SAEM 2014 Annual Meeting On-site Program

ANNIVERSARY

2014 ANNUAL MEETING

Jointly provided by the University of Cincinnati

The Sheraton Dallas Hotel May 13-17, 2014

TABLE OF CONTENTS General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 - 3 “Diversity 101�: Closing the Diversity Gap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Senior Leadership Faculty Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6 Grant Writing Workshop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Planning for a Safer Decade of ED Analgesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Academia and the Practice of Community-Based Emergency Medicine . . . . . . . . . . . . . . . . . . . . . . . . 9 AEM Consensus Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Lifesaving Ultrasound in the Critically Ill Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Train the Trainer: Advancing Simulation for Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 NIH Sessions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Resident Academic & Leadership Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Society for Academic Emergency Medicine

Ignite! SAEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 National Medical Student Symposium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Junior Faculty Development Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-21 SAEM Annual Business Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Maximize Your Time at the SAEM Annual Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Daily Schedule Grid, Meetings and Presentations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32-99 Tuesday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32-35 Wednesday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32-50 Thursday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52-73 Friday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74-90 Saturday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92-99 Photography Exhibit & Visual Diagnosis Contest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Annual Meeting Moderators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Gallery of Excellence Nominees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102-103 Abstract Reviewers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104-105 Disclosures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106-109 Exhibitor Announcements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111-113 The Sheraton Dallas Hotel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114-117

SAEM is not responsible for printing errors or omissions.

SAEM

Society for Academic Emergency Medicine

2014 ANNUAL MEETING The Sheraton Dallas Hotel May 13-17, 2014

WELCOME TO THE SAEM ANNUAL MEETING! Welcome to the 25th-Anniversary SAEM Annual Meeting. Twenty-five years ago our founders would never have guessed that this organization would blossom and grow into the premier organization and venue for knowledge creation and translation for all of the research, clinical and educational facets of emergency medicine. This week you will be surrounded by the best and brightest minds in our specialty. Furthermore, this is the largest and most robust program our Society has ever presented at an Annual Meeting. I encourage you to immerse yourself, engage, network, ponder and learn from all that is around you. I promise you will not be disappointed. This is your opportunity to find new passion or rekindle the old passion for our specialty and our organization. Enjoy!

Thanks for coming to the 2014 SAEM Annual Meeting in Dallas.

Alan E. Jones, MD President, SAEM

HAPPY ANNIVERSARY SAEM! 25 YEARS AND COUNTING… MAY 13-17, 2014

| DALLAS, TEXAS

It is my pleasure to welcome you to the 25th-anniversary SAEM Annual Meeting. This year’s meeting should prove to be the best ever!

Once again, the specialty broke all records for submissions of didactics, innovations and abstracts. This is clearly indicative of how our specialty is growing, and of our increasingly prominent presence in medicine. The 2014 SAEM Annual Meeting will once again bring together the leaders of our specialty, showcasing the best of education and research in our field.

How is it possible to summarize what will be happening this year, with the vast amount of material that will be on offer? SAEM is proud to showcase not one, but two keynote speaker sessions. Dr. Marc Nivet, chief diversity officer for the Association of American Medical Colleges, will be the main keynote speaker at our Business Meeting, discussing the vital role of diversity as a component of health systems innovation and the advancement of health care equity. Dr. Atul Grover, Mr. Gordon Wheeler, and Dr. Jeremy Brown will be back, following up the fantastic panel last year, to discuss the challenges and the opportunities emergency medicine will have under the Affordable Care Act, during our plenary session. You won’t want to miss this nationally acclaimed group of speakers.

The “Gallery of Excellence” will be back after its successful inaugural year. This viewing session will showcase this year’s highest-scoring abstracts from our extensive peer-review process. Registrants will be able to browse the best of SAEM at their leisure with the comforts of food and drink during the opening reception.

Speaking of the opening reception: Not only has SAEM planned the most exciting opening reception in the history of the Annual Meeting, but there might be a few surprises you won’t want to miss.

This year’s consensus conference, “Gender-Specific Research in Emergency Medicine: Investigate, Understand and Translate How Gender Affects Patients Outcomes,” will focus on how gender may affect outcomes in acute coronary syndromes, trauma and head injury, stroke, pain control, substance abuse, diagnostic imaging and mental health. This comprehensive look at gender-specific medicine has the potential to inspire dramatic changes to your practice.

This year SAEM has developed a “Special Sessions” day on Tuesday, May 14 that will allow our academies and interest groups to tailor a specific program to those interested in their niche within emergency medicine. Besides the familiar Grant Writing Workshop and Consensus Conference, there will be a community-based academic physician session, simulation and ultrasound teaching sessions, a senior leadership forum, a program directors’ session, an ED analgesia session, an evidence-based diagnostic workshop, and a diversity workshop too. SAEM continues to provide opportunities for our specialty to grow, and with so many different avenues to explore, this will hopefully be just the start of new programming for the future.

The perennial favorites, SimWars and SonoGames®, are back, so come and cheer on your team as they vie for SAEM glory. Senior and junior faculty forums, a resident leadership forum, a medical student symposium, ABEM updates, NIH sessions… this list just can’t do justice to everything we’ve got in store for you in Dallas!

Are you worried about missing important content? Don’t be! SAEM is right there on your smartphone. The SAEM Annual Meeting mobile app will keep you informed of the latest, and give you your own personal planner, links to the Annual Meeting website, Twitter feeds, email updates, and onsite message boards, all there to help you get the most out of the experience of this meeting.

New this year is a chance to catch many of the exciting sessions the Annual Meeting has to offer but that might conflict with other events you wish to attend, whether you are in Dallas or can’t make it in person: SAEM introduces SAEM OnDemand, its new online service, providing video, audio and slide capture of up to 75 hours of the meeting’s presentations. You will be able to purchase access to these new online CME service, streamable and downloadable via computer or mobile device, either during pre-meeting registration, at onsite registration in Dallas, or through SAEM’s website.

There will be something for everyone in emergency medicine at the 2014 SAEM Annual Meeting. This dynamic forum for educators, researchers, policymakers and administrators will exhibit the very best of emergency medicine. You will have the opportunity to return home afterwards with new knowledge, a new colleague and friend, a new idea, a new way to improve patient care, and with a renewed appreciation of what we have achieved the short span of 25 years.

Thanks for coming to the 2014 SAEM Annual Meeting in Dallas.

Christopher Ross MD Chair of the 2014 Program Committee, SAEM

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Society for Academic Emergency Medicine

GENERAL INFORMATION Welcome to the 25th Annual Meeting of the Society for Academic Emergency Medicine. You will notice many significant innovations and additions to this special anniversary meeting.

REGISTRATION For the cost of the basic registration fee, attendees may attend all paper, poster and didactic sessions, except those which have limited enrollment or require an additional registration fee. For those who have preregistered to attend a session which requires preregistration be sure to arrive a few minutes early.

CONTINUING MEDICAL EDUCATION Target audience: The CME program offered by SAEM targets, but is not limited to, practicing physicians, medical school faculty/ instructors, physicians in training, fellows, residents, and medical students who desire to expand their knowledge and skills in academic emergency medicine.

Overall program objectives: •

To enhance participants’ knowledge of cutting-edge research being conducted in emergency medicine.

• To provide physicians with the tools to address gaps in their knowledge, competence, and experience though the translation of new findings, procedures, and methods in emergency medicine into their clinical and research practices.

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

The University of Cincinnati is accredited by ACCME to provide continuing medical education for physicians. The University of Cincinnati designates this live activity for a maximum of 30 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

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

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

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PLENARY SESSION The plenary session this year will be held on Wednesday, May 14, 2014, from 3:00 - 5:00 pm, Dallas Ballroom B-C (Conf. Center-1st Floor). The following awards will be given prior to the plenary: Excellence in Research Award – Paul E. Pepe, MD, MPH, University of Texas Southwestern Medical Center at Dallas Southwestern Medical. John Marx Leadership Award – Charles B. Cairns, MD, University of North Carolina at Chapel Hill School of Medicine. Advancement of Women in Academic Emergency Medicine Award – Deborah B. Diercks, MD, MSc, University of California, Davis, School of Medicine. Young Investigator Award: Willard W. Sharp, MD, University of Chicago; Andrew Miller, MD, SUNY Downstate/Kings County Hospital; Esther K. Choo, MD, Brown University/Rhode Island Hospital; Timothy F. Platts-Mills, MD, University of North Carolina at Chapel Hill School of Medicine.

Presidential Citation Award – Christopher Ross, MD, FRCPC, FACEP, FAAEM, John H. Stroger Hospital of Cook County

ANNUAL BUSINESS MEETING The Annual Business Meeting will be held on Friday, May 16, 2014 from 2:00 – 4:30 pm, in the Dallas B-C Conference Rooms on the first floor of the Sheraton Dallas Hotel. Dr. Marc Nivet, chief diversity officer for the Association of American Medical Colleges, will be the main keynote speaker at our Business Meeting, discussing the vital role of diversity as a component of health systems innovation and the advancement of health care equity.

The new SAEM Board of Directors for the 2014-2015 program year will be introduced; in addition, several awards will be presented during the meeting.

Outgoing SAEM president Alan E. Jones, MD, will present his summary address to the membership. Incoming president Robert S. Hockberger, MD, will then be introduced and address the membership with his preview of the coming year.

SOCIAL EVENTS:

Global EM Project Showcase SAEM’s Global Emergency Medicine Academy is proud to host the 1st annual Global EM Project Showcase on Friday, May 16, 2014 from 8:00 - 10:00 am, Majestic Room 6-7 (Hotel-37th Floor), and would like to invite all faculty, fellows, students and residents interested in international EM and global health to participate in this special networking session. During the session, participants will have the opportunity to present one slide and speak for five minutes about their international activities, project needs and challenges. Afterwards, time will be reserved for networking. The goal is to connect people of all levels of training who share geographical or intellectual common ground.

DALLAS, TEXAS

Academy for Women in Academic EM (AWAEM) Luncheon The 5th Annual AWAEM Luncheon will be held on Thursday, May 15, 2014 from 12:00 - 1:30 pm, in Majestic Room 6-7 (Hotel37th Floor). This is a great opportunity to network and discuss hot topics within EM today. Lunch is $75.00 per person, seating is limited, and preregistration is required.

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SAEM Foundation Event at the Sixth Floor Museum Come and celebrate SAEM’s 25th anniversary at the SAEM Foundation event from 6:00-10:00pm at the Sixth Floor Museum at Dealey Plaza – the museum that chronicles the life and legacy of President John F. Kennedy. Gather your friends and colleagues to enjoy delicious food and drinks, bid on unique items at the silent auction, and support EM research and education. Transportation from the Sheraton Hotel to the Museum is provided.

MAY 13-17, 2014

Opening Reception and Gallery of Excellence Join us in celebrating SAEM’s 25th Annual Meeting at the opening reception, following the plenary session on Wednesday, May 14, 2014 from 5:30 - 7:00 pm, in the Lone Star Ballroom Pre-convene area (Conf. Center-2nd Floor). This is a great opportunity to network with other SAEM members and attendees, while enjoying hors d’oeuvres and a cash bar.

The Resident and Student Advisory Committee Reception and Scavenger Hunt Award Ceremony The Resident and Student Advisory Committee reception to be held on Friday, May 16, 2014, from 5:30 - 7:30pm in the Remington Room (Hotel-4th Floor), is an opportunity for residents and students to network with peers and learn about opportunities within SAEM that are specifically geared toward members in the early stages of their professional careers.

This special event, open only to physicians-in-training and medical students, is generously underwritten by Emergency Consultants, Inc. (ECI). Representatives from the RSAC. Many resident-and student-oriented committees and groups will be on hand to provide information about their plans for the coming year. Grab a drink, nibble on some tasty snacks, meet some new friends, and see why you are the future of emergency medicine.

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“DIVERSITY 101”: CLOSING THE DIVERSITY GAP TUESDAY, MAY 13 – 8:00 AM - 12:00 PM — ATRIUM (HOTEL-2ND FLOOR)

Society for Academic Emergency Medicine

Identification of the Education Gap:

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Diversity & Inclusion affects not only our workforce and workplace internally but also our patients, community and specialty externally. This proposed program addresses several of the key aspects of improving diversity at our own institutions and within our specialty.

We will provide a brief historical overview of diversity (faculty/ residents, URM/LGBT) within medicine, including EM; highlighting its importance and setting the stage for the rest of the day. Through our interactive panel discussions and workshops, we will provide tangible and practical strategies to improve recruitment, hiring and retention, curriculum development and research.

More specifically, as it relates to diversifying the workforce/ workplace, we will present tools to recruit and hire with diversity in mind, whether looking to diversify your department or residency and whether you are at a diverse geographical area or not. We will highlight current practices that have been successful in various settings. We will also address potential challenges that these efforts could face and provide tools to problem solve them. We will also discuss ways to retain and promote the diverse individuals you have successfully recruited and hired.

In addition, we will discuss different types of curriculums as it relates to diversity. Through small group exercises we will look at what these curriculums entail, how to implement them, and how to gage their effectiveness. We again will highlight current curriculums that exist and that are being used effectively.

Similarly, we will highlight current research being done and address ongoing needs. We will provide strategies to assist in conducting this type of research, whether you are thinking about doing it or have been doing it.

From this program, we hope to develop working groups that will continue to work together long after this session had ended.

Program Agenda Diversity and inclusion are subjects that involve all of us, not only among our workforce and in our workplaces, but also for our patients, community and specialty. The SAEM Academy for Diversity and Inclusion in Emergency Medicine invites everyone to attend the interactive half-­‐day session “Diversity 101: Closing the Diversity Gap” for a practical approach to issues that most programs struggle with in regards to recruiting, retaining, and developing a diverse group of faculty members and residents.

This session is meant to be interactive! Participants will be divided into smaller working groups led by experienced co-­‐facilitators.

Looking through various lenses (undergraduate, graduate, faculty, and LGBT) one at a time, each group will discuss and create tools and resources that anyone could use to create and sustain a diverse climate at their institution, as it relates to education, scholarship, and service. We will subsequently come together as a larger group to discuss best practices and begin to work on addressing known gaps.

2014 ANNUAL MEETING PROGRAM COMMITTEE Harrison Alter, MD Alameda County Medical Center Highland Hospital Gillian Beauchamp, MD University of Cincinnati Steve Bird, MD University of Massachusetts Jennifer Carey, MD University of Massachusetts Rob Cloutier, MD Oregon Health & Science University Moira Davenport, MD Allegheny General Hospital Kevin Ferguson, MD University of Florida Barbra Forney Compliance Program Manager University of Cincinnati Chris Ghaemmaghami, MD University of Virginia Eric Gross, MD Hennepin County Medical Center Sanjey Gupta, MD New York Hospital Queens Todd Guth, MD University of Denver Tarlan Hedayati, MD Cook County Hospital

Carolyn Holland, MD University of Florida Jeffrey Hom, MD Stony Brook University School of Medicine Jason Hoppe, MD University of Colorado Laura Hopson, MD University of Michigan Lauren Hudak, MD Emory University Jennifer Lee Jenkins Levy, MD Johns Hopkins University Jonathan Jones, MD University of Mississippi Medical Center Gabor Kelen, MD Johns Hopkins University Hollynn Larrabee, MD West Virginia University Luan Lawson, MD Brody School of Medicine at East Carolina University Jo Anna Leuck, MD Carolinas Medical Center Jason Liebzeit, MD Emory University School of Medicine Brandon Maughan, MD University of Pennsylvania

Erin McDonough, MD University of Cincinnati Henderson McGinnis, MD Wake Forest Baptist Health Joseph Miller, MD Henry Ford Hospital Angela Mills, MD University of Pennsylvania Joel Moll, MD University of Michigan Lewis Nelson, MD New York University Jason Nomura, MD Christiana Care Health System Charissa Pacella, MD University of Pittsburgh Daniel Pallin, MD Brigham and Women’s Hospital / Harvard Medical School Peter Pryor, MD Denver Health Ali Raja, MD Brigham and Women’s Hospital / Harvard Medical School Linda Regan, MD Johns Hopkins University Kevin Rodgers, MD Indiana University

Christopher Ross, MD Cook County Hospital (Program Committee chair) Cynthia Santos, MD Mount Sinai Medical Center Stacy Sawtelle, MD UCSF Fresno Medical Education Program Todd Seigel, MD Brown University Sneha Shah, MD University of Massachusetts Richard Sinert, MD SUNY-Downstate Medical Center Howard Smithline, MD Baystate Medical Center Lorraine Thibodeau, MD Albany Medical Center R. Jason Thurman, MD Vanderbilt University Jody Vogel, MD Denver Health Medical Center Justin Williams, MD University of Texas Health Sciences Center - San Antonio Robert Woolard, MD Texas Tech University Health Sciences Center

2014 SAEM SENIOR FACULTY LEADERSHIP FORUM DAY ONE – TUESDAY, MAY 13 — 8:00 AM - 5:00 PM DAY TWO - WEDNESDAY, MAY 14 — 8:00 AM - 12:00 PM SAN ANTONIO BALLROOM B (CONF. CENTER-3RD FLOOR) The SAEM Senior Faculty Leadership Forum is an exciting one-and-a-half day course is designed for senior faculty leaders in academic emergency medicine seeking a fundamental understanding of the issues related to leading an academic EM department. The presentations are designed to be interactive and will be presented by experts in academic emergency medicine.

This year’s course will cover topics such as: leadership skills; strategic planning; organizing and leading teams; human resources; communication skills; balanced scorecards; understanding generational differences; and meta-leadership.

DAY ONE TUESDAY, MAY 13 — 8:00 AM - 5:00 PM Effective Leaders – Nature, Nurture, and Continuous Leadership Education Brian Zink, MD, Alpert Medical School, Brown University

Kate Heilpern, MD, Emory University School of Medicine The Balanced Scorecard is a tool designed to transparently demonstrate organizational goals and the metrics by which to measure goal achievement. In one or two pages, the scorecard should attempt to visually display the organization’s answers to the following concept: We aim to be ‘how good’, ‘by when’.

Objectives: Upon completion of this course the participant should be able to: 1. Define the concept and ‘use case’ for a Balanced Scorecard for an operating unit, department and/or organization 2.

List the attributes that contribute to a successful Balanced Scorecard 3. Develop and deploy a leadership communication plan that allows you, as the leader, to use this tool to manage up and throughout your organization.

Hiring, Firing and Evaluating: Human Resource Issues in Emergency Medicine Leslie Zun, MD, Mount Sinai Hospital

Emergency physicians frequently struggle with human resources issues in emergency medicine. The challenge of hiring the right

Bill Barsan, MD, University of Michigan

During this presentation we will discuss a process for recruiting faculty from a more faculty-centric rather than a department-centric approach and describe how to focus faculty academic development.

We will also discuss how to manage career development with faculty including setting goals, providing resources and changing priorities when appropriate. Department Chairs need to advocate for their faculty on an institutional level and promote faculty candidates for institutional roles and national leadership roles as well as departmental roles.

Objectives: Upon completion of this course the participant should be able to: 1. Develop career plans for new faculty 2. Monitor progress in faculty careers 3. Advocate leadership roles for faculty

DALLAS, TEXAS

The Balanced Scorecard – from Strategy to Action

How to Develop and Manage the Workforce

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Objectives: Upon completion of this course the participant should be able to: 1. E xplain how innate or “natural” leadership characteristics can be enhanced.

2. Discuss how to make a continuous leadership education plan as a developing leader.

3.

Locate the resources and programs that are available for developing leaders.

Objectives: Upon completion of this course the participant should be able to: 1. E xplain what motivates people 2.

Use the best approach in hiring, firing, compensating, and advancing 3. Describe how to deal with difficult staff members

MAY 13-17, 2014

Leadership traits and qualities may be innate or developed, but true effectiveness as a leader depends on an ability to learn, adapt and strengthen your leadership over time. This session will cover the core traits of leadership and consider how favorable innate leadership qualities can be enhanced, and unfavorable ones diminished. We will then focus on how leadership skills are learned over the course of a career and the concept of “continuous leadership education”. Participants will be provided information on resources, reading materials, suggested training programs, and approaches to leadership development.

person, evaluating the staff and remediating them is a key component in the management of the department. This course fills the gap in ensuring that many chairs need to ensure that their faculty supports the mission of the department.

Communication Skills Workshop 2014

Ann Chinnis, MD, West Virginia University School of Medicine Participants will provide an email address and will be enrolled electronically in a communication assessment (DiSC assessment) in advance of the lecture. They will receive their results electronically upon completion of the assessment. The lecture will provide an overview of communication styles using the DiSC methodology.

Students will participate in small group work to facilitate understanding of their preferred mode of communication. They will acquire strategies to communicate more effectively with those who have different DiSC styles. They will be provided with an understanding of the use of a team DiSC in team development.

Objectives: Upon completion of this course the participant should be able to: 1. Describe their communication style and that of others.

2. Identify individual communication styles.

3. Discuss how to communicate more effectively with individuals who are different DiSC styles.

4. Describe how to interpret a team DiSC and have an appreciation of its use in team development.

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2014 SAEM SENIOR FACULTY LEADERSHIP FORUM Leadership versus Management: Philosophy and Skills for Success Carey Chisholm, MD, Indiana University

Academic institutions are governed through a hierarchy that is complex. In order to access higher impact roles (Committee Chairs, Directorships, Chair, Dean), one must develop leadership and management skills - and know which to bring to bear to solve a problem. This session identifies and differentiates key personal and professional leadership and management techniques.

Objectives: Upon completion of this course the participant should be able to: 1.

E xplain the difference between personal and professional leadership and management skill sets.

2. Describe attributes of good leaders and good managers.

3. Discuss situations appropriate for the use of leadership versus management.

Society for Academic Emergency Medicine

DAY TWO WEDNESDAY, MAY 14 — 8:00 AM - 12:00 PM Building a Team & Sailing through the High C’s

Todd Crocco, MD, West Virginia University School of Medicine This presentation will discuss the conventional approaches to building a team and differentiate it from teamwork. Ten important considerations of team building will also be reviewed. Common mistakes and strategic opportunities for building a successful team will be presented.

Objectives: Upon completion of this course the participant should be able to: 1. Discuss the fundamental leadership skills needed to pursue a career in Departmental leadership.

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Describe the trend of emergency physician leaders being identified and hired as academic health system leaders including Chief Executive Officers, Chief Medical Officers, Chief Quality Officers, and Physician Group Practice Leaders and Deans of medical schools.

3. Identify the key educational, training, and career experiences necessary to be eligible to pursue these positions.

Leading Gen X, Y, Z

Tracy Sanson, MD, University of South Florida College of Medicine Our ED’s and academic departments currently employ 4 generations of workers, each with their unique developmental history and view of the future. We will discuss the expectations of and how to best recruit, engage and retain these varied practitioners. We’ll discuss deep and complex issues such as loyalty, feedback/evaluation, career plans and work patterns. We will use the embracing of informatics as a case study to describe and differentiate, “The Silents, Baby Boomers, and Generations X and Y.”

Objectives: Upon completion of this course the participant should be able to: 1. Explain the purpose of a team; 2. E xplain the difference between teamwork and establishing an effective team; 3. Discuss the essential elements of team building

Objectives: Upon completion of this course the participant should be able to:

Strategic Planning

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Recognize how to generationally approach conflict and find commonality.

Gabe Kelen, MD, FRCP(C), Johns Hopkins University School of Medicine This session will provide a framework for how to create, and implement, and assess a strategic plan. However, personal strategic planning will be used to illustrate the process.

Objectives: Upon completion of this course the participant should be able to: 1. Explain the elements of a strategic plan 2. Describe the process of developing a strategic plan and getting “buy-in” 3. Describe how to monitor a strategic plan and adjust tactics 4. Discuss the role of leadership in effecting a strategic plan

Beyond the Department of Emergency Medicine: Leadership Roles for Emergency Physicians in the Academic Medical Center Brian Gibler, MD, University of Cincinnati College of Medicine

Emergency physician leaders often target Departmental positions such as Chair, Residency Program Director, or Research Directors for their career pathway. In many Academic Medical Centers, emergency physician leaders are being tapped to serve as hospital Chief Executive Offices, Chief Medical Officers, Chief Quality Officers, Physician Group Practice Leaders, or as Medical School

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Deans. For this presentation, the background and reasons for this health system leadership trend in academic medicine will be discussed. Information will also be provided to help the participant optimize personal education, training, and career experiences for pursuit of this pathway in health system leadership.

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Describe the generational characteristics of the four major working generations 2. E xplain how to work with and lead the different generational groups by understanding work styles, and generational values.

Title: Strategic Planning Description: This session will provide a framework for how to create, and implement, and assess a strategic plan. However, personal strategic planning will be used to illustrate the process.

Objectives: Upon completion of this course the participant should be able to: 5. Explain the elements of a strategic plan 6. Discuss the process of developing a strategic plan and getting “buy-in” 7. D escribe how to monitor a strategic plan and adjust tactics 8. Explain the role of leadership in effecting a strategic plan

GRANT WRITING WORKSHOP TUESDAY, MAY 13 — 8:00 AM - 5:00 PM SAN ANTONIO A This workshop is designed to improve investigators’ skills in successful grant writing through didactics, panel discussions, and focused small group sessions. The course faculty includes federally funded investigators and NIH staff.

AGENDA 7:30 am

Continental Breakfast

8:00 am Developing Your Funded EM Research Program Richard Summers, MD, University of Mississippi Medical Center

TUESDAY, MAY 13, 2014 — 8:00 AM - 5:00 PM AUSTIN BALLROOM 3 AT THE SHERATON DALLAS CME will be provided Info: www.ebd.studysites.net

Associate Professor of Epidemiology Biostatistics, UCSF Emergency Physician, Mills-Peninsula Medical Center, Burlingame, CA Course Director: UCSF Evidence-Based Diagnosis Workshop Co-author: Evidence-Based Diagnosis, Cambridge University Press, 2009

Christopher R. Carpenter, MD, MSc

Director, Evidence-Based Medicine, Washington University School of Medicine, St. Louis Associate Editor, Academic Emergency Medicine Co-author: Evidence-Based Emergency Care (2ed), Wiley–Blackwell 2013

9:30 am NIH Review Session - What Happens Once I Submit?

Jeremy Brown, MD, Office of Emergency Care Research

10:15 am

Break

10:30 am

Writing the Specific Aims Section of the Grant

11:00 am Developing the Grant Budget: managing the project requirements within the budget restrictions

James Holmes, MD, MPH, UC Davis

11:30 am

Responding to Reviews and Resubmitting

12:00 pm

Networking Lunch

1:00 pm

Small Group Session*

2:30 pm

Career Development Awards

Alan Jones, MD, University of Mississippi Medical Center

Diagnosis and diagnostic testing are fundamental to our practice and teaching.

When and how should we use a rapid antigen test for influenza? How should we interpret BNP for CHF, D-Dimer for PE, or serum lactate for severe sepsis? Is there a physical finding that distinguishes that rare posterior circulation stroke from run-of-the-mill peripheral vertigo? In this all-day, interactive workshop, we will discuss using the evidence to evaluate and interpret diagnostic tests. We will cover dichotomous tests, multilevel and continuous tests, ROC curves, interval likelihood ratios, and bias in studies of test accuracy -- and believe it or not, we will have fun!

Instead of giving and passively listening to a series of lectures, we will discuss and solve real-world diagnostic testing problems in small groups.

Course Faculty Course Faculty

Manish Shah, MD, University of Rochester

3:00 pm

Career Development Grant Panel Discussion

Manish Shah, MD, University of Rochester, moderator

Dan Mayer, MD

Professor of Emergency Medicine, Albany Medical College Course director: Evidence Based Health Care (longitudinal course) Author: Essential Evidence Based Medicine (2ed), Cambridge University Press, 2010

Jeffrey Kline, MD, Indiana University

DALLAS, TEXAS

Michael A. Kohn, MD, MPP

Mark Angelos, MD, The Ohio State University

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WORKSHOP FACULTY

The Anatomy of a Grant

MAY 13-17, 2014

ONE-DAY WORKSHOP ON EVALUATING AND USING MEDICAL TESTS FOR EMERGENCY PHYSICIANS, EDUCATORS, EDITORS, AND POLICY MAKERS

9:00 am

3:30 pm

Wrap-up & transition to Optional Break-Out Session

3:45 pm

Optional Break-Out Session** Course Faculty

5:00 pm

Close

*Small Group Session: Participants will rotate through four 20-minute skill-building stations which will each focus on a specific aspect of successful grant writing. Stations will include: specific aims section, training plan and letter of recommendation from primary mentor, revising and resubmitting grants, and managing your grant budget. **Optional Break-Out Session (2 hours max): During this optional session, participants that have submitted a grant for feedback will have the opportunity to speak one-on-one with a reviewer to discuss how they can improve their application.

7

PLANNING FOR A SAFER DECADE OF ED ANALGESIA TUESDAY, MAY 13 – 1:00 - 5:00 PM — AUSTIN 2 Pain relief is an integral component of quality care in the ED. An emergency physician must be particularly adept at selecting appropriate pain management strategies for a spectrum of pain-related complaints, of varied, and often unclear, etiology, chronicity, and severity. Providing inadequate pain relief is not acceptable, but neither is the indiscriminate use of analgesics, which has fostered a decade-long epidemic of drug misuse, addiction, and death. The goal of this session is to begin to construct a consensus-based strategy to set future curricular and research priorities, and to potentially publish our efforts in a white paper. These efforts should ultimately allow provision of both effective and safe pain relief that has a patient-centered focus yet are attentive to public health concerns.

Pain 101: Teaching the Fundamentals of Analgesics Jason A Hoppe, DO Assistant Professor University of Colorado School of Medicine

Society for Academic Emergency Medicine

Unintended Consequences: Understanding the Adverse Effects of Analgesics Lewis S. Nelson, MD Professor of Emergency Medicine Director, Fellowship in Medical Toxicology New York University School of Medicine New York City Poison Control Center

Studying History: Literature Review of Existing Pain Curricula

The Use of Simulation to Teach Pain Management Principles Margaret K. Sande, MD MS Assistant Professor University of Colorado School of Medicine Medical Director, Work, Education, & Lifelong Learning Simulation (WELLS) Center

Open Access Medical Education to Reinforce Pain Management Curriculum

Jeanmarie Perrone, MD Professor of Emergency Medicine Director, Division of Medical Toxicology Perelman School of Medicine at the University of Pennsylvania

Simultaneous Breakouts

Scott G. Weiner, MD, MPH Associate Professor Director of Clinical Research, Emergency Medicine Tufts University School of Medicine

Symposium Faculty and: Knox H. Todd, MD, MPH Professor, Department of Emergency Medicine The University of Texas MD Anderson Cancer Center

The Baby and the Bath Water: Balancing under- and over-use of opioids in the ED

1. Determine current needs and future direction for development of a focused didactic residency curriculum for safe and effective analgesic use.

Donald M. Yealy, MD Professor and Chair of Emergency Medicine University of Pittsburgh / University of Pittsburgh Physicians

Using Milestones to Assess Curricular Success

Michael S. Beeson, MD, MBA Professor of Emergency Medicine Emergency Medicine Residency Program Director Akron General Medical Center/Northeast Ohio Medical University Chair, Emergency Medicine Milestones Working Group

2. Determine the research needed for development of a comprehensive pain management curriculum.

Recap: Group discussion, outline and timeline of future plans.

SAEM ANNUAL MEETING SPECIAL SESSION TUESDAY, MAY 13, 2014 - 8:00 AM - 12:00 PM — IN THE ATRIUM

DIVERSITY 101: CLOSING THE DIVERSITY GAP Diversity and inclusion are subjects that involve all of us, not only among our workforce and in our workplaces, but also for our patients, community and specialty. The SAEM Academy for Diversity and Inclusion in Emergency Medicine (ADIEM) invites you to attend the interactive half-day session “Diversity 101: Closing the Diversity Gap” for a practical approach to issues that most programs are challenged with in regards to recruiting, retaining, and developing a diverse group of faculty and residents.

The session is meant to be interactive! Participants will be divided into smaller working groups led by experienced cofacilitators. Looking through various lenses (including undergraduate, graduate, faculty, and LGBT), each group will discuss and create tools and resources that anyone could use to create and sustain a diverse climate at their institution.

This is vital to our academic mission as it relates to education, scholarship, and service. The workshop will culminate with the group coming together to discuss best practices and share strategies to address barriers faced by our institutions.

8

ACADEMIA AND THE PRACTICE OF COMMUNITY-BASED EMERGENCY MEDICINE TUESDAY, MAY 13 - 8:00 AM - 5:00 PM — AUSTIN BALLROOM 1 (HOTEL-2ND FLOOR) SAEM is proud to introduce “Academia and the Practice of Community-Based Emergency Medicine,” an all-day seminar sponsored by the SAEM Community-Based Academic Physician Task Force. While most medical students and residents will graduate and enter into a community practice, it is typically the university hospital of the medical school that receives the majority of funding, basic infrastructure for education/research, and support for mentoring of future leaders. However, the community hospital serves a powerful role not only in teaching the residents of the future, but also as a force of health care change. This seminar, intended for faculty and residents, will foster an environment in which participants can actively learn from the success of both their community-based colleagues and academic chairs who also oversee community emergency departments. Topics will range from how to develop compensation models that are applicable to all providers, to building ultrasound infrastructure, to ways of finding mentorship. Resident attendees will have a special break-out session in the afternoon, dedicated to such topics as what to expect during their community rotation and how to get the most out of the experience.

8:30-9:00am Introduction 9:00-10: 00am Faculty Compensation and Productivity

Jim Adams, MD Travis Schmitz

3:00-4:00pm From Boardroom to Bedside: Performing Quality Research on ED Operations, Access to Care, and Cost Savings

Dustin Ballard, MD

4:00-5:00pm One Department, One Residency: Integrating the Community Academic Affiliate into the Primary University Site/Medical School

Jim Hoekstra, MD

11am-12:00pm FOAM as a Means to Incorporate State-of-the-Art Research and Disseminate Evidence-Based Medicine

Resident break-out

Michael Hochberg, MD

Al Sacchetti, MD and Michael Hochberg, MD

Gus Garmel, MD

1:00-2:00pm

Lunch

4:00-5:00pm Your Community Affiliate Rotation: What to Expect and How to Maximize the Experience

2:00-3:00pm Something from Nothing: Building Infrastructure in Simulation

3:00-4:00pm The Community Setting as an Academic Emergency Medicine Career Matthew Silver, MD and Steve Nazario, MD

Daniel Keyes, MD

DALLAS, TEXAS

12:00-1:00pm This is your Career. Welcome to it: Finding Guidance, Mentorship, and Career Advancement For All Stages.

|

Jason Nomura, MD and Ryan Radecki, MD (The University of Texas Medical School at Houston)

2:00-3:00pm Do Emergency Medicine Residences Adequately Prepare Graduates to Work in the Medical Community?

MAY 13-17, 2014

10:00-11:00am The Growing Gap Between Hospital Administration and the EM Bedside: Illusion or Reality?

Ernie Wang, MD

9

10

Society for Academic Emergency Medicine

LIFESAVING ULTRASOUND IN THE CRITICALLY ILL PATIENT: A CASE-BASED APPROACH TUESDAY, MAY 13 - 8:00 AM - 5:00 PM — LONE STAR BALLROOM C3 & C4 COMBINED This course is co-sponsored by the Academy of Emergency Ultrasound and SAEM, and will focus on ultrasound applications important in the acute care setting. Instructors of this course are all expert sonographers who are well-established leaders in the field of emergency ultrasound.

Topics covered will include the following: THE BASICS • Introduction to ultrasound physics and orientation • Chest pain and dyspnea - echo and thoracic applications • Abdomen – free fluid evaluation, aorta, IVC BRINGING IT ALL TOGETHER • E-FAST • Shock • Procedural ultrasound – peripheral and central venous access This course is unique in that didactics will be followed by hands-on sessions organized in a case-based format. Instructors will guide the hands-on by presenting pathological cases and illustrating which organ systems and views should be obtained for a full ultrasound evaluation.

8:00-8:45am

Intro: Orientation/Physics

Chris Moore, MD

Kristin Carmody, MD

9:30-10:00am Chest Pain and Dyspnea - Thoracic (effusion, PTX, PNA)

Meghan Herbst, MD

10:00-10:15am Break 10:15-11:00am Hands-On #1

(Practice orientation/Echo/Thoracic)

11:00-11:30am Abdomen - Abdominal free fluid evaluation

(Describe how to obtain RUQ/LUQ/pelvic views for free fluid eval) Uché Blackstock, MD

11:30am-12:00pm Abdomen - Aorta & IVC

(Normal aorta, AAA, dissection, fluid status) Marsia Vermeulen, DO

12:00-1:00pm Lunch 1:00-1:45pm Hands-On #2

(putting it all together from abdomen, echo & thoracic lectures) Nova Panebianco, MD

2:15-3:00pm Shock Cardiogenic, distributive, obstructive, hypovolemic (putting it all together from

above lectures) Rachel Liu, MD

3:00-3:45pm Hands-On #3 (FAST/Shock)

DALLAS, TEXAS

1:45-2:15pm E-FAST

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8:45-9:30am Chest Pain and Dyspnea - Echo (views + pathology)

Putting it All Together:

MAY 13-17, 2014

Attendees should leave this course understanding how to apply their ultrasound skills to real-life scenarios!!

3:45-4:00pm Break 4:00-4:30pm Procedures Peripheral/central IV access

Steve Leech, MD

4:30-5:15pm Hands-On #4

(Practice IV sim models, any other hands-on practice/review that participants want)

5:15-5:45pm Wrap-Up Questions, further practice

(Abdomen)

11

TRAIN THE TRAINER: ADVANCING SIMULATION FOR EDUCATION

Society for Academic Emergency Medicine

TUESDAY, MAY 13, 2014 8:00 AM - 5:00 PM LONE STAR BALLROOM Spend a full day immersed in medical simulation, and learn the fundamentals of scenario design, implementation and debriefing. This full-day program provides hands-on experience in running and debriefing educational medical simulations.

Networking time will provide you with access to experts in simulation and leaders of the SAEM Simulation Academy.

LEARNING GOALS: • Provide attendees with tools that they can put to immediate use in their simulation programs.

• Experience how to create an immersive simulation learning experience through demonstrations and hands-on experiences and evaluation.

PROGRAM AGENDA 1. The evolution of medical simulation 2. S teps in writing a comprehensive simulation scenario 3. Hands-on: Simulation scenario writing 4. Debriefing and rescuing failing scenarios 5. L unch. Dine and network with leaders in emergency and academic medical simulation 6. Simulation team training 7. H ands-on: Running simulation cases: Debriefing examples written by attendees.

