SAEM 1998 Annual Meeting Program

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Be sureto orderyour setof Videotapes Haveyou or your colleaguesattendedthe Fundamentalsof Researchor AdvancedResearch Serieslecturesand wishedyou could take them home with you? Now you can.

Lastyear the nine-hourseriesFundamentalsof Researchvideotapeswere professionally videotaped.Due to populardemand,this year the 5-hour Fundamentalsof ResearchSeries andthe 4.5-hourAdvancedResearchSerieswill be videotaped.

The costis $250per setor $400 for both sets.The videotapesare expectedto be completedby Septem-ber.

The videotapeswill come with a set of the accompanyinghandouts and can be usedin a variety of educationalsettingsin your institution.

Order forms are available at the SAEM Registration Desk.

is pleasedto acknowledgean unrestrictededucationalgrant Pharmacia& Upjohn to supportthe 1998AnnualMeeting.

Don't go home without a mementoof this year's conference.

Purchasea 1998AnnualMeetingt-shirt!

Thet-shirts comein small,medium,large,x-large, ($15). andxx-large SAEMpoloshirtsarealsoavailable for $25.Locatedat the SAEMRegistration Desk.

Suppliesare limited.

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G e n e r aI nl f o r m a t i o n . . . . . . . . . . . . . .

C O R Da n dA A C E MM e e t i n g. .s. . . . . . . . . . .

S c h e d u loef E v e n t s Sunday,May17 Papers/Posters/Didactics.........

Monday, May18 Papers/Posters/Didactics.........

Tuesday, May19 Papers/Posters/Didactics.........

Wednesday, May20 Papers/Posters/Didactics.........

SAEMAnnualMeeting Agenda S l a t eo f N o m i n e e s . . . . . . . . . . . .

L e a d e r s hAi pw a r d . . .

Academic Excellence Award Proposed Constitution andBylaws Amendments ...........

Exhibitors Positions Available I n t e r e sGt r o u pM e e t i n g s .

"Why the

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Quality of U.S.HealthCare Must be lmproved"

Dr.Robert Brook istheDirector of RAND Health anda VicePresident andCorporate Fellow at RAND. Healsoserves astheDirector oftheRobert WoodJohnion Clinicat Sirroriiieiogram atucLA,where heisa Professor of Medicine andHealth Services Dr.Brook isa worldrenowned expert inhealth services research.

Hisresearch interests include thedevelopment anduseof health status measurements policy inhealth andtfreettiiienfy ano effectiveness of medical care.Hehasbeenactively involved in'applying tneseconiepts to L emergency careandhasserved as a consultant to theResearcfr Direciions in Emergency project Medicine sponsored bySAEM andACEP. Inaddition, oi erookhir trruroli u'rrntorfornumerous emergency medicine based investigators at'RAND anducLA. Dr.Brook isa member oftheInstitute of Medicine, theAmerican Society forClinical Investigation,andtheAmerican Association of Physicians.

He has received numer0us awards and prizes, including theBaxter Foundation Prizefor excellence in health servicei ieieurril, ihuRosenthal Foundation Award for contrlbutions to improving thehealth oftheration,_the DistinguiJneO Health Servries nesearch Award of the Association of Health Services Research, andtheRobert J.Glaser Award oiini Society forGeneral Internal Medicine.

Dr. Brook is the author ofover250articles onquality of medical care.

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Welcometo the 1998AnnualMeeting.This year 1,600emergencyphysiciansare expectedto attend.The 1998SAEMAnnual Meetingwillconsistof 534 originalresearchpresentations: 206 oral presentatlons, 310 postersand 18 Innovations in EmergencyMedicineEducationExhibits.The oral papersconsistof 10 minutepresentations followedby 5 minutesfor questionsand answers.The postersare scheduledfor2 or 2.5 hourseach day,with one hour "walkalong" moderatedsessions.The sessionsare staggeredso that attendeescan participatein 2 moderatedsessionseach day.Attendeeswho wish to participatein a moderatedsession,shouldmeet at the first posterin the sessionat the designatedtime. However, the posterswill be availablefor viewingthroughoutthe day.All presentedresearchmust be approvedby Institutional Review Boardsfor HumanStudiesor AnimalCare Committeesand is so certifiedby authorsuponabstractsubmission.

The Societyis honoredthat RobertBrook,MD, will presentthis year'sKennedyLecture. ln addition,over40 didacticsessions are planned,includingthe Fundamentalsof TeachingSeries,the Fundamentalsof ResearchSeries,and the Advanced ResearchSeries.New this year is the AdvancedTeachingSeries. Twelvelunchsessionsare also scheduledand one is designedfor residentsat no charge:the ABEM Lunchwith Residents.All attendeesare invitedto attendall paper, posterand didacticsessionsexceptthosewhich have limitedenrollmentor requirepre-registration. lf you are registeredto attenda limitedenrollmentor lunchsession,be sure to arrivea few minutesearly.Becauseof the popularityof thesesessions,some may be filledand individualshave been addedto wait listsshouldopeningsoccur.

While sessionsare in progress,as a courtesyto the speakersand attendees,pleaselimitconversations to the hallways.

Also, pleasebe awarethat some sessionsare beingvideotaped.

Registration Attendeesare requiredto check-inat the SAEM Registration Desk to obtainname badgeswhich are requiredfor admissioninto all sessions.

Banquet The Annual Banquetwill be held on the eveningof May 20 at the Museumof Scienceand Industry.Entertainment will includethe presentation of the lmagoObscuraAward and the RidiculousAbstractCompetition.Transportation will be providedwith busesleavingat 6:30pm and returning around10:30pm.A cocktailreceptionwill precedethe Banquet.Each attendeewill receivetwo complimentary drinkticketsand a cash bar will also be available.

SAEMmembersare entitledto purchaseone ticketat the discountedrateof $20 for activeand associatemembers, and $35 for medical student and resident members.

Ticketsfor non-members are $45.Allticketsmustbe purchasedby May 18. There are no refundssincethe Society is requiredto providea meal count one week in advanceof the Banquet.

AnnualBusinessMeeting

Saturday,May16:Scheduleof Events 7:30 am-4:00pm MedicalStudentSession Michigan Room 8:00 am-4:30pm RegionalCPC Competitions RegionA (Western),Ohio Room RegionB (Southern) Arkansas Room RegionC (Eastern) Colorado Room RegionD (Central),Erie Room RegionE (Midwest) MississippiRoom 8:00 am-5:00pm EmergencyCare of Elder PersonWorkshop,Huron Room 8:00am-5:30pm ChiefResidents'Forum Superior Room 9:00 am-4:30pm

ResearchDirectors'Workshop Ontario Room

2:00-5:00pm SAEM Boardof Directors lllinois Boardroom

The SAEM Annual Business Meeting will be held on Tuesday,May 19 at 2:00-3:30pm, in SheratonBallroom 5. At this meetingJohn Marx, MD, will introduceincoming presidentScott Syverud,MD. Agenda items will includeelectionof officers,Boardand committeemembers; presentationof awards,amendmentsto the Constitution and Bylaws;officers'reports; and otheritemsof business presentedby the membership.All SAEM membersare urgedto attend.Onlyactivemembersare eligibleto vote.

(See agenda in this program.)

5:30-6:30pm CPC Reception Chicago Ballroom 6

Academic EmergencyMedicine

6:00-8:00pm SeniorLeadershipDinner Mayfair Room

AspecialAEM reviewersmeetingwill be heldon Monday, May 18 at 6:00-8:00pm, in ParlorC. The AEMEdilorial Boardwill meet on Tuesday,May 19 at 3:30-7:00pm in the MichiganA Room.

5:00-6:00pm 1998 ProgramCommittee Lincoln Boardroom 4:30-5:30pm Beyondthe Macy Conference: EmergencyMedicinein the 21st Century, Superior Room

pm EMRABoardof Directors 8:00-1'1:00 Parlor C

OpeningCocktailReception SAEMwill hostan openingcocktailreceptionon Sunday, May 18 from 6:00-7:30pm.AllAnnualMeetingregistrants are invitedto attend.Horsd'oeuvreswill be servedand a cash bar will be available.

Beyondthe MacyConference: EmergencyMedicinein the 21stCentury 4:30-5:30 pm, May 16 This sessionis open to all attendeesof the AnnualMeeting. The educationalobjectivesof this one-hoursession are to inform participantsabout the Macy Foundation Conferenceon EmergencyMedicine,discussthe role of the conferencein the the areas of practice,academics, and politics,to discussemergencymedicine'sprogressin meeting the Macy recommendations,to discuss the forcesoutsideof emergencymedicinethat have the potentialto impacthow we practice.The primaryobjective of this courseis to discussthe "big picture"of emergency medicine'srole in the healthcare system:i.e. What role does emergencymedicine(EM) play? How is EM's role changing?What forces in the health care system will motivatethesechanges?These issueswill be discussed withinthe contextof the MacyConferenceobjectivesand recommendations(includingthe follow-up conference held in March1997).This sessionis sponsoredby EMRA and SAEM.

ContinuingMedicalEducation The 1998SAEMAnnualMeetinghas been plannedand imolementedin accordancewith the Essentialsand Standardsof the AccreditationCouncil for Continuing MedicalEducationthroughthe joint sponsorshipof the SocietyforAcademicEmergencyMedicineand Michigan State University,Collegeof Human Medicine.Michigan Collegeof HumanMedicineis accreditStateUniversity, ed by the ACCME to providecontinuingmedicaleducation for physicians.

MichiganState University,Collegeof Human Medicine, designatesthis educationalactivityfor a maximum of 36.5 hours in categoryI credittowardsthe AMA Physician's RecognitionAward. Each physicianshould claim onlythosehoursof creditthat he/sheactuallyspentin the educationalactivity.

In addition,MichiganState University, Collegeof Human Medicine,designatesthe RegionalCPC Competitionfor a maximumof 7 hoursin category| creditand the Emergency Care of the Elder PersonWorkshopfor a maximum of 7.5 hours in categoryI credittowardsthe AMA Physician'sRecognitionAward. Each physicianparticipatingin theseactivitiesshouldclaimonly thosehoursof creditthat he/sheactuallyspent in the activity.

CORD The Councilof EmergencyMedicineResidencyDirectors (CORD)will meet on Monday,May 18 from 12:30-5:00 pm, in ChicagoBallroom6 & 7. The programwill include educationalsessions, roundtablediscussions,reports, (See agenda in this elections,and awardpresentations. program.) The CORD New Program Directors'Workshop will be held on May 18 from 8:00 am until 12:00 is required. noon in the MissouriRoom. Pre-registration

Exhibits Exhibitswill be availablefor viewingon May 18 and 19in in the ExhibitionHall. The postersessions,Innovations EmergencyMedicineEducationexhibits,coffeebreaks, desk will also be locatedin the Exhiand the registration to viewthe exhibits. bitionHall.Pleasetakean opportunity

ClinicalDirectorsGroupInaugurated Servingas ClinicalDirectorof a teachinghospitalis arguably the most difficultjob in our specialty.Patientcare, teaching,and researchmissionscome together(andfrequentlycollide)in this position.SAEMwill hostan organizationalmeetingfor theseclinicaldirectorsat ourAnnual Meetingon Sunday,May 17 at 2:30-4:00pm, in the MississippiRoom. All teachinghospitalclinicaldirectorsare encouragedto attendand to givetheirinputfor the developmentof this new group.

Boardof DirectorsMeeting

May willmeeton Saturday, TheSAEMBoardof Directors and 16 from2:00to 5:00pm in the lllinoisBoardroom Tuesday,May 19 from 7:00-10:00pm in the Lincoln membersand othersare inBoardroom.

All interested of the Board. vitedto attendtheseandall meetings Speakers'Ready Room for thosewho readyroomwill be available A speakers' of theirpresentation. wishto checktheirslidesin advance readyroomwill be available startingMay The speakers' 16at 7:00am in ParlorB.

MessageBoard Phone messagescan be left at the SAEM Registration Desk by callingthe SheratonChicagoHoteland Towers at312-464-1000and requestingthe SAEM Registration Desk.SAEM will post messageson a bulletinboard.

AACEM The Association of Academic Chairs of Emergency Medicine(AACEM)will meet on Tuesday,May 19 from 8:00am -11:00am, in the ColoradoRoom.The focusof "The Dr. Chair as Entrepreneur." the meeting will be Herman Delooz will also address the membership.

AACEM will convene its annual business meeting at noon.(Seeagendain this program.)

11:00-12:00

Residents'Night Out Residentsand Facultyof EmergencyProgramsof lllinois, Alumni and former faculty of these programs,lllinois and MemEmergencyMedicineResidencyCoordinators bers of the lllinois College of EmergencyPhysicians (ICEP)are cordiallyinvitedto meet at MichaelJordan's Restaurant(500 N. LaSalleSt.) For dinneron Monday, May 18,6:30pm-10:00pm. (Thisis abouta 15-20minute walk from the Sheraton).The casual receptionwill include hor d'oeuvres,pastaand carvingstation.Cash bar provided. Big screenvideo monitorswill be availableto The eventwill be sponcatchthe NBAplayoffexcitement. soredby ICEP,EmergencyMedicineProgramsof lllinois, and Pfizer.

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[6Hil CORDMeeting May1B 1 2 : 3 0 - 5 : 0p0m C h i c a g oB a l l r o o m6 & 7 12230-1:30 pm CORD Business Meeting 1. I n t r o d u c ti oonf n e w p ro g ra m, MarcusMartin, MD 2. President's Address,MarcusMartin,MD 3. Secretaryfireasurer's Report, Dan Savitt,MD 4. E l e c t i o -n B o a rdo f D i re cto me r mber 5. AwardPresentations 6. ABEMReport 7. RRC-EMReport B. ERASReport,PamDyne,MD 1:30-2:45 pm The Structured Interview . D i d a c t i cs e ssi oann d d e mo n stra ti on . Pa n edl i s c u ssi o n 2 : 4 5 - 3 : 0 0p m Break 3:00-3:45pm RoundtableDiscussion . R R Ci s s u e s . A p p l i c a nitn te rvi e w s . Alternatefundingfor residents 3:45-5:00pm ACCMEStrategic Initiative,Dr. DavidC. Leach,ExecutiveDirector,ACCME o Outcomesassessment in CME o Competency basedtraining

Associationof AcademicChairsof Emergency Medicine May19 B : 0 0 - 1 2 : 0p0m ColoradoRoom 8:00-B:45am Emer gency Medicinein Eur ope, HermanDelooz, MD, PhD B:45-9:30am TheChairas Entr epr eneur : l i te Satel Operations, JackAllison,MD 9:30-9:45am Break 9:45-10:30am TheChairas Entr epr eneur : Clinic alT r i al s , Dr. Ken Cetz 1 0 : 3 0 - 1: 13 0a m TheChairas Entr epr eneur Cr:ant s , Dr. David Nathan 11:30- 12:00 noon Annual Business Meeting A. Election of Pr esident- Elect B. Treasurer's Report C. Emeritus Status D. SurveyResults 12:30- 2:00 pm Research DirectorsLunch:Fateor Futureof ProtectedTimefor Researchers

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8:00 8:30

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PAPERS/POSTERS/DIDACTICS

8:00

OpeningRemarksand PlenarySession (abstracts 136,168,284, 1,272, 438) BaUroom4,5,6,7

8:30 9:00

9:00 9:30

9:30 Break

10:00

l0:00

Paper hesentations: 1 0 : 3 0 Respiratory (abstracts ffi,2-8) SheratonBallroom I 1:00 I

Paper Presentations: Ischemia (abstracts 9-16) SheratonBallroom 2

Paper Presentations: Pediatric (abstractsU-24) SheratonBallroom 3

I l:30 l2:00 l2:30

2:00 2:30 3:00

FOT Effective Teachingin the Informal Setting ChicagoBallroom 9

FOR Ethical Researchandthe IRB ChicagoBallroom 8

FOT ProvidingLip Service:Effective LectureTechniques ChicagoBallroom 9

1l:00

Lunch Session Academic Emergency Medicinein Europe Erie Room

EmergencyMedical ABEM Residents Servicesfor Lunch MichiganRoom Children Funding (not a lunch session) SheratonBallroom 3

4:30 5:00

L2:30 1:00

FOT Clinical Photographyfor the Emergency Physician ChicagoBallroom 9

How to Write A GoodGrant Application: (pre-registration required) Ontario

2:00 2:30 3:00 3:30 4:00

Paper Presentations: Geriatrics/Ethics (abstractsll2-ll9) SheratonBallroom I

Paper Presentations: CPR (abstracts120-127) SheratonBallroom 2

Paper MedicalUseof the lnternet Presentations: Administration/ ChicagoBallroom 8 Imaging (abstracts 128-135) SheratonBallroom 3

4:30 5:00 5:30

5:30 6:00

11:30

1:30 Poster Session- Exhibition Hall 25-36) Pediatrics(abstracts EMS (abstracts 37-39,4l-51\ 52-59) Ischemia/Reperfu sion(abstracts 6l-72) Respiratory(abstracts 73-79) cPR (abstracts Geriatrics/Ethics(abstracts80-84) Administration(abstracts85-101) Imaging(abstracts102-1I 1)

3:30 4:00

10:30

l2:00 Lunch SessionOnsceneTermination of Resuscitation Efforts SuperiorRoom

l:00 1:30

FOR tntroduction to Statistics ChicagoBaUroom8

6:00 Opening Reception, Ballroom Promenade

Sunday,May 17

MEETINGS

8:00

I7

8:00

8 :3 0

8:30

9:00

9:00

9:30

9:30

Break

10:00

10:00

10:30

10:30

SAEM 1999Annual Meeting Program 1 1 : 0 0Committee, Arlunsas

SAEM Outcomes ResearchInterest Group,Mississippi

11:30

1l:30

12:00 12:30

12:00

SAEM Past Presidents'and Board Lunch, Parlor C

L2:30 SAEM Health Sciences Research InterestGroup, Mississippi

1 :0 0 1:30 2 :N

SAEM Research Committee, Arlunsas

2:00 2:30 SAEM Clinical DirectorsInterest Group,Mississippi

3:00 SAEM Ethics Committee, Colorado

3 :3 0

4:30

SAEM 1999Annual MeetingDidactic Subcommittee, Arlunsas

CORD EKG Task Force, Colorado

6:00

SAEM Pediatric EM Interest Group,Arlansas

3:00 3:30

EMRA Boardof Directors, Ohio

5:00 5 :3 0

1:00 1:30

EMRA Representative Covncil, Huron

2 :3 0

4:00

11:00

4:00 SAEM Asthma ResearchInterest Grortp,Erie

4:30 5:00 5:30 6:00

8:00 8:30

Clinical Skills tnterestcroup, 7:00 - 8:00 am, Colorado

ACEPResearch Committee,Parlor G

SAEM Geriatric TaskForce, Colorado

MEETINGS

Anrals Edttorial Board, Mayfair

18

CORD New hogram Directors Workshop,

Missourt

9:00 9:30

CORDGME Funding/ WorKorce Task Force,Arlawas

EM Residency Coordinators Forum, Ohio(8:304:30)

8:00 8:30 9:00 9:30

l0:00

10:00

l0:30

10:30

ACEPScientific ReviewCommittee, I 1 : 0 0 Parlor F

11:00

SAEM Pain Management Interest Group,Mayfair

I l:30

11:30

l2:00

SAEM ED Categorization Task 1 2 : 3 0Force,Arlwnsas

1:00 SAEM GME Committee, Colorado

l:30 2:00

SAEM EMS Task Force/Physio ControlLunch(by invitation) Lincoln Boardroom

I cono Meeting,

l|!tr*,

EM Residency Coordinators Lunch, Mississippi

12:00 12:30

Battroom 1:00 1:30

SAEM CPR/Ischemia/ Reperfusion Interest Group,Mayfair

2:00

2:30

2:30

3:00

3:00

3:30 4:00

SAEM Neurologic Emergencies lnterestGroup, Arlansas

3:30

SAEM Undergraduate Committee, Colorado

4:00

4:30 5:00 5:30

SAEM Injury PreventionInterest Group, Colorado

SAEM Domestic ViolenceInterest Group, Ontario SAEM Education Committee, Arkansas

6:00 AEMReviewers, Parlor C (6:00-8:00)/ EMRA Reception, Mayfair (6:00_7:00)

4:30 5:00 5:30 6:00

Monday, May 18

8:00 8:30

PAPERS/POSTERS/DIDACTICS

18 Paper hesentations: EMS (abstracts196,137-

r43) 9:00 SheratonBaUroom

Paper Presentations: Respiratory (abstracts144-l5l) SheratonBallroom 2

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Paper hesentations: HealthCare Delivery (abstracrs152-159) SheratonBallroom 3

9:30 10:00

Paper Presentations: EMS (abstracts 40,169-

11:30

SheratonBallroom 2

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12:00

FOT CaseStudies in Challenging Teaching Situations,Chicago Ballroom 9

Lunch Session HealthyPeople 20t0 Huron Room

Lunch Session Waiverof Consent Ontario Room

1:30

FOR How to Paper Developa Budget Presentations: ChicagoBallroom 8 Education (abstracts 176-183) SheratonBallroom 3 ARS Planningand Implementing Surveillance Systems ChicagoBallroom 8 Lunch Session Clinical Policiesin the Practiceof Emergency Medicine Erie Room

4:00 4:30

Violence Throughoutthe Lifecycle ChicagoBallroom 9

9:00 9:30

10:30 11:00 11:30 12:00

EMRA/SAEM William H. Spivey ResidentResearch Forum:Clinical Interventional Trials in the ED, Missouri Room

Visit the Posters- Exhibition Hall

"Why the KennedyLecture: RobertBrook, MD: Qualityof U.S. HealthCareMust Be Improved" SheratonBallroom 4,5

1:00 1:30 2:00 2:30 3:00

3:00 3:30

8:30

12:30

12:30

2:30

FOR Laboratory Animal Investigation ChicagoBallroom 8

8:00

10:00

Paper Fresentations: 1 1 : 0 0 InfectiousDisease (abstracts160-167) SheratonBallroom

2:00

FOT Configuring Curriculum for the lrarner, Chicago Ballroon 9

Break

10:30

1:00

FOR How to Developa Study Protocol ChicagoBallroom 8

Poster Session- Exhibition Hall InfectiousDisease(abstracts184-194) EMS (abstracts195, 197-213) Education(abstracts214-231) Neurology(abstracts232-240) HealthCare Delivery (abstracts241-249) (abstracts 25| -267) Shock/Trauma

Trauma Ultrasonography: Stateof the Art, Huron Room

ARS Retrospective Study ChicagoBallroom 8

3:30 4:00 4:30

5:00

5:00

5:30

5:30

6:00

6:00

t9

8:00 8:30

PAPERS/POSTERS/DIDACTICS

Paperhesentations: Cardiovascular (abstracts276-283) SheratonBallroom 1

9:00

PaperPresentations: Paper Clinical Practice Presentations: (abstracts285-286, Trauma 499,287-291) (abstracts 292SheratonBallroom 2 299) SheratonBallroom 3

ARS Power Analysisand SampleSize Determination ChicagoBallroom 8

8:00

ATS Advancesin Computer-assisted Instruction ChicagoBallroom 9

9:30

Break

10:00

10:30 PaperPresentations: PaperPresentations: Paper ClinicalPractice Toxicology Presentations; 1 1 : 0 0(abstracts300-307) (abstracts308-315) HealthCare SheratonBaUroomI SheratonBallroom 2 Delivery (abstracts 268-

11:30

27r)

12:00

Neurology (abstracts 273275,535) SheratonBallroom 3

12:30 1:00

Lunch Session Remediationof the ImpairedResident Eie Room

1:30

Lunch Session Improving Care for PatientsNear the End of Life Ontario Room

Settingthe Research Agenda for Medical Informatics ChicagoBallroom 8

ATS Medical DecisionMaking: Revolutionary Models from a CognitiveScience Perspective ChicagoBallroom9

3:00 3:30 4:00 4:30 5:00

1:30 2:0O 2:30 3:00 3:30 4:00 4:30 5:00

5:30 6:00

11:30

1:00

Poster Session-ExhibitionHall a I Developing Cardiovascular(abstracts316-329) ClinicalResearch I Clinical Practice(absrracts330-349) I Unit Toxicology(abstracts 350-364) Baltroom Injury hevention (abstracts365-382) lYu*o, ClinicalDecisionMaking (abstracts383395) Innovations in EM Education(abstracts 396413)

PaperPresentations: Clinical Decision Making (abstracts418-421\ SheratonBallroom 2

11:00

12:30

Research DirectorsLunch: Fateor Futureof ProtectedTime for Researchers.

SheratonBallroom 4

SAEM Annual BusinessMeeting SheratonBallroom 5 A. Elections B. Award Presentations C. Constinrtion andBylawsamendments D. Reports

PaperPresentations: Toxicology (abstracts 414-417) SheratonBallroom I

10:30

12:00

2:00 2:30

9:00 9:30

ARS Informatics and Research ChicagoBaUroom8

10:00

8:30

Economics: Reviewingthe Basics ChicagoBallroom 8

ATS Procedural Skill Competency ChicagoBallroom 9

5:30 6:00

Tuesday,May 19

CORD Program Committee, 8:30 Arlunsas

9:00

9

MEETINGS

8:00

CORD ERAS Task Force,Ohio

SAEM 1999 RegionalMtgs, Res & Med Stu Subcommittee Arlunsas

10:00

SAEM International Emergency Medicinelnterest Group, Mississlppi

EM Residency Coordinators Forum, Michigan

8:00 8:30 9:00 9:30 10:00

ACEP Academic Affairs Committee, Parlor E

l0:30

EMSTaskForce,Ohio7:30-8:30

AACEM Meeting Colorado (8:0G12:00)

CORD Q&A Task Force, Ohio

SAEM Ultrasound InterestGroup, Mississippi

10:30

SAEM Public HealthTaskForce, 1 l : 0 0 Arkansas

11:00

11 : 3 0

11:30 12:00

12:00

CORDBoardof Dtrectors.Huron

l2:30

12:30

1:00

1:00

1:30

1:30

2:00

2:00

2:30

2:3Q

3:00

3:00

3:30 4:00

SAEM National Affairs Task Force, Arlansas

SAEM Women& Minorities lnterest Group, Ohio

SAEM Trauma InterestGroup, Mississippi

AEMEdrtoial Board,Michigan (3:30-7:00 pm)

3:30 4:00 4:30

5:00

5:00

5:30

5:30 6:00

8:00

Wednesday,Mav 20 PaperPresentations: Cardiovascular (abstracts422-429) SheratonBaUroom2

8:30

PAPERS/POSTBRS/DIDACTICS PaperPresentations: Injury Prevention (abstracts430-437) SheratonBallroom 3

9:00

TeamworkErrors: LessonsLearnedfrom Aviation Accident Prevention ChicagoBallroom 8

MedicalCall Centers and Telehealth Specialists?

ChicagoBallroom 9 EvidenceBased Medicine ChicagoBallroom 9

9:30 l0:00 10:30 I l:00

PaperPresentations: PainManagement (abstracts446-453) SheratonBallroom 3

ATS Educational Research Desigr ChicagoBallroom 8

I l:30 ATS Educational Measurement Issues ChicagoBallroom 8

l2:00 l2:30 l:00

Lunch Session Cultural Competency Eie Room

Lunch SessionFuture of Emergency Medicine Huron Room

Lunch Session Wellnessin Resident Education OntarioRoom

l:30 2:00 2:30 3:00 3:30

5:00

9:00 9:30

Evaluationof the NationalHealth Initiative to Improve ED Response to BatteredWomen ChicagoBallroom 9

10:30 11:00 11:30 12:00 12:30 1:00 1:30

Poster Session- Exhibition Hall (abstracts454-464\ Cardiovascular Injury Prevention(abstracts465-480) ClinicalPractice(abstracts 48l-498, 500-501 ) Pain(absrracts502-506) Technology(abstracts 507-513) ComputerMethodology/Modeling (abstracts 5 14518) Innovationsin EM EducationExhibits (396-413')

4:00 4:30

8:30

10:00

Break PaperPresentations: Shock (abstracts 250, 43944s) SheratonBallroom 2

8:00

Paperhesentations: PaperPresentations: Computer Injury Prevention Methodology/Modeling (abstracts527-534) (absrracts519-522) SheratonBallroom 3 Tecbnology (abstracts523-526) SheratonBallroom 2

5:30

How to Be a Successful ClinicalTrials Investigator ChicagoBallroom 8

2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30

6:00 Banquet: Museumof Scienceand Industry

6:00

Wednesday,D..f:ay 20

MEETINGS

8:00

SAEM Financial DevelopmentTask Force,Arlwnsas

8:30

8:30

9:00 SAEM Medical StudentEducators lnterestGroup, Colorado

9:30 10:00

9:00 9:30 l0:00

SAEM Substance AbuseInterest 1 0 : 3 0 Group,Arlwnsas SAEM Research DirectorsInterest Group, Colorado

1l:00

8:00

10:30 11:00

1l:30

11:30

12:00

12:00

12:30

12:30

l:00

1:00

SAEM 1999Annual MeetingScientific Subcommittee, Arlunsas

1:30

1:30

2:00

2:00

2:30

2:30

3:00

3:00

3:30

3:30

4:00

4:00

4:30

4:30

5:00

5:00

5:30

5:30

6:00

6:00

Sunday,May 17

S.cientific Paper$ Plen_ary Session (8:00-9:30 am)

Moderators: JohnMarx,MD,-Carolinas|l/iedicat Center' and WilliamBarsan,MD,Ilniversityof Michigan 136 lmpact ofRapid Defibriilation oncardiac Arrest survivar in theOntario Prehospital Advanced LifeSupport (0PALS) Study,/anG.Stieil,MDMSc,llniversity oi bttawi 168 Prospective Randomized Study oftheEffect of prehospital Pediatric Intubation on paiient0utcome, Mariinne Gausche, MD,Harbor/tJCLA 284 Tissue Adhesive Versus Suture Wound Repair atOneyear: A Correlation of Early, Three Month andOneyearCosmetic Outcome, JamesVictorQuinn, MD,lJniversity of MichigaLi 1 patient Prospective Multicenter Studyof Factors Associ_ atedwithHospital Admission AmongAdultswithAcute Asthma, RobertSilverman, MD,Long-lstand JewishMed_ icalCenter 212 Neurologic Consequences of Multiple Episodes of Fluid Percussion HeadInjurySustained whileIntoxicated on Chronic andAcute Alcohol Exposed Rodents, Micheile H. Biros,MSMD,Hennepin County Medicat Center 438 Effect of Moderate Vs.Severe Under-Resuscitation onEnd Organ Injury in a72HourSurvival Model of Vascular ln_ jury and Hemorrhage, SusanStern,MD, tJniversity of Michigan

S.cientific P3p9rs; Respiratory (10:00-12:00 noon)

S-cientilic Paqersl lschemia (10:00-12:00 noon)

Moderators: BobeilBosenthal,MD,GeorgeWashinfnn UniversityandJohnWatts,MD,CarolinaiMedicalEenter protein I Roleof Stress-Activated Kinase in post-lschemic Myocardial lnjury,Xinliang Ma,MDphD,Thomas Jeffer_ sonUniversity 10 Cardiac lschemia Alone Induces Oxidative Stress, Activation and Translocation of Nuclear FactorKappaB, BrianT. Williams, MD,University of Cotorado Healtibciences Center 11 Hydrogen Peroxide Generated

by CU,ZN-superoxide Dis_ protectio'n, muteInduces Preconditioning LanceB. Becker, MD,University of Chicago preconditioning 12 Mitochondria protection lnitiate Against Cardiac lschemia/Reperfusion Iniury, Terry Vanden-Hoek, MD,University of Chicago 13 lschemic Preconditioning Effect is Transferable Between Rabbits via WholeBloodTransfusion, EricW Dickson.

MD,University of Massachusetts 14 LatePreconditioning Induced byEndotoxin Results inAl_ teredEfficiency phosphory_ of Mitochondrial Oxidative lation, CharlesB. Cairns,MD, lJniversitvof Colorado HealthSciences Center 15 Antioxidant protects andAntineutrophil Treatment Aoainst Myocardial lschemia andReperfusion Injuryin a iabbit Model,Bernard L. Lopez, MD,Thomas JefferionUniversity 16 SB211475, A Metabolite of Carvedilol, Reduces Infarct Size After Myocardial lschemic andReperfusion Injury inRab bits, Theodore A. Christopher, MD,Thomas Jeffeisoir tJniversity

Moderatorc: BichardNowak,MD,-Hinry FordHospita'land CharlesEmerman, MD,MetroHeinnmelicat Cente| S-cientific Papers: Pediatric (10:00-12:00 noon) 60 12BB - Final Emergency Department Intubations Report Moderators:DavidJ1tte, MD, Washington of ltniveisity and the National pilotproject, Eme-rgency AirwayRegistry MarianneGausche, MD,Harbor-ltCLA RonM. Walls,MD,Brigham anaWomeniHospitat 17 Comparison ofHelium-0xygen (Heliox) Mixture andRace_ micEpinephrine for the Treatment of 2 Moderatb Prospective to Severe Multicenter Study of Relapse Following TreatCroup,JamesEdwardWebefD0,tJniversity mentforAcuteAsthma of Michigan Among Adultspresenting to the prescottG. WooAriff.MD. presenting 18 Acute EmergencyDepartment, Asthma Among Children to theEmer_ gency Massac husettsGeneralHospitat Department: TheMulticenter Asthma Research Col_ laboration, CarlosA. Camargo, Jr MD DrpH, Mass3 Accuracy of Administrative ClaimsDatafor ldentifying achusettsGeneralHospital patients Emergency Department WithAcute Asthma: Th6 19 Pneumonia inWheezing Infants andToddters, Brooklyn E Hospital Center Experience, ?p9ptjng MarkJ. Leber.

MD. M. Mahabee-Gittens, MD, Children,s Hospitat Medical Brooklyn Center Hospital Center 20 Do Parents proceWantto be present DuringInvasive presenting 4 Gender Differences Among Adults totheEmer_ dures Performed on Their Children intheEmergency De_ gencyDepartment withAcuteAsthma, liita K. Sinoh.

- A Survey partment? parents, of 400 Eric T. boie.

