SAEM 2006 Annual Meeting Program

2006 Annual Meeting May 18-21 San Francisco

Society for Academic Emergency Medicine

What’s Inside AACEM Activities_________________________________________________________ Page 2 AEM Consensus Conference_______________________________________________ Page 3 Annual Business Meeting_________________________________________________Page 11 Chief Resident Forum____________________________________________________Page 10 Didactic Session Speakers_ _______________________________________________Page 33 Grants Preparation Workshop_______________________________________________ Page 4 Innovations in Emergency Medicine Education Exhibits_ _______________________Page 34 Medical Student Symposium_ ______________________________________________ Page 5 Registration Form____________________________________________________ Pages 30-31 SAEM Interest Group Meetings____________________________________________Page 32 Schedule of Events_ ___________________________________________________ Pages 6-9

2006 Annual Meeting Program Committee Debra Houry, MD, MPH, Chair Brigitte M. Baumann, MD Andra L. Blomkalns, MD Betty Chang, MD Richelle Cooper, MD, MSHS Elizabeth Datner, MD M. Christopher Decker, MD Deborah B. Diercks, MD Jeffrey Phillip Druck, MD Robert T. Gerhardt, MD MPH John “Jack” J. Kelly, DO Terry Kowalenko, MD

O. John Ma, MD Craig D. Newgard, MD Susan B. Promes, MD Maria Raven, MD Ralph J. Riviello, MD John C. Southall, MD Michael A. Turturro, MD Terry L. Vanden Hoek, MD Gary M. Vilke, MD Mildred Willy, MD Wesley Zeger, DO Katherine L. Heilpern, MD, Board Liaison

General Information The SAEM Annual Meeting is the largest forum for the presentation of original research in emergency medicine. The meeting will be held on May 18-21 at the San Francisco Marriott Hotel. Over 1,800 emergency physicians are expected to attend. The Annual Meeting will include 504 original research presentations, as well as 26 Innovations in Emergency Medicine Education (IEME) Exhibits. The oral papers consist of 10 minute presentations followed by 5 minutes for questions and answers. Selected oral paper sessions will include additional time for discussion. The posters are scheduled in 2-hour sessions each day. Most posters will focus on one-on-one discussion between the presenters and the attendees.

However, each day moderated poster sessions will be assigned to one-hour discussion sessions within the two-hour poster sessions. The moderators will focus discussion on furthering the research in the topic. The IEME Exhibits will be held during the poster sessions. In addition, to this Annual Meeting brochure, additional details regarding the Annual Meeting are posted on the SAEM web site at www.saem.org. The web site is updated daily. The abstracts and the IEME Exhibits will be published in the Abstract Supplement, which will be mailed to all SAEM members in late April with the May issue of Academic Emergency Medicine, the official journal of SAEM. A copy of the Abstract Supplement will also be provided to all Annual Meeting attendees in San Francisco.

Registration Attendees are strongly urged to pre-register for the Annual Meeting using the online registration form at www.saem. org. Pre-registration ensures shorter registration lines in San Francisco and assists the staff prepare name badges that are required for admission into all Annual Meeting sessions. Attendees may also register via fax or mail using the registration form included in this brochure. Early registration fees are in effect until April 15.

For the cost of the basic registration fee attendees may attend all paper, poster, and didactic sessions, except those sessions that have limited enrollment, require pre-registration, or require an additional registration fee. Some of the limited enrollment sessions may be sold out prior to the Annual Meeting. Therefore, be sure to register early. For those who have pre-registered to attend sessions that require pre-registration, be sure to arrive a few minutes early.

It is the policy of SAEM to comply with the Americans with Disabilities Act. If special arrangements are necessary, please contact SAEM at saem@saem. org or 517-485-5484.

Hotel Accommodations The Annual Meeting will be held at the San Francisco Marriott Hotel. Be sure to make hotel reservations by April 27.

Reservations received after April 27 will be filled on a space and rate availability only. Call 415-896-1600 for reservations and be sure to mention the SAEM Annual Meeting to receive the discounted rate of $236 single and $256 double

occupancy. An online reservation form is also available and is linked to the SAEM website.

is accredited by the ACCME to provide continuing medical education for physicians.

SAEM has reserved a block of rooms at the Marriott Hotel, based on the number of rooms used during previous Annual Meetings. The block of rooms will be adequate to allow all attendees to secure a reservation. Unfortunately, reservations are often made before travel plans are finalized, or more rooms are reserved than are expected to be used.

This uses up the block and in some cases requires other SAEM members to secure rooms outside of the block at a higher cost. Please be kind to your colleagues and do not reserve more rooms than you anticipate using. If your plans change, please cancel room reservations at least two weeks in advance to allow others to have an opportunity to make a reservation within the block. It is important to note that SAEM has a commitment to fulfill its block of rooms and pays a penalty if the block is not filled. The size of the SAEM block is based entirely on the number of rooms that were used during the previous year’s Annual Meeting.

Michigan State University, College of Human Medicine designates this educational activity for a maximum of 32.5 hours in category 1 credit towards the AMA Physician’s Recognition Award.

Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

Continuing Medical Education The 2006 Annual Meeting has been planned and implemented in accordance with the Essentials Areas and Policies of the Accreditation Council for continuing Medical Education (ACCME) through the joint sponsorship of SAEM and Michigan State University, College of Human Medicine. Michigan State University, College of Human Medicine

Michigan State University, College of Human Medicine designates the CPC Competition and the AEM Consensus Conference for a maximum of 6 hours each in category 1 credit towards the AMA Physician’s Recognition Award.

Annual Business Meeting The Annual Business Meeting will be held on Saturday, May 20 from 3:004:00 pm. The election results will be announced, as well as the results of the membership’s ballot regarding any Constitution and Bylaws amendments.

In addition, the Young Investigator Award recipients; the recipients of the Research Training, Institutional Training, EMS Research Fellowship grants; and the recipients of the 2005 Annual Meeting Best Presentation Awards will be presented to the membership.

Glenn Hamilton, MD, will present his Presidential Address to the membership. Incoming President, Jim Hoekstra, MD, will also be introduced. There may be other reports and presentations to the membership. All SAEM members are urged to attend.

Banquet and Opening Reception

Academic Emergency Medicine

SAEM will host an Opening Reception on Thursday, May 18 from 5:00-6:30 pm. All Annual Meeting registrants are invited to attend at no charge. Hors d’oeuvres will be served and a cash bar will be available. The Tod Dickow Trio will provide a wonderful background of jazz music.

Academic Emergency Medicine, the official journal of SAEM, plans a number of activities at the 2006 Annual Meeting. Again this year, AEM is conducting a consensus conference on the topic of “The Science of Surge” on Wednesday, May 17 from 8:00 am until 5:00 pm.

The keynote speaker is Dr. Richard Carmona. Additional details are published in this brochure and are posted on the SAEM Annual Meeting web site. Registration is open to all Annual Meeting attendees for only $75, which includes lunch. Registration information is included on the SAEM Annual Meeting online registration form.

The SAEM Banquet will be held on the evening of Friday, May 19 at the Exploratorium. Scientific American magazine rated the Exploratorium “the best science museum in the world.”

The Exploratorium is an experimental, hands-on museum with over 650 exhibits on sea and insect life, computers, electricity, patterns and light, language, the weather, and much more.

More information can be found on the SAEM website at http://www.saem.org/ meetings/2006/banquet.pdf.

Tickets can be purchases via the online registration form. Tickets are $85 per person and will include buffet dinner, two drink tickets, bus transporation, and access to the Exploratorium. Tickets will be $45 for children age 12 and under.

Tickets must be purchased by May 7.

No refunds can be made after May 7 as SAEM is required to provide a meal count in advance of the event.

CPC Competition The Semi-Final CPC Competition will be held on Wednesday, May 17 (the day before the Annual Meeting) from 8:30 am until 5:00 pm. Annual Meeting attendees are encouraged to attend.

There is no registration fee to attend the Competition, which showcases emergency medicine residency programs.

The CPC consists of the presentation and discussion of the best 60 cases submitted from 84 submissions. The CPC Competition finalists will be announced during a reception held from 5:30-7:00 pm. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM. The CPC Final Competition, consisting of the 6 semi-finalists, will be held during the ACEP Scientific Assembly, which will be held in New Orleans in the fall of 2006.

An AEM Reviewers’ Workshop will be held on Friday, May 19 from 12:00-1:30 pm. This session is designed for current AEM reviewers and lunch will be provided. All AEM reviewers are invited but must register in advance by sending an email to aem@saem.org. Space is limited and registrations will be first-come, first-served.

The AEM Editorial Board will meet on May 18, 12:00-1:30 pm, and all Editorial Board members are urged to attend.

The Associate Editors will meet on May 19, 7:00-8:30 am; and the Statistical Reviewers will meet on May 20, 7:008:00 am. Pre-registration is required through the AEM office at aem@saem. org.

Baseball Tickets SAEM has purchased a block of 250 “field level” baseball tickets for the game between the Oakland Athletics and Seattle Mariners on May 17 (the evening before the Annual Meeting).

The game begins at 7:05 pm. The cost is $27 per ticket and transportation is not provided. Tickets can be ordered via the Annual Meeting registration form and must be purchased by April 28. There will be no refunds.

CORD The Council of Emergency Medicine Residency Directors (CORD) will meet on Friday, May 19 from 8:00 am-12:00 noon. The program will include educational sessions, reports, elections, and award presentations. All CORD members are invited to attend. The CORD Board of Directors and CORD committees and task forces will also meet during the Annual Meeting and those meetings will be posted as they are scheduled.

AACEM The Association of Academic Chairs of Emergency Medicine (AACEM) will meet Wednesday, May 17 from 8:00 am-12:00 noon. The AACEM Annual Business Meeting will be held on Wednesday, May 17 from 12:00 noon1:30 pm. The New/Future Chairs Workshop will be held at 2:00-5:00 pm. AACEM members are invited to attend.

AEM Consensus Conference The Science of Surge – Wednesday, May 17, 2006 The AEM Consensus Conference will be held on May 17, 2006, at the San Francisco Marriott. The theme of the conference will be the “Science of Surge”, and it will include keynote speakers, lectures for scientific content experts, interactive facilitated small group sessions, and interactive conference attendee voting on key consensus issues. Dr. Richard Carmona, the Surgeon General, has been invited to give the keynote address.

Surge capacity, the ability of a hospital or healthcare system to meet short term extraordinary needs of the community in the event of a manmade or natural catastrophic event, is an important parameter of disaster preparedness. The concept of surge extends to two areas, daily surge and disaster surge. These two concepts are prima facie intrinsically inter-related, but are not overlapping constructs. Both of these concepts are a mainstay of emergency medicine, but by no means are they within the exclusive domain of the discipline. In fact, creation or maintenance of surge capacity as related to health care and public health is multifaceted and multidisciplinary.

While surge capacity is the vigor of the national healthcare safety net and public health system, its scientific underpinnings are varied and ill-defined. The conference will focus almost exclusively on defining the scientific parameters of surge capacity, and will eschew simple reviews of current practice or thought. The conference will review: current scientific knowledge, current understanding of surge, and current understanding of interlinkage of the two main concepts.

The Conference will be designed and conducted to: better define surge and its various components. describe the current status of surge research. l determine appropriate research methodologies. l establish priorities for research. l highlight funding sources. l l

Finally, the major output of the conference will be the establishment of a research agenda for emergency medicine for the scientific exploration of surge capacity. Apart from identifying appropriate areas of endeavors, the conference will determine a plan for advocacy: i.e., means to communicate the importance of this area as a research endeavor to related disciplines, policy makers, and funding agencies. The conference will also identify potential funding sources already known to be interested in this area.

This year’s conference is supported in part by the Johns Hopkins Office of Critical Event Preparedness and Response (CEPAR), the National Center for the Study of Preparedness and Catastrophic Event Response (PACER), the National Institutes of Health [pending], the Agency for Healthcare Research and Quality [pending].

Use the online registration form to sign up for this important conference. The registration fee is only $75 and includes lunch.

The SAEM Research Fund – Rapidly Approaching 5 Million Dollars!

Because of new contributions and a sound, successful investment strategy, the SAEM Research Fund has grown impressively to $ 4,966,347 as of January 31, 2006. Yes, that’s just $ 33,653 short of five million dollars in our Research Fund!

We are on our way to establishing the largest single source of emergency medicine research funding in the world – a Fund that can eventually function as an endowment, and provide even more research training grants than it does now.

The SAEM Research Fund will be front and center in San Francisco at the May Annual Meeting. Look once again for a special oral abstract at the end of the Plenary session, presented by one of our Past Presidents whose humor is matched only by his generosity in donating to the Research Fund. We will express our thanks to contributors with a Donor Luncheon on Saturday May 20 where Dr. Zink will do a special presentation on “The 1970’s Emergency Medicine Resident”. Members will be able to make a donation at the registration area. The Development Committee will be meeting, and working with our development consultants to strategize further for our multiyear campaign for the Research Fund.

If you have not yet contributed to the SAEM Research Fund this year, please consider a donation. If you have already given this year, consider making another donation now or at the Annual Meeting. We keep track of your cumulative donations, and will advance your giving level once you reach the next threshold. Donations can be conveniently made on-line at www. saem.org.

With your help, we can announce at the Annual Meeting that the SAEM Research Fund is in excess of 5 million dollars!

Intensive Grants Preparation Workshop Wednesday, May 17, 2006 Obtaining independent federal research funding is a critical step in achieving a successful academic research career in emergency medicine. Grant Mentorship Workshop sessions offered at past SAEM Annual Meetings have been well received and have assisted past participants in securing subsequent grant funding. This new full-day Grants Preparation Workshop will significantly improve the potential for committed academic emergency physicians to obtain independent research funding by rapidly developing their grant writing skills and providing detailed expert feedback on each participant’s draft grant applications. This expanded format will allow for integration of focused didactics, a newly developed series of writing exercises, and additional time for one-on-one mentoring with the course faculty. Faculty includes highly experienced senior level EM grant writers and reviewers, as well as experts from the NIH. The course is open to SAEM member faculty and fellows registered for the Annual Meeting who can submit a completed grant application draft (near-ready for submission or submitted but not funded) for review 30 days prior to the course. To ensure individual attention, enrollment is limited and there is a $100 course fee in addition to meeting registration fees (please use the online Annual Registration Meeting Form that will is available at www.saem.org). For optimal matching of course faculty with participants and to allow adequate time for expert review of participants’ grant drafts, all draft grant applications (and corresponding “pink sheets”) must be submitted to the SAEM office (via email at www.saem.org by April 15, 2006). Earlier submissions welcomed and encouraged.

7:30 am Registration and Continental Breakfast 8:00 am Introduction Richard Rothman, MD, PhD and Gary Green, MD, MPH, MBA; Johns Hopkins University 8:15 am

Reading and Interpreting the Request for Proposals (RFP) Cindy Miner, PhD Chief, Science Policy Branch, National Institute of Drug Abuse, NIH

8:45 am

Anatomy of a Grant: Common Pitfalls and How to Avoid Them Mark Angelos, MD, Ohio State University

9:15 am Strategic Planning: Allocating Time, Personnel, and Resources for Success

Edward Bernstein, MD, Boston Univeristy 9:45 am

Building an “Airtight Case” for Funding John Younger, MD, University of Michigan

10:15 am

Break

Workshop I: Specific Aims and Hypotheses: Writing a Concise and Captivating First Page 10:30 am Richard Rothman, MD, PhD, with Larry Melnicker, MD, MS, New York Methodist Hospital, and

David Karras, MD, Temple University Workshop II: Organizing and Presenting Preliminary Data to be a Strong Marketing Tool 11:30 am Gary Green, MD, MPH, MBA with Ramana Feeser, MD, Virginia Commonwealth University, Paul Tran, MD, University of Nebraska and John Duldner, MD, Akron General Medical Center LUNCH SESSION: The Science of the Budget and the Art of Budget Justification 12:30 pm Judy Shahan, BSN, MBA, Research Center Executive Director, Johns Hopkins University 1:15 pm Workshop III: Budget and Resources Practicalities: Calculating FTEs, %Effort and Indirect Costs Judy Shahan, BSM, MBA, Johns Hopkins University, and James Olson, PhD, Wright State University 2:00 pm Mock Study Section Edward Bernstein, MD, Grant (RO1) with NIDA reviewer 2:30 pm

Break

2:45 pm Concurrent Study Section Sessions: All Course Faculty Study Section A (Basic Science Grants) Study Section B (Clinical Research Grants) Study Section C (Health Services Research Grants) 4:00 pm

Individual Mentoring with Primary Reviewers: All Course Faculty

5:30 pm

Closing Comments

Medical Student Symposium Saturday, May 20, 2006 The Medical Student Symposium is intended to help medical students understand the residency and career options that exist in Emergency Medicine, evaluate residency programs, explore research opportunities, and select the right residency.

At the completion of the session, participants will: 1) know the characteristics of good emergency physicians and the “right” reasons to seek a career in this specialty, 2) have a better understanding of the application process 3) consider factors important in determining the appropriate residency, including geographic locations, patient demographics, length of training, etc., 4) understand the composition of an emergency medicine rotation and what to expect while they are rotating in the ED, 5) discuss the skills needed to get the most out of your educational experience in the ED rotation, 6) Identify the standard sources of information in the field of emergency medicine, 7) have an appreciation of various career paths available in Emergency Medicine, including academics, private practice, and fellowship training, and 8) discover current areas of research in Emergency Medicine. To register for the Symposium, use the online Annual Meeting registration form at www.saem.org. The cost is $75.

Introduction M. Chris Decker, MD Medical College of Wisconsin How to Select the Right Residency for You, Francis Counselman, MD Eastern Virginia Medical School An overview of EM residency programs will be discussed. Important factors to consider in the selection process including length of training, geographical location, patient demographics, and academic vs. clinical setting will be reviewed. The speaker will also discuss the difference between allopathic and osteopathic programs.

9:00-9:30 AM Getting Good Advice, Jamie Collings, MD Northwestern Medical School

One of the keys to any successful career is getting and following good advice. How do you choose the right advisor(s) and use their wisdom to help you suceed? What do you do when your medical school doesn’t have an EM Residency Program? What resources are available to you about the various programs?

9:30-9:45 AM Break 9:45-10:30 AM Navigating the Residency Application Process and Interview Tactics, Peter DeBlieux, MD LSU-Charity Hospital

This presentation will provide students with tips on how to prepare their ERAS application, how and when to successfully interview and how to follow-up with top programs.

10:30-11:15 PM Getting the Most out of Your Clerkship, Gus Garmel, MD Stanford University/Kaiser

This session will provide students with valuable tips for getting the most from your Emergency Department Clerkship. Specific topics to be discussed will include: 1) appropriate educational goals for an emergency medicine rotation; 2) how to best prepare for your rotation in order to make the most of your ED experience; 3) recommended textbooks and references; and 4) important considerations when deciding when and where to do your emergency medicine rotation.

11:15-1:00 PM Lunch with Program Directors 1:00-1:30 PM The Medical Student Performance Evaluation (MSPE): ‘the Dean’s Letter’, Kate Heilpern, MD Emory University

The speaker, an emergency physician and Dean, will review the components of the MPSE. Medical school deans adapt the MSPE template to prepare your Dean’s letter. What is the MSPE? What is the role of the MSPE in the residency process? How can you take a proactive role in your MSPE? 1:30-2:15 PM Career Paths and Prospects in Emergency Medicine, E. Herbert Hern, MD Highland Hospital

This session will expose students to a variety of career paths including private practice, academics, and dual training (EM-IM / EM-PEDS) as well as fellowship training.

2:15-2:30 PM Break 2:30-3:30 PM Small Groups

Balancing Act, Sue Promes, MD Duke University and Betsy Datner, MD University of Pennsylvania

This session will discuss how to optimize your career and personal life.

Financial Planning, David Overton, MD MSU-Kalamazoo

This session will review practical tips on financial issues. The speaker will address such issues as how to put together a budget and what to do with medical student loan debt.

Optimizing your 4th Year, Steve McLaughlin, MD University of New Mexico

This session will provide students with recommendations for making the most of their senior year including information about EM and other electives, research experience, and when to take their Boards exams.

Medical Schools without Residencies, Bob Leschke, MD Medical College of Wisconsin

This Q&A session will help guide medical students from medical schools without EM residencies through the complicated maze that leads to a residency and career in EM. It will specifically address how this process differs from those students with a EM residency at their medical school.

3:30-3:45 PM Closing Comments, M. Chris Decker, MD Medical College of Wisconsin 8:00-8:15 AM 8:15-9:00 AM

Thursday, May 18, 2006 8:00 am-10:00 am Plenary Papers Abstracts 1-5 10:00 am-12:00 pm Oral Papers Traumatic Brain Injury Abstracts 6-13

12:00 pm-12:15 pm Break to Pick up Lunch

1:30 pm-3:00 pm Oral Paper Presentation Headache Abstracts 20-25

10:00 am-12:00 pm Oral Papers Reducing Door to Balloon Times Abstracts 14-19

10:00 am-11:00 am Understanding Measures of Association

10:00 am-11:00 am Effective Feedback - Tips for Success

11:00 am-12:00 pm Dynamic Decision Making and Deliberate Practice in EM

11:00 am-12:00 pm State of the Art: Procedural Sedation and Analgesia Research in Emergency Medicine

12:15 pm-1:30 pm The Robert Wood Johnson Foundation: History, Mission, and Opportunities for Emergency Physicians

12:15 pm-1:30 pm Getting the Most Out of Your IRB: Minimal Risk Studies

12:15 pm-1:30 pm Starting Out in a Medical Assistant or Associate Dean Position

1:30 pm-3:00 pm Oral Paper Presentation Consent in Medical Research Abstracts 26-31

1:30 pm-3:00 pm ED Performance Benchmarks...is the Tail Wagging the Dog?

