SAEM 2010 Annual Meeting Program by Society for Academic Emergency Medicine

2010 Annual Meeting

JW Marriott Desert Ridge Resort and Spa

June 3 - 6

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As the lead academic specialty society for emergency medicine, SAEM has the unique opportunity to educate academic health center leaders on the impact and importance of emergency medicine. You can help SAEM to support this role by becoming a contributing member of the SAEM Education Fund. Together we can provide the resources to help develop educational leaders for generations to come!

Make Your Donation Online www.saem.org Mail Your Donation To: SAEM Educational Fund 2340 S. River Rd., Suite 200 Des Plaines, IL 60018

Index General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 AEM Consensus Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Leadership Academy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 SAEM Business Meeting Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CORD Meeting Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Grant Workshop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Daily Schedules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thursday, June 3, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Friday, June 4, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Saturday, June 5, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sunday, June 6, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Late Breakers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Didactic Speaker List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Innovations in Emergency Medicine Education Exhibits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Residency Fair Participants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Photography Exhibit and Visual Diagnosis Contest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Moderator & Reviewer Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Chief Resident Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Medical Student Symposium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2011 Didactic Proposals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2011 Abstract Proposals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2012 AEM Call for Proposals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CME Disclosures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hotel Maps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General Information The SAEM Annual Meeting is the largest forum for the presentation of original research in emergency medicine. The meeting will be held June 3-6 at the J.W. Marriott in Phoenix, AZ. Over 2,000 emergency physicians are expected to attend. The Annual Meeting includes didactic presentations, original research in several formats, and Innovations in Emergency Medicine Education (IEME) exhibits. The oral papers consist of ten 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 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 and handouts for didactic sessions are available on the SAEM website at www.saem.org. The website is continually updated. A copy of the Abstract Supplement will also be provided to all Annual Meeting attendees in Phoenix. Please consider participating in our new social media venues. Facebook www. facebook.com/saemonline and Twitter www.twitter.com/saemonline. Registration For the cost of the basic registration fee attendees may attend all paper, poster, and didactic sessions, except those sessions that have limited enrollment, require pre-registration, or require an additional registration fee. Some of the limited enrollment sessions may be sold out prior to the Annual Meeting. Therefore, be sure to register early. For those that have pre-registered to attend sessions that require pre-registration, be sure to arrive a few minutes early. Continuing Medical Education Target Audience: This conference has been created for Emergency Medicine care providers who want to expand and update their knowledge of quality instruction in emergency medicine training programs and improve the quality of emergency medical care. Overall Program Objectives: • Apply research findings to your emergency medicine practice. • Apply key statistical indicators in analyzing research results. • Utilize acceptable research methods and study design in the development of research projects. • Realize the details of the framework for EBM so that the intended practice improvements are vetted through this prism. Program Accreditation Statement: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of California, Irvine School of Medicine and the Society for Academic Emergency Medicine. The University of California, Irvine School of Medicine is accredited by the ACCME to provide continuing medical education to physicians. Designation Statement: The University of California, Irvine School of Medicine designates this educational activity for a maximum of 36.5 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Disclosure: It is the policy of the University of California, Irvine School of Medicine and the University of California CME Consortium to ensure balance, independence, objectivity and scientific rigor in all CME activities. Full disclosure of conflict resolution will be made in writing via handout materials or syllabus. AB1195 Statement: California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill,

which went into effect on July 1, 2006, to encourage physicians and surgeons, CME providers in the state of California, and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse population through appropriate professional development. The planners, speakers and authors of this CME activity have been encouraged to address the cultural and linguistic competency, some of which are available at the registration desk. Additional resources and information about AB1195 can be found on our website cme.uci.edu. Annual Business Meeting The Annual Business Meeting will be held on Saturday, June 5 from 2- 3:30 PM. The election results will be announced, as well as 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 2009 Annual Meeting Best Presentation Awards will be presented to the membership. Jill M. Baren, MD, will present her Presidential summary address to the membership. Incoming President Jeffrey Kline, MD, will also be introduced and present his preview of the coming year. There may be other reports and presentations to the membership. All SAEM members are urged to attend. Opening Reception After the Q&A Forum with the Board of Directors on Thursday, June 3 from 5:00 pm - 6:00 pm SAEM will host an opening reception from 6:00 pm -7:30 pm so that Annual Meeting attendees can socialize with other SAEM members. CPC Competition The 2010 Semi-Final CPC Competition will be held on Wednesday, June 2 (the day before the SAEM Annual Meeting) from 8:00 am until 5:00 pm in Grand Canyon Ballrooms 9-13 and Pinnacle Peak 1. Annual Meeting attendees are encouraged to attend the competition and support the various residency program participants. There is no registration fee to attend the competition, which showcases EM residency programs. The CPC consists of the presentation and discussion of the best 72 cases submitted from almost 100 submissions. The Competition finalists from each of the tracks will be announced during a reception held from 5:00 – 7:00 pm on June 2nd in the Grand Sonoran Ballroom F. The CPC Final Competition, consisting of presentations by the six semi-finalist teams, will be held during the ACEP Scientific Assembly, which will be held in Las Vegas, Sept. 28 – Oct. 1, 2010. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM. CORD Meeting The Council of Emergency Medicine Residency Directors (CORD) will meet on Friday, June 4 from 8:00 AM -12:00 PM. The program will include an educational session, reports, election results, and award presentations. All CORD members are invited to attend. The CORD Board of Directors and the CORD committees and Task Forces will also meet during the Annual Meeting and those meetings will be posted as they are scheduled. Special Session: NIH Updates from National Heart, Lung and Blood Institute (NHLBI), National Institute of Neurological Disorders and Stroke (NINDS) and National Center for Research Resources (NCRR) - Friday, June 4th, 12:00pm – 1:00pm, Grand Sonoran J-K Join representatives from the NHLBI, NINDS, and NCRR for a unique opportunity to learn about the present state of research funding, areas of emphasis, and predictions for the future. This session will be moderated by leaders in Emergency Medicine research. The target audience includes anyone who wishes to be updated on federal funding opportunities from these agencies and junior researchers still developing a research focus. Networking Breakfast Breakfast scheduled for Friday, June 4 from 8:00 AM-9:30 AM. Breakfast Buffet. All attendees are welcome.

General Information continued Best of CDEM - Friday, June 4th, 1 – 3 pm, Grand Sonoran G Best of CORD - Saturday, June 5th, 8 – 10 am, Grand Sonoran F

questions from the audience as well as cover progress made within the Society over the past year.

Come see the best presentations of the CORD Annual Academic Assembly Meeting held on March 6, 2010 in Orlando, Florida

Dodge Ball

Guided Poster Tour Please join us for our newest endeavor: Guided Poster Tours! Leaders in Emergency Medicine will walk you and a small group of your colleagues through a topic specific series of research posters. A unique opportunity to ask questions, join in robust discussion and network. NOTE: Groups will be limited to 10 participants so sign up early in the registration area. Lightning Oral Presentations Experience our newest format to engage researchers in our field – the lightning oral presentation. Presenters use three slides and six minutes to explain their work. These sessions appear throughout the meeting.

The 2nd Annual SAEM Dodge Ball Tournament will be held Friday, June 4th at the Marriott Desert Ridge Tennis Courts, 4:00 pm to 7:30 pm. The cost to register your team is $100. All proceeds that are collected for the Dodge Ball Tournament will be donated to the SAEM Research Fund. 5K Scurrying Scorpion Fun Run/Walk On Saturday, June 5th at 6:00 am join us in the Scurrying Scorpion 5K Fun Run/Walk! Sign up and pick up your materials at the registration desk anytime before Friday, June 4th, 5:00 pm. The registration fee of $20 includes a t-shirt and refreshments after the race. Profits will be donated to the SAEM Research Fund. The event starts promptly at 6:00 am, so please plan to arrive 15 minutes early.

Q and A Forum with the SAEM BOD Join us for an informal question and answer session with SAEM Board of Directors on Thursday, June 3rd, from 5:00-6:00 pm. The BOD will take

2010 Annual Meeting Program Committee Chandra Aubin, MD - Washington University Brigitte Baumann, MD, Cooper University Hospital Louis Binder, MD - The Commonwealth Medical College Steven Bird, MD - University of Massachusetts Medical Center Andra Blomkalns, MD - University of Cincinnati Esther Chen, MD - University of California, San Francisco Kevin Ferguson, MD - University of Florida Susan Fuchs, MD - Children’s Memorial Hospital Autumn Graham, MD - Georgetown/Washington Hospital Center Jason Haukoos, MD, MS - Denver Health Medical Center Jonathan Heidt, MD - Washington University in STL Michael Hochberg, MD - Saint Peters University Hospital Sorabh Khandelwal, MD - Ohio State University Terry Kowalenko, MD - University of Michigan JoAnna Leuck, MD - Carolinas Medical Center Frank LoVecchio, DO - Maricopa Medical Center Raemma Luck, MD, MBA - Temple University Hospital John Marshall, MD - Maimonides Medical Center David Milzman, MD - Georgetown University

Antonio Muniz, MD - Texas Health Science Center at Houston Lewis Nelson, MD - New York University James Olson, PhD - Wright State University Ali Raja, MD - Brigham and Women’s Hospital Megan Ranney, MD - Brown University/Rhode Island Hospital Kevin Rodgers, MD - Indiana University Marc Rosenthal, PhD, DO - Wayne State University Christopher Ross, MD - Cook County Hospital Steve Stapczynski, MD - Maricopa Medical Center Lorraine Thibodeau, MD - Albany Medical Center R. Jason Thurman, MD - Vanderbilt Univeristy Medical Center Arvind Venkat, MD - Allegheny General Hospital Jody Vogel, MD - Denver Health Medical Center Taher Vohra, MD - Henry Ford Hospital Joshua Wallenstein, MD - Emory University Robert Woolard, MD - Texas Tech El Paso Chris Zammit, MD - University of Cincinnati

SAEM Membership Count As of May 1, 2010 ACTIVE – 2252 ASSOCIATE – 68 RESIDENT/FELLOW – 3280 MEDICAL STUDENT – 394 INTERNATIONAL – 11 EMERITUS – 27 HONORARY – 9 Total 6041

DINE-AROUND SHUTTLE SCHEDULE *NOTE* Dinner Shuttles will depart from: Ballroom Entrance *Times listed are the departure times for each location*

Shuttle Schedule for 6/3/10 Resort Ballroom Entrance 7:00PM DEPARTURE 8:00PM DEPARTURE 9:00PM DEPARTURE 10:00PM DEPARTURE 11:00PM DEPARTURE* 12:00AM –FINAL DROP OFF AT RESORT

Desert Ridge Marketplace 7:15PM 8:15PM 9:15PM 10:15PM 11:15PM*

City North 7:30PM 8:30PM 9:30PM 10:30PM 11:30PM*

Kierland Commons 7:45PM 8:45PM 9:45PM 10:45PM 11:45PM*

*Last pick up from all locations .

Shuttle Schedule for 6/4/10 & 6/5/10 Resort Ballroom Entrance 6:00PM DEPARTURE 7:00PM DEPARTURE 8:00PM DEPARTURE 9:00PM DEPARTURE 10:00PM DEPARTURE 11:00PM DEPARTURE* 12:00AM –FINAL DROP OFF AT RESORT *Last pick up from the all locations .

Desert Ridge Marketplace 6:15PM 7:15PM 8:15PM 9:15PM 10:15PM 11:15PM*

City North 6:30PM 7:30PM 8:30PM 9:30PM 10:30PM 11:30PM*

Kierland Commons 6:45PM 7:45PM 8:45PM 9:45PM 10:45PM 11:45PM*

Leadership Academy Pre-Conference Workshop•June 2, 2010 8:00 – 8:15 am Leadership: What is it? Glenn Hamilton, MD, Boonshoft School of Medicine A brief overview to define leadership and its importance to academic emergency medicine. 8:15 – 8:30 am Summary of 2009 Leadership Academy Bernie Lopez, MD, MS, Thomas Jefferson University The inaugural Leadership Academy was held as a day-long, pre-conference workshop. Topics covered included: Leadership – what is it?, career paths for the mid-career emergency physician, sustaining a vision, developing and managing the workforce, conflict resolution, and lessons learned by current leaders in EM. This summary of the important points of the 2009 Leadership Academy is presented to bring the main points of that session to the current attendees.

of discussion for the lunch. The last half hour will be devoted to a summary presentation from each table. 1:00 – 4:00 pm Concurrent sessions (90 minutes each; repeat once) We’ve Got to Stop Meeting Like This: Conducting Effective Meetings Robert Strauss, MD, St. Francis Hospital “Oh no! Not another meeting!” The presenter will review when to and when NOT to have a meeting, and how to make the meetings you do have more effective and rewarding. Learn how to guide the overbearing, the sarcastic, the bashful, and the detractor. Discover effective methods to open and close discussions. Objectives include: Describe when to and when not to have a meeting.

8:30 – 9:30 am Generations at Work

Describe effective meeting planning and preparation.

Tracy Sanson, MD, University of South Florida College of Medicine

Develop an effective agenda.

Our ED’s currently employ 4 generations of workers, each with their unique developmental history and view of the future. The characteristics of each group greatly affect not only the current work environment but will likely play an even larger role in the future.

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

Goal: To understand the various generations encountered in the workplace. Objectives: 1) List the 4 generations encountered in the workplace and their characteristics 2) Discuss the expectations of and how to best recruit, engage and retain these varied practitioners 3) Discuss complex issues such as loyalty, feedback/evaluation, career plans and work patterns 4) Describe the interactions between generations and its effect on the workplace environment 9:30 – 9:45 am Break 9:45 –10:45 am Advocacy: How and Why Do Leaders Promote It?

Review common traps that chairs fall into, such as wandering discussion, taking a side, berating members. Describe what to do when the meeting has concluded. Using pre-taped scenarios, discuss methods to bring the meeting back on track. Disruptive Physicians Tracy Sanson, MD, University of South Florida College of Medicine The majority of physicians are professional and respectful. The distressed physician negatively impacts your risk, staff morale, patient safety and his/ her own life. Disruptive physician behavior undermines your institution’s reputation, disrupts its operations, and affects the ability of your staff to perform their jobs. Managing disruptive physicians is one of the top challenges we face today in our goal of maintaining a culture of respect, dignity, and courtesy for all. How do you handle disruptive physician behavior? We will discuss steps to manage and prevent this behavior in your organization. Objectives include:

Theodore Christopher, MD, Thomas Jefferson University Robin Hemphill, MD, Vanderbilt University School of Medicine David Sklar, MD, University of New Mexico School of Medicine

1) Learn to screen physician applicants for signs of maladaptive behavior

Emergency physicians, on a daily basis, serve as advocates for individual patients. On a larger political scale, they must also serve as advocates for the specialty of emergency medicine and may be called upon to advocate for important legislation that impacts the practice of medicine.

develop an intervention plan when a physician’s disruptive behavior is ongoing.

2) Learn to draft and communicate clear expectations of physician behavior and

3) Identify policies and procedures to prevent and solve disruptive behavior.

Goal: To understand the importance of advocacy in emergency medicine and the role of leaders in this area. Objectives:

4) Discuss the AMA and JCAHO definition.

1) Describe advocacy

5) Describe ethical and regulatory obligation towards our patients and colleagues.

2) Describe political involvement at the local, state, and national level 3) Demonstrate how a leadership position in your department can assist in effective advocacy

6) Describe maladaptive behavior 7) Discuss possible etiologies including burnout, psychiatric disease, substance abuse, personality disorders, and medical disease. 4:00 – 4:30 pm The Future of EM

10:45 – 11:30 am Strategic Planning: Setting and Achieving the Right Goals Gabor Kelen, MD, Johns Hopkins University School of Medicine Leaders are often called to develop and implement long-term plans for their department and assist in the development of institutional strategic plans.

Brian Zink, MD, Brown University/Rhode Island Hospital Robert Hockberger, MD, Los Angeles County-Harbor-UCLA Medical Center Lynne Richardson, MD, Mount Sinai School of Medicine Kate Heilpern, MD, Emory University School of Medicine Brent King, MD, University of Texas Medical School at Houston

2) Define mission statements and describe how to develop one

What does the future likely hold for academic emergency medicine? Knowledge of the future trends will influence the way leaders act and how future leaders must be developed. This will be a panel discussion composed of leaders in emergency medicine who have participated deeply in the history of emergency medicine.

3) Define goals and objectives and describe how to develop them

4:30 – 5:00 pm Lessons Learned

11:30 am – 1:00 pm Networking Lunch

Theodore Christopher, MD, Thomas Jefferson University Gabor Kelen, MD, Johns Hopkins University School of Medicine Robert Hockberger, MD, Los Angeles County-Harbor-UCLA Medical Center Brian Zink, MD, Brown University/Rhode Island Hospital Lynne Richardson, MD, Mount Sinai School of Medicine

Goal: to gain an understanding of strategic planning. Objectives: 1) Define strategic planning

One to two course faculty per lunch table will hold an informal discussion on a variety of topics related to leadership. A list of topics related to issues with leadership will be provided at each table. Attendees will vote on the topic(s)

Leadership Academy continued Marcus Martin, MD, University of Virginia School of Medicine Glenn Hamilton, MD, Boonshoft School of Medicine Much of the development and training of a leader comes from the day-to-day experiences of running a department, division, or section. In this session, a panel will look back at their development as leaders and will provide words of wisdom by completing the statement, “if I could go back in time, I would…” 5:00 pm Summary and adjournment Bernie Lopez, MD, MS, Thomas Jefferson University

SAEM Grant Writing Pre-Conference Workshop•June 2, 2010 Please join us on Wednesday, June 2 for the 2010 SAEM Pre-day Intensive Grant Writing Workshop, an ongoing effort by SARM to bring successful emergency medicine grant writers and new investigators together to discuss this crucial part of career development. The morning session will cover key elements of successful grant writing that include refining scientific questions, common pitfalls in grant submissions, and understanding the review process of both common foundations (including EMF and SAEM) and the federal government. The afternoon session will involve detailed discussion of grants that were not accepted on their first submission but subsequently received extramural support. These grants will be focused in various areas including health service research, clinical research, and basic science research for a broader knowledge of the composition of grants. Specific attention will be given to the process of project development and, importantly, the process of resubmission. Tuition covers meals, course materials, and a textbook on grant writing at the NIH level. AGENDA 7:30 am Continental Breakfast 8:00 am Career Timelines: What to Write and Where John Younger, MD University of Michigan 8:30 am The Anatomy of Science Mark Angelos, MD Ohio State University 9:30 am The Budget and Administrative Shell Judy Shahan, RN, MBA Johns Hopkins University 10:30 Break 11:00 am Career Development Awards Manish Shah, MD University of Rochester 12:30 pm Lunch- The Review Process John Younger, MD University of Michigan 1:30 pm

Building and Tending Collaborations Basmah Safdar, MD Yale University 2:30 pm Responding to Reviews and Resubmitting Alan Jones, MD Carolinas Medical Center 3:30 pm Wrap-Up Group Discussion

AEM Consensus Conference Beyond Regionalization: Integrated Networks of Emergency Care Pre-Conference•June 2, 2010 Rural Emergency Medicine – Nels Sanddal PhD*/D. Dawson

SPECIFIC PROGRAM (* denotes confirmed participants)

7:30 – 8:00 Registration

2:30 – 3:30 Concurrent Small Working Groups

8:00 – 8:05 Welcome

David Cone, MD*, (Editor-In-Chief Academic Emergency Medicine)

Jill Baren, MD MBE* (President, Society for Academic Emergency Medicine)

8:05 – 8:25 ACEP Report Card, Future of Emergency Care Report

B. Asplin, MD* & S. Epstein, MD*

8:25 – 8:50 IOM Regionalization Meeting & ECCC Roundtable Report

A. Kellermann, MD & M. Handrigan, MD

8:50 – 9:20 Redefining Regionalization – merging systems to create networks

R. Martinez, MD*

9:20 – 19:30 Break 9:30 – 11:00 Panel Discussion 1 – Time Critical Conditions – Lessons learned

Moderator: B. Carr, MD*

Panelists:

Trauma/Acute Care Surgery – R. Latifi, MD*

STEMI – Alice Jacobs, MD*

Stroke – Arthur Pancioli, MD*

Cardiac Arrest – Joe Ornato, MD*

Critical Care – B. Rosenfeld, MD* (VISICU)

Pediatric Emergency Care – M. Gausche-Hill, MD*

11:00 – 12:30 Concurrent Small Working Groups

The goal of these working groups will be to identify the key issues associated with the topics below. Subjects will self select into groups during the conference registrations process so that dialogue can begin prior to the face to face meeting at the conference.

1. Workforce (Emergency & On-Call)

Moderator: A. Ginde, MD* & M. Rao, MD*

2. Administrative Challenges to Novel Network Solutions

Moderator: R. Pilgrim* & Renee Hsia, MD*

3. Electronic Collaboration: Using New Technology to Solve Old Problems of Quality Care

Moderator:

4. Inter-hospital Communications & Transport – Turning funnels into Networks

Moderator: Nels Sanddal*, PhD & Ivan Rokos, MD*, D. Gaieski, MD*

3:30 – 4:00 Reporting and Feedback from Working Groups 4:00 – 4:15

Break

4:15 – 5:00 Town Hall - Establishing Priorities and Building Consensus

Moderators: R Martinez*, A Kellermann, B Carr*

The goal of this town hall will be to synthesize the key topical issues developed in the small working groups within three categories focused on the present (where we are), the future (where we’re going), and the challenges (how we’ll get there) associated with developing a 21st century emergency care system.

1. The Present (Where we are…)

We expect that research priorities in this area will include describing the current system of emergency care and the challenges associated with optimizing care given current constraints.

2. The Future (Where we are going…)

We expect that research priorities in this area will include describing best practices and novel approaches to delivering emergency care.

3. Challenges (How we’ll get there…) We expect that research priorities in this area will include describing the many difficulties that will be encountered including liability, billing, credentialing, and oversight.

1. Prehospital Care & New Models of Regionalization

Moderator: D. Cone, MD* & E. Brooke Lerner, PhD*

2. Beyond ED Categorization – Matching Networks to Patient Needs

Moderator: David P. Sklar, MD* & A. Mehrotra, MD*

3. Defining & Measuring Successful Networks

Moderator: C. Branas, PhD* & Seth Glickman, MD MBA*

4. Patient Centered Integrated Networks

5:00 – 5:15 Wrap up - Co-chairs

Moderators: Jill E. Baren, MD MBE*, Prasanthi Govindarajan, MD, MAS*

12:30 – 1:00 Boxed lunch & reporting from working groups 1:00 – 2:30 Panel Discussion 2 - Administration

Moderator: A. Kellermann, MD

Panelists:

Billing & Reimbursement – B. Rosenfeld, MD* (VISICU

Licensure & Credentialing – R. Wise, MD* (TJC)

Oversight & Accountability – S. Nedza, MD, MBA*

How funds flow – R. Pilgrim, MD* (EDPMA)

How hospital structure impacts outcomes Suzanne Stone-Griffith

Liability – TBA*

Emergency Workforce – A. Ginde, MD*

On-Call Subspecialty Coverage – TBA

SAEM Awards Society for Academic Emergency Medicine 2010 Young Investigator Award Seth W. Glickman, MD University of North Carolina

2009 Faculty Abstract Award D. Mark Courtney McGaw Medical Center of Northwestern University 2009 Fellow Abstract Award Jason McMullan, MD University of Cincinnati

Society for Academic Emergency Medicine 2010 Young Investigator Award Benjamin Sun, MD UCLA Society for Academic Emergency Medicine 2010 Young Investigator Award Joshua Goldstein, MD Massachusetts General Hospital/Harvard Medical School

2009 Resident Abstract Award Michael Puskarich, MD Carolinas Medical Center 2009 Medical Student Abstract Award Helen H. Won Johns Hopkins University School of Medicine

2010 Leadership Award Sandra M. Schneider, MD University of Rochester

2009 Young Investigator Award Simon Mahler, MD Louisiana State University School of Medicine in Shreveport

2010 Hal Jayne Excellence in Education Award Carey Chisholm, MD Indiana University School of Medicine

2009 Basic Science Award Vikhyat S. Bebarta, MD, Wilford Hall Medical Center

2010 Excellence in Research Award Nathan Kuppermann, MD University of California, Davis Medical Center

2009 Innovations in Emergency Medicine Education (IEME) Award Gregory Christiansen, DO Medical College of Virginia School of Medicine

2010 Advancement of Women in Academic Emergency Medicine Susan Stern, MD University of Michigan

2009 Photo Competition Contest Award Matthew Borloz, MD Georgetown University

Future SAEM Annaul Meetings June 1 - 5, 2011 Boston Marriott Copley Place May 9 - 13, 2012 Sheraton Chicago Hotel & Towers 2013 2014 2015

Tuesday • June 1, 2010 SAEM and AEM Committee/Task Force/Board Meetings 6:30p-9:00a

Pinnacle Peak #1

AEM CC Pre-Planning Meeting

Affiliated Meetings/Academy 7:00a-9:00p

Desert Suite #2

AAEM Board Meeting and Strategic Planning Session

Pre-Day • Wednesday • June 2, 2010 Pre-Day/Wednesday, June 2, 2010 8 am - 5 pm

8 am - 5 pm

Semi-Final CPC

AEM Consensus

SAEM Intensive

SAEM Leadership

Tracks

Conference

Grant Writing

Academy

Workshop

Grand Canyon Ballroom 9

Grand Sonoran E (General Session)

Grand Canyon Ballroom 10

Grand Sonoran H

Grand Canyon Ballroom 11

Grand Sonoran I

Grand Canyon Ballroom 12

Grand Sonoran J

Grand Canyon Ballroom 13

Grand Sonoran K

Pinnacle Peak 2

Pinnacle Peak 3-General Session Desert Suite 5-Break-out

Pinnacle Peak 1

SAEM and AEM Committee/Task Force/Board Meetings 5:00p-7:00p 4:00p-5:30p 6:30p-8:00p

Desert Suite 1 Desert Suite 8 Pinnacle Peak #1

SAEM PC Subcommittee Meeting SAEM Comm/TF Chairs Orientaion Meeting AEM Consensus Conference Planning Dinner

Affiliated Meetings/Academy 7:00a-5:00p 8:00a-5:00p 4:30p-7:30p 5:30p-8:30p

Desert Suite #2 AAEM Board Meeting and Strategic Planning Session Grand Canyon Ballroom # 1-2 MERC Meeting Desert Suite #5 Spot Check Clinical Investigator’s Meeting Pinnacle Peak #7 Emergency Medicine Foundation Board of Trustees

Thursday â&#x20AC;˘ June 3, 2010 Thursday, June 3, 2010

Plenary Papers 8 - 9:30 am (Grand Sonoran E-F-G)

9:30 - 11:30 am

9:30 - 11:30 am Oral Abstracts

Identifying Best Practices for Training Emergency Medicine Residents in PEM

The Geriatric Population and Their Differences

Grand Saguaro South

Grand Sagauro West

9:30 - 10 am - Coffee Break 10 - 11:30 am

10 - 11:30 am

Oral Abstracts

SAH/ICH

Cost and Emergency Medicine

Abstracts 6-11

Abstracts 12 - 17

Grand Canyon #13

Grand Canyon #12

10 - 11:30 am

Educatorsâ&#x20AC;&#x2122; Bootcamp: Surviving Away from the Podium

Evidence to Practice: How Can Emergency Medicine Researchers Drive the Quality Agenda

Grand Saguaro North

Grand Saguaro East

Abstracts 18-25

11:30-12:30 pm Luncheon for Women in Academic Emergency Medicine

LUNCH 11:30 am - 12:30 pm

Grand Canyon #9

12:30 - 2 pm Oral Abstracts Ultrasound

12:30 - 2:00 pm

12:30 - 2:30 pm

12:30 - 2:00 pm

The Next Match: What EM Departments Want When They Hire

Harnessing the Power of the Internet for Bedside Teaching

Fixing the Emergency Medicine Research Enterprise

The Nuts and Bolts of Creating an Educational Podcast

Teaching Professionalism: More than an Attitude Adjustment

Grand Canyon #10-11

Grand Saguaro East

Grand Saguaro South

2:30 - 3:30 pm

2:30 - 4:30 pm

Research on a Shoestring Budget: Strategies for Conducting Research At Minimal Cost

Job-Seeking for Physicians With Interest in a Research Career: What You Should Be Looking for and Looking Out For When Considering Employment

Incorporating Visual Diagnosis as an Educational Strategy

Abstracts 26-31 Grand Canyon #13

Grand Canyon #12

2 - 3 pm Oral Abstracts

2 - 3:30 pm

What is Clinical Competency? Abstracts 32-35 Grand Canyon #13

2 - 4 pm Lightning Oral Presentations

A Sampling of the Basic Sciences Abstracts 36-47 Grand Canyon #2

Beyond Good Intentions: International Emergency Medicine and Sustainable Change

Grand Saguaro West

Grand Canyon #12 Grand Saguaro North

Posters 3-5 pm

2:00 - 3:30 pm

Resident As Teacher

Grand Saguaro West

Grand Saguaro East

Disaster Medicine Abstracts 56-63

Neurology Abstracts 64-69 Education Abstracts 70-121 Abdominal/Gastrointestinal/Genitourinary Abstracts 122-125 Diagnostic Technologies/Radiology Abstracts 126-145 Grand Canyon Ballrooms #6-7-8 Infectious Diseases Abstracts 146-175 Research Design/Methodology/Statistics Abstracts 176-180

Moderated Posters 3:30 - 4:30 pm Advances in EM Curriculum Abstracts 48-51 Grand Canyon #3 Prehospital Airway Abstracts 52-55 Grand Canyon #4

Grand Saguaro South

5 - 6 pm

Q&A Forum with the SAEM Board of Directors

(Grand Saguaro North) 6 - 7:30 pm Opening Reception (Sunset Lawn)

Academy Faculty Development Education

Diactic Key Academy Faculty Development Education Administration Clinical Advancements

Administration Clinical Advancements State of the Art Research

Thursday â&#x20AC;˘ June 3, 2010 SAEM and AEM Committee/Task Force/Board Meetings 7:00a-8:00a 10:00a-11:00a 10:00a-11:30a 10:30a-12:00p 11:30a-12:30p 12:00p-12:30p 12:00p-2:00p 1:00p-2:00p 1:00p-2:00p 1:00p-4:00p 2:00p-3:00p 2:00p-4:00p 4:00p-5:00p 4:30p-5:30p 4:00p-5:00p 5:00p-6:00p 6:00p-6:30p

Desert Suite #1 Desert Suite #3 Desert Suite #8 Desert Suite #1 Desert Suite #3 Desert Suite #6 Desert Suite #7 Desert Suite #3 Desert Suite #8 Desert Suite #6 Desert Suite #3 Desert Suite #7 Desert Suite #3 Desert Suite #8 Desert Suite #6 Desert Suite #7 Desert Suite #1

SAEM Program Committee Meeting SAEM Research Committee SAEM Membership Committee SAEM Ethics Committee SAEM Trauma Interest Group SAEM Social Media Committee SAEM Grants Committee SAEM EM Education Research Interest Group SAEM Disaster Medicine Interest Group SAEM Finance Committee SAEM Ischemia-Reperfusion Interest Group SAEM Consultation Services Committee SAEM WEB Editorial Board Committee SAEM Aging & Generational Issues Task Force SAEM Development Committee AEM/CORD Supplement Planning Meeting SAEM Program Committee Meeting

SAEM Interest Group Meetings 9:30a-12:00p Grand Canyon Ballroom # 2 SAEM Ultrasound IG Meeting 4:00p-5:00p Desert Suite #1 SAEM Academic Informants Interest Group 4:00p-5:00p Desert Suite #7 SAEM Sports Medicine

Affiliated Meetings/Academy 7:00a-6:00p 9:30a-11:30a 1:00p-5:00p 2:30p-3:30p 2:30p-7:30p 3:30p-5:30p 5:00p-6:30p

Desert Suite #5 Grand Canyon Ballroom #1 9:30a-2:30p Pinnacle Peak #1 Desert Suite #1 Desert Suite #4 Grand Canyon Ballroom # 1 Desert Suite #3

ACEP Meetings all Day Academy of Women in Academic Emergency Medicine (AWAEM) Desert Suite #4 AAEM/RSA BOD Meeting EMRA BOD Meeting SAEM/CORD Collaborative Task Force AAEM Committee Meeting Academy of Geriatric Emergency Medicine Meeting (AGEM) ED-Safe Investigators Meeting

Friday â&#x20AC;˘ June 4, 2010 Friday, June 4, 2010 7:30 - 9:30 am Breakfast and Networking Session 9:30 - 11 am

9:30 - 11 am

Oral Abstracts

International Emergency Medicine

The Technology of EMS

Abstracts: 181-186

Abstracts 187-192

Grand Canyon #11

Grand Canyon #12-13

11 am - 12 noon Oral Abstracts

Coping with Death

Outcomes and Analysis: ED Observation Units

Abstracts: 193-196

Abstracts 197-200

Grand Canyon #11

Grand Canyon #12-13

8 am - 12 noon

9:30 - 11 am

Expert Strategies for Bedside Teaching of Medical Minimizing Loss to Follow Up Students in Emergency Medicine An Interactive Workshop in Emergency Medicine Research

CORD General Membership

11 am - 12 noon

Grand Sonoran E

Remote Damage Control Resuscitation: Concepts, Career Path at UniversityChallenges and Research affiliated Community Sites: Opportunities as Trauma Opportunities and Challenges . Resuscitation Moves into the Outof-Hospital Arena

Grand Sonoran F

Grand Canyon #9-10

Grand Sonoran G

12 noon - 1:00 pm NIH Special Session on Emergency Care Research

12 - 1 pm - LUNCH BREAK

#4, 5, 12, 13, 17

Grand Canyon #11

Posters 1 - 3 pm Grand Canyon #6-7-8 Trauma - Abstracts 217-241 Administration Health Policy Abstracts 242-304 Critical Care Resuscitation Abstracts 305-316 Ethics - Abstracts 317-319 Geriatrics - Abstracts 320-331 Pulmonary - Abstracts 332-338 IEME Exhibits #1, 2, 3, 6, 7, 8, 9 Moderated Posters 3:30-4:30 pm Abuse and Violence - Abstracts 339-342 Grand Canyon #3 Emergency Nursing - Abstracts 343-346 Grand Canyon #4 3 - 4:30 pm Oral Abstracts

Chief Resident Forum

Grand Canyon # 9-10

Grand Sonoran G

12:30 - 2:00 pm Moderated IEME Presentations

8 am - 4 pm

Grand Sonoran J-K 1 - 3 pm

1 - 3 pm

1 - 2 pm Oral Abstracts

Lightning Oral Presentations Enhancing Survival Beyond the ED (Part I)

Assessing Medical Student Skills

Best of CDEM

Improving Pediatric Guideline Implementation: A Workshop in Applied Knowledge Translation

Abstracts 205-216

Abstracts: 201-204 Grand Saguaro East

2 - 3 pm Innovations in Resident and Medical Student Education

Grand Canyon #2

Grand Sonoran G

3 - 4:30 pm Oral Abstracts

3 - 4:30 pm 3

- 4:30 pm

H1N1 and Pandemic Influenza

The Regionalization of Emergency Medicine

Why be an Academic Clinical Director?

Ultrasound for Critically Ill Patients

Abstracts 347-352

Abstracts 353-358

Grand Canyon #11

Grand Canyon #12-13

Grand Sonoran G

Grand Canyon #9-10

Grand Sonoran F

3 - 4:30 pm Direct Observation of Competence (DOC) - Why is it Important and How to Develop a Successful Program

Grand Canyon #9-10

Grand Sonoran F

Academy Faculty Development Education

Diactic Key Academy Faculty Development Education Administration Clinical Advancements

Administration Clinical Advancements State of the Art Research

Friday • June 4, 2010 SAEM and AEM Committee/Task Force/Board Meetings

7:00a-8:00a Desert Suite #1 SAEM Regionalization Task Force 7:00a-10:00a Desert Suite #6 AEM Editorial Board Meeting/Breakfast 9:00a-10:00a Desert Suite #4 SAEM Research Fellowship Task Force 10:30a-12:00p Pinnacle Peak #2 SAEM 2011 Program Committee Orientation Meeting 12:00p-1:00p Desert Suite #6 SAEM Industry Relations Committee 12:00p-1:30p Grand Sonora Ballroom H-I AEM Reviewers Luncheon 2:00p-3:00p Desert Suite #1 SAEM Residents as Researchers Task Force 3:00p-4:00p Desert Suite #3 SAEM GME Committee 3:00p-4:30p Desert Suite #1 SAEM Faculty Development Committee 3:00p-5:00p Grand Sonora Ballroom H-I AEM CC-2011 Planning Meeting 4:30-5:30p Desert Suite #1 SAEM Program Committee Meeting 5:00p-6:30p Pinnacle Peak #2 SAEM Education Fund Task Force

SAEM Interest Group Meetings 8:00a-10:00a 8:00a-9:00a 8:30a-9:30a 11:00a-12:30p 11:00a-12:30p 2:00p-3:00p 2:00p-3:00p 3:00p-5:00p 4:00p-6:00p 4:30p-6:00p 5:00p-6:30p

Desert Suite #1 Desert Suite #8 Pinnacle Peak #3 Pinnacle Peak #3 Desert Suite #4 Desert Suite #3 Desert Suite #6 Grand Sonoran Ballroom H-I Desert Suite #3 Desert Suite #6 Desert Suite #4

SAEM Ultrasound IG “REASON” Meeting SAEM Ethics Interest Group SAEM International IG Business Meeting SAEM International IG Research Forum SAEM Research Directors Interest Group SAEM International IG IEM Fellowship Showcase SAEM EMS Interest Group SAEM ED Crowding Interest Group SAEM Evidence Based Medicine Interest Group SAEM Diversity Interest Group SAEM Neurological Interest Group

Affiliated Meetings/Academy 7:00a-6:00p 8:00a-9:00a 8:00a-9:30a 8:00a-11:00a 8:30a-11:30a 10:00a-11:00a 1:00p-5:00p 1:00p-5:00p 1:00p-1:30p 1:00p-3:00p 1:00p-2:00p 1:30p-3:00p 1:30p-3:00p 1:30p-3:00p 2:30p-3:00p 3:00p-4:00p 3:00p-4:00p 4:00p-5:00p 4:00p-5:00p 4:00p-5:30p 4:00p-5:30p 5:30p-6:30p 5:30p-7:00p 6:30p-7:30p

Desert Suite #5 Pinnacle Peak #2 Desert Suite #7 Grand Canyon Ballroom #1 Pinnacle Peak #1 Desert Suite #4 Grand Saguaro West Pinnacle Peak #3 Desert Suite #1 Desert Suite #4 Desert Suite #6 Pinnacle Peak #2 Desert Suite #7 Desert Suite #8 Pinnacle Peak #1 Grand Canyon Ballroom #2 Desert Suite #7 Pinnacle Peak #2 Pinnacle Peak #1 Desert Suite #8 Desert Suite #7 Grand Saguaro East Desert Suite #5 Pinnacle Peak #3

ACEP Meetings all Day EMRA Technology Committee International Journal of Emergency Medicine Editorial Board Meeting Simulation Academy Meeting EMRA Board of Directors Meeting CDEM-BOD Meeting EMRA Resident’s Sim Wars Competition WestJEM Editor’s Meeting EMRA Committee Chair/Vice Chair Orientation EMRA Medical Student Governing Council EMRA Regional Representative Committee EMRA Research Committee EMRA Health Policy Committee EMRA Critical Care Committee EMRA Representative Council Conference Committee Orientation EMRA Representative Council Public Hearing ABEM Officer’s Meeting EMRA Representative Council Reference Committee Work Meeting EMRA EM Resident Editorial Advisory Committee EMRA International Committee EMCREG-International Steering Committee EMRA Spring Award Reception ACEP Teaching Fellowship/EMBRS Alumni Reception Brown Department of Emergency Medicine

Saturday • June 5, 2010

8 - 9:30 am Oral Abstracts

Abstracts 359-364

The Length of Stay: An EM Stigma Abstracts: 365-370

Grand Saguaro North

Grand Saguaro South

Dysrythmias

9:30 - 11 am Oral Abstracts

Evaluating Faculty

Saturday, June 5, 2010 6 - 7 am 5K Fun Run/Walk

9:30 - 11 am Oral Abstracts

8 - 9 am Oral Abstracts

Pediatric Diagnostic Tools Abstracts 371-374

Abstracts 385 - 390

Grand Saguaro North

Best of CORD

8 - 9 am Oral Abstracts Enhancing Survival Beyond the ED (Part II) Abstracts 375-378

8 am - 4 pm

Grand Sonoran E

Medical Student Symposium

Grand Sonoran G

9 - 10:30 am

Thrombolysis for Acute Ischemic Stroke: Where are we now, where are we going?