MD. Massa chusetts General Hospitat lndianaUniversity 5 Gender-Related Differences in AsthmaHospitalization 21 Intraosseous Infusion: A Comparison of a Spring-Loaded Rates, RobertSilverman, MD,LonglstandJewish placement,-S. Device andTraditional Manual Needle Bryan Durham, MD,University of pittsburgh phaseof Menstrual 6 Relation Between CvcleandEmer22 Prospective gencyDepartment Evaluation of lVKetorolac Visitsfor AcuteAsthma, fortheTreatment of JaniceL. Vaso-Occlusive Zinmerman, Pain in MD,BenTaubGenerat Children withSickle CellDisease, Hospital JamesL. Beiter, MD,EmorylJniversity 7 Frequent Emergency Department Asthma Visits in anUr_ 23 Radiographic Findings Associated withCtinicallv Sus_ banAfrican-American Community: Inappropriate orInevit_ pected Radial (RHS),Chartes Head Subluxations G. able?, LynneD.Richardson, MD,MountSinai,Newyork Macias,MD,BaylorColtege of Medicine 8 Comparison of HighandLowDose Albuterol forTreatment 24 Vesas: A Solution to Seasonal Fluctuations in Emergency of AcuteAsthma,RitaCydulka, MD,MetroHeatth Medical Department Census, KathyN. Shaw,MDMS,Chititrenb Center Hosptial of Philadelphia

Sunday, May 17

(1:30'4:oo pm) Poster Session Pediatrics

43 Temperature Extremes inthePrehospital Environment Atfect Chemical Availability ofEpinephrine, Marilyn Bourn, RNMS EMT-P, University of Colorado HealthSciences Center

Moderator: Jill Baren,MD,Universityof Pennsylvania (1:30-2:30 pm) 25 Parents' for 0utcomes Utilities of OccultBacteremia, Jonathan E"Bennett, MD,Washington University 26 Blood Culture Confirmed Cases of Pneumococcal Pneu- TheBenefit monia in Children of lnitial Parenteral AntimicrobialTherapy, AtimaChumpa, MD,Children's Hospital,Boston 27 Pulmonary AnAsthma Score: Severity Measure forChildren in theED,Sharon R.Smith,MD,Washington University 28 Physician Decision Making for Pediatric Asthma Patients intheED:AreWeUsing Facts or Feelings?, JillM.Baren, MD,University of Pennsylvania 29 Rapid Sequence Induction forPediatric Emergency Airway Management, MarkJ. Sagarin, Brigham and Women's Hosnital 30 Useof Laboratory Datain Patients WithSickle CellDiseaseVaso-0cclusive PainCrisis,KathyMonroe, MD, University ofAlabama, Birmingham

Moderator: Bobert0'Connor, MD,MedicalCenter ol Delaware (3:00-4:00 pm) 45 Cardiac Arrest Presenting withPulseless Electrical Activity orAsystole: Information Available During thePre-hospital Phase DoesNotPredict Outcome, JohnP.Bedolla, MD, University of Texas Southwestern

Pediatrics

49

Moderator:SusanFuchs,MD, Childrens'MemnrialHospital, (3:00-4:00 pm) Chicago 31 Radial Head Subluxation: TwoMethods Comparing of Reduction,JuliaA. McDonald, MD,University of Louisville 32 Emergency Physician WoundCarePractices DifferBetween Children andAdults, JuddE.Hollander, MD,Universityof Pennsylvania 33 Denial of Authorization for Pediatric Emergency DepartmentVisits,Michael L. Webster, MD,Children's Hospital Medical Center, Akron 34 CanSickChildren TellTime?: Presentation Patterns of lll Children Critically DoNotMatchHoursof PartTime Pediatric Emergency Departments, AlfredSacchetti, MD, 0ur Ladyof Lourdes Medical Center 35 Pediatric Emergency Nursing Education: Measuring the lmpact ofTwoDistinct Course Formats onKnowledge and Self-Ef ficacy,DianaFendya, RN,MSN,Cardinal Glennon Children's Hospital 36 Pediatric Emergency Medical Service A RefecUtilization: tionof SocialConflicl, RobertSapien, MD,University of NewMexico

EMS

pm) Moderator: DavidPersse, MD,Houston EMS(1:30-2:30 37 "CPR-0nly" Survivors of Prehospital Cardiac Arrest, Valerie J. DeMaio,University of )ttawa 38 HowLongDoeslt Take to Process Arrest a Cardiac Call?, DenisJ. FitzGerald, MD,University of Cincinnati 39 CanMedical Call-takers Accurately ldentify Cardiac Arresl?,DenisJ. FitzGerald, MD,University of Cincinnati 41 Percutaneous Transtracheal Ventilation Using an1BGauge Needle Provides Adequate Emergency Ventilation, T.Paul Tran,MD,University of Nebraska 42 Successful Prehospital AirwayManagement

by Emergency Medical Technician-1's theCombitube, Using Tom Moats,Universitv of California, SanDieoo

44 Temoerature of Intravenous Fluids inanAmbulance StorageCompartmenl, JackP.Campbell, MD,University of MissouriKansas Citv

EMS

46 Ambulance Resoonse Timesin Cardiac Related Emergencies in NewYorkState, MarkC.Henry, MD,University Hosnital andMedical Center 47

Prehospital ThePatient's Perspeclive, Cannulation: Mary F.Halter, London Ambulance Service NHSTrust

48 Accuracy of FieldDiagnosis

by Paramedics, JohnP. Santoro, MD,Baystate Medical Center CanParamedics Decide WhoDoes NotNeed AmSafely Transport bulance orEmergency Department Care?, Mark Hauswald, MD,University of NewMexico

50

Prospective of theTriage Abilities Study of EMSPersonnel,Stephen MD,University J. Ferrall, of California, Davis Paramedic Versus 51 Emergency Physician Decisions Regarding theNeed for Emergency Department Evaluation, ScottSasser, MD.Carolinas Medical Center

lschemia/Reperf usion

Moderator: BobertNeumar,MD, Universilyof Pennsylvania ( 1 : 3 0 - 2 :p3m 0) 52 Neuroprotective Effects of N-Acetyl Following Cysteine MildFocal Cerebral lschemia in Rats,Milena MiljkovicLolic,MD,George Washington University 53

Failure of Hyperventilation to Promote Neurologic Recovery Following Global Cerebral lschemia: Preliminary Results, EricA.Gross, MD,George Washington University 54 Preconditioning via Intermittent Renal ArteryOcclusion Protects Myocardium FromProlonged lschemic Insult, EricW Dickson, MD,University of Massachusetts 55 Measured DoseResponse in anlVVivoRabbit Model of lschemic Preconditioning, EricW Dickson, MD,Universityof Massachusetts 56 WITHDRAWN 57 Hyperbaric Oxygen Decreases Endothelial CellAdhesion (ICAM-1) Molecule-1 Protein Expression andNeutrophil Adhesion in an In-Vitro Model of lschemia/Reperfusio JonA. Buras,MD,PID,Brigham andWomen's Hospital 58

Effect ofMagnesium onHemin-lnduced 0xidative Injury in a RabbitEndothelial Mode|Matthew JosephWatson, Jefferson Medical College (MF)of VFare 59 Temporal Changes in Median Frequency Reproducible inthelsolated lschemic Heart, Swine Chris Barton,MD,University of NorthCarolina at Chapel Hill

Sunday,May 17

Respiratory

78 Comparison of TwoMethods of DataCollection for Key MedicatCenter poorAgreem 0ut-of-hospital !o!9r1t-01:Bita Cydutka,MD, MetroHeatth Data Elements: enI, Steven (3:00-4:00 pm) Andrews, MD,William Beaumont Hosp'iat 61 Hemodynamic Changes Associated withtheUseof Etom_ 'til 79 Race andSocioeconomic Statues DoNotpredict idateDuringRapid,.sequence Adverse Induction ot Criticalty ' Cardiac Patients, Arrest,inthonyJ. KevinR. Ward,MD,HenryFordHospitat 9!l9ofr..gl,.0ut-of-hospitat Sayegh, WiiliamBeaumont Hosnital 62 Effectof Heriox as a Driving Gason Updraft Neburizer Efficiency in Simulated AcuteAirflowObbtruction, Geriatric/Ethics Dayyn Galliano, Louisiana Statell niversity Moderator: JamesAdams,MD,Brighan& Wonen,sHospitat (1:30-2:30 63 Randomized pm) Trialto StudyHelium: Oxygen asa Delivery 80 Evaluating Vehicle to Nebulize Acceptance Albuierol andUnderstanding in Acute-Asthma of Riskinthe Exaceri bationintheEmergency Emergency Department, Department Michael G.Risbino, Gulam R Aziz,MD, Ul, Aostli , NewYorkHospital Medical Center Medicatbenter oi eueens 64 Useof Heliox perception 81 Comparison vs 0xygen of Patients' Driven nebulization of theAuditory of Albuterol and in theTreatment Visual Privacy of Asthma, of Different JackHorowitz, Emergency Department UO,Uidicit Treat_ Center mentAreas,DavidBarlas, of Delaware MD,-Noih Shoreuniversity Hospital 65 Prospective Comparative TrialofHeliox Driven Continuous 82 Decubiti Nebulizers intheManagement asa Predictor of Colonization ofAcute Severe withMultiply_Re_ nsffrmiln theEmergency sistant 0rganisms Department, preienting in Nursing JohnS. Rose, Home Residents MD,Uniieriiy of California, to the ED,JamesRyan,MD, NorthShoreuniversifi Davis Hospital 66 Factors Predicting Recovery of peakExpriatory FrowRate 83 Outcomes inan Emergency of Admitted (l_ElR) pefer Diagnostic Geriatric Trauma anOtredtment Victims, U;it (EDTU), Ferrera, Michaet MD,AlbanyMedicatColtege McDermott, MD,CookCouniinoipiii' 67 Lackof Appropriate 84 Gender Differences patients, Asthma in Injured Therapy Geriatric andpatient Knowl_ MarcJ. edgein an UrbanEmergency Shapiro,MD,BrownlJniversitv Dep'artment, Thomas D. Kirsch,MDMpH,Resurrectioit MeiiicalCenier Administration 68 Comparison ofContinuously Nebulized Albuterol Over Dif_ Moderator: Ste.Fhanie Abbuht, of theltniversity ferent TimeIntervals in EDTreatment lWD,Hospitat of Asthm a, Oaniet o^!

Penlsylvanra(3:00-4: 00pm) Stewar|MD,MichiganStatellniversityKalamazoo 85 Evaluation of Changes.in pro_ ttreSRffU Abstract Review performance 69 tpnlo^vi1q Subject in Asthma cess,JuddE.Hollander, Clinical Triats, MD,Society for Academic Emer_ SaulD.Melman, MD,CookCounty gencyMedicine Hospitat positive 7g Nasal pressure Bilever Airway 86 Comparison (BrpAp) of Standardized ventiration andNarrative Letters ofRec_ forTreatment of Status A$hmaticus, ommendation MarkT.'Uoittiy,-nlp, , DanielGirzadas, Jf ChristHospitat and University of Florida HeatthSciences Medical Center Center 71 Effect of Blade 87 Percentage TypeandCervical ofEMResidency Spine lmmobilization Graduates WhoGetTheir on First in Choice a Cadavar of Jobs Modet HasNotChanged of Intubation, Between Boger S. 19-95 fgrylgoscopy and1g97, Hamilton, MD,lJniversity MarkT.Steele, of California, MD,lJniversity SanDiego of Missouri-Kansas City position 72 Effect 88 0ccupational of Body Risk onpulmonary of Motor Vehicle Function, Theodore Collisions/Near C.Chan,MD,University Crashes in EMResidents of Catifornia, Following theNightinttt,Na* SanDiego T.Steele,MD,University of Missoiri-Kans"as City 89 Determination of the Minimal Clinically CPR Significant Dif_ ferences onPatient Satisfaction Scales, Adari-Singer, Moderator: MD, MarkAngetos,MD,lhio StateUniversity StateUniversity of Newyorkat Stony'Brook (3:00-4:00 pm) patients 90 WhatPredicts 73 Evaluation Whether of TwoThumb WillChoose Chest thisEDAgain?, Compression WithThor_ James G. acicSqueeze Adams, MD, in a SwineModelof InfantCardiac Brigham andWomen's Hospitat Rrreit, Paullshimine,University 91 Do Televisions of pittsburgh in Emergency Department Treatment Rooms Increase 74 Comparison Patient Sttisfa-ction?, of the Two-Finger Joseph D phiilipi, Versus the Two_Thumb MD,lndianaUniversity Methodof ChestC.ompressions, BradleyStywka, Ud, University of Louisvitte 92 lmpaltofa.Comquter Based Emergency Department Med_ icalRecord patient on 75 Feasibility Reimbursement, andutirityof Hand-herd Care, Resident Brood Anaryzers Used patient in Modifying Time,MarcSatzberg,' Management MD,Bay_ During Cardiac neiui_ !9TaJr"on,.and^Charling state Medical Center citation, ChrisA. Ghaemmaghani, MD,itbgnenyOenerit Hospital 93 Frequent Usersof the Emergency Department, Bernice Sessa, MD, Henry 76 Physician Ford Hospltat Factors perform Associated withReructance to Mouth-to-Mouth Resuscitation, BarryBrenner, MD,phD, Administration Brooklyn HospitalCenter Moderator:LouisBinder,MD,llniversityof Iilinois, Chicago 77 of Cardiopulmonary Resuscitation Training (1:30-2:30 onAt_ pm) lpOact titudinal Barriers to Initiating CpR,Dougrtas towiry,tWO, 94 Hospital Admission Timesandthe Decision to Admit, EmoryUniversity JohnHowell,MD,Georgetown lJniversitv

Sunday,May 17 Physician Patient Age,Gendel VitalSigns andAttending Variability, Andrew W Asimos, asPredictors of EDCharge MD,Carolinas Medical Center PopulaRates in Urban andSuburban 96 CallBackSuccess tionsanditsVarience withIncome, Edward Kakish, D0, andMedical Center St.JohnHospital Physician Disability: TheEffects 97 Emergency of Ceftain Conditions on Employabilily, JacobUfberg,MD,AlleghenyUniversity of theHealthSciences - Subiective andObjective Measures, 98 EDStaffWorkloads Gregory D.Jay,MDPhD,BrownUniversity (ED)Charts, 99 Agreement Among Emergency Department EDDatabase, andBillingDatabase, DavidKruse,Universityof NorthCarolina Hosoital 100 Canthe EDWhiteBloodCellCountPredict at Riskfor Charges and Lengthof Stayin Patients Infection?, Nathan MD,Massachusetts Systemic Shapiro, Hospital General 101 Useofa Template Driven Hand Written Emergency DepartmentChartto Increase BillingLevels, MarkHauswald, MD,University of NewMexico 95

lmaging Moderator: BichardWolfe,MD,Brigham& Women's Hospital pm) (3:00-4:00 102 Negative Emergency Department Ultrasound Compression R e l i a b lEyx c l u d ePsr o x i m aDl e e pV e i nT h r o m b o s i s , Bradley W Frazee, MD,Highland Hospital Genreal Within the 103 Does theldentification of Echogenic Material Endometrial Exclude Cavityby Transvaginal Ultrasound the Diagnosisof a NormalIntrauterine Pregnancy?, RobertG.Dart,MD,BostonMedical Center 104 Ultrasound Brachial andcephalic VeinCannulation Guided withDifficult Intrain Emergency Department Patients venous Access, LindaElaine Keyes, MD,Alameda County Medical Center 105 Ultrasound Detection Intraperitoneal Fluid Associof Free Injuries: theSenatedWithLiver andSpleen Comparing Views,0. JohnMa,MD, St. sitivityof FiveAbdominal Luke'sHospital RightUpper 106 Performance andInterpretation of Limited Physicians, Richard J. Quadrant Ultrasound byEmergency HealthMedical Shimp,MD,Denver Center 107 Echocardiography in theEvaluation Activity in of Cardiac Andrzej an Asphyxial Canine Modelof Cardiac Arrest, Dmowski, Medical of Wisconsin College 108 Accuracy of Bedside Echocardiography Performed by Emergency Medicine Physicians, Richard Hoffner, MD, of Southern University California Thelmoact 109 Helical CTvs.IVPforSusoected Renal Colic: . 0nEDThroughput, David F.M.Brown, MD,Massachusetts Hospital General 110 Routine Computerized Tomography intheAnticoagulated Patient with MinorHeadTrauma, Garra,D0, Gregory Hospital Morristown Memorial 111 DoWeStillHave to WorryWhentheUrineis Dilute?, BruceN. Gibbon,MD,SanAntonioUniformed Services Health EducationConsortium

(4:00-6:00 pm) Papers: Geriatrics/Ethics Scientific

Moderator:Jetf Bunge,MD, CarolinasMedicalCenterand Hospital JamesAdams,MD,Brigham& Women's Human Dermal Fibroblast 112 Hyperbaric 0xygenIncreases Receptor Number Proliferation, Growth Factor andInVitro Wound Wende Reenstra, PhD,Boston University Closure, Insufficiency ontheSpecificity of Cardiac 113 Effect of Renal Thomas P.Noeller, MD,CleveTroponin T in theElderly, Foundation landClinical in Biasin the Useof Neuromuscular Blockade 114 Elderly MarkJ. Sagarin, Emergency Endotracheal Intubation, Hospital BrighanandWomen's Information During 115 Availability andReliability of Historical Department Evaluation of the Elderly the Emergency Hospital Patient, DavidBarlas, MD,NorlhShoreUniversity lntervention AboutAd116 Feasibility of a BriefEducational Blanda, vanceDirectives for 0lderEDPatients, Michelle MD,Summa HelathSystem '117 0regon EMTs'Attitudes Toward Physician Assisted Suicide, TerriSchmidt, MD,)regonHealth Sciences University in Geriatric 118 Cognitive Processing Efficiency is lmpaired ParPatients WithAcuteMinorTraumatic Injury, Robert tridge,MDMPH,BrownUniversity Home Transfers totheED:AreTheyNecessary?, 119 Nursing MD,Summa HelathSystem MaryPeterson-Suri,

- 6:00 pm) Papers: Scientilic CPR1t:oo

Moderators: JamesManning,MD, Universityof NorthCaroMD,University of Chicago lina andLanceBecker, Myocardial HighEnergy Phosphate Loss 120 LeftVentricular Fibrillation: The Influence of RepDuringVentricular MarkG.Angelos, MD, erfusion FlowandEpinephrine, }hio StateUniversity 121 Acetyl-L Enhances Post-ischemic Metabolism Carnitine NotDirectSubstrate Enhancement, ViaIndirect Effects, of Colorado HealthSciCharles Cairns,MD,University encesCenter Hypocalcemia During Cardiac Ar122 Hperkalemia andlonized Possible forPostcounterrestandResuscitation: Culorits B. Cairns, MD,University Charles of shockArrhythmias, Colorado Transthoracic Defibrillation in an 123 Evaluation of Binhasic Modelof Prolonged Ventricular Fibrillation, Mark Animal MD,University of Pittsburgh Scheatzle, Perfusion Aortic ArchPer124 Effects onCerebral bySelective Resuscitation, Penny Jo fusionDuring Cardiopulmonary Hamilton, University of NorthCarolina

125 Randomized, Controlled Trialof VideoSelf-lnstructional in anAfrican-American Church CongregaCPRTraining tion,SherylL. Heron,MDMPH,EmoryUniversity 126 Evaluation of LayPerson Competency andSkillRetention External Defibrillators, BrentR. in theUseof Automated Asplin,MD,University of Pittsburgh Responders: The 127 RapidDefibrillation

by Nontraditional Valenzuela, MD, University of CasinoProject,Terence Arizona

Sunday,l/.ay 17 Scientific Papers: Administration/lmaging

(4:00-6:00 pm) Moderator: DavidOverton,MichiganStateUniversity, Kalanazoo,andJeromeHotfman,MD,UCLA 128 UseofAutomation to ldentify Eligible Patients During ClinicalInvestigation: HowApplicable is Thisto Emergency Medicine?, PhilipN.Salen, MD,Medical Center ofDelaware 129 Do Emergency Department 0bservation UnitsPrevent Hospital Admissions inPatients Requiring Social Intervenlion?,Kathleen A. Raftery,MD,Brighamand Women's Hospital 130 lmpact ofAmbulance Diversion Policies onanUrban AcademicMedical Center, JamesJ. Scheulen, PA-C, Johns HopkinsMedicallnstitutions 131 Does thePresence of a Television Effect Patient SatisfactionintheED?,AdamSinger, MD,University Hospital and Medical Center

132 Tc-99m Sestamibi lmproves theAppropriateness of ED Disposition forPatients withAcute Chest Pain thatisLow(ACll.Joseph Moderate RiskforAcuteCardiac lschemia W.Kosnik,MD,Wayne StateUniversity 1 3 3 Comparison o{Non-Contrast Spiral Computerized Tomography Against Intravenous Pyelography in theEvaluation of AcuteFlankPain,ScottK. RineerMD,NavalMedical Center 134 Gallbladder Ultrasonography: Agreement Between EmergencyPhysicians and Radiologists, CarloRosen, MD, Massach usettsGene ralHospital 1 3 5 Emergency Department Ultrasound lmproves Timeto Diagnosis andSurvival in Ruptured Abdominal Aortic Aneurysm, DavidPlummer, MD,Hennepin County MedicalCenter

FUNDAMENTALS (10:00am-n:00am) FUNDAMENTALS 0FRESEARCH (n :00am-12:00N) 0F TEACHING Introduction toStatistics Providing LipService: Elfective Lecture Techniques

Moderator: Michelle Blanda, MD,AkronCityHospital Roger l. Lewis, MD,PhD,Harbor-UCLA Medicat Center Theeducational objective of thissession is to discuss thestatistical concepts andmethods thatmustbeunderstood if theinvestigator isto beableto communicate witha biostatistician andproductively collaborateinthedesign andanalysis ofa clinical study.

Early inthecourse of planning a project, a researcher needs to make anappraisal oftheoutparameters come to bemeasured, thefeasibility ofdoing thestudyina given patient population, thenumber of patients needed forstatistical comparison, andtheanalytical quesmeans ofaddressing theresearch questions, tion.Early statistical consultation canassist withthese but theresearcher mustprovide theinformation thestatistician needs t0 perform a critical andanalytical review fortheproposal.

FUNDAMENTALS (10:00-n 0F TEACHING :00am) Elfective Teaching in the InformalSetting

Diane Birnbaumer, MD,Harbor-UCLA Medical Center Theeducational objective of thissession is to discuss various techniques useful to maximize informal education, Medical education often place takes ininformal groups settings suchasbedside teaching, small "on-the-fly" and discussions.

An understanding of theprinciples of adultlearning andfamiliarity withtechniques usedin informal educationfacilitate parteaching inthese settings" Bytheendofthissession, ticipants should beableto listtheprinciples of adultlearning andhow it differs fromthatof children, explain thetypesof discussion techniques andwheneachis bestapplied, anddiscuss thetechniques to facilitate adultlearning intheinformal setting.

FUNDAMENTALS (n:00am-12:00N) 0F RESEARCH Ethical Research andtheIRB

Moderator: Michelle Blanda, MD,AkronCityHospital leffreyWRunge, MD,Carolinas Medical Center Theeducational objectives ofthissession areto present necessary ethicalconsiderations inthedesign andperlormance of research, andwill principles acquaint theresearcher withtheethical underlying informed c0nsent regulations andtheperspective of thelRB.Thissession will yourIRBapplication alsosuggest ways t0 improve inyourquest forIRB approval.

Themechanics of initiating a clinical research studygo beyondthewriting oftheprotocol.

Thedesign musttakeintoaccount the rights andwelfare ofthepatients orvolunteers whowillbethesubjects oftheresearch, Clinical research islikewise subject tofederal regulation andmustmeetinstitutional approval.

WillianBurdick, MD,Allegheny University oftheHealth Sciences Theeducational objectives of thissession areto state thetypeofeducational material thatis bestpresented ina lecture f0rmat, compare the advantages anddisadvantages of thelecture versus other formats, list presentati0n skillsthatcanimprove audience attentiveness during a lecture, anddescribe thecomponents thatshould existwithin alllecparticipants tures.Bytheendof thispresentation, should have the knowledge ofvariables thatcanresult ina moreeffective lecture,

ABEMLunchwith Residenls (12:00N-t:30pm)

ABEM willofferanopportunity, peroverlunch, to obtain theBoard's spective 0n currentevents whichhavean impacton Emergency Medicine residents.

Thelunch willalsoprovide anopportunity forresidents toaskquestions andto discuss issues of importance withdirectors of the BoardandABEMstaffmembers.

Pre-registration is requesled toassure anadequate number of lunches areordered, bul notrequired porti0n lo attend thepresentation anddiscussi0n ofthe session.

There is nocharge to attend thissession.

LUNCH SESSI0N: Current Status ofAcademic Emergency Medicine in Europe ft2:00N-t:30pm)

Moderator.

C.James Hollinan, MD,Milton S.Hershey Medical Center/Penn State Herman H.DeLooz, MD,President, European Society forEM,Belgiun Edita Stok,MD,Deputy Health Minister, Slovenia Andrew Eynon, MD,University ofManchester, United Kingdom Theeducational objectives ofthissession areto provide updates forthe audience onthecurrent status ofacademic emergency medicine inihe different European countries andonthecurrent structure andstatus of programs emergency medicine residency training in Europe.

Thepanel willpoint0utwaysinwhich members SAEM canbecome involved with emergency medicine academicians in Europe andcontribute to the developing programs, point European emergency medicine training out projects research inemergency medicine involving international collaboration in whichSAEM members couldparticipate, andt0 provide an 0pp0rtunity to publicize theEuropean Congress of Emergency Medicine andtheConjoint Faculty of Accident andEmergency Medicine and SAEM conferences in whichSAEM members canoarticioate.

Limiled enrollment. required. $30fee.Pre-registration

Sunday,May 17

Termination Efforts for 0n-Scene ofResuscitation theTrauma Patient: When is it Appropriate?

(12:00N-1:30pm) Moderator.

Larkin, MD,University Greg ofPittsburgh MarcEckstein, MD,University ofSouthern California PaulPepe, MD,MPH, Allegheny General Hospital Theeducational theavailable objectives of thissession areto review to drawsomeconclusions regarding studies andattempt acceptable criteria fortermination of resuscitative efforts for injurypatients.

The panel potential prospective willalsodiscuss leaving timefor studies, participants audience to contribute theircomments regarding appropriatestudydesigns andprobable studylimitations.

Although criteria for termination on-scene of resuscitation effortshavenowbeenestablished for patients withnon-traumatic cardiac arrest, n0studies have thetraumapatient. explicitly addressed Though mostpractitioners patient wouldconcur thatthetrauma circulatory arrest in developing theprehospital is beyond hopein themajority syssetting of trauma tems, firmguidelines isalso have notbeen devised andclear consensus participants lacking" Bytheendofthissession, should beableto recognize thecurrently available dataregarding following out0utcomes withtrauma, of-hospital circulatory arrest associated appreciate uniformfindings thevarious thelimitati0ns among studies andunderstand findings, to help ofthese andcomprehend appropriate study designs guidelines furtherdelineate appropriate for terminating resuscitative efforts on-scene.

Medical for Current Status of Emergency Services (EMSC) (12:00N-t:Jnpm) Children Funding

Resources Administration/Maternal & JeanAtheyPhD,Health andServices Bureau ChildHealth Jane BallPhD, EMSC National Resource Center Susan Fuchs, MD Childrens MenoildHospital, Chicago Kenneth Williams, EMSC National Resource Center Theeducational thegoals objectives ofthissession aretodiscuss ofthe program, pediEMSC whichinclude integrating overthenext5 years, in allaspects atricissues of stateEMSplans, expansion of pediatric pr0grams professionals, emergency training for health improve hospitalidentification andregional system expand theavaildevelopment, prevention, pediability ofinjury firstaid,andCPRprograms, integrate atriccomponents intothedevelopment of alltrauma systems, andto institutionalize EMSC withinthestateEMSsystem.

TheEMSC federal grant program hasbeen inexistence since 1984, andhasmade numerousstrides.

Every hasbeenfunded through EMSC statein thenation grants t0 improve thecaregiven t0 children through theEMSC continparents, prehospital uumofcare: thecommunity, andhospital care, and participants rehabilitative services.

Bytheendof thissession, should beableto decide howtheycangetinvolved ata local, state0r national level ofEMSC issues.

Inaddition, theycanlearn whatprograms maybe grants. appropriate forEMSC funded

Howto Writea GoodGrant Application: (t:30-5:J0pm) WhatDoesit Taketo GetFunded?

Liane Reif-Lehrer, PhD.President, Tech-Write Consultants/Erinon Associates Theeducational objective ofthissession istoteach theskills required to grant proposal. prowrite afundable Grantwriting isa longandarduous cess" Butwithsomeluckandskill,theprocess canbeproductive, leadproject. ingto a funded Wecannot helpwiththeluck,butthissession grant proposal. intends to helpwiththeskills required towriteafundable In thissession, Dr.Reif-Lehrer willprovide viewof the an insider's process, review emphasizing theimportance theinforof providing

pracmation thatthereviewers need andwantto know.

Shewillprovide revising, ticalguidelines for theplanning, outlining, drafting, andfinpreparation, general for ishing including strategies stages of proposal goodexpository tracking theapplication, writing.

Shewillalsoaddress to revised andsurviving reviewers' comments submitting applications, theNIHgrantproAlthough thissession uses usethemc0nstructively. theskills to alltypes ofgrantproposals. cessasa model, areapplicable Dr.Reif-Lehrer istheauthorof theGrantAoolication Writer'sHandbook, lt series Getting Funded: andthenarrator of thetwovideocassette Takes More Than Justa Good ldea.

Sheisaninstructor, scientist, expegrantwriter, to researchers, member of NIHstudy rienced consultant many onthetopicof sections, andtheauthor ofoverfiftypublications, grantsmanship. fromthe Dr.Reif-Lehrer received herPhDinchemistry fellow andwasanNIHpost-doctoral University of California at Berkeley, Medical Associate Professor at at Harvard School.

Shewasformerly Harvard Medical at the Schepens Eye School andSenior Scientist president Research Institute. of Tech-Write She is currently Associates, f irmforgrant writing and Consultants/Erimon a consulting lee.Prerelated subjects.

Enrollment limited to 50.$90registration registration is required.

(t:30-3:i0pm) FUNDAMENTALS 0F TEACHING Photogr aphy fortheEm er genc Phy y s i c i an Clinical

Lawrence B Stack, MD,Vanderbilt University AlanB Storrow, MD,University ofCincinnati thebasic Theeducational objectives of thissession areto understand camera andcomputerized flashsyscomponents of a fullyautomatic photography tem,understand the principles to include of medical "plane parallel," reproduction ratios, depth offield, background control, ratios, andto understand theprinciples of radiandstandardization of emergency ographphotography, and copywork.Photography patients department andsupportive data, suchasradiographs andelecprovide trocardiograms, essential academic andpublication material. places However, theEmergency environment unique demands onthe photographer presentation quality photo produce amateur striving tographs. timeandphotographic inexRelatively shortpatient c0ntact perience Asa result, thetremendous range areoftendiscouraging. of problems virtually the department educational oftenpassthrough phodepartment undocumented, a lossforacademic use.Emergency portable, tography requires anexpedient, adaptable andrelatively simplecamera prerequisystem to takeadvantage of opportunities.

These photography, sitesaredifferent fromtraditional medical where relatively plentiful timeand advanced are routinely equipment available. photography provide Medical departments an invaluable service, but phoarerarely convenient for immediate or spontaneous emergency tographs.

Although nosingle 0rtechnique isoptimalin allthese system areas, wefindcertain c0mp0nents andapproaches workwell"

Medical Evolving Technologies UseoftheInternet: (4:00-E:00pm) lorEmergency Medici nE

MD,MS,BethlsraelDeaconess Medical JohnD.Halamka, Center Rutledge, MD,PhD,BethlsraelDeaconess Geoffrey Medical Center Theeducational objectives of thissession areto highlight thebest medical resources t0present emergency ontheInternet, anoverview of newInternet technologies, andto provide anoverview of techniques which maximize theusefulness whileminimizing time. of theInternet TheInternet is evolving froma repository of information to aninteractive,intellectual melting-pot filledwithpatient-centered resources, onlinecontinuing medical education which andnewtechnologies allow patient thesecure exchange of clinical databetween hospitals and emergency departments.

Monday, May 18

Scientilic Papers: EMS1e:oo-10:00 am)

Scientilic Papers: Health Care Delivery

Moderator: PaulPepe,MD,Alleghenyllniversityof theHealth (8:00-10:00 am) Sciences andMichaelSayre,MD,Ilniversityol Cincinnati Moderators: TerryValenzuela, MD,Ilniversityphysicians and 196 Analysis ofAmbulance Diversion Policies Between Urban, JuddHollander, MD,Hospitalof thellniversityofPennsylvania Suburban, andRuralEnvironments J. Scheuten, 152 Effects , James of Medicaid Managed Care(MMC)on Infant PA-C, JohnsHopkins Medical lnstitutions Emergency Department Use,Evaline A.Atessandrini, MD, Children's Hospital of Philadetphia 137 Comparison of EMS-Witnessed andBystander-Witnessed Cardiac ArrestPatients, Valerie J. DeMaio,IJniversitv of 153 Role oftheEmergency Department inChronic Asthma Care ]ttawa prescoff Among Adults: A Prospective Multicenter Study, G.Woodruff, MD,Massachusetts 138 NowThatWeHave General Hospital theUtstein Template, AreWeUsino it?.