1:30 pm-3:00 pm Creating Meaningful Tables and Figures for Analyzing and Presenting Your Research

3:00 pm-5:00 pm Posters HIV: Abstracts 32-38 Motor Vehicle Crashes: Abstracts 39-43 Asthma: Abstracts 44-48 Overcrowding: Abstracts 49-56 Geriartics: Abstracts 57-62 Acute Coronary Syndrome: Abstracts 63-75 Trauma: Abstracts 76-85 Sepsis: Abstracts 86-96 EMS: Abstracts 97-105 Education: Abstracts 106-115 Innovations in Emergency Medicine Education Exhibits: 1-13 Visual Diagnosis and Clinical Pearl Photos and Cases 4:00-5:00 pm, Moderated Posters Hypertension: Abstracts 116-119 5:00 pm-6:30 pm Opening Reception

Friday, May 19, 2006 8:00 am-9:00 am Oral Paper Presentation CPR Abstracts 120-126

8:00 am-9:45 am Oral Paper Presentation Pneumonia Care Abstracts 127-133

8:00 am-9:45 am Fairness in the Workplace – A Chairman’s Definition

10:00 am-12:00 pm Oral Paper Presentation EMS Abstracts 142-149

10:00 am-11:30 am 10:00 am-11:30 am Mentors – More Introduction to Important Than Ever to Statistics Your Academic Career

12:15 pm-1:30 pm How to Develop a Successful Fellowship (and What to Look for When Applying to a Fellowship)

12:15 am-1:30 pm How to Become Involved in Medical School

12:15 am-1:30 pm Overcoming Obstacles and Moving Forward with Health Outcomes Research

1:30 pm-3:00 pm Oral Paper Presentation Overcrowding Abstracts 156-161

1:30 pm-3:00 pm Talking Safety: The Latest in Resident and Medical Student Education in Emergency Medicine Patient Safety

1:30 pm-3:00 pm Establishing a Palliative Care Research Agenda for Emergency Medicine

9:45 am-10:00 am Coffee Break 10:00 am-12:00 pm Oral Paper Presentation ED Operations and Utilization Abstracts 134-141

8:00 am-9:45 am Development, Validation and Implementation of Clinical Decision Rules in Emergency Medicine

12:00 pm-12:15 pm Break to Pick up Lunch 12:00 pm-1:30 pm AEM Reviewers Workshop (by invitation, lunch provided)

1:30 pm-3:00 pm Oral Paper Presentation Elder Care Abstracts 150-155

3:00 pm-5:00 pm Posters The Predictive Value of Vital Signs in Trauma: Abstracts 162-168 Educating Medical Students: Abstracts 169-175 Clinical Decision Rules: Abstracts 176-182 Wounds: Abstracts 183-187 Appendicitis: Abstracts 188-192 EMS: Abstracts 193-202 Pain and Sedation: Abstracts 203-216 Administration: Abstracts 217-229 Hurricanes: Abstracts 230-232 Diagnostic Technology: Abstracts 233-235 Ethics: Abstracts 236-239 Social Issues: Abstracts 240-246 Innovations in Emergency Medicine Education Exhibits: 1-13 Visual Diagnosis and Clinical Pearl Photos and Cases 4:00-5:00 pm Moderated Posters CT for the Evaluation of Chest Pain: Abstracts 247-250 Overutilizers of Emergency Services: Abstracts 251-254 5:30 pm Buses Start Leaving for Banquet 6:00 pm-10:00 pm Evening at the Exploratorium

Saturday, May 20, 2006 8:00 am-9:00 am Oral Paper Presentations Congestive Heart Failure Abstracts 255-258

8:00 am-9:00 am Oral Paper Presentations Toxicology Abstracts 259-262

8:00 am-9:00 am Multicenter Research in Pediatric Emergency Medicine

8:00 am-9:00 am Challenges to Ultrasound Researchers: Overcoming Barriers

8:00 am-3:45 pm Medical Student Forum

9:00 am-11:00 am Posters OB/GYN: Abstracts 263-272 Computers and the ED: Abstracts 273-277 Thromboembolic Disease: Abstracts 278-285 Bioterrorism: Abstracts 286-287 Congestive Heart Failure: Abstracts 288-291 Diabetes: Abstracts 292-293 Orthopedics: Abstracts 294-295 Healthcare Disparities: Abstracts 296-301 ED Triage: Abstracts 302-307 Substance Abuse/Dependance: Abstracts 308-310 Administration: Abstracts 311-321 Ischemia/Reperfusion: Abstracts 322-328 Neurology: Abstracts 329-339 Diagnostic Imaging and Trauma: Abstracts 340-347 Innovations in Emergency Medicine Education Exhibits: 14-26 Visual Diagnosis and Clinical Pearl Photos and Cases 10:00 am-11:00 am Moderated Posters Soft Tissue Infections: Abstracts 348-352 Research Methods: Abstracts 354-358 11:00 am-12:00 pm Oral Paper Presentations Pediatrics Abstracts 359-362 12:00 pm-12:15 pm Break to Pick up Lunch

1:30 pm-3:00 pm Oral Paper Presentations Critical Care Abstracts 367-372

11:00 am-12:00 pm Oral Paper Presentations Medical Errors and Adverse Events Abstracts 363-366

11:00 am-1:30 pm Faculty Development Workshop

12:15 pm-1:30 pm Spivey Lecture: The Seven Habits of Highly Effective Medical Educators

12:15 pm-1:30 pm The Science of Triage in a Mass Casualty Incident: Is There Evidence?

1:30 pm-3:00 pm Oral Paper Presentations Public Health Abstracts 373-378

1:30 pm-3:00 pm Transition from Associate to Full Professor

11:15 am-1:00 pm Lunch with Program Directors 12:00 pm-1:30 pm Research Fund Donors Lunch (by invitation)

1:30 pm-3:00 pm Missing Data: What are You Missing

3:00 pm-4:00 pm Annual Business Meeting 4:00 pm-5:30 pm IOM Reception

4:15 pm-6:00 pm Residency Fair

5:30 pm-7:00 pm Wine Reception 7:00 pm-9:00 pm Powerpoint as a Teaching Tool

7:00 pm-9:00 pm E.D. S.T.A.T.!

Emergency Department Strategies for Teaching Anytime

Sunday, May 21, 2006 8:00 am - 12:00 pm SAEM Board of Directors 9:00 am-10:00 am Oral Paper Presentations Pain Abstracts 379-382 10:00 am-12:00 pm Oral Paper Presentations Cardiovascular Abstracts 391-398

9:00 am - 4:00 pm Chief Resident Forum 9:00 am-11:00 am Oral Paper Presentations Pulmonary Embolism Abstracts 383-390

11:00 am-12:00 pm Oral Paper Presentations Education Abstracts 399-402

9:00 am-10:30 am Techniques and Methodology for EMS Research

9:00 am-10:30 am Formative and Summative Evaluation in Emergency Medicine - An Intreractive Workshop

10:30 am-12:00 pm What You Need to Know About Intellectual Property and Technology Transfer

10:30 am-12:00 pm Geriatric Training for Emergency Medicine Physicians-in-Training: Education Materials and Resources

12:00 - 2:00 pm Posters Airway: Abstracts 403-409 Pediatrics: Abstracts 410-422 CPR: Abstracts 423-435 Toxicology: Abstracts 436-447 Critical Care: Abstracts 448-452 Audioelectric Information and Congestive Heart Failure: Abstracts 453-456 Cardiology: Abstracts 457-469 Education: Abstracts 470-479 Stroke: Abstracts 480-484 Psychiatry: Abstracts 485-489 Ultrasound and Procedures: Abstracts 490-493 Ultrasound: Abstracts 494-497 Innovations in Emergency Medicine Education Exhibits: 14-26 Visual Diagnosis and Clinical Pearl Photos and Cases 1:00-2:00 pm Moderated Posters Ultrasound and Dyspnea: Abstracts 498-500 Research Productivity: Abstracts 501-504

Chief Resident Forum Sunday, May 21, 2006 Chief residency is a demanding and highly responsible position, however little formal and structure preparation is available prior to becoming a chief resident. New chief residents typically have not had the benefit of training in essential administrative, academic, and leadership skills. This one-day course will include a variety of sessions covering administrative and academic topics relevant to new chief residents. Talks and small group discussions will be led by experienced program directors and past chief residents. All sessions will include ample time for questions. In addition, a lunch session and coffee breaks will provide opportunities for chiefs from different programs to meet and exchange ideas. The small group discussion sessions will also allow for interaction with workshop faculty and former chief residents.

At the completion of this course, participants will be able to understand basic characteristics of good leadership, management techniques, administration and problem solving concepts; have learned successful scheduling and back-up techniques; become aware of common pitfalls faced by chief residents; learned effective communication techniques; had the opportunity to discuss potential ethical dilemmas that may arise during the chief resident year; and learned time management techniques.

All chief residents registered to attend the Annual Meeting are invited to register for the special Chief Resident Forum. Enrollment is limited and the fee is $150, in addition to the basic Annual Meeting registration fee. Use the online Annual Meeting registration form to register for the Annual Meeting and the Chief Resident Forum.

7:30-8:00 am

Registration and Continental Breakfast

8:00-8:45 am

So You’re Chief Resident. What Does that Mean?, Stephen Playe, MD, Baystate Medical Center This session will discuss the various roles and requirements of chief residents.

8:45-9:45 am

Leadership and the Management Role, Robert Hockberger, MD, Harbor UCLA Medical Center This session will describe the scope of authority and responsibility of the chief resident and explain leadership theories focusing particularily on action-centered leadership.

9:45-10:00 am Break 10:00-10:45 am Time Management, Tom Cook, MD, Palmetto Health Richland Hospital

At the end of this session, participants will be able to develop realistic goals given their time constraints, will recognize the importance of “To-Do” lists, and describe effective time management principles.

10:45-12:00 pm Developing a Schedule, Brigette Baumann, MD, Cooper University Hospital/UMDNJ-RWJMS at Camden; Sheryl Heron, MD, Emory University School of Medicine; Stephen Hayden, MD, UCSD Medical Center

This discussion will review the RRC requirements for scheduling in EM, will outline the principles of scheduling (equity and minimization of the disruption of the circadian rhythm), and will provide mechanisms for dealing with sudden changes and illness.

12:00-1:30 pm Lunch 1:30-2:15 pm

Effective Communication, Richard Lanoix, MD, St. Luke’s - Roosevelt Hospital Center Communication is a key element to the success of any leader. During this session, participants will learn how to build effective communication networks, be provided with a communications “skills set” required to manage staff, and receive instruction on how to emerge as a positive intermediary between faculty and residents.

2:15-3:00 pm

Professional Growth and Success as a Chief Resident, Jill Baren, MD, University of Pennsylvania This session will illustrate strategies for successful career development and maintenance of balance while serving as chief resident.

3:00-3:15 pm Break 3:15-4:00 pm

Ethics and Professionalism, James Adams, MD, Northwestern University As chief resident, you may confront a new series of ethical dilemmas. This session will highlight ethical and confidential issues that involve other residents and describe how to set professional examples for others.

4:00-5:00 pm Lessons Learned, Brigitte M. Bauman, MD (Moderator) Cooper University Hospital/UMDNJ-RWJMS at Camden; Dana Buchanan, DO, Cooper University Hospital/UMDNJ-RWJMS at Camden; Chris Buresh, MD, The Iowa Emergency Medicine Program; Lisa Hile, MD, Darnall Army Community Hospital; Micha el Odinet, MD, Louisiana State University Charity Hospital.

Panel discussion of former chief residents.

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SAEM Annual Business Meeting Saturday, May 20, 2006 3:00-4:00 p.m.

All SAEM members are urged to attend 1. SAEM Award and Grant Presentations, Glenn C. Hamilton, MD, President a. Hal Jayne Academic Excellence Award: Donald M. Yealy, MD b. Leadership Award: John A. Marx, MD c. Young Investigator Awards: Benjamin S. Abella, MD, MPhil, and Manish Shah, MD d. Research Training Grant: Andrew Chang, MD e. Institutional Research Training Grant: James Menegazzi, PhD, University of Pittsburgh f. EMS Research Fellowship Grant: William Northington, MD g. 2005 Annual Meeting Awards:

l Senior Investigator Award: Ian Stiell, MD, MSc Lisa Nesbitt, William Pickett, David Brisson, Jane Banek, Brian Field, Daniel Spaite, Douglas Munkley, Lorie LuinstraToohey, Marion Lyver, Tony Campeau, George Wells, for the OPALS Study Group: OPALS Major Trauma Study: Impact of Advanced Life Support on Survival and Morbidity.

l Young Investigator Clinical Award: Craig Newgard, MD Validation of Probabilistic Linkage for Matching De-identified Prehospital Records to a State Trauma Registry.

l Young Investigator Basic Award: Chad Darling, MD Rong Jiang, Michelle Maynard, Jake Vinten-Johnasen, Peter Whittaker, Karin Przyklenk: Cellular Mechanisms of Cardioprotection with “Postconditioning”: Role of ERK 1/2 Signaling and Mitochondrial KATP Channels.

l Fellow Clinical Award: Dana Edelson, MD Merchant M Raina, Helge Myklebust, Anne M Barry, Jason Alvrado, Nicholas O’Hearn, Terry L Vanden Hoek, Lance B Becker, Benjamin S Abella: Quality of Defibrillation: Inconsistent Rhythm Identification and Long Preshock Pauses during Cardiac Arrest.

l Fellow Basic Award: Steven Salhanick, MD Stavros Pavlides, Douglas E Holt, Daniel Orlow, Wende R Reenstra, Jon A Buras: Both Endothelial and Inducible Nitric Oxide Synthase-derived Nitric Oxides Contribute to Acetaminophen Toxicity.

l Resident Award: Blake Weaver, MD Michael Blaivas, Matthew Lyon: Confirmation of Endotracheal Tube Placement after Intubation Using the Sliding Lung.

l Medical Student Clinical Award: Ashish Panchal Alan Blumberg, Jim Schneider, Carlos A Torres, Sverre Aune, Mark G Angelos: Cardiac Ultrasound to Monitor Post-Cardiac Arrest Myocardial Dysfunction.

l Medical Student Basic Award: Amy Betz James Menegazzi, Clifton W Callaway, Henry E Wang: A Randomized Comparison of Manual, Mechanical, and High-impulse Chest Ventricular Fibrillation.

l Innovations in Emergency Medicine Exhibit: Richard Levitan, MD A Novel Methodology for Teaching Direct Laryngoscopy

l Visual Diagnosis Contest Medical Student Winner: John Randolph, Kirksville College of Osteopathic Medicine Resident Winner: Christopher Kahn, MD, University of California, Irvine 2.

Election Results, Glenn C. Hamilton, MD, President President Elect Board of Directors Resident Member of the Board Nominating Committee Constitution and Bylaws Committee

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AEM Report and Announcements: Michelle Biros, MD, Editor-in-Chief Bylaws Amendments: Glenn C. Hamilton, MD President’s Address: Glenn C. Hamilton, MD Introduction of 2006-2007 President James Hoekstra: Glenn C. Hamilton, MD New Business Adjournment

NOTE: Award and grant recipients, newly elected members of the Board and Nominating and Constitution and Bylaws Committee are asked to remain after the Annual Business Meeting to participate in a brief photo session. Photos will be published in upcoming issues of the SAEM Newsletter.

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Thursday, May 18, 2006 PAPER PRESENTATIONS

23. An Assessment of the Reliability and Clinical Usefulness of the International Classification of Headache Disorders-2nd Edition for ED Headache Patients, Benjamin Friedman, Albert Einstein 24. A Cost-Utility Analysis For Evaluating Low-Risk Suspected Subarachnoid Hemorrhage: Is Lumbar Puncture Always Needed?

Jesse M. Pines, University of Pennsylvania 25. Pain and Functional Outcomes of Patients with Primary Headache Disorder Discharged from the ED. Benjamin Friedman, Albert Einstein

Plenary (8:00-10:00 am) 1.

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An ED Diagnostic Protocol for Patients with Transient Ischemic Attack: A Randomized Controlled Trial, Michael A. Ross, William Beaumont Hospital Comparison of 33°C and 35°C hypothermia after cardiac arrest Eric S. Logue, University of Pittsburgh A Clinical Decision Rule to Safely Rule-Out Subarachnoid Hemorrhage in Acute Headache Patients in the ED, Jeffrey J. Perry, University of Ottawa Witnessing IPV As a Child Does Not Increase Likelihood of Becoming an Adult IPV Victim Christies M. DelCastillo, University of New Mexico A Randomized Controlled Trial of Fixed Versus Escalating Energy Levels for Defibrillation Ian G. Stiell, University of Ottawa

Consent in Medical Research (1:30-3:00 pm)

26. Pre-Consent Does Not Increase Enrollment into a Time Sensitive Clinical Trial of Status Epilepticus in Children Compared to Standard Informed Consent, Jill M. Baren, University of Pennsylvania 27. Evaluation of Community Consultation and Public Disclosure in the New York City Public Access Defibrillation (PAD) Trial, Jennifer Holohan, Mount Sinai 28. Community Views on Emergency Research Conducted Without Obtaining Informed Consent: Findings from the Community VOICES Study, Lynne D. Richardson, Mount Sinai 29. Who Says No? A Comparison of ED Patients Asked to Participate in Intimate Partner Violence (IPV) Research, Jaime Aagaard, University of New Mexico 30. Reasons for Non Enrollment in an ED Adolescent Research Study Michelle H. Biros, Hennepin County Medical Center 31. IRB Members’ Experiences with Exception from Informed Consent Protocols Nicole M. DeIorio, Oregon Health and Science University

Traumatic Brain Injury (10:00-12:00 noon) 6.

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Progesterone for Acute Traumatic Brain Injury David W. Wright, MD, Emory University The CATCH Rule: A Clinical Decision Rule for the Use of CT Head in Children with Minor Head Injury, Martin H. Osmond, University of Ottawa Early Neurosurgical Procedures Enhance Survival in Significant Blunt Traumatic Brain Injury Jerris R. Hedges, Oregon Health Sciences University Outcome of Minor Traumatic Brain Injury (MTBI) Ronald F. Maio, University of Michigan Diffusion Tensor Imaging After Mild Traumatic Brain Injury Jeffrey J. Bazarian, University of Rochester A Prospective, Longitudinal Study of Neurocognitive Deficits and Recovery Rates After Mild Traumatic Brain Injury Versus Isolated Extremity Injury in Children 10-17 Years Of Age Nicole S. Sroufe, University of Michigan Epidemiological Aspects of Traumatic Brain Injury in Residents of Hudson County, New Jersey John Joseph Bruns, Jr., Mount Sinai Interobserver Agreement in the Assessment of Children with Minor Head Injury Martin H. Osmond, University of Ottawa

POSTER SESSION HIV

(3:00–5:00 pm)

32. Missed Opportunities for Diagnosis of HIV by an ED Based HIV Screening Program Michael S. Lyons, University of Cincinnati 33. Early Diagnosis of HIV by an ED Based HIV Screening Program, Michael S. Lyons, University of Cincinnati 34. Comparison of HIV Seroprevalance Rates in an Urban ED to a Community-Based High Risk Population during Successful Implementation of a Free Rapid Testing Program, David H. Newman, St. Luke’s Roosevelt Hospital 35. A Randomized Control Trial Evaluating the Educational Effectiveness of a Rapid HIV Post-Test Counseling Video, Yvette Calderon, Albert Einstein 36. Trends in HIV infection in the ED: A 16 year review, Chadd K. Kraus, Johns Hopkins University 37. Characteristics of HIV Positive Patients Identified by an ED Screening Program, Douglas White, Alameda County Medical Center 38. Preliminary Report of Feasibility and Yield of a Rapid HIV Screening Program in an Urban ED Using Indigenous Staff for Testing and Counseling, Douglas White, Alameda County Medical Center

Reducing Door to Balloon Times (10:00-12:00 noon)

14. Prehospital Identification of STEMI Is More Effective Than Maintaining an In-House Cardiac Cath Team in Reducing the Time to Reperfusion, Robert E. O’Connor, Christiana Care Health System 15. Direct Call from Ambulance to Coronary Care Unit to Initiate Primary Percutaneous Intervention for ST-Elevation Myocardial Infarction, David G. Strauss, Duke University 16. Paramedic Prehospital Cath Lab Team Activation for STEMI, Without ECG Transmission, Dramatically Reduces Door to Balloon Time, Stephen W. Smith, Hennepin County Medical Center 17. Emergency Physician Discretion to Activate the Cardiac Catheterization Team Decreases Door-To-Balloon Time for Acute ST Elevation Myocardial Infarction, Aveh Bastani, Beaumont Hospital 18. Activation of an Interventional Cardiology Code Reduces Time to Catheterization in ED STEMI Patients, Amit Shembekar, Stony Brook University 19. Reperfusion Time Delays Incurred By Patients with ST-Elevation Myocardial Infarction in Quebec Hospitals: Results from the AMI-Quebec Registry, Jonathan Afilalo, McGill University

Motor Vehicle Crashes

39. Spatial Analysis of Motor Vehicle Crashes and Crash Severity Using a Geographic Information System (GIS), Lisa D. Van Bramer, University of Colorado 40. A Review of Police Pursuit Fatalities in the United States from 1982-2004, Robert M. Miller, Massachusetts General Hospital 41. Daytime Running Lamps in the United States: What is the Impact on Vehicle Crashes in Minnesota? Michele Krajicek, Mayo Health System 42. The Safest Seat: Effect of Seating Position on Occupant Mortality, Dietrich Jehle, SUNY Downstate/Kings County Hospital 43. The Relationship between Ambulance Crashes and Emergency Medical Technician Age Jonathan R. Studnek, The National Registry of Emergency Medical Technicians

Headache (1:30-3:00 pm)

20. Intravenous Dexamethasone vs. Placebo as Adjunctive Therapy to Reduce the Recurrence Rate of Acute Migraine Headaches: A Multi-Center Double-Blinded Placebo-Controlled Randomized Clinical Trial, Ryan Sundermann, Beaumont Hospital 21. Dexamethasone in Migraine Relapses: A Randomized, PlaceboControlled Clinical Trial. Brian H. Rowe, University of Alberta 22. Prochlorperazine vs Promethazine for Treating Undifferentiated Headache in the ED. A Randomized Controlled Trial, James E. Callan, Naval Medical Center Portsmouth

Asthma

44. Identifying Asthma Exacerbations in Pediatric Patients Using Electronically Available Data from Clinical Information Systems,

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Thursday, May 18, 2006 Dominik Aronsky, Vanderbilt University 45. Mycoplasma pneumoniae Increases Airway Epithelial Cell Mucin Gene and TGF-beta Expression in Patients with Asthma, Charles B. Cairns, Duke University 46. Nebulized Magnesium has no Benefit in the Treatment of Acute Asthma in the ED Barbara J Drobina, Naval Medical Center Portsmouth 47. Prospective Multicenter Trial of an Action Plan Following ED Discharge for Acute Asthma. Brian H. Rowe, University of Alberta 48. Prospective Multicenter Study of Treatment and Relapse Following ED Discharge for Acute Asthma, Brian H. Rowe, University of Alberta