Predicting Sepsis Outcomes

Abstracts 379-384

8 - 10 am

9 - 10:30 am

Grand Sonoran F

10 - 11 am Becoming an EM Intensivist

Coping with Shift-work Through the Life Cycle of the Academic Emergency Physician

Grand Canyon 12-13 General Session

Grand Sonoran G

Grand Sonoran E

Grand Saguaro South

10:30 - 11:30 am

The Contaminated ED

Drugs of Abuse

Advanced Principles of Biostatics That Everyone Should Know

Abstracts 391-394

Abstracts 395-398

10:30 am - 12 noon Grand Canyon 9-11 Breakouts Simulation-based Patient Safety Initiatives: Measuring EMS as a Recognized Subspecialty: Implications for Outcomes at the Patient and System Level Fellowship Training

Grand Saguaro North

Grand Saguaro South

11 am - 12 noon Oral Abstracts

Grand Sonoran G

Grand Sonoran F

11 am - 12 noon

FD Grand Sonoran F

Grand Sonoran E

11:30 am - 12:30 pm LUNCH BREAK 12:30 - 2 pm

12:30 - 2 pm

Faculty Needs for Years 1-3

Leadership From Within – Enhancing Your Natural Ability II

Grand Saguaro North

Grand Saguaro South

12:30 - 2 pm Oral Abstracts

The EM Value of Stress Tests/Caths/Cardiac CT

Research Methodology

Abstracts 399-404

Abstracts 405-410

Grand Sonoran G

Grand Sonoran F

2 - 3:30 pm Awards & Annual Business Meeting Grand Saguaro North 3:30 - 5 pm 3:30 - 5 pm 3:30 - 5 pm Oral Abstracts Beyond the Ambulance Bay: Bottlenecks in Patient Treating the Patient: A An Introduction to Social Throughput: Applying Queuing Sampling of RCTS in EM Emergency Medicine Theory to Identify and Manage ED Flow Abstracts 411-416 Grand Saguaro North

Grand Saguaro South Wine & Cheese Poster Session 5 - 7 pm (Grand Canyon #6-7-8)

Grand Sonoran G

3:30 - 5 pm Oral Abstracts

4 - 5:30 pm

Prehospital Intervention and Decision Making

Residency Fair

Abstracts 418-422 Grand Sonoran F

Toxicology/Environment - Abstracts 528-536 Airway/Anesthesia/Analgesia - Abstracts 451-463 Cardiovascular - Abstracts 464-479 Clinical Decision Guidelines - Abstracts 537-544 Disease/Injury Prevention - Abstracts 480-499 Pediatrics - Abstracts 545-570 EMS/Out-of-Hospital - Abstracts 500-520 Computer Technology - Abstracts 571-575 Psychiatry/Social Issues - Abstracts 521-527 IEME Exhibits 10, 11, 14, 15, 16, 18, 19, 20 Moderated Posters 5 - 7 pm Pulmonary Embolism - Abstracts 435-442 (Grand Canyon #3) The Disposition of the Trauma Patient - Abstracts 443-450 (Grand Canyon #4)

4:30 - 6:30 pm Lightning Oral Presentations Bones, Blood, Bowel: Ultrasound

Grand Sonoran A-B-C-D-E

Abstracts 423-434 Grand Canyon Ballroom 2

Academy Faculty Development Education

Diactic Key Academy Faculty Development Education Administration Clinical Advancements

Administration Clinical Advancements State of the Art Research

Saturday • June 5, 2010 SAEM and AEM Committee/Task Force/Board Meetings

7:00a-8:00a Pinnacle Peak #1 SAEM Foundation Meeting 8:00a-9:00a Desert Suite #3 SAEM Guidelines Committee 8:00a-12:30p Pinnacle Peak #1 SAEM BOD Meeting 1:00p-2:00p Desert Suite #3 SAEM Patient Safety Interest Group 2:00p-3:00p Desert Suite #3 SAEM Clinical Directors Interest Group 5:00p-6:00p Desert Suite #1 SAEM Program Committee Meeting

SAEM Interest Group Meetings

8:00a-9:00a Desert Suite #1 SAEM Pediatric Emergency Medicine Interest Group 12:00p-1:00p Desert Suite #3 SAEM Toxicology Interest Group 11:00a-12:30p Desert Suite #4 SAEM Public Health Interest Group

Affiliated Meetings/Academy 8:30a-9:00a 9:00a-12:30p 9:00a-1:00p 12:30p-1:30p 3:00p-5:00p 5:30p-7:00p

Grand Sonoran Ballroom H-I Grand Sonoran Ballroom H-I Grand Canyon Ballroom #1 Grand Sonoran Ballroom J-K Desert Suite #3 Grand Sonoran Ballroom J-K

EMRA Representative Council Welcome Breakfast/Registration EMRA Representative Council Meeting/Town Hall Clinical Directors in Emergency Medicine Meeting (CDEM) EMRA Resident’s Luncheon Sponsored by FERNE EMRA Board of Directors Meeting (Committee Updates to the Board) EMRA National EM Jeopardy Contest

Sunday • June 6, 2010 Sunday, June 6, 2010 Oral Abstracts 8 - 9 am The Difficult Airway

Oral Abstracts 8 - 9 am M

yocardial Infarction

Abstracts 576-579

Abstracts 580-583

Grand Canyon #9

Grand Canyon #10

Oral Abstracts 9 - 10 am Blunt Head Trauma in Pediatrics

O ral Abstracts 9 - 10 am

8 - 10 am

Grand Sonoran E 10 - 12 noon

Grand Canyon #9

Grand Canyon #10

10:30 - 11:30 am

Lightning Oral Presentations

Moderated Posters New Ideas/Old Problems: Abscesses Abstracts 602-605

The Successful Resident

Grand Sonoran G

Abstracts 592-595

10:30 - 11:30 am

Using Deliberate Practice to Address Cognitive Error

Barriers and Solutions to Geriatric Care

Grand Canyon #2

Abstracts 606-609 Grand Canyon #4

9:30 - 10:30 am

Developing Young Faculty Investigators

The "Other" Study Designs

Grand Sonoran G

10:30 am - 12 noon

Supersonic Teaching: Innovations in Ultrasound Education

Grand Sonoran G

SAEM and AEM Committee/Task Force/Board Meetings Desert Suite 1

Grand Sonoran F

10:30 am - 12 noon

Oral Abstracts 8 - 9 am Simulation Abstracts 584-587 Grand Canyon #11-12-13 9 - 10:30 am Debriefing Simulation - Based Encounters: A Practical Guide for Medical Educators

Grand Canyon #11-12-13

10:30 am - 12 noon

Are My Residents OK? Maximizing Resident Wellness in 2010 and Beyond

Mentorship in Action: Benefits and Techniques

Grand Sonoran F

Grand Canyon #11-12-13

Grand Sonoran E

12 noon - Meeting ends

7:30a-8:00a

Grand Sonoran F

9:30 - 10:30 am

Grand Canyon #3

Abstracts 596-601

8 - 9:30 am

Improve Your Teaching: The Need for Real Time Injury Centers: Evidence-based Teaching Minimally Invasive Opportunities for Emergency Workshop Using Articles That Medicine Will Change Your Teaching Hemodynamic Monitoring in the ED Practice

The Impact of ICU Utilization on the ED

Abstracts 588-591

8 - 9:30 am

SAEM Program Committee Meeting

SAEM Academies Academy of Administrators in Academic Emergency Medicine SAEM is proud to announce its latest addition to our Academy family the Academy of Administrators in Academic Emergency Medicine. In October of 2009, after more than a decade of work contributed by colleagues from departments and divisions of emergency medicine across the country, the SAEM Board of Directors approved our proposal and formally created the AAAEM. In so doing, the Board recognized the valuable contributions we have already made and the vital role we will continue to play in the growth and success of academic emergency medicine. Our Academy was formed from the collective vision of your peers believing that the challenges above would be better served through a formal network of administrators working in academic emergency medicine collaborating with their chairmen at America’s leading academic medical centers to promote the specialty of emergency medicine and professional career growth. We encourage you to review the Statement of Purpose and Mission in the AAAEM Proposal at www. saem.org for a broader presentation of what we have done and what the AAAEM will do as we continue our exciting evolution and achievements, including our annual Academic Emergency Medicine Benchmark Survey. Your involvement is key in making this Academy an incredible success in the coming year! Join today for only $330.00 and receive valuable benefits (including access to the Benchmark Survey results!) for the remainder of 2010. Ask at registration about becoming a member or log into the SAEM website at www. saem.org.

The SAEM Simulation Academy The Simulation Academy welcomes all individuals interested in implementing simulation to advance emergency medicine education, research, and practice. We have multiple ongoing projects that could use your energy and enthusiasm! Below are listed some of our ongoing projects, but we always have room for more ideas and participants. Please join us on: June 4th at 8:00 am in for our annual meeting in Grand Canyon Ballroom #1 And don’t forget about SimWars, June 6th at 1:00pm Simulation Academy Projects: • • • • •

SimWars Simulation Case Bank (with CORD) Simulation Journal Review Patient Safety Task Force Simulation Faculty Development

Academy of Geriatric Emergency Medicine If you practice adult emergency medicine, you understand the increasing impact that older patients will have on your practice and teaching. The Academy of Geriatric Emergency Medicine was created to improve and expand research and education on older ED patients. Please consider getting involved by attending the 2nd Annual Academy of Geriatric Emergency Medicine meeting Thursday, June 3, 2010 from 3:30-5:30pm in the Grand Canyon Ballroom #1.

Academy of Women in Academic Emergency Medicine (AWAEM) Please join us for the AWAEM meetings on Thursday, June 3, 2010 at 9:30 am in Grand Canyon Ballroom #1 AWAEM was established to promote the recruitment, retention, advancement and leadership of women in academic emergency medicine throughout their careers. We provide a support network for female physicians to facilitate mentoring and research collaboration. As an AWAEM member you gain valuable access to women in academic emergency medicine who are committed to recruitment, promotion, and retention of women in academic emergency medicine. The networking alone is worth your membership! We have every confidence that you will benefit from attending and that AWAEM will benefit by your involvement.

Clerkship Directors in Emergency Medicine The “Clerkship Directors in Emergency Medicine” (CDEM), formed in 2008, is the first “Academy” within the membership of the Society for Academic Emergency Medicine (SAEM). CDEM is comprised of medical student educators who are committed to enhancing medical student education within our specialty. CDEM provides an opportunity for EM clerkship directors and medical student educators to join forces, collaborate, and become a unified voice at the national level. Join us for many educational driven sessions throughout this years Annual Meeting!

2010 SAEM Annual Meeting Accepted Abstracts Listed below are the titles, presenter names, and presenter institutions for the 609 abstracts that have been selected for presentation at the 2010 SAEM Annual Meeting from the 1055 abstracts submitted. Please note the abstracts are listed in presentation order. These numbers do not correspond to the original abstract numbers given at time of submission.

Center 19.

The Effect of Cognitive Impairment on Pain Care for Older Adults in the Emergency Department, Leah Fow, Mount Sinai School of Medicine

20.

Older Age and Analgesia Administration in Emergency Department Patients with Back or Abdominal Pain, J. Matt Edwards, MD, University of Pennsylvania Health System Hospital

21.

The Impact of Aging on the Clinical Presentation of ST-Elevation Myocardial Infarction, Adanma Ndubuizu, MD, University of North Carolina-Chapel Hill

22.

Adequacy of Hospital Antibiograms to Identify Antimicrobial Resistance Patterns in Genitourinary Infections Among Emergency Department Elders, Jeffrey M. Caterino, MD, Ohio State University Hospital

23.

Modification of Glasgow Coma Score Criteria For Injured Elders, Jeffrey M. Caterino, MD, Ohio State University Hospital

24.

The Likelihood of Acute Pulmonary Embolism in ED Patients is Not Lower Among Patients Taking Warfarin, Kristen E. Nordenholz, MD, University of Colorado Denver School of Medicine

Normal Triage Vitals Signs in Elderly Patients with Severe Illness and Injury, Michael A. LaMantia, MD, MPH, University of North Carolina at Chapel Hill School of Medicine

25.

Post-Cardiac Arrest Combination Therapy with Intravenous Magnesium Sulfate and Hypothermia Does Not Improve Survival Compared to Hypothermia Alone, Robert Neumar, MD, University of Pennsylvania School of Medicine

Hospitalizations of Older Adults with Human Immunodeficiency Virus Infection: Unique Characteristics Compared to a Non-Infected Cohort, Stephen M. Davis, MPA, MSW, West Virginia University School of Medicine

Ultrasound (12:30 - 2:00 pm)

Thursday, June 3, 2010 PAPER PRESENTATIONS Plenary (8:00 – 9:30 am) 1.

Change in Acuity of Emergency Department Visits in Ten Massachusetts Hospitals after Implementation of Health Care Reform, Peter Smulowitz, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

Neurorestorative Treatment of Acute Stroke with Thymosin Beta4, Daniel C. Morris, MD, Henry Ford Health System

Performance of Routine Opt-Out Rapid HIV Screening in the Emergency Department Still Identifies Patients Late in their Disease Courses, Jason S. Haukoos, MD, MS, Denver Health Medical Center

ORAL PRESENTATIONS

26.

Performance and Durability of Gelled Mineral Oil, A Low Cost Ultrasound Phantom Material for Simulation Training, Jason T. Nomura, MD, RDMS, Christiana Care Health System

27.

Thoracic Ultrasound Can be Used to Predict the Size of a Pneumothorax in a Cadaver Model, Robinson Mark Ferre, MD, Wilford Hall Medical Center

28.

The Additional Utility of Emergency Bedside Transvaginal Ultrasound after Nondiagnostic Transabdominal Ultrasound in the Evaluation of First Trimester Pregnancy, Nova L. Panebianco, MD, MPH, University of Pennsylvania School of Medicine

SAH/ICH (10:00 - 11:30 am) 6.

QTc Interval is an Independent Predictor of Worse Functional Outcome after Hemorrhagic Stroke in Men but not Women, Neeraja Yerragondu, MD, University of Rochester Medical Center

D-Dimer as a Potential Screening Tool in Subarachnoid Hemorrhage, Matthew Dawson, MD, University of Utah School of Medicine

Head CT Utilization and Intracranial Hemorrhage Rates, Kaushal H. Shah, MD, St. Luke’s-Roosevelt Hospital

Cerebellar Involvement is More Common in Women with Spontaneous Intra-Cerebral Hemorrhage, Neeraja Yerragondu, MD, University of Rochester Medical Center

29.

Pregnancy Outcomes in Symptomatic First Trimester Pregnancies with Indeterminate Ultrasounds and B-HCG >1500 and < 3000, David W. Haynes, DO, Naval Medical Center (Portsmouth)

10.

Emergency Department Blood Pressure Management in Acute Subarachnoid Hemorrhage: A Population-Based Study, Virginia Culyer, MD, University of Cincinnati College of Medicine

30.

Focused Ultrasound Didactics: Medical Students’ Perceptions of Ultrasound Based Education, Bart Brown, MD, University of Nebraska Medical Center

11.

Continued Volume Increase of Intraparenchymal Intracranial Hemorrhage and its Association with Mortality, Pratik Shah, MD, Resurrection Emergency Medicine Residency Program, Chicago

31.

Prospective Evaluation of Biplanar and 3D US Probe Technology in AAA Ultrasound by Emergency Physicians, Vivek S. Tayal, MD, Carolinas Medical Center

Cost and Emergency Medicine (10:00 – 11:30 am)

What is Clinical Competency (2:00 - 3:00 pm) 32.

Standardized Patients are Capable of Evaluating Trainee Performance in Medical Decision-Making in an Emergency Medicine Objective Structured Clinical Examination, Joshua Wallenstein, MD, Emory University School of Medicine

33.

ACEP Requires Twenty-Five Echocardiograms to be Competent. Is This Enough?, Janice Rodman, MD, Resurrection Medical Center

Cost-Effectiveness of Targeted HIV Testing in the Emergency Department, David Wesley Dowdy, MD, University of California, San Francisco

34.

How Many Intubations are Necessary to be Competent?, Lawrence E. Kass, MD, Penn State University/Milton S. Hershey Medical Center

15.

Evaluating Cost-Awareness Education In U.S. Pediatric Emergency Medicine Fellowships, June A. Lee, MD, SUNY Downstate / Kings County Hospital

35.

Inter-Rater Reliability of a FAST Competency Assessment Tool, Stephen J. Leech, MD, Orlando Regional Medical Center

16.

Cost Awareness Among Physicians at an Academic Tertiary Care Hospital, Robert Liebermann, MD, MBA, St. Louis University School of Medicine

A Sampling of the Basic Sciences (2:00 - 4:00 pm)

12.

Cost-Effectiveness of an Emergency Department Based Early Sepsis Resuscitation Protocol: A Prospective Study, Alan E. Jones, MD, Carolinas Medical Center

13.

Cost-Effectiveness of Influenza Vaccination for Adults over 50 in the Emergency Department Setting, Brian Patterson, MD, McGaw Medical Center of Northwestern University

14.

17.

Would Reducing Futile Care Delivered to Elderly Injured Patients At The End of Life Reduce Medicare Costs?, Ross Joseph Fleischman, MD, Oregon Health and Science University

The Geriatric Population and Their Differences (9:30 - 11:30 am) 18.

The Minimum Clinically Significant Difference in Pain Declines Over Time in Older Patients, Andrew Wollowitz, MD, Montefiore Medical

LIGHTNING ORAL PRESENTATIONS 36.

Production of Hydrogen Peroxide (H2O2) in the Blood Perfused Heart at Reperfusion, Mark G. Angelos, MD, Ohio State University Hospital

37.

The Effects of a Combination of Simvastatin and Mesenchymal Stem Cells in a Rat Model of Myocardial Infarction, Lee Singer, Stony Brook University

38.

Near Infrared Spectroscopy of the Retina Estimates Cerebral Oxygenation during CPR: A Swine-Model of Cardiac Arrest Events,

Christian McClung, MD, Keck School of Medicine 39.

Limited Resuscitation with a Hemoglobin Based Oxygen Carrier (HBOC) with and without Nitroglycerine (NTG) as a Nitric Oxide (NO) Donor in a Swine Model of Combined Uncontrolled Hemorrhage (HS) and Traumatic Brain Injury (TBI), Susan A. Stern, MD, University of Washington

by Physician Specialty, Kristin McAdams Kim, MD, University of Michigan 60.

Assessing Quality of a Disaster Response by Measuring the Unmet Needs of a Disaster-affected Population - A Pilot Study from the 2007 Southern California Wildfires, Thomas D. Kirsch, MD, MPH, Johns Hopkins University School of Medicine

61.

Assessment Of Hospital Disaster Preparedness for the 2010 FIFA World Cup Using an Internet Based Long Distance Table Top Drill, Walter Valesky, SUNY Downstate Medical Center

40.

Controlled Mild Hypothermia Prolongs Survival in a Rat Model of Large Scald Burns, Adam J. Singer, MD, Stony Brook University

41.

Comparison of Chitogauze and Combat Gauze for Hemorrhage Control in a Swine Model, Ricaurte A. Solis, DO, Medical College of Georgia

62.

Ischemic Injury is Minimal Compared to Reperfusion Injury in Critical Limb Syndrome, Paul Tran, MD, University of Nebraska School of Medicine

Comparison of â&#x20AC;&#x2DC;Immediateâ&#x20AC;&#x2122; START and SORT patients in disaster triage, Charlene Babcock Irvin, MD, St. John Hospital and Medical Center

63.

Mass Gathering Medical Care, Mess Miss or Mass. Analysis of an Irish Mass Gathering and Comparison to Previously Published Large US Study, Michael Sean Molloy, MD, Beth Israel Deaconess Medical Centre - Department of Emergency Medicine

42.

43.

Induction of Endothelial Inflammatory and Coagulation Pathways by Sphingosine-1-Phosphate Receptor-2, Teresa Sanchez, PhD, Beth Israel Deaconess Medical Center/Harvard Medical School

44.

Adipocyte-Mediated Endothelial Dysfunction Accentuates Sepsis Morbidity and Mortality in Obese Mice, Kiichiro Yano, PhD, Beth Israel Deaconess Medical Center/Harvard Medical School

45.

Neurology (3:00 - 5:00 pm) 64.

L-Carnitine Increases Survival In A Murine Model of Severe Verapamil Toxicity, Eric Perez, MD, St. Lukes/Roosevelt Hospital

Elevated Blood Urea Nitrogen to Creatinine Ratio is Associated with Poor Clinical Outcome in ED Patients Presenting with Acute Ischemic Stroke, Jon W. Schrock, MD, Case Western Reserve University (MetroHealth)

65.

46.

The Inhibitory Effects of MgSO4 on Neuronal Excitability Induces Apoptotic Cell Death, William H. Dribben, MD, Washington University in St. Louis School of Medicine

The Percent of Transient Ischemic Attack Emergency Department Patients who are Admitted has Increased Since 2001, Siama DurraniTariq, Atlantic Health (Morristown)

66.

47.

Carbenoxolone Rescues Mice from Lethal Sepsis by Inhibiting HMGB1 Release, Wei Li, MD, North Shore-Long Island Jewish Health System

Meta-Analysis: The effectiveness of a Triptan plus a Non-Steroidal Anti-inflammatory Drug for the Treatment of an Acute Migraine, Anika Backster, MD, SUNY Downstate / Kings County Hospital

67.

Symptoms Associated with Missed Diagnosis of Ischemic Stroke in the Emergency Department, Rhonda S. Cadena, MD, University of Cincinnati College of Medicine

68.

The Average Age of CVA Emergency Department Patients is Decreasing, Ashley Flannery, Morristown Memorial Hospital

69.

The Triglyceride Paradox in Stroke Survivors, Minal Jain, University of Rochester Medical Center

MODERATED POSTER PRESENTATIONS Advances in EM Curriculum (3:30 - 4:30 pm) 48.

49.

Virtual Examination is a Feasible Alternative to Traditional Mock Oral Examination for Emergency Medicine Residents, Jillian Leigh Schwaab, MD, Ohio State University Hospital Implementation of a Knowledge Translation Shift for Senior Emergency Medicine Residents (EMRs), Sara Friedman, MD, McGaw Medical Center of Northwestern University

Education (3:00 - 5:00 pm) 70.

Student Perceptions on Using Mobile Learning Technology in the Emergency Department Prior to Patient Encounters, Matthew C. Tews, DO, Medical College of Wisconsin Affiliated Hospitals

50.

The ED-Based Critical Care Rotation: A Two-year Experience at a Large Urban Hospital, Julie M Nguyen, MD, Wayne State University School of Medicine-Detroit Receiving Hospital

71.

51.

Availability and Potential Impact of Rural Rotations in Emergency Medicine Residency Programs, Brad E Talley, MD, Denver Health Medical Center

Underrepresented Minorities in Academic Emergency Medicine, Jessica Klausmeier, MD, Beth Israel Deaconess Medical Center/ Harvard Medical School

72.

Comparison of Traditional Versus High-Fidelity Simulation in the Retention of Advanced Cardiac Life Support Knowledge, Bruce Lo, MD, Eastern Virginia Medical School

Prehospital Airway (3:30 - 4:30 pm) 52.

Rapid Sequence Airway vs. Rapid Sequence Intubation in a Simulated Trauma Airway by Flight Crews, Andrew Southard, MD, University of New Mexico School of Medicine

73.

53.

Succinylcholine versus Rocuronium in Prehospital Aeromedical Rapid Sequence Intubation, Brian Hiestand, MD, MPH, Ohio State University

Impact of Group Size on the Effectiveness of a Resuscitation Simulation Curriculum for Medical Students, Jessica Corcoran, DO, Medical College of Wisconsin

74.

54.

Improving Prehospital Endotracheal Intubation Psychomotor Skills Using High Fidelity Human Patient Simulators, Steven R. Ward, BA, NREMT-P, Mecklenburg EMS Agency

Provider Type and Patient Satisfaction with Procedural Pain Management in the ED, Wirachin Hoonpongsimanont, MD, University of Medicine and Dentistry of New Jersey -New Jersey Medical School

75.

55.

Impact of ED/Prehospital Intubation on Ventilator Associated Pneumonia, Chad E. Darling, MD, University of Massachusetts Medical School

Traditional ACLS vs. Integrated Simulation-based ACLS during an Emergency Medicine Rotation for 3rd year Medical Students, Paul Y. Ko, MD, SUNY Upstate Medical University

76.

A New Method for Measuring Numeracy in Emergency Department Patients: The Subjective Numeracy Survey versus the Wide Range Achievement Test 4, Candace McNaughton, MD, Vanderbilt Medical Center

POSTER PRESENTATIONS Disaster Medicine (3:00 - 5:00 pm)

77.

56.

Dialysis Patients Poorly Prepared for Disaster, Mark Foster, MD, University of North Carolina at Chapel Hill

Evaluation of a Multiple Modality Breaking Bad News Curriculum for Medical Students, Laura Roff Hopson, MD, University of Michigan

78.

57.

Evaluation of County-Wide Mass Casualty Triage Training and Four Month Retention, Matthew Deluhery, MD, Medical College of Wisconsin

An Electronic Health Record with an Integrated Resident Evaluation System Improves Faculty Evaluations of Residents, Jennifer Pope, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

79.

58.

Comparing Video Based Learning to Traditional Lecture for Instructing Emergency Medicine Residents in the Disaster Medicine Principles of Triage, Decontamination, and Personal Protective Equipment, Henry Curtis, MD, Mount Sinai School of Medicine

ED Physicians Use More Resources When Supervising Residents, Stephen R. Pitts, MD, Emory University School of Medicine

80.

Proctored Thoracic Ultrasound Exams with a Pneumothorax Pig Model Increases Emergency Medicine Residents Ability to Detect a Pneumothorax by Ultrasound, Robinson Mark Ferre, MD, Wilford Hall Medical Center

59.

Criteria for Allocation of Ventilators in Pandemic Influenza Varies

81.

The Effect of Evaluator Metrics on Emergency Medicine Resident Evaluations, David Barlas, MD, New York Hospital Medical Center of Queens/Cornell University Medical College

82.

Medical Student Perceptions of an End of Fourth Year Clinical Skills Program, David A. Wald, DO, Temple University School of Medicine

104.

Use of Audio Abstracts in Resident Education: An Innovative Learning Tool, Sarah Cates, Geisinger Medical Center

83.

The Impact of Resident Experience and Shift Length on Disposition Time for Emergency Department Patients, Matthew Muller, MD, University of Texas Southwestern

105.

Factors Which Influence Residency Applicants’ Rank Decisions: A Survey of Emergency Medicine Program Directors, Alicia Pilarski, University of Nevada School of Medicine

84.

Use of an Embalming Machine to Create a Fascial Compartment Pressure Monitoring Model in Human Cadavers, Frank Messina, MD, Indiana University School of Medicine, Department of Emergency Medicine

106.

Quantifying Effectiveness of Residency Recruiting Promotional Activities on a Resident-run Website Using Google Analytics, Christo Thomas Philip, MD, University of Texas Southwestern Medical Center

EM Resident Competency in Simulated pRSI, Joseph B. House, MD, University of Michigan

107.

85.

The Implementation of an Audience Response System Improves Resident Attitudes Towards Required Weekly Conference, Mark Saks, MD, Drexel University College of Medicine

86.

Development of Geriatric Competencies for Emergency Medicine Residents Using an Expert Consensus Process, Teresita Hogan, MD, Resurrection Medical Center

108.

Educational Value of Helicopter Emergency Medical Services (HEMS) in EM Residency Training, John W Hafner, Jr, MD, University of Illinois College of Medicine at Peoria

87.

Air Medical Transport Curriculum Provides Effective Education for Medical Students, Kenneth Robinson, MD, Hartford Hospital

109.

88.

Effective Analysis of Faculty-Specific Teaching Evaluations: A Novel Use of the Funnel Plot, Christopher McDowell, MD, Southern Illinois University School of Medicine

Correlation of Advanced Life Support Written Scores with Skills Performance at 0, 3, and 6 Month Intervals, Andreia MarquesBaptista, MD, University of Medicine and Dentistry of New Jersey -Robert Wood Johnson Medical School

110.

89.

Evaluation and Retention of Paramedics to Properly Utilize the I-LMA Device in High Fidelity Simulated Critical Care Scenarios, David P. Evans, MD, Eastern Virginia Medical School

Requirements for Medical Informatics Training of Emergency Physicians, James C. McClay, MD, University of Nebraska Medical Center

111.

90.

A Review of United States Critical Care Fellowships with Established Emergency Medicine Pathways, Timothy Ellender, MD, Indiana Clinic Emergency Medicine

Use of Video Lectures in Resident Education, Jennifer L. Savino, DO, Geisinger Medical Center

112.

Increased Utilization of Ultrasound Guidance for Central Venous Catheters by Non-Emergency Medicine Residents Due to Emergency Medicine Related Programs, De B. Winter, III, MD, Christiana Care Health Services

113.

The Impact of Emergency Department Overcrowding on Emergency Medicine Resident Education, Jeannie Ruth McCartney, Louisiana State University Health Sciences Center

114.

Medical Knowledge Outcome Assessment of an Emergency Medicine 1 (EM1) Resident Orientation Month, Jason Lowe, DO, University of Mississippi Medical Center

91.

A Pilot Study to Assess the Acceptability and Feasibility of the Multiple Mini-Interview (MMI) for Emergency Medicine Residency Interviews, Laura Roff Hopson, MD, University of Michigan

92.

Impact of an Emergency Medicine Clerkship on Students’ Perceptions of Emergency Medicine, Carmen Gonzales, MD, University of Medicine and Dentistry of New Jersey-New Jersey Medical School

Resident Training Improve Resident Management of Chief Complaint Based Scenarios, Lisa Jacobson, MD, Mount Sinai School of Medicine

93.

Barriers to Curriculum Implementation, Jeffrey Phillip Druck, MD, University of Colorado Denver School of Medicine

115.

94.

Effect of a Week-Long Intensive Course in Acute Care on Student Self-Perceptions of Ability To Manage Critical Patients, Sam O. Clarke, MD, Los Angeles County-Harbor-UCLA Medical Center

Needs Analysis of Emergency Medicine Residents in Informed Consent Utilizing a Hybrid Simulation and Written Exam, Katrina Leone, MD, McGaw Medical Center of Northwestern University

116.

95.

Use of Competency Cases to Assess Provider Knowledge of the Emergency Severity Index (Version 4): An Item Analysis, Joshua G Salzman, MA, Regions Hospital

Impact of A Clinical Research in Emergency Medicine Course on Undergraduate and Post-Baccalaureate Student Acceptance into Medical School, Judd E. Hollander, MD, University of Pennsylvania School of Medicine

96.

An Analysis of Required Medical School Emergency Medicine Clerkships and Their Impact on Residency Application Rates, Aaron Burnett, MD, Regions Emergency Medicine Residency

117.

The GlideScope Learning Curve for Emergency Medicine Residents, John C. Sakles, MD, University of Arizona College of Medicine

118.

Needs Assessment and Stratification of Geriatric Emergency Medicine Education for Emergency Medicine Residents, Brian Gillett, MD, SUNY Downstate / Kings County Hospitals

119.

Are We Training Emergency Physicians to Practice Women’s Health and Gender Specific Medicine? A Needs Assessment, Alyson McGregor, MD, Brown University/Rhode Island Hospital

120.

Creation of the Costa Rican Emergency Medicine Residency: a 10year Follow-up, Kraigher O’Keefe, MD, University of Michigan

121.

Evaluation of the Initial Years of Four Two-year Emergency Medicine Fellowship Programs in India, Christina Bloem, MD, SUNY Downstate

97.

98.

Effects of Script-based Role play in Cardiopulmonary Resuscitation Team Training, Sung Phil Chung, MD, Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea Emergency Department Ultrasound Rotation Improves Residents’ Ultrasound Knowledge, Interpretation Accuracy, and Clinical Decision Making, Simon Mahler, MD, Louisiana State University School of Medicine in Shreveport

99.

Analysis of Death Disclosure Skills in Emergency Medicine Using High Fidelity Simulation with Direct Observation and Self-Reflection, David Salzman, MD, McGaw Medical Center of Northwestern University

100.

Agreement of Direct Observation Evaluations with Quarterly Evaluations of EM Residents Increases With the Number of Evaluations Performed, James Ryan, MD, New York Hospital, Queens

101.

Toxicology Education in Emergency Medicine Residency and Pediatric Emergency Medicine Fellowship Programs: SelfAssessment and Curriculum Needs, Caitlin Bilotti, MD, University of California (San Francisco)/San Francisco General Hospital

102.

103.

Web-Conferenced Simulation Sessions: A Satisfaction Survey of Clinical Simulation Encounters Via Remote Supervision, Emily Hayden, MD, Massachusetts General Hospital Does Simulation-Based Deliberate Practice in Emergency Medicine

Abdominal/Gastrointestinal/Genitourinary (3:00 - 5:00 pm) 122.

Ultrasound Diagnosis of Intussusception by Emergency Physicians, Antonio E. Muniz, MD, The University of Texas Health Science Center at Houston

123.

Prospective Derivation of Clinical Predictors of Sexually Transmitted Diseases in Female Emergency Department Patients, Sandra Thomasian, University of Nevada School of Medicine

124.

Combination of Hydronephrosis and Hematuria as Predictors of Symptomatic Nephrolithiasis in Suspected Renal Colic, Nicholas Villalon, Yale Department of Emergency Medicine

125.

Evaluation of the Necessity of Urine Pregnancy Testing in Female Emergency Department Patients Presenting with Urinary Tract

Symptoms, Bahar K. Navab, MPH, University of California, San Francisco Diagnostic Technologies/Radiology (3:00 – 5:00 pm)

in the Emergency Department: A Practical Sentinel for Pandemics and Bioterrorism, Samantha Foy, MD, Beth Israel Deaconess Medical Center/Harvard Medical School 148.

Systolic Blood Pressure does not Reliably Identify Hemodynamic Status in Emergency Department Patients, Ayan Sen, MD, Henry Ford Hospital

Inadequate HIV Care is Associated with Increased Emergency Department (ED) Utilization and Hospitalizations: A Prospective Study in HIV-Positive ED Patients, T. Rinda Soong, Johns Hopkins University School of Medicine

149.

Does CK MB Add Additional Benefit to Troponin in the Evaluation of Acute Coronary Syndrome in the Emergency Department?, Kathryn Volz, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

Patterns of Nasal and Extra-Nasal Methicillin Resistant Staphylococcus Aureus Colonization in Emergency Department Patients, Elissa M. Schechter-Perkins, MD, Boston University School of Medicine

150.

Rates Of Undiagnosed HIV in Homosexual and Bisexual Male ED Patients, Brittney Lee Copeland, MD, Emory University

151.

Association of Metformin Use with Hyperlactatemia and Mortality in Adult Patients Screened for Severe Sepsis, Jeffrey Paul Green, MD, New York Hospital Medical Center of Queens/Cornell University Medical College

152.

Factors Associated with Subsequent Linkage to Care in Newly Diagnosed HIV-1 Infected Patients Identified by Emergency Department (ED)-based Rapid HIV Screening Programs in Two Urban EDs, Leah Hayden Harvey, MD, Johns Hopkins University

153.

Making “Routine” Routine: A Novel Approach to HIV Testing in the Emergency Department, Christopher John Freeman, MD, University of Texas Health Science Center at Houston

154.

Validation of a Previously Reported Association between Sepsis Syndrome and Organ Dysfunction with Mortality in ED Patients with Suspected Infection, Tony Berger, MD, Jacobi Medical Center / Albert Einstein College of Medicine

126.

Comparison of Two Commercially Available Point-Of-Care Devices for Brain Natriuretic Peptide in Patients with Suspected Heart Failure, Adam J. Singer, MD, SUNY at Stony Brook

127.

128.

129.

Is the Current Definition of Contrast-Induced Nephropathy After Abdominal CT Scans Reasonable?, Richard Sinert, DO, SUNY Health Science Center at Brooklyn

130.

Time to Obtain Bilateral Ureteral Jets with Color Power Doppler Sonography in Healthy Subjects, Robert Hyde, MD, Christiana Care Health Services

131.

Urinalysis is an Inadequate Screen for Rhabdomyolysis, Gregory W. Hendey, MD, UCSF Fresno

132.

Development of an Integrated Lab Chip for Point-of-Care Infectious Disease Diagnostic, Seungkyung Park, PhD, Johns Hopkins University School of Medicine

133.

Hydronephrosis as a Predictor of Stone Size in Suspected Renal Colic, Kimberly Nicoll, MD, Yale-New Haven Medical Center

134.

False Negative Rates and Failure Modes in Point of Care Urine hCG Testing in the ED, Jacob Brian Keeperman, MD, Washington University in St. Louis School of Medicine

155.

What is the Utility of the Focused Assessment with Sonography in Trauma (FAST) Exam in Penetrating Thoracoabdominal Trauma?, Antonia C. Quinn, DO, SUNY Downstate Medical Center

Positive Blood Cultures in Patients Discharged from the Emergency Department, Christopher Fischer, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

156.

Differentiating Transaminase Elevations Caused by Rhabdomyolysis from those Caused by Hepatic Disease, Charles A. McKay, MD, Hartford Hospital

Absolute Lymphocyte Count in the Emergency Department Predicts a Low CD4 Count in Admitted HIV Positive Patients, Anthony M. Napoli, MD, Brown University/Rhode Island Hospital

157.

Time Commitment of Emergency Physicians Serving as Emergency Ultrasound Directors in United States Emergency Departments, Charles Schmier, MD, Christiana Care Health System

Infants Less Than 3 Months of Age with Respiratory Syncytial Virus have a Low Risk for Bacteremia or Meningitis, Antonio E. Muniz, MD, The University of Texas Health Science Center at Houston

158.

Systemic Inflammatory Response Syndrome Criteria to Identify Low Risk Emergency Department Patients with Suspected Infection, Michael Marchick, MD, Carolinas Medical Center

135.

136.

137.

138.

A Pilot Study of Radiology Curriculum Assessment Tool, Langley Partridge, NYU/Bellevue Hospital

159.

139.

Prospective Outcomes Study of Pregnant Emergency Department Patients with Documented Cardiac Activity on Ultrasound, Erika Dee Schroeder, MPH, University of Utah School of Medicine

Prevalence of Normal Inflammatory Markers in Pediatric Patients with Retropharyngeal Abscess, Elizabeth Haines, DO, Morristown Memorial Hospital

160.

140.

Feasibility of Physician Assistants Performed Ultrasound in The Emergency Department, Shira Yahalom, MD, Beth Israel Medical Center

Use of Email to Increase Follow-up Rates in an ED-based HIV Testing Program, Bryn Mumma, MD, University of Pittsburgh Medical Center Medical Education

161.

141.

Effect of Bedside Ultrasound on the Management of Septic Patients in the Emergency Department, Samir Haydar, MD, Eric Moore, MD, Maine Medical Center

Emergency Department Visits for Asthma Exacerbations and Respiratory Infections during the 2005-2006 Influenza Season: A Retrospective Review Using an Electronic Medical Record, Larissa S May, MD, The George Washington University

142.

Can Patients with A Non-diagnostic Abdominal Computed Tomography Scan be Safely Discharged from the Emergency Department?, Keli Kwok, MD, Boston University School Of Medicine

162.

143.

Alanine Aminotransferase and Aspartate Aminotransferase as Screening Tests for Rhabdomyolysis, Rawnica Ruegner, MD, University of California (San Francisco)/Fresno

Association of Skin Temperature Gradient with Hyperlactatemia in Adult Patients with Suspected Infection, Nidhi Garg, MD, New York Hospital Medical Center of Queens/Cornell University Medical College

163.

144.

Correlates of Disparate Abdominal CT Ordering Behavior Amongst Emergency Physicians, Anurag Gupta, Beth Israel Medical Center

Odds of Testing for STD Co-Infection in NYC Public Hospitals: Roles HIV Consent and PCP vs Care Limited to the ED, Ronald B. Low, MD, NYU/New York City Health and Hospitals

164.

145.

Does Switching D-dimer Assays Result in Changes in Need for Computed Tomography Angiogram and Emergency Department Length of Stay in Patients Being Evaluated for Pulmonary Embolism?, Kathryn Volz, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

Sonographic Elastography but not Greyscale Imaging Lags Healing in Skin Abscesses, Romolo J. Gaspari, MD, University of Massachusetts Medical School

165.

The Evaluation of Febrile Infants Less Than One Year of Age Between Emergency Medicine Physicians and Pediatric Emergency Medicine Physicians, Antonio E. Muniz, MD, The University of Texas Health Science Center at Houston

166.

Collecting Blood Cultures Through Peripheral and Central Catheters Increases the Risk of Contamination, Wesley H. Self, MD, Vanderbilt University

167.

Rapid HIV Testing in Emergency Departments – Comparison of Results from 2 Different Operational Programs in Inner-City and

Infectious Diseases (3:00 - 5:00 pm) 146.

The Time-to-Antibiotics Hospital Quality Pneumonia Metric is not Associated with Inpatient Mortality: Results of a Nationwide CrossSectional Analysis, Erin Quattromani, MD, McGaw Medical Center of Northwestern University

147.

Real-Time Automated Body Temperature Surveillance and Reporting

Urban Sites in Baltimore, Maryland, Yu-Hsiang Hsieh, PhD, Johns Hopkins University School of Medicine 168.

Patient Attitudes and Compliance While Wearing Surgical Masks to Prevent Disease Transmission, Katie Tataris, MD, Cook County Hospital

169.

Is Morbid Obesity Associated with Severity of Skin and Soft Tissue Infection? A Pilot Study, Simon Mahler, MD, Louisiana State University School of Medicine in Shreveport

170.

A Novel Approach to Emergency Department HIV Testing – Conventional Testing Rapidly: 427 New Positives And 55,529 Tests In 16 Months, James J. McCarthy, MD, University of Texas Medical School at Houston

171.

Impact of the H1N1 Outbreak on Emergency Department Rapid Flu Testing, Gary M. Vilke, MD, University of California San Diego

172.

HIV Testing in the Emergency Department: Pilot Testing and Qualitative Assessment of Patient Perceptions, Cindy Zimmerman, MD, University of Alabama at Birmingham

173.

Triggers in the ED: Identification of Patients with Abnormal Vital Signs Improves Time to Therapy, Jonathan Roberts, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

174.

Prevalence of Proteus Mirabilis in Skin Abscesses of the Axilla, Rakesh Mistry, MD, Children’s Hospital of Philadelphia

175.

Prevalence of Methicillin Resistant Staphylococcus Aureus (MRSA) Colonization in a Random Sample of Emergency Department Patients as Determined by Ibis T5000 PCR ESI-MS PCR System, Aleksandar Kecojevic, Johns Hopkins University

Orlando Regional Medical Center 188.

Field Tissue Oxygenation Monitoring Predicts Mortality in Trauma Patients, Scott G. Sagraves, MD, Brody School of Medicine at East Carolina University

189.

Predicting Ambulance Time of Arrival to the Emergency Department Using Global Position System and Google™ Maps, Mark Lundquist, MD, Oregon Health and Science University

190.

Comparison of First Attempt Success between Tibial and Humeral Intraosseous Insertions During Out of Hospital Cardiac Arrest, Rosalyn Reades, MD, Carolinas Medical Center

191.

The Impact of Point-of-Care Testing on Patient Management Decisions During Flight in a Rural Aero-medical Transport Service, George L. Higgins, III, MD, Maine Medical Center

192.

Paramedic King Airway Insertion Versus Endotracheal Intubation in Simulated Pediatric Respiratory Arrest, Michael Mitchell, MD, University of Alabama-Birmingham

Coping with Death (11:00 am - 12:00 pm) 193.

Bereavement Outcomes Associated with Family Witnessed Resuscitations in an Urban ED Setting, Scott Compton, PhD, University of Medicine and Dentistry of New Jersey -New Jersey Medical School

194.

The Perceived Stress and Appropriateness of Simulated Death in Undergraduate Medical Education, Benjamin Zabar, Yale University School of Medicine

195.

Death in the Field: Teaching Paramedics to Deliver Effective Death Notifications, Cherri D. Hobgood, MD, University of North Carolina at Chapel Hill School of Medicine Impact of Linking a Simulated Failed Resuscitation to a Standardized Patient Interaction Involving Death Notification, Laura Roff Hopson, MD, University of Michigan

Research Design/Methodology/Statistics (3:00 - 5:00 pm) 176.

Accuracy and Feasibility of a Novel Approach to Emergency Medicine Text Processing of Emergency Department Chief Complaints, Adanma Ndubuizu, MD, University of North Carolina-Chapel Hill

196.

177.

Outcomes Considered Most Important when Determining Emergency Department Patient Disposition – A Survey of to Guide the Development of Clinical Decision Rules, Christopher Kabrhel, MD, Massachusetts General Hospital

Outcomes and Analysis: ED Observation Units (11:00 am – 12:00 noon)

178.

Hemodynamic Time Series and Trends in the ED: An Exploratory Analysis in Acute Stroke Patients, Ayan Sen, MD, Henry Ford Hospital

179.

Palliative Care Symptom Assessment in the Emergency Department: Validation of the Screening for Palliative Care Needs in the Emergency Department (SPEED) Instrument, Christopher T. Richards, MD, Northwestern University

180.

Derivation of the Organ Donation Belief Index Using Modern Test Theory, Stephen P. Wall, MD, New York University School Of Medicine

197.

The Impact of an ED Observation Unit Accelerated Diagnostic Protocol on Transient Ischemic Attack Patient Length of Stay in a University Hospital, George Leach, MD, Emory University School of Medicine

198.

Transient Ischemic Attack Stroke Prevention Measures in an ED Observation Unit Accelerated Diagnostic Protocol are Comparable to Inpatients, George Leach, MD, Emory University School of Medicine

199.

Factors that Predict Positive Findings on a 64-Slice Coronary CTA “Triple Rule-Out” Protocol Performed on ED Observation Chest Pain Patients, Kevin Takakuwa, MD, Thomas Jefferson University Hospital

200.

Evaluating the Educational Impact of Observation Unit Rotation for Emergency Medicine Residents on ACGME Core Competencies, Keel Coleman, MD, Virginia Commonwealth University School of Medicine

Friday, June 4, 2010 ORAL PRESENTATIONS International EM (9:30 - 11:00 am)

201.

Procedural Experience Among Incoming Emergency Medicine (EM) Interns, Jeremy Branzetti, MD, McGaw Medical Center of Northwestern University

202.

Integration of Sonography into the Medical School Anatomy Curriculum, Kevin O’Rourke, Jr., MD, Ohio State University Hospital

203.

Introduction Of Focused Bedside Ultrasound Into The Medical School Physical Diagnosis (PD) Course, David Amponsah, MD, Henry Ford Hospital

A New Indian Pediatric Emergency Weight Estimation Tool: Prospective Population Specific Adjustment and Validation of the Broselow Tape, Farhad Asskaryar, MD, Sri Ramachandra University, College of Medicine & Research Institute

204.

Transition to Life Curriculum – A Sendoff to the Real World for Graduating Medical Students, Wendy C. Coates, MD, Los Angeles County-Harbor-UCLA Medical Center

Characteristics and Outcomes of Prehospital Chest Pain Patients in India, Jia Wen Jessica Chang, Stanford University School of Medicine

Enhancing Survival Beyond the ED Part I (1:00 - 3:00 pm)

181.

Key Elements and Challenges in Introducing an Emergency Medicine Residency in Ghana, Daniel Reed Wachter, MD, University of Michigan

182.

Creation and Implementation of a “Train-The-Trainers” Emergency Medical Training Course in Turkey, Jennifer Whitfield Bellows, MD, The George Washington University

183.

Epidemiology of Prehospital Obstetric Emergencies in India, Elise Hyeyoun Min, Stanford University School of Medicine

184.

185.

186.

LIGHTNING ORAL PRESENTATIONS 205.

A Clinical Decision Rule to Identify Infants with Apparent Life Threatening Event who can be Safely Discharged from the Emergency Department, Manoj K. Mittal, The Children’s Hospital of Philadelphia

206.

The Hemodynamic Effects of Etomidate Over the First 24 Hours of ICU Care, Wayne R. Triner, DO, MPH, Albany Medical College

207.

Derivation of Clinical Prediction Rules for Severe Influenza Infection

Road Traffic Safety: Yerevan, Armenia, Sharon Chekijian, MD, Yale University School of Medicine

The Technology of EMS (9:30 - 11:00 am) 187.

Assessing Medical Student Skills (1:00 - 2:00 pm)

Can EKGs be Transmitted Quickly and Reliably from the Field to the Emergency Department Using Smartphones?, Christine Vandillen,

Incorporating Viral Loads for the Prediction of Hospitalization and Inpatient Length of Stay, Kuan-Fu Chen, MD, Johns Hopkins University, Chang Gung University

230.

Hospital Characteristics Associated with Mortality in Injured Patients in U.S. Trauma Centers, Michael Cudnik, MD, MPH, The Ohio State University Medical Center

208.

Real-Time ED Information System Data Mining and Caregiver Notification Shorten Times to Key Interventions in Septic Patients, Jessica Nelson, University of Michigan

231.

Prospective Evaluation of Biplanar and 3D Probe Technology in Trauma Ultrasound Imaging in the ED, Vivek S. Tayal, MD, Carolinas Medical Center

209.

Onsite Pharmacists in the Emergency Department Improve Errors, Arthur Sullivan, MD, University of New Mexico School of Medicine

232.

210.

The Impact of Emergency Medical Services in the Care of Severe Sepsis, Melanie Artho, MD, Carolinas Medical Center

The Use of the Revised Trauma Score as an Entry Criterion in Traumatic Hemorrhagic Shock Studies: Data From the DCLHb Clinical Trials, Edward P. Sloan, MD, MPH, University of Illinois College of Medicine at Chicago

211.

Impact of Therapeutic Hypothermia on Short-Term Neurological Outcome for Out-of-Hospital Cardiac Arrest Patients with Asystole/ PEA, Kei Hayashida, MD, Department of Emergency & Critical Care Medicine, Keio University, Japan

233.

Standard Ring Cutters are Ineffective for Removing Modern Hard Metal Rings, Brandy Snowden, MPH, CCRP, UCSF-Fresno

234.

Can EPs Use a Set of Guidelines to Quickly Identify Infections Caused by Resistant Organisms in Patients with Severe Sepsis and/ or Septic Shock?, Roberta Capp, MD, BWH/MGH Hospital

Using Home Location as a Proxy for Injury Location and the Implications for Trauma Planning, Sage Myers, MD, Children’s Hospital of Philadelphia

235.

Contrast-Induced Nephropathy: Unrecognized Risk in Patients Discharged from the Emergency Department, Alice Mitchell, MD, Carolinas Medical Center

Management of Occult Pneumothorax: An Evidence-Based Emergency Medicine Review, Kabir Yadav, MD, CM, MS, George Washington University Medical Center

236.

Mandatory Formal Triage for Walk-in ED Patients Does Not Prevent Delays in Identifying Emergent Patients, Ellen Weber, MD, University of California San Francisco

Pregnancy and Maternal Trauma: Predictors of High Risk Behaviors and Assault, Usha Periyanayagam, MD, McGaw Medical Center of Northwestern University

237.

Prehospital Intubation and Traumatic Brain Injury: A Systematic Review, Shawn K. Dowling, MD, University of Calgary

212.

213.

214.

215.

Efficacy of Brief Interventions for Hazardous and Harmful Drinkers in the Emergency Department, Gail D’Onofrio, MD, Yale University School of Medicine

238.

Analysis of Life-Saving Interventions Performed by Out-of-Hospital Combat Medical Personnel, John Berry, MD, Brooke Army Medical Center / SAUSHEC

216.

Intussusception in Adults: What Predicts the Need for Surgical Management?, Rachel A Lindor, Mayo Clinic College of Medicine

239.

Reimaging of Head and Neck in Blunt Trauma Transfers: How Often is There a Change in Initial Diagnosis?, Gina Marie Lopez, MD, Boston Medical Center, Boston University

240.

Is There An Optimal Time From Injury For Laceration Primary Wound Closure To Minimize Wound Infection Rates?, Rohit Patel, MD, Lincoln Medical and Mental Health Center

241.

Do Children and Senior Trauma Victims Need Alcohol Screening and Brief Interventions?, Charlene Babcock Irvin, MD, St John Hospital and Medical Center

POSTER PRESENTATIONS Trauma (1:00 - 3:00 pm) 217.

Ubiquitin C-terminal hydrolase (UCH-L1): a Potential Serum Biomarker for Mild and Moderate Traumatic Brain Injury, Linda Papa, MD, MS, Orlando Health

218.

Single-dose Etomidate for Intubation in the Trauma Patient, Sidney James, DO , UCSF Fresno

219.

Violent & Fatal Trauma in Youth: Is There a Missed Opportunity?, Christopher Shields, MD, Lincoln Medical and Mental Health Center

220.

Identification of Low Risk Patients with Traumatic Brain Injury and Intracranial Hemorrhage Who Do Not Need Intensive Care Unit Admission, Daniel Nishijima, MD, UC Davis, School of Medicine

221.

Continuous Pre-hospital and ED Vital Signs Acquisition Identifies Increased Abnormalities and Alters TRISS Scores, Ayan Sen, MD, Henry Ford Hospital

222.

Human Creatine Kinase Effect from Conducted Electrical Weapons, Jeffrey D. Ho, MD, Hennepin County Medical Center

223.

Administration/Health Policy (1:00 - 3:00 pm) 242.

Relationship Between Annual Hospital Volume of Emergency Department Sepsis Cases and Sepsis Inpatient Mortality: A Nationwide Cross-Sectional Study, Emilie S. Powell, MD, McGaw Medical Center of Northwestern University

243.

Trends in Emergency Department CT Use and its Impact on Length of Stay, Diagnosis and Hospital Admissions: 1996-2007, Keith E. Kocher, MD, MPH, MPhil, University of Michigan

244.

Optimal Fluid Resuscitation in Severe Pediatric Burn Injuries: A Pilot Study, Dominic A Borgialli, DO, MPH, Hurley Medical Center/ University of Michigan

Increasing Attention to Community-Acquired Pneumonia (CAP) Core Measures was not Associated with Increased Inappropriate Antibiotic Administration in Emergency Department (ED) Patients Admitted with Congestive Heart Failure (CHF), Christopher Fee, MD, University of California (San Francisco)/San Francisco General Hospital

245.

224.

A Comparison of Cervical Spine Injury Patterns in Patients Transported to the Emergency Department by EMS And Private Vehicle, Alfredo Urdaneta, MD, UCSF-Fresno

Will Diversion of Less Urgent Patients Reduce Emergency Department Access Block?, Michael Johnson, MD, Vancouver Coastal Health

246.

225.

Trauma in the Neighborhood: A Geospatial Analysis of Major Trauma Patients and Population Sociodemographics in 9 North American Sites, Craig D. Newgard, MD, MPH, Oregon Health & Science University School of Medicine

Access to Primary Care as a Predictor for Unscheduled Return Visits to the Emergency Department within 72 Hours: A Retrospective Case Control Study, Sean Caine, MD, University of Calgary

247.

Variability in Computed Tomography Utilization by Emergency Physicians in 3 Urban Hospitals, Grant Innes, MD, Foothills Hospital/ University of Calgary

248.

The Association Between Hospital-Level Left-Without-Being Seen (LWBS) Rates and 90-Day Mortality Rates After LWBS, Jesse Pines, MD, MBA, George Washington University School of Medicine

249.

Assessment of ED Capacity in the Morning Using NEDOCS Accurately Predicts Overcrowding Later in the Day, Joseph Affortunato, DO, St. Joseph’s Regional Medical Center

250.

Charge Awareness Among Emergency Medicine Physicians Influences Diagnostic Testing Orders, Peter Shearer, MD, Mount Sinai School of Medicine

251.

Prospective Validation of Relationship Between Inpatient Hospital Bed Occupancy and ED Overcrowding and Performance, Drew Richardson, MB, BS(Hons), Australian National University

226.

Injury Characteristics Associated with False Negative Focused Assessment with Sonography in Adult Trauma Patients, Sara Krzyzaniak, Denver Health Medical Center

227.

Trauma Outcomes and Insurance Status, Dietrich Jehle, MD, Erie County Medical Center

228.

Comparison of the Motor Component of the Glasgow Coma Score with the Total Glasgow Coma Score in Predicting the Severity of Injury in Trauma Patients, Danny Hierholzer, DO, Geisinger Health System Program

229.

Clinical Heterogeneity in the Treatment of Traumatic Brain Injury at Level I Trauma Centers, Lisa H. Merck, MD, Emory University School of Medicine

252.

The Effect of Hospital Census on Emergency Department Operations, Medhi Sattarian, MD, George Washington University

253.

Withdrawn

254.

Hallway Patients Reduce Overall ED Satisfaction Scores, Kirk A. Stiffler, MD, Akron City Hospital / Summa Health System / NEOUCOM

255.

Physician-led Care Team in Triage- A Golden Solution to Crowding, William J. Frohna, MD, Washington Hospital Center

256.

A Lean Based Process Redesign: Impact on Left Without Treatment (LWOT) Rate and Financial Implications -The SPEED Trial, Neil B. Jasani, MD, Christiana Care Health Services

257.

How do Medical Students Affect Attending Productivity in the Emergency Department?, Anthony Yang, MD, University of Medicine and Dentistry of New Jersey -Robert Wood Johnson Medical School

258.

Does Fear of Malpractice Influence Risk Estimates and Admission Rates for Chest Pain Patients?, Michael D. Menchine, MD, University of Southern California/LAC+USC Medical Center

259.

Influenza Vaccine Health Literacy and Attitudes Survey, Lisa MorenoWalton, MD, Louisana State University School of Medicine in New Orleans

260.

National Overview of Boarding in Emergency Departments (NOBEDS) Part 1: Boarding Practices and Use of Strategies to Reduce Crowding and Boarding in U.S. Emergency Departments, Elaine Rabin, MD

261.

Patients Presenting with Psychiatric Complaints have Longer Emergency Department Lengths of Stay: Findings from the National Hospital Ambulatory Medical Care Survey, Lisa Schweigler, MD, MPH, Brown University/Rhode Island Hospital

262.

Physician Productivity and Satisfaction after Alterations in Patient Overflow Management, Christian Coletti, MD, Christiana Care Health Services

263.

A Lean-Based Process Redesign Intended to Expedite Patient Throughput Improves Door to Room Times and Decreases Patients at Triage, Danielle Hines, MD, Christiana Care Health System

264.

Randomized Control Trial to Improve Satisfaction in Emergency Department Patients Receiving Radiographic Imaging of the Extremities, Jennifer O’Connor, MPH, Beth Israel Deaconess Medical Center/Harvard Medical School

265.

Emergency Department Medication Reconciliation: How Reliable are Patient Completed Forms Compared to Pharmacy Generated Lists?, Michael Stern, MD, Albany Medical College

266.

The Relationship Between Health Insurance And Self-Reported Health Status In An Inner-City ED Population, Nichole Sturm, MD, University of Michigan

267.

Distribution of US Emergency Departments According to Annual Visit Volume and Urban-Rural Status – 2007, Robert L. Muelleman, MD, University of Nebraska Medical Center

268. 269.

Ten Year Experience with Frequent Users in an Urban Emergency Department, Gerard B. Martin, MD, Henry Ford Hospital Who are the Children Leaving the Emergency Department Without Being Seen by a Physician?, Nathalie Gaucher, MD, Hopital SainteJustine

276.

Demographic Data and the Impact of Electronic Discharge Instructions on 30-day Hospital Readmissions, Michael Ybarra, MD, Georgetown University/Washington Hospital Center

277.

Community and Hospital Determinants of ED Left Before Being Seen Rates, Renee Y. Hsia, MD, University of California (San Francisco)/ San Francisco General Hospital

278.

Age as a Predictor of Admission: A Linear Model, Scott Weiner, MD, Tufts Medical Center

279.

Redirecting Low-Acuity Pediatric Emergency Department Patients to a Hospital-Base Federally Qualified Health Center, David C. Seaberg, MD, University of Tennessee College of Medicine at Chattanooga

280.

A Lean-Based Process Redesign to Expedite Throughput of Emergency Severity Index (ESI)-3 Patients Reduces the Percentage of Time Recommended Nurse to Patient Ratios are Exceeded at Triage, Ethan Ross, DO, Christiana Care Health Services

281.

Racial and Gender Differences in Troponin Ordering 1999-2008, Alexander T. Limkakeng, MD, Duke University School of Medicine

282.

Application of Statistical Process Control to Physician-Specific Emergency Department Patient Satisfaction Scores: A Novel Use of the Funnel Plot, David Griffen, MD, Southern Illinois University School of Medicine

283.

Collaborative Patient Assessment: A Teamwork Tool to Improve Patient and Staff Communication in the Emergency Department, Nicola Schiebel, MD, Mayo Clinic

284.

Crowding Does Not Adversely Affect Time to Percutaneous Coronary Intervention for Acute Myocardial Infarction, Erik Kulstad, MD, Advocate Christ Medical Center

285.

Emergency Department Crowding is Not Correlated with Time to Antibiotics in Septic Patients Treated with EGDT, Abigail Balger, MD, Advocate Christ Medical Center

286.

Multidisciplinary Discharge Rounds May Reduce ED Overcrowding by Facilitating Hospital Throughput, Ayan Sen, MD, Henry Ford Hospital

287.

Inpatient Length of Stay Calculations are Altered when Midnight is Spent in the Emergency Department, Michelle L. Macy, MD, University of Michigan

288.

Insufficient Clinician Documentation of Significant Electrocardiographic Findings in Adults Presenting to the Emergency Department with Dysrhythmias or Conduction Disorders, Alison Suarez, MD, New York Hospital Medical Center of Queens/Cornell University Medical College

289.

Comparing Throughput of Physician Extenders in Various Volume EDs, Melanie Sutter, MD, Washington University

290.

Socioeconomic Disparities in the Knowledge of Basic Life Support Techniques, Scott Weiner, MD, Tufts Medical Center

291.

Impact of Physicians’ Characteristics on the Risk of Admission among Children Visiting a Pediatric Emergency Department, Nathalie Gaucher, MD, Hopital Sainte-Justine

292.

Difficult IV Access: Incidence and Delays in Care, Michael D. Witting, MD, University of Maryland School of Medicine

293.

HIV Test Type Preferences in an Urban Hospital Emergency Department, Yvette Calderon, MD, MS, Jacobi Medical Center

270.

Effect of a Nurse Rapid Intake Initiative on Patient Length of Stay and Satisfaction: a Project IMPACT Initiative, Frank DeMarco, MD, Duke University School of Medicine

294.

The Effects of Simplifying the Delivery of Vancomycin in Septic Patients Presenting to the Emergency Department, Michael J. Ward, MD, MBA, University of Cincinnati College of Medicine

271.

Emergency Department Consultation: Quality Measures Across Seven Hospitals, Jeremiah Schuur, MD, Brigham & Womens Hospital/Harvard Medical School

295.

Are There Still Differences in Understanding Discharge Instructions after Utilizing a Language Interpreter Service?, Muhammad Waseem, MD, Lincoln Medical & Mental Health Center

272.

A Comparison of Resident and Physician Assistant Productivity in an Urgent Care Environment, Jessica DelCollo, MD, St. Luke’s Hospital

296.

273.

Correlation of Physician Practice Experience with Admission Rates, Michael Jason Buns, MD, George Washington University

Reducing Emergency Department Admit Bed Hold Hours Using the SAFECON High Census Early Warning System, Charles Callahan, MD, Memorial Health Systems

297.

274.

Influence of Race on Hospital Admission for ED Patients over 45 with Chest Pain in the United States, Zachary Franklin Meisel, MD, MPH , University of Pennsylvania School of Medicine

National Overview of Boarding in Emergency Departments (NOBEDS) Part 2: Demographic and Clinical Characteristics of Patients Boarding in U.S. Emergency Departments, Lynne D. Richardson, MD, Mount Sinai School of Medicine

275.

Factors Associated with Ambulance Use in Patients Presenting to the Emergency Department with Acute Exacerbations of Bronchial Asthma, Theodore J. Gaeta, DO, New York Methodist Hospital

298.

Solutions for “Opening the Back Door” of the Emergency Department to Speed Patient Arrival to Inpatient Beds, Gary M. Gaddis, MD, MPH, University of Missouri-Kansas City School of Medicine

299.

Perceptions of Specialty Consultation in Academic Emergency Departments: A Two Way Street, Carrie D Tibbles, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

300.

The Effect of a Brief Emergency Medicine Educational Intervention on the Number of Shifts Worked by Physicians in the Emergency Department, Samuel Vaillancourt, University of Toronto

301.

Differences in Delivery of Psychiatric Care after the Institution of a Dedicated Psychiatric Emergency Services Department, Marcia Cort, MD, MBA, University of Maryland School of Medicine

302.

303.

304.

321.

Cost-Related Medication Non-Adherence Among Emergency Department Patients, Maryann E. Mazer, PharmD, MD, University of Pennsylvania School of Medicine

Delirium in the Emergency Department is an Independent Predictor of Hospital Length of Stay, Jin H. Han, MD, MSC, Vanderbilt University School of Medicine

322.

Emergency Department Based Geriatric Screening Is Reproducible at Home, Christopher Robert Carpenter, MD, MS, Washington University in St. Louis School of Medicine

Evaluation Of Emergency Department (ED) Resource Utilization For Visits Of Uncomplicated Alcohol Intoxication (UEtOH), Alan T Flanigan, MD, University of Rochester School of Medicine and Dentistry

Driving patterns of the “old-old:” Results from the Second Injury Control and Risk Survey (ICARIS-2), Marian Betz, MD, MPH, University of Colorado Denver

324.

Epidemiology, Resource Utilization and Diagnosis of Delirious ED Patients, Maura Kennedy, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

325.

Palliative Care Needs of Seriously Ill, Older Adults Presenting to the Emergency Department, Corita Reilley Grudzen, MD, Mount Sinai School of Medicine

326.

Computed Tomography (CT) Findings in Post Cardiac Arrest Patients, John Peoples, MD, University of Pittsburgh Medical Center Medical Education

Does Cognitive Impairment in the Emergency Department Affect the Accuracy of the History of Present Illness?, Jin H. Han, MD, MSc, Vanderbilt University School of Medicine

327.

In Vivo Measurement of Coronary Perfusion Pressure During Cardiopulmonary Resuscitation by an Active Mechanical Compression-Decompression Device (LUCAS) in a Porcine Model of Sphyxial Cardiac Arrest, Andrew Thompson, MD, SAUSHEC

Do Race or Insurance Disparities Exist for Seniors Suffering Trauma?, Charlene Babcock Irvin, MD, St John Hospital and Medical Center

328.

Correlation of Emergency Department Urinalysis and Urine Culture Results in the Elderly, Daniel Stephen Schwartz, MD, Corpus Christi Emergency Medicine Residency

329.

“Simulation And Analysis Of The St. Louis VA Medical Center Emergency Department”, Eric Goldlust, MD, PhD, Brown University/ Rhode Island Hospital

330.

Increases in Emergency Medical Services Use Across the Life Span: Analysis of North Carolina’s Comprehensive Emergency Department Database, Benjamin Leacock, MD, University of North Carolina at Chapel Hill School of Medicine

331.

Two Views of a Critical Transition: Hospital and Emergency Department Transfers among Nursing Home Residents: United States, 2004-2006, Kalpana Narayan, MD

The Significance of Intermediate Range Blood Lactate Elevation in Emergency Department Patients with Infection: A Systematic Review, Brent Lorenzen, MD, Carolinas Medical Center

307.

Serum Lactate Stratified by C-Reactive Protein for Mortality Prediction in Adult Emergency Department Patients Screened for Severe Sepsis, Jeffrey Paul Green, MD, New York Hospital Medical Center of Queens/Cornell University Medical College

310.

Mortality Prediction Using the New Sepsis Staging Model PIRO in Patients Meeting Criteria for Early Goal-Directed Therapy and the Severe Sepsis Resuscitation Bundle, H. Bryant Nguyen, MD, Loma Linda University School of Medicine

311.

Vascular Occlusion Testing as a Predictor of Future Need for Intensive Care Unit Treatment in Patients Admitted to the Hospital From the Emergency Department, James R. Miner, MD, Hennepin County Medical Center

312.

Prognostic Value of Serum Zinc Levels in Critically Ill Patients, Defne Dundar, Selcuk University Meram Faculty of Medicine

313.

Relationship Between Hemoglobin Measured on Presentation and Neurologic Outcome in Cardiac Arrest Survivors Undergoing Therapeutic Hypothermia as part of a Comprehensive PostResuscitation Program, Michael C. Kurz, MD, Virginia Commonwealth University Health System

Pulmonary (1:00 – 3:00 pm) 332.

Variability in the Rate of Hospital Admission In Patients with Community-Acquired Pneumonia by Emergency Physicians in a Single Hospital Practice, Caroline Vines, MD, University of Utah School of Medicine

333.

Emergency Department Use of Nebulized Budenoside as an Adjunct to Standard Therapy in Acutely Ill Adults with Refractory Asthma: A Randomized, Double-blinded, Placebo-controlled Trial, Robert Silverman, MD, North Shore-LIJ Health System

334.

Comparison of VRI Patterns in Acute Asthmatic Patients and Nonasthmatic Patients in the ED, Charles Victor Pollack, Jr., MA, MD, Pennsylvania Hospital, University of Pennsylvania

335.

Pneumonia Core Measures Identify a Clinically Distinct Subset of Patients, Richard Martin, MD, Temple University School Of Medicine

336.

Comparing Methods of Community Consultation for Emergency Research that Qualifies for an Exception from Informed Consent: Initial Findings from the Community VOICES (Views On Informed Consent in Emergency Situations) Study, Lynne D. Richardson, MD, Mount Sinai School of Medicine

How Have Stricter Documentation Rules for Diagnostic Uncertainty for Patients with Community Acquired Pneumonia (CAP) affected Emergency Physicians?, Roberta Capp, MD, BWH/MGH Hospital

337.

Can a Brief Patient Education Session by a Clinical Pharmacist Reduce Emergency Department (ED) Asthma Re-Visit Rates?, Todd Berger, MD, Emory University School of Medicine

Factors Influencing Presence of Advance Directives in Geriatric

338.

Sensitivity and Predictors of Positive Lower Extremity Venous Duplex

314.

Post-Cardiac Arrest Therapeutic Hypothermia is Not Associated with Increased Bleeding in Coagulopathic Patients, Micheal Donnino, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

315.

ICU Care in Traumatized Adults: Mortality Variation Based on Age, Initial Blood Pressure, and Glasgow Coma Scale Score, Charlene Babcock Irvin, MD, St John Hospital and Medical Center Evaluation of Renal Function in Cardiac Arrest Survivors undergoing Therapeutic Hypothermia as part of a Comprehensive Post-Resuscitation Program, Michael C. Kurz, MD, Virginia Commonwealth University Health System

Ethics (1:00 – 3:00 pm)

318.

322.5 Emergency Department Geriatric Technician Case-Finding: A Randomized Controlled Trial, Christopher Robert Carpenter, MD, MS, Washington University in St. Louis School of Medicine 323.

306.

317.

Geriatrics (1:00 – 3:00 pm)

An Intervention to Improve Care and Reduce Costs for Medicaid Patients with Frequent Hospital Admissions: Impact on Emergency Department Use, Maria C. Raven, MD, MPH, NYU/Bellevue

Lactate Clearance Predicts 28-Day Survival Among Patients with Severe Sepsis and Septic Shock, Sundeep R. Bhat, MD, Stanford/ Kaiser Emergency Medicine Residency

316.

Do Patients Want Informed Consent Prior To Undergoing the Radiation Risk Of Computed Axial Tomography? An Emergency Department Survey, Aicha Hull, MD and Greg Moore, MD, Madigan Army Medical Center Simplifying the Assessment of Activities of Daily Living in Older ED patients: An Exploratory Factor Analysis, Scott T. Wilber, MD, MPH, Akron City Hospital / Summa Health System / NEOUCOM

305.

309.

319.

320.

Critical Care/Resuscitation (1:00 - 3:00 pm)

308.

Patients Presenting to the Emergency Department, Joshua Hurwitz, MD, Albany Medical Center

Ultrasound in the Setting of Pulmonary Embolism, Mark Quincy Goodman, University of Utah

Hospital Stroke Registry Quality of Care Data, Jane H. Brice, MD, University of North Carolina at Chapel Hill School of Medicine

MODERATED POSTERS

Saturday, June 5, 2010

Abuse and Violence (3:30 - 4:30 pm)

ORAL PRESENTATIONS

339.

340.

Do All Alleged Pediatric Sexual Assaults Require Immediate Initial Emergency Department Evaluation?, Rebecca L. Floyed, MD, Emory University School of Medicine Failure to Screen for Partner Violence among Patients with Substance Abuse Presenting to the Emergency Department, Esther Choo, MD, Brown University/Rhode Island Hospital

341.

How often is Domestic Violence Reported to the Police and Does Gender and Referral Source Matter?, Kaushal H. Shah, MD, St Luke’s-Roosevelt Hospital Center

342.

Associations between Social Support and Intimate Partner Violence Among African-American Women Seen in the Emergency Department, Abigail Hankin, MD, Emory University School of Medicine

Emergency Nursing (3:30 - 4:30 pm) 343.

Can Pediatric Emergency Nurses Use a Modified Alvarado Score to Accurately Predict Appendectomy?, Graham Cameron Thompson, MD, Alberta Health Services

344.

An Examination of Nursing Resources Required to Care for Severe Sepsis Patients in the Emergency Department (ED), Heather Farley, MD, Christiana Care Health System

345.

Triage Nurses’ Counseling Influence Return Visits of Children Leaving the Emergency Department Before Being Seen by a Physician, Nathalie Gaucher, MD, Hopital Sainte-Justine

346.

Focused Ultrasound Simulation Training: An Assessment of Emergency Medicine Nurses’ Confidence, Comfort Level and Competency in Performing US Guided Vascular Access, Srikar R Adhikari, MD, University of Nebraska Medical Center

ORAL PRESENTATIONS H1N1 and Pandemic Influenza (3:00 - 4:30 pm)

Dysrythmias (8:00 - 9:30 am) 359.

Ventricular Fibrillation and Other Terminal Cardiac Rhythms in a Porcine Model of Asphyxial Cardiac Arrest, Douglas R. Alfar, II, MD, San Antonio Uniformed Services Health Education Consortium

360.

Factors Influencing Emergency Department Length of Stay for Patients Undergoing Successful DC Cardioversion for Acute Atrial Fibrillation: A Prospective Cohort Study, Frank Scheuermeyer, MD, St. Paul’s Hospital

361.

The Response to Emergent Scenarios Utilizing Simulation (RESUS) Training Program: The Effect of Multimodal Simulation on Dysrhythmia Recognition and Treatment Proficiency in Fourthyear Medical Students, Rich Aronwald, MD, North Shore University HealthSystem, Evanston, IL, A Teaching Affiliate of the University of Chicago Pritzker School of Medicine

362.

Variation in Emergency Department Management of Recent-Onset Atrial Fibrillation and Flutter (RAFF), Ian G. Stiell, MD, University of Ottawa

363.

One-year Outcomes of Patients Undergoing Electrical Cardioversion for Atrial Fibrillation in the Emergency Department: A Prospective Analysis, Frank Scheuermeyer, MD, St. Paul’s Hospital

364.

The Emergency Department Management and Long-term Outcomes of Patients with Acute Atrial Flutter , Frank Scheuermeyer, MD, St. Paul’s Hospital

The Length of Stay: An EM Stigma (8:00 - 9:30 am) 365.

Marked Reduction in Emergency Department Length of Stay for Patients with Psychiatric Emergencies after Implementation of a CoManagement Model, Steven K. Polevoi, MD, University of California, San Francisco

366.

A Lean Based Process Redesign Improves Length of Stay: The SPEED Trial, Ethan Ross, DO, Christiana Care Health System

367.

Novel Approach to Triage Decreases Left Without Being Seen and Average Length Of Stay in Lower Acuity Patients, Berenice Perez, MD, Alameda County Medical Center

368.

The End of Ambulance Diversion: Effects on Emergency Department Length of Stay and Workscore at an Urban, Academic Emergency Department, Laura Burke, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

347.

Emergency Department (ED) Management of Patients with a Discharge Diagnosis of ‘Influenza’ in an Inner-City Academic Adult ED before and during the 2009 H1N1 Pandemic, Yu-Hsiang Hsieh, PhD, Johns Hopkins University School of Medicine

348.

Emergency Department Screening for Influenza Like Illness (ILI): Real Time Screening During the Novel H1N1 Pandemic, Matthew T Keadey, MD, Emory University School of Medicine

349.

Hospital Employees’ Concerns about the H1N1 Virus and Attitudes Towards Government Mandated Vaccination Programs, Christian Fromm, MD, Maimonides Medical Center

369.

350.

Experience in Handling of H1N1 Outbreak Visits in an Emergency Department, Muhammad Waseem, MD, Lincoln Medical & Mental Health Center

Rushing, Cheating or Better Flow: Is the Ability to Meet the Four-Hour Throughput Target Associated with Increased Disposal Activity Just Before the Deadline?, Suzanne Mason, MD, University of Sheffield

370.

351.

Economic Impact Of Novel H1N1 Influenza On Hospitals: A Model, Sabina Braithwaite, MD, MPH, University of Virginia Health System

The Effect of Diagnostic Triage Standing Orders on Emergency Department Treatment Time, Rodica Retezar, MD, Johns Hopkins University School of Medicine, Department of Emergency Medicine

Pediatric Diagnostic Tools (8:00 - 9:00 am)

352.

Pandemic Flu Dispatch Protocol Poorly Identifies And Improperly Risk Stratifies Flu Patients, Jessica E. Pierog, DO, Stanford University Hospital/Kaiser Permanente Medical Center

The Regionialization of Emergency Medicine (3:00 - 4:30 pm) 353.

The Effect of a Regional STEMI Transfer Protocol on Improving the Time to Primary Percutaneous Angioplasty, John W Hafner, Jr., MD, University of Illinois College of Medicine at Peoria

354.

EMS or Hospital Process, A Determining Factor in Regionalization?, Carol Clark, MD, MBA, William Beaumont Hospital

355.

Statewide EMS Protocols: Opportunity for Regionalization and Standardization of Care, Douglas F. Kupas, MD, Geisinger Health System Program

356.

Developing A Statewide Emergency Medical Services Database Linked to Hospital Outcomes: A Feasibility Study, Craig D. Newgard, MD, MPH, Oregon Health & Science University School of Medicine

357.

Publicity of Primary Stroke Center Status: Does it Impact the Time of Stroke Symptom Onset to Emergency Department Arrival?, Dustin Ballard, MD, University of California, Davis, School of Medicine

358.

A Feasibility Study for Linking Emergency Medical Services and

371.

Evaluation of Pediatric Foreign Body Ingestion: Are Nose-to-Rectum Radiographs Routinely Necessary?, Brian E. Costello, MD, Emory University School of Medicine

372.

Comparative Accuracy of Point-of-Care Ultrasound (PoCUS) versus Auscultation by Stethoscope for the Diagnosis of Pneumonia in Children, Vaishali Shah, MD, NYU School of Medicine/Bellevue Hospital Center

373.

The Bronchiolitis Clinical Assessment Score as a Predictor for Admission in ED Patients with Bronchiolitis, Sean O. Henderson, MD, Keck School of Medicine of the University of Southern California

374.

External Validation Of The Luscombe Pediatric Weight Estimation Formula, Barry Gunn, MD, Western Health

Enhancing Survival Beyond the ED--Part II (8:00 - 9:00 am) 375.

Rapid Identification of Blood Stream Infection Causing Bacterial Pathogens in Blood Using a Broad Based PCR Assay Coupled with High-Resolution Melt Analysis, Helen H. Won, Johns Hopkins University School of Medicine

376.

Effect of Blood Pressure Variance on Early Mortality after Intracerebral Hemorrhage, Anunaya Jain, MD, University of Rochester Medical Center

377.

378.

Towards Prevention of Acute Lung Injury: Identification of Emergency Department Patients at Risk, Peter Chuanyi Hou, MD, Brigham and Women’s Hospital Compliance with a Sepsis Bundle Improves Mortality in Patients with Severe Sepsis and Septic Shock Across an Integrated Regional Healthcare System: A Multi-Hospital Study, Jessica Holly, MD, University of Utah School of Medicine

Evaluating Faculty (9:30 - 11:00 am) 379. The Impact of Attending Physician Schedule on Emergency Physician Burnout, Stress and Job Satisfaction, Megan Fix, MD, Maine Medical Center 380. Differences in Minority vs. Non-minority Physicians Reported Practice Challenges and Career Satisfaction in Emergency Medicine: Results from the ABEM Longitudinal Study, Debra G. Perina, MD, University of Virginia School of Medicine 381. The Incidence of Emergency Physician Turnover: A Prospective Cohort Study within the INSTINCT Trial, William Meurer, MD, University of Michigan 382. EM Faculty Teaching Scores are Not Influenced by Clinical Productivity, Level of Experience, or Clinical Workload, Brian Clyne, MD, Brown University/Rhode Island Hospital 383. CLEAR - A Systematic, Customizable Tool for Evaluating Academic Faculty, Brent R. King, MD, University of Texas Medical School at Houston 384. The Distribution of the H-Index Among Academic Emergency Physicians an the United States, Larry DeLuca, MD, University of Arizona College of Medicine Predicting Sepsis Outcomes (9:30 - 11:00 am)

Boston 398. Chronic Cocaine Use Is Not Associated with Development Of Coronary Artery Disease, Anna Marie Chang, MD, University of Pennsylvania The EM Value of Stress Tests/Caths/Cardiac CT (12:30 - 2:00 pm) 399. Outcomes of Patients Following a Negative Coronary Computerized Tomographic Angiography (CTA) in the Emergency Department, Judd E. Hollander, MD, University of Pennsylvania School of Medicine 400. Relationship Between Prior Cardiac Catheterization Results, Emergency Department Disposition and 30 Day Outcomes, Kate LyrenSondles, MD, University of Pennsylvania School of Medicine 401. The Retrospective Evaluation of an Accelerated Emergency Department Protocol with Outpatient Stress Testing in Low Risk Chest Pain Patients, Joel Moll, MD, Emory University 402. The High False Positive Stress Test Rate In Emergency Department Chest Pain Patients, Luke Kennan Hermann, MD, Mount Sinai School of Medicine 403. Patient Preference for Cardiac Diagnostic Testing, Bryn Mumma, MD, University of Pittsburgh 404. Lack of Utility of Stress Testing in Young Patients with Potential Acute Coronary Syndromes, Baker Hamilton, BA, University of Pennsylvania School of Medicine Research Methodology (12:30 - 2:00 pm) 405. Including Gender in Emergency Medicine Research, Basmah Safdar, MD, Yale University School of Medicine 406. Electronic Versus Manual Data Processing in Out-of-Hospital Trauma Research: Validation of an All-Electronic Approach, Craig D. Newgard, MD, MPH, Oregon Health & Science University School of Medicine

385. Near Infra-Red Spectroscopy Predicts Organ Dysfunctions and Mortality in Sepsis, Nathan I. Shapiro, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

407. The Use of Delayed Telephone Informed Consent for Observational Emergency Medicine Research is Ethical and Effective, Steven Robert Offerman, MD, Kaiser Permanente South Sacramento

386. Association of Endothelial Cell Markers with Organ Function and Severity of Sepsis, Philipp Schuetz, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

408. Development and Implementation of a Data Collection Instrument to Analyze FDA Adverse Event Reports, Larry DeLuca, MD, University of Arizona College of Medicine

387. Relationship Between End-Tidal Carbon Dioxide and Lactate in Emergency Department Patients with Suspected Sepsis, Christopher Hunter, MD, PhD, Orlando Health

409. Assessing the Informed Consent Skills of Emergency Medicine Resident Physicians, Nathaniel Curl, MD, Regions Emergency Medicine Residency (Formerly St. Paul-Ramsey)

388. Use of ScVO2/Lactate Ratio at Emergency Department Discharge Accurately Predicts Mortality in Severe Sepsis and Septic Shock Patients, Michael Regan, MD, University of Massachusetts

410. Variations in Local Institutional Review Board (IRB) Responses to a Standard, Multi-center, Emergency Department-based Genetic Research Protocol, Elizabeth Barton, BA, North Shore University Hospital

389. Proof of Principle: The Predisposition, Infection, Response, Organ Failure (PIRO) Sepsis Staging System, Philipp Schuetz, MD, Beth Israel Deaconess Medical Center/Harvard Medical School 390. The Shock Index as a Predictor of Vasopressor Dependance in Patients with Severe Sepsis, Charles Wira, MD, Yale University School of Medicine The Contaminated ED (11:00 am - 12:00 pm) 391. Do Conducted Electrical Weapon Probes Carry Bacteria?, James R. Miner, MD, Hennepin County Medical Center 392. The Prevalence of Bacterial Contamination of Standard Versus Washable Keyboards in an Urban Emergency Department, Angela Pugliese, MD, Henry Ford Hospital 393. Ultrasound Probe Contamination and Cleaning Strategies: Do We Care?, Jahan Fahimi, MD, MPH, Alameda County Medical Center Highland Hospital 394. Prevalence of Methicillin-Resistant Staphylococcus Aureus in EMS Personnel, Jessica Whittle, MD, Orlando Regional Medical Center

Treating the Patient: A Sampling of RCTS in EM (3:30 - 5:00 pm) 411. Recombinant Human Hyaluronidase-Facilitated Subcutaneous Rehydration Therapy Compared with Intravenous Therapy in Infants and Children, Philip R Spandorfer, MD, Children’s Healthcare of Atlanta at Scottish Rite 412. Treating Headache Recurrence After ED Discharge: An RCT of Naproxen Versus Sumatriptan, Shujun Xia, MD, Albert Einstein College of Medicine (Jacobi/Montefiore) 413. Randomized Clinical Trial Comparing the “1+1” IV Hydromorphone Protocol to Usual Care in the Management of ED Patients with Acute Severe Pain, Andrew K. Chang, MD, Albert Einstein College of Medicine, Montefiore Medical Center 414. Combination of Analgesics for Pain Management of Children Presenting to the Emergency Department for an Acute Musculoskeletal Trauma, Serge Gouin, MD, CHU Sainte-Justine

Drugs of Abuse (11:00 am - 12:00 pm)

415. Randomized Clinical Trial of Alfentanil versus Propofol for Procedural Sedation in the Emergency Department, James R. Miner, MD, Hennepin County Medical Center

395. Detection of Cocaethylene in the Emergency Department Patients Tested Positive for Cocaine in Urine, Sage Wiener, MD MPH, SUNY Downstate Medical Center

416. Inhaled Loxapine (AZ-004, Staccato Loxapine) for Rapid and Acute Treatment of Agitation in Patients with Schizophrenia or Bipolar Disorder, James Cassella, PhD, Alexza Pharmaceuticals, Inc.

396. Effects of Limiting Community Pseudoephedrine Supply on Methamphetamine Related Emergency Department Visits to an Urban Academic Emergency Department, Rob Hendrickson, MD, Oregon Health & Science University School of Medicine

Prehospital Intervention and Decision Making (3:30 - 5:00 pm)

397. In-Vitro Interference Between Dextromethorphan, Ketamine, and Venlafaxine with Urine Phencyclidine (PCP) Toxicology Assays, Nilam Patil, MD, Harvard Medical Toxicology Fellowship / Children’s Hospital

417. Withdrawn 418. Bypassing Out-of-Hospital Cardiac Arrest Patients to Specialty Centers Results in Improved Survival, Brian Geyer, University of Arizona College of Medicine -Phoenix 419. Cardiocerebral Resuscitation Improves Survival And Neurological

Outcome from Out-Of-Hospital Cardiac Arrest, Benjamin Williams, University of Arizona 420. Ability of Emergency Medical System Providers to Use the Emergency Severity Index as a Triage Tool, Tania Denise Shaffer Strout, RN, BSN, MS, Maine Medical Center 421. Point-of-Care Visensia (Biosign) Index Predicts Life-saving Interventions in Pre-hospital Trauma Patients, Ayan Sen, MD, Henry Ford Hospital 422. The Impact of a State Wide Moratorium on Diversion on Ambulance Arrivals: A Level 1 Trauma Center Experience, Benjamin Osbourne, MD, Baystate Medical Center LIGHTNING ORAL PRESENTATIONS Bones, Blood, Bowel: Ultrasound (4:30 - 6:30 pm) 423. Efficacy Of Ultrasound-guided Upper Extremity Intravenous Cannulation by Emergency Department Nurses On a Inanimate Model, Catherine Erickson, MD, Denver Health Medical Center 424. Short Versus Long Axis Approach to Ultrasound Guided Peripheral Intravenous Access: A Prospective Randomized Study, Simon Mahler, MD, Louisiana State University School of Medicine in Shreveport 425. A Randomized, Controlled, Crossover Trial Of Video Glasses As An Adjunct For Ultrasound-Guided Vascular Access, Stephen J. Leech, MD, Orlando Regional Medical Center 426. Prevalence Of Clinically Relevant Non-Thrombotic Findings on Lower Extremity Venous Duplex Ultrasound Examination: Implications for Bedside Compression Ultrasonography, Srikar R Adhikari, MD, University of Nebraska Medical Center 427. Ultrasound Measurements of the Saphenous Vein in the Pediatric Emergency Department Population with Comparison to IV Catheter Size, Ian Cole, MD, Carolinas Medical Center 428. Is Long Axis (LA) View Superior to Short Axis (SA) View in Ultrasound (US) Guided Central Venous Access?, Jody A Vogel, MD, Denver Health Medical Center 429. Ultrasound Evaluation of Cranial and Long Bone Fractures in a Cadaver Model, Gerard DeMers, DHSc, Naval Medical Center (San Diego) 430. Bedside Ultrasound Measurement of the IVC Correlates to CVP, Justin B. Williams, MD, Brooke Army Medical Center 431. Can Emergency Physicians Accurately Identify Appendicitis with Ultrasound?, Hong Chong, MD, Northshore University Hospital, Manhasset 432. Detection of CHF in Dyspneic Patients Using Focused Cardiac, IVC and Pleural Ultrasound, Kenton Anderson, MD, University of Pennsylvania 433. Ureteral Jet Evaluation in the ED Diagnosis Of Ureterolithiasis, Jason Matt Fields, MD, University of Pennsylvania School of Medicine 434. Inter-rater Agreement In Evaluating Severity of Pulmonary Edema Using Bedside Ultrasound, John Gullett, MD, SUNY Downstate / Kings County Hospital MODERATED POSTER PRESENTATIONS Pulmonary Embolism (5:00 - 7:00 pm) 435. Carbon Monoxide Administration Ameliorates Pulmonary Arterial Hypertension Following Acute Experimental PE, Michael Marchick, MD, Carolinas Medical Center 436. Pulmonary Vascular Endothelial Cell Dysfunction during Experimental Pulmonary Embolism, John A. Watts, PhD, Carolinas Medical Center 437. Objectively Quantified Level of Dyspnea is not Associated with Large Clot Burden in Patients with Acute Pulmonary Embolism, D. Mark Courtney, MD, McGaw Medical Center of Northwestern University

442. Impact of Adopting a Quantitative D-Dimer Assay on Imaging Utilization and Diagnosis of Pulmonary Embolism, Chris Moore, MD, RDMS, Yale University School of Medicine The Disposition of the Trauma Patient (5:00 - 7:00 pm) 443. Determination of Clinical Criteria to Rule Out Intracranial Abnormality in Patients Without Evidence of Trauma, Lindsay Tanner, MD, Indiana University School of Medicine 444. Emergency Department Concussion Patients are Significantly More Likely to be Admitted at Trauma Centers and Teaching Hospitals in the United States, Joseph Minardi, MD, Robert C. Byrd Health Science Center 445. The Value of Mechanism of Injury in Predicting Severity and Outcome for Victims of Motor Vehicle Accidents, Sean O. Henderson, MD, Keck School of Medicine of the University of Southern California 446. Can Patients with Blunt Abdominal Trauma and Normal Abdominal CT Scans be Safely Discharged from the ED?, James F. Holmes, MD, MPH, University of California, Davis, School of Medicine 447. The Impact of Rapid Triage to a Closed Burn Unit on the Cost and Quality of a Burn Victim’s Care, Russell Radtke, MD, Children’s Hospital of Michigan 448. Repeat CT Imaging in Blunt Trauma Transfers: Is the Initial Diagnosis Any Different?, Gina Marie Lopez, MD, Boston Medical Center, Boston University 449. Delay From ED to OR in Trauma Patients: Don’t Blame the Radiologist, Philip Butler, MD, Yale University 450. Outcomes of Geriatric Trauma Patients at a Level 1 Trauma Center, Jeremy Burnham, MD, Louisiana State University Health Science Center-Shreveport POSTER PRESENTATIONS Airway/Anesthesia/Analgesia (5:00 - 7:00 pm) 451. Polymorphisms in the Beta-2-adrenoreceptor Predict Response to Inhaled Therapy in Latino Asthmatics in the Emergency Department, Sean O. Henderson, MD, Keck School of Medicine of the University of Southern California 452. Characteristics of 8,937 Emergency Department Intubations, The National Emergency Airway Registry (NEAR II), Calvin A. Brown III, MD, Brigham & Women’s Hospital/Harvard Medical School 453. Comparison of Video Laryngoscopy with Traditional Direct Laryngoscopy for Endotracheal Intubation Using a Simulated Difficult Airway Model, Douglas Dunham, MD, Geisinger Medical Center 454. Steroids for Back Pain: A Randomized Double-Blind PlaceboControlled Trial, Barnet Eskin, MD, PhD, Morristown Memorial Hospital 455. Characterization of Airway Device Cuff Volumes at Simulated Altitude, Jennifer Law, MD, University of California Davis Health System 456. Analgesic Prescribing for Patients who are Discharged from an Emergency Department with Musculoskeletal Diagnoses, Kevin M. Terrell, DO, MS, Indiana University 457. Assessment of Face-Mask Ventilation Using an Airway Simulation Model, Phase 2, Danielle Hart, MD, Hennepin County Medical Center 458. The Respiratory, Metabolic, and Neuroendocrine Effects of a New Generation Electronic Control Device, Benjamin Orozco, MD, Hennepin County Medical Center 459. Palliative Care Patients in the Emergency Department Treated for Breakthrough Pain Are Frequently Underdosed and Rarely Assessed for Response to Therapy, Brendan Hawthorn, MD, MetroHealth Medical Center/Case Western Reserve University

438. Early Diagnosis of Acute Pulmonary Embolism is Associated with Reduced Mortality, Sean B Smith, MD, Mayo Clinic

460. Use of Sedative Agents in Paralyzed and Intubated Emergency Department Patients, 2000-2006, Daniel Frank, MD, SUNY At Stony Brook

439. Validation of a Tool to Identify Emergency Department Pulmonary Embolism Patients Potentially Eligible for Outpatient Therapy, Joseph Bledsoe, MD, University of Utah School of Medicine

461. Can EMS Personnel Effectively Ventilate and Intubate Using the SALT Airway Device in a Cadaveric Model?, Nishant Vaidy, MD, University of Nevada School of Medicine

440. Risk Factors Associated with Delayed Diagnosis of Acute Pulmonary Embolism in the Emergency Department, Sean B Smith, MD, Mayo Clinic

462. Physiologic Stress from Unperceived Pain: The Change in Serum Catecholamines in Patients Undergoing Procedural Sedation in the Emergency Department with Propofol with and without Supplemental Alfentanil, Sagar Patel, Hennepin County Medical Center

441. Pulmonary Magnetic Resonance Angiography for Evaluation of Pulmonary Embolism, Michael Dean Repplinger, MD, University of Wisconsin School of Medicine and Public Health

463. The Impact Of Environmental Factors On Endotracheal Intubation Of The Simulated Helmeted Athlete, Preston Fedor, MD, St. Luke’s

Hospital Cardiovascular (5:00 - 7:00 pm) 464. Diagnostic Accuracy of a Contemporary TnI Assay for Myocardial Infarction at 3 Hours of Serial Testing in Early Presenters to the Emergency Department with Chest Pain, Deborah B. Diercks, MD, MSc, University of California, Davis, School of Medicine 465. Prospective Evaluation of the Diagnostic Accuracy of NT-proBNP in Dyspneic Emergency Department Patients, Sean P. Collins, MD, University of Cincinnati College of Medicine 466. Association of Diabetes and Endothelial Cell Markers and Organ Function in Sepsis, Philipp Schuetz, MD, Beth Israel Deaconess Medical Center/Harvard Medical School 467. Are Emergency Physicians Initiating Long-term Anticoagulation in Patients with Atrial Fibrillation and High CHADs Scores?, Eddy S. Lang, MD, University of Calgary 468. A Structured, Computer-order Entry Algorithm for Emergency Department Pateints with Potential Ischemic Chest Pain Reduces Missed Diagnoses of Acute Coronary Syndrome and Decreases Unnecessary Admissions, Frank Scheuermeyer, MD, St. Paul’s Hospital 469. Hemodynamic Changes Differentiate Acute Decompensated Heart Failure from Other Causes of Dyspnea, Rakesh Engineer, MD, Cleveland Clinic 470. Performance of a Sensitive Troponin Assay in the Early Diagnosis of Acute Non-ST Elevation Myocardial Infarction, Barry Gunn, MD, Western Health 471. Detectable Troponin Levels in Low Risk Patients are Associated with Increased Risk for Acute Coronary Syndrome, Alexander T. Limkakeng, MD, Duke University School of Medicine 472. Disparity of Care in the Acute Care of Patients with Dyspnea from Suspected Heart Failure, Deborah B. Diercks, MD, MSc, University of California, Davis, School of Medicine 473. Accuracy and Quality of Clinical Decision Rules for Syncope in the Emergency Department: A Systematic Review and Meta-analysis, Luis A. Serrano, MD, College of Medicine Mayo Clinic (Rochester) 474. Predictors Of 30-Day Cardiovascular Events In Patients With Prior Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Grafting (CABG), Emily Esposito, University of Pennsylvania School of Medicine 475. Acutely Decompensated Heart Failure Patients with a Prolonged Inpatient Length of Stay have Increased Microvascular Oxygen Extraction, Christopher Hogan, MD, Virginia Commonwealth University School of Medicine 476. Effect of an Emergency Department Directed Cardiac Catheterization Lab Activation on Door-to-Balloon Times and Functional Outcomes for ST-Segment Elevation Myocardial Infarction, Joshua Lerner, University of Massachusetts Medical School 477. Utility of Uric Acid Levels in Acute Decompensated Heart Failure Evaluation, Queen Henry-Okafor, MD, Vanderbilt University Medical Center 478. Renal Dysfunction Increases Risk for an Adverse Cardiac Event in Observation Unit Setting, Alexander T. Limkakeng, MD, Duke University School of Medicine 479. Which Patients Don’t Receive Therapeutic Hypothermia Post Cardiac Arrest- One Hospital’s Experience, Thomas Craig Winter, MD, William Beaumont Hospital Program Disease/Injury Prevention (5:00 - 7:00 pm) 480. Elevated Emergency Department Triage Blood Pressure as a Marker for Metabolic Syndrome in Patients with No Previous History of Hypertension, Tovah Ellman, MD, North Shore - Long Island Jewish 481. Opportunistic Screening for Previously Undiagnosed Pre-diabetes and Diabetes with Plasma Glucose in an Emergency Department Setting, Robert Silverman, MD, North Shore-LIJ Health System 482. Correlation Between the Results of Oral Health Screening Exams done on Patients in the Emergency Department by Emergency Physicians and a Dental Hygienist, James R. Miner, MD, Hennepin County Medical Center 483. Using Hemoglobin A1c to Screen for Undiagnosed Pre-Diabetes and Diabetes in an Emergency Department Population, Urvi Thakker, DO, North Shore LIJ Health System

484. Prevalence of Poorly Controlled Diabetes in an Adult Emergency Department Population, Robert Silverman, MD, North Shore-LIJ Health System 485. Effectiveness of a Problem-Targeted Distribution of Informational Materials Among African-American Women Screened in an ED Waiting Room via a Computer-Based System, Abigail Hankin, MD, Emory University School of Medicine 486. Sexual Risk Behaviors Among Teens at an Inner-City Emergency Department: Relationship with Violent Behaviors and Substance Use, Lauren Whiteside, MD, University of Michigan 487. Caffeinated Cocktails: Risk-taking Personality Does Not Fully Account For Increased Injury Risk, Mary Claire O’Brien, MD, Wake Forest University School of Medicine 488. The Preventive Health Knowledge of Obtaining a Flu Shot in Queens, NY, Nidhi Garg, MD, New York Hospital Queens 489. Patient Understanding of Triage-Based Kiosks for Obtaining Opt-Out Consent for Rapid HIV Screening in the Emergency Department, Jason S. Haukoos, MD, MS, Denver Health Medical Center 490. Home Telephone-Related Fall Injuries in the Elderly Presenting to US Emergency Departments from 1998 to 2007, Uwe Stolz, PhD, University of Arizona, Dept. of Emergency Medicine 491. Processes of Care are Not Impacted by Performing Routine Opt-Out Rapid HIV Screening in the Emergency Department, Jason S. Haukoos, MD, MS, Denver Health Medical Center 492. Runners’ Training Profiles and Risk of Lower Extremity Injury: A Two Year Experience, Michael Mohseni, MD, College of Medicine Mayo Clinic (Rochester) 493. The Relationship between Knowledge and Risk for Heart Attack and Stroke, Jane H. Brice, MD, University of North Carolina at Chapel Hill School of Medicine 494. Use of Triage-Based Kiosks for Obtaining Opt-Out Consent for Rapid HIV Screening in the Emergency Department, Jason S. Haukoos, MD, MS, Denver Health Medical Center 495. Increasing Rate of Patients Who Are Homeless or Have Unstable Living Situations Presenting to the Emergency Department at an Urban County Hospital between 2007 and 2009, James R. Miner, MD, Hennepin County Medical Center 496. Withdrawn 497. Suicide and Homicide Risk Related to Household Firearm Ownership and Manner of Storage, Justin Yax, DO, DTM&H, Case Western Reserve University 498. Pediatric Alcohol Related Injuries…Does Insurance or Race Matter?, Charlene Babcock Irvin, MD, St John Hospital and Medical Center 499. The Sentinel Events Model: A Mixed-Methods Exploration of a Novel Model of Health Behavior Change, Edwin D. Boudreaux, PhD, University of Massachusetts Medical School EMS/Out-of-Hospital (5:00 - 7:00 pm) 500. Interobserver Agreement in Out-of-Hospital Cardiac Arrest Case Finding, Maura Mahoney, University of Arizona College of Medicine 501. A Simple Quick-Launch Dispatch Protocol Decreases Call Processing and EMS Response Times for Immediate Life-Threatening Calls, David Edward Slattery, MD, University of Nevada School of Medicine 502. Out-of-Hospital Cardiac Arrest Survival Improves with Chest Compression Depth Exceeding the Guideline Recommendation, Tyler Vadeboncoeur, MD, College of Medicine Mayo Clinic (Jacksonville) 503. End-tidal CO2 as a Predictor of Survival in Out-of-Hospital Cardiac Arrest, Sean O. Henderson, MD, Keck School of Medicine of the University of Southern California 504. Pediatric Educational Needs Assessment for Urban and Rural Emergency Medical Technicians, Ross Joseph Fleischman, MD, Oregon Health and Science University 505. Are Paramedics Needed When Dispatched for Stoke Patients?, Ofer Faig, MD, Morristown Memorial Hospital 506. Wilderness Preparedness in High-Altitude Sojourners in Sequoia and Kings Canyon National Parks, Brandy Snowden, MPH, CCRP, University of California (San Francisco)/Fresno 507. 911 Lift Assistance After A Minor Fall: Pilot Study of Patient Outcomes with Police Officer First Responders, Chad E. Roline, MD, Hennepin

County Medical Center

Center

508. Variation in the Statewide Use of Pre-hospital Electrocardiography for Patients with Suspected Acute Cardiac Disease, Lauren Abbate, MD, University of North Carolina

533. Supratheraputic INR in the ED: Incidence, Clinical Characteristics, Reversal and Outcomes, Erin Quattromani, MD, McGaw Medical Center of Northwestern University

509. Ethnicity And Age Differences Exist Among Prehospital Patients Receiving Morphine In Blunt Trauma, Megann Young, MD, Affiliated Community Medical Centers

534. Lack of Coagulopathy Following Copperhead Snakebites in an Adult and Pediatric Population, David Horwitz, MD, Saint Louis University School of Medicine

510. The Association between EMS Response Interval and the Rapid Acute Physiology Score, Carrie Adrion, MD, University of Arizona College of Medicine

535. The Clinical Management of Acetaminophen Poisoning: Factors Associated with Hospital Length of Stay, Steven Robert Offerman, MD, Kaiser Permanente South Sacramento

511. Burn Bed Availability, Riccardo Benvenuto, DO, Long Island Jewish Medical Center

536. Agreement Between Arterial and Transcutaneous pCO2 Measurement in Patients Undergoing Non-invasive Ventilation: A Pilot Study, Barry Gunn, MD, Western Health

512. Tactical EMS Programs: a Comprehensive Statewide Assessment, William P. Bozeman, MD, Wake Forest University School of Medicine

Clinical Decision Guidelines (5:00 - 7:00 pm)

513. Prevalence of Hyperventilation in Intubated Patients with Closed Head Injuries in the Prehospital Setting, Robert Callahan, MD, University of Arizona

537. Validating the Acute Heart Failure Index for Low Risk Patients Presenting to the Emergency Department with Decompensated Heart Failure, James Hsiao, MD, Sharp Grossmont Hospital

514. A Novel Approach to Evaluating the Implementation of a Prehospital Out of Hospital Cardiac Arrest Protocol Change, Jonathan R. Studnek, MD, Carolinas Medical Center

538. Applying the Boston Syncope Criteria to Near Syncope, Laura Burke, MD, Beth Israel Deaconess Medical Center/Harvard Medical School

515. Pain Management Education Impact on EMS Provider Self-efficacy, April Rene Jaeger, MD, University of Utah

539. Emergency Physican Survey of United States and Canadian Emergency Department Management of Recent-Onset Atrial Fibrillation, Ian G. Stiell, MD, University of Ottawa

516. EMS Providers Perceptions of Safety Climate and Compliance with Safe Work Practices, Laura J. Eliseo, MD, Boston Medical Center, Boston University

540. Intensive Implementation Strategy of Treatment Guidelines for Pneumonia Increases Compliance with National Guidelines, Stewart W. Wright, MD, University of Cincinnati College of Medicine

517. Withdrawn

541. Defining Optimal Cut-off Points in Febrile Children with Suspected Pneumonia, Ariel Ourian, MD, University of California Los Angeles

518. Factors Associated with Ambulance Use for Low Acuity Conditions in an Urban Emergency Department, Claire Pearson, MD, Wayne State University School of Medicine-Detroit Receiving Hospital 519. Safety of Pre-hospital Single-Dose Fentanyl in Adult Trauma Patients, Gina Soriya, MD, Denver Health Medical Center 520. Can Trauma Registries Help Demonstrate Different Management Strategies of Polytrauma Patients?, Xi Xiang Esther Tan, Royal Infirmary of Edinburgh Psychiatry/Social Issues (5:00 - 7:00 pm) 521. The Increasing Rate of the Experience of Hunger Among Patients Presenting to the Emergency Department of an Urban, County Medical Center, James R. Miner, MD, Hennepin County Medical Center 522. Agreement on Disposition Between the Emergency Physician and Psychiatry Consultant in Emergency Department Psychiatric Patients, Daniel Thompson, University of California, Irvine, School of Medicine 523. A Prospective Study of Occult Suicidality in the Emergency Department, Jonathan Dwyer Holdorf, MD, University of Massachusetts Medical School 524. Social Factors Impacting Super-Users at an Urban Emergency Department, Emily Brauer, MD, Henry Ford Hospital 525. Burden of Alcohol-Related ED Visits 2002 – 2006, Megan Redmond, BS, SUNY Upstate Medical University 526. A Pilot Practice Change Project Evaluating Health Literacy in the Emergency Department, James P. Capes, MD, Emory University School of Medicine 527. Approaches to Promoting Continuity of Care for Patients with Psychiatric Emergencies: A National Survey of Academic Emergency Departments, Edwin D. Boudreaux, PhD, University of Massachusetts Medical School Toxicology/Environmental (5:00 - 7:00 pm) 528. Effect of Creatine on Serum Creatinine, Kristopher Kelly Hunt, MD, Beth Israel Medical Center 529. Classification and Regression Tree (CART) Analysis for the Prediction of Development of Severe Acute Mountain Sickness (AMS) on Aconcagua, Matthew Lazio, MD, McGaw Medical Center of Northwestern University 530. A Weather Model Predicting Heat Deaths Among US-Mexico Undocumented Border Crossers, Clayton Josephy, MD, University of Arizona College of Medicine 531. Hypoglycemia Following Sulfonylurea Ingestions, Michael Levine, MD, Department of Medical Toxicology, Banner Good Samaritan Medical

542. The Genetics of Warfarin Sensitivity in an Emergency Department Population with Thromboembolic Disease, Sean O. Henderson, MD, Keck School of Medicine of the University of Southern California 543. Would the Addition of Genetic Testing Improve the Utility of Clinical Decision Rules for Pulmonary Embolism and Deep Vein Thrombosis?, Sean O. Henderson, MD, Keck School of Medicine of the University of Southern California 544. The Impact of Sepsis Bundle Strategy on the Outcomes of the Patients Suffering from Severe Sepsis and Septic Shock, Zhen Wang, MD, Beijing Shijitan Hospital Pediatrics (5:00 - 7:00 pm) 545. Factors Associated with Cervical Spine Injuries (CSI) in Children Participating in Sports and Recreational Activities (SRA), Lynn BabcockCimpello, MD, Cincinnati Children’s Hospital Medical Center 546. Impact of Race and Insurance in Outcome of Pediatric Trauma, Wael Hakmeh, MD, St John Hospital and Medical Center 547. Interobserver Agreement in Clinical Assessment of Children with Blunt Abdominal Trauma, Nathan Kuppermann, MD, MPH, University of California, Davis, School of Medicine 548. A Prospective Assessment of Practice Pattern Variation in the Treatment of Pediatric Gastroenteritis, Serge Gouin, MD, CHU SainteJustine 549. Faster and Cheaper: Comparing an After Hours Clinic to a Pediatric ED, Sarah Sterner, MD, University Of Alabama At Birmingham 550. Prevalence of Trichomonas Vaginalis Infection in Symptomatic Adolescent Females Presenting to an Urban Pediatric Emergency Department, Monika Goyal, MD, Children’s Hospital of Philadelphia 551. Impact of an Immunization Registry on FWS in Children Aged 6-24 months who present to the Pediatric Emergency Department, Cristina Zeretzke, MD, University of Florida College of Medicine Jacksonville 552. Randomized Trial of the Collision Avoidance Training Program in Naïve Teenage Drivers, Joanna York, MD, Carolinas Medical Center 553. Unusual Volumes, Typical Flu: A Comparison of the H1N1 Influenza Pandemic to Baseline Seasonal Volumes and Recent Influenza Outbreaks in the Pediatric Emergency Department, Brian E. Costello, MD, Emory University School of Medicine 554. Parental Health Literacy and Asthma Education during an Emergency Department Visit: A Pilot Study, Michelle L. Macy, MD, University of Michigan 555. Development and Validation of Quality Metrics in Pediatric Emergency

Medicine, Cherri D. Hobgood, MD, University of North Carolina at Chapel Hill School of Medicine 556. Are Parental Assessments of Pediatric Illness Acuity Accurate Compared to Nurse Triage Assessments?, Graham Cameron Thompson, MD, Alberta Health Services 557. Initial and Recurring Costs of Pediatric Preparedness Guidelines for Emergency Departments, Marianne Gausche-Hill, MD, Los Angeles County-Harbor-UCLA Medical Center 558. The Relative Bioavailability and Pharmacokinetics of Dexamethasone Sodium Phosphate for Injection Administered Orally Compared to Dexamethasone Oral Concentrate in Healthy Adult Volunteers, Alexander Toledo, DO, PharmD, Baylor College of Medicine-Texas Children’s Hospital 559. Variability in Hospital Admission Rates for Neonates (0-28 days) with Fever in North Carolina, Donna Moro-Sutherland, MD, University of North Carolina-Chapel Hill & WakeMed Health & Hospitals 560. Bacteremia in Febrile Pediatric Sickle Cell Patients in the Pneumococcal Conjugate Vaccine 7 Era, Kimberly A. Bleier, MD, Long Island Jewish Medical Center 561. Emergency Department Crowding and Time to Antibiotic Administration in Febrile Infants, Donna L. Carden, MD, University of Florida, Gainesville 562. Cervical Spine Injuries (CSI) in Children Sustained during Sports and Recreational Activities (SRA), Lynn Babcock-Cimpello, MD, Cincinnati Children’s Hospital Medical Center 563. Lactate Levels as a Marker of Illness Severity in Pediatric Emergency Department Patients with Systemic Inflammatory Response Syndrome, Halden F. Scott, MD, The Children’s Hospital of Philadelphia 564. Subsequent Mortality in Non-critical Infants Presenting with a First ALTE, Jay Douglas Fisher, MD, University Medical Center, University of Nevada School of Medicine 565. The Accuracy of the Rapid Influenza Test in Children During the 2009 Influenza A H1N1 Virus Epidemic, Sue Hahn, North Shore-Long Island Jewish Health System 566. Racial Disparities in Documentation of Sexual Histories Among Adolescent Females in a Pediatric Emergency Department, Carolyn Kluwe Holland, MD, University of Cincinnati College of Medicine 567. Long-term Effects of a Mock Code Curriculum on Pediatric Resident Education, April Troy, MD, MPH, Children’s National Medical Center 568. Infection with Influenza is Not Associated with Serious Bacterial Infections in Children Less than 2 Years of Age, Antonio E. Muniz, MD, The University of Texas Health Science Center at Houston 569. Hospital Characteristics Affect ED Outcomes for Children, Marla C. Levine, MD, Children’s National Medical Center 570. Incidence and Recognition of Elevated Triage Blood Pressure in the Pediatric Emergency Department, Tracy Ricke, MD, University of Florida Health Science Center/Jacksonville Computer Technology (5:00 - 7:00 pm) 571. Effect of a Standard, Computerized Order Set on Compliance with Current CDC Guidelines for the Treatment of Victims of Sexual Assault, Daniel Britton, Maine Medical Center 572. Validation of a Web-based, Real-time Electronic Notification System to Identify Potentially Eligible Subjects for Emergency Department Research Studies, Dipti Agarwal, MD, Mayo Clinic 573. Quality of Neuroimaging Obtained using a Cell Phone and Neurosurgical Transfer Decisions, Jay Ladde, MD, Orlando Health 574. Detecting Emergency Department Patients with Repeat CT Scans by Linking Databases from Nearby Unaffiliated Hospitals, James E. Winslow, MD, MPH, Wake Forest University Health Sciences 575. Follow Up Findings from an Ongoing Preventive Medicine Study: The New York Journal of Style and Medicine on www.nyjsm.com, Matthew Bardini Vasey, MD, Lincoln Medical and Mental Health Center SUNDAY, JUNE 6, 2010 ORAL PRESENTATIONS The Difficult Airway (8:00 - 9:00 am) 576. Difficult Airway Management in the Emergency Department: GlideScope Videolaryngoscopy Compared to Direct Laryngoscopy, John C. Sakles,

MD, University of Arizona College of Medicine 577. Airway-Related Complication Rate as a Function of Number of Attempts during Tracheal Intubation in the Emergency Department, John C. Sakles, MD, University of Arizona College of Medicine 578. Comparison of Standard Direct Laryngoscopy versus Pediatric King LT-D in a Simulated Difficult Pediatric Airway, David P. Evans, MD, Eastern Virginia Medical School 579. Utility Of Bedside Ultrasound In The Prediction Of Difficult Airway, Srikar R Adhikari, MD, University of Nebraska Medical Center Myocardial Infarction (8:00 - 9:00 am) 580. Correlation of STEMI in Resuscitated, Non-Traumatic Out of Hospital Cardiopulmonary Arrest Patients with Initial Rhythm and Cardiac Catheterization Findings, Nathaniel L. Scott, MD, Hennepin County Medical Center 581. Impact of Pre-hospital ECGs on Door-to-Balloon Time in ST Elevation Myocardial Infarction: First Year of Implementation in a County-wide STEMI Alert System, Tania Sadoun, MD, Alameda County Medical Center / Highland Hospital Dept of EM 582. The Myeloperoxidase in the Diagnosis of Acute Coronary Syndromes (MIDAS) trial, William Frank Peacock, MD, Cleveland Clinic 583. For Diagnosis of Acute Anterior Myocardial Infarction Due to Left Anterior Descending Artery Occlusion in Left Bundle Branch Block, High ST/S Ratio is More Accurate than Convex ST Segment Morphology, Kenneth Wayne Dodd, University of Minnesota School of Medicine Simulation (8:00 - 9:00 am) 584. Teaching Emergency Medicine Residents Transvenous Cardiac Pacing: Simulation Technology versus Traditional Methods, Zackary Fordham, MD, University of Alabama at Birmingham 585. Use of High Fidelity Patient Simulation as a Resident Evaluation Tool, Robyn Hoelle, MD, University of Florida 586. Implementation of a Lumbar Puncture (LP) Simulation Teaching Module, Brian E. Burgess, MD, Christiana Care Health Services 587. High-Risk Obstetric Delivery Scenarios: Benefits of Simulation Training of Rare but Critical Procedures for Emergency Medicine Residents, Kevin Reed, MD, Georgetown University School of Medicine Blunt Head Trauma in Pediatrics (8:00 - 9:00 am) 588. Clinical Observation Before the Decision to Obtain a Computed Tomography (CT) for Children with Blunt Head Trauma, Lise Nigrovic, MD, Harvard Medical School 589. Clinician Assessment Versus a Prediction Rule for Identifying Children with Clinically-Important Traumatic Brain Injuries after Blunt Head Trauma, Shireen Atabaki, MD, MPH, George Washington University School of Medicine and Health Science 590. Post Traumatic Seizures (PTS) after Blunt Head Trauma in Children, Mohamed Badawy, MD, UT Southwestern Medical School 591. Clinical Presentations and Outcomes of Children with Basilar Skull Fractures after Blunt Head Trauma, Nathan Kuppermann, MD, MPH, University of California, Davis, School of Medicine The Impact of ICU Utilization on the ED (9:00 - 10:00 am) 592. Critical Care Bed Capacity in the United States: Implications for Pandemic Planning, Brendan G. Carr, MD, University of Pennsylvania 593. Medical Errors Occur Most Often in ED Patients Admitted to ICUs, Dusadee Sarangarm, MD, University of New Mexico School of Medicine 594. Impact of Process Flow Tool on Wait Times from Emergency Department to ICU, Pratik Doshi, MD, University of Texas Medical School at Houston 595. Critical Care Reimbursement in the Emergency Department: An Undertapped Revenue Source, Aveh Bastani, MD, Troy Beaumont Hospital LIGHTNING ORAL PRESENTATIONS The Successful Resident (10:30 - 11:30 am) 596. Does the Initiation of Automatic Electronic Follow-up Increase Practice Based Learning and Improvement in Residents Rotating Through an Academic Emergency Department?, Emily Brown, MD, Brigham and Women’s/Massachusetts General Hospital 597. The Effect of Level of Training on Emergency Medicine Residents’ Health, Lifestyle, Wellness and Professional Satisfaction, Edward A.

Ramoska, MD, Drexel University College of Medicine 598. Emergency Medicine Resident Physicians Reported Satisfaction, Identified Stressors, and Well being Activities: Results from the ABEM Longitudinal Study of Emergency Medicine Residents, Debra G. Perina, MD, University of Virginia School of Medicine 599. Senior Teaching Resident Impact on Emergency Medicine Resident Learning, Christine A. Babcock, MD, University of Chicago 600. Is Confidence Everything? Insight into Residents Self-Confidence and Medical Knowledge (MK) of Low Acuity (LA) Presentations, Tina M. Latimer, MD, The Johns Hopkins University School of Medicine

607. Four Brief Screening Instruments to Identify Cognitive Dysfunction in Older Emergency Department Patients, Christopher Robert Carpenter, MD, MS, Washington University in St. Louis School of Medicine 608. The Implementation of an Internet Based Communication Network for Information Transfer during Patient Transitions from a Skilled Nursing Facility to the Emergency Department, Fredric Hustey, MD, Cleveland Clinic 609. Should Seniors be Considered for â&#x20AC;&#x2DC;Immediateâ&#x20AC;&#x2122; Transport During a Disaster Simply Based on Age?, Charlene Babcock Irvin, MD, St John Hospital and Medical Center

601. What Skills and Knowledge are Important for Being a Successful Resident? What Do the EM Residents and Students Think?, Maciej Witkos, MD, William Beaumont Hospital Program MODERATED POSTER PRESENTATIONS New Ideas, Old Problems: Abscesses (10:30 - 11:30 am) 602. Ultrasound Guided Needle Aspiration vs Incision and Drainage in Skin Abscesses: Effect of MRSA, Romolo J. Gaspari, MD, University of Massachusetts Medical School 603. The LOOP Trial: A Randomized Prospective Study Comparing the Efficacy of a Novel Skin Abscess Drainage Technique Versus Traditional Incision and Drainage in the Emergency Department, Jay Ladde, MD, Orlando Regional Medical Center 604. Effect of MRSA on Sonographic Characteristics of Skin Abscesses, Romolo J. Gaspari, MD, University of Massachusetts Medical School 605. Incision and Drainage: Does Size Matter?, Shari Schabowski, MD, Cook County Hospital Barriers and Solutions to Geriatric Care (10:30 - 11:30 am) 606. Differences in the Quantity of Information Available to Emergency Department Providers During the Evaluation of Nursing Home Patients Based on Nursing Home Revenue Source, Timothy F. Platts-Mills, MD, University of North Carolina at Chapel Hill School of Medicine

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Tired of recycling the same lectures? Want to see the cutting-edge of teaching in Emergency Medicine? Come by and see what others are doing:

Innovations in Emergency Medicine Education Three exciting chances to see a variety of innovations: Spotlight moderated poster session of abstracts on Friday, June 4th from 12:30-2 pm Poster session on Friday, June 4th from 1-3pm Wine and Cheese Poster session on Saturday, June 5th 5-7pm

SAEM Awards and Induction of President Saturday June 5, 2010 2:00 pm – 3:00 pm All SAEM members are urged to attend a. b. c. d. e. f. g. h.

SAEM Annual Business Meeting AEM Report Treasurer’s Report Election Results Recognition of Board of Director members’ – Terms Expire Strategic Planning 2010-2015 Jill M. Baren, MD Remarks of Outgoing President Jill M. Baren, MD Introduction of 2010-11 President Jeffrey Kline, MD

2 .

SAEM Award and Grant Presentations Jill M. Baren, MD and Jeffrey Kline, MD a . Hal Jayne Excellence in Education Award b . Excellence in Research Award c . Leadership Award d . Young Investigator Awards e . SAEM/EMPSF Research Fellowship Grant f . Institutional Research Training Grant g . EMS Research Fellowship Grant h . Spadafora Toxicology Scholarship i . 2009 Annual Meeting Awards x Best Faculty Award - Mark Courtney, MD x Best Young Investigator Presentation - Simon Mahler, MD x Best Basic Science Award – Vikhyat Bebarta, MD x Best Resident Award - Michael Puskarich, MD x Best Fellow Award - Jason McMullan, MD x Best Medical Student Award - Ms. Helen Won x Best IEME Award- Gregory Christiansen, MD, x Resident Visual Diagnosis Contest Winner - Matt Borloz, MD

Other 3 . New Business 4 . Adjournment

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

2010 SAEM Annual Meeting Didactic Sessions Thursday, June 3, 2010 Didactic Session handouts available online at saem.org Identifying Best Practices for Training Emergency Medicine Residents in PEM (9:30 – 11:30 am) Robert Cloutier, MD, Oregon Health & Science University Jill Baren, MD, University of Pennsylvania Michele Nypaver, MD, University of Michigan Jennifer Walthall, MD, Indiana University With the emphasis on pediatric care highlighted in the IOM report ‘To Err is Human;” coupled with the rapid growth of Pediatric Emergency Medicine (PEM) as a unique field the current practices for training EM residents in Pediatric Emergency Medicine requires reappraisal. The purpose of this 2-hour session is to use a panel presentation and discussion format to address the following: Address and define the notion of ‘Best Educational Practices for PEM’ by outlining current, models and practices for PEM education in EM Residencies - 25 minutes. - Dr. Baren. Identify current best educational practices offering EM residents exposure to high yield PEM skills. – Dr. Nypaver. Discuss contemporary and upcoming modes of teaching PEM to general EM residents and the means of incorporating them into current training curricula (i.e. the role of high fidelity simulation…). - Dr. Walthall. Identify concrete means for promoting and encouraging fellowship training in PEM amongst EM graduates. - Dr. Cloutier. Topics of discussion to be handled during the final 20 minute question and answer session moderated by Dr. Cloutier will include: 1) exploring means of creating effective models for collaboration across Departments of Pediatrics and Emergency Medicine to optimize the quantity and content of pediatric exposure for EM residents and 2) developing new avenues for collaborative research, both educational and clinical with the goal of identifying measurable outcomes in areas related to the pediatric clinical training of Emergency Medicine residents. At the end of this session participants should be able to: 1. Evaluate the composition of PEM training curricula in US Emergency Medicine residency programs. 2. Identify areas for improvement in PEM training of EM residents with identified best practices in mind. Educators’ Bootcamp: Surviving Away from the Podium (10:00 – 11:30 am) Esther Choo, MD, University of California (San Francisco)/San Francisco General Hospital Nicole M. Deiorio, MD, Oregon Health and Science University Lalena M. Yarris, MD, MCR, Oregon Health and Science University Lectures are among the least effective means of learning yet constitute the majority of didactic teaching to residents. While a wide variety of alternative teaching methods have been described, instructors are limited by confidence and practice in utilizing them. This session will review common and relatively simple means of interactive, small-group teaching methods that can be used in a variety of settings. Lalena M. Yarris, MD, MCR will discuss why one should not lecture and the dangers of PowerPoint. She will also review and demonstrate three non-lectures based teaching methods: Inquiry-based learning: This learnercentered format allows educators to identify and meet learner needs based eliciting knowledge gaps and areas of interest. It can be useful for engaging learners in clinical, small group, and large group classroom settings. Problembased learning (PBL): Also a small group, learner-directed method, PBL helps students achieve both process- and content-oriented objectives. Team learning: Team learning prompts learners to find creative solutions to clinical problems and draws upon peer experience and the group dynamic. This method is an excellent way to design journal club curricula, procedure labs, and simulation learning experiences. The second portion of the session will include SMALL GROUP BREAKOUT SESSIONS where participants will practice role-playing the instructor/student roles and will receive / deliver feedback on their performance. At the end of this session participants should be able to: 1. Describe three simple non-lecture based methods of teaching. 2. Demonstrate how to apply teaching methods to a variety of clinical educational scenarios under observation. 3. Incorporate feedback on their teaching performance received after an observed practice session.

Evidence to Practice: How Can Emergency Medicine Researchers Drive the Quality Agenda (10:00 – 11:30 am) Christopher Fee, MD, University of California, San Francisco Helen Burstin, MD, National Quality Forum David Magid, MD, Institute for Health Research/Kaiser Permanente James Adams, MD, Northwestern University Emergency medicine (EM) is increasingly shaped by national organizations’ quality measures, such as the Joint Commission Core Measures. Health care reform proposals include a larger role for performance measurement, including expanding their number and tying reimbursement to reporting and/or performance (pay for performance). Early quality measures developed without significant input from emergency physicians were criticized as having weak links to patient outcomes, yet carrying significant burdens on EM practice. In the interest of increasing academic EM influence on quality measure development and implementation, this session will introduce participants to the current national performance measurement agenda and provide examples of how EM research has shaped such efforts. A representative from the National Quality Forum (NQF, Dr. Burstin, invited) will discuss how the national quality agenda intersects with EM. She will describe which upcoming priorities and projects are likely to affect EM (e.g. imaging, readmission, patient safety, overuse, crowding). Additionally, she will describe how new measures are developed and approved for use by national programs, such as Medicare, and how approved measures are updated. The role of research in these processes will be detailed.(20 minutes) Emergency cardiology researchers will describe how their research influenced national performance measures (30 minutes). Dr. Fee will describe the tools he used to conduct post-implementation research on the pneumonia antibiotic timing measure (20 minutes). Panelists will address audience questions (25 minutes). At the end of this session participants should be able to: 1. Evaluate performance measure and how it is related to pay for performance. 2. Identify how performance measures are developed, approved and modified. 3. Identify how research in emergency medicine can be transformed into performance measures. 4. Perform research on existing quality measures, and how others have attempted to use their work to implement changes in measures. The Next Match: What EM Departments Want When They Hire (12:30 – 2:00 pm) E. Parker Hays, Jr. MD, Carolinas Medical Center Andra L. Blomkalns, MD, University of Cincinnati Robert Hockberger, MD, Harbor-UCLA Medical Center Aligning the myriad talents of EM residents and faculty applicants with the needs of academic departments results in greater productivity and professional gratification for both groups. How is this done? Combining the experiences of long time program directors and chairs, the moderator and two panelists will discuss real and perceived needs of academic departments, trends in hiring, and how the right individuals are found to fulfill the marketed (and actual) positions. Continually evolving departments will benefit from techniques used in selection, interviewing and landing new faculty, while residents will glean insight into the next world of academics they hope to inhabit in a contributing, sustainable way. At the end of this session participants should be able to: 1. List major factors considered in interviewing faculty applicants. 2. Describe long term and recent trends in hiring, and gain insight into the actual selection of the persons comprising academic departments today and in the future. Harnessing the Power of the Internet for Bedside Teaching (12:30 – 2:30 pm) Eddy Lang, MD, University of Calgary Peter Wyer, MD, New York-Presbyterian/Columbia Joel Turner, MD, McGill University Nadim Lalani, MI, University of Saskatoon David Newman, MD, Columbia University College of Physicians and Surgeons Internet access is widely available in the ED setting and can empower bedside teaching by showcasing resources that inform or support clinical reasoning and decision-making. However, many emergency physicians may be unaware of these resources or unfamiliar with their navigation. This workshop will offer a hands-on and practical experience allowing exploration of a wide range of unique resources. Taking advantage of wireless capabilities offered in the conference hotel, workshop participants will be presented with

a series of clinical scenarios / problems which can be resolved through use of unique online electronic resources. Working in small teams and from the laptops that they must bring to the session, participants will be directed to a workshop homepage which will contain an extensive array of links to online resources; some of which will be important for solving the clinical problem they are presented with. They will be given criteria which will enable them to evaluate and select the most appropriate resources for their own purposes. Small groups of 2-4 participants will work alone initially and then as a team to solve the clinical problem and share their findings with the larger group on a large screen. The course faculty will highlight additional options that were not discovered by the participants. The workshop homepage which will contain over 100 links organized by category, (procedure videos, patient education, EBM resources, clinical calculators, drug interaction detectors etc.) will remain permanently available for participants.

walking participants through one of these programs and how to record.

Participants must bring a fully charged laptop equipped with wireless access to this session.

Teaching Professionalism: More than an Attitude Adjustment (12:30 – 2:00 pm)

At the end of this session participants should be able to: 1. Discover invaluable, pre-appraised and easy to use, online resources that they will integrate in to their teaching (and patient care) repertoire. 2. Practice strategies to rapidly locate high quality evidence and evidence synopses that can address clinical questions that arise during clinical care. 3. Use their own educational institution’s e-classroom to conduct similarly modeled sessions for trainees at all levels and faculty at their institution. Fixing the Emergency Medicine Research Enterprise (12:30 – 2:30 pm) Judd Hollander, MD, University of Pennsylvania James Adams, MD, Northwestern University David Cone, MD, Yale University Daniel Spaite, MD, University of Arizona What happens when clinicians get saddled with expectations to be researchers, and vice-versa? Can we build our research cadre by having clinicians dabble in research? Should we look at our residents’ scholarly works as education, or academic productivity? How do we generate a meaningful career path for junior researchers, while still allowing them to flourish as clinicians? This session will examine, from several different perspectives, issues surrounding improving the research enterprise of our specialty while still meeting our clinical demands. Dr. Hollander will take the perspective of the department research director looking to develop career researchers while helping the residents meet their scholarly work requirement. Dr. Cone will take the perspective of the journal editor balancing the need to help junior researchers get published while avoiding low-quality work that will not advance the specialty. Dr. Adams will discuss the perspective of the department chair who needs to meet all of these goals financially, while balancing the need to staff the ED and the need to develop researchers who can bring in extramural funding. Finally, Dr. Spaite will present a model identifying four general groups of clinician-scientists in EM. This model is presented to 1) help participants conceptualize how we currently develop researchers in our specialty, 2) help academic leaders understand how to build a cadre of successful faculty, 3) help individual faculty advance their own careers, and 4) help “senior” faculty identify how to support “junior” faculty in their efforts to be successful. At the end of this session participants should be able to: 1. Identify the conflicts and opportunities that the dual clinical / research mission presents. 2. Assess and understand their own academic career trajectories and those of colleagues. 3. Recognize how they can contribute to a department’s clinical and academic missions as a “team player” while still advancing their own careers. The Nuts and Bolts of Creating an Educational Podcast (12:30 – 2:30 pm) Rob Rogers, MD, University of Maryland Joseph Lex, MD, Temple University Is the lecture dead in medical education? Well, probably not completely. But what has become clear in academics is that adult learners many times prefer online/distance learning and other educational media such as podcasts to the traditional lecture. Increasingly, medical educators are moving their teaching efforts to the internet and other media sources, such as podcasts. In addition, many junior faculty (and even some senior faculty) in academics have some truly great ideas for teaching with podcasts but don’t know how to get started. With this in mind, we have put together a lecture (combined with a hands-on interactive session) on how to create an educational podcasts and how to implement it. The speakers will review some very basic, yet very important, information on how to get started with this endeavor. The proposal for this session includes an introductory lecture session where audio capture programs and microphone use will be demonstrated. The hands-on version will involve

Participants of this interactive workshop will need to arrive with “Audacity” (a free audio recording program compatible with both Mac and PC) installed on their laptop computers. Please be sure to bring your fully charged PC. Again, this session is for both Mac and PC users. http://audacity.sourceforge.net/download. Also, please contact Rob Rogers for additional information and details about this session. Email: robrogermd@gmail.com At the end of this session participants should be able to: 1. Describe the benefits of educational podcasts. 2. Discuss the nuts and bolts of creating a podcast and how to get started. 3. Discuss audio pearls and pitfalls and basic “microphone 101”. 4. Describe how to post a podcast and how to link with iTunes.

Sorabh Khandelwal, MD, The Ohio State University College of Medicine Sarah Ronan-Bentle, MD, University of Cincinnati College of Medicine Professionalism stands as one of the six core competencies set forth by the ACGME Outcomes Project which residency programs must integrate into their curriculum. The AAMC Medical School Objectives Project also delineates principles of professionalism which undergraduate medical students are expected to learn prior to graduation. Professionalism requires a distinctive skill set, one which is difficult to teach in the traditional classroom setting. We will describe a specific model for teaching professionalism, focusing on concepts and techniques that will allow the learner to increase their selfawareness of potential professionalism problems and improve his/her ability to solve them. This framework includes description of ethical principles, role modeling, discussion of case examples, reflection on the learners’ own behavior and evaluation. Integral to this model is the process of Root Cause Analysis typically used for analysis of Medical Errors. We will describe Root Cause Analysis used in the evaluation of lapses in professionalism and provide small group forums for practicing its application. Specific coping strategies for difficult situations will be taught. In this 90 minute course a 45 minute introductory lecture describes the model for teaching professionalism followed by 45 minutes of small group discussion of cases to illustrate the implementation of the teaching framework. At the end of this session participants should be able to: 1. Define the principles of professionalism. 2. Describe the new model of teaching professional behavior. Explain how the process of root cause analysis of medical errors can be applied to evaluation of lapses in professionalism. 3. Describe teachable coping strategies for difficult situations. 4. Perform Root Causes Analysis within small groups. Beyond Good Intentions: International Emergency Medicine and Sustainable Change (2:00 – 3:30 pm) Kenneth Iserson, MD, University of Arizona C. James Holliman, MD, National Naval Medical Center, Uniformed Services Michelle Biros, MD, University of Minnesota P. Gregg Greenough, MD, MPH, Brigham & Women’s Hospital Emergency physicians have become increasingly involved in all aspects of international medicine: clinical practice, research and education, system development, and policymaking. As we become an integral part of the international medical community, it has become increasingly apparent that ethical issues abound. This interactive panel discussion, using case-based studies, will address ways to identify, avoid, and proactively deal with these unique ethical issues at the individual, institutional and global levels.(Individual cases may vary but a few examples are; a program sends trainees on an international emergency medicine elective. While there they are often asked to perform unfamiliar or futile procedures; individual level ethical issues - case discussion by Dr. Iserson. A US residency program is approached to set up an international elective in collaboration with an institution overseas or vice versa with monetary compensation/incentives for faculty to precept; institutional level ethical issues- case discussion by Dr. Holliman. An EM group decides on a short 5 day global relief mission to a war-ravaged area; global level ethical issues-case discussion. At the end of this session participants should be able to: 1. Recognize situations with potential ethical pitfalls at the individual, institutional and global levels of international emergency medicine. 2. Gain insight and specific skills to identify and ameliorate these dilemmas in future practice. Resident as Teacher (2:00 – 3:30 pm) Amal Mattu, MD, University of Maryland

Rob Rogers, MD, University of Maryland Jennifer Casaletto, MD, Charlotte Medical Center This 90 minute session will enable the resident to better understand their role as an educator for both medical students and junior residents. The session will review what adult learners expect from clinical teaching as well as obstacles adult learners naturally encounter. Understanding these expectations and obstacles better prepares the junior educator (faculty or resident) to teach on the run. Examples of several different techniques of clinical teaching will be reviewed and demonstrated. These will include but not be limited to the one minute preceptor model, modeling, and directed observation. The long term benefits to the learner, the teacher, the residency and the institution will be identified. Time will be allotted for questions, concerns and comments for educators and learners in the audience. At the end of this session participants should be able to: 1. Describe the expectations of an adult learner. 2. Recognize the various techniques of clinical teaching. 3. Identify the benefits of teaching to both learner and educator. Research on a Shoestring Budget: Strategies for Conducting Research at Minimal Cost (2:30 – 3:30 pm) Robert J. Hoffman, MD, Albert Einstein College of Medicine at Beth Israel Medical Center Funding for research is a limited resource but this need not prevent research efforts. Having the capability of conducting research with limited funding is useful for both experienced researchers in a resource-restricted environment as well as for less-experienced researchers who are not candidates to compete for research funding. This seminar will review strategies for conducting a study with minimal financing time “on a shoestring budget” so to speak. This will also include methods to reducing the overall time required gain IRB or animal committee approval to begin a project. The speaker will illustrate these strategies by reviewing a small clinical study conducted at an actual cost of US$340. Had cost reduction strategies not been employed, this same study would have cost US$45,000. These strategies include: designing a study to be congruent with budgetary constraints; cost-effective use of laboratory assays; less expensive laboratory assays; free or inexpensive equipment use; obtaining research assistance and consultation services at low or no cost; and design of a “scavenger” study as an addendum to an approved and funded study. The concept of a scavenger study, an additional scientific investigation utilizing resources of another study that would otherwise go unused, will be discussed. At the end of this session participants should be able to: 1.Identify the costreduction strategies to minimize study costs. 2. Describe the concept of a scavenger study and how such studies may be conducted at low or no cost and receive expedient research ethics board, institutional review board or animal use committee approval. 3. Review cost-effective use of laboratory assays and services. 4. Recognize less expensive alternatives and efficient use of standard laboratory assays; review methods of obtaining or using equipment and supplies at low or no cost. 5. Review methods of obtaining research assistance and consultation services at low or no cost. Job-Seeking for Physicians with Interest in a Research Career: What You Should be Looking for and Looking Out for When Considering Employment (2:30 – 3:30 pm) Jeffrey Kline, MD, Carolinas Medical Center Charles Cairns, MD, University of North Carolina School of Medicine Research is increasingly recognized as a necessity in academic medicine. Unfortunately there exists a growing gap between the need for knowledge creators (i.e., innovation and research) and the shrinking number of qualified researchers. Acquiring and honing research skills as well as fostering a career in research require specific resources, environments and support. To pursue an academic career with a research focus with maximal effectiveness, physicians should thoroughly assess the nature of their own interests, the strengths and shortcomings of their employment options, and the compatibility between their interests and those of potential employers.Such an assessment can be complex and requires consideration of many factors. In this session, EM physicians with highly successful careers in both research and academics will explore these concepts and review the most important considerations to be made when weighing employment opportunities for the physician interested in a research career. These considerations include job responsibilities, resources, mentoring, departmental stability, departmental and institutional missions. At the end of this session participants should be able to: 1. Recognize both sound and unsound reasons for seeking research-related employment. 2. Self assess their strengths and determine their needs with regard to employment

with intent of research career development; recognize characteristics of programs, departments, and positions that are globally conducive to fostering a research career. Recognize characteristics and issues that may identify a position or circumstance likely to fail in research career development. 3. Identify the barriers of recruiting and retaining special emphasis groups including women and minorities in EM research and ways to overcome these barriers. Incorporating Visual Diagnosis as an Educational Strategy (2:30 – 4:30 pm) David Spiro, MD, Oregon Health and Science University Garth Meckler, MD, Oregon Health and Science University Jason Thurman, MD, Vanderbilt University Medical photography and video production are powerful tools that can be utilized to establish permanence of clinical teaching opportunities encountered in the ED setting. To take advantage of this fertile ground, the clinician educator must be properly equipped and prepared to capture clinical images. This session will explore the means to approach patients, obtain consent, record high quality photographs and video, and incorporate clinical images into educational presentations. Visual diagnosis using digital video and digital photography in the emergency department setting is an exceptional educational opportunity for students, residents, faculty and for community providers. Obtaining quality images and video in the Emergency Department setting can be challenging due to the unstructured nature of this milieu, medico-legal concerns and the potential ethical conflicts of recording vulnerable subjects such as children. This 120-minute session will be divided into 4 parts. a) Principals of clinical video in the Emergency Department. In this lecture, approaching patients and obtaining informed consent for imaging, proper video equipment and technique, and incorporating video into presentations will be covered. (20 minutes + 5 minute question/answer session) b) Principals of medical photography in the Emergency Department. This lecture will address a) essential photography equipment, b) fundamentals of medical photography including exposure, depth of field, lighting, establishment of view, reproduction ratios, and management of distortion and background and c) the use of clinical images to augment didactic teaching. (20 minutes + 5 minute question/answer session) c) Hands on breakout sessions: For this portion of the workshop, the moderators will set up video and photography stations where participants will gain hands on practice in the use of appropriate video and photographic imaging techniques with the use of models. The photography stations will focus on specialized clinical images of the eyes, face, ears, and hands. (45 minutes) d) Expert modeling: For the final part, the moderators will present a visual diagnosis lecture and will expertly model how to use this medium to educate medical students, residents and faculty. (20 minutes + 5 minute answer/session) At the end of this session participants should be able to: 1. Identify the tips for success in obtaining informed consent for digital imaging, 2. Obtain quality digital images. 3. Incorporate video and photographic images into educational presentations.

Friday, June 4, 2010 Didactic Session handouts available online at saem.org Expert Strategies for Minimizing Loss to Follow Up in Emergency Medicine Research (9:30 – 11:00 am) Michael Radeos, MD, New York Hospital Queens Jason Haukoos, MD, MSc, Denver Health Medical Center Kathy Carty, PhD, Vantage Point, Inc. Gail D’Onofrio, MD, Yale University Loss to follow up (LTF) is a common obstacle facing researchers. LTF introduces bias, reduces sample size, and limits generalizability. At the 2009 AEM Consensus Conference, “Public Health in the ED,” LTF was identified as one of the primary problems facing EM public health researchers, and more uniformly effective and evidence-based strategies to maximize follow-up was felt to be essential to increasing the success of the field. Experts in our didactic session will discuss strategies EM researchers conducting both public health and other EM studies have used to address barriers to follow up. Attendees will gain new tools to optimize the validity of their studies. At the end of this session participants should be able to: 1. Identify LTF threatens the validity of research. 2. Anticipate potential problems retaining participants and select effective strategies for minimizing LTF across a variety of study designs. 3. Minimize LTF in challenging populations. 4. Handle LTF in data analysis to decrease threats to validity. Bedside Teaching of Medical Students in Emergency Medicine - An Interactive Workshop

(9:30 – 11:00 am) Louis Binder, MD, University of Nevada School of Medicine Michael Epter, DO, University of Nevada School of Medicine The process of effective bedside teaching is complex, and varies with changes in logistics, available time, content, and expertise of the learner. Mastery of this process is essential to improving one’s teaching skill and reputation as an EM educator; however, these skills are uncommonly explicitly identified or demonstrated. The speakers possess an extensive background and successful track record in bedside teaching in the ED setting. This session will focus on the content, framing, and skills necessary to succeed in bedside teaching, and the dynamics of adjusting the approach based on variations in the teaching setting. Course format will utilize a combination of 1) audience questions and input regarding their specific challenges in bedside teaching as the basis for emphasizing basic concepts, and 2) use of videotaped beside teaching encounters as vignettes to demonstrate techniques and stimulate discussion. Time and attention will be given to elucidating participants’ concerns and challenges in the bedside teaching process. At the end of this session participants should be able to: 1. Relate key elements of effective bedside teaching. 2. Elaborate the concept of the learning vector, and its application to bedside teaching. 3. Recognize several of the dynamics that occur over the course of a bedside teaching encounter, and options to manage them successfully. Career Path at University-Affiliated Community Sites: Opportunities and Challenges (11:00 am – 12:00 noon) Andy Jagoda, MD, Mount Sinai School of Medicine Leslie Zun, MD, Chicago Medical School Brigitte Baumann, MD, MSCE, Cooper University Hospital Affiliated faculty in community hospitals plays an increasingly important role in emergency medicine departments and residency training programs. Faculty working in community settings has unique challenges and obstacles to engaging in academics, academic career advancement, and faculty promotion. Some of these challenges include; higher clinical work expectation with less protected time; fewer interactions with house-staff and medical students; fewer opportunities for interaction with mentors; fewer opportunities for collaborative work on scholarly activity with other academicians. This panel of distinguished leaders in emergency medicine will examine these issues and review potential strategies to overcome these challenges. They will additionally address the importance of capitalizing on the uniqueness of the community hospital experience and demonstrate that this is can be a meaningful career path. The speakers will also discuss the importance of different types of degree programs, as a tool to prepare one for leadership. The session will be presented in 45 minutes with 15 minutes reserved at the end for audience participation. At the end of this session participants should be able to: 1. Recognize challenges that emergency medicine faculty in affiliated community hospital sites face. 2. Identify how faculty in affiliated community settings might best assess and use resources available to them from their respective medical schools and residency programs. 3. Be aware of strategies to facilitate collaboration and prevent academic isolation within an affiliated community hospital. 4. Be cognizant of the skills and strategies that may assist academic career development as faculty in a community setting. Remote Damage Control Resuscitation: Concepts, Challenges and Research Opportunities as Trauma Resuscitation Moves into the Outof-Hospital Arena (11:00 am – 12:00 noon) Robert Gerhardt, MD, U.S. Army Institute of Surgical Research/Brooke Damage control resuscitation describes an emerging approach to the initial treatment of severely traumatized patients, first pioneered by the military for the treatment of combat casualties. It seeks to rapidly reverse or prevent coagulopathy, hypothermia and acidosis, and employs the early use of blood component replacement along with permissive hypotension prior to initial hemostatic surgery. Preliminary work is being undertaken to examine the feasibility and outcome benefits to be derived from projecting some of these concepts into the out-of-hospital environment, which may hold particular utility in the combat setting, mass casualty planning, or in regionalized EMS systems with protracted trauma transfers from outlying facilities. This lecture will familiarize attendees with the concept of damage control resuscitation, examine its preliminary trials of efficacy in the trauma center setting, examine the potential risks, benefits and obstacles to implementation in the out-ofhospital setting, and initiate discussion of a research agenda and opportunities for collaboration in developing a “remote damage control resuscitation” application.

At the end of this session participants should be able to: 1. Review the pathophysiology behind Acute Traumatic Coagulopathy (ATC) and the “Lethal Triad” of coagulopathy, hypothermia and acidosis. 2. Familiarize the audience with principals of damage control resuscitation (DCR) in the severely traumatized patient. 3. Discuss emerging research, controversies and doctrine development associated with projecting DCR into the out-of-hospital environment. 4. Explore opportunities for emergency physician clinicians and researchers to participate in development of this concept, as well as policy that will relate to its fielding. Improving Pediatric Guideline Implementation: A Workshop in Applied Knowledge Translation (1:00 – 3:00 pm) Eddy Lang, MD, University of Calgary David Johnson, MD, University of Calgary Wyatt Decker, MD, Mayo Clinic Peter Wyer, MD, Columbia University Stewart Wright, MD, University of Cincinnati High quality clinical practice guidelines offer recommendations based upon a synthesis of evidence from clinical research combined with consideration of patient values and preferences. They are costly and require a substantial investment in methodological expertise and stakeholder engagement. The guideline enterprise often falls short of effective translation of knowledge into practice, largely because passive diffusion of guidance through publication is insufficient to achieve change. The field of knowledge translation (KT) is a burgeoning area of research and application aimed at finding optimal routes of system-level evidence uptake. This workshop will begin with an overview of knowledge translation science presented by leaders in the field. These short presentations will be followed by a practical and hands-on collaborative exercise which will allow participants to develop evidence implementation plans in connection with a pre-selected high quality clinical practice guideline in pediatric emergency care. Participants will be divided into breakout groups that will apply KT expertise to specific aspects required for the implementation of the guideline. These will include environmental scanning, barrier identification, multifaceted targeted intervention development, quality improvement dimensions and sustainability. Suggestions and insights developed within each breakout group will be conveyed to all participants during time allotted for feedback from small groups and wrap-up. At the end of this session participants should be able to: 1. Become introduced to the scientific foundations and the abundance of resources that are pertinent to the field of Knowledge Translation aka Implementation Science. 2. Acquire a practical framework for applying KT science in the creation of an evidence implementation project. 3. Gain practical experience in developing such a plan using a current and robust clinical practice guideline in emergency pediatrics. Innovations in Resident and Medical Student Education (2:00 – 3:00 pm) Nicholas Kman, MD, The Ohio State University College of Medicine Lorraine Thibodeau, MD, Albany Medical Center This 60 minute interactive session will provide educators with a set of new and innovative teaching modalities available to today’s adult learners. A total of four new teaching modalities in undergraduate and graduate medical education will be presented and reviewed. Examples will include new developments in simulation, computer based technology, innovative curricula, testing tools, or evaluation tools. Last year, Clerkship Directors in Emergency Medicine presented a session entitled, “Innovations in Medical Student Curricula”. The session is due to become an annual occurrence as it was well received last year. The lecturers plan on using the knowledge gained by CDEM listserve inquiry and by literature review to present cutting edge educational advances to the SAEM audience. These educational advances will be supplemented with innovations in resident education as solicited from the CORD listserve. Each new teaching advance will be detailed by Drs. Kman and Thibodeau. They will describe the setting in which it is used, the benefits of incorporating it into a curriculum, and the difficulties that have been encountered. After each new technique is presented, time will be allotted to allow for audience questions and feedback. If available, the authors of the educational innovations will be invited to answer questions at the conclusion of the session. At the end of this session participants should be able to: 1. Describe a multitude of innovative teaching modalities available to adult learners. 2. Apprised of cutting edge teaching techniques being used for undergraduate and graduate medical education across the country. 3. Familiar with advantages and drawbacks of different new learning strategies in medical education. Why Be an Academic Clinical Director? (3:00 – 4:30 pm) David Levine, MD, Cook County (Stroger) Hospital

Jedd Roe, MD, William Beaumont Hospital Shkelzen Hoxhaj, MD, Baylor College of Medicine, Ben Taub General Hospital The position of Clinical Director 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 nursing, the chairman of the department, 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) ,(5) dealing with the problems with other essential departments, including people problems, that pose barriers to creating the perfect department., (6) deal with hospital overcrowding and how it affects the ED and the institution. Despite the tremendous challenges faced every day, the role of Clinical Director 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 three current or former clinical directors, from different practice settings with different educational backgrounds (MBA, MPH, fellowship), 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. At the end of this session participants should be able to: 1. Recognize the role of Clinical Director in an academic setting. 2. Realize the appreciation of the traits and skills necessary to be successful in the role. Ultrasound for Critically Ill Patients (3:00 – 4:30 pm) David Blehar, MD, University of Massachusetts James Tsung, MD, New York University Langone Medical Center Jason Nomura, MD, Christiana Care Health System While most emergency physicians completing residency in the past decade are familiar with standard applications of bedside ultrasound, such as FAST, early pregnancy, and aortic exams, newer applications that are equally promising may be less familiar. This session is designed to familiarize participants with cutting edge research and newer scanning techniques that may alter their practice at the bedside. The session will focus on three emerging areas of investigation: IVC evaluation, pediatric emergency ultrasound, and emergency cardiac echo. Discussion of the IVC will focus on its measurement in the setting of sepsis, hemorrhagic shock, and CHF. Participants will gain an understanding of the role of respiratory variation of the IVC in various disease states. The pediatric component of the session will focus primarily on the role of ultrasound in resuscitation. Participants will learn how color doppler may be employed to confirm intraosseous needle placement. The session will conclude with a discussion of emergency echocardiography, particularly as it applies to the evaluation of pulmonary embolus. Each lecturer will speak for twenty-five minutes and briefly answer questions afterwards. At the end of this session participants should be able to: Recognize how to take standard measurements of the IVC and correlate the findings to the patient’s clinical condition. 2. Identify proper uses of bedside ultrasound in the pediatric setting, particularly during resuscitation. 3. Explain how bedside echocardiography may be used to evaluate critical patients including those with suspected pulmonary embolus. Direct Observation of Competence (DOC) - Why is it Important and How to Develop a Successful Program (3:00 – 4:30 pm) Sorabh Khandelwal, MD, The Ohio State University David Manthey, MD, Wake Forest University Douglas Ander, MD, Emory University Clinical skills are critically important in patient care. Direct observation of learners during actual patient encounters can positively influence their development by providing information that can be used to develop effective formative and summative evaluations. Unfortunately, direct observation of competence (DOC) is rare. Many authors have documented an over reliance by faculty on indirect evidence of clinical skills such as case presentations and simulated patient encounters. There are many reasons that DOC is inconsistently used. Faculty may lack time, be uncertain of how to best evaluate and coach learners on clinical performance, be unaware of the added value of DOC to competency assessment or may lack confidence in their own clinical skills. Models for programs that improve the ability of faculty to participate

in DOC have been published. There is a paucity of literature looking at best practices for the design and implementation of DOC programs designed to promote medical student and resident development. The first 45 minutes of this session will consist of an interactive lecture with video vignettes designed to relay the importance of direct observation. The last 45 minutes will be used to provide the specifics of developing a DOC faculty development session. This will be achieved through small group discussion with faculty facilitation. At the end of this session participants should be able to: 1. Review current state of physician clinical skills and faculty evaluation skills. 2. Recognize the importance of direct observation by faculty for assessment of clinical skills. 3. Discuss practical strategies for focused direct observation. 4. Develop/Review rater training methods.

Saturday, June 5, 2010 Didactic Session handouts available online at saem.org Thrombolysis for Acute Ischemic Stroke: Where are we now, where are we going? (9:00 – 10:30 am) Nina Gentile, MD, Temple University Christopher Lewandowski, MD, Henry Ford Hospital Edward Jauch, MD, MS, Medical University of South Carolina College of Medicine Stroke is the leading cause of adult disability in the United States and the third leading cause of death. The role of the Emergency physician in the management of these patients continues to grow and gain importance for long term patient outcomes. This session is designed to review our current understanding of acute treatment; primarily thrombolysis for acute ischemic stroke. As new evidence has accumulated in regards to optimal diagnosis and therapy, it is important to place these into perspective, answer lingering questions, and discuss future directions. In specific there will be 3 lectures followed by a panel discussion that will answer questions and discuss the future of care. The lectures will focus on: (1) the basics of thrombolysis in the 3 hour window, the 3-4.5 hour window, risk stratification, and stroke center certification, (2) the treatment of special populations such as those that are “too good to treat”, the elderly, and those with large strokes, as well as recent controversies, and (3) intravenous (IV) thrombolysis compared to intra-arterial (IA) therapy or combined IV/IA treatment, and new diagnostic techniques. At the end of this session participants should be to: 1. Identify the indications and contra-indication for thrombolysis in acute stroke. 2. Review patient selection and risk stratification for acute treatment. 3. Recognize various treatment options based on presenting factors. 4. Discuss the new diagnostic and therapeutic options under development Coping with Shift-Work Through the Life Cycle of the Academic Emergency Physician (9:00 – 10:30 am) Michelle Biros, MD, University of Minnesota Rebecca Smith-Coggins, MD, Stanford University Megan Ranney, MD, Brown University Robert Hockberger, MD, Harbor-UCLA Robert Gerhardt, MD, U.S. Army Institute of Surgical Research/Brooke Workforce aging and the interplay of persons from varying generations are both issues of high relevance to academic emergency medicine practice. The interplay of “Traditionals,” “Boomers,” “Gen-X’ers” and now, “Millenials” pose particular challenges, yet also provide unique opportunities, for the growth and development of effective academic emergency medicine departments and their faculty groups. There is limited literature on the effect of shift-work on academic emergency physicians. In this didactic session, we will explore existing literature on the impact of shiftwork on health and productivity. We will then discuss the challenges that shiftwork presents to junior, mid-career, and senior academic EPs. Finally, through audience participation, we will begin to articulate a research agenda for the future. At the end of this session, participants should be able to: 1. Review existing evidence regarding shift work on aging, and intergenerational impacts on academic medical practice. 2. Discuss the unique problems associated with shiftwork in academic emergency medicine. 3. Examine specific perspectives of young, mid-career and senior faculty members. 4. Propose, solicit and discuss educational and research initiatives aimed at identifying EM-specific generational problems and optimizing age-diverse EM faculty groups. 5. Seek to initiate the formulation of a coherent agenda for promoting research and dialogue on this issue. Becoming an EM Intensivist (10:00 – 11:00 am)

William Knight, MD, University of Cincinnati Julie Mayglothling, MD, Virginia Commonwealth University Medical Center Stephen Trzeciak, MD, Cooper University Hospital Emergency Medicine (EM) physicians represent a growing field of individuals interested in the practice of Critical Care Medicine (CCM). Although there is currently an inadequate supply of CCM-trained physicians to meet the increasing need for CCM services in the United States, there have been multiple barriers on the pathway to CCM board certification for EM physicians. Overcoming these barriers could be an important advance for both CCM and EM, and could translate into meaningful improvements in the care of critically ill patients. This didactic session will present the current landscape of CCM training for EM physicians. The session will be a panel discussion with three EM-trained intensivists who practice CCM in academic centers. Dr. William Knight from the University of Cincinnati will moderate the session. Joining him will be Dr. Stephen Trzeciak from Cooper University Hospital and Dr. Julie Mayglothling from Virginia Commonwealth University. In addition to clinical CCM practice, all three panelists are actively involved in research and/or education in EM and CCM. At the end of this session participants should be able to: 1. Review the controversy surrounding EM physicians practicing critical care - especially as it relates to board certification. 2. Discuss the research opportunities in Critical Care and the collaborative possibilities that exist with Emergency Medicine. 3. Learn the possible pathways to EM-Critical Care, including EM, EM-IM and Neurocritical Care. Review training and job opportunities that exist nationally. 4.Review the increasing need for intensivists and how Emergency Medicine is a natural fit for the field of critical care. Advanced Principles of Biostatistics That Everyone Should Know (10:30 – 11:30 am) Roger Lewis, MD, Harbor-UCLA Medical Center Beyond the fundamentals there is a wealth of biostatistical concepts, usually gained by formal graduate training in biostatistics or research methods, that can be considered “pearls” of advanced biostatistics applicable to clinical research to clinical research of various types. This seminar will review some advanced principles of biostatistics, an understanding of which will help an investigator avoid pitfalls in conducting clinical research. The speaker will review the concept of equipoise and how it should guide commencement and completion of clinical trials; adaptive randomization, and how it may be used to adjust the randomization probabilities to reflect the interim results of a trial; alpha spending to allow interim analysis of data without overly inflating false positive error; conditional power to allow early stopping of a trial; and early stopping to allow discontinuation of a futile trial or when statistical significance has been achieved in a positive trial. At the end of this session participants should be able to: 1. Review the concept of equipoise and how it should guide conduct of a study. Discuss the concept of adaptive randomization and how it adjusts probability of randomization in response to the interim results of a trial. 3. Review alpha spending and how it permits appropriate interim analyses. 4. Discuss conditional power and understand how it can allow early stopping for futility or achievement of statistical significance. 5. Review the concepts of early stopping and study extension and how these may save resources and protect research participants. EMS as a Recognized Subspecialty: Implications for Fellowship Training (11:00 am – 12:00 noon) David Cone, MD, Yale University Jane Brice, MD, University of North Carolina In the mid-1990s, SAEM and the National Association of EMS Physicians jointly authored a core content and a fellowship curriculum for EMS fellowship programs. Several efforts to update the curriculum dating back to 2000 ultimately resulted in organized efforts to secure subspecialty recognition for EMS. In July 2009, the American Board of Emergency Medicine approved an EMS subspecialty application, and that application is now before the American Board of Medical Specialties. Two major components of that application are a revised and updated core content and EMS fellowship curriculum that reflect the greatly expanded scope of practice of today’s EMS physician in terms of clinical, academic (both education and research), and administrative functions. Dr. Cone, who led the development of the EMS subspecialty application, and Dr. Brice, who led the writing of the fellowship curriculum, will discuss the implications of subspecialty recognition for EMS fellowship programs and the academic departments that sponsor them. Two of the most important implications are: 1) eventual ACGME accreditation of EMS fellowship programs, and 2) the significant increase in the volume and scope of the fellowship curriculum, and thus in the time and effort needed to successfully teach and master its contents. This session will allow fellowship

directors, department leaders, and future EMS fellows to begin planning now for the multi-year transition process to formal, accredited fellowship programs. It will also provide important information for departments that are considering forming an EMS fellowship program, and review the process of developing a formal subspecialty. At the end of this session participants should be able to: 1. Begin planning for the transition from unofficial EMS fellowship programs to ACGME-accredited programs. 2. Describe the ACGME procedures regarding subspecialty programs, and how they will affect existing and new EMS fellowship programs. 3. Identify basic features of the new, expanded EMS fellowship core content and curriculum, and how they relate to the substantial growth in the EMS physician’s scope of practice in recent years. Simulation-Based Patient Safety Initiatives: Measuring Outcomes at the Patient and System Level (10:30 – 12:00 noon) Rollins (Terry) Fairbanks, MD, University of Rochester Robert Wears, MD, University of Florida Haru Okuda, MD, Institute for Medical Simulation and Advanced Learning Rosemarie Fernandez, MD, Wayne State University School of Medicine Hospital systems throughout the country are coming under increased pressure to implement and assess various patient safety-oriented initiatives. Simulation, broadly defined as any technology which recreates all or part of a clinical experience and / or process, has been aggressively targeted as a potential tool for both mitigating and assessing adverse events in healthcare. This Didactic session (1) describes the evidence behind simulation-based patient safety initiatives, (2) defines and analyzes patient and systems-centered outcomes as they relate to patient safety research, and (3) encourages participants to help define an emergency medicine focused patient safety research agenda that incorporates simulation methodologies. The overall objective of this presentation is to advance an EM-based patient safety research agenda by defining gaps in knowledge and highlighting strategies to measure clinically relevant outcomes. Panel discussion: Panel members will conduct an open discussion with the audience on identifying knowledge gaps, setting a research agenda, and identifying opportunities for research funding in this area. At the end of this session participants should be able to: 1. Realize currently used within hospitals as part of system-wide patient safety initiatives, including non-traditional simulation (discrete event simulations, simulation for IT development, system dynamic simulations). What evidence supports their use? 2. Recognize the challenges associated with assessment of patient safety initiatives? Defining patient and system-level outcomes. 3. Identify strategies and methodologies employed by patient safety researchers? How can they be used to assess the efficacy of simulation-based initiatives? Where are the research gaps? 4. Discuss the simulation as a patient and systemslevel assessment tool: feasibility and challenges. Faculty Needs for Years 1-3 (12:30 – 2:00 pm) Carey Chisholm, MD, Indiana University O. John Ma, MD, Oregon Health and Science University Newly hired entry level faculty frequently encounter a perplexing workplace that may not overtly provide the guidance or tools to chart an organized faculty development and professional career pathway. There are many conflicting demands on newly hired faculty and a reluctance to say “no” further may further compromise career goals. Establishing a timeline for the first three years and developing a professional mission statement are extremely important to junior faculty. These topics, and others, will be discussed. At the end of this session participants should be able to: 1. Establish a time line of activities for the first 3 years of their career and develop a professional mission statement. Identify the importance of developing mentoring relationships, and their role in establishing such relationships. 2. Define the importance of establishing a career focus niche, and how to nurture the skills required for the niche. 3. Appreciate the importance of career balance between universal faculty obligations and their career development. 4. Be aware of general faculty development opportunities common across all departmental faculty. 5. Be aware of how to become involved in professional EM organizations, and serve as an effective committee member. Leadership From Within – Enhancing Your Natural Ability II (12:30 – 2:00 pm) Andra Blomkalns, MD, University of Cincinnati Brian Zink, MD, Brown University Jill Baren, MD, MBE, Hospital of the University of Pennsylvania Brian Clyne, IV, MD, Brown University Deb Diercks, MD, University of California, Davis Kate Heilpern, MD, Emory University

Cherri Hobgood, MD, University of North Carolina, Chapel Hill Jeffrey Kline, MD, Carolinas Medical Center Arthur Pancioli, MD, University of Cincinnati Defined leadership positions in academic medicine are often achieved later in a physician’s career. If effective future leaders are to be cultivated, leadership development and training must start before a position is sought or achieved. This session will demonstrate how junior faculty, fellows and residents can “lead from within” by developing skills and approaches that enhance their influence and benefit their organization. The session will review the literature on leadership development and present examples of “common sense” early career leadership challenges and opportunities. Faculty will serve to facilitate roundtable discussions for the second portion of the program. Participants will anonymously submit questions via a pre-printed card. At the end of this session participants should be able to: 1. Find strength zones and identifying their niche. 2. Discuss clinical performance leadership.3. Overcome obstacles and the “Energy Drain” – demanding hours, complex hierarchies, conformation to systems and protocols. 4. Become effectively involved within committees– agendas, time management. 5. Influence and recognition. 6. Communicate challenges and their impact – verbal, email, phone, written. Beyond the Ambulance Bay: An Introduction to Social Emergency Medicine (3:30 – 5:00 pm) James Gordon, MD, MPH, Harvard Medical School Robert A. Lowe, MD, MPH, Oregon Health and Science University Renee Hsia, MD, Msc, University of California, San Francisco Harrison J. Alter, MD, MS, University of California, San Francisco Complex social forces place the contemporary emergency department in the heart of the health paradox. On the one hand, most are equipped with advanced technology and skilled emergency providers to afford resourceintensive critical care to high-risk patients. On the other hand, millions of people without a viable alternative turn to the ED for basic primary care. At the same time, regulatory policies and individual health behaviors place sometimes competing demands on emergency services: lax enforcement of farm hygiene regulation leading to an avian flu on the one hand; a syphilis outbreak with no primary care access on the other. Yet despite the power of the forces involved, very little is known as fact about these relationships; today they can only be hinted at. This session will outline the beginnings of an intellectual framework for Social Emergency Medicine, and offer a glimpse into work already underway in this growing field and a look into its future. We will present the work of Dr. Karin Rhodes using social health screening to improve health care response to important patient self-identified psychosocial and public health risks. Dr. James Gordon will provide some context for the ED as a social welfare institution. Dr. Robert Lowe will discuss his collaboration with the Institute for Healthcare Improvement to reduce “avoidable” ED visits – shifting the focus from so-called “non-emergency” visits (which tends to blame the victims of a health care system that fails to provide alternative sites of care), to upstream interventions to reduce the burden of illness and injury that require ED use. Dr. Renee Hsia will present data on socioeconomic disparities within the structure of the medical care system. The session will be moderated by Dr. Harrison Alter, Executive Director of the Andrew Levitt Center for Social Emergency Medicine in Berkeley, California. At the end of this session participants should be able to: 1. define Social Emergency Medicine and identify its key concepts, 2. be familiar with examples of current and past work hewing to the themes of Social Emergency Medicine, and 3. be inspired to consider driving the field forward with research with a like orientation. Bottlenecks in Patient Throughput: Applying Queuing Theory to Identify and Manage ED Flow (3:30 – 5:00 pm) Jedd Roe, MD, William Beaumont Hospital Jeff Desmond, MD, University of Michigan Health System Queuing theory is a set of mathematical tools that allows operations managers to find solutions to problems in matching fixed resources to random demand environments. Bottlenecks of patient flow in the ED are often due to similar random demands, and queuing theory allows analysis that can provide solutions to common questions such as: a) How many nurses do I need at triage during a particular time of day? b) How many CT scanners are needed for my ED’s patient volume? c) How many beds do I need in the new ED my hospital is building? d) Can I justify adding more physician coverage to my ED? At the end of this session participants should be able to: 1. Apply the mechanics

of these operation manager techniques using real-world examples. The speakers for this session would like to provide real-life examples using your data! If you would like to have your ED’s data used in the model to determine how best to match demand to your ED capacity/ resources (e.g. staffing, rooms or triage bays needed, etc) for your ED, please contact: jedd.roe@beaumont.edu.

Sunday, June 6, 2010 Didactic Session handouts available online at saem.org Improve Your Teaching: Evidence-Based Teaching Workshop Using Articles That Will Change Your Teaching Practice (8:00 – 10:00 am) Sally Santen, MD, Emory School of Medicine Robin Hemphill, MD, Emory School of Medicine Susan Farrell, MD, Harvard Medical School Wendy Coates, MD, Harvard Medical School This workshop will be to use the evidence from some landmark education articles to develop strategies to improve our teaching. The major concepts include the evidence on how to: (1) develop expertise by understanding what differentiates an expert from a novice (2) recognize how we utilize prior knowledge and active learning to improve learning and memory (3) improve medical decision making by using both clinical reasoning and pattern recognition (4) understand the limitations of self-assessment. The evidence will be briefly presented, then, in small groups the participants will plan learning or assessment exercises from their own setting. The workshop will be highly interactive, requiring participants to use both the evidence and apply it to their teaching, learning and assessment practices. The workshop will incorporate large and small group exercises to understand the concepts and develop ways to improve each participant’s teaching skills. At the end of this session participants should be able to: 1. Recognize evidence in these areas for effective teaching and assessment. 2. Take home strategies for improving their teaching using and develop a plan for how they will incorporate the evidence into their teaching practice. The Need for Real Time Minimally Invasive Hemodynamic Monitoring in the ED (8:00 – 9:30 am) Richard Nowak, MD, Henry Ford Hospital Joseph Garcia, MD, Henry Ford Hospital Frank Peacock, MD, Cleveland Clinic Emergency physicians evaluate and treat many patients with acute disease states without objective measurements of their underlying hemodynamic profile. Clinical assessments of acute hemodynamic variables have been shown to be inaccurate. Real time trending of a patient’s hemodynamics is a critical part of optimal patient management. This session will describe why it is so important to have objective real time continuous hemodynamic monitoring available. Three specific diseases, acute stroke, acute CHF, and sepsis, will be discussed with each author discussing a specific disease and related monitoring methods. At the end of this session participants should be able to: 1. Recognize the need for non invasive hemodynamic monitoring in these specific areas. 2. Identify non invasive hemodynamic technologies that they have worked with. 3. Define future areas of uses and research opportunities in these areas Injury Centers: Opportunities for Emergency Medicine (8:00 – 9:30 am) Jeff Coben, MD, West Virginia University Rebecca Cunningham, MD, University of Michigan Debra Houry, MD, Emory University Course description: Injuries account for approximately one-third of ED visits and result in significant morbidity and mortality. This public health problem was highlighted at the AEM’s 2009 Consensus Conference on Public Health. This session will highlight the important role of EM in injury prevention and control and highlight three leaders that will discuss how injury centers strengthen academic EM on their respective campuses. Injury centers are multidisciplinary centers that encompass acute care, as well as the prevention and control of unintentional and intentional injuries. These centers can be hospital, foundation, or federally funded. A center infrastructure can promote research and education in a specific field and result in additional funding and training opportunities. Specifically, injury centers can pull together investigators across disciplines to tackle important public health problems, mentor budding researchers, and train the next generation of injury professionals. Dr. Coben will discuss what centers do and the different models of centers, Dr. Cunningham

will discuss the history of centers and different funding opportunities. Dr. Houry will discuss the role of academic emergency medicine in injury centers and applying for a CDC center grant. At the end of this session participants should be able to: 1. Integrate their research interests into an injury center structure. 2. Be aware of funding opportunities for injury research and education; 3. Expand injury research into a multidisciplinary collaboration. Debriefing Simulation-Based Encounters: A Practical Guide for Medical Educators (9:00 – 10:30 am) Douglas Ander, MD, Emory University Corey Heitz, MD, Wright State University, Boonshoft School of Medicine Christopher Strother, MD, Mount Sinai School of Medicine Rosemarie Fernandez, MD, Wayne State School of Medicine Sharon Griswold-Theodorson, MD, Drexel University College of Medicine Torrey Laack, MD, Mayo Clinic Simulation provides a broad array of educational methodologies that are being employed throughout different educational levels and across healthcare disciplines. Scenario design that is inappropriate to the level of the learner or that targets higher-level cognition can be confusing to students. Additionally, debriefing techniques suited to more advanced learners are ineffective and often counter-productive when applied to undergraduate students. The purpose of this workshop is to promote a methodologically sound approach to scenario design and debriefing for medical students. At the end of this session participants should be able to: 1. Describe the pros and cons of different evidence-based approaches to simulation design and debriefing for undergraduate learners. 2. Design a Human Patient Simulation (HPS) - based scenario to support curricular objectives for undergraduate healthcare students. 3. Identify and master appropriate debriefing techniques based upon the skill level of the learner and the educational objectives of the simulation. Developing Young Faculty Investigators (9:30 – 10:30 am) John Younger, MD, University of Michigan William Barsan, MD, University of Michigan John Marx, MD, Carolinas Medical Center While career development of junior faculty in emergency medicine is an ongoing emphasis of SAEM, there has been little formal discussion of the unique problems of developing researchers. Specifically, the experience of leadership within the specialty in bringing a fellow or junior faculty through the development process that ultimately produces an NIH-funded investigator is very limited. The goal of this session will be to highlight the challenges associated with this enormous faculty development challenge. While the audience includes junior faculty and residents, the key target of the conversation is senior membership who participate in junior faculty development. Specifically, two chairs who have successfully transformed research fellows into R01funded independent investigators will discuss their approach to this problem. Two chairs will participate, and have been chosen to represent very different academic environments. The session will be moderated to both field audience questions and to pursue these issues: a) protected time, how to assign it, and how and when to pay for it, b) assigning and deflecting non-research admin responsibilities, c) allocating start up funds. At the end of this session, participants should be able to: 1. Define administrative issues surrounding the development of fellows and junior faculty into career researchers. The “Other” Study Designs (9:30 – 10:30 am) Edward Panacek, MD, University of California, Davis Beyond the most common study designs of randomized trials, cohort and case-control studies, there are several other important study designs that are not as well known and less commonly used. They can be very useful tools to help address certain research questions that are not readily approached using the most common designs. For clinical researchers, knowledge of these other designs provides greater flexibility when developing study protocols. Ambispective, nested, ecologic, historical-controls, factorial and case-cohort study designs will be described, compared and contrasted. Applied examples, from published research in the EM field will be provided for each design. At the end of this session participants should be able to: 1. Define several different and uncommon study designs. 2. Recognize appropriate applications for each of the designs. 3. Identify examples of each design used in EM studies.

Using Deliberate Practice to Address Cognitive Error (10:00 am – 12:00 noon) Robin Hemphill, MD, Emory University Sally Santen, MD, Emory University Felix Ankel, MD, Regions Hospital Jeff Love, MD, Washington Hospital Center One strategy for error prevention is the use of deliberate practice. This is the intentional focus on processes that might prevent errors incorporating experiences and feedback to gain and learn from them. Discussions of medical error require a structured approach that can focus on the individual as well as the heuristics and biases that may have led to error. While it is easy to place individual blame for such errors, in fact some patterns of bias are well recognized and can occur to any provider regardless of how outstanding the normal individual performance may be. This session will briefly review categories of cognitive error and then will discuss how deliberate practice may be used to recognize, understand and react in ways that may prevent such errors. This workshop will be interactive using activated learning and small group discussions. The presenters on this session will pull upon participants’ experience and as well as theory to provide practical strategies for teaching residents to avoid errors. The intended outcomes for this workshop are for participants to use new strategies for approaching cognitive errors using reflection. Participants will be able to take these skills back to their institutions to deepen the discussions of medical errors through reflection and deliberate practice. At the end of this session participants should be able to: 1. Research evidence supporting deliberate practice. 2. Identify major types of cognitive errors. Discuss the teaching and assessment strategies for approaching cognitive errors using deliberate practice. Supersonic Teaching: Innovations in Ultrasound Education (10:30 am – 12:00 noon) J. Christian Fox, MD, University of California, Irvine Beatrice Hoffmann, MD, Johns Hopkins James Moak, MD, University of Virginia For many trainees instruction in ultrasound occurs only in the ED, where teaching is limited by the availability of an attending and an interesting patient to scan. Additionally, most teaching in ultrasound occurs during residency, long after the lessons of gross anatomy have faded. This session will highlight creative advances in ultrasound education that extend beyond teaching residents at the bedside. Lecturers will discuss ultrasound phantoms (gel models), both homemade and commercial, virtual ultrasound, and how to integrate ultrasound into a four-year medical school curriculum. What’s the best recipe for “ultrasound Jello”? How good and how expensive is an ultrasound “simulation man”? What are the best on-line resources for teaching ultrasound? What’s the best way to teach “sonoanatomy” to a firstyear medical student? These questions and more will be addressed by the experts in a series of three lectures, each twenty-five minutes in length: 1) Ultrasound Phantoms: Where the Gel Meets the Jello; 2) Virtual Ultrasound: Web-based Learning and Simulation Scanning; and 3) Integrating Ultrasound into a Medical School Curriculum. Time will be available after each lecture for questions from the audience. Don’t miss this supersonic session! By the end of this session participants should be able to: 1. Make their own ultrasound gelatin phantom and will have an appreciation of commercially available phantoms and models. 2. Participants will be able to utilize web-based resources for teaching ultrasound. 3. Identify how they may begin integrating ultrasound into a medical school curriculum at their home institutions. “Are My Residents OK?” - Maximizing Resident Wellness in 2010 and Beyond (10:30 am – 12:00 noon) Rebecca Smith-Coggins, MD, Stanford University Michael Epter, DO, University of Nevada Robert McNamara, MD, Temple University Karl Nibbelink, MD, Temple University The course will be divided into three 25 minute sessions, followed by a 15 minute moderated panel discussion. During the first session, Dr. McNamara will focus on resident wellness and career longevity by addressing common work and non-work stressors for EM residents and attending, and how they can be avoided or minimized. Dr. Smith-Coggins will focus on recognizing the signs and symptoms of resident fatigue, and propose effective methods (e.g. optimal length and number of night shifts, strategic use of caffeine and naps) from published literature that can be integrated into a wellness plan. During the third session, Dr. Nibbelink will address the issue of substance abuse and its impact on resident performance and well-being. Participants will be provided with suggestions for recognizing and responding to warning signs

of substance abuse, as well as resources available to residents and faculty with substance abuse issues. The moderated panel discussion (led by Dr. Epter) following the third session will provide participants an opportunity to ask questions and/or share strategies that have had a positive effect in their home programs on resident wellness. At the end of this session participants should be able to: 1. Effectively appraise the components of resident wellness and career longevity. 2. Formulate and implement a plan to reduce resident fatigue. 3. Identify resources for residents and faculty to provide assistance to those with substance abuse problems (e.g. state physician health programs). 4. Integrate strategies for optimizing resident wellness into their practice and residency program. Mentorship in Action: Benefits and Techniques (10:30 am - 12:00 noon) Gus Garmel, MD, Stanford University Yvette Calderon, MD, Albert Einstein College of Medicine Wendy Coates, MD, Harbor-UCLA Marianne Haughey, MD, Albert Einstein College of Medicine Mentorship is an essential component to the well run career in EM. This course is designed as a panel discussion, with an accompanying breakout session into smaller groups. The target audience will involve all levels of EM, as the benefits of becoming a mentor as well as the benefits of having a mentor will be discussed. Each faculty member will give a short presentation geared to one of the core objectives. Discussion will provide an introduction to the concept of mentoring for clinician-educators and the attributes of an effective mentor relationship, highlighting the benefits of becoming a mentor for one’s career satisfaction. An approach to identifying, establishing, and maintaining a mentoring relationship will be discussed. The challenges facing those establishing a mentor relationship will be addressed, specifically the

pertinent issue regarding mentoring across gender and cultural boundaries. An evaluation of resources available for the mentors will also be provided. After each presenter provides a short discussion on their objective topic of about 15-20 minutes, there will be a small groups session divided by level of academic rank with appropriate facilitators and rank coordinators to discuss further the rank specific issues of mentorship. At the end of this session participants should be able to: 1. Discuss the attributes of a good and effective mentorship relationship and how to institute those qualities in the relationship. 2. Apply the general principles of the mentoring relationship tailored to the appropriate mentee level. 3. Discuss the benefits of becoming a mentor. Incorporated in this will be the benefit of long term career “wellness” and satisfaction received by the mentor. 4. Discuss the concept of mentoring “those not like us”. ie, men mentoring women, women mentoring men, those of Caucasian background mentoring minorities. 5. Address concerns that can be anticipated so that the mentoring relationship can then run smoothly. 6. Identify various roles that a mentor can play and the responsibilities of the mentor in creating a successful relationship. 4. Discuss resources available to mentors such as literature, computer advising programs, etc.

Vendors Pediatrix Pediatrix Medical Group is the nation’s leading provider of neonatal, maternalfetal and pediatric physician subspecialty services, which include pediatric emergency medicine. Combined, our affiliated professional corporations provide quality patient care in 33 states and Puerto Rico. We are also the nation’s largest provider of newborn hearing screens. More than 1,300 physicians have joined us to pursue their personal and professional goals. To learn more, visit www.pediatrix.com Western Journal The Western Journal of Emergency Medicine (WestJEM) is the only print open access emergency medicine journal in the world without a submission fee that does not take copyright from the authors. WestJEM is the official journal of the California Chapter of the American Academy of Emergency Medicine and the California Chapter of the American College of Emergency Physicians. WestJEM is now indexed in PubMed Central, Google Scholar, and now available in PubMed at www.pubmed.gov. Challenger Corporation Challenger provides learning and testing tools for program directors and institutions to quantify the skill set of residents and PAs in training. Challenger’s reporting system yields compliance, performance and remediation data on individual users, program years, and for your entire program. These statistical outputs permit client institutions to prove compliance and effectiveness to certifying organizations McGraw Hill AccessEmergency Medicine from McGraw-Hill is an integrated online resource that provides practitioners and residents with quick answers to diagnosis and treatment questions for complaints encountered in the Emergency Department. AccessEmergency Medicine delivers content from leading textbooks, as well as instructional videos, an image library, downloadable audio files, and specialized search capabilities. It also includes a custom curriculum tool allowing EM departments to map content to their educational structure and track resident progress. For more information, visit www. accessemergencymedicine.com. Cleveland Clinic The Emergency Services Institute at Cleveland Clinic is currently recruiting emergency physicians for our main campus in Cleveland, OH and our Community Emergency Departments in Twinsburg and Avon, OH. We are a full service emergency department with particular expertise in a variety of acute medical and surgical conditions. The Department sees approximately 55,000 adult and pediatric patients per year and is staffed by specialists in emergency medicine. Visit our booth to learn more about these exciting opportunities. EmCare EmCare is the industry leading provider of emergency care to more than 400 hospital clients in 40 states. Physicians who choose EmCare find an abundance of career opportunities. EmCare offer physicians a diverse mix of assignments, including some of the Top 100 hospitals in the country. EmCare’s success is based on its commitment to quality physician leadership backed with comprehensive support programs that allow physicians to focus on patients and quality clinical medicine. TASER International, Inc. TASER International, Inc. (NASDAQ: TASR), is a leading provider of technology solutions and the market leader in electronic control devices (ECDs). TASER ECDs incapacitate dangerous or high-risk subjects who pose a risk to law enforcement officers, innocent citizens, or themselves in a manner that is generally recognized as a safer alternative to other uses of force. Physio-Control LIFEPAK® defibrillator/monitors and automated external defibrillators from Physio-Control set the standard for quality and reliability and are used by more physicians, hospitals and emergency medical services than any other

brand. Physio-Control continues to lead the industry through innovation and advanced technology. For more information,visit our website at www.physiocontrol.com. Hutchinson Technology The non-invasive In-Spectra tm StO2 Tissue Oxygenation Monitor provides continuous, real-time information for perfusion status monitoring; a new hemodynamic parameter that assists clinicians in the early detection of inadequate tissue perfusion (hypoperfusion). The InSpectra StO2 provided value to clinicians by allowing them to track patient response (regardless of the cause of hypoperfusion (e.g. hypovolemia, early sepsis, cadiogenic shock) to interventions in real-time, assisting with fluid management. University of Texas Medical School at Houston, Department of Emergency Medicine Faculty Opportunities: Due to Continued growth, the University is seeking candidates for full time faculty positions in the Department of Emergency Medicine for the following positions: General Emergency Medicine, Research Director, Ultrasound Fellow, EMS Fellow. Please visit our booth for more information on these exciting opportunities. EPBS-Intermedix Emergency physicians and hospital emergency departments across the country have depended on EPBS-Intermedix to provide the industry’s most complete data capture, coding and billing services for over 27 years. As we’ve grown and evolved, some things have never changed: our commitment to integrity and client results. For additional information, please visit us at www. epbs.com or give us a call at 800.962.3303. TeamHealth TeamHealth was founded by physicians in 1979 and has been dedicated to creating the best practice environment for emergency physicians for the past three decades. TeamHealth offers the administrative support, leading resources, educational activities, career advancement, and professional collegiality to provide rewarding careers as evidenced by a 95% physician retention rate. With a variety of practice settings from community hospitals to Level I trauma centers across the United States, TeamHealth is the practice of choice for thousands of healthcare providers.

Best of CDEM (Clerkship Directors in Emergency Medicine) Track from the 2010 CORD Academic Assembly Friday • June 4, 2010 • 1-3 pm • Grand Sonoran G Medical Education Journal Club Michelle Lin, MD Sorabh Khandelwal, MD Keeping current on medical education literature is difficult for most clinicians, especially given the enormous amount of clinical information that needs to be learned and maintained. However, having an awareness of the current literature in medical education is critical in order to offer our students/residents an optimal learning environment. In this session, the presenters will review articles published in 2009 which are relevant to both undergraduate and graduate medical educators. You will also hear personal perspectives from the authors of the manuscripts.

Recognizing, Counseling and Remediating the Difficult Student Jennifer Avegno, MD Cullen Hegarty, MD Sarah Ronan, MD Dealing with a student who is perceived as difficult to work with or teach is inevitable in any academic physician’s career. This presentation will outline the basic categories under which these difficulties occur so that identification is appropriate. Strategies for evaluation and reporting of the difficult student are presented. Remediation, based on the type of difficulty, is addressed. Timeliness of reporting, evaluation, and feedback is invaluable to allow for time to assess the outcome of the remediation plan.

Best of CORD (Residency Directors) Track from the 2010 Academic Assembly Saturday • June 5, 2010 • 8-10 am • Grand Sonoran F Encouraging Faculty Development Jim Brown, MD – Booshoft School of Medicine Corey Heitz, MD – Booshoft School of Medicine This session will provide individuals with skills to foster and encourage faculty development and encourage faculty self-direction. At the end of this session, participants will be able to: 1. Define faculty development and describe its importance. 2. Possess a set of tools to use for developing faculty. 3. Encourage continuing self-direction among faculty. Generational Learning Difference Lisa Moreno-Walton, MD, MS – Louisiana State University School of Medicine in New Orleans The goal of this didactic session is to explore differences in generational learning styles and to develop teaching techniques that meet the needs of our learners and support the core competencies. At the end of this session, participants will be able to: 1. Define the four generations making up the EM workforce and describe their characteristics and learning styles. 2. Recognize the strengths and weaknesses of generational learning styles and integrate these into teaching techniques. 3. Employ teaching modalities that hold the interest of residents and students and fortify the acquisition of the core competencies

Medical Education Research Certification Jeff Love, MD – Georgetown University School of Medicine This session will summarize the MERC at CORD program, which is a joint venture between the Association of American Medical Colleges (AAMC) and the Council of Emergency Medicine Residency Directors (CORD) that was initiated in 2009. It will highlight the types of workshops that are available to attendees and the research projects resulting from some of these courses. At the end of this session, participants will be able to: 1. Recognize the requirements to obtain a certification from AAMC in Medical Education Research. 2. List the workshops available to MERC at CORD participants. How to Speak Like a Pro Amal Mattu, MD – University of Maryland School of Medicine Faculties are expected to present lectures to audiences large and small. “Death by PowerPoint” remains a common technique. How do you design a great presentation to engage and teach your learners? Change your perspective. At the end of this session, participants will be able to: 1. Recognize the importance of knowing your audience. 2. Approach your talk from the perspective of performance, purpose and persuasion. 3. Demonstrate how to use visuals and storytelling to enhance your teaching.

2010 Innovations in Emergency Medicine Education (IEME) Do you want to see the cutting-edge of Emergency Medicine Education? Mark your calendars for this year’s IEME exhibits! Take your institution to new heights by taking part in the 2010 Innovations in Emergency Medicine Education (IEME) at the SAEM Annual Meeting in Phoenix, Arizona. Exhibits will be showcased over a 2 day time frame, on Friday (6/4) and Saturday (6/5). For the first time, there will also be a spotlight session to take a more in-depth look at 5 of the IEME presentations. This will be held on Friday, June 4th from 12:30 - 2:00pm and will be a moderated large group discussion. Each presenter in this moderated session will have a chance to discuss their innovations for 10 minutes, leaving 5 minutes for question. We hope that this new format will enhance the presentation of a few selected educational programs. Friday, June 4, 12:30 – 2:00 pm MODERATED IEME Presentations Grand Canyon Ballroom 11

Saturday, June 5, IEME Exhibits, 5:00 – 7:00 pm Grand Canyon Ballroom 6-7-8

(#4) Sending Video Feedback to Learners is Easy and Inexpensive

(#10) A Novel Application of 2-Dimensional Computer Simulation for Clinical Decision Making

Nicole Marie DeIorio, MD Oregon Health & Science University School of Medicine

Kevin King, MD, Penn State Hershey Medical Center

(#5) Variation in Healthcare: Recognition is the First Step of Education Based Quality Improvement Category: Approaches to Evidence-Based Learning

(#11) A Simply Constructed, Economical, and Reusable Task Trainer for Simulating Intracompartmental Pressure Measurements

Stewart W. Wright, MD, University of Cincinnati College of Medicine

(#14) APLS: A Novel Adaptation for Emergency Medicine Residency Training

(#12) BLAST: A Novel Presentation Format to Encourage Focused RapidFire Knowledge Transmission Scott D. Weingart, MD, Mount Sinai School of Medicine (#13) Resident Experience Mapping: a Novel Use of Graphical Analytic Tools and Electronic Medical Records for the Evaluation of Resident Clinical Experience Steven Horng, MD, Maimonides Medical Center (#17) Competency-Based Video Modules for Educating Emergency Medicine Residents In Disaster Medicine Henry Curtis, MD, Mount Sinai School of Medicine Friday, June 4, IEME Exhibits 1:00 – 3:00 pm Grand Canyon Ballroom 6-7-8 (#1) Sight for Sore Eyes: A New and Simple Model for Teaching Lateral Canthotomy Melissa Nelson-Perron New York Methodist Hospital (#2) Thoracotomy Training Without the Live Animal - Development of a Pre-fabricated Fiberglass Torso for Training EM Residents Multiple Invasive Truncal Procedures Jessie G. Nelson, MD Regions Emergency Medicine Residency (Formerly St. Paul-Ramsey) (#3) Cadaveric Models for Training Emergency Medicine Residents in Ultrasound-guided Peripheral Nerve Blocks Andrew Herring Alameda County Medical Center, Highland General Hospital (#6) Deliberate Practice of Serial ECGs Taken From a Pediatric Emergency Department Neva M. Howard, MD Columbia University College of Physicians and Surgeons (#7) Pandemic Flu Patient Surge Planning and Practice in a Virtual Environment Laura S Greci, MD, MPH, VA San Diego Healthcare System (#8) Novel Simulation Curriculum in Wilderness Medicine Training Sanjey Gupta, MD, New York Hospital Medical Center of Queens/Cornell University Medical College (#9) Integrating Issues of Diversity and Healthcare Disparities in an Emergency Medicine Resident Curriculum: A Novel Approach Sheryl L. Heron, MD, Emory University School of Medicine

Andrew Fischer Dean, MD, Advocate Christ Medical Center

Margie Teng, MD, Stanford/Kaiser Emergency Medicine Residency (#15) Development of a Low-Cost Transvenous Pacemaker Placement Simulator for Resident Training Suzanne Dooley-Hash, MD, University of Michigan (#16) Board Review Educational Bytes: One Tweet at a Time Robert R. Cooney, MD, Conemaugh Memorial Medical Center (#18) Use of Just-In-Time Training to Teach EM Physicians New Stabilization Techniques for Dental Avulsions and Fractures Mark McIntosh, MD University of Florida College of Medicine Jacksonville (#19) Novel Risk Management-Focused Tool for Evaluating the Documentation of Emergency Medicine Residents Paulina Sergot, MD New York University School of Medicine/Bellevue Hospital (#20) Faculty Blogging: An Innovative Approach to Teaching in the Web 2.0 Era Michelle Lin, MD University of California (San Francisco)/San Francisco General Hospital

Late Breaking Abstracts How Many Intubations are Necessary to be Competent? Lawrence E. Kass, Lyudmyla Lysenko, Josh Laird Penn State University/Milton S. Hershey Medical Center, Baptist St. Anthony’s Health System, Penn State College of Medicine Background: The Residency Review Committee (RRC-EM) requires graduating EM residents to have performed, on average, 35 endotracheal intubations as part of the process to deem them competent to independently perform this procedure. This number has never been rigorously evaluated. There is also no requirement that a certain number of these be difficult intubations. Objective: To determine the number of difficult and not-difficult intubations necessary to achieve and maintain an acceptable success rate. Methods: This study was performed in a university-based tertiary care hospital with a 3-year EM residency and a total of 24 EM residents. Residents were required to log all intubations attempted in the clinical arena, including whether the patient was identifiable a priori as difficult and whether they were successful. Difficult airways were defined by American Society of Anesthesiology criteria as having any 1 of 5 elements: limited cervical mobility (e.g. arthritis, c-collar), obstruction (e.g. blood), facial anomalies (e.g. abnormal dentition), obesity, or age (<5 or >55). Success was defined as correct placement by the first attempting resident in 3 or fewer tries. Success rates for both difficult and notdifficult airways were analyzed after 12, 16, 20, 24, and 36 months of training. Results: 890 intubation attempts (275 difficult, 614 not difficult) were logged over 30 months. Residents achieved and maintained a success rate of 98.3% (0.95 CI 97.7-98.9%) for not difficult intubations after 12 months of training and an average of 29 intubations. Residents achieved a success rate of 94.8% (0.95 CI 92.3-97.3%) for difficult intubations after 36 months of training and an average of 59 intubations (of which 17 on average were difficult). Conclusions: Residents can achieve and maintain an acceptable success rate for not-difficult intubations after 29 cases and for difficult intubations after 59 cases. This supports the current RRC recommendation of 35 intubations for most cases but suggests a larger number may be needed for competency with difficult cases. Integration of Sonography into the Medical School Anatomy Curriculum David Way, Robert Dehilip, Anna Ziegler, Mary Sandquist, David Bahner, Kevin O’Rourke Ohio State University, Ohio State University Hospital Objectives: The portability of ultrasound makes it a practical imaging tool for teaching Gross Anatomy. The purpose of this project is to explore the impact of introducing ultrasound to first year medical students during the anatomy course. Methods: Firstyear medical students were surveyed to assess demographic information and experience with formalized training in ultrasound. Students were asked to categorize their ultrasound experience from novice to advanced. Students were asked about their level of interest (1low to 5high) and perceived skill/experience with ultrasound tasks (1 very unskilled to 5very skilled) utilizing a 5point Likert scale. During the anatomy course, two 1hour lectures and 3 handson sessions were incorporated into the curriculum. All students could participate and save their ultrasound images as part of a digital portfolio. Test questions over ultrasound concepts were included on the anatomy examinations. Exam performance over ultrasound concepts in anatomy were evaluated. Results: One hundred fortyone students out of 222 (63.5%) completed the preintervention survey. The average age was 23 and most of the students described themselves as novice learners (94.4%). The average interest level in ultrasound was 3.06. Most students felt unskilled in turning on the machine (1.52), using B mode (1.12), understanding basic ultrasound physics (1.94) and performing a FAST scan (1.02). Conclusions: Ultrasound has become a convenient bedside tool to determine relative anatomic relationships. The formal integration of ultrasound into medical education has not been consistently established across U.S. medical schools. This project intended to complement anatomy training with the imaging capability of ultrasound. These novice students participated in the handson sessions and saved images as part of a digital portfolio. Future studies could look at the impact of early ultrasound within medical school education and its impact on learning human anatomy.

Towards Prevention of Acute Lung Injury: Identification of Emergency Department Patients at Risk Peter Chuanyi Hou, Marie Carmelle Elie-Turenne, Vicki D. Norton, Angela Meyer, Jason Erik Cohen, Ognjen Gajic, Nina Gentile Brigham and Women’s Hospital, University of Medicine and Dentistry-New Jersey Medical School, Temple University Hospital, Mayo Clinic Objective: Early identification of patients at high risk of developing Acute Lung Injury (ALI) is critical for potential preventative strategies. We aimed to derive and validate an acute Lung Injury Prediction Score (LIPS) in a multicenter sample of hospitalized patients. Methods: We performed an observational cohort study of 5584 patients, of which 4194 were admitted from the emergency department (ED), across 22 centers. Predisposing conditions (aspiration, pneumonia, sepsis, shock, emergency surgery, and high risk trauma: lung contusion, multiple rib fractures, traumatic brain injury, smoke inhalation, and neardrowning) and clinical and physiological risk factors associated with ALI development were identified. LIP scores were derived and validated from logistic regression analyses. Discrimination of the model was assessed with Area Under receiver operating Curve (AUC) and compared to the Acute Physiology and Chronic Health Evaluation (APACHE II) score. Results: The incidence of ALI in the ED subgroup was 6.9% (291/4194) and varied according to underlying acute condition. LIPS discriminated patients who developed ALI from those who did not with an AUC of 0.81 (95%CI 0.78, 0.83). In contrast, the APACHE II score had limited prognostic accuracy for ALI development (AUC 0.69, 95%CI 0.66, 0.72, p<0.009 compared to LIPS). At a LIPS cut off of 4 (range 013.5), positive and negative likelihood ratios (95%CI) for ALI development were 2.9 (2.7, 3.2) and 0.36 (0.3, 0.46), with a sensitivity of 0.73 (0.68, 0.78), specificity of 0.75 (0.74, 0.76), and a positive predictive value of 0.18 (0.16, 0.20). Conclusion: LIPS identifies ED patients at high risk for ALI development early in the course of their ED presentation and hospitalization. The criteria incorporated into LIPS better predict ALI than the traditional method of APACHE scoring. This new model may identify atrisk patients to optimize treatment and also recognize targets for future ALI prevention trials. Randomized Clinical Trial of Alfentanil versus Propofol for Procedural Sedation in the Emergency Department James R. Miner, Richard O. Gray, Roma Patel, David Plummer Hennepin County Medical Center Objective: To compare the short acting opioid alfentanil to propofol for ED procedural sedation (PS). We hypothesize there is no difference in the time of the procedure, the degree of respiratory depression, or pain between PS using alfentanil and propofol. Methods: This was a randomized clinical trial of adult patients undergoing PS in the ED. Patients were randomized to receive alfentanil 10 ug/kg followed by 5 ug/kg every 3 minutes as needed (ALF), or propofol 1 mg/kg followed by 0.5 mg/kg every 3 minutes as needed(PRP). Doses, vital signs, end-tidal CO2 (EtCO2), and pulse oximetry were recorded. Supportive airway measures (SAM) used during the procedure (bag-valve mask use, airway repositioning, or increased supplemental oxygen) were recorded. Post procedure, patients were asked to report any pain perceived during the procedure and recall of the procedure. Data were compared using 95% confidence intervals and chi square tests. Results: 50 patients were enrolled, 25 received ALF and 25 received PRP. No significant adverse events were noted. The median total dose of ALF was 20.0 ug/kg, (range 12.9 to 32.6) and PRP was 1.5 mg/kg (range1.0 to 3.3)). The mean time of the procedure was 12.7 minutes (95% CI=9.5 to 15.9) for ALF and 13.0 (95%CI=10.4 to 15.6) for PRP. The mean change in EtCO2 from baseline was 9.5 mmHg (95%CI=4.1 to 14.9) for ALF and 8.7 mmHg (95%CI=3.5 to 14.0) for PRP. An oxygen saturation <92% was seen in 3/25 (12%) for ALF and 1/25 (4%) for PRP (p=0.20). SAM were noted in 3/25 (12%) for ALF and 5/25 (20%) for PRP (p=0.17). 5/25 ALF patients and 1/25 PRP patients reported pain with the procedure (p=0.04). 10/25 ALF patients and 2/25 PRP patients reported recall of the procedure (p=0.01). Conclusions: We did not detect a difference in time of procedure, change from baseline EtCO2, hypoxia, or SAM. There were higher rates of pain and recall in the Alfentanil group. Alfentanil appears to be a safe single agent for PS.

