SAEM 2013 Annual Meeting On-site Program

SAEM

Society for Academic Emergency Medicine

2013 Annual meeting The Westin Peachtree Plaza May 14-18, 2013

Jointly sponsored by the University of Cincinnati

atlanta

Table of Contents General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 4 Senior Leadership Faculty Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6 AEM Consensus Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Grant Writing Workshop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Residency Program Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Resident Leadership Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Medical Student Symposium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Junior Faculty Development Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 SAEM Annual Business Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Best of CORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Photo Exhibit and Visual Diagnosis Contest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Daily Schedule and Meetings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23-32 Maximize Your Time at the SAEM Annual Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Didactic Presentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34-54 Abstracts for Presentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53-73 Innovations in Emergency Medicine Education (ME) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74-75 European Society of Emergency Medicine (EuSEM) Abstracts . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Gallery of Excellence Nominees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76-78 Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Late Breaker Abstracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79-81 Moderators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Abstract Submission Reviewers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Disclosures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84-87 Exhibitor Announcements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90-91 The Westin Peachtree Plaza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92-95 200 Peachtree Conference Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Visit our Exhibitors in Peachtree Ballrooms (8th Level) • Thursday, May 16, 2013: 7:00 am - 5:00 pm Morning Coffee service at 7:00 am - 8:00 am • Friday, May 17, 2013: 7:00 am - 5:00 pm Morning Coffee service at 7:00 am - 8:00 am Coffee Break at 3:00 pm - 3:30 pm

i

Society for Academic Emergency Medicine

SAEM is not responsible for printing errors or omissions.

SAEM

Society for Academic Emergency Medicine

2013 Annual meeting The Westin Peachtree Plaza May 14-18, 2013

Welcome to the SAEM Annual Meeting!

This program is our best ever and includes the best of the best emergency medicine education and research. Here at the annual meeting, you have the chance to interact with the presenters, authors, and researchers who have produced this work. In this process, you have the opportunity not only to learn and grow, but also to teach. Engage with the presenters, question, debate, and in this method you will make the work better, more thoughtful, and, I believe, make a contribution to the advancement of the science. Most of all, have fun. This meeting is the place we can all come together to share and celebrate our accomplishments and the joy we derive from our professional roles. Enjoy your time in Atlanta. You are the best and brightest emergency medicine has to offer, so contribute and make this the best SAEM Annual Meeting ever!

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

Cherri Hobgood MD, FACEP President SAEM

Welcome to Atlanta for the 2013 SAEM Annual Meeting!

How does one begin to summarize such a spectacular meeting? This year represented the largest submission of didactics, abstracts, and innovations ever for the annual meeting. In order to showcase these spectacular submissions, your Program Committee has scheduled the most didactics, abstracts, and innovations in the history of SAEM. We were able to secure a wonderful keynote speaker, Dr. Thomas Frieden, Director of the CDC, as one of the highlights of the meeting. This keynote address will occur on Thursday, May 16, from 2:00 - 3:00 pm, just prior to the Plenary Session from 3:30 - 5:00 pm. This year we also decided to recognize the best abstract submissions to the meeting by showcasing them in the “Gallery of Excellence.” This extravaganza will run concurrently with the opening reception, also on Thursday, May 16, and our hope is that you will be able to browse through the offerings and enjoy the quality of the abstracts whilst enjoying the company of colleagues and friends. This year’s Consensus Conference, “Global Health and Emergency Care: A Research Agenda,” will focus on emergency medicine on a global scale. Our specialty is expanding worldwide with a phenomenal trajectory, so be sure to register to participate and contribute to the ongoing development of emergency medicine on an international scale. The perennial favorites SIM Wars and SonoGames™ are back, so feel free to come and cheer on the teams as they aim for SAEM glory as victors of the games. Senior and Junior Faculty Development Forums, Resident Leadership Forum, Medical Student Symposium, Residency and Fellowship Fair…the list goes on! Worried about missing important parts of the meeting? Don’t. This year’s digital and social media will keep you up and running. With your own personal planner available on the website, the mobile app, email updates, Twitter feeds, Facebook updates, and message boards, you will be able to keep it all straight and enjoy everything SAEM has to offer.

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

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

It will provide you with opportunities to learn something new, develop new ideas, improve your patient care, network with a colleague, and most importantly, pause to appreciate what we as a specialty have achieved and inspired.

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

Christopher Ross MD Chair of the 2013 Program Committee SAEM

May 14-18, 2013 | Atlanta, Georgia

1

General Information Welcome to the 2013 Society for Academic Emergency Medicine Annual Meeting. As you attend the meeting, hopefully you will notice the many significant innovations we have implemented for 2013.

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

Continuing Medical Education Target Audience: This conference has been created for emergency medicine physicians who want to expand and update their knowledge of quality instruction in emergency medicine training programs and improve the quality of emergency medical care.

Overall Program Objectives: •

Apply research findings to your emergency medicine practice.

•

Apply key statistical indicators in analyzing research results.

•

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

•

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

Joint Accreditation Statement: This activity has been planned and implemented in accordance with the essential areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of Cincinnati and Society for Academic Emergency Medicine.

2

Society for Academic Emergency Medicine

The University of Cincinnati is accredited by the ACCME to provide continuing medical education for physicians. The University of Cincinnati designates this live activity for a maximum of 24 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Faculty Disclosure Declaration: According to the disclosure policy of the University Of Cincinnati College Of Medicine, all faculty, planning committee members, and other individuals who are in a position to control content are required to disclose any relevant relationships with any commercial interest related to this activity. The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation, and any conflict of interest is resolved prior to the activity. All educational materials are reviewed for fair balance, scientific objectivity and levels of evidence. Disclosure will be made at the time of the activity.

Learner Assurance Statement: The University of Cincinnati is committed to resolving all conflicts of interest issues that could arise as a result of prospective faculty members’ significant relationships with drug or device manufacturer(s). The University of Cincinnati is committed to retaining only those speakers with financial interests that can be reconciled with the goals and educational integrity of the CME activity.

Annual Business Meeting The Annual Business Meeting will be held on Friday, May 17, 2013, from 3:30 - 5:00pm, in Plaza Ballroom A-B-C. Keynote speakers, Gordon Wheeler, Atul Grover MD, PhD and Walter J. Koroshetz MD will discuss “The Future of Health Care Reform and Implications for Emergency Medicine. The SAEM Board of Directors elections will be announced, in addition, the Young Investigator Award Recipients; the recipients of the Research Training, Institutional Research Training; and the recipients of the 2012 Annual Meeting Best Presentation Awards will be presented to the membership.

Cherri Hobgood MD, will present her presidential summary address to the membership. Incoming President Alan Jones MD, will then be introduced and address the membership with his preview of the coming year.

Clinical Pathologic Case Presentation The 2013 Semi-Final CPC Competition will be held on Wednesday, May 15, 2013, 8:00 am-5:00 pm in the following rooms: International B/C/D/E/F/F. Annual Meeting attendees are encouraged to attend the competition and support the various residency program participants. There is no registration fee to attend the competition, which showcases EM residency programs. The CPC consists of the presentation and discussion of the best 72 cases submitted. The competition finalists from each of the tracks will be announced during a reception held from 5:30pm-8:00pm on Wednesday in Augusta Room 1-2. The CPC Final Competition, consisting of presentations by the six semi-finalist teams, will be held during the ACEP Scientific Assembly, in Seattle, Washington, in October 2013. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM. Academy Meeting dates and times AAAEM Academy of Administrators in Academic Emergency Medicine • Business Meeting: Wednesday, May 15, 2013 8:00a-12:00p Vinings Room I (6th Level) AEUS Academy of Emergency Ultrasound • Business Meeting: Friday, May 17, 2013 8:00a-12:00p Vinings Room I (6th Level) AGEM Academy of Geriatric Emergency Medicine • Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Vinings II (6th Level) AWAEM Academy for Women in Academic Emergency Medicine • Business Meeting: Friday, May 17, 2013 8:00a-12:00p Vinings II (6th Level) • Luncheon: Friday, May 17, 2013 12:00p-2:00p Conference Room 1-2 (7th Level) CDEM Clerkship Directors in Emergency Medicine • Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Conference Room 5 (7th Level) GEMA Global Emergency Medicine Academy • Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Vinings Room I (6th Level) SIM Simulation Academy • Business Meeting: Thursday, May 16, 2013 8:00a-12:00p Conference Room 4 (7th Level) ADIEM Academy for Diversity & Inclusion in Emergency Medicine • Business Meeting: Wednesday, May 15, 2013 1:00p-5:00p Vinings Room I (6th Level)

May 14-18, 2013 | Atlanta, Georgia

3

Social Events

Opening Reception & Gallery of Excellence Join us on Thursday, May 16, 2013, for the opening reception from 5:30pm7:00pm. This is a great opportunity to socialize and network with other SAEM members. It will be located in the Grand Atrium.

AWAEM Luncheon The 4th Annual AWAEM Luncheon will be held on Friday, May 17, 2013 from 12:00-2:00pm in PT-Conference Room 1-2 (7th Level). This is a great opportunity to network and discuss hot topics within emergency medicine today. Lunch is $75.00 per person and seating is limited.

“Cocktails and Dreams” Foundation Awareness Reception Wednesday, May 15, 2013 from 4:30pm-6:30pm in Carnegie Foyer.

Enjoy FREE wine/beer and hors d’oeuvres while learning how the SAEM Foundation helps young physicians jump start their careers. Also, register to win the latest iPad. Visit us on Facebook & Twitter See what everyone is saying about the Annual Meeting on Twitter and join in on the conversation. Use the hashtag #SAEM13 on Twitter and follow @SAEMOnline.

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

2013 Annual Meeting Program Committe Harrison Alter MD Alameda County Medical Center Highland Hospital Gillian Beauchamp MD University of Cincinnati College of Medicine Steven Bird MD University of Massachusetts Medical Center Andra Blomkalns MD University of Cincinnati-College of Medicine (SAEM BOD Liaison) Jennifer Carey MD Brown University Moira Davenport MD Allegheny General Hospital Kevin Ferguson MD University of Florida Susan Fuchs MD Children’s Memorial Hospital Chris Ghaemmaghami MD University of Virginia Eric Gross MD Hennepin County Medical Center Sanjey Gupta MD New York Hospital Queens Todd Guth MD University of Colorado

Cocktails & Dreams Wednesday, May 15, 2013 4:30 – 6:30 pm In Carnegie Foyer Join us for a free glass of beer or wine and discover how the SAEM Foundation has helped to jump start the careers of many young emergency medicine physicians.

4

Society for Academic Emergency Medicine

Carolyn Holland MD University of Florida Gainesville Jason Hoppe MD University of Colorado Denver Health Science Lauren Hudak MD Emory University School of Medicine Gabe Kelen MD Johns Hopkins University Hollynn Larrabee MD West Virginia University JoAnna Leuck MD Carolinas Medical Center Jason Liebzeit MD Emory University School of Medicine Henderson McGinnis MD Wake Forest Baptist Health Joseph Miller MD Henry Ford Hospital

Henderson McGinnis MD Wake Forest University Angela Mills MD University of Pennsylvania Dave Milzman MD Georgetown University James Olson, PhD Wright State University Charissa Pacella MD University of Pittsburgh Daniel Pallin MD Brigham and Women’s Hospital and Children’s Hospital Boston Peter Pryor MD Denver Health Ali Raja MD Brigham and Women’s Hospital Megan Ranney MD Brown University Rhode Island Hospital Linda Regan MD Johns Hopkins University Kevin Rodgers MD Indiana University Sarah Ronan MD University of Cincinnati College of Medicine Brett Rosen MD York Hospital Christopher Ross MD Cook County Hospital (Program Committee Chair) Todd Seigel MD Brown University Rhode Island Hospital Lorraine Thibodeau MD Albany Medical Center R. Jason Thurman MD Vanderbilt University Medical Center Jody Vogel MD Denver Health Medical Center Joshua Wallenstein MD Emory University Robert Woolard MD Texas Tech El Paso

Senior Leadership Faculty Forum PT - 200 Conference Room 3 Tuesday, May 14, 2013 - Wednesday, May 15, 2013 - 8:00 am - 5:00 pm Tuesday, May 14, 2013

12:00 – 1:00 pm Lunch

8:00 - 8:15 am

1:00 – 1:50 pm Building a Team – T Crocco This presentation will cover the essential elements of team building.

The differences between team work and effective team building will be discussed. Additionally, common mistakes in building a team will be highlighted. At the conclusion of this presentation, participants should have a new perspective on team development.

Objectives: 1. To understand the purpose of a team.

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

3. To discuss the essential elements of team building.

Welcome/Introduction – K Robinson

8:15 – 10:00 am Leadership Lessons – Barsan/Hockberger Participants in this session will be able to answer the following questions: 1. What is the difference between management and leadership?

2. What leadership qualities are most important for success?

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

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

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

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

10:00 – 10:50 am Developing and Sustaining a Vision – B Zink This session will describe how a leader can collaboratively formulate a vision for his/her organization. We will examine the components of a successful vision statement, how to track and measure success of the vision, and how to revise the vision as the organization succeeds and matures.

Objectives: 1. Participants will learn how to create a strong vision statement for their organization.

2. Participants will consider the components of a vision statement and how to measure and track the success of a vision statement.

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

10:50 – 11:10 am

Break

11:10 am – 12:00 pm Facilitating Effective Meetings – R Strauss “Oh no! Not another meeting!” This course will review when to and when NOT to have a meeting, and how to make the meetings you do have more effective and rewarding. Learn how to guide the discussion, create focus and deal with the overbearing, the sarcastic, the bashful, and the detractor. Discover effective methods to open and close discussions. This is one meeting that will help to improve the rest of your meetings. During the presentation, interspersed pre-recorded vignettes will be used to demonstrate points and generate discussion.

Objectives: At the conclusion of this presentation, the participant will be able to: 1. Describe when to and when not to have a meeting.

2. Describe effective meeting planning and preparation and “rules of engagement”.

3. Develop an effective and accomplishable agenda.

4. List problems that occur during a meeting and methods to resolve them.

5. Review common traps that chairs fall into, such as wandering discussion, taking a side, berating members.

6. Describe what to do when the meeting has concluded, accountability and follow-up.

7. Using pre-taped scenarios, discuss methods to bring the meeting back on track.

2:00 – 2:50 pm Conflict Resolution – J Adams Objectives: 1. List the common, predictable causes of conflict in the healthcare environment.

2. Describe how our human nature is designed to create conflict 3. D escribe techniques that will reduce the negative, destructive conflicts.

4. E xplain the techniques of communication that will facilitate conflict resolution and achievement of productive goals.

2:50 – 3:10 pm

Break

3:10 – 4:00 pm Strategic Planning – S Schneider The course will summarize the strategic planning procedures starting with why and when to undertake strategic planning. A general outline of the procedure will be discussed with examples of tools often used in the drafting of a plan such as SWOT analysis. Several templates of strategic plans will be discussed. Finally implementation and evaluation of the plan will be examined.

Objectives: 1. Describe the benefits of strategic planning and optimal times to undertake this endeavor.

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

3. D escribe the creation of a timeline and check points for the implementation of a strategic plan.

4:00 – 5:30 pm

Reception

Wednesday May 15, 2013 7:30 – 8:20 am Human Resources – L Zun Physician managers in emergency medicine frequently deal with human resource issues. Rarely are emergency physicians trained in hiring, firing, compensating and evaluating physicians, midlevel providers and others providers in the emergency department. Many of the human resource challenges will be addressed such as dealing with disruptive physicians, identifying impaired physicians, recruitment challenges and hiring the wrong care provider. Land mines that can

*Additional fee and ticket required

May 14-18, 2013 | Atlanta, Georgia

5

Senior Leadership Faculty Forum PT - 200 Conference Room 3 Tuesday, May 14, 2013 - Wednesday, May 15, 2013 - 8:00 am - 5:00 pm interfere with operations of the emergency department such as wrongful discharge, conflict resolution and remediation will also be discussed. This presentation will provide the basic approach to human resource management for emergency physician managers to address many of the challenges and to avoid many of the landmines through a case based approach. This discussion will not address credentialing or privileging issues.

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

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

3. To avoid the pitfalls in human resource management.

8:30 – 9:20 am ED Operations Overview – K Robinson This presentation provide an overview of ED operations, including recent history, models and evidenced process improvements in ED’s, with a focus on academic ED when possible.

Objectives: 1. Describe the context in which ED operations performance improvement projects are conducted.

2. Describe the most widely accepted model of Input-ThroughputOutput for describing ED operations.

3. Describe evidenced-based process improvements for many steps in the Input-Throughput-Output model.

4. Identify key resources for further understanding of the ED Operations literature.

9:30 – 10:20 am Change Management – T Sanson Leaders are judged in times of adversity and change, not in times of success. Change is very much a part of our everyday lives.

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

This presentation will identify the characteristics of leaders who initiate, guide, and provoke change. We will discuss how to catalyze people around change, how to recognize the personal and emotional difficulties people have with change. We will discuss how to encourage risk during volatile times while maintaining trust and wellness for your organization. We will learn how to effectively lead staff to move through periods of disengagement and crisis.

10:20 – 10:40 am

Break

10:40 – 11:30 am Negotiating for Your Department/Faculty – K Heilpern Objectives: 1. To understand the interests of the university or administration.

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

3. To gain knowledge about how to most effectively negotiate in support of your department or faculty.

11:30 am – 12:30 pm Lunch 12:30 – 1:20 pm Overview of Department Finance – J Bihun This session will focus on describing the various sources of departmental funding. It will help you appreciate what can be done to understand and to influence your department’s financial position.

Objectives: 1. Understand where departmental funds come from.

2. Appreciate how funding amounts are determined.

3. L earn about productivity and process variables that influence the financials.

4. G ain a perspective on the typical expenses in an academic environment.

1:30 – 3:30 pm Communication Skills – B Clyne Part I-Interpersonal Communication What type of first impression do you make? Does your body language convey confidence? Are you readily perceived as trustworthy? This interactive session focuses on the power of personal “presence” and how seemingly minor, yet controllable behaviors affect our ability to engage others and lead effectively. Participants will learn and practice nonverbal communicating skills to increase confidence, decrease stress and increase their leadership potential.

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

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

3. U nderstand how posture and gesture affect confidence and leadership ability.

Part II-Presenting To Change The World Are you an exceptional public speaker? Do you communicate clearly and with credibility? Exceptional presentation skills open doors to leadership opportunities. The first step toward improvement is understanding the components of any presentation. In this interactive session, participants will learn to create presentations with: • A Message that is focused and relevant.

• Visuals that are simply designed and uncluttered.

• A Delivery that is authentic and conversational.

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

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

3. Practice techniques for engaging the audience.

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

*Additional fee and ticket required

6

Society for Academic Emergency Medicine

SAEM’s 14th Annual AEM Consensus Conference GLOBAL HEALTH AND EMERGENCY CARE: A RESEARCH AGENDA Wednesday, May 15, 2013 – Plaza Ballrooms A, B and C (10th level) 7:30 - 8:00 am Registration 8:00 - 8:10 am Welcome, Opening Remarks, Consensus Process Principles 8:10 - 8:35 am Plenary Session 1: Defining Acute and Emergency Care as a Human Right and a Global Research Agenda

Jeffrey P. Koplan MD, MPH, Vice President for Global Health; Director, Emory Global Health Institute Emory University 8:35 - 9:20 am Discussion: Evidenced-Based Summary of the Trajectory of Global Emergency Care Research

Adam C. Levine MD, MPH, Assistant Professor of Emergency Medicine Co-Director, Global Emergency Medicine Fellowship, Brown University Alpert Medical School; Clinical Advisor for Emergency and Trauma Care Partners in Health - Rwanda 9:20 -9:50 am Plenary Session 2: HIV as a Global Emergency: Unique Opportunities in Treatment and Prevention Myron Cohen MD, J. Herbert Bate Distinguished Professor of Medicine, Microbiology and Immunology, and Epidemiology and Associate Vice Chancellor for Global Health, University of North Carolina at Chapel Hill 9:50 - 10:00 am Break 10:00 am - 12:00 pm Concurrent Breakout Session 1: Global Research, Collaboration from Nations to Specialties Breakout Topic

Breakout Session Leader(s)

1: Medical Education (UME, GME, CME)

2: Data Collection, Management & Analysis

3: Ethical Issues in Research:

4: Funding

Generating a research agenda for undergraduate, graduate, and post-graduate medical education in a global health setting, with the goal of better defining learner competencies, learner and program evaluation practices, and outcomes to learners and patients

Analyzing how emergency care data informs systems development and prevention, such as burden of emergency care disease

Discussing key ethical issues, including cultural considerations, consent IRBs, and publications

Surveying global trends in research funding priorities for global acute and emergency care

Ian Martin Janis Tupesis

Hani Mowafi Teri Reynolds Mark Bisanzo Cameron Crandall Phillip Seidenberg Mark Hauswald

Bhakti Hansoti Michelle Biros Jon Mark Hirshon Mark Hauswald Kinjal Sethuraman

Scott Sasser Alex Vu Herbie Duber

12:00 - 12:15 pm Break 12:15 - 1:30 pm Lunchtime Keynote Panel Discussions: Cross-Cutting Issues in Conducting Global Research

Linda C. Degutis DrPH, MSN (Moderator), Director, National Center for Injury Prevention and Control Centers for Disease Control and Prevention Meena Nathan Cherian MD, Emergency & Essential Surgical Care (EESC) Clinical Procedures Unit, Department of Health Systems Policies & Workforce, World Health Organization Lee Wallis, MBChB, MD, FRCS, FCEM, FCEM(SA), FIFEM, Head of Emergency Medicine, Provincial Government Western Cape; Head, Division of Emergency Medicine, University of Cape Town and Stellenbosch University; President, African Federation for Emergency Medicine (AFEM) Margaret M. Murray, PhD, Director, Global Alcohol Research Program, National Institute on Alcohol Abuse and Alcoholism, U.S. National Institutes of Health 1:30 - 1:40 pm 1:40 - 3:40 pm Breakout Topic

Breakout Session Leader(s)

Break Concurrent Breakout Session 2: Practical Issues in Implementing and Sustaining Emergency Care Research in the Global Environment 5: Health Services

6: Clinical/ Translational Research:

7: Health Systems Research: Vertical + Horizontal = Diagonal

8: Basic Sciences Research/ Resuscitation

Examining critical vs. desired services in acute medical care at all levels of the healthcare system (community, primary health clinic, district hospital, referral hospital)

Defining goals, priorities, and metrics when integrating research in a developing emergency care system

Investigating Health Systems Research, one of a few dominant “health system” theories proposing that models can usefully deconstruct complex systems into more basic functions and components

Learning about emerging resuscitation research, with a particular focus on injury and cardiac resuscitation

Rachel T. Moresky Mark Bisanzo Regan Marsh

Michael Runyon Hendry Sawe

Christian Theodosis Emilie Calvello Lee Wallis

Tom Aufderheide Marcus Ong

3:40 - 3:55 pm Break 3:55 - 4:40 pm Discussion: Consensus Building for a Global Research Agenda in Emergency Care 4:40 - 5:00 pm Closing Remarks *Additional fee required

May 14-18, 2013 | Atlanta, Georgia

7

2013 SAEM Grant Writing Workshop

Residency Program Update Session:

Wednesday, May 15, 2013 International H (6th Level) Breakout sessions in Tower Rooms 1405, 1406 & 1407

What you HAVE to know from the RRC, to the NAS to the CCC

7:30 am Continental Breakfast

Be sure to keep up-to-date with all of the latest information to keep your residency running smoothly as we transition into the Next Accreditation System!

7:55 am Introduction (Prasanthi Govindarajan MD, University of California, San Francisco) 8:00 am Developing Your Funded EM Research Program (Lori Post PhD, Yale University) 9:00 am The Anatomy of Science (Mark Angelos MD, The Ohio State University) 9:30 am Writing the Specific Aims Section of the Grant (Jeffrey Kline MD, Indiana University) 10:00 am

Break

10:15 am Developing the Grant Budget: Managing the Project Requirements within the Budget Restrictions (James Holmes MD, MPH, UC Davis) 10:45 am Responding to Reviews and Resubmitting (Alan Jones MD, University of Mississippi) 11:15 am NIH Review Session (Walter Koroshetz MD, NINDS) 12:00 pm Networking Lunch (with course faculty) 1:00 pm

Small Group Session (with course faculty) *

2:30 pm

Break

2:50 pm Career Development Awards (Manish Shah MD, University of Rochester) 3:20 pm Career Development Grant Panel Discussion (Manish Shah MD, University of Rochester, moderator) 3:50 pm Wrap-Up and Transition to Optional Breakout Session (with course faculty) ** 4:00 pm

Optional Breakout Session

5:00 pm Close *Small Group Session: Participants will rotate through four 20-minute skillbuilding stations which will each focus on a specific aspect of successful grant writing. Stations will include: specific aims section, training plan and letter of recommendation from primary mentor, revising and resubmitting grants, and managing your grant budget. **Optional Breakout Session: During this optional session, participants who have submitted grants for feedback will have the opportunity to speak one-onone with reviewers to discuss how they can improve their applications.

Additional fee and ticket required

8

Society for Academic Emergency Medicine

Wednesday, May 15 – 8:30-2:30 PT-200 Conference Room 1, 7th level

Two sessions will focus predominantly on the latest information from the ACGME including the Next Accreditation System (NAS), Milestones and Clinical Competency Committees. Sessions will focus on practical information that you can use when you return home. The remaining two sessions will tackle the tough topics of faculty accountability and resident motivation, especially important as we move forward with more complex educational systems.

8:30 - 9:50 am RRC Update and Q&A Session: Wallace A. Carter MD & Lynne Meyer PhD, MPH

10:00 - 11:00 am Faculty Accountability - From Didactics to the Bedside Sarah Stahmer MD

11:00 am - 12:00 pm Trophies, Blue Ribbons...and the Woodshed - Motivating Residents in the Age of Milestones Damon Kuehl MD

12:00 - 1:00 pm

Break for Lunch

1:00 - 2:30 pm

orkshop on Clinical Competency W Committees (CCC) - Everything You Need to Know to Create a Successful CCC Susan Promes MD & Mary Jo Wagner MD

2013 SAEM Resident Leadership Forum Thursday, May 16, 2013 PT-200 Conference Room 1-2-3 Resident Leadership Track 7:00 - 7:30 am Breakfast/Introductions

2:00 - 3:00 pm SAEM Keynote Address: Dr. Thomas Frieden, CDC Director

7:30 - 8:00 am Hidden Gems: Developing the Leader Within You

(Top 10 Attributes of Successful Leaders)

Robert Hockberger and Bill Barsan

3:00 - 3:30 pm

Break

3:30 - 5:00 pm

SAEM Plenary Session

8:00 - 8:30 am Talk the Talk: Maximizing Your Communication & Negotiation Skills

Jim Adams 8:30 – 9:00 am Have A Vision: Identifying and Developing Your Career Leadership Track

Andra L. Blomkalns 9:00 - 9:30 am Reaching for the Stars: Roadmap to National Leadership

Cherri Hobgood 9:30-10:00 am

Break / Move to Separate Track Rooms

Chief Resident Forum Track 10:00 - 10:30 am Wish I’d Thought of That: Transitioning to the CR Leadership Role

Felix Ankel and Eric Katz

Resident Academic Track 10:00 - 10:30 am Is This For Me? Selecting and Planning an Academic Career (includes Promotion and Tenure discussion)

Carey Chisholm 10:30 - 11:15 am Point-Counterpoint: All Academic Faculty Should Be Fellowship Trained

Don Yealy and Paul Pepe 11:15 am - 12:05 pm Lunch with Academic Leaders 12:05 - 12:15 pm

Break

12:15 - 12:45 pm Fostering Academic Productivity & Research for All Faculty

Alan Jones 12:45 - 1:15 pm In the Spotlight: Teaching Anywhere

Mike Epter

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

The Art of Middle Management (Delegation, Meetings, 360° Management, Managing Up/Managing Down)

Jennifer Walthall MD

1:15 - 1:45 pm

Survival 101: Work-Life Balance/Wellness Jason Liebzeit

1:45 - 2:00 pm

Move to Keynote

11:00 – 11:50 am Don’t Waste Your Energy: RRC Non-Negotiables

(Lunch with the Program Directors) PDs

3:00 - 3:30 pm

Break

3:30 - 5:00 pm

SAEM Plenary Session

2:00 - 3:00 pm SAEM Keynote Address: Dr. Thomas Frieden, CDC Director

11:50 am - 12:00 pm Break 12:00 - 1:15 pm You Can’t Do That: Managing Difficult Resident Problems (Dealing with the “Resident in Crisis”: Depression/Suicide, Drug / Alcohol Abuse, Unprofessional / Disgruntled / Tardy Resident; Sexual Harassment, Resident Health Issues, Confidentiality and Fairness Issues)

Phillip Shayne MD

Mary Jo Wagner MD

Steve Bowman MD 1:15 - 1:45 pm And The Answer Is… Pearls and Pitfalls From Former CRs (SAEM / EMRA / AAEM RSA Chief Resident Panel) EMRA/AAEMRSA 1:45 - 2:00 pm

Move to Keynote

May 14-18, 2013 | Atlanta, Georgia

9

Medical Student Symposium friday, may 17, 2013 – 8:00am - 2:00pm Augusta Room 1-2-3 (Seventh Level) 7:30 – 7:45 am

Objectives

Welcome

Todd Guth MD, University of Colorado

The Medical Student Symposium is primarily tailored to medical students who have identified emergency medicine as their future specialty but is also valuable for students still contemplating specialty choice. The symposium includes presentations from seasoned EM educators, roundtable discussions geared for more individualized guidance, lunch with residency program directors, and a panel discussion with current EM residents. Major themes of the symposium include highlighting career options within EM and navigating the residency application and selection process. The program is followed by a residency fair representing most EM programs from across the county

Herbert Hern MD, Alameda County Medical Center

8:45 - 9:15 am

Q&A with Drs. Liebzeit & Hern

9:15 - 9:30 am

Break

At the completion of the session, participants will be able to:

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

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

Jason Liebzeit MD, Emory University

8:15 - 8:45 am

Oh, the Places You’ll Go: Career Paths in EM

9:30 – 10:00 am How to Shine and Get the Most out of Your EM Clerkship

Gus Garmel MD, Stanford University/Kaiser Permanente

1) A ssess their personal and career goals that make EM a good “fit”,

James Colletti MD, Mayo Clinic, Rochester

10:30-11:00 am

Mistakes EM Students and Applicants Make

2) I dentify the multitude of career paths that exist within EM,

Maria Moreira MD, Denver Health Medical Center - University of Colorado

3) O ptimize their fourth-year schedule,

11:00 – 11:30 am

Q&A with Drs. Garmel, Colletti & Moreira

4) M aximize their performance in the EM clerkship,

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

5) I dentify key factors and variables in selecting potential training programs,

1:00 – 1:30 pm The Written Word: SLORs, MSPE, & the Personal Statement

6) A ssemble a strong and compelling application package, and 7) Perform their best during interviews.

Bernard Lopez MD, Jefferson Medical College

1:30 – 2:00 pm The Interview: Selling Yourself without Shooting Yourself

Michael Gisondi MD, Northwestern University

2:00 – 2:15 pm

Q&A with Drs. Lopez and Gisondi

2:15 – 3:00 pm

Small Group Breakout Sessions

Osteopathic Students Marc Squillante DO, University of Illinois College of Medicine at Peoria Women in EM Tracy Sanson MD, University of South Florida International Medicals Students Christain Jacobus MD, Synergy Medical Education Alliance Strategic Planning for M1&M2 Students Jeffrey Barrett MD, Temple University Optimizing Your Fourth-Year Schedule Jennifer Avegno MD, Louisiana State University

10

3:00 - 3:15 pm

Break

3:15 - 4:30 pm

Resident Panel (EMRA and AAEM-RSA)

4:30 – 6:30 pm

Residency Fair

Society for Academic Emergency Medicine

JUNIOR FACULTY DEVELOPMENT FORUM friday, may 17 – 8:00 am - 2:00 pm PT Conference Room 3 Overall Workshop Objectives: • Provide specific guidance on building a foundation for success in academic EM • Develop and cultivate junior faculty to become the next generation of academic leaders in research, administration and education • Nurture emergency medicine junior faculty collegiality and collaborations across institutions

8:00 – 8:55 am Overview of Academic Medicine: How to Survive & Thrive Speakers: Philip Shayne MD and Terry Kowalenko MD • Summarize the three pillars of academic medicine: clinical care, research and education.

• Understand what makes a career in academic medicine unique.

• Examine the distinctive challenges that face junior faculty.

9:00 – 9:55 am

Developing Skills in EM Administration

Speakers: Leon Haley MD and Eric Gross MD

By the end of this program, participants will

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

1. Understand the structure of a career in academic emergency medicine, including a general overview of the promotion process

• Describe leadership principles and characteristics necessary for ED Administration.

2. Receive an overview of 3 major career pathways in academic EM: Administration, Research and Education 3.

Gain insight into the skills and steps required for success in EM administration

• Highlight the pros and cons of ED Administration roles.

10:00 – 11:25 am

Developing Skills in EM Education

Speakers: Fiona Gallahue MD, David Gordon MD and Brian Stettler MD • Gain a basic understanding of the continuum of medical education and relevant accreditation agencies and requirements.

• Examine educational leadership opportunities in medical education.

4. Review strategies for success in medical education, including mechanisms for more effective teaching and feedback

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

5. Understand fundamental skills of creating a career in EM research, including a review of funding mechanisms

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

6.

Receive specific advice for successful professional development from current leaders in the field

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

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

11:30 am – 12:55 pm Developing Skills in Research Speakers: Jason Haukoos MD, MS, Tamara Espinoza MD and David Cone MD • Provide a general overview of funding structures for academic medicine and EM more specifically.

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

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

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

• Discuss grant opportunities.

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

12:40 - 1:55 pm Senior Faculty Roundtable: “Lessons Learned: If I Knew Then What I Know Now…” • Learn from senior faculty the opportunities, support, resources, and relationships that will foster a successful academic career.

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

Moderator: Andra Blomkalns MD Speaker: Brian Zink MD Roundtable Discussants: B rian Clyne MD, Deborah Diercks MD, Kate Heilpern MD, Cherri Hobgood MD, Alan Jones MD

May 14-18, 2013 | Atlanta, Georgia

11

SAEM ANNual business meeting Friday, May 17, 2013, 3:30 – 5:00 pm The Westin Peachtree Plaza, Atlanta, GA – Room: Plaza Ballroom A-B-C All SAEM members are urged to attend

Keynote Speakers: The Future of Health Care Reform and Implications for Emergency Medicine a. Gordon Wheeler, Associate Executive Director of the Public Affairs Division/Washington Office, ACEP b. A tul Grover MD, PhD, Chief Public Policy Officer, AAMC c. Walter J. Koroshetz MD, Deputy Director, National Institute of Neurological Disorders and Stroke (NINDS), Acting Director, NIH Office of Emergency Care Research

SAEM Awards – Cherri D. Hobgood MD and Alan E. Jones MD

a. Hal Jayne Excellence in Education Award - Michael S. Beeson MD, FACEP b. Excellence in Research Award – Gail D’Onofrio MS, MD c. John Marx Leadership Award – Vincent P. Verdile MD, FACEP d. Young Investigator Awards – Nathan J. White MD, MS; Daniel K. Nishijima MD, MAS; Comilla Sasson MD, MS e. Advancement of Women in Academic Emergency Medicine Award - Kathleen J. Clem BSN, MD, FACEP f. Master Clinician Bedside Teaching Award: Erik G. Laurin MD

Grant Presentations

– Spadafora Toxicology Scholarship Meghan Spyres MD, NYU School of Medicine – Research Training Grant J. Scott VanEpps MD, PhD, University of Michigan – Institutional Research Training Grant Roland C. Merchant MD, MPH, ScD, Rhode Island Hospital

SAEM-approved Research Fellows

Jestin Carlson MD, University of Pittsburgh Anitha Mathew MD, Emory University Danielle McCarthy MD, Northwestern University Bryn Mumma MD, University of California, Davis

SAEM Academy Awards

– Academy for Diversity & Inclusion in Emergency Medicine

•M arcus L. Martin Leadership Award - Lisa Moreno-Walton MD, Louisiana State University Health Sciences Center • Visionary Educator Award - Iris M. Reyes MD, Perelman School of Medicine, University of Pennsylvania • O utstanding Academician Award - Jeffrey P. Druck MD, University of Colorado School of Medicine • O utstanding Future Academician Award - Juron Foreman MD, Emory University School of Medicine

– Academy for Women in Academic Emergency Medicine

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

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

• Research Award - Debra Elaine Houry MD, MPH – Clerkship Directors in Emergency Medicine

• Outstanding Clerkship Director Award

• Outstanding Young Educator Award

• Innovation in Medical Education Award – Global Emergency Medicine Academy

• Presidential Lifetime Achievement Award

• EM Globalization and Advancement Award

• Academic Achievement Award

• Humanitarian Service Award

• Young Physician Award

2012 Annual Meeting Awards

Best Faculty Presentation – Alan E. Jones MD, University of Mississippi Medical Center Best Young Investigator Presentation – William J. Meurer MD, University of Michigan Medical School Best Basic Science Presentation – Nathan J. White MD, University of Washington School of Medicine Best Resident Presentation – Nicole Dubosh MD, Beth Israel Deaconess Medical Center/ Harvard Medical School Best Fellow Presentation – Darlene R. House MD, Indiana University School of Medicine Best Medical Student Presentation – Andrew J. Thomas MPH, Oregon Health & Science University School of Medicine Resident Visual Diagnosis Contest Winner – Elizabeth Placzek MD, Regions Hospital/Children’s Hospital Medical Student Visual Diagnosis Contest Winner – Felix Huang, University of Illinois College of Medicine

SAEM Annual Business Meeting

a. AEM Report b. Treasurer’s Report c. Election Results d. Recognition of Board of Director members whose terms are expiring e. Remarks of Outgoing President – Cherri D. Hobgood MD f. Introduction of 2013-14 President – Alan E. Jones MD

Other New Business Adjournment

Note: N ewly elected members of the Board of Directors, Nominating Committee, and Constitution/Bylaws Committee, along with all award, fellowship, and grant recipients, are asked to remain after the annual business meeting to participate in a brief photo session. Photos will be published in upcoming issues of the SAEM Newsletter.

12

Society for Academic Emergency Medicine

Best of CORD Friday, May 17, 2013 – 10:00 am - 12:00 pm International Room B (seventh Level) Web 2.0: 10:00-10:45 am

Robert Cooney MD; Michael Bond MD; Michelle Lin MD This session will detail the current trends in Web 2.0 technology and how they apply to emergency medicine education. Participants will learn how people are using blogs, wikis, and podcasts in medical education and will be given a plan how to develop their own blog, wiki, or podcast. In addition to covering the basics of voice recording and podcast design, the presenters will discuss and demonstrate how to incorporate vodcasting (video and audio) into medical education.

Objectives: • Understand the uses of web 2.0 tools, including blogs, podcasts, and wikis • Choose among the tools and effectively apply the tools to medical education at their institution • Demonstrate the basic principles of creating a basic blog, wiki, and podcast • Understand how to use vodcasting in medical education

Social Media & Professionalism: 10:45-11:30am Hollynn Larrabee MD; Janis Tupesis MD

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

Studies have demonstrated an increasing number of physicians are using Facebook, Google, Twitter, and other electronic accounts in their daily life.

This session will discuss the current social media environment as well as the possible risks to professionalism that can occur. The session will address how to educate your department on the pitfalls of social media using examples from medical education and legal cases. The talk will conclude with examples of how to develop an individualized social media policy.

Objectives: • Describe how social media has impacted professionalism • Discuss social media utilization effectively with residents and faculty • Develop social media policies to protect your department and institution.

ED Transitions of Care - What Constitutes a Good Handoff Between ED Residents: 11:30 am - 12:00 pm Gene Hern MD

Handoffs present a risk for communication error and may adversely affect appropriate patient care. Although standardization is widely believed to be the means to improve handoff efficacy, consensus on the procedural and logistical components of an effective handoff has not yet been reached. This workshop will use several simulated resident-to-resident handoff videos, followed by small group discussions of the data points required for a safe, effective handoff. This session serves as an opportunity to reflect on the needed communication skills of residents delivering handoff information to peers in the time-pressured, easily distractible environment of a busy ED. Tools to provide resident feedback and education in the context of Joint Commission National Patient Safety Goals and ACGME expectations will be reviewed, as will the assessment of resident competency with the handoff process. Strategies for clear documentation of the time for transition of care will also be explored.

Objectives: • Describe best practices for what constitutes a good handoff.

• Define best practices for safe, complete resident handoffs.

• Describe best practices for effective feedback to residents after handoffs have occurred.

May 14-18, 2013 | Atlanta, Georgia

13

PHOTOGRAPHY EXHIBIT & VISUAL DIAGNOSIS CONTEST There were 52 cases and photos submitted to the Program Committee for consideration of presentation at the Annual Meeting.

Selected photos and cases will be displayed in two formats.

Photography Exhibit & Visual Diagnosis Participants

Medical students and residents will be invited to participate in the Visual Diagnosis Contest. Winners in both medical student and resident categories will be awarded a one-year membership to SAEM, including a subscription to the Academic Emergency Medicine Journal (AEM), free registration to attend the 2014 SAEM Annual Meeting in Dallas, a major emergency medicine textbook, and a subscription to the SAEM Newsletter. Recipients will be announced in the July/August issue of the SAEM Newsletter.

Brett Monroe MD Baylor College of Medicine

Brian T. Kloss MD SUNY Upstate Medical University

Patrick Sullivan MD Brown University/Rhode Island Hospital

Richard Cantor MD SUNY Upstate Medical University

“Clinical Pearls” photos will be displayed for the benefit of all attendees. These photos will include a case history, as well as the diagnosis and “take home” points. SAEM is proud to display original photos of educational value and gratefully acknowledges the efforts of the individuals who contributed to this year’s Clinical Pearls and Visual Diagnosis Contest entries.

Neha Raukar MD, MS, FACEP Brown University/Rhode Island Hospital Nicholas Caputo MD Columbia University Medical Center Elizabeth Dubey MD Columbia University Medical Center Sukru Ardic MD Gulhane Military Medical Academy Ibrahim Arziman MD Gulhane Military Medical Academy Teymur Caferov MD Gulhane Military Medical Academy M. Emre Kesim MD Gulhane Military Medical Academy Ken Adams MD Lincoln Medical & Mental Health Center Lisa Moreno-Walton MD, MS, MSCR Louisiana State University Marney Gruber MD Louisiana State University Ian C. May MD Madigan Army Medical Center Gerald J. Hopkins MD Madigan Army Medical Center Ian Wedmore MD Madigan Army Medical Center

2013 SAEM Medical Photography Exhibit/Visual Diagnosis Contest Please join us for our annual exhibition of outstanding medical photographic images, which will be on display throughout the duration of our Annual Meeting in the main poster hall.

The images will be presented initially as case unknowns, with challenging questions to answer for the viewer’s interest. If desired, residents and medical students may enter answer sheets for a contest that will reward the highest scoring entrant in each category with a copy of the textbook, The Atlas of Emergency Medicine, featuring over 1,500 high-quality medical images. Entries for the contest will be accepted from May 15 at 8:00 am to May 16 at 4:00 pm, when the contest officially closes. At this time, all answers for the case unknowns will be posted alongside the images. Additionally, we will offer teaching rounds for anyone interested, and our faculty volunteers will “round” on the cases with participants at 4:00 pm on May 16, 9:00 am on May 17, and 3:00 pm on May 17, teaching on the cases and answering questions along the way. We look forward to seeing you at the exhibit this year!

14

Suzanne Bialeck MD Maimonides Medical Center David Saloum MD Maimonides Medical Center Lawrence Haines MD Maimonides Medical Center Steve C. Christos DO, MS, FACEP, FAAEM Resurrection Medical Center Joseph Grueter MD Resurrection Medical Center Suzanne Roozendaal MD St. Luke’s University Health Network Grant Lipman MD Stanford University School of Medicine Eric Ladd MD Stanford University School of Medicine Randy Barros MD SUNY Upstate Medical University Nicholas E. Nacca MD SUNY Upstate Medical University

Society for Academic Emergency Medicine

Meenal Sharkey MD The Ohio State University Sarah Greenberger MD The Ohio State University Maxwell Hill MD The Ohio State University Tapan Desai DO Thomas Jefferson University Masashi Rotte MD Thomas Jefferson University Van Ton MD Thomas Jefferson University Joseph Portale MD Thomas Jefferson University Natalie Kreitzer MD University of Cincinnati Francisco Fernandez MD University of Cincinnati Jeremy Fried MD University of Connecticut Veronica Tucker DO University of Connecticut Joseph Shiber MD University of Florida, Jacksonville Emily Fontane MD University of Florida, Jacksonville Petra Duran MD, RDMS University of Florida, Jacksonville Brian Hawkins MD University of Kentucky Kelly Barnett MD University of Kentucky Zachary Dezman MD University of Maryland T. Andrew Windsor MD University of Maryland Nicholas Daniel MD University of Nebraska Brian Doane MD University of Southern California Shannon Langston MD Vanderbilt University Medical School Greg Christiansen DO, Med, FACOEP Virginia Commonwealth University

Business Meeting ~ Wednesday, May 15, 2013 8:00 am - 12:00 pm Vinings Room I on 6th Level 8:00 am - 9:30 am General Business Meeting

9:30 am - 11:30 am Presentation of the AAAEM Annual Benchmark Survey Results Panel discussion on how to use data within your department, hospital or clinical practice.

11:30 am - 12:00 pm Wrap Up

For more information on how to become a member of AAAEM visit us www.saem.org May 14-18, 2013 | Atlanta, Georgia

15

Our Mission

•To promote equal access to quality healthcare and the elimination of disparities in treatment and outcomes for all groups regardless of race, sexual orientation, disability, or socioeconomic status through education and research •To enhance the retention and promotion of those historically underrepresented in medicine and to create an inclusive environment for the training of emergency medicine providers; specifically using the AAMC’s guide “to unite expertise, experience, and innovation to inform and guide the advancement of diversity and inclusion in emergency medicine” •To enhance the professional development of all EM faculty and residents with respect to culturally competent medical care Why is ADIEM important?

Although the U.S. population continues to become more diverse, ethnic and racial health care disparities persist.

The benefits of a diverse medical workforce have been well described, but the percentage of emergency medicine residents from underrepresented groups is small and has not significantly increased. ADIEM has partnered in a more powerful way with SAEM, working towards the realization of our common goals of diversifying the physician workforce at all levels, eliminating disparities in health care and outcomes, and insuring that all emergency physicians are delivering culturally competent care.

Academy for Diversity and Inclusion in Emergency Medicine Dear friends, In ADIEM’s inaugural year, we are delighted to highlight our events for the SAEM Annual Meeting. It is particularly meaningful for me as president of ADIEM and faculty at Emory to welcome you to my home city of Atlanta. We are particularly pleased with ADIEM’s didactics, including one that takes a historical look at diversity and inclusion in emergency medicine in SAEM, and our groundbreaking didactic on LGBT health.

Our business meeting lends itself to networking and sharing of ideas to expand our mission of addressing cultural awareness for all people. We had several submissions from across the nation, and we look forward to learning more and engaging in these very important topics. The poster presentations include “Barriers to the Emergency Department Utilization of Interpreter Services” and “Cultural Competencies in Emergency Medicine: Caring for Muslim-American Patients from the Middle East.”

Each year, we also honor and celebrate SAEM members in several award categories.

This year’s winners are:

ADIEM Events at SAEM Business meeting (May 15 1:00 - 5:00 pm - Vinings Rm I [6th floor]) Inaugural Didactic Presentations (May 16 8:00 - 10:00 am International Rm B [6th floor]) “LGBT Health: Educating EM Physicians to Provide Equitable and Quality Care” “Disparities and Diversity in Emergency Medicine: SAEM - Where are we now?”

Marcus L. Martin Leadership Award Dr. Lisa Moreno-Walton, LSU Health Science Center Visionary Educator Award Dr. Iris Reyes, Univ. of Pennsylvania’s Perelman SOM Outstanding Academician Award Dr. Jeffrey Druck, Univ. of Colorado Outstanding Future Academician Award Dr. Juron Foreman, Emory SOM Lastly, another activity on the horizon in which several ADIEM members participate is the upcoming conference of the National Medical Association Section of Emergency Medicine. Leaders of ACEP and AAEM will be present at this event, scheduled to be held July 27-31 in Toronto, Canada. All are invited to participate in a national discussion on health disparities with this year’s focus on the obesity epidemic and how emergency providers can be part of the solution. Visit www.nmanet.org for more information.

Thank you for your commitment to and engagement in the topics of diversity and inclusion in Emergency Medicine.

Sincerely, Sheryl Heron, MD, MPH President - ADIEM

www.saem.org : membership@saem.org 16

Society for Academic Emergency Medicine

NMA Annual Convention and Scientific Assembly

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

DIDACTIC PRESENTATIONS Thursday, May 16 (Vinings II Room – 6th Floor) Level) 8:00 - 9:00 am

AGEM Business Meeting

9:00 - 10:00 am

“Oncologic Emergency Medicine: An Emerging Subdiscipline?”

Knox H. Todd, MD, MPH Professor and Chair; Department of Emergency Medicine, MD Anderson Cancer Center

10:00 - 11:00 am

"Working with Your Institution to Geriatricize Your ED" Kevin Biese MD, MAT, Associate Professor, Emergency Medicine Residency Director, University of North Carolina and Ula Hwang, MD, MPH, Associate Professor of Emergency Medicine, Geriatrics, and Palliative Medicine, Icahn School of Medicine at Mount Sinai

AGEM FEATURED PRESENTATION

FEATURED “SeekingAGEM Grant Support from PRESENTATION Foundations: Understanding Mission-Driven “Seeking Grant Support from Foundations: Understanding Mission-Driven Philanthropy” Philanthropy” Marcus Escobedo, MPA Marcus Escobedo, MPA, Program Officer, The John A. Hartford Foundation Program Officer, The John A. Hartford Foundation 11:00 am - 12:00 pm 11:00 am - 12:00 pm

Friday, May 17

(International Room D, 6th Floor) Level)

8:00 - 9:30 am

“Informed Consent in Emergency Research – Pitfalls and Practical Pearls.”

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

9:30 – 10:00 am

“Models of Subspecialty Geriatric Emergency Departments – The Silver Tsunami: The Top Ten Interventions for Establishing a Geriatric (-Friendly) ED” Kathleen Walsh, MD

GERIATRICS-RELATED ORAL PRESENTATIONS

Wednesday Thursday Thursday Friday Friday

May 15 May 16 May 16 May 17 May 17

11:00 am – 12:00 pm 8:00 – 9:00 am 12:00 – 1:00 pm 9:00 – 10:00 am 1:00 – 2:00 pm

Geriatric Pain Geriatrics Geriatric Trauma Geriatrics Geriatrics

Oral Presentations (Atlanta G) Oral Presentations (Atlanta B) Oral Presentations (Atlanta A) Lightning oral (Roswell 2) Lightning oral (Atlanta A)

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

May 14-18, 2013 | Atlanta, Georgia

17

Thursday, May 16 Thursday, May 16

AEUS small group meetings (committee members only) AEUS small group meetings Room: Tower Room 1401 (committee members only) Room: Tower Room 1401 8:00 -8:50 am REASON Trial 8:00 Trial 9:00 -8:50 – 9:50am amREASON EUSFellowships

9:00 amam EUSFellowships 10:00– –9:50 10:50 AEUS Board Meeting 10:00 – 11:50 10:50 am International AEUS Board Meeting 11:00 Subcommittee 11:00 – 12:50 11:50 pm am International Subcommittee 12:00 Resident Subcommittee/Med Student 12:00 – 12:50 pm Resident Subcommittee/Med Student 1:00– 1:50 pm Membership Subcommittee 1:00––1:50 Subcommittee 2:00 2:50pm pmMembership Social Media/Grants 2:00 – 2:50 pm Social Media/Grants

Friday, May 17 Friday, May 17

AEUS Business Meeting

Room: Vinings Room I (6th floor) AEUS Business Meeting 8:00 am – 12:00 pm Room: Vinings Room I (6th floor) 8:00 amTeaching – 12:00inpm the Modern World: Social 

   

Media, Apps and other technologies.

Teaching in the Modern World: Social Panel of Experts on Tele-Ultrasound; Media, Apps and other technologies. uses, challenges and solutions.

Panel on Tele-Ultrasound; Pearlsof ofExperts Grant Writing uses, challenges and solutions.

Awards and 2013-2014 BOD Pearls of Grant Writing introductions Awards and 2013-2014 BOD introductions

AEUS Didactic Sessions

Room: International Rooms E-F (6th floor) AEUS Didactic Sessions 1:00 – 3:00 pm Room: International Rooms E-F (6th floor) 1:00 – 3:00 pm Controversies in Emergency Ultrasound: The Debate Rages On Controversies in Emergency Ultrasound: (1:00 – 1:50 pm) The Debate Rages On (1:00 – 1:50 pm) Resident Education in Ultrasound: Meeting the Milestone Resident Education in Ultrasound: Meeting (2:00 – 2:50pm) the Milestone (2:00 – 2:50pm) www.saem.org/academy-emergency-ultrasound 18

www.saem.org/academy-emergency-ultrasound

Society for Academic Emergency Medicine

Activities 2013 Activities 2013 Saturday, May 18 Saturday, May 18 SonoGames™ 2013

Room: Plaza Ballrooms A-B-C Combined SonoGames™ 2013 8:00 am – 12:00 pm Room: Plaza Ballrooms A-B-C Combined 8:00 am – 12:00 pm Join us for the 2nd annual SonoGames™ and watch resident teams compete to be Join us for the 2nd annual SonoGames™ the nation’s top sonologists. and watch resident teams compete to be the nation’s top sonologists.

All aspects of ultrasound competence will be assessed, including image acquisition, All aspects of ultrasound competence will image interpretation, and incorporation be assessed, including image acquisition, into clinical practice. image interpretation, and incorporation into clinical practice.

Will Boston Medical Center retain its title of SonoChamps? Or will a new team claim Will Boston Medical Center retain its title the Cup? of SonoChamps? Or will a new team claim the Cup?

2

0

1

3

S

A

E

M

AWAEM Didactics

A

N

N

U

A

L

M

E

E

T

I

N

G

The AWAEM Meeting Initiative Committee has prepared a remarkable Didactic lineup for the 2013 SAEM Annual Meeting.

These didactics include cutting-edge content, nationally recognized speakers, and stimulating formats.

AWAEM Annual Meeting Tips & Tricks for Women Navigating Academic EM May 17, 8:00 am-12:00 pm Vinings II (6th floor) AGENDA -AWAEM Business Meeting - Navigating the Academic Compass, Directions for Success: An invaluable 80 minute faculty development session for medical students, residents and faculty in all career stages that will include six topics, moderated by Jeannette Wolfe: 1) Pros and Cons of Academic versus Private EM by Kinjal Sethuraman; 2) Tips for Residents to Jump Start their Academic Career by Alyson McGregor; 3) Hitting the Ground Up and Running: A Guide for the First Two Years of Your Academic Career by Stephanie Abbuhl; 4) Educator's Portfolio: How to Stay Organized and On Track by Gloria Kuhn; 5) Networking: Why, How and Where to Connect with Peers and Mentors in Academic EM by Bhakti Hansoti; and 6) Possibilities, Pearls and Pitfalls of Part Time Academics by Jeannette Wolfe.

- Managing People in Academic Emergency Medicine: Tools of the Trade for New Investigators by Kinjal Sethuraman - Technology: How Women Can Maximize Their Productivity by Utilizing Social Media, A Social Media Primer by Bhakti Hansoti

22

AWAEM Annual Networking Luncheon & Awards Presentation May 17, 2013 12:00p-2:00p Conference Room 1-2 (7th floor)

Gender-Specific Men’s Health – Top 5 Plays of the Day May 18th, 9:30-10:00am International Room C (6th floor)

The second presentation in the SAEM Annual Meeting will take the audience through five physiologic systems using the ESPN style of “Top 5 Plays of the Mining the Hidden Science in Your Day.” Each expert presenter, led by EM Research: Gender-Specific Study Alyson Design and Analysis McGregor, will update May 18th, 8:00 – 9:30am the audience International Room C (6th floor) on the top Two hours of the SAEM Annual Meeting genderhave been designated for AWAEM’s specific EM support of gender-specific emergency articles for medicine. This first didactic aims to 2012-13 and how they impact men’s stimulate interest in research on genderhealth. You will hear updates in specific medicine and understand the Cardiology with Basmah Safdar, Sports challenges and solutions of performing Medicine with Neha Raukar, Traumatic gender-based analyses. This Injuries with Federico Vaca, Sepsis with session will be a David Portelli and Neurologic moderated panel led Emergencies with Nina Gentile. Hold

by Esther Choo. A onto your hat! This fast paced program statistical expert, will be sure to provide a stimulating Heemun Kwok, will learning opportunity. discuss a framework for considering relevant genderspecific research questions within diverse areas of emergency medicine research and analytical strategies for A big thank you to the approaching the question of the impact AWAEM Meeting on gender on clinical outcomes. Two Initiative Committee, additional EM researchers, Deborah led by Alyson McGregor, Diercks and David Wright, will with members Esther Choo, demonstrate how they have applied Basmah Safdar, Julie Welch, these methods in their own work using Jeannette Wolfe, Tracy Madsen, specific approaches and analytical and Preeti Jois. methods.

May 14-18, 2013 | Atlanta, Georgia

19

CDEM Programming for SAEM Annual MeeƟng 2013 Educators of all levels are encouraged to aƩend the following sessions surrounding emergency medicine educaƟon.

Thursday, May 16, 2013 8:00 am - 12:00 pm CDEM Business MeeƟng PT – 200 Conference Room 5 (7th Level) 8:00 – 9: 00 am Business Mee�ng 9:00 -11:00 am

CORD Take-Aways: Highlights from CDEM at CORD that each Clerkship Director must have Milestones for Medical Students (Stacy Poznanski, Wright State) SLOR Update (SLOR Task Force) Na�onal Exam vs. CDEM Exam (Emily Senecal, Corey Heitz)

11:00 am -12:00 pm Networking Fair CDEM Ini�a�ves Fair: CDEM Any�me Anywhere (Self-study modules, iBooks, iTunes U), Social Media, CDEM Communica�ons Commi�ee – newsle�er, Assessments in EM – SAEMTests/ ACE EM ACE, EM OSCE Friday, May 17, 2013 8:00 - 8:50 am Educa�onal Por�olio: Your Secret Weapon for Promo�on InternaƟonal E-F combined (6th level) 9:00 - 9:50 am

Good to Great: Effec�ve Feedback to Learners with Difficul�es InternaƟonal E-F combined (6th level)

1:00 - 3:00 pm

EducaƟonal Topics and EducaƟonal Research (Formally Best of CDEM) Hugh A. Stoddard, M.Ed., Ph.D. “Dr. Strangedata: or, how I learned to stop worrying and love accredita�on"

1:00 pm

20

How Good Are You, The LCME and ACGME Want to Know! Program Assessment, Evalua�on and Improvement InternaƟonal Room B (6th level)

Society for Academic Emergency Medicine

The Globalization of Emergency Medicine Affects YOU When you travel, do you want to be taken care of by professional emergency physicians? Do you want to know they have had the right training? Do you want a good pre-hospital care system to take you to the right hospital?

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

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

Join us during our academy meeting May 16, 2013 8:00 am - 12:00 pm Vinings Room I (6th Level) 8:00 am - 9:30 am GEMA Business Meeting and Awards Ceremony 9:30 am -10:30 am GEMA Global EM Fellowships Showcase 10:30 am -10:45 am 2013 AEM Consensus Conference Highlights 10:45 am - 11:00 am Break/Refreshments 11:00 am - 12:00 pm How to Get Global EM-related Endeavors Published?

GEMA Didactic Sessions May 17, 2013 -International Room E-F (6th level) 10:00 am - 10:50 am - Life and a Career in Global Health: Can You Have It All? 11:00 am - 11:50 am - The Top 10 Global Emergency Medicine Articles from 2012: Highlights from the Global Emergency Medicine Literature Review

May 14-18, 2013 | Atlanta, Georgia

21

Your Simulation Academy is comprised of emergency medicine physicians who are committed to enhancing education, research, and patient safety through the use of simulation

Thursday, May 16, 2013 ~ 8:00 am - 12:00 pm Conference Room 4 on 7th level o 08:00 to 08:30 SimulaƟon Academy Board o 08:30 to 10:00 SimulaƟon Academy Business MeeƟng o 10:00 to 12:00 DidacƟc / Q & A Panel on EducaƟonal StaƟsƟcs DidacƟc DescripƟon: The NAS Taskforce has been working with staƟsƟcians to create a data analysis plan for simulaƟon-based milestones data. This panel discussion will consider choice of analysis methods and sample size consideraƟons. Topics include Classical Reliability TesƟng, Item Response Theory, and Generalizability Theory. Strengths, drawbacks, and the reasoning behind our evolving choices will be discussed in a panel Q&A format, with brief didacƟc introducƟon

by Dr. Bruce Center PhD.

SIM WARS

Friday, May 17, 2013 ~ 8:00 am - 1:00 pm Plaza Ballrooms A-B-C on 10th floor An EMRA-sponsored educational program and an inter-disciplinary simulation competition between healthcare providers.

22

Society for Academic Emergency Medicine

daily schedule – Wednesday, May 15, 2013 7:30 - 9:00 am Academy Meeting

• Committee of Academy Leaders meeting (COAL)/ PT-200 Conference Room

8:00 - 5:00 pm Other Sessions

• Leadership Conference/PT-200 Conference Room 3 • Grants Workshop/International H • AEM Consensus Conference/Plaza Ballroom ABC • CPC Finals/International Rooms B/C/D/E/F/G • MERC sessions/International A

8:00 AM - 12:00 PM Academy Meeting

• AAAEM Academy Business Meeting/Vinings I 9:30-11:30 Presentation of the AAAEM Annual Benchmark Survey Results – Panel discussion on how to use data within your department, hospital or clinical practice.

8:00 - 8:50 am Didactics

• The Role of Electroencephalography and of Reduced Lead EEG in the Emergency Department/Peachtree A & B Jay Brenner MD, Ed Michelson MD • How to Effectively Supervise and Teach Residents: Entrustment and Autonomy/Peachtree C Bill Bassin MD, Sally Santeen MD, Katie Saxon MD, Meg Wolff MD • In the Middle: Non Physician Providers in the Emergency Department/Peachtree D Henderson McGinnis MD, Jeff Hinshaw PA, Randy Howell DO, FACOEP • Development of Clinical Decision Instruments in Emergency Medicine/Peachtree E Robert Rodriguez MD, James Holmes MD, Nate Kuppermann MD, PhD, William Mower MD, PhD

9:00 - 9:50 am Didactics

• ED-Based Critical Care Resident Rotations & Experiences as Opportunities for Teaching Critical Care in the Emergency Department/Peachtree A & B Kevin Ferguson MD, Lillian Emlet MD, Robert Sherwin MD, FACEP, FAAEM, Scott Wiengart MD • Impact of the 2010 AHA Post-Cardiac Arrest Care Guidelines: Assessing Knowledge Translation & Implementation/Peachtree D Kelly Sawyer MD, MS, Teresa Camp-Rogers MD, MS, Michael Kurz MD, MS-HES

9:00 - 10:00 am Abstracts

• Pediatric Abdominal Pain/Presentation # 7-10/Atlanta A Moderator: Nathan Kuppermann MD, MPH • Hemorrhagic Shock/Presentation # 19-22/Atlanta G Moderator: Michael Gibbs MD •M easures for Emergency Medicine/Presentation # 23-28/Atlanta B Moderator: Jeremiah D. Schuur MD • Congestive Heart Failure and Dyspnea/ Presentation # 29-34/Atlanta C & D Moderator: Alan B. Storrow MD Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.

