kevin Ferguson MD<br />
University of Florida<br />
Susan Fuchs MD<br />
Children’s Memorial Hospital<br />
Chris Ghaemmaghami MD<br />
University of Virginia<br />
Eric Gross MD<br />
Hennepin County Medical Center<br />
Sanjey Gupta MD<br />
New York Hospital Queens<br />
Todd Guth MD<br />
University of Colorado<br />
Carolyn Holland MD<br />
University of Florida -<br />
Gainesville<br />
Jason Hoppe MD<br />
University of Colorado<br />
Denver Health Science<br />
Lauren Hudak MD<br />
Emory University<br />
School of <strong>Medicine</strong><br />
Gabe Kelen MD<br />
Johns Hopkins University<br />
Hollynn Larrabee MD<br />
West Virginia University<br />
JoAnna Leuck MD<br />
Carolinas Medical Center<br />
Jason Liebzeit MD<br />
Emory University<br />
School of <strong>Medicine</strong><br />
Henderson McGinnis MD<br />
Wake Forest Baptist Health<br />
Joseph Miller MD<br />
Henry Ford Hospital<br />
Henderson McGinnis MD<br />
Wake Forest University<br />
Angela Mills MD<br />
University of Pennsylvania<br />
Dave Milzman MD<br />
Georgetown University<br />
James Olson, PhD<br />
Wright State University<br />
Charissa Pacella MD<br />
University of Pittsburgh<br />
Daniel Pallin MD<br />
Brigham and Women’s Hospital<br />
and Children’s Hospital Boston<br />
Peter Pryor MD<br />
Denver Health<br />
Ali Raja MD<br />
Brigham and Women’s Hospital<br />
Megan Ranney MD<br />
Brown University<br />
Rhode Island Hospital<br />
Linda Regan MD<br />
Johns Hopkins University<br />
Kevin Rodgers MD<br />
Indiana University<br />
Sarah Ronan MD<br />
University of Cincinnati<br />
College of <strong>Medicine</strong><br />
Brett Rosen MD<br />
York Hospital<br />
Christopher Ross MD<br />
Cook County Hospital<br />
(Program Committee Chair)<br />
Todd Seigel MD<br />
Brown University<br />
Rhode Island Hospital<br />
Lorraine Thibodeau MD<br />
Albany Medical Center<br />
R. Jason Thurman MD<br />
Vanderbilt University<br />
Medical Center<br />
Jody Vogel MD<br />
Denver Health Medical Center<br />
Joshua Wallenstein MD<br />
Emory University<br />
Robert Woolard MD<br />
Texas Tech El Paso<br />
4 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Senior Leadership Faculty Forum<br />
PT - 200 Conference Room 3<br />
Tuesday, May 14, 2013 - Wednesday, May 15, 2013 - 8:00 am - 5:00 pm<br />
Tuesday, May 14, 2013<br />
8:00 - 8:15 am Welcome/Introduction – K Robinson<br />
8:15 – 10:00 am Leadership Lessons – Barsan/Hockberger<br />
Participants in this session will be able to answer the following questions:<br />
1. What is the difference between management and leadership?<br />
2. What leadership qualities are most important <strong>for</strong> success?<br />
3. What particular leadership style best fits my personal traits and skills?<br />
4. How do I develop a vision <strong>for</strong> others to follow?<br />
5. How do I develop relationships that lead to results?<br />
6. What leadership goals should I set <strong>for</strong> myself in the coming year?<br />
10:00 – 10:50 am Developing and Sustaining a Vision – B Zink<br />
This session will describe how a leader can collaboratively <strong>for</strong>mulate<br />
a vision <strong>for</strong> his/her organization. We will examine the components of<br />
a successful vision statement, how to track and measure success of<br />
the vision, and how to revise the vision as the organization succeeds<br />
and matures.<br />
Objectives:<br />
1. Participants will learn how to create a strong vision statement <strong>for</strong><br />
their organization.<br />
2. Participants will consider the components of a vision statement<br />
and how to measure and track the success of a vision statement.<br />
3. Participants will learn how to assess, and revise the vision as the<br />
organization moves <strong>for</strong>ward.<br />
10:50 – 11:10 am Break<br />
11:10 am – 12:00 pm Facilitating Effective Meetings – R Strauss<br />
“Oh no! Not another meeting!” This course will review when to and<br />
when NOT to have a meeting, and how to make the meetings you do<br />
have more effective and rewarding. Learn how to guide the discussion,<br />
create focus and deal with the overbearing, the sarcastic, the bashful,<br />
and the detractor. Discover effective methods to open and close<br />
discussions. This is one meeting that will help to improve the rest of<br />
your meetings. During the presentation, interspersed pre-recorded<br />
vignettes will be used to demonstrate points and generate discussion.<br />
Objectives:<br />
At the conclusion of this presentation, the participant will be able to:<br />
1. Describe when to and when not to have a meeting.<br />
2. Describe effective meeting planning and preparation<br />
and “rules of engagement”.<br />
3. Develop an effective and accomplishable agenda.<br />
4. List problems that occur during a meeting and methods<br />
to resolve them.<br />
5. Review common traps that chairs fall into, such as wandering<br />
discussion, taking a side, berating members.<br />
6. Describe what to do when the meeting has concluded,<br />
accountability and follow-up.<br />
7. Using pre-taped scenarios, discuss methods to bring<br />
the meeting back on track.<br />
12:00 – 1:00 pm Lunch<br />
1:00 – 1:50 pm Building a Team – T Crocco<br />
This presentation will cover the essential elements of team building.<br />
<strong>The</strong> differences between team work and effective team building will<br />
be discussed. Additionally, common mistakes in building a team will<br />
be highlighted. At the conclusion of this presentation, participants<br />
should have a new perspective on team development.<br />
Objectives:<br />
1. To understand the purpose of a team.<br />
2. To explain the difference between team work and establishing an<br />
effective team.<br />
3. To discuss the essential elements of team building.<br />
2:00 – 2:50 pm Conflict Resolution – J Adams<br />
Objectives:<br />
1. List the common, predictable causes of conflict in the<br />
healthcare environment.<br />
2. Describe how our human nature is designed to create conflict<br />
3. Describe techniques that will reduce the negative,<br />
destructive conflicts.<br />
4. Explain the techniques of communication that will facilitate<br />
conflict resolution and achievement of productive goals.<br />
2:50 – 3:10 pm Break<br />
3:10 – 4:00 pm Strategic Planning – S Schneider<br />
<strong>The</strong> course will summarize the strategic planning procedures starting<br />
with why and when to undertake strategic planning. A general outline<br />
of the procedure will be discussed with examples of tools often used<br />
in the drafting of a plan such as SWOT analysis. Several templates<br />
of strategic plans will be discussed. Finally implementation and<br />
evaluation of the plan will be examined.<br />
Objectives:<br />
1. Describe the benefits of strategic planning and optimal times to<br />
undertake this endeavor.<br />
2. Describe the tools <strong>for</strong> creating a plan, including mission statement,<br />
vision statement, SWOT analysis.<br />
3. Describe the creation of a timeline and check points <strong>for</strong> the<br />
implementation of a strategic plan.<br />
4:00 – 5:30 pm Reception<br />
Wednesday May 15, 2013<br />
7:30 – 8:20 am Human Resources – L Zun<br />
Physician managers in emergency medicine frequently deal with<br />
human resource issues. Rarely are emergency physicians trained<br />
in hiring, firing, compensating and evaluating physicians, midlevel<br />
providers and others providers in the emergency department. Many of<br />
the human resource challenges will be addressed such as dealing with<br />
disruptive physicians, identifying impaired physicians, recruitment<br />
challenges and hiring the wrong care provider. Land mines that can<br />
*Additional fee and ticket required<br />
May 14-18, 2013 | Atlanta, Georgia 5
Senior Leadership Faculty Forum<br />
PT - 200 Conference Room 3<br />
Tuesday, May 14, 2013 - Wednesday, May 15, 2013 - 8:00 am - 5:00 pm<br />
interfere with operations of the emergency department such as<br />
wrongful discharge, conflict resolution and remediation will also<br />
be discussed. This presentation will provide the basic approach to<br />
human resource management <strong>for</strong> emergency physician managers to<br />
address many of the challenges and to avoid many of the landmines<br />
through a case based approach. This discussion will not address<br />
credentialing or privileging issues.<br />
Objectives:<br />
1. To understand the essential issues in human resources management.<br />
2. To use the best approach in hiring, firing, compensating, and<br />
advancing.<br />
3. To avoid the pitfalls in human resource management.<br />
8:30 – 9:20 am ED Operations Overview – K Robinson<br />
This presentation provide an overview of ED operations, including<br />
recent history, models and evidenced process improvements in ED’s,<br />
with a focus on academic ED when possible.<br />
Objectives:<br />
1. Describe the context in which ED operations per<strong>for</strong>mance<br />
improvement projects are conducted.<br />
2. Describe the most widely accepted model of Input-Throughput-<br />
Output <strong>for</strong> describing ED operations.<br />
3. Describe evidenced-based process improvements <strong>for</strong> many steps<br />
in the Input-Throughput-Output model.<br />
4. Identify key resources <strong>for</strong> further understanding of the ED<br />
Operations literature.<br />
9:30 – 10:20 am Change Management – T Sanson<br />
Leaders are judged in times of adversity and change, not in times<br />
of success. Change is very much a part of our everyday lives.<br />
Change leadership needs to be part of any leader’s essential skills.<br />
This presentation will identify the characteristics of leaders who<br />
initiate, guide, and provoke change. We will discuss how to catalyze<br />
people around change, how to recognize the personal and emotional<br />
difficulties people have with change. We will discuss how to encourage<br />
risk during volatile times while maintaining trust and wellness <strong>for</strong><br />
your organization. We will learn how to effectively lead staff to move<br />
through periods of disengagement and crisis.<br />
10:20 – 10:40 am Break<br />
10:40 – 11:30 am Negotiating <strong>for</strong> Your Department/Faculty<br />
– K Heilpern<br />
Objectives:<br />
1. To understand the interests of the university or administration.<br />
2. To understand the interests of the department or faculty.<br />
3. To gain knowledge about how to most effectively negotiate in<br />
support of your department or faculty.<br />
11:30 am – 12:30 pm Lunch<br />
12:30 – 1:20 pm Overview of Department Finance – J Bihun<br />
This session will focus on describing the various sources of<br />
departmental funding. It will help you appreciate what can be done<br />
to understand and to influence your department’s financial position.<br />
Objectives:<br />
1. Understand where departmental funds come from.<br />
2. Appreciate how funding amounts are determined.<br />
3. Learn about productivity and process variables that influence the<br />
financials.<br />
4. Gain a perspective on the typical expenses in an academic<br />
environment.<br />
1:30 – 3:30 pm Communication Skills – B Clyne<br />
Part I-Interpersonal Communication<br />
What type of first impression do you make? Does your body language<br />
convey confidence? Are you readily perceived as trustworthy? This<br />
interactive session focuses on the power of personal “presence” and<br />
how seemingly minor, yet controllable behaviors affect our ability<br />
to engage others and lead effectively. Participants will learn and<br />
practice nonverbal communicating skills to increase confidence,<br />
decrease stress and increase their leadership potential.<br />
Objectives:<br />
1. Understand the science and power of non-verbal communication.<br />
2. Learn to use body language and facial expressions to build rapport.<br />
3. Understand how posture and gesture affect confidence and<br />
leadership ability.<br />
Part II-Presenting To Change <strong>The</strong> World<br />
Are you an exceptional public speaker? Do you communicate clearly<br />
and with credibility? Exceptional presentation skills open doors<br />
to leadership opportunities. <strong>The</strong> first step toward improvement is<br />
understanding the components of any presentation. In this interactive<br />
session, participants will learn to create presentations with:<br />
• A Message that is focused and relevant.<br />
• Visuals that are simply designed and uncluttered.<br />
• A Delivery that is authentic and conversational.<br />
Objectives:<br />
1. Understand how to organize, refine and structure a presentation.<br />
2. Learn to create powerful visual aids that rein<strong>for</strong>ce key points.<br />
3. Practice techniques <strong>for</strong> engaging the audience.<br />
4. Learn to reduce nervous energy and avoid verbal fillers.<br />
*Additional fee and ticket required<br />
6 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
SAEM’s 14th Annual AEM Consensus Conference<br />
GLOBAL HEALTH AND EMERGENCY CARE: A RESEARCH AGENDA<br />
Wednesday, May 15, 2013 – Plaza Ballrooms A, B and C (10th level)<br />
7:30 - 8:00 am Registration<br />
8:00 - 8:10 am Welcome, Opening Remarks, Consensus Process Principles<br />
8:10 - 8:35 am Plenary Session 1: Defining Acute and <strong>Emergency</strong> Care as a Human Right and a Global Research Agenda<br />
Jeffrey P. Koplan MD, MPH, Vice President <strong>for</strong> Global Health; Director, Emory Global Health Institute Emory University<br />
8:35 - 9:20 am Discussion: Evidenced-Based Summary of the Trajectory of Global <strong>Emergency</strong> Care Research<br />
Adam C. Levine MD, MPH, Assistant Professor of <strong>Emergency</strong> <strong>Medicine</strong> Co-Director, Global <strong>Emergency</strong> <strong>Medicine</strong> Fellowship,<br />
Brown University Alpert Medical School; Clinical Advisor <strong>for</strong> <strong>Emergency</strong> and Trauma Care Partners in Health - Rwanda<br />
9:20 -9:50 am Plenary Session 2: HIV as a Global <strong>Emergency</strong>: Unique Opportunities in Treatment and Prevention<br />
Myron Cohen MD, J. Herbert Bate Distinguished Professor of <strong>Medicine</strong>, Microbiology and Immunology, and Epidemiology and<br />
Associate Vice Chancellor <strong>for</strong> Global Health, University of North Carolina at Chapel Hill<br />
9:50 - 10:00 am Break<br />
10:00 am - 12:00 pm Concurrent Breakout Session 1: Global Research, Collaboration from Nations to Specialties<br />
Breakout<br />
Topic<br />
1: Medical Education<br />
(UME, GME, CME)<br />
2: Data Collection,<br />
Management & Analysis<br />
3: Ethical Issues<br />
in Research:<br />
4: Funding<br />
Generating a research agenda <strong>for</strong> undergraduate,<br />
graduate, and post-graduate medical education in a<br />
global health setting, with the goal of better defining<br />
learner competencies, learner and program evaluation<br />
practices, and outcomes to learners and patients<br />
Analyzing how emergency care<br />
data in<strong>for</strong>ms systems development<br />
and prevention, such as burden of<br />
emergency care disease<br />
Discussing key ethical<br />
issues, including cultural<br />
considerations, consent<br />
IRBs, and publications<br />
Surveying global trends in<br />
research funding priorities<br />
<strong>for</strong> global acute and<br />
emergency care<br />
Breakout<br />
Session<br />
Leader(s)<br />
Ian Martin<br />
Janis Tupesis<br />
Hani Mowafi<br />
Teri Reynolds<br />
Mark Bisanzo<br />
Cameron Crandall<br />
Phillip Seidenberg<br />
Mark Hauswald<br />
Bhakti Hansoti<br />
Michelle Biros<br />
Jon Mark Hirshon<br />
Mark Hauswald<br />
Kinjal Sethuraman<br />
Scott Sasser<br />
Alex Vu<br />
Herbie Duber<br />
12:00 - 12:15 pm Break<br />
12:15 - 1:30 pm Lunchtime Keynote Panel Discussions: Cross-Cutting Issues in Conducting Global Research<br />
Linda C. Degutis DrPH, MSN (Moderator), Director, National Center <strong>for</strong> Injury Prevention and Control Centers <strong>for</strong> Disease Control<br />
and Prevention<br />
Meena Nathan Cherian MD, <strong>Emergency</strong> & Essential Surgical Care (EESC) Clinical Procedures Unit, Department of Health Systems Policies<br />
& Work<strong>for</strong>ce, World Health Organization<br />
Lee Wallis, MBChB, MD, FRCS, FCEM, FCEM(SA), FIFEM, Head of <strong>Emergency</strong> <strong>Medicine</strong>, Provincial Government Western Cape; Head,<br />
Division of <strong>Emergency</strong> <strong>Medicine</strong>, University of Cape Town and Stellenbosch University; President, African Federation <strong>for</strong> <strong>Emergency</strong><br />
<strong>Medicine</strong> (AFEM)<br />
Margaret M. Murray, PhD, Director, Global Alcohol Research Program, National Institute on Alcohol Abuse and Alcoholism, U.S. National<br />
Institutes of Health<br />
1:30 - 1:40 pm Break<br />
1:40 - 3:40 pm Concurrent Breakout Session 2: Practical Issues in Implementing and Sustaining <strong>Emergency</strong> Care Research in the Global Environment<br />
Breakout<br />
Topic<br />
5: Health Services<br />
6: Clinical/<br />
Translational Research:<br />
7: Health Systems Research: Vertical +<br />
Horizontal = Diagonal<br />
8: Basic Sciences<br />
Research/<br />
Resuscitation<br />
Examining critical vs. desired<br />
services in acute medical care at<br />
all levels of the healthcare system<br />
(community, primary health clinic,<br />
district hospital, referral hospital)<br />
Defining goals, priorities, and<br />
metrics when integrating<br />
research in a developing<br />
emergency care system<br />
Investigating Health Systems Research, one of a few<br />
dominant “health system” theories proposing that<br />
models can usefully deconstruct complex systems<br />
into more basic functions and components<br />
Learning about emerging<br />
resuscitation research, with<br />
a particular focus on injury<br />
and cardiac resuscitation<br />
Breakout<br />
Session<br />
Leader(s)<br />
Rachel T. Moresky<br />
Mark Bisanzo<br />
Regan Marsh<br />
Michael Runyon<br />
Hendry Sawe<br />
Christian <strong>The</strong>odosis<br />
Emilie Calvello<br />
Lee Wallis<br />
Tom Aufderheide<br />
Marcus Ong<br />
3:40 - 3:55 pm Break<br />
3:55 - 4:40 pm Discussion: Consensus Building <strong>for</strong> a Global Research Agenda in <strong>Emergency</strong> Care<br />
4:40 - 5:00 pm Closing Remarks<br />
*Additional fee required<br />
May 14-18, 2013 | Atlanta, Georgia 7
2013 SAEM Grant Writing<br />
Workshop<br />
Wednesday, May 15, 2013<br />
International H (6th Level)<br />
Breakout sessions in<br />
Tower Rooms 1405, 1406 & 1407<br />
7:30 am Continental Breakfast<br />
7:55 am Introduction (Prasanthi Govindarajan MD,<br />
University of Cali<strong>for</strong>nia, San Francisco)<br />
8:00 am Developing Your Funded EM Research<br />
Program (Lori Post PhD, Yale University)<br />
9:00 am <strong>The</strong> Anatomy of Science (Mark Angelos MD,<br />
<strong>The</strong> Ohio State University)<br />
9:30 am Writing the Specific Aims Section of the<br />
Grant (Jeffrey Kline MD, Indiana University)<br />
10:00 am Break<br />
10:15 am Developing the Grant Budget: Managing the<br />
Project Requirements within the Budget<br />
Restrictions (James Holmes MD, MPH, UC<br />
Davis)<br />
10:45 am Responding to Reviews and Resubmitting<br />
(Alan Jones MD, University of Mississippi)<br />
11:15 am NIH Review Session<br />
(Walter Koroshetz MD, NINDS)<br />
12:00 pm Networking Lunch (with course faculty)<br />
1:00 pm Small Group Session (with course faculty) *<br />
2:30 pm Break<br />
2:50 pm Career Development Awards<br />
(Manish Shah MD, University of Rochester)<br />
3:20 pm Career Development Grant Panel Discussion<br />
(Manish Shah MD, University of Rochester,<br />
moderator)<br />
3:50 pm Wrap-Up and Transition to Optional<br />
Breakout Session (with course faculty) **<br />
4:00 pm Optional Breakout Session<br />
5:00 pm Close<br />
Residency Program<br />
Update Session:<br />
What you HAVE to know from the RRC,<br />
to the NAS to the CCC<br />
Wednesday, May 15 – 8:30-2:30<br />
PT-200 Conference Room 1, 7th level<br />
Be sure to keep up-to-date with all of the latest in<strong>for</strong>mation to<br />
keep your residency running smoothly as we transition into the<br />
Next Accreditation System!<br />
Two sessions will focus predominantly on the latest in<strong>for</strong>mation<br />
from the ACGME including the Next Accreditation System (NAS),<br />
Milestones and Clinical Competency Committees. Sessions will<br />
focus on practical in<strong>for</strong>mation that you can use when you return<br />
home. <strong>The</strong> remaining two sessions will tackle the tough topics of<br />
faculty accountability and resident motivation, especially important<br />
as we move <strong>for</strong>ward with more complex educational systems.<br />
8:30 - 9:50 am RRC Update and Q&A Session:<br />
Wallace A. Carter MD &<br />
Lynne Meyer PhD, MPH<br />
10:00 - 11:00 am Faculty Accountability - From<br />
Didactics to the Bedside<br />
Sarah Stahmer MD<br />
11:00 am - 12:00 pm Trophies, Blue Ribbons...and the<br />
Woodshed - Motivating Residents in<br />
the Age of Milestones<br />
Damon Kuehl MD<br />
12:00 - 1:00 pm Break <strong>for</strong> Lunch<br />
1:00 - 2:30 pm Workshop on Clinical Competency<br />
Committees (CCC) - Everything You Need<br />
to Know to Create a Successful CCC<br />
Susan Promes MD & Mary Jo Wagner MD<br />
*Small Group Session: Participants will rotate through four 20-minute skillbuilding<br />
stations which will each focus on a specific aspect of successful grant<br />
writing. Stations will include: specific aims section, training plan and letter of<br />
recommendation from primary mentor, revising and resubmitting grants, and<br />
managing your grant budget.<br />
**Optional Breakout Session: During this optional session, participants who<br />
have submitted grants <strong>for</strong> feedback will have the opportunity to speak one-onone<br />
with reviewers to discuss how they can improve their applications.<br />
Additional fee and ticket required<br />
8 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
2013 SAEM Resident Leadership Forum<br />
Thursday, May 16, 2013<br />
PT-200 Conference Room 1-2-3<br />
Resident Leadership Track<br />
7:00 - 7:30 am Breakfast/Introductions<br />
7:30 - 8:00 am Hidden Gems:<br />
Developing the Leader Within You<br />
(Top 10 Attributes of Successful Leaders)<br />
Robert Hockberger and Bill Barsan<br />
8:00 - 8:30 am Talk the Talk: Maximizing Your<br />
Communication & Negotiation Skills<br />
Jim Adams<br />
8:30 – 9:00 am Have A Vision: Identifying and<br />
Developing Your Career Leadership Track<br />
Andra L. Blomkalns<br />
9:00 - 9:30 am Reaching <strong>for</strong> the Stars:<br />
Roadmap to National Leadership<br />
Cherri Hobgood<br />
9:30-10:00 am Break / Move to Separate Track Rooms<br />
Chief Resident Forum Track<br />
10:00 - 10:30 am Wish I’d Thought of That:<br />
Transitioning to the CR Leadership Role<br />
Felix Ankel and Eric Katz<br />
10:30 - 11:00 am Caught in the Middle!<br />
<strong>The</strong> Art of Middle Management<br />
(Delegation, Meetings, 360° Management,<br />
Managing Up/Managing Down)<br />
Jennifer Walthall MD<br />
11:00 – 11:50 am Don’t Waste Your Energy:<br />
RRC Non-Negotiables<br />
(Lunch with the Program Directors)<br />
PDs<br />
11:50 am - 12:00 pm Break<br />
12:00 - 1:15 pm You Can’t Do That:<br />
Managing Difficult Resident Problems<br />
(Dealing with the “Resident in Crisis”:<br />
Depression/Suicide, Drug / Alcohol Abuse,<br />
Unprofessional / Disgruntled / Tardy<br />
Resident; Sexual Harassment, Resident<br />
Health Issues, Confidentiality and Fairness<br />
Issues)<br />
Phillip Shayne MD<br />
Mary Jo Wagner MD<br />
Steve Bowman MD<br />
1:15 - 1:45 pm And <strong>The</strong> Answer Is…<br />
Pearls and Pitfalls From Former CRs<br />
(SAEM / EMRA / AAEM RSA<br />
Chief Resident Panel)<br />
EMRA/AAEMRSA<br />
1:45 - 2:00 pm Move to Keynote<br />
2:00 - 3:00 pm SAEM Keynote Address:<br />
Dr. Thomas Frieden, CDC Director<br />
3:00 - 3:30 pm Break<br />
3:30 - 5:00 pm SAEM Plenary Session<br />
Resident <strong>Academic</strong> Track<br />
10:00 - 10:30 am Is This For Me?<br />
Selecting and Planning an <strong>Academic</strong> Career<br />
(includes Promotion and Tenure discussion)<br />
Carey Chisholm<br />
10:30 - 11:15 am Point-Counterpoint: All <strong>Academic</strong> Faculty<br />
Should Be Fellowship Trained<br />
Don Yealy and Paul Pepe<br />
11:15 am - 12:05 pm Lunch with <strong>Academic</strong> Leaders<br />
12:05 - 12:15 pm Break<br />
12:15 - 12:45 pm Fostering <strong>Academic</strong> Productivity &<br />
Research <strong>for</strong> All Faculty<br />
Alan Jones<br />
12:45 - 1:15 pm In the Spotlight: Teaching Anywhere<br />
Mike Epter<br />
1:15 - 1:45 pm Survival 101: Work-Life Balance/Wellness<br />
Jason Liebzeit<br />
1:45 - 2:00 pm Move to Keynote<br />
2:00 - 3:00 pm SAEM Keynote Address:<br />
Dr. Thomas Frieden, CDC Director<br />
3:00 - 3:30 pm Break<br />
3:30 - 5:00 pm SAEM Plenary Session<br />
May 14-18, 2013 | Atlanta, Georgia 9
Medical Student Symposium<br />
friday, may 17, 2013 – 8:00am - 2:00pm<br />
Augusta Room 1-2-3 (Seventh Level)<br />
Objectives<br />
<strong>The</strong> Medical Student Symposium is primarily tailored<br />
to medical students who have identified emergency<br />
medicine as their future specialty but is also valuable<br />
<strong>for</strong> students still contemplating specialty choice. <strong>The</strong><br />
symposium includes presentations from seasoned EM<br />
educators, roundtable discussions geared <strong>for</strong> more<br />
individualized guidance, lunch with residency program<br />
directors, and a panel discussion with current EM<br />
residents. Major themes of the symposium include<br />
highlighting career options within EM and navigating the<br />
residency application and selection process. <strong>The</strong> program<br />
is followed by a residency fair representing most EM<br />
programs from across the county<br />
At the completion of the session,<br />
participants will be able to:<br />
1) Assess their personal and career goals<br />
that make EM a good “fit”,<br />
2) Identify the multitude of career paths<br />
that exist within EM,<br />
3) Optimize their fourth-year schedule,<br />
4) Maximize their per<strong>for</strong>mance in the EM clerkship,<br />
5) Identify key factors and variables<br />
in selecting potential training programs,<br />
6) Assemble a strong and compelling application<br />
package, and<br />
7) Per<strong>for</strong>m their best during interviews.<br />
7:30 – 7:45 am Welcome<br />
Todd Guth MD, University of Colorado<br />
7:45 - 8:15 am Is EM Right <strong>for</strong> Me?<br />
Jason Liebzeit MD, Emory University<br />
8:15 - 8:45 am Oh, the Places You’ll Go: Career Paths in EM<br />
Herbert Hern MD, Alameda County Medical Center<br />
8:45 - 9:15 am Q&A with Drs. Liebzeit & Hern<br />
9:15 - 9:30 am Break<br />
9:30 – 10:00 am How to Shine and Get the Most<br />
out of Your EM Clerkship<br />
Gus Garmel MD,<br />
Stan<strong>for</strong>d University/Kaiser Permanente<br />
10:00 – 10:30 am Finding the Match Made in Heaven: How to Select<br />
the Right Residency<br />
James Colletti MD, Mayo Clinic, Rochester<br />
10:30-11:00 am Mistakes EM Students and Applicants Make<br />
Maria Moreira MD,<br />
Denver Health Medical Center - University of Colorado<br />
11:00 – 11:30 am Q&A with Drs. Garmel, Colletti & Moreira<br />
11:30 am – 1:00 pm Lunch with Program Directors<br />
1:00 – 1:30 pm <strong>The</strong> Written Word: SLORs, MSPE,<br />
& the Personal Statement<br />
Bernard Lopez MD, Jefferson Medical College<br />
1:30 – 2:00 pm <strong>The</strong> Interview: Selling Yourself without<br />
Shooting Yourself<br />
Michael Gisondi MD, Northwestern University<br />
2:00 – 2:15 pm Q&A with Drs. Lopez and Gisondi<br />
2:15 – 3:00 pm Small Group Breakout Sessions<br />
3:00 - 3:15 pm Break<br />
Osteopathic Students -<br />
Marc Squillante DO,<br />
University of Illinois College of <strong>Medicine</strong> at Peoria<br />
Women in EM<br />
Tracy Sanson MD, University of South Florida<br />
international Medicals Students<br />
Christain Jacobus MD, Synergy Medical Education<br />
Alliance<br />
Strategic Planning <strong>for</strong> M1&M2 Students<br />
Jeffrey Barrett MD, Temple University<br />
Optimizing Your Fourth-Year Schedule<br />
Jennifer Avegno MD, Louisiana State University<br />
3:15 - 4:30 pm Resident Panel (EMRA and AAEM-RSA)<br />
4:30 – 6:30 pm Residency Fair<br />
10 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
JUNIOR FACULTY DEVELOPMENT FORUM<br />
friday, may 17 – 8:00 am - 2:00 pm<br />
PT Conference Room 3<br />
Overall Workshop Objectives:<br />
• Provide specific guidance on building a<br />
foundation <strong>for</strong> success in academic EM<br />
• Develop and cultivate junior faculty to<br />
become the next generation of academic<br />
leaders in research, administration and<br />
education<br />
• Nurture emergency medicine junior faculty<br />
collegiality and collaborations across<br />
institutions<br />
By the end of this program,<br />
participants will<br />
1. Understand the structure of a career in<br />
academic emergency medicine, including a<br />
general overview of the promotion process<br />
2. Receive an overview of 3 major career<br />
pathways in academic EM: Administration,<br />
Research and Education<br />
3. Gain insight into the skills and steps<br />
required <strong>for</strong> success in EM administration<br />
4. Review strategies <strong>for</strong> success in medical<br />
education, including mechanisms <strong>for</strong> more<br />
effective teaching and feedback<br />
5. Understand fundamental skills of creating<br />
a career in EM research, including a review<br />
of funding mechanisms<br />
6. Receive specific advice <strong>for</strong> successful<br />
professional development from current<br />
leaders in the field<br />
8:00 – 8:55 am Overview of <strong>Academic</strong> <strong>Medicine</strong>: How to Survive<br />
& Thrive<br />
Speakers: Philip Shayne MD and Terry Kowalenko MD<br />
• Summarize the three pillars of academic medicine: clinical care, research and education.<br />
• Understand what makes a career in academic medicine unique.<br />
• Examine the distinctive challenges that face junior faculty.<br />
9:00 – 9:55 am Developing Skills in EM Administration<br />
Speakers: Leon Haley MD and Eric Gross MD<br />
• Review ED administration positions and potential avenues to reach these positions/careers.<br />
• Highlight the pros and cons of ED Administration roles.<br />
• Describe leadership principles and characteristics necessary <strong>for</strong> ED Administration.<br />
10:00 – 11:25 am Developing Skills in EM Education<br />
Speakers: Fiona Gallahue MD, David Gordon MD and Brian Stettler MD<br />
• Gain a basic understanding of the continuum of medical education and relevant accreditation<br />
agencies and requirements.<br />
• Examine educational leadership opportunities in medical education.<br />
• Identify the diverse venues and learners faculty teach at academic medical centers.<br />
• Highlight the critical need to provide effective feedback to learners.<br />
• Acquire basic skills in teaching, giving feedback and evaluation.<br />
• Discuss the challenges and strategies <strong>for</strong> managing poorly per<strong>for</strong>ming residents.<br />
11:30 am – 12:55 pm Developing Skills in Research<br />
Speakers: Jason Haukoos MD, MS, Tamara Espinoza MD and David Cone MD<br />
• Provide a general overview of funding structures <strong>for</strong> academic medicine and EM more specifically.<br />
• Detail the step-by-step process <strong>for</strong> setting up a research project.<br />
• Highlight skills necessary to lead effective and successful research programs.<br />
• Understand the importance of fostering innovation and teamwork/collaboration <strong>for</strong> a successful<br />
research career.<br />
• Discuss grant opportunities.<br />
• Identify the varied venues <strong>for</strong> sharing research findings with academic colleagues.<br />
12:40 - 1:55 pm Senior Faculty Roundtable: “Lessons Learned: If I<br />
Knew <strong>The</strong>n What I Know Now…”<br />
• Learn from senior faculty the opportunities, support, resources, and relationships that will foster a<br />
successful academic career.<br />
• Understand the benefits and the logistics of identifying and working with a mentor.<br />
Moderator: Andra Blomkalns MD<br />
Speaker: Brian Zink MD<br />
Roundtable Discussants: Brian Clyne MD, Deborah Diercks MD, Kate Heilpern MD,<br />
Cherri Hobgood MD, Alan Jones MD<br />
May 14-18, 2013 | Atlanta, Georgia 11
SAEM ANNual business meeting<br />
Friday, May 17, 2013, 3:30 – 5:00 pm<br />
<strong>The</strong> Westin Peachtree Plaza, Atlanta, GA – Room: Plaza Ballroom A-B-C<br />
All SAEM members are urged to attend<br />
Keynote Speakers: <strong>The</strong> Future of Health Care Re<strong>for</strong>m<br />
and Implications <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
a. Gordon Wheeler, Associate Executive Director of the Public<br />
Affairs Division/Washington Office, ACEP<br />
b. Atul Grover MD, PhD, Chief Public Policy Officer, AAMC<br />
c. Walter J. Koroshetz MD, Deputy Director, National Institute of<br />
Neurological Disorders and Stroke (NINDS), Acting Director, NIH<br />
Office of <strong>Emergency</strong> Care Research<br />
SAEM Awards – Cherri D. Hobgood MD and<br />
Alan E. Jones MD<br />
a. Hal Jayne Excellence in Education Award<br />
- Michael S. Beeson MD, FACEP<br />
b. Excellence in Research Award – Gail D’Onofrio MS, MD<br />
c. John Marx Leadership Award – Vincent P. Verdile MD, FACEP<br />
d. Young Investigator Awards<br />
– Nathan J. White MD, MS; Daniel K. Nishijima MD, MAS;<br />
Comilla Sasson MD, MS<br />
e. Advancement of Women in <strong>Academic</strong> <strong>Emergency</strong><br />
<strong>Medicine</strong> Award<br />
- Kathleen J. Clem BSN, MD, FACEP<br />
f. Master Clinician Bedside Teaching Award: Erik G. Laurin MD<br />
Grant Presentations<br />
– Spada<strong>for</strong>a Toxicology Scholarship<br />
Meghan Spyres MD, NYU School of <strong>Medicine</strong><br />
– Research Training Grant<br />
J. Scott VanEpps MD, PhD, University of Michigan<br />
– Institutional Research Training Grant<br />
Roland C. Merchant MD, MPH, ScD, Rhode Island Hospital<br />
SAEM-approved Research Fellows<br />
Jestin Carlson MD, University of Pittsburgh<br />
Anitha Mathew MD, Emory University<br />
Danielle McCarthy MD, Northwestern University<br />
Bryn Mumma MD, University of Cali<strong>for</strong>nia, Davis<br />
SAEM Academy Awards<br />
– Academy <strong>for</strong> Diversity & Inclusion in <strong>Emergency</strong> <strong>Medicine</strong><br />
• Marcus L. Martin Leadership Award - Lisa Moreno-Walton<br />
MD, Louisiana State University Health Sciences Center<br />
• Visionary Educator Award - Iris M. Reyes MD, Perelman<br />
School of <strong>Medicine</strong>, University of Pennsylvania<br />
• Outstanding <strong>Academic</strong>ian Award - Jeffrey P. Druck MD,<br />
University of Colorado School of <strong>Medicine</strong><br />
• Outstanding Future <strong>Academic</strong>ian Award - Juron Foreman MD,<br />
Emory University School of <strong>Medicine</strong><br />
– Academy <strong>for</strong> Women in <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
• Early Career Faculty Award - Renee Yuen-Jan Hsai MD, MSc<br />
• Outstanding Resident Award - Laura N. Med<strong>for</strong>d-Davis MD<br />
• Research Award - Debra Elaine Houry MD, MPH<br />
– Clerkship Directors in <strong>Emergency</strong> <strong>Medicine</strong><br />
• Outstanding Clerkship Director Award<br />
• Outstanding Young Educator Award<br />
• Innovation in Medical Education Award<br />
– Global <strong>Emergency</strong> <strong>Medicine</strong> Academy<br />
• Presidential Lifetime Achievement Award<br />
• EM Globalization and Advancement Award<br />
• <strong>Academic</strong> Achievement Award<br />
• Humanitarian Service Award<br />
• Young Physician Award<br />
2012 Annual Meeting Awards<br />
Best Faculty Presentation<br />
– Alan E. Jones MD, University of Mississippi Medical Center<br />
Best Young Investigator Presentation<br />
– William J. Meurer MD, University of Michigan Medical School<br />
Best Basic Science Presentation<br />
– Nathan J. White MD, University of Washington<br />
School of <strong>Medicine</strong><br />
Best Resident Presentation<br />
– Nicole Dubosh MD, Beth Israel Deaconess Medical Center/<br />
Harvard Medical School<br />
Best Fellow Presentation<br />
– Darlene R. House MD, Indiana University School of <strong>Medicine</strong><br />
Best Medical Student Presentation<br />
– Andrew J. Thomas MPH, Oregon Health & Science University<br />
School of <strong>Medicine</strong><br />
Resident Visual Diagnosis Contest Winner<br />
– Elizabeth Placzek MD, Regions Hospital/Children’s Hospital<br />
Medical Student Visual Diagnosis Contest Winner<br />
– Felix Huang, University of Illinois College of <strong>Medicine</strong><br />
SAEM Annual Business Meeting<br />
a. AEM Report<br />
b. Treasurer’s Report<br />
c. Election Results<br />
d. Recognition of Board of Director members whose terms<br />
are expiring<br />
e. Remarks of Outgoing President – Cherri D. Hobgood MD<br />
f. Introduction of 2013-14 President – Alan E. Jones MD<br />
Other New Business<br />
Adjournment<br />
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<br />
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.<br />
12 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Best of CORD<br />
Friday, May 17, 2013 – 10:00 am - 12:00 pm<br />
International Room B (seventh Level)<br />
Web 2.0: 10:00-10:45 am<br />
Robert Cooney MD; Michael Bond MD; Michelle Lin MD<br />
This session will detail the current trends in Web 2.0 technology and how they<br />
apply to emergency medicine education. Participants will learn how people<br />
are using blogs, wikis, and podcasts in medical education and will be given a<br />
plan how to develop their own blog, wiki, or podcast. In addition to covering<br />
the basics of voice recording and podcast design, the presenters will discuss<br />
and demonstrate how to incorporate vodcasting (video and audio) into<br />
medical education.<br />
Objectives:<br />
• Understand the uses of web 2.0 tools, including blogs, podcasts, and wikis<br />
• Choose among the tools and effectively apply the tools to medical education<br />
at their institution<br />
• Demonstrate the basic principles of creating a basic blog, wiki, and podcast<br />
• Understand how to use vodcasting in medical education<br />
Social Media & Professionalism: 10:45-11:30am<br />
Hollynn Larrabee MD; Janis Tupesis MD<br />
Social Media plays an increasingly large role in our day-to-day interactions.<br />
Studies have demonstrated an increasing number of physicians are using<br />
Facebook, Google, Twitter, and other electronic accounts in their daily life.<br />
This session will discuss the current social media environment as well as the<br />
possible risks to professionalism that can occur. <strong>The</strong> session will address how<br />
to educate your department on the pitfalls of social media using examples<br />
from medical education and legal cases. <strong>The</strong> talk will conclude with examples<br />
of how to develop an individualized social media policy.<br />
Objectives:<br />
• Describe how social media has impacted professionalism<br />
• Discuss social media utilization effectively with residents and faculty<br />
• Develop social media policies to protect your department and institution.<br />
ED Transitions of Care - What Constitutes a Good<br />
Handoff Between ED Residents: 11:30 am - 12:00 pm<br />
Gene Hern MD<br />
Handoffs present a risk <strong>for</strong> communication error and may adversely affect<br />
appropriate patient care. Although standardization is widely believed to be<br />
the means to improve handoff efficacy, consensus on the procedural and<br />
logistical components of an effective handoff has not yet been reached. This<br />
workshop will use several simulated resident-to-resident handoff videos,<br />
followed by small group discussions of the data points required <strong>for</strong> a safe,<br />
effective handoff. This session serves as an opportunity to reflect on the<br />
needed communication skills of residents delivering handoff in<strong>for</strong>mation<br />
to peers in the time-pressured, easily distractible environment of a busy<br />
ED. Tools to provide resident feedback and education in the context of Joint<br />
Commission National Patient Safety Goals and ACGME expectations will be<br />
reviewed, as will the assessment of resident competency with the handoff<br />
process. Strategies <strong>for</strong> clear documentation of the time <strong>for</strong> transition of<br />
care will also be explored.<br />
Objectives:<br />
• Describe best practices <strong>for</strong> what constitutes a good handoff.<br />
• Define best practices <strong>for</strong> safe, complete resident handoffs.<br />
• Describe best practices <strong>for</strong> effective feedback to residents after<br />
handoffs have occurred.<br />
May 14-18, 2013 | Atlanta, Georgia 13
PHOTOGRAPHY EXHIBIT & VISUAL DIAGNOSIS CONTEST<br />
<strong>The</strong>re were 52 cases and photos submitted to the Program<br />
Committee <strong>for</strong> consideration of presentation at the Annual Meeting.<br />
Selected photos and cases will be displayed in two <strong>for</strong>mats.<br />
Photography Exhibit &<br />
Visual Diagnosis Participants<br />
Medical students and residents will be invited to participate in<br />
the Visual Diagnosis Contest. Winners in both medical student<br />
and resident categories will be awarded a one-year membership<br />
to SAEM, including a subscription to the <strong>Academic</strong> <strong>Emergency</strong><br />
<strong>Medicine</strong> Journal (AEM), free registration to attend the 2014 SAEM<br />
Annual Meeting in Dallas, a major emergency medicine textbook,<br />
and a subscription to the SAEM Newsletter. Recipients will be<br />
announced in the July/August issue of the SAEM Newsletter.<br />
“Clinical Pearls” photos will be displayed <strong>for</strong> the benefit of all<br />
attendees. <strong>The</strong>se photos will include a case history, as well as the<br />
diagnosis and “take home” points. SAEM is proud to display original<br />
photos of educational value and gratefully acknowledges the ef<strong>for</strong>ts<br />
of the individuals who contributed to this year’s Clinical Pearls and<br />
Visual Diagnosis Contest entries.<br />
2013 SAEM Medical Photography<br />
Exhibit/Visual Diagnosis Contest<br />
Please join us <strong>for</strong> our annual exhibition of outstanding medical<br />
photographic images, which will be on display throughout<br />
the duration of our Annual Meeting in the main poster hall.<br />
<strong>The</strong> images will be presented initially as case unknowns, with<br />
challenging questions to answer <strong>for</strong> the viewer’s interest. If<br />
desired, residents and medical students may enter answer<br />
sheets <strong>for</strong> a contest that will reward the highest scoring entrant<br />
in each category with a copy of the textbook, <strong>The</strong> Atlas of<br />
<strong>Emergency</strong> <strong>Medicine</strong>, featuring over 1,500 high-quality medical<br />
images. Entries <strong>for</strong> the contest will be accepted from May 15<br />
at 8:00 am to May 16 at 4:00 pm, when the contest officially<br />
closes. At this time, all answers <strong>for</strong> the case unknowns will be<br />
posted alongside the images. Additionally, we will offer teaching<br />
rounds <strong>for</strong> anyone interested, and our faculty volunteers will<br />
“round” on the cases with participants at 4:00 pm on May 16,<br />
9:00 am on May 17, and 3:00 pm on May 17, teaching on the<br />
cases and answering questions along the way. We look <strong>for</strong>ward<br />
to seeing you at the exhibit this year!<br />
Brett Monroe MD<br />
Baylor College of <strong>Medicine</strong><br />
Patrick Sullivan MD<br />
Brown University/Rhode Island<br />
Hospital<br />
Neha Raukar MD, MS, FACEP<br />
Brown University/Rhode Island<br />
Hospital<br />
Nicholas Caputo MD<br />
Columbia University Medical Center<br />
Elizabeth Dubey MD<br />
Columbia University Medical Center<br />
Sukru Ardic MD<br />
Gulhane Military Medical Academy<br />
Ibrahim Arziman MD<br />
Gulhane Military Medical Academy<br />
Teymur Caferov MD<br />
Gulhane Military Medical Academy<br />
M. Emre Kesim MD<br />
Gulhane Military Medical Academy<br />
Ken Adams MD<br />
Lincoln Medical & Mental Health Center<br />
Lisa Moreno-Walton MD, MS, MSCR<br />
Louisiana State University<br />
Marney Gruber MD<br />
Louisiana State University<br />
Ian C. May MD<br />
Madigan Army Medical Center<br />
Gerald J. Hopkins MD<br />
Madigan Army Medical Center<br />
Ian Wedmore MD<br />
Madigan Army Medical Center<br />
Suzanne Bialeck MD<br />
Maimonides Medical Center<br />
David Saloum MD<br />
Maimonides Medical Center<br />
Lawrence Haines MD<br />
Maimonides Medical Center<br />
Steve C. Christos DO, MS, FACEP,<br />
FAAEM<br />
Resurrection Medical Center<br />
Joseph Grueter MD<br />
Resurrection Medical Center<br />
Suzanne Roozendaal MD<br />
St. Luke’s University Health Network<br />
Grant Lipman MD<br />
Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
Eric Ladd MD<br />
Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
Randy Barros MD<br />
SUNY Upstate Medical University<br />
Nicholas E. Nacca MD<br />
SUNY Upstate Medical University<br />
Brian T. Kloss MD<br />
SUNY Upstate Medical University<br />
Richard Cantor MD<br />
SUNY Upstate Medical University<br />
Meenal Sharkey MD<br />
<strong>The</strong> Ohio State University<br />
Sarah Greenberger MD<br />
<strong>The</strong> Ohio State University<br />
Maxwell Hill MD<br />
<strong>The</strong> Ohio State University<br />
Tapan Desai DO<br />
Thomas Jefferson University<br />
Masashi Rotte MD<br />
Thomas Jefferson University<br />
Van Ton MD<br />
Thomas Jefferson University<br />
Joseph Portale MD<br />
Thomas Jefferson University<br />
Natalie Kreitzer MD<br />
University of Cincinnati<br />
Francisco Fernandez MD<br />
University of Cincinnati<br />
Jeremy Fried MD<br />
University of Connecticut<br />
Veronica Tucker DO<br />
University of Connecticut<br />
Joseph Shiber MD<br />
University of Florida, Jacksonville<br />
Emily Fontane MD<br />
University of Florida, Jacksonville<br />
Petra Duran MD, RDMS<br />
University of Florida, Jacksonville<br />
Brian Hawkins MD<br />
University of Kentucky<br />
Kelly Barnett MD<br />
University of Kentucky<br />
Zachary Dezman MD<br />
University of Maryland<br />
T. Andrew Windsor MD<br />
University of Maryland<br />
Nicholas Daniel MD<br />
University of Nebraska<br />
Brian Doane MD<br />
University of Southern Cali<strong>for</strong>nia<br />
Shannon Langston MD<br />
Vanderbilt University Medical School<br />
Greg Christiansen DO, Med, FACOEP<br />
Virginia Commonwealth University<br />
14 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Business Meeting ~ Wednesday, May 15, 2013<br />
8:00 am - 12:00 pm<br />
Vinings Room I on 6th Level<br />
8:00 am - 9:30 am<br />
General Business Meeting<br />
9:30 am - 11:30 am<br />
Presentation of the AAAEM<br />
Annual Benchmark Survey Results<br />
Panel discussion on how to use<br />
data within your department,<br />
hospital or clinical practice.<br />
11:30 am - 12:00 pm<br />
Wrap Up<br />
For more in<strong>for</strong>mation on how to<br />
become a member of AAAEM<br />
visit us www.saem.org<br />
May 14-18, 2013 | Atlanta, Georgia 15
Our Mission<br />
Academy <strong>for</strong> Diversity and<br />
Inclusion in <strong>Emergency</strong> <strong>Medicine</strong><br />
•To promote equal access to<br />
quality healthcare and the<br />
elimination of disparities in<br />
treatment and outcomes <strong>for</strong><br />
all groups regardless of race,<br />
sexual orientation, disability,<br />
or socioeconomic status<br />
through education and<br />
research<br />
•To enhance the retention and<br />
promotion of those historically<br />
underrepresented in<br />
medicine and to create an<br />
inclusive environment <strong>for</strong> the<br />
training of emergency<br />
medicine providers;<br />
specifically using the AAMC’s<br />
guide “to unite expertise,<br />
experience, and innovation to<br />
in<strong>for</strong>m and guide the<br />
advancement of diversity and<br />
inclusion in emergency<br />
medicine”<br />
•To enhance the professional<br />
development of all EM faculty<br />
and residents with respect to<br />
culturally competent medical<br />
care<br />
Why is ADIEM important?<br />
Although the U.S. population<br />
continues to become more<br />
diverse, ethnic and racial<br />
health care disparities persist.<br />
<strong>The</strong> benefits of a diverse<br />
medical work<strong>for</strong>ce have been<br />
well described, but the<br />
percentage of emergency<br />
medicine residents from<br />
underrepresented groups is<br />
small and has not significantly<br />
increased. ADIEM has<br />
partnered in a more powerful<br />
way with SAEM, working<br />
towards the realization of our<br />
common goals of diversifying<br />
the physician work<strong>for</strong>ce at all<br />
levels, eliminating disparities<br />
in health care and outcomes,<br />
and insuring that all<br />
emergency physicians are<br />
delivering culturally<br />
competent care.<br />
Dear friends,<br />
In ADIEM’s inaugural year, we are delighted to highlight our events <strong>for</strong> the SAEM<br />
Annual Meeting. It is particularly meaningful <strong>for</strong> me as president of ADIEM and faculty<br />
at Emory to welcome you to my home city of Atlanta. We are particularly pleased with<br />
ADIEM’s didactics, including one that takes a historical look at diversity and inclusion<br />
in emergency medicine in SAEM, and our groundbreaking didactic on LGBT health.<br />
Our business meeting lends itself to<br />
networking and sharing of ideas to expand our<br />
mission of addressing cultural awareness <strong>for</strong><br />
all people. We had several submissions from<br />
across the nation, and we look <strong>for</strong>ward to<br />
learning more and engaging in these very<br />
important topics. <strong>The</strong> poster presentations<br />
include “Barriers to the <strong>Emergency</strong><br />
Department Utilization of Interpreter Services”<br />
and “Cultural Competencies in <strong>Emergency</strong><br />
<strong>Medicine</strong>: Caring <strong>for</strong> Muslim-American<br />
Patients from the Middle East.”<br />
Each year, we also honor and celebrate<br />
SAEM members in several award categories.<br />
This year’s winners are:<br />
Marcus L. Martin Leadership Award<br />
Dr. Lisa Moreno-Walton, LSU Health Science Center<br />
Visionary Educator Award<br />
Dr. Iris Reyes, Univ. of Pennsylvania’s Perelman SOM<br />
Outstanding <strong>Academic</strong>ian Award<br />
Dr. Jeffrey Druck, Univ. of Colorado<br />
Outstanding Future <strong>Academic</strong>ian Award<br />
Dr. Juron Foreman, Emory SOM<br />
Lastly, another activity on the horizon in which several<br />
ADIEM members participate is the upcoming conference<br />
of the National Medical Association Section of<br />
<strong>Emergency</strong> <strong>Medicine</strong>. Leaders of ACEP and AAEM will<br />
be present at this event, scheduled to be held July<br />
27-31 in Toronto, Canada. All are invited to participate in<br />
a national discussion on health disparities with this<br />
year’s focus on the obesity epidemic and how<br />
emergency providers can be part of the solution. Visit<br />
www.nmanet.org <strong>for</strong> more in<strong>for</strong>mation.<br />
Thank you <strong>for</strong> your commitment to and engagement in the<br />
topics of diversity and inclusion in <strong>Emergency</strong> <strong>Medicine</strong>.<br />
Sincerely,<br />
Sheryl Heron, MD, MPH<br />
President - ADIEM<br />
ADIEM Events at SAEM<br />
Business meeting<br />
(May 15 1:00 - 5:00 pm - Vinings Rm I [6th<br />
floor])<br />
Inaugural Didactic Presentations<br />
(May 16 8:00 - 10:00 am -<br />
International Rm B [6th floor])<br />
“LGBT Health: Educating EM Physicians<br />
to Provide Equitable and Quality Care”<br />
“Disparities and Diversity in <strong>Emergency</strong><br />
<strong>Medicine</strong>: SAEM - Where are we now?”<br />
NMA Annual Convention<br />
and Scientific Assembly<br />
www.saem.org : membership@saem.org<br />
16 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
All are invited to AGEM’s exciting slate of didactic and research presentations . . . . . . .<br />
DIDACTIC PRESENTATIONS<br />
Thursday, May 16<br />
(Vinings II Room – 6 th Level) Floor)<br />
8:00 - 9:00 am AGEM Business Meeting<br />
9:00 - 10:00 am “Oncologic <strong>Emergency</strong> <strong>Medicine</strong>: An Emerging Subdiscipline?”<br />
Knox H. Todd, MD, MPH<br />
Professor and Chair; Department of <strong>Emergency</strong> <strong>Medicine</strong>, MD Anderson Cancer Center<br />
10:00 - 11:00 am "Working with Your Institution to Geriatricize Your ED"<br />
Kevin Biese MD, MAT, Associate Professor, <strong>Emergency</strong> <strong>Medicine</strong> Residency Director,<br />
University of North Carolina<br />
and<br />
Ula Hwang, MD, MPH, Associate Professor of <strong>Emergency</strong> <strong>Medicine</strong>, Geriatrics, and<br />
Palliative <strong>Medicine</strong>, Icahn School of <strong>Medicine</strong> at Mount Sinai<br />
AGEM FEATURED PRESENTATION<br />
11:00 am - 12:00 pm “Seeking AGEM Grant Support FEATURED from PRESENTATION<br />
Foundations: Understanding Mission-Driven<br />
11:00 am 12:00 pm<br />
Philanthropy”<br />
“Seeking Grant Support from Foundations: Understanding Mission-Driven<br />
Marcus<br />
Philanthropy”<br />
Escobedo, MPA<br />
Program Officer, <strong>The</strong> John<br />
Marcus<br />
A. Hart<strong>for</strong>d<br />
Escobedo,<br />
Foundation<br />
MPA, Program Officer, <strong>The</strong> John A. Hart<strong>for</strong>d Foundation<br />
Friday, May 17<br />
(International Room D, 6 th Level) Floor)<br />
8:00 - 9:30 am “In<strong>for</strong>med Consent in <strong>Emergency</strong> Research – Pitfalls and Practical Pearls.”<br />
Ula Hwang MD, MPH; Adit Ginde MD, MPH; Jin Han MD, MSc; Lynne Richardson, MD<br />
9:30 – 10:00 am “Models of Subspecialty Geriatric <strong>Emergency</strong> Departments – <strong>The</strong> Silver Tsunami: <strong>The</strong><br />
Top Ten Interventions <strong>for</strong> Establishing a Geriatric (-Friendly) ED”<br />
Kathleen Walsh, MD<br />
GERIATRICS-RELATED ORAL PRESENTATIONS<br />
Wednesday May 15 11:00 am – 12:00 pm Geriatric Pain Oral Presentations (Atlanta G)<br />
Thursday May 16 8:00 – 9:00 am Geriatrics Oral Presentations (Atlanta B)<br />
Thursday May 16 12:00 – 1:00 pm Geriatric Trauma Oral Presentations (Atlanta A)<br />
Friday May 17 9:00 – 10:00 am Geriatrics Lightning oral (Roswell 2)<br />
Friday May 17 1:00 – 2:00 pm Geriatrics Lightning oral (Atlanta A)<br />
AGEM is grateful <strong>for</strong> the support of the following institutions through AGEM group memberships:<br />
May 14-18, 2013 | Atlanta, Georgia 17
Thursday, May 16<br />
Thursday, May 16<br />
AEUS small group meetings<br />
(committee members only)<br />
AEUS small group meetings<br />
Room: Tower Room 1401<br />
(committee members only)<br />
Room: Tower Room 1401<br />
8:00 -8:50 am REASON Trial<br />
9:00 8:00 –-8:50 9:50 am am REASON EUSFellowships Trial<br />
9:00 10:00 –– 9:50 10:50 am am EUSFellowships<br />
AEUS Board Meeting<br />
11:00 10:00 – 11:50 10:50 am International AEUS Board Meeting Subcommittee<br />
11:00 12:00 – 11:50 12:50 pm am International Resident Subcommittee/Med<br />
Student<br />
12:00 – 12:50 pm Resident Subcommittee/Med<br />
Student 1:00– 1:50 pm Membership Subcommittee<br />
2:00 1:00– – 1:50 2:50 pm Membership Social Media/Grants Subcommittee<br />
2:00 – 2:50 pm Social Media/Grants<br />
Friday, May 17<br />
Friday, May 17<br />
AEUS Business Meeting<br />
AEUS Business Meeting<br />
Room: Vinings Room I (6 th floor)<br />
8:00 am – 12:00 pm<br />
Room: Vinings Room I (6 th floor)<br />
8:00 • am Teaching – 12:00 in pm the Modern World: Social<br />
Media, Apps and other technologies.<br />
• Teaching Panel of Experts in the Modern on Tele-Ultrasound;<br />
World: Social<br />
Media, uses, challenges Apps and and other solutions. technologies.<br />
• Panel Pearls of of Experts Grant Writing on Tele-Ultrasound;<br />
• uses, Awards challenges and 2013-2014 and solutions. BOD<br />
introductions<br />
Pearls of Grant Writing<br />
• Awards and 2013-2014 BOD<br />
introductions<br />
AEUS Didactic Sessions<br />
Room: International Rooms E-F (6<br />
AEUS Didactic Sessions<br />
th floor)<br />
1:00 – 3:00 pm<br />
Room: International Rooms E-F (6 th floor)<br />
1:00 – 3:00 pm<br />
Controversies in <strong>Emergency</strong> Ultrasound:<br />
<strong>The</strong> Debate Rages On<br />
Controversies in <strong>Emergency</strong> Ultrasound:<br />
(1:00 – 1:50 pm)<br />
<strong>The</strong> Debate Rages On<br />
(1:00 – 1:50 pm)<br />
Resident Education in Ultrasound: Meeting<br />
the Milestone<br />
Resident Education in Ultrasound: Meeting<br />
(2:00 – 2:50pm)<br />
the Milestone<br />
(2:00 – 2:50pm)<br />
Activities 2013<br />
Activities 2013<br />
Saturday, May 18<br />
Saturday, May 18<br />
SonoGames 2013<br />
SonoGames 2013<br />
Room: Plaza Ballrooms A-B-C Combined<br />
8:00 am – 12:00 pm<br />
Room: Plaza Ballrooms A-B-C Combined<br />
8:00 am – 12:00 pm<br />
Join us <strong>for</strong> the 2 nd annual SonoGames<br />
and watch resident teams compete to be<br />
Join us <strong>for</strong> the 2 nd annual SonoGames<br />
the nation’s top sonologists.<br />
and watch resident teams compete to be<br />
the nation’s top sonologists.<br />
All aspects of ultrasound competence will<br />
be assessed, including image acquisition,<br />
All aspects of ultrasound competence will<br />
image interpretation, and incorporation<br />
be assessed, including image acquisition,<br />
into clinical practice.<br />
image interpretation, and incorporation<br />
into clinical practice.<br />
Will Boston Medical Center retain its title<br />
of SonoChamps? Or will a new team claim<br />
Will Boston Medical Center retain its title<br />
the Cup?<br />
of SonoChamps? Or will a new team claim<br />
the Cup?<br />
www.saem.org/academy-emergency-ultrasound<br />
www.saem.org/academy-emergency-ultrasound<br />
18 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
2 0 1 3 S A E M A N N U A L M E E T I N G<br />
AWAEM Didactics<br />
<strong>The</strong> AWAEM Meeting Initiative Committee<br />
has prepared a remarkable Didactic lineup<br />
<strong>for</strong> the 2013 SAEM Annual Meeting.<br />
<strong>The</strong>se didactics include cutting-edge content,<br />
nationally recognized speakers, and<br />
stimulating <strong>for</strong>mats.<br />
AWAEM Annual Meeting<br />
Tips & Tricks <strong>for</strong> Women<br />
Navigating <strong>Academic</strong> EM<br />
May 17, 8:00 am-12:00 pm<br />
Vinings II (6th floor)<br />
AGENDA<br />
-AWAEM Business Meeting<br />
- Navigating the <strong>Academic</strong> Compass,<br />
Directions <strong>for</strong><br />
Success: An<br />
invaluable 80<br />
minute faculty<br />
development<br />
session <strong>for</strong> medical<br />
students, residents<br />
and faculty in all career stages that will<br />
include six topics, moderated by<br />
Jeannette Wolfe: 1) Pros and Cons of<br />
<strong>Academic</strong> versus Private EM by Kinjal<br />
Sethuraman; 2) Tips <strong>for</strong> Residents to<br />
Jump Start their <strong>Academic</strong> Career by<br />
Alyson McGregor; 3) Hitting the Ground<br />
Up and Running: A Guide <strong>for</strong> the First<br />
Two Years of Your <strong>Academic</strong> Career by<br />
Stephanie Abbuhl; 4) Educator's Portfolio:<br />
How to Stay Organized and On Track by<br />
Gloria Kuhn; 5) Networking: Why, How<br />
and Where to Connect with Peers and<br />
Mentors in <strong>Academic</strong> EM by Bhakti<br />
Hansoti; and 6) Possibilities, Pearls and<br />
Pitfalls of Part Time <strong>Academic</strong>s by<br />
Jeannette Wolfe.<br />
- Managing People in <strong>Academic</strong><br />
<strong>Emergency</strong> <strong>Medicine</strong>: Tools of the Trade<br />
<strong>for</strong> New Investigators by Kinjal<br />
Sethuraman<br />
- Technology: How Women Can<br />
Maximize <strong>The</strong>ir Productivity by<br />
Utilizing Social Media, A Social Media<br />
Primer by Bhakti Hansoti<br />
AWAEM Annual<br />
Networking Luncheon &<br />
Awards Presentation<br />
May 17, 2013 12:00p-2:00p<br />
Conference Room 1-2 (7th floor)<br />
Mining the Hidden Science in Your<br />
EM Research: Gender-Specific Study<br />
Design and Analysis<br />
May 18th, 8:00 – 9:30am<br />
International Room C (6th floor)<br />
Two hours of the SAEM Annual Meeting<br />
have been designated <strong>for</strong> AWAEM’s<br />
support of gender-specific emergency<br />
medicine. This first didactic aims to<br />
stimulate interest in research on genderspecific<br />
medicine and understand the<br />
challenges and solutions of per<strong>for</strong>ming<br />
gender-based analyses. This<br />
session will be a<br />
moderated panel led<br />
by Esther Choo. A<br />
statistical expert,<br />
Heemun Kwok, will<br />
discuss a framework<br />
<strong>for</strong> considering<br />
relevant genderspecific<br />
research questions within<br />
diverse areas of emergency medicine<br />
research and analytical strategies <strong>for</strong><br />
approaching the question of the impact<br />
on gender on clinical outcomes. Two<br />
additional EM researchers, Deborah<br />
Diercks and David Wright, will<br />
demonstrate how they have applied<br />
these methods in their own work using<br />
specific approaches and analytical<br />
methods.<br />
Gender-Specific Men’s Health –<br />
Top 5 Plays of the Day<br />
May 18th, 9:30-10:00am<br />
International Room C (6th floor)<br />
<strong>The</strong> second presentation in the SAEM<br />
Annual Meeting will take the audience<br />
through five physiologic systems using<br />
the ESPN style of “Top 5 Plays of the<br />
Day.” Each expert presenter, led by<br />
Alyson<br />
McGregor,<br />
will update<br />
the audience<br />
on the top<br />
genderspecific<br />
EM<br />
articles <strong>for</strong><br />
2012-13 and how they impact men’s<br />
health. You will hear updates in<br />
Cardiology with Basmah Safdar, Sports<br />
<strong>Medicine</strong> with Neha Raukar, Traumatic<br />
Injuries with Federico Vaca, Sepsis with<br />
David Portelli and Neurologic<br />
Emergencies with Nina Gentile. Hold<br />
onto your hat! This fast paced program<br />
will be sure to provide a stimulating<br />
learning opportunity.<br />
A big thank you to the<br />
AWAEM Meeting<br />
Initiative Committee,<br />
led by Alyson McGregor,<br />
with members Esther Choo,<br />
Basmah Safdar, Julie Welch,<br />
Jeannette Wolfe, Tracy Madsen,<br />
and Preeti Jois.<br />
22<br />
May 14-18, 2013 | Atlanta, Georgia 19
CDEM Programming <strong>for</strong> SAEM Annual Meeng 2013<br />
Educators of all levels are encouraged to aend the following sessions<br />
surrounding emergency medicine educaon.<br />
Thursday, May 16, 2013<br />
8:00 am - 12:00 pm CDEM Business Meeng<br />
PT – 200 Conference Room 5 (7th Level)<br />
8:00 – 9: 00 am Business Meeng<br />
9:00 -11:00 am CORD Take-Aways: Highlights from CDEM at CORD that each Clerkship<br />
Director must have<br />
11:00 am -12:00 pm Networking Fair<br />
Milestones <strong>for</strong> Medical Students (Stacy Poznanski, Wright State)<br />
SLOR Update (SLOR Task Force)<br />
Naonal Exam vs. CDEM Exam (Emily Senecal, Corey Heitz)<br />
CDEM Iniaves Fair: CDEM Anyme Anywhere (Self-study modules,<br />
iBooks, iTunes U), Social Media, CDEM Communicaons Commiee –<br />
newsleer, Assessments in EM – SAEMTests/ ACE EM ACE, EM OSCE<br />
Friday, May 17, 2013<br />
8:00 - 8:50 am Educaonal Porolio: Your Secret Weapon <strong>for</strong> Promoon<br />
Internaonal E-F combined (6th level)<br />
9:00 - 9:50 am Good to Great: Effecve Feedback to Learners with Difficules<br />
Internaonal E-F combined (6th level)<br />
1:00 - 3:00 pm Educaonal Topics and Educaonal Research (Formally Best of CDEM)<br />
Hugh A. Stoddard, M.Ed., Ph.D.<br />
“Dr. Strangedata: or, how I learned to stop worrying and love<br />
accreditaon"<br />
1:00 pm How Good Are You, <strong>The</strong> LCME and ACGME Want to Know! Program<br />
Assessment, Evaluaon and Improvement<br />
Internaonal Room B (6th level)<br />
20 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
<strong>The</strong> Globalization of <strong>Emergency</strong> <strong>Medicine</strong> Affects YOU<br />
When you travel, do you want to be taken care of by professional emergency physicians? Do you want to know<br />
they have had the right training? Do you want a good pre-hospital care system to take you to the right hospital?<br />
All around the world, EM is emerging as a specialty. Working together, we can mutually strengthen our specialty.<br />
GEMA (the Global <strong>Emergency</strong> <strong>Medicine</strong> Academy) of SAEM is YOUR VEHICLE to further academic emergency<br />
medicine around the world.<br />
Join us during our academy meeting<br />
May 16, 2013<br />
8:00 am - 12:00 pm<br />
Vinings Room I (6th Level)<br />
8:00 am - 9:30 am GEMA Business Meeting and Awards Ceremony<br />
9:30 am -10:30 am GEMA Global EM Fellowships Showcase<br />
10:30 am -10:45 am 2013 AEM Consensus Conference Highlights<br />
10:45 am - 11:00 am Break/Refreshments<br />
11:00 am - 12:00 pm How to Get Global EM-related Endeavors Published?<br />
GEMA Didactic Sessions<br />
May 17, 2013 -International Room E-F (6th level)<br />
10:00 am - 10:50 am - Life and a Career in Global Health: Can You Have It<br />
All?<br />
11:00 am - 11:50 am - <strong>The</strong> Top 10 Global <strong>Emergency</strong> <strong>Medicine</strong> Articles from<br />
2012: Highlights from the Global <strong>Emergency</strong> <strong>Medicine</strong><br />
Literature Review<br />
May 14-18, 2013 | Atlanta, Georgia 21
Your Simulation Academy is comprised of<br />
emergency medicine physicians who are<br />
committed to enhancing education, research,<br />
and patient safety through the use of simulation<br />
Thursday, May 16, 2013 ~ 8:00 am - 12:00 pm<br />
Conference Room 4 on 7th level<br />
o<br />
o<br />
o<br />
08:00 to 08:30 Simulaon Academy Board<br />
08:30 to 10:00 Simulaon Academy Business Meeng<br />
10:00 to 12:00 Didacc / Q & A Panel on Educaonal<br />
Stascs<br />
Didacc Descripon: <strong>The</strong> NAS Task<strong>for</strong>ce has been<br />
working with stascians to create a data analysis plan<br />
<strong>for</strong> simulaon-based milestones data. This panel<br />
discussion will consider choice of analysis methods and<br />
sample size consideraons. Topics include Classical<br />
Reliability Tesng, Item Response <strong>The</strong>ory, and<br />
Generalizability <strong>The</strong>ory. Strengths, drawbacks, and the<br />
reasoning behind our evolving choices will be discussed<br />
in a panel Q&A <strong>for</strong>mat, with brief didacc introducon<br />
by Dr. Bruce Center PhD.<br />
SIM WARS<br />
Friday, May 17, 2013 ~ 8:00 am - 1:00 pm<br />
Plaza Ballrooms A-B-C on 10th floor<br />
An EMRA-sponsored educational program and an inter-disciplinary simulation competition<br />
between healthcare providers.<br />
22 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
daily schedule – Wednesday, May 15, 2013<br />
7:30 - 9:00 am<br />
Academy Meeting<br />
• Committee of Academy Leaders meeting (COAL)/<br />
PT-200 Conference Room<br />
8:00 - 5:00 pm<br />
Other Sessions<br />
• Leadership Conference/PT-200 Conference Room 3<br />
• Grants Workshop/International H<br />
• AEM Consensus Conference/Plaza Ballroom ABC<br />
• CPC Finals/International Rooms B/C/D/E/F/G<br />
• MERC sessions/International A<br />
8:00 AM - 12:00 PM<br />
Academy Meeting<br />
• AAAEM Academy Business Meeting/Vinings I<br />
9:30-11:30 Presentation of the AAAEM Annual Benchmark<br />
Survey Results – Panel discussion on how to use data within your<br />
department, hospital or clinical practice.<br />
8:00 - 8:50 am<br />
Didactics<br />
• <strong>The</strong> Role of Electroencephalography and of Reduced Lead EEG in<br />
the <strong>Emergency</strong> Department/Peachtree A & B<br />
Jay Brenner MD, Ed Michelson MD<br />
• How to Effectively Supervise and Teach Residents:<br />
Entrustment and Autonomy/Peachtree C<br />
Bill Bassin MD, Sally Santeen MD, Katie Saxon MD, Meg Wolff MD<br />
• In the Middle: Non Physician Providers in the <strong>Emergency</strong><br />
Department/Peachtree D<br />
Henderson McGinnis MD, Jeff Hinshaw PA,<br />
Randy Howell DO, FACOEP<br />
• Development of Clinical Decision Instruments in <strong>Emergency</strong><br />
<strong>Medicine</strong>/Peachtree E<br />
Robert Rodriguez MD, James Holmes MD,<br />
Nate Kuppermann MD, PhD, William Mower MD, PhD<br />
9:00 - 9:50 am<br />
Didactics<br />
• ED-Based Critical Care Resident Rotations & Experiences<br />
as Opportunities <strong>for</strong> Teaching Critical Care in the <strong>Emergency</strong><br />
Department/Peachtree A & B<br />
Kevin Ferguson MD, Lillian Emlet MD,<br />
Robert Sherwin MD, FACEP, FAAEM, Scott Wiengart MD<br />
• Impact of the 2010 AHA Post-Cardiac Arrest Care Guidelines:<br />
Assessing Knowledge Translation & Implementation/Peachtree D<br />
Kelly Sawyer MD, MS, Teresa Camp-Rogers MD, MS,<br />
Michael Kurz MD, MS-HES<br />
9:00 - 10:00 am<br />
Abstracts<br />
• Pediatric Abdominal Pain/Presentation # 7-10/Atlanta A<br />
Moderator: Nathan Kuppermann MD, MPH<br />
• Hemorrhagic Shock/Presentation # 19-22/Atlanta G<br />
Moderator: Michael Gibbs MD<br />
• Measures <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong>/Presentation # 23-28/Atlanta B<br />
Moderator: Jeremiah D. Schuur MD<br />
• Congestive Heart Failure and Dyspnea/<br />
Presentation # 29-34/Atlanta C & D<br />
Moderator: Alan B. Storrow MD<br />
Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.<br />
• <strong>Emergency</strong> Medical Services/Presentation # 35-40/Roswell 1<br />
Moderator: Michael Runyon MD<br />
• Toxicology/Presentation # 41-46/Roswell 2<br />
Moderator: Ed Otten MD<br />
9:00 - 10:20 am<br />
Didactics<br />
• Not Another Boring Lecture:<br />
Five Ways to Spice Up Your Didactics!/Peachtree C<br />
Meg Wolff MD, Mary Jo Wagner MD,<br />
Sally Santen MD, PhD, Stacey Poznanski MD<br />
• Introduction to Statistics/Peachtree E<br />
Roger Lewis Harbor MD, PhD<br />
9:00 - 11:00 am<br />
Abstracts<br />
• Ultrasound/Presentation # 11-18/Atlanta E & F<br />
Moderator: James H. Moak MD<br />
10:00 - 10:50 am<br />
Didactics<br />
• <strong>The</strong> Current State of Critical Care Fellowship Training <strong>for</strong><br />
<strong>Emergency</strong> <strong>Medicine</strong> Residency Graduates/Peachtree A & B<br />
Kevin Ferguson MD, Andrea Gabrielli MD,<br />
Jay Menaker MD, Mike Winters MD<br />
• Fulfilling the Residency Educational Mission at Independent<br />
<strong>Academic</strong> Medical Centers/Peachtree D<br />
Arvind Venkat MD, Moira Davenport MD,<br />
Gus Garmel MD, Eric Katz MD<br />
10:00 - 11:00 am<br />
Abstracts<br />
• STEMI/Presentation # 73- 76/Atlanta G<br />
Moderator: Deborah B. Diercks MD<br />
• Clinical Efficiency/Presentation # 87-92/Roswell 2<br />
Moderator: Richard Zane MD<br />
10:00 - 12:00 pm<br />
Abstracts<br />
• Radiology/Presentation # 47-55/ Atlanta A<br />
Moderator: Ali S. Raja MD, MPH, MBA<br />
• Traumatic Brain Injury/Presentation # 56-63/Atlanta B<br />
Moderator: Opeolu Adeoye MD<br />
• Acute Coronary Syndromes/Presentation # 64-72/Atlanta C & D<br />
Moderator: Chad E. Darling MD<br />
• Pediatrics/Presentation # 77-85, 817, 834/Roswell 1<br />
Moderator: Brent R. King MD<br />
10:30 - 11:50 am<br />
Didactics<br />
• Systems Milestones <strong>for</strong> <strong>Academic</strong> Programs:<br />
Moving from Novice to Expert/Peachtree C<br />
Felix Ankel MD, Robin Hemphill MD, Sally Santen MD, PhD<br />
• Team Science in Research:<br />
What is the Role of <strong>Emergency</strong> <strong>Medicine</strong>?/Peachtree E<br />
Chadwick Miller MD, MS, Roger Lewis MD, PhD,<br />
Alan Storrow MD, Gregory Fermann MD<br />
May 14-18, 2013 | Atlanta, Georgia 23
Wednesday, May 15, 2013<br />
11:00 - 11:50 am<br />
Didactics<br />
• Advances in EMS Education <strong>for</strong> Residents/Peachtree A & B<br />
Michael Hilton MD, David Cone MD, Jonathan Fisher MD, MPH,<br />
Christian Martin-Gill MD, MPH<br />
• <strong>The</strong> Non-Quantitative Aspect of Resident Training in the<br />
Community ED/Peachtree D<br />
Michael Hochberg MD, Al Sacchetti MD,<br />
Kevin Klauer MD, Chad Kessler MD<br />
11:00 - 12:00 pm<br />
Abstracts<br />
• Critical Care/Presentation # 93-96 Atlanta E & F<br />
Moderator: Robert Rodriguez MD<br />
• Geriatric Pain/Presentation # 97-100/Atlanta G<br />
Moderator: Robert Woolard MD,<br />
• Accelerate Your ED/Presentation # 101-106/Roswell 2<br />
Moderator: David F. Brown MD<br />
1:00 - 1:50 pm<br />
Didactics<br />
• Thriving in the Wilderness: What Wilderness <strong>Medicine</strong> Fellowship<br />
Applicants and Directors Need to Know/Peachtree A & B<br />
N. Stuart Harris MD, MFA, Tracy Cushing MD, MPH<br />
• Investigator Initiated Research without an Existing Research<br />
Infrastructure: How to Succeed in Any Practice Setting/Peachtree D<br />
John Cienki MD, MSPH, Robert J Hoffman MD,<br />
Brigitte Baumann MD, MSCE, Judd Hollander MD<br />
• Asking the Question that Clinicians Want Answered within an<br />
Adaptive Comparative Effectiveness Trial/Peachtree E<br />
William Meurer MD, MS, Jason Connor PhD, Roger Lewis MD, PhD<br />
1:00 - 2:00 pm<br />
Abstracts<br />
• Health Services Research/Presentation # 107-110/ Atlanta A<br />
Moderator: Keith E. Kocher MD<br />
• Clinical Decision Rules/Presentation # 111-114/Atlanta C & D<br />
Moderator: Ian G. Stiell MD<br />
• Critical Care/Presentation # 115-118/Atlanta E & F<br />
Moderator: Michael Gibbs MD<br />
• Renal Colic/Presentation # 119-122/Atlanta G<br />
Moderator: Romolo Gaspari MD<br />
• Learning Styles/Presentation # 123-128/Roswell 2<br />
Moderator: Brandon Maughan MD, MHS<br />
• Imaging in Trauma/Presentation # 129-134/Atlanta B<br />
Moderator: Greg Hendey MD<br />
• Triage/Presentation # 135-140/Roswell 1<br />
Moderator: Gabor Kelen MD<br />
1:00 - 2:20 pm<br />
Didactics<br />
• Taking Advantage of the Teachable Moment: A Workshop <strong>for</strong><br />
Efficient, Learner-Centered Clinical Teaching/Peachtree C<br />
Todd Guth MD, Elise Lovell MD, Sneha Shah MD, Mike Epter DO<br />
1:00 - 5:00 pm<br />
Poster Session<br />
(Posters will be attended by authors from 2:00-4:00)<br />
• Presentation # 141-263/200 Gallery -level 6<br />
Academy Meeting<br />
ADIEM Academy Business Meeting/Vinings I<br />
2:00 - 2:50 pm<br />
Didactics<br />
• From the Bleachers to the Sidelines: Careers and Opportunities in<br />
Sports <strong>Medicine</strong>/Peachtree A & B<br />
Jeffrey Feden MD, Daniel Garza MD, Moira Davenport MD<br />
• Creating a Successful Research Assistant Program in Your<br />
<strong>Emergency</strong> Department/Peachtree D<br />
Daniel Keyes MD, MPH, Ed Panacek MD, MPH,<br />
Judd Hollander MD, Daniel Pallin MD, MPH<br />
• Real Strategies <strong>for</strong> Quasi-Experiments: How to Identify Causation<br />
Using Non-Randomized Data/Peachtree E<br />
Lisa Schweigler MD, MPH, MS, Jason Haukoos MD, MSc,<br />
Christopher Kabrhel MD, MPH<br />
2:30 - 3:50 pm<br />
Didactics<br />
• Is the Patient Safe? Assessing Procedural Competence/Peachtree C<br />
Laura Hopson MD, Suzanne Dooley-Hash MD, Doug Ander MD,<br />
Ernest Wang MD<br />
3:00 - 3:50 pm<br />
Didactics<br />
• <strong>The</strong> Business of EM: Defining Productivity/Peachtree D<br />
Michael Hochberg MD, Brent King MD,<br />
Richard Zane MD, Kirsten Rounds RN, MS<br />
• An Introduction to Qualitative Methods in <strong>Emergency</strong> <strong>Medicine</strong><br />
Research/Peachtree E<br />
Jeremiah Schuur MD, MHS, Karin Rhodes MD, MS,<br />
Adam Landman MD, MS, MIS<br />
3:00 - 4:20 pm<br />
Didactics<br />
• How to Become a Trailblazer: Perspectives of Resident Innovators/<br />
Peachtree A & B<br />
Marie Vrablik MD, Carey Chisholm MD, Jonathan Heidt MD,<br />
Karen Lind MD, Shereaf Walid MD<br />
4:00 - 5:00 pm<br />
Abstracts<br />
• Cardiac Risk Stratification/Presentation # 264-270/ Atlanta A<br />
Moderator: Andra L. Blomkalns MD<br />
• Psychiatry/Presentation # 271-275/Atlanta B<br />
Moderator: Rebecca Cunningham MD<br />
• Trauma Resuscitation/Presentation # 276-281/Atlanta C & D<br />
Moderator: Eric Legome MD<br />
• Ultrasound/Presentation # 282-287/ Atlanta E & F<br />
Moderator: Romolo Gaspari MD<br />
• Toxicology/Presentation # 288-293/Atlanta G<br />
Moderator: Aaron Skolnik MD<br />
• Clinical Decision Rules/Presentation # 294-297/Roswell 1<br />
Moderator: Michael Brown MD, MSc<br />
• Training Competencies/Presentation # 298-303/ Roswell 2<br />
Moderator: Jeffrey Love MD<br />
4:30 - 6:30 pm<br />
Event<br />
• Cocktails and Dreams Reception/Carnegie Foyer<br />
5:30 - 8:00 pm<br />
Event<br />
• CPC Reception/Augusta Room 1-2<br />
24 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.