DavidC. Cone,MD,Attegheny lJniversity of the Hlealth 154 Effect of Payment System on EMSUsage for Chest DisSciences comfortSyndrome, DavidB. Siepmann, BS,1regon HealthSciences 139 Cummulative University Meta-Analysis of the Effectiveness of Emergency Medical Services for Sudden Cardiac Arrest, 155 Searchlng forTuberculosis intheEmergency Depaftment, Graham Nichol,MD,University of )ttawa ClintR. Woosley, University of Texas Health Science Cen140 Paramedic Recognition ter,SanAntonio of STElevation AcuteMyocardial Infarction (STEAMI) in the 0ut of Hospital Setting, 156 Telephonic andIn-Person Triage: A Prospective RandomKathryn Brinsfield, MD,BostonMedical Center izedCrossover Trialon the Effectof VisualCues, Vital 141 Metaanalysis of Prehospital Thrombolysis andtheEffect Signs, andProtocols ontheTriage Process, EricD.Satk, on Mortalityin AcuteMyocardial lnlarclion, MD,University Laurie of California, LosAngeles Morrison, MD,University of Toronto 157 RateandRiskof Excess Morbidity in Emergency Departpatients 142 Long-Term Survival of Out-of-hospital mentsDuring withConthe1995HeatDisaster, DinoP Rumoro, gestive Heart Failure, Steven A.Meador, MD,pennState D0,Resurrection G Medical Center eisinger HealthSystem 158 Demographic, Clinical, andUsage Pattern Comparison of 143 Useofa Geographic lnformation System to Determine ED Frequent the UsersWith OtherPatients, Joshua H. MostAppropriate Meansof Transport to a Regional Mandelberg, BA,University of California SanFrancisco TraumaCenter,E. BrookeLerner,BA, EMT-p,State 159 Costof Treating Nonurgent Patients Physician by AssisUniversity of NewYorkat Buffalo tantsvs Emergency Physicians, JamesC.Mitchiner, MD MPH,St.JosephMercvHospital Scientific Papers: Respiratory (8:00-10:00 am) Moderators: EmilSkobelotf,MD,Alleghenyllniversityof the HealthSciences and BobertSilverman,MD, Long Island Scientific Papers: Infectious Disease JewishMedicalCenter (10:30-12:30 pm) 144 Partial LiquidVentilation Increases Bronchoalveolar But Moderator: JudithBrillman,MD,Universityof NewMexico Not LungTissue Chemokine Levels Following Shock, 160 Does lL-6 Predict Progression to Severe Sepsis?, CarotA. JohnG. Younger, MSMD,University of Michigan Terregino, MD,Cooper Hospital/University Medical Center 145 Percutaneous Transtracheal Ventilation in AcuteExoeri161 Yield of Blood Cultures in Patients with Community Acquired mental Asthma, T.PaulTran, MD,University of Nebraska Pneumonia, ScottWilber, MD,Summa Health System 146 Intratracheal Insufflation of 2 Levels of GasFlow(Bl-FlV) pulmonarv 162 External Validation pigs,Fabrice ofa Decision Tree forActive Efficiently Supports GasExchange inHealthy Tuberculosis, R. Steenstra, D0, St.Barnabas Hospital Brunet, MDPhD,CochinUniversity Hospital postnatal 163 Appropriateness 147 Effect of Vancomycin of Prenatal Nicotine Use in Exposure Emergency on Early Department Patients,Seth Wright,MD, Vanderbitt Respiratory Responses in Rats,JamesM. Leaming, MD, University StateUniversity of NewYorkSyracuse 148 Oxygen 164 lmmunity Delivery andUtilization of Emergency During Medicine Moderate Physicians Hypoxia to Vaccine andHyperoxia Preventable in AdultVolunteers, Diseases, Natalie E.Lane,MD,lJniversitv JeffreyS. peterson, of MD,University Louisville of Colorado HealthSciences Center 149 Nocturnal Asthmatics ShowEvidence 165 Needs of Inflammation Assessment lnforPneumococcal Vaccine inanUrban duced Decoupling of Mitochondrial Oxidative Emergency Metabolism, Department Population, Katherine L.Heitpern, BrianT.Williams, MD,University of Colorado MD,EmoryUniversity HeatthSciencesCenter 166 A Demonstration of the Feasibilitv of Svstematic 150 SerumCreatine Phosphokinase Values in patients With Pneumococcal lmmunization in anInn6rCityEmergency AcuteAsthma, Daniel Katzman, LonglslandJewish Department, Da vid Slobodkin, MD MPH,CookCountv Hospital 151 HighandlowRiskPatients withAsthma Managed in an Emergency Diagnostic andTreatment poor0utcomes Unit(EDTU) that 167 Utility oftheProthrombin Timeto Predict haveSimilarFailure andRelapse Rates, Matthew Griffin. in EDPatients Diagnosed withHepatitis , JudithBrillman, Wayne StateUniversity MD,University of NewMexico

Monday, May lB pm) Papers: EMS1to:so-12:30 Scientific

Moderators:TomAutderheide, MD, MedicalCollegeof WisconsinandBogerLewis,MD,HarbonUCLA 40 Paramedic Success Ratefor Nasotracheal lntubation is lmoroved WiththeUseof Endotracheal TubeDirectional TipConlrol, RobertE.1'Connor, MDMPH,Medical Centerof Delaware 169 Subgroup Analysis froma Prospective Randomized ofData Studyof Prehospital AirwayManagement in Children Using Classical andBayesian Techniques, Roger J. Lewis, MDPhD,Harbor/UCLA 170 Misplaced Endotracheal Tubes byParamedics inanUrban EMSSystem, Steven H.Katz,MD,)rlando Regional MedicalCenter 171 Education of Paramedics inPediatric Airway Management: Effects of Different Retraining Methods on Self-Efficacy andSkillRetention.

Deborah P.Henderson.

PhD.RN.Har bor/UCLA 172 Medicvax Project: Influenza lmmunization Agencies, byEMS VinceN.Mosesso, Jr MD,University of Pittsburgh 173 Paramedic Evaluation Indicators of Clinical of Cervical Spinelnjury,RituSahn|MD,University of Pittsburgh 174 HighYieldDispatch Failto ldentify Inappropriate Criteria Activation ofFirstResponder Vehicle, Ross Berringer, MD, St.Paul'sHospital 175 Effectof Transport Modeon 0utcome for Interhospital Transfer InjuredPatients, N. ClayMann,PhD, of Severly }regonHealthSciences University

pm) (10:30-12:30 Papers: Education Scientific Moderator:DaneChapman, MD, Washington Universityand PeterSokolove,MD,Universityof California/Davis 176 Changes in Institutional Attributes Associated withFormation of Academic Departments of Emergency Medicine, PhilipL.Henneman, MD,AlbertEinstein College of Medicine 177 lmpact ofDepartmental Resource Availability onEmergency Medicine Resident Interest inandChoice ofanAcademic Ca reer,Kathleen AnnNeacy, MD,University of Michigan 178 Level ofExaminer Agreement fortheCritical Actions ofthe ABEM OralCertification Examination, Hazen P.Ham,PhD, American Boardof Emergency Medicine 179 Stability of Resident's A 0ne-year Follow-up Satisfaction: of theABEMLongitudinal Studyof Residents in EmergencyMedicine, Hazen P.Ham,PhD,American Boardof Emergency Medicine (Ll)by Emer180 Assessment of Laryngoscopic Intubation gencyMedical (EMTs), Technician Students )rlandoR. Hung,MD,Dalhousie University 181 Airway Management inAcademic Emergency Departments: Intubation Procedures

by Specialty andLevel of Training, ErikD.Barton,MD,Brigham andWomen's Hospital 182 National Pro{ile of EMResidents' Research Experience, CarolA.Terregino, MD,Cooper Hospital/University MedicalCenter 183 Evolution Abstracts: ofSAEM A Twenty-Five YearPerspecIive,AdamSinger,MD,University Hospital andMedical Center

pm) (3:30-6:oo Poster Session Infectious Disease Moderator: LalaDunba4MD,LouisianaStateUniversity pm) (3:30-4:30 Among 184 Seroprevalence ofVaricella Antibodies NewHouse (H0),Kumar Alagappan, MD,LonglslandJewish Officers Medical Center 185 0ralAcyclovir DoEMPhysicians Follow ExandVaricilla: pertGuidelines?, DavidPeak, Boston Medical Center 186 Syphilis Testing in Emergency Serology Department PatientsWithSexually Transmitted Diseases, SamTorbati, MD,University of California, SanDiego 187 Effectiveness Follow forGonorofa Regional UpProgram rheaandChlamydia Cultures, JohnJ. Kelly,D0,Albert Einstein Medical Center 188 Antibiotic Resistance in Urinary lsolates in EDPatients: Prevalence andRiskFactors, MD,Vanderbilt SethWright, University 189 Leprosy in theEmergency Department, Richard Hoffner, MD,University of Southern California 190 AreEmergency Physicians MoreLikely to Prescribe Antifor ColdsthanOfficePractitioners?.

R. biotics Steohen Pitts,MD,EmoryUniversity 191 Prevalence Associated withHeoatitis andRiskFactors Cin Emergency Department Patients, Florence, Christopher MD,University of NewMexico 1gZ Emergency Department Treatment AfterRabid-Animal Exposure, NoelleRotondo, D0, YorkHospital 193 Predictors of Poor0utcome in EDPatients withCellulitis, JudithBrillman,MD,University of NewMexico 194 Documented Pneumococcal lnfections andMrssed EmergencyDepartment Opportunities {or Prevention, JohnA. BS.Michioan Skinner.

StateUniversitv

EMS Moderalor:TedDelbridge,MD,Universityof Piltsburgh pm) (5:00-6:00 195 Doesthe Lay-Public Expect Prearrival lnstructions?, Anthony lV MD,StateUniversity J. Billittier, of NewYork at Buffalo 197 Compliance WithPrehospital Triage Protocols for Major Trauma Patients, Matthew H. Ma,MD,JohnsHopkins University 198 Development Patient Methodology of theTrauma forthe (0PALS) Advanced LifeSupport 0ntarioPrehospital Study,B lxanneE. Ward,RN,University of )ttawa 199 Prehospital Personnel AgreePoorlyWithEmergency Physician on Clinically Excluding Cervical SpineInjury, Margaret Hsieh,SaintFrancis Hospital andMedical Center 200 EMSProviders andWeapons in thePrehospital Setting: Whatis Happening Before theEmergency Department?, ToddW Thomsen, Harvard Medical School 201 Prevalence of Hepatitis C Virusin Prehospital Providers, JudithBrillman,MD,University of NewMexico 202 Prehospital andOutcome inthe Care o{Labor andDelivery Field,HarryMoscovitz, MD,YaleUniversity 203 CanParamedics Treat andDischarge Hypoglycemic Safely Patients in theField?, Anthony J. Billittier, lV MD,State University of NewYorkat Buffalo

Monday, May 18 204 Long-Term Survival of0ut-of-hospital Patients withHypoglycemia, StevenA. Meador, MD,PennStateGeisinger HealthSystem

EMS Moderator: MichaelSayre,MD,Universityof Cincinnati (3:30-4:30 pm) 205 Effect of a Stroke Protocol on Mangement of Prehospital StrokePatienls, AngeloM. Barile, AkronGeneral Medical Center 206 Nationwide Prehospital StrokeSurvey, ToddJ. Crocco, MD,University of Cincinnati 207 Rapid Cardiac Marker Assay Interpretation byPrehospital Advanced LifeSupport Providers, Thomas A. Brabson, D0,AlbertEinstein Medical Center, Philadelphia 208 lmplementation ofa Pre-Hospital 12-Lead Program: Does It Reduce theTimeto Reperfusion Thrombolytic Using Therapy?, SaraF.Sutherland, MDMBA,UnionHospital 209 National Trends in Physician FieldResponse for EMS, GerryWydro,MD, AlleghenyUniversityof the Health Sciences 210 Urban EMSResponse to Automated A Pro9-1-1Alarms: spective Evaluation of theSafety andOperational Advantages of Dispatching Rapidly-Responding First Responder CrewsWithoutAmbulances, CraigB. Key,MD,Baylor College of Medicine 211 Helicopter Transport Actually Faster thana Ground Ambulance?, Richard C.Winters, University Medical Center 212 Circadian Patterns of Air Medical Accident FreService quency andthe Potential Roleof PilotFatigue, Robert Silbergleit, MD,University of Michigan 213 Incrdence and0utcome Hosoitalized of Patients afterlnFlightMedical Emergencies, ShuB. Chan,MD,ResurrectionMedical Center

221 ErrorRateForResidents Performing On-lineMedicalControl, Jonathan L. Burstein,MD, BethlsraelDeaconess Medical Center 222 Multicenter to TestEmergency Study Medicine Residents' Recognition of Intracranial Emergencies on Computed Tomography, Andrew D.Perron, Medical Carolinas Center

Education

Moderator: KurtKeinschmidt, MD,University of Texas $outh(3:30-4:30 pm) western 223 Evaluation of a Standardized Emergency Ultrasound

225

228 229 230

Education Moderator:WilliamBurdick,MD,AlleghenyUniversityof the (5:00-6:00 pm) HeallhSciences 214 Quantifying the Emergency Department Clinical Experienceof Emergency Residents, JudithE.Tintinalli, MDMS, University of NorthCarolina 215 Survey of Procedure SkillsDocumentation byEmergency Medicine Residency Programs, DanielJ. Dire,MD, University of 1klahoma 216 Elective Pre-Clinical Procedural Skills Course isCorrelated to lmprove Scoresin Procedural Skillsand Medical Knowledge for Students TakingClinicalRotations, Theresa vanderVlugt,MD,Stanford University 217 VideoAnalysis of Emergency Medicine Residents PerformingRapidSequence Intubations, Jon )lsen,MD, Lutheran Hospital General 218 Emergency Department AirwayManagement Before and AftertheStartofanEmergency Medicine Residency Training Program, GaryM. Vilke,MD,University of California, SanDiego 219 Resident Education andSupervision for Sexual Assault Examination, MeganCrisham, MD,Resurrection Medical Center 220 Effect Toxicology Rotation of lmplementation of a Clinical on Toxicology SectionInservice Scores, Christine M. Stork,MD,StateUniversitv of NewYorkSvracuse

231

Course, JodiAragona, MD, Lls Angeles County-Univer sityof Southern California Utilization of theSAEMiCORD ModelUltrasound CurricDerived ulumvs "ln-House" Ultrasound Curricula by Emergency Medicine Residencies, Lawrence Melniker, MD,NewYorkMethodist Hospital Emergency Medicine Residents Education in Pediatric Emergency Medicine: TheResults of a National Survey, Vincent Tamariz, MD,HarborUCLA Effect Educational of a Resuscitation Curriculum onPediPerformance, atricResident Frances NadeLMD,Children'sHospital of Philadelphia Emergency Physician Interpretatin of Chest Radiographs: Accuracy

by Levelof Training, Elizabeth Buetow, MD, NorthShoreUniversity Hospital DoEmergency Physicians LackKnowledge of Diagnostic andPharmaceutical McGrogan, BSc,St. Costs?, Jonathan Paul'sHospital Training Emergency Medicine Residents to Care forthe Bereaved: WhatAreweDoing?, Tammie Ques|MD,AlamedaCounty Medical Center Peer-Reviewed Publications byEmergency Medicine Residency Program Directors: A Five-Year Analysis, Keifli Wilkinson, MD,William Beaumont Hospital Residency in Emergency Bridget Chief Medicine, Brennan, MD.Bavstate Medical Center

Neurology Moderator: BrianZink,MD,Universityof Michigan (5:00-6:00 pm) 232 Effects Axis of Ethanol onHypothalamic-Pituitary-Adrenal Function andAdrenal Blood FlowinSwine AfterTraumatic BrainInjuryandHemorrhage, MD,UniCarolH.Schultz, versityof Michigan 233 ToxicEffectof Hemoglobin ln-culonSpinalCordNeurons ture,Raymond F.Regan, MD,Thomas Jefferson University 234 Extracellular Potaentiates Glutathione 0xidative andExInjuryInViIro,Raymond F.Regan, MD, citotoxicNeuronal ThomasJefferson University 235 Glucocorticoid Antagonist RU4BO Inhibits 70 kDaHeat ShockProtein Transcription in Brain AfterCardiac Arrest andResuscitalion, CliftonCallaway, MDPhD,University of Pittsburgh Dexamethasone lnhibits 70 kDaHeatShockProtein Expression AfterNeuronal Stressin Vitro,ChrisLipinski, h Universityof Pittsburg DoesNotBindto theGlucocorticoid 238 Lazaroid U743839-G Receptor, ChrisLipinski, University of Pittsburgh

Monday,May lB 239 Effectiveness of Emergency Medicine Resident Training in theUseof theNational Institute of Health Stroke Scale (NIHSS), PaulV.Gibney, MD,University of Cincinnati 240 Hemodynamic Changes During Rapid Sequence Induction of CNSlnjured Patients Without theUseof pre-lnduction Opioids, KevinR. Ward,MD,HenryFordHospitat

Health GareDelivery

Moderator: AdamSinger,MD, Statellniversityol Newyork, (3:30-4:30 Stony Brook pm) 241 Efficacy of JCAH0 SiteVisiton Emergency Department perry,MD, Documentation of Patient Restraints, Shawna University of Florida HealthScience Center 242 Differential Health Status in Public andprivate Emergency Department Patients, Harrison J.Alter,MD,RobertWood Johnson Clinical Scholars 243 Expectations of Patients Arriving inanEmergency Department,RobertW Derlet, MD,University of California Davis 244 WhatChiefConrplaints NeedEDCare?Layperson Vs. HealthProviders, RobertW.Derlet,MD,IJniversitv of California Davis 245 Converting Selected EDAdmissions to 0utpatient Care; An lnitialEvaluation of Resources Required, Christopher J. Moran,Baystate Medical Center 246 Patient Perception ofBedside Rounds intheEmergency Department, Elisabeth Kassapedis, MD,St.Barnabas Hospital 247 Enamel NailPolishDoesNotInterfere WithpulseOximelry,Thomas M. Brand,MD,BrowntJniversity 248 Cost-Effectiveness Analysis of SixandNineHourCK-MB Monitoring ina Chest PainEvaluation andTreatment Unit, TiepuLiu,MDPhD,University of Cincinnati 249 Study oftheWorkforce inAcademic Emergency Medicine, JohnC.Moorhead, MD,American College of Emergency Physicians, Dallas

Shock/Trauma Moderator: PaulBender,MD,Universityof Colorado (5:00-6:00 pm) 251 DalaAccuracy of a State Trauma Registry andtheValidity of Outcome Measures, RonW Lee,MD,Loyola IJniversity 252 Preliminary Results of theParkland Shoulder Dislocation Registry: 1) Pre-reduction Radiographs Demonstrate All Significant Fractures 2)Clinical Judgment of Relocation is 100%Predictive of Radiographic Relocation, Johnp.

Bedolla, MD,Universitv of Texas Southwestern

253 Anterior Shoulder Dislocation: Assessing the Needfor Pre-Reduction Radiographs, PaulJ. Don6van, D0, North AdamsRegional Hospital 254 Comparison of Firearm Victims: RiskFactors for Recidivism,Trevor J. Mills,MD,Louisiana StateUniversity 255 Alcohol andInjuryin Adolescents, Robert S.porter, MD, AlbertEinstein Medical Center, Philadelnhia 256 Overuse of Pelvic Radiography in Blunt Trauma: Need for a Clinical Decision Rule, Joseph Turban, MD,lJniversitv of Pennsylvania 257 HeadInjury Treatment Variation in RuralHospitals Before andAfterlmplementation of a Statewide Trauma Svstem.

N.ClayMann,PhD,1regonHeatthSciences univeisity 258 Medicare Trauma Admissions from 1984to .19g3: lncreasing Numbers, Decreasing Dollars, Stephen W. Meldon,MD,MetroHealth MedicatCenter 259 Utilityof Cardiac Troponin I as a Screen for Cardiac Contusion, Daniel E.Gurr,MD,Lutheran General Hosptiat

Shock/Trauma Moderator: SueSlern,MD,University of Michigan (3:30-4:30 pm) patients, 260 Emergency Department Intubation of Trauma Nathan Shapiro, MD,Brigham andWomen's Hospitat 261 Microscopic Hematuria as a Predictor of Non-genitourinaryIntra-abdominal Injuries inChildren withBlunt Torso Truama,PeterSokolove, MD, University of Catifornia, Davis 262 NovelApproach to theStudyof Lightning lniury,Mary AnnCooper, MD,University of lllinois,Chicago 263 Effect of FluidResuscitation onHemorrhaqe Volume in a NewAnimal Model ofTraumatic Parenchymal lnjury, John C.Sakles, MD,University of California, Davis 264 Plasma Cytokine Levels areAssociated withtheSystemic lnflammatory Response (SIRS) Syndrome in Emergency Depaftment Patients, AlanP Tutile, MD,Henry FordHospitat 265 Proinflammatory Cytokines Induce the Release of a 30 kDa ProteinFromPituitary and Macrophage Cells, Haichao Wang, NorthShoreUniversity Hospital 266 Nitric Oxide Titration in Porcine Endotoxic Shock, Michaet L Martino, University of Pittsburgh 267 Fetuin, A Negative AcutePhase Protein, is Required for Macrophase Inactivation

by CNI-1493, Haichao Wang, NorthShoreUniversity Hospital

Monday,May lB

FUNDAMENTALS 0FRESEARCH g:00_e:00am) protocoi a Study l.olrlo pevelop

tyooento.r:_Mbheile Btanda, MD,AkronCityHospital ftayn)nlL.Jacks1n, MD,WillianBeaumont Hosoitat l ne.educationar objective of thissession is to present a standardized system forunderstandino the.key concepts invotveo rntreoevetopmeni of a studyprotocot.

A cirerulvojvri;ffi;il;;;;otocot taysdowna strong foundation fora sound iesearch'stuOy. ftreiocus willbeonhow to,deJine a research question andtransform ttrequeition intoa tr;to_ col.Methods for defining thehypothesir, Or.iOlng-on inctusion and rriing,,unirorliiiion-uno jiitgla, perro iilterventions, defin_ ::t::i:l Ingourcome measures andmonitoring thestudy to -- ensure proper "" data collection andpatient safety willneOidcusseJ.-'

FUNDAMENTALS 0FTEACHTNG g:00_e:00an) Configuring Curriculum lorthetearner Hanitton,

ylennI MD,Wright -ofSkteltniversity Theeducationar objectivethissession iito assist thecourse designer rnassembring a curricurum designed tomaximize ttrerearning experidnce oftheparticipant.

Other objectives incruoe: teiln-rg'"ho* uorttsrearn and understand cognitive information, structuring the'presentation areafor maxtmum attention andlearning focus, guideiines fbrpreparing thepre_ sentation, theuseofaudiovisuals foilowiig the;ui;r;itinrivirtui,s;, oiine National Medicar Audiovisuar center, int codiu;ingevaruation techniques andtesting to enhance theleainers edrcffiurexperience.

FUNDAMENTALS 0F RESEARCH p:00_t 0:00am) L-aborato.ry Anjma I Investi gation lllldgrltl!:

Michette Btanda, MD.Akron'Ciiv Hoipital Marka.Angells.

MD,)hioState Universiti Theejucational objective ofthissesJiiln isto discuss commonty used animal models, theiradvantages andOisaOvantlgei, andtheuseof anesthesia andmonitoring in theanimar mooet. ili session wiilarso address methods forfinding a mentor whocanherp intheinitiation and conduct ofanimal research.

Animal based researifi pro1uct, are an im_ partof emergency g91a1t medicine research eitoitsanoanimat research hasconsistenfly received themajority of teJerat reseirir., irnJ ingallocated to emerg6ncy medicine.

FUNDAMENTALS 0F.TEACHING p:0040:00am) Gase Studies in Chailenging feiifringSituations Moderator.

Peter E.Sokolove,

FUNDAMENTALS 0FRESEARCH ft0:30_n:30am) De_vetop fp*.!q pharnD,a Budget

JohnWBlue, Baxter Heithcare lJniversity lynn.f lisn lprmD,MpH,Boston (1w H,kdd MD,MpH,Enoryuniversity I needucationar objective of thisses6ion is to review methods forthe preparati'n ofdetaired andappropriate budgets.

Great research ideas are onething; fiscar rearities areanoiher. tt is i ver/imfonant issue forus a budget forfederat agencies, priviteio,inOations, !o pqeOare societies, andthepharmaceuticat industry. n tuOg'et d'n;in;;;;cfly canresutt in hugeheadaches: voumavnCI-get tunO'eO afiff ofyor,ue agreed to d0 thestudvbutcaniaffordiomT,,itiriirrv iJrrit,1r",itnrrpoorquarity dataa.nd/or aggravation fortheinvestiguto, n *rif prepared budget canresutt in anadequatety funded study, i goatweiri nop'e toicniJ,ie.'

Violence Throughout theLileCycle: Four uase-0ased Instructional ModuJes (10:J0am_q2:00N) Kinberty

Coilins, MD,Keester Medicat Center, Oitnolt,'US ph rn onio univelrsfiii' i ort ege lgwelllrv. Gerson, D,Northeaste ofMedicine Hospitat, Neiiiaibiitiseir wisconsin A,,y q xt,,, MD,Cotumbia Drnrlt R.stginer 00,chitdren| iospiatueiicibiiir," wouclM Robert H.Wootard, MD,Brown IJniiersitv Theeducationar objectives ofthissession aretoenabre therearner togain a practicar understanding. of interpersonar viorenie throughout tte"rii; cycte (chird abuse, teenviorence, domestic auuse-ino eroiriouseficquireknowtedge to recognize itscrinicar miniteiiaiions, dever'p skiils for appr.priate andsensitive crinicar intervention andmanagement of interpersonalviolence patients, andrecognize theroletharemergency physi_ crans canprayin advocacy andprevention.

Eachmooute coniainiin instructor's manuar andsride sets.Modures areonenoiiln-rendiii anl designed to reprace rectures aboutviorence unoanrie,rnevinvdrvelrre audience through casediscussion, roteptiying inj'progressive disclo_ sureof information *Because leading to diagnosis ind management. emergency medicine dears withvictims of viorence t-nrorghoufih, ii;e cycte, emergency physicians canplaya critical rotein aOlreJsing-vio_ tence . . . CorecurricutullglllO.erOraduate, graduate anOconti"nrini educatio.n shourd incorporate. trainingin oearihg withrnterpersonar vio(Audemic Emergency Mediciniiggt6: itil llzl n ,riurrrngb !e,n^c^e" io, tnose in emergency medicine education is erdciive presentation ofthat pubtic curricutum.

TheSAEM Heatth anOeduliiiori nst forceOevei_ opedfourcase-based motresfor resident iniiiuiiionabout vi'rence throughout.the tifecycteResiOents wnopartiripuiuO in feaining iei: si0nsrep0rt thatthisrearning approach wasefrei;tive in capturin! their interest, stimurating thought andincreasing panerists treiiitinrcar skiils. willdescribe each modut6,s conirniunJ pirrrniiir'rniqrcfeatures.

Davis Medicatcenter ADVANCED layFatk, MD, 0rtando ,*,r,ilirlll!![l'!ror,catironia, RESEARCH '' SERTES ftt:30an_12:J0pm) tr!1rus AlarJin, MD, IJniv-ersity ofVirginiiPlanning andlmplementing Surveillince

E_!wud.A Panacek, MD,Uniiersity o7Catifornia, Davis Medicat Center Theeducationar objective otfrissesiion iJioiiiieJJ.narenging teachingsituations thatmaybeencountered intneemeigency department.

Howdoyoudeatwithiheresident tf,ritf,r-f,,nunii notning to tearn, judgment? in ctinicat HowdoVo,r,rrrp themedicat stu_ !1il:"|1:l!rS uerrrnartsveryKnowled0eable, butis ineffective dueto a lackof conwhatapproach tsnestiorteainins ih; iiJ;;t thathasa s0tid fyogngeJ knowledge base, butis frustrated byditficuity *itti pror.orrul skills?

Howcanyoubestteach emergency riredicine tbtneoii-servrce r.tator?

Howcanyoubestteach during a resuscitation? casescenaros suchas these willbeused tostimurate aninteractive iudienie anoexpert panel discussion.

Byiheendof thissession, pirtiifdri, ihoutdbeabteto identify challenging teaching situations thatcormonfy arise during the clinrcat teaching of emergency meOicine, itateielnniire,thatmaybe used t0 impr.ve teaching in these situaiions, anOfisitheeducati0nal hurdtes thatareencounte-reo atvarious iiigrl oi;u;ilrn.ytraining.

intheED

Syitems

Algderator: Robert J.Schwartz, MD,MpH,IJniversity ofpittsburgh Sheryl Heron, MD,EnorvlJnrverstu David A. Tatan, MD,0tiie-View-UiLA Tie educational objectives of thissession areto enable thelearner to tapintoestabrished surveiilance systems tor ieseircn, a, *eii a, io develop newsurveillance systems whichcanaOoieis a nroaO irrayoi public. probrems. health Technorogicar aovan&i-in Ntormati0n systems nowallow e.asier compiration ofhlgh-quarity oatabaiei torin;uryino ittness surveiilance. rtisnowpossibie to perform paJsive surveiilance utilizingclinicar information systems anbsimurtineJuity activate interventions based onthesurveiilance acivities.

ByihJrnootil'isresJion, participants shourd beabre to ristwtratnealtnisJr.r rurit surveiilance rntheemergency department, state whatrlruriilin.,systems exist that theemergency medicine researcher, anddescrine now tfrey :T Ss il,t woutd setupa surveillance system intheirembrgenCy oepartment.

Monday, May lB in Waiver of Inlormed Gonsent LUNCH SESSI0N: Research: Howto Meetthe Emergency Medicine Ethical Regulalory Requirements andConduct (12:30-2:oopm) Research

Medical Center H.Biros,MS,MD,Hennepin County Michelle MPH, Boston University S.Fish, PharmD, Susan MaxD.Koenigsberg, MD,University oflllinois MaryNanMallory, MD,University ofLouisville therequirements of isto review Theeducational objective ofthissession The consent. onwaiver of in{ormed theFDAs Final Rule(21CFR 50.24) public subnotification andIND/lDE of community consultation, areas to showhowthe usingspecific examples mission willbeaddressed TheFDAs canbeavoided. reouirements canbemetandhowmistakes in research in certain emerof informed consent Final Ruleonwaiver gency TheRuleconin November, 1996. wentintoeffect circumstances thistypeof to conduct tainsrequirements whichmustbemetin order to clearly have tworeasons Emergency Medicine researchers research. ethical in this.Rule1 is to conduct understand the reouirements withtherequirements, without informed c0nsent inaccordance research theRule. theirIRBasto its responsibilities under and2 is to educate literature in theemergency medicine Although muchhasbeenwritten problems identified have been thedevelooment ofthisRule, concerning conforcommunity requirements intheimplementation ofthespecific public Limiled enroll' submission. notification, andIND/lDE sultation, required. ment.$30fee.Pre-registtation

Healthy People 2010- The LUNCH SESSI0N: Agenda: Whatis it?How Public Health Nation's AndWhatis Medicine? willit lmpact Emergency ourRole?(12:30-2:00pm)

A.Syverud, MD,University of Virginia Moderator.

Scott of Wood Johnson School MD,Cooper Hospital/Bobert Valda Regina Crowder, Medicine Reese Hospital/University oflllinois Thomas D.Kirsch, MD,MPH,Michael DHHS)ffice of PolicyAdvisor, Deborah Maiese, MPA,SeniorPrevention Promotion Disease Prevention andHealth Atlanta forDisease Control andPrevention, Daniel A.Pollock, MD,Centers Hospital, Cincinnati FlightNurse, University Renee Semonin-Holleran, Chief orstandard willserve asa "benchmark" Healthy People 2010 objectives performance the across thatcanbe usedto assess of comparison federal andstate overtimeaswellasto allocate nation andprogress the the importance of thisprocess, dollars.

Thepanelwill discuss potential medicine, the impact on academic centers andemergency of ourworkto impleandthestatus activities of HP2010Consortium 0n theFuture of EmerConference mentthe1994MacyFoundation gency thatthenextUnited recommended Medicine.

TheConference (USPHS)Statement Health of thePublic Public Health Service States "access to high fortheNation specify asa newgoal,that Objectives quality whoneed for allpersons emergency careshould beavailable t0 incorporated access Healthy People 2010hasrecently suchcare." goalandaccess quality careas to quality emergency careasa principal priorities. apTheyear2000is rapidly services a partof theirhealth publichealth proaching, thenation's andtheprocess of formulating 0f Theeffort under theleadership 0ftheDepartment agenda hasbegun.

Prevention andHealth of Disease Health andHuman Services' Office People 2010 involves a partnership known astheHealthy Promotion memthe345national ACEP andENAareamong Consortium.

SAEM, Government organizations and 271 Stateand Territorial bership participants Bytheendofthissession, Agencies thisbody. composing of theHP2010process, a knowledge should beableto demonstrate proposed for EM,participate theirimpact andsignificance oblectives, to regional and in theHP2010Consortium andcontribute actively of HP2010objectheachievement national meetings, andworktoward years health disparities. lifeandto eliminate tives t0 increase of healthy required.

Limited enrollment. $30fee.Pre-registration

Policies in thePractice LUNCH SESSION: Glinical (12:30-2:00pm) MedicinE of Emergency Cantrill, MD,Denver Health MeilcalCenter Stephen Philadelphia William Dalsey, MD,AlbertEinstein Medical Center,

Center, NewYork MD,Mount SinaiMedical AndyJagoda, SanAntonio Director TRICARE Southwest, Pietrzak, MD,Medical Michael perareto giveanhistorical ofthissession Theeducational obiectives govguidelines bytheFederal of practice spective of thedevelopment guidelines groups, are howpractice to discuss ernment andspecialty to caregroups, andhealth agencies, academies, developed byvarious (ACEP) present dePhysicians ofEmergency howtheAmerican College practice guidelines, to demonstrate t0 usecase based examples velops practice, guidelines andto discuss canbeusedin clinical howpractice guidelines.

Bytheendofthissession, thelegal implications of practice participants conthedifference between should beableto understand guidelines, practice to understand based versus evidence sensus driven policies, theresponse it uses foritsclinical theformat howACEP chose to take, it plans andto underdirections it hasreceived, andthefuture practice, guidelines andas inclinical roleof practice thepotential stand Enrollment. tool,Limited assurance andquality a riskmanagement required. $30lee.Pre-registralion

Resident Research WilliamH. Spivey EMRA/SAEM Trialsin the Interventional Forum: Clinical (1:30-2:30pm) Departmenl Emergency

Philadelphia D0,AlbertEinstein Medical Center, Henry L.Souto, Moderator: Medical Center Jr,MA,MD,Maricopa Charles V.Pollack, paradigms in of thissession areto discuss Theeducational objectives to date, challenged thathavebeenconstructively medicine emergency intervenappropriate clinical aimed at identifying critical approaches protocol for development medicine, trialspertinent t0 emergency tional for clinical intercollaborators interventional trials,identifying clinical peercooperation interventional forclinical trials, ventional andgaining practice in emerMuchof clinical trialsin theemergency department" gency thatis experience byteaching andanecdotal medicine is guided proprospective Designing research. in thoughtful, notwell-grounded intoquesimproving upon, orcalling tocols aimed either atvalidating, "routine practices" fraught withchallenges is demanding, tionthese to convincing an lRB,and literature fromfinding supporting ranging peers value in maynotseesufficient t0 complete because difficult often patients inthem. to enroll suchstudies

p30-4:30pm) RESEARCH SERIES ADVANCED Howto Dolt Right Study: TheRetrospective

lndiana University B.Jones, MD,PharmD, Moderator:James MD,UCLA R.Hoffman, Jerone isto explain howto design an ofthissession Theeducational objective Inaddition, a retrospective study andwhenit is necessary. appropriate of bias(andhowto miniof themultiple s0urces detailed discussion projects intheemergency research Many mize them)will bepresented. manner, or usehistorical in a retrospective areconducted deoartment however, someimThisis in largepartdueto convenience, controls. portant in a retto beinvestigated canonlybestudied thatneed areas Theimproper collecconsiderations. manner dueto ethical rospective andcanmake any source of bias, tionor evaluation of datais a major to generalize.