• Emergency Medical Services/Presentation # 35-40/Roswell 1 Moderator: Michael Runyon MD • Toxicology/Presentation # 41-46/Roswell 2 Moderator: Ed Otten MD

9:00 - 10:20 am Didactics

• Not Another Boring Lecture: Five Ways to Spice Up Your Didactics!/Peachtree C Meg Wolff MD, Mary Jo Wagner MD, Sally Santen MD, PhD, Stacey Poznanski MD • Introduction to Statistics/Peachtree E Roger Lewis Harbor MD, PhD

9:00 - 11:00 am Abstracts

• Ultrasound/Presentation # 11-18/Atlanta E & F Moderator: James H. Moak MD

10:00 - 10:50 am Didactics

• The Current State of Critical Care Fellowship Training for Emergency Medicine Residency Graduates/Peachtree A & B Kevin Ferguson MD, Andrea Gabrielli MD, Jay Menaker MD, Mike Winters MD • Fulfilling the Residency Educational Mission at Independent Academic Medical Centers/Peachtree D Arvind Venkat MD, Moira Davenport MD, Gus Garmel MD, Eric Katz MD

10:00 - 11:00 am Abstracts

• STEMI/Presentation # 73- 76/Atlanta G Moderator: Deborah B. Diercks MD • Clinical Efficiency/Presentation # 87-92/Roswell 2 Moderator: Richard Zane MD

10:00 - 12:00 pm Abstracts

• Radiology/Presentation # 47-55/ Atlanta A Moderator: Ali S. Raja MD, MPH, MBA • Traumatic Brain Injury/Presentation # 56-63/Atlanta B Moderator: Opeolu Adeoye MD • Acute Coronary Syndromes/Presentation # 64-72/Atlanta C & D Moderator: Chad E. Darling MD • Pediatrics/Presentation # 77-85, 817, 834/Roswell 1 Moderator: Brent R. King MD

10:30 - 11:50 am Didactics

• Systems Milestones for Academic Programs: Moving from Novice to Expert/Peachtree C Felix Ankel MD, Robin Hemphill MD, Sally Santen MD, PhD • Team Science in Research: What is the Role of Emergency Medicine?/Peachtree E Chadwick Miller MD, MS, Roger Lewis MD, PhD, Alan Storrow MD, Gregory Fermann MD

May 14-18, 2013 | Atlanta, Georgia

23

Wednesday, May 15, 2013 11:00 - 11:50 am Didactics

• Advances in EMS Education for Residents/Peachtree A & B Michael Hilton MD, David Cone MD, Jonathan Fisher MD, MPH, Christian Martin-Gill MD, MPH • The Non-Quantitative Aspect of Resident Training in the Community ED/Peachtree D Michael Hochberg MD, Al Sacchetti MD, Kevin Klauer MD, Chad Kessler MD

11:00 - 12:00 pm Abstracts

• Critical Care/Presentation # 93-96 Atlanta E & F Moderator: Robert Rodriguez MD • Geriatric Pain/Presentation # 97-100/Atlanta G Moderator: Robert Woolard MD, • Accelerate Your ED/Presentation # 101-106/Roswell 2 Moderator: David F. Brown MD

1:00 - 1:50 pm Didactics

• Thriving in the Wilderness: What Wilderness Medicine Fellowship Applicants and Directors Need to Know/Peachtree A & B N. Stuart Harris MD, MFA, Tracy Cushing MD, MPH • I nvestigator Initiated Research without an Existing Research Infrastructure: How to Succeed in Any Practice Setting/Peachtree D John Cienki MD, MSPH, Robert J Hoffman MD, Brigitte Baumann MD, MSCE, Judd Hollander MD • Asking the Question that Clinicians Want Answered within an Adaptive Comparative Effectiveness Trial/Peachtree E William Meurer MD, MS, Jason Connor PhD, Roger Lewis MD, PhD

1:00 - 2:00 pm Abstracts

• Health Services Research/Presentation # 107-110/ Atlanta A Moderator: Keith E. Kocher MD • Clinical Decision Rules/Presentation # 111-114/Atlanta C & D Moderator: Ian G. Stiell MD • Critical Care/Presentation # 115-118/Atlanta E & F Moderator: Michael Gibbs MD • Renal Colic/Presentation # 119-122/Atlanta G Moderator: Romolo Gaspari MD • Learning Styles/Presentation # 123-128/Roswell 2 Moderator: Brandon Maughan MD, MHS • Imaging in Trauma/Presentation # 129-134/Atlanta B Moderator: Greg Hendey MD • Triage/Presentation # 135-140/Roswell 1 Moderator: Gabor Kelen MD

1:00 - 2:20 pm Didactics

• Taking Advantage of the Teachable Moment: A Workshop for Efficient, Learner-Centered Clinical Teaching/Peachtree C Todd Guth MD, Elise Lovell MD, Sneha Shah MD, Mike Epter DO

1:00 - 5:00 pm Poster Session

(Posters will be attended by authors from 2:00-4:00) • Presentation # 141-263/200 Gallery -level 6

Academy Meeting

ADIEM Academy Business Meeting/Vinings I

24

2:00 - 2:50 pm Didactics

• From the Bleachers to the Sidelines: Careers and Opportunities in Sports Medicine/Peachtree A & B Jeffrey Feden MD, Daniel Garza MD, Moira Davenport MD • Creating a Successful Research Assistant Program in Your Emergency Department/Peachtree D Daniel Keyes MD, MPH, Ed Panacek MD, MPH, Judd Hollander MD, Daniel Pallin MD, MPH • Real Strategies for Quasi-Experiments: How to Identify Causation Using Non-Randomized Data/Peachtree E Lisa Schweigler MD, MPH, MS, Jason Haukoos MD, MSc, Christopher Kabrhel MD, MPH

2:30 - 3:50 pm Didactics

• Is the Patient Safe? Assessing Procedural Competence/Peachtree C Laura Hopson MD, Suzanne Dooley-Hash MD, Doug Ander MD, Ernest Wang MD

3:00 - 3:50 pm Didactics

• The Business of EM: Defining Productivity/Peachtree D Michael Hochberg MD, Brent King MD, Richard Zane MD, Kirsten Rounds RN, MS • An Introduction to Qualitative Methods in Emergency Medicine Research/Peachtree E Jeremiah Schuur MD, MHS, Karin Rhodes MD, MS, Adam Landman MD, MS, MIS

3:00 - 4:20 pm Didactics

• How to Become a Trailblazer: Perspectives of Resident Innovators/ Peachtree A & B Marie Vrablik MD, Carey Chisholm MD, Jonathan Heidt MD, Karen Lind MD, Shereaf Walid MD

4:00 - 5:00 pm Abstracts

• Cardiac Risk Stratification/Presentation # 264-270/ Atlanta A Moderator: Andra L. Blomkalns MD • Psychiatry/Presentation # 271-275/Atlanta B Moderator: Rebecca Cunningham MD • Trauma Resuscitation/Presentation # 276-281/Atlanta C & D Moderator: Eric Legome MD • Ultrasound/Presentation # 282-287/ Atlanta E & F Moderator: Romolo Gaspari MD • Toxicology/Presentation # 288-293/Atlanta G Moderator: Aaron Skolnik MD • Clinical Decision Rules/Presentation # 294-297/Roswell 1 Moderator: Michael Brown MD, MSc • Training Competencies/Presentation # 298-303/ Roswell 2 Moderator: Jeffrey Love MD

4:30 - 6:30 pm Event

• Cocktails and Dreams Reception/Carnegie Foyer

5:30 - 8:00 pm Event

• CPC Reception/Augusta Room 1-2

Society for Academic Emergency Medicine

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

tuesday - Wednesday, May 14-15, 2013 The Following SAEM Committees/Interest Groups/Task Forces will NOT be meeting at the 2013 Annual Meeting in Atlanta: • Constitution & Bylaws Committee • Fellowship Certification Task Force • CPR/Ischemia/Reperfusion Interest Group • Observational Medicine Interest Group • Palliative Medicine Interest Group • Quality Medical Management Interest Group • Uniformed Services Interest Group

Tuesday, May 14, 2013 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings 8:00am-5:00pm 4:00-5:00pm

SAEM BOD Meeting SAEM PC Sub-Committee Meeting

Executive Boardroom (6th Level) TBD

Tuesday, May 14, 2013 – Affiliated Meetings 7:00am-5:00pm 9:00am-5:00pm

ABEM- EM Model Review Task Force EMRA BOD Meeting

PT-200 Conference Room 1 (7th Level) PT-200 Conference Room 2 (7th Level)

Wednesday, May 15, 2013 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings 7:00-8:00am 7:30-9:00am 8:00am-12:00pm

9:00-10:00am 9:00-10:00am 9:30-11:00am 11:30am-1:00pm 1:00-2:00pm 1:00-2:30pm 1:00-2:30pm 1:00-5:00pm

2:00-3:00pm 2:00-3:00pm 2:00-3:30pm 2:30-3:30pm 5:00-6:00pm

PC Daily Meeting SAEM Committee of Academy Leaders meeting (COAL) AAAEM Academy of Administrators in Academic Emergency Medicine-Business Meeting SAEM Social Media Committee Meeting SAEM Disaster Medicine Interest Group Meeting SAEM/ABEM Ex. Committee Meeting SAEM Faculty Development Committee Meeting SAEM Development Committee Meeting SAEM Evidence Based Medicine Interest Group Meeting SAEM CBAPO Task Force Meeting ADIEM Academy for Diversity & Inclusion in Emergency Medicine- Business Meeting SAEM External Collaboration Committee Meeting SAEM International Outreach TF Meeting SAEM Academic Informatics Interest Group Meeting SAEM Trauma Interest Group Meeting SAEM Neurologic Emergencies Interest Group Meeting

PT-200 Conference Room 5 (7th Level) PT-200 Conference Room 4 (7th Level) Vinings Room I (6th Level) Tower Room 1401 (14th Level) Tower Room 1201 (12th Level) Ex. Board Room (6th Level) Tower Room 1401 (14th Level) Tower Room 1207 (12th Level) Tower Room 1403 (14th Level) Tower Room 1401 (14th Level) Vinings Room I (6th Level) Tower Room 1208 (12 Level) Tower Room 1402 (14th Level) Tower Room 1404 (14th Level) Tower Room 1403 (14th Level) Tower Room 1407 (14th Level)

Wednesday, May 15, 2013 – Affiliated Meetings 8:00am-5:00pm Neurological Emergencies Treatment Trials Nett Collaborative Meeting 9:00am-12:00pm EMRA BOD meeting 1:30-2:30pm EMRA Committee Chair/Vice Chair Orientation 1:30-2:30pm EMRA Regional Representative Committee 1:30-5:30pm EMRA Medical Student Governing Council 2:30-3:00pm EMRA Conference Committee Orientation Meeting 3:00-4:00pm EMRA Reference Committee Public Hearing 3:00-6:00pm National HIV Testing Consortium Meeting 4:00-5:00pm EMRA Reference Committee Work Meeting 4:00-5:30pm EMRA Quiz Show Contest 4:00-6:00pm EMCREG-International Steering Committee- By Invitation Only 6:30-9:30pm U of M Society for Academic EM Dinner - By Invitation Only

Tower Room 1408 (12th Level) Tower Room 1203 (12th Level) Tower Room 1204 (12th Level) Tower Room 1205 (12th Level) Tower Room 1206 (12th Level) Augusta Room 3 (7th Level) Augusta Room 3 (7th Level) Tower Room 1201 (12th Level) Augusta Room 3 (7th Level) PT-200 Conference Room 5 (7th Level) Tower Room 1208 (12th Level) PT-200 Conference Room 2-3 (7th Level)

May 14-18, 2013 | Atlanta, Georgia

25

daily schedule – thursday, May 16, 2013 7:00 - 9:30 am Other Session

• Resident Leadership Forum: in AM joint session/ PT-200 Conference Room 2

8:00 - 8:50 am Didactics

• LGBT Health: Educating EM Physicians to Provide Equitable and Quality Care. Academy Sponsored - ADIEM/ International B Paul Krieger MD, Joel Moll MD, Thea James MD, Ellen Slaven MD, Ted Corbin MD • Future Directions in Electrocardiography in Acute Coronary Syndromes/International C Stephen Smith MD • Choosing a High-Impact Resident or Student Quality Improvement Project and Getting it Published/Plaza Ballroom A Jeremiah Schuur MD, MHS, John J. Kelly DO, FACEP, Arjun Venkatesh MD, MBA • Careers & Opportunities at the CDC/Plaza Ballroom B Kevin Munjal MD, MPH, David Sugerman MD, MPH, Samuel Graitcer MD

8:00 - 9:00 am Innovations

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

Abstracts

• Geriatrics/Presentation #304-307/Atlanta B Moderator: Christopher R. Carpenter MD • Clinical Efficiency/Presentation #324-327/Atlanta G Moderator: Tom Scaletta MD • Atrial Fibrillation/Presentation # 328-333/Atlanta A Moderator: Richard Summers MD • IV Access/Presentation # 334-339/Roswell 1 Moderator: Alexander T. Limkakeng • Disaster Management/Presentation # 340-344/Roswell 2 Moderator: Richard Zane MD

8:00 - 10:00 am Abstracts

• Sepsis/Presentation #308-315/Atlanta C & D Moderator: Emanuel Rivers MD, MPH • Therapeutic Hypothermia/Presentation #316-323/Atlanta E & F Moderator: Stephen Trzeciak MD

8:00 am - 12:00 pm Innovations

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

Posters

• Presentation # 366-490/200 Gallery -level 6 Innovations Exhibits and Posters will be attended by authors from 10:00am-12:00pm

Academy Meeting

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

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

8:00-8:30am Simulation Academy Board

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

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

26

• CDEM Business Meeting/PT-200 Conference Room 5

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

9:00-11:00am CORD Highlights Milestones for Medical Students SLOR Update National Exam vs CDEM Exam

11:00am-12:00pm Networking Fair: CDEM Initiatives Fair: CDEM Self-study Modules Twitter CDEM newsletter Exam • AGEM Business Meeting/Vinings II

8:00 - 9:00am AGEM Business Meeting

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

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

11:00am - 12:00pm Seeking Grant Support from Foundations: Understanding Mission-Driven Philanthropy • GEMA Business Meeting/Vinings I

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

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

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

10:45 -11:00am Break/Refreshments

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

9:00 - 9:50 am Didactics

• Disparities & Diversity in Emergency Medicine: SAEM Where Are We Now? Academy Sponsored -ADIEM/International B Sheryl Heron MD, MPH, Marcus Martin MD, Michelle Biros MS, MD, Lynne Richardson MD • Harnessing the Emergency Medicine Perspective: Emphasizing Key Differences Between Adult and Pediatric Chief Complaints to Enhance Resident Training in Pediatric Emergency Medicine/ International C Jeffrey Hom MD, MPH, Robert Cloutier MD, MCR • The War on MRSA: Lessons for Success in Planning, Funding, and Executing Clinical Research in Infectious Diseases/Plaza Ballroom B Daniel Pallin MD, MPH, Jeremiah Schuur MD, MS, David Talan MD

9:00 - 10:00 am Innovations

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

Abstracts

• Abdominal Pain in Adults/Presentation # 356-360/Atlanta A Moderator: Brigitte M. Baumann MD, MSCE • Sickle Cell Management in the Emergency Department/ Presentation # 361-365/Roswell 2 Moderator: Jeffrey A. Glassberg MD • Out of Hospital Telemedicine/Presentation # 345-348/Atlanta B Moderator: Steven Horng MD • Anticoagulants/Presentation # 349-352/Atlanta G Moderator: Daniel K. Nishijima MD • AEM Consensus Conference on Global Health/ Presentation # 353-355/Roswell 1 Moderator: Jon Mark Hirshon MD

Society for Academic Emergency Medicine

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

thursday, May 16, 2013 9:00 - 10:20 am Didactics • The Inside Scoop: Background Information and Tips on Using the Large National Datasets Provided by NCHS and HCUP, including NHAMCS and NE/Plaza Ballroom A Lisa Schweigler MD, MPH, MS, Brendan Carr MD, MS Linda McCaig MPH, Ryan Mutter PhD, Stephen Pitts MD, MPH, Emilie Powell MD, MS, MBA

10:00 - 11:20 am Didactics

• Navigating the AMA Discharge - Case Studies/International B Mark Clark MD, James Adams MD • The Great Pediatric Sedation Debate!/International C Amy Drendel DO, MS, Frank Petruzella MD, Patrick Solari MD, Rakesh Mistry MD, MS, Robert Kennedy MD • Minimizing the Pain of Maximizing Pain Relief: Strategies for Emergency Physicians To Treat Pain Safely/Plaza Ballroom B Lewis Nelson MD, Jeanmarie Perrone MD, Edward Boyer MD, PhD, Robert Hendrickson MD

10:00 am - 2:00 pm Other Session • Resident Leadership Forum: Chief Resident Forum Track (Lunch)/ International E-F • Resident Leadership Forum: Resident Academic Track International D

10:30 - 11:50 am Didactics

• Can We Trust Clinical Practice Guidelines?/Plaza Ballroom A Eddy Lang AB, Michael Brown MD, MSc, Francis Fesmire MD, Clifton Callaway MD, PhD

11:30 am - 12:50 pm Didactics

12:00 - 1:00 pm Innovations

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

Abstracts

• Milestones in Training/Presentation # 491-494/Atlanta B Moderator: Christopher Ross MD • Patient Communication/Presentation #495-498 /Atlanta C & D Moderator: Emilie Powell MD, MS, MBA • Geriatric Trauma/Presentation # 499-502 /Atlanta E & F Moderator: Timothy F. Platts-Mills MD • Ischemic Conditioning/Presentation # 503-506 /Atlanta G Moderator: Daniel J. Pallin MD, MPH • Emergency Department Quality/Presentation # 507-512 /Atlanta A Moderator: Arjun K. Venkatesh MD • Undergrad Education/Presentation # 513-518 /Roswell 1 Moderator: Lorraine Thibodeau MD • Prehospital CPR/Presentation # 519-524 /Roswell 2 Moderator: Jane Brice MD

2:00 - 3:00 pm Keynote Thomas Frieden, Director - Centers for Disease Control and Prevention/Plaza Ballroom ABC

3:30 - 5:00 pm Plenary

• Presentations # 1-7/Plaza Ballroom ABC Moderator: David Cone MD • Voices from the Past Informing the Future of Academic Emergency Medicine: Brian Zink MD/Plaza Ballroom ABC

5:30 - 7:00 pm Event

• Opening Reception and Gallery of Excellence/Grand Atrium

• Challenging the Physician-Patient Relationship: Negotiating Deception, Manipulation, and Medical Mistakes/International B Joel Moll MD, Jean Abbott MD, MPH, Tammie Quest MD, Mark Clark MD • We All Make Mistakes - But What Do You Do Afterwards?/ International C Robert Wears MD, MS, PhD, Kathleen Lanava MD, Albert Wu MD, MPH, Terry Fairbanks MD, MS •B uilding Blocks for Establishing Hospital-Based Violence Intervention Programs in (Your) Emergency Departments/ Plaza Ballroom B Thea James MD, Theodore Corbin MD, Rochelle Dicker MD

12:00 - 12:50 pm Didactics • Optimizing Electronic Health Records in an Academic Emergency Department: The Administrative and Informatics Perspective/ Plaza Ballroom A Daniel Handel MD, MPH, Kevin Baumlin MD, Nicholas Genes MD, PhD, Mark Moseley MD, MHA

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

May 14-18, 2013 | Atlanta, Georgia

27

thursday, May 16, 2013 Thursday, May 16, 2013 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings 7:30-8:00am 8:00-9:00am 8:00-10:00am 8:00am-12:00pm 8:00am-12:00pm 8:00am-12:00pm 8:00am-12:00pm 8:00am-12:00pm 9:00-10:30am 10:30-11:30am

11:00am-12:00pm 11:00am-12:30pm 11:00am-12:30pm 12:00-1:00pm 12:00-1:00pm 12:00-1:30pm 12:30-1:30pm 12:30-2:00pm 1:00-2:00pm 5:00-7:00pm 6:00-10:00pm

PC Daily Meeting SAEM Consultation Services Committee Meeting Ex. Leadership of EM Organizations-By Invitation Only AEM CC 2014 Planning Meeting AGEM Academy of Geriatric Emergency Medicine-Business Meeting CDEM Clerkship Directors in Emergency Medicine -Business Meeting GEMA Global Emergency Medicine Academy-Business Meeting SIM Simulation Academy - Business Meeting SAEM Public Health Interest Group Meeting SAEM ED Crowding Interest Group & Clinical Directors Interest Group Meeting SAEM EM Medical Education Research IG Meeting SAEM Research Committee Meeting SAEM Research Directors Interest Group Meeting SAEM EMS Interest Group Meeting SAEM Medical Toxicology Interest Group Meeting AEM Reviewers Lunch SAEM Health Services & Outcomes Interest Group Meeting SAEM Grants Committee Meeting SAEM Pediatric EM Interest Group Meeting International EM Fellowship Consortium Meeting AACEM Dinner-By invitation Only

International Room H (7th Level) Tower Room 1202 (12th Level) Tower Room 1201 (12th Level) Tower Room 1205 (12th Level) Vinings Room II (6th Level) PT-200 Conference Room 5 (7th Level) Vinings Room I (6th Level) PT-200 Conference Room 4 (7th Level) Tower Room 1207 (12th Level) Tower Room 1202 (12th Level) Tower Room 1204 (12th Level) Tower Room 1203 (12th Level) Tower Room 1206 (12th Level) Tower Room 1204 (12th Level) Tower Room 1205 (12th Level) International Room H (7th Level) Tower Room 1404 (14th Level) Tower Room 1206 (12th Level) Tower Room 1204 (12th Level) Tower Room 1206 (12th Level) Commerce Club

Thursday, May 16, 2013 – Affiliated Meetings 8:00-8:30am 8:00am-5:00pm 8:00am-5:00pm 8:00am-12:00pm 8:30am-12:00pm 10:30-11:30am 11:00am-2:00pm 11:30am-2:00pm 12:00-1:00pm 12:00-1:30pm 12:00-2:30pm 1:30-3:30pm 1:30-3:30pm 1:30-3:30pm 1:30-3:30pm 1:30-3:30pm 3:30-5:30pm 3:30-5:30pm 3:30-5:30pm 3:30-5:30pm 3:30-5:30pm 3:30-5:30pm 28

EMRA Rep. Council Welcome Breakfast & Registration AAEM/RSA Board of Directors Meeting CORD Committee Meetings Physio-Control Usability Interviews- By Invitation Only EMRA Rep Council Meeting & Town Hall ACEP Joint Milestones Task Force Meeting WestJEM Advisory Board and Educational Meeting - By Invitation Only ABEM/ACEP Officer’s Meeting EMRA Rep Council Lunch ACEP Research Forum Meeting Emergency ID Net Investigators Meeting -By invitation only EMRA International Committee EMRA Health Policy Committee EMRA Research Committee Meeting EMRA Critical Care Committee Meeting EMRA Technology Committee Meeting EMRA Awards Committee EMRA EMS Committee Meeting EMRA Wilderness Medicine Committee Meeting EMRA EM Resident Advisory Committee Meeting EMRA Education Committee Meeting EMRA Ultra Sound Committee Meeting

Society for Academic Emergency Medicine

Augusta Room 1-2 (7th Level) Tower Room 1408 (12th Level) Tower Room 1403 (12th Level) Tower Room 1402 (12th Level) Augusta Room 1-2 (7th Level) Tower Room 1208 (12th Level) Tower Room 1406 (12th Level) Executive Boardroom (6th Level) Augusta Room 3 (7th Level) Tower Room 1208 (12th Level) Tower Room 1207 (12th Level) Augusta Room 1 (7th Level) Augusta Room 2 (7th Level) Tower Room 1201 (12th Level) Tower Room 1202 (12th Level) Tower Room 1203 (12th Level) Tower Room 1201 (12th Level) Tower Room 1202 (12th Level) Tower Room 1203 (12th Level) Tower Room 1204 (12th Level) Augusta Room 1 (7th Level) Tower Room 1207 (12th Level)

daily schedule – friday, May 17, 2013 8:00 - 8:50 am Didactics

8:00 am - 12:00 pm Innovations

• Diagnostic Imaging and Radiation Exposure: How Much is Too Much?/International B Jennifer Marin MD, MSc, Angela Mills MD, Kimberly Applegate MD, MS • Preventing Opioid Analgesic Overdose Among ED Patients/ International C Edward Boyer MD, PhD, Kavita Babu MD • Educational Portfolio: Your Secret Weapon for Promotion/ Academy Sponsored - CDEM/International E-F Corey Heitz MD, Gloria Kuhn DO, PhD, Douglas Ander MD

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

8:00 - 9:00 am Innovations

8:00 am - 1:00 pm Other Sessions

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

• SIM WARS/Plaza Ballroom ABC

Abstracts

8:00 am - 3:00 pm Other Sessions

• Pain Management/Presentation #525-528/Atlanta B Moderator: Sergey M. Motov MD • Patient Informed Consent/Presentation #536-539/Atlanta G Moderator: Daniel J. Pallin MD, MPH • Academic Emergency Medicine/Presentation # 540-545/Atlanta A Moderator: Susan Promes MD • Novel Cardiovascular Ideas/Presentation #546-551/Atlanta C & D Moderator: Chad E. Darling MD • Injury Prevention/Presentation #552-557/ Roswell 1 Moderator: Megan Ranney MD • Emergency Department Discharge/ Presentation #558-563/Roswell 2 Moderator: Ziad Obermeyer MD

8:00 - 9:20 am Didactics • Informed Consent in Emergency Research - Pitfalls and Practical Pearls. Academy Sponsored - AGEM/International D Ula Hwang MD, MPH, Adit Ginde MD, MPH, Jin Han MD, MSc, Lynne Richardson MD

8:00 - 10:00 am Abstracts

• Ultrasound/Presentation # 529-535/Atlanta E & F Moderator: David J. Blehar MD

Other Session

• EuSEM Session/PT-200 Conference Room 3 Overcrowding in EDs: What Are the Solutions in Europe?

Eric Revue Organisation of STEMI Care: What Is the Difference between USA and Europe?

Abdel Bellou Evolution of Mortality of Acute Heart Failure in Europe : Said Laribi Policy on Quality Metrics in Emergency Medicine in Europe : Nathalie Flacke

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

Poster Session

• Presentation #155, 236, 594-717/200 Gallery -level 6 Innovations Exhibits and posters will be attended by authors from 10:00 am - 12:00 pm

Academy Meeting

• AWAEM Business Meeting/Vinings II • AEUS Business Meeting/Vinings I

• Residency & Fellowship Fair/Grand Atrium • Junior Faculty Forum/PT-200 Conference Room 5

9:00 - 9:50 am Didactics • Mapping the Path for Current and Future Research for Safe, Effective, and Appropriate Trauma Imaging/International B Kaushal Shah MD, Michael Gibbs MD, Ian Stiell MD, Eric Legome MD, Ali Raja MD, MPH, MBA • Good to Great: Effective Feedback to Learners with Difficulties.

Academy Sponsored - CDEM/International E-F Sorabh Khandelwal MD, Marcia Perry MD, Sally Santen MD, PhD, Lalena Yarris MD, MCR

9:00 - 10:00 am Innovations

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

Abstracts • Frequent Emergency Department Users/ Presentation #572-577/Atlanta A Moderator: Martin Reznek MD, MBA, FACEP • Neurology/Presentation # 578-583/Atlanta G Moderator: Edward Jauch MD, MS • Pediatric Decision Tools/Presentation #584-587/Roswell 1 Moderator: Michele Nypaver MD • Geriatrics/Presentation #588-563/Roswell 2 Moderator: James Miner MD • Pain Management/Presentation #564-567/ Atlanta B Moderator: Sergey M. Motov MD • Coronary Angiograph/Presentation # 568-571/Atlanta C & D Moderator: Judd Hollander MD

9:00 - 10:20 am Didactics • Identifying the Value of Emergency Care in the Climate of Health Reform/International C Keith Kocher MD, MPH, MPhil, Arthur Kellermann MD, MPH, Brent Asplin MD, MPH, Jeremiah Schuur MD, MHS, Adam Sharp MD, MS

May 14-18, 2013 | Atlanta, Georgia

29

friday, May 17, 2013 9:30 - 9:50 am Didactics • Models of Subspecialty Geriatric Emergency Departments.

Academy Sponsored - AGEM/International D Kathleen Walsh DO, MS, Mark Rosenberg MD, Knox H. Todd MD

10:00 - 10:50 am Didactics • Where is the Evidence III: Common Pediatric Infections in Emergency Medicine/International D Rakesh Mistry MD, MS, Todd Florin MD, MSCE • Life and a Career in Global Health: Can You Have It All? Academy Sponsored - GEMA/ International E-F Bhakti Hansoti MD, Stephanie Kayden MD, MPH, Tracy Sanson MD, Bobby Kapur MD, MPH

10:00 am - 12:00 pm Other Session

• Best of CORD/International B

10:30 - 11:50 am Didactics • Policy Change 101: A How-To Primer for Emergency Physicians/ International C Lauren Hudak MD, MPH, Megan Ranney MD, Art Kellerman MD, MPH, Sara Patterson MA

11:00 - 11:50 am Didactics • Emergency Department Evaluation and Management of Pediatric Concussion and Mild Traumatic Brain Injury/International D Mark Zonfrillo MD, MSCE, Rachel Bengtzen MD • The Top 10 Global Emergency Medicine Articles from 2012: Highlights from the Global Emergency Medicine Literature Review.

Academy Sponsored - GEMA/International E-F Gabrielle Jacquet MD, Adam Levine MD, MPH

1:00 - 1:50 pm Didactics • Pediatric Airway Management in the 21st Century: Muddling to Mastery/International D Nathan Mick MD, Joshua Nagler MD, Aaron Donoghue MD • Controversies in Emergency Ultrasound: The Debate Rages On. Academy Sponsored - AEUS/ International E-F Christopher Raio MD, Andrew Liteplo MD, J. Christian Fox MD

1:00 - 2:00 pm Innovations

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

Abstracts

• Electronic Medical Records/Presentation #718-721/Atlanta B Moderator: John P. Marshall MD • Cardiovascular Basic Sciences/ Presentation # 722-725/Atlanta C & D Moderator: Michelle Biros MS, MD • Geriatrics/Presentation #726-731/Atlanta A Moderator: Kevin Baumlin MD

30

• Health Services Research/Presentation # 732-737/Atlanta E & F Moderator: Jesse M. Pines MD • Video Laryngoscopy/Presentation #738-743/Atlanta G Moderator: Ron Walls MD • Pediatric Trauma/Presentation #744-747/Roswell 1 Moderator: Rakesh Mistry MD • New Ideas in Education/Presentation #748-752/Roswell 2 Moderator: Kevin Rodgers MD

1:00 - 2:20 pm Didactics • Inauguration of the NIH Office of Emergency Care Research/ International C Charles Cairns MD, Roger Lewis MD, PhD, Walter Korshetz MD, Scott Somers PhD

1:00 - 3:00 pm • Hot Topics in Medical Education and Education Research/ International B

2:00 - 2:50 pm Didactics • Child Abuse Pediatrics Research Update - New Innovations, New Best Practice/International D Daniel Lindberg MD, Philip Scribano DO, MSCE • Resident Education in Ultrasound: Meeting the Milestone.

Academy Sponsored - AEUS/International E-F Nova Panebianco MD, MPH, Resa Lewiss MD, Saadia Akhtar MD, Jason Nomura MD

2:00 - 3:00 pm Abstracts

• Information Technology/Presentation #754-757/Atlanta B Moderator: D. M. Courtney MD • Markers and Treatment of Sepsis/ Presentation # 758-761/Atlanta C & D Moderator: Donald M. Yealy MD • Emergency Medical Services/ Presentation #762-765/Atlanta E & F Moderator: Theodore R. Delbridge MD • Emergency Department Crowding/ Presentation #766-769/Atlanta G Moderator: James Holmes MD • Pediatric Infectious Diseases/ Presentation #770-775, 86/ Atlanta A Moderator: TBD • Health Services Research in Trauma/ Presentation # 776-782/Roswell 1 Moderator: Brendan Carr MD • Residency Training/Presentation #782-788/Roswell 2 Moderator: Christian Arbelaez MD

3:30 - 5:00 pm Business Meeting - The Future of Health Care Reform and Implications for Emergency Medicine/Plaza Ballroom ABC

4:30 - 6:30 pm

Resident/Fellowship Fair/Grand Atrium

Society for Academic Emergency Medicine

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

friday, May 17, 2013 Friday, May 17, 2013 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings 7:00-8:00am 7:00-9:00am 7:30-8:00am 8:00-9:00am 8:00am-12:00pm 8:00am-12:00pm

9:00-10:00am 9:00-10:30am 9:00-11:00am 9:30-10:30am 10:00am-3:00pm 12:00-1:00pm 12:00-1:00pm 12:00-2:00pm 12:00-2:00pm

1:00-2:00pm 5:00-6:30pm 5:00-6:30pm

SAEM Past Presidents, Breakfast AEM Editorial Board Meeting Breakfast PC Daily Meeting SAEM Web Evolution Committee Meeting AEUS Academy of Emergency Ultrasound-Business Meeting AWAEM Academy for Women in Academic Emergency Medicine-Business Meeting SAEM Resident & Student Advisory Committee Meeting SAEM Ethics Committee Meeting SAEM GME Committee Meeting SAEM Awards Committee Meeting 2014 PC Planning Meeting SAEM Patient Safety Interest Group Meeting SAEM Sports Medicine Interest Group Meeting SAEM Foundation Board Luncheon-By Invitation Only AWAEM Academy for Women in Academic Emergency Medicine-Luncheon SAEM Membership Committee Meeting AWAEM/AAWEP Reception SAEM Wilderness Medicine Interest Group Meeting

Tower Room 1401 (14th Level) PT-200 Conference Room 1 (7th Level) PT- Conference Room 2 (7th Level) Tower Room 1202 (12th Level) Vinings Room I (6th Level) Vinings Room II (6th Level) Tower Room 1206 (12th Level) Tower Room 1203 (12th Level) Tower Room 1202 (12th level) Tower Room 1204 (12th Level) International Room A (7th Level) Tower Room 1202 (12th Level) Tower Room 1203 (12th Level) Ex. Board Room (6th Level) PT- Conference Room 1-2 (7th Level) Tower Room 1205 (12th Level) PT-200 Conference Room 3 (7th Level) Tower Room 1203 (12th Level)

Friday, May 17, 2013 – Affiliated Meetings 8:00am-1:00pm 8:00am-5:00pm 8:00am-5:00pm 8:00-10:00am 8:30am-3:00pm 10:00-11:30am 12:00-1:00pm 12:30-2:00pm 5:00-6:00pm 6:00-7:00pm 5:30-7:00pm

SIM WARS CORD Committee Meetings Physio-Control Usability Interviews- By Invitation Only ACEP Academic Affairs Meeting EMRA BOD Meeting & Committee Updates ACEP-SAEM Research WG Meeting Janssen Product Theater ACEP Research Committee Meeting CTSA Research Network Meeting EMRA Spring Awards Reception ACEP EMBERS’ Alumni Reception

Plaza Ballroom A-B-C combined (10th Level) Tower Room 1403 (12th Level) Tower Room 1402 (12th Level) Tower Room 1208 (12th Level) Tower Room 1201 (12th Level) Tower Room 1208 (12th Level) International H (6th Level) Tower Room 1208 (12th Level) PT-200 Conference Room 5 (7th Level) PT-200 Conference Room 1 & 2 (7th Level) Tower Room 1207 (12th Level)

Visit our Exhibitors in Peachtree Ballrooms (8th Level) • Thursday, May 16, 2013: 7:00 am - 5:00 pm Morning Coffee service at 7:00 am - 8:00 am • Friday, May 17, 2013: 7:00 am - 5:00 pm Morning Coffee service at 7:00 am - 8:00 am Coffee Break at 3:00 pm - 3:30 pm

May 14-18, 2013 | Atlanta, Georgia

31

daily schedule – saturday, May 18, 2013 8:00 - 8:50 am Didactics • Motivating Success: Conducting High Quality Behavioral Interventions for Addiction in Ed Patients - Lessons Learned From The Smart-Ed Multisite Trial/International B Cameron Crandall MD, Ryan McCormack MD, Alyssa Forcehimes PhD • Presentation Design - An Evidence-Based Approach to Creating Impactful, Effective Visual Aids/International G Malford Pillow MD, MEd

8:00 - 9:00 am Abstracts

• Post-Cardiac Arrest Care/Presentation #809-814/Atlanta A Moderator: Richard Summers MD • Simulation in Emergency Medicine/ Presentation #815-820/Atlanta C & D Moderator: Daniel Handel MD, MPH • Prescription and Abuse of Opiates/ Presentation #821-826/ Roswell 1 Moderator: Steven B. Bird MD • Toxicology/Presentation #827-833/ Roswell 2 Moderator: Kavita Babu MD

8:00 - 9:20 am Didactics • The Hidden Science in Your Emergency Medicine Research: Gender-Specific Study Design and Analysis.

Academy Sponsored-AWAEM /International C Esther Choo MD, MPH, Roger Lewis MD, PhD, Deborah Diercks MD, David Wright MD

8:00 - 10:00 am Abstracts

James Holmes MD, MPH, Mark Courtney MD, MSCI, Andrew Chang MD, MS, Comilla Sasson MD, MS • Deliberate Practice: A Learning Technique That Improves Mastery, Execution, and Retention of Medical Knowledge/International G Rodney Omron MD, MPH, Doug Franzen MD, M.Ed, Rahul Patwari MD

9:30 - 9:50 am Didactics • Top 5 Plays of the Day: How Gender-Specific Medicine Impacts Men’s Health. Academy Sponsored-AWAEM/ International C Alyson McGregor MD, Frederico Vaca MD, MPH, Nina Gentile MD, Basmah Safdar MD, Neha Raukar MD, David Portelli MD

10:00 - 10:50 am Didactics • NIH Individual Research Career Development (K) Awards: A Pathway to Research Independence/International B Jane Scott ScD, MSN, Lance Becker MD, Benjamin Abella MD, MS, Sean Collins MD, MSc • Enhancing the Quality and Transparency of Health Research: An Introduction to the EQUATOR Network and Implications for Emergency Medicine/International C Christopher Carpenter MD, MSc, Brian Hiestand MD, MPH, Zachary F. Meisel MD, MPH, MSc • Peer Mentoring: Enhancing Academic & Research Mentoring/ International G Stephen Cico MD, Med, Kelly Black MD, MSc, Joseph House MD, Cemal Sozener MD • Improve Your Teaching: Evidence-Based Teaching Workshop Using Articles That Will Change Your Teaching Practice/International H Sally Santen MD, PhD, Sue Farrell MD, Med, Robin Hemphill MD, MPH, Laura Hopson MD

• Airway Management/Presentation #789-796/Atlanta B Moderator: Diane Birnbaumer MD

11:00 - 11:50 am Didactics

8:00 - 11:30 am Abstracts

• NHLBI K12 Research Career Development Programs in Emergency Medicine Research/International B James Holmes MD, MPH, Arthur Kellermann MD, MPH, Jane Scott ScD • Superstars of Social Media: How to Incorporate Social Media Into Teaching and Education/International C James Miner MD, Michelle Lin MD, Scott Joing MD, Sean Fox MD • Trauma and Teamwork: Lessons from Iraq/International G Martin Makela MD • Quantifying the Worth of My Publications for Promotions and Grants: The h-Index, m-quotient, Eigenfactor, and Other Measures of Academic Currency/International H Christopher Carpenter MD, MSc, Cathy Sarli MLS, AHIP

• International Emergency/Presentation #797-808/ Atlanta E & F Moderator: Charles Gerardo MD

8:00 am - 12:00 pm Other Session

• SonoGames/Plaza Ballroom ABC

9:00 - 9:50 am Didactics • SAEM AND EMF Grants: Opportunities and Submission Process/International B

Saturday, May 18, 2013 – Affiliated Meetings 9:00am-12:00pm

32

EMRA BOD Meeting

Society for Academic Emergency Medicine

Tower Room 1201 (12th Level) Detailed Didactics can be found starting on page 34. Detailed Abstracts can be found starting on page 53.

Maximize your time at the SAEM 2013 Annual Meeting: A guide for residents and medical students Winter has dragged on and on for many of us across the country. From the record snowfalls in the Northeast to the frigid temperatures in the Midwest, spring seems a little far off, even for those of us out West with ski slopes to enjoy the long winter! After all these cold months, SAEM couldn’t have picked a better place for our 2013 Annual Meeting than the Peach State, and ‘Hot-lanta’, as the locals affectionately call their capital city. The nickname might stem from the warm weather of the South or the exciting nightlife of Atlanta, but either way we have a lot to look forward to, and we haven’t even talked about the conference yet! Now, let’s focus on a few of the many stand-out conference sessions available to you at the 2013 meeting.

Day 1, May 15, offers some excellent sessions from a professional and educational standpoint. Come be inspired by some former residents (also known as junior faculty) selected from a nationwide search for individuals who brought innovation and leadership to their respective programs as residents (“How to Become a Trailblazer: Perspectives from Resident Innovators” 3:00 pm.) If you are already thinking about what to do after residency, check out some of the fellowship-focused sessions – from critical care (“The Current State of Critical Care Training” 10:00 am) to EMS (“Advances in EMS Education” 11:00 am) to wilderness medicine (“Thriving in the Wilderness” 1:00 pm), there is something for every interest.

Here’s hoping your after-hours activities on Day 1 didn’t run too late, as the session “Choosing a High-Impact Quality Improvement Project as a Resident or Student AND Getting it Published” at 8:00 am promises to provide maximum impact. All residents are required to engage in quality improvement and scholarly works, so why not learn to tackle both tasks simultaneously? Later in Day 2, “Challenging the PhysicianPatient Relationship: Negotiating Deception, Manipulation and Medical Mistakes” will deal with some controversial and hard-hitting topics we will all face during our careers. And of course, don’t miss the keynote speaker, Dr. Thomas Frieden, the director of the CDC, which can also be found right here in Atlanta.

In the second half of the conference, we have some additional sessions that we think would be worthwhile for residents to attend. Let’s start with the sessions on Friday, May 17. Though we all like to sleep in to some degree, “Diagnostic Imaging and Radiation Exposure: How Much is too Much?” promises to be worth waking up to attend at 8:00 am! At some point, a patient has asked you about the radiation exposure of all the studies you order, and this talk will address some of these concerns.

Additionally, the 10:30 am didactic on “Policy Change 101: A How-To Primer for the Emergency Physician” should be of value to residents and students. In this day and age of graduate medical education cuts, trimming of costs from hospitals, and yet even more patients, it is important to be involved in the health policy debate.

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

sessions. During residency (and beyond,) we will have to give a lecture or presentation on a topic. At 8:00 am, “Presentation Design: An Evidence-Based Approach” should help you with this important skill.

And finally, we are all hearing more and more about Twitter, Facebook, LinkedIn, blogs, podcasts, and all other types of social media within EM. Wondering what in the world is a hashtag? Or, do you keep hearing about FOAM (Free Open Access Meducation) and want to know what the big craze is about? One of the final sessions of the conference at 11:00 am is about incorporating social media into education. See how this new phenomenon is changing the way we learn and debate information. Also, be sure to check out SonoGames; either bring your own ultrasound team or be a spectator at the fight for sonographic supremacy!

The SAEM Annual Meeting is the premiere event for the latest and greatest research within EM. No matter what sessions you choose to attend, you are bound to learn something that will help you in your practice. The more meetings you attend, the better you will be able to critically evaluate posters and didactics. Use this information that you gain to decide how to shape the way you practice EM. One of the authors of this article (BR) has been to 5 annual meetings already and feels strongly that the knowledge you will learn WILL shape your practice and put you on the cutting edge of EM. Another great reason to come to the meeting is for networking with your colleagues from across the country (and the world!) Virtually all of the interest groups hold meetings here, and you get to join one free with your membership! Additionally, all of the academies have their own meetings. For residents and students, the Residency & Fellowship Fair is a great place to network with program directors and other faculty/residents/fellows from individual programs.

This is the best time to ask your questions and get a feel for the program before deciding to apply. The list of programs at the fair is published in advance - make sure you circle the ones you want to go to and have questions ready for them. You will be surprised by how friendly everyone is and how quickly you can catch someone’s eye or make a connection!

In conclusion, the Annual Meeting is the face of the Society and all that it does over the course of the year. The Society is the only emergency medicine organization that represents all residents in every program throughout the country as THE academic society in emergency medicine.

It is worth attending as a student or resident at a minimum once. In addition to all of the great academic material you will learn, you will have a great time! Between the social events, experiencing Atlanta, and gaining knowledge, it will be a great conference and we look forward to seeing many of you here. And, of course, to those unable to attend because they are staffing our emergency departments, we thank you too!

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

May 14-18, 2013 | Atlanta, Georgia

33

SAEM 2013 Annual Meeting Didactic Presentations May 14 - 18, Atlanta, GA WEDNESDAY, MAY 15th The Role of Electroencephalography and of Reduced Lead EEG in the Emergency Department.

DS001 – Peachtree A & B Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am Historically, EEG has been used in the emergency department setting on a limited basis when prompted by neurological consultants. Dr. Brenner has been a proponent of the use of EEG with reduced lead to diagnose nonconvulsive status epilepticus. Dr. Michelson has pursued the use of EEG in the recognition of stroke.

He will also review the recent literature and current trials on quantitative EEG in assessment of traumatic brain injury. Together, they are studying the use of reduced lead EEG in a multicenter trial. They will each review the indications and limitations of reduced lead EEG in the emergency department setting.

Objectives: At the completion of this session, participants should be able to recognize the indications for reduced lead EEG use in the ED and be aware of the limitations of its interpretations.

Jay Brenner MD – submitter, presenter SUNY-Upstate Medical University, Syracuse, NY Ed Michelson MD - presenter Case Western Reserve University, Cleveland, OH

How to Effectively Supervise and Teach Residents: Entrustment and Autonomy DS002 – Peachtree C Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am

Development of Clinical Decision Instruments in Emergency Medicine

The purpose of residency is to train residents to manage patients independently while the role of the attending faculty varies in supervision and allowing autonomy. This concept has been termed entrustment (ten Cate, 2006). This is the key to Entrustable Professional Activities which further delineate the new EM Milestones. As residents progress along the milestones, the role of the supervising physician is to facilitate incremental increase in responsibilities of patient care to residents with concurrent reduction in clinical oversight. Entrustment varies based on attending factors (experience, confidence), resident factors (level of training, characteristics), patient factors (severity of illness, complexity) and environment (volume, service expectations). In this session, we will discuss how leveraging entrustment can create an effective learning environment. We will explore resident perceptions of autonomy, the learning environment, and strategies for faculty to enhance resident learning within this framework. The workshop will be highly interactive, requiring participants to use and understand resident supervision and autonomy, review their own current practice, and then apply new techniques to their clinical teaching. This session will start with short didactic presentation and large group discussion to understand entrustment and autonomy. We will then incorporate facilitated small group discussions to further understand the concepts and develop ways to improve each participant’s ability to engage with a resident at an appropriate level of supervision and autonomy. Small group facilitators: Nadia Juneja, Robin Hemphill, Felix Ankel, and Sheryl Heron.

Objectives: At the completion of this session, participants should be able to: 1. Describe the factors affecting autonomy, 2. Demonstrate the ability to navigate the barriers to entrustment, 3. A ppropriately facilitate resident autonomy and grant-trainee-suitable entrustment of patient care to enhance resident education while maintaining appropriate supervision.

Sally Santen MD, PhD – submitter, presenter University of Michigan, Ann Arbor, MI Ben Bassin MD - presenter University of Michigan, Ann Arbor, MI Katie Saxon MD - presenter University of Michigan, Ann Arbor, MI Meg Wolff MD - presenter University of Michigan, Ann Arbor, MI

DS004 – Peachtree E Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am

In the Middle: Non-Physician Providers in the Emergency Department DS003 – Peachtree D Session Time: Wednesday, May 15, 2013 8:00 - 8:50 am

34

There are an increasing number of non-physician providers (NPs and PAs) working in academic and community emergency medicine departments. Many departments may have initially turned to non-physician providers as a way to increase staffing and provide direct patient care. Some departments have integrated the non-physician providers fully into their academic structure and mission. These providers are now responsible for resident and student education, research and professional development in addition to their duties of patient care.

Just like physicians, they must balance the demands on their time and chart a course for career advancement. We will examine the evolution of opportunities for non-physician providers in the emergency department and illustrate how non-physician providers can become an integral part of an academic emergency medicine department. There will also be a discussion for non-physician providers on where to turn for resources for career development.

Objectives: At the completion of this session, participants should be able to: 1. D efine current and future roles for non-physician providers in academic emergency medicine.

2. D iscuss the challenges and rewards of integration of non-physician providers in emergency departments.

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

Henderson McGinnis MD - submitter Wake Forest Baptist Health, Winston Salem, NC Jeff Hinshaw PA - presenter Wake Forest Baptist Health, Winston-Salem, NC Randy Howell DO, FACOEP - presenter West Virginia University, Morgantown, WV

Decision Instruments (DIs) allow for safe, effective diagnostic test utilization with resource savings and other notable benefits, such as decreased radiation exposure. The following topics will be discussed: 1) Choice of DI topics (how to choose appropriate topics for a DI), 2) Basics of DI study design (derivation and validation techniques), 3) Study methodology including controlling for bias (especially work-up bias), and 4) Statistical concepts (sample size, recursive partitioning vs. logistic regression). During the first 36 minutes, presenters will discuss the above topics in three 12 minute Power-point presentations. During the last 14 minutes, the moderator will summarize the discussion and lead a question and answer session.

Objectives: On completion of the session, participants should be able to: 1. D escribe the utility of DIs and how to choose a topic for DI development.

2. D escribe the basics of DI study design.

3. Define the need for controlling elements of bias4: Discuss basic statistical concepts inherent in DI methodology.

Robert Rodriguez MD – submitter, presenter UCSF, San Francisco, CA James Holmes MD - presenter UC Davis Dept of Emergency Med, Davis, CA Nate Kuppermann MD, PhD - presenter UC Davis, Davis, CA William Mower MD, PhD - presenter UCLA Medical Center, Los Angeles, CA

ED-based Critical Care Resident Rotations & Experiences as Opportunities for Teaching Critical Care in the Emergency Department DS005 – Peachtree A & B Session Time: Wednesday, May 15, 2013 9:00 - 9:50 am Critical Care has long been a major part of Emergency Medicine. For the most part clinical critical care has been taught by inpatient intensivists on inpatient ICU’s with the expectations the methods and techniques would be naturally transitioned to the ED. Due to many factors including increasing numbers of Emergency Intensivists on residency faculties providing bedside teaching of critical care techniques has expanded. While inpatient ICU experiences are still

Society for Academic Emergency Medicine

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

of value in resident education programs are now creating ED-based critical care rotations. This session will provide results of a survey of programs on the current use of both inpatient and ED-based critical care education. Panelists will present 2 current ED-based critical care rotation designs describing the educational methods and resident responses to the courses. After the panelist’s presentation there will be time for questions from the audience about the survey results and the courses described as well as the potential evolution for this type of experience in other programs.

Objectives: At the completion of this session participants should be able to: 1. Describe the current critical care education methods reported in the survey of residency programs.

2. D escribe the emerging use of ED-based clinical critical care rotations and experiences in resident education.

3. D efine the facilities and resources needed to establish ED-based critical care rotations.

4. D emonstrate how to create ED-based critical care experiences without a dedicated ED critical care unit.

Kevin Ferguson MD - submitter University of Florida., Gainesville, FL Lillian Emlet MD - presenter University of Pittsburgh, Pittsburgh, PA Robert Sherwin MD, FACEP, FAAEM - presenter Sinai Grace Hospital/Detroit Receiving Hospital, Detroit, MI Scott Wiengart MD - presenter Sinai School of Medicine & Elmhurst Hospital Center, New York, NY

Not Another Boring Lecture: Five Ways to Spice Up Your Didactics!

DS006 – Peachtree C Session Time: Wednesday, May 15, 2013 9:00 - 10:20 am This session will challenge participants to branch out of their comfort zone by demonstrating and encouraging the use of modern instruction. Learners only retain 10-30% of what they hear in standard lectures often because little attention is paid to learning theories and principles of instructional design that promote improved attention and knowledge retention. During the session, participants will participate in several methods of interactive teaching that demonstrate dynamic opportunities for the teacher to engage the learner. These will include the flipped classroom methods, slide presentation principles framed within Richard Mayer’s cognitive theory of multimedia learning, embedding active learning in the lecture format, and innovative lecture techniques. At the completion of the session, participants will be able to incorporate new teaching methods into their practice.

Due to the interactive nature of this workshop there will be 4 facilitators: Robin Hemphill, Ben Bassin, Mary Jo Wagner and Philip Shayne.

Objectives: At the completion of this session, participants should be able to: 1. Recognize examples of less effective instruction 2. Demonstrate a basic understanding of modern learning theories and their role in instructional design 3. E mploy new teaching tools effective for their environment.

Margaret Wolff MD - submitter, presenter University of Michigan, Ann Arbor, MI Mary Jo Wagner MD – presenter Central Michigan University, Saginaw, MI Sally Santen MD, PhD - presenter University of Michigan, Ann Arbor, MI Stacey Poznanski MD - presenter Wright State University, Dayton, OH

Impact of the 2010 AHA Post-Cardiac Arrest Care Guidelines: Assessing Knowledge Translation & Implementation DS007 – Peachtree D Session Time: Wednesday, May 15, 2013 9:00 - 9:50 am In 2010 AHA and ILCOR published guidelines that advocated implementation of comprehensive post-cardiac arrest care, including therapeutic hypothermia, to improve outcomes after cardiac arrest. Resuscitation research has surged in the last decade explicitly because the results of two randomized controlled trials showed that the application of mild therapeutic hypothermia after cardiac arrest positively influenced neurologic outcomes. Now over two years since the 2010 Guidelines, the impact on systems of care remains largely unknown and highly variable. Numerous factors play roles in the acceptance and adherence to published guidelines, including 1) individual knowledge of such recommendations and 2) institutional expertise, experience (patient volume), and resources.

In the US, there are several different models of post-arrest care, from the multidisciplinary, on-call team approach to a protocol-driven order set initiated upon admission to the intensive care unit. Emergency Medicine physicians are uniquely positioned as experts in emergency care to resuscitate patients suffering both in- and out of hospital cardiac arrest. As such, knowledge of current guidelines and appreciation for potential limitations to their implementation may improve our ability to initiate comprehensive post-arrest care and advocate in the best interest for our patients. Evidence-based recommendations for postarrest care will be reviewed though specific management techniques will not be discussed. The conversation will incorporate a discussion of future research directions within cardiac resuscitation as pertaining to the guidelines.

Objectives: At the completion of this session, participants should be able to: 1. Discuss the concept of comprehensive post-cardiac arrest care and the general evidence-based goals as laid out in the 2010 Guidelines 2. I dentify the variations in implementation of the 2010 Guidelines in the US 3. D escribe limitations to knowledge translation and developing systems of care for cardiac arrest 4. I dentify future research directions within cardiac resuscitation Kelly Sawyer MD, MS – submitter, presenter William Beaumont Hospital, Royal Oak, MI Teresa Camp-Rogers MD, MS - presenter UT Health Science Center at Houston, Houston, TX Michael Kurz MD, MS-HES - presenter Virginia Commonwealth University, Richmond, VA

Introduction to Statistics DS008 – Peachtree E Session Time: Wednesday, May 15, 2013 9:00 - 10:20 am To succeed in research and academia, a fundamental knowledge of important statistical concepts is a necessity. This knowledge will allow investigators to plan a sound research study, develop testable hypotheses, choose appropriate analytical methods, and determine the feasibility of performing a study in a given population and setting. In this session, Dr. Lewis will discuss introductory statistical topics such as types of data, common statistical tests, p values, confidence intervals, and sample size and power calculations. An overview of subgroup analysis, interim data analysis, and intention to treat will also be provided. Through discussion of these concepts at this session, attendees will increase their understanding of statistical concepts and will be able to apply this knowledge to their research and practice.

Objectives: 1. Describe types of data, common statistical tests, p values, and confidence intervals 2. Apply sample size and power calculations 3. Distinguish subgroup analysis, interim data analysis, and intention-to-treat concepts Roger Lewis. Harbor MD, PhD – submitter, presenter UCLA Medical Center, Torrance, CA

The Current State of Critical Care Fellowship Training for Emergency Medicine Residency Graduates DS009 – Peachtree A & B Session Time: Wednesday, May 15, 2013 10 - 10:50 am Decades of effort to open Critical Care Training and certification to Emergency Physicians are culminating in rapid expansion of Fellowships and Certification Pathways. Currently ABEM and ABIM have defined a pathway to certification for Emergency Physicians who have completed a 2 year IM based program.

Anesthesiology and Surgery are currently exploring and developing pathways for Emergency Physicians to complete Critical Care fellowships in their programs.

This session will provide an update on these developments and provide insight to the curriculums of the various programs. A survey of current CCM programs accepting emergency physicians and current state of ABEM certification agreements will be presented by the moderator. Panelists consisting of Program Directors from Medicine, Anesthesiology and Surgery Fellowships that accept EP’s will make brief presentations on their current or planned curriculum, pathways to certification for their graduates and potential employment opportunities as emergency intensivists in their institutions or departments. After the panel presentations there will be a period of questions and answers from the audience to the panel.

Objectives: 1. Summarize the results of a recent survey of critical care fellowship directors regarding emergency physician applicants

May 14-18, 2013 | Atlanta, Georgia

35

2. D escribe the differences in the curriculums of anesthesia, medicine and surgery fellowships 3. I dentify the various pathways to certification for graduates of the various fellowships.

4. D efine the potential career options as emergency intensivists in their institutions and departments.

Kevin Ferguson MD - submitter, presenter Univ. of Florida, Gainesville, FL Andrea Gabrielli MD - presenter University of Florida, Gainesville, FL Jay Menaker MD - presenter Univ. of Maryland Medical Center, Baltimore MD Mike Winters MD - presenter University of Maryland, Baltimore MD

Fulfilling the Residency Educational Mission at Independent Academic Medical Centers DS010 – Peachtree D Session Time: Wednesday, May 15, 2013 10 - 10:50 am Independent academic medical centers represent an important setting for the training of emergency physicians. Neither university-based departments of emergency medicine nor community hospitals serving as secondary training sites, independent academic hospitals are home to nearly one-third of accredited allopathic emergency medicine residency programs. This session will explore the unique challenges and opportunities that exist in training emergency medicine residents in the independent academic hospital setting. Dr. Katz will provide an overview of the common practice setting differences between universitybased and independent academic hospitals and their implications for residents and faculty in the independent academic environment. Dr. Garmel will describe the challenges and opportunities faced by faculty educating residents while working at an independent academic hospital, with specific focus on didactic and bedside teaching in this environment. Dr. Davenport will elucidate the challenges and opportunities for emergency medicine residents who train at independent academic hospitals, with specific focus on the clinical environment, the diversity of teaching faculty, and approaches for residents to maximize their academic preparation in this setting. Dr. Venkat will discuss the challenges and opportunities for resident scholarly activity in the independent academic environment, with specific focus on garnering resources for research and approaches to increasing scholarly productivity by residents in this setting as preparation for an academic career. The session will conclude with a question-answer session to further discuss the challenges and opportunities of residency education in this setting.

Objectives: At the completion of this session, participants should be able to: 1.

Describe the challenges to training emergency medicine residents at independent academic medical centers, specifically within the categories of clinical practice, didactics, and scholarly activity.

2. List ways to mitigate these challenges to advance the educational mission of residencies in independent academic hospitals.

3. Describe the opportunities available for residents and faculty at independent academic hospitals.

Arvind Venkat MD – submitter, presenter Allegheny General Hospital, Pittsburgh, PA Moira Davenport MD - presenter Allegheny General Hospital, Pittsburgh, PA Gus Garmel MD - presenter Stanford/Kaiser Permanente, Palo Alto, CA Eric Katz MD - presenter Maricopa Medical Center, Phoenix, AZ

Systems Milestones for Academic Programs: Moving from Novice to Expert DS011 – Peachtree C Session Time: Wednesday, May 15, 2013 10:30 - 11:50 am The Next Accreditation System (NAS) is based in the Dreyfus Model of individual milestone development from novice to expert. A parallel development of milestones for systems can be created for academic programs when leaders manage the domains of autonomy, coping with complexity, and perceiving context. The workshop will be highly interactive, requiring participants to reflect on their programs and design elements of improvement in their academic program in a strategic fashion. This session will start with a short didactic presentation followed by a large group discussion. During the session participants will have the opportunity to reflect on the Dreyfus’ Model, work in small groups to develop a strategy that fits within the context of their institution’s culture, and

36

develop a blueprint for moving academic programs towards the expert level.

To allow for effective small group facilitated discussion, additional small group facilitators include: Stephanie Taft MD (Regions Hospital), Sheryl Heron MD (Emory University), Laura Hopson MD (University of Michigan) and Sam Hauff MD (University of Michigan).

Objectives: At the completion of this session, participants should be able to: 1. Describe the Dreyfus Model of novice, beginner, competent, proficient, and expert through the domains of autonomy, context, and complexity 2. Reflect on systems milestones needed to develop expert programs 3. Design a 10-point blueprint for system expertise to bring back to participants’ local programs Felix Ankel MD – submitter, presenter Regions Hospital, Saint Paul, MN Robin Hemphill MD - presenter National Center for Patient Safety, Veterans Health, Ann Arbor, MN Sally Santen MD, PHD - presenter University of Michigan, Ann Arbor, MN

Team Science in Research: What is the Role of Emergency Medicine?

DS012 – Peachtree E Session Time: Wednesday, May 15, 2013 10:30 - 11:50 am Whether the project is basic science or clinical research, the team approach to research is not only necessary but a competitive advantage. In these teams, each member contributes specific resources or areas of expertise to accomplish the goals of the project. Because EM is not disease specific, integrating EM investigators into a research team can be less intuitive than with other specialties.

In the first part of this panel discussion, EM investigators who have been successful PIs of large multi-disciplinary proposals will share tactics and pitfalls associated with the EM investigator as team science PI. Topics covered will include methods for leading a team, seeking out researchers and study personnel from various disciplines, congealing the team, honing the approach, and keeping team members accountable for deliverables. During the second part of this panel discussion, experienced EM investigators will share examples of collaborations in which their involvement as Co-I was successful and those that were not. These examples will serve to outline a framework in which EM investigators generally contribute: a) access to patients; b) research infrastructure for enrollment of ED patients; and/or, c) intellectual expertise. Discussions will focus on negotiations of items such as academic credit, expected deliverables, consumption of research resources, and financial compensation. These experts will also provide examples of EM investigators who have developed an area of intellectual expertise that successfully integrates into research teams. In the conclusion of this presentation, the panel will present a list of general principals to guide EM investigators as they develop and contribute to research teams.

Objectives: At the completion of this session, participants should be able to: 1. Describe approaches for EM investigators to be successful research team leaders 2.

Conceptualize successful and unsuccessful arrangements when joining a research team as a co-investigator.

3. Describe, with examples of successful teams involving EM investigators: a. Implementation of a clinical trials unit, b. Development of a multicenter federally sponsored clinical trial, c. Definition of an area of intellectual expertise as an EM investigator.

Chadwick Miller MD, MS – submitter, presenter Wake Forest School of Medicine, Winston-Salem, NC Roger Lewis MD, PhD - presenter David Geffen School of Medicine at UCLA, Torrance, CA Alan Storrow MD - presenter Vanderbilt University, Nashville, TN Gregory Fermann MD - presenter University of Cincinnati, Cincinnati, OH

Advances in EMS Education for Residents DS013 – Peachtree A & B Session Time: Wednesday, May 15, 2013 11:00 - 11:50 am The American Board of Medical Specialties recently established Emergency Medical Services (EMS) as a sub-specialty of Emergency Medicine, recognizing that EMS comprises a distinct practice and fund of knowledge. Emergency Medicine residents have varied exposure to pre-hospital care and EMS systems depending on their training location and departmental priorities/resources. The SAEM EMS Interest Group and its EMS Curriculum Development Task Force have sought to continue to develop the new sub-specialty, cultivate the fertile ground

Society for Academic Emergency Medicine

for research, spark an interest in residents and students to pursue careers in EMS, and improve patient care in all phases of healthcare that interact with EMS by refining and further developing standard EMS curricula for EM residents and students. This session will begin with overview of, and commentary on, the Interest Group’s recommendations with a focus on resident education. The remainder of the session will be devoted to a discussion of how to implement and achieve these important educational objectives. Audience participation will be encouraged to create a vibrant discussion. Ideas raised in this session will be incorporated into the task force’s final report.

Objectives: At the completion of this session, participants should be able to 1. Describe the current model of EMS education for residents; 2. Describe EMS educational objectives for residents, as well as methods to achieve these objectives.

Michael Hilton MD - submitter University of Pittsburgh, Pittsburgh, PA David Cone MD - presenter Yale University, New Haven, CT Jonathan Fisher MD, MPH - presenter Harvard University, Boston, MA Christian Martin-Gill MD, MPH - presenter University of Pittsburgh, Pittsburgh, PA

The Nonquantitative Aspect of Resident Training in the Community ED DS014 – Peachtree D Session Time: Wednesday, May 15, 2013 11:00 - 11:50 am We all remember what it was like to be a resident: the long days and the hard nights, the feeling that maybe, perhaps, you missed something, the joy over successfully intubating. Faculty in turn takes great pride in enriching the experience. However, education is simply one piece of the resident-faculty interaction. Supervising residents on a clinical shift can have other intended and unintended consequences besides the creation of a positive learning environment. This session will explore the additional responsibilities community based academic emergency physicians encounter when residents are added into their departments. In particular topics to be presented will include 1) The financial costs of residents (Most affiliates now pay their salary) with a focus on the cost benefit of having a resident vs. midlevel provider as caregiver 2) the time demands for bedside teaching and how that influences physician coverage of other patients 3) the impact of residents on patient flow, patient satisfaction, and HCAHPs 4) the relationships between resident and medical staff, and resident and ancillary staff.

Objectives: At the end of this session, participants should be able to: 1. Identify both the positive and the negative aspects of having residents in community teaching EDs. 2. Define the options available to resolve any adverse consequences, while at the same time enhancing the good aspects of a residency program.

3. Describe how to establish programs and effectively communicate between residency directors and ED community faculty.

Michael Hochberg MD – submitter, presenter Saint Peter’s University Hospital/Drexel, Saint Peter’s University Hospital/ Drexel, Al Sacchetti MD - presenter Our Lady of Lourdes Kevin Klauer MD - presenter EMP Chad Kessler MD - presenter Jesse Brown Hospital

Thriving in the Wilderness: What Wilderness Medicine Fellowship Applicants and Directors Need to Know DS015 – Peachtree A & B Session Time: Wednesday, May 15, 2013 1:00 - 1:50 pm Wilderness Medicine Fellowships are an increasingly popular means of gaining sub-specialty training in the provision of resource-limited medical care under austere conditions. Wilderness Medicine Fellows are trained through clinical and scholarly work at the nation’s major medical centers and in the planet’s most austere and remote environments. Following graduation, fellows contribute to the advancement of EM in a range of capacities: from starting new fellowships at leading academic medical centers, to teaching & providing clinical care on the slopes of Denali, the shores of post-tsunami Japan, and underserved areas of Africa. Fellowships produce scholars with active research careers funded by the NIH and other governmental sources. This panel discussion will provide emergency medicine residents with actionable data on how to assess advanced training

options in wilderness medicine. We will describe how to create a vibrant research, clinical care, and teaching career as academic wilderness medicine specialist.

We will provide a practical, pragmatic introduction to critical fellowship topics including: realistic goals for field experience, how to get started in wilderness medicine research, assessing research productivity and fit with applicant’s interests, key features of WM curriculum, and sources of WM expertise.

Additional topics will include how to investigate potential WM field clinical care experiences, how to arrange synergistic interactions with other fellowships, and to highlight the benefits to EM residents and EM faculty provided by a vigorous WM Fellowship. Finally, we will discuss the creation and content of the unified national WM Fellowship Curriculum in the service of establishing ACGME/ABMS certification for wilderness medicine fellowships.

Objectives: At the completion of this Panel, participants should be familiar with methods for assessing the quality and personal fit of advanced wilderness medicine training opportunities. They should be able to define the role of training in research, teaching, and clinical care expertise in advanced wilderness medicine practice. Additionally, this should provide directly applicable training on how academic EPs can establish a successful wilderness medicine fellowship.

N. Stuart Harris MD, MFA Massachusetts General Hospital, Harvard Medical School, Boston, MA Tracy Cushing MD, MPH University of Colorado, Aurora, CO

Taking Advantage of the Teachable Moment: A Workshop for Efficient, Learner-Centered Clinical Teaching DS016 – Peachtree C Session Time: Wednesday, May 15, 2013 1:00 - 2:20 pm When working in a chaotic emergency department with competing priorities, clinical teaching may be sacrificed for the sake of patient flow and throughput.

An organized, efficient approach to clinical teaching based upon constructivist educational theory helps focus the teaching on what the learner needs at that moment, incorporates regular feedback, keeps the department on track, and prevents over-teaching. In this interactive workshop, participants will discuss characteristics of ideal clinical teachers, the theoretical underpinnings of learner-centered education, and common barriers to effective clinical teaching.

Learner-centered teaching models, such as the one-minute preceptor, SNAPPS, and L-CARE, will be compared. Videos illustrating examples of effective and ineffective teaching encounters will serve as a springboard for small group, case-based practice using the teaching models. At the end of this workshop, participants will be prepared to seize the teachable moment and provide timely and learner-centered clinical educational encounters.

Objectives: At the completion of this session, participants should be able to: 1. Discuss characteristics of ideal clinical teachers 2.

Recognize constructivist educational theory applied to learner-centered education 3. Discuss barriers to effective clinical teaching 4. Incorporate learner-centered teaching techniques into their clinical practice Todd Guth MD - submitter University of Colorado, School of Medicine, Aurora, CO Elise Lovell MD - presenter Advocate Christ Medical Center, Oak Lawn, IL Sneha Shah MD - presenter University of Massachusetts, Worcester, MA Mike Epter DO - presenter University of Nevada, Las Vegas, NV

Investigator-Initiated Research Without an Existing Research Infrastructure: How to Succeed in Any Practice Setting DS017 – Peachtree D Session Time: Wednesday, May 15, 2013 1:00 - 1:50 pm The focus of Emergency Medicine research has changed dramatically in the last 30 years. EM research has developed from a friendly homespun, investigator-initiated endeavor into a highly complicated competitive undertaking on a multimillion dollar national level. The NIH investment in emergency care research asks emergency physicians to identify research areas that aim at improving efficiency and resource utilization in our increasingly overburdened emergency care system.

Physicians from every practice in Emergency Medicine play a critical role in this mission. But how can community based physicians and even those in academic centers without existing emergency medicine infrastructure accomplish this in our rapidly changing research landscape? Community-based academic medical centers, midway between university-based departments of emergency medicine and community hospitals without academic affiliation, frequently lack the

May 14-18, 2013 | Atlanta, Georgia

37

research infrastructure of a university based institution. Even many university based programs lack sufficient infrastructure necessary to undertake seemingly basic research questions. The lack of institutional support as well as barriers to performing research can confound and overwhelm an unseasoned researcher. The speakers will address steps to facilitate study design, maximize data collection, and achieve support for research.

Objectives: The objective of this didactic is to help faculty and residents learn the challenges and obstacles that face researchers in these settings, and various methods for dealing with them. At the end of this session, participants should be able to: 1. Identify sources to assist in the development of research proposals.

2. Identify the challenges in and find solutions for data collection and research assistants.

3. Identify avenues for obtaining institutional and outside resources to conduct this research.

John Cienki MD, MSPH – submitter, presenter Jackson Memorial Hospital, Miami, FL Robert J Hoffman MD - presenter Beth Israel Medical Center, New York, NY Brigitte Baumann MD, MSCE - presenter Cooper University Hospital, Camden, NJ Judd Hollander MD - presenter Hospital of University of Pennsylvania, Philadelphia, PA

Asking the Question that Clinicians Want Answered Within an Adaptive Comparative Effectiveness Trial DS018 – Peachtree E Session Time: Wednesday, May 15, 2013 1:00 - 1:50 pm Our discussion of adaptive clinical trials will focus on a very specific class of flexible designs. Our use of the term adaptive refers to trials which make use of accumulating information from enrolled subjects to make changes in the conduct of the ongoing trial. Importantly, all of these changes are prospectively planned using extensive numerical simulation and sensitivity analyses. These designs can help the trial investigators concurrently accomplish important scientific and medical goals. In this session we will identify situations where specific types of adaptive clinical trial designs could be useful. In addition, we will situations in which adaptive designs may not be as useful or may even be less efficient.

Adaptive trials offer potential benefits in improving trial efficiency (smaller trials which are more likely to be successful) that must be balanced against the additional complexities (extensive up-front simulation work and the need to rapidly incorporate accumulating data from participants within the on-going trial).

We will provide an overview of the key characteristics of high-quality adaptive clinical trial designs, with a specific example of a comparative effectiveness trial designed to determine which treatment or treatments to use for established status epilepticus. In the workshop, we will present a real example of a simulated trial (using statistical software package R – participants are encouraged to bring laptops with R loaded), and demonstrate potential strengths of using simulation in research planning. Finally, the panel discussion will focus on lessons learned from the trial design process and the attendee will learn about potential methods to enhance the efficiency of trial design.

Objectives: The learner should be able to: 1. Describe the taxonomy of adaptive clinical trial designs and areas where such designs may be useful.

2. Describe the advantages of using numerical simulation in clinical trial design and encourage attendees to consider using these methods when designing clinical research 3. Anticipate potential process issues within trial or research design and use best practices identified through ADAPT-IT to maximize the efficiency of the process.

William Meurer MD, MS – submitter, presenter University of Michigan, Ann Arbor, MI Jason Connor PhD - presenter Berry Consultants, Austin, TX Roger Lewis MD, PhD - presenter Harbor UCLA Medical Center, Los Angeles, CA

From the Bleachers to the Sidelines: Careers and Opportunities in Sports Medicine DS019 – Peachtree A & B Session Time: Wednesday, May 15, 2013 2:00 - 2:50 pm Primary care sports medicine has traditionally been practiced by family medicine physicians, internists, and pediatricians, but the subspecialty has seen growth in emergency medicine in recent years as well. Emergency physicians offer a unique

38

skill set and are well-positioned for success in sports medicine. With the proper training, experience, or special interest, there are a variety of opportunities in sports medicine available to the emergency physician. This session will discuss the role of the emergency physician in sports medicine, the current state of sports medicine fellowship training, and career paths and other opportunities for residents and practicing emergency physicians with or without fellowship training.

Each speaker practices academic emergency medicine, clinical sports medicine, and team medicine in settings encompassing high school, college, and professional sports. Jeffrey Feden MD, will provide an overview of the subspecialty, options for fellowship training, and typical career paths (10 minutes). Daniel Garza MD, a team physician at Stanford University and Medical Director for the NFL’s San Francisco 49ers, will highlight the role of the emergency physician in team medicine (10 minutes). Moira Davenport MD, Associate EM Residency Director and sports medicine fellowship faculty member at Allegheny General Hospital will offer her perspective on balancing a career in academic emergency and sports medicine (10 minutes). The program will conclude with a panel discussion moderated by Dr. Feden, during which all three speakers will share their recommendations for pursuing sports medicine within the academic setting (15 minutes). A brief question and answer session will follow (5 minutes).

Objectives: At the completion of this session, participants should be able to: 1. Identify the fundamental practice of primary care sports medicine and routes of entry into the subspecialty; 2. Define the role and unique qualifications of the emergency physician in sports medicine; 3. Recognize the spectrum of career paths available to the fellowship-trained emergency physician; 4.

Identify areas of involvement for the interested resident or emergency physician without formal training.

Jeffrey Feden MD - submitter, presenter Brown University, Warwick, RI Daniel Garza MD - presenter Stanford University, Palo Alto, CA Moira Davenport MD - presenter Allegheny General Hospital, Pittsburgh, PA

Creating a Successful Research Assistant Program in your Emergency Department DS020 – Peachtree D Session Time: Wednesday, May 15, 2013 2:00 - 2:50 pm Emergency medicine core faculty faces difficult demands on their time and often do not have the resources to initiate original research. Creating a team of research assistants (RAs) to enroll patients is a core part of succeeding at this mission.

This session will describe two successful ways of accomplishing these goals: 1) University-based Research Associates Program: this method is sometimes referred to as an Emergency Medicine Research Associates Program or EMRAP. In this approach, a group of motivated students are selected for a college credit program volunteer in the ED as RAs enrolling patients. The research associates program recruits college students though a competitive process involving an application and selected interviews. Those who are selected receive training in research ethics, HIPAA compliance, use of the electronic medical record (EMR) and live training on how to enroll patients into clinical study. These programs often make use of a permanent research coordinator to co-direct the program.

It is estimated that as many as 20 of these programs exist around the US. This segment will provide insight in how to start such a program at your site.2) Funding salaried RAs through use of departmental funds and grants: this segment will discuss ways to fund salaried research associates, who are employees in the ED. Advantages of this approach include having longer-term RAs who require fewer episodes of training, and to allow them to be paid for their services. Requirements include establishing a long-term coordinator to run the program, and obtaining initial and steady-state funding, through a mix of grants and contracts from government, foundation and industrial sources.

Objectives: Upon completion of this session, participants should be able to: 1) Identify two ways to create a research associates team within an emergency medicine residency program.

2) Describe the basic process of creating a program, as well as some of the pitfalls that may occur, as well as growing and maturing the program.

Daniel Keyes MD, MPH – submitter/presenter University of Michigan EM Residency Program, Ann Arbor, MI Ed Panacek MD, MPH - presenter University of California, Davis, Davis, CA Judd Hollander MD - presenter University of Pennsylvania, Philadelphia, PA Daniel Pallin MD, MPH - presenter Harvard University, Boston, MA

Society for Academic Emergency Medicine

Real Strategies for Quasi-Experiments: How to Identify Causation Using Non-Randomized Data DS021 – Peachtree E Session Time: Wednesday, May 15, 2013 2:00 - 2:50 pm Many EM researchers are interested in determining whether an intervention (any event impacting subjects) has an effect on practice or patient outcomes.

However, often it is not possible to do a true randomized, controlled experiment, usually because of feasibility or ethical issues. In general, non-randomized, non-controlled data need to be used cautiously when assessing the effect of an intervention, as internal validity may be compromised by a number of factors such as confounding, temporality, selection bias, diffusion of intervention effects, or regression to the mean. Quasi-experimental study designs and analytic methods minimize threats to internal validity using a variety of approaches. Some of the methods to be discussed are also applicable to the analysis of observational data, but the focus will be on how to work with data collected under circumstances where the researcher has control over the intervention but not necessarily over who is exposed.

Objectives: At the completion of this session, participants should be able to: 1. Describe principles of causal inference and related concepts 2. Discuss a broad range of quasi-experimental study methods and determine whether and how to apply these methods to their own data and research questions 3. Appreciate how quasi-experimental methods can be used to perform highquality EM research.

Lisa Schweigler MD, MPH, MS – submitter, presenter Brown University/Rhode Island Hospital, Providence, RI Jason Haukoos MD, MSc - presenter University of Colorado/Denver Health Medical Center, Denver, CO Christopher Kabrhel MD, MPH - presenter Harvard Medical School/Massachusetts General Hospital, Boston, MA

Is the Patient Safe? Assessing Procedural Competence DS022 – Peachtree C Session Time: Wednesday, May 15, 2013 2:30 - 3:50 pm Procedural skills involve a complex combination of cognitive and technical skills.

The new ACGME milestones and potentially requirements for maintenance of certification are increasingly requiring that learners and practitioners be formally assessed for competency. In addition, assessment also provides an opportunity for feedback to enhance skill development. Both of these goals require use of effective and valid tools. This session will review the evidence supporting the use of various assessment modalities including self-assessment, direct-observation, use of non-physician evaluators, and simulation. It will also review available assessment tools such as the OSATS instrument. The session will cover issues related to determining the validity of an assessment and development of a toolbox.

Through the use of case examples and small groups participants will practice use of common assessment instruments and strategies for their implementation.

Due to the interactive nature of the small group sessions, additional facilitators may employed for these sections of the workshop including Samantha Hauff MD; Alyssa Bryant MD; Jeff Siegelman MD; and Jared Novack MD. Objectives: At the completion of this session, participants should be able to: 1.

Discuss the needs, benefits, and limitation of assessment of procedural competency 2. Discuss the educational rationale behind assessment of skills 3. Identify methods that optimize use of available resources to perform procedural assessment on trainees.

4. D evelop a plan to implement an assessment of procedural skills in a variety of scenarios Laura Hopson MD – submitter, presenter University of Michigan, Ann Arbor, MI Suzanne Dooley-Hash MD - presenter University of Michigan, Ann Arbor, MI Doug Ander MD - presenter Emory University, Atlanta, GA Ernest Wang MD - presenter University of Chicago, Chicago, IL

How to Become a Trailblazer: Perspectives of Resident Innovators DS023 – Peachtree A & B Session Time: Wednesday, May 15, 2013 3:00 - 4:20 pm This novel session will be a moderated panel discussion including junior and senior faculty. Nominations for the panelists were solicited from program directors

via the CDEM listserve. After reviewing the nominations and descriptions, the SAEM Resident & Student Advisory Committee voted for top candidates. Three speakers were selected to describe a change they implemented at their program – why it was needed, steps they took toward their goal, barriers they faced, and outcomes. The panelists include Dr. Karen Lind, Maimonides Medical Center, Dr. Shereaf Walid, Detroit Receiving Hospital, and Dr. Jon Heidt, Washington University. Each panelist will be allotted 15 minutes to discuss their innovation or leadership experience as a resident. Dr. Lind will discuss creating and pioneering the education fellowship at her institution, Dr. Walid will discuss his transformation of his program’s didactics, and Dr. Heidt will discuss his work on a national level as a resident advocate in curricular reform. The senior faculty, Dr. Carey Chisholm, Indiana University, serving as the expert on leading from within was selected by the Committee co-chairs due to his tenure as the longest-serving program director in EM and his commitment to innovation. He will be allotted 10 minutes in closing remarks on what makes a resident successful in implementing change. In the remaining 20 minutes participants will break into 3 groups led by each panelist to discuss steps residents can take to create change in the panelists areas’ of expertise: curricular reform, post-residency education and national committee involvement. Dr. Marie Vrablik will serve as the session moderator.

Objectives: At the completion of this session, participants should be able to describe a framework for promoting change and leading initiatives within a residency program or department. Participants should also have the opportunity to establish a network or identify a mentor for promoting specific changes to their respective programs related to the panelists’ experiences.

Marie Vrablik MD – submitter, presenter Indiana University, Indianapolis, IN Carey Chisholm MD - presenter Indiana University, Indianapolis, IN Jonathan Heidt MD - presenter Washington University, Saint Louis, MO Karen Lind MD - presenter Maimonides Medical Center, Brooklyn, NY Shereaf Walid MD - presenter Wayne State University, Detroit, MI

The Business of EM: Defining Productivity DS024 – Peachtree D Session Time: Wednesday, May 15, 2013 3:00 - 3:50 pm As EM physicians we are expected to perform a myriad of duties---the sum of which is meant to define us within the context of an EM department. Academic chairs are subsequently faced with the seemingly difficult burden to somehow determine how much someone is worth. The days of simply saying that we teach residents and therefore it equals 10 hours of protected time are long distant memories. Academic emergency departments face the same dilemma that every community organization faces: how to keep costs down and maximize profitability for not just the department but for the organization at large. Every hour must be accounted for, every academic obligation charted, and every clinical shift covered.

Justifying a new full time employee or someone’s protected time requires combing through complicated formulas. Formulas which are meant to explain productivity.

From a clinical standpoint, our productivity is measured in RVUs; each of which is generated from our procedures, our documentation, our level of billing and coding.

Ascribing a Relative Value Unit to resident education, clerkship directorships, committee involvement, EMS oversight, and research (to name but a few of the roles we play) is a much trickier and more complicated recipe. A panel of academic administrators, chairs, and business leaders in EM will analyze and discuss how productivity is defined; how to potentially maximize one’s productivity; and what the potential impact of a tightening health care system will have on academic dollars. A short question and answer period will follow at the end of the panel presentation to allow for audience participation.

Objectives: At the end of this session, participants should be able to: 1. Define productivity in terms of clinical and academic output.

2. Identify the budget challenges academic departments face in the present and the future 3.

Promote how physicians can work collaboratively with administration to create a set of goals to ensure that both the academic and clinical mission of a department are met.

Michael Hochberg MD – submitter, presenter Saint Peter’s University Hospital/Drexel, New Brunswick Brent King MD - presenter University of Texas-Houston, Houston, TX Richard Zane MD - Presenter University of Colorado, Aurora, CO Kirsten Rounds RN, MS - Presenter Brown University/Rhode Island Hospital, Providence, RI

May 14-18, 2013 | Atlanta, Georgia

39

An Introduction to Qualitative Methods in Emergency Medicine Research DS025 – Peachtree E Session Time: Wednesday, May 15, 2013 3:00 - 3:50 pm Qualitative research seeks to develop concepts to better understand complex social phenomena in natural settings. Qualitative study designs commonly use in-depth interviews, focus groups, and field observation. Qualitative methods are particularly relevant in emergency medicine, where research questions often have little existing research background and outcomes are difficult to measure. These techniques are being used increasingly in emergency medical research, however, they are frequently misunderstood and few emergency physicians have formal training in this area. This introductory session will enhance participants’ capacity to design and conduct scientifically sound qualitative research. The faculty are emergency physician researchers with experience in qualitative methods and will use their projects to highlight concepts. Dr. Landman will discuss when to use qualitative methods and will describe how he used in-depth interviews to study emergency medical services agencies implementation of electronic patient care reports. Dr. Rhodes will provide an overview of qualitative methods focusing on core principles and practices, including selecting a study design. Dr. Rhodes will discuss how she used audiotaped ED visits to understand doctor-patient communication and focus groups and semi-structured interviews to identify asthma patients’ preferences for ED or primary care. Dr. Schuur will describe how to plan a qualitative research study, find mentors and collaborators, and resources required. Dr. Schuur will discuss how he used interviews and focus groups to identify successful infection prevention strategies in EDs. A question and answer session will follow.

Objectives: At the end of this session participants should be able to: 1. Define and describe qualitative research methods; 2. Select appropriate qualitative methods for emergency medicine research questions; 3. D escribe example emergency medicine qualitative research studies.

Jeremiah Schuur MD, MHS – submitter, presenter Brigham & Women’s, Boston, MA Karin Rhodes MD, MS - presenter University of Pennsylvania, Philadelphia, PA Adam Landman MD, MS, MIS - presenter Brigham & Women’s Hospital, Boston, MA

thursday, MAY 16th LGBT Health: Educating EM Physicians to Provide Equitable and Quality Care DS026 – International B Session Time: Thursday, May 16, 2013 8:00 - 8:50 am In March 2011, the Institute of Medicine published a landmark report, The Health of Lesbian, Gay, Bisexual and Transgender People: Building a Foundation for Better Understanding. The report concluded that to advance understanding of the health needs of all LGBT individuals, researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Joint Commission and the Department of Health and Human Services have both followed suit with plans for addressing the health needs of LGBT individuals, citing a need for education of health care providers. Recently, JAMA reported that medical schools, on average, have less than 5 hours of LGBTspecific content. The literature shows that 40% of LGBT patients cite lack of provider education as a barrier to care; 10% report being refused care outright; and 27% fear being treated poorly by providers. The SAEM position statement on diversity highlights the imperative that all physicians be trained to treat patients from all cultural backgrounds. As LGBT health takes a national spotlight, it is essential that our specialty responds with the appropriate educational tools to train the next generation of physicians to care for sexual minorities. The proposed panel discussion will address key areas related to LGBT health and the status of LGBT healthcare education.

Objectives: At the end of this session participants should be able to 1. List LGBT terminology and definitions 2. Describe the role of EM physicians in providing a better health care experience for LGBT patients.

3. Describe LGBT health care disparities and the complex variables, including current laws that affect LGBT health 4. Summarize the results of a survey of EM programs regarding their current LGBT Health curricula and their educational gaps. Describe Public Health implications for LGBT Health

40

Paul Krieger MD – submitter, presenter Beth Israel Medical Center/Albert Einstein, New York, NY Joel Moll MD - presenter Emory University, Atlanta, GA Thea James MD - presenter Boston Medical Center/BU School of Medicine, Boston, MA Ellen Slaven MD - presenter LSU Health Science Center, New Orleans, LA Ted Corbin MD - presenter Drexel University College of Medicine, Philadelphia, PA

Future Directions in Electrocardiography in Acute Coronary Syndromes DS027 – International C Session Time: Thursday, May 16, 2013 8:00 - 8:50 am The electrocardiogram is the initial test in patients with suspected ACS and the defining element of ST segment elevation myocardial infarction (STEMI). Its most important use is in the detection of acute coronary obstruction and it is the most important, cost-effective, and immediately available initial test in the decision for emergency reperfusion therapy. However, its full potential is not being realized.

In more than 25% of Non-STEMIs, the infarct-related artery (IRA) is occluded, and in these patients, biomarker levels and mortality are high. However, there is little in-depth ECG analysis helpful in identifying this group. Thus, there is a high false negative cath lab activation rate, and future research should be aimed at improving the sensitivity and specificity of the EKG for acute coronary occlusion.

Objectives: At the completion of this session, participants should be able to: 1. To describe the State of the Art in the use of ECG in acute coronary occlusion, 2. Describe opportunities for research pathways in the future.

Stephen Smith MD – submitter, presenter Hennepin County Medical Center, University of Minnesota School of Medicine, MN

Choosing a High-Impact Resident or Student Quality Improvement Project and Getting it Published DS028 – Plaza Ballroom A Session Time: Thursday, May 16, 2013 8:00 - 8:50 am Emergency Medicine Residency competencies and milestones require a substantive experience in quality improvement (QI). For example, the recently released RRC-EM and ABEM Milestones consider participation in institutional process improvement and the use of analytical tools to assess quality and safety central to resident development. One key part of this is participation in a QI project. A well-designed QI project gives a resident hands-on experience in systems-based practice and excellent preparation for employment in our rapidly changing healthcare environment. Yet in a resident’s busy schedule it can be difficult to identify, develop and complete a QI project that has a meaningful impact on the ED and can be presented in a manner that supports academic development. This session will enhance participants’ capacity to identify, design and conduct impactful QI projects and promote their work through presentation and publication. The faculty members are national experts on quality improvement who have worked with residents and students to conduct and publish QI projects.

Dr. Kelly will review residency requirements regarding quality improvement and present a framework for resident involvement in QI across the duration of residency. Dr. Schuur will review methods of QI project design that are likely to lead to valid improvements and can be presented or published. Dr. Venkatesh will identify venues for funding, presenting and publishing resident QI projects. Using actual projects the presenters will review appropriate topics for student and resident QI projects. A question and answer session will follow.

Objectives: At the completion of this session, participants should be able to: 1. Plan resident or student involvement in quality improvement across the duration of residency 2. S elect an appropriate topic for QI projects and a valid study design 3. Describe potential funding sources for QI projects and venues for academic presentation and publication.

Jeremiah Schuur MD, MHS – submitter, presenter Department of Emergency Medicine, Brigham & Women’s Hospital, Boston, MA John J. Kelly DO, FACEP - presenter Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, PA Arjun Venkatesh MD, MBA - presenter Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, CT

Society for Academic Emergency Medicine

Careers & Opportunities at the CDC DS029 – Plaza Ballroom B Session Time: Thursday, May 16, 2013 8:00 - 8:50 am Many of our members entered emergency medicine because they wanted to help people, make a difference or be on the front lines of healthcare. A few bold individuals step outside the ER to join the elite ranks of the Center for Disease Control & Prevention (CDC) where they conduct epidemiologic investigations in the field, oversee public health surveillance, and fight the global burden of disease.

The role of the CDC, the guidelines they produce, and the coordination of resources they provide become increasingly important as healthcare shifts to a focus on population health. In this session, members will hear from several members of the CDC who got their start in emergency medicine followed by a fellowship in Epidemic Intelligence Services (EIS). Panelists include David Sugerman MD MPH, a Medical Officer in the Division of Injury Response who will talk specifically about his work in trauma systems and disaster surveillance and response, and Samuel Graciter MD, a medical epidemiologist with the Immunization Services Division. Both panelists will explain how their work and that of the CDC is relevant to the practice of emergency medicine, how it relates to hospital emergency management, and how it is effecting and effected by evolving trends in healthcare policy. They will also discuss their career paths and ways to get involved with the CDC. They will give an overview of next steps for emergency physicians interested in a career or involvement with the CDC. Objectives: At the completion of this session, participants should be able to: 1. Define career options that exist at the CDC within medical epidemiology, including EIS, and disease prevention.

2. Describe recent CDC initiatives such as pandemic flu preparedness, updated field triage guidelines, treating and containing AIDS in Africa and Asia, and establishing guidelines for the treatment of Traumatic Brain Injury.

Kevin Munjal MD, MPH - submitter Mount Sinai Medical Center, New York City, NY David Sugerman MD, MPH - presenter Center for Disease Control & Prevention, Atlanta, GA Samuel Graitcer MD - presenter Center for Disease Control & Prevention, Atlanta, GA

Disparities & Diversity in Emergency Medicine: SAEM: Where are we now?

DS030 – International B Session Time: Thursday, May 16, 2013 9:00 - 9:50 am It will be 10 years since publication of the Academic Emergency Medicine’s (AEM) Consensus Conference special issue on Disparities in Emergency Health Care.

The goal of the AEM 2003 Consensus Conference was to improve the emergency medical care of patients by critically evaluating the presence, causes, and outcomes related to disparities in emergency health care. With the founding of the Academy for Inclusion and Diversity in Emergency Medicine (ADIEM), we take a historical look at where we are in EM as it relates to topics of Disparities and Diversity in EM. In addition, SAEM’s position statement published in 2000 believes that attaining diversity in EM residencies and faculty that reflect our multicultural society is a desirable and achievable goal. We have pioneers in EM who have been key leaders on these topics who can reflect on SAEM’s past and make recommendations for the future.

Objectives: At the end of this session participants should be able to: 1. Discuss the history of Diversity and Disparities work in SAEM. 2. Review EM education on health care disparities including best practices.

3. I dentify ways to recruit, retain and promote a diverse EM physician workforce.

4. Illustrate strategies to ensure growth in SAEM’s mission to develop didactic, educational, research and other programs to assist academic emergency medicine departments to improve diversity at their institutions.

Sheryl Heron MD, MPH – submitter, presenter Emory University, Atlanta, GA Marcus Martin MD - presenter University of Virginia, Charlottesville, VA Michelle Biros MS MD - presenter University of Minnesota, Minneapolis, MN Lynne Richardson MD - presenter Mt Sinai School of Medicine, New York, NY

Harnessing the Emergency Medicine Perspective: Emphasizing Key Differences between Adult and Pediatric Chief Complaints to Enhance Resident Training in Pediatric Emergency Medicine DS031 – International C Session Time: Thursday, May 16, 2013 9:00 - 9:50 am General emergency physicians (EP) face the challenges of providing high quality care for patients of all ages. Children are cared for by general emergency physicians in 75% of all their Emergency Department encounters. In addition, greater than 90% of their care is provided in non-pediatric emergency departments. Children present unique clinical challenges to EP’s. Current residency training requirements dictate that only 16% of all patient encounters be pediatric; despite the fact in a typical Emergency Medicine practice, children may account for 25% of all visits.

Therefore, training requirements do not reflect the patient mix encountered in practice, making it imperative to maximize the efficiency and effectiveness of resident Pediatric Emergency Medicine (PEM) training. As a PEM educational framework, we seek to exploit the clinical acumen and heuristics resident utilize for adult patient care and behaviorally translate it for applicability to pediatric patients. Its clinical applicability to pediatric scenarios is largely shaped by the notable clinical differences in children but done through a prism of more developed general ED skills. Potentially, this framework could serve as a template for other PEM educational opportunities. This didactic session will explore the idea of harnessing key differences between adult and pediatric presentations to enhance resident PEM training. Using the adult chest pain ABdominal pain and resuscitative practice; we hope to transpose those elements of adult care most applicable to PEM and highlight the notable differences to improve the EP’s pediatric care acumen. Audience participation will be solicited along with an opendiscussion following the session.

Objectives: At the completion of the course, participants should be able to: 1. List ways to maximally leverage general EM knowledge bases to enhance PEM skill sets of residents in their PEM training and 2. Describe critical differences in pediatric and adult diagnoses with significant morbidity and mortality.

Jeffrey Hom MD, MPH - submitter Stony Brook University School of Medicine, Stony Brook, NY Robert Cloutier MD, MCR – presenter Oregon Health and Science University, Portland, OR

The Inside Scoop: Background Information and Tips On Using The Large National Datasets Provided by NCHS and HCUP, Including NHAMCS and NEDS DS032 – Plaza Ballroom A Session Time: Thursday, May 16, 2013 9:00 - 10:20 am The CDC’s National Center for Health Statistics (NCHS) and AHRQ’s Healthcare Cost and Utilization Project (HCUP) provide well known national data resources, including NHAMCS and NEDS, which EM researchers commonly employ to answer questions and generate hypotheses on a national, regional, and state level. The goal of this session is to provide inside perspectives on NCHS and HCUP data products which will help EM investigators conduct novel and also appropriate and effective research using these resources. At the beginning of the session, the moderator will provide a brief overview of the data products provided by NCHS and HCUP. Subsequently, two senior representatives from NCHS and HCUP will give succinct presentations (20 minutes each) describing the resources available, the history of these resources, how each resource is collected and made available, how emergency medicine researchers may obtain access to the resources, and how to use the resources most appropriately. This section will be followed by presentations (10 minutes each) from two established emergency medicine researchers on their experiences working with NCHS and HCUP data, focusing on what kind of questions can be asked, examples of previous work, and issues they have encountered in working with the data. The remaining time (15 minutes) will be devoted to a panel discussion comparing the different resources available and addressing common issues in their use, including how to most effectively work with the NCHS and HCUP staff in conducting analyses and accessing internal files and security processes, as well as answering audience questions.

Objectives: At the completion of this session, participants should be able to: 1. Describe the national data resources available through NCHS and HCUP. 2. Formulate research questions that may be addressed through use of the NCHS and HCUP. 3. Identify potential issues they will encounter when using these resources and how to overcome these issues.

Lisa Schweigler MD, MPH, MS - submitter Brown University/Rhode Island Hospital, Providence, RI

May 14-18, 2013 | Atlanta, Georgia

41

Brendan Carr MD, MS - presenter University of Pennsylvania, Philadelphia , PA Linda McCaig MPH - presenter CDC, National Center for Health Statistics, Hyattsville MD Ryan Mutter PhD - presenter AHRQ/HCUP, Rockville MD Stephen Pitts MD, MPH - presenter Emory University, Grady Memorial Hospital, Atlanta,, GA Emilie Powell MD, MS, MBA – presenter Northwestern University, Chicago, IL

The War On Mrsa: Lessons for Success in Planning, Funding, and Executing Clinical Research in Infectious Diseases DS033 – Plaza Ballroom B Session Time: Thursday, May 16, 2013 9:00 - 9:50 am Emergency medicine researchers start out with a general area of interest.

The challenge lies in choosing a topic that will be fundable and bear fruit over the course of several investigations. In this session, three panelists who have succeeded in funding and executing patient-oriented research related to MRSA will discuss their strategies for success. The presenters will demonstrate how critical questions of importance to wide audiences can be pursued by descriptive methods and modest budgets, and how descriptive research paves the way for larger-scale work and interventional trials. They will use the example of MRSA research to demonstrate: 1) Choice of a research question, 2) Selection of the methodological approach, 3) Getting the resources needed to accomplish the research, with discussion of funders including the NIH, CDC, AHRQ, intramural, and industrial sources.

Dr. Pallin will give specific examples of publications, grants, and ongoing trials related to MRSA. These will be used to demonstrate how important contributions can be made with various methodologies and various budgets, ranging from descriptive case series to large-scale epidemiology, surveys, qualitative research, and clinical trials. Dr. Talan will describe n multicenter research from EMERGEncy ID Net, a national network of emergency departments that is funded by the CDC, EMERGEncy ID Net approach to CA-MRSA research. Dr. Schuur will demonstrate how MRSA and other hospital-acquired infections can be a focus of healthcare quality research, the importance of knowledge translation and mixed-methods research in quality research, and discuss AHRQ as a funder of emergency medicine research. There will be time for questions and open discussion.

Objectives: At the completion of this session, participants should be able to: 1. Incorporate a Change in viewpoint of research from project-based to topicbased, accommodating career growth and multiple investigations.

2. Apply a general research interest to specific questions.

3. Describe patient-oriented research designs, from descriptive series to clinical trials.

4. List greater than 4 avenues for financial support of clinical research Daniel Pallin MD, MPH - submitter Brigham and Women’s Hospital, Boston, MA Jeremiah Schuur MD, MS - presenter Brigham and Women’s Hospital, Boston, MA David Talan MD - presenter Olive View - UCLA, LA, CA

Navigating the AMA Discharge: Case Studies DS034 – International B Session Time: Thursday, May 16, 2013 10 - 11:20 am This case-based interactive panel session will present actual cases of AMA discharges followed by discussion and expert commentary from the panelists.

The discussion will clarify the most commonly encountered problematic aspects of the AMA discharge and specifically address ethical and legal considerations confronted by emergency physicians in practice. Specific topics to be covered include: 1) What ethical and legal obligations does the emergency physician have for these patients after an AMA discharge? 2) What are the nuts and bolts of the AMA process? 3) What are the benefits and drawbacks to the commonly used AMA forms? Does the signing of AMA forms lead to more or less risk and should they be used? 4) When is a psychiatric evaluation of capacity required? 5) Does the AMA discharge effectively relieve the EP from liability? 6) Are there populations that are unsuitable for AMA discharge? 7) Is there evidence that AMA discharges lead to preventable morbidity and mortality?

Objectives: At the completion of this session, participants should be able to: 1. Recognize the unique challenges inherent in the AMA discharge.

2. Describe best practices for navigating ethically and legally sound care to this population and for teaching this topic to residents and junior faculty.

3. List ethical and legal pearls and pitfalls in the AMA process.

42

4. E xplain when a capacity evaluation is an appropriate requisite for an AMA discharge.

5. Summarize the limits of legal protection provided by AMA discharges.

Mark Clark MD –submitter, presenter St. Luke’s Roosevelt, Columbia University, New York City, NY James Adams MD - presenter Northwestern Feinberg School of Medicine, Chicago, IL

The Great Pediatric Sedation Debate!

DS035 – International C Session Time: Thursday, May 16, 2013 10 - 11:20 am Want to learn more about the current evidence and variation in practice patterns for pediatric procedural sedation across the country? Perplexed by the medication, monitoring and resource utilization required for pediatric sedations? Few areas of medical practice remain as non-standardized as pediatric sedation. During this interactive session, 3 pediatric emergency medicine specialists with clinical and research experience in procedural sedation will debate the management of 4 pediatric scenarios; including the use of alternatives to standard IV therapy and discussion of innovative and state-of the-art approaches. This fast-paced session will begin by utilizing an audience response system to determine the audience’s approach to the scenario. The experts will then be given 3-5 minutes each to argue the evidence supporting their sedation plan for this challenging case scenario. This will be followed by a group discussion of the pros and cons of management choices and the limitations of the current literature. At the conclusion of each scenario, an audience response system will be used to tabulate whether the debate changed the audience’s sedation plan. The audience is encouraged to bring their own challenging pediatric scenario for panel discussion during the final 30 minutes of the session. This session will critically evaluate the current literature, optimize pediatric care and encourage an open exchange of ideas and practice styles that will generate future research.

Objectives: At the completion of this session, participants should be able to: 1. Utilize the latest published evidence and guidelines for pediatric sedation to make management decisions about challenging pediatric scenarios.

2. Discuss the current national variation in practice for sedation and treatment of pain for children. 3. Identify limitations in the current pediatric sedation literature that may result in future study.

Amy Drendel DO, MS – submitter, presenter Medical College of Wisconsin, Milwaukee, WI Frank Petruzella MD - presenter Bon Secours St. Mary’s Hospital, Richmond, VA Patrick Solari MD - presenter Seattle Children’s Hospital/ University of Washing, Seatttle, WA Rakesh Mistry MD, MS - presenter Children’s Hospital of Philadelphia, Philadelphia, PA Robert Kennedy MD - presenter Washington University in St. Louis School of Medicine St. Louis Children’s Hospital, St. Louis, MO

Minimizing the Pain of Maximizing Pain Relief: Strategies For Emergency Physicians To Treat Pain Safely DS036 – Plaza Ballroom B Session Time: Thursday, May 16, 2013 10 - 11:20 am Opioid analgesics are important therapeutics in patient care but are burdened by misuse and an ongoing public health crisis. Emergency physicians, as major prescribers of these potent analgesics, are wise to perform risk assessment prior to prescribing opioid medications to attempt to detect patients at risk for aberrant drug related behaviors. However, most existing screening tools have not yet been validated in emergency department settings and may indeed be limited.

We will present the data underlying the need for cautious prescribing, describe strategies to identify and mitigate aberrant use, present effective responses to complex patient demands, and review effective alternatives to opioid-based analgesia. The moderator will frame the problem of ED pain management in the context of patient centered goals and the epidemic of opioid analgesic overdose.

The development of tolerance and dependence and its impact on aberrant opioid using behavior, pitfalls in screening tools in the ED, and research needs at the intersection of pain management and addiction will be discussed. Methods will be demonstrated to adapt conversations about non-opioid pain management to conform to patient expectations, particularly those with chronic pain. The utility and limitations of state-based prescription drug monitoring programs will be described.

Objectives: At the completion of this session, participants should be able to: 1. Describe the scope of prescription opioid misuse and the need for increased scrutiny in ED opioid prescribing.

Society for Academic Emergency Medicine

2.

Convey pharmacologic and nonpharmacologic strategies to limit opioid prescribing while maintaining patient centered care and satisfaction.

3. Summarize the current evidence supporting the use of PDMPs to identify patients at risk for aberrant drug use and areas for future collaborative research.

Lewis Nelson MD – submitter, presenter New York University, New York, NY Jeanmarie Perrone MD - presenter University of Pennsylvania, Philadelphia, PA Edward Boyer MD, PhD –presenter University of Massachusetts, Worcester, MA Robert Hendrickson MD - presenter Oregon Health Sciences University, Portland, OR

Can we Trust Clinical Practice Guidelines?

DS037 – Plaza Ballroom A Session Time: Thursday, May 16, 2013 10:30 - 11:50 am Clinical practice guidelines (CPGs) play a key role in support of the decision-dense and algorithmic nature of EM practice. Furthermore the broad nature of EM demands evidence based guidance and decision support sanctioned by respected organizations adopting sound and unbiased methods. CPGs can standardize practice and suggest quality measures that monitor their impact; they can also mitigate medico-legal risk if followed. Unfortunately, they are also resource intense to develop, frequently inactionable, often out of date and supported by a weak evidence base leading to a paucity of strong recommendations. As a result, they are frequently perceived as watered-down and directionless and thus viewed skeptically by some target end-users. The International Liaison Committee on Resuscitation (ILCOR) and the American College of Emergency Physicians are the developers and guardians of the highest impact CPGs in EM. This session will highlight developments in CPG methodology that are being adopted by these organizations which are designed to address many of these limitations. Particular emphasis will be placed on how ACEP is attempting to meet the standards laid out in the recent Institute of Medicine report entitled Clinical Practice Guidelines we can Trust as well as ILCOR’s transition to the GRADE approach to CPG development.

The session will also highlight other pertinent developments in guideline science designed to facilitate the critical appraisal, adaptation and implementation of CPGs at the local level as well as opportunities for EM academics to become involved in important national and international initiatives.

Objectives: At the completion of this session participants should be able to: 1.

Explain the rationale and methodology underlying changes in guideline development by ILCOR and ACEP. 2. Summarize the international efforts to improve guideline development and implementation through rigorously developed instruments that address grading the quality of recommendations and the strength of recommendations 3. Describe the tools for guideline appraisal, adaptation and implementation.

Eddy Lang AB - submitter University of Calgary, Calgary AB Michael Brown MD, MSc - presenter University of Michigan, Grand Rapids, MI Francis Fesmire MD - presenter University of Tennessee, Chattanooga, TN Clifton Callaway MD, PhD - presenter University of Pittsburgh, Pittsburgh, PA

Challenging the Physician-Patient Relationship: Negotiating Deception, Manipulation, and Medical Mistakes DS038 – International B Session Time: Thursday, May 16, 2013 11:30 - 12:50 pm The course will be based on the recently approved Ethics Curriculum produced by the SAEM Ethics Committee, and approved by the SAEM Board of Directors.

It will serve as an introduction of the curriculum as a resource in addressing ethical dilemmas and circumstances all emergency providers face in the practice of emergency medicine. The complete curriculum is comprehensive, and as an introduction, this course will focus only on the first module: The Physician Patient Relationship. Specifically content will address concerns with competence, beneficence, and compassion; confidentiality and privacy; and skillful communication and truthfulness. After a general introduction to the curriculum resources, participants will break into moderated small groups for a case based discussion of ethical dilemmas. Groups will then reconvene and discuss in large group format demonstrating use of the principles and resources of the newly developed ethics curriculum.

Objectives: At the completion of this session, participants should be able to: 1. Discuss the relationship between physician competency and professional ethics.

2. Describe challenges to maintaining compassion and beneficence in emergency medicine.

3. Explain the roles of confidentiality and privacy in the emergency department management of patients.

4. List the potential barriers to maintaining privacy in the emergency department.

5. Discuss the ethical handling of medical errors and the arguments for and against full disclosure of errors in the emergency department.

Joel Moll MD - submitter Emory University, Atlanta, GA Jean Abbott MD, MPH - presenter University of Colorado, Denver, CA Tammie Quest MD - presenter Emory University, Atlanta, GA Mark Clark MD – presenter St. Luke’s Roosevelt, Columbia University, New York City, NY

We All Make Mistakes. But What Do You Do Afterwards?

DS039 – International C Session Time: Thursday, May 16, 2013 11:30 - 12:50 pm You’re working a busy shift in the ED. Your next patient is an 82 year-old man who tripped while getting out of bed last night; he has a 3.5 cm laceration to the left eyebrow. There is some swelling around his eye but you don’t find anything else.

You suture the laceration and send him home. Five days later, he returns for suture removal and is blind in the left eye. The ophthalmology consultant diagnoses rupture of a previous corneal graft and endophthalmitis. The patient requires enucleation of his left eye. In retrospect, you realize that the nurses forgot to check a visual acuity (despite a policy in place about checking it on patients with facial trauma). Also, the default H&P wording you accepted in the EMR failed to document the extent of your physical exam and led to some incorrect statements.

Now what? The emergency department is a high-risk environment for adverse outcomes – some inevitable and some due to medical errors. This interactive panel discussion will provide tools for what to do in the face of such outcomes, whether you are the provider involved, a faculty member responsible for safety and quality improvement, or a faculty member who wants to model an appropriate response for residents. Panelists will use this actual case to illustrate three key action steps: (1) full disclosure of any errors to the patient and family, along with an offer to help mitigate the medical, social and economic impacts of the event; (2) support for the second victim, the medical staff involved in the error; and (3) a diligent analysis, looking for the system-level factors that contributed to the outcome and changing the system in ways that will reduce the likelihood of similar events in the future.

Objectives: At the completion of this session, participants should be able to: 1. Describe the pitfalls of the traditional response to crisis – a slow, stonewalling, defensive approach that risks antagonizing patient and family, blaming the provider, and missing opportunities for systems-level improvement 2. Work with colleagues to develop a response plan for adverse outcomes in their EDs Robert Wears MD, MS, PhD - submitter University of Florida, Jacksonville, FL Kathleen Lanava MD - presenter University of Michigan Health System, Ann Arbor, MI Albert Wu MD, MPH - presenter Johns Hopkins, Baltimore MD Terry Fairbanks MD, MS - presenter Medstar, Washington, DC

Building Blocks for Establishing Hospital-based Violence Intervention Programs in (Your) Emergency Departments DS040 – Plaza Ballroom B Session Time: Thursday, May 16, 2013 11:30 - 12:50 pm Each year, over 1.5 million victims are treated in hospitals nationwide for nonfatal gunshot, stabbing, and other physical-assault injuries. A national study found 44% of those under age 24 and hospitalized for violent injuries were later readmitted due to violence and 22% became victims of homicide. Violence is the leading cause of death for young African American males aged 15-34, and the 2nd leading cause of death for young Latino males (but only 5th among white males age 1534). Disadvantaged & minority youth are not only at higher risk of violent injury, but also at higher risk of long-term mental and physical morbidity. In 1998, the U.S. Department of Justice’s Office for Victims of Crime (VOC) responded to an American Academy of Pediatrics’ report on youth violence and recommended that hospital-based counseling and prevention programs be established in medical

May 14-18, 2013 | Atlanta, Georgia

43

facilities that provide services to gang violence victims. Today, the National Network of Hospital-based Violence Intervention Programs (NNHVIP) connects 17 member programs from Boston, Chicago, Oakland and other cities across the country through: (1) a comprehensive service model for violently-injured youth, beginning in the ED; and (2) education of emergency physicians and staff on the VIP model. However, there is a need for the VIP model to disseminate across the country. During this special session; a panel of NNHVIP members will discuss the challenges and details of successful models that address violence in our communities. During this didactic, attendees will learn why and how to apply the VIP model in their own ED. The discussion will close with next steps for research, education, and dissemination of this model.

Objectives: At the completion of this session, participants should be able to: 1. List steps to introducing ED hospital based violence intervention programs to medical centers and create a plan to develop one at their own ED 2. Describe Trauma Informed Care 3. Create a standardized data base to capture quantitative and qualitative data for evaluating programmatic efficacy and quality.

4. Conduct research for program evaluation 5. Discuss how cross-site evaluations can be performed.

Thea James MD – submitter, presenter Boston University School of Medicine, Boston, MA Theodore Corbin MD - presenter Drexel University College of Medicine, PA Rochelle Dicker MD - presenter University of California School of Medicine San Fr, San Francisco, CA

Optimizing Electronic Health Records in an Academic Emergency Department: The Administrative and Informatics Perspective DS041 – Plaza Ballroom A Session Time: Thursday, May 16, 2013 12:00 - 12:50 pm Whether an academic emergency department (ED) is still on paper or has an EDonly electronic health record (EHR), sooner or later, we will all be using an electronic health record system. As most academic emergency departments have already made the transition to EHRs, the focus now is on how to use these tools to improve care delivery. Given the content expertise of the moderator and panelists, all who have led their respective academic EDs through this optimization, we will discuss lessons learned on how best to harness the power available in EHRs. Next, we will discuss the administrative steps needed to maximize the potential of the system to support ED operations (including how one factors in the additional complexity of residents and other healthcare learners). Lastly, we will explore steps that can be proactively taken to assure that good data is available, both to monitor the dayto-day operations, but also for research and educational purposes.

Objectives: At the completion of this session, participants should be able to: 1. Discuss the current environment of ED-only vs. hospital-wide EHRs and the pros and cons of each type.

2. D escribe the steps needed for successful EHR optimization, and use EHRs to optimize how an academic ED runs.

3. U se an EHR to provide meaningful data, both in real-time and for longitudinal analysis.

4. D escribe the roles faculty and residents must play in the optimization of EHRs. Daniel Handel MD, MPH – submitter, presenter OHSU, Portland, OR Kevin Baumlin MD - presenter Mt. Sinai School of Medicine, New York, NY Nicholas Genes MD, PhD - presenter Mt. Sinai School of Medicine, New York, NY Mark Moseley MD, MHA - presenter Ohio State University, Columbus, OH

friday, MAY 17th Diagnostic Imaging and Radiation Exposure: How Much is Too Much?

DS042 – International B Session Time: Friday, May 17, 2013 8:00 - 8:50 am The United States health care system has seen a dramatic rise in the use of computed tomography (CT) during the past several decades. Emergency departments are responsible for a large percentage of the CTs performed. In many instances, CT scans are the optimal diagnostic modality in the ED, however, at times CT is unnecessary and there can be significant drawbacks. Specifically, CT scans are an important source of harmful radiation, lead to increased resource

44

utilization and length of stay, and may unnecessarily increase health care costs. Recently, the cancer risk associated with diagnostic radiation has been rigorously studied and publicized in the media. Consequently, physicians should be knowledgeable of the true risks associated with CT, and the up-to-date strategies involved in minimizing the unnecessary use of this modality as well as techniques available to minimize radiation dosing. This didactic will review the current knowledge regarding diagnostic imaging and radiation, critically discuss how to incorporate this knowledge into emergency medicine practice, and discuss stateof-the-art research examining methods to decrease the unnecessary use of CT. Objectives: At the completion of this session, participants should be able to: 1. Understand the radiation dosing associated with various computed tomography (CT) scans and the implications for different patient populations\ 2. Recognize strategies to minimize unnecessary use of CT imaging including the use of electronic clinical decision support and alternative imaging modalities.

3. Describe strategies to minimize radiation dosing that can be discussed with your home institution’s radiology department.

Jennifer Marin MD, MSc - submitter University of Pittsburgh School of Medicine, Pittsburgh, PA Angela Mills MD - presenter University of Pennsylvania School of Medicine, Philadelphia, PA Kimberly Applegate MD, MS - presenter Emory University School of Medicine, Atlanta, GA

Preventing Opioid Analgesic Overdose Among ED Patients DS043 – International C Session Time: Friday, May 17, 2013 8:00 - 8:50 am Many ED patients have legitimate needs for opioid analgesics for pain control, yet mortality among inpatients from therapeutic opioid analgesic administration is increasing. For two reasons, emergency department patients are at heightened risk for adverse effects from opioid analgesic administration. First, unlike anesthesiologists who can provide analgesia before a painful stimulus is generated, emergency physicians are required to control pain that already exists. Emergency physicians, therefore, frequently administer elevated doses of analgesics relative to colleagues. Second, emergency physicians cannot know the timing, dose, and potency of opioid analgesics that a patient might take before or after an ED encounter. This didactic session will use real-world examples to highlight methods for avoiding in-ED opioid toxicity. The moderator, Kavita Babu MD, will frame the problem of management of pain in the ED in the context of patient satisfaction and the epidemic of opioid analgesic overdose.

(10 minutes). The presentation will rely upon a series of concrete examples of ED opioid over- and misprescribing that have led to patient morbidity and mortality.

Dr. Boyer will then 1) review the literature and analyzes each case from a toxicologic perspective; 2) describe methods that avoid preventable morbidity and mortality; and 3) discuss next steps for patient safety and overdose prevention research.

Anticipated cases include: co-administration of opioids and benzodiazepines; administration of opioids to obese patients; dispensing fentanyl patches from the ED; and administration of a single opioid dose (e.g., one for the road) prior to discharge (40 minutes).

Objectives: At the completion of this session, participants should be able to: 1. Describe dangerous opioid prescribing practices; 2. Effectively utilize techniques to safely and effectively treat pain, while providing adequate analgesia; 3. D escribe important next steps for ED-based analgesia research.

Edward Boyer MD, PhD – submitter, presenter UMass-Memorial Medical Center, Worcester, MA Kavita Babu MD - presenter UMass-Memorial Medical Center, Worcester, MA

Informed Consent in Emergency Research: Pitfalls and Practical Pearls.

DS044 – International D Session Time: Friday, May 17, 2013 8:00 - 9:20 am Emergency clinical research, through design or execution, ideally should involve situations or populations that may be challenging to include. In particular, consent of subjects considered vulnerable based on their condition or situation may be especially challenging. This panel session will discuss the recruitment and consent of difficult populations including those from institutional settings, those with cognitive impairment, and those facing life-threatening conditions. The speakers will discuss frequently encountered barriers to consent and recruitment and practical methods of overcoming these obstacles in multiple settings.

Objectives: At the completion of this session, participants should be able to: 1. Discuss challenges to recruitment and consent for institutionalized populations and learn strategies to overcome these challenges.

Society for Academic Emergency Medicine

2. List practical ways to overcome obstacles specific to performing ED research in cognitively impaired elders, particularly obtaining consent.

3. Describe criteria for seeking an exception from informed consent for emergency research on life-threatening conditions and responsibilities of investigators who conduct such studies.

Ula Hwang MD, MPH – submitter, presenter Mount Sinai School of Medicine, New York, NY Adit Ginde MD, MPH - presenter University of Colorado School of Medicine, Denver, CO Jin Han MD, MSc - presenter Vanderbilt University, Nashville, TN Lynne Richardson MD - presenter Mount Sinai School of Medicine, New York, NY

Educational Portfolio: Your Secret Weapon for Promotion DS045 – International E-F Session Time: Friday, May 17, 2013 8:00 - 8:50 am Promotion within an institution can be challenging for someone with an educational focus. Emergency medicine educators have varied responsibilities and skill sets, some of which are difficult to highlight in a traditional curriculum vitae format. An educational portfolio is a document, set of documents, website, or other format which brings to attention and into one place all of the efforts put forth by an educator. A properly completed portfolio can be quite powerful in displaying your accomplishments to a P&T committee. This session will start by briefly covering the creation and contents of an educational portfolio. This will be followed by a panel discussion comprised of academic emergency physicians who have experience with promotion and tenure decisions. These accomplished academicians will provide examples of how educational portfolios can be used to support promotion and will discuss features of portfolios which add to their impact.

Objectives: At the completion of this session, participants should be able to: 1. Discuss the basic concept and philosophy of an educational portfolio 2. List the components of an educational portfolio 3. Describe how to use the educational portfolio to support promotion and tenure decisions Corey Heitz MD - submitter Virginia Tech Carilion School of Medicine, Roanoke, VA Gloria Kuhn DO, PhD - presenter Wayne State University, Detroit, MI Douglas Ander MD - presenter Emory University, Atlanta, GA

Mapping the Path for Current and Future Research for Safe, Effective, and Appropriate Trauma Imaging DS046 – International B Session Time: Friday, May 17, 2013 9:00 - 9:50 am During the past decade there has been a trend toward earlier identification of all injuries in the initial assessment of a trauma patient. With increased availability, speed and accuracy of CT imaging, a dramatic increase in the use of CT imaging has occurred in the trauma setting. Much of this has occurred without an evidence base in the literature. As health care costs continue to rise and public concerns about radiation exposure escalate, emergency physicians will play an essential role in defining the future of trauma imaging research. This didactic session will explore the current state of research on the topics of chest and abdominal imaging for patients with trauma. A panel of experts in various disciplines within emergency medicine (trauma practice, research, quality measures) are brought together to: (1) discuss the basis of the current state of trauma imaging (e.g. does pan scanning improve mortality?), (2) debate the philosophical importance of identifying every injury versus only the clinically important ones (does a clinical decision rule need to be 100% sensitive for all abnormal findings?), and (3) develop a roadmap for future research goals (what is the ideal study design to develop a trauma imaging clinical decision rule?). Dr. Steill will discuss what the research methodology needed to determine ideal imaging strategies for patients with trauma. Dr. Legome will discuss the present research obstacles that exist at trauma centers in the US. Dr. Raja will describe the current state of trauma imaging and imaging quality measures at Level I Trauma Centers. Our short-term goal is to develop a white paper from this didactic that will define the emergency medicine research agenda for trauma imaging, with the eventual goal of developing the topic into a Consensus Conference.

Objectives: At the completion of this session, participants should be able to: 1. Describe the current state of the art regarding trauma imaging strategies

2. Discuss how a list of relevant clinical findings will drive future efforts to improve imaging strategies can best be defined 3. Define an emergency medicine-based trauma imaging research roadmap and the next steps needed to make progress Kaushal Shah MD - submitter Mt. Sinai School of Medicine, New York, NY Michael Gibbs MD - presenter Carolinas Medical Center, Charolette, NC Ian Stiell MD - presenter Ottawa Hospital, Ottawa, Ontario, CA Eric Legome MD - presenter Downstate Medical Center, Brooklyn, NY Ali Raja MD, MPH, MBA- presenter Brigham & Womens Hospital, Boston, MA

Identifying the Value of Emergency Care in the Climate of Health Reform DS047 – International C Session Time: Friday, May 17, 2013 9:00 - 10:20 am ‘Value’ has become a buzzword in health policy circles. Yet the value of emergency care remains poorly understood. This process is vital as health policy increasingly focuses on accountability for costs and quality measures reflected in the move toward Accountable Care Organizations, pay-for-performance, and bundled payments. The ED is frequently stereotyped as being a wasteful cost center by government and other payers who remain skeptical regarding the value of care delivered in this setting, but emergency care must be assessed in the proper context to understand its value. The reality is that EDs continue to see significant patient demand for their services. Additional considerations include the societal services the ED provides such as a universal safety net, disaster preparedness, and public health surveillance that are important considerations when calculating the value of emergency care. Emergency providers also sit at the cross roads of the outpatient and inpatient arenas of the US health care system and control one of the most routine expensive decisions in health care—the decision to admit or discharge. Therefore, determining a value framework to measure emergency care is critical due to the common and often costly decisions made in the ED setting.

Questions to be asked of the panel include: How would you define value in health care? How is the value of emergency care best assessed by this definition? What are 3 areas most ripe for measuring value in the practice of emergency medicine?

What are the top challenges to emergency providers in delivering value-based health care? How will a focus on value under the current climate of health reform most impact the everyday practice of emergency providers?

Objectives: At the completion of the session, participants should be able to understand issues in defining and measuring value in emergency care, specifically: 1. Describe how value is defined in health care; 2. Conceptualize how value should be measured in emergency care; 3. Explore the implications of value-based health reform on the practice of emergency medicine.

Keith Kocher MD, MPH, MPhil - submitter University of Michigan, Ann Arbor, MI Arthur Kellermann MD, MPH - presenter RAND Corporation, Santa Monica, CA Brent Asplin MD, MPH - presenter Fairview Medical Group, Minneapolis, MN Jeremiah Schuur MD, MHS - presenter Brigham and Women’s Hospital, Boston, MA Adam Sharp MD, MS, BA - presenter University of Michigan/RWJ Clinical Scholars, Ann Arbor, MI

Good to Great: Effective Feedback to Learners with Difficulties DS048 – International E-F Session Time: Friday, May 17, 2013 9:00 - 9:50 am Rationale: This workshop builds upon previous workshops to look at the advanced skill of providing feedback to learners with difficulty. While educators view providing feedback as a crucial step towards improving learner performance, less is understood about how to provide effective feedback to problem residents and students. We will draw upon seminal articles in the feedback literature to both enable the participant to understand the psychological impact of feedback from the receiver’s perspective, and empower participants to employ practical strategies to successfully engage the learner in accepting feedback. Course description: This session will utilize a combination of short didactic presentations exploring the science of feedback, video stimuli for facilitated discussion and deliberate practice (using residents trained to be learners with difficulty) to enable

May 14-18, 2013 | Atlanta, Georgia

45

participants to understand the challenges and develop effective practice. The workshop will utilize large and small group exercises to understand key concepts and develop ways to improve each participant’s feedback skills. Additional facilitators include: Ester Choo MD MPH, Robin Hemphill MD MPH, Josh Kornegay MD, John Martel MD, PhD Objectives: At the end of this session, participants should be able to: 1. Develop a plan to incorporate evidence from the feedback literature into their clinical teaching practice 2. Outline steps required to provide effective feedback given the new conceptual framework 3. Apply principles of feedback specific to the problem resident Sorabh Khandelwal MD – submitter, presenter The Ohio State University, Columbus, OH Marcia Perry MD - presenter University of Michigan, Ann Arbor, MI Sally Santen MD, PhD - presenter University of Michigan, Ann Arbor, MI Lalena Yarris MD, MCR - presenter Oregon Health and Science University (OHSU), Portland, OR

Models of Subspecialty Geriatric Emergency Departments DS049 – International D Session Time: Friday, May 17, 2013 9:30 - 9:50 am Geriatric patients are considered vulnerable and have the potential to raise complex challenges in emergency treatment. Recognition of this specific patient population and their potential for unique emergent presentations has prompted the development of specialty sections within larger emergency departments or separate subspecialty emergency departments altogether. Elder patients can often present with distinctive and sometimes complex medical conditions, stay longer for more extensive diagnostic testing and treatment regimens, and require special needs during their visit all of which may make rapid triage, diagnosis and disposition difficult in the traditional emergency department setting. In response to healthcare reform legislation, hospitals are identifying the emergency department as a priority among future facility development plans including upgrading infrastructure and technology to better serve the patient population.

As a result, many facilities are moving ahead with new construction to expand and/ or renovate existing emergency departments. In this lecture, we will address ways to integrate changes to existing or future emergency departments specific to geriatric patients. Issues addressed will include physical space, quality initiatives, operational enhancements (observation protocols), staff and resident education and overall coordination of hospital resources.

Objectives: At the completion of this session, participants should be able to: 1. Discuss the clinical reasoning behind the establishment of geriatric emergency departments.

2. Describe the infrastructure and personnel needed to establish a geriatric emergency department (or section within larger department).

3. L ist potential changes within your own emergency department for optimal care of the geriatric patient.

Kathleen Walsh DO, MS – submitter, presenter University of Wisconsin Hospital and Clinics, Madison, WI Mark Rosenberg MD - presenter St. Joseph’s Healthcare System, Paterson, NJ Knox H. Todd MD - presenter Anderson Cancer Center, TX

Where is the Evidence III: Common Pediatric Infections in Emergency Medicine DS050 – International D Session Time: Friday, May 17, 2013 10:00 - 10:50 am Pediatric emergency visits are for suspected infectious diseases and very common; fortunately, most are benign in their pathogenesis and self-limited, such as common on upper respiratory infections. However, the presentation of infections such as pneumonia and urinary tract infections are often diagnostically challenging for many ED physicians. Meanwhile, infections of the skin and soft tissues pose an increased burden in the ED setting, and lack of consensus in management is the rule rather than the exception. Overall, dilemmas remain for each of these aforementioned infections, with respect to clinical evaluation, approach to diagnostic testing, and choice of most appropriate antimicrobial therapy. Accumulated evidence, including more recent trials, have advanced our knowledge of pediatric infectious diseases, and have permitted evidence-based approaches to their diagnosis and treatment. In this session, the most up-todate evidence for ED management of skin and soft tissue infection, pneumonia, and urinary tract infections in children will be presented. The presenters will

46

discuss current epidemiology and review the evidence-based approach to clinical evaluation and diagnostic testing for each of these infections. The discussants will also synthesize current literature with respect therapeutic decisions, and present recommended therapies from recent guidelines released by the Infectious Disease Society of America and the American Academy of Pediatrics. In addition, discussion of ongoing large scale, ED-based clinical trials for these infections will be presented. Following the presentation, audience participation will be solicited.

Objectives: At the completion of this session, participants should be able to: 1.

Describe the epidemiology and diagnostic evaluation for skin infections, pneumonia, and urinary tract infections in children.

2. Form evidence-based management strategies for pediatric skin infections, pneumonia, and urinary tract infections evaluated in the ED setting.

Rakesh Mistry MD, MS –submitter, presenter Children’s Hospital of Philadelphia, Philadelphia, PA Todd Florin MD, MSCE - presenter Cincinnati Children’s Hospital Medical Center, OH

Life and A Career in Global Health: Can You Have It All? DS051 – International E-F Session Time: Friday, May 17, 2013 10:00 - 10:50 am Many Emergency Medicine (EM) faculty, residents, and medical students have some involvement in international collaborations and service. Despite the many attractions in having a career in Global Emergency Medicine, there are inherent challenges. These include child rearing, short-notice deployments, hazardous work environments, among many others. The field of academic global health is extremely diverse; this variability enables many different career options that may allow flexibility when considering the constraints of work-life balance. By sharing the collective experiences of successful GEMA and AWAEM members, we will address some of the questions and concerns that emergency physicians may have in pursuing this career choice. In this session, four nationally recognized senior academicians in Global Emergency Medicine will participate in a panel discussion on the trials and tribulations of choosing a career in global health. The four panelists span a breath of global health-related career tracks and personal life choices, thus making the discussion diverse and broad so that many issues are discussed. Interspersed with the discussion, the moderator will provide a brief review of the current statistics and literature in this field.

Objectives: At the completion of this session, participants should be able to: 1. Describe the breadth of global health career choices.

2. Navigate their career choices depending on their personal and professional priorities.

Bhakti Hansoti MD – submitter, presenter Johns Hopkins University, Baltimore MD Stephanie Kayden MD, MPH - presenter Harvard Medical School, Boston, MA Tracy Sanson MD - presenter University of South Florida, Tampa, FL Bobby Kapur MD, MPH - presenter Baylor College of Medicine, Houston, TX

Policy Change 101: A How-to Primer for Emergency Physicians DS052 – International C Session Time: Friday, May 17, 2013 10:30 - 11:50 am With the passing of the PPACA in 2010, it is imperative for emergency physicians to have the skills to educate policymakers about our hospitals, our patients, and our specialty. However, few emergency physicians think of themselves as proficient in this type of communication. We tend to focus on the immediate challenges in the ED rather than working for change on an institutional, state, or national level.

Moreover, even those emergency physicians interested in policy often lack the necessary knowledge base and skills to be effective. This interactive session will, first, broadly introduce participants to the impact that effective education and engagement of policymakers can have on our specialty and our patients. We will then provide an overview of essential skills and communication that academic emergency physicians must know to engage in the policy process. Finally, the session will offer a few specific examples of academic emergency medicinerelated policy successes. 1) Importance of the policy process for academic emergency medicine (5 minutes) 2)Discussion of critical policy skills (25 minutes, Sara Patterson) SP will describe key areas of the policy process: policy briefing vs. analysis, policy implementation, policy promotion, and evaluation strategies. She will then provide a focused overview of critical education and advocacy skills for academic emergency physicians. 3) Examples of successful advocacy (30 minutes, Art Kellerman) AK will discuss his experiences and challenges with health policy and advocacy on national, state, and institutional policy levels. 4) Participant round table breakout sessions with policy experts (20 minutes, 6 facilitators).

Society for Academic Emergency Medicine

Objectives: At the completion of this session, participants should be able to: 1. Describe the importance of engaging in the policy process for the specialty of emergency medicine 2. Describe the key aspects of the Policy Process 3. Identify the key components of educating policymakers 4. Develop an effective strategy for a research, safety, or practice-related issue that is important to academic EM Lauren Hudak MD, MPH – submitter, presenter Emory University, Atlanta, GA Megan Ranney MD - presenter Alpert Medical School, Brown University, Providence, RI Art Kellerman MD, MPH - presenter RAND Corporation, Santa Monica ,CA Sara Patterson MA - presenter Centers for Disease Control and Prevention, Atlanta, GA CDC Policy Specialists- presenter Centers for Disease Control and Prevention, Atlanta, GA

and results, but also provide greater context to the research by discussing its importance within the larger realm of global health. In order to save time, articles with similar themes will be grouped together and discussed jointly. The didactic will be presented by the current managing editor and editor-in-chief of GEMLR, who will also be able to provide background during the discussion on how Global Emergency Medicine research has evolved over the past decade.

Objectives: At the end of this session, participants should be able to: 1. Discuss the most recent, high-quality Global Emergency Medicine research being conducted around the world 2. Describe evidence-based practices as it pertains to providing emergency care around the world 3. Outline strategies for conducting ethical and high-quality Global Emergency Medicine research, having learned from the experience of recent investigators.

Gabrielle Jacquet MD – submitter, presenter Johns Hopkins University School of Medicine, Baltimore MD Adam Levine MD, MPH - presenter Brown University Alpert School of Medicine, Providence, RI

Emergency Department Evaluation and Management of Pediatric Concussion and Mild Traumatic Brain Injury

Inauguration of the NIH Office of Emergency Care Research

DS053 – International D Session Time: Friday, May 17, 2013 11:00 - 11:50 am Concussion or mild traumatic brain injury (mTBI) is a disruption in normal brain function caused by the impact of biomechanical forces on the head or the body.

Approximately 100,000-140,000 children and adolescents present to the emergency department for concussion each year in the United States. Immediate recognition of concussion and prompt initiation of treatment in the form of complete cognitive and physical rest is essential to promote recovery, and to prevent prolonged physical, cognitive, and emotional symptoms. While emergency departments frequently serve as the initial point of entry for the care of pediatric concussion patients, providers may not have adequate training or tools necessary to provide standardized and evidence-based care.

For this didactic session, the presenters will discuss the diagnosis, management, and after-care for concussion. A growing body of basic and clinical research has provided the evidence for standardized evaluation of concussion and prompt treatment with physical and cognitive rest. General awareness of concussion and a growing number of state laws requiring medical clearance before return to activity has resulted in a significant increase in concussion-related visits in a variety of clinical settings, including the emergency department. The presenters will provide the recent literature and recommend evidence-based best practices that emergency physicians can readily implement into their everyday practice.

Following the formal didactic presentation, there will be allotted time for questions and discussion.

Objectives: At the completion of this session, participants should be able to: 1. Describe the principles of diagnosis and management of pediatric concussion.

2. Explain the role that emergency medicine physicians can play in initiating cognitive and physical rest, and recommending appropriate follow-up.

Mark Zonfrillo MD, MSCE – submitter, presenter Children’s Hospital of Philadelphia, Philadelphia, PA Rachel Bengtzen MD - presenter Oregon Health and Science University, Portland, OR

The Top 10 Global Emergency Medicine Articles from 2012: Highlights from the Global Emergency Medicine Literature Review DS054 – International E-F Session Time: Friday, May 17, 2013 11:00 - 11:50 am The Global Emergency Medicine Literature Review (GEMLR) was developed in 2005 to help EM providers navigate the growing abundance of Global EM literature.

Now in its eighth year, the GEMLR highlights and disseminates high-quality Global Emergency Medicine research for use by both academics and practitioners in the field. Each year, the GEMLR conducts a search of the Global EM literature, producing about 7,000 articles from the published and grey literature. Our team of 30 reviewers and editors then screen and score the articles using established criteria to select those that are both high-quality and directly relevant to the field of Global EM. The top articles selected each year by the GEMLR represent a sample of the best research from around the world related to the bourgeoning field of Global EM. In this didactic, we will highlight the ten original research and review articles from 2012 that we believe will have the greatest impact on the practice of Global Emergency Medicine while also stimulating future research in this arena. For each article, we will not only summarize and critique its methods

DS055 – International C Session Time: Friday, May 17, 2013 1:00 - 2:20 pm This session will highlight the leadership of the NIH OECR, the NIH Emergency Care Research Working Group, (which includes representatives from most NIH institutes and centers) which oversees the OECR and the scientific and administrative support group at the National Institute of General Medical Sciences (NIGMS) which houses the OECR . The panel will provide input on the development, design, priorities and function of the OECR. The NIH OECR leadership perspective (30 minutes) will be given by Dr. Walter Koroshetz from NINDS, Acting Director of the NIH OECR and Dr. Alice Maschette (Associate Director of NIH OECR). The NIH Emergency Care Research Working Group perspective (15 minutes) by the Chair of the Steering Committee member (Dr. Judith Greenberg, Acting Director of NIGMS) and the NIGMS scientific and administrative perspective (15 minutes) by Dr. Scott Somers (NIGMS Program Director and member of the NIH Working Group). Dr. Charles Cairns and Dr. Roger Lewis will serve as the moderators. The moderators will lead a panel discussion (20 minutes) on how the OCER will interact with current NIH funding programs, prioritize research initiatives and interact with emergency care investigators.

Objectives: At the completion of this session, participants should be able to: 1. Identify the leadership and support structure of the NIH OECR 2. D escribe initial research initiatives of interest to emergency medicine investigators.

Charles Cairns MD – submitter, presenter University of North Carolina, Chapel Hill, NC Roger Lewis MD, PhD - presenter Harbor-UCLA Medical Center, Torrance, CA Walter Korshetz MD, - presenter National Institutes of Health/NINDS, Bethesda MD Scott Somers PhD - presenter National Institutes of Health/NIGMS, Bethesda MD

Pediatric Airway Management in the 21st Century: Muddling to Mastery DS056 – International D Session Time: Friday, May 17, 2013 1:00 - 1:50 pm Intubation in a small child is a low-volume, high-risk procedure and even a seasoned Pediatric Emergency Medicine Attending will feel their pulse quicken when faced with a challenging airway scenario in a small child. Pediatric airway management is evolving rapidly with the advent of videolaryngoscopy and alternative airway techniques coupled with research questioning some of the long-held basic tenets of rapid-sequence intubation. In this session, 3 Pediatric Emergency physicians from varied backgrounds (one Emergency Medicine-residency trained, one Pediatric-residency trained and one dual-trained in Pediatric Emergency Medicine and Pediatric Critical Care) will dissect the current state of the art in Pediatric Airway Management with a focus on new techniques, the teaching of trainees using simulation and current areas of controversy including ketamine in head trauma and the use of atropine during RSI. Objectives: At the completion of this session, participants should be able to: 1. Describe the advantages and disadvantages of videolaryngoscopy for pediatric airway management based on current literature.

2. Explain the controversies over the use of etomidate and ketamine for induction in pediatric RSI.

May 14-18, 2013 | Atlanta, Georgia

47

3. Assess the utility of simulation and critical-action training with regards to pediatric airway management.

Nathan Mick MD – submitter, presenter Tufts University School of Medicine, Boston, MA Joshua Nagler MD - presenter Harvard University, Boston, MA Aaron Donoghue MD - presenter Children’s Hospital of Philadelphia, Philadelphia, PA

Controversies in Emergency Ultrasound: The Debate Rages On DS057 – International E-F Session Time: Friday, May 17, 2013 1:00 - 1:50 pm This session will feature a debate-style format with discussants utilizing an evidence-based approach to dispute two controversial topics in emergency ultrasound. First, should tele-sonography be employed in the clinical arena and in what settings? Tele-sonography is the digital storage and transmission of ultrasound images and video for either education and training or clinical use. The role of Emergency Physicians in developing tele-sonography programs will be discussed as well as issues related to implementation including synchronous vs. asynchronous data transmission, image quality, appropriate clinical applications, remote training, and technical and non-technical barriers to program development.

Second, what is the appropriate utilization of the FAST examination in trauma patients? Discussants will review and debate issues related to the use of FAST in blunt/penetrating trauma patients, non-operative trauma management, cardiac imaging as a view in the FAST, limitations of the FAST, as well as outcomes data.

Objectives: At the completion of this session participants should be able to describe these cutting edge and controversial issues in Emergency Ultrasound: the utilization of tele-sonography around the globe the use of FAST exam in trauma patients.

Christopher Raio MD – submitter, presenter North Shore U. Hospital, Manhasset, NY, NY Andrew Liteplo MD - presenter Massachusetts General Hospital, Brookline, MA J. Christian Fox MD- presenter University of California, Irvine Medical Center, Irvine, CA Jason Nomura - presenter Christiana Care Health System, Newark, DE

Child Abuse Pediatrics Research Update - New Innovations, New Best Practice DS058 – International D Session Time: Friday, May 17, 2013 2:00 - 2:50 pm The last five years have seen an explosion of research in child abuse pediatrics, with important implications for the practice of emergency physicians. Investigators continue to negotiate unique ethical and logistical issues raised by abuse while, at the same time, new technologies have been shown to improve screening. These new techniques both support new guidelines to improve detection, and debunk persistent dogma. This program will discuss recent and developing tools and techniques in child abuse research, as well as the initial results of cutting edge abuse research for the emergency physician. Attendees will improve their ability to conduct research in child abuse detection and treatment in the emergency department, and will understand current and developing best practice guidelines for clinical practice.

Objectives: At the completion of this session participants should be able to: 1. Use new research techniques and technology in the design of child abuse research protocols 2. Describe and incorporate recent advances to improve child abuse detection into their clinical practice.

Daniel Lindberg MD – submitter, presenter Brigham & Women’s Hospital, Boston, MA Philip Scribano DO, MSCE - presenter Children’s Hospital of Philadelphia, Philadelphia, PA

Resident Education in Ultrasound: Meeting the Milestone DS059 – International E-F Session Time: Friday, May 17, 2013 2:00 - 2:50 pm The Emergency Medicine Resident Review Committee of the ACGME in conjunction with CORD ABEM, and other organizations in 2012 released the Milestones in Emergency Medicine. Specifically PC12 addresses the education

48

of EM residents in the use and integration of point of care ultrasound. Residency programs will be responsible for meeting the implementation and assessment of residents with regard to the Milestones. Not all programs have ultrasound directors to implement and assess the milestones for their residents. This didactic session will discuss a model curriculum for resident education in point of care ultrasound, minimum elements to meet the EM Milestones, and methods of assessments. The discussion will provide a framework and information that can utilized by programs with and without an ultrasound director. The discussion will highlight consensus work done through SAEM and CORD about ultrasound education to meet the Milestone requirements.

Objectives: At the completion of this session participants should be able to: 1.

Detail and specify a model curriculum design and resident rotation for emergency ultrasound 2.

Describe minimum standards that should be accomplished at every EM residency program.

3. Detail an updated standardized model ultrasound education curriculum for emergency medicine residents 4. Describe competency assessment tools for the novice and advanced resident sonographer, which complement the milestones with a focus on simulation, blended and ultrasound-based learning.

Nova Panebianco MD, MPH – submitter, presenter University of Pennsylvania, Philadelphia, PA Resa Lewiss MD - presenter St. Luke’s Roosevelt, New York, NY Saadia Akhtar MD - presenter Beth Israel, New York City, NY Jason Nomura MD- presenter Christiana Care Health System, Newark, DE

saturday, MAY 18th Motivating Success: Conducting High Quality Behavioral Interventions for Addiction in ED patients: Lessons Learned from the SMART-ED Multisite Trial.

DS060 – International B Session Time: Saturday, May 18, 2013 8:00 - 8:50 am

Randomized clinical trials (RCTs) are potent tools that, if used properly, assess the efficacy of potential therapeutic interventions for a wide range of problems and patients. Conducting a high quality RCT is challenging under ideal circumstances; conducting RCTs in the ED presents unique and often significant methodological barriers compared to more traditional research settings. RCTs that test the efficacy of behavioral interventions (BI) should ensure a high quality, high fidelity BI across subjects, interventionists and sites. These challenges are particularly problematic in chaotic environments, such as seen in many EDs. Many ED patients with problematic substance use might appear ‘less-than-ideal’ subjects, given economic barriers, homelessness and a generally unstable environment. We will identify common challenges experienced by the researcher when conducting BI in the acute care/ED setting. We will also describe strategies to identify, recruit and maintain research subject interest, including strategies particularly useful for the ‘less-than-ideal’ participant. We will draw upon our recent experience with the SMART-ED (Screening, Motivational Assessment and Referral to Treatment in Emergency Departments) multicenter trial. This NIDA funded trial delivered a high fidelity BI across 6 different US ED sites. The design and sample size estimates required enrollment of 1,285 subjects with at least 85% follow-up at 3-months post-randomization. Because the efficacy of BIs for drug use in the ED is not known, we will describe the steps used to ensure high fidelity and consistency of the BI. We will describe challenges faced and strategies used to enroll our target sample with nearly 90% follow-up at 3 months.

Objectives: At the completion of this session participants should be able to: 1. Discuss strategies and factors associated with the identification of subjects during screening who will have a high probability of completing a behavioral intervention (BI) study.

2. Describe steps and techniques to develop, test and maintain a high fidelity behavioral intervention for substance use in ED patients.

3. Develop a cohort maintenance strategy to track and maintain participation of subjects in a BI trial.

Cameron Crandall MD – submitter, presenter University of New Mexico, Albuquerque, NM Ryan McCormack MD - presenter Bellevue Hospital, NYU School of Medicine, New York, NY Alyssa Forcehimes PhD - presenter University of New Mexico, Department of Psychiatry, Albuquerque, NM

Society for Academic Emergency Medicine

The Hidden Science in Your Emergency Medicine Research: Gender-Specific Study Design and Analysis DS061 – International C Session Time: Saturday, May 18, 2013 8:00 - 9:20 am There is now clear evidence that gender plays a key role in health and disease at a biological level and can significantly impact patient outcomes. As a critical emerging field, high quality gender based research and data analysis is sought after by medical journals and by the National Institutes of Health. However, little gender-specific research has been conducted within emergency medicine. EM scholars can consider important gender-based questions within their current area of research. Such inquiry potentially impacts the medical care of both sexes and may provide researchers with additional opportunities for scholarship. This session aims to stimulate interest in research on gender-specific medicine and understand the challenges and solutions of performing gender-based analyses.

The session will be an 80-minute moderated panel presentation with: 1) a brief introduction (5 minutes, Dr. Choo); 2) discussion of a general framework for considering relevant gender-specific research questions within diverse areas of emergency medicine research and analytic strategies for approaching the question of the impact of gender on clinical outcomes (25 minutes, Dr. Lewis); and 3) demonstration of how EM physicians have applied these approaches, using as examples a) research on the diagnostic testing for cardiovascular disease (20 minutes, Dr. Diercks) and b) research on female hormone therapy for traumatic brain injury (20 minutes, Dr. Wright). The session will conclude with 10 minutes for questions from the audience.

Objectives: At the completion of this session, participants should be able to: 1. Describe basic approaches that enable the study of the impact of gender on clinical outcomes.

2. D etail the scientific approaches to research on diagnostic testing in cardiovascular disease and use of female hormone therapy for traumatic brain injury Esther Choo MD, MPH – submitter, presenter Brown Medical School, Providence, RI Roger Lewis MD, PhD - presenter Harbor-UCLA Medical Center, Los Angeles, CA Deborah Diercks MD - presenter University of California Davis School of Medicine, Sacramento, CA David Wright MD - presenter Emory University School of Medicine, Atlanta, GA

Presentation Design: An Evidence-based Approach To Creating Impactful, Effective Visual Aids DS062 – International G Session Time: Saturday, May 18, 2013 8:00 - 8:50 am The ability to give effective presentations is a critical skill for educators. Despite the multitude of tools available, there is very little formal teaching on the education and design principles necessary to create effective presentations. Often, the tools used to supplement the lecture (usually PowerPoint) do not fully utilize educational and design principles to optimize learning. Some of this may be due to a lack of knowledge of the principles, and some of this may be lack of familiarity with presentation software. There has been a recent explosion of a variety of new presentation software and presenting tools, as well as increased interest in podcasts and e-learning. As we continue to expand our educational arsenal, the principles underlying effective design become even more important. This session will start by making a case for a medical educators’ approach to presentation design. Medical education has specific goals, separate from business or marketing presentations, which play a direct role in designing the elements of a presentation.

The session will then review the existing literature on optimal retention, motivation, learning styles, generational differences, and other key education principles that underlie a presentation. Finally, we will discuss and demonstrate the application of these principles, including several easy presentation software elements that can be used to implement the principles.

Objectives: At the end of this session, participants should be able to: 1. Review Mayer’s principles of multimedia design 2. Review Kosslyn’s theories on creating effective PowerPoint presentations 3. D iscuss other key educational principles integral to effective presentation design 4. List 3 principles of memory and retention in relation to presentation design 5. Take 3 example slides provided in the session and create 3 revised slides implementing the principles discussed in the session.

Malford Pillow MD, MEd – submitter, presenter Baylor College of Medicine, Houston, TX

SAEM AND EMF Grants: Opportunities and Submission Process DS064 – International B Session Time: Saturday, May 18, 2013 9:00 - 9:50 am The SAEM Foundation and ACEP’s Emergency Medicine Foundation (EMF) provide a variety of emergency medicine grants. Historically, many recipients of these grants have gone on to highly successful research careers with federal funding.

These grants primarily target junior investigators including medical students, residents, fellows and junior faculty. The most appropriate grant category and application process, however, is often confusing to these interested individuals.

This session will provide an overview of each foundation’s grant offerings and the submission and review process of each. Included will be the type of candidates targeted for these grants, types of proposals that score well and the timeline of review and the scoring system used.

Objectives: At the completion of this session, participants should be able to: 1. Describe the types of grants offered by SAEM and EMF 2. S ummarize the keys to successfully applying for such a grant.

James Holmes MD, MPH – submitter, presenter UC Davis School of Medicine, Sacramento, CA Mark Courtney MD, MSCI - presenter Northwestern University, Chicago, IL Megan Ranney MD - presenter Alpert Medical School, Brown University, Providence, RI Comilla Sasson MD, MS - presenter University of Colorado School of Medicine, Denver, CO

Deliberate Practice: A Learning Technique That Improves Mastery, Execution, and Retention of Medical Knowledge DS065 – International G Session Time: Saturday, May 18, 2013 9:00 - 9:50 am The concept of deliberate practice, first described in 1993 by Ericsson et al, has gained traction in medical education as it did before in sport, music, chess, and economics as a way to define the process of obtaining expert performance. It has been definitively demonstrated that exceptional performance in diverse fields and domains has a common set of causes and goes beyond genetics, with significant influence contributed by practice and training. Furthermore, it has been shown that by applying the principles of deliberate practice, a person who has reached expert level performance can remain at the same level and prevent skill decay. The steps of deliberate practice are: 1. buy-in from the learner; 2. active learning tasks; 3. immediate feedback; 4. repeated performance to refine the activity. The didactic component of this course will introduce the learner to the step by step process of deliberate practice. During the lecture, participants will be given real examples of how to institute a deliberate practice model into their education endeavors and will be given opportunities to have their questions answered.

Objectives: At the completion of this session, participants should be able to: 1. Define the process of deliberate practice 2. Incorporate deliberate practice methods into the educational curriculum for trainees and individual educational goals.

Rodney Omron MD, MPH – submitter, presenter Johns Hopkins, Baltimore MD Doug Franzen MD, M.Ed - presenter Virginia Commonwealth University, Richmond, VA Rahul Patwari MD - presenter Rush University Medical Center, Chicago, IL

Top 5 Plays of the Day: How Gender-Specific Medicine Impacts Men’s Health DS066 – International C Session Time: Saturday, May 18, 2013 9:30 - 9:50 am Gender-specific medicine is not the same as women’s health. As defined by the Partnership for Gender-Specific Medicine, this relatively new science is the study of the differences in the normal function of men and women and in their experiences of the same disease. This holds true across the spectrum of prevention, diagnosis, evaluation, treatment and palliation. The Emergency Department (ED) has become a primary point of contact for health care in the United States with encounters that reflect acute presentation of a spectrum of diseases. The specialty is just beginning to appreciate the areas of acute care medicine in which gender-specific treatment decisions can rapidly and directly impact the outcomes of both women and men. This presentation will take the audience through 5 systems using the ESPN style of Top 5 Plays of the Day.

May 14-18, 2013 | Atlanta, Georgia

49

Each expert presenter will update the audience on the top Gender-Specific EM articles for 2012-13 in Cardiology, Sports Medicine, Traumatic Injuries, Sepsis and Neurologic Emergencies and how they impact men’s health.

Objectives: At the completion of this session, participants should be able to: 1. Describe concrete examples of physiologic gender differences with significant implications for men’s health.

2. Discuss examples of a gender-specific approach to crucial emergency medicine topics of cardiology, neurology, sports medicine, sepsis and trauma.

3. Describe the top gender-specific EM articles for 2012-2013 and how they relate to the clinical practice of EM. Alyson McGregor MD - submitter Brown University, Providence, RI Frederico Vaca MD, MPH - presenter Yale University School of Medicine, New Haven, CT Nina Gentile MD - presenter Temple University, Philadelphia, PA Basmah Safdar MD - presenter Yale University School of Medicine, New Haven, CT Neha Raukar MD - presenter Brown University, Providence, RI David Portelli MD - presenter Warren Alpert Medical School of Brown University, Providence

NIH Individual Research Career Development (K) Awards: A Pathway to Research Independence DS067 – International B Session Time: Saturday, May 18, 2013 10 - 10:50 am Jane Scott, ScD, MSN, (Director, Office of Research Training and Career Development, Division of Cardiovascular Sciences, NHLBI) will lead a discussion on K awards. The K awards provide protected time for junior faculty as they conduct research, write papers and compete for NIH grants, on their path to research career independence. The goal of the session will be to provide a very brief overview of the Institutional K12 awards and a more in-depth review of individual K awards (K08 and K23). A panel of current and former K- awardee emergency medicine investigators will discuss their experiences in applying for the K awards, the benefits of the award, and comments on how the award helped them in their research careers. Panelists will include: former K08 awardee Lance Becker MD, former K23 awardee Benjamin Abella MD, MS, and current K23 awardee Sean Collins MD, MS. Objectives: At the completion of this session, the participants should be able to: 1. Describe the different types of K awards available to early career faculty and fellows 2. Detail the benefits of such awards in seeking research career independence.

Jane Scott ScD, MSN – submitter, presenter National Heart, Lung, and Blood Institute, National Institutes of Health MD Lance Becker MD – presenter University of Pennsylvania SOM, Philadelphia, PA Benjamin Abella MD, MS - presenter University of Pennsylvania SOM, Philadelphia, PA Sean Collins MD, MSc - presenter Vanderbilt University SOM, Nashville, TN

Enhancing the Quality And Transparency Of Health Research: An Introduction to the EQUATOR Network and Implications for Emergency Medicine DS068 – International C Session Time: Saturday, May 18, 2013 10 - 10:50 am Using didactic presentations this session will provide attendees with accessible resources to guide the design, conduct, and reporting of emergency medicine research. Publication guidelines for most research designs have been developed and refined over the last decade. Researchers, methodologists, and journal editors accepted all of these guidelines before disseminating them across a large variety of clinical specialties. These guidelines include the CONSORT, PRISMA, STARD, STROBE, and MOOSE statements. By promoting better-informed reporting and enhanced reviewing, these guidelines minimize variability and reduce bias, thereby enhancing the overall quality of the research product. Unfortunately, most guidelines remain widely underutilized by research groups, journal editors, and the readers of the medical literature. The result is highly variable, often biased research reporting that increases the overall workload of the healthcare consumer. The EQUATOR group is an international collaboration with the mission to increase the general awareness, adoption and implementation of these guidelines, while providing a forum for the refinement of future guidelines.

50

The presentation will consist of three 15-minute presentations by Dr. Hiestand, Dr. Meisel, and Dr. Carpenter discussing the methodological process to develop publication guidelines, the EQUATOR dissemination model, and the impact that these guidelines have upon manuscript quality.

Objectives: At the completion of this session, participants should be able to: 1. Understand why publication guidelines have been developed 2. Describe where to find appropriate publication guidelines 3. Detail how to incorporate the guidelines into ongoing work.

4. Describe resources to facilitate successful incorporation of these principles into scientific and academic work-products.

Christopher Carpenter MD, MSc – submitter, presenter Washington University, St. Louis, MO Brian Hiestand MD, MPH - presenter Wake Forest University School of Medicine, Winston-Salem, NC Zachary F. Meisel MD, MPH, MSc - presenter Perelman School of Medicine at the University of P, Philadelphia, PA

Peer Mentoring: Enhancing Academic & Research Mentoring DS069 – International G Session Time: Saturday, May 18, 2013 10:00 - 10:50 am The rationale and need for mentors is a recognized part of a successful academic career. Mentoring goes beyond passing on knowledge and skill, and involves teaching, sponsorship, guidance, socialization into a profession, and moral support. Mentoring has been shown to enhance career development and satisfaction, productivity and networking. Traditional mentoring involves a higher-ranked, more experienced advisor who mentors a newer, less experienced mentee. Traditional mentoring has been shown to be very effective but can have limitations such as a shortage of mentors, and lack of consistency of mentors skills and abilities. Peer mentoring involves a model where all members are essentially the same age, rank and experience level. Peer mentoring may have the added benefits of shared commonalities (stage of life and career), the development of friendships and longer lasting relationships, increased collegiality, and decreased professional isolation. Peer mentoring can be used as an adjunct to traditional mentoring or may stand alone.

Objectives: At the completion of this session, participants should be able to: 1. Justify the importance of mentoring in an academic career 2. Compare mentoring models traditional vs. peer 3. Describe the advantages and disadvantages of traditional and peer mentoring 4. Understand and interpret the current literature on peer mentoring 5. Apply the evidence to develop a peer mentoring model in their own setting Stephen Cico MD, MEd – submitter, presenter Lurie Children’s Hospital & Northwestern Univ., Chicago, IL Kelly Black MD, MSc - presenter Seattle Children’s and University of Washington, Seattle, WA Joseph House MD - presenter University of Michigan, Ann Arbor, MI Cemal Sozener MD - presenter University of Michigan, Ann Arbor, MI

Improve Your Teaching: Evidence-Based Teaching Workshop Using Articles That Will Change Your Teaching Practice.

DS070 – International H Session Time: Saturday, May 18, 2013 10:00 - 10:50 am In teaching, medical educators, like in clinical practice, should use the evidence from the education literature and incorporate it into their teaching practice.

This workshop will help participants translate the evidence from some landmark education articles including: 1) How to incorporate the evidence in clinical reasoning about intuitive (pattern recognition) and analytical thinking into your teaching 2) Best evidence in medical education (BEME); how do journal clubs affect learning and practice 3) Learning retention 4) Model for programmatic assessment 5) Hot topic in education research- thinking about validity evidence. The journal articles (evidence) will be briefly presented, then, in small groups the participants will discuss how these findings might be applied to their own settings. The workshop will be highly interactive, requiring participants to use both the evidence and apply it to their teaching, learning and assessment practices. The workshop will incorporate large and small group exercises to understand the concepts and develop ways to improve each participant’s teaching skills. The participants will understand the evidence in these areas for effective teaching and assessment, take home strategies for improving their teaching using and develop a plan for how they will incorporate the evidence into their teaching practice. Additional facilitators: Emily Senecal MD and Suzanne Dooley-Hash MD and James Takayesu MD, Joe House MD

Society for Academic Emergency Medicine

Objectives: At the completion of this session, participants should be able to: 1. Challenge your thinking about traditional teaching 2. Learn evidence from the teaching and learning literature 3. A pply the evidence and develop strategies to change and improve your teaching practice Sally Santen MD, PhD – submitter, presenter University of Michigan, Ann Arbor, MI Sue Farrell MD, MEd - presenter Harvard Partners, Boston, MA Robin Hemphill MD, MPH - presenter Veterans Association, Ann Arbor, MI Laura Hopson MD - presenter University of Michigan, Ann Arbor, MI

NHLBI K12 Research Career Development Programs in Emergency Medicine Research DS071 – International B Session Time: Saturday, May 18, 2013 11:00 - 11:50 am In July 2011 the National Heart, Lung, and Blood Institute (NHLBI) funded six institutional research career development (K12) awards to promote multidisciplinary clinical research training programs in emergency medicine.

These programs are designed to prepare clinician-scientists for independent research careers and academic leadership roles in Emergency Medicine. This five year, $21 million award represents a major opportunity for junior emergency medicine researchers to obtain NIH funded, mentored research career training. A brief overview of the K12 program will initially be provided (structure of the K12, eligible applicants, goals, etc). The panel will include a member from each of the six K12 award programs. Members from each program will provide a brief description of their respective programs. These presentations will highlight the strengths and unique attributes of each individual program, the types of candidates they are targeting, and the application process. Following the panel, interested individuals will be able to meet and discuss issues related to the K12 programs with members from each program (including current K12 scholars).

Objectives: At the completion of this session, the participants should be able to: 1. Describe the goals of the NHLBI K12 program, 2. Define who the targeted applicants for the program are.

3. Describe the application process and characteristics of each of the six K12 programs.

James Holmes MD, MPH - submitter UC Davis School of Medicine, Sacramento, CA Arthur Kellermann MD, MPH - presenter RAND, Santa Monica, CA Jane Scott ScD - presenter NHLBI, Bethesda MD

Superstars of Social Media: How to Incorporate Social Media Into Teaching and Education DS072 – International C Session Time: Saturday, May 18, 2013 11:00 - 11:50 am The internet has become a ubiquitous presence in Medicine and Academics. The use of Social Media has become an important part of communication, and has assumed an increasing role in teaching and education. As utilization grows we have quickly gained some experience in approaches that have and have not been successful, although there is still a great deal to be learned. The best approaches have yet to be determined, but certain groups have found successful Social Media approaches in EM education. This didactic will review the use and development of Social Media through three successful approaches. The overall approach, specific techniques, and barriers to success will be discussed. Finally the discussion will focus on recommendations for the incorporation of Social Media tools for teaching and education. A video conference preview of the lecture will be posted at Academic Emergency Medicine and on SAEM Facebook page several weeks before the Annual Meeting in order to encourage electronic discussion of the topic prior to the meeting. Information and important points will be broadcast via Twitter with the hash tag #SAEM13 by the moderator during the presentation.

Objectives: At the completion of this session, participants should be able to: 1. Describe Social Media tools and their basic use.

2. Discuss the role of Social Media in education.

3. Provide recommendations for online engagement with learners.

4. Review current approaches in Social Media and discuss future directions.

James Miner MD – submitter, presenter Hennepin County Medical Center, Minneapolis, MN Michelle Lin MD - presenter University of San Francisco, San Francisco, CA Scott Joing MD - presenter Hennepin County Medical Center, Minneapolis, MN Sean Fox MD - presenter Carolinas Medical Center, Charlotte, NC

Trauma and Teamwork: Lessons from Iraq DS073 – International G Session Time: Saturday, May 18, 2013 11:00 - 11:50 am This photo rich lecture chronicles the author’s experiences leading a Shock Trauma Platoon in Fallujah Iraq, focusing specifically on traditional and innovative “onthe-job” methods to create a highly functioning team from a group of physicians, nurses, and technicians who had not previously worked together. This lecture discusses alignment of roles and purpose, cross training, patient care, functioning with limited resources, risk-benefit calculations, mass casualty and other issues directly applicable to civilian Emergency Department operations. Discussion of specific teamwork skills necessary for a satisfying Emergency Medicine shift and are applicable to Emergency Physicians at any career level.

Objectives: At the completion of this session, participants should be able to: 1. Describe ways of improving teamwork within a newly formed team 2. Create a positive environment to foster innovative thinking 3. Understand some of the challenges of practicing Emergency Medicine with limited assets in a battlefield environment, including the importance of true teamwork when the entire team is under fire.

Martin Makela MD – submitter, presenter University of Washington Medical Center, Seattle, WA

Quantifying the Worth of My Publications for Promotions and Grants: The h-Index, m-quotient, Eigenfactor, and Other Measures of Academic Currency DS074 – International H Session Time: Saturday, May 18, 2013 11:00 - 11:50 am Publications and grant funding are the promotional currency of academia.

These scholarly effort metrics are used to assess research performance, career planning, and grant funding, as well as promotions and tenure. Traditionally, promotions boards used the journal impact factor as estimates of relative value of an individual researcher’s advancement package. Recent advancements in technology have spurred new, more author-level specific measures to demonstrate the impact of publications’ impact within the scientific and academic community. These measures include the h-index, m-quotient, Eigenfactor, citation counts, co-authorship patterns, usage data, and research foci trends. The first 25-minute presentation will introduce metrics based on publication data while demonstrating how metrics are used to illustrate research impact from scholarly publications. This didactic will introduce attendees to electronic resources including the Web of Science® and SCOPUS which will be used to generate h-index, citation reports, global dissemination, and collaborative publishing reports and charts for individual researchers. The merits and disadvantages of each source of publication impact will be reviewed. The second presentation reviews two pragmatic applications for these impact metrics: promotions and grant applications. The general considerations of promotions boards regarding peer-reviewed publications will be summarized. Examples of annual academic portfolios that incorporate author-level publication impact metrics will be provided. In addition, a grant application incorporating measures of publication impact to emphasize expertise within a field will be highlighted.

Objectives: At the completion of this session, participants should be able to: 1. Describe the strengths and weaknesses of contemporary measures that are increasingly being used to assess the worth of individual publications at the level of the author and the publication.

2. Find resources to generate their own measures of publication impact for grants or promotional packages.

3. Incorporate measures of publication impact into promotional packages or grants to demonstrate the strength of your application.

Christopher Carpenter MD, MSc – submitter, presenter Washington University, St. Louis, MO Cathy Sarli MLS, AHIP - presenter Washington University, St. Louis, MO

May 14-18, 2013 | Atlanta, Georgia

51

“ Being part of a democratic group means that you get to make decisions affecting your practice daily.” “ It’s an amazing experience. I absolutely enjoy it and truly believe in CEP’s partnership model.”

—True McMahan, MD ED Medical Director Garden Grove Hospital

Find out why CEP America is different.

Visit our booth at the Society for Academic Emergency Medicine’s Annual Meeting or info.cep.com/saem2013

Your Life. Your Career. Your Partnership.

Ian Martin, MD current President of the Global Emergency Medicine Academy from University of North Carolina, Chapel Hill is one individual who took the SAEM Foundation challenge and BECAME ONE. Will you take the challenge and BECOME ONE member who changed the future of academic emergency medicine?

Make your donation online today at www.saem.org

52

Society for Academic Emergency Medicine

SAEM Annual Meeting Abstracts May 15-18, 2013 Atlanta, Georgia

Listed below are the title, presenter name, and presenter Institution for the 834 abstracts that have been selected for presentation at the 2013 SAEM Annual Meeting from the 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers do not correspond to the original abstract numbers given at time of submission. *SAEM Gallery of Excellence Nominees 2013

Plenary Presentations Thursday, May 16, 3:30 - 5:00 pm in Plaza Ballroom ABC

Moderator: David Cone MD, Yale University School of Medicine 1 NEXUS Chest: Validation of a Decision Instrument for Selective Chest Imaging in Blunt Trauma* Robert M. Rodriguez MD, UCSF/San Francisco General Hospital 2 Intravenous Cobinamide Versus Hydroxocobalamin for Acute Treatment of Severe Cyanide Poisoning in A Swine (Sus Scrofa) Model - a randomized, controlled trial* Vikhyat S. Bebarta, San Antonio Military Medical Center 3 Anaphylaxis; Clinical Features and Evidence for A Mast Cell-leukocyte Cytokine Cascade in Humans.* Simon G A. Brown MBBS, PhD, FACEM, Western Australian Institute for Medical Research, Royal Perth Hospital and the University of Western Australia 4 Accuracy of an Ultra-Low Dose CT Protocol for ED Patients with Suspected Kidney Stone* Chris Moore MD, RDMS, Yale University School of Medicine 5 Latino Caregiver Experiences with asthma Health Communications: A Qualitative Evaluation* Antonio Riera MD, Yale University School of Medicine 6 Randomized Trial of Tenecteplase or Placebo with Low Molecular Weight Heparin for Acute Submassive Pulmonary Embolism: assessment of Patient-Oriented Cardiopulmonary Outcomes at Three Months* Jeffrey A. Kline MD, Indiana University School of Medicine

WEDNESDAY, May 15th, 2013 Pediatric Abdominal Pain - Oral Presentations Wednesday, May 15, 9:00 - 10:00 am in Atlanta A

Moderator: Nathan Kuppermann MD, MPH, UC Davis 7 The Effect of Operator Experience on Test Performance Characteristics for Point-of-Care Ultrasound in Diagnosing Appendicitis in Children: Implications for Reducing Misdiagnosis-Related Medical Errors.

Inna Elikashvili, Mount Sinai Medical Center 8 The Effect of Point-of- Care Ultrasonography on Emergency Department Length of Stay and CT Utilization in Children with Suspected Appendicitis.* Inna Elikashvili, Mount Sinai Medical Center 9 Signs and Symptoms associated with Surgical Intervention in Children with Abdominal Pain* Melissa Tavarez MD, Children’s National Medical Center 10 Retrospective Review of Emergency Bedside Ultrasound for Diagnosis of Pediatric Intussusception* Samuel H. F. Lam, Advocate Christ Medical Center

Ultrasound - Oral Presentations Wednesday, May 15, 9:00 - 11:00 am in Atlanta E & F

Moderator: James H. Moak MD, RDMS, University of Virginia 11 Ultrasound Confirmation of Central Femoral Venous Line Placement: the FLUSH Study (Flush the Line and Ultrasound the Heart)* Russ Horowitz MD, RDMS, Ann & Robert H. Lurie Children’s Hospital of Chicago 12 Accuracy of Emergency Medicine Residents during Completion of the American College of Emergency Physicians Minimum Ultrasound Training Benchmarks: A Multicenter Multiple Application Longitudinal Validation Study* John Bailitz Cook County (Stroger) 13 Learning Curves in Emergency Ultrasound Education David J. Blehar MD, University of Massachusetts Medical School *Disclaimer: Abstracts are placed in the program how they were submitted to SAEM.

14 15 16 17 18

Prospective Evaluation of Bedside Soft-Tissue Ultrasound Measurement Threshold to yield Positive Purulence on ED drainage procedure Carrie Fales MD, Carolinas Medical Center Accuracy of Ultrasound as a Tele-medicine Component Using a Commercially Available Tele-conferance System Eric Zevallos MD, Georgia Health Science University Success of Lumbar Puncture After Using Ultrasound to Identify Landmarks Kevin Rooney MS4, University of California Irvine Sonographic Inferior Vena Cava Measurements to assess Hydration Status in Football athletes During Preseason Camp Amish Shah MD, University of Arizona The Effect of Patient Position on the Parasternal Long Cardiac Ultrasound View Brian Euerle, University of Maryland School of Medicine

Hemorrhagic Shock - Oral Presentations Wednesday, May 15, 9:00 - 10:00 am in Atlanta G

Moderator: Michael Gibbs MD, Carolinas Medical Center 19 A Markov Model Describes the Dynamics of Resuscitation in a Porcine Hemorrhagic Shock Model.* Heemun Kwok MD, MS, University of Washington 20 Comparison of Intraosseous Infusion Rates of Plasma Under High Pressure in An Adult Hypovolemic Swine Model in Two Different Limb Sites* Julio Lairet, Emory University School of Medicine 21 The Value of Peripheral Perfusion Index in Predicting Mortality of Patients Admitted to Intensive Care Unit and Association with APACHE II, SOFA and SAPS II Scores Yahya A. ACAR MD, Etimesgut Military Hospital 22 Fibrinogen Concentrate Reduces Blood Loss and Improves Survival in A Porcine Model of Freely Bleeding Hemorrhagic Shock Nathan White MD, University of Washington

Measures for Emergency Medicine - Lightning Oral Presentations Wednesday, May 15, 9:00 - 10:00 am in Atlanta B

Moderator: Jeremiah D. Schuur MD, Brigham & Womens Hospital/Harvard Medical School 23 Quality Measure Performance Varies Among Hospitals by Proportion of Low Income Patients Christopher W. Jones, Christiana Care Health System 24 Are Crowding Measures associated with Acute Myocardial Infarction Mortality?

Rahul K. Khare, Northwestern University 25 Effect of Health Information Exchange on Repeat Imaging in the Emergency Department Keith E. Kocher MD, MPH, University of Michigan 26 Factors associated with Quality and Costs for Elderly Patients with Acute Myocardial Infarction Who Present to Emergency Departments Michael Wilson MD, PhD, Brigham and Women’s Hospital 27 Blood Culture Use in ED Patients with Pneumonia after Modification of a National Quality Measure Leah S. Honigman MD, Beth Israel Deaconess Medical Center 28 ED Crowding Measures and In-hospital Sepsis Mortality: Is Less Crowding Really Better?

Emilie Powell MD, MS, MBA, Northwestern University

Congestive Heart Failure and Dyspnea - Lightning Oral Presentations Wednesday, May 15, 9:00 - 10:00 am in Atlanta C & D

Moderator: Alan B. Storrow MD, Vanderbilt University 29 Bedside Lung Ultrasound for the Diagnosis of Pulmonary Edema in Patients Presenting with Acute Dyspnea: A Systematic Review and Meta-analysis.

David Barbic, McGill University 30 The CUPID Study: Cardiopulmonary Ultrasound Protocol in Dyspnea Krithika Muruganandan MD, Brown University

May 14-18, 2013 | Atlanta, Georgia

53

31 32 33 34

Evaluation of Dyspnea Severity assessment Methods Howard A. Smithline, Baystate Medical Center The Correlation Between Myocardial Ejection Fraction and MRproANP Levels in ED Patients with Dyspnea Orhan Cinar, Gulhane Military Medical Academy Supplemental Thiamine for the Treatment of Acute Heart Failure Howard A. Smithline, Baystate Medical Center The Burden of Acute Heart Failure on US Emergency Departments* Alan B. Storrow MD, Department of Emergency Medicine, Vanderbilt University Medical Center

51

Screening for Fever in the ED: the Role of Oral, Tympanic Membrane, and Temporal Artery thermometry Purvi D. Shah, Montefiore Medical Center 52 A Risk-Prediction Rule for Contrast-induced Nephropathy and Subsequent Long-term Mortality Alice M. Mitchell MD, MS, Indiana University School of Medicine 53 Frequency Optimization for Detecting Intracerebral Hemorrhage in an Invivo Porcine Model Using Radiofrequency Electromagnetic Radiation Joseph J. Korfhagen, University of Cincinnati 54 Adult Emergency Department CT Utilization for Facial Trauma, Facial Fracture Rates, and Procedural Repair: A Retrospective Cohort Study Joshua S. Broder MD, Duke University Medical Center 55 Test Characteristics of Quick-Brain MRI for Shunt Evaluation in Children: A New Modality to Avoid Unnecessary Radiation Matthew Hansen MD, Oregon Health and Science University

Emergency Medical Services - Lightning Oral Presentations Wednesday, May 15, 9:00 - 10:00 am in Roswell 1

Moderator: Michael Runyon MD, Carolinas Medical Center 35 Degradation of Benzodiazepines After 120-Days of EMS Deployment* Jason McMullan MD, University of Cincinnati 36 Do Prehospital Levels of End-tidal Carbon Dioxide Differ Between Chronic Obstructive Pulmonary Disease and Congestive Heart Failure?* Christopher Hunter MD, PhD, Orange County EMS System 37 Prehospital Glasgow Coma Scale and Risk Stratification in Major Pediatric Traumatic Brain Injury: Association with Mortality and Non-Mortality Outcomes* Daniel W. Spaite MD, Arizona Emergency Medicine Research Center, University of Arizona 38 Racial Disparities in Stroke Recognition by Pre-hospital Providers Prasanthi Govindarajan MD, MAS, University of California, San Francisco 39 Validation of Criteria to Guide Pre-Hospital Antidote Administration for Drug Overdoses Matt S. Friedman MD, Fire Department of New York 40 Intranasal Midazolam is a Viable Alternative to Intravenous Midazolam for Prehospital Seizure Susanne J. Spano MD, FACEP, UCSF Fresno

Toxicology - Lightning Oral Presentations Wednesday, May 15, 9:00 - 10:00 am in Roswell 2

Moderator: Ed Otten, University of Cincinnati 41 Do Mnemonics Help Healthcare Professionals Learn and Recall toxic Syndromes for Cholinergic Hazardous Materials?

Nicholas B. Hurst MD, University of Arizona 42 “Hard” Versus “Soft” Patient Cues That Influence Emergency Medicine Provider Perception of Potential Opioid Misusers Lisa M. Mannina MD, San Antonio Military Medical Center 43 Cost Savings associated with Poison Control Consultation by EMS Dispatch Michael Levine MD, University of Southern California 44 An assessment of Opioid Prescribing Practices among Emergency Medicine Providers Shawn M. Varney MD, San Antonio Military Medical Center 45 Prescription Stimulant Misuse in a Military Population - Prevalence and Risk Factors for Misuse Vikhyat S. Bebarta, San Antonio Military Medical Center; AF Enroute Care Research Center 46 Contribution of Serum Ethanol Concentration to the Osmol Gap: a Prospective Volunteer Study Shaun D. Carstairs, Naval Medical Center

Radiology - Oral Presentations Wednesday, May 15, 10:00 - 12:00 pm in Atlanta A

Moderator: Ali S. Raja MD, MPH, MBA Brigham and Women’s Hospital, Harvard Medical School 47 Should We Communicate Radiation Risk from CT Scans to Patients? A Mixed-Methods and Normative Ethical Analysis* Thomas E. Robey, Yale-New Haven Hospital 48 Evidence Based Diagnostics: Meta-Analysis of the Accuracy of Physical Exam and Imaging for Adult Scaphoid Fractures* Ali S. Raja, Brigham and Women’s Hospital, Harvard Medical School 49 Comparing the Diagnostic Performance of Bedside Ultrasound to Plain Radiography for Detecting Fractures of the Appendicular Skeleton in the Emergency Department: A Prospective Study* Paul E. Haiar DSc, PA-C, Mike O’Callaghan Federal Medical Center 50 Diagnostic Testing and Treatment of Pediatric Headache in the Emergency Department Matthew L. Hansen MD, OHSU

54

Traumatic Brain Injury - Oral Presentations Wednesday, May 15, 10:00 - 12:00 pm in Atlanta B

Moderator: Opeolu Adeoye MD, University of Cincinnati 56 Emergency Department Initiated Interventions for Mild Traumatic Brain Injury; A Systematic Review Jocelyn Gravel, CHU Sainte-Justine 57 Elevated Levels of Serum SBDP150 in the Emergency Department Are associated with Poor Outcome at One Month From Mild and Moderate Traumatic Brain Injury* Linda Papa MD, CM, MSc, Orlando Regional Medical Center 58 Anti-platelet and Anti-coagulants Do Not Increase Traumatic Intracranial Bleeds in Elderly Fall Victims Darin Agresti DO, St. Luke’s University Hospital 59 Early Results: Do All Patients with Traumatic Intracranial Hemorrhage Need Hospital Admission?

Sarah K. Flaherty MD, Beth Israel Deaconess Medical Center 60 Performance of Early Serum GFAP and UCH-L1 Individually and in Combination in Distinguishing Mild and Moderate Traumatic Brain Injury from Trauma Controls and in Detecting Intracranial Lesions On CT* Linda Papa MD, CM, MSc, Orlando Regional Medical Center 61 The Synergistic Effect of Prehospital Hypotension and Hypoxia in Major Traumatic Brain Injury: Profound Impact on Mortality Daniel W. Spaite MD, Arizona Emergency Medicine Research Center, University of Arizona 62 Emergency Department Disposition of the Mild Traumatic Brain Injured Patient: A Multicenter Prospective Cohort Study.

Jonathan J. Ratcliff MD, MPH, University of Cincinnati 63 Significance of Prehospital Glasgow Coma Scale in Hospital Outcomes of Traumatic Brain Injury Patients Irina F. Brennan MD, PhD, University of Florida

Acute Coronary Syndromes - Oral Presentations Wednesday, May 15, 10:00 - 12:00 pm in Atlanta C & D

Moderator: Chad E. Darling MD, UMass Medical School 64 The Association between Pretest Probability of Coronary Artery Disease and Stress Test Utilization and Outcomes in a Chest Pain Observation Unit Anthony Napoli, Warren Alpert Medical School of Brown University 65 External Validation of the Australasian ED Acute Coronary Syndrome Score Jeffrey Shih, Mayo Clinic 66 Utility of Routine Echocardiography in Low-to-intermediate Risk Patients with Potential ACS Judd Hollander, University of Pennsylvania 67 High Sensitivity Troponin Implementation for Patients with Suspected Acs Increases the Rule-out Rate While Reducing Re-visits Resulting in Admission Andrew McRae, University of Calgary 68 The Effect of Implementing High-Sensitivity Troponin Testing on ED Operational Efficiency in Three Large Urban Emergency Departments Andrew McRae, University of Calgary 69 Can a Low-Risk Chest Pain Protocol Reduce Admission Rates Among Patients Presenting to the Emergency Department with Chest Pain? A Quality Project Michael Zwank, Regions Hospital 70 Cost-effectiveness of A Multi-disciplinary Observation Protocol for Lowrisk Acetaminophen Overdose in the Emergency Department Gillian Beauchamp, University of Cincinnati

Society for Academic Emergency Medicine

71 72

Potentially Avoidable Chest Pain Observation Unit Utilization: Admission of Very-Low-Risk Patients Simon A. Mahler, Wake forest University Medical School Prospective Evaluation of Outcomes in Geriatric Chest Pain Patients in an Emergency Department Observation Unit Matthew J. Fuller MD, University of Utah

STEMI - Oral Presentations Wednesday, May 15, 10:00 - 11:00 am in Atlanta G

90 Decreasing Turn-Around-Time with a Split ESI 3 Patient Flow Model Rajiv Arya MD, UMDNJ-RWJMS New Brunswick 91 The Emergency Department Contribution to the Burden of HospitalAcquired Catheter-associated Urinary Tract Infections (CAUTI’s) Timothy J. Reeder MD, East Carolina University 92 Patients Receiving Take Home Meds Instead of Prescriptions Are More Likely to Return to the ED Melissa Fleegler MD, University of New Mexico

Moderator: Deborah B. Diercks MD, UC Davis 73 Young Women are Less Likely to Meet Reperfusion Guidelines for STEMI: the VIRGO Study (Variation in Recovery: Role of Gender On Outcomes)* Gail D’Onofrio MD, Department of Emergency Medicine, Yale University School of Medicine 74 Mode of Hospital Arrival in ST-Elevation Myocardial Infarction: Ethnic and Language Differences in an Urban STEMI Receiving Center Stephanie Y. Donald, George Washington University 75 Evaluation of the Incidence and Outcomes of Contrast-induced Nephropathy Following STEMI Protocol Activation Brandon R. Allen MD, University of Florida 76 Risk Stratification of Acute Chest Pain in an Emergency Setting: ST Segment Change on aVL Lead as a Predictor of Future MI Andrew Keralis, University of Nebraska Medical Center

Critical Care - Oral Presentations Wednesday, May 15, 11:00 - 12:00 pm in Atlanta E & F

Pediatrics - Lightning Oral Presentations Wednesday, May 15, 10:00 - 12:00 pm in Roswell 1

Geriatric Pain - Oral Presentations Wednesday, May 15, 11:00 - 12:00 pm in Atlanta G

Moderator: Brent R. King MD, University of Texas Medical School 77 Associations of Length of Stay and Disposition in Pediatric Emergency Department Patients Isabel A. Barata MS, MD, North Shore University Hospital 78 Bronchiolitis Hospitalizations in the United States, 2000-2009 Kohei Hasegawa MD, MPH, Massachusetts General Hospital 79 Urban and Rural Patterns in Emergent Pediatric Transfer to a Higher Level of Care Timothy Horeczko MD, MSCR, University of California, Davis 80 High Emergency Department and Urgent Care Use When Sick Children Cannot attend Child Care Andrew N. Hashikawa MD, MS, University of Michigan 81 Clinical Pathway Expedites Systemic Corticosteroids for Children with Moderate-Severe asthma Exacerbation* Christopher Fee MD, University of California San Francisco 817 Validation of A tool for the assessment of Trainees During Simulated Pediatric Resuscitation Jocelyn Gravel, Hôpital Sainte-Justine 82 Broselow Tape: A Time to Revisit?* Muhammad Waseem MD, MS, Lincoln Medical & Mental Health Center 83 A New Pediatric Weight Estimation Device Jennifer Watts MD, MPH, Children’s Mercy Hospital and Clinics 834 Self-assessment of Clinical Improvement by Pediatric Patients during an Acute asthma Exacerbation* Lori A. Montagna, Mount Sinai School of Medicine 84 Rapidly Administered Ketamine for Brief Pediatric Procedures: A DoseFinding Study Sri Sankar Chinta MD, MBBS, Washington University in St. Louis 85 Does Use of the Needle Free Jet-injection System with Buffered Lidocaine Device (j-tip) Improve IV Placement Success in Children?

Maren M. Lunoe, Medical College of Wisconsin

Clinical Efficiency - Lightning Oral Presentations Wednesday, May 15, 10:00 - 11:00 am in Roswell 2

Moderator: Richard Zane MD, University of Colorado 87 Financial and Quality Impact of Voice Recognition versus Dictation/ Transcription on Emergency Medicine Records Roshanak Didehban MHS, FACHE, Mayo Clinic 88 Impact of Varying Biomarker Sampling Intervals and Stress Testing Rates and Availability On the Length of Stay in An Emergency Department Observation Unit Using A Simulation Model Jeremiah D. Schuur MD, MHS, Brigham and Women’s Hospital 89 ED Hemolysis is More Strongly associated with Device Used to Obtain Blood Than Other Features of Phlebotomy* Andrew Wollowitz MD, Department of Emergency Medicine, Albert Einstein College of Medicine

Moderator: Robert Rodriguez MD, UCSF/San Francisco General Hospital 93 The Relationship between Lactic Acidosis and Thiamine Levels in Patients with Diabetic Ketoacidosis* Ari Moskowitz MD, Beth Israel Deaconess Medical Center 94 Variability in Intraosseous Flush Practices by Trained Emergency Physicians Joseph Sontgerath, San Antonio Military Medical Center 95 Correlation of Central and Peripheral Venous Blood Gas Compared to Arterial Blood Gas in the Undifferentiated Critically Ill Patient J. Daniel Hess MD, Christiana Care Health System 96 Defining the Geography of Infection-Related Death Rates in the United States: Hotspotting Areas for Targeted Interventions.

Anish K. Agarwal MD, MPH, the University of Pennsylvania

Moderator: Robert Woolard MD, Texas Tech University (El Paso) 97 Age-related Differences in Pain Recovery After Motor Vehicle Collision: A Prospective Longitudinal Study* Greg Pereira, University of North Carolina 98 Randomized Clinical Trial of an IV Hydromorphone Titration Protocol versus Usual Care for Management of Acute Pain in Older Emergency Department Patients Robert H. Meyer MD, Albert Einstein College of Medicine, Montefiore Medical Center 99 Pain Treatment in Older Adults During Prehospital Care in North Carolina: A Descriptive Analysis Katherine M. Hunold BSPH, University of Virginia 100 Are there Disparities in the Quality of Acute Pain Care for Geriatric Patients in the ED? Ula Hwang, Mount Sinai School of Medicine

Accelerate Your ED - Lightning Oral Presentations Wednesday, May 15, 11:00 - 12:00 pm in Roswell 2

Moderator: David F. Brown MD, Massachusetts General Hospital 101 Lean-Based Systems Engineering Improves Performance Measures in the Emergency Department Benjamin A. White MD, Massachusetts General Hospital 102 Guest Relations assistants - How do They Impact Perception of Care and Loyalty?

Neil Majmundar MD, St. John Hospital & Medical Center 103 Implementation of an Electronic Medical Record System Reduces Physician Productivity in an Academic Emergency Department Gregory Lamb MD, University of New Mexico 104 Comparative Effectiveness of an Accelerated Diagnostic Protocol Versus 23-Hour Observation for Chest Pain Alan J. Smally MD, Hartford Hospital and the University of CT School of Medicine 105 Building a Super Track: Use of Lean to Decrease Turnaround Times for Low Acuity Patients Bruce M. Lo MD, Eastern Virginia Medical School, Sentara Norfolk General Hospital 106 Motivation and Predictors of Physician Productivity in an Academic Practice Setting Amisha D. Parekh, New York Methodist Hospital

Health Services Research - Oral Presentations Wednesday, May 15, 1:00 - 2:00 pm in Atlanta A

Moderator: Keith E. Kocher MD, University of Michigan 107 Ed Use of Online Social Media - Canadian National Survey of Physicians and Trainees.

Maxim Ben-Yakov MD, CM, University of toronto

May 14-18, 2013 | Atlanta, Georgia

55

108 National Study of Health Insurance and Underlying Reasons for Emergency Department Presentation Adit A. Ginde, University of Colorado School of Medicine 109 Comparison of Geographic Distribution of U.S. Urgent Care Centers and Emergency Departments Adit A. Ginde, University of Colorado School of Medicine 110 Do Emergency Department Patients Receive a Pathological Diagnosis? The Provision of Diagnosis at ED Discharge in a Nationally-Representative Sample Leana S. Wen, Harvard Affiliated Emergency Medicine Residency

Clinical Decision Rules - Oral Presentations Wednesday, May 15, 1:00 - 2:00 pm in Atlanta C & D

Moderator: Ian G. Stiell MD, University of Ottawa 111 Randomized Trial of a Quantitative, Computerized Method to Estimate Pretest Probability of Acute Coronary Syndrome and Pulmonary Embolism: Effect on Patient Safety, Radiation Exposure, and Cost of Care* Jeffrey Kline, Indiana University School of Medicine 112 HINTS Outperforms ABCD2 to Identify Stroke in Acute Vestibular Syndrome* David E. Newman-Toker MD, PhD, Johns Hopkins University School of Medicine 113 Evaluation of Clinical Prediction Rules for Clinical Deterioration Shortly After an Emergency Department Diagnosis of Pulmonary Embolism* Christopher Kabrhel, Massachusetts General Hospital 114 Derivation of a Decision Instrument for Selective Chest Imaging in Patients with Falls from Standing Ali S. Raja MD, MPH, MBA, Brigham and Women’s Hospital, Harvard Medical School

Critical Care - Oral Presentations Wednesday, May 15, 1:00 - 2:00 pm in Atlanta E & F

Moderator: Michael Gibbs MD, Carolinas Medical Center 115 Ventilator-associated Pneumonia Prevention Education in the Emergency Department Joe Peraza MD, University of Arizona Health Network 116 Pyruvate Dehydrogenase Activity Decreases in Connection with Profound Stress Lars W. Andersen BS, Research Center for Emergency Medicine 117 Assessment of One-year Mortality Following Hospital Discharge Among Survivors of Cardiac Arrest Who Receive Pre-hospital Fluids David A. Pearson MD, Carolinas Medical Center 118 Plasmin loaded echogenic liposomes: A Novel Thrombolytic Madhuvanthi A. Kandadai, University of Cincinnati

Renal Colic - Oral Presentations Wednesday, May 15, 1:00 - 2:00 pm in Atlanta G

Moderator: Romolo Gaspari MD, University of Massachusetts Medical School 119 ED Provider Pretest Probability Predicts Nephrolithiasis in CTs for Suspected Renal Colic Brock Daniels MD, Yale New Haven Hospital 120 Normal Renal Ultrasound Identifies Renal Colic Patients at Low Risk for Urologic Intervention: A Prospective Study.

Justin Yan, the University of Western Ontario 121 Comparison of Emergency Physician Performed Bedside Ultrasound vs.

Computed tomography in the Diagnosis of Renal Colic* Megan Leo MD, RDMS, Boston Medical Center 122 Radiation Dose Index of CTs for Kidney Stone Performed in the United States Adam Lukasiewicz MPH, Yale University School of Medicine

126 An Effective Remediation Program to Improve In-Training Exam Scores David Saloum, Maimonides Medical Center 127 Development and Implementation of an asynchronous Curriculum Using a Web-based Platform Joshua G. Kornegay MD, Oregon Health & Science University 128 Frequent Interruptions Do Not Impact Critical Decision Making by Emergency Medicine Residents and Attendings Jonathan L. Jones MD, University of North Carolina

Imaging in Trauma - Lightning Oral Presentations Wednesday, May 15, 1:00 - 2:00 pm in Atlanta B

Moderator: Greg Hendey MD, University of California, San Francisco (Fresno) 129 Diagnostic Yields of Chest Imaging in Blunt Trauma Robert M. Rodriguez MD, UCSF/San Francisco General Hospital 130 Prevalence and Clinical Import of Thoracic Injury Identified by Chest Computed tomography but not Chest Radiograph in Blunt Trauma Patients Mark I. Langdorf MD, MHPE, University of California, Irvine 131 Imaging of the NEXUS-negative Patient: When We Break the Rule John Morrison MD, St. Luke’s University Hospital and Health Network 132 Is Cervical Spine Imaging Required in Patients with Femur Fractures?

Robert T. Dahlquist MD, Carolinas Medical Center 133 Frequency and Mortality of Non-Contiguous Spine Fractures with CT Scan Use Preeti Dalawari MD, MSPH, Saint Louis University Hospital 134 Can Sentinel Clinical and CXR Findings Predict the Likelihood of an Abnormal Chest CT Requiring Intervention following Blunt Trauma?

Michael Manka MD, SUNY at Buffalo School of Medicine, Erie County Medical Center

Triage - Lightning Oral Presentations Wednesday, May 15, 1:00 - 2:00 pm in Roswell 1

Moderator: Gabor Kelen MD, Johns Hopkins University School of Medicine 135 Does the Implementation of An Emergency Department Triage System Improve the Timeliness of Analgesia Provision?

Sabine E. Lemoyne MD, Ghent University Hospital, Belgium 136 Reverse Triage in Pediatrics: A New Method to Increase In-Hospital Surge Capacity Eben Clattenburg, The Johns Hopkins School of Medicine 137 Utilization of a Pneumonia Triage Pathway Ryan Hunt MD, UC Davis Medical Center 138 Physician Telemedicine Triage in the Emergency Department: A Pilot Study Stephen Traub MD, Mayo Clinic Arizona 139 Differences in Noninvasive thermometers in the Adult Emergency Department* Joshua Zwart MD, University of Rochester 140 The Ability of the Physiologic Criteria of the Field Triage Guidelines to Identify Children Who Need the Resources of a Trauma Center E. Brooke Lerner PhD, Medical College of Wisconsin Affiliated Hospitals

Poster Presentations – Posters will be attended by authors from 2:00 – 4:00 pm Wednesday, May 15, 1:00 - 5:00 pm in 200 Gallery -level 6

Learning Styles - Lightning Oral Presentations Wednesday, May 15, 1:00 - 2:00 pm in Roswell 2

Moderator: Brandon Maughan MD, MHS, Brown University 123 Dual Learning Enhances Knowledge Acquisition in an Emergency Medicine Sub-internship Jaime Jordan, Harbor-UCLA Medical Center 124 Do Emergency Medicine Residents and Faculty Have Similar Learning Styles When assessed with the Kolb Learning Style Inventory?

Jenna M. Fredette MD, Christiana Care Health System 125 A Structured Educational Intervention Effectively Improves Morbidity & Mortality (M&M) Rounds - the Ottawa M&M Model Lisa A. Calder, University of Ottawa

56

Society for Academic Emergency Medicine

141 Emergency Medicine Resident Facilitated Procedural Sedation in the Emergency Department Laura Magnuson MD, Orlando Health 142 Prospective, Open-Label, Efficacy and Safety Trial of Intranasal Ketorlac on Pain in Adults in the Emergency Department Sharon E. Mace MD, Cleveland Clinic 143 ED Pain Care and its Effects on Short Term Hospitalization Outcomes.

Ammar Siddiqui, Mount Sinai School of Medicine 144 Evaluation of a Novel tool for Pain assessment in the Emergency Department Philip W. Craven, University of Utah 145 Video Laryngoscopy May Reduce First attempt Complications of Airway Management in a Medical Intensive Care Unit Jarrod M. Mosier, University of Arizona 146 ACE-induced Angioedema in the Emergency Department: An Observational Study R. Mason Curtis, Queen’s University 147 The Association of Ventilating Technique and Number of assisted Breaths Given after Rapid Sequence Induction with the Occurrence of Hypoxia During Intubation attempts Among Patients Intubated in the Emergency Department James R. Miner MD, Hennepin County Medical Center

148 Accuracy of Ultrasound Guided Marking of the Cricothyroid Membrane Prior to Simulated Failed Intubation.

Keith Curtis MD, University of Utah 149 Determination of A Learning Curve for the Pediatric Glidescope in Infant Airway Management Novices - A Mannequin Study Faizan H. Arshad, Yale New Haven Hospital 150 Are Geriatric Patients High Risk for Emergency Department Procedural Sedation Sharon E. Mace MD, Cleveland Clinic 151 Comparison of Airway Ultrasonography and Continuous Waveform Capnography to Confirm Endotracheal Tube Placement in Cardiac Arrest Patients Junho Cho, Inje University Haeundae Paik Hospital 152 Use of a Novel Electronic Pre-Sedation Checklist Improves Safety Documentation in Emergency Department Sedations R. Jason Thurman MD, Vanderbilt University School of Medicine 153 A Survey of Graduating Emergency Medicine Residents’ Experience with Cricothyrotomy Andrew L. Makowski MD, St. Joseph’s Hospital 154 Theoretical Analysis of the Relative Impact of Obesity On Hemodynamic Stability During Acute Hemorrhagic Shock Sarah A. Sterling, University of Mississippi Medical Center 156 Utility of Chest Radiographs in Emergency Department Patients Presenting with Syncope David T. Chiu, Beth Israel Deaconess Medical Center 157 Utility of Trending CKMB in Emergency Department Chest Pain Observation Unit.

Colin Mukubwa MD, VIdant Medical Center 158 Comparison of Peak Troponin (cTnI) Levels Based on Various Patient Characteristics Dave Milzman, Georgetown U School of Medicine 159 Failure of the North America Chest Pain Rule and “Sensitive” Troponin assays in Low Risk Patients Anwar D. Osborne, Emory University 160 Can Emergency Physicians Accurately Diagnose Pericardial Effusion On Point-of-care Ultrasound?

Lori A. Stolz, University of Arizona 161 Survival Analysis of Patients Taking Dabigatran After Consulting Emergency Department for Acute Bleeding: A First Alarm Raoul Daoust MD, MSc, Hôpital du sacré cœur de Montréal 162 Pilot Study of Lactate Levels as a Marker of Tissue Hypoperfusion in ED Acute Heart Failure Patients Kori Sauser MD, University of Michigan 163 Differences in Nitrovasodilator Use and Rationale to Treat Acute Heart Failure Patients between Emergency Physicians, Hospitalists, and Cardiologists Peter S. Pang MD, Feinberg School of Medicine, Northwestern University 164 Improving Door to Balloon Time for ST Elevation Myocardial Infarction Patients By Decreasing Emergency Department Door to ECG Time Nicholas Testa, LAC+USC Medical Center 165 Safety of a Rapid Diagnostic Protocol with Accelerated Stress Testing Olanrewaju Soremekun, University of Pennsylvania 166 Initial ED Cardiac Troponin is Highly Predictive of Drug Overdose Mortality Alex F. Manini MD, MS, Mt. Sinai School of Medicine 167 A Randomized Controlled Trial of the BOA® -Constricting IV Band by Paramedics and Nurses Richard N. Bradley, The University of Texas Health Science Center at Houston 168 Gender Disparities in Stress Test Utilization in Chest Pain Unit patients based upon the ordering Physician’s Gender Anthony Napoli, Warren Alpert Medical School of Brown University 169 Knowledge Deficiencies in Patients with Elevated Blood Pressure Catherine T. Ginty MD, Cooper Medical School of Rowan University 170 Establishing a Threshold for D-dimer Testing in the Diagnostic Evaluation of Aortic Dissection: A Decision Analysis Richard A. Taylor, Yale University 171 Systematic Review of Anti-Arrhythmic Drug therapy Compared to Lidocaine for Termination of Stable Monomorphic Ventricular Tachycardia Richard Sinert DO, Downstate Medical Center 172 Young Adult Patients with Chest Pain: Utility of the Emergency Department Observation Unit Tamara Moores MD, University of Utah - Division of Emergency Medicine

173 Evaluation, Management and Disposition of ED Patients in Hypertensive Crisis Catherine T. Ginty MD, Cooper Medical School of Rowan University 174 Association Between Sex and Automated External Defibrillator Application After Out-of-Hospital Cardiac Arrest Jody Vogel, Denver Health Medical Center 175 A Prospective Trial of Video Podcast Use to Improve Knowledge and Confidence in Violent Person Management within an Emergency Medicine Clerkship Caroline A. Ball, Loyola University Chicago 176 Performance in Trauma Resuscitation at an Urban Tertiary Level I Pediatric Trauma Center Payal K. Gala, Children’s Hospital of Philadelphia 177 A Survey of the Current Utilization of asynchronous Education Among Emergency Medicine Residents in the United States Sarah Schlein MD, Univerisy of Utah 178 Is An Email-based Evaluation System for Students in An EM Clerkship Superior to That of A Handwritten, End-of-shift Evaluation System?

Jeffrey Barrett MD, Temple University School of Medicine 179 Improving Sign-out Communication in the Emergency Department: Outcomes Using A Standardized Sign-out Communication Method.

Grace Sousa MD, University at Buffalo SUNY 180 Comparison of Landmark Preformed Lumbar Punctures versus Ultrasound Guided Lumbar Punctures in A Novice Study Group David P. Evans, Virginia Commonwealth University 181 Knowledge of Sexually-Transmitted Infections Among Patients in an Urban Emergency Medicine Department Julia L. Moon MPH, Drexel University, School of Public Health 182 The Impact of Standardized Testing on Interview Scoring and Emergency Medicine Applicants’ Rank Position Meaghen Finan MD, St. Luke’s University Hospital and Health Network 183 Improving Patient Ability to Identify Acetaminophen-containing Products: Preliminary Data of a Brief ED Educational Intervention Joseph S. Palter MD, Cook County ( Stroger) 184 Improvement in ACGME Core Competency Specific Summative Comments

by Faculty Following Implementation of a Core Competency Specific Daily Feedback Cards program, a Faculty Incentive Program and Specific Faculty Development on the Core Competencies and Giving Feedback to Residents Todd Guth, University of Colorado 185 A Close Examination of Increased HIV Testing Following A Computer-based Video Intervention in the ED Theodore C. Bania MD, St. Luke’s - Roosevelt Hospital Center 186 Medical Student Peer Teaching in Simulation Joseph House, University of Michigan 187 The Current State of Emergency Medical Training in U.S. Schools of Podiatric Medicine David A. Wald DO, Temple University School of Medicine 188 Self-regulated Learning and Study Time Allotment Sally A. Santen MD, PhD, University of Michigan 189 Comparison of Standard Peripheral Intravenous Cannulation versus Ultrasound Guided Peripheral Intravenous Cannulation in A Novice Study Group David P. Evans, Virginia Commonwealth University 190 A Required Fourth Year Emergency Medicine Clerkship Improves Medical Students Self-assessment of Procedural Experiences Luan Lawson MD, Brody School of Medicine at East Carolina University 191 Evaluation of a Hands on Facial Anesthesia Lab Todd M. Phillips, University of Pittsburgh Medical Center 192 The Effect of Medical Students Upon Patient Satisfaction in a University-affiliated Community ED Christopher S. Kiefer MD, West Virginia University School of Medicine 193 Interactive Spaced Online Education in Pediatric Trauma Rohit Shenoi MD, Baylor College of Medicine 194 Are Emergency Medicine Resident Evaluations of Attending Faculty Influenced By their Performance Scores?

Sarina Doyle MD, Orlando Health 195 Variability by Institution in Emergency Medicine Inservice Reviews with Audience Response Units Jaime Jordan, Harbor-UCLA Medical Center 196 The Effect of an Educational Intervention on the Ability to Identify Peripheral Nerves with Ultrasound Sandra J. Williams DO, MPH, Baylor College of Medicine

May 14-18, 2013 | Atlanta, Georgia

57

197 The Use of an Endovaginal Task-Training Manikin as an Adjunct in Teaching Emergency Ultrasound of Early Pregnancy to Residents CORD Educational Grant.

Micelle Haydel, LSU-New Orleans 198 An Observational Study of Superior Mesenteric Artery Blood Flow in Septic Patients Athena Mihailos, NY Methodist Hospital 199 Apples and Oranges? An Evaluation of 4-year Emergency Medicine Residencies Using Program Websites and the SAEM Residency Directory.

Daniel Runde, Harbor-UCLA Medical Center 200 Types of Diagnostic Errors in Neurologic Emergencies in the ED Nicole M. Dubosh MD, Beth Israel Deaconess Medical Center 201 Current EM Ultrasound Training in Residency: Implications for Future Practice Erin S. Rardon MD, West Virginia University 202 Conducting a Patient Safety Needs assessment for Undergraduate Medical Education Paul S. Jansson BA, Northwestern University Feinberg School of Medicine 203 Factors Affecting Resident Perception of Faculty Entrustment of Autonomy Benjamin S. Bassin MD, University of Michigan 204 Meaningful assessment of Resident Patient Handoffs Proves Challenging Michelle J. Chastain MD, Advocate Christ Medical Center 205 Bedside Ultrasound Skills Acquisition by Medical Students on Emergency Medicine Rotation Christian Koziatek BA, Bellevue Hospital/NYU Medical Center 206 The Implementation of ED Team Training Across Seven Hospitals Carrie D. Tibbles, Beth Israel Deaconess Medical Center 207 Ultrasound Competency Assessment in Emergency Medicine Residency Programs Richard Amini, University of Arizona Medical Center 208 Characteristics of the Emergency Medicine Clerkship Director David A. Wald, Temple University School of Medicine 209 Translating Relative Value Units for Clinical Productivity in a Mixed Workload Academic Emergency Department Amisha D. Parekh MD, New York Methodist Hospital 210 Validation of the BEEM Rater Scale: An Instrument to Define the “Best Evidence” for Emergency Medicine Christopher R. Carpenter MD, MSc, Washington University in St. Louis 211 Race Related Healthcare Disparities Among California Workers Randy Woo MD, University of California, Irvine 212 Trends in EMTALA Violations from 2002-2012 Brian Raffetto MPH, LAC-USC 214 Time of Day, Severity of Illness, and Insurance Status Are associated with Patients’ attempts to Seek Outpatient Care Prior to ED Visits Kathryn Groner, Christiana Care Health Systems 215 Assessing the Rates of Error and Adverse Events in the Emergency Department Matthew Wong MD, Harvard Medical School, Beth Israel Deaconess Medical Center 216 Hospital- and County-Level Determinants of Emergency Department Admission for Deep Vein Thrombosis Kristin L. Rising MD, University of Pennsylvania Perelman School of Medicine 217 Survival and Health Care Utilization for ED Patients with Metastatic Solid Tumors Randomized to Early Palliative Care Consultation versus Care as Usual Corita R. Grudzen, Mount Sinai School of Medicine 218 Referral Systems for Patients in Low-income Countries: A Case Study from Liberia Jimin Kim MSc, University of Chicago 219 “Something is Fishy”: Emergency Department Visits for foreign Bodies in the Larynx and Pharynx in Korea and United States Viktor Livshits MD, Morristown Medical Center 220 Assessing Need for Prioritization of Emergency Services in fort Liberte, Haiti Ayesha Khan, Stanford University Hospital 221 The Academic Contribution from Taiwan to Emergency Medicine Field from 1992 to 2011: A Perspective from Scientific Publications Ching-Hsing Lee, Chang Gung Memorial Hospital 222 A Novel First Aid Curriculum Improves First Aid Knowledge in Laypersons in Rural Nicaragua Breena R. Taira MD, MPH, Olive View UCLA Medical Center

58

Society for Academic Emergency Medicine

223 Impact of An Emergency Triage assessment and Teatment (ETAT)-based Triage Process in the Pediatric Emergency Department (PED) of A Guatemalan Public Hospital Heather L. Crouse MD, Baylor College of Medicine/Texas Children’s Hospital 224 Development of Low Fidelity Simulation for the Low Resource Setting Bhakti Hansoti MD, Johns Hopkins University 225 Analysis of Symptom Profiles in the NINDS Trial Using Latent Classification Opeolu Adeoye, University of Cincinnati 226 Frequency and Speed of Early Antihypertensive Treatment of Severe Hypertension in Acute Intracerebral Hemorrhage Patients in a Broad Community Setting.

Abraham Flinders, Keck School of Medicine USC 227 Safety and Efficacy of tPA administration in Ischemic Stroke Patients Requiring Aggressive Blood Pressure-Lowering Treatment Bryan F. Darger BA,MSII, University of Texas Medical School at Houston 228 The Efficacy of Intravenous Morphine for Acute Migraine Benjamin W. Friedman MD, Albert Einstein College of Medicine 229 Parenteral Treatment of Tension-type Headache: A Systematic Review Danielle Weinman MD, Albert Einstein College of Medicine 230 Lack of Association Between Headache Relief and Reduction in Blood Pressure Among Patients Presenting to An Emergency Department with Migraine and Elevated Blood Pressure Binoy W. Mistry BSc, Albert Einstein College of Medicine 231 The Neurocognitive Effect of Resistance and Simulated Use of force Encounters on Standardized Field Sobriety Testing Jeffrey Ho, Hennepin County Medical Center 232 Evaluation of Primary Intra-Cerebral Hemorrhage by Age, Race and Stroke Volume John Martel MD, PhD, University of Michigan 233 The Use of CTA Prior to Thrombolysis in Acute Ischemic Stroke Was associated with Increased, But Less Severe, Intracranial Hemorrhage Arif Azam MD, the University of Texas Health Science Center 234 Impact of microEEG on clinical management and outcomes of Emergency Department patients with altered mental status Shahriar Zehtabchi, State University of New York, Downstate Medical Center 235 Management of Early Severe Hypertension in Acute Intracerebral Hemorrhage in Primary Stroke Centers vs. Non-Stroke Center Hospitals.

Abraham Flinders, Keck School of Medicine USC 237 Monocyte Count is associated with ICH Mortality Kyle B. Walsh, University of Cincinnati 238 Impact of a County-wide Prehospital Routing Protocol On Thrombolytic Rates for Acute Ischemic Stroke Brandon Minzer MA, EdM, University of Arizona College of Medicine - Phoenix 239 Characteristics of Participants with Pseudo-seizures and Other Nonepileptic Spells Mimicking Status Epilepticus in the Pre-hospital Setting in the Rapid Anticonvulsant Medication Prior to Arrival Trial (RAMPART) Donna Harsh, University of Michigan 240 Characterizing Emergency Department Utilization By A Population-based Cohort of Insured Pregnant Women Karin V. Rhodes, University of Pennsylvania 241 Managing Missed Abortion in the Emergency Room with Manual Vacuum aspiration: Factors Predicting Who Receives EDMVA Kelly E. Quinley MD, Perelman School of Medicine, University of Pennsylvania 242 Ondansetron Versus Doxylamine/Pyridoxine for Treatment of Nausea and Vomiting in First Trimester Pregnancy: A Prospective Randomized DoubleBlind Controlled Study Lauren G. Oliveira DO, Naval Medical Center 243 Adherence to CDC Guidelines in the Evaluation and Management of Women with Pelvic Complaints* Dana E. Kozubal BS, Hospital of the University of Pennsylvania 244 Emergency Department Resident Physicians’ Comfort Levels with Diagnosing and Treating Depression Rasha Buhumaid MD, George Washington 245 Incidence and Predictors of Traumatic Stress, Depression, and Substance Abuse Diagnoses in Hospitalized Violently Injured Youth Nathan A. Irvin MD, University of Pennsylvania 246 Unmet Legal Needs among Emergency Department Patients Matthew W. Miller BA, University of Colorado School of Medicine

247 Caring for Homeless Patients in the Emergency Department: A Qualitative Study of Emergency Medicine Residents’ Experiences Kelly M. Doran MD, Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine 248 Prevalence and Treatment Needs of Patients Presenting to the Emergency Department with Alcohol Intoxication Kenneth W. Dodd MD, Hennepin County Medical Center 249 Predictors of Post-concussive Syndrome after Mild TBI Latha Ganti Stead MD, MS, MBA, University of Florida 250 Does A Wireless Incentive Structure Improve Retention, Subject Satisfaction and Safety in Intimate Partner Violence Research?

Melissa A. Rodgers BA, University of Pennsylvania 251 Utilization and Safety of a Pulmonary Embolism Treatment Protocol in an Emergency Department Observation Unit Matthew Stewart MD, University of Utah 252 Evaluation of An Age-adjusted D-dimer Threshold in the Diagnosis of Acute Venous Thromboembolism Joel C. Rowe MD, University of Florida 253 “A Doctor is a Doctor”: Reasons Adult Patients Choose the Emergency Department Over Outpatient offices for Acute asthma Care - A Qualitative Study Charlotte C. Lawson, University of Pennsylvania 254 The Effect of Empiric Systemic Anticoagulation Prior to Imaging for Pulmonary Embolism on Mortality Daren M. Beam MD, MS, Indiana School of Medicine 255 The Ventilatory Effects of the Prone Maximal Restraint Position on Obese Human Subjects Christian Sloane MD, UCSD Medical Center 256 Recommended Tidal Volumes are Not Commonly Started in Emergency Department Patients Developing ARDS. Michael G. Allison MD, University of Maryland Medical Center 257 Intercellular Shear Destabilizes the Cell-Cell Junction in Models of Acute Lung Injury Ramaswamy Krishnan PhD, Beth Israel Deaconess Medical Center 258 The Effects of ED Crowding On Enrollment of Patients in A Randomized Controlled Trial Daniel Jafari MD, MPH, University of Pennsylvania 259 The Validity of Self-Reported Primary Adherence Among Medicaid Patients Discharged From the Emergency Department with A Prescription Medication Ru Ding, George Washington University 260 Estimating Negative Likelihood Ratio Confidence when Test Sensitivity is 100% Keith A. Marill MD, Massachusetts General Hospital 261 Acuity Detection to Enhance Methods for Outbreak Biosurveillance Meredith H. Arasaratnam ScD, National Collaborative for Bio-Preparedness 262 Handling Repeat Enrollments During an Emergency Clinical Trial: the Rapid Anticonvulsant Medications Prior to Arrival Trial (RAMPART) William Meurer, University of Michigan 263 Derivation of An Abbreviated Instrument for Use in Emergency Department Low Back Pain Research: the Five-Item Roland Morris Questionnaire* Laura W. Mulvey BS, Albert Einstein College of Medicine

Cardiac Risk Stratification - Lightning Oral Presentations Wednesday, May 15, 4:00 - 5:00 pm in Atlanta A

Moderator: Andra L. Blomkalns MD, University of Cincinnati 264 Immediate Exercise Stress Echocardiography versus Hospital Admission for Patients Presenting to the Emergency Department with Low Risk Chest Pain Danielle Minett MD, MPH, Christiana Care 265 Low Risk Chest Pain Patients Less Than 40 Years Old do not Benefit from Admission and Stress Testing Anthony Napoli, Warren Alpert Medical School of Brown University 266 Emergency Department Recidivism and Outcomes of Previously Evaluated Chest Pain Unit Patients* Anthony Napoli MD, FACEP, Warren Alpert Medical School of Brown University 267 Yield of Provocative Testing in Emergency Department Chest Pain Unit Patients Luke K. Hermann MD, Mount Sinai School of Medicine 268 Evaluation of a Novel Risk Stratification tool vs. the TIMI Score for Patients with Chest Pain in an Emergency Department Observation Unit Matthew J. Fuller, University of Utah 269 Utility of Serial Troponin Testing in the Emergency Department Observation Unit Jason Dorais MD, University of Utah

270 High Rate of False-Positive Cardiac Testing in an Emergency Department Observation Unit Jason Dorais MD, University of Utah*

Psychiatry - Lightning Oral Presentations Wednesday, May 15, 4:00 - 5:00 pm in Atlanta B

Moderator: Rebecca Cunningham MD, University of Michigan 271 Causal attribution, Perceived Illness Severity, and Smoking Stages of Change in Emergency Department Patients Michelle Jaques BA, University of Massachusetts Medical School 272 Knowledge, attitudes and Practices of Emergency Department Providers in the Care of Suicidal Patients Marian E. Betz, University of Colorado School of Medicine 273 Predicting Psychiatrist Continuation of ED Issued Psychiatric Holds: Examining the Predictive Validity of Alcohol Use Jerielle Adams MD, LSUHSC, Earl K. Long Medical Center 274 Not Just for Kids: the Prevalence and Correlates of Eating Disorders in Adult Emergency Department Patients Suzanne Dooley-Hash MD, University of Michigan 275 Prior Mental Health Services Use Among Suicidal ED Patients with and without Substance Abuse Histories Lisa M. Schweigler MD, MPH, MS, The Warren Alpert Medical School of Brown University

Trauma Resuscitation - Lightning Oral Presentations Wednesday, May 15, 4:00 - 5:00 pm in Atlanta C & D

Moderator: Eric Legome MD, Kings County Hospital, SUNY Downstate College of Medicine 276 A 4-year Analysis of Outcomes for Traumatized Patients Stratified by Initial Systolic Blood Pressure Colleen Tran DO, York Hospital 277 End Tidal Co2 as a Non-invasive Marker for Occult Shock in Trauma Patients: A Prospective Cohort Validation Study Chris Stahmer MD, Lincoln Medical and Mental Health Center 278 Determining the Relationship of Base Excess and Serum Lactate in Trauma: Is Base Excess Useful as A Point of Care Test?

Douglas Fields MD, Lincoln Medical and Mental Health Center 279 The Influence of Prehospital Hypotension and Hypoxia on Non-mortality Outcomes in Moderate and Severe Traumatic Brain Injury: Implications for Implementing the EMS TBI Management Guidelines Daniel W. Spaite, Arizona Emergency Medicine Research Center, University of Arizona 280 Serum GFAP Out-Performs S100B in Detecting Traumatic Intracranial Lesions On CT in Trauma Patients Linda Papa MD, CM, MSc, Orlando Regional Medical Center 281 Predictive Value and Appropriate Ranges of Prehospital Physiologic Criteria for Identifying Seriously Injured Older Adults During Field Triage* Derek Richardson MD, Oregon Health & Science University

Ultrasound - Lightning Oral Presentations Wednesday, May 15, 4:00 - 5:00 pm in Atlanta E & F

Moderator: Romolo Gaspari MD, University of Massachusetts Medical School 282 Pediatric Skin Abscesses Are More Difficult to Visualize with Bedside Ultrasound Than Adult Abscesses Russell Johanson MD, University of Massachusetts Medical School 283 Does a Novel Simulator Provide Effective Hands On Training Versus Traditional Trauma Ultrasound Training for a Disaster Response Team? A Prospective Randomized Study Michael Paddock DO, Cook County (Stroger) 284 Impact of Decontamination therapy on Ultrasound Visualization of Ingested Pills Jason D. Bothwell MD, Madigan Army Medical Center 285 Ultrasound Guided Central Line Placement by Emergency Physicians in Beijing, China Joseph Walline, Saint Louis University 286 The BREATH Pilot Study: Bringing Research in Echocardiography assessment to Haiti* Krithika M. Muruganandan MD, Rhode Island Hospital 287 The Number of FAST Exams Required for Proficiency* Sharon Yellin MD, New York Methodist Hospital

May 14-18, 2013 | Atlanta, Georgia

59

Toxicology - Lightning Oral Presentations Wednesday, May 15, 4:00 - 5:00 pm in Atlanta G

Moderator: Aaron Skolnik MD, Banner Good Samaritan/Phoenix Children’s Hospital Medical toxicology, Center for toxicology and Pharmacology Education and Research, University of Arizona College of Medicine 288 Intraosseous Versus Intravenous Cobinamide in Treating Acute Cyanide toxicity and Apnea in A Swine (Sus Scrofa) Model* Vikhyat S. Bebarta, San Antonio Military Medical Center; USAF Enroute Care Research Center 289 The Effects of Increased Dosing of L-Carnitine in a Model of Verapamil Toxicity* Jason Chu, St. Luke’s-Roosevelt Hospital Center 290 Pharmacotherapy with a Nicotinic Receptor Antagonist Protects the NMJ in A Swine Model of Severe Parathion Poisoning Steven B. Bird MD, University of Massachusetts Medical School 291 The Effect of Intravenous Lipid Emulsions in an Oral Verapamil toxicity Model Jason Chu MD, St. Luke’s-Roosevelt Hospital Center 292 Pretreatment with Intravenous Lipid Emulsion Reduces Mortality from Cocaine toxicity in a Rat Model Stephanie Carreiro MD, Alpert Medical School, Brown University 293 Coral Snake Envenomations 2001-2011: Antivenin Use and Outcomes Benjamin W. Hatten MD, Oregon Poison Center, Department of Emergency Medicine, Oregon Health and Science University

Clinical Decision Rules - Lightning Oral Presentations Wednesday, May 15, 4:00 - 5:00 pm in Roswell 1

Moderator: Michael Brown MD, MSc, Michigan State University 294 Narratives Outperform Summary Content in Promoting Recall of Opioid Prescription Guideline Recommendations* Austin Kilaru, Perelman School of Medicine at the University of Pennsylvania 295 Risk Factors for Cardiovascular Events in ED Patients with Drug Overdose* Alex F. Manini, Mt. Sinai School of Medicine 296 Modifying the Sgarbossa Criteria to Diagnose ST-elevation Myocardial Infarction in the Presence of Left Bundle Branch Block: A Comparison of the Smith ST/QRS Ratio Rule to the Selvester 10% Rule Kenneth W. Dodd MD, Hennepin County Medical Center 297 Hypothesis Listing and Justification Rule Impact Upon Data-Gathering and Clinical Decision Making Dane Michael Chapman, University of Missouri, Columbia, School of Medicine

Training Competencies - Lightning Oral Presentations Wednesday, May 15, 4:00 - 5:00 pm in Roswell 2

Moderator: Jeffrey Love MD, Georgetown University School of Medicine 298 Development of A Simulation Based assessment tool to Measure Emergency Medicine Resident Competency Kathleen Wittels, Brigham and Women’s Hospital 299 Outcome Feedback within Emergency Medicine Training Programs: An Application of the Theory of Deliberate Practice Timothy Dalseg MD, University of Ottawa 300 Use of Electronically-Administered Patient Surveys to Evaluate Emergency Medicine Residents on ACGME Competencies Edward Durant MD, MPH, Alameda County Medical Center- Highland Hospital 301 Can We Rely On EM Resident Self-Assessment of EM Knowledge?

Katherine Jahnes, New York Methodist Hospital 302 A Randomized Comparison Study to Evaluate the Effectiveness of a Computer-based Teamwork Training Intervention on Medical Teamwork and Patient Care Performance Rosemarie Fernandez MD, University of Washington 303 Agreement Between Global assessment and Individual Competencies of Medical Student Performance David T. Chiu, Beth Israel Deaconess Medical Center

thursday, May 16th, 2013 Geriatrics - Oral Presentations Thursday, May 16, 8:00 - 9:00 am in Atlanta B

Moderator: Christopher R. Carpenter MD, Washington University in St. Louis 304 A Quick and Easy Delirium assessment for Non-Physician Research Personnel* Jin H. Han MD, MSc, Vanderbilt University

60

305 Comprehension of Emergency Department Care and Discharge Instructions among Older Community-Dwelling Patients Adam Frisch, University of Pittsburgh 306 Using Biomarkers to Detect Delirium Among Elderly Emergency Department Patients* Maura Kennedy MD, MPH, Beth Israel Deaconess Medical Center 307 Impact of A New Senior Emergency Screening and Social Work Intervention On Patient Satisfaction as Measured By Press-ganey Survey Methodology Nicholas Branscomb, University of Michigan EM Residency Program

Sepsis - Oral Presentations Thursday, May 16, 8:00 - 10:00 am in Atlanta C & D

Moderator: Emanuel Rivers MD, MPH, Henry ford Hospital 308 Blood Transfusion Seemed Not to be associated with Mortality among Patients with Severe Sepsis in ED* Chih-Yi Hsu MD, Chang Gung Memorial Hospital 309 The Prognostic Value of Brain Natriuretic Peptide in Combination with the Sequential Organ Failure assessment Score in Septic Shock* Won Young Kim MD, PhD, Beth Israel Deaconess Medical Center 310 Do Gender Differences Exist in Sepsis Mortality, Overall Surviving Sepsis Campaign Bundle Completion, or Completion of Individual Bundle Elements?: the DISPARITY Study Tracy E. Madsen MD, Alpert Medical School of Brown University 311 The Impact of Crowding Upon Implementation of Early Goal Directed therapy in the Emergency Department.

Anish K. Agarwal MD, MPH, the University of Pennsylvania 312 Rapid Development of Septic Shock in a Swine Model Using Cecal Ligation and Perforation Plus Fecal Inoculation Lawrence A. DeLuca, University of Arizona 313 Long-Term Mortality After Sepsis Henry E. Wang, University of Alabama at Birmingham 314 Risk Factors for Infection with Resistant Organisms in Severe Sepsis Patients Admitted from the Emergency Department David F. Gaieski MD, The University of Pennsylvania 315 Higher Hospital Case Volume is associated with Decreased In-hospital Mortality in Patients with Severe Sepsis.

Munish Goyal MD, FACEP, Georgetown University School of Medicine

Therapeutic Hypothermia - Oral Presentations Thursday, May 16, 8:00 - 10:00 am in Atlanta E & F

Moderator: Stephen Trzeciak MD, Cooper Hospital/University Medical Center 316 Emergency Department Prediction of Survival and Neurologic Outcome in Comatose Cardiac Arrest Patients Undergoing Therapeutic Hypothermia is Unreliable.* Catherine M. Wares MD, Carolinas Medical Center 317 The Use of Invasive Hemodynamic Monitoring in Evaluating Resuscitative Endpoints in Post-cardiac Arrest Therapeutic Hypothermia Anne V. Grossestreuer MS, University of Pennsylvania 318 Neuromuscular Blockade is associated with Improved Survival in Postcardiac Arrest Patients Undergoing Induced Hypothermia Michael Donnino, Beth Israel Deaconess Medical Center 319 Aassociation between Blood Pressure Measurements, Vasopressor Use, and Outcome in Post-cardiac Arrest Patients Treated with Therapeutic Hypothermia From Four Sites Sarah M. Perman MD, MS, University of Pennsylvania 320 The Impact of Pre-Hospital Therapeutic Hypothermia on Mortality and Neurologic Outcomes in Out of Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis* Benton R. Hunter MD, Indiana University School of Medicine 321 Pre-hospital Activation of an Emergency Department Cardiac Arrest Response Team Improves ROSC and Hypothermia Utilization Nathan Deal, Baylor College of Medicine 322 Neurologically Intact Survival After Prolonged Cardiac Arrest in the Era of Induced Hypothermia Tyler Giberson BS, Beth Israel Deaconess Medical Center 323 National Trends in the Use of Post-Cardiac Arrest Therapeutic Hypothermia and Factors Influencing Utilization Charles Pearce MD, Northwestern University

Society for Academic Emergency Medicine

Clinical Efficiency - Oral Presentations Thursday, May 16, 8:00 - 9:00 am in Atlanta G

Moderator: Tom Scaletta MD, Edwards Hospital, Smart-ER 324 Scribes in the Emergency Department: What Is the Effect On Facility Charges?

John H. Burton MD, Carilion Clinic 325 Decreasing ED Overcrowding Via Implementation of a Hospital Wide Surge Plan* Shira Schlesinger, LAC+USC Medical Center 326 Computed tomography without Oral Contrast for Abdominal Pain: Effects on Emergency Department Efficiency and Patient Safety* William C. Krauss MD, FACEP, Kaiser Permanente 327 Impact of a Computerized Decision Support System on Screening for Hyperlactatemia among Adults with Sepsis* Jeffrey P. Green, UC Davis Medical Center

Atrial Fibrillation - Lightning Oral Presentations Thursday, May 16, 8:00 - 9:00 am in Atlanta A

Moderator: Richard Summers MD, University of Mississippi Medical Center 328 An Evaluation of an Atrial Fibrillation Clinic for the Follow-up of Patients Presenting to the Emergency Department with Newly Diagnosed or Symptomatic Arrhythmia Brandon Hone, University of Alberta 329 Emergency Department Visits for Atrial Fibrillation Between 2006 and 2009: Regional Variability in Hospitalization and Cardioversion Tyler W. Barrett MD, MSCI, Vanderbilt University Medical Center 330 Evaluation of the HATCH Score for Predicting Progression to Sustained Atrial Fibrillation in Emergency Department Patients with Newly Diagnosed Atrial Fibrillation Tyler W. Barrett MD, MSCI, Vanderbilt University Medical Center 331 Incidence of 5-Day and 30-Day Adverse Events in a Prospective Cohort of Emergency Department Patients with Symptomatic Atrial Fibrillation and Atrial Flutter Tyler W. Barrett, Vanderbilt University Medical Center 332 Adaptation of a Disease-Specific Research Instrument for Quality of Life assessments in Emergency Department Patients with Atrial Fibrillation/Flutter Nimmie Singh BS, Kaiser Permanente Division of Research 333 Nt-pro Bnp Rise as A Marker for Cardiac Arrhythmia in Patients with Syncope Giorgio Costantino MD, UniversitĂ degli Studi di Milano

IV Access - Lightning Oral Presentations Thursday, May 16, 8:00 - 9:00 am in Roswell 1

Moderator: Alexander T. Limkakeng MD, Duke University 334 Association Between Multiple Needlesticks and Patient Pain Levels in the Emergency Department Nicole Piela MD, Thomas Jefferson University 335 Lidocaine Infiltration By Injection vs. topical LET Gel for Anesthesia for Incision and Drainage of Cutaneous Abscesses: A Randomized Controlled Study Mark K. Ellis MD, University of Arizona 336 The Effect of Vapocoolant Spray on Pain Due to Venipuncture in Adults: A Randomized, Blinded, Placebo-controlled Trial Sharon Mace MD, Cleveland Clinic 337 Using the VeinViewer VisionÂŽ to Increase the Identification of Peripheral Veins for Intravenous Catheter Placement in Adults in an Emergency Department Bruce M. Becker MD, MPH, Brown University 338 Prevalence and Characteristics of Patients Presenting with Difficult Venous Access to the Emergency Department* J. Matthew Fields MD, Thomas Jefferson University 339 Prevalence of Needle Phobia in Patients with Difficult Venous Access Leah A. Davis MA, Thomas Jefferson University

Disaster Management - Lightning Oral Presentations Thursday, May 16, 8:00 - 9:00 am in Roswell 2

Moderator: Richard Zane MD, University of Colorado 340 The Potability of and Analysis of Sterilization Techniques of Fresh Water Sources Bordering the Flood Plain of South Long Island, NY and Queens, NY Shiau Hui Chin MD, New York Hospital Queens 341 Effect of Hurricane Sandy on Prehospital Advanced Life Support Volume and Treatment Kimberly Baldino MD, Morristown Medical Center 342 Hurricane Sandy: the Effect of Multiple ED Closures on Patient Volume & Acuity Gregg Husk MD, Beth Israel Medical Center

343 Impact of Hurricane Sandy on the Presenting Complaints of Prehospital Advanced Life Support Patients Lisa Clayton DO, Morristown Medical Center 344 The Disease Frequency Among Evacuees After the Great Eastern Japan Earthquake and Tsunami Takahisa Kawano, Fukui University Hospital

Out of Hospital Telemedicine - Oral Presentations Thursday, May 16, 9:00 - 10:00 am in Atlanta B

Moderator: Steven Horng MD, Beth Israel Deaconess Medical Center / Harvard Medical School 345 Prehospital ECG Transmission Is associated with Reduced False-Positive Cath Lab Activations Nichole Bosson MD, MPH, Harbor-UCLA Medical Center, Los Angeles Biomedical Research Institute 346 Use of a Medical toxicology Telemedicine Consult Service to assist Physicians Serving Overseas: 2005-2012 Joseph K. Maddry, Rocky Mountain Poison and Drug Center 347 Breaking Down Barriers to ePCR Implementation in EMS: Turnaround Time* Colby Redfield MD, Beth Israel Deaconess Medical Center - Harvard Medical School 348 Real-time Clinical Information Exchange between EMS and the Emergency Department Colby Redfield MD, Beth Israel Deaconess Medical Center - Harvard Medical School

Anticoagulants - Oral Presentations Thursday, May 16, 9:00 - 10:00 am in Atlanta G

Moderator: Daniel K. Nishijima MD, University of California, Davis 349 Risk of Intracranial Hemorrhage After Minor Head Trauma in Patients On Clopidogrel Frank LoVecchio DO, Maricopa Medical Center 350 The Mortality and Severity of Bleeding in Trauma Patients Taking Dabigatran Zachary DW. Dezman MD, MS, Department of Emergency Medicine, University of Maryland 351 Does Anticoagulant Use Necessitate Triage to A Level 1 Trauma Center?

John J. Everett MD, William Beaumont Medical Center 352 Intravenous Lipid Emulsion Does Not Reverse Dabigatran Induced Anticoagulation in a Rat Model Stephanie Carreiro MD, Brown University

AEM Consensus Conference on Global Health - Oral Presentations Thursday, May 16, 9:00 - 10:00 am in Roswell 1

Moderator: Jon Mark Hirshon MD, University of Maryland, Baltimore 353 Prospective Evaluation of Patients Presenting to An ED in Kathmandu, Nepal Sneha Shrestha, Stanford School of Medicine 354 Assessment of Pneumonia in Children in Resource-Limited Settings Payal Modi MD, MPH, Brown University 355 Overcrowding : European Emergency Department Needs A New Management!

Eric Revue, Director of the Emergency and Prehospital EMS, Louis Pasteur Hospital

Abdominal Pain in Adults - Lightning Oral Presentations Thursday, May 16, 9:00 - 10:00 am in Atlanta A

Moderator: Brigitte M. Baumann MD, MSCE, Cooper Medical School of Rowan University 356 The Effect of Suspected Diagnosis on Physician Pretest Probability for Abdominal Pain Patients Undergoing Computed tomography in the Emergency Department* Angela M. Mills MD, University of Pennsylvania 357 Emergency Physician Interpretation of Capsule Endoscopy: A Video Survey Andrew C. Meltzer, George Washington University 358 Is the Incidence of Intussusception increasing in the Adult Patient Population and Do Age/gender Differences Exist?

Fred Fiesseler, Morristown Medical Center 359 The Finding of Gallstones Alone On Bedside Ultrasound Has Excellent Sensitivity for Acute Cholecystitis.

Julian Villar MD, MPH, UCSF 360 Variation by Sex and Body Mass Index in Anterior Positioning of the Acutely Inflamed Appendix in Relation to the Psoas Muscle Craig Sisson MD, RDMS, University of Texas Health Science Center San Antonio

May 14-18, 2013 | Atlanta, Georgia

61

Sickle Cell Management in the Emergency Department Lightning Oral Presentations Thursday, May 16, 9:00 - 10:00 am in Roswell 2

Moderator: Jeffrey A. Glassberg MD, Mount Sinai 361 A Randomized-controlled Trial of Paracetamol Versus Morphine for the Treatment of Acute Painful Crisis of Sickle Cell Disease* Rifat Rehmani MD, MSc, King Abduaziz Hospital 362 The Use of Low Dose Ketamine and Hydromorphone for Patients in Sickle Cell Crisis Erin L. Simon DO, Akron General Medical Center 363 Variability in Pediatric ED Care of Sickle Cell Disease and Fever* Angela M. Ellison MD, MSc, University of Pennsylvania School of Medicine 364 Elevated Lactate Levels in the Emergency Department Are associated with Positive Blood Cultures in Children with Sickle Cell Disease* Jay G. Ladde MD, Orlando Regional Medical Center 365 Emergency Provider attitudes towards Sickle Cell Patients Caroline Freiermuth MD, Duke University Medical Center

Posters 2 - Poster Presentations Posters will be attended by authors from 10:00 am – 12:00 pm Thursday, May 16, 8:00 am - 12:00 pm in 200 Gallery -level 6

366 Risk Factors associated with Urologic Intervention in Emergency Department Patients with Suspected Renal Colic.

Justin Yan, the University of Western Ontario 367 The Effect of Shorter Resident Shifts On Emergency Department Efficiency Brian N. Beer MD, Scott & White Healthcare 368 Team STEPPS Training: the Effect of Training on Both Nursing Staff Perceptions Regarding Physician Behaviors and Patient Satisfaction Scores in the Emergency Department Shari Brand, Mayo Clinic Hospital 369 Does Implementation of a formal Sick Call System Affect the Utilization of Sick Days by Emergency Attendings?

Michael Heller, Beth Israel Medical Center 370 Minimizing Transfer Time to an ST Segment Myocardial Infarction Receiving Center: A Delphi Consensus Conrad Williamson BS, UC Davis 371 Effect of a Dedicated Emergency Department Pharmacist on Antibiotic Administration Times in Sepsis Robert Graham DO, Geisinger Medical Center 372 Correlation of Emergency Department Operational Factors with the Percent of Patients Who Leave the Emergency Department without Being Seen and the Average Length of Stay of Admitted Patients Kenneth Robinson MD, Hartford Hospital 373 Name Calling in the Emergency Department: How Do Patients Want to Be Addressed?

Nathaniel Minnick DO, St John Hospital and Medical Center 374 Prospective Registry of Advanced IV Access: External Jugular Versus Peripheral Ultrasound Guided Michael D. Witting, University of Maryland 375 Variables associated with Community Hospital Overcrowding Steven Weiss MD, University of New Mexico 376 Impact of ED Crowding on Time to Antibiotic Initiation for Sepsis Arica Nesper BA, University of California, Davis Medical Center, Sacramento, CA 377 Accuracy of ED Medication Reconciliation as Determined By Mass Spectrometry Analysis of Urine Allyson A. Kreshak MD, University of California San Diego 378 Successful Hospital-Wide Practice Change Targeting Crowding in A Setting of Increasing Demand Drew Richardson MD, Australian National University 379 The Effect of Vessel Depth, Diameter, and Location on Success Rates for Placement of Ultrasound-Guided, Extended-Dwell Midline Catheters: a Comparison Between Two Brands.

Tristan Wihbey, Hospital of the University of Pennsylvania 380 Board or Walk Rounds?

Bobby Desai, University of Florida 381 Do Standardized Written Handoff Cards Improve Interservice Communication During Emergency Department to General Medical Unit Transfers?

Sharmistha Dev MD, MPH, Henry ford Hospital

62

Society for Academic Emergency Medicine

382 The Effect of Vessel Depth and Location on the Longevity of UltrasoundGuided, Extended-Dwell Midline Catheters: a Comparison Between Two Brands.

Tristan Wihbey, Hospital of the University of Pennsylvania 383 A Shorter Delay Before Analgesia Administration Has A Better Association with A Reduction in Emergency Department Length of Stay Than Adequate Analgesia in Patients with Severe Pain.

Raoul Daoust, Sacré-Coeur Hospital 384 Using Computer Modeling to Study the Impact of Adding A Fast Track to A Crowded ED Hari Balasubramanian PhD, University of Massachusetts 385 Effect of Dezoning Physician Teams on Emergency Department Efficiency Czarina Sanchez MD, BIDMC 386 Patient Satisfaction Variability by Chief Complaint in an Urban Community Emergency Department Kurt M. Isenberger MD, Regions Hospital 387 Hourly Measures of Patients Waiting to be Seen are Accurately Predicted by a Discrete Event Simulation Model.

Eric J. Goldlust MD, PhD, Brown University 388 Reducing Alarm Fatigue in the Emergency Department William Fleischman MD, Mount Sinai School of Medicine 389 Improving Transfer of Care Accuracy and Information Delivery in the Emergency Department Justin Mazzillo, UT Health Science Center at Houston 390 Evaluating the Effect of Emergency Department Crowding on Triage Decision Making and Patient Outcomes Erin O’Connor MD, University of Ottawa 391 Prospective Evaluation of Computerized Physician Order Entry in the Emergency Department Steven Horng MD, MMSc, Beth Israel Deaconess Medical Center / Harvard Medical School 392 The Impact of Interventions to Reduce Length of Stay in the Emergency Department: A Systematic Review Jameel Abualenain, The George Washington University 393 The Accuracy of Interqual Acute Care Criteria in Determining Observation versus Hospitalization need in Chronic Heart Failure Patients in Emergency Department David Fernandez MD, JPS Health Network 394 A Retrospective Review of Cardiac Stress Tests Ordered from the Emergency Department (ED) Lisa Moreno-Walton MD, Louisiana State University Health Sciences Center-New Orleans 395 Physician Situational Awareness in the Emergency Department Raphaelle Beard, Johns Hopkins University 396 Ultrasound-Guided Midline Catheters: Patient and Operator Satisfaction.

Tristan Wihbey, Hospital of the University of Pennsylvania 397 An Online Teaching Module to Improve Critical Care Coding Eric Steinberg DO, Beth Israel Medical Center 398 Balancing Responsiveness and Efficiency with Flexibility in the ED: A Simulation Model Lauren F. Laker MBA, University of Cincinnati 399 The Relationship between Patient Diagnoses and Observation Failure in a 24-hour Clinical Decision Unit Andrew Chen, North Shore LIJ Health System 400 Compliance of U.S. Camps with Guidelines for Health and Safety Practices: the Camp Prepared Study Kaylee M. Hollern, Penn State College of Medicine 401 Does a Patient Advocate during the Emergency Department Discharge Process Improve 48-Hour and 6-Week Post-Discharge Patient Satisfaction?

Stephanie Haddad MD, North Shore University Hospital 402 Spatial Dynamics of Alcohol Misuse: Does Density of Crime and Alcohol Outlets Characterize Likelihood of Youth Alcohol Misuse Independent of Neighborhood and Individual Risk Factors?

Manya F. Newton MD, MPH, MS, University of Michigan 403 Influence of Riding in Bike Lanes vs. Traffic Lanes on Injury Severity of Bicyclists Involved in Crashes with Motor Vehicles Dietrich Jehle, SUNY@Buffalo 404 The Prevalence of Injury Vs. Illness in Children with and without ADD/ADHD Presenting for Treatment to A Pediatric Emergency Department Bruce M. Becker MD, MPH, Warren Alpert School of Medicine at Brown University

405 Changes in Bicycle-related Injuries in Urban and Non-urban EDs in Massachusetts 2007-2010 Christopher Fischer MD, Beth Israel Deaconess/Harvard Medical School 406 Does An Educational Video Improve the Knowledge of Pediatric asthma Patients Visiting A Level 1 Pediatric Trauma Center Emergency Department?

Jay G. Ladde MD, Orlando Regional Medical Center 407 BMC Violence Intervention Advocacy Program: Understanding Challenges to Recovery to Optimize Service Delivery for Victims of Violent Injury Thea L. James MD, Boston Medical Center, Boston University School of Medicine 408 Drink Driving and associated Prescription Drug Misuse among High-risk Urban Youth Seeking Emergency Department Care Patrick M. Carter MD, University of Michigan 409 Behaviors Increasing the Risk of Crash Injury in Latino Adolescent Males: the Influence of Acculturation and Parent Connectedness Daniel L. Summers MPH, Yale School of Medicine 410 Adolescent Balloon Analog Risk Task Performance and Behaviors that Influence Risk of Injury Jessica M. Walthall BS, Yale University School of Medicine 411 Comparing the Effects of Age, BMI and Gender On Severe Injury (AIS 3+) in Motor Vehicle (MVC) Crashes Patrick M. Carter MD, University of Michigan 412 assault-injured Youth Presenting to the Ed for Care: Who? What? Why? Megan L. Ranney MD, MPH, Alpert Medical School, Brown University 413 Distracted Drivers, at Risk Child Passengers Michelle Macy, University of Michigan 414 Presence of Third Molars Predicts Increased Mandible Fractures in Blunt Facial Trauma Dave Milzman, Georgetown U School of Medicine 415 Home Falls in the Elderly: Eliciting the Mechanisms Responsible for Severe Injury Christopher W. Davis MD, University of Arizona 416 Car Ratings Take a Back Seat to Vehicle Type: Outcomes of SUV vs. Passenger Car Crashes Dietrich Jehle, SUNY@Buffalo 417 A Prospective Randomized Prevention Trial assessing Paper-tape in Endurance Distances (Pre-TAPED) Mark Ellis MD, Stanford University School of Medicine 418 A Systematic Review and Meta-analysis of Smoking Cessation Interventions for Adult Emergency Department Patients Jonathan H. Pelletier, Maine Medical Center Research Institute 419 The Effect of Legalized Sunday Alcohol Sales on Emergency Department Visits for Alcohol Withdrawal David L. Gutteridge MD, MPH, Mount Sinai School of Medicine 420 Characteristics and Outcomes associated with Medicaid and Uninsured Patients Presenting to the ED with Non-Emergent Complaints Previously Evaluated by Other Health Care Providers Meredith Camp. Binford MHS, Yale School of Medicine 421 Is Health Literacy associated with Medication and Dietary Compliance in Patients with Pre-existing Hypertension?

Emma Dwyer, St. Louis University 422 Emotions and Patient Satisfaction: Does a Patient Education and Expectation Pamphlet (PEEP) Improve Patient Satisfaction?

Candice T. Cardon MD, Christus Spohn Memorial 423 Validation of An ICD-9 Code for Accurately Identifying Emergency Department Patients Who Suffer An Out-of-hospital Cardiac Arrest Steve B. Chukwulebe BS, BBA, University of Pennsylvania 424 Visit Urgency amongst the Chronic Disease Population in a Large Metropolitan Region Emergency Department Network Gary M. Vilke MD, University of California, San Diego 425 Patient Contact with Outpatient Providers Prior to Visiting the Emergency Department Kathryn Groner MD, Christiana Care Health Systems 426 Antiemetic Use in United States Emergency Departments Elizabeth Savko DO, Saint Vincent Health Center 427 Planning for the Demographic Shift: Analyzing the Resources Required for Managing Patients with Cancer in the Emergency Department Anjana Patel, Mayo Clinic 428 Comparison of Mortality, Charges, and Procedure Use Among Injured Adults at Hospitals and Trauma Centers in California Mark Zocchi MPH, George Washington University

429 Patient Literacy and Reasons for ED Use Ann Tsung, University of Florida 430 Disparity in Patient Self-reported versus Charted Medication Allergy Information Preeyaporn Sarangarm Pharm D., University of New Mexico 431 Correlation Between Opiate Prescribing Rates and State Medicaid Costs Sarina Doyle, Orlando Health 432 Patterns of Recidivism in an Urban Academic Tertiary Care Emergency Department Lora AlKhawam MD, Northwestern University 433 Physician Practice Patterns and Association with ED Length of Stay for Discharged Patients with Type 2 Diabetes with Severe Hyperglycemia Brian E. Driver MD, Hennepin County Medical Center 434 The Effect of Emergency Department Crowding On Physicians’ Decision to Admit Patients with Transient Ischemic attack Or Minor Stroke.

Maxim Ben-Yakov, University of toronto (Division of Emergency Medicine) 435 The Role of Observation Services in 30 Day Recidivism Amongst Patients with Congestive Heart Failure (HF) Sean M. Lowe MD, Emory University 436 A Needs-Analysis of Uninsured Patients at the University of California, Irvine Medical Center Shahram Lotfipour MD, MPH University of California, Irvine 437 Public Participation in Research in the Emergency Department: a National Study of Predisposing Factors Enesha Cobb MD, MTS, University of Michigan 438 It Matters More Than You Think: TG in the ED Makini Chisolm-Straker MD, Mount Sinai School of Medicine 439 Pharmacists in the Emergency Department: A Study of Feasibility and Cost Jesse B. Cannon MD, Emory University, Atlanta VA Medical Center 440 Linkage to Care and Healthcare Utilization Subsequent to HIV Diagnosis from an ED HIV Testing Program Andrew H. Ruffner MA, University of Cincinnati 441 How Can We Improve the Emergency Department Experience for Patients?

A Multiphasic Study Using Kano Methodology.

Dipti Agarwal MBBS, Mayo Clinic 442 Identifying Iowa’s Icu Staffing Models and Defining the Role of the Emergency Physician Elizabeth Hassebroek MD, University of Iowa Hospitals and Clinics 443 Percentage of Medicare- and Medicaid-funded Patients Seen in US ED’s Increased Between 2006 and 2010 Susan Watts PhD, Texas Tech University Health Sciences Center 444 Impact of Gender on Patient Preferences for Technology Based Behavioral Interventions David J. Kim, The Warren Alpert Medical School of Brown University 445 Trail to Examine Text Message Based mHealth in ED Patients with Diabetes (TExT-MED) Sanjay Arora, Keck School of Medicine of the University of Southern California 446 Assessing the Satisfaction of Mobile Health (mHealth) Amongst ED Inner-city Patients with Diabetes Who Received the TExT-MED Intervention Sanjay Arora, Keck School of Medicine of the University of Southern California 447 Evaluating the Association Between Mental Health Professional Availability and ED Visits and Hospitalizations for Mental Health Related Conditions in California Sophie Terp MD, MPH, Department of Emergency Medicine, University of Southern California Keck School of Medicine 448 Text-message Reminders Increase Patient attendance at Outpatient Appointment Following ED Visits Elizabeth Burner MD, MPH, University of Southern California 449 Estimation of the Impact of Population Aging On Us Emergency Department Visits and Hospitalizations Through 2050 Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital 450 The Influence of Insurance Status On the Decision to Transfer Or Admit Patients Presenting with Orthopedic Injuries Dana Kindermann, George Washington University Hospital 451 Discharges to Nursing Homes Or Home with Additional Services Is associated with Increased Readmissions Through the ED After An Index Hospitalization Peter Smulowitz MD, MPH, Beth Israel Deaconess Medical Center 452 Factors associated with Super Users of Emergency Department Resources Admitted to Acute Care Edward M. Castillo PhD, MPH, University of California, San Diego

May 14-18, 2013 | Atlanta, Georgia

63

453 Use of Short assessment of Health Literacy for Spanish Adults (SAHLSA-50) to Determine the Health Literacy Rate of the Spanish-speaking Population in an Urban Emergency Department Sheetal Thaker MD, Baylor College of Medicine 454 Variation in Emergency Department Admission Rates at the Hospital Level: Role of Payer mix, Volume and Case Mix. Amber K. Sabbatini MD, MPH, Department of Emergency Medicine, University of Michigan 455 Variation in National ED Admission Rates by Clinical Condition, 2009 Arjun K. Venkatesh MD, MBA, Yale University 456 A Comparison of Injury Severity and Resource Utilization between Motorcycle Trauma and Gunshot Trauma Sarah Fabiano MD, University of Rochester 457 Prevalence of Undiagnosed Acute and Non-Acute HIV in a Lower Prevalence Urban Emergency Department Phillip Moschella MD, PhD, University of Cincinnati 458 Discharge Glucose Levels and Amount of Glucose Reduction Are Not associated with Short-term Adverse Outcomes in Discharged Patients with Type 2 Diabetes with Severe Hyperglycemia Brian E. Driver MD, Hennepin County Medical Center 459 Pediatric ED Observation Protocol Care: A Cost Comparison Julie S. Weber, Wayne State University School of Medicine 460 Emergency Department Hospitalization Case Volume and Mortality in the United States Keith E. Kocher, University of Michigan 461 Describing the Mobile Health Capacity of Inner City Latino Emergency Department Patients: Are National Estimates Accurate?

Sanjay Arora MD, Keck School of Medicine of the University of Southern California 462 The Rapid Rise in Opioid Prescribing in U.S. Emergency Departments: A Cause for Concern Jesse Pines MD, MBA, MSCE, George Washington University 463 Orthopedic Observation Units Reduce Hospital Admissions Amy Ernst MD, University of New Mexico 464 Pain Management in Children with Multi-System Trauma Michael Kim MD, University of Wisconsin School of Medicine and Public Health 465 The Association Between Parental Language and 72-hour Revisits Following Pediatric Emergency Department Discharge Margaret E. Samuels-Kalow MD, MPhil, Children’s Hospital of Philadelphia 466 Return to School in Students After A Sport-related Concussion: the Role of the School Nurse Robert P. Olympia MD, Penn State Hershey Medical Center 467 Protocol-Directed Observation Care in Existing Pediatric Emergency Department Space Allison D. Cator MD, PhD, University of Michigan 468 Car Safety Seat Usage in the State of Arizona and the Adherence to the 2002 American Academy of Pediatrics Guidelines Allison Peasley MD, University of Arizona 469 Adult Chest Pain in the Pediatric Emergency Department: Treatment and Timeliness From Door to Departure Jeffrey H. Sacks MD, Emory University School of Medicine 470 Broselow Tape: How Reliable Is Weight Estimation in Hispanic Children?

Muhammad Waseem MD, MS, Lincoln Medical & Mental Health Center 471 Survey of Parents’ attitudes and Beliefs of Over the Counter Cold/Cough Medications in the Pediatric Emergency Department Urvi Thakker, Newark Beth Israel Medical Center 472 How Well Can Adolescents assess their Own asthma Symptoms?

Tiffany Jan MD, the University of Chicago Medical Center 473 Emergency Department Presentation of the Pediatric Systemic Inflammatory Response Syndrome (SIRS) Timothy Horeczko MD, MSCR, University of California, Davis Medical Center 474 Frequency of Teratogenic Drug Administration without Pregnancy Testing Among Adolescent Emergency Department Patients Monika Goyal MD, Children’s National Medical Center, The George Washington University 475 Do Pediatric Patients with Psychiatric Symptoms Need Screening Tests to Rule Out Medical Etiology?

Reena Blanco MD, Emory University

64

476 Parental attitudes towards the Use of the Federal Exception From Informed Consent (EFIC) for Emergency Studies of Severe Traumatic Brain Injuries Nicholas J. Rademacher, University of Michigan 477 Knowledge and attitudes about Pediatric Cardio-pulmonary Resuscitation (p-CPR) among Parents Bringing their Children to the Pediatric Emergency Department (ED) Lisa Moreno-Walton MD, Louisiana State University Health Sciences Center-New Orleans 478 Cost of Screening Laboratory Tests for Medical Clearance of Pediatric Psychiatric Patients in the Emergency Department J. Joelle Donofrio DO, Harbor UCLA Medical Center 479 External Validation and Comparison of Three Popular Clinical Dehydration Scales in Children Joshua M. Jauregui MD, Brown University Department of Emergency Medicine 480 Rate of Adherence to CDC Guidelines for Treatment of Influenza in a Pediatric Emergency Department Hamid R. Alai, Department of Emergency Medicine, Johns Hopkins University 481 Ill Appearing, Not Ill Appearing, Or Not Sure?

Paul Walsh, University of California Davis 482 The Growth of Fellowship Programs in Medical Simulation Paul S. Jansson BA, Northwestern University Feinberg School of Medicine 483 Ability of Emergency Medicine Residents to Meet the Standard of Care for tPA During Small Team-based Simulation Timothy Koboldt MD, Washington University in St. Louis School of Medicine 484 Physiology of Residents in Simulation Medicine Dale Cotton MD, UC Davis Medical Center 485 Does a Physician Advanced Directive Survey Predict Bedside Response in Simulated End of Life Scenarios?

Christopher R. Carpenter MD, MSc, Washington University in St. Louis 486 Design and Validation of a Difficult Airway Training Model: A Prospective Observational Trial Joan Noelker MD, Washington University St Louis 487 Evaluation of A Simulation-Based Curriculum for Rotating Residents in the Emergency Department David H. Salzman MD, Northwestern University 488 Simulation Emergency Department Thoracotomy: A Novel Simulation Teaching Model to Enhance Residency Training Erinn Hama MD, Georgetown University and Washington Hospital Center 489 Effectiveness of an Internal, Computer-Based Chest Compression Simulator on CPR Training: A Longitudinal Study Peter L. Griffin BS, Penn State University Hershey Medical Center 490 Initiating and assessing a Team Training Curriculum for the Emergency Department Ambrose H. Wong MD, NYU School of Medicine

Milestones in Training - Oral Presentations Thursday, May 16, 12:00 - 1:00 pm in Atlanta B

Moderator: Christopher Ross MD, Cook County Hospital 491 How Competent are Emergency Medicine Interns for Level 1 Milestones: Who is Responsible?* Laura Hopson MD, University of Michigan 492 Inter-Rater Agreement of Emergency Medicine Milestone PC12 for Goal-Directed Focused Ultrasound Is Excellent* Stephen Leech, Orlando Regional Medical Center 493 Self-assessment and Feedback are Both Important Factors in the Retention and Execution of Learning Goals by EM Residents Amish Aghera, Maimonides Medical Center 494 How Do Practicing EM attendings Self-evaluate On the EM Milestones?

Timothy C. Peck MD, Beth Israel Deaconess Medical Center

Patient Communication - Oral Presentations Thursday, May 16, 12:00 - 1:00 pm in Atlanta C & D

Moderator: Emilie Powell MD, MS, MBA, Northwestern University 495 Preferences for Resuscitation and Intubation Among Patients with Do-not-resuscitate/do-not-intubate Orders: A 1 Year Follow Up Study.* John E. Jesus MD, Christiana Care Health Center 496 Does Anyone Know What We Are Talking About? A Comparative Analysis of Emergency Department Verbal Communication and Patient Knowledge Kirsten G. Engel, Northwestern University 497 Targeted Bedside Emergency Department HIV Screening Does Not Impact Length of Stay Bradley Hernandez MD, Regions Hospital

Society for Academic Emergency Medicine

498 Evaluation of Competency for Physicians who Self Translate for Limited English Proficiency Patients in the Emergency Department David T. Chiu, Beth Israel Deaconess Medical Center

Geriatric Trauma - Oral Presentations Thursday, May 16, 12:00 - 1:00 pm in Atlanta E & F

Moderator: Timothy F. Platts-Mills MD, University of North Carolina Chapel Hill 499 Derivation of A Decision Rule for Obtaining A Head CT in the Elderly Fall Patient with Baseline Mental Status Darin Agresti DO, St. Luke’s University Hospital and Health Network 500 Elderly Falls On Level Ground: A Descriptive Study Khalief Hamden MD, St. Luke’s University Hospital and Health Network 501 Do Trauma Patients Age 55 and Older Benefit From Air Medical Transport?

Howard A. Werman MD, Ohio State University 502 Cervical Spine Injuries in Elderly Fall Patients Who Do Not Meet Trauma Alert Criteria Khalief Hamden MD, St. Luke’s University Hospital and Health Network

Ischemic Conditioning - Oral Presentations Thursday, May 16, 12:00 - 1:00 pm in Atlanta G

Moderator: Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital 503 Fibroblast Growth Factor Receptor Signaling in Endothelium Mediates Post-Ischemic Vascular Remodeling and Functional Recovery in an in Vivo, Closed-Chest Model of Acute Myocardial Infarction Stacey L. House MD, PhD, Washington University in St. Louis 504 Opposite Effect of TNF Receptor 1 and Receptor 2 in Post-MI Remodeling and the Underlying Mechanisms Involved Yajing Wang MD, PhD, Thomas Jefferson University Hospital 505 Critical role of Sphingosine-1-Phosphate Receptor 2 in Blood Brain Barrier Disruption, Intracerebral Hemorrhage and Neurovascular Injury in Experimental Stroke.

Teresa Sanchez, Beth Israel Deaconess Medical Center 506 Long Term Adiponectin Administration Protects Against Myocardial Ischemia/Reperfusion Injury in High-Fat Diet Induced Diabetic Mice Wayne Bond Lau MD, Thomas Jefferson University Hospital

Emergency Department Quality - Lightning Oral Presentations Thursday, May 16, 12:00 - 1:00 pm in Atlanta A

Moderator: Arjun K. Venkatesh MD, Yale University 507 There Is No Difference in Bystander CPR Rates for Male Versus Female 9-1-1 Callers David E. Slattery, University of Nevada School of Medicine 508 Implementation of Checklists for Central Line associated Blood Stream Infection Prevention in the Emergency Department.* Robert Klemisch AB, Washington University School of Medicine in St. Louis 509 Reducing Blood Culture Contamination in a Community Hospital Emergency Department with a Standardized Sterile Collection Technique* Wesley H. Self MD, MPH, Vanderbilt University Medical Center 510 Emergency Physician Perceptions of the Quality Improvement and Educational Value of a formal Peer Review Committee Martin Reznek MD, MBA, University of Massachusetts Medical School and UMassMemorial Medical Center 511 Emergency Department Error Characterization: Findings from 18 months of formal Peer Review-based Error Analysis Martin Reznek MD, MBA, University of Massachusetts Medical School and UMassMemorial Medical Center 512 Impact of A Change in Intensive Care Unit Admission Policy On Length of Stay and Morbidity.

Jonathan McCoy, RWJUH/RWJMS

Undergrad Education - Lightning Oral Presentations Thursday, May 16, 12:00 - 1:00 pm in Roswell 1

Moderator: Lorraine Thibodeau MD, Albany Medical College 513 Directing Medical Students to a Comprehensive Set of Chief Complaints can Standardize their Clinical Experience Timothy Peck MD, Beth Israel Deaconess Medical Center 514 Current State of Undergraduate Education in Emergency Medicine Sorabh ‘Khandelwal, Ohio State University 515 The National Emergency Medicine M4 Exam - an Update Corey Heitz, Virginia Tech Carilion School of Medicine 516 The Efficacy of Electronic Versus Paper Medical Student Evaluations David T. Chiu, Beth Israel Deaconess Medical Center

517 Text Messaging Enhanced Curriculum for Medical Student Emergency Medicine Clerkship Marjorie L. White MD, MPPM, MEd, University of Alabama Birmingham 518 Medical Student Perception of Resident and Attending Contributions to Education during the EM Clerkship Brian Barbas, Cooper Medical School of Rowan University

Prehospital CPR - Lightning Oral Presentations Thursday, May 16, 12:00 - 1:00 pm in Roswell 2

Moderator: Jane Brice MD, University of North Carolina 519 Prehospital Life Saving Interventions in Patients with Cardiac Arrest in A Combat Setting - A Prospective, Multicenter Study Vikhyat S. Bebarta, San Antonio Military Medical Center; US Army Institute of Surgical Research 520 Concordance of Prehospital and Emergency Department Cardiac Arrest Resuscitation with Documented End-of-Life Choices in Oregon* Derek K. Richardson, Oregon Health & Science University 521 Differences in Prognosis of Secondary Shockable Rhythms in Out-of-Hospital Cardiac Arrest Andrew J. Thomas, Oregon Health & Science University 522 The Impact of Pre-hospital Non-invasive Positive Pressure Support Ventilation in Adult Patients with Severe Respiratory Distress: A Systematic Review and Meta-Analysis* Sameer Mal MD, University of Western Ontario 523 Improvements in Survival for Out-of-hospital Cardiac Arrests in Singapore Over 10 Years Hsuan Lai, Duke-NUS Graduate Medical School 524 Gender and Survival in Out-of-hospital Cardiac Arrest (OHCA) - Results From the OPALS (Ontario Prehospital Advanced Life Support) Study* Basmah Safdar MD, Yale University

Keynote Speaker - Thomas R. Frieden MD, MPH - Plenary Presentations, Thursday, May 16, 2:00 - 3:00 pm Plenary Presentations - Plenary Presentations Thursday, May 16, 3:30 - 5:00 pm in Plaza Ballroom ABC

Moderator: David Cone MD, Yale University School of Medicine 1 NEXUS Chest: Validation of a Decision Instrument for Selective Chest Imaging in Blunt Trauma Robert M. Rodriguez MD, UCSF/San Francisco General Hospital 2 Intravenous Cobinamide Versus Hydroxocobalamin for Acute Treatment of Severe Cyanide Poisoning in A Swine (Sus Scrofa) Model - a randomized, controlled trial Vikhyat S. Bebarta, San Antonio Military Medical Center 3 Anaphylaxis; Clinical Features and Evidence for A Mast Cell-leukocyte Cytokine Cascade in Humans.

Simon G.A. Brown MBBS, PhD, FACEM, Western Australian Institute for Medical Research, Royal Perth Hospital and the University of Western Australia 4 Accuracy of an Ultra-Low Dose CT Protocol for ED Patients with Suspected Kidney Stone Chris Moore MD, RDMS, Yale University School of Medicine 5 Latino Caregiver Experiences with asthma Health Communications: A Qualitative Evaluation Antonio Riera MD, Yale University School of Medicine 6 Randomized Trial of Tenecteplase or Placebo with Low Molecular Weight Heparin for Acute Submassive Pulmonary Embolism: assessment of PatientOriented Cardiopulmonary Outcomes at Three Months Jeffrey A. Kline MD, Indiana University School of Medicine

Voices from the Past Informing the Future of Academic Emergency Medicine Thursday, May 16, 5:00 - 5:30 pm in Plaza Ballroom ABC Moderator: Brian Zink MD, Alpert Medical School of Brown University

FRIDAY, May 17th, 2013 Pain Management - Oral Presentations Friday, May 17, 8:00 - 9:00 am in Atlanta B

Moderator: Sergey M. Motov MD, Maimonides Medical Center

May 14-18, 2013 | Atlanta, Georgia

65

525 Transbuccal Fentanyl Provides More Rapid Pain Improvement Than Oral Oxycodone Peyton Holder MD, University of Oklahoma Department of Emergency Medicine 526 Opioid Pain Reliever (OPR) Adminstration and Prescribing Pattern in An Urban ED for Patients Presenting with Chronic Back Pain Nate Egger MD, Wayne State University 527 Dental Pain in the ED, Costs that Hurt Patients and EDs Joseph S. Kim MD, University of Kentucky 528 Analgesia Prescriptions for ED Patients with Low Back Pain: A National Perspective* Adam J. Singer MD, Stony Brook University

Ultrasound - Oral Presentations Friday, May 17, 8:00 - 10:00 am in Atlanta E & F

Moderator: David J. Blehar MD, University of Massachusetts Medical School 529 Evaluation of an Ultrasound Observed Structured Competency Exam (OSCE) Over the Course of A Emergency Medicine Residency Stephen Leech, Orlando Regional Medical Center 530 Bedside Ultrasound in the Diagnosis of Subcutaneous Abscess Requiring Incision and Drainage.

Isaac J. Farrell, University of Arizona 531 Sonographic Characteristics of MRSA Skin Abscesses Romolo Gaspari MD, PhD, University of Massachusetts Medical School 532 The Diagnostic Accuracy of Bedside Echocardiography in the Emergency Department Patient with Suspected Acute Coronary Syndrome Jordan Singleton MD, University of Arizona 533 Bedside Ultrasound for the Detection of Dehydration in Youth (Buddy Study) Joshua M. Jauregui MD, Alpert Medical School of Brown University, Department of Emergency Medicine 534 What Are the Baseline Measurements for Physeal Plate Widths in Healthy, Uninjured Children?

Lorraine Ng MD, NYP Morgan Stanley Children’s Hospital of New York 535 The Diagnostic Accuracy of Bedside Ocular Ultrasound in the Diagnosis of Retinal Detachment: A Systematic Review and Meta-analysis.* Hal J. Minnigan MD, Indiana University School of Medicine

Patient Informed Consent - Oral Presentations Friday, May 17, 8:00 - 9:00 am in Atlanta G

Moderator: Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital 536 Perceptions of Risk and Informed Consent in the Emergency Department James Ahn, University of Chicago 537 Are Well-informed Potential Trial Participants More Likely to Participate?

Alexander T. Limkakeng, Duke University 538 The Impact of Race and Sex of Study Personnel On the Decision to Participate in Research* Kimberly W. Hart, MA, University of Cincinnati 539 Which Parts of an Informed Consent Document Do Potential Trial Participants Consider Important?

Alexander T. Limkakeng, Duke University

Academic Emergency Medicine - Lightning Oral Presentations Friday, May 17, 8:00 - 9:00 am in Atlanta A

Moderator: Susan Promes MD, University of California, San Francisco 540 Academic Career Interest in American Emergency Residents* John Burkhardt, University of Michigan 541 Description and Productivity of Emergency Medicine Researchers Receiving K23 Or K08 Mentored Research Career Development Awards* Daniel K. Nishijima, University of California, Davis 542 Quantifying Federal Funding and Scholarly Output Resulting From the Academic Emergency Medicine Consensus Conferences Daniel K. Nishijima, University of California, Davis 543 Faculty Prediction of In-training Examination Scores of Emergency Medicine Residents Amer Z. Aldeen MD, Northwestern University 544 Performance on COMLEX-USA Exams Predicts Performance on EM Residency In-training Exams Deborah L. Pierce DO, MS, Einstein Medical Center 545 Correlation of the National Emergency Medicine Clerkship Exam with USMLE Examination Performance Luan Lawson MD, Brody School of Medicine at East Carolina University

66

Novel Cardiovascular Ideas - Lightning Oral Presentations Friday, May 17, 8:00 - 9:00 am in Atlanta C & D

Moderator: Chad E. Darling MD, UMass Medical School 546 Cerebral Oximetry Monitoring During CPR is associated with Return of Spontaneous Circulation but Not Survival in ED Patients in Cardiac Arrest Adam J. Singer MD, Stony Brook University 547 An Evaluation of Two Electronic Control Devices Using A Swine Comparative Cardiac Safety Model Donald M. Dawes MD, Lompoc Valley Medical Center 548 Pleth Variability Index Does Not Predict Fluid Responsiveness as Measured

By Pulmonary Artery Cathether thermodilution.

Brandon C. Maughan MD, MHS, Department of Emergency Medicine, Alpert Medical School of Brown University 549 ECG Predictors of 30-Day Cardiac Events After Syncope Benjamin Sun, Oregon Health and Science University 550 A Prospective Study on Point-of-Care Focused Cardiac Ultrasound in assessing for Thoracic Aortic Dimensions, Dilation, and Aneurysm in Correlation with CT Angiogram in Suspected Cases of Pathology Faizan Arshad, Yale New Haven Hospital 551 A Prospective Observational Study of Inter-observer Agreement for Pretest Probability assessment of Deep Venous Thrombosis* Krista Brucker MD, Northwestern University

Injury Prevention - Lightning Oral Presentations Friday, May 17, 8:00 - 9:00 am in Roswell 1

Moderator: Megan Ranney MD, Alpert Medical School, Brown University 552 Outpatient Follow Up and Management of ED Patients with Elevated Blood Pressure Brigitte M. Baumann MD, MSCE, Cooper Medical School of Rowan University 553 Characterizing Intimate Partner Violence Victims Unwilling or Unable to Participate in a Follow-up Intervention Justin Schrager, Emory University School of Medicine 554 Safe Zones and Danger Zones: a Geographic Study of Violence and associated Resilience Factors in the Urban Environment Ward P. Myers, Boston University 555 One Dose of IV Antibiotics Increases the Risk of Antibiotic associated Diarrhea in Patients Discharged Home from the Emergency Department John P. Haran MD, University of Massachusetts Medical School 556 Can A Social Network HIV Testing Program Expand HIV Testing Beyond the Usual Emergency Department Population?

Robbie E. Paulsen MD, University of Cincinnati 557 A Qualitative Study of Client Perception of Effectiveness and Impact of the Boston Medical Center Violence Intervention Advocacy Program Peer Model Salma Bibi MPH, Boston Medical Center

Emergency Department Discharge - Lightning Oral Presentations Friday, May 17, 8:00 - 9:00 am in Roswell 2

Moderator: Ziad Obermeyer MD, Brigham and Women’s Hospital/Harvard University 558 Short-Term Bounce-back Admissions Following Emergency Department Discharge in Medicare Patients Gelareh Z. Gabayan MD, MSHS, West Los Angeles VA and UCLA 559 Emergency Department Crowding and 7-Day Bounceback Admissions Following Discharge Gelareh Z. Gabayan, West Los Angeles VA and UCLA 560 Use of Teachback Discharge Instructions Does Not Improve Patient Satisfaction in the ED Yonitte Kinsella MD, Washington University in Saint Louis 561 Evaluation of Patient Understanding of ED Discharge Instructions: Use of a Scale to assess Self Efficacy to Carry Out Discharge Instructions Luke A. Stevens MA, Boston University School of Medicine 562 Verbal Communication of Discharge Instructions: Where Are the Deficits Greatest?

Kirsten G. Engel, Northwestern University 563 Limitations of Teach-Back Method in the Emergency Department Maureen E. Gross MD, Barnes Jewish Hospital/Washington University

Pain Management - Oral Presentations Friday, May 17, 9:00 - 10:00 am in Atlanta B

Moderator: Sergey M. Motov MD, Maimonides Medical Center 564 Does Treatment for Pain Influence Emergency Medicine Research Participation?

Alexander T. Limkakeng, Duke University

Society for Academic Emergency Medicine

565 Lack of Association Between Body Mass Index and Clinical Response to 1 mg Intravenous Hydromorphone Shujun Xia MD, Albert Einstein College of Medicine 566 Randomized Clinical Trial of the 2 mg Hydromorphone Bolus Protocol vs. the “1+1” Hydromorphone Titration Protocol in Treatment of Acute, Severe Pain in the First Hour of ED Presentation Andrew E. Chertoff MD, Albert Einstein College of Medicine, Montefiore Medical Center 567 Low-dose Ketamine Versus Morphine for Acute Pain in the Emergency Department - A Randomized, Prospective, Double-blinded Trial* Joshua P. Miller MD, SAUSHEC

Coronary Angiograph - Oral Presentations Friday, May 17, 9:00 - 10:00 am in Atlanta C & D

Moderator: Judd Hollander MD, University of Pennsylvania 568 Clear for A Year: Coronary CTA Follow-up for Low-risk ED Patients in the Community Hospital Setting.

Aveh Bastani, Troy Beaumont Hospital 569 Risk Stratification of Candidates for Coronary Ct Angiography Using High Sensitivity Troponin I. Frederick K. Korley, Johns Hopkins 570 Coronary CTA in Elderly ED Patients with Low-to-intermediate Risk Chest Pain Adam J. Singer MD, Stony Brook University 571 One Year Outcomes of Patients Following Coronary Computerized tomographic Angiography in the Emergency Department* Judd E. Hollander, University of Pennsylvania

Frequent Emergency Department Users - Lightning Oral Presentations Friday, May 17, 9:00 - 10:00 am in Atlanta A

Moderator: Martin Reznek MD, MBA, FACEP, UMass Memorial Medical Center and University of Massachusetts Medical School 572 Comorbidity among Frequent Emergency Department Users with a Psychiatric associated Discharge Diagnosis Jesse J. Brennan MA, University of California, San Diego 573 Asthma Exacerbations in Japan: Who Are the Frequent Utilizers of the Emergency Department?

Hiroko Watase MD, MPH, Japanese Emergency Medicine Research Alliance 574 Factors associated with Frequent Users of California Emergency Department Resources James P. Killeen MD, University of California, San Diego 575 Frequent Emergency Department Users: Examining Service Duplication Across Hospital Systems Bahareh Aslani MD, Henry ford Hospital 576 Reducing Frequent Attendance by Chronic Kidney Disease Patients at the Emergency Department.

Connie Boh, Duke-National University Singapore Graduate Medical School 577 Impact of Social Services Case Management on Homeless, Frequent Users of Emergency Departments Theodore C. Chan MD, University of California, San Diego

Neurology - Lightning Oral Presentations Friday, May 17, 9:00 - 10:00 am in Atlanta G

Moderator: Edward Jauch MD, MS, Medical University of South Carolina College of Medicine 578 A Prospective Cohort Study to Differentiate Traumatic Tap from True Subarachnoid Hemorrhage Jeffrey J. Perry, University of Ottawa 579 Quantitative EEG for Identification of Brain Dysfunction in CT Negative Acute Stroke Patients Edward A. Michelson MD, FACEP, University Hospitals Case Medical Center 580 Thymosin 4 in the Treatment of Acute Stroke: A Dose Response Study Daniel C. Morris MD, Henry ford Health System 581 A Randomized Controlled Trial of Intravenous Ketorolac Versus Intravenous Metoclopramide + Diphenhydramine for Acute Treatment of Non-migraine, Bland Recurrent Headache* Victoria Adewunmi MD, Albert Einstein College of Medicine 582 Intramuscular Midazolam versus Intravenous Lorazepam for the Pre-Hospital Treatment of Status Epilepticus in the Pediatric Population Robert D. Welch, Wayne State University

583 Use and Importance of Emergency Medical Services in Rural Hospital Delivery of Thrombolytics in Acute Ischemic Stroke Cemal B. Sozener MD, University of Michigan

Pediatric Decision tools - Lightning Oral Presentations Friday, May 17, 9:00 - 10:00 am in Roswell 1

Moderator: Michele Nypaver MD, University of Michigan 584 Impact of An Evidence-based Guideline On Rates of Diagnostic Testing for Pediatric Syncope* Megan OBrien, Boston University School of Medicine 585 Emergency Department Variation in Head Computed Tomography Scanning Among Pediatric Patients with Head Trauma* Jennifer R. Marin MD, MSc, University of Pittsburgh School of Medicine 586 Performance of Plain Pelvis Radiography in Children with Blunt torso Trauma* James Holmes, University of California -Davis 587 External Validation of the PECARN Head Injury Criteria for Verbal (Age 2-18) Children in a Community Hospital Setting Aveh Bastani, Troy Beaumont Hospital

Geriatrics - Lightning Oral Presentations Friday, May 17, 9:00 - 10:00 am in Roswell 2

Moderator: James Miner MD, Hennepin County Medical Center 588 A Rapid assessment to Predict ED Revisits, Hospital Admissions or Death at 30 days Following ED Discharge in Older Individuals* James D. Dziura PhD, Yale School of Medicine 589 Trends in Short Stay Hospitalizations for Older Adults from 1990-2010, Implications for Geriatric Emergency Care* Peter W. Greenwald MD, MS, Weill Cornell Medical College 590 Is It the Volume Or the Hospital? A National Look at ED Admission Rates for Geriatric Patients Scott M. Dresden, Northwestern University Feinberg School of Medicine 591 Emergency Department Geriatric Visits Are Not Increasing Faster Than Increases in total Visits Michael E. Silverman, Morristown Medical Center 592 Geographic Variation in Emergency Department Use by Older Adults in North Carolina Timothy F. Platts-Mills, University of North Carolina Chapel Hill 593 GEDI WISE: the Quality of Care Transitions for Older Adults Discharged from the ED to Home Corita R. Grudzen MD, MSHS, Mount Sinai School of Medicine

Posters 3- Poster Presentations- Posters will be attended by authors from 10:00 am – 12:00 pm Friday, May 17, 8:00 am - 12:00 pm in 200 Gallery -level 6

155 Identification of Sphingosine-1-Phosphate Receptor 2 as A Critical Modulator of Vascular Inflammation During Endotoxemia Teresa Sanchez, Beth Israel Deaconess Medical Center 236 EMS Accuracy for Stroke Identification: Seizures Lead to Overdiagnosis Ethan Brandler, SUNY Downstate University Hospital of Brooklyn 594 Low Acuity Heart Failure Patients That Bypass the ED Observation Unit - Room for Improvement?

Matthew Wheatley, Emory University School of Medicine 595 Risk Estimates for the Canadian CT Head Rule in Patients with Minor Head Injury Edward R. Melnick MD, Yale School of Medicine 596 Examining Clinical Decision Support Integrity: Is Clinician Self-Reported Data Entry Accurate?

Anurag Gupta MD, MBA, Brigham and Women’s Hospital 597 Derivation and Validation of a Clinical Prediction Rule for Symptomatic Ureteral Stone: the “S.T.O.N.E. Score” Chris Moore MD, RDMS, Yale University School of Medicine 598 Systemic Antibiotics after Incision and Drainage of Simple Abscesses: A Meta-Analysis Adam J. Singer MD, Stony Brook University 599 What Is the Acceptability of Using Text Messaging Communication for Notification of Normal and Abnormal Laboratory Results Amongst Emergency Department Patients?

Adrienne Hughes, Baylor College of Medicine 600 A Translational Study: Emergency Department Administrators’ Interest in the Adoption of an Unstaffed Computer Kiosk for Health Screening and Education Katie E. Dean MD, Emory

May 14-18, 2013 | Atlanta, Georgia

67

601 Medication Adherence Emerges as A Strong Target for Mhealth Interventions in Qualitative Analysis of Text-med (Trial to Examine Text-based Mhealth for Emergency Department Patients with Diabetes) Elizabeth Burner MD, MPH, University of Southern California 602 How Do ED Patients Compare to the General Population in their Use of Information Technology Lori Post, Yale University School of Medicine 603 Limiting Acute Lung Injury in the Emergency Department Brian Fuller MD, Washington University in St. Louis School of Medicine 604 The Efficacy and Use of Bolus-Dose Phenylephrine for Peri-intubation Hypotension in the Emergency Department.

Jarrod M. Mosier, University of Arizona 605 How Does Performing Bedside Ultrasound Impact Utilization of Ct Scans in Critically Ill Patients with Undifferentiated Hypotension?

Hamid Shokoohi, George Washington University 606 Body Mass Index is associated with Inappropriate Tidal Volume Settings in Adult Patients Intubated in the ED Shannon Graf MD, MedStar Washington Hospital Center 607 Physiologic Instability in the Emergency Department Predicts Clinical Deterioration Daniel J. Henning MD, Beth Israel Deaconess Medical Center 608 Palliative Care Screening for ICU Admissions Cheryl Courage, Wayne State University 609 Gender Specific Differences in the Prevalence and Emergency Department Management of Anaphylaxis: A Multicenter Study Jonathan Bastian MD, University of Calgary 610 CT Imaging of Pediatric Chest Deformation during Simulated CPR George Glass, University of Virginia 611 The Use of An Ultrasonic Cardiac Output Monitoring (USCOM) Device in Addition to Cardiac Ultrasound in Patients Undergoing Treatment for Undifferentiated Shock Johanna C. Moore MD, Hennepin County Medical Center 612 Intravenous Thiamine Increases Oxygen Consumption in Critically Ill Patients Katherine Berg MD, Beth Israel Deaconess Medical Center 613 Do Do-Not-Resuscitate (DNR) Orders Affect Treatment and Interventions Performed By Emergency Physicians?

Danielle Hollingworth, Orlando Health 614 Prehospital Intubation Duration Does Not Increase Risk for Early Ventilatorassociated Pneumonia in Trauma Patients Nicholas M. Mohr, University of Iowa Carver College of Medicine 615 A Survey Investigation of Knowledge and Confidence in the Performance of Pediatric Cardiopulmonary Resuscitation Among Parents of Patients in A Middle Eastern Hospital Lisa Moreno-Walton MD, Louisiana State University Health Sciences Center-New Orleans 616 ECMO as Rescue Strategy for Refractory Cardiac Arrest and Profound Shock.

David F. Gaieski, University of Pennsylvania School of Medicine 617 Lactate Clearance Is Not Prognostic in Cardiac Arrest Patients David A. Pearson MD, Carolinas Medical Center 618 Modified Shock Index but Not Cross Product Predictive of Outcomes after Cardiac Arrest David F. Gaieski, University of Pennsylvania School of Medicine 619 Measurement of Retinal Venous Oxygen Saturation During Progressive Hypoxia in Swine in vivo Using the Blue-Green Minima Technique Lawrence A. DeLuca, University of Arizona 620 Comparison of the Normal Saline and Heparinized Solutions for Maintenance of Arterial Catheter Pressure-wave.

Yuri Ishii, Tokyo Medical University Hospital 621 Initial Prospective Analysis of therapeutic Hypothermia for Inpatient Survivors of Sudden Cardiac Arrest in Comparison to Historical Controls Kenneth Will MD, Cook County (Stroger) Hospital 622 Practical Skill Retention in Medical Students: Improving Cardiopulmonary Resuscitation with Hands-On Practice Alexander M. Dabrowiecki BS, St. George’s University 623 Lack of Agreement Between Swan-Ganz Continuous Cardiac Output and FloTrac Vigileo Cardiac Output in a Swine Model of Septic Shock Lawrence A. DeLuca, University of Arizona 624 Factors associated with Delayed Cooling in Cardiac Arrest Patients David A. Pearson MD, Carolinas Medical Center

68

Society for Academic Emergency Medicine

625 Time to Epinephrine and Survival Following In-Hospital Cardiac Arrest Michael Donnino, Beth Israel Deaconess Medical Center 626 Patient Perceived “Acceptable Risk” of Chest Computed tomography in Trauma and Pregnancy Eric C. Silverman MD, Cooper Medical School of Rowan University 627 How Many Ultrasound Examinations Are Necessary to Gain Proficiency in Accurately Identifying the Nerves of the forearm?

Anthony De Lucia DO, University of South Florida 628 Determination of a Body Mass Index Upper Limit in Adults for the Diagnosis of Acute Appendicitis Using a High Frequency Linear Ultrasound Transducer Craig Sisson MD, RDMS, University of Texas Health Science Center San Antonio 629 Severity of DKA is associated with Length of Stay for Low-income, Resource Poor Patients Elizabeth Burner MD, MPH, University of Southern California 630 Does CT Scan Affect Diagnosis and Management of Patients with Suspected Renal Colic?

Michael D. Zwank, Regions Hospital 631 Retrospective Validation of High Yield Criteria for Obtaining Chest X-ray in Non-traumatic Chest Pain Karl Weller DO, St. Luke’s University Hospital 632 Reduction in Abdominal Computed tomography Use in Adult Trauma Patients as Use of the Focused assessment with Sonography in Trauma Increases Alexander Y. Sheng MD, Massachusetts General Hospital 633 Bedside Ultrasonography as an Adjunct to Routine Workup to Evaluate for Possible Acute Appendicitis in the Emergency Department Samuel H. F. Lam, Advocate Christ Medical Center 634 Does the Finding of Gestational Sac On Point of Care Ultrasound Decrease the Risk of Ectopic Pregnancy?

Brooke Hensley MD, UCSF 635 History and Physical Exam plus Laboratory Testing and Ultrasonography for the Diagnosis of Urolithiasis: An Evidence-Based Review Richard Sinert DO, Downstate Medical Center 636 Bedside Echocardiography in Cardiac Arrest, Predicting Return of Spontaneous Circulation: A Systematic Review and Meta-Analysis.

Nicolaus Hawbaker MD, University of Arizona 637 Factors Interfered with the Accuracy of Noninvasive and Portable total Hemoglobin Monitoring Device in Emergency Department Subjects Chien-Hsiung Huang MD, Chang Gung Memorial Hospital 638 A Comparison of “Hockey Stick” and Conventional Linear Array Transducers in the Detection of foreign Bodies Daniel Jafari MD, MPH, University of Pennsylvania 639 Correlation of Resident Training Level with Identification of Soft Tissue foreign Bodies David J. Thomas, East Carolina University 640 Ultrasound Measurement of Renal Resistive Index: A Comparison of Emergency Physicians Versus Registered Sonographers Christina M. Millhouse MD, UC Davis Health System 641 A Comparison of Three Different Approaches for Ultrasound Guided Central Venous Cannulation of the Right Internal Jugular Vein Amy Heard MD, Stony Brook University 642 A Lack of Data Supporting Contrast-induced Nephropathy Following CT: A Meta-Analysis Ryan D. Aycock, Staten Island University Hospital 643 Utility of Ultra-Low Dose CT Scans to Detect Ureteric Stones in the Emergency Department Brian O’Neil MD, Wayne State University School of Medicine 644 Preliminary Analysis of Factors Related to Ct Use in Evaluation of Cervical Spine Trauma in Low to Moderate Risk Patients Steven Katz, Barnes-Jewish/Washington University in St. Louis 645 Effect of Educational Intervention on ED Physician Ability to Perform a Rapid, Bedside Ultrasound assessment in Late Pregnancy Sachita Shah, University of Washington School of Medicine 646 Analysis of Lawsuits Involving Emergency Physician Performed Point-of-care Ultrasound Lori A. Stolz MD, University of Arizona 647 Image Quality Evaluation of a Pocket-Sized Ultrasound Machine for the FAST Examination Brian Euerle, University of Maryland School of Medicine 648 Bedside Ultrasonography in the Diagnosis of Symptomatic Nephrolithiasis Matthew Kostura MD, University of Arizona

649 Ultrasound-guided Peripheral IV Access: A Systematic Review and Meta-analysis Lori A. Stolz, University of Arizona 650 Earthquake-Related Injuries in the Pediatric Population: A Systematic Review Gabrielle A. Jacquet MD, MPH, Johns Hopkins University School of Medicine 651 Computer versus Paper-based Hospital Triage in a Mass Casualty Event Eric C. Cioe MD, State University of New York Downstate Medical Center 652 Analysis of Twitter Users’ Sharing of official New York City Preparedness Messages During the Sandy Storm Nicholas Genes, Mount Sinai School of Medicine 653 Child in Hand - A Hazard Identification, Vulnerability, and Disaster Preparedness Analysis of Orphanages and Schools in Haiti Srihari Cattamanchi MD, Beth Israel Deaconess Medical Center / Harvard Medical School 654 Effect of EMS Airway Selection on Neurologic Status of Survivors After Out of Hospital Cardiac Arrest Jason McMullan, University of Cincinnati 655 Impact of Viewing an Ultra-Brief Chest Compression Only CPR Video on Lay Bystander CPR Performance in a Shopping Mall Omar Meziab, University of Arizona College of Medicine 656 Published Research Is Inadequate for the Development of Guidelines for the Basic Life Support Management of Airway Obstruction in Adults: Results of a Systematic Review Richard N. Bradley, The University of Texas Health Science Center at Houston 657 Association between Prevalence of Diabetes and Incidence of Out-of-Hospital Cardiac Arrest According to Age Group: a Nationwide Case-Control Study Sang Do Shin MD, Seoul National University College of Medicine 658 Strategic Placement of Automated External Defibrillators Using A Community-Based Participatory Research Approach Comilla Sasson MD, MS, University of Colorado Denver School of Medicine 659 Probability of Return of Spontaneous- Circulation as a Function of Timing of Vasopressor Administration in Out-of-Hospital Cardiac Arrest William P. Bozeman, Wake forest University 660 A Validation of the Association Between A Quantitative CT Scan Measure of Cerebral Edema and Outcomes Post Cardiac Arrest Cristal Cristia MD, Beth Israel Deaconess Medical Center 661 Prehospital End Tidal Carbon Dioxide Levels Are More Accurate in Predicting In-hospital Mortality than Traditional Vital Signs Christopher L. Hunter MD, PhD, Orlando Regional Medical Center 662 Abnormal Prehospital End Tidal Carbon Dioxide Levels Are associated with a Diagnosis of an Acute ST-segment Elevation Myocardial Infarct in the Emergency Department Christopher L. Hunter MD, PhD, Orlando Regional Medical Center 663 Do the 2011 Revisions to the Field Triage Guidelines Improve Under- and Over-Triage Rates for Pediatric Trauma Patients?

E. Brooke Lerner PhD, Medical College of Wisconsin Affiliated Hospitals 664 Distributive Education Can Be Used to Train Basic Emts to Treat Opioid Overdose with Intranasal Naloxone Michael W. Dailey MD, Albany Medical Center 665 Compliance and Opportunity in the Use of a Prehospital Continuous Positive Airway Pressure Protocol in Acute Decompensated Heart Failure Chad M. Kovala DO, St. John Hospital & Medical Center 666 assessing Prehospital Airway Management Using the Florida EMS Tracking and Reporting System (EMSTARS) Salvatore Silvestri, Orlando Regional Medical Center 667 Paramedic Time to Endotracheal Tube Placement Using a Video Laryngoscope Joshua G. Salzman MA, Regions Hospital 668 Factors associated with Positive Catheterization Among Patients who Present to the Emergency Department with Prehospital ST-Elevation Myocardial Infarction Notification Ke Zheng MD, New York Hospital Queens 669 The Effects of Statewide Protocols On Helicopter EMS Utilization in Maryland Asa M. Margolis DO, MPH, MS, Johns Hopkins 670 Patients with Confirmed Myocardial Infarctions are Frequently Undertriaged as Non-Emergent by Medical Priority Dispatch System™ Amy Cutright, East Carolina University 671 Factors associated with Delay to Out-of-hospital ECG in Patients with Symptoms Suggestive of ACS Alison L. Sullivan MD, Baystate Medical Center

672 Patient Recidivism in EMS: the Los Angeles Experience Stephen Sanko MD, LAC-USC Medical Center, Los Angeles Fire Department 673 Ambulance Paramedics in a Metropolitan Australian Ambulance Service frequently misdiagnose anaphylaxis Craig Ellis, West Australian Institute for Medical Research 674 A Prospective, Observational Cohort Study of a Prehospital Protocol for Fluid Resuscitation of Trauma Patients: Compliance and Outcomes Samuel J. Prater MD, University of Texas Medical School @ Houston, Department of Emergency Medicine 675 Markers of Acidosis and Stress in a Sprint Versus a Conducted Electrical Weapon Donald M. Dawes, Lompoc Valley Medical Center 677 Patient Survey of the Rationale of Using EMS Services vs. Alternate Transportation for Medical Emergencies Viral Patel MD, ME., St. Luke’s - Roosevelt Hospital Center 678 Factors associated with In-Hospital Mortality Among Patients who Present to the Emergency Department with Prehospital Hypotension Shih-Chin Chou MD, New York Hospital Queens 679 Impact of attitudes and Understanding of Reporting Requirements on Latino Immigrants’ Presentations to Emergency Department in Texas and California Robert A. Weston MD, University Medical Center at Brackenridge 680 Is there Agreement Between Emergency Physicians’ and Patients’ Interpretation of A Do Not Resuscitate Order?

Danielle Hollingworth, Orlando Health 681 Adequacy of Non-contrast Ct in the Evaluation of Abdominal Pain in Older Adults Mary C. Bhalla, Summa Akron City Hospital 682 A Survey to Define the Minimally Essential attributes of the Geriatric Emergency Department Christopher R. Carpenter MD, MSc, Washington University in St. Louis 683 Performance of an Emergency Care Telemedicine Program for Older Adults Manish N. Shah, University of Rochester 684 Characteristics of Patients with Diabetic Ketoacidosis and Concurrent Infections at a Large Urban County Teaching Hospital Sophie Terp MD, MPH, Department of Emergency Medicine, University of Southern California Keck School of Medicine, Los Angeles, CA 685 Can Physicians Predict Wound Infections?

James Quinn MD, MS, Stanford University 686 Rapid Universal Opt-out HIV Screening in Adolescents and Adults of All Ages in An Urban Level I Trauma Center Emergency Department James T. Scribner MD, John Peter Smith Health Network 687 Lipoproteins Inhibit HMGB1 Release and Cytokine Activities.

Haichao Wang, North Shore University Hospital 688 Diagnostic Characteristics of a Clinical Screening tool in Combination with POCT Lactates in ED Patients with Suspected Sepsis Adam J. Singer MD, Stony Brook University 689 Chief Complaints of Patients Testing Positive in a Universal HIV Screening Program Michael Sanders, Orlando regional medical center 690 Mandatory Human Immunodeficiency Virus Testing in the Emergency Department: An Evaluation of Statewide Testing in New York State Since the 2010 Legislation Making It Law Daniel J. Egan MD, St. Luke’s Roosevelt Hospital Center 691 Increased Endotoxin Activity is associated with Clinical Deterioration in Moderate Severity Emergency Department Sepsis Patients: A pilot study Ryan Arnold MD, Cooper University Hospital 692 Synthesis of Recombinant Proteins to Facilitate Development of a Novel Staphylococcus aureus Diagnostic Test Tichaendepi Mundangepfupfu, Lincoln Medical and Mental Health Center 693 Defining the Impact of Delayed Antibiotic Administration Using a Comprehensive Electronic Health Record screen to Identify Severe Sepsis Ryan Arnold MD, Cooper University Hospital 694 Incidence of Emergency Department Visits Due to Pneumonia in the United States, 2006-2009: Findings from the Nationwide Emergency Department Sample (NEDS) Wesley H. Self MD, MPH, Vanderbilt University Medical Center 695 Demographic and Treatment Patterns for Infections in Ambulatory Settings in the United States, 2009 Larissa May MD, George Washington University

May 14-18, 2013 | Atlanta, Georgia

69

696 The Evaluation of Febrile Infants Less Than One year of Age between Emergency Medicine Physicians and Pediatric Emergency Medicine Physicians Antonio Muniz MD, Dallas Regional Medical Center 697 A Fungus Among US: Patients Presenting to the Emergency Department After Exposure to Fungus-Contaminated Epidural Steroid Injections Janet S. Young MD, Carilion Clinic 698 Antigen-Specific Influenza Antibody Responses in Acute Respiratory Tract Infections and it’s Relation to Influenza Infection and Disease Course John P. Haran, University of Massachusetts Medical School 699 Blood Culture Use and Appropriateness in US EDs, 2002-2010 Leah S. Honigman, Beth Israel Deaconess Medical Center 700 Are High Risk Patients More Likely to Say Yes to An Human Immunodeficiency Virus Test? An Evaluation of Emergency Department Patients in a Rapid Testing Program Rishi Vohra MD, St. Luke’s- Roosevelt 701 Clinical and Laboratory Findings to Differentiate Herpes Simplex from Enteroviral Meningitis Layli Sanaee MD, University of Ottawa 702 Factors associated with Patients Declining Kiosk-Facilitated HIV Self-Testing in the Emergency Department Kaylin Beck BA, Johns Hopkins University School of Medicine 703 Surgical and Antimicrobial Treatment of Skin Infections in the Age of CA-MRSA Daniel J. Pallin MD, MPH, Brigham and Women’s Hospital 704 Loading Doses of Vancomycin in the Emergency Department: Is It Safe?

Jamie Rosini, Christiana Care 705 Utilizing An Electronic Algorithm and Notification System to Improve ED Treatment of Health Care-associated Pneumonia in Patients with Severe Sepsis Or Septic Shock Adrian Garofoli MD, Mayo Clinic 706 Challenges to Preventing New HIV Infections in a High-Risk Urban Population Daniel Egan, St. Luke’s-Roosevelt 707 Viral Respiratory Detections in Children and Adults with Communityacquired Pneumonia Compared with asymptomatic Controls: Evaluating the Role of Viral Pathogens in Pneumonia Wesley H. Self MD, MPH, Vanderbilt University Medical Center 708 Trends in Emergency Department Abscess Care Melanie K. Prusakowski MD, Carilion Clinic 709 Organ Dysfunction in Survivors of Septic Shock Treated with Early Quantitative Resuscitation Sarah A. Sterling, University of Mississippi Medical Center 710 Loading Vancomycin in the Emergency Department: A Prospective Study of Initial Vancomycin Dosing Brian Levine, Christiana Care 711 A Consensus-Based Gold Standard for Who Needs a Trauma Center Brian Willenbring BA, NREMT-B, Medical College of Wisconsin Affiliated Hospitals 712 Comparison of a Clinical Decision Rule Versus Usual Care to Risk Stratify Children for Intra-abdominal Injury after Blunt Abdominal Trauma: A CostEffectiveness Analysis Daniel K. Nishijima, University of California, Davis 713 Does Increased CT Scan Usage Improve Mortality for Patients with Blunt Trauma?

Juliana Wilson DO, the State University of New York at Buffalo 714 Is the Accuracy of FAST Interpretation by Emergency Medicine Residents Consistent Across Trauma Team Activation Levels?

Joshua Parker, Scott and White Memorial Hospital 715 Efficacy and Safety of Eight Centimeter Catheters for Needle Chest Decompression - A Radiographic Analysis Samuel J. Chang MD, Carolinas Medical Center 716 The Role of Necroptosis in Burn Injury Progression in a Rat Comb Burn Model Avanish S. Reddy BS, Stony Brook University 717 Using the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) to Determine the Prevalence of Substance Abuse in the Rhode Island Trauma Population Ralph Rogers, Warren Alpert Medical School of Brown University

Electronic Medical Records - Oral Presentations Friday, May 17, 1:00 - 2:00 pm in Atlanta B

Moderator: John P. Marshall MD, Maimonides Medical Center 718 An Estimate of Inaccurate Physician Documentation Using Electronic Medical Records in the Emergency Department Jonathan W. Heidt MD, Washington University School of Medicine in Saint Louis

70

719 Patient Perceptions of Electronic Medical Record Data Entry Methods Peyton Holder MD, University of Oklahoma Department of Emergency Medicine 720 An EHR-integrated Mobile App Quantitatively Improves Emergency Medicine Resident NIH Stroke Scale Documentation James R. Foster II MD, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, and Harvard Medical School 721 Effect of a Computerized Decision Support System on Time to Antibiotic Initiation for Severe Sepsis Brandan Crum MD, University of California Davis Medical Center

Cardiovascular Basic Sciences - Oral Presentations Friday, May 17, 1:00 - 2:00 pm in Atlanta C & D

Moderator: Michelle Biros MS, MD, University of Minnesota 722 A Soluble Guanylate Cyclase Stimulator, Bay 41-8543, Preserves Pulmonary Artery Endothelial Function in Experimental Pulmonary Embolism* John A. Watts PhD, Carolinas Medical Center 723 Co-targeting of Thrombomodulin and Epcr to the Pulmonary Endothelium Is Protective in A Mouse Model of Sepsis-induced Acute Lung Injury Colin F. Greineder MD, PhD, University of Pennsylvania 724 A Novel Esophageal Device Successfully Induces and Maintains therapeutic Hypothermia in a Large Animal Model Erik Kulstad, Advocate Christ Medical Center 725 Activation of Sphingosine-1-Phosphate Receptor 1 Provides Neuroprotection after Ischemic Brain Injury in a Brain Derived Neurotrophic Factor (BDNF)-Dependent Way Teresa Sanchez, PhD, Beth Israel Deaconess Medical Center, Harvard Medical School

Geriatrics - Lightning Oral Presentations Friday, May 17, 1:00 - 2:00 pm in Atlanta A

Moderator: Kevin Baumlin MD, Mt. Sinai School of Medicine 726 Focusing on Inattention: A Very Brief Method to Detect Delirium in the Emergency Department* Jin H. Han MD, MSc, Vanderbilt University 727 Adoption of New Media by ED Geriatric Patients Lori A. Post, Yale University School of Medicine 728 A Qualitative Exploration of Emergency Department Revisits by Older Adults Stacy Salerno, University of Rochester School of Medicine and Dentistry 729 Screening for Frailty in Older Community-Dwelling Patients: How Well Do Patient and Care Giver Agree on Deficits?

Adam Frisch MD, University of Pittsburgh 730 GEDI WISE: Improvement in Patient Satisfaction After Implementation of a Geriatric Emergency Department Nicholas Genes, Mount Sinai School of Medicine 731 Developing and Validating the ED GRAY(Geriatric Readmission assessment at Yale) Lori A. Post, Yale University School of Medicine

Health Services Research - Lightning Oral Presentations Friday, May 17, 1:00 - 2:00 pm in Atlanta E & F

Moderator: Jesse M. Pines MD, George Washington University 732 A Prospective, Randomized Evaluation of Facilitated Primary Care Follow Up After ED Utilization* Michael Bouton, Beth Israel Deaconess 733 A Study to Evaluate Emergency Provider Efficiency and Cognitive Load Using Different Methods of Computerized Physician Medication Order Entry* Dipti Agarwal MBBS, Mayo Clinic 734 Evaluating the Association Between Primary Care Provider Availability and ED Visits and Hospitalizations for Ambulatory Care Sensitive Conditions in California Sophie Terp MD, MPH, Department of Emergency Medicine, University of Southern California Keck School of Medicine 735 Reducing Racial Disparities in Access to Care: Health Care Utilization Trends in the Era of the Children’s Health Insurance Program Adrianne Haggins MD, MS, University of Michigan 736 Does the “invisible Hand” Optimally Regionalize Acute Care Providers?

Ari B. Friedman, University of Pennsylvania 737 Can a Mobile Health Intervention (TExT-MED) Reduce Emergency Department Utilization and Hospital Admissions in Patients with Diabetes?

Sanjay Arora, Keck School of Medicine of the University of Southern California

Society for Academic Emergency Medicine

Video Laryngoscopy - Lightning Oral Presentations Friday, May 17, 1:00 - 2:00 pm in Atlanta G

Moderator: Ron Walls MD, Brigham & Womens Hospital/Harvard Medical School 738 Video Laryngoscopy Reduces the Rate of Esophageal Intubations Performed

by Emergency Medicine Residents Compared to Direct Laryngoscopy Parisa P. Javedani MD, University of Arizona 739 Success of Intubation by Novice Intubators using Direct Laryngoscopy, Video Laryngoscopy (GlideScope), and Supraglottic Airway Laryngopharyngeal Tube (S.A.L.T) Kimberly Leeson MD, CHRISTUS Spohn Texas A&M University Emergency Medicine Residency 740 Timeliness of Simulated Endotracheal Intubation by Emergency Medicine Residents: A Comparison of Direct and Video Laryngoscopy Erik M. Angles MD, Maine Medical Center 741 Do Emergency Medicine Residents Receive Appropriate Video Laryngoscopy Training? A Survey to Compare the Utilization of Video Laryngoscopy Devices in Emergency Medicine Residency Programs and Community Emergency Departments Anand Swaminathan, NYU/Bellevue 742 Effect of Blood on First Pass Success Rate of Videolaryngoscopes Used in Emergent Intubations John C. Sakles MD, University of Arizona 743 Video Laryngoscopy Improves First attempt Success and Quality of Laryngoscopic View Compared to Direct Laryngoscopy in a Medical Intensive Care Unit Jarrod M. Mosier, University of Arizona

Pediatric Trauma - Lightning Oral Presentations Friday, May 17, 1:00 - 2:00 pm in Roswell 1

Moderator: Rakesh Mistry MD, University of Pennsylvania School of Medicine 744 Oral Contrast in the Evaluation of Intra-Abdominal Injuries in Children with Blunt torso Trauma Angela M. Ellison, University of Pennsylvania 745 Importance and Performance of the Abdominal Examination to Identify Children with Abdominal Injuries Kathleen M. Adelgais MD, MPH, University of Colorado 746 Pediatric Prehospital Lifesaving Interventions in A Combat Setting A Prospective, Multicenter Study Vikhyat S. Bebarta, San Antonio Military Medical Center; US Army Institute of Surgical Research 747 Progesterone for Children with Serious Traumatic Brain Injury (TBI): A Feasibility Study in the Pediatric Emergency Care Applied Research Network (PECARN)* Rachel Stanley, University of Michigan

New Ideas in Education - Lightning Oral Presentations Friday, May 17, 1:00 - 2:00 pm in Roswell 2

Moderator: Kevin Rodgers MD, Indiana University 748 Evaluation of Differences in Care Provided During A Novel, thematically Paired Simulation assessment Between Adult and Pediatric Populations Yuemi An-Grogan MD, Northwestern University 749 Development and Evaluation of a Multidisciplinary Simulation-based Crisis Resource Management Curriculum to Improve Non-technical Skills in Trauma Resuscitations Benjamin S. Bassin MD, University of Michigan 750 The Effects of Expressive Writing on Medical Student Anxiety and Performance Anne K. Merritt MD, Yale University School of Medicine 751 Predictive Value of a Multiple Mini Interview (MMI) for PGY-1 Performance in Emergency Medicine.

Laura R. Hopson MD, University of Michigan 752 Deliberate Practice for the Development of Expert Performance in Basic Cardiopulmonary Resuscitation David Scordino MD, Johns Hopkins University School of Medicine

Information Technology - Oral Presentations Friday, May 17, 2:00 - 3:00 pm in Atlanta B

Moderator: D. M. Courtney MD, Northwestern University 754 Health Evaluation and Referral assistant (HERA): Improving Linkage with Tobacco Treatment Edwin D. Boudreaux PhD, the University of Massachusetts Medical School*

755 Effect of Computerized Physician Order Entry (CPOE) on Emergency Department Throughtput Metrics and Test Utilization* Michael Manka MD, SUNY at Buffalo School of Medicine, Erie County Medical Center 756 The Effect of Clinical Decision Support on Physician Adherence to EvidenceBased Guidelines for use of CT Pulmonary Angiography in Patients with Suspected Pulmonary Embolism in the ED Anurag Gupta MD, MBA, Brigham and Women’s Hospital, Harvard Medical School 757 Automated Outcome Classification of Emergency Department CT Imaging Reports Kabir Yadav MDCM, MS, the George Washington University

Markers and Treatment of Sepsis - Oral Presentations Friday, May 17, 2:00 - 3:00 pm in Atlanta C & D

Moderator: Donald M. Yealy MD, University of Pittsburgh / University of Pittsburgh Physicians 758 Randomized Controlled Trial of Safety and Efficacy of L-carnitine Infusion for the Treatment of Vasopressor Dependant Septic Shock* Michael A. Puskarich, University of Mississippi Medical Center 759 Tanshinone IIA Sodium Sulfonate Inhibits HMGB1-induced Chemokine Release and Protects against Lethal Endotoxemia.

Haichao Wang, North Shore University Hospital 760 Single Nucleotide Polymorphisms (SNPS) in Emergency Department Patients with Repeated Admissions for Sepsis Michael Koury, University of Mississippi Medical Center 761 Performance of Procalcitonin as a Marker of Septic Shock in Adults with Community- Acquired Pneumonia Wesley H. Self MD, MPH, Vanderbilt University Medical Center

Emergency Medical Services - Oral Presentations Friday, May 17, 2:00 - 3:00 pm in Atlanta E & F

Moderator: Theodore R. Delbridge MD, East Carolina University 762 Barriers to Calling 9-1-1 in High-Risk Neighborhoods with Primarily Latinos in Denver, Colorado* Comilla Sasson MD, MS, University of Colorado Denver 763 Association Between Emergency Department Operation Characteristics, Length of Stay, and Elopements by Change in ED Volumes* Daniel Handel MD, MPH, Oregon Health & Science University School of Medicine 764 Individuals who Self-Report Previous CPR Training Do Not Demonstrate Higher Performance Confidence or Accuracy Jennifer Sayegh MS, University of Cincinnati 765 The Effect of CPR Quality on Survival and Neurological Outcome After Out-of-Hospital Cardiac Arrest Uwe Stolz PhD, MPH, University of Arizona

Emergency Department Crowding - Oral Presentations Friday, May 17, 2:00 - 3:00 pm in Atlanta G

Moderator: James Holmes MD, UC Davis School of Medicine 766 Effects of Emergency Department Expansion on Emergency Department Crowding James Y. McCue BS, UC Davis 767 The Effects Contact Precaution Policies On Emergency Department Flow and Hospital Length of Stay Kevin Kotkowski MD, University of Massachusetts 768 The Association Between Timely Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction and Emergency Department Crowding Christopher W. Jones, Christiana Care Health System 769 Emergency Department Crowding is Negatively associated with Pneumonia Quality Measure Performance Christopher W. Jones MD, Christiana Care Health System

Pediatric Infectious Diseases - Lightning Oral Presentations Friday, May 17, 2:00 - 3:00 pm in Atlanta A

Moderator: TBD 770 Asymptomatic Gonorrhea and Chlamydia Screening within the Pediatric Emergency Department of A Disease Prevalent Population Devra Gutfreund, Newark Beth Israel 771 Management Practices for Febrile Neonates in US Pediatric Emergency Departments Shabnam Jain MD, Emory University

May 14-18, 2013 | Atlanta, Georgia

71

772 Are Emergency Medicine Clinicians Recognizing Acute Kidney Injury in Pediatric Sepsis ?

Marie-Carmelle Elie-Turenne MD, University of Florida 773 Identification of Inflammatory RNA Biosignatures in Adolescent Patients in a Pediatric Emergency Department with Pelvic Inflammatory Disease Fran Balamuth, Children’s Hospital of Philadelphia 774 There’s an App for That: An Electronic Health Record Sepsis Registry and Clinical Protocol to Improve Quality of Care Fran Balamuth MD, PhD, Children’s Hospital of Philadelphia 775 Practices, Beliefs, and Perceived Barriers to Adolescent HIV Screening in the Emergency Department (ED) Rakesh Mistry MD, MS, Children’s Hospital of Philadelphia 86 Use of Nasal Capnography as a Measure of Hydration Status in Children Presenting to a Pediatric Emergency Department with Gastroenteritis Tovah G. Ellman MD, Orlando Health System

Health Services Research in Trauma - Lightning Oral Presentations Friday, May 17, 2:00 - 3:00 pm in Roswell 1

Moderator: Brendan Carr MD, University of Pennsylvania 776 No Man Is An Island: Living in A More Disadvantaged Neighborhood Increases the Likelihood of Developing Persistent Moderate Or Severe Neck Pain 6 Weeks After Motor Vehicle Collision* Samuel McLean MD, MPH, University of North Carolina at Chapel Hill 777 The Association Between Geographic Access to Trauma Care and Injury Death in the US Catherine S. Wolff MS, University of Pennsylvania 778 The Impact of Adding Level II & III Trauma Centers On Volume and Severity of Disease at A Nearby Level I Facility Brendan G. Carr MS, MS, University of Pennsylvania 779 Disparities in Access to Trauma Centers in the United States Ariel Bowman, University of Pennsylvania 780 Analysis of Road Traffic Accident Related Injuries and Outcomes at a Tertiary Teaching Hospital in Lusaka, Zambia Kate Cerwensky MPH, Center for Global Health and Development, Boston University School of Public Health 781 Cost of Care Relating to Road Traffic Injuries in Two Tertiary Care Centers in the District of Kandy, Sri Lanka Catherine A. Lynch MD, Division of Emergency Medicine, Duke School of Medicine, DGHI,Duke University 782 Is Being Insured a Risk Factor for Admission to a Non-Trauma Center vs.

Transfer Out Among Patients Presenting with Major Trauma?

M. Kit Delgado, Stanford University School of Medicine

Residency Training - Lightning Oral Presentations Friday, May 17, 2:00 - 3:00 pm in Roswell 2

Moderator: Christian Arbelaez MD, Brigham and Women’s Hospital 783 Increasing off-Service Resident Productivity while on their Emergency Department Rotation Using the Hawthorne Effect Deena Ibrahim MD, University of California, Irvine, School of Medicine 784 The Prevalence of Lesbian, Gay, Bisexual, and Transgendered (LGBT) Health Education - Training in Emergency Medicine (EM) Residency Programs: What Do We Know?

Joel Moll, Emory University 785 Residents Are Hesitant to Report Hollow-bore Needle Sticks and Most Commonly Report Feeling Rushed During Procedures When Stuck Jessica S. Rose MD, East Carolina University 786 Preparing Emergency Physicians for Malpractice Litigation: A Joint Emergency Medicine Residency - Law School Mock Trial Competition Stacey Marlow MD, JD, University of South Florida 787 Implementation of a Structured Handoff tool, SOUND, Leads to an Improvement in Patient Handoffs in a Pediatric Emergency Department Priya R. Gopwani, Children’s National Medical Center 788 Self-reported Sleep Disturbances Presage Decreases in Residents’ Psychological Well-being Julie M. Carland MD, University of Arizona Medical Center

72

SATURDAY, May 18th, 2013 Airway Management - Oral Presentations Saturday, May 18, 8:00 - 10:00 am in Atlanta B

Moderator: Diane Birnbaumer MD, Los Angeles County-Harbor-UCLA 789 Intubation Skills Correlate with Accuracy of Self-assessment* Amish Aghera MD, Maimonides Medical Center 790 Declining Rate of Direct Laryngoscopy Intubations in an Academic Emergency Department John C. Sakles MD, University of Arizona 791 Identifying Predictive Factors for Degradation of Intubation Skills Brian Gillett, Maimonides Medical Center 792 Repeated Intubation attempts by an Operator associated with a Decreased Success Rate in the Emergency Department: An Analysis of Multicenter Prospective Observational Study in Japan.

Tadahiro Goto MD, University of Fukui Hospital 793 Complications of Airway Management Following Failed Noninvasive Ventilation Jarrod M. Mosier MD, University of Arizona 794 The Impact of Obesity on the First Pass Success Rate of Emergency Department Intubations John Sakles, University of Arizona 796 Incidence and Duration of Oxygen Desaturation During Emergency Department Intubation Using Continuous Data Acquisition Software Jerry B. Bodily MD, University of New Mexico

International Emergency - Oral Presentations Saturday, May 18, 8:00 - 11:30 am in Atlanta E & F

Moderator: Charles Gerardo MD, Duke Global Health Residency/Fellowship 797 Physicians’ Diagnostic Accuracy in Using Simple Clinical Signs for Detecting Anemia and Its Severity in Patients Seen at the Emergency Department of A Tertiary Referral Hospital in Tanzania.* Hendry R. Sawe MD, Muhimbili University of Health and Allied Sciences 798 The Prevalence of Suspected Undiagnosed Diabetes Mellitus and use of Random Blood Sugar to Detect Elevated A1c Among Emergency Department Patients in a Developing Country* Candace McNaughton, Vanderbilt University 799 Characteristics of Adult Patients Presenting to Two Public Referral Hospitals in Cambodia* Lily Yan, Stanford University School of Medicine 800 assessment of the Revised Kampala Trauma Score (KTSII) to Predict Mortality, Need for Admission, and Use of Hospital Resources at University Teaching Hospital in Lusaka, Zambia Hani Mowafi MD, MPH, Boston University 801 Improving Patient Flow in Ghana with the Use of Computer Simulation Allyson Best, University of Cincinnati 802 Characteristics of Pediatric Population Presenting to Two Public Referral Hospitals in Cambodia Mackensie A. Yore, Stanford University School of Medicine 803 Characterizing Prehospital Transported Patients in the Ashanti Region of Ghana C. Nee-Kofi Mould-Millman, Emory University 804 Motor Vehicle Crash Patients: An International Comparison China V. the US Paul Ko MD, SUNY Upstate Medical University 805 Trends in ED and Hospital Mortality associated with Opening of A Full Capacity Emergency Department in A Tertiary Level Hospital in Sub-Saharan Africa Hendry R. Sawe MD, Muhimbili University of Health and Allied Sciences 806 Activated Learning in Global Health Education - A Pilot Study Jaime Jordan, Harbor-UCLA Medical Center 807 Access to Care among Adults with Previously and Newly Diagnosed Cardiovascular Disease Presenting to the Emergency Department of a Tertiary Referral Hospital in Nairobi, Kenya Rita K. Kuwahara MIH, UNC-Chapel Hill School of Medicine 808 Epidemiology of Injuries, Outcomes, and Hospital Resource Utilization at A Tertiary Teaching Hospital in Lusaka, Zambia Philip Seidenberg MD, University of New Mexico

Society for Academic Emergency Medicine

Post-Cardiac Arrest Care - Lightning Oral Presentations Saturday, May 18, 8:00 - 9:00 am in Atlanta A

Moderator: Richard Summers MD, University of Mississippi Medical Center 809 Lactate Clearance is associated with Improved Survival and Neurological Outcome in Post-Cardiac Arrest* Lars W. Andersen BS, Research Center for Emergency Medicine 810 Microcirculatory Impairment in Post-cardiac Arrest Patients* Yasser Omar MD, Beth Israel Deaconess Medical Center 811 Initial Hyperoxia is associated with Survival in Post-Arrest Patients Enrolled in the PATH Database David F. Gaieski MD, University of Pennsylvania 812 Initial Base Deficit and Arterial Carbon Dioxide Level associated with Survival in Post-Arrest Patients David F. Gaieski, University of Pennsylvania School of Medicine 813 Time to Target Temperature and Neurologic Outcome in Survivors of Cardiac Arrest Sarah M. Perman, University of Pennsylvania 814 Emergent CT Does Not Delay Cooling in Patients After Cardiac Arrest* David A. Pearson MD, Carolinas Medical Center

828 Measurement of Venom and Clotting Function in Patients with Russell’s Viper Coagulopathy and Response to Antivenom Geoffrey K. Isbister FACEM, MD, Discipline of Clinical Pharmacology, University of Newcastle and Department of Clinical toxicology, Calvary Mater Newcastle 829 The Impact of the Bugaboo Wild Fires on Regional Emergency Department and Inpatient Visits Glenn R. Gookin PhD, University of Central Florida 830 Inhalant Abuse: Trends from United States Poison Centers Janna H. Villano MD, Advocate Christ Medical Center, Department of Emergency Medicine 831 Performance of a Multi-disciplinary Observation Protocol for Acetaminophen Overdose in the Emergency Department Gillian A. Beauchamp MD, University of Cincinnati 832 What Characteristics Can Be Used to Predict Ethylene Glycol Ingestion?

Cole A. Wiedel BA, University of Colorado School of Medicine 833 The Efficacy of CYP2D6 Dependent Analgesics and Antiemetics in Emergency Department Patients Andrew A. Monte MD, University of Colorado

Simulation in Emergency Medicine - Lightning Oral Presentations Saturday, May 18, 8:00 - 9:00 am in Atlanta C & D

Moderator: Daniel Handel MD, MPH, Oregon Health & Science University School of Medicine 815 Emergency Medicine Resident Leadership Ability: A Simulation-Based Longitudinal Study* Matthew C. Carlisle, UC Davis 816 Effect of Simulated Rare Procedures Clinic on EM Faculty Clinical Procedural Knowledge and Confidence Amanda J. Carlson MD, Regions Hospital 818 Effects of Team Training on 4th Year Medical Student Management of Simulated Critically Ill Patients Daniel Runde MD, Harbor-UCLA Medical Center 819 A Comparison of Evaluation Metrics for High-Fidelity ACLS-based Simulation Cases for PGY-1 and PGY-3 Level Learners Jo Anna Leuck MD, Carolinas Medical Center 820 Surgical Specialty Residents Perform Better in Simulation Based Central Venous Catheter Insertion assessment Than Medical Specialty Residents Kosuke Mori, Department of Emergency Medicine, Tokyo Bay Urayasu/Ichikawa Medical Center, Noguchi Hideyo Memorial International Hospital

Prescription and Abuse of Opiates - Lightning Oral Presentations Saturday, May 18, 8:00 - 9:00 am in Roswell 1

Moderator: Steven B. Bird MD, University of Massachusetts Medical School 821 Association Between Opioid Prescribing in Florida and Statewide Morbidity and Mortality Erin Caddell, University of Central Florida, College of Medicine 822 U.S. Prescription Opioid Overdose Death: A Health Disparities Paradox Tracy Macintosh MD, MPH, Yale-New Haven Hospital 823 Prevalence of Adverse Events From Opiates in the Emergency Department Raoul Daoust, Université de Montréal 824 Does Prescribing Opiate Medication Correlate with Emergency Department Patient Satisfaction Scores?

Matt Burge MD, Scott & White 825 Prevalence and Correlates of Nonmedical Prescription Opiate and Nonmedical Prescription Sedative Use Among A Group of Adolescents and Young Adults with Current Drug Use in An Urban Emergency Department Lauren K. Whiteside, University of Washington, Division of Emergency Medicine 826 The Association Between Statewide Opiate Prescribing Patterns and Drug-specific Mortality Rates Over A 10 Year Period Sarina Doyle MD, Orlando Health

Toxicology - Lightning Oral Presentations Saturday, May 18, 8:00 - 9:00 am in Roswell 2

Moderator: Kavita Babu MD, University of Massachusetts 827 Survival from Organophosphate Poisoning Induces Changes in Respiration During Sleep Romolo Gaspari MD, PhD, University of Massachusetts Medical School

May 14-18, 2013 | Atlanta, Georgia

73

2013 Innovations in Emergency Medicine Education (ME) 14. M ust-Read Article Of The Month: Cloud-based Asynchronous Journal Club James C. O’Neill, Iltifat Husain.

Wake Forest Baptist Health, Winston Salem, NC 15. Cloud-based Online Continuing Medical Education for an Emergency Medicine System James C. O’Neill, Iltifat Husain, Casey Glass, David Manthey, Cedric Lefebvre. Wake Forest Baptist Health, Winston Salem, NC

*SAEM Gallery of Excellence Nominees 2013

Thursday, May 16, 2013 Innovations Exhibits 8:00 am - 12:00 pm in 200 Gallery -level 6

1. Predicting Annual Inservice Scores Using Audience Response System Lucienne Lutfy-Clayton1, Kaushal Shah 2, Grant Wei3 , David P. Lisbon Jr4, Sally A Santen5 , Katherine Jahnes6, Jaime Jordan7. 1Tufts University Medical School Baystate Medical Center, Springfield, MA; 2Mt. Sinai School Of Medicine, New York, NY; 3UMDNJ-Robert Wood Johnson, New Brunswick, NJ; 4The University Of Kansas Hospital, Kansas City, KS; 5 University Of Michigan, Ann Arbor, MI; 6New York Methodist Hospital, Brooklyn, NY; 7Harbor-UCLA, Los Ángeles, CA 2. Ultrasound-Guided Vascular Access Education: A Homemade Phantom with Various Feedback Capabilities Daniela Morato, Dina Seif. LAC+USC Medical Center, Los Angeles, CA 3. Competency-Based Disaster Training for Medical Trainees in Less Than One Day Lancer A. Scott. MUSC, Charleston, SC 4. Geriatric Abdominal Pain Game Nikki B. Waller, Kevin Biese, Kristen Barrio, Chris Howarth, Ellen Roberts, Jan Busby-Whitehead.

University of North Carolina at Chapel Hill, Chapel Hill, NC 5. D evelopment of a Simulated “Night on Call” Experience within a Capstone Course at One U.S. Medical School David A. Wald, Alisa Peet, Jane Cripe, Michael Curtis.

Temple University School of Medicine, Philadelphia, PA 6. Critical Actions In Common Floor Emergencies - A Multimedia, Multimodal And Simulation Based Approach Nelson Wong, Scott Goldberg, Christopher Strother.

Mount Sinai School of Medicine, New York, NY 7. R esuscitation Elective for Emergency Medicine Residents Interested in Critical Care Jarrod M. Mosier, Alice Min, Albert Fiorello.

University of Arizona, Tucson, AZ 11. E mergency Medicine Resident Education in Ophthalmology Lara Phillips, Lawrence Stack. Vanderbilt, Nashville, TN

Innovations -Medical Student Spotlight 12:00 - 1:00 pm in Atlanta H

16. T he Mentorship Gap: Bridging Residents and Medical Students through a Near Peer Mentoring Program* Robbie E. Paulsen, Matthew J. Stull, Sarah Ronan-Bentle.

University of Cincinnati College of Medicine, Cincinnati, OH 17. E MIG: A Student-Driven Integrative Curriculum Approach to Simulation* Annette Dorfman. George Washington University, Washington, DC 18. A ssessment of Level 1 EM Milestones in Incoming Interns Laura Hopson, Marcia Perry, Samantha Hauff, Eve Losman, James Mattimore, Monica Lypson, Sally Santen.

University of Michigan, Ann Arbor, MI 3. Competency-Based Disaster Training for Medical Trainees in Less Than One Day Lancer A. Scott. MUSC, Charleston, SC

Friday, May 17, 2013 Innovations – Oral Presentations 8:00 - 9:00 am in Atlanta H

19. Milestone Tracking and Documentation Augmented via an Electronic Tool Tailored to an Emergency Medicine Simulation Curriculum* Raymond P. Ten Eyck. Wright State University, Kettering, OH 20. Attending Emergency Physician Airway Skills Assessment: The Annual Checkride Daniel R. Rodgers, Kevin C. King, Thomas E. Terndrup.

Penn State Hershey, Hershey, PA 21. Development Of A Novel, Competency-based Emergency Medicine “Dean’s Letter”* Cemal B. Sozener, Laura R. Hopson, Joseph House, Suzanne L. Dooley-Hash, Samantha R. Hauff, Monica L. Lypson, Sally A. Santen. University of Michigan, Ann Arbor, MI 22. Team Based Learning - Electrocardiogram Interpretation and Application for Emergency Medicine Residents Rebecca A. Bavolek, Chandra D. Aubin, Albert J. Kim. Washington University in St. Louis School of Medicine, St. Louis, MO

Innovations - Didactics Spotlight 8:00 - 9:00 am in Atlanta H

8. Using iTunesU as a Novel Emergency Medicine Curriculum Deployment Device.* Janis P. Tupesis, Nestor Rodriguez, Katy Oksuita, Matt Anderson, Carrie Voss-Harvey, Will Sanderson.

University of Wisconsin School of Medicine and Public Health, Madison, WI 9. Developing Residency Education with Andragogy and Multimedia: The DREAM Curriculum* Karen R. Lind, Brian Gillett, David Saloum, Eitan Dickman, John Marshall.

Maimonides Medical Center, Brooklyn, NY 10. T eams Teaching Other Teams: An Interactive Educational Session* Chandra Aubin, Rebecca Bavolek, Evan Schwarz.

Washington University School of Medicine, St. Louis, MO 11. E mergency Medicine Resident Education in Ophthalmology* Lara Phillips, Lawrence Stack. Vanderbilt, Nashville, TN

Innovations Exhibits 8:00 - 12:00 pm in 200 Gallery -level 6

Innovations - Technology Spotlight 9:00 - 10:00 am in Atlanta H

12. T he EM10 project: A High Yield, Mobile Device Based Learning Platform for Medical Student Education during Emergency Department Shifts* Jeffrey R. Vlasic. University of Michigan Medical School, Ann Arbor, MI 13. E mergency Medicine E-Learning: Articulating the Facts, Moving to the Future* Cynthia Leung, Aaron Bernard, Nicholas E. Kman.

The Ohio State University Medical Center, Columbus, OH

74

Society for Academic Emergency Medicine

23. An Innovative Approach to Simulating the Repair of an Injured Nailbed Tara Martin, Nicholas Greek, Claudia Ranniger.

George Washington University, Washington, DC 24. A Novel Clear Ballistics Gel Phantom for Ultrasound Training Richard Amini, Lori Stolz, Srikar Adhikari. University of Arizona Medical Center, Tucson, AZ 25. E mergency Medicine Interpersonal Communication Skills Curriculum Marquita N. Hicks1, Pooja Gajare1, Lisa Moreno-Walton 2. 1University of Alabama at Birmingham, Birmingham, AL; 2Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 26. E quianalgesic Opioid Conversion Worksheet for Cancer Pain Management Kyle D. Minor, Zachary Binney, Tammie Quest.

Emory University, Atlanta, GA 27. Teaching Health Policy: Developing a Portable E-learning Tool for Medical Student Education Stephanie Y. Donald, Nathan Seth Trueger, Aisha Liferidge, Janice Blanchard, Steven Davis, Malika Fair, Joneigh Khaldun, Ali Pourmand, Cedric Dark.

George Washington University, Washington, DC

28. Innovation in Education: Integration of Emergency Medicine In The Preclinical Years With A First Year Course, “Introduction To Emergency Medicine.”

Amy Leuthauser. Mount Sinai School of Medicine, New York, NY

Innovations – Oral Presentations 9:00 - 10:00 am in Atlanta H

29. Voodoo or Valid? An Exercise to Promote Academic and Clinical Integration toward Evidence Based Practice Joel Moll. Emory University, Atlanta, GA 30. Integration of High Fidelity Simulation and Learning Management Software to Effectively Teach Mechanical Ventilation in Emergency Medicine Amish Aghera, Brian Gillett, Anatoliy Golster. Maimonides Medical Center, Brooklyn, NY 31. Using an Online Discussion Board for Asynchronous Learning in an Emergency Medicine Curriculum Christine Zink, Christopher Zernial, Salim Rezaie, Dan Mosely.

UTHSCSA, San Antonio, TX 32. A Flashcard Based Approach to Teaching Critical Appraisal Skills Tom Evens1, Julie-Anne Greenslade2, Shweta Gidwani 2. 1Ealing Hospital NHS Trust, London, United Kingdom; 2Northwick Park Hospital, London, United Kingdom

Innovations - Oral Presentations 1:00 - 2:00 pm in Atlanta H

33. A Collaborative Approach to a Novel, Goal Directed Echocardiography Training for Emergency Medicine and Critical Care Physicians for Management of Patients in Shock Jarrod M. Mosier, Lori Stolz, Albert Fiorello, John Bloom, Srikar Adhikari.

University of Arizona, Tucson, AZ 34. T he Next Generations’ Journal Club: An Innovative Approach to Multimedia and Evidence Based Medicine Evan Pushchak, Charles Pearce, Mark Courtney.

Northwestern University, Chicago, IL 35. D irect Observation of Resident-to-Resident Communication during Transition of Care in the Emergency Department Adam Z. Tobias, Michele L. Dorfsman, Allan B. Wolfson.

University of Pittsburgh School of Medicine, Pittsburgh, PA 36. Development of Low Fidelity Simulation for the Low Resource Setting Bhakti Hansoti1, John Foggle2, Braden Hexom3 , Jared Novack4, David Walker5 , Ernest Wang4. 1Johns Hopkins University, Baltimore MD; 2 Brown University, Providence, RI; 3Mount Sinai School of Medicine, New York, NY; 4Northshore University HealthSystem, Chicago, IL; 5 Elmhurst Hospital Center, Elmhurst, NY

2013 SAEM Award Recipients 2013 John Marx Leadership Award – Vincent Verdile MD, FACEP - Albany Medical College 2013 Young Investigator Award – Nathan J. White MD, MS University of Washington School of Medicine 2013 Young Investigator Award – Daniel K. Nishijima MD, MAS University of California, Davis 2013 Young Investigator Award – Comilla Sasson MD, MS - University of Colorado-Denver Hal Jayne Excellence in Education Award – Michael Beeson MD, MBA, FACEP Akron General Medical Center 2013 Excellence in Research Award – Gail D’Onofrio MS, MD Yale University School of Medicine 2013 Advancement of Women in Academic Emergency Medicine – Kathleen Clem BSN, MD, FACEP - Loma Linda University 2013 Master Clinician Award – Eric G. Laurin MD - University of California, Davis

Small Group Values | Corporate Resources

European Society of Emergency Medicine (EuSEM) Abstracts Friday, May 17, 20138:00 - 10:00am PT-200 Conference Room 3 Overcrowding in EDs: what are the solutions in Europe Eric Revue Organization of STEMI care: what is the difference between USA and Europe Abdel Bellou Evolution of mortality of Acute Heart Failure in Europe Said Laribi Policy on Quality metrics in Emergency Medicine in Europe Nathalie Flacke

The Ideal

BALANCE

CHARLESTON, WV — Faculty opportunity within EM Residency. Three Hospital system with 100,000 annual visits includes Level I facility. In addition to EM there are numerous residency programs, as well as medical school and allied health rotations. As West Virginia’s largest city, Charleston offers metropolitan amenities and access to outstanding recreation.