tuesday - Wednesday, May 14-15, 2013<br />
<strong>The</strong> Following SAEM Committees/Interest Groups/Task Forces<br />
will NOT be meeting at the 2013 Annual Meeting in Atlanta:<br />
• Constitution & Bylaws Committee • Fellowship Certification Task Force • CPR/Ischemia/Reperfusion Interest Group<br />
• Observational <strong>Medicine</strong> Interest Group • Palliative <strong>Medicine</strong> Interest Group<br />
• Quality Medical Management Interest Group • Uni<strong>for</strong>med Services Interest Group<br />
Tuesday, May 14, 2013 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings<br />
8:00am-5:00pm SAEM BOD Meeting Executive Boardroom (6th Level)<br />
4:00-5:00pm SAEM PC Sub-Committee Meeting TBD<br />
Tuesday, May 14, 2013 – Affiliated Meetings<br />
7:00am-5:00pm ABEM- EM Model Review Task Force PT-200 Conference Room 1 (7th Level)<br />
9:00am-5:00pm EMRA BOD Meeting PT-200 Conference Room 2 (7th Level)<br />
Wednesday, May 15, 2013 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings<br />
7:00-8:00am PC Daily Meeting PT-200 Conference Room 5 (7th Level)<br />
7:30-9:00am SAEM Committee of Academy Leaders meeting (COAL) PT-200 Conference Room 4 (7th Level)<br />
8:00am-12:00pm AAAEM Academy of Administrators in<br />
<strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>-Business Meeting<br />
Vinings Room I (6th Level)<br />
9:00-10:00am SAEM Social Media Committee Meeting Tower Room 1401 (14th Level)<br />
9:00-10:00am SAEM Disaster <strong>Medicine</strong> Interest Group Meeting Tower Room 1201 (12th Level)<br />
9:30-11:00am SAEM/ABEM Ex. Committee Meeting Ex. Board Room (6th Level)<br />
11:30am-1:00pm SAEM Faculty Development Committee Meeting Tower Room 1401 (14th Level)<br />
1:00-2:00pm SAEM Development Committee Meeting Tower Room 1207 (12th Level)<br />
1:00-2:30pm SAEM Evidence Based <strong>Medicine</strong> Interest Group Meeting Tower Room 1403 (14th Level)<br />
1:00-2:30pm SAEM CBAPO Task Force Meeting Tower Room 1401 (14th Level)<br />
1:00-5:00pm<br />
ADIEM Academy <strong>for</strong> Diversity & Inclusion in<br />
<strong>Emergency</strong> <strong>Medicine</strong>- Business Meeting<br />
Vinings Room I (6th Level)<br />
2:00-3:00pm SAEM External Collaboration Committee Meeting Tower Room 1208 (12 Level)<br />
2:00-3:00pm SAEM International Outreach TF Meeting Tower Room 1402 (14th Level)<br />
2:00-3:30pm SAEM <strong>Academic</strong> In<strong>for</strong>matics Interest Group Meeting Tower Room 1404 (14th Level)<br />
2:30-3:30pm SAEM Trauma Interest Group Meeting Tower Room 1403 (14th Level)<br />
5:00-6:00pm SAEM Neurologic Emergencies Interest Group Meeting Tower Room 1407 (14th Level)<br />
Wednesday, May 15, 2013 – Affiliated Meetings<br />
8:00am-5:00pm Neurological Emergencies Treatment Trials Nett Collaborative Meeting Tower Room 1408 (12th Level)<br />
9:00am-12:00pm EMRA BOD meeting Tower Room 1203 (12th Level)<br />
1:30-2:30pm EMRA Committee Chair/Vice Chair Orientation Tower Room 1204 (12th Level)<br />
1:30-2:30pm EMRA Regional Representative Committee Tower Room 1205 (12th Level)<br />
1:30-5:30pm EMRA Medical Student Governing Council Tower Room 1206 (12th Level)<br />
2:30-3:00pm EMRA Conference Committee Orientation Meeting Augusta Room 3 (7th Level)<br />
3:00-4:00pm EMRA Reference Committee Public Hearing Augusta Room 3 (7th Level)<br />
3:00-6:00pm National HIV Testing Consortium Meeting Tower Room 1201 (12th Level)<br />
4:00-5:00pm EMRA Reference Committee Work Meeting Augusta Room 3 (7th Level)<br />
4:00-5:30pm EMRA Quiz Show Contest PT-200 Conference Room 5 (7th Level)<br />
4:00-6:00pm EMCREG-International Steering Committee- By Invitation Only Tower Room 1208 (12th Level)<br />
6:30-9:30pm U of M <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> EM Dinner - By Invitation Only PT-200 Conference Room 2-3 (7th Level)<br />
May 14-18, 2013 | Atlanta, Georgia 25
daily schedule – thursday, May 16, 2013<br />
7:00 - 9:30 am<br />
Other Session<br />
• Resident Leadership Forum: in AM joint session/<br />
PT-200 Conference Room 2<br />
8:00 - 8:50 am<br />
Didactics<br />
• LGBT Health: Educating EM Physicians to Provide Equitable and<br />
Quality Care. Academy Sponsored - ADIEM/ International B<br />
Paul Krieger MD, Joel Moll MD, <strong>The</strong>a James MD,<br />
Ellen Slaven MD, Ted Corbin MD<br />
• Future Directions in Electrocardiography in Acute Coronary<br />
Syndromes/International C<br />
Stephen Smith MD<br />
• Choosing a High-Impact Resident or Student Quality Improvement<br />
Project and Getting it Published/Plaza Ballroom A<br />
Jeremiah Schuur MD, MHS, John J. Kelly DO, FACEP,<br />
Arjun Venkatesh MD, MBA<br />
• Careers & Opportunities at the CDC/Plaza Ballroom B<br />
Kevin Munjal MD, MPH, David Sugerman MD, MPH,<br />
Samuel Graitcer MD<br />
8:00 - 9:00 am<br />
Innovations<br />
• Didactics Spotlight/Presentation # 8-11/ Atlanta H<br />
Abstracts<br />
• Geriatrics/Presentation #304-307/Atlanta B<br />
Moderator: Christopher R. Carpenter MD<br />
• Clinical Efficiency/Presentation #324-327/Atlanta G<br />
Moderator: Tom Scaletta MD<br />
• Atrial Fibrillation/Presentation # 328-333/Atlanta A<br />
Moderator: Richard Summers MD<br />
• IV Access/Presentation # 334-339/Roswell 1<br />
Moderator: Alexander T. Limkakeng<br />
• Disaster Management/Presentation # 340-344/Roswell 2<br />
Moderator: Richard Zane MD<br />
8:00 - 10:00 am<br />
Abstracts<br />
• Sepsis/Presentation #308-315/Atlanta C & D<br />
Moderator: Emanuel Rivers MD, MPH<br />
• <strong>The</strong>rapeutic Hypothermia/Presentation #316-323/Atlanta E & F<br />
Moderator: Stephen Trzeciak MD<br />
8:00 am - 12:00 pm<br />
Innovations<br />
• Innovations Exhibits/Presentation # 1-7, 11/200 Gallery -level 6<br />
Posters<br />
• Presentation # 366-490/200 Gallery -level 6<br />
Innovations Exhibits and Posters will be attended by<br />
authors from 10:00am-12:00pm<br />
Academy Meeting<br />
• SIM Academy Business Meeting/PT-200 Conference Room 4<br />
8:00am-12:00pm (7th Level)<br />
8:00-8:30am Simulation Academy Board<br />
8:30-10:00am Simulation Academy Business Meeting<br />
10:00am-12:00pm Didactic / Q&A Panel on Educational<br />
Statistics<br />
• CDEM Business Meeting/PT-200 Conference Room 5<br />
8:00-9:00am Business Meeting / Awards<br />
9:00-11:00am CORD Highlights<br />
Milestones <strong>for</strong> Medical Students<br />
SLOR Update<br />
National Exam vs CDEM Exam<br />
11:00am-12:00pm Networking Fair:<br />
CDEM Initiatives Fair: CDEM Self-study<br />
Modules<br />
Twitter<br />
CDEM newsletter<br />
Exam<br />
• AGEM Business Meeting/Vinings II<br />
8:00 - 9:00am AGEM Business Meeting<br />
9:00 - 10:00am Oncologic <strong>Emergency</strong> <strong>Medicine</strong>:<br />
An Emerging Subdiscipline?<br />
10:00 - 11:00am Working with Your Institution to<br />
Geriatricize Your ED<br />
11:00am - 12:00pm Seeking Grant Support from Foundations:<br />
Understanding Mission-Driven Philanthropy<br />
• GEMA Business Meeting/Vinings I<br />
8:00 - 9:30am GEMA Business Meeting and Awards Ceremony<br />
9:30 -10:30am GEMA Global EM Fellowships Showcase<br />
10:30 -10:45am 2013 AEM Consensus Conference Highlights<br />
10:45 -11:00am Break/Refreshments<br />
11:00am -12:00pm How to Get Global EM-related<br />
Endeavors Published?<br />
9:00 - 9:50 am<br />
Didactics<br />
• Disparities & Diversity in <strong>Emergency</strong> <strong>Medicine</strong>: SAEM -<br />
Where Are We Now? Academy Sponsored -ADIEM/International B<br />
Sheryl Heron MD, MPH, Marcus Martin MD,<br />
Michelle Biros MS, MD, Lynne Richardson MD<br />
• Harnessing the <strong>Emergency</strong> <strong>Medicine</strong> Perspective: Emphasizing<br />
Key Differences Between Adult and Pediatric Chief Complaints<br />
to Enhance Resident Training in Pediatric <strong>Emergency</strong> <strong>Medicine</strong>/<br />
International C<br />
Jeffrey Hom MD, MPH, Robert Cloutier MD, MCR<br />
• <strong>The</strong> War on MRSA: Lessons <strong>for</strong> Success in Planning, Funding, and<br />
Executing Clinical Research in Infectious Diseases/Plaza Ballroom B<br />
Daniel Pallin MD, MPH, Jeremiah Schuur MD, MS, David Talan MD<br />
9:00 - 10:00 am<br />
Innovations<br />
• Technology Spotlight/Presentation # 12-15/Atlanta H<br />
Abstracts<br />
• Abdominal Pain in Adults/Presentation # 356-360/Atlanta A<br />
Moderator: Brigitte M. Baumann MD, MSCE<br />
• Sickle Cell Management in the <strong>Emergency</strong> Department/<br />
Presentation # 361-365/Roswell 2<br />
Moderator: Jeffrey A. Glassberg MD<br />
• Out of Hospital Telemedicine/Presentation # 345-348/Atlanta B<br />
Moderator: Steven Horng MD<br />
• Anticoagulants/Presentation # 349-352/Atlanta G<br />
Moderator: Daniel K. Nishijima MD<br />
• AEM Consensus Conference on Global Health/<br />
Presentation # 353-355/Roswell 1<br />
Moderator: Jon Mark Hirshon MD<br />
26 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.
thursday, May 16, 2013<br />
9:00 - 10:20 am<br />
Didactics<br />
• <strong>The</strong> Inside Scoop: Background In<strong>for</strong>mation and Tips on Using the<br />
Large National Datasets Provided by NCHS and HCUP, including<br />
NHAMCS and NE/Plaza Ballroom A<br />
Lisa Schweigler MD, MPH, MS, Brendan Carr MD, MS<br />
Linda McCaig MPH, Ryan Mutter PhD,<br />
Stephen Pitts MD, MPH, Emilie Powell MD, MS, MBA<br />
10:00 - 11:20 am<br />
Didactics<br />
• Navigating the AMA Discharge - Case Studies/International B<br />
Mark Clark MD, James Adams MD<br />
• <strong>The</strong> Great Pediatric Sedation Debate!/International C<br />
Amy Drendel DO, MS, Frank Petruzella MD, Patrick Solari MD,<br />
Rakesh Mistry MD, MS, Robert Kennedy MD<br />
• Minimizing the Pain of Maximizing Pain Relief: Strategies <strong>for</strong><br />
<strong>Emergency</strong> Physicians To Treat Pain Safely/Plaza Ballroom B<br />
Lewis Nelson MD, Jeanmarie Perrone MD, Edward Boyer MD, PhD,<br />
Robert Hendrickson MD<br />
10:00 am - 2:00 pm<br />
Other Session<br />
• Resident Leadership Forum: Chief Resident Forum Track (Lunch)/<br />
International E-F<br />
• Resident Leadership Forum: Resident <strong>Academic</strong> Track<br />
International D<br />
10:30 - 11:50 am<br />
Didactics<br />
• Can We Trust Clinical Practice Guidelines?/Plaza Ballroom A<br />
Eddy Lang AB, Michael Brown MD, MSc, Francis Fesmire MD,<br />
Clifton Callaway MD, PhD<br />
11:30 am - 12:50 pm<br />
Didactics<br />
• Challenging the Physician-Patient Relationship: Negotiating<br />
Deception, Manipulation, and Medical Mistakes/International B<br />
Joel Moll MD, Jean Abbott MD, MPH,<br />
Tammie Quest MD, Mark Clark MD<br />
• We All Make Mistakes - But What Do You Do Afterwards?/<br />
International C<br />
Robert Wears MD, MS, PhD, Kathleen Lanava MD, Albert Wu MD,<br />
MPH, Terry Fairbanks MD, MS<br />
• Building Blocks <strong>for</strong> Establishing Hospital-Based Violence<br />
Intervention Programs in (Your) <strong>Emergency</strong> Departments/<br />
Plaza Ballroom B<br />
<strong>The</strong>a James MD, <strong>The</strong>odore Corbin MD, Rochelle Dicker MD<br />
12:00 - 12:50 pm<br />
Didactics<br />
• Optimizing Electronic Health Records in an <strong>Academic</strong> <strong>Emergency</strong><br />
Department: <strong>The</strong> Administrative and In<strong>for</strong>matics Perspective/<br />
Plaza Ballroom A<br />
Daniel Handel MD, MPH, Kevin Baumlin MD, Nicholas Genes MD,<br />
PhD, Mark Moseley MD, MHA<br />
12:00 - 1:00 pm<br />
Innovations<br />
• Medical Student Spotlight/Presentation # 3, 16-18 /Atlanta H<br />
Abstracts<br />
• Milestones in Training/Presentation # 491-494/Atlanta B<br />
Moderator: Christopher Ross MD<br />
• Patient Communication/Presentation #495-498 /Atlanta C & D<br />
Moderator: Emilie Powell MD, MS, MBA<br />
• Geriatric Trauma/Presentation # 499-502 /Atlanta E & F<br />
Moderator: Timothy F. Platts-Mills MD<br />
• Ischemic Conditioning/Presentation # 503-506 /Atlanta G<br />
Moderator: Daniel J. Pallin MD, MPH<br />
• <strong>Emergency</strong> Department Quality/Presentation # 507-512 /Atlanta A<br />
Moderator: Arjun K. Venkatesh MD<br />
• Undergrad Education/Presentation # 513-518 /Roswell 1<br />
Moderator: Lorraine Thibodeau MD<br />
• Prehospital CPR/Presentation # 519-524 /Roswell 2<br />
Moderator: Jane Brice MD<br />
2:00 - 3:00 pm<br />
Keynote<br />
Thomas Frieden, Director<br />
- Centers <strong>for</strong> Disease Control and Prevention/Plaza Ballroom ABC<br />
3:30 - 5:00 pm<br />
Plenary<br />
• Presentations # 1-7/Plaza Ballroom ABC<br />
Moderator: David Cone MD<br />
• Voices from the Past In<strong>for</strong>ming the Future of <strong>Academic</strong><br />
<strong>Emergency</strong> <strong>Medicine</strong>: Brian Zink MD/Plaza Ballroom ABC<br />
5:30 - 7:00 pm<br />
Event<br />
• Opening Reception and Gallery of Excellence/Grand Atrium<br />
Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.<br />
May 14-18, 2013 | Atlanta, Georgia 27
thursday, May 16, 2013<br />
Thursday, May 16, 2013 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings<br />
7:30-8:00am PC Daily Meeting International Room H (7th Level)<br />
8:00-9:00am SAEM Consultation Services Committee Meeting Tower Room 1202 (12th Level)<br />
8:00-10:00am Ex. Leadership of EM Organizations-By Invitation Only Tower Room 1201 (12th Level)<br />
8:00am-12:00pm AEM CC 2014 Planning Meeting Tower Room 1205 (12th Level)<br />
8:00am-12:00pm AGEM Academy of Geriatric <strong>Emergency</strong> <strong>Medicine</strong>-Business Meeting Vinings Room II (6th Level)<br />
8:00am-12:00pm CDEM Clerkship Directors in <strong>Emergency</strong> <strong>Medicine</strong> -Business Meeting PT-200 Conference Room 5 (7th Level)<br />
8:00am-12:00pm GEMA Global <strong>Emergency</strong> <strong>Medicine</strong> Academy-Business Meeting Vinings Room I (6th Level)<br />
8:00am-12:00pm SIM Simulation Academy - Business Meeting PT-200 Conference Room 4 (7th Level)<br />
9:00-10:30am SAEM Public Health Interest Group Meeting Tower Room 1207 (12th Level)<br />
10:30-11:30am SAEM ED Crowding Interest Group & Clinical Directors<br />
Interest Group Meeting<br />
Tower Room 1202 (12th Level)<br />
11:00am-12:00pm SAEM EM Medical Education Research IG Meeting Tower Room 1204 (12th Level)<br />
11:00am-12:30pm SAEM Research Committee Meeting Tower Room 1203 (12th Level)<br />
11:00am-12:30pm SAEM Research Directors Interest Group Meeting Tower Room 1206 (12th Level)<br />
12:00-1:00pm SAEM EMS Interest Group Meeting Tower Room 1204 (12th Level)<br />
12:00-1:00pm SAEM Medical Toxicology Interest Group Meeting Tower Room 1205 (12th Level)<br />
12:00-1:30pm AEM Reviewers Lunch International Room H (7th Level)<br />
12:30-1:30pm SAEM Health Services & Outcomes Interest Group Meeting Tower Room 1404 (14th Level)<br />
12:30-2:00pm SAEM Grants Committee Meeting Tower Room 1206 (12th Level)<br />
1:00-2:00pm SAEM Pediatric EM Interest Group Meeting Tower Room 1204 (12th Level)<br />
5:00-7:00pm International EM Fellowship Consortium Meeting Tower Room 1206 (12th Level)<br />
6:00-10:00pm AACEM Dinner-By invitation Only Commerce Club<br />
Thursday, May 16, 2013 – Affiliated Meetings<br />
8:00-8:30am EMRA Rep. Council Welcome Breakfast & Registration Augusta Room 1-2 (7th Level)<br />
8:00am-5:00pm AAEM/RSA Board of Directors Meeting Tower Room 1408 (12th Level)<br />
8:00am-5:00pm CORD Committee Meetings Tower Room 1403 (12th Level)<br />
8:00am-12:00pm Physio-Control Usability Interviews- By Invitation Only Tower Room 1402 (12th Level)<br />
8:30am-12:00pm EMRA Rep Council Meeting & Town Hall Augusta Room 1-2 (7th Level)<br />
10:30-11:30am ACEP Joint Milestones Task Force Meeting Tower Room 1208 (12th Level)<br />
11:00am-2:00pm WestJEM Advisory Board and Educational Meeting - By Invitation Only Tower Room 1406 (12th Level)<br />
11:30am-2:00pm ABEM/ACEP Officer’s Meeting Executive Boardroom (6th Level)<br />
12:00-1:00pm EMRA Rep Council Lunch Augusta Room 3 (7th Level)<br />
12:00-1:30pm ACEP Research Forum Meeting Tower Room 1208 (12th Level)<br />
12:00-2:30pm <strong>Emergency</strong> ID Net Investigators Meeting -By invitation only Tower Room 1207 (12th Level)<br />
1:30-3:30pm EMRA International Committee Augusta Room 1 (7th Level)<br />
1:30-3:30pm EMRA Health Policy Committee Augusta Room 2 (7th Level)<br />
1:30-3:30pm EMRA Research Committee Meeting Tower Room 1201 (12th Level)<br />
1:30-3:30pm EMRA Critical Care Committee Meeting Tower Room 1202 (12th Level)<br />
1:30-3:30pm EMRA Technology Committee Meeting Tower Room 1203 (12th Level)<br />
3:30-5:30pm EMRA Awards Committee Tower Room 1201 (12th Level)<br />
3:30-5:30pm EMRA EMS Committee Meeting Tower Room 1202 (12th Level)<br />
3:30-5:30pm EMRA Wilderness <strong>Medicine</strong> Committee Meeting Tower Room 1203 (12th Level)<br />
3:30-5:30pm EMRA EM Resident Advisory Committee Meeting Tower Room 1204 (12th Level)<br />
3:30-5:30pm EMRA Education Committee Meeting Augusta Room 1 (7th Level)<br />
3:30-5:30pm EMRA Ultra Sound Committee Meeting Tower Room 1207 (12th Level)<br />
28 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
daily schedule – friday, May 17, 2013<br />
8:00 - 8:50 am<br />
Didactics<br />
• Diagnostic Imaging and Radiation Exposure: How Much is<br />
Too Much?/International B<br />
Jennifer Marin MD, MSc, Angela Mills MD,<br />
Kimberly Applegate MD, MS<br />
• Preventing Opioid Analgesic Overdose Among ED Patients/<br />
International C<br />
Edward Boyer MD, PhD, Kavita Babu MD<br />
• Educational Portfolio: Your Secret Weapon <strong>for</strong> Promotion/<br />
Academy Sponsored - CDEM/International E-F<br />
Corey Heitz MD, Gloria Kuhn DO, PhD, Douglas Ander MD<br />
8:00 - 9:00 am<br />
Innovations<br />
• Oral Presentations/Presentation #19-22/Atlanta H<br />
Abstracts<br />
• Pain Management/Presentation #525-528/Atlanta B<br />
Moderator: Sergey M. Motov MD<br />
• Patient In<strong>for</strong>med Consent/Presentation #536-539/Atlanta G<br />
Moderator: Daniel J. Pallin MD, MPH<br />
• <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>/Presentation # 540-545/Atlanta A<br />
Moderator: Susan Promes MD<br />
• Novel Cardiovascular Ideas/Presentation #546-551/Atlanta C & D<br />
Moderator: Chad E. Darling MD<br />
• Injury Prevention/Presentation #552-557/ Roswell 1<br />
Moderator: Megan Ranney MD<br />
• <strong>Emergency</strong> Department Discharge/<br />
Presentation #558-563/Roswell 2<br />
Moderator: Ziad Obermeyer MD<br />
8:00 - 9:20 am<br />
Didactics<br />
• In<strong>for</strong>med Consent in <strong>Emergency</strong> Research - Pitfalls and Practical<br />
Pearls. Academy Sponsored - AGEM/International D<br />
Ula Hwang MD, MPH, Adit Ginde MD, MPH,<br />
Jin Han MD, MSc, Lynne Richardson MD<br />
8:00 - 10:00 am<br />
Abstracts<br />
• Ultrasound/Presentation # 529-535/Atlanta E & F<br />
Moderator: David J. Blehar MD<br />
Other Session<br />
• EuSEM Session/PT-200 Conference Room 3<br />
Overcrowding in EDs: What Are the Solutions in Europe?<br />
Eric Revue<br />
Organisation of STEMI Care: What Is the Difference between<br />
USA and Europe?<br />
Abdel Bellou<br />
Evolution of Mortality of Acute Heart Failure in Europe :<br />
Said Laribi<br />
Policy on Quality Metrics in <strong>Emergency</strong> <strong>Medicine</strong> in Europe :<br />
Nathalie Flacke<br />
Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.<br />
8:00 am - 12:00 pm<br />
Innovations<br />
• Innovations Exhibits/Presentation #23-28/200 Gallery -level 6<br />
Poster Session<br />
• Presentation #155, 236, 594-717/200 Gallery -level 6<br />
Innovations Exhibits and posters will be attended by<br />
authors from 10:00 am - 12:00 pm<br />
Academy Meeting<br />
• AWAEM Business Meeting/Vinings II<br />
• AEUS Business Meeting/Vinings I<br />
8:00 am - 1:00 pm<br />
Other Sessions<br />
• SIM WARS/Plaza Ballroom ABC<br />
8:00 am - 3:00 pm<br />
Other Sessions<br />
• Residency & Fellowship Fair/Grand Atrium<br />
• Junior Faculty Forum/PT-200 Conference Room 5<br />
9:00 - 9:50 am<br />
Didactics<br />
• Mapping the Path <strong>for</strong> Current and Future Research <strong>for</strong> Safe,<br />
Effective, and Appropriate Trauma Imaging/International B<br />
Kaushal Shah MD, Michael Gibbs MD, Ian Stiell MD,<br />
Eric Legome MD, Ali Raja MD, MPH, MBA<br />
• Good to Great: Effective Feedback to Learners with Difficulties.<br />
Academy Sponsored - CDEM/International E-F<br />
Sorabh Khandelwal MD, Marcia Perry MD,<br />
Sally Santen MD, PhD, Lalena Yarris MD, MCR<br />
9:00 - 10:00 am<br />
Innovations<br />
• Oral Presentations/Presentation #29-32/Atlanta H<br />
Abstracts<br />
• Frequent <strong>Emergency</strong> Department Users/<br />
Presentation #572-577/Atlanta A<br />
Moderator: Martin Reznek MD, MBA, FACEP<br />
• Neurology/Presentation # 578-583/Atlanta G<br />
Moderator: Edward Jauch MD, MS<br />
• Pediatric Decision Tools/Presentation #584-587/Roswell 1<br />
Moderator: Michele Nypaver MD<br />
• Geriatrics/Presentation #588-563/Roswell 2<br />
Moderator: James Miner MD<br />
• Pain Management/Presentation #564-567/ Atlanta B<br />
Moderator: Sergey M. Motov MD<br />
• Coronary Angiograph/Presentation # 568-571/Atlanta C & D<br />
Moderator: Judd Hollander MD<br />
9:00 - 10:20 am<br />
Didactics<br />
• Identifying the Value of <strong>Emergency</strong> Care in the<br />
Climate of Health Re<strong>for</strong>m/International C<br />
Keith Kocher MD, MPH, MPhil, Arthur Kellermann MD, MPH,<br />
Brent Asplin MD, MPH, Jeremiah Schuur MD, MHS,<br />
Adam Sharp MD, MS<br />
May 14-18, 2013 | Atlanta, Georgia 29
friday, May 17, 2013<br />
9:30 - 9:50 am<br />
Didactics<br />
• Models of Subspecialty Geriatric <strong>Emergency</strong> Departments.<br />
Academy Sponsored - AGEM/International D<br />
Kathleen Walsh DO, MS, Mark Rosenberg MD, Knox H. Todd MD<br />
10:00 - 10:50 am<br />
Didactics<br />
• Where is the Evidence III: Common Pediatric Infections in<br />
<strong>Emergency</strong> <strong>Medicine</strong>/International D<br />
Rakesh Mistry MD, MS, Todd Florin MD, MSCE<br />
• Life and a Career in Global Health: Can You Have It All?<br />
Academy Sponsored - GEMA/ International E-F<br />
Bhakti Hansoti MD, Stephanie Kayden MD, MPH,<br />
Tracy Sanson MD, Bobby Kapur MD, MPH<br />
10:00 am - 12:00 pm<br />
Other Session<br />
• Best of CORD/International B<br />
10:30 - 11:50 am<br />
Didactics<br />
• Policy Change 101: A How-To Primer <strong>for</strong> <strong>Emergency</strong> Physicians/<br />
International C<br />
Lauren Hudak MD, MPH, Megan Ranney MD,<br />
Art Kellerman MD, MPH, Sara Patterson MA<br />
11:00 - 11:50 am<br />
Didactics<br />
• <strong>Emergency</strong> Department Evaluation and Management of Pediatric<br />
Concussion and Mild Traumatic Brain Injury/International D<br />
Mark Zonfrillo MD, MSCE, Rachel Bengtzen MD<br />
• <strong>The</strong> Top 10 Global <strong>Emergency</strong> <strong>Medicine</strong> Articles from 2012:<br />
Highlights from the Global <strong>Emergency</strong> <strong>Medicine</strong> Literature Review.<br />
Academy Sponsored - GEMA/International E-F<br />
Gabrielle Jacquet MD, Adam Levine MD, MPH<br />
1:00 - 1:50 pm<br />
Didactics<br />
• Pediatric Airway Management in the 21st Century:<br />
Muddling to Mastery/International D<br />
Nathan Mick MD, Joshua Nagler MD, Aaron Donoghue MD<br />
• Controversies in <strong>Emergency</strong> Ultrasound: <strong>The</strong> Debate Rages On.<br />
Academy Sponsored - AEUS/ International E-F<br />
Christopher Raio MD, Andrew Liteplo MD, J. Christian Fox MD<br />
1:00 - 2:00 pm<br />
Innovations<br />
• Oral Presentations/Presentation #33-36/Atlanta H<br />
Abstracts<br />
• Electronic Medical Records/Presentation #718-721/Atlanta B<br />
Moderator: John P. Marshall MD<br />
• Cardiovascular Basic Sciences/<br />
Presentation # 722-725/Atlanta C & D<br />
Moderator: Michelle Biros MS, MD<br />
• Geriatrics/Presentation #726-731/Atlanta A<br />
Moderator: Kevin Baumlin MD<br />
• Health Services Research/Presentation # 732-737/Atlanta E & F<br />
Moderator: Jesse M. Pines MD<br />
• Video Laryngoscopy/Presentation #738-743/Atlanta G<br />
Moderator: Ron Walls MD<br />
• Pediatric Trauma/Presentation #744-747/Roswell 1<br />
Moderator: Rakesh Mistry MD<br />
• New Ideas in Education/Presentation #748-752/Roswell 2<br />
Moderator: Kevin Rodgers MD<br />
1:00 - 2:20 pm<br />
Didactics<br />
• Inauguration of the NIH Office of <strong>Emergency</strong> Care Research/<br />
International C<br />
Charles Cairns MD, Roger Lewis MD, PhD,<br />
Walter Korshetz MD, Scott Somers PhD<br />
1:00 - 3:00 pm<br />
• Hot Topics in Medical Education and Education Research/<br />
International B<br />
2:00 - 2:50 pm<br />
Didactics<br />
• Child Abuse Pediatrics Research Update - New Innovations, New<br />
Best Practice/International D<br />
Daniel Lindberg MD, Philip Scribano DO, MSCE<br />
• Resident Education in Ultrasound: Meeting the Milestone.<br />
Academy Sponsored - AEUS/International E-F<br />
Nova Panebianco MD, MPH, Resa Lewiss MD,<br />
Saadia Akhtar MD, Jason Nomura MD<br />
2:00 - 3:00 pm<br />
Abstracts<br />
• In<strong>for</strong>mation Technology/Presentation #754-757/Atlanta B<br />
Moderator: D. M. Courtney MD<br />
• Markers and Treatment of Sepsis/<br />
Presentation # 758-761/Atlanta C & D<br />
Moderator: Donald M. Yealy MD<br />
• <strong>Emergency</strong> Medical Services/<br />
Presentation #762-765/Atlanta E & F<br />
Moderator: <strong>The</strong>odore R. Delbridge MD<br />
• <strong>Emergency</strong> Department Crowding/<br />
Presentation #766-769/Atlanta G<br />
Moderator: James Holmes MD<br />
• Pediatric Infectious Diseases/<br />
Presentation #770-775, 86/ Atlanta A<br />
Moderator: TBD<br />
• Health Services Research in Trauma/<br />
Presentation # 776-782/Roswell 1<br />
Moderator: Brendan Carr MD<br />
• Residency Training/Presentation #782-788/Roswell 2<br />
Moderator: Christian Arbelaez MD<br />
3:30 - 5:00 pm<br />
Business Meeting - <strong>The</strong> Future of Health Care Re<strong>for</strong>m and<br />
Implications <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong>/Plaza Ballroom ABC<br />
4:30 - 6:30 pm<br />
Resident/Fellowship Fair/Grand Atrium<br />
30 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.
friday, May 17, 2013<br />
Friday, May 17, 2013 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings<br />
7:00-8:00am SAEM Past Presidents, Breakfast Tower Room 1401 (14th Level)<br />
7:00-9:00am AEM Editorial Board Meeting Breakfast PT-200 Conference Room 1 (7th Level)<br />
7:30-8:00am PC Daily Meeting PT- Conference Room 2 (7th Level)<br />
8:00-9:00am SAEM Web Evolution Committee Meeting Tower Room 1202 (12th Level)<br />
8:00am-12:00pm AEUS Academy of <strong>Emergency</strong> Ultrasound-Business Meeting Vinings Room I (6th Level)<br />
8:00am-12:00pm AWAEM Academy <strong>for</strong> Women in<br />
<strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>-Business Meeting<br />
Vinings Room II (6th Level)<br />
9:00-10:00am SAEM Resident & Student Advisory Committee Meeting Tower Room 1206 (12th Level)<br />
9:00-10:30am SAEM Ethics Committee Meeting Tower Room 1203 (12th Level)<br />
9:00-11:00am SAEM GME Committee Meeting Tower Room 1202 (12th level)<br />
9:30-10:30am SAEM Awards Committee Meeting Tower Room 1204 (12th Level)<br />
10:00am-3:00pm 2014 PC Planning Meeting International Room A (7th Level)<br />
12:00-1:00pm SAEM Patient Safety Interest Group Meeting Tower Room 1202 (12th Level)<br />
12:00-1:00pm SAEM Sports <strong>Medicine</strong> Interest Group Meeting Tower Room 1203 (12th Level)<br />
12:00-2:00pm SAEM Foundation Board Luncheon-By Invitation Only Ex. Board Room (6th Level)<br />
12:00-2:00pm AWAEM Academy <strong>for</strong> Women in<br />
<strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>-Luncheon<br />
PT- Conference Room 1-2 (7th Level)<br />
1:00-2:00pm SAEM Membership Committee Meeting Tower Room 1205 (12th Level)<br />
5:00-6:30pm AWAEM/AAWEP Reception PT-200 Conference Room 3 (7th Level)<br />
5:00-6:30pm SAEM Wilderness <strong>Medicine</strong> Interest Group Meeting Tower Room 1203 (12th Level)<br />
Friday, May 17, 2013 – Affiliated Meetings<br />
8:00am-1:00pm SIM WARS Plaza Ballroom A-B-C combined (10th Level)<br />
8:00am-5:00pm CORD Committee Meetings Tower Room 1403 (12th Level)<br />
8:00am-5:00pm Physio-Control Usability Interviews- By Invitation Only Tower Room 1402 (12th Level)<br />
8:00-10:00am ACEP <strong>Academic</strong> Affairs Meeting Tower Room 1208 (12th Level)<br />
8:30am-3:00pm EMRA BOD Meeting & Committee Updates Tower Room 1201 (12th Level)<br />
10:00-11:30am ACEP-SAEM Research WG Meeting Tower Room 1208 (12th Level)<br />
12:00-1:00pm Janssen Product <strong>The</strong>ater International H (6th Level)<br />
12:30-2:00pm ACEP Research Committee Meeting Tower Room 1208 (12th Level)<br />
5:00-6:00pm CTSA Research Network Meeting PT-200 Conference Room 5 (7th Level)<br />
6:00-7:00pm EMRA Spring Awards Reception PT-200 Conference Room 1 & 2 (7th Level)<br />
5:30-7:00pm ACEP EMBERS’ Alumni Reception Tower Room 1207 (12th Level)<br />
Visit our Exhibitors in Peachtree Ballrooms (8th Level)<br />
• Thursday, May 16, 2013: 7:00 am - 5:00 pm<br />
Morning Coffee service at 7:00 am - 8:00 am<br />
• Friday, May 17, 2013: 7:00 am - 5:00 pm<br />
Morning Coffee service at 7:00 am - 8:00 am<br />
Coffee Break at 3:00 pm - 3:30 pm<br />
May 14-18, 2013 | Atlanta, Georgia 31
daily schedule – saturday, May 18, 2013<br />
8:00 - 8:50 am<br />
Didactics<br />
• Motivating Success: Conducting High Quality Behavioral<br />
Interventions <strong>for</strong> Addiction in Ed Patients - Lessons Learned From<br />
<strong>The</strong> Smart-Ed Multisite Trial/International B<br />
Cameron Crandall MD, Ryan McCormack MD,<br />
Alyssa Forcehimes PhD<br />
• Presentation Design - An Evidence-Based Approach to<br />
Creating Impactful, Effective Visual Aids/International G<br />
Mal<strong>for</strong>d Pillow MD, MEd<br />
8:00 - 9:00 am<br />
Abstracts<br />
• Post-Cardiac Arrest Care/Presentation #809-814/Atlanta A<br />
Moderator: Richard Summers MD<br />
• Simulation in <strong>Emergency</strong> <strong>Medicine</strong>/<br />
Presentation #815-820/Atlanta C & D<br />
Moderator: Daniel Handel MD, MPH<br />
• Prescription and Abuse of Opiates/<br />
Presentation #821-826/ Roswell 1<br />
Moderator: Steven B. Bird MD<br />
• Toxicology/Presentation #827-833/ Roswell 2<br />
Moderator: Kavita Babu MD<br />
8:00 - 9:20 am<br />
Didactics<br />
• <strong>The</strong> Hidden Science in Your <strong>Emergency</strong> <strong>Medicine</strong> Research:<br />
Gender-Specific Study Design and Analysis.<br />
Academy Sponsored-AWAEM /International C<br />
Esther Choo MD, MPH, Roger Lewis MD, PhD,<br />
Deborah Diercks MD, David Wright MD<br />
8:00 - 10:00 am<br />
Abstracts<br />
• Airway Management/Presentation #789-796/Atlanta B<br />
Moderator: Diane Birnbaumer MD<br />
8:00 - 11:30 am<br />
Abstracts<br />
• International <strong>Emergency</strong>/Presentation #797-808/ Atlanta E & F<br />
Moderator: Charles Gerardo MD<br />
8:00 am - 12:00 pm<br />
Other Session<br />
• SonoGames/Plaza Ballroom ABC<br />
9:00 - 9:50 am<br />
Didactics<br />
• SAEM AND EMF Grants:<br />
Opportunities and Submission Process/International B<br />
James Holmes MD, MPH, Mark Courtney MD, MSCI,<br />
Andrew Chang MD, MS, Comilla Sasson MD, MS<br />
• Deliberate Practice: A Learning Technique That<br />
Improves Mastery, Execution, and Retention of<br />
Medical Knowledge/International G<br />
Rodney Omron MD, MPH, Doug Franzen MD, M.Ed,<br />
Rahul Patwari MD<br />
9:30 - 9:50 am<br />
Didactics<br />
• Top 5 Plays of the Day: How Gender-Specific <strong>Medicine</strong> Impacts<br />
Men’s Health. Academy Sponsored-AWAEM/ International C<br />
Alyson McGregor MD, Frederico Vaca MD, MPH, Nina Gentile MD,<br />
Basmah Safdar MD, Neha Raukar MD, David Portelli MD<br />
10:00 - 10:50 am<br />
Didactics<br />
• NIH Individual Research Career Development (K) Awards:<br />
A Pathway to Research Independence/International B<br />
Jane Scott ScD, MSN, Lance Becker MD,<br />
Benjamin Abella MD, MS, Sean Collins MD, MSc<br />
• Enhancing the Quality and Transparency of Health Research:<br />
An Introduction to the EQUATOR Network and Implications<br />
<strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong>/International C<br />
Christopher Carpenter MD, MSc, Brian Hiestand MD, MPH,<br />
Zachary F. Meisel MD, MPH, MSc<br />
• Peer Mentoring: Enhancing <strong>Academic</strong> & Research Mentoring/<br />
International G<br />
Stephen Cico MD, Med, Kelly Black MD, MSc,<br />
Joseph House MD, Cemal Sozener MD<br />
• Improve Your Teaching: Evidence-Based Teaching Workshop Using<br />
Articles That Will Change Your Teaching Practice/International H<br />
Sally Santen MD, PhD, Sue Farrell MD, Med,<br />
Robin Hemphill MD, MPH, Laura Hopson MD<br />
11:00 - 11:50 am<br />
Didactics<br />
• NHLBI K12 Research Career Development Programs in<br />
<strong>Emergency</strong> <strong>Medicine</strong> Research/International B<br />
James Holmes MD, MPH, Arthur Kellermann MD, MPH,<br />
Jane Scott ScD<br />
• Superstars of Social Media: How to Incorporate<br />
Social Media Into Teaching and Education/International C<br />
James Miner MD, Michelle Lin MD, Scott Joing MD, Sean Fox MD<br />
• Trauma and Teamwork: Lessons from Iraq/International G<br />
Martin Makela MD<br />
• Quantifying the Worth of My Publications <strong>for</strong><br />
Promotions and Grants: <strong>The</strong> h-Index, m-quotient, Eigenfactor,<br />
and Other Measures of <strong>Academic</strong> Currency/International H<br />
Christopher Carpenter MD, MSc, Cathy Sarli MLS, AHIP<br />
Saturday, May 18, 2013 – Affiliated Meetings<br />
9:00am-12:00pm EMRA BOD Meeting Tower Room 1201 (12th Level)<br />
32 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
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:<br />
A guide <strong>for</strong> residents and medical students<br />
Winter has dragged on and on <strong>for</strong> many of us across the country. From<br />
the record snowfalls in the Northeast to the frigid temperatures in the<br />
Midwest, spring seems a little far off, even <strong>for</strong> those of us out West with<br />
ski slopes to enjoy the long winter! After all these cold months, SAEM<br />
couldn’t have picked a better place <strong>for</strong> our 2013 Annual Meeting than the<br />
Peach State, and ‘Hot-lanta’, as the locals affectionately call their capital<br />
city. <strong>The</strong> nickname might stem from the warm weather of the South<br />
or the exciting nightlife of Atlanta, but either way we have a lot to look<br />
<strong>for</strong>ward to, and we haven’t even talked about the conference yet! Now,<br />
let’s focus on a few of the many stand-out conference sessions available<br />
to you at the 2013 meeting.<br />
Day 1, May 15, offers some excellent sessions from a professional and<br />
educational standpoint. Come be inspired by some <strong>for</strong>mer residents<br />
(also known as junior faculty) selected from a nationwide search <strong>for</strong><br />
individuals who brought innovation and leadership to their respective<br />
programs as residents (“How to Become a Trailblazer: Perspectives from<br />
Resident Innovators” 3:00 pm.) If you are already thinking about what to<br />
do after residency, check out some of the fellowship-focused sessions –<br />
from critical care (“<strong>The</strong> Current State of Critical Care Training” 10:00 am)<br />
to EMS (“Advances in EMS Education” 11:00 am) to wilderness medicine<br />
(“Thriving in the Wilderness” 1:00 pm), there is something <strong>for</strong> every<br />
interest.<br />
Here’s hoping your after-hours activities on Day 1 didn’t run too late,<br />
as the session “Choosing a High-Impact Quality Improvement Project as<br />
a Resident or Student AND Getting it Published” at 8:00 am promises<br />
to provide maximum impact. All residents are required to engage in<br />
quality improvement and scholarly works, so why not learn to tackle<br />
both tasks simultaneously? Later in Day 2, “Challenging the Physician-<br />
Patient Relationship: Negotiating Deception, Manipulation and Medical<br />
Mistakes” will deal with some controversial and hard-hitting topics we<br />
will all face during our careers. And of course, don’t miss the keynote<br />
speaker, Dr. Thomas Frieden, the director of the CDC, which can also be<br />
found right here in Atlanta.<br />
In the second half of the conference, we have some additional sessions<br />
that we think would be worthwhile <strong>for</strong> residents to attend. Let’s start<br />
with the sessions on Friday, May 17. Though we all like to sleep in to<br />
some degree, “Diagnostic Imaging and Radiation Exposure: How Much<br />
is too Much?” promises to be worth waking up to attend at 8:00 am! At<br />
some point, a patient has asked you about the radiation exposure of all<br />
the studies you order, and this talk will address some of these concerns.<br />
Additionally, the 10:30 am didactic on “Policy Change 101: A How-To<br />
Primer <strong>for</strong> the <strong>Emergency</strong> Physician” should be of value to residents<br />
and students. In this day and age of graduate medical education cuts,<br />
trimming of costs from hospitals, and yet even more patients, it is<br />
important to be involved in the health policy debate.<br />
On the last day of the conference, there are a number of outstanding<br />
sessions. During residency (and beyond,) we will have to give a lecture<br />
or presentation on a topic. At 8:00 am, “Presentation Design: An<br />
Evidence-Based Approach” should help you with this important skill.<br />
And finally, we are all hearing more and more about Twitter, Facebook,<br />
LinkedIn, blogs, podcasts, and all other types of social media within EM.<br />
Wondering what in the world is a hashtag? Or, do you keep hearing about<br />
FOAM (Free Open Access Meducation) and want to know what the big<br />
craze is about? One of the final sessions of the conference at 11:00 am<br />
is about incorporating social media into education. See how this new<br />
phenomenon is changing the way we learn and debate in<strong>for</strong>mation. Also,<br />
be sure to check out SonoGames; either bring your own ultrasound team<br />
or be a spectator at the fight <strong>for</strong> sonographic supremacy!<br />
<strong>The</strong> SAEM Annual Meeting is the premiere event <strong>for</strong> the latest and<br />
greatest research within EM. No matter what sessions you choose<br />
to attend, you are bound to learn something that will help you in your<br />
practice. <strong>The</strong> more meetings you attend, the better you will be able to<br />
critically evaluate posters and didactics. Use this in<strong>for</strong>mation that you<br />
gain to decide how to shape the way you practice EM. One of the authors<br />
of this article (BR) has been to 5 annual meetings already and feels<br />
strongly that the knowledge you will learn WILL shape your practice and<br />
put you on the cutting edge of EM. Another great reason to come to the<br />
meeting is <strong>for</strong> networking with your colleagues from across the country<br />
(and the world!) Virtually all of the interest groups hold meetings here,<br />
and you get to join one free with your membership! Additionally, all of<br />
the academies have their own meetings. For residents and students, the<br />
Residency & Fellowship Fair is a great place to network with program<br />
directors and other faculty/residents/fellows from individual programs.<br />
This is the best time to ask your questions and get a feel <strong>for</strong> the program<br />
be<strong>for</strong>e deciding to apply. <strong>The</strong> list of programs at the fair is published<br />
in advance - make sure you circle the ones you want to go to and have<br />
questions ready <strong>for</strong> them. You will be surprised by how friendly everyone<br />
is and how quickly you can catch someone’s eye or make a connection!<br />
In conclusion, the Annual Meeting is the face of the <strong>Society</strong> and all that<br />
it does over the course of the year. <strong>The</strong> <strong>Society</strong> is the only emergency<br />
medicine organization that represents all residents in every program<br />
throughout the country as THE academic society in emergency medicine.<br />
It is worth attending as a student or resident at a minimum once. In<br />
addition to all of the great academic material you will learn, you will have a<br />
great time! Between the social events, experiencing Atlanta, and gaining<br />
knowledge, it will be a great conference and we look <strong>for</strong>ward to seeing<br />
many of you here. And, of course, to those unable to attend because they<br />
are staffing our emergency departments, we thank you too!<br />
Brett Rosen MD – member, Resident and Student Advisory Committee<br />
Marie Vrablik MD – co-chair, Resident and Student Advisory Committee<br />
May 14-18, 2013 | Atlanta, Georgia 33
SAEM 2013 Annual Meeting Didactic Presentations<br />
May 14 - 18, Atlanta, GA<br />
WEDNESDAY, MAY 15th<br />
<strong>The</strong> Role of Electroencephalography and of Reduced Lead EEG in<br />
the <strong>Emergency</strong> Department.<br />
DS001 – Peachtree A & B<br />
Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am<br />
Historically, EEG has been used in the emergency department setting on a<br />
limited basis when prompted by neurological consultants. Dr. Brenner has been a<br />
proponent of the use of EEG with reduced lead to diagnose nonconvulsive status<br />
epilepticus. Dr. Michelson has pursued the use of EEG in the recognition of stroke.<br />
He will also review the recent literature and current trials on quantitative EEG<br />
in assessment of traumatic brain injury. Together, they are studying the use of<br />
reduced lead EEG in a multicenter trial. <strong>The</strong>y will each review the indications and<br />
limitations of reduced lead EEG in the emergency department setting.<br />
Objectives: At the completion of this session, participants should be able to<br />
recognize the indications <strong>for</strong> reduced lead EEG use in the ED and be aware of the<br />
limitations of its interpretations.<br />
Jay Brenner MD – submitter, presenter<br />
SUNY-Upstate Medical University, Syracuse, NY<br />
Ed Michelson MD - presenter<br />
Case Western Reserve University, Cleveland, OH<br />
How to Effectively Supervise and Teach Residents: Entrustment<br />
and Autonomy<br />
DS002 – Peachtree C<br />
Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am<br />
<strong>The</strong> purpose of residency is to train residents to manage patients independently<br />
while the role of the attending faculty varies in supervision and allowing<br />
autonomy. This concept has been termed entrustment (ten Cate, 2006). This is<br />
the key to Entrustable Professional Activities which further delineate the new EM<br />
Milestones. As residents progress along the milestones, the role of the supervising<br />
physician is to facilitate incremental increase in responsibilities of patient care<br />
to residents with concurrent reduction in clinical oversight. Entrustment varies<br />
based on attending factors (experience, confidence), resident factors (level of<br />
training, characteristics), patient factors (severity of illness, complexity) and<br />
environment (volume, service expectations). In this session, we will discuss<br />
how leveraging entrustment can create an effective learning environment. We<br />
will explore resident perceptions of autonomy, the learning environment, and<br />
strategies <strong>for</strong> faculty to enhance resident learning within this framework. <strong>The</strong><br />
workshop will be highly interactive, requiring participants to use and understand<br />
resident supervision and autonomy, review their own current practice, and then<br />
apply new techniques to their clinical teaching. This session will start with short<br />
didactic presentation and large group discussion to understand entrustment and<br />
autonomy. We will then incorporate facilitated small group discussions to further<br />
understand the concepts and develop ways to improve each participant’s ability to<br />
engage with a resident at an appropriate level of supervision and autonomy. Small<br />
group facilitators: Nadia Juneja, Robin Hemphill, Felix Ankel, and Sheryl Heron.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the factors affecting autonomy,<br />
2. Demonstrate the ability to navigate the barriers to entrustment,<br />
3. Appropriately facilitate resident autonomy and grant-trainee-suitable<br />
entrustment of patient care to enhance resident education while maintaining<br />
appropriate supervision.<br />
Sally Santen MD, PhD – submitter, presenter<br />
University of Michigan, Ann Arbor, MI<br />
Ben Bassin MD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
Katie Saxon MD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
Meg Wolff MD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
In the Middle: Non-Physician Providers in the <strong>Emergency</strong> Department<br />
DS003 – Peachtree D<br />
Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am<br />
<strong>The</strong>re are an increasing number of non-physician providers (NPs and PAs)<br />
working in academic and community emergency medicine departments. Many<br />
departments may have initially turned to non-physician providers as a way<br />
to increase staffing and provide direct patient care. Some departments have<br />
integrated the non-physician providers fully into their academic structure and<br />
mission. <strong>The</strong>se providers are now responsible <strong>for</strong> resident and student education,<br />
research and professional development in addition to their duties of patient care.<br />
Just like physicians, they must balance the demands on their time and chart a<br />
course <strong>for</strong> career advancement. We will examine the evolution of opportunities<br />
<strong>for</strong> non-physician providers in the emergency department and illustrate how<br />
non-physician providers can become an integral part of an academic emergency<br />
medicine department. <strong>The</strong>re will also be a discussion <strong>for</strong> non-physician providers<br />
on where to turn <strong>for</strong> resources <strong>for</strong> career development.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Define current and future roles <strong>for</strong> non-physician providers in academic<br />
emergency medicine.<br />
2. Discuss the challenges and rewards of integration of non-physician providers<br />
in emergency departments.<br />
3. Review resources <strong>for</strong> education and integration of non-physician providers.<br />
Henderson McGinnis MD - submitter<br />
Wake Forest Baptist Health, Winston Salem, NC<br />
Jeff Hinshaw PA - presenter<br />
Wake Forest Baptist Health, Winston-Salem, NC<br />
Randy Howell DO, FACOEP - presenter<br />
West Virginia University, Morgantown, WV<br />
Development of Clinical Decision Instruments<br />
in <strong>Emergency</strong> <strong>Medicine</strong><br />
DS004 – Peachtree E<br />
Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am<br />
Decision Instruments (DIs) allow <strong>for</strong> safe, effective diagnostic test utilization<br />
with resource savings and other notable benefits, such as decreased radiation<br />
exposure. <strong>The</strong> following topics will be discussed: 1) Choice of DI topics (how<br />
to choose appropriate topics <strong>for</strong> a DI), 2) Basics of DI study design (derivation<br />
and validation techniques), 3) Study methodology including controlling <strong>for</strong> bias<br />
(especially work-up bias), and 4) Statistical concepts (sample size, recursive<br />
partitioning vs. logistic regression). During the first 36 minutes, presenters will<br />
discuss the above topics in three 12 minute Power-point presentations. During the<br />
last 14 minutes, the moderator will summarize the discussion and lead a question<br />
and answer session.<br />
Objectives: On completion of the session, participants should be able to:<br />
1. Describe the utility of DIs and how to choose a topic <strong>for</strong> DI development.<br />
2. Describe the basics of DI study design.<br />
3. Define the need <strong>for</strong> controlling elements of bias4: Discuss basic statistical<br />
concepts inherent in DI methodology.<br />
Robert Rodriguez MD – submitter, presenter<br />
UCSF, San Francisco, CA<br />
James Holmes MD - presenter<br />
UC Davis Dept of <strong>Emergency</strong> Med, Davis, CA<br />
Nate Kuppermann MD, PhD - presenter<br />
UC Davis, Davis, CA<br />
William Mower MD, PhD - presenter<br />
UCLA Medical Center, Los Angeles, CA<br />
ED-based Critical Care Resident Rotations &<br />
Experiences as Opportunities <strong>for</strong> Teaching<br />
Critical Care in the <strong>Emergency</strong> Department<br />
DS005 – Peachtree A & B<br />
Session Time: Wednesday, May 15, 2013 9:00 - 9:50 am<br />
Critical Care has long been a major part of <strong>Emergency</strong> <strong>Medicine</strong>. For the most<br />
part clinical critical care has been taught by inpatient intensivists on inpatient<br />
ICU’s with the expectations the methods and techniques would be naturally<br />
transitioned to the ED. Due to many factors including increasing numbers of<br />
<strong>Emergency</strong> Intensivists on residency faculties providing bedside teaching of<br />
critical care techniques has expanded. While inpatient ICU experiences are still<br />
34 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
*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<br />
rotations. This session will provide results of a survey of programs on the current<br />
use of both inpatient and ED-based critical care education. Panelists will present<br />
2 current ED-based critical care rotation designs describing the educational<br />
methods and resident responses to the courses. After the panelist’s presentation<br />
there will be time <strong>for</strong> questions from the audience about the survey results and the<br />
courses described as well as the potential evolution <strong>for</strong> this type of experience in<br />
other programs.<br />
Objectives: At the completion of this session participants should be able to:<br />
1. Describe the current critical care education methods reported in the survey of<br />
residency programs.<br />
2. Describe the emerging use of ED-based clinical critical care rotations and<br />
experiences in resident education.<br />
3. Define the facilities and resources needed to establish ED-based critical care<br />
rotations.<br />
4. Demonstrate how to create ED-based critical care experiences without a<br />
dedicated ED critical care unit.<br />
Kevin Ferguson MD - submitter<br />
University of Florida., Gainesville, FL<br />
Lillian Emlet MD - presenter<br />
University of Pittsburgh, Pittsburgh, PA<br />
Robert Sherwin MD, FACEP, FAAEM - presenter<br />
Sinai Grace Hospital/Detroit Receiving Hospital, Detroit, MI<br />
Scott Wiengart MD - presenter<br />
Sinai School of <strong>Medicine</strong> & Elmhurst Hospital Center, New York, NY<br />
Not Another Boring Lecture: Five Ways to Spice Up Your<br />
Didactics!<br />
DS006 – Peachtree C<br />
Session Time: Wednesday, May 15, 2013 9:00 - 10:20 am<br />
This session will challenge participants to branch out of their com<strong>for</strong>t zone by<br />
demonstrating and encouraging the use of modern instruction. Learners only<br />
retain 10-30% of what they hear in standard lectures often because little attention<br />
is paid to learning theories and principles of instructional design that promote<br />
improved attention and knowledge retention. During the session, participants will<br />
participate in several methods of interactive teaching that demonstrate dynamic<br />
opportunities <strong>for</strong> the teacher to engage the learner. <strong>The</strong>se will include the flipped<br />
classroom methods, slide presentation principles framed within Richard Mayer’s<br />
cognitive theory of multimedia learning, embedding active learning in the lecture<br />
<strong>for</strong>mat, and innovative lecture techniques. At the completion of the session,<br />
participants will be able to incorporate new teaching methods into their practice.<br />
Due to the interactive nature of this workshop there will be 4 facilitators: Robin<br />
Hemphill, Ben Bassin, Mary Jo Wagner and Philip Shayne.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Recognize examples of less effective instruction<br />
2. Demonstrate a basic understanding of modern learning theories and their role<br />
in instructional design<br />
3. Employ new teaching tools effective <strong>for</strong> their environment.<br />
Margaret Wolff MD - submitter, presenter<br />
University of Michigan, Ann Arbor, MI<br />
Mary Jo Wagner MD – presenter<br />
Central Michigan University, Saginaw, MI<br />
Sally Santen MD, PhD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
Stacey Poznanski MD - presenter<br />
Wright State University, Dayton, OH<br />
Impact of the 2010 AHA Post-Cardiac Arrest Care Guidelines:<br />
Assessing Knowledge Translation & Implementation<br />
DS007 – Peachtree D<br />
Session Time: Wednesday, May 15, 2013 9:00 - 9:50 am<br />
In 2010 AHA and ILCOR published guidelines that advocated implementation of<br />
comprehensive post-cardiac arrest care, including therapeutic hypothermia,<br />
to improve outcomes after cardiac arrest. Resuscitation research has surged<br />
in the last decade explicitly because the results of two randomized controlled<br />
trials showed that the application of mild therapeutic hypothermia after cardiac<br />
arrest positively influenced neurologic outcomes. Now over two years since the<br />
2010 Guidelines, the impact on systems of care remains largely unknown and<br />
highly variable. Numerous factors play roles in the acceptance and adherence to<br />
published guidelines, including 1) individual knowledge of such recommendations<br />
and 2) institutional expertise, experience (patient volume), and resources.<br />
In the US, there are several different models of post-arrest care, from the<br />
multidisciplinary, on-call team approach to a protocol-driven order set initiated<br />
upon admission to the intensive care unit. <strong>Emergency</strong> <strong>Medicine</strong> physicians<br />
are uniquely positioned as experts in emergency care to resuscitate patients<br />
suffering both in- and out of hospital cardiac arrest. As such, knowledge of current<br />
guidelines and appreciation <strong>for</strong> potential limitations to their implementation may<br />
improve our ability to initiate comprehensive post-arrest care and advocate in<br />
the best interest <strong>for</strong> our patients. Evidence-based recommendations <strong>for</strong> postarrest<br />
care will be reviewed though specific management techniques will not<br />
be discussed. <strong>The</strong> conversation will incorporate a discussion of future research<br />
directions within cardiac resuscitation as pertaining to the guidelines.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Discuss the concept of comprehensive post-cardiac arrest care and the general<br />
evidence-based goals as laid out in the 2010 Guidelines<br />
2. Identify the variations in implementation of the 2010 Guidelines in the US<br />
3. Describe limitations to knowledge translation and developing systems of care<br />
<strong>for</strong> cardiac arrest<br />
4. Identify future research directions within cardiac resuscitation<br />
Kelly Sawyer MD, MS – submitter, presenter<br />
William Beaumont Hospital, Royal Oak, MI<br />
Teresa Camp-Rogers MD, MS - presenter<br />
UT Health Science Center at Houston, Houston, TX<br />
Michael Kurz MD, MS-HES - presenter<br />
Virginia Commonwealth University, Richmond, VA<br />
Introduction to Statistics<br />
DS008 – Peachtree E<br />
Session Time: Wednesday, May 15, 2013 9:00 - 10:20 am<br />
To succeed in research and academia, a fundamental knowledge of important<br />
statistical concepts is a necessity. This knowledge will allow investigators to plan a<br />
sound research study, develop testable hypotheses, choose appropriate analytical<br />
methods, and determine the feasibility of per<strong>for</strong>ming a study in a given population<br />
and setting. In this session, Dr. Lewis will discuss introductory statistical topics<br />
such as types of data, common statistical tests, p values, confidence intervals,<br />
and sample size and power calculations. An overview of subgroup analysis, interim<br />
data analysis, and intention to treat will also be provided. Through discussion of<br />
these concepts at this session, attendees will increase their understanding of<br />
statistical concepts and will be able to apply this knowledge to their research and<br />
practice.<br />
Objectives:<br />
1. Describe types of data, common statistical tests, p values, and confidence<br />
intervals<br />
2. Apply sample size and power calculations<br />
3.Distinguish subgroup analysis, interim data analysis, and intention-to-treat<br />
concepts<br />
Roger Lewis. Harbor MD, PhD – submitter, presenter<br />
UCLA Medical Center, Torrance, CA<br />
<strong>The</strong> Current State of Critical Care Fellowship Training <strong>for</strong><br />
<strong>Emergency</strong> <strong>Medicine</strong> Residency Graduates<br />
DS009 – Peachtree A & B<br />
Session Time: Wednesday, May 15, 2013 10 - 10:50 am<br />
Decades of ef<strong>for</strong>t to open Critical Care Training and certification to <strong>Emergency</strong><br />
Physicians are culminating in rapid expansion of Fellowships and Certification<br />
Pathways. Currently ABEM and ABIM have defined a pathway to certification<br />
<strong>for</strong> <strong>Emergency</strong> Physicians who have completed a 2 year IM based program.<br />
Anesthesiology and Surgery are currently exploring and developing pathways <strong>for</strong><br />
<strong>Emergency</strong> Physicians to complete Critical Care fellowships in their programs.<br />
This session will provide an update on these developments and provide insight<br />
to the curriculums of the various programs. A survey of current CCM programs<br />
accepting emergency physicians and current state of ABEM certification<br />
agreements will be presented by the moderator. Panelists consisting of Program<br />
Directors from <strong>Medicine</strong>, Anesthesiology and Surgery Fellowships that accept<br />
EP’s will make brief presentations on their current or planned curriculum, pathways<br />
to certification <strong>for</strong> their graduates and potential employment opportunities<br />
as emergency intensivists in their institutions or departments. After the panel<br />
presentations there will be a period of questions and answers from the audience<br />
to the panel.<br />
Objectives:<br />
1. Summarize the results of a recent survey of critical care fellowship directors<br />
regarding emergency physician applicants<br />
May 14-18, 2013 | Atlanta, Georgia 35
2. Describe the differences in the curriculums of anesthesia, medicine and<br />
surgery fellowships<br />
3. Identify the various pathways to certification <strong>for</strong> graduates of the various<br />
fellowships.<br />
4. Define the potential career options as emergency intensivists in their<br />
institutions and departments.<br />
Kevin Ferguson MD - submitter, presenter<br />
Univ. of Florida, Gainesville, FL<br />
Andrea Gabrielli MD - presenter<br />
University of Florida, Gainesville, FL<br />
Jay Menaker MD - presenter<br />
Univ. of Maryland Medical Center, Baltimore MD<br />
Mike Winters MD - presenter<br />
University of Maryland, Baltimore MD<br />
Fulfilling the Residency Educational Mission at Independent<br />
<strong>Academic</strong> Medical Centers<br />
DS010 – Peachtree D<br />
Session Time: Wednesday, May 15, 2013 10 - 10:50 am<br />
Independent academic medical centers represent an important setting <strong>for</strong> the<br />
training of emergency physicians. Neither university-based departments of<br />
emergency medicine nor community hospitals serving as secondary training<br />
sites, independent academic hospitals are home to nearly one-third of accredited<br />
allopathic emergency medicine residency programs. This session will explore the<br />
unique challenges and opportunities that exist in training emergency medicine<br />
residents in the independent academic hospital setting. Dr. Katz will provide<br />
an overview of the common practice setting differences between universitybased<br />
and independent academic hospitals and their implications <strong>for</strong> residents<br />
and faculty in the independent academic environment. Dr. Garmel will describe<br />
the challenges and opportunities faced by faculty educating residents while<br />
working at an independent academic hospital, with specific focus on didactic and<br />
bedside teaching in this environment. Dr. Davenport will elucidate the challenges<br />
and opportunities <strong>for</strong> emergency medicine residents who train at independent<br />
academic hospitals, with specific focus on the clinical environment, the diversity<br />
of teaching faculty, and approaches <strong>for</strong> residents to maximize their academic<br />
preparation in this setting. Dr. Venkat will discuss the challenges and opportunities<br />
<strong>for</strong> resident scholarly activity in the independent academic environment, with<br />
specific focus on garnering resources <strong>for</strong> research and approaches to increasing<br />
scholarly productivity by residents in this setting as preparation <strong>for</strong> an academic<br />
career. <strong>The</strong> session will conclude with a question-answer session to further<br />
discuss the challenges and opportunities of residency education in this setting.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the challenges to training emergency medicine residents at<br />
independent academic medical centers, specifically within the categories of<br />
clinical practice, didactics, and scholarly activity.<br />
2. List ways to mitigate these challenges to advance the educational mission of<br />
residencies in independent academic hospitals.<br />
3. Describe the opportunities available <strong>for</strong> residents and faculty at independent<br />
academic hospitals.<br />
Arvind Venkat MD – submitter, presenter<br />
Allegheny General Hospital, Pittsburgh, PA<br />
Moira Davenport MD - presenter<br />
Allegheny General Hospital, Pittsburgh, PA<br />
Gus Garmel MD - presenter<br />
Stan<strong>for</strong>d/Kaiser Permanente, Palo Alto, CA<br />
Eric Katz MD - presenter<br />
Maricopa Medical Center, Phoenix, AZ<br />
Systems Milestones <strong>for</strong> <strong>Academic</strong> Programs: Moving from<br />
Novice to Expert<br />
DS011 – Peachtree C<br />
Session Time: Wednesday, May 15, 2013 10:30 - 11:50 am<br />
<strong>The</strong> Next Accreditation System (NAS) is based in the Dreyfus Model of individual<br />
milestone development from novice to expert. A parallel development of<br />
milestones <strong>for</strong> systems can be created <strong>for</strong> academic programs when leaders<br />
manage the domains of autonomy, coping with complexity, and perceiving<br />
context. <strong>The</strong> workshop will be highly interactive, requiring participants to reflect<br />
on their programs and design elements of improvement in their academic program<br />
in a strategic fashion. This session will start with a short didactic presentation<br />
followed by a large group discussion. During the session participants will have<br />
the opportunity to reflect on the Dreyfus’ Model, work in small groups to<br />
develop a strategy that fits within the context of their institution’s culture, and<br />
develop a blueprint <strong>for</strong> moving academic programs towards the expert level.<br />
To allow <strong>for</strong> effective small group facilitated discussion, additional small group<br />
facilitators include: Stephanie Taft MD (Regions Hospital), Sheryl Heron MD<br />
(Emory University), Laura Hopson MD (University of Michigan) and Sam Hauff MD<br />
(University of Michigan).<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the Dreyfus Model of novice, beginner, competent, proficient, and<br />
expert through the domains of autonomy, context, and complexity<br />
2. Reflect on systems milestones needed to develop expert programs<br />
3. Design a 10-point blueprint <strong>for</strong> system expertise to bring back to participants’<br />
local programs<br />
Felix Ankel MD – submitter, presenter<br />
Regions Hospital, Saint Paul, MN<br />
Robin Hemphill MD - presenter<br />
National Center <strong>for</strong> Patient Safety, Veterans Health, Ann Arbor, MN<br />
Sally Santen MD, PHD - presenter<br />
University of Michigan, Ann Arbor, MN<br />
Team Science in Research: What is the Role of<br />
<strong>Emergency</strong> <strong>Medicine</strong>?<br />
DS012 – Peachtree E<br />
Session Time: Wednesday, May 15, 2013 10:30 - 11:50 am<br />
Whether the project is basic science or clinical research, the team approach to<br />
research is not only necessary but a competitive advantage. In these teams,<br />
each member contributes specific resources or areas of expertise to accomplish<br />
the goals of the project. Because EM is not disease specific, integrating EM<br />
investigators into a research team can be less intuitive than with other specialties.<br />
In the first part of this panel discussion, EM investigators who have been<br />
successful PIs of large multi-disciplinary proposals will share tactics and pitfalls<br />
associated with the EM investigator as team science PI. Topics covered will<br />
include methods <strong>for</strong> leading a team, seeking out researchers and study personnel<br />
from various disciplines, congealing the team, honing the approach, and keeping<br />
team members accountable <strong>for</strong> deliverables. During the second part of this panel<br />
discussion, experienced EM investigators will share examples of collaborations<br />
in which their involvement as Co-I was successful and those that were not. <strong>The</strong>se<br />
examples will serve to outline a framework in which EM investigators generally<br />
contribute: a) access to patients; b) research infrastructure <strong>for</strong> enrollment of ED<br />
patients; and/or, c) intellectual expertise. Discussions will focus on negotiations<br />
of items such as academic credit, expected deliverables, consumption of research<br />
resources, and financial compensation. <strong>The</strong>se experts will also provide examples<br />
of EM investigators who have developed an area of intellectual expertise that<br />
successfully integrates into research teams. In the conclusion of this presentation,<br />
the panel will present a list of general principals to guide EM investigators as they<br />
develop and contribute to research teams.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe approaches <strong>for</strong> EM investigators to be successful research team<br />
leaders<br />
2. Conceptualize successful and unsuccessful arrangements when joining a<br />
research team as a co-investigator.<br />
3. Describe, with examples of successful teams involving EM investigators:<br />
a. Implementation of a clinical trials unit,<br />
b. Development of a multicenter federally sponsored clinical trial,<br />
c. Definition of an area of intellectual expertise as an EM investigator.<br />
Chadwick Miller MD, MS – submitter, presenter<br />
Wake Forest School of <strong>Medicine</strong>, Winston-Salem, NC<br />
Roger Lewis MD, PhD - presenter<br />
David Geffen School of <strong>Medicine</strong> at UCLA, Torrance, CA<br />
Alan Storrow MD - presenter<br />
Vanderbilt University, Nashville, TN<br />
Gregory Fermann MD - presenter<br />
University of Cincinnati, Cincinnati, OH<br />
Advances in EMS Education <strong>for</strong> Residents<br />
DS013 – Peachtree A & B<br />
Session Time: Wednesday, May 15, 2013 11:00 - 11:50 am<br />
<strong>The</strong> American Board of Medical Specialties recently established <strong>Emergency</strong><br />
Medical Services (EMS) as a sub-specialty of <strong>Emergency</strong> <strong>Medicine</strong>, recognizing<br />
that EMS comprises a distinct practice and fund of knowledge. <strong>Emergency</strong><br />
<strong>Medicine</strong> residents have varied exposure to pre-hospital care and EMS systems<br />
depending on their training location and departmental priorities/resources. <strong>The</strong><br />
SAEM EMS Interest Group and its EMS Curriculum Development Task Force have<br />
sought to continue to develop the new sub-specialty, cultivate the fertile ground<br />
36 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
<strong>for</strong> research, spark an interest in residents and students to pursue careers in<br />
EMS, and improve patient care in all phases of healthcare that interact with EMS<br />
by refining and further developing standard EMS curricula <strong>for</strong> EM residents and<br />
students. This session will begin with overview of, and commentary on, the Interest<br />
Group’s recommendations with a focus on resident education. <strong>The</strong> remainder of<br />
the session will be devoted to a discussion of how to implement and achieve these<br />
important educational objectives. Audience participation will be encouraged to<br />
create a vibrant discussion. Ideas raised in this session will be incorporated into<br />
the task <strong>for</strong>ce’s final report.<br />
Objectives: At the completion of this session, participants should be able to<br />
1. Describe the current model of EMS education <strong>for</strong> residents;<br />
2. Describe EMS educational objectives <strong>for</strong> residents, as well as methods to<br />
achieve these objectives.<br />
Michael Hilton MD - submitter<br />
University of Pittsburgh, Pittsburgh, PA<br />
David Cone MD - presenter<br />
Yale University, New Haven, CT<br />
Jonathan Fisher MD, MPH - presenter<br />
Harvard University, Boston, MA<br />
Christian Martin-Gill MD, MPH - presenter<br />
University of Pittsburgh, Pittsburgh, PA<br />
<strong>The</strong> Nonquantitative Aspect of Resident Training in the<br />
Community ED<br />
DS014 – Peachtree D<br />
Session Time: Wednesday, May 15, 2013 11:00 - 11:50 am<br />
We all remember what it was like to be a resident: the long days and the hard nights,<br />
the feeling that maybe, perhaps, you missed something, the joy over successfully<br />
intubating. Faculty in turn takes great pride in enriching the experience. However,<br />
education is simply one piece of the resident-faculty interaction. Supervising<br />
residents on a clinical shift can have other intended and unintended consequences<br />
besides the creation of a positive learning environment. This session will explore<br />
the additional responsibilities community based academic emergency physicians<br />
encounter when residents are added into their departments. In particular topics<br />
to be presented will include 1) <strong>The</strong> financial costs of residents (Most affiliates<br />
now pay their salary) with a focus on the cost benefit of having a resident vs. midlevel<br />
provider as caregiver 2) the time demands <strong>for</strong> bedside teaching and how<br />
that influences physician coverage of other patients 3) the impact of residents<br />
on patient flow, patient satisfaction, and HCAHPs 4) the relationships between<br />
resident and medical staff, and resident and ancillary staff.<br />
Objectives: At the end of this session, participants should be able to:<br />
1. Identify both the positive and the negative aspects of having residents in<br />
community teaching EDs.<br />
2. Define the options available to resolve any adverse consequences, while at the<br />
same time enhancing the good aspects of a residency program.<br />
3. Describe how to establish programs and effectively communicate between<br />
residency directors and ED community faculty.<br />
Michael Hochberg MD – submitter, presenter<br />
Saint Peter’s University Hospital/Drexel, Saint Peter’s University Hospital/<br />
Drexel,<br />
Al Sacchetti MD - presenter<br />
Our Lady of Lourdes<br />
Kevin Klauer MD - presenter<br />
EMP<br />
Chad Kessler MD - presenter<br />
Jesse Brown Hospital<br />
Thriving in the Wilderness: What Wilderness <strong>Medicine</strong><br />
Fellowship Applicants and Directors Need to Know<br />
DS015 – Peachtree A & B<br />
Session Time: Wednesday, May 15, 2013 1:00 - 1:50 pm<br />
Wilderness <strong>Medicine</strong> Fellowships are an increasingly popular means of gaining<br />
sub-specialty training in the provision of resource-limited medical care under<br />
austere conditions. Wilderness <strong>Medicine</strong> Fellows are trained through clinical<br />
and scholarly work at the nation’s major medical centers and in the planet’s most<br />
austere and remote environments. Following graduation, fellows contribute to<br />
the advancement of EM in a range of capacities: from starting new fellowships<br />
at leading academic medical centers, to teaching & providing clinical care on the<br />
slopes of Denali, the shores of post-tsunami Japan, and underserved areas of<br />
Africa. Fellowships produce scholars with active research careers funded by the<br />
NIH and other governmental sources. This panel discussion will provide emergency<br />
medicine residents with actionable data on how to assess advanced training<br />
options in wilderness medicine. We will describe how to create a vibrant research,<br />
clinical care, and teaching career as academic wilderness medicine specialist.<br />
We will provide a practical, pragmatic introduction to critical fellowship topics<br />
including: realistic goals <strong>for</strong> field experience, how to get started in wilderness<br />
medicine research, assessing research productivity and fit with applicant’s<br />
interests, key features of WM curriculum, and sources of WM expertise.<br />
Additional topics will include how to investigate potential WM field clinical care<br />
experiences, how to arrange synergistic interactions with other fellowships, and<br />
to highlight the benefits to EM residents and EM faculty provided by a vigorous<br />
WM Fellowship. Finally, we will discuss the creation and content of the unified<br />
national WM Fellowship Curriculum in the service of establishing ACGME/ABMS<br />
certification <strong>for</strong> wilderness medicine fellowships.<br />
Objectives: At the completion of this Panel, participants should be familiar<br />
with methods <strong>for</strong> assessing the quality and personal fit of advanced wilderness<br />
medicine training opportunities. <strong>The</strong>y should be able to define the role of training<br />
in research, teaching, and clinical care expertise in advanced wilderness medicine<br />
practice. Additionally, this should provide directly applicable training on how<br />
academic EPs can establish a successful wilderness medicine fellowship.<br />
N. Stuart Harris MD, MFA<br />
Massachusetts General Hospital, Harvard Medical School, Boston, MA<br />
Tracy Cushing MD, MPH<br />
University of Colorado, Aurora, CO<br />
Taking Advantage of the Teachable Moment: A Workshop <strong>for</strong><br />
Efficient, Learner-Centered Clinical Teaching<br />
DS016 – Peachtree C<br />
Session Time: Wednesday, May 15, 2013 1:00 - 2:20 pm<br />
When working in a chaotic emergency department with competing priorities,<br />
clinical teaching may be sacrificed <strong>for</strong> the sake of patient flow and throughput.<br />
An organized, efficient approach to clinical teaching based upon constructivist<br />
educational theory helps focus the teaching on what the learner needs at that<br />
moment, incorporates regular feedback, keeps the department on track, and<br />
prevents over-teaching. In this interactive workshop, participants will discuss<br />
characteristics of ideal clinical teachers, the theoretical underpinnings of<br />
learner-centered education, and common barriers to effective clinical teaching.<br />
Learner-centered teaching models, such as the one-minute preceptor, SNAPPS,<br />
and L-CARE, will be compared. Videos illustrating examples of effective and<br />
ineffective teaching encounters will serve as a springboard <strong>for</strong> small group,<br />
case-based practice using the teaching models. At the end of this workshop,<br />
participants will be prepared to seize the teachable moment and provide timely<br />
and learner-centered clinical educational encounters.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Discuss characteristics of ideal clinical teachers<br />
2. Recognize constructivist educational theory applied to learner-centered<br />
education<br />
3. Discuss barriers to effective clinical teaching<br />
4. Incorporate learner-centered teaching techniques into their clinical practice<br />
Todd Guth MD - submitter<br />
University of Colorado, School of <strong>Medicine</strong>, Aurora, CO<br />
Elise Lovell MD - presenter<br />
Advocate Christ Medical Center, Oak Lawn, IL<br />
Sneha Shah MD - presenter<br />
University of Massachusetts, Worcester, MA<br />
Mike Epter DO - presenter<br />
University of Nevada, Las Vegas, NV<br />
Investigator-Initiated Research Without an Existing Research<br />
Infrastructure: How to Succeed in Any Practice Setting<br />
DS017 – Peachtree D<br />
Session Time: Wednesday, May 15, 2013 1:00 - 1:50 pm<br />
<strong>The</strong> focus of <strong>Emergency</strong> <strong>Medicine</strong> research has changed dramatically in the last 30<br />
years. EM research has developed from a friendly homespun, investigator-initiated<br />
endeavor into a highly complicated competitive undertaking on a multimillion<br />
dollar national level. <strong>The</strong> NIH investment in emergency care research asks<br />
emergency physicians to identify research areas that aim at improving efficiency<br />
and resource utilization in our increasingly overburdened emergency care system.<br />
Physicians from every practice in <strong>Emergency</strong> <strong>Medicine</strong> play a critical role in this<br />
mission. But how can community based physicians and even those in academic<br />
centers without existing emergency medicine infrastructure accomplish this in<br />
our rapidly changing research landscape? Community-based academic medical<br />
centers, midway between university-based departments of emergency medicine<br />
and community hospitals without academic affiliation, frequently lack the<br />
May 14-18, 2013 | Atlanta, Georgia 37
esearch infrastructure of a university based institution. Even many university<br />
based programs lack sufficient infrastructure necessary to undertake seemingly<br />
basic research questions. <strong>The</strong> lack of institutional support as well as barriers to<br />
per<strong>for</strong>ming research can confound and overwhelm an unseasoned researcher. <strong>The</strong><br />
speakers will address steps to facilitate study design, maximize data collection,<br />
and achieve support <strong>for</strong> research.<br />
Objectives: <strong>The</strong> objective of this didactic is to help faculty and residents learn<br />
the challenges and obstacles that face researchers in these settings, and various<br />
methods <strong>for</strong> dealing with them. At the end of this session, participants should be<br />
able to:<br />
1. Identify sources to assist in the development of research proposals.<br />
2. Identify the challenges in and find solutions <strong>for</strong> data collection and research<br />
assistants.<br />
3. Identify avenues <strong>for</strong> obtaining institutional and outside resources to conduct<br />
this research.<br />
John Cienki MD, MSPH – submitter, presenter<br />
Jackson Memorial Hospital, Miami, FL<br />
Robert J Hoffman MD - presenter<br />
Beth Israel Medical Center, New York, NY<br />
Brigitte Baumann MD, MSCE - presenter<br />
Cooper University Hospital, Camden, NJ<br />
Judd Hollander MD - presenter<br />
Hospital of University of Pennsylvania, Philadelphia, PA<br />
Asking the Question that Clinicians Want Answered Within an<br />
Adaptive Comparative Effectiveness Trial<br />
DS018 – Peachtree E<br />
Session Time: Wednesday, May 15, 2013 1:00 - 1:50 pm<br />
Our discussion of adaptive clinical trials will focus on a very specific class of<br />
flexible designs. Our use of the term adaptive refers to trials which make use of<br />
accumulating in<strong>for</strong>mation from enrolled subjects to make changes in the conduct<br />
of the ongoing trial. Importantly, all of these changes are prospectively planned<br />
using extensive numerical simulation and sensitivity analyses. <strong>The</strong>se designs<br />
can help the trial investigators concurrently accomplish important scientific<br />
and medical goals. In this session we will identify situations where specific types<br />
of adaptive clinical trial designs could be useful. In addition, we will situations<br />
in which adaptive designs may not be as useful or may even be less efficient.<br />
Adaptive trials offer potential benefits in improving trial efficiency (smaller<br />
trials which are more likely to be successful) that must be balanced against the<br />
additional complexities (extensive up-front simulation work and the need to<br />
rapidly incorporate accumulating data from participants within the on-going trial).<br />
We will provide an overview of the key characteristics of high-quality adaptive<br />
clinical trial designs, with a specific example of a comparative effectiveness trial<br />
designed to determine which treatment or treatments to use <strong>for</strong> established<br />