Whileprior fromthistypeof studydifficult conclusions Meeting have focused onthefundamenAnnual sessions attheSAEM registries, thissesrecord review, andtheuseoftrauma talsofmedical design. examination ofthistypeofstudy sionwilloffera morein-depth

TheState-of-the-Art Trauma Ultrasonography: (3:30-6:30pm) MD,RDMS, Medical College of Wisconsin JanesR.Mateer, Medical Center Plunmer, MD,Hennepin County Dave thedifferences of thissession areto contrast Theeducational ofjectives performed surgeon ultrasonbytheAmerican trauma ultrasound between into develop insight medicine ultrasonographer, vs.Emergency ographer findings in traumaandformulate/ icance the signif of sonographic into theintegration ofultrasound measures, understand correlate outcome Thepafticipant needs andresources. educational ATLS andassess/identify teaching cuniculum of intheultrasound willlearnto identify controversies inrethecurrent useofultrasound faulty andresidents, describe academic of collabordevelop anavenue andfuture areas of research, suscitation, anddiscuss and researchers andeducators, ultrasound ation{orirauma gapsincurrent intrauma ultrasound. literature andresearch identify

Tuesday,May 19

Scientific Papers: Cardiovascular am) 1o:oo-r0:00

Moderators: Jetf KIine, MD, CarolinasMedicalCenterand ChuckCairns,MD,Universityof Colorado 276 Using theCell's OwnSignaling Pathways to Reduce OxidantInjury:Protein Kinase C andMitochondrial Oxidant Generation, TerryVanden Hoek,MD,University of Chicago 277 Ethanol Blocks the Regulation of Mitochondrial Matrix FreeCa2+in Cardiomyocytes, JohnA. Watts,PhD, Carolinas Medical Center 278 Adenosine CanActasanAntioxidant Against Myocardial lschemia/Reperfusion lnjury,LanceB. Becker, MD,Universityof Chicago 279 NPC-205, An Adenosine A-1Antagonist, Prolongs SurvivalandAntagonizes Cardiovascular Depression During Hypoxia, Jennifer Cummings, D0,AlbertEinstein Medical Center, Philadelphia 280 Value of lmmunoassay of Smooth Musde Myosin Heavy (SMMHC) Chain in theDiagnosis of Acute AorticEmergency,ShingoHori,MD,KeioUniversity 281 Cardiac Troponin T asa Predictor of PoorOutcomes inElderlyEDPatients Presenting withSuspected Acute CoronarySyndromes, Thomas P Noeller, MD,Cleveland Clinical Foundation 282 Normal CKWithElevated CKMB Predicts Increased Complication Ratein Patients WithSuspected Acute Coronary Syndromes, W.FrankPeacock, lV MD,Cleveland Clinic Foundation 283 Evaluation of a Multiple Cardiac Marker andECG Strategy for Ruling-Out AcuteMyocardial Infarction in theEmergencyDepartment, Gerard X. Brogan, Jr MD, StateUniversityof NewYork,StonyBrook

Scientific (8:00-10:00 Papers: Clinical Practice am)

Moderator:SteveStapczynski, MD,Universityof Kentucky 285 Application ofTissue Adhesives: Rapid Attainment of Proficiency, JuddE.Hollander, MD,University of Pennsylvania 286 Characteristics of Traumatic Lacerations andTheirInfluenceonPost-repair Infection Rate, JuddE.Hollander, MD, Universityof Pennsylvan ia 499 Double-Blind, Prospective Outcomes Evaluation of RapidlyAbsorbing Synthetic Suture asCompared to Nonabsorbable in Primary SkinClosure, Thomas A. Brabson, D0,BaylorCollege of Medicine 287 Randomized Trialof Diphenhydramine Versus Benzyl AlcoholWithEpinephrine as an Alternative to Lidocaine LocalAnesthesia, StacyWeeks-Jandreau, MD, Albany MedicalCollege 288 Randomized ClinicalTrial ofMelatonin Following Night Shift Workin Emergency Physicians: Efficacy andNeuropsychologic Effects, SethWright, MD,Vanderbilt University 289 Negative Urine Acetaminophen isHighly Screen Predictive of Negative Quantitative SerumLevels,Jeanmarie Perrone, MD,University of Pennsylvania 290 Prospective Randomized Double Blinded Controlled Trial ofthePalatability of Standard andSuperativated Granular Charcoal in Patients WithToxicIngestions, Thomas F.X. Fischer, MD,StateUniversity of NewYorkat StonyBrook

291 CanAccurate Laboratory Results be Obtained froma Functioning lVSite?, James Joseph Blake, MD,Universitv of Kentucky

(8:00-10:00 Scientific Papers: Trauma am)

Moderators:SteveDronen,MD, Universityof Michiganantl EdSloan,MD,Universityof Chicago 292 Healing Rateof Partial Thickness BurnsTreated With Octyl-Cyanoacrylate Versus SilverSulfadiazine in Swine; anExperimental Trial,AdamSinger, MD,StateUniversity of NewYorkat StonyBrook 293 Efficacy of Esmolol Vs.Lidocaine to Attenuate theHemodynamic Response to Intubation in lsolated Head Trauma Patients, M.AndrewLevitt,D0,Alameda Countv Medical Center 294 Value of Point-of-Care Blood Testing in Emergent Trauma Management, AndrewW.Asimos, MD,Carolinas Medical Center 295 FAEM Abstract: lmportance ofa Coagulation Profile inthe lnitialAssessment of a Trauma Patient, TajekHassan, MRCPDAFRCS(Ed),Accident& Emergency Medicine, Leiceste r RoyalInfirmary 296 Valueof Bedside Abdominal Ultrasonography for Predicting Hemoperitoneum andtheNeed forLaparotomy in Trauma Patients, CarloRosen,MD,Massachusetts GeneralHospital 297 WhatisGross Hematuria?

TheCorrelation Between Gross andMicroscopic Hematura, PeterPeacock, MD,Albert Einstein Medical Center, Philadelphia 298 Mildor Moderate Hypothermia, ButNotIncreased Oxygen Breathing, Increases Long=1sprn Survival AfterUncontrolledHemorrhagic Shockin RaIs,AkiraTakasu, MD, Universityof Pittsbu rgh 299 Direct Assessment of Tissue Oxygen Delivery, Availability andUtilization inPatients WithShock, PaulR.Bender MD PhD,University of Colorado HealthSciences Center

Scientilic Papers: (10:30-12:30 pm) Clinical Practice

Moderators: Ron Walls,MD, Brigham& Wonen'sHospital and ScottSyverud,MD,Universityof Virginia 300 Interruptions andTaskPerformance inEmergency DepartmentsCompared to Primary CareOffices, Amanda M. Pencek, IndianaUniversity 301 In-Patient vs 0ut-Patient Evaluation of Patients withSuspected Ectopic Pregnancy: Doesit lmpact ontheRate of Delayed Diagnosis?, Robert G.Dart,MD,Boston Medical Center 302 Utility of Maternal Creatine Kinase intheDiagnosis ofTubal Pregnancy, PaulJ. Leo,D0,NewYorkMethodist Hospital 303 Preventing Asthma Relapses Following Discharge From theEmergency Department: A Double-blind, Randomized Trialof Inhaled andOralSteroids, BrianH. Rowe,MD MSc,University of Alberta 304 Assessment of Gender Differences in Chest PainPatients Presenting to the Emergency Department, Maila Moftimer, MD,StateUniversity of NewYork,StonyBrook

Tuesday,May 19 305 Prospective Validation of Criteria for Safely 0mitting the Routine Admission Electrocardiogram (ECG) in Emergency Department Patients, AllanWolfson, MD,University of Pittsburgh 306 Prospective, Randomized Trialof Template Assisted versusClassical Narrative WrittenRecording of Physician Records in theEmergency Departmenl, ErikGauharou, MD,TexasTechUniversity 307 Warmed Versus RoomTemperature Saline for Eyelrrigation,Thomas Thomson, MD,Vanderbilt University

Scientific Papers: Toxicology (10:30-12:30 pm)

274 CanEmergency Physicians Treat Stroke Patients withtpA Safely: Community Experience of PostApproval tPAin51 Consecutive Cases, frashmiU.Kothari, MD,lJniversitv of Cincinnati 275 Emergency Physician Useof Intravenous Thrombolysis (lVT)withrt-PAin theSetting of Acutelschemic Stroke (AIS),Rodney W.Smith,MD,University of Michigan 535 Emergency Department Delays in Stroke Care:Delay in Accessing StrokeHealth Care(DASH) Study, Dexter L. Morris,PhDMD,University of NorthCarolina at Chapel Hiil

Moderators: BichardDart, MD, llniversityof Coloradoand LewisGoldlrank,MD,BellevueHospitalCenter (3:30-5:30 pm) losterSession: 308 Desipramine Directly Depresses Human Cardiac Function, Gardiovascular KennonHeard,MD, University of Colorado HealthSciModerator:TerryVanden Hoek,MD,Universityof Chicago encesCenter (3:30-4:30 pm) 309 Inhibition 316 Emergency Management of Dermonecrotic of Supraventricular Arachnidism With6 Hour Tachycardia: Delayed-Dose (lL-B)Monoclonal A Comparison lnterleukin-B Between Intravenous Adenosine Antibodv andSlow (mAB), lnfusionof Calcium William D.Whetstone, Channel MD,Universitv Blockers, SweeHanLim, of Californk SanFrancisco MD,Singapore General Hospital 317 Correlation of Diastolic 310 Role Dysfunction of Complement andVentricular intheDevelopment Hyof Dermonecotic pertrophy in Patients Wiih Aracndism Decompensated intheRabbit Congestive Model, Kathleen AnnNeacy, MD, HeartFailure, RichardL. Summers, University MD,LJniversitv of Michigan of Mississippi 311 Inhibition ofDermonecrotic Arachnidism WithIntradermal Polyclonal Anti-Loxosceles Spider Venom FabFragments, 3 1 8 N o n i n v a s iBvieo i m p e d e nMcoen i t o r i nDgi f f e r e n t i a t e s Cardiogenic FromPulmonary Causes ofAcute Dyspnea in Hernan Gomez, MD,University of Michigan the Emergency Department, AnnicolMarrocco, MD, 312 Investigation of Cocaethylene's Effect on Coronary Blood Morristown Memorial Hospital Flow,ScoltC.French, MD,PHSMt.SinaiMedical Center 319 Elevated Mortality Rates fromCardiovascular Disease in 313 Cocaine Associated ChestPainPatients areInfrequenfly African-American Menand Womenof Los Angeles Evaluated for Coronary ArteryDisease, JamesEdward County, California, Sean0. Henderson, MD,IJniversity of Weber, D0,HurleyMedical Center Southern California 314 NewScale fortheAssessment of Cutaneous BurnDepth, 320 Comparison of Diagnostic Testing Between Females and AdamSinger, MD,StatelJniversity of NewYorkat Stony Males inanEmergency Department Chest Evaluation Unit, Brook Deborah B.Diercks, MD,University of Cincinnati 315 lntraarterial VersusIntravenous Administration 321 Survival in of AntiEmergency Department Patients withRuptured veninfor theTreatment of Crotatlidae AtroxEnvenomaAbdominal AorticAneurysms WhoReceive Operative InIion, Theodore C. Bania,MD, St.Luke'sRoosevelt tervention, HosEdwardP. Sloan,MD MPH,Universitv of pitalCenter lllinois 322 AcuteThoracic AorticDissection: A Commonly Missed Scientific Papers: Health Gare Delivery Diagnosis intheEmergency Department, Alan B. Wolfson, (10:30-12:30 pm) MD,University of Pittsburgh Moderators: MichelleBiros,MD, HennepinCountyMedicat Centerand Jenis Hedges,MD, 0regonHealth Sciences University Cardiovascular 268 Trends in Emergency Department Utilization, 19BBto Moderator: Brian0'Neil, MD,DetroitBeceivingHospital 1997,William J. Meggs, MDPhD,EastCarolina lJniversity (4:30-5:30 pm) 269 CAUACEP Workforce 323 WorldHealth Taskforce Initial 0rganization Report: Diagnostic A LongituCriteria for Acute dinal1-YearCalifornia Myocardial Infarction: Registry, A. AntoineKazzi,MD, 0utof Breath?, JohnT.Nagurney, CAUACEP andUClrvine MDMPH,Massachusetts General Hospital 324 Association 270 Conflict Between Between Cardiac History, Prudent Presenting Layperson SympLegislation andThird toms,andSociodemographic PartyPayers, Factors NicoleHernandez, andDelay in SeekIJniversity of Arkansas ingEmergency Carefor Patients withMyocardial Infarc271 Metered DoseInhalers: AnEmergency Department Education,MelissaJ. Ruyle,MD,DenverHealthMedicalCenter tionalHandout to lmprove Usage Technique, Michaet J. 325 Prevalence of Cardiac RiskFactors in Diabetic Luskin,MD,Universitv Versus of California.

Davis Non-Diabetic Patients WithAcuteMyocardial Infarction, PeterB.Richman, MD,Morristown Neurology Memorial Hospitat 273 Effects of Ethanol onBrain Lactate ina Traumatic Brain ln326 Sestamibi is MoreAccurate thanCardiac Trooonin I inthe jury/Hemorrhagic ShockModel,BrianJ. Zink,MD,lJniDetection of AcuteCardiac lscherqia in theED,Robert J. versityof Michigan Zalenski, MD,Wayne StateUniversity

Tiresday,May 19 327 CostBenefit of Soect-Gated Technetium 99m-Sestamibi Perfusion Cardiac lmaging intheInitial Evaluation of PatientsPresenting to theEmergency Department withCocaineAssociated ChestPain,JamesEdward Cisek, MD, MedicalCollege of Virginia 328 Useof AspirinandOtherAdjuvant Medications in the Emergency Department for theTreatment of AcuteMyocardialInfarction,RaymondE. Jackson,MD, William Beaumont Hospital 329 Evaluation of Cocaine-Associated Chest Painin anEmergencyDepartment RapidDiagnostic Center, Susan0.

Kushman, MD,University of Cincinnati

Practice Glinical

342 MoreRapid Diagnosis Myocardial Infarction ofAcute inan Emergency Department Chest PainEvaluation Unit:How Longis LongEnough?, Horn,)hioStateUniversity James 343 Emergency Departments ChestPainProtocols lmprove Diagnostic Testing, NotReperfusion Michael Strategies, Ross,MD,William Beaumont Hospital Comparison of Forearm andUpper ArmBlood Pressures, AdamSinger,MD,StateUniversity of NewYorkat Stony Brook HowDoesOneScreen for Diabetic Ketoacidosis in the Emergency Department?, Theresa M. Schwab, MD, University of California SanFrancisco, Fresno 346 Sequential Measurement of NitricOxideLevels During Acute Vasoocclusive Sickle CellCrisis intheED,Jennifer Nuss,MD Thomas Jefferson University Prevalence 347 of Recent Cocaine Usein AdultPatients with Unexplained Stroke, PremC.Shukla, MD,University of Wisconsin 348 lmpact ofAlcohol, Tobacco, andSubstance Abuse onthe Emergency Department, 0liverL. Hung,MD,Bellevue Hospital Center Useof Alternative Medical Therapies

by Emergency Department Patients, Higb,JohnSchoffstal[ MD,Allegheny Hospitals University

Moderator: BenHonigman, MD,University of Colorado pm) (3:30-4:30 330 Efficacy of a Single Dose of Dexamethasone lM or Given P0, in Reducing Painfor Patients withSevere Pharyngitis,Connie Chan, D0,NavalMedicalCenter, Portsmouth TrialComparing 331 Clinical lM Methylprednisolone, Nontapered P0 Prednisone andTapered P0 Prednisone After anAcute Asthma Exacerbation in theEmergency DepartmentPatient, Christopher Freer, MD,JohnsHopkins University 332 ldentification ofAsthma Patients forAdmission to a Ranid (REIU): Evaluation andTreatment WhatClinical Factors areUseful?, KentN.Hall,MD,University of Cincinnati Toxicology 333 Relationship Between BodyPosition, BodyMass,and Moderator:RickDart,MD,RockyMountainPoisonandDrug PeakFlowin theEvaluation of AcuteAsthmatic Patients, pm) (3:30-4:30 Center Asaeda, MD,Brooklyn Glenn Hospital Center 350 Moderately Severe Carbon Monoxide Poisoning Does Not Neuronal Cause Apoptosis, Kevin R. Ward, MD, Henry 334 Success andComplication Rates ofRSIVersus non-RSl in FordHospital 1200Emergency Intubations, EricBarton, MD,University of NorthCarolina 351 Carbon Monoxide Poisoning DoesnotCause Neuronal HeatShock Protein 72or 32 Expression, Kevin R. Ward, (POG0) 335 Validation ofthePercent of Glottic 0pening Score: "CanYou MD, Henry Ford Hospital Seethe Cords?",RichardM. Levitan, MD, University of Pennsylvan ia Rapid Diagnosis Exposure of Methanol Utilizing Alcohol Oxidase Tests,Kathryn andAlcoholDehydrogenase S. 336 EMResidency Programs andCompliance withNational Parker, MD,Bellevue Hospital Center Guidelines for Difficult AirwayManagement, Richard M. Levitan, MD,University of Pennsylvania 353 Elevated withNormal Bun:A Clue Serum Creatinine tothe Diagnosis of Acetone andlsopropanol, William G.Baxter, 337 Underdosing of Medazolam in Emergency Endotracheal MD,Univesity of Massachusetts lntubation, MarkJ. Sagarin,Brighamand Women's Hospital Tests fortheDetection Comoarison ofTwoBedside ofSalicylates in Urine: Preliminary Results, Ko, MD, Carlyn 338 Cricothyrotomy Speed andSafety: A Comparison Between Hartford Hospital Standard Open Technique andRapid Four-Step Technique Usinga NovelDevice, DanielDavis,MD,University of 355 Value of Routine Screening Studies for Unsuspected InCalifornia SanDiego gestions, DanielMiller,MD,University of FloridaHealth Science Center 339 Symptoms ofAcute Myocardial Infarction in Diabetic VersusNon-Diabetic Patients, PeterB.Richman, MD,MorrisToxicology 356 Emergency Testing in Self-Poisoned Patients: townMemorial Hospital WellThought-out 0rdering andResults, MarieD. Touze, MD,University Hospital, France Practice Clinical 357 Frequency of Blood Glucose Abnormalities in Acute CoModerator:DavidOverton,MD, MichiganStateUniversity, Intoxication caine and Mixed Intoxication, Cocaine/Ethanol (4:30-5:30 pm) Kalamazoo Micheal D.Rush.MD.Universitv Kansas of Missouri.

340 Prevalence of Cardiac RiskFactors in Patients WhoRuleIn {or AcuteMyocardial Infarction Versus ThoseWho Rule-0ut,AshrafNashed, MD, Morristown Memorial Toxicology Hospital Moderator: SusanFish,PharmD, MPH,BostonUniversily pm) (4:30-5:30 341 CanTroponin T Predict In-hospital Complications in Patients Presenting withAcute Chest PainbutWithout Initial 358 N-Acetylcysteine Induced Coagulopathy, EbKarkavandian, Myocardial lnfarction, JamesRyan,MD, NorthShore D0, New JerseyPoisonlnformationand Education University Hospital Systems

Tuesday,May 19 359 Effect of Magnesium Hydroxide Administration on lron Absorption AfterA Supratherapeutic Dose of Ferrous Sulfatein Humans: A Randomized Controlled Trial,BrianK. Snyder, MD,University of California, SanDiego 360 Activated Charcoal Container Preparation to Maximize DrugAdministered, AllenYee,MD,StatelJniversitv of NewYorkat Buffalo 361 Efficacy of Reduced-Dose, Super-Activated Charcoal inan Acetaminophen Overdose Model,Michele M. Burns,MD, Children's Hospital, Boston 362 Creating Craze: Does OralSupplementation Accentuats the Creatine Phosphokinase Elevations Associated withStrenuousExercise?, Joseph D.Sexton, MD,St.Luke's Hospital 363 Meperidine asa Precipitant of Serotonin Syndrome inthe Emergency Department, AlanL. Weiner, MD,Hartford Hospital 364 Psychiatric Consultation in ToxicExposure: A Gender Bias?,Thomas D. WendeL MD,BethlsraelMedicalCenter

Injury Prevention Moderator: SteveHargarten, MD,MedicalCollegeof Wisconpm) srh(3:30-4:30 365 Evaluation of InjuryRisksPosed

by Trees, Utilitypoles, andGuideRailsin Pennsylvania, Harold B. Weiss, MS MPH,Center for Violence andlnjuryControl 366 Factors Influencing CarSeatOwnership andUsage in Famlies Presenting to anUrban Pediatric Emergency Department (PED),JoanMeunier-Sham, MD,BostonMedicalCenter 367 Seatbelt UseandAppropriate ChildSeating WhileBeing Transported to School,JohnE. Duldner, Jr MD,Akron General Medical Center 368 Epidemiology of Pediatric Auto-Pedestrian Crashes: A Population-Based Study, Howard M. Corneli, MD,I[niversityof Utah 369 Useof ChildRestraints Within Ground EMSVehicles: A National Survey, MichaelA.Turturro, MD,MercyHospitat of Pittsburgh 370 Prevalence of Nicotine Addiction andPatients WhoSmoke in a Suburban Emergency Department, SethDinowitz, Morristown Memorial Hospital 371 Feasibility of Screening andBriefIntervention forAlcohol Problems in a Public Hospital Emergency Medicine Department, DanielW.Hungertord, DrPH,National Center forlnjuryPrevention andControl pre372 Injuries Associated WithAlcohol in Undergraduates senting for Emergency Care,Valerie C.Norton, MD,VanderbiltUniversity 373 Assault versus Non-assault Injuries andAlcohol UseinED Patients, BruceBecker, MDMPH,BrownlJniversitv

Injury Prevention Moderator: KnoxTodd, MD,Emoryllniversity(4:30-b:30 pm) 374 Alcohol UseandReadiness to Change AmongIniured Emergency Department Patients, BruceBecker, MDMpH. BrownUniversity 375 Emergency Physician Attitudes onReporting Drunk Drivers to Police, MarkMeyer, MD,Northwestern Medical Schoot 376 SeatBeltUseby UtahChildren, Nanette Kunke[MD, University of Utah

377 Backseat Passenger Injuries in MotorVehicle Collisions: Taxicabs versusPrivateCars,SandraC. Haynes, MD, BeIlevue HospitalCenter 378 SeatBeltUsein Urban TaxiCabs:Passengers Know Their p.

Value butnotEven a Finelmproves Usage-Rates, David Milzman, MD,Providence Hospital 379 Effect of Fatigue onEmergency Medicine Resident Physicians'MotorVehicle Collisions, Wieslaw Mostowy, MD, NorthShoreUniversity Hospital 380 Association Between HomeEnvironment, Caregiver Conscientiousness andPediatric Injuries, N.ClayMann, PhD, 0regonHealthSciences University 381 ChildandAdolescent Emergency Department VisitDatabook,HaroldB. Weiss,MSMPH,Allegheny University of theHealthSciences 382 Children atRisk:10-14 Year 0ldswithPoisonings, Wendy Pomerantz, MD,Children's HospitalMedicalCenter, 0hio

Clinical Decision Making

Moderator:DavidMagid,MD, ColoradoPermanteMedicat (3:30-4:30 pm) Group 383 Useofthe0ttawa Ankle Rules byRegistered Nurses inthe Triage of Patients withAcuteAnkleandMidfoot Injury, WilliamT.Hosek, MD,Washington University 384 Cumulative Classification Performance oftheOttawa Knee Rule,/anG.Stiell,MDMSc,University of )ttawa 385 TwoPhase Derivation//alidation ofClinical Decision Rules for Finger Radiographs, Susan Matias, CRNE MercyHospital 386 Application of Clinical Criteria for Clearance of Cervical SpineInjuryby Nurses, Margaret Hsieh,SaintFrancis Hospital andMedical Center physi387 Judgements andAttitudes of Emergency Medicine ciansin the Useof Cervical SpineRadiography, lan G. Stiell,MDMSc,University of Ottawa 388 Physician Attitudes andJudgements in theUseof ComputedTomography for Patients withMinorHeadInjury, lanG. Stiell,MDMSc,University of )ttawa 389 Influence of a Practice Guideline andStructured Chart on Emergency Physician Management ofMigraine Headache, PaulR. Bender,MD PhD,University of Colorado Heatth Sciences Center 390 Evaluation of Patient Satisfaction withnot0rdering Tests in the ED:lmplications for lmplementation of Clinical Practice Guidelines, BrianR. Holroyd, MD,Ilniversity of Alberta 391 Effect of Dissolution of Laboratory TestPanels on Test Utilization in Discharged EDPatients, Tamas R. peredy, MD,University of Connecticut 392 Ability ofthe30Minute Erythrocyte Sedimentation Rate to Predict Normal Values at OneHour,AdamSinger, MD, StateUniversity of NewYorkat StonyBrook 393 Inter-rater Reliability oftheGoldman Chest PainProtocol, WilliamS. Pearl,MD,EmoryUniversity PeerReview0rganization VHAInitiative to Decrease Events(PROVIDE) for CHFStudv:AHCPR CHFAdmission Criteria andPatient 0utcome, Louis Graff, MD,LJniversitv of Connecticut 395 Useofa Clinical Model to Manage Patients withSuspected DVT,lanStiell,MD,Universitv of 1ttawa

May 19 Tuesda;r, lnnovations inEMEducation Exlribits

pm) DianeBirnbaumer, Moderator: MD,Harhor-UCU(3:30-4:30 How Do Emergency Medicine Residents Learn?

A Novel 396 Assessment Styles, Georges of Behavior andLearning MD D.Sc,NewarkBethlsraelMedical Ramalanjaona, Center

Rotation, Richard C.Wuerz, 409 Assessment ofanAirMedical HealthSystem MD,Pennsylvania StateGeisinger Nominal GroupTechnique 410 Pre-Study Useof a Modified (NGT)for Increasing to Complex Research Adherence Minority Patients, BobeftJ. Protocols in LowIncome Hospital PhDMSMPA,CookCounty Rydman,

Practitioner a Novel 397 Increasing Confidence

by Utilizing Vein Educational Model to Teach Wire-guided Saphenous JamesFoster, MD,Stanford University Cutdowns,

ECGEducational Directors 411 EMCouncil of EMResidency MD,C]RD Edward A. Michelson, DataBankandWebsite, EKGTaskforce

Emergency Medicine Residents inArthrocentesis 398 Training MedicalCenter A. Hart,MD,AlberlEinstein Skills,Geoffrey

Programs, DebraG. of EMSFellowship 412 Demographics of Virginia Perina,MD,University

EdasTeachers: AnElective in Medical Student 399 Residents E.Parker Hays,Jr MD,Carolinas Medical Center ucation,

in Academic Emergency Medicine, 413 Faculty Development of Virginia DebraG.Perina,MD,University

Medicine Residents as 400 Unique forEmergency Curriculum for RuralPrehospital Agencies, Cathy Medical Directors MDPhD,Denver HealthMedical Center Custalow,

Papers: Toxicology Scientilic

lmproveModel forOuality 401 Demonstration of a Computer Prehospital mentona Regional Basis for Pediatric Care, Medical A. Martens,MD, LoyolaUniversity Katherine Center A Intubations: 402 Rapid Induction for Prehospital Sequence Daniel Designed for Paramedics, Multimedia Course Davis,MD,University of California SanDiego Phillip Community, 403 EM Corefiles:A VirtualEducation AtwellBrewef MD,YaleUniversity ofanInMedicine Development 404 Emergency Cyberschool: ToolAvailable on the Internet, teractive Educational MD,MountSinai, NewYork Michael J. Bessette,

in EMEducation Exhibits lnnovations

Moderator:RohertMcNamara,MD,AlleghenyUniversityot pm) (4:30-5:30 theHealthSciences Education Resident andFaculty 405 CoreCurriculum Guided DataEntryanda Web Bar-Coded Management Utilizing Thomas F.D'Aprix, MD,University Accessible Database, of Buffalo to lmprove Resident Compli406 UsingRelational Databases Resident Rotation in Completing ance,and Accuracy MD,University of Connecticut Evaluations, CarterDalton, Emergency Medicine Based 407 Development of an Internet N. Adler,MD,Massachusetts Reference fexl, Jonathan Hospital General Preven408 EDPrevent: A Self-Administered Computer-Based Karin forHealth RiskScreening, tiveHealth Questionnaire V.Rhodes, MD,University of Chicago

I I

pm) (5:30-6:30 MD, StrongMemorialHospital Moderator:SandySchneider, MemorialHospital andRichardShih,MD,Morristown Attenuates LungIniuryin Ventilation 414 Pressure-Controlled Thomas Aspiration, C. Charcoal a RatModelof Activated StateUniversity Arnold,MD,Louisiana Dextrose Loss DuringHypertonic 415 UrinaryGlucose lsabelBenavides, in Normal Volunteers, Administration MD,NewYorkUniversity/Bellevue Delivery andUtilization lmpairs Oxygen 416 Cigarette Smoke R.Bell,MD,University Moderate Hypoxia, Gregory During HealthSciences Center of Colorado

I I

on Lactateand Temperature 417 Effectsof Increased WilliamH. Haloperidol-lnduced CardiacDysfunction, MD,BrownUniversity Sabina,

Decision Papers: Glinical Scientilic

pm) (5:30-6:30 Moderator: BrianRowe,MD,Universityof 0ttawa theUtility ofShoulder to lmprove 418 Defining Clinical Criteria MD,BostonMedical Center PeterShearer, Radiographs, for WideComplex Criteria of the Brugada 419 Evaluation Analysis,SandraCraig,MD, Carolinas Tachycardia Medical Center andlmplemenof Dissemination 420 Evaluation of Strategies BrianR. Practice Guidelines, Clinical tationo{ Validated Holroyd,MD,CapitalHealthRegion Time Prothrombin for 0rdering 421 Validation of Indications (PT)or Partial Time(PTT)Testsin the Thromboplastin (ED),DonaldM. Yealy, MD, Department Emergency Universityof Pittsburgh

n

l

Tuesday,May 19

ADVANCED RESEARCH g:00-e:30am) SERTES Power Analysis andSample SizeOetermination: Goncepts andSoftware Tools

1 I

pharmD, llloduatoy:Janes lndiana lJniversity Q lones,MD, Roger l. Lewis, MD,PhD,Harbor-tJCLA Medicat Center Theeducational objective of.this session ist0 exprain thec.ncepts unpower derlying analysis andsample sizedetermination.

A number of examples willbegiven.

A number products ofcommercial software for power analysis andsample sizedetermination willbedeicribed, illustrating strengths andweaknesses.

Determining theappropriate samplesizefora research study, whether a crinicar siuoyoi i tairoratory investigation, is oneof themostimportant stepsiir study design.

As -designi Emergency Medicine research malures, typiialstudy anC planned statisticar anaryses are becoming moreconiprex.

Accurate power calculations andsample sizedetermination formodern study de_ signsoftenrequire theuseof commercial statistical pact<iges software Bytheendof thesession, iustforthatpurpose. palticipiirii !,91qry9 snoutd beableto select anappropriate package software andpeitorm a power calculation orsample sizedetermination.

Geoffrey Norman, PhD,McMaster lJniversitv, Toronto D0,PhD,lJniversity ofNorthfexas Health Sciences Center lrankPapa, Theeducational objectives of thissession areto explore thetwopri_ mary.models (exemplar andabstraction) usedby contemporary're_ searchers asthebasis formodeling andexplain howphysicians develop a differential diagnosis, Accuracy ofdiagnosis anderioisol clinical reasoning aredirectly related totheadequacy ofthedifferential diagnosis. clearly, teaching ristsoffacts arone doesnotpromote optimal deiisionmaking.

Problem-based learning emphasizes depth wiihout breath. ls therea betterwayto teachmedicar decision mdt<ingz practiMedicar tioners andacademicians assume thattheyknowwellhow it isthitcliniciansgenerate differential diagnoses io solvemedical proniemi.

However,. a growing cognitive science literature suggests thaiproblem solving skills donotaccount forthemajority of mentat activities underlyingdifferentiat diagnosis development.

Byiheendofthissession, pir_ ticipants should beableto describe theshortfallsof current medicat practice, education describe thetwobestsupported differential diagnosis.models, andidentify pragmatic applications to boththetraining'and testing of medical student andresident medical decision_making.

Setting theResearch ADVANCED Agenda TEACHING p:30-10:00am) forMedical SERTES Informatics Advances and Emergency in Computer-Assisted Medicine Instruction.

(10:30am-12:30pm) Simulation, andTelecommunications Technologies Moderator.

Daniel - A Hands-on A.Pollock, MD,centers for Disease control andprevention, Exoerience Atlanta

Iloderptgr:^lg1e!t!._Chapnan MD,phD,Was hington Itniversrry Robert G.Glljo,MQ,tntegrated pA Medicat Sinutati\ns, tnc.,Lanlaster, Gregory L.Merri|CEO, HTMedbat, Rockvile, MD Theeducational objective oI thissession isto describe theprocess of creating virtual reality simulators andvideo conferencing atieasonable costs byexperts in thefields ol virtual reality andtelecommunications dâ&#x201A;ŹJelopment.

Virtuar re.arity andtelecommunications technorogies originally devel0ped for miritary objectives arebeingusedincreisingry in medical ed.ucation, diagnosis andmanagement.

Themostsophistiidted virtual reality simulations developed byHTMedical andhardware develparticipants oped bysurgisim willbedemonstrated. willexperience for themselves thetactire andpsychomotor dimeniions ofthes'e newtechnologies.

By theendof thissession, participants shouldbeableto describe thelatest advances in virtual reality andtelecommunications technologies potential andidentify applications fortheirownsimulation projects development andvideo conferencing needs.

ADVANCED RESEARCH pB0-10:s0am) SERTES Inlormatics andResearch: Tipslo Make the' Scholar's LileEasier!

Moderator; James B.Jones, MD,pharmD, tndiana lJniversitv Willian H.Cordell, MD,lndiana llniversitv Theeducational objective ofthissession ist0 present anddemonstrate technology available t0 assist inallaspects of iesearch proto_ including coldevelopment, datamanagement, andmanuscript preparatioh.

Be_ cause of clinical andadministrative responsibilities, mosremergency medicin-e faculty have limited timeforacademic pursuits. trruswehusi be.as efficient aspossibre to beproductive. subtrtechnorogy inctuoei products software suchasendnotes for bibliography filinglautomatic footnotes, andtheuseof wordprocessor tem-ptaied tor rianuscripis.

Modern technolosy.cql helpyoucollaborate witircolleagues to improve productivity aswellFinally, prograin simple electronic Sponsor-ed In_ lormation Network (sPrN), whichsearches potentiaifunding to rocate sources willbeexplained.

ADVANCED TEACHING (r0:30am-I2:00N) SERTES ls it Timeto Ghange HowWeTeach Medical Decision-Making?

Revolutionary froma - Models Gognitive Science Perspective Moderator: Dane M.Chapman, MD,-phD, Washington lJniversity

WillianH.Cordell, MD,tndiana lLniversitv JohnD.Halanka, MD,MS,Bethlsrael Diaconess Medical Center Robert J.Schwartz, MD,MPH,llniversitv ofpittsburoh XlukS SmitLMD,Washingtln Hospital Center, Wishington, DC Jgnathan M.Teich, MD,PhD, Brigham andWomens tjoipitai,goston MD,MPH,0regon Health Sciences lJniversity !1drewD Zechnich, Theeducational objectives of thissession willfocusonresearch challenges in medical informatics thatbearmostdirectry 0n emergency medicine.

Following a shortintroductory presentation thatoetinds tn'e fieldof medical informatics, a series ofbriefpresentations willouiline priorities keyresearch fromanemergency perspective. mebicine These presentations willcover ergonomic issues in thehuman_computer in_ terface, dataacquisition anddisplay, theroleofemergency me'dicine in enterprise-wide clinical information systems, sateguaiOinj dataprivacy andconfidentiality, andthe contribution of medical iitormailcs to studying andimproving patient care.

Special emphasis willbeplaced on descrrbing opportunities foracademic physicians. emergency .research Aninteractive session is planned withtimeforquestions anoanswers aftereach presentation individual anda general discussion attheendof thesession.

Medical informatics istherapidly developing interdisciplinaryfieldthatdeals withstorage, retrievai, andoptimiluseof biombd_ icaldata,information, andknowledge for probl'em-solving anddeCi_ sion-making. lt is crosery tiedto modern information teihnolooies. mostnotably incomputing andtelecommunications, andwhileit hisa highly applied orientation it alsoaddresses a widerange offundamen_ talresearch questions andplanning andpolicy issues.

Bythe endofthis participants session, should beablet0 define thescope andmethods of medical informatics anddescribe prioritiei research in thisfieldthat bearmostdirectly onemergency medicine.

LUNCH SESSI0N: Remediation oftheCtinicaily and Academicalfy lmpaired Besident 2:30-2:00pm) ft RitaK.Cydulka, M'0,

MetioHeatth Medicat Center Randall King,MD,St.Vincent Mercy Medicat Center Nicholas Jouriles, MD,MetroHealth Medical Center Stephen Meldon, MD,MetroHealth Medical Center Theeducational objectives ofthissession areto provide various meth_ odsfordetermining whichresidents arein need of remediation, meth_ odsforfacilitating acceptance of remediation ofthepartoftheresident, andwhatmethod of remediation worksbestforthepersonality ofthe resident.

Thegroupwilldiscuss howtheyhavesuccessfully relnediat-

Tuesday,May 19 ed residents andsomeo{ thedifficulties theyencountered alongthe way.Participants should bringexamples ol problems withwhichthey arefaceds0thatthelacultyandotherparticipanls canbrainstorm year, together.

Each mostemergency medicine faculty note thatoneor moreresidents good"onpaper" wholooked aredeficient clinically or academically.

While quickly someofthese residents catch upwiththeir peers,others fallfurther andfurther behind.

Thefaculty willdiscuss methods theyemploy fortheremediation ofEM-1's, EM-2s, andEM-3s.

Bytheendofthissession, participants should beableto describe severalmethods utilized for academic remediation of residents, describe several methods utilized for clinical remediation of residents, and describe difficulties to expect pathway. along theremediation Limited enrollment. required. $30fee.Pre-registration

LUNCH SESSION: Research Directors' Lunch: FateorFuture ofProtected TimeforResearchers

(12:30-2:00pm) Susan S Fish,PharmD, MPH, Boston University JeffKline,MD,Carolinas Medical Center JohnMarx, MD,Carolinas Medical Center Sandra Schneider, MD,University ofRochester Susan Stern, MD,University ofMichigan KnoxTodd, MD,Emory University, Atlanta Theeducational objective ofthis session willbeto focusonthecurrent status of "protected time"for clinician-researchers.

Thetopicwillbe presented fromtwopoints of view:1) Fromtheresearcher, whowishesformoretimeto conduct research, and2) From thechief, whomust justification provide to otherfaculty andto administration whya reprotected searcher would beallowed time.These twoviews ofthesame question willbepresented inconsideration of recent recommendations bytheMacyFoundation.

Each speaker willhave15 minutes to make his/her case.

Limited enrollment. required. $30fee.Pre-registration

LUNCH SESSION: lmproving forPatients Gare Near theEndof Lile (12:30-2:oopm)

JanesG.Adams, MD,Brighan & Women's Hospital, Boston Kenneth Vlserson, MD,MBA,Universitv ofArizona Terri Schnidt, MD,0regon Health Scieices lJniversity Theeducational objectives ofthissession willbeto identify types ofend of lifecarethatis delivered problems in theED,identify current and physicians challenges facedby emergency whencaring for patients neartheendof life,discuss opportunities forusto improve, andidentifyeducational needs of EMresidents in endof lifecare.Influential national organizations, including theInstitute of Medicine, havecalled forincreased attention to,andeducation in,endof lifecare.EmergencyPhysicians arecurrently welltrained inaggressive resuscitation, but perhaps lessskilled indetermining whenresuscitation should notbeattempted. participants Bytheendofthissession, should beableto recognize thatlittlecurrent patients education exists formanaging near the endof life,listpotential ethical conflict in resuscitation attemnts. in "DNR" orders, andin palliative care, describe howdecisions aremade regarding whatcarestrategy is bestfordyingpatients (e.9., resuscitationvs.Limited carevs.Palliative care), listeffective medicines to controlthepain,nausea, distress, andotherunwanted symptoms that mightaccompany prothedyingprocess, discuss effective means t0 videpsychosocial support, anddiscuss the"double-effect" (i.e., when palliative medicines mighthasten death) anddiscuss theethical implications.

Limited enrollment. required. $30fee.Pre-registration

Devef opinga Clinical Research Unitleso-o:Jnpm)

Moderator: JuddE.Hollander, MD,University ofPennsylvania lanStiell,MD,)ttawaCivicHospital Sharon M. Valentine, RN,MS,State University ofNewYork, Stony Brook Robert Zalenski, MD,Wayne State University Theeducational objective of thissession isto helpparticipants undertheessential stand components of a clinical research unit,understand therolesof eachof theparticipants, improve theirunderstanding of expeditious wayst0 conduct a series of clinical investigations, beable to establish a clinical research unittheirED,andbeableto address problems someofthecommon thatoccurwithclinical research.

This session isa series of6 conferences designed t0 teach researchers how

to develop theirownclinical laboratory.

Dr.Zalenski willdiscuss the personnel (andtheirroles) required forsuccessful clinical research, and several strategies toaccomplish datacollection inanactive busyEDwill bediscussed.

Dr.Hollander willdiscuss theuseof undergraduate students asclinical researchers anddescribe several currenfly existing studentprograms usedbyemergency medicine researchers.

Thistalkwill emphasize wayst0 facilitate EMdatacollection andintegrate education of students intothisprocess.

Sharon Valentine willfocusthevarious roles of research nurses in EM,anddiscuss these roles astheypertain to different typesof EMinvestigations (forexample, investigator vs. pharmaceutical initiated research).

Shewillalsopresent successful methods togenerate enthusiasm andworking inharmony withancillary (nurses health careproviders andEMS).

Dr.Steill willdiscuss themethodsheandhisgrouphaveused to efficiently c0nduct several different yetefficient series ofstudies ina scientifically rigorous manner.

Alldisproblems cussants willthenpresent several theyhaveencountered in projects individual andin setting uptheirresearch unitsanddiscuss waystheyhave successfully andunsuccessfully managed to dealwith problems. these lnaddition, timewillbeallotted forouestions andaudienceparticipation.

ADVANCED TEACHING SERIES @i0-6:30pm) Procedural SkillGompetency-Overcoming the

Assessment Struggle

Dane M.Chapnan, MD,PhD,Washinglon University SailyH Cavanaugh, PhD,York Hospital/Penn State University Theeducational objectives of thissession areto provide a systemic approach forestablishing minimum competency levels andprovide an approach to estimate theminimum number of procedures needed to gaincompetency for a givenprocedure.

Also,integral to procedural c0mpetency assessment isanappropriate teaching/assessment model, Evaluation of model-appropriateness willalsobedescribed withimplications forf uture simulation systems using advanced technologies.

The anesthesia (ACRM) crisisresource management simulation systems willbedescribed asanexample simulator usedto teach andassess resuscitation andmanagement skillsin a fullyimmersed simulative patient environment usinga full-body simulator, resuscitation theater, scriptAcademicians andmembers of specialty boards have struggled procedural with psychomotor skillcompetency assessment.

The American Board of Emergency Medicine Logo"lt'snotjustthetest...it's pr0gram alsothetraining." implies thatresidency faculty areassessing procedural pr0gram skillcompetency.

Typically, directors, hospital administrators andcredentialling committees relyuponreports of preperformed. viousprocedures Howmanyprocedures areneeded to achieve competency?

Howdoes onedetermine a minimum competenparticipants cylevel?Bytheendofthissession, should beableto outlinea systemic procedural approach forestablishing skillcompetency ina skillarea oftheirchoice.

- Reviewing Economics lheBasics forthe gio-6:Jopm) Emergency Physician

Moderator.

Glenn C.Hanilton, MD,Wright State University Donald W.Rucker, MD,MS,MBA,BethlsraelDeaconess Medical Center and Harvard Medical School Robert M. Willians, MD,DrPH, University ofMichigan Theeducational objectives ofthissession willbeto explain thefunda- thebranch mental ideas of microeconomics of economics thatdeals withthedecisions of individual andgroups rather thangovernment fiscalpolicy.

Economics is a central issue inthepractice andresearch of emergency medicine butit is oftenneglected in theEMcurriculum.

Core concepts suchassupply anddemand curves andhowconsumers payers), (patients, labor(EDMD's)andfirms(ED's)predictably respond willbeillustrated.

Theimpact of marginal costanditsrolein pricing ofservices to managed careplans willbeaddressed.

Bytheend participants of thissession, should beableto analyze events in the healthcare marketplace policy andintheemergency-medicine literature using thebasic toolsof microeconomics.

Thisintroduction to thelanguage of microeconomics canempower attendees to assess thenuphenomena mer0us practice. economic thatshape emergency medicine

Wednesday,May 20

Scientific Papers: Gardiovascular am) 1e:oo-r0:00

Moderators: JamesNiemann,MD,Harbor-UCLA andW.Brian Gibler,MD,Universityof Cincinnati 422 Prognostic Effect of Graded Exercise Testing in anEmergency Department Chest PainDiagnostic Unit,Deborah B. Diercks, MD,University of Cincinnati 423 Validation of Electrocardiographic Criteria for Diagnosing Acute Myocardial Infarction inthePresence of LeftBundle BranchBlock,NathanShapiro,MD, Brighamand Women's Hospital 424 Continuous 12-lead Electrocardiographic Monitoring inan Emergency Department Chest PainUnit:AnAssessment of Potential Clinical lmpact,WyattW.Decker, MD,Mayo Medical Center 425 0utcomes and Characteristics of Patients Discharged Fromthe EDWithAcuteCardiac lschemia, Cameron Cushing, MD,RhodelslandHospital 426 Simple 12HourDiagnostic Protocol Using Clinical Criteria andCardiac Markers Reliably Rules-Out Serious Cardiac Complications inLowRiskChest PainPatients, Antoinette Mangione, MDPharmD, AlbertEinstein Medical Center 427 Cardiac Output Measurement withanEsophageal Doppler Monitor in Critically lll EDPatients, KenA. Berumen, BS, BSN,University of Texas Southwestern 428 UseofElectron Beam Computed Tomography intheEvaluation ofChest PainPatients intheEmergency Department, Dennis A. Laudon, MD,MayoClinic 429 Results of a Phase lll Multi-center, Randomized, Doubleblind(withRespect to Dose) evaluation of lVFenoldopam in Patients with Hypertensive Emergencies, LalaM. Dunbar, MDPhD,Charity Hospitat

Scientific Papers: (8:00-10:00 InjuryPrevention am)

Moderator: JeanAhbott,MD,Universigof Colorado, andlan Stiell,MD,0ttawaCivicHospital 430 Domestic Violence Committed bv Women Aoainst Male Patients inanUrban Emergency tjepartment, b. Crawford Mechem, MD,Hospital of theUniversity of Pennsylvania 431 Effect of Privacy on Domestic Violence Screening in the Emergency Department: AnUnexpected Result, Helen E. Straus, MDMS,CookCounty Hospital 432 Association Between Professional Football Games andlntimate Partner Violence in LosAngeles County, Carolyn J. Sachs,MDMPH,UCLAMedicalCenter 433 Self-Reporting of Intimate Padner Violence inanEmergency Department, Steve McLaughlin, MD,University ofNewMexico 434 Female vs Female Violence: Prevalence andPredictors in theUrbanEDSetting, C.Crawford Mechem, MD,Univer sityof Pennsylvania 435 Prosecution of Sexual Assaut Cases: Correlation WithForensicEvidence, KellyGray-Eurom, MD,University of FloridaHealthSciences Center 436 Sexual Assault Nurse Examiner Programs in theUnited States, ,4nnCiancone, MD,Summa HealthSystem 437 Association Between HeadlnjurySeverity andLong-Term Functional Status, N.ClayMann,PhD,)regonHealthSciencesUniversitv

Scienlilic pm) Papers: Shock(10:30-12:30

Moderators: EmanuelBivers,MD,HenryFordHospitaland KevinWard,MD,HenryFordHospital 250 Decoupling of Hepatic Oxidative Metabolism AfterHemorrhagicShockPresages Short-term Mortality, EricM. Ketcham, BS,University of Colorado Health Sciences Center 439 Effect of theEstrus Cycle Phase on ShortTermSurvival AfterRat Hemorrhagic Shock,JustinL. Kaplan, MD, AlbertEinstein Medical Center 440 Cardiac Efficiency isPreserved inthelsolated Working Rat Heart Despite thePresence of HighFatty AcidConcentrationAfterBrief,Severe Hemorrhagic Shock, Jeffrey A. Kline,MD,Carolinas MedicalCenter 441 Brief,Severe Hemorrhagic Shock AltersMyocardial Metabolism butnotMyocardial Contractility in Canines, R. Wayne Barbee, PhD,Carolinas MedicalCenter 442 Glucose-6-Phosphatase GeneExpression andActivity in LiverandKidney DuringHemorrhagic Shock, SubirR. Maitra,PhD,StateUniversity of NewYorkat StonyBrook 443 Adjuvant Useof Heparinoids in Resuscitation FromControlled Hemorrhagic Shock Does NotProvide Survival Advantage in Rats,JamesR. Jacobs,MD PhD,Carolinas Medical Center 444 Intravenous KW-3902 Increases ShortTermSurvival Rate AfterRat Hemorrhagic Shock,JustinL. Kaplan, MD, AlbertEinstein Medical Center, Philadelphia 445 Exogenous NitricOxide(N0) Attenuates Plasma N0 Levels andlmproves Vasoconstriction in a RatModelof Sepsis, BenUsatch, Thomas Jefferson Universitv

Scientific Papers: pm) Pain1ro:ao-l2:30

Moderator:Paul Paris, MD, Universityof Pittsburghand DonaldYealy,MD,Universityof Pittsburgh 446 Safety andEfficacy (Voltaren") of Diclofenac 0phthalmic intheTreatment of Corneal Abrasions, PaulA.Szucs, MD, Morristown Memorial Hospital 447 UseofTopical NSAIDS intheManagement of Corneal Abrasions: A Clinical Trial,BrianJ. Levine, MD,Medical Centerof Delaware 448 TapeStripping to Speed theAbsorption of EMLA Cream Priorto Intravenous Catheterization, AdamSinger, MD, StateUniversity of NewYorkat StonyBrook - Preliminary 449 EMLA intheEmergency Cream Department Report, Ricardo Carbajal, MD,Hospital dePoissy 450 Effectiveness of lceasa Topical Anesthetic fortheInsertion of Intravenous Catheters, PeterB. Richman, MD, StateUniversity of NewYorkat StonyBrook 451 Nitrous 0xideRegimens MoreEffective thanMidazolam forReducing Distress During Laceration Repair inYoung Children, JanLuhmann, MD,Washington University 452 Dexamethasone to Prevent Recurrent Migraine Headache, Grantlnnes,MD,St Paul'sHospital 453 Magnesium Sulfate for Supplemental Analgesia in Renal Colic,HaftwellLin,MD,MercyHospital

Wednesday, May 2O Poster Session (2:oo-4:oo pm) Gardiovascular Moderator: BobertZatenski,MD, Waynegtatettniversity (2:00-3:00 pm) 454 Troponin prognostic T as a Long-term Indicator of Ad_ verse Cardiac Events inpatients Whopresent totheEmer_ gencyDepartmenl, Deborah B.Diercks, UO,Uniiiriity-if Cincinnati 455 Troponin T. Insensitive prediction for Outcome in Low RiskSuspected AcuteCoronary Syndrome ED0bserva_ patients, tionUnir W Frankpiac6ck,tV MD,CtiiitanA ClinicFoundation 456 Varue.of Trop_onin-r in theEvaruation of Acutecardiac rschemia in a ChestpainCenter, Michaet Mikhaii, Mn, *.

JosephMercyHospital 457 cardiac Troponin r is Notpredictive of Acutecardiac rschemia inanEDObservation unitchestnainnoputiiion, JasonLee,MD,William Beaumont Hospital parameters_of 458 Diagnostic CKMB andMyoglobin Related to ChestpainDuration, Granttnnes, No,'Si iiir, ioiiita 459 Utirity of a combined Myogrobin andcreatine Kinase-MB protocor Rule-out Jor AcuieMyocardiar Infarction in i painCenter, Chest Michaet Mikh;it,Ui, St.j;r;i; M;ry Hospital 460 0utcomes inpatients withErevated cK-MB/cK Ratios with Normal preliminary TotalCreatine j.

Kinase: Data, Briarn }'Neil,MD,Wayne StatelJniversitv 461 RightVentricurar but not posterior ECGLeadspredict Hospital LifeThreatening Complicitions, James M. Pribble,BS,WayneState iniversiiv 462 Observer Variation, in.Measured it Segment Elevation, KurtD.Kastendieck, university of Uei Nexico

I 472 lmpactof Compulsory Motorcycle Helmet LawEnforce_ MotorVehicte Accidents in iaiwin, T.ell.0n Hospitatized MatthewHuei-Ming Ma,MD,phD,Nationatfaiwanintil versityHospital

Injury Prevention

Moderator:H. flange Hutsnn,MD, Brighan and Wnmen,s tlllpitat (2:00-3:00pm) 473 Cardio-pulmonary Effects ofa SpitBuster Mask, Kerryann B.Broderick, MD,StatelJniversity of Newyort<'at eiiiato 474 Incidence and Characteristics of U.S. Emer0encv D-epartment VisitsAssociated with unintentronii"iiiri 1992-1994, Lawrence J. Mathers, BSBA,Center lor iioll enceandlnjuryControl 475 Boxer's Fracture: An Indicator of Intentional andRecur_ rentInjury,Stephen E.Greer, WestVirginia Univirsi{y' 476 Comparison of Characteristics of GangRelated Homicide victims Greater Than45years toThoseiess ftran++Veirs, -' H.Range Hutson, MD,Brigham andWomen,s Hospitat 477 Potential for lmproved Temawork to Reduce Medical Er_ rorsin theEme.rgency Department O Lay,tWO , Gregory PhD,BrownLlniversity 478 HoslitalEvacuation AftertheNorthridge Earthquake, Cart H.Schuttz, MD,Harbor/UCLA 479 Sleep Disorders rnlnjured patients, E.mergency Department sachinshah,Ailegheny IJnivers-ity oi tni'ueattnscieniiei' 480 lnjuries Associated wlllr!tr9M_artial Arts,Susanne t. Kost, MD,A.t.dupontHospitalfor Chitdren

Glinical Practice

phil Henneman, Moderalor: MD,Harbor_IJCLA(3:00.4:00 pm) 463 Resutts 481 in Patients Etectrocardiographic WhoReport an Aitergy to Fenicittin: 11"."11:tq l.]yq-oxia Ho* ff/-anli unanges in Heatthy TrutyAre?,phitipN.Saten, R.Belt,NO,Aniii: MDiMedicat {dults,Gregory ienterofDetaware sityof Colorado HealthSciencei Center prochlorperazine 482 Single-dose lV Induces Akathisia in a 464 QTDispersion andprincipal percentage Component Analysis Significant in pre_ patients, of Emergency Department patients paii, with-Ch.est roi p iufderheidie, fogoital DavidR. Vinson,MD,MadigaiArmyMiedicat Center MD,MedicalCoilege of Wisconsin 483 Adverse DrugEvents.in.Emergency patients, Depanment JohnHafner, Jr MD,Universi{r Injury Prevention of ittino'is Moderator: 484 Analgesic Administration to patients with AcuteAbdo(3:00-4:00 pm) S,tryey of rgency Department efrysiciini, Tr^T_ 1, ^Eme 465 Hearth statusof Victims partner Jeannette Wolfe,MD,Baystate of Intimate MedicatCenrer viorence: A CaseControlStudy,S/erze McLaughtin, UO,Uriuiriiy oi 485 Department Observation Uniton lmpactof Emergency NewMexico lvlanagement of patientswith RenalColic,Brucei.

466 BriefDirected screening forDomestic Lundak, MD,William Viorence Beaumont Tested on Hospilal AllPatients in anUrban ED:Doesii Wo* or Doesit De_ 486 Do Patients with Large or 0bstructing Renar providence carcuri lay?,DavidMilzman, Need Uospiiart to betdentified intheED?,DavidF.Ai. Brown, MO, Maii_ 467 Mandatory Reporting LawsDoNotDeterpatients achusettsGeneralHospitat From Seeking Medical Care, Debra Houry,liUneUniversitv 487 Radioopaque KidreyStones: A 1gg0,sperspective, -' 468 Prolonged Effect of a Municipal GunResponsinility Edward L. Roycraft, 0r_ 00, Louisiana Stiti-llniversiu diance on Firearm_ InjuryDeaths in tVlinors, DavidE. 488 PainandEmbarrassment During Persse, theMaleDigital MD,Cityof Housion Rectal fmergeicyNeAicalSeriicis Examination: An_ Anatysis ot ine rtieit oi rnysrcian 469 Firearms perceptions, in the Home:parental MirnaM. Gender, DarrytJ. Maciai,MD,Univeriity-of Uu* Uirico Farah, MD,Emoryuniversity 489 Can Hearth care workers Estimate Brood 470 Response Lossin Rectal to anEduc-ational lntervention aboutFirearms, Bleeding?, Joseph MD,Sntu iiiversity of i;i JeffreyJ. King,MD,CookCountyUoiiint .Turban, Yorkat StonvBrook 471 Reliability andvaridity of a Truncated Diagnostic coding 490 Physiologic Assessment of theCritically Syste lll: AnOutcome mfor Emeroency.eatie nt r ncounteisl'g,i i i u.-noii, Evaluation of Emergency Departm6nt MDMSc,Univeiityitf ltOerta fnierventron, Delanor Doyel,MD,Henry'Ford iospital

Wednesday,May 20 Clinical Praclice Modentor: Sheldon Jacohson, MD,MountSinaiMedicalCenter (2:00-3:00 pm) 491 Social Factors andAdmission Decisions intheEmergency Department, WilliamK. Chiang,MD, Bellevue Hosptial Center 492 Relationship of a Normal Total WBCto Operative Delay in Appendicitis, David A. Guss, MD,University of SanDiego 493 Failure of EDEvaluation to Predict Need forAdmission or Source of Infection inFebrile HIVPositive Patients, Robert Hendrickson, MD, AlleghenyUniversityof the Health Sciences 494 24 HourEDResidivism ForSeizures, GlenGeorger, MD, University of Missouri-Kansas City 495 Predicting theNeed for Hospital Admission in theEmergency Department: Sensitivity andSpecificity of ProspectiveAssessment

by Triage Nurses, MarkDavis,MDMS, BethlsraelDeaconess Medical Center 496 Effect of Lower Exremity Positioning onLumbar Puncture Pressure Measurements, KellyLynnAbbrescia, D0,Albert Einstein MedicalCenter.

Philadelnhia 497 WITHDRAWN 498 Comparison of Octylcyanoacrylate andSilver Sulfadiazine for theTreatment of FullThickness Cutaneous Defects, AdamSinger, MD,University Hospitaland Medical Center 500 Clinical Research Assistants intheED:CanVolunteers be Relied Upon?, JuddE.Hollander, MD,University of Pennsylvania 501 Characteristics of LongTermSurvivors in Academic Emergency Medicine, Hal Thomas, MD,)regonHealth Sciences University

Pain Moderator: DonaldYealy,MD,Universityof Pittsburgh (3:00-4:00 pm) 502 Demographic Analysis of Minimum Clinically lmportant Differences in Patient-assigned VASScores,Morris Frederick Gitter,MD,University of Mississippi 503 Subcutaneous Buffered Lidocaine ForIntravenous Cannulation: ls There a Rolein Emergency Medicine?, Stephen W Burgher, MD,NavalMedical Portsmouth Center, 504 Randomized, Double-Blind Comparison of lVMGS04 and lV Prochlorperazine in theTreatment of AcuteHeadache, MarcPollack, MD,YorkHospital 505 Gender Differences inPainAssociated WithUrethral Catheterization, AdamSinger, MD,StateUniversity of New Yorkat StonyBrook 506 Gender andRacial Differences in PainAssessment After lntravenous Catheterization, AdamSinger, MD,StateUniversity of NewYorkat StonyBrook

Technology Moderator: ChuckCairns,MD,Universityof Colorado (2:00-3:00 pm) 507 Useof the MedFacts Software Program to Determine Medication Dosage, Jonathan A. Handler, MD, Northwestern University 508 Studyof theHistopathologic Ef{ects of Cutaneous Tape Stripping, AdamSinger,MD, University Hospitaland Medical Center

509 Histopathologic Effects of LowFrequency Ultrasound in Swine, AdamSinger, MD,University Hospital andMedical Center 510 ln-Vitro Evaluation oftheBacteriostatic Effects of LowFrequency Ultrasound, AdamSinger, MD,StateUniversity of NewYorkat StonyBrook 511 Comparison of MassDetermination withQualitative Point of CareDeterminations of Troponin I CKMB andMyoglobin,Stephen A. Morris,MD,College of Physicians and Surgeons 512 Electronic Practice Survey: A Convenient ButIneffective Research Tool,Timothy J.Mader, MD,Baystate Medical Center 513 lnitial Experience withRural Hospital Emergency TelemedicineNight Coverage Using an0n-site RNandParamedic Team,DavidG. Ellis,MD,StateUniversitv of NewYork, Buffalo

Gomputer MethodologV/Modeling

Moderator:David Schreck,MD, MuhlenhergBegional pm) MedicalCenter(3:00-4:00 514 Development of a Computer AidedAnalysis of Wound Healing, JamesVictorQuinn, MD,University of Michigan 515 Useof Neural Networks in Predicting 0utcome inTrauma Patients: A Comparison ofStatic andDynamic Techniques, WilliamBrady,MD,University of Virginia 516 Useof Artificial Neural Network to Determine Needfor Laparotomy in Trauma Patients, RobertS. Porter,MD, AlbertEinstein Medical Center, Philadelphia 517 Computer Modeling Characteristics of Emergency DepartmentDailyCensus Dala, Andrew T.McAfee, MD,Brigham andWomen's Hospital 518 Chaotic Dynamics Mathmatical Modeling of Emergency Department PatientFlow,DavidM. Schreck, MD, Muhlenberg Regional Medical Center

Innovations in EMEducation Exhibits

396 HowDoEmergency Medicine Residents Learn?

A Novel Assessment of Behavior and Learning Styles,Georges Ramalanjaona, MDD Sc,Newark BethlsraelMedical Center 397 Increasing Practitioner Confidence

by Utilizing a Novel Educational Model to Teach Wire-guided Saphenous Vein Cutdowns, JamesFoster, MD,Stanford University 398 Training Emergency Medicine Residents in Arthrocentesis Skills,Geoffrey A. Hart,MD,AlbertEinstein Medical Center 399 Residents asTeachers: AnElective in Medical Student Education, E.ParkerHays,Jr MD,Carolinas Medical Center 400 Unique Curriculum forEmergency Medicine Residents as Medical Directors for RuralPrehospital Agencies, Cathy MDPhD,Denver Custalow, Health Medical Center 401 Demonstration of a Computer Model for Quality lmprovementon a Regional Basis for Pediatric Prehospital Care, Katherine A. Maftens, MD,LoyolaUniversity Medical Center 402 Rapid Sequence Induction for Prehospital lntubations: A Multimedia Designed Course for Paramedics, Daniel Davis,MD,University of California SanDiego 403 EM Corefiles: A ViftualEducation Community, Phr'l/rp AtwellBrewer, MD,YaleUniversity 404 Emergency Medicine Cyberschool: Development of an Interactive Educational ToolAvailable on the Internet, Michael J. Bessette, MD,MountSinai,NewYork

Wednesday,N.4ay 20 405 CoreCurriculum Guided Resident andFacultv Education Management Utilizing Bar-Coded DataEntryanda Web Accessi bleDatabase, Thomas F.D'Aprix, MD,Ilniversity of Buffalo 406 UsingRelational Databases to lmprove Resident Compliance, andAccuracy inCompleting Resident Rotation Evaluations, CarterDalton, MD,Ilniversity of Connecticut 407 Development of an Internet Based Emergency Medicine Reference Tert,Jonathan N. AdlerMD,-Maisachusetts General Hospital 408 EDPrevent: preA Self-Administered Computer-Based ventive Health Ouestionnaire for Health RiskScreening, KarinV.Rhodes, MD,University of Chicago 409 Assessment ofanAirMedical Rotation, Richard C.Wuerz, MD,Pennsylvania StateGeisinger HeatthSystem 410 Pre-Study Useof a Modified Nominal GroupTechnique (NGT)for lncreasing Adherence to Compldx Reseaich patients, Protocols in LowlncomeMinority RobertJ. Rydman, PhDMSMPA,CookCountyHospital 411 EMCouncil of EMResidency Directors ECGEducational DataBankandWebsite, Edward A. Michetson, MD.C1RD EKGTaskforce programs, 412 Demographics of EMSFellowship DebraG. Perina,MD,University of Virginia 413 Faculty Development in Academic Emergency Medicine, DebraG.Perina,MD,llniversityof Virginia

nllic Papers: Computer MethodoIogV/M odeIing

.S.cig pm) (4:00-6:00 Moderator: CharlesPollackJr., MD,MaricopaMedicatCenter 519 Useof Computer GISModeling to ldeniify Canadian Emergency Departments forDevelopment asAuteStroke TreatmentFacilities , PhillipA.Scott,MD,Ilniversity ofMichigan 520 Useof Volumetric Capnography andNeuralNetwork Analysisto Screen forPulmonary Embolism, Manish M.patel, MD,Carolinas MedicalCenter Validation of_an Expert System forTachycardia Diagnosis, KatherineCassidy,MD, Michigan Stateuniiersity, Kalamazoo paramerers Prediction of Hyperkalemia in DogsFromECG UsinganArtificialNeuralNetwork, FredG.Wenger, D0,At philadelphia bertEinstein Medical Center,

i -

@

Technology Moderator: CharlesPollackJr., MD,MaricopaMedicatCenter 523 Effectof Pointof CareTesting on Leirgth of Stayin an AdultEmergency Department, LouisLudwig, MD,'Health Sciences Centre 524 Relationship Between Serum Bicarbonate Level andCarbonDioxide Level asMeasured bytheNoninvasive Tranpatton,D0. cutaneous Carbon Dioxide Monitor, Kenneth AlbanyMedicalCenter 525 Arterial, Central andPeripheral Oxygenation DuringInducedlschemia andHypoxia, Melissa J. Ruyle, MD,-llniversityof Colorado HealthSciences Center - Analvsis 526 Confirmation of Endotracheal Tubeplacement of 1288Emergency Department Intubations, RonM. Walls,MD,BrighamandWomen,s Hospitat

S-cientific Injury Prevention (4:00-6:00 pm) !apergl

Moderator: BobertMuelleman,MD, Truman'Medical Cbntler 527 Effects of Alcohol ontheGeographic Variation of Driver Fatalities in MotorVehicle Crashes, Dominic A. Borgiatti, MPH,University of Michigan 528 Alcohol as a RiskFactor for Bicycling Injuries: A CaseControl SIudy, Guohua Li,MDphD,JbhnsHopkins universitv 529 Fjv_e YealFollow UpStudyof Injured Intoxicated Drivers, JeffreyW Runge,MD,Carolinas MedicalCenter

530 lmpairment of Mental Status andBlood Alcohol Concentration,Patricia L. Lanter, MD,RhodelslandHospitat

531 DrugAbuse Detection Preceding MajorTrauma: OpportunityLost,Pamela Gaffney, Summa Heatth System Carbon Monoxide Levels ina Simulated Snow-Obstructed Vehicle, Stephen J. Playe, MD,Baystate Medicat Center

533 Police Reporting of Gunshot Injuries: TheCase of the Missing Victims,MarciaLoBrano, MD,Emoryllniversity

lmpact of 0lderSiblings on lnfant Bathtub Deaths inthe United States, N.ClayMann,PhD,1regonHeatthSciences University

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Wbdnesday,May 20

Medical GallGenters andTeleHealth Specialists, A NewSubspecialty forEmergency Medicine?

(8:00-9:00am) lackGnndey, Director, Division ofApplied Informatics, llniversity ofpittsburgh Robert J.SchwarD, MD,MPH,Chief ofApptied lnformatics, LLniveriitv , Division ofPittsburgh Theeducational objective of thissession isto explore thepotential for EMindeveloping a newsubspecialty ofTeleHealth Specialty byexpanding0ntheskillsnecessary for providing medical control, usingour broad knowledge base of medicine andthekeypositioning oftheEmergency Department within integrated health caredelivery systems.

Leadguidance ership, andsupport willbenecessarv fromwithinacademic Emergency Medicine to develop curriculum, training requirements, proper identify training environments, progression andmonitor towards a fullycertified subspecialty.

Asmanaged carematures, medical callcenters expand theirscope of interventions.

Currenfly, theyallutilizepre-approved protocols delivered viatelephone consultations bv nurses.

Emergency Medicine hasbeeninvolved in developing thepro: t0c0ls, butto datehashadlimitedinvolvement withthe design, development, implementation andmaturation of medical callcenters.

Technological advances, combined withfederal initiatives changing the patterns reimbursement for telehealth consultations havecreated an opportunity for Emergency Medicine.

N0otherspecialty hasthetrainingin remote medical decision making whenparticipaiing in medical command forEMS.

Teamwork Errors in Emergency Medicine: A Large Scale Applicati0n of Lessons Learned from Aviation p:00-9:30am) Accident Prevention

Gregory D.Jay,MD,PhD,Brown lJniversity Matthew Rice, MD,Madigan ArmyMedicat Center Robert Simon, EdD, Dynamics Research Corporation Robert Wears, MD,MS,Universitv ofFtorida, Jacksonvilte 'this Theeducational objective of session willbeto demonstrate an approach to adapting CRMmethods developed for aviation t0 emergency medicine.

Teamwork is a learnable setof skillsandis a central approach t0 err0rreduction.

A closed malpractice casereview willbe presented thatreveals thecostsof notforming andtraining teams in practice. emergency medicine Thissession willconvey to thelearner thedifferent formsof human errorastheyexistin medicine, andan overview of thesystems approach to errorreduction.

Typical andcurrentmaladaptive responses to errorwillalsobesurveyed.

Theteam apploach to errorreduction, specifically cockpit resource management (CRM), hasbeen validated andwidely accepted intheaviation wortd.

By participants theendofthissession, should beableto:understand th-e history ofCRMinaverting human errorinaviation andthehistory of a multi-center trialto change psychology organization in emergency medicine, recognize typical teamwork errorsin emergency medicine, understand pitfalls the potential in emergency meOicine, a practice which currently relies onuntaught teamwork practitioners skills among whoaretrained to workasindividuals, andunderstand newtypesof Q/Ameasurement instruments forassessing teamwork effectiveness.

Teaching Clinical Decision Making: AnEvidence p:00-10:00am) Based Approach

Stephen R.Hayden, MD,University ofCalifornia SanDiego What isevidence based medicine? ls thisiusta trendv buzz wordor a useful approach to clinical decision makini?

Attheendofthissession participants willbeabletocompare andcontrast thetraditional andevidence based approaches tocritical thinking" They willlearn toteach residents howto formulate goodclinical questions andefficientlv search participants themedical literature for relevant studies. willbeableto instruct residents inthebasic skillsof a critical appraisal exercise and usetheresults to make clinical decisions. ldeas forincorporating evidence based learning programs intoresidency willbediscussed.

ADVANCED TEACHING (10:30-n:Jnam) SERIES Educational Research Design

Moderator.

Glenn C.Hanilton, MD,Wilght State lJniversity Ronald J.Markert, PhD,Wright State University Theeducational objective ofthissession isto understand thefollowino about educational research. basic research designs, threats to interndi andexternal validity, practical andimportant concerns in conducting educational participants research.

Bytheendofthissession, should be ableto apply someoftheimportant concepts andprinciples ofeducaproblem. tional research to his/her research

Evaluation ol theNational Health Initiative to lmprove Emergency Department Response to Battered Women(10:J0am-12:30pm)

lacquelyn C.Canpbell, RN,PhD,Johns Hopkins lJniversity School ot'Nursing Jeffrey H.Coben, MD,Allegheny University oftheHeatth Sciences Nancy Glass, RN,MSN,MPH, Johns Hopkins lJniversity School of Nursino LisaJanes, MA.FanityViolence Prevention Fund, SaiFrancisco, CA Theeducational objective ofthissession isto present results ofa 3-year prospective multi-site studythatevaluated theeffectiveness of implementing a program of policies andprocedures designed to improve the institutional response toward identification andtreatment of women injured fromabuse treated atcommunity hospital EDs. Twelve community hospital EDs(6 in Pennsylvania and6 in California) wererandomlv selected to parlicipate in thestudy, Three hospitals in eachstatewerb designated asexperimental hospitals andreceived a 2-day EDtraining program thatproposes efficient interventions based upontherecommendati0ns of battered women, medical staffandthepublished literature.Theremaining sixhospitals received noformalpAtraining and served group. asa comparison Thetraining, developed bytheFamily Violence Prevention Fund, stresses theimportance of institutionalizind theresponse through theformal adoption of protocols, ongoing staft programs, training andpatient interventions.

Thissession willpresent results of theprevalence of historical andacute injury fromabuse to presenting women t0thecommunity hospital EDsandhoweffective the c0mmunity hospitals were atimplementing thecomp0nents ofthetrainingprogram withlittleexternal resources.

Thestudy wasa collaboration between JohnsHopkins University School of Nursing, theCenter for Violence and InjuryControl at Allegheny University of the Health Sciences andtheSanFrancisco Injury Center forResearch & prevention.

ADVANCED TEACHING SERIES ft t:30am-12:30pm) Educational Measurement lssues forProgram Faculty MaryAnnReinhart, PhD,DeputyExecutive Director, Ameilcan Boardof Emergency Medicine Theeducational objective of thissession is to introduce themeasurementtopics thatarecritical forsuccessful resident andprogram evaluation.

Thissession is designed forthefaculty whoarefaced withthe need to fairly andsuccessfully evaluate residents andprogram curricula.Bytheendofthissession, theparticipants should beableto doeach ofthefollowing: useeducational measurement vocabulary, differentiate typesoftestreliability andvalidity, describe thedifferent usesof criterion-and non-referenced examination standards, usetestspecifications to guide testdevelopment, guidelines identify ABEM forwriting multiplechoice questions, andrecognize thenational measurement stanguide dards which practices. fairtesting

LUNCH SESSI0N: TheFuture ofEmergency Medicine

(12:30-2:00pn) Moderator Kenneth V lserson, MD,MBA, University ofArizona JanesG.Adans, MD,Brighan & Womenb Hospital, Boston WillianH.Cordell, MD,lndiana University David P SklafMD,University ofNewMexico Theeducational objectives ofthissession areto discuss thebenefits of planning futures for SAEM andfor individual members, andtheTask

Force's visionof emergency medicine's future: specialty survival and growth, scientific basisfor emergency practice, medical emergency medical systems, information management, education in emergency medicine, emergency medicine's scopeo{ practice, financing anl administration, national emergency medicine organizations, resiarch, international emergency medicine, telemedicine, andthe effectof unusual events 0nemergency medicine.

Everything wedoasprofessionals andasa specialty depends uponthefuturedirections emergencymedicine willtake.Thisincludes our research, ourteaching, planning thestructure of ouremergency practices, medical andheali-h policyandplanning.

Whatmayourfuturelooklike?Whatis SAEM doing to helpmembers determine whatthisfuture mightlooklikeand howto planfor it?Bytheendof thissession, participants should be ableto understand anddiscuss whatthisfutureplanning means, in a practical way,to SAEM members andto SAEM. Limited enrollment. $30lee.Pre-registration required.

LUNCH SESSION: Cultural Gompetency: We'reNot ThereYel(12:302:00pm)

Moderator.

RitaK.Cydulka, MD,MetroHeatth Medicat Center Norberto Adame Medical Schoot t MD,UT-Houston Thea James, MD,Boston University Horace Liang, MD,Johns Hopkins Hospital Theeducational objectives ofthissession areto promote cultural sensitivity amongemergency physicians in theirinteractions withboth patients andpeersof various ethnicbackgrounds, andto present a framework of cultural sensitivity andethnic diversity to bringbackto programs. residency Each speaker willpresent a brief(10-15 minute) - bothmedical discussion of considerations andsocial'which mavbe unique/different/ or important to understand wheninteractino with members group. oftheirethnic Drs.James andRichardson willp-resent the perspective of theAfrican physician American andpatient.

Dr. Adame will present the perspective physician of the Hispanic and patient, Bothprofessional-professional interactions ahd'physicianpatient interactions willbediscussed.

A fewprovocative scenaiios will be.presented (again, bothprofessional-professional andphysician, patient), uponwhich thespeakers willbeasked to comment.

Theaudiencewillalsobeasked to remark andparticipate in thelatterdiscussion.Thelastportion ofthesession willbedevoted to ouestions from theaudience. [imiledenrollment. required. $30fee.pre-registration

LUNCH SESSI0N: Wellness: Whatis it and Whatis itsRolein Graduate Medical Education

(12:30-2:00pm) Todd Bee[MD,Unfuersity ofMichigan AndyJagoda, MD,MountSinaiMedical Center, Newyork Rebecca Snith-Coggins, MD,Stanford Lynne Richardson, MD,Mount SinaiMedical Center Newyork Theeducational objectives of thissession areto:provide anoverview of theconcept of wellness, to provide a curriculum of wellness topics for incorporation intoresident education including discussions on stress management strategies, staffing, scheduling, diversification of practice, to provide formats thatcanbeusedin presenting/teaching wellness concepts, to present mechanisms for interacting witnresidents in balancing theoretical practice, concepts withactual andtodiscussoursuccesses andfailures in developing program a wellness for ourresidency witha focus ontheidentified future directions.

Bvtheend participants of thissession, should beableto:self-assess theirresiprogram's dency success inteaching andimplementing wellness concepts, t0 design a wellness curriculum fortheirprogram, andto have presentation access to a variety of different formats to maximize the effectiveness of teaching wellness concepts.

Limited enrollment. $30 fee.Pre-registralion required.

Howtobea Successlul Glinical Trials Investigator Epelgency Department Arena e:00-3:30pm) il the RonM.Walls,MD,Brigham Moderator:

& Women\ Hospital, Boston LalaM.Dunbar, MD,PhD, Louisiana State universitv Jeffrey WRunge.

MD,Carolinas Medicat Center Janes1uinn,MD,University ofMichigan Theeducational objective ofthissession isto discuss themechanics of getting a study andgetting it going.

Thepanetwilladdress themajor issues indoing clinical trialsfromtheirinception to conclusion.

Highly successful researchers in thefieldwillsharetheirexpertise andinsights.

Thesession willinclude anoverview oftheinitialinteraction between sponsors andtheFDA. Theremainder ofthecourse willfocus on execution ofa protocol bytheindividual investigator, thedetails ofinstiprocessing, tutional budgeting, responsibilities of theinvestigator to sponsor andsubjects, interaction withtheIRBandthestudvmonitor. andhelpwithpatients goodoutcome. accrual andoverall Afierattendingthesession theparticipant should beableto acquire, start-up and c0nduct a clinicaltrial in anefficient andethical manner withattention to responsibilities patients to thesponsor, FDA, andinstitutions.

ANNUALBUSINESS MEETING Tuesday,May 19,2:00-3:30pm SheratonBallroom5 AGENDA 1 . Amendments to the Constitutionand Bylaws,

TheConstitution and Bylawswiththe proposed amendments arepublished in thisprogram.Theproposed amendments: A. providefor the election of a resident memberof the Board(Constitution.

ArticlelV.Section 2 andBylaws, Articlell, Section3 andSection5) B. propose variouseditorial changes Efections,JohnA. Marx,MD,President Theslateof nominees andbiographical information on eachcandidate are published in thisprogram.

Onlyactivemembersmayvote.

Awards Presentation,JohnA. Marx,MD, and CharlesCairns,MD HalJayneAcademicExcellence Award,StevenC.Dronen,MD,lJniversity of Michigan Leadership Award,ArthurSanders,MD, lJniversityof Arizona Younglnvestigator Awards,SusanStern,lJniversityof Michigan ResidentResearchYear,catherinecustalow,MD,phD, carolinasMedicatcenter Physio-control EMSFellowship, E. DavidBailey,MD,Medicatcenterof Delaware 1997AnnualMeetingAwards: BestBasicScienceOralPresentation: ChartesCairns,MD,University of Cotorado BestBasicSciencePosterPresentation: Xin-LiangMa, MD,PhD,ThomasJeffersonlJniversity Bestclinicalscienceoral Presentation: tanG. stiell,MD,university of ottawa BestClinicalSciencePosterPresentation: GerardBrogan,MD,University MedicatCenter BestYoungfnvestigator OralPresentations: TerryL. VandenHoek,MD,IJniversity of Chicagoand Younger,MD, Universityof Michigan BestYounglnvestigator PosterPresentation: JamesQuinn,MD,IJniversity of Michigan BestStudentPresentation: TedCollison,MethodistHospital BestFellowPresentation: BlakeBulloch,Children'sHospital,Cincinnati

JohnG.

4. Secretary/Treasurer's Report, MarcusMartin, MD, SecretarylTreasu rer 5. President'sAddress,JohnA. Marx,MD 6. Introductionof 1998-99President:ScottSvverud.MD 7. NewBusiness 8. Adjournment

Note: Award recipients,newly electedmembers,and the Board of Directorsare asked to remainafter the Annual BusinessMeetingto participatein a briefphotosession.Photoswill be publishedin upcomingissuesof the Newsletter.

for electionat the annualbusiare pleaseto presentthisslateof candidates and Boardof Directors Committee The Nominating wereused: nessmeetingin Chicagoon May 19. The followinggeneralguidelines '1. Nominations in the Newsletter. throughadveftisements weresoughtfromthe membership wereconsidered. in the Newsletter to the "Callfor Nominations" 2. All memberswho responded for eachposition. to the membership is presented a slateof two or morecandidates 3. Wheneverpossible, ratherthanpairing to havea singleballotfor eachpositionunderconsideration believesit is important 4. The Board'ofDirectors for eachpositioncan be selectedby the membership. up nominees.Thus,the mostqualifiedcandidates fromthe floorat the annualbusinessmeeting. nominations 5. Eachpositionwillbe openfor additional priorto the elections. to the membership eachnomineeis presented regarding information 6. Biogrdphical MD President-Elect SandraM. Schneider, Board of Directors (two S-yearand one 1-yearpositions) Biros,MS,MD Michelle WilliamBurdick,MD MD CareyChisholm, RogerJ. Lewis,MD,PhD DebraPerina.MD DonaldYealy,MD

PresidentElect

NominatingCommitteeMember (one2-yearposition) MD DanielDeBehnke, MD JuddHollander, Constitutionand Bylaws CommitteeMember (one 3-yearposition) DaneChapman,MD, PhD SusanFish,PharmD,MPH ResidentMemberof the Board (one 1-yearposition) HenrySouto,DO lrenTien,MD

Sandra Schneider,MD, is Professorand Chair of the Departmentof EmergencyMedicineat the MedicalSchoolin 1975and of Pittsburgh She graduatedfromthe University of Rochester.

University of Pittsburgh completedan InternalMedicineResidencyin 1978f rom the Hospitalsof the University MedicalCenter.Dr. Schneiderserveson the SAEM Boardof Directors(1993-95and 1996-98)and of AcademicChairsof EmergencyMedicine.She is the chair is currentlyPresidentof the Association servedon the SAEM Women and MinoritiesTask Service, Consultation Residency of the SAEM Force (1996-1997),chairedthe SAEM FellowshipTask Force (1995-1996),and served on the and as chairof that committee(1992-93). and BylawsCommittee(1990-1993), SAEM Constitution Dr. Schneideris a reviewer lor Academic EmergencyMedicine,Annals of EmergencyMedicine,and the AmericanJournal of Medicine.She is an EditorialBoard memberfor the Journalof Prehospital and DisasterMedicine, EmergencyMedicine Beports, and Pre- Hospital EmergencyCare.

Boardof Directors

of MichelleBiros, MS, MD, is SeniorAssociatePhysicianand ResearchDirectorin the Department of Emergency Professor Assistant and Medical Center EmergencyMedicineat HennepinCounty Dr.Biroswas a memberof the SAEMReof Minnesota. at the University Medicineand Neurosurgery servedas a memberof the and servedas its Chair (1992-1995), searchCommittee(1989-1995), of ResearchSeries.She repand developedthe Fundamentals ProgramCommittee(1992-1995), and hasservedon the SAEMBoardsince resentedSAEMon the EMFBoardof Trustees(1995-1997) and Researchers 1995.Dr. Biroswas the Chairand founderof the Coalitionof AcuteResuscitation the founderof the SAEM ResearchDirectorsSpecialInterestGroup.She has been on the Editorial in Board of AcademicEmergencyMedicinesince 1993 and assumedthe positionof Editor-in-Chief Basic the Best Oral in 1995 Paper and Science the Best Basic 1998.In 1985and 1990she received of Minnesota SciencePaperat the SAEMAnnualMeeting. Dr. Birosgraduatedfrom the University residencyat the University MedicalSchoolin 1982and completedan EmergencyMedicineinternship of Cincinnati. fromthe University of Cincinnatiin 1g86.She alsocompletedan EmergencyMedicineResearchFellowship William Burdick, MD, is Professorof EmergencyMedicineat the AlleghenyUniversityof the HealthSciences,MCP.HahnemannSchoolof Medicine.He was the Chairof the SAEM National Committee and the Chairof the SAEMEducation Groupon ClinicalSkills(1993-1995), Consensus (1995-1997).He chairedthe Annual MeetingSubcommitteeof the EducationCommittee(1990in EmergencyMedicineexhibitsin 1991, and was co-founderof the 1995),initiatingthe Innovations Annual MeetingFundamentalsof Teachingseries.Dr. Burdickwas the recipientof the Best EducationPresenlation(1994,1995& 1996),and the Best Innovationin EmergencyMedicineexhibit (1993)at the SAEMAnnualMeeting.He is currentlya memberof the SAEMAAMC LiaisonCommittee.Dr. Burdickgraduatedfrom CornellUniversityMedicalCollegeand completeda residency in InternalMedicineat BostonCity Hospitalin 1982.

Board of Directors (Continued) Carey Chisholm, MD, is ClinicalAssociate Professorof EmergencyMedicineat IndianaUniversity Schoolof Medicineand the EmergencyMedicineand CombinedEmergencyMedicine-pediatrics ResidencyDirectorat IndianaUniversity-Methodist.

Dr. Chisholmservedon the Boardof Directors of the Councilof EmergencyMedicineResidencyDirectors(1991-1998)and as president(19951997). Since 1997 he has been the editorof the SAEM Newsletter.

He servedon the SAEM prog19mCommittee(199_1-1994), the SAEM ResidencyAid Committee(1990-1992)servingas chair (1992-1995), and the.SAEMNominatin_g Committee(1995-1997).Since1988,he has beln a special site surveyorfor the RRC-EM. Dr. Chisholmhas servedas a reviewer lor Annatsof Emergency Medicinesince 1989,AmericanJournal of EmergencyMedicinesince 1992, andAcademic-Emei-gency Medicinesince 1994.Dr. Chisholmgraduatedfrom the MedicalCollegeof Virginiain 19g0, completeda transitionalinternshipin lg8iand an EmergencyMedicinene-SOencyln19g3from MadiganArmy MedicalCenter.

Roger J. Lewis, MD, P_hD., ^completedhis medicaland graduateeducationat StanfordUniversity as a traineein the MedicalScientistTrainingProgram,receivinghis MD degreeand a phD in biophysicsin 1987. He completedan emergencymedicineresideniyat HarborIUCLA MedicalCenter in 1990 and becamethe Directorof Researchin 1994.Dr. Lewis has servedas the Chair of the SAEM ResearchCommittee(1995-1998),served on the SAEM NationalEmergencyMedicine DatabaseThsk Force,the InternetTask Force (1996-97),and the Annual Meetlngiask Force (1997-98). Dr. Lewis servesas an EditorialBoard membertor AcademicEmergency'Medicineand is the sectioneditorfor the AdvancedStatisticSeries. Dr. Lewisis a statistical consuitantfor Annals of Emergency Medicine, and is a consulting reviewer for JAMA, Biometrics, Controlted Ctinicat Trials,American Journal of Emergency Medicine, and the Journal of the Acquired Immune Deficiency Syndromes and Human Retrovirology.

Debra Perina,MD, is an AssociateProfessorof EmergencyMedicineat the Universityof Virginia, Director,Divisionof PrehospitalCare,and MedicalDirectorfor PegasusFlightOperatibns.tnI gag she graduatedfrom medicalschoolat the West VirginiaUniversity.

She co-mpleied an emergency medicineresidencyin 1986 at RichlandMemorialHospital.Dr. Perinais memberof the SnfM Boardof Directors(1997-1998).

She has beena memberof the Core ContentRevisionTaskForce (J993-1997),a memberof the SAEMConstitution and BylawsCommittee(1994-1996) and chairof that,Committee(1996-1997).She has also servedon the SAEM Resid'encyCommittee(19921994). Dr. Perinacurrentlyserveson the CORD Boardof Directorsand was the coursedirector (1996-1997)_for the CORD FacultyDevelopmentCourseand the ProgramDirectors'Orientation Workshop. Since 1995 she has been a reviewertor Academic EmergbncyMedicine and W1derness and EnvironmentalMedicine.

DonaldYealy,MD, is an AssociateProfessorand Vice Chairmanof the EmergencyMedicineDepartmentat the Universityof PittsburghSchoolof Medicine.In 1985he graduatedfrbmthe Medical College of Pennsylvaniaand in 1988 completeda residencyin Eriergency Medicineat the UniversityofPitlsburghand completeda ClinicalResearchFeilowshipin-1989.Dr, yealy was a memberof the Progra.mCommitte-q (1993-1995),and servedas chair of that committee(1995He also served on the SAEM ResearchCommittee(1989-1993), and the SAEM Annual ]997).

MeetingTask Force(1996-1998).

Dr.Yealyis a memberof the EditorialEioardol AcademicEmergency Medicine and Annals of Emergency Medicine. He has been a journal referee for American Journal of EmergencyMedicine and JAMA. He was a memberof the ACEP ResearchCommittee (1990-1993), an ACEP ScientificReviewCommitteemember(1993-1994), and a memberof the ACEPAnnualMeetingPlanningCommittee(1992-1993).

Nominating Committee Daniel DeBehnke,MD, is an AssociateProfessorof EmergencyMedicineand Directorof Clinical Servicesat the MedicalCollegeof Wisconsin.Since 1995 Dr. oeBennkehas servedas a member of the SAEM Undergraduate EducationCommitteeand has chairedthat Committeefor the pasttwo years,has servedon the SAEM ResearchCommittee(1994-1996), the SAEMProgramCommittee (1995*1996), and theACEP ResearchCommittee(1989-1990).Since1993he 6as servedas a reviewer for Academic Emergency Medicine, and in 1997 was named an AEM Outstanding Reviewer.Dr. DeBehnkegraduatedfrom the Universityof Wisconsinin 1988 and completedai emergencymedicineresidencyin 1991from WrightStateUniversity.

No m i nati ng Com m ittee (Continued) Judd Hollander,MD, is AssociateProfessorin the Departmentof EmergencyMedicineand Clinical He graduatedfrom New YorkUniversitymedResearchDirectorat the Universityof Pennsylvania. at BarnesHospitalin 1989,and an an InternalMedicineResidency icalschoolin 1986,completed EmergencyMedicineResidencyat Jacobi Hospitalin 1992. Dr. Hollanderis a memberof the of the SAEM ProgramCommittee(1997-1998)and will chairthe abstractselectionsubcommittee ProgramCommittee(1998-1999).He is a reviewerfor AcademicEmergencyMedicine,Annals of Emergency Medicine,American Journal of Emergency Medicine, Journalof Emergency Medicine, NEJM, and JAMA.

Constitution&

Committee

Dane Chapman,MD,is AssistantProfessorand ProgramDirectorof the EmergencyMedicineResidencyProgramat WashingtonUniversitySchoolof Medicine.Since1993 Dr. Chapmanhas been He is a memCommittee and is the incomingchair(1998-1999). a memberof the SAEMEducation (1997-1998), a memberof the DidacticSessionSubcommitber of the SAEMProgramCommittee tee of the ProgramCommittee,and servedon the SAEM NationalConsensuson ClinicalSkills Force CompetencyTask Committee(1993-1994).Dr. Chapmanservedon the CORD Procedural Since' (1995-1997) Pathways(1995-1996). on Alternative and Chairof the CORD Subcommittee 1994 he has servedas an associateeditorand since 1993 a reviewer,lor AcademicEmergency Medicine.He is a reviewerfor Annals of EmergencyMedicineand a contributingeditorand editoDr. Chapmangraduatedfrom the Universityof MichiganSchool rial boardmemberof Emergindex. in 1986,and an emerthe St. JosephInternalMedicineResidency of Medicinein 1985,completed gencymedicineresidencyfrom the DenverAffiliated Residencyin EmergencyMedicinein 1989, and receiveda PhD in Instructional Scienceand Technologyin 1985from BrighamYoungUniversity.

Susan Fish, PharmD,MPH, is Vice Chairfor Researchin the Departmentof EmergencyMedicineat and BioBostonMedicalCenterand an AssociateProfessorof EmergencyMedicineand Epidemiology statisticsat BostonUniversity Schoolsof Medicineand PublicHealth.In 1980shegraduatedfromthe Universityof Minnesotawith her Doctorof Pharmacyand in 1992receivedher Masterof PublicHealthfrom Dr.Fishis a memberof the SAEMProgramCommitteeandwillchairthe didacticssubBostonUniversity. committeeof the ProgramCommittee(1998-99).She is a memberof the SAEM ResearchCommittee .1995 (1995-1998), has seruedas the chairof the ResearchDirectors'InterestGroup,and serued since (1991-1994). the 1997and 1998 Shecoordinated Committee on the SAEMPublicHealthand Education Fundamentals of ResearchSeries,the AdvancedResearchSeries,and the productionof the Fundamentalsof Researchvideotapeseries.She is a foundingmemberof the New EnglandEmergencyMedicineResearchDirectors,has seruedon the editorialboard otlhe AmericanJournalof HospitalPharmacy and Poislndex,and is a reviewerlor Academic EmergencyMedicine and Annals of Pharmacotherapy.

ResidentMemberof the Board

Dr.Souto Henry Souto, DO, is a thirdyear residentat AlbertEinsteinMedicalCenter,Philadelphia. graduatedfrom the Universityof Medicineand Dentistryof New Jerseyin 1994.His researchstudy "A on gross hematuria, MicroscoprcCorrelationof Gross HematuriaUsing laminarFlow Microscopy,"will be presentedat the Annual Meeting.Dr. Souto is a memberof the EMRA Board of (1997-1998) to the SAEM Boardof Directors.

Directorsand servesas the ResidentRepresentative of the EMRA/SAEMsessionsat the AnnualMeeting(Chief He has also assistedin the coordination ResidentResearchForum,and FuturesForum).

Residents'Forum,

lreneTiennMD, graduatedfrom AlbanyMedicalCollegein 1996 and is now finishingthe second year of her residencyat the Universityof ConnecticutIntegratedResidencyin Emergency of the Medicine.As a medicalstudent, Dr.Tien servedas Presidentand Co-founder(1994-1995) EmergencyMedicineInterestGroup,which organizeda lectureand workshopseriesfor medical in severalresearchprojects. These studentsat AlbanyMedicalCollege. Dr.Tien has participated projectsincludethe study "Doesethanolaffectthe reliabilityof the pelvisexam in blunt multi-sysat the ConnecticutCollegeof tem trauma patients?"which was named Best PosterPresentation EmergencyMedicinePhysiciansAnnual Meeting and is scheduledfor oral presentationat the SAEM NortheastRegionalConferencein April.

Arthur B. Sanders,MD Mostof us who know him, recognizeDr. Sanderscould not writethese paragraphs.He is aboveall a self-effacing humanistwho has placedproductivityand performancebeforeself promotion.-Hd representsone of the best of the secondgenerationof emergencyphysicians,a groupwho trainedin anotherspecialty,yet heardthe call of the ,,ER', earlyin theircareerand joinedthe fray.

In Dr' Sanders'case,.this realignment changedthe fundamentaldirectionof our specialty.Who amongus can claim hissubstantialimpact in four separateacademicand clinicalareas pertinentto all of us: Cardiacarrdstand resuscitation,geriatricemergencymedicine,emergencymedicineeducaiion,biomedicalethics in emergencymedicine.

The..cumulative impactof Dr. Sander'swork h any one of these areaswould resultin a professors"nip in most U.S. medicalschools. In the face of this activity,the questionis what mightwe gleanfrom this amazingly'productive life suchthat we may innoculateourselvesand thosearoundus with whatevercodonsmotivateDr. Sanders.

To its eternaladvantage,Dr. Sandersbecamean internin InternalMedicineat the Universityof Arizonain 1g73.He has remainedthereforthe last 25 years. He was promotedtoAssociateProfessorwithtenurein 1gg5and professorwithtenurein 1989. He currentlyservesas the Chiefof Staffat the UniversityMedicalCenterat the Universitvof Arizona. stay,Art first linkedwith GordonEwy who broughthim intothe work of sophisticate research . Duringthis_impressive in the area of cardiopulmonary resuscitation.Withina few years,Dr. Sanderswas the lead authoron literallydozens of seminalpapersrelated tfrlssubject. He remainsone bf the mostfrequentlyquotedauthorsin emergencymed!9 icinein the AdvancedCardiacLife SupportGuidelinespublishedby the Americanileart Association.

His next major publishingphase focusedon geriatricemergencymedicine.This began in the early'90s and culminatedin a.majorgrantfrom the HartfordFoundation.Thelextbookand accompanylng teachingniaterialsdevelopedfrom this support,publishedin 1996,have had a majorimpacton the undersiandin{ofgeriatiiccare in the ED, andthe recognitionof our responsibility to treatthe elderlyas uniqueindividuals.

Conjoiningthese othertwo pursuits,Dr. Sanderstranslatedhis thoughtfuland philosophicperspectiveon the impactwe have on our patientsintothe ACEP EthicsManual,and the suferbly writtenEthibsin'EmergencyMedicine.

Finally,but neverlast in his mind or heartis medicaleducation.Dr. Sandersremainscommittedto educationat all levels.He has receivedmultiplerecognitions for his teachingand communication skillsat both the regionaland nationallevel.Sharingthe editorshipwith him on our emergencymedicaltextbookfor medicalstudents-andresidents wasone of the most interestingand invigorating scholarlyexercisesof my own career.Perhapsmost of all the singulardistillateDr.Sandersbringsto our specialtyis his commitmentto exce[encecombinedwith an invigorating and enthusiastic approachto solvingthe problemsthat stand in the way of achievingthat excellence.

Thereare few awardsavailableto us in our academiclives,but one of the greatestis recognitionby one's peers.

TheSAEMLeadership Awardrepresentsthe upperreachesol peeracknowledjmentin Emerg|ncyMedicine.A great mind,a kindheart,a humblesoul and a good friend. . . Dr. Sandersis certain'iy well deservi-ng of this accolaoe.

Glenn C. Hamilton, MD Wright State University

StevenC. Dronen,MD teachingand Throughouthis career,StevenC. Dronen,MD, has exemplifiedexcellencein emergencymedicine 1973 and his in University Loyola from degree his'bachelors research.steve was raisedin Chicagowhere he obtained at Hentraining residency medicine emergency and internship After in 1gr7. lllinois of meo[ar degreefromthe University Tacoma, in center Medical ,,,,roro Hoipital, he served in tl.reunited states Air Forcefor foui years at MadiganArmy Washington. residencyprogram As an Air ForceOfficerat an Army Medicalcenter,steve directedhis firstemergencymedicine and Universityof (1984-1990) Cincinhati of programs: University other two directed (19g2-1984).He subsequenily prominencefor national to achieve Michigan(1gg3-present).Each of these programsmaiureou,nderhis leadership as theirresservice physicians his by emergency trainingexcellence.He has shapedthe care6rsof manyacademic idencydirector.

The serviceprovided Dr. Dronenalso foundedand led the SAEM residencyconsultingservicef rom 1989to 1996. programs,many training medicine who were tryingio developnew emergency valuableadviceto over B0 institutions by recommended foundation solid the on programs, based of which went on to establishnew emergencymediiine benprograms and in these serve currently faculty and residents the consultingservice. Many emergencymedi"ine MedicineResidencyDirectors(CORD)servefitedfrom this effort.Steveilso heipedioundthe Councilof Emergency -1995' from 1993 ing on the firstboardof directorsin 1989and as president peer reviewedarticles,in additionto numerousbook chapters,ediforty SteveDronenhas authoredapproximately work is in the area of hemorrhagicshock-andhe has laboratory t<nown His oest torials,and researcnpiesentations. pharmacoand significantextramuralgrantsupport. He has also advancedthe use of receivednational1.".ognition emergency real added have studies These logicadjunctsin emergencyairwaymanagementand proieduralsedation. techniques,and have departmentoata and"thorougrr#ethodilogy to the previousacademicdiscussronof these 1998' in medicine changedthe way we practiceemergency "residentresearchyear" a In recentyears,Steve has led the developmentof new.SAEMgrantawardsto support "scholarly program sabbatical" academiccareeisand to supportthe for emergencymedicinehousestaffcontempiating careers research the mentored also has He skills. research tor emerlency medicinefacultyseekingto'developnew or faculdirector fellowship research their as his service physicians through of many promisingacademicemergency ty preceptor. meet' We do this by As academicemergencyphysicians,each of us touchesthe lives of patientswe will never clinicalpracimproves which research performing by medicine,.and trainingothersto pradticeano ieach emergency effortsin improvingthe care tice. perhapsthe true measureof academiceicellenceis the cumulativeeffectof one's of the 1998 presentation the with of tomorrow,spatients. SAEM is pleasedio recognizeStevenC. Dronen'sefforts Hal JayneAcademicExcellenceAward.

ScottSyverudMD UniversitYof Virginia

&

Theproposed amendments in the Constitution and Bylaws are indicated with new language in bold face andold languagecrossedout.

CONSTITUTION ARTICLE I- NAME Thenameof thisorganization shallbe,,TheSocietyforAcademicEmergency Medicine," hereinafter referred td as,,,The Societv."

ARTICLE II- OBJECTIVES S9c-tion 7;Theobjectiveof thisSocietyis to improvethe care ot,the.acutely. ill or injuredpatientby promotingresearch, educating.health. careprofessionals anOttrepubli-c, fostering relationships withorganizations witha similarpurpose,ano supportingthe specializedor multidisciplinemulti_ disciplineary care of such patientsthrough researchand education.

The Societywillfunctionas a scientific and edu_ cational organization as definedin Section501 (c) (3) of the Internal RevenueCode,as amended.

Segtion 2:The.Society shallpursueits purposeby: (1)sponsoringforumsfor the presentation of peer-revieweO bciehtitic and educational investigations, (2) sponsoringand conveningeducationalprogramsfor healthcare piofessionals andthelaypublic,(3)promoting academic development and education of its membership throughspecialized programs, (4)servingin an academiccapacityto developand promote furlherthe most appropriatemeasuresfor the carb of the acutely illor injuredpatient,(5)developing liaisons withother organizations with a similarpurpose,and (6) publishing research and educational data in the scientitb'anO educal tionalliterature and othermediaavailable to the lay public.

Section3; A. This Societyis organizedas a corporationexclusively for educational and scientificpurposei,including, forsuchpurposes, trinsferrin"g @ specificfunds.to organizations that qualifyas exemptor-ganizations underSection501 (c) (3) of the InternalRev_ glr" 99gg 9t^]SS+(or the corresponOing provisionof any futureUnitedStatesInternalRevenueLarir).

B Nopa$of the netearnings of thecorporation shallinureto thebenefitof, or be distributable to its members,Directors, Officers or otherprivatepersons,exceptthat the corporation shallbe authorized and empoweredto pay reasonable com_ pensation for servicesrenderedand to'makepaymentsand distributions in furlheranceof the purposesset torttrin para_ graphA hereof.No substantial partof the activitiesof the corporation shallbe the carryingon of propaganda, or otherwise attempting to influencelegislation, and tlie corporationshall notparticipate in, or intervene in (including the'publishing or distribution of statements) any poliiicatcarn'paiqn on behaTf of anycandidate for publicoffice.Notwithstanciinglany otherpro_ visionof th.esearlicles,the corporation shalln-otcarryon any otheractivities-not p-ermitted to be carriedon (1) by'a corpo'rationexemptfromFederalIncometax underS6ctibn501'(c) (3)of fhe InternalRevenueCodeof 1954(or correspondinj provision o{ anyfutureUnitedStatesRevenueLaw)or (2) b! a corporation, contributions to which are deductibleunder Section 170(c)(2) of the InternatRevenueCodeof 1954br the corresponding provisionof any future United States Internal RevenueLaw).

ARTICLE III- MEMBERSHIP Section1: Ctassifications.There shall be six classes of membership: active,associate, residenVfellow, medicalstudent,emeritus, and honorary.

Section2: Qualifications.

(1) Candidateslor activemember(a) individuats wirh an advanceddegree(MD, lryp $e]l [e DO, PhD, PharmD,DSc, or equivalentother do6torai Oegree)who holda medicalschoolor university facultyappointme.ntand.whoactivelyparticipate in acute,emergen-cy,'or crit_ icalcare in an administrative, teaching,or reseirch6apacity, or (p) individuals withsimitardegreesin activemilitaryservice (U.S..or abroad)who activelyparticipate in acute,em'ergency, or criticalcare in an administrative, teaching,or researc;ii capacity.Individualswho otherwisemeet qualifications for activemembership as definedabovebut whb do not hold a universityfacultyappointment may petitionthe Membership Committee for consideration for acfivemembership status.(2) Candidates lor associatemembership shallbe healthprofds'sionals,educators,governmenlofficlals,membersof lav or civicgroups,or membersof the publicat largewhoma,fhave an interestor desirete in participatingin the activitiesor objectivesof the @rffesee+d Society.(3) Candidatesfor resident/fettow meinbership must be residents or fellowsin resideney pregramswhehavean in good standing. This cate@iâ&#x201A;Źine. gory of membershipshall apply only to res-identsor fellows currentlyenrolledin a training programand an individuafs membershipin this categoryeipires on the last day of the calendaryear of his or h-erehrollmentin the program. The individual may then be eligible for membership in another category.-(4) Candidalesfor medical studentmembership mustbe medicalstudentswho havean interestin emergencymedicine. Medical student memb9r.s[rip" expires on the last day of the calendaryear in which the memberis no longerbnrolledas a medi6alstudent. The individuatqgy lhen be etigibtefor membership in another category. (5) Candidates-for emeritusmembeiship shallbe (a) activememberswho seek suchstatusand who havegiven15 continuousyears -age of activeserviceto the Societyand have attainedthe of 65 yearsor (b) other activememberswho underspecialcircumstances arb'invited for suchemeritusstatusby the Membership Committee.(6) Candidates for honorarymembership shalt6e individuals wir6 havemadeoutstanding researchor educational contributions to the purposeand objectives of the Society.

Section3: Member Rightgand privileges.All membersmay havethe privilege of the floorand of slrinq on the committees,task forces,and.interest groups of ihe Society.Only activemembersshallhavevotingrightsand may serveon the Boardof Directors,as officersof the Society,br as com_ mittee,task force,or interestgroup chairs.

Section4: TheSocietyshallnotdiscriminate, on the basisof race,gender,creed,religionor nationalorigin.

ARTICLEIV - OFFICERS, BOARDOF DIRECTORS. EXECUTIVE COMMITTEE, EXECUTIVE DIRECTOR Section 7: The officersshall be the president,presidentElect,and Secretaryl-Treasurer.

Section2:The Boardof Directorsshallserveas the qoverning body.The Boardof Directorsshallconsistof the-above officers, the lmmediate Pastpresident,+dsix Members-atLarge,and a residentmember.

Section3; The ExecutiveCommitteeshall consist of the President,President-Elect, lmmediatepast presidentand Secretaryl-Treasu rer.

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Section4:The ExecutiveDirectorrecommends and particimay also call for and conduct special meetingsor balns patesin the formulation of new policiesand carriesout adloting by telephoneconferenceor electronicmail. ;* ministrativeduties as directed sn6lmekes+leerisiercs{#i+h- ARTICLEVll - ADOPTIONOF AMENDMENTS **$ :T€in+xi@approvedbytheBoardSection7;TheConstitutionandBylawsmaybeadoptedor 1;

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amended at any annual or special meeting of the mem-

bershiP' ARTTCLE v - coMMrrrEES Section2; A.proposedamendments to the Constitution and shallbe the: (1) Nominating Com,8p. Thestandingcommittees Bylaws shall be submitted in writing to the.SecretaryJmittee,(2)M-embershipCommittee,and('3)Constitutionand :_". q; Treasurer by at leastthreeactivemembersat least60 days BvlawsCommittee.

Additional committeds'and task forces priorto themeetingat whichtheyare to be considered.

The m-aybe createdby the Boardof Directorsand President.

S.-*,u. Secretaryl-TreaSurersha||mai|theproposedamendments 'ir to the membership at least30 dayspriorto thatmeeting. the President to aid in the Society'seffortsio achieveanl furtherits goals. proSection 3: The Board of Directorsmay,by resolution, ;1. poseamendments to the Gonstitution and Bylaws,provided e3 ARTICLEVl,- ANNUALMEETING ihe proposedamendments are maitedto the'membbrship at ;i l:.Thereshallbe an annualmeetingof the Society. teasteb days priorto the meetingat whichthey are to be 6;n lggtion This meetingshallconsistof an educational and scientific , considered.Section2:,TheBoardof Directors,by majorityvote,maycall, mentshallbe by a majorityvoteof the activememberspresupol 30 daysnotice,a specialmeetingof the membership ent andvotingit 15safiy annualor any specialmeeting. or of any standingcommittee to conductany businessthat the Boardof Directorsshallplacebefore+ne+emgers,niB++ ARTICLEVlll - DISSOLUTIoN s+ane+ng.€€mm+ttee it. llflllil;ljll ''' ship uponpetitionby 100 or moreactivemembersstating of all of the liabilities of the corporation, disposeof all of the '"'rrr' ,. the reason(s)for the meeting.The Secretaryl-Treasurer assetsof the corporationexclusivelyfor the purposesof the the peti,r,,, shallcall.sucha meetingwithin30 daysof receiving ,r'' corporation in suchmanner,or to suchorganizations organtionat a timeand placedesignated by the President. i.'i',l,, izedandoperatedexclusively for charitable, educational, re_ : ':t:' Section4 3: The Boardof Directorsmay call and conduct ligiousor icientificpurposesas shallat the time qualifyas any epeeteJ-mee{ing balloting by mail. For purposesof an exempt organizationor organizationsunder Section notice,the meetingballotingdateshallbe a dateset for the 50l(c)(3)of the InternalRevenueCodeof 1954(orthe correturnpostmark of mailballotsandjt+,hatl*e+albdthe vet respondingprovisionof any future United States Internal ing#.

Approvalor disapprovalof any matterbeforethe RevenueLaw),as the Boardof Directorsshall determine.

Boardby mailballotshallbe achievedby affirmative voteof Any suchassetsnot so disposedof shallbe disposedby a a majorityof votingactivemembersunlessotherwiseproCourtof Competent Jurisdiction in the Councilin whichthe videdby anotherprovisionof this Constitution. principal Only those officeof the corporation is thenlocatedexclusively mai|ba||otsreceivedattheffiSocietyforsuchpurpoSeSortosuchorganizationororganizationd, Headquarterswithin3e 7 days subsequent to the ve{ing as saidcourtshalldetermine, whichareorganized andoper:,1 i,,, postmarkdateshallbe counted.The Board of Directors atedexclusively for suchpurposes. l. .

Aspeciar meetins may becaled bythemember- ,'"?s$]fi,{il? llllllli see€ien-3; ff,31il3|li*nl ffilL3tJn3?ifr3'3li",l;

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ARTICLE I- MEMBERSHIP Section 1: ApplicationProcess.Membershipapplication forms may be obtainedfrom the B€€u+ir/€+i+e€t€rr+'f+he SocietyHeadquarters.TheApplicantmustreturnthe completedapplication formsand supporting lettersto the ExecutiveDirector.

The qualifications of applicants for membershipwill be reviewedby the ExecutiveDirectorand Secretaryl-Treasurer.

Approvalof applicantsby the ExecutiveDirector and SecretaryFTreasurer shall constituteelectionto one of the membership categories, effectiveimmediately.

Section2: Dues.Annual dues for active, associate,residenVfellow, and medicalstudentmemberswill be establishedby the Boardof Directors.Honoraryand emeritus membersu*itl+e++ayare exempt from dues. Membership in the Societymay be terminated for nonpayment of dues.

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ARTICLEII- BOARDOF DIRECTORS Section1: Members.The Boardof Directorsshallconsistof the President, the President-Elect, the lmmediate PastPresident,the Secretary-/-Treasurer, end six Members-at-Large and a residentmember. EMRA,AACEM,and CORDmay eachappointan ex-officiomemberto the Board.

Section2: Responsibl/ril'es.

Membersof the Boardwill meet regularly to performthe businessof the Society.All scientific andeducational meetingsof the Societyareto be approved by the Board.Membersol the Board may serve on com-

mittees,task forces, or interest groups of the Society,but no Boardmembermayserveas a standingcommittee chair, withthe exceptions of the President-Elect servingas chairof the NominatingCommitteeand the Secretaryl-Treasurer servingas chairof the Membership Committee.

The entire Boardservesas the Membership Committee.

Membersof the Board may be appointedto serve as chairsof ad hoc committees and taskforces.

Section3: Electionof Officers.(a) The President-Elect shall be electedfor a term of one year with automaticsuccession to a one year term as President the fellewingyear.followed by a one year term as Duringthist{#eyearperied;the eleeting terms ef President Eleetand President;this .nemberwill lmmediatePast President.Eleetien as Dresident EleetshalleenferBeardef Di+eeters membership fer a minimumef threeyears,(b)The Treasurershall be electedto a threeyear term.

SecretaryA An activemembermay not serveconsecutivetermsas in any of the following offices: Secretaryl-Treasurer, President-Elect, President,or lmmediatePastPresident.

Section4: Electionof Members-at-Large.

Members-at-Large shall be electedto three-yearterms,the terms beingstaggeredso that two at-largepositions are open each year.

Members-at-Large may not servemorethan two termsconsecutively.

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Section5: Election of Resident Member. The resident memberof the Boardshall be electedto a one year term.

At thetime of electionand during the one yeai -an term, the residentmember must be a resident at appr6ved EmergencyMedicine residency program. The i.dsident membermaynot serve morethan iwo consecutiveterms.

Section4:6Nomineesfor Etection.Nomineesfor the above offices shallbe selectedby the Nominating Committee and musthaveagreedto standfor electionpribrto their formal nomination {erc+ee+ien at the business'session of the An_ nualMeeting.

Alternative nominations mav be offeredfrom thefloor,but onlywiththe advancepermission of the nominee,whomust agreesto runfor offiie priorto or at the businesssessionof theAnnualMeeting,and who mustalso be physically presentfor the vote. Electionshallbe by majority voteof the activememberspresentand votingat-thebusinesssessionof the AnnualMeeting.

Section6: Termsof Office.Termsof officewill beginat the conclusion of the annualbusinessmeeting.The Fresident shallappointeligibleSocietymembersto fill vacanciesand unexpired termson the Boardof Directors andstandinqand adhoccommittees and task forcesuntilthe nextscheduled election.

Section7: Meetings.Meetingsof the Boardof Directorsor Executive Committee will be convenedin accordance with thePolicies and Procedures Manual.Specialmeetingsmay beconvened at the President's discretion or by petitio"n of sii members of the Boardof Directors.

A finalnoticbof timeand placeof suchmeetingsshallbe sentto all membersof the Boardbythe SecretaryFTreasurer at least7 davsbeforethe meeting.

Six membersof the Boardof Directorswill constitutea-quoru.m.

Aqr-l,4emberef the Seeietymay submit a€€ndeAgenda items,Suehitemsmustbe submitiedul+hin no fewer than 30 days e{ before the meetingdatento eitherthe Secretary-Treasureror the ExecutivjDirecior, and .may originate from any member of the Society.

Meeting.c of the Boardof Direc-tors are opento all members of the Societyand.to the pubtic.Ctosddmeetingsof the Boardand ExecutiveCommitteeand ExecutivdDirector maybe convened by orderof the president.

Section 8: Dutiesof the PresidentThe presidentshallserve as thespokesperson for the Societyand presideover the educational programand businesssessionof the Annual Meetingof the Society,and the meetingsof the Board of Directors. lt shallbe the dutyof the presidentto seethatthe rulesof orderand decorumare properlyenforcedin all deliberations of the Society,to sign the approvedminutesof eachmeeting, and to executeall documents whichmav be required for the Society,unlessthe Boardof Directors shall haveexpresslyauthorizedsome other personto perform suchexecution.

The Presidentshall make executivedeci_ sionsregarding committeeand task force positions€€hqlrni{+eea1d tasks, inter-organizational activities,and Board tasks.

ThePresident shalloverseeandtakeultimateresoonsibility for an annualevaluationof the ExecutiveDirector.

ThePresident shallserveas chairof the Boardof Directors and_with the Secretaryl-Treasurer shallset the agendafor theBoardmeetingsand the annualbusinessmee"ting.

The President shallserveas an ex-officio memberof all cdmmittees.The President shallappointmembersto fill vacancies andunexpired termson the Boardof Directors and standino and ad hoc committeesand task forces until the nex-t scheduled election.

The President shallappointa Boardliaisonto each committee.The presidentmay ' appointtask forceswithtim*ee+pee#especified goals.

Section9: Duties of the President-Etecf.The presidentElect,in the absenceof the President shallbe the spokesperson for the Societyand supervisethe Board.Thd president-Elect shallserveas chairof the Nominating Commit-presidentteeandex-officio memberof all committees.

The

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Electshall,in conjunction with committeechairs, develop lit committeetasks for the presidency year, reviewcommitteb ,;it,r i::t\i memberperformance and makecommitteemembership ap_ g!11:t pointments for the presidency year.The president-Elect'shall also appoint the chairs of tfre ne+eleeted standingcom- :HI mitteesand task forces led by appointed chairs anOOe_ velopthe long-range planningsessionof the Boardduringthe President-Elect year.

I;r., (a::'.:',' Section 10:Duties of the Secretarll-Treasurer. lt shall be the dutyof the Secretaryl-Treasurer to be the spokesperson of the tt:::1t Societyand to.presideserve as presideni in thb absenceof both the Presidentand President-Elect.

The Secretarvl- *rlllilt Treasurershall keep a true complete and correctrecord'of the pro_ceedings_of the annualbusinessmeetingandmeetings t::m $l*r of the Boardof Directors, shallpreservedocum-ents belongiig to the Societyand issuenoticeof the annualbusinessm-eetl li!r ing and meetingsof the Boardof Directors.The SecretarvlTreasurer shallkeepan accountof the Societywithits mem- $l lltt'lltr, bersand maintaina currentregisterof membei-s t,illiil withdatesof theirelectionto membership and preferredmailingaddress. :ly:l The Secretaryl-Treasurer shall be responsiblefoi reporting unfinished businessrequiringactionfrom previousm6etingi of the membership or Boardof Directorslnd in conjunctiSn withthe President shallbe responsible for the agendhof the annual businessmeetingand meetingsof th-eBoard of Directors.

The Secretaryl-Treasurer shallcollectthe duesof the Society,makedisbursements of expenses,ano oversee the financialaccountsand recordsof the Societv. The SecretarylTreasurer shallchairthe Membership Corirmittee.

The financialrecordwill be presentedto the membershio at theannualbusinessmeeting,biannually to the Boardof Directors,and at suchtimesas requestedby the presidentof the Society.The financialrecordsof the Soiietvshallbe reviewed annuallyby two other membersof the Boardof Directors appointed by the President, or a certifiedaccountant or financialconsultant retainedby the Boardof Directors.

Section 11: Duties of Members-at-Large.

Members-at-Large shall representthe membership in conducting the Societf's business, abideby the Constitution and Bylawsof the Socieiy, and representthe Societyin activitiesrelatedto academb emergency medicine.

Section 12: Duties of the Immediate past president.The lmmediatePastPresident shallaidthe Nominating Committee in identifyingcandidatesfor specialrecognition6y the Society.

The lmmediatePastPresident shallassumewhateverduties are assignedby the President or the president-Elect and otherwiseserveas a Memberof the Boardof Directors.

Section13:Absenteeism/termination of office.Absences can be approvedor excusedonly by the president.Two unexcused absences fromscheduled Boardof Directors meetings, annual business meeting, or specialmeetings of theBoardoI Directors duringany term as a memberof the Boardof Directorsshall constitutea de facto resignation.Such resignationshall be effectivetwo weeks after notificationby the president.Any memberof the Boardof Directorsmay voluntarilyresignand suchresignation willbecomeeffectiveimmediately.

Section 14:Dutiesof the ExecutiveCommittee..The Executive Committee shallconductthe businessof the Boardof Directors and act in lieuof the Boardon routineissues.All actionsbv the Executive Committee are subjectto reviewandapprovalby the full Boardof Directors at theirnextmeeting.

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ARTICLEIII- MEETINGS Section1.Annual businessmeeting.A formalbusinessmeetingof the membership of the Societyshallbe convenedannually in conjunction with the annualscientificand educational meetingof the Society.The time and locationof the business meetingwill be announcedat all plenarysessions and printed in the Annual Meeting 6n-site program.

Businessitems presentedas informational or foi vo'ie by

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activemembersshall includebut not be limitedto: (1) a (2) amendfinancialreportfrom the Secretaryl-Treasurer, ulti:ll,,l (3)elecmentsto theConstitution andBylawsof theSociety, 'rrrl9lrl membersof the Boardof Directors, and the :l:ll:l:lll tionof officers, chairsand membersof the app+e applicablestanding ::)::,.:,:..: committeesof the Society,(4) reportsof committeeactivities, (5) transactionof other businesswhich may come beforethe membership, and (6) a "Stateof the Society" addressby the President.Where dictatedby the Constitution anb Bylaws,the Societyshallbe governedby a majorityvote of activemembersin attendanceat the annual meeting.

The President business of the Societyshallpreside overthe meetingand the Secretaryl-Treasurer willcirculate agendaitemsto the membership 30 daysor more before the annualbusinessmeeting.The chairsof the Constitution and BylawsCommittee and Nominating Committee willprepartsof the AnnualMeeting.The side over the respective ,,,t,1{rl

@ Section2; Betweenannualbusinessmeetings,withinthe guidelines Manual of the Society'sPoliciesand Procedures and the Constitution and Bylaws,the Societyshallbe governedby the Boardof Directors.

Actionsof the Boardof Directors shallbe determined by a majorityvoteof thoseof its memberspresentat its meeting" Section3: Annualscientificand educationalassemblyThe Someetcietyshallsponsoran annualscientificand educational ingor assemblyto meetitspurposeandobjectives. lts mission shallbe to fosterresearchand educationin academicemergency medicinein accordancewith the Policiesand Proprogramsof ceduresManual.The researchand educational theAnnualMeeting shallbe opento thepublicandthegeneral membership of the Society.All meetings of standingand ad hoc committees are open to the publicand membersof the Society.Programsfor the AnnualMeetingshallbe arranged by the ProgramCommittee andapprovedby the Board.A final noticeof the time,place,and programof the annualassembly shallbe sentto all membersof the Societyby the SecretaryF Treasurer at least30 daysbeforethe meeting.

Section4: Specialmeetingssponsoredor cosponsoredby the Society.

The Societymay sponsoror cosponsorother scientific or educational meetingsof interestto the membershipto meetits purposeandobjectives. shall Suchmeetings be convenedby the President, Boardof Directors, and Program CommitteeChairand publicizedat least30 days in advanceby the Secretaryl-Treasurer.

ARTICLEIV - FINANCES Section7: The annualmembership dues for all members The annual shallbe determined by the Boardof Directors. membership dues willbe payablewithin30 daysof request by receiptof an invoicefrom the Secretary I - Treasurer.

The Boardof Directorsmay establishprocedures and polinonpayment ciesregarding of duesand assessments.

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ARTICLEV - PARLIAMENTARY AUTHORITY Buleof order.Any questionof orderor procedurenotspecifically delineated or providedfor by these Bylaws and subshallbe determined by parliamentary sequentamendments in Robert'sRulesof Order(Revised). usageas contained ARTICLEVI - STANDING COMMITTEES Section 1: Duties of CommitteeChairs.The chairs shall in determiningthe committee assist the President-Elect goalsfor the comingyearand overseetheircompletion.All to the Boardand maybe removedfor chairsare responsible voteof causepriorto completion of termof officeby majority

willbe filledbv the President for the Board.Vacantpositions the remainder of tlie term.

Section2: Termsof Office.Termsof office for committee chairsand memberswillbeginat the annualbusinessmeeting.The President shallappointeligibleSocietymembersto fill vacanciesand unexpiredtermson standingand+d*ee electionor appointment committees untilthe nextscheduled date.

The NominatingCommitSection3: NominatingCommittee. as chair,the lmmetee shallconsistof the President-Elect, diate Past President, a memberof the Boardof Directors electedfor a one-yeartermby the Board,andthreeelected memberswho may not be membersof the Boardof Directors.The letterlast shallservestaggeredtwo-yearterms.lt to selecta slateof officers shallbe thetaskof thiscommittee to fill the naturallyoccurringvacancieson the Board of Directors and electedpositionson the standingcommittees designated and providedfor by of the Societynototherwise theseBylaws.The Nominating willseekthe canCommittee for formalnomination didates'approval and shallplacetheir for electionat namesin nomination beforethe membership the businesssession of the Annual Meeting. The NominatingCommitteewill also provide ste*es-+e+-+ny a:v#e{d++{f€{€d4y recommendations to the Board of Directorsfor Society awards.

The Boardof Directors Section4: MembershipCommittee.

The Secretarylshallconstitute the Membership Committee.

Treasurershall serve as chair of the MembershipCommittee.The Membership Committeehas the responsibility for eachmembership for establishing the qualifications clasDirector Applicants reviewedby the Executive and sification. not meetingthe qualifications for elecSecretaryl-Treasurer tionto a requested classification of membership shallrequire presentationto and approvalby the majorityof the in thatclassifiMembership Committee, beforemembership cationcan be granted.

Section5: Constitutionand BylawsCommittee.The Constitutionand BylawsCommittee shallconsistof a chairandtwo termsso othermembers,electedfor staggeredthree-year thatthe memberwiththe leastremaining tenureshallserve as chairduringthei+his or her finalyearon the Committee.

This Committeeshall study the potentialmerits,adverse and legalimplications of all proposedconconsequences amendments or changesin the Bylawsand report stitutional to the Boardof Dirtheir findingsand recommendations ectorspriorto formalconsideration of the proposed changes The membersof the Committeemay by the membership. suggest appropriate€€n€titut+enal amendmentsto the Constitutionand Bylaws€h€fig€sto the Boardof Directors.

The President Section6: Liaisonsto other organizations. may appointliaisonrepresentatives to otherorganizations.

The liaisonrepresentative mustbe a memberof the Society positions, misand be awareof the Societyorganizational sions, policies,and structure.The liaisonrepresentative shallissueat leastbiannualreportsto the Boardof Directors on organizational activitiesand issues relevantto the Society.

VII- DISSOLUTION ARTICLE OFTHESOCIETY by of thisSocietycan onlybe initiated Section/: Dissolution and a majorityvoteof all membersof the Boardof Directors must be approvedby two{hirdsof the activemembership presentandvotingat any annualor specialmeeting. with shallbe achievedin compliance Section2: Dissolution ArticleVlll of the Constitution and Bvlawsof the Societv.

May,1998

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Am.erican Academy ofEmergency Medicine (800)884-2236 611EaslWellsStreet Milwaukee, Wl53202 organization of board cerrified physi_ emergency l|-EYl I ryrlrssionat crans oedrcated to theprinciple thateveryindividual snoutd hav-e unincumbered access. t0 quality emergency careprovided by specialists in tmergency Medicine.

AAEMalsosupports fairandequitable practice en_ vironments necessary toallowdelivery ofthefrignest quitttyofpatient care.

Annals ofEmergency Medicine (800)803-1403 1125 Executive Circle lrving, TX75038 Annals of.Emergency Medicine is the officialjournalof theAmerican tmergency Physicians andthespeciatty,s teading ctinicat and Yq!99.9.0l purnal..Annals sclenrltlc publishes thelatest in research, clinical studies, case reports, andissues inemergency medicine.

Annalsstaft willbeavailj able toanswer questions journal anddiscusi policies rndproreorres.

Applelon andLange (203)406-4522 P0Box120041 Slamlord, CT06912-0041 stopbyourbooth t0 review materiars onthenewedition -e ofGordfrank's Emergencies. &xicploov 6thEdition andthestuoy uioetor eotctfrank's Toxicologic Emergencies.

6thEdition andlilrilbooks foremergency physicians.

Circon Corporation (805)685-5100 6500 Hollister Avenue Santa Barbara, CA93117 Conceplis Technologies, lnc (514)931-5434 3850 Sl.Urbain St.,HotetDieuChum Monlreal, 0uebec, Canada HzW1Tg conceptis speciarizes in internet pratform based, independent andstatof-the-art technologicar sorutions for communicatiori andinformation requirements of healthcare professionals.

Theseinclude clientweb sites, interactive virtual conference (Medical Cybersesiions"y, anOine oevetopment of customized communication networks, notaliiy EmeO. (www.emed.org), org a newnetwork foremergency plrysicians.

Daniel Slern andAssociates (800)438-2476 TheMedical Center East 211N.Whitelietd St.,Ste240 Pillsburgh, PA15206 Since 1970, it hasbeenourmission to provide highquality service in courteous andprofessionat manner.

Ourimeigency Medicine ;19 lgrt urvrsr0n represents academic andcommunity hospitals, respected groups, andphysician candidates nationwide. btherbervices ile pro_ vide include compensation, contract andstaffing consutting.

Deltex Medical, Inc (972)929-1049 4827 Royal Lane,SuiteA lrving, TX75063 Deltex Medical, Inc.markets theEsophageal Doppler Monitor (EDM), a 'moniior. noninvasive, continuous cardiac function anovotume status provides TheEDM a beat-to-beat indication ot cardlovasiurar status,continuously displaying estimated cardiac output andstroke volume, anda representation ofaortic blood flow,preload, contractility andafterioad.

EliLillyandCompany (3171276-2554 LillyGorporate Center DC4117 Indianapolis, lN4628s You arecordially invited to visittheEriLiilyandcompany booth where oursales representatives willbeavailabre tb discuss Aroenoolanciximab, Centocor), Lilly. physicians, Emergency.Medicine Ltd (3A0) 490_4443 4535 Dressler Road NW Canton, 0H44718 grouppractice Regional specializing in managing andstaffing emer_

gency departments withlocal, emergency medicine residency trained physicians" certified Currenily-staffing 15facitities'in 0hio, 3ld ,bg,?rd.

WestVirginia, andSouth Carolina.

Anequal partnership equity group withan.exceptional compensation pactiaie. andbenefits Recruiiin! res_ roency rratned, board certified physicians. emergency Emergency Medicine Residents' Association (972)550-0920 1125Executive Circte lrving,TX75038 TheEMRAboothwiilfeatureinformation andmembership materiars explaining thebenefits thatmedical students andresidents canexpect from belonging to oneoftheordestnationar emergency medicine organizations.

Emergency Physician Associates/TeamHealth (60e)848-208S 307SoulhEvergreen Avenue., Ste201 Woodbury, NJ08090 Emergency Physician Associates/TeamHearth isa murtihospitar, interstate grouppractice of Emergency physicians.

Medicine EpAprovides man_ agement services andstaffs itsclient hospitals withexperienced Emergency Department Directors andphysicians, aswellasqualified prrysiciin assistants. practice EPA's settings range fromrurar to uiban, acdodmic to community, andurgent care totrauma to suita widevarietv of needs"

programs Facutty Devetopment IYFIACIP P0Box619911 Dallas, TX75261-9911

(972)550-0911 ext3290

program TieTeaching Fellowship focuses oncurricurum deveropment, rnstruction, teaching methods, evaluation, andacademic survivai skills.

TheEmergency Medicine BasicResearch SkillsWorfsnop covJrs research basics including research design andmethods, prestatistics, senting research, grant writing andfinding funding sources.

Thebdoth willfeature brochures, schedules andsaniple mat6rial.

- BBGHealthGare EmSTAT (5121472-0151 301Gongress Avenue #700 Austin, TX78701 Careprovides the,,Totat Sotution,, for emergency !l!lll:BlC Heatth 0epartment automation patient including tracking, triage, nurse cnarting, orders andintervention, results reporting, charge physicia'n dapture, prescription, charting, anddischarge instructionsl 0uradvanced 3-tier client/server architecture usinguttllx,0racleandwindowsintegrates easily withother hospital systems andprovides tremendous flexib'ilitv.

EMSw (602)759-6s15 P0Box37936 Phoenix, AZ85069 software foracademic physicians, featuring a user-friendry JAVA-based computerized tracking system for residency program coverage of the emergency medicine corecurriculum, ETHICON, INC (908)218-2517 Roule22 West P0Box151 Somerville, NJ08876 ETHlcON, lNC.,manufacturer of thefinestsurgicar sutures andneedres in theworld,willfeature newprecision cosmetic niedres foruseInemergency medicine. ln addition, we wiil hightight Coated VtCRyLRAptOEil [p-ofy'_ glactin 910)suture whichrequires nbsuture removar forepidermai'skin closure, andM0N0CRYL'M (poliglecaprone 25)suturea monofilament absorbable suture whichhasa variety ofusesin'emergency medicine.

Fischer lmaging Corporation 12300 N.Grant Street Denver, C080241

(303)452-6800

Hanley andBellus, lnc 210South 13thStreet Philadelphia, PA19107

(215)546-4995

lllinoisEmergency Medicat Services lorChitdren (70S) 327_2556 2160S. FirstAve.,Bldg110,Room 0244 Maywood, lt 60153 TheEmergency Medical Sgrylces for Children program is sponsored through theMaternar andchirdHearth Bureau anbthi Nationar'uighwiy Traffic safety Administration.

Theprogram workswithstates t0 ensure theavailability ofappropriate res.urces andadequatery persontrained nel. in.order to effectivery meettheemergency careneeds of thecritically illandinjured chitd.

Kendall & Davis/linde Healthcare (314)843-3933 11325 Goncord Village Avenue St.Louis,M063123 Tobringcommunities, hospitals, andgroups together withtheappro_ priate physician ina mannerthat iseffective hndrdwarding forailpdrties.

Laerdal Medical Gorporation (9141 257-7770 167Myers Corners Road Wappingers Fatts, Ny12b90 Products, services andsystem solutions forCpRtraining airway man_ ageme.nt, advanced lifesupport training, spinal motion restricti-on and defibrillation MICR0MEDEX, Inc (303)486-6400 6200S. Syracuse Way,Ste300 Englewood, C080111 MICR0MEDEX, teader in ,c!qrg.ql_!.eqsion suppoft databases (DRUG_ DEX@, P0ISINDEX@, EMERGTNDEX@) providdsknowtedge wlienand where it'sneeded.

Awidevariety platforms, ofdelivery inclJding newIn_ tranet application witheasy-to-use putinformation browser, at-the clinician's fingertips.

Newproducts fromMIcRdMEDEX include careNoteJ" l0rpatient education, MSDS Management System, andlVIndex".

MosbyMilliams & Witkins (630)637-0709 12RockRiverGourt Naperville, lL 60S6b Publishers of Medical Books, Journals andSoftware.

National Association ot EMSphysicians (91g)492-bS5S P0Box15945-281 lenexa,KS66280 NAEMSP is a professionar membership organization forphysicians and otherprofessionals interested in EMS.St-op byandpici< ,jpa iompfi mentary copyof ourJournal, newsletter, andto learnmoreaboutour upcoming conferences andmember benefits.

National Marfan Foundation (516)883-8712 382MainStreet PoilWashington, Ny11050 Thepurpose oftheNationar Marfan Foundation (NMF) exhibit atthesociety forAcademic Emergency Medicine meeting isto'disseminate inforsyndrome q!.rt theMarfan. to asmanydoctors andheatth pro_ Ilgllgl ressronars aspossible; themostserious andlifethreatening problbms associated withtheMarfan syndrome involve thecardiovascu"iar svstem.