Guaranteed Hourly Plus RVU | Family Medical Plan | Malpractice Employer-Funded Pension | Incentive Income | Sign-On Bonus Shareholder Opportunity At One Year With No Buy-In Contact Rachel Klockow, rklockow@premierdocs.com; (800) 406-8118; or fax CV to (954) 986-8820.

Ownership. Integrity. Values. www.premierdocs.com

May 14-18, 2013 | Atlanta, Georgia

75

SAEM Gallery of Excellence Nominees 2013 Abstracts 1 NEXUS Chest: Validation of a Decision instrument for Selective Chest Imaging in Blunt Trauma Robert M. Rodriguez MD, UCSF/San Francisco General Hospital 2 Intravenous Cobinamide Versus Hydroxocobalamin for Acute Treatment of Severe Cyanide Poisoning in A Swine (Sus Scrofa) Model - a randomized, controlled trial Vikhyat S. Bebarta, San Antonio Military Medical Center 3 Anaphylaxis; Clinical Features and Evidence for A Mast Cell-leukocyte Cytokine Cascade in Humans.

Simon G A. Brown MBBS PhD FACEM, Western Australian institute for Medical Research, Royal Perth Hospital and the University of Western Australia 4 Accuracy of an Ultra-Low Dose CT Protocol for ED Patients with Suspected Kidney Stone Chris Moore MD, RDMS, Yale University School of Medicine 5 Latino Caregiver Experiences with asthma Health Communications: A Qualitative Evaluation Antonio Riera MD, Yale University School of Medicine 6 Randomized Trial of Tenecteplase or Placebo with Low Molecular Weight Heparin for Acute Submassive Pulmonary Embolism: assessment of Patient-Oriented Cardiopulmonary Outcomes at Three Months Jeffrey A. Kline MD, Indiana University School of Medicine 8 The Effect of Point-of- Care Ultrasonography on Emergency Department Length of Stay and CT Utilization in Children with Suspected Appendicitis.

Inna Elikashvili, Mount Sinai Medical Center 9 Signs and Symptoms associated with Surgical Intervention in Children with Abdominal Pain Melissa Tavarez MD, Children’s National Medical Center 10 Retrospective Review of Emergency Bedside Ultrasound for Diagnosis of Pediatric intussusception Samuel H. F. Lam, Advocate Christ Medical Center 11 Ultrasound Confirmation of Central Femoral Venous Line Placement: the FLUSH Study (Flush the Line and Ultrasound the Heart) Russ Horowitz MD, RDMS, Ann & Robert H. Lurie Children’s Hospital of Chicago 12 Accuracy of Emergency Medicine Residents during Completion of the American College of Emergency Physicians Minimum Ultrasound Training Benchmarks: A Multicenter Multiple Application Longitudinal Validation Study John Bailitz, Cook County (Stroger) 19 A Markov Model Describes the Dynamics of Resuscitation in a Porcine Hemorrhagic Shock Model.

Heemun Kwok MD, MS, University of Washington 20 Comparison of Intraosseous infusion Rates of Plasma Under High Pressure in An Adult Hypovolemic Swine Model in Two Different Limb Sites Julio Lairet, Emory University School of Medicine 34 The Burden of Acute Heart Failure on US Emergency Departments Alan B. Storrow MD, Department of Emergency Medicine, Vanderbilt University Medical Center 35 Degradation of Benzodiazepines After 120-Days of EMS Deployment Jason McMullan MD, University of Cincinnati 36 Do Prehospital Levels of End-tidal Carbon Dioxide Differ Between Chronic Obstructive Pulmonary Disease and Congestive Heart Failure?

Christopher Hunter MD, PhD, Orange County EMS System 37 Prehospital Glasgow Coma Scale and Risk Stratification in Major Pediatric Traumatic Brain injury: Association with Mortality and Non-Mortality Outcomes Daniel W. Spaite MD, Arizona Emergency Medicine Research Center, University of Arizona 47 Should We Communicate Radiation Risk from CT Scans to Patients? A MixedMethods and Normative Ethical Analysis Thomas E. Robey, Yale-New Haven Hospital 48 Evidence Based Diagnostics: Meta-Analysis of the Accuracy of Physical Exam and Imaging for Adult Scaphoid Fractures Ali S. Raja, Brigham and Women’s Hospital, Harvard Medical School 49 Comparing the Diagnostic Performance of Bedside Ultrasound to Plain Radiography for Detecting Fractures of the Appendicular Skeleton in the Emergency Department: A Prospective Study Paul E. Haiar DSc, PA-C, Mike O’Callaghan Federal Medical Center

76

57 Elevated Levels of Serum SBDP150 in the Emergency Department Are associated with Poor Outcome at One Month From Mild and Moderate Traumatic Brain injury Linda Papa MD.CM, MSc, Orlando Regional Medical Center 60 Performance of Early Serum GFAP and UCH-L1 individually and in Combination in Distinguishing Mild and Moderate Traumatic Brain injury from Trauma Controls and in Detecting intracranial Lesions On CT Linda Papa MD.CM, MSc, Orlando Regional Medical Center 73 Young Women are Less Likely to Meet Reperfusion Guidelines for STEMI: the VIRGO Study (Variation in Recovery: Role of Gender On Outcomes) Gail D’Onofrio MD, Department of Emergency Medicine, Yale University School of Medicine 81 Clinical Pathway Expedites Systemic Corticosteroids for Children with ModerateSevere asthma Exacerbation Christopher Fee MD, University of California San Francisco 82 Broselow Tape: A Time to Revisit?

Muhammad Waseem MD, MS, Lincoln Medical & Mental Health Center 89 ED Hemolysis is More Strongly associated with Device Used to Obtain Blood Than Other Features of Phlebotomy Andrew Wollowitz MD, Department of Emergency Medicine, Albert Einstein College of Medicine 93 The Relationship between Lactic Acidosis and Thiamine Levels in Patients with Diabetic Ketoacidosis Ari Moskowitz MD, Beth Israel Deaconess Medical Center 97 Age-related Differences in Pain Recovery After Motor Vehicle Collision: A Prospective Longitudinal Study Shannon M. Matthews, University of North Carolina 111 Randomized Trial of a Quantitative, Computerized Method to Estimate Pretest Probability of Acute Coronary Syndrome and Pulmonary Embolism: Effect on Patient Safety, Radiation Exposure, and Cost of Care Jeffrey Kline, Indiana University School of Medicine 112 HINTS Outperforms ABCD2 to Identify Stroke in Acute Vestibular Syndrome David E. Newman-Toker MD PhD, Johns Hopkins University School of Medicine 113 Evaluation of Clinical Prediction Rules for Clinical Deterioration Shortly After an Emergency Department Diagnosis of Pulmonary Embolism Christopher Kabrhel, Massachusetts General Hospital 121 Comparison of Emergency Physician Performed Bedside Ultrasound vs.

Computed tomography in the Diagnosis of Renal Colic Megan Leo MD, RDMS, Boston Medical Center 139 Differences in Noninvasive thermometers in the Adult Emergency Department Joshua Zwart MD, University of Rochester 243 Adherence to CDC Guidelines in the Evaluation and Management of Women with Pelvic Complaints Dana E. Kozubal BS, Hospital of the University of Pennsylvania 263 Derivation of An Abbreviated instrument for Use in Emergency Department Low Back Pain Research: the Five-Item Roland Morris Questionnaire Laura W. Mulvey BS, Albert Einstein College of Medicine 266 Emergency Department Recidivism and Outcomes of Previously Evaluated Chest Pain Unit Patients Anthony Napoli MD FACEP, Warren Alpert Medical School of Brown University 270 High Rate of False-Positive Cardiac Testing in an Emergency Department Observation Unit Jason Dorais MD, University of Utah 281 Predictive Value and Appropriate Ranges of Prehospital Physiologic Criteria for Identifying Seriously injured Older Adults During Field Triage Derek Richardson MD, Oregon Health & Science University 286 The BREATH Pilot Study: Bringing Research in Echocardiography Assessment to Haiti Krithika M. Muruganandan MD, Rhode Island Hospital, Department of Emergency Medicine 287 The Number of FAST Exams Required for Proficiency Sharon Yellin MD, New York Methodist Hospital 288 Intraosseous Versus intravenous Cobinamide in Treating Acute Cyanide toxicity and Apnea in A Swine (Sus Scrofa) Model Vikhyat S. Bebarta, San Antonio Military Medical Center; USAF Enroute Care Research Center 289 The Effects of increased Dosing of L-Carnitine in a Model of Verapamil Toxicity Jason Chu, St. Luke’s-Roosevelt Hospital Center

Society for Academic Emergency Medicine

294 Narratives Outperform Summary Content in Promoting Recall of Opioid Prescription Guideline Recommendations Austin Kilaru, Perelman School of Medicine at the University of Pennsylvania 295 Risk Factors for Cardiovascular Events in ED Patients with Drug Overdose Alex F. Manini, Mt. Sinai School of Medicine 304 A Quick and Easy Delirium assessment for Non-Physician Research Personnel Jin H. Han MD, MSc, Vanderbilt University 306 Using Biomarkers to Detect Delirium Among Elderly Emergency Department Patients Maura Kennedy MD, MPH, Beth Israel Deaconess Medical Center 308 Blood Transfusion Seemed Not to be associated with Mortality among Patients with Severe Sepsis in ED. Chih-Yi Hsu MD, Chang Gung Memorial Hospital 309 The Prognostic Value of Brain Natriuretic Peptide in Combination with the Sequential Organ Failure assessment Score in Septic Shock Won Young Kim MD, PhD, Beth Israel Deaconess Medical Center 316 Emergency Department Prediction of Survival and Neurologic Outcome in Comatose Cardiac Arrest Patients Undergoing Therapeutic Hypothermia is Unreliable.

Catherine M. Wares MD, Carolinas Medical Center 320 The Impact of Pre-Hospital Therapeutic Hypothermia on Mortality and Neurologic Outcomes in Out of Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis Benton R. Hunter MD, Indiana University School of Medicine 325 Decreasing ED Overcrowding Via Implementation of a Hospital Wide Surge Plan Shira Schlesinger LAC+USC Medical Center 326 Computed tomography without Oral Contrast for Abdominal Pain: Effects on Emergency Department Efficiency and Patient Safety William C. Krauss MD, FACEP, Kaiser Permanente 327 Impact of a Computerized Decision Support System on Screening for Hyperlactatemia among Adults with Sepsis Jeffrey P. Green, UC Davis Medical Center 338 Prevalence and Characteristics of Patients Presenting with Difficult Venous Access to the Emergency Department J. Matthew Fields MD, Thomas Jefferson University 347 Breaking Down Barriers to ePCR Implementation in EMS: Turnaround Time Colby Redfield MD, Beth Israel Deaconess Medical Center - Harvard Medical School 356 The Effect of Suspected Diagnosis on Physician Pretest Probability for Abdominal Pain Patients Undergoing Computed tomography in the Emergency Department Angela M. Mills MD, University of Pennsylvania 361 A Randomized-controlled Trial of Paracetamol Versus Morphine for the Treatment of Acute Painful Crisis of Sickle Cell Disease Rifat Rehmani MD, MSc, King Abduaziz Hospital 363 Variability in Pediatric ED Care of Sickle Cell Disease and Fever Angela M. Ellison MD, MSc, University of Pennsylvania School of Medicine 364 Elevated Lactate Levels in the Emergency Department Are associated with Positive Blood Cultures in Children with Sickle Cell Disease Jay G. Ladde MD, Orlando Regional Medical Center 491 How Competent are Emergency Medicine interns for Level 1 Milestones: Who is Responsible?

Laura Hopson MD, University of Michigan 492 Inter-Rater Agreement of Emergency Medicine Milestone PC12 for Goal-Directed Focused Ultrasound Is Excellent Stephen Leech, Orlando Regional Medical Center 495 Preferences for Resuscitation and intubation Among Patients with Do-notresuscitate/do-not-intubate Orders: A 1 Year Follow Up Study.

John E. Jesus MD, Christiana Care Health Center 508 Implementation of Checklists for Central Line associated Blood Stream infection Prevention in the Emergency Department.

Robert Klemisch AB, Washington University School of Medicine in St. Louis 509 Reducing Blood Culture Contamination in a Community Hospital Emergency Department with a Standardized Sterile Collection Technique Wesley H. Self MD MPH, Vanderbilt University Medical Center 520 Concordance of Prehospital and Emergency Department Cardiac Arrest Resuscitation with Documented End-of-Life Choices in Oregon Derek K. Richardson, Oregon Health & Science University 522 The Impact of Pre-hospital Non-invasive Positive Pressure Support Ventilation in Adult Patients with Severe Respiratory Distress: A Systematic Review and Meta-analysis Sameer Mal MD, University of Western Ontario

524 Gender and Survival in Out-of-hospital Cardiac Arrest (OHCA) - Results From the OPALS (Ontario Prehospital Advanced Life Support) Study Basmah Safdar MD, Yale University 528 Analgesia Prescriptions for ED Patients with Low Back Pain: A National Perspective Adam J. Singer MD, Stony Brook University 535 The Diagnostic Accuracy of Bedside Ocular Ultrasound in the Diagnosis of Retinal Detachment: A Systematic Review and Meta-analysis.

Hal J. Minnigan MD, indiana University School of Medicine 538 The Impact of Race and Sex of Study Personnel On the Decision to Participate in Research Kimberly W. Hart MA, University of Cincinnati 540 Academic Career interest in American Emergency Residents John Burkhardt, University of Michigan 541 Description and Productivity of Emergency Medicine Researchers Receiving K23 Or K08 Mentored Research Career Development Awards Daniel K. Nishijima, University of California, Davis 551 A Prospective Observational Study of inter-observer Agreement for Pretest Probability assessment of Deep Venous Thrombosis Krista Brucker MD, Northwestern University 567 Low-dose Ketamine Versus Morphine for Acute Pain in the Emergency Department - A Randomized, Prospective, Double-blinded Trial Joshua P. Miller MD, SAUSHEC 571 One Year Outcomes of Patients Following Coronary Computerized tomographic Angiography in the Emergency Department Judd E. Hollander, University of Pennsylvania 581 A Randomized Controlled Trial of intravenous Ketorolac Versus intravenous Metoclopramide + Diphenhydramine for Acute Treatment of Non-migraine, Bland Recurrent Headache Victoria Adewunmi MD, Albert Einstein College of Medicine 584 Impact of An Evidence-based Guideline On Rates of Diagnostic Testing for Pediatric Syncope Megan OBrien, Boston University School of Medicine 585 Emergency Department Variation in Head Computed tomography Scanning Among Pediatric Patients with Head Trauma Jennifer R. Marin MD, MSc, University of Pittsburgh School of Medicine 586 Performance of Plain Pelvis Radiography in Children with Blunt torso Trauma Maria Y. Kwok, Columbia University Medical Center 588 A Rapid assessment to Predict ED Revisits, Hospital Admissions or Death at 30 days Following ED Discharge in Older individuals James D. Dziura PhD, Yale School of Medicine 589 Trends in Short Stay Hospitalizations for Older Adults from 1990-2010, Implications for Geriatric Emergency Care Peter W. Greenwald MD MS, Weill Cornell Medical College 722 A Soluble Guanylate Cyclase Stimulator, Bay 41-8543, Preserves Pulmonary Artery Endothelial Function in Experimental Pulmonary Embolism John A. Watts PhD, Carolinas Medical Center 726 Focusing on inattention: A Very Brief Method to Detect Delirium in the Emergency Department Jin H. Han MD, MSc, Vanderbilt University 732 A Prospective, Randomized Evaluation of Facilitated Primary Care Follow Up After ED Utilization Michael Bouton, Beth Israel Deaconess 733 A Study to Evaluate Emergency Provider Efficiency and Cognitive Load Using Different Methods of Computerized Physician Medication Order Entry Dipti Agarwal MBBS, Mayo Clinic 747 Progesterone for Children with Serious Traumatic Brain injury (TBI): A Feasibility Study in the Pediatric Emergency Care Applied Research Network (PECARN) Rachel Stanley, University of Michigan 754 Health Evaluation and Referral assistant (HERA): Improving Linkage with Tobacco Treatment Edwin D. Boudreaux PhD, the University of Massachusetts Medical School 755 Effect of Computerized Physician Order Entry (CPOE) on Emergency Department Throughtput Metrics and Test Utilization Michael Manka MD, SUNY at Buffalo School of Medicine, Erie County Medical Center 758 Randomized Controlled Trial of Safety and Efficacy of L-carnitine infusion for the Treatment of Vasopressor Dependant Septic Shock Michael A. Puskarich, University of Mississippi Medical Center

May 14-18, 2013 | Atlanta, Georgia

77

762 Barriers to Calling 9-1-1 in High-Risk Neighborhoods with Primarily Latinos in Denver, Colorado Comilla Sasson MD MS, University of Colorado Denver 763 Association Between Emergency Department Operation Characteristics, Length of Stay, and Elopements by Change in ED Volumes Daniel Handel MD, MPH, Oregon Health & Science University School of Medicine 776 No Man Is An Island: Living in A More Disadvantaged Neighborhood increases the Likelihood of Developing Persistent Moderate Or Severe Neck Pain 6 Weeks After Motor Vehicle Collision Samuel McLean MD, MPH, University of North Carolina at Chapel Hill 789 Intubation Skills Correlate with Accuracy of Self-assessment Amish Aghera MD, Maimonides Medical Center 797 Physicians’ Diagnostic Accuracy in Using Simple Clinical Signs for Detecting Anemia and Its Severity in Patients Seen at the Emergency Department of A Tertiary Referral Hospital in Tanzania.

Hendry R. Sawe MD, Muhimbili University of Health and Allied Sciences 798 The Prevalence of Suspected Undiagnosed Diabetes Mellitus and use of Random Blood Sugar to Detect Elevated A1c Among Emergency Department Patients in a Developing Country Candace McNaughton, Vanderbilt University 799 Characteristics of Adult Patients Presenting to Two Public Referral Hospitals in Cambodia Lily Yan, Stanford University School of Medicine 809 Lactate Clearance is associated with Improved Survival and Neurological Outcome in Post-Cardiac Arrest Lars W. Andersen BS, Research Center for Emergency Medicine 810 Microcirculatory Impairment in Post-cardiac Arrest Patients Yasser Omar MD, Beth Israel Deaconess Medical Center 814 Emergent CT Does Not Delay Cooling in Patients After Cardiac Arrest David A. Pearson MD, Carolinas Medical Center 815 Emergency Medicine Resident Leadership Ability: A Simulation-Based Longitudinal Study Matthew C. Carlisle, UC Davis 834 Self-assessment of Clinical Improvement by Pediatric Patients during an Acute asthma Exacerbation Lori A. Montagna, Mount Sinai School of Medicine

innovations 8 Using iTunesU as a Novel Emergency Medicine Curriculum Deployment Device.

Janis P. Tupesis, Nestor Rodriguez, Katy Oksuita, Matt Anderson, Carrie Voss-Harvey, Will Sanderson. University of Wisconsin School of Medicine and Public Health, Madison, WI 9 Developing Residency Education with Andragogy and Multimedia: The DREAM Curriculum Karen R. Lind, Brian Gillett, David Saloum, Eitan Dickman, John Marshall.

Maimonides Medical Center, Brooklyn, NY 10 Teams Teaching Other Teams: An Interactive Educational Session Chandra Aubin, Rebecca Bavolek, Evan Schwarz. Washington University School of Medicine, St. Louis, MO 11 Emergency Medicine Resident Education in Ophthalmology Lara Phillips, Lawrence Stack. Vanderbilt, Nashville, TN 12 The EM10 project: A High Yield, Mobile Device Based Learning Platform for Medical Student Education during Emergency Department Shifts Jeffrey R. Vlasic. University of Michigan Medical School, Ann Arbor, MI 13 Emergency Medicine E-Learning: Articulating the Facts, Moving to the Future Cynthia Leung, Aaron Bernard, Nicholas E. Kman. The Ohio State University Medical Center, Columbus, OH 16 The Mentorship Gap: Bridging Residents and Medical Students through a Near Peer Mentoring Program Robbie E. Paulsen, Matthew J. Stull, Sarah Ronan-Bentle. University of Cincinnati College of Medicine, Cincinnati, OH 17 EMIG: A Student-Driven Integrative Curriculum Approach to Simulation Annette Dorfman. George Washington University, Washington, DC 19 Milestone Tracking and Documentation Augmented via an Electronic Tool Tailored to an Emergency Medicine Simulation Curriculum Raymond P. Ten Eyck. Wright State University, Kettering, OH 21 Development Of A Novel, Competency-based Emergency Medicine “Dean’s Letter Cemal B. Sozener, Laura R. Hopson, Joseph House, Suzanne L. Dooley-Hash, Samantha R. Hauff, Monica L. Lypson, Sally A. Santen. University of Michigan, Ann Arbor, MI

ACKNOWLEDGMENTS for Abstracts & Moderators I wanted to personally thank you for the significant time, effort, and resources you devoted to reviewing and moderating the many excellent abstracts submitted for the SAEM Annual Meeting this year.

This was a record-breaking year for submissions in sheer numbers, so your service was appreciated more than ever. It is only through your efforts that the SAEM Annual Meeting continues to be the best peerreviewed forum for research in emergency medicine.

The continued success of these important academic achievements depends on your continued enthusiasm in supporting the SAEM mission.

Gratefully, Christopher Ross MD on behalf of Program Committee, SAEM Annual Meeting 2013 ** Applications for consideration to be an abstract reviewer are posted in the SAEM newsletter and in Academic Emergency Medicine summer issues.

78

Society for Academic Emergency Medicine

Future SAEM Annual Meetings May 14-17, 2014 Sheraton Dallas Hotel Dallas, TX

May 13-16, 2015 Sheraton San Diego Hotel & Marina San Diego, CA

Late Breaker Abstracts # 3 Innovations Thursday, May 16 12:00 -1:00 pm in Atlanta H Competency in Chaos: A Novel Approach to Emergency Preparedness Training (EPT)

suitable patients. Among adult patients, 44% were previously found to qualify for reverse triage, representing the greatest surge-bed source.

Objectives: The primary objective is to discover the proportion of pediatric patients suitable for reverse triage. The secondary objective is to determine characteristics associated with reverse triage eligibility.

Lancer A. Scott, Christopher Ashby Davis, Derrick Swartzenruber, Christina L. Bourne, Eric J. Larson, MUSC, Charleston, SC Providing comprehensive EPT for medical trainees is important to the future success of US emergency preparedness operations.

Unfortunately, US medical schools have been slow to develop EPT curricula for medical students. In addition, few EPT training programs possess both competency-driven goals and metrics to measure performance during a simulated disaster.

Methods: This is a retrospective chart review, by 3 trained reviewers, of pediatric inpatients on 3 general medical/surgical floors in the same tertiary academic hospital that participated in the adult study.

Simulating a disaster, patients were deemed suitable for early discharge if they had no critical interventions (CI) over a 4-day period beginning with the first day of chart-review. Previously published CIs mandating continued admission were adapted for pediatric populations. Kappa statistic was calculated after 10% of charts were re-abstracted.

When developing new EPT curriculum for patient care providers, it is important to consider that disasters are rare, complex events involving many patients and environmental factors often difficult to reproduce in a training environment. In addition, lengthy courses lasting several weeks are often unnecessary to achieve basic competencies.

Results: Of 526 pediatric patients, 41% were black, 48% Caucasian, 46% female and 54% male. Mean age was 8.7 (±6.2) years and the mean length of stay was 3.5 (±4.5) days. The highest proportion of patients (45%) was admitted from the ED and 25% were elective admissions.

There were 27 (5.1%) patients eligible for reverse discharge. Elective admission patients (RR 0.09) and older age (RR 0.93) are associated with lower eligibility for reverse triage in an adjusted multi-variable log binomial regression. Patients on nonsurgical services are more likely to be eligible for reverse triage (RR 2.75). Elective admission cancellation opens 25% of beds compared to reverse triage’s 5.1% and opening licensed beds’ 2.7%. Kappa statistic was 0.96.

We developed a 1-day, competency-based disaster course for patient care providers that recreate a multi-actor clinical disaster inside a humansimulation lab (see photo of lab). Our course enhanced provider knowledge, comfort level and disaster skill. Trainees were able to resuscitate twounstable simulated patients and prevent anthrax exposure to the hospital during a loud and chaotic disaster scenario. We believe ours is the first civilian curriculum in the US that combines high fidelity, multi-actor scenarios to measure the life-saving performance of patient care providers confronted with >10 patients at once.

Conclusions: Unlike previous reports for adults, reverse triage at large academic centers for pediatrics may be an ineffectual strategy for increasing surge capacity. This question needs to be studied in the lower acuity community setting.

We will showcase our innovative curriculum utilizing posters and digital video of our training sessions (available at www.musc.edu/chpter). We will also ‘stage’ components of our disaster small group and/or team exercises to demonstrate how faculty can introduce clinical disaster preparedness into existing curricula. The purpose of the demonstration is to show faculty that disaster preparedness competencies can be achieved quickly, with measurable results, without compromising existing curriculum schedules.

Table 1. Adjusted risk ratios for reverse triage eligibility.

Variable

#136 Wednesday, May 15 1:00- 2:00 pm in Roswell I Reverse Triage in Pediatrics: A New Method to Increase In-Hospital Surge Capacity Eben Clattenburg, Lauren Sauer, Gabor Kelen, The Johns Hopkins School of Medicine, Baltimore MD Background: After disasters, hospitals are expected to provide four days of care without government help. Cancelling elective admissions, using alternative spaces, and reverse triage are strategies to increase bed capacity. Reverse triage involves the safe, early discharge of

Risk Ratio

95% CI

Age Category 0-4 5 -12 13 +

1 0.37 0.62

(0.13 – 0.98) (0.26 – 1.47)

Hospital Service Pediatric Surgical General Pediatric

1 2.46

(1.05 – 5.73)

Admission Source Emergency Department Elective Admission External Transfer Transfer from PICU Transfer from NICU Direct Admission

1 0.14 0 0.94 0 0

(0.02 – 1.06) 0 (0.40 – 2.15) 0 0

Table 2. Number of patients eligible for reverse triage over four day period by simulated start day since admission.

Simulated Start Day After Admission

Day 1

Day 2

Day 3

Day 4

1

14

10

2

1

15

4

1

0

3

1

0

8

1

1

1

3

1

1

0

1

1

1

Discharge Day

2 3 4 5 6

10

Day 5

Day 6

Day 7

Day 8 Day 9

0

# Eligible for Reverse Triage

# of Patients Hospitalized at Start

% of Patients Eligible for Reverse Triage*

27

526

5.13 %

20

351

5.70 %

14

235

5.96 %

11

166

6.63 %

5

104

4.81 %

3

69

4.35 %

* Chi squared test p-value= 0.975

May 14-18, 2013 | Atlanta, Georgia

79

Late Breaker Abstracts #234 Wednesday, May 15 1:00 – 5:00 pm in 200 Gallery-Level 6 Impact of microEEG on clinical management and outcomes of Emergency Department patients with altered mental status”

#248 Wednesday, May 15 12:00 – 5:00 pm in 200 Gallery-Level 6 Prevalence and Treatment Needs of Patients Presenting to the Emergency Department with Alcohol Intoxication

Shahriar Zehtabchi1, S. G. Abdel Baki2, A. Omurtag2, R. Sinert3, G. Chari3, S. Malhotra3, J. Weedon3, A. A. Fenton2, A. C. Grant3. 1State University of New York, Downstate Medical Center, Brooklyn, NY; 2Bio-Signal Group Corporation, Brooklyn, NY; 3State University of New York, Downstate Medical Center, Brooklyn, NY

Kenneth W. Dodd, B. Woodbury, A. Schick, A, Lila W. Steinberg, Max Fitzgerald, Ethan Forsgren, Johanna C. Moore, James Miner,. Hennepin County Medical Center, Minneapolis, MN

Background: Emergency Department patients presenting with Altered Mental Status (AMS) are at risk of nonconvulsive seizure (NCS). Our previous study revealed 78% EEG abnormalities including NCS (5%) in ED patients with AMS. Objective: To assess the impact of EEG on clinical management and outcomes of ED patients with AMS. Methods: Randomized controlled trial at two urban teaching hospitals. Inclusion: Adult patients (>18 years old) with AMS. Exclusion: immediately correctable cause of AMS (e.g. hypoglycemia), and admission before enrollment. Patients were randomized to routine care (control) or routine care plus EEG (intervention). Research assistants used a rapid (5-min) easy to apply scalp electrode set with a miniature, wireless EEG device (microEEG) to record a standard 30-min EEG from patients assigned to the intervention group upon presentation. The EEG results were reported to the ED attending by an off-site epileptologist within 30 minutes. No workup protocol was specified for either group.

Primary outcomes: EEG results, change in ED management (differential diagnosis, diagnostic work-up, and treatment plan from enrollment to disposition). Secondary outcomes: length of ED and hospital stay, ICU requirement, and in-hospital mortality. The top 3 differential diagnoses were recorded with subjective probabilities (0-100%) by an ED attending at each time point. Statistical analysis: Data were reported as medians and quartiles or percentages with 95%CI. Groups were compared using Fisher’s exact or Mann-Whitney tests. Changes in probability of differential diagnoses were compared using Kolmogorov–Smirnov test.

Results: 149 patients were enrolled (76 controls and 73 interventions).

Patients in the two arms had comparable characteristics at baseline.

EEG in the intervention arm revealed abnormal findings in 93% (85-97%) including NCS in 5% (2-13%). The impact of EEG on clinical management in the intervention arm is shown in the table. Changes in probabilities of top 3 differential diagnoses from initiation of enrollment till disposition were statistically significant (p=0.030) between the groups. Secondary outcomes did not differ significantly between groups.

Conclusion: EEG can be obtained in the ED with minimal impact on resources and can significantly impact clinical management (diagnosis and treatment) of these patients.

80

Impact of EEG

Upon receiving EEG result N (%, 95% CI)

At final ED disposition N (%, 95% CI)

Helped establish a diagnosis

41/73 (56%, 41 - 70%)

43/73 (59%, 47 - 69%)

Changed overall diagnostic work up

36/73 (49%, 38 - 60%)

Changed the overall treatment plan

31/73 (42%, 31 - 53%)

Background: Patients with alcohol intoxication consume a significant amount of ED resources. However, the overall treatment needs in patients intoxicated with alcohol presenting to EDs is unknown.

Objectives: To determine the prevalence of alcohol intoxication in the ED as well as the treatment needs of such patients.

Methods: For this cross-sectional study, all patients presenting to the ED of an urban, Level 1 trauma center from 11/1/2012-11/30/2012 were prospectively screened by trained research associates. When an intoxicated patient was identified, study information including patient demographics, diagnoses, vital signs, blood alcohol concentration (BAC), GCS on arrival ABility to ambulate independently on arrival, use of physical or chemical restraint, previous ED visits, length of stay, and health insurance was collected. Data was analyzed using descriptive statistics.

Results: During the study period, 7106 patients presented to the ED and 6192 (87%) were screened by research assistants. Of those screened, 681 (11%) were eligible and 668 (11%) were enrolled. The median age was 45 (range 14-82, IQR 33-52). 455 (68%) arrived by EMS, 122 (18%) by police, and 46 (7%) were ambulatory. 141 (21%) had a systolic blood pressure <100 or >180, 145 (22%) had a heart rate >110 or <60, 30 (4%) had a respiratory rate <12 or >24. The median BAC was 0.240 (range 0.008-0.462, IQR 0.174-0.288). The median ED visits in the last year was 4 (range 1-85, IQR 1-12) and the median ED visits ever was 10 (range 1-213, IQR 2-35). The median ED length of stay was 467 minutes (range 28-1824, IQR 319-635). Health insurance was lacking in 135 (20%) patients, while 52 (8%) had private insurance, and 479 (72%) had public insurance.

There were 122 (18.3%) patients that did not meet any of these criteria.

Of 368 (55%) patients with agitation requiring restraints, 283 (77%) required chemical restraint, 276 (73%) required physical restraint, and 191 (52%) required both. In patient’s requiring chemical restraint, the most common medications were droperidol 182 (64%), olanzapine 102 (36%), and benzodiazepines 34 (12%).

Conclusions: Of the patients screened during this study period, 11% were intoxicated with alcohol and 82% met criteria for needing ED care.

Table: Criteria Defining Need for ED care

36/73 (49%, 38 - 61%)

31/73 (42%, 31 - 53%)

Society for Academic Emergency Medicine

Inability to ambulate independently or provide basic medical information Agitation requiring physical and/or chemical restraint Admission to the hospital Required Imaging

29% (180/615) 55% (368/668) 7% (44/668) 22% (149/668)

Required ECG

12% (78/668)

Required Procedure

12% (77/668)

Required Laboratory Workup (excluding one-time blood glucose)

18% (122/668)

Required Medications (excluding sedatives, acetaminophen, ibuprofen, nicotine)

28% (184/668)

Number of Patients Meeting ≥ 1 of the Above

82% (505/615)

Late Breaker Abstracts #438 Thursday, May 16 8:00 – 12:00 pm in 200 Gallery – Level 6 It Matters More Than You Think It Does Makini Chisolm-Straker1, Logan Jardine2, Peter L. Shearer1. 1Mount Sinai School of Medicine, NYC, NY; 2SUNY Downstate College of Medicine, NYC, NY Background: Gender refers to the self-expression of identity that relates to masculinity, femininity and their various combinations. For individuals who identify as transgender (TG), or having a gender identity different from their assumed sex, presenting for health care requires finding nonjudgmental and supportive providers. This may take years and is not an option in emergency circumstances. Such emergency patients face an unsafe decision point: To be potentially maltreated versus the potential for serious health consequences, including death, of not seeking emergent medical treatment.

Objective: Our aim is to determine if persons who identify as TG fail to present to emergency healthcare; furthermore, we want to know how those who do present as emergency department (ED) patients experience the healthcare they receive. We hypothesized that many TG persons do not present to EDs and those who do have poor experiences with the healthcare personnel.

Methods: This observational study anonymously surveys TG patients, recruited from Facebook and a local health clinic that specifically aims to serve the Lesbian, Gay, Bisexual, Transgender community. Selfidentified TG patients, who are English-speaking and older than 17years, are eligible to participate in the survey. The study began June 1, 2012, is ongoing.

hypotension in the Emergency Department (ED). Over the past few years a number of goal-directed bedside US protocols have been developed for this purpose.

Objectives: To identify the effect of using bedside US on the number of CT scans ordered by emergency physicians in the critically ill hypotensive patients.

Methods: A prospective, observational study of a convenience sample of non-traumatic hypotensive patients who received the standard care plus a goal-directed US within the first hour of their presentation in an urban ED between 2008-2010. The treating physician completed a pre-US and post-US questionnaire that included the need for computer tomography (CT) of chest ABdomen or pelvis in the evaluation of the patient. The chart was reviewed for the results of the CT scans that were done.

Results: A total number of 118 patients were included in the study.

The number of CT scans that the physician decided to order pre and post preforming US was 47 and the number of CT scans that were eventually done was 69 of which 39.1% had a positive diagnostic finding.

The number of CT scans that the physicians decided to cancel after preforming US was 13 and none of them had a missed finding that was identified during their hospital course. The number of CT scans that the physician decided to order after the bedside US is 13 of which 2 had a positive diagnostic finding.

Conclusion: Preforming bedside goal directed US did not change the overall number of CT scans the emergency physician ordered for the critically ill hypotensive patients but it helped identify cases where preforming CT scan was crucial for accurate diagnosis.

Results: 111 surveys have been completed. 75% of the participants surveyed noted that they had occasion to want to use an ED; of these, 90% sought emergency medical care. 29% of respondents reported a negative experience, 21% had a positive experience and 14% reported a mixed experience; 46% only described their chief complaint. With some participants having multiple suggestions for improvement in care, 56% recommended providers ask and use the patient’s preferred pronoun or name and 42% recommended providers only ask about or discuss TG status when it is relevant to the medical issue at hand.

Conclusions: While it appears that most survey participants who thought they needed emergent medical care visited an ED, it is important to note that this sample is biased: Nearly 84% have at least graduated college and, as a convenience sample, many are already connected to healthcare. Still, more than a third of participants reported having at least one negative experience in the ED due to their TG identity. This data indicates the need for further research, particularly recruiting from a population that is not as well connected with the healthcare community.

Also, ED providers should receive training on how to serve this patient population in a culturally sensitive manner. #605 Friday, May 17 8:00 – 12:00 pm in 200 Gallery – Level 6 The use of bedside ultrasound in critically ill patient influences utilization of CT scans in the emergency department Hamid Shokoohi, Keith Boniface, Ali Pourmand, Yiju Teresa Liu, Melissa McCarthy, Kabir Yadav, Rasha Buhumaid, Mohammad Salimian. George Washington University, Washington, DC Background: Literature suggests that the use of bedside ultrasound (US) in the evaluation of patients with undifferentiated shock allows for rapid assessment and improves accurate diagnosis in undifferentiated

May 14-18, 2013 | Atlanta, Georgia

81

Moderators for the 2013 annual Meeting Opeolu Adeoye MD University of Cincinnati Christian Arbelaez MD Brigham and Women’s Hospital Kavita Babu MD UMass-Memorial Medical Center, MA Brigitte M. Baumann MD, MSCE Cooper Medical School of Rowan University Kevin Baumlin MD Mt. Sinai School of Medicine Steven B. Bird MD University of Massachusetts Medical School Diane Birnbaumer MD Los Angeles County-Harbor-UCLA Michelle Biros MS, MD University of Minnesota David J. Blehar MD University of Massachusetts Medical School Andra L. Blomkalns MD University of Cincinnati Jane Brice MD University of North Carolina David F. Brown MD Massachusetts General Hospital Michael Brown MD, MSc Michigan State University Christopher R. Carpenter MD, MS Washington University in St. Louis Brendan Carr MD University of Pennsylvania David Cone MD Yale University School of Medicine D.M. Courtney MD Northwestern University Rebecca Cunningham MD University of Michigan Chad E. Darling MD University of Massachusetts Medical School Theodore R. Delbridge MD, MPH East Carolina University Deborah B. Diercks MD, MSc University of California -Davis Romolo Gaspari MD University of Massachusetts Medical School Charles Gerardo MD Duke Global Health Residency/Fellowship Michael Gibbs MD Carolinas Medical Center Jeffrey A Glassberg MD Mount Sinai Daniel Handel MD, MPH Oregon Health & Science University School of Medicine Greg Hendey MD University of California, San Francisco (Fresno) Jon Mark Hirshon MD University of Maryland, Baltimore

82

Judd Hollander MD University of Pennsylvania James Holmes MD University of California Davis School of Medicine Steven Horng MD Beth Israel Deaconess Medical Center Harvard Medical School Edward Jauch MD, MS Medical University of South Carolina College of Medicine Gabor Kelen MD Johns Hopkins University School of Medicine Brent R. King MD University of Texas Medical School Keith E. Kocher MD University of Michigan Nathan Kuppermann MD, MPH University of California Davis School of Medicine Eric Legome MD Kings County Hospital, SUNY Downstate College of Medicine Alexander T. Limkakeng MD Duke University Jeffrey Love MD Georgetown University School of Medicine John P. Marshall MD Maimonides Medical Center Brandon Maughan MD, MHS Brown University Nathan Woodburn Mick MD Maine Medical Center James Miner MD Hennepin County Medical Center Rakesh Mistry MD University of Pennsylvania School of Medicine James H. Moak MD, RDMS University of Virginia Sergey M. Motov Maimonides Medical Center Daniel K. Nishijima MD University of California -Davis Michele Nypaver MD University of Michigan Ziad Obermeyer MD Brigham and Women’s Hospital Harvard University Ed Otten MD University of Cincinnati Daniel J. Pallin MD, MPH Brigham and Women’s Hospital Jesse M. Pines MD, MPH George Washington University Timothy F. Platts-Mills University of North Carolina Chapel Hill Emilie Powell MD, MS, MBA Northwestern University

Society for Academic Emergency Medicine

Susan Promes MD University of California - San Francisco Ali S Raja MD, MPH Brigham and Women’s Hospital Harvard Medical School Megan Ranney MD, MPH Alpert Medical School, Brown University Martin Reznek MD, MBA, FACEP University of Massachusetts Memorial Medical Center and University of Massachusetts Medical School Emanuel Rivers MD, MPH Henry Ford Hospital Kevin Rodgers MD Indiana University Robert Rodriguez MD University of California –San Francisco San Francisco General Hospital Christopher Ross MD Cook County Hospital Michael Runyon MD Carolinas Medical Center Daniel E. Rusyniak Indiana University School of Medicine Tom Scaletta MD Edward Hospital. Smart-ER Jeremiah D. Schuur MD Brigham & Womens Hospital Harvard Medical School Aaron Skolnik MD Banner Good Samaritan/Phoenix Children’s Hospital Medical Toxicology, Center for Toxicology and Pharmacology Education and Research, University of Arizona College of Medicine Ian G. Stiell MD University of Ottawa Alan B. Storrow MD Vanderbilt University Richard Summers MD University of Mississippi Medical Center Lorraine Thibodeau MD Albany Medical College Arjun K. Venkatesh MD Yale University Ron Walls MD Brigham & Womens Hospital Harvard Medical School Robert Woolard MD Texas Tech University (El Paso) Donald M. Yealy MD University of Pittsburgh University of Pittsburgh Physicians Richard Zane MD University of Colorado

Abstract Submission Reviewers Srikar Adhikari MD University of Arizona Medical Center

Gregory J. Fermann MD University of Cincinnati

Larissa May MD George Washington University

Michael G. Allison MD University of Maryland Medical Center

Katherine J. Glasrud MD Regions Hospital

Jason McMullan MD University of Cincinnati

Anthony E. Grippo MD Advocate Christ Medical Center

William J. Meggs MD, PhD East Carolina University

Hallam M. Gugelmann MD University of Pennsylvania

Angela M. Mills MD University of Pennsylvania

Sanjey Gupta MD New York Hospital Queens

David Milzman MD, FACEP Georgetown U School of Medicine

Todd Guth MD University of Colorado

Danielle Minett MD Christiana Care Health Systems

Michael F. Harrison MD Henry Ford Health System

Jillian Mongelluzzo MD University of California, San Francisco

Mark G. Angelos MD The Ohio State University John Ashurst, DO Lehigh Valley Health Network Ryan D. Aycock MD Staten Island University Hospital Smita Badhey MD St. Luke’s/Roosevelt Hospital Center Rebecca Barron MD Brown University Rachel Berkowitz MD Bellevue/NYU

Jonathan W. Heidt MD Washington University School of Medicine in Saint Louis

Brendan Carr MD University of Pennsylvania

Carolyn K. Holland MD University of Florida, Gainesville

Mary K. Murphy PhD Albert Einstein College of Medicine

Wallace Carter MD New York Presbyterian Hospital

Dennis Hsieh JD, MD Alameda County Medical Center Highland General Hospital

John T. Nagurney MD, MPH Harvard Medical School

Anna Marie Chang MD Hospital of the University of Pennsylvania

Lauren Hudak MD Emory University

Hangyul M. Chung-Esaki MD University of California San Francisco

Ula Hwang MD, MPH Mount Sinai School of Medicine

Robert Louis Cloutier MD Oregon Health and Science University

Janetta Iwanicki MD Denver Health Medical Center

Robert Cooper MD Ohio State Medical Center

Brian Johnson MD Alameda County Medical Center

Eric J. Cortez MD The Ohio State University

Samantha P. Kadera MD UCLA Medical Center

Zachary D. Dezman MD University of Maryland

Daniel Keyes MD Univ of Michigan EM Residency Program

Katherine Douglass MD The George Washington University Brian Driver MD Hennepin County Medical Center Marie-Carmelle Elie MD University of Florida Marc Ellingson MD Regions Hospital Kevin L. Ferguson MD University of Florida

William A. Knight IV MD University of Cincinnati Rebecca Kornas MD Hennepin County Medical Center

Melinda Morton MD, MPH Johns Hopkins School of Medicine

John Neuffer MD West Virginia University Daniel K. Nishijima MD University of California, Davis Jason T. Nomura MD Christiana Care Health System Charissa Pacella MD University of Pittsburgh Daniel J. Pallin MD, MPH Brigham and Women’s Hospital Joseph D. Pate MD Georgetown/Washington Hospital Center Elizabeth M. Phillips MD Case Western Reserve University Peter Pryor MD Denver Health

Nate Lisenbee MD UF Shands Gainesville

Robert Redwood MD University of Wisconsin Hospital and Clinics

Michael Martinez MD Oregon Health and Science University

Karin V. Rhodes MD, MS University of Pennsylvania

Rebekah Richards MD The Ohio State University Wexner Medical Center Brandon A. Roberts MD LSUHSC- New Orleans Robert Rodriguez MD UCSF/San Francisco General Hospital Dan Rolston MD St. Luke’s Roosevelt Pedro Roque MD Maricopa Medical Center Arthur Sanders MD University of Arizona Jonathan Schonert MD WVU David C. Seaberg MD University of Tennessee Todd Seigel MD Brown University/Rhode Island Hospital Salvatore Silvestri MD Orlando Regional Medical Center Sameer Sinha MD St. John hospital Howard Smithline MD Baystate Medical Center Joseph P. Tagliaferro DO MetroHealth Medical Center Nik Theyyunni MD University of Michigan Susan Thompson DO Christiana Care Health System J. S. VanEpps MD, PhD University of Michigan Amar Vira MD University of Arizona Taher Vohra MD Henry Ford Hospital Eric Wei MD University of Michigan Ambrose Wong MD NYU School of Medicine

May 14-18, 2013 | Atlanta, Georgia

83

Abstracts Innovations – Speakers with No Disclosures Jameel Abualenain, The George Washington University Yahya A. ACAR,MD, Etimesgut Military Hospital Jerielle Adams,MD, LSUHSC, Earl K. Long Medical Center, Department of Emergency Medicine Kathleen M. Adelgais,MD MPH, University of Colorado Opeolu Adeoye, University of Cincinnati Victoria Adewunmi,MD, Albert Einstein College of Medicine Negean Afifi,DO, Cook County ( Stroger) Anish K. Agarwal,MD, MPH, The University of Pennsylvania Dipti Agarwal,MBBS, Mayo Clinic Amish Aghera,MD, Maimonides Medical Center Darin Agresti,DO, St. Luke’s University Hospital and Health Network James Ahn, University of Chicago Hamid R. Alai, Department of Emergency Medicine, Johns Hopkins University Amer Z. Aldeen,MD, Northwestern University Lora AlKhawam,MD, Northwestern University Brandon R. Allen,MD, University of Florida Michael G. Allison,MD, University of Maryland Medical Center Richard Amini, University of Arizona Medical Center Lars W. Andersen,BS, Research Center for Emergency Medicine Erik M. Angles,MD, Maine Medical Center Yuemi An-Grogan,MD, Northwestern University Meredith H. Arasaratnam,ScD, National Collaborative for Bio-Preparedness Ryan Arnold,MD, Cooper University Hospital Sanjay Arora,MD, Keck School of Medicine of the University of Southern California Faizan H. Arshad, Yale New Haven Hospital Rajiv Arya,MD, UMDNJ-RWJMS New Brunswick Bahareh Aslani,MD, Henry Ford Hospital Chandra Aubin, Washington University School of Medicine Ryan D. Aycock, Staten Island University Hospital Arif Azam,MD, The University of Texas Health Science Center John Bailitz, Cook County (Stroger) Fran Balamuth,MD, PhD, Children’s Hospital of Philadelphia Hari Balasubramanian,PhD, University of Massachusetts Kimberly Baldino,MD, Morristown Medical Center Caroline A. Ball, Loyola University Chicago Theodore C. Bania,MD, St. Luke’s - Roosevelt Hospital Center Isabel A. Barata,MS MD, North Shore University Hospital Brian Barbas, Cooper Medical School of Rowan Univerisity David Barbic, McGill University Elizabeth Barlow,DO, Saint Vincent Health Center Jeffrey Barrett,MD, Temple University School of Medicine Benjamin S. Bassin,MD, University of Michigan Aveh Bastani, Troy Beaumont Hospital Jonathan Bastian,MD, University of Calgary Christopher W. Baugh,MD, MBA, Brigham and Women’s Hospital Brigitte M. Baumann,MD, MSCE, Cooper Medical School of Rowan University Rebecca A. Bavolek,MD, Washington University in St. Louis School of Medicine Daren M. Beam,MD, MS, Indiana School of Medicine Raphaelle Beard, Johns Hopkins University Gillian A. Beauchamp,MD, University of Cincinnati Vikhyat S. Bebarta, San Antonio Military Medical Center; US Army Institute of Surgical Research Kaylin Beck,BA, Johns Hopkins University School of Medicine Bruce M. Becker,MD, MPH, Warren Alpert School of Medicine at Brown University Brian N. Beer,MD, Scott & White Healthcare Maxim Ben-Yakov,MD.CM., University of Toronto Katherine Berg,MD, Beth Israel Deaconess Medical Center Allyson Best, University of Cincinnati Marian E. Betz, University of Colorado School of Medicine Mary C. Bhalla, Summa Akron City Hospital Salma Bibi,MPH, Boston Medical Center Meredith Camp. Binford,MHS, Yale School of Medicine Reena Blanco,MD, Emory University David J. Blehar,MD, University of Massachusetts Medical School Jerry B. Bodily,MD, University of New Mexico Connie Boh, Duke-National University Singapore Graduate Medical School

84

Nichole Bosson,MD, MPH, Harbor-UCLA Medical Center, Los Angeles Biomedical Research Institute Jason D. Bothwell,MD, Madigan Army Medical Center Edwin D. Boudreaux,PhD, The University of Massachusetts Medical School Michael Bouton, Beth Israel Deaconess Ariel Bowman, University of Pennsylvania William P. Bozeman, Wake Forest University Shari Brand, Mayo Clinic Hospital Ethan Brandler, SUNY Downstate University Hospital of Brooklyn Irina F. Brennan,MD, PhD, University of Florida Jesse J. Brennan,MA, University of California, San Diego Joshua S. Broder,MD, Duke University Medical Center Simon G A. Brown,MBBS PhD FACEM, Western Australian Institute for Medical Research, Royal Perth Hospital and the University of Western Australia Krista Brucker,MD, Northwestern University Rasha Buhumaid,MD, George Washington Matt Burge,MD, Scott & White John Burkhardt, University of Michigan Elizabeth Burner,MD MPH, University of Southern California John H. Burton,MD, Carilion Clinic Erin Caddell, University of Central Florida, College of Medicine Lisa A. Calder, University of Ottawa Jesse B. Cannon,MD, Emory University, Atlanta VA Medical Center Candice T. Cardon,MD, Christus Spohn Memorial Julie M. Carland,MD, University of Arizona Medical Center Matthew C. Carlisle, UC Davis Amanda J. Carlson,MD, Regions Hospital Christopher R. Carpenter,MD, MSc, Washington University in St. Louis Brendan G. Carr,MS MS, University of Pennsylvania Stephanie Carreiro,MD, Alpert Medical School, Brown University Emily Carrier, Center for Studying Health System Change Shaun D. Carstairs, Naval Medical Center Patrick M. Carter,MD, University of Michigan Edward M. Castillo,PhD, MPH, University of California, San Diego Allison D. Cator,MD, PhD, University of Michigan Srihari Cattamanchi,MD, Beth Israel Deaconess Medical Center / Harvard Medical School Kate Cerwensky,MPH, Center for Global Health and Development, Boston University School of Public Health Theodore C. Chan,MD, University of California, San Diego Samuel J. Chang,MD, Carolinas Medical Center Dane Michael. Chapman, University of Missouri, Columbia, School of Medicine Michelle J. Chastain,MD, Advocate Christ Medical Center Andrew Chen, North Shore LIJ Health System Andrew E. Chertoff,MD, Albert Einstein College of Medicine, Montefiore Medical Center Shiau Hui Chin,MD, New York Hospital Queens Makini Chisolm-Straker,MD, Mount Sinai School of Medicine David T. Chiu, Beth Israel Deaconess Medical Center Junho Cho, Inje University Haeundae Paik Hospital Shih-Chin Chou,MD, New York Hospital Queens Jason Chu,MD, St. Luke’s-Roosevelt Hospital Center Steve B. Chukwulebe,BS, BBA, University of Pennsylvania Orhan Cinar, Gulhane Military Medical Academy Eric C. Cioe,MD, State University of New York Downstate Medical Center Eben Clattenburg, The Johns Hopkins School of Medicine Lisa Clayton,DO, Morristown Medical Center Enesha Cobb,MD, MTS, University of Michigan Giorgio Costantino,MD, Università degli Studi di Milano Dale Cotton,MD, UC Davis Medical Center Cheryl Courage, Wayne State University Philip W. Craven, University of Utah Cristal Cristia,MD, Beth Israel Deaconess Medical Center Heather L. Crouse,MD, Baylor College of Medicine/ Texas Children’s Hospital Brandan Crum,MD, University of California Davis Medical Center Keith Curtis,MD, Univerisy of Utah R. Mason Curtis, Queen’s University Amy Cutright, East Carolina University Alexander M. Dabrowiecki,BS, St. George’s University

Robert T. Dahlquist,MD, Carolinas Medical Center Michael W. Dailey,MD, Albany Medical Center Preeti Dalawari,MD, MSPH, Saint Louis University Hospital Timothy Dalseg,MD, University of Ottawa Brock Daniels,MD, Yale New Haven Hospital Raoul Daoust,MD MSc, Hôpital du sacré cœur de Montréal Bryan F. Darger,BA, MSII, University of Texas Medical School at Houston Christopher W. Davis,MD, University of Arizona Leah A. Davis,MA, Thomas Jefferson University Anthony De Lucia,DO, University of South Florida Nathan Deal, Baylor College of Medicine Katie E. Dean,MD, Emory M. Kit Delgado, Stanford University School of Medicine Lawrence A. DeLuca, University of Arizona Bobby Desai, University of Florida Sharmistha Dev,MD, MPH, Henry Ford Hospital Zachary DW. Dezman,MD, MS, Department of Emergency Medicine, University of Maryland Roshanak Didehban,MHS, FACHE, Mayo Clinic Ru Ding, George Washington University Kenneth W. Dodd,MD, Hennepin County Medical Center Stephanie Y. Donald,MD, George Washington University Michael Donnino, Beth Israel Deaconess Medical Center J. Joelle Donofrio,DO, Harbor UCLA Medical Center Suzanne Dooley-Hash,MD, University of Michigan Jason Dorais,MD, University of Utah Kelly M. Doran,MD, Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine Annette Dorfman, George Washington University Sarina Doyle,MD, Orlando Health Sarina Doyle,MD, Orlando Health Scott M. Dresden, Northwestern University Feinberg School of Medicine Brian E. Driver,MD, Hennepin County Medical Center Nicole M. Dubosh,MD, Beth Israel Deaconess Medical Center Edward Durant,MD, MPH, Alameda County Medical Center- Highland Hospital Emma Dwyer MD, St. Louis Univeristy James D. Dziura,PhD, Yale School of Medicine J. Matthew. Edwards,MD, Kaiser Permanente San Diego Medical Center Daniel Egan, St. Luke’s-Roosevelt Daniel J. Egan,MD, St. Luke’s Roosevelt Hospital Center Nate Egger,MD, Wayne State University Marie-Carmelle Elie-Turenne,MD, University of Florida Inna Elikashvili, Mount Sinai Medical Center Craig Ellis, West Australian Institute for Medical Research Mark Ellis,MD, Stanford University School of Medicine Angela M. Ellison,MD,MSc, University of Pennsylvania School of Medicine Tovah G. Ellman,MD, Orlando Health System Kirsten G. Engel, Northwestern University Amy Ernst,MD, University of New Mexico Brian Euerle, University of Maryland School of Medicine David P. Evans, Virginia Commonwealth University Tom Evens,MBBS BSc, Ealing Hospital NHS Trust John J. Everett,MD, William Beaumont Medical Center Sarah Fabiano,MD, University of Rochester Carrie Fales,MD, Carolinas Medical Center Isaac J. Farrell, University of Arizona Christopher Fee,MD, University of California San Francisco David Fernandez,MD, JPS Health Network Douglas Fields,MD, Lincoln Medical and Mental Health Center J. Matthew Fields, Thomas Jefferson University fred fiesseler, Morristown Medical Center Meaghen Finan,MD, St. Luke’s University Hospital and Health Network Christopher Fischer,MD, Beth Israel Deaconess/ Harvard Medical School Sarah K. Flaherty,MD, Beth Israel Deaconess Medical Center Melissa Fleegler,MD, University of New Mexico William Fleischman,MD, Mount Sinai School of Medicine Abraham Flinders, Keck School of Medicine USC Jenna M. Fredette,MD, Christiana Care Health System

Society for Academic Emergency Medicine

Caroline Freiermuth,MD, Duke University Medical Center Ari B. Friedman, University of Pennsylvania Benjamin W. Friedman,MD, Albert Einstein College of Medicine Matt S. Friedman,MD, Fire Department Of New York Adam Frisch,MD, University of Pittsburgh Brian Fuller,MD, Washington University in St. Louis School of Medicine Matthew J. Fuller,MD, University of Utah Matthew J. Fuller, University of Utah Gelareh Z. Gabayan,MD, MSHS, West Los Angeles VA and UCLA David F. Gaieski,MD, The University of Pennsylvania Payal K. Gala, Children’s Hospital of Philadelphia Adrian Garofoli,MD, Mayo Clinic Romolo Gaspari,MD, PhD, University of Massachusetts Medical School Tyler Giberson,BS, Beth Israel Deaconess Medical Center Brian Gillett, Maimonides Medical Center Adit A. Ginde, University of Colorado School of Medicine Catherine T. Ginty,MD, Cooper Medical School of Rowan University George Glass, University of Virginia Eric J. Goldlust,MD, Ph.D., Brown University Glenn R. Gookin,Ph.D., University of Central Florida Priya R. Gopwani, Children’s National Medical Center Tadahiro Goto,MD, University of Fukui Hospital Prasanthi Govindarajan,MD, MAS, University of California, San Francisco Monika Goyal,MD, Children’s National Medical Center, The George Washington University Shannon Graf,MD, MedStar Washington Hospital Center Robert Graham,D.O., Geisinger Medical Center Jocelyn Gravel, Hôpital Sainte-Justine Jeffrey P. Green, UC Davis Medical Center Peter W. Greenwald,MD MS, Weill Cornell Medical College Colin F. Greineder,MD PhD, University of Pennsylvania Peter L. Griffin,B.S., Penn State University Hershey Medical Center Kathryn Groner,MD, Christiana Care Health Systems Maureen E. Gross,MD, Barnes Jewish Hospital/Washington University Anne V. Grossestreuer,MS, University of Pennsylvania Corita R. Grudzen, Mount Sinai School of Medicine Anurag Gupta,MD, MBA, Brigham and Women’s Hospital Devra Gutfreund, Newark Beth Israel Todd Guth, University of Colorado David L. Gutteridge,MD, MPH, Mount Sinai School of Medicine Stephanie Haddad,MD, North Shore University Hospital Paul E. Haiar,MPAS, PA-C, San Antonio Military Medical Center Erinn Hama,MD, Georgetown University and Washington Hospital Center Khalief Hamden,MD, St. Luke’s University Hospital and Health Network Jin H. Han,MD, MSc, Vanderbilt University Daniel Handel,MD, MPH, Oregon Health & Science University School of Medicine Matthew L. Hansen,MD, OHSU Bhakti Hansoti,MD, Johns Hopkins University John P. Haran,MD, University of Massachusetts Medical School Kimberly W. Hart,MA, University of Cincinnati Kohei Hasegawa,MD, MPH, Massachusetts General Hospital Andrew N. Hashikawa,MD, MS, University of Michigan Elizabeth Hassebroek,MD, University of Iowa Hospitals and Clinics Benjamin W. Hatten,MD, Oregon Poison Center, Department of Emergency Medicine, Oregon Health and Science University Nicolaus Hawbaker,MD, University of Arizona Micelle Haydel, LSU-New Orleans Amy Heard,MD, Stony Brook University Jonathan W. Heidt,MD, Washington University School of Medicine in Saint Louis Michael Heller, Beth Israel Medical Center Daniel J. Henning,MD, Beth Israel Deaconess Medical Center Brooke Hensley,MD, UCSF Luke K. Hermann,MD, Mount Sinai School of Medicine Bradley Hernandez,MD, Regions Hospital J. Daniel Hess,MD, Christiana Care Health System Marquita N. Hicks,MD, University of Alabama at Birmingham

Peyton Holder,MD, University of Oklahoma Department of Emergency Medicine Judd E. Hollander, University of Pennsylvania Kaylee M. Hollern, Penn State College of Medicine Danielle Hollingworth, Orlando Health Brandon Hone MD, University of Alberta Leah S. Honigman,MD, Beth Israel Deaconess Medical Center Laura Hopson,MD, University of Michigan Timothy Horeczko,MD, MSCR, University of California, Davis Steven Horng,MD MMSc, Beth Israel Deaconess Medical Center / Harvard Medical School Russ Horowitz,MD, RDMS, Ann & Robert H. Lurie Children’s Hospital of Chicago Joseph House, University of Michigan Stacey L. House,MD PhD, Washington University in St. Louis Chih-Yi Hsu,MD, Chang Gung Memorial Hospital Chien-Hsiung Huang,MD, Chang Gung Memorial Hospital Adrienne Hughes, Baylor College of Medicine Katherine M. Hunold,BSPH, University of Virginia Ryan Hunt,MD, UC Davis Medical Center Benton R. Hunter,MD, Indiana University School of Medicine Christopher L. Hunter,MD, Ph.D., Orlando Regional Medical Center Nicholas B. Hurst,MD, University of Arizona Gregg Husk,MD, Beth Israel Medical Center Deena Ibrahim,MD, University of California, Irvine, School of Medicine Nathan A. Irvin,MD, University of Pennsylvania Geoffrey K. Isbister,FACEM MD, Discipline of Clinical Pharmacology, University of Newcastle and Department of Clinical Toxicology, Calvary Mater Newcastle Kurt M. Isenberger,MD, Regions Hospital Yuri Ishii, Tokyo Medical University Hospital Gabrielle A. Jacquet,MD, MPH, Johns Hopkins University School of Medicine Daniel Jafari,MD MPH, University of Pennsylvania Katherine Jahnes, New York Methodist Hospital Shabnam Jain,MD, Emory University Thea L. James,MD, Boston Medical Center, Boston University School of Medicine Tiffany Jan,MD, The University of Chicago Medical Center Paul S. Jansson,BA, Northwestern University Feinberg School of Medicine Michelle Jaques,B.A., University of Massachusetts Medical School Joshua M. Jauregui,MD, Alpert Medical School of Brown University, Department of Emergency Medicine Parisa P. Javedani,MD, University of Arizona Dietrich Jehle, SUNY@Buffalo Karla P. Jeri-Lozano,BS, Human Biology, University of California, Irvine John E. Jesus,MD, Christiana Care Health Center Russell Johanson,MD, University of Massachusetts Medical School Christopher W. Jones,MD, Christiana Care Health System Jonathan L. Jones,MD, University of North Carolina Jaime Jordan, Harbor-UCLA Medical Center Madhuvanthi A. Kandadai, University of Cincinnati Steven Katz, Barnes-Jewish/Washington University in St. Louis Takahisa Kawano, Fukui University Hospital Maura Kennedy,MD, MPH, Beth Israel Deaconess Medical Center Andrew Keralis, University of Nebraska Medical Center Daniel Keyes, University of Michigan Ayesha Khan, Stanford University Hospital Sorabh Khandelwal, Ohio State University Rahul K. Khare, Northwestern University Christopher S. Kiefer,MD, West Virginia University School of Medicine Austin Kilaru, Perelman School of Medicine at the University of Pennsylvania David J. Kim, The Warren Alpert Medical School of Brown University Jimin Kim,MSc, University of Chicago Joseph S. Kim,MD, University of Kentucky Won Young Kim,MD, PhD, Beth Israel Deaconess Medical Center Dana Kindermann, George Washington University Hospital Austin Kinney,MD, University of California Irvine Yonitte Kinsella,MD, Washington University in Saint Louis Robert Klemisch,AB, Washington University School of Medicine in St. Louis Paul Ko,MD, SUNY Upstate Medical University Timothy Koboldt,MD, Washington University in St. Louis School of Medicine

Joseph J. Korfhagen, University of Cincinnati Frederick K. Korley, Johns Hopkins Joshua G. Kornegay,MD, Oregon Health & Science University Matthew Kostura,MD, University of Arizona Kevin Kotkowski,MD, University of Massachusetts Michael Koury, University of Mississippi Medical Center Chad M. Kovala,DO, St. John Hospital & Medical Center Christian Koziatek,BA, Bellevue Hospital/NYU Medical Center Dana E. Kozubal,BS, Hospital of the University of Pennsylvania William C. Krauss,MD, FACEP, Kaiser Permanente Allyson A. Kreshak,MD, University of California San Diego Ramaswamy Krishnan,Ph.D., Beth Israel Deaconess Medical Center Rita K. Kuwahara,MIH, UNC-Chapel Hill School of Medicine Heemun Kwok,MD, MS, University of Washington Maria Y. Kwok, Columbia University Medical Center Jay G. Ladde,MD, Orlando Regional Medical Center Hsuan Lai, Duke-NUS Graduate Medical School Julio Lairet, Emory University School of Medicine Lauren F. Laker,MBA, University of Cincinnati Samuel H. F. Lam, Advocate Christ Medical Center Gregory Lamb,MD, University of New Mexico Mark I. Langdorf,MD, MHPE, University of California, Irvine Wayne Bond Lau,MD, Thomas Jefferson University Hospital Charlotte C. Lawson, University of Pennsylvania Luan Lawson,MD, Brody School of Medicine at East Carolina University Ching-Hsing Lee, Chang Gung Memorial Hospital Stephen Leech, Orlando Regional Medical Center Kimberly Leeson,MD, CHRISTUS Spohn Texas A&M University Emergency Medicine Residency Sabine E. Lemoyne,MD, senior emergency consultant, Department of Emergency Medicine Megan Leo,MD, RDMS, Boston Medical Center E. Brooke Lerner,PhD, Medical College of Wisconsin Affiliated Hospitals Cynthia Leung,MD, PhD, The Ohio State University Medical Center Amy Leuthauser,MD, MS, Mount Sinai School of Medicine Brian Levine, Christiana Care Michael Levine,MD, University of Southern California Alexander T. Limkakeng, Duke University Karen R. Lind,MD, Maimonides Medical Center Viktor Livshits,MD, Morristown Medical Center Bruce M. Lo,MD, Eastern Virginia Medical School, Sentara Norfolk General Hospital Frank LoVecchio,DO, Maricopa Medical Center Sean M. Lowe,MD, Emory University Adam Lukasiewicz,MPH, Yale University School of Medicine Maren M. Lunoe, Medical College of Wisconsin Lucienne Lutfy-Clayton, Tufts University Medical School Baystate Medical Center Sharon Mace,MD, Cleveland Clinic Tracy MacIntosh,MD, MPH, Yale-New Haven Hospital Michelle Macy, University of Michigan Joseph K. Maddry, Rocky Mountain Poison and Drug Center Tracy E. Madsen,MD, Alpert Medical School of Brown University Laura Magnuson,MD, Orlando Health Neil Majmundar,MD, St. John Hospital & Medical Center Andrew L. Makowski,MD, St. Joseph’s Hospital Sameer Mal,MD, University of Western Ontario Alex F. Manini,MD, MS, Mt. Sinai School of Medicine Michael Manka,MD, SUNY at Buffalo School of Medicine, Erie County Medical Center Lisa M. Mannina,MD, San Antonio Military Medical Center Asa M. Margolis,DO, MPH, MS, Johns Hopkins Keith A. Marill,MD, Massachusetts General Hospital Stacey Marlow,MD, JD, University of South Florida John Martel,MD, PhD, University of Michigan Tara Martin,MD, George Washington University Shannon M. Matthews, University of North Carolina Brandon C. Maughan,MD, MHS, Department of Emergency Medicine, Alpert Medical School of Brown University