status epilepticus. In the workshop, we will present a real example of a simulated<br />
trial (using statistical software package R – participants are encouraged to bring<br />
laptops with R loaded), and demonstrate potential strengths of using simulation in<br />
research planning. Finally, the panel discussion will focus on lessons learned from<br />
the trial design process and the attendee will learn about potential methods to<br />
enhance the efficiency of trial design.<br />
Objectives: <strong>The</strong> learner should be able to:<br />
1. Describe the taxonomy of adaptive clinical trial designs and areas where such<br />
designs may be useful.<br />
2. Describe the advantages of using numerical simulation in clinical trial design and<br />
encourage attendees to consider using these methods when designing clinical<br />
research<br />
3. Anticipate potential process issues within trial or research design and use<br />
best practices identified through ADAPT-IT to maximize the efficiency of the<br />
process.<br />
William Meurer MD, MS – submitter, presenter<br />
University of Michigan, Ann Arbor, MI<br />
Jason Connor PhD - presenter<br />
Berry Consultants, Austin, TX<br />
Roger Lewis MD, PhD - presenter<br />
Harbor UCLA Medical Center, Los Angeles, CA<br />
From the Bleachers to the Sidelines: Careers and Opportunities<br />
in Sports <strong>Medicine</strong><br />
DS019 – Peachtree A & B<br />
Session Time: Wednesday, May 15, 2013 2:00 - 2:50 pm<br />
Primary care sports medicine has traditionally been practiced by family medicine<br />
physicians, internists, and pediatricians, but the subspecialty has seen growth in<br />
emergency medicine in recent years as well. <strong>Emergency</strong> physicians offer a unique<br />
skill set and are well-positioned <strong>for</strong> success in sports medicine. With the proper<br />
training, experience, or special interest, there are a variety of opportunities in<br />
sports medicine available to the emergency physician. This session will discuss<br />
the role of the emergency physician in sports medicine, the current state of<br />
sports medicine fellowship training, and career paths and other opportunities <strong>for</strong><br />
residents and practicing emergency physicians with or without fellowship training.<br />
Each speaker practices academic emergency medicine, clinical sports medicine,<br />
and team medicine in settings encompassing high school, college, and professional<br />
sports. Jeffrey Feden MD, will provide an overview of the subspecialty, options <strong>for</strong><br />
fellowship training, and typical career paths (10 minutes). Daniel Garza MD, a team<br />
physician at Stan<strong>for</strong>d University and Medical Director <strong>for</strong> the NFL’s San Francisco<br />
49ers, will highlight the role of the emergency physician in team medicine (10<br />
minutes). Moira Davenport MD, Associate EM Residency Director and sports<br />
medicine fellowship faculty member at Allegheny General Hospital will offer her<br />
perspective on balancing a career in academic emergency and sports medicine<br />
(10 minutes). <strong>The</strong> program will conclude with a panel discussion moderated by<br />
Dr. Feden, during which all three speakers will share their recommendations<br />
<strong>for</strong> pursuing sports medicine within the academic setting (15 minutes). A brief<br />
question and answer session will follow (5 minutes).<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Identify the fundamental practice of primary care sports medicine and routes of<br />
entry into the subspecialty;<br />
2. Define the role and unique qualifications of the emergency physician in sports<br />
medicine;<br />
3. Recognize the spectrum of career paths available to the fellowship-trained<br />
emergency physician;<br />
4. Identify areas of involvement <strong>for</strong> the interested resident or emergency<br />
physician without <strong>for</strong>mal training.<br />
Jeffrey Feden MD - submitter, presenter<br />
Brown University, Warwick, RI<br />
Daniel Garza MD - presenter<br />
Stan<strong>for</strong>d University, Palo Alto, CA<br />
Moira Davenport MD - presenter<br />
Allegheny General Hospital, Pittsburgh, PA<br />
Creating a Successful Research Assistant Program in your<br />
<strong>Emergency</strong> Department<br />
DS020 – Peachtree D<br />
Session Time: Wednesday, May 15, 2013 2:00 - 2:50 pm<br />
<strong>Emergency</strong> medicine core faculty faces difficult demands on their time and often<br />
do not have the resources to initiate original research. Creating a team of research<br />
assistants (RAs) to enroll patients is a core part of succeeding at this mission.<br />
This session will describe two successful ways of accomplishing these goals:<br />
1) University-based Research Associates Program: this method is sometimes<br />
referred to as an <strong>Emergency</strong> <strong>Medicine</strong> Research Associates Program or EMRAP.<br />
In this approach, a group of motivated students are selected <strong>for</strong> a college credit<br />
program volunteer in the ED as RAs enrolling patients. <strong>The</strong> research associates<br />
program recruits college students though a competitive process involving an<br />
application and selected interviews. Those who are selected receive training in<br />
research ethics, HIPAA compliance, use of the electronic medical record (EMR)<br />
and live training on how to enroll patients into clinical study. <strong>The</strong>se programs<br />
often make use of a permanent research coordinator to co-direct the program.<br />
It is estimated that as many as 20 of these programs exist around the US. This<br />
segment will provide insight in how to start such a program at your site.2) Funding<br />
salaried RAs through use of departmental funds and grants: this segment will<br />
discuss ways to fund salaried research associates, who are employees in the ED.<br />
Advantages of this approach include having longer-term RAs who require fewer<br />
episodes of training, and to allow them to be paid <strong>for</strong> their services. Requirements<br />
include establishing a long-term coordinator to run the program, and obtaining<br />
initial and steady-state funding, through a mix of grants and contracts from<br />
government, foundation and industrial sources.<br />
Objectives: Upon completion of this session, participants should be able to:<br />
1) Identify two ways to create a research associates team within an emergency<br />
medicine residency program.<br />
2) Describe the basic process of creating a program, as well as some of the pitfalls<br />
that may occur, as well as growing and maturing the program.<br />
Daniel Keyes MD, MPH – submitter/presenter<br />
University of Michigan EM Residency Program, Ann Arbor, MI<br />
Ed Panacek MD, MPH - presenter<br />
University of Cali<strong>for</strong>nia, Davis, Davis, CA<br />
Judd Hollander MD - presenter<br />
University of Pennsylvania, Philadelphia, PA<br />
Daniel Pallin MD, MPH - presenter<br />
Harvard University, Boston, MA<br />
38 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Real Strategies <strong>for</strong> Quasi-Experiments:<br />
How to Identify Causation Using Non-Randomized Data<br />
DS021 – Peachtree E<br />
Session Time: Wednesday, May 15, 2013 2:00 - 2:50 pm<br />
Many EM researchers are interested in determining whether an intervention<br />
(any event impacting subjects) has an effect on practice or patient outcomes.<br />
However, often it is not possible to do a true randomized, controlled experiment,<br />
usually because of feasibility or ethical issues. In general, non-randomized,<br />
non-controlled data need to be used cautiously when assessing the effect of an<br />
intervention, as internal validity may be compromised by a number of factors such<br />
as confounding, temporality, selection bias, diffusion of intervention effects, or<br />
regression to the mean. Quasi-experimental study designs and analytic methods<br />
minimize threats to internal validity using a variety of approaches. Some of the<br />
methods to be discussed are also applicable to the analysis of observational data,<br />
but the focus will be on how to work with data collected under circumstances<br />
where the researcher has control over the intervention but not necessarily over<br />
who is exposed.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe principles of causal inference and related concepts<br />
2. Discuss a broad range of quasi-experimental study methods and determine<br />
whether and how to apply these methods to their own data and research<br />
questions<br />
3. Appreciate how quasi-experimental methods can be used to per<strong>for</strong>m highquality<br />
EM research.<br />
Lisa Schweigler MD, MPH, MS – submitter, presenter<br />
Brown University/Rhode Island Hospital, Providence, RI<br />
Jason Haukoos MD, MSc - presenter<br />
University of Colorado/Denver Health Medical Center, Denver, CO<br />
Christopher Kabrhel MD, MPH - presenter<br />
Harvard Medical School/Massachusetts General Hospital, Boston, MA<br />
Is the Patient Safe? Assessing Procedural Competence<br />
DS022 – Peachtree C<br />
Session Time: Wednesday, May 15, 2013 2:30 - 3:50 pm<br />
Procedural skills involve a complex combination of cognitive and technical skills.<br />
<strong>The</strong> new ACGME milestones and potentially requirements <strong>for</strong> maintenance of<br />
certification are increasingly requiring that learners and practitioners be <strong>for</strong>mally<br />
assessed <strong>for</strong> competency. In addition, assessment also provides an opportunity<br />
<strong>for</strong> feedback to enhance skill development. Both of these goals require use of<br />
effective and valid tools. This session will review the evidence supporting the use<br />
of various assessment modalities including self-assessment, direct-observation,<br />
use of non-physician evaluators, and simulation. It will also review available<br />
assessment tools such as the OSATS instrument. <strong>The</strong> session will cover issues<br />
related to determining the validity of an assessment and development of a toolbox.<br />
Through the use of case examples and small groups participants will practice use<br />
of common assessment instruments and strategies <strong>for</strong> their implementation.<br />
Due to the interactive nature of the small group sessions, additional facilitators<br />
may employed <strong>for</strong> these sections of the workshop including Samantha Hauff MD;<br />
Alyssa Bryant MD; Jeff Siegelman MD; and Jared Novack MD.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Discuss the needs, benefits, and limitation of assessment of procedural<br />
competency<br />
2. Discuss the educational rationale behind assessment of skills<br />
3. Identify methods that optimize use of available resources to per<strong>for</strong>m procedural<br />
assessment on trainees.<br />
4. Develop a plan to implement an assessment of procedural skills<br />
in a variety of scenarios<br />
Laura Hopson MD – submitter, presenter<br />
University of Michigan, Ann Arbor, MI<br />
Suzanne Dooley-Hash MD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
Doug Ander MD - presenter<br />
Emory University, Atlanta, GA<br />
Ernest Wang MD - presenter<br />
University of Chicago, Chicago, IL<br />
How to Become a Trailblazer: Perspectives of Resident Innovators<br />
DS023 – Peachtree A & B<br />
Session Time: Wednesday, May 15, 2013 3:00 - 4:20 pm<br />
This novel session will be a moderated panel discussion including junior and senior<br />
faculty. Nominations <strong>for</strong> the panelists were solicited from program directors<br />
via the CDEM listserve. After reviewing the nominations and descriptions, the<br />
SAEM Resident & Student Advisory Committee voted <strong>for</strong> top candidates. Three<br />
speakers were selected to describe a change they implemented at their program<br />
– why it was needed, steps they took toward their goal, barriers they faced, and<br />
outcomes. <strong>The</strong> panelists include Dr. Karen Lind, Maimonides Medical Center,<br />
Dr. Shereaf Walid, Detroit Receiving Hospital, and Dr. Jon Heidt, Washington<br />
University. Each panelist will be allotted 15 minutes to discuss their innovation or<br />
leadership experience as a resident. Dr. Lind will discuss creating and pioneering<br />
the education fellowship at her institution, Dr. Walid will discuss his trans<strong>for</strong>mation<br />
of his program’s didactics, and Dr. Heidt will discuss his work on a national level as<br />
a resident advocate in curricular re<strong>for</strong>m. <strong>The</strong> senior faculty, Dr. Carey Chisholm,<br />
Indiana University, serving as the expert on leading from within was selected<br />
by the Committee co-chairs due to his tenure as the longest-serving program<br />
director in EM and his commitment to innovation. He will be allotted 10 minutes in<br />
closing remarks on what makes a resident successful in implementing change. In<br />
the remaining 20 minutes participants will break into 3 groups led by each panelist<br />
to discuss steps residents can take to create change in the panelists areas’ of<br />
expertise: curricular re<strong>for</strong>m, post-residency education and national committee<br />
involvement. Dr. Marie Vrablik will serve as the session moderator.<br />
Objectives: At the completion of this session, participants should be able to<br />
describe a framework <strong>for</strong> promoting change and leading initiatives within a<br />
residency program or department. Participants should also have the opportunity<br />
to establish a network or identify a mentor <strong>for</strong> promoting specific changes to their<br />
respective programs related to the panelists’ experiences.<br />
Marie Vrablik MD – submitter, presenter<br />
Indiana University, Indianapolis, IN<br />
Carey Chisholm MD - presenter<br />
Indiana University, Indianapolis, IN<br />
Jonathan Heidt MD - presenter<br />
Washington University, Saint Louis, MO<br />
Karen Lind MD - presenter<br />
Maimonides Medical Center, Brooklyn, NY<br />
Shereaf Walid MD - presenter<br />
Wayne State University, Detroit, MI<br />
<strong>The</strong> Business of EM: Defining Productivity<br />
DS024 – Peachtree D<br />
Session Time: Wednesday, May 15, 2013 3:00 - 3:50 pm<br />
As EM physicians we are expected to per<strong>for</strong>m a myriad of duties---the sum of<br />
which is meant to define us within the context of an EM department. <strong>Academic</strong><br />
chairs are subsequently faced with the seemingly difficult burden to somehow<br />
determine how much someone is worth. <strong>The</strong> days of simply saying that we teach<br />
residents and there<strong>for</strong>e it equals 10 hours of protected time are long distant<br />
memories. <strong>Academic</strong> emergency departments face the same dilemma that every<br />
community organization faces: how to keep costs down and maximize profitability<br />
<strong>for</strong> not just the department but <strong>for</strong> the organization at large. Every hour must be<br />
accounted <strong>for</strong>, every academic obligation charted, and every clinical shift covered.<br />
Justifying a new full time employee or someone’s protected time requires combing<br />
through complicated <strong>for</strong>mulas. Formulas which are meant to explain productivity.<br />
From a clinical standpoint, our productivity is measured in RVUs; each of which is<br />
generated from our procedures, our documentation, our level of billing and coding.<br />
Ascribing a Relative Value Unit to resident education, clerkship directorships,<br />
committee involvement, EMS oversight, and research (to name but a few of the<br />
roles we play) is a much trickier and more complicated recipe. A panel of academic<br />
administrators, chairs, and business leaders in EM will analyze and discuss how<br />
productivity is defined; how to potentially maximize one’s productivity; and what<br />
the potential impact of a tightening health care system will have on academic<br />
dollars. A short question and answer period will follow at the end of the panel<br />
presentation to allow <strong>for</strong> audience participation.<br />
Objectives: At the end of this session, participants should be able to:<br />
1. Define productivity in terms of clinical and academic output.<br />
2. Identify the budget challenges academic departments face in the present and<br />
the future<br />
3. Promote how physicians can work collaboratively with administration to<br />
create a set of goals to ensure that both the academic and clinical mission of a<br />
department are met.<br />
Michael Hochberg MD – submitter, presenter<br />
Saint Peter’s University Hospital/Drexel, New Brunswick<br />
Brent King MD - presenter<br />
University of Texas-Houston, Houston, TX<br />
Richard Zane MD - Presenter<br />
University of Colorado, Aurora, CO<br />
Kirsten Rounds RN, MS - Presenter<br />
Brown University/Rhode Island Hospital, Providence, RI<br />
May 14-18, 2013 | Atlanta, Georgia 39
An Introduction to Qualitative Methods<br />
in <strong>Emergency</strong> <strong>Medicine</strong> Research<br />
DS025 – Peachtree E<br />
Session Time: Wednesday, May 15, 2013 3:00 - 3:50 pm<br />
Qualitative research seeks to develop concepts to better understand complex<br />
social phenomena in natural settings. Qualitative study designs commonly use<br />
in-depth interviews, focus groups, and field observation. Qualitative methods are<br />
particularly relevant in emergency medicine, where research questions often have<br />
little existing research background and outcomes are difficult to measure. <strong>The</strong>se<br />
techniques are being used increasingly in emergency medical research, however,<br />
they are frequently misunderstood and few emergency physicians have <strong>for</strong>mal<br />
training in this area. This introductory session will enhance participants’ capacity<br />
to design and conduct scientifically sound qualitative research. <strong>The</strong> faculty are<br />
emergency physician researchers with experience in qualitative methods and<br />
will use their projects to highlight concepts. Dr. Landman will discuss when to use<br />
qualitative methods and will describe how he used in-depth interviews to study<br />
emergency medical services agencies implementation of electronic patient care<br />
reports. Dr. Rhodes will provide an overview of qualitative methods focusing<br />
on core principles and practices, including selecting a study design. Dr. Rhodes<br />
will discuss how she used audiotaped ED visits to understand doctor-patient<br />
communication and focus groups and semi-structured interviews to identify<br />
asthma patients’ preferences <strong>for</strong> ED or primary care. Dr. Schuur will describe how<br />
to plan a qualitative research study, find mentors and collaborators, and resources<br />
required. Dr. Schuur will discuss how he used interviews and focus groups to<br />
identify successful infection prevention strategies in EDs. A question and answer<br />
session will follow.<br />
Objectives: At the end of this session participants should be able to:<br />
1. Define and describe qualitative research methods;<br />
2. Select appropriate qualitative methods <strong>for</strong> emergency medicine research<br />
questions;<br />
3. Describe example emergency medicine qualitative research studies.<br />
Jeremiah Schuur MD, MHS – submitter, presenter<br />
Brigham & Women’s, Boston, MA<br />
Karin Rhodes MD, MS - presenter<br />
University of Pennsylvania, Philadelphia, PA<br />
Adam Landman MD, MS, MIS - presenter<br />
Brigham & Women’s Hospital, Boston, MA<br />
thursday, MAY 16th<br />
LGBT Health: Educating EM Physicians to<br />
Provide Equitable and Quality Care<br />
DS026 – International B<br />
Session Time: Thursday, May 16, 2013 8:00 - 8:50 am<br />
In March 2011, the Institute of <strong>Medicine</strong> published a landmark report, <strong>The</strong> Health<br />
of Lesbian, Gay, Bisexual and Transgender People: Building a Foundation <strong>for</strong><br />
Better Understanding. <strong>The</strong> report concluded that to advance understanding<br />
of the health needs of all LGBT individuals, researchers need more data about<br />
the demographics of these populations, improved methods <strong>for</strong> collecting and<br />
analyzing data, and an increased participation of sexual and gender minorities<br />
in research. <strong>The</strong> Joint Commission and the Department of Health and Human<br />
Services have both followed suit with plans <strong>for</strong> addressing the health needs of<br />
LGBT individuals, citing a need <strong>for</strong> education of health care providers. Recently,<br />
JAMA reported that medical schools, on average, have less than 5 hours of LGBTspecific<br />
content. <strong>The</strong> literature shows that 40% of LGBT patients cite lack of<br />
provider education as a barrier to care; 10% report being refused care outright;<br />
and 27% fear being treated poorly by providers. <strong>The</strong> SAEM position statement on<br />
diversity highlights the imperative that all physicians be trained to treat patients<br />
from all cultural backgrounds. As LGBT health takes a national spotlight, it is<br />
essential that our specialty responds with the appropriate educational tools to<br />
train the next generation of physicians to care <strong>for</strong> sexual minorities. <strong>The</strong> proposed<br />
panel discussion will address key areas related to LGBT health and the status of<br />
LGBT healthcare education.<br />
Objectives: At the end of this session participants should be able to<br />
1. List LGBT terminology and definitions<br />
2. Describe the role of EM physicians in providing a better health care experience<br />
<strong>for</strong> LGBT patients.<br />
3. Describe LGBT health care disparities and the complex variables, including<br />
current laws that affect LGBT health<br />
4. Summarize the results of a survey of EM programs regarding their current LGBT<br />
Health curricula and their educational gaps. Describe Public Health implications<br />
<strong>for</strong> LGBT Health<br />
Paul Krieger MD – submitter, presenter<br />
Beth Israel Medical Center/Albert Einstein, New York, NY<br />
Joel Moll MD - presenter<br />
Emory University, Atlanta, GA<br />
<strong>The</strong>a James MD - presenter<br />
Boston Medical Center/BU School of <strong>Medicine</strong>, Boston, MA<br />
Ellen Slaven MD - presenter<br />
LSU Health Science Center, New Orleans, LA<br />
Ted Corbin MD - presenter<br />
Drexel University College of <strong>Medicine</strong>, Philadelphia, PA<br />
Future Directions in Electrocardiography in<br />
Acute Coronary Syndromes<br />
DS027 – International C<br />
Session Time: Thursday, May 16, 2013 8:00 - 8:50 am<br />
<strong>The</strong> electrocardiogram is the initial test in patients with suspected ACS and the<br />
defining element of ST segment elevation myocardial infarction (STEMI). Its most<br />
important use is in the detection of acute coronary obstruction and it is the most<br />
important, cost-effective, and immediately available initial test in the decision <strong>for</strong><br />
emergency reperfusion therapy. However, its full potential is not being realized.<br />
In more than 25% of Non-STEMIs, the infarct-related artery (IRA) is occluded,<br />
and in these patients, biomarker levels and mortality are high. However, there is<br />
little in-depth ECG analysis helpful in identifying this group. Thus, there is a high<br />
false negative cath lab activation rate, and future research should be aimed at<br />
improving the sensitivity and specificity of the EKG <strong>for</strong> acute coronary occlusion.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. To describe the State of the Art in the use of ECG in acute coronary occlusion,<br />
2. Describe opportunities <strong>for</strong> research pathways in the future.<br />
Stephen Smith MD – submitter, presenter<br />
Hennepin County Medical Center, University of Minnesota School of <strong>Medicine</strong>, MN<br />
Choosing a High-Impact Resident or Student Quality<br />
Improvement Project and Getting it Published<br />
DS028 – Plaza Ballroom A<br />
Session Time: Thursday, May 16, 2013 8:00 - 8:50 am<br />
<strong>Emergency</strong> <strong>Medicine</strong> Residency competencies and milestones require a<br />
substantive experience in quality improvement (QI). For example, the recently<br />
released RRC-EM and ABEM Milestones consider participation in institutional<br />
process improvement and the use of analytical tools to assess quality and<br />
safety central to resident development. One key part of this is participation in<br />
a QI project. A well-designed QI project gives a resident hands-on experience<br />
in systems-based practice and excellent preparation <strong>for</strong> employment in our<br />
rapidly changing healthcare environment. Yet in a resident’s busy schedule it can<br />
be difficult to identify, develop and complete a QI project that has a meaningful<br />
impact on the ED and can be presented in a manner that supports academic<br />
development. This session will enhance participants’ capacity to identify, design<br />
and conduct impactful QI projects and promote their work through presentation<br />
and publication. <strong>The</strong> faculty members are national experts on quality improvement<br />
who have worked with residents and students to conduct and publish QI projects.<br />
Dr. Kelly will review residency requirements regarding quality improvement<br />
and present a framework <strong>for</strong> resident involvement in QI across the duration of<br />
residency. Dr. Schuur will review methods of QI project design that are likely to<br />
lead to valid improvements and can be presented or published. Dr. Venkatesh will<br />
identify venues <strong>for</strong> funding, presenting and publishing resident QI projects. Using<br />
actual projects the presenters will review appropriate topics <strong>for</strong> student and<br />
resident QI projects. A question and answer session will follow.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Plan resident or student involvement in quality improvement across the duration<br />
of residency<br />
2. Select an appropriate topic <strong>for</strong> QI projects and a valid study design<br />
3. Describe potential funding sources <strong>for</strong> QI projects and venues <strong>for</strong> academic<br />
presentation and publication.<br />
Jeremiah Schuur MD, MHS – submitter, presenter<br />
Department of <strong>Emergency</strong> <strong>Medicine</strong>, Brigham & Women’s Hospital, Boston, MA<br />
John J. Kelly DO, FACEP - presenter<br />
Department of <strong>Emergency</strong> <strong>Medicine</strong>, Albert Einstein Medical Center,<br />
Philadelphia, PA<br />
Arjun Venkatesh MD, MBA - presenter<br />
Robert Wood Johnson Clinical Scholars Program, Yale University School of<br />
<strong>Medicine</strong>, New Haven, CT<br />
40 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Careers & Opportunities at the CDC<br />
DS029 – Plaza Ballroom B<br />
Session Time: Thursday, May 16, 2013 8:00 - 8:50 am<br />
Many of our members entered emergency medicine because they wanted to<br />
help people, make a difference or be on the front lines of healthcare. A few bold<br />
individuals step outside the ER to join the elite ranks of the Center <strong>for</strong> Disease<br />
Control & Prevention (CDC) where they conduct epidemiologic investigations in<br />
the field, oversee public health surveillance, and fight the global burden of disease.<br />
<strong>The</strong> role of the CDC, the guidelines they produce, and the coordination of resources<br />
they provide become increasingly important as healthcare shifts to a focus on<br />
population health. In this session, members will hear from several members of<br />
the CDC who got their start in emergency medicine followed by a fellowship in<br />
Epidemic Intelligence Services (EIS). Panelists include David Sugerman MD MPH,<br />
a Medical Officer in the Division of Injury Response who will talk specifically<br />
about his work in trauma systems and disaster surveillance and response, and<br />
Samuel Graciter MD, a medical epidemiologist with the Immunization Services<br />
Division. Both panelists will explain how their work and that of the CDC is relevant<br />
to the practice of emergency medicine, how it relates to hospital emergency<br />
management, and how it is effecting and effected by evolving trends in healthcare<br />
policy. <strong>The</strong>y will also discuss their career paths and ways to get involved with the<br />
CDC. <strong>The</strong>y will give an overview of next steps <strong>for</strong> emergency physicians interested<br />
in a career or involvement with the CDC.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Define career options that exist at the CDC within medical epidemiology,<br />
including EIS, and disease prevention.<br />
2. Describe recent CDC initiatives such as pandemic flu preparedness, updated<br />
field triage guidelines, treating and containing AIDS in Africa and Asia, and<br />
establishing guidelines <strong>for</strong> the treatment of Traumatic Brain Injury.<br />
Kevin Munjal MD, MPH - submitter<br />
Mount Sinai Medical Center, New York City, NY<br />
David Sugerman MD, MPH - presenter<br />
Center <strong>for</strong> Disease Control & Prevention, Atlanta, GA<br />
Samuel Graitcer MD - presenter<br />
Center <strong>for</strong> Disease Control & Prevention, Atlanta, GA<br />
Disparities & Diversity in <strong>Emergency</strong> <strong>Medicine</strong>: SAEM: Where<br />
are we now?<br />
DS030 – International B<br />
Session Time: Thursday, May 16, 2013 9:00 - 9:50 am<br />
It will be 10 years since publication of the <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>’s (AEM)<br />
Consensus Conference special issue on Disparities in <strong>Emergency</strong> Health Care.<br />
<strong>The</strong> goal of the AEM 2003 Consensus Conference was to improve the emergency<br />
medical care of patients by critically evaluating the presence, causes, and<br />
outcomes related to disparities in emergency health care. With the founding of<br />
the Academy <strong>for</strong> Inclusion and Diversity in <strong>Emergency</strong> <strong>Medicine</strong> (ADIEM), we<br />
take a historical look at where we are in EM as it relates to topics of Disparities<br />
and Diversity in EM. In addition, SAEM’s position statement published in 2000<br />
believes that attaining diversity in EM residencies and faculty that reflect our<br />
multicultural society is a desirable and achievable goal. We have pioneers in EM<br />
who have been key leaders on these topics who can reflect on SAEM’s past and<br />
make recommendations <strong>for</strong> the future.<br />
Objectives: At the end of this session participants should be able to:<br />
1. Discuss the history of Diversity and Disparities work in SAEM.<br />
2. Review EM education on health care disparities including best practices.<br />
3. Identify ways to recruit, retain and promote a diverse EM physician work<strong>for</strong>ce.<br />
4. Illustrate strategies to ensure growth in SAEM’s mission to develop didactic,<br />
educational, research and other programs to assist academic emergency<br />
medicine departments to improve diversity at their institutions.<br />
Sheryl Heron MD, MPH – submitter, presenter<br />
Emory University, Atlanta, GA<br />
Marcus Martin MD - presenter<br />
University of Virginia, Charlottesville, VA<br />
Michelle Biros MS MD - presenter<br />
University of Minnesota, Minneapolis, MN<br />
Lynne Richardson MD - presenter<br />
Mt Sinai School of <strong>Medicine</strong>, New York, NY<br />
Harnessing the <strong>Emergency</strong> <strong>Medicine</strong> Perspective: Emphasizing<br />
Key Differences between Adult and Pediatric Chief Complaints<br />
to Enhance Resident Training in Pediatric <strong>Emergency</strong> <strong>Medicine</strong><br />
DS031 – International C<br />
Session Time: Thursday, May 16, 2013 9:00 - 9:50 am<br />
General emergency physicians (EP) face the challenges of providing high quality<br />
care <strong>for</strong> patients of all ages. Children are cared <strong>for</strong> by general emergency physicians<br />
in 75% of all their <strong>Emergency</strong> Department encounters. In addition, greater than<br />
90% of their care is provided in non-pediatric emergency departments. Children<br />
present unique clinical challenges to EP’s. Current residency training requirements<br />
dictate that only 16% of all patient encounters be pediatric; despite the fact in a<br />
typical <strong>Emergency</strong> <strong>Medicine</strong> practice, children may account <strong>for</strong> 25% of all visits.<br />
<strong>The</strong>re<strong>for</strong>e, training requirements do not reflect the patient mix encountered in<br />
practice, making it imperative to maximize the efficiency and effectiveness of<br />
resident Pediatric <strong>Emergency</strong> <strong>Medicine</strong> (PEM) training. As a PEM educational<br />
framework, we seek to exploit the clinical acumen and heuristics resident utilize<br />
<strong>for</strong> adult patient care and behaviorally translate it <strong>for</strong> applicability to pediatric<br />
patients. Its clinical applicability to pediatric scenarios is largely shaped by<br />
the notable clinical differences in children but done through a prism of more<br />
developed general ED skills. Potentially, this framework could serve as a template<br />
<strong>for</strong> other PEM educational opportunities. This didactic session will explore the<br />
idea of harnessing key differences between adult and pediatric presentations to<br />
enhance resident PEM training. Using the adult chest pain ABdominal pain and<br />
resuscitative practice; we hope to transpose those elements of adult care most<br />
applicable to PEM and highlight the notable differences to improve the EP’s<br />
pediatric care acumen. Audience participation will be solicited along with an opendiscussion<br />
following the session.<br />
Objectives: At the completion of the course, participants should be able to:<br />
1. List ways to maximally leverage general EM knowledge bases to enhance PEM<br />
skill sets of residents in their PEM training and<br />
2. Describe critical differences in pediatric and adult diagnoses with significant<br />
morbidity and mortality.<br />
Jeffrey Hom MD, MPH - submitter<br />
Stony Brook University School of <strong>Medicine</strong>, Stony Brook, NY<br />
Robert Cloutier MD, MCR – presenter<br />
Oregon Health and Science University, Portland, OR<br />
<strong>The</strong> Inside Scoop: Background In<strong>for</strong>mation and Tips On Using<br />
<strong>The</strong> Large National Datasets Provided by NCHS and HCUP,<br />
Including NHAMCS and NEDS<br />
DS032 – Plaza Ballroom A<br />
Session Time: Thursday, May 16, 2013 9:00 - 10:20 am<br />
<strong>The</strong> CDC’s National Center <strong>for</strong> Health Statistics (NCHS) and AHRQ’s Healthcare<br />
Cost and Utilization Project (HCUP) provide well known national data resources,<br />
including NHAMCS and NEDS, which EM researchers commonly employ to answer<br />
questions and generate hypotheses on a national, regional, and state level. <strong>The</strong><br />
goal of this session is to provide inside perspectives on NCHS and HCUP data<br />
products which will help EM investigators conduct novel and also appropriate<br />
and effective research using these resources. At the beginning of the session, the<br />
moderator will provide a brief overview of the data products provided by NCHS<br />
and HCUP. Subsequently, two senior representatives from NCHS and HCUP will<br />
give succinct presentations (20 minutes each) describing the resources available,<br />
the history of these resources, how each resource is collected and made available,<br />
how emergency medicine researchers may obtain access to the resources, and<br />
how to use the resources most appropriately. This section will be followed by<br />
presentations (10 minutes each) from two established emergency medicine<br />
researchers on their experiences working with NCHS and HCUP data, focusing<br />
on what kind of questions can be asked, examples of previous work, and issues<br />
they have encountered in working with the data. <strong>The</strong> remaining time (15 minutes)<br />
will be devoted to a panel discussion comparing the different resources available<br />
and addressing common issues in their use, including how to most effectively work<br />
with the NCHS and HCUP staff in conducting analyses and accessing internal files<br />
and security processes, as well as answering audience questions.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the national data resources available through NCHS and HCUP.<br />
2. Formulate research questions that may be addressed through use of the NCHS<br />
and HCUP.<br />
3. Identify potential issues they will encounter when using these resources and<br />
how to overcome these issues.<br />
Lisa Schweigler MD, MPH, MS - submitter<br />
Brown University/Rhode Island Hospital, Providence, RI<br />
May 14-18, 2013 | Atlanta, Georgia 41
Brendan Carr MD, MS - presenter<br />
University of Pennsylvania, Philadelphia , PA<br />
Linda McCaig MPH - presenter<br />
CDC, National Center <strong>for</strong> Health Statistics, Hyattsville MD<br />
Ryan Mutter PhD - presenter<br />
AHRQ/HCUP, Rockville MD<br />
Stephen Pitts MD, MPH - presenter<br />
Emory University, Grady Memorial Hospital, Atlanta,, GA<br />
Emilie Powell MD, MS, MBA – presenter<br />
Northwestern University, Chicago, IL<br />
<strong>The</strong> War On Mrsa: Lessons <strong>for</strong> Success in Planning, Funding,<br />
and Executing Clinical Research in Infectious Diseases<br />
DS033 – Plaza Ballroom B<br />
Session Time: Thursday, May 16, 2013 9:00 - 9:50 am<br />
<strong>Emergency</strong> medicine researchers start out with a general area of interest.<br />
<strong>The</strong> challenge lies in choosing a topic that will be fundable and bear fruit over<br />
the course of several investigations. In this session, three panelists who have<br />
succeeded in funding and executing patient-oriented research related to MRSA<br />
will discuss their strategies <strong>for</strong> success. <strong>The</strong> presenters will demonstrate how<br />
critical questions of importance to wide audiences can be pursued by descriptive<br />
methods and modest budgets, and how descriptive research paves the way <strong>for</strong><br />
larger-scale work and interventional trials. <strong>The</strong>y will use the example of MRSA<br />
research to demonstrate: 1) Choice of a research question, 2) Selection of the<br />
methodological approach, 3) Getting the resources needed to accomplish the<br />
research, with discussion of funders including the NIH, CDC, AHRQ, intramural,<br />
and industrial sources.<br />
Dr. Pallin will give specific examples of publications, grants, and ongoing trials<br />
related to MRSA. <strong>The</strong>se will be used to demonstrate how important contributions<br />
can be made with various methodologies and various budgets, ranging from<br />
descriptive case series to large-scale epidemiology, surveys, qualitative research,<br />
and clinical trials. Dr. Talan will describe n multicenter research from EMERGEncy<br />
ID Net, a national network of emergency departments that is funded by the CDC,<br />
EMERGEncy ID Net approach to CA-MRSA research. Dr. Schuur will demonstrate<br />
how MRSA and other hospital-acquired infections can be a focus of healthcare<br />
quality research, the importance of knowledge translation and mixed-methods<br />
research in quality research, and discuss AHRQ as a funder of emergency medicine<br />
research. <strong>The</strong>re will be time <strong>for</strong> questions and open discussion.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Incorporate a Change in viewpoint of research from project-based to topicbased,<br />
accommodating career growth and multiple investigations.<br />
2. Apply a general research interest to specific questions.<br />
3. Describe patient-oriented research designs, from descriptive series to clinical<br />
trials.<br />
4. List greater than 4 avenues <strong>for</strong> financial support of clinical research<br />
Daniel Pallin MD, MPH - submitter<br />
Brigham and Women’s Hospital, Boston, MA<br />
Jeremiah Schuur MD, MS - presenter<br />
Brigham and Women’s Hospital, Boston, MA<br />
David Talan MD - presenter<br />
Olive View - UCLA, LA, CA<br />
Navigating the AMA Discharge: Case Studies<br />
DS034 – International B<br />
Session Time: Thursday, May 16, 2013 10 - 11:20 am<br />
This case-based interactive panel session will present actual cases of AMA<br />
discharges followed by discussion and expert commentary from the panelists.<br />
<strong>The</strong> discussion will clarify the most commonly encountered problematic aspects<br />
of the AMA discharge and specifically address ethical and legal considerations<br />
confronted by emergency physicians in practice. Specific topics to be covered<br />
include: 1) What ethical and legal obligations does the emergency physician have<br />
<strong>for</strong> these patients after an AMA discharge? 2) What are the nuts and bolts of the<br />
AMA process? 3) What are the benefits and drawbacks to the commonly used<br />
AMA <strong>for</strong>ms? Does the signing of AMA <strong>for</strong>ms lead to more or less risk and should<br />
they be used? 4) When is a psychiatric evaluation of capacity required? 5) Does the<br />
AMA discharge effectively relieve the EP from liability? 6) Are there populations<br />
that are unsuitable <strong>for</strong> AMA discharge? 7) Is there evidence that AMA discharges<br />
lead to preventable morbidity and mortality?<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Recognize the unique challenges inherent in the AMA discharge.<br />
2. Describe best practices <strong>for</strong> navigating ethically and legally sound care to this<br />
population and <strong>for</strong> teaching this topic to residents and junior faculty.<br />
3. List ethical and legal pearls and pitfalls in the AMA process.<br />
4. Explain when a capacity evaluation is an appropriate requisite<br />
<strong>for</strong> an AMA discharge.<br />
5. Summarize the limits of legal protection provided by AMA discharges.<br />
Mark Clark MD –submitter, presenter<br />
St. Luke’s Roosevelt, Columbia University, New York City, NY<br />
James Adams MD - presenter<br />
Northwestern Feinberg School of <strong>Medicine</strong>, Chicago, IL<br />
<strong>The</strong> Great Pediatric Sedation Debate!<br />
DS035 – International C<br />
Session Time: Thursday, May 16, 2013 10 - 11:20 am<br />
Want to learn more about the current evidence and variation in practice patterns<br />
<strong>for</strong> pediatric procedural sedation across the country? Perplexed by the medication,<br />
monitoring and resource utilization required <strong>for</strong> pediatric sedations? Few areas<br />
of medical practice remain as non-standardized as pediatric sedation. During<br />
this interactive session, 3 pediatric emergency medicine specialists with clinical<br />
and research experience in procedural sedation will debate the management of 4<br />
pediatric scenarios; including the use of alternatives to standard IV therapy and<br />
discussion of innovative and state-of the-art approaches. This fast-paced session<br />
will begin by utilizing an audience response system to determine the audience’s<br />
approach to the scenario. <strong>The</strong> experts will then be given 3-5 minutes each to argue<br />
the evidence supporting their sedation plan <strong>for</strong> this challenging case scenario. This<br />
will be followed by a group discussion of the pros and cons of management choices<br />
and the limitations of the current literature. At the conclusion of each scenario, an<br />
audience response system will be used to tabulate whether the debate changed<br />
the audience’s sedation plan. <strong>The</strong> audience is encouraged to bring their own<br />
challenging pediatric scenario <strong>for</strong> panel discussion during the final 30 minutes of<br />
the session. This session will critically evaluate the current literature, optimize<br />
pediatric care and encourage an open exchange of ideas and practice styles that<br />
will generate future research.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Utilize the latest published evidence and guidelines <strong>for</strong> pediatric sedation to<br />
make management decisions about challenging pediatric scenarios.<br />
2. Discuss the current national variation in practice <strong>for</strong> sedation and treatment<br />
of pain <strong>for</strong> children. 3. Identify limitations in the current pediatric sedation<br />
literature that may result in future study.<br />
Amy Drendel DO, MS – submitter, presenter<br />
Medical College of Wisconsin, Milwaukee, WI<br />
Frank Petruzella MD - presenter<br />
Bon Secours St. Mary’s Hospital, Richmond, VA<br />
Patrick Solari MD - presenter<br />
Seattle Children’s Hospital/ University of Washing, Seatttle, WA<br />
Rakesh Mistry MD, MS - presenter<br />
Children’s Hospital of Philadelphia, Philadelphia, PA<br />
Robert Kennedy MD - presenter<br />
Washington University in St. Louis<br />
School of <strong>Medicine</strong> St. Louis Children’s Hospital, St. Louis, MO<br />
Minimizing the Pain of Maximizing Pain Relief: Strategies For<br />
<strong>Emergency</strong> Physicians To Treat Pain Safely<br />
DS036 – Plaza Ballroom B<br />
Session Time: Thursday, May 16, 2013 10 - 11:20 am<br />
Opioid analgesics are important therapeutics in patient care but are burdened<br />
by misuse and an ongoing public health crisis. <strong>Emergency</strong> physicians, as major<br />
prescribers of these potent analgesics, are wise to per<strong>for</strong>m risk assessment<br />
prior to prescribing opioid medications to attempt to detect patients at risk <strong>for</strong><br />
aberrant drug related behaviors. However, most existing screening tools have not<br />
yet been validated in emergency department settings and may indeed be limited.<br />
We will present the data underlying the need <strong>for</strong> cautious prescribing, describe<br />
strategies to identify and mitigate aberrant use, present effective responses<br />
to complex patient demands, and review effective alternatives to opioid-based<br />
analgesia. <strong>The</strong> moderator will frame the problem of ED pain management in the<br />
context of patient centered goals and the epidemic of opioid analgesic overdose.<br />
<strong>The</strong> development of tolerance and dependence and its impact on aberrant opioid<br />
using behavior, pitfalls in screening tools in the ED, and research needs at the<br />
intersection of pain management and addiction will be discussed. Methods will<br />
be demonstrated to adapt conversations about non-opioid pain management to<br />
con<strong>for</strong>m to patient expectations, particularly those with chronic pain. <strong>The</strong> utility<br />
and limitations of state-based prescription drug monitoring programs will be<br />
described.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the scope of prescription opioid misuse and the need <strong>for</strong> increased<br />
scrutiny in ED opioid prescribing.<br />
42 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
2. Convey pharmacologic and nonpharmacologic strategies to limit opioid<br />
prescribing while maintaining patient centered care and satisfaction.<br />
3. Summarize the current evidence supporting the use of PDMPs to identify<br />
patients at risk <strong>for</strong> aberrant drug use and areas <strong>for</strong> future collaborative<br />
research.<br />
Lewis Nelson MD – submitter, presenter<br />
New York University, New York, NY<br />
Jeanmarie Perrone MD - presenter<br />
University of Pennsylvania, Philadelphia, PA<br />
Edward Boyer MD, PhD –presenter<br />
University of Massachusetts, Worcester, MA<br />
Robert Hendrickson MD - presenter<br />
Oregon Health Sciences University, Portland, OR<br />
Can we Trust Clinical Practice Guidelines?<br />
DS037 – Plaza Ballroom A<br />
Session Time: Thursday, May 16, 2013 10:30 - 11:50 am<br />
Clinical practice guidelines (CPGs) play a key role in support of the decision-dense<br />
and algorithmic nature of EM practice. Furthermore the broad nature of EM<br />
demands evidence based guidance and decision support sanctioned by respected<br />
organizations adopting sound and unbiased methods. CPGs can standardize<br />
practice and suggest quality measures that monitor their impact; they can also<br />
mitigate medico-legal risk if followed. Un<strong>for</strong>tunately, they are also resource<br />
intense to develop, frequently inactionable, often out of date and supported by a<br />
weak evidence base leading to a paucity of strong recommendations. As a result,<br />
they are frequently perceived as watered-down and directionless and thus viewed<br />
skeptically by some target end-users. <strong>The</strong> International Liaison Committee on<br />
Resuscitation (ILCOR) and the American College of <strong>Emergency</strong> Physicians are<br />
the developers and guardians of the highest impact CPGs in EM. This session will<br />
highlight developments in CPG methodology that are being adopted by these<br />
organizations which are designed to address many of these limitations. Particular<br />
emphasis will be placed on how ACEP is attempting to meet the standards laid out in<br />
the recent Institute of <strong>Medicine</strong> report entitled Clinical Practice Guidelines we can<br />
Trust as well as ILCOR’s transition to the GRADE approach to CPG development.<br />
<strong>The</strong> session will also highlight other pertinent developments in guideline science<br />
designed to facilitate the critical appraisal, adaptation and implementation<br />
of CPGs at the local level as well as opportunities <strong>for</strong> EM academics to become<br />
involved in important national and international initiatives.<br />
Objectives: At the completion of this session participants should be able to:<br />
1. Explain the rationale and methodology underlying changes in guideline<br />
development by ILCOR and ACEP.<br />
2. Summarize the international ef<strong>for</strong>ts to improve guideline development and<br />
implementation through rigorously developed instruments that address<br />
grading the quality of recommendations and the strength of recommendations<br />
3. Describe the tools <strong>for</strong> guideline appraisal, adaptation and implementation.<br />
Eddy Lang AB - submitter<br />
University of Calgary, Calgary AB<br />
Michael Brown MD, MSc - presenter<br />
University of Michigan, Grand Rapids, MI<br />
Francis Fesmire MD - presenter<br />
University of Tennessee, Chattanooga, TN<br />
Clifton Callaway MD, PhD - presenter<br />
University of Pittsburgh, Pittsburgh, PA<br />
Challenging the Physician-Patient Relationship: Negotiating<br />
Deception, Manipulation, and Medical Mistakes<br />
DS038 – International B<br />
Session Time: Thursday, May 16, 2013 11:30 - 12:50 pm<br />
<strong>The</strong> course will be based on the recently approved Ethics Curriculum produced<br />
by the SAEM Ethics Committee, and approved by the SAEM Board of Directors.<br />
It will serve as an introduction of the curriculum as a resource in addressing<br />
ethical dilemmas and circumstances all emergency providers face in the practice<br />
of emergency medicine. <strong>The</strong> complete curriculum is comprehensive, and as an<br />
introduction, this course will focus only on the first module: <strong>The</strong> Physician Patient<br />
Relationship. Specifically content will address concerns with competence,<br />
beneficence, and compassion; confidentiality and privacy; and skillful<br />
communication and truthfulness. After a general introduction to the curriculum<br />
resources, participants will break into moderated small groups <strong>for</strong> a case based<br />
discussion of ethical dilemmas. Groups will then reconvene and discuss in large<br />
group <strong>for</strong>mat demonstrating use of the principles and resources of the newly<br />
developed ethics curriculum.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Discuss the relationship between physician competency and professional ethics.<br />
2. Describe challenges to maintaining compassion and beneficence in emergency<br />
medicine.<br />
3. Explain the roles of confidentiality and privacy in the emergency department<br />
management of patients.<br />
4. List the potential barriers to maintaining privacy in the emergency department.<br />
5. Discuss the ethical handling of medical errors and the arguments <strong>for</strong> and against<br />
full disclosure of errors in the emergency department.<br />
Joel Moll MD - submitter<br />
Emory University, Atlanta, GA<br />
Jean Abbott MD, MPH - presenter<br />
University of Colorado, Denver, CA<br />
Tammie Quest MD - presenter<br />
Emory University, Atlanta, GA<br />
Mark Clark MD – presenter<br />
St. Luke’s Roosevelt, Columbia University, New York City, NY<br />
We All Make Mistakes. But What Do You Do Afterwards?<br />
DS039 – International C<br />
Session Time: Thursday, May 16, 2013 11:30 - 12:50 pm<br />
You’re working a busy shift in the ED. Your next patient is an 82 year-old man who<br />
tripped while getting out of bed last night; he has a 3.5 cm laceration to the left<br />
eyebrow. <strong>The</strong>re is some swelling around his eye but you don’t find anything else.<br />
You suture the laceration and send him home. Five days later, he returns <strong>for</strong> suture<br />
removal and is blind in the left eye. <strong>The</strong> ophthalmology consultant diagnoses<br />
rupture of a previous corneal graft and endophthalmitis. <strong>The</strong> patient requires<br />
enucleation of his left eye. In retrospect, you realize that the nurses <strong>for</strong>got to<br />
check a visual acuity (despite a policy in place about checking it on patients with<br />
facial trauma). Also, the default H&P wording you accepted in the EMR failed to<br />
document the extent of your physical exam and led to some incorrect statements.<br />
Now what? <strong>The</strong> emergency department is a high-risk environment <strong>for</strong> adverse<br />
outcomes – some inevitable and some due to medical errors. This interactive<br />
panel discussion will provide tools <strong>for</strong> what to do in the face of such outcomes,<br />
whether you are the provider involved, a faculty member responsible <strong>for</strong> safety<br />
and quality improvement, or a faculty member who wants to model an appropriate<br />
response <strong>for</strong> residents. Panelists will use this actual case to illustrate three key<br />
action steps: (1) full disclosure of any errors to the patient and family, along with<br />
an offer to help mitigate the medical, social and economic impacts of the event;<br />
(2) support <strong>for</strong> the second victim, the medical staff involved in the error; and (3)<br />
a diligent analysis, looking <strong>for</strong> the system-level factors that contributed to the<br />
outcome and changing the system in ways that will reduce the likelihood of similar<br />
events in the future.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the pitfalls of the traditional response to crisis – a slow, stonewalling,<br />
defensive approach that risks antagonizing patient and family, blaming the<br />
provider, and missing opportunities <strong>for</strong> systems-level improvement<br />
2. Work with colleagues to develop a response plan <strong>for</strong> adverse outcomes in their EDs<br />
Robert Wears MD, MS, PhD - submitter<br />
University of Florida, Jacksonville, FL<br />
Kathleen Lanava MD - presenter<br />
University of Michigan Health System, Ann Arbor, MI<br />
Albert Wu MD, MPH - presenter<br />
Johns Hopkins, Baltimore MD<br />
Terry Fairbanks MD, MS - presenter<br />
Medstar, Washington, DC<br />
Building Blocks <strong>for</strong> Establishing Hospital-based Violence<br />
Intervention Programs in (Your) <strong>Emergency</strong> Departments<br />
DS040 – Plaza Ballroom B<br />
Session Time: Thursday, May 16, 2013 11:30 - 12:50 pm<br />
Each year, over 1.5 million victims are treated in hospitals nationwide <strong>for</strong> nonfatal<br />
gunshot, stabbing, and other physical-assault injuries. A national study found 44%<br />
of those under age 24 and hospitalized <strong>for</strong> violent injuries were later readmitted<br />
due to violence and 22% became victims of homicide. Violence is the leading<br />
cause of death <strong>for</strong> young African American males aged 15-34, and the 2nd leading<br />
cause of death <strong>for</strong> young Latino males (but only 5th among white males age 15-<br />
34). Disadvantaged & minority youth are not only at higher risk of violent injury,<br />
but also at higher risk of long-term mental and physical morbidity. In 1998, the<br />
U.S. Department of Justice’s Office <strong>for</strong> Victims of Crime (VOC) responded to an<br />
American Academy of Pediatrics’ report on youth violence and recommended that<br />
hospital-based counseling and prevention programs be established in medical<br />
May 14-18, 2013 | Atlanta, Georgia 43
facilities that provide services to gang violence victims. Today, the National<br />
Network of Hospital-based Violence Intervention Programs (NNHVIP) connects<br />
17 member programs from Boston, Chicago, Oakland and other cities across the<br />
country through: (1) a comprehensive service model <strong>for</strong> violently-injured youth,<br />
beginning in the ED; and (2) education of emergency physicians and staff on the<br />
VIP model. However, there is a need <strong>for</strong> the VIP model to disseminate across the<br />
country. During this special session; a panel of NNHVIP members will discuss<br />
the challenges and details of successful models that address violence in our<br />
communities. During this didactic, attendees will learn why and how to apply the<br />
VIP model in their own ED. <strong>The</strong> discussion will close with next steps <strong>for</strong> research,<br />
education, and dissemination of this model.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. List steps to introducing ED hospital based violence intervention programs to<br />
medical centers and create a plan to develop one at their own ED<br />
2. Describe Trauma In<strong>for</strong>med Care<br />
3. Create a standardized data base to capture quantitative and qualitative data <strong>for</strong><br />
evaluating programmatic efficacy and quality.<br />
4. Conduct research <strong>for</strong> program evaluation<br />
5. Discuss how cross-site evaluations can be per<strong>for</strong>med.<br />
<strong>The</strong>a James MD – submitter, presenter<br />
Boston University School of <strong>Medicine</strong>, Boston, MA<br />
<strong>The</strong>odore Corbin MD - presenter<br />
Drexel University College of <strong>Medicine</strong>, PA<br />
Rochelle Dicker MD - presenter<br />
University of Cali<strong>for</strong>nia School of <strong>Medicine</strong> San Fr, San Francisco, CA<br />
Optimizing Electronic Health Records in an<br />
<strong>Academic</strong> <strong>Emergency</strong> Department:<br />
<strong>The</strong> Administrative and In<strong>for</strong>matics Perspective<br />
DS041 – Plaza Ballroom A<br />
Session Time: Thursday, May 16, 2013 12:00 - 12:50 pm<br />
Whether an academic emergency department (ED) is still on paper or has an EDonly<br />
electronic health record (EHR), sooner or later, we will all be using an electronic<br />
health record system. As most academic emergency departments have already<br />
made the transition to EHRs, the focus now is on how to use these tools to improve<br />
care delivery. Given the content expertise of the moderator and panelists, all who<br />
have led their respective academic EDs through this optimization, we will discuss<br />
lessons learned on how best to harness the power available in EHRs. Next, we will<br />
discuss the administrative steps needed to maximize the potential of the system<br />
to support ED operations (including how one factors in the additional complexity<br />
of residents and other healthcare learners). Lastly, we will explore steps that can<br />
be proactively taken to assure that good data is available, both to monitor the dayto-day<br />
operations, but also <strong>for</strong> research and educational purposes.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Discuss the current environment of ED-only vs. hospital-wide EHRs and the<br />
pros and cons of each type.<br />
2. Describe the steps needed <strong>for</strong> successful EHR optimization, and use EHRs to<br />
optimize how an academic ED runs.<br />
3. Use an EHR to provide meaningful data, both in real-time and <strong>for</strong> longitudinal<br />
analysis.<br />
4. Describe the roles faculty and residents must play in the optimization of EHRs.<br />
Daniel Handel MD, MPH – submitter, presenter<br />
OHSU, Portland, OR<br />
Kevin Baumlin MD - presenter<br />
Mt. Sinai School of <strong>Medicine</strong>, New York, NY<br />
Nicholas Genes MD, PhD - presenter<br />
Mt. Sinai School of <strong>Medicine</strong>, New York, NY<br />
Mark Moseley MD, MHA - presenter<br />
Ohio State University, Columbus, OH<br />
friday, MAY 17th<br />
Diagnostic Imaging and Radiation Exposure:<br />
How Much is Too Much?<br />
DS042 – International B<br />
Session Time: Friday, May 17, 2013 8:00 - 8:50 am<br />
<strong>The</strong> United States health care system has seen a dramatic rise in the use of<br />
computed tomography (CT) during the past several decades. <strong>Emergency</strong><br />
departments are responsible <strong>for</strong> a large percentage of the CTs per<strong>for</strong>med. In<br />
many instances, CT scans are the optimal diagnostic modality in the ED, however,<br />
at times CT is unnecessary and there can be significant drawbacks. Specifically,<br />
CT scans are an important source of harmful radiation, lead to increased resource<br />
utilization and length of stay, and may unnecessarily increase health care<br />
costs. Recently, the cancer risk associated with diagnostic radiation has been<br />
rigorously studied and publicized in the media. Consequently, physicians should be<br />
knowledgeable of the true risks associated with CT, and the up-to-date strategies<br />
involved in minimizing the unnecessary use of this modality as well as techniques<br />
available to minimize radiation dosing. This didactic will review the current<br />
knowledge regarding diagnostic imaging and radiation, critically discuss how to<br />
incorporate this knowledge into emergency medicine practice, and discuss stateof-the-art<br />
research examining methods to decrease the unnecessary use of CT.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Understand the radiation dosing associated with various computed tomography<br />
(CT) scans and the implications <strong>for</strong> different patient populations\<br />
2. Recognize strategies to minimize unnecessary use of CT imaging including the<br />
use of electronic clinical decision support and alternative imaging modalities.<br />
3. Describe strategies to minimize radiation dosing that can be discussed with<br />
your home institution’s radiology department.<br />
Jennifer Marin MD, MSc - submitter<br />
University of Pittsburgh School of <strong>Medicine</strong>, Pittsburgh, PA<br />
Angela Mills MD - presenter<br />
University of Pennsylvania School of <strong>Medicine</strong>, Philadelphia, PA<br />
Kimberly Applegate MD, MS - presenter<br />
Emory University School of <strong>Medicine</strong>, Atlanta, GA<br />
Preventing Opioid Analgesic Overdose Among ED Patients<br />
DS043 – International C<br />
Session Time: Friday, May 17, 2013 8:00 - 8:50 am<br />
Many ED patients have legitimate needs <strong>for</strong> opioid analgesics <strong>for</strong> pain control, yet<br />
mortality among inpatients from therapeutic opioid analgesic administration is<br />
increasing. For two reasons, emergency department patients are at heightened<br />
risk <strong>for</strong> adverse effects from opioid analgesic administration. First, unlike<br />
anesthesiologists who can provide analgesia be<strong>for</strong>e a painful stimulus is<br />
generated, emergency physicians are required to control pain that already<br />
exists. <strong>Emergency</strong> physicians, there<strong>for</strong>e, frequently administer elevated doses<br />
of analgesics relative to colleagues. Second, emergency physicians cannot<br />
know the timing, dose, and potency of opioid analgesics that a patient might<br />
take be<strong>for</strong>e or after an ED encounter. This didactic session will use real-world<br />
examples to highlight methods <strong>for</strong> avoiding in-ED opioid toxicity. <strong>The</strong> moderator,<br />
Kavita Babu MD, will frame the problem of management of pain in the ED in the<br />
context of patient satisfaction and the epidemic of opioid analgesic overdose.<br />
(10 minutes). <strong>The</strong> presentation will rely upon a series of concrete examples of ED<br />
opioid over- and misprescribing that have led to patient morbidity and mortality.<br />
Dr. Boyer will then 1) review the literature and analyzes each case from a toxicologic<br />
perspective; 2) describe methods that avoid preventable morbidity and mortality;<br />
and 3) discuss next steps <strong>for</strong> patient safety and overdose prevention research.<br />
Anticipated cases include: co-administration of opioids and benzodiazepines;<br />
administration of opioids to obese patients; dispensing fentanyl patches from<br />
the ED; and administration of a single opioid dose (e.g., one <strong>for</strong> the road) prior to<br />
discharge (40 minutes).<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe dangerous opioid prescribing practices;<br />
2. Effectively utilize techniques to safely and effectively treat pain, while providing<br />
adequate analgesia;<br />
3. Describe important next steps <strong>for</strong> ED-based analgesia research.<br />
Edward Boyer MD, PhD – submitter, presenter<br />
UMass-Memorial Medical Center, Worcester, MA<br />
Kavita Babu MD - presenter<br />
UMass-Memorial Medical Center, Worcester, MA<br />
In<strong>for</strong>med Consent in <strong>Emergency</strong> Research: Pitfalls and Practical<br />
Pearls.<br />
DS044 – International D<br />
Session Time: Friday, May 17, 2013 8:00 - 9:20 am<br />
<strong>Emergency</strong> clinical research, through design or execution, ideally should involve<br />
situations or populations that may be challenging to include. In particular, consent<br />
of subjects considered vulnerable based on their condition or situation may be<br />
especially challenging. This panel session will discuss the recruitment and consent<br />
of difficult populations including those from institutional settings, those with<br />
cognitive impairment, and those facing life-threatening conditions. <strong>The</strong> speakers<br />
will discuss frequently encountered barriers to consent and recruitment and<br />
practical methods of overcoming these obstacles in multiple settings.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Discuss challenges to recruitment and consent <strong>for</strong> institutionalized populations<br />
and learn strategies to overcome these challenges.<br />
44 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
2. List practical ways to overcome obstacles specific to per<strong>for</strong>ming ED research in<br />
cognitively impaired elders, particularly obtaining consent.<br />
3. Describe criteria <strong>for</strong> seeking an exception from in<strong>for</strong>med consent <strong>for</strong> emergency<br />
research on life-threatening conditions and responsibilities of investigators<br />
who conduct such studies.<br />
Ula Hwang MD, MPH – submitter, presenter<br />
Mount Sinai School of <strong>Medicine</strong>, New York, NY<br />
Adit Ginde MD, MPH - presenter<br />
University of Colorado School of <strong>Medicine</strong>, Denver, CO<br />
Jin Han MD, MSc - presenter<br />
Vanderbilt University, Nashville, TN<br />
Lynne Richardson MD - presenter<br />
Mount Sinai School of <strong>Medicine</strong>, New York, NY<br />
Educational Portfolio: Your Secret Weapon <strong>for</strong> Promotion<br />
DS045 – International E-F<br />
Session Time: Friday, May 17, 2013 8:00 - 8:50 am<br />
Promotion within an institution can be challenging <strong>for</strong> someone with an<br />
educational focus. <strong>Emergency</strong> medicine educators have varied responsibilities<br />
and skill sets, some of which are difficult to highlight in a traditional curriculum<br />
vitae <strong>for</strong>mat. An educational portfolio is a document, set of documents, website,<br />
or other <strong>for</strong>mat which brings to attention and into one place all of the ef<strong>for</strong>ts put<br />
<strong>for</strong>th by an educator. A properly completed portfolio can be quite powerful in<br />
displaying your accomplishments to a P&T committee. This session will start by<br />
briefly covering the creation and contents of an educational portfolio. This will<br />
be followed by a panel discussion comprised of academic emergency physicians<br />
who have experience with promotion and tenure decisions. <strong>The</strong>se accomplished<br />
academicians will provide examples of how educational portfolios can be used<br />
to support promotion and will discuss features of portfolios which add to their<br />
impact.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Discuss the basic concept and philosophy of an educational portfolio<br />
2. List the components of an educational portfolio<br />
3. Describe how to use the educational portfolio to support promotion and tenure<br />
decisions<br />
Corey Heitz MD - submitter<br />
Virginia Tech Carilion School of <strong>Medicine</strong>, Roanoke, VA<br />
Gloria Kuhn DO, PhD - presenter<br />
Wayne State University, Detroit, MI<br />
Douglas Ander MD - presenter<br />
Emory University, Atlanta, GA<br />
Mapping the Path <strong>for</strong> Current and Future Research <strong>for</strong> Safe,<br />
Effective, and Appropriate Trauma Imaging<br />
DS046 – International B<br />
Session Time: Friday, May 17, 2013 9:00 - 9:50 am<br />
During the past decade there has been a trend toward earlier identification of all<br />
injuries in the initial assessment of a trauma patient. With increased availability,<br />
speed and accuracy of CT imaging, a dramatic increase in the use of CT imaging has<br />
occurred in the trauma setting. Much of this has occurred without an evidence base<br />
in the literature. As health care costs continue to rise and public concerns about<br />
radiation exposure escalate, emergency physicians will play an essential role in<br />
defining the future of trauma imaging research. This didactic session will explore<br />
the current state of research on the topics of chest and abdominal imaging <strong>for</strong><br />
patients with trauma. A panel of experts in various disciplines within emergency<br />
medicine (trauma practice, research, quality measures) are brought together to:<br />
(1) discuss the basis of the current state of trauma imaging (e.g. does pan scanning<br />
improve mortality?), (2) debate the philosophical importance of identifying every<br />
injury versus only the clinically important ones (does a clinical decision rule need<br />
to be 100% sensitive <strong>for</strong> all abnormal findings?), and (3) develop a roadmap <strong>for</strong><br />
future research goals (what is the ideal study design to develop a trauma imaging<br />
clinical decision rule?). Dr. Steill will discuss what the research methodology<br />
needed to determine ideal imaging strategies <strong>for</strong> patients with trauma. Dr.<br />
Legome will discuss the present research obstacles that exist at trauma centers<br />
in the US. Dr. Raja will describe the current state of trauma imaging and imaging<br />
quality measures at Level I Trauma Centers. Our short-term goal is to develop a<br />
white paper from this didactic that will define the emergency medicine research<br />
agenda <strong>for</strong> trauma imaging, with the eventual goal of developing the topic into a<br />
Consensus Conference.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the current state of the art regarding trauma imaging strategies<br />
2. Discuss how a list of relevant clinical findings will drive future ef<strong>for</strong>ts to improve<br />
imaging strategies can best be defined<br />
3. Define an emergency medicine-based trauma imaging research roadmap and<br />
the next steps needed to make progress<br />
Kaushal Shah MD - submitter<br />
Mt. Sinai School of <strong>Medicine</strong>, New York, NY<br />
Michael Gibbs MD - presenter<br />
Carolinas Medical Center, Charolette, NC<br />
Ian Stiell MD - presenter<br />
Ottawa Hospital, Ottawa, Ontario, CA<br />
Eric Legome MD - presenter<br />
Downstate Medical Center, Brooklyn, NY<br />
Ali Raja MD, MPH, MBA- presenter<br />
Brigham & Womens Hospital, Boston, MA<br />
Identifying the Value of <strong>Emergency</strong> Care in the<br />
Climate of Health Re<strong>for</strong>m<br />
DS047 – International C<br />
Session Time: Friday, May 17, 2013 9:00 - 10:20 am<br />
‘Value’ has become a buzzword in health policy circles. Yet the value of emergency<br />
care remains poorly understood. This process is vital as health policy increasingly<br />
focuses on accountability <strong>for</strong> costs and quality measures reflected in the move<br />
toward Accountable Care Organizations, pay-<strong>for</strong>-per<strong>for</strong>mance, and bundled<br />
payments. <strong>The</strong> ED is frequently stereotyped as being a wasteful cost center by<br />
government and other payers who remain skeptical regarding the value of care<br />
delivered in this setting, but emergency care must be assessed in the proper<br />
context to understand its value. <strong>The</strong> reality is that EDs continue to see significant<br />
patient demand <strong>for</strong> their services. Additional considerations include the societal<br />
services the ED provides such as a universal safety net, disaster preparedness,<br />
and public health surveillance that are important considerations when calculating<br />
the value of emergency care. <strong>Emergency</strong> providers also sit at the cross roads of<br />
the outpatient and inpatient arenas of the US health care system and control one<br />
of the most routine expensive decisions in health care—the decision to admit or<br />
discharge. <strong>The</strong>re<strong>for</strong>e, determining a value framework to measure emergency care<br />
is critical due to the common and often costly decisions made in the ED setting.<br />
Questions to be asked of the panel include: How would you define value in health<br />
care? How is the value of emergency care best assessed by this definition? What<br />
are 3 areas most ripe <strong>for</strong> measuring value in the practice of emergency medicine?<br />
What are the top challenges to emergency providers in delivering value-based<br />
health care? How will a focus on value under the current climate of health re<strong>for</strong>m<br />
most impact the everyday practice of emergency providers?<br />
Objectives: At the completion of the session, participants should be able to<br />
understand issues in defining and measuring value in emergency care, specifically:<br />
1. Describe how value is defined in health care;<br />
2. Conceptualize how value should be measured in emergency care;<br />
3. Explore the implications of value-based health re<strong>for</strong>m on the practice of<br />
emergency medicine.<br />
Keith Kocher MD, MPH, MPhil - submitter<br />
University of Michigan, Ann Arbor, MI<br />
Arthur Kellermann MD, MPH - presenter<br />
RAND Corporation, Santa Monica, CA<br />
Brent Asplin MD, MPH - presenter<br />
Fairview Medical Group, Minneapolis, MN<br />
Jeremiah Schuur MD, MHS - presenter<br />
Brigham and Women’s Hospital, Boston, MA<br />
Adam Sharp MD, MS, BA - presenter<br />
University of Michigan/RWJ Clinical Scholars, Ann Arbor, MI<br />
Good to Great: Effective Feedback to Learners with Difficulties<br />
DS048 – International E-F<br />
Session Time: Friday, May 17, 2013 9:00 - 9:50 am<br />
Rationale: This workshop builds upon previous workshops to look at the advanced<br />
skill of providing feedback to learners with difficulty. While educators view<br />
providing feedback as a crucial step towards improving learner per<strong>for</strong>mance,<br />
less is understood about how to provide effective feedback to problem residents<br />
and students. We will draw upon seminal articles in the feedback literature to<br />
both enable the participant to understand the psychological impact of feedback<br />
from the receiver’s perspective, and empower participants to employ practical<br />
strategies to successfully engage the learner in accepting feedback. Course<br />
description: This session will utilize a combination of short didactic presentations<br />
exploring the science of feedback, video stimuli <strong>for</strong> facilitated discussion and<br />
deliberate practice (using residents trained to be learners with difficulty) to enable<br />
May 14-18, 2013 | Atlanta, Georgia 45
participants to understand the challenges and develop effective practice. <strong>The</strong><br />
workshop will utilize large and small group exercises to understand key concepts<br />
and develop ways to improve each participant’s feedback skills. Additional<br />
facilitators include: Ester Choo MD MPH, Robin Hemphill MD MPH, Josh Kornegay<br />
MD, John Martel MD, PhD<br />
Objectives: At the end of this session, participants should be able to:<br />
1. Develop a plan to incorporate evidence from the feedback literature into their<br />
clinical teaching practice<br />
2. Outline steps required to provide effective feedback given the new conceptual<br />
framework<br />
3. Apply principles of feedback specific to the problem resident<br />
Sorabh Khandelwal MD – submitter, presenter<br />
<strong>The</strong> Ohio State University, Columbus, OH<br />
Marcia Perry MD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
Sally Santen MD, PhD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
Lalena Yarris MD, MCR - presenter<br />
Oregon Health and Science University (OHSU), Portland, OR<br />
Models of Subspecialty Geriatric <strong>Emergency</strong> Departments<br />
DS049 – International D<br />
Session Time: Friday, May 17, 2013 9:30 - 9:50 am<br />
Geriatric patients are considered vulnerable and have the potential to raise<br />
complex challenges in emergency treatment. Recognition of this specific patient<br />
population and their potential <strong>for</strong> unique emergent presentations has prompted<br />
the development of specialty sections within larger emergency departments or<br />
separate subspecialty emergency departments altogether. Elder patients can<br />
often present with distinctive and sometimes complex medical conditions, stay<br />
longer <strong>for</strong> more extensive diagnostic testing and treatment regimens, and require<br />
special needs during their visit all of which may make rapid triage, diagnosis and<br />
disposition difficult in the traditional emergency department setting. In response<br />
to healthcare re<strong>for</strong>m legislation, hospitals are identifying the emergency<br />
department as a priority among future facility development plans including<br />
upgrading infrastructure and technology to better serve the patient population.<br />
As a result, many facilities are moving ahead with new construction to expand and/<br />
or renovate existing emergency departments. In this lecture, we will address ways<br />
to integrate changes to existing or future emergency departments specific to<br />
geriatric patients. Issues addressed will include physical space, quality initiatives,<br />
operational enhancements (observation protocols), staff and resident education<br />
and overall coordination of hospital resources.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Discuss the clinical reasoning behind the establishment of geriatric emergency<br />
departments.<br />
2. Describe the infrastructure and personnel needed to establish a geriatric<br />
emergency department (or section within larger department).<br />
3. List potential changes within your own emergency department <strong>for</strong> optimal care<br />
of the geriatric patient.<br />
Kathleen Walsh DO, MS – submitter, presenter<br />
University of Wisconsin Hospital and Clinics, Madison, WI<br />
Mark Rosenberg MD - presenter<br />
St. Joseph’s Healthcare System, Paterson, NJ<br />
Knox H. Todd MD - presenter<br />
Anderson Cancer Center, TX<br />
Where is the Evidence III: Common Pediatric Infections in<br />
<strong>Emergency</strong> <strong>Medicine</strong><br />
DS050 – International D<br />
Session Time: Friday, May 17, 2013 10:00 - 10:50 am<br />
Pediatric emergency visits are <strong>for</strong> suspected infectious diseases and very<br />
common; <strong>for</strong>tunately, most are benign in their pathogenesis and self-limited,<br />
such as common on upper respiratory infections. However, the presentation of<br />
infections such as pneumonia and urinary tract infections are often diagnostically<br />