12

VISIT OUR EXHIBITORS IN THE GRAND HALL WEDNESDAY MAY 14 Exhibit Hall Open — 7:00 am - 5:30 pm Morning Coffee — 7:00 - 8:30 am Power Break Coffee & Snacks — 10:00 - 11:00 am Lunch Break — 12:30 - 2:00 pm

THURSDAY, MAY 15 Exhibit Hall Open — 7:00 am - 5:00 pm Morning Coffee — 7:00 - 8:00 am Power Break Coffee & Snacks — 10:00 - 11:00 am Lunch Break — 12:30 - 1:30 pm Afternoon Break Coffee & Snacks — 3:30 - 4:00 pm

FRIDAY, MAY 16 Exhibit Hall Open — 7:00 am - 2:00 pm Morning Coffee — 7:00 - 8:00 am Power Break Coffee & Snacks — 10:00 - 11:00 am Lunch Break — 12:30 - 2:00 pm

Participate in the Exhibitor Scavenger Hunt for a chance to win 1 of 5 $100.00 Visa Gift Cards.

Winners to be announced during the afternoon break on Thursday, May 15 in the exhibit hall.

NIH SESSIONS AT SAEM WEDNESDAY, MAY 14 – 8:00 AM - 12:30 PM — HOUSTON BALLROOM B (CONF. CENTER-3RD FLOOR) The National Institutes of Health (NIH) is presenting four vital sessions on emergency medicine and the NIH that you do not want to miss! Join us as we begin with an introduction and overview of the NIH training programs and resources. Later, we will discuss career development opportunities such as the K-series, and explore how the T-32s might benefit research fellowships in emergency medicine. Finally, we will close with a session by Jeremy Brown, MD, director of the new Office of Emergency Care Research (OECR) who will discuss how the OECR interacts with other NIH institutes to develop research support and training opportunities for those wishing to pursue careers in emergency care research. This is a must-see for all who are pursuing careers in emergency medicine research!

8:00-9:00am National Institutes of Health (NIH) Research Training Programs or How to Jumpstart a Research Career!

Jane D. Scott. NHLBI, NIH

9:00-10:00am Making the Leap to Research Independence: NIH Career Development Awards

The goal of the session will be to provide an overview of NIH Institutional Career Development Awards (K12, KL2) as well as the individual career development awards (K08, K23). The panel includes current and former K- awardees who are emergency medicine faculty. Investigators will discuss their experiences in applying for the K awards, the benefits of the award, and will comment on how the award helped them in their research careers. This session should be of particular interest to all NHLBI K12 scholars.

The purpose of this session is to provide an overview of NIH T32 programs, explore how these training grants might benefit EM research fellowships, and discuss ways to maximize application success. Discussion will include program structure, leadership, mentoring, coursework and metrics of program success. This session will be of particular interest to EM faculty interested in obtaining T32 fellowships to support EM research fellowships.

11:30am-12:30pm The Office of Emergency Care Research (OECR) at NIH/Research and Career Development Jeremy Brown, MD, Director, Office of Emergency Care Research

This session aims to provide an overview of OECR and how it interacts with other NIH institutes to develop research support and training opportunities for those wishing to pursue careers in emergency care research. Topics will include research proposals as well as early career development awards (K grants). The intended audience for this session is faculty with an interest in developing research ideas that require NIH support, as well as residents, medical students, and others who want to understand the mechanism of NIH support for mentored research.

DALLAS, TEXAS

Jane D. Scott, NHLBI, NIH Lance B. Becker, University of Pennsylvania Sean Collins, Vanderbilt Jeffrey A. Glassberg, Mount Sinai

Jane D. Scott, NHLBI, NIH

Judd E. Hollander, University of Pennsylvania Cynthia D. Morris, Oregon Health & Science University

Douglas B. Sawyer, Vanderbilt K12 Program in EM Lynne D. Richardson, Icahn School of Medicine at Mount Sinai

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10:30-11:30am Funding for EM Research Fellowships: NIH Post-Doc Institutional Training Grants (T32)

MAY 13-17, 2014

One of National Institutes of Health’s (NIH’s) critical missions is to ensure that there are scientists to meet this country’s biomedical research needs in the future. The goal of this session is to provide an overview of NIH and its training programs with emphasis on programs available to clinicians wishing to pursue scientific careers.

Topics will include institutional postdoctoral training programs (T32 grants), as well as fellowship programs (F grants), and early career development awards (K grants). Training programs in the NIH intramural labs will also be discussed as well as NIH loan repayment programs that support scientists who study specific areas. And finally, the conversation will cover NIH online resources and personnel who are available to provide additional information as you start to investigate a research training program.

10:00-10:30am Break

THE OFFICE OF EMERGENCY CARE RESEARCH AT NIH/RESEARCH AND CAREER DEVELOPMENT SPEAKER: JEREMY BROWN, MD, DIRECTOR, OFFICE OF EMERGENCY CARE RESEARCH The National Institutes of Health Office of Emergency Care Research (OECR) was created in 2012 in response to the collaborative efforts of the NIH, the Society for Academic Emergency Medicine, the American College of Emergency Physicians, and other stakeholders in the specialty of emergency medicine to develop a coordinated, trans-NIH approach to improving the nation’s emergency care system, in order to achieve greater efficiency, realize scientific opportunities and enable the rigorous training of new investigators, leading to significant, long-term benefits for patient outcomes and advances in the field of emergency care. This session will describe the work of the office and its goals, and outline a detailed portfolio analysis of NIH support for emergency medicine research. The presentation will also describe opportunities for research support at NIH.

One of NIH’s critical missions is to ensure that there are scientists to meet this country’s biomedical research needs in the future. This session aims to provide an overview of OECR and how it interacts with other NIH institutes to develop research support and training opportunities for those wishing to pursue careers in emergency care research. Topics will include research proposals as well as early career development awards (K grants).

The intended audience for this session is faculty with an interest in developing research ideas that require NIH support, as well as residents, medical students, and others who want to understand the mechanism of NIH support for mentored research.

13

3rd Annual SonoGames®

Society for Academic Emergency Medicine

of the Academy of Emergency Ultrasound of SAEM Thursday, May 15, 2014 12:00 – 5:00 pm Lone Star Ballroom C1-C4 Combined (Conf. Center-2nd Floor)

Sponsored by:

SonoChamps 2014 [Your School Here]

14

2014 SAEM FUN RUN THURSDAY, MAY 15, 2014 6:00 AM — MEET IN THE MAIN HOTEL LOBBY Take a break from the business of the Annual Meeting and get out on the streets of Dallas with SAEM’s 2014 Fun Run. This will be an untimed 3.5-mile leisure run through downtown Dallas.

Coaches from Camp Gladiator will be on hand as pace setters to allow participants to gauge their speeds on a pre-mapped and marked route. Pick your own pace and have fun! Water and towels will be provided for registered runners.

On-site Registration — $40.00

MAY 13-17, 2014

| DALLAS, TEXAS

SAEMF Event at the Sixth Floor Museum Thursday, May 15, 2014 6:00 – 10:00 pm

Come and celebrate SAEM’s 25th anniversary at the SAEM Foundation event at the Sixth Floor Museum at Dealey Plaza – the museum that chronicles the life and legacy of President John F. Kennedy. Gather your friends and colleagues to enjoy delicious food and drinks, bid on unique items at the silent auction, and support EM research and education.

Admission: AACEM Members: $1000, Faculty: $250, Residents & Students: $100

All but $50.00 of the cost of admission is tax-deductible. Transportation from the Sheraton Hotel to the museum will be provided. www.saemfoundation.org

15

2014 SAEM RESIDENT ACADEMIC & LEADERSHIP FORUM THURSDAY, MAY 15 - 8:00 AM - 5:00 PM — AUSTIN BALLROOMS 1-3 (HOTEL-2ND FLOOR) RESIDENT LEADERSHIP TRACK 8-8:30am Breakfast/Introductions 8:30-9:00am Make A Difference: National Advocacy

Carey Chisholm, MD 9–9:30am Talk the Talk: Maximizing Your Communication & Negotiation Skills

Jim Adams, MD

9:30–10:00am Have A Vision: Planning Your Career Leadership Track

Andra L. Blomkalns, MD

10-10:30am Hidden Gems: Developing the Leader Within You

Society for Academic Emergency Medicine

10:30-11:00

(Top 10 Attributes of Successful Leaders) Robert Hockberger

Break / Move to Separate Track Rooms CHIEF RESIDENT FORUM TRACK

11-11:30am Is This For Me? Selecting and Planning An Academic Career

(Including Promotion and Tenure discussion)

Carey Chisholm, MD

11:30am-12:30pm Point-Counterpoint: All Academic Faculty Should Be Fellowship Trained

John Ma, MD vs. Don Yealey, MD

12:30-1:30pm

Lunch with Academic Leaders

1:30-1:45pm Break 1:45-2:15pm Fostering Academic Productivity & Research For All Faculty

Cherri Hobgood, MD

2:15-3:00pm In the Spotlight: Teaching Anywhere

Mike Epter, DO

3:00-3:30pm

Survival 101: Work Life Balance / Wellness

Jason Liebzeit, MD

11-11:45am Wish I’d Thought of That: Transitioning to the CR Leadership Role

3:30-3:45pm Break

11:45-12:30pm Caught in the Middle!

The Art of Middle Management

(Delegation, Meetings, 360° Management,

Dave Cone, MD

4:15-5:00pm

Young Faculty Panel: Success Stories

Felix Ankel , MD/ Eric Katz, MD

Managing Up/Managing Down, Time Management) Jennifer Walthall, MD

12:30–1:30pm Don’t Waste Your Energy: RRC Non-Negotiables

(Lunch with the Program Directors) PDs

1:30-1:45pm Break 1:45-3:15pm You Can’t Do That: Managing Difficult Resident Problems

(Dealing with the “Resident in Crisis”: Depression/Suicide, Drug / Alcohol Abuse, Unprofessional / Disgruntled / Tardy Resident; Sexual Harassment, Resident Health Issues, Confidentiality and Fairness Issues)

Phillip Shayne, MD

Mary Jo Wagner, MD

Steve Bowman, MD

3:15-3:45pm Crowd Pleasers: Didactic Sessions/ Curriculum That Residents Attend

Amal Mattu, MD

3:45-4:30pm And The Answer Is...

Pearls and Pitfalls From Former CRs (SAEM / EMRA / AAEM RSA Chief Resident Panel)

EMRA/AAEMRSA

4:30-5:00pm Networking Reception 16

ACADEMIC PRIMER TRACK

3:45-4:15pm Nuts & Bolts of Medical Manuscripts: Writing and Review

IGNITE! SAEM THURSDAY, MAY 15 - 8:00 – 10:00 AM — DALLAS BALLROOM A The inaugural IGNITE SAEM! will be an exciting, informal event at which your colleagues will address a variety of emergency medicine topics.. Each speaker will have 5 minutes to present 20 slides, each of which automatically advances after only 15 seconds, whether the presenter is ready or not! Come be a part of this fast-paced, action-packed experience.

The Information from Exhalation: Applications for Capnography in Spontaneously Breathing Patients Christopher Hunter, MD, PhD

Tourniquets as the New Trend: Data, Technology and Outcomes to Show that Mortality from Extremity Hemorrhage Should be a Thing of the Past.

Smile, You’re on Candid Camera: Video as a Teaching Tool in Resuscitations

Josh Robertson, MD

Think Fast: Decision-Making and Errors in the Emergency Department

Hanni Stoklosa, MD

I Need To Talk To The Boss

Negotiation Tips You can Use Immediately

Health Policy: What’s in it for me?

EDs in the ED

Where are you going with that C-Arm?

Conflict in the ED: Defusing the Bomb

Resuscitate Like an Olympian: An Innovative and Inexpensive Tool to Enhance Team-Based Trauma Resuscitation

Before I Can Talk to the Surgeon General...

I Need to Get That Pelvic Done

Jessica Nelson, MD

Human Trafficking & the Emergency Department: Hiding in Plain Sight “It’s a Poor-Quality Film” is Not an Excuse.

Benjamin H. Schnapp, MD

Jonathan S. Jones, MD

Jonathan L. Jones, MD, FACEP

Manu K. Malhotra, MD

Nick Sawyer, MD, MBA

Suzanne Dooley-Hash, MD Taher Vohra, MD

Christopher Michael Hicks, MD, MEd, FRCPC

There’s More to HIV than ID: Vascular Complications in HIV/AIDS Robbie Paulsen, MD

The End of Boring Lectures, please!

Andra Blomkalns, MD

Check Out This Interesting X-Ray…Oh crap, it’s mine!

Frayda Kresch, MD

From Public-Access Defibrillation to Public-Access Naloxone - What’s Up with That?

Michael W. Dailey, MD, FACEP

Jeff Riddell, MD

DALLAS, TEXAS

Dennis Hsieh, MD

My Love Affair with Bleach

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Frustrated? How to Ground Your Frequent Flyers

Daniela Morato, MD, RDMS

MAY 13-17, 2014

Dave Spear, MD, FACEP, FAAEM

BEST OF CORD THURSDAY, MAY 15, 2014 8:00 - 10:00 AM STATE ROOM 2 (CONF. CENTER-3RD FLOOR) Join us for a selection of material from some of the top sessions presented at the Council of Emergency Medicine Residency Directors 2014 Academic Assembly, held from March 30-April 3 in New Orleans. Sessions presented at the Assembly cover the development, implementation and management of emergency medicine residency programs; specific topics to be presented in Dallas were not available at press time, but will be posted on the SAEM Annual Meeting website when they are announced.

17

STOP BY THE SAEM RESIDENCY & FELLOWSHIP FAIR FRIDAY, MAY 16, 2014 — 4:30-6:30 PM LONESTAR BALLROOM SHERATON DALLAS CONFERENCE CENTER (2ND FLOOR)

The SAEM Residency & Fellowship Fair is open to all medical students and residents at the SAEM 2014 Annual Meeting in Dallas, TX. This is a great Society for Academic Emergency Medicine

networking event for those seeking a residency or a fellowship.

WOMEN IN EMERGENCY MEDICINE MIXER FRIDAY, MAY 16, 2014 — 5:30 - 7:30 PM

ATRIUM ROOM AAWEM, AAWEP, and EMRA look forward to welcoming you to the second annual Women In Emergency Medicine Mixer at this year’s SAEM Meeting in Dallas. Get to know outstanding female physician leaders from all three of these organizations over a glass of wine.

18

2014 SAEM NATIONAL MEDICAL STUDENT SYMPOSIUM FRIDAY, MAY 16 – 7:30 AM - 2:00 PM — AUSTIN BALLROOMS 1-3 (HOTEL-2ND FLOOR) Objectives: The Medical Student Symposium is primarily tailored to medical students who have identified emergency medicine as their future specialty but is also valuable for students still contemplating specialty choice. The symposium includes presentations form seasoned EM educators, roundtable discussions geared for more individuated guidance, lunch with residency program directors, and a panel discussion with current EM Residents. Major themes for the symposium include highlighting application and selection process. The program is followed by the residency/fellowship fair representing most EM programs across the country.

At the completion of the session, participants should be able to: 1. Assess their personal and career goals that might make EM a good fit.

2. Identify the multitude of career paths that exist within EM. 3. Optimize their fourth-year schedule.

4. Identify key factors and variables in selecting potential training programs.

5. Assemble a strong and compelling application package.

6. Perform their best during interviews.

AGENDA: 7:45-7:50am Welcome

7:50–8:30am Emergency Medicine – Career Paths and Your Future

Jason Liebzeit, MD, Emory University, Medical Student Elective Course Director

8:50-9:00am Break 9–10:00am Strategic Planning for Your EM Application

James Colletti, MD, Mayo Clinic, Residency Program Director Cynthia Price, MD, University of Connecticut, Associate Residency Program Director Jeffrey Barrett, MD, Temple University, Assistant Clerkship Director

10–10:20am Q&A with Speakers about Strategic Planning for EM applications

Lunch with Program Directors

1:30-2:00pm Q & A with Emergency Medicine Resident Panel

SAEM Resident/

Student Advisory Committee:

Megan Cloutier, MD

- Emory University Ann Tsung, MD - University of Florida, Gainesville

AAEM-RSA Residents: Terez Malka, MD, Indiana University Meaghan Mercer, DO, University of Nevada Las Vegas Nicole Piela, MD, Thomas Jefferson University

DALLAS, TEXAS

8:30–8:50am Q&A with Speakers about career choice and career paths

12:00-1:30pm

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Herbert Hern, MD, Alameda County Medical Center – Highlands Residency Program Director

11:50am-12:00pm Introduction to the Residency and Fellowship Fair

MAY 13-17, 2014

Todd Guth, MD, University of Colorado Assistant Clerkship Director

11:30–11:50am Q&A with Speakers from Getting Ready for Interview Day: Reflections and Recommendations

EMRA Residents: David Diller, MD, St. Luke’s- Roosevelt Jessica Best, MD, UTSW – Austin

4:30–6:00pm SAEM Residency and Fellowship Fair Lone Star Ballroom Pre-Convene Area (Conference Center 2nd floor)

10:20-10:30am Break 10:30–11:30am Getting Ready for Interview Day: Reflections and Recommendations

Michael Gisondi, MD, Northwestern University, Residency Program Director Maria Moreira, MD, Denver Health Medical Center, Residency Program Director Brian Levine, MD, Christiana Care Health System, Residency Program Director

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2014 SAEM JUNIOR FACULTY DEVELOPMENT FORUM FRIDAY, MAY 16 - 8:00 AM - 1:30 PM — MAJESTIC ROOM 1 (HOTEL-37TH FLOOR) Consistent with our mission of advancing professional development in academic emergency medicine, SAEM is pleased to present the third annual Junior Faculty Development Forum (JFDF) at its 2014 Annual Meeting in Dallas, TX. The JFDF will take place on Friday, May 16 and will be a half-day program intended to provide junior faculty with guidance that will enable them to become the next generation of leaders in our field. Intended for fellows and junior faculty who have recently secured a faculty job within academic emergency medicine, this program will feature focused didactic presentations from leaders in EM administration, education and research, as well as a Q-and-A panel of current and former department chairs.

The SAEM Junior Faculty Development Forum was created to enable junior faculty to engage senior leaders in our field and develop strategies for promotion, productivity and academic advancement.

Society for Academic Emergency Medicine

Overall Workshop Objectives: • Provide specific guidance on building a foundation for success in academic EM • Develop and cultivate junior faculty to become the next generation of academic leaders in research, administration and education • Nurture emergency medicine junior faculty collegiality and collaborations across institutions At the end of this program, participants will 1. Understand the structure of a career in academic emergency medicine, including a general overview of the promotion process 2. Receive an overview of three major career pathways in academic EM: administration, research and education 3. Gain insight into the skills and steps required for success in EM administration 4. Review strategies for success in medical education, including mechanisms for more effective teaching and feedback 5. Understand fundamental skills for creating a career in EM research, including a review of funding mechanisms 6. Receive specific advice for successful professional development from current leaders in the field

8:00-8:40am – O verview of Academic Medicine: How to Survive & Thrive Session time: 40 minutes, Speaker: 30 minutes, Q&A: 10 minutes OBJECTIVES: • Summarize the three pillars of Academic Medicine: clinical care, research and education • Understand what makes a career in Academic Medicine unique • Examine the distinctive challenges that face junior faculty • Review career track options, recognizing there are variations by institution • Discuss factors to consider in selecting a career track and how to be successful STRUCTURE: 1 speaker, 30 minutes – 10 minute Q&A SPECIFIC CONTENT OUTLINE: • Overview of Academic Medicine and Strategies for Success • Mission of Academic Medical Centers and the role of faculty • Infrastructure of Academic EM • Academic Advancement: appointments and promotions, including securing protected time • Selecting and creating a “niche” • Making the transition from trainee to staff • Challenges of junior faculty • Successful work-life balance and strategies for time management PROSPECTIVE SPEAKER(S): Terry Kowalenko, MD

8:40-9:50am – D eveloping Skills in EM Administration Session time: 70 minutes, Speaker: 30 minutes, Q&A: 10 minutes OBJECTIVES: • Review ED Administration positions and potential avenues to reach these positions/careers • Highlight the pros and cons of ED Administration roles

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• Describe leadership principles and characteristics necessary for ED Administration STRUCTURE: 2 speakers, 30 minutes – 10 minute Q&A SPECIFIC CONTENT OUTLINE: Careers in EM Adminsitration • What is a career in EM administration?

• Review of the roles and responsibilities of common administrative positions with departments and academic medical centers • Challenges and advantages to a career in administration Achieving Success in Administration • Leadership and management principles of effective administrators • How to become involved with administration • How to effect change as a junior faculty member PROSPECTIVE SPEAKER(S): Daniel Wu,MD, Eric Gross, MD

9:50-10:00am – Break 10:00-11:10am – Developing Skills in EM Education Session time: 70 minutes, Speaker: 30 minutes, Q&A: 10 minutes OBJECTIVES: • Gain a basic understanding of the continuum of medical education and relevant accreditation agencies and requirements • Examine educational leadership opportunities in medical education • Identify the diverse venues and learners faculty teach at Academic Medical Centers • Highlight the critical need to provide effective feedback to learners • Acquire basic skills in teaching, giving feedback and evaluation • Discuss the challenges and strategies for managing poor performing residents STRUCTURE: 2 speakers, 30 minutes – 10 minute Q&A SPECIFIC CONTENT OUTLINE: Developing a Career in EM Education

2014 SAEM JUNIOR FACULTY DEVELOPMENT FORUM • Review the options for careers in EM education • Review educational leadership opportunities in GME • Turning education into research and scholarship • Documenting and being recognized for educational efforts (e.g. education portfolio) • Ways to become involved at the medical school Strategies for Effective Bedside Teaching • Effective bedside teaching • The importance of giving meaningful feedback (formative and summative) • How to handle poor performing learners • Resources for teachers (masters programs, teaching fellowships, academies, online resources)

Strategies for Success: Project Creation and Publication • Writing for publication • Strategies for maximizing efficiency and productivity • Avenues to further develop research skills (MERC, MPH, EMBERSlike courses)

PROSPECTIVE SPEAKER(S): Fiona Gallahue, MD, Brian Stettler,MD

Session time: 60 minutes

11:10am–12:20pm – Developing Skills in EM Research

OBJECTIVES: • Learn from senior faculty the opportunities, support, resources and relationships that will foster a successful academic career.

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

Session time: 70 minutes, Speaker: 30 minutes, Q&A: 10 minutes

STRUCTURE: 2 speakers, 30 minutes – 10 minute Q&A

12:30-1:30pm – Lessons Learned: If I knew then what I know now…

STRUCTURE: Panel Q&A SPECIFIC CONTENT OUTLINE: Panel of senior faculty who have successfully navigated the academic waters; roundtable discussion: • What I did well • What I would have done differently • What I wish I had known • Who was my mentor, how did I identify them and what were the benefits of this relationship

DALLAS, TEXAS

PROSPECTIVE SPEAKER(S): Jim Adams,MD Robert Hockberger, MD Cherri Hobgood, MD Jill Baren, MD

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SPECIFIC CONTENT OUTLINE: Choosing a Career in EM Research • Overview of funding structures and the grant process • Strategies for success for sustaining funding • Building a research question • Pitfalls of early investigators • Integrating research into an academic career without independent funding

12:20-12:30pm – Break to grab lunch

MAY 13-17, 2014

OBJECTIVES: • Provide a general overview of funding structures for Academic Medicine and EM more specifically • Detail the step by step process for setting up a research project • Understand the importance of fostering innovation and teamwork/ collaboration for a successful research career.

• Discuss grant opportunities • Understand techniques and strategies required for successful publication

PROSPECTIVE SPEAKER(S): Jason Haukoos,MD, David Cone,MD

CLOSING THE GAP ON THROMBOTIC EVENTS FRIDAY, MAY 16, 2014 — 12:30 – 1:30 PM RICHARD D. SHIH, MD RESIDENCY PROGRAM DIRECTOR DEPARTMENT OF EMERGENCY MEDICINE, MORRISTOWN MEMORIAL HOSPITAL, MORRISTOWN, NEW JERSEY

This lecture will discuss treatment options for patients with deep vein thrombosis and pulmonary embolism, and how they can reduce the risk of recurrent thrombotic events.

Supported by Janssen Pharmaceuticals, Inc This promotional educational activity is not accredited. The program content is developed by Janssen Pharmaceuticals, Inc. Speakers present on behalf of the company and are required to present information in compliance with FDA requirements for communication about its medicines.

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2014 SAEM ANNUAL BUSINESS MEETING FRIDAY, MAY 16, 2014 KEYNOTE 2:00 - 3:00 PM — BUSINESS MEETING 3:00 - 4:30 PM Sheraton Dallas Hotel, Dallas, TX — Room: Dallas B-C Conference Rooms, 1st Floor All SAEM members are urged to attend

KEYNOTE SPEAKER:

Marc Nivet, MD, Chief Diversity Officer for the Association of American Medical Colleges

GRANT PRESENTATIONS Education Fellowship Grant – Margaret Kramer Sande, MD, MS, University of Colorado, Denver Research Training Grant – John P. Haran, MD, University of Massachusetts Education Research Grant – Christopher Hicks, MD, Med, St. Michael’s Hospital

Society for Academic Emergency Medicine

SAEM ACADEMY AWARDS

Academy for Diversity and Inclusion in Emergency Medicine (ADIEM) Academy of Geriatric Emergency Medicine (AGEM) Academy of Emergency Ultrasound (AEUS) Academy for Women in Academic Emergency Medicine (AWAEM) Clerkship Directors in Emergency Medicine (CDEM) Global Emergency Medicine Academy (GEMA)

2013 ANNUAL MEETING AWARDS Best Faculty Presentation - Chris Moore, MD, RDMS, Yale University School of Medicine Best Young Investigator Presentation - Catherine M. Wares, MD, Carolinas Medical Center Best Basic Science Presentation - Vikhyat S. Bebarta, MD, San Antonio Military Medical Center Best Resident Presentation - Hendry R. Sawe, MD, Muhimbili University of Health and Allied Sciences Best Fellow Presentation - Simon G.A. Brown, MBBS, PhD, FACEM Western Australian Institute for Medical Research, Royal Perth Hospital and the University of Western Australia Best Medical Student Presentation - Austin Kilaru, Perelman School of Medicine at the University of Pennsylvania

RECOGNITION OF THE 2013-2014 OUTGOING COMMITTEE & TASK FORCE CHAIRS SAEM ANNUAL BUSINESS MEETING AEM Report Treasurer’s Report Election Results Recognition of Board of Director members whose terms are expiring Remarks of Outgoing President – Alan E. Jones, MD Introduction of 2014-15 SAEM President – Robert S. Hockberger, MD

NEW BUSINESS ADJOURNMENT

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Note: A ward, fellowship, grant recipients, elected members of the BOD and Nominating and Consultation & Bylaws Committees are asked to remain after the meeting to participate in a brief photo session. Photos will be published in upcoming issues of the SAEM Newsletter.

Atrium Room (Hotel 2nd Floor) Thursday, May 14, 1:00 - 5:00 pm All are invited to attend these sessions: 1:00–2:00 pm

Evaluating Your Job Offers in Academic EM Kirsten Rounds, RN, MS, Alpert Medical School, Brown University

Looking for your first job? Thinking about switching jobs? This session will give you tips, hints and a handy reminder tool to make sure you have evaluated all the factors to make the best decision.

Results of the AACEM/AAAEM Benchmarks & Salary Survey James Scheulen, MBA, Johns Hopkins University Every year the AAAEM conducts a survey of its members, collecting a wide variety of operational and departmental statistics. This year we also collected comprehensive information about EM salaries.

Come learn about the results of this survey and how you can use it in your department.

3:00–4:00 pm

Succession Planning

MAY 13-17, 2014

2:00–3:00 pm

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None of us will be in our jobs forever: whether you are an administrator, a chair, a program director or have another role in your department, it is important to think about who might take your place when you move up, move into a new role, or retire. Get important tips on how to begin this process in your department.

ABOUT US Founded in 2009, the Academy of Administrators in Academic Emergency Medicine (AAAEM) is an Academy of SAEM for individuals managing the administrative and business functions of an academic department or division of emergency medicine. Many of our members represent the nation’s leading university medical centers.

AAAEM was formed to advance the profession of individuals serving as administrators within emergency medicine academic programs and to provide a forum for our members to communicate, share ideas, and generate solutions to common problems.

DALLAS, TEXAS

Linda Davis-Moon RN, MSN, Thomas Jefferson University

Executive Committee Meeting will be held from 4:00 - 5:00pm– All AAAEM members are invited to attend

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Society for Academic Emergency Medicine

SAEM ADIEM LGBT SUB-COMMITTEE MIXER TUESDAY, MAY 13 — 5:00 - 7:00 PM MAJESTIC 5 ROOM (37TH FLOOR OF THE SHERATON HOTEL) The SAEM Academy for Diversity and Inclusion in Emergency Medicine (ADIEM) invites you to attend a gathering and mixer of the Lesbian, Gay, Bisexual and Transgender (LGBT) Committee on Tuesday, May 13, 2014 from 5:00pm – 7:00pm in the Majestic 5 room on the 37th floor of the Sheraton Hotel.

The LGBT committee is developing curriculum, pursuing scholarly work, and seeking to set up a mentoring network relating to LGBT health issues and career guidance.

We seek all members of SAEM interested in inclusion and diversity - you do not need to be LGBT to attend or participate. Please drop in to learn more about our work, meet colleagues with similar interests, become involved, or make some new allies!

If you have any questions, or if you are unable to attend but wish to become involved with the Committee and its work, contact Joel Moll, LGBT Committee chair, at molljoel@umich.edu.

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In 15 years, the number of older adults in your ED will DOUBLE...

ARE YOU READY?

Wednesday, May 14 10:30 - 11:30 am

Dallas Ballroom A1 (1st Floor) "Innovations for Preventing Admissions and Re-Admissions." (Jesse Pines, MD, MBA; Mary Tanski, MD; Marian Betz, MD, MPH (moderator))

11:30 - 12:30 pm

"Building a Geriatric ED Risk Stratification Toolbox: Evidence-based screening for cognitive impairment, risk of falls, and functional decline" (Christopher Carpenter, MD, MSc; Timothy F. Platts-Mills, MD)

9:15 - 9:30 am

Break

9:30 - 10:00 am

Breakout AGEM workgroups Education/Fellowship, Journal Club, Delirium, Research, Metrics

10:00 - 10:45 am

***NEW Geriatric ED Guidelines***  ACEP, AGS, ENA, SAEM Board of Director-approved guidelines  Summary of guidelines  Dissemination plan (status of guideline dissemination, education initiatives, conferences) (Christopher Carpenter, MD, MSc; Jeffrey Caterino, MD, MPH; Ula Hwang, MD, MPH)

10:45 - 11:45 am

"The business case for a Geriatric ED" (Mark Rosenberg, DO, MBA) "Nuts and Bolts of creating a Geriatric ED" (Panel discussion by existing Geriatric ED directors - Gallane Abraham, MD; Amer Aldeen, MD; Denise Nassisi, MD; Scott Wilber, MD, MPH)

Saturday, May 17 10:00 - 11:00 am

Dallas Ballroom A1 (1st Floor) "So You Want to Start a (non-ACGME) Accredited Fellowship?" (Kevin Biese, MD, MAT; Ian Martin, MD; Charles Reese, MD; Michael Stern, MD)

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State Room 1 (3rd Floor) AGEM business meeting (all are welcome!)  Introductions  2014 Gerson Sanders award: Basil Eldadah, MD, PhD  Abstract awards (faculty, resident/fellow, medical student)  Elections  Workgroup lead updates

MAY 13-17, 2014

Thursday, May 15 8:00 - 9:15 am

Lone Star Ballroom B Lone Star Ballroom C1 Pearl 4

DALLAS, TEXAS

Geriatrics-related oral presentations Wednesday May 14 8:00 am - 12:00 pm Friday May 16 8:00 am - 10:00 am Friday May 16 10:30 am - 12:30 pm

Poster Abstracts Oral Abstracts Moderated Posters

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Friday, May 16

Lifesaving Ultrasound in the Critically Patient Tuesday,IllMay 13

AEUS Didactic Sessions

Lifesaving Ultrasound in the Critically Ill Patient Lone Star Ballroom (C3 & C4) Wednesday, 14 8:00 am – 5:00 pmMay (Fee $500)

AEUS Business Meeting

Society for Academic Emergency Medicine

Activities 2014

Tuesday, May 13

Lone Star Ballroom (C3 & C4) 8:00 am – 5:00 pm (Fee $500)

Room: Atrium Room (2nd14 Floor) Wednesday, May 8:00 am – 12:00 pm

AEUS Business Meeting

Friday, May 16 Didactic: A Cadaver-Based Curriculum for

Ultrasound---Guided Applications and Procedures: A Promising Alternative in Emergency Ultrasound AEUS Didactic Sessions Education (8:00am-9:00am) Room: San Antonio Ballroom A Didactic: A Cadaver-Based Curriculum for Ultrasound---Guided Applications and Procedures: Didactic: Emergency Ultrasound for Airway A Promising Alternative in Emergency Ultrasound Management Education (9:00am-10:00am) Room: Dallas Ballroom A1 (8:00am-9:00am) Room: San Antonio Ballroom A

Didactic: Controversies in Emergency Ultrasound Didactic: Emergency Ultrasound for Airway II: The Debate Rages On Management (10:30am-11:30am) Room: Dallas Ballroom A2 (9:00am-10:00am) Room: Dallas Ballroom A1

Thursday, May(2nd 15 Floor) Room: Atrium Room

Didactic: Important Applications for Point-of-Care Didactic: Controversies in Emergency Ultrasound Ultrasound in Pediatric Emergency Medicine II: The Debate Rages On (10:30am-12:30pm) Room: Dallas Ballroom C (10:30am-11:30am) Room: Dallas Ballroom A2

Didactic: Ultrasound in Resource Limited Settings: Discussion of use, benefits, research and sustainable program design (8am-9am) Room: Dallas Ballroom D2

Didactic: Important Applications for Point-of-Care Ultrasound in Pediatric Emergency Medicine (10:30am-12:30pm) Room: Dallas Ballroom C

8:00 am – 12:00 pm

AEUS Didactic Sessions

Thursday, May 15

AEUS Didactic Sessions

Didactic: Ultrasound in Resource Limited Settings: Didactic: Point-of-Care Ultrasound for Pediatric Discussion of use, benefits, research and sustainable Global Health: A 21st Century Technology for program design Meeting the United Nations Millennium (8am-9am) Room: Dallas Ballroom D2 Development Goals 4 Decreasing Global Under-5 Mortality Didactic: Point-of-Care Ultrasound for Pediatric (11:30am-12:30pm) Room: Dallas Ballroom A2 Global Health: A 21st Century Technology for Meeting the United Nations Millennium Development Goals 4 Decreasing Global Under-5 Mortality SonoGames® 2014 (11:30am-12:30pm) Room: Dallas Ballroom A2

Room: Lone Star Ballroom (Conf. Center2nd Floor) 12:00 pm – 5:00 pm

SonoGames®rd2014

Join us for the 3 annual SonoGames® Room: Lone Star Ballroom (Conf. Centerand watch teams compete to be the 2nd Floor) 12:00 pm – 5:00 pm nation’s top sonologists.

Join us for the 3rd annual SonoGames® and watch teams compete to be the nation’s top sonologists.

www.saem.org/academy-emergency-ultrasound

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Activities 2014

www.saem.org/academy-emergency-ultrasound

Saturday, May 17

AEUS Didactic Sessions

Didactic: Do-it-yourself Simulation – Cutting Edge Simulation on a Shoe-String Budget (8:00am-9:00am) Room: Dallas Ballroom C

Saturday, May 17

AEUS Didactic Sessions

Didactic: Do-it-yourself Simulation – Cutting Edge Simulation on a Shoe-String Budget (8:00am-9:00am) Room: Dallas Ballroom C

MAY 13-17, 2014

| DALLAS, TEXAS

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Clerkship Directors in Emergency Medicine CDEM Sponsored Educational Programs Mentorship in Emergency Medicine: From Near-Peers to Tiers

Society for Academic Emergency Medicine

Wednesday May 14, 2014 9:00- 10:00am Dallas Ballroom D1 (Conf. Center-1st Floor) Drs. Nick Kman and Sarah Ronan-Bentle

Rescuing the Learner Struggling with Clinical Reasoning: Can we do it? How do we do it?

Thursday May 15, 2014 8:00-10:00am Dallas Ballroom D1 (Conf. Center-1st Floor) Dr. Todd Guth

Entrustable Professional Activities (EPA’s) in Undergraduate Medical Education Thursday May 15, 2014 10:30a-12:30pm State Room 2 (Conf. Center-3rd Floor) Dr. Mike Beeson and panel

Learner Centered Feedback: Time to Change the Conversation Friday May 16, 2014 8:00-9:00am Dallas Ballroom A2 (Conf. Center-1st Floor) Dr. Sorabh Khandelwal CDEM Business Meeting

Thursday May 15, 2014 1:00 – 5:00pm Dallas Ballroom D1 (Conf. Center-1st Floor) 1:00pm

President’s Address

1:45pm

CDEM Awards

3:00pm

NBME Update and SAEM Tests

2:00pm

4:00pm

SLOE Updates (Drs. Jeff Love, Sarah Ronan, and Nicole Deiorio)

Workgroups:

CDEMcurriculum.org

Clerkship Director Challenges and Networking Social Media/Technology: Twitter and iTunes

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An Academy of the Society for Academic Emergency Medicine

GEMA in Dallas Wednesday, May 14 8:00am-10:00am International Emergency Medicine - Oral Abstracts Thursday, May 15 8:00am-9:00am Ultrasound in Resource-Limited Settings (with AEUS)

Saturday, May 17 8:00am-9:30am GEMA Business Meeting 9:30am-10:30am GEMA Annual Fellowship Showcase 10:30am-12:00pm GEMA Strategic Planning Meeting

MAY 13-17, 2014

Friday, May 16 9:00am-10:00am Ethical Dilemmas in International EM (with Ethics) 10:30am-11:30am Federal Funding for Global Health 11:30am-12:30pm Global EM Literature Review 5:00pm-7:00pm Special Networking Session - Global EM Projects Showcase

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What GEMA Is Doing

i. GEMA has represented SAEM at major international EM conferences around the world.

i. Following the successful Academic Emergency Journal Consensus Conference on Global Health that we co-sponsored, many GEMA members are writing up several manuscripts that will help set a research agenda for the specialty.

ii. GEMA has sponsored high-quality didactic sessions at the SAEM Annual Meeting focusing on teaching and highlighting the best global EM research from around the world iii. GEMA-sponsored publications, including a guide to safely sending trainees to other countries and a Code of Conduct for assisting in resource-limited settings, were designed to provide guidance to teachers of EM internationally. iv. Every year we highlight different International EM fellowships and assist in collaboration between fellowships. We are also proud to help establish the annual European Society for Emergency Medicine (EuSEM) Showcase at Annual Meetings and SAEM Showcase at EuSEM meetings.

DALLAS, TEXAS

What GEMA Has Done

ii. We will sponsor useful networking sessions at ACEP’s meeting and other venues to encourage collaboration and mentorship. iii. Our active committees are working on new teaching resources, gathering an open-source curriculum program, designing a course on research in resource-limited settings and using social media to help global EM progress. iv. Quarterly newsletters highlight conferences and member accomplishments iv. Upcoming programming will include course on how to find funding for a global EM career, ultrasound in the resource-limited setting and more!

Join GEMA at www.saem.org 29

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

TRAIN THE TRAINER: ADVANCING SIMULATION FOR EDUCATION Tuesday, May 13th — 8:00 am - 5:00 pm | Lone Star Ballroom, Sheraton Dallas

ACADEMY BUSINESS MEETING AT SAEM Friday, May 16th — 8:00 am to 12:00 pm | Atrium Room 2nd Floor of Conference Hotel Society for Academic Emergency Medicine

There will be 1-2 hours of business, followed by breakout groups to work on projects and networking

SIMULATION DIDACTICS THURSDAY MAY 15TH DS049: Achieving your Milestones through Simulation Faculty: J Siegelman (Sim Acad), D Hart (Sim Acad) Dallas Ballroom D1 (Conf. Center-1st Floor) — 10:30 - 11:30 am DS056 Team Leadership in Emergency Medicine: Opportunities for Measurement and Assessment Faculty: E. Rosenman, J Branzetti (CORD), and R Fernandez (Sim Acad) Dallas Ballroom D1 (Conf. Center-1st Floor) — 11:30 am - 12:30 pm SATURDAY MAY 17TH DS092: Do-it-yourself Simulation: Cutting-edge Simulation on a Shoe-String Budget Faculty: N. Panebianco (U/S Acad), D Morato (U/S Acad), W Bond (Sim Acad) Dallas Ballroom C (Conf. Center-1st Floor) — 8:00 - 9:00 am DS102: Watch a Doctor Get Sued: A Live MedicoLegal Simulation Faculty: M Smith (Sim Acad) Dallas Ballroom B (Conf. Center-1st Floor) — 10:00 am - 12:00 pm

SIM WARS EMRA/SAEM Simulation Academy Resident Sim Wars Wed May 14, 2014 — 8:00 am – 12:00 pm Lone Star Ballroom C1-C2-C3-C4 (Conf. Center-2nd Floor)

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MAXIMIZE YOUR TIME AT THE 2014 SAEM ANNUAL MEETING: A GUIDE BROUGHT TO YOU BY THE RESIDENT AND STUDENT ADVISORY COMMITTEE

May 14 offers cutting-edge sessions on sepsis (The Early Care of Septic Shock: New Data and How Does it Fit?) and heart failure (Can We Improve Outcomes in Acute Heart Failure?

2014 Update on Acute Heart Failure Research). Join faculty and resident presenters in “Teaching 101” for Young Educators, a workshop designed to enhance learning through skills to improve the interaction among educators, learners, and the content being taught. Learn more about the impact of the Affordable Care Act from the panel of speakers in Emergency Medicine: Challenges and Opportunities Under the Affordable Care Act.

DALLAS, TEXAS

The Resident and Student Advisory Committee Reception will be held on Friday, May 16 from 5:30 - 7:30 pm, following the Residency and Fellowship Fair. This inaugural event will be a great chance to network with colleagues from across the country while mingling with leaders from SAEM committees and task forces as they highlight opportunities for medical students and residents to become involved in emergency medicine at a national level early in your career. This reception, open only to medical students and residents, is sponsored by ECI, which will provide free drink tickets at their booth in the exhibit hall.

May 16 includes the Annual Meeting’s highlight for medical students: the SAEM Medical Student Symposium, tailored to medical students applying to EM. Panel discussions with current EM residents, roundtable discussions, and lunch with EM program directors will prep EM-bound students for the application and selection process. Always a hot topic, Diagnostic Imaging and Radiation Exposure: How Much is Too Much? will discuss the risks of medical radiation exposure and examine methods to decrease the use of unnecessary medical imaging. Join Dr. Marc Nivet, the Annual Meeting keynote speaker, to discover the role of diversity and inclusion in promoting innovation in academic emergency medicine. The Residency and Fellowship Fair is a great place to network with program directors, faculty, and residents from EM residency and fellowship programs from across the country. Make the most of this opportunity to ask questions or identify away rotation options while getting a feel for individual programs you may not have otherwise considered. Discover the winners of the Resident and Student Advisory Committee Scavenger Hunt at the reception following the Residency and Fellowship Fair.

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This year, the SAEM Resident and Student Advisory Committee (RSAC) has two events developed specifically for emergency medicine residents and students to provide opportunities to learn, network, and share ideas. The RSACsponsored Abstract Scavenger Hunt on May 14-16 will allow teams of 2-3 medical students and residents to seek out abstracts in the Gallery of Excellence. Participants must answer questions using QR codes and their own smart phones.

The team answering the most abstract questions correctly will win exciting prizes, including free registration to the 2015 SAEM Annual Meeting and gift cards to Starbucks and Amazon.com. May the best team win! Join us at the Resident and Student Advisory Committee Reception on May 16 for the announcement of the winning team.

The inaugural session of IGNITE SAEM! on May 15 will be a blast, as colleagues speak for five minutes on a variety of topics near and dear to emergency medicine. The Resident Leadership Forum takes place on May 15 as well. All participating residents will begin the day in the Resident Leadership Track, before breaking into either the Chief Resident Forum Track or the Academic Primer Track. These sessions will provide you with leadership and teaching skills necessary in the practice of academic emergency medicine.

MAY 13-17, 2014

Welcome to Dallas as we celebrate SAEM’s 25th anniversary!

For 25 years, the Society for Academic Emergency Medicine’s Annual Meeting has provided a venue for researchers and educators to showcase innovative and cutting-edge research.

This year’s meeting promises to be bigger and better than ever, in true Texas style.

Finally, on May 17, discover how the new official subspecialty of clinical informatics promotes safe and efficient patient care.

Emergency Informatics Research: Interesting, Approachable Projects for Residents or the Career Scientist will explore future directions for research.

The SAEM Annual Meeting promises to captivate you with cutting-edge innovations and practice-shaping sessions. Even if you are not up for the battle, check out the SonoGames® and SimWars battles for supremacy. The poster sessions and oral abstracts will offer something for every interest. We look forward to seeing you in the didactics sessions, social events, and scavenger hunt, which all promise incredible learning and networking opportunities.

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TUESDAY, MAY 13, 2014 Dallas A1

Dallas D3

Coffee Break in Exhibit Hall – 7:00 - 8:00 am

7 AM

8 AM

Lone Star C3-C4

Lone Star C1-C2

BOD Orientation Meeting 12:00 - 5:00 pm

Program Directors Session

Simulation - Train the Trainer

Lifesaving Ultrasound

8:00 am - 5:00 pm

8:00 am - 5:00 pm

8:00 am - 5:00 pm

5:30 PM

WEDNESDAY, MAY 14, 2014

Society for Academic Emergency Medicine

Dallas B CMC

Dallas C CMC

9 AM

DS004: “Teaching 101” for Young Educators

DS014: Establishing Your Niche

11:30 AM

Dallas A3

Dallas D2

Dallas D3

DS009: Not Another Boring Lecture!

DS001: Maximize Your Career Potential

DS002: Emergency Department Discharges

DS003: Fulfilling the Resident Scholarly Project Requirement

DS005: Early Care of Septic Shock

DS006: Can We Improve Outcomes in Acute Heart Failure?

DS007: Stroke on the Fringes

DS011: Taking Your Academic Writing Skills to the Next Level

DS012: Diagnosing Dizziness

DS013: Community Paramedicine

DS015: Mentorship in Emergency Medicine

DS016: Exploring Traditional and Nontraditional Training

DS017: Where is the Evidence IV

DS022: Improve Your Teaching by Debunking Education Myths

DS023: Bringing Sports Medicine to the Emergency Physician

DS026: Leading Through Change: Becoming a Change Agent

DS032: Is the Patient Safe?

DS033: You took what???

Toxicologic Public Health Outbreaks

DS019: DS025: Innovations for Home Treatment with Target-specific Preventing Hospital Admissions and Anticoagulants Readmissions (TSAs) for Patients with Venous DS029: Thromboembolism Building a Geriatric (VTE) Diagnosed Emergency Dept. in the Emergency Risk Stratification Department Toolbox

DS020: Ultrasound Education

DS021: Super Utilizers: Patient-Centered Care

DS030: Development of workplace-based Assessment Tools in the ED

DS031: Ethical Issues in the Management of Potential Organ Donors

DS027: Principles of Medical Photography and the Use of Clinical Images in Medical Education

12:30 PM

Lunch – 12:30 - 1:30 pm

1:30 PM

Grover/Wheeler/Brown-Emergency Medicine: Challenges and Opportunities under the Affordable Care Act 1:30 - 3:00 pm in Dallas B/C

3 PM

Plenary Abstracts 3:00 pm - 5:00 pm in Dallas B/C 1-5

5:30 PM

Lone Star Ballroom — Preconvene Opening Reception 5:30 - 7:30 pm

7:00 PM

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Dallas D1

Power Break in Exhibit Hall – 10:00 - 10:30 am

10 AM

10:30 AM

Dallas A2

Coffee Break in Exhibit Hall – 7:00 - 8:00 am

7 AM

8 AM

Dallas A1

TUESDAY, MAY 13, 2014 Houston A-B-C

San Antonio A

San Antonio B

Austin 1

Austin 2

Austin 3

Advanced Evidence-Based Diagnosis Workshop 8am-5pm

Coffee Break in Exhibit Hall – 7:00 - 8:00 am Grants Workshop

Sr. Faculty Leadership Forum

Academia and Community Based EM

Planning for a Safer Decade of ED Analgesia

8:00 am - 5:00 pm

8:00 am - 5:00 pm

8:00 am - 5:00 pm

12:00 - 5:00 pm

AEM CC 8:00 am - 5:00 pm

WEDNESDAY, MAY 14, 2014 Lone Star C1-C2-C3-C4

Lone Star B

Houston A

Houston B

Houston C

San Antonio A

San Antonio B

Austin 1

Austin 2

Coffee Break in Exhibit Hall – 7:00 - 8:00 am

CVA & HA Poster Session 1 Wednesday Poster Abstracts

Oral Abstracts 14-21

8am-12pm SIM WARS 8am-12pm

73-205 796-797 ___________ Innovation Abstracts 8am-12:30pm

DS018: Making the Leap to Research Independence

International Emergency Medicine Oral Abstracts

CV-Basic Science Oral Abstracts 6-13

22-29

Power Break in Exhibit Hall – 10:00 - 10:30 am

Anesthesia and Analgesia

1-9

DS008: NIH Research Training Programs

DS024: Funding for EM Research Fellowships

Oral Abstracts 38-46

NIH Jeremy Brown of OCER

Sr. Faculty Leadership Forum CDP Session Combined

EMRA

EMRA

8am-12:30pm

8am-12:30pm

8am-12pm EMS NonCardiac-Arrest

Research Methods

Oral Abstracts

Oral Abstracts

47-55

56-64

Lunch – 12:30 - 1:30 pm Grover/Wheeler/Brown-Emergency Medicine: Challenges and Opportunities under the Affordable Care Act 1:30 - 3:00 pm in Dallas B/C Plenary Abstracts 3:00 pm - 5:00 pm in Dallas B/C 1-5

Lone Star Ballroom — Preconvene Opening Reception 5:30 - 7:30 pm

TUESDAY, MAY 13, 2014 Atrium

State Room 1

State Room 2

Majestic 1

Coffee Break in Exhibit Hall – 7:00 - 8:00 am

7 AM

Diversity 101 Closing the Diversity Gap

AEM CC Breakout Room

MERC Session

8am-12pm

8am-5pm

8am-5pm AEM CC Networking Event

8 AM

5:30 PM

5:30 -7:00 pm

WEDNESDAY, MAY 14, 2014 Atrium

Pearl 4

Seminar Theater

Live Oak

Coffee Break in Exhibit Hall – 7:00 - 8:00 am

7 AM

DS010: Emergency Medicine Websites

Moderated Posters 30-37

Power Break in Exhibit Hall – 10:00 - 10:30 am

DS028: Beyond Google: Information Mastery at the Point of Care in the Era of Evidence Syntheses: an E-classroom Experience

EMS Non-Cardiac-Arrest

10 AM

10:30 AM

Moderated Posters 65-72

DALLAS, TEXAS

8am-12pm

9 AM

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AEUS Business Meeting

MAY 13-17, 2014

8 AM Health Costs

11:30 AM

Lunch – 12:30 - 1:30 pm

12:30 PM

Grover/Wheeler/Brown-Emergency Medicine: Challenges and Opportunities under the Affordable Care Act 1:30 - 3:00 pm in Dallas B/C

1:30 PM

Plenary Abstracts 3:00 pm - 5:00 pm in Dallas B/C 1-5

3 PM

Lone Star Ballroom — Preconvene

5:30 PM

Opening Reception 5:30 - 7:30 pm 7:30 PM

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TUESDAY - WEDNESDAY, MAY 13-14, 2014 The following SAEM Committees and Interest Groups will NOT be meeting at the 2014 Annual Meeting in Dallas: • SAEM Finance Committee-Meeting Privately • SAEM Constitution & Bylaws Committee-Meeting Privately • SAEM CPR/Isch/Reperf Interest Group • SAEM Neurologic Emergency Medicine Interest Group • SAEM Medical Quality Management Interest Group • SAEM Uniformed Services Interest Group

Tuesday, May 13, 2014 – SAEM and Committee/Task Force/Academy/Interest Group/Board Meetings 10:00am-12:00pm 12:00-5:00pm 3:00-5:00pm

5:30-7:00pm 5:00-7:00pm

SAEM Committee of Academy Leaders Meeting (COAL) New SAEM BOD Orientation Meeting Program Committee - Subcommittee Meeting and Medical Student Ambassadors Meeting AEM CC Networking Event SAEM ADIEM LGBT Subcommittee Meeting

Majestic 5 (Hotel-37th Floor) Dallas Ballroom A1 (Conf. Center-1st Floor) Majestic 4 (Hotel-37th Floor) State Room 2 (Conf. Center-3rd Floor) Majestic 5 (Hotel-37th Floor)

Society for Academic Emergency Medicine

Tuesday, May 13, 2014 – Affiliated Meetings

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8:00am-5:00pm 8:00am-5:00pm 9:00am-5:00pm 5:00-6:30pm

Peer-Reviewed Lectures (PeRLs)-AWAEM Professional Development MERC Session EMRA BOD Meeting Community VOICES 3 Investigator Meeting

Cityview 1 (Hotel-4th Floor) Majestic 1 (Hotel-37th Floor) Trinity 1 (Hotel-3rd Floor) Cityview 4 (Hotel-4th Floor)

Wednesday, May 14, 2014 – SAEM and Committee/Task Force/Academy/Interest Group/Board Meetings 7:00-8:00am 7:00-8:00am 8:00am-12:00pm 9:30-11:00am 11:00am-12:00pm 11:00am-12:00pm 11:30am-12:30pm 11:30am-1:00pm 12:00-1:30pm 12:30-1:30pm

Program Committee Daily Meeting SAEM Research Committee Meeting AEUS Academy of Emergency Ultrasound-Business Meeting SAEM/ABEM Executive Committee Meeting SAEM Membership Committee Meeting SAEM Disaster Medicine IG Meeting SAEM New Chairs Orientation Meeting AEM Reviewers Workshop Luncheon-By Invitation Only SAEM International EM Fellowship Consortium Meeting SAEM CME Committee Meeting

Majestic 4 (Hotel-37th Floor) Trinity 5 (Hotel-3rd Floor) Atrium Room (Hotel-2nd Floor) Majestic 3 (Hotel-37th Floor) Majestic 2 (Hotel-37th Floor) Trinity 5 (Hotel-3rd Floor) Majestic 6 (Hotel-37th Floor) Majestic 4-5 (Hotel-37th Floor) Cityview 8 (Hotel-4th Floor) Cityview 2 (Hotel-4th Floor)

Wednesday, May 14, 2014 – Affiliated Meetings 8:00am-5:00pm 9:00am-12:00pm 9:30-11:00am 10:00am-2:00pm 12:00-1:30pm 12:30-1:30pm 1:30-2:30pm 1:30-2:30pm 1:30-5:30pm 2:30-3:00pm 3:00-4:00pm 4:00-5:00pm 5:00-7:00pm 7:00-8:30pm

CORD Meetings EMRA BOD Meeting SAEM/ABEM Executive Committee Meeting ACEP Research Forum Abstracts Subcommittee Meeting EMCREG-International Steering Committee Syncope Risk Stratification Study Meeting EMRA Committee Chair/Vice Chair Orientation Meeting EMRA Regional Representation Committee Meeting EMRA Medical Student Governing Council Meeting EMRA Conference Committee Orientation Meeting EMRA Reference Committee Public Hearing Meeting EMRA Reference Committee Work Meeting EMRA Quiz Show Brown University Reception (By Invitation only)

Majestic 10 (Hotel-37th Floor) Trinity 1 (Hotel-3rd Floor) Majestic 3 (Hotel-37th Floor) Majestic 7 (Hotel-37th Floor) Cityview 3 (Hotel-4th Floor) Majestic 1 (Hotel-37th Floor) Trinity 2 (Hotel-3rd Floor) Trinity 3 (Hotel-3rd Floor) Trinity 4 (Hotel-3rd Floor) State Room 3 (Conf. Center-3rd Floor) State Room 1-2 (Conf. Center-3rd Floor) State Room 1-2 (Conf. Center-3rd Floor) Austin Ballroom 2 (Hotel 2nd Floor) Remington Room (Hotel-4th Floor)

SAEM 2014 ANNUAL MEETING DIDACTIC PRESENTATIONS MAY 14-17, 2014 — DALLAS, TEXAS WEDNESDAY, MAY 14TH DS001: Maximize Your Career Potential: Strategies to Increase Your Academic Productivity

Society for Academic Emergency Medicine

Wednesday, May 14 - 8:00 - 9:00 am Location: Dallas Ballroom A1 Objectives: At the completion of this session, participants should be able to: 1. Identify strategies from the session that will increase their scholarly productivity, 2. List 3 strategies that will increase their potential for career advancement.

Description: Staying productive in research or other scholarly work is challenging for EM physicians, who often have many other personal and professional responsibilities competing for their time. However, career advancement in academic emergency medicine depends on scholarly productivity. Maintaining a successful publishing track record while balancing clinical shifts, educational responsibilities, and personal priorities requires planning and strategizing. We have many leaders in academic emergency medicine who have consistently maintained their productivity throughout their careers. In this session, junior and senior EM researchers will learn strategies from those who have been successful in our field. The session will be a 50-minute panel presentation with three panelists. There will be a brief introduction as well as a period for questions at the end. Each panelist will have 10 minutes to discuss strategies they use for maintaining their academic productivity. Examples of strategies may include building a supportive writing team, increasing productivity through collaboration with colleagues with similar interests, and building regular writing days into your clinical schedule.

Tracy Madsen Alpert Medical School of Brown University, Providence, RI - Submitter Esther Choo Alpert Medical School of Brown University, Providence, RI - Presenter David C. Cone Yale School of Medicine, CT - Presenter Lalena Yarris Oregon Health and Science University, Portland, OR – Presenter Jill M. Baren, MD Perelman School of Medicine, Philadelphia, PA - Presenter

DS002: Emergency Department Discharges: Education-based Solutions to Address a Significant Patient Safety Issue Wednesday, May 14 - 8:00 - 9:00 am Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Describe the major threats to safety surrounding patient discharge processes in the emergency department. 2. Describe a training intervention that targets emergency department patient discharge processes. 3. List several mechanisms for evaluating the impact of a discharge-related training intervention.

Description: The process of discharging a patient from the emergency department presents a significant threat to patient safety due to patient-, hospital-, and practitioner-related factors. While this issue exists in other areas of health care, the dynamic, time-pressured, highly variable environment of the emergency department presents additional challenges and inhibits safety mechanisms demonstrated to be effective in other settings. Faculty will begin this session with a short interactive discussion to engage the audience. Faculty will query attendees about discharge practices and practitioner education in their institutions. Session leaders will present an overview of the discharge process literature, focusing on emergency medicine. They will specifically highlight patient-, environment-, and practitioner-related factors that are potential targets for dischargerelated interventions. Faculty will present an educational intervention

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that targets all three (practitioner, patient, and environment) barriers to effective discharges. They will draw from both the communication and patient safety literature to support their approach and will present a mechanism to evaluate training effectiveness. They will end with a facilitated, interactive discussion focused on how to further this line of inquiry and create an educational agenda around discharge processes.

Fiona Gallahue University of Washington, Seattle, WA – Submitter, Presenter Amy E. Betz University of Washington, WA - Presenter H. Gene Hern Alameda Health System - Highland, CA - Presenter

DS003: Fulfilling the Resident Scholarly Project Requirement: Solutions from Both Program and Research Directors Wednesday, May 14 - 8:00 - 9:00 am Location: Dallas Ballroom A3 Objectives: At the completion of this session, participants should be able to: 1. Define the resident scholarly activity requirement 2. Identify feasible resident research and academic projects. 2. Understand how departmental research infrastructures can be adapted to complete resident research and scholarly activities. 3. Increase their knowledge of how to overcome challenges assisting residents and faculty mentors in executing high-quality resident research and scholarly projects.

Description: Resident research and scholarly activity represent both a challenge and an opportunity for departments or divisions of emergency medicine. An important objective of emergency medicine residency programs is to educate residents on the mechanics of clinical research and other forms of scholarly activity. Participation in research and scholarly activity may inspire residents to pursue an academic career. However, meeting the scholarly activity requirement can be difficult for both residents and faculty. Residents may perceive the scholarly activity requirement as a burden with resultant output of little academic value. Faculty mentors may be diverted from working on their long-term career goals for which department resources are allocated. As a result, academic departments of emergency medicine may struggle to identify feasible projects, mentors and resources for resident research and scholarly activity.

Dr. Garmel will introduce the session by providing an overview of the resident scholarly requirement and how feasible projects can be identified, focusing on early mentorship of residents and pairing residents with faculty who share the resident’s career interest. Dr. Venkat will discuss how academic departments of emergency medicine can identify resources for resident research and scholarly activity, including how to adapt existing research infrastructures for this purpose. Dr. Baumann will conclude the course by outlining her department’s hybrid model of non-research and research scholarly activities. She will also provide examples of successful scholarly projects from residents who pursued community and academic careers and will discuss how to improve faculty and resident motivation.

Arvind Venkat West Penn Allegheny Health System, Pittsburgh, PA - Submitter, Presenter Brigitte M. Baumann Cooper Medical School of Rowan University, NJ - Presenter Gus M. Garmel Stanford University School of Medicine, Kaiser Permanente, CA – Presenter

DS004: “Teaching 101” for Young Educators Wednesday, May 14 - 8:00 - 9:00 am Location: Dallas Ballroom B Objectives: At the completion of this session, participants should be able to: 1. Establish a safe learning climate that promotes enthusiasm for learning *Disclaimer: Didactics are placed in the program how they were submitted to SAEM.

and acknowledges a learner’s limitations. 2. Learn to control a teaching session utilizing their particular leadership/teaching style. 3. Learn to communicate clear expectations to help promote knowledge acquisition.

4. Learn how to teach content so that learners understand and retain the material in a more meaningful way.

Description: Educators are continuously charged to develop innovative approaches to enhance student learning. In fact, the ability to effectively educate others is one of the distinguishing features of an outstanding physician. Yet, many do so without any formal training or direction, making learning a trial-and-error process. Currently, the demand for highly skilled medical educators is ever increasing. As such, all educators must have a framework for teaching to ensure learners are learning and retaining what is taught to them. This workshop will address 4 aspects of teaching: learning climate, control of session, communication of goals, and promotion of understanding and retention. This workshop will provide skills to improve the interaction between the educator, the learner and the content being taught.

Nestor Rodriguez University of Wisconsin, Madison, WI - Submitter, Presenter Megan Cloutier Emory University, GA - Presenter Mary Westergaard University of Wisconsin, WI – Presenter

DS005: Early Care of Septic Shock: New Data and How Does it Fit?

Wednesday, May 14 - 8:00 - 9:00 am Location: Dallas Ballroom D2 Objectives: At the completion of this session, participants should be able to: 1. Understand the epidemiology of AHF related to the ED. 2. Describe both current and emerging biomarkers and therapies. 3. Describe potential alternative strategies to hospitalization. 4. Understand the role of the ED regarding national quality metrics. 5. Describe key unanswered research questions.

Description: This state-of-the-art session will focus on the pivotal role of emergency medicine in acute heart failure (AHF). The role of the ED regarding HF quality measures will also be discussed. New and emerging biomarkers, updates on emerging therapies along with novel strategies to reduce morbidity and mortality will also be presented. Key future hypotheses to advance the field will be discussed and debated.

Objectives: Upon completion of this course, participants should be able to: 1. Define wake-up stroke, and summarize the present understanding of the pathophysiology of wake-up stroke 2. Define who may benefit from thrombolysis after wake-up stroke. 3. Define rapidly improving/minor stroke and summarize the present outcomes. 4. Describe the future direction of research for management of rapidly improving/minor stroke.

5. Summarize the different types of anticoagulants that the patients with acute ischemic stroke (AIS) may be on and their implication in the setting of thrombolysis.

Description: Intravenous thrombolytic therapy continues to be the only FDA-approved acute treatment available for patients with AIS. The goal of this session is to discuss three stroke syndromes that blur the indication for thrombolysis: 1) Wake-up Stroke, 2) Rapidly improving/minor strokes, and 3) Patients with AIS in the setting of oral anti-coagulants. “Wake-up Stroke” refers to patients who were normal when they went to bed, and subsequently awaken with findings of acute stroke. These patients have traditionally been challenging in terms of their eligibility, because of an undefined time of onset. New research suggests that the time of awakening may be considered the onset time of the stroke. The goal of this session will be to discuss wakeup stroke management, what the research indicates, and where the cuttingedge research is headed. Rapidly improving/minor strokes are defined as NIHSS < 5 or rapidly improving symptoms. Because these patients were initially excluded from the NINDS-tPA trial, information regarding efficacy and safety in these groups was limited. However, multiple studies have suggested poor outcomes for these patients. The goal of this session will be discuss the findings leading to the debate on optimal treatment in this setting, and current definitions and future research that may be able to answer this question. Patients with AIS in the setting of anticoagulation, especially with the new generation of anticoagulants, present another challenge to the bedside clinician in deciding on thrombolysis. The goal of this session will be to address the newer generation anticoagulants and the approach to management of these patients.

Pratik Doshi University of Texas Health Science Center, Houston, Houston, TX - Submitter Peter Panagos Washington University, St Louis, MO - Presenter Joshua Goldstein Harvard Medical School, Boston, MA - Presenter Laura Heitsch Washington University, MO - Presenter Edward Jauch Medical University of South Carolina, Charleston, SC – Presenter

DALLAS, TEXAS

DS006: Can We Improve Outcomes in Acute Heart Failure?

2014 Update on Acute Heart Failure Research

Wednesday, May 14 - 8:00 - 9:00 am Location: Dallas Ballroom D3

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Objectives: At the completion of this session, participants should be able to: 1.Describe the most recent study goals, design, and observed outcomes.

2. List two strengths and two weaknesses of the recent study and results.

3. Identify at least one contrast and one common theme between all EDbased septic shock research studies. 4. Name at least two approaches to improving early septic shock care.

Description: A recently completed NIH-funded multi-site, ED-based RCT of early septic shock care released results. These data, along with those available over the past decade, bring into focus the key role of emergency care in improving outcomes of patients with septic shock. In this session, experts will review the current data and design, including limits; elicit expert opinion on the current evidence and the impact on care and on future research; and discuss the policy implications of the current knowledge base.

Donald M. Yealy University of Pittsburgh, Pittsburgh, PA - Submitter, Presenter Emanuel P. Rivers Henry Ford Hospital, MI - Presenter Stephen Trzeciak Cooper Hospital/University Medical Center, Camden, NJ - Presenter Alan Jones University of Mississippi Medical Center, Jackson, MS - Presenter

DS007: Stroke on the Fringes: Update on Management of Wake-Up Stroke, Rapidly Improving/Minor Strokes, and Thrombolysis in the Setting of Oral Anti-Coagulants

MAY 13-17, 2014

Wednesday, May 14 - 8:00 - 9:00 am Location: Dallas Ballroom D1

Peter Pang Northwestern University FSM, Chicago - Submitter, Presenter Phillip Levy Wayne State University, MI - Presenter Sean Collins Vanderbilt University, Nashville - Presenter Gregory J. Fermann University of Cincinnati, OH – Presenter

DS008: National Institutes of Medicine (NIH) Research Training Programs or How to Jumpstart a Research Career!

Wednesday, May 14 - 8:00 - 9:00 am Location: Houston Ballroom B Objectives: At the completion of this session, participants should be able to: 1. Describe the organization of NIH and understand that many institutes support extramural research training programs. 2. Understand how NIH postdoctoral training mechanisms, fellowships, and early-career faculty awards help build independent research careers. 3. Describe opportunities for training on the NIH campus (NIH intramural training programs). 4.

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Recognize that a loan repayment program exists for some clinicians who pursue NIH research training.

Description: One of National Institutes of Health’s (NIH’s) critical missions is to ensure that there are scientists to meet this country’s biomedical research needs in the future. The goal of this session is to provide an overview of NIH and its training programs with emphasis on programs available to clinicians wishing to pursue scientific careers. Topics will include institutional postdoctoral training programs (T32 grants), as well as fellowship programs (F grants), and early career development awards (K grants). Training programs in the NIH intramural labs will also be discussed as well as NIH loan repayment programs that support scientists who study specific areas. And finally, the conversation will cover NIH online resources and personnel who are available to provide additional information as you start to investigate a research training program.

Jane D. Scott NHLBI, NIH, Bethesda, MD - Submitter, Presenter

DS009: Not Another Boring Lecture!

Society for Academic Emergency Medicine

Wednesday, May 14 - 8:00 - 10:00 am Location: Dallas Ballroom C Objectives: At the completion of this session, participants should be able to: 1. Recognize examples of less effective instruction. 2. Demonstrate a basic understanding of modern learning theories and their role in instructional design. 3. Employ new teaching tools effective for their environment.

Description: This session will challenge participants to branch out of their comfort zone by demonstrating and encouraging the use of modern instruction. Learners only retain 10-30% of what they hear in standard lectures, often because little attention is paid to learning theories and principles of instructional design that promote improved attention and knowledge retention. During the session, participants will participate in several methods of interactive teaching that demonstrate dynamic opportunities for the teacher to engage the learner. These will include cooperative learning, modified team-based learning, and computerassisted learning. At the completion of the session, participants will be able to incorporate new teaching methods into their practice.

Meg Wolff University of Michigan, MI - Submitter, Presenter Amish Aghera Maimonides Medical Center, Albert Einstein College, NY - Presenter Steve Cico Northwestern University Feinberg School of Medicine, Chicago, IL - Presenter Sally Santen University of Michigan, Ann Arbor, MI – Presenter

DS010: Emergency Medicine Websites: A Review, the Future and a “How-To” Guide Wednesday, May 14 - 8:00 - 10:00 am Location: Seminar Theater Objectives: At the completion of this session, participants should be able to: 1. Describe emergency medicine topic-specific public websites and resources. 2. Discuss goals and barriers to creating a website, blog, video/ audiocast, or a social media feed. 3. Review goals, development and traffic details of redpod.org. 4. Provide a step-by-step guide for how to contribute to or create a web space with a limited budget.

Description: The volume of emergency medicine material available on the web has changed how we practice and how we teach. Individuals, residency programs and nonprofits are contributing greatly to this nexus of information. Join us for a review of how our community is contributing.

We will summarize our own experiences with creating, composing, and sharing key concepts online for self-motivated learners (www.redpod. org). We will analyze the limitations and challenges we have faced, and how we have worked together as a multidisciplinary team to create a locally well-utilized website oriented toward the interests of our followers. For individuals interested in contributing to or creating their own website, blog, video/audiocast, or social media feed, we will discuss the key first steps to launching such a venture with a limited budget.

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Oli Francis University of Connecticut, CT - Submitter, Presenter Lalaynya Dobrowolsky Hartford Hospital, CT - Presenter Gabrielle Jacknin Memorial Hospital - University of Colorado Health, CO – Presenter

DS011: Taking Your Academic Writing Skills to the Next Level: Tips from the Experts Wednesday, May 14 - 9:00 - 10:00 am Location: Dallas Ballroom A1 Objectives: At the completion of this session, participants should be able to use tools they have learned to improve their academic writing skills by more effectively communicating the outcomes of EM research to the research community, the media, and the public.

Description: Scholarly writing is a skill that is essential for EM researchers to master in order to effectively communicate the results of their work.

Without high-quality academic writing, research in our field cannot be translated into recommendations for clinical practice or public policy changes, and the lay public will not learn about studies that may affect their health. In addition, career advancement in academic EM depends on physicians’ abilities to write and publish in a variety of formats. Furthermore, many EM physicians have never received any formal training in academic writing. The session will be a 50-minute panel presentation with three panelists. There will be a brief introduction and a brief period for questions at the end. Each panelist will focus on a specific area of academic writing and will have 12 minutes to communicate practical tools to help improve the quality of writing by EM researchers and clinicians. The three areas of focus will be research manuscripts, clinically oriented review articles in EM publications, and pieces written to communicate EM research to the media and/or lay public.

Tracy Madsen Alpert Medical School of Brown University, Providence, RI – Submitter, Presenter Deb Houry Emory University School of Medicine, Atlanta, GA - Presenter Kevin Klauer Emergency Medicine Physicians, Canton, OH - Presenter Christopher Carpenter (tentative) Washington University School of Medicine, St. Louis, MO – Presenter

DS012: Diagnosing Dizziness – A Fresh Approach Wednesday, May 14 - 9:00 - 10:00 am Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Understand the basis for and the intrinsic limitations of the traditional “symptom quality” diagnostic approach to dizziness. 2. Describe a new approach for the diagnosis of acutely dizzy patients based on symptom “timing and triggers.” 3. Apply targeted bedside eye examination tests to help reduce misdiagnosis of posterior circulation stroke. 4. List the limitations of brain imaging (both CT and MRI) in diagnosing dizzy patients.

Description: Two nationally known experts on neurological emergencies who have published cutting-edge research on the diagnosis of acutely dizzy patients in the emergency department (ED) will present a new diagnostic paradigm. This is not simply a discussion about how to diagnose the dizzy patient, but rather a critical review of up-to-date research that suggests the very foundation upon which we diagnose dizzy patients is faulty. Importantly, this is not just a session for trainees: even the most experienced clinician will be able to learn and implement this new diagnostic paradigm that has the potential to change practice and improve care. The moderator is Josh Goldstein. Jonathan A. Edlow will review the original study upon which the “symptom quality” diagnostic paradigm was based and recent research that undercuts the basic premises of the symptom quality approach. Dr. Edlow will present data that suggests that a new diagnostic paradigm based on dizziness “timing and triggers” and a bedside oculomotor exam is far more consistent with our current evidence base. David Newman-Toker will focus on solutions. Imaging can be misleading. CT is rarely the best test for a dizzy patient, and even MRI can miss up to 12% of posterior circulation strokes

in the first 48 hours. Current evidence suggests that we can make more precise diagnoses using a targeted bedside exam, and ongoing research using video-goggles opens the possibility that soon, we may be able to automate the bedside oculomotor exam and have an “EKG of the eyes.”

Jonathan Edlow Beth Israel Deaconess Medical Center, Boston, MA - Submitter David Newman Toker Johns Hopkins Medical School, Baltimore, MD - Presenter Josh Goldstein Massachusetts General Hospital, MA – Presenter

DS013: Community Paramedicine: A Novel Strategy to Decrease ED Crowding and Costs Wednesday, May 14 - 9:00 - 10:00 am Location: Dallas Ballroom A3

Objectives: At the completion of this session, participants should be able to: 1. Establish a timeline of activities for the first five years of their career and develop a professional mission statement. 2. Identify the importance of mentoring relationships and their role in establishing such relationships.

3. Define the importance of establishing a career focus niche, and how to nurture required skills. 4. Describe the fine balance between universal faculty obligations and individual career development. 5. List general faculty development opportunities common across all departmental faculty.

Description: Entry-level and junior faculty members frequently encounter a perplexing workplace that may not overtly provide the guidance or tools to

Objectives: At the completion of this session, participants should be able to: 1. Describe the mentoring models that exist for medical students and residents. 2. List several benefits specific to residents in these mentorship relationships. 3. Describe the limitations to assigning mentors to mentees.

4. Describe the role of gender in mentorship.

Description: Mentorship is defined as a reciprocal relationship in a work environment between an advanced career incumbent (mentor) and a beginner (mentee) intended to promote professional development and career advancement. Despite the well-known benefits of mentorship, only 40% of medical students have identified a mentor. Additionally, formal mentoring programs for medical students and residents are lacking in most countries. That said, one of the barriers to the mentorship relationship, “finding a suitable mentor,” can be solved by starting a mentorship program.

This session will feature two speakers and a panel of residents and students who have participated in mentorship programs. Two types of groupmentoring models, both involving students, residents and faculty, will be presented to participants. The structure of the mentorship relationships in both programs includes residents as mentors to students, providing unique benefits to all involved in the mentorship programs. Successes and failures in mentorship will be discussed. Pros and cons of group mentoring, genderspecific mentoring, and assigned mentoring will also be discussed.

Sarah Ronan-Bentle University of Cincinnati, Cincinnati, OH - Submitter, Presenter Nicholas Kman The Ohio State University Dept. of Emergency Medicine, OH – Presenter

DS016: Exploring Traditional and Nontraditional Training Opportunities in Emergency Health Services Research

DALLAS, TEXAS

Wednesday, May 14 - 9:00 - 10:00 am Location: Dallas Ballroom B

Wednesday, May 14 - 9:00 - 10:00 am Location: Dallas Ballroom D1

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DS014: Establishing Your Niche: The First Five Years

DS015: Mentorship in Emergency Medicine: From NearPeers to Tiers

MAY 13-17, 2014

Objectives: At the completion of this session, participants should be able to: 1. Describe the proportion of 911 dispatches and ambulance transports for non-emergent complaints, and the costs associated with this use of the EMS system. 2. Describe the goals, practices, and outcomes of existing community paramedicine programs. 3. Understand the effects of a community paramedicine program on ED crowding and ambulance diversion.

4. Explain the major research methodologies available for outcomes-based and cost-efficacy evaluation of community paramedicine programs.

Description: Many patients that access the EMS system and are transported to emergency departments could be managed at home or in lower-acuity settings. The Affordable Care Act creates opportunities for health care services research focusing on alternate prehospital delivery models that may be more efficient and effective for patients needing unscheduled but non-emergent care. While legislative or regulatory relief would be required in most states before implementation, one such model, community paramedicine, would expand paramedic scope of practice to include management and referral of appropriate patients without transport, or transport of patients to destinations other than emergency departments. If broadly implemented, community paramedicine could markedly decrease ED crowding. In addition, the model could create new career pathways for emergency physicians. Many have voiced concerns regarding paramedics’ ability to determine emergent vs. non-emergent patient presentations, and the ability of EMS systems to create, evaluate, and administer such programs safely and effectively. This didactic session uses brief presentations and a panel discussion by EMS leaders to explore data supporting development of community paramedicine, as well as current examples of existing projects. Additionally, it details select methodologies for program design and evaluation that may be successfully applied to this new field.

Shira Schlesinger University of California, Irvine, Orange, CA - Submitter, Presenter Mike Wilcox St. Paul, MN - Presenter Jeff Beeson MedStar Mobile Healthcare, Dallas, TX - Presenter Kristi L. Koenig Center for Disaster Medical Sciences, University of California, Irvine, CA – Presenter

chart an organized faculty development and professional career pathway.

There are many conflicting demands on newly hired faculty, and a reluctance to say “no” may further compromise career goals. Establishing a timeline for the first five years and developing a professional mission statement are extremely important tasks for junior faculty. Developing short-term and long-term SMART career goals is also of utmost importance. These topics and others will be discussed.

Carey Chisholm Indiana University School of Medicine, Indiana University Indianapolis, IN - Submitter, Presenter John Ma Oregon Health and Science University, Portland, OR – Presenter

Wednesday, May 14 - 9:00 - 10:00 am Location: Dallas Ballroom D2 Objectives: At the completion of this session, participants should be able to: 1. List the various graduate and post-doctoral training opportunities available in health services research. 2. Describe how a research training program is structured. 3. Describe how to locate and secure a fellowship with a tailored research experience, including working with program directors and department chairs. 4. Define the importance of mentorship, how to find a mentor, and how to build a mentorship team.

Description: The complexity and costliness of US health care necessitates a cadre of trained researchers with the expertise to answer timely questions regarding the delivery and financing of the health care system. Health services research (HSR) is a growing field that studies how social factors, financing systems, organizational structures and processes, and health behaviors affect access to health services, health outcomes, and the quality and cost of health care. Over the past decade, there has been an increase in training opportunities for HSR available to physicians. These programs include AHRQ-funded institutional training grants (T32), NIHfunded institutional grants for emergency research (K12), and the Robert Wood Johnson Clinical Scholars Program. Our goal is to provide participants with an overview of the types of programs available and paint a picture of what a research fellowship in HSR looks like. At the start of the didactic, Dr. Sabbatini will provide a brief introduction of the speakers and define HSR

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for the audience. The first speaker, Dr. Newgard, director of the K12 research fellowship at OHSU, will discuss the features of formal training programs, including but not limited to length, clinical work expectations, salary and service obligations, and publications and grants typical during and after a research fellowship. He will also emphasize what to look for in a mentor and how to build a mentorship team. For the second portion of the talk, Dr. Barsan will discuss his experiences with HSR fellows as chair of a department of emergency medicine and describe how to work with departmental chairs to design an individual fellowship, including contract negotiation, clinical/ departmental responsibilities, salary and expectations for grant support, and balancing clinical work with research.

Amber Sabbatini University of Michigan, Ann Arbor, MI - Submitter, Presenter Esther Choo Warren Alpert Medical School of Brown University, Providence, RI - Presenter William Barsan University of Michigan, MI – Presenter

award, and will comment on how the award helped them in their research careers. Panelists will include: former K08 awardee Lance Becker, MD, former K23 awardee Sean Collins, MD, MS and Jeffrey Glassberg, MD, MA, who is a recent K23 recipient.

Jane D. Scott NHLBI, NIH, Bethesda, MD - Submitter, Presenter Lance B. Becker University of Pennsylvania Health System, Center for Resuscitation Science, PA - Presenter Jeffrey A. Glassberg Mount Sinai, New York, NY – Presenter

DS017: Where is the Evidence IV: The ABCs of Pediatric Respiratory Infections

Objectives: At the completion of this session, participants should be able to: 1. Discuss evidence-based alternatives to hospitalization from the ED focusing on clinical prediction rules and other criteria to guide decisions. 2) Explain novel strategies such as Hospital at Home and transitional care to reduce admissions. 3) Describe options for patients with uncertain follow-up.

Description: Emergency department utilization is increasing as the population ages, and a disproportionate number of older patients who present to emergency departments are admitted to the hospital. The reasons for this are varied, and include provider discomfort with discharge planning, insufficient coordination with outpatient providers, and perceived lack of support or resources at home. Hospital admission, particularly for older patients, is fraught with complications such as hospital-acquired infections, exacerbations of delirium, and falls, all of which are associated with significant morbidity and financial burden. Avoiding hospital admission and readmission is an attractive goal, as it may reduce these complications and lead to safer, more effective, and better-quality patient care. In this session, we will examine evidence-based alternatives to hospitalization from the ED, focusing on clinical prediction rules to guide decision-making, alternative strategies such as Hospital at Home, improving transitions in care to prevent unnecessary readmissions, and exploring options for patients with uncertain follow-up.

Marian Betz University of Colorado School of Medicine, Aurora, CO - Submitter Mary Tanski Oregon Health and Science University, Portland, OR - Presenter Jesse Pines George Washington University School of Medicine, Washington, DC – Presenter

Society for Academic Emergency Medicine

Wednesday, May 14 - 9:00 - 10:00 am Location: Dallas Ballroom D3 Objectives: At the completion of this session, participants should be able to: 1. Accurately stratify severity of illness in the ED for each respiratory illness in order to appropriately institute therapy. 2. Develop evidence-based ED treatment strategies for each of these common pediatric respiratory infections.

Description: Children with respiratory diseases frequently present to emergency departments. Asthma, bronchiolitis, and croup all pose unique challenges and clinical dilemmas for the emergency physician. Acute asthma requires intensive therapy and assessments, which can lead to prolonged ED length of stay and high admission rates. Bronchiolitis remains among the most difficult clinical entities to manage in the ED setting, owing to lack of efficacious therapies and the highly changeable nature of respiratory distress and hypoxemia. Croup, on the other hand, has known therapies that are effective, yet recognition of correct application of treatment in the ED setting is not always the rule. Treatment dilemmas remain for each of these commonly encountered respiratory infections. Accumulated evidence, including recent trials, has advanced our knowledge of asthma, bronchiolitis, and croup, and has permitted evidence-based approaches to their treatment in the ED. In this session, the up-to-date evidence for ED management of acute asthma, bronchiolitis, and croup will be presented, including synthesis of current literature for each condition. We will review the latest evidencebased approach and treatment for each respiratory illness, and discuss upcoming research and potential future ED interventions.

Rakesh Mistry Children’s Hospital Colorado, Denver, CO - Submitter, Presenter Richard Ruddy Cincinnati Children’s Hospital, OH - Presenter Todd A. Florin Cincinnati Children’s Hospital Medical Center, OH – Presenter

DS018: Making the Leap to Research Independence: NIH Career Development Awards Wednesday, May 14 - 9:00 - 10:00 am Location: Houston Ballroom B Objectives: At the completion of this session, participants should be able to: 1. Describe the objectives of NIH individual career development awards.

2. Understand the differences between institutional (K12, KL2) awards and individual awards (K08/K23 award). 3. Understand how the awards help young faculty develop areas of research expertise 4. Identify why K awards are critical in developing research independence.

Description: The goal of the session will be to provide an overview of NIH Institutional Career Development Awards (K12, KL2) as well as the individual career development awards (K08, K23). The panel includes current and former K- awardees who are emergency medicine faculty. Investigators will discuss their experiences in applying for the K awards, the benefits of the

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DS019: Innovations for Preventing Hospital Admissions and Readmissions Wednesday, May 14 - 10:30 - 11:30 am Location: Dallas Ballroom A1

DS020: Developing an Effective Curriculum for Incorporating Ultrasound Education into the Gross Anatomy Course in Medical School Wednesday, May 14 - 10:30 - 11:30 am Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Discuss key components for developing a comprehensive ultrasound curriculum in gross anatomy. 2. Develop a systematic approach for incorporating basic and advanced ultrasound imaging applications into the gross anatomy course. 3. Describe effective methods of evaluating learner competencies. 4. Discuss challenges associated with program implementation. 5. Recognize the importance of collaboration with the gross anatomy instructor to accomplish the educational objectives.

Description: This course will provide participants with the necessary tools to develop effective ways of implementing a curriculum for incorporating ultrasound education into the medical school gross anatomy course.

The course content will include examples of curriculum documents used at the Wayne State University School of Medicine since 2006, and tips on developing more effective teaching methods using ultrasound to enhance the medical student’s understanding of gross anatomy. The course will also focus on developing appropriate and practical objectives for implementing a curriculum for teaching gross anatomy. Unique aspects of course implementation will also be discussed, including recruiting enough qualified

instructors and how to develop student interest in ultrasound very early in the preclinical years. Participants will also learn about effective ways of evaluating medical student competencies in ultrasound image acquisition and interpretation, and how to partner with the gross anatomy professor to facilitate course implementation.

David Amponsah Henry Ford Hospital, Detroit, MI - Submitter, Presenter Mark Ireland Wayne State University School of Medicine, Detroit, MI - Presenter Julian Suszanski Henry Ford Hospital, Detroit, MI - Presenter Gregory Hays Henry Ford Hospital, Detroit, MI - Presenter Sudhir Baliga Henry Ford Hospital, Detroit, MI – Presenter

DS021: Super Utilizers: Patient-Centered Care Wednesday, May 14 - 10:30 - 11:30 am Location: Dallas Ballroom A3

Objectives: At the completion of this session, participants should be able to: 1. Explain several limitations associated with traditional teaching. 2. Discuss evidence for optimizing educational techniques from the teaching and learning literature. 3. Apply the evidence to develop strategies to change and improve their teaching practice.

Description: RATIONALE: In the same way that clinicians apply evidencebased changes to their practice, medical educators should use evidencebased conclusions from pedagogical literature and incorporate it into their teaching practice. CONTENT: This workshop will help participants translate evidence from some landmark education articles: 1) urban legends of learning styles; 2) multi-tasking and applications to teaching; 3) learning retention; and 4) technology and learning. Each year, this highly rated session

Objectives: At the completion of this session, participants should be able to: 1. Recognize the growing demand for emergency care of athletic injuries and identify the unique challenges and opportunities involved in providing this care. 2. Understand the role of the emergency physician in advancing care through research and resident education in sports medicine. 3. Identify areas of scholarly concentration for the non-fellowship-trained emergency physician with an interest in sports medicine.

Description: While increasing numbers of emergency physicians are pursuing fellowship training in sports medicine, many more are staffing mass participation events, covering athletic sidelines, and facing sports medicine challenges in the emergency department. Management of sports-related concussion, injury prevention in youth sports, and sudden cardiac arrest in athletes are hot topics in the sports medicine community with particular relevance to emergency medicine. This session will highlight controversial clinical issues surrounding care of the athlete, opportunities for research and resident education, and recommendations for the emergency physician desiring greater involvement in sports medicine. Each speaker practices academic emergency medicine, clinical sports medicine, or team medicine in settings encompassing high school, college, and professional sports.

Jeffrey Feden, MD, will provide a brief overview of controversies in sports medicine and their importance to the emergency physician (10 minutes).

Moira Davenport, MD, associate EM residency director at Allegheny General Hospital and team physician for the Pittsburgh Pirates baseball team, will highlight opportunities for advancing concussion care through research and peer education (15 minutes). Anna Waterbrook, MD, associate fellowship director and team physician at the University of Arizona, will discuss methods to enhance EM resident education in orthopedics and sports medicine (10 minutes). The program will conclude with a collective review of practical considerations for the emergency physician interested in developing professionally in this growing field (10 minutes). A brief question-and-answer session will follow (5 minutes).

Jeffrey Feden Alpert Medical School of Brown University, Providence, RI – Submitter, Presenter Anna Waterbrook University of Arizona, Tucson, AZ - Presenter Moira Davenport Allegheny General Hospital, Pittsburgh, PA – Presenter

DALLAS, TEXAS

Wednesday, May 14 - 10:30 - 11:30 am Location: Dallas Ballroom D2

Wednesday, May 14 - 10:30 - 11:30 am Location: Dallas Ballroom D3

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DS022: Improve Your Teaching by Debunking Education Myths: Evidence-based Teaching Workshop Using Articles That Will Change Your Teaching Practice

DS023: Bringing Sports Medicine to the Emergency Physician

MAY 13-17, 2014

Objectives: On completion of this session, participants should be able to: 1. Describe the utility of a patient-centered care committee for ED super utilizers. 2. Recognize the resources in their community to aid in the care of the super utilizer. 3. Explore the implications of super utilizers on the hospital. 4. Review ways to access community outreach and resources.

Description: The emergency department (ED) is packed, trauma patients are coming in by air and ground, and here comes James, stumbling in, for his third visit today. Call it what you may: “super utilizer,” “uber-user,” “population management,” or “complex case management,” EDs often serve as the super utilizer’s primary source for health care. This is an untenable situation: health care systems are attempting to improve quality of care, reduce costs, and provide EMTALA-mandated care while many other resources are still fragmented or inaccessible. The speaker will discuss the “complex case super utilizer” committee and its mission in a Level 1 urban-based trauma hospital. The speaker will review the resources and community outreach that have come together to champion this population and will review the steps to reduce use of the ED, decrease unnecessary admissions, support patients through community resources, and improve patient outcomes. The speaker will present several case-based experiences discussing complex case management with patient-centered plans for patients with chronic illnesses and will discuss how the super utilizers have acclimated to a community-based health care system. Finally, the speaker will describe the key components to assessing eligibility for enrollment services through federal, state, and community resources.

Ashlee Melendez University of Louisville, Louisville, KY - Submitter, Presenter Kirsten Rounds Alpert Medical School of Brown University, Providence, RI - Presenter Kenneth A. Marx University of Florida, Gainesville, FL – Presenter

incorporates the most recent literature to inspire changes in teaching practice. The evidence will be briefly presented; the participants will then divide up into small groups to plan learning or assessment exercises based on their own settings. The workshop will be highly interactive, requiring participants both to use the evidence and to apply it to their teaching, learning and assessment practices. The workshop will incorporate largeand small-group exercises to understand the concepts and to develop ways to improve each participant’s teaching skills. The participants will gain a better understanding of the available evidence for effective teaching and assessment, take home strategies for improving their teaching, and develop a plan for incorporating the evidence into their teaching practice.

Sally Santen University of Michigan, Ann Arbor, MI - Submitter, Presenter Susan E. Farrell Partners Healthcare International, Harvard Medical School, Boston, MA - Presenter Robin Hemphill Veterans Association, Ann Arbor, MI - Presenter Laura R. Hopson University of Michigan, Ann Arbor, MI – Presenter

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DS024: Funding for EM Research Fellowships: NIH PostDoc Institutional Training Grants (T32)

Society for Academic Emergency Medicine

Wednesday, May 14 - 10:30 - 11:30 am Location: Houston Ballroom B Objectives: At the completion of this session, participants should be able to: 1. Understand that NIH T32 training is a fundamental building block in developing research careers. 2. Describe how the NIH T32 postdoctoral training grants can be aligned in conjunction with EM fellowship programs. 3.

Describe the attributes of successful T32 programs, and be better prepared to write a T32 grant application.

Description: The National Institutes of Health have a long history of funding Institutional Training Programs (T32 grants) that provide pre- and postdoctoral research training. T32 postdoctoral programs are frequently aligned with clinical fellowship programs and provide postdoctoral trainee stipends, tuition, travel, and training-related expenses. Most importantly, the stipends provide 90% protected time to pursue research. T32 training generally takes two or three years and is the foundation of a research career.

Those who complete the training often go on to obtain NIH research career development awards (K awards) and NIH research funding (R01 grants).

Currently there are more than 1,400 T32 programs funded nationwide.

These are highly competitive five-year training grants. To date, emergency medicine has had very limited success in translating these fellowship guidelines into the T32 mechanism. Several years ago, the SAEM Fellowship Task Force established guidance for clinical and health services research EM fellowships. The Task Force recommendations addressed training length, protected time, courses, ethics, grant writing, publications, mentoring and metrics. The Fellowship criteria are clear, specific, and challenging, and the final result is that EM research fellowship requirements are now comparable to many T32 postdoctoral research training programs. The purpose of this session is to provide an overview of NIH T32 programs, explore how these training grants might benefit EM research fellowships, and discuss ways to maximize application success. Discussion will include program structure, leadership, mentoring, coursework and metrics of program success.

Jane D. Scott NHLBI, NIH, Bethesda, MD - Submitter Judd Hollander University of Pennsylvania, Philadelphia, PA - Presenter Cynthia D. Morris Oregon Health & Science University, Portland, OR - Presenter Douglas B. Sawyer Vanderbilt K12 Program in Emergency Medicine, Nashville, TN - Presenter Lynne D. Richardson Icahn School of Medicine at Mount Sinai, New York, NY – Presenter

DS025: Home Treatment with Target-specific Anticoagulants (TSAs) for Patients with Venous Thromboembolism (VTE) Diagnosed in the Emergency Department Wednesday, May 14 - 10:30 am - 12:30 pm Location: Dallas Ballroom C Objectives: At the completion of this session, participants should be able to: 1. Describe how to initiate an outpatient treatment protocol for venous thromboembolism using TSAs in the emergency department. 2. Explain the barriers to and patient- and hospital-oriented implications of initiating this protocol.

Description: This session seeks to generalize a standard care protocol of home treatment for low-risk patients with VTE, including PE, with TSA agents. The workshop comprises three sessions: lecture, breakouts and summary. The lecture session will present the protocol and outcomes from one year of enrollment, and will cover three topics: Clinical and Operational, Economic, and Academic Advancement. 1) Clinical and operational topics: i. Risk stratification to select low-risk patients; ii. Pharmacology, access and adherence to NOAC therapy; iii. The mechanism for follow-up, including an EM-run clinic, what needs to be monitored and when; iv. Via Skype, live testimonial of opinions and preferences from VTE patients from our clinic, comparing this experience to “Coumadin clinic”; v. Operationalizing the protocol; and vi. Pitfalls and Setbacks. 2) Economics: i. Case-control cost data comparing our patients to matched controls treated with warfarin; ii.

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Economic value of this approach to patients and hospitals with under four hypothetical payer assumptions: Patient self-pay, Medicare, Medicaid, or private health insurance. 3) Academic advancement: i. Funding opportunities from industry, PCORI and CMS; ii. This model as a platform to train research fellows in the policy and science of expanded home treatment in emergency care. Participants will then break into small-group sessions (15-20/group) to discuss the approaches, barriers and questions from their perspectives, including issues unique to their institutions. Expected concerns include reversal protocols. In the summary session, all participants will review the themes of the breakout sessions and, as needed, ask questions of the organizers and the patient participant.

Jeffrey Kline Indiana University School of Medicine, Indianapolis, IN - Submitter, Presenter Daren M. Beam Indiana University School of Medicine, Indianapolis, IN - Presenter Zachary P. Kahler Indiana University School of Medicine, Indianapolis, IN – Presenter

DS026: Leading Through Change: Becoming a Change Agent Wednesday, May 14 - 10:30 am - 12:30 pm Location: Dallas Ballroom B Objectives: At the conclusion of this session, participants should be able to: 1. Identify the typical obstacles to promoting change within an organization.

2. List practical tools of change leadership that attendees can start exercising immediately. 3. Discuss techniques to manage individuals and create a culture of change.

Description: This session will provide participants with practical tools and advice by which to 1) establish “buy-in” with change, 2) understand the culture of a true learning organization, 3) uncover opportunities for successful interactions and positive change, 4) interact with and learn from SAEM leaders in a small-group setting. In the initial brief introduction, Drs. Blomkalns and Clyne will describe the obstacles met when leading change in an organization and identify key skills typical of successful change agents.

The short introduction will be followed by facilitated roundtable discussions with SAEM leaders at individual tables. Roundtable participants in the past have included Alan Jones, Deb Houry, Brian Gibler, James Hoekstra, Cherri Hobgood, Kate Heilpern, Deb Diercks, Arthur Pancioli, Robert Hockberger and Brian Zink. An updated list for the 2014 meeting will be posted at registration.

Andra Blomkalns University of Cincinnati, Cincinnati, OH - Submitter, Presenter Brian Clyne Alpert Medical School of Brown University, Providence, RI – Presenter

DS027: Principles of Medical Photography and the Use of Clinical Images in Medical Education Wednesday, May 14 - 10:30 am - 12:30 pm Location: Dallas Ballroom D1 Objectives: At the conclusion of this session, participants should be able to: 1. List the appropriate equipment needed for medical photography. 2.

Describe proper photographic techniques for maximum image quality. 3.

Review the use of medical imaging in teaching and clinical applications. 4.

Practice utilizing newly learned photographic techniques.

Description: Medical photography is a powerful tool that can establish permanence of clinical teaching opportunities. In order to maximize the sharing experience and opportunities for learning from clinical photographs, the educator should strive to obtain medical images of the highest possible quality. This session consists of a series of short lectures addressing a) the essential equipment needed to produce excellent clinical images, b) the fundamentals of medical photography, including explanations of exposure, lighting, establishment of view, reproduction ratios, and management of distortion, c) the use of clinical images to augment teaching, and d) clinical applications of medical photography. Following the lecture segment, the faculty will teach a hands-on workshop so that participants can practice newly learned techniques. During the workshop, the faculty will use digital

SLR cameras and projection equipment to demonstrate how proper technique generates high-quality images, as well as how improper technique may result in poorer-quality images. Participants are encouraged to bring their own personal digital SLR cameras, but cameras will be provided during the workshop for participants’ use.

R. Jason Thurman Vanderbilt University, Nashville, TN - Submitter, Presenter Suzanne Dooley-Hash University of Michigan, Ann Arbor, MI - Presenter Kevin Knoop Naval Medical Center, Portsmouth, VA - Presenter Lawrence Stack Vanderbilt University, Nashville, TN – Presenter

DS028: Beyond Google: Information Mastery at the Point of Care in the Era of Evidence Syntheses: an E-classroom Experience Wednesday, May 14 - 10:30 am - 12:30 pm Location: Seminar Theater

Objectives: At the completion of this session, participants should be able to: 1. Understand the research methods and quality assessment of diagnostic or prognostic systematic reviews in geriatric emergency medicine. 2. Use systematic review methodology to find and incorporate valid, reliable emergency department appropriate instruments to screen older adult patient populations for dementia, delirium, fall-risk, and antecedent functional decline. 3. Develop strategies to overcome common barriers to

Objectives: At the completion of this session, participants should be able to: 1. Understand the processes for developing workplace-based assessment tools. 2. Describe the concepts of reliability and validity of workplacebased assessment. 3. Identify potential difficulties with implementation of workplace-based assessments with respect to the ACGME EM milestones.

Description: Governing bodies in medical education, including the ACGME, are promoting the use of workplace-based evaluations to assess both competency and developmental milestones. Development of these tools is complicated by variations within ED workplaces. Knowledge of the concepts of workplace-based assessment and understanding of the variables to be assessed are the keys to successful evaluation development. This workshop will present a step-by-step method for developing a workplacebased assessment of trainees to meet these requirements, while taking into account specific training environmental factors. The concepts of validity and reliability of assessment tools will be presented and evaluated.

Factors that influence these two concepts during tool development will be presented and discussed. Potential implementation difficulties when utilizing workplace-based direct assessments of the ACGME EM milestones will be considered. After the workshop, participants should have an understanding of the requirements for effective workplace-based assessment tools and an understanding of how to develop these tools for their own programs.

Thomas K. Swoboda LSU Health Sciences Center, Shreveport, LA - Submitter, Presenter Susan Promes UCSF School of Medicine, San Francisco, CA - Presenter Sally Santen University of Michigan School of Medicine, Ann Arbor, MI – Presenter

DS031: Ethical Issues in the Management of Potential Organ Donors in the Emergency Department Wednesday, May 14 - 11:30 am - 12:30 pm Location: Dallas Ballroom A3 Objectives: At the completion of this session, participants should be able to: 1. Describe the organ donor management protocols in the emergency department. 2. Review ethical concerns in the areas of donor identification, referral and treatment associated with current methods of organ procurement. 3. Describe how ethical tensions in the management of potential organ donors can be overcome in the emergency department.

Description: Transplantation is a beneficial medical intervention for patients whose lives are threatened by organ failure. In the United States, the primary source of organ donation is patients who have been declared dead by either neurologic or cardiac criteria. The emergency department serves as a common point of entry for the presentation of individuals who are most likely to transition from being salvageable to being a potential organ donor. As a result, emergency physicians play a critical role in the identification, referral and treatment of patients who are potential organ donors. This course will provide an overview of how organ donor management can raise ethical concerns for emergency physicians and how these tensions can be resolved. Dr. Venkat will introduce the session by providing an overview of the current protocols for organ donation under neurologic and cardiac criteria and the role that emergency physicians play in their execution. Dr. Schears will discuss how these protocols can present ethical dilemmas for emergency physicians, with particular focus on the perceived transition of physician obligations from patient treatment to donor management. Dr. Michael will highlight the difficulties posed by the need for early patient referral to local organ procurement organizations and the logistical challenges of managing an organ donor in the emergency

DALLAS, TEXAS

Wednesday, May 14 - 11:30 am - 12:30 pm Location: Dallas Ballroom A1

Wednesday, May 14 - 11:30 am - 12:30 pm Location: Dallas Ballroom A2

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DS029: Building a Geriatric Emergency Department Risk Stratification Toolbox: Evidence-Based Screening for Cognitive Impairment, Risk of Falls, and Functional Decline

DS030: Development of Workplace-based Assessment Tools in the Emergency Department

MAY 13-17, 2014

Objectives: At the completion of this session, participants should be able to: 1. Harness the power of unique search engines designed to deliver concise and user-friendly evidence syntheses at the point of care. 2. Navigate and practice using such resources for purposes of emergency medicine decision-making.

Description: Single studies are rarely (if ever) the source of truth for what works in emergency medicine. The Institute of Medicine has made clear in its 2011 report that decision-making by clinicians and their patients should be informed by systematic reviews. Specifically, systematic reviews and high-quality clinical practice guidelines based upon them need to synthesize the totality of relevant clinical research, while mitigating the risks of bias in study design and execution - but where to find that research? Suitable electronic resources are often readily available to clinicians within their institution, as are sophisticated search engines that can facilitate timely access. However, knowledge and effective use of these resources are often limited. Using the unique e-classroom facility available at the SAEM conference hotel, participants will engage in a hands-on and practical problem-solving workshop that will highlight cutting-edge evidence-based search engines, e.g. the Trip database, MacPLUS Federated Search, and National Guidelines Clearinghouse. It will showcase online resources that serve as repositories for high-quality evidence syntheses. Specifically, participants will work from purposely designed clinical cases that highlight knowledge gaps and provide context for learning to use such resources.

The session format will promote team learning and interactivity, while faculty will provide guidance and information on the online resources that will be explored. Participants will work from a single home-base webpage with links to high-impact resources that they will navigate to inform the management of critical problems in emergency care.

Eddy Lang University of Calgary, Calgary, AB, Canada - Submitter Peter Wyer Columbia University, New York, NY - Presenter Michael Brown Michigan State University, Grand Rapids, MI - Presenter Rawle Seupaul University of Arkansas for Medical Sciences, Little Rock, AR – Presenter

widespread geriatric syndrome screening for these four conditions in the contemporary emergency department.

Christopher Carpenter Washington University, St. Louis, MO - Submitter, Presenter Timothy Platts-Mills University of North Carolina at Chapel Hill, Chapel Hill, NC – Presenter

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department under the current constraints of law and practice. Drs. Michael and Venkat will conclude the session by presenting a point-counterpoint analysis of how emergency physicians can resolve potential ethical dilemmas during identification, referral and treatment of organ donors in the emergency department.

Arvind Venkat Allegheny Health Network, Pittsburgh, PA - Submitter, Presenter Raquel Schears Mayo Clinic, Rochester, MN - Presenter Jeremy Simon Columbia University, New York, NY – Presenter

DS032: Is the Patient Safe? Assessing Procedural Competence

Society for Academic Emergency Medicine

Wednesday, May 14 - 11:30 am - 12:30 pm Location: Dallas Ballroom D2

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Objectives: At the completion of this session, participants should be able to: 1. Discuss the needs, benefits, and limitations of assessment of procedural competency. 2. Discuss the educational rationale behind assessment of skills. 3. Identify methods that optimize use of available resources to perform procedural assessment on trainees. 4. Develop a plan to implement an assessment of procedural skills in a variety of scenarios.

Description: Procedural skills involve a complex combination of cognitive and technical skills. The ACGME milestones and, potentially, conditions for maintenance of certification are increasingly requiring that learners and practitioners be formally assessed for procedural competency. In addition, assessment also provides an opportunity for feedback to enhance skill development. Both of these goals require use of effective and valid tools. This session will review the evidence supporting the use of various assessment modalities, including self-assessment, direct observation, use of non-physician evaluators, and simulation. It will also review available assessment tools such as the OSATS instrument. The session will cover issues related to determining the validity of an assessment and developing a toolbox. Through the use of case examples and small-group activities, participants will practice use of common assessment instruments and strategies for their implementation. Due to the interactive nature of the small-group sessions, additional facilitators will be employed for these sections of the workshop, including: Alyssa Bryant, MD; Jared Novack, MD; Cemal Sozener, MD; and Nikhil Theyyuni, MD. Samantha Hauff Unviersity of Michigan, Ann Arbor, MI - Submitter Laura R. Hopson University of Michigan, Ann Arbor, MI - Presenter Douglas Ander Emory University, Atlanta, GA - Presenter Ernest Wang NorthShore University Health System, Evanston, IL – Presenter

DS033: You took what??? Toxicologic Public Health Outbreaks: Lessons from Synthetic Cannabinoid, Bath Salt, and Acetyl Fentanyl Experiences of 2013 Wednesday, May 14 - 11:30 am - 12:30 pm Location: Dallas Ballroom D3 Objectives: At the completion of this session, participants should be able to: 1. List resources available to ED providers concerned about an outbreak related to a new drug of abuse. 2. Describe the steps in identification of a new drug of abuse. 3. Identify the process of a public health response to an emerging toxicologic epidemic.

Description: Designer drugs of abuse (DOAs) and “legal” drug alternatives have become a significant public health issue over the past decade. Due to the nature of these agents, the initial presentation of cases is most often to EMS and emergency departments (EDs). ED providers are on the front lines when a community is confronted by a novel DOA. As such, we are placed in the difficult position of being expected to care for these cases while simultaneously assisting with efforts to identify the causative agent.

How can EM physicians address this complicated public health problem?

Emergency physicians need to be aware of their role in case identification, be familiar with the public health resources available, and understand how to collaborate with public health officials and law enforcement to best control the epidemic.

This session will bring together experts in emergency medicine, medical toxicology and public health. There will be two brief presentations discussing the novel DOA outbreaks in 2013: synthetic cannabinoids (SC), bath salts, and acetyl fentanyl. Dr. Andrew Monte will discuss the SC outbreak in Colorado and how local hospitals, law enforcement, the department of public health, and the CDC collaborated to identify the causative agent and minimize patient exposure. Dr. Edward Boyer will discuss the outbreaks of acetyl fentanyl in Rhode Island and bath salts in Boston, with emphasis on rapid identification by emergency physicians and forensic toxicologic investigation. Dr. Alvin Bronstein will supplement the panel with informal discussion of the National Poison Database System, public health resources, and the roles of the EM physician and toxicologist in surveillance. A discussion about the identification of the causative agents, how to facilitate cooperation between partners with different objectives and different time constraints, and what resources are available for EM physicians during an outbreak will follow. We will close with a panel question-and-answer session led by the moderator, with opportunities for audience participation.

Andrew Monte University of Colorado, Aurora, CO - Submitter, Presenter Alvin C. Bronstein Rocky Mountain Poison & Drug Center, Denver, CO - Presenter Edward Wright Boyer University of Massachusetts School of Medicine, Worcester, MA - Presenter Jason Hoppe University of Colorado, Aurora, CO – Presenter

SAEM 2014 ANNUAL MEETING ABSTRACTS MAY 14-17, 2014 — DALLAS, TEXAS

Listed below are the title, presenter name, and presenter institution for the 834 abstracts that have been selected for presentation at the 2014 SAEM Annual Meeting from 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers do not correspond to the original abstract numbers given at time of submission. *SAEM Gallery of Excellence Nominees 2014

WEDNESDAY, May 14th, 2014 PLENARY ABSTRACTS Wednesday, May 14, 3:00 - 5:00 pm in Dallas Ballroom BC

CV -BASIC SCIENCE - ORAL ABSTRACTS Wednesday, May 14, 8:00 - 10:00 am in San Antonio Ballroom A

Moderator: 14 Temporal Trends in ED-Based Migraine Management: a NHAMCS Analysis Benjamin W. Friedman, MD, Albert Einstein College of Medicine 15 A Randomized Double-blind Comparison of Single-Dose Prochlorperazine Versus Acetaminophen, Aspirin and Caffeine for the Treatment of Acute Migraine in the Emergency Department.

Ken Deitch, DO, Einstein Medical Center *Disclaimer: Abstracts are placed in the program how they were submitted to SAEM.

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INTERNATIONAL EMERGENCY MEDICINE - ORAL ABSTRACTS Wednesday, May 14, 8:00 - 10:00 am in Houston Ballroom C

Moderator: 22 Training Emergency Care Practitioners and Creating Access to Acute Care Services in Uganda: the Pilot Phase Bradley Dreifuss, MD, University of Arizona, Department of Emergency Medicine 23 ED Quality and Safety Indicators in Resource-Limited Settings: An Environmental Survey Emily L. Aaronson, MD, Harvard-Affiliated Emergency Medicine Residency 24 The Impact of Airway Management in Traumatic Brain Injury at Kilimanjaro Christian Medical Center, Moshi, Tanzania Catherine A. Lynch, MD, MScGH, Duke School of Medicine 25 Systematic Development of a Gender-Based Violence Screening Toolkit (ASIST-GBV): Evidence from Female Refugees in Ethiopia and Female Internally Displaced Persons in Colombia Mary P. Chang, MD, Johns Hopkins University 26 HIV Prevalence and Testing among Emergency Department Patients at a Rural District Hospital in Uganda Andrew Abrass, MD, MPH, St. Rose Hospital Department of Emergency Medicine 27 HIV Counseling and Testing Practices for Children Presenting to the Emergency Department of Muhimbili National Hospital, Dar Es Salaam, Tanzania Hendry R. Sawe, MD, MBA, Muhimbili National Hospital 28 Epidemiology and Clinical Presentation of Traumatic Brain Injury Patients at Kilimanjaro Christian Medical Center, Moshi, Tanzania Catherine Lynch, MD, MScGH, Duke School of Medicine 29 Trauma Capacity in the Central Plateau Department of Haiti Jonathan Goss, BS, MPH, Emory School of Medicine

DALLAS, TEXAS

CVA & HA - ORAL ABSTRACTS Wednesday, May 14, 8:00 - 10:00 am in Houston Ballroom A

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Moderator: 6 Thromboelastography (TEG) Shows Variation Depending on Sample Source in Fibrinolysis in a Large-Animal Model of Pulmonary Embolism Nathan J. Alves, PhD, Indiana School of Medicine 7 Wide Variability with Clot Induction to Achieve Submassive Pulmonary Embolism in an Extremely Controlled Animal Model.

Daren M. Beam, MD, MS, Indiana School of Medicine 8 Inhibition of the Mitochondrial Fission Protein Dynamin Related Protein 1 (Drp1) Improves Myocardial Hemodynamics and Survival in a Murine Model of Cardiac Arrest Willard W. Sharp, MD, PhD, University of Chicago 9 The RV/LV Ratio Shows Poor Correlation and Agreement with Pulmonary Vascular Resistance in a Submassive Pulmonary Embolism Model Daren M. Beam, MD, MS, Indiana School of Medicine 10 Effects of Therapeutic Hypothermia on Amiodarone Disposition Yukio Sato, MD, Keio University School of Medicine 11 Probiotics Decrease the Response to Induced Vascular Inflammation Adrien Mann, BS, University of Cincinnati 12 Thymosin Upregulates MicroRNA Expression in Rat Embryonic Oligodendrocytes Daniel Morris, MD, Henry Ford Health System 13 Critical Role of Sphingosine-1-Phosphate Receptor 2 in Sepsis Morbidity and Mortality Teresa Sanchez, PhD, Beth Israel Deaconess Medical Center

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Trends in Opioid Prescribing for Acute Headache in U.S. Emergency Departments Maryann Mazer-Amirshahi, PharmD, MD, Children’s National Medical Center Use of MigraineBox™ Head and Neck Cooling Bath for Treatment of Primary Headaches in the Emergency Department James Miner, MD, Hennepin County Medical Center Thymosin for the Treatment of Sub-Acute Stroke: Optimizing the Treatment Window Daniel Morris, MD, Henry Ford Health System Post-tPA Intracranial Hemorrhage: INSTINCT Community Hospitals vs Pooled Analysis Data Cemal B. Sozener, MD, University of Michigan Clinical Factors Associated with Mortality after Intracranial Hemorrhage Marie C. Vrablik, MD, Indiana University Hurry Acute Stroke Treatment and Evaluation (HASTE) 2: STAT! Stroke Pathway, Reducing the Time to Hyperacute Stroke Treatment Using a Six Sigma Approach Devika Kashyap, BA, Foothills Medical Centre

MAY 13-17, 2014

Moderator: 1 Lorazepam versus Diazepam for Pediatric Status Epilepticus: Results of a Randomized Clinical Trial Jill M. Baren, MD, MBE, Perelman School of Medicine 2 Decrease in the Prescription of Opioids in a Large Public Hospital System: Effect of Prescribing Guidelines.

Eric Legome, MD, Kings County Hospital 3 Low-Dose Ketamine Improves Pain Relief in Patients Receiving Intravenous Opioids for Acute Pain in the Emergency Department: Results of a Randomized Double-Blind Clinical Trial Francesca L. Beaudoin, MD, MS, Rhode Island Hospital/ Brown University 4 Thermal Augmentation of Vancomycin against Staphylococcal Biofilm John Younger, MS, MD, University of Michigan 5 Use of a Condition-Specific Electronic Health Record Order Set for Emergency Department Stroke Patients is Associated with Improved Outcomes Dustin W. Ballard, MD MBE, Kaiser Permanente San Rafael Medical Center

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HEALTH COSTS - MODERATED POSTERS Wednesday, May 14, 8:00 - 10:00 am in Live Oak

Moderator: 30 Durable Medical Equipment: Prosthetic Orthopedic Supplies Represent a Significant and Overlooked Source of Revenue Capture for Emergency Departments Aveh Bastani, MD, Troy Beaumont Hospital 31 Immediate Discharge of Low-Risk Venous Thromboembolism: a Cost and Safety Analysis Zachary P. Kahler, MD, Indiana University

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Health Status and Prevalence of Chronic Disease among Patients in an Urban Safety Net ED Likely to Remain Uninsured Following Implementation of the Patient Protection and Affordable Care Act Sophie Terp, MD, MPH, Keck School of Medicine, University of Southern California An Analysis of Reimbursement per Work Relative Value Unit (wRVU) for Emergency Physician Professional Services in Relation to Emergency Department (ED) Visit Complexity Uchenna Onyekwere, BS, Temple University School of Medicine Emergency Department Visits for Non-Traumatic Dental Problems in Oregon Benjamin Sun, MD, MPP, Oregon Health and Science University Complications and Estimated Costs of Patients Eligible for Outpatient DVT Management at a Public Hospital Stephanie Tseeng, MD, Cook County Hospital An Analysis of the Impact of Race and Gender on the Reimbursement of Emergency Physician Professional Services among Insured Adult Emergency Department (ED) Patients Uchenna Onyekwere, BS, Temple University School of Medicine The Out-of-Pocket Costs of Emergency Department Visits According to Patient Insurance Status Ari Friedman, BS, MA, Leonard Davis Institute of Health Economics

Society for Academic Emergency Medicine

ANESTHESIA AND ANALGESIA - ORAL ABSTRACTS Wednesday, May 14, 10:30 am - 12:30 pm in Houston Ballroom A

Moderator: 38 Can We Decrease the Pain of Peripheral Intravenous Line Placement in Adults by the Use of Vapocoolant Spray? Preliminary Results of a Prospective, Randomized, Blinded, Placebo-Controlled Trial Sharon E. Mace, MD, Cleveland Clinic 39 Intravenous Sub-dissociative Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: a Prospective, Randomized, Double-blind Study.

Bradley Rockoff, MD, Maimonides Medical Center 40 Ketamine-Propofol vs Propofol Alone for Procedural Sedation in the Emergency Department: a Systematic Review and Meta-analysis.

Justin Yan, MD, MSc, the University of Western Ontario 41 ED Clinician Response to a Prompt in the Electronic Medical Record for Analgesic Intervention in ED Patients with Severe Pain: What Do We Choose?

Thomas Nguyen, MD, Beth Israel Medical Center, NY 42 Sphenopalatine Ganglion Anesthesia for Acute Headache in the Emergency Department Using a Novel Delivery Device Jason T. Schaffer, MD, Indiana University 43 Language Barrier Is Associated with Delayed First Analgesic Administration in Emergency Department Shujun Xia, MD, PhD, Jacobi Medical Center 44 Pilot Study on Association of Single-Nucleotide Polymorphisms with Hydromorphone Analgesia in Emergency Department Shujun Xia, MD, PhD, Jacobi Medical Center 45 Trends in the Use of Intravenous Meperidine, Morphine, and Hydromorphone in US Emergency Departments: Evidence from the National Hospital Ambulatory Medical Survey 1993 to 2010 Polly E. Bijur, PhD, Albert Einstein College of Medicine 46 Differences in Intubation Skills between Experienced and Inexperienced Intubators: a High-Fidelity Manikin Simulation Study Tadahiro Goto, MD, Department of Emergency Medicine, University of Fukui Hospital

EMS NON-CARDIAC-ARREST - ORAL ABSTRACTS Wednesday, May 14, 10:30 am - 12:30 pm in Houston Ballroom C

Moderator: 47 A Randomized Trial of Intravenous Hydroxocobalamin Compared to Whole Blood for Hemorrhagic Shock Resuscitation in a Prehospital Swine Model Vikhyat S. Bebarta, MD, San Antonio Military Health System 48 The Effect of a Multifaceted Code STEMI Protocol on Door-in to Door-out Time for STEMI Patients Requiring Interhospital Helicopter Transfer Michael A. Schneider, BS, University of Cincinnati Medical Center

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49 King Vision Video Laryngoscopy Improves Intubation First Pass Success Rates among Paramedics.

Jeffrey L. Jarvis, MD, EMT-P, FACEP, Scott & White Healthcare/Texas A&M Health Science Center 50 Investigation of Intravenous Hydroxocobalamin Compared to Control for Hemorrhagic Shock Resuscitation in a Swine Model Vikhyat S. Bebarta, MD, San Antonio Military Health System 51 An Advanced-Practice Paramedic Program Can Safely and Effectively Divert Acute Mental Health Patients from the ED to a Community Mental Health Center Seth Glickman, MD, University of North Carolina 52 Prehospital and En-Route Aeromedical Cricothyroidotomy Performed in the Combat Setting: a Prospective, Multicenter, Observational Study Ed B. Barnard, BM BS FCEM, 59th MDW/ST 53 The Impact of Chest Compression Release Velocity on Outcomes from Out-of-Hospital Cardiac Arrest Sheldon Cheskes, MD, CCFP(EM) FCFP, University of Toronto 54 Intubation Success Rates By EMS Providers in a Simulated Difficult Airway Using a Low-cost Disposable Video Laryngoscopy System Barry Knapp, MD, Eastern Virginia Medical School 55 A Role for End-tidal Carbon Dioxide in the Out-of-hospital Diagnosis of Sepsis Carolina Pereira, MD, Orlando Regional Medical Center

RESEARCH METHODS - ORAL ABSTRACTS Wednesday, May 14, 10:30 am - 12:30 pm in San Antonio Ballroom A

Moderator: 56 A Bayesian Two-part Random Effects Model with Right Truncation with Application to Multisite Ambulance Diversion Data Rongwei (Rochelle) Fu, PhD, Oregon Health & Science University 57 Truth Survival in Emergency Medicine Literature - About 32 Years Jeremy Brown, MD, Office of Emergency Care Research, National Institutes of Health 58 Congruency of Disposition after Emergency Department Intubation in a Regional Database Yaniv Kerem, MD, University of Chicago Emergency Medicine Residency 59 Systematic Reviews Published in Emergency Medicine Journals Do Not Routinely Search Clinical Trials Registries: a Cross-Sectional Analysis Lukas G. Keil, BS, University of North Carolina School of Medicine 60 Emergency Medicine Trials Registered in ClinicalTrials.gov James D. Dziura, PhD, Yale School of Medicine 61 Yield of Screening in the Ed: Effectiveness versus Efficacy Lucia S. Derks, MD, University of Cincinnati 62 Feasibility of a Scribe Research Associate Program (S-RAP) to Facilitate ED Research Melanie K. Prusakowski, MD, Virginia Tech Carilion School of Medicine, Department of Emergency Medicine 63 Proof-of-Concept Application to Extract Structured Chief Complaints Using an Ontology-Based Method Mark Sutherland, BS, Jefferson Medical College 64 Differences in Prevalence Assessment Using Prospective Enrollment versus Collection of Discarded Laboratory Remnants Joshua A. Denney, MD, University of Cincinnati

EMS NON-CARDIAC-ARREST - MODERATED POSTERS Wednesday, May 14, 10:30 am - 12:30 pm in Pearl 4

Moderator: 65 Determinants of EMS Use by Older Adults: a State-wide Populationbased Analysis Timothy F. Platts-Mills, MD, University of North Carolina at Chapel Hill 66 Emergency Medical Services Feedback by Hospitals as a Means to Improve Pre-Hospital Stroke Care Bryan Y. Choi, MA, the Warren Alpert Medical School of Brown University 67 Readmissions and Return ED Visits among Patients Transported Home

by Ambulance after Discharge Kevin Munjal, MD, MPH, Icahn School of Medicine at Mount Sinai 68 Prehospital IV Placement Success and On-Scene Time in Pediatric Patients with Seizures

Jenna Reichel, BA, Medical College of Wisconsin 69 Factors that Impact Naloxone Administration by Emergency Medical Service Providers following a Drug Overdose Mark Faul, PhD, MA, Centers for Disease Control and Prevention 70 Patient and Trauma Center Characteristics Associated with Helicopter Transports for Minor Injury in the United States Brian H. Cheung, PhD, Stanford University School of Medicine 71 No EMS Time Delays for Limited-English-Proficiency Patients Natalie R. Weiss, BA, University of New Mexico 72 The Effect of Prehospital Intravenous Fluids on Mortality in Urban Penetrating-Trauma Patients Sam A. Bores, BS, University of Pennsylvania

POSTER SESSION 1 - WEDNESDAY - POSTER ABSTRACTS Wednesday, May 14, 8:00 am - 12:00 pm in Lone Star Ballroom B 73

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DALLAS, TEXAS

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MAY 13-17, 2014

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A Cornstarch-based Ultrasound Gel Alternative for Low-Resource Settings Christine Riguzzi, MD, Alameda Health System – Highland General Hospital Utility of a 4-hour Educational Module in Demonstrating Transesophageal Echocardiography (TEE) to TEE-Naive Acute Care Providers.

Jacob Pace, MD, University of Western Ontario Point-of-care Ultrasonography Is Associated with Decreased Length of Stay in Children Presenting to the Emergency Department with SoftTissue Infection Margaret J. Lin, MD, Harvard-Affiliated Emergency Medicine Residency Beth Israel Deaconess Medical Center Correlating Bedside Lung Ultrasound with Tachypnea in Bronchiolitis: a Pilot Study Sara B. Cortes, MD, New York Methodist Hospital Screening of Young Athletes for Hypertrophic Cardiomyopathy using Echocardiography Suzi Klaus, BS, University of California, Irvine Use of Bedside Ocular Ultrasound to Identify Optic Disc Swelling in Children Ronald F. Marchese, MD, Children’s Hospital of Philadelphia Focused Echocardiograms by Emergency Physicians for the Risk Stratification of Patients with Chest Pain Sarah deLoizaga, MS, University of Connecticut Systematic Review: Lung Ultrasound for the Diagnosis of Pneumonia in the Emergency Department Neil Christopher, MD, Downstate Medical Center The Utility of Cranial Ultrasound for Detection of Intracranial Hemorrhage in Infants Joseph Sirody, MS, Eastern Virginia Medical School What Is the Delay in Care Caused By Inability to Obtain IV Access?

Nicole E. Piela, MD, Thomas Jefferson University Emergency Physicians with Prior Trans-Thoracic Echocardiography Experience Rapidly Learn to Perform and Interpret Trans-Esophageal Echocardiography Using a High-Fidelity Echocardiography Simulator Stephen Leech, MD, Orlando Regional Medical Center PylorU.S. Imaging: Learning Curve for Pediatric Emergency Medicine Fellows Natasha A. Tejwani, MD, Newark Beth Israel Medical Center ED Physicians’ versus Patients’ Perceptions of Transvaginal Ultrasound in the ED for Complications of First-Trimester Pregnancy Daniel Jafari, MD, MPH, University of Pennsylvania Using Carotid Left-Ventricular Outflow Tract and Femoral Velocity Changes to Predict Fluid Responsiveness: a Preliminary Study.

Alan T. Chiem, MD, Olive View-UCLA Ultrasound Evaluation for Jugular Venous Distention in Patients with Dyspnea Michael D. Zwank, MD, Regions Hospital A Cost-effectiveness Analysis to Determine the Utility of the Cardiac Component of FAST in Blunt Trauma: Is It Really Necessary?

M. Kennedy. Hall, MD, Yale University School of Medicine Army Special Forces Medic Ability to Identify Wooden Foreign Bodies by Portable Ultrasound Jonathan Ellement, MD, Madigan Army Medical Center

90 Clinician-Performed Bedside Ultrasound in Improving Diagnostic Accuracy in Patients Presenting to the Emergency Department with Acute Dyspnea Dimitrios Papanagnou, MD, MPH, Thomas Jefferson University Hospital 91 Use of Musculoskeletal Ultrasound to Improve Specificity of Fracture Diagnosis in Ottawa-Ankle-Rules-Positive Patients Presenting to the Emergency Department with Blunt Ankle and Mid-foot Injuries.

David Amponsah, MD, RDCS, Henry Ford Hospital 92 Assessing Disparities among Emergency Medicine Residents and Emergency Medicine Attending Physicians in Interpreting and Performing the FAST Exam Michael Felicetta, DO, New York Methodist Hospital 93 Emergency Medicine Ultrasound Research at a National Conference: a Fifteen-Year Summary 1999-2013 John Riester, MD, The Ohio State University 94 Ultrasonography for Confirmation of Endotracheal Tube Placement: a Systematic Review and Meta-analysis Eric H. Chou, MD, Maimonides Medical Center 95 Sonographic Measurement of Optic Nerve Sheath Diameter: Is Coronal Technique Superior?

Richard Amini, MD, University of Arizona Medical Center 96 Evaluation of a Fingertip Linear Transducer for Ultrasound-guided Vascular Access Rachel Liu, MD, Yale University School of Medicine 98 Does An Educational Pediatric CPR Video Given to Parents and Caregivers to View on An Electronic Device During Their Visit to the Pediatric Emergency Room Improve CPR Knowledge?

Friedrich T. Drescher, MD, Orlando Health 99 The Use of Camera Phones for the Follow-up of Soft-Tissue Injuries in Pediatric Emergency Department Patients: a Feasibility Study Erica Michaels, MD, MSU College of Human Medicine 100 Do Pediatric Emergency Medicine Physicians Adhere to the Centers for Disease Control and Prevention Guidelines for Sexually Active Adolescents?

Michelle Pickett, MD, Medical College of Wisconsin 101 Implementation of a Procedural Sedation Safety Checklist Lindsay Kahlenberg, DO, Akron Children’s Hospital 102 Health Care Utilization following Pediatric Out-of-Hospital Cardiac Arrest Erica A. Michiels, MD, Michigan State University 103 Is the Broselow Tape (BT) an Accurate Predictor of Weight in Pediatric Patients Stratified by Race?

Lisa Moreno-Walton, MD, Louisiana State University Health Sciences Center-New Orleans 104 Pediatric Visits to United States Emergency Departments for Foreign Body Ingestions Justine A. Pagenhardt, MD, West Virginia University 105 Pediatric Airway Management and Prehospital Patient Safety: Results of a National Delphi Survey by the CSI-EMSC Matthew L. Hansen, MD, MCR, OHSU 106 Epidemiology of Visits to US Emergency Departments for Mental Health and Self-harm By Children, 2006-2010.

Susan M. Walters, BS, Georgetown University School of Medicine 107 Educational Needs Assessment for Prehospital Pediatric Care: Results of a National Delphi Survey Performed By the CSI-EMSC Matthew L. Hansen, MD, MCR, OHSU 108 Use of Needle-Free Jet Injection of Lidocaine in Conjunction with Vibration and Cold Device to Alleviate Pain in Pediatric Blood Draw and IV Starts in the Emergency Room Sheryl E. Yanger, MD, LAC+USC 109 Determinants of Long-Term Prescription Opioid Use After Acute Trauma in Adolescents Lauren K. Whiteside, MD, University of Washington 110 Psychiatric Utilization of the Pediatric Emergency Department David C. Sheridan, MD, Oregon Health & Science University 111 Impact of Pediatric Labeling Changes on Prescribing Patterns of Overthe-Counter Cough and Cold Medications Maryann Mazer-Amirshahi, PharmD, MD, Children’s National Medical Center

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112 Evaluation of a Pediatric Emergency Department Sepsis Screening Tool Laura L. Chapman, MD, Brown University 113 Asthma Spacers - the Effect of Repeated Washing on Drug Delivery Ronan G. O’Sullivan, MB, FRCSI, FCEM, MBA, National Children’s Research Centre 114 Improving Discharge Instructions in a Pediatric ED: Impact of a Quality Initiative Bolanle T. Akinsola, MD, Emory University School of Medicine 115 Skin and Skin Structure Infections (SSSIs) in the Emergency Department (ED): Who Gets Admitted?

Alexandra Khachatryan, MPH, Pharmerit International 116 Evaluation of Daptomycin for the Emergency Department Treatment of Cellulitis George J. Shaw, MD, PhD, University of Cincinnati 117 Utility and Cost Effectiveness of Throat Culture in the Treatment of Patients with Negative Rapid Strep Screens.

Khaled Almulhem, MD, Central Michigan University School of Medicine 118 Assessing Antimicrobial Susceptibility of E. Coli in Uncomplicated Cystitis in the Emergency Department: Is the Hospital Antibiogram an Appropriate Clinical Tool?

S. Christian Smith, BA, the Ohio State University College of Medicine 119 ED Screening Programs for HIV: Is the Yield Worth the Effort?

Thomas Nguyen, MD, Beth Israel Medical Center, NY 120 Linkage to Care Methods and Rates in U.S. Emergency DepartmentBased HIV Testing Programs - a Systematic Review and Meta-Analysis Yu-Hsiang Hsieh, PhD, Johns Hopkins University 121 Renal Dosing of Medications in the Emergency Department Jesse L. Mecham, MD, MS, Washington University 122 Next-Generation Sequencing in Sepsis: RNA Seq of the Host Response Simon Skibsted, MD, MPH, Beth Israel Deaconess Medical Center & Harvard Medical School 123 An Opportunity for Real-Time Guidance: Suboptimal Antibiotic Prescribing Patterns among Emergency Physicians for Uncomplicated UTIs and Pyelonephritis Aveh Bastani, MD, Troy Beaumont Hospital 124 Abnormal Urinalysis Results Are Common, Regardless of Specimen Collection Technique, in Women Without Urinary Tract Infections Bradley Frazee, MD, Alameda Health System - Highland Hospital 125 Missed Opportunities? Prior Health Care Use among Patients Newly Diagnosed with HIV via an Emergency Department Screening Program Molly Snow Brady, MD, LAC+USC Medical Center 126 Routine Use of Blood Cultures Has Limited Utility in the Undifferentiated Adult Emergency Department Population Bryan B. Kitch, MD, East Carolina University 127 Post Assault Behavioral Profile of Sexual Assault Survivors in the Emergency Department Kathryn Bradburn, BA, North Shore University Hospital 128 Ability to Contact Low-Income Smokers by Telephone Varies by Time of Month Kathryn Hawk, MD, Department of Emergency Medicine, Yale School of Medicine 129 Cell Phone Ownership and Service Plans among Low-Income Smokers: the Hidden Cost of Quitlines Steven L. Bernstein, MD, Department of Emergency Medicine, Yale School of Medicine 130 Hypotensive Effects of Risperidone Are Not Increased When Used in Conjunction with Benzodiazepines or in Alcohol Intoxicated Patients but May Increase in Elderly Patients Austin Hopper, BS, UC San Diego 131 Health Care Provider Perception of Patient Self-Reported Anxiety Level in the ED Kaitlin R. McCarter, BA, Thomas Jefferson University 132 Gender Differences in Symptoms of Post-Traumatic Stress Disorder after Violent Injury among Participants of an Urban, Pediatric Hospitalbased Violence Intervention Program Jonathan Purtle, DrPH(c), MPH, MSc, Drexel University College of Medicine 133 Implementation of a Statewide Opiate Prescribing Policy Is Not Associated with a Significant Decrease in Number of Opiates Prescribed from the Emergency Department Jonathan D. McGhee, DO, Christiana Care Health System

134 Prevalence and Correlates of Prescription Stimulant Misuse among Youth in the Emergency Department Lauren Whiteside, MD, University of Washington 135 Alcohol and Drug Screening in the Emergency Department: Kiosk vs. In-Person Screening - a Comparison of Patient Preferences and Disclosure Rates Debra Houry, MD, MPH, Emory University 136 Neighborhood Social Cohesion and Emergency Department Utilization in California, 2011-2012 Brian Johnson, MD, MPH, Alameda Health System - Highland Hospital 137 Successful Tobacco Dependence Treatment Achieved via Pharmacotherapy and Motivational Interviewing in Low-Income Emergency Department Patients Steven L. Bernstein, MD, Department of Emergency Medicine, Yale School of Medicine 138 Impact of Childhood Sexual Abuse on the Severity of Psychosocial Risks among Female ED Patients Melissa A. Rodgers, BA, University of Pennsylvania 139 Empiric Treatment of Gonorrhea and Chlamydial Infection in the ED: Are We Overtreating?

Thuy V. Pham, Medical Degree, University of Maryland Medical Center 140 Administration of IV Fluids and Subcutaneous Insulin is Not Associated with Significant Glucose Reduction in ED Patients with Severe Hyperglycemia Brian E. Driver, MD, Hennepin County Medical Center 141 Clinical and Demographic Factors Associated with Repeat Emergency Department Visits among Patients with Abdominal Pain Brian W. Patterson, MD, MPH, University of Wisconsin 142 Preference for Topical Anesthesia Prior to Painful Needle Procedures Michael K. Kim, MD, University of Wisconsin School of Medicine and Public Health 144 Creating CPAP Using High-flow Nasal Cannula with a Bag-valve-mask with a Peep Valve Neil Singh, MD, Department of Emergency Medicine, Mount Sinai School of Medicine 145 Comparing Cricothyroid Membrane Identification Methods: Assessing the Reliability and Accuracy of Three Different Methods of Cricothyroid Membrane Identification Rupinder Chima, MD, University of California, Davis 146 Evaluation of DX-88 (Ecallantide) for Treatment of Angiotensin Enzyme Inhibitor Induced Angioedema in the Emergency Department Joseph Moellman, MD, University of Cincinnati 147 Procedural Sedation in the Emergency Department: Does NPO Status Matter?

Sharon E. Mace, MD, Cleveland Clinic 148 Pain Perception Differences Associated with Age for Typical Painful Diagnosis in the Emergency Department: a Multicenter Study Raoul Daoust, MD, MSc, Université de Montréal 149 Is There a Relationship Between Discharge Prescriptions and Recidivism in Patients Presenting to the Ed with Chronic Back Pain Rajesh Patel, MD, Sinai Grace Hospital 150 Supraglottic Airway Device Use and Return of Spontaneous Circulation in Cardiac Arrest Patients: a Retrospective Cohort Study Recep Gezer, MA, BC EMERGENCY HEALTH SERVICES 151 Safety and Efficacy of Low-dose Ketamine Infusion for Emergency Department Patients with Acute Severe Pain Terence L. Ahern, MD, Alameda County Medical Center - Highland Hospital 152 Stress Biomarkers in Patients Undergoing Treatment for Severe Pain from Extremity Fractures James Miner, MD, Hennepin County Medical Center 153 Nasotracheal Intubation with Real-Time Transtracheal Ultrasound Guidance: An Old Technique with a New Twist Jeremy Hutchins, DO, York Hospital 154 Pre-Hospital Extra-Glottic Device Use Does Not Increase Risk of Ventilator Associated Pneumonia in Trauma Patients Michael T. Steuerwald, MD, University of Cincinnati 155 The Association of Gender with Pain Measurements Roma Patel, MPH, Hennepin County Medical Center

| DALLAS, TEXAS

179 Activation of Percutaneous Coronary Intervention (PCI) Center Using Only Pre-hospital Electrocardiogram and One-way Verbal ED Notification of ST Elevation Myocardial Infarction (STEMI) by EMS: a Simplified American Heart Association (AHA) Mission Lifeline Strategy.

John Kelly, DO, FACEP, Einstein Healthcare Network 180 Prehospital Mid-thigh Trauma and Traction Splint Use: a Retrospective Review of a Trauma Registry Peter H. Anastopoulos, MD, UCSF Fresno Department of Emergency Medicine 181 The Los Angeles Marathon; Optimizing Care for the Participants Jena Sussex, BS, Keck School of Medicine of the University of Southern California 182 Comparison of START and SALT Triage Methodologies in a MassCasualty Incident Disaster Field Exercise Zach Stamile, MD, Orlando Regional Medical Center 183 Evacuations from Ships at Sea: a Review of Cases from a Telemedical Advice Service Sarah Almarhoon, MBBS, George Washington University Medical Center 184 Factors that Impact Transport by Emergency Medical Service Providers following a Fall among Older Adults Mark Faul, PhD MA, Centers for Disease Control and Prevention 185 Development of Key Performance Indicators for Pre-hospital Emergency Care Ronan O’Sullivan, MD, FRSCI, FCEM, MBA, National Children’s Research Centre 186 Abnormal Prehospital End-tidal Carbon Dioxide Levels are Associated with a Diagnosis of an Acute STEMI in Patients with Chest Discomfort Neal Mangalat, MD, Orlando Regional Medical Center 187 An Evaluation of Prehospital First Medical Contact to Electrocardiogram Times Jeffrey H. Luk, MD, MS, University Hospitals Case Medical Center 188 Comparison of Two Prehospital Systems that Triage Low Acuity Patients to Alternative Sites of Care Kurt Krumperman, PhD, Albuquerque Ambulance 189 Rapid Sequence Induction of Anesthesia via Intraosseous Access: a Prospective Observational Study Ed B. Barnard, BM, BS, FCEM, Air Force En Route Care Research CenterUSAISR / 59th MDW/ST 190 Can Prehospital Blood Pressure Measurements Improve EMS Accuracy for Stroke Identification Ethan S. Brandler, MD, MPH, FACEP, SUNY Downstate Medical Center/ Kings County Hospital Center 191 First-responder Accuracy Using SALT After Brief Initial Training.

Chris Lee, MD, the University of Western Ontario 192 The Quality of Prehospital Care for Acute Stroke: Compliance with Guidelines and Impact on In-hospital Stroke Response John Adam. Oostema, MD, Spectrum Health, Michigan State University College of Human Medicine 193 Performance of the Ottawa 3DY Scale as a Screening Tool for Impaired Mental Status in Elderly Emergency Department Patients Debra Eagles, MD, University of Ottawa 194 The Relationship between a Chief Complaint of “Altered Mental Status” and Delirium in Older Emergency Department Patients Jin H. Han, MD, MSc, Vanderbilt University 195 Older Adults with Persistent Musculosketal Pain after Motor Vehicle Collision are at Increased Risk of Functional Decline Timothy F. Platts-Mills, MD, MSc, University of North Carolina Chapel Hill 196 The Efficacy of Radiofrequency Tracking Devices Placed on Elderly People Who Are Cognitively Impaired and Have a Tendency to Wander from Home.

Lisa Sylvester, D.O., Akron General Medical Center 197 Evaluating the Effectiveness of a Novel Clinical Decision Support System (CDS) to Improve Acute Abdominal Pain for Older Adults in the Emergency Department (ED) Laura K. Belland, Bachelor of Science, Icahn School of Medicine at Mount Sinai 198 Ambulance Transport Rates for Older vs. Younger Adults after Motor Vehicle Collision: a Statewide Population-Based Study Katherine M. Hunold, BSPH, University of Virginia

MAY 13-17, 2014

156 Multisource Assessment of Residents: Assessment by Faculty, Nurses and Resident Peers Jason A. Murray, MD, University of Michigan, Department of Emergency Medicine 158 Morbidity and Mortality in Emergency Medicine and the Culture of Safety Emily L. Aaronson, MD, Harvard Affiliated Emergency Medicine Residency 159 Experience Criteria to Achieve Expertise in Endotracheal Intubations Amish Aghera, MD, Maimonides Medical Center 160 Location, Location, Location: Does the Location of a Narrative Comment Section Effect Feedback on a Lecture Evaluation Form?

Abbas H. Kothari, MD, Boston Medical Center 161 Online Spaced Education Facilitates Medical Students’ Retention of Basic Life Support (BLS) Knowledge and Skills Mary R. Calderone, BA, Loyola Chicago Stritch School of Medicine 162 Does the Interview Date Affect the Likelihood of Matching Applicants into an Emergency Medicine Residency? a Single-Center, 5-Year Analysis Erik Kochert, MD, WellSpan York Hospital 163 Nursing Evaluations of Residents in the Emergency Department Ashley M. Pavlic, MD, University of Michigan 164 Use of Free Open Access Medical Education among EM Residents and Attendings at Boston Medical Center Neal A. Freed, MD, Boston Medical Center 165 How Do Emergency Medicine Residents Perceive and Participate in Quality Improvement and Patient Safety Activities? A National Survey Anne Chipman, MD, Alameda County Medical Center - Highland Hospital 166 Assessment Drives Teaching: An Iterative Evidence-Based Approach to Curriculum Development Yields Superior Educational Outcomes David Scordino, MD, Johns Hopkins 167 The Effect of Hospital Mergers on Residency Education: the Perceptions of Emergency Medicine Residents Jessica M. Noonan, MD, St. Luke’s Roosevelt Hospital Center 168 The Effect of Bedside Pictorial Adjuncts on Comprehension in Chest Pain Protocol Patients using a Smartphone Application Adeeb Zaer, MD, Emory University School of Medicine 169 Correlation of Clinical and Non-Clinical Professionalism among Emergency Medicine Residents Sudhir Baliga, MD, Henry Ford Health System 170 A Novel Electronic Asynchronous Web-based Learning Resource Increases Trauma Knowledge and Is Favorable to Emergency Medicine Residents Brian Sellers, MD, Northwestern University 171 A Comparison of Medical Student Opinions of Ultrasound in Medical Education Before and After Exposure to Ultrasound Education in Ultrasound Emergency Medicine-Oriented Students and Non-Emergency Medicine Oriented Students Jennifer Cotton, BS, University of Kentucky College of Medicine 172 Teaching Decision-Making Errors: Lecture-Based Format Is Limited Benjamin H. Schnapp, MD, the Mount Sinai Hospital 173 Are Emergency Medicine Residents Comfortable Caring for Lesbian, Gay, Bisexual and Transgender Patients? What Do We Know?

Paul Krieger, MD, Beth Israel Medical Center 174 Feasibility of Haptic Simulation Technology for Residency Training in Transvaginal Ultrasound Jessica Schmidt, MD, MPH, Yale University School of Medicine 175 Subjective versus Objective Evaluation of EM Resident Efficiency and Patient Throughput Richard G. Byrne, MD, Cooper Medical School of Rowan University 176 Evaluation of Medical Student Ultrasound Competencies after Formal Incorporation of Ultrasound Education into the Gross Anatomy Course at the Wayne State University School of Medicine (WSUSOM) David Amponsah, MD, Henry Ford Hospital 177 EMS Analgesia Practices in the United States: Changes in Practice Over the Last 5 Years Michael W. Dailey, MD, Albany Medical Center 178 Prehospital End-tidal Carbon Dioxide Predicts Mortality in Patients with the Systemic Inflammatory Response Syndrome Christopher L. Hunter, MD, Ph.D., Orlando Regional Medical Center

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199 Malnutrition among Older Emergency Department Patients Greg F. Pereira, BSPH, University of North Carolina Chapel Hill 200 Gedi Wise: Concordance of Advance Care Planning Documentation with Inpatient Directives for Older Adults Admitted from the Emergency Department Corita R. Grudzen, MD, MSHS, Mount Sinai School of Medicine 201 Provider Perspectives on Use of Indwelling Urinary Catheters in Older Adults in the Emergency Department: a Valuable First Step in the Development of a Clinical Protocol Mary Mulcare, MD, New York-Presbyterian Hospital/Weill Cornell Medical Center 202 GEDI WISE: Identification of Seniors at Risk (ISAR) score to Predict Inpatient Admission and Near Term Adverse Outcomes among Geriatric Ed Patients D. Mark. Courtney, MD MSCI, Northwestern University

203 Nexus in the Elderly Fall Patient: What is Distracting?

Daniel Evans, DO, St. Luke’s Hospital and Health Network 204 Comparison of Absolute Pain Scores and Change in These Scores among Elderly and Nonelderly ED Patients with Acute Pain Jyoti Elavunkal, MD, Albert Einstein College of Medicine 205 Self-Reported vs. Performance-Based Assessments of Physical Function among Older Adults in the Emergency Department Timothy F. Platts-Mills, MD, University of North Carolina Chapel Hill 796 Can Emergency Physicians Accurately Diagnose and Correctly Classify Diastolic Dysfunction Using Bedside Echocardiography?

Robert R. Ehrman, MD, The John Stroger Hospital of Cook County 797 Diagnosing Acute Heart Failure in Patients with Undifferentiated Dyspnea: A Novel Lung and Cardiac Ultrasound Protocol Frances M. Russell, MD, Indiana University, Indianapolis, IN

2014 INNOVATIONS

Society for Academic Emergency Medicine

Innovations - Exhibits 8:00 am - 12:30 pm in Lone Star Ballroom B

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1 Easy Bedside Positive Pressure Apneic Oxygenation Using A Nasopharyngeal Airway Bradley C. Ching1, Benjamin D. Wiederhold2. 1Alameda County Medical Center--Highland General Hospital, Oakland, CA; 2St. Joseph’s Medical Center, Stockton, CA 2 An Innovative Approach to Simulating Emergent Genitourinary Procedures Sonal Batra, Nicholas Greek, Claudia Ranniger, Colleen Roche. George Washington University, Washington, DC 3 A Hand-On Model for Teaching Extensor Tendon Laceration Repair

Kelly Barringer. Regions Hospital/Health Partners Institute of Medical Education, St. Paul, MN 4 The “Cost Affordable” Cric Trainer

Harold Andrew Sloas, Sara Singhal, Roger L. Humphries, Farhad Aziz. The University of Kentucky, Lexington, KY

Pediatric Intussusception Ultrasound Training Model Alexander C. Arroyo. Maimonides Medical Center, Brooklyn, NY 6 A Knee’d to Fill: An Inexpensive Model for Arthrocentesis Michael Cabezon, Theodore Gaeta. New York Methodist Hospital, Brooklyn, NY

7 TITUS (Thoracic Intervention Training Unit Simulator) - Making Chest Tube Thoracostomy Training Realistic, Efficient, and Affordable

Andrew Eyre, John Eicken, David A. Meguerdichian. Brigham and Women’s Hospital, Boston, MA 8 Novel Task-Trainer for Lateral Canthotomy Procedure

Kelly Medwid, Maureen Gang, Robert Rosenwald. New York University/ Bellevue, New York, NY 9 Trephination without Trepidation: A Novel Method for Teaching Burr Holes to Emergency Physicians

Biren Bhatt1, Anthony Rosen2, Sunday Clark3, Osman Sayan1, Joel Berezow1.

1Columbia University Medical Center, New York, NY; 2NewYork-Presbyterian Hospital, New York, NY; 3Weill Cornell Medical Center, New York, NY

5

“ CEP America gave me

the chance to explore many leadership opportunities.”

“ I’m very fortunate that I chose a group that makes me happy and whose leadership I respect and want to be a part of.”

—Tiffany Hackett, MD ED Medical Director San Leandro Hospital

Find out why CEP America is different.

Visit our booth #21 Find out CEP America is different. at why SAEM’s Annual Meeting or Visit usgo.cep.com/saem2014 at SEC’s Annual Meeting.

MAY 13-17, 2014

Your Life. Your Career. Your Partnership.

|

Goodbye Scrolling

DALLAS, TEXAS

Goodbye Flipping

Hello Knowledge More than 1500 institutions and over half of all medical schools license VisualDx. Come nd out why, visit us in Booth #5 at SAEM ’14.

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THURSDAY, MAY 15, 2014 Dallas B CMC

Dallas C CMC

Dallas A1

Dallas A2

DS035: Care of the Critically Ill, Morbidly Obese Patient

8 AM

IGNITE! SAEM DS041: Teaching in the Wild

9 AM

DS036: The Impact of Civil Rights Law on Diversity and Disparity in the Emergency Department

DS034: Perception and Metacognition

DS038: “Shark Tank” DS040: Evidence-based Operations

DS042: A CLER Plan

DS039: Rescuing the Learner Struggling with Clinical Reasoning

10:30 AM

DS048: Across Genders and Generations

DS045: Generating Scholarship through Industry Partnerships

DS044: Demystifying the ABEM’s Maintenance of Certification Program

DS046: Research Methods for Studying Social Determinants of Health in EM

DS047: How to Build a Career in Academic Wilderness Medicine

DS049: Achieving your Milestones Through Simulation

11:30 AM

DS055: Teaching Emergency Medicine Residents to Choose Wisely

DS052: Research Associates Programs

DS051: Medication Management

DS053: Point-of-Care Ultrasound for Pediatric Global Health

DS054: Enhancing Emergency Medicine Training

DS056: Defining and Assessing Team Leadership in Emergency Medicine

DS037: Ultrasound in resource - limited settings

DS043: Catapulting to the Pinnacle of Best Evidence

DS050: Advancing Your Career as an Educator

Lunch – 12:30 - 1:30 pm

12:30 PM

1:30 PM DS060: The Affordable Care Act and Emergency Care 2:30 PM

DS057: The Value of Non-Accredited Fellowships

DS062: Talking Your Way to a More Satisfied and Compliant Patient

DS058: How (and Why) to Peer-Review a Manuscript

DS059: The Why, The What, The How Developing “Physician as Educator” Programs

DS066: Training Pathways for Educators

CDEM Business Meeting 1:00 - 5:00 pm

DS063: Predatory Journals

DS064: Policy Change 102

Visit Exhibit Hall – 3:30 - 4:00 pm

3:30 PM

4 PM

Dallas D2

Power Break in the Exhibit Hall – 10:00 - 10:30 am

10 AM

DS065: Coping with Rejection in Research

5 PM

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Dallas D1

Coffee Break in Exhibit Hall – 7:00 - 8:00 am

7 AM

Society for Academic Emergency Medicine

Dallas A3

6 pm

SAEM Foundation Event at Sixth Floor Museum - Transportation Provided

6:30 PM

6:00 - 10:00 pm

DS061: PCORI Made Easy

2:00 - 3:00 pm SLOE Updates 3:00 - 4:00 pm NBME Update & SAEM Tests 4:00 - 5:00 pm Workgroups

DS067: From Twitter to Tenure

THURSDAY, MAY 15, 2014 Lone Star C1C2-C3-C4

Lone Star B

Houston A

Houston B

San Antonio A

Austin 1-2-3

Atrium

Seminar Theater

Coffee Break in Exhibit Hall – 7:00 - 8:00 am Innovations

Infectious Disease

CV-Clinical

Oral Abstracts

Oral Abstracts

222-229

214-221

Lightning Innovations I

Computer Technology

10-14 AWAEM Business Meeting

Oral Abstracts 206-213

8am-12pm

Poster Session 2 Thursday Poster Abstracts 8:00 am - 12:00 pm 274-413

Innovations Lightning Presentation II 15-19

9:00 - 10:15 am Life Happened, Now What?

Power Break in the Exhibit Hall – 10:00 - 10:30 am

Health Policy, Operations and Admissions Oral Abstracts

10:30 - 11:45 am Move Beyond Publish or Perish Simulation

Clinical Processes

Oral Abstracts

Oral Abstracts

259-266

242-250

251-258

Innovations Lightning Presentations III 20-24 Innovations

Resident Leadership Forum

Lightning Presentations IV 25-29

8:00 am - 5:00 pm

Lunch – 12:30 - 1:30 pm AAAEM Business Meeting SONO Games 12:00 - 5:00 pm

Psychiatry

Toxicology

Trauma

Oral Abstracts

Oral Abstracts

Oral Abstracts

415-422

423-430

431-438

Visit Exhibit Hall – 3:30 - 4:00 pm Ethics Oral Abstracts 455-458 General Pediatrics Oral Abstracts 459-467

1:00 - 5:00 pm 1:00 - 2:00 pm Evaluating Job Offers in Academic EM

Innovations Spotlight Global Medicine 30-33 2pm-3pm

2:00 - 3:00 pm Results of AACEM/AAAEM Benchmarks & Salary Survey 3:00 - 4:00 pm Succession Planning

Innovations

Clinical Decision Rules

Lightning Presentations V

Oral Abstracts

34-38

447-454

SAEM Foundation Event at Sixth Floor Museum - Transportation Provided 6:00 - 10:00 pm

THURSDAY, MAY 15, 2014 Pearl 4

Pearl 5

Live Oak

State Room 1

State Room 2

Majestic 6&7

Coffee Break in Exhibit Hall – 7:00 - 8:00 am

Critical Care

Pediatric Imaging

Moderated Posters

Moderated Posters

230-235

236-241

Power Break in the Exhibit Hall – 10:00 - 10:30 am

AGEM Business Meeting 8am-12pm

Best of CORD Academic Assembly 2014 9 AM

10-10:45am New Geriatric ED Guidelines

10 AM

267-273

10:30 AM Best of CORD Academic Assembly 2014 11:30 AM AWEAM Luncheon

Lunch – 12:30 - 1:30 pm

12pm-1:30pm

12:30 PM

MAY 13-17, 2014

Moderated Posters

8 AM

9:30-10am Breakout workgroups

10:45-11:45am The Business Case for Geriatric ED; Nuts & Bolts of Creating Geriatric ED

Airway

7 AM

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Moderated Posters 439-446 2:30 PM

Visit Exhibit Hall – 3:30 - 4:00 pm

DALLAS, TEXAS

1:30 PM Cardiovascular Clinical Research

3:30 PM

4 PM Pediatrics Infectious Disease Moderated Posters 476-483

Education Moderated Posters 468-475 5 PM

SAEM Foundation Event at Sixth Floor Museum - Transportation Provided

6 PM

6:00 - 10:00 pm

6:30 PM

54

THURSDAY, MAY 15, 2014

Society for Academic Emergency Medicine

Thursday, May 15, 2014 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings

55

7:30-8:00am 8:00-9:00am 8:00-9:30am 8:00-10:00am 8:00am-12:00pm 8:00am-12:00pm 9:00-10:00am 9:00-10:30am 10:00-11:00am 10:00-11:30am 10:00am-12:00pm 10:30-11:30a 10:30am-12:00pm 11:00am-12:00pm 11:30am-12:30pm 11:30am-1:30pm 12:00-1:00pm 12:00-1:30pm 12:00-1:00pm 12:00-2:00pm 12:30-1:30pm 12:30-4:00pm 1:00-2:00pm 1:00-5:00pm

1:00-5:00pm 1:30-2:30pm 1:30-3:00pm 2:30-3:30pm 3:30-5:00pm 4:00-5:00pm 4:00-5:00pm 4:00-5:00pm

Program Committee Daily Meeting SAEM Public Health IG Meeting SAEM Ethics Committee Meeting EX. Leadership Meeting for All EM Organizations Meeting AGEM Academy of Geriatric Emergency Medicine-Business Meeting AWAEM Academy for Women in Academic Emergency Medicine-Business Meeting SAEM Trauma IG Meeting SAEM Faculty Development Committee Meeting SAEM Observation Medicine IG Meeting SAEM GME Committee Meeting SAEM/ACEP Federal Research Funding Work Group (RWG) Meeting SAEM Operations IG Meeting AEM CC 2015 Planning Meeting SAEM External Collaborations Committee Meeting SAEM Web Evolution Committee Meeting SAEM Grants Committee Meeting SAEM Sports Medicine IG Meeting AWAEM Academy for Women in Academic Emergency Medicine-Luncheon SAEM Consultation Services Committee Meeting SAEM Foundation Board Luncheon-By Invitation only SAEM Toxicology IG Meeting SAEM Fellowship Approval Committee Meeting SAEM Research Directors IG Meeting AAAEM Academy of Administrators in Academic Emergency Medicine -Business Meeting CDEM Clerkship Directors in Emergency Medicine -Business Meeting SAEM Patient Safety IG Meeting SAEM Evidence Based Healthcare & Implementation (EMB) IH Meeting SAEM Airways IG Meeting SAEM Social Media Committee Meeting ACEP/SAEM Joint GME Workforce Group Meeting-By Invitation Only SAEM Palliative Care IG Meeting SAEM Wilderness Medicine Meeting

Majestic 4 (Hotel-37th Floor) Majestic 3 (Hotel-37th Floor) State Room 3 (Conf. Center-3rd Floor) Majestic 1 (Hotel-37th Floor) State Room 1 (Conf. Center-3rd Floor) Atrium Room (Hotel-2nd Floor) Majestic 3 (Hotel-37th Floor) Majestic 2 (Hotel-37th Floor) Cityview 3 (Hotel-4th Floor) Cityview 4 (Hotel-4th Floor) Cityview 7-8 (Hotel-4th Floor) Cityview 2 (Hotel-4th Floor) Majestic 4 (Hotel-37th Floor) State Room 3 (Conf. Center-3rd Floor) Cityview 2 (Hotel-4th Floor) Cityview 3 (Hotel-4th Floor) Majestic 8 (Hotel-37th Floor) Majestic 6-7 combined (Hotel-37th Floor) Majestic 3 (Hotel-37th Floor) Executive Boardroom (Hotel 2nd Floor) Cityview 4 (Hotel-4th Floor) State Room 3 (Conf. Center-3rd Floor) Majestic 5 (Hotel-37th Floor) Atrium Room (Hotel-2nd Floor) Dallas Ballroom D1 (Conf. Center-1st Floor) Cityview 2 (Hotel-4th Floor) Majestic 8 (Hotel-37th Floor) Majestic 2 (Hotel-37th Floor) Majestic 2 (Hotel-37th Floor) Cityview 7-8 (Hotel-4th Floor) Majestic 5 (Hotel-37th Floor) State Room 3 (Conf. Center-3rd Floor)

Thursday, May 15, 2014 – Affiliated Meetings 7:00-8:00am 8:00-8:30am 8:00-10:00am 8:00am-5:00pm 8:00am-5:00pm 8:30am-12:00pm 10:00am-12:00pm 10:30am-1:30pm 12:00-1:00pm 1:00-2:30pm 1:30-3:30pm 1:30-3:30pm 1:30-3:30pm 1:30-3:30pm 1:30-3:30pm 3:30-5:30pm 3:30-5:30pm 3:30-5:30pm 3:30-5:30pm 3:30-5:30pm 3:30-5:30pm 4:00-5:00pm 5:30-7:00pm 6:00-7:00pm

ECTRC (CTSA research network) Meeting EMRA Rep. Council Welcome Breakfast & Registration ACEP Academic Affairs Committee Meeting CORD Meetings AAEM/RSA Strategic Planning Meeting-By invitation only EMRA Rep. Council Meeting and Town Hall SAEM/ACEP Federal Research Funding Work Group (RWG) Meeting Western Journal of Emergency Medicine Editorial Board Meeting ACEP Scientific Review Sub-Committee Meeting ACEP Research Committee Meeting EMRA International Committee Meeting EMRA Awards Committee Meeting EMRA Research Committee Meeting EMRA Critical Care Committee Meeting EMRA Technology Committee Meeting EMRA Educational Committee Meeting EMRA Health Policy Committee Meeting EMRA EMS Committee Meeting EMRA Wilderness Medicine Committee Meeting EMRA EM Resident Advisory committee Meeting EMRA Ultra Sound Committee Meeting ACEP/SAEM Joint GME Workforce Group Meeting-By Invitation Only ACEP Teaching Fellowship/EMBERS Alumni Reception EMRA Spring Awards Reception

Cityview 2 (Hotel-4th Floor) Houston Ballroom C (Conf. Center-3rd Floor) Cityview 7-8 (Hotel-4th Floor) Majestic 10 (Hotel-37th Floor) Majestic 9 (Hotel-37th Floor) Houston Ballroom C (Conf. Center-3rd Floor) Cityview 7-8 (Hotel-4th Floor) Majestic 2 (Hotel-37th Floor) Cityview 7-8 (Hotel-4th Floor) Cityview 7-8 (Hotel-4th Floor) Trinity 1 (Hotel-3rd Floor) Trinity 2 (Hotel-3rd Floor) Trinity 3 (Hotel-3rd Floor) Trinity 4 (Hotel-3rd Floor) Trinity 5 (Hotel-3rd Floor) Trinity 1 (Hotel-3rd Floor) Trinity 2 (Hotel-3rd Floor) Trinity 3 (Hotel-3rd Floor) Trinity 4 (Hotel-3rd Floor) Trinity 5 (Hotel-3rd Floor) Cityview 1 (Hotel-4th Floor) Cityview 7-8 (Hotel-4th Floor) Cityview 7-8 (Hotel-4th Floor) Houston Ballroom C (Conf. Center-3rd Floor)

SAEM 2014 ANNUAL MEETING DIDACTIC PRESENTATIONS MAY 14-17, 2014 — DALLAS, TEXAS THURSDAY, MAY 15TH

DS036: The Impact of Civil Rights Law on Diversity and Disparity in the Emergency Department

DS034: Perception and Metacognition - Thinking About How You Think

Thursday, May 15 - 8:00 - 9:00 am Location: Dallas Ballroom A3

Society for Academic Emergency Medicine

Thursday, May 15 - 8:00 - 9:00 am Location: Dallas Ballroom A1 Objectives: At the completion of this session, participants should be able to: 1. Describe how perception and cognition affect clinical decision-making. 1.

Describe the use of specific cognitive forcing strategies to improve clinical decision-making.

Description: Both perception and cognition are neglected aspects of medical education and training. Yet both of these complex processes are critical to medical decision-making and providing high-quality medical care. In this session we will demonstrate (using examples from disparate fields such as film animation, basketball, various medical specialties, and interactive videos) limits to perception and how such limits affect medical decision-making. In the second half of the session, we will introduce and discuss metacognition – that is, thinking about how we think. Through the use of examples (from disparate fields such as competitive chess and trauma radiology), the audience will be introduced to the limitations of specific cognitive forcing strategies to assist clinicians in improving their medical decision-making.

Steve Bird University of Massachusetts Medical School, Worcester, MA - Submitter, Presenter Kavita Babu University of Massachusetts Medical School, Worcester, MA - Presenter

DS035: Care of the Critically Ill, Morbidly Obese Patient Thursday, May 15 - 8:00 - 9:00 am Location: Dallas Ballroom C Objectives: At the completion of this session, participants should be able to: 1. List key physiologic changes in the cardiovascular, respiratory and gastrointestinal systems of morbidly obese patients. 2. Recognize important differences in medication pharmacokinetics and pharmacodynamics in the morbidly obese patient. 3. Describe effective resuscitation interventions unique to the obese patient. 4. List relevant complications in obese patients presenting with traumatic injuries or burns.

Description: Obesity and morbid obesity are growing in prevalence in the North American population at an astounding rate. Estimates place 24.1% of Canadian adults and 35.9% of American adults as obese, and approximately 3% as morbidly obese. This patient population has important baseline physiologic changes to their cardiovascular, respiratory, and gastrointestinal systems that can have profound ramifications for clinical management. In addition, drug pharmacokinetics and pharmacodynamics can be dramatically altered in these patients for a multitude of reasons. In a lecture format, this presentation will provide important insight for clinicians into these physiologic and pharmacologic changes in the obese patient. Key learning points and techniques for patient resuscitation and management that have come from the recent anesthesia and critical care literature will be highlighted in a didactic and case-based format. Specifically, airway techniques, fluid resuscitation and pharmacologic principles unique to the obese patient will be highlighted. Clinicians will be guided through some of the finer points of management of the critically ill, morbidly obese patient, as well as areas of particular concern such as trauma and burn patients.

David Barbic Sunnybrook Health Sciences Centre, Toronto, ON, Canada - Submitter, Presenter Andra L. Blomkalns University of Cincinnati, Cincinnati, OH – Presenter

Objectives: At the completion of this session, participants should be able to: 1. Define Title VI of the Civil Rights Act. 2. Discuss possible discriminatory actions under Title VI. 3. Describe how OCR can address disparities resulting from bias. 4. Partner with interdisciplinary teams when Title VI compliance issues arise. 5. Strengthen physician advocacy to raise awareness of health care disparities caused by discrimination/bias, in alignment with SAEM’s mission to “lead the advancement of emergency care through education and advocacy in academic emergency medicine.”

Description: While medical school students and residents are typically exposed to cutting-edge treatments and technologies, they are rarely made aware of federal civil rights laws that impact the institutions where they practice. To address this critical deficiency, the U.S. Department of Health & Human Services, Office for Civil Rights (OCR), collaborated with Stanford University School of Medicine and the National Consortium for Multicultural Education for Health Professionals (Consortium) in developing a curriculum focused on providing an educational framework for medical/health professionals to better understand and appreciate racial/ national origin bias/discrimination. The curriculum has been most recently augmented and presented at the Emory University School of Medicine and the University of Colorado School of Medicine.

By introducing participants to potential racial/national origin bias/ discrimination, the curriculum seeks to empower them to address these issues throughout their careers. After attending this session, participants should also be inspired to learn more about providing health care that reduces disparities and advances advocacy and communication across interdisciplinary groups.

Jason Liebzeit Emory University, Atlanta, GA - Submitter, Presenter Sheryl Heron Emory University, Atlanta, GA - Presenter Paritosh Kaul University of Colorado, Denver, CO - Presenter Velveta Howell Office of Civil Rights, US Department of HHS, Denver, CO - Presenter Kenneth D. Johnson Office of Civil Rights, US Department of HHS, Washington, DC - Presenter Jeffrey Druck University of Colorado, Aurora, CO – Presenter

DS037: Ultrasound in Resource-limited Settings: Discussion of Use, Benefits, Research and Sustainable Program Design Thursday, May 15 - 8:00 - 9:00 am Location: Dallas Ballroom D2 Objectives: At the completion of this session, participants should be able to: 1. Describe the unique uses of ultrasound and findings of disease processes common in the developing world. 2. Understand trends and future directions in research involving ultrasound in the developing world. 3. List some of the unique challenges and key components for success in development of an ultrasound training program in limited-resource settings.

Description: Over the last few decades, emergency department ultrasound (US) has proven its tremendous clinical utility, making it the standard of care in emergency departments across the developed world. As the field of global emergency medicine continues to push further into resourcelimited settings to meet the needs of an increasing unaddressed burden of acute disease, ultrasound is again proving to be of immense value.

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

56

Standard emergency department US exams, such as the FAST exam, that have proven their utility in the developed world continue to show similar, if not increased, clinical utility in the resource-limited setting, with its limited access to advanced diagnostic imaging such as CT scanning. Given that the majority of the world’s population is low-income and resides in resourcepoor locations, and that US is a relatively inexpensive technology that is becoming increasingly durable and portable, without the risks of ionizing radiation, there is a selective pressure to expand ultrasound training in the developing world, in addition to the variety of clinical indications for US globally. In this didactic, four experts with unique experience in global health and diagnostic ultrasound will discuss these novel training programs and uses of US, along with the research that has, and could, stem from these unique investigations. We will also discuss how the use of US in conjunction with local epidemiologic data can provide fertile areas of novel clinical applications and research. Lastly, we will describe tips for and traits of a sustainable US program in the resource-limited setting, including options for monitoring and evaluation.

Kristin Carmody New York University School of Medicine, New York, NY - Submitter Sachita Shah University of Washington School of Medicine, Seattle, WA - Presenter Stephen Dunlop Hennepin County Medical Center, Minneapolis, MN - Presenter Trish Henwood Brigham and Women’s Hospital, Harvard University, Boston, MA - Presenter Adam C. Levine Alpert Medical School of Brown University, Providence, RI – Presenter

Thursday, May 15 - 8:00 - 10:00 am Location: Dallas Ballroom B

Objectives: At the completion of this session, participants should be able to: 1. Diagnose and assess undergraduate and graduate medical education learners struggling with clinical reasoning skills. 2. Develop educational plans and remediation strategies using a framework to assist learners struggling with clinical reasoning. 3. Develop a list of best practices and possible tools for the identification, assessment, and remediation of learners struggling with clinical reasoning.

Description: The acquisition of clinical reasoning skills by physicians is central to undergraduate and graduate medical education, but how these skills are acquired, assessed and remediated in struggling learners represents an important challenge to medical educators. This workshop will introduce a framework to identify, assess, diagnose and remediate learners struggling with clinical reasoning difficulties. Presenters will address the difficulties for educators in identifying such learners and will provide a framework that both diagnoses the learner and suggests remediation strategies to pursue. The workshop will illustrate how the presenters have diagnosed and remediated these kinds of learners using the suggested framework and actual learner cases. Participants are asked to bring their own cases and any strategies for diagnosing or remediating them for discussion at the workshop. The session will conclude by compiling best practices of methods for the diagnosis and assessment of learners struggling with clinical reasoning as well as remediation strategies for medical educators seeking to assist them.

Todd Guth University of Colorado, Anschutz Medical Campus, Aurora, CO - Submitter, Presenter David Gordon Duke University, Chapel Hill, NC - Presenter Joshua Wallenstein Emory University, Atlanta, GA – Presenter

Thursday, May 15 - 9:00 - 10:00 am Location: Dallas Ballroom A1 Objectives: At the completion of this session, participants should be able to: 1. Describe discrete event simulation (DES) and contrast its strengths and limitations with other methodological approaches. 2. Discuss how the use of DES can enhance the efficiency and performance of modern emergencycare systems. 3. Describe the steps necessary to build an effective and valid DES model of an emergency-care environment.

Description: Discrete event simulation (DES) is a well-established methodological approach to analyzing inefficiencies in operational practices, but to date DES has been infrequently applied to emergency care. DES is a means of modeling and visualizing ED processes and offers novel means to address difficult “what if” questions, such as: A) What is the most effective strategy to meet the latest core measure? B) What are the effects of two different strategies on patient waiting time? and C) If staffing resources are limited, where would we most effectively use those resources? Other statistical methods, such as regression modeling and queuing theory, cannot handle the complexities of highly variable patient flow experienced in the ED. DES offers significant advantages for ED operations research in its ability to evaluate alternative operational strategies and their effect on ED patient flow, prior to potentially expensive and hazardous process implementations. A team of emergency physicians with expertise in operations research and computer science will discuss how to effectively work with a modeler, necessary steps and common pitfalls in building robust models, and how to effectively use DES to enhance patient flow in your ED. Presenters will review prior research applying DES to ED environments, promising research opportunities using DES, and how to critically review reports of DES in the literature. Finally, presenters will describe first steps in developing such an enterprise, identifying partners within and beyond their home institutions.

DALLAS, TEXAS

DS040: Evidence-based Operations: Using Discrete-event Simulation to Enhance ED Operations Research

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Objectives: At the completion of this session, participants should be able to:1. Identify 5 critical elements and 4 basic structural components of a successful study proposal. 2. Describe, and avoid, 4 key mistakes made by junior researchers in study design and proposal. 3. Understand how to maximize the success of their own study proposals.

Description: A perennial issue for junior EM investigators is lack of guidance in, and experience with, the development and funding of initial small-scale study proposals. Many senior investigators believe that creating and getting funding for a research proposal is similar to the entrepreneurial process of developing and funding a business proposal. Drawing on the innovative and humorous format of the popular “Shark Tank” television show, this didactic’s panel of senior emergency medicine researchers will provide real-time guidance on this model of proposal development. The didactic will begin with a brief presentation on the 5 critical elements of a grant proposal. We will introduce the 4 basic structural components of a successful proposal: the concept (the unmet need); the plan (how they are going to solve it); the outcome (what the metric of success is); and the credentials (why we should “invest” in them). We will then offer junior researchers the chance to present their study ideas to our “Shark Tank” panel. (Proposals will be solicited in advance from the SAEM Research Fellowship Committee listserv; we will also save space for impromptu presentations from audience members.) Each proposal will be presented using a standard format. It will then be critiqued by panelists. For the most successful proposals, we will offer a true “investment” in the form of distance mentorship by panel members, as well as the opportunity to obtain priority review with Academic Emergency Medicine and/or Annals of Emergency Medicine.

Megan Ranney Alpert Medical School of Brown University, Providence, RI - Submitter, Presenter Judd Hollander University of Pennsylvania, Philadelphia, PA - Presenter Jeff Kline Indiana University, Indianapolis, IN - Presenter David Cone Yale School of Medicine, New Haven, CT - Presenter Debra Houry Emory University, Atlanta, GA - Presenter Donald M. Yealy University of Pittsburgh, Pittsburgh, PA – Presenter

Thursday, May 15 - 8:00 - 10:00 am Location: Dallas Ballroom D1

MAY 13-17, 2014

DS038: “Shark Tank”: Real-world Research Proposal Development

DS039: Rescuing the Learner Struggling with Clinical Reasoning: Can We Do It? How Do We Do It?

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Eric Goldlust Alpert Medical School of Brown University/UEMF, Providence, RI Submitter, Presenter Nathan Hoot University of Texas Health Science Center, Houston, TX - Presenter Michael Ward Vanderbilt University, Nashville, TN – Presenter

DS041: Teaching in the Wild: How to Teach and Assess Students and Residents in the Out-of-Hospital Setting

Society for Academic Emergency Medicine

Thursday, May 15 - 9:00 - 10:00 am Location: Dallas Ballroom C Objectives: At the completion of this session, participants should be able to:1. Design and implement simulation and standardized patient-based educational programs for the out-of-hospital setting. 2. Develop and utilize assessment tools to evaluate individual skills and effective teamwork, with particular focus on assessment related to the ACGME’s Milestones project.

Description: This course will provide instruction on the development of educational programs for the purpose of teaching skills for the care of patients in resource-limited, austere, or out-of-hospital environments.

The course will present the framework for scenario design utilizing standardized patients and high-fidelity manikins in the in-situ or simulation lab environment. Also, methods for didactic design for the “outside” locations will be presented. Additionally, this course will provide instruction on methods to teach individual skills, improvisational procedural skills, and teamwork training for resource-limited settings. The development and utilization of assessment tools will be discussed, with particular focus on incorporating EM-Milestones-focused assessment of cognitive and behavioral performance standards and procedural skills competencies into the traditional critical action checklists, behavioral ratings, and algorithm compliance ratings. Further, this course will delineate how scenario-based teaching can be used as a platform to instruct residents on educational theory and how to hone bedside teaching skills. Lastly, this course will discuss modified debriefing techniques and the utilization of portable technology for teaching and debriefing in the out-of-hospital setting.

Sanjey Gupta New York Hospital Queens, Flushing, NY - Submitter, Presenter Henderson D. McGinnis.

Wake Forest Baptist Health, Winston-Salem, NC - Presenter N. Stuart Harris Massachusetts General Hospital, Boston, MA – Presenter

DS042: A CLER Plan: Implementing a Patient Safety Council for Residents and Fellows Thursday, May 15 - 9:00 - 10:00 am Location: Dallas Ballroom A3 Objectives: At the completion of this session, participants should be able to: 1. Describe CLER objectives. 2. Implement a resident- and fellow-driven Patient Safety Council to demonstrate trainee involvement in patient safety and quality improvement.

Description: In response to the Clinical Learning Environment Review program established by the ACGME, residencies and institutions will need to demonstrate their trainees’ engagement in patient safety and quality improvement. To accomplish these goals, the graduate medical office at Indiana University looked internally to the leaders of patient safety in resident education, the Emergency Medicine Residency Program. We established a Patient Safety Council, comprised of residents, fellows, faculty mentors, and hospital leaders, that is trainee-directed and driven.

This group was based on the existing Emergency Medicine Committee established 9 years ago, still thriving today. In the first half of the session, we will briefly summarize the new GME landscape as a result of the ACGME 2011 updates, including the CLER initiative. We will then share the planning that successfully launched the Patient Safety Council, and how we maintain ownership by the residents while guiding the direction of the Council’s objectives through faculty advisors. We will also share current projects and long-term goals of the Council, and demonstrate how this Council has assisted our program in meeting the CLER objectives. The last half of the session will involve small-group discussion on QIPS activities ongoing at

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participants’ institutions, using guided question worksheet and scenarios to guide the table discussions and increase the potential for take-home learning, as well as brainstorming for potential resident projects and council objectives. Best practice sharing, responses to scenarios, and Q & A will be interactive and participatory.

Marie Vrablik Indiana University, Indianapolis, IN - Submitter, Presenter Carey Chisholm Indiana University, Indianapolis, IN – Presenter

DS043: Catapulting to the Pinnacle of Best Evidence: Conducting a Systematic Review and Meta-Analysis to Jumpstart your Research Career Thursday, May 15 - 9:00 - 10:00 am Location: Dallas Ballroom D2 Objectives: At the completion of this session, participants should be able to: 1. List the resources and mentorship team necessary to conduct a systematic review. 2. Select a research question and work with a medical librarian to design a database query. 3. Perform independent review, analyze results using statistical concepts of pooling and heterogeneity, and submit a manuscript report of the systematic review/meta-analysis. 4. Discuss the role of the systematic review in advancing a professional research career.

Description: Systematic reviews and meta-analyses have exploded in the medical literature since 2000, with almost 10,000 systematic reviews being published in the last 4 years alone. This specialized formal technique affords the reader a comprehensive answer to a clinical question, but conducting the review correctly requires specialized training and mentorship. This session will be led by two experts in systematic review methodology, and will focus on how to conduct and publish a first systematic review. At the end of the session, participants will be able to demonstrate how to build a team of collaborators, work with a medical librarian to formulate a rigorous database search, perform independent review, analyze results using statistical concepts of pooling and heterogeneity, and submit a manuscript developed using the guidelines of the PRISMA statement. Participants will be exposed to examples of both diagnostic and therapeutic reviews and should expect to be able to conduct a systematic review/meta-analysis with mentorship at the conclusion of this session. Presenters will use examples from their own experience in conducting systematic reviews/ meta-analyses to highlight the strengths and pitfalls of these methods, and speakers will discuss the use of a systematic review and meta-analysis in advancing a professional research career.

Nicholas M. Mohr University of Iowa Carver College of Medicine, Iowa City, IA - Submitter, Presenter Christopher Carpenter Washington University School of Medicine, St. Louis, MO - Presenter Abel Wakai Beaumont Hospital, Dublin, and Royal College of Surgeons in Ireland, Dublin, Ireland – Presenter

DS044: Demystifying the American Board of Emergency Medicine’s Maintenance of Certification Program Thursday, May 15 - 10:30 - 11:30 am Location: Dallas Ballroom A1 Objectives: At the completion of this session, participants should be able to: 1. Describe the components of the ABEM MOC program and how and when to complete them. 2. Analyze the evidence supporting the elements of the MOC program. 3. Be capable of designing a research project to evaluate if the MOC program can improve physician knowledge and improve patient and system outcomes.

Description: Select members of the ABEM Board of Directors will provide a brief history and rationale for the ABMS MOC program. They will then describe the current ABEM MOC requirements. This will be followed by a presentation of current evidence that supports MOC as it pertains to physician knowledge and improved patient and/or system outcomes. Finally, there will be an interactive discussion with the audience on strategies for developing research pertaining to MOC.

Terry Kowalenko Beaumont Health System, Royal Oak, MI - Submitter, Presenter Michael Carius Norwalk Hospital, Norwalk, CT - Presenter James H. Jones Indiana University, Indianapolis, IN – Presenter

DS045: Generating Scholarship through Industry Partnerships Thursday, May 15 - 10:30 - 11:30 am Location: Dallas Ballroom C

Objectives: At the completion of this session, participants should be able to: 1. Describe social determinants of health and their impact on emergency care. 2. Identify research modalities that can be used to study the social determinants of health impacts in emergency medicine. 3. Develop a research agenda that focuses on identifying the roots of disparities in emergency care.

Description: Healthy People 2020 has selected social determinants as a Leading Health Indicator in an effort to recognize that an individual or population’s environment plays a crucial role in influencing health outcomes.

Additionally, policy makers, clinicians, and researchers have begun to analyze with a renewed focus the root causes of diseases in Americans. As the emergency department often provides the safety net for our health care system, emergency physicians have unique insight into the social causes of disease and are frequently afforded opportunities to study and monitor these effects. Health services and social science researchers have played an integral part in demonstrating the role of social determinants on health care utilization and access. With the implementation of the Patient Protection and Affordable Care Act (PPACA), emergency care researchers are leading the way in determining its impact on access to care. This didactic

Objectives: At the completion of this session, participants should be able to: 1. Give a detailed description of steps needed to develop a robust and productive career as an academic emergency physician specializing in wilderness medicine. 2. Describe how the skill set of wilderness medicine can benefit other emergency medicine subspecialties (disaster, international, and ultrasound). 3. Recognize and avoid hazards to a productive research and teaching career.

Description: This workshop will give practical, concrete instruction on how to create a productive career as an academic emergency physician who specializes in wilderness medicine. It will be taught as a workshop by the leading faculty of nationally known wilderness medicine fellowship programs. We will describe detailed measures required to advance individual careers and the specialty of wilderness medicine within academic EM. Our “how-to” format will have three primary foci: 1) Developing clinical care skills; 2) Understanding strategies for successful teaching; and 3) Safeguarding a productive and rewarding research and teaching career.

Our goal is to provide participants with practical knowledge so that they may develop an individualized road map to succeed in their careers. We will highlight how to build productive relationships within emergency medicine (with disaster, international, and ultrasound expertise) as well as with other specialties and experts.

N. Stuart Harris Massachusetts General Hospital, Boston, MA - Submitter, Presenter Tracy Cushing Denver General Hospital, University of Colorado, Denver, CO – Presenter

DALLAS, TEXAS

Thursday, May 15 - 10:30 - 11:30 am Location: Dallas Ballroom A2

Thursday, May 15 - 10:30 - 11:30 am Location: Dallas Ballroom A3

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DS046: Research Methods for Studying Social Determinants of Health in Emergency Medicine

DS047: How to Build a Career in Academic Wilderness Medicine

MAY 13-17, 2014

Objectives: At the completion of this session, participants should be able to: 1. List ways to creatively partner with industry to accomplish academic goals. 2. Identify components of workflow for an industry-funded project.

3. Describe legal and ethical potential conflicts in partnering with industry.

4. Understand precepts to ensure industry partnerships result in legitimate scholarship.

Description: Emergency medicine researchers face many challenges when conducting research. Industry-funded research can be a means to accomplish research objectives. Such endeavors can be valuable components of academic EM research missions, but they also present unique challenges. These include approaches to access such funds, limitations on types of studies conducted, financial or legal implications of conducting such research, and issues related to academic freedom,such as publication rights, data ownership, patents and copyright. The purpose of this didactic is to discuss how to find and leverage industry relationships to accomplish academic goals, how to ensure such efforts result in legitimate scholarship, and how to manage such relationships to maintain integrity. In this session, a panel of researchers with experience working with industry will describe the general workflow of an industry-funded project, provide examples of successful investigator-initiated proposals, demonstrate how industry-initiated studies can lead to scholarship, explain how to navigate legal hurdles during the contracting process, and advise on how to maintain academic integrity during such research. Short presentations on each of these topics will alternate with panel input and discussion.

Novice researchers and seasoned veterans alike should benefit from these presentations and discussion.

Alexander Limkakeng Duke University, Durham, NC - Submitter, Presenter Daniel J. Pallin Brigham and Women’s Hospital, Boston, MA - Presenter Judd Hollander University of Pennsylvania, Philadelphia, PA – Presenter

will enhance participants’ understanding of the social determinants of health, such as education, poverty, neighborhood environment, and race/ ethnicity as they relate to emergency medicine, and how to scientifically study this area with appropriate methods, thereby exposing the root drivers of America’s health disparities. Panelists include leaders in health services research who will explain how their work highlights the impact that social determinants have on emergency medicine. The session will end with an audience-directed question-and-answer period.

Enesha Cobb University of Michigan, Ann Arbor, MI - Submitter Manya Newton University of Michigan, Ann Arbor, MI - Presenter Robert A. Lowe Oregon Health and Science University, Portland, OR - Presenter Lynne D. Richardson Icahn School of Medicine at Mount Sinai, New York, NY – Presenter

DS048: Across Genders and Generations: Effective Feedback and Communication in Emergency Medicine Thursday, May 15 - 10:30 - 11:30 am Location: Dallas Ballroom B Objectives: At the conclusion of this session, participants should be able to: 1. Understand the importance of effective feedback on patient care and career satisfaction. 2. Identify gender and generational differences in feedback and conflict resolution. 3. Use provided strategies to overcome gender and generational barriers to effective communication and feedback.

4. Acknowledge that individuals equipped to recognize, appreciate and manage these differences will have an advantage in the modern workplace.

Description: Have you ever been reluctant to approach an older male physician with a patient care question because you just heard him swear at the EMR? Have you felt like you were walking a tightrope by giving feedback to a young female resident because you were worried that she may become visibly upset? Been approached by a medical student who is afraid to voice his or her response to an offensive comment made by another attending?

Feedback and effective team communication are vital for reduction of medical errors, staff morale, patient satisfaction and professional development. Both can be challenging, especially given the potential

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misunderstandings surrounding gender and generational stereotypes and differences. This session will highlight a handful of common gender and generational differences, as well as personality traits that may affect effective team communication and feedback. The session will also provide the learner with tools to effectively identify and manage these gaps.

The session will be a 50-minute moderated, case-based session that will discuss multiple scenarios in which there is a gender, generational, or personality mismatch between the evaluator’s and evaluatee’s perceptions and expectations. An expert panel consisting of gender, generation and feedback specialists will then elucidate the roots of these mismatches and provide concrete tips to help bridge differences and identify shared desired outcomes. Cases will then be “rerun” to model reframing and wording.

Tracy Madsen Alpert Medical School of Brown University, Providence, RI - Submitter Tracy G. Sanson University of South Florida College of Medicine, Tampa, FL - Presenter James G. Adams Northwestern University Feinberg School of Medicine, Chicago, IL - Presenter Jeannette Wolfe Tufts University School of Medicine/Baystate, Springfield, MA – Presenter

DS049: Achieving your Milestones Through Simulation

Society for Academic Emergency Medicine

Thursday, May 15 - 10:30 - 11:30 am Location: Dallas Ballroom D1 Objectives: At the completion of this session, participants should be able to: 1. Describe a method of creating milestone-based simulation scenarios from existing scenarios 2. Describe the process for implementing a simulation-based assessment. a3. Determine the resources required for implementation at their particular institution.

Description: With the implementation of the Next Accreditation System this academic year, residency leadership is confronted with a challenge and an opportunity to drastically alter how residents are assessed. Specifically, all residents must be assessed using criterion-referenced milestones twice annually. Simulation is now widely used for education and formative feedback in emergency medicine residency programs, but there has been no prior experience with simulation for milestone-specific assessment. A group of simulation experts nationwide has endeavored to design, validate, and pilot scenarios and assessment tools to fill this gap. This session will begin with a presentation of a tool to convert existing simulation scenarios into robust milestone-linked assessment tools. Panelists will then discuss their experiences in implementing large-scale milestone assessments in their residency programs, with a focus on resource needs, faculty and resident buy-in, and logistical considerations.

Jeffrey Siegelman Emory University, Atlanta, GA - Submitter Eric A. Brown Palmetto Health - USC School of Medicine Simulation Center, Columbia, SC - Presenter Daniel G. Miller University of Iowa, Iowa City, IA - Presenter Danielle Hart Hennepin County Medical Center, Minneapolis, MN - Presenter Michael Beeson Northeast Ohio Medical University, Akron, OH – Presenter

DS050: Advancing Your Career as an Educator Thursday, May 15 - 10:30 - 11:30 am Location: Dallas Ballroom D2 Objectives: At the conclusion of this session, participants should be able to: 1. Describe two potential ways to turn their own educational activities into scholarship. 2. Describe how to increase research productivity through teams. 3. Identify which educational opportunities are the most high-yield for strengthening one’s CV. Description: Many medical educators spend the majority of their time on clinical education, often at the expense of other activities that would help them build a portfolio for promotion and/or advancement within their institution. The list of areas encouraged for promotion includes: clinical

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and didactic teaching, curriculum/assessment/evaluation development, leadership, mentorship, scholarly teaching, research/scholarship, service, awards and honors. How are educators to address these missions while continuing to excel in teaching? In this session, we will investigate how increasing productivity in these other areas will lead to successful career advancement and promotion. This workshop will be presented by the CORD Academy for Scholarship in Education in Emergency Medicine, whose members have been selected as national top-tier faculty in the areas of education scholarship, education leadership, teaching and evaluation, and enduring educational materials. The session will be highly interactive, requiring participants to call upon their own context, responsibilities and priorities. First, two academy members will deliver a short didactic presentation and introduce a large-group discussion. Anticipated topics will include turning an education into scholarship and other high-visibility projects, how to increase research productivity through teams, thinking about one’s teaching portfolio, and time management. Participants will then engage in facilitated small-group discussions with an Academy member to allow individualized mentoring, in order to plan individual increased productivity. Finally, each group will report out important lessons learned for the benefit of the large audience.

Nicole DeIorio Oregon Health and Science University, Portland, OR - Submitter Michael T. Fitch Wake Forest School of Medicine, Winston-Salem, NC - Presenter Sally Santen University of Michigan, Ann Arbor, MI – Presenter

DS051: Medication Management: A Niche in Patient Safety for Emergency Physicians Thursday, May 15 - 11:30 am - 12:30 pm Location: Dallas Ballroom A1 Objectives: At the end of this session, participants should be able to: 1. Define medication management (MM) and related terms. 2. Discuss knowledge gaps in MM in the academic medical center and ED and potential research needed to address these limitations. 3. Describe medication safety curricular needs for faculty, residents, nurses, and pharmacists, with a focus on how medication safety can be used to support faculty development in assessing and implementing important patient safety and quality concepts required by ACGME’s CLER program. 4. Identify opportunities to focus on ED MM as a career niche.

Description: Emergency physicians (EPs) are increasingly stakeholders in the process of safe and effective medication use (i.e., medication management, or MM) due to the expanding spectrum of medications used in the ED, drug shortages, use of high-alert medications (HAMs), and care of populations with high-risk co-morbid conditions. There are important means by which EPs can enhance the quality, safety, and efficiency of patient care while building a career in academic EM. This session will be divided into three parts: The first part will introduce the principles of MM, and describe how to advance a curriculum on medication safety specific to EM. Standard and innovative techniques should teach residents, faculty, nurses, and pharmacists about safe and appropriate use of HAMs, integration of new medications into clinical practice, drug shortages, conservative prescribing, and the epidemiology and management of adverse drug events (ADEs) and medication errors (MEs). This approach can be integrated into the training curriculum to highlight relevant tools, such as event reporting, root cause analysis, and team training, allowing a residency to meet the ACGME requirements to demonstrate proficiency in patient safety and quality improvement during CLER assessments.

The second part will describe the importance of active involvement in relevant medical center and departmental safety and quality efforts.

This includes committee work, development of guidance for high-risk/ uncommonly used medications, assessment and prevention of ADEs and MEs, and enhancing computerized order entry. We will also discuss how to incorporate a collaborative, multidisciplinary institutional and departmental focus on safety rounds, and explore opportunities for clinical pharmacists and mid-level providers to impact quality and safe medication use.

The last part will discuss the role of involvement outside of the medical center with local, state, and national groups that focus on quality and

safety. This will include how developing a focus on MM can lead to academic success, satisfaction, and promotion.

Brenna Farmer Weill-Cornell Medical College, New York, NY - Submitter, Presenter Jeanmarie Perrone Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA – Presenter Lewis Nelson New York University School of Medicine, New York, NY – Presenter

DS052: Research Associates Programs: Making Them Better.

Thursday, May 15 - 11:30 am - 12:30 pm Location: Dallas Ballroom C

Objectives: At the completion of this session, participants should be able to: 1. Review the U.N. Millennium Development Goals for 2015. 2. Define how point-of-care ultrasound can help manage the leading causes of mortality and morbidity in children worldwide. 3. Discuss future directions for pointof-care ultrasound in global health.

Description: Pneumonia and diarrhea are the leading killers of the world’s children under 5 years of age and are targets for the U.N. Millennium Development Goals for 2015. The World Health Organization estimates that over two-thirds of the world’s population lacks access to any diagnostic imaging technologies, especially in developing countries in places such as sub-Saharan Africa and South Asia. Point-of-care ultrasound is a feasible and sustainable solution in addressing this worldwide disparity. This didactic will focus on point-of-care ultrasound applications that can be applied to the leading causes of mortality and morbidity in children worldwide. By addressing methods to overcoming barriers in settings that lack ultrasoundtrained health care professionals as well as presenting technologies

Objectives: At the completion of this session, participants should be able to: 1. Recognize the value of medical school capstone courses as foundations for the ACGME Milestones while further expanding emergency medicine’s role in undergraduate medical education. 2. Articulate the key goals and objectives of a capstone course. 3. Provide examples of learner-centered approaches to enhance the effectiveness of capstone courses.

Description: There is no quantitative difference in the knowledge or skills of physicians-in-training on the last day of medical school and the first day of residency, yet their degree of responsibility is markedly different. Residents serve as problem-solvers and first responders for many emergencies that occur throughout the hospital, yet there is little guarantee trainees have adequate experience in dealing with common emergencies. Clinical capstones serve as an opportunity to address this gap in experience by reviewing high-yield clinical concepts that underlie emergencies commonly experienced by residents. While capstone courses demonstrate the practical application of emergency-medicine training outside the ED, they are also important opportunities to ensure learners are prepared to enter residency at Level 1 of the Milestones described in the Next Accreditation System by the ACGME. Capstone courses ideally serve as a multi-purpose tool to: 1) allow students to synthesize and apply major themes and learning points from their medical training; 2) offer an opportunity to remediate and address deficiencies; 3) provide an assessment of the learners’ readiness for residency; and 4) offer an evaluation of the overall medical school curriculum. Our workshop will introduce the concept of and evidence for clinical capstones while emphasizing resource creation and sharing among participants. We will describe curricular content around topics such as shock and resident wellness, along with innovative teaching modalities, including high- and low-fidelity simulation, case-based learning, and roleplaying. Group discussions will highlight opportunities and challenges that are experienced in the design and implementation of capstones currently offered at several institutions.

Matthew Stull University of Cincinnati College of Medicine, Cincinnati, OH – Submitter, Presenter Susan M. Dunmire University of Pittsburgh School of Medicine, Pittsburgh, PA - Presenter Sarah Ronan-Bentle University of Cincinnati College of Medicine, Cincinnati, OH – Presenter

DALLAS, TEXAS

0214Thursday, May 15 - 11:30 am - 12:30 pm Location: Dallas Ballroom A2

Thursday, May 15 - 11:30 am - 12:30 pm Location: Dallas Ballroom A3

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DS053: Point-of-Care Ultrasound for Pediatric Global Health: A 21st-Century Technology for Meeting the United Nations Millennium Development Goals for Decreasing Global Under-5 Mortality

DS054: Enhancing Emergency Medicine Training in Medical Schools and Developing Baseline Metrics for Milestones through Clinical Capstones

MAY 13-17, 2014

Objectives: At the completion of this session, participants should be able to: 1.Understand the broader value of an EM research associates program (EMRAP) to support EM research activities. 2.Describe ways to address new/increased IRB requirements that impact RA programs. 3. Explain successful strategies for expanding the scope and effectiveness of EMRAPs. 4. List multiple best practices to incorporate into EMRAPs. Description: Performing underfunded research in the emergency department is a challenge. Many emergency departments have developed research or academic associates (RA) programs, usually with undergraduate or recent postgraduate students as unpaid research assistants in the ED. The number of RA programs has grown substantially in the past 10 years. However, most existing RA programs are relatively small, many are struggling, and few take advantage of their full potential to support research activities. In this session, speakers with extensive experience in developing and running these programs will describe their best practices, insights and suggestions to creatively broaden the range of research activities in a program while also avoiding some of the pitfalls that may occur. Topics to be covered will include: meeting new IRB requirements that impact RA programs; negotiating sufficient support from your department; running the program with a positive financial balance sheet; structuring the program to minimize administrative demands on the faculty and staff; creative approaches to providing educational sessions; roles in assisting with industry-sponsored clinical trials; legal regulation pitfalls to avoid; and expanded RA roles beyond subject screening in the ED. Edward Panacek UC Davis, Sacramento, CA - Submitter Judd Hollander University of Pennsylvania, Philadelphia, PA - Presenter Keith Bradley St. Vincent’s Hospital, Bridgeport, CT – Presenter

such as telemedicine and tele-ultrasound, workshop participants should be equipped with the knowledge and resources necessary to promote ultrasound in pediatric global health. Topics discussed will include: 1. Pointof-care Ultrasound: A Solution for the U.N. Millennium Development Goals.

2. Lung Ultrasound for Pneumonia and Acute Respiratory Illnesses. 3.

Hemodynamic Assessment for Diarrhea and Sepsis: Cardiac and Inferior Vena Cava Ultrasound. 4. Ultrasound Assessment of Musculoskeletal Trauma: Extended Focused Assessment with Sonography in Trauma (eFAST) and MSK Ultrasound.

Kristin Carmody New York University School of Medicine, New York, NY - Submitter Joni Rabiner Albert Einstein College of Medicine, Bronx, NY - Presenter Lorraine Ng Columbia University School of Medicine, New York, NY - Presenter James Tsung Mount Sinai School of Medicine, New York, NY – Presenter

DS055: Teaching Emergency Medicine Residents to Choose Wisely: Incorporating Cost-Conscious Practices into Training Thursday, May 15 - 11:30 am - 12:30 pm Location: Dallas Ballroom B

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Society for Academic Emergency Medicine 62

Objectives: At the completion of this session, participants should be able to: 1. Describe methods by which cost-conscious educational initiatives have been incorporated into medical training. 2. Describe barriers and potential solutions to incorporating cost-effectiveness education into resident training. 3. Identify emergency medicine practices for which adoption of more evidence-based cost-effective approaches would have greatest impact. 4. Describe how to assess knowledge retention and impact on clinical practice.

Description: As ED visits increase and account for a growing share of hospital admissions, strategies to contain emergency medical costs are increasingly important. Recent studies have shown that increased blood testing, IV medications, and radiography contribute to increased length of stay and ED crowding, which can be associated with adverse outcomes and higher rates of errors. Additionally, variation in hospital admission from the ED has been documented among emergency physicians. Incorporating evidence-based cost-conscious practices into residency training is important because of its potential to shape future practice patterns. The purpose of this didactic session is to help attendees understand how to incorporate education regarding cost-conscious care into their training programs. We will introduce examples of existing educational initiatives that have addressed this subject in emergency medicine and other specialties. We will examine barriers to implementation and potential solutions that address how these might be overcome. Finally, we will discuss assessment methods to evaluate the effectiveness of these educational initiatives. Dr. Schuur will moderate the session and give a brief overview of the imperative for cost-conscious care. Dr. Shah will discuss the Teaching Value Project and efforts to educate health care providers on costs across various medical specialties. Dr. Lin will discuss how to adapt evidence-based cost-conscious education to emergency medicine training, using the example of a curriculum that she introduced as a senior resident. There will be 10 minutes for questions.

Michelle Lin Brigham and Women’s Hospital, Boston, MA - Submitter, Presenter Neel Shah Beth Israel Deaconess Medical Center, Boston, MA - Presenter Jeremiah Schuur Brigham and Women’s Hospital, Boston, MA – Presenter

DS056: Defining and Assessing Team Leadership in Emergency Medicine Thursday, May 15 - 11:30 am - 12:30 pm Location: Dallas Ballroom D1 Objectives: At the completion of this session, participants should be able to: 1. Describe the current status of team leadership assessment in emergency health care teams. 2. Understand how team science can be applied to leadership assessment in emergency health care teams. 3. Discuss the assessment of team leadership in terms of the current Accreditation Council for Graduate Medical Education (ACGME) milestones. 4. Identify where opportunities for team leadership assessment research might exist.

Description: Team leadership is critical to the effective performance of health care teams, especially those that function in highly variable, dynamic situations. Undergraduate and graduate medical educators recognize the need to assess leadership competency. However, while team leadership skills are represented within the current ACGME Milestones for Emergency Medicine, scientifically grounded mechanisms for assessment have not been clearly delineated. Faculty will begin this session by presenting the results of a comprehensive systematic review to highlight current practices in health care team leadership assessment. They will note gaps in knowledge and evidence, pointing out where research is needed to better define best practices. Faculty will examine the current ACGME Milestones and identify areas where leadership skills are combined with other components of trainee assessment. This will then be discussed from a measurement and assessment science perspective. Faculty will describe a leadership model and assessment framework that support the assessment of team leadership in health care teams, highlighting the potential for future research.

Rosemarie Fernandez University of Washington, Seattle, WA - Submitter, Presenter Elizabeth D. Rosenman University of Washington, Seattle, WA - Presenter Jeremy B. Branzetti University of Washington, Seattle, WA – Presenter

DS057: The Value of Non-Accredited Fellowships for the Modern Academic Emergency Physician Thursday, May 15 - 1:30 - 2:30 pm Location: Dallas Ballroom A1 Objectives: At the completion of this session, participants should be able to: 1. Identify the short-term pros and cons of pursuing non-accredited fellowship training. 2. Describe the impact of fellowship training on academic job prospects and future career goals. 3. Evaluate the various offerings included in non-accredited fellowship training and their impact upon fellow wellness and job satisfaction during fellowship and afterwards.

Description: Of the 31 fellowship opportunities listed in the SAEM catalog, only seven potentially result in board certification (Sports Medicine, Hyperbaric Medicine, Toxicology, Pediatric Emergency Medicine, Critical Care, Palliative Care, and EMS). The rest of the available experiences vary greatly in the length and breadth of training, protected time, salary, work hours, research support, and future opportunities for career development.

Weighing the benefits of these offerings against the opportunity cost of reduced salary during training is daunting for the graduating or recently graduated resident. Each member of the panel has graduated from a nonaccredited fellowship and is at a different stage in their career (immediate, two, three, and six years post fellowship) and will discuss their motivations in selecting training, the pros/cons of their decision, and how that decision has affected their academic career. Specific emphasis will be placed upon evaluating potential non-accredited fellowships and their offerings (i.e. salary, curricula, lengths of training, locations of training, off-service experiences, protected time, on-call requirements, shift obligations, work hours, benefits, advanced degree programs, research support).

Michael Kurz Virginia Commonwealth University, Richmond, VA - Submitter, Presenter Lauren Southerland Ohio State University, Columbus, OH - Presenter Deborah Kleiman University of IL at Chicago, Chicago, IL - Presenter Teresa Camp-Rogers University of Texas at Houston, Houston,TX – Presenter

DS058: How (and Why) to Peer-Review a Manuscript Thursday, May 15 - 1:30 - 2:30 pm Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Describe the role of peer review in the advancement of the scientific literature. 2. List four key components of a high-quality peer review. 3.

Specify two ways in which performing peer review can contribute to professional development.

Description: Academic emergency physicians with scholarship experience and expertise are well-positioned to serve as peer reviewers for scientific journals. High-quality peer reviews help ensure the quality of the research that guides the clinical practice of emergency care, and can contribute to the professional development of the reviewer. This session will briefly review how peer review contributes to the advancement of the scientific literature, but will primarily focus on how to perform a useful peer review, using the Academic Emergency Medicine peer-review template as a guide.

The attendee should leave the session with sufficient information to begin conducting peer reviews with minimal mentoring.

David Cone Yale School of Medicine, New Haven, CT - Submitter, Presenter Brian Hiestand Wake Forest University School of Medicine, Winston-Salem, NC - Presenter

DS059: The Why, the What and the How of Developing “Physician as Educator” Programs for Medical Students and Residents Thursday, May 15 - 1:30 - 2:30 pm Location: Dallas Ballroom A3 Objectives: At the completion of this session, participants should be able to: 1. Recognize the importance of the development of “physician as educator”

programs for residents and students. 2. Identify the key modules to include in the development of a “physician as educator” curriculum. 3. Recognize the importance of providing opportunities for learners to practice their clinical teaching skills and receive feedback from experienced educators. 4.

Discuss examples of successful “physician as educator” programs.

Description: The role of a physician as teacher is almost as important as his or her role as healer. The LCME and the ACGME require medical schools and residency programs to provide opportunities for both residents and medical students to develop themselves as educators. This interactive session seeks to discuss a rationale and impetus for developing “medical student as educator” and “resident as educator” programs, a suggested curriculum for topics that may provide the initial structure for these programs, and the logistical challenges in implementing such programs. In particular, medical educators must not only create a curriculum of topics, but also provide the supportive environment in which learners can successfully practice their teaching skills. Ideally, these experiences should be supervised by an experienced educator who provides meaningful feedback to the learner about their teaching. Presenters will solicit participants for their experiences with instituting “physician as educator” programs, highlight the successes and hurdles of developing these curricula at their institutions, and create a list of best practices among presenters and audience participants.

Todd Guth University of Colorado, Anschutz Medical Campus, Aurora, CO - Submitter, Presenter Sneha H. Shah University of Massachusetts Medical School, Worcester, MA - Presenter Michael Epter University of Nevada, Las Vegas, NV - Presenter

Thursday, May 15 - 1:30 - 3:30 pm Location: Dallas Ballroom B

Thursday, May 15 - 1:30 - 3:30 pm Location: Dallas Ballroom D2

DALLAS, TEXAS

Objectives: At the completion of this session, participants should be able to: 1. Define the mission and scope of PCORI. 2. Describe how an emergency care researcher can conduct patient-centered outcomes research. 3. Use PCORI methods and standards to win PCORI grants.

Description: The Patient-Centered Outcomes Research Institute (PCORI), a public research entity created by the Affordable Care Act, is a major source of funding now and for the foreseeable future for patient-oriented comparative effectiveness research. It has unique relevance for emergency care and emergency care research. Over $500 million in grants are expected to be distributed annually. Those who are interested in learning about PCORI opportunities must first understand the unique approach PCORI takes to funding and developing projects in this arena. This panel discussion will be an insider’s guide to the PCORI enterprise, featuring members of the grants review committee, an emergency medicine PCORI principal investigator, and patient advisors who have participated in the essential patient role in developing and executing PCORI projects. It will be moderated by an emergency physician who currently holds a contract to work with PCORI to enhance dissemination of PCOR standards. In accordance with PCORI’s mission, it is essential for this didactic to include the perspectives of not just current investigators, but also reviewers and patients themselves. Zachary Meisel (moderator) will introduce the session with a “primer on PCORI methods and standards.” Erik P. Hess will speak on the “Nuts and Bolts of a Successful PCORI Grant.” Michel Demers and Annie LeBlanc will speak on the process of contributing patient and caregiver voices to PCORI research projects. Judd E. Hollander will compare and contrast the approaches to grant writing between PCORI and other funding sources. Deborah B. Diercks will speak on “What Really Goes on at PCORI Grants Review Sessions.”

Zachary Meisel Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA - Submitter Erik P. Hess Mayo Clinic, Rochester, MN - Presenter Judd Hollander Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA - Presenter Deborah Diercks University of California at Davis, Sacramento, CA - Presenter Michel Demers Mayo Clinic, Rochester, MN - Presenter Annie LeBlanc Mayo Clinic, Rochester, MN – Presenter

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Objectives: At the completion of the session, participants should be able to: 1. Understand the impact of shared-risk models on the delivery of emergency care. 2. Define shared-risk models, accountable care organizations, and payment reform. 3. Conceptualize how quality and cost should be measured in emergency care. 4. Explore the implications of shared-risk models on the practice of emergency medicine.

Description: Shared-risk models are designed to distribute the risk of costs among several participants in an enterprise. The passage of the Patient Protection and Affordable Care Act has accelerated the development of accountable care organizations (ACOs), which involve risk-sharing between payers and providers in an effort to create financial incentives for highvalue care. In particular, reimbursement for health services is evolving to pay for the quality of care instead of the quantity. This session will include a discussion of several aspects of health reform’s impact on the delivery of emergency care. We will first begin with an overview of shared-risk models, and ACOs in particular. We will then consider the role of emergency medicine in ACO quality measurement, specifically the effect of emergency care on current and potential ACO measures, and on balancing the need for targeted ED measures with ACO population measures. Next, we will focus on payment reform. The transition to ACOs and non-fee-for-service-based methods of payment will require a better understanding of both the cost of emergency care and the role the ED plays in reducing both ED and downstream health care expenditures. We will focus on the financing of emergency care, potential strategies for the reduction of costs associated with emergency care, and the unique role of the ED within global payment systems. Lastly, we will conclude by examining the impact of shared-risk models on the practice of emergency medicine. Specifically, we will address how these changes in health care delivery are relevant to emergency providers and researchers and discuss strategies for being proactive and not reactive to policy mandates that are likely forthcoming.

Keith Kocher University of Michigan, Ann Arbor, MI - Submitter Karin V. Rhodes University of Pennsylvania, Philadelphia, PA - Presenter David Nilasena Centers for Medicare and Medicaid Services, Dallas, TX - Presenter

DS061: PCORI Made Easy: An Insider’s Guide to the Patient-Centered Outcomes Research Institute

MAY 13-17, 2014

DS060: The Affordable Care Act and Emergency Care: The Impact of ACOs and Other Shared-risk Models on the Quality, Cost, and Practice of Emergency Medicine

Adam Sharp Kaiser Permanente Southern California, Pasadena, CA - Presenter Timothy A. Peterson University of Michigan, Ann Arbor, MI - Presenter Arjun Venkatesh RWJF Clinical Scholars Program/Yale School of Medicine, New Haven, CT Presenter Brent Asplin Catholic Health Partners, Cincinnati, OH - Presenter Peter Smulowitz Beth Israel Deaconess Medical Center, Boston, MA – Presenter

DS062: Talking Your Way to a More Satisfied and Compliant Patient: How Can the Literature Help Us Refine Our Communication Skills?

Thursday, May 15 - 2:30 - 3:30 pm Location: Dallas Ballroom A1 Objectives: At the completion of this session, participants should be able to: 1. Discuss the barriers to effective communication that an ED provider can experience. 2. Explain key communication strategies that can enhance the

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patient-provider encounter. 3. Classify high-risk communication times and discuss strategies to maximize the chance of a good outcome. 4. Examine the available literature on ED provider communication and its effect on patient satisfaction and compliance.

Description: In an era of ED crowding, throughput measurements, and patient satisfaction scores, the conflict for providers between providing efficient, cost-effective care and still having satisfied patients has continued to grow. Provider time with the patient is short, and this session will focus on how to make the most of it. Providers at any level can take something away from this session. This didactic will cover the current state of the patient experience as documented in the literature. How much time do we spend with our patients? Do you know what patients expect when they come to see you? Is spending more time with the patient the only way to make them happy? What are the most important parts of a patient encounter, and how are we doing with them? Can you maximize them to help patients take better care of themselves when they leave? Are there highyield communication times that should have focused training? The speakers will explore the literature available on these topics and discuss challenges, barriers for residents, and solutions for having a more effective patient encounter and a more satisfied patient.

Linda Regan Johns Hopkins Medical Institutions, Baltimore, MD - Submitter, Presenter Tina M. Latimer Emergency Medicine Associates, P.A., P.C., Germantown, MD – Presenter

DS063: Predatory Journals: The Landscape of PeerReviewed Publication in the Open-Access Era Thursday, May 15 - 2:30 - 3:30 pm Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Analyze the relative advantages and disadvantages of open-access publication. 2. Describe the definition of a predatory journal. 3. Take 3 steps to avoid being taken advantage of by predatory journals.

Description: Open-access journals have widely proliferated in the past several years. Originally, these journals were heralded as transforming the field of academic publishing, bringing scientific advances to a wide global audience. However, this publication model is facing new funding models, including “pay to publish,” in which revenue to support the journal comes from publication fees charged to authors, rather than from advertising, subscription fees, or society dues. A subset of open-access journals, the so-called “predatory journals,” exists only to make money from publication fees. They often have similar names as high-level academic journals, and solicit manuscripts through spam e-mail without disclosure of their fees.

As discussed in a recent editorial in Annals of Emergency Medicine, these predatory journals are threatening the legitimacy of scientific publishing.

How are academic societies and researchers to approach the open vs. classical publishing dilemma? Dr. David Cone will begin by discussing the state of open-access publishing in today’s academic landscape. He will provide his perspective on the market impact of open-access publishing, and will discuss publication strategies for researchers at various career stages. Jeffrey Beall, manager of “Beall’s List,” a frequently updated list of predatory journals, has presented his work internationally and is considered a world expert on the issue. He will discuss the impetus for establishing his list, review the methods used for determining which are journals are “predatory” and which are “legitimate,” and specify how to avoid becoming prey for these academically dishonest companies.

Andrew Monte University of Colorado, Aurora, CO - Submitter, Presenter David Cone Yale School of Medicine, New Haven, CT - Presenter Jeffrey Beall University of Colorado Denver, Denver, CO – Presenter

DS064: Policy Change 102: Public Scholarship for Emergency Physicians Thursday, May 15 - 2:30 - 3:30 pm Location: Dallas Ballroom A3

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Objectives: At the completion of this session, participants should be able to: 1.Define public scholarship and its role in emergency medicine. 2. Articulate how to get involved with the primary current formats for public scholarship: online op-eds, Twitter, and the blogosphere. 3. Design a plan for personal involvement in public scholarship, including a way to receive academic credit for one’s efforts.

Description: In “Policy Change 101,” we discussed the basics of health care policy and how emergency physicians can incorporate advocacy into their academic work. This year we will expand our discussion to focus on public scholarship, which will give our participants the skill sets needed to make their advocacy ideas a reality. Public opinion is increasingly shaped by non-traditional sources, such as online news magazines, blogs, and social networking sites (including Facebook and Twitter). Active involvement in these media through “public scholarship” therefore has the potential to have a huge impact on medical care, public health, and health care policy. Although many emergency physicians participate in online medical education discussions (“FOAMed”), fewer are actively involved in public scholarship. In this didactic, three emergency physicians who are actively involved in this novel form of scholarship will discuss ways that our specialty can contribute to the public discussion of critical health issues. We will begin with a discussion of the concept of public scholarship. We will then discuss the relative advantages and disadvantages of blogs (Radecki), Twitter (Ranney), and online Op-Eds (Houry) for disseminating research, influencing public opinion, and creating community dialogues. For each form of scholarship, we will provide an overview of the process for getting started in each medium; potential pitfalls; and ways to maximize one’s time spent. We will close with a question-and-answer panel discussion session. Throughout the session, we will live-tweet our discussion using the #SAEM14 hashtag, to increase wider EM community involvement in the discussion.

Lauren Hudak Emory University School of Medicine, Atlanta, GA - Submitter Megan Ranney Alpert Medical School of Brown University, Providence, RI - Presenter Debra Houry Emory University School of Medicine, Atlanta, GA - Presenter Ryan P. Radecki Texas Health Science Center at Houston, Houston, TX – Presenter

DS065: Coping with Rejection in Research: Resiliency Strategies to Effectively Move Forward After a Setback Thursday, May 15 - 4:00 - 5:00 pm Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Understand that rejection is a part of doing research. 2. Describe specific practical techniques for addressing reviewer comments and revising grant applications/manuscripts to maximize success. 3. Identify and adopt strategies to overcome psychological effects of academic rejection.

Description: All researchers face rejection at some point in their careers.

One measure of a successful researcher is how he or she responds to these rejections. Moving forward after a rejection requires both psychological fortitude and a practical plan. The purpose of this didactic is to discuss ways to cope with rejection and specific practical techniques for moving a project forward after a setback. The discussion will focus on two main topics: 1) Practical aspects of moving a project forward after a rejection.

Panelists will discuss how they have gone on to success after a grant or a manuscript was rejected, using specific examples from their careers. The discussion on grants will include: performing preliminary studies, revising a grant application in response to reviews, bringing on collaborators, and targeting a re-application to the goals of the funding agency. The discussion on manuscript preparation will describe how to read reviews constructively, incorporate comments (or not), write with reviewers in mind, and target a re-submission to the most appropriate journal. 2) Psychological aspects of coping with rejection. While the rejection of a grant or manuscript may reflect institutional priorities, finances, or other external factors, it is easy to view a rejection as a personal comment on one’s intelligence or promise as a researcher. Researchers may be tempted to abandon valuable projects rather than face the criticism of reviewers and the feeling of having “wasted time” on work that was not funded or accepted. This discussion will address ways to cope with these feelings, when to seek advice, and steps for moving forward.

Christopher Kabrhel Massachusetts General Hospital, Harvard University, Boston, MA - Submitter, Presenter Jeffrey Kline Indiana University, Indianapolis, IN - Presenter Mark Courtney Northwestern University Hospital, Chicago, IL - Presenter Judd Hollander University of Pennsylvania, Philadelphia, PA – Presenter

Sean M. Fox Carolinas Medical Center, Charlotte, NC - Presenter Samuel Clarke UC Davis, Sacramento, CA - Presenter Sorabh Khandelwal The Ohio State University, Columbus, OH - Presenter

DS066: Training Pathways for Educators: A Panel Discussion

Thursday, May 15 - 4:00 - 5:00 pm Location: Dallas Ballroom D2

Thursday, May 15 - 4:00 - 5:00 pm Location: Dallas Ballroom B

Objectives: At the completion of this session, participants should be able to: 1. Describe how social media can fulfill academic responsibilities and relate to their institution’s promotion/tenure requirements. 2. List ways social media can lead to career advancement opportunities, including program, institutional, local, and national levels. 3. Explain opportunities for social media-related research and collaboration.

Description: Social media has grown in popularity and has become an engaging tool for educators, trainees, and researchers; however, many participants are concerned that their academic activities on blogs, Twitter and podcasts may not earn the same regard and appreciation from promotion committees as traditional forms of scholarship. The panelists will discuss how their work in social media has advanced their academic careers, in part by leading to traditional measures of accomplishment such as committee positions, speaking opportunities and publications. Presenters will also discuss how advancement is possible thanks to the increasing adoption of modern, progressive definitions of influence and audience.

Jason Nomura Christiana Care Health System, Newark, DE - Submitter, Presenter Michelle Lin University of California San Francisco, San Francisco, CA - Presenter Nicholas Genes Icahn School of Medicine at Mount Sinai, New York, NY - Presenter Robert R. Cooney Conemaugh Memorial Medical Center, Johnstown, PA – Presenter

MAY 13-17, 2014

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Objectives: At the completion of this session, participants should be able to: 1. Compare the four pathways to obtaining formal training in health professions education. 2. Assess the utility of the various educational formats presented in relation to participants’ individual career goals. 3.

Describe strategies for obtaining funding and protected time in order to complete a formal education program.

Description: While education is a core mission of all medical disciplines and is carried out on a daily basis both at the bedside and in the classroom, there has historically been a lack of emphasis on “teaching the teachers.” This panel will serve to highlight the options available to emergency physicians seeking formal training in leadership, educational theories and modalities, curriculum development and assessment, and education research. The panel will be comprised of EM physicians who are currently participating in or have recently completed the following education programs: Fellowship in Medical Education, Master’s in Healthcare Professions Education (MHPE), SAEM Education Fellowship Grant, and ACEP Teaching Fellowship. These members will speak about their career paths, the resources they used to attend formal education programs, as well as their personal experiences with these programs and how they relate to their academic goals and achievements.

Jo Anna Leuck Carolinas Medical Center, Charlotte, NC - Submitter, Presenter

DS067: From Twitter to Tenure: Use of Social Media to Advance Your Academic Career

DALLAS, TEXAS 65

SAEM 2014 ANNUAL MEETING ABSTRACTS MAY 14-17, 2014 — DALLAS, TEXAS

Listed below are the title, presenter name, and presenter institution for the 834 abstracts that have been selected for presentation at the 2014 SAEM Annual Meeting from 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers do not correspond to the original abstract numbers given at time of submission. *SAEM Gallery of Excellence Nominees 2014

THURSDAY, May 15th, 2014

Society for Academic Emergency Medicine

COMPUTER TECHNOLOGY - ORAL ABSTRACTS Thursday, May 15, 8:00 - 10:00 am in San Antonio Ballroom A

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Moderator: 206 The Effect of Data Errors on Emergency Department Performance Metrics: a Monte Carlo Simulation Michael J. Ward, MD, MBA, Vanderbilt University 207 You’ve Got Mail...And Need Follow-Up Brian Sharp, MD, University of Wisconsin 208 Automated Outcome Classification of CT Imaging Reports for Pediatric Traumatic Brain Injury Kabir Yadav, MDCM MS MSHS, the George Washington University 209 Unintended Adverse Consequences of Electronic Health Record Introduction to a Mature Universal HIV Screening Program Laura N. Medford-Davis, MD, Baylor College of Medicine 210 A Rules Based Method to Generate Problem Lists Using Medication Reconciliation Joshua W. Joseph, MD, Beth Israel Deaconess Medical Center / Harvard Medical School 211 Default Versus Open-Text Narcotic Prescription Writing in the Emergency Department Electronic Medical Record Michael D. Zwank, MD, Regions Hospital 212 There’s an App for That? Highlighting the Difficulty in Finding Clinically Relevant Apps for Use in the Emergency Department.

Shannon Toohey, MD, UC Irvine 213 Designing Real-time Decision Support for Trauma Resuscitations Kabir Yadav, MDCM MS MSHS, the George Washington University

CV-CLINICAL - ORAL ABSTRACTS Thursday, May 15, 8:00 - 10:00 am in Houston Ballroom B

Moderator: 214 Copeptin Provides Prognostic Value in Emergency Department Patients Presenting with Acute Undifferentiated Chest Pain Richard M. Nowak, MD, Henry Ford Health System 627 Prospective Validation of the Ottawa Subarachnoid Hemorrhage Rule in Headache Patients Jeffrey J. Perry, MD, MSc, CCFP-EM, University of Ottawa 215 Mid-regional Pro-adrenomedullin Predicts Six Month Mortality in Emergency Department Patients Presenting with Acute Undifferentiated Chest Pain: Results from the CHOPIN Trial Richard M. Nowak, MD, Henry Ford Health System 216 Can a Second Measurement of Copeptin Improve Acute Myocardial Infarction Rule Out? William Peacock, MD, Baylor College of Medicine 217 Electrocardiographic Predictors of Adverse Cardiovascular Events in Acute Drug Overdose: a Validation Study Alex F. Manini, MD, MS, FACMT, the Icahn School of Medicine at Mount Sinai 218 Effects of Blood Pressure Decrease on 180 Day Mortality from the RELAX-AHF Trial Peter S. Pang, MD, Northwestern University FSM 219 Performance of the 2- Hour Accelerated Diagnostic Protocol within the American College of Radiology Imaging Network PA 4005 Cohort Simon A. Mahler, MD, MS, Wake Forest School of Medicine 220 An ED Rhythm Control Method for Recent Onset Atrial Fibrillation Improves Outcomes Compared to Standard Therapy.

Jennifer L. White, MD, Doylestown Hospital

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

221 ST Depression in Lead I Is Not a Reliable Predictor of Right Ventricular Infarction in Inferior STEMI Johanna E. Bischof, MD, Hennepin County Medical Center

INFECTIOUS DISEASE - ORAL ABSTRACTS Thursday, May 15, 8:00 - 10:00 am in Houston Ballroom A

Moderator: 226 Clinical Risk Factors Predict Antimicrobial-Resistant Urinary Pathogens in the Emergency Department Nicholas M. Mohr, MD, University of Iowa Carver College of Medicine 222 Salivary Cortisol as a Marker of Acute Respiratory Infection Severity Wesley H. Self, MD, MPH, Vanderbilt University Medical Center 223 Screening in Emergency Department Identifies a Large Cohort of Unrecognized Chronic Hepatitis C Virus Infection among Baby Boomers James W. Galbraith, MD, University of Alabama at Birmingham 224 Clinical Performance of Rapid Polymerase Chain Reaction (PCR)-based Influenza Testing with Xpert Flu Andrea F. Dugas, MD, Johns Hopkins 225 Rapid PCR Identification of MRSA in Emergency Department Purulent Soft Tissue Infections: An Interim Feasibility Study Daniel Colby, MD, UC Davis 227 Diagnosis and Management of Influenza in the Emergency Department Andrea F. Dugas, MD, Johns Hopkins 228 Who Dies In-Hospital After ED Admission? Guiding Recognition and Early Intervention for High-Risk Patients with Time-Dependent Illness Dylan Dean, MD/PhD, Oregon Health & Science University 229 Redefining Fever: Body Temperature As a Predictor of Infection in the Emergency Department Evan Small, MD, Ph. D., Mayo Clinic

CRITICAL CARE - MODERATED POSTERS Thursday, May 15, 8:00 - 10:00 am in Pearl 4

Moderator: 230 Lactate and Need for Vasopressors Predicts Mortality After Out-ofHospital Cardiac Arrest Brian Saindon, BS, Beth Israel Deaconess Medical Center 231 Pyruvate Dehydrogenase Activity is Inhibited in Cardiac Arrest Patients and in Animal Brain Tissue Post-Cardiac Arrest Lars W. Andersen, MD, Beth Israel Deaconess Medical Center 232 Administration of Dextrose During In-hospital Cardiac Arrest is Associated with Increased Mortality and Neurologic Morbidity Teng J. Peng, BS, Beth Israel Deaconess Medical Center 233 The Forgotten Blood Tube: Does Lactate Concentration Elevate If Left at Room Temperature for An Extended Period of Time?

Joseph L. D’Orazio, MD, Einstein Medical Center 234 Timing of Paralytics Impacts Door-To-Cool Time in Post-Cardiac Arrest Patients Katherine A. Mayer, MD, Carolinas Medical Center 235 Non-Invasively Monitored Presenting Stroke Volume Index Predicts 30Day Mortality in Emergency Department Patients with Suspected Acute Heart Failure, Sepsis and Stroke Richard M. Nowak, MD, Henry Ford Health System

PEDIATRIC IMAGING - MODERATED POSTERS Thursday, May 15, 8:00 - 10:00 am in Live Oak

Moderator: 236 Operating Characteristics of History, Physical Examination, Laboratory Markers and Bedside Ultrasound, in Diagnosing Pediatric Appendicitis: A Meta-Analysis.

Ameer Hassoun, MD, Downstate Medical Center

237 Imaging Rates (CT and US) for Suspected Appendicitis: Variation Between Two Different Practice Models within a Single Health Care System Margaret Menoch, MD, William Beaumont Hospital 238 Evaluation of a Clinical Score for Skull Radiography of Young Children with Isolated Head Trauma. jSerge Gouin, MD, CHU Sainte-Justine 239 Feasibility and Safety of Substituting Lung Ultrasound for Chest X-ray when Diagnosing Pneumonia in Children: a Randomized Controlled Trial Brittany P. Jones, MD, Mount Sinai 240 Non-Clinical Factors Associated with Advanced Imaging in Pediatric Patients with Abdominal Pain Amy L. Jones, BA, University of Pittsburgh School of Medicine 241 Children with Arachnoid Cysts Who Sustain Blunt Head Trauma: Injury mechanisms and outcomes Angela E. Thelen, BS, University of Michigan

CLINICAL PROCESSES - ORAL ABSTRACTS Thursday, May 15, 10:30 am - 12:30 pm in San Antonio Ballroom A

AIRWAY - MODERATED POSTERS Thursday, May 15, 10:30 am - 12:30 pm in Pearl 5

Moderator: 267 Respiratory Failure from Acute Drug Overdose: Incidence, Complications, and Risk Factors Angela Hua, MD, Icahn School of Medicine at Mount Sinai 268 Intubations in Elderly Patients Have Decreased from 2000 Through 2011--Results of a Multi-center Cohort Study James Seger, DO, Morristown Memorial Hospital 269 Are Higher Mallampati Scores or Obesity Associated with an Increased Rate of Adverse Events During Procedural Sedation in the Pediatric Emergency Department?

Maya S. Iyer, MD, Children’s Hospital of Pittsburgh of UPMC 270 Long-term Opioid Use After Emergency Department Discharge.

Howard S. Kim, MD, Denver Health Medical Center 271 Does the Consensus-based Practice of Reduction of Opioid Dose by Half in Older Patients Contribute to Inadequate Pain Relief in the Elderly?

Andrew C. Yoon, MD, Albert Einstein College of Medicine 272 ED Airway Management of Severe Angioedema: a Single Center’s Experience Brian Driver, MD, HCMC 273 Ketamine Versus Etomidate for ED Rapid Sequence Intubation Brian Driver, MD, Hennepin County Medical Center

DALLAS, TEXAS

Moderator: 251 Variation in Hospital Admissions After Ed Visits, Massachusetts 2010-2011 Jeremiah D. Schuur, MD, MHS, Brigham and Women’s Hospital 252 Variation in Common Emergency Department Admissions and Its Implications for Health Care Spending Keith E. Kocher, MD, MPH, University of Michigan 253 A Novel Population Based Approach to Identifying Geographic Coalitions of Hospitals that Care for Unplanned Critical Illness Austin S. Kilaru, BA, Perelman School of Medicine at the University of Pennsylvania 254 Throughput Performance among US Emergency Departments: a Crosssectional Analysis Christopher W. Jones, MD, Cooper Medical School of Rowan University 255 The Distribution of Outpatient Emergency Department Expenditures and Low-Intensity Diagnostic Testing Michael H. Lee, MD MS, Alpert Medical School of Brown University 256 Thirty-day Readmissions through the Emergency Department in a Large Metropolitan Region Theodore C. Chan, MD, University of California, San Diego

Moderator: 259 Implementation of a Pediatric Mock Code Blue Program at a Tertiary Care Facility: Does It Improve Code Performance, Confidence or Teamwork?

Mark J. Bullard, MD, Carolinas Medical Center/Carolinas Simulation Center 260 Examining the Variability among Residents at Different Levels of Training in Their Decision to Terminate Care During a Cardiac Arrest Resuscitation Using High Fidelity Human Simulation.

Timothy J. Fortuna, DO, Virginia Tech Carilion 261 High Fidelity Simulation Results in Improving Clinician Performance in the Management of Massive Hemorrhage Cases Arielle Levy, MD, MEd, FRCPC, Department of Paediatrics, Division of Emergency Medicine 262 A Comparison of Performance for High-fidelity ACLS-based Simulation Cases for PGY-1 and PGY-3 Level Learners at Two Institutions Jo Anna Leuck, MD, Carolinas Medical Center 263 Electronic Tablet Augmented Simulation: a pilot study Shane Peterson, MD, New York-Presbyterian Hospital 264 Longitudinal Intern-year Emergency Procedure Workshop: Experience, Utility, and Confidence Lillian Wong, MD, NYU School of Medicine 265 Unifying Performance: a Transition in Critical Care from PGY1-2: Increasing Learner Confidence with An Interdisciplinary Intern Simulation Curriculum Mark J. Bullard, MD, Carolinas Medical Center/Carolinas Simulation Center 266 Simulation Conducted in Situ Versus at a Simulation Center: a Pilot Study of Participant Satisfaction and Costs.

Edward A. Ullman, MD, Beth Israel Deaconess Medical Center

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HEALTH POLICY, OPERATIONS AND ADMISSIONS - ORAL ABSTRACTS Thursday, May 15, 10:30 am - 12:30 pm in Houston Ballroom A

SIMULATION - ORAL ABSTRACTS Thursday, May 15, 10:30 am - 12:30 pm in Houston Ballroom B

MAY 13-17, 2014

Moderator: 242 Controlled Substance Prescribing for Discharged Emergency Patients: Effects of a Prescription Reporting Initiative on Physician Prescribing John Burton, MD, Carilion Clinic 243 Effect of Automated, Real Time, Electronic Health Record SIRS and Severe Sepsis Alerts on Bundle Compliance and Mortality Christopher Fee, MD, University of California San Francisco 244 Evaluation of the Addition of a Pharmacist to the Quality Assurance Process in the Emergency Department to Reduce the Inappropriateness of Revised Antimicrobial Prescription in Discharged Adult Patients Kimberly Miller, Pharm.D, Allegheny Health Network 245 The Effect of Ongoing Professional Practice Evaluation on Physicians’ Utilization of CT Imaging in the Emergency Department Jameel Abualenain, MD, MPH, the George Washington University 246 Utility and Perceptions of Patient Feedback for Healthcare Providers Kathleen Saxon, MD, Exempla St Joseph Hospital 247 Using Big Data Analytics to Better Understand Drivers of Length of Stay in an Academic Emergency Department Weldon Diana, MD, MBA, University of Virginia School of Medicine 248 Split Flow Process in a Pediatric Emergency Department Toni Gross, MD, MPH, University of Arizona College of Medicine Phoenix 249 Intravenous Line Use and Success Rates for Intravenous Lines in the Emergency Department: Do the Position - Paramedic Or Nurse - and Years of Experience Matter?

Sharon E. Mace, MD, Cleveland Clinic 250 Sickle Cell Disease in the Adult Emergency Department: a Structured Protocol to Improve Pain Control and Length of Stay for Vaso-Occlusive Pain Crisis Tariq Khan, MD, Medstar Georgetown University/WHC

257 Thirty-day Rehospitalizations and Return Emergency Department Visits after Hospitalization for COPD Exacerbation Chu-Lin Tsai, MD, ScD, Massachusetts General Hospital 258 Predicting Emergency Department Re-visits Using Observational Data on Patient Characteristics and Hospital Operations Peter S. Pang, MD, Northwestern University FSM

POSTER SESSION 2 - THURSDAY - POSTER ABSTRACTS Thursday, May 15, 8:00 am - 12:00 pm in Lone Star Ballroom B

274 Evaluating for Seasonal Variation in ACEI/ARB Induced Angioedema Matthew Wilson, MD, Washington Hospital Center 275 Trends in Opioid Prescribing in U.S. Emergency Departments Based on Provider Level of Training Maryann Mazer-Amirshahi, PharmD, MD, Children’s National Medical Center 276 Emergency Physicians’ Experiences Using Prescription Drug Monitoring Programs - a Qualitative Study Austin S. Kilaru, BA, Perelman School of Medicine at the University of Pennsylvania

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277 6-Minute Walk Test as a Predictor of Summit Success on Mount McKinley Kate Shea, MD, Stanford University 278 Virtual Examination is a Feasible Alternative to Traditional Mock Oral Examination for Evaluation of Emergency Medicine Residents Jillian L. McGrath, MD, the Ohio State University Wexner Medical Center 279 Development of a National Simulation Curriculum: What do Residents Think?

Allison McConnell, MD, MKin, the University of Western Ontario 280 A Comprehensive Simulation Platform to Quantify and Manage SiteSpecific Emergency Department Crowding Joshua E. Hurwitz, BS, University of Florida Department of Mathematics 281 Effect of Shift Work Fatigue on Clinical Performance of PGY-3 Emergency Medicine Residents as Measured During High Fidelity Simulation Cases Jo Anna Leuck, MD, Carolinas Medical Center 282 Comparison of Haptic Technology Versus Traditional Mannequin Simulation for Resident Training in Pelvic Ultrasound Jessica Schmidt, MD, MPH, Yale University School of Medicine 283 An Affordable, Effective Gelatin-Based Thoracentesis Model Ali H. Al Khulaif, MD, University of California, Davis 284 Emergency Airway Simulation Based Training Changes Clinical Behaviors of Emergency Physicians Michiko Mizobe, MD, Tokyo Bay Urayasu/Ichikawa Medical Center 285 What Do Patients Think About Staff Training for Emergencies?

Kim Yates, MBChB, MMedSc, PGCertClinEd, FACEM, Waitemata District Health Board 286 Simulation Training to Maintain Neonatal Resuscitation and Pediatric Sedation Skills for Emergency Medicine Faculty Joshua Ross, MD, University of Wisconsin School of Medicine and Public Health 287 Pig’s Feet Are Better than Bananas as a Model for Suture Training Edward A. Ramoska, MD, MPH, Drexel University College of Medicine 288 Airway Contractility in the Cryopreserved Precision Cut Lung Slice Ramaswamy Krishnan, Ph.D., Beth Israel Deaconess Medical Center 289 Outcomes of Allergy Follow Up After Emergency Department Evaluation of Anaphylaxis Michael Kueber, MD, Mayo Clinic 290 Dosing of Oral Prednisone and Emergency Department Outcomes in Acute Asthma Exacerbation, a Retrospective Review of the Current Guidelines Christie C. Pickrell, MD, Newark Beth Israel Medical Center 291 Should the D-dimer Cut-off Level Be Increased in ED Patients with Suspected Pulmonary Embolism?

Thaison P. Tran, MD, George Washington University 292 Trends in Severity of Illness of Emergency Department Asthma Patients John R. Allegra, MD, PhD, Morristown Medical Center 293 Quality of Care for Acute Asthma in 40 US Emergency Departments Kohei Hasegawa, MD, MPH, Massachusetts General Hospital 294 Clinical Characteristics and Outcomes of Community-acquired Pneumonia Detected Only By Computed Tomography Compared with Pneumonia Detected By Chest X-ray Wesley H. Self, MD, MPH, Vanderbilt University Medical Center 295 HIV Screening in Adult ED Patients: Does a Quality Improvement Intervention and Nurse/Patient Gender Affect This Process?

Jeanne Basior, MD, University at Buffalo 296 Early, ED-Based Palliative Care Consults: An Analysis of Feasibility and Potential Impact Emmett Kistler, BA, Icahn School of Medicine at Mount Sinai 297 The Impact of Emergency Department Observation Units on United States Emergency Department Admission Rates.

Roberta Capp, MD, MHS, University of Colorado 298 Forecasting Hourly Patient Volumes in the Emergency Department Seven Months in Advance Lauren Laker, MBA, University of Cincinnati 299 Return Visits to the Emergency Department: the Patient Perspective Kristin L. Rising, MD, University of Pennsylvania 300 EMS Access to Naloxone - a National Systematic Legal Review Michael W. Dailey, MD, Albany Medical Center 302 Thinking Outside the Box: How Well Do Emergency Department Providers Understand Their Patients?

Dennis Hsieh, MD, JD, Alameda Health System Highland General Hospital

303 Ambulatory Care Sensitive Mental Health and Substance AbuseRelated Conditions: Evaluating the Association Between the Emergency Department Visit Rate and County-Level Outpatient Psychiatrist Supply Sophie Terp, MD, MPH, Keck School of Medicine, University of Southern California 304 Heterogeneous Effects of Post ED-visit Text Message Appointment Reminders Based on Language Preference and Appointment Type Sanjay Arora, MD, Keck School of Medicine of the University of Southern California 305 Validating Health Information Exchanges Data for Quality Measurement Across Four Hospitals Nupur Garg, MD, Mount Sinai School of Medicine 306 Emergency Department Management of Atrial Fibrillation/Flutter and Patient Quality of Life at One Month Post-Visit Dustin W. Ballard, MD, MBE, Kaiser Permanente San Rafael Medical Center 307 The Impact of Admission Time on Long-term Mortality in Patients with Acute Myocardial Infarction: the Atherosclerosis Risk in Communities Study Sarah A. Sterling, MD, University of Mississippi Medical Center 308 Intimate Partner Violence Victim’s Nationwide Emergency Department Utilization Robyn M. Hoelle, MD, University of Florida 309 The Relationships Between Health Literacy, Education Level, and Preferred Method of Learning in Emergency Department Patients Breena R. Taira, MD, MPH, Olive View UCLA Medical Center 310 Availability and Utilization of Cardiac Resuscitation Centers in California Bryn E. Mumma, MD, MAS, UC Davis 311 Healthy Food Availability is Associated with Neighborhood Incidence of Emergency Department Visits for Diet-Related Illnesses Bjorn Westgard, MD, MA, Regions Hospital 312 Emergency Department Vital Signs and Short-Term Unfavorable Outcomes Following Discharge Gelareh Z. Gabayan, MD, MSHS, UCLA 313 Epidemiology and Variation in Clinical Management of Palpitations in the Emergency Department: An Analysis of the National Hospital Ambulatory Medical Care Survey.

Marc A. Probst, MD, UCLA 314 Feasibility Analysis of Emergency Department Key Performance Indicators in Ireland: An Interim Analysis Aileen McCabe, MBBChBAO, Royal College of Surgeons in Ireland (RCSI) 315 Variation and Predictors of Admission for Atrial Fibrillation After ED Visits among U.S. Hospitals 2010 Michelle P. Lin, MD, MPH, Brigham and Women’s Hospital 316 A Comparison of Two Brief Intimate Partner Violence Screening Tools in the Emergency Department Robyn M. Hoelle, MD, University of Florida 317 The Association between Limited English Proficiency and Unplanned Emergency Department Revisit within 72 hours Ka Ming G. Ngai, MD, MPH, Icahn School of Medicine at Mount Sinai 318 Adherence and Health Disparities Associated with Common Clinical Practice Guidelines in the Emergency Department Stacy A. Trent, MD, MPH, Denver Health Medical Center 319 Impact of a Concussion Education Program on the Management of Concussions Shabnam Jain, MD, MPH, Emory University 320 Treating Acute Medical Conditions in Settings Outside of an Inpatient Hospital Unit: a Systematic Review of the Science Jared Conley, MPH (MD/PhD candidate), Stanford University School of Medicine 321 Boarding Hotspots: Regional Variation in ED Boarding Times Across the US Jennifer S. Love, AB, Perelman School of Medicine at the University of Pennsylvania 322 The Demand for Emergency Care: a Geographic Analysis of PopulationBased Determinants David C. Lee, MD, University of Pennsylvania 323 Health Status and ED Utilization Amongst Foreign-Born and US-Born Latino Patients with Diabetes Emily Neill, MSII, University of Southern California 324 Access to Primary Care Affecting Emergency Department Utilization Patterns Jeffrey Nakashioya, MS2, Keck School of Medicine, University of Southern California

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345 Severe IV Access Difficulty in Two Urban EDs Michael D. Witting, MD, MS, University of Maryland 346 Emergency Physician Perceptions on Barriers to Shared Decision Making: a National Survey Study Hemal K. Kanzaria, MD, Robert Wood Johnson Foundation Clinical Scholars Program 347 Adolescent Trends in Ambulatory Care and Variation by Race Adrianne Haggins, MD, MS, University of Michigan 348 Performance of An ED-based Care Coordination Intervention: Factors Associated with Linkage to Primary Care and Observation of Postintervention ED Utilization Sean D. Foster, MD, University of Cincinnati 349 Assessment of the effect of Patient Volume on Diagnostic Testing in the Emergency Department Dave Milzman, MD, Georgetown U School of Medicine 350 The Secular Trends in Head Trauma Visits to United States Emergency Departments Jennifer R. Marin, MD, MSc, University of Pittsburgh School of Medicine 351 Characteristics of Asian Subgroups Using the Emergency Department at an Urban Safety-net Hospital Chun Nok Lam, MPH, Keck School of Medicine, University of Southern California 352 The Efficacy of Radiofrequency Tracking Devices Placed on Cognitively Impaired Patients Under the Age of 65 Erin L. Simon, D.O., Akron General Medical Center 353 Enrollment in a Patient-centered Medical Home Modifies the Relationship Between Adherence and Blood Pressure Control among Primary Care Patients in the Emergency Department Candace McNaughton, MD, MPH, Vanderbilt University 354 Does Patient Connectedness to a Usual Source of Care Impact Frequent Emergency Department Use? Nicole Piela, MD, Thomas Jefferson U. 355 Factors Impacting ED Patients’ Understanding of Medicaid Expansion through the Affordable Care Act Sophie Terp, MD, MPH, Keck School of Medicine, University of Southern California 356 The Impact of High Hospital Census on Inpatient Outcomes Mahshid Abir, MD, MSc, University of Michigan 357 Do Dental Patients Presenting to the Emergency Department During Dental Office Hours Have More Financial Barriers to Definitive Care?

Forest Walker, MD, University of Kentucky 358 Zinc Oxide Nanoparticles Inhibit Staphylococcal Growth and Biofilm Adhesion J. S. VanEpps, MD, PhD, University of Michigan 359 Assessment of Emergency and Urgent Care Capacity in Western Kenya R. Eleanor Anderson, MD, Massachusetts General Hospital, Harvard Medical School 360 Development of the Assessment Screen to Identify Survivors Toolkit for Gender Based Violence (ASIST-GBV) for male refugees living in Uganda Mary Chang, MD, Johns Hopkins University 361 Emergency Department Overcrowding in Fiji James Holmes, MD, MPH, UC Davis School of Medicine 362 A Systematic Review of Pediatric Triage Tools in Low Resource Settings: Components and Scientific Evidence Bhakti Hansoti, MBChB, MPH, Johns Hopkins University 363 Assessment Framework for Low-Resource Emergency Medical Services (EMS) Systems Nee-Kofi Mould-Millman, MD, University of Colorado, Denver 364 Prevalence of Road Traffic Injuries in Sub-Saharan Africa: Initial Results of a Systematic Review and Meta-Analysis Elizabeth Krebs, MD, Duke University 365 A Study of the Workforce in Emergency Medicine in Israel: 2012 Michael J. Drescher, MD, University of Connecticut 366 Emergency Department Resource Utilization during Ramadan in Abu Dhabi Kamna S. Balhara, MD, Johns Hopkins Hospital 367 A Larger Percentage of Elderly Emergency Department Patients with Syncope Are Hospitalized in the United States than in South Korea John R. Allegra, MD, PhD, Morristown Medical Center

MAY 13-17, 2014

325 Do Patient Satisfaction Scores Predict Which Patients Will Return to the Emergency Department?

Shannon Essler, BS Chemistry, Texas A&M Health Science Center College of Medicine 326 U.S. Hospital Variation in Rates of Admission in Diverticular Disease, 2010 Margaret B. Greenwood-Ericksen, MD, MPH, Brigham and Women’s Hospital 327 Patient Follow-up After ED Visit for Orthopaedic Injury: Can ED Care Influence No-Show?

Laura N. Medford-Davis, MD, Baylor College of Medicine 328 Can Data from a Health Information Exchange Be Used to Describe Patients Who Visit Multiple Emergency Departments within a Region?

Christine M. Carr, MD, Medical University of South Carolina 329 Missed Diagnosis of Stroke in the Emergency Department: a Crosssectional Analysis of a Large Population-based Sample David E. Newman-Toker, MD PhD, Johns Hopkins University School of Medicine 330 Evaluating Knowledge of the Affordable Care Act and Likelihood of Qualification for Medicaid Expansion among Uninsured ED Patients at Los Angeles’s Largest Safety-Net Hospital Sophie Terp, MD, MPH, Keck School of Medicine, University of Southern California 331 The Potential Impact of Safety-Net Hospital Closure on Patients and Surrounding Emergency Departments with the Implementation of the Affordable Care Act Sophie Terp, MD, MPH, Keck School of Medicine, University of Southern California 332 Impact of Nurse-Initiated Protocols on Timeliness of Care in High-risk Emergency Department (ED) Patients Shabnam Jain, MD, MPH, Emory University 333 The Myth of Randomization; Reasons Why Your Clinical Trial Can Fail Bess Tortolani, MD, New York Methodist Hospital 334 A Feasibility and Acceptability Study: Enrollment of Medicaid Frequent ED Users in a Navigation Program to decrease Barriers to Outpatient Care Roberta Capp, MD, MHS, University of Colorado 335 Understanding Health Beliefs of Frequent Users of the Emergency Department Kaitlin R. McCarter, BA, Thomas Jefferson U. 336 Factors That Influence the Acceptance Or Refusal of An HIV Test in the ED Benjamin Wie, BA, North Shore University Hospital 337 ED Assault Injured Youth: Two-year Prospective Cohort Study of Violent Injury and Mortality Rebecca Cunningham, MD, University of Michigan Injury Center 338 What Happens to Your ED When the Hospital Next Door Closes?

Modeling the Effects of the Closure of An NYC Hospital on a Nearby Hospital Nupur Garg, MD, Mount Sinai School of Medicine 339 Effectiveness of a Post-Emergency Department Automated TelephoneCall on Follow-Up Appointment Compliance and Association of Compliance with Subsequent Hospitalization Steven H. Saef, MD, MSCR, Medical University of South Carolina 340 Length of Wound Study: a Study of the Accuracy of Wound Length Estimation by Physicians.

Vicken Y. Totten, MD MS, University Hospitals Case Medical Center 341 Improving Physician to Patient Communication in the Emergency Department to Increase Patient Satisfaction: a Checklist for the Emergency Physician Kathia Damiron, MD, CCRC, Einstein Healthcare Network 342 Can Hospital Service Areas Be Used to Model the Geography of Emergency Department Utilization?

Austin S. Kilaru, BA, Perelman School of Medicine at the University of Pennsylvania 343 A Model for the Implementation of Cervical Cancer Screening and HPV Vaccination in the Emergency Department: a Pilot Study Alicia Devine, JD, MD, Eastern Virginia Medical School 344 Safe and Effective Change: Critical Elements of Introducing a Successful Paediatric Procedural Sedation Programme in the Emergency Department Siobhan C. McCoy, Bsc (Hons) Nursing, Paediatric Emergency Research Unit (PERU), National Children’s Research Centre

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Society for Academic Emergency Medicine 70

368 When and who needs North American style Emergency Medicine in Japanese Medical fields?

Takashi Shiga, MD, MPH, Tokyo Bay Uraysu Ichikawa Medical Center 369 Are Frequent Presenters’ Characteristics the Same Internationally?

Characteristics Identified in Japanese Population Shinya Takeuchi, MD, Tokyo Bay Urayasu/Ichikawa Medical Center 370 Morbidity and Mortality Following Traditional Uvulectomy among Children Presenting to the Muhimbili National Hospital Emergency Department in Dar Es Salaam, Tanzania Hendry R. Sawe, MD, MBA, Muhimbili National Hospital 371 P.A.S.S. - a Simple Rule to Identify Ed Patients with Symptomatic Ureteral Stones Unlikely to Require Urologic Intervention.

Brock Daniels, MD, MPH, Yale New Haven Hospital 372 Comparative Accuracy of Point of Care Ultrasound for Acute Lower Limb DVT Against Risk Stratification and Selective Radiology-Performed Ultrasound Gabriel E. Blecher, MBBS(Hons) PDM CCPU FACEM MSc, Monash Health 373 Utility of Computed Tomography Urography in Renal Colic Gabriel E. Blecher, MBBS(Hons) PDM CCPU FACEM MSc, Monash Health 374 Reliability and Utility of Point-of-Care Creatinine in the Emergency Department: Can it Decrease Emergency Department Length of Stay?

Simran Vahali, MD, George Washington University 375 Emergency Physician Self-awareness of Variation in Computerized Tomography Ordering, and Predictors Thereof Amjed Kadhim-Saleh, MSc, University of Ottawa, Department of Emergency Medicine 376 Questioning the Benefit of Immediate Computerized Tomography Scanning in Suspected Renal Colic: a Retrospective Chart Review of Patients Age 50 and Under Presenting with Flank Pain Elizabeth M. Schoenfeld, MD, Baystate Medical Center 377 A Brief Educational Intervention Improves Medication Safety in Grandparents of Young Children: a Pilot Study Maneesha Agarwal, MD, Carolinas Medical Center 378 Proning: Outcomes of Use of Force Followed with Prone Restraint Edward M. Castillo, PhD, MPH, University of California, San Diego 379 Computerized Assessment of Alcohol Use and Readiness to Change in Different Ethnicities.

Victor Cisneros, BS, University California, Irvine School of Medicine, Department of Emergency Medicine 380 Do You Really Want to Ride Shotgun? a Decade Analysis of Safest Seat in SUVs in Fatal Crashes.

Dave Milzman, MD FACP C, Georgetown U School of Medicine 381 Retrospective Analysis of Driver Crash Severity Following Implementation of the HANS Device and SAFER Barriers Drew Blasco, BA, Arizona State University 382 Hispanic vs. Non-Hispanic Patient Knowledge of Radiation Exposure Risk from Medical Imaging: a Survey of Emergency Department Patients Afton McNierney, DO, Christus Spohn/Texas A&M School of Medicine 383 Cross-Validation of a Prescription Opioid Abuse Risk Tool and Prescription Drug Monitoring Data in the Emergency Department Scott G. Weiner, MD, MPH, Tufts Medical Center 384 California Prescription Drug Monitoring System (PDMP) and Its Effect on Physician Prescribing Behavior among Patients Presenting with Chronic Pain in the Emergency Department Bharath Chakravarthy, MD, MPH, University of California, Irvine School of Medicine 385 Emergency Department Providers’ Attitudes on Naloxone Distribution for Treatment of Opioid Overdose: a Single Institutional Preliminary Study Linda Sinclair, MD, Albany Medical Center 386 Variations in the Quality and Type of Data Collected about Firearm Injuries in Statewide Trauma Registries: a Content Analysis Jonathan Purtle, DrPH(c), MPH, MSc, Drexel University College of Medicine 387 Rough Riders: An Educational Intervention to Increase Self-efficacy and Knowledge of All-Terrain Vehicle (ATV) Safety among Children and Parents in a Rural Indiana Community Jennifer Walthall, MD, MPH, Indiana University 388 Save-a-life at the Ballpark: 10-minute Spectator Training Achieves Proficiency in Cardiac Arrest Response Marina Del Rios, MD, MSc, University of Illinois at Chicago 389 The Use of Sedating Medication among Elderly Emergency Department Patients Injured in a Motor Vehicle Crash.

Jonathan J. Lee, MEdT, Alpert Medical School of Brown University

390 New York State Emergency Department Providers’ Attitudes on Naloxone Distribution for Treatment of Opioid Overdose: a Preliminary Study Linda Sinclair, MD, Albany Medical Center 391 Does the Rank List Position Correlate with Success in Emergency Medicine Residencies?

Michael Williams, MD pending, UT-Houston Health Sciences Center 392 Emergency Medicine Residents and Faculty Assess Medical Student Performance using Similar Numerical Scores Joshua Wallenstein, MD, Emory University 393 Introduction of a Novel Evidence Based Medicine Curriculum in Emergency Medicine Benjamin H. Slovis, MD, Mount Sinai Medical Center 394 Facilitating Instruction of Direct Laryngoscopy with Video Assistance: A Pilot Study Eric Chou, MD, Maimonides Medical Center 395 Evaluation of a Flipped Classroom Approach to Designing a Point-ofCare Ultrasound Pilot Curriculum for Medical Students Rachel Liu, MD, Yale University School of Medicine 396 How Do We Effectively Measure the Milestones?

Samantha R. Hauff, MD, University of Michigan 397 Education Scholarship Fellowships in Emergency Medicine: a Formal National Needs Assessment.

Jaime Jordan, MD, Harbor-UCLA Medical Center 398 Characterization of Utilization of Clinical Assessment Tools in Emergency Medicine Medical Student Education Luan Lawson, MD, Brody School of Medicine at East Carolina University 399 Implementation of a Team-Based Physician Staffing Model at an Academic Emergency Department Jose V. Nable, MD, NRP, University of Maryland School of Medicine 400 Emergency Medicine Milestone Shift Evaluations Overestimate Residents’ Proficiency Level Erin Dehon, PhD, University of Mississippi Medical Center 401 The Use of a SLOR Composite Score and its Relationship to Rank Order List Position Erin Dehon, PhD, University of Mississippi Medical Center 402 Evaluating the Emergency Medicine Milestone Project: Procedural Competence in the Incoming PGY1 Resident Jay G. Ladde, MD, Orlando Health 403 Frequency of Agreement among SLOR Writers: Does the Writer Matter?

Erin Dehon, PhD, University of Mississippi Medical Center 404 What Study Materials and Study Habits Correlate with High Abem Intraining Examination Scores?

Walter L. Green, MD, University of Texas Southwestern 405 Assessment of Resident Physician Understanding and Application of Evidence-Based Medicine Core Concepts Adaira I. Landry, MD, New York University School of Medicine, Bellevue Hospital Center 406 Are Emergency Medicine Residents Missing Central Line Training?

Retrospective Review of Central Venous Catheters Placed in and Out of the Emergency Department Nicholas Daniel, D.O., University of Nebraska Medical Center 407 REACH: a Novel Process to Collate Resident Performance Metrics Michelle Slezak, MD, Henry Ford Hospital 408 Early Integration of Basic and Clinical Sciences through a Tube Thoracostomy Module Kene Chukwuanu, MD, Saint Louis University 409 Multi-Metric Analysis of the Utility of Asynchronous Learning versus Conventional Learning for Medical Student FAST Exam Training Nik Theyyunni, MD, University of Michigan, Department of Emergency Medicine 410 What does Remediation and Probation Status Mean to Emergency Medicine Residencies? a Survey of EM Program Directors Jessica L. Smith, MD, Alpert Medical School of Brown University/Rhode Island Hospital 411 Utilization of Banana Peels as an Alternative Model for Suture Education Sara S. Singhal, MD, University of Kentucky 412 How Does Your EM Program Structure Your Clinical Competency Committee?

Christopher I. Doty, MD, University of Kentucky 413 Osteopathic Emergency Medicine Programs Infrequently Publish in High Impact Emergency Medicine Journals Jestin N. Carlson, MD, MSc, Saint Vincent Hospital

PSYCHIATRY - ORAL ABSTRACTS Thursday, May 15, 1:30 - 3:30 pm in Houston Ballroom A

Moderator: 439 Comparison of a Heart Rate Variability Model and the TIMI risk score in the Prediction of Adverse Cardiac Events in Patients Presenting with Chest Pain in the Emergency Department.

Marcus AB. Lee, BEng, Duke-NUS Graduate Medical School 440 Inter-Observer Reliability and Test Characteristics of the HEART Score in Predicting Low Risk Admissions to an Observation Unit for Cardiac Evaluation Michael C. Plewa, MD, Mercy St. Vincent Medical Center 441 In-Hospital Bioimpedance Measures Are Associated with Readmission in ED Patients with Acute Heart Failure Gregory J. Fermann, MD, University of Cincinnati 442 Recent-onset Atrial Fibrillation and 6-month Cardiovascular-related ED Visit and Readmission Carol L. Clark, MD, William Beaumont Hospital 443 Anticoagulant Use in Recent Onset Atrial Fibrillation Patients in a Large Suburban ED Before Novel Anticoagulants Became Easily Available Carol L. Clark, MD, William Beaumont Hospital 444 Chromosome 4q25 Risk Allele Modulates Response to Ventricular Rate Control Therapy in Emergency Department Patients with Atrial Fibrillation Brian S. Wasserman, MD, Vanderbilt University Medical Center 445 Validation of a Simple Clinical Prediction tool to identify Isolated Right Ventricular Dysfunction in Short of Breath Patients Frances M. Russell, MD, Indiana University 446 Emergency Physiciansâ&#x20AC;&#x2122; Perceptions and Decision-making for Patients Presenting with Palpitations Marc A. Probst, MD, UCLA

DALLAS, TEXAS

Moderator: 423 Intramuscular Cobinamide Versus Intravenous Cobinamide in the Treatment of Acute Cyanide Toxicity and Apnea in a Swine (Sus Scrofa) Model Vikhyat S. Bebarta, MD, San Antonio Military Medical Center; AF Enroute Care Research Center 424 Failure of Aminocaproic Acid and Tranexamic Acid to Reverse Dabigatran-induced Coagulopathy Michael Levine, MD, Department of Emergency Medicine, University of Southern California 425 Detection, Measurement and Characterization of Unhealthy, Environment-derived Aerosols in An Emergency Department: Preliminary Results from the AETHER2 Study Leo Kobayashi, MD, Alpert Medical School of Brown University 426 A Randomized Controlled Trial of Trypsin to Treat Brown Recluse Spider Bites in Guinea Pigs Wyman W. Cabaniss, MD, Brody School of Medicine at East Carolina University 427 Timecourse of Neuromuscular Junction Failure After Acute Parathion Poisoning Steven B. Bird, MD, University of Massachusetts Medical School 428 Outcomes of Patients Resuscitated from Cardiac Arrest Due to Drug Overdose.

Alexander Katz, MD, Department of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania 429 Metformin Inhibits Pyruvate Dehydrogenase at High Dosages: a Potential Mechanism for Lactic Acidosis Michael Donnino, MD, Beth Israel Deaconess Medical Center 430 Incidence and Outcomes of Adult Cardiac Arrest Associated with Toxic Exposure Treated with Therapeutic Hypothermia (ToxiCool) Katharine L. Modisett, MD, Carolinas Medical Center

CARDIOVASCULAR - CLINICAL RESEARCH - MODERATED POSTERS Thursday, May 15, 1:30 - 3:30 pm in Live Oak

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TOXICOLOGY - ORAL ABSTRACTS Thursday, May 15, 1:30 - 3:30 pm in Houston Ballroom B

Moderator: 431 Association of Patient Race/Ethnicity with Use of Computed Tomography among Children with Blunt Torso Trauma James Holmes, MD, MPH, University of California, Davis 432 Yield and Clinical Predictors of Thoracic Spine Injury from Chest Computed Tomography for Blunt Trauma Mark I. Langdorf, MD, University of California, Irvine 433 Prevalence and Clinical Import of Thoracic Injury Identified by Chest CT but not Chest X-ray in Blunt Trauma Patients Mark I. Langdorf, MD, MHPE, University of California, Irvine 434 Prior CT Imaging History for Patients Who Undergo Pan CT for Acute Traumatic Injury Jeremy Kenter, DO, Christus Spohn/Texas A&M School of Medicine 435 Low Mortality with Current CT Diagnosis of Sternal Fracture Robert Rodriguez, MD, UCSF/San Francisco General Hospital 436 Characteristics and Disposition of Severely Injured Elderly Patients Presenting to U.S. Non-Trauma Centers with Falls Versus Other Mechanisms of Injury M. Kit Delgado, MD, MS, University of Pennsylvania Perelman School of Medicine 437 Prothrombin Complex Concentrates (PCC) are Effective to Reduce Blood Loss in a Dabigatran-Anticoagulated Polytrauma Pig Model Markus Honickel, MD, RWTH Aachen University Hospital 438 An Evaluation of Factors Associated with Hospital Length of Stay Greater Than Seven Days in Admitted Geriatric Trauma Patients Derivation of a Risk Assessment Tool John M. Oâ&#x20AC;&#x2122;Neill, MD, Allegheny General Hospital

MAY 13-17, 2014

Moderator: 415 The Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE): the Impact of Implementing Universal Suicide Risk Screening Edwin D. Boudreaux, PhD, the University of Massachusetts Medical School 416 A Meta-analysis of Risk Factors for Near Term Suicide Risk in the Outpatient and Emergency Department Setting Bernard P. Chang, MD, PhD, Columbia University Medical Center-Division of Emergency Medicine 417 A Comparison of the Disposition of Psychiatric Patients By the Emergency Physician and the Psychiatrist Nadine T. Thompson-Carlton, MD, East Carolina University, Brody School of Medicine 418 Trends in Emergency Department Utilization for Mental Health and Substance Abuse-Related Conditions in California Following Passage of the Mental Health Services Act (Proposition 63) Sophie Terp, MD, MPH, Keck School of Medicine, University of Southern California 419 Characterizing Demographic and Health Data of Self- poisonings with Suicide Intent in Patients Between the Ages of 0-21 Years Reported to Florida Poison Centers from 2003-2012 Sophia Sheikh, MD, University of Florida College of Medicine- Jacksonville, Department of Emergency Medicine 420 Lethal Means Restriction for Suicide Prevention: Change in Provider Beliefs and Behaviors during ED Process Improvement Marian E. Betz, MD, MPH, University of Colorado School of Medicine 421 Characteristics of Pediatric Psychiatric Visits at Two Emergency Departments Bharath Chakravarthy, MD, MPH, University of California, Irvine School of Medicine 422 Mental Health Characteristics of ED Patients in Los Angeles County Who Will Remain Uninsured Following Implementation of the Patient Protection and Affordable Care Act Sophie Terp, MD, MPH, Keck School of Medicine, University of Southern California

TRAUMA - ORAL ABSTRACTS Thursday, May 15, 1:30 - 3:30 pm in San Antonio Ballroom A

CLINICAL DECISION RULES - ORAL ABSTRACTS Thursday, May 15, 4:00 - 6:30 pm in Houston Ballroom B

Moderator: 447 Validation of the Refined Denver HIV Risk Score Using a National HIV Testing Cohort Jason Haukoos, MD, MSc, Denver Health Medical Center 795 Multicentre Implementation of the Canadian C-Spine Rule by Emergency Department Triage Nurses Ian G. Stiell, MD, University of Ottawa

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628 Prospective Validation of the Ottawa Heart Failure Risk Scale Ian G. Stiell, MD, University of Ottawa, Department of Emergency Medicine 448 Addition of Renal Point-of-Care Limited Ultrasound Improves a Clinical Prediction Score for Uncomplicated Ureteral Stones in Emergency Department Patients with Suspected Renal Colic: the S.T.O.N.E. PLUS Score.

Brock Daniels, MD, MPH, Yale New Haven Hospital 449 Emergency Department Clinician Adherence to Clinical Decision Policy for Head Computed Tomography in Adult Traumatic Brain Injury Jennifer R. Marin, MD, MSc, University of Pittsburgh School of Medicine 450 Observation Versus Admission in Syncope: Can We Predict Short Length-Of-Stays?

Margaret J. Lin, MD, Harvard Affiliated Emergency Medicine ResidencyBeth Israel Deaconess Medical Center 451 Predicting Adverse Outcomes in Emergency Department Patients Exhibiting Abnormal Vital Signs Without Shock Daniel J. Henning, MD, Beth Israel Deaconess Medical Center 452 Comparative Performance of the Wells and Amuse Scores for Excluding DVT in Emergency Department Patients Gabriel E. Blecher, MBBS(Hons) PDM CCPU FACEM MSc, Monash Health 453 The ED Utilization of Treatment Guidelines for Chronic Pain Patients Melissa A. Saad, D. O., University of Connecticut 454 Establishing a Testing Threshold for Lumbar Puncture in the Diagnosis of Subarachnoid Hemorrhage - a Decision Analysis Richard A. Taylor, MD, Yale New Haven Hospital

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ETHICS - ORAL ABSTRACTS Thursday, May 15, 4:00 - 5:00 pm in San Antonio Ballroom A

Moderator: 455 Written Informed Consent for Computerized Tomography Decreases CT Utilization in Low Risk Emergency Department Patients Lisa H. Merck, MD, MPH, Alpert School of Medicine at Brown University 456 Actual Treatment Choices of Patients with Do-Not-Resuscitate/Do-NotIntubate Orders: a Two-year Follow-up Study John E. Jesus, MD, Christiana Care Health System 457 To Err is Human but Disclosure Must Be Taught: Divulgence of Medical Errors Falls Short of Recognized Standards in a Prospective Simulation Study Ashley C. Crimmins, MD, Yale School of Medicine 458 Emergency Physician Responses to the Surprise Question and Identification of Unmet Palliative Care Needs Alicia G. Bond, MD, