SAEM 2008 Annual Meeting Program

2008 Annual Meeting Washington D.C.

May 29 - June 1

www.saem.org

Index AEM Consensus Conference

5

Daily Schedules

6

SAEM Business Meeting Schedule

17

Thursday, May 29th, Didactics/Paper/Poster

18

Friday, May 30th, Didactics/Paper/Poster

24

Saturday, May 31st, Didactics/Paper/Poster

31

Sunday, June 1st, Didactics/Paper/Poster

38

Interest Group Updates

44

Innovations in Emergency Medicine Education Exhibits

45

Special Recognition Award

46

Hal Jayne Excellence Award

47

Leadership Award

48

Advancement of Women in Academic Emergency Medicine Award

49

Young Investigators Award

50

Chief Resident Forum

52

Medical Student Symposium

53

Residency Fair Participants

55

Photography Display Contributors

56

Didactic Speaker List

57

Moderator and Reviewer Acknowledgements

59

2009 Didactic Proposals

62

2009 Abstract Proposals

62

2010 AEM Call for Proposals

63

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General Information The SAEM Annual Meeting is the largest forum for the presentation of original research in emergency medicine. The meeting will be held May 29 - June 1 at the Marriott Wardman Park Hotel in Washington D.C. Over 2,000 emergency physicians are expected to attend. The Annual Meeting will include 565 original research presentations, as well as 19 Innovations in Emergency Medicine Education (IEME) Exhibits. The oral papers consist of 10 minute presentations followed by five minutes for questions and answers. Selected oral paper sessions will include additional time for discussions. The posters are scheduled in two-hour sessions each day. Most posters will focus on one-on-one discussion between the presenters and the attendees. However, each day moderated poster sessions will be assigned to one-hour discussion sessions within the two-hour poster sessions.

The moderators will focus discussion on furthering the research in the topic. The IEME Exhibits will be held during the poster sessions. In addition to this Annual Meeting brochure, more details regarding the Annual Meeting are posted on the SAEM web site at www.saem.org. The web site is continually updated. A copy of the Abstract Supplement will also be provided to all Annual Meeting attendees in Washington D.C.

Registration Attendees are strongly urged to pre-register for the Annual Meeting using the online registration form found ar www.saem.org.

Pre-registration ensures shorter registration lines in Washington D.C. and assists staff in preparing name badges that are required for admission into all Annual Meeting sessions. Attendees may also register via fax or mail using the registration form included in this brochure. Early registration fees are in effect until April 18.

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

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

Hotel Accommodations

The Annual Meeting will be held at the Marriott Wardman Park Hotel. Be sure to make hotel reservations by April 22.

Reservations received after April 22 will be filled on a space and rate availability only. To reserve your room call 202-3282000 and be sure to mention the SAEM Annual Meeting to receive the discounted room rate of $239 for single or double occupancy.

SAEM has reserved a block of rooms at the Marriott Wardman Park in Washington DC based on the number of rooms

used during previous Annual Meetings.

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

Annual Business Meeting

The Annual Business Meeting will be held on Saturday May 31 from 3:00-4:00 pm.

The election results will be announced, as well as the results of the membership’s ballot regarding any Constitution and Bylaws amendments. In addition, the Young Investigator Award recipients; the recipients of the Research Training; Institutional Training; EMS Research Fellowship grants; and the recipients of the 2007 Annual Meeting Best Presentation Awards will be presented to the membership.

Judd E. Hollander, MD, will present his Presidential summary address to the membership. Incoming President, Katherine L. Heilpern, MD, will also be introduced and present her preview of the coming year. There may be other reports and presentations to the membership. All SAEM members are urged to attend.

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Opening Reception After the keynote townhall presentation on Thursday, May 29, SAEM will host an opening reception from 6:00 - 7:30 pm so that Annual Meeting attendees can socialize with other SAEM members.

CPC Competition The Semi-Final CPC Competition will be held on Wednesday, May 28 (the day before the Annual Meeting) from 8:00 am until 5:00 pm. Annual Meeting attendees are encouraged to attend. There is no registration fee to attend the Competition, which showcases emergency medicine residency programs. The CPC consists of the presentation and discussion of the best 60 cases submitted from 100 submissions. The CPC Competition finalists will be announced during a reception held from 5:30-7:00 pm. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM. The CPC Final Competition, consisting of the six semi-finalists, will be held during the ACEP Scientific Assembly, which will be held in Chicago, October 2730, 2008

Continuing Medical Education “This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Michigan State University, College of Human Medicine and Society for Academic Emergency Medicine. Michigan State University, College of Human Medicine, is accredited by the ACCME to provide continuing medical education for physicians.”

The MSU College of Human Medicine designates this educational activity for a

Maximum of _35.5_____ AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Fun Run

On Saturday, May 31 come run with us.

The run will start promptly at 7:00 am and will be a 5K. T-shirts, bottled water, and fruit will be provided. You can sign up at the main meeting registration desk for your t-shirt, number, and pins any time before Saturday morning. Registration fee is $15 and any profits generated from this event will be donated to the SAEM Research Fund.

Dodgeball On Saturday May 31, the gloves come off for the first ever North American Emergency Medicine Dodgeball Tournament (“May Madness”). There will be 32 team openings in the grid, so get your team together, start practicing and look for registration details by April. Registration will be $100 with proceeds donated to the SAEM Research Fund. Remember this is a CONTEST, not a family event. Children are welcome to watch the festivities.

CORD The Council of Emergency Medicine Residency Directors (CORD) will meet on Friday, May 30 from 8:00am - 12:00pm. The program will include an educational session, reports, elections, and award presentations. All CORD members are invited to attend. The CORD Board of Directors and CORD committees and task forces will also meet during the Annual Meeting and those meetings will be posted as they are scheduled.

AACEM The Association of Academic Chairs of Emergency Medicine (AACEM) will hold their Business Meeting Wednesday, May 28 from 7:00am - 8:00pm. AACEM members are invited to attend.

Networking Breakfast Breakfast scheduled for Friday, May 30th, from 7:30am-9:00am. Breakfast buffet. All attendees are welcome.

Abstract Key An asterisk (*) denotes abstracts that have been presented at a SAEM Regional meeting and have been selected by the Regional Meeting as a Best Paper or Best Poster. Double asterisks (**) denotes a finalist for an SAEM Annual Meeting Scientific Award. Awards will be given in the categories of Faculty, Young Investigator, Fellow, Resident, Basic Science and Medical Student. Triple asterisks (***) denotes a late breaking abstract.

SAEM Membership Count

Award selection process: Authors indicated on the abstract submission form whether they wish to be considered for an award. The Program Committee selected award candidates from this group, based on reviewers’ scores and study impact.

Candidates were asked to submit a full manuscript by April 30 for review by the awards committee. Final award decisions will be based on both the submitted manuscript and the presentation. Announcements regarding the award recipients will be published in the July/August newsletter

As of April 24, 2008 Active

2,853

Associate

137

Emeritus

26

Honorary

8

Medical Student

351

Resident/Fellow

2,458

Total

5,833

Does SAEM Have Your Correct Contact Information?

Find out at our kiosk near registration.

2008 Annual Meeting Program Committee Craig D. Newgard, MD, MPH, Chair

Eric D. Katz, MD

Bridgette M. Baumann, MD

Terry Kowalenko, MD

Steven L. Bernstein, MD

O. John Ma, MD

Andra L. Blomkalns, MD

David P. Milzman, MD

Anna Marie Chang, MD

James E. Olson, PhD

Esther H. Chen, MD

Emanuel P. Rivers, MD, MPH

Matthew Deibel, MD

Marc S. Rosenthal, PhD, DO

Jeffrey Phillip Druck, MD

Chris Ross, MD

Susan Fuchs, MD

John S. Southall, MD

Jason S. Haukoos, MD, MS

Joshua Wallenstein, MD

Michael L. Hockberg, MD

Tuesday, May 27, 2008 SAEM and AEM Committee/Task Force/Board Meetings 2:00 - 10:00 pm

AEM CC Planning Meeting

Coolidge Room

5:00 - 11:00 pm

SAEM BOD Meeting

Stones Throw

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AEM Consensus Conference May 28, 2008, 8:00 - 4:00 p.m The Science of Simulation in Healthcare - Defining and Developing Clinical Expertise.

The AEM Consensus Conference will be held on May 28, 2008 at the Marriott Wardman Park. The theme of the conference will be “The Science of Simulation in Healthcare - Defining and Developing Clinical Expertise”.

Academic Emergency Medicine, the official journal of SAEM, plans a number of activities at the 2008 Annual Meeting. Again this year, AEM is conducting a consensus conference on the topic of The Science of Simulation in Healthcare - Defining and Developing Clinical Expertise, on Wednesday, May 28, 2008 from 8:00 am until 5:00 pm and will feature many speakers on several topics. Additional details are posted on the SAEM Annual Meeting web site. Registration is open to all Annual Meeting attendees for $100 and includes lunch. Registration information is included on the SAEM Annual Meeting online registration form.

An AEM Reviewers’ Workshop will be held on Friday,

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May 30 from noon-1:30 pm. This session is designed for current AEM reviewers and lunch will be provided. All AEM reviewers are invited but must register in advance by sending an email to aemreg@saem.org. Space is limited and registrations will be first-come, first-served.

The AEM Editorial Board will meet during the Annual Meeting. Pre-registration is required through the AEM office at aemreg@saem.org. Please check the online schedule for dates and times.

Pre-Day, Wednesday, May 28, 2008 SAEM and AEM Committee/Task Force/Board Meetings 4:00 pm - 6:30 pm

SAEM Committee/Task Force Orientation

Thurgood Marshall - West

6:00 pm - 8:00 pm

SAEM Program Committee Sub-Committee Chairs Meeting

Park Tower Suite #8228

Affiliated Meetings/Satellite Symposia 7:00 am - 8:00 am

AACEM Annual Business Meeting

Thurgood Marshall - West

8:00 am - 5:00 pm

Association of Administrators in AEM

Washington Room #6

12:00 pm - 5:00 pm

AAEM BOD Meeting

Park Tower Suite #8228

5:00 pm - 7:00 pm

EMNet Steering Committee Meeting

Park Tower Suite #8222

7:00 pm - 10:00 pm

AACEM Annual Dinner

(Off Site) Cosmos Club

18th Annual SAEM Midwest Regional Meeting Meeting Announcement & Call for Abstracts Monday, September 29, 2008 Coralville Marriott Hotel & Conference Center Coralville, Iowa The Department of Emergency Medicine at University of Iowa is pleased to announce that abstracts are now being accepted for the SAEM Midwest Regional Meeting. The theme of the meeting will be “Quality Emergency Medicine� and will include a keynote address by SAEM past-president Dr. Sandra Schneider of the University of Rochester. The program will feature oral and moderated poster presentations of original research, as well as discussion-panel and short lectures from various invited faculty whom have defined aspects of quality in resident and medical student education, patient care, and quality of life.

The meeting location is the Coralville Marriott Hotel & Conference Center which is minutes away from down-town Iowa City and the University of Iowa. Registration to this event includes a complimentary continental breakfast and lunch.

The Iowa City and Coralville communities are bursting with things to see and do. Enjoy a vibrant downtown Iowa City with a pedestrian area full of great restaurants, unique shops, and live entertainment. Experience anything from history to jazz to art to a Big 10 sporting event. For more information visit: http://www.iowacitycoralville.org/visitors.asp The deadline for abstract submission is FRIDAY, AUGUST 1, 2008 at 5:00pm. Only electronic submissions via the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notification will be sent by August 14, 2008. Questions concerning the meeting can be directed to the Program Chair, Hans House, MD at hans-house@uiowa.edu.

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Pre-Day, Wednesday, May 28, 2008 7 am - 8 am

8 am - 5 pm

8 am - 5 pm

8 am - 5 pm

8 am - 5 pm

AACEM meeting AACEM to attend AEM Consensus Conference Thurgood Marshall West

Semi-Final CPC

AEM Consensus

Emergency Care

Intensive Grantsmanship

Tracks

Conference

Networks Conference

Workshop OFFSITE

Coolidge/Harding Marriott Ballroom Hoover/McKinley Salon #1 Wilson C/Wilson A

Washington #4

NIH Campus

Intensive Grant Preparation Workshop

Natcher Conference Center - NIH Campus, Bethesda, MD Please join us on Wednesday May 28th for the 2008 SAEM Pre-day Intensive Grant Writing Workshop. This year the workshop will be held for the first time on the NIH campus, giving applicants an opportunity to become familiar with what is often times little more than an email address. Faculty include national leaders in emergency medicine research, each with extensive experience in obtaining foundation and federal funding, and representatives from the NIH will be on hand to discuss strategies for first time applicants trying to engage federal agencies. The morning session will cover key elements of successful grant writing that include refining scientific questions, common pitfalls in grant submissions, and understand the review process of both common foundations (including EMF and SAEM) and the federal government. The afternoon session will involve detailed discussion of three grants that were not accepted on their first submission but subsequently received extramural support. These will include a foundation career development grants, an NIH clinical scientist training grant (K23), and a laboratory-based R01. These grants will be focused in three different areas; health service research, clinical research, and basic science research for a broader understanding of the composition of various grants. Specific attention will be given to the process of project development and, importantly, the process of resubmission.

There is the also the possibility for individual entoring following the pre-day workshop to assist grant-writers with an unfunded proposal These sessions will be handled on a one-on-one, ad hoc basis. Interested individuals should contact us. Breakfast and lunch will be served. For any questions, feel free to contact John Younger in the University of Michigan Department of Emergency Medicine, jyounger@umich.edu.

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Thursday, May 29, 2008 SAEM and AEM Committee/Task Force/Board Meetings 7:00 am - 8:00 am

SAEM Program Committee Meeting

Park Tower Suite #8228

7:00 am - 12:00 pm

SAEM Board of Directors

Capital Boardroom

8:30 am - 11:00 am

SAEM Awards Committee

Park Tower Suite #8217

9:00 am - 10:00 am

SAEM Consultation Services Committee

Park Tower Suite #8210

9:00 am - 10:30 am

SAEM Membership Committee

Park Tower Suite #8211

10:00 am - 11:30 am

SAEM Geriatric Task Force

Park Tower Suite #8210

12:00 pm - 1:00 pm

SAEM Research Committee

Park Tower Suite #8210

1:00 pm - 2:00 pm

SAEM Technology In Medical Education Committee

Marriott Ballroom Balcony A

1:00 pm - 3:00 pm

SAEM Education Fund Task Force

Park Tower Suite #8222

2:00 pm - 4:00 pm

SAEM Constitution and Bylaws Committee

Park Tower Suite #8217

2:00 pm - 4:00 pm

SAEM Finance Committee

Park Tower Suite #8218

3:00 pm - 4:00 pm

SAEM Regional Meeting Task Force

Park Tower Suite #8210

3:00 pm - 4:00 pm

SAEM Grants Committee

Park Tower Suite #8212

3:00 pm - 4:30 pm

SAEM Faculty Development Committee

Park Tower Suite #8219

4:00 pm - 5:30 pm

SAEM WEB Committee

Park Tower Suite #8211

SAEM Interest Group Meetings 10:00 am - 11:00 am

SAEM Mentoring Women Interest Group

Marriott Ballroom Balcony A

12:00 pm - 1:30 pm

SAEM Sports Medicine Interest Group

Park Tower Suite #8209

12:00 pm - 1:30 pm

SAEM Evidence Based Medicine Interest Group

Park Tower Suite #8212

2:00 pm - 3:00 pm

SAEM EMS Interest Group

Park Tower Suite #8210

3:00 pm - 4:00 pm

SAEM Toxicology Interest Group

Park Tower Suite #8209

3:00 pm - 5:00 pm

SAEM EM Educational Research Interest Group

Marriott Ballroom Balcony A

Affiliated Meetings/Satellite Symposia 7:00 am - 5:30 pm

ACEP Meeting All Day

Marriott Ballroom Balcony C-D

8:00 am - 6:00 pm

ABEM Officers Meeting

Park Tower Suite #8226

8:00 am - 6:00 pm

EMRA EM Residents Association

Park Tower Suite #8206

10:00 am - 2:00 pm

AAEM Strategic Planning Committee

Park Tower Suite #8216

10:00 am - 2:00 pm

Emergency Medicine Foundation - Board Meeting

Marriott Ballroom Balcony B

1:00 pm - 4:00 pm

Western Journal of Emergency Medicine

Delaware Suite B

1:00 pm - 5:00 pm

EMRA BOD Meeting

Park Tower Suite #8206

2:30 pm - 3:30 pm

Emergency Medicine Foundation - Scientific Review Comm.

Marriott Ballroom Balcony B

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Thursday, May 29, 2008 Affiliated Meetings/Satellite Symposia Cont.

2:30 pm - 3:30 pm

Officers Meeting ACEP/CORD/SAEM/AACEM/AAEM

Tyler Room

4:30 pm - 5:00 pm

EMRA/CORD Officers Meeting

Tyler Room

8 - 9:30 am

Plenary Papers Abstracts 1-5 Marriott Salons 2 & 3 9:30 - 10 am - Coffee Break Oral abstracts 10 - 11 am Knowledge Transfer and Decision Rules Abstracts 6-9

Oral abstracts 10 - 11 am Acute Coronary Syndromes Abstracts 10-13

Oral abstracts 11 am - 12 noon Disaster Medicine Abstracts 14-17

Oral abstracts 11 am - 12 noon Adult Respiratory Disorders Abstracts 18-21

Virginia A-B

Maryland A-B

Washington Rms 1-2

12 - 1:30 pm #253 Lunch with Fellowship Directors

12 - 1:30 pm #214 Educational Concepts in Prehospital and Disaster Medicine: Why in Today's World it Should be Core Content Washington Rm 5 Oral abstracts 1:30 - 2:30 pm Ischemia Reperfusion Abstracts 26-29

12 - 1:30 pm #322 Reviewing for Medical Journals

Washington Rm 3 Oral abstracts 1:30 - 2:30 pm Crowding and Patient Outcomes Abstracts 22-25

Virginia A-B Maryland A-B Posters 2:30 - 4:30 pm Access To Care: Abstracts 30-36 Intubation: Abstracts 37-39 CPR: Abstracts 40-43 Infectious Disease: Abstracts 44-54 Administration and Health Care Policy: Abstracts 55-63 Measurements and Assessments in the Critical Patient: Abstracts 64-72 Targeting the Social History-Tobacco/Ethanol/Drugs: Abstracts 73-80 Pediatrics: Abstracts 81-84 Advances in Asthma: Abstracts 85-92 Nociception and Nausea: Abstracts 93-101 Ultrasound: Abstracts 102-111 Cardiac Biomarker: Abstracts 112-115 Residents and Residency Education: Abstracts 116-127 Traumatic Brain Injury: Abstracts 128-129 Special Populations: Emergency Medicine in the Elderly: Abstracts 130-133

10 am - 12 noon #163 How to Teach the Management of Pediatric Emergencies Using Medical Simulation

Washington Rm 1-2 1:30 - 3 pm #225 State of the Art: Evidence-Based Approach to Child Abuse Screening in the ED Washington Rm 1-2

3 - 4:30 pm #307 Major Medical Organizations and Industry Relations: What can SAEM Learn?

Washington Rm 1-2

Moderated Posters 3 - 4 pm CT Scans - Too Much of a Good Thing? Abstracts 134-137 Hypertenstion - Expanding Roles in EM: Abstracts 138-141 Exhibit Hall

4:30 - 6 pm Keynote Townhall Meeting Salon 1-2 6 - 7:30 pm Opening Reception Salon 3

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10 - 11:30 am #215 State of the Art: Bringing Back the Dead: From Down Time to Doctor, What we Think We Know about Resuscitation and What We Don't Washington Rm 4 12 - 1:30 pm #168 Beyond Quality and Safety Standards: Operational Initiatives that Achieve Safer Emergency Care Washington Rm 4 1:30 - 4 pm NIH Center for Scientific Review session Washington Rm 4 2:00 - 3:00pm Rear Admiral Dr. Craig Vanderwagen "The Nation's Health and Human Service Disaster Preparedness Status" Washington Rm 5

Thursday, May 29, 2008 NIH Center For Scientific Review Session 1:30 pm - 4:00 pm The National Institutes of Health Center for Scientific Review will present a session exploring the process and nuances of reviewing NIH grant applications. The session will be organized and facilitated by Cheryl Kitt, PhD, Deputy Director of the NIH Center for Scientific Review.

The Nation’s Health And Human Service Disaster Preparedness Status W. Craig Vanderwagen, MD, Rear Admiral United States Department of Health and Human Services Assistant Secretary for Preparedness and Response 2:00 pm - 3:00 pm Dr. Vanderwagen is a board-certified family physician, who has an extensive background in public health emergencies and disaster response. As the Rear Admiral, Upper Half, U.S. Public Health Services (USPHS) Assistant Secretary for Preparedness and Response, Dr.Vanderwagen is the principal advisor to the Secretary for Public Health Emergency Preparedness on matters related to bioterrorism and other public health emergencies. After serving as the senior federal health official in the response to Hurricanes Katrina and Rita, Dr. Vanderwagen led the teams who submitted the White House Report, “Katrina Lessons Learned.” Dr. Vanderwagen also led the public health team deployed to Indonesia to assist in the 2005 tsunami recovery. Introduction by Dr. Kristi Koenig.

Keynote Townhall Meeting: US Healthcare And Our Nation’s ED 4:30 pm - 6:00 pm This unique keynote address will feature healthcare advisors from the 3 major political campaigns: John McCain, Hillary Clinton, and Barack Obama. These representatives will briefly discuss their perspectives on the state of US healthcare as it affects our nation’s emergency departments and will then address questions from the audience in an interactive, townhall-type forum. 2008 is an election year and the annual meeting is in the nation’s capital - what better time than now for a political discussion on the state of healthcare?

Please join us for this very unique forum and opportunity to understand what the next 4 years may hold for emergency physicians.

Moderated by Dr. Art Kellerman.

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Friday, May 30, 2008 SAEM and AEM Committee/Task Force/Board Meetings 7:30 am - 8:00 am

SAEM Program Committee Meeting

Park Tower Suite #8228

8:00 am - 9:00 am

SAEM Crowding Task Force

Park Tower Suite #8209

9:00 am - 10:30 am

SAEM GME Committee

Park Tower Suite #8206

10:00 am - 11:00 am

SAEM Industry Relations Committee

Park Tower Suite #8210

10:00 am - 11:30 am

SAEM Ethics Committee

Park Tower Suite #8211

11:00 am - 12:00 pm

SAEM International Emergency Medicine Committee

Park Tower Suite #8206

11:00 am - 12:00 pm

SAEM Communication Committee

Park Tower Suite #8210

12:00 pm - 1:30 pm

AEM Reviewers Lunch/Workshop

Washington Room #3

2:00 pm - 4:00 pm

SAEM Development Committee

Park Tower Suite #8211

2:30 pm - 4:00 pm

SAEM Guidelines Committee

Park Tower Suite #8212

4:00 pm - 5:00 pm

SAEM National Affairs Committee

Park Tower Suite #8210

SAEM Interest Group Meetings 9:00 am - 10:00 am

SAEM Simulation Interest Group

Marriott Ballroom Balcony A

9:00 am - 10:00 am

SAEM Palliative Medicine Interest Group

Park Tower Suite #8210

10:00 am - 11:00 am

SAEM Patient Safety Interest Group

Park Tower Suite #8209

10:00 am - 12:00 pm

SAEM International Interest Group/Research Showcase

Marriott Ballroom Balcony A

1:00 pm - 3:30 pm

SAEM Ultrasound Interest Group

Marriott Ballroom Balcony B

1:30 pm - 3:00 pm

SAEM International Interest Group/Updates & Bus. Meeting

Marriott Ballroom Balcony A

3:00 pm - 5:00 pm

SAEM Diversity Interest Group

Park Tower Suite #8209

3:30 pm - 5:00 pm

SAEM International Interest Group/Fellowship Directors Mtg.

Marriott Ballroom Balcony A

5:30 pm - 6:30 pm

SAEM Neuro Interest Group

Park Tower Suite #8206

Affiliated Meetings/Satellite Symposia 6:00 am - 8:00 am

EMCREG Satellite Symposium

Delaware Suite A

7:00 am - 3:30 pm

ACEP Meetings All Day

Marriott Ballroom Balcony C-D

7:30 am - 12:00 pm

CORD General Membership Meeting

Marriott Ballroom Salon #1

8:00 am - 9:00 am

AAEM Education Committee Meeting

Park Tower Suite #8216

8:00 am - 10:00 am

International Journal of Emergency Medicine

Park Tower Suite #8210

8:00 am - 8:00 pm

EMRA Meetings All Day

Washington Room #4

8:30 am - 12:00 pm

EMRA BOD Meeting

Park Tower Suite #8219

11:00 am - 12:00 pm

AAEM Government Affairs Meeting

Park Tower Suite #8216

12:00 pm - 6:00 pm

CORD BOD Meeting

Capital Boardroom 11

Friday, May 30, 2008 Affiliated Meetings/Satellite Symposia Cont.

1:00 pm - 5:00 pm

AAEM/RSA BOD Meeting

Park Tower Suite #8216

1:00 pm - 5:30 pm

CDEM UGS Committee/MSE Interest Group

Maryland Suite C

1:00 pm -1:30 pm

EMRA Committee Chair/Vice Chair Orientation

Park Tower Suite #8206

1:00 pm - 3:00 pm

EMCREG International Steering Committee Meeting

Park Tower Suite #8209

1:00 pm - 1:30 pm

EMRA Regional Representative Committee

Park Tower Suite #8212

1:00 pm - 5:00 pm

AAEM/RSA BOD Meeting

Park Tower Suite #8216

1:00 pm - 3:00 pm

EMRA Medical Student Governing Council

Park Tower Suite #8219

1:30 pm - 2:30 pm

EMRA Committee Showcase

Washington Rm 4

2:30 pm - 3:00 pm

EMRA Rep. Council Conference Committee Orientation

Park Tower Suite #8206

3:00 pm - 4:00 pm

EMRA Health Policy Committee

Park Tower Suite #8206

3:00 pm - 4:00 pm

EMRA Membership Committee

Park Tower Suite #8210

3:00 pm - 4:00 pm

EMRA Technology Committee

Park Tower Suite #8222

3:00 pm - 4:00 pm

EMRA Representive Council Public Hearing

Park Tower Suite #8226

4:00 pm - 5:00 pm

EMRA Research Committee

Park Tower Suite #8226

4:00 pm - 5:00 pm

EMRA International Committee

Park Tower Suite #8206

4:00 pm - 5:00 pm

EMRA Representative Council Reference Committee Work Meeting

Park Tower Suite #8222

4:00 pm - 5:00 pm

EMRA Critical Care Committee

Park Tower Suite #8211

4:30 pm - 5:00 pm

EMRA/ABEM Officers Meeting

Park Tower Suite #8218

5:30 pm - 7:00 pm

ACEP Reception

Marriott Ballroom Balcony C-D

5:30 pm - 7:00 pm

Research Fund Reception

Virgina Suite C

6:00 pm - 7:30 pm

EMRA Spring Rewards Reception

Washington Rm 4

6:00 pm - 8:00 pm

Denver Health Reception

Virgina Suite A

6:00pm - 8:00 pm

University of Virginia Reception

Maryland Suite B

6:00 pm - 8:30 pm

CDHAM Reception

Maryland Suite A

6:30 pm - 7:30 pm

Brown University Reception

Virgina Suite B

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Friday, May 30, 2008 7:30 - 9 am

8 am - 12 noon CORD General Membership Meeting

Breakfast and Networking Session Marriott Ssalon 2 Oral abstracts 9 - 10 am Advances in Heart Failure Syndromes Abstracts: 142-145

Oral abstracts 9 - 10 am Airway and Analgesia Abstracts: 146-149

9 - 10:30 am #221 Developing a Health Policy Research Agenda

10 - 11 am Infectious Disease Abstracts: 150-153

10 - 11 am EMS Abstracts: 154-157

11 am - 12 noon The Impact of Crowding Abstracts: 158-161

11 am - 12 noon Simulation in Education Abstracts: 162-165

10:30 - 12 noon #246 State of the Art: Advanced Neuroimaging in Acute Stroke Syndromes

Virginia A-B

Maryland A-B

Marriott Salon 2

Marriott Salon 2

Marriott Salon 1 Marriott Foyer 9 - 11 am #310 Knowledge Translation One Year Later: Controversies and Early Initiatives Arising from the 2007 Academic Emergency Medicine Consensus Conference Washington Rm 1-2 11 am - 12 noon #265 Advanced Evidence Based Diagnosis for Emergency Physicians Washington Rm 1-2

8 am - 4 pm Chief Resident Forum Marriott Salon 3

12 - 12:30 pm - Break to pick up lunch 12:30 - 2 pm #279 Teaching Portfolio: Putting your Best Foot Forward

12:30 - 2 pm #142 Why Be a Department Chair or Chief?

12:30 - 2 pm Spivey Lecture #222 An Academic Career: Is it Right for You?