challenging <strong>for</strong> many ED physicians. Meanwhile, infections of the skin and soft<br />
tissues pose an increased burden in the ED setting, and lack of consensus in<br />
management is the rule rather than the exception. Overall, dilemmas remain <strong>for</strong><br />
each of these a<strong>for</strong>ementioned infections, with respect to clinical evaluation,<br />
approach to diagnostic testing, and choice of most appropriate antimicrobial<br />
therapy. Accumulated evidence, including more recent trials, have advanced our<br />
knowledge of pediatric infectious diseases, and have permitted evidence-based<br />
approaches to their diagnosis and treatment. In this session, the most up-todate<br />
evidence <strong>for</strong> ED management of skin and soft tissue infection, pneumonia,<br />
and urinary tract infections in children will be presented. <strong>The</strong> presenters will<br />
discuss current epidemiology and review the evidence-based approach to clinical<br />
evaluation and diagnostic testing <strong>for</strong> each of these infections. <strong>The</strong> discussants will<br />
also synthesize current literature with respect therapeutic decisions, and present<br />
recommended therapies from recent guidelines released by the Infectious<br />
Disease <strong>Society</strong> of America and the American Academy of Pediatrics. In addition,<br />
discussion of ongoing large scale, ED-based clinical trials <strong>for</strong> these infections will<br />
be presented. Following the presentation, audience participation will be solicited.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the epidemiology and diagnostic evaluation <strong>for</strong> skin infections,<br />
pneumonia, and urinary tract infections in children.<br />
2. Form evidence-based management strategies <strong>for</strong> pediatric skin infections,<br />
pneumonia, and urinary tract infections evaluated in the ED setting.<br />
Rakesh Mistry MD, MS –submitter, presenter<br />
Children’s Hospital of Philadelphia, Philadelphia, PA<br />
Todd Florin MD, MSCE - presenter<br />
Cincinnati Children’s Hospital Medical Center, OH<br />
Life and A Career in Global Health: Can You Have It All?<br />
DS051 – International E-F<br />
Session Time: Friday, May 17, 2013 10:00 - 10:50 am<br />
Many <strong>Emergency</strong> <strong>Medicine</strong> (EM) faculty, residents, and medical students have<br />
some involvement in international collaborations and service. Despite the many<br />
attractions in having a career in Global <strong>Emergency</strong> <strong>Medicine</strong>, there are inherent<br />
challenges. <strong>The</strong>se include child rearing, short-notice deployments, hazardous<br />
work environments, among many others. <strong>The</strong> field of academic global health is<br />
extremely diverse; this variability enables many different career options that<br />
may allow flexibility when considering the constraints of work-life balance. By<br />
sharing the collective experiences of successful GEMA and AWAEM members,<br />
we will address some of the questions and concerns that emergency physicians<br />
may have in pursuing this career choice. In this session, four nationally recognized<br />
senior academicians in Global <strong>Emergency</strong> <strong>Medicine</strong> will participate in a panel<br />
discussion on the trials and tribulations of choosing a career in global health. <strong>The</strong><br />
four panelists span a breath of global health-related career tracks and personal<br />
life choices, thus making the discussion diverse and broad so that many issues are<br />
discussed. Interspersed with the discussion, the moderator will provide a brief<br />
review of the current statistics and literature in this field.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the breadth of global health career choices.<br />
2. Navigate their career choices depending on their personal and professional<br />
priorities.<br />
Bhakti Hansoti MD – submitter, presenter<br />
Johns Hopkins University, Baltimore MD<br />
Stephanie Kayden MD, MPH - presenter<br />
Harvard Medical School, Boston, MA<br />
Tracy Sanson MD - presenter<br />
University of South Florida, Tampa, FL<br />
Bobby Kapur MD, MPH - presenter<br />
Baylor College of <strong>Medicine</strong>, Houston, TX<br />
Policy Change 101: A How-to Primer <strong>for</strong> <strong>Emergency</strong> Physicians<br />
DS052 – International C<br />
Session Time: Friday, May 17, 2013 10:30 - 11:50 am<br />
With the passing of the PPACA in 2010, it is imperative <strong>for</strong> emergency physicians to<br />
have the skills to educate policymakers about our hospitals, our patients, and our<br />
specialty. However, few emergency physicians think of themselves as proficient<br />
in this type of communication. We tend to focus on the immediate challenges in<br />
the ED rather than working <strong>for</strong> change on an institutional, state, or national level.<br />
Moreover, even those emergency physicians interested in policy often lack the<br />
necessary knowledge base and skills to be effective. This interactive session will,<br />
first, broadly introduce participants to the impact that effective education and<br />
engagement of policymakers can have on our specialty and our patients. We will<br />
then provide an overview of essential skills and communication that academic<br />
emergency physicians must know to engage in the policy process. Finally, the<br />
session will offer a few specific examples of academic emergency medicinerelated<br />
policy successes. 1) Importance of the policy process <strong>for</strong> academic<br />
emergency medicine (5 minutes) 2)Discussion of critical policy skills (25 minutes,<br />
Sara Patterson) SP will describe key areas of the policy process: policy briefing vs.<br />
analysis, policy implementation, policy promotion, and evaluation strategies. She<br />
will then provide a focused overview of critical education and advocacy skills <strong>for</strong><br />
academic emergency physicians. 3) Examples of successful advocacy (30 minutes,<br />
Art Kellerman) AK will discuss his experiences and challenges with health policy<br />
and advocacy on national, state, and institutional policy levels. 4) Participant<br />
round table breakout sessions with policy experts (20 minutes, 6 facilitators).<br />
46 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the importance of engaging in the policy process <strong>for</strong> the specialty of<br />
emergency medicine<br />
2. Describe the key aspects of the Policy Process<br />
3. Identify the key components of educating policymakers<br />
4. Develop an effective strategy <strong>for</strong> a research, safety, or practice-related issue<br />
that is important to academic EM<br />
Lauren Hudak MD, MPH – submitter, presenter<br />
Emory University, Atlanta, GA<br />
Megan Ranney MD - presenter<br />
Alpert Medical School, Brown University, Providence, RI<br />
Art Kellerman MD, MPH - presenter<br />
RAND Corporation, Santa Monica ,CA<br />
Sara Patterson MA - presenter<br />
Centers <strong>for</strong> Disease Control and Prevention, Atlanta, GA<br />
CDC Policy Specialists- presenter<br />
Centers <strong>for</strong> Disease Control and Prevention, Atlanta, GA<br />
and results, but also provide greater context to the research by discussing its<br />
importance within the larger realm of global health. In order to save time, articles<br />
with similar themes will be grouped together and discussed jointly. <strong>The</strong> didactic<br />
will be presented by the current managing editor and editor-in-chief of GEMLR,<br />
who will also be able to provide background during the discussion on how Global<br />
<strong>Emergency</strong> <strong>Medicine</strong> research has evolved over the past decade.<br />
Objectives: At the end of this session, participants should be able to:<br />
1. Discuss the most recent, high-quality Global <strong>Emergency</strong> <strong>Medicine</strong> research<br />
being conducted around the world<br />
2. Describe evidence-based practices as it pertains to providing emergency care<br />
around the world<br />
3. Outline strategies <strong>for</strong> conducting ethical and high-quality Global <strong>Emergency</strong><br />
<strong>Medicine</strong> research, having learned from the experience of recent investigators.<br />
Gabrielle Jacquet MD – submitter, presenter<br />
Johns Hopkins University School of <strong>Medicine</strong>, Baltimore MD<br />
Adam Levine MD, MPH - presenter<br />
Brown University Alpert School of <strong>Medicine</strong>, Providence, RI<br />
<strong>Emergency</strong> Department Evaluation and Management of<br />
Pediatric Concussion and Mild Traumatic Brain Injury<br />
DS053 – International D<br />
Session Time: Friday, May 17, 2013 11:00 - 11:50 am<br />
Concussion or mild traumatic brain injury (mTBI) is a disruption in normal brain<br />
function caused by the impact of biomechanical <strong>for</strong>ces on the head or the body.<br />
Approximately 100,000-140,000 children and adolescents present to the<br />
emergency department <strong>for</strong> concussion each year in the United States. Immediate<br />
recognition of concussion and prompt initiation of treatment in the <strong>for</strong>m of<br />
complete cognitive and physical rest is essential to promote recovery, and to<br />
prevent prolonged physical, cognitive, and emotional symptoms. While emergency<br />
departments frequently serve as the initial point of entry <strong>for</strong> the care of pediatric<br />
concussion patients, providers may not have adequate training or tools necessary<br />
to provide standardized and evidence-based care.<br />
For this didactic session, the presenters will discuss the diagnosis, management,<br />
and after-care <strong>for</strong> concussion. A growing body of basic and clinical research has<br />
provided the evidence <strong>for</strong> standardized evaluation of concussion and prompt<br />
treatment with physical and cognitive rest. General awareness of concussion<br />
and a growing number of state laws requiring medical clearance be<strong>for</strong>e return<br />
to activity has resulted in a significant increase in concussion-related visits in a<br />
variety of clinical settings, including the emergency department. <strong>The</strong> presenters<br />
will provide the recent literature and recommend evidence-based best practices<br />
that emergency physicians can readily implement into their everyday practice.<br />
Following the <strong>for</strong>mal didactic presentation, there will be allotted time <strong>for</strong><br />
questions and discussion.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the principles of diagnosis and management of pediatric concussion.<br />
2. Explain the role that emergency medicine physicians can play in initiating<br />
cognitive and physical rest, and recommending appropriate follow-up.<br />
Mark Zonfrillo MD, MSCE – submitter, presenter<br />
Children’s Hospital of Philadelphia, Philadelphia, PA<br />
Rachel Bengtzen MD - presenter<br />
Oregon Health and Science University, Portland, OR<br />
<strong>The</strong> Top 10 Global <strong>Emergency</strong> <strong>Medicine</strong> Articles from 2012:<br />
Highlights from the Global <strong>Emergency</strong> <strong>Medicine</strong> Literature<br />
Review<br />
DS054 – International E-F<br />
Session Time: Friday, May 17, 2013 11:00 - 11:50 am<br />
<strong>The</strong> Global <strong>Emergency</strong> <strong>Medicine</strong> Literature Review (GEMLR) was developed in<br />
2005 to help EM providers navigate the growing abundance of Global EM literature.<br />
Now in its eighth year, the GEMLR highlights and disseminates high-quality Global<br />
<strong>Emergency</strong> <strong>Medicine</strong> research <strong>for</strong> use by both academics and practitioners in<br />
the field. Each year, the GEMLR conducts a search of the Global EM literature,<br />
producing about 7,000 articles from the published and grey literature. Our team<br />
of 30 reviewers and editors then screen and score the articles using established<br />
criteria to select those that are both high-quality and directly relevant to the<br />
field of Global EM. <strong>The</strong> top articles selected each year by the GEMLR represent<br />
a sample of the best research from around the world related to the bourgeoning<br />
field of Global EM. In this didactic, we will highlight the ten original research and<br />
review articles from 2012 that we believe will have the greatest impact on the<br />
practice of Global <strong>Emergency</strong> <strong>Medicine</strong> while also stimulating future research in<br />
this arena. For each article, we will not only summarize and critique its methods<br />
Inauguration of the NIH Office of <strong>Emergency</strong> Care Research<br />
DS055 – International C<br />
Session Time: Friday, May 17, 2013 1:00 - 2:20 pm<br />
This session will highlight the leadership of the NIH OECR, the NIH <strong>Emergency</strong><br />
Care Research Working Group, (which includes representatives from most<br />
NIH institutes and centers) which oversees the OECR and the scientific and<br />
administrative support group at the National Institute of General Medical Sciences<br />
(NIGMS) which houses the OECR . <strong>The</strong> panel will provide input on the development,<br />
design, priorities and function of the OECR. <strong>The</strong> NIH OECR leadership perspective<br />
(30 minutes) will be given by Dr. Walter Koroshetz from NINDS, Acting Director of<br />
the NIH OECR and Dr. Alice Maschette (Associate Director of NIH OECR). <strong>The</strong> NIH<br />
<strong>Emergency</strong> Care Research Working Group perspective (15 minutes) by the Chair of<br />
the Steering Committee member (Dr. Judith Greenberg, Acting Director of NIGMS)<br />
and the NIGMS scientific and administrative perspective (15 minutes) by Dr. Scott<br />
Somers (NIGMS Program Director and member of the NIH Working Group). Dr.<br />
Charles Cairns and Dr. Roger Lewis will serve as the moderators. <strong>The</strong> moderators<br />
will lead a panel discussion (20 minutes) on how the OCER will interact with current<br />
NIH funding programs, prioritize research initiatives and interact with emergency<br />
care investigators.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Identify the leadership and support structure of the NIH OECR<br />
2. Describe initial research initiatives of interest to emergency medicine<br />
investigators.<br />
Charles Cairns MD – submitter, presenter<br />
University of North Carolina, Chapel Hill, NC<br />
Roger Lewis MD, PhD - presenter<br />
Harbor-UCLA Medical Center, Torrance, CA<br />
Walter Korshetz MD, - presenter<br />
National Institutes of Health/NINDS, Bethesda MD<br />
Scott Somers PhD - presenter<br />
National Institutes of Health/NIGMS, Bethesda MD<br />
Pediatric Airway Management in the 21st Century: Muddling to<br />
Mastery<br />
DS056 – International D<br />
Session Time: Friday, May 17, 2013 1:00 - 1:50 pm<br />
Intubation in a small child is a low-volume, high-risk procedure and even a seasoned<br />
Pediatric <strong>Emergency</strong> <strong>Medicine</strong> Attending will feel their pulse quicken when faced<br />
with a challenging airway scenario in a small child. Pediatric airway management<br />
is evolving rapidly with the advent of videolaryngoscopy and alternative airway<br />
techniques coupled with research questioning some of the long-held basic tenets<br />
of rapid-sequence intubation. In this session, 3 Pediatric <strong>Emergency</strong> physicians<br />
from varied backgrounds (one <strong>Emergency</strong> <strong>Medicine</strong>-residency trained, one<br />
Pediatric-residency trained and one dual-trained in Pediatric <strong>Emergency</strong> <strong>Medicine</strong><br />
and Pediatric Critical Care) will dissect the current state of the art in Pediatric<br />
Airway Management with a focus on new techniques, the teaching of trainees<br />
using simulation and current areas of controversy including ketamine in head<br />
trauma and the use of atropine during RSI.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the advantages and disadvantages of videolaryngoscopy <strong>for</strong> pediatric<br />
airway management based on current literature.<br />
2. Explain the controversies over the use of etomidate and ketamine <strong>for</strong> induction<br />
in pediatric RSI.<br />
May 14-18, 2013 | Atlanta, Georgia 47
3. Assess the utility of simulation and critical-action training with regards to<br />
pediatric airway management.<br />
Nathan Mick MD – submitter, presenter<br />
Tufts University School of <strong>Medicine</strong>, Boston, MA<br />
Joshua Nagler MD - presenter<br />
Harvard University, Boston, MA<br />
Aaron Donoghue MD - presenter<br />
Children’s Hospital of Philadelphia, Philadelphia, PA<br />
Controversies in <strong>Emergency</strong> Ultrasound: <strong>The</strong> Debate Rages On<br />
DS057 – International E-F<br />
Session Time: Friday, May 17, 2013 1:00 - 1:50 pm<br />
This session will feature a debate-style <strong>for</strong>mat with discussants utilizing an<br />
evidence-based approach to dispute two controversial topics in emergency<br />
ultrasound. First, should tele-sonography be employed in the clinical arena and<br />
in what settings? Tele-sonography is the digital storage and transmission of<br />
ultrasound images and video <strong>for</strong> either education and training or clinical use. <strong>The</strong><br />
role of <strong>Emergency</strong> Physicians in developing tele-sonography programs will be<br />
discussed as well as issues related to implementation including synchronous vs.<br />
asynchronous data transmission, image quality, appropriate clinical applications,<br />
remote training, and technical and non-technical barriers to program development.<br />
Second, what is the appropriate utilization of the FAST examination in trauma<br />
patients? Discussants will review and debate issues related to the use of FAST in<br />
blunt/penetrating trauma patients, non-operative trauma management, cardiac<br />
imaging as a view in the FAST, limitations of the FAST, as well as outcomes data.<br />
Objectives: At the completion of this session participants should be able to<br />
describe these cutting edge and controversial issues in <strong>Emergency</strong> Ultrasound:<br />
the utilization of tele-sonography around the globe the use of FAST exam in<br />
trauma patients.<br />
Christopher Raio MD – submitter, presenter<br />
North Shore U. Hospital, Manhasset, NY, NY<br />
Andrew Liteplo MD - presenter<br />
Massachusetts General Hospital, Brookline, MA<br />
J. Christian Fox MD- presenter<br />
University of Cali<strong>for</strong>nia, Irvine Medical Center, Irvine, CA<br />
Jason Nomura - presenter<br />
Christiana Care Health System, Newark, DE<br />
Child Abuse Pediatrics Research Update<br />
- New Innovations, New Best Practice<br />
DS058 – International D<br />
Session Time: Friday, May 17, 2013 2:00 - 2:50 pm<br />
<strong>The</strong> last five years have seen an explosion of research in child abuse pediatrics, with<br />
important implications <strong>for</strong> the practice of emergency physicians. Investigators<br />
continue to negotiate unique ethical and logistical issues raised by abuse while,<br />
at the same time, new technologies have been shown to improve screening. <strong>The</strong>se<br />
new techniques both support new guidelines to improve detection, and debunk<br />
persistent dogma. This program will discuss recent and developing tools and<br />
techniques in child abuse research, as well as the initial results of cutting edge<br />
abuse research <strong>for</strong> the emergency physician. Attendees will improve their ability<br />
to conduct research in child abuse detection and treatment in the emergency<br />
department, and will understand current and developing best practice guidelines<br />
<strong>for</strong> clinical practice.<br />
Objectives: At the completion of this session participants should be able to:<br />
1. Use new research techniques and technology in the design of child abuse<br />
research protocols<br />
2. Describe and incorporate recent advances to improve child abuse detection into<br />
their clinical practice.<br />
Daniel Lindberg MD – submitter, presenter<br />
Brigham & Women’s Hospital, Boston, MA<br />
Philip Scribano DO, MSCE - presenter<br />
Children’s Hospital of Philadelphia, Philadelphia, PA<br />
Resident Education in Ultrasound: Meeting the Milestone<br />
DS059 – International E-F<br />
Session Time: Friday, May 17, 2013 2:00 - 2:50 pm<br />
<strong>The</strong> <strong>Emergency</strong> <strong>Medicine</strong> Resident Review Committee of the ACGME in<br />
conjunction with CORD ABEM, and other organizations in 2012 released the<br />
Milestones in <strong>Emergency</strong> <strong>Medicine</strong>. Specifically PC12 addresses the education<br />
of EM residents in the use and integration of point of care ultrasound. Residency<br />
programs will be responsible <strong>for</strong> meeting the implementation and assessment<br />
of residents with regard to the Milestones. Not all programs have ultrasound<br />
directors to implement and assess the milestones <strong>for</strong> their residents. This<br />
didactic session will discuss a model curriculum <strong>for</strong> resident education in point<br />
of care ultrasound, minimum elements to meet the EM Milestones, and methods<br />
of assessments. <strong>The</strong> discussion will provide a framework and in<strong>for</strong>mation that<br />
can utilized by programs with and without an ultrasound director. <strong>The</strong> discussion<br />
will highlight consensus work done through SAEM and CORD about ultrasound<br />
education to meet the Milestone requirements.<br />
Objectives: At the completion of this session participants should be able to:<br />
1. Detail and specify a model curriculum design and resident rotation <strong>for</strong><br />
emergency ultrasound<br />
2. Describe minimum standards that should be accomplished at every EM<br />
residency program.<br />
3. Detail an updated standardized model ultrasound education curriculum <strong>for</strong><br />
emergency medicine residents<br />
4. Describe competency assessment tools <strong>for</strong> the novice and advanced resident<br />
sonographer, which complement the milestones with a focus on simulation,<br />
blended and ultrasound-based learning.<br />
Nova Panebianco MD, MPH – submitter, presenter<br />
University of Pennsylvania, Philadelphia, PA<br />
Resa Lewiss MD - presenter<br />
St. Luke’s Roosevelt, New York, NY<br />
Saadia Akhtar MD - presenter<br />
Beth Israel, New York City, NY<br />
Jason Nomura MD- presenter<br />
Christiana Care Health System, Newark, DE<br />
saturday, MAY 18th<br />
Motivating Success: Conducting High Quality Behavioral<br />
Interventions <strong>for</strong> Addiction in ED patients:<br />
Lessons Learned from the SMART-ED Multisite Trial.<br />
DS060 – International B<br />
Session Time: Saturday, May 18, 2013 8:00 - 8:50 am<br />
Randomized clinical trials (RCTs) are potent tools that, if used properly, assess the<br />
efficacy of potential therapeutic interventions <strong>for</strong> a wide range of problems and<br />
patients. Conducting a high quality RCT is challenging under ideal circumstances;<br />
conducting RCTs in the ED presents unique and often significant methodological<br />
barriers compared to more traditional research settings. RCTs that test the<br />
efficacy of behavioral interventions (BI) should ensure a high quality, high fidelity<br />
BI across subjects, interventionists and sites. <strong>The</strong>se challenges are particularly<br />
problematic in chaotic environments, such as seen in many EDs. Many ED patients<br />
with problematic substance use might appear ‘less-than-ideal’ subjects, given<br />
economic barriers, homelessness and a generally unstable environment. We will<br />
identify common challenges experienced by the researcher when conducting BI<br />
in the acute care/ED setting. We will also describe strategies to identify, recruit<br />
and maintain research subject interest, including strategies particularly useful <strong>for</strong><br />
the ‘less-than-ideal’ participant. We will draw upon our recent experience with the<br />
SMART-ED (Screening, Motivational Assessment and Referral to Treatment in<br />
<strong>Emergency</strong> Departments) multicenter trial. This NIDA funded trial delivered a high<br />
fidelity BI across 6 different US ED sites. <strong>The</strong> design and sample size estimates<br />
required enrollment of 1,285 subjects with at least 85% follow-up at 3-months<br />
post-randomization. Because the efficacy of BIs <strong>for</strong> drug use in the ED is not<br />
known, we will describe the steps used to ensure high fidelity and consistency of<br />
the BI. We will describe challenges faced and strategies used to enroll our target<br />
sample with nearly 90% follow-up at 3 months.<br />
Objectives: At the completion of this session participants should be able to:<br />
1. Discuss strategies and factors associated with the identification of subjects<br />
during screening who will have a high probability of completing a behavioral<br />
intervention (BI) study.<br />
2. Describe steps and techniques to develop, test and maintain a high fidelity<br />
behavioral intervention <strong>for</strong> substance use in ED patients.<br />
3. Develop a cohort maintenance strategy to track and maintain participation of<br />
subjects in a BI trial.<br />
Cameron Crandall MD – submitter, presenter<br />
University of New Mexico, Albuquerque, NM<br />
Ryan McCormack MD - presenter<br />
Bellevue Hospital, NYU School of <strong>Medicine</strong>, New York, NY<br />
Alyssa Forcehimes PhD - presenter<br />
University of New Mexico, Department of Psychiatry, Albuquerque, NM<br />
48 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
<strong>The</strong> Hidden Science in Your <strong>Emergency</strong> <strong>Medicine</strong> Research:<br />
Gender-Specific Study Design and Analysis<br />
DS061 – International C<br />
Session Time: Saturday, May 18, 2013 8:00 - 9:20 am<br />
<strong>The</strong>re is now clear evidence that gender plays a key role in health and disease<br />
at a biological level and can significantly impact patient outcomes. As a critical<br />
emerging field, high quality gender based research and data analysis is sought<br />
after by medical journals and by the National Institutes of Health. However, little<br />
gender-specific research has been conducted within emergency medicine. EM<br />
scholars can consider important gender-based questions within their current<br />
area of research. Such inquiry potentially impacts the medical care of both sexes<br />
and may provide researchers with additional opportunities <strong>for</strong> scholarship. This<br />
session aims to stimulate interest in research on gender-specific medicine and<br />
understand the challenges and solutions of per<strong>for</strong>ming gender-based analyses.<br />
<strong>The</strong> session will be an 80-minute moderated panel presentation with: 1) a brief<br />
introduction (5 minutes, Dr. Choo); 2) discussion of a general framework <strong>for</strong><br />
considering relevant gender-specific research questions within diverse areas<br />
of emergency medicine research and analytic strategies <strong>for</strong> approaching the<br />
question of the impact of gender on clinical outcomes (25 minutes, Dr. Lewis); and<br />
3) demonstration of how EM physicians have applied these approaches, using as<br />
examples a) research on the diagnostic testing <strong>for</strong> cardiovascular disease (20<br />
minutes, Dr. Diercks) and b) research on female hormone therapy <strong>for</strong> traumatic<br />
brain injury (20 minutes, Dr. Wright). <strong>The</strong> session will conclude with 10 minutes <strong>for</strong><br />
questions from the audience.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe basic approaches that enable the study of the impact of gender on<br />
clinical outcomes.<br />
2. Detail the scientific approaches to research on diagnostic testing in cardiovascular<br />
disease and use of female hormone therapy <strong>for</strong> traumatic brain injury<br />
Esther Choo MD, MPH – submitter, presenter<br />
Brown Medical School, Providence, RI<br />
Roger Lewis MD, PhD - presenter<br />
Harbor-UCLA Medical Center, Los Angeles, CA<br />
Deborah Diercks MD - presenter<br />
University of Cali<strong>for</strong>nia Davis School of <strong>Medicine</strong>, Sacramento, CA<br />
David Wright MD - presenter<br />
Emory University School of <strong>Medicine</strong>, Atlanta, GA<br />
Presentation Design: An Evidence-based Approach To Creating<br />
Impactful, Effective Visual Aids<br />
DS062 – International G<br />
Session Time: Saturday, May 18, 2013 8:00 - 8:50 am<br />
<strong>The</strong> ability to give effective presentations is a critical skill <strong>for</strong> educators. Despite<br />
the multitude of tools available, there is very little <strong>for</strong>mal teaching on the education<br />
and design principles necessary to create effective presentations. Often, the<br />
tools used to supplement the lecture (usually PowerPoint) do not fully utilize<br />
educational and design principles to optimize learning. Some of this may be due<br />
to a lack of knowledge of the principles, and some of this may be lack of familiarity<br />
with presentation software. <strong>The</strong>re has been a recent explosion of a variety of<br />
new presentation software and presenting tools, as well as increased interest in<br />
podcasts and e-learning. As we continue to expand our educational arsenal, the<br />
principles underlying effective design become even more important. This session<br />
will start by making a case <strong>for</strong> a medical educators’ approach to presentation<br />
design. Medical education has specific goals, separate from business or marketing<br />
presentations, which play a direct role in designing the elements of a presentation.<br />
<strong>The</strong> session will then review the existing literature on optimal retention,<br />
motivation, learning styles, generational differences, and other key education<br />
principles that underlie a presentation. Finally, we will discuss and demonstrate<br />
the application of these principles, including several easy presentation software<br />
elements that can be used to implement the principles.<br />
Objectives: At the end of this session, participants should be able to:<br />
1. Review Mayer’s principles of multimedia design<br />
2. Review Kosslyn’s theories on creating effective PowerPoint presentations<br />
3. Discuss other key educational principles integral to effective presentation<br />
design<br />
4. List 3 principles of memory and retention in relation to presentation design<br />
5. Take 3 example slides provided in the session and create 3 revised slides<br />
implementing the principles discussed in the session.<br />
Mal<strong>for</strong>d Pillow MD, MEd – submitter, presenter<br />
Baylor College of <strong>Medicine</strong>, Houston, TX<br />
SAEM AND EMF Grants: Opportunities and Submission Process<br />
DS064 – International B<br />
Session Time: Saturday, May 18, 2013 9:00 - 9:50 am<br />
<strong>The</strong> SAEM Foundation and ACEP’s <strong>Emergency</strong> <strong>Medicine</strong> Foundation (EMF) provide<br />
a variety of emergency medicine grants. Historically, many recipients of these<br />
grants have gone on to highly successful research careers with federal funding.<br />
<strong>The</strong>se grants primarily target junior investigators including medical students,<br />
residents, fellows and junior faculty. <strong>The</strong> most appropriate grant category and<br />
application process, however, is often confusing to these interested individuals.<br />
This session will provide an overview of each foundation’s grant offerings and the<br />
submission and review process of each. Included will be the type of candidates<br />
targeted <strong>for</strong> these grants, types of proposals that score well and the timeline of<br />
review and the scoring system used.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the types of grants offered by SAEM and EMF<br />
2. Summarize the keys to successfully applying <strong>for</strong> such a grant.<br />
James Holmes MD, MPH – submitter, presenter<br />
UC Davis School of <strong>Medicine</strong>, Sacramento, CA<br />
Mark Courtney MD, MSCI - presenter<br />
Northwestern University, Chicago, IL<br />
Megan Ranney MD - presenter<br />
Alpert Medical School, Brown University, Providence, RI<br />
Comilla Sasson MD, MS - presenter<br />
University of Colorado School of <strong>Medicine</strong>, Denver, CO<br />
Deliberate Practice: A Learning Technique That Improves<br />
Mastery, Execution, and Retention of Medical Knowledge<br />
DS065 – International G<br />
Session Time: Saturday, May 18, 2013 9:00 - 9:50 am<br />
<strong>The</strong> concept of deliberate practice, first described in 1993 by Ericsson et al, has<br />
gained traction in medical education as it did be<strong>for</strong>e in sport, music, chess, and<br />
economics as a way to define the process of obtaining expert per<strong>for</strong>mance. It has<br />
been definitively demonstrated that exceptional per<strong>for</strong>mance in diverse fields and<br />
domains has a common set of causes and goes beyond genetics, with significant<br />
influence contributed by practice and training. Furthermore, it has been shown that<br />
by applying the principles of deliberate practice, a person who has reached expert<br />
level per<strong>for</strong>mance can remain at the same level and prevent skill decay. <strong>The</strong> steps<br />
of deliberate practice are: 1. buy-in from the learner; 2. active learning tasks; 3.<br />
immediate feedback; 4. repeated per<strong>for</strong>mance to refine the activity. <strong>The</strong> didactic<br />
component of this course will introduce the learner to the step by step process of<br />
deliberate practice. During the lecture, participants will be given real examples of<br />
how to institute a deliberate practice model into their education endeavors and will<br />
be given opportunities to have their questions answered.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Define the process of deliberate practice<br />
2. Incorporate deliberate practice methods into the educational curriculum <strong>for</strong><br />
trainees and individual educational goals.<br />
Rodney Omron MD, MPH – submitter, presenter<br />
Johns Hopkins, Baltimore MD<br />
Doug Franzen MD, M.Ed - presenter<br />
Virginia Commonwealth University, Richmond, VA<br />
Rahul Patwari MD - presenter<br />
Rush University Medical Center, Chicago, IL<br />
Top 5 Plays of the Day: How Gender-Specific <strong>Medicine</strong><br />
Impacts Men’s Health<br />
DS066 – International C<br />
Session Time: Saturday, May 18, 2013 9:30 - 9:50 am<br />
Gender-specific medicine is not the same as women’s health. As defined by<br />
the Partnership <strong>for</strong> Gender-Specific <strong>Medicine</strong>, this relatively new science is<br />
the study of the differences in the normal function of men and women and in<br />
their experiences of the same disease. This holds true across the spectrum of<br />
prevention, diagnosis, evaluation, treatment and palliation. <strong>The</strong> <strong>Emergency</strong><br />
Department (ED) has become a primary point of contact <strong>for</strong> health care in the<br />
United States with encounters that reflect acute presentation of a spectrum of<br />
diseases. <strong>The</strong> specialty is just beginning to appreciate the areas of acute care<br />
medicine in which gender-specific treatment decisions can rapidly and directly<br />
impact the outcomes of both women and men. This presentation will take the<br />
audience through 5 systems using the ESPN style of Top 5 Plays of the Day.<br />
May 14-18, 2013 | Atlanta, Georgia 49
Each expert presenter will update the audience on the top Gender-Specific EM<br />
articles <strong>for</strong> 2012-13 in Cardiology, Sports <strong>Medicine</strong>, Traumatic Injuries, Sepsis and<br />
Neurologic Emergencies and how they impact men’s health.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe concrete examples of physiologic gender differences with significant<br />
implications <strong>for</strong> men’s health.<br />
2. Discuss examples of a gender-specific approach to crucial emergency medicine<br />
topics of cardiology, neurology, sports medicine, sepsis and trauma.<br />
3. Describe the top gender-specific EM articles <strong>for</strong> 2012-2013 and how they relate<br />
to the clinical practice of EM.<br />
Alyson McGregor MD - submitter<br />
Brown University, Providence, RI<br />
Frederico Vaca MD, MPH - presenter<br />
Yale University School of <strong>Medicine</strong>, New Haven, CT<br />
Nina Gentile MD - presenter<br />
Temple University, Philadelphia, PA<br />
Basmah Safdar MD - presenter<br />
Yale University School of <strong>Medicine</strong>, New Haven, CT<br />
Neha Raukar MD - presenter<br />
Brown University, Providence, RI<br />
David Portelli MD - presenter<br />
Warren Alpert Medical School of Brown University, Providence<br />
NIH Individual Research Career Development (K) Awards: A<br />
Pathway to Research Independence<br />
DS067 – International B<br />
Session Time: Saturday, May 18, 2013 10 - 10:50 am<br />
Jane Scott, ScD, MSN, (Director, Office of Research Training and Career<br />
Development, Division of Cardiovascular Sciences, NHLBI) will lead a discussion on<br />
K awards. <strong>The</strong> K awards provide protected time <strong>for</strong> junior faculty as they conduct<br />
research, write papers and compete <strong>for</strong> NIH grants, on their path to research<br />
career independence. <strong>The</strong> goal of the session will be to provide a very brief<br />
overview of the Institutional K12 awards and a more in-depth review of individual<br />
K awards (K08 and K23). A panel of current and <strong>for</strong>mer K- awardee emergency<br />
medicine investigators will discuss their experiences in applying <strong>for</strong> the K awards,<br />
the benefits of the award, and comments on how the award helped them in their<br />
research careers. Panelists will include: <strong>for</strong>mer K08 awardee Lance Becker MD,<br />
<strong>for</strong>mer K23 awardee Benjamin Abella MD, MS, and current K23 awardee Sean<br />
Collins MD, MS.<br />
Objectives: At the completion of this session, the participants should be able to:<br />
1. Describe the different types of K awards available to early career faculty and<br />
fellows<br />
2. Detail the benefits of such awards in seeking research career independence.<br />
Jane Scott ScD, MSN – submitter, presenter<br />
National Heart, Lung, and Blood Institute, National Institutes of Health MD<br />
Lance Becker MD – presenter<br />
University of Pennsylvania SOM, Philadelphia, PA<br />
Benjamin Abella MD, MS - presenter<br />
University of Pennsylvania SOM, Philadelphia, PA<br />
Sean Collins MD, MSc - presenter<br />
Vanderbilt University SOM, Nashville, TN<br />
Enhancing the Quality And Transparency Of Health Research:<br />
An Introduction to the EQUATOR Network and Implications <strong>for</strong><br />
<strong>Emergency</strong> <strong>Medicine</strong><br />
DS068 – International C<br />
Session Time: Saturday, May 18, 2013 10 - 10:50 am<br />
Using didactic presentations this session will provide attendees with accessible<br />
resources to guide the design, conduct, and reporting of emergency medicine<br />
research. Publication guidelines <strong>for</strong> most research designs have been developed<br />
and refined over the last decade. Researchers, methodologists, and journal editors<br />
accepted all of these guidelines be<strong>for</strong>e disseminating them across a large variety<br />
of clinical specialties. <strong>The</strong>se guidelines include the CONSORT, PRISMA, STARD,<br />
STROBE, and MOOSE statements. By promoting better-in<strong>for</strong>med reporting<br />
and enhanced reviewing, these guidelines minimize variability and reduce bias,<br />
thereby enhancing the overall quality of the research product. Un<strong>for</strong>tunately,<br />
most guidelines remain widely underutilized by research groups, journal editors,<br />
and the readers of the medical literature. <strong>The</strong> result is highly variable, often<br />
biased research reporting that increases the overall workload of the healthcare<br />
consumer. <strong>The</strong> EQUATOR group is an international collaboration with the mission<br />
to increase the general awareness, adoption and implementation of these<br />
guidelines, while providing a <strong>for</strong>um <strong>for</strong> the refinement of future guidelines.<br />
<strong>The</strong> presentation will consist of three 15-minute presentations by Dr. Hiestand,<br />
Dr. Meisel, and Dr. Carpenter discussing the methodological process to develop<br />
publication guidelines, the EQUATOR dissemination model, and the impact that<br />
these guidelines have upon manuscript quality.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Understand why publication guidelines have been developed<br />
2. Describe where to find appropriate publication guidelines<br />
3. Detail how to incorporate the guidelines into ongoing work.<br />
4. Describe resources to facilitate successful incorporation of these principles<br />
into scientific and academic work-products.<br />
Christopher Carpenter MD, MSc – submitter, presenter<br />
Washington University, St. Louis, MO<br />
Brian Hiestand MD, MPH - presenter<br />
Wake Forest University School of <strong>Medicine</strong>, Winston-Salem, NC<br />
Zachary F. Meisel MD, MPH, MSc - presenter<br />
Perelman School of <strong>Medicine</strong> at the University of P, Philadelphia, PA<br />
Peer Mentoring: Enhancing <strong>Academic</strong> & Research Mentoring<br />
DS069 – International G<br />
Session Time: Saturday, May 18, 2013 10:00 - 10:50 am<br />
<strong>The</strong> rationale and need <strong>for</strong> mentors is a recognized part of a successful<br />
academic career. Mentoring goes beyond passing on knowledge and skill, and<br />
involves teaching, sponsorship, guidance, socialization into a profession, and<br />
moral support. Mentoring has been shown to enhance career development and<br />
satisfaction, productivity and networking. Traditional mentoring involves a<br />
higher-ranked, more experienced advisor who mentors a newer, less experienced<br />
mentee. Traditional mentoring has been shown to be very effective but can have<br />
limitations such as a shortage of mentors, and lack of consistency of mentors skills<br />
and abilities. Peer mentoring involves a model where all members are essentially<br />
the same age, rank and experience level. Peer mentoring may have the added<br />
benefits of shared commonalities (stage of life and career), the development of<br />
friendships and longer lasting relationships, increased collegiality, and decreased<br />
professional isolation. Peer mentoring can be used as an adjunct to traditional<br />
mentoring or may stand alone.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Justify the importance of mentoring in an academic career<br />
2. Compare mentoring models traditional vs. peer<br />
3. Describe the advantages and disadvantages of traditional and peer mentoring<br />
4. Understand and interpret the current literature on peer mentoring<br />
5. Apply the evidence to develop a peer mentoring model in their own setting<br />
Stephen Cico MD, MEd – submitter, presenter<br />
Lurie Children’s Hospital & Northwestern Univ., Chicago, IL<br />
Kelly Black MD, MSc - presenter<br />
Seattle Children’s and University of Washington, Seattle, WA<br />
Joseph House MD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
Cemal Sozener MD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
Improve Your Teaching: Evidence-Based Teaching Workshop<br />
Using Articles That Will Change Your Teaching Practice.<br />
DS070 – International H<br />
Session Time: Saturday, May 18, 2013 10:00 - 10:50 am<br />
In teaching, medical educators, like in clinical practice, should use the evidence<br />
from the education literature and incorporate it into their teaching practice.<br />
This workshop will help participants translate the evidence from some landmark<br />
education articles including: 1) How to incorporate the evidence in clinical reasoning<br />
about intuitive (pattern recognition) and analytical thinking into your teaching 2)<br />
Best evidence in medical education (BEME); how do journal clubs affect learning<br />
and practice 3) Learning retention 4) Model <strong>for</strong> programmatic assessment 5) Hot<br />
topic in education research- thinking about validity evidence. <strong>The</strong> journal articles<br />
(evidence) will be briefly presented, then, in small groups the participants will<br />
discuss how these findings might be applied to their own settings. <strong>The</strong> workshop<br />
will be highly interactive, requiring participants to use both the evidence and<br />
apply it to their teaching, learning and assessment practices. <strong>The</strong> workshop will<br />
incorporate large and small group exercises to understand the concepts and<br />
develop ways to improve each participant’s teaching skills. <strong>The</strong> participants will<br />
understand the evidence in these areas <strong>for</strong> effective teaching and assessment,<br />
take home strategies <strong>for</strong> improving their teaching using and develop a plan <strong>for</strong><br />
how they will incorporate the evidence into their teaching practice. Additional<br />
facilitators: Emily Senecal MD and Suzanne Dooley-Hash MD and James Takayesu<br />
MD, Joe House MD<br />
50 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Objectives: At the completion of this session, participants should be able to:<br />
1. Challenge your thinking about traditional teaching<br />
2. Learn evidence from the teaching and learning literature<br />
3. Apply the evidence and develop strategies to change and improve your<br />
teaching practice<br />
Sally Santen MD, PhD – submitter, presenter<br />
University of Michigan, Ann Arbor, MI<br />
Sue Farrell MD, MEd - presenter<br />
Harvard Partners, Boston, MA<br />
Robin Hemphill MD, MPH - presenter<br />
Veterans Association, Ann Arbor, MI<br />
Laura Hopson MD - presenter<br />
University of Michigan, Ann Arbor, MI<br />
NHLBI K12 Research Career Development Programs in<br />
<strong>Emergency</strong> <strong>Medicine</strong> Research<br />
DS071 – International B<br />
Session Time: Saturday, May 18, 2013 11:00 - 11:50 am<br />
In July 2011 the National Heart, Lung, and Blood Institute (NHLBI) funded<br />
six institutional research career development (K12) awards to promote<br />
multidisciplinary clinical research training programs in emergency medicine.<br />
<strong>The</strong>se programs are designed to prepare clinician-scientists <strong>for</strong> independent<br />
research careers and academic leadership roles in <strong>Emergency</strong> <strong>Medicine</strong>. This<br />
five year, $21 million award represents a major opportunity <strong>for</strong> junior emergency<br />
medicine researchers to obtain NIH funded, mentored research career training. A<br />
brief overview of the K12 program will initially be provided (structure of the K12,<br />
eligible applicants, goals, etc). <strong>The</strong> panel will include a member from each of the six<br />
K12 award programs. Members from each program will provide a brief description<br />
of their respective programs. <strong>The</strong>se presentations will highlight the strengths and<br />
unique attributes of each individual program, the types of candidates they are<br />
targeting, and the application process. Following the panel, interested individuals<br />
will be able to meet and discuss issues related to the K12 programs with members<br />
from each program (including current K12 scholars).<br />
Objectives: At the completion of this session, the participants should be able to:<br />
1. Describe the goals of the NHLBI K12 program,<br />
2. Define who the targeted applicants <strong>for</strong> the program are.<br />
3. Describe the application process and characteristics of each of the six K12<br />
programs.<br />
James Holmes MD, MPH - submitter<br />
UC Davis School of <strong>Medicine</strong>, Sacramento, CA<br />
Arthur Kellermann MD, MPH - presenter<br />
RAND, Santa Monica, CA<br />
Jane Scott ScD - presenter<br />
NHLBI, Bethesda MD<br />
Superstars of Social Media: How to Incorporate Social Media<br />
Into Teaching and Education<br />
DS072 – International C<br />
Session Time: Saturday, May 18, 2013 11:00 - 11:50 am<br />
<strong>The</strong> internet has become a ubiquitous presence in <strong>Medicine</strong> and <strong>Academic</strong>s. <strong>The</strong><br />
use of Social Media has become an important part of communication, and has<br />
assumed an increasing role in teaching and education. As utilization grows we<br />
have quickly gained some experience in approaches that have and have not been<br />
successful, although there is still a great deal to be learned. <strong>The</strong> best approaches<br />
have yet to be determined, but certain groups have found successful Social Media<br />
approaches in EM education. This didactic will review the use and development of<br />
Social Media through three successful approaches. <strong>The</strong> overall approach, specific<br />
techniques, and barriers to success will be discussed. Finally the discussion<br />
will focus on recommendations <strong>for</strong> the incorporation of Social Media tools <strong>for</strong><br />
teaching and education. A video conference preview of the lecture will be posted<br />
at <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong> and on SAEM Facebook page several weeks<br />
be<strong>for</strong>e the Annual Meeting in order to encourage electronic discussion of the<br />
topic prior to the meeting. In<strong>for</strong>mation and important points will be broadcast via<br />
Twitter with the hash tag #SAEM13 by the moderator during the presentation.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe Social Media tools and their basic use.<br />
2. Discuss the role of Social Media in education.<br />
3. Provide recommendations <strong>for</strong> online engagement with learners.<br />
4. Review current approaches in Social Media and discuss future directions.<br />
James Miner MD – submitter, presenter<br />
Hennepin County Medical Center, Minneapolis, MN<br />
Michelle Lin MD - presenter<br />
University of San Francisco, San Francisco, CA<br />
Scott Joing MD - presenter<br />
Hennepin County Medical Center, Minneapolis, MN<br />
Sean Fox MD - presenter<br />
Carolinas Medical Center, Charlotte, NC<br />
Trauma and Teamwork: Lessons from Iraq<br />
DS073 – International G<br />
Session Time: Saturday, May 18, 2013 11:00 - 11:50 am<br />
This photo rich lecture chronicles the author’s experiences leading a Shock Trauma<br />
Platoon in Fallujah Iraq, focusing specifically on traditional and innovative “onthe-job”<br />
methods to create a highly functioning team from a group of physicians,<br />
nurses, and technicians who had not previously worked together. This lecture<br />
discusses alignment of roles and purpose, cross training, patient care, functioning<br />
with limited resources, risk-benefit calculations, mass casualty and other issues<br />
directly applicable to civilian <strong>Emergency</strong> Department operations. Discussion of<br />
specific teamwork skills necessary <strong>for</strong> a satisfying <strong>Emergency</strong> <strong>Medicine</strong> shift and<br />
are applicable to <strong>Emergency</strong> Physicians at any career level.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe ways of improving teamwork within a newly <strong>for</strong>med team<br />
2. Create a positive environment to foster innovative thinking<br />
3. Understand some of the challenges of practicing <strong>Emergency</strong> <strong>Medicine</strong> with<br />
limited assets in a battlefield environment, including the importance of true<br />
teamwork when the entire team is under fire.<br />
Martin Makela MD – submitter, presenter<br />
University of Washington Medical Center, Seattle, WA<br />
Quantifying the Worth of My Publications <strong>for</strong> Promotions<br />
and Grants: <strong>The</strong> h-Index, m-quotient, Eigenfactor, and Other<br />
Measures of <strong>Academic</strong> Currency<br />
DS074 – International H<br />
Session Time: Saturday, May 18, 2013 11:00 - 11:50 am<br />
Publications and grant funding are the promotional currency of academia.<br />
<strong>The</strong>se scholarly ef<strong>for</strong>t metrics are used to assess research per<strong>for</strong>mance, career<br />
planning, and grant funding, as well as promotions and tenure. Traditionally,<br />
promotions boards used the journal impact factor as estimates of relative value<br />
of an individual researcher’s advancement package. Recent advancements<br />
in technology have spurred new, more author-level specific measures to<br />
demonstrate the impact of publications’ impact within the scientific and academic<br />
community. <strong>The</strong>se measures include the h-index, m-quotient, Eigenfactor, citation<br />
counts, co-authorship patterns, usage data, and research foci trends. <strong>The</strong> first<br />
25-minute presentation will introduce metrics based on publication data while<br />
demonstrating how metrics are used to illustrate research impact from scholarly<br />
publications. This didactic will introduce attendees to electronic resources<br />
including the Web of Science® and SCOPUS which will be used to generate<br />
h-index, citation reports, global dissemination, and collaborative publishing<br />
reports and charts <strong>for</strong> individual researchers. <strong>The</strong> merits and disadvantages<br />
of each source of publication impact will be reviewed. <strong>The</strong> second presentation<br />
reviews two pragmatic applications <strong>for</strong> these impact metrics: promotions and<br />
grant applications. <strong>The</strong> general considerations of promotions boards regarding<br />
peer-reviewed publications will be summarized. Examples of annual academic<br />
portfolios that incorporate author-level publication impact metrics will be<br />
provided. In addition, a grant application incorporating measures of publication<br />
impact to emphasize expertise within a field will be highlighted.<br />
Objectives: At the completion of this session, participants should be able to:<br />
1. Describe the strengths and weaknesses of contemporary measures that are<br />
increasingly being used to assess the worth of individual publications at the level<br />
of the author and the publication.<br />
2. Find resources to generate their own measures of publication impact <strong>for</strong> grants<br />
or promotional packages.<br />
3. Incorporate measures of publication impact into promotional packages or<br />
grants to demonstrate the strength of your application.<br />
Christopher Carpenter MD, MSc – submitter, presenter<br />
Washington University, St. Louis, MO<br />
Cathy Sarli MLS, AHIP - presenter<br />
Washington University, St. Louis, MO<br />
May 14-18, 2013 | Atlanta, Georgia 51
“Being part of a democratic group means that you<br />
get to make decisions affecting your practice daily.”<br />
“It’s an amazing experience. I absolutely enjoy it<br />
and truly believe in CEP’s partnership model.”<br />
—True McMahan, MD<br />
ED Medical Director<br />
Garden Grove Hospital<br />
Find out why CEP America is different.<br />
Visit our booth<br />
at the <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>’s Annual Meeting or<br />
info.cep.com/saem2013<br />
Your Life. Your Career. Your Partnership.<br />
Ian Martin, MD current President of the Global <strong>Emergency</strong> <strong>Medicine</strong> Academy from<br />
University of North Carolina, Chapel Hill is one individual who took the SAEM<br />
Foundation challenge and BECAME ONE.<br />
Will you take the challenge and BECOME ONE member who changed the<br />
future of academic emergency medicine?<br />
Make your donation online today at www.saem.org<br />
52 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
SAEM Annual Meeting Abstracts<br />
May 15-18, 2013 Atlanta, Georgia<br />
Listed below are the title, presenter name, and presenter Institution <strong>for</strong> the 834 abstracts that have been selected <strong>for</strong> presentation at the 2013<br />
SAEM Annual Meeting from the 1,224 abstract submissions. Please note the abstracts are listed in presentation order. <strong>The</strong>se numbers do not<br />
correspond to the original abstract numbers given at time of submission.<br />
*SAEM Gallery of Excellence Nominees 2013<br />
Plenary Presentations<br />
Thursday, May 16, 3:30 - 5:00 pm in Plaza Ballroom ABC<br />
Moderator: David Cone MD, Yale University School of <strong>Medicine</strong><br />
1 NEXUS Chest: Validation of a Decision Instrument <strong>for</strong> Selective Chest<br />
Imaging in Blunt Trauma*<br />
Robert M. Rodriguez MD, UCSF/San Francisco General Hospital<br />
2 Intravenous Cobinamide Versus Hydroxocobalamin <strong>for</strong> Acute Treatment of<br />
Severe Cyanide Poisoning in A Swine (Sus Scrofa) Model - a randomized,<br />
controlled trial*<br />
Vikhyat S. Bebarta, San Antonio Military Medical Center<br />
3 Anaphylaxis; Clinical Features and Evidence <strong>for</strong> A Mast Cell-leukocyte<br />
Cytokine Cascade in Humans.*<br />
Simon G A. Brown MBBS, PhD, FACEM, Western Australian Institute <strong>for</strong><br />
Medical Research, Royal Perth Hospital and the University of Western<br />
Australia<br />
4 Accuracy of an Ultra-Low Dose CT Protocol <strong>for</strong> ED Patients with Suspected<br />
Kidney Stone*<br />
Chris Moore MD, RDMS, Yale University School of <strong>Medicine</strong><br />
5 Latino Caregiver Experiences with asthma Health Communications: A<br />
Qualitative Evaluation*<br />
Antonio Riera MD, Yale University School of <strong>Medicine</strong><br />
6 Randomized Trial of Tenecteplase or Placebo with Low Molecular Weight<br />
Heparin <strong>for</strong> Acute Submassive Pulmonary Embolism: assessment of<br />
Patient-Oriented Cardiopulmonary Outcomes at Three Months*<br />
Jeffrey A. Kline MD, Indiana University School of <strong>Medicine</strong><br />
WEDNESDAY, May 15th, 2013<br />
Pediatric Abdominal Pain - Oral Presentations<br />
Wednesday, May 15, 9:00 - 10:00 am in Atlanta A<br />
Moderator: Nathan Kuppermann MD, MPH,<br />
UC Davis<br />
7 <strong>The</strong> Effect of Operator Experience on Test Per<strong>for</strong>mance Characteristics<br />
<strong>for</strong> Point-of-Care Ultrasound in Diagnosing Appendicitis in Children:<br />
Implications <strong>for</strong> Reducing Misdiagnosis-Related Medical Errors.<br />
Inna Elikashvili, Mount Sinai Medical Center<br />
8 <strong>The</strong> Effect of Point-of- Care Ultrasonography on <strong>Emergency</strong> Department<br />
Length of Stay and CT Utilization in Children with Suspected Appendicitis.*<br />
Inna Elikashvili, Mount Sinai Medical Center<br />
9 Signs and Symptoms associated with Surgical Intervention in Children with<br />
Abdominal Pain*<br />
Melissa Tavarez MD, Children’s National Medical Center<br />
10 Retrospective Review of <strong>Emergency</strong> Bedside Ultrasound <strong>for</strong> Diagnosis of<br />
Pediatric Intussusception*<br />
Samuel H. F. Lam, Advocate Christ Medical Center<br />
Ultrasound - Oral Presentations<br />
Wednesday, May 15, 9:00 - 11:00 am in Atlanta E & F<br />
Moderator: James H. Moak MD, RDMS, University of Virginia<br />
11 Ultrasound Confirmation of Central Femoral Venous Line Placement: the<br />
FLUSH Study (Flush the Line and Ultrasound the Heart)*<br />
Russ Horowitz MD, RDMS, Ann & Robert H. Lurie Children’s Hospital of Chicago<br />
12 Accuracy of <strong>Emergency</strong> <strong>Medicine</strong> Residents during Completion of the American<br />
College of <strong>Emergency</strong> Physicians Minimum Ultrasound Training Benchmarks: A<br />
Multicenter Multiple Application Longitudinal Validation Study*<br />
John Bailitz Cook County (Stroger)<br />
13 Learning Curves in <strong>Emergency</strong> Ultrasound Education<br />
David J. Blehar MD, University of Massachusetts Medical School<br />
*Disclaimer: Abstracts are placed in the program how they were submitted to SAEM.<br />
14 Prospective Evaluation of Bedside Soft-Tissue Ultrasound Measurement<br />
Threshold to yield Positive Purulence on ED drainage procedure<br />
Carrie Fales MD, Carolinas Medical Center<br />
15 Accuracy of Ultrasound as a Tele-medicine Component Using a<br />
Commercially Available Tele-conferance System<br />
Eric Zevallos MD, Georgia Health Science University<br />
16 Success of Lumbar Puncture After Using Ultrasound to Identify Landmarks<br />
Kevin Rooney MS4, University of Cali<strong>for</strong>nia Irvine<br />
17 Sonographic Inferior Vena Cava Measurements to assess Hydration Status<br />
in Football athletes During Preseason Camp<br />
Amish Shah MD, University of Arizona<br />
18 <strong>The</strong> Effect of Patient Position on the Parasternal Long Cardiac Ultrasound View<br />
Brian Euerle, University of Maryland School of <strong>Medicine</strong><br />
Hemorrhagic Shock - Oral Presentations<br />
Wednesday, May 15, 9:00 - 10:00 am in Atlanta G<br />
Moderator: Michael Gibbs MD, Carolinas Medical Center<br />
19 A Markov Model Describes the Dynamics of Resuscitation in a Porcine<br />
Hemorrhagic Shock Model.*<br />
Heemun Kwok MD, MS, University of Washington<br />
20 Comparison of Intraosseous Infusion Rates of Plasma Under High Pressure<br />
in An Adult Hypovolemic Swine Model in Two Different Limb Sites*<br />
Julio Lairet, Emory University School of <strong>Medicine</strong><br />
21 <strong>The</strong> Value of Peripheral Perfusion Index in Predicting Mortality of Patients<br />
Admitted to Intensive Care Unit and Association with APACHE II, SOFA and<br />
SAPS II Scores<br />
Yahya A. ACAR MD, Etimesgut Military Hospital<br />
22 Fibrinogen Concentrate Reduces Blood Loss and Improves Survival in A<br />
Porcine Model of Freely Bleeding Hemorrhagic Shock<br />
Nathan White MD, University of Washington<br />
Measures <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong> - Lightning Oral Presentations<br />
Wednesday, May 15, 9:00 - 10:00 am in Atlanta B<br />
Moderator: Jeremiah D. Schuur MD,<br />
Brigham & Womens Hospital/Harvard Medical School<br />
23 Quality Measure Per<strong>for</strong>mance Varies Among Hospitals by Proportion of Low<br />
Income Patients<br />
Christopher W. Jones, Christiana Care Health System<br />
24 Are Crowding Measures associated with Acute Myocardial Infarction<br />
Mortality?<br />
Rahul K. Khare, Northwestern University<br />
25 Effect of Health In<strong>for</strong>mation Exchange on Repeat Imaging in the <strong>Emergency</strong><br />
Department<br />
Keith E. Kocher MD, MPH, University of Michigan<br />
26 Factors associated with Quality and Costs <strong>for</strong> Elderly Patients with Acute<br />
Myocardial Infarction Who Present to <strong>Emergency</strong> Departments<br />
Michael Wilson MD, PhD, Brigham and Women’s Hospital<br />
27 Blood Culture Use in ED Patients with Pneumonia after Modification of a<br />
National Quality Measure<br />
Leah S. Honigman MD, Beth Israel Deaconess Medical Center<br />
28 ED Crowding Measures and In-hospital Sepsis Mortality: Is Less Crowding<br />
Really Better?<br />
Emilie Powell MD, MS, MBA, Northwestern University<br />
Congestive Heart Failure and Dyspnea - Lightning Oral Presentations<br />
Wednesday, May 15, 9:00 - 10:00 am in Atlanta C & D<br />
Moderator: Alan B. Storrow MD, Vanderbilt University<br />
29 Bedside Lung Ultrasound <strong>for</strong> the Diagnosis of Pulmonary Edema in Patients<br />
Presenting with Acute Dyspnea: A Systematic Review and Meta-analysis.<br />
David Barbic, McGill University<br />
30 <strong>The</strong> CUPID Study: Cardiopulmonary Ultrasound Protocol in Dyspnea<br />
Krithika Muruganandan MD, Brown University<br />
May 14-18, 2013 | Atlanta, Georgia 53
31 Evaluation of Dyspnea Severity assessment Methods<br />
Howard A. Smithline, Baystate Medical Center<br />
32 <strong>The</strong> Correlation Between Myocardial Ejection Fraction and MRproANP<br />
Levels in ED Patients with Dyspnea<br />
Orhan Cinar, Gulhane Military Medical Academy<br />
33 Supplemental Thiamine <strong>for</strong> the Treatment of Acute Heart Failure<br />
Howard A. Smithline, Baystate Medical Center<br />
34 <strong>The</strong> Burden of Acute Heart Failure on US <strong>Emergency</strong> Departments*<br />
Alan B. Storrow MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Vanderbilt<br />
University Medical Center<br />
<strong>Emergency</strong> Medical Services - Lightning Oral Presentations<br />
Wednesday, May 15, 9:00 - 10:00 am in Roswell 1<br />
Moderator: Michael Runyon MD, Carolinas Medical Center<br />
35 Degradation of Benzodiazepines After 120-Days of EMS Deployment*<br />
Jason McMullan MD, University of Cincinnati<br />
36 Do Prehospital Levels of End-tidal Carbon Dioxide Differ Between Chronic<br />
Obstructive Pulmonary Disease and Congestive Heart Failure?*<br />
Christopher Hunter MD, PhD, Orange County EMS System<br />
37 Prehospital Glasgow Coma Scale and Risk Stratification in Major Pediatric<br />
Traumatic Brain Injury: Association with Mortality and Non-Mortality<br />
Outcomes*<br />
Daniel W. Spaite MD, Arizona <strong>Emergency</strong> <strong>Medicine</strong> Research Center,<br />
University of Arizona<br />
38 Racial Disparities in Stroke Recognition by Pre-hospital Providers<br />
Prasanthi Govindarajan MD, MAS, University of Cali<strong>for</strong>nia, San Francisco<br />
39 Validation of Criteria to Guide Pre-Hospital Antidote Administration <strong>for</strong><br />
Drug Overdoses<br />
Matt S. Friedman MD, Fire Department of New York<br />
40 Intranasal Midazolam is a Viable Alternative to Intravenous Midazolam <strong>for</strong><br />
Prehospital Seizure<br />
Susanne J. Spano MD, FACEP, UCSF Fresno<br />
Toxicology - Lightning Oral Presentations<br />
Wednesday, May 15, 9:00 - 10:00 am in Roswell 2<br />
Moderator: Ed Otten, University of Cincinnati<br />
41 Do Mnemonics Help Healthcare Professionals Learn and Recall toxic<br />
Syndromes <strong>for</strong> Cholinergic Hazardous Materials?<br />
Nicholas B. Hurst MD, University of Arizona<br />
42 “Hard” Versus “Soft” Patient Cues That Influence <strong>Emergency</strong> <strong>Medicine</strong><br />
Provider Perception of Potential Opioid Misusers<br />
Lisa M. Mannina MD, San Antonio Military Medical Center<br />
43 Cost Savings associated with Poison Control Consultation by EMS Dispatch<br />
Michael Levine MD, University of Southern Cali<strong>for</strong>nia<br />
44 An assessment of Opioid Prescribing Practices among <strong>Emergency</strong> <strong>Medicine</strong><br />
Providers<br />
Shawn M. Varney MD, San Antonio Military Medical Center<br />
45 Prescription Stimulant Misuse in a Military Population - Prevalence and<br />
Risk Factors <strong>for</strong> Misuse<br />
Vikhyat S. Bebarta, San Antonio Military Medical Center; AF Enroute Care<br />
Research Center<br />
46 Contribution of Serum Ethanol Concentration to the Osmol Gap: a<br />
Prospective Volunteer Study<br />
Shaun D. Carstairs, Naval Medical Center<br />
Radiology - Oral Presentations<br />
Wednesday, May 15, 10:00 - 12:00 pm in Atlanta A<br />
Moderator: Ali S. Raja MD, MPH, MBA<br />
Brigham and Women’s Hospital, Harvard Medical School<br />
47 Should We Communicate Radiation Risk from CT Scans to Patients? A<br />
Mixed-Methods and Normative Ethical Analysis*<br />
Thomas E. Robey, Yale-New Haven Hospital<br />
48 Evidence Based Diagnostics: Meta-Analysis of the Accuracy of Physical<br />
Exam and Imaging <strong>for</strong> Adult Scaphoid Fractures*<br />
Ali S. Raja, Brigham and Women’s Hospital, Harvard Medical School<br />
49 Comparing the Diagnostic Per<strong>for</strong>mance of Bedside Ultrasound to Plain<br />
Radiography <strong>for</strong> Detecting Fractures of the Appendicular Skeleton in the<br />
<strong>Emergency</strong> Department: A Prospective Study*<br />
Paul E. Haiar DSc, PA-C, Mike O’Callaghan Federal Medical Center<br />
50 Diagnostic Testing and Treatment of Pediatric Headache in the <strong>Emergency</strong><br />
Department<br />
Matthew L. Hansen MD, OHSU<br />
51 Screening <strong>for</strong> Fever in the ED: the Role of Oral, Tympanic Membrane, and<br />
Temporal Artery thermometry<br />
Purvi D. Shah, Montefiore Medical Center<br />
52 A Risk-Prediction Rule <strong>for</strong> Contrast-induced Nephropathy and Subsequent<br />
Long-term Mortality<br />
Alice M. Mitchell MD, MS, Indiana University School of <strong>Medicine</strong><br />
53 Frequency Optimization <strong>for</strong> Detecting Intracerebral Hemorrhage in an<br />
Invivo Porcine Model Using Radiofrequency Electromagnetic Radiation<br />
Joseph J. Korfhagen, University of Cincinnati<br />
54 Adult <strong>Emergency</strong> Department CT Utilization <strong>for</strong> Facial Trauma, Facial<br />
Fracture Rates, and Procedural Repair: A Retrospective Cohort Study<br />
Joshua S. Broder MD, Duke University Medical Center<br />
55 Test Characteristics of Quick-Brain MRI <strong>for</strong> Shunt Evaluation in Children: A<br />
New Modality to Avoid Unnecessary Radiation<br />
Matthew Hansen MD, Oregon Health and Science University<br />
Traumatic Brain Injury - Oral Presentations<br />
Wednesday, May 15, 10:00 - 12:00 pm in Atlanta B<br />
Moderator: Opeolu Adeoye MD, University of Cincinnati<br />
56 <strong>Emergency</strong> Department Initiated Interventions <strong>for</strong> Mild Traumatic Brain<br />
Injury; A Systematic Review<br />
Jocelyn Gravel, CHU Sainte-Justine<br />
57 Elevated Levels of Serum SBDP150 in the <strong>Emergency</strong> Department Are<br />
associated with Poor Outcome at One Month From Mild and Moderate<br />
Traumatic Brain Injury*<br />
Linda Papa MD, CM, MSc, Orlando Regional Medical Center<br />
58 Anti-platelet and Anti-coagulants Do Not Increase Traumatic Intracranial<br />
Bleeds in Elderly Fall Victims<br />
Darin Agresti DO, St. Luke’s University Hospital<br />
59 Early Results: Do All Patients with Traumatic Intracranial Hemorrhage Need<br />
Hospital Admission?<br />
Sarah K. Flaherty MD, Beth Israel Deaconess Medical Center<br />
60 Per<strong>for</strong>mance of Early Serum GFAP and UCH-L1 Individually and in<br />
Combination in Distinguishing Mild and Moderate Traumatic Brain Injury<br />
from Trauma Controls and in Detecting Intracranial Lesions On CT*<br />
Linda Papa MD, CM, MSc, Orlando Regional Medical Center<br />
61 <strong>The</strong> Synergistic Effect of Prehospital Hypotension and Hypoxia in Major<br />
Traumatic Brain Injury: Profound Impact on Mortality<br />
Daniel W. Spaite MD, Arizona <strong>Emergency</strong> <strong>Medicine</strong> Research Center,<br />
University of Arizona<br />
62 <strong>Emergency</strong> Department Disposition of the Mild Traumatic Brain Injured<br />
Patient: A Multicenter Prospective Cohort Study.<br />
Jonathan J. Ratcliff MD, MPH, University of Cincinnati<br />
63 Significance of Prehospital Glasgow Coma Scale in Hospital Outcomes of<br />
Traumatic Brain Injury Patients<br />
Irina F. Brennan MD, PhD, University of Florida<br />
Acute Coronary Syndromes - Oral Presentations<br />
Wednesday, May 15, 10:00 - 12:00 pm in Atlanta C & D<br />
Moderator: Chad E. Darling MD, UMass Medical School<br />
64 <strong>The</strong> Association between Pretest Probability of Coronary Artery Disease<br />
and Stress Test Utilization and Outcomes in a Chest Pain Observation Unit<br />
Anthony Napoli, Warren Alpert Medical School of Brown University<br />
65 External Validation of the Australasian ED Acute Coronary Syndrome Score<br />
Jeffrey Shih, Mayo Clinic<br />
66 Utility of Routine Echocardiography in Low-to-intermediate Risk Patients<br />
with Potential ACS<br />
Judd Hollander, University of Pennsylvania<br />
67 High Sensitivity Troponin Implementation <strong>for</strong> Patients with Suspected Acs<br />
Increases the Rule-out Rate While Reducing Re-visits Resulting in Admission<br />
Andrew McRae, University of Calgary<br />
68 <strong>The</strong> Effect of Implementing High-Sensitivity Troponin Testing on ED<br />
Operational Efficiency in Three Large Urban <strong>Emergency</strong> Departments<br />
Andrew McRae, University of Calgary<br />
69 Can a Low-Risk Chest Pain Protocol Reduce Admission Rates Among<br />
Patients Presenting to the <strong>Emergency</strong> Department with Chest Pain? A<br />
Quality Project<br />
Michael Zwank, Regions Hospital<br />
70 Cost-effectiveness of A Multi-disciplinary Observation Protocol <strong>for</strong> Lowrisk<br />
Acetaminophen Overdose in the <strong>Emergency</strong> Department<br />
Gillian Beauchamp, University of Cincinnati<br />
54 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
71 Potentially Avoidable Chest Pain Observation Unit Utilization: Admission<br />
of Very-Low-Risk Patients<br />
Simon A. Mahler, Wake <strong>for</strong>est University Medical School<br />
72 Prospective Evaluation of Outcomes in Geriatric Chest Pain Patients in an<br />
<strong>Emergency</strong> Department Observation Unit<br />
Matthew J. Fuller MD, University of Utah<br />
STEMI - Oral Presentations<br />
Wednesday, May 15, 10:00 - 11:00 am in Atlanta G<br />
Moderator: Deborah B. Diercks MD, UC Davis<br />
73 Young Women are Less Likely to Meet Reperfusion Guidelines <strong>for</strong> STEMI:<br />
the VIRGO Study (Variation in Recovery: Role of Gender On Outcomes)*<br />
Gail D’Onofrio MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Yale University<br />
School of <strong>Medicine</strong><br />
74 Mode of Hospital Arrival in ST-Elevation Myocardial Infarction: Ethnic and<br />
Language Differences in an Urban STEMI Receiving Center<br />
Stephanie Y. Donald, George Washington University<br />
75 Evaluation of the Incidence and Outcomes of Contrast-induced<br />
Nephropathy Following STEMI Protocol Activation<br />
Brandon R. Allen MD, University of Florida<br />
76 Risk Stratification of Acute Chest Pain in an <strong>Emergency</strong> Setting: ST<br />
Segment Change on aVL Lead as a Predictor of Future MI<br />
Andrew Keralis, University of Nebraska Medical Center<br />
Pediatrics - Lightning Oral Presentations<br />
Wednesday, May 15, 10:00 - 12:00 pm in Roswell 1<br />
Moderator: Brent R. King MD, University of Texas Medical School<br />
77 Associations of Length of Stay and Disposition in Pediatric <strong>Emergency</strong><br />
Department Patients<br />
Isabel A. Barata MS, MD, North Shore University Hospital<br />
78 Bronchiolitis Hospitalizations in the United States, 2000-2009<br />
Kohei Hasegawa MD, MPH, Massachusetts General Hospital<br />
79 Urban and Rural Patterns in Emergent Pediatric Transfer<br />
to a Higher Level of Care<br />
Timothy Horeczko MD, MSCR, University of Cali<strong>for</strong>nia, Davis<br />
80 High <strong>Emergency</strong> Department and Urgent Care Use When Sick Children<br />
Cannot attend Child Care<br />
Andrew N. Hashikawa MD, MS, University of Michigan<br />
81 Clinical Pathway Expedites Systemic Corticosteroids <strong>for</strong> Children with<br />
Moderate-Severe asthma Exacerbation*<br />
Christopher Fee MD, University of Cali<strong>for</strong>nia San Francisco<br />
817 Validation of A tool <strong>for</strong> the assessment of Trainees During Simulated<br />
Pediatric Resuscitation<br />
Jocelyn Gravel, Hôpital Sainte-Justine<br />
82 Broselow Tape: A Time to Revisit?*<br />
Muhammad Waseem MD, MS, Lincoln Medical & Mental Health Center<br />
83 A New Pediatric Weight Estimation Device<br />
Jennifer Watts MD, MPH, Children’s Mercy Hospital and Clinics<br />
834 Self-assessment of Clinical Improvement by Pediatric Patients during an<br />
Acute asthma Exacerbation*<br />
Lori A. Montagna, Mount Sinai School of <strong>Medicine</strong><br />
84 Rapidly Administered Ketamine <strong>for</strong> Brief Pediatric Procedures: A Dose-<br />
Finding Study<br />
Sri Sankar Chinta MD, MBBS, Washington University in St. Louis<br />
85 Does Use of the Needle Free Jet-injection System with Buffered Lidocaine<br />
Device (j-tip) Improve IV Placement Success in Children?<br />
Maren M. Lunoe, Medical College of Wisconsin<br />
Clinical Efficiency - Lightning Oral Presentations<br />
Wednesday, May 15, 10:00 - 11:00 am in Roswell 2<br />
Moderator: Richard Zane MD, University of Colorado<br />
87 Financial and Quality Impact of Voice Recognition versus Dictation/<br />
Transcription on <strong>Emergency</strong> <strong>Medicine</strong> Records<br />
Roshanak Didehban MHS, FACHE, Mayo Clinic<br />
88 Impact of Varying Biomarker Sampling Intervals and Stress Testing Rates<br />
and Availability On the Length of Stay in An <strong>Emergency</strong> Department<br />
Observation Unit Using A Simulation Model<br />
Jeremiah D. Schuur MD, MHS, Brigham and Women’s Hospital<br />
89 ED Hemolysis is More Strongly associated with Device Used to Obtain Blood<br />
Than Other Features of Phlebotomy*<br />
Andrew Wollowitz MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Albert Einstein<br />
College of <strong>Medicine</strong><br />
90 Decreasing Turn-Around-Time with a Split ESI 3 Patient Flow Model<br />
Rajiv Arya MD, UMDNJ-RWJMS New Brunswick<br />
91 <strong>The</strong> <strong>Emergency</strong> Department Contribution to the Burden of Hospital-<br />
Acquired Catheter-associated Urinary Tract Infections (CAUTI’s)<br />
Timothy J. Reeder MD, East Carolina University<br />
92 Patients Receiving Take Home Meds Instead of Prescriptions Are More<br />
Likely to Return to the ED<br />
Melissa Fleegler MD, University of New Mexico<br />
Critical Care - Oral Presentations<br />
Wednesday, May 15, 11:00 - 12:00 pm in Atlanta E & F<br />
Moderator: Robert Rodriguez MD, UCSF/San Francisco General Hospital<br />
93 <strong>The</strong> Relationship between Lactic Acidosis and Thiamine Levels in Patients<br />
with Diabetic Ketoacidosis*<br />
Ari Moskowitz MD, Beth Israel Deaconess Medical Center<br />
94 Variability in Intraosseous Flush Practices by Trained <strong>Emergency</strong> Physicians<br />
Joseph Sontgerath, San Antonio Military Medical Center<br />
95 Correlation of Central and Peripheral Venous Blood Gas Compared to<br />
Arterial Blood Gas in the Undifferentiated Critically Ill Patient<br />
J. Daniel Hess MD, Christiana Care Health System<br />
96 Defining the Geography of Infection-Related Death Rates in the United<br />
States: Hotspotting Areas <strong>for</strong> Targeted Interventions.<br />
Anish K. Agarwal MD, MPH, the University of Pennsylvania<br />
Geriatric Pain - Oral Presentations<br />
Wednesday, May 15, 11:00 - 12:00 pm in Atlanta G<br />
Moderator: Robert Woolard MD, Texas Tech University (El Paso)<br />
97 Age-related Differences in Pain Recovery After Motor Vehicle Collision: A<br />
Prospective Longitudinal Study*<br />
Greg Pereira, University of North Carolina<br />
98 Randomized Clinical Trial of an IV Hydromorphone Titration Protocol<br />
versus Usual Care <strong>for</strong> Management of Acute Pain in Older <strong>Emergency</strong><br />
Department Patients<br />
Robert H. Meyer MD,<br />
Albert Einstein College of <strong>Medicine</strong>, Montefiore Medical Center<br />
99 Pain Treatment in Older Adults During Prehospital Care in North Carolina: A<br />
Descriptive Analysis<br />
Katherine M. Hunold BSPH, University of Virginia<br />
100 Are there Disparities in the Quality of Acute Pain Care <strong>for</strong><br />
Geriatric Patients in the ED?<br />
Ula Hwang, Mount Sinai School of <strong>Medicine</strong><br />
Accelerate Your ED - Lightning Oral Presentations<br />
Wednesday, May 15, 11:00 - 12:00 pm in Roswell 2<br />
Moderator: David F. Brown MD, Massachusetts General Hospital<br />
101 Lean-Based Systems Engineering Improves Per<strong>for</strong>mance Measures in the<br />
<strong>Emergency</strong> Department<br />
Benjamin A. White MD, Massachusetts General Hospital<br />
102 Guest Relations assistants - How do <strong>The</strong>y Impact Perception of<br />
Care and Loyalty?<br />
Neil Majmundar MD, St. John Hospital & Medical Center<br />
103 Implementation of an Electronic Medical Record System Reduces Physician<br />
Productivity in an <strong>Academic</strong> <strong>Emergency</strong> Department<br />
Gregory Lamb MD, University of New Mexico<br />
104 Comparative Effectiveness of an Accelerated Diagnostic Protocol Versus<br />
23-Hour Observation <strong>for</strong> Chest Pain<br />
Alan J. Smally MD,<br />
Hart<strong>for</strong>d Hospital and the University of CT School of <strong>Medicine</strong><br />
105 Building a Super Track: Use of Lean to Decrease Turnaround Times <strong>for</strong> Low<br />
Acuity Patients<br />
Bruce M. Lo MD,<br />
Eastern Virginia Medical School, Sentara Norfolk General Hospital<br />
106 Motivation and Predictors of Physician Productivity in an <strong>Academic</strong><br />
Practice Setting<br />
Amisha D. Parekh, New York Methodist Hospital<br />
Health Services Research - Oral Presentations<br />
Wednesday, May 15, 1:00 - 2:00 pm in Atlanta A<br />
Moderator: Keith E. Kocher MD, University of Michigan<br />
107 Ed Use of Online Social Media - Canadian National Survey of Physicians and<br />
Trainees.<br />
Maxim Ben-Yakov MD, CM, University of toronto<br />
May 14-18, 2013 | Atlanta, Georgia 55
108 National Study of Health Insurance and Underlying Reasons <strong>for</strong> <strong>Emergency</strong><br />
Department Presentation<br />
Adit A. Ginde, University of Colorado School of <strong>Medicine</strong><br />
109 Comparison of Geographic Distribution of U.S. Urgent Care Centers and<br />
<strong>Emergency</strong> Departments<br />
Adit A. Ginde, University of Colorado School of <strong>Medicine</strong><br />
110 Do <strong>Emergency</strong> Department Patients Receive a Pathological Diagnosis? <strong>The</strong><br />
Provision of Diagnosis at ED Discharge in a Nationally-Representative Sample<br />
Leana S. Wen, Harvard Affiliated <strong>Emergency</strong> <strong>Medicine</strong> Residency<br />
Clinical Decision Rules - Oral Presentations<br />
Wednesday, May 15, 1:00 - 2:00 pm in Atlanta C & D<br />
Moderator: Ian G. Stiell MD, University of Ottawa<br />
111 Randomized Trial of a Quantitative, Computerized Method to Estimate<br />
Pretest Probability of Acute Coronary Syndrome and Pulmonary Embolism:<br />
Effect on Patient Safety, Radiation Exposure, and Cost of Care*<br />
Jeffrey Kline, Indiana University School of <strong>Medicine</strong><br />
112 HINTS Outper<strong>for</strong>ms ABCD2 to Identify Stroke in Acute Vestibular Syndrome*<br />
David E. Newman-Toker MD, PhD, Johns Hopkins University School of<br />
<strong>Medicine</strong><br />
113 Evaluation of Clinical Prediction Rules <strong>for</strong> Clinical Deterioration Shortly<br />
After an <strong>Emergency</strong> Department Diagnosis of Pulmonary Embolism*<br />
Christopher Kabrhel, Massachusetts General Hospital<br />
114 Derivation of a Decision Instrument <strong>for</strong> Selective Chest Imaging in Patients<br />
with Falls from Standing<br />
Ali S. Raja MD, MPH, MBA,<br />
Brigham and Women’s Hospital, Harvard Medical School<br />
Critical Care - Oral Presentations<br />
Wednesday, May 15, 1:00 - 2:00 pm in Atlanta E & F<br />
Moderator: Michael Gibbs MD, Carolinas Medical Center<br />
115 Ventilator-associated Pneumonia Prevention Education<br />
in the <strong>Emergency</strong> Department<br />
Joe Peraza MD, University of Arizona Health Network<br />
116 Pyruvate Dehydrogenase Activity Decreases in Connection<br />
with Profound Stress<br />
Lars W. Andersen BS, Research Center <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
117 Assessment of One-year Mortality Following Hospital Discharge Among<br />
Survivors of Cardiac Arrest Who Receive Pre-hospital Fluids<br />
David A. Pearson MD, Carolinas Medical Center<br />
118 Plasmin loaded echogenic liposomes: A Novel Thrombolytic<br />
Madhuvanthi A. Kandadai, University of Cincinnati<br />
Renal Colic - Oral Presentations<br />
Wednesday, May 15, 1:00 - 2:00 pm in Atlanta G<br />
Moderator: Romolo Gaspari MD, University of Massachusetts Medical School<br />
119 ED Provider Pretest Probability Predicts Nephrolithiasis in CTs <strong>for</strong><br />
Suspected Renal Colic<br />
Brock Daniels MD, Yale New Haven Hospital<br />
120 Normal Renal Ultrasound Identifies Renal Colic Patients at Low Risk <strong>for</strong><br />
Urologic Intervention: A Prospective Study.<br />
Justin Yan, the University of Western Ontario<br />
121 Comparison of <strong>Emergency</strong> Physician Per<strong>for</strong>med Bedside Ultrasound vs.<br />
Computed tomography in the Diagnosis of Renal Colic*<br />
Megan Leo MD, RDMS, Boston Medical Center<br />
122 Radiation Dose Index of CTs <strong>for</strong> Kidney Stone Per<strong>for</strong>med in the United<br />
States<br />
Adam Lukasiewicz MPH, Yale University School of <strong>Medicine</strong><br />
Learning Styles - Lightning Oral Presentations<br />
Wednesday, May 15, 1:00 - 2:00 pm in Roswell 2<br />
Moderator: Brandon Maughan MD, MHS, Brown University<br />
123 Dual Learning Enhances Knowledge Acquisition in an <strong>Emergency</strong> <strong>Medicine</strong><br />
Sub-internship<br />
Jaime Jordan, Harbor-UCLA Medical Center<br />
124 Do <strong>Emergency</strong> <strong>Medicine</strong> Residents and Faculty Have Similar Learning<br />
Styles When assessed with the Kolb Learning Style Inventory?<br />
Jenna M. Fredette MD, Christiana Care Health System<br />
125 A Structured Educational Intervention Effectively Improves Morbidity &<br />
Mortality (M&M) Rounds - the Ottawa M&M Model<br />
Lisa A. Calder, University of Ottawa<br />
126 An Effective Remediation Program to Improve In-Training Exam Scores<br />
David Saloum, Maimonides Medical Center<br />
127 Development and Implementation of an asynchronous Curriculum Using a<br />
Web-based Plat<strong>for</strong>m<br />
Joshua G. Kornegay MD, Oregon Health & Science University<br />
128 Frequent Interruptions Do Not Impact Critical Decision Making by<br />
<strong>Emergency</strong> <strong>Medicine</strong> Residents and Attendings<br />
Jonathan L. Jones MD, University of North Carolina<br />
Imaging in Trauma - Lightning Oral Presentations<br />
Wednesday, May 15, 1:00 - 2:00 pm in Atlanta B<br />
Moderator: Greg Hendey MD, University of Cali<strong>for</strong>nia, San Francisco (Fresno)<br />
129 Diagnostic Yields of Chest Imaging in Blunt Trauma<br />
Robert M. Rodriguez MD, UCSF/San Francisco General Hospital<br />
130 Prevalence and Clinical Import of Thoracic Injury Identified by Chest<br />
Computed tomography but not Chest Radiograph in Blunt Trauma Patients<br />
Mark I. Langdorf MD, MHPE, University of Cali<strong>for</strong>nia, Irvine<br />
131 Imaging of the NEXUS-negative Patient: When We Break the Rule<br />
John Morrison MD, St. Luke’s University Hospital and Health Network<br />
132 Is Cervical Spine Imaging Required in Patients with Femur Fractures?<br />
Robert T. Dahlquist MD, Carolinas Medical Center<br />
133 Frequency and Mortality of Non-Contiguous Spine Fractures with CT Scan Use<br />
Preeti Dalawari MD, MSPH, Saint Louis University Hospital<br />
134 Can Sentinel Clinical and CXR Findings Predict the Likelihood of an<br />
Abnormal Chest CT Requiring Intervention following Blunt Trauma?<br />
Michael Manka MD,<br />
SUNY at Buffalo School of <strong>Medicine</strong>, Erie County Medical Center<br />
Triage - Lightning Oral Presentations<br />
Wednesday, May 15, 1:00 - 2:00 pm in Roswell 1<br />
Moderator: Gabor Kelen MD, Johns Hopkins University School of <strong>Medicine</strong><br />
135 Does the Implementation of An <strong>Emergency</strong> Department Triage System<br />
Improve the Timeliness of Analgesia Provision?<br />
Sabine E. Lemoyne MD, Ghent University Hospital, Belgium<br />
136 Reverse Triage in Pediatrics: A New Method to Increase<br />
In-Hospital Surge Capacity<br />
Eben Clattenburg, <strong>The</strong> Johns Hopkins School of <strong>Medicine</strong><br />
137 Utilization of a Pneumonia Triage Pathway<br />
Ryan Hunt MD, UC Davis Medical Center<br />
138 Physician Telemedicine Triage in the <strong>Emergency</strong> Department: A Pilot Study<br />
Stephen Traub MD, Mayo Clinic Arizona<br />
139 Differences in Noninvasive thermometers in the Adult <strong>Emergency</strong> Department*<br />
Joshua Zwart MD, University of Rochester<br />
140 <strong>The</strong> Ability of the Physiologic Criteria of the Field Triage Guidelines to<br />
Identify Children Who Need the Resources of a Trauma Center<br />
E. Brooke Lerner PhD, Medical College of Wisconsin Affiliated Hospitals<br />
Poster Presentations<br />
– Posters will be attended by authors from 2:00 – 4:00 pm<br />
Wednesday, May 15, 1:00 - 5:00 pm in 200 Gallery -level 6<br />
141 <strong>Emergency</strong> <strong>Medicine</strong> Resident Facilitated Procedural Sedation in the<br />
<strong>Emergency</strong> Department<br />
Laura Magnuson MD, Orlando Health<br />
142 Prospective, Open-Label, Efficacy and Safety Trial of Intranasal Ketorlac on<br />
Pain in Adults in the <strong>Emergency</strong> Department<br />
Sharon E. Mace MD, Cleveland Clinic<br />
143 ED Pain Care and its Effects on Short Term Hospitalization Outcomes.<br />
Ammar Siddiqui, Mount Sinai School of <strong>Medicine</strong><br />
144 Evaluation of a Novel tool <strong>for</strong> Pain assessment in the <strong>Emergency</strong> Department<br />
Philip W. Craven, University of Utah<br />
145 Video Laryngoscopy May Reduce First attempt Complications of Airway<br />
Management in a Medical Intensive Care Unit<br />
Jarrod M. Mosier, University of Arizona<br />
146 ACE-induced Angioedema in the <strong>Emergency</strong> Department:<br />
An Observational Study<br />
R. Mason Curtis, Queen’s University<br />
147 <strong>The</strong> Association of Ventilating Technique and Number of assisted Breaths<br />
Given after Rapid Sequence Induction with the Occurrence of Hypoxia<br />
During Intubation attempts Among Patients Intubated in the <strong>Emergency</strong><br />
Department<br />
James R. Miner MD, Hennepin County Medical Center<br />
56 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
148 Accuracy of Ultrasound Guided Marking of the Cricothyroid Membrane Prior<br />
to Simulated Failed Intubation.<br />
Keith Curtis MD, University of Utah<br />
149 Determination of A Learning Curve <strong>for</strong> the Pediatric Glidescope in Infant<br />
Airway Management Novices - A Mannequin Study<br />
Faizan H. Arshad, Yale New Haven Hospital<br />
150 Are Geriatric Patients High Risk <strong>for</strong> <strong>Emergency</strong> Department<br />
Procedural Sedation<br />
Sharon E. Mace MD, Cleveland Clinic<br />
151 Comparison of Airway Ultrasonography and Continuous<br />
Wave<strong>for</strong>m Capnography to Confirm Endotracheal Tube Placement<br />
in Cardiac Arrest Patients<br />
Junho Cho, Inje University Haeundae Paik Hospital<br />
152 Use of a Novel Electronic Pre-Sedation Checklist Improves Safety<br />
Documentation in <strong>Emergency</strong> Department Sedations<br />
R. Jason Thurman MD, Vanderbilt University School of <strong>Medicine</strong><br />
153 A Survey of Graduating <strong>Emergency</strong> <strong>Medicine</strong> Residents’<br />
Experience with Cricothyrotomy<br />
Andrew L. Makowski MD, St. Joseph’s Hospital<br />
154 <strong>The</strong>oretical Analysis of the Relative Impact of Obesity On Hemodynamic<br />
Stability During Acute Hemorrhagic Shock<br />
Sarah A. Sterling, University of Mississippi Medical Center<br />
156 Utility of Chest Radiographs in <strong>Emergency</strong> Department Patients<br />
Presenting with Syncope<br />
David T. Chiu, Beth Israel Deaconess Medical Center<br />
157 Utility of Trending CKMB in <strong>Emergency</strong> Department<br />
Chest Pain Observation Unit.<br />
Colin Mukubwa MD, VIdant Medical Center<br />
158 Comparison of Peak Troponin (cTnI) Levels Based on<br />
Various Patient Characteristics<br />
Dave Milzman, Georgetown U School of <strong>Medicine</strong><br />
159 Failure of the North America Chest Pain Rule and<br />
“Sensitive” Troponin assays in Low Risk Patients<br />
Anwar D. Osborne, Emory University<br />
160 Can <strong>Emergency</strong> Physicians Accurately Diagnose Pericardial<br />
Effusion On Point-of-care Ultrasound?<br />
Lori A. Stolz, University of Arizona<br />
161 Survival Analysis of Patients Taking Dabigatran After Consulting<br />
<strong>Emergency</strong> Department <strong>for</strong> Acute Bleeding: A First Alarm<br />
Raoul Daoust MD, MSc, Hôpital du sacré cœur de Montréal<br />
162 Pilot Study of Lactate Levels as a Marker of Tissue Hypoperfusion in ED<br />
Acute Heart Failure Patients<br />
Kori Sauser MD, University of Michigan<br />
163 Differences in Nitrovasodilator Use and Rationale to Treat Acute Heart<br />
Failure Patients between <strong>Emergency</strong> Physicians, Hospitalists, and<br />
Cardiologists<br />
Peter S. Pang MD, Feinberg School of <strong>Medicine</strong>, Northwestern University<br />
164 Improving Door to Balloon Time <strong>for</strong> ST Elevation Myocardial Infarction<br />
Patients By Decreasing <strong>Emergency</strong> Department Door to ECG Time<br />
Nicholas Testa, LAC+USC Medical Center<br />
165 Safety of a Rapid Diagnostic Protocol with Accelerated Stress Testing<br />
Olanrewaju Soremekun, University of Pennsylvania<br />
166 Initial ED Cardiac Troponin is Highly Predictive of Drug Overdose Mortality<br />
Alex F. Manini MD, MS, Mt. Sinai School of <strong>Medicine</strong><br />
167 A Randomized Controlled Trial of the BOA ® -Constricting IV Band by<br />
Paramedics and Nurses<br />
Richard N. Bradley, <strong>The</strong> University of Texas Health Science Center at Houston<br />
168 Gender Disparities in Stress Test Utilization in Chest Pain Unit patients<br />
based upon the ordering Physician’s Gender<br />
Anthony Napoli, Warren Alpert Medical School of Brown University<br />
169 Knowledge Deficiencies in Patients with Elevated Blood Pressure<br />
Catherine T. Ginty MD, Cooper Medical School of Rowan University<br />
170 Establishing a Threshold <strong>for</strong> D-dimer Testing in the Diagnostic Evaluation<br />
of Aortic Dissection: A Decision Analysis<br />
Richard A. Taylor, Yale University<br />
171 Systematic Review of Anti-Arrhythmic Drug therapy Compared to Lidocaine<br />
<strong>for</strong> Termination of Stable Monomorphic Ventricular Tachycardia<br />
Richard Sinert DO, Downstate Medical Center<br />
172 Young Adult Patients with Chest Pain: Utility of the <strong>Emergency</strong> Department<br />
Observation Unit<br />
Tamara Moores MD, University of Utah - Division of <strong>Emergency</strong> <strong>Medicine</strong><br />
173 Evaluation, Management and Disposition of ED Patients in Hypertensive Crisis<br />
Catherine T. Ginty MD, Cooper Medical School of Rowan University<br />
174 Association Between Sex and Automated External Defibrillator Application<br />
After Out-of-Hospital Cardiac Arrest<br />
Jody Vogel, Denver Health Medical Center<br />
175 A Prospective Trial of Video Podcast Use to Improve Knowledge and Confidence<br />
in Violent Person Management within an <strong>Emergency</strong> <strong>Medicine</strong> Clerkship<br />
Caroline A. Ball, Loyola University Chicago<br />
176 Per<strong>for</strong>mance in Trauma Resuscitation at an Urban Tertiary<br />
Level I Pediatric Trauma Center<br />
Payal K. Gala, Children’s Hospital of Philadelphia<br />
177 A Survey of the Current Utilization of asynchronous Education Among<br />
<strong>Emergency</strong> <strong>Medicine</strong> Residents in the United States<br />
Sarah Schlein MD, Univerisy of Utah<br />
178 Is An Email-based Evaluation System <strong>for</strong> Students in An EM Clerkship<br />
Superior to That of A Handwritten, End-of-shift Evaluation System?<br />
Jeffrey Barrett MD, Temple University School of <strong>Medicine</strong><br />
179 Improving Sign-out Communication in the <strong>Emergency</strong> Department:<br />
Outcomes Using A Standardized Sign-out Communication Method.<br />
Grace Sousa MD, University at Buffalo SUNY<br />
180 Comparison of Landmark Pre<strong>for</strong>med Lumbar Punctures versus Ultrasound<br />
Guided Lumbar Punctures in A Novice Study Group<br />
David P. Evans, Virginia Commonwealth University<br />
181 Knowledge of Sexually-Transmitted Infections Among Patients<br />
in an Urban <strong>Emergency</strong> <strong>Medicine</strong> Department<br />
Julia L. Moon MPH, Drexel University, School of Public Health<br />
182 <strong>The</strong> Impact of Standardized Testing on Interview Scoring and<br />
<strong>Emergency</strong> <strong>Medicine</strong> Applicants’ Rank Position<br />
Meaghen Finan MD, St. Luke’s University Hospital and Health Network<br />
183 Improving Patient Ability to Identify Acetaminophen-containing Products:<br />
Preliminary Data of a Brief ED Educational Intervention<br />
Joseph S. Palter MD, Cook County ( Stroger)<br />
184 Improvement in ACGME Core Competency Specific Summative Comments<br />
by Faculty Following Implementation of a Core Competency Specific Daily<br />
Feedback Cards program, a Faculty Incentive Program and Specific Faculty<br />
Development on the Core Competencies and Giving Feedback to Residents<br />
Todd Guth, University of Colorado<br />
185 A Close Examination of Increased HIV Testing Following<br />
A Computer-based Video Intervention in the ED<br />
<strong>The</strong>odore C. Bania MD, St. Luke’s - Roosevelt Hospital Center<br />
186 Medical Student Peer Teaching in Simulation<br />
Joseph House, University of Michigan<br />
187 <strong>The</strong> Current State of <strong>Emergency</strong> Medical Training in<br />
U.S. Schools of Podiatric <strong>Medicine</strong><br />
David A. Wald DO, Temple University School of <strong>Medicine</strong><br />
188 Self-regulated Learning and Study Time Allotment<br />
Sally A. Santen MD, PhD, University of Michigan<br />
189 Comparison of Standard Peripheral Intravenous Cannulation versus Ultrasound<br />
Guided Peripheral Intravenous Cannulation in A Novice Study Group<br />
David P. Evans, Virginia Commonwealth University<br />
190 A Required Fourth Year <strong>Emergency</strong> <strong>Medicine</strong> Clerkship Improves Medical<br />
Students Self-assessment of Procedural Experiences<br />
Luan Lawson MD, Brody School of <strong>Medicine</strong> at East Carolina University<br />
191 Evaluation of a Hands on Facial Anesthesia Lab<br />
Todd M. Phillips, University of Pittsburgh Medical Center<br />
192 <strong>The</strong> Effect of Medical Students Upon Patient Satisfaction<br />
in a University-affiliated Community ED<br />
Christopher S. Kiefer MD, West Virginia University School of <strong>Medicine</strong><br />
193 Interactive Spaced Online Education in Pediatric Trauma<br />
Rohit Shenoi MD, Baylor College of <strong>Medicine</strong><br />
194 Are <strong>Emergency</strong> <strong>Medicine</strong> Resident Evaluations of Attending Faculty<br />
Influenced By their Per<strong>for</strong>mance Scores?<br />
Sarina Doyle MD, Orlando Health<br />
195 Variability by Institution in <strong>Emergency</strong> <strong>Medicine</strong> Inservice Reviews with<br />
Audience Response Units<br />
Jaime Jordan, Harbor-UCLA Medical Center<br />
196 <strong>The</strong> Effect of an Educational Intervention on the Ability to Identify<br />
Peripheral Nerves with Ultrasound<br />
Sandra J. Williams DO, MPH, Baylor College of <strong>Medicine</strong><br />
May 14-18, 2013 | Atlanta, Georgia 57
197 <strong>The</strong> Use of an Endovaginal Task-Training Manikin as an Adjunct<br />
in Teaching <strong>Emergency</strong> Ultrasound of Early Pregnancy to Residents -<br />
CORD Educational Grant.<br />
Micelle Haydel, LSU-New Orleans<br />
198 An Observational Study of Superior Mesenteric Artery Blood Flow<br />
in Septic Patients<br />
Athena Mihailos, NY Methodist Hospital<br />
199 Apples and Oranges? An Evaluation of 4-year <strong>Emergency</strong> <strong>Medicine</strong><br />
Residencies Using Program Websites and the SAEM Residency Directory.<br />
Daniel Runde, Harbor-UCLA Medical Center<br />
200 Types of Diagnostic Errors in Neurologic Emergencies in the ED<br />
Nicole M. Dubosh MD, Beth Israel Deaconess Medical Center<br />
201 Current EM Ultrasound Training in Residency: Implications <strong>for</strong> Future Practice<br />
Erin S. Rardon MD, West Virginia University<br />
202 Conducting a Patient Safety Needs assessment <strong>for</strong><br />
Undergraduate Medical Education<br />
Paul S. Jansson BA, Northwestern University Feinberg School of <strong>Medicine</strong><br />
203 Factors Affecting Resident Perception of Faculty Entrustment of Autonomy<br />
Benjamin S. Bassin MD, University of Michigan<br />
204 Meaningful assessment of Resident Patient Handoffs Proves Challenging<br />
Michelle J. Chastain MD, Advocate Christ Medical Center<br />
205 Bedside Ultrasound Skills Acquisition by Medical Students<br />
on <strong>Emergency</strong> <strong>Medicine</strong> Rotation<br />
Christian Koziatek BA, Bellevue Hospital/NYU Medical Center<br />
206 <strong>The</strong> Implementation of ED Team Training Across Seven Hospitals<br />
Carrie D. Tibbles, Beth Israel Deaconess Medical Center<br />
207 Ultrasound Competency Assessment in <strong>Emergency</strong><br />
<strong>Medicine</strong> Residency Programs<br />
Richard Amini, University of Arizona Medical Center<br />
208 Characteristics of the <strong>Emergency</strong> <strong>Medicine</strong> Clerkship Director<br />
David A. Wald, Temple University School of <strong>Medicine</strong><br />
209 Translating Relative Value Units <strong>for</strong> Clinical Productivity in a Mixed<br />
Workload <strong>Academic</strong> <strong>Emergency</strong> Department<br />
Amisha D. Parekh MD, New York Methodist Hospital<br />
210 Validation of the BEEM Rater Scale: An Instrument to<br />
Define the “Best Evidence” <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
Christopher R. Carpenter MD, MSc, Washington University in St. Louis<br />
211 Race Related Healthcare Disparities Among Cali<strong>for</strong>nia Workers<br />
Randy Woo MD, University of Cali<strong>for</strong>nia, Irvine<br />
212 Trends in EMTALA Violations from 2002-2012<br />
Brian Raffetto MPH, LAC-USC<br />
214 Time of Day, Severity of Illness, and Insurance Status Are associated with<br />
Patients’ attempts to Seek Outpatient Care Prior to ED Visits<br />
Kathryn Groner, Christiana Care Health Systems<br />
215 Assessing the Rates of Error and Adverse Events in the <strong>Emergency</strong> Department<br />
Matthew Wong MD, Harvard Medical School, Beth Israel Deaconess<br />
Medical Center<br />
216 Hospital- and County-Level Determinants of <strong>Emergency</strong> Department<br />
Admission <strong>for</strong> Deep Vein Thrombosis<br />
Kristin L. Rising MD, University of Pennsylvania Perelman School of <strong>Medicine</strong><br />
217 Survival and Health Care Utilization <strong>for</strong> ED Patients with Metastatic Solid<br />
Tumors Randomized to Early Palliative Care Consultation versus Care as Usual<br />
Corita R. Grudzen, Mount Sinai School of <strong>Medicine</strong><br />
218 Referral Systems <strong>for</strong> Patients in Low-income Countries: A Case Study<br />
from Liberia<br />
Jimin Kim MSc, University of Chicago<br />
219 “Something is Fishy”: <strong>Emergency</strong> Department Visits <strong>for</strong> <strong>for</strong>eign Bodies in<br />
the Larynx and Pharynx in Korea and United States<br />
Viktor Livshits MD, Morristown Medical Center<br />
220 Assessing Need <strong>for</strong> Prioritization of <strong>Emergency</strong> Services in <strong>for</strong>t Liberte, Haiti<br />
Ayesha Khan, Stan<strong>for</strong>d University Hospital<br />
221 <strong>The</strong> <strong>Academic</strong> Contribution from Taiwan to <strong>Emergency</strong> <strong>Medicine</strong> Field from<br />
1992 to 2011: A Perspective from Scientific Publications<br />
Ching-Hsing Lee, Chang Gung Memorial Hospital<br />
222 A Novel First Aid Curriculum Improves First Aid Knowledge in<br />
Laypersons in Rural Nicaragua<br />
Breena R. Taira MD, MPH, Olive View UCLA Medical Center<br />
223 Impact of An <strong>Emergency</strong> Triage assessment and Teatment (ETAT)-based<br />
Triage Process in the Pediatric <strong>Emergency</strong> Department (PED) of A<br />
Guatemalan Public Hospital<br />
Heather L. Crouse MD, Baylor College of <strong>Medicine</strong>/Texas Children’s Hospital<br />
224 Development of Low Fidelity Simulation <strong>for</strong> the Low Resource Setting<br />
Bhakti Hansoti MD, Johns Hopkins University<br />
225 Analysis of Symptom Profiles in the NINDS Trial Using Latent Classification<br />
Opeolu Adeoye, University of Cincinnati<br />
226 Frequency and Speed of Early Antihypertensive Treatment of Severe<br />
Hypertension in Acute Intracerebral Hemorrhage Patients in a Broad<br />
Community Setting.<br />
Abraham Flinders, Keck School of <strong>Medicine</strong> USC<br />
227 Safety and Efficacy of tPA administration in Ischemic Stroke Patients<br />
Requiring Aggressive Blood Pressure-Lowering Treatment<br />
Bryan F. Darger BA,MSII, University of Texas Medical School at Houston<br />
228 <strong>The</strong> Efficacy of Intravenous Morphine <strong>for</strong> Acute Migraine<br />
Benjamin W. Friedman MD, Albert Einstein College of <strong>Medicine</strong><br />
229 Parenteral Treatment of Tension-type Headache: A Systematic Review<br />
Danielle Weinman MD, Albert Einstein College of <strong>Medicine</strong><br />
230 Lack of Association Between Headache Relief and Reduction in Blood<br />
Pressure Among Patients Presenting to An <strong>Emergency</strong> Department with<br />
Migraine and Elevated Blood Pressure<br />
Binoy W. Mistry BSc, Albert Einstein College of <strong>Medicine</strong><br />
231 <strong>The</strong> Neurocognitive Effect of Resistance and Simulated Use of <strong>for</strong>ce<br />
Encounters on Standardized Field Sobriety Testing<br />
Jeffrey Ho, Hennepin County Medical Center<br />
232 Evaluation of Primary Intra-Cerebral Hemorrhage by Age,<br />
Race and Stroke Volume<br />
John Martel MD, PhD, University of Michigan<br />
233 <strong>The</strong> Use of CTA Prior to Thrombolysis in Acute Ischemic Stroke Was<br />
associated with Increased, But Less Severe, Intracranial Hemorrhage<br />
Arif Azam MD, the University of Texas Health Science Center<br />
234 Impact of microEEG on clinical management and outcomes of <strong>Emergency</strong><br />
Department patients with altered mental status<br />
Shahriar Zehtabchi, State University of New York, Downstate Medical Center<br />
235 Management of Early Severe Hypertension in Acute Intracerebral<br />
Hemorrhage in Primary Stroke Centers vs. Non-Stroke Center Hospitals.<br />
Abraham Flinders, Keck School of <strong>Medicine</strong> USC<br />
237 Monocyte Count is associated with ICH Mortality<br />
Kyle B. Walsh, University of Cincinnati<br />
238 Impact of a County-wide Prehospital Routing Protocol On<br />
Thrombolytic Rates <strong>for</strong> Acute Ischemic Stroke<br />
Brandon Minzer MA, EdM, University of Arizona College of <strong>Medicine</strong> - Phoenix<br />
239 Characteristics of Participants with Pseudo-seizures and Other Nonepileptic<br />
Spells Mimicking Status Epilepticus in the Pre-hospital Setting in<br />
the Rapid Anticonvulsant Medication Prior to Arrival Trial (RAMPART)<br />
Donna Harsh, University of Michigan<br />
240 Characterizing <strong>Emergency</strong> Department Utilization By A Population-based<br />
Cohort of Insured Pregnant Women<br />
Karin V. Rhodes, University of Pennsylvania<br />
241 Managing Missed Abortion in the <strong>Emergency</strong> Room with Manual Vacuum<br />
aspiration: Factors Predicting Who Receives EDMVA<br />
Kelly E. Quinley MD, Perelman School of <strong>Medicine</strong>, University of Pennsylvania<br />
242 Ondansetron Versus Doxylamine/Pyridoxine <strong>for</strong> Treatment of Nausea and<br />
Vomiting in First Trimester Pregnancy: A Prospective Randomized Double-<br />
Blind Controlled Study<br />
Lauren G. Oliveira DO, Naval Medical Center<br />
243 Adherence to CDC Guidelines in the Evaluation and Management of Women<br />
with Pelvic Complaints*<br />
Dana E. Kozubal BS, Hospital of the University of Pennsylvania<br />
244 <strong>Emergency</strong> Department Resident Physicians’ Com<strong>for</strong>t Levels with<br />
Diagnosing and Treating Depression<br />
Rasha Buhumaid MD, George Washington<br />
245 Incidence and Predictors of Traumatic Stress, Depression, and Substance<br />
Abuse Diagnoses in Hospitalized Violently Injured Youth<br />
Nathan A. Irvin MD, University of Pennsylvania<br />
246 Unmet Legal Needs among <strong>Emergency</strong> Department Patients<br />
Matthew W. Miller BA, University of Colorado School of <strong>Medicine</strong><br />
58 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
247 Caring <strong>for</strong> Homeless Patients in the <strong>Emergency</strong> Department: A Qualitative<br />
Study of <strong>Emergency</strong> <strong>Medicine</strong> Residents’ Experiences<br />
Kelly M. Doran MD, Robert Wood Johnson Foundation Clinical Scholars<br />
Program, Yale University School of <strong>Medicine</strong><br />
248 Prevalence and Treatment Needs of Patients Presenting to the <strong>Emergency</strong><br />
Department with Alcohol Intoxication<br />
Kenneth W. Dodd MD, Hennepin County Medical Center<br />
249 Predictors of Post-concussive Syndrome after Mild TBI<br />
Latha Ganti Stead MD, MS, MBA, University of Florida<br />
250 Does A Wireless Incentive Structure Improve Retention, Subject<br />
Satisfaction and Safety in Intimate Partner Violence Research?<br />
Melissa A. Rodgers BA, University of Pennsylvania<br />
251 Utilization and Safety of a Pulmonary Embolism Treatment Protocol in an<br />
<strong>Emergency</strong> Department Observation Unit<br />
Matthew Stewart MD, University of Utah<br />
252 Evaluation of An Age-adjusted D-dimer Threshold in the Diagnosis of Acute<br />
Venous Thromboembolism<br />
Joel C. Rowe MD, University of Florida<br />
253 “A Doctor is a Doctor”: Reasons Adult Patients Choose the <strong>Emergency</strong><br />
Department Over Outpatient offices <strong>for</strong> Acute asthma Care - A Qualitative Study<br />
Charlotte C. Lawson, University of Pennsylvania<br />
254 <strong>The</strong> Effect of Empiric Systemic Anticoagulation Prior to Imaging <strong>for</strong><br />
Pulmonary Embolism on Mortality<br />
Daren M. Beam MD, MS, Indiana School of <strong>Medicine</strong><br />
255 <strong>The</strong> Ventilatory Effects of the Prone Maximal Restraint Position on Obese<br />
Human Subjects<br />
Christian Sloane MD, UCSD Medical Center<br />
256 Recommended Tidal Volumes are Not Commonly Started in <strong>Emergency</strong><br />
Department Patients Developing ARDS.<br />
Michael G. Allison MD, University of Maryland Medical Center<br />
257 Intercellular Shear Destabilizes the Cell-Cell Junction<br />
in Models of Acute Lung Injury<br />
Ramaswamy Krishnan PhD, Beth Israel Deaconess Medical Center<br />
258 <strong>The</strong> Effects of ED Crowding On Enrollment of Patients<br />
in A Randomized Controlled Trial<br />
Daniel Jafari MD, MPH, University of Pennsylvania<br />
259 <strong>The</strong> Validity of Self-Reported Primary Adherence Among Medicaid Patients<br />
Discharged From the <strong>Emergency</strong> Department with A Prescription Medication<br />
Ru Ding, George Washington University<br />
260 Estimating Negative Likelihood Ratio Confidence when Test Sensitivity is 100%<br />
Keith A. Marill MD, Massachusetts General Hospital<br />
261 Acuity Detection to Enhance Methods <strong>for</strong> Outbreak Biosurveillance<br />
Meredith H. Arasaratnam ScD, National Collaborative <strong>for</strong> Bio-Preparedness<br />
262 Handling Repeat Enrollments During an <strong>Emergency</strong> Clinical Trial: the Rapid<br />
Anticonvulsant Medications Prior to Arrival Trial (RAMPART)<br />
William Meurer, University of Michigan<br />
263 Derivation of An Abbreviated Instrument <strong>for</strong> Use in <strong>Emergency</strong> Department<br />
Low Back Pain Research: the Five-Item Roland Morris Questionnaire*<br />
Laura W. Mulvey BS, Albert Einstein College of <strong>Medicine</strong><br />
Cardiac Risk Stratification - Lightning Oral Presentations<br />
Wednesday, May 15, 4:00 - 5:00 pm in Atlanta A<br />
Moderator: Andra L. Blomkalns MD, University of Cincinnati<br />
264 Immediate Exercise Stress Echocardiography versus Hospital Admission <strong>for</strong><br />
Patients Presenting to the <strong>Emergency</strong> Department with Low Risk Chest Pain<br />
Danielle Minett MD, MPH, Christiana Care<br />
265 Low Risk Chest Pain Patients Less Than 40 Years Old do not Benefit from<br />
Admission and Stress Testing<br />
Anthony Napoli, Warren Alpert Medical School of Brown University<br />
266 <strong>Emergency</strong> Department Recidivism and Outcomes of Previously Evaluated<br />
Chest Pain Unit Patients*<br />
Anthony Napoli MD, FACEP,<br />
Warren Alpert Medical School of Brown University<br />
267 Yield of Provocative Testing in <strong>Emergency</strong> Department Chest Pain Unit Patients<br />
Luke K. Hermann MD, Mount Sinai School of <strong>Medicine</strong><br />
268 Evaluation of a Novel Risk Stratification tool vs. the TIMI Score <strong>for</strong> Patients<br />
with Chest Pain in an <strong>Emergency</strong> Department Observation Unit<br />
Matthew J. Fuller, University of Utah<br />
269 Utility of Serial Troponin Testing in the <strong>Emergency</strong> Department<br />
Observation Unit<br />
Jason Dorais MD, University of Utah<br />
270 High Rate of False-Positive Cardiac Testing in an <strong>Emergency</strong> Department<br />
Observation Unit<br />
Jason Dorais MD, University of Utah*<br />
Psychiatry - Lightning Oral Presentations<br />
Wednesday, May 15, 4:00 - 5:00 pm in Atlanta B<br />
Moderator: Rebecca Cunningham MD, University of Michigan<br />
271 Causal attribution, Perceived Illness Severity, and Smoking Stages of<br />
Change in <strong>Emergency</strong> Department Patients<br />
Michelle Jaques BA, University of Massachusetts Medical School<br />
272 Knowledge, attitudes and Practices of <strong>Emergency</strong> Department Providers in<br />
the Care of Suicidal Patients<br />
Marian E. Betz, University of Colorado School of <strong>Medicine</strong><br />
273 Predicting Psychiatrist Continuation of ED Issued Psychiatric Holds:<br />
Examining the Predictive Validity of Alcohol Use<br />
Jerielle Adams MD, LSUHSC, Earl K. Long Medical Center<br />
274 Not Just <strong>for</strong> Kids: the Prevalence and Correlates of Eating Disorders in<br />
Adult <strong>Emergency</strong> Department Patients<br />
Suzanne Dooley-Hash MD, University of Michigan<br />
275 Prior Mental Health Services Use Among Suicidal ED Patients with and<br />
without Substance Abuse Histories<br />
Lisa M. Schweigler MD, MPH, MS, <strong>The</strong> Warren Alpert Medical School of Brown<br />
University<br />
Trauma Resuscitation - Lightning Oral Presentations<br />
Wednesday, May 15, 4:00 - 5:00 pm in Atlanta C & D<br />
Moderator: Eric Legome MD,<br />
Kings County Hospital, SUNY Downstate College of <strong>Medicine</strong><br />
276 A 4-year Analysis of Outcomes <strong>for</strong> Traumatized Patients Stratified by<br />
Initial Systolic Blood Pressure<br />
Colleen Tran DO, York Hospital<br />
277 End Tidal Co2 as a Non-invasive Marker <strong>for</strong> Occult Shock in Trauma<br />
Patients: A Prospective Cohort Validation Study<br />
Chris Stahmer MD, Lincoln Medical and Mental Health Center<br />
278 Determining the Relationship of Base Excess and Serum Lactate in Trauma:<br />
Is Base Excess Useful as A Point of Care Test?<br />
Douglas Fields MD, Lincoln Medical and Mental Health Center<br />
279 <strong>The</strong> Influence of Prehospital Hypotension and Hypoxia on Non-mortality<br />
Outcomes in Moderate and Severe Traumatic Brain Injury: Implications <strong>for</strong><br />
Implementing the EMS TBI Management Guidelines<br />
Daniel W. Spaite,<br />
Arizona <strong>Emergency</strong> <strong>Medicine</strong> Research Center, University of Arizona<br />
280 Serum GFAP Out-Per<strong>for</strong>ms S100B in Detecting Traumatic Intracranial<br />
Lesions On CT in Trauma Patients<br />
Linda Papa MD, CM, MSc, Orlando Regional Medical Center<br />
281 Predictive Value and Appropriate Ranges of Prehospital Physiologic<br />
Criteria <strong>for</strong> Identifying Seriously Injured Older Adults During Field Triage*<br />
Derek Richardson MD, Oregon Health & Science University<br />
Ultrasound - Lightning Oral Presentations<br />
Wednesday, May 15, 4:00 - 5:00 pm in Atlanta E & F<br />
Moderator: Romolo Gaspari MD, University of Massachusetts Medical School<br />
282 Pediatric Skin Abscesses Are More Difficult to Visualize with Bedside<br />
Ultrasound Than Adult Abscesses<br />
Russell Johanson MD, University of Massachusetts Medical School<br />
283 Does a Novel Simulator Provide Effective Hands On Training Versus<br />
Traditional Trauma Ultrasound Training <strong>for</strong> a Disaster Response Team? A<br />
Prospective Randomized Study<br />
Michael Paddock DO, Cook County (Stroger)<br />
284 Impact of Decontamination therapy on Ultrasound Visualization of<br />
Ingested Pills<br />
Jason D. Bothwell MD, Madigan Army Medical Center<br />
285 Ultrasound Guided Central Line Placement by <strong>Emergency</strong> Physicians in<br />
Beijing, China<br />
Joseph Walline, Saint Louis University<br />
286 <strong>The</strong> BREATH Pilot Study: Bringing Research in Echocardiography<br />
assessment to Haiti*<br />
Krithika M. Muruganandan MD, Rhode Island Hospital<br />
287 <strong>The</strong> Number of FAST Exams Required <strong>for</strong> Proficiency*<br />
Sharon Yellin MD, New York Methodist Hospital<br />
May 14-18, 2013 | Atlanta, Georgia 59
Toxicology - Lightning Oral Presentations<br />
Wednesday, May 15, 4:00 - 5:00 pm in Atlanta G<br />
Moderator: Aaron Skolnik MD, Banner Good Samaritan/Phoenix Children’s Hospital<br />
Medical toxicology, Center <strong>for</strong> toxicology and Pharmacology Education<br />
and Research, University of Arizona College of <strong>Medicine</strong><br />
288 Intraosseous Versus Intravenous Cobinamide in Treating Acute Cyanide<br />
toxicity and Apnea in A Swine (Sus Scrofa) Model*<br />
Vikhyat S. Bebarta, San Antonio Military Medical Center; USAF Enroute Care<br />
Research Center<br />
289 <strong>The</strong> Effects of Increased Dosing of L-Carnitine in a Model of Verapamil Toxicity*<br />
Jason Chu, St. Luke’s-Roosevelt Hospital Center<br />
290 Pharmacotherapy with a Nicotinic Receptor Antagonist Protects the NMJ in<br />
A Swine Model of Severe Parathion Poisoning<br />
Steven B. Bird MD, University of Massachusetts Medical School<br />
291 <strong>The</strong> Effect of Intravenous Lipid Emulsions in an Oral Verapamil toxicity Model<br />
Jason Chu MD, St. Luke’s-Roosevelt Hospital Center<br />
292 Pretreatment with Intravenous Lipid Emulsion Reduces Mortality from<br />
Cocaine toxicity in a Rat Model<br />
Stephanie Carreiro MD, Alpert Medical School, Brown University<br />
293 Coral Snake Envenomations 2001-2011: Antivenin Use and Outcomes<br />
Benjamin W. Hatten MD, Oregon Poison Center, Department of <strong>Emergency</strong><br />
<strong>Medicine</strong>, Oregon Health and Science University<br />
Clinical Decision Rules - Lightning Oral Presentations<br />
Wednesday, May 15, 4:00 - 5:00 pm in Roswell 1<br />
Moderator: Michael Brown MD, MSc, Michigan State University<br />
294 Narratives Outper<strong>for</strong>m Summary Content in Promoting Recall of Opioid<br />
Prescription Guideline Recommendations*<br />
Austin Kilaru, Perelman School of <strong>Medicine</strong> at the University of Pennsylvania<br />
295 Risk Factors <strong>for</strong> Cardiovascular Events in ED Patients with Drug Overdose*<br />
Alex F. Manini, Mt. Sinai School of <strong>Medicine</strong><br />
296 Modifying the Sgarbossa Criteria to Diagnose ST-elevation Myocardial<br />
Infarction in the Presence of Left Bundle Branch Block: A Comparison of the<br />
Smith ST/QRS Ratio Rule to the Selvester 10% Rule<br />
Kenneth W. Dodd MD, Hennepin County Medical Center<br />
297 Hypothesis Listing and Justification Rule Impact Upon Data-Gathering and<br />
Clinical Decision Making<br />
Dane Michael Chapman, University of Missouri, Columbia, School of <strong>Medicine</strong><br />
Training Competencies - Lightning Oral Presentations<br />
Wednesday, May 15, 4:00 - 5:00 pm in Roswell 2<br />
Moderator: Jeffrey Love MD, Georgetown University School of <strong>Medicine</strong><br />
298 Development of A Simulation Based assessment tool to Measure<br />
<strong>Emergency</strong> <strong>Medicine</strong> Resident Competency<br />
Kathleen Wittels, Brigham and Women’s Hospital<br />
299 Outcome Feedback within <strong>Emergency</strong> <strong>Medicine</strong> Training Programs: An<br />
Application of the <strong>The</strong>ory of Deliberate Practice<br />
Timothy Dalseg MD, University of Ottawa<br />
300 Use of Electronically-Administered Patient Surveys to Evaluate <strong>Emergency</strong><br />
<strong>Medicine</strong> Residents on ACGME Competencies<br />
Edward Durant MD, MPH, Alameda County Medical Center- Highland Hospital<br />
301 Can We Rely On EM Resident Self-Assessment of EM Knowledge?<br />
Katherine Jahnes, New York Methodist Hospital<br />
302 A Randomized Comparison Study to Evaluate the Effectiveness of a<br />
Computer-based Teamwork Training Intervention on Medical Teamwork and<br />
Patient Care Per<strong>for</strong>mance<br />
Rosemarie Fernandez MD, University of Washington<br />
303 Agreement Between Global assessment and Individual Competencies of<br />
Medical Student Per<strong>for</strong>mance<br />
David T. Chiu, Beth Israel Deaconess Medical Center<br />
thursday, May 16th, 2013<br />
Geriatrics - Oral Presentations<br />
Thursday, May 16, 8:00 - 9:00 am in Atlanta B<br />
Moderator: Christopher R. Carpenter MD, Washington University in St. Louis<br />
304 A Quick and Easy Delirium assessment <strong>for</strong> Non-Physician Research Personnel*<br />
Jin H. Han MD, MSc, Vanderbilt University<br />
305 Comprehension of <strong>Emergency</strong> Department Care and Discharge Instructions<br />
among Older Community-Dwelling Patients<br />
Adam Frisch, University of Pittsburgh<br />
306 Using Biomarkers to Detect Delirium Among Elderly <strong>Emergency</strong><br />
Department Patients*<br />
Maura Kennedy MD, MPH, Beth Israel Deaconess Medical Center<br />
307 Impact of A New Senior <strong>Emergency</strong> Screening and Social Work Intervention<br />
On Patient Satisfaction as Measured By Press-ganey Survey Methodology<br />
Nicholas Branscomb, University of Michigan EM Residency Program<br />
Sepsis - Oral Presentations<br />
Thursday, May 16, 8:00 - 10:00 am in Atlanta C & D<br />
Moderator: Emanuel Rivers MD, MPH, Henry <strong>for</strong>d Hospital<br />
308 Blood Transfusion Seemed Not to be associated with Mortality among<br />
Patients with Severe Sepsis in ED*<br />
Chih-Yi Hsu MD, Chang Gung Memorial Hospital<br />
309 <strong>The</strong> Prognostic Value of Brain Natriuretic Peptide in Combination with the<br />
Sequential Organ Failure assessment Score in Septic Shock*<br />
Won Young Kim MD, PhD, Beth Israel Deaconess Medical Center<br />
310 Do Gender Differences Exist in Sepsis Mortality, Overall Surviving<br />
Sepsis Campaign Bundle Completion, or Completion of Individual Bundle<br />
Elements?: the DISPARITY Study<br />
Tracy E. Madsen MD, Alpert Medical School of Brown University<br />
311 <strong>The</strong> Impact of Crowding Upon Implementation of Early Goal Directed<br />
therapy in the <strong>Emergency</strong> Department.<br />
Anish K. Agarwal MD, MPH, the University of Pennsylvania<br />
312 Rapid Development of Septic Shock in a Swine Model Using Cecal Ligation<br />
and Per<strong>for</strong>ation Plus Fecal Inoculation<br />
Lawrence A. DeLuca, University of Arizona<br />
313 Long-Term Mortality After Sepsis<br />
Henry E. Wang, University of Alabama at Birmingham<br />
314 Risk Factors <strong>for</strong> Infection with Resistant Organisms in Severe Sepsis<br />
Patients Admitted from the <strong>Emergency</strong> Department<br />
David F. Gaieski MD, <strong>The</strong> University of Pennsylvania<br />
315 Higher Hospital Case Volume is associated with Decreased In-hospital<br />
Mortality in Patients with Severe Sepsis.<br />
Munish Goyal MD, FACEP, Georgetown University School of <strong>Medicine</strong><br />
<strong>The</strong>rapeutic Hypothermia - Oral Presentations<br />
Thursday, May 16, 8:00 - 10:00 am in Atlanta E & F<br />
Moderator: Stephen Trzeciak MD, Cooper Hospital/University Medical Center<br />
316 <strong>Emergency</strong> Department Prediction of Survival and Neurologic Outcome<br />
in Comatose Cardiac Arrest Patients Undergoing <strong>The</strong>rapeutic Hypothermia<br />
is Unreliable.*<br />
Catherine M. Wares MD, Carolinas Medical Center<br />
317 <strong>The</strong> Use of Invasive Hemodynamic Monitoring in Evaluating Resuscitative<br />
Endpoints in Post-cardiac Arrest <strong>The</strong>rapeutic Hypothermia<br />
Anne V. Grossestreuer MS, University of Pennsylvania<br />
318 Neuromuscular Blockade is associated with Improved Survival in Postcardiac<br />
Arrest Patients Undergoing Induced Hypothermia<br />
Michael Donnino, Beth Israel Deaconess Medical Center<br />
319 Aassociation between Blood Pressure Measurements, Vasopressor Use,<br />
and Outcome in Post-cardiac Arrest Patients Treated with <strong>The</strong>rapeutic<br />
Hypothermia From Four Sites<br />
Sarah M. Perman MD, MS, University of Pennsylvania<br />
320 <strong>The</strong> Impact of Pre-Hospital <strong>The</strong>rapeutic Hypothermia on Mortality and<br />
Neurologic Outcomes in Out of Hospital Cardiac Arrest: A Systematic<br />
Review and Meta-Analysis*<br />
Benton R. Hunter MD, Indiana University School of <strong>Medicine</strong><br />
321 Pre-hospital Activation of an <strong>Emergency</strong> Department Cardiac Arrest<br />
Response Team Improves ROSC and Hypothermia Utilization<br />
Nathan Deal, Baylor College of <strong>Medicine</strong><br />
322 Neurologically Intact Survival After Prolonged Cardiac Arrest in the Era of<br />
Induced Hypothermia<br />
Tyler Giberson BS, Beth Israel Deaconess Medical Center<br />
323 National Trends in the Use of Post-Cardiac Arrest <strong>The</strong>rapeutic Hypothermia<br />
and Factors Influencing Utilization<br />
Charles Pearce MD, Northwestern University<br />
60 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Clinical Efficiency - Oral Presentations<br />
Thursday, May 16, 8:00 - 9:00 am in Atlanta G<br />
Moderator: Tom Scaletta MD, Edwards Hospital, Smart-ER<br />
324 Scribes in the <strong>Emergency</strong> Department:<br />
What Is the Effect On Facility Charges?<br />
John H. Burton MD, Carilion Clinic<br />
325 Decreasing ED Overcrowding Via Implementation of a Hospital Wide Surge Plan*<br />
Shira Schlesinger, LAC+USC Medical Center<br />
326 Computed tomography without Oral Contrast <strong>for</strong> Abdominal Pain:<br />
Effects on <strong>Emergency</strong> Department Efficiency and Patient Safety*<br />
William C. Krauss MD, FACEP, Kaiser Permanente<br />
327 Impact of a Computerized Decision Support System on Screening <strong>for</strong><br />
Hyperlactatemia among Adults with Sepsis*<br />
Jeffrey P. Green, UC Davis Medical Center<br />
Atrial Fibrillation - Lightning Oral Presentations<br />
Thursday, May 16, 8:00 - 9:00 am in Atlanta A<br />
Moderator: Richard Summers MD, University of Mississippi Medical Center<br />
328 An Evaluation of an Atrial Fibrillation Clinic <strong>for</strong> the Follow-up of Patients<br />
Presenting to the <strong>Emergency</strong> Department with Newly Diagnosed or<br />
Symptomatic Arrhythmia<br />
Brandon Hone, University of Alberta<br />
329 <strong>Emergency</strong> Department Visits <strong>for</strong> Atrial Fibrillation Between 2006 and<br />
2009: Regional Variability in Hospitalization and Cardio<strong>version</strong><br />
Tyler W. Barrett MD, MSCI, Vanderbilt University Medical Center<br />
330 Evaluation of the HATCH Score <strong>for</strong> Predicting Progression to Sustained<br />
Atrial Fibrillation in <strong>Emergency</strong> Department Patients with Newly Diagnosed<br />
Atrial Fibrillation<br />
Tyler W. Barrett MD, MSCI, Vanderbilt University Medical Center<br />
331 Incidence of 5-Day and 30-Day Adverse Events in a Prospective Cohort of<br />
<strong>Emergency</strong> Department Patients with Symptomatic Atrial Fibrillation and<br />
Atrial Flutter<br />
Tyler W. Barrett, Vanderbilt University Medical Center<br />
332 Adaptation of a Disease-Specific Research Instrument <strong>for</strong> Quality of Life<br />
assessments in <strong>Emergency</strong> Department Patients with Atrial Fibrillation/Flutter<br />
Nimmie Singh BS, Kaiser Permanente Division of Research<br />
333 Nt-pro Bnp Rise as A Marker <strong>for</strong> Cardiac Arrhythmia in Patients with Syncope<br />
Giorgio Costantino MD, Università degli Studi di Milano<br />
IV Access - Lightning Oral Presentations<br />
Thursday, May 16, 8:00 - 9:00 am in Roswell 1<br />
Moderator: Alexander T. Limkakeng MD, Duke University<br />
334 Association Between Multiple Needlesticks and Patient Pain Levels in the<br />
<strong>Emergency</strong> Department<br />
Nicole Piela MD, Thomas Jefferson University<br />
335 Lidocaine Infiltration By Injection vs. topical LET Gel <strong>for</strong> Anesthesia <strong>for</strong> Incision<br />
and Drainage of Cutaneous Abscesses: A Randomized Controlled Study<br />
Mark K. Ellis MD, University of Arizona<br />
336 <strong>The</strong> Effect of Vapocoolant Spray on Pain Due to Venipuncture in Adults: A<br />
Randomized, Blinded, Placebo-controlled Trial<br />
Sharon Mace MD, Cleveland Clinic<br />
337 Using the VeinViewer Vision ® to Increase the Identification of Peripheral Veins<br />
<strong>for</strong> Intravenous Catheter Placement in Adults in an <strong>Emergency</strong> Department<br />
Bruce M. Becker MD, MPH, Brown University<br />
338 Prevalence and Characteristics of Patients Presenting with Difficult Venous<br />
Access to the <strong>Emergency</strong> Department*<br />
J. Matthew Fields MD, Thomas Jefferson University<br />
339 Prevalence of Needle Phobia in Patients with Difficult Venous Access<br />
Leah A. Davis MA, Thomas Jefferson University<br />
Disaster Management - Lightning Oral Presentations<br />
Thursday, May 16, 8:00 - 9:00 am in Roswell 2<br />
Moderator: Richard Zane MD, University of Colorado<br />
340 <strong>The</strong> Potability of and Analysis of Sterilization Techniques of Fresh Water<br />
Sources Bordering the Flood Plain of South Long Island, NY and Queens, NY<br />
Shiau Hui Chin MD, New York Hospital Queens<br />
341 Effect of Hurricane Sandy on Prehospital Advanced Life Support Volume<br />
and Treatment<br />
Kimberly Baldino MD, Morristown Medical Center<br />
342 Hurricane Sandy: the Effect of Multiple ED Closures on Patient Volume & Acuity<br />
Gregg Husk MD, Beth Israel Medical Center<br />
343 Impact of Hurricane Sandy on the Presenting Complaints of Prehospital<br />
Advanced Life Support Patients<br />
Lisa Clayton DO, Morristown Medical Center<br />
344 <strong>The</strong> Disease Frequency Among Evacuees After the Great Eastern Japan<br />
Earthquake and Tsunami<br />
Takahisa Kawano, Fukui University Hospital<br />
Out of Hospital Telemedicine - Oral Presentations<br />
Thursday, May 16, 9:00 - 10:00 am in Atlanta B<br />
Moderator: Steven Horng MD,<br />
Beth Israel Deaconess Medical Center / Harvard Medical School<br />
345 Prehospital ECG Transmission Is associated with Reduced<br />
False-Positive Cath Lab Activations<br />
Nichole Bosson MD, MPH, Harbor-UCLA Medical Center, Los Angeles<br />
Biomedical Research Institute<br />
346 Use of a Medical toxicology Telemedicine Consult Service to assist<br />
Physicians Serving Overseas: 2005-2012<br />
Joseph K. Maddry, Rocky Mountain Poison and Drug Center<br />
347 Breaking Down Barriers to ePCR Implementation in EMS: Turnaround Time*<br />
Colby Redfield MD, Beth Israel Deaconess Medical Center<br />
- Harvard Medical School<br />
348 Real-time Clinical In<strong>for</strong>mation Exchange between EMS<br />
and the <strong>Emergency</strong> Department<br />
Colby Redfield MD, Beth Israel Deaconess Medical Center<br />
- Harvard Medical School<br />
Anticoagulants - Oral Presentations<br />
Thursday, May 16, 9:00 - 10:00 am in Atlanta G<br />
Moderator: Daniel K. Nishijima MD, University of Cali<strong>for</strong>nia, Davis<br />
349 Risk of Intracranial Hemorrhage After Minor Head Trauma<br />
in Patients On Clopidogrel<br />
Frank LoVecchio DO, Maricopa Medical Center<br />
350 <strong>The</strong> Mortality and Severity of Bleeding in Trauma Patients Taking Dabigatran<br />
Zachary DW. Dezman MD, MS, Department of <strong>Emergency</strong> <strong>Medicine</strong>,<br />
University of Maryland<br />
351 Does Anticoagulant Use Necessitate Triage to A Level 1 Trauma Center?<br />
John J. Everett MD, William Beaumont Medical Center<br />
352 Intravenous Lipid Emulsion Does Not Reverse Dabigatran Induced<br />
Anticoagulation in a Rat Model<br />
Stephanie Carreiro MD, Brown University<br />
AEM Consensus Conference on Global Health - Oral Presentations<br />
Thursday, May 16, 9:00 - 10:00 am in Roswell 1<br />
Moderator: Jon Mark Hirshon MD, University of Maryland, Baltimore<br />
353 Prospective Evaluation of Patients Presenting to An ED in Kathmandu, Nepal<br />
Sneha Shrestha, Stan<strong>for</strong>d School of <strong>Medicine</strong><br />
354 Assessment of Pneumonia in Children in Resource-Limited Settings<br />
Payal Modi MD, MPH, Brown University<br />
355 Overcrowding : European <strong>Emergency</strong> Department Needs A New Management!<br />
Eric Revue, Director of the <strong>Emergency</strong> and Prehospital EMS,<br />
Louis Pasteur Hospital<br />
Abdominal Pain in Adults - Lightning Oral Presentations<br />
Thursday, May 16, 9:00 - 10:00 am in Atlanta A<br />
Moderator: Brigitte M. Baumann MD, MSCE,<br />
Cooper Medical School of Rowan University<br />
356 <strong>The</strong> Effect of Suspected Diagnosis on Physician Pretest Probability<br />
<strong>for</strong> Abdominal Pain Patients Undergoing Computed tomography in the<br />
<strong>Emergency</strong> Department*<br />
Angela M. Mills MD, University of Pennsylvania<br />
357 <strong>Emergency</strong> Physician Interpretation of Capsule Endoscopy: A Video Survey<br />
Andrew C. Meltzer, George Washington University<br />
358 Is the Incidence of Intussusception increasing in the Adult Patient<br />
Population and Do Age/gender Differences Exist?<br />
Fred Fiesseler, Morristown Medical Center<br />
359 <strong>The</strong> Finding of Gallstones Alone On Bedside Ultrasound Has Excellent<br />
Sensitivity <strong>for</strong> Acute Cholecystitis.<br />
Julian Villar MD, MPH, UCSF<br />
360 Variation by Sex and Body Mass Index in Anterior Positioning of the<br />
Acutely Inflamed Appendix in Relation to the Psoas Muscle<br />
Craig Sisson MD, RDMS, University of Texas Health Science Center<br />
San Antonio<br />
May 14-18, 2013 | Atlanta, Georgia 61
Sickle Cell Management in the <strong>Emergency</strong> Department -<br />
Lightning Oral Presentations<br />
Thursday, May 16, 9:00 - 10:00 am in Roswell 2<br />
Moderator: Jeffrey A. Glassberg MD, Mount Sinai<br />
361 A Randomized-controlled Trial of Paracetamol Versus Morphine <strong>for</strong> the<br />
Treatment of Acute Painful Crisis of Sickle Cell Disease*<br />
Rifat Rehmani MD, MSc, King Abduaziz Hospital<br />
362 <strong>The</strong> Use of Low Dose Ketamine and Hydromorphone <strong>for</strong> Patients in Sickle<br />
Cell Crisis<br />
Erin L. Simon DO, Akron General Medical Center<br />
363 Variability in Pediatric ED Care of Sickle Cell Disease and Fever*<br />
Angela M. Ellison MD, MSc, University of Pennsylvania School of <strong>Medicine</strong><br />
364 Elevated Lactate Levels in the <strong>Emergency</strong> Department Are associated with<br />
Positive Blood Cultures in Children with Sickle Cell Disease*<br />
Jay G. Ladde MD, Orlando Regional Medical Center<br />
365 <strong>Emergency</strong> Provider attitudes towards Sickle Cell Patients<br />
Caroline Freiermuth MD, Duke University Medical Center<br />
Posters 2 - Poster Presentations -<br />
Posters will be attended by authors from 10:00 am – 12:00 pm<br />
Thursday, May 16, 8:00 am - 12:00 pm in 200 Gallery -level 6<br />
366 Risk Factors associated with Urologic Intervention in <strong>Emergency</strong><br />
Department Patients with Suspected Renal Colic.<br />
Justin Yan, the University of Western Ontario<br />
367 <strong>The</strong> Effect of Shorter Resident Shifts On <strong>Emergency</strong> Department Efficiency<br />
Brian N. Beer MD, Scott & White Healthcare<br />
368 Team STEPPS Training: the Effect of Training on Both Nursing Staff<br />
Perceptions Regarding Physician Behaviors and Patient Satisfaction Scores<br />
in the <strong>Emergency</strong> Department<br />
Shari Brand, Mayo Clinic Hospital<br />
369 Does Implementation of a <strong>for</strong>mal Sick Call System Affect the Utilization of<br />
Sick Days by <strong>Emergency</strong> Attendings?<br />
Michael Heller, Beth Israel Medical Center<br />
370 Minimizing Transfer Time to an ST Segment Myocardial Infarction<br />
Receiving Center: A Delphi Consensus<br />
Conrad Williamson BS, UC Davis<br />
371 Effect of a Dedicated <strong>Emergency</strong> Department Pharmacist on Antibiotic<br />
Administration Times in Sepsis<br />
Robert Graham DO, Geisinger Medical Center<br />
372 Correlation of <strong>Emergency</strong> Department Operational Factors with the Percent<br />
of Patients Who Leave the <strong>Emergency</strong> Department without Being Seen and<br />
the Average Length of Stay of Admitted Patients<br />
Kenneth Robinson MD, Hart<strong>for</strong>d Hospital<br />
373 Name Calling in the <strong>Emergency</strong> Department:<br />
How Do Patients Want to Be Addressed?<br />
Nathaniel Minnick DO, St John Hospital and Medical Center<br />
374 Prospective Registry of Advanced IV Access: External Jugular Versus<br />
Peripheral Ultrasound Guided<br />
Michael D. Witting, University of Maryland<br />
375 Variables associated with Community Hospital Overcrowding<br />
Steven Weiss MD, University of New Mexico<br />
376 Impact of ED Crowding on Time to Antibiotic Initiation <strong>for</strong> Sepsis<br />
Arica Nesper BA,<br />
University of Cali<strong>for</strong>nia, Davis Medical Center, Sacramento, CA<br />
377 Accuracy of ED Medication Reconciliation as Determined By Mass<br />
Spectrometry Analysis of Urine<br />
Allyson A. Kreshak MD, University of Cali<strong>for</strong>nia San Diego<br />
378 Successful Hospital-Wide Practice Change Targeting Crowding in A Setting<br />
of Increasing Demand<br />
Drew Richardson MD, Australian National University<br />
379 <strong>The</strong> Effect of Vessel Depth, Diameter, and Location on Success Rates <strong>for</strong><br />
Placement of Ultrasound-Guided, Extended-Dwell Midline Catheters: a<br />
Comparison Between Two Brands.<br />
Tristan Wihbey, Hospital of the University of Pennsylvania<br />
380 Board or Walk Rounds?<br />
Bobby Desai, University of Florida<br />
381 Do Standardized Written Handoff Cards Improve Interservice Communication<br />
During <strong>Emergency</strong> Department to General Medical Unit Transfers?<br />
Sharmistha Dev MD, MPH, Henry <strong>for</strong>d Hospital<br />
382 <strong>The</strong> Effect of Vessel Depth and Location on the Longevity of Ultrasound-<br />
Guided, Extended-Dwell Midline Catheters: a Comparison Between Two Brands.<br />
Tristan Wihbey, Hospital of the University of Pennsylvania<br />
383 A Shorter Delay Be<strong>for</strong>e Analgesia Administration Has A Better Association<br />
with A Reduction in <strong>Emergency</strong> Department Length of Stay Than Adequate<br />
Analgesia in Patients with Severe Pain.<br />
Raoul Daoust, Sacré-Coeur Hospital<br />
384 Using Computer Modeling to Study the Impact of Adding<br />
A Fast Track to A Crowded ED<br />
Hari Balasubramanian PhD, University of Massachusetts<br />
385 Effect of Dezoning Physician Teams on <strong>Emergency</strong> Department Efficiency<br />
Czarina Sanchez MD, BIDMC<br />
386 Patient Satisfaction Variability by Chief Complaint in an Urban Community<br />
<strong>Emergency</strong> Department<br />
Kurt M. Isenberger MD, Regions Hospital<br />
387 Hourly Measures of Patients Waiting to be Seen are Accurately Predicted<br />
by a Discrete Event Simulation Model.<br />
Eric J. Goldlust MD, PhD, Brown University<br />
388 Reducing Alarm Fatigue in the <strong>Emergency</strong> Department<br />
William Fleischman MD, Mount Sinai School of <strong>Medicine</strong><br />
389 Improving Transfer of Care Accuracy and In<strong>for</strong>mation Delivery in the<br />
<strong>Emergency</strong> Department<br />
Justin Mazzillo, UT Health Science Center at Houston<br />
390 Evaluating the Effect of <strong>Emergency</strong> Department Crowding on Triage<br />
Decision Making and Patient Outcomes<br />
Erin O’Connor MD, University of Ottawa<br />
391 Prospective Evaluation of Computerized Physician Order Entry in the<br />
<strong>Emergency</strong> Department<br />
Steven Horng MD, MMSc, Beth Israel Deaconess Medical Center / Harvard<br />
Medical School<br />
392 <strong>The</strong> Impact of Interventions to Reduce Length of Stay in the <strong>Emergency</strong><br />
Department: A Systematic Review<br />
Jameel Abualenain, <strong>The</strong> George Washington University<br />
393 <strong>The</strong> Accuracy of Interqual Acute Care Criteria in Determining Observation versus<br />
Hospitalization need in Chronic Heart Failure Patients in <strong>Emergency</strong> Department<br />
David Fernandez MD, JPS Health Network<br />
394 A Retrospective Review of Cardiac Stress Tests Ordered from the<br />
<strong>Emergency</strong> Department (ED)<br />
Lisa Moreno-Walton MD, Louisiana State University Health Sciences<br />
Center-New Orleans<br />
395 Physician Situational Awareness in the <strong>Emergency</strong> Department<br />
Raphaelle Beard, Johns Hopkins University<br />
396 Ultrasound-Guided Midline Catheters: Patient and Operator Satisfaction.<br />
Tristan Wihbey, Hospital of the University of Pennsylvania<br />
397 An Online Teaching Module to Improve Critical Care Coding<br />
Eric Steinberg DO, Beth Israel Medical Center<br />
398 Balancing Responsiveness and Efficiency with Flexibility in the ED:<br />
A Simulation Model<br />
Lauren F. Laker MBA, University of Cincinnati<br />
399 <strong>The</strong> Relationship between Patient Diagnoses and Observation Failure in a<br />
24-hour Clinical Decision Unit<br />
Andrew Chen, North Shore LIJ Health System<br />
400 Compliance of U.S. Camps with Guidelines <strong>for</strong> Health and Safety Practices:<br />
the Camp Prepared Study<br />
Kaylee M. Hollern, Penn State College of <strong>Medicine</strong><br />
401 Does a Patient Advocate during the <strong>Emergency</strong> Department Discharge<br />
Process Improve 48-Hour and 6-Week Post-Discharge Patient Satisfaction?<br />
Stephanie Haddad MD, North Shore University Hospital<br />
402 Spatial Dynamics of Alcohol Misuse: Does Density of Crime and Alcohol<br />
Outlets Characterize Likelihood of Youth Alcohol Misuse Independent of<br />
Neighborhood and Individual Risk Factors?<br />
Manya F. Newton MD, MPH, MS, University of Michigan<br />
403 Influence of Riding in Bike Lanes vs. Traffic Lanes on Injury Severity of<br />
Bicyclists Involved in Crashes with Motor Vehicles<br />
Dietrich Jehle, SUNY@Buffalo<br />
404 <strong>The</strong> Prevalence of Injury Vs. Illness in Children with and without ADD/ADHD<br />
Presenting <strong>for</strong> Treatment to A Pediatric <strong>Emergency</strong> Department<br />
Bruce M. Becker MD, MPH, Warren Alpert School of <strong>Medicine</strong> at<br />
Brown University<br />
62 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
405 Changes in Bicycle-related Injuries in Urban and Non-urban EDs in<br />
Massachusetts 2007-2010<br />
Christopher Fischer MD, Beth Israel Deaconess/Harvard Medical School<br />
406 Does An Educational Video Improve the Knowledge of Pediatric asthma<br />
Patients Visiting A Level 1 Pediatric Trauma Center <strong>Emergency</strong> Department?<br />
Jay G. Ladde MD, Orlando Regional Medical Center<br />
407 BMC Violence Intervention Advocacy Program: Understanding Challenges<br />
to Recovery to Optimize Service Delivery <strong>for</strong> Victims of Violent Injury<br />
<strong>The</strong>a L. James MD, Boston Medical Center, Boston University<br />
School of <strong>Medicine</strong><br />
408 Drink Driving and associated Prescription Drug Misuse among High-risk<br />
Urban Youth Seeking <strong>Emergency</strong> Department Care<br />
Patrick M. Carter MD, University of Michigan<br />
409 Behaviors Increasing the Risk of Crash Injury in Latino Adolescent Males:<br />
the Influence of Acculturation and Parent Connectedness<br />
Daniel L. Summers MPH, Yale School of <strong>Medicine</strong><br />
410 Adolescent Balloon Analog Risk Task Per<strong>for</strong>mance and Behaviors that<br />
Influence Risk of Injury<br />
Jessica M. Walthall BS, Yale University School of <strong>Medicine</strong><br />
411 Comparing the Effects of Age, BMI and Gender On Severe Injury (AIS 3+) in<br />
Motor Vehicle (MVC) Crashes<br />
Patrick M. Carter MD, University of Michigan<br />
412 assault-injured Youth Presenting to the Ed <strong>for</strong> Care: Who? What? Why?<br />
Megan L. Ranney MD, MPH, Alpert Medical School, Brown University<br />
413 Distracted Drivers, at Risk Child Passengers<br />
Michelle Macy, University of Michigan<br />
414 Presence of Third Molars Predicts Increased Mandible Fractures<br />
in Blunt Facial Trauma<br />
Dave Milzman, Georgetown U School of <strong>Medicine</strong><br />
415 Home Falls in the Elderly: Eliciting the Mechanisms<br />
Responsible <strong>for</strong> Severe Injury<br />
Christopher W. Davis MD, University of Arizona<br />
416 Car Ratings Take a Back Seat to Vehicle Type:<br />
Outcomes of SUV vs. Passenger Car Crashes<br />
Dietrich Jehle, SUNY@Buffalo<br />
417 A Prospective Randomized Prevention Trial assessing Paper-tape in<br />
Endurance Distances (Pre-TAPED)<br />
Mark Ellis MD, Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
418 A Systematic Review and Meta-analysis of Smoking Cessation Interventions<br />
<strong>for</strong> Adult <strong>Emergency</strong> Department Patients<br />
Jonathan H. Pelletier, Maine Medical Center Research Institute<br />
419 <strong>The</strong> Effect of Legalized Sunday Alcohol Sales on <strong>Emergency</strong> Department<br />
Visits <strong>for</strong> Alcohol Withdrawal<br />
David L. Gutteridge MD, MPH, Mount Sinai School of <strong>Medicine</strong><br />
420 Characteristics and Outcomes associated with Medicaid and Uninsured<br />
Patients Presenting to the ED with Non-Emergent Complaints Previously<br />
Evaluated by Other Health Care Providers<br />
Meredith Camp. Bin<strong>for</strong>d MHS, Yale School of <strong>Medicine</strong><br />
421 Is Health Literacy associated with Medication and Dietary Compliance in<br />
Patients with Pre-existing Hypertension?<br />
Emma Dwyer, St. Louis University<br />
422 Emotions and Patient Satisfaction: Does a Patient Education and Expectation<br />
Pamphlet (PEEP) Improve Patient Satisfaction?<br />
Candice T. Cardon MD, Christus Spohn Memorial<br />
423 Validation of An ICD-9 Code <strong>for</strong> Accurately Identifying <strong>Emergency</strong><br />
Department Patients Who Suffer An Out-of-hospital Cardiac Arrest<br />
Steve B. Chukwulebe BS, BBA, University of Pennsylvania<br />
424 Visit Urgency amongst the Chronic Disease Population in a Large<br />
Metropolitan Region <strong>Emergency</strong> Department Network<br />
Gary M. Vilke MD, University of Cali<strong>for</strong>nia, San Diego<br />
425 Patient Contact with Outpatient Providers Prior to<br />
Visiting the <strong>Emergency</strong> Department<br />
Kathryn Groner MD, Christiana Care Health Systems<br />
426 Antiemetic Use in United States <strong>Emergency</strong> Departments<br />
Elizabeth Savko DO, Saint Vincent Health Center<br />
427 Planning <strong>for</strong> the Demographic Shift: Analyzing the Resources Required <strong>for</strong><br />
Managing Patients with Cancer in the <strong>Emergency</strong> Department<br />
Anjana Patel, Mayo Clinic<br />
428 Comparison of Mortality, Charges, and Procedure Use Among Injured Adults<br />
at Hospitals and Trauma Centers in Cali<strong>for</strong>nia<br />
Mark Zocchi MPH, George Washington University<br />
429 Patient Literacy and Reasons <strong>for</strong> ED Use<br />
Ann Tsung, University of Florida<br />
430 Disparity in Patient Self-reported versus Charted Medication Allergy<br />
In<strong>for</strong>mation<br />
Preeyaporn Sarangarm Pharm D., University of New Mexico<br />
431 Correlation Between Opiate Prescribing Rates and State Medicaid Costs<br />
Sarina Doyle, Orlando Health<br />
432 Patterns of Recidivism in an Urban <strong>Academic</strong> Tertiary Care <strong>Emergency</strong><br />
Department<br />
Lora AlKhawam MD, Northwestern University<br />
433 Physician Practice Patterns and Association with ED Length of Stay <strong>for</strong><br />
Discharged Patients with Type 2 Diabetes with Severe Hyperglycemia<br />
Brian E. Driver MD, Hennepin County Medical Center<br />
434 <strong>The</strong> Effect of <strong>Emergency</strong> Department Crowding On Physicians’ Decision to<br />
Admit Patients with Transient Ischemic attack Or Minor Stroke.<br />
Maxim Ben-Yakov, University of toronto (Division of <strong>Emergency</strong> <strong>Medicine</strong>)<br />
435 <strong>The</strong> Role of Observation Services in 30 Day Recidivism<br />
Amongst Patients with Congestive Heart Failure (HF)<br />
Sean M. Lowe MD, Emory University<br />
436 A Needs-Analysis of Uninsured Patients at the University of Cali<strong>for</strong>nia,<br />
Irvine Medical Center<br />
Shahram Lotfipour MD, MPH University of Cali<strong>for</strong>nia, Irvine<br />
437 Public Participation in Research in the <strong>Emergency</strong> Department:<br />
a National Study of Predisposing Factors<br />
Enesha Cobb MD, MTS, University of Michigan<br />
438 It Matters More Than You Think: TG in the ED<br />
Makini Chisolm-Straker MD, Mount Sinai School of <strong>Medicine</strong><br />
439 Pharmacists in the <strong>Emergency</strong> Department: A Study of Feasibility and Cost<br />
Jesse B. Cannon MD, Emory University, Atlanta VA Medical Center<br />
440 Linkage to Care and Healthcare Utilization Subsequent to<br />
HIV Diagnosis from an ED HIV Testing Program<br />
Andrew H. Ruffner MA, University of Cincinnati<br />
441 How Can We Improve the <strong>Emergency</strong> Department Experience <strong>for</strong> Patients?<br />
A Multiphasic Study Using Kano Methodology.<br />
Dipti Agarwal MBBS, Mayo Clinic<br />
442 Identifying Iowa’s Icu Staffing Models and Defining the<br />
Role of the <strong>Emergency</strong> Physician<br />
Elizabeth Hassebroek MD, University of Iowa Hospitals and Clinics<br />
443 Percentage of Medicare- and Medicaid-funded Patients Seen in<br />
US ED’s Increased Between 2006 and 2010<br />
Susan Watts PhD, Texas Tech University Health Sciences Center<br />
444 Impact of Gender on Patient Preferences <strong>for</strong> Technology Based<br />
Behavioral Interventions<br />
David J. Kim, <strong>The</strong> Warren Alpert Medical School of Brown University<br />
445 Trail to Examine Text Message Based mHealth in ED Patients<br />
with Diabetes (TExT-MED)<br />
Sanjay Arora, Keck School of <strong>Medicine</strong> of the University of Southern Cali<strong>for</strong>nia<br />
446 Assessing the Satisfaction of Mobile Health (mHealth) Amongst ED<br />
Inner-city Patients with Diabetes Who Received the TExT-MED Intervention<br />
Sanjay Arora, Keck School of <strong>Medicine</strong> of the University of Southern Cali<strong>for</strong>nia<br />
447 Evaluating the Association Between Mental Health Professional<br />
Availability and ED Visits and Hospitalizations <strong>for</strong> Mental Health<br />
Related Conditions in Cali<strong>for</strong>nia<br />
Sophie Terp MD, MPH, Department of <strong>Emergency</strong> <strong>Medicine</strong>, University of<br />
Southern Cali<strong>for</strong>nia Keck School of <strong>Medicine</strong><br />
448 Text-message Reminders Increase Patient attendance at Outpatient<br />
Appointment Following ED Visits<br />
Elizabeth Burner MD, MPH, University of Southern Cali<strong>for</strong>nia<br />
449 Estimation of the Impact of Population Aging On Us <strong>Emergency</strong> Department<br />
Visits and Hospitalizations Through 2050<br />
Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital<br />
450 <strong>The</strong> Influence of Insurance Status On the Decision to Transfer Or Admit<br />
Patients Presenting with Orthopedic Injuries<br />
Dana Kindermann, George Washington University Hospital<br />
451 Discharges to Nursing Homes Or Home with Additional Services Is associated<br />
with Increased Readmissions Through the ED After An Index Hospitalization<br />
Peter Smulowitz MD, MPH, Beth Israel Deaconess Medical Center<br />
452 Factors associated with Super Users of <strong>Emergency</strong> Department<br />
Resources Admitted to Acute Care<br />
Edward M. Castillo PhD, MPH, University of Cali<strong>for</strong>nia, San Diego<br />
May 14-18, 2013 | Atlanta, Georgia 63
453 Use of Short assessment of Health Literacy <strong>for</strong> Spanish Adults (SAHLSA-50)<br />
to Determine the Health Literacy Rate of the Spanish-speaking Population in<br />
an Urban <strong>Emergency</strong> Department<br />
Sheetal Thaker MD, Baylor College of <strong>Medicine</strong><br />
454 Variation in <strong>Emergency</strong> Department Admission Rates at the Hospital Level:<br />
Role of Payer mix, Volume and Case Mix.<br />
Amber K. Sabbatini MD, MPH, Department of <strong>Emergency</strong> <strong>Medicine</strong>,<br />
University of Michigan<br />
455 Variation in National ED Admission Rates by Clinical Condition, 2009<br />
Arjun K. Venkatesh MD, MBA, Yale University<br />
456 A Comparison of Injury Severity and Resource Utilization between<br />
Motorcycle Trauma and Gunshot Trauma<br />
Sarah Fabiano MD, University of Rochester<br />
457 Prevalence of Undiagnosed Acute and Non-Acute HIV<br />
in a Lower Prevalence Urban <strong>Emergency</strong> Department<br />
Phillip Moschella MD, PhD, University of Cincinnati<br />
458 Discharge Glucose Levels and Amount of Glucose Reduction Are Not<br />
associated with Short-term Adverse Outcomes in Discharged Patients with<br />
Type 2 Diabetes with Severe Hyperglycemia<br />
Brian E. Driver MD, Hennepin County Medical Center<br />
459 Pediatric ED Observation Protocol Care: A Cost Comparison<br />
Julie S. Weber, Wayne State University School of <strong>Medicine</strong><br />
460 <strong>Emergency</strong> Department Hospitalization Case Volume<br />
and Mortality in the United States<br />
Keith E. Kocher, University of Michigan<br />
461 Describing the Mobile Health Capacity of Inner City Latino <strong>Emergency</strong><br />
Department Patients: Are National Estimates Accurate?<br />
Sanjay Arora MD, Keck School of <strong>Medicine</strong> of the University of<br />
Southern Cali<strong>for</strong>nia<br />
462 <strong>The</strong> Rapid Rise in Opioid Prescribing in U.S. <strong>Emergency</strong> Departments:<br />
A Cause <strong>for</strong> Concern<br />
Jesse Pines MD, MBA, MSCE, George Washington University<br />
463 Orthopedic Observation Units Reduce Hospital Admissions<br />
Amy Ernst MD, University of New Mexico<br />
464 Pain Management in Children with Multi-System Trauma<br />
Michael Kim MD, University of Wisconsin School of <strong>Medicine</strong> and Public Health<br />
465 <strong>The</strong> Association Between Parental Language and 72-hour Revisits Following<br />
Pediatric <strong>Emergency</strong> Department Discharge<br />
Margaret E. Samuels-Kalow MD, MPhil, Children’s Hospital of Philadelphia<br />
466 Return to School in Students After A Sport-related Concussion:<br />
the Role of the School Nurse<br />
Robert P. Olympia MD, Penn State Hershey Medical Center<br />
467 Protocol-Directed Observation Care in Existing<br />
Pediatric <strong>Emergency</strong> Department Space<br />
Allison D. Cator MD, PhD, University of Michigan<br />
468 Car Safety Seat Usage in the State of Arizona and the<br />
Adherence to the 2002 American Academy of Pediatrics Guidelines<br />
Allison Peasley MD, University of Arizona<br />
469 Adult Chest Pain in the Pediatric <strong>Emergency</strong> Department:<br />
Treatment and Timeliness From Door to Departure<br />
Jeffrey H. Sacks MD, Emory University School of <strong>Medicine</strong><br />
470 Broselow Tape: How Reliable Is Weight Estimation in Hispanic Children?<br />
Muhammad Waseem MD, MS, Lincoln Medical & Mental Health Center<br />
471 Survey of Parents’ attitudes and Beliefs of Over the Counter Cold/Cough<br />
Medications in the Pediatric <strong>Emergency</strong> Department<br />
Urvi Thakker, Newark Beth Israel Medical Center<br />
472 How Well Can Adolescents assess their Own asthma Symptoms?<br />
Tiffany Jan MD, the University of Chicago Medical Center<br />
473 <strong>Emergency</strong> Department Presentation of the Pediatric Systemic<br />
Inflammatory Response Syndrome (SIRS)<br />
Timothy Horeczko MD, MSCR, University of Cali<strong>for</strong>nia, Davis Medical Center<br />
474 Frequency of Teratogenic Drug Administration without Pregnancy Testing<br />
Among Adolescent <strong>Emergency</strong> Department Patients<br />
Monika Goyal MD, Children’s National Medical Center,<br />
<strong>The</strong> George Washington University<br />
475 Do Pediatric Patients with Psychiatric Symptoms Need Screening<br />
Tests to Rule Out Medical Etiology?<br />
Reena Blanco MD, Emory University<br />
476 Parental attitudes towards the Use of the Federal Exception From In<strong>for</strong>med<br />
Consent (EFIC) <strong>for</strong> <strong>Emergency</strong> Studies of Severe Traumatic Brain Injuries<br />
Nicholas J. Rademacher, University of Michigan<br />
477 Knowledge and attitudes about Pediatric Cardio-pulmonary Resuscitation<br />
(p-CPR) among Parents Bringing their Children to the Pediatric <strong>Emergency</strong><br />
Department (ED)<br />
Lisa Moreno-Walton MD,<br />
Louisiana State University Health Sciences Center-New Orleans<br />
478 Cost of Screening Laboratory Tests <strong>for</strong> Medical Clearance of Pediatric<br />
Psychiatric Patients in the <strong>Emergency</strong> Department<br />
J. Joelle Donofrio DO, Harbor UCLA Medical Center<br />
479 External Validation and Comparison of Three Popular Clinical Dehydration<br />
Scales in Children<br />
Joshua M. Jauregui MD, Brown University Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
480 Rate of Adherence to CDC Guidelines <strong>for</strong> Treatment of Influenza in a Pediatric<br />
<strong>Emergency</strong> Department<br />
Hamid R. Alai, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Johns Hopkins University<br />
481 Ill Appearing, Not Ill Appearing, Or Not Sure?<br />
Paul Walsh, University of Cali<strong>for</strong>nia Davis<br />
482 <strong>The</strong> Growth of Fellowship Programs in Medical Simulation<br />
Paul S. Jansson BA, Northwestern University Feinberg School of <strong>Medicine</strong><br />
483 Ability of <strong>Emergency</strong> <strong>Medicine</strong> Residents to Meet the Standard of Care <strong>for</strong><br />
tPA During Small Team-based Simulation<br />
Timothy Koboldt MD, Washington University in St. Louis School of <strong>Medicine</strong><br />
484 Physiology of Residents in Simulation <strong>Medicine</strong><br />
Dale Cotton MD, UC Davis Medical Center<br />
485 Does a Physician Advanced Directive Survey Predict Bedside Response in<br />
Simulated End of Life Scenarios?<br />
Christopher R. Carpenter MD, MSc, Washington University in St. Louis<br />
486 Design and Validation of a Difficult Airway Training Model:<br />
A Prospective Observational Trial<br />
Joan Noelker MD, Washington University St Louis<br />
487 Evaluation of A Simulation-Based Curriculum <strong>for</strong><br />
Rotating Residents in the <strong>Emergency</strong> Department<br />
David H. Salzman MD, Northwestern University<br />
488 Simulation <strong>Emergency</strong> Department Thoracotomy:<br />
A Novel Simulation Teaching Model to Enhance Residency Training<br />
Erinn Hama MD, Georgetown University and Washington Hospital Center<br />
489 Effectiveness of an Internal, Computer-Based Chest Compression<br />
Simulator on CPR Training: A Longitudinal Study<br />
Peter L. Griffin BS, Penn State University Hershey Medical Center<br />
490 Initiating and assessing a Team Training Curriculum<br />
<strong>for</strong> the <strong>Emergency</strong> Department<br />
Ambrose H. Wong MD, NYU School of <strong>Medicine</strong><br />
Milestones in Training - Oral Presentations<br />
Thursday, May 16, 12:00 - 1:00 pm in Atlanta B<br />
Moderator: Christopher Ross MD, Cook County Hospital<br />
491 How Competent are <strong>Emergency</strong> <strong>Medicine</strong> Interns <strong>for</strong> Level 1 Milestones:<br />
Who is Responsible?*<br />
Laura Hopson MD, University of Michigan<br />
492 Inter-Rater Agreement of <strong>Emergency</strong> <strong>Medicine</strong> Milestone<br />
PC12 <strong>for</strong> Goal-Directed Focused Ultrasound Is Excellent*<br />
Stephen Leech, Orlando Regional Medical Center<br />
493 Self-assessment and Feedback are Both Important Factors in the Retention<br />
and Execution of Learning Goals by EM Residents<br />
Amish Aghera, Maimonides Medical Center<br />
494 How Do Practicing EM attendings Self-evaluate On the EM Milestones?<br />
Timothy C. Peck MD, Beth Israel Deaconess Medical Center<br />
Patient Communication - Oral Presentations<br />
Thursday, May 16, 12:00 - 1:00 pm in Atlanta C & D<br />
Moderator: Emilie Powell MD, MS, MBA, Northwestern University<br />
495 Preferences <strong>for</strong> Resuscitation and Intubation Among Patients with<br />
Do-not-resuscitate/do-not-intubate Orders: A 1 Year Follow Up Study.*<br />
John E. Jesus MD, Christiana Care Health Center<br />
496 Does Anyone Know What We Are Talking About? A Comparative Analysis of<br />
<strong>Emergency</strong> Department Verbal Communication and Patient Knowledge<br />
Kirsten G. Engel, Northwestern University<br />
497 Targeted Bedside <strong>Emergency</strong> Department HIV Screening<br />
Does Not Impact Length of Stay<br />
Bradley Hernandez MD, Regions Hospital<br />
64 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
498 Evaluation of Competency <strong>for</strong> Physicians who Self Translate <strong>for</strong> Limited<br />
English Proficiency Patients in the <strong>Emergency</strong> Department<br />
David T. Chiu, Beth Israel Deaconess Medical Center<br />
Geriatric Trauma - Oral Presentations<br />
Thursday, May 16, 12:00 - 1:00 pm in Atlanta E & F<br />
Moderator: Timothy F. Platts-Mills MD, University of North Carolina Chapel Hill<br />
499 Derivation of A Decision Rule <strong>for</strong> Obtaining A Head CT in the Elderly Fall<br />
Patient with Baseline Mental Status<br />
Darin Agresti DO, St. Luke’s University Hospital and Health Network<br />
500 Elderly Falls On Level Ground: A Descriptive Study<br />
Khalief Hamden MD, St. Luke’s University Hospital and Health Network<br />
501 Do Trauma Patients Age 55 and Older Benefit From Air Medical Transport?<br />
Howard A. Werman MD, Ohio State University<br />
502 Cervical Spine Injuries in Elderly Fall Patients Who Do Not Meet<br />
Trauma Alert Criteria<br />
Khalief Hamden MD, St. Luke’s University Hospital and Health Network<br />
Ischemic Conditioning - Oral Presentations<br />
Thursday, May 16, 12:00 - 1:00 pm in Atlanta G<br />
Moderator: Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital<br />
503 Fibroblast Growth Factor Receptor Signaling in Endothelium Mediates<br />
Post-Ischemic Vascular Remodeling and Functional Recovery in an in Vivo,<br />
Closed-Chest Model of Acute Myocardial Infarction<br />
Stacey L. House MD, PhD, Washington University in St. Louis<br />
504 Opposite Effect of TNF Receptor 1 and Receptor 2 in Post-MI Remodeling and<br />
the Underlying Mechanisms Involved<br />
Yajing Wang MD, PhD, Thomas Jefferson University Hospital<br />
505 Critical role of Sphingosine-1-Phosphate Receptor 2 in Blood Brain<br />
Barrier Disruption, Intracerebral Hemorrhage and Neurovascular Injury in<br />
Experimental Stroke.<br />
Teresa Sanchez, Beth Israel Deaconess Medical Center<br />
506 Long Term Adiponectin Administration Protects Against Myocardial<br />
Ischemia/Reperfusion Injury in High-Fat Diet Induced Diabetic Mice<br />
Wayne Bond Lau MD, Thomas Jefferson University Hospital<br />
<strong>Emergency</strong> Department Quality - Lightning Oral Presentations<br />
Thursday, May 16, 12:00 - 1:00 pm in Atlanta A<br />
Moderator: Arjun K. Venkatesh MD, Yale University<br />
507 <strong>The</strong>re Is No Difference in Bystander CPR Rates <strong>for</strong> Male Versus Female<br />
9-1-1 Callers<br />
David E. Slattery, University of Nevada School of <strong>Medicine</strong><br />
508 Implementation of Checklists <strong>for</strong> Central Line associated Blood Stream<br />
Infection Prevention in the <strong>Emergency</strong> Department.*<br />
Robert Klemisch AB, Washington University School of <strong>Medicine</strong> in St. Louis<br />
509 Reducing Blood Culture Contamination in a Community Hospital <strong>Emergency</strong><br />
Department with a Standardized Sterile Collection Technique*<br />
Wesley H. Self MD, MPH, Vanderbilt University Medical Center<br />
510 <strong>Emergency</strong> Physician Perceptions of the Quality Improvement and<br />
Educational Value of a <strong>for</strong>mal Peer Review Committee<br />
Martin Reznek MD, MBA, University of Massachusetts Medical School and<br />
UMassMemorial Medical Center<br />
511 <strong>Emergency</strong> Department Error Characterization: Findings from 18 months of<br />
<strong>for</strong>mal Peer Review-based Error Analysis<br />
Martin Reznek MD, MBA, University of Massachusetts Medical School and<br />
UMassMemorial Medical Center<br />
512 Impact of A Change in Intensive Care Unit Admission Policy<br />
On Length of Stay and Morbidity.<br />
Jonathan McCoy, RWJUH/RWJMS<br />
Undergrad Education - Lightning Oral Presentations<br />
Thursday, May 16, 12:00 - 1:00 pm in Roswell 1<br />
Moderator: Lorraine Thibodeau MD, Albany Medical College<br />
513 Directing Medical Students to a Comprehensive Set of<br />
Chief Complaints can Standardize their Clinical Experience<br />
Timothy Peck MD, Beth Israel Deaconess Medical Center<br />
514 Current State of Undergraduate Education in <strong>Emergency</strong> <strong>Medicine</strong><br />
Sorabh ‘Khandelwal, Ohio State University<br />
515 <strong>The</strong> National <strong>Emergency</strong> <strong>Medicine</strong> M4 Exam - an Update<br />
Corey Heitz, Virginia Tech Carilion School of <strong>Medicine</strong><br />
516 <strong>The</strong> Efficacy of Electronic Versus Paper Medical Student Evaluations<br />
David T. Chiu, Beth Israel Deaconess Medical Center<br />
517 Text Messaging Enhanced Curriculum <strong>for</strong> Medical Student <strong>Emergency</strong><br />
<strong>Medicine</strong> Clerkship<br />
Marjorie L. White MD, MPPM, MEd, University of Alabama Birmingham<br />
518 Medical Student Perception of Resident and Attending Contributions to<br />
Education during the EM Clerkship<br />
Brian Barbas, Cooper Medical School of Rowan University<br />
Prehospital CPR - Lightning Oral Presentations<br />
Thursday, May 16, 12:00 - 1:00 pm in Roswell 2<br />
Moderator: Jane Brice MD, University of North Carolina<br />
519 Prehospital Life Saving Interventions in Patients with Cardiac Arrest<br />
in A Combat Setting - A Prospective, Multicenter Study<br />
Vikhyat S. Bebarta, San Antonio Military Medical Center;<br />
US Army Institute of Surgical Research<br />
520 Concordance of Prehospital and <strong>Emergency</strong> Department Cardiac Arrest<br />
Resuscitation with Documented End-of-Life Choices in Oregon*<br />
Derek K. Richardson, Oregon Health & Science University<br />
521 Differences in Prognosis of Secondary Shockable Rhythms<br />
in Out-of-Hospital Cardiac Arrest<br />
Andrew J. Thomas, Oregon Health & Science University<br />
522 <strong>The</strong> Impact of Pre-hospital Non-invasive Positive Pressure Support<br />
Ventilation in Adult Patients with Severe Respiratory Distress: A Systematic<br />
Review and Meta-Analysis*<br />
Sameer Mal MD, University of Western Ontario<br />
523 Improvements in Survival <strong>for</strong> Out-of-hospital Cardiac Arrests<br />
in Singapore Over 10 Years<br />
Hsuan Lai, Duke-NUS Graduate Medical School<br />
524 Gender and Survival in Out-of-hospital Cardiac Arrest (OHCA) - Results From<br />
the OPALS (Ontario Prehospital Advanced Life Support) Study*<br />
Basmah Safdar MD, Yale University<br />
Keynote Speaker - Thomas R. Frieden MD, MPH<br />
- Plenary Presentations, Thursday, May 16, 2:00 - 3:00 pm<br />
Plenary Presentations - Plenary Presentations<br />
Thursday, May 16, 3:30 - 5:00 pm in Plaza Ballroom ABC<br />
Moderator: David Cone MD, Yale University School of <strong>Medicine</strong><br />
1 NEXUS Chest: Validation of a Decision Instrument <strong>for</strong> Selective Chest<br />
Imaging in Blunt Trauma<br />
Robert M. Rodriguez MD, UCSF/San Francisco General Hospital<br />
2 Intravenous Cobinamide Versus Hydroxocobalamin <strong>for</strong> Acute Treatment of<br />
Severe Cyanide Poisoning in A Swine (Sus Scrofa) Model - a randomized,<br />
controlled trial<br />
Vikhyat S. Bebarta, San Antonio Military Medical Center<br />
3 Anaphylaxis; Clinical Features and Evidence <strong>for</strong> A Mast Cell-leukocyte<br />
Cytokine Cascade in Humans.<br />
Simon G.A. Brown MBBS, PhD, FACEM, Western Australian Institute <strong>for</strong> Medical<br />
Research, Royal Perth Hospital and the University of Western Australia<br />
4 Accuracy of an Ultra-Low Dose CT Protocol <strong>for</strong> ED Patients with Suspected<br />
Kidney Stone<br />
Chris Moore MD, RDMS, Yale University School of <strong>Medicine</strong><br />
5 Latino Caregiver Experiences with asthma Health Communications: A<br />
Qualitative Evaluation<br />
Antonio Riera MD, Yale University School of <strong>Medicine</strong><br />
6 Randomized Trial of Tenecteplase or Placebo with Low Molecular Weight<br />
Heparin <strong>for</strong> Acute Submassive Pulmonary Embolism: assessment of Patient-<br />
Oriented Cardiopulmonary Outcomes at Three Months<br />
Jeffrey A. Kline MD, Indiana University School of <strong>Medicine</strong><br />
Voices from the Past In<strong>for</strong>ming the Future of<br />
<strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
Thursday, May 16, 5:00 - 5:30 pm in Plaza Ballroom ABC<br />
Moderator: Brian Zink MD, Alpert Medical School of Brown University<br />
FRIDAY, May 17th, 2013<br />
Pain Management - Oral Presentations<br />
Friday, May 17, 8:00 - 9:00 am in Atlanta B<br />
Moderator: Sergey M. Motov MD, Maimonides Medical Center<br />
May 14-18, 2013 | Atlanta, Georgia 65
525 Transbuccal Fentanyl Provides More Rapid Pain Improvement<br />
Than Oral Oxycodone<br />
Peyton Holder MD, University of Oklahoma Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
526 Opioid Pain Reliever (OPR) Adminstration and Prescribing Pattern in An<br />
Urban ED <strong>for</strong> Patients Presenting with Chronic Back Pain<br />
Nate Egger MD, Wayne State University<br />
527 Dental Pain in the ED, Costs that Hurt Patients and EDs<br />
Joseph S. Kim MD, University of Kentucky<br />
528 Analgesia Prescriptions <strong>for</strong> ED Patients with Low Back Pain:<br />
A National Perspective*<br />
Adam J. Singer MD, Stony Brook University<br />
Ultrasound - Oral Presentations<br />
Friday, May 17, 8:00 - 10:00 am in Atlanta E & F<br />
Moderator: David J. Blehar MD, University of Massachusetts Medical School<br />
529 Evaluation of an Ultrasound Observed Structured Competency Exam (OSCE)<br />
Over the Course of A <strong>Emergency</strong> <strong>Medicine</strong> Residency<br />
Stephen Leech, Orlando Regional Medical Center<br />
530 Bedside Ultrasound in the Diagnosis of Subcutaneous Abscess Requiring<br />
Incision and Drainage.<br />
Isaac J. Farrell, University of Arizona<br />
531 Sonographic Characteristics of MRSA Skin Abscesses<br />
Romolo Gaspari MD, PhD, University of Massachusetts Medical School<br />
532 <strong>The</strong> Diagnostic Accuracy of Bedside Echocardiography in the <strong>Emergency</strong><br />
Department Patient with Suspected Acute Coronary Syndrome<br />
Jordan Singleton MD, University of Arizona<br />
533 Bedside Ultrasound <strong>for</strong> the Detection of Dehydration in Youth (Buddy Study)<br />
Joshua M. Jauregui MD, Alpert Medical School of Brown University, Department<br />
of <strong>Emergency</strong> <strong>Medicine</strong><br />
534 What Are the Baseline Measurements <strong>for</strong> Physeal Plate Widths in Healthy,<br />
Uninjured Children?<br />
Lorraine Ng MD, NYP Morgan Stanley Children’s Hospital of New York<br />
535 <strong>The</strong> Diagnostic Accuracy of Bedside Ocular Ultrasound in the Diagnosis of<br />
Retinal Detachment: A Systematic Review and Meta-analysis.*<br />
Hal J. Minnigan MD, Indiana University School of <strong>Medicine</strong><br />
Patient In<strong>for</strong>med Consent - Oral Presentations<br />
Friday, May 17, 8:00 - 9:00 am in Atlanta G<br />
Moderator: Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital<br />
536 Perceptions of Risk and In<strong>for</strong>med Consent in the <strong>Emergency</strong> Department<br />
James Ahn, University of Chicago<br />
537 Are Well-in<strong>for</strong>med Potential Trial Participants More Likely to Participate?<br />
Alexander T. Limkakeng, Duke University<br />
538 <strong>The</strong> Impact of Race and Sex of Study Personnel On the Decision to<br />
Participate in Research*<br />
Kimberly W. Hart, MA, University of Cincinnati<br />
539 Which Parts of an In<strong>for</strong>med Consent Document Do Potential Trial Participants<br />
Consider Important?<br />
Alexander T. Limkakeng, Duke University<br />
<strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong> - Lightning Oral Presentations<br />
Friday, May 17, 8:00 - 9:00 am in Atlanta A<br />
Moderator: Susan Promes MD, University of Cali<strong>for</strong>nia, San Francisco<br />
540 <strong>Academic</strong> Career Interest in American <strong>Emergency</strong> Residents*<br />
John Burkhardt, University of Michigan<br />
541 Description and Productivity of <strong>Emergency</strong> <strong>Medicine</strong> Researchers Receiving<br />
K23 Or K08 Mentored Research Career Development Awards*<br />
Daniel K. Nishijima, University of Cali<strong>for</strong>nia, Davis<br />
542 Quantifying Federal Funding and Scholarly Output Resulting From the<br />
<strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong> Consensus Conferences<br />
Daniel K. Nishijima, University of Cali<strong>for</strong>nia, Davis<br />
543 Faculty Prediction of In-training Examination Scores of<br />
<strong>Emergency</strong> <strong>Medicine</strong> Residents<br />
Amer Z. Aldeen MD, Northwestern University<br />
544 Per<strong>for</strong>mance on COMLEX-USA Exams Predicts Per<strong>for</strong>mance<br />
on EM Residency In-training Exams<br />
Deborah L. Pierce DO, MS, Einstein Medical Center<br />
545 Correlation of the National <strong>Emergency</strong> <strong>Medicine</strong> Clerkship Exam with USMLE<br />
Examination Per<strong>for</strong>mance<br />
Luan Lawson MD, Brody School of <strong>Medicine</strong> at East Carolina University<br />
Novel Cardiovascular Ideas - Lightning Oral Presentations<br />
Friday, May 17, 8:00 - 9:00 am in Atlanta C & D<br />
Moderator: Chad E. Darling MD, UMass Medical School<br />
546 Cerebral Oximetry Monitoring During CPR is associated with Return of<br />
Spontaneous Circulation but Not Survival in ED Patients in Cardiac Arrest<br />
Adam J. Singer MD, Stony Brook University<br />
547 An Evaluation of Two Electronic Control Devices Using A Swine Comparative<br />
Cardiac Safety Model<br />
Donald M. Dawes MD, Lompoc Valley Medical Center<br />
548 Pleth Variability Index Does Not Predict Fluid Responsiveness as Measured<br />
By Pulmonary Artery Cathether thermodilution.<br />
Brandon C. Maughan MD, MHS, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Alpert<br />
Medical School of Brown University<br />
549 ECG Predictors of 30-Day Cardiac Events After Syncope<br />
Benjamin Sun, Oregon Health and Science University<br />
550 A Prospective Study on Point-of-Care Focused Cardiac Ultrasound in<br />
assessing <strong>for</strong> Thoracic Aortic Dimensions, Dilation, and Aneurysm in<br />
Correlation with CT Angiogram in Suspected Cases of Pathology<br />
Faizan Arshad, Yale New Haven Hospital<br />
551 A Prospective Observational Study of Inter-observer Agreement <strong>for</strong> Pretest<br />
Probability assessment of Deep Venous Thrombosis*<br />
Krista Brucker MD, Northwestern University<br />
Injury Prevention - Lightning Oral Presentations<br />
Friday, May 17, 8:00 - 9:00 am in Roswell 1<br />
Moderator: Megan Ranney MD, Alpert Medical School, Brown University<br />
552 Outpatient Follow Up and Management of ED Patients with<br />
Elevated Blood Pressure<br />
Brigitte M. Baumann MD, MSCE, Cooper Medical School of Rowan University<br />
553 Characterizing Intimate Partner Violence Victims Unwilling or<br />
Unable to Participate in a Follow-up Intervention<br />
Justin Schrager, Emory University School of <strong>Medicine</strong><br />
554 Safe Zones and Danger Zones: a Geographic Study of Violence and<br />
associated Resilience Factors in the Urban Environment<br />
Ward P. Myers, Boston University<br />
555 One Dose of IV Antibiotics Increases the Risk of Antibiotic associated<br />
Diarrhea in Patients Discharged Home from the <strong>Emergency</strong> Department<br />
John P. Haran MD, University of Massachusetts Medical School<br />
556 Can A Social Network HIV Testing Program Expand HIV Testing Beyond the<br />
Usual <strong>Emergency</strong> Department Population?<br />
Robbie E. Paulsen MD, University of Cincinnati<br />
557 A Qualitative Study of Client Perception of Effectiveness and Impact of the<br />
Boston Medical Center Violence Intervention Advocacy Program Peer Model<br />
Salma Bibi MPH, Boston Medical Center<br />
<strong>Emergency</strong> Department Discharge - Lightning Oral Presentations<br />
Friday, May 17, 8:00 - 9:00 am in Roswell 2<br />
Moderator: Ziad Obermeyer MD, Brigham and Women’s Hospital/Harvard University<br />
558 Short-Term Bounce-back Admissions Following <strong>Emergency</strong> Department<br />
Discharge in Medicare Patients<br />
Gelareh Z. Gabayan MD, MSHS, West Los Angeles VA and UCLA<br />
559 <strong>Emergency</strong> Department Crowding and 7-Day Bounceback Admissions<br />
Following Discharge<br />
Gelareh Z. Gabayan, West Los Angeles VA and UCLA<br />
560 Use of Teachback Discharge Instructions Does Not Improve Patient<br />
Satisfaction in the ED<br />
Yonitte Kinsella MD, Washington University in Saint Louis<br />
561 Evaluation of Patient Understanding of ED Discharge Instructions:<br />
Use of a Scale to assess Self Efficacy to Carry Out Discharge Instructions<br />
Luke A. Stevens MA, Boston University School of <strong>Medicine</strong><br />
562 Verbal Communication of Discharge Instructions:<br />
Where Are the Deficits Greatest?<br />
Kirsten G. Engel, Northwestern University<br />
563 Limitations of Teach-Back Method in the <strong>Emergency</strong> Department<br />
Maureen E. Gross MD, Barnes Jewish Hospital/Washington University<br />
Pain Management - Oral Presentations<br />
Friday, May 17, 9:00 - 10:00 am in Atlanta B<br />
Moderator: Sergey M. Motov MD, Maimonides Medical Center<br />
564 Does Treatment <strong>for</strong> Pain Influence <strong>Emergency</strong> <strong>Medicine</strong> Research Participation?<br />
Alexander T. Limkakeng, Duke University<br />
66 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
565 Lack of Association Between Body Mass Index and Clinical Response to 1 mg<br />
Intravenous Hydromorphone<br />
Shujun Xia MD, Albert Einstein College of <strong>Medicine</strong><br />
566 Randomized Clinical Trial of the 2 mg Hydromorphone Bolus Protocol vs.<br />
the “1+1” Hydromorphone Titration Protocol in Treatment of Acute,<br />
Severe Pain in the First Hour of ED Presentation<br />
Andrew E. Chertoff MD, Albert Einstein College of <strong>Medicine</strong>, Montefiore<br />
Medical Center<br />
567 Low-dose Ketamine Versus Morphine <strong>for</strong> Acute Pain in the <strong>Emergency</strong><br />
Department - A Randomized, Prospective, Double-blinded Trial*<br />
Joshua P. Miller MD, SAUSHEC<br />
Coronary Angiograph - Oral Presentations<br />
Friday, May 17, 9:00 - 10:00 am in Atlanta C & D<br />
Moderator: Judd Hollander MD, University of Pennsylvania<br />
568 Clear <strong>for</strong> A Year: Coronary CTA Follow-up <strong>for</strong> Low-risk ED Patients in the<br />
Community Hospital Setting.<br />
Aveh Bastani, Troy Beaumont Hospital<br />
569 Risk Stratification of Candidates <strong>for</strong> Coronary Ct Angiography Using High<br />
Sensitivity Troponin I.<br />
Frederick K. Korley, Johns Hopkins<br />
570 Coronary CTA in Elderly ED Patients with Low-to-intermediate Risk Chest<br />
Pain<br />
Adam J. Singer MD, Stony Brook University<br />
571 One Year Outcomes of Patients Following Coronary Computerized<br />
tomographic Angiography in the <strong>Emergency</strong> Department*<br />
Judd E. Hollander, University of Pennsylvania<br />
Frequent <strong>Emergency</strong> Department Users - Lightning Oral<br />
Presentations<br />
Friday, May 17, 9:00 - 10:00 am in Atlanta A<br />
Moderator: Martin Reznek MD, MBA, FACEP, UMass Memorial Medical Center and<br />
University of Massachusetts Medical School<br />
572 Comorbidity among Frequent <strong>Emergency</strong> Department Users with a<br />
Psychiatric associated Discharge Diagnosis<br />
Jesse J. Brennan MA, University of Cali<strong>for</strong>nia, San Diego<br />
573 Asthma Exacerbations in Japan: Who Are the Frequent Utilizers of the<br />
<strong>Emergency</strong> Department?<br />
Hiroko Watase MD, MPH, Japanese <strong>Emergency</strong> <strong>Medicine</strong> Research Alliance<br />
574 Factors associated with Frequent Users of Cali<strong>for</strong>nia<br />
<strong>Emergency</strong> Department Resources<br />
James P. Killeen MD, University of Cali<strong>for</strong>nia, San Diego<br />
575 Frequent <strong>Emergency</strong> Department Users: Examining Service Duplication<br />
Across Hospital Systems<br />
Bahareh Aslani MD, Henry <strong>for</strong>d Hospital<br />
576 Reducing Frequent Attendance by Chronic Kidney Disease Patients at the<br />
<strong>Emergency</strong> Department.<br />
Connie Boh, Duke-National University Singapore Graduate Medical School<br />
577 Impact of Social Services Case Management on Homeless, Frequent Users of<br />
<strong>Emergency</strong> Departments<br />
<strong>The</strong>odore C. Chan MD, University of Cali<strong>for</strong>nia, San Diego<br />
Neurology - Lightning Oral Presentations<br />
Friday, May 17, 9:00 - 10:00 am in Atlanta G<br />
Moderator: Edward Jauch MD, MS,<br />
Medical University of South Carolina College of <strong>Medicine</strong><br />
578 A Prospective Cohort Study to Differentiate Traumatic Tap from True<br />
Subarachnoid Hemorrhage<br />
Jeffrey J. Perry, University of Ottawa<br />
579 Quantitative EEG <strong>for</strong> Identification of Brain Dysfunction in CT Negative<br />
Acute Stroke Patients<br />
Edward A. Michelson MD, FACEP, University Hospitals Case Medical Center<br />
580 Thymosin 4 in the Treatment of Acute Stroke: A Dose Response Study<br />
Daniel C. Morris MD, Henry <strong>for</strong>d Health System<br />
581 A Randomized Controlled Trial of Intravenous Ketorolac Versus Intravenous<br />
Metoclopramide + Diphenhydramine <strong>for</strong> Acute Treatment of Non-migraine,<br />
Bland Recurrent Headache*<br />
Victoria Adewunmi MD, Albert Einstein College of <strong>Medicine</strong><br />
582 Intramuscular Midazolam versus Intravenous Lorazepam <strong>for</strong> the Pre-Hospital<br />
Treatment of Status Epilepticus in the Pediatric Population<br />
Robert D. Welch, Wayne State University<br />
583 Use and Importance of <strong>Emergency</strong> Medical Services in Rural Hospital<br />
Delivery of Thrombolytics in Acute Ischemic Stroke<br />
Cemal B. Sozener MD, University of Michigan<br />
Pediatric Decision tools - Lightning Oral Presentations<br />
Friday, May 17, 9:00 - 10:00 am in Roswell 1<br />
Moderator: Michele Nypaver MD, University of Michigan<br />
584 Impact of An Evidence-based Guideline On Rates of<br />
Diagnostic Testing <strong>for</strong> Pediatric Syncope*<br />
Megan OBrien, Boston University School of <strong>Medicine</strong><br />
585 <strong>Emergency</strong> Department Variation in Head Computed<br />
Tomography Scanning Among Pediatric Patients with Head Trauma*<br />
Jennifer R. Marin MD, MSc, University of Pittsburgh School of <strong>Medicine</strong><br />
586 Per<strong>for</strong>mance of Plain Pelvis Radiography in Children with Blunt torso Trauma*<br />
James Holmes, University of Cali<strong>for</strong>nia -Davis<br />
587 External Validation of the PECARN Head Injury Criteria <strong>for</strong> Verbal (Age 2-18)<br />
Children in a Community Hospital Setting<br />
Aveh Bastani, Troy Beaumont Hospital<br />
Geriatrics - Lightning Oral Presentations<br />
Friday, May 17, 9:00 - 10:00 am in Roswell 2<br />
Moderator: James Miner MD, Hennepin County Medical Center<br />
588 A Rapid assessment to Predict ED Revisits, Hospital Admissions or<br />
Death at 30 days Following ED Discharge in Older Individuals*<br />
James D. Dziura PhD, Yale School of <strong>Medicine</strong><br />
589 Trends in Short Stay Hospitalizations <strong>for</strong> Older Adults from 1990-2010,<br />
Implications <strong>for</strong> Geriatric <strong>Emergency</strong> Care*<br />
Peter W. Greenwald MD, MS, Weill Cornell Medical College<br />
590 Is It the Volume Or the Hospital? A National Look at<br />
ED Admission Rates <strong>for</strong> Geriatric Patients<br />
Scott M. Dresden, Northwestern University Feinberg School of <strong>Medicine</strong><br />
591 <strong>Emergency</strong> Department Geriatric Visits Are Not Increasing Faster Than<br />
Increases in total Visits<br />
Michael E. Silverman, Morristown Medical Center<br />
592 Geographic Variation in <strong>Emergency</strong> Department Use by<br />
Older Adults in North Carolina<br />
Timothy F. Platts-Mills, University of North Carolina Chapel Hill<br />
593 GEDI WISE: the Quality of Care Transitions <strong>for</strong> Older Adults Discharged<br />
from the ED to Home<br />
Corita R. Grudzen MD, MSHS, Mount Sinai School of <strong>Medicine</strong><br />
Posters 3- Poster Presentations- Posters will be attended by authors<br />
from 10:00 am – 12:00 pm<br />
Friday, May 17, 8:00 am - 12:00 pm in 200 Gallery -level 6<br />
155 Identification of Sphingosine-1-Phosphate Receptor 2 as A Critical Modulator<br />
of Vascular Inflammation During Endotoxemia<br />
Teresa Sanchez, Beth Israel Deaconess Medical Center<br />
236 EMS Accuracy <strong>for</strong> Stroke Identification: Seizures Lead to Overdiagnosis<br />
Ethan Brandler, SUNY Downstate University Hospital of Brooklyn<br />
594 Low Acuity Heart Failure Patients That Bypass<br />
the ED Observation Unit - Room <strong>for</strong> Improvement?<br />
Matthew Wheatley, Emory University School of <strong>Medicine</strong><br />
595 Risk Estimates <strong>for</strong> the Canadian CT Head Rule<br />
in Patients with Minor Head Injury<br />
Edward R. Melnick MD, Yale School of <strong>Medicine</strong><br />
596 Examining Clinical Decision Support Integrity:<br />
Is Clinician Self-Reported Data Entry Accurate?<br />
Anurag Gupta MD, MBA, Brigham and Women’s Hospital<br />
597 Derivation and Validation of a Clinical Prediction Rule <strong>for</strong> Symptomatic<br />
Ureteral Stone: the “S.T.O.N.E. Score”<br />
Chris Moore MD, RDMS, Yale University School of <strong>Medicine</strong><br />
598 Systemic Antibiotics after Incision and Drainage of Simple Abscesses:<br />
A Meta-Analysis<br />
Adam J. Singer MD, Stony Brook University<br />
599 What Is the Acceptability of Using Text Messaging Communication<br />
<strong>for</strong> Notification of Normal and Abnormal Laboratory Results Amongst<br />
<strong>Emergency</strong> Department Patients?<br />
Adrienne Hughes, Baylor College of <strong>Medicine</strong><br />
600 A Translational Study: <strong>Emergency</strong> Department Administrators’ Interest in the<br />
Adoption of an Unstaffed Computer Kiosk <strong>for</strong> Health Screening and Education<br />
Katie E. Dean MD, Emory<br />
May 14-18, 2013 | Atlanta, Georgia 67
601 Medication Adherence Emerges as A Strong Target <strong>for</strong> Mhealth Interventions<br />
in Qualitative Analysis of Text-med (Trial to Examine Text-based Mhealth <strong>for</strong><br />
<strong>Emergency</strong> Department Patients with Diabetes)<br />
Elizabeth Burner MD, MPH, University of Southern Cali<strong>for</strong>nia<br />
602 How Do ED Patients Compare to the General Population in their Use of<br />
In<strong>for</strong>mation Technology<br />
Lori Post, Yale University School of <strong>Medicine</strong><br />
603 Limiting Acute Lung Injury in the <strong>Emergency</strong> Department<br />
Brian Fuller MD, Washington University in St. Louis School of <strong>Medicine</strong><br />
604 <strong>The</strong> Efficacy and Use of Bolus-Dose Phenylephrine <strong>for</strong> Peri-intubation<br />
Hypotension in the <strong>Emergency</strong> Department.<br />
Jarrod M. Mosier, University of Arizona<br />
605 How Does Per<strong>for</strong>ming Bedside Ultrasound Impact Utilization of Ct Scans in<br />
Critically Ill Patients with Undifferentiated Hypotension?<br />
Hamid Shokoohi, George Washington University<br />
606 Body Mass Index is associated with Inappropriate Tidal Volume Settings in<br />
Adult Patients Intubated in the ED<br />
Shannon Graf MD, MedStar Washington Hospital Center<br />
607 Physiologic Instability in the <strong>Emergency</strong> Department Predicts Clinical<br />
Deterioration<br />
Daniel J. Henning MD, Beth Israel Deaconess Medical Center<br />
608 Palliative Care Screening <strong>for</strong> ICU Admissions<br />
Cheryl Courage, Wayne State University<br />
609 Gender Specific Differences in the Prevalence and <strong>Emergency</strong> Department<br />
Management of Anaphylaxis: A Multicenter Study<br />
Jonathan Bastian MD, University of Calgary<br />
610 CT Imaging of Pediatric Chest De<strong>for</strong>mation during Simulated CPR<br />
George Glass, University of Virginia<br />
611 <strong>The</strong> Use of An Ultrasonic Cardiac Output Monitoring (USCOM) Device<br />
in Addition to Cardiac Ultrasound in Patients Undergoing Treatment <strong>for</strong><br />
Undifferentiated Shock<br />
Johanna C. Moore MD, Hennepin County Medical Center<br />
612 Intravenous Thiamine Increases Oxygen Consumption in Critically Ill Patients<br />
Katherine Berg MD, Beth Israel Deaconess Medical Center<br />
613 Do Do-Not-Resuscitate (DNR) Orders Affect Treatment and Interventions<br />
Per<strong>for</strong>med By <strong>Emergency</strong> Physicians?<br />
Danielle Hollingworth, Orlando Health<br />
614 Prehospital Intubation Duration Does Not Increase Risk <strong>for</strong> Early Ventilatorassociated<br />
Pneumonia in Trauma Patients<br />
Nicholas M. Mohr, University of Iowa Carver College of <strong>Medicine</strong><br />
615 A Survey Investigation of Knowledge and Confidence in the Per<strong>for</strong>mance of<br />
Pediatric Cardiopulmonary Resuscitation Among Parents of Patients in A<br />
Middle Eastern Hospital<br />
Lisa Moreno-Walton MD,<br />
Louisiana State University Health Sciences Center-New Orleans<br />
616 ECMO as Rescue Strategy <strong>for</strong> Refractory Cardiac Arrest and Profound Shock.<br />
David F. Gaieski, University of Pennsylvania School of <strong>Medicine</strong><br />
617 Lactate Clearance Is Not Prognostic in Cardiac Arrest Patients<br />
David A. Pearson MD, Carolinas Medical Center<br />
618 Modified Shock Index but Not Cross Product Predictive<br />
of Outcomes after Cardiac Arrest<br />
David F. Gaieski, University of Pennsylvania School of <strong>Medicine</strong><br />
619 Measurement of Retinal Venous Oxygen Saturation During Progressive<br />
Hypoxia in Swine in vivo Using the Blue-Green Minima Technique<br />
Lawrence A. DeLuca, University of Arizona<br />
620 Comparison of the Normal Saline and Heparinized Solutions <strong>for</strong> Maintenance<br />
of Arterial Catheter Pressure-wave.<br />
Yuri Ishii, Tokyo Medical University Hospital<br />
621 Initial Prospective Analysis of therapeutic Hypothermia <strong>for</strong> Inpatient<br />
Survivors of Sudden Cardiac Arrest in Comparison to Historical Controls<br />
Kenneth Will MD, Cook County (Stroger) Hospital<br />
622 Practical Skill Retention in Medical Students: Improving Cardiopulmonary<br />
Resuscitation with Hands-On Practice<br />
Alexander M. Dabrowiecki BS, St. George’s University<br />
623 Lack of Agreement Between Swan-Ganz Continuous Cardiac Output and<br />
FloTrac Vigileo Cardiac Output in a Swine Model of Septic Shock<br />
Lawrence A. DeLuca, University of Arizona<br />
624 Factors associated with Delayed Cooling in Cardiac Arrest Patients<br />
David A. Pearson MD, Carolinas Medical Center<br />
68 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
625 Time to Epinephrine and Survival Following In-Hospital Cardiac Arrest<br />
Michael Donnino, Beth Israel Deaconess Medical Center<br />
626 Patient Perceived “Acceptable Risk” of Chest Computed tomography in<br />
Trauma and Pregnancy<br />
Eric C. Silverman MD, Cooper Medical School of Rowan University<br />
627 How Many Ultrasound Examinations Are Necessary to Gain Proficiency in<br />
Accurately Identifying the Nerves of the <strong>for</strong>earm?<br />
Anthony De Lucia DO, University of South Florida<br />
628 Determination of a Body Mass Index Upper Limit in Adults <strong>for</strong> the Diagnosis<br />
of Acute Appendicitis Using a High Frequency Linear Ultrasound Transducer<br />
Craig Sisson MD, RDMS,<br />
University of Texas Health Science Center San Antonio<br />
629 Severity of DKA is associated with Length of Stay <strong>for</strong> Low-income, Resource<br />
Poor Patients<br />
Elizabeth Burner MD, MPH, University of Southern Cali<strong>for</strong>nia<br />
630 Does CT Scan Affect Diagnosis and Management of Patients with Suspected<br />
Renal Colic?<br />
Michael D. Zwank, Regions Hospital<br />
631 Retrospective Validation of High Yield Criteria <strong>for</strong> Obtaining Chest X-ray in<br />
Non-traumatic Chest Pain<br />
Karl Weller DO, St. Luke’s University Hospital<br />
632 Reduction in Abdominal Computed tomography Use in Adult Trauma Patients<br />
as Use of the Focused assessment with Sonography in Trauma Increases<br />
Alexander Y. Sheng MD, Massachusetts General Hospital<br />
633 Bedside Ultrasonography as an Adjunct to Routine Workup to Evaluate <strong>for</strong><br />
Possible Acute Appendicitis in the <strong>Emergency</strong> Department<br />
Samuel H. F. Lam, Advocate Christ Medical Center<br />
634 Does the Finding of Gestational Sac On Point of Care Ultrasound Decrease<br />
the Risk of Ectopic Pregnancy?<br />
Brooke Hensley MD, UCSF<br />
635 History and Physical Exam plus Laboratory Testing and Ultrasonography <strong>for</strong><br />
the Diagnosis of Urolithiasis: An Evidence-Based Review<br />
Richard Sinert DO, Downstate Medical Center<br />
636 Bedside Echocardiography in Cardiac Arrest, Predicting Return of<br />
Spontaneous Circulation: A Systematic Review and Meta-Analysis.<br />
Nicolaus Hawbaker MD, University of Arizona<br />
637 Factors Interfered with the Accuracy of Noninvasive and Portable total<br />
Hemoglobin Monitoring Device in <strong>Emergency</strong> Department Subjects<br />
Chien-Hsiung Huang MD, Chang Gung Memorial Hospital<br />
638 A Comparison of “Hockey Stick” and Conventional Linear Array Transducers<br />
in the Detection of <strong>for</strong>eign Bodies<br />
Daniel Jafari MD, MPH, University of Pennsylvania<br />
639 Correlation of Resident Training Level with Identification of Soft Tissue<br />
<strong>for</strong>eign Bodies<br />
David J. Thomas, East Carolina University<br />
640 Ultrasound Measurement of Renal Resistive Index: A Comparison of<br />
<strong>Emergency</strong> Physicians Versus Registered Sonographers<br />
Christina M. Millhouse MD, UC Davis Health System<br />
641 A Comparison of Three Different Approaches <strong>for</strong> Ultrasound Guided Central<br />
Venous Cannulation of the Right Internal Jugular Vein<br />
Amy Heard MD, Stony Brook University<br />
642 A Lack of Data Supporting Contrast-induced Nephropathy Following CT:<br />
A Meta-Analysis<br />
Ryan D. Aycock, Staten Island University Hospital<br />
643 Utility of Ultra-Low Dose CT Scans to Detect Ureteric Stones in the<br />
<strong>Emergency</strong> Department<br />
Brian O’Neil MD, Wayne State University School of <strong>Medicine</strong><br />
644 Preliminary Analysis of Factors Related to Ct Use in Evaluation of Cervical<br />
Spine Trauma in Low to Moderate Risk Patients<br />
Steven Katz, Barnes-Jewish/Washington University in St. Louis<br />
645 Effect of Educational Intervention on ED Physician Ability to Per<strong>for</strong>m a<br />
Rapid, Bedside Ultrasound assessment in Late Pregnancy<br />
Sachita Shah, University of Washington School of <strong>Medicine</strong><br />
646 Analysis of Lawsuits Involving <strong>Emergency</strong> Physician Per<strong>for</strong>med<br />
Point-of-care Ultrasound<br />
Lori A. Stolz MD, University of Arizona<br />
647 Image Quality Evaluation of a Pocket-Sized Ultrasound Machine <strong>for</strong> the<br />
FAST Examination<br />
Brian Euerle, University of Maryland School of <strong>Medicine</strong><br />
648 Bedside Ultrasonography in the Diagnosis of Symptomatic Nephrolithiasis<br />
Matthew Kostura MD, University of Arizona
649 Ultrasound-guided Peripheral IV Access:<br />
A Systematic Review and Meta-analysis<br />
Lori A. Stolz, University of Arizona<br />
650 Earthquake-Related Injuries in the Pediatric Population: A Systematic<br />
Review<br />
Gabrielle A. Jacquet MD, MPH, Johns Hopkins University School of <strong>Medicine</strong><br />
651 Computer versus Paper-based Hospital Triage in a Mass Casualty Event<br />
Eric C. Cioe MD, State University of New York Downstate Medical Center<br />
652 Analysis of Twitter Users’ Sharing of official New York City Preparedness<br />
Messages During the Sandy Storm<br />
Nicholas Genes, Mount Sinai School of <strong>Medicine</strong><br />
653 Child in Hand - A Hazard Identification, Vulnerability, and Disaster<br />
Preparedness Analysis of Orphanages and Schools in Haiti<br />
Srihari Cattamanchi MD,<br />
Beth Israel Deaconess Medical Center / Harvard Medical School<br />
654 Effect of EMS Airway Selection on Neurologic Status of Survivors<br />
After Out of Hospital Cardiac Arrest<br />
Jason McMullan, University of Cincinnati<br />
655 Impact of Viewing an Ultra-Brief Chest Compression Only<br />
CPR Video on Lay Bystander CPR Per<strong>for</strong>mance in a Shopping Mall<br />
Omar Meziab, University of Arizona College of <strong>Medicine</strong><br />
656 Published Research Is Inadequate <strong>for</strong> the Development of Guidelines <strong>for</strong><br />
the Basic Life Support Management of Airway Obstruction in Adults:<br />
Results of a Systematic Review<br />
Richard N. Bradley, <strong>The</strong> University of Texas Health Science Center at Houston<br />
657 Association between Prevalence of Diabetes and Incidence of Out-of-Hospital<br />
Cardiac Arrest According to Age Group: a Nationwide Case-Control Study<br />
Sang Do Shin MD, Seoul National University College of <strong>Medicine</strong><br />
658 Strategic Placement of Automated External Defibrillators Using A<br />
Community-Based Participatory Research Approach<br />
Comilla Sasson MD, MS, University of Colorado Denver School of <strong>Medicine</strong><br />
659 Probability of Return of Spontaneous- Circulation as a Function of Timing of<br />
Vasopressor Administration in Out-of-Hospital Cardiac Arrest<br />
William P. Bozeman, Wake <strong>for</strong>est University<br />
660 A Validation of the Association Between A Quantitative CT Scan Measure of<br />
Cerebral Edema and Outcomes Post Cardiac Arrest<br />
Cristal Cristia MD, Beth Israel Deaconess Medical Center<br />
661 Prehospital End Tidal Carbon Dioxide Levels Are More Accurate in Predicting<br />
In-hospital Mortality than Traditional Vital Signs<br />
Christopher L. Hunter MD, PhD, Orlando Regional Medical Center<br />
662 Abnormal Prehospital End Tidal Carbon Dioxide Levels Are associated with<br />
a Diagnosis of an Acute ST-segment Elevation Myocardial Infarct in the<br />
<strong>Emergency</strong> Department<br />
Christopher L. Hunter MD, PhD, Orlando Regional Medical Center<br />
663 Do the 2011 Revisions to the Field Triage Guidelines Improve Under- and<br />
Over-Triage Rates <strong>for</strong> Pediatric Trauma Patients?<br />
E. Brooke Lerner PhD, Medical College of Wisconsin Affiliated Hospitals<br />
664 Distributive Education Can Be Used to Train Basic Emts to Treat Opioid<br />
Overdose with Intranasal Naloxone<br />
Michael W. Dailey MD, Albany Medical Center<br />
665 Compliance and Opportunity in the Use of a Prehospital Continuous Positive<br />
Airway Pressure Protocol in Acute Decompensated Heart Failure<br />
Chad M. Kovala DO, St. John Hospital & Medical Center<br />
666 assessing Prehospital Airway Management Using the Florida EMS Tracking<br />
and Reporting System (EMSTARS)<br />
Salvatore Silvestri, Orlando Regional Medical Center<br />
667 Paramedic Time to Endotracheal Tube Placement Using a Video Laryngoscope<br />
Joshua G. Salzman MA, Regions Hospital<br />
668 Factors associated with Positive Catheterization Among Patients who<br />
Present to the <strong>Emergency</strong> Department with Prehospital ST-Elevation<br />
Myocardial Infarction Notification<br />
Ke Zheng MD, New York Hospital Queens<br />
669 <strong>The</strong> Effects of Statewide Protocols On Helicopter<br />
EMS Utilization in Maryland<br />
Asa M. Margolis DO, MPH, MS, Johns Hopkins<br />
670 Patients with Confirmed Myocardial Infarctions are Frequently Undertriaged<br />
as Non-Emergent by Medical Priority Dispatch System<br />
Amy Cutright, East Carolina University<br />
671 Factors associated with Delay to Out-of-hospital ECG in Patients with<br />
Symptoms Suggestive of ACS<br />
Alison L. Sullivan MD, Baystate Medical Center<br />
672 Patient Recidivism in EMS: the Los Angeles Experience<br />
Stephen Sanko MD, LAC-USC Medical Center, Los Angeles Fire Department<br />
673 Ambulance Paramedics in a Metropolitan Australian Ambulance Service<br />
frequently misdiagnose anaphylaxis<br />
Craig Ellis, West Australian Institute <strong>for</strong> Medical Research<br />
674 A Prospective, Observational Cohort Study of a Prehospital Protocol<br />
<strong>for</strong> Fluid Resuscitation of Trauma Patients: Compliance and Outcomes<br />
Samuel J. Prater MD, University of Texas Medical School @ Houston,<br />
Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
675 Markers of Acidosis and Stress in a Sprint Versus a<br />
Conducted Electrical Weapon<br />
Donald M. Dawes, Lompoc Valley Medical Center<br />
677 Patient Survey of the Rationale of Using EMS Services vs. Alternate<br />
Transportation <strong>for</strong> Medical Emergencies<br />
Viral Patel MD, ME., St. Luke’s - Roosevelt Hospital Center<br />
678 Factors associated with In-Hospital Mortality Among Patients who<br />
Present to the <strong>Emergency</strong> Department with Prehospital Hypotension<br />
Shih-Chin Chou MD, New York Hospital Queens<br />
679 Impact of attitudes and Understanding of Reporting Requirements on Latino<br />
Immigrants’ Presentations to <strong>Emergency</strong> Department in Texas and Cali<strong>for</strong>nia<br />
Robert A. Weston MD, University Medical Center at Brackenridge<br />
680 Is there Agreement Between <strong>Emergency</strong> Physicians’ and Patients’<br />
Interpretation of A Do Not Resuscitate Order?<br />
Danielle Hollingworth, Orlando Health<br />
681 Adequacy of Non-contrast Ct in the Evaluation of Abdominal Pain in Older Adults<br />
Mary C. Bhalla, Summa Akron City Hospital<br />
682 A Survey to Define the Minimally Essential attributes of the Geriatric<br />
<strong>Emergency</strong> Department<br />
Christopher R. Carpenter MD, MSc, Washington University in St. Louis<br />
683 Per<strong>for</strong>mance of an <strong>Emergency</strong> Care Telemedicine Program <strong>for</strong> Older Adults<br />
Manish N. Shah, University of Rochester<br />
684 Characteristics of Patients with Diabetic Ketoacidosis and Concurrent<br />
Infections at a Large Urban County Teaching Hospital<br />
Sophie Terp MD, MPH, Department of <strong>Emergency</strong> <strong>Medicine</strong>, University of<br />
Southern Cali<strong>for</strong>nia Keck School of <strong>Medicine</strong>, Los Angeles, CA<br />
685 Can Physicians Predict Wound Infections?<br />
James Quinn MD, MS, Stan<strong>for</strong>d University<br />
686 Rapid Universal Opt-out HIV Screening in Adolescents and<br />
Adults of All Ages in An Urban Level I Trauma Center <strong>Emergency</strong> Department<br />
James T. Scribner MD, John Peter Smith Health Network<br />
687 Lipoproteins Inhibit HMGB1 Release and Cytokine Activities.<br />
Haichao Wang, North Shore University Hospital<br />
688 Diagnostic Characteristics of a Clinical Screening tool in Combination with<br />
POCT Lactates in ED Patients with Suspected Sepsis<br />
Adam J. Singer MD, Stony Brook University<br />
689 Chief Complaints of Patients Testing Positive in a Universal HIV<br />
Screening Program<br />
Michael Sanders, Orlando regional medical center<br />
690 Mandatory Human Immunodeficiency Virus Testing in the <strong>Emergency</strong><br />
Department: An Evaluation of Statewide Testing in New York State<br />
Since the 2010 Legislation Making It Law<br />
Daniel J. Egan MD, St. Luke’s Roosevelt Hospital Center<br />
691 Increased Endotoxin Activity is associated with Clinical Deterioration in<br />
Moderate Severity <strong>Emergency</strong> Department Sepsis Patients: A pilot study<br />
Ryan Arnold MD, Cooper University Hospital<br />
692 Synthesis of Recombinant Proteins to Facilitate Development of a Novel<br />
Staphylococcus aureus Diagnostic Test<br />
Tichaendepi Mundangepfupfu, Lincoln Medical and Mental Health Center<br />
693 Defining the Impact of Delayed Antibiotic Administration Using a<br />
Comprehensive Electronic Health Record screen to Identify Severe Sepsis<br />
Ryan Arnold MD, Cooper University Hospital<br />
694 Incidence of <strong>Emergency</strong> Department Visits Due to Pneumonia in the United<br />
States, 2006-2009: Findings from the Nationwide <strong>Emergency</strong> Department<br />
Sample (NEDS)<br />
Wesley H. Self MD, MPH, Vanderbilt University Medical Center<br />
695 Demographic and Treatment Patterns <strong>for</strong> Infections in Ambulatory Settings<br />
in the United States, 2009<br />
Larissa May MD, George Washington University<br />
May 14-18, 2013 | Atlanta, Georgia 69
696 <strong>The</strong> Evaluation of Febrile Infants Less Than One year of Age between<br />
<strong>Emergency</strong> <strong>Medicine</strong> Physicians and Pediatric <strong>Emergency</strong> <strong>Medicine</strong> Physicians<br />
Antonio Muniz MD, Dallas Regional Medical Center<br />
697 A Fungus Among US: Patients Presenting to the <strong>Emergency</strong> Department<br />
After Exposure to Fungus-Contaminated Epidural Steroid Injections<br />
Janet S. Young MD, Carilion Clinic<br />
698 Antigen-Specific Influenza Antibody Responses in Acute Respiratory Tract<br />
Infections and it’s Relation to Influenza Infection and Disease Course<br />
John P. Haran, University of Massachusetts Medical School<br />
699 Blood Culture Use and Appropriateness in US EDs, 2002-2010<br />
Leah S. Honigman, Beth Israel Deaconess Medical Center<br />
700 Are High Risk Patients More Likely to Say Yes to An Human<br />
Immunodeficiency Virus Test? An Evaluation of <strong>Emergency</strong> Department<br />
Patients in a Rapid Testing Program<br />
Rishi Vohra MD, St. Luke’s- Roosevelt<br />
701 Clinical and Laboratory Findings to Differentiate Herpes Simplex from<br />
Enteroviral Meningitis<br />
Layli Sanaee MD, University of Ottawa<br />
702 Factors associated with Patients Declining Kiosk-Facilitated HIV Self-Testing<br />
in the <strong>Emergency</strong> Department<br />
Kaylin Beck BA, Johns Hopkins University School of <strong>Medicine</strong><br />
703 Surgical and Antimicrobial Treatment of Skin Infections in the Age of CA-MRSA<br />
Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital<br />
704 Loading Doses of Vancomycin in the <strong>Emergency</strong> Department: Is It Safe?<br />
Jamie Rosini, Christiana Care<br />
705 Utilizing An Electronic Algorithm and Notification System to Improve ED<br />
Treatment of Health Care-associated Pneumonia in Patients with Severe<br />
Sepsis Or Septic Shock<br />
Adrian Garofoli MD, Mayo Clinic<br />
706 Challenges to Preventing New HIV Infections in a High-Risk Urban Population<br />
Daniel Egan, St. Luke’s-Roosevelt<br />
707 Viral Respiratory Detections in Children and Adults with Communityacquired<br />
Pneumonia Compared with asymptomatic Controls: Evaluating the<br />
Role of Viral Pathogens in Pneumonia<br />
Wesley H. Self MD, MPH, Vanderbilt University Medical Center<br />
708 Trends in <strong>Emergency</strong> Department Abscess Care<br />
Melanie K. Prusakowski MD, Carilion Clinic<br />
709 Organ Dysfunction in Survivors of Septic Shock Treated with Early<br />
Quantitative Resuscitation<br />
Sarah A. Sterling, University of Mississippi Medical Center<br />
710 Loading Vancomycin in the <strong>Emergency</strong> Department: A Prospective Study of<br />
Initial Vancomycin Dosing<br />
Brian Levine, Christiana Care<br />
711 A Consensus-Based Gold Standard <strong>for</strong> Who Needs a Trauma Center<br />
Brian Willenbring BA, NREMT-B, Medical College of Wisconsin Affiliated Hospitals<br />
712 Comparison of a Clinical Decision Rule Versus Usual Care to Risk Stratify<br />
Children <strong>for</strong> Intra-abdominal Injury after Blunt Abdominal Trauma: A Cost-<br />
Effectiveness Analysis<br />
Daniel K. Nishijima, University of Cali<strong>for</strong>nia, Davis<br />
713 Does Increased CT Scan Usage Improve Mortality <strong>for</strong> Patients with Blunt Trauma?<br />
Juliana Wilson DO, the State University of New York at Buffalo<br />
714 Is the Accuracy of FAST Interpretation by <strong>Emergency</strong> <strong>Medicine</strong> Residents<br />
Consistent Across Trauma Team Activation Levels?<br />
Joshua Parker, Scott and White Memorial Hospital<br />
715 Efficacy and Safety of Eight Centimeter Catheters <strong>for</strong> Needle Chest<br />
Decompression - A Radiographic Analysis<br />
Samuel J. Chang MD, Carolinas Medical Center<br />
716 <strong>The</strong> Role of Necroptosis in Burn Injury Progression in a Rat Comb Burn Model<br />
Avanish S. Reddy BS, Stony Brook University<br />
717 Using the Alcohol, Smoking and Substance Involvement Screening Test<br />
(ASSIST) to Determine the Prevalence of Substance Abuse in the Rhode<br />
Island Trauma Population<br />
Ralph Rogers, Warren Alpert Medical School of Brown University<br />
Electronic Medical Records - Oral Presentations<br />
Friday, May 17, 1:00 - 2:00 pm in Atlanta B<br />
Moderator: John P. Marshall MD, Maimonides Medical Center<br />
718 An Estimate of Inaccurate Physician Documentation Using Electronic Medical<br />
Records in the <strong>Emergency</strong> Department<br />
Jonathan W. Heidt MD, Washington University School of <strong>Medicine</strong> in Saint Louis<br />
719 Patient Perceptions of Electronic Medical Record Data Entry Methods<br />
Peyton Holder MD, University of Oklahoma Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
720 An EHR-integrated Mobile App Quantitatively Improves <strong>Emergency</strong> <strong>Medicine</strong><br />
Resident NIH Stroke Scale Documentation<br />
James R. Foster II MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Beth Israel<br />
Deaconess Medical Center, and Harvard Medical School<br />
721 Effect of a Computerized Decision Support System on Time to Antibiotic<br />
Initiation <strong>for</strong> Severe Sepsis<br />
Brandan Crum MD, University of Cali<strong>for</strong>nia Davis Medical Center<br />
Cardiovascular Basic Sciences - Oral Presentations<br />
Friday, May 17, 1:00 - 2:00 pm in Atlanta C & D<br />
Moderator: Michelle Biros MS, MD, University of Minnesota<br />
722 A Soluble Guanylate Cyclase Stimulator, Bay 41-8543, Preserves Pulmonary<br />
Artery Endothelial Function in Experimental Pulmonary Embolism*<br />
John A. Watts PhD, Carolinas Medical Center<br />
723 Co-targeting of Thrombomodulin and Epcr to the Pulmonary Endothelium Is<br />
Protective in A Mouse Model of Sepsis-induced Acute Lung Injury<br />
Colin F. Greineder MD, PhD, University of Pennsylvania<br />
724 A Novel Esophageal Device Successfully Induces and Maintains therapeutic<br />
Hypothermia in a Large Animal Model<br />
Erik Kulstad, Advocate Christ Medical Center<br />
725 Activation of Sphingosine-1-Phosphate Receptor 1 Provides<br />
Neuroprotection after Ischemic Brain Injury in a Brain Derived<br />
Neurotrophic Factor (BDNF)-Dependent Way<br />
Teresa Sanchez, PhD, Beth Israel Deaconess Medical Center,<br />
Harvard Medical School<br />
Geriatrics - Lightning Oral Presentations<br />
Friday, May 17, 1:00 - 2:00 pm in Atlanta A<br />
Moderator: Kevin Baumlin MD, Mt. Sinai School of <strong>Medicine</strong><br />
726 Focusing on Inattention: A Very Brief Method to Detect Delirium in the<br />
<strong>Emergency</strong> Department*<br />
Jin H. Han MD, MSc, Vanderbilt University<br />
727 Adoption of New Media by ED Geriatric Patients<br />
Lori A. Post, Yale University School of <strong>Medicine</strong><br />
728 A Qualitative Exploration of <strong>Emergency</strong> Department Revisits by Older Adults<br />
Stacy Salerno, University of Rochester School of <strong>Medicine</strong> and Dentistry<br />
729 Screening <strong>for</strong> Frailty in Older Community-Dwelling Patients: How Well Do<br />
Patient and Care Giver Agree on Deficits?<br />
Adam Frisch MD, University of Pittsburgh<br />
730 GEDI WISE: Improvement in Patient Satisfaction After Implementation of a<br />
Geriatric <strong>Emergency</strong> Department<br />
Nicholas Genes, Mount Sinai School of <strong>Medicine</strong><br />
731 Developing and Validating the ED GRAY(Geriatric Readmission assessment<br />
at Yale)<br />
Lori A. Post, Yale University School of <strong>Medicine</strong><br />
Health Services Research - Lightning Oral Presentations<br />
Friday, May 17, 1:00 - 2:00 pm in Atlanta E & F<br />
Moderator: Jesse M. Pines MD, George Washington University<br />
732 A Prospective, Randomized Evaluation of Facilitated Primary Care Follow Up<br />
After ED Utilization*<br />
Michael Bouton, Beth Israel Deaconess<br />
733 A Study to Evaluate <strong>Emergency</strong> Provider Efficiency and Cognitive Load Using<br />
Different Methods of Computerized Physician Medication Order Entry*<br />
Dipti Agarwal MBBS, Mayo Clinic<br />
734 Evaluating the Association Between Primary Care Provider Availability<br />
and ED Visits and Hospitalizations <strong>for</strong> Ambulatory Care Sensitive<br />
Conditions in Cali<strong>for</strong>nia<br />
Sophie Terp MD, MPH, Department of <strong>Emergency</strong> <strong>Medicine</strong>, University of<br />
Southern Cali<strong>for</strong>nia Keck School of <strong>Medicine</strong><br />
735 Reducing Racial Disparities in Access to Care: Health Care Utilization Trends<br />
in the Era of the Children’s Health Insurance Program<br />
Adrianne Haggins MD, MS, University of Michigan<br />
736 Does the “invisible Hand” Optimally Regionalize Acute Care Providers?<br />
Ari B. Friedman, University of Pennsylvania<br />
737 Can a Mobile Health Intervention (TExT-MED) Reduce <strong>Emergency</strong><br />
Department Utilization and Hospital Admissions in Patients with Diabetes?<br />
Sanjay Arora, Keck School of <strong>Medicine</strong> of the University of Southern Cali<strong>for</strong>nia<br />
70 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Video Laryngoscopy - Lightning Oral Presentations<br />
Friday, May 17, 1:00 - 2:00 pm in Atlanta G<br />
Moderator: Ron Walls MD, Brigham & Womens Hospital/Harvard Medical School<br />
738 Video Laryngoscopy Reduces the Rate of Esophageal Intubations Per<strong>for</strong>med<br />
by <strong>Emergency</strong> <strong>Medicine</strong> Residents Compared to Direct Laryngoscopy<br />
Parisa P. Javedani MD, University of Arizona<br />
739 Success of Intubation by Novice Intubators using Direct Laryngoscopy, Video<br />
Laryngoscopy (GlideScope), and Supraglottic Airway Laryngopharyngeal<br />
Tube (S.A.L.T)<br />
Kimberly Leeson MD, CHRISTUS Spohn Texas A&M University <strong>Emergency</strong><br />
<strong>Medicine</strong> Residency<br />
740 Timeliness of Simulated Endotracheal Intubation by <strong>Emergency</strong> <strong>Medicine</strong><br />
Residents: A Comparison of Direct and Video Laryngoscopy<br />
Erik M. Angles MD, Maine Medical Center<br />
741 Do <strong>Emergency</strong> <strong>Medicine</strong> Residents Receive Appropriate Video<br />
Laryngoscopy Training? A Survey to Compare the Utilization of Video<br />
Laryngoscopy Devices in <strong>Emergency</strong> <strong>Medicine</strong> Residency Programs and<br />
Community <strong>Emergency</strong> Departments<br />
Anand Swaminathan, NYU/Bellevue<br />
742 Effect of Blood on First Pass Success Rate of Videolaryngoscopes<br />
Used in Emergent Intubations<br />
John C. Sakles MD, University of Arizona<br />
743 Video Laryngoscopy Improves First attempt Success and<br />
Quality of Laryngoscopic View Compared to Direct Laryngoscopy<br />
in a Medical Intensive Care Unit<br />
Jarrod M. Mosier, University of Arizona<br />
Pediatric Trauma - Lightning Oral Presentations<br />
Friday, May 17, 1:00 - 2:00 pm in Roswell 1<br />
Moderator: Rakesh Mistry MD, University of Pennsylvania School of <strong>Medicine</strong><br />
744 Oral Contrast in the Evaluation of Intra-Abdominal Injuries<br />
in Children with Blunt torso Trauma<br />
Angela M. Ellison, University of Pennsylvania<br />
745 Importance and Per<strong>for</strong>mance of the Abdominal Examination to Identify<br />
Children with Abdominal Injuries<br />
Kathleen M. Adelgais MD, MPH, University of Colorado<br />
746 Pediatric Prehospital Lifesaving Interventions in A Combat Setting -<br />
A Prospective, Multicenter Study<br />
Vikhyat S. Bebarta, San Antonio Military Medical Center; US Army Institute of<br />
Surgical Research<br />
747 Progesterone <strong>for</strong> Children with Serious Traumatic Brain Injury (TBI):<br />
A Feasibility Study in the Pediatric <strong>Emergency</strong> Care Applied Research<br />
Network (PECARN)*<br />
Rachel Stanley, University of Michigan<br />
New Ideas in Education - Lightning Oral Presentations<br />
Friday, May 17, 1:00 - 2:00 pm in Roswell 2<br />
Moderator: Kevin Rodgers MD, Indiana University<br />
748 Evaluation of Differences in Care Provided During A Novel, thematically<br />
Paired Simulation assessment Between Adult and Pediatric Populations<br />
Yuemi An-Grogan MD, Northwestern University<br />
749 Development and Evaluation of a Multidisciplinary Simulation-based Crisis<br />
Resource Management Curriculum to Improve Non-technical Skills in Trauma<br />
Resuscitations<br />
Benjamin S. Bassin MD, University of Michigan<br />
750 <strong>The</strong> Effects of Expressive Writing on Medical Student Anxiety and Per<strong>for</strong>mance<br />
Anne K. Merritt MD, Yale University School of <strong>Medicine</strong><br />
751 Predictive Value of a Multiple Mini Interview (MMI) <strong>for</strong> PGY-1 Per<strong>for</strong>mance in<br />
<strong>Emergency</strong> <strong>Medicine</strong>.<br />
Laura R. Hopson MD, University of Michigan<br />
752 Deliberate Practice <strong>for</strong> the Development of Expert Per<strong>for</strong>mance in Basic<br />
Cardiopulmonary Resuscitation<br />
David Scordino MD, Johns Hopkins University School of <strong>Medicine</strong><br />
In<strong>for</strong>mation Technology - Oral Presentations<br />
Friday, May 17, 2:00 - 3:00 pm in Atlanta B<br />
Moderator: D. M. Courtney MD, Northwestern University<br />
754 Health Evaluation and Referral assistant (HERA): Improving Linkage with<br />
Tobacco Treatment<br />
Edwin D. Boudreaux PhD, the University of Massachusetts Medical School*<br />
755 Effect of Computerized Physician Order Entry (CPOE) on <strong>Emergency</strong><br />
Department Throughtput Metrics and Test Utilization*<br />
Michael Manka MD, SUNY at Buffalo School of <strong>Medicine</strong>,<br />
Erie County Medical Center<br />
756 <strong>The</strong> Effect of Clinical Decision Support on Physician Adherence to Evidence-<br />
Based Guidelines <strong>for</strong> use of CT Pulmonary Angiography in Patients with<br />
Suspected Pulmonary Embolism in the ED<br />
Anurag Gupta MD, MBA,<br />
Brigham and Women’s Hospital, Harvard Medical School<br />
757 Automated Outcome Classification of <strong>Emergency</strong> Department<br />
CT Imaging Reports<br />
Kabir Yadav MDCM, MS, the George Washington University<br />
Markers and Treatment of Sepsis - Oral Presentations<br />
Friday, May 17, 2:00 - 3:00 pm in Atlanta C & D<br />
Moderator: Donald M. Yealy MD,<br />
University of Pittsburgh / University of Pittsburgh Physicians<br />
758 Randomized Controlled Trial of Safety and Efficacy of L-carnitine Infusion <strong>for</strong><br />
the Treatment of Vasopressor Dependant Septic Shock*<br />
Michael A. Puskarich, University of Mississippi Medical Center<br />
759 Tanshinone IIA Sodium Sulfonate Inhibits HMGB1-induced Chemokine<br />
Release and Protects against Lethal Endotoxemia.<br />
Haichao Wang, North Shore University Hospital<br />
760 Single Nucleotide Polymorphisms (SNPS) in <strong>Emergency</strong> Department Patients<br />
with Repeated Admissions <strong>for</strong> Sepsis<br />
Michael Koury, University of Mississippi Medical Center<br />
761 Per<strong>for</strong>mance of Procalcitonin as a Marker of Septic Shock in Adults with<br />
Community- Acquired Pneumonia<br />
Wesley H. Self MD, MPH, Vanderbilt University Medical Center<br />
<strong>Emergency</strong> Medical Services - Oral Presentations<br />
Friday, May 17, 2:00 - 3:00 pm in Atlanta E & F<br />
Moderator: <strong>The</strong>odore R. Delbridge MD, East Carolina University<br />
762 Barriers to Calling 9-1-1 in High-Risk Neighborhoods with Primarily Latinos in<br />
Denver, Colorado*<br />
Comilla Sasson MD, MS, University of Colorado Denver<br />
763 Association Between <strong>Emergency</strong> Department Operation Characteristics,<br />
Length of Stay, and Elopements by Change in ED Volumes*<br />
Daniel Handel MD, MPH,<br />
Oregon Health & Science University School of <strong>Medicine</strong><br />
764 Individuals who Self-Report Previous CPR Training Do Not Demonstrate<br />
Higher Per<strong>for</strong>mance Confidence or Accuracy<br />
Jennifer Sayegh MS, University of Cincinnati<br />
765 <strong>The</strong> Effect of CPR Quality on Survival and Neurological Outcome<br />
After Out-of-Hospital Cardiac Arrest<br />
Uwe Stolz PhD, MPH, University of Arizona<br />
<strong>Emergency</strong> Department Crowding - Oral Presentations<br />
Friday, May 17, 2:00 - 3:00 pm in Atlanta G<br />
Moderator: James Holmes MD, UC Davis School of <strong>Medicine</strong><br />
766 Effects of <strong>Emergency</strong> Department Expansion on <strong>Emergency</strong><br />
Department Crowding<br />
James Y. McCue BS, UC Davis<br />
767 <strong>The</strong> Effects Contact Precaution Policies On <strong>Emergency</strong> Department<br />
Flow and Hospital Length of Stay<br />
Kevin Kotkowski MD, University of Massachusetts<br />
768 <strong>The</strong> Association Between Timely Percutaneous Coronary Intervention <strong>for</strong><br />
ST-Elevation Myocardial Infarction and <strong>Emergency</strong> Department Crowding<br />
Christopher W. Jones, Christiana Care Health System<br />
769 <strong>Emergency</strong> Department Crowding is Negatively associated with<br />
Pneumonia Quality Measure Per<strong>for</strong>mance<br />
Christopher W. Jones MD, Christiana Care Health System<br />
Pediatric Infectious Diseases - Lightning Oral Presentations<br />
Friday, May 17, 2:00 - 3:00 pm in Atlanta A<br />
Moderator: TBD<br />
770 Asymptomatic Gonorrhea and Chlamydia Screening within the Pediatric<br />
<strong>Emergency</strong> Department of A Disease Prevalent Population<br />
Devra Gutfreund, Newark Beth Israel<br />
771 Management Practices <strong>for</strong> Febrile Neonates in US Pediatric <strong>Emergency</strong><br />
Departments<br />
Shabnam Jain MD, Emory University<br />
May 14-18, 2013 | Atlanta, Georgia 71
772 Are <strong>Emergency</strong> <strong>Medicine</strong> Clinicians Recognizing Acute Kidney Injury in<br />
Pediatric Sepsis ?<br />
Marie-Carmelle Elie-Turenne MD, University of Florida<br />
773 Identification of Inflammatory RNA Biosignatures in Adolescent Patients in a<br />
Pediatric <strong>Emergency</strong> Department with Pelvic Inflammatory Disease<br />
Fran Balamuth, Children’s Hospital of Philadelphia<br />
774 <strong>The</strong>re’s an App <strong>for</strong> That: An Electronic Health Record Sepsis Registry and<br />
Clinical Protocol to Improve Quality of Care<br />
Fran Balamuth MD, PhD, Children’s Hospital of Philadelphia<br />
775 Practices, Beliefs, and Perceived Barriers to Adolescent HIV Screening in the<br />
<strong>Emergency</strong> Department (ED)<br />
Rakesh Mistry MD, MS, Children’s Hospital of Philadelphia<br />
86 Use of Nasal Capnography as a Measure of Hydration Status in Children<br />
Presenting to a Pediatric <strong>Emergency</strong> Department with Gastroenteritis<br />
Tovah G. Ellman MD, Orlando Health System<br />
Health Services Research in Trauma - Lightning Oral Presentations<br />
Friday, May 17, 2:00 - 3:00 pm in Roswell 1<br />
Moderator: Brendan Carr MD, University of Pennsylvania<br />
776 No Man Is An Island: Living in A More Disadvantaged Neighborhood Increases<br />
the Likelihood of Developing Persistent Moderate Or Severe Neck Pain 6<br />
Weeks After Motor Vehicle Collision*<br />
Samuel McLean MD, MPH, University of North Carolina at Chapel Hill<br />
777 <strong>The</strong> Association Between Geographic Access to Trauma Care and Injury Death<br />
in the US<br />
Catherine S. Wolff MS, University of Pennsylvania<br />
778 <strong>The</strong> Impact of Adding Level II & III Trauma Centers On Volume and<br />
Severity of Disease at A Nearby Level I Facility<br />
Brendan G. Carr MS, MS, University of Pennsylvania<br />
779 Disparities in Access to Trauma Centers in the United States<br />
Ariel Bowman, University of Pennsylvania<br />
780 Analysis of Road Traffic Accident Related Injuries and Outcomes at a Tertiary<br />
Teaching Hospital in Lusaka, Zambia<br />
Kate Cerwensky MPH, Center <strong>for</strong> Global Health and Development, Boston<br />
University School of Public Health<br />
781 Cost of Care Relating to Road Traffic Injuries in Two Tertiary Care Centers in<br />
the District of Kandy, Sri Lanka<br />
Catherine A. Lynch MD, Division of <strong>Emergency</strong> <strong>Medicine</strong>, Duke School of<br />
<strong>Medicine</strong>, DGHI,Duke University<br />
782 Is Being Insured a Risk Factor <strong>for</strong> Admission to a Non-Trauma Center vs.<br />
Transfer Out Among Patients Presenting with Major Trauma?<br />
M. Kit Delgado, Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
Residency Training - Lightning Oral Presentations<br />
Friday, May 17, 2:00 - 3:00 pm in Roswell 2<br />
Moderator: Christian Arbelaez MD, Brigham and Women’s Hospital<br />
783 Increasing off-Service Resident Productivity while on their <strong>Emergency</strong><br />
Department Rotation Using the Hawthorne Effect<br />
Deena Ibrahim MD, University of Cali<strong>for</strong>nia, Irvine, School of <strong>Medicine</strong><br />
784 <strong>The</strong> Prevalence of Lesbian, Gay, Bisexual, and Transgendered (LGBT) Health<br />
Education - Training in <strong>Emergency</strong> <strong>Medicine</strong> (EM) Residency Programs:<br />
What Do We Know?<br />
Joel Moll, Emory University<br />
785 Residents Are Hesitant to Report Hollow-bore Needle Sticks and Most<br />
Commonly Report Feeling Rushed During Procedures When Stuck<br />
Jessica S. Rose MD, East Carolina University<br />
786 Preparing <strong>Emergency</strong> Physicians <strong>for</strong> Malpractice Litigation: A Joint<br />
<strong>Emergency</strong> <strong>Medicine</strong> Residency - Law School Mock Trial Competition<br />
Stacey Marlow MD, JD, University of South Florida<br />
787 Implementation of a Structured Handoff tool, SOUND, Leads to an<br />
Improvement in Patient Handoffs in a Pediatric <strong>Emergency</strong> Department<br />
Priya R. Gopwani, Children’s National Medical Center<br />
788 Self-reported Sleep Disturbances Presage Decreases in Residents’<br />
Psychological Well-being<br />
Julie M. Carland MD, University of Arizona Medical Center<br />
SATURDAY, May 18th, 2013<br />
Airway Management - Oral Presentations<br />
Saturday, May 18, 8:00 - 10:00 am in Atlanta B<br />
Moderator: Diane Birnbaumer MD, Los Angeles County-Harbor-UCLA<br />
789 Intubation Skills Correlate with Accuracy of Self-assessment*<br />
Amish Aghera MD, Maimonides Medical Center<br />
790 Declining Rate of Direct Laryngoscopy Intubations in an <strong>Academic</strong><br />
<strong>Emergency</strong> Department<br />
John C. Sakles MD, University of Arizona<br />
791 Identifying Predictive Factors <strong>for</strong> Degradation of Intubation Skills<br />
Brian Gillett, Maimonides Medical Center<br />
792 Repeated Intubation attempts by an Operator associated with a Decreased<br />
Success Rate in the <strong>Emergency</strong> Department: An Analysis of Multicenter<br />
Prospective Observational Study in Japan.<br />
Tadahiro Goto MD, University of Fukui Hospital<br />
793 Complications of Airway Management Following Failed Noninvasive<br />
Ventilation<br />
Jarrod M. Mosier MD, University of Arizona<br />
794 <strong>The</strong> Impact of Obesity on the First Pass Success Rate of <strong>Emergency</strong><br />
Department Intubations<br />
John Sakles, University of Arizona<br />
796 Incidence and Duration of Oxygen Desaturation During <strong>Emergency</strong><br />
Department Intubation Using Continuous Data Acquisition Software<br />
Jerry B. Bodily MD, University of New Mexico<br />
International <strong>Emergency</strong> - Oral Presentations<br />
Saturday, May 18, 8:00 - 11:30 am in Atlanta E & F<br />
Moderator: Charles Gerardo MD, Duke Global Health Residency/Fellowship<br />
797 Physicians’ Diagnostic Accuracy in Using Simple Clinical Signs <strong>for</strong> Detecting<br />
Anemia and Its Severity in Patients Seen at the <strong>Emergency</strong> Department of A<br />
Tertiary Referral Hospital in Tanzania.*<br />
Hendry R. Sawe MD, Muhimbili University of Health and Allied Sciences<br />
798 <strong>The</strong> Prevalence of Suspected Undiagnosed Diabetes Mellitus and use of<br />
Random Blood Sugar to Detect Elevated A1c Among <strong>Emergency</strong> Department<br />
Patients in a Developing Country*<br />
Candace McNaughton, Vanderbilt University<br />
799 Characteristics of Adult Patients Presenting to<br />
Two Public Referral Hospitals in Cambodia*<br />
Lily Yan, Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
800 assessment of the Revised Kampala Trauma Score (KTSII) to Predict<br />
Mortality, Need <strong>for</strong> Admission, and Use of Hospital Resources at University<br />
Teaching Hospital in Lusaka, Zambia<br />
Hani Mowafi MD, MPH, Boston University<br />
801 Improving Patient Flow in Ghana with the Use of Computer Simulation<br />
Allyson Best, University of Cincinnati<br />
802 Characteristics of Pediatric Population Presenting to Two Public Referral<br />
Hospitals in Cambodia<br />
Mackensie A. Yore, Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
803 Characterizing Prehospital Transported Patients in the Ashanti Region of Ghana<br />
C. Nee-Kofi Mould-Millman, Emory University<br />
804 Motor Vehicle Crash Patients: An International Comparison China V. the US<br />
Paul Ko MD, SUNY Upstate Medical University<br />
805 Trends in ED and Hospital Mortality associated with Opening of<br />
A Full Capacity <strong>Emergency</strong> Department in A Tertiary Level Hospital<br />
in Sub-Saharan Africa<br />
Hendry R. Sawe MD, Muhimbili University of Health and Allied Sciences<br />
806 Activated Learning in Global Health Education - A Pilot Study<br />
Jaime Jordan, Harbor-UCLA Medical Center<br />
807 Access to Care among Adults with Previously and Newly Diagnosed<br />
Cardiovascular Disease Presenting to the <strong>Emergency</strong> Department of a<br />
Tertiary Referral Hospital in Nairobi, Kenya<br />
Rita K. Kuwahara MIH, UNC-Chapel Hill School of <strong>Medicine</strong><br />
808 Epidemiology of Injuries, Outcomes, and Hospital Resource Utilization at<br />
A Tertiary Teaching Hospital in Lusaka, Zambia<br />
Philip Seidenberg MD, University of New Mexico<br />
72 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Post-Cardiac Arrest Care - Lightning Oral Presentations<br />
Saturday, May 18, 8:00 - 9:00 am in Atlanta A<br />
Moderator: Richard Summers MD, University of Mississippi Medical Center<br />
809 Lactate Clearance is associated with Improved Survival and Neurological<br />
Outcome in Post-Cardiac Arrest*<br />
Lars W. Andersen BS, Research Center <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
810 Microcirculatory Impairment in Post-cardiac Arrest Patients*<br />
Yasser Omar MD, Beth Israel Deaconess Medical Center<br />
811 Initial Hyperoxia is associated with Survival in Post-Arrest Patients Enrolled<br />
in the PATH Database<br />
David F. Gaieski MD, University of Pennsylvania<br />
812 Initial Base Deficit and Arterial Carbon Dioxide Level associated with<br />
Survival in Post-Arrest Patients<br />
David F. Gaieski, University of Pennsylvania School of <strong>Medicine</strong><br />
813 Time to Target Temperature and Neurologic Outcome in Survivors of Cardiac<br />
Arrest<br />
Sarah M. Perman, University of Pennsylvania<br />
814 Emergent CT Does Not Delay Cooling in Patients After Cardiac Arrest*<br />
David A. Pearson MD, Carolinas Medical Center<br />
Simulation in <strong>Emergency</strong> <strong>Medicine</strong> - Lightning Oral Presentations<br />
Saturday, May 18, 8:00 - 9:00 am in Atlanta C & D<br />
Moderator: Daniel Handel MD, MPH,<br />
Oregon Health & Science University School of <strong>Medicine</strong><br />
815 <strong>Emergency</strong> <strong>Medicine</strong> Resident Leadership Ability: A Simulation-Based<br />
Longitudinal Study*<br />
Matthew C. Carlisle, UC Davis<br />
816 Effect of Simulated Rare Procedures Clinic on EM Faculty Clinical Procedural<br />
Knowledge and Confidence<br />
Amanda J. Carlson MD, Regions Hospital<br />
818 Effects of Team Training on 4th Year Medical Student Management of<br />
Simulated Critically Ill Patients<br />
Daniel Runde MD, Harbor-UCLA Medical Center<br />
819 A Comparison of Evaluation Metrics <strong>for</strong> High-Fidelity ACLS-based Simulation<br />
Cases <strong>for</strong> PGY-1 and PGY-3 Level Learners<br />
Jo Anna Leuck MD, Carolinas Medical Center<br />
820 Surgical Specialty Residents Per<strong>for</strong>m Better in Simulation Based Central<br />
Venous Catheter Insertion assessment Than Medical Specialty Residents<br />
Kosuke Mori, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Tokyo Bay Urayasu/Ichikawa<br />
Medical Center, Noguchi Hideyo Memorial International Hospital<br />
Prescription and Abuse of Opiates - Lightning Oral Presentations<br />
Saturday, May 18, 8:00 - 9:00 am in Roswell 1<br />
Moderator: Steven B. Bird MD, University of Massachusetts Medical School<br />
821 Association Between Opioid Prescribing in Florida<br />
and Statewide Morbidity and Mortality<br />
Erin Caddell, University of Central Florida, College of <strong>Medicine</strong><br />
822 U.S. Prescription Opioid Overdose Death: A Health Disparities Paradox<br />
Tracy Macintosh MD, MPH, Yale-New Haven Hospital<br />
823 Prevalence of Adverse Events From Opiates in the <strong>Emergency</strong> Department<br />
Raoul Daoust, Université de Montréal<br />
824 Does Prescribing Opiate Medication Correlate with <strong>Emergency</strong> Department<br />
Patient Satisfaction Scores?<br />
Matt Burge MD, Scott & White<br />
825 Prevalence and Correlates of Nonmedical Prescription Opiate and<br />
Nonmedical Prescription Sedative Use Among A Group of Adolescents and<br />
Young Adults with Current Drug Use in An Urban <strong>Emergency</strong> Department<br />
Lauren K. Whiteside, University of Washington, Division of <strong>Emergency</strong> <strong>Medicine</strong><br />
826 <strong>The</strong> Association Between Statewide Opiate Prescribing Patterns<br />
and Drug-specific Mortality Rates Over A 10 Year Period<br />
Sarina Doyle MD, Orlando Health<br />
Toxicology - Lightning Oral Presentations<br />
Saturday, May 18, 8:00 - 9:00 am in Roswell 2<br />
Moderator: Kavita Babu MD, University of Massachusetts<br />
827 Survival from Organophosphate Poisoning Induces<br />
Changes in Respiration During Sleep<br />
Romolo Gaspari MD, PhD, University of Massachusetts Medical School<br />
828 Measurement of Venom and Clotting Function in Patients with Russell’s<br />
Viper Coagulopathy and Response to Antivenom<br />
Geoffrey K. Isbister FACEM, MD, Discipline of Clinical Pharmacology, University<br />
of Newcastle and Department of Clinical toxicology, Calvary Mater Newcastle<br />
829 <strong>The</strong> Impact of the Bugaboo Wild Fires on Regional <strong>Emergency</strong> Department<br />
and Inpatient Visits<br />
Glenn R. Gookin PhD, University of Central Florida<br />
830 Inhalant Abuse: Trends from United States Poison Centers<br />
Janna H. Villano MD, Advocate Christ Medical Center, Department of<br />
<strong>Emergency</strong> <strong>Medicine</strong><br />
831 Per<strong>for</strong>mance of a Multi-disciplinary Observation Protocol <strong>for</strong><br />
Acetaminophen Overdose in the <strong>Emergency</strong> Department<br />
Gillian A. Beauchamp MD, University of Cincinnati<br />
832 What Characteristics Can Be Used to Predict Ethylene Glycol Ingestion?<br />
Cole A. Wiedel BA, University of Colorado School of <strong>Medicine</strong><br />
833 <strong>The</strong> Efficacy of CYP2D6 Dependent Analgesics and Antiemetics in<br />
<strong>Emergency</strong> Department Patients<br />
Andrew A. Monte MD, University of Colorado<br />
May 14-18, 2013 | Atlanta, Georgia 73
2013 Innovations in <strong>Emergency</strong> <strong>Medicine</strong> Education (ME)<br />
*SAEM Gallery of Excellence Nominees 2013<br />
Thursday, May 16, 2013<br />
Innovations Exhibits<br />
8:00 am - 12:00 pm in 200 Gallery -level 6<br />
1. Predicting Annual Inservice Scores Using Audience Response System<br />
Lucienne Lutfy-Clayton 1 , Kaushal Shah 2 , Grant Wei 3 , David P. Lisbon<br />
Jr 4 , Sally A Santen 5 , Katherine Jahnes 6 , Jaime Jordan 7 . 1 Tufts University<br />
Medical School Baystate Medical Center, Springfield, MA; 2 Mt. Sinai<br />
School Of <strong>Medicine</strong>, New York, NY; 3 UMDNJ-Robert Wood Johnson, New<br />
Brunswick, NJ; 4 <strong>The</strong> University Of Kansas Hospital, Kansas City, KS;<br />
5<br />
University Of Michigan, Ann Arbor, MI; 6 New York Methodist Hospital,<br />
Brooklyn, NY; 7 Harbor-UCLA, Los Ángeles, CA<br />
2. Ultrasound-Guided Vascular Access Education:<br />
A Homemade Phantom with Various Feedback Capabilities<br />
Daniela Morato, Dina Seif. LAC+USC Medical Center, Los Angeles, CA<br />
3. Competency-Based Disaster Training <strong>for</strong> Medical Trainees<br />
in Less Than One Day<br />
Lancer A. Scott. MUSC, Charleston, SC<br />
4. Geriatric Abdominal Pain Game<br />
Nikki B. Waller, Kevin Biese, Kristen Barrio, Chris Howarth,<br />
Ellen Roberts, Jan Busby-Whitehead.<br />
University of North Carolina at Chapel Hill, Chapel Hill, NC<br />
5. Development of a Simulated “Night on Call” Experience within a<br />
Capstone Course at One U.S. Medical School<br />
David A. Wald, Alisa Peet, Jane Cripe, Michael Curtis.<br />
Temple University School of <strong>Medicine</strong>, Philadelphia, PA<br />
6. Critical Actions In Common Floor Emergencies - A Multimedia,<br />
Multimodal And Simulation Based Approach<br />
Nelson Wong, Scott Goldberg, Christopher Strother.<br />
Mount Sinai School of <strong>Medicine</strong>, New York, NY<br />
7. Resuscitation Elective <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong> Residents Interested in<br />
Critical Care<br />
Jarrod M. Mosier, Alice Min, Albert Fiorello.<br />
University of Arizona, Tucson, AZ<br />
11. <strong>Emergency</strong> <strong>Medicine</strong> Resident Education in Ophthalmology<br />
Lara Phillips, Lawrence Stack. Vanderbilt, Nashville, TN<br />
Innovations - Didactics Spotlight<br />
8:00 - 9:00 am in Atlanta H<br />
8. Using iTunesU as a Novel <strong>Emergency</strong> <strong>Medicine</strong> Curriculum<br />
Deployment Device.*<br />
Janis P. Tupesis, Nestor Rodriguez, Katy Oksuita, Matt Anderson,<br />
Carrie Voss-Harvey, Will Sanderson.<br />
University of Wisconsin School of <strong>Medicine</strong> and Public Health, Madison, WI<br />
9. Developing Residency Education with Andragogy and Multimedia: <strong>The</strong><br />
DREAM Curriculum*<br />
Karen R. Lind, Brian Gillett, David Saloum, Eitan Dickman, John Marshall.<br />
Maimonides Medical Center, Brooklyn, NY<br />
10. Teams Teaching Other Teams: An Interactive Educational Session*<br />
Chandra Aubin, Rebecca Bavolek, Evan Schwarz.<br />
Washington University School of <strong>Medicine</strong>, St. Louis, MO<br />
11. <strong>Emergency</strong> <strong>Medicine</strong> Resident Education in Ophthalmology*<br />
Lara Phillips, Lawrence Stack. Vanderbilt, Nashville, TN<br />
Innovations - Technology Spotlight<br />
9:00 - 10:00 am in Atlanta H<br />
12. <strong>The</strong> EM10 project: A High Yield, Mobile Device Based Learning Plat<strong>for</strong>m<br />
<strong>for</strong> Medical Student Education during <strong>Emergency</strong> Department Shifts*<br />
Jeffrey R. Vlasic. University of Michigan Medical School, Ann Arbor, MI<br />
13. <strong>Emergency</strong> <strong>Medicine</strong> E-Learning: Articulating the Facts,<br />
Moving to the Future*<br />
Cynthia Leung, Aaron Bernard, Nicholas E. Kman.<br />
<strong>The</strong> Ohio State University Medical Center, Columbus, OH<br />
74 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
14. Must-Read Article Of <strong>The</strong> Month: Cloud-based<br />
Asynchronous Journal Club<br />
James C. O’Neill, Iltifat Husain.<br />
Wake Forest Baptist Health, Winston Salem, NC<br />
15. Cloud-based Online Continuing Medical Education <strong>for</strong> an <strong>Emergency</strong><br />
<strong>Medicine</strong> System<br />
James C. O’Neill, Iltifat Husain, Casey Glass, David Manthey,<br />
Cedric Lefebvre. Wake Forest Baptist Health, Winston Salem, NC<br />
Innovations -Medical Student Spotlight<br />
12:00 - 1:00 pm in Atlanta H<br />
16. <strong>The</strong> Mentorship Gap: Bridging Residents and Medical Students through<br />
a Near Peer Mentoring Program*<br />
Robbie E. Paulsen, Matthew J. Stull, Sarah Ronan-Bentle.<br />
University of Cincinnati College of <strong>Medicine</strong>, Cincinnati, OH<br />
17. EMIG: A Student-Driven Integrative Curriculum Approach<br />
to Simulation*<br />
Annette Dorfman. George Washington University, Washington, DC<br />
18. Assessment of Level 1 EM Milestones in Incoming Interns<br />
Laura Hopson, Marcia Perry, Samantha Hauff, Eve Losman,<br />
James Mattimore, Monica Lypson, Sally Santen.<br />
University of Michigan, Ann Arbor, MI<br />
3. Competency-Based Disaster Training <strong>for</strong> Medical Trainees<br />
in Less Than One Day<br />
Lancer A. Scott. MUSC, Charleston, SC<br />
Friday, May 17, 2013<br />
Innovations – Oral Presentations<br />
8:00 - 9:00 am in Atlanta H<br />
19. Milestone Tracking and Documentation Augmented via an Electronic<br />
Tool Tailored to an <strong>Emergency</strong> <strong>Medicine</strong> Simulation Curriculum*<br />
Raymond P. Ten Eyck. Wright State University, Kettering, OH<br />
20. Attending <strong>Emergency</strong> Physician Airway Skills Assessment: <strong>The</strong><br />
Annual Checkride<br />
Daniel R. Rodgers, Kevin C. King, Thomas E. Terndrup.<br />
Penn State Hershey, Hershey, PA<br />
21. Development Of A Novel, Competency-based <strong>Emergency</strong> <strong>Medicine</strong><br />
“Dean’s Letter”*<br />
Cemal B. Sozener, Laura R. Hopson, Joseph House,<br />
Suzanne L. Dooley-Hash, Samantha R. Hauff, Monica L. Lypson,<br />
Sally A. Santen. University of Michigan, Ann Arbor, MI<br />
22. Team Based Learning - Electrocardiogram Interpretation and<br />
Application <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong> Residents<br />
Rebecca A. Bavolek, Chandra D. Aubin, Albert J. Kim. Washington<br />
University in St. Louis School of <strong>Medicine</strong>, St. Louis, MO<br />
Innovations Exhibits<br />
8:00 - 12:00 pm in 200 Gallery -level 6<br />
23. An Innovative Approach to Simulating the Repair of an Injured Nailbed<br />
Tara Martin, Nicholas Greek, Claudia Ranniger.<br />
George Washington University, Washington, DC<br />
24. A Novel Clear Ballistics Gel Phantom <strong>for</strong> Ultrasound Training<br />
Richard Amini, Lori Stolz, Srikar Adhikari. University of Arizona Medical<br />
Center, Tucson, AZ<br />
25. <strong>Emergency</strong> <strong>Medicine</strong> Interpersonal Communication Skills Curriculum<br />
Marquita N. Hicks 1 , Pooja Gajare1, Lisa Moreno-Walton 2 . 1 University of<br />
Alabama at Birmingham, Birmingham, AL; 2 Louisiana State University<br />
Health Sciences Center-New Orleans, New Orleans, LA<br />
26. Equianalgesic Opioid Con<strong>version</strong> Worksheet <strong>for</strong> Cancer<br />
Pain Management<br />
Kyle D. Minor, Zachary Binney, Tammie Quest.<br />
Emory University, Atlanta, GA<br />
27. Teaching Health Policy: Developing a Portable E-learning Tool <strong>for</strong><br />
Medical Student Education<br />
Stephanie Y. Donald, Nathan Seth Trueger, Aisha Liferidge,<br />
Janice Blanchard, Steven Davis, Malika Fair, Joneigh Khaldun,<br />
Ali Pourmand, Cedric Dark.<br />
George Washington University, Washington, DC
28. Innovation in Education: Integration of <strong>Emergency</strong> <strong>Medicine</strong> In <strong>The</strong><br />
Preclinical Years With A First Year Course, “Introduction To <strong>Emergency</strong><br />
<strong>Medicine</strong>.”<br />
Amy Leuthauser. Mount Sinai School of <strong>Medicine</strong>, New York, NY<br />
Innovations – Oral Presentations<br />
9:00 - 10:00 am in Atlanta H<br />
29. Voodoo or Valid? An Exercise to Promote <strong>Academic</strong> and Clinical<br />
Integration toward Evidence Based Practice<br />
Joel Moll. Emory University, Atlanta, GA<br />
30. Integration of High Fidelity Simulation and Learning Management<br />
Software to Effectively Teach Mechanical Ventilation in <strong>Emergency</strong><br />
<strong>Medicine</strong><br />
Amish Aghera, Brian Gillett, Anatoliy Golster. Maimonides Medical<br />
Center, Brooklyn, NY<br />
31. Using an Online Discussion Board <strong>for</strong> Asynchronous Learning in an<br />
<strong>Emergency</strong> <strong>Medicine</strong> Curriculum<br />
Christine Zink, Christopher Zernial, Salim Rezaie, Dan Mosely.<br />
UTHSCSA, San Antonio, TX<br />
32. A Flashcard Based Approach to Teaching Critical Appraisal Skills<br />
Tom Evens 1 , Julie-Anne Greenslade 2 , Shweta Gidwani 2 . 1 Ealing Hospital<br />
NHS Trust, London, United Kingdom; 2 Northwick Park Hospital, London,<br />
United Kingdom<br />
Innovations - Oral Presentations<br />
1:00 - 2:00 pm in Atlanta H<br />
33. A Collaborative Approach to a Novel, Goal Directed Echocardiography<br />
Training <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong> and Critical Care Physicians <strong>for</strong><br />
Management of Patients in Shock<br />
Jarrod M. Mosier, Lori Stolz, Albert Fiorello, John Bloom, Srikar Adhikari.<br />
University of Arizona, Tucson, AZ<br />
34. <strong>The</strong> Next Generations’ Journal Club: An Innovative Approach to<br />
Multimedia and Evidence Based <strong>Medicine</strong><br />
Evan Pushchak, Charles Pearce, Mark Courtney.<br />
Northwestern University, Chicago, IL<br />
35. Direct Observation of Resident-to-Resident Communication during<br />
Transition of Care in the <strong>Emergency</strong> Department<br />
Adam Z. Tobias, Michele L. Dorfsman, Allan B. Wolfson.<br />
University of Pittsburgh School of <strong>Medicine</strong>, Pittsburgh, PA<br />
36. Development of Low Fidelity Simulation <strong>for</strong> the Low Resource Setting<br />
Bhakti Hansoti 1 , John Foggle 2 , Braden Hexom 3 , Jared Novack 4 ,<br />
David Walker 5 , Ernest Wang 4 . 1 Johns Hopkins University, Baltimore MD;<br />
2<br />
Brown University, Providence, RI; 3 Mount Sinai School of <strong>Medicine</strong>,<br />
New York, NY; 4 Northshore University HealthSystem, Chicago, IL;<br />
5<br />
Elmhurst Hospital Center, Elmhurst, NY<br />
2013 SAEM Award Recipients<br />
2013 John Marx Leadership Award<br />
– Vincent Verdile MD, FACEP - Albany Medical College<br />
2013 Young Investigator Award<br />
– Nathan J. White MD, MS<br />
University of Washington School of <strong>Medicine</strong><br />
2013 Young Investigator Award<br />
– Daniel K. Nishijima MD, MAS<br />
University of Cali<strong>for</strong>nia, Davis<br />
2013 Young Investigator Award<br />
– Comilla Sasson MD, MS - University of Colorado-Denver<br />
Hal Jayne Excellence in Education Award<br />
– Michael Beeson MD, MBA, FACEP<br />
Akron General Medical Center<br />
2013 Excellence in Research Award<br />
– Gail D’Onofrio MS, MD<br />
Yale University School of <strong>Medicine</strong><br />
2013 Advancement of Women in<br />
<strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
– Kathleen Clem BSN, MD, FACEP - Loma Linda University<br />
2013 Master Clinician Award<br />
– Eric G. Laurin MD - University of Cali<strong>for</strong>nia, Davis<br />
European <strong>Society</strong> of <strong>Emergency</strong><br />
<strong>Medicine</strong> (EuSEM) Abstracts<br />
Friday, May 17, 20138:00 - 10:00am<br />
PT-200 Conference Room 3<br />
Overcrowding in EDs: what are the<br />
solutions in Europe<br />
Eric Revue<br />
Organization of STEMI care: what is the difference<br />
between USA and Europe<br />
Abdel Bellou<br />
Evolution of mortality of Acute Heart<br />
Failure in Europe<br />
Said Laribi<br />
Policy on Quality metrics in <strong>Emergency</strong> <strong>Medicine</strong><br />
in Europe<br />
Nathalie Flacke<br />
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May 14-18, 2013 | Atlanta, Georgia 75
SAEM Gallery of Excellence Nominees 2013 Abstracts<br />
1 NEXUS Chest: Validation of a Decision instrument <strong>for</strong> Selective Chest Imaging in<br />
Blunt Trauma<br />
Robert M. Rodriguez MD, UCSF/San Francisco General Hospital<br />
2 Intravenous Cobinamide Versus Hydroxocobalamin <strong>for</strong> Acute Treatment of<br />
Severe Cyanide Poisoning in A Swine (Sus Scrofa) Model - a randomized,<br />
controlled trial<br />
Vikhyat S. Bebarta, San Antonio Military Medical Center<br />
3 Anaphylaxis; Clinical Features and Evidence <strong>for</strong> A Mast Cell-leukocyte Cytokine<br />
Cascade in Humans.<br />
Simon G A. Brown MBBS PhD FACEM, Western Australian institute <strong>for</strong> Medical<br />
Research, Royal Perth Hospital and the University of Western Australia<br />
4 Accuracy of an Ultra-Low Dose CT Protocol <strong>for</strong> ED Patients with Suspected<br />
Kidney Stone<br />
Chris Moore MD, RDMS, Yale University School of <strong>Medicine</strong><br />
5 Latino Caregiver Experiences with asthma Health Communications: A Qualitative<br />
Evaluation<br />
Antonio Riera MD, Yale University School of <strong>Medicine</strong><br />
6 Randomized Trial of Tenecteplase or Placebo with Low Molecular Weight Heparin<br />
<strong>for</strong> Acute Submassive Pulmonary Embolism: assessment of Patient-Oriented<br />
Cardiopulmonary Outcomes at Three Months<br />
Jeffrey A. Kline MD, Indiana University School of <strong>Medicine</strong><br />
8 <strong>The</strong> Effect of Point-of- Care Ultrasonography on <strong>Emergency</strong> Department Length<br />
of Stay and CT Utilization in Children with Suspected Appendicitis.<br />
Inna Elikashvili, Mount Sinai Medical Center<br />
9 Signs and Symptoms associated with Surgical Intervention in Children with<br />
Abdominal Pain<br />
Melissa Tavarez MD, Children’s National Medical Center<br />
10 Retrospective Review of <strong>Emergency</strong> Bedside Ultrasound <strong>for</strong> Diagnosis of<br />
Pediatric intussusception<br />
Samuel H. F. Lam, Advocate Christ Medical Center<br />
11 Ultrasound Confirmation of Central Femoral Venous Line Placement: the FLUSH<br />
Study (Flush the Line and Ultrasound the Heart)<br />
Russ Horowitz MD, RDMS, Ann & Robert H. Lurie Children’s Hospital of Chicago<br />
12 Accuracy of <strong>Emergency</strong> <strong>Medicine</strong> Residents during Completion of the American<br />
College of <strong>Emergency</strong> Physicians Minimum Ultrasound Training Benchmarks: A<br />
Multicenter Multiple Application Longitudinal Validation Study<br />
John Bailitz, Cook County (Stroger)<br />
19 A Markov Model Describes the Dynamics of Resuscitation in a Porcine<br />
Hemorrhagic Shock Model.<br />
Heemun Kwok MD, MS, University of Washington<br />
20 Comparison of Intraosseous infusion Rates of Plasma Under High Pressure in An<br />
Adult Hypovolemic Swine Model in Two Different Limb Sites<br />
Julio Lairet, Emory University School of <strong>Medicine</strong><br />
34 <strong>The</strong> Burden of Acute Heart Failure on US <strong>Emergency</strong> Departments<br />
Alan B. Storrow MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Vanderbilt University<br />
Medical Center<br />
35 Degradation of Benzodiazepines After 120-Days of EMS Deployment<br />
Jason McMullan MD, University of Cincinnati<br />
36 Do Prehospital Levels of End-tidal Carbon Dioxide Differ Between Chronic<br />
Obstructive Pulmonary Disease and Congestive Heart Failure?<br />
Christopher Hunter MD, PhD, Orange County EMS System<br />
37 Prehospital Glasgow Coma Scale and Risk Stratification in Major Pediatric<br />
Traumatic Brain injury: Association with Mortality and Non-Mortality Outcomes<br />
Daniel W. Spaite MD, Arizona <strong>Emergency</strong> <strong>Medicine</strong> Research Center, University of<br />
Arizona<br />
47 Should We Communicate Radiation Risk from CT Scans to Patients? A Mixed-<br />
Methods and Normative Ethical Analysis<br />
Thomas E. Robey, Yale-New Haven Hospital<br />
48 Evidence Based Diagnostics: Meta-Analysis of the Accuracy of Physical Exam<br />
and Imaging <strong>for</strong> Adult Scaphoid Fractures<br />
Ali S. Raja, Brigham and Women’s Hospital, Harvard Medical School<br />
49 Comparing the Diagnostic Per<strong>for</strong>mance of Bedside Ultrasound to Plain<br />
Radiography <strong>for</strong> Detecting Fractures of the Appendicular Skeleton in the<br />
<strong>Emergency</strong> Department: A Prospective Study<br />
Paul E. Haiar DSc, PA-C, Mike O’Callaghan Federal Medical Center<br />
57 Elevated Levels of Serum SBDP150 in the <strong>Emergency</strong> Department Are associated<br />
with Poor Outcome at One Month From Mild and Moderate Traumatic Brain injury<br />
Linda Papa MD.CM, MSc, Orlando Regional Medical Center<br />
60 Per<strong>for</strong>mance of Early Serum GFAP and UCH-L1 individually and in Combination in<br />
Distinguishing Mild and Moderate Traumatic Brain injury from Trauma Controls<br />
and in Detecting intracranial Lesions On CT<br />
Linda Papa MD.CM, MSc, Orlando Regional Medical Center<br />
73 Young Women are Less Likely to Meet Reperfusion Guidelines <strong>for</strong> STEMI: the<br />
VIRGO Study (Variation in Recovery: Role of Gender On Outcomes)<br />
Gail D’Onofrio MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Yale University School of<br />
<strong>Medicine</strong><br />
81 Clinical Pathway Expedites Systemic Corticosteroids <strong>for</strong> Children with Moderate-<br />
Severe asthma Exacerbation<br />
Christopher Fee MD, University of Cali<strong>for</strong>nia San Francisco<br />
82 Broselow Tape: A Time to Revisit?<br />
Muhammad Waseem MD, MS, Lincoln Medical & Mental Health Center<br />
89 ED Hemolysis is More Strongly associated with Device Used to Obtain Blood<br />
Than Other Features of Phlebotomy<br />
Andrew Wollowitz MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Albert Einstein<br />
College of <strong>Medicine</strong><br />
93 <strong>The</strong> Relationship between Lactic Acidosis and Thiamine Levels in Patients with<br />
Diabetic Ketoacidosis<br />
Ari Moskowitz MD, Beth Israel Deaconess Medical Center<br />
97 Age-related Differences in Pain Recovery After Motor Vehicle Collision: A<br />
Prospective Longitudinal Study<br />
Shannon M. Matthews, University of North Carolina<br />
111 Randomized Trial of a Quantitative, Computerized Method to Estimate Pretest<br />
Probability of Acute Coronary Syndrome and Pulmonary Embolism: Effect on<br />
Patient Safety, Radiation Exposure, and Cost of Care<br />
Jeffrey Kline, Indiana University School of <strong>Medicine</strong><br />
112 HINTS Outper<strong>for</strong>ms ABCD2 to Identify Stroke in Acute Vestibular Syndrome<br />
David E. Newman-Toker MD PhD, Johns Hopkins University School of <strong>Medicine</strong><br />
113 Evaluation of Clinical Prediction Rules <strong>for</strong> Clinical Deterioration Shortly After an<br />
<strong>Emergency</strong> Department Diagnosis of Pulmonary Embolism<br />
Christopher Kabrhel, Massachusetts General Hospital<br />
121 Comparison of <strong>Emergency</strong> Physician Per<strong>for</strong>med Bedside Ultrasound vs.<br />
Computed tomography in the Diagnosis of Renal Colic<br />
Megan Leo MD, RDMS, Boston Medical Center<br />
139 Differences in Noninvasive thermometers in the Adult <strong>Emergency</strong> Department<br />
Joshua Zwart MD, University of Rochester<br />
243 Adherence to CDC Guidelines in the Evaluation and Management of Women with<br />
Pelvic Complaints<br />
Dana E. Kozubal BS, Hospital of the University of Pennsylvania<br />
263 Derivation of An Abbreviated instrument <strong>for</strong> Use in <strong>Emergency</strong> Department Low<br />
Back Pain Research: the Five-Item Roland Morris Questionnaire<br />
Laura W. Mulvey BS, Albert Einstein College of <strong>Medicine</strong><br />
266 <strong>Emergency</strong> Department Recidivism and Outcomes of Previously Evaluated Chest<br />
Pain Unit Patients<br />
Anthony Napoli MD FACEP, Warren Alpert Medical School of Brown University<br />
270 High Rate of False-Positive Cardiac Testing in an <strong>Emergency</strong> Department<br />
Observation Unit<br />
Jason Dorais MD, University of Utah<br />
281 Predictive Value and Appropriate Ranges of Prehospital Physiologic Criteria <strong>for</strong><br />
Identifying Seriously injured Older Adults During Field Triage<br />
Derek Richardson MD, Oregon Health & Science University<br />
286 <strong>The</strong> BREATH Pilot Study: Bringing Research in Echocardiography Assessment to<br />
Haiti<br />
Krithika M. Muruganandan MD, Rhode Island Hospital, Department of <strong>Emergency</strong><br />
<strong>Medicine</strong><br />
287 <strong>The</strong> Number of FAST Exams Required <strong>for</strong> Proficiency<br />
Sharon Yellin MD, New York Methodist Hospital<br />
288 Intraosseous Versus intravenous Cobinamide in Treating Acute Cyanide toxicity<br />
and Apnea in A Swine (Sus Scrofa) Model<br />
Vikhyat S. Bebarta, San Antonio Military Medical Center; USAF Enroute Care<br />
Research Center<br />
289 <strong>The</strong> Effects of increased Dosing of L-Carnitine in a Model of Verapamil Toxicity<br />
Jason Chu, St. Luke’s-Roosevelt Hospital Center<br />
76 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
294 Narratives Outper<strong>for</strong>m Summary Content in Promoting Recall of Opioid<br />
Prescription Guideline Recommendations<br />
Austin Kilaru, Perelman School of <strong>Medicine</strong> at the University of Pennsylvania<br />
295 Risk Factors <strong>for</strong> Cardiovascular Events in ED Patients with Drug Overdose<br />
Alex F. Manini, Mt. Sinai School of <strong>Medicine</strong><br />
304 A Quick and Easy Delirium assessment <strong>for</strong> Non-Physician Research Personnel<br />
Jin H. Han MD, MSc, Vanderbilt University<br />
306 Using Biomarkers to Detect Delirium Among Elderly <strong>Emergency</strong> Department<br />
Patients<br />
Maura Kennedy MD, MPH, Beth Israel Deaconess Medical Center<br />
308 Blood Transfusion Seemed Not to be associated with Mortality among Patients<br />
with Severe Sepsis in ED.<br />
Chih-Yi Hsu MD, Chang Gung Memorial Hospital<br />
309 <strong>The</strong> Prognostic Value of Brain Natriuretic Peptide in Combination with the<br />
Sequential Organ Failure assessment Score in Septic Shock<br />
Won Young Kim MD, PhD, Beth Israel Deaconess Medical Center<br />
316 <strong>Emergency</strong> Department Prediction of Survival and Neurologic Outcome in<br />
Comatose Cardiac Arrest Patients Undergoing <strong>The</strong>rapeutic Hypothermia is<br />
Unreliable.<br />
Catherine M. Wares MD, Carolinas Medical Center<br />
320 <strong>The</strong> Impact of Pre-Hospital <strong>The</strong>rapeutic Hypothermia on Mortality and<br />
Neurologic Outcomes in Out of Hospital Cardiac Arrest: A Systematic Review and<br />
Meta-Analysis<br />
Benton R. Hunter MD, Indiana University School of <strong>Medicine</strong><br />
325 Decreasing ED Overcrowding Via Implementation of a Hospital Wide Surge Plan<br />
Shira Schlesinger LAC+USC Medical Center<br />
326 Computed tomography without Oral Contrast <strong>for</strong> Abdominal Pain: Effects on<br />
<strong>Emergency</strong> Department Efficiency and Patient Safety<br />
William C. Krauss MD, FACEP, Kaiser Permanente<br />
327 Impact of a Computerized Decision Support System on Screening <strong>for</strong><br />
Hyperlactatemia among Adults with Sepsis<br />
Jeffrey P. Green, UC Davis Medical Center<br />
338 Prevalence and Characteristics of Patients Presenting with Difficult Venous<br />
Access to the <strong>Emergency</strong> Department<br />
J. Matthew Fields MD, Thomas Jefferson University<br />
347 Breaking Down Barriers to ePCR Implementation in EMS: Turnaround Time<br />
Colby Redfield MD, Beth Israel Deaconess Medical Center - Harvard Medical<br />
School<br />
356 <strong>The</strong> Effect of Suspected Diagnosis on Physician Pretest Probability <strong>for</strong><br />
Abdominal Pain Patients Undergoing Computed tomography in the <strong>Emergency</strong><br />
Department<br />
Angela M. Mills MD, University of Pennsylvania<br />
361 A Randomized-controlled Trial of Paracetamol Versus Morphine <strong>for</strong> the<br />
Treatment of Acute Painful Crisis of Sickle Cell Disease<br />
Rifat Rehmani MD, MSc, King Abduaziz Hospital<br />
363 Variability in Pediatric ED Care of Sickle Cell Disease and Fever<br />
Angela M. Ellison MD, MSc, University of Pennsylvania School of <strong>Medicine</strong><br />
364 Elevated Lactate Levels in the <strong>Emergency</strong> Department Are associated with<br />
Positive Blood Cultures in Children with Sickle Cell Disease<br />
Jay G. Ladde MD, Orlando Regional Medical Center<br />
491 How Competent are <strong>Emergency</strong> <strong>Medicine</strong> interns <strong>for</strong> Level 1 Milestones: Who is<br />
Responsible?<br />
Laura Hopson MD, University of Michigan<br />
492 Inter-Rater Agreement of <strong>Emergency</strong> <strong>Medicine</strong> Milestone PC12 <strong>for</strong> Goal-Directed<br />
Focused Ultrasound Is Excellent<br />
Stephen Leech, Orlando Regional Medical Center<br />
495 Preferences <strong>for</strong> Resuscitation and intubation Among Patients with Do-notresuscitate/do-not-intubate<br />
Orders: A 1 Year Follow Up Study.<br />
John E. Jesus MD, Christiana Care Health Center<br />
508 Implementation of Checklists <strong>for</strong> Central Line associated Blood Stream infection<br />
Prevention in the <strong>Emergency</strong> Department.<br />
Robert Klemisch AB, Washington University School of <strong>Medicine</strong> in St. Louis<br />
509 Reducing Blood Culture Contamination in a Community Hospital <strong>Emergency</strong><br />
Department with a Standardized Sterile Collection Technique<br />
Wesley H. Self MD MPH, Vanderbilt University Medical Center<br />
520 Concordance of Prehospital and <strong>Emergency</strong> Department Cardiac Arrest<br />
Resuscitation with Documented End-of-Life Choices in Oregon<br />
Derek K. Richardson, Oregon Health & Science University<br />
522 <strong>The</strong> Impact of Pre-hospital Non-invasive Positive Pressure Support Ventilation in Adult<br />
Patients with Severe Respiratory Distress: A Systematic Review and Meta-analysis<br />
Sameer Mal MD, University of Western Ontario<br />
524 Gender and Survival in Out-of-hospital Cardiac Arrest (OHCA) - Results From the<br />
OPALS (Ontario Prehospital Advanced Life Support) Study<br />
Basmah Safdar MD, Yale University<br />
528 Analgesia Prescriptions <strong>for</strong> ED Patients with Low Back Pain: A National<br />
Perspective<br />
Adam J. Singer MD, Stony Brook University<br />
535 <strong>The</strong> Diagnostic Accuracy of Bedside Ocular Ultrasound in the Diagnosis of<br />
Retinal Detachment: A Systematic Review and Meta-analysis.<br />
Hal J. Minnigan MD, indiana University School of <strong>Medicine</strong><br />
538 <strong>The</strong> Impact of Race and Sex of Study Personnel On the Decision to Participate in<br />
Research<br />
Kimberly W. Hart MA, University of Cincinnati<br />
540 <strong>Academic</strong> Career interest in American <strong>Emergency</strong> Residents<br />
John Burkhardt, University of Michigan<br />
541 Description and Productivity of <strong>Emergency</strong> <strong>Medicine</strong> Researchers Receiving K23<br />
Or K08 Mentored Research Career Development Awards<br />
Daniel K. Nishijima, University of Cali<strong>for</strong>nia, Davis<br />
551 A Prospective Observational Study of inter-observer Agreement <strong>for</strong> Pretest<br />
Probability assessment of Deep Venous Thrombosis<br />
Krista Brucker MD, Northwestern University<br />
567 Low-dose Ketamine Versus Morphine <strong>for</strong> Acute Pain in the <strong>Emergency</strong><br />
Department - A Randomized, Prospective, Double-blinded Trial<br />
Joshua P. Miller MD, SAUSHEC<br />
571 One Year Outcomes of Patients Following Coronary Computerized tomographic<br />
Angiography in the <strong>Emergency</strong> Department<br />
Judd E. Hollander, University of Pennsylvania<br />
581 A Randomized Controlled Trial of intravenous Ketorolac Versus intravenous<br />
Metoclopramide + Diphenhydramine <strong>for</strong> Acute Treatment of Non-migraine, Bland<br />
Recurrent Headache<br />
Victoria Adewunmi MD, Albert Einstein College of <strong>Medicine</strong><br />
584 Impact of An Evidence-based Guideline On Rates of Diagnostic Testing <strong>for</strong><br />
Pediatric Syncope<br />
Megan OBrien, Boston University School of <strong>Medicine</strong><br />
585 <strong>Emergency</strong> Department Variation in Head Computed tomography Scanning<br />
Among Pediatric Patients with Head Trauma<br />
Jennifer R. Marin MD, MSc, University of Pittsburgh School of <strong>Medicine</strong><br />
586 Per<strong>for</strong>mance of Plain Pelvis Radiography in Children with Blunt torso Trauma<br />
Maria Y. Kwok, Columbia University Medical Center<br />
588 A Rapid assessment to Predict ED Revisits, Hospital Admissions or Death at 30<br />
days Following ED Discharge in Older individuals<br />
James D. Dziura PhD, Yale School of <strong>Medicine</strong><br />
589 Trends in Short Stay Hospitalizations <strong>for</strong> Older Adults from 1990-2010,<br />
Implications <strong>for</strong> Geriatric <strong>Emergency</strong> Care<br />
Peter W. Greenwald MD MS, Weill Cornell Medical College<br />
722 A Soluble Guanylate Cyclase Stimulator, Bay 41-8543, Preserves Pulmonary<br />
Artery Endothelial Function in Experimental Pulmonary Embolism<br />
John A. Watts PhD, Carolinas Medical Center<br />
726 Focusing on inattention: A Very Brief Method to Detect Delirium in the<br />
<strong>Emergency</strong> Department<br />
Jin H. Han MD, MSc, Vanderbilt University<br />
732 A Prospective, Randomized Evaluation of Facilitated Primary Care Follow Up<br />
After ED Utilization<br />
Michael Bouton, Beth Israel Deaconess<br />
733 A Study to Evaluate <strong>Emergency</strong> Provider Efficiency and Cognitive Load Using<br />
Different Methods of Computerized Physician Medication Order Entry<br />
Dipti Agarwal MBBS, Mayo Clinic<br />
747 Progesterone <strong>for</strong> Children with Serious Traumatic Brain injury (TBI): A Feasibility<br />
Study in the Pediatric <strong>Emergency</strong> Care Applied Research Network (PECARN)<br />
Rachel Stanley, University of Michigan<br />
754 Health Evaluation and Referral assistant (HERA): Improving Linkage with<br />
Tobacco Treatment<br />
Edwin D. Boudreaux PhD, the University of Massachusetts Medical School<br />
755 Effect of Computerized Physician Order Entry (CPOE) on <strong>Emergency</strong> Department<br />
Throughtput Metrics and Test Utilization<br />
Michael Manka MD, SUNY at Buffalo School of <strong>Medicine</strong>, Erie County Medical<br />
Center<br />
758 Randomized Controlled Trial of Safety and Efficacy of L-carnitine infusion <strong>for</strong> the<br />
Treatment of Vasopressor Dependant Septic Shock<br />
Michael A. Puskarich, University of Mississippi Medical Center<br />
May 14-18, 2013 | Atlanta, Georgia 77
762 Barriers to Calling 9-1-1 in High-Risk Neighborhoods with Primarily Latinos in<br />
Denver, Colorado<br />
Comilla Sasson MD MS, University of Colorado Denver<br />
763 Association Between <strong>Emergency</strong> Department Operation Characteristics, Length<br />
of Stay, and Elopements by Change in ED Volumes<br />
Daniel Handel MD, MPH, Oregon Health & Science University School of <strong>Medicine</strong><br />
776 No Man Is An Island: Living in A More Disadvantaged Neighborhood increases<br />
the Likelihood of Developing Persistent Moderate Or Severe Neck Pain 6 Weeks<br />
After Motor Vehicle Collision<br />
Samuel McLean MD, MPH, University of North Carolina at Chapel Hill<br />
789 Intubation Skills Correlate with Accuracy of Self-assessment<br />
Amish Aghera MD, Maimonides Medical Center<br />
797 Physicians’ Diagnostic Accuracy in Using Simple Clinical Signs <strong>for</strong> Detecting<br />
Anemia and Its Severity in Patients Seen at the <strong>Emergency</strong> Department of A<br />
Tertiary Referral Hospital in Tanzania.<br />
Hendry R. Sawe MD, Muhimbili University of Health and Allied Sciences<br />
798 <strong>The</strong> Prevalence of Suspected Undiagnosed Diabetes Mellitus and use of Random<br />
Blood Sugar to Detect Elevated A1c Among <strong>Emergency</strong> Department Patients in a<br />
Developing Country<br />
Candace McNaughton, Vanderbilt University<br />
799 Characteristics of Adult Patients Presenting to Two Public Referral Hospitals in<br />
Cambodia<br />
Lily Yan, Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
809 Lactate Clearance is associated with Improved Survival and Neurological<br />
Outcome in Post-Cardiac Arrest<br />
Lars W. Andersen BS, Research Center <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
810 Microcirculatory Impairment in Post-cardiac Arrest Patients<br />
Yasser Omar MD, Beth Israel Deaconess Medical Center<br />
814 Emergent CT Does Not Delay Cooling in Patients After Cardiac Arrest<br />
David A. Pearson MD, Carolinas Medical Center<br />
815 <strong>Emergency</strong> <strong>Medicine</strong> Resident Leadership Ability: A Simulation-Based<br />
Longitudinal Study<br />
Matthew C. Carlisle, UC Davis<br />
834 Self-assessment of Clinical Improvement by Pediatric Patients during an Acute<br />
asthma Exacerbation<br />
Lori A. Montagna, Mount Sinai School of <strong>Medicine</strong><br />
innovations<br />
8 Using iTunesU as a Novel <strong>Emergency</strong> <strong>Medicine</strong> Curriculum Deployment Device.<br />
Janis P. Tupesis, Nestor Rodriguez, Katy Oksuita, Matt Anderson,<br />
Carrie Voss-Harvey, Will Sanderson. University of Wisconsin School of <strong>Medicine</strong><br />
and Public Health, Madison, WI<br />
9 Developing Residency Education with Andragogy and Multimedia: <strong>The</strong> DREAM<br />
Curriculum<br />
Karen R. Lind, Brian Gillett, David Saloum, Eitan Dickman, John Marshall.<br />
Maimonides Medical Center, Brooklyn, NY<br />
10 Teams Teaching Other Teams: An Interactive Educational Session<br />
Chandra Aubin, Rebecca Bavolek, Evan Schwarz. Washington University School of<br />
<strong>Medicine</strong>, St. Louis, MO<br />
11 <strong>Emergency</strong> <strong>Medicine</strong> Resident Education in Ophthalmology<br />
Lara Phillips, Lawrence Stack. Vanderbilt, Nashville, TN<br />
12 <strong>The</strong> EM10 project: A High Yield, Mobile Device Based Learning Plat<strong>for</strong>m <strong>for</strong><br />
Medical Student Education during <strong>Emergency</strong> Department Shifts<br />
Jeffrey R. Vlasic. University of Michigan Medical School, Ann Arbor, MI<br />
13 <strong>Emergency</strong> <strong>Medicine</strong> E-Learning: Articulating the Facts, Moving to the Future<br />
Cynthia Leung, Aaron Bernard, Nicholas E. Kman. <strong>The</strong> Ohio State University<br />
Medical Center, Columbus, OH<br />
16 <strong>The</strong> Mentorship Gap: Bridging Residents and Medical Students through a Near<br />
Peer Mentoring Program<br />
Robbie E. Paulsen, Matthew J. Stull, Sarah Ronan-Bentle. University of Cincinnati<br />
College of <strong>Medicine</strong>, Cincinnati, OH<br />
17 EMIG: A Student-Driven Integrative Curriculum Approach to Simulation<br />
Annette Dorfman. George Washington University, Washington, DC<br />
19 Milestone Tracking and Documentation Augmented via an Electronic Tool<br />
Tailored to an <strong>Emergency</strong> <strong>Medicine</strong> Simulation Curriculum<br />
Raymond P. Ten Eyck. Wright State University, Kettering, OH<br />
21 Development Of A Novel, Competency-based <strong>Emergency</strong> <strong>Medicine</strong> “Dean’s Letter<br />
Cemal B. Sozener, Laura R. Hopson, Joseph House, Suzanne L. Dooley-Hash,<br />
Samantha R. Hauff, Monica L. Lypson, Sally A. Santen. University of Michigan,<br />
Ann Arbor, MI<br />
ACKNOWLEDGMENTS <strong>for</strong><br />
Abstracts & Moderators<br />
I wanted to personally thank you <strong>for</strong> the significant<br />
time, ef<strong>for</strong>t, and resources you devoted to reviewing<br />
and moderating the many excellent abstracts<br />
submitted <strong>for</strong> the SAEM Annual Meeting this year.<br />
This was a record-breaking year <strong>for</strong> submissions<br />
in sheer numbers, so your service was appreciated<br />
more than ever. It is only through your ef<strong>for</strong>ts that the<br />
SAEM Annual Meeting continues to be the best peerreviewed<br />
<strong>for</strong>um <strong>for</strong> research in emergency medicine.<br />
<strong>The</strong> continued success of these important academic<br />
achievements depends on your continued enthusiasm<br />
in supporting the SAEM mission.<br />
Gratefully,<br />
Christopher Ross MD<br />
on behalf of<br />
Program Committee, SAEM Annual Meeting 2013<br />
** Applications <strong>for</strong> consideration to be an abstract reviewer<br />
are posted in the SAEM newsletter and in <strong>Academic</strong> <strong>Emergency</strong><br />
<strong>Medicine</strong> summer issues.<br />
Future SAEM<br />
Annual Meetings<br />
May 14-17, 2014<br />
Sheraton Dallas Hotel<br />
Dallas, TX<br />
May 13-16, 2015<br />
Sheraton San Diego<br />
Hotel & Marina<br />
San Diego, CA<br />
78 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Late Breaker Abstracts<br />
# 3 Innovations Thursday, May 16 12:00 -1:00 pm in Atlanta H<br />
Competency in Chaos: A Novel Approach to<br />
<strong>Emergency</strong> Preparedness Training (EPT)<br />
Lancer A. Scott, Christopher Ashby Davis, Derrick Swartzenruber,<br />
Christina L. Bourne, Eric J. Larson, MUSC, Charleston, SC<br />
Providing comprehensive EPT <strong>for</strong> medical trainees is important<br />
to the future success of US emergency preparedness operations.<br />
Un<strong>for</strong>tunately, US medical schools have been slow to develop EPT<br />
curricula <strong>for</strong> medical students. In addition, few EPT training programs<br />
possess both competency-driven goals and metrics to measure<br />
per<strong>for</strong>mance during a simulated disaster.<br />
When developing new EPT curriculum <strong>for</strong> patient care providers, it is<br />
important to consider that disasters are rare, complex events involving<br />
many patients and environmental factors often difficult to reproduce<br />
in a training environment. In addition, lengthy courses lasting several<br />
weeks are often unnecessary to achieve basic competencies.<br />
We developed a 1-day, competency-based disaster course <strong>for</strong> patient<br />
care providers that recreate a multi-actor clinical disaster inside a<br />
humansimulation lab (see photo of lab). Our course enhanced provider<br />
knowledge, com<strong>for</strong>t level and disaster skill. Trainees were able to<br />
resuscitate twounstable simulated patients and prevent anthrax<br />
exposure to the hospital during a loud and chaotic disaster scenario. We<br />
believe ours is the first civilian curriculum in the US that combines high<br />
fidelity, multi-actor scenarios to measure the life-saving per<strong>for</strong>mance of<br />
patient care providers confronted with >10 patients at once.<br />
We will showcase our innovative curriculum utilizing posters and digital<br />
video of our training sessions (available at www.musc.edu/chpter). We<br />
will also ‘stage’ components of our disaster small group and/or team<br />
exercises to demonstrate how faculty can introduce clinical disaster<br />
preparedness into existing curricula. <strong>The</strong> purpose of the demonstration<br />
is to show faculty that disaster preparedness competencies can be<br />
achieved quickly, with measurable results, without compromising<br />
existing curriculum schedules.<br />
#136 Wednesday, May 15 1:00- 2:00 pm in Roswell I<br />
Reverse Triage in Pediatrics: A New Method to Increase In-Hospital<br />
Surge Capacity<br />
Eben Clattenburg, Lauren Sauer, Gabor Kelen, <strong>The</strong> Johns Hopkins School<br />
of <strong>Medicine</strong>, Baltimore MD<br />
Background: After disasters, hospitals are expected to provide four<br />
days of care without government help. Cancelling elective admissions,<br />
using alternative spaces, and reverse triage are strategies to increase<br />
bed capacity. Reverse triage involves the safe, early discharge of<br />
suitable patients. Among adult patients, 44% were previously found to<br />
qualify <strong>for</strong> reverse triage, representing the greatest surge-bed source.<br />
Objectives: <strong>The</strong> primary objective is to discover the proportion of<br />
pediatric patients suitable <strong>for</strong> reverse triage. <strong>The</strong> secondary objective<br />
is to determine characteristics associated with reverse triage eligibility.<br />
Methods: This is a retrospective chart review, by 3 trained reviewers,<br />
of pediatric inpatients on 3 general medical/surgical floors in the<br />
same tertiary academic hospital that participated in the adult study.<br />
Simulating a disaster, patients were deemed suitable <strong>for</strong> early discharge<br />
if they had no critical interventions (CI) over a 4-day period beginning<br />
with the first day of chart-review. Previously published CIs mandating<br />
continued admission were adapted <strong>for</strong> pediatric populations. Kappa<br />
statistic was calculated after 10% of charts were re-abstracted.<br />
Results: Of 526 pediatric patients, 41% were black, 48% Caucasian,<br />
46% female and 54% male. Mean age was 8.7 (±6.2) years and the mean<br />
length of stay was 3.5 (±4.5) days. <strong>The</strong> highest proportion of patients<br />
(45%) was admitted from the ED and 25% were elective admissions.<br />
<strong>The</strong>re were 27 (5.1%) patients eligible <strong>for</strong> reverse discharge. Elective<br />
admission patients (RR 0.09) and older age (RR 0.93) are associated<br />
with lower eligibility <strong>for</strong> reverse triage in an adjusted multi-variable log<br />
binomial regression. Patients on nonsurgical services are more likely to<br />
be eligible <strong>for</strong> reverse triage (RR 2.75). Elective admission cancellation<br />
opens 25% of beds compared to reverse triage’s 5.1% and opening<br />
licensed beds’ 2.7%. Kappa statistic was 0.96.<br />
Conclusions: Unlike previous reports <strong>for</strong> adults, reverse triage at large<br />
academic centers <strong>for</strong> pediatrics may be an ineffectual strategy <strong>for</strong><br />
increasing surge capacity. This question needs to be studied in the lower<br />
acuity community setting.<br />
Table 1. Adjusted risk ratios <strong>for</strong> reverse triage eligibility.<br />
Variable Risk Ratio 95% CI<br />
Age Category<br />
0 - 4<br />
5 -12<br />
13 +<br />
Hospital Service<br />
Pediatric Surgical<br />
General Pediatric<br />
Admission Source<br />
<strong>Emergency</strong> Department<br />
Elective Admission<br />
External Transfer<br />
Transfer from PICU<br />
Transfer from NICU<br />
Direct Admission<br />
1<br />
0.37<br />
0.62<br />
1<br />
2.46<br />
1<br />
0.14<br />
0<br />
0.94<br />
0<br />
0<br />
(0.13 – 0.98)<br />
(0.26 – 1.47)<br />
(1.05 – 5.73)<br />
(0.02 – 1.06)<br />
0<br />
(0.40 – 2.15)<br />
0<br />
0<br />
Table 2. Number of patients eligible <strong>for</strong> reverse triage over four day period by simulated start day since admission.<br />
Simulated Start<br />
Day After<br />
Admission<br />
Discharge Day<br />
# Eligible <strong>for</strong><br />
Reverse Triage<br />
# of Patients<br />
Hospitalized<br />
at Start<br />
% of Patients<br />
Eligible <strong>for</strong><br />
Reverse Triage*<br />
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9<br />
1 14 10 2 1 27 526 5.13 %<br />
2 15 4 1 0 20 351 5.70 %<br />
3 10 3 1 0 14 235 5.96 %<br />
4 8 1 1 1 11 166 6.63 %<br />
5 3 1 1 0 5 104 4.81 %<br />
6 1 1 1 0 3 69 4.35 %<br />
* Chi squared test p-value= 0.975<br />
May 14-18, 2013 | Atlanta, Georgia 79
Late Breaker Abstracts<br />
#234 Wednesday, May 15 1:00 – 5:00 pm in 200 Gallery-Level 6<br />
Impact of microEEG on clinical management and outcomes of<br />
<strong>Emergency</strong> Department patients with altered mental status”<br />
Shahriar Zehtabchi 1 , S. G. Abdel Baki 2 , A. Omurtag 2 , R. Sinert 3 , G. Chari 3 ,<br />
S. Malhotra 3 , J. Weedon 3 , A. A. Fenton 2 , A. C. Grant 3 . 1 State University of<br />
New York, Downstate Medical Center, Brooklyn, NY; 2 Bio-Signal Group<br />
Corporation, Brooklyn, NY; 3 State University of New York, Downstate<br />
Medical Center, Brooklyn, NY<br />
Background: <strong>Emergency</strong> Department patients presenting with Altered<br />
Mental Status (AMS) are at risk of nonconvulsive seizure (NCS). Our<br />
previous study revealed 78% EEG abnormalities including NCS (5%) in<br />
ED patients with AMS.<br />
Objective: To assess the impact of EEG on clinical management and<br />
outcomes of ED patients with AMS.<br />
Methods: Randomized controlled trial at two urban teaching<br />
hospitals. Inclusion: Adult patients (>18 years old) with AMS. Exclusion:<br />
immediately correctable cause of AMS (e.g. hypoglycemia), and<br />
admission be<strong>for</strong>e enrollment. Patients were randomized to routine care<br />
(control) or routine care plus EEG (intervention). Research assistants<br />
used a rapid (5-min) easy to apply scalp electrode set with a miniature,<br />
wireless EEG device (microEEG) to record a standard 30-min EEG from<br />
patients assigned to the intervention group upon presentation. <strong>The</strong> EEG<br />
results were reported to the ED attending by an off-site epileptologist<br />
within 30 minutes. No workup protocol was specified <strong>for</strong> either group.<br />
Primary outcomes: EEG results, change in ED management (differential<br />
diagnosis, diagnostic work-up, and treatment plan from enrollment to<br />
disposition). Secondary outcomes: length of ED and hospital stay, ICU<br />
requirement, and in-hospital mortality. <strong>The</strong> top 3 differential diagnoses<br />
were recorded with subjective probabilities (0-100%) by an ED attending<br />
at each time point. Statistical analysis: Data were reported as medians<br />
and quartiles or percentages with 95%CI. Groups were compared<br />
using Fisher’s exact or Mann-Whitney tests. Changes in probability of<br />
differential diagnoses were compared using Kolmogorov–Smirnov test.<br />
Results: 149 patients were enrolled (76 controls and 73 interventions).<br />
Patients in the two arms had comparable characteristics at baseline.<br />
EEG in the intervention arm revealed abnormal findings in 93% (85-97%)<br />
including NCS in 5% (2-13%). <strong>The</strong> impact of EEG on clinical management<br />
in the intervention arm is shown in the table. Changes in probabilities of<br />
top 3 differential diagnoses from initiation of enrollment till disposition<br />
were statistically significant (p=0.030) between the groups. Secondary<br />
outcomes did not differ significantly between groups.<br />
Conclusion: EEG can be obtained in the ED with minimal impact on<br />
resources and can significantly impact clinical management (diagnosis<br />
and treatment) of these patients.<br />
Impact of<br />
EEG<br />
Helped establish a<br />
diagnosis<br />
Changed overall<br />
diagnostic work up<br />
Changed the overall<br />
treatment plan<br />
Upon receiving<br />
EEG result<br />
N (%, 95% CI)<br />
At final<br />
ED disposition<br />
N (%, 95% CI)<br />
41/73 (56%, 41 - 70%) 43/73 (59%, 47 - 69%)<br />
36/73 (49%, 38 - 60%) 36/73 (49%, 38 - 61%)<br />
31/73 (42%, 31 - 53%) 31/73 (42%, 31 - 53%)<br />
#248 Wednesday, May 15 12:00 – 5:00 pm in 200 Gallery-Level 6<br />
Prevalence and Treatment Needs of Patients Presenting to the<br />
<strong>Emergency</strong> Department with Alcohol Intoxication<br />
Kenneth W. Dodd, B. Woodbury, A. Schick, A, Lila W. Steinberg, Max<br />
Fitzgerald, Ethan Forsgren, Johanna C. Moore, James Miner,. Hennepin<br />
County Medical Center, Minneapolis, MN<br />
Background: Patients with alcohol intoxication consume a significant<br />
amount of ED resources. However, the overall treatment needs in<br />
patients intoxicated with alcohol presenting to EDs is unknown.<br />
Objectives: To determine the prevalence of alcohol intoxication in the<br />
ED as well as the treatment needs of such patients.<br />
Methods: For this cross-sectional study, all patients presenting to<br />
the ED of an urban, Level 1 trauma center from 11/1/2012-11/30/2012<br />
were prospectively screened by trained research associates. When an<br />
intoxicated patient was identified, study in<strong>for</strong>mation including patient<br />
demographics, diagnoses, vital signs, blood alcohol concentration<br />
(BAC), GCS on arrival ABility to ambulate independently on arrival, use<br />
of physical or chemical restraint, previous ED visits, length of stay, and<br />
health insurance was collected. Data was analyzed using descriptive<br />
statistics.<br />
Results: During the study period, 7106 patients presented to the ED and<br />
6192 (87%) were screened by research assistants. Of those screened,<br />
681 (11%) were eligible and 668 (11%) were enrolled. <strong>The</strong> median age<br />
was 45 (range 14-82, IQR 33-52). 455 (68%) arrived by EMS, 122 (18%)<br />
by police, and 46 (7%) were ambulatory. 141 (21%) had a systolic blood<br />
pressure 180, 145 (22%) had a heart rate >110 or
Late Breaker Abstracts<br />
#438 Thursday, May 16 8:00 – 12:00 pm in 200 Gallery – Level 6<br />
It Matters More Than You Think It Does <br />
Makini Chisolm-Straker 1 , Logan Jardine 2 , Peter L. Shearer 1 . 1 Mount Sinai<br />
School of <strong>Medicine</strong>, NYC, NY; 2 SUNY Downstate College of <strong>Medicine</strong>,<br />
NYC, NY<br />
Background: Gender refers to the self-expression of identity that<br />
relates to masculinity, femininity and their various combinations. For<br />
individuals who identify as transgender (TG), or having a gender identity<br />
different from their assumed sex, presenting <strong>for</strong> health care requires<br />
finding nonjudgmental and supportive providers. This may take years<br />
and is not an option in emergency circumstances. Such emergency<br />
patients face an unsafe decision point: To be potentially maltreated<br />
versus the potential <strong>for</strong> serious health consequences, including death, of<br />
not seeking emergent medical treatment.<br />
Objective: Our aim is to determine if persons who identify as TG fail<br />
to present to emergency healthcare; furthermore, we want to know<br />
how those who do present as emergency department (ED) patients<br />
experience the healthcare they receive. We hypothesized that many TG<br />
persons do not present to EDs and those who do have poor experiences<br />
with the healthcare personnel.<br />
Methods: This observational study anonymously surveys TG patients,<br />
recruited from Facebook and a local health clinic that specifically aims<br />
to serve the Lesbian, Gay, Bisexual, Transgender community. Selfidentified<br />
TG patients, who are English-speaking and older than 17years,<br />
are eligible to participate in the survey. <strong>The</strong> study began June 1, 2012, is<br />
ongoing.<br />
Results: 111 surveys have been completed. 75% of the participants<br />
surveyed noted that they had occasion to want to use an ED; of these,<br />
90% sought emergency medical care. 29% of respondents reported a<br />
negative experience, 21% had a positive experience and 14% reported a<br />
mixed experience; 46% only described their chief complaint. With some<br />
participants having multiple suggestions <strong>for</strong> improvement in care, 56%<br />
recommended providers ask and use the patient’s preferred pronoun or<br />
name and 42% recommended providers only ask about or discuss TG<br />
status when it is relevant to the medical issue at hand.<br />
Conclusions: While it appears that most survey participants who<br />
thought they needed emergent medical care visited an ED, it is important<br />
to note that this sample is biased: Nearly 84% have at least graduated<br />
college and, as a convenience sample, many are already connected to<br />
healthcare. Still, more than a third of participants reported having at<br />
least one negative experience in the ED due to their TG identity. This data<br />
indicates the need <strong>for</strong> further research, particularly recruiting from a<br />
population that is not as well connected with the healthcare community.<br />
Also, ED providers should receive training on how to serve this patient<br />
population in a culturally sensitive manner.<br />
hypotension in the <strong>Emergency</strong> Department (ED). Over the past few years<br />
a number of goal-directed bedside US protocols have been developed<br />
<strong>for</strong> this purpose.<br />
Objectives: To identify the effect of using bedside US on the number<br />
of CT scans ordered by emergency physicians in the critically ill<br />
hypotensive patients.<br />
Methods: A prospective, observational study of a convenience sample of<br />
non-traumatic hypotensive patients who received the standard care plus<br />
a goal-directed US within the first hour of their presentation in an urban<br />
ED between 2008-2010. <strong>The</strong> treating physician completed a pre-US and<br />
post-US questionnaire that included the need <strong>for</strong> computer tomography<br />
(CT) of chest ABdomen or pelvis in the evaluation of the patient. <strong>The</strong><br />
chart was reviewed <strong>for</strong> the results of the CT scans that were done.<br />
Results: A total number of 118 patients were included in the study.<br />
<strong>The</strong> number of CT scans that the physician decided to order pre and<br />
post pre<strong>for</strong>ming US was 47 and the number of CT scans that were<br />
eventually done was 69 of which 39.1% had a positive diagnostic finding.<br />
<strong>The</strong> number of CT scans that the physicians decided to cancel after<br />
pre<strong>for</strong>ming US was 13 and none of them had a missed finding that was<br />
identified during their hospital course. <strong>The</strong> number of CT scans that the<br />
physician decided to order after the bedside US is 13 of which 2 had a<br />
positive diagnostic finding.<br />
Conclusion: Pre<strong>for</strong>ming bedside goal directed US did not change the<br />
overall number of CT scans the emergency physician ordered <strong>for</strong> the<br />
critically ill hypotensive patients but it helped identify cases where<br />
pre<strong>for</strong>ming CT scan was crucial <strong>for</strong> accurate diagnosis.<br />
#605 Friday, May 17 8:00 – 12:00 pm in 200 Gallery – Level 6<br />
<strong>The</strong> use of bedside ultrasound in critically ill patient influences<br />
utilization of CT scans in the emergency department<br />
Hamid Shokoohi, Keith Boniface, Ali Pourmand, Yiju Teresa Liu, Melissa<br />
McCarthy, Kabir Yadav, Rasha Buhumaid, Mohammad Salimian. George<br />
Washington University, Washington, DC<br />
Background: Literature suggests that the use of bedside ultrasound<br />
(US) in the evaluation of patients with undifferentiated shock allows <strong>for</strong><br />
rapid assessment and improves accurate diagnosis in undifferentiated<br />
May 14-18, 2013 | Atlanta, Georgia 81
Moderators <strong>for</strong> the 2013 annual Meeting<br />
Opeolu Adeoye MD<br />
University of Cincinnati<br />
Christian Arbelaez MD<br />
Brigham and Women’s Hospital<br />
Kavita Babu MD<br />
UMass-Memorial Medical Center, MA<br />
Brigitte M. Baumann MD, MSCE<br />
Cooper Medical School of Rowan University<br />
Kevin Baumlin MD<br />
Mt. Sinai School of <strong>Medicine</strong><br />
Steven B. Bird MD<br />
University of Massachusetts Medical School<br />
Diane Birnbaumer MD<br />
Los Angeles County-Harbor-UCLA<br />
Michelle Biros MS, MD<br />
University of Minnesota<br />
David J. Blehar MD<br />
University of Massachusetts Medical School<br />
Andra L. Blomkalns MD<br />
University of Cincinnati<br />
Jane Brice MD<br />
University of North Carolina<br />
David F. Brown MD<br />
Massachusetts General Hospital<br />
Michael Brown MD, MSc<br />
Michigan State University<br />
Christopher R. Carpenter MD, MS<br />
Washington University in St. Louis<br />
Brendan Carr MD<br />
University of Pennsylvania<br />
David Cone MD<br />
Yale University School of <strong>Medicine</strong><br />
D.M. Courtney MD<br />
Northwestern University<br />
Rebecca Cunningham MD<br />
University of Michigan<br />
Chad E. Darling MD<br />
University of Massachusetts Medical School<br />
<strong>The</strong>odore R. Delbridge MD, MPH<br />
East Carolina University<br />
Deborah B. Diercks MD, MSc<br />
University of Cali<strong>for</strong>nia -Davis<br />
Romolo Gaspari MD<br />
University of Massachusetts Medical School<br />
Charles Gerardo MD<br />
Duke Global Health Residency/Fellowship<br />
Michael Gibbs MD<br />
Carolinas Medical Center<br />
Jeffrey A Glassberg MD<br />
Mount Sinai<br />
Daniel Handel MD, MPH<br />
Oregon Health & Science University<br />
School of <strong>Medicine</strong><br />
Greg Hendey MD<br />
University of Cali<strong>for</strong>nia, San Francisco (Fresno)<br />
Jon Mark Hirshon MD<br />
University of Maryland, Baltimore<br />
Judd Hollander MD<br />
University of Pennsylvania<br />
James Holmes MD<br />
University of Cali<strong>for</strong>nia<br />
Davis School of <strong>Medicine</strong><br />
Steven Horng MD<br />
Beth Israel Deaconess Medical Center<br />
Harvard Medical School<br />
Edward Jauch MD, MS<br />
Medical University of South Carolina<br />
College of <strong>Medicine</strong><br />
Gabor Kelen MD<br />
Johns Hopkins University School of <strong>Medicine</strong><br />
Brent R. King MD<br />
University of Texas Medical School<br />
Keith E. Kocher MD<br />
University of Michigan<br />
Nathan Kuppermann MD, MPH<br />
University of Cali<strong>for</strong>nia<br />
Davis School of <strong>Medicine</strong><br />
Eric Legome MD<br />
Kings County Hospital,<br />
SUNY Downstate College of <strong>Medicine</strong><br />
Alexander T. Limkakeng MD<br />
Duke University<br />
Jeffrey Love MD<br />
Georgetown University School of <strong>Medicine</strong><br />
John P. Marshall MD<br />
Maimonides Medical Center<br />
Brandon Maughan MD, MHS<br />
Brown University<br />
Nathan Woodburn Mick MD<br />
Maine Medical Center<br />
James Miner MD<br />
Hennepin County Medical Center<br />
Rakesh Mistry MD<br />
University of Pennsylvania School of <strong>Medicine</strong><br />
James H. Moak MD, RDMS<br />
University of Virginia<br />
Sergey M. Motov<br />
Maimonides Medical Center<br />
Daniel K. Nishijima MD<br />
University of Cali<strong>for</strong>nia -Davis<br />
Michele Nypaver MD<br />
University of Michigan<br />
Ziad Obermeyer MD<br />
Brigham and Women’s Hospital<br />
Harvard University<br />
Ed Otten MD<br />
University of Cincinnati<br />
Daniel J. Pallin MD, MPH<br />
Brigham and Women’s Hospital<br />
Jesse M. Pines MD, MPH<br />
George Washington University<br />
Timothy F. Platts-Mills<br />
University of North Carolina Chapel Hill<br />
Emilie Powell MD, MS, MBA<br />
Northwestern University<br />
Susan Promes MD<br />
University of Cali<strong>for</strong>nia - San Francisco<br />
Ali S Raja MD, MPH<br />
Brigham and Women’s Hospital<br />
Harvard Medical School<br />
Megan Ranney MD, MPH<br />
Alpert Medical School, Brown University<br />
Martin Reznek MD, MBA, FACEP<br />
University of Massachusetts<br />
Memorial Medical Center and<br />
University of Massachusetts Medical School<br />
Emanuel Rivers MD, MPH<br />
Henry Ford Hospital<br />
Kevin Rodgers MD<br />
Indiana University<br />
Robert Rodriguez MD<br />
University of Cali<strong>for</strong>nia –San Francisco<br />
San Francisco General Hospital<br />
Christopher Ross MD<br />
Cook County Hospital<br />
Michael Runyon MD<br />
Carolinas Medical Center<br />
Daniel E. Rusyniak<br />
Indiana University School of <strong>Medicine</strong><br />
Tom Scaletta MD<br />
Edward Hospital. Smart-ER<br />
Jeremiah D. Schuur MD<br />
Brigham & Womens Hospital<br />
Harvard Medical School<br />
Aaron Skolnik MD<br />
Banner Good Samaritan/Phoenix Children’s<br />
Hospital Medical Toxicology, Center <strong>for</strong> Toxicology<br />
and Pharmacology Education and Research,<br />
University of Arizona College of <strong>Medicine</strong><br />
Ian G. Stiell MD<br />
University of Ottawa<br />
Alan B. Storrow MD<br />
Vanderbilt University<br />
Richard Summers MD<br />
University of Mississippi Medical Center<br />
Lorraine Thibodeau MD<br />
Albany Medical College<br />
Arjun K. Venkatesh MD<br />
Yale University<br />
Ron Walls MD<br />
Brigham & Womens Hospital<br />
Harvard Medical School<br />
Robert Woolard MD<br />
Texas Tech University (El Paso)<br />
Donald M. Yealy MD<br />
University of Pittsburgh<br />
University of Pittsburgh Physicians<br />
Richard Zane MD<br />
University of Colorado<br />
82 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Abstract Submission Reviewers<br />
Srikar Adhikari MD<br />
University of Arizona Medical Center<br />
Michael G. Allison MD<br />
University of Maryland Medical<br />
Center<br />
Mark G. Angelos MD<br />
<strong>The</strong> Ohio State University<br />
John Ashurst, DO<br />
Lehigh Valley Health Network<br />
Ryan D. Aycock MD<br />
Staten Island University Hospital<br />
Smita Badhey MD<br />
St. Luke’s/Roosevelt Hospital Center<br />
Rebecca Barron MD<br />
Brown University<br />
Rachel Berkowitz MD<br />
Bellevue/NYU<br />
Brendan Carr MD<br />
University of Pennsylvania<br />
Wallace Carter MD<br />
New York Presbyterian Hospital<br />
Anna Marie Chang MD<br />
Hospital of the University of<br />
Pennsylvania<br />
Hangyul M. Chung-Esaki MD<br />
University of Cali<strong>for</strong>nia San Francisco<br />
Robert Louis Cloutier MD<br />
Oregon Health and Science University<br />
Robert Cooper MD<br />
Ohio State Medical Center<br />
Eric J. Cortez MD<br />
<strong>The</strong> Ohio State University<br />
Zachary D. Dezman MD<br />
University of Maryland<br />
Katherine Douglass MD<br />
<strong>The</strong> George Washington University<br />
Brian Driver MD<br />
Hennepin County Medical Center<br />
Marie-Carmelle Elie MD<br />
University of Florida<br />
Marc Ellingson MD<br />
Regions Hospital<br />
Kevin L. Ferguson MD<br />
University of Florida<br />
Gregory J. Fermann MD<br />
University of Cincinnati<br />
Katherine J. Glasrud MD<br />
Regions Hospital<br />
Anthony E. Grippo MD<br />
Advocate Christ Medical Center<br />
Hallam M. Gugelmann MD<br />
University of Pennsylvania<br />
Sanjey Gupta MD<br />
New York Hospital Queens<br />
Todd Guth MD<br />
University of Colorado<br />
Michael F. Harrison MD<br />
Henry Ford Health System<br />
Jonathan W. Heidt MD<br />
Washington University<br />
School of <strong>Medicine</strong> in Saint Louis<br />
Carolyn K. Holland MD<br />
University of Florida, Gainesville<br />
Dennis Hsieh JD, MD<br />
Alameda County Medical Center<br />
Highland General Hospital<br />
Lauren Hudak MD<br />
Emory University<br />
Ula Hwang MD, MPH<br />
Mount Sinai School of <strong>Medicine</strong><br />
Janetta Iwanicki MD<br />
Denver Health Medical Center<br />
Brian Johnson MD<br />
Alameda County Medical Center<br />
Samantha P. Kadera MD<br />
UCLA Medical Center<br />
Daniel Keyes MD<br />
Univ of Michigan EM Residency<br />
Program<br />
William A. Knight IV MD<br />
University of Cincinnati<br />
Rebecca Kornas MD<br />
Hennepin County Medical Center<br />
Nate Lisenbee MD<br />
UF Shands Gainesville<br />
Michael Martinez MD<br />
Oregon Health and Science University<br />
Larissa May MD<br />
George Washington University<br />
Jason McMullan MD<br />
University of Cincinnati<br />
William J. Meggs MD, PhD<br />
East Carolina University<br />
Angela M. Mills MD<br />
University of Pennsylvania<br />
David Milzman MD, FACEP<br />
Georgetown U School of <strong>Medicine</strong><br />
Danielle Minett MD<br />
Christiana Care Health Systems<br />
Jillian Mongelluzzo MD<br />
University of Cali<strong>for</strong>nia, San<br />
Francisco<br />
Melinda Morton MD, MPH<br />
Johns Hopkins School of <strong>Medicine</strong><br />
Mary K. Murphy PhD<br />
Albert Einstein College of <strong>Medicine</strong><br />
John T. Nagurney MD, MPH<br />
Harvard Medical School<br />
John Neuffer MD<br />
West Virginia University<br />
Daniel K. Nishijima MD<br />
University of Cali<strong>for</strong>nia, Davis<br />
Jason T. Nomura MD<br />
Christiana Care Health System<br />
Charissa Pacella MD<br />
University of Pittsburgh<br />
Daniel J. Pallin MD, MPH<br />
Brigham and Women’s Hospital<br />
Joseph D. Pate MD<br />
Georgetown/Washington Hospital<br />
Center<br />
Elizabeth M. Phillips MD<br />
Case Western Reserve University<br />
Peter Pryor MD<br />
Denver Health<br />
Robert Redwood MD<br />
University of Wisconsin<br />
Hospital and Clinics<br />
Karin V. Rhodes MD, MS<br />
University of Pennsylvania<br />
Rebekah Richards MD<br />
<strong>The</strong> Ohio State University Wexner<br />
Medical Center<br />
Brandon A. Roberts MD<br />
LSUHSC- New Orleans<br />
Robert Rodriguez MD<br />
UCSF/San Francisco<br />
General Hospital<br />
Dan Rolston MD<br />
St. Luke’s Roosevelt<br />
Pedro Roque MD<br />
Maricopa Medical Center<br />
Arthur Sanders MD<br />
University of Arizona<br />
Jonathan Schonert MD<br />
WVU<br />
David C. Seaberg MD<br />
University of Tennessee<br />
Todd Seigel MD<br />
Brown University/Rhode Island<br />
Hospital<br />
Salvatore Silvestri MD<br />
Orlando Regional Medical Center<br />
Sameer Sinha MD<br />
St. John hospital<br />
Howard Smithline MD<br />
Baystate Medical Center<br />
Joseph P. Tagliaferro DO<br />
MetroHealth Medical Center<br />
Nik <strong>The</strong>yyunni MD<br />
University of Michigan<br />
Susan Thompson DO<br />
Christiana Care Health System<br />
J. S. VanEpps MD, PhD<br />
University of Michigan<br />
Amar Vira MD<br />
University of Arizona<br />
Taher Vohra MD<br />
Henry Ford Hospital<br />
Eric Wei MD<br />
University of Michigan<br />
Ambrose Wong MD<br />
NYU School of <strong>Medicine</strong><br />
May 14-18, 2013 | Atlanta, Georgia 83
Abstracts Innovations – Speakers with No Disclosures<br />
Jameel Abualenain,<br />
<strong>The</strong> George Washington University<br />
Yahya A. ACAR,MD, Etimesgut Military Hospital<br />
Jerielle Adams,MD, LSUHSC, Earl K. Long Medical<br />
Center, Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
Kathleen M. Adelgais,MD MPH,<br />
University of Colorado<br />
Opeolu Adeoye, University of Cincinnati<br />
Victoria Adewunmi,MD,<br />
Albert Einstein College of <strong>Medicine</strong><br />
Negean Afifi,DO, Cook County ( Stroger)<br />
Anish K. Agarwal,MD, MPH,<br />
<strong>The</strong> University of Pennsylvania<br />
Dipti Agarwal,MBBS, Mayo Clinic<br />
Amish Aghera,MD, Maimonides Medical Center<br />
Darin Agresti,DO, St. Luke’s University<br />
Hospital and Health Network<br />
James Ahn, University of Chicago<br />
Hamid R. Alai, Department of <strong>Emergency</strong> <strong>Medicine</strong>,<br />
Johns Hopkins University<br />
Amer Z. Aldeen,MD, Northwestern University<br />
Lora AlKhawam,MD, Northwestern University<br />
Brandon R. Allen,MD, University of Florida<br />
Michael G. Allison,MD,<br />
University of Maryland Medical Center<br />
Richard Amini,<br />
University of Arizona Medical Center<br />
Lars W. Andersen,BS,<br />
Research Center <strong>for</strong> <strong>Emergency</strong> <strong>Medicine</strong><br />
Erik M. Angles,MD, Maine Medical Center<br />
Yuemi An-Grogan,MD,<br />
Northwestern University<br />
Meredith H. Arasaratnam,ScD,<br />
National Collaborative <strong>for</strong> Bio-Preparedness<br />
Ryan Arnold,MD, Cooper University Hospital<br />
Sanjay Arora,MD, Keck School of <strong>Medicine</strong> of the<br />
University of Southern Cali<strong>for</strong>nia<br />
Faizan H. Arshad, Yale New Haven Hospital<br />
Rajiv Arya,MD, UMDNJ-RWJMS New Brunswick<br />
Bahareh Aslani,MD, Henry Ford Hospital<br />
Chandra Aubin,<br />
Washington University School of <strong>Medicine</strong><br />
Ryan D. Aycock,<br />
Staten Island University Hospital<br />
Arif Azam,MD,<br />
<strong>The</strong> University of Texas Health Science Center<br />
John Bailitz, Cook County (Stroger)<br />
Fran Balamuth,MD, PhD,<br />
Children’s Hospital of Philadelphia<br />
Hari Balasubramanian,PhD,<br />
University of Massachusetts<br />
Kimberly Baldino,MD,<br />
Morristown Medical Center<br />
Caroline A. Ball, Loyola University Chicago<br />
<strong>The</strong>odore C. Bania,MD,<br />
St. Luke’s - Roosevelt Hospital Center<br />
Isabel A. Barata,MS MD,<br />
North Shore University Hospital<br />
Brian Barbas, Cooper Medical School of<br />
Rowan Univerisity<br />
David Barbic, McGill University<br />
Elizabeth Barlow,DO,<br />
Saint Vincent Health Center<br />
Jeffrey Barrett,MD,<br />
Temple University School of <strong>Medicine</strong><br />
Benjamin S. Bassin,MD, University of Michigan<br />
Aveh Bastani, Troy Beaumont Hospital<br />
Jonathan Bastian,MD, University of Calgary<br />
Christopher W. Baugh,MD, MBA,<br />
Brigham and Women’s Hospital<br />
Brigitte M. Baumann,MD, MSCE,<br />
Cooper Medical School of Rowan University<br />
Rebecca A. Bavolek,MD, Washington University in<br />
St. Louis School of <strong>Medicine</strong><br />
Daren M. Beam,MD, MS,<br />
Indiana School of <strong>Medicine</strong><br />
Raphaelle Beard, Johns Hopkins University<br />
Gillian A. Beauchamp,MD,<br />
University of Cincinnati<br />
Vikhyat S. Bebarta, San Antonio Military Medical<br />
Center; US Army Institute of Surgical Research<br />
Kaylin Beck,BA,<br />
Johns Hopkins University School of <strong>Medicine</strong><br />
Bruce M. Becker,MD, MPH, Warren Alpert School of<br />
<strong>Medicine</strong> at Brown University<br />
Brian N. Beer,MD, Scott & White Healthcare<br />
Maxim Ben-Yakov,MD.CM.,<br />
University of Toronto<br />
Katherine Berg,MD,<br />
Beth Israel Deaconess Medical Center<br />
Allyson Best, University of Cincinnati<br />
Marian E. Betz,<br />
University of Colorado School of <strong>Medicine</strong><br />
Mary C. Bhalla, Summa Akron City Hospital<br />
Salma Bibi,MPH, Boston Medical Center<br />
Meredith Camp. Bin<strong>for</strong>d,MHS,<br />
Yale School of <strong>Medicine</strong><br />
Reena Blanco,MD, Emory University<br />
David J. Blehar,MD,<br />
University of Massachusetts Medical School<br />
Jerry B. Bodily,MD, University of New Mexico<br />
Connie Boh, Duke-National University<br />
Singapore Graduate Medical School<br />
Nichole Bosson,MD, MPH,<br />
Harbor-UCLA Medical Center, Los Angeles<br />
Biomedical Research Institute<br />
Jason D. Bothwell,MD,<br />
Madigan Army Medical Center<br />
Edwin D. Boudreaux,PhD, <strong>The</strong> University of<br />
Massachusetts Medical School<br />
Michael Bouton, Beth Israel Deaconess<br />
Ariel Bowman, University of Pennsylvania<br />
William P. Bozeman, Wake Forest University<br />
Shari Brand, Mayo Clinic Hospital<br />
Ethan Brandler, SUNY Downstate University<br />
Hospital of Brooklyn<br />
Irina F. Brennan,MD, PhD, University of Florida<br />
Jesse J. Brennan,MA,<br />
University of Cali<strong>for</strong>nia, San Diego<br />
Joshua S. Broder,MD,<br />
Duke University Medical Center<br />
Simon G A. Brown,MBBS PhD FACEM,<br />
Western Australian Institute <strong>for</strong> Medical<br />
Research, Royal Perth Hospital and the<br />
University of Western Australia<br />
Krista Brucker,MD, Northwestern University<br />
Rasha Buhumaid,MD, George Washington<br />
Matt Burge,MD, Scott & White<br />
John Burkhardt, University of Michigan<br />
Elizabeth Burner,MD MPH,<br />
University of Southern Cali<strong>for</strong>nia<br />
John H. Burton,MD, Carilion Clinic<br />
Erin Caddell, University of Central Florida,<br />
College of <strong>Medicine</strong><br />
Lisa A. Calder, University of Ottawa<br />
Jesse B. Cannon,MD,<br />
Emory University, Atlanta VA Medical Center<br />
Candice T. Cardon,MD,<br />
Christus Spohn Memorial<br />
Julie M. Carland,MD,<br />
University of Arizona Medical Center<br />
Matthew C. Carlisle, UC Davis<br />
Amanda J. Carlson,MD, Regions Hospital<br />
Christopher R. Carpenter,MD, MSc,<br />
Washington University in St. Louis<br />
Brendan G. Carr,MS MS,<br />
University of Pennsylvania<br />
Stephanie Carreiro,MD,<br />
Alpert Medical School, Brown University<br />
Emily Carrier,<br />
Center <strong>for</strong> Studying Health System Change<br />
Shaun D. Carstairs, Naval Medical Center<br />
Patrick M. Carter,MD, University of Michigan<br />
Edward M. Castillo,PhD, MPH,<br />
University of Cali<strong>for</strong>nia, San Diego<br />
Allison D. Cator,MD, PhD,<br />
University of Michigan<br />
Srihari Cattamanchi,MD, Beth Israel Deaconess<br />
Medical Center / Harvard Medical School<br />
Kate Cerwensky,MPH, Center <strong>for</strong> Global Health<br />
and Development, Boston University School of<br />
Public Health<br />
<strong>The</strong>odore C. Chan,MD,<br />
University of Cali<strong>for</strong>nia, San Diego<br />
Samuel J. Chang,MD, Carolinas Medical Center<br />
Dane Michael. Chapman, University of Missouri,<br />
Columbia, School of <strong>Medicine</strong><br />
Michelle J. Chastain,MD,<br />
Advocate Christ Medical Center<br />
Andrew Chen, North Shore LIJ Health System<br />
Andrew E. Chertoff,MD, Albert Einstein College of<br />
<strong>Medicine</strong>, Montefiore Medical Center<br />
Shiau Hui Chin,MD, New York Hospital Queens<br />
Makini Chisolm-Straker,MD,<br />
Mount Sinai School of <strong>Medicine</strong><br />
David T. Chiu,<br />
Beth Israel Deaconess Medical Center<br />
Junho Cho,<br />
Inje University Haeundae Paik Hospital<br />
Shih-Chin Chou,MD, New York Hospital Queens<br />
Jason Chu,MD,<br />
St. Luke’s-Roosevelt Hospital Center<br />
Steve B. Chukwulebe,BS, BBA,<br />
University of Pennsylvania<br />
Orhan Cinar, Gulhane Military Medical Academy<br />
Eric C. Cioe,MD, State University of New York<br />
Downstate Medical Center<br />
Eben Clattenburg,<br />
<strong>The</strong> Johns Hopkins School of <strong>Medicine</strong><br />
Lisa Clayton,DO, Morristown Medical Center<br />
Enesha Cobb,MD, MTS, University of Michigan<br />
Giorgio Costantino,MD,<br />
Università degli Studi di Milano<br />
Dale Cotton,MD, UC Davis Medical Center<br />
Cheryl Courage, Wayne State University<br />
Philip W. Craven, University of Utah<br />
Cristal Cristia,MD,<br />
Beth Israel Deaconess Medical Center<br />
Heather L. Crouse,MD, Baylor College of <strong>Medicine</strong>/<br />
Texas Children’s Hospital<br />
Brandan Crum,MD,<br />
University of Cali<strong>for</strong>nia Davis Medical Center<br />
Keith Curtis,MD, Univerisy of Utah<br />
R. Mason Curtis, Queen’s University<br />
Amy Cutright, East Carolina University<br />
Alexander M. Dabrowiecki,BS,<br />
St. George’s University<br />
Robert T. Dahlquist,MD,<br />
Carolinas Medical Center<br />
Michael W. Dailey,MD, Albany Medical Center<br />
Preeti Dalawari,MD, MSPH,<br />
Saint Louis University Hospital<br />
Timothy Dalseg,MD, University of Ottawa<br />
Brock Daniels,MD, Yale New Haven Hospital<br />
Raoul Daoust,MD MSc,<br />
Hôpital du sacré cœur de Montréal<br />
Bryan F. Darger,BA, MSII,<br />
University of Texas Medical School at Houston<br />
Christopher W. Davis,MD, University of Arizona<br />
Leah A. Davis,MA, Thomas Jefferson University<br />
Anthony De Lucia,DO,<br />
University of South Florida<br />
Nathan Deal, Baylor College of <strong>Medicine</strong><br />
Katie E. Dean,MD, Emory<br />
M. Kit Delgado,<br />
Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
Lawrence A. DeLuca, University of Arizona<br />
Bobby Desai, University of Florida<br />
Sharmistha Dev,MD, MPH, Henry Ford Hospital<br />
Zachary DW. Dezman,MD, MS, Department of<br />
<strong>Emergency</strong> <strong>Medicine</strong>, University of Maryland<br />
Roshanak Didehban,MHS, FACHE, Mayo Clinic<br />
Ru Ding, George Washington University<br />
Kenneth W. Dodd,MD,<br />
Hennepin County Medical Center<br />
Stephanie Y. Donald,MD,<br />
George Washington University<br />
Michael Donnino,<br />
Beth Israel Deaconess Medical Center<br />
J. Joelle Donofrio,DO,<br />
Harbor UCLA Medical Center<br />
Suzanne Dooley-Hash,MD,<br />
University of Michigan<br />
Jason Dorais,MD, University of Utah<br />
Kelly M. Doran,MD, Robert Wood Johnson<br />
Foundation Clinical Scholars Program, Yale<br />
University School of <strong>Medicine</strong><br />
Annette Dorfman,<br />
George Washington University<br />
Sarina Doyle,MD, Orlando Health<br />
Sarina Doyle,MD, Orlando Health<br />
Scott M. Dresden, Northwestern University<br />
Feinberg School of <strong>Medicine</strong><br />
Brian E. Driver,MD,<br />
Hennepin County Medical Center<br />
Nicole M. Dubosh,MD,<br />
Beth Israel Deaconess Medical Center<br />
Edward Durant,MD, MPH, Alameda County Medical<br />
Center- Highland Hospital<br />
Emma Dwyer MD, St. Louis Univeristy<br />
James D. Dziura,PhD, Yale School of <strong>Medicine</strong><br />
J. Matthew. Edwards,MD,<br />
Kaiser Permanente San Diego Medical Center<br />
Daniel Egan, St. Luke’s-Roosevelt<br />
Daniel J. Egan,MD,<br />
St. Luke’s Roosevelt Hospital Center<br />
Nate Egger,MD, Wayne State University<br />
Marie-Carmelle Elie-Turenne,MD,<br />
University of Florida<br />
Inna Elikashvili, Mount Sinai Medical Center<br />
Craig Ellis,<br />
West Australian Institute <strong>for</strong> Medical Research<br />
Mark Ellis,MD,<br />
Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
Angela M. Ellison,MD,MSc, University of<br />
Pennsylvania School of <strong>Medicine</strong><br />
Tovah G. Ellman,MD, Orlando Health System<br />
Kirsten G. Engel, Northwestern University<br />
Amy Ernst,MD, University of New Mexico<br />
Brian Euerle,<br />
University of Maryland School of <strong>Medicine</strong><br />
David P. Evans,<br />
Virginia Commonwealth University<br />
Tom Evens,MBBS BSc, Ealing Hospital NHS Trust<br />
John J. Everett,MD,<br />
William Beaumont Medical Center<br />
Sarah Fabiano,MD, University of Rochester<br />
Carrie Fales,MD, Carolinas Medical Center<br />
Isaac J. Farrell, University of Arizona<br />
Christopher Fee,MD,<br />
University of Cali<strong>for</strong>nia San Francisco<br />
David Fernandez,MD, JPS Health Network<br />
Douglas Fields,MD,<br />
Lincoln Medical and Mental Health Center<br />
J. Matthew Fields, Thomas Jefferson University<br />
fred fiesseler, Morristown Medical Center<br />
Meaghen Finan,MD, St. Luke’s University Hospital<br />
and Health Network<br />
Christopher Fischer,MD, Beth Israel Deaconess/<br />
Harvard Medical School<br />
Sarah K. Flaherty,MD,<br />
Beth Israel Deaconess Medical Center<br />
Melissa Fleegler,MD, University of New Mexico<br />
William Fleischman,MD,<br />
Mount Sinai School of <strong>Medicine</strong><br />
Abraham Flinders,<br />
Keck School of <strong>Medicine</strong> USC<br />
Jenna M. Fredette,MD,<br />
Christiana Care Health System<br />
Caroline Freiermuth,MD,<br />
Duke University Medical Center<br />
Ari B. Friedman, University of Pennsylvania<br />
Benjamin W. Friedman,MD,<br />
Albert Einstein College of <strong>Medicine</strong><br />
Matt S. Friedman,MD,<br />
Fire Department Of New York<br />
Adam Frisch,MD, University of Pittsburgh<br />
Brian Fuller,MD, Washington University in<br />
St. Louis School of <strong>Medicine</strong><br />
Matthew J. Fuller,MD, University of Utah<br />
Matthew J. Fuller, University of Utah<br />
Gelareh Z. Gabayan,MD, MSHS,<br />
West Los Angeles VA and UCLA<br />
David F. Gaieski,MD,<br />
<strong>The</strong> University of Pennsylvania<br />
Payal K. Gala, Children’s Hospital of Philadelphia<br />
Adrian Garofoli,MD, Mayo Clinic<br />
Romolo Gaspari,MD, PhD,<br />
University of Massachusetts Medical School<br />
Tyler Giberson,BS,<br />
Beth Israel Deaconess Medical Center<br />
Brian Gillett, Maimonides Medical Center<br />
Adit A. Ginde,<br />
University of Colorado School of <strong>Medicine</strong><br />
Catherine T. Ginty,MD,<br />
Cooper Medical School of Rowan University<br />
George Glass, University of Virginia<br />
Eric J. Goldlust,MD, Ph.D., Brown University<br />
Glenn R. Gookin,Ph.D.,<br />
University of Central Florida<br />
Priya R. Gopwani,<br />
Children’s National Medical Center<br />
Tadahiro Goto,MD, University of Fukui Hospital<br />
Prasanthi Govindarajan,MD, MAS,<br />
University of Cali<strong>for</strong>nia, San Francisco<br />
Monika Goyal,MD, Children’s National Medical<br />
Center, <strong>The</strong> George Washington University<br />
Shannon Graf,MD,<br />
MedStar Washington Hospital Center<br />
Robert Graham,D.O., Geisinger Medical Center<br />
Jocelyn Gravel, Hôpital Sainte-Justine<br />
Jeffrey P. Green, UC Davis Medical Center<br />
Peter W. Greenwald,MD MS,<br />
Weill Cornell Medical College<br />
Colin F. Greineder,MD PhD,<br />
University of Pennsylvania<br />
Peter L. Griffin,B.S.,<br />
Penn State University Hershey Medical Center<br />
Kathryn Groner,MD,<br />
Christiana Care Health Systems<br />
Maureen E. Gross,MD,<br />
Barnes Jewish Hospital/Washington University<br />
Anne V. Grossestreuer,MS,<br />
University of Pennsylvania<br />
Corita R. Grudzen,<br />
Mount Sinai School of <strong>Medicine</strong><br />
Anurag Gupta,MD, MBA,<br />
Brigham and Women’s Hospital<br />
Devra Gutfreund, Newark Beth Israel<br />
Todd Guth, University of Colorado<br />
David L. Gutteridge,MD, MPH,<br />
Mount Sinai School of <strong>Medicine</strong><br />
Stephanie Haddad,MD,<br />
North Shore University Hospital<br />
Paul E. Haiar,MPAS, PA-C,<br />
San Antonio Military Medical Center<br />
Erinn Hama,MD, Georgetown University and<br />
Washington Hospital Center<br />
Khalief Hamden,MD, St. Luke’s University Hospital<br />
and Health Network<br />
Jin H. Han,MD, MSc, Vanderbilt University<br />
Daniel Handel,MD, MPH, Oregon Health & Science<br />
University School of <strong>Medicine</strong><br />
Matthew L. Hansen,MD, OHSU<br />
Bhakti Hansoti,MD, Johns Hopkins University<br />
John P. Haran,MD,<br />
University of Massachusetts Medical School<br />
Kimberly W. Hart,MA, University of Cincinnati<br />
Kohei Hasegawa,MD, MPH,<br />
Massachusetts General Hospital<br />
Andrew N. Hashikawa,MD, MS,<br />
University of Michigan<br />
Elizabeth Hassebroek,MD,<br />
University of Iowa Hospitals and Clinics<br />
Benjamin W. Hatten,MD, Oregon Poison Center,<br />
Department of <strong>Emergency</strong> <strong>Medicine</strong>, Oregon<br />
Health and Science University<br />
Nicolaus Hawbaker,MD, University of Arizona<br />
Micelle Haydel, LSU-New Orleans<br />
Amy Heard,MD, Stony Brook University<br />
Jonathan W. Heidt,MD, Washington University<br />
School of <strong>Medicine</strong> in Saint Louis<br />
Michael Heller, Beth Israel Medical Center<br />
Daniel J. Henning,MD,<br />
Beth Israel Deaconess Medical Center<br />
Brooke Hensley,MD, UCSF<br />
Luke K. Hermann,MD,<br />
Mount Sinai School of <strong>Medicine</strong><br />
Bradley Hernandez,MD, Regions Hospital<br />
J. Daniel Hess,MD,<br />
Christiana Care Health System<br />
Marquita N. Hicks,MD,<br />
University of Alabama at Birmingham<br />
Peyton Holder,MD, University of Oklahoma<br />
Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
Judd E. Hollander, University of Pennsylvania<br />
Kaylee M. Hollern,<br />
Penn State College of <strong>Medicine</strong><br />
Danielle Hollingworth, Orlando Health<br />
Brandon Hone MD, University of Alberta<br />
Leah S. Honigman,MD,<br />
Beth Israel Deaconess Medical Center<br />
Laura Hopson,MD, University of Michigan<br />
Timothy Horeczko,MD, MSCR,<br />
University of Cali<strong>for</strong>nia, Davis<br />
Steven Horng,MD MMSc, Beth Israel Deaconess<br />
Medical Center / Harvard Medical School<br />
Russ Horowitz,MD, RDMS, Ann & Robert H. Lurie<br />
Children’s Hospital of Chicago<br />
Joseph House, University of Michigan<br />
Stacey L. House,MD PhD,<br />
Washington University in St. Louis<br />
Chih-Yi Hsu,MD, Chang Gung Memorial Hospital<br />
Chien-Hsiung Huang,MD,<br />
Chang Gung Memorial Hospital<br />
Adrienne Hughes, Baylor College of <strong>Medicine</strong><br />
Katherine M. Hunold,BSPH,<br />
University of Virginia<br />
Ryan Hunt,MD, UC Davis Medical Center<br />
Benton R. Hunter,MD,<br />
Indiana University School of <strong>Medicine</strong><br />
Christopher L. Hunter,MD, Ph.D.,<br />
Orlando Regional Medical Center<br />
Nicholas B. Hurst,MD, University of Arizona<br />
Gregg Husk,MD, Beth Israel Medical Center<br />
Deena Ibrahim,MD, University of Cali<strong>for</strong>nia, Irvine,<br />
School of <strong>Medicine</strong><br />
Nathan A. Irvin,MD, University of Pennsylvania<br />
Geoffrey K. Isbister,FACEM MD, Discipline of<br />
Clinical Pharmacology, University of Newcastle<br />
and Department of Clinical Toxicology, Calvary<br />
Mater Newcastle<br />
Kurt M. Isenberger,MD, Regions Hospital<br />
Yuri Ishii, Tokyo Medical University Hospital<br />
Gabrielle A. Jacquet,MD, MPH, Johns Hopkins<br />
University School of <strong>Medicine</strong><br />
Daniel Jafari,MD MPH,<br />
University of Pennsylvania<br />
Katherine Jahnes, New York Methodist Hospital<br />
Shabnam Jain,MD, Emory University<br />
<strong>The</strong>a L. James,MD, Boston Medical Center, Boston<br />
University School of <strong>Medicine</strong><br />
Tiffany Jan,MD,<br />
<strong>The</strong> University of Chicago Medical Center<br />
Paul S. Jansson,BA, Northwestern University<br />
Feinberg School of <strong>Medicine</strong><br />
Michelle Jaques,B.A.,<br />
University of Massachusetts Medical School<br />
Joshua M. Jauregui,MD, Alpert Medical School of<br />
Brown University, Department of <strong>Emergency</strong><br />
<strong>Medicine</strong><br />
Parisa P. Javedani,MD, University of Arizona<br />
Dietrich Jehle, SUNY@Buffalo<br />
Karla P. Jeri-Lozano,BS, Human Biology, University<br />
of Cali<strong>for</strong>nia, Irvine<br />
John E. Jesus,MD, Christiana Care Health Center<br />
Russell Johanson,MD, University of Massachusetts<br />
Medical School<br />
Christopher W. Jones,MD,<br />
Christiana Care Health System<br />
Jonathan L. Jones,MD,<br />
University of North Carolina<br />
Jaime Jordan, Harbor-UCLA Medical Center<br />
Madhuvanthi A. Kandadai,<br />
University of Cincinnati<br />
Steven Katz,<br />
Barnes-Jewish/Washington University in St. Louis<br />
Takahisa Kawano, Fukui University Hospital<br />
Maura Kennedy,MD, MPH,<br />
Beth Israel Deaconess Medical Center<br />
Andrew Keralis,<br />
University of Nebraska Medical Center<br />
Daniel Keyes, University of Michigan<br />
Ayesha Khan, Stan<strong>for</strong>d University Hospital<br />
Sorabh Khandelwal, Ohio State University<br />
Rahul K. Khare, Northwestern University<br />
Christopher S. Kiefer,MD,<br />
West Virginia University School of <strong>Medicine</strong><br />