Impact of Process Flow Tool on Wait Times from Emergency Department to ICU Pratik Doshi, James J. McCarthy, Yashwant Chathampally, David J. Robinson University of Texas Medical School at Houston Delays in ICU transfer from the ED contribute to worsening ED overcrowding and more ED resources. ICU admits left waiting for a bed in the ED are also cited to have longer hospital length of stays (HLOS), and higher in-house mortality. The phase objectives of this trial are: (1) In Phase 1:Compare the outcomes of medical ICU admissions between those with ED to ICU wait times < 4 hours with those > 4 hours, and (2) in phase2: compare similar outcomes after introducing a qualifying admissions tool designed to reduce wait times to admission. Methods: Prospective case controlled trial from 2/08-2/10 in urban University teaching hospital with 65,000 ED visits. Case control and outcomes data obtained from hospital’s EMR. For phase 2, an admission prequalifying checklist, standardized nurse documentation, and accelerated bed management process redesign was introduced. Results: In phase 1: 659 ED to ICU patients identified had mean time from ED-ICU of 5.53 ± 5.16 hours, with overall HLOS of 9.52 days, ICU LOS 4.46 days, and mortality of 15%. For the less<4 hour cohort (N=345), the mortality rate was 14%, HLOS was 8.91 d, ICU LOS 4.51 d. For >4 hour cohort, mortality rate 17%, HLOS 10.19 d, ICU LOS was 4.41 days. Phase 2: 258 ED to ICU patients identified had a mean time of 3.75 ± 4.16 hours, a reduction of 33%, p<0.001, and < 4 hour transfer times from ED to ICU rose from 52% to 76%, the overall mortality was 17%(p=0.58), HLOS was 8.52(p=0.18), ICU LOS was 3.84(p=0.16). For the less <4 hour cohort (N=197), the mortality was 15%(p=0.77), HLOS 8.21 d(p=0.38), ICU LOS 3.63 d(p=0.09). For the >4 hour cohort (N=61), the mortality was 23%(p= 0.11), HLOS 9.54 d (p=0.73), and ICU LOS 4.51 d(p=0.90). Conclusions: Hospital process delays significantly contribute to ED boarding times. The introduction of an ED based process tool can reduce ED to ICU wait times, allowing for maximal efficiency and utilization of a limited resource. Even though the mortalities and length of stay are similar in phase 1 and 2 for the individual cohort, in phase 2 greater percentage of patients fall

into the lower mortality and lower length of stay group, which in turn translates into potential lives saved and definite total decreased overall HLOS and ICU LOS. Given the short time for this intervention, hospitals considering new quality assurance projects might consider this process initiative a worthy one. Emergency Medicine Resident Physicians Reported Satisfaction, Identified Stressors, and Well being Activities: Results from the ABEM Longitudinal Study of Emergency Medicine Residents Debra G. Perina, Kelly Gurka, Robert E. O’Connor University of Virginia School of Medicine Introduction: The American Board of Emergency Medicine Longitudinal Study of Emergency Medicine Residents (LSEMR) queries a randomized cohort of EM residents yearly. It is designed to identify residents’ goals, motivation and effects of training on well being and satisfaction changes over time. Methods: Data from 2006 LSEMR survey was analyzed regarding career choice, identified stressors, professional goals, and wellbeing. Responses were reported using a 5 point Likart scale. Descriptive statistics were used to analyze results. Results: There were 169 respondents, 69% male. Twentytwo percent selfidentified as a minority. Reported satisfaction with current training is high (98%) with EM having met most or all expectations (90%). Residents tended to describe themselves as active, strong, open, and successful. Ten percent reported their residency did not meet desired expectations most of the time. A significant number (18%) considered transfer to another EM program, with 10% seriously considering in the next year. Most commonly cited stressors were: knowing enough (59%), keeping up with medical literature (46%), ancillary support services (47%), having enough time for personal life (38%), hospital politics (34%), nursing staff (34%), and having time for family (32%). Twenty –two percent reported health concerns, with 10% noting no regular exercise and 54% reported exercising 1 time a week or less. Most common leisure activities include spending time with family/ friends, travel, music, and cooking. Discussion: Overall satisfaction with specialty remains

Variable

Ambulance N = 20

N = 20

Age, yrs (SD)

41.2 (15.7)

30.0 (12.6)

0.014

17 (85)

19 (95)

0.605

Black

16 (80)

17 (85)

1.00

Other

4 (20)

3 (15)

Female Gender, n (%)

Non-Ambulance

p-value

Race, n (%)

Income, n (%) < $30,000

16 (80)

18 (90)

≥ $30,000

4 (20)

2 (10)

6 (30)

5 (25)

9 (45)

10 (50)

Currently Employed, n (%) Level of Schooling, n (%) ≤ High School > High School

1.00 0.661

1.00 1.00

11 (55)

10 (50)

15/18 (83)

16/17 (94)

Health Insurance, n (%)

20 (100)

12 (60)

0.003

Primary Care Provider, n (%)

20 (100)

8 (40)

0.054

No Regular Transportation, n (%)

10/17 (59)

4/18 (22)

0.041

≥ 1 Visit by Ambulance In the Past Year, n (%)

15/19 (79)

7/18 (39)

0.020

Adequate Health Literacy by STOFHLA, n (%)

0.603

Four Brief Screening Instruments to Identify Cognitive Dysfunction in Older Emergency Department Patients Christopher Robert Carpenter, Elizabeth Bassett, Grant Fischer, Jonathan Shirshekan Washington University in St. Louis School of Medicine, Rockhurst University Background: Cognitive dysfunction (dementia and/or delirium) is present in one-third of geriatric emergency department (ED) patients. Prior studies have failed to validate sufficiently sensitive ED-appropriate screening instruments. Objective: To validate and compare the ED diagnostic test performance for four dementia screening instruments in geriatric adults: the caregiver administered AD8, Brief Alzheimer’s Screen (BAS), Short Blessed Test (SBT), and the Ottawa 3DY (O3DY). Methods: A cross-sectional convenience sampling was conducted at one urban medical center ED. Eligible subjects were consenting English-speaking patients over age 65-years who had not received potentially sedating medications. A trained research assistant administered the criterion standard Mini Mental Status Exam along with the BAS, SBT, and Ottawa 3DY

to the subject. The Confusion Assessment Method for the ICU (CAM-ICU) was administered to identify delirium. Concurrently, when present a caregiver completed the AD8. Results: Among the 163 subjects, 39% were male, mean age 78-years, 2.7% self-reported previously diagnosed dementia and 60% were admitted. Enrolled subjects did not differ from non-enrolled subjects by age or gender. Cognitive dysfunction (MMSE ≤ 23) was identified in 37%, including 5.5% with delirium. The BAS, SBT, and O3DY all demonstrate excellent and equivalent sensitivity for cognitive dysfunction. The BAS had sensitivity 95%, specificity 52%, and AUC 0.921 (95% CI 0.875-0.967) compared with the SBT sensitivity 95%, specificity 65%, and AUC 0.912 (95% CI 0.863-0.961) and the O3DY sensitivity 97% and specificity 52%. Caregivers completed the AD8 in 60% with sensitivity 83%, specificity 63%, and AUC 0.814 (95% CI 0.7340.893). The SBT, BAS, and O3DY also identified all subjects with delirium. The diagnostic test characteristics for all four instruments did not change when the nine delirium subjects were excluded.Conclusions: Dementia and delirium are prevalent among general geriatric ED patients. The SBT, O3DY, and BAS are all brief and sensitive instruments to differentiate subjects with cognitive dysfunction. They also identify most subjects with delirium.

Residency Fair Participants Advocate Christ Medical Center Alameda County Medical Center Alameda County medical Center-Highland Campus Albert Einstein Medical Center (PA) Alleghany General Hospital-West Penn Hospital Bay State Medical Center Baylor College of Medicine Beth Israel Deaconess Medical Center Beth Israel Medical Center Boston Medical Center Bringham Womens Hospital/Mass General Hospital Brown Emergency Medicine Residency Christiana Care Health Systems Christus Spohn EM Residency Program Eastern Virginia Medical School Geisinger Health System George Washington University Emergency Medicine Residency Program Hennepin County Medical Center Indiana University EM and Pediatric EM Iowa Emergency Medicine Residency Jacobi/Einstein and Monteforie John Peter Smith Emergency Medicine Residency Program Johns Hopkins University Lehigh Valley Health Network Louisiana State Health Sciences Center-Shreveport Louisiana State University in New Orleans Louisiana State University-HSC Baton Rouge Maimonides Medical Center Maine Medical Center Maricopa Medical Center Mayo School of Graduate Medical Education/Mayo Clinic Medical University of South Carolina New York Hospital Queens New York Presbyterian Hospital Oregon Health & Science University Orlando Regional Medical Center Penn State Hershey Regions Hospital Resurrection Medical Center Robert Wood Johnson Emergency Medicine Residency Southern Illinois University School of Medicine St. Johns Hospital & Medical Center St. Louis University Hospital St. Luke’s-Roosevelt Stanford/Kaiser Emergency Medicine Residency Staten Island University Hospital Summa Health System/NEOUCOM SUNY Downstate/Kings County Hospital SUNY Upstate Medical University

Synergy Medical Education Alliance Texas A&M/Scott & White Memorial Hospital Texas Tech University The Brody School of Medicine at East Carolina University The Ohio State University University at Buffalo University of Alabama at Birmingham University of Arizona University of Arizona/UPH K GME Consortium University of California – Irvine University of California- Davis University of California- San Diego University of California San Francisco-SFGH EM Residency Program University of Chicago University of Cincinnati University of Illinois College of Medicine at Peoria University of Massachusetts University of Michigan-St Joseph Mercy Hospital University of Nebraska University of Nevada University of New Mexico University of North Carolina University of Pittsburgh University of South Florida EM Residency Program University of Texas – Houston University of Utah University of Virginia University of Wisconsin Wake Forrest University Washington University School of Medicine-St. Louis West Virginia University William Beaumont Hospital Wright State University Yale-New Haven Medical Center

Photography Exhibit and Visual Diagnosis Contest There were over 100 cases and photos submitted to the Program Committee for consideration of presentation at the Annual Meeting. Selected photos and cases will be displayed in two formats. Medical students and residents will be invited to participate in the Visual Diagnosis Contest. Answer sheets may be obtained in the exhibit hall next to the photo display. Winners in both medical student and resident categories will be awarded a one-year membership in SAEM, including a subscription to Academic Emergency Medicine, a free registration to attend the 2011 SAEM Annual Meeting in Boston, an autographed copy of The Atlas of Emergency Medicine, and a subscription to the SAEM Newsletter. Recipients will be announced in July/August issue of the SAEM Newsletter.“Clinical Pearls” photos will be displayed for the benefit of all attendees. These photos will include a case history, as well as the diagnosis and “take home” points. SAEM is proud to display original photos of educational value and gratefully acknowledges the efforts of the individuals who contributed to this year’s Clinical Pearls and Visual Diagnosis Contest entries. 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 Exhibits. SAEM congratulates all of the following individuals who have had their medical images accepted for display at this year’s meeting. Teresa Bowen-Spinelli, MD

Christopher Johnson, MD

Lee Shockley, MD

Elizabeth Brothers, MD

Bonnie Kaplan, MD

Mark Silverberg, MD

Terrell Caffery, MD

Robert Katzer, MD

Ian Tate, MD

Sarah Christian-Kopp, MD

John McCarter, MD

Brian Tollefson, MD

Joni Claville, MD

Amy McCroskey, MD

Gerad Troutman, MD

Cristal Cristia, MD

Jason McMullan, MD

Jody Vogel, MD

Michael E., Silverman, MD

Sonya Melville, MD

Melissa W. Ko, MD

Okechukwu Echezona, MD

Paul Michael Petty, MD

Dan Wing, MD

Jennifer Fredericks, MD, PhD

Brenda Natal, MD

Chris Woodward, DO

Jeff Freeman, MD

Thomas Nguyen, MD

Paul Y. Ko, MD

Allysia Guy, MD

Neha P. Raukar, MD

Jessica Yearwood, MD

Rebecca Hasel, PA

Brijal Patel, MD

Carlos Holden, MD

Peter Pryor, MD

Craig Huang, MD

Derek R. Cooney, MD

Tessa Hue, MD

Adriana Rodriguez, MD

Meagan Hunt, MD

MT. Ryan, MD

Elizabeth J. Haines, DO

Rhonda S. Cadena, MD

Ryan J. Smith, MD

Diane Scheer, MD

Kaedrea Jackson, MD

Zina Semanovskaya, MD

Moderator & Reviewer Acknowledgement As in any national organization, its strength lies in the dedication, expertise, and quality of their volunteers. SAEMâ&#x20AC;&#x2122;s growth is predicated on these same principles of strength; and thankfully if our abstract reviewers and moderators are any indication, our proverbial biceps are in full flex. Significant time, effort, and resources are devoted by our very colleagues to help ensure the quality at the SAEM Annual Meeting remains of the highest standard. We thank all our reviewers and moderators for their unrelenting enthusiasm in making our annual meeting a success. Gratefully, Andra L. Blomkalns, MD, Chair, Program Committee SAEM Annual Meeting 2010 Michael L. Hochberg, MD and Jason S. Haukoos, MD, MSc, Co-Chairs, Scientific Abstract Subcommittee Brigitte M. Baumann, MD, MSCE, Chair, Didactic Subcommittee

Moderator List Jean T. Abbott, MD University of Colorado

Carolyn K. Holland, MD University of Cincinnati College of Medicine

Jill M. Baren, MD Hospital of the University of Pennsylvania

Debra Houry, MD, MPH Emory University School of Medicine

Michael S. Beeson, MD Akron General Medical Center/NEOUCOM

David J. Karras, MD Temple University School of Medicine

John H. Burton, MD Albany Medical College

E. Brooke Lerner, PhD Medical College of Wisconsin Affiliated Hospitals

Richard Byyny, MD, MS Denver Health Medical Center

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

Clifton W. Callaway, MD, PhD University of Pittsburgh Medical Center Medical Education

Robert A. Lowe, MD, MPH Oregon Health and Science University School of Medicine

Brendan G. Carr, MD University of Pennsylvania

Michael S. Lyons, MD University of Cincinnati College of Medicine

David C. Cone, MD Yale University School of Medicine

O. John Ma, MD Oregon Health & Science University School of Medicine

Rollin (Terry) Fairbanks, MD, MS University of Rochester School of Medicine and Dentistry

Keith A. Marill, MD Massachusetts General Hospital

Rosemarie Fernandez, MD Wayne State University/Detroit Medical Center

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

Lowell W. Gerson, PhD Summa Health System/NEOUCOM

James R. Miner, MD Hennepin County Medical Center Greg J. Moran, MD UCLA Medical Center/Olive View

Mark Hauswald, MD University of New Mexico School of Medicine Kennon Heard, MD University of Colorado Denver School of Medicine Katherine L. Heilpern, MD Emory University School of Medicine Sean O. Henderson, MD Keck School of Medicine of the University of Southern California James W. Hoekstra, MD Wake Forest University School of Medicine

Robert W. Neumar, MD, PhD University of Pennsylvania School of Medicine Craig D. Newgard, MD Oregon Health & Science University School of Medicine Kristen E. Nordenholz, MD University of Colorado Denver School of Medicine Edward A. Panacek, MD, MPH University of California, Davis, School of Medicine Jesse Pines, MD, MBA George Washington University School of Medicine

Charles V. Pollack, Jr., MA, MD Pennsylvania Hospital, University of Pennsylvania Arthur B. Sanders, MD University of Arizona College of Medicine Adam J. Singer, MD SUNY at Stony Brook David Sklar, MD University of New Mexico School of Medicine Stephen J. Wolf, MD Denver Health Medical Center Donald M. Yealy, MD University of Pittsburgh Medical Center Medical Education Brian J. Zink, MD Brown University/Rhode Island Hospital

Abstract Submission Reviewers Jean Abbott, MD University of Colorado

Marianne Gausche-Hill, MD Los Angeles County-Harbor-UCLA Medical Center

Sorabh Khandelwal, MD Ohio State University Hospital

Srikar R. Adhikari, MD University of Nebraska Medical Center

Paul R. Gennis, MD Albert Einstein College of Medicine (Jacobi/ Montefiore)

Jeffrey A. Kline, MD Carolinas Medical Center

Chandra Aubin, MD Washington University Brigitte M. Baumann, MD, MSCE Cooper University Hospital Louis S. Binder, MD University of Nevada School of Medicine Steven B. Bird, MD University of Massachusetts Robert H. Birkhahn, MD New York Methodist Hospital Michelle Blanda, MD Summa Health System/NEOUCOM Andra L. Blomkalns, MD University of Cincinnati Medical Center Gerard X. Brogan, Jr., MD North Shore University Hospital/NYU School of Medicine Wallace A. Carter, MD New York Presbyterian Hospital Anna Marie Chang, MD University of Pennsylvania Esther H. Chen, MD University of California (San Francisco)/San Francisco General Hospital Carey D. Chisholm, MD Indiana Clinic Emergency Medicine

Lowell W. Gerson, PhD Summa Health System/NEOUCOM Maria F. Glenn, MD Carolinas Medical Center Autumn C. Graham, MD Georgetown/Washington Hospital Center William D. Grant, EdD SUNY Upstate Medical University Leon L. Haley, Jr., MD, MHSA, CPE Emory University School of Medicine Daniel A. Handel, MD, MPH Oregon Health and Science University School of Medicine Jason S. Haukoos, MD, MSc Denver Health Medical Center Kennon Heard, MD University of Colorado Denver School of Medicine Jonathan W. Heidt, MD Washington University in St. Louis School of Medicine Sean O. Henderson, MD Keck School of Medicine of the University of Southern California Michael L. Hochberg, MD Saint Peters University Hospital

Gregory P. Conners, MD, MPH, MBA Childrenâ&#x20AC;&#x2122;s Mercy Hospital

Cecil J. Holliman, MD Center For Disaster and Humanitarian Assistance Medicine

Francis L. Counselman, MD Eastern Virginia Medical School

Jeffrey Hom, MD, MPH New York University

Nicole M. Deiorio, MD Oregon Health & Science University School of Medicine

Debra Houry, MD, MPH Emory University School of Medicine

Amy A. Ernst, MD University of New Mexico

Alexander P. Isakov, MD, MPH Emory University School of Medicine

Brian Euerle, MD University of Maryland School of Medicine

John Jesus, MD Beth Israel Deaconess Medical Center/Harvard Medical School

Kevin L. Ferguson, MD University of Florida, Gainesville

Alan E. Jones, MD Carolinas Medical Center

William G. Fernandez, MD, MPH Boston University School of Medicine Susan Fuchs, MD Childrenâ&#x20AC;&#x2122;s Memorial Hospital

Jeffrey S. Jones, MD Spectrum Health Grand Rapids MERC/Michigan State University

E. John Gallagher, MD Albert Einstein College of Medicine (Jacobi/ Montefiore)

David J. Karras, MD Temple University School of Medicine Anne-Maree Kelly, MD Joseph Epstein Centre for Emergency Medicine Research

Terry Kowalenko, MD University of Michigan E. Brooke Lerner, PhD Medical College of Wisconsin Affiliated Hospitals Jo Anna Leuck, MD Carolinas Medical Center Michael M. Liao, MD Denver Health Medical Center Bernard L. Lopez, MD, MS Thomas Jefferson University Robert A. Lowe, MD, MPH Oregon Health & Science University School of Medicine Steven R. Lowenstein, MD, MPH University of Colorado Denver School of Medicine Raemma Luck, MD, MBA Temple University School of Medicine John P. Marshall, MD Maimonides Medical Center Marc L. Martel, MD Hennepin County Medical Center Dan Mayer, MD Albany Medical College Jason T. McMullan, MD University of Cincinnati College of Medicine William J. Meggs, MD, PhD The Brody School of Medicine at East Carolina University Lawrence A. Melniker, MD, MS New York Methodist Hospital Glen E. Michael, MD University of Virginia James R. Miner, MD Hennepin County Medical Center Chris Moore, MD, RDMS Yale University School of Medicine Lisa Moreno-Walton, MD Louisana State University School of Medicine in New Orleans Robert L. Muelleman, MD University of Nebraska Medical Center Michael E. Mullins, MD Washington University in St. Louis School of Medicine Antonio E. Muniz, MD The University of Texas Health Science Center at Houston

Abstract Submission Reviewers

continued

Mark B. Mycyk, MD Boston University School of Medicine

Robert Silbergleit, MD University of Michigan

Lewis Nelson, MD New York University School of Medicine/Bellevue

Richard Sinert, DO SUNY Health Science Center at Brooklyn

Richard M. Nowak, MD Henry Ford Hospital

Adam J. Singer, MD SUNY at Stony Brook

James E. Olson, PhD Wright State University Boonshoft School of Medicine

Joseph S. Stapczynski, MD District Medical Group

Robert Partridge, MD, MPH Brown University/Rhode Island Hospital Richard L. Paula, Jr., MD University of South Florida College of Medicine Ali S. Raja, MD Brigham & Womens Hospital/Harvard Medical School Megan Ranney, MD Brown University/Rhode Island Hospital Kevin G. Rodgers, MD Indiana Clinic Emergency Medicine Daniel R. Rodgers, MD Penn State University/Milton S Hershey Medical Center

Latha G. Stead, MD, MS College of Medicine Mayo Clinic (Rochester) Susan A. Stern, MD University of Washington Ian G. Stiell, MD University of Ottawa Robert A. Swor, DO William Beaumont Hospital Lorraine G. Thibodeau, MD Albany Medical College R. Jason Thurman, MD Vanderbilt University School of Medicine Arvind Venkat, MD Allegheny General Hospital

Marc S. Rosenthal, PhD, DO Wayne State University/Detroit Medical Center

Jody A. Vogel, MD Denver Health Medical Center

Christopher Ross, MD Cook County Hospital

Taher T. Vohra, MD Henry Ford Hospital

Michael S. Runyon, MD Carolinas Medical Center

Joshua Wallenstein, MD Emory University School of Medicine

Philip N. Salen, MD St Lukeâ&#x20AC;&#x2122;s Hospital

Muhammad Waseem, MD Lincoln Medical & Mental Health Center

Arthur B. Sanders, MD University of Arizona College of Medicine

John A. Watts, PhD Carolinas Medical Center

Terri Schmidt, MD Oregon Health & Science University School of Medicine

Steven J. Weiss, MD University of New Mexico

Sandra M. Schneider, MD University of Rochester School of Medicine and Dentistry Joel M. Schofer, MD Naval Medical Center Portsmouth Carl H. Schultz, MD University of California, Irvine, School of Medicine David C. Seaberg, MD University of Tennessee College of Medicine at Chattanooga Rawle A. Seupaul, MD Indiana Clinic Emergency Medicine Suzanne M. Shepherd, MD University of Pennsylvania School of Medicine

Janet M. Williams, MD University of Rochester Stewart W. Wright, MD University of Cincinnati College of Medicine Donald M. Yealy, MD University of Pittsburgh Medical Center Medical Education Wesley Zeger, DO University of Nebraska Heinz Zimmerman, MD University of Berne Switzerland

Medical Student Symposium June 5, 2010

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 am Introduction (Terry Kowalenko, MD, University of Michigan) 8:10-8:50 am Is Emergency Medicine the Right Specialty for Me? (Doug Ander, MD, Emory University, Atlanta, GA) The speaker will discuss the attributes and personality traits of a successful Emergency Physician/Resident. What should students expect in residency and beyond? What are the positive and negatives of the specialty? Students will have a better idea if Emergency Medicine is the right specialty for them. 8:50-9:30 am Getting the Most of Your Clerkship (Gus Garmel, MD, Stanford University/Kaiser Permanente, CA) This session will provide students with valuable tips for getting the most from your Emergency Department Clerkship. Specific topics to be discussed will include: 1) appropriate educational goals for an emergency medicine rotation; 2) how to best prepare for your rotation in order to make the most of your ED experience; 3) recommended textbooks and references; and 4) important considerations when and where to do your emergency medicine rotate. 9:30-10:00 am How to Select the Right Residency for You (James Colletti, MD, Mayo Clinic, Rochester, MN) An overview of EM residency programs will be discussed. Important factors to consider in the selection process including length of training (3 vs. 4 years), geographic location, patient demographics, urban vs. suburban, allopathic vs. osteopathic and academic vs. clinical will be reviewed. How does a candidate gauge the reputation of a program? 10:00-10:15 am Break 10:15-10:45 am Career Paths and Prospects in Emergency Medicine (Herbert Hern, MD, Highland Hospital, CA) This session will expose students to a variety of career paths including private practice, academics, and dual training (EM-IM/EM-PEDS/FP) as well as fellowship training. The speaker will touch upon elective/career opportunities such as research, EMS, Wilderness Medicine, Rural EM, International Medicine, among others. 10:45-11:15 am Navigating the Residency Application Process (Micelle Haydel, MD, Louisiana State University, New Orleans, LA) This presentation will provide students with tips on how to prepare their ERAS application. How many letters of recommendation and from whom? What volunteer and work experience should appear on the application? Tips for the Personal Statement and more. The candidate will have a much better idea of what a well written application should look like. 11:15-11:45am The Interview (Jamie Collings, MD, Northwestern University, Chicago, IL) The speaker will explain the importance of the interview. How should a student prepare; what should he/she wear; what are appropriate questions to ask programs, etc? What are some questions the candidate should be prepared to answer? What should the candidate do after the interview? How do you follow up with your top programs? Students should have a better idea of how to prepare and what to expect at an interview.

11:45 am-1:15 pm Lunch with Program Directors 1:15-1:45 pm The Medical Student Performance Evaluation (MSPE) “The Dean Letter” (David Seaberg, MD, University of Tennessee) The speaker, an Emergency Medicine physician and Dean will review the components of the MSPE. Medical school deans adapt the MSPE template to prepare your Dean’s letter. What is MSPE? What is the role of the MSPE in the residency process? How can you take a proactive role in your MSPE? 1:45-2:15 pm Assessing Your Competitiveness as an Emergency Medicine Applicant and the Competitiveness of Programs (Chris Ghaemmaghami, MD, University of Virginia, VA) This session will help applicants better understand what PD’s are looking for so that they can assess their own competitiveness when applying for EM residency programs.How important are USMLE scores? Do I need to be AOA or have “Honors” on my EM rotations? These and other potential predictors of success as a resident will be discussed. The speaker will also give some insight into how applicants can find out competitive they are for individual programs. What should you be asking? 2:15-2:30 pm Break 2:30-3:30 pm Small Group Break-Out Sessions Balancing Act (Charlene Irvin, MD, St. Johns Hospital, Detroit, MI) This session will discuss how to optimize your career and personal life. Financial Planning (Dave Overton, MD, Michigan State University Kalamazoo Center for Medical Studies, MI) This session will review practical tips on financial issues for students and residents. The speaker will address issues such as insurance coverage, loans, college expense planning, goal-setting and retirement. Medical Schools without Residencies (Patricia Lanter, MD, Dartmouth University, NH) This Q&A session will help guide medical students from medical schools without EM residencies through the complicated maze that leads to a residency and career in EM. It will specifically address how this process differs from those students with an EM residency at their medical school. Osteopathic Students and Programs (Greg Garra, DO, Stony Brook University, NY) This session will be geared toward the Osteopathic medical student. The speaker will discuss the differences between Osteopathic and Allopathic programs. There will be plenty of time for questions. 3:30-4:00 pm Resident Panel This will be a Q & A session for students to ask residents from different programs and levels questions regarding residency and the application process. 4:00-4:15 pm Closing Comments (Terry Kowalenko, MD University of Michigan) 4:30-6:30 pm Residency Fair

Chief Resident Forum 7:30-7:50 am Continental Breakfast 7:50-8:00 am Welcome Kevin Rodgers, MD, Indiana Clinic Emergency Medicine 8:00-9:00 am Big Shoes to Fill: The Leadership Management Role Carey Chisholm, MD, Indiana University • Transitioning to the Leadership Role • Middle Management Techniques • Running Meetings 9:00-10:00 am Talk the Talk: Communication and Negotiation Skills James Adams, MD, Northwestern University • Communication Styles • Effective Communication Skills • The Art of Negotiation: Creating the Win-Win 10:00-10:15 am Break

Problems Mary Jo Wagner MD, Synergy Medical Education Alliance/MSU Phillip Shayne, MD, Emory University Steve Bowman, MD, John H. Stroger Hospital of Cook County • Maintaining Confidentially • The Resident in Crisis (Psychiatric Disease, Alcohol/Drug Impairment, Marital Problems/Abuse) • Problem Residents (Disruptive, Unprofessional Behavior, Late, Excessive Requests) • Unprofessional Faculty Behavior • Pharmaceutical Industry Interactions 2:45-3:00 pm Break 3:00- 4:00 pm Former Chief Resident Panel (3) • Lessons Learned-Based on Specific Problems Already Encountered by the New CRs (solicited prior to the meeting)

10:15-11:00 am Survival 101: Work Life Balance / Wellness Sheryl Heron, MD, Emory University • Establishing a Life Balance • Wellness Techniques • Time Management / Staying Organized 11:00-12:00 pm Is This For Me? Selecting and Planning an Academic Career Amal Mattu, MD, University of Maryland School of Medicine • Personal Traits Compatible with an Academic Career • Getting a Head Start: Developing Academic Career Components • Academic Success / Longevity: Creating a Plan 12:00-1:00 pm Lunch with Program Directors • Dealing with RRC Non-Negotiables, Scheduling/Sick Call Issues 1:00-2:45 pm You Can’t Do That: Managing Difficult Resident

SAEM Guided Poster Tour

June 3-6, 2010 •Grand Canyon Ballroom 6-7-8 Please join us for our newest endeavor: Guided Poster Tours. Leaders in Emergency Medicine will walk you and a small group of your colleagues through a topic specific series of research posters. You will have the unique opportunity to ask questions, join in robust discussion, and network. Groups will be limited to 10 participants, so sign up early in the registration area at the meeting.*

*Tour topics and times are subject to change. Please check at registration for final selections.

SAEM Lightning Oral Presentations June 3-6, 2010 •Grand Canyon Ballroom 2

As our specialty continues to blossom with bigger, bolder, and more impressive research than ever, it is becoming increasingly more vital to showcase our talent in fresh and inventive ways. To meet that demand, the Program Committee is pleased to announce this year a new oral presentation format. A pilot program, the Lightning Orals, which is meant to complement the traditional orals sessions we currently use as we begin to shift away from poster boards into a more technologically and spectator friendly era.

So as you peruse the selection of abstracts and sessions to attend, please keep in mind all your options as we will now have four diverse ways in which to visualize and listen to our colleagues’ research: the long oral format, the moderated posters, the poster sessions in the large hall, and the lightning orals. Each provides a different and unique experience. Enjoy.Tired of recycling the same lectures? Want to see the cutting-edge of teaching in Emergency Medicine?

Although not necessarily new to the national circuit, these lightning orals maximize the spotlight on the individual, allowing as many presenters the opportunity to share their research with us. Unlike the traditional oral session, where every presenter is given 10-15 minutes to present his/her work, in this new Lightning Oral session, the presenter is allowed a 3 slide maximum (6 minutes total) to discuss their work, not including title and disclosure slide. Each abstract is grouped with other similar abstracts, and presented in a separate session just like the traditional orals and moderated posters. Afterwards, a brief time will be made available for questions.

Call for Propsals • 2013 AEM Consensus Conference Submission deadline: April 15, 2011 The editors of Academic Emergency Medicine are now accepting proposals for the 14th annual AEM Consensus Conference to be held on May 15, 2013, the day before the SAEM Annual Meeting in Atlanta. Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda, and be spearheaded by thought leaders from within the specialty. Consensus conference goals are to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress. Importantly, the consensus conference is not a “state of the art” session, but is intended primarily to create the research agenda that is needed to advance our knowledge of the topic area. Previous topics have included and will include (2011): • 2000: Errors in emergency medicine • 2001: The unraveling safety net • 2002: Quality and best practices in emergency care • 2003: Disparities in emergency care • 2004: Information technology in emergency medicine • 2005: Emergency research without informed consent • 2006: The science of surge • 2007: Knowledge translation • 2008: Simulation in emergency medicine • 2009: Public health in the emergency department: surveillance, screening, and intervention • 2010: Beyond regionalization: integrated networks of emergency care • 2011: Interventions to assure quality in the crowded emergency department Well-developed proposals will be reviewed on a competitive basis by a sub-committee of the AEM editorial board. The 2012 AEM Consensus Conference topic will be announced at the SAEM Annual Business Meeting during the 2010 annual meeting in Phoenix. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its special topic issue in December, 2012. Submitters are strongly advised to review proceedings of previous consensus conferences, which can be found in the past November issues of AEM, to guide the development of their proposals. All prior consensus conference issues are available free of charge online. Submitters are also welcome to contact the journal’s editors or leaders of prior consensus conferences with any questions.

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 SAEM interest groups or committees (if any) 3. Proposed conference agenda and proposed presenters • plenary lectures • panels • breakout topics and questions for discussion and consensus-building 4. Anticipated audience • stakeholder groups/organizations • federal regulators • national researchers and educators • others 5. Anticipated budget, to include such items as: • travel costs • audiovisual equipment and other materials • publishing costs (brochures, syllabus, journal) • meals 6. Potential funding sources and strategies for securing conference funding. How to submit your proposal. Proposals must be submitted electronically to aem@saem.org no later than 5PM Eastern Daylight Time on April 15, 2011. Late submissions will not be considered. The review sub-committee may query submitters for additional information prior to making the final selection. Questions may be directed to aem@saem.org or to the editor-in-chief at editor@saem.org.

Call for Didactic Proposals •2011 Annual Meeting June 1-5 • Boston, MA The Program Committee is inviting proposals for didactic sessions for the 2011 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 research and emergency medicine) and should fall into one of the following categories: • Academy • Administration • Career Development • Education (educational research or teaching methodology, improving the quality of education, enhancing teaching skills) • Health Care Policy and National Affairs affecting emergency medicine • Research (research methodology, improving the quality of research) 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 the State-of-the-Art sessions are not a review of the literature or summary of clinical practice) Only online submissions will be accepted. To submit a proposal, complete the online Didactic Submission form at saem.org. For additional questions or information, contact SAEM at saem@saem.org or call 847-813-9823

Call for Abstracts • 2011 Annual Meeting June 1-5 • Boston, MA The Program Committee is accepting abstracts for review for oral and poster presentation at the 2011 SAEM Annual Meeting. original emergency medicine research in the following categories: • Abdominal/Gastrointestinal/Genitourinary • Administration/Health Services • Research/Health Care Policy • Airway/Anesthesia/Analgesia • Cardiovascular - Basic Sciences • Cardiovascular - Clinical Research • Clinical Decision Guidelines • Computer Technology • Critical Care/Resuscitation • Diagnostic Technologies/Radiology • Disaster Medicine • Disease/Injury Prevention • Education • EMS/Out-of-Hospital • Ethics

Authors are invited to submit

• Geriatrics • Infectious Diseases • Neurology • Obstetrics/Gynecology • Orthopedics • Pediatrics • Professional Development • Psychiatry/Social Issues • Pulmonary • Research Design/Methodology/Statistics • Toxicology/Environmental • Trauma • Other

Abstracts detailing innovations in emergency medicine exhibits (IEME) are also being requested. 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, 2010. For further information or questions, contact SAEM at saem@saem.org or 847-813-9823 or via fax at 847-813-5450. 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 2011 SAEM Annual Meeting. Original abstracts presented at regional meetings in April or May 2011 will be considered. Abstracts accepted for presentation will be published in a supplement to 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.

CME Disclosures UCI OCME requires that the content of the CME activities and related materials provide balance, independence, objectivity, and scientific rigor. Planning must be free of the influence or control of a commercial entity, and promote improvements or quality in healthcare. It is the policy of the UCI Office of Continuing Medical Education to insure balance, independence, objectivity and scientific rigor in all its educational activities. All faculty participation in UCI OCME sponsored CME programs are expected to disclose to the activity participants any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing education activity. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the course content. The intent of this policy is identifying potential conflicts of interest so participants can form their own judgments with full disclosure of the facts. It remains for the participants to determine whether the speaker’s outside interest reflect a possible bias in either the exposition or the conclusions presented. The following speakers have no relevant financial relationships to disclose within AEM CC: Brent Asplin, MD College of Medicine Mayo Clinic (Rochester) Jill Baren, MD, MBE Hospital of the University of Pennsylvania Kevin Baumlin, MD Mount Sinai School of Medicine Charles Branas, PhD University of Pennsylvania School of Medicine Brendan Carr, MD University of Pennsylvania School of Medicine David Cone, MD Yale University of Medicine Jane Englebright, RN, PhD Hospital Corporation of America Stephen Epstein, MD Beth Israel Deaconess Medical Center/Harvard Medical School L. Ford David Gaieski, MD University of Pennsylvania School of Medicine Marianne Gausche-Hill, MD Los Angeles County-Harbor-UCLA Medical Center Adit Ginde, MD University of Colorado Denver Seth Glickman, MD, MBA University of North Carolina-Chapel Hill Prasanthi Govindarajan, MD, University of California, San Francisco Michael Handrigan, MD Emergency Care Coordination Center Renee Hsia, MD University of California, San Francisco Alice Jacobs, MD Boston University School of Medicine Bruce Janiak, MD Medical College of Georgia Nicholas Jouriles, MD Akron General Medical Center/NEOUCOM Arthur Kellermann, MD, MPH Emory University School of Medicine E. Brooke Lerner, PhD Medical College of Wisconsin Ricardo Martinez, MD Emory University School of Medicine Abhi Mehrotra, MD University of North Carolina Susan Nedza, MD, MBA Northwestern University, Feinburg School of Medicine Joe Ornato, MD Medical College of Virginia School of Medicine Arthur Pancioli, MD University of Cincinnati College of Medicine Randy Pilgrim, MD Schumacher Group Mitesh Rao, MD Yale-New Haven Medical Center Ivan Rokos, MD UCLA, Olive View Brian Rosenfeld, MD Visicu, Inc. Nels Sanddal, PhDc Critical Illness and Trauma Foundation David P. Sklar, MD University of New Mexico Robert Wise, MD The Joint Commission Patricia Wise, RN, MSN Healthcare Information and Management Systems Society The following speakers have no relevant financial relationships to disclose within the Leadership Academy:

Theodore Christopher, MD Thomas Jefferson University Glenn Hamilton, MD Boonshoft School of Medicine Katherine Heilpern, MD Emory University School of Medicine Robin Hemphill, MD Emory University School of Medicine Robert Hockberger, MD Harbor- UCLA Medical Center Gabor Kelen, MD Johns Hopkins University School of Medicine Brent King, MD University of Texas Medical School at Houston Bernard Lopez, MD Thomas Jefferson University Marcus Martin, MD University of Virginia School of Medicine Lynne Richardson, MD Mount Sinai School of Medicine David Sklar, MD The University of New Mexico School of Medicine Robert Strauss, MD St. Francis Hospital Brian Zink, MD Brown University/Rhode Island Hospital The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of UCI or SAEM. The following speakers have relevant financial relationships to disclose within Leadership Academy: Tracy Sanson, MD

University of South Florida College of Medicine TeamHealth, ACEP

The following speakers have no relevant financial relationships to disclose within IEME: Robert R. Cooney, MD Conemaugh Memorial Medical Center Henry Curtis, MD Mount Sinai School of Medicine Andrew Fischer Dean, MD Advocate Christ Medical Center, Department of Emergency Medicine Nicole Marie DeIorio, MD Oregon Health & Science University School of Medicine Suzanne Dooley-Hash, MD University of Michigan Laura S Greci, MD, MPH VA San Diego Healthcare System Sanjey Gupta, MD New York Hospital Medical Center of Queens/Cornell University Medical College Sheryl L. Heron, MD Emory University School of Medicine Andrew Herring ACMC Steven Horng, MD Maimonides Medical Center Neva M. Howard, MD Columbia University College of Physicians and Surgeons Kevin King, MD Penn State University/Milton S Hershey Medical Center Michelle Lin, MD University of California (San Francisco)/San Francisco General Hospital Jeffrey Manko, MD New York University/Bellevue John P. Marshall, MD Maimonides Medical Center Mark McIntosh, MD University of Florida College of Medicine, Jacksonville Jessie G. Nelson, MD Regions Emergency Medicine Residency (Formerly St. Paul-Ramsey) Melissa Nelson-Perron New York Methodist Hospital Paulina Sergot, MD New York University Margie Teng, MD Stanford/Kaiser Emergency Medicine Residency Scott D Weingart, MD Mount Sinai School of Medicine Stewart W. Wright, MD University of Cincinnati College of Medicine The following speakers have no relevant financial relationships to disclose within didactics: James Adams, MD Harrison Alter, MD Douglas Ander, MD Mark Angelos, MD Felix Ankel, MD Jennifer Avegno, MD Jill Baren, MD Brigitte Baumann, MD, MSCE Louis Binder, MD Michelle Biros, MD, MS David Blehar, MD Andra Blomkalns, MD Jane Brice, MD Helen Burstin, MD Charles Cairns, MD

Northwestern University University of California, San Francisco Emory University School of Medicine Ohio State University Regions Hospital Louisana State University School of Medicine in New Orleans Hospital of the University of Pennsylvania Cooper University Hopsital University of Nevada School of Medicine University of Minnesota University of Massachusetts University of Cincinnati University of North Carolina National Quality Forum University of North Carolina School of Medicine