12:30 - 2 pm #177 Identification, Critical Appraisal, and Clinical Application of High Quality Systematic Reviews

Delaware A Oral abstracts 2 - 3:30 pm On the Front Lines: Issues in the EMS Environment Abstracts: 166-171

Delaware B Oral abstracts 2 - 3:30 pm Advances in Traumatic Brain Injury Abstracts: 172-175

Marriott Salon 2 2 - 3:30 pm #260 Introduction to Statistics

Washington Rm 1-2 2 - 3:30 pm #327 The Effects of ED Crowding on Patient Oriented Outcomes

Marriott Salon 2 3:30 - 5:30 pm #138 Emergency Medicine Clinical Research Networks

Washington Rm 1-2 3:30 - 5:30 pm #199 Neuro-resuscitation Study design: Analyzing Success…and Failure

Virginia A-B Maryland A-B Posters: 3:30 - 5:30 pm Cardiovascular Emergencies: Abstracts 176-188 Language Barriers: Abstracts 189-191 Pediatrics: Abstracts 192-199 Technology: Abstracts 200-203 Diagnostics: Abstracts 204-208 Observation Medicine: Abstracts 209-213 Resuscitation: Abstracts 214-223 Toxicology: Abstracts 224-239 Disaster Medicine: Abstracts 240-246 Obstetrics and Gynecology: Abstracts 247-248 Special Population: Homeless Patients: Abstracts 249-253 Technology Implementation: Abstracts 254-257 EMS: Abstracts 258-270 Patient Satisfaction: Abstracts 271-273 Syncope: Abstracts 274-276

5 - 6:30 pm Residency Fair

Moderated Posters: 4 - 5 pm Resident Productivity - Perceptions vs. Reality: Abstracts 277-280 Severe Bacterial Infection: Abstracts 281-284 Exhibit Hall

Marriott Salon 2

13

Washington Rm 1-2

Marriott Salon 1

Saturday, May 31, 2008 SAEM and AEM Committee/Task Force/Board Meetings 7:00 am - 12:00 pm

SAEM BOD Meeting

Capital Boardroom

7:30 am - 8:00 am

SAEM Program Committee Meeting

Park Tower Suite #8228

7:00 am - 8:00 am

SAEM Past Presidents Breakfast

Marriott Ballroom Balcony B

11:00 am - 12:00 pm

SAEM Program Committee 2009 Planning Meeting

Park Tower Suite #8228

12:00 pm - 2:00 pm

AEM Editorial Board Meeting

Marriott Ballroom Blacony A

3:00 pm - 4:00 pm

SAEM Annual Business Meeting

Marriott Ballroom Salon #2

SAEM Interest Group Meetings 7:00 am - 10:00 am

SAEM Evidence Based Medicine Interest Group Meeting/Workshop

Park Tower Suite #8212

8:00 am - 10:00 am

SAEM Public Health Interest Group

Park Tower Sutie #8216

10:00 am - 12:00 pm

SAEM Geriatric Interest Group/Meeting w/ Speaker

Washington Room #1

4:15 pm - 5:15 pm

SAEM Clincial Directors Interest Group

Park Tower Suite #8212

Affiliated Meetings/Satellite Symposia 8:00 am - 10:00 am

EMERG Heart Failure Meeting

Park Tower Suite #8210

8:00 am - 9:00 am

EMRA Rep. Council Welcome Breakfast

Mariott Ballroom Salon #3

9:00 am - 10:00 am

AEM/CORD Officers Meeting

Tyler Room

9:00 am - 12:00 pm

EMRA REP Council Meeting/Town Hall

Marriott Ballroom Salon #3

9:00 am - 10:00 am

CORD Standardized Evaluation Methods

Taft Room

10:00 am - 11:00 am

CORD Program Requirements & PIF Review and Advisory Committee (PReq/PRAC)

Taft Room

10:30 am - 11:30 am

ABEM/SAEM Officers Meeting

Tyler Room

12:00 pm - 1:30 pm

EMRA Rep Council Luncheon

Maryland C

2:00 pm - 3:00 pm

CORD Academic Assembly Planning

Taft Room

2:00 pm - 5:00 pm

EMRA Board of Directors Meeting

Park Tower Suite #8219

4:00 pm - 5:00 pm

CORD County Program Dirctors

Taft Room

4:30 pm - 6:00 pm

EMRA National EM Jeopardy Contest

Marriott Ballroom Salon #3

4:30 pm - 6:30 pm

NAEMSP Board of Directos

Park Tower Suite #8216

7:00 pm - 8:00 pm

SAEM Mid-Atlantic Regional Research Conference Planning Meeting

Murphy’s Pub - 2609 24th Street NW (Off-Site)

14

Saturday, May 31, 2008 7- 8 am Fun Run Oral abstracts 8 - 9 am Ultrasound: Abstracts 285-288

Oral abstracts 8 - 9 am Disease and Injury Prevention Expanding Roles in EM: Abstracts 289-292

9 - 10 am Trauma II Abstracts 297-300

9 - 10 am Venous Thromboembolism: Abstracts 301-304

10 - 11 am Neurovascular Emergencies Abstracts 305-308

10 - 11 am HIV Testing-Expanding Roles in EM Abstracts 309-312

11 am - 12 noon Obstetrics and Gynecology Abstracts 313-316

Virginia A-B

Delaware A 9 - 10:30 am #164 Academic Promotions for the "Clinical" Faculty Member

Delaware A

11 am - 12 noon Issues and Tools for the Residency Director: Abstracts 317-320

10:30 am -12 noon #331 Effect of Crowding on Education: Blessing or Curse?

Maryland A-B

Delaware A

12 - 12:30 pm Break to pick up lunch 12:30 - 2 pm #155 Abstract Writing Workshop

Oral abstracts 8 - 9 am Trauma and Burns: Abstracts 293-296

12:30 - 2 pm #267 Faculty Development: Ideas that Really Work

8 - 10 am #190 State of the Art: Quality Geriatric Emergency Care II: Preparing for the Future

8 am - 4 pm Medical Student Forum

Delaware B

Washington Rm 4

10 am - 12 noon #300 Using HCUP Databases for Emergency Medicine Research

Delaware B

12 - 2 pm Posters Acute Coronary Syndromes: Abstracts 329-336 HIV: Abstracts 337-341 Orthopedics: Abstracts 342-346 Sepsis: Abstracts 347-354 Administration and Health Care Policy: Abstracts 355-366 Hypertension: Abstracts 367-372 Pediatrics: Abstracts 373-386 Trauma: Abstracts 387-399 Cardiovascular Basic Science: Abstracts 400-403 Pneumonia: Abstracts 404-408 Sedation: Abstracts 409-411 Wound Care: Abstracts 412-415 Psychiatry and Social Issues: Abstracts 416-422 Residency Application Process: Abstracts 423-427 Pediatric Toxicology: Abstracts 428-431 Moderated Posters 12:30 - 2:00 pm Discussions on Research Methods: Abstracts 432-437 Traumatic Brain Injury in Children: Abstracts 438-443

Virginia A-B

Maryland A-B

Exhibit Hall

2 - 3 pm Oral abstracts Advances in Pain Assessment and Management: Abstracts 321-324

2 - 3 pm Oral abstracts Education: Abstracts 325-328

2 - 3 pm #213 Diversity in Emergency Medicine: Strategies for Recruiting Physicians from Underrepresented Groups

Virginia A-B

Maryland A-B

Delaware A

3 - 4 pm Annual Business Meeting Marriott Ballroom Salon 2 4:30 - 6:30 pm Dodgeball OFFSITE - Georgetown University

15

2 - 3 pm #292 Beyond Area 51: Cooperative Research Between Academic EM and the US Department of Defense Delaware B

Sunday, June 1, 2008 SAEM and AEM Committee/Task Force/Board Meetings 7:30 am - 8:00 am

SAEM Program Committee Daily Meeting

Park Tower Suite #8228

Affiliated Meetings/Satellite Symposia 8:00 am - 5:00 pm

NAEMSP Meeting

Oral Abstracts 8 - 9 am Advances in Resuscitation: Abstracts 444-447

Park Tower Suite #8216

Oral abstracts 8 - 10 am Cardiovascular Emergencies: Abstracts 448-455

9 - 10 am Changing Outcomes in Cardiac Arrest: Abstracts 456-459 Virginia A-B Maryland A-B Posters 10 am - 12 noon Critical Care: Abstracts 460-464 Education and Professional Development: Abstracts 465-483 Neurology: Abstracts 484, 486-497 Crowding-More Not the Merrier: Abstracts 498-513 Geriatrics: Abstracts 514-521 Respiratory Disorders: Abstracts 522-528 Disease and Injury Prevention: Abstracts 529-536 Migraines: Abstracts 537-540 Toxicology: Abstracts 541-544 Ultrasound Vascular Access: Abstracts 545-548 Documentation: Abstracts 549-550 MRSA: Abstracts 551-553 Venous Thromboembolism: Abstracts 554-557

8 - 10 am #329 The Science of Quality and Outcomes Research in Emergency and Acute Care

Delaware A 10 am - 12 noon #216 State of the Art Women's Health and Gender Specific Research in EM: Yesterday's Neglect, Tomorrow's Opportunities

8 - 9:30 am #210 Three Approaches to the Scholarly Project Delaware B 9:30 - 10:30 am #248 Performing Industry Funded Clinical Trials Delaware B 10:30 am - 12 noon #320 Effective Feedback: Tips for Success

Moderated Posters 10:30 - 11:30 am Discussions in Crowding: Abstracts 558-561 Transfers and Turnovers: Abstracts 562-565 Exhibit Hall

Delaware A 12 noon - Meeting ends

16

Delaware B

SAEM Annual Business Meeting Saturday May 31, 2008 3:00 - 4:00 p.m.

All SAEM members are urged to attend 1.

SAEM Award and Grant Presentations, Judd E. Hollander, MD, President a.

Hal Jayne Academic Excellence Award b.

Leadership Award c.

Young Investigator Awards d.

Advancement of Women in Academic Emergency Medicine Award e.

SAEM/EMPSF Research Fellowship Grant f.

Scholarly Sabbatical Grant g.

Institutional Research Training Grant h.

EMS Research Fellowship Grant i.

Special Recognition Award j.

2007 Annual Meeting Awards: ● Best Faculty Award Helen Straus, MD Measuring Patient Satisfaction In A Public Hospital ED. ● Best Young Investigator Presentation Jesse Pines, MD The Association Between ED Crowding and Time to Antibiotics for Pneumonia. ● Best Basic Science Award Laura Bechtel, PhD Verapamil Toxicity Induces Dysregulation of Insulin - Dependent Phosphatidylinositol 3 - kinase Pathway. ● Best Resident Award David Messenger, MD Low - Dose Ketamine Versus Fentanyl As adjunct Analgesic To Procedural Sedation With Propofol: A Randomized, Clinical Trial. ● Best Medical Student Award Tara Scherer Effect of an Expedited Referral System on Follow-Up Rate of Emergency Department Patients to a Federally Funded Health Clinic System. ● Best IEME Award Tim Heilenbach, MD An Ultrasound Simulator for Emergency Medicine Resident Education ● Medical Student Visual Diagnosis Contest Winner Maria Nelson ● Resident Visual Diagnosis Contest Winner Tom Richards, MD

2.

Election Results, Judd E. Hollander, MD, President President Elect Board of Directors Constitution and Bylaws Committee Nominating Committee Resident Board Member

3.

4.

5.

6.

7.

8.

AEM Report and Announcements: Michelle Biros, MD, Editor-in-Chief Bylaws Amendments: Judd E. Hollander, MD President’s Address: Judd E. Hollander, MD Introduction of 2008-2009 President Katherine L. Heilpern, MD: Judd E. Hollander, MD New Business Adjournment

Note: Award and grant recipients, newly elected member of the Board17and Nominating and Constitution and Bylaws Committee are asked to remain after the Annual Business Meeting to participate in a brief photo session. Photos will be published in upcoming issues of the SAEM newsletter.

Thursday, May 29, 2008 Didactic Sessions

dealing with childhood death and abuse. Session C: Simulation to meet ACGME requirements in EM and PEM. Simulation to teach pediatric procedures and develop confidence in managing pediatric emergencies. Potential use of simulation as an assessment tool. Session D: Making it work beyond purchasing a manikin. This session will review finances, staffing, space and expertise needed to develop and sustain a pediatric simulation program. The course will conclude with a question and answer session for the entire expert panel.

Bringing Back the Dead: From Down-Time to Doctor, What We Think We Know About Resuscitation, and What We Don’t Know That’s Killing Our Patients: (10:00 – 11:30) Matthew Bitner. Emory University Benjamin Abella, MD, University of Pennsylvania Lance Becker, MD, University of Pennsylvania Paul Pepe, MD, UT Southwestern Medical Center at Dallas

Lunch with Fellowship Directors (12:00 - 1:30) Brian Walsh, MD, Morristown Memorial Hospital

From the time death strikes its victim to the time they arrive in our emergency departments, the human body has already started a cascade of reactions and mediators that will ultimately affect the patient’s outcome. New technologies and old technologies alike are being discovered to resuscitate our patients. Do we practice “permissive hypotension” or keep the MAPs high to increase cerebral blood flow? Is oxygen friend or foe? Do we use inspiratory threshold device in our resuscitative strategies?

Do we judge ourselves by ischemic times or by severity of reperfusion injuries? Do we use hypothermic protocols or run our codes “warm”? Should we have paramedics in the field start to cool the patient even before arrival? Can we use gene therapy to save a life in the acute injury phase? Emergency physicians as well as pre-hospital providers are confronted with a multitude of resuscitative decisions on a daily basis. This symposium will not focus on a single methodology, but rather will cover the breadth of current discussion in resuscitative technologies currently be utilized and/or investigated for application in the field as well as in the emergency department.

Residents and medical students often consider careers in academic emergency medicine, but are uncertain if this pathway is right for them. This session is designed to provide participants with direct access to various emergency medicine fellowship directors who will provide information and answer questions about fellowship training in emergency medicine. The format will consist of multiple interactive roundtable discussion groups with the tables arranged by fellowship specialty. Each table will be led by one or more fellowship directors representing fields including pediatric emergency medicine, hyperbaric and undersea medicine, sports medicine, toxicology, EMS, ultrasonography, research, ED administration, and others.

Educational Concepts in Pre-Hospital and Disaster Medicine: Why in Today’s World it Should be Core Content for Students and Residents Alike: (12:00 – 1:30) Matthew Bitner. MD, Emory University Kristi Koenig, MD, University of California Irvine Jon Krohmer, MD, Dept. of Homeland Security Gloria Kuhn, DO, Wayne State University

How to Teach the Management of Pediatric Emergencies Using Medical Simulation (10:00 – 12:00) Frank Overly, MD, Brown Medical School Angela Anderson, MD, Warren Alpert Medical School at Brown University Linda Brown, MD, Warren Alpert Medical School at Brown University Susan Duffy, MD, Warren Alpert Medical School at Brown University Stephanie Sudikoff, MD, Warren Alpert Medical School at Brown University

In today climate of global threats, terrorism, as well as the increasing utilization of the pre-hospital system as part of the nations “safety-net,” it is becoming increasingly important that all physicians have some basic knowledge of both the concepts and capabilities that are encompassed by those providing care to patients in the pre-hospital as well as the possible disastrous situations that we as a nation and as a profession are attempting to ready ourselves for. To date both the LCME and the RRCEM have very vague requirements for educational standards in Pre-Hospital and Disaster Medicine. This session will bring together EMS professionals with the content experience and the Educational professionals with delivery experience, as well as a Department of Homeland Security professional, with the goal of reviewing core concepts in Pre-Hospital and Disaster Medicine that are pervasive enough to be included in a core curriculum for all medical learners.

Medical emergencies occur less frequently in pediatrics than in the adult population, but emergency physicians are expected to recognize and stabilize pediatric emergencies with the same level of expertise they use when managing adult emergencies.

Certain conditions only present in pediatrics (ductal dependant lesions). Certain conditions are treated differently in pediatrics (DKA, asthma). Certain risk factors are unique to pediatrics (child abuse). These realities create challenges in developing curricula for residency programs, fellowship programs and CME courses. With the evolution of medical simulation, this innovative tool can be incorporated into curricula to teach the management of pediatric emergencies. After a brief overview, participants will rotate thru four small group sessions. During these sessions, we will discuss the integration of medical simulation into educational programs for EM residents, PEM fellows and attending Emergency Physicians. Session A: Simulation for pediatric emergencies, what works and what doesn’t. Lessons learned from three years of running simulation enhanced medical seminars for pediatric emergencies. Session B: Simulation to teach communication skills. Review of a curriculum for

Reviewing for Medical Journals (12:00 - 1:30) John Burton, MD, Albany Medical Center Michelle Biros, MD, Hennepin County Medical Center Jim Miner, MD, Hennepin County Medical Center This session will be directed at current reviewers, faculty member desiring to review, and authors of manuscripts. The session will review common editor feedback comments for improving reviews. The session will also discuss common foremats for reviews and suggest variations that enhance or detract from review quality. The session is intended to also benefit authors as the faculty will discuss common issues seen in submitted manuscripts from a reviewer and editor perspective.

18

Thursday, May 29, 2008 An Evidence-based Approach To Child Abuse Screening In The Ed: (1:30 – 3:00) Daniel Lindberg, MD, Harvard University Kathryn M. McCans, MD, UMDNJ-RWJS Phillip V. Scribano, DO, Columbus Children’s Hospital Ethical and logistical challenges make quality research for child abuse screening as difficult as any field in medicine. Despite new evidence, emergency department screening for abuse continues to be extremely variable and old dogmas persist. This session will review recent evidence of best practice for emergency department screening and will discuss solutions to ethical and logistical challenges from the fields of child abuse pediatrics and intimate partner violence research. Dr. McCans will discuss recent evidence for the significance of clinical findings and social risk factors that should prompt further testing to screen for child abuse and neglect. Because the symptoms of even severe abuse can be nonspecific, the importance of subtle physical exam findings is highlighted. Dr. Lindberg will address recent research supporting expanded testing for skeletal, abdominal and CNS injury Dr. Scribano will outline the challenges facing violence screening research with an emphasis on solutions that can be adapted from child abuse and intimate partner violence screening trials.

Major Medical Organizations And Industrial Relations: What Can Saem Learn? (3;00 - 4:30) Richard Nowak, MD, Henry Ford Hospital Jack Lewin, MD, American College of Cardiology Michael Maves, MD, Americal Medical Association James Tarrant, CAE, SAEM There has been much debate amongst the SAEM membership and Board of Directors regarding the possible relationships that SAEM should have with industry in general. These discussions continue and this session is designed to educate the SAEM organization on how other major medical organizations have developed their own unique interactions with the industrial community. This session will make the SAEM membership aware of all the possibilities that exist in developing these relationships with industry and will share with them how other major medical organizations have dealt with this important issue.

Paper Presentations Plenary Moderators: Michelle Biros, MD, MS, Hennepin County Medical Center Judd E. Hollander, MD, University of Pennsylvania (8:00 – 9:30 am) 1. Sensitivity Of The Nexus C-spine Criteria Within The Pediatric Emergency Care Applied Research Network (Pecarn) C-spine Injury (Csi) Cohort, David Jaffee, MD, Washington University.

2. Randomized Controlled Trial Of Computerized Decision Support To Reduce Potentially Inappropriate Prescribing To Older Emergency Department Patients, Kevin Terrell, DO, Indiana University 3. Met-enkephalin-arg-phe Decreases Anaerobic Metabolism In A Porcine Shock Model, Eric Dickson, MD, University Of Iowa Health Care

Wang, MD, University Of Pittsburgh 5. A Prospective, Multi-center Derivation Of A Biomarker Panel To Assess Risk Of Organ Dysfunction, Shock, And Death In Emergency Department Patients With Suspected Sepsis, Nathan Shapiro, MD, Beth Israel Deaconess Medical Center Knowledge Transfer And Decision Rules Moderator: Eddy Lang, MD, SMBD, Jewish General Hospital (10:00 am – 11:00 am) 6. Outcome Prediction In Elderly Emergency Department Patients With Infection, Jeffrey Caterino, MD, The Ohio State University** 7. Long Term Outcomes Of A Cluster Randomized Knowledge Transfer Trial In The Ed, Ian Stiell, MD, University Of Ottawa 8. Diagnostic Accuracy Of Clinical Prediction Rules To Exclude Acute Coronary Syndrome In The Emergency Department Setting: A Systematic Review, Erik Hess, MD, University Of Ottawa** 9. Multicenter Prospective Validation Of The Canadian C-spine Rule By Ed Triage Nurses, Ian Stiell, MD, University Of Ottawa Acute Coronary Syndrome Moderator: Walter Brian Gibler, MD, University of Cincinnati Medical Center (10:00 am – 11:00 am) 10. Reciprocal St-segment Depression In Lead Avl In Identification Of Acute Inferior Wall Myocardial Infarction And Its Association With The Culprit Artery, Michael Kurz, MD, Virginia Commonwealth University 11. Coronary Computerized Tomography For Rapid Discharge Of Low Risk Patients With Potential Acute Coronary Syndromes, Anna Marie Chang, MD, University Of Pennsylvania 12. Actual Financial Comparison Of Four Strategies To Evaluate Patients With Potential Acute Coronary Syndromes, Anna Marie Chang, MD, University Of Pennsylvania 13. Impact Of Delay To Lysis On Outcomes And Efficacy Of Clopidogrel In Stemi: An Analysis From Clarity-timi 28, Charles Pollack, MD, Pennsylvania Hospital Disaster Medicine Moderator: J. Lee Jenkins, MD, Johns Hopkins University (11:00 am – 12:00 noon) 14. The Geiger Counter Versus The Radiation Detection Portal: A Randomized Controlled Trial Comparing Accuracy Of Detection And Duration Of Exam Matthew Porter, MD, St. Lukes 15. Does Using A Wireless, Electronic Patient Data Collection System Increase Patient Time On The Field?, Colleen Buono, MD, University Of California San Diego 16. Characterization Of Atmosphere Within Personal Protective Equipment During Treadmill Exercise, Joe Suyama, MD, University Of Pittsburgh 17. Lessons From The Clean Baby 2007 Pediatric Decontamination Drill, Baruch Fertel, MPA, NYU School Of Medicine

4. Interruptions Of Cardiopulmonary Resuscitation Chest Compressions During Paramedic Endotracheal Intubation, Henry 19

Thursday, May 29, 2008 Adult Respiratory Disorders Moderator: Carlos Camargo Jr., MD, DrPH, Massachusetts General Hospital (11:00 am – 12:00 noon)

POSTER SESSION (2:30 – 4:30 pm)

18. Antibiotic Selection Reduces Relapse Following Emergency Department Discharge In Patients With Exacerbations Of Chronic Obstructive Pulmonary Disease, Brian Rowe, MD, University Of Alberta

Access to Care 30. Assessment Of Emergency Department Team Communication From The Perspective Of Age, Race, And Gender, Sarah Donlan, MD, Northwestern University

19 Comparison Of Efficacy Of Intravenous And Inhaled Magnesium Sulphate As An Adjunct To Standard Therapy In Acute Severe Asthma, Anupam Singh, MD, Vallabhbhai Patel Chest Institute, India

31. Regional Differences In Access To Emergency Care In The United States Brendan Carr, MD, University Of Pennsylvania 32. Barriers To Long Term Substance Use Treatment Among Frequent Users Of Health Services, Maria Raven, MD, NYU Bellevue Hospital Center

20 Intravenous Montelukast As An Adjunctive Treatment Of Acute Asthma Howard Smithline, MD, Baystate Medical Center 21 Exhaled Gases In Emergency Department Patients Admitted With A Clinical Diagnosis Of Pneumonia, Jeffrey Suchard, MD, University Of California, Irvine

33. Withdrawn 34. Emergency Department Utilization Of Military Beneficiaries, Robert De Lorenzo, MD, Brooke Army Medical Center

Crowding And Patient Outcomes Moderator: James Amsterdam, DMD, MD, Penn State University College of Medicine (1:30 – 2:30 pm)

35. Disparities In Triage Assessment: Does Race Or Insurance Status Affect Triage Acuity Scores? Chet Schrader, MD, Washington University In St Louis

22. Higher Ed Occupancy Is Associated With Antibiotic Delays But Not Mortality Endpoints In Patients With Severe Sepsis, David Gaieski, MD, University Of Pennsylvania

36. Geo-temporal Study Of The Relation Of Primary Care Shortages To Emergency Department Utilization, John Pearson, BS, Massachusetts General Hospital

23. Correlation Between Medication Errors And Overcrowding As Measured With A Real-time Edwin Score, Erik Kulstad, MD, Advocate Christ Medical Center

Intubation 37. Unsuccessful Preoxygenation: A Harbinger Of Complications And Difficulty In Rapid Sequence Intubation? David R. Fish, MD, Indiana University

24. Prolonged ED Length Of Stay Is Associated With Longer Hospital Stays, Higher Costs And Workload In Hospitalized Older Adults, Jesse Pines, MD, University Of Pennsylvania

38. Airway Ultrasound: Confirming Endotracheal Intubation With Color Doppler Ultrasound, Sarah Williams, MD, Stanford

25. Are Patient And Crowding Factors Associated With Adverse Outcomes In The Emergency Department? Jerrald Dankoff, MD, Smbd-jewish General Hospital

39. Paramedic Endotracheal Intubation Experience Declines Over Time, Henry Wang, MD, University Of Pittsburgh

Ischemia Reperfusion

CPR

(1:30 – 2:30 pm)

40. Ptsd Symptomatology Associated With Witnessing Unsuccessful Prehospital CPR, Scott Compton, PhD, New Jersey Medical School**

Moderator: Eric Dickson, MD, University Of Iowa Hospitals And Clinics

41. Metronome Use To Improve CPR By Firefighters During Out-of-Hospital Cardiac Arrest, Daniel Jost, MD, Fire Brigade Emergency Medical Department-Paris, France

26. Superoxide Production And Mitochondiopathy In A Murine Model Of Acute Hind Limb Ischemia Reperfusion, T. Paul Tran, MD, University Of Nebraska

42. Reliability Of Thoracic Bioimpedance For Measuring Ventilation Rate During CPR, Emily Gaddis, BS, University Of Texas Southwestern

27 Effect Of Pa Exposure On In-vitro Human Clot Dimension: A Novel Method Of Measuring Lytic Efficacy, George Shaw, MD, University Of Cincinnati

43. Decreasing Trends In CPR In The Us Between 1996-2005, Joseph Zito, MD, Stony Brook University Medical Center

28. A Liver-derived Anti-inflammatory Protein, Fetuin, Attenuates Cerebral Ischemic Injury In Rats. Wei Li, MD, North Shore - Lij Health System

Infectious Disease 44. Are Apparent Life Threatening Events Associated With Serious Bacterial Infection? Jill Baren, MD, The Children’s Hospital Of Philadelphia

29. Synchronization Of Chest Compressions With Residual Systolic Cardiac Activity Is Associated With Improved Coronary Perfusion Pressures In A Swine Model Of Pseudo-pulseless Electrical Activity Cardiac Arrest, Todd Larabee, MD, University Of Colorado 20

45. Accuracy Of Semi-quantitative Procalcitonin To Detect Serious Bacterial Infection In Children 1 To 36 Months Presenting With Fever Without A Source, Benoit Bailey, MD, MSc, Chu Sainte-Justine

Thursday, May 29, 2008 46 Self Administered Vaginal Swabs Are As Reliable As Physician-assisted Cervical Swabs In Screening For Sexually Transmitted Infections In Emergency Department Patients, Susan Cheng, MPH, Suny Downstate Medical Center/kings County Hospital

62. Academic Emergency Medicine Faculty And Industry Relationships, Robert Birkhahn, MD New York Methodist Hospital

47. The Use Of Rapid Penicillin Skin Testing To Assess The Prevalence Of Penicillin Allergy In An Emergency Department Setting, Ali Raja, MD, MBA, University Of Cincinnati

Measurements And Assessments In The Critical Patient

63. Change In Staff Attitudes After Initiation Of Team Assignment, Robert Norton MD, Oregon Health & Science University

64. Real-time Point-of-care Assessment Of Microvascular Flow In Critically Ill Patients, Ryan Arnold, MD, UMDNJ-RWJMS At Camden

48. The Rate Of Sexually Transmitted Infections In Emergency Department Patients With Vaginal Bleeding, Nicole Berwald, MD, Suny Downstate Medical Center/Kings County Hospital

65. Continuous Cardiac Index Monitoring In Critically Ill Patients: Comparison Of A Pulmonary Artery Catheter Versus A Calibrated Minimally-Invasive Technique Jonathan McCoy, MD, UMDNJ-RWJMS

49. Low Mortality For Severe Sepsis And Septic Shock Can Be Achieved With Partial Completion Of The Surviving Sepsis Campaign/institute For Healthcare Improvement Sepsis Resuscitation Bundle In An Ed. Chris Holthaus, MD, Washington University In St. Louis

66. Assessment Of Left Ventricular Filling Volume In Critically Ill Patients By Echocardiography And Hand-carried Ultrasonography, Dustin Mark, MD, University Of Pennsylvania

50. Necrotizing Fasciitis: Prospective Microbial Identification Of Group A Streptococcal Disease David Williams, MD, Keck School Of Medicine

67. Bedside Height Estimation Of Ideal Body Weight In The ED, Christine Stehman, MD, Naval Medical Center San Diego 68. Noninvasive Central Venous Pressure Measurements In Mechanically Ventilated Patients, Kevin Ward, MD, Virginia Commonwealth University

51. Opt-Out HIV Screening In An Urban Emergency Department: Implementation Of The New Centers For Disease Control And Prevention Guidelines, Douglas White MD, Alameda County Medical Center

69. The Association Of Changes In End Tidal Co2 And Blood Pressure In Intubated And Non-intubated Patients Undergoing Resuscitation For Shock, Nathaniel Scott, MD, Hennepin County Medical Center

52. Impact Of The Introduction Of A Standardized Treatment Protocol For Severe Sepsis In A French Emergency Department, Sandra Bernard, MD, Hopital Poissy St Germain En Laye 53. Using N-Grams For Syndromic Surveillance In A Italian Emergency Department Without The Need For English Translation, John Allegra, MD, Morristown Memorial Hospital

70. Oxygen Debt And Its Relationship To Lacate, Hemoglobin Levels And Hemorrahge Volumes In Hemorrahgic Shock And Resuscitation, Kevin Ward MD, Virginia Commonwealth University

54. Do Emergency Departments That Utilize Rapid Antigen Tests For Group A Streptococcus Have Lower Antibiotic Prescription Rates? Michael Radeos, MD, New York Hospital Queens**

71 Bedside Method To Estimate Actual Body Weight In The Emergency Department Robert Buckley, MD Naval Medical Center San Diego

Administration And Health Care Policy

72 Critical Oxygen Delivery In A Rat Model Of Hemorrhagic Shock, Penny Reynolds, Phd, Virginia Commonwealth University

55. Methodological Quality Of The American College Of Emergency Physicians Clinical Practice Guidelines For Emergency Medicine, Suneel Upadhye, MD, Mcmaster University

Targeting The Social History – Tobacco/ethanol/drugs

56. Usability Evaluation Of An Emergency Department Information System Reveals Hazards, Rollin Fairbanks, MD, University Of Rochester

73. Use Of An Administrative Data Set To Define Optimal Scheduling Of An Alcohol Intervention Worker, Timothy Peterson, MD, University Of Michigan

57. Obtaining Previous Angiogram Results In Patients Presenting With Suspected Acute Coronary Syndrome: How Long Does It Take? David Slattery, MD, University Of Nevada School Of Medicine

74. Does Mandatory In-patient Alcohol Detoxification Reduce Ed Recidivism Or Hospital Admission For Patients With Chronic Severe Alcohol Dependence? David Duong, Md, Boston University

58. Adverse Drug Events With And Without A Pharmacist In An Academic Emergency Department, Rollin Fairbanks, MD, University Of Rochester

75. Purchase And Use Patterns Of Heroin Users Presenting To An Inner City Emergency Department, Anthony Mazzarelli, MD, UMDNJ-RWJMS At Camden

59. Withdrawn

76. Drug-related Emergency Department Visits Reflect Highacuity Patients With Frequent ED Use, Michelle Shaw, MD, Oregon Health And Science University

60. Compliance With New England Journal Of Medicine; Strategies For Reducing Door To Balloon Time In Ami: The Philadelphia Story, John Kelly, DO, Albert Einstein Medical Center

77. Efficacy Of A Multicomponent Intervention For Smoking Cessation In Adult Ed Patients, Steven Bernstein, MD, Albert Einstein College of Medicine

61. An Inventory Of Hospital Emergency Code Systems In Level-1 Trauma Centers In The United States, Robert Antosia, MD, Beth Israel Deaconess Medical Center 21

78. The Feasibility Of Bilingual Computerized Alcohol Screen-

Thursday, May 29, 2008 ing, Brief Intervention, And Referral To Treatment In The Emergency Department, Federico Vaca, MD, University Of California, Irvine

94. Automated, Patient-driven Assessment Of Pain And Analgesic Needs In The Ed: Prospective Trial Of A Computer-based Automated Pain Tracker, Alison Lozner, MD, Massachusetts General Hospital

79. The Geography Of Alcohol Abuse In The Greater Boston Area, Robert Lipton, PhD, Beth Israel Deaconess

95. Changes In Vital Signs From A Constant Painful Stimulus In Healthy Human Volunteers, Frank Villaume, MD, Hennepin County Medical Center

80. Attitudes Of Australian Heroin Users To Take-home Naloxone For Heroin Overdose And Methods Of Administration. Annemaree Kelly, MD, Joseph Epstein Centre For Emergency Medicine Research

96. Visual Analog Scales For Assessment Of Nausea Severity: Correlation With Verbal Descriptors And Definition Of Minimal Clinically Significant Difference In An Emergency Department Population. Anne-Maree Kelly, MD, Joseph Epstein Centre For Emergency Medicine Research

Pediatrics 81. Radiological Assessment Of The Pediatric Chest: Needs For Revising Current Guidelines For Chest Compression, Che-Wei Hsu, MD, National Taiwan University Hospital

97. Physician Risk Tolerance And The Use Of Imaging In Patients With Abdominal Pain, Joshua Isserman, MS, University Of Pennsylvania

82. A Multi-center Randomized Controlled Trial Of Nebulized Epinephrine And Dexamethasone In Outpatients With Bronchiolitis, Amy Plint, University Of Ottawa**

98. A Double-Blind, Randomized Clinical Trial Evaluating The Use Of Glycopyrrolate Versus Placebo In The Treatment Of Acute Renal Colic. L. Albert Villarin, MD, Albert Einstein Medical Center

83. Infants And Toddlers Prefer Nylon Flocked Swabs To Nasal Aspiration When Obtaining Nasal Secretions In With Bronchiolitis. Scott Michaelson, DO, Kern Medical Center

99 Lidocaine/tetracaine Patch Reduces Pain Of Pediatric Iv Insertion, Adam Singer MD, Stony Brook University Medical Center

84. Prospective Evaluation Of A Revised Preschool Respiratory Assessment Measure In Children With Acute Asthma, Serge Gouin, MD, Chu Ste-Justine

100. A Randomized Placebo-controlled Trial Of Single-dose Intramuscular Corticosteroids For Radicular Low Back Pain, Michael Cole, MD, Albert Einstein College Of Medicine

85. Evaluating The Role Of Intravenous Magnesium Sulphate As An Adjunct To Standard Therapy In Severe Acute Asthma.

Anupam Singh, MD, Vallabhbhai Patel Chest Institute**

101. Cross-sectional Study Of The Prevalence Of Chronic Illness And Chronic Pain And Associated Demographic Risk Factors In Patients Presenting To The Emergency Department, Owen Hanley, MPH, Hennepin County Medical Center

Advances In Asthma 86. Continuous Positive Airway Pressure (Cpap) Improves Pulmonary Function In Pediatric Acute Asthma, Christopher Strother, MD, Mount Sinai School Of Medicine

Ultrasound

87. Improved Overall Trends But Persistent Racial Disparities In Emergency Department Visits For Acute Asthma, 1993-2005, Janice Espinola, MPH, Massachusetts General Hospital

102. Accuracy Of Point-Of-Care Ultrasound For The Diagnosis Of Fractures In The Pediatric Emergency Department, Eric Weinberg, MD, NYU Bbellevue

88. Asthma Presentations By Adults To Emergency Departments In Alberta, Canada: A Population-Based Study. Brian Rowe, MD, University Of Alberta

103. Effect Of Bedside Ultrasonography On Management Of Pediatric Soft Tissue Infection, Adam Sivitz, MD, Rhode Island Hospital

89. Does An Emergency Department Initiated Coordinated Asthma Care Program Improve Long Term Outcomes For Pediatric Asthma? Katherine Lamond, BA, University Of Pennsylvania

104. Prospective Evaluation Of Optic Nerve Sheath Diameter Ultrasound Measurement To Rule Out Elevated Intracranial Pressure In Adult Non-traumatic Patients, Laurie Mahoney, MD, Carolinas Medical Center

90. Assessment Of Asthma Control In The Emergency Department, Holly Payne, BA Metrohealth Medical Center/Case Western Reserve

105. Paramedic Prehospital Ultrasound Training Evaluation, William Heegaard, MD, Hennepin County Medical Center

91. Acute Asthma In 63 U.s. Emergency Departments: Concordance With National Guidelines, Chu-Lin Tsai, MD, MPH, Massachusetts General Hospital

106. Development Of A Valid And Reliable Question Bank For Education And Knowledge Assessment In The Field Of Emergency Ultrasound, Joshua Markowitz, MD, Yale-new Haven Hospital**

92. High Turnover Hospital Stays For Us Children With A Primary Diagnosis Of Asthma In 2004, Michelle Macy, MD, University Of Michigan

107. Emergency Department Ultrasound By Nurse Practitioners, David Williams, MD, Keck School Of Medicine 108. Sonographic Screening Of Abdominal Aortic Aneurysm In High Risk Asymptomatic Patients In The Emergency Department, Patrick Um, MD, Johns Hopkins University

Nociception And Nausea 93. A Randomized Trial Comparing The Efficacy Of Low Dose Iv Granisetron (0.1mg) Verses Iv Prochlorperazine (10mg) In The Treatment Of Acute Nausea And Vomiting, Bernard Renae, MD, Newark Beth Israel Medical Center

109. Pelvic Ultrasound Training Using A Prosthetic Pelvic Model, Burke Hatch, MD, University Of Utah 22

Thursday, May 29, 2008 110. A Pelvic Ultrasound Simulator Enhances Resident High-fidelity Simulation Experience And Improves Faculty Evaluation Ability, Jaime Thompson, MD, Advocate Christ Medical Center

Emergency Department Patients With Acute Abdominal Pain, Angela Mills, MD, University Of Pennsylvania Traumatic Brain Injury

111. An International Evaluation Of Ultrasound Vs Computed Tomography In The Diagnosis Of Appendicitis, Betzalel Reich, BA, Tufts University School Of Medicine

128. In Patient With Suspected Mild Traumatic Brain Injury Does Lesion Type On Ct Impact Outcome? Linda Papa, MD, Orlando Regional Medical Center

Cardiac Biomarkers

129. Early Brain Edema Predicts Poor Outcome In Head Trauma Patients, James Olson, PhD, Wright State University

113. 30-Day Outcomes Of Serial Cardiac Marker Testing In An Urban Emergency Department, Emily Wolff, MD, Indiana University

130 Defining The Older Crash Victim: The Relationship Between Age And Serious Injury In Motor Vehicle Crashes, Craig Newgard, MD, Oregon Health & Science University

114. Incremental Benefit Of A Sob Biomarker Panel In Ed Patients With Shortness Of Breath, Adam Singer, MD, Stony Brook University Medical Center

131 Safety And Efficacy Of Hydromorphone As An Alternative To Morphine For Severe Pain In Older Adults: A Randomized Clinical Trial, Andrew Chang, MD, Albert Einstein College Of Medicine, Montefiore Medical Center

115. Myeloperoxidase And N-Terminal Pro-B-Type Natriuretic Peptide In Ed Patients With Acute Chest Pain, Karen Hansen, MD, University Of Maryland School Of Medicine

132. Finding The Needles In The Haystack: What Predicts The Discharge Diagnosis Of Chf In The Dyspneic Elderly Patient With Presentation To The Emergency Department? Raquel Schears, MD, Mayo Clinic College Of Medicine

Residents And Residency Education 116. The Effect Of Emergency Department Ambient Noise On The Accuracy Of Cardiac Ascultation Among Trainees, Jeremy Ackerman, MD, Emory University

133. Rescuer Fatigue In The Elderly: Standard Versus Continuous Compression CPR Joseph Heidenreich, MD, Scott & White Memorial Hospital**

117. Real-time Inter-rater Reliability Assessment Of The Cord Standardized Direct Observational Tool. Joseph Lamantia, MD, North Shore University Hospital

MODERATED POSTERS

118. A Comparison Of Resident Productivity: Patients Per Hour And Relative Value Units Per Hour For EM And EM/IM Residents, Matthew Barrett, DO, Christiana Care Health System

(3:00 – 4:00 pm) CT Scans – Too Much Of A Good Thing?

Moderator: James Quinn, MD

119. Developing A Standardized Assessment Of Instructional Quality In A Residency Program, Tara O’connell, MD, Regions Hospital

134. Use Of Radiography With Selective Ct Scan Versus Ct Scan For Imaging Of Suspected Pediatric Cervical Spine Injuries And The Impact Of Thyroid Irradiation: A Cost-Effectiveness Analysis Of Diagnostic Imaging Strategies. James Tsung, MD, NYU School Of Medicine

120. Attending And Resident Satisfaction With Feedback In The Emergency Department, Lalena Yarris, MD, MCR, Oregon Health & Science University

135. Cumulative Radiation Exposure And Cancer Risk From Diagnostic Imaging In Patients Presenting To The Emergency Department, Linda Papa, MD, Orlando Regional Medical Center

121. Development Of A Novel Inanimate Suture Training Model, Andrew Wackett, MD Stony Brook University Medical Center 122. Evaluation Of The Impact Of Resident Physicians On Throughput In An Emergency Department, Jonathon McGarry, MD, Texas A&M - Christus Spohn Memorial Hospital

136. The Impact Of Oral Contrast Administration For Abdominal Ct Scan Imaging On Ed Length Of Stay, Patient Symptoms And Satisfaction: A Prospective Randomized Clinical Trial. Patricia Mitchell, RN, Boston Medical Center

123. The Standardized Direct Observation Tool (S-dot) Is A Useful Modality For Providing Feedback To Emergency Medicine Residents, Heather Farley, MD, Christiana Care Health System

137. Who Is Ordering All The Cts? Scott Melanson, MD, St. Luke’s Hospital

124. Spatial Abilities In Objective Assessments Of Resuscitation Courses In A Residency Program. Jean Langlois, MD, Centre Hospitalier Universitaire De Sherbrooke

Hypertension – Expanding Roles In EM Moderator: James Hoekstra, MD, Wake Forest University

125. Correlation Of Emergency Medicine Residency Training Simulated Oral Board Examination Scores With National Abem Oral Board Examination Scores, Sarah Hamlin, MD, University Of Illinois College Of Medicine At Peoria

138. Clevidipine For The Treatment Of Acute Hypertension In Elderly Patients: An Analysis From The Velocity Study Charles Pollack, Jr., MD, Pennsylvania Hospital 139. Routine Laboratory Testing For Emergency Department Patients With Asymptomatic Hypertension, Daniel Nishijima, MD, State University Of New York, Downstate Medical Center

126. Evaluation Techniques In The Senior Emergency Medicine Clerkship: A Survey Of Clerkship Directors, Amita Sudhir, MD, University Of Virginia 127. Inter-rater Reliability Among Non-medical Research Assistants And Resident Physicians For Historical Features In

23

Friday, May 30, 2008 Steven Warach, MD, National Institute of Neurological Disorders and Stroke

140. Acute Severe Hypertension - Diverse Management, High Morbidity, And Much Death: Results From The Stat Registry, Kurt Kleinschmidt, MD, University of Texas Southwestern Medical Center**

Neurovascular imaging has revolutionized care for and research in neurologic emergencies. Non-contrast cranial CT (CCT) is the current imaging modality used in most emergency departments (ED) for evaluation of an acute stroke. Noncontrast CCT is superb at imaging intraparenchymal hemorrhage but provides no information regarding brain physiology or vascular anatomy. Recent advances in neuroimaging techniques now allow physicians to make physiology-based treatment decisions for acute stroke. All presentations will include illustrative clinical cases with liberal displays of imaging. An interactive panel discussion and question/answer session will conclude the session. Dr. Edward Jauch will speak on CT-angiography (CT-A). CTA is a fast and non-invasive imaging tool available in many ED. CT-A can confirm vessel occlusion and select patients for intra-arterial therapies in ischemic stroke, predict hematoma growth in intracerebral hemorrhage (ICH), identify vascular abnormalities in patients with ICH and subarachnoid hemorrhage, and detect vessel injury in head and neck trauma. Dr. Andrew Asimos will describe the use of CTperfusion (CTP) studies. Researchers have already demonstrated that CTP is more accurate than unenhanced CCT for detecting stroke and determining the extent of stroke. Recent studies have increasingly validated CTP for penumbral delineation, with mismatches between cerebral blood flow and cerebral blood volume distinguishing salvageable penumbra from irreversibly injured infarct. Dr. Steven Warach will discuss current utility of MRI techniques in the acute stroke patient.

MRI-diffusion (DWI), and MRI-perfusion (PWI) processes will be illustrated as well as DWI-PWI match and mismatch patterns. Novel imaging techniques under development at the NIH will be discussed.

Didactic Sessions Knowledge Translation One Year Later: Controversies And Early Initiatives Arising From The 2007 Academic Em Consensus Conference (9:00 - 11:00) Dan Mayer, MD Albany Medical College (Moderator) Eddy Lang, MD, McGill University Michael Brown, MD, Michigan State University Robert Wears, MD, University of Flordia Nathan Kuppermann, MD, University of California, David The session will feature 4 (20 minute) presentations followed by a panel discussion and a QA session. 1. Implementation of an Emergency Department–based Transient Ischemic Attack Clinical Pathway. Dr. Brown conducted an implementation trial of an ED-based TIA clinical pathway using computer-based clinical support. Dr. Brown will discuss the challenges and successes associated with this effort. 2. Moving Forward with Translational Research (T2) in Pediatric Emergency Medicine.Dr. Kuppermann chairs PECARN which is embarking on KT research for the implementation of a validated CT head decision rule in pediatric trauma. He is also involved with translation science efforts within the CTSA team at UC Davis. 3. The Guideline Implementation Network’s Emergency Care Special Interest Group: Communities of Practice in action. Dr. Lang served as principal co-chair of the 2007 AEM CC on KT and continues to be actively involved in follow-up projects and efforts. He will discuss the newly formed Emergency Care special interest group sponsored by the international Guidelines Implementation Network organization, a group dedicated to rendering high quality clinical practice guidelines readily implemented for front line clinicians.

4. Lost in Translation: a Dissenting Perspective A noted thought leader in academic emergency medicine, Dr. Wears published an incisive and thought-provoking commentary on KT in the September 2007 issue of the Annals of Emergency Medicine.

Dr. Wears will present his views on why most KT efforts as currently formulated may be “Type 3 errors” - the right answer to the wrong question, and thus often doomed to failure.

Advanced Evidence-based Diagnosis For Emergency Physicians (11:00 - 12:00) Michael Kohn, MD, UCSF Part of the reaction against Evidence-Based Diagnosis results from errors in papers on the subject, including miscalculation, misuse, and biased estimation of likelihood ratios. After this session, attendees will be able to recognize and avoid these errors in studies of diagnostic tests. The lectures will review 1) the definition of likelihood ratios, both for dichotomous and multi-level tests; 2) how to use the likelihood ratio of a test result to update the pre-test probability of disease; and 3) biases that affect the estimation of likelihood ratios in research studies. In the small group sessions, participants will solve problems based on examples from the literature, with an emphasis on papers required for ABEM certification or from the JAMA rational clinical examination series. Diagnostic tests covered will include BNP for diagnosis of CHF, synovial WBC for septic arthritis, B-hCG for ectopic pregnancy, troponin and myeloperoxidase for ACS, and peripheral WBC for appendicitis and sepsis.

Developing A Health Policy Research Agenda (9:00 - 10:30) Janice Blanchard, MD, George Washington Nicole Lurie, MD, RAND Bruce Siegel, MD, George Washington The course will address emerging topics of interest in the field of health policy research. It will evaluate potential data sources and methodologic tools useful for doing policy research in emergency medicine, including the use of claims data (such as Medicaid, Medicare, HCUP, OSHPD), EMS Computer Aided Dispatch Data and other national datasets. It will address pros and cons of each of these data sources. Finally it will address advantages and barriers to doing primary policy based research in the emergency department setting.

Why Be A Department Chair Or Chief? (12:30 - 2:00) Robert Hockberger, MD, Harbor UCLA Medical Center William Barsan, MD, University of Michigan Theodore Dellbridge, MD, East Carolina University School of Medicine Gail D’Onofrio, MD, Yale Univeristy School of Medicine Louis Goldfrank, MD, NYU School of Medicine

Advanced Neuroimaging In Acute Stroke Syndromes (10:30 - 12:00) Robert Silbergleit, MD, University of Michigan Andrew Asimos, MD, Carolinas Medical Center Edward Jauch, MD, University of Cincinnati 24

Friday, May 30, 2008 medicine. The session begins with a 30-minute introductory lecture, followed by a 60-minute interactive panel discussion.

Topics that will be covered include the benefits and drawbacks of academic careers, the various career pathways and practice settings available, promotion and tenure, how to prepare for an academic career, benefits of and options for emergency medicine fellowship training, marketplace forces affecting academic emergency medicine, and how to search for and evaluate academic positions.

The position of Academic Department Chair/Chief offers great rewards, but also poses great challenges. The rewards, largely personal ones, are derived from effective leadership, management and mentorship, resulting in a department that is both collegial and productive internally and well-respected externally, both within the institution and nationally. The challenges, largely managerial ones, include (1) creating and maintaining a department that effectively balances its missions of patient care, education and research, (2) negotiating support from the dean, CEO, and other institutional leaders for initiatives aimed at advancing the department’s goals, (3) getting the buy-in from faculty, residents and other staff necessary to implement programmatic changes, (4) managing the department’s finances (usually in the absence of a business degree) and (5) dealing with the problems, including people problems, that pose barriers to creating the perfect department. Despite the apparent imbalance of positives and negatives described above, the role of Academic Department Chair/Chief can be extremely rewarding, both personally and professionally, for individuals who possess (or develop) the skills and traits that are necessary to master the job. A panel of four current department chairs/chiefs, from different practice settings, will discuss why they sought the positions in the first place, the personal and professional challenges they have faced, the rewards they have received and, finally, looking back, what they wish they had known before accepting their current positions.

The Teaching Portfolio: Putting Your Best Foot Forward (12:30 - 2:00) Katherine Heilpern, MD, Emory University Gloria Kuhn, DO, Wayne State University The teaching portfolio for an academic educator can be likened to an artist’s portfolio for an artist. It should reflect style, philosophy, educational contributions and as important, self-appraisal, curricular adaptation and improvement based on feedback from learners. At most medical schools, the teaching portfolio is an integral part of the external peer review conducted for the promotions process. As such, it should be well conceived, well organized and quantify one’s educational accomplishments. It is a learned skill, akin to a procedure, to prepare a portfolio that accurately captures and honors educational contributions and productivity. The 3 speakers have taught extensively on the preparation of the Teaching Portfolio. They will provide a roadmap for the successful preparation, organization and delivery of the teaching portfolio; discuss pearls and pitfalls; provide resources and references, including use of bioinformatics.

They will use actual teaching portfolios to provide examples. At the conclusion of the session, as time allows, they will provide on-site review of attendees’ teaching portfolios.

The Identification, Critical Appraisal, And Clinical Application Of High-quality Systematic Reviews (12:30 - 2:00) Michael Brown, MD, Grand Rapids MERC/Michigan State University Brian Rowe, MD, University of Alberta Andrew Worster, MD, McMaster University For questions regarding both therapy and diagnosis, systematic reviews (SRs) are often placed at the pinnacle of the hierarchy of evidence. Like any research endeavor, however, a high quality SR can be produced only when sound methodological principles have been employed. To judge the quality of a systematic review, clinicians must understand these basic methodological principles. The goals of this course are: 1. Teach the methodology used in conducting a systematic review; and 2. Interactively analyze a represenative systematic review article. The session will be structured around the critical appraisal excersice which will be used by the faculty team as a springboard to illustarte these key methodological issues in systematic review. These include, but are not limited to: clear question, search strategies, study selection and study assessment. Discussion of advanced concepts related to systematic review will include publication bias, assessment of methodological quality of included studies, summary effect measures (meta-analysis), the concept of heterogeneity and the use of sensitivity and subgroup analyses.

Introduction To Statistics (2:00 - 3:30) Roger Lewis, MD, Harbor - UCLA

An Academic Career: Is It Right For You? (12:30 - 2:00) Jacob Ufberg, MD, Temple University Jill Baren, MD, University of Pennsylvania Peter Sokolove, MD, University of California, Davis Susan Stern, MD, University of Michigan

Emergency department (ED) crowding has emerged as a crisis that threatens the educational, research, and clinical missions of academic emergency departments throughout the country. In its 2006 reports on the future of emergency care, the Institute of Medicine highlighted ED crowding as a serious public health issue with detrimental effects on the efficient delivery of emergency care. Despite the widespread recognition within the emergency medicine community that crowding is a problem, there is a relative paucity of data linking crowding to adverse patient-oriented outcomes. In other words, we still haven’t answered the “So what?” question. Until that question

This session will cover introductory statistical topics such as data types, common statistical tests and their application, the meaning of p values and confidence intervals, and simple sample size and power calculations. Some more advanced concepts, such as subgroup analysis, interim data analysis, and the intention-to-treat principle will be introduced as well. An investigator with a firm understanding of these concepts is better equipped to plan a sound research study, develop testable hypotheses, choose appropriate analytic methods, and determine the feasibility of performing a study in a given population and setting.

The Effects Of ED Crowding On Patient-oriented Outcomes (2:00 - 3:30) Brent Asplin, MD, Regions Hospital Steve Bernstein, MD, Montefiore Medial Center and Albert

Residents and medical students often consider pursuing careers in academic emergency medicine, but wonder if this pathway is right for them. This session is designed to address common questions and concerns, and to assist participants in deciding if and how to pursue careers in academic emergency 25

Friday, May 30, 2008 is answered, policymakers and health system leaders are unlikely to devote significant resources to alleviate ED crowding.

This session will briefly describe what is currently known about the links between crowding and patient-oriented outcomes.

More importantly, the panelists will discuss strategies to guide future research on the links between crowding and patient outcomes. There will also be opportunities for discussion with members of the audience. Our goal is to provide a forum that will accelerate the pace and improve the effectiveness of research on the links between crowding and patient-oriented outcomes

Medical Center (9:00 – 10:00 am) 142. Rapid Emergency Department Heart Failure Outpatients Trial (Redhot Ii), Adam Singer, MD, Stony Brook University Medical Center 143. Derivation And Validation Of A Prediction Model For Diagnosing Acute Heart Failure Based On The Application Of Bayesian Theorem To Multiple NT- ProBNP Cut Points, Brian Steinhart, MD, Saint Michael’s Hospital 144. Describing The Prevalence And Value Of Hyperlactatemia In CHF Patients Presenting To An Urban Emergency Department, Robert Sherwin, MD, Wayne State University

Neuro-resuscitation Study Design: Analyzing Success . . .

And Failure (3:30 - 5:30) Andy Jagoda, MD, Mount Sinai John Marler, MD, National Institute for Nurological Diseases and Stroke Stephan Mayer, MD, Columbia Presbyterian Beverly Walters, Brown University

145. Sublingual Microvascular Perfusion Defects In Acutely Decompensated Heart Failure, Christopher Hogan, MD, Virginia Commonwealth University Airway And Analgesia (9:00 – 10:00 am) Moderator: Aaron Bair, MD, MSc, UC Davis University California

Emergency Medicine plays a critical role in the chain of survival for patients with neurologic injury. This role has been recognized and consequently there are a growing number of opportunities for emergency medicine researchers to collaborate on multidisciplinary projects. This session is will analyze the “lessons learned” from several multi-center studies on acute neurologic injuries by looking at design, outcome measures, and clinical impact. Beverly Walters from the American Academy of Neurologic Surgeons (AANS) will analyze the methyprednisolone study in acute spinal cord injury and discuss how and why the findings went from a “standard of care” to a therapeutic “option” in the most recent AANS guidelines. Stephan Mayer from the Society for Neuro-Critical Care and PI of the rFactor VII trials will discuss how rFactor VII was found to significantly improve outcomes from hemorrhagic stroke in a phase IIb trial published in the New England Journal of Medicine, yet found not to be of benefit in the phase III trial (FAST). John Marler, Director of Clinical Research at the NINDS, will reflect on the NINDS t-PA trial and the reasons why twelve years later the findings are still not fully endorsed; Dr. Marler will discuss the lessons learned from the trial’s design and the impact that the trial has had on the NINDS’ view of emergency medicine and on trial design.

146. Endotracheal Tube Cuff Pressures In Patients Intubated Prior To Transport, Jacob Chapman, MD, Brigham And Women’s Hospital 147. Ibuprofen Vs. Acetaminophen With Codeine For The Outpatient Treatment Of Arm Fracture Pain, Amy Drendel, DO, Medical College Of Wisconsin 148. Glidescope Videolaryngoscopy In The Difficult Airway: Bougie Versus A Standard Stylet, Alison Nielsen, MS, University Of California, Davis 149. Can A Slumped Posture On An Emergency Department Gurney Compromise Breathing In Healthy Adults? Ailssa Arnold, BS, Cedars-Sinai Medical Center Infectious Disease (10:00 – 11:00 am) Moderator: David Karras, MD, Temple University School of Medicine 150. Factors Associated With Gram Negative Bacteremia In Emergency Department Patients With Suspected Infection, Maureen Chase, MD, Beth Israel Deaconess Medical Center

Emergency Medicine Clinical Research Networks (3:30 - 5:30) William Barsan, University of Michigan Nate Kupperman, MD, University of California, Davis David Talan, MD, UCLA/Oliveview Ian Stiell, MD, Ottawa Hospital - Civic Campus

151. Compliance With Infection Control Guidelines For Central Venous Catheter Insertion In The Emergency Department, Michael Woo, MD, University Of Ottawa 152. A Pilot Study To Derive Clinical Criteria For The Prediction Of Endocarditis In Injection Drug Users Admitted With Fever, Robert Rodriguez, MD, San Francisco General Hospital

Federally funded clinical research is growing in Emergency Medicine, but the opportunities are still limited. Four large federally funded clinical research networks currently exist: Neurological Emergencies Treatment Trials Network (NETT), Pediatric Emergency Care Acute Research Network (PECARN), Resuscitation Outcomes Consortium (ROC) and EMERGency ID Net. This session will describe how each of these networks were developed, their structure and functions and the mechanism for funding. Ideas for future EM research networks will be discussed with stategies for creating them.

153. Lack Of Compliance With Universal Precautions: Is There Truth In Advertising? Rachel Hampton, BA, Case Western Reserve School of Medicine EMS (10:00 – 11:00 am) Moderator: Christopher Kahn, MD, University of California Irvine

PAPER PRESENTATIONS

154. Potential Impact Of A Verbal Prehospital DNR Policy, Corita Grudzen, MD, University Of California, Los Angeles

Advances In Heart Failure Syndromes Moderator: Sean Collins, MD, University of Cincinnati 26

155. Enzymatically Augmented Subcutaneous Infusion (EASI),

Friday, May 30, 2008 Kelly, MD, Joseph Epstein Centre For Emergency Medicine Research***

Olan Soremekun MD, Massachusetts General Hospital 156. Patient Attitudes Towards The Use Of The 911 EMS System, Gerald Wydro, MD, Temple University

170. Impact Of Longer Transport On Out-of-hospital Cardiac Arrest Survival: Implications For Regionalizing Post-resuscitation Care, Daniel Spaite, MD, University Of Arizona

157. Study Of False-positive Emergency Medical Services Twelve-Lead Triages In Orange County California, Pamelayamamoto Swan, University Of California, Irvine

171. Pediatric Drug-dosing Errors In Emergency Medical Services, John Hoyle, Jr., MD, Grand Rapids Medical Education And Research Center

The Impact Of Crowding Moderator: Brent Asplin, MD, Regions Hospital (11:00 am – 12:00 noon)

Advances In Traumatic Brain Injury (2:00 – 3:30 Pm)

158. Is A Prolonged Stay In The Emergency Department Associated With Adverse Events In Older Patients? Stacy Ackroydstolarz, PhD, Dalhousie University

172. Levels Of Serum Gfap Are Associated With Severity Of Injury In Patients With Mild And Moderate Traumatic Brain Injury, Linda Papa, MD, Orlando Regional Medical Center**

159. Trends In U.s. Emergency Department Length-Of-Stay By Patient And Hospital Factors, 2001-2005, Andrew Herring, BA, Harvard Medical School**

173. S-100b Immunoassay: Serology For Assessment Of Minor Head Injury In The Emergency Department, Simon Kotlyar, MD, Yale University

160. Decreasing Lab Turnaround Time Improves ED Throughput And Decreases Ems Diversion, Alan Storrow, MD, Vanderbilt University

174. Levels Of Uch-l1 In Human Csf And Outcome Following Severe Traumatic Brain Injury, Linda Papa, MD, Orlando Regional Medical Center

161. Emergency Department Crowding Is Associated With A Higher Likelihood Of Admission In Patients With Chest Pain, Anna Marie Chang, MD, University Of Pennsylvania

175. Neurocognitive Impairment In Emergency Department Concussion Patients, Matthew Stull, BS, University Of Pittsburgh

Simulation In Education (11:00 am – 12:00 noon) Moderator: Michael Beeson, MD, Akron City Hospital

POSTER PRESENTATIONS

162. A Randomized Comparison Of Post-simulation Debriefing Versus Ongoing Feedback In Medical Simulation, Jon Van Heukelom, MD, Medical College Of Wisconsin

Cardiovascular Emergencies

(3:30 – 5:30 pm)

176. Acoustic Cardiographic Analysis For The Immediate Diagnosis Of Heart Failure In Patients Presenting To The ED With Acute Dyspnea, W. Frank Peacock, MD, The Cleveland Clinic

163. Ready For Action? Medical Student Performance In A Simulated Case Of Ruptured Abdominal Aortic Aneurysm, Mustapha Saheed, MD, Johns Hopkins University

177. Pre-hospital Use Of Continuous Positive Airway Pressure For Acute Congestive Heart Failure, Matthew Hamonko, MD, Resurrection Medical Center

164. Do Emergency Medicine Faculty Members Agree Which Residency Candidacy Applicants Should Be Invited To Interview?

Michael Breyer, MD, Christiana Care Health System

178. Optimizing Computer Analyzed Heart Tones, Yuriy Bronshteyn, MD, Vanderbilt University

165. A Randomized Controlled Trial Of An Ultrasound Mannequin Versus A Live Model In Teaching Endovaginal Ultrasound To Emergency Physicians, L. Connor Nickels, MD, Orlando Regional Medical Center

179. Myocardial Injury Is Not Related To Training Levels Among Recreational Marathon Runners, Suzanne Miller, MD, Inova Fairfax Hospital

On The Front Lines: Issues In The Ems Environment (2:00 – 3:30 pm) Moderator: Matthew Bitner, MD, Emory University

180. Do Rate Control Drugs Increase The Likelihood Of Successful Cardioversion In Acute Atrial Fibrillation? Ian Stiell, MD, University Of Ottawa

166. Utilization Of The Cares Registry To Validate Termination Of Resuscitation Protocol, Comilla Sasson, MD, University Of Michigan**

181. Utility Of Electrocardiography For Stratification Of Patients At-risk For Left Ventricular Hypertrophy, Phillip Levy, MD, Wayne State University

167. Out-of-hospital Cardiac Arrest Survival After The Sequential Implementation Of 2005 Aha Guidelines For Compressions, Ventilations, And Induced Hypothermia, J. Myers, MD, MPH, Wakemed Health And Hospitals***

182. Kansas City Cardiomyopathy Questionnaire: Value In Heart Failure Patients Presenting To The Emergency Department, Deborah Diercks, MD, University of California Davis 183. The Prevalence And Factors Associated With QTC Prolongation Among Emergency Department Patients, Michael Seftchick, MD, University Of Pittsburgh

168. Factors Associated With Ems Use Among Older Adults Receiving Community Based Aging Services, Thomas Richardson, PhD, University Of Rochester

184. Characteristics Of Central Venous Cannulation Complications In The Emergency Department, Daniel Theodoro, MD, Washington University

169. Effectiveness And Safety Of Intranasal Naloxone For Treatment Of Heroin Overdose By Ambulance Officers. Anne-maree 27

Friday, May 30, 2008 domized Controlled Trial. Anjali Singh, MD, University Of Tennessee***

185. Automated Software For Semi-quantitative Analysis Of Immunofluorescence Intensity In Skin Endothelium, Michael Fogel, MD, Beth Israel Deaconess Medical Center

202. Providers Do Not Verify Patient Identity During Computer Order Entry, Philip Henneman, MD, Tufts-baystate Medical Center

186. Prevalence And Accuracy Of Right Ventricular Strain In Emergency Physician Echocardiography, Kenan Tarabar, MD, Yale University

203. Development And Function Of A Real-time Web-enabled Screening System For Emergency Department Patients With Septic Shock, Todd Allen, MD, Intermountain Medical Center

187. A Comprehensive Approach To Stemi Recognition And Reperfusion Significantly Reduces Door-to Balloon Time, David Burt, MD, University Of Virginia

Diagnostics

188. Emergency Department Patients Scheduled For Outpatient Stress Testing Have A Very Good Compliance Rate. Robin Naples, MD, University Of Virginia**

204. The Challenge Of Ct/mri Imaging Of Morbidly Obese Individuals Who Present To The Emergency Department: A National Survey, Anthony Foianini, BS, University Of Colorado Denver School Of Medicine

Language Barriers

205. Beta-hydroxy Butyrate Point-of-care Testing In The Ed Improves Outcomes In Patients With Diabetic Ketoacidosis, Anish Zachariah, MD, Washington University Medical School

189. Babel: A Study Of Languages In The Emergency Department, Gin Lee, University Of North Carolina 190. Do Non-english Speaking Patients With Acute St Elevation Myocardial Infarction Experience A Systematic Delay In Time To Reperfusion? Edward Choi, MD, New York Hospital Queens

206. A Normal Anion Gap Cannot Reliably Predict The Absence Of Elevated Serum Lactate In Emergency Department Patients, John Hafner, MD, University Of Illinois

191. Wide Variability In The Consent Process For Non-english Speaking Subjects Adanma Ndubuizu, BS, Duke University

207. Utility Of Free Hemoglobin As An Objective Marker For Acute Vaso-occlusive Episodes In Patients Who Present With Sickle Cell Pain Crisis, Carol Thompson, MD, University Of The West Indies

Pediatrics 192. Assessment Of Return Visits Within 72 Hours To A Pediatric Emergency Department Pre And Post Introduction Of Rapid Assessment Times, Charles Eldridge, MD, Children’s Hospital Of Michigan

208. Availability And Quality Of Ct And Mri Equipment In Us Emergency Departments, Adit Ginde, MD, University Of Colorado Denver School Of Medicine

193. Submersion And Drowning Accidents Among Children Aged 0-4 Years-old In Orange County California, Christopher Wall, MD, University Of California, Irvine

Observation Medicine 209. Patient Outcomes After Heart Failure Observation Unit Stay, Preeti Jois-bilowich, MD, Cleveland Clinic

194. Disparities In Child Pedestrian Crashes Using Geographic Information System (Gis) Data In A Large Southern California County, Bharath Chakravarthy, MD, University Of California, Irvine

210. Chest Pain Center Patients With Equivocal Stress Myocardial Perfusion Scans Have High Rates Of Adverse Cardiac Events Within 30-days Of Discharge, Basmah Safdar, MD, Yale University

195. Single Breath Counting: A Pilot Study Of A Novel Technique For Measuring Pulmonary Function In Children, Syed Ali, MD, Penn State Milton S Hershey Medical Center

211. Chest Pain Center Patients Have A High Prevalence And Misperception Of Personal Modifiable Coronary Risk Factors: An Opportunity For Targeted Ed Intervention, Basmah Safdar, MD, Yale University

196. Does Isolated Loss Of Consciousness Predict Traumatic Brain Injuries In Children After Blunt Head Trauma? Nathan Kuppermann, MD, University Of California, Davis

212. Patients With Coronary Disease Fail Observation Admission At Significantly Higher Rates, Philip Bossart, MD, University Of Utah

197. Interobserver Agreement In Assessment Of Clinical Variables In Children With First Unprovoked Seizures, Peter Dayan, MD, Columbia University College Of Physicians & Surgeons

213. Tailored Interventions For Women In An Ed Chest Pain Center Improve Heart Health, Gail D’onofrio, MD, Yale University

198. Variation In Ancillary Service Utilization And Hospital Admissions In A Pediatric Emergency Department (Ped), Shabnam Jain, MD, Emory University

Resuscitation 214. Meta-analysis Of Return Of Spontaneous Circulation As A Predictor Of Out Of Hospital Cardiac Arrest Survival, Comilla Sasson, MD, University Of Michigan*

199. Predictors Of Nonbacterial Conjunctivitis In Children, James Meltzer, MD, Jacobi Medical Center Technology

215. The Epidemiology Of Out-of-hospital Cardiac Arrest In Denver, Colorado: Results From Phase I Of The Denver Cardiac Arrest Registry, Jason Haukoos, MD, Denver Health Medical Center

200. Veinviewer Assisted Intravenous Catheter Placement In The Pediatric Emergency Department, Laura Chapman, MD, Rhode Island Hospital*** 201. Vein Viewertm For Peripheral Intravenous Access: A Ran28

216. Circadian Rhythm In Cardiac Arrest (Circa): The Singapore

Friday, May 30, 2008 Experience Fatimah Lateef, MD, Singapore General Hospital

East Carolina University

217. Impact Of Adding Video Communication To Dispatch Instructions On The Quality Of Rescue Breathing In Simulated Cardiac Arrests - A Randomized Controlled Study, Chih-Wei Yang, MD, National Taiwan University Hospital

234. Case Study Of Toxicology Findings Of Border Crosser Deaths In Pima County Kathleen O’brien, MD University Of Arizona 235. Caregivers Of Young Children Do Not Have Basic Knowledge Or Familiarity With Potentially Toxic Household Products, Rika O’malley, MD, Albert Einstein Medical Center

218. Pediatric Resuscitation Mock Code Practice Impacts Selected Skills, Jennifer Mackey, MD, Suny Upstate Medical University

236. Quetiapine Ingestions Versus Other Atypical Antipsychotics: A Comparison Of Mortality And Cardiac Event Rates. Michael Policastro, MD, University Of Cincinnati

219. Survival From Cardiac Arrest Following The 2005 ACLSGuidelines, Joseph Miller, MD, Henry Ford Hospital

237. Retrospective Comparison Of The Incidence Of Akathisia Associated With Droperidol, Metoclopramide, Promethazine, And Prochlorperazine. Karen Maury, MD, Washington University

220. EKG-Synchronized External Chest Compressions During Diastole Worsens Subsequent Coronary Perfusion Pressures In Pseudo-pea Arrest, Charles Little, DO, University Of Colorado 221. Time To Target Temperature With Intravascular Cooling Device For Survivors Of Out-Of-Hospital Cardiac Arrest, Jonathan Ho, MD, University Of North Carolina

238. Reliabiliy And Validity Of 5 Databases For The Identification Of Interations With Warfarin, Aaron Kornblith, University Of Colorado

222. Is The Combination Of Vasopressin And Epinephrine Superior To Epinephrine Alone In The Treatment Of Cardiac Arrest? A Systematic Review, Jeffrey Perry, MD, University Of Ottawa

239. Topically Applied Methyl Salicylate Inhibits Platelet Aggregation, David Tanen, MD, Naval Medical Center San Diego Disaster Medicine

223. Cardiac Synchronization Technology Times Chest Compressions From An External Compression Device With Residual Cardiac Activity During Pseudo-pea Cardiac Arrest, Todd Larabee, MD, University Of Colorado

240. Rapid Identification Of Clinically Relevant And Class A Biothreat Bacterial Pathogens Using Universal Pcr Coupled With High Resolution Melting Profile Analysis. Padmini Ramachandran, Johns Hopkins

Toxicology

241. Use Of Verichip For Access To Patient Medical History Verification Significantly Decreases Emergency Care Charges Among Critically Injured Patients In A Randomized, Blinded, Prospective Mass Casualty Scenario. Paul Sierzenski, MD, Christiana Care Health System

224. Determining The Optimal Dose Of Intravenous Fat Emulsion For The Treatment Of Severe Verapamil Toxicity In A Rodent Model, Eric Perez, MD, St. Luke’s Roosevelt/columbia University 225. Enzymatic Hydrolysis Of Methyl-parathion In Rats, Steven Bird, MD, University Of Massachusetts Medical School

242. The Pediatric Resource And Emergency Preparedness (Prep) Initiative: Pediatric Intensive Care Unit Surge Capacity And Resources In New York City Hospitals, Christiana Campbell, MD, State University Of New York Health Science Center At Brooklyn

226. Effect Of Magnesium Sulfate On Aconitine Induced Ventricular Arrhythmias Kristie Robson, MD, Naval Medical Center San Diego 227. Delayed Effects Of Intravenous Fat Emulsions On Verapamil Toxicity. Kamal Medlej, MD, St. Luke’s-roosevelt/columbia University

243. The Application Of Telemedicine In Acute Wound Management: Phase I Of An Alternate Medical Treatment Site Disaster Plan, Christine Van Dillen, MD, Orlando Regional Medical Center

228. Does The Pulmonary Fat Emboli Syndrome Occur With Intravenous Fat Emulsion Therapy? Theodore Bania, MD, St. Luke’s-Roosevelt/Columbia University

244. Emergency & Disaster Preparedness Of Child Care Centers In Pennsylvania Robert Olympia, MD, Penn State Milton S. Hershey Medical Center*

229. Medications From The Web: Use Of Online Pharmacies By Emergency Department Patients, Maryann Mazer, MD, University Of Pennsylvania

245. Personal Disaster Preparedness Of Hospital Staff, Jane Brice, MD, University Of North Carolina

230. Risk Factors For Complications Of Drug-induced Seizures, Josef Thundiyil, MD, Orlando Regional Medical Center

246. Variation In Visits Classified By Gi Icd9 Biosurveillance, Lisa Reedman, MD, Morristown Memorial Hospital Obstetrics And Gynecology

231. 1,4-Butanediol Content Of Aqua Dots Craft Toy Beads, Jeffrey Suchard, MD University Of California, Irvine

247. Screening For Postpartum Depression In The Pediatric Emergency Department. Mary Birmingham, MD, Jacobi Medical Center, Albert Einstein

232. Risk Factors For Radiocontrast Nephropathy After Emergency Department Computerized Tomography, Stephen Traub, MD, Beth Israel Deaconess 233. A Novel Localizing Circumferential Compression Device Delays Onset Of Systemic Toxicity After Eastern Coral Snake Torso Envenomations In Anesthetized Swine, Jason Hack, MD,

248. Whole Blood For Rapid Detection Of Pregnancy, Christian Fromm, MD, Maimonides Medical Center Special Population: Homeless Patients 29

Friday, May 30, 2008 pital

249. Analysis Of The 2006 Minnesota Homeless Survey Data: Do Shelter Type, Chronic Illness, And Access To Services Correlate With Emergency Department Use? Bjorn Westgard, MD, Hennepin County Medical Center

267. The Influence Of Local Media On Opting-Out From An Exception To Informed Consent Out-of-hospital Clinical Trial, Maria Nelson, Oregon Health And Science University

250. Characteristics And Healthcare Access Of An Inner City Emergency Department Homeless Population, Brigitte Baumann, MD, Umdnj-rwjms At Camden

268. Effective Catheter Length For Needle Thoracostomy, Daniel Shand, MD, State University Of New York At Buffalo*** 269. Comparison Of Chest Compression Only And Standard Cardio-pulmonary Resuscitation For Out-of-hospital Cardiac Arrest In Singapore Emergency Medical Services, Marcus Ong, MD, Singapore General Hospital

251. Emergency Department Use By The Homeless In The United States, Allison Tadros, MD, West Virginia University 252. Impact Of A Homeless Curriculum On The Attitudes Of Medical Trainees Towards Homeless Persons Who Present For Care In The Emergency Department, Julia Spence, MD, St. Michael’s Hospital

270. Arriving By Ems Improves Time To Treatment Endpoints For Patients With Severe Sepsis Or Septic Shock, Roger Band, MD, University Of Pennsylvania

253. Characteristics And Outcomes Of Homeless Patients In The Emergency Department, Malavika Prabhu, BS, Stanford University

Patient Satisfaction

Technology Implementation

271. Patient Satisfaction And Experience With Rapid Hiv Testing Performed In The Emergency Department Triage Area, Douglas White, MD, Alameda County Medical Center

255. Impact Of An Internet-based Referral Appointment System On Community Clinic Access And Follow-up For Ed Patients With No Primary Care, Theodore Chan, MD, University Of California San Diego

272. Setting Patient Expectations Of Waiting Times Improves Patient Satisfaction In The Emergency Department, Russell Rae Jr., MD, William Beaumont Hospital

256. Implementation Of A Computerized Medication Reconciliation In The Emergency Department, Trushar Naik, MD, Suny Downstate/king’s County Hospital*

273. Remodeling Patient Satisfaction, Jonathan Williams, DO, University Of Florida-shands Jacksonville

257. Computerized Order Sets Are Associated With Greater Utilization Of Laboratory Studies, Kurt Isenberger, MD, Regions Hospital

274. Denver Seizure Score: Differentiating Seizure From Syncope In The Emergency Department, Katherine Bakes, MD, Denver Health Medical Center

EMS

275. Do Benign Etiologies Predict Benign Outcomes In Highrisk Syncope Patients? Shamai Grossman, MD, Beth Israel Deaconess Medical Center

Syncope

258. Multi-center Validation Of A Prehospital Prediction Score For Hospital Admission Zachary Meisel, MD, University Of Pennsylvania

276. Predictors Of 30-day Cardiac Mortality After Syncope, Benjamin Sun, MD, West Los Angeles Veterans Affairs Medical Center

259. Chemical Restraints Improve Agitation In Ems Transported Patients, Steven Weiss, MD, University Of New Mexico

MODERATED POSTERS

260. Evaluation Of Cervical Motion During Rapid Extrication Using A C Collar And The Supplemental Blanket Roll Technique, Daniel Olsson, DO, Suny Upstate Medical University

(4:00 – 5:00 pm)

261. Emergency Severity Index For Abdominal Pain Patients Arriving To The Emergency Department By EMS, Mark Moseley, MD, The Ohio State University

Resident Productivity – Perceptions vs. Reality Moderator: Jamie Collings, MD, Northwestern Memorial Hospital

262. Use Of Prehospital Strategies To Reduce Time To Reperfusion For Stemi Patients Varies Widely Among Canadian EMS Operators, Michael Schull, MD, Institute For Clinical Evaluative Sciences

277. Accuracy Of Faculty Perception Of Resident Productivity, Daniel Brennan, MD, Orlando Regional Medical Center

263. Emergency Medical Services Patient Safety Culture, P. Patterson, PhD, University Of Pittsburgh

279. Variation In The Number Of Patient Encounters During Emergency Medicine Residency - How Many Patients Do Residents Manage? Timothy Schaefer, MD, OSF Saint Francis Medical Center

278. Accuracy Of Self-assessment In Low- And High-Performing Residents, Deepi Goyal, MD, Mayo Clinic

264. Epidemiologic Study Of Illness And Injury In Yellowstone National Park, Daniel Meigs, MD, George Washington University

280. Resident Productivity Trends Over Consecutive Shifts, Sara Damewood, MD, Albany Medical College

265. Evaluation Of Prehospital Emergency Systems In Southern Zambia, Stephan Brenner, MD, Washington University 266. Thermal Abuse Of Succinylcholine On An Air-medical Helicopter, Christopher Mccarthy, MD, Morristown Memorial Hos-

Severe Bacterial Infection Moderator: Steve Trzeciak, MD, Robert Wood Johnson Medical School at Camden 30

Saturday, May 31, 2008 significant contact with medical students, residents, and other health care personnel. Their academic development is as important as those in the traditional academic track. The purpose of this session is to discuss faculty development and promotions of the clinical faculty. We will address: 1. Personal challenges – limited time for academic endeavors, motivation to be promoted, rewards. 2. Faculty development – resources, support at the institutional and department level. 3. Promotions committee – is there a clinical track? Role of publications, educational portfolio. These issues will be addressed by a panel that would consist of faculty from: 1. A community-hospital-based program with a medical school affiliation. 2. A university-based program with a heavy emphasis on research. 3. A university-based program with minimal to moderate research emphasis.

281. The Sequential Organ Failure Score (Sofa) Is Useful In Predicting Outcome Among Emergency Department Patients With Severe Sepsis, Alan Jones, MD, Carolinas Medical Center 282. Is Ed Measurement Of Natriuretic Peptides Or Ischemia Modified Albumin Associated With Diagnosis, Organ Dysfunction Or Shock In Sepsis? Nathan Shapiro, MD, Beth Israel Deaconess Medical Center 283. Circulating Markers Of Endothelial Cell Response In Murine Sepsis, Nathan Shapiro, MD, Beth Israel Deaconess Medical Center 284. Rapid Identification Of Serious Infection In Emergency Department Patients By Clinical Information System Surveillance, Barbara Smith, University Of Michigan

Using HCUP Databases For Emergency Medicine Research (10:00 - 12:00) Chaya Merrill, PhD, Thomson Healthcare Claudia Steiner, MD, Agency for Healthcare Research and Quality

Didactic Sessions Quality Geriatric Emergency Care II: Preparing for the Future (8:00 - 10:00) Lowell W. Gerson, PhD Christopher Carpenter, MD, Washington University Kennon Heard, MD, University of Colorado Neil Wenger, MD, University of California at Los Angeles Scott Wilber, MD, Northeastern Ohio Universities College of Medicine

This interactive workshop will provide in-depth exposure to several Healthcare Cost and Utilization Project (HCUP) resources, including the Emergency Department Databases. HCUP is a family of health care databases, software tools, research publications, and support services created through a Federal-StateIndustry partnership and sponsored by the U.S. Department of Health and Human Services (DHHS), Agency for Healthcare Research and Quality (AHRQ). HCUP has the largest collection of publicly available, multi-year, all-payer, encounter-level health care data. Current databases include comprehensive statewide inpatient, ambulatory surgery, and emergency department data. HCUP also produces two additional databases that enable national and regional estimates of hospital care for all patients and specifically for children. AHRQ is currently working on creation of a national emergency department database.This course will provide a mix of didactic lectures and hands-on training suited for emergency medicine researchers and clinicians. The main objective of this course will be to convey how administrative emergency department data can be used to enhance the quality and meaningfulness of clinical and health services research. To demonstrative the value of the HCUP databases to attendees, we will root this training workshop on the topic of disparities in access to primary care services and utilization of emergency departments. Attendees will learn about research and statistical concepts – such as readmission analysis and variance calculations – that can be applied to HCUP databases. Faculty will discuss attendee research ideas and how they could be investigated using HCUP products.

This session is the second of two sessions designed to provide attendees with information and skills to create consensus about quality indicators for emergency care with emphasis on older patients. Attendance at the first is not necessary to gain from this session. There are three reasons for the emphasis on older patients. Demographic shifts show they are becoming the largest proportion of ED patients (26% by 2035). Older patients present diagnostic and management challenges so quality care for them may serve as a global quality indicator. Government agencies, such as the CMS focus on older patients. They and other third party payers are developing quality indicators which may be inappropriate for emergency medicine. It is critical that we proactively establish our own quality indicators. Neil Wenger will review last year’s presentation and provide additional information on development and measurement of quality indicators and why older patients are of interest. Presentations reporting three focus areas of quality; functional assessment (SW), medication use (KH) and screening (CC) will follow. Speakers conducted comprehensive literature reviews prior to the session and identified potential quality indicators focusing on processes care. These were reviewed by members of the Geriatric Task Force and the Geriatric Interest Groups using a modification of the RAND ACOVE project method. Speakers will present potential indicators along with the rationale for that indicator. Audience discussion will lead to consensus on whether to accept, modify, or delete the indicator(s). The session is scheduled for 2 hours.

Dr. Wenger’s will talk for 30 minutes. Each presenter will talk for 20 minutes allowing 30 minutes for discussion.

The Effect Of ED Crowding On Education: Blessing Or Curse? (10:30 - 12:00) David Howes, MD, University of Chicago Hospitals Felix Ankel, MD, Regions Hospital & University of MN Michelle Lin, MD, University of California San Francisco Phillip Shayne, MD, Emory University Einstein Collage

Academic Promotions For The “Clinical” Faculty Member (9:00 - 10:30) Bernard Lopez, MD, Thomas Jefferson University Hosp.

Stephanie Abbuhl, MD, University of Pennsylvania Tracy Sanson, MD

Emergency department (ED) crowding has emerged as a crisis that threatens the educational, research, and clinical missions of academic emergency departments throughout the country.

In its 2006 reports on the future of emergency care, the Institute of Medicine highlighted ED crowding as a serious public health issue with detrimental effects on the efficient delivery of emergency care. Although the emergency medicine commu-

Faculty members whose duties are primarily clinical (“clinical faculty”) represent a major group of teachers in emergency medicine. Given their sizeable clinical hours, these physicians have 31

Saturday, May 31, 2008 nity is united in its belief that ED crowding is a serious problem, there is still some disagreement about how crowding effects the quality of emergency medicine education. On one hand, crowding exposes emergency medicine trainees to critical care management issues that would take place in ICUs if EDs were not forced to board critical care patients. Crowding also may create more patient encounters for trainees. On the other hand, crowding may interfere with bedside teaching; decrease the exposure of trainees to specific interventions (e.g. administering t-PA for stroke patients); create an environment where trainees have inadequate supervision; or have other adverse effects for emergency medicine education. In this session, panelists will highlight what is known about the relationship between ED crowding and emergency medicine education. They also will discuss the “Crowding Education Curve”, which is a conceptual model of the relationship between ED crowding and education.

The audience will be engaged in a discussion of these issues.

Ultimately the goal of the session is to identify strategies for mitigating the adverse effects of ED crowding on emergency medicine education.

Abstract Writing Workshop (12:30 - 2:00) Debra Houry, MD, Emory University Judd Hollander, MD, University of Pennsylvania This session will focus on tips and techniques to improve abstract writing. Dr. Hollander will discuss scoring systems and the top reasons why most abstracts are rejected such as lack of methods, low response rate, etc. Dr. Houry will then go over several abstract examples and cover tips and techniques to improve the quality of your abstract and the likelihood of acceptance at a national meeting. This will be followed by an interactive session where participants will bring abstracts on overheads to be reviewed on the spot by Drs. Hollander and Houry. The audience will also assist in these critiques using an audience response system Faculty Development: Ideas That Really Work (12:30 - 2:00) Stephanie Abbuhl, MD, University of Pennsylvania Rober Hockberger, MD, Harbor-UCLA Medical Center Gloria Kuhn, DO, Wayne State University Richard Wolfe, MD, Beth Israel-Deaconess Medical Center How do department chairs initiate, support and monitor the development of their faculty? How do they balance their commitment to an individual faculty member with their commitments to other faculty? What are the basic components of all effective faculty development programs? Are there innovative ideas that are more effective than others as faculty development strategies? Three experienced faculty with three different perspectives will discuss these questions and present new ideas and programs that have proven to be successful in fostering faculty development in emergency medicine.

Diversity In Emergency Medicine: Strategies for Recruiting Physicians From Underrepresented Groups (2:00 - 3:30) Steven H. Bowman, MD, Stroger Cook County Hospital Sheryl Heron, MD, Emory University Spencer Nabors, MD, SUNY Downstate and Kings County Hospitals This didactic session will describe best practices in the recruitment of underrepresented minority physicians and provide emer-

gency medicine chairs, program directors, and faculty with tools and strategies to aid in the recruitment of culturally diverse faculty and residents. A strong body of evidence has demonstrated the importance of providing culturally competent health care to achieve the best outcomes in a multicultural patient population and to eliminate health disparities. A culturally diverse healthcare workforce is one mechanism by which health care organizations can deliver culturally competent care. The Institute of Medicine (IOM) wrote: The healthcare workforce and its ability to deliver quality care for racial and ethnic minorities can be improved substantially by increasing the proportion of underrepresented U.S. racial and ethnic minorities among health professionals. Currently only approximately 9% of EM residents and faculty are underrepresented minorities. What can we do to improve? During this session we will: 1.Provide evidence from the current medical literature, review recommendations and objectives from the IOM Report and Healthy People 2010. 2. Explore recent national trends and statistics on underrepresented groups of the emergency medicine workforce. 3. Examine and discuss the barriers to effectively recruiting and retaining student and faculty candidates from underrepresented groups. 4.

Analyze the strategies and successes utilized by two academic departments of Emergency Medicine in their efforts to develop culturally diverse departments.

BEYOND AREA 51: Cooperative Research Opportunities between Academic Emergency Medicine and the U.S. Department of Defense (2:00 - 3:30) Bob Gerhardt, MD, BAMC This lecture will include an introduction to Defense related research opportunities, followed by open discussion / question – answer session. While significant resources are allocated yearly for both clinical and basic science research by DoD agencies, the academic emergency medicine community is often underrepresented among grant awardees. Since Defenserelated medical research involves topics which mesh well with emergency medicine, this seminar will serve to enlighten potential research partners in the academic community to this resource. Topics of interest to DoD include combat casualty care, hemostasis, blood product replacements, cerebral and cardiac resuscitation, pre-hospital care and triage, advanced health status monitoring devices, remote ultrasound and telemedicine, and biological / chemical warfare medical surveillance and defense.

PAPER PRESENTATIONS Ultrasound (8:00 – 9:00 am) Moderator: Anthony Dean, MD, University of Pennsylvania 285. Detection Of Pneumothorax In Penetrating Injury: Thoracic Rapid Ultrasound In Trauma (Trust), Bret Nelson, MD, Mount Sinai 286. Comparison Of Ultrasound Assisted And Standard Lumbar Puncture In The Pediatric Emergency Department (PED).

Michael Gorn, MD, Jacobi Medical Center** 287. The Safety And Efficacy Of Ultrasound-Guided Peripheral Intravenous Catheters In Emergency Department Patients With Difficult Intravenous Access, James Dargin, MD, Boston Medical Center* 32

Saturday, May 31, 2008 Moderator: Jeffrey Kline, MD, Carolinas Medical Center (9:00 – 10:00 am)

288. Ultrasound Guided Peripheral Venous Access Versus The External Jugular Vein As The Initial Approach To The Patient With Difficult Vascular Access, Jeremy Kirtz, MD, Temple University Disease And Injury Prevention – Expanding Roles In Em Moderator: Debra Houry, MD, MPH, Emory University (8:00 – 9:00 am)

301. Prospective Multi-Center Analysis of Controversial Predictor Variables for Venous Thromboembolism in a Large Cohort of Symptomatic ED Patients, D. Mark Courtney, MD, Northwestern University

289. Lasting Effect Of A Brief Motivational Intervention On Selfreported Safety Belt Use Among Emergency Department Patients, William Fernandez, MD, Boston University

302. Prediction of Long-Term Survival From Acute Pulmonary Embolism in Normotensive Patients, D. Mark Courtney, MD, Northwestern University

290. Validation Of A Short Ed Screen For Perpetrators Of Intimate Partner Violence (IPV): The Perpitrator Rapid Scale (PERPS), Sarah Morgan-Edwards, MD, University Of New Mexico

303. Thrombophilic Predispositions and Risk of Venous Thromboembolism William Webb, Pretest Consult 304. Risk of Venous Thromboembolism from Different Types of Immobility, Daren Beam, MS, East Carolina University**

291. Smoking Cessation Interventions Among Motivated-To-Quit ED Smokers: A One Year Follow-up, Brandon Firestone, BS, North Shore University.

Neurovascular Emergencies Moderator: Edward Jauch, MD, University of Cincinnati Medical Center (10:00 – 11:00 am)

292. 6 Month Follow-up Of Computerized Alcohol Screening, Brief Intervention And Referral To Treatment In The ED, Federico Vaca, MD, University Of California, Irvine

305. Emergency Physician Attitudes, Knowledge And Barriers In Acute Stroke Treatment: The Instinct Study, Phillip Scott, MD, University Of Michigan

Trauma And Burns Moderator: John Marx, MD, Carolinas Medical Center (8:00 – 9:00 am)

306. Correlation Between ABCD2 score And Subsequent Vascular Event Or Death Within One Year Of Transient Ischemic Attack. Smitha Suravaram, MBBS, Mayo Clinic College of Medicine

293. Revisiting The Golden Hour: A Multi-site Assessment Of Out-of-hospital Times And Survival Following Major Trauma, Craig Newgard, MD, Oregon Health & Science University

307. Hypothermia Decreases Neurogenesis, Laurence Katz, MD, University Of North Carolina At Chapel Hill

294. Rosiglitazone, A Ppar-gamma Ligand Reduces Burn Progression In Rats, Breena Taira, MD, Stony Brook University Medical Center

308. Cerebral Infarct Volumes On Diffusion Weighted Imaging Are Related With Cardiac Biomarkers, Stroke Subtypes And Functional Outcome In Patients With Acute Ischemic Stroke.

Anjali Bhagra, MBBS, Mayo Clinic

295. Comparison Of A New Mineral Based Hemostatic Agent To A Commercially Available Granular Zeolite Agent For Hemostasis In Lethal Extremity Arterial Hemorrhage, Kevin Ward, MD, Virginia Commonwealth University 296. Functional Analysis Of Platelet Contraction And Clot Elastic Modulus During Hemorrhagic Shock, Nathan White, MD, Virginia Commonwealth University

HIV Testing – Expanding Roles In EM Moderator: Michael Lyons, MD, University of Cincinnati Medical Center (10:00 – 11:00 am)

Trauma II Moderator: Bonny Baron, MD, SUNY Downstate Medical Center (9:00 – 10:00 am)

309. Randomized Trial Comparing Acceptance Rates Of Fingerstick Whole Blood With Oral Mucosal Transudate Rapid HIV Testing In An Emergency Department, Douglas White, MD, Alameda County Medical Center

297. Do Elderly Patients With Trauma Have A Lower Likelihood Of Receiving Care In A Trauma Center Compared With Younger Patients? Results From California, 1999-2006, Renee Hsia, MD, University Of California At San Francisco

310. National Estimate Of HIV Serology Testing In Emergency Departments 1993-2005: Pre-2006 CDC Recommendations For HIV Testing In Health-Care Settings Era. Yu-Hsiang Hsieh, PhD, Johns Hopkins University

298. Changes Of Serum Inflammatory Markers As Indicators Of Injury Severity After Trauma, Codrin Nemes, MD Suny Downstate Medical Center/Kings County Hospital

311. Discordance In Self-Reported HIV Risk Behaviors In An ED HIV Counseling And Testing Program, Andrew Ruffner, MA, University of Cincinnati

299. Genetic Variations Mediating The Catecholamine Response Predict Persistent Symptom Development After Minor Motor Vehicle Collision, Caroline Reed, University Of Michigan

312. Healthcare Provider Attitudes Towards Universal HIV Screening After Implementation Of A Large-scale Screening Program, Christian Arbelaez, MD, Brigham And Women’s Hospital

300. Proteomic Analysis Of Serum From Patients With Mild Traumatic Brain Injury Reveals Differentially Expressed Proteins Associated With Subsequent Post Concussive Syndrome, Jawwad Khan, MD, University Of Rochester

Obstetrics And Gynecology Moderator: Richard Krause, MD, SUNY Buffalo Department of Emergency Medicine (11:00 am – 12:00 noon)

Venous Thromboembolism 33

Saturday, May 31, 2008 327. An Analysis Of Resident Productivity: Correlation Between Patients Per Hour And Relative Value Units Per Hour, Matthew Barrett, DO, Christiana Care Health System

313. Physician Perception Of Pre-test Probability Versus Outcome Frequency Of Venous Thromboembolism In Pregnant Emergency Department Patients, Chris Moore, MD, Yale University

328. Impact Of A Teaching Attending On Throughput Times Of Patients Seen By Medical Students, Dorothy Bloy, MD, Umdnjrwjms At Camden

314. Availability Of Emergency Contraception In Pharmacies Without A Prescription Nina Joyce, MPH, Beth Israel Deaconess Medical Center

POSTER PRESENTATIONS

315. Patient History And Physician Suspicion Accurately Exclude Pregnancy, Max Minnerop, MD, Stony Brook University Medical Center

(12:00 – 2:00 pm)

316. Implementing Evidence-based Emergency Medicine: Effect Of A Guideline For The Care Of Women With Suspected Ectopic Pregnancy, Michael Baumann, MD, Maine Medical Center

329. Predictive Value Of T-wave Abnormalities In Patients With Potential Acute Coronary Syndromes, Kathy Lin, BA, University Of Pennsylvania

Issues And Tools For The Residency Director Moderator: Herbert “Gene” Hern, Jr., MD, ACMC-Highland Hospital (11:00 am – 12:00 noon)

330. Epidemiology Of St Segment Elevation Mimickers Of Myocardial Infarction Edward Ullman, MD, Beth Israel Deaconess Medical Center

Acute Coronary Syndromes

331. Validation Of The Vancouver Chest Pain Rules In Asian Chest Pain Patients Presenting At The Emergency Department, Marcus Ong, MD, Singapore General Hospital

317. Correlation Of Standardized Letter Of Recommendation (Slor) Elements With Emergency Medicine Residency Matching, John O’brien, Md, Orlando Regional Medical Center 318. Grade Inflation Among United States Medical Schools, Amy Hurwitz, MD, Beth Israel Deaconess Medical Center*

332. The Association Between Physician Risk Tolerance And Admission Decisions In Low Risk Chest Pain Patients, Demian Szyld, MD, University Of Pennsylvania

319. The July Phenomenon In The Emergency Department: The Impact Of Inexperienced Physicians On Patient Care. Sean Henderson, MD, Keck School Of Medicine

333. Direct Emergency Department Activation Of Cardiac Catheterization Lab Improves Door To Balloon Time, Edward Ullman, MD, Beth Israel Deaconess Medical Center

320. Determine The Effectiveness Of An Observed Structure Clinical Examination As A Summative Evaluation Tool, Joshua Wallenstein, MD, Emory University

334. Prevalence Of Chest X-ray Findings Requiring Intervention In Emergency Department Patients With Possible Acute Coronary Syndrome, Erik Hess, MD, University Of Ottawa

Advances In Pain Assessment And Management Moderator: Adam J. Singer, MD, State University of New York Stony Brook (2:00 – 3:00 pm)

335. Gender Bias In Cardiovascular Testing Is Partially Explained By Patient Preference, Judd Hollander, MD, University Of Pennsylvania 336. Emergency Physician Estimates Of The Probability Of Acute Coronary Syndrome Chuen Peng Lee, MBBS, (Singapore) Massachusetts General Hospital

321. Do Patients Want To Give A Pain Score, Or Just Indicate Whether They Want Analgesia? Benjamin White, MD, Massachusetts General Hospital

HIV

322. Prospective Evaluation Of Computer Support For Improving Acute Pain Management In The Emergency Departement (Ed), Olivier Hugli, MD, University Hospital Of Lausanne University

337. Routine Ed HIV Testing Has No Effect On Length Of Stay Nathalie Coeller, MD, The George Washington University 338. Does The Presence Of Another Person In The Room Influence Whether Or Not A Patient Accepts Rapid HIV Testing In The Emergency Department? Jennifer Bellows, MD, The George Washington University

323. Intranasal Hydromorphone For Pain In Patients Presenting With Trauma To The Emergency Department, Selim Suner, MD, Alpert Medical School Of Brown University

339. An Analysis Of Emergency Department (Ed) Utilization

By HIV-positive Adults In The Era Of Highly Active Antiretroviral Therapy (HAART), Arvind Venkat, MD, Allegheny General Hospital

324. Are Pain Severity Ratings Over-Rated? Adam Singer, MD, Stony Brook University Medical Center** Education Moderator: Esther Chen, MD, University of Pennsylvania (2:00 – 3:00 pm)

340. Racial Variability In HIV Risk Factors among Patients Screened by a Targeted HIV Counseling And Testing Program, Michael Lyons, MD, University of Cincinnati

325. Methodological Quality Of The American Board Of Emergency Medicine Life Long Self Assessment Reading Lists, Suneel Upadhye, MD, Mcmaster University**

341. Emergency Department Patients Perception, Knowledge, And Opinion Of Rapid HIV Testing and HIV/AIDS, Gregory Almond, MD, New York Medical College

326. Resident Performance In A Simulated Difficult Airway Scenario Correlates With Number Of Documented Airway Procedures, Elliot Rodriguez, MD, Suny Upstate Medical University

Orthopedics 34

Saturday, May 31, 2008 342. Inhibition Of The Effects Of TNF By Etanercept Preserves Joint Lubrication And Decreases Cartilage Damage Following An Acl Injury, Gregory Jay, MD, Brown University

Department Study, Alice Mitchell, MD, Carolinas Medical Center

343. Prospective Validation Of The Ottawa Ankle Rule And The Malleolar Zone Algorithm For Children With Ankle Trauma, Philip Hedrei, MD, Hospital Ste-justine

359. What Are The Most Efficient Strategies For Identifying Adverse Events In The Emergency Department? Jerrald Dankoff, MD, SMBD-Jewish General Hospital

344. Usefulness Of C-Reactive Proteins (CRP) And Erythrocyte Sedimentation Rates (ESR) In Septic Arthritis, Lori-ann Tracy, MD, University Of New Mexico

360. State Efforts To Regionalize Acute Stroke And Stemi Care: A National Review. Jeremiah Schuur, MD, Brigham & Women’s Hospital.

345. Impact Of Rib Fractures On Mortality For Older Motor Vehicle Crash Victims William Woods, MD, University Of Virginia Health System

361. The Worsening Of Ed On-call Coverage In California: SixYear Trend, Scott Rudkin, MD, University Of California, Irvine 362. Federal Funding Of Emergency Medicine Investigators, 1972-2006, Carlos Camargo, Jr., MD, DRPH, Massachusetts General Hospital

346. Do All Patients With Shoulder Dislocations Need Pre-reduction Xrays? Joseph Orloski, MD, Morristown Memorial Hospital

363. The Use Of Web Messaging For Emergency Department Patient Follow-Up Communication, Sarah Doaty, George Washington University

Sepsis 347. The Utility Of Point-of-care Lactate, Ph, And Base Excess In Identifying Emergency Department Sepsis Patients At Increased Risk Of Death, Nathan Shapiro, MD, Beth Israel Deaconess Medical Center

364. The Impact Of Provider Communication With The Patient To Ed Visit Satisfaction David Guss, MD, Ucsd Department Of Emergency Medicine

348. Cholinergic Anti-inflammatory Pathway Activity And High Mobility Group Box-1 Serum Levels In Patients With Severe Sepsis, Richard Goldstein, MD, North Shore University Hospital

365. Medication Reconciliation In The Emergency Department, Dennis Mckenna MD, Albany Medical College

349. The Association Between Organ Dysfunction And Mortality In Patients Who Present To The Emergency Department With Severe Sepsis, Andrea Miltiades, BAS, University Of Pennsylvania

366. A Physician Led Intervention Improves Coding Distribution And Reimbursement In An Academic Emergency Medicine Group, Gary Katz, MD, The Ohio State University

350. The Use Of Skin Biopsies To Assess Mrna Expression Of Endothelial Cell Related Markers In Murine Sepsis, Nathan Shapiro, MD, Beth Israel Deaconess Medical Center

367. Safety Of Intravenous (IV) Enalaprilat Use In The Undifferentiated Patient In The Emergency Department, Robin Naples, MD, University Of Virginia

351. Role Of Bnp For Predicting In-hospital Mortality In Ed Patients With Severe Sepsis Or Septic Shock, Christopher Quitadamo, MD, Scott And White Memorial Hospital

368. Factors Associated With A Blood Pressure Reassessment In Emergency Department Patients With Elevated Blood Pressure, Brigitte Baumann, MD, UMDNJ-RWJMS At Camden

352. Effect Of Ed Length Of Stay On Patients Admitted For Severe Sepsis And Septic Shock, Craig Cowan, MD, Scott And White Memorial Hospital

369. Preclinical Cardiac Dysfunction Among Asymptomatic Hypertensive Patients Presenting To An Urban Emergency Department: A Prevalence Study. Phillip Levy, MD, Wayne State University School Of Medicine

Hypertension

353. Racial Disparities In The Delivery Of Protocolized Care For Severe Sepsis And Septic Shock, David Gaieski, MD, University Of Pennsylvania

370. Functional Health Literacy And Illness Beliefs Among Hypertensive Emergency Department Patients, Linda Kruus. PhD. Temple University School Of Medicine

354. MDRD Calculated GFR Predicts In-Hospital Mortality In ED Patients With Severe Sepsis And Septic Shock, Cory Kebert, MD, Scott And White Memorial Hospital

371. Outcome Of Patients Discharged From The Emergency Department After An Episode Of Severe Hypertension (BP > 180/110 Mm Hg), Bradley Crosby, MD, Wake Forest University Health Sciences

Administration And Health Care Policy 355. Medical Malpractice: Identifying The Knowledge Gap, Nathaniel Schlicher, MD, Wright State University

372. Treatment Of Hypertensive Emergency Department Patients With Renal Dysfunction. Alexander Limkakeng, MD, Duke University Medical Center

356. The Influence Of Money On Opinion In Academic Emergency Medicine, Robert Birkhahn, MD, New York Methodist Hospital

Pediatrics

357. A Novel Method To Use Routinely Collected Ed Clinical Data To Measure Quality Of Care, Michael Schull, MD, Institute For Clinical Evaluative Sciences

373. Prospective Evaluation Of The Ability Of The Low-risk Exam To Identify Children Who Do Not Need Radiography For An Ankle Trauma, Philip Hedrei, MD, Hospital Ste-justine

358. A Home Health Care Agency Is A Novel Resource For Increasing The Rate Of Successful Follow-up In An Emergency

374. Adolescent Input For Designing An Emergency Department-based Intervention About Emergency Contraception: 35

Saturday, May 31, 2008 Results From An In-depth Interview Study, Cynthia Mollen, MD, The Children’s Hospital Of Philadelphia; The University Of Pennsylvania

391. Level I Versus Level Ii Trauma Centers: An Outcomebased Assessment, Michael Cudnik, MD, The Ohio State University Medical Center

375. Comparison Of Broselow Versus Physician Estimate Of Pediatric Weights, Marcy Rosenberg, MD, Orlando Regional Medical Center

392. Effects Of MK63 Stun Device Discharges On Neuromuscular Structure And Function, Robert Walter, PhD, Cook County Trauma Unit And Rush University Medical Center

376. Factors Associated With A Successful Lumbar Puncture In The Pediatric Emergency Department, Daniel Langsam, MD.

393. The Use Of Ultrasound To Detect Pneumothorax In Battlefield Casualties In Iraq, Robinson Ferre, MD, Wilford Hall Medical Center

377. Nurse Practitioners In Canadian Pediatric Emergency Departments: Current Roles And Physician Attitudes Towards Their Roles, C. Pitters, University Of Ottawa

394. Effect Of Magnetic Removal Of Embedded Ferromagnetic Ocular Foreign Bodies, Carl Hsu, MD, The Brooklyn Hospital Center

378. The Admission Decision In Bronchiolitis, Howard Corneli, MD, University of Utah College of Medicine

395. Delayed Pneumothorax After Stab Wound To The Chest: Truth Or Myth? Dana Sajed, MD, State University Of New York, Downstate Medical Center/Kings County Hospital, Brooklyn, New York

379. Occurrence Of Override Among Nurses Using The Pediatric Canadian Triage And Acuity Scale, Jocelyn Gravel, MD, Sainte-Justine Hospital

396. Magnetic Removal Of Ferromagnetic Ocular Foreign Bodies Using A Porcine Eye Model, Mark Innis, MD, The Brooklyn Hospital Center

380. Parental Knowledge And Expectations Of Oral Rehydration Therapy In Children With Acute Gastroenteritis, Katherine Mandeville, MD, Phoenix Children’s Hospital

397. Trauma Simulation Performance Improved By Addition Of Tele-trauma Attending Physician, David Ellis, MD, University At Buffalo (SUNY)

381. Return Visits To The Pediatric Emergency Department, Niel Miele, MD, University Of Medicine And Dentistry Of New Jersey

398. Forensic Examiner Genital Injury Determination: Inter-observer Reliability, Kelley Feeley, MD, Ucla

382. Chinese American Parents Emergency Department Utilization And Needs Assessment, Estevan Garcia, Md, Maimonides Medical Center

399. Advancing The Treatment And Stabilization Of Dental Trauma In The Emergency Department: Current Dental Practices Introduced Into The Emergency Department, Jason Konzelmann, MD, University Of Florida Health Science Center Jacksonville

383. Cervical Spine Injuries (CSI) In Children In A Multicenter Network, Julie Leonard, MD, Washington University School Of Medicine 384. Not All Annular Ligament Displacement (Nursemaid’s Elbow) Injuries Occur After Longitudinal Traction, Antonio Muñiz, MD, University Of Texas Health Science Center At Houston

Cardiovascular Basic Science 400. Effect Of The Pre-Shock Pause On Coronary Perfusion Pressure In Porcine Ventricular Fibrillation, Timothy Mader, MD, Baystate Medical Center/Tufts University School Of Medicine**

385. Predicting The Development Of Severe Bronchiolitis Among An Emergency Department Cohort: A Multi-Center Study, A Plint, University Of Ottawa

401. Reversal Of Defibrillator Injury By Poloxamer In Swine, Robert Walter, PhD, Cook County Trauma Unit And Rush University Medical Center

386. Screening Adolescents In An Inner City Emergency Department For Weapon Access, Carriage And Use, Rebecca Cunningham, MD, University Of Michigan

402. Electrical Injury And Defibrillation In Swine, Robert Walter, PhD, Cook County Trauma Unit And Rush University Medical Center

Trauma 387. Validation Of A Clinical Decision Rule To Identify Adult Patients With Intra-abdominal Injuries, James Holmes, MD, UC Davis School Of Medicine

Pneumonia 404. A Weekly E-mail Reminder Increases Compliance With Pneumonia Quality Care Guidelines, Sanford Brown, BS, Tufts University School Of Medicine

388. Effects Of A Culturally Sensitive Educational Intervention Program On Hispanic Motor Vehicle Fatality, Juan March, MD, East Carolina University

405. The Risk Of Sepsis And Pneumonia Associated With Injury In Hospitalized Patients, Christian Mcclung, MD, KECK/USC School Of Medicine

389. Crossover-Controlled Human Study Of The Physiologic Effects Of The Taser After Vigorous Exercise, Gary Vilke, MD, University Of California, San Diego

406. Asthmatic Inflammatory Response To Mycoplasma Pneumoniae Infection Is Linked To Impaired Surfactant Protein A Function, Charles Cairns, MD, Duke University Medical Center, University Of North Carolina

390. Assessing Inflammatory Response To Trauma By Measuring Lymphocyte Subsets During Initial Emergency Department Resuscitation, Codrin Nemes, MD, State University Of New York, Downstate Medical Center/kings County Hospital, Brooklyn, NY

407. Risk Factors For Delayed Antibiotics In Patients With 36

Saturday, May 31, 2008 Johns Hopkins University

Pneumonia, Sanford Brown, BS, Tufts University School Of Medicine

Residency Application Process

408. Outcomes Of Patients Treated With Azithromycin At Triage For Suspected Acute Community Acquired Pneumonia, Suelin Hilbert, MD, Washington University School Of Medicine

423. A Multicenter Study Of The Family Education Rights And Privacy Act And The Standardized Letter Of Recommendation: Impact On Emergency Medicine Residency Applicant And Faculty Behaviors, Jessica Diab, MD, Michigan State University Kalamazoo Center For Medical Studies

Sedation 409. Evaluation Of Housestaff Response To Adverse Events During Pediatric Procedural Sedation, Nadine Symons, MD, Umdnj-rwjms At Camden

424. Do You Plan To Have Children? The Incidence Of Potentially Illegal Questions During Resident Interviews, H. Hern, MD, Alameda County Medical Center - Highland General

410. Randomized Clinical Trial Of Propofol Vs. Ketamine For Procedural Sedation In The Emergency Department, James Miner, MD, Hennepin County Medical Center

425. Violations Of Match Rules: Asking For A Commitment During The Interview, H. Hern, MD, Alameda County Medical Center - Highland General

411. Alfentanil For Procedural Sedation In The Emergency Department, James Miner, MD, Hennepin County Medical Center

426. Predictors Of Failing To Match Into An Em Residency, Josef Thundiyil, MD, Orlando Regional Medical Center

Wound Care

427. Gender Differences In Em Applicant Letters Of Recommendation, Benjamin Abelson, Mount Sinai School Of Medicine

412. The Effects Of Brain Natriuretic Peptide (Bnp) On Scar Formation In Incisional Rat Wounds, Breena Taira, MD, Stony Brook University Medical Center

Pediatric Toxicology

413, Antibacterial Properties Of Topical Hemostatic Agents In Vitro And In A Rat Full-thickness Dermal Wound Infection Mode, David Bracho, University Of Michigan

428. Can A Poison Center Overdose Guideline Safely Reduce Pediatric Ed Visits? Colleen Hickey, Md, Northwestern University Feinberg School Of Medicine

414, The Wound Bursting Strengths Of Octyl-cyanoacrylate, Butyl-cyanoacrylate, And Surgical Adhesive Tape, Adam Singer, MD, Stony Brook University Medical Center

429. Clinical Effects Of Thiazolidinedione Ingestion By Young Children, Jean Cleary Pharmd, Southeast Texas Poison Center

415. A Comparative Evaluation Of Savlon Versus Normal Saline For Irrigation Of Traumatic Lacerations In Kingston Public Hospital, Carol Reid-Baker, MD, University Of West Indies Affiliated With Wayne State University

430. Use Of Cough And Cold Medications In Children Age <2 Years Presenting To The Emergency Department With Bronchiolitis, Katherine O’donnell, MD, Children’s Hospital Boston 431. Clinical Effects Of Eszopiclone (Lunesta) Ingestion By Young Children, Hollie Blair, Rpharm, Central Texas Poison Center

Psychiatry And Social Issues 416. The Saved Study: Identification Of Factors Associated With Forensic Evidence Destructive Behavior Prior To Presentation Of Sexual Assault Victims To The Emergency Department, Genine Siciliano, BS, North Shore University Hospital

MODERATED POSTERS

417. Polysubstance Abuse, Readiness To Quit, And Interest In Ed-initiated Interventions Among Adult Emergency Department Patients, Edwin Boudreaux, PhD,UMDNJ-RWJMS At Camden NJ

(12:30 – 2:00 pm)

418. The Prevalence Of Hunger Among Patients Presenting To The Emergency Department, James Miner, MD, Hennepin County Medical Center

432. A Geospatial Analysis Of Persons Opting-out From An Exception To Informed Consent Out-Of-Hospital Interventional, Trial Maria Nelson, Oregon Health And Science University**

419. The Saved Study: Factors Associated With The Likelihood To Authorize The Release Of Forensic Evidence To Law Enforcement Among Sexual Assault Victims In The Emergency Department, Genine Siciliano, BS, North Shore University Hospital

433. Critical Flaws In The Media Portrayal Of An Exception To Informed Consent Out-Of-Hospital Clinical Trial, Maria Nelson, Oregon Health And Science University

Discussions On Research Methods Moderator: Christopher Lindsell, PhD, University of Cincinnati Medical Center

434. Inter-rater Reliability And Accuracy Of Different Methods Of Prospectively Obtaining Clinical Research Data, Carlos Cruz, BS, Hospital Of The University Of Pennsylvania

420. Characteristics Of Multiple Patient Visits From The Same Family In An Inner-City Pediatric Emergency Department, Stephen Knazik, DO, Children’s Hospital Of Michigan

435. An Evaluation Of A National Research Grants Competition In Emergency Medicine: Is The Juice Worth The Squeeze?

Bawden Jaime, University Of Alberta

421. The Influence Of Obesity On Mortality Of Drivers In Severe Motor Vehicle Crashes: Does It Help To Bring Your Own Airbag?

Dietrich Jehle, MD, Suny At Buffalo 422. Evolution Of Public Health Needs In Displaced Persons A Study From The San Diego Wildfires, Jennifer Jenkins, MD,

436.comparison Of Five Sampling Methods To Represent Characteristics Of Overall ED Population, Morgan Valley, MS, 37

Sunday, June 1, 2008 teams which formulate researchable questions. The following year, faculty mentors and research staff help the teams implement their projects. Weekly conference time is set aside for research didactics and team meetings. The program experience to date will be presented along with recommendations for how to initiate this program elsewhere.

University Of Colorado Denver School Of Medicine 437. Who Will Consent To Emergency Treatment Trials For Subarachnoid Hemorrhage? Angela Del Giudice, MD, Department Of Neurology Of The University Of Pennsylvania Traumatic Brain Injury In Children Moderator: Eric Legome, MD, New York University

The Science Of Quality And Outcomes Research In Emergency And Acute Care (8:00 - 10:00) Charles Caims, MD, University of North Carolina James Adams, MD, Northwestern University Seth Glickman, MD, Duke Clinical Research Institute Kevin Schulman, MD, Duke Clincial Research Institute

438. Ability Of S100b To Predict Abnormal Head Ct In Children With Mild Tbi, Lynn Babcock Cimpello, MD, University Of Rochester Medical Center** 439. Sedation For Cranial Ct In Children With Minor Blunt Head Trauma, John Hoyle, Jr., MD, Grand Rapids Medical Education And Research Consortium/ Michigan State University, Helen Devos Children’s Hospital

This session brings together interdisciplinary investigators to provide a quantitative approach to the assessment of research into the quality and outcomes of emergency and acute care conditions. The session is timely given the recent emphasis on evidence-based practice and education as well as recent federal pay for performance initiatives. The speakers include nationally recognized experts in the fields of health services research, pay for performance research and research into the organizational performance, efficiency, quality and safety of acute and emergency care. The session will focus on the current state of the science of emergency medicine quality and outcomes research and the implications for federal pay for performance initiatives and policy. The format of the session will include formal presentations by each of the three speakers followed by a moderated interactive panel discussion.

440. Do Children With Normal Cranial Ct Scans And Gcs 15 After Blunt Head Trauma Require Hospitalization For Observation? James Holmes, MD, UC Davis School Of Medicine 441. Association Of Traumatic Brain Injuries (TBI) In Children After Blunt Head Trauma With Degree Of Isolated Headache Or Isolated Vomiting, Peter Dayan, MD, Columbia University College Of Physicians And Surgeons 442. Isolated Recurrent Vomiting Rarely Predicts Brain Injury In Children With Blunt Minor Head Injury, Martin Osmond, MD, University Of Ottawa 443. Practice Pattern Variation In Head CT Use In Children With Minor Blunt Head Trauma Evaluated In The Emergency Department (ED): Is There An Association With Physician Training?

Rachel Stanley, MD, University Of Michigan Health System

Performing Industry Funded Clinical Trials (9:30 - 10:30) Deborah Diercks, MD, UC Davis Medical Center Judd Hollander, MD, University of Pennsylvania

Didactic Sessions

Industry sponsored research initiatives present an interesting source of research revenue that can be used to support or promote clinical research units or individual investigators.

The obstacles and rewards for industry sponsored clinical research can be very different from those provided by partnerships with public funding sources and non-profit organizations.

The amount of effort, type of personnel, and skill set necessary to compete for and conduct industry sponsored clinical trials differ from those necessary for federal funding and can vary widely between types of industry sponsor as well. The investigator can choose to partner with industry either as a contracted site investigator or through funding of an investigator initiated protocol supported by industry. Both paths share inherent risks and benefits as well as challenges that are unique to this funding pathway. The challenge to the EM investigator is to meld funding from different sources into a coherent and collaborative research effort that can promote good clinical practice and ethically sound scientific investigation. This session will provide practical information for researchers involved in or planning to participate in Industry Sponsored clinical trials. Topics will include identifying potential industry sponsors, contract and budget negotiation, and implementation of clinical trials. Different strategies for integrating industry grants with other sources of income will be discussed with their pitfalls. Viewpoints will be provided for investigator initiated and contracted work with input from a clinician now working for Industry. This didactic session will focus on the educational needs of junior and midcareer faculty members.

Three Approaches To The Scholarly Project (8:00 - 9:30) Brigitte Baumann, MD, UMDNJ-RWJMS at Camden Samuel Keim, MD, University of Arizona Edward Panacek, MD, UC Davis All EM residents are required to complete a written scholarly project. Three different programs’ approaches ranging from non-research to a strict resident research requirement will be presented along with recommendations on how to implement these programs at other institutions. Dr. Baumann will present her program’s “Scholarly Tracks”, where residents identify an area of interest, i.e. ultrasound, medical student teaching, pediatrics or toxicology. Tracks are started during internship and over 3 years, several requirements (resident lectures, a CQI and the scholarly project) are completed within the track focus area. Specialty certifications (PALS instructor, credentialing in ultrasound) are also achieved. Five of 7 tracks will be presented and this residency’s experiences will be reviewed. Dr. Panacek will present his program’s experiences and will give recommendations for the most efficient approaches to implementing a strict resident research requirement. Recommended structures, timetables and implementation strategies will be provided. The experiences and productivity of a program that has enforced a strict requirement for over 15 years will be described. Dr. Keim will present “Scholar Quest”, a semi-structured research experience required of all residents. This two year mentored curriculum provides research training and experience using a team approach. Interns learn basic research methodology and form 38

Sunday, June 1, 2008 pital (8:00 – 10:00 am)

Women’s Health and Gender Specific Research In Emergency Medicine: Yesterday’s Neglect, Tomorrow’s Opportunities (10:00 - 12:00) Alyson McGregor, MD, Warren Alpert Medical School of Brown University Bruce Becker, MD, Warren Alpert Medical School of Brown University Maureen Phipps, MD, Women and Infants Hospital Basmah Safdar, MD, Yale - New Haven Hospital

448. The Ottawa Aggressive Protocol Leads To Rapid Discharge Of ED Patients With Acute Atrial Fibrillation, Ian Stiell, MD, University Of Ottawa, Ottawa, Ontario, Canada 449. External Validation Of The San Francisco Syncope Rule (Sfsr), Venkatesh Thiruganasambandamoorthy, MD, University Of Ottawa, Ottawa, Ontario, Canada

Recent recognition of gender differences in the epidemiology, presentation, treatment, and outcome of disease has presented new challenges to researchers and clinicians in Emergency Medicine. Recognizing and responding to these differences will improve the effectiveness and quality of emergency medical care for women. The panelists in this symposium will present an overview of the current state of the art in gender specific research in Emergency Medicine highlighting the most controversial and important questions that remain unanswered. Topics to be discussed will range from acute coronary syndrome, cerebrovascular disease, acute and chronic pain management as well as selecting scientific questions and designing fundable research proposals to creating Centers of Excellence in Women’s Healthcare in the academic hospital or university.

450. One-year Medical Outcomes And Emergency Department Recidivism Following Emergency Department Observation For Cocaine Chest Pain, Samantha O’broin, MD, University Of Michigan 451. Left Bundle Branch Block Does Not Increase Risk Of Acute Myocardial Infarction In Ed Patients With Potential Acute Coronary Syndrome, Anna Marie Chang, MD, University Of Pennsylvania** 452. Vernakalant Hydrochloride Injections For The Conversion Of Acute Atrial Fibrillation To Sinus Rhythm In Patients Presenting To The Emergency Department Within 48 Hours Of Onset: Efficacy And Safety From 2 Clinical Trials, Ian Stiell, MD, University Of Ottawa

Effective Feedback - Tips For Success (10:30 - 12:00) Susan Promes, University of California, San Francisco Diane Birnbaumer, MD, Harbor-UCLA Medical Center Mary Jo Wagner, MD, Synergy Medical Education Alliance Thomas Aufderheide, MD, Medical College of Wisconsin

453. Healthcare Provider Self-reported Management Of Emergency Department Patients With Elevated Blood Pressure: Does Self-report Match Practice? Brigitte Baumann, MD, UmDNJ-RWJMS At Camden 454. Blood Pressure Response To The Impedance Threshold Device In Hypotensive Emergency Department Patients, Samuel Luber, MD, University Of Texas Southwestern Medical Center At Dallas***

As physician educators we are called upon to provide feedback constantly whether is be during a clinical shift, at the end of a rotation or during semi-annual evaluation time. It is important to give objective feedback that is helpful to the learner. The faculty in this session will work with the attendees to highlight tips for effective feedback and the participants will have an opportunity to practice what they have learned through role play.

455. Early Point-of-care Assessment Of Platelet Reactivity May Assist In The Rapid Identification Of Acute Coronary Syndromes In The Emergency Department, Chad Darling, MD, University Of Massachusetts Medical School

PAPER PRESENTATIONS

Changing Outcomes In Cardiac Arrest (9:00 – 10:00 Am)

Advances In Resuscitation Moderator: Emanuel “Mannie” Rivers, MD, MPH, Henry Ford Hospital (8:00 – 10:00 am)

456. Prospective Clinical Trial, Defi 2005: Does An AED Algorithm With More CPR Impact Out-Of-Hospital Cardiac Arrest Prognosis? Daniel Jost, MD, Fire Brigade Emergency Medical Department-Paris, France

444. Attenuated Effect of Cooling on Dispersion of Repolarization Underlies Decreased Risk of Arrhythmogenesis in Therapeutic vs. Severe Hypothermia, Joseph Piktel, MD, MetroHealth Medical Center**

457. Improved Survival To Discharge In Patients With Pulseless Electrical Activity Using Near Continuous Chest Compression Resuscitation, Alex Garza, MD, Washington Hospital Center**

445. Lack of Compliance with Basic Infection-Control Measures during Cardiopulmonary Resuscitation -- Are We Ready for Another Epidemic? Chen-Chang Chang, MD, National Taiwan University Hospital

458. Socioeconomic Status Influences Bystander Cpr And Survival Rates For Out-Of-Hospital Cardiac Arrest Victims, Christian Vaillancourt, MD, University Of Ottawa, Ottawa, Ontario, Canada

446. Risk Stratification by Organ Dysfunction in Severe Sepsis Patients who are not Candidates for Early Goal-Directed Therapy, Andrea Miltiades, BAS, University of Pennsylvania School of Medicine

459. Impact of Early Hypotension on Outcome In Post-Cardiac Arrest Patients Admitted To The ICU, Stephen Trzeciak, MD, UMDNJ-RWJMS At Camden

447. Therapeutic Hypothermia:Predictors of Neurological Outcome in Out of Hospital Cardiac Arrest With All Initial Rhythms, Brian O’Neil, MD, William Beaumont Hospital

POSTER PRESENTATIONS (10:00 am – 12:00 noon)

Cardiovascular Emergencies Moderator: Keith Marill, MD, Massachusetts General Hos-

Critical Care 39

Sunday, June 1, 2008 gency Medicine Residency

460. Early Arterial Hypotension Is Common In the Post-Resuscitation Syndrome And Associated With Increased In-Hospital Mortality, J. Kilgannon, MD, UMDNJ-RWJMS at Camden

477. Assessment Of A Cross-disciplinary Domestic Violence Training For Emergency Medicine Residents And Law Students, Cameron Crandall, MD, University Of New Mexico

461. Are Two Small IVs As Good As One Big IV? Michael Cole, MD, Jacobi Medical Center

478. The Usefulness Of The Pig Model Made With A Pig Larynx, Trachea And Pigskin For Training Of A Cricothyrotomy, Junho Cho, MD, Yonsei University College Of Medicine

462. Effect Of Atropine On Pulmonary Gas Exchange, Romolo Gaspari, MD, University Of Massachusetts

479. Should Emergency Medicine Be A Mandatory Rotation?

Brigit Britton, MD, St. Lukeâ&#x20AC;&#x2122;s-Roosevelt Hospital

463. Inhibitory Effect Of Fenofibrate On Endothelial Dysfunction Under High Glucose, Shiro Mishima, MD, Tokyo Medical University

480. Reliability And Validity Of A Simulation-based Assessment Instrument, Deepi Goyal, MD, Mayo Clinic

464. Coma On Presentation Predicts Performance Of Early Coronary Angiography And Outcome Following Cardiac Arrest, Joshua Reynolds, University Of Pittsburgh

481. Comparison Of Simulation-based Assessment And Clinical Evaluations, Torrey Laack, MD, Mayo Clinic

Education And Professional Development

482. The Utility Of An Educational Video To Improve The Rate Of Successful Lumbar Punctures In The Pediatric Emergency Department, Daniel Langsam, MD.

465. Interactive Vignette: A Novel Method For Assessing Practice Heterogeneity And Clinical Decision Making Using The Internet, Christopher Carpenter, MD, Washington University In St. Louis School Of Medicine

483. Withdrawn

466. The Evaluation Of Simulation-based Training Vs. Didactic Learning For The Teaching Of Medical Students The Assessment And Management Of Critically Ill Patients, Christopher Mccoy, MD, University Of California, Irvine

Neurology

467. Accuracy Of Resident Self-assessment With And Without Video Review, Deepi Goyal, MD, Mayo Clinic

486. The Notch Pathway Mediates Expansion Of A Neural Progenitor Pool After Stroke, Daniel Morris, MD, Henry Ford Health Systems

484. Neurons Lacking Iron Regulatory Protein-2 Are Highly Resistant To The Toxicity Of Hemoglobin, Raymond Regan, MD, Thomas Jefferson University

468. Effectiveness Of A Drill Assisted Intraosseous Needle Vs. Standard Intraosseous Needle By Resident Physicians In A Swine Model, Keir Swisher, DO, University Of Illinois College Of Medicine

487. A Novel Biomarker Panel Distinguishes Stroke From Mimics In The Emergency Department, Samantha Phillips, BS, Duke University Medical Center

469. Improving Teaching Methods In International Emergency Medicine, Beau Braden, MPH Midwestern University Arizona College Of Osteopathic Medicine

488. Primary Cardiovascular Disease Frequently Causes True Vertigo: A Systematic Review Of Observational Studies, David Newman-Foker, MD, PhD. The Johns Hopkins University School Of Medicine

470. Ends Against The Middle: The Effect Of Competing Demands On Physician Performance, Thomas F l o t t e m e s c h , PhD, Regions Hospital

489. Initial D-dimer Level Predicts Severity And Death In ED Patients With Stroke, Seth Glickman, MD, Duke University

471. The Relationship Between Emt-basic Experience And Success On The National Paramedic Certification Examination, Antonio Fernandez, BS, NREMT-P, The National Registry Of Emergency Medical Technicians

490. What Is A Clinically Significant Non-traumatic Subarachnoid Hemorrhage? Jeffrey Perry, MD, University Of Ottawa, Ottawa, Ontario, Canada 491. Implementation Of An Interdisciplinary Stroke Service, Charles Wira, MD, Yale School Of Medicine

472. Agreement Of Real-time Versus Delayed Videotaped Evaluation Of A High Fidelity Medical Simulation Septic Shock Scenario, Marie Mcdonough, MD, San Antonio Uniformed Services Health Education Consortium Emergency Medicine Residency

492. Do Statins Improve Outcomes And Reduce The Incidence Of Vasospasm Following Aneurysmal Subarachnoid Hemorrhage - A Meta-analysis, Jeffrey Perry, MD, University Of Ottawa, Ottawa, Ontario, Canada

473. Patient Expectatations For Emergency Department Chest Pain Care, Kevin Takakuwa, MD, Thomas Jefferson University Hospital

493. Acute Cerebral Ischemia Evaluation In The Emergency Department: Does Magnetic Resonance Imaging Change Disposition? Clifford Swap, MD, Harvard Affiliated Emergency Medicine Residency*

474. Pediatric Mock Codes: Improving Resident Resuscitations, Pavan Zaveri, MD, Childrenâ&#x20AC;&#x2122;s National Medical Center 475. A Pilot Evaluation Of Medical Students Exposures To Core Clinical Cases And Procedures In Emergency Medicine, Jonathan Fisher, MD, MPH Beth Israel Deaconess Medical Center

494. Gender And Ethnic Differences In Subarachnoid Hemorrhage, William Meurer, MD, University Of Michigan

476. Emergency Physicians And The Diagnosis Of Acute Cerebrovascular Events, Calvin Huang, MD, Harvard Affiliated Emer-

495. Got A Headache? Resident Documentation Of The Neurological Exam In Patients With A Chief Complaint Of Headache, Daniel Mcgillicuddy, MD, Beth Israel Deaconess Medical 40

Sunday, June 1, 2008 513. Factors Influencing Decisions To Utilize Ed For Non-urgent Medical Conditions, James Black, MD, University Hospitals Case Medical Center

Center, Harvard Medical School 496. An Observational Study To Validate The Abcd2 Score For Predicting Stroke Risk After Transient Ischemic Attack In The Emergency Department, Marcus Ong, MD, Singapore General Hospital

Geriatrics 514. Mobility Related Functional Deficits In Older Emergency Department Patients, Scott Wilber, MD, Summa Health System / Northeastern Ohio Universities College Of Medicine

497. A Randomized, Prospective, Double Blind Study Of Phenobarbital Versus Benzodiazepines For Treatment Of Alcohol Withdrawal Syndrome, Brandy Snowden, MPH, CCRP, UCSFFresno

515. Identification Of An Age Cutoff For Increased Mortality In Elder Trauma Patients, Jeffrey Caterino, MD, The Ohio State University

Crowding â&#x20AC;&#x201C; More Not The Merrier

516. The Use Of A Clock Drawing Test As A Predictor Of Future Adverse Motor Vehicle Events In Older Emergency Department Patients, Sherwin Yen, BS, Cleveland Clinic Lerner College Of Medicine

498. Impact Of A Rapid-assessment Pod On Ed Overcrowding Measures: A Randomized Trial, Michael Bullard, MD, University Of Alberta 499. Patients Who Leave Prior To The Completion Of Acute Care: Further Evidence Of Overcrowding In Emergency Departments, Brian Rowe, MD, University Of Alberta

517. Serum Lactate Predicts Mortality Up To 60 Days In Older Hospitalized Adults, Munish Goyal, MD, University Of Pennsylvania

500. Ed Crowding And Delays To Laboratory Turnaround Times, Neal Chawla, MD, Mount Sinai School Of Medicine

518. Do You Want To Be Intubated? Mortality In Intubated Seniors, Marie M. Irvin, St. John Hospital And Medical Center*

501. The Impact Of Time Targets On Patient Care And Outcomes In Uk Emergency Departments: A Retrospective Analysis Of Routine Data, Suzanne Mason, MD, University Of Sheffield

519. The Ability Of Visual Acuity And Visual Function Testing In The Older Adult Driver To Predict Self-restricting Driving Habits, Tom Grotsky, MD, UC-irvine

502. Prediction Of Bypass Status Using A Real-time Edwin Score, Erik Kulstad, MD, Advocate Christ Medical Center

520. Resource Utilization By The Very Elderly In The Emergency Department, Bernard Unger, MD, SMBD-Jewish General Hospital

503. Does Emergency Department Workload Adversely Influence Timely Analgesia? Anne-maree Kelly, MD, Joseph Epstein Centre For Emergency Medicine Research

521. Deterioration En-route: A Marker For Substantially Increased Mortality In Older Blunt Trauma Patients, Sinem Sherifali, MD, St. John Hospital And Medical Center

504. Hospital Census Shows Correlation With Emergency Department Surge Capacity Variables, Samir Haydar, DO, Maine Medical Center

Respiratory Disorders 522. Predicting Hospital Admission Among Adults Treated For Asthma In The Emergency Department: The Asthma Admission Index, Carlos Camargo, Jr., MD, DRPH, Massachusetts General Hospital

505. Ed Crowding Increases Acquisition Time Of Brain CT And ECG, Abhi Mehrotra, MD, University Of North Carolina 506. Care Coordination In The Emergency Department: Avoiding Inappropriate Hospital Admissions, Fredyne Pell, RN, Yale-New Haven Hospital

523. Can Dyspnea Measures Predict Length Of Stay In Emergency Department Patients? Deborah Diercks, MD, UC Davis Medical Center

507. A Nationwide Time Series Analysis About The Effect Of Overcrowding Input Factor On Hospital Mortality In Korea, Sang Do Shin, MD, Seoul National University College Of Medicine

524. Prospective Assessment Of The Hemosil Hs D-dimer Assay In Exclusion Of Venous Thromboembolism, Justin Steinberg, Mba, Northwestern University

508. Emergency Department Overcrowding: A New Baseline?

Christopher Celentano, MD, Keck School Of Medicine Of The University Of Southern California

525. Do Signs And Symptoms Of Patients Presenting With Saddle Or Central Pulmonary Emboli Differ From Those With Peripheral Pulmonary Emboli? David Sturm, MD, Morristown Memorial Hospital

509. Association Between Ed Crowding And Inpatient Length Of Stay, Steven Bernstein, MD, Albert Einstein College Of Medicine

526. Reliability Of Initial Pulse Oximetry Measurements In Patients Arriving To The Emergency Department On Supplemental Oxygen, David Donson, MD, Maimonides Medical Center

510. The Relationship Between Peak ED Boarding Times And Inpatient Bed Availability Through Inpatient Discharges, Emilie Powell, MD, Northwestern 511. Factors Impacting Emergency Department Triage Times, Karen Miller, Rn, Vanderbilt University Medical Center

527. What Really Happens To Patients With Spontaneous Pneumothorax Managed With Outpatient Observation Alone?

Anne-maree Kelly, MD, Joseph Epstein Centre For Emergency Medicine Research At Western Health

512. Why Do Patients With Minor Conditions Attend The Emergency Department? Suzanne Mason, MD, University Of Sheffield

528. Physician Attitudes Towards Clinical Decision Rules For Acute Respiratory Disorders For Patients 50 Years Old In The Ed: An International Survey, Jeffrey Perry, MD, University Of Ottawa, 41

Sunday, June 1, 2008 Ottawa, Ontario, Canada

Deaconess Medical Center, Boston

Disease And Injury Prevention

544. Are The Cardiovascular Effects Of High Dose Insulin In Calcium Channel Blocker And Beta-blocker Toxicity Mediated

By Phospholamban? Kristin Engebretsen, Pharmd, Regions Hospital

529. The Epidemiology Of Presentations For Suicidal Ideation To The Emergency Department, Gregory Larkin, MD, Yale University School Of Medicine

Ultrasound Vascular Access

530. Aggression And Victimization In Non Intimate Partner Relationships Among Patients In An Inner City ED, Carlan Wendler, MD, University Of Michigan

545. Ultrasound Use During Central Venous Catheter Placement: Results From The Clear (Central Line Emergency Access Registry) Database, Amy Kroeger, MD, Maricopa Medical Center

531. Multicenter Study Of Limited Health Literacy In Emergency Department Patients, Adit Ginde, MD, University Of Colorado Denver School Of Medicine

546. The Effect Of Vessel Depth And Diameter On Success Rates For Ultrasound-guided Iv Placement In Patients With Difficult Access, Nova Panebianco, MD, University Of Pennsylvania

532. Describing Predictors Of Diabetes Knowledge In Patients And Their Family Members At An Urban Emergency Department, Sanjay Arora, MD, Keck School Of Medicine Of The University Of Southern California

547. Bedside Ultrasound For The Noninvasive Estimation Of Central Venous Pressure In Critically-ill Adult Emergency Department Patients, Arun Nagdev, MD, Warren Alpert Medical School Of Brown University

533. Drowning And The Influence Of Hot Weather: A Casecrossover Analysis, Christopher Denny, MD, Sunnybrook Health Sciences Centre, The University Of Toronto

548. Characteristics Of Ultrasound Guided Central Venous Complications, Daniel Theodoro, MD, Washington University School Of Medicine

534. Is Elevated Body Mass Index (Bmi) Associated With Elevated Glycosylated Hemoglobin Levels In Diabetic Emergency Patients? Chet Schrader, MD, Washington University In St. Louis

Documentation

535. The Costs Of Evaluating Minimally Injured Alcohol Impaired Drivers In The Emergency Department, Michael Lee, MS, Brown Medical School

549. Comparison Of Computerized And Paper Medical Record Allergies Documentation, Michael Baumann, MD, Maine Medical Center

536. Intimate Partner Violence Related Post-traumatic Stress Is Elevated In More Acculturated Hispanic Patients In The Emergency Department, Gregory Larkin, MD, Yale University

550. The Use Of A Medical Scribe Program To Improve Emergency Medicine Resident Documentation At An Academic Medical Center, Courtney Terry, University Of Virginia

Migraines

MRSA

537. A Prospective Trial Of Iv Prochlorperazine vs Subcutaneous Sumatriptan In Acute Migraine Therapy In The Emergency Department, Mark Kostic, MD, Medical College Of Wisconsin

551. A Model For Identifying Emergency Department Patients With Mrsa Bacteremia, Maureen Chase, MD, Beth Israel Deaconess Medical Center

538. Steroids Do Not Improve Ihsc Migraine Symptomatology: An Emergency Department Randomized Double-blind Placebocontrolled Trial, Renee Riggs, DO, UMDNJ-Robert Wood Johnson Medical School

552. Low Rate Of Mrsa Colonization Among Residents Is Stable Over Time Jennifer Carnell, MD, Alameda County Medical Center - Highland Hospital 553. Vancomycin “Mic Creep” In ED Isolates Of Community-Associated Methicillin-Resistant Staph Aureus (Ca-mrsa) And Its Implications For Empiric Treatment Of Serious Mrsa Infections In The Ed, Michael Burns, MD, University Of California Irvine Medical Center

539. The Relative Efficacy Of Parenteral Meperidine For The Treatment Of Acute Migraine. A Meta-analysis, Brooke Bender, MD, Albert Einstein College Of Medicine 540. Parenteral Dexamethasone For Preventing Recurrent Migraine Headaches: A Systematic Review Of The Literature, Brian Rowe, MD, University Of Alberta

Venous Thromboembolism

Toxicology

554. Clinical Characteristics Of Diabetics With Venous Thromboembolism, Peter Richman, MD, Mayo Clinic Arizona

541. Hemodynamic Effects Of Intravenous Fat Emulsion Versus High Dose Insulin Euglycemia In A Model Of Severe Verapamil Toxicity, Michael Rosselli, MD, St. Luke’s/roosevelt - Columbia University

555. Potential Impact Of Adjusting The Threshold Of The Quantitative D-Dimer Based Upon Pretest Probability Of Acute Pulmonary Embolism, Christopher Kabrhel, MD, Massachusetts General Hospital

542. Non-invasive Carboxyhemoglobin Monitoring: Screening Emergency Medical Services Patients For Carbon Monoxide Exposure, Douglas Nilson, MD, Rhode Island Hospital

556. Emergency Clinician-performed Compression Ultrasonography To Diagnose And Exclude Deep Vein Thrombosis Of The Lower Extremity, Jeffrey Kline, MD, Carolinas Medical Center

543. Uridine 5&#8217;-diphosphoglucose Does Not Affect Acute Acetaminophen Toxicity, Steven Salhanick, MD, Beth Israel

557. How Frequently Do Emergency Physicians Order Appropriate Imaging Studies Based On D-Dimer Results? Nathan

42

Sunday, June 1, 2008 Teismann, MD, Alameda County Medical Center - Highland Hospital

SAEM 2008 Research Grants Emergency Medicine Medical Student Interest Group Grants These grants provide funding of $500 each to help support the educational or research activities of emergency medicine medical student organizations at U.S. medical schools. Established or developing interest groups, clubs, or other medical student organizations are eligible to apply. It is not necessary for the medical school to have an emergency medicine training program for the student group to apply. Deadline:August 1, 2008

MODERATED POSTERS (10:30 â&#x20AC;&#x201C; 11:30 am) Discussions In Crowding Moderator: Steven Bernstein, MD, Montefiore Medical Center

Research Training Grant This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emergency medicine fellows, resident physicians, or junior faculty. The trainee must have a concentrated, mentored program in specific research methods and concepts, and complete a research project. Deadline: August 1, 2008

558. Lack Of Association Between Ed Crowding And Bounceback Admissions, Steven Bernstein, MD, Albert Einstein College Of Medicine 559. Relationship Between Ed Location, Crowding And Test Results In Older Adults Screened For Cognitive Impairment, Helen Paik, BS, University Of Pennsylvania

Institutional Research Training Grant This grant provides financial support of $75,000 per year for two years for an academic emergency medicine program to train a research fellow. The sponsoring program must demonstrate an excellent research training environment with a qualified mentor and specific area of research emphasis. The training for the fellow may include a formal research education program or advanced degree. It is expected that the fellow who is selected by the applying program will dedicate full time effort to research, and will complete a research project. The goal of this grant is to help establish a departmental culture in emergency medicine programs that will continue to support advanced research training for emergency medicine residency graduates. Deadline: August 1, 2008

560. Electronic Dashboard And A Multidisciplinary Hospital-wide Team Decrease Patient Throughput Intervals And Reduce Number Of Admitted Patients Held In The Emergency Department, Mark Spektor, DO, Maimonides Medical Center 561. Impact Of Psychiatric Patient Holds In The Emergency Department On Overcrowding, James Killeen, MD, University Of California, San Diego Transfers And Turnovers Moderator: Jesse Pines, MD, MBA, University of Pennsylvania

Emergency Medical Services Research Fellowship This grant is sponsored by Medtronic Physio-Control. It provides $60,000 for a one year EMS fellowship for emergency medicine residency graduates at an SAEM approved fellowship trianing site.

The fellow must have an in-depth training experience in EMS with an emphasis on research concepts and methods. The grant process involves a review and approval of emergency medicine training sites as well as individual applications from potentioanl fellows.

Deadline: August 1, 2008

562. Communication Errors Among Physicians During Emergency Department Patient Handoffs, Brandon Maughan BS, MHS Case Western Reserve University School Of Medicine 563. Patient Handoff Priorities In The Emergency Department: Stated Priorities vs. Actual Practices, Lei Lei, BA, Case Western Reserve University School Of Medicine 564. On Call Specialist Availability And Higher Level Of Transfers In California Safety Net Emergency Departments, Michael Menchine, MD, University Of California, Irvine 565. Communication Failures In Emergency Department To Floor Transfer Of Care; A Qualitative Analysis Of Medical Errors, Thom Meredith, MD, Yale New Haven Hospital

43

Interest Group Updates Simulation Interest Group

modify physician behavior to follow best-practices in St. Louis.

Teresita Hogan was recently selected as the first emergency physician to receive the esteemed Brookdale Fellowship for 2008-2010. The Brookdale Foundation’s mission is to enhance the quality of life for America’s senior citizens and to further the fields of gerontology and geriatrics. Her project is titled “Emergency Medicine Resident Education and Preparedness to Care for the Older Adult.” She will focus on development of 5 core topics in geriatrics essential to provide competent emergency care of elders. Two EM physicians were selected to receive Jahnigen Career Development awards from the American Geriatrics Society for 2008-2010. Jesse Pines will be studying “The effect of emergency department crowding on delirium in older adults, and Jeremiah Shuur will focus his research on “Developing emergency department quality of care indicators for community dwelling elders.” Congratulations to all awardees!

May 30, 2008 (9:00 - 10:00) The Simulation Interest Group will hold its annual meeting on Friday, May 30, 2008 at 9a-10a. We will review the findings from the AEM Consensus Conference and discuss goals and objectives for the next academic year. In addition, we will hold elections for the positions of chair, treasurer/secretary and subsection chairs. These positions will be held for two year terms. Interested parties should forward a brief one paragraph biosketch to Ernie Wang (ernestwangmd@yahoo.com) for compilation prior to the meeting.

Ultrasound Interest Group May 30, 2008 (1:00 - 3:30)

Ula Hwang, MD, MPH Chair, SAEM Geriatrics Interest Group 2007-2008

During the Ultrasound Interest Group meeting there will be a review of the 2008 CORD Academic Assembly consensus conference on resident ultrasound education. Reccomendations on ultrasound curriculum, competency assessment strategies and competency assessment tools will be reviewed. 2008 Ultrasound fellows will be honored.

Geriatrics Interest Group May 31, 2008 (10:00 - 12:00) MARK YOUR CALENDARS!!! The SAEM Geriatrics Interest Group (GIG) is excited to announce it will have Dr. Susan Nayfield speak at the IG meeting to be held on Saturday May 31, 2008 from 10:00a-12:00p. Dr. Nayfield is the Chief of the Geriatrics Branch in the Geriatrics and Clinical Gerontology Program at the National Institute on Aging. She will be discussing the NIA is structured, its various programs, what the role of the GCG has at the NIA and how the emergency medicine specialty could mutually augment research and efforts supported by the NIA and GCG. For those of you interested in funding opportunities or discussion on how to develop your research to be in concordance with the goals of the NIA, this will be an excellent opportunity to gather information and ask questions.

Another activity includes the GIG’s co-sponsoring (along with the Geriatric Task Force, and Palliative Medicine Interest Group) of a second didactic/interactive session on “Quality Geriatric Emergency Care: Preparing for the Future” that will also be held on Saturday May 31, 2008. This session will focus on the development of quality indicators for geriatric ED patient care involving medications, focused. The first session took place at the 2007 SAEM meeting and involved developing quality indicators for transitional care, cognitive impairment screening, and pain and palliative care.

Funding and news in Geriatric EM: We have great news to report of recent awardees in Emergency Medicine focused on aging research and education! Christopher Carpenter recently was selected as the Goldfarb Patient Safety Fellow for 2008-2010. He will focus his research on improving emergency care of aging adults through education and best-evidence processes. By using knowledge translation projects that are currently underway, he will study how to 44

Innovations In Emergency Medicine Education Exhibits Presenting on Thursday & Friday, May 29 & 30, 2008 YouTube for Ultrasound Education Michael M. Liao, MD - Washington University Incorporation of Audience Participation Technology into Resident Curriculum Review Brian Sayger, DO - Advocate Christ Medical Center Taking a History from the Challenging Patient in the Emergency Department Bruce Becker, MD - Rhode Island Hospital/ Brown University A Multimedia Web-based Interactive Quiz Module for the Education of Emergency Medical Personnel James D’Agostino, MD - Upstate Medical University Our Patients, Our Residents, Their Case-Based Evidence: Development of an Intradepartmental Medical Education Journal Christopher N. Miller, MD - Naval Medical Center The AERIS Course: A Focused Abdominal CT Interpretation Course for Abdominal Emergencies Requiring Immediate Surgery Eric Schultz, MD - Stony Brook University Layered Simulation: A Novel Approach to Medical Malpractice Education Nathaniel R. Schlicher, MD, JD - Wright State University The Observed Teaching Encounter: Providing Residents Feedback on Their Teaching Skills Ankur A. Doshi, MD - Allegheny General Hospital / Drexel A Communication Tool for Emergency Medicine Residents to Improve Patient Care and Professional Development Jacqueline J. Mahal, MD, MBA - New York-Presbyterian Weill Cornell A Rapid, Simple and Inexpensive Method for Construction of Peripheral Vascular Ultrasound Phantoms Hal Minnigan, MD - Indiana University

Presenting on Saturday & Sunday May 31 & June 1, 2008 Dawn Patrol Patient Follow-up Protocol Justin Barrett Williams, MD - Brooke Army Medical Center Highly Interactive Teaching: A “HIT” with Residents Linda Regan, MD - Johns Hopkins Knowledge Translation Shift Rawle A. Seupaul, MD - Indiana University The Use of Medical Simulation to Enhance the Clinical Exposure to International Emergency Medicine David B. Bouslough, MD, MPH, FACEP - Brown University Assessing the Clinical Reasoning Skills of Emergency Medicine Clerkship Students Using a Script Concordance Test Aloysius Humbert, MD - Indiana University A Novel Approach to “See One, Do One”: Multimedia Presentations Before Procedure Workshops and Simulation Amita Sudhir, MD - University of Virginia The Contraption: A Low-Cost Participatory Hemodynamic Simulator James V. Ritchie, MD - Naval Medical Center Graduate Medical Education and Knowledge Translation: One Problem-Specific Approach in Residency Christopher R. Carpenter, MD, MSc - Washington University in St. Louis A Novel Approach to Residency Education in EMS: The MD-PM Ambulance Angela B. Fiege, MD - Indiana University 45

SAEM Special Recognition Award Jeff Runge, MD

Chief Medical Officer for the Department of Homeland Security.

His accomplishments there include:

The Society of Academic Emergency Medicine confers its 2008 Special Recognition Award to a researcher, leader, change agent, and public official whose impact in medicine and traffic safety has been felt around the world.

• Leading an effort for influenza pandemic preparedness, creating a tangible policy that is in operation today.

Dr. Runge—Jeff to those who know him--graduated from the University of South Carolina School of Medicine in 1981, and in 1984, completed a residency in emergency medicine at Carolinas Medical Center. There, he went on to become the Research Director and Assistant Chair. Prior to his public service, Jeff was active in SAEM, having served on numerous committees and task forces. He was an active researcher, having published over 40 original peer-review manuscripts. His research focus was on injury prevention, with a special interest in drunk driving intervention. His political action that led to the continuation of a motorcycle helmet law in North Carolina prompted his recognition in national politics, leading to his appointment as Director of the National Highway Traffic Safety Administration in 2002. Recognizing his achievements in this role, Michael Chertoff, the Secretary of the Department of Homeland Security, appointed Jeff as that Department’s first Chief Medical Officer in July of 2005. His official start date to this post was September 5, 2005.

• Creating the entire office of Health Affairs, including a staff of 120 people with a $117 million dollar budget.

• Overseeing the realignment of programs shared among different branches of government, including the BioShield initiative, and the transition of the national disaster medical safety to the HHS, as well as the Division of Immigrant Health Services to the DHS. • Developing and leading an intensive program to facilitate the next generation of bio-detection technology in anti-bioterrorism methodologies.

Throughout this time, Jeff has remained visible to us in academic emergency medicine, having frequently appeared at national meetings.

Those who know Jeff personally recognize his uniquely pithy common sense. Jeff’s many mini-philosophies have long been the target of much affectionate analysis, especially his philosophy toward administrators and bureaucrats. One of Jeff’s simplest tenets came from the Woody Allen line: “Half of life is just showing up.”

Returning to his accomplishments that have affected the citizens of the United States: • Jeff led the national “Click-it-or-Ticket” campaign that is credited for increasing safety restraint use from 71% to 82%, accounting for at least 2,000 lives saved a year in the United States.

We are all better off that Jeff kept showing up because he relentlessly pushes for change to protect us. For his contributions to SAEM, to emergency medicine, and to the United States of America, Jeff is bestowed with the Special Recognition Award from SAEM in 2008.

• During his tenure at NHTSA, our nation experienced its largest and most consistent decrease in the absolute numbers of highway deaths since the early 1990s.

• Jeff’s innovative research and policies designed to target and apply therapy-directed interventions on drunk drivers in the ED remains recognized by law enforcement agencies across the country as a key innovation toward reducing drunk diving-related deaths.

• Jeff promulgated the legislation that required the motor vehicle manufacturer industry to improve the safety of SUVs, especially toward the goal of reducing rollover crashes.

• Jeff provided a rare fresh breath of green air from the Bush Administration when he pushed for legislation requiring manufacturers to raise fuel economy standards for light trucks and SUVs. With this track record, he has continued his productivity as the 46

SAEM Hal Jayne Award for Academic Excellence Ron M. Walls, MD Ron Walls, M.D., completed his medical education at the University of British Columbia in 1979, and immediately proceeded on to a rotating internship and specialty training at the Denver Affiliated Residency in Emergency Medicine where he also served as chief resident in his senior year. Thereafter, and despite his relative youth, Dr. Walls established not one but two emergency medicine teaching programs between 1987 and 1993. He was an Associate Professor and Head of Emergency Medicine, Department of Surgery at the University of British Columbia. During his tenure there, he developed the first medical student elective rotation in emergency medicine and established the first academic emergency department in Canada staffed only by specialty trained emergency physicians. From 1996 to the present, he has sat as Chair of the Department of Emergency Medicine at the Brigham and Women’s Hospital at which he has been largely responsible for the development of the Harvard Affiliated Emergency Medicine Residency. Under his aegis, this program has achieved national prominence for educational excellence, outstanding faculty members, and the accomplishment of substantive and high quality peer review and non-peer review academic projects. Not to be missed is the fact that under Dr. Walls’ mentorship, nine former members of his faculty have been awarded leadership positions in teaching programs at other institutions across the nation, to include 5 sitting academic chairs.

While at Brigham and Women’s Hospital, Dr. Walls developed the STRATUS Center for Medical Simulation, one of the most advanced centers for medical simulation that exists in emergency medicine. It has been designated as the primary center for all medical education simulation at the Brigham and Women’s Hospital and is responsible for training not only emergency physicians, but physicians of all specialties, including anesthesia and surgery, as well as nurses and emergency medical providers.

In research, Dr. Walls has created a special niche in emergency medicine by virtue of his founding the National Emergency Airway Registry in 1996. This ongoing multi-center data collection instrument is responsible for the most rigorous and the largest ongoing repository of real-time emergency medicine airway management data in the world and has to date recorded over 15,000 emergency intubations. This has led to a considerable series of peer-review publications and will continue to be responsible for the ongoing improvement in the understanding and betterment of this most critical skill in emergency medicine. He currently is an Associate Editor of the Journal of Emergency Medicine, the Editor-in-Chief of Journal Watch Emergency Medicine, and is the newly appointed Editor-in-Chief of Emergency Medicine for UpToDate. He also has been a Senior Editor for Rosen’s Emergency Medicine: Concepts in Clinical Practice for the 5th through 7th editions. Notably and finally, in 2006, Dr. Walls became the first physician trained in emergency medicine to be promoted to the rank of full professor at Harvard Medical School.

With regard to teaching, Dr. Walls has accomplished wide renown as reflected by the numerous invitations to speak in keynote, plenary and other positions in regional, national and, notably, international arenas. It is inarguable that he is the preeminent emergency physician lecturer in the field of emergency airway management in this country. In collaboration with others, but under his leadership, he has implemented the National Emergency Airway Management course which has been and continues to be a critical hands-on and didactic instructional tool for hundreds to thousands of participants from various disciplines since 1997.

The course format has been adopted by the Royal College of Surgeons as the method by which British emergency physicians are trained in emergency airway management. The manual for the course, which is now in its second publication, has been translated into 5 languages.

I confess I have been a close colleague and friend of Dr. Walls these many years. While that may lay foundation for bias in this offering, I would submit that it allows me to give an uncommonly intimate appraisal. I believe he possesses rare intellect, tremendous intuitiveness, consummate leadership, and unyielding dedication to the specialty of emergency medicine. More importantly, he is a compassionate care provider, a highly principled and intellectually honest physician, and a tireless and selfless Chair who spends enormous time towards the betterment of his faculty and residents.

Dr. Walls also held the position of Co-Chair of the Undergraduate Steering Committee for the Division of Emergency Medicine at the Harvard Medical School through which he oversaw the construction of a core elective for emergency medicine for all the Harvard teaching hospitals. He was recently awarded the Outstanding Teacher Award by the American College of Emergency Physicians. From my vantage, however, Dr. Walls’ greatest achievements in teaching are those which receive the least national acclaim. Since 1997, he has garnered six lecturer and teaching awards from his residents. These are his greatest honors as they reflect his dedication, effort and expertise given over to these young physicians.

It has been my great privilege to nominate Ron Walls, M.D. for the Society’s Hal Jayne Academic Excellence Award. This terrifically gifted man is richly deserving of this prestigious honor.

John A. Marx, M.D., Chief and Chair Department of Emergency Medicine Carolinas Medical Center

47

SAEM Leadership Award Arthur L. Kellermann, MD, MPH

mittee on Oversight and Government Reform, chaired by Rep. Henry Waxman (D-CA). During his 12 months of service, this Committee held a number of pivotal hearings, including one that addressed the national crisis in emergency departments and urgent need for emergency care research, and another that highlighted the danger posed by potential cuts in federal funding to teaching hospitals and graduate medical education. In January, Art returned to Emory to become the School of Medicine’s first Associate Dean for Health Policy.

A 1980 graduate of the Emory University School of Medicine, Art completed his residency training and a 2-year research fellowship at the University of Washington, Seattle. Following an 8-year stint as Chief of the Division Emergency Medicine at UT Memphis and Medical Director of the Memphis Fire Department EMS Bureau, he returned to Atlanta in 1993 to establish the Emory Center for Injury Control. Two years later, he agreed to “temporarily” lead Emory’s Division of Emergency Medicine, which was in crisis at the time. The team he recruited was so successful at transforming the program, that 4 years later, Emory’s Trustees voted to make Emergency Medicine an academic department, with Art as Chair.

Interestingly, Art has never led a major EM organization, nor is he likely to. Although he has served on countless SAEM and ACEP Committees, and was a member of both organizations’ Board of Directors, he prefers to work behind the scenes.

During more than two decades of service as a division chief and later a department chair, Art recruited and developed a generation of academic leaders who are making their mark as teachers, administrators, researchers and innovators. Over the years, he has opened doors for his colleagues to assume institutional and national leadership roles in patient care, administration, teaching and research. He is particularly proud of Emory EM’s commitment to diversity, community service, public health, and academic innovation.

Art personifies the concept of “servant leadership”. Placing others before himself, he has dedicated his career to advancing the science and practice of emergency medicine, promoting public health, developing EM leaders, and protecting the patients we serve.

A prolific researcher, Art has published landmark studies on a wide range of topics, including firearm injury prevention, cardiac resuscitation, health services for the poor and traumatic brain injury treatment. Throughout his career, he has been a tireless champion for academic emergency medicine. Trading on his personal relationships with the leaders of academic medical centers, non-governmental organizations, federal research agencies, and foundations, he has quietly advanced the careers of countless academic emergency physicians across the country.

Elected at age 45 to the Institute of Medicine (IOM) of the National Academies, Art Co-Chaired the IOM’s Committee on the Consequences of Uninsurance. This committee’s work is playing an important part of shaping the debate about coverage options and health care reform. Working in concert with a small group of SAEM leaders, Art convinced the IOM to organize the Committee on the Future of Emergency Care in the U.S. Health System.

Named a member of the Committee, Art played a major role in shaping its recommendations.

In the fall of 2006, Art declined an opportunity to run for ACEP President and relinquished his chairmanship (and the bulk of his salary) in order to become a Robert Wood Johnson Health Policy Fellow in Washington DC. There, he landed a coveted position as member of the professional staff of the House Com48

SAEM Advancement of Women in Academic Emergency Medicine Award Rita Kay Cydulka, MD, MS

dents and resident within both MetroHealth and Case Western Reserve University. As residency director, she was instrumental in setting up our resident mentoring program, our at-risk resident intervention program, and brought other women into the residency steering committee. As vice chair of the Department of Emergency Medicine, she has worked with 30-40 residents, graduate students, and junior faculty (male and female) as a dedicated mentor in teaching research skills, developing research protocols, assisting mentees with research execution and presentation, and facilitating research training grants for mentees. She has been particularly effective in helping busy women faculty identify and carry through with academic, teaching, and administrative opportunities.

By personal example and through her professional activities, Rita Cydulka both represents and advances multifaceted achievement, success, and balance for women physicians within academic Emergency Medicine.

Dr. Cydulka received her M.D. degree and completed her EM residency training at Northwestern University, and received a Master’s Degree in Epidemiology and Biostatistics (with an emphasis on Health Services Research) at Case Western Reserve University in 2001. She spent the first five years of her academic career at Northwestern before coming to MetroHealth Medical Center and Case Western Reserve University for the past 18 years. She received the award of tenure in 1998, and was appointed as Professor of Emergency Medicine with Tenure in 2007 at Case Western (both academic firsts for women in our department). She served as the inaugural EM residency program director at MetroHealth from 1991-1999, and has served as the Vice Chair for the Department of Emergency Medicine since 2003.

She has been the recipient of 15 grants, and has made over 100 invited presentations. She serves on the Editorial Boards of Annals of Emergency Medicine and Academic Emergency Medicine, and is the current president of the American Board of Emergency Medicine.

Dr. Cydulka has also been an identified mentor nationally as well. Both outside female residents and junior faculty have been referred to her for mentoring and support on the balance of career, maintaining a family, and balance with personal life and priorities within an academic medical career. She has been generous with her time, and is always available to help students, residents, and faculty both locally and nationally - one only has to see the crowd around her at national meetings to recognize that her counsel is widely sought and appreciated. She has written dozens of referee letters for university promotion for women seeking academic promotion across the country, and has actively nominated deserving women for visible leadership roles at the American Board of Emergency Medicine. She demonstrates her belief that such balance is achievable with appropriate prioritization, attention to balance, and infrastructural support, both through her individual mentoring activities and by personal example as a successful academician with a happy marriage and three children.

Specific to the issue of women in academic Emergency Medicine, Dr. Cydulka has served on two relevant SAEM committees. She was Chair of the SAEM Task Force on Women and Minorities in Academic Emergency Medicine (1996-1998) and was a member of the Women in Academic Emergency Medicine Task Force (2005-2007). She has also served as SAEM liaison to the Women in Medicine section of the Association of American Medical Colleges, and has served Case Western Reserve University on the steering committee of the Women’s Faculty Advising Group.

Her academic work has included investigation of gender differences in the treatment and outcomes of asthma, and evaluation of ABEM’s Longitudinal Study data on gender issues. She wrote and conducted the first survey on Women in Academic Medicine (Cydulka RK, et al, Academic Emergency Medicine, 2000: 7; 999-1007), and wrote the section on faculty development for women in the SAEM Academic Career Development Handbook.

At the national level, she has made presentations at SAEM and the ACEP Women’s Section on balance, prioritization, and support of career achievement, maintenance of a family, and longevity in Emergency Medicine.

For all of the above reasons - a successful academic career, in-depth involvement locally and nationally on committees and within institutions to support advancement of women emergency physicians, and in her tireless and extensive efforts in the mentorship of hundreds of women physicians - Rita Cydulka has been a primary force in the advancement of women in academic Emergency Medicine, and is a worthy recipient of this award.

Louis Binder, M.D. Charles Emerman, M.D. MetroHealth Medical Center Case Western Reserve University

Dr. Cydulka’s impact on women in academic Emergency medicine has occurred at both the local and national levels. Locally, for nearly 20 years, she has served as a mentor for women stu49

SAEM Young Investigator’s Award

Rollin J. Fairbanks, MD

Jason S. Haukoos, MD

Jason S. Haukoos, M.D., M.Sc. graduated Summa Cum Laude from the University of California, Riverside (UCR) with a degree in Biomedical Sciences. As part of a combined, seven-year B.S./ M.D. program through UCR and the University of California, Los Angeles (UCLA) School of Medicine, Dr. Haukoos completed medical school in 1998. During his years at UCLA, he completed a Medical Student Honors Thesis entitled, “Emergency Department Triage of Patients Infected with HIV.” He went on to complete residency training in emergency medicine at Harbor-UCLA Medical Center in Torrance, California. Dr. Haukoos stayed on at Harbor-UCLA to complete a two-year clinical research fellowship under the direction and mentorship of Roger Lewis, M.D., Ph.D. During his fellowship, he continued work in HIV prevention while obtaining his Master of Science degree in epidemiology. After twelve years of formal scientific education, Dr. Haukoos came to Denver, Colorado to serve as Director of Research for the Department of Emergency Medicine at Denver Health Medical Center.

Rollin J.(Terry) Fairbanks is the recipient of the 2008 Young Investigator’s Award. Terry received his undergraduate degree from Potsdam College and shortly thereafter became a paramedic. He received a master’s degree in Human Factors Engineering from Virginia Tech where his research focus was transportation safety. He received his MD from the Medical College of Virginia where he was a Shiai scholar and recipient of the SAEM medical student award.

After completing his emergency medicine residency at the University of Rochester, he remained as faculty, focusing his research talents in the area of patient safety. He has created interdisciplinary teams involving industrial and human factors engineers, patient safety researchers and pharmacists to develop new and innovative approaches to patient safety issues in EMS, the ED and the hospital. Together they have defined the field of patient safety in emergency medicine and the field of emergency pharmacy.

Terry wrote his first grant as a resident and soon was being funded on a regular basis. He is PI on an AHRQ U18, an NIH/ NINR STTR, and 4 foundation grants including the SAEM Patient Safety Grant funded by the Emergency Medicine Patient Safety Foundation. He has been co-PI, co-investigator of consultant on 10 additional grants. He has submitted a K08 to the NIH/NIBIB. Terry is the author of 28 peer-reviewed publications and another 26 publications (chapters, etc.) as well as 22 published abstracts and 18 proceedings papers. He is currently completing the Health Research & Educational Trust/NSPF Patient Safety Leadership Fellowship.

True to his paramedic beginning, Terry serves as the Associate Regional EMS Medical Director and Chair of the Regional EMS Advisory Council. He is medical director for 5 local EMS agencies. He was honored as the New York State EMS Physician of the Year in 2004 and Weber EMS Leadership Award in 2007.

Dr. Haukoos is fully committed to his career as a physician-scientist in emergency medicine and is dedicated to advancing our academic specialty. His productivity began as a resident and has steadily accelerated over the past five years. His level of extramural funding is impressive for this stage of his career and includes a Research Training Grant from the Society for Academic Emergency Medicine (SAEM), an Individual National Research Service Award (F32) from the Agency for Healthcare Research and Quality (AHRQ), a program grant from the Colorado Department of Public Health and Environment, a large, multi-year grant to evaluate routine opt-out rapid HIV screening in the emergency department (ED) from the Centers for Disease Control and Prevention (CDC), and most recently, an Independent Scientist Award (K02) from AHRQ. The total costs for these awards and grants approach nearly two million dollars. With this support, he has focused his academic energy, publishing approximately 40 peer-review publications since 2003.

Terry is a true triple threat. He has integrated a somewhat eclectic set of skills (engineering, medicine and pre-hospital experience) into an innovative and scientifically sound career path. He is an example of why education, regardless of the field, is valuable.

While Terry will clearly be a superstar within research, he is an excellent clinician and teacher. Students and residents see him as approachable as well as knowledgeable. He has shown the ability to work with and value all members of the healthcare team, and even broadening the team to fields usually not associated with medicine. It is his ability to create innovative teams, to ask innovative questions, and to solve them by collaborative thinking ‘outside the box’ that will lead Terry to bigger and better things.

Dr Haukoos’ research in HIV prevention and its application in ED settings has led him to become a nationally recognized figure in this important public health area. Beyond personal academic success, Dr. Haukoos has given back immensely to the field of emergency medicine. He has served as a member of the Grants, Research, and Program Committees for SAEM; he is a content and statistical reviewer and Decision Editor for Academic Emergency Medicine; a content reviewer for Annals of Emergency Medicine; a content reviewer for a number of HIV-related journals; a member of the Colorado Multiple Institutional Review Board for the University of Colorado Denver School of Medicine; and he holds multiple other local, regional, and national positions.

50

Dr. Haukoos continued

tical methodology.

In addition to these organizational volunteerisms, Dr. Haukoos is selfless with his time as Director of Research for our department, including efforts that have led to his involvement in over 20 peerreviewed publications and countless academic projects across multiple specialties and a number of institutions. His methodological and statistical expertise has proven to be the bellows on the fire of research productivity at our institution. His expertise, however, is not limited to our specialty. We have witnessed Dr. Haukoos advising internal medicine and surgical faculty and residents on multiple occasions. He has lectured nationally and authored several textbook chapters and review articles on statis-

For these reasons we cannot think of anyone more deserving of the SAEM Young Investigators Award!

Stephen J. Wolf, M.D. Denver Health Medical Center Denver, Colorado Roger J. Lewis, M.D., Ph.D. Harbor-UCLA Medical Center Torrance, California

SAEM Young Investigatorâ&#x20AC;&#x2122;s Award

Roland C. Merchant, MD

and other settings. He is well-known for his efforts in helping to create non-occupational post-exposure prophylaxis guidelines for the State of Rhode Island, and was an advisor to the State of New York, the Centers for Disease Control and Prevention, and the World Health Organization for their exposure guidelines. His guidelines are widely acknowledged by emergency physicians and infectious disease experts as evidence-based, practical approaches to HIV exposure prophylaxis provision. His research has already changed clinical practice. He has clearly emerged as one of the leaders in emergency medicine research in HIV, AIDS, and sexually transmitted diseases. Dr. Merchant has produced over 30 peer-reviewed publications and is first author on the great majority of these. Another 8 publications are in press.

At this early stage of his career, he has already made 27 national presentations and given numerous invited lectures.

Roland Clayton Merchant, MD, MPH, ScD has charted and navigated a challenging but highly successful course in becoming an accomplished investigator worthy of the 2008 SAEM Young Investigator Award.

When Dr. Merchant completed his emergency medicine residency at the Mount Sinai School of Medicine of New York University, he was determined to continue research work in the intersection of the fields of infectious diseases, public health, and emergency medicine. He knew this would require excellent research training, and he took a stepwise approach with a long term view.

Dr. Merchant received the SAEM Resident Research Award in 2001 which enabled him to further his work on HIV in the emergency department (ED). Also in 2001, he began a research fellowship at Brown Medical School that was jointly sponsored by the then Division of Emergency Medicine and the Division of Infectious Diseases. For this fellowship he was supported by the SAEM Resident Research Award and later by a National Institute on Drug Abuse-funded T32 from the Division of Infectious Diseases at Brown. He received smaller foundation grants in subsequent years, and then in 2004 received a five-year K23 Career Development Award from the National Institute for Allergy and Infectious Diseases for rapid HIV testing in the ED. Concurrently, he received a one-year Centers for Disease Control and Prevention grant for $120,000. He later received another significant grant from the Foundation for AIDS Research (amFAR) to study ethical concerns and justifications about new guidelines released by the Centers for Disease Control and Prevention regarding HIV testing practices in the healthcare setting. As part of the K23 grant and research fellowship, Dr. Merchant has pursued highlevel research training. He recently completed his Doctor of Science in Epidemiology from the Harvard School of Public Health in epidemiology. He also received a Master of Public Health degree from Harvard during his research fellowship at Brown.

Early in his academic career, Dr. Merchant advanced the understanding of HIV post-exposure prophylaxis utilization in the ED

Dr. Merchant has done it the right way, with patience and perseverance, and a strong work ethic. He has proven to be an effective collaborator at our institution. In recognition of his work, in 2006 Dr. Merchant was awarded the Paul Calabresi Faculty Research Award by the Department of Emergency Medicine of Brown Medical School.

In an amazingly brief time Dr. Merchant has gained national recognition and support to continue his innovative research in emergency medicine and public health. Importantly, his contributions are not just scholarly â&#x20AC;&#x201C; he has helped the communities he serves by finding new ways to control HIV transmission and lessen the burden of HIV. Dr. Merchant is truly an outstanding young investigator.

Brian J. Zink, MD Rhode Island Hospital

51

Chief Resident Forum May 30, 2008 7:30 - 4:00 p.m.

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

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

All chief residents registered to attend the Annual Meeting are invited to register for the special Chief Resident Forum.

Enrollment is limited and the fee is $150, in addition to the basic Annual Meeting registration fee. Use the online Annual Meeting registration form to register for the Annual Meeting and the Chief Resident Forum.

7:30 - 8:00

Continental Breakfast

8:00 - 8:10

Welcome, Jeff Druck, MD.

8:10 - 9:00

Leadership Management Role, Bob Hockberger MD, Harbor UCLA Medical Center.

9:00 - 10:00

Communication as a Key to Leadership Success, Jim Adams, MD, Northwestern University.

10:00 - 10:15

Break

10:15 - 11:00

Time Management, Tom Cook, MD, Palmetto Health Richmond Hospital.

11:00 - 12:00

Professional Growth and Success as a Chief Resident, Britney Anderson, MD, University of Colorado.

12:00 - 1:15

Lunch with Program Directors

1:15 - 2:00

Work Life Balance, Sheryl Heron, MD, Emory University

2:00 - 2:45

Chief Issues and Approaches to Success, Panel Discussion

2:00 - 2:30

Emergency Medicine Residency Rules and Regulations, Pamela Dyne, MD

2:45 - 3:00

Break

3:00 - 4:00

Scheduling, The Many Headed Monster, Panel Discussion

52

Medical Student Symposium Saturday May 31, 2008 8:00 - 4:30 p.m.

The Medical Student Symposium is intended to help medical students understand the residency and career options that exist in Emergency Medicine, evaluate residency opportunities, and select the right residency. At the completion of the session, participants will: 1) know the characteristics of good emergency physicians and the “right” reasons to seek a career in this specialty, 2) have a better understanding of the application process, 3) Consider factors important in determining the appropriate residency, including geographic locations, patient demographics, length of training, etc. 4) understand the composition of an emergency medicine rotation and what to expect while they are rotating in the ED, 5) discuss the skills needed to get the most out of your educational experience in the ED rotation, 6) identify the standard sources of information in the field of emergency medicine 7) have an appreciation of various career paths available in Emergency Medicine, including academics, private practice, and fellowship training , and 8) discover current areas of research in Emergency Medicine.

8:00 - 8:10

Introduction: Terry Kowalenko, MD, University of Michigan

8:10 - 8:50

How to Select the Right Residency for You, Annie Sadosty, MD.

8:50 - 9:20

Getting Good Advice, David Milzman, MD.

9:20 - 9:50

The Medical Student Performance Evaluation (MSPE).

“The Dean Letter”, Yolanda Haywood, MD.

9:50 - 10:00

Break

10:00 - 10:45

Navigating the Residency Application Process and Interview Tactics, Michelle Haydel, MD.

10:45 - 11:30

Getting the Most of Your Clerkship, Gus Garmel, MD.

11:30 - 12:00

Assessing Your Competitiveness as an Emergency Medicine Applicant and the Competitiveness of Programs, Chris Ghaemmaghami, MD.

12:00 - 1:30

Lunch with Program Directors

1:30 - 2:00

Career Paths and Prospects in Emergency Medicine, H. Gene Hern, MD.

2:00 - 2:30

Emergency Medicine Residency Rules and Regulations, Stephan Rinnert, MD

2:30 - 2:45

Break

2:45 - 3:45

Small Groups Balancing Act, Charlene Irvin, MD Financial Planning, Dave Overton, MD Optimizing Your 4th Year, Doug Ander, MD Medical School Without Residencies, Patricia Lanter, MD Osteopathic Students and Programs, Greg Garra, MD

3:45 - 4:15

Resident Panel

4:15 - 4:30

Closing Comments, Terry Kowalenko, MD, University of Michigan

53

Call for Abstracts Emergency Medicine: Past, Present, and Future 11th Annual Mid Atlantic SAEM Regional Research Meeting September 26 – 27, 2008 Penn State University Hershey Medical Center, Hershey, PA The Program Committee is pleased to announce the SAEM Mid-Atlantic Research Meeting on September 26-27, 2008. This is an excellent opportunity for students, residents, fellows, and junior faculty to present their findings and collaborate with other scientists. As in prior years there will be plenary and brief oral presentations.

We are pleased to announce a kickoff dinner presentation on September 26, 2008 starting at 7pm. September 27th will include a lunch speaker on EM’s rich and sordid history and a panel discussion on the Future of EM. Brian Zink, M.D., author of Anyone, Anything, Anytime (A History of Emergency Medicine) will be featured. CME credit will be offered.

Abstracts should be submitted before 5:00pm Eastern Time on Monday, August 25, 2008 at http://apps. saem.org. Acceptance notifications will follow in early September.

Hershey, PA is less than a 3-hour drive from DC, New York, Philadelphia, and Baltimore. Hershey park is open on the 27th, other interests include outlet shopping, the Gettysburg battlefield and Lancaster Amish communities. Overnight lodging is readily available and affordable. Questions are welcome to Glenn Geeting, MD, at ggeeting@hmc.psu.edu.

Texas Tech University Health Sciences Center School of Medicine at El Paso, Texas Robert H. Woolard, MD, Chair, Department of Emergency Medicine Texas Tech at El Paso seeks candidates for full-time faculty positions in the Department of Emergency Medicine. TTUHSC-El Paso is a thriving regional campus of TTUHSC School of Medicine. El Paso is an international city at the base of the Rocky Mountains and is rated as the third safest city in the US. Texas Tech has over 300 faculty and residents and 11 clinical departments. The campus is undergoing major expansion in preparation for the opening of the new school of medicine. El Paso has a population of over 750,000 and is projected to grow over 10% in the next 2 years with new industry attracted to the region. Thomason Hospital, a Level 1 Trauma Center, is the primary ED site with a volume of 60,000 visits. TTUHSC will open the new medical school in El Paso with the first students scheduled for 9/2009. Construction of the state of the art medical school building will be completed by 9/2008. Construction of a new $36 million research building has recently been completed. Joining the Department of EM at Texas Tech in EL Paso represents a unique opportunity to help establish and define a larger role for EM in Medical Education and academia at the inception of the Medical School. Positions include: • CoDirector of Medical Simulation • Director of Medical Student Education • Academic Attending Physician • Director of Research • Clinical Attending Physician • Assistant Director of Toxicology Medical Spanish is highly desirable. Academic rank commensurate with qualifications.

Visit www.texastech.edu.

Shawn Teed, President Teed & Company 21 Ann St., Suite AC-1 Norwalk, CT 06854

1-877-901-0191 1-203-857-0191 Fax:1-203-857-0190 Email: steed@teedco.com

Teed & Company is the exclusive recruitment firm for this engagement.

54

Residency Fair Participants Friday, May 30, 2008 5:00 - 6:30 pm SAEM would like to thank the following EM residency programs who have registered to participate in the Residency Fair. The Residency Fair provides a unique and economical opportunity for medical students interested in a career in emergency medicine.

Albany Medial Center

Albert Einstein Medical Center

Allegheny General Hospital

Baystate Medical Center

Beth Israel Deaconess Medical Center

Boston Medical Center

Brown University

Carolinas Medical Center

Christiana Care

Corpus Christi

Denver Health Medical Center

East Carolina University

Emory University

Geisinger Medical Center

Georgetown University

Grand Rapids/MERC

Hennepin County Medical Center

Indiana University

Indiana University EM/Peds

Jacobi/Montefiore

Long Island Jewish Medical Center

Louisiana State University – New Orleans

Louisiana State University –Shreveport

Maimonides Medical Center

Maine Medical Center

Maricopa Medical Center

Mayo Clinic

Medical College of Wisconsin

Metropolitan Hospital

Mount Sinai Hospital

MSU-Kalamazoo

New York Presbyterian

New York Queens

North Shore University

Ohio State University

Oregon Health & Science University

Orlando Regional Medical Center

Palmetto Health Richland

Regions Hospital

Resurrection Medical Center

Scott & White Memorial Hospital

St. Luke’s Hospital

Stanford/Kaiser

Summa Health System

SUNY @ Stony Brook

SUNY Downstate/Kings County

Synergy Medical Education Alliance

UMDNJ-Robert Wood Johnson/Cooper Hospital

University of Alabama @ Birmingham

University of Arizona

University of Buffalo

55

Residency Fair Participants Cont.

University of California – Irvine

University of California San Francisco – SFGH

University of Cincinnati

University of Florida – Gainesville

University of Florida – Jacksonville

University of Iowa

University of Michigan

University of New Mexico

University of North Carolina

University of Pittsburgh

University of Rochester

University of South Florida – Tampa

University of Virginia

Virginia Commonwealth University

Washington University

West Virginia University

William Beaumont Hospital

Wright State University

Photography Exhibit and Visual Diagnosis Contest SAEM would like to thank the following individuals who contributed to this year’s Clinical Pearls and Visual Diagnosis Contest entries. It is a significant commitment of time and intellect to develop the ever-popular Photo Display, which once again will be presented at the SAEM Annual Meeting in the Exhibit Hall, along with the posters and Innovations in Emergency Medicine Education Exhibits.

Nicholas Armellino Emily A. Baran Megan Boysen Sean M. Bryant Christina Chiang Steve C. Christos Jonel Daphnis Kenneth DeKay Rui Domingues Travis Eastin Andrew Ehrhard Jyoti Elavunkal Stephen Ellison Scott Goodroad Rob Graessle Christopher Guyer

Stephen Hatem Andra Holder Ramie Hood Kurt Isenberger Matt Lazio James Little Brian Lin Michael Manka Jennifer Martin Ninfa Mehta Ed Michelson Monique Mirshak Prachi M. Modi Sean Nolan Andrew L. Nyce Michael P. Phelan

Rahul Prasankumar Svetlana Resnikova Tomasz Rogula Mary T. Ryan Dana Sajed Elizabeth Salvin Gary Sanderson Turandot Saul Heather Schulz Mark Silverberg Jessica Smith Heather Sutherland Darrell Sutijono Ed Tham Robert Tubbs David Wallace

Mary Ward Stanley Wu

Potential Conflict of Interest

As an accredited provider of continuing medical education Michigan State University, College of Medicine is required to ask speakers to disclose any real or apparent conflict of interest they may have as related to the content of their presentation(s). The existence of the commercial or financial interests speakers related to the subject matter of their presentation should not be construed as implying bias or decreasing the value of their presentation(s). However, disclosure should provide information to participants to form their own judgments. All speakers were independently selected by the SAEM Program Committee. Those speakers (of both didactic and abstract presentations) who disclosed affiliations or any potential conflicts are listed below.

Benjamin Abella Lance Becker Carlos Camargo Deborah Diercks Kennon Heard Daniel Jost Jeffrey Kline Michael Kruz Stephen Mayer Katherine O’Donnell Brian O’Neil Robert Walter

Philips Medical, Cardiac Science Corp., Alsius Corp., Medic First Aid, Laerdal Medical Philips Medical Systems, Laerdal Medical, Alsius Corp., Cardiac Science, Abbott Labs, Cold Core Thera peutics, Inc., Zoll Medical, Medtronics Critical Therapeutics, AstraZeneca, Genentech, GSK, Merck, Novartis, Respironics, Schering-Plough, DEY Sanofi Aventis, Bristol-Meyer Squibb, Medicines Company, Astellas, Dade-Behring McNeil Consumer Products Physio-Control CP Diagnostics, LLC Zou Medical Corp.

Novo Nordisk AstraZeneca, Merck Med. Vance Corp.

Maroon Biotechnology, Avocet Polymer Technology 56

Didactic Speaker List Stephanie Abbuhl, MD University of Pennsylvania

Theodore Delbridge, MD Washington University

Nate Kupperman, MD University of California, Davis

Benjamin Abella, MD University of Pennsylvania

Deborah Diercks, MD University of California, Davis Medical Center

Eddy Lang, MD McGill University

James Adams, MD Northwestern University

Gail D'Onofrio, MD Yale University School of Medicine

Jack Lewin, MD American College of Cardiology

Angela Anderson, MD Wrren Alpert Medical School at Brown University

Susan Duffy, MD Wrren Alpert Medical School at Brown University

Roger Lewis, MD Harbor-UCLA Medical Center

Mark Angelos, MD Ohio State University

Ramana Feeser, MD Virginia Commonwealth University Meical Center

Michelle Lin, MD University of California San Francisco

Felix Ankel, MD Regions Hospital & University of Minnesota

Robert Freishtat, MD George Washington University

Daniel M. Lindberg, MD Dept. of Emergency Medicine Brigham & Women's Hospital

Andrew Asimos, MD Carolinas Medical Center

Robert Gerhardt, MD SAUSHEC/Brooke Army Medical Center

Brent Asplin, MD Regions Hospital & University of Minnesota

Seth Glickman, MD Duke Clinical Research Institute

Jill Baren, MD University of Pennsylvania

Louis Goldfrank, MD NYU School of Medicine

William Barsan, MD University of Michigan

Gary Green, MD New York University

Brigitte Baumann, MD UMDNJ-RWJMS at Camden

Richard Griffey, MD Washington University School of Medicine

Christopher Beach, MD Northwestern University

Kennon Heard, MD University of Colorado

Lance Becker, MD University of Pennsylvania

Katherine Heilpern, MD Emory University

Bruce Becker, MD Warren Alpert Medical School of Brown University

Sheryl Heron, MD Emory University School of Medicine

Steven Bernstein, MD Montefiore Medical Center Albert Einstein College

Robert Hockberger, MD Harbor-UCLA Medical Center

Diane Birnbaumer, MD Harbor-UCLA Medical Center Michelle Biros, MD Hennepin County Medical Center Janice Blanchard, MD George Washington Linda Brown, MD Warren Alpert Medical School at Brown University Michael Brown, MD Grand Rapids MERC Michigan State University John Burton, MD Albancy Medical Center Charles Cairns, MD University of North Carolina Christopher Carpenter, MD Washington University Maureen Phipps, MD Women and Infants Hospital

Christopher Lindsell, PhD University of Cincinnati Bernard Lopex, MD Thomas Jefferson University Hospital Doug Lowery-Noth, MD Emory University Martin Lucenti, MD Northwestern University Nicole Lurie, MD RAND Michael Lyons, MD University of Cincinnati

Judd Hollander, MD University of Pennsylvania

John Marler, MD National Institute for Neurological Diseases and Stroke Michael Maves, MD Americal Medical Association Stephan Mayer, MD Columbia Presbyterian Kathryn M. McCans, MD Dept of Emergency Medicine, UMDNJ-RWJS

Debra Houry, MD Emory University David Howes, MD University of Chicago Hospitals

Alyson McGregor, MD Warren Alpert Medical School of Brown University Chaya Merrill, PhD Thomson Healthcare

Andy Jagoda, MD Mount Sinai

Jim Miner, MD Hennepin County Medical Center

Edward Jauch, MD University of Cincinnati

Spencer Nabors, MD SUNY Downstate and Kings County Hospitals

Samuel Keim, MD University of Arizona Kristi Koenig, MD University of California at Irvine, School of Med. Michael Kohn, MD University of California, San Francisco Jon Krohmer, MD Department of Homeland Security

James Olson, PhD Wright State University Frank Overly, MD Warren Alpert Medical School of Brown University Edward Panacek, MD UC Davis Paul Pepe, MD UT Southwestern Medical Center at Dallas

Gloria Kuhn, DO Wayne State University

57

Didactic Speaker List Susan Promes, MD University of California, San Francisco

Shari Welch, MD LDS Hospital

Richard Rothman, MD Johns Hopkins University

Neil Wenger, MD University of California at Los Angeles

Brian Rowe, MD University of Alberta

Scott Wilber, MD Northeastern Ohio Universities College of Med.

Basmah Safdar, MD Yale-New Haven Hospital

Richard Wolfe, MD Beth Israel-Deaconess Medical Center

Tracy Sanson, MD University of South Flordia

Andrew Worster, MD Division of Emergency Medicine McMaster University

David Schriger, MD UCLA Kevin Schulman, MD Duke Clinical Research Institute

Kelly Young, MD Harbor-UCLA Medical Center John Younger, MD University of Michigan

Jeremiah Schuur, MD Brigham & Women's Hospital Phillip V. Scribano, DO Center for Child and Family Advocacy Manish Shah, MD University of Rochester Judy Shahan, RN Johns Hopkins University Philip Shayne, MD Emory University Bruce Siegel, MD George Washington University Peter Sokolove, MD University of California, Davis Claudia Steiner, MD Agency for Healthcare Research Quality Susan Stern, MD University of Michigan Ian Stiell, MD Ottawa Hospital - Civic Campus Stephanie Sudikoff, MD Warren Alpert Medical School at Brown Univeristy David Talan, MD UCLA/Oliveview James Tarrant, CAE Society for Academic Emergency Medicine Mary Jo Wagner, MD Synergy Medical Education Alliance Beverly Walters, MD Brown University Steven Warach, MD National Institute of Neurological Disorders and Stroke Robert Wears, MD University of Flordia

58

Moderator & Reviewer Acknowledgements Significant efforts, time, and resources are devoted to reviewing and moderating the many excellent abstracts submitted to SAEM every year. We thank all the reviewers and moderators for their time and efforts for making our annual meeting a success. The continued achievement of these important academic exercises depends on their unrelenting enthusiasm to support with their highest standards.

Gratefully, Andra L. Blomkalns, MD Chair, Scientific Subcommittee on behalf of Program Committee SAEM Annual Meeting 2008

**Applications for consideration to be an abstract reviewer are posted in the SAEM newsletter and in Academic Emergency Medicine summer issues

Moderator List James Amsterdam, DMD, MD Penn State University College of Medicine

Brent Asplin, MD Regions Hospital

Aaron Bair, MD, MSc University of California, Davis

Bonny Baron, MD SUNY Downstate Medical Center

Michael Beeson, MD Akron City Hospital

Steven Bernstein, MD Montefiore Medical Center

Michelle Biros, MD, MS Hennepin County Medical Center

Matthew Bitner, MD Emory University

Carlos Camargo, Jr., MD, DrPH Massachusetts General Hospital

Esther Chen, MD University of Pennsylvania

Jamie Collings, MD Northwestern Memorial Hospital

Sean Collins, MD University of Cincinnati Medical Center

Anthony Dean, MD University of Pennsylvania

Eric Dickson, MD University of Iowa Hospitals and Clinics

Walter Brian Gibler, MD University of Cincinnati Medical Center

Herbert "Gene" Hern, Jr., MD ACMC-Highland Hospital

James Hoekstra, MD Wake Forest University

Judd Hollander, MD University of Pennsylvania

Debra Houry, MD, MPH Emory University

Edward Jauch, MD University of Cincinnati Medical Center

J. Lee Jenkins, MD Johns Hopkins University

Christopher Kahn, MD University of California, Irvine

David Karras, MD Temple University School of Medicine

Jeffrey Kline, MD Carolinas Medical Center

Richard Krause, MD SUNY Buffalo Dept. of Emergency Medicine

Eddy Lang, MD SMBD Jewish General Hospital

Eric Legome, MD New York University

Christopher Lindsell, PhD University of Cincinnati Medical Center

Michael Lyons, MD University of Cincinnati Medical Center

Keith Marill, MD Massachusetts General Hospital

John Marx, MD Carolinas Medical Center

Jesse Pines, MD, MBA University of Pennsylvania

James Quinn, MD, MS Stanford Hospital and Clinics

Emanuel Rivers, MD, MPH Henry Ford Hospital

Adam Singer, MD State University of NY Stony Brook

Steve Trzeciak, MD RWJMS Medical School at Camden

David Wright, MD Emory University

59

Reviewer List Dominik Aronsky, MD, PhD Vanderbilt University

Jill Baren, MD University of Pennsylvania

Bonny Baron, MD SUNY Downstate Medical Center

Brigitte Baumann, MD UMDNJ-RWJMS at Camden

Steve Bernstein, MD Montefiore Medical Center

Louis Binder, MD MetroHealth Medical Center

Robert Birkhahn, MD New York Methodist Hospital

Michael Blaivas, MD, RDMS Medical College of Georgia

Michelle Blanda, MD Summa Health System

Andra Blomkalns, MD University of Cincinnati Medical Center

Bill Brady, MD University of Virginia

Kris Brickman, MD University of Toledo Medical Center

Gerard Brogan, MD North Shore University Hospital at Plainview

Lance Brown, MD, MPH Loma Linda University Medical Center

Carlos Camargo, MD,DrPH Massachusetts General Hospital

David Caro, MD University of Florida Jacksonville

Wallace Carter, MD New York Presbyterian

Anna Marie Chang, MD University of Pennsylvania Health System

Esther Chen, MD University of Pennsylvania Health System

Carey Chisholm, MD Indiana University

Gregory Conners, MD, MPH, MBA University of Rochester

Frank Counselman, MD Eastern Virginia Medical School

Paul Dargan, MD Guy's and St. Thomas' Poison Units, London

Daniel Davis, MD University of California, San Diego

Peter Dayan, MD Columbia University

Matthew Deibel, MD Synergy Residency Emergency Medicine

Nicole DeIorio, MD Oregon Health & Science University

Barry Diner, MD Emory University

Jeffrey Druck, MD University of Colorado

Amy Ernst, MD University of New Mexico

Susan Fuchs, MD Children's Memorial Hospital

E. John Gallagher, MD Albert Einsten College of Medicine

Alex Garza, MD University of Missouri

Maryanne Gausche-Hill, MD Harbor UCLA Medical Center

Paul Gennis, MD Jacobi Medical Center

Lowell Gerson, PhD Northeastern Ohio Universities

William Grant, MD Suny Upstate Medical University

Leon Haley, MD, MHSA Emory University

Jason Haukoos, MD, MS Denver Health Medical Center

Micelle Haydel, MD Louisiana State University School of Medicine

E. Parker Hays, MD Carolinas Medical Center

Kennon Heard, MD University of Colorado

Sean Henderson, MD University of Southern California

Michael Hochberg, MD Albert Einsten College of Medicine

Judd Hollander, MD University of Pennsylvania Health System

James Holliman, MD National Naval Medical Cente

James Holmes, MD, MPH University of California Davis

Debra Houry, MD, MPH Emory University

Alex Isakov, MD Emory University

Raymond Jackson, MD Wayne State University

Jeff Jones, MD Spectrum Health-Butterworth Campus

Alan Jones, MD Carolinas Medical Center

David Karras, MD Temple University School of Medicine

Eric Katz, MD Maricopa Medical Center

Anne Maree Kelly, MD Western Hospital

Jeff Kline, MD Carolinas Medical Center

Terry Kowalenko, MD University of Michigan

Rita Kumar, PhD Wayne State University

First Name Last Name, Title Institution

Roger Lewis, MD, PhD Harbor-UCLA Medical Center

Charles Little, MD University of Colorado Health Sciences Center

Bernard Lopez, MD, MS Thomas Jefferson University

Steve Lowenstein, MD, MPH University of Colorado Health Sciences Center

Xin Ma, MD, PhD Thomas Jefferson University

O. John Ma, MD Oregon Health & Science University

Catherine Marco, MD St. Vincent Mercy Medical Center

Keith Marill, MD Massachusetts General Hospital

Marc Martel, MD Hennepin

John Marx, MD Carolinas Medical Center

Andrew McAfee, Assoc. Prof.

Harvard Business School

Katie McClure, MD Oregon Health & Science University

Ken McConnell, PhD Oregon Health & Science University

Larry Melniker, MD, MS New York Methodist Hospital

Chad Miller, MD Wake Forest University

David Milzman, MD Georgetown University

Chris Moore, MD, RDMS Yale University

60

Reviewer List Cont.

Robert Muelleman, MD University of Nebraska

Mark Mycyk, MD Northwestern University Feinberg School of Medicine

Richard Nowak, MD Henry Ford Hospital

Robert O'Connor, MD, MPH University of Virginia

James Olson, PhD Wright State University

Brian O'Neil, MD Detroit Receiving Hospital

Peter Panagos, MD Rhode Island Hospital

Robert Partridge, MD, MPH Rhode Island Hospital

Tim Reeder, MD, MPH East Carolina University

Emanuel Rivers, MD, MPH Henry Ford Hospital

Rob Rodgers, MD University of Maryland School of Medicine

Marc Rosenthal, PhD, DO Medical Center Emergency Services Physicians

Chris Ross, MD Cook County Hospital

Brian Rowe, MD, MSc University of Alberta

Philip Salen, MD St. Luke's Hospital

Art Sanders, MD University of Arizona

Michael Sayre, MD The Ohio State University

Terri Schmidt, MD Oregon Health & Science University

Sandra Schneider, MD University of Rochester Medical Center

Michael Schull, MD, MSc Sunnybrook & Women's College Health Sciences Ctr.

Carl Schultz, MD University of California Irvine

Rawle Seupaul, MD Indiana School of Medicine

Nathan Shapiro, MD Beth Israel Deaconess Medical Center

Suzanne Shepherd, MD University of Pennsylvania

Robert Silbergleit, MD University of Michigan

Adam Singer, MD State University of New York Stony Brook

Peter Sokolove, MD University of California Davis

Jonathan Southall, MD Mercy Medical Center

Susan Stern, MD University of Michigan

Michelle Stevenson, MD Akron Children's Hospital

Ian Stiell, MD, MSc The Ottawa Hospital - Civic Campus

Thomas Terndrup, MD Penn State University College of Medicine

Stephen Trzeciak, MD RWJMS at Camden

Lekshmi Vaidyanathan, MBBS Mayo Clinic, Rochester

Arvind Venkat, MD Alleghany General Hospital

Gary Vilke, MD University of California - San Diego

John Watts, PhD Carolinas Medical Center

Chris Weaver, MD Indiana University

Steve Weiss, MD University of New Mexico

Janet Williams, MD Center for Biopreparedness

Stewart Wright, MD University of Cincinnati

Don Yealy, MD University of Pittsburgh

John Younger, MD, MS University of Michigan

Wesley Zeger, DO University of Nebraska Medical Center

61

Call for Didactic Proposals - 2009 Annual Meeting May 14 - May 17, 2009 • New Orleans, LA Deadline: September 2008 The Program Committee is inviting proposals for didactic sessions for the 2009 Annual Meeting. Didactic proposals may be aimed at medical students, residents, junior faculty and/or senior faculty. The format may be a lecture, panel discussion, or workshop. The Program Committee will also consider proposals for pre- or post-day workshops or multiple sessions during the Annual Meeting aimed at in-depth instruction in a specific discipline. Didactic proposals must support the mission of SAEM (to improve patient care by advancing research and education in emergency medicine) and should fall into one of the following categories: • • • • •

Education (educational research or teaching methodology, improving the quality of education, enhancing teaching skills) Research (research methodology, improving the quality of research) Career Development State-of-the-Art (presentation of cutting-edge basic science or clinical research topics that have important implications for further investigation or the future practice of emergency medicine; note that State-of-the-Art sessions are not a review of the literature or a summary of clinical practice) Health Care Policy and National Affairs affecting emergency medicine

The deadline for submission is September 2008. Only online submissions will be accepted. To submit a proposal, complete the online Didactic Submission Form at www.saem.org. For additional questions or information, contact SAEM at saem@saem.org or call 517-485-5484.

Call for Abstracts - 2009 Annual Meeting May 14 - May 17, 2008 • New Orleans, LA Deadline: January 2009 The Program Committee is accepting abstracts for review for oral and poster presentation at the 2008 SAEM Annual Meeting. Authors are invited to submit original emergency medicine research in the following categories: • • • • • • • • • • • • •

abdominal/gastrointestinal/genitourinary pathology administrative/health care policy airway/anesthesia/analgesia CPR cardiovascular (non-CPR) clinical decision guidelines computer technologies diagnostic technologies/radiology disaster medicine disease/injury prevention education/professional development EMS/out-of-hospital Ethics

• • • • • • • • • • • • •

geriatrics infectious disease ischemia/reperfusion neurology obstetrics/gynecology pediatrics psychiatry/social issues research design/methodology/statistics respiratory/ENT disorders shock/critical care toxicology/environmental injury trauma wounds/burns/orthopedics

Abstracts detailing innovations in emergency medicine exhibits (IEME) are also being requested. The deadline for submission of abstracts is January 2009. Only electronic submissions via the SAEM online abstract submission form will be accepted.

The abstract submission form and instructions will be available on the SAEM website at www.saem.org in November 2007.

For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801. Only reports of original research may be submitted. The data must not have been published in manuscript or abstract form or presented at a national medical scientific meeting prior to the 2008 SAEM Annual Meeting. Original abstracts presented at regional meetings in April or May 2008 will be considered. Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.

62

Call for Proposals 2010 AEM Consensus Conference Deadline: Friday, April 10, 2009 The editors of Academic Emergency Medicine are accepting proposals for the 2010 AEM Consensus Conference, which will be held on June 2, 2010, the day before the SAEM Annual Meeting, in Phoenix.

Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda and be spearheaded by thought leaders from within the specialty of emergency medicine. The goals of the AEM consensus conferences are to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress.

Previous topics have included errors in emergency medicine, the unraveling safety net, quality/best practices in emergency care, information technology in emergency medicine, disparities in emergency care, emergency research without informed consent, the science of surge, and knowledge translation.

Developed proposals will be reviewed on a competitive basis by the AEM Editorial Board. The topic chosen for the 2010 AEM Consensus Conference will be announced at the SAEM Business Meeting during the 2009 Annual Meeting in New Orleans. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its Special Topic Issue in November 2010.

Submitters are strongly advised to review the Special Topic issues of previous AEM Consensus Conferences (see November issues of AEM) to guide the development of their proposals. Proposals must include the following: 1. Introduction of the topic • brief statement of relevance • justification for this topic choice 2. Proposed conference chairs and sponsoring groups (i.e., SAEM interest groups, committees) 3. Proposed conference agenda and proposed presenters • Plenary lectures • Panels • Breakout topics and questions for discussion • Anticipated audience • Stakeholder groups/organizations • Federal regulators • National researchers and educators • Others 4. Anticipated budget 5. Potential funding sources and strategies for securing conference funding Proposals must be submitted electronically to the AEM office at aem@saem.org no later than April 16, 2009 at 5:00 PM Eastern Time.

Future SAEM Annual Meetings May 14-17, 2009, New Orleans, LA June 3-6, 2010, Phoenix, AZ June 1-5, 2011, Boston, MA May 9-13, 2012, Chicago, IL 63

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Society for Academic Emergency Medicine 901 N. Washington Ave. Lansing, MI 48906-5137 517.485.5484 517.485.0801 fax