Austin Kilaru, Perelman School of <strong>Medicine</strong> at the<br />
University of Pennsylvania<br />
David J. Kim, <strong>The</strong> Warren Alpert Medical School of<br />
Brown University<br />
Jimin Kim,MSc, University of Chicago<br />
Joseph S. Kim,MD, University of Kentucky<br />
Won Young Kim,MD, PhD,<br />
Beth Israel Deaconess Medical Center<br />
Dana Kindermann,<br />
George Washington University Hospital<br />
Austin Kinney,MD, University of Cali<strong>for</strong>nia Irvine<br />
Yonitte Kinsella,MD,<br />
Washington University in Saint Louis<br />
Robert Klemisch,AB, Washington University<br />
School of <strong>Medicine</strong> in St. Louis<br />
Paul Ko,MD, SUNY Upstate Medical University<br />
Timothy Koboldt,MD, Washington University in St.<br />
Louis School of <strong>Medicine</strong><br />
84 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Joseph J. Korfhagen, University of Cincinnati<br />
Frederick K. Korley, Johns Hopkins<br />
Joshua G. Kornegay,MD,<br />
Oregon Health & Science University<br />
Matthew Kostura,MD, University of Arizona<br />
Kevin Kotkowski,MD,<br />
University of Massachusetts<br />
Michael Koury,<br />
University of Mississippi Medical Center<br />
Chad M. Kovala,DO,<br />
St. John Hospital & Medical Center<br />
Christian Koziatek,BA,<br />
Bellevue Hospital/NYU Medical Center<br />
Dana E. Kozubal,BS,<br />
Hospital of the University of Pennsylvania<br />
William C. Krauss,MD, FACEP,<br />
Kaiser Permanente<br />
Allyson A. Kreshak,MD,<br />
University of Cali<strong>for</strong>nia San Diego<br />
Ramaswamy Krishnan,Ph.D.,<br />
Beth Israel Deaconess Medical Center<br />
Rita K. Kuwahara,MIH,<br />
UNC-Chapel Hill School of <strong>Medicine</strong><br />
Heemun Kwok,MD, MS,<br />
University of Washington<br />
Maria Y. Kwok,<br />
Columbia University Medical Center<br />
Jay G. Ladde,MD,<br />
Orlando Regional Medical Center<br />
Hsuan Lai, Duke-NUS Graduate Medical School<br />
Julio Lairet,<br />
Emory University School of <strong>Medicine</strong><br />
Lauren F. Laker,MBA, University of Cincinnati<br />
Samuel H. F. Lam,<br />
Advocate Christ Medical Center<br />
Gregory Lamb,MD, University of New Mexico<br />
Mark I. Langdorf,MD, MHPE,<br />
University of Cali<strong>for</strong>nia, Irvine<br />
Wayne Bond Lau,MD,<br />
Thomas Jefferson University Hospital<br />
Charlotte C. Lawson,<br />
University of Pennsylvania<br />
Luan Lawson,MD, Brody School of <strong>Medicine</strong> at<br />
East Carolina University<br />
Ching-Hsing Lee,<br />
Chang Gung Memorial Hospital<br />
Stephen Leech,<br />
Orlando Regional Medical Center<br />
Kimberly Leeson,MD,<br />
CHRISTUS Spohn Texas A&M University<br />
<strong>Emergency</strong> <strong>Medicine</strong> Residency<br />
Sabine E. Lemoyne,MD, senior emergency<br />
consultant, Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
Megan Leo,MD, RDMS, Boston Medical Center<br />
E. Brooke Lerner,PhD, Medical College of<br />
Wisconsin Affiliated Hospitals<br />
Cynthia Leung,MD, PhD, <strong>The</strong> Ohio State<br />
University Medical Center<br />
Amy Leuthauser,MD, MS,<br />
Mount Sinai School of <strong>Medicine</strong><br />
Brian Levine, Christiana Care<br />
Michael Levine,MD,<br />
University of Southern Cali<strong>for</strong>nia<br />
Alexander T. Limkakeng, Duke University<br />
Karen R. Lind,MD, Maimonides Medical Center<br />
Viktor Livshits,MD,<br />
Morristown Medical Center<br />
Bruce M. Lo,MD, Eastern Virginia Medical School,<br />
Sentara Norfolk General Hospital<br />
Frank LoVecchio,DO, Maricopa Medical Center<br />
Sean M. Lowe,MD, Emory University<br />
Adam Lukasiewicz,MPH,<br />
Yale University School of <strong>Medicine</strong><br />
Maren M. Lunoe, Medical College of Wisconsin<br />
Lucienne Lutfy-Clayton, Tufts University Medical<br />
School Baystate Medical Center<br />
Sharon Mace,MD, Cleveland Clinic<br />
Tracy MacIntosh,MD, MPH,<br />
Yale-New Haven Hospital<br />
Michelle Macy, University of Michigan<br />
Joseph K. Maddry,<br />
Rocky Mountain Poison and Drug Center<br />
Tracy E. Madsen,MD,<br />
Alpert Medical School of Brown University<br />
Laura Magnuson,MD, Orlando Health<br />
Neil Majmundar,MD,<br />
St. John Hospital & Medical Center<br />
Andrew L. Makowski,MD, St. Joseph’s Hospital<br />
Sameer Mal,MD, University of Western Ontario<br />
Alex F. Manini,MD, MS,<br />
Mt. Sinai School of <strong>Medicine</strong><br />
Michael Manka,MD, SUNY at Buffalo School of<br />
<strong>Medicine</strong>, Erie County Medical Center<br />
Lisa M. Mannina,MD,<br />
San Antonio Military Medical Center<br />
Asa M. Margolis,DO, MPH, MS, Johns Hopkins<br />
Keith A. Marill,MD,<br />
Massachusetts General Hospital<br />
Stacey Marlow,MD, JD,<br />
University of South Florida<br />
John Martel,MD, PhD, University of Michigan<br />
Tara Martin,MD,<br />
George Washington University<br />
Shannon M. Matthews,<br />
University of North Carolina<br />
Brandon C. Maughan,MD, MHS,<br />
Department of <strong>Emergency</strong> <strong>Medicine</strong>,<br />
Alpert Medical School of Brown University<br />
Larissa May,MD,<br />
George Washington University<br />
Justin Mazzillo,<br />
UT Health Science Center at Houston<br />
Jonathan McCoy, RWJUH/RWJMS<br />
James Y. McCue,BS, UC Davis<br />
Samuel McLean,MD, MPH, University of North<br />
Carolina at Chapel Hill, Anesthesiology<br />
Jason McMullan,MD, University of Cincinnati<br />
Candace McNaughton, Vanderbilt University<br />
Andrew McRae, University of Calgary<br />
Edward R. Melnick,MD, Yale School of <strong>Medicine</strong><br />
Anne K. Merritt,MD,<br />
Yale University School of <strong>Medicine</strong><br />
William Meurer, University of Michigan<br />
Robert H. Meyer,MD, Albert Einstein College of<br />
<strong>Medicine</strong>, Montefiore Medical Center<br />
Omar Meziab,<br />
University of Arizona College of <strong>Medicine</strong><br />
Athena Mihailos, NY Methodist Hospital<br />
Joshua P. Miller,MD, SAUSHEC<br />
Matthew W. Miller,BA,<br />
University of Colorado School of <strong>Medicine</strong><br />
Christina M. Millhouse,MD,<br />
UC Davis Health System<br />
Angela M. Mills,MD, University of Pennsylvania<br />
Dave Milzman, Georgetown U School of <strong>Medicine</strong><br />
James R. Miner,MD,<br />
Hennepin County Medical Center<br />
Danielle Minett,MD, MPH, Christiana Care<br />
Nate Minnick, St John Hospital<br />
Hal J. Minnigan,MD,<br />
Indiana University School of <strong>Medicine</strong><br />
Kyle D. Minor, Emory University<br />
Brandon Minzer,MA, EdM, University of Arizona<br />
College of <strong>Medicine</strong> - Phoenix<br />
Binoy W. Mistry,BS,<br />
Albert Einstein College of <strong>Medicine</strong><br />
Rakesh Mistry,MD, MS,<br />
Children’s Hospital of Philadelphia<br />
Alice M. Mitchell,MD MS,<br />
Indiana University School of <strong>Medicine</strong><br />
Rebecca Mitchell,BA, University or Wisconsin<br />
School of <strong>Medicine</strong> and Public Health<br />
Payal Modi,MD, MPH, Brown University<br />
Nicholas M. Mohr,<br />
University of Iowa Carver College of <strong>Medicine</strong><br />
Joel Moll,MD, Emory University<br />
Lori A. Montagna, Mount Sinai School of <strong>Medicine</strong><br />
Julia L. Moon,MPH,<br />
Drexel University, School of Public Health<br />
Johanna C. Moore,MD,<br />
Hennepin County Medical Center<br />
Tamara Moores,MD, University of Utah - Division<br />
of <strong>Emergency</strong> <strong>Medicine</strong><br />
Daniela Morato,MD, LAC+USC Medical Center<br />
Lisa Moreno-Walton,MD, Louisiana State<br />
University Health Sciences Center-New Orleans<br />
Kosuke Mori, Department of <strong>Emergency</strong><br />
<strong>Medicine</strong>, Tokyo Bay Urayasu/Ichikawa Medical<br />
Center, Noguchi Hideyo Memorial International<br />
Hospital<br />
Daniel C. Morris,MD, Henry Ford Health System<br />
John Morrison,MD, St. Luke’s University<br />
Hospital and Health Network<br />
Phillip Moschella,MD PhD,<br />
University of Cincinnati<br />
Jarrod M. Mosier,MD, University of Arizona<br />
Ari Moskowitz,MD, Beth Israel Deaconess<br />
Medical Center<br />
C. Nee-Kofi Mould-Millman, Emory University<br />
Hani Mowafi,MD, MPH, Boston University<br />
Colin Mukubwa,MD, VIdant Medical Center<br />
Laura W. Mulvey,BS,<br />
Albert Einstein College of <strong>Medicine</strong><br />
Tichaendepi Mundangepfupfu,<br />
Lincoln Medical and Mental Health Center<br />
Antonio Muniz,MD,<br />
Dallas Regional Medical Center<br />
Krithika M. Muruganandan,MD, Rhode Island<br />
Hospital, Dept of <strong>Emergency</strong> <strong>Medicine</strong><br />
Ward P. Myers, Boston University<br />
Anthony Napoli,MD FACEP, Warren Alpert<br />
Medical School of Brown University<br />
Arica Nesper,BA, University of Cali<strong>for</strong>nia, Davis<br />
Medical Center, Sacramento, CA<br />
David E. Newman-Toker,MD PhD,<br />
Johns Hopkins University School of <strong>Medicine</strong><br />
Manya F. Newton,MD MPH MS,<br />
University of Michigan<br />
Lorraine Ng,MD, NYP Morgan Stanley Children’s<br />
Hospital of New York<br />
Daniel K. Nishijima, University of Cali<strong>for</strong>nia, Davis<br />
Joan Noelker,MD, Washington University St Louis<br />
Brian O’Neil,MD,<br />
Wayne State University School of <strong>Medicine</strong><br />
Megan OBrien,<br />
Boston University School of <strong>Medicine</strong><br />
Erin O’Connor,MD, University of Ottawa<br />
Lauren G. Oliveira,DO, Naval Medical Center<br />
Robert P. Olympia,MD,<br />
Penn State Hershey Medical Center<br />
Yasser Omar,MD,<br />
Beth Israel Deaconess Medical Center<br />
James C. O’Neill,MD, Wake Forest Baptist Health<br />
Anwar D. Osborne, Emory University<br />
Michael Paddock,DO, Cook County (Stroger)<br />
Daniel J. Pallin, Brigham and Women’s Hospital<br />
Amisha D. Parekh,MD, New York Methodist<br />
Hospital<br />
Joshua Parker,<br />
Scott and White Memorial Hospital<br />
Anjana Patel, Mayo Clinic<br />
Viral Patel,MD, ME.,<br />
St. Luke’s - Roosevelt Hospital Center<br />
Robbie E. Paulsen,MD,<br />
University of Cincinnati College of <strong>Medicine</strong><br />
Charles Pearce,MD, Northwestern University<br />
David A. Pearson,MD, Carolinas Medical Center<br />
Allison Peasley,MD, University of Arizona<br />
Timothy Peck,MD,<br />
Beth Israel Deaconess Medical Center<br />
Timothy C. Peck,MD,<br />
Beth Israel Deaconess Medical Center<br />
Jonathan H. Pelletier,<br />
Maine Medical Center Research Institute<br />
Joe Peraza,MD,<br />
University of Arizona Health Network<br />
Nithershini Periyasamy,MBBS,M.Sc MD<br />
(Community <strong>Medicine</strong>), General Hospital<br />
Jeffrey J. Perry, University of Ottawa<br />
Lara Phillips,MD, Vanderbilt<br />
Todd M. Phillips,<br />
University of Pittsburgh Medical Center<br />
Nicole E. Piela,MD, Thomas Jefferson University<br />
Deborah L. Pierce,DO, MS, Einstein Medical<br />
Center<br />
Jesse Pines,MD, MBA, MSCE, George Washington<br />
University<br />
Timothy F. Platts-Mills, University of North<br />
Carolina Chapel Hill<br />
Lori A. Post, Yale University School of <strong>Medicine</strong><br />
Emilie Powell,MD MS MBA, Northwestern<br />
University<br />
Samuel J. Prater,MD, University of Texas Medical<br />
School @ Houston, Department of <strong>Emergency</strong><br />
<strong>Medicine</strong><br />
Melanie K. Prusakowski,MD, Carilion Clinic<br />
Evan Pushchak,MD, Northwestern University<br />
Michael A. Puskarich, University of Mississippi<br />
Medical Center<br />
Kelly E. Quinley,BA, Perelman School of <strong>Medicine</strong>,<br />
University of Pennsylvania<br />
James Quinn,MD MS, Stan<strong>for</strong>d University<br />
Nicholas J. Rademacher, University of Michigan<br />
Brian Raffetto,MPH, LAC-USC Department of<br />
<strong>Emergency</strong> <strong>Medicine</strong><br />
Megan L. Ranney,MD MPH, Alpert Medical<br />
School, Brown University<br />
Erin S. Rardon,MD, West Virginia University<br />
Jonathan J. Ratcliff,MD, MPH, University of<br />
Cincinnati<br />
Avanish S. Reddy,BA, Stony Brook University<br />
Colby Redfield,MD, Beth Israel Deaconess<br />
Medical Center / Harvard Medical School<br />
Timothy J. Reeder,MD, East Carolina University<br />
Rifat Rehmani,MD;MSc, King Abduaziz Hospital<br />
Eric Revue,Director of the <strong>Emergency</strong> and<br />
Prehospital EMS, Louis Pasteur Hospital<br />
Martin Reznek,MD, MBA, University of<br />
Massachusetts Medical School and<br />
UMassMemorial Medical Center<br />
Karin V. Rhodes, University of Pennsylvania<br />
Derek Richardson,MD, Oregon Health & Science<br />
University<br />
Kristin L. Rising,MD, University of Pennsylvania<br />
Perelman School of <strong>Medicine</strong><br />
Kenneth Robinson,MD, Hart<strong>for</strong>d Hospital<br />
Daniel R. Rodgers,MD, RDMS, Penn State<br />
Hershey<br />
Melissa A. Rodgers,BA, University of<br />
Pennsylvania<br />
Ralph Rogers, Warren Alpert Medical School of<br />
Brown University<br />
Jessica S. Rose,MD, East Carolina University<br />
Jamie Rosini, Christiana Care<br />
Joel C. Rowe,MD, University of Florida<br />
Andrew H. Ruffner,MA, University of Cincinnati<br />
Daniel Runde,MD, Harbor-UCLA Medical Center<br />
Amber K. Sabbatini,MD, MPH, Department of<br />
<strong>Emergency</strong> <strong>Medicine</strong>, University of Michigan<br />
Jeffrey H. Sacks,MD, Emory University School<br />
of <strong>Medicine</strong><br />
Basmah Safdar,MD, Yale University<br />
John C. Sakles,MD, University of Arizona<br />
Stacy Salerno, University of Rochester School of<br />
<strong>Medicine</strong> and Dentistry<br />
David Saloum, Maimonides Medical Center<br />
David H. Salzman,MD, Northwestern University<br />
Joshua G. Salzman,MA, Regions Hospital<br />
Margaret E. Samuels-Kalow,MD MPhil, Children’s<br />
Hospital of Philadelphia<br />
Layli Sanaee,MD, University of Ottawa<br />
Czarina Sanchez,MD, BIDMC<br />
Teresa Sanchez,PhD, Beth Israel Deaconess<br />
Medical Center, Harvard Medical School<br />
Michael Sanders, orlando regional medical center<br />
Stephen Sanko,MD, LAC-USC Medical Center,<br />
Los Angeles Fire Department<br />
Sally A. Santen,MD, PhD, University of Michigan<br />
Comilla Sasson,MD MS, University of Colorado<br />
Denver School of <strong>Medicine</strong><br />
Kori Sauser,MD, University of Michigan<br />
Hendry R. Sawe,MD, Muhimbili University of<br />
Health and Allied Sciences<br />
Hendry R. Sawe,MD, Muhimbili University of<br />
Health and Allied Sciences<br />
Jennifer Sayegh,MS, University of Cincinnati<br />
Sarah Schlein,MD, Univerisy of Utah<br />
Shira Schlesinger, LAC+USC Medical Center<br />
Justin Schrager, Emory University School of<br />
<strong>Medicine</strong><br />
Lisa M. Schweigler,MD, MPH, MS, <strong>The</strong> Warren<br />
Alpert Medical School of Brown University<br />
David Scordino,MD, Johns Hopkins University<br />
School of <strong>Medicine</strong><br />
Lancer A. Scott,MD, FACEP, MUSC<br />
James T. Scribner,MD, John Peter Smith Health<br />
Network<br />
Philip Seidenberg,MD, University of New Mexico<br />
Manish N. Shah, University of Rochester<br />
Purvi D. Shah, Montefiore Medical Center<br />
Sachita Shah, University of Washington School<br />
of <strong>Medicine</strong><br />
Alexander Y. Sheng,MD, Massachusetts General<br />
Hospital<br />
Rohit Shenoi,MD, Baylor College of <strong>Medicine</strong><br />
Jeffrey Shih, Mayo Clinic<br />
Sang Do Shin,MD, Seoul National University<br />
College of <strong>Medicine</strong><br />
Hamid Shokoohi, George Washington University<br />
Sneha Shrestha, Stan<strong>for</strong>d School of <strong>Medicine</strong><br />
Eric C. Silverman,MD,<br />
Cooper Medical School of Rowan University<br />
Michael E. Silverman, Morristown Medical Center<br />
Salvatore Silvestri,<br />
Orlando Regional Medical Center<br />
Erin L. Simon,D.O., Akron General Medical Center<br />
Richard Sinert,DO, Downstate Medical Center<br />
Adam J. Singer,MD, Stony Brook University<br />
Nimmie Singh,BS,<br />
Kaiser Permanente Division of Research<br />
Jordan Singleton,MD, University of Arizona<br />
Craig Sisson,MD, RDMS, University of Texas<br />
Health Science Center San Antonio<br />
Christian Sloane,MD, UCSD Medical Center<br />
Alan J. Smally,MD, Hart<strong>for</strong>d Hospital and the<br />
University of CT School of <strong>Medicine</strong><br />
Howard A. Smithline, Baystate Medical Center<br />
Peter Smulowitz,MD, MPH, Beth Israel<br />
Deaconess Medical Center<br />
Joseph Sontgerath,<br />
San Antonio Military Medical Center<br />
Olanrewaju Soremekun,<br />
University of Pennsylvania<br />
Grace Sousa,MD, University at Buffalo SUNY<br />
Cemal B. Sozener,MD, University of Michigan<br />
Susanne J. Spano,MD, FACEP, UCSF Fresno<br />
Chris Stahmer,MD,<br />
Lincoln Medical and Mental Health Center<br />
Rachel Stanley, University of Michigan<br />
Latha Ganti. Stead,MD, MS, MBA,<br />
University of Florida<br />
Eric Steinberg,DO, Beth Israel Medical Center<br />
Sarah A. Sterling,<br />
University of Mississippi Medical Center<br />
Luke A. Stevens,MA,<br />
Boston University School of <strong>Medicine</strong><br />
Matthew Stewart,MD, University of Utah<br />
Lori A. Stolz,MD, University of Arizona<br />
Uwe Stolz,PhD, MPH, University of Arizona<br />
Garrick L. Stride,MD,<br />
Naval Medical Center San Diego<br />
Alison L. Sullivan,MD, Baystate Medical Center<br />
Daniel L. Summers,MPH, Yale School of <strong>Medicine</strong><br />
Anand Swaminathan, NYU/Bellevue<br />
Breena R. Taira,MD, MPH,<br />
Olive View UCLA Medical Center<br />
Melissa Tavarez,MD,<br />
Children’s National Medical Center<br />
Richard A. Taylor, Yale University<br />
Raymond P. Ten Eyck,MD, MPH,<br />
Wright State University<br />
Sophie Terp,MD, MPH, Department of <strong>Emergency</strong><br />
<strong>Medicine</strong>, University of Southern Cali<strong>for</strong>nia<br />
Keck School of <strong>Medicine</strong>, Los Angeles, CA<br />
Nicholas Testa, LAC+USC Medical Center<br />
Sheetal Thaker,MD, Baylor College of <strong>Medicine</strong><br />
Urvi Thakker, Newark Beth Israel Medical Center<br />
Andrew J. Thomas,<br />
Oregon Health & Science University<br />
David J. Thomas, East Carolina University<br />
R. Jason Thurman,MD,<br />
Vanderbilt University School of <strong>Medicine</strong><br />
Carrie D. Tibbles,<br />
Beth Israel Deaconess Medical Center<br />
Adam Z. Tobias,MD MPH,<br />
University of Pittsburgh School of <strong>Medicine</strong><br />
Colleen Tran,DO, York Hospital<br />
Stephen Traub,MD, Mayo Clinic Arizona<br />
Ann Tsung, University of Florida<br />
Janis P. Tupesis,MD, University of Wisconsin<br />
School of <strong>Medicine</strong> and Public Health<br />
Shawn M. Varney,MD,<br />
San Antonio Military Medical Center<br />
Arjun K. Venkatesh,MD, MBA, Yale University<br />
Gary M. Vilke,MD,<br />
University of Cali<strong>for</strong>nia, San Diego<br />
Janna H. Villano,MD, Advocate Christ Medical<br />
Center, Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
Julian Villar,MD, MPH, UCSF<br />
Jeffrey R. Vlasic,<br />
University of Michigan Medical School<br />
Jody Vogel, Denver Health Medical Center<br />
Rishi Vohra,MD, St. Luke’s- Roosevelt<br />
David A. Wald,DO,<br />
Temple University School of <strong>Medicine</strong><br />
Nikki B. Waller,MD,<br />
University of North Carolina at Chapel Hill<br />
Joseph Walline, Saint Louis University<br />
Kyle B. Walsh, University of Cincinnati<br />
Paul Walsh, University of Cali<strong>for</strong>nia Davis<br />
Jessica M. Walthall,B.S.,<br />
Yale University School of <strong>Medicine</strong><br />
Haichao Wang, North Shore University Hospital<br />
Henry E. Wang,<br />
University of Alabama at Birmingham<br />
Yajing Wang,MD, PhD,<br />
Thomas Jefferson University Hospital<br />
Catherine M. Wares,MD,<br />
Carolinas Medical Center<br />
Muhammad Waseem,MD, MS,<br />
Lincoln Medical & Mental Health Center<br />
Hiroko Watase,MD, MPH, Japanese <strong>Emergency</strong><br />
<strong>Medicine</strong> Research Alliance<br />
Anna Waterbrook, University of Arizona<br />
Jennifer Watts,MD, MPH,<br />
Children’s Mercy Hospital and Clinics<br />
John A. Watts,PhD, Carolinas Medical Center<br />
Susan Watts,PhD, Texas Tech University<br />
Health Sciences Center<br />
Julie S. Weber,<br />
Wayne State University School of <strong>Medicine</strong><br />
Danielle Weinman,MD,<br />
Albert Einstein College of <strong>Medicine</strong><br />
Steven J. Weiss,MD, University of New Mexico<br />
Robert D. Welch, Wayne State University<br />
Karl Weller, DO,<br />
St. Luke’s University Hospital<br />
Leana S. Wen, Harvard Affiliated <strong>Emergency</strong><br />
<strong>Medicine</strong> Residency<br />
Howard A. Werman,MD, Ohio State University<br />
Robert A. Weston,MD, University Medical Center<br />
at Brackenridge<br />
Matthew Wheatley, Emory University School<br />
of <strong>Medicine</strong><br />
Benjamin A. White,MD, Massachusetts General<br />
Hospital<br />
Marjorie L. White,MD, MPPM, MEd, University of<br />
Alabama Birmingham<br />
Nathan White,MD, University of Washington<br />
Lauren K. Whiteside, University of Washington,<br />
Division of <strong>Emergency</strong> <strong>Medicine</strong><br />
Cole A. Wiedel,BA,<br />
University of Colorado School of <strong>Medicine</strong><br />
Tristan Wihbey,<br />
Hospital of the University of Pennsylvania<br />
Kenneth Will,MD, Cook County (Stroger) Hospital<br />
Brian Willenbring,BA, NREMT-B, Medical College<br />
of Wisconsin Affiliated Hospitals<br />
Sandra J. Williams,DO MPH,<br />
Baylor College of <strong>Medicine</strong><br />
Conrad Williamson,BS, UC Davis<br />
Juliana Wilson,D.O.,<br />
<strong>The</strong> State University of New York at Buffalo<br />
Michael Wilson,MD, PhD,<br />
Brigham and Women’s Hospital<br />
Kathleen Wittels, Brigham and Women’s Hospital<br />
Michael D. Witting, University of Maryland<br />
Catherine S. Wolff,MS, University of Pennsylvania<br />
Andrew Wollowitz,MD,<br />
Department of <strong>Emergency</strong> <strong>Medicine</strong>,<br />
Albert Einstein College of <strong>Medicine</strong><br />
Ambrose H. Wong MD, NYU School of <strong>Medicine</strong><br />
Matthew Wong,MD, Harvard Medical School,<br />
Beth Israel Deaconess Medical Center<br />
Nelson Wong, Mount Sinai School of <strong>Medicine</strong><br />
Randy Woo,MD, University of Cali<strong>for</strong>nia, Irvine<br />
Shujun Xia,MD,<br />
Albert Einstein College of <strong>Medicine</strong><br />
Kabir Yadav,MDCM MS,<br />
<strong>The</strong> George Washington University<br />
Justin Yan, <strong>The</strong> University of Western Ontario<br />
Lily Yan, Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
Sharon Yellin,MD, New York Methodist Hospital<br />
Mackensie A. Yore,<br />
Stan<strong>for</strong>d University School of <strong>Medicine</strong><br />
Janet S. Young,MD, Carilion Clinic<br />
Esther L. Yue,MD,<br />
Oregon Health and Science University<br />
Shahriar Zehtabchi, State University of New York,<br />
Downstate Medical Center<br />
Eric Zevallos,MD,<br />
Georgia Health Science University<br />
Ke Zheng,MD, New York Hospital Queens<br />
Christine Zink,MD, UTHSCSA<br />
Mark Zocchi,MPH, George Washington University<br />
Michael D. Zwank, Regions Hospital<br />
Joshua Zwart,MD, University of Rochester<br />
May 14-18, 2013 | Atlanta, Georgia 85
Didactics CME<br />
<strong>The</strong> following didactic speakers have disclosures:<br />
Benjamin S. Abella MD, MS, Hospital of the University of<br />
Pennsylvania, Advisory Board: HeartSine Corp; Consultant:<br />
Velomedix Corp; Employee: Hospital of the University<br />
of Pennsylvania; Grant Recipient: NIH NHLBI, Philips<br />
Healthcare, Medtronic Foundation, Stryker Medical, Doris<br />
Duke Foundation<br />
Kimberly E. Applegate MD, MS, Emory University School of<br />
<strong>Medicine</strong>, Advisory Board: American Imaging Management;<br />
Other Relationship: Springer Publishing Company (Textbook<br />
Co-Editor)<br />
Brigitte M. Baumann MD. MSCE, Cooper University Hospital,<br />
SAEM Board Member<br />
Edward Boyer MD PhD, UMass-Memorial Medical Center, NIH<br />
Grantee; NIH Grant Reviewer<br />
Charles Cairns MD, University of North Carolina, Consultant:<br />
bioMerieux<br />
Clifton W. Callaway MD PhD, University of Pittsburgh,<br />
Intellectual Property/Patent: Medtronics ERS, Inc; COI:<br />
American heart Association, ILCOR<br />
Teresa Camp-Rogers MD, MS, UT Health Science Center at<br />
Houston, Volunteer Physician Member of American Heart<br />
Association Research Working Group.<br />
Andrew K. Chang MD, MS, Albert Einstein College of <strong>Medicine</strong>,<br />
Grant Recipient: NIA, K23 Award<br />
Esther Choo MD MPH, Brown Medical School, Grant<br />
Recipient: NIDA K23<br />
Sean Collins MD, MSc, Department of <strong>Emergency</strong> <strong>Medicine</strong>,<br />
Advisory Board: Novartis; Consultant: Novartis, Trevena,<br />
<strong>The</strong> <strong>Medicine</strong>s Company; Grant Recipient: NIH/NHLBI,<br />
Radiometer, Medtronic, Cardiorentis<br />
Mark Courtney MD, MSCI, Northwestern University, SAEM<br />
Board of Directors, SAEM Foundation Board of Trustees<br />
Deborah Diercks MD, University of Cali<strong>for</strong>nia Davis School of<br />
<strong>Medicine</strong>, Consultant: LG, Daiichi Sankyo, Mylan, Novartis:<br />
Board Member: SAEM, <strong>Society</strong> of Cardiovascular Patient<br />
Care, Emergencies in <strong>Medicine</strong>; Grant Recipient: Nanoshere,<br />
Radiometer, Cardiorentis; Radnor Registry, PCORI,<br />
NIH. Otsuka<br />
Doug Franzen MD, M.Ed, Virginia Commonwealth University,<br />
Shareholder: Johnson & Johnson<br />
Gus Garmel MD, Stan<strong>for</strong>d/Kaiser Permanente, Other<br />
Relationship: Cambridge University Press<br />
Jason Haukoos MD, MSc, University of Colorado/Denver<br />
Health Medical Ctr, Employee: Denver Health and Hospital<br />
Authority; Board Member: Annals of <strong>Emergency</strong> <strong>Medicine</strong><br />
Editorial Board,ACEP Clinical Policies Committee; Grant<br />
Recipient: National Institute of Allergy and Infectious<br />
Diseases, Agency <strong>for</strong> Healthcare Research and Quality<br />
Corey Heitz MD, Virginia Tech Carilion School of <strong>Medicine</strong>,<br />
CDEM Executive Committee, NBME EM Advance Clinical<br />
Exam Committee<br />
Brian Hiestand MD, MPH, Wake Forest University Health<br />
Sciences, Consultant: NewMentor, Inc; Insight PD; Grant<br />
Recipient: Radiometer; Dyax, Inc<br />
Judd Hollander MD, Hospital of University of Pennsylvania,<br />
Advisory Board: Janssen; Consultant: Radiometer: Board<br />
Member: Annals of <strong>Emergency</strong> <strong>Medicine</strong>; Grant Recipient:<br />
Alere ABbott, Siemens, Brahms, NIH, ACRIN<br />
James Holmes MD, MPH, UC Davis School of <strong>Medicine</strong>,<br />
Grant Recipient NHLBI, <strong>Emergency</strong> Medical Services <strong>for</strong><br />
Children, CDC.<br />
Ula Hwang MD, MPH, Mount Sinai School of <strong>Medicine</strong>, Grant<br />
Recipient: NIA K23 AG031218, NIA R21 AG040734<br />
Scott A. Joing MD, Hennepin County Medical Center,<br />
Shareholder: Apple, Inc.<br />
Christopher Kabrhel MD, MPH, Harvard Medical School/<br />
Massachusetts General Hosp, Consultant: Stago<br />
Diagnostica<br />
Arthur L. Kellermann MD, MPH, RAND Corporation, Advisory<br />
Board: Kaiser Commission on Medicaid and the Uninsured;<br />
IOM Governing Council<br />
Brent King MD, University of Texas Houston, SAEM Board<br />
Member; Grant Recipient: AHRQ; Editorial Board:<br />
<strong>Emergency</strong> <strong>Medicine</strong> News, Pediatric <strong>Emergency</strong> <strong>Medicine</strong>:<br />
Reviewer: UptoDate<br />
Kevin Klauer DO, FACEP, <strong>Emergency</strong> Medical Physicians,<br />
Board Member: ACEP Council Vice Speaker<br />
Keith Kocher MD, MPH, MPhil, University of Michigan,<br />
Consultant: Magellan Health Services, Inc.<br />
Nathan Kuppermann MD, MPH, UC Davis, InsuCalc (Co-Owner)<br />
Roger J. Lewis MD, PhD, Harbor-UCLA Medical Center,<br />
Consultant: Berry Consultants, LLC, Octapharma, USA,<br />
Octapharma,AG, Venaxis, inc.; Applied Proteomics, Inc.;<br />
Grant Recipient: NIH; Other Relationships: US Food and<br />
Drug Administration, Center <strong>for</strong> Medicare and Medicaid<br />
Services, COI: <strong>Society</strong> <strong>for</strong> Clinical Trials<br />
Daniel M. Lindberg MD, Brigham & Women’s Hospital, Legal<br />
Representative:Goodell, DeVries, Leech & Dann, LLP, Group<br />
Health Cooperative, Johnson, Graffe, Keay, Moniz & Wick,<br />
Shymaker, Loop & Kendrick, LLP<br />
Henderson McGinnis MD, Wake Forest Baptist Health, SAEM<br />
Program Committee; Appalachian Center <strong>for</strong> Wilderness<br />
<strong>Medicine</strong><br />
Zachary F. Meisel Meisel MD, MPH, MSc, Perelman School<br />
of <strong>Medicine</strong> at the University of P, Consultant: Patient<br />
Centered Outcomes Research Institute (PCORI); Board<br />
member: ZaBeCor Pharmaceuticals; Grant Recipient:<br />
Agency <strong>for</strong> Healthcare Research and Quality, NIH; Paid<br />
Contributor: Time Magazine<br />
Edward A. Michelson MD, Case Western Reserve University<br />
SOM, Advisory Board and Grant Recipient: BrainScope<br />
Chadwick Miller MD, MS, Wake Forest School of <strong>Medicine</strong>,<br />
Advisory Board: Mylan Specialty L.P.; Grant Recipient:<br />
Alere Scarborough, Dyax, 3M, Patent Application; Other<br />
Relationships: Hinshaw and Culbertson LLP<br />
Ryan Mutter PhD, AHRQ/CDOM, Employee: Holy Cross<br />
Hospital<br />
Jason T. Nomura MD, Christiana Care Health System,<br />
Consultant: <strong>Emergency</strong> Ultrasound Consultants, LLC;<br />
Board Member: Nomura Consulting LLC; Grant Recipient:<br />
<strong>Emergency</strong> <strong>Medicine</strong> Foundation<br />
Daniel Pallin MD, MPH, Brigham and Women’s Hospital, Other<br />
Relationship: Trius <strong>The</strong>rapeutics, Inc.(Site PI <strong>for</strong> Clinical Trial)<br />
Christopher Raio MD, North Shore U. Hospital, Consultant:<br />
Zonare Medical Systems, Inc.<br />
Ali S. Raja MD, Brigham & Womens Hospital, SAEM Program<br />
Committee<br />
Robert M. Rodriguez MD, UCSF Dept of <strong>Emergency</strong> <strong>Medicine</strong>,<br />
Grant Recipient: CDC<br />
Tracy Sanson MD, University of South Florida, Employee:<br />
TeamHealth<br />
Robert Sherwin MD, FACEP, FAAEM, Sinai Grace Hospital/<br />
Detroit Receiving Hospital, Advisory Board: Pfizer.<br />
David Talan MD, Olive View - UCLA, Advisory Board: Durata,<br />
Merck; Board Member: Hospital Quality Foundation; Grant<br />
Recipient: NIH, CDC<br />
Knox H. Todd MD, MPH MD Anderson Cancer Center,<br />
Advisory Board: Covidien; Consultant: CVS Caremark; Grant<br />
Recipient: Pfizer, Archimedes<br />
Ernest Wang MD, NorthShore University HealthSystem,<br />
Shareholder: Pfizer<br />
David W. Wright MD, Emory University School of <strong>Medicine</strong>,<br />
Patent: BHR Pharma<br />
Albert W. Wu MD MPH, Johns Hopkins, Advisory Board MAPI<br />
Research Trust, Genetech; Consultant, Pfizer, Merck, BMS,<br />
Intellectual Property, Joint Commission Book- Patient<br />
Safety<br />
Didactics CME<br />
<strong>The</strong> following didactic speakers have nothing to disclose:<br />
Jean Abbott MD MH, University of Colorado<br />
James Adams MD, Northwestern Feinberg School of <strong>Medicine</strong><br />
Saadia Akhtar MD, Beth Israel Medical Center<br />
Douglas Ander MD, Emory University<br />
Felix Ankel MD, Regions Hospital<br />
Brent Asplin MD, MPH, Fairview Medical Group<br />
Kavita Babu MD, UMass-Memorial Medical Center<br />
Benjamin S. Bassin MD, University of Michigan<br />
Lance Becker MD, Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
Rachel R. Bengtzen MD, Oregon Health and Science University<br />
Michelle Biros MS MD, University of Minnesota<br />
Kelly D. Black MD, MSc, San<strong>for</strong>d USD Medical Center, San<strong>for</strong>d<br />
Children’s Hospital<br />
Jay Brenner MD, SUNY-Upstate Medical University,<br />
Michael Brown MD MSc, Michigan State University College<br />
of Human <strong>Medicine</strong><br />
Christopher R. Carpenter MD, MSc, Washington University<br />
Brendan Carr MD, MS, University of Pennsylvania<br />
Carey Chisholm MD, Indiana University<br />
Stephen Cico MD, MEd, Lurie Children’s Hospital &<br />
Northwestern Univ.<br />
John Cienki MD, MSPH, Jackson Memorial Hospital<br />
Mark A. Clark MD, St. Luke’s Roosevelt Hospital Center,<br />
Columbia University<br />
Robert Cloutier MD, MCR, Oregon Health and Science<br />
University<br />
David Cone MD, Yale University<br />
Jason T. Connor PhD, Berry Consultants<br />
Ted Corbin MD, Drexel University College of <strong>Medicine</strong><br />
Cameron Crandall MD, University of New Mexico<br />
Tracy Cushing MD MPH, Fellowship Director of the University<br />
of Colorado<br />
Moira Davenport MD, Allegheny General Hospital<br />
Rochelle Dicker MD, University of Cali<strong>for</strong>nia School of<br />
<strong>Medicine</strong> San Francisco<br />
Aaron Donoghue MD, Children’s Hospital of Philadelphia<br />
Suzanne Dooley-Hash MD, University of Michigan<br />
Amy L. Drendel DO MS, Medical College of Wisconsin<br />
Lillian Emlet MD, University of Pittsburgh<br />
Mike Epter DO, University of Nevada<br />
Rollin (Terry) Fairbanks MD, MS, National Center <strong>for</strong> Human<br />
Factors in Healthcare, MedStar Institute <strong>for</strong> Innovation<br />
Sue Farrell MD, MEd, Harvard Partners<br />
Jeffrey Feden MD, Brown University<br />
Kevin Ferguson MD, Univ. of Florida<br />
Gregory Fermann MD, University of Cincinnati<br />
Francis M. Fesmire MD, University of Tennessee<br />
Jonathan Fisher MD, MPH, Jonathan Fisher<br />
Todd A. Florin MD, MSCE, Cincinnati Children’s Hospital<br />
Medical Center<br />
Alyssa Forcehimes PhD, University of New Mexico,<br />
Department of Psychiatry<br />
Sean M. Fox MD, Carolinas Medical Center<br />
Andrea Gabrielli MD. University of Florida-Gainesville<br />
Daniel Garza MD, Stan<strong>for</strong>d University<br />
Nicholas Genes MD, PhD, Mount Sinai School of <strong>Medicine</strong><br />
Nina Gentile MD, Temple University<br />
Michael A. Gibbs MD, Carolinas Medical Center<br />
Adit Ginde MD, MPH, University of Colorado School of<br />
<strong>Medicine</strong><br />
Samuel Graitcer MD, Centers <strong>for</strong> Disease Control &<br />
Prevention<br />
Todd Guth MD, University of Colorado, School of <strong>Medicine</strong><br />
Jin H. Han MD, MSc, Vanderbilt University<br />
Daniel Handel MD, MPH, OHSU<br />
Bhakti Hansoti MBchB MD MPH candidate, Johns Hopkins<br />
University<br />
N. Stuart Harris MD MFA, Massachusetts General Hospital<br />
Jonathan Heidt MD, Washington University<br />
Robin Hemphill Md, MPH, Veterans Association<br />
Robert G. Hendrickson MD, Oregon Health Sciences<br />
University<br />
Sheryl Heron MD, MPH, Emory University<br />
Michael Hilton MD, University of Pittsburgh<br />
Jeff W. Hinshaw PA, Wake Forest Baptist Health<br />
Michael Hochberg MD, Saint Peter’s University Hospital/<br />
Drexel<br />
Jeffrey Hom MD, MPH, Stony Brook University School of<br />
<strong>Medicine</strong><br />
Laura Hopson MD, University of Michigan<br />
Joseph B. House MD, University of Michigan<br />
J. Randy Howell DHSc PA-C, Virginia Tech Carilion School<br />
of <strong>Medicine</strong><br />
Gabrielle Jacquet MD, Johns Hopkins University School<br />
of <strong>Medicine</strong><br />
<strong>The</strong>a James MD, Boston University School of <strong>Medicine</strong><br />
Bobby Kapur MD MPH, Baylor College of <strong>Medicine</strong><br />
Eric D. Katz MD, Maricopa Medical Center<br />
Stephanie Kayden MD MPH, Harvard Medical School<br />
John J. Kelly DO, FACEP, FAAEM, FCPP, Einstein Medical<br />
Center Philadelphia<br />
Robert M. Kennedy MD, Washington University in St. Louis<br />
School of <strong>Medicine</strong> St. Louis Children’s Hospital<br />
Daniel Keyes MD, MPH, University of Michigan EM Residency<br />
Program<br />
Sorabh Khandelwal MD, <strong>The</strong> Ohio State University<br />
Walter Koroshetz MD, National Institutes of Health/NINDS<br />
Paul Krieger MD, Beth Israel Medical Center/Albert Einstein<br />
Gloria Kuhn DO, PhD, Wayne State University<br />
Michael Kurz MD, MS-HES,<br />
Virginia Commonwealth University<br />
Heemun Kwok MD, MS, University of Washington<br />
Kathleen M. Lanava , University of Michigan Health System<br />
Adam Landman MD, MS, MIS, Brigham & Women’s Hospital<br />
Eddy Lang AB, University of Calgary<br />
Eric Legome MD, Kings County Hospital/SUNY Downstate<br />
College of <strong>Medicine</strong><br />
Adam Levine MD, MPH, Brown University Alpert School of<br />
<strong>Medicine</strong><br />
Resa E. Lewiss MD, St. Lukes Roosevelt<br />
Michelle Lin MD, University of San Francisco<br />
Karen Lind MD, Maimonides Medical Center<br />
Andrew S. Liteplo , Massachusetts General Hospital<br />
Elise Lovell MD, Advocate Christ Medical Center<br />
Martin Makela MD, University of Washington Medical Center<br />
Jennifer Marin MD, MSc, University of Pittsburgh School of<br />
<strong>Medicine</strong><br />
Marcus L. Martin MD, University of Virginia<br />
Christian Martin-Gill MD, MPH, University of Pittsburgh<br />
Linda McCaig MPH, CDC, National Center <strong>for</strong> Health Statistics<br />
Ryan P. McCormack MD, Bellevue Hospital, NYU School of<br />
<strong>Medicine</strong><br />
Alyson McGregor MD, Brown University<br />
William Meurer MD, MS, University of Michigan<br />
Nathan Mick MD, Tufts University School of <strong>Medicine</strong><br />
Angela M. Mills MD, University of Pennsylvania School of<br />
<strong>Medicine</strong><br />
James Miner MD, Hennepin County Medical Center<br />
Rakesh Mistry MD, MS, Children’s Hospital of Philadelphia<br />
Joel Moll MD, University of Michigan<br />
Mark G. Moseley MD, MHA, Ohio State University<br />
William Mower MD, PhD, UCLA Medical Center<br />
Kevin Munjal MD, MPH, Mount Sinai Medical Center<br />
Mary Murphy PhD, Yale University School of <strong>Medicine</strong><br />
Joshua Nagler MD, Boston Children’s Hospital<br />
Lewis Nelson MD, New York University<br />
Rodney Omron MD, MPH, Johns Hopkins<br />
Edward Panacek MD, MPH, University of Cali<strong>for</strong>nia, Davis<br />
Nova Panebianco MD MPH, University of Pennsylvania<br />
Sara Patterson MA, Centers <strong>for</strong> Disease Control and<br />
Prevention<br />
Rahul Patwari MD, Rush University Medical Center<br />
Jeanmarie Perrone MD, University of Pennsylvania<br />
Marcia Perry MD, University of Michigan<br />
Frank Petruzella MD, Bon Secours St. Mary’s Hospital<br />
Mal<strong>for</strong>d Pillow MD, M.Ed., Baylor College of <strong>Medicine</strong><br />
Stephen R. Pitts MD, MPH, Emory University, Grady Memorial<br />
Hospital<br />
David Portelli , Warren Alpert Medical School of Brown<br />
University<br />
Emilie S. Powell MD, MS, MBA, Northwestern University<br />
Stacey Poznanski DO, Wright State University<br />
Tammie Quest MD, Emory University<br />
Neha Raukar MD, Brown University<br />
Karin V. Rhodes MD, MS, Dept. EM, UPenn<br />
Lynne D. Richardson MD, Icahn School of <strong>Medicine</strong> at Mount<br />
Sinai<br />
Mark Rosenberg DO, MBA, FACEP, FACOEP-D, St. Joseph’s<br />
Healthcare System<br />
Kirsten Rounds RN, MS, Warren Alpert Medical School, Brown<br />
University<br />
Alfred Sacchetti MD, Our Lady of Lourdes Medical Center<br />
Basmah Safdar MD, Yale University School of <strong>Medicine</strong><br />
Sally Santen MD, PhD, University of Michigan<br />
Cathy C. Sarli MLS, AHIP, Washington University<br />
Comilla Sasson MD, MS, University of Colorado School of<br />
<strong>Medicine</strong><br />
Kelly Sawyer MD, MS, William Beaumont Hospital<br />
Kathleen Saxton MD, University of Michigan<br />
Jeremiah Schuur MD, MHS, Department of <strong>Emergency</strong> Med.,<br />
Brigham & Women’s<br />
Lisa Schweigler MD, MPH, MS, Brown University/Rhode<br />
Island Hospital<br />
Jane Scott ScD, NHLBI, National Heart, Lung, and Blood<br />
Institute<br />
Philip V. Scribano DO, MSCE, Children’s Hospital of<br />
Philadelphia, University of Pennsylvania,<br />
Kaushal Shah MD, Mt. Sinai School of <strong>Medicine</strong><br />
Adam Sharp MD, MS, BA, University of Michigan/RWJ Clinical<br />
Scholars<br />
Ellen Slaven MD, LSU Health Science Center<br />
Stephen Smith MD, Hennepin County Medical Center<br />
Patrick Solari MD, Seattle Children’s Hospital/ University<br />
of Washing<br />
Cemal B. Sozener MD, University of Michigan<br />
Ian G. Stiell MD, Ottawa Hospital<br />
Alan B. Storrow MD, Vanderbilt University<br />
David Sugerman MD, MPH, Center <strong>for</strong> Disease Control &<br />
Prevention<br />
Federico E. Vaca MD, MPH, Yale University School of <strong>Medicine</strong><br />
Arvind Venkat MD, Allegheny General Hospital<br />
Arjun Venkatesh MD, MBA, Robert Wood Johnson Clinical<br />
Scholars Program<br />
Marie Vrablik MD, Indiana University<br />
Shereaf W. Walid MD, Wayne State University<br />
Kathleen Walsh DO, MS, University of Wisconsin Hospital<br />
and Clinics<br />
Robert Wears MD, MS, PhD, U of Florida<br />
Scott Weingart MD, Mount Sinai School of <strong>Medicine</strong><br />
Michael Winters MD, University of Maryland<br />
Margaret Wolff MD, University of Michigan<br />
Lalena Yarris MD, MCR, Oregon Health and Science University<br />
(OHSU)<br />
Richard D. Zane MD, University of Colorado<br />
Brian Zink MD, Alpert Medical School of Brown University<br />
Mark R. Zonfrillo MD, MSCE, Children’s Hospital of Philadelphia<br />
86 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
<strong>The</strong> following Abstract Authors have disclosures:<br />
Tyler W. Barrett MD MSCI, Vanderbilt University Medical Center,<br />
K23 HL102069 from NHLBI, Grant Recipient<br />
Steven B. Bird MD, University of Massachusetts Medical School,<br />
NINDS. Grant Recipient; SAEM Program Committee, Non-<br />
Commerical disclosure<br />
Richard N. Bradley, <strong>The</strong> University of Texas Health Science Center<br />
at Houston, North American Rescue, LLC, Grant Recipient,<br />
Non-Commericial, <strong>The</strong> American Red Cross Scientific Advisory<br />
Council<br />
Sri Sankar Chinta MD MBBS, Washington University in St. Louise,<br />
KEN GRAFF YOUNG INVESTIGATOR AWARD- AMERICAN<br />
ACADEMY OF PEDIATRICS- SECTION ON EMERGENCY<br />
MEDICINE, NIH T32 Grant (T32HD049338-01A2), Grant<br />
Recipient<br />
Donald M. Dawes, Lompoc Valley Medical Center, TASER<br />
International. Consultant, Shareholder<br />
Gail D’Onofrio MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Yale<br />
University School of <strong>Medicine</strong>, NHLBI 5R01HL081153, NIDA<br />
5RO1DA025991-05, SAMHSA 5U79TI020253-05. Grant<br />
Recipient<br />
Rosemarie Fernandez MD, University of Washington, AHRQ ,<br />
Department of Defense. Grant Recipient; R18 Grant,<br />
Congressional Grant. Grant Recipient<br />
James R. Foster II MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>, Beth<br />
Israel Deaconess Medical Center, and Harvard Medical School,<br />
EM Gladiators LLC., Officer, Committee, or Board Member<br />
David F. Gaieski MD, University of Pennsylvania, Stryker Medical,<br />
Consultant, Grant Recipient<br />
Nicholas Genes, Mount Sinai School of <strong>Medicine</strong>, <strong>Emergency</strong><br />
<strong>Medicine</strong> Practice, <strong>Emergency</strong> Physicians Monthly, Medscape<br />
<strong>Emergency</strong> <strong>Medicine</strong>, Medgadget LLC. Advisory Board<br />
Corita R. Grudzen MD, MSHS, Mount Sinai School of <strong>Medicine</strong>,<br />
CMS, Consultant; American Cancer <strong>Society</strong>. Grant Recipient;<br />
Mentored Research Scholar Grant, Other Relationships<br />
Adrianne Haggins MD, MS, University of Michigan, Robert Wood<br />
Johnson Foundation, Clinical Scholar, Grant Recipient<br />
Corey Heitz, Virginia Tech Carilion School of <strong>Medicine</strong>, C. Heitz:<br />
Non-commerical, NBME<br />
Jeffrey Ho, Hennepin County Medical Center, TASER International,<br />
Inc. Shareholder, Medical Director<br />
Ula Hwang, Mount Sinai School of <strong>Medicine</strong>, NIA K23 AG031218.<br />
Grant Recipient<br />
Christopher Kabrhel, Massachusetts General Hospital,<br />
Sanofi Aventis. Consultant; Biomarker Assays. Consultant;<br />
Thromboembolism. Grant Recipient; Harvard Milton Fund. Grant<br />
Recipient; Foundation Awards. Grant Recipient<br />
Jeffrey Kline, Indiana University School of <strong>Medicine</strong>, CP<br />
Diagnostics LLC., shareholder; AHRQ , Grant Recipient,<br />
Genentech, AHRQ, Grant Recipient<br />
Keith E. Kocher MD, MPH, University of Michigan, Magellan Health<br />
Services, Inc. Consultant<br />
Erik Kulstad, Advocate Christ Medical Center, National Science<br />
Foundation. Grant recipeint; Advanced Cooling <strong>The</strong>rapy, LLC.,<br />
Intellectual Property/Patents<br />
Jo Anna Leuck MD, Carolinas Medical Center, J. Leuck: Non-<br />
Commerical, SAEM Program Committee<br />
Sharon E. Mace MD, Cleveland Clinic, Cleveland Clinic. Employee;<br />
Luitpold Pharmaceutical. Grant Recipient, Gebauer, Speaker’s<br />
Bureau, McGraw-Hill, Intelletual Property Patent<br />
Simon A. Mahler, Wake Forest University Medical School, NHLBI<br />
T32, AHA, Grant Recipient<br />
2013 AEM Consensus Conference – No Disclosures<br />
Christine Babcock MD, MSc, FACEP, FAAEM,<br />
University of Chicago<br />
Michelle, H. Biros, MS MD, Hennepin County Medical Center<br />
Mark Bisanzo MD, DTM&H, University of Massachusetts<br />
Sabrina M. Butteris MD, University of Wisconsin<br />
Emilie J.B. Calvello MD, University of Maryland<br />
Meena Nathan Cherian MD, <strong>Emergency</strong> & Essential Surgical Care<br />
(EESC) Clinical Procedures Unit, Department of Health Systems<br />
Policies & Work<strong>for</strong>ce, World Health Organization<br />
Myron Cohen MD, North Carolina at Chapel Hill<br />
David C. Cone MD, Yale University<br />
Rebecca Cunningham, University of Michigan<br />
Linda C. Degutis, DrPh, MSN, National Center <strong>for</strong> Injury Prevention<br />
and Control Centers <strong>for</strong> Disease Control and Prevention (CDC)<br />
Elizabeth L. DeVos MD, MPH, University of Florida<br />
Kate Douglass MD, MPH,<br />
<strong>The</strong> George Washington University<br />
Saul Drajer MD, Clinica de la Esperanza<br />
Herbie Duber MD, MPH, University of Washington<br />
Stephen Dunlop MD, CTropMed ® , Hennepin County Medical Center<br />
Barb Forney, University of Cincinnati<br />
Bhakti Hansoti MD, MBchB, BSc, University of Chicago<br />
Stephen Hargarten MD, MPH, Medical College of Wisconsin<br />
Mark Hauswald MD, FACEP, University of New Mexico<br />
SueLin Hilbert MD, MPH, Director of Global Health Initiatives,<br />
Washington University School of <strong>Medicine</strong><br />
Jon Mark Hirshon MD, PhD, MPH, FACEP, FAAEM, FACPM, University<br />
of Maryland<br />
C. James Holliman MD, FACEP, Center <strong>for</strong> Disaster and Humanitarian<br />
Assistance<br />
Stephanie Hubbard, MA, MPH, sidHARTe, Department of Population<br />
and Family Health, Columbia University Mailman School of<br />
Public Health<br />
2013 AEM Consensus Conference – Disclosures<br />
Tom P. Aufderheide MD, Medical College of Wisconsin, Board<br />
Member - Take Heart America, Board Member - Citizen<br />
CPR Foundation, Grant Recipient - NHLBI -ROC, Immediate,<br />
Resqirial, Grant Recipient - NINDS-NETT, Volunteer - National<br />
American Heart Association<br />
Bentley Bobrow MD, Arizona Department of Health Services,<br />
Grant Recipient - Medtronic Foundation - Heart Rescue<br />
Project Grant to University of Arizona<br />
Hillary Cohen MD, MPH, Maimonides Medical Center, Consultant<br />
- World Health Organization<br />
Debra Houry MD, MPH Emory University, Board Member - SAEM<br />
and SAVIR, Grant recipient - CDC and NIH<br />
Renee Hsia MD, University of Cali<strong>for</strong>nia, San Francisco,<br />
Employee - University of Cali<strong>for</strong>nia, San Francisco, Grant<br />
recipient - NIH/CTSI KL2; RWJF Physicians Faculty Scholars,<br />
<strong>Emergency</strong> <strong>Medicine</strong> Foundation<br />
Prof. Walter Kloeck, MB,BCh(Wits), DipPEC(SA), FCEM(SA),<br />
FERC(Belg), FAHA (USA), Chairman - Resuscitation Council of<br />
Southern Africa, Other - Academy of Advanced Life Support<br />
Jennifer R. Marin MD, MSc, University of Pittsburgh School of<br />
<strong>Medicine</strong>, NIH NHLBI K12 research scholar receiving research<br />
and salary support Grant Recipient (self), NIH NHLBI R01<br />
funded investigator receiving research and salary support,<br />
Grant Recipient (spouse)<br />
Andrew C. Meltzer, George Washington University, Given Imaging,<br />
Consultant<br />
Edward A. Michelson MD, FACEP, University Hospitals Case Medical<br />
Center, BrainScope Corp., Advisory Board<br />
Andrew A. Monte MD, University of Colorado, <strong>Emergency</strong><br />
<strong>Medicine</strong> Foundation-Research Training Grant. Grant Recipient<br />
Chris Moore MD, RDMS, Yale University School of <strong>Medicine</strong>,<br />
Philips Healthcare Inc., Sonosite Inc. Consultant; AHRQ , Grant<br />
Recipient<br />
Peter S. Pang MD, Feinberg School of <strong>Medicine</strong>, Northwestern<br />
University, Novartis, Consultant; Otsuka, Consultant;<br />
Trevena, Consutlant; Palatin Technologies, Consultant; Abbot,<br />
Consultant; Alere, Consultant; Alere, Other relationship;<br />
Beckman Coulter, Other relationship ; Momentum Research,<br />
Other relationship; Nile <strong>The</strong>rapeutics, Other relationship;<br />
MyLife, Other relationship<br />
Linda Papa MD.CM, MSc, Orlando Regional Medical Center,<br />
Banyan Biomarkers Inc. Consultant<br />
Sarah M. Perman MD, MS, University of Pennsylvania, NIH T32.,<br />
Grant Recipient<br />
Ali S. Raja MD, MBA, MPH, Brigham and Women’s Hospital,<br />
Harvard Medical School, SAEM Program Committee, Noncommerical<br />
disclsoure<br />
Antonio Riera MD, Yale University School of <strong>Medicine</strong>, Child Health<br />
Innovation Grant Award from the Children’s Fund of Connecticut<br />
and the Yale Center <strong>for</strong> Clinical Investigation. Grant Recipient<br />
Thomas E. Robey, Yale-New Haven Hospital, Greenwall<br />
Foundation, Grant Recipient<br />
Robert M. Rodriguez MD, UCSF/San Francisco General Hospital,<br />
Centers <strong>for</strong> Disease Control: RO-1 1 R01/CE001589-01, Grant<br />
Recipient<br />
Wesley H. Self MD MPH, Vanderbilt University Medical Center,<br />
Affinium Pharmaceuticals, CareFusion, Astute Medical,<br />
bioMerieux. Grant Recipient; Product, antistaphylococcal<br />
antibiotic AFN 1252, Chloraprep, Astute Nephrocheck, Brahms<br />
Vidas procalcitonin assay, Non-Commericial, Centers <strong>for</strong><br />
Disease Control and Prevention, Etiology of Pneumonia in the<br />
Community Study<br />
Ammar Siddiqui, Mount Sinai School of <strong>Medicine</strong>, American<br />
Federation on Aging Research, Grant Recipient<br />
David E. Slattery, University of Nevada School of <strong>Medicine</strong>, Pfizer.<br />
Consultant<br />
Daniel W. Spaite MD, Arizona <strong>Emergency</strong> <strong>Medicine</strong> Research<br />
Center, University of Arizona, National Institutes of Health-<br />
NINDS, Grant Recipient<br />
Alan B. Storrow MD, Department of <strong>Emergency</strong> <strong>Medicine</strong>,<br />
Vanderbilt University Medical Center, Roche Diagnostics,<br />
Consultant; Novartis Pharmaceuticals, Consultant ;Mylan<br />
Specialty, LP, Consultant; NHLBI, Grant Recipient; Abbot<br />
Diagnostics, Grant Recipient; Roche Diagnostics, Grant<br />
Recipient; Centers <strong>for</strong> Disease Control and Prevention, Grant<br />
Recipient; McGraw Hill, Other Relationship<br />
Benjamin Sun, Oregon Health and Science University, American<br />
Geriatrics <strong>Society</strong>, National Institutes of Health, Grant<br />
Recipient<br />
Gabrielle A. Jacquet MD, MPH, Johns Hopkins University School<br />
of <strong>Medicine</strong><br />
Jaime Jordan MD, Harbor UCLA Medical Center<br />
G. Bobby Kapur MD, MPH, Baylor College of <strong>Medicine</strong><br />
Kajal Khanna MD, Stan<strong>for</strong>d School of <strong>Medicine</strong><br />
Adam C. Levine MD, MPH, Global <strong>Emergency</strong> <strong>Medicine</strong> Fellowship,<br />
Brown University Alpert Medical School<br />
Rohith R. Malya MD, MSc, Division of Global Health, University of<br />
Texas Medical School at Houston<br />
Regan H. Marsh MD, MPH, Brigham and Women’s Hospital, Harvard<br />
Medical School, Partners In Health, Mirebalais Hospital, Haiti<br />
Ian B.K. Martin MD, FACEP, University of North Carolina<br />
Melissa McMillian, SAEM<br />
Rachel T. Moresky MD, MPH, Columbia University<br />
Hani Mowafi MD, MPH, Boston University School of <strong>Medicine</strong><br />
Ziad Obermeyer MD, M.Phil, Brigham and Women’s Hospital, Harvard<br />
Medical School<br />
Marcus Ong MD, MPH, Singapore General Hospital<br />
Helen Ouyang MD, MPH, Harvard University<br />
Ronald Pirrallo, Medical College of Wisconsin<br />
Junaid Razzak, PhD, <strong>The</strong> Aga Khan University<br />
Teri Ann Reynolds, PhD, University of Cali<strong>for</strong>nia, San Francisco<br />
Joshua C. Ross MD, University of Wisconsin<br />
Scott Sasser, Emory University<br />
Hendry R. Sawe MD, MMED-EM cand(MUHAS), <strong>Emergency</strong> <strong>Medicine</strong><br />
Association of Tanzania(EMAT)<br />
Kinjal Sethuraman MD, MPH, University of Maryland<br />
Sang Do Shin MD, PhD, Seoul National University College of <strong>Medicine</strong><br />
Sérgio Timerman, Escola de Ciêcias da Saúde<br />
Janis Tupesis, University of Wisconsin<br />
Benjamin W. Wachira, Aga Khan University Hospital, Nairobi, Kenya<br />
Lee Wallis, MBChB, Provincial Government Western Cape<br />
Jeffrey P. Koplan MD, MPH, Emory Global Health Institute, Emory<br />
University, Board Member - LifeAlly<br />
Peter Layde MD, MSc, Medical College of Wisconsin, Expert<br />
Witness – Bayer<br />
Prof. Gavin Perkins, Warwick Medical School and Heart<br />
of England NHS Foundation Trust, Advisory Board -<br />
Glaxosmithkline, Institution Grant Recipient - UK Government<br />
National Institute <strong>for</strong> Health Research, Editor - Resuscitation<br />
Journal<br />
Amelia Pousson MD, <strong>The</strong> George Washington University, Spouse,<br />
Employee - Marriott International<br />
Phil Seidenberg MD, University of New Mexico, Consultant -<br />
Global Rescue LLC<br />
Gerald van Belle, PhD, University of Washington, Consultant<br />
- Novo Nordisk, Grant Recipient - NHLBI Resuscitation<br />
Outcome Consortium<br />
2013 Grant Writing Workshop Disclosures<br />
Andrew Chang MD, Albert Einstein College of <strong>Medicine</strong>, Montefiore Medical Center, Grant recipient - NIA<br />
James F. Holmes MD, MPH, UC Davis School of <strong>Medicine</strong>, Grant recipient - NHLBI<br />
Jeffrey A. Kline MD, Indiana University, Grant recipient - AHRQ and NIH<br />
Walter J. Koroshetz MD, NIH/NINDS, Shareholder - Neurologica<br />
Manish N. Shah MD, MPH, University of Rochester, Employee - University of Rochester Medical Center<br />
2013 Grant Writing Workshop – no Disclosures<br />
Prasanthi Govindarajan MD, MAS, University of Cali<strong>for</strong>nia, San Francisco<br />
Brendan Carr MD, University of Pennsylvania<br />
Mary Murphy PhD, Yale University School of <strong>Medicine</strong><br />
Barb Forney, University of Cincinnati<br />
2013 Jr. Faculty Development Forum Disclosures<br />
Eric Gross MD, Hennepin County Medical Center<br />
• Commercial Entity: Forests Labs- Taflaro- Pneumonia Skin Infection<br />
Andra L. Blomkalns MD, University of Cincinnati<br />
• SAEM Board of Director Member<br />
2013 Senior Leadership Faculty Forum Disclosures<br />
Todd Crocco, MD, West Virginia University School of <strong>Medicine</strong><br />
• Genentech- EMS Education Tool- Stroke<br />
• Medical Dialogues Group- Acute Stroke Care-Stroke<br />
Leslie Zun, MD, Mount Sinai Hospital<br />
• Alexa Pharma-Medication Acquisition-did not get approved<br />
Sandra Schneider, University of Rochester School of <strong>Medicine</strong> and Dentistry<br />
• Hereditary Angioedema Association-Mylar-Drug-Hereditary Angioedema Anaphylaxis<br />
• Logical Images-Visual DX-rashes<br />
CDEM Educational Topics and Educational Research<br />
– no disclosures<br />
Hugh Stoddard, M.Ed., Ph.D., Emory University School of <strong>Medicine</strong><br />
HIGHLIGHTS<br />
• Comprehensive EM Review<br />
• Extensive Daily Course Syllabus<br />
• Online Visual Stimuli With Over 1,400 Cases<br />
• Over 30 Nationally Known Educators<br />
• Pre, Post & Daily Tests<br />
OhiO ACEP - YOur EssEntiAl rEsOurCE fOr EmErgEnCY mEdiCinE rEviEw!<br />
Dr. Carol rivers’ PreParing <strong>for</strong> the Written<br />
BoarD exam in emergenCy meDiCine<br />
sixth eDition, volumes i & ii<br />
www.ohacep.org<br />
ohio aCeP<br />
emergenCy meDiCine<br />
BoarD revieW Courses<br />
thrEE dAtE OPtiOns tO ChOOsE frOm!<br />
5-Day Course<br />
August 16-20, 2013<br />
September 26-30, 2013<br />
3-Day Course<br />
August 21-23, 2013<br />
Approved <strong>for</strong> AMA PRA Category 1 Credits TM .<br />
ORDER<br />
TODAY!<br />
HIGHLIGHTS<br />
• Covers 20 <strong>Academic</strong> Topics<br />
• 500 Pre-Chapter Questions & Answers<br />
• Powerful Board Study Program<br />
• Nearly Two Decades of Worldwide Sales<br />
• Provides a Comprehensive EM Review<br />
Approved <strong>for</strong> AMA PRA Category 1 Credits TM .<br />
May 14-18, 2013 | Atlanta, Georgia 87
“EmCare offers a fulfilling and<br />
challenging career with room<br />
<strong>for</strong> growth. <strong>The</strong>re is never a<br />
dull moment at EmCare.”<br />
~ Harsh Bhakta, DO<br />
Baylor Medical Center at McKinney<br />
McKinney, Texas<br />
Quality people. Quality care. Quality of LIFE.<br />
Hundreds of Jobs Nationwide<br />
EmCare is the nationwide leader in emergency medicine and is a company that is making health<br />
care work better, especially <strong>for</strong> physicians. EmCare provides the resources and support you need so<br />
you can focus on patient care. EmCare currently has hundreds of opportunities available <strong>for</strong><br />
emergency medicine physicians. <strong>The</strong> company offers:<br />
• Communities from coast-to-coast – small towns to major urban areas<br />
• Several practice settings – small, rural and critical access hospitals to major academic<br />
facilities, including children’s hospitals<br />
• Competitive compensation<br />
• A-rated professional liability insurance<br />
Your exciting new adventure awaits!<br />
CALL: (855) 367-3650 (Use Reference Code “SAEM”)<br />
EMAIL: Recruiting@EmCare.com<br />
Search hundreds of opportunities at www.EmCare.com/Recruiting.aspx<br />
IT’S ABOUT<br />
WHAT MOVES<br />
YOU.<br />
What moves you? Is it the opportunity to grow with a group of medical professionals that are serious<br />
about their work AND play? You can have both. As an integral part of Questcare, you will find a plat<strong>for</strong>m<br />
and philosophy that is conducive to creating the work/play balance of life that you have the power to<br />
orchestrate.<br />
• Ownership opportunity<br />
• Democratic group process<br />
• Excellent compensation and benefits<br />
• 21 ultramodern facilities in Dallas/Fort Worth,<br />
San Antonio, El Paso, and Oklahoma City<br />
• Leadership development program<br />
• Journal club<br />
• Committee involvement<br />
• Documentation and efficiency academy<br />
• Mentoring and development<br />
questcare<br />
EMERGENCY MEDICINE<br />
Regina Rivera, MD / <strong>Emergency</strong> <strong>Medicine</strong> / Amateur Mountaineer<br />
“When I finished residency, I wanted an EM group that would offer me<br />
ownership in the practice, growth/development opportunities, and a<br />
balance between my career and family. Questcare came through with all<br />
of that plus state-of-the-art facilities and great colleagues.”<br />
Let’s talk about what moves YOU.<br />
jobs@questcare.com or (972) 600-2885<br />
www.questcare.com facebook.com/questcare<br />
88 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Job#: Io-018188 Date: 05.14.13<br />
able to follow my passion.<br />
“TeamHealth af<strong>for</strong>ds me every opportunity to<br />
become the best emergency physician possible.<br />
With access to resources and peers nationwide,<br />
my knowledge base and career opportunities are<br />
expanded beyond a limited geography. I’m able<br />
to follow my passion <strong>for</strong> using digital medical<br />
technology to improve practice efficiency and<br />
enhance patient care.”<br />
Sujal Mandavia, MD<br />
Ridgecrest Regional Hospital<br />
888.861.4093<br />
www.MYEMCAREER.com<br />
physicianjobs@teamhealth.com<br />
Download the TeamHealth Careers iPad App today!<br />
Customize your emergency medicine job search. Download the free new app in the Apple App store.<br />
We’re building <strong>for</strong> the future and We Want You to be a part of it.<br />
University of Kentucky<br />
<strong>Emergency</strong> <strong>Medicine</strong> Faculty Positions<br />
Department of <strong>Emergency</strong> <strong>Medicine</strong><br />
<strong>The</strong> Department of <strong>Emergency</strong> <strong>Medicine</strong> at University of Kentucky College of <strong>Medicine</strong> is recruiting full-time faculty members<br />
at the assistant or associate professor level. <strong>The</strong> desired individual must be BP/BC in emergency medicine. <strong>Academic</strong><br />
tenure track and non-tenure track positions available.<br />
<strong>The</strong> Department of <strong>Emergency</strong> <strong>Medicine</strong> benefits from excellent institutional support from both a financial and facility<br />
standpoint. Resident physicians learn the practice of emergency medicine from engaged and supportive faculty in a stateof-the-art<br />
40,000 square-foot facility (adult and pediatric EDs are contiguous), which opened in July 2010 and now has<br />
an annual census of over 65,000 patients. <strong>The</strong> University of Kentucky Chandler Medical Center is an ACS certified adult<br />
and pediatric Level I Trauma Center located in Lexington, in the heart of the “bluegrass” region of the state. Lexington is<br />
one of the best small to medium sized cities in America because of the climate, the cost of living, safety and the atmosphere<br />
of living in a “college town.”<br />
If you are interested in learning more about this outstanding opportunity, please contact Roger Humphries, MD, Chair,<br />
Department of <strong>Emergency</strong> <strong>Medicine</strong>, UK College of <strong>Medicine</strong>, Room M-53, Williard Medical Sciences Building, 800 Rose<br />
Street, Lexington, KY 40536. Email contact is roger.humphries@uky.edu and phone is (859) 323-5908.<br />
<strong>The</strong> University of Kentucky is an equal opportunity employer and encourages applications from minorities and women. Upon offer of employment, successful<br />
applicants must pass a pre-employment drug screen and undergo a national background check as required by University of Kentucky Human Resources.<br />
May 14-18, 2013 | Atlanta, Georgia 89
exhibitor announcements<br />
Thursday, May 16 & Friday, May 17: 7:00 am - 5:00 pm<br />
Questcare<br />
Cornerstone <strong>The</strong>rapeutics<br />
Challenger Corporation<br />
Teed & Company<br />
Questcare is a physician-owned <strong>Emergency</strong><br />
<strong>Medicine</strong> organization with an academic<br />
focus on quality medicine. We are a<br />
democratic group with an entrepreneurial<br />
vision and dedication to career growth<br />
and development. Questcare delivers<br />
high-quality emergency care in twentyone<br />
ultra-modern facilities in Dallas-Fort<br />
Worth, San Antonio, El Paso, and Oklahoma<br />
City. Questcare focuses on supporting and<br />
establishing successful emergency medicine<br />
careers <strong>for</strong> new physicians.<br />
Booth 311<br />
Sharon Hirst, V.P. Medical Staff Services<br />
12221 Merit Drive, Suite 1610<br />
Dallas, TX 75251<br />
Phone: 214-217-1914<br />
Sharon.hirst@qrxmed.com<br />
We are a specialty pharmaceutical company<br />
focused on commercializing products <strong>for</strong> the<br />
hospital and adjacent specialty markets. We<br />
are actively seeking to expand our portfolio<br />
of products <strong>for</strong> these markets through the<br />
acquisition of companies and products and<br />
through internal development.<br />
Booth 109<br />
Linda Jenkins<br />
1255 Crescent Green Dr., Suite 250<br />
Cary, NC 27518<br />
Challenger provides learning and testing<br />
tools <strong>for</strong> program directors and institutions to<br />
quantify the skill sets of residents and Pas in<br />
training. Challenger’s reporting system yields<br />
compliance, per<strong>for</strong>mance and remediation<br />
data on individual users, program years, and<br />
<strong>for</strong> your entire program. <strong>The</strong>se statistical<br />
outputs permit client institutions to prove<br />
compliance and effectiveness to certifying<br />
organizations.<br />
Booth 111<br />
Catherine Hanna, Marketing Manager<br />
5100 Poplar Avenue, Suite 1410<br />
Memphis, TN 38137<br />
901-762-8449<br />
Channa@chall.com<br />
Teed & Company is the nation’s preeminent<br />
emergency medicine search and recruitment<br />
firm. From chif search to director to academic<br />
or clinical positions. Teed & Company provides<br />
comprehensive service to hospitals, staffing<br />
groups and partnerships. Senior level<br />
physicians and newly graduating residents<br />
have found Teed & Company’s in-depth<br />
knowledge of the marketplace a resource on<br />
which to depend. For expert knowledge and<br />
guidance in furthering your own career, visit<br />
our booth in the exhibit hall.<br />
Booth 309<br />
Andrea Light, Vice President<br />
27 Ann Street<br />
Norwalk, CT 06854<br />
203-857-0191<br />
alight@teedco.com<br />
CSL Behring<br />
Physio-Control<br />
QGenda, Inc.<br />
SonoSim, Inc.<br />
CSL Behring is a global biopharmaceutical<br />
company committed to saving lives and<br />
improving quality of life <strong>for</strong> people with<br />
rare and serious diseases. <strong>The</strong> company<br />
manufactures and markets a range of<br />
plasma-derived and recombinant therapies<br />
that are used around the world to treat<br />
coagulation disorders including hemophilia<br />
and von Willebrand disease, primary immune<br />
deficiencies, hereditary angioedema and<br />
inherited respiratory disease, and neurological<br />
disorders in certain markets. CSL Behring’s<br />
parent company is CSL Limited (ASX:CSL).<br />
Booth 202<br />
Susan Wong, Associate Director Acquired Bleeding<br />
1020 First Avenue<br />
King of Prussia, PA 19406<br />
610-878-4359<br />
Susan.wong@cslbehring.com<br />
Physio-Control partners with professional<br />
responders al over the world to privde<br />
solutions in emergency care. With<br />
leading edge technologies such as the<br />
LIFENET® SYSTEM <strong>for</strong> efficient patient<br />
data management and the LUCAS Chest<br />
Compression System, Physio-Control is<br />
partnering with emergency response teams<br />
to improve patient care and save lives.<br />
Booth 101<br />
Lynn Baker, Marcom Strategy Manager<br />
11811 Willows Road, NE<br />
Redmond, WA 98052<br />
425-867-4125<br />
lynn.baker@physio-control.com<br />
QGenda is the leading provider of<br />
automatically generated work schedules <strong>for</strong><br />
any size practice while abiding by the group’s<br />
complex business rules. QGenda factors<br />
in each Provider’s Skill Level, Specialty,<br />
Availability, and Preferences allowing<br />
requesting and swapping of assignments.<br />
Access QGenda 24/7 via PC, Mac, and Smart<br />
Phones.<br />
Booth 406<br />
Lori Brown, V.P. of Sales<br />
Two Ravinia Drive, Suite 1210<br />
Atlanta, GA 30346<br />
770-399-9945<br />
sales@QGenda.com<br />
SonoSim creates the SonoSim Ultrasound<br />
Training Solution, a revolutionary, realpatient<br />
based ultrasound training product. It<br />
uses a laptop computer training environment<br />
to deliver unparalleled didactic content,<br />
knowledge assessment and hands-on<br />
training. <strong>The</strong> refreshingly engaging learning<br />
experience allows users the freedom to learn<br />
anything -anywhere.<br />
Booth 400<br />
Stephanie Carney, Conference Coordinator<br />
3030 Nebraska Avenue, suite 301B<br />
Santa Monica, CA 90404<br />
310-315-2828<br />
info@sonosim.com<br />
Shift Administrators<br />
LocumTenens.com<br />
<strong>Emergency</strong> Consultants, Inc.<br />
TeamHealth<br />
Shift Admin is a completely web based<br />
schedule management system designed <strong>for</strong><br />
emergency medicine.<br />
Booth 103<br />
Megan Louis, Sales<br />
2818 Centerbury Road<br />
Columbia, SC 29204<br />
888-SHIFT-40<br />
info@shiftadmin.com<br />
LocumTenens.com is a full-service staffing<br />
firm serving physicians, CRNAs, NPs and Pas<br />
searching <strong>for</strong> locum tenens and permanent<br />
job opportunities and healthcare facilities<br />
looking to solve employoment shortages.<br />
Booth 105<br />
Christina Cruz, Marketing Manager<br />
2655 Northwinds Parkway<br />
Alpharetta, GA 30009<br />
770-643-5559<br />
ccruz@locumtenens.com<br />
In 1972, ECI Healthcare Partners was founded<br />
with a single, cherished principle: Quality<br />
healthcare is achieved by valuing people.<br />
Over the years, having efficiently managed<br />
the care of over 27 million patients in over 30<br />
states, we have prospered into a network of<br />
professional<br />
Booth 210<br />
Michelle Morrisette,<br />
Healthcare Marketing<br />
Residency Services Consultant<br />
4075 Copper Ridge Drive<br />
Traverse City, MI 49684<br />
800-253-5358, ext. 3957<br />
michelle.morisette@emergencyconsultants.com<br />
TeamHealth was founded by physicians in<br />
1979 and has been dedicated to creating the<br />
best practice environment <strong>for</strong> emergency<br />
physicians <strong>for</strong> the past three decades.<br />
TeamHealth offers the administrative<br />
support, leading resources, educational<br />
activities, career advancement, and<br />
professional collegiality to provide rewarding<br />
careers. With a veriety of practice settings<br />
from community hospitals to Level I trauma<br />
centers across the United States, TeamHealth<br />
is the practice of choice <strong>for</strong> thousands of<br />
healthcare providers.<br />
Booth 307<br />
Meghan Benton, Marketing Coordinator<br />
265 Brookview Centre Way, Suite 400<br />
Knoxville, TN 37919<br />
865-293-5485<br />
www.teamhealth.com<br />
90 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
Thursday, May 16 & Friday, May 17: 7:00 am - 5:00 pm<br />
exhibitor announcements<br />
TASER International<br />
TASER International was founded in<br />
September 1993 and has remained<br />
committed to providing solutions which<br />
Protect Life, Protect Truth, and Protect<br />
Family. From our industry-leading CEWs, to<br />
our AXON/EVIDENCE.COM on-officer video<br />
and storage system, we are committed to<br />
reducing violent confrontation, providing<br />
accountability, and preventing danger. We<br />
are committed to protecting life by providing<br />
innovative, high quality products and<br />
services that exceed customer expectations<br />
every time.<br />
Booth 305<br />
Danielle Cavan, Assistant Events Manager<br />
17800 North 85th Street<br />
Scottsdale, AZ 85255<br />
480-463-2141<br />
dcavan@taser.com<br />
<strong>Emergency</strong> Medical Associates<br />
<strong>Emergency</strong> Medical Associates is one of the<br />
country’s most respected, truly democratic<br />
emergency medicine physician groups.<br />
Widely recognized <strong>for</strong> clinical excellence, EM<br />
research, our physicians enjoy exceptional<br />
life-work balance, outstanding compensation<br />
and unlimited growth opportunities. We are<br />
currently seeking BC/BE EM physicians <strong>for</strong><br />
career positions on the east coast.<br />
Booth 208<br />
Dana Criscuolo<br />
3 Century Drive<br />
Parsippany NJ 07054<br />
www.ema.net<br />
CEP America<br />
Founded in 1975, CEP America today is<br />
one of the largest providers of acute care<br />
management and staffing solutions in the<br />
nation, with more than 1,800 providers at<br />
over 100 practice locations, serving more<br />
than 4 million patients annually.<br />
Booth 301<br />
Alie Tupman, Project Manager<br />
2100 Powell Street, Suite 900<br />
Emeryville, CA 94608<br />
510-350-2686<br />
tupmanA@medamerica.com<br />
EmCare<br />
Quality people. Quality Care. Quality LIFE.<br />
EmCare is the nation’s leading physician<br />
practice management company. It is known<br />
<strong>for</strong> developing local practices, supporting<br />
affiliated clinicians with regionally-located<br />
clinical leadership and operational personnel,<br />
and providing them access to unprecedented<br />
national resources. Opportunities exist<br />
at small and large hospitals in locations<br />
nationwide. EmCare offers competitive pay<br />
and exceptional benefits. Call (855) 367-3650<br />
or search jobs at www.EmCare.com. EmCare<br />
is…Making Health Care work Better.<br />
Booth 200<br />
Heidi Wilson, Event & Conference Planner<br />
13737 Noel Road, Suite 1600<br />
Dallas, TX 75240<br />
214-712-2418<br />
Heidi_wilson@emcare.com<br />
<strong>Emergency</strong> <strong>Medicine</strong><br />
Physicians<br />
For 20 years, our physician group model has<br />
allowed us to <strong>for</strong>ge the best relationships<br />
with each other and our hospital partners. We<br />
navigate the changing waters of healthcare<br />
with our servant’s heart and owner’s mind.<br />
We relate and innovate. And we always enjoy<br />
the ride.<br />
Booth 208<br />
Phebe Dave<br />
4535 Dressler Road NW<br />
Canton, OH 44714<br />
800-828-0898<br />
pdave@emp.com<br />
Healthcare Cost &<br />
Utilization Project (HCUP)<br />
HCUP is a family of health care database,<br />
software tools, and products developed<br />
through a Federal-State-Industry partnership.<br />
Sponsored by the Agency <strong>for</strong> Healthcare<br />
Research and Quality (AHRQ), HCUP database<br />
provide the largest collection of all-payer,<br />
longitudinal hospital care data in the United<br />
States.<br />
Booth 107<br />
Jennifer Podulica<br />
540 Gaither Road<br />
Rockville MD 20850<br />
866-290-4287<br />
HCUP@AHRQ.GOV<br />
Sharp Medical Products, LLC<br />
<strong>The</strong> Reactor is a revolutionary new chest<br />
tube device that should be faster, easier<br />
and safer than the standard open technique<br />
which has not changed in more than 100<br />
years! Stop by our booth and see the future<br />
of chest drainage!<br />
Booth 404<br />
Jim Sash, Sales Director<br />
2571 Kaneville Court<br />
Geneva, IL 60134<br />
630-921-6003<br />
jimsash@comcast.net<br />
Masimo<br />
Masimo is a global medical technology<br />
company responsible <strong>for</strong> the invention of<br />
award-winning nonivasive technologies,<br />
medical devices, and sensors that are<br />
revolutionizing patient monitoring, including<br />
Masimo SET, Masimo rainbow SET Pulse<br />
CO-Oximetry, noninvasive and continuous<br />
hemoglobin (SpHb), acoustic respiration rate<br />
(RRa), Masimo SafetyNet, and SEDLine, (EEGbased)<br />
Brain Function Monitors.<br />
Booth 408/410<br />
Tammy Russo<br />
40 Parker<br />
Irvine CA 92618<br />
949-297-7353<br />
www.masimo.com<br />
Janssen Pharmaceuticals, Inc<br />
<strong>The</strong> Janssen Pharmaceutical Companies<br />
of Johnson & Johnson are dedicated to<br />
addressing and solving some of the most<br />
important unmet medical needs of our time<br />
in oncology, immunology, neuroscience,<br />
infectious diseases and vaccines, and<br />
cardiovascular and metabolic diseases.<br />
Booth 206<br />
Mary Ann Gengo, CTSM<br />
1000 Route 202<br />
Raritan, NJ 08869<br />
Office: 908.218.7551<br />
www.janssen.com<br />
Carolina Care, PA<br />
Democratic <strong>Emergency</strong> <strong>Medicine</strong> Group<br />
located in Columbia SC.<br />
Booth 303<br />
Gregory Conde MPH<br />
215 Redbay Rd<br />
Elgin, SC 29045<br />
gregconde@mac.com<br />
Premier Physician Services<br />
A key factor in Premier’s success is our<br />
providers. We strive to enhance the provider<br />
experience. We do so by offering a model that<br />
emphasizes best practices without sacrificing<br />
our commitment to satisfaction. Programs<br />
and educational offerings assist you in taking<br />
a career path that fits your lifestyle. After one<br />
year, become a shareholder and participate<br />
fully in the decisions and financial rewards<br />
of the practice, without a buy-in. Talk to us<br />
today about the many opportunities and<br />
benefits Premier can offer you.<br />
332 Congress Park Drive<br />
Dayton, OH 45459<br />
(800) 726-3627<br />
www.premierdocs.com<br />
NIDA/SAMHSA<br />
Blending Initiative<br />
<strong>The</strong> Blending Initiative aims to accelerate the<br />
dissemination of research-based drug abuse<br />
treatment into clinical practice, and catalyze<br />
the creation of user friendly treatment tols<br />
and products <strong>for</strong> use in front-line settings.<br />
Joanna Weston<br />
8757 Georgia Ave<br />
Suite 1440<br />
Silver Spring, MD 20910<br />
May 14-18, 2013 | Atlanta, Georgia 91
<strong>The</strong> Westin Peachtree plaza<br />
<strong>The</strong> cafe / Registration / concierge – LEVEL 5<br />
international rooms / vinings rooms – LEVEL 6<br />
92 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
<strong>The</strong> Westin Peachtree plaza<br />
atlanta ballroom / augusta rooms – LEVEL 7<br />
peachtree ballroom / roswell rooms – LEVEL 8<br />
May 14-18, 2013 | Atlanta, Georgia 93
<strong>The</strong> Westin Peachtree plaza<br />
peachtree ballroom balcony – LEVEL 9<br />
accessable elevator to pool<br />
plaza ballroom / fitness center – LEVEL 10<br />
accessable elevator to pool<br />
94 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
<strong>The</strong> Westin Peachtree plaza<br />
tower meeting rooms – LEVEL 12<br />
tower meeting rooms – LEVEL 14<br />
May 14-18, 2013 | Atlanta, Georgia 95
the Gallery<br />
20,180<br />
200’ x 100’<br />
18’<br />
700<br />
2,000<br />
100<br />
mezzanine level<br />
20,000<br />
100’ x 250’<br />
12’<br />
920<br />
2,000<br />
80<br />
conference center 8,500<br />
66’ x 172’<br />
12’<br />
200 peachtree conference center<br />
cc room 1<br />
2,380<br />
66’ x 40’<br />
12’<br />
470<br />
70<br />
566<br />
190<br />
630<br />
136<br />
275<br />
60<br />
cc room 2<br />
1,870<br />
66’ x 29’<br />
12’<br />
80<br />
150<br />
136<br />
275<br />
cc room 3<br />
1,604<br />
66’ x 24’<br />
12’<br />
70<br />
133<br />
136<br />
200<br />
cc room 4<br />
1,742<br />
66’ x 26’<br />
12’<br />
70<br />
141<br />
136<br />
275<br />
cc room 5<br />
3,225<br />
66’ x 53’<br />
12’<br />
180<br />
260<br />
136<br />
275<br />
cc rooms 1-5<br />
10,821<br />
66’ x 172’<br />
12’<br />
470<br />
870<br />
630<br />
60<br />
*measUreD at WiDest / hiGhest point<br />
buILDINg FLOOR pLANS<br />
pEachTrEE STrEET<br />
ELLIS STrEET<br />
ELLIS STrEET<br />
sPeCiAL eveNTs (Lobby Level)<br />
CONFeReNCe CeNTeR<br />
(Mezzanine Level)<br />
96 <strong>Society</strong> <strong>for</strong> <strong>Academic</strong> <strong>Emergency</strong> <strong>Medicine</strong>
SAEM Annual Meeting Attendees,<br />
Come cheer on your favorite residency team at the<br />
2 nd Annual SonoGames<br />
of the Academy of <strong>Emergency</strong> Ultrasound of SAEM<br />
Saturday, May 18, 2013<br />
8:00 am – 12:00 pm<br />
Plaza Ballrooms A-B-C Combined<br />
This year’s contestants include:<br />
<strong>The</strong> Pistol Shrimp (Boston Medical Center)<br />
1540 (University of South Florida College of <strong>Medicine</strong>)<br />
A Catholic, a Jew, and a Mormon walk into a Bar (Medical University of South Carolina)<br />
ALARA (Indiana University)<br />
Argyle Artifacts (Yale University)<br />
Arizona Acoustic Enhancements (University Of Arizona)<br />
Bellevue/NYU (Bellevue Hospital/New York University)<br />
Endocavitary Explorers<br />
(Texas A&M Christus Spohn EM Residency)<br />
F.A.S.T. and the Furious (Emory University)<br />
Ga. Probers (Georgia Regents University)<br />
HAEMR Time (Harvard Affiliated EM Residency)<br />
Half FAST (George Washington University)<br />
Hertz So Good (University of Michigan)<br />
Houston Lung Rockets (University of Texas at Houston)<br />
Inferior Vena Cavaliers (University of Virginia)<br />
Johns Hopkins (Johns Hopkins University)<br />
Probe Masters (Maimonides Medical Center)<br />
Probe-able Cause (Thomas Jefferson University)<br />
Rare Birds<br />
(Harborview Medical Center/University of Washington)<br />
Rutgers Resolution (UMDNJ-RWJMS)<br />
Sinai Supersonics (Mount Sinai)<br />
Sonimus Maximus (Staten Island University Hospital)<br />
SonoNinjas (Stan<strong>for</strong>d University School of <strong>Medicine</strong>)<br />
Sono-you-didn’t (St. Luke’s-Roosevelt)<br />
Space City Sono Warriors (Baylor College of <strong>Medicine</strong>)<br />
Stroger Endocavitrons (Cook County)<br />
TBD (Henry Ford Hospital)<br />
<strong>The</strong> County Kings (SUNY Downstate – Kings County Hospital)<br />
<strong>The</strong> Dirty Shadows (University of Chicago)<br />
<strong>The</strong> Ruptured Globe Trotters (University of Connecticut)<br />
<strong>The</strong> SonoCats!?!? (University of Kentucky)<br />
US Trojans (University of Southern Cali<strong>for</strong>nia)<br />
Sponsored by:<br />
SonoChamps<br />
2013<br />
[Your School Here]<br />
May 14-18, 2013 | Atlanta, Georgia
See You In Dallas, TX<br />
May 2014<br />
www.saem.org