Yvette Calderon ,MD Albert Einstein College of Medicine Kathy Carty, PhD Vantage Point, Inc. Jennifer Casaletto, MD Charlotte Medical Center Carey Chisholm,MD Indiana University Esther Choo, MD University of California (San Francisco)/San Francisco General Hospital Theodore Christopher, MD Jefferson Medical College Kathleen Clem, MD Loma Linda University Robert Cloutier, MD Oregon Health and Science University Wendy Coates,MD Harbor-UCLA Jeff Coben, MD West Virginia University David Cone MD Yale University School of Medicine Rebecca Cunningham MD University of Michigan Wyatt Decker MD Mayo Clinic Nicole Deiorio MD Oregon Health & Science University Jeff Desmond MD University of Michigan Health System Gail D’Onofrio MD Yale University Michael Epter DO University of Nevada School of Medicine Rollin (Terry) Fairbanks MD University of Rochester Susan Farrell MD Harvard Medical School Christopher Fee MD University of California, San Francisco Rosemarie Fernandez MD Wayne State University School of Medicine J. Christian Fox MD University of California, Irvine Joseph Garcia MD Henry Ford Hospital Gus Garmel MD Stanford University Nina Gentile MD Temple University Robert Gerhardt MD U.S. Army Institute of Surgical Research / Brooke James Gordon MD Harvard Medical School P. Gregg Greenough MD, MPH Brigham & Women’s Hospital Sharon Griswold-Theodorson MD Drexel University College of Medicine Glenn Hamilton MD Boonshoft School of Medicine Marianne Haughey MD Albert Einstein College of Medicine Jason Haukoos MD, MSc Denver Health Medical Center E Parker Hays Jr MD Carolinas Medical Center Cullen Hegarty MD Regions Emergency Medicine Residency (Formerly St. Paul-Ramsey) Katherine Heilpern MD Emory University Corey Heitz MD Wright State University, Boonshoft School of Medicine Robin Hemphill MD Emory School of Medicine Robert Hockberger MD Harbor- UCLA Medical Center Robert J. Hoffman MD Albert Einstein College of Medicine at Beth Israel Medical Center Beatrice Hoffmann MD Johns Hopkins Hospital C. James Holliman MD National Naval Medical Center, Uniformed Services Debra Houry MD Emory University School of Medicine Shkelzen Hoxhaj MD Baylor College of Medicine, Ben Taub General Hospital Kenneth Iserson MD University of Arizona Andy Jagoda MD Mount Sinai School of Medicine David Johnson MD University of Calgary Gabor Kelen MD Johns Hopkins University School of Medicine Sorabh Khandelwal MD Ohio State University College of Medicine Brent King MD University of Texas Medical School at Houston Nicholas Kman MD The Ohio State University College of Medicine William Knight MD University of Cincinnati College of Medicine Torrey Laack MD Mayo Clinic Nadim Lalani MD University of Saskatoon Eddy Lang MD University of Calgary David Levine MD Cook County (Stroger) Hospital Christopher Lewandowski MD Henry Ford Hospital Roger Lewis MD Harbor-UCLA Medical Center Joe Lex MD Temple University Michelle Lin MD University of California (San Francisco)/San Francisco General Hospital Bernard Lopez MD Jefferson Medical College Jeff Love MD Washington Hospital Center Robert Lowe MD Oregon Health & Science University School of Medicine John Ma MD Oregon Health & Science University David Manthey MD Wake Forest University Marcus Martin MD University of Virginia School of Medicine John Marx MD Carolinas Medical Center Amal Mattu MD University of Maryland Julie Mayglothling MD Virginia Commonwealth University Medical Center Robert McNamara MD Temple University Garth Meckler MD Oregon Health and Science University James Moak MD University of Virginia David Newman MD Columbia University College of Physicians and Surgeons Karl Nibbelink MD Temple University Jason Nomura MD Christiana Care Health System Richard Nowak MD Henry Ford Hospital Michele Nypaver MD University of Michigan Haru Okuda MD Institute for Medical Simulation and Advanced Learning Edward Panacek MD University of California, Davis Frank Peacock MD Cleveland Clinic Michael Radeos MD New York Hospital Queens Megan Ranney MD Brown University Karin Rhodes MD University of Pennsylvania Lynne Richardson MD Mount Sinai Medical Center New York Robert Rodriguez MD University of California, San Francisco Jedd Roe MD William Beaumont Hospital Rob Rogers MD University of Maryland Sarah Ronan-Bentle MD University of Cincinnati College of Medicine Basmah Safdar MD Yale University Tracy Sanson MD University of South Florida Sally Santen, MD Emory School of Medicine Manish Shah, MD, MPH University of Rochester David Sklar, MD The University of New Mexico Rebecca Smith-Coggins, MD Stanford University Daniel Spaite, MD University of Arizona David Spiro, MD Oregon Health and Science University Robert Strauss, MD St. Francis Hospital Christopher Strother, MD Mount Sinai School of Medicine Lorraine Thibodeau, MD Albany Medical Center Jason Thurman, MD Vanderbilt University Stephen Trzeciak, MD Cooper University Hospital James Tsung, MD New York University Langone Medical Center Joel Turner, MD McGill University Taher Vohra, MD Henry Ford Hospital

Jennifer Walthall, MD Robert Wears, MD Stewart Wright, MD Peter Wyer, MD Lalena Yarris, MD, MCR John Younger, MD Brian Zink, MD Leslie Zun, MD

Indiana University University of Florida University of Cincinatti Columbia University Oregon Health & Science University University of Michigan Brown University/Rhode Island Hospital Chicago Medical School

The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of UCI or SAEM. The following speakers have relevant financial relationships to disclose within didactics. William Barsan, MD Judd Hollander, MD

University of Michigan University of Pennsylvania

Edward Jauch, MD Medical University of South Carolina Jeffrey Kline, MD Carolinas Medical Center

NIH/NINDS Biosite; Nanosphere; Acrin-PA; Siemens; Coronary CTA Thrombolysis beyone current FDA Label CP Diagnostics; Agency for Healthcare Research and Quality; Genetech

The following speakers have no relevant financial relationships to disclose within Abstracts:

Peter Smulowitz, MD Beth Israel Deaconess Medical Center/Harvard Medical School Jason S. Haukoos, MD, MS Denver Health Medical Center Dongfang Che, MD University of Pennsylvania School of Medicine Robert W. Neumar, MD, PhD University of Pennsylvania School of Medicine Neeraja Yerragondu, MD University of Rochester Medical Center Matthew Dawson, MD University of Utah School of Medicine Kaushal H. Shah, MD St.Luke’s-Roosevelt Hospital Neeraja Yerragondu, MD University of Rochester Medical Center Pratik Shah, MD Resurrection Emergency Medicine Residency Program, Chicago Alan E. Jones, MD Carolinas Medical Center Brian Patterson, MD McGaw Medical Center of Northwestern University David Wesley Dowdy University of California, San Francisco Beth C. Kaplan, MD University of California (San Francisco)/San Francisco General Hospital June A. Lee, MD SUNY Downstate / Kings County Hospital Robert Lieberman, MD Saint Louis University Hospital Ross Joseph Fleischman, MD Oregon Health and Science University Andrew Wollowitz, MD Montefiore Medical Center Leah Fow Mount Sinai School of Medicine J. Matt Edwards, MD University of Pennsylvania Health System Hospital of the University of Pennsylva Adanma Ndubuizu, MD University of North Carolina-Chapel Hill Jeffrey M. Caterino, MD Ohio State University Hospital Michael A. LaMantia, MD, MPH University of North Carolina at Chapel Hill School of Medicine Stephen M. Davis, MPA, MSW West Virginia University School of Medicine Jason T. Nomura, MD, RDMS Christiana Care Health System Robinson Mark Ferre, MD Wilford Hall Medical Center Nova L. Panebianco, MD, MPH University of Pennsylvania School of Medicine David W. Haynes, DO Naval Medical Center (Portsmouth) Bart Brown, MD University of Nebraska Medical Center Vivek S. Tayal, MD Carolinas Medical Center Joshua Wallenstein, MD Emory University School of Medicine Reena Patel, MD Resurrection Medical Center Lawrence E. Kass, MD Penn State University/Milton S Hershey Medical Center Stephen J. Leech, MD Orlando Regional Medical Center Mark G. Angelos, MD Ohio State University Hospital Lee Singer Stony Brook University Christian McClung, MD Keck School of Medicine Adam Singer, MD Stony Brook University Ricaurte A. Solis, DO Medical College of Georgia Teresa Sanchez, PhD Beth Israel Deaconess Medical Center/Harvard Medical School Kiichiro Yano, PhD Beth Israel Deaconess Medical Center/Harvard Medical School Eric Perez, MD St Lukes/ Roosevelt Hospital William Dribben, MD Washington University in St. Louis School of Medicine Wei Li, MD North Shore-Long Island Jewish Health System Jillian Leigh Schwaab, MD Ohio State University Hospital Sara Friedman, MD McGaw Medical Center of Northwestern University Julie M Nguyen, MD Wayne State University School of Medicine-Detroit Receiving Hospital Brad E Talley Denver Health Medical Center Andrew Southard, MD University of New Mexico School of Medicine Brian Hiestand, MD Ohio State University Steven Ward, MD Mecklenburg EMS Agency Chad E. Darling, MD University of Massachusetts Medical School Mark Foster, MD University of North Carolina at Chapel Hill Matthew Deluhery, MD Medical College of Wisconsin Henry Curtis, MD Mount Sinai School of Medicine Kristin McAdams Kim, MD University of Michigan Thomas D. Kirsch, MD, MPH Johns Hopkins University School of Medicine Walter Valesky SUNY Downstate Medical Center Charlene Babcock Irvin, MD St John Hospital and Medical Center Michael Sean Molloy, MD Beth Israel Deaconess Medical Centre - Department of Emergency Medicine Jon W. Schrock, MD Case Western Reserve University (MetroHealth) Siama Durrani-Tariq Atlantic Health (Morristown) Anika Backster SUNY-Downstate Medical Center Rhonda S. Cadena, MD University of Cincinnati College of Medicine Ashley Flannery Morristown Memorial Hospital John R Allegra, MD, PhD Atlantic Health (Morristown) Minal Jain URMC Matthew C. Tews, DO Medical College of Wisconsin Affiliated Hospitals Jessica Klausmeier, MD Beth Israel Deaconess Medical Center/Harvard Medical School Bruce Lo, MD Eastern Virginia Medical School Jessica Corcoran, DO Medical College of Wisconsin W. Hoonpongsimanont, MD UMDNJ-New Jersey Medical School Paul Y. Ko, MD SUNY Upstate Medical University Candace McNaughton, MD Vanderbilt Medical Center Laura Roff Hopson, MD University of Michigan Jennifer Pope, MD Beth Israel Deaconess Medical Center/Harvard Medical School Stephen R. Pitts, MD Emory University School of Medicine Robinson Mark Ferre, MD Wilford Hall Medical Center David Barlas, MD New York Hospital Medical Center of Queens/Cornell University Medical College David A. Wald, DO Temple University School of Medicine Matthew Muller, MD University of Texas Southwestern Frank Messina, MD Indiana Clinic Emergency Medicine Joseph B. House, MD University of Michigan Teresita Hogan, MD Resurrection Medical Center Kenneth Robinson, MD Hartford Hospital Christopher McDowell, MD Southern Illinois University School of Medicine Bruce Lo, MD Eastern Virginia Medical School Timothy Ellender, MD Indiana Clinic Emergency Medicine Laura Roff Hopson, MD University of Michigan Carmen Gonzales, MD University of Medicine and Dentistry of New Jersey-New Jersey Medical School Jeffrey Phillip Druck, MD University of Colorado Denver School of Medicine Sam O. Clarke, MD Los Angeles County-Harbor-UCLA Medical Center Joshua G Salzman, MA Regions Hospital Aaron Burnett, MD Regions Emergency Medicine Residency Sung Phil Chung, MD Weil Institute of Critical Care Medicine Simon Mahler, MD Louisiana State University School of Medicine in Shreveport David Salzman, MD McGaw Medical Center of Northwestern University James Ryan, MD Caitlin Bilotti, MD University of California (San Francisco)/San Francisco General Hospital Emily Hayden, MD Massachusetts General Hospital Lisa Jacobson, MD Mount Sinai School of Medicine

Sarah Cates Geisinger Medical Center Alicia Pilarski University of Nevada School of Medicine Christo Thomas Philip, MD University of Texas Southwestern Medical Center Mark Saks, MD Drexel University College of Medicine John W Hafner, Jr., MD University of Illinois College of Medicine at Peoria Andreia Marques-Baptista, MD UMDNJ-Robert Wood Johnson Medical School (Camden) James C. McClay, MD University of Nebraska Medical Center Jennifer L. Savino, DO Geisinger Medical Center De B. Winter, III, MD Christiana Care Health Services Jeannie Ruth McCartney LSU-HSC Jason Lowe, DO University of Mississippi Medical Center Katrina Leone, MD McGaw Medical Center of Northwestern University Judd E. Hollander, MD University of Pennsylvania School of Medicine John C. Sakles, MD University of Arizona College of Medicine Brian Gillett, MD SUNY Downstate / Kings County Hospitals Alyson McGregor, MD Brown University/Rhode Island Hospital Kraigher O’Keefe, MD Saint Joseph Mercy Health System Christina Bloem MD SUNY Downstate Antonio E. Muniz, MD The University of Texas Health Science Center at Houston Sandra Thomasian University of Nevada School of Medicine Nicholas Villalon Yale Department of Emergency Medicine Bahar K. Navab, MPH University of California, San Francisco Adam J. Singer, MD SUNY at Stony Brook Ayan Sen Henry Ford Hospital Kathryn Volz, MD Beth Israel Deaconess Medical Center/Harvard Medical School Richard Sinert, DO SUNY Health Science Center at Brooklyn Robert Hyde, MD Christiana Care Health Services Gregory W. Hendey, MD University of California (San Francisco)/Fresno Seungkyung Park, PhD Johns Hopkins University School of Medicine Kimberly Nicoll, MD Yale-New Haven Medical Center Jacob Brian Keeperman, MD Washington University in St. Louis School of Medicine Antonia C. Quinn, DO SUNY Downstate Medical Center Charles A. McKay, MD Hartford Hospital Charles Schmier, MD Christiana Care Health System Langley Partridge NYU/Bellevue Hospital Erika Dee Schroeder, MPH University of Utah School of Medicine James Pugeda, MD Beth Israel Medical Center Samir Haydar, MD Maine Medical Center Eric Moore Maine Medical Center Tania Denise Shaffer Strout Maine Medical Center Keli Kwok, MD Boston University School Of Medicine Rawnica Ruegner, MD University of California (San Francisco)/Fresno Anurag Gupta Beth Israel Medical Center Kathryn Volz, MD Beth Israel Deaconess Medical Center/Harvard Medical School Erin Quattromani, MD McGaw Medical Center of Northwestern University T Rinda Soong Johns Hopkins University School of Medicine Elissa Schechter-Perkins, MD Boston University School of Medicine Brittney Lee Copeland, MD Emory University Jeffrey Paul Green, MD New York Hospital Medical Center of Queens/Cornell University Medical College Leah Hayden Harvey, MD Johns Hopkins University Christopher John Freeman, MD University of Texas Health Science Center at Houston Tony Berger, MD Jacobi Medical Center / Albert Einstein College of Medicine Christopher Fischer, MD Beth Israel Deaconess Medical Center/Harvard Medical School Anthony M. Napoli,MD Brown University/Rhode Island Hospital Antonio E. Muniz, MD The University of Texas Health Science Center at Houston Michael Marchick,MD Carolinas Medical Center Elizabeth Haines,DO Moristown Memorial Hospital Bryn Mumma, MD University of Pittsburgh Medical Center Medical Education Larissa May, MD The George Washington University Nidhi Garg, MD New York Hospital Medical Center of Queens/Cornell University Medical College Ronald B. Low, MD NYU/New York City Health and Hospitals Romolo J. Gaspari, MD University of Massachusetts Medical School Antonio E. Muniz, MD The University of Texas Health Science Center at Houston Wesley H. Self MD Vanderbilt University Yu-Hsiang Hsieh, PhD Johns Hopkins University School of Medicine Katie Tataris, MD Cook County Hospital Simon Mahler, MD Louisiana State University School of Medicine in Shreveport James J. McCarthy, MD University of Texas Medical School at Houston Gary M. Vilke, MD University of California - San Diego Cindy Zimmerman, MD University of Alabama at Birmingham Jonathan Roberts, MD Beth Israel Deaconess Medical Center/Harvard Medical School Rakesh Mistry, MD Children’s Hospital of Philadelphia Aleksandar Kecojevic Johns Hopkins University Adanma Ndubuizu, MD University of North Carolina-Chapel Hill Christopher Kabrhel, MD Massachusetts General Hospital Ayan Sen, MD Henry Ford Hospital Christopher T. Richards, MD Northwestern University Stephen P Wall MD New York University School Of Medicine Daniel Reed Wachter, MD University of Michigan Jennifer Whitfield Bellows, MD The George Washington University Elise Hyeyoun Min Stanford University School of Medicine Farhad Asskaryar Sri Ramachandra University, College of Medicine & Research Institute Jia Wen Jessica Chang Stanford University School of Medicine Sharon Chekijian, MD Yale University School of Medicine Christine Vandillen Orlando Regional Medical Center Scott G Sagraves, MD Brody School of Medicine at East Carolina University Mark Lundquist, MD Oregon Health and Science University Rosalyn Reades, MD Carolinas Medical Center George Higgins, III, MD Maine Medical Center Scott Compton, PhD UMDNJ-New Jersey Medical School Benjamin Zabar Yale University School of Medicine Cherri D. Hobgood, MD University of North Carolina at Chapel Hill School of Medicine Laura Roff Hopson, MD University of Michigan George Leach, MD Emory University School of Medicine Kevin Takakuwa, MD Thomas Jefferson University Hospital Keel Coleman, MD Virginia Commonwealth University School of Medicine Matthew Lazio, MD McGaw Medical Center of Northwestern University Kevin O’Rourke, Jr., MD Ohio State University Hospital David Amponsah,MD Henry Ford Hospital Wendy C. Coates, MD Los Angeles County-Harbor-UCLA Medical Center Manoj K Mittal The Children’s Hospital of Philadelphia Wayne R. Triner. DO, MPH Albany Medical College Kuan-Fu Chen, MD Johns Hopkins University, Chang Gung University Jessica Nelson University of Michigan Medical School Arthur Sullivan, MD University of New Mexico School of Medicine Melanie Artho, MD Carolinas Medical Center Kei Hayashida, MD Department of Emergency & Critical Care Medicine, Keio University, Japan Roberta Capp, MD BWH/MGH Hospital Alice Mitchell, MD Carolinas Medical Center Ellen Weber, MD University of California San Francisco Gail D’Onofrio, MD Yale University School of Medicine Rachel A Lindor Mayo Clinic College of Medicine Sidney James, DO UCSF-Fresno Christopher Shields, MD Lincoln Medical and Mental Health Center Daniel Nishijima, MD UC Davis, School of Medicine Ayan Sen, MD Henry Ford Hospital Dominic A Borgialli, DO, MPH Hurley Medical Center/University of Michigan Alfredo Urdaneta, MD UCSF-Fresno Craig D. Newgard, MD, MPH Oregon Health & Science University School of Medicine Sara Krzyzaniak Denver Health Medical Center Dietrich Jehle, MD Erie County Medical Center Danny Hierholzer, DO Geisinger Health System Program Lisa H. Merck, MD Emory University School of Medicine, Dept of Emergency Medicine

Michael Cudnik, MD, MPH Edward P. Sloan, MD, MPH Brandy Snowden, MPH, CCRP Sage Myers, MD Kabir Yadav, MDCM MS Usha Periyanayagam, MD Shawn K. Dowling, MD John Berry, MD Gina Marie Lopez, MD Rohit Patel, MD Charlene Babcock Irvin, MD Emilie S. Powell, MD Keith E. Kocher, MD, MPH, Christopher Fee, MD Michael Johnson, MD Sean Caine, MD Grant Innes, MD Jesse Pines, MD, MBA Joseph Affortunato Peter Shearer, MD Drew Richardson, MB, BS Medhi Sattarian, MD Kirk A. Stiffler, MD William J. Frohna, MD Neil B. Jasani, MD Anthony Yang, MD Michael D. Menchine, MD Lisa Moreno-Walton, MD Elaine Rabin, MD Lisa Schweigler, MD, MPH Christian Colletti, MD Danielle Hines, MD Jennifer O’Connor, MPH Michael Stern, MD Nichole Sturm, MD Robert L. Muelleman, MD Gerard B. Martin, MD Nathalie Gaucher, MD Frank DeMarco, MD Jessica DelCollo, MD Michael Jason Buns Zachary Meisel, MD, MPH Theodore J. Gaeta, DO Michael Ybarra, MD Renee Y. Hsia, MD Scott Weiner, MD David C. Seaberg, MD Ethan Ross, DO Alexander T. Limkakeng, MD David Griffen, MD, PhD Nicola Schiebel, MD Erik Kulstad, MD Abigail Balger, MD Ayan Sen, MD Michelle L. Macy, MD Alison Suarez, MD Melanie Sutter, MD Scott Weiner, MD Nathalie Gaucher, MD Michael D. Witting, MD Yvette Calderon, MD Michael J. Ward, MD, MBA Muhammad Waseem, MD Charles Callahan, PhD Lynne D. Richardson, MD Gary M. Gaddis, MD, MPH Carrie D Tibbles MD Samuel Vaillancourt Marcia Cort, MD, MBA Maria C. Raven, MD, MPH Maryann Mazer, PharmD, MD Alan T Flanigan, MD Sundeep R Bhat, MD Brent Lorenzen, MD Jeffrey Green, MD John Peoples, MD Bryn Mumma, MD Andrew Thompson, MD Bryan Nguyen, MD Defne Dundar Michael C. Kurz, MD Micheal Donnino, MD Charlene IrvinMD Michael C. Kurz MD Lynne D. Richardson MD Joshua Hurwitz MD Aicha Hull MD Scott T. Wilber MD, MPH Jin H. Han MD, MSC Christopher Carpenter MD, MS Marian Betz MD Maura Kennedy MD Corita Reilley Grudzen MD Jin H. Han MD, MSc Charlene Babcock Irvin MD Daniel Stephen Schwartz MD Eric Goldlust MD, PhD Benjamin Leacock MD Kalpana Narayan MD Brock Bemis MD Robert Silverman MD Richard Martin MD Roberta Capp MD Todd Berger MD Mark Quincy Goodman Rebecca L. Floyed MD Esther Choo MD Sonya Seccurro Abigail Hankin MD Graham Thompson Heather Farley MD Nathalie Gaucher MD Srikar R Adhikari MD Yu-Hsiang Hsieh PhD Matthew T Keadey MD Christian Fromm MD Muhammad Waseem MD Sabina Braithwaite MD, MPH Jessica E. Pierog DO John W Hafner, Jr MD Carol Clark MD, MBA Douglas F. Kupas MD Craig D. Newgard MD, MPH

The Ohio State University Medical Center University of Illinois College of Medicine at Chicago UCSF-Fresno Childrens Hospital of Philadelphia George Washington University Medical Center McGaw Medical Center of Northwestern University University of Calgary Brooke Army Medical Center / SAUSHEC Boston Medical Center, Boston University Lincoln Medical and Mental Health Center St John Hospital and Medical Center McGaw Medical Center of Northwestern University University of Michigan University of California (San Francisco)/San Francisco General Hospital Vancouver Coastal Health University of Calgary Foothills Hospital/University of Calgary George Washington University School of Medicine St. Joseph’s Regional Medical Center Mount Sinai School of Medicine Australian National University George Washington University Akron City Hospital / Summa Health System / NEOUCOM Washington Hospital Center Christiana Care Health Services UMDNJ-RWJMS University of Southern California/LAC+USC Medical Center Louisana State University School of Medicine in New Orleans Brown University/Rhode Island Hospital Christiana Care Health Services Christiana Care Health System Beth Israel Deaconess Medical Center/Harvard Medical School Albany Medical College University of Michigan University of Nebraska Medical Center Henry Ford Hospital Hopital Sainte-Justine Duke University School of Medicine St. Luke’s Hospital George Washington University University of Pennsylvania School of Medicine New York Methodist Hospital Georgetown University/Washington Hospital Center University of California (San Francisco)/San Francisco General Hospital Tufts Medical Center University of Tennessee College of Medicine at Chattanooga Christiana Care Health Services Duke University School of Medicine Southern Illinois University School of Medicine Mayo Clinic Advocate Christ Medical Center Advocate Christ Medical Center Henry Ford Hospital University of Michigan New York Hospital Medical Center of Queens/Cornell University Medical College Washington University Tufts Medical Center Hopital Sainte-Justine University of Maryland School of Medicine Jacobi Medical Center University of Cincinnati College of Medicine Lincoln Medical & Mental Health Center Memorial Health Systems Mount Sinai School of Medicine University of Missouri-Kansas City School of Medicine Beth Israel Deaconess Medical Center/Harvard Medical School University of Toronto University of Maryland School of Medicine NYU/Bellevue University of Pennsylvania School of Medicine University of Rochester School of Medicine and Dentistry Stanford University Hospital/Kaiser Permanente Medical Center Carolinas Medical Center New York Hospital Medical Center of Queens/Cornell University Medical College University of Pittsburgh Medical Center Medical Education University of Pittsburgh Medical Center Medical Education SAUSHEC Loma Linda University School of Medicine Selcuk University Meram Faculty of Medicine Virginia Commonwealth University Health System Beth Israel Deaconess Medical Center/Harvard Medical School St John Hospital and Medical Center Virginia Commonwealth University Health System Mount Sinai School of Medicine Albany Medical College Madigan Army Medical Center Akron City Hospital / Summa Health System / NEOUCOM Vanderbilt University School of Medicine Washington University in St. Louis School of Medicine University of Colorado Denver Beth Israel Deaconess Medical Center/Harvard Medical School Mount Sinai School of Medicine Vanderbilt University School of Medicine St John Hospital and Medical Center Corpus Christi Emergency Medicine Residency Alpert Medical School/Brown University University of North Carolina at Chapel Hill School of Medicine Brigham & Womens Hospital University of Utah School of Medicine North Shore-LIJ Health System Temple University School Of Medicine BWH/MGH Hospital Emory University School of Medicine University of Utah Emory University School of Medicine Brown University/Rhode Island Hospital St Luke’s-Roosevelt Hospital Center Emory University School of Medicine Alberta Health Services Christiana Care Health System Hopital Sainte-Justine University of Nebraska Medical Center Johns Hopkins University School of Medicine Emory University School of Medicine Maimonides Medical Center Lincoln Medical & Mental Health Center University of Virginia Health System Stanford University Hospital/Kaiser Permanente Medical Center University of Illinois College of Medicine at Peoria William Beaumont Hospital Geisinger Health System Program Oregon Health & Science University School of Medicine

Dustin Ballard University of California, Davis, School of Medicine Jane H. Brice MD University of North Carolina at Chapel Hill School of Medicine Douglas R. Alfar, II MD San Antonio Uniformed Services Health Education Consortium Rich Aronwald MD North Shore University Hospital/NYU School of Medicine Ian G. Stiell MD University of Ottawa Frank Scheuermeyer MD St. Paul’s Hospital Steven K. Polevoi MD University of California, San Francisco Ethan Ross DO Christiana Care Health System Berenice Perez MD Alameda County Medical Center Laura Burke MD Beth Israel Deaconess Medical Center/Harvard Medical School Suzanne Mason MD The University of Sheffield Rodica Retezar MD Johns Hopkins Bayview Medical Center Brian E. Costello MD Emory University School of Medicine Vaishali Shah MD NYU school of medicine/Bellevue hospital center Sean O. Henderson MD Keck School of Medicine of the University of Southern California Barry Gunn MD Western Health Helen H. Won Johns Hopkins University School of Medicine Anunaya Jain MD University of Rochester Medical Center Peter Chuanyi Hou MD Brigham and Women’s Hospital Jessica Holly MD University of Utah School of Medicine Megan Fix MD Maine Medical Center Debra G. Perina MD University of Virginia School of Medicine William Meurer MD University of Michigan Brian Clyne, IV MD Brown University/Rhode Island Hospital Brent R. King MD University of Texas Medical School at Houston Larry DeLuca MD University of Arizona College of Medicine Nathan I. Shapiro MD Beth Israel Deaconess Medical Center/Harvard Medical School Philipp Schuetz MD Beth Israel Deaconess Medical Center/Harvard Medical School Christopher Hunter MD, PhD Orlando Health Michael Regan MD University of Massachusetts Philipp Schuetz MD Beth Israel Deaconess Medical Center/Harvard Medical School Charles Wira MD Yale University School of Medicine Angela Pugliese MD Henry Ford Hospital Jahan Fahimi MD, MPH Alameda County Medical Center - Highland Hospital Jessica Whittle MD Orlando Regional Medical Center Sage Wiener MPH SUNY Downstate Medical Center Rob Hendrickson MD Oregon Health & Science University School of Medicine Nilam Patil MD Harvard Medical Toxicology Fellowship / Children’s Hospital Boston Anna Marie Chang MD University of Pennsylvania School of Medicine Judd E. Hollander MD University of Pennsylvania School of Medicine Kate Lyren-Sondles MD University of Pennsylvania School of Medicine Submitting Author MD Emory University Luke Kennan Hermann MD Mount Sinai School of Medicine Bryn Mumma MD University of Pittsburgh Medical Center Medical Education Baker Hamilton BA University of Pennsylvania School of Medicine Basmah Safdar MD Yale University School of Medicine Steven Robert Offerman MD Kaiser Permanente South Sacramento Larry DeLuca MD University of Arizona College of Medicine Nathaniel Curl MD Regions Emergency Medicine Residency (Formerly St. Paul-Ramsey) Elizabeth Barton MD North Shore University Hospital Philip R Spandorfer MD Children’s Healthcare Of Atlanta At Scottish Rite Shujun Xia MD Albert Einstein College of Medicine (Jacobi/Montefiore) Andrew K. Chang MD Albert Einstein College of Medicine, Montefiore Medical Center Serge Gouin MD CHU Sainte-Justine James R. Miner MD Hennepin County Medical Center Brian Geyer University of Arizona College of Medicine -Phoenix Benjamin Williams University of Arizona Tania Denise Shaffer Strout Maine Medical Center Ayan Sen MD Henry Ford Hospital Benjamin Osborne MD Baystate Medical Center Catherine Erickson MD Denver Health Medical Center Simon Mahler MD Louisiana State University School of Medicine in Shreveport Srikar R Adhikari MD University of Nebraska Medical Center Ian Cole MD Carolinas Medical Center Jody A Vogel MD Denver Health Medical Center Gerard DeMers DHSc Naval Medical Center (San Diego) Justin B. Williams MD Brooke Army Medical Center Hong Chong MD Wayne State University School of Medicine-Detroit Receiving Hospital Kenton Anderson MD University of Pennsylvania Jason Matt Fields MD University of Pennsylvania School of Medicine John Gullett MD SUNY Downstate / Kings County Hospital Michael Marchick MD Carolinas Medical Center John A. Watts PfD Carolinas Medical Center D. Mark Courtney MD McGaw Medical Center of Northwestern University Sean B Smith MD Mayo Clinic Joseph Bledsoe, MD University of Utah School of Medicine Sean B Smith MD Mayo Clinic Michael Repplinger MD University of Wisconsin School of Medicine and Public Health Chris Moore MD, RDMS Yale University School of Medicine Lindsay Tanner MD Indiana University School of Medicine Joseph Minardi MD Robert C. Byrd Health Science Center Sean O. Henderson MD Keck School of Medicine of the University of Southern California James F. Holmes MD, MPH University of California, Davis, School of Medicine Russell Radtke MD Children’s Hospital of Michigan Gina Marie Lopez MD Boston Medical Center, Boston University Philip Butler MD Yale University Jeremy Burnham MD LSUHSC-Shreveport Sean O. Henderson MD Keck School of Medicine of the University of Southern California Calvin A. Brown III MD Brigham & Womens Hospital/Harvard Medical School Douglas Dunham MD Geisinger Medical Center Barnet Eskin MD, PhD Morristown Memorial Hospital Kevin M. Terrell DO, MS Indiana Clinic Emergency Medicine Danielle Hart MD Hennepin County Medical Center Benjamin Orozco MD Hennepin County Medical Center Brendan Hawthorn MD MetroHealth Medical Center/Case Western Reserve University Daniel Frank MD SUNY At Stony Brook Nishant Vaidy MD University of Nevada School of Medicine Sagar Patel Hennepin County Medical Center Preston Fedor MD St. Luke’s Hospital Deborah B. Diercks MD, MSc University of California, Davis, School of Medicine Philipp Schuetz MD Beth Israel Deaconess Medical Center/Harvard Medical School Eddy S. Lang MD University of Calgary Barry Gunn, MD Western Health Alexander T. Limkakeng MD Duke University School of Medicine Luis A. Serrano MD College of Medicine Mayo Clinic (Rochester) Emily Esposito University of Pennsylvania Christopher Hogan MD Virginia Commonwealth University School of Medicine Joshua Lerner University of Massachusetts Medical School Queen Henry-Okafor MD Vanderbilt University Medical Center Alexander T. Limkakeng MD Duke University School of Medicine Thomas Craig Winter MD William Beaumont Hospital Program Tovah Ellman MD North Shore - Long Island Jewish Robert Silverman MD North Shore-LIJ Health System James R. Miner MD Hennepin County Medical Center Urvi Thakker DO NSLIJ Healthcare System Robert Silverman MD North Shore-LIJ Health System Abigail Hankin MD Emory University School of Medicine Lauren Whiteside MD University of Michigan Mary Claire O’Brien MD Wake Forest University School of Medicine Nidhi Garg MD New York Hospital Queens Uwe Stolz PhD University of Arizona, Dept. of Emergency Medicine Michael Mohseni MD College of Medicine Mayo Clinic (Rochester) Jane Brice MD University of North Carolina at Chapel Hill School of Medicine

Jason S. Haukoos MD, MS Denver Health Medical Center James R. Miner MD Hennepin County Medical Center Justin Yax, DTMH Case Western Reserve University Charlene Babcock Irvin MD St John Hospital and Medical Center Edwin D. Boudreaux PhD University of Massachusetts Medical School Maura Mahoney University of Arizona College of Medicine David Edward Slattery MD University of Nevada School of Medicine Tyler Vadeboncoeur MD College of Medicine Mayo Clinic (Jacksonville) Sean O. Henderson MD Keck School of Medicine of the University of Southern California Ross Joseph Fleischman MD Oregon Health and Science University Ofer Faig MD Morristown Memorial Hospital Brandy Snowden MPH, CCRP UCSF-Fresno Chad E. Roline MD Hennepin County Medical Center Lauren Abbate MD University of North Carolina Megann Young MD ACMC Carrie Adrion MD University of Arizona College of Medicine Riccardo Benvenuto DO Long Island Jewish Medical Center William P. Bozeman MD Wake Forest University School of Medicine Robert Callahan MD University of Arizona Jonathan R Studnek MD Carolinas Medical Center April Rene Jaeger MD University of Utah Laura J. Eliseo MD Boston Medical Center, Boston University Claire Pearson MD Wayne State University School of Medicine-Detroit Receiving Hospital Gina Soriya Denver Health Medical Center Xi Xiang Esther Tan Royal Infirmary of Edinburgh James R. Miner MD Hennepin County Medical Center Daniel Thompson University of California, Irvine, School of Medicine Jonathan Holdorf MD University of Massachusetts Medical School Emily Brauer MD Henry Ford Hospital Megan Redmond SUNY Upstate Medical University James P. Capes MD Emory University School of Medicine Edwin D. Boudreaux PhD University of Massachusetts Medical School Kristopher Kelly Hunt MD Beth Israel Medical Center Matthew Lazio MD McGaw Medical Center of Northwestern University Clayton Josephy MD University of Arizona College of Medicine Michael Levine MD Department of Medical Toxicology. Banner Good Samaritan Medical Center. William Dribben MD Washington University in St. Louis School of Medicine Erin Quattromani MD McGaw Medical Center of Northwestern University David Horwitz Saint Louis University School of Medicine Steven Robert Offerman MD Kaiser Permanente South Sacramento James Hsiao MD Sharp Grossmont Hospital Laura Burke MD Beth Israel Deaconess Medical Center/Harvard Medical School Ian G. Stiell MD University of Ottawa Stewart W. Wright MD University of Cincinnati College of Medicine Ariel Ourian MD UCLA Sean O. Henderson MD Keck School of Medicine of the University of Southern California Zhen Wang MD BEIJING SHIJITAN HOSPITAL Lynn Babcock-Cimpello MD Cincinnati Children’s Hospital Medical Center Wael Hakmeh MD St John Hospital and Medical Center Nathan Kuppermann MD, MPH University of California, Davis, School of Medicine Serge Gouin MD CHU Sainte-Justine Sarah Sterner MD University Of Alabama At Birmingham Monika Goyal MD Children’s Hospital of Philadelphia Cristina Zeretzke MD University of Florida College of Medicine Jacksonville Joanna York MD Carolinas Medical Center Brian E. Costello MD Emory University School of Medicine Michelle L. Macy MD University of Michigan Cherri D. Hobgood, MD University of North Carolina at Chapel Hill School of Medicine Graham Thompson MD Alberta Health Services Marianne Gausche-Hill MD Los Angeles County-Harbor-UCLA Medical Center Alexander Toledo DO, PharmD Baylor College of Medicine-Texas Children’s Hospital Donna Moro-Sutherland MD University of North Carolina-Chapel Hill & WakeMed Health & Hospitals Kimberly A. Bleier, MD Long Island Jewish Medical Center Donna L. Carden MD University of Florida, Gainesville Lynn Babcock-Cimpello, MD Cincinnati Children’s Hospital Medical Center Halden F. Scott MD The Children’s Hospital of Philadelphia Jay Douglas Fisher, MD University Medical Center, University of Nevada School of Medicine Mandisa McIver MD Schneider Children’s Hospital Carolyn Kluwe Holland. MD University of Cincinnati College of Medicine April Troy, MD, MPH Childrens National Medical Center Antonio E. Muniz, MD The University of Texas Health Science Center at Houston Marla C. Levine,MD Children’s National Medical Center Tracy Ricke, MD University of Florida Health Science Center/Jacksonville Daniel Britton Maine Medical Center Dipti Agarwal, MD Mayo clinic Jay Ladde, MD Orlando Regional Medical Center James E. Winslow, MD, MPH Wake Forest University Health Sciences John C. Sakles, MD University of Arizona College of Medicine David P. Evans, MD Eastern Virginia Medical School Srikar R Adhikari, MD University of Nebraska Medical Center Nathaniel L Scott, MD Hennepin County Medical Center Tania Sadoun Alameda County Medical Center / Highland Hospital Dept of EM William Frank Peacock, MD Cleveland Clinic Kenneth Wayne Dodd, MD University of Minnesota School of Medicine Zackary Fordham, MD University of Alabama at Birmingham Robyn Hoelle, MD University of Florida Donna Carden, MD University of Florida, Gainesville Brian E. Burgess, MD Christiana Care Health Services Kevin Reed, MD Georgetown University School of Medicine Lise Nigrovic, MD Harvard Medical School Shireen Atabaki, MD, MPH George Washington University School of Medicine and Health Sciences Mohamed Badawy, MD UT Southwestern Medical School Nathan Kuppermann, MD, MPH University of California, Davis, School of Medicine Brendan G. Carr, MD University of Pennsylvania Dusadee Sarangarm, MD University of New Mexico School of Medicine Pratik Doshi, MD University of Texas Medical School at Houston Aveh Bastani, MD Troy Beaumont Hospital Emily Brown, MD Brigham and Women’s/Massachusetts General Hospital Edward A. Ramoska, MD Drexel University College of Medicine Debra G. Perina, MD University of Virginia School of Medicine Christine A Babcock, MD University of Chicago Tina M Latimer, MD The Johns Hopkins University School of Medicine Maciej Witkos, MD William Beaumont Hospital Program Romolo J. Gaspari, MD University of Massachusetts Medical School Jay Ladde, MD Orlando Regional Medical Center Romolo J. Gaspari, MD University of Massachusetts Medical School Shari Schabowski, MD Cook County Hospital Timothy F Platts-Mills, MD University of North Carolina at Chapel Hill School of Medicine Christopher Carpenter, MD, MS Washington University in St. Louis School of Medicine Fredric Hustey, MD Cleveland Clinic Charlene Babcock Irvin, MD St John Hospital and Medical Center The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of UCI or SAEM. The following speakers have relevant financial relationships to disclose within abstracts. Daniel Morris, MD Henry Ford Health system REGENE Rx Inc. Kristen Nordenholz, MD University of Colorado Denver School of Medicine Biosite Inc./Inverness Inc.; Genentech Virginia Culyer, MD University of Cincinnati NIH Susan Stern, MD University of Washington Hemoglobin Based Oxygen Carrier

Paul Tran, MD University of Nebraska SOM Samantha Foy, MD Beth Israel Deaconess Medical Center/Harvard Medical School Michael Mitchell,MD University of Alabama-Birmingham Linda Papa, MD, MS Orlando Health Jeffrey Ho, MD Hennepin County Medical Center Vivek Tayal, MD Carolinas Medical Center James R. Miner MD Hennepin County Medical Center Charles Pollack, Jr., MA, MD Pennsylvania Hospital, University of Pennsylvania James Cassella, PhD Alexza Pharmaceuticals, Inc. Stephen Leech, MD Orlando Regional Medical Center Jennifer Law, MD University of California Davis Health System Sean P. Collins, MD University of Cincinnati College of Medicine Rakesh Engineer, MD Cleveland Clinic Deborah Diercks, MD, MSc University of California, Davis, School of Medicine Barry Gunn, MD Western Health Matthew Bardini Vasey, MD Lincoln Medical and Mental Health Center

Merk; Pfizer;Becton Dickson Exergen King Airway Systems Banyan Biomarkers, Inc. TASER International Inc. Philips Ultrasound Hutchinson Technology Deepbreeze Alexza Pharmaceuticals Video Glasses Combitube; King LT-D; Laryngeal Mask Airway Clasic; i-gel Abbot Point-of-Care; Beahms; Bayer; The Medicine Co. Cheetah Medical Audicor Radiometer Bardini & Vasey, Inc.

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