Larissa May,MD, George Washington University Justin Mazzillo, UT Health Science Center at Houston Jonathan McCoy, RWJUH/RWJMS James Y. McCue,BS, UC Davis Samuel McLean,MD, MPH, University of North Carolina at Chapel Hill, Anesthesiology Jason McMullan,MD, University of Cincinnati Candace McNaughton, Vanderbilt University Andrew McRae, University of Calgary Edward R. Melnick,MD, Yale School of Medicine Anne K. Merritt,MD, Yale University School of Medicine William Meurer, University of Michigan Robert H. Meyer,MD, Albert Einstein College of Medicine, Montefiore Medical Center Omar Meziab, University of Arizona College of Medicine Athena Mihailos, NY Methodist Hospital Joshua P. Miller,MD, SAUSHEC Matthew W. Miller,BA, University of Colorado School of Medicine Christina M. Millhouse,MD, UC Davis Health System Angela M. Mills,MD, University of Pennsylvania Dave Milzman, Georgetown U School of Medicine James R. Miner,MD, Hennepin County Medical Center Danielle Minett,MD, MPH, Christiana Care Nate Minnick, St John Hospital Hal J. Minnigan,MD, Indiana University School of Medicine Kyle D. Minor, Emory University Brandon Minzer,MA, EdM, University of Arizona College of Medicine - Phoenix Binoy W. Mistry,BS, Albert Einstein College of Medicine Rakesh Mistry,MD, MS, Children’s Hospital of Philadelphia Alice M. Mitchell,MD MS, Indiana University School of Medicine Rebecca Mitchell,BA, University or Wisconsin School of Medicine and Public Health Payal Modi,MD, MPH, Brown University Nicholas M. Mohr, University of Iowa Carver College of Medicine Joel Moll,MD, Emory University Lori A. Montagna, Mount Sinai School of Medicine Julia L. Moon,MPH, Drexel University, School of Public Health Johanna C. Moore,MD, Hennepin County Medical Center Tamara Moores,MD, University of Utah - Division of Emergency Medicine Daniela Morato,MD, LAC+USC Medical Center Lisa Moreno-Walton,MD, Louisiana State University Health Sciences Center-New Orleans Kosuke Mori, Department of Emergency Medicine, Tokyo Bay Urayasu/Ichikawa Medical Center, Noguchi Hideyo Memorial International Hospital Daniel C. Morris,MD, Henry Ford Health System John Morrison,MD, St. Luke’s University Hospital and Health Network Phillip Moschella,MD PhD, University of Cincinnati Jarrod M. Mosier,MD, University of Arizona Ari Moskowitz,MD, Beth Israel Deaconess Medical Center C. Nee-Kofi Mould-Millman, Emory University Hani Mowafi,MD, MPH, Boston University Colin Mukubwa,MD, VIdant Medical Center Laura W. Mulvey,BS, Albert Einstein College of Medicine Tichaendepi Mundangepfupfu, Lincoln Medical and Mental Health Center Antonio Muniz,MD, Dallas Regional Medical Center Krithika M. Muruganandan,MD, Rhode Island Hospital, Dept of Emergency Medicine Ward P. Myers, Boston University Anthony Napoli,MD FACEP, Warren Alpert Medical School of Brown University Arica Nesper,BA, University of California, Davis Medical Center, Sacramento, CA David E. Newman-Toker,MD PhD, Johns Hopkins University School of Medicine Manya F. Newton,MD MPH MS, University of Michigan Lorraine Ng,MD, NYP Morgan Stanley Children’s Hospital of New York Daniel K. Nishijima, University of California, Davis Joan Noelker,MD, Washington University St Louis Brian O’Neil,MD, Wayne State University School of Medicine Megan OBrien, Boston University School of Medicine Erin O’Connor,MD, University of Ottawa Lauren G. Oliveira,DO, Naval Medical Center Robert P. Olympia,MD, Penn State Hershey Medical Center Yasser Omar,MD, Beth Israel Deaconess Medical Center James C. O’Neill,MD, Wake Forest Baptist Health Anwar D. Osborne, Emory University Michael Paddock,DO, Cook County (Stroger)

Daniel J. Pallin, Brigham and Women’s Hospital Amisha D. Parekh,MD, New York Methodist Hospital Joshua Parker, Scott and White Memorial Hospital Anjana Patel, Mayo Clinic Viral Patel,MD, ME., St. Luke’s - Roosevelt Hospital Center Robbie E. Paulsen,MD, University of Cincinnati College of Medicine Charles Pearce,MD, Northwestern University David A. Pearson,MD, Carolinas Medical Center Allison Peasley,MD, University of Arizona Timothy Peck,MD, Beth Israel Deaconess Medical Center Timothy C. Peck,MD, Beth Israel Deaconess Medical Center Jonathan H. Pelletier, Maine Medical Center Research Institute Joe Peraza,MD, University of Arizona Health Network Nithershini Periyasamy,MBBS,M.Sc MD (Community Medicine), General Hospital Jeffrey J. Perry, University of Ottawa Lara Phillips,MD, Vanderbilt Todd M. Phillips, University of Pittsburgh Medical Center Nicole E. Piela,MD, Thomas Jefferson University Deborah L. Pierce,DO, MS, Einstein Medical Center Jesse Pines,MD, MBA, MSCE, George Washington University Timothy F. Platts-Mills, University of North Carolina Chapel Hill Lori A. Post, Yale University School of Medicine Emilie Powell,MD MS MBA, Northwestern University Samuel J. Prater,MD, University of Texas Medical School @ Houston, Department of Emergency Medicine Melanie K. Prusakowski,MD, Carilion Clinic Evan Pushchak,MD, Northwestern University Michael A. Puskarich, University of Mississippi Medical Center Kelly E. Quinley,BA, Perelman School of Medicine, University of Pennsylvania James Quinn,MD MS, Stanford University Nicholas J. Rademacher, University of Michigan Brian Raffetto,MPH, LAC-USC Department of Emergency Medicine Megan L. Ranney,MD MPH, Alpert Medical School, Brown University Erin S. Rardon,MD, West Virginia University Jonathan J. Ratcliff,MD, MPH, University of Cincinnati Avanish S. Reddy,BA, Stony Brook University Colby Redfield,MD, Beth Israel Deaconess Medical Center / Harvard Medical School Timothy J. Reeder,MD, East Carolina University Rifat Rehmani,MD;MSc, King Abduaziz Hospital Eric Revue,Director of the Emergency and Prehospital EMS, Louis Pasteur Hospital Martin Reznek,MD, MBA, University of Massachusetts Medical School and UMassMemorial Medical Center Karin V. Rhodes, University of Pennsylvania Derek Richardson,MD, Oregon Health & Science University Kristin L. Rising,MD, University of Pennsylvania Perelman School of Medicine Kenneth Robinson,MD, Hartford Hospital Daniel R. Rodgers,MD, RDMS, Penn State Hershey Melissa A. Rodgers,BA, University of Pennsylvania Ralph Rogers, Warren Alpert Medical School of Brown University Jessica S. Rose,MD, East Carolina University Jamie Rosini, Christiana Care Joel C. Rowe,MD, University of Florida Andrew H. Ruffner,MA, University of Cincinnati Daniel Runde,MD, Harbor-UCLA Medical Center Amber K. Sabbatini,MD, MPH, Department of Emergency Medicine, University of Michigan Jeffrey H. Sacks,MD, Emory University School of Medicine Basmah Safdar,MD, Yale University John C. Sakles,MD, University of Arizona Stacy Salerno, University of Rochester School of Medicine and Dentistry David Saloum, Maimonides Medical Center David H. Salzman,MD, Northwestern University Joshua G. Salzman,MA, Regions Hospital Margaret E. Samuels-Kalow,MD MPhil, Children’s Hospital of Philadelphia Layli Sanaee,MD, University of Ottawa Czarina Sanchez,MD, BIDMC Teresa Sanchez,PhD, Beth Israel Deaconess Medical Center, Harvard Medical School Michael Sanders, orlando regional medical center Stephen Sanko,MD, LAC-USC Medical Center, Los Angeles Fire Department Sally A. Santen,MD, PhD, University of Michigan Comilla Sasson,MD MS, University of Colorado Denver School of Medicine Kori Sauser,MD, University of Michigan

Hendry R. Sawe,MD, Muhimbili University of Health and Allied Sciences Hendry R. Sawe,MD, Muhimbili University of Health and Allied Sciences Jennifer Sayegh,MS, University of Cincinnati Sarah Schlein,MD, Univerisy of Utah Shira Schlesinger, LAC+USC Medical Center Justin Schrager, Emory University School of Medicine Lisa M. Schweigler,MD, MPH, MS, The Warren Alpert Medical School of Brown University David Scordino,MD, Johns Hopkins University School of Medicine Lancer A. Scott,MD, FACEP, MUSC James T. Scribner,MD, John Peter Smith Health Network Philip Seidenberg,MD, University of New Mexico Manish N. Shah, University of Rochester Purvi D. Shah, Montefiore Medical Center Sachita Shah, University of Washington School of Medicine Alexander Y. Sheng,MD, Massachusetts General Hospital Rohit Shenoi,MD, Baylor College of Medicine Jeffrey Shih, Mayo Clinic Sang Do Shin,MD, Seoul National University College of Medicine Hamid Shokoohi, George Washington University Sneha Shrestha, Stanford School of Medicine Eric C. Silverman,MD, Cooper Medical School of Rowan University Michael E. Silverman, Morristown Medical Center Salvatore Silvestri, Orlando Regional Medical Center Erin L. Simon,D.O., Akron General Medical Center Richard Sinert,DO, Downstate Medical Center Adam J. Singer,MD, Stony Brook University Nimmie Singh,BS, Kaiser Permanente Division of Research Jordan Singleton,MD, University of Arizona Craig Sisson,MD, RDMS, University of Texas Health Science Center San Antonio Christian Sloane,MD, UCSD Medical Center Alan J. Smally,MD, Hartford Hospital and the University of CT School of Medicine Howard A. Smithline, Baystate Medical Center Peter Smulowitz,MD, MPH, Beth Israel Deaconess Medical Center Joseph Sontgerath, San Antonio Military Medical Center Olanrewaju Soremekun, University of Pennsylvania Grace Sousa,MD, University at Buffalo SUNY Cemal B. Sozener,MD, University of Michigan Susanne J. Spano,MD, FACEP, UCSF Fresno Chris Stahmer,MD, Lincoln Medical and Mental Health Center Rachel Stanley, University of Michigan Latha Ganti. Stead,MD, MS, MBA, University of Florida Eric Steinberg,DO, Beth Israel Medical Center Sarah A. Sterling, University of Mississippi Medical Center Luke A. Stevens,MA, Boston University School of Medicine Matthew Stewart,MD, University of Utah Lori A. Stolz,MD, University of Arizona Uwe Stolz,PhD, MPH, University of Arizona Garrick L. Stride,MD, Naval Medical Center San Diego Alison L. Sullivan,MD, Baystate Medical Center Daniel L. Summers,MPH, Yale School of Medicine Anand Swaminathan, NYU/Bellevue Breena R. Taira,MD, MPH, Olive View UCLA Medical Center Melissa Tavarez,MD, Children’s National Medical Center Richard A. Taylor, Yale University Raymond P. Ten Eyck,MD, MPH, Wright State University Sophie Terp,MD, MPH, Department of Emergency Medicine, University of Southern California Keck School of Medicine, Los Angeles, CA Nicholas Testa, LAC+USC Medical Center Sheetal Thaker,MD, Baylor College of Medicine Urvi Thakker, Newark Beth Israel Medical Center Andrew J. Thomas, Oregon Health & Science University David J. Thomas, East Carolina University R. Jason Thurman,MD, Vanderbilt University School of Medicine Carrie D. Tibbles, Beth Israel Deaconess Medical Center Adam Z. Tobias,MD MPH, University of Pittsburgh School of Medicine Colleen Tran,DO, York Hospital Stephen Traub,MD, Mayo Clinic Arizona Ann Tsung, University of Florida Janis P. Tupesis,MD, University of Wisconsin School of Medicine and Public Health Shawn M. Varney,MD, San Antonio Military Medical Center Arjun K. Venkatesh,MD, MBA, Yale University Gary M. Vilke,MD, University of California, San Diego

Janna H. Villano,MD, Advocate Christ Medical Center, Department of Emergency Medicine Julian Villar,MD, MPH, UCSF Jeffrey R. Vlasic, University of Michigan Medical School Jody Vogel, Denver Health Medical Center Rishi Vohra,MD, St. Luke’s- Roosevelt David A. Wald,DO, Temple University School of Medicine Nikki B. Waller,MD, University of North Carolina at Chapel Hill Joseph Walline, Saint Louis University Kyle B. Walsh, University of Cincinnati Paul Walsh, University of California Davis Jessica M. Walthall,B.S., Yale University School of Medicine Haichao Wang, North Shore University Hospital Henry E. Wang, University of Alabama at Birmingham Yajing Wang,MD, PhD, Thomas Jefferson University Hospital Catherine M. Wares,MD, Carolinas Medical Center Muhammad Waseem,MD, MS, Lincoln Medical & Mental Health Center Hiroko Watase,MD, MPH, Japanese Emergency Medicine Research Alliance Anna Waterbrook, University of Arizona Jennifer Watts,MD, MPH, Children’s Mercy Hospital and Clinics John A. Watts,PhD, Carolinas Medical Center Susan Watts,PhD, Texas Tech University Health Sciences Center Julie S. Weber, Wayne State University School of Medicine Danielle Weinman,MD, Albert Einstein College of Medicine Steven J. Weiss,MD, University of New Mexico Robert D. Welch, Wayne State University Karl Weller, DO, St. Luke’s University Hospital Leana S. Wen, Harvard Affiliated Emergency Medicine Residency Howard A. Werman,MD, Ohio State University Robert A. Weston,MD, University Medical Center at Brackenridge Matthew Wheatley, Emory University School of Medicine Benjamin A. White,MD, Massachusetts General Hospital Marjorie L. White,MD, MPPM, MEd, University of Alabama Birmingham Nathan White,MD, University of Washington Lauren K. Whiteside, University of Washington, Division of Emergency Medicine Cole A. Wiedel,BA, University of Colorado School of Medicine Tristan Wihbey, Hospital of the University of Pennsylvania Kenneth Will,MD, Cook County (Stroger) Hospital Brian Willenbring,BA, NREMT-B, Medical College of Wisconsin Affiliated Hospitals Sandra J. Williams,DO MPH, Baylor College of Medicine Conrad Williamson,BS, UC Davis Juliana Wilson,D.O., The State University of New York at Buffalo Michael Wilson,MD, PhD, Brigham and Women’s Hospital Kathleen Wittels, Brigham and Women’s Hospital Michael D. Witting, University of Maryland Catherine S. Wolff,MS, University of Pennsylvania Andrew Wollowitz,MD, Department of Emergency Medicine, Albert Einstein College of Medicine Ambrose H. Wong MD, NYU School of Medicine Matthew Wong,MD, Harvard Medical School, Beth Israel Deaconess Medical Center Nelson Wong, Mount Sinai School of Medicine Randy Woo,MD, University of California, Irvine Shujun Xia,MD, Albert Einstein College of Medicine Kabir Yadav,MDCM MS, The George Washington University Justin Yan, The University of Western Ontario Lily Yan, Stanford University School of Medicine Sharon Yellin,MD, New York Methodist Hospital Mackensie A. Yore, Stanford University School of Medicine Janet S. Young,MD, Carilion Clinic Esther L. Yue,MD, Oregon Health and Science University Shahriar Zehtabchi, State University of New York, Downstate Medical Center Eric Zevallos,MD, Georgia Health Science University Ke Zheng,MD, New York Hospital Queens Christine Zink,MD, UTHSCSA Mark Zocchi,MPH, George Washington University Michael D. Zwank, Regions Hospital Joshua Zwart,MD, University of Rochester

May 14-18, 2013 | Atlanta, Georgia

85

Didactics CME The following didactic speakers have disclosures: Benjamin S. Abella MD, MS, Hospital of the University of Pennsylvania, Advisory Board: HeartSine Corp; Consultant: Velomedix Corp; Employee: Hospital of the University of Pennsylvania; Grant Recipient: NIH NHLBI, Philips Healthcare, Medtronic Foundation, Stryker Medical, Doris Duke Foundation Kimberly E. Applegate MD, MS, Emory University School of Medicine, Advisory Board: American Imaging Management; Other Relationship: Springer Publishing Company (Textbook Co-Editor) Brigitte M. Baumann MD. MSCE, Cooper University Hospital, SAEM Board Member Edward Boyer MD PhD, UMass-Memorial Medical Center, NIH Grantee; NIH Grant Reviewer Charles Cairns MD, University of North Carolina, Consultant: bioMerieux Clifton W. Callaway MD PhD, University of Pittsburgh, Intellectual Property/Patent: Medtronics ERS, Inc; COI: American heart Association, ILCOR Teresa Camp-Rogers MD, MS, UT Health Science Center at Houston, Volunteer Physician Member of American Heart Association Research Working Group.

Andrew K. Chang MD, MS, Albert Einstein College of Medicine, Grant Recipient: NIA, K23 Award Esther Choo MD MPH, Brown Medical School, Grant Recipient: NIDA K23 Sean Collins MD, MSc, Department of Emergency Medicine, Advisory Board: Novartis; Consultant: Novartis, Trevena, The Medicines Company; Grant Recipient: NIH/NHLBI, Radiometer, Medtronic, Cardiorentis Mark Courtney MD, MSCI, Northwestern University, SAEM Board of Directors, SAEM Foundation Board of Trustees Deborah Diercks MD, University of California Davis School of Medicine, Consultant: LG, Daiichi Sankyo, Mylan, Novartis: Board Member: SAEM, Society of Cardiovascular Patient Care, Emergencies in Medicine; Grant Recipient: Nanoshere, Radiometer, Cardiorentis; Radnor Registry, PCORI, NIH. Otsuka

Doug Franzen MD, M.Ed, Virginia Commonwealth University, Shareholder: Johnson & Johnson

Kevin Klauer DO, FACEP, Emergency Medical Physicians, Board Member: ACEP Council Vice Speaker

Daniel Pallin MD, MPH, Brigham and Women’s Hospital, Other Relationship: Trius Therapeutics, Inc.(Site PI for Clinical Trial)

Gus Garmel MD, Stanford/Kaiser Permanente, Other Relationship: Cambridge University Press

Keith Kocher MD, MPH, MPhil, University of Michigan, Consultant: Magellan Health Services, Inc.

Christopher Raio MD, North Shore U. Hospital, Consultant: Zonare Medical Systems, Inc.

Jason Haukoos MD, MSc, University of Colorado/Denver Health Medical Ctr, Employee: Denver Health and Hospital Authority; Board Member: Annals of Emergency Medicine Editorial Board,ACEP Clinical Policies Committee; Grant Recipient: National Institute of Allergy and Infectious Diseases, Agency for Healthcare Research and Quality

Nathan Kuppermann MD, MPH, UC Davis, InsuCalc (Co-Owner)

Ali S. Raja MD, Brigham & Womens Hospital, SAEM Program Committee

Corey Heitz MD, Virginia Tech Carilion School of Medicine, CDEM Executive Committee, NBME EM Advance Clinical Exam Committee Brian Hiestand MD, MPH, Wake Forest University Health Sciences, Consultant: NewMentor, Inc; Insight PD; Grant Recipient: Radiometer; Dyax, Inc Judd Hollander MD, Hospital of University of Pennsylvania, Advisory Board: Janssen; Consultant: Radiometer: Board Member: Annals of Emergency Medicine; Grant Recipient: Alere ABbott, Siemens, Brahms, NIH, ACRIN James Holmes MD, MPH, UC Davis School of Medicine, Grant Recipient NHLBI, Emergency Medical Services for Children, CDC. Ula Hwang MD, MPH, Mount Sinai School of Medicine, Grant Recipient: NIA K23 AG031218, NIA R21 AG040734 Scott A. Joing MD, Hennepin County Medical Center, Shareholder: Apple, Inc. Christopher Kabrhel MD, MPH, Harvard Medical School/ Massachusetts General Hosp, Consultant: Stago Diagnostica Arthur L. Kellermann MD, MPH, RAND Corporation, Advisory Board: Kaiser Commission on Medicaid and the Uninsured; IOM Governing Council Brent King MD, University of Texas Houston, SAEM Board Member; Grant Recipient: AHRQ; Editorial Board: Emergency Medicine News, Pediatric Emergency Medicine: Reviewer: UptoDate

Roger J. Lewis MD, PhD, Harbor-UCLA Medical Center, Consultant: Berry Consultants, LLC, Octapharma, USA, Octapharma,AG, Venaxis, inc.; Applied Proteomics, Inc.; Grant Recipient: NIH; Other Relationships: US Food and Drug Administration, Center for Medicare and Medicaid Services, COI: Society for Clinical Trials Daniel M. Lindberg MD, Brigham & Women’s Hospital, Legal Representative:Goodell, DeVries, Leech & Dann, LLP, Group Health Cooperative, Johnson, Graffe, Keay, Moniz & Wick, Shymaker, Loop & Kendrick, LLP Henderson McGinnis MD, Wake Forest Baptist Health, SAEM Program Committee; Appalachian Center for Wilderness Medicine Zachary F. Meisel Meisel MD, MPH, MSc, Perelman School of Medicine at the University of P, Consultant: Patient Centered Outcomes Research Institute (PCORI); Board member: ZaBeCor Pharmaceuticals; Grant Recipient: Agency for Healthcare Research and Quality, NIH; Paid Contributor: Time Magazine Edward A. Michelson MD, Case Western Reserve University SOM, Advisory Board and Grant Recipient: BrainScope Chadwick Miller MD, MS, Wake Forest School of Medicine, Advisory Board: Mylan Specialty L.P.; Grant Recipient: Alere Scarborough, Dyax, 3M, Patent Application; Other Relationships: Hinshaw and Culbertson LLP

Robert M. Rodriguez MD, UCSF Dept of Emergency Medicine, Grant Recipient: CDC Tracy Sanson MD, University of South Florida, Employee: TeamHealth Robert Sherwin MD, FACEP, FAAEM, Sinai Grace Hospital/ Detroit Receiving Hospital, Advisory Board: Pfizer.

David Talan MD, Olive View - UCLA, Advisory Board: Durata, Merck; Board Member: Hospital Quality Foundation; Grant Recipient: NIH, CDC Knox H. Todd MD, MPH MD Anderson Cancer Center, Advisory Board: Covidien; Consultant: CVS Caremark; Grant Recipient: Pfizer, Archimedes Ernest Wang MD, NorthShore University HealthSystem, Shareholder: Pfizer David W. Wright MD, Emory University School of Medicine, Patent: BHR Pharma Albert W. Wu MD MPH, Johns Hopkins, Advisory Board MAPI Research Trust, Genetech; Consultant, Pfizer, Merck, BMS, Intellectual Property, Joint Commission Book- Patient Safety

Ryan Mutter PhD, AHRQ/CDOM, Employee: Holy Cross Hospital Jason T. Nomura MD, Christiana Care Health System, Consultant: Emergency Ultrasound Consultants, LLC; Board Member: Nomura Consulting LLC; Grant Recipient: Emergency Medicine Foundation

Didactics CME The following didactic speakers have nothing to disclose: Jean Abbott MD MH, University of Colorado James Adams MD, Northwestern Feinberg School of Medicine Saadia Akhtar MD, Beth Israel Medical Center Douglas Ander MD, Emory University Felix Ankel MD, Regions Hospital Brent Asplin MD, MPH, Fairview Medical Group Kavita Babu MD, UMass-Memorial Medical Center Benjamin S. Bassin MD, University of Michigan Lance Becker MD, Department of Emergency Medicine Rachel R. Bengtzen MD, Oregon Health and Science University Michelle Biros MS MD, University of Minnesota Kelly D. Black MD, MSc, Sanford USD Medical Center, Sanford Children’s Hospital Jay Brenner MD, SUNY-Upstate Medical University, Michael Brown MD MSc, Michigan State University College of Human Medicine Christopher R. Carpenter MD, MSc, Washington University Brendan Carr MD, MS, University of Pennsylvania Carey Chisholm MD, Indiana University Stephen Cico MD, MEd, Lurie Children’s Hospital & Northwestern Univ.

John Cienki MD, MSPH, Jackson Memorial Hospital Mark A. Clark MD, St. Luke’s Roosevelt Hospital Center, Columbia University Robert Cloutier MD, MCR, Oregon Health and Science University David Cone MD, Yale University Jason T. Connor PhD, Berry Consultants Ted Corbin MD, Drexel University College of Medicine Cameron Crandall MD, University of New Mexico Tracy Cushing MD MPH, Fellowship Director of the University of Colorado Moira Davenport MD, Allegheny General Hospital Rochelle Dicker MD, University of California School of Medicine San Francisco Aaron Donoghue MD, Children’s Hospital of Philadelphia Suzanne Dooley-Hash MD, University of Michigan Amy L. Drendel DO MS, Medical College of Wisconsin Lillian Emlet MD, University of Pittsburgh Mike Epter DO, University of Nevada Rollin (Terry) Fairbanks MD, MS, National Center for Human Factors in Healthcare, MedStar Institute for Innovation Sue Farrell MD, MEd, Harvard Partners Jeffrey Feden MD, Brown University Kevin Ferguson MD, Univ. of Florida Gregory Fermann MD, University of Cincinnati Francis M. Fesmire MD, University of Tennessee Jonathan Fisher MD, MPH, Jonathan Fisher Todd A. Florin MD, MSCE, Cincinnati Children’s Hospital Medical Center Alyssa Forcehimes PhD, University of New Mexico, Department of Psychiatry

86

Sean M. Fox MD, Carolinas Medical Center Andrea Gabrielli MD. University of Florida-Gainesville Daniel Garza MD, Stanford University Nicholas Genes MD, PhD, Mount Sinai School of Medicine Nina Gentile MD, Temple University Michael A. Gibbs MD, Carolinas Medical Center Adit Ginde MD, MPH, University of Colorado School of Medicine Samuel Graitcer MD, Centers for Disease Control & Prevention Todd Guth MD, University of Colorado, School of Medicine Jin H. Han MD, MSc, Vanderbilt University Daniel Handel MD, MPH, OHSU Bhakti Hansoti MBchB MD MPH candidate, Johns Hopkins University N. Stuart Harris MD MFA, Massachusetts General Hospital Jonathan Heidt MD, Washington University Robin Hemphill Md, MPH, Veterans Association Robert G. Hendrickson MD, Oregon Health Sciences University Sheryl Heron MD, MPH, Emory University Michael Hilton MD, University of Pittsburgh Jeff W. Hinshaw PA, Wake Forest Baptist Health Michael Hochberg MD, Saint Peter’s University Hospital/ Drexel Jeffrey Hom MD, MPH, Stony Brook University School of Medicine Laura Hopson MD, University of Michigan Joseph B. House MD, University of Michigan J. Randy Howell DHSc PA-C, Virginia Tech Carilion School of Medicine Gabrielle Jacquet MD, Johns Hopkins University School of Medicine Thea James MD, Boston University School of Medicine Bobby Kapur MD MPH, Baylor College of Medicine Eric D. Katz MD, Maricopa Medical Center Stephanie Kayden MD MPH, Harvard Medical School John J. Kelly DO, FACEP, FAAEM, FCPP, Einstein Medical Center Philadelphia Robert M. Kennedy MD, Washington University in St. Louis School of Medicine St. Louis Children’s Hospital Daniel Keyes MD, MPH, University of Michigan EM Residency Program Sorabh Khandelwal MD, The Ohio State University Walter Koroshetz MD, National Institutes of Health/NINDS Paul Krieger MD, Beth Israel Medical Center/Albert Einstein Gloria Kuhn DO, PhD, Wayne State University Michael Kurz MD, MS-HES, Virginia Commonwealth University Heemun Kwok MD, MS, University of Washington Kathleen M. Lanava , University of Michigan Health System Adam Landman MD, MS, MIS, Brigham & Women’s Hospital

Eddy Lang AB, University of Calgary Eric Legome MD, Kings County Hospital/SUNY Downstate College of Medicine Adam Levine MD, MPH, Brown University Alpert School of Medicine Resa E. Lewiss MD, St. Lukes Roosevelt Michelle Lin MD, University of San Francisco Karen Lind MD, Maimonides Medical Center Andrew S. Liteplo , Massachusetts General Hospital Elise Lovell MD, Advocate Christ Medical Center Martin Makela MD, University of Washington Medical Center Jennifer Marin MD, MSc, University of Pittsburgh School of Medicine Marcus L. Martin MD, University of Virginia Christian Martin-Gill MD, MPH, University of Pittsburgh Linda McCaig MPH, CDC, National Center for Health Statistics Ryan P. McCormack MD, Bellevue Hospital, NYU School of Medicine Alyson McGregor MD, Brown University William Meurer MD, MS, University of Michigan Nathan Mick MD, Tufts University School of Medicine Angela M. Mills MD, University of Pennsylvania School of Medicine James Miner MD, Hennepin County Medical Center Rakesh Mistry MD, MS, Children’s Hospital of Philadelphia Joel Moll MD, University of Michigan Mark G. Moseley MD, MHA, Ohio State University William Mower MD, PhD, UCLA Medical Center Kevin Munjal MD, MPH, Mount Sinai Medical Center Mary Murphy PhD, Yale University School of Medicine Joshua Nagler MD, Boston Children’s Hospital Lewis Nelson MD, New York University Rodney Omron MD, MPH, Johns Hopkins Edward Panacek MD, MPH, University of California, Davis Nova Panebianco MD MPH, University of Pennsylvania Sara Patterson MA, Centers for Disease Control and Prevention Rahul Patwari MD, Rush University Medical Center Jeanmarie Perrone MD, University of Pennsylvania Marcia Perry MD, University of Michigan Frank Petruzella MD, Bon Secours St. Mary’s Hospital Malford Pillow MD, M.Ed., Baylor College of Medicine Stephen R. Pitts MD, MPH, Emory University, Grady Memorial Hospital David Portelli , Warren Alpert Medical School of Brown University Emilie S. Powell MD, MS, MBA, Northwestern University Stacey Poznanski DO, Wright State University Tammie Quest MD, Emory University Neha Raukar MD, Brown University Karin V. Rhodes MD, MS, Dept. EM, UPenn

Society for Academic Emergency Medicine

Lynne D. Richardson MD, Icahn School of Medicine at Mount Sinai Mark Rosenberg DO, MBA, FACEP, FACOEP-D, St. Joseph’s Healthcare System Kirsten Rounds RN, MS, Warren Alpert Medical School, Brown University Alfred Sacchetti MD, Our Lady of Lourdes Medical Center Basmah Safdar MD, Yale University School of Medicine Sally Santen MD, PhD, University of Michigan Cathy C. Sarli MLS, AHIP, Washington University Comilla Sasson MD, MS, University of Colorado School of Medicine Kelly Sawyer MD, MS, William Beaumont Hospital Kathleen Saxton MD, University of Michigan Jeremiah Schuur MD, MHS, Department of Emergency Med., Brigham & Women’s Lisa Schweigler MD, MPH, MS, Brown University/Rhode Island Hospital Jane Scott ScD, NHLBI, National Heart, Lung, and Blood Institute Philip V. Scribano DO, MSCE, Children’s Hospital of Philadelphia, University of Pennsylvania, Kaushal Shah MD, Mt. Sinai School of Medicine Adam Sharp MD, MS, BA, University of Michigan/RWJ Clinical Scholars Ellen Slaven MD, LSU Health Science Center Stephen Smith MD, Hennepin County Medical Center Patrick Solari MD, Seattle Children’s Hospital/ University of Washing Cemal B. Sozener MD, University of Michigan Ian G. Stiell MD, Ottawa Hospital Alan B. Storrow MD, Vanderbilt University David Sugerman MD, MPH, Center for Disease Control & Prevention Federico E. Vaca MD, MPH, Yale University School of Medicine Arvind Venkat MD, Allegheny General Hospital Arjun Venkatesh MD, MBA, Robert Wood Johnson Clinical Scholars Program Marie Vrablik MD, Indiana University Shereaf W. Walid MD, Wayne State University Kathleen Walsh DO, MS, University of Wisconsin Hospital and Clinics Robert Wears MD, MS, PhD, U of Florida Scott Weingart MD, Mount Sinai School of Medicine Michael Winters MD, University of Maryland Margaret Wolff MD, University of Michigan Lalena Yarris MD, MCR, Oregon Health and Science University (OHSU) Richard D. Zane MD, University of Colorado Brian Zink MD, Alpert Medical School of Brown University Mark R. Zonfrillo MD, MSCE, Children’s Hospital of Philadelphia

The following Abstract Authors have disclosures:

2013 Grant Writing Workshop Disclosures

Tyler W. Barrett MD MSCI, Vanderbilt University Medical Center, K23 HL102069 from NHLBI, Grant Recipient Steven B. Bird MD, University of Massachusetts Medical School, NINDS. Grant Recipient; SAEM Program Committee, NonCommerical disclosure Richard N. Bradley, The University of Texas Health Science Center at Houston, North American Rescue, LLC, Grant Recipient, Non-Commericial, The American Red Cross Scientific Advisory Council Sri Sankar Chinta MD MBBS, Washington University in St. Louise, KEN GRAFF YOUNG INVESTIGATOR AWARD- AMERICAN ACADEMY OF PEDIATRICS- SECTION ON EMERGENCY MEDICINE, NIH T32 Grant (T32HD049338-01A2), Grant Recipient Donald M. Dawes, Lompoc Valley Medical Center, TASER International. Consultant, Shareholder Gail D’Onofrio MD, Department of Emergency Medicine, Yale University School of Medicine, NHLBI 5R01HL081153, NIDA 5RO1DA025991-05, SAMHSA 5U79TI020253-05. Grant Recipient Rosemarie Fernandez MD, University of Washington, AHRQ, Department of Defense. Grant Recipient; R18 Grant, Congressional Grant. Grant Recipient James R. Foster II MD, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, and Harvard Medical School, EM Gladiators LLC., Officer, Committee, or Board Member David F. Gaieski MD, University of Pennsylvania, Stryker Medical, Consultant, Grant Recipient Nicholas Genes, Mount Sinai School of Medicine, Emergency Medicine Practice, Emergency Physicians Monthly, Medscape Emergency Medicine, Medgadget LLC. Advisory Board Corita R. Grudzen MD, MSHS, Mount Sinai School of Medicine, CMS, Consultant; American Cancer Society. Grant Recipient; Mentored Research Scholar Grant, Other Relationships Adrianne Haggins MD, MS, University of Michigan, Robert Wood Johnson Foundation, Clinical Scholar, Grant Recipient Corey Heitz, Virginia Tech Carilion School of Medicine, C. Heitz: Non-commerical, NBME Jeffrey Ho, Hennepin County Medical Center, TASER International, Inc. Shareholder, Medical Director Ula Hwang, Mount Sinai School of Medicine, NIA K23 AG031218.

Grant Recipient Christopher Kabrhel, Massachusetts General Hospital, Sanofi Aventis. Consultant; Biomarker Assays. Consultant; Thromboembolism. Grant Recipient; Harvard Milton Fund. Grant Recipient; Foundation Awards. Grant Recipient Jeffrey Kline, Indiana University School of Medicine, CP Diagnostics LLC., shareholder; AHRQ, Grant Recipient, Genentech, AHRQ, Grant Recipient Keith E. Kocher MD, MPH, University of Michigan, Magellan Health Services, Inc. Consultant Erik Kulstad, Advocate Christ Medical Center, National Science Foundation. Grant recipeint; Advanced Cooling Therapy, LLC., Intellectual Property/Patents Jo Anna Leuck MD, Carolinas Medical Center, J. Leuck: NonCommerical, SAEM Program Committee Sharon E. Mace MD, Cleveland Clinic, Cleveland Clinic. Employee; Luitpold Pharmaceutical. Grant Recipient, Gebauer, Speaker’s Bureau, McGraw-Hill, Intelletual Property Patent Simon A. Mahler, Wake Forest University Medical School, NHLBI T32, AHA, Grant Recipient

Andrew Chang MD, Albert Einstein College of Medicine, Montefiore Medical Center, Grant recipient - NIA

Jennifer R. Marin MD, MSc, University of Pittsburgh School of Medicine, NIH NHLBI K12 research scholar receiving research and salary support Grant Recipient (self), NIH NHLBI R01 funded investigator receiving research and salary support, Grant Recipient (spouse) Andrew C. Meltzer, George Washington University, Given Imaging, Consultant Edward A. Michelson MD, FACEP, University Hospitals Case Medical Center, BrainScope Corp., Advisory Board Andrew A. Monte MD, University of Colorado, Emergency Medicine Foundation-Research Training Grant. Grant Recipient Chris Moore MD, RDMS, Yale University School of Medicine, Philips Healthcare Inc., Sonosite Inc. Consultant; AHRQ, Grant Recipient Peter S. Pang MD, Feinberg School of Medicine, Northwestern University, Novartis, Consultant; Otsuka, Consultant; Trevena, Consutlant; Palatin Technologies, Consultant; Abbot, Consultant; Alere, Consultant; Alere, Other relationship; Beckman Coulter, Other relationship ; Momentum Research, Other relationship; Nile Therapeutics, Other relationship; MyLife, Other relationship Linda Papa MD.CM, MSc, Orlando Regional Medical Center, Banyan Biomarkers Inc. Consultant Sarah M. Perman MD, MS, University of Pennsylvania, NIH T32., Grant Recipient Ali S. Raja MD, MBA, MPH, Brigham and Women’s Hospital, Harvard Medical School, SAEM Program Committee, Noncommerical disclsoure Antonio Riera MD, Yale University School of Medicine, Child Health Innovation Grant Award from the Children’s Fund of Connecticut and the Yale Center for Clinical Investigation. Grant Recipient Thomas E. Robey, Yale-New Haven Hospital, Greenwall Foundation, Grant Recipient Robert M. Rodriguez MD, UCSF/San Francisco General Hospital, Centers for Disease Control: RO-1 1 R01/CE001589-01, Grant Recipient Wesley H. Self MD MPH, Vanderbilt University Medical Center, Affinium Pharmaceuticals, CareFusion, Astute Medical, bioMerieux. Grant Recipient; Product, antistaphylococcal antibiotic AFN 1252, Chloraprep, Astute Nephrocheck, Brahms Vidas procalcitonin assay, Non-Commericial, Centers for Disease Control and Prevention, Etiology of Pneumonia in the Community Study Ammar Siddiqui, Mount Sinai School of Medicine, American Federation on Aging Research, Grant Recipient David E. Slattery, University of Nevada School of Medicine, Pfizer.

Consultant Daniel W. Spaite MD, Arizona Emergency Medicine Research Center, University of Arizona, National Institutes of HealthNINDS, Grant Recipient Alan B. Storrow MD, Department of Emergency Medicine, Vanderbilt University Medical Center, Roche Diagnostics, Consultant; Novartis Pharmaceuticals, Consultant ;Mylan Specialty, LP, Consultant; NHLBI, Grant Recipient; Abbot Diagnostics, Grant Recipient; Roche Diagnostics, Grant Recipient; Centers for Disease Control and Prevention, Grant Recipient; McGraw Hill, Other Relationship Benjamin Sun, Oregon Health and Science University, American Geriatrics Society, National Institutes of Health, Grant Recipient

James F. Holmes MD, MPH, UC Davis School of Medicine, Grant recipient - NHLBI Jeffrey A. Kline MD, Indiana University, Grant recipient - AHRQ and NIH Walter J. Koroshetz MD, NIH/NINDS, Shareholder - Neurologica Manish N. Shah MD, MPH, University of Rochester, Employee - University of Rochester Medical Center

2013 Grant Writing Workshop – no Disclosures Prasanthi Govindarajan MD, MAS, University of California, San Francisco Brendan Carr MD, University of Pennsylvania Mary Murphy PhD, Yale University School of Medicine Barb Forney, University of Cincinnati

2013 Jr. Faculty Development Forum Disclosures Eric Gross MD, Hennepin County Medical Center • Commercial Entity: Forests Labs- Taflaro- Pneumonia Skin Infection Andra L. Blomkalns MD, University of Cincinnati • SAEM Board of Director Member

2013 Senior Leadership Faculty Forum Disclosures Todd Crocco, MD, West Virginia University School of Medicine • Genentech- EMS Education Tool- Stroke • Medical Dialogues Group- Acute Stroke Care-Stroke Leslie Zun, MD, Mount Sinai Hospital • Alexa Pharma-Medication Acquisition-did not get approved Sandra Schneider, University of Rochester School of Medicine and Dentistry • Hereditary Angioedema Association-Mylar-Drug-Hereditary Angioedema Anaphylaxis • Logical Images-Visual DX-rashes

CDEM Educational Topics and Educational Research – no disclosures Hugh Stoddard, M.Ed., Ph.D., Emory University School of Medicine

2013 AEM Consensus Conference – No Disclosures Christine Babcock MD, MSc, FACEP, FAAEM, University of Chicago Michelle, H. Biros, MS MD, Hennepin County Medical Center Mark Bisanzo MD, DTM&H, University of Massachusetts Sabrina M. Butteris MD, University of Wisconsin Emilie J.B. Calvello MD, University of Maryland Meena Nathan Cherian MD, Emergency & Essential Surgical Care (EESC) Clinical Procedures Unit, Department of Health Systems Policies & Workforce, World Health Organization Myron Cohen MD, North Carolina at Chapel Hill David C. Cone MD, Yale University Rebecca Cunningham, University of Michigan Linda C. Degutis, DrPh, MSN, National Center for Injury Prevention and Control Centers for Disease Control and Prevention (CDC) Elizabeth L. DeVos MD, MPH, University of Florida Kate Douglass MD, MPH, The George Washington University Saul Drajer MD, Clinica de la Esperanza Herbie Duber MD, MPH, University of Washington Stephen Dunlop MD, CTropMed®, Hennepin County Medical Center Barb Forney, University of Cincinnati Bhakti Hansoti MD, MBchB, BSc, University of Chicago Stephen Hargarten MD, MPH, Medical College of Wisconsin Mark Hauswald MD, FACEP, University of New Mexico SueLin Hilbert MD, MPH, Director of Global Health Initiatives, Washington University School of Medicine Jon Mark Hirshon MD, PhD, MPH, FACEP, FAAEM, FACPM, University of Maryland C. James Holliman MD, FACEP, Center for Disaster and Humanitarian Assistance Stephanie Hubbard, MA, MPH, sidHARTe, Department of Population and Family Health, Columbia University Mailman School of Public Health

Gabrielle A. Jacquet MD, MPH, Johns Hopkins University School of Medicine Jaime Jordan MD, Harbor UCLA Medical Center G. Bobby Kapur MD, MPH, Baylor College of Medicine Kajal Khanna MD, Stanford School of Medicine Adam C. Levine MD, MPH, Global Emergency Medicine Fellowship, Brown University Alpert Medical School Rohith R. Malya MD, MSc, Division of Global Health, University of Texas Medical School at Houston Regan H. Marsh MD, MPH, Brigham and Women’s Hospital, Harvard Medical School, Partners In Health, Mirebalais Hospital, Haiti Ian B.K. Martin MD, FACEP, University of North Carolina Melissa McMillian, SAEM Rachel T. Moresky MD, MPH, Columbia University Hani Mowafi MD, MPH, Boston University School of Medicine Ziad Obermeyer MD, M.Phil, Brigham and Women’s Hospital, Harvard Medical School Marcus Ong MD, MPH, Singapore General Hospital Helen Ouyang MD, MPH, Harvard University Ronald Pirrallo, Medical College of Wisconsin Junaid Razzak, PhD, The Aga Khan University Teri Ann Reynolds, PhD, University of California, San Francisco Joshua C. Ross MD, University of Wisconsin Scott Sasser, Emory University Hendry R. Sawe MD, MMED-EM cand(MUHAS), Emergency Medicine Association of Tanzania(EMAT) Kinjal Sethuraman MD, MPH, University of Maryland Sang Do Shin MD, PhD, Seoul National University College of Medicine Sérgio Timerman, Escola de Ciêcias da Saúde Janis Tupesis, University of Wisconsin Benjamin W. Wachira, Aga Khan University Hospital, Nairobi, Kenya Lee Wallis, MBChB, Provincial Government Western Cape

2013 AEM Consensus Conference – Disclosures Tom P. Aufderheide MD, Medical College of Wisconsin, Board Member - Take Heart America, Board Member - Citizen CPR Foundation, Grant Recipient - NHLBI -ROC, Immediate, Resqirial, Grant Recipient - NINDS-NETT, Volunteer - National American Heart Association Bentley Bobrow MD, Arizona Department of Health Services, Grant Recipient - Medtronic Foundation - Heart Rescue Project Grant to University of Arizona Hillary Cohen MD, MPH, Maimonides Medical Center, Consultant - World Health Organization Debra Houry MD, MPH Emory University, Board Member - SAEM and SAVIR, Grant recipient - CDC and NIH Renee Hsia MD, University of California, San Francisco, Employee - University of California, San Francisco, Grant recipient - NIH/CTSI KL2; RWJF Physicians Faculty Scholars, Emergency Medicine Foundation Prof. Walter Kloeck, MB,BCh(Wits), DipPEC(SA), FCEM(SA), FERC(Belg), FAHA (USA), Chairman - Resuscitation Council of Southern Africa, Other - Academy of Advanced Life Support

Jeffrey P. Koplan MD, MPH, Emory Global Health Institute, Emory University, Board Member - LifeAlly Peter Layde MD, MSc, Medical College of Wisconsin, Expert Witness – Bayer Prof. Gavin Perkins, Warwick Medical School and Heart of England NHS Foundation Trust, Advisory Board Glaxosmithkline, Institution Grant Recipient - UK Government National Institute for Health Research, Editor - Resuscitation Journal Amelia Pousson MD, The George Washington University, Spouse, Employee - Marriott International Phil Seidenberg MD, University of New Mexico, Consultant Global Rescue LLC Gerald van Belle, PhD, University of Washington, Consultant - Novo Nordisk, Grant Recipient - NHLBI Resuscitation Outcome Consortium

ohio aCeP emergenCy meDiCine BoarD revieW Courses HIGHLIGHTS • Comprehensive EM Review • Extensive Daily Course Syllabus • Online Visual Stimuli With Over 1,400 Cases • Over 30 Nationally Known Educators • Pre, Post & Daily Tests

thrEE dAtE OPtiOns tO ChOOsE frOm!

5-Day Course

August 16-20, 2013 September 26-30, 2013

3-Day Course

August 21-23, 2013 Approved for AMA PRA Category 1 Credits TM.

OhiO ACEP - YOur EssEntiAl rEsOurCE fOr EmErgEnCY mEdiCinE rEviEw!

Dr. Carol rivers’ PreParing for the Written BoarD exam in emergenCy meDiCine sixth eDition, volumes i & ii

www.ohacep.org

ORDER TODAY!

HIGHLIGHTS • Covers 20 Academic Topics • 500 Pre-Chapter Questions & Answers • Powerful Board Study Program • Nearly Two Decades of Worldwide Sales • Provides a Comprehensive EM Review Approved for AMA PRA Category 1 Credits TM.

May 14-18, 2013 | Atlanta, Georgia

87

“EmCare offers a fulfilling and challenging career with room for growth. There is never a dull moment at EmCare.”

Quality people. Quality care. Quality of LIFE.

~ Harsh Bhakta, DO Baylor Medical Center at McKinney McKinney, Texas

EmCare is the nationwide leader in emergency medicine and is a company that is making health care work better, especially for physicians. EmCare provides the resources and support you need so you can focus on patient care. EmCare currently has hundreds of opportunities available for emergency medicine physicians. The company offers:

Hundreds of Jobs Nationwide

• Communities from coast-to-coast – small towns to major urban areas • Several practice settings – small, rural and critical access hospitals to major academic facilities, including children’s hospitals • Competitive compensation • A-rated professional liability insurance Your exciting new adventure awaits!

CALL: (855) 367-3650 (Use Reference Code “SAEM”) EMAIL: Recruiting@EmCare.com Search hundreds of opportunities at www.EmCare.com/Recruiting.aspx

IT’S ABOUT WHAT MOVES

YOU.

What moves you? Is it the opportunity to grow with a group of medical professionals that are serious about their work AND play? You can have both. As an integral part of Questcare, you will find a platform and philosophy that is conducive to creating the work/play balance of life that you have the power to orchestrate.

• Ownership opportunity • Democratic group process • Excellent compensation and benefits • 21 ultramodern facilities in Dallas/Fort Worth, San Antonio, El Paso, and Oklahoma City • Leadership development program • Journal club • Committee involvement • Documentation and efficiency academy • Mentoring and development

88

EMERGENCY MEDICINE

Let’s talk about what moves YOU.

Regina Rivera, MD / Emergency Medicine / Amateur Mountaineer “When I finished residency, I wanted an EM group that would offer me ownership in the practice, growth/development opportunities, and a balance between my career and family. Questcare came through with all of that plus state-of-the-art facilities and great colleagues.”

questcare

jobs@questcare.com or (972) 600-2885

www.questcare.com facebook.com/questcare

Society for Academic Emergency Medicine

able to follow my passion.

“TeamHealth affords me every opportunity to become the best emergency physician possible.

With access to resources and peers nationwide, my knowledge base and career opportunities are expanded beyond a limited geography. I’m able to follow my passion for using digital medical technology to improve practice efficiency and enhance patient care.”

888.861.4093

Sujal Mandavia, MD Ridgecrest Regional Hospital

www.MYEMCAREER.com physicianjobs@teamhealth.com

Download the TeamHealth Careers iPad App today!

Customize your emergency medicine job search. Download the free new app in the Apple App store.

We’re building for the future and We Want You to be a part of it.

University of Kentucky

Emergency Medicine Faculty Positions Department of Emergency Medicine The Department of Emergency Medicine at University of Kentucky College of Medicine is recruiting full-time faculty members at the assistant or associate professor level. The desired individual must be BP/BC in emergency medicine. Academic tenure track and non-tenure track positions available.

The Department of Emergency Medicine benefits from excellent institutional support from both a financial and facility standpoint. Resident physicians learn the practice of emergency medicine from engaged and supportive faculty in a stateof-the-art 40,000 square-foot facility (adult and pediatric EDs are contiguous), which opened in July 2010 and now has an annual census of over 65,000 patients. The University of Kentucky Chandler Medical Center is an ACS certified adult and pediatric Level I Trauma Center located in Lexington, in the heart of the “bluegrass” region of the state. Lexington is one of the best small to medium sized cities in America because of the climate, the cost of living, safety and the atmosphere of living in a “college town.”

If you are interested in learning more about this outstanding opportunity, please contact Roger Humphries, MD, Chair, Department of Emergency Medicine, UK College of Medicine, Room M-53, Williard Medical Sciences Building, 800 Rose Street, Lexington, KY 40536. Email contact is roger.humphries@uky.edu and phone is (859) 323-5908.

The University of Kentucky is an equal opportunity employer and encourages applications from minorities and women. Upon offer of employment, successful applicants must pass a pre-employment drug screen and undergo a national background check as required by University of Kentucky Human Resources.

May 14-18, 2013 | Atlanta, Georgia Job#: Io-018188

Date: 05.14.13

89

exhibitor announcements Questcare

Cornerstone Therapeutics

Challenger Corporation

Teed & Company

Questcare is a physician-owned Emergency Medicine organization with an academic focus on quality medicine. We are a democratic group with an entrepreneurial vision and dedication to career growth and development. Questcare delivers high-quality emergency care in twentyone ultra-modern facilities in Dallas-Fort Worth, San Antonio, El Paso, and Oklahoma City. Questcare focuses on supporting and establishing successful emergency medicine careers for new physicians.

We are a specialty pharmaceutical company focused on commercializing products for the hospital and adjacent specialty markets. We are actively seeking to expand our portfolio of products for these markets through the acquisition of companies and products and through internal development.

Challenger provides learning and testing tools for program directors and institutions to quantify the skill sets of residents and Pas in training. Challenger’s reporting system yields compliance, performance and remediation data on individual users, program years, and for your entire program. These statistical outputs permit client institutions to prove compliance and effectiveness to certifying organizations.

Booth 111 Catherine Hanna, Marketing Manager 5100 Poplar Avenue, Suite 1410 Memphis, TN 38137 901-762-8449 Channa@chall.com

Teed & Company is the nation’s preeminent emergency medicine search and recruitment firm. From chif search to director to academic or clinical positions. Teed & Company provides comprehensive service to hospitals, staffing groups and partnerships. Senior level physicians and newly graduating residents have found Teed & Company’s in-depth knowledge of the marketplace a resource on which to depend. For expert knowledge and guidance in furthering your own career, visit our booth in the exhibit hall.

Booth 311 Sharon Hirst, V.P. Medical Staff Services 12221 Merit Drive, Suite 1610 Dallas, TX 75251 Phone: 214-217-1914 Sharon.hirst@qrxmed.com

Booth 109 Linda Jenkins 1255 Crescent Green Dr., Suite 250 Cary, NC 27518

Booth 309 Andrea Light, Vice President 27 Ann Street Norwalk, CT 06854 203-857-0191 alight@teedco.com

CSL Behring

Physio-Control

QGenda, Inc.

SonoSim, Inc.

CSL Behring is a global biopharmaceutical company committed to saving lives and improving quality of life for people with rare and serious diseases. The company manufactures and markets a range of plasma-derived and recombinant therapies that are used around the world to treat coagulation disorders including hemophilia and von Willebrand disease, primary immune deficiencies, hereditary angioedema and inherited respiratory disease, and neurological disorders in certain markets. CSL Behring’s parent company is CSL Limited (ASX:CSL).

Booth 202 Susan Wong, Associate Director Acquired Bleeding 1020 First Avenue King of Prussia, PA 19406 610-878-4359 Susan.wong@cslbehring.com

Physio-Control partners with professional responders al over the world to privde solutions in emergency care. With leading edge technologies such as the LIFENET® SYSTEM for efficient patient data management and the LUCAS™ Chest Compression System, Physio-Control is partnering with emergency response teams to improve patient care and save lives.

Booth 101 Lynn Baker, Marcom Strategy Manager 11811 Willows Road, NE Redmond, WA 98052 425-867-4125 lynn.baker@physio-control.com

QGenda is the leading provider of automatically generated work schedules for any size practice while abiding by the group’s complex business rules. QGenda factors in each Provider’s Skill Level, Specialty, Availability, and Preferences allowing requesting and swapping of assignments.

Access QGenda 24/7 via PC, Mac, and Smart Phones.

Booth 406 Lori Brown, V.P. of Sales Two Ravinia Drive, Suite 1210 Atlanta, GA 30346 770-399-9945 sales@QGenda.com

SonoSim creates the SonoSim Ultrasound Training Solution, a revolutionary, realpatient based ultrasound training product. It uses a laptop computer training environment to deliver unparalleled didactic content, knowledge assessment and hands-on training. The refreshingly engaging learning experience allows users the freedom to learn anything -anywhere.

Booth 400 Stephanie Carney, Conference Coordinator 3030 Nebraska Avenue, suite 301B Santa Monica, CA 90404 310-315-2828 info@sonosim.com

Shift Administrators

LocumTenens.com

Emergency Consultants, Inc.

TeamHealth

Shift Admin is a completely web based schedule management system designed for emergency medicine.

Booth 103 Megan Louis, Sales 2818 Centerbury Road Columbia, SC 29204 888-SHIFT-40 info@shiftadmin.com

LocumTenens.com is a full-service staffing firm serving physicians, CRNAs, NPs and Pas searching for locum tenens and permanent job opportunities and healthcare facilities looking to solve employoment shortages.

Booth 105 Christina Cruz, Marketing Manager 2655 Northwinds Parkway Alpharetta, GA 30009 770-643-5559 ccruz@locumtenens.com

In 1972, ECI Healthcare Partners was founded with a single, cherished principle: Quality healthcare is achieved by valuing people.

Over the years, having efficiently managed the care of over 27 million patients in over 30 states, we have prospered into a network of professional Booth 210 Michelle Morrisette, Healthcare Marketing Residency Services Consultant 4075 Copper Ridge Drive Traverse City, MI 49684 800-253-5358, ext. 3957 michelle.morisette@emergencyconsultants.com

TeamHealth was founded by physicians in 1979 and has been dedicated to creating the best practice environment for emergency physicians for the past three decades.

TeamHealth offers the administrative support, leading resources, educational activities, career advancement, and professional collegiality to provide rewarding careers. With a veriety of practice settings from community hospitals to Level I trauma centers across the United States, TeamHealth is the practice of choice for thousands of healthcare providers.

Booth 307 Meghan Benton, Marketing Coordinator 265 Brookview Centre Way, Suite 400 Knoxville, TN 37919 865-293-5485 www.teamhealth.com

90

Thursday, May 16 & Friday, May 17: 7:00 am - 5:00 pm

Society for Academic Emergency Medicine

exhibitor announcements

Thursday, May 16 & Friday, May 17: 7:00 am - 5:00 pm

TASER International

Emergency Medical Associates

CEP America

EmCare

TASER International was founded in September 1993 and has remained committed to providing solutions which Protect Life, Protect Truth, and Protect Family. From our industry-leading CEWs, to our AXON/EVIDENCE.COM on-officer video and storage system, we are committed to reducing violent confrontation, providing accountability, and preventing danger. We are committed to protecting life by providing innovative, high quality products and services that exceed customer expectations every time.

Booth 305 Danielle Cavan, Assistant Events Manager 17800 North 85th Street Scottsdale, AZ 85255 480-463-2141 dcavan@taser.com

Emergency Medical Associates is one of the country’s most respected, truly democratic emergency medicine physician groups.

Widely recognized for clinical excellence, EM research, our physicians enjoy exceptional life-work balance, outstanding compensation and unlimited growth opportunities. We are currently seeking BC/BE EM physicians for career positions on the east coast.

Founded in 1975, CEP America today is one of the largest providers of acute care management and staffing solutions in the nation, with more than 1,800 providers at over 100 practice locations, serving more than 4 million patients annually.

Quality people. Quality Care. Quality LIFE. EmCare is the nation’s leading physician practice management company. It is known for developing local practices, supporting affiliated clinicians with regionally-located clinical leadership and operational personnel, and providing them access to unprecedented national resources. Opportunities exist at small and large hospitals in locations nationwide. EmCare offers competitive pay and exceptional benefits. Call (855) 367-3650 or search jobs at www.EmCare.com. EmCare is…Making Health Care work Better™.

Emergency Medicine Physicians

Healthcare Cost & Utilization Project (HCUP)

For 20 years, our physician group model has allowed us to forge the best relationships with each other and our hospital partners. We navigate the changing waters of healthcare with our servant’s heart and owner’s mind.

We relate and innovate. And we always enjoy the ride.

Booth 208 Phebe Dave 4535 Dressler Road NW Canton, OH 44714 800-828-0898 pdave@emp.com

HCUP is a family of health care database, software tools, and products developed through a Federal-State-Industry partnership.

Sponsored by the Agency for Healthcare Research and Quality (AHRQ), HCUP database provide the largest collection of all-payer, longitudinal hospital care data in the United States.

Booth 107 Jennifer Podulica 540 Gaither Road Rockville MD 20850 866-290-4287 HCUP@AHRQ.GOV

Booth 208 Dana Criscuolo 3 Century Drive Parsippany NJ 07054 www.ema.net

Booth 301 Alie Tupman, Project Manager 2100 Powell Street, Suite 900 Emeryville, CA 94608 510-350-2686 tupmanA@medamerica.com

Sharp Medical Products, LLC

Masimo

The Reactor ™ is a revolutionary new chest tube device that should be faster, easier and safer than the standard open technique which has not changed in more than 100 years! Stop by our booth and see the future of chest drainage!

Masimo is a global medical technology company responsible for the invention of award-winning nonivasive technologies, medical devices, and sensors that are revolutionizing patient monitoring, including Masimo SET, Masimo rainbow SET Pulse CO-Oximetry, noninvasive and continuous hemoglobin (SpHb), acoustic respiration rate (RRa), Masimo SafetyNet, and SEDLine, (EEGbased) Brain Function Monitors.

Booth 404 Jim Sash, Sales Director 2571 Kaneville Court Geneva, IL 60134 630-921-6003 jimsash@comcast.net

Janssen Pharmaceuticals, Inc

Carolina Care, PA

Premier Physician Services

The Janssen Pharmaceutical Companies of Johnson & Johnson are dedicated to addressing and solving some of the most important unmet medical needs of our time in oncology, immunology, neuroscience, infectious diseases and vaccines, and cardiovascular and metabolic diseases.

Democratic Emergency Medicine Group located in Columbia SC.

A key factor in Premier’s success is our providers. We strive to enhance the provider experience. We do so by offering a model that emphasizes best practices without sacrificing our commitment to satisfaction. Programs and educational offerings assist you in taking a career path that fits your lifestyle. After one year, become a shareholder and participate fully in the decisions and financial rewards of the practice, without a buy-in. Talk to us today about the many opportunities and benefits Premier can offer you.

Booth 206

Mary Ann Gengo, CTSM 1000 Route 202 Raritan, NJ 08869 Office: 908.218.7551 www.janssen.com

Booth 303

Gregory Conde MPH 215 Redbay Rd Elgin, SC 29045 gregconde@mac.com

Booth 200 Heidi Wilson, Event & Conference Planner 13737 Noel Road, Suite 1600 Dallas, TX 75240 214-712-2418 Heidi_wilson@emcare.com

Booth 408/410 Tammy Russo 40 Parker Irvine CA 92618 949-297-7353 www.masimo.com

NIDA/SAMHSA Blending Initiative The Blending Initiative aims to accelerate the dissemination of research-based drug abuse treatment into clinical practice, and catalyze the creation of user friendly treatment tols and products for use in front-line settings.

Joanna Weston 8757 Georgia Ave Suite 1440 Silver Spring, MD 20910

332 Congress Park Drive Dayton, OH 45459 (800) 726-3627 www.premierdocs.com

May 14-18, 2013 | Atlanta, Georgia

91

The Westin Peachtree plaza

The cafe / Registration / concierge – LEVEL 5

international rooms / vinings rooms – LEVEL 6

92

Society for Academic Emergency Medicine

The Westin Peachtree plaza

atlanta ballroom / augusta rooms – LEVEL 7

peachtree ballroom / roswell rooms – LEVEL 8

May 14-18, 2013 | Atlanta, Georgia

93

The Westin Peachtree plaza

peachtree ballroom balcony â&#x20AC;&#x201C; LEVEL 9 accessable elevator to pool

plaza ballroom / fitness center â&#x20AC;&#x201C; LEVEL 10 accessable elevator to pool

94

Society for Academic Emergency Medicine

The Westin Peachtree plaza

tower meeting rooms – LEVEL 12

tower meeting rooms – LEVEL 14

May 14-18, 2013 | Atlanta, Georgia

95

the Gallery

20,180

200’ x 100’

18’

700

2,000

100

mezzanine level

20,000

100’ x 250’

12’

920

2,000

80

200 peachtree conference center cc room 1 66’ x 40’ 2,380 12’ 70 conference center

8,500

66’ x 172’

12’

470

566

630

190

136

275

60

cc room 2

1,870

66’ x 29’

12’

80

150

136

275

cc room 3

1,604

66’ x 24’

12’

70

133

136

200

cc room 4

1,742

66’ x 26’

12’

70

141

136

275

cc room 5

3,225

66’ x 53’

12’

180

260

136

275

cc rooms 1-5

10,821

66’ x 172’

12’

470

870

630

60

*measUreD at WiDest / hiGhest point

pEachTrEE STrEET

buILDINg FLOOR pLANS

ELLIS STrEET

sPeCiAL eveNTs (Lobby Level)

96

Society for Academic Emergency Medicine

ELLIS STrEET

CONFeReNCe CeNTeR (Mezzanine Level)

SAEM Annual Meeting Attendees, Come cheer on your favorite residency team at the

2nd Annual SonoGames™

of the Academy of Emergency Ultrasound of SAEM Saturday, May 18, 2013 8:00 am – 12:00 pm Plaza Ballrooms A-B-C Combined This year’s contestants include: The Pistol Shrimp (Boston Medical Center) 1540 (University of South Florida College of Medicine) A Catholic, a Jew, and a Mormon walk into a Bar (Medical University of South Carolina) ALARA (Indiana University) Argyle Artifacts (Yale University) Arizona Acoustic Enhancements (University Of Arizona) Bellevue/NYU (Bellevue Hospital/New York University) Endocavitary Explorers (Texas A&M Christus Spohn EM Residency) F.A.S.T. and the Furious (Emory University) Ga. Probers (Georgia Regents University) HAEMR Time (Harvard Affiliated EM Residency) Half FAST (George Washington University) Hertz So Good (University of Michigan) Houston Lung Rockets (University of Texas at Houston) Inferior Vena Cavaliers (University of Virginia) Johns Hopkins (Johns Hopkins University) Probe Masters (Maimonides Medical Center) Probe-able Cause (Thomas Jefferson University) Rare Birds (Harborview Medical Center/University of Washington) Rutgers Resolution (UMDNJ-RWJMS) Sinai Supersonics (Mount Sinai) Sonimus Maximus (Staten Island University Hospital) SonoNinjas (Stanford University School of Medicine) Sono-you-didn’t (St. Luke’s-Roosevelt) Space City Sono Warriors (Baylor College of Medicine) Stroger Endocavitrons (Cook County) TBD (Henry Ford Hospital) The County Kings (SUNY Downstate – Kings County Hospital) The Dirty Shadows (University of Chicago) The Ruptured Globe Trotters (University of Connecticut) The SonoCats!?!? (University of Kentucky) US Trojans (University of Southern California)

Sponsored by:

SonoChamps 2013 [Your School Here]

May 14-18, 2013 | Atlanta, Georgia

See You In Dallas, TX May 2014

www.saem.org