Novametrix Medical Systems lnc (203)284-2566 5 Technology Drive Wallinglord, CT06492 Novametrix isa leading manufacturer pUl;e ofcapnographs, oximeters, transcutaneous andrespiratory mechanics monitors.t4 TheTIDAL WAVETi/ capnograph andVentu/TM respiratory mechanics monitorarethe latest in hand-held technology fromNovametrix.

TheTCOcM@. tranl monitor, features on-screen trending at thebe''rjside. .s.c_q!ryoug The VINIRIK@ andC02SM0+'M combine mainstreim capnography with provide parameters i.mportant suctrai C02 Ltt^p',t11.,9 T,rlllir_r-lg Fr00ucl0n an0 Ueadspace calculations.

Pepid, lnc (888)321-7828 100Greenwood Avenue Evanston, lt 60201 physician PEPID, ThePalmtop Emergency Information Database, offeri qurcK and easyaccess to 1,000+emergent, urgent0r r0utine pEi,lDalsoincludes Emergency andPrimary Careproblems. mono_ graphs covering prescribing allessential information, druginteractions andcommon overdose management for overg00commonly used drugs.Available forPC's, Laptops, andpalmtop compurers.

Physio-Gontrol Corporation (425)867-4408 11811 Willows Road NE P0Box97006 Redmond, WA98073-9706 Physio-control, therecognized reader inexternar defibrillation andnonpacingtechn0logy.

Invasrve Introduces theNEWILIFEPAK 12defibrillat0r/monitor series. lt'sa deflbrillator andmulti-parameter monitor, in one.small, rugged, lightweight unit.Come seeourfamily of LlFEpAk defibrillatorVmonitors/pacemakers, automated and manual; QUIK_ c0MB0defibrillation/pacing/ECG erectrode andnewcODESTAT surTE datamanagement system.

PTSLabs,LLC (847)374-5134 1419LakeCook Rd.,Ste410 Deerlield, lL 6001S PTSLabsmarkets Revitalice electrolyte popsformanaging freezer de_ hydration.

Thisnewformofelectrolytes offers ilinicians anopitie"nts a useful.alternative to poorly tolerated electrolyte liquids. samiles availableatbooth.

Pulmonx (650)934-2602 1049ElwellCourt PaloAllo,CA94305 is introducing theVisuatized EndoTracheat Tube(VETlrM) f.ulponx System.TheVETT system hastwomajorcomponents: a didposablti endotracheal tubewithillumination andimaging fibersbuiltintothe tubewall,anda Compact Video System (CVS) withanoptionat Head Mounted Display (HMD), Weatherby Health Gare (203)866-1144 25VanZantStreet Norwalk.

CT06855 physician Leading recruitment firmin thec0untry, specializing in per_ manent andlocum placements, tenens Weplace dobtors nati-onally at a rateof4.1perbusiness daylIn 19gg, Weatherby opened anoffice in Ft.Lauderdale, FLto betteraccess andserveth"ejrowingSouthern market.

Thenin 1997, Weatherby further expandedits op6rations by ad-ding offices inChicago, lLandDallas, TX.Withtheaddiiion ofthes'e plusour_flagship offices. offlcein Norwalk, Connecticut, WeatnerOy maintains a staffof over'100consultants.

Weatherby,s tocusnever waivers from.the goar: providing ultimate quarity candiriates andquality opportunities.

Forover26years, given wehave maximum eftdrt to ourdiversified client base.Weplace doctors first.

WolfeToryMedical (801)281-3000 79West4500South, Ste21 SaltLakeCity,UT84107 WolfeToryMedical is pleased to exhibit our brandnewMucousal Aromrzation Device (MAD'M).

Thisdevice isa disposable fluidatomizatrondevice designed formicro-particle distribution of topical solutions across thenasal andoral-pharyngeal mucous membranei. wewillalso beexhlbiting ourEsophageal Intubation product Detector line.

Z0[LMedical Corporation (800)348-e011 32Second Avenue Burlington, MA01803 Z0LL[/ledical corporation designs, manufactures, andmarkets anintegrated. lineof small,lightweight, easy-tousenoninvasive cardiac resuscitation devices thatinclude monitors, manual andautomated defibrillators andnoninvasive pacemakers. external Z0LLalsoofferi Multi-Function Electrodes witha patentbd preconnect teature assuring rapid delivery of defibrillation andpacing therapies.

ZymeTx, lnc.

(4051271-1314 800Research Parkway, Suite100 Oklahoma City,0K78104 ZymeTx introduces ZstatFlurM , a rapiddefinitive diagnostic testfor Influenza A andB.Thissimpre four-step testbegins witha throat swab rntheED.Portability in itsownmedia attows eaiytransport totherab.

Results within anhourallowforEDefficiency peak.

Ouiing seasonal

FETTOWSHIP POSITIONS Ol-lVE VIEW-UCIA MEDTCAI CENTER: The Department of Emergency Medicine is offering a fellowship for personsInterested in developing skills for i career in academic Emergency Medicine.Olive View is an LA County facility ano an equat part_ ner in the UCLA EM residencyprogram.One or two_yearfeliow_ ship involvespublic health/infectiousdiseaseresearchcoordinated with the CDC, and appointmentat UCLA School of Medicine. upportunrtytor obtaining MpH degree or infectiousdisease fellowship for tho.sequalified Salary: g75,000+.

An Equal Opportunity".ploy:r: Send CV to: Cregory Mornn, MD, Dept. oI bmergency Medicine, Olive View_UCLA Medical Center, 1 4 4 4 5O l i v e V i e w D r i v e ,S y l m a r ,C A 9 1 3 4 2 ; ( S j B ) 3 j 1 0 .

PENNSTATEGE|SINGERHEA|_THSySTEM:A two_year fellow_ ship in medical toxicology affiliated with the york_Hershey Emergency Medicine Residencyprogram.The fellow will devel'_ op expertise througha program run by ABEM/ABMT certifiedfaculty,an inpatientadmitting service (>400 patients/year), a certified regionalpoison center, a toxicology ieferral clinic, educationalconferences, and animal/clinicalresearch.Those interested in careerdevelopment via toxicology please contact l(eith l(.

MD,, FellowshipDirector,EmeryencyMedicine (H043), 9i,kl,qf, S. HersheyMedical Center,pO Box 850, Hershey,pA j!:Iiltgl I7033-0850or call .l-B0O_ 521_611 0. Affirmativeaction/equai'op_ portunityemployer.Women and minoritiesencouraged to appiy

FACULTY POSITIONS MEDICALCOtt_EGEOF CEORCTA: Openings for 2 pediatric Emergency Medicine Attendings.Must be boaid certified or pre_ pared,in PediatricEmergencyMedicine. Administrative experi_ enceddesired.An establishedEmergencyMedicine Residency programwith 6 residentsper year. Interestin starting pEM a fel_ l9*:iip Spacious,new ultra-modernED facilities.New adjacent C h i l d r e n sH o s p i t a la n d p e d i a t r i cE D t o b e o p e n i n June1998.

LevelI traumacenterfor pediatricsand adults.The compensation and benetitsare excellent and highly competitive. Contact Larry Mellick,MD, FAAfl FACEp,Chair and professor,Department of Emergency Medicine, 1120 15th Street,Bp_.1 022, Augusta, CA 30912; 706-721-7 144. EquaI Opportun ity Employer.

OHIO STATE UNIVERSITy: Assistant/Associate professor.

Established residency training program. Level I trauma center. recognizedresearchprogram.Clinical opportunitiesat lllignally OSUMedicalCenterand affiliated'hospitals.

Contact Doug,lasA. Rund,MD, Professorand Chairman, Department of errr"igencf Medicine,The Ohio State University,005 Upham Hall, qiZ W. 1 2 t hA v e n u e ,C o l u m b u s , O H 4 3 2 1 0 o r c a l l ( 6 1 4 ) 2 9 3 _ 8 1 7 6 .

Affirmative Action/EqualOpportunity Employer.

UNIVERSITY OF ARKANSAS:Faculty position available ar any levelfor BC/BPemergencyphysician.Well establishedacademic department and residencyprogram with 33,000 adult visits,high acuity,busy trauma center, and affiliated children,s hoipital.

Opportunityfor researchand leadershipin education, telemedi_ cine,and".ultrasonography.are offered, along with superb salary and benetjtswith protectedtime. Creat place to live, raise a fam_ l i l y a n d e n j o yt h e g r e a to u t d o o r si n t h e , , N a t u r a S t a t e . , , C a l5l 0 j 686-5515 o r f a x 5 0 . 1- 6 8 6 - 8 5 8 6 ,V . C a i l R a y ,M D , C h a i r ,U A M S , 4 3 0 i W . M a r k h a m ,S l o t 5 8 4 , L i t t l eR o c l < ,n f < Z Z Z O S - T l g g .

UNIVERSITY OF MtCHtcAN/FOOTE HOSptTAL_fackson, Mich_ igan: The Sectionof EmergencyMedicine at the University of M i c h i g a ni n A n n A r b o r i s s e e k i n gp h y s i c i a n sf o r f u l l + i m e clinical faculty positions in Emergency Medicine at Foote Memorial H o s p i t ai n l J a c k s o nM , i c h i g a n .A c a d e m i cr a n kw i l l b e d e t e r m i n e d b y c r e d e n t i a lC s .l i n i c a l r e s p o n s i b i l i t i ewsi l l i n c l u d e p a t i e n tc a r e activityat Foote Hospital. Responsibilitiesinclude house officer

or lrr,rNorsATCHrcAGo Iur Ururvnnsrry I'EPARTMENTOT EMERGENCY MEDICIM

Full time position availableJuly lst for a physician in rhe UIC Departmenr of EmergencyMedicine.Tenure track faculty appointment available.Must be board certified or EmergencyMedicine Residency trained. position will have clinical, research and academic responsibilities as \^/ell as being the MIS application coordinator for the department. Broad knowledge in implementation of universifF information systems and automated clinical packages.

Excellent salary and benefits. Contact Gary Strange,Department Head, Department of Emergency Medicine, University of lllinois, 1319W: polk Street, Room 618, M/C TZ4,Chicago,IL 60612-7354.

The University of Illinois is an Equal Opportunity/Affi rmative Acrion Employer. a n d m e d i c a l s t u d e n tt r a i n i n g a n d p r o v i d i n gd i r e c t p a t i e n tc a r e .

Applicants should have residency training and/or board certification.in EmergencyMedicine. Excelleni'fringebenefits pacl<_ a g e . l f i n t e r e s t e dp, l e a s es e n d c u r r i c u l u m v i t a ; t o W i l l i a m C. Barsan,MD, Professorand Section Head, EmergencyMedicine, U n i v e r s i t yo f M i c h i g a n H e a l t hS y s t e m ,1 5 0 0 E a s iM e d i c a l C e n t e r Drive, Ann Arbor, Ml 48109-0014.The Universityof Michigan is an equal opportunity affirmativeaction emplover.

UNIVERSITYOF SOUTH ALABAMA: Departmentof Emergency Medicine seel<ingphysiciansresidencytrained or board ."iiiii"d in EmergencyMedicine. 50,000 patientsin USA Hospitalsystem.

Subspecialtybacl<upall disciplines.USAMC is a 400_bedievel t TraumaCenterwith helicopterprogram.Mobile is locatedon the Culf Coastwith warm climate, outslandingbeaches,and low cost of living. USA has committed to the dev6lopmentof Emergency Medicine Residency program. Clincial research opportunities.

Compensationand fringe benefitsare competitive.Contact Franl< S. Pettyjohn,.MD,Departmentof EmergencyMedicine, University oJ South Alabama, 2451 Fillingim St.;Mobile, AL 36617 or call (334) 47 0-1649. Equalopportunity/Affirmative Action rnstitution.

UNIVERSITYOF TEXAS SOUTHWESTERNMEDICAT CENTER A T D A L T A S :U n i q u e a c a d e m i co p p o r t u n i t yi n E M . E M f a c u l t yw i l l have.opportunityto be involved in the establishmentof a first rate EM division committed to.excellencein patient care, eciucation, and clinical research.Full-time and pait_time openings BCIBp faculty for the Universityof TexasAffiliated EmergencyMedicine Trainingprogram comprised of parkland Hospitai and Children,s Medical Center. AN EeUAL OppORTUNtTy EMPLOYER. R e s p o n di n f u l l c o n f i d e n c et o J a m e sE . H a y e s ,M D , C h a i r m a n ,D i _ vision of EmergencyMedicine, UT SouthwesternMedical Center g t ? 1 1 f T r 5 3 2 3 H a r r y H i n e sB l v d . ,D a l l a s ,T X 7 5 3 3 5 _ 8 5 7 g(,2 1 4 ) 648-3916.

Medicine of Emergency VIRGINIA,Richmond:The Department at the MedicalCollegeof Virginiaof VirginiaCommonwealth emergency Universityseekscore facultyto leada state-of-the-art deoartmentinto the next millennium.BC in EM with demonPosirequired(research desirable). stratedacademicexperience AssistanVAsexcellentcompensation and benefits, tion includes: rank,opportunityto contributeto a rapidlyexsociateProfessor pandingED.An EM Residency by the year Programis anticipated 2000. As a Level I TraumaCenter,the ED annual censusis Pro85,000. SendCV to JosephP. Ornato, MD, FACC,FACEP, fessor and Chairman,Departmentof EmergencyMedicine, MCVHryCU, PO Box 980401, Richmond,VA 23298-0401, Fax(804)828-4686.

Phone(804)B2B-4859,

tr[norcar,CEnrrun J\ Onunroo REGToNAL Administrative

Fellowship

UnexpectedOpeningfor July 1, 1998.

1 or 2 YearPosition.Excellent,established fellowshipin a premiercommunity teachingenvironmentwith a well establishedEM ResidencyProgram.

Clinicaltime spent as Jr. Faculty supervisingEM Residentsin a busy,newly constructedLevel I TraumaCenter.

Unusuallyaftractivecompensation packageand opportunityfor long-term relationshipin a growinghospitalsystem.

Contact: Jay L. Falk, MD Academic Ghairman Department of Emergency Medicine Orlando Regional Medical Center 13414 Kuhl Avenue Orlando, FL 32806 (r'l07) 237-6329 e-mail:JayF@ORHS.org duringthis meeting.

Or at theSheraton

MEDICAL COLLEGE OF VTRGINIA HOSPITALS OF VIRGINIA COMMONWEALTH UNTYERSITY DEPARTMENT OF EMERGENCY MEDICINE The Department of Emergenry Medicine at the Medical Coleg9 of Virginia of V-irginia Commonwedth University in Richmond, Virginia seekscore faculty to lead a state-of-the-art Emergenry Department into the next millennium. Board Certification in EM with demonstrated academic'experiencereguired, with an interest in researchprefened.

Position includes an academic appointment at the Assistant/Associate Professor rank, excellent compensation and benefits, and an opportunity to contribute to a_rapidly expanding Emergency Depanment. An EM Residency Program is anticipated by the year 2000.

As a Level lTrauma Center, the ED annual censusis 85,000. Our chest pain center is recognized

by Fortune MaEazire as one of the best in the nation and MCVFWCU is consistently listed in the trJp 100 hospilals in the nation. Mail or Fu< CV to:

|osephP. Ornato,MD, FACC,FACEP Professor& Chairman Department.of EmergenryMedicine MCVFWCU P.O.Box 980401,tuchmond,VA 23298-0401 Fa,x(804)828-4686.

Phone(804)828-4859,

W

HOSPITALS

'Jirgrua Comnecnteatfi Unr'eary

r - . F

Cuarn" EuEncnNCY MEDTcTNE Srrrrrrn:rHe:rlth S,vstern, a 963bed nonprofit health cirre delivery systenrin Akron, Ohio, is seekinaa lirll-tirr.redepartllent cltair f<rr the clcp:utrnent of'erlcrgcncy rnedicir.re.

OpenRank- Intermediate and seniorlevelfacultvpositionsareavailable for individuals board-certified'in EM, withexperience in medicalschoolcurriculum development,clinical/basic research.

Rankand salarvcommens u r a t ew i t he x p e r i e n c eB. e n e f i t sh i q h l vc d m p e t i t i v e Protected timeforresearch/academic d-ev6lopment, TempleUniversity Hospitalis a 500-bedurbantertiarv careteachinghospitalwith a LevelI TraumaCentei; 40,000Emergency Department visitsannuallV, NewEM provisional residency accreditation received.

Gy 1 cohort began711197 .

Sendcurriculum vitaeto: NinaGentile,MD,FACEP,AssociateDirector Sectionof Emergency Medicine

Temple University Schoolof Medicine

3400N. BroadStreet Philadelphia, PA19140 T e m p l eU n i v e r s i ti sy a n e q u a lo p p o r t u n i t y / a f f i r m a t i v e actronemployer and stronglyencourages applications Iromwomenanomtnonttes.

University of Alabama at Birmingham Departmentof EmergencyMedicine TheUniversity ofAlabama School of Medicine, seeks full-time Emergency Medicine physicians board certified tofillcritical positi0ns academic intheresearch, teaching andpatient care programs.

TheDepartment ofEmergency Medicine isthe net,vest member ofthehighly successful University ofAlabama, School ofMedicine Academic Communitv.

Weare anticipating anEmergency Medicine Residency Program.

The Department ofEmergency Medicine hasresponsibility for medical student education 0nallthree campuses intheUniversity 0fAlabama School ofMedicine.

Inaddition, theprogram hasanEMT Training Program inBirmingham and Huntsville.

Thenewdepartment hasbeenhighlysuccessful in developing a research base inthishighly collaborative institution.TheUniversity ofAlabama atBirmingham hasovertwo hundred million dollars inresearch funds, andtheSchool of Medicine ranks 16among programs. all NlHJunded UABhas recently embarked up0nsuccessful efforts to gainfoundati0n andindustry support.

TheUniversity ofAlabama atBirmingham hasan851-bed teaching hospital, Level 1 trauma center patients with40,000 annually.

Varying academic combinations willbetailored totheindividual selected.

Salarv andrankis please commensurate withaccomplishments andexperience. yourcurriculum send vitaeto Russell Wagner, MD,University olAlabamaat Birmingham,6lg South 19th Street, JTN260, Birmingham, AL35233.

Equal 0pportunity Employer.

T\veut1.{irtrrBO/BE enreruencyniedicine physiciansconstitutcstltc aclive teachins stzrfl'atSrrrnura,as rvcll as 2,1resiclentsand f<rrrrpl'rysicianassistants.This twGcampus enrerscncyrnedicine dcparttnent is a ler,clI tr';lun)acenter with a patieltt u)lurne of 1 X ) . ( ) trli{s)i t ri r r l l t l t 7 . S t r r n r r ri rsr; r n r ; r j r r r teaching institution of thc Northezrstern ()hio [-lnii'orities (irlli:gc of Medicine ( N l l ( ) U ( l ( ) M ) , a n c lt h e p o s i t i o nr v i l li n c l u d e zrppoilltrnenlto thc clinical facrrlty.

Thc carrclirlirtc shorrlcl bc boalclceltifiecl in erlcrgcrrcv rncdicrne, Itavc si{rnificant clinical and :rcarclcrnicexperiencc antl l;rine a str()ng lecold ol'sclxrlally aclricvcnrt:r'rt, aclmi nistrativcr cxpericnc:c ancl leadership abiliry

(2$-q9,4149".. \lill( )N (:l ll' . Sf, I I l()N[\S

www.summahealth.org

EnsrCnnornvn Uwrvnnsrry

ScuooroFMEDTcTNE

Hereis thechancefor youandyourfamily E A S T to moveto a rapidlygrowingsmallcityin C A R O L I N A eastern NorthCarolina,thestateeveryone T]NTYERSITY seems to bemovingt0! (Andyoucanleave -

yoursnowbootsbehind.)EastCarolina University Schoolof Medicinehasanimmediate opening avulablefor an emergency physician at therankof assistantprofessoror above,depending uponthecandidate's qualifications.

Physicians musthaveemergency medicine residency trainingor boardcertification in emergency medicine.

Thereis a fully-accredited emergency medicine residencyprogram,withfacultyextensively involvedin state andnaltonal, activities.

PittCountyMemorialHospitalis a levelI traumacenter,with 48,000EDvisitsper 700-bed year.Greenville hasthebenefits of beingaveryfmily-orientedcommunity anda collegetown.Compensation is competitive andcommensurate withqualifications; an excellent fringebenefits programis provided.pleasesubmit letterof interestandcurriculumvitaeto Nicholas Benson, MD,Professor andChur,Department of Emergency Medicine, EastCarolina University Schoolof Medicine, Greenville, NorthCarolin a, 27858-435 4; 919816-47 57; FtX grg-8r5-50r4.

North Carolina?

Director of Research, EmergencyMedicine Regions Hospital (formerly the St. Paul-Ramsey Medical Center) in St. Paul, Minnesota has an opportunity for a BC/BE academic emergency medical physician to join our Emergency Medicine Department as Director of Research.

This full+ime position will develop and direct our emergency medicine researchsection with a focus on clinical, outcomes-based research. Provengrant writing skills and productive researchexperience preferred, Support is available from HealthPartners Foundation for pilot prolect funding, statistical analysis, grant writing and administration, with access to large, linked HMO population data bases. Will have some startup monies and significant protected time for research.

Regions Hospital is part of HealthPartners, one of the Midwest's largest health care organizations. It is a Level I trauma and burn center, regional poison center and serves as medical control for regional EMS systems,including air medical transport. 'Our 31room emergency facility has an annual census of 57,000 and a 20% admission rate. Our EMD physicians have academic appointments at the University of Minnesota, and our 24-position EM residency program is directed by Dr. Robert Knopp.

For consideration, forward your cover letter and CV to: HealthPartners, Physician Services, Attn: Sandy Lachman, P.O. Box 1309, Minneapolis, MN 55440. FAX: (612) 883-5395. Fot more information, cali (612) 883-5338 or'email: sandy.l.lachman@healthpartners.com. EO/AA Employer.

#l#H.althPartners HeahhParner' mission is to imorcue the heahh of our membereand ocr comminitt

:#

Instructor/Assistant Professor in Bmergency Medicine and Pediatric EmergencyMedicine. Ihe WakeForestUniversitySchoolof Medicineis seeking candidat€sfor full-time faculty positions.

This is a well established training program with full RRCapproval. Ihe hospital itself is a Level I Trauma Centerseeingin excessof 50,000 pati€ntsper year and a full compliment of residency training programs in addition to BmergencyMedicine.

The residencytraining progfam itself is configured as a PGY-Ithrough PGY-il prognm with eight residentsp€r year.All academicpositions af,e tenure tract with Wake Forest University. Salary and benefits af,e extremely competitive. Candidatesmust be residencytrained and either Board Certified or eligible to sit for the boards in EmergencyMedicine or Pediatric DmergencyMedicine.Interested applicantsshould contact Ead Schwartz,MD, Chairman,Departrnentof BmergencyMedicine, Medical CenterBoulevard,Winston-Salem,NC 27 r57 -1089.Phone (33(r) 71.6-4626,F!il: (336) 7 16-5438or E-mail eschwart@nfirbmc.edu.

ActionBmployer.

Affirmative EqualOpportunity

NORTH SHORE. LONG ISLAND JEWISH HEALTH SYSTEM

Xffi*a

HosPITAL NonnrSsonBUr.uvm.srrv NEWYORKI1030 . (516)562-3090 300CoMMUNITYDRM, MANHASSE1

TheNorthShore-LonglstandJewishHealthSystemEmergencyMedicineProgramsstaffs in NassauCountyand Queens.The Health and servicesfive EmergencyDepartments residencytrainedcareerEmergencyPhysiciansto Systemseek board prepared/certified, augmentits staff. We havea varietyof opportunitiesin a numberof differentsettings. Of sitewho havespecialtrainingin particularinterestare FacultyMembersat the Manhasset the followingareas: . EmergencyMedicine& PediatricEmergencyMedicineFellowshipTraining o EmergencyMedicine& ResearchFellowshipTraining/lnterest r EmergencyMedicinewith AdvancedultrasoundTraining/Gredentials Excellentsalaryin associationwith an outstandingbenefitpackagewith potentialfor growth.

Pleasefonrard resumesand inquiresto: AndrewSama,M.D.,Ghairman Medicine of EmergencY Department NorthShoreUniversitYHospital Drive 300GommunitY NY 11030 Manhasset, FAx Phone (516)562-3680 (516)562-3090

OREGON HEALTH S C IE N C E S UNIVERSITY Open Rank: The Department of Emergency Medicine, Oregon Health Sciences University, Portland, Oregon is inviting applications for fulltime academicfaculty positions in a new emergency facility. Board eligible/certified emergency medicine faculty with training/experiencein emergency pediatricsor EMS are sought. Pleaseforward your cunentcurriculumvitae to: JerrisHedges,MD, MS, Acting Chair, Department of Emergency Medicine, UHN-52,OregonHealth SciencesUniversity,3181 SW Sam JacksonPark Road. Portland.OR 97201 (hedgesj @ohsu.edu).

Weareseeking anindividual withqualiflcations forappointmentasAssociate or FullProlessor to beChief, Section of EmergenM c ye d i c i naet T e m p l e U n i v e r s iS t yc h o ool f Medicine andDirector of Emergency Medicine at Temple University Hospital.

Musthaveboardcertification in emergencymedicine; minimum of fiveyears' clinical experience; proven leadership skills; administrative experience; andqualprogram. ifications to directresidency Expected to continue practice, clinical teachstudents andresidents, encourage andparticipate in research andadminister thesection.

Please sendC.V.to:

Sidney Cohen, M.D. Professor andGhairperson Department ol Medicine

Temple University School ofMedicine 3401North Broad Street Philadelphia, PA19140.

Temple University is anEqual 0pportunity/Affirmative Action Employer andstrongly encourages applications fromwomen andminorities.

KymA.Salness, MD, FACEP Director Emergency Medicine Center CentralPennsylvania Poison Center KeithK. Burkhart, MD, FACEP J.WardDonovan, MD,FACEP LIFELION KymA. Salness, MD,FACEP Prehospital Medicine Steven A. Meador, MD,MPH . ProlessionalMedical . EmergencyMedicine Hesearcn . EmerqencvMedicine . Resid;nt dnd Medical

International Emergency Medicine C.James Holliman, MD,FACEP Emergency Medicine Residency Program C.James Holliman, MD,FACEP Emergency Department Christopher J. DeFlitch, MD Charles L. deSibouq MD Stephen J. Graham, MD AlanJ.Hirshberg, MD,MPH,FACEP MarkJ.Kimak,MD, FACEP H.AmoldMuller,MD, FACEP Elizabeth G.Valentine, MD, FACEP

. Level 1 Aduli . Special . Rbgional

. Traumacare

IIIREGII|R RESEARGH

Chicago

University of Arkansas for Medical Sciences a is recruiting Medicine of Emergency TheDepartment andresidency departmental to coordinate Director Research in certified mustbeboard activities.

Candidates research someresearch/publishing Medicine andpossess Emergency Mostresearch is notrequired. experience Grant experience. health services, including canbeaccommodated interests ultrasonoginformatics, telemedicine, outcomes, clinical multidiscihasanactive UAMS sciences. raphy andbasic plinary State-of-the-art research center. outcomes clinical A fundsareavailable. start-up andample laboratory space timeareprovided. and60%protected assistant research adultvisits annual has31,000 Department TheEmergency Wearea hospital. witha busychildren's andcoordinates residency a fully accredited and trauma center maiorreferral medical program data-based Anautomated of 16years. imPlemented. is being record willbe Rank arecompetitive. salary andbenefits Excellent qualifications. the candidate's with commensurate V.GailRay,MD,Ghair Gontact: medicine ol Emetgency Department 4301WestMa*ham,Slot584 AR72205-7199 LittleRock, (501)686-5515 Oflice (510)686-8586 FAX

Available Posil RESIDDNCY Full-time

comes research and bench marking. Good administrative support and funding sourcâ&#x201A;Źs. Bxcellent salary and benefits.

On-site interviews for all positions are being conducted Tbesday,May 19 from 1:00-5:00pm in the Missouri Boardroom.PageThomasKirsch, MD, MPH at312/90l5405, orJulio Silva,MD, MCBPat 312-901'5944.

EEO/AAAI/N

Call for Abstracts/Announcement MedicineConference Emergency FAEM/SAEM 27'30,1998 September ChristChurch,Oxford,UnitedKingdom D E A D L I N E f: u n e 1 5 , 1 9 9 8 at the for oraland posterpresentation abstracts is accepting The ProgramCommittee at for consideration Abstractssubmitted MedicineConference.

Emergency FAEM/SAEM Emergency for the FAEM/SAEM the 1998SAEMAnnualMeetingmayalsobe submitted form. submission usingthe SAEMabstract Conference, Medicine to presentthe abstract a commitment of an abstractconstitutes Submission if selectedby the ProgramCommittee. is June15,1998. forsubmission Thedeadline in July1998' of acceptance Authorswillbe notified in the will be advertised and otherinformation materials Registration abstracts. and mailedto authorsof submitted SAEMNewsletter

rmaResearch InterestGroup

17,4:00-6:00 pm Room

. LeukotrieneLecture,RudyBaumgartnefMD Merckphan

Simoson,MD,Zenecapharmaceu_ ,, maceuticals;Stephen . ticals;Robert Silverman,MD;and EmitSkobetoft, MD -l?;,ARIGactivityupdate,Rita Cydutka,MD 3. MARCprojectsprogress,CartosCamargo,MD -4. NIHEducation projectupdate,SteveEmond,MD Future directions

earchDirectors'InterestGroup

20,10:30-12:00 noon Room Revie^w/approval of minutesof last meeting:October 17,1997 OldBusiness a. Updateon waiverof informedconsent.Michette Biros,MS, MD b, Updateon SAEM/ACEpweb pages, Richard Summers,MD, and GeoffRuttedile,-MD c. Update.on gurveyof residents concerning resident research, Andy Levitt,DO d. Jobdescription, MichetteBtanda,MD e. Research educationactivities,Sue Fish,pharmD f, Research coordinators'group, Dr.Mitcheil g. Research funding h. Legislation concerning privacyof medicalrecords, DavidMilzman,MD NewBusiness a. Development of goalsand objectives b. Election of Chair

)omesResearchInterestGroup

17,10:30-11:30 am Room Election of officers Disc,ussion of potentialprojects a. Outcomes Research andthe prehospital Environ_ ment(fromLoriMoore) 1. Benefits of ALS 2. Number of paramedics neededon an ALScall b. Multi-site collaborative projects,ShetdonJacobson, MD c. Develop an education programfor reqional/nation_ al SAEMmeeting(s), SheldonJacobion,MD d. -*lggfuqhy OutcomesAssessmentprogram (SOAP),LarryMelniker,MD e, De_velopment of a resourceguide,EmanuatRivers, MD f. Guest speakersat Annual Meeting,Emanual Rivers,MD g. Potentialfunding sources,EmanualRivers,MD h. InformSAEM membersabout OutcomesResearch,JohnSarko,MD i. Bibliography of EmergencyMedicineOutcomes Studies ,Development of goalsfor comingyear

Shock/TraumaInterestGroup

May 19,3:30-5:00 am MississippiRoom 1. Multi-center trials a. Outcomes based practice guidelines,Jack Bergstein,MD,Universityof tilinbis b, Shoulderdislocationstudy, John Bedolla,MD, Southwestern MedicalCenter,Dailas 2. Educational programs for presentation at theAnnual Meeting 3. Objectives for the lnterestGroupfor 1998-99 4. Election of a Chairperson for 1g9g-99

HealthServicesResearchInterestGroup

May 17,12:30-2:30 pm MississippiRoom 1. Review, planning, andgeneraldiscussion 2. Thoughts on duesROI 3. Settingandfinalizing objectives for theyear 4, Election of chair

Womenand MinoritiesInterestGroup

May 19,3:30-5:00pm Ohio Room 1. Transition fromtaskforceto interest group 2, Updateon objectives fromtaskforce 3. Updateon websitementoring project 4. Election of chair 5. Newbusiness

PediatricInterestGroup

May 17,5:30-6:30pm Arkansas Room 1. Current Activities a. Pediatric TrainingTaskForce(Abstract #225) b, EMSCCoordinating Committee c. HRSA/EMSC (Lunchtime didacticSessionMay 17,1ggg) 2. Goals:developobjectives to meetthesegoals a, Promotepediatlcsin emergency medlcine(espe_ ciallywithinSAEM) b. To definethe roleof a pediatricemergency medi_ cinespecialist c. Toprovide additionaleducation inpediatrics andpEM d. To promoteresearch e. Toactas advocates for qualityemergency carefor pediatricpatients 3. Communication a. Newsletter, website? b. Steeringgroup/officers?

4. SAEMsupportfor activities 5. Announcements

InternationalInterestGroup

May 19,8:30-'10:00 am MississippiRoom 1. Electionof the 1998-2000 officers 2. Reviewof completed projectsin 1997 3 . Announcement of upcoming international conferences 4. Callfor abstract submission for theconference in Oxfordin September 1998,and reviewof plans 5 . Cooperation withtheACEPInternational Sectionand Emergency International.

6 . Updateonwebpagestatusforinternational information.

7 . Planningand appointment of membersresponsible for organizing futureprojects 8 . Newbusiness

DomesticViolenceResearch

May 18,4:30-5:30am Ontario Room 1. Statusreport:Numberof members;1997-98accomplishments 2. Election of chair 3. Goalsfor 1998-99: ldentify, select,andouilineplanto goals accomplish

NeurologicEmergencieslnterestGroup

May 19,3:30-5:00am ArkansasRoom 1. Educational projects,Summaryof EMS educational projectby Andy Jagoda projects 2. Collaborative a. EmergencyMedicineSeizure Study GroupSummary,J. StephenHuff physician, b. StrokeResearch and the Emergency SummaryRashmiKothari,others 3. SAEMand interestgroupbusiness, programcontent andformat 4. Electionof officers

Level 1 -

Posters, andExhibits Exhibition Hall (2levelsbelowlobby)SAEMRegistration,

Level 2 -

lobby) Meeting Rooms fi levelbetow

Huron| 0ntario

E r i e I S u p e r i oI rM i c h i g a n

0hio

ArkansasColoradoMissouri Mississippi

Mayfair

ReadyRoomis A, B, C, D, E, F,andG are locatedon thislevel.TheSpeaker's Level 3 - Lobby Level Parlors locatedin ParlorB. Level 4 -

lobby) Ballroom (7 levelabove

Sheraton C h i c a g o 7 4

Sheraton C h i c a g o 6 5