70. Cardiovascular Medication Use at ED Presentation Does Not Add Predictive Value to the TIMI Risk Score, Maureen Chase, University of Pennsylvania 71. Incidence of “False Positive” EKGs in Patients Undergoing Direct Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction, David M. Larson, Ridgeview Medical Center 72. Moderate Risk Duke Treadmill Scores Are Associated With Worse 30-Day Outcomes Alex F. Manini, Harvard 73. Comparison Between Cardiac Risk Scores to Predict Myocardial Infarction for Patients With Chest Pain, Alex F. Manini, Harvard University 74. Utility of the Presenting ECG to Predict Mortality When Troponin is Used to Diagnose Myocardial Infarction, Brett Roberts, Virginia Commonwealth University 75. ED Diagnosis of ST-Elevation Myocardial Infarction: Confounding Effects of Gender and Diabetes, Katie M. Hamblett, University of Massachusetts

Overcrowding

49. Frequency, Determinants, and Impact of Overcrowding in EDs in Canada: A National Survey of ED Directors, Brian H. Rowe, University of Alberta 50. Boarded Patients Impact Length of Stay Even for Patients Discharged from the ED Brian S. Zachariah, University of Texas Medical Branch 51. Validation of the ED Work Index at Six Academic EDs. Melissa Lee McCarthy, Johns Hopkins University 52. Patients Who Leave Without Being Seen: Their Characteristics and Past History of ED Use Ru Ding, Johns Hopkins University 53. The Threshold for Ambulance Diversion: Are We Accepting the Unacceptable? Stephen K. Epstein, Beth Israel Deaconess Medical Center 54. Use of the NEDOCS Overcrowding Scale in a Pediatric ED, Steven J. Weiss, University of New Mexico 55. Care Management Unit Impact on ED Overcrowding, Varnada A. Karriem-Norwood, Emory University 56. Advice Line Use Among Frequent and Non-Frequent ED Users: Are We Missing Opportunities to Impact ED Resource Utilization and ED Overcrowding? Harold K. Simon, Emory University

Trauma

76. Diagnostic Performance of Base Deficit in Identifying Major Injury in Elderly Trauma Patients Mirdul Kumar, SUNY Downstate/ Kings County Hospital 77. The Effect of Normal Saline Infusion on the Diagnostic Utility of Base Deficit in Identifying Major Injury in Trauma Patients, Christina Bloem, SUNY Downstate/Kings County Hospital 78. Cervical Spine Fracture Increases Risk of Blunt Carotid and Vertebral Artery Injuries in Victims of Blunt Trauma, James E. Winslow, Wake Forest University 79. Effectiveness of Mineral Hemostatic Agents for Traumatic Hemorrhage Control in an Animal Model, Wade A. Richey, University of Illinois, Peoria 80. Trauma Center Utilization for Children 1998-2004: Trends and Areas for Further Analysis, Nancy Ewen Wang, Stanford University Hospital 81. Predicting Early Outcome Using Alpha-II Spectrin Breakdown Products in Human CSF After Severe Traumatic Brain Injury, Linda Papa, University of Florida 82. Utility of SIRS Criteria in Trauma Triage, Gerard S. Doyle, University of Utah 83. Complications of Tube Thoracostomy Placement in the ED, David K. Duong, Boston University 84. The Benefit of Higher Level of Care Transfer of Injured Patients from Non-Tertiary Hospital EDs, Craig Newgard, Oregon Health & Science University 85. Inter-Rater Reliability of Clinical Variables in Patients with Blunt Abdominal Trauma James F. Holmes, University of California, Davis

Geriatrics

57. Fractures in the Elderly: Anti-Osteoporotic Therapy is Not Being Used by Emergency Physicians, Internists or Othopedists. Jason Schultz, St. Luke’s Hospital 58. The Prevalence of Geriatric Malnutrition in ED Patients Who Fall and Fracture vs Those with Other Complaints: A Pilot Study, Sanjey Gupta, New York Hospital Queens 59. ED Pain Management for Extremity Injuries in Older Adults, Ben Harris, Mount Sinai 60. Inappropriate Prescribing Patterns in an Older ED Population, Fredric M. Hustey, Cleveland Clinic Foundation 61. Do the Very Elderly Presenting With Acute Coronary Syndrome Undergo Cardiac Catheterization? David C. Lee, North Shore University 62. Prevalence of Information Gaps for Seniors Transferred From Nursing Homes to the ED Adam Cwinn, University of Ottawa

Sepsis

86. Lipopolysaccharide O-antigen Promotes Persistent Bacteremia John Younger, University of Michigan 87. Lymphocytes Contribute to Sepsis-Induced Lung Injury D L Carden, Louisiana State University Health Sciences CenterShreveport 88. Platelets and Megakaryocytes Show Correlated Up-Regulation of Granzymes in Early Sepsis Robert J. Freishtat, Children’s National Medical Center 89. Sepsis and Triage Level in the ED, Robert J. Stenstrom, St Paul’s Hospital 90. The aqueous Extract of a Popular Herbal Nutrient Supplement, Angelica Sinensis, Protects Mice against Lethal Endotoxemia and Sepsis. Haichao Wang, North Shore University 91. Pro-Inflammatory Cytokine Responsiveness And Autonomic Dysfunction In Patients With Chronic Inflammation, Richard S. Goldstein, North Shore University 92. Organ Dysfunction and Mortality in an ED Cohort with Suspected Infection. Michael Donnino, Beth Israel Deaconess Medical Center 93. Performance of the Mortality in ED Sepsis (MEDS) Score, Modified Rapid Emergency Medicine (mREMS) Score, and CURB-65 in Predicting Mortality in ED Patients with Suspected Infection Michael D. Howell, Beth Israel Deaconess Medical Center

Acute Coronary Syndrome

63. Inter Rater Reliability in Interpretation the Right Sided ECG Leads to Diagnose Right Ventricular Infarction. Naomi Sajaan, Kern Medical Center 64. Triaged Based EKG Process Reliably Decreases Time to ST Elevation Myocardial Infarction Diagnosis, Kathy Parish, RN, William Beaumont Hospital 65. Frequency of Acute Coronary Syndrome in Patients with a Normal Electrocardiogram Performed in the Presence or Absence of Chest Pain, William S. Trythall, University of California, Davis 66. A Meta-analysis of the Sgarbossa Criteria for AMI in the Presence of Left Bundle Branch Block (LBBB), Robert M. Rodriguez, San Francisco General Hospital 67. Cardiac Risk Factors and Their Association with Acute Coronary Syndromes in the ED Setting Vanderbilt University 68. Is Cardiac Monitoring Necessary for Intermediate Acute Coronary Syndrome Risk Patients Who Have a Normal ECG and Cardiac Markers in the ED? Debra C. Kerr, Western Health 69. Characteristics of all “At-Risk” for Acute Cardiac Ischemia Patients Treated in High-Miss vs Low-Miss Rate Hospitals, Robert D. Welch, Wayne State University

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Thursday, May 18, 2006 119. Physician and Nurse Self-reported Blood Pressure (BP) Re-assessment Practices and Perceptions of Barriers to BP Re-assessment, Jill F. Lehrmann, Northwestern University

94. Contraindications to Drotrecogin Alfa (Activated) in ED Patients with Severe Sepsis Michael D. Howell, Beth Israel Deaconess Medical Center 95. An Administrative Framework for Successfully Instituting an Integrated Early Goal-Directed Therapy (EGDT) Sepsis Protocol in an ED, Chris Vincent Holthaus, Washington University 96. Epidemiology of Septic Shock in an Urban ED, James Walter, Beth Israel Deaconess Medical Center

Didactic Sessions Understanding Measures of Association (10:00-11:00 am)

EMS

Edward A. Panacek, MD, MPH, University of California, Davis Measures of association are increasingly being reported in researchstudies. This is particularly true as more case-control designs and regression analysis techniques are being used in EM research. However, many academicians have only a novice understanding of the meaning of such measures and their proper application. In this session, measures such as Odds Ratios and Relative Risks will be explained. Stratified and adjusted Odds Ratios will also be covered. Actual examples from clinical studies, many in the EM literature, will be used to increase audience understanding. At the completion of this session, participants will be able to describe odds ratios and relative risks, and their proper application; understand the concepts of stratified and adjusted measures; and be able to calculate Odds Ratios and Relative Risks on their own.

97. Does Physical Restraint Impact Metabolic Oxygen Consumption during Exertion? Theodore C Chan, University of California, San Diego 98. A Randomized, Controlled Trial Comparing Different Treatment Regimens Following Oleoresin Capsaicin (Pepper Spray) Exposure Robert Hennessy, San Antonio Uniformed Services 99. Retention Rate for Proper Usage of Level C Personal Protective Equipment by Emergency Medical Services Personnel after Six Months. Michael G. Mahoney, University of Pittsburgh 100. Cardiac Monitoring of Human Subjects Exposed to the Taser® Saul D. Levine, University of California, San Diego 101. Are Patients Arriving by Emergency Medical Services Sicker? L Albert Villarin, Albert Einstein 102. Standardization of Online Physician Dialogue for Patient Refusal of Care in the Prehospital Setting, William E. Fletchall, University of Illinois 103. Differences in Resuscitation Termination Based on Location of Arrest Jared Strote, University of Washington 104. Clinical Clearance of Spinal Immobilization during Air Medical Transport Howard A. Werman, Ohio State University 105. Evaluation of Deaths Associated with Choking, Gary M. Vilke, University of California San Diego Medical Center

Effective Feedback - Tips for Success (10:00-11:00 am) Susan B. Promes, MD, Duke University Mary Jo Wagner, MD, Synergy Medical Education Alliance Diane Birnbaumer, MD, Harbor-UCLA As academic emergency physicians, we are all expected to teach medical students and residents. An important part of teaching is to give feedback to the learner to aid them in improving their knowledge, skills, and attitudes. This interactive session will begin with a brief didactic, highlighting characteristics of effective feedback followed by participants actually practicing the concepts they just discussed. As part of the session, Jack Ende’s classic article, which is an excellent primer on feedback in clinical medical education will be discussed Emphasis will be placed on the instructional impact of feedback - distinguishing feedback from the judgmental emphasis of an evaluation. Instructors will share four pearls of effective feedback with the course participants prior to having participants practice what they have learned. At the end of this session, participants will be able to list the characteristics of effective feedback and demonstrate the ability to give successful feedback.

Education

106. Successful Reduction of Inaccuracies on EM Residency Applications: We can affect behavior! Eric Daniel Katz, MD, Washington University in St. Louis 107. Effect of an Intensive Trauma Care Education Curriculum on Emergency Medicine Residents’ Performance on Standardized Tests of Trauma Care Knowledge Daniel R. Rodgers, Northwestern University 108. Use of the Clinical Skills Lab to Evaluate Two Alternative Airway Devices Used by EM Residents, Jennifer Axelband, St. Luke’s Hospital 109. Rate of Admission Varies by Post Graduate Level of Training during Emergency Medicine Residency, Jonathan Fisher, Beth Israel Deaconess Medical Center 110. Lack of Implementation and the Barriers to the Use of Early Goal Directed Therapy in Academic EDs, Jonathan Fisher, Beth Israel Deaconess Medical Center 111. Evaluating “ED STAT!”: A novel and effective faculty development program to improve ED teaching. Glen Bandiera, University of Toronto 112. Assessment of Provider Empathy in the ED, Linda J. David-Moon, Thomas Jefferson University 113. Do Academic EM Core Faculty Function as Efficiently in the ED as Purely Clinical Attendings? Michael Heller, St. Luke’s Hospital 114. Physician and Nurse Awareness of Health Care Costs in Common ED Patients, Amy A. LePage, Mayo Clinic 115. USMLE Step 1 Scores - What is Needed to Match in EM? Bernard L. Lopez, Jefferson Medical College

MODERATED POSTERS Hypertension

Dynamic Decision Making and Deliberate Practice (11:00 am-12:00 pm) Gloria Kuhn, DO, PhD, Wayne State University Dynamic decision making is multiple, interdependent, real-time decisions occurring in an environment that changes independently, and as a function of a sequence of actions. In the ED, teaching this skill to residents is critical and difficult. Using deliberate practice, a resident can transfer information that has been learned in the classroom to the practical ED setting. With setting focused goals and allowing repetition of the defined task, a faculty member can teach the process of complex decision making to the residents. The success of a resident’s ability to make decisions in a changing environment can be enhanced with providing this structured bedside experience with appropriate feedback.

At the completion of the session, participants will be able to define the term dynamic decision making and describe how deliberate practice can be used to more efficiently teach residents to practice emergency medicine; and make dynamic decisions to solve complex problems.

(4:00-5:00 pm)

State of the Art: Procedural Sedation and Analgesia Research in Emergency Medicine (11:00 am-12:00 pm)

116. Do Patients With Elevated BP in the ED Have Persistently Elevated BP on Home Monitoring? Paula Tanabe, Northwestern University 117. Routine Testing of ED Patients with Asymptomatic, Severely Elevated Blood Pressure David J. Karras, Temple University 118. Quantifying the Problem: Undiagnosed Hypertension in the ED and Failure to Refer for Blood Pressure Recheck, Andrew Nerlinger, Yale University

James R. Miner, MD, Hennepin County Medical Center Baruch Krauss, MD, Boston Children’s Hospital Research in procedural sedation and analgesia (PSA) has largely followed behind clinical practice and has focused on the evaluation of clinical practices common in other specialties but relatively new to applications in Emergency Medicine. This session will focus on current

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Thursday, May 18, 2006 Starting Out in a Medical Assistant or Associate Dean Position (12:15-1:30 pm)

research in procedural sedation and future possibilities for research in Emergency Medicine. The development of scales and objective measurement devices for performing research in patients with a decreased level of consciousness and the development of uniform definitions of safety and adverse events will be explored. At the completion of this session, participants will recognize current limitations and challenges facing research in procedural sedation and analgesia and identify key areas for research inquiry in Emergency Medicine.

Brian J. Zink, MD, University of Michigan Kate Heilpern, MD, Emory University Cherri Hobgood, MD, University of North Carolina This session differs from our previous dean session because we have focused our discussion more towards the assistant or associate dean level, including the nature of the job and how to secure an entry level dean’s office job - at the assistant or associate dean level. This session will show by example and advice how to position yourself to get an assistant or associate deanship, and what the work is like. At the completion of the session, participants will have an improved understanding of how advancement from a faculty position to an assistant or associate dean position in a medical school is possible, and what the work is like for a dean in medical education.

The Robert Wood Johnson Foundation: History, Mission, and Opportunities for Emergency Physicians (12:15-1:30 pm) Steven A. Schroeder, MD, University of California, San Francisco Steven L. Bernstein, MD, Albert Einstein College of Medicine Karin V. Rhodes, MD, MS, University of Chicago Non-profit foundations are an important source of support for medical research. In the United States, the Robert Wood Johnson Foundation is a preeminent source of support and the largest US foundation devoted exclusively to health and health care. In 2004, the Foundation awarded 823 grants and contracts, totaling $249.3 million in support of programs and projects to improve health and health care in the US. Several of the Foundation’s four priority areas are particularly suited for emergency medicine research: assuring access to quality health care at a reasonable cost, improving the quality of care and support for people with chronic health conditions, promoting healthy communities and lifestyles, and reducing the harm caused by substance abuse.

Emergency physicians have secured funding for training and research from several of the Foundation’s components, including Urgent Matters, a national program office devoted to addressing ED crowding. This session will provide an historical overview of the Foundation, review its various national offices and components, and describe the various grants and training fellowships secured by emergency medicine investigators. The session will feature a presentation by the President Emeritus of the Foundation, who is actively engaged with emergency physicians in a project dedicated to reducing the burden of tobacco-related illness in the US. The panel members will discuss their work, funded by the Foundation, in the areas of access to care, substance abuse, and training in the Clinical Scholars Program. Audience members who have been similarly funded will be invited to participate as well. At the completion of the session, participants will be able to understand the history and mission of the Foundation; describe the various components of the Foundation, and which have funded emergency physicians; identify the Foundation’s current funding priorities; and acquire knowledge to assist in preparing future funding applications.

ED Performance Benchmarks...is the Tail Wagging the Dog? (1:30-3:00 pm) Daniel J. DeBehnke MD, Medical College of Wisconsin W. Frank Peacock, IV, MD, The Cleveland Clinic Judd E. Hollander, MD, University of Pennsylvania This session will focus on performance benchmarks and their implications for emergency medical care. During this “on-trial” debate, the speakers will discuss this topic in an adversarial manner similar to a courtroom argument with the opportunity to call witnesses and present opening and closing arguments. They will debate the question of whether performance measures are good for emergency medical care. Specifically, they will address the pros and cons of government (CMS) and community developed quality measures and their impact on patient care and ED operations; the pros and cons of government and health plan “pay for performance” programs and their impact on quality and practice; physician response and strategies for compliance with these quality measures and “pay for performance” programs; consequences of availability of performance measures to the general public and insurance companies. At the completion of the session, participants will be able to understand and discuss the implications of pay for performance benchmarks on Emergency Medicine and the provision of care for our patients

Creating Meaningful Tables and Figures for Analyzing and Presenting Your Research (1:30-3:00 pm) David L Schriger, MD, UCLA Richelle Cooper, MD, UCLA This course will review the principles of graphical excellence. Through copious examples we will help participants learn to critique tables and figures. This exercise will help participants learn to identify problems in graphics of their own making. The speakers will discuss relevant papers on tables and figures and discuss how software can help and hinder the creation of quality graphics. This didactic will include a walk through of a poster session, stopping at posters of interest to critique the quality of the tables and figures. Through a moderated discussion we will consider what works and doesn’t work, in each case sketching out the optimal format for each effort. At the completion of the session, participants should have a working knowledge of how to make high quality tables and figures.

Getting the Most Out of Your IRB: Minimal Risk Studies (12:15-1:30 pm) Jon Mark Hirshon, MD, MPH, University of Maryland David M. Cline, MD, Wake Forest University Amy Ernst, MD, University of New Mexico There is considerable variation in the attention Institutional Review Boards give low or minimal risk research in the emergency department. This session will be an interactive program aimed at assisting EM researchers with a particular interest in low (minimal) risk research get projects done without needlessly engaging in a lengthy IRB process.

Specific attention will be paid to the issue of informed consent. Speakers will have particular expertise in the area, either from serving on an IRB or having particular success in collaborating with their IRB to streamline the informed consent process. Ample time will be available for participants to ask specific questions about informed consent for their projects/ideas. At the completion of the session, participants will be able to understand the issue of informed consent from the IRB point of view and be able to recognize specific ethical concerns around low risk/public health research and informed consent; and identified three novel methods of interacting with their local IRB to obtain approval for low risk research.

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Friday, May 19, 2006 PAPER PRESENTATIONS

143. Gum Elastic Bougie vs Styletted Endotracheal Intubation: Success and Ease of Use among Prehospital Providers in a Difficult Airway Model. David Pettit, University of New Mexico 144. Limitations to High Intensity Work in Encapsulating Personal Protective Equipment (PPE) Joe Suyama, University of Pittsburgh 145. The Effect of Transport Distance on Out of Hospital Intubation and Outcome among Trauma Patients, Michael T. Cudnik, Oregon Health and Science University 146. Differences in EMS Response Time Based Upon Dispatch Procedure, Angus Jameson, Albany Medical College 147. Effectiveness of Dispatch-Assisted CPR Instructions: Successes and Challenges, Christian Vaillancourt, MD, University of Ottawa 148. Use of Continuous Positive Airway Pressure (CPAP) In Rural Emergency Medical Services (EMS) Systems for Acute Pulmonary Edema, John L. Alexander, Maine Medical Center 149. Does the Prehospital Glasgow Coma Scale Score Reliably Reflect Anatomical Brain Injury in Major Trauma Patients? Ian Stiell, MD, University of Ottawa

CPR (8:00-9:45am)

120. Does The Type Of Out-of-Hospital Airway Interfere With Other Cardiopulmonary Resuscitation Tasks? Benjamin N. Abo, University of Pittsburgh 121. Cardiac Arrest Survival Rates Depend on Paramedic Experience Michael R. Sayre, The Ohio State University 122. Rapid Induction of Hypothermia Using Cold Perfluorocarbon Lavage Ventilation Eric W. Dickson, University of Iowa 123. Factors Associated With Survival With Preserved Neurologic Function For Patients With Congestive Heart Failure And In-Hospital Cardiac Arrest, Phillip David Levy, Wayne State University 124. Cerebral Oximetry Predicts Outcomes during Hypothermic Resuscitation, Brian James O’Neil, William Beaumont Hospital 125. Comparison of Circumferential Chest Compression and Standard Cardio-Pulmonary Resuscitation in Out-of-Hospital Cardiac Arrest, Marcus Ong, Virginia Commonwealth University 126. A Pilot study: Hydrocortisone Improves the Return of Spontaneous Circulation Rate in Patients with Out-of-Hospital Cardiac Arrest, Min-Shan Tsai, National Taiwan University Hospital

Elder Care (1:30-3:00 pm)

150. Predictors of Short-term Functional Decline in Older Adults with Blunt Injuries, Scott T. Wilber, Summa Health System / NEOUCOM 151. Independent Predictors of Health Care Use among Older Persons Discharged from the ED after a Fall, Jacques S. Lee, Sunnybrook and Women’s College Health Sciences Centre 152. Emergency Severity Index (v.3) Triage Category is Associated with One Year Survival in Geriatric Emergency Patients, Michael R. Baumann, Maine Medical Center 153. Treatment of Elderly Patients Presenting to the ED with Acute Coronary Syndrome: Do Guideline Based Critical Pathways Improve Outcomes? David Lee Pierce, University at Buffalo 154. Determinants of Decreased Cardiac Catheterization Rates In Elderly Patients With Acute Coronary Syndromes, Jin Ho Han, Vanderbilt University Medical Center 155. Can the San Francisco Syncope Rule be Safely Applied to Patients Age 65 and Older Who Present to the ED with Syncope or Near-Syncope? Regis J. Schladenhaufen, York Hospital

Pneumonia Care (8:00-9:45 am)

127. Prospective Multicenter Study of Relapses Following ED Discharge for Low-Risk Pneumonia. Brian H. Rowe, University of Alberta 128. An Algorithm to Complement Triage Nurse Clinical Judgment of Risk for Community Acquired Pneumonia Improves the Time from ED Arrival to Administration of Antibiotics, Peter B. Richman, Mayo Clinic 129. A Triage Based Protocol for the Rapid Diagnosis and Treatment of Community Acquired Pneumonia, Augusta L. Czysz, University Massachusetts 130. The Effect of Crowding on Quality of Care for Community-Acquired Pneumonia, Michelle Blanda, Summa Health System / NEOUCOM 131. Impact of ED Crowding on Door to Antibiotic Timing in Admitted Patients With Community Acquired Pneumonia. Christopher Fee, University of California, San Francisco 132. ED Crowding is Associated with Poorer Performance for Pneumonia Care But Not for Acute Myocardial Infarction, Jesse M. Pines, University of Pennsylvania 133. Randomized Trial of a Multidimensional Educational Intervention to Improve Antibiotic Use for Adults with Acute Respiratory Infections Managed in the ED, Joshua P. Metlay, VA Medical Center

Overcrowding (1:30-3:00 pm)

156. The Effects of ED Expansion on Ambulance Diversion, Jin H. Han, Vanderbilt University 157. A Rapid Admit Policy (RAP) to Overcome Ambulance Diversion, James Quinn, Stanford University 158. Evaluation of Patients in Delayed EMS Unit Off-Load Status, Joanne Sun, Orlando Regional Medical Center 159. Impact of ED Bed Capacity on Emergency Medical Services Unit Off-Load Time, Salvatore Silvestri, Orlando Regional Medical Center 160. Does Caring for Low-Complexity EDs Patients Delay the Time to First Physician Contact for Sicker Patients? Results from the CROWDED Study, Michael J. Schull, Institute for Clinical Evaluative Sciences 161. An Application of Competing Risks Analysis to ED Length of Stay, Spencer S. Jones, University of Utah

ED Operations and Utilization (10:00-12:00 pm)

134. Multi-Hospital Study of the Impact of Medicaid Cutbacks on ED Use Robert A. Lowe, Oregon Health & Science University 135. EDIS Success: ED Information System Implementation Improves Documentation, Increases Charges and Revenue, Kevin M. Baumlin, Mount Sinai 136. The On-Call Crisis: A Statewide Assessment of the Costs of Providing On-Call Specialist Coverage, Kenneth J. McConnell, Oregon Health & Science University 137. Cost-Effectiveness Analysis of an Integrated Sepsis Protocol, Nathan I. Shapiro, Beth Israel Deaconess Medical Center 138. Profitability o ED vs Non ED Admissions, Philip L. Henneman, Baystate Medical Center 139. Comparison of ED Utilization in Canada and the United States, Guohua Li, Johns Hopkins University 140. Utilization and Attitudes Toward Influenza Immunoprophylaxis Among ED Staff, Ahmed Shaikh, New York Methodist Hospital 141. The Impact of Pneumatic Tube Specimen Transport and Computerized Order Entry on Lab Turnaround, David A. Guss, University of California, San Diego

POSTER SESSION

(3:00-5:00 pm) The Predictive Value of Vital Signs in Trauma

162. Glasgow Outcome Score as a Predictor of the Functional Independence Measure in the OPALS Major Trauma Study, Lisa Nesbitt, University of Ottawa 163. External Validation of the Simplified Motor Score for the Prediction of Outcomes Following Traumatic Brain Injury, Jason S. Haukoos, Denver Health Medical Center 164. The Kampala Trauma Score, an Easy Tool for Measuring Injury Severity in the ED, Aliecia M. Hochhausler, University of Cincinnati 165. Utility of the Shock Index in the Field and on ED Arrival in Predicting Mortality in Traumatically Injured Patients, Chad Michael Cannon, University of Kansas Hospital

EMS (10:00-12:00 pm)

142. Location-Specific Cost Effectiveness of Public Access Defibrillation, Valerie J. De Maio, University of North Carolina at Chapel Hill

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Friday, May 19, 2006 166. Early Identification Of High Risk Injured Patients Presenting To Non-Tertiary Hospital EDs, Craig Newgard, MD, Oregon Health & Science University 167. Dell E. Simmons, University of Texas-Southwestern Medical 168. Prehospital Shock Index as an Outcome Predictor in the ED, John McManus, MD, US Army Institute of Surgical Research

189. The Impact of Helical Computerized Tomography on the Rate of Negative Appendicitis at Surgery, Dominick Munassi, University of California, San Diego 190. Does CT Delay Diagnosis snd Treatment of Acute Appendicitis in Children, Ramon H. Nunez, Lincoln Medical Center 191. Non-contrast CT is equivalent to Contrast CT in the Diagnosis of Acute Appendicitis, James Brown, MD, Wright State University 192. Is Oral Contrast Needed to Reliably Diagnose Acute Appendicitis? Jeremiah Schuur, VA Medical Center

Educating Medical Students

169. Medical Student Emergency Medicine Clerkship Satisfaction Improves with the Addition of a Limited Number of Dedicated Faculty Teaching Shifts, Tara N. Cassidy-Smith, UMDNJ-RWJMS at Camden 170. Emergency Medicine Attending Assessment of Medical Student Performance Does Not Correlate with Medical Student Assessment of Attending Performance, Jeffrey L. Hackman, University of Missouri-Kansas City 171. DVD Instruction is Superior to a Traditional Lecture In Teaching Wound Closure: A Prospective Randomized Clinical Trial, Michelle Lin, San Francisco General Hospital 172. Computer-Based Virtual Lectures Improve Medical Student Knowledge Acquisition As Well As Traditional Live Lectures, Michelle Lin, San Francisco General Hospital 173. Can a PDA-based Tracking System Improve Faculty Compliance with Medical Student Evaluations? David I. Magilner, Wake Forest University 174.

175. Effectiveness of A Medical Student Course On Managing Life Threatening Medical Conditions. Douglas S. Ander, MD, Emory University

EMS

193. Pre-Hospital Morphine by Protocol for Suspected Long Bone Fracture, Danielle Deitrick, St. Luke’s Hospital 194. Ability of Citizens in a Senior Living Community to Perform BLS Skills and Appropriately Utilize AEDs, Bentley J. Bobrow, Mayo Clinic 195. Accuracy of EMS Call Volume Predictions Based on Demand Pattern Analysis, E. Brooke Lerner, Upstate Medical University 196. Epidemiology and Comparison of Pediatric Cardiac and Respiratory Arrest in the Communities of the CanAm Pediatric Study Group, Martin H. Osmond, University of Ottawa 197. The Increase in Out of Hospital Time with Field Intubation Attempt in Trauma Patients, Michael T. Cudnik, Oregon Health and Science University 198. Field Intubation by Pre-hospital Rescuers: the Alabama Experience, Shannon W. Stephens, University of Alabama at Birmingham 199. Comparing Pre-Hospital Clinical Diagnosis of Pediatric Out-OfHospital Cardiac Arrest with Etiology by Coroner’s Diagnosis, Martin EH. Ong,, University of Ottawa 200. EMS for Non-urgent Pediatric Patients: Parents’ Opinions of Alternatives, Colleen O. Davis, University of Rochester 201. Can Emergency Medical Dispatch Safely Conserve EMS Resources In Responses To Medical Facilities? David C. Cone, MD, Yale University 202. Reasons And Predictors For Choosing Ambulance Transportation By Patients With Acute Myocardial Infarction in Australia, Debra C. Kerr, The Joseph Epstein Centre for Emergency Medicine Research

Clinical Decision Rules

176. Risk Tolerance For Exclusion Of Potentially Life-Threatening Diseases In Published Guidelines: Are They Different? Jesse M. Pines, MD, University of Pennsylvania 177. Validation of the “San Francisco Syncope Rule”, Benjamin C. Sun, UCLA 178. Controlled Clinical Trial to Implement the Canadian C-Spine Rule, Ian G. Stiell, MD, University of Ottawa 179. The 3-Minute Walk Test: An Investigation into its Use as a Novel Clinical Decision Tool for Patients with Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, or Stable Chest Pain, Ian G. Stiell, MD, University of Ottawa 180. Perceived Barriers to the Implementation of the Canadian CSpine Rule and the Canadian CT Head Rule, Ian G. Stiell, MD, University of Ottawa 181. A Standardized Conjunctiva Pallor Tool Predicts Anemia: A Multicenter Validation, Nathan I. Shapiro, MD, Beth Israel Deaconess Medical Center 182. Taking the History From a Dizzy Patient: Why “What Do You Mean

By Dizzy?” Should Not Be the First Question You Ask, David E. Newman-Toker, Johns Hopkins University

Pain and Sedation

203. Oral Oxycodone Solution versus Intravenous Morphine Sulphate for the Treatment of Pain from Musckuloskeletal Injuries in the ED, James R. Miner, MD, Hennepin County Medical Center 204. Nebulized Fentanyl Citrate for the Treatment of Pain from Suspected Fractures in Children, James R. Miner, MD, Hennepin County Medical Center 205. Effect of Incarceration on ED Pain Control in Distal Upper Extremity Fractures, Emily S. McNutt, The Ohio State University 206. Pain in the ED: A Multicenter Study, Knox H. Todd, MD, Albert Einstein 207. Increases in ED Patient Pain Assessments Do Not Necessarily Translate into Increased Provision of Analgesia, Brigitte M. Baumann, UMDNJ-RWJMS at Camden 208. To Block or Not: a Retrospective Comparison of Bier Blocks and IV Sedation and Analgesia, John I. Cheng, Emory University 209. Complications of Peripheral IV Placement in ED Patients Discharged To Home, Paul J. Bock, Hennepin County Medical Center 210. Effectiveness of Continuous End-Tidal CO2 as Analgesia/Sedation Assessment Tool Compared with Standard, Audra McCreight, University of Texas Southwestern 211. The Verbal Numeric Pain Scale: Effects of Patient Education on Self Reports of Pain, Catherine A. Marco, MD, St. Vincent Mercy Medical Center 212. Self-Reported Pain Scores in the ED: Lack of Association with Vital Signs, Catherine A. Marco, MD, St. Vincent Mercy Medical Center 213. Pain of Intravenous Peripheral Sensation as An Objective Number And A Predictor Of Pain Relief: POISON, Julie Ann Gorchynski, University of California Irvine

Wounds

183. Exothermic Effects of Cyanoacrylate Tissue Adhesives, James V. Quinn, MD, Stanford University 184. Comparison of Combined Surgical Tapes and Skin Adhesive vs.

Either Method Alone for Laceration Repair in a Porcine Model, Jennifer L. Brown, State University of New York at Buffalo 185. The Role of BNP in Cutaneous Wound Healing: Proof of Principle, Adam J. Singer, MD Stony Brook University 186. Correlation between Clinical And Histological Assessments of Wound Reepithelialization. Adam J. Singer, MD, Stony Brook University 187. A Non-invasive Method to Assess Wound Healing: Optical Coherence Tomography Adam J. Singer, MD, Stony Brook University

Appendicitis

188. Time Costs Associated with the Process of Care for Patients with Suspected Appendicitis Laura Melville, New York Methodist Hospital

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Friday, May 19, 2006 214. Adequate Pain Reduction Threshold and VAS Changes: a Novel Approach Using Logistic Regression Analysis, Mason A. Bragg, Sound Shore Medical Center 215. Digital versus Local Anesthesia for Finger Lacerations: A RCT, Stuart Chale, Stony Brook University 216. A Randomized Controlled Trial of Ondansetron and Promethazine For The Treatment Of Nausea Among ED Patients, Darren A. Braude, MD, University of New Mexico

239. Bystander Perceptions and Opinions after Witnessing an Out of Hospital Cardiac Arrest, Robert A. Swor, MD, William Beaumont Hospital

Social Issues

240. Patient Comprehension Of ED Care And Instructions: Are Patients Aware Of What They Don’t Understand? Kristen G. Engel, MD, Yale University 241. Spanish versus English Speaking Callers to EM Residency Affiliated ED’s. David Rios, MD, St. Luke’s Hospital 242. Interpersonal Violence among Gay, Lesbian, Bisexual, and Transgendered Individuals Ralph J. Riviello, MD, Thomas Jefferson University 243. Health Needs and Concerns in a Rural Haitian Population, Laura J. Eliseo, MD, Boston Medical Center 244. Body Mass Index among Adults Presenting to the ED, Carlos A. Camargo, MD, Massachusetts General Hospital 245. Demographics of adult abuse and neglect during a five-year period, Christopher S. Courtney, Maricopa Medical Center 246. The Prevalence of Intimate-Partner Violence among ED Patients With Minor Injury, Matthew E. Prekker, Hennepin County Medical Center

Administration

217. Emergency Physician Time by Activity and Hospital Type, Jonathan F. Dreyer, MD, The University of Western Ontario 218. National study of death in US EDs, 1993-2003, Olivier Hugli, Massachusetts General Hospital 219. Impact of a Medical Screening Exam Program On An Academic ED, Brian S Zachariah, MD, University of Texas Medical BranchGalveston 220. Linking ED Patients with Primary Care Providers, James Walter, University of Chicago 221. Creation of Health System Surge Capacity by the Immediate Discharge of Inpatients, Chadd K. Kraus, Johns Hopkins University 222. A Decade without Progress: Revisiting the Readability of ED Discharge Instructions, Kendall K. Hall, Northwestern University 223. Indicators of Unmet Need: ED Visits for Psychiatric and Dental Conditions, Robert A. Lowe, MD, Oregon Health & Science University 224. Characteristics of Early Inter-Hospital Transfers after ED Admission, Daniel A. Handel, MD, University of Cincinnati 225. Prescription Drug Affordability and ED Use, Janice C Blanchard, MD, George Washington 226. Identifying Palliative Care Needs in The ED: Better Care, Lower Cost, Brian J. Cassel, Virginia Commonwealth University 227. The Effect of Widespread Restrictions On Hospital Utilization To Control An Infectious Disease Outbreak: Lessons From The Toronto Severe Acute Respiratory Syndrome Outbreak, Michael J. Schull, MD, Institute for Clinical Evaluative Sciences 228. Health-Related Quality Of Life as a Predictor of Future ED Use, Courtney B. McCluskey, Johns Hopkins University 229. ED Communication Patterns, Rollin J. Fairbanks, MD, University of Rochester

MODERATED POSTERS

(4:00-5:00 pm) CT for the Evaluation of Chest Pain

247. Clinical Implementation of CT Coronary Angiography In ED Patients With Low Risk Chest Pain Maureen Chase, University of Pennsylvania 248. MDCT Coronary Angiography vs. Myocardial Perfusion Imaging For Early Triage of Patients with Suspected Acute Coronary Syndromes, Jamaluddin Moloo, Massachusetts General Hospital 249. Multi-detector Computerized Tomography of the Coronary Arteries Improves Path Probabilities in ED Patients Being Admitted with Chest Pain, John T. Nagurney, MD, Massachusetts General Hospital 250. Cost Effectiveness Decision Analysis Model Comparing 64 Slice CT with Other Means of Evaluating Chest Pain, D. Mark Courtney, MD, Northwestern University

Overutiliziers of Emergency Services

251. Heavy ED Users in a State Medicaid Population Have Multiple Chronic Illnesses and Unstable Primary Care, Damon R. Kuehl, Oregon Health & Science University 252. Decrease of Healthcare Service Utilization among Chronic Public Inebriates, Gary M. Vilke, MD, San Diego State University 253. The CREDO Initiative: A Pilot Intervention for Frequent Users of the ED, Stephanie Stokes-Buzzelli, MD, Henry Ford 254. The Effect of Nursing Case Managers on Frequent Users of Emergency Services, Joseph P. Leone, University of Illinois

Hurricanes

230. Hurricane Katrina, One DMAT’s Response, an Evaluation, Marc S. Rosenthal, MD, Wayne State University 231. Rapid Assessment of Access to Care and Supplies in Sheltered Populations during Hurricane Katrina Response, Emilie J. B. Calvello, Brigham and Women’s Hospital 232. The Role of Faith Based Organizations In The Katrina Disaster, Anjali T. Pant, Johns Hopkins

Diagnostic Technology

Didactic Sessions

233. A Case Control Study Comparing the Hemolysis Rates Using Intravenous Catheters And Vacutainer Tubes For Obtaining Blood Samples, Joseph M. Gibson, Lincoln Medical and Mental Health Center 234. Comparison of Temporal Artery and Oral Temperatures in the ED, Denise D. Routhier, University of Pittsburgh 235. Feasibility of Using Infrared Thermography To Diagnose Testicular Torsion: An Experimental Study In Sheep, Geoffrey A. Capraro, Baystate Medical Center

Fairness in the Workplace – A Chairman’s Definition (8:00-9:45 am)

Steven Davidson, MD, MBA, Maimonides Hospital Jerris Hedges, MD, MS, Oregon Health & Science University Theodore Christopher, MD, Thomas Jefferson University Fairness is an ill-defined term. Most faculty have preconceived subjective interpretations of “fairness” in at in the workplace. Many faculty have are not aware of how the chair(s) of their departments define this term and in turn, “divvy up the pie.” While parameters like RVU’s, income streams, and expenses are easily defined and measured, other aspects of academic emergency medicine are not. How do these objective measures compare to directing a medical school elective, coordinating a CQI process, publishing a book chapter, or being awarded the “Teacher of the Year”. Additionally, how required clinical hours and protected academic time are assigned to individual faculty members is not completely understood. A poor comprehension of this process often leads to disgruntlement and diminished job satisfaction. A panel

Ethics

236. Code Status in Debilitated Nursing Home Patients Transferred to the ED, Danielle Blum, St. John Hospital and Medical Center 237. Impairment and Severity: How Emergency Physicians Decide When to Treat Against Will, Elizabeth Withers, University of New Mexico 238. Do Research Participants Trust Clinical Investigators? Findings from the Community VOICES Study, Deborah Ragin, Mount Sinai

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Friday, May 19, 2006 Introduction to Statistics (10:00-11:30 am)

of Emergency Department Chairs from a university-based hospital, an academically affiliated community hospital, and a medical school dean’s office will describe how they deal with these issues of fairness in the academic emergency medicine setting. At the completion of the session, faculty will have a better understanding of how their chairs distribute their department’s resources. Emergency medicine academic leaders (chairmen and division chiefs) will be informed how their peers and colleagues prioritize the contributions of their faculty.

Faculty members will have a better understanding of how to align their goals with those of their departments and institutions. This is essential in faculty career satisfaction and ultimately in the academic growth advancement of both the faculty and the department.

Roger J. Lewis, MD, PhD, Harbor-UCLA This session will cover introductory statistical topics such as data types, common statistical tests and their application, the meaning of p values and confidence intervals, and simple sample size and power calculations. An investigator with a firm understanding of these concepts is better equipped to plan a sound research study, develop testable hypotheses, choose appropriate analytic methods, and determine the feasibility of performing a study in a given population and setting. Issues surrounding multiple testing, subgroup analysis and the intention-to-treat principle will also be discussed. At the completion of the session, participants will have a sufficient understanding of statistical concepts and methods to effectively collaborate with more experienced researchers and biostatisticians on the design and analysis of a clinical research study.

Development, Validation and Implementation of Clinical Decision Rules in Emergency Medicine (8:00-9:45 am)

Ian G. Stiell, MD, MSc, FRCPC, University of Ottawa Jeffrey J. Perry, MD, MSc, CCFP (EM), University of Ottawa George Wells, PhD, University of Ottawa The educational objective of this session is to review in detail the principles of derivation, prospective validation and implementation for clinical decision rules (clinical prediction rules) in emergency medicine. This session is intended for the emergency medicine researcher who plans to conduct a study to derive or validate a clinical decision rule. Using examples from the literature and their research on the Ottawa Ankle and Knee Rules, the speakers will present the following issues: definition of a clinical decision rule; how to determine if there is a need for a clinical decision rule; the principles of deriving a clinical decision rule; the principles of prospective validation; how to conduct an implementation clinical trial; how might a cost-effective analysis be conducted; and how might a clinical decision rule be disseminated to users. The speakers have considerable experience in the development of emergency medicine clinical decision rules in a wide variety of conditions. At the completion of the session, participants will understand the principles involved in the development, testing and implementation of clinical decision rules for emergency medicine. At the completion of the session, participants will understand the principles involved in the development, testing and implementation of clinical decision rules for emergency medicine.

How to Develop a Successful Fellowship (and What to Look for When Applying to a Fellowship) (12:15-1:30 pm)

Thomas Scalea, MD, R Adams Cowley Shock Trauma Michael Blaivas, MD, Medical College of Georgia David C. Lee, MD, North Shore University Hospital With the increasing demand for post-graduate training, many sub-specialty fellowships have been established that are either ABMS approved (e.g. toxicology, hyperbaric medicine, and sports medicine) or nonABMS approved (e.g. ultrasound, international medicine, research, etc.). Often, these fellowships venture into “unexplored territories.” Unfortunately, many of these fellowships have been established without formal guidelines. Because of this variability many, many emergency physicians who are tasked with starting and/or improving their fellowships have limited guidelines to work from. Additionally, those seeking fellowship training may not have an adequate framework from which to discriminate individual fellowships. This session will focus on how to structure a successful fellowship. Specific topics to be discussed will include establishing a mission statement; identifying goals and objectives; interaction and impact on and from affiliated agencies and organizations (partnerships with organizations outside of the ED and promoting/incorporating the fellowships within the hospital/community); establishing funding (for ABMS and non-ABMS approved fellowships); establishing systems for self-assessment (quality management, exit interviews, career placement); and scheduling and recruiting. At the completion of the session, participants will have gained insight into the logistics of a successful fellowship and how to evaluate an established fellowship.

Mentors – More Important Than Ever to Your Academic Career (10:00-11:30 am)

Jeff Kline, MD, Carolinas Medical Center Kate Heilpern, MD, Emory University Judd Hollander, MD, University of Pennsylvania Mentoring is not a simple and straightforward task. It takes time and skill, a deft hand to reach out to those seeking guidance. To some, mentoring is a perilous journey, fraught with potential gaffes and misinformation; to others, it is an ability and skill worth undertaking and perfecting. Most academic steps once taken by senior faculty are repeated by junior faculty. The academic world is a cycle, a wheel in time, and lessons learned are invaluable teaching points for young faculty, who are the future of academic emergency medicine. This session was created to inform these junior academicians about the importance of both selecting and utilizing a mentor. In addition, senior faculty need mentoring too, but not in the traditional sense. They need guidance on why they should become mentors and how to achieve this most noble goal. Through a combination of presentations, questions from the moderator, and audience participation, the panel of academic emergency physician leaders will describe what to look for in the right mentor, outline how to develop into that mentor, and give examples of successful mentoring strategies at their respective institutions. At the completion of the session, junior participants will have an understanding of why mentors are vital and essential to the maturity of the budding academic. They will learn how to go about choosing the right mentor for themselves. Senior participants will gain an understanding of how to develop into a mentor and how to prepare themselves for this key role in academic emergency medicine.

How to Become Involved in the Medical School: A Journey Into Higher Education (12:15-1:30 pm)

Brian Zink, MD, University of Michigan Lynda Daniel-Underwood, MD, Loma Linda University James Adams, MD, Northwestern University This session is aimed at junior level faculty as they attempt to make the transition from resident to teaching academician. The focus of this didactic panel will be on how to enter into the world of medical student education and why it is critical that emergency medicine faculty become integral members of the medical school teaching community.

Making the transition from resident to faculty is not an easy one. A significant part of this evolution entails the incorporation of medical school teaching/involvement into the clinician’s repertoire. Unfortunately there is no set standard on how to integrate oneself into the medical school or why it is of such import to the emergency medicine field in general. The goal of this session is to educate academically minded junior emergency physicians on how to become active participants within the medical school. A panel of three academic emergency physicians with extensive teaching backgrounds will describe how they achieved success within the medical school and in so doing illustrate how to chart a career path in academic education. Each will bring a different perspective to the panel: from the Dean’s office to the Director of an institution’s medical student rotation. Through a series of presentations and questions, each will demonstrate how to achieve success in the medical

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Friday, May 19, 2006 Establishing a Palliative Care Research Agenda for Emergency Medicine (1:30-3:00 pm)

school. In addition, panelists will discuss the significance of continued emergency medicine participation in the medical school and how it is vital to the growth of the profession. At the completion of the session, participants will have gained significant insight into how to become a contributor in the medical school community. Furthermore, they will have learned why such involvement is essential to the academic advancement of both the individual and the specialty.

Knox H. Todd, MD, MPH, Beth Israel Medical Center Steven Z. Pantilat, MD, Moffitt-Long Hospital Tammie Quest, MD, Emory University The number of elderly living with chronic illness and disability is increasing, and this population is contending with both shortened lengths of hospitalizations and diminished homecare services, resulting in more frequent ED visits. Palliative care, defined as interdisciplinary, comprehensive care for patients with progressive, incurable illnesses, focused on alleviating suffering and promoting quality of life, has an enormous potential to improve the quality of care such patients receive. However, the role of emergency medicine in identifying unmet palliative care needs and intervening when appropriate is unclear. In this session, emergency medicine and palliative care researchers will discuss current research initiatives and describe opportunities for collaboration between our disciplines. The speakers are experienced researchers and educators, with demonstrated success in building new interdisciplinary research initiatives and obtaining funding to support such efforts. The speakers will identify important unanswered research questions regarding palliative care in the ED and potential opportunities to promote high quality emergency department-based palliative care services. At the completion of the session, participants will acquire an understanding of the importance of palliative care to emergency medicine; identify a research agenda to advance our knowledge of palliative care needs and interventions appropriate for the emergency department; and identify potential collaborators and funders to support emergency medicine-based palliative care research.

Overcoming Obstacles and Moving Forward with Health Outcomes Research (12:15-1:30 pm)

Larry Melniker MD, MS, New York Methodist Hospital Ronald F. Maio, DO, MS, University of Michigan Robert A. Lowe, MD, MPH, Oregon Health & Science University Jonathan Showstack, PhD, MPH, University of California, San Francisco An expert panel will provide an interactive discussion aimed at refining the audience’s approach to outcomes research. Specifically, the panelists will review database research including; the types of available databases, matching the database to your research question and the role of database research in your career. The panelists will discuss the steps needed to identify appropriate outcome measures and the appropriate methods needed to use those measures. The panelists will demonstrate the importance of defining the episode of care for a medical event, and what unit of service is being evaluated. The panelists will review the general outcome categories that should be considered, and define approaches that the investigator can use to narrow down his or her choice. The panelists will emphasize the importance of considering whether the measures selected are sensitive enough to pick up effects from the unit of service that is being evaluated; and the importance of considering the feasibility of using these measures in the emergency setting. The panelists will discuss the design of evaluation tools, in multivariate statistics, and in data management and analysis. The panelists will share personal research experiences and provide the structure for avoiding the common pitfalls. The panelists will allow time to address questions regarding the content and current topics and controversies in this field. At the completion of the session, participants will be better prepared to participate in outcomes research with detailed instruction in terms of accessing and using large databases, generating hypotheses and methodology and the management of data.

Talking Safety: The Latest in Resident and Medical Student Education in Emergency Medicine Patient Safety (1:30-3:00 pm)

Mary Patterson, MD, Cincinnati Children’s Hospital John Vinen, MD, Royal North Shore Hospital Stephen Schenkel, MD, MPP, University of Maryland The teaching of patient safety has evolved as we have come to a greater understanding of what is needed to prevent medical error. This session furthers SAEM’s mission through bringing the latest in patient safety educational efforts to the national meeting. This panel discussion will bring the latest in patient safety teaching methods to the SAEM Annual Meeting. The panelists start from the perspective that Emergency Medicine requires a distinct approach to patient safety, and therefore that teaching patient safety to emergency medicine residents and students involves a broad but specific skill set. We will assemble to a panel of educators in patient safety and emergency medicine to bring both proven techniques and nascent approaches to the audience. Panel members will speak specifically on the role of simulation in emergency medicine patient safety education, teamwork training in emergency medicine, the teaching of cognitive skills with regards to patient safety, and establishing M & M as a mechanism to enhance patient safety education. Each panel member will speak for 20 minutes after which we will open up the discussion to the audience. At the completion of the session, participants will have at least one new patient safety educational approach to take home; understand the new directions that patient safety education is taking in emergency medicine; and know where other educators have found success in emergency medicine patient safety education.

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Saturday, May 20, 2006 PAPER PRESENTATIONS

Thromboembolic Disease

259. Hemodynamic Effects Of Intralipid In An Animal Model Of Severe VER Toxicity Resuscitated With Calcium And Atropine. Eric Perez, St.Luke’s-Roosevelt 260. Chemical Agent Simulant Release from Clothing Following Vapor Exposure, Robert J. Feldman, Stroger Hospital of Cook County 261. The Hemodynamic Effect of Intralipid on Propranolol Toxicity, Martin Wesolowski, St. Luke’s-Roosevelt 262. Use of a Recombinant Bacterial Hydrolase for Acute Parathion Poisoning, Steven B. Bird, MD, University of Massachusetts

278. Prospective Study of the Diagnostic Accuracy of the Simplify Ddimer Assay for Pulmonary Embolism in ED Patients, Jeffrey A. Kline, MD, Carolinas Medical Center 279. Do Patients Who Have Had Negative Focused ED Lower Extremity Ultrasounds to Rule-Out Deep Venous Thrombosis Receive Their Necessary Repeat Ultrasounds in 5-7 Days? Christopher C. Raio, MD, North Shore University 280. Deep Venous Thromboembolism Prophylaxis Does Not Alter the Frequency Of Development Of In-Hospital Thromboembolic Events In Patients Admitted From The ED, Zachary Fordham, University of Mississippi 281. Performance of Qualitative D-dimer in Diagnosing Pulmonary Embolism Stratified by Pre-test Probability, Kristin Lynch, Yale University 282. Comparison of the SimpliFY D-dimer to a Lab-based Quantitative Assay for the Diagnosis of Pulmonary Embolism. Michael S. Runyon, MD, Carolinas Medical Center 283. Direct Comparison of Non-Invasive Physiological Measurements In A Multicenter Cohort Of ED Patients Evaluated For Suspected Pulmonary Embolism, Michael Steuerwald, University of North Carolina 284. Risk of Contrast Induced Nephropathy Due to Computerized Tomography Angiography of the Chest, Alice M. Mitchell, MD, Carolinas Medical Center 285. Predicting Positive D-dimer Results in ED Patients Evaluated for Possible Pulmonary Embolism, Christopher Kabrhel, Massachusetts General Hospital

POSTER SESSION

Bioterrorism

Congestive Heart Failure (8:00-9:00 am)

255. Need For Mechanical Ventilation is Reduced By the Use of HighDose Nitroglycerin for Patients with Acute Cardiogenic Pulmonary Edema: Results Of An Open-Label Trial, Phillip D. Levy, MD, Wayne State University 256. Ultrasonic Measurements of the Internal Jugular Vein and Internal Carotid Artery to Predict the Presence of Congestive Heart Failure, Fernando A. Lopez, MD, Morristown Memorial Hospital 257. In-hospital Mortality for Patients with Acute Decompensated Heart Failure: Development of a Prediction Model in a Predominantly African-American Population, Phillip D. Levy, MD, Wayne State University 258. The Reliability and Validity of Rapid Hemodynamic Profiling of Heart Failure Patients in the ED, Ahmed Chaudry, Stony Brook University

Toxicology (8:00-9:00 am)

OB/GYN

(9:00-11:00 am)

286. Bioterrorism Preparedness Training in US Emergency Medicine Residency Programs: Has It Changed Since 9/11? Philip K. Moye, MD, University of Alabama at Birmingham 287. Rapid PCR-Based Screening Algorithm for Bacterial Biothreat Agents, Marcos T. Kuroki, Johns Hopkins University

263. Prospective Comparative Trial Of The Sonographic Endovaginal Bimanual Examination Versus Traditional Digital Bimanual In Non-Pregnant Adult Females With Lower Abdominal Pain In The ED with Stratification By And Randomization Within BMI Classification, Christopher Crean, Carolinas Medical Center 264. Progression Of Pregnancy In Symptomatic Women With a Diagnosis of Threatened Abortion: The Predictive Value of Fetal Cardiac Activity, Dana L. Buchanan, UMDNJ-RWJMS at Camden 265. Unique Sexual Assault Examiner Program Utilizing Mid-Level Providers, Elliot C. Pennington, University of Rochester 266. Serum BNP Is Not Associated With Preeclampsia, Carol M. Schneider, Ohio State University 267. Sensitivity of Point of Care Urine Qualitative hCG Testing in the ED, Ryan C. Flach, Washington University in St. Louis 268. What Do Women Want?: Preventive Health Preferences in the ED, Alyson J. McGregor, Brown Medical School 269. Emergency Contraception and the ED Patient: Use, Knowledge, and Opinions, Sean McGlinn, St. Luke’s Hospital 270. Presence Of A Double Decidual Sign Effectively Rules Out The Possibility Of Ectopic Pregnancy. Bon S. Ku, MD, University of Pennsylvania 271. Frequency of CT Scanning and CT Findings in Patients with Proven Ovarian Torsion, Juliana Capotasto, Yale University 272. Advanced Maternal Age and ED Visits for Bleeding During Early Pregnancy: 1993-2003, Kathleen A. Wittels, Harvard University

Congestive Heart Failure

288. Mortality in Patients with Acute Decompensate Heart Failure Presenting to the ED: Risk Stratification Analysis by Gender, Deborah B. Diercks, MD, University of California, Davis 289. Positive vs Negative Chest Radiography in Heart Failure: Association with Clinical Characteristics, Therapy, And Outcome, J. Douglas Kirk, University of California, Davis 290. To Determine The Cut Off Value Of N-Terminal Pro-BNP In Diagnosing Heart Failure In Patients Presenting To ED With Breathlessness In An Asian Population, Swee Han Lim, Singapore General Hospital 291. Mortality Outcomes With and Without Nesiritide in the ED Observation Unit, W. Frank Peacock, MD, The Cleveland Clinic

Diabetes

292. The Yield of Screening for Diabetes in High-Risk ED Patients, Michelle A. Charfen, MD, Harbor-UCLA Medical Center 293. Utility of “Bolus” Insulin in the Management of Diabetic Ketoacidosis, Joseph Miller, Henry Ford Health System

Orthopedics

Computers and the Emergency Department

294. A Randomized Controlled Study: Sling vs a Figure-Of-Eight Brace for the treatment of Fractured Clavicles in Children, Mohamed K. Badawy, University of Rochester 295. Ultrasound Guided Placement of Femoral 3-in-1 Anesthetic Nerve Block for Hip Fractures, Michael S. Antonis, Advocate Christ Hospital

273. Use of a Computerized Forcing Function to Improve Restraints Re-ordering Kathleen A. Wittels, Harvard University 274. The impact of a Pneumatic Tube and Computerized Physician Order Entry on Lab Turnaround for Cardiac Markers, Jim Killeen, University of California, San Diego 275. Evaluation of the Accuracy of Timestamps Created by an ED Operational Tracking System, Bradley D. Gordon, Regions Hospital 276. Effective Administration of Influenza and Pneumococcal Vaccines in the ED Using a Computer Reminder System, Lauren A. Dawson, Indiana University 277. Talking Turkish: Using N-Grams for Syndromic Surveillance in a Turkish ED without the Need for English Translation, Philip Brown, AT&T Labs - Research

Healthcare Disparities

296. The Association of Socioeconomic Status and the Physician’s Perception of Socioeconomic Status and Pain Relief in the ED, Andrea Gaetz, Hennepin County Medical Center 297. Disparities in Analgesic Management for Adult Patients with Abdominal Pain. Ula Hwang, MD, Mount Sinai

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Saturday, May 20, 2006 Ischemia/Reperfusion

298. Patient-Doctor Racial Concordance and Perceptions of Discrimination, Yolanda Haywood, MD, George Washington 299. Race and Ethnicity Do Not Affect Baseline Pain Assessment in Patients with Suspected Long-Bone Fracture, Steven L. Bernstein, MD, Albert Einstein 300. Gender-Based Differences in Emergency Medicine Faculty Compensation and Working Conditions, Steve Kristal, MD, William Beaumont Hospital 301. Association between Patient Race/Ethnicity and Perceived Interpersonal Aspects of Care in the ED, Jin Lee, University of North Carolina

322. FP-15, a Novel Peroxynitrite Decomposition Catalyst, Attenuates Myocardial Reperfusion Injury WayneBond Lau, MD, Thomas Jefferson University 323. In Vitro and In Vivo Evidence That Trx Nitration Results in Its Inactivation, Xiangying Jiao, Thomas Jefferson University 324. Elderly Mice are Refractory to Postconditioning-Induced Cardioprotection, Chad E. Darling, MD, University of Massachusetts 325. Thioredoxin Nitration and Post-Ischemic Myocardial Apoptosis: Role of ASK-1 Signaling Ling Tao, Thomas Jefferson University 326. Effects of Pulmonary-Generated Reactive Oxygen Species on Left Ventricular Dysfunction Associated With Ischemia-Reperfusion in Rats, Mark E. Brauner, Ohio State University 327. Peripheral Blood Leukocyte Gene Expression Profiles in Pulmonary Embolism Nina Sanapareddy, Carolinas Medical Center 328. Role of Protein Nitration in SIN-1 Induced Cardiomyocyte Apoptosis, Hangxiang Zhang, Thomas Jefferson University

Emergency Department Triage

302. ED Triage Nurses Do Not Reliably Predict Which Patients Require Admission, Dickson S. Cheung, Johns Hopkins 303. Reliability Evaluation of the Emergency Severity Index Version 4, Debbie A. Travers, MD, University of North Carolina 304. Triage as a Predictor of Emergency Physician Workload. Jonathan F. Dreyer, MD, The University of Western Ontario 305. The Emergency Severity Index 5-Level Triage Instrument Reliably Predicts Admission in a Community ED, Chad S. Crystal, Darnall Army Community Hospital 306. Validity of Emergency Severity Index: the Mayo Clinic Experience.

Howard M. Yang, Mayo Clinic 307. Predictive Validity of a Computerized Emergency Triage Tool, Sandy L. Dong, MD, University of Alberta

Neurology

329. Gene Delivery to Hippocampal Neurons in the Adult Rat Brain Using Adeno-Associated Viral Vector Serotypes, Matthew B. Bevers, University of Pennsylvania 330. CSF Opening Pressure is Constant and Reproducible between the Sitting and Recumbent Positions, Gerald F. O’Malley, MD, Albert Einstein Medical Center 331. Utility of Plain Radiography in Suspected Ventricular Shunt Malfunction, Susan Schardt, Wake Forest University 332. Rapid Oral Loading of Carbamazepine in the ED, Rick A. McPheeters, MD, Kern Medical Center 333. Dexamethasone for Migraine Headaches an ED Randomized Double Blinded Placebo-Controlled Trial, Frederick W. Fiesseler, MD, Morristown Memorial Hospital 334. Cranial Computed Tomography in Non-Traumatic Isolated Vertigo: A Retrospective Subgroup Analysis of Nexus-2 Trial Data, Gabriel P. Simon, University of Pittsburgh 335. Inter-observer Agreement in the Assessment of Headache Patients with Possible Subarachnoid Hemorrhage, Jeffrey J. Perry, University of Ottawa 336. Arrival in the ED by Ambulance for Headache; A Marker of High Risk for Subarachnoid Hemorrhage, Jeffrey J. Perry, University of Ottawa 337. Yield and Utility of Radiographic Shunt Series in the Evaluation of Ventriculo-Peritoneal Shunt Malfunction, Richard T. Griffey, Brigham and Women’s Hospital 338. Resistance of Astrocytes to the Toxicity of Hemoglobin Requires Heme Oxygenase-1, Jing Chen-Roetling, Thomas Jefferson University 339. Does Traumatic Brain Injury Trigger Delayed Neuronal Death Through Apoptosis? Lawrence M. Lewis, MD, Washington University

Substance Abuse/Dependence

308. The Effect of Eliminating Coverage for Mental Health and Substance Abuse Treatment Services on ED Utilization, Kenneth McConnell, Oregon Health & Science University 309. An Exploratory Study of ED-initiated Tobacco Interventions: Deriving Parameter Estimates to Plan Randomized Trials, Edwin D. Boudreaux, MD, UMDNJ-Robert Wood Johnson Medical School at Camden 310. Substance Users Experience Similar Pain Intensity, But More Mood Distress than Non-Substance Users, Martha L. Neighbor, MD, University of California, San Francisco

Administration

311. The Financial and Operational Impact of an Observation Unit and Holding Area on an ED and Its Inpatient Hospital, Veronica Sikka, Virginia Commonwealth University 312. ED Drug Orders: Does Drug Storage Location Make A Difference?

Gregory P. Conners, MD, University of Rochester 313. Institute For Healthcare Improvement Impact Collaborative: Team Triage And Treatment In The ED, Michael R. Baumann, Maine Medical Center 314. Identifying Drug Interactions in the ED Using Epocrates as a Handheld Drug Information Database, Amanda M. Wood, Washington University 315. Access to Primary Care in the District of Columbia, Kathleen Ogle, MD, George Washington 316. A Retrospective, Convenience Trial Of Two Template-Assisted Patient Encounter Documentation Systems With Respect To Changes In Billing, RVU, And Hospital Cost As Applied In The ED Setting, Ryan P. Frank, MD, St. John Hospital and Medical Center 317. Comparison of Demographic, Clinical, and Attitudinal Factors between Urgent and Non-urgent ED Users, Brian L. Lebo, Washington University 318. Effect of Oral Contrast in Abdominal Computed Tomography on Length of Stay, Jeremiah Schuur, MD, VA Medical Center 319. Unmet Need for On-Call Specialist Coverage and its Relationship to Payer Mix in U.S. EDs Benjamin D. Vanlandingham, St. Joseph Medical Center 320. Unanticipated Death Following Discharge To Home From The ED, David P. Sklar, MD, University of New Mexico 321. The 2004 Influenza Vaccination Shortage Effect On ED Patients Who Met CDC Guidelines for Vaccination. Damon R. Kuehl, MD, Oregon Health and Science University

Diagnostic Imaging and Trauma

340. The Incidence of Contrast Induced Nephropathy in Trauma Patients, Antonia C. Hipp, MD, SUNY Downstate/Kings County Hospital Center 341. Frequency and Subsequent Follow-Up of Incidental Findings on Trauma CT Scans, Marc-David Munk, University of Pittsburgh* 342. The Sensitivity Of Computed Tomography Without Oral Contrast For Blunt Bowel And Mesenteric Injuries Outside Of A Formal Research Protocol, Todd L. Allen, MD, LDS Hospital 343. Combined Head and Abdominal Computed Tomography for Blunt Trauma: Which Patients with Minor Head Trauma Benefit Most? John R. Richards, University of California, Davis 344. How Valid is the Concept of Clinically Unimportant Lesions on Computed Tomography for Minor Head Injury Patients? Catherine M. Clement, University of Ottawa 345. The Accuracy of Trauma Ultrasound in Penetrating Trauma to the Anterior Abdomen, Angel L. Rochester, Carolinas Medical Center 346. Effectiveness of a Training Program in Clinician Performed Ultrasound in the Diagnosis of Pneumothorax in Trauma. Anthony J. Dean, MD, University of Pennsylvania

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Saturday, May 20, 2006 Critical Care (1:30-3:00 pm)

347. Evaluation of the Sensitivity and Specificity of the FAST scan in Pediatric Blunt Abdominal Trauma, Laleh Gharahbaghian, University of California, Irvine

MODERATED POSTERS Soft Tissue Infections

367. Non-Traumatic ED Hypotension Predicts Sudden Unexpected In-Hospital Mortality, Alan E. Jones, MD, Carolinas Medical Center 368. Operationalizing the Use of Serum Lactate Measurement for Identifying High Risk of Death in a Clinical Practice Algorithm for Suspected Severe Sepsis, Stephen Trzeciak, MD, UMDNJ-Robert Wood Johnson Medical School at Camden 369. Association of Coagulation Abnormalities with Mortality in ED Patients with Suspected Infection Christopher M. Fischer, Beth Israel Deaconess Medical Center 370. Heterogeneity of Tissue Perfusion In Septic Shock Is A Function Of Microcirculatory Flow Velocity, Nicole L. Abate, MD, UMDNJRobert Wood Johnson Medical School at Camden 371. Bacterial Multicellular Structures and the Genesis of Septic Emboli. John G. Younger, MD, University of Michigan 372. Point-Of-Care Lactate As A Predictor Of Mortality In A Heterogeneous ED Population. Audwin J. Garcia, Henry Ford Hospital

(9:30-11:00 am)

348. Determining the Validity of Eschar and Surrounding Cellulitis as a Clinical Predictor in the Diagnosis of Commuity Acquired Methicillin Resistant Staph Aureus (CA-MRSA) Skin Abscess. Benjamin A. Busch, Doctors Hospital 349. Factors Predicting Differential Duration of Hospital Stay among Inner Drug Users with Skin/Soft Tissue Infections. Yu-Hsiang Hsieh, Johns Hopkins 350. Low Rate of MRSA Colonization among Emergency Residents, Herbert E. Hern, MD, Kaiser Permanente Medical Group 351. The Risk Of Methicillin Resistant Staphylococcus Aureus (MRSA) Infection Based On Previous MRSA Colonization In ED (ED) Patients. Robert J. Stenstrom, MD, St Paul’s Hospital, Vancouver 352. A Randomized Controlled Double Blind Trial Of Intravenous Cefazolin Versus Oral Moxifloxacin For The Treatment Of Cellulitis In The ED, Robert J. Stenstrom, MD, St Paul’s Hospital, Vancouver

Public Health (1:30-3:00 pm)

373. The Effect of Removing Cost as a Barrier to Treatment Initiation with an Outpatient Tobacco Dependence Clinic among ED Patients, Edwin D. Boudreaux, MD, UMDNJ -- Robert Wood Johnson Medical School at Camden 374. Increased Risk of Injury and Fatality in Rollover Crashes: Danger for the Occupant in the “Outside Arc”, Dietrich V.K. Jehle, MD, State University of New York at Buffalo 375. The Impact of Education, Legislation and Service on Alabama Child Passenger Safety Kathy W. Monroe, University of Alabama 376. Single Question about Drunkenness to Detect College Fraternity/ Sorority Members At-Risk for Injury. Mary Claire O’Brien, Wake Forest University 377. Food Security and Medication Expenditures among ED Patients: A Multicenter Study Ashley F. Sullivan, MD, Massachusetts General Hospital 378. Latino victims of cardiac arrest are less likely to receive bystander CPR than Caucasians in Los Angeles. Peter C. Benson, Los Angeles County-USC Medical Center

Research Methods

353. Effectiveness of A Paramedic Assistant On Enrollment Rates For Prehospital Research Studies Christian Vaillancourt, MD, University of Ottawa 354. Defining the “Community” in Community Consultation for Emergency Research: Findings from the Community VOICES Study, Elaine Lu, Mount Sinai 355. “Chief Complaint Screening” - A New Method for Symptom-Oriented Research in the ED David E. Newman-Toker, MD, Johns Hopkins University 356. Email Messages to Physicians as Negative Reinforcers for Prospective ED Based Research Study Patient Enrollment, Andrew W. Asimos, MD, Carolinas Medical Center 357. Who Is Really Dead: How Accurate Is The Social Security Death Index? Nathan Kramer, University of California, San Francisco 358. Accuracy of the Social Security Death Index and the National Death Index as Sources of Mortality Information For Outcomes Research, Rollin J. Fairbanks, MD, University of Rochester

Didactic Sessions

PAPER PRESENTATIONS

Multicenter Research in Pediatric Emergency Medicine (8:00-9:00 am)

Pediatrics (11:00-12:00 noon)

359. The ED Role of Oral Ondansetron in the Oral Rehydration of Children with Gastroenteritis Related Vomiting, Greg Roslund, MD, Advocate Christ Medical Center 360. Validation of a Clinical Decision Instrument in Identifying Children with Intra-abdominal Injuries, James F. Holmes, University of California, Davis 361. Does The Administration Of An Intravenous H2 Blocker Decrease Time In The ED Or Admission Rates In Pediatric Patients With Acute Vomiting? Melissa M. Fiorini, St. Luke’s Roosevelt Hospital 362. Local Analgesia Within 1 to 3 Minutes for Pediatric Venipuncture and Peripheral Venous Cannulation Procedures Using the Needle-Free System ALGRX 3268, William T. Zempsky, Connecticut Children’s Medical Center

Nathan Kuppermann, MD, MPH, University of California, Davis The Pediatric Emergency Care Applied Research Network (PECARN) is the first federally-funded multi-institutional network for research in pediatric emergency medicine. The goal of this network is to conduct rigorous multi-institutional research into the prevention and management of acute illnesses and injuries in children and youth across the continuum of emergency medicine health care. This network is funded by the Emergency Medical Services for Children (EMSC) Program of HRSA/MCHB, which has awarded four cooperative agreements to academic medical centers through a competitive process entitled the EMSC Network Development Demonstration Program. The PECARN network consists of over 20 Hospital Emergency Department Affiliates that represent academic, community, urban, rural, general, and children’s hospitals. The entire network serves approximately 800,000 acutely ill and injured children every year. Through this unique collaborative infrastructure investigators are encouraged to submit research projects that address areas of interest in pediatric emergency medicine/EMSC. At the completion of the sesssion, participants will be able to describe and define the Pediatric Emergency Care Applied Research Network (PECARN); describe ongoing research studies in PECARN; and describe the challenges, pitfalls and strengths of multicenter research, using the PECARN model.

Medical Errors and Adverse Events (11:00-12:00 noon)

363. Adverse Events More Common among Patients Admitted from High Acuity Areas of the ED Lisa A. Calder, MD, University of Ottawa 364. Medical Error in the ED: Factors Associated with Adverse Events, Jerrald Dankoff, SMBD-Jewish General Hospital 365. The Effect of Clinical Experience on the Error Rate of Emergency Physicians, William A. Berk, Wayne State University 366. EMS System Changes Reduce Pediatric Epinephrine Dosing Errors in the Prehospital Setting Amy H Kaji, MD, Harbor-UCLA Medical Center

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Saturday, May 20, 2006 Challenges to Ultrasound Researchers: Overcoming Barriers (8:00-9:00 am)

Spivey Lecture: Seven Habits of Highly Effective Medical Educators (12:15-1:30 pm)

Lawrence A. Melniker, MD, MS, New York Methodist Hospital Romolo Gaspari, MD, University of Massachusetts The session will begin with an overview of the specifics challenges faced by researchers studying Point-of-care, Limited Ultrasonography (PLUS) performed by emergency physicians. First, the discussion will focus on challenges in methodology. The causes of these challenges will be explored with special attentions to avoidable barriers to conducting the research. Next, the concept of relevance will be discussed.

Many times PLUS research has addressed issues of accuracy and rapidity, but has not been designed to assess patient outcomes. Since the ultimate research goal is to demonstrate clinical effectiveness, a trajectory for such research will be outlined using the Hierarchical Model of Fryback & Pearl. Finally, the session will discuss how current evidence can be employed to develop clinical prediction rules incorporating PLUS into the evaluation of common complaints such as, abdominal pain or shortness of breath. These algorithms incorporate the information from the history, physical, laboratory, and imaging findings into an algorithm in an effort to enhance the predictive value of the clinical investigation of these conditions. Using shortness of breath as an example, the construction of a clinical prediction rule, its current state of validity, and the necessary empiric research needed to complete its validation will be presented. At the completion of the session, participants will understand the strength of the current evidence supporting the use of clinician-performed point-of-care, limited ultrasonography, how the evidence can be used to construct or improve clinical prediction rules, and the empiric research needed to validate such rules.

Robert L. Rogers, MD, University of Maryland This educational session will discuss seven key traits or habits that highly effective teachers in medicine possess and how one can attain these habits in order to become a better teacher. A review of the medical education literature and emergency medicine literature on teaching in the emergency department will be highlighted. This presentation will discuss seven habits of effective medical educators that have been found in the medical education literature. The main focus of the talk is to highlight these habits and traits found among some of the best educators in medicine and to help participants put these habits into practice in order to become a more effective clinical teacher. At the completion of the session, participants will cite habits or traits found among effective medical educators; incorporate effective teaching skills into daily clinical practice; teach more effectively in order to increase job satisfaction and learner motivation.

The Science of Triage in a Mass Casualty Incident: Is There Evidence? (12:15-1:30 pm)

Kristi Koenig, MD, University of California, Irvine David Cone, MD, Yale University John McManus, MD, US Army Institute of Surgical Research Peter DeBlieux, MD, Louisiana State University, New Orleans The principles of mass casualty triage in both the field and the ED differ from those we use to triage patients on a daily basis. The rule of thumb in the multi-casualty setting changes from “do the best for each patient” to “do the best for the greatest number of patients.” As experienced in the recent Hurricanes Katrina and Rita disasters in the Gulf of Mexico, field providers had to make difficult triage decisions under exceedingly stressful conditions. This process may have been facilitated by the use of objective tools that help emergency medical personnel triage with their heads instead of their hearts. ED personnel may also find themselves needing to be able to perform disaster triage at their own facilities or in a field response setting such as a large-scale terrorist incident or natural disaster. This session will review the principles of disaster triage and introduce participants to the tools most commonly used by civilian and military agencies. The speakers will review some state of the art science associated with civilian, military and international triage models and discuss future research endeavors needed to improve triage design and application during a mass casualty incident. At the completion of the session, participants will identify the major constraint that differentiates multi-casualty triage from conventional medical triage; differentiate between traditional versus catastrophic triage conditions; compare and contrast civilian and military and international triage methodologies; and describe the emerging research agenda for mass-casualty triage.

Faculty Development Workshop (11:00 am-1:30 pm)

Robert Hockberger, MD, Harbor-UCLA Glenn C. Hamilton, MD, Wright State University William G. Barson, MD, University of Michigan Gloria Kuhn, DO, PhD, Wayne State University This session is limited to 25 registrants. Every academic emergency physician needs to pay attention to his/her professional development.

In this workshop, participants will first become oriented to the concept of faculty development, including the reasoning for establishing specific goals and objectives for themselves, and then receive a “mini” 20 minute faculty development consultation by an acknowledged EM expert in faculty development. Development of qualified and productive emergency medicine faculty is essential if we are to move forward in the world of academic medicine. Yet many emergency medicine faculty have not been introduced to formal faculty development programs in their institutions. Research, teaching and clinical EM faculty are developed differently via unique pathways depending on the academic institution where faculty are employed. Participants will be given 30minute introductory lectures orienting them to the concept of faculty development, including the importance of identifying yearly goals and objectives, and monitoring at regular intervals the accomplishment of these goals and objectives throughout the course of the academic year.

Participants will then be given the opportunity for an individualized 20 minute ?mini? faculty development consult provided by one of the four speakers. Each of the speakers has been successful in developing accomplished EM faculty within their respective EM departments and academic institutions. In addition, two speakers have successfully provided formal day-long faculty development consultations for a number of academic departments and divisions of emergency medicine throughout the country. At the completion of the session, participants will learn why it is important for them to develop professionally as faculty within their academic milieu where their own professional goals and objectives will be discussed, including a time line and method for implementation.

Transition from Associate to Full Professor (1:30-3:00 pm)

Donald Yealy, MD, University of Pittsburgh Jonathan Olshaker, MD, Boston University Sandra Schneider, MD, University of Rochester Diane Birnbaumer, MD, Harbor-UCLA The time to promotion from associate professor to professor usually takes at least 6 years at most institutions. For those desiring such an academic path, the requirements and credentials needed to advance to professor from the associate level can seem commensurately daunting and mysterious. In addition, the time frame in which to make oneself eligible for this promotional consideration may seem impossible to meet. A panel of emergency physicians who have successfully navigated the selection process by their institutional promotion board to full professor will describe the roles that research, publications, leadership positions held, and clinical and teaching prowess have contributed to their reaching the penultimate academic promotion. The panelists will discuss the workings of their institutional promotion committees, and their time management strategies, as well as the impact that a pursuit such as this may have on their family and social obligations. An audience interactive session will follow. At the completion of the session, participants will have a broader understanding of all facets of the pathway leading to full professor promotion. Participants will have the

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Saturday, May 20, 2006 opportunity to learn from emergency physicians who have been successful in scaling the academic ladder to full professor.

comprehend the significance of the “Slide Master” feature; appreciate how color choices can alter the intent of a presentation; demonstrate how to successfully use Tables on a slide; understand why the Pack-and-Go feature is so important; and show how to work on your speaker’s notes and slides simultaneously.

Missing Data: What are You Missing?

(1:30-3:00 pm)

Roger Lewis, MD, PhD, Harbor-UCLA Jason Haukoos, MD, MS, Denver Health Medical Center Craig Newgard, MD, MPH, Oregon Health & Science University Missing data is encountered in all clinical research. While investigators frequently overlook this problem, inappropriate handling of missing data (e.g., complete case analysis, last observation carry forward, mean substitution, assuming subjects missing outcome information had poor outcomes) can bias study results and reduce study power, sometimes drastically. Appropriate methods for handling missing data have been developed and are becoming increasingly available in standard statistical software. The first part of the session will provide background and importance of the problem of missing data in clinical research. The second part of the session will cover the basic concepts and concerns regarding missing data, including the current options for handling missing data (plus benefits and limitations of each option). The final part of the session will detail the mechanics of using a valid method for imputing missing data: multiple imputation. Regarding multiple imputation, the session will cover the basic theory behind the methodology, required assumptions to use this method, multiple imputation model building and model specification, use of auxiliary variables, tailoring imputation models to specific hypotheses, integration of interaction terms, sample SAS code for using multiple imputation procedures in SAS-based imputation programs, and several examples using real data to demonstrate the effect of using multiple imputation under different research scenarios and assumptions. The final 15 minutes will be used for a question/answer period. At the completion of the session, participants will have an understanding of the importance of missing data and different options for handling missing data; understand both the variety of methods used to handle missing data (both appropriate and inappropriate) and how inappropriate methods of handling missing data may bias study results and reduce study power and understand the background and mechanics of multiple imputation to the point of being able to begin using these methods in their own research.

E.D. S.T.A.T.! Emergency Department Strategies for Teaching Anytime (7:00-9:00 pm)

Jason R. Frank, MD, MA(Ed), FRCPC, University of Ottawa Glen Bandiera, MD, Med, FRCPC, University of Toronto Connie Leblanc MD, MEd CCFP-EM, Dalhousie University Janet Nuth,MD, CCFP-EM, University of Ottawa Danielle Blouin, MD, Queens University This session is designed to enhance the teaching skills of EM teachers via application of evidence, theory, and practical teaching lessons to the ED setting. Better EM teachers should not only enhance EM learner outcomes, but ultimately patient care and the prestige of EM as a specialty. ED teaching is so important, but many find it hard to do well and on the fly. Effective clinical teaching is essential for the development of the next generation of emergency physicians and the growth of our specialty. Clinical teaching is the cornerstone of modern medical education, and the best teachers can have the greatest effect on learner competence. In addition, future EM leaders will emerge from those medical students and residents who are inspired by the outstanding EM role models they have met in the ED. So, what can we do to be better EM teachers? Educational research has identified some core behaviors in outstanding teachers, and these skills can be learned. The ED presents unique challenges to clinical teaching and teaching strategies have been catalogued in recent research. ED STAT! is a faculty development curriculum focused on fostering enhanced clinical teaching skills in emergency medicine teachers. ED STAT is designed with an evidence-based mix of interactive lectures, videos, psychology, laughs, and hands-on teaching practice sessions that makes it unique in EM faculty development. At the completion of this workshop, participants will be able to describe the characteristics of effective and not-so effective clinical teachers; describe the characteristics and challenges of the ED setting for clinical education; use the ED STAT! teaching model in their daily practice; orient a learner in the ED; describe the elements of effective feedback; tailor their teaching to the learner ; adapt their teaching to the demands of the ED environment; describe three new ways of preparing for teaching; describe three techniques to promote active learning on the fly.

Powerpoint as a Teaching Tool (7:00-9:00 pm)

Joseph R. Lex Jr, MD, Temple University This hands-on workshop, limited to the first 24 registrants, will provide dozens of hints to enhance your slides and make your presentations unforgettable. Participants must bring their own laptop with PowerPoint 97 or higher already loaded. The power source, a CD full of useable tools, and a 180-page syllabus full of hundreds of presentation tips will be provided. Dr. Lex will show how to create your own background, import pictures and animations, change the colors of your ClipArt, and edit photos and radiographs without additional expensive software. You will learn how to draw perfect circles, squares, stars, and other shapes, then fill them with your favorite digital photographs. You will discover how to hyperlink from items on your slide to other documents on your hard-drive or, if you have a live Internet connection to a site on the worldwide web. You will see how to animate individual elements in your graphs, and how to revise your graph style by the click of a button. In short, you will gain essential skills needed to turn your slideshows into powerful teaching tools. At the completion of the session, participants will recognize at least ten little-known features of PowerPoint - cropping tool, format painter, WordArt, Slide Layout tool, shadows, perfect square and circles, animation as an education tool (and not just to show off), sticky notes, using a “special picture” as a background, using “watermarks,” converting a slideshow (.pps) into a PowerPoint (.ppt) document, inserting slides from other programs, etc.; demonstrate the ability to load new Clipart, fonts, and other helpful tools onto your hard drive; understand how to hyperlink from icons on a PowerPoint slide to other documents, and how to create a “shortcut” to a specific line in a document; show how to make visual material stand out from the background; create an appropriate background template from scratch;

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Sunday, May 21, 2006 PAPER PRESENTATIONS

398. Efficacy and Safety of RSD1235 in the Treatment of Acute Atrial Fibrillation Ian G. Stiell, MD, University of Ottawa

379. The Association of Patient Reported Pain and the Physician’s Perception of the Quality of the Patient/Physicians Interaction and Pain Treatment in the ED, James R. Miner, MD, Hennepin County Medical Center 380. Effectiveness of Non-Narcotic Protocol for the Treatment of Acute Exacerbations of Chronic Non-Malignant Pain, James E. Svenson, University of Wisconsin 381. Non-contrast CT is equivalent to Contrast CT in the Diagnosis of Acute Appendicitis James Brown, MD, Wright State University 382. Safety and Efficacy of IV Hydromorphone as an Analgesic Alternative to Morphine in Acute Pain: A Randomized Clinical Trial, Andrew K. Chang, Albert Einstein

Education (11:00-12:00 noon)

Pain (9:00-10:00 am)

399. The Effects of Clinical Workload on Bedside Teaching in the ED, Sean P. Kelly, Beth Israel Deaconess Medical Center 400. Combating Grade Inflation in an Emergency Medicine Clerkship with a More Explicit Grading Scale, Aloysius J. Humbert, Indiana University 401. Improving Faculty Performance through Feedback and Incentive, Edward P. Callahan, MD, Medical College of Wisconsin 402. A Randomized-Comparison Trial of Traditional Versus Human Patient Simulation in Medical Student Education, Lawrence R. Schwartz, MD, Wayne State University

POSTER SESSION

Pulmonary Embolism (9:00-11:00 am)

Airway

383.

384. Breath-Based Diagnosis and Exclusion of Pulmonary Embolism at the Bedside for High-Risk Patients with Conditions Known To Elevate the D-Dimer, Jeffrey A. Kline, MD, Carolinas Medical Center 385. Incidence and Significance of Cardiopulmonary Dysfunction 6 Months after Pulmonary Embolism in Previously Healthy Patients, Brad G. Stevinson, Carolinas Medical Center 386. Computerized Tomographic Pulmonary Angiography Compared With Ventilation Perfusion Lung Scanning As Initial Diagnostic Modality For Patients With Suspected Pulmonary Embolism: A Randomized Controlled Trial. Eddy S. Lang, MD, McGill University 387. Prospective Evaluation of the PERC Rule: An 8 Variable Block Rule to Identify Subjects at Very Low Risk of Pulmonary Embolism, D. Mark Courtney, MD, Northwestern University 388. Development and Validation of a Simple Prediction Rule to Exclude Pulmonary Embolism Dimitri Makropoulos, University of Ottawa 389. Neutrophil Blockade Ameliorates Right Ventricular Dysfunction Following Acute Pulmonary Embolism in Rats, Brad G. Stevinson, Carolinas Medical Center 390. Length of Stay Considerations when Selecting an Imaging Strategy for High-Risk Patients with suspected Pulmonary Embolism: An Analysis of the Pulmonary Embolism Diagnostic Study Eddy S. Lang, MD, McGill University

(12:00-2:00 pm)

403. Airway Management in Head Injury - A Report on 1,128 Intubations from the National Emergency Airway Registry III, Sanjay Shewakramani, MD, Brigham and Women’s Hospital 404. Post-Intubation Anxiolysis And Analgesia In The ED: Is It Adequate? Jordan B. Bonomo, University of Cincinnati 405. Cricoid Pressure Impedes First Pass Intubation Success and Contributes To Difficult Laryngoscopy in Emergency Airways, Richard M. Levitan, MD, Albert Einstein Medical Center 406. Feasibility of an Inflatable Ramp for Positioning Obese Patients for Emergency Intubation Richard M. Levitan, MD, Albert Einstein Medical Center 407. Design and Brightness of Curved Laryngoscope Blades in Philadelphia EDs Richard M. Levitan, MD, Albert Einstein Medical Center 408. Hypoxia during ED Intubation: Relationship to Repeat Laryngoscopy and Time to Intubation Richard M. Levitan, MD, Albert Einstein Medical Center 409. Pulse Oxymetry in the ED, Nicolas Simon, Hôpital Poissy St Germain France

Pediatrics

410. A Prospective Evaluation of Pediatric Racial Disparities in the Treatment of Acute Extremity Pain, Julie K. McManemy, Washington University 411. Palatability of Commercial Pediatric Oral Steroid Solutions, Bethany M. Calaway, Medical University of Ohio at Toledo 412. Multi-center Validation and Refinement of a Clinical Decision Rule for Identifying Children with CSF Pleocytosis at Low Risk of Bacterial Meningitis, Lise E. Nigrovic, Children’s Hospital, Boston 413. The Association of Body Mass Index and Ankle Injuries in Children, Mark R. Zonfrillo, Yale-New Haven Children’s Hospital 414. Is the Pelvic Radiographs Required in Children with Major Trauma who are Evaluated with an Abdominopelvic Computed Tomography scan? Antonio E. Muñiz, MD, University of Virginia Health Sciences Center 415. Creation of A Validated Set Of Pediatric Case Scenarios For The ESI Triage System. Jessica Katznelson, University of North Carolina 416. Barriers to Metered-Dose Inhaler/Spacer (MDI+S) Use in Canadian Pediatric EDs (PED) Martin H Osmond, University of Ottawa 417. Prospective Multicenter Study of Bronchiolitis Patients in the ED: Compliance with Palivizumab Recommendations, Uchechi Acholonu, Massachusetts General Hospital 418. Validation of Visual Analog Scale (VAS) Pain Scores in Children Less Than 3 Months of Age: Comparison of VAS vs The Behavioral DAN Pain Scores in the ED, Alexander J. Rogers, University of Michigan 419. An Examination of the Test Characteristics of the Pediatric Urinalysis, Kurt Weber, MD, Orlando Regional Medical Center 420. Case Based Reasoning to Predict Disposition of Infants with Bronchiolitis, Paul Walsh, Kern Medical Center

Cardiovascular (10:00-12:00 noon)

391. Rapid (90 minute) Rule Out Strategy Is Enhanced With Addition Of B-Type Natriuretic Peptide (BNP) To Troponin I (cTnI), CKMB and Myoglobin In ED Patients With Potential Acute Coronary Syndrome, Aaron M. Brown, University of Pennsylvania 392. Optimal Upstream Antithrombotic Therapy In High-Risk Non-StSegment-Elevation Acute Coronary Syndrome Patients: Does It Matter Which Agent Is Started In The Ed? Charles V. Pollack, Jr., MD, Pennsylvania Hospital 393. Impact of a Prior Stress Test on Disposition Decision And 30day Outcome in ED Patients with Potential Acute Coronary Syndromes (ACS), Rebecca Nerenberg, BS, University of Pennsylvania 394. ST Elevation to S-Wave Ratio Best Identifies Anterior MI In The Presence of Left Bundle Branch Block, Stephen W. Smith, Hennepin County Medical Center 395. Relationship between Presence or Absence of Symptoms during a Normal Electrocardiogram and Outcome in ED Patients With Potential Acute Coronary Syndrome (ACS), Judd E. Hollander, MD, University of Pennsylvania 396. The Time-Dependence of Anti-Thrombin Agent Initiation in Patients with Non-ST Segment Elevation Acute Coronary Syndrome: Subgroup Analysis from the ACUITY Trial, Deborah B. Diercks, MD, University of California, Davis* 397. A Model for Troponin I as a Continuous Independent Predictor of In-Hospital Mortality: Derivation and Validation in Two Different Populations, Daniel A. Waxman, MD, Beth Israel Medical Center, New York

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Sunday, May 21, 2006 446. A Prospective Trial of Octreotide vs. Placebo in Recurrent Sulfonylurea - Associated Hypoglycemia, Charles J. Fasano, Albert Einstein Medical Center 447. Eye Irrigation With Lidocaine - Saline Solution is More Comfortable than Normal Saline Alone Gerald F. O’Malley, MD, Albert Einstein Medical Center

421. Effect of Household Cigarette Smoking on the Severity of Bronchiolitis, Paul Walsh, Kern Medical Center 422. Observation Option Trial for Acute Otitis Media in the ED, Thomas F. X. Fischer, Stony Brook University

CPR

423. The Effects of Rescuer Position on the Kinematics of Cardiopulmonary Resuscitation (CPR) and the Force Of Delivered Compressions, Chih-Hsien Chi, National Cheng Kung University, Tainan, Taiwan 424. Length of Pause in Chest Compressions Before Defibrillation Does Not Correlate With Difficulty of Rhythm Identification, Benjamin S. Abella, MD, University of Chicago 425. Deterioration of Clinical Status Resulting in Cardiopulmonary Arrest: The Identification of Patients At-risk Using Bedside Clinical Variables, William Brady, MD, University of Virginia 426. Ventilatory Rates in an Urban EMS System, Colleen J. Buono, MD, University of California, San Diego 427. A Comparison of ED Characteristics of Admitted Patients Requiring Cardiopulmonary Resuscitation in the ICU vs Non-ICU Setting, Nathan J. White, University of Cincinnati 428. Potential Pharmacobiological and Hormonal Effects on Resuscitation, Jane G. Wigginton, MD, University of Texas Southwestern 429. Arterial Base Excess after CPR: The Relationship to CPR Interval and Prediction of Outcome Akira Takasu, National Defense Medical College 430. Epidemiology, Trends, and Outcome of Out-of-Hospital Cardiac Arrest of Non-Cardiac Origin Erik P. Hess, MD, Mayo Clinic 431. Measurement of Serum Lactate During and After Ventricular Fibrillation (VF) In Normothermic and Hypothermic Swine, Brian P. Suffoletto, University of Pittsburgh 432. Association of Delay to First Intervention with ROSC in a Swine Model of Cardiac Arrest Jon C Rittenberger, MD, University of Pittsburgh 433. A New Swine Model of Prolonged Pseudo-Pulseless Electrical Activity Induced by Severe Hypoxia, Todd M. Larabee, University of Colorado 434. Controlled Therapeutic Hypothermia Post-Cardiac Arrest Compared To Standard Intensive Care Unit Therapy, Marcus EH, Ong, MD, Virginia Commonwealth University 435. One-Handed vs Two-Handed Chest Compressions in Pediatric Cardio-Pulmonary Resuscitation. Anne-Maree Kelly, MD, The University of Melbourne

Critical Care

448. First Trial of Early Intensive Glycemic Control in Critically Ill ED Patients, Jason Cohen, MD, University of Massachusetts 449. Multiple Organ Failure in Elderly Medical Patients: A Single-Center Experience Of A Chinese Geriatrics Institute, Haiyun Wu, Chinese PLA General Hospital 450. The Acute Oxidative Stress And High Glucose Level Synergistically Enhance Endothelial Dysfunction In Vitro. Shiro Mishima, Tokyo Medical University 451. Cryptic Shock Is Uncommon In Critically Ill Adult Patients In The ED, Alan E. Jones, Carolinas Medical Center 452. Documentation of Advance Directives in Critically Ill Oncology Patients in The ED Dave W Lu, University of Pennsylvania

Audioelectric Information and Congestive Heart Failure

453. Audioelectric Data Are Associated With Echo/Doppler Evidence of Systolic and Diastolic Dysfunction, Robert A. Warner, Cardiology and Internal Medicine Clinic 454. Audioelectric Data Improve the Diagnostic Evaluation of Patients with Ambiguous Values of BNP, Robert A. Warner, Cardiology and Internal Medicine Clinic 455. Utility of Heart Sound Analysis to Identify Acute Coronary Syndrome in The ED J. Douglas Kirk, University of California, Davis 456. Reduced Ejection Fraction in Patients with Heart Failure or Myocardial Infarction Can Be Accurately Predicted Using the Audicor 12-Lead ECG, Michael C. Kontos, Virginia Commonwealth University

Cardiology

457. ED Use of Intravenous Procainamide for Patients with Paroxysmal Atrial Fibrillation Catherine M. Clement, MD, University of Ottawa 458. Effects of Clinical Presentation and Initial Electrocardiogram on Time-to-Treatment in ED Patients with Hyperkalemia, Kalev Freeman, Boston Medical Center 459. Cardiac Tests and Procedures May Be Influenced by Gender and Race Preferences Kevin M. Takakuwa, Thomas Jefferson University 460. Does Myeloperoxidase Risk-Stratify Troponin-Negative Chest Pain Unit Patients? Alex F. Manini, Harvard University 461. Prognostic Significance of Non-Diagnostic Stress Tests from the Chest Pain Unit Alex F. Manini, Harvard University 462. Comparison Of Test Characteristics Cardiac Troponin-T in Patients with Normal Renal Function and Chronic Renal Failure Evaluated in the ED, Elizabeth Haines, New York Methodist Hospital 463. Paul M.L. Janssen, Ohio State University 464. Electrocardiogram Signals De-noising Using Multiple Auto-filter, Masaru Suzuki, MD, Keio University 465. The TIMI Risk Score Does Not Predict Outcome in Patients with Cocaine Associated Chest Pain Maureen Chase, University of Pennsylvania 466. An 18-Leads Electrocardiogram Recording Is Necessary In Chest Pain Patients In The ED And In Pre-Hospital Mobile Units. Celine Michel, Hospital of Poissy St Germain, France 467. ED vs Clinic Follow Up Blood Pressures, David M. Cline, MD, Wake Forest University 468. Platelet Serotonin Transporter in Acute Hypertension. Fusun Kilic, University of Arkansas 469. Non Cardiac Findings by Multi-Slice CTA Aid Patinet Diagnosis, Amy Romey, William Beaumont Hospital

Toxicology

436. How Safe Is Intravenous N-Acetylcysteine For The Treatment Of Acetaminophen Toxicity? Anne-Maree Kelly, MD, The University of Melbourne 437. Nerve Agent Antidote Kits (NAAK) Enable Nurses to Treat More Mass Casualty Patients than Multidose Vials (MDV), Grant Wei, MD, Drexel University 438. Hemodynamic Effect of Intralipid In Amitriptyline Toxicity. Jason Chu, MD, St. Luke’s-Roosevelt 439. Hyperosmolar Sucrose as a Potential Therapy for Chlorine Induced Pulmonary Edema. Theodore C Bania, MD, St. Luke’sRoosevelt 440. Effect of Intravenous NaHCO3 on Toxicity from Inhaled Cl2 in an Animal Model. Theodore C Bania, MD, St. Luke’s-Roosevelt 441. Safety and Efficacy of Crofab in Pediatric Crotaline Envenomations, Anthony F. Pizon, Banner Good Samaritan Medical Center 442. Non-Invasive Carboxyhemoglobin Monitoring: Screening ED Patients for Carbon Monoxide Exposure, Kerlen, J. Chee, Rhode Island Hospital 443. Respiratory Failure Following Acute Organophosphate Poisoning Is Not Vagally Mediated Romolo J Gaspari, MD, University of Massachusetts 444. Droperidol Alternatives in the ED: What Will Physicians Order?

What Will It Cost? Susan E Farrell, MD, Brigham and Women’s Hospital 445. Failure Of EMS Providers To Administer Activated Charcoal Adds To ED Treatment Delay. Heather M. Justice, Eastern Virginia Medical School

Education

470. Accuracy of Resident-Performed Focused Renal Sonography, Wendy Rueggeri, UCLA-Olive View

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Sunday, May 21, 2006 496. Emergency Physicians Who Use Emergency Ultrasound Demonstrate Higher Patient Charges, Patients Seen And Relative Value Units Per Hour when Compared to Colleagues who are Rare or Non-Users of Emergency Ultrasound, Paul R. Sierzenski, MD, Christiana Care Health System

471. Chest Radiograph Interpretation Skills and Management Decisions of Senior Medical Students David A. Wald, MD, Temple University 472. Are ECG Abnormalities More Difficult to Identify than Define: A Study of Medical Students, Emergency Medicine, and Internal Medicine Residents, David A. Wald, MD, Temple University 473. High Fidelity Simulation: Assessing Resident Competency in Patient Care Jennifer Caris, Advocate Christ Medical Center 474. To Sit Or Not To Sit? Rebecca L. Johnson, Mayo Clinic 475. Assessing Resident Procedural Competence: What Factors Are Associated With Lower Competency Ratings? Jennifer J. Hess, MD, Mayo Clinic 476. Peer Evaluation of Emergency Medicine Chief Complaint Competency, Wayne B Lau, MD, Thomas Jefferson University 477. Discrepancies in Interpretation Of ED Body CT Scans By Radiology Residents Diana Grinberg, Jacobi Medical Center 478. SAEM Tests: A Review of Preliminary Reliability and Validity Data, Emily L. Senecal, MD, Harvard University 479. Interrater Reliability of Data Collected with SimMan during Difficult Airway Simulations Sarah S. Andrus, University of Pittsburgh

497. Emergency Physicians Who use Emergency Ultrasound on a Daily Basis Demonstrate Similar or Higher Performance Parameters When Compared to Colleagues Who Frequently or Occasionally Use Emergency Ultrasound, Rajesh N. Geria, Christiana Care Health System 498. Prospective Evaluation of a Protocol Inclusive Of Ultrasonography for Evaluation of Patients with Dyspnea in the ED, Marina Del Rios, New York Methodist Hospital* 499. Respiratory Variation of IVC Diameter as a Marker of Volume Status in Acute Dyspnea David Blehar, University of Massachusetts 500. Utility of Focused Chest Ultrasound in the Diagnosis of Patients with Unexplained Dyspnea Jeff Chen, Yale University

Stroke

Research Productivity

MODERATED POSTERS (1:00-2:00 pm) Ultrasound and Dyspnea

501. The Effect of a Productivity-Based Compensation System on Emergency Physician Academic Productivity, Michael R. Baumann, MD, Maine Medical Center 502. Authorship, Collaboration, and Predictors of Extramural Funding in the Emergency Medicine Literature, Jaime S. Rosenzweig, New York Methodist Hospital 503. Emergency Medicine Research Programs: Characteristics and Factors Associated with Research Productivity, David J. Karras, MD, Temple University 504. Emergency Medicine Research Directors: SAEM 2005 Survey Results David J. Karras, MD, Temple University

480. Endothelial Microparticles as a Marker of Endothelial Injury in Acute Ischemic Stroke Justin B. Williams, University of Cincinnati 481. Emergency Physicians Accurately Interpret Thrombolysis in Brain Ischemia (TIBI) Graded Transcranial Doppler Waveforms with High Inter-Rater Reliability in Acute Ischemic Stroke Stephen J. Leech, Christiana Care Health System 482. ED presentation characteristics of childhood stroke and stroke mimics Jill M. Baren, MD, Children’s Hospital of Philadelphia 483. Prognostic value of ischemic stroke infarct volume on 90-day survival Reordan Osiris De Jesus, Mayo Clinic 484. Stroke Increases Expression of Matrix Metalloproteinases and p21-Activated Protein Kinase in Neural Progenitor Cells, Daniel C. Morris, MD, Henry Ford Health Systems

Didactic Sessions

Psychiatry

Techniques and Methodology for EMS Research (9:00-10:30 am)

485. Suicide Rates Strongly Correlate with Altitude: A Study of 3,060 US Counties Barry E Brenner, MD, University of Arkansas 486. A Brief Screen for Adolescent Depression in the Pediatric ED Maia S. Rutman, Brown University 487. A Screening Tool to Medically Clear Psychiatric Patients in the ED Sachin J. Shah, MD, Westchester Medical Center 488. Identification of the Prevalence of Depression among Low-Income Patients in a County ED Sarita A. Mohanty, University of Southern California 489. Validation of VMAS: A New Agitation- Sedation Rating Scale, Lydia Baltarowich, MD, Henry Ford Hospital

Henry Wang, MD, MPH, University of Pittsburgh Daniel Davis, MD, University of California, San Diego Ian Stiell, MD, MSC, University of Ottawa This panel will improve patient care by discussing appropriate research techniques and methods for conducting EMS research, thereby improving the quality of EMS research and the clinical significance of its conclusions. Despite decades of experience, EMS remains hampered by a dearth of high-quality research. When faced with a clinical question, many EMS directors and providers are forced to rely on personal experience and suboptimal studies rather than being able to turn to a body of literature that is able to support clinically significant conclusions. Beyond usual concerns of research methodology, EMS is faced with unique conundrums including problems with patient enrollment, outcomes assessment, informed consent, and generalizability. Our panel of EMS experts will give four mini-lectures, followed by time for discussion of particular issues and concerns as brought forward by the panel or the audience, building on and going beyond a didactic session entitled “EMS Research: Challenges and Solutions” presented

by Pirrallo and Cone at the 2003 Annual Meeting.: 1) Study Design: maximizing the ability of a study to answer an important question. This will include discussions of particular research techniques applicable to both EMS and disaster research, as well as methods for augmenting generalizability across EMS systems. 2) EMS Research Challenges: overcoming EMS-specific obstacles to research such as waivers of informed consent, patient enrollment in the field, retrieving data for outcomes assessment across multiple institutions, and obtaining IRB approval at multiple sites. 3) Research Topics: choosing an appropriate topic of study and important, but answerable questions. This topic will include reference to the National Education Project and the EMS Research Agenda. 4) Collaboration: working with other researchers

Ultrasound and Procedures

490. Randomized Controlled Trial of Ultrasound Guided Peripheral Non-Knee Arthrocentesis in the ED, Vivek S. Tayal, MD, Carolinas Medical Center 491. Randomized Controlled Trial of Ultrasound Guided Knee Arthrocentesis in the ED Manoj Pariyadath, Carolinas Medical Center 492. Comparison of Ultrasound Guided and Standard Landmark Techniques for Knee Arthrocentesis Jennifer L. Wiler, MD, Drexel University 493. Ultrasound-Guided Insertion Of A 15cm Catheter Into The Deep Brachial Or Basilic Vein In ED Patients With Difficult Intravenous Access, Christopher N. Mills, MD, Alameda County Medical Center

Ultrasound

494. Validation of Ocular Nerve Sheath Diameter Measurements with Ultrasound Heidi E. Harbison, Massachusetts General Hospital 495. Technical and Interpretive Errors of Bedside Gallbladder Ultrasound Eitan Dickman, University of Massachusetts

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Sunday, May 21, 2006 and agencies to increase study power, feasibility, and impact. At the completion of the session, participants will be able to describe and implement appropriate techniques and methods for conducting highquality EMS research.

own navigation through the maze of patent licensing. At the completion of the session, participants will be able to describe the components and function of a university Office of Technology Transfer. They will be able to define intellectual property, outline the process of securing a patent to protect intellectual property, and understand the roles of inventor, academic department, university, federal government and legal system in this complicated process. They will understand the meaning of license revenue, patent interference, and copyrights and learn how to establish independent companies and businesses within their departments in their universities. They will realize how important a role intellectual property could play, not only in their professional careers, but also their personal lives.

Formative and Summative Evaluation in Emergency Medicine - An Interactive Workshop (9:00-10:30 am)

Louis Binder, MD, MetroHealth Medical Center and Case Western Reserve University Harold Thomas, MD, Oregon Health & Sciences University Evaluation of resident performance is an important skill for faculty to master. At the formative level, it provides neutral and non-judgmental feedback to modify future behavior, and is an excellent tool to facilitate resident behavioral change. At the summative level, constructive written feedback provides a yardstick documenting resident progress, and provides an overall perspective to residents on their strengths, weaknesses, and directions for improvement at a given point in time.

With the introduction of the ACGME general competencies, resident evaluation has taken on new importance in tying the focus of evaluation to specific competencies linked to the capabilities of residency graduates to succeed in independent practice following their training.

The speakers possess an extensive background and successful track record in resident evaluation. This session will overview both the content and differences between formative and summative evaluation, and provide exposure to course participants in applying the principles of high quality formative and summative evaluation in typical educational encounters. The session will utilize a combination of audience questions and input regarding their specific challenges in resident evaluation as the basis for emphasizing basic content, and use of videotaped bedside clinical and teaching encounters as vignettes to demonstrate techniques and to stimulate discussion. Finally, the use of summative evaluation to organize and deliver a program of faculty development in evaluation in the ACGME competencies, upon return to the home institution, will be discussed with course participants. At the completion of the session, participants will be able to explain the differences between formative evaluation and summative evaluation, and the use of each in EM resident education; demonstrate the ability to organize a formative feedback intervention; demonstrate improved ability to record summative (written) evaluation as comments on aspects of resident performance; and outline a plan to train faculty on summative evaluation skills centered on the ACGME general competencies upon return to the home institution.

Geriatric Training for Emergency Medicine Physicians-inTraining: Education Materials and Resources (10:30 am-12:00 pm)

Bruce Naughton, MD, State University of New York at Buffalo Manish Shah, MD, University of Rochester Eve Losman, MD, University of Michigan Realizing the increasing demand that all physicians understand and incorporate into their practice the special medical needs of older adults, the Donald W. Reynolds Foundation granted twenty medical institutions funds to develop innovative geriatric teaching tools to equip practicing physicians and physicians-in-training with the skills and knowledge to address the array of unique needs older adults present to medical professionals. This symposium features a variety of tools to educate medical students, residents and practicing physicians in Emergency Medicine, to equip them with the skills and knowledge they will need to care for the increasing number of older adults in the ED. Older adults are projected to be 20% of the population by the year 2020, and will likely be an even larger percent of patients in the ED. It is crucial that emergency medicine practitioners and physicians-intraining recognize the magnitude of the demand and begin integrating geriatric education into training for all physicians. Realizing the necessity to provide geriatric education materials for all subspecialists in medicine, the Donald W. Reynolds Foundation granted twenty medical institutions funds to develop geriatric teaching tools to equip practicing physicians and physicians-in-training with the skills and knowledge they will need to provide for older patients. The materials developed under these grants use innovative means to address the array of unique needs older adults present to medical professionals.

The purpose of this symposium is to present a sample of the training tools developed for emergency medicine practitioners under Reynolds Foundation grants. Using a variety of methods including large group interactive lectures, small group activities, role-playing and multimedia activities, the session will cover geriatrics module for 4th Year medical students, Implementation of guidelines for use of CT scans with cognitively impaired older adults in the emergency department and associated outcomes, and rapid assessment of older patients in the ED. At the completion of the session, participants will be able to access an array of geriatric education resources, including the products presented in this session and those on the Portal of Geriatric Online Education, integrate available medical education tools into existing curricula to enhance the knowledge, skills and abilities of practicing physicians and physicians-in-training in Family Medicine; and disseminate geriatric education materials that participants have developed by submitting them to online clearinghouses, such as the Portal of Geriatric Online Education (www.POGOe.org).

What You Need to Know about Intellectual Property and Technology Transfer (10:30 am-12:00 pm)

Judith Tintinalli, MD, University of North Carolina at Chapel Hill Raymond Regan, MD, Thomas Jefferson University Joan V. Bruland, JD, The J. David Gladstone Institutes, University of California San Francisco As basic science and clinical research in emergency medicine grows more sophisticated, new technologies and innovations are becoming more attractive to industry, universities, other entities in the private sector and the lay public. Talented clinical faculty are also inventing new diagnostic and therapeutic modalities and devices to make the practice of emergency medicine more effective, safe and efficient. Very few academic departments of emergency medicine are aware of the medical and financial potential of selling and marketing the new inventions discovered by their faculty. This session aims to introduce junior and senior faculty to the university’s Office of Intellectual Property and Technology Transfer, which exists to accommodate the collaborative activities between faculty members, the university and external commercial partners. Panel members will introduce faculty to the concepts of intellectual property and technology transfer, describing the process of securing a patent for new innovations in our specialty. They will review the pros and cons of applying for a patent from different perspectives. These include perspectives of the individual faculty member, the department chair, the university, the federal government and the legal profession. The panel discussion format will leave enough time for ample questions and dialogue with the panelists, who will explain their

29

Registration Form 2006 Annual Meeting San Francisco Marriott Hotel May 18-21, 2006

Online registrants receive an immediate email confirmation.

The Annual Meeting brochure is also on the SAEM website and is updated continuously.

To Contact SAEM: Email: jennifer@saem.org Fax: (517) 485-0801 Phone: (517) 485-5484 Address: 901 N. Washington Ave.

Lansing, MI 48906

Do not use this form if you have registered online. Do not submit duplicate registration forms.

PLEASE PRINT OR TYPE Send this form and appropriate fees to SAEM by fax, email, or mail. No phone registrations. This form may be photocopied.

Name and title for badge: MD, DO, PhD, etc.________________________________________________ Institution______________________________________________________________________________ Address________________________________________________________________________________ ______________________________________________________________________________________ City, State, Zip_ _________________________________________________________________________ Telephone ( ______ )_______________________

Fax ( ______ )_______________________

Email__________________________________________________________________________________ r I am a faculty member of this didactic or lunch session_____________________________________ r I will present abstract(s) #_ ____________________________________________________________ BASIC FEE SCHEDULE Contact SAEM if you are unsure of your membership status. Non-members who wish to join SAEM and receive the discounted member registration rate must submit a completed membership application (including payment of dues) by May 1, 2006.

Early Registration Registration

Received by April 15, 2006

Received after April 15, 2006

SAEM Members Active or Associate r $395 Resident or Fellow r $125 Medical Student r $25 One-Day Registration (Date:______________) r $200

r $455 r $160 r $60 r $235

Non-Members Physician r $775 Resident or Fellow r $225 Nurse, EMT, PA, Other Non-Physician r $225 Medical Student or Undergraduate r $50 One-Day Registration (Date:_______________) r $300

r $835 r $260 r $260 r $85 r $335

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BANQUET TICKETS The Banquet will be held on the evening of May 19, 2006 at 5:00 pm. Tickets must be purchased by May 10, 2006.

Tickets are $85 for adults and $45 for children. ______ x $85 $______

______ x $45 $______ BASEBALL TICKET INFORMATION SAEM has purchased a block of 200 “field level� baseball tickets for the game between the Oakland Athletics and Seattle Mariners on May 17 (the evening before the Annual Meeting). The game begins at 7:05 pm. The cost is $27 per ticket and transportation is NOT provided. Baseball tickets must be purchased by April 28. No refunds.

Number of Baseball Tickets ______ x $27 $______ WORKSHOPS AND SPECIAL SESSIONS Wednesday, May 17, 2006 (day before the Annual Meeting) r Intensive Grants Preparation Workshop (includes continental breakfast & lunch) ______ x $100 $_______

(limited enrollment) r AEM Consensus Conference (includes lunch) ______ x $75 $_______ Thursday, May 18, 2006 r RWJ Foundation: Opportunities for Emergency Physicians (no fee to attend Attendance limited to 100 participants.) ______x $0 $_______ Saturday, May 20, 2006 r Medical Student Symposium (Includes lunch with program directors and

Residency Fair; Medical Students may also attend the Symposium without

also separately Registering for the Annual Meeting) ______x $75 $_______ r Faculty Development Workshop (no fee to attend - attendance limited to 35) ______x $0 $_______ r PowerPoint Evening Session (Attendance limited to 24 participants) ______x $35 $_______ r E.D. S.T.A.T.!: ED Strategies for Teaching Evening Session (no fee to attend Attendance is limited to 50 participants) ______x $0 $_______ Sunday, May 21, 2006 r Chief Resident Forum (includes continental breakfast and lunch.

Attendance limited to 200 participants) ______x $150 $_______

TOTAL FEES DUE Payment can be made by

Basic Fee $_______ check (payable to SAEM in

Banquet Tickets $_______ US Funds)

Lunch Sessions $_______ or by credit card.

Workshops and Special Sessions $_______

Total $_______

CREDIT CARD INFORMATION r MasterCard

r VISA

Amount $__________________ Card Number___________________________________ Exp. Date_ _______________ Name as it appears on card__________________________________ Signature________________________________ Credit Card Billing Zip________________________________________________________________________________ Full refund of fees will be made if cancellation is received by April 20, 2006.

No refunds after May 3, 2006.

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Future SAEM Annual Meetings May 16-19, 2007, Chicago May 29-June 1, 2008, Washington, DC May 14-17, 2009, New Orleans

SAEM Regional Meetings Southeastern Regional Meeting, March 24-25, 2006, Greensboro, North Carolina. Contact David Cline, MD, dcline@wfubmc.edu with questions.

New England Regional Meeting, March 30, 2006, Shrewsbury, Massachusetts.

Contact Linda Degutis, MD, linda.degutis@yale.edu with questions.

New York State Regional Meeting, April 8, 2006, Syracuse, New York.

Contact James Callahan, MD, callahaj@upstate.edu with questions.

Advertising Positions Available at Annual Meeting SAEM is again offering an opportunity to advertise in the on-site program. The Annual Meeting will be held May 18 – May 21 in San Francisco and will attract approximately 1,800 academic emergency physicians.

A limited amount of space is being set aside for the position available section and only academic positions available will be accepted. The deadline for receipt of ads at the SAEM office is April 26, 2006.

The following ad requirements and prices are available for the on-site program: Classified line ads (100 words maximum): $100 (contact SAEM member) or $125 (non-SAEM member) Quarter page ads: 31⁄2" wide x 43⁄4" deep $300 Half page ads: 71⁄2" wide x 43⁄4" deep or 31⁄2" wide x 93⁄4" deep $350 Full page ads: 71⁄2" wide x 93⁄4" deep $450 A typesetting fee ($25-$50) will be charged if the quarter, half, or full page ads are not camera ready.

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Didactic Session Speakers James Adams, MD Northwestern University

Glen Bandiera, MD, Med, FRCPC University of Toronto

Jill Baren, MD University of Pennsylvania William G. Barsan, MD University of Michigan

Brigette Baumann, MD Cooper University Hospital Steven L. Bernstein, MD Albert Einstein College of Medicine Louis Binder, MD Metro Health Medical Center & Case

Western Reserve University Diane Birnbaumer, MD Harbor-UCLA Medical Center

Michael Blaivas, MD Medical College of Georgia

Danielle Blouin, MD Queens University

Joan V. Bruland, JD The J. David Gladstone Institutes Dana Buchanan, DO Cooper Hospital Chris Buresh, MD University of Iowa Theodore Christopher, MD Thomas Jefferson University

David M. Cline, MD Wake Forest University

Jamie Collings, MD Northwestern University David Cone, MD Yale University

Tom Cook, MD Palmetto Health Richland Hospital Richelle Cooper, MD UCLA Francis Counselman, MD Eastern Virginia Medical School Lynda Daniel-Underwood, MD Loma Linda University Betsy Datner, MD University of Pennsylvania

Steven Davidson, MD, MBA Maimonides Hospital

Nathan Kuppermann, MD, MPH University of California

Jeffrey J. Perry, MD, MSc, CCFP (EM) University of Ottawa

Richard Lanoix, MD St. Luke’s Roosevelt

Stephen Playe, MD Baystate Medical Center

Connie Leblanc MD, MEd CCFP-EM Dalhousie University

Susan B. Promes, MD Duke University

David C. Lee, MD North Shore University Hospital

Tammie Quest, MD Emory University

Robert Leschke, MD Mecial College of Wisconsin

Raymond Regan, MD Thomas Jefferson University

Roger J. Lewis, MD, PhD Harbor-UCLA Medical Center

Karin V. Rhodes, MD, MS University of Chicago

Joseph R. Lex Jr, MD Temple University

Eve Losman, MD University of Michigan

Robert A. Lowe, MD, MPH Oregon Health & Science University

Robert L. Rogers, MD University of Maryland

Sandra Schneider, MD University of Rochester

Stephen Hayden, MD UCSD

Ronald F. Maio, DO, MS University of Michigan

Steve McLaughlin, MD University of New Mexico

Jerris Hedges, MD, MS Oregon Health & Science University

John McManus, MD US Army Institute of Surgical Research

Steven A. Schroeder, MD University of California, San Francisco

Kate Heilpern, MD Emory University

Lawrence A. Melniker, MD, MS New York Methodist Hospital

Manish Shah, MD University of Rochester

Herbert Hern, MD Highland Hospital

James R. Miner, MD Hennepin County Medical Center

Jonathan Showstack, PhD, MPH University of California, San Francisco

Sheryl Heron, MD Emory University

Bruce Naughton, MD State University of New York at Buffalo

Ian G. Stiell, MD, MSc, FRCPC University of Ottawa

Lisa Hile, MD Darneil Army Hospital

Craig Newgard, MD, MPH Oregon Health & Science University

Harold Thomas, MD Oregon Health Sciences University

Jon Mark Hirshon, MD, MPH University of Maryland

Janet Nuth MD, CCFP-EM University of Ottawa

Knox H. Todd, MD, MPH Beth Israel Medical Center

Cherri Hobgood, MD University of North Carolina

Michael Odinet, MD LSU-Charity

Judith Tintinalli, MD University of North Carolina

Robert Hockberger, MD Harbor-UCLA Medical Center

Jonathan Olshaker, MD Boston University

John Vinen, MD Royal North Shore Hospital

Judd Hollander, MD University of Pennsylvania

David Overton, MD MSU-Kalamazoo

Mary Jo Wagner, MD Synergy Medical Education Alliance

Jeff Kline, MD Carolinas Medical Center

Edward A. Panacek, MD, MPH University of California, Davis

Henry Wang, MD, MPH University of Pittsburgh

Kristi Koenig, MD University of California, Irvine

Steven Z. Pantilat, MD Moffitt-Long Hospital

George Wells, PhD University of Ottawa

Baruch Krauss, MD Boston Children’s Hospital

Mary Patterson, MD Cincinnati Children’s Hospital

Donald Yealy, MD University of Pittsburgh

Gloria Kuhn, DO, PhD Wayne State University

W. Frank Peacock, IV, MD The Cleveland Clinic

Brian Zink, MD University of Michigan

Daniel Davis, MD University of California, San Diego

Daniel J. DeBehnke MD Medical College of Wisconsin

Peter DeBlieux, MD Louisiana State University, New Orleans

M. Chris Decker, MD Medical College of Wisconsin Amy Ernst, MD University of New Mexico

Jason R. Frank, MD, MA(Ed), FRCPC University of Ottawa

Gus Garmel, MD Stanford University/Kaiser Romolo Gaspari, MD University of Massachusetts

Glenn C. Hamilton, MD Wright State University

Jason Haukoos, MD, MS Denver Health Medical Center

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Thomas Scalea, MD R Adams Cowley Shock Trauma Stephen Schenkel, MD University of Maryland

David L Schriger, MD UCLA

Innovations In Emergency Medicine Education Exhibits May 18-19, 2006

1. An Inexpensive, Reusable, Convenient Ultrasound Model for Teaching Ultrasound Guided Venous Access, Stephen Leech, MD, Christiana Care Health System 2. An Online Emergency Medicine Picture Archiving and Communications System for Medical Education and Research , Joshua Broder, MD, Duke University Medical Center 3. Ultrasound-Guided Procedural Training Using Emerging Technologies, Eric Savitsky, MD, UCLA 4. A Multimedia Learning Tool Designed to Teach the Essentials of the Preadolescent Sexual Assault Examination, Harry Frederick, DO, Synergy Medical Education Alliance, Saginaw Child Abuse and Neglect Council 5. Multi-Format Approach to Teaching Early Goal-Directed Therapy: Combined Simulation, Didactics, and Mock Oral Boards, Amado Baez, MD, MSc, Brigham and Women’s Hospital, Harvard Medical School 6. Central Line Emergency Access Registry (CLEAR): Improving Procedural Competency and Patient Safety, Adam Balls, MD, Maricopa Medical Center 7. The Peer Review Process as an Educational Tool for Emergency Medicine Residents and Faculty, William Berk, MD, Wayne State University 8. Sexual Assault Forensic Examiner (SAFE) Curriculum for Resident Training, Mona Singh, MD, Metropolitan Hospital, New York Medical College 9. Bedside Ultrasound for the Visualization of Anatomic Structures Relevant to Lumbar Puncture: A Teaching Module for Emergency Physicians, Robinson Ferre, MD, Maine Medical Center 10. An Approach to an Academic Teaching Elective, Christopher Weaver, MD, Indiana University School of Medicine 11. Regional Nerve Anesthetic Block Video Tutorial, Douglas Dillon, MD, Maine Medical Center 12. Live Action Simulation for Large Groups: A Novel Format for Residency Conference, Jessie Nelson, MD, Regions Hospital Emergency Medicine Department, HealthPartners Simulation Center for Patient Safety at Metropolitan State University 13. Use of Handheld PDA games to Educate and Challenge Physician Learners, Griffin Davis, MD, Washington Hospital Center

May 20-21, 2006

14. Bedside Handheld Ultrasound Video Education for Emergency Medicine Residents, Michael Stone, MD, Alameda County Medical Center, Highland Campus 15. A Multifaceted Workshop for Improving Productivity and Workflow Efficiency Skills in Emergency Medicine Trainees, Eddy Lang, MD, McGill University 16. Preparing ED Residents to Manage Patient Flow Patterns Using Computer Simulation Models, Rahul Khare, MD, Northwestern University 17. EMPOD: An EM Handheld Digital Collection of Video Procedures, Audio Lectures and Photos, Pooneh Hendi, MD, University of Iowa 18. Patient Safety Video Education Tool, Tracy Sanson, MD, University of South Florida 19. A Fiberoptic Intubation Course for Emergency Airway Management Training, Frederick Korley, MD, Northwestern University 20. Integration of Ultrasound Simulation (U/SS) into Advanced Medical Simulation for Emergency Medicine Resident Training, Arun Nagdev, MD, Brown Medical School 21. WebCTŠ: A Curriculum Management System for Emergency Medicine Training, Deborah Gutman, MD, MPH, Brown University Medical School 22. Curriculum in Simulated Pitfalls of Overdose Toxicology (C-SPOT) for Emergency Medicine Resident Training, Kavita Babu, MD, UMass Memorial Medical Center 23. Perceived Managerial Styles of Senior Emergency Medicine Residents, Nicole Martin Franks, MD 24. High-Fidelity Emergency Simulation Enhances Basic Science Concepts for Large Groups of Preclinical Medical Students, Michael Fitch, MD, PhD Wake Forest University 25. Teaching Emergency Physicians Hospice Referral Criteria to Decrease ED Recidivism in End Stage CHF, Michelle Grant Ervin, MD Washinton Hospital Center 26. The Medical Wilderness Adventure Race (MedWAR): A unique learning opportunity, David James Ledrick, MD, Saint Vincent Mercy Medical Center

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SAEM and AEM Committee & Board Meetings Wednesday, May 17, 2006 1:00-4:00 pm TBA 4:00-6:00 pm

SAEM Board of Directors Board of Directors Orientation with Committee/Task Force Chairs 2006 Program Committee, Debra Houry, MD, dhoury@emory.edu

Thursday, May 18, 2006 7:00-8:00 am 11:00 am - 12:30 pm 12:00-1:00 pm 1:00-3:00 pm 4:00-5:00 pm

2006 Program Committee, Debra Houry, MD, dhoury@emory.edu GME Committee, Doug McGee, DO, mcgeed@einstein.edu AEM Editorial Board Undergraduate Committee, Michelle Lin, MD, mlin@sfghed.ucsf.edu IOM Task Force, Carey Chisholm, MD, cchisholm@clarian.org

Friday, May 19, 2006 7:00-8:30 am 7:30-8:00 am 8:00-9:30 am 9:00-10:00 am 10:00-11:00 am 12:00-1:30 pm 12:30-1:30 pm 1:30-3:30 pm 3:00-4:00 pm

3:00-5:00 pm 3:30-5:00 pm 4:00-5:00 pm

AEM Associate Editors 2006 Program Committee Research Committee, James Olson, MD, james.olson@wright.edu Ethics Committee, Rocky Schears, MD, schears.rocky@mayo.edu Simulation Task Force, James Gordon, MD, jgordon3@partners.org AEM Reviewers Workshop/Lunch (by invitation) 2007 Program Committee Subcommittee Chairs 2007 Program Committee, Debra Houry, MD, dhoury@emory.edu Faculty Development Consult Service, Theodore Christopher, MD, theodore.christopher@jefferson.edu Geriatric Task Force, Lowell Gerson, PhD, lgerson@neoucom.edu Development Committee, Brian Zink, MD, bzink@med.umich.edu Faculty Development Committee, Theodore Christopher, MD, theodore.christopher@jefferson.edu

Saturday, May 20, 2006 7:00-8:00 am 7:30-8:00 am 7:30-8:30 am 12:00-1:30 pm 3:00-4:00 pm

AEM Statistical Reviewers Breakfast 2006 Program Committee, Debra Houry, MD, dhoury@emory.edu Past Presidents’ Breakfast (by invitation) Research Fund Donors Lunch (by invitation) SAEM Annual Business Meeting (All SAEM members urged to attend)

Sunday, May 21, 2006 7:30-8:00 am 8:00-12:00 noon 8:00-10:00 am

2006 Program Committee, Debra Houry, MD, dhoury@emory.edu SAEM Board of Directors Women in Academic EM Task Force, Kathleen Clem, MD, clem0002@mc.duke.edu

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Call for Proposals 2007 AEM Consensus Conference Deadline: May 10, 2006 The editors of Academic Emergency Medicine are accepting proposals for the AEM Consensus Conference to be held on May 15, 2007, the day before the SAEM Annual Meeting in Chicago.

Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda and be spearheaded by thought leaders from within the specialty. Consensus conference goals are: to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress. Previous topics have included errors in emergency medicine, the unraveling safety net, quality/ best practices in emergency care, information technology in emergency medicine, disparities in emergency care, and emergency research without informed consent.

Well-developed proposals will be reviewed on a competitive basis by the AEM Editorial Board. The 2007 AEM Consensus Conference topic will be announced at the SAEM Annual Business Meeting on May 20, 2006. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its Special Topic Issue, in November, 2007. Submitters are strongly advised to review proceedings of previous consensus conferences, which can be found in the November issues of AEM, to guide the development of their proposals.

Proposals must include the following: 1. Introduction of the topic (including brief statement of relevance and justification for this topic choice) 2. Proposed conference chairs and sponsoring groups ( i.e. interest groups, committees) 3. Proposed conference agenda and proposed presenters (including plenary lectures, panels, break-out topics, and questions for discussion) 4. Anticipated audience (stakeholder groups/organizations, Federal regulators, national researchers and educators, others) 5. Anticipated budget 6. Potential funding sources and strategies for securing conference funding Proposals must be submitted electronically to aem@saem.org no later than May 10, 2006. Questions may also be directed to aem@saem.org

Satellite Symposia Satellite Symposia are educational offerings that are not sponsored or endorsed by SAEM. SAEM does not provide meeting space to satellite symposia that conflict with educational sessions of the Annual Meeting, including the Plenary Session or the Annual Business Meeting. Satellite Symposia are usually held in the evening or early morning.

Thursday, May 18 – “FERNE: Lytics in Practice: Clinical Expertise for Emergency Medicine Residents Introductory Forum,” 6:30-8:00 pm. Contact Robin Pearson at rpearson@ascendmedia.com Friday, May 19 – “EMCREG: Cardiovascular and Neurovascular Emergencies: Advances in Treatment and Diagnosis,” 6:00-8:00 am. Contact Todd Roat at ROATTW@UCMAIL.UC.EDU Saturday, May 20 – “Controversies in Cardiology,” 6:30-8:00 am. Contact Laura McCaskill at lmccaskill@tier1group. com Sunday, May 21 – “The Challenge of Optimizing Outcomes, Safety, and Efficiency of ACS Management: Applying Landmark Evidence from Landmark Trials, Clinical Research and National Guidelines to Emergency Medicine Practice,” 7:00-9:00 am. Contact Abby Freeman at abby.freeman@cmeducation.net

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SAEM Interest Group Meetings Wednesday, May 17, 2006 3:00-6:00 pm

Medical Student Educators, David Wald, DO, waldda@tuhs.temple.edu

Thursday, May 18, 2006 12:15-1:30 pm

Trauma, Bonny Baron, MD, bonny.baron@verizon.net

2:00-4:00 pm

Research Directors, Ed Panacek, MD, eapanacek@ucdavis.edu

3:00-4:30 pm

Mentoring Women, Susan Promes, MD, susan.promes@duke.edu

3:00-4:30 pm

Uniformed Services, Robert Gerhardt, MD, robert.gerhardt@us.army.mil

3:00-5:00 pm

Education Research, Chadwick Miller, MD, cmiller@wfubmc.edu

3:00-5:00 pm

International, Kris Arnold, MD, karnold@bu.edu

3:00-5:00 pm

Public Health, Steven Bernstein, MD, sbernste@montefiore.org

3:30-4:30 pm

Patient Safety, Karen Cosby, MD, kcosby@ccbh.org

Friday, May 19, 2006 8:00-10:00 am

Academic Informatics, L. Albert Villarin, MD, villaria@einstein.edu

8:30-10:00 am

Disaster, John McManus, MD, john.mcmanus@amedd.army.mil

12:00-1:15 pm

Geriatric, Manish Shah, MD, manish.shah@rochester.edu

12:00-1:30 am

Simulation, John Vozenilek, MD, simjockey@gmail.com

12:00-1:30 pm

Ethics, Rocky Schears, MD, MPH, schears.rocky@mayo.edu

12:15-1:30 pm

Clinical Directors, David Levine, MD, dlevine@ccbh.org

1:45-2:30 pm

Health Services and Outcomes Research, Shari Schabowski, MD, sschabowski@ccbh.org

2:00-4:00 pm

Ultrasound, Chris Moore, MD, cris.moore@yale.edu

Saturday, May 20, 2006 9:00-10:00 am

Toxicology, Bryan Judge, MD, bryan.judge@spectrum-health.org

5:30-6:30 pm

EMS, Christopher Kahn, MD, ckahn@uci.edu

S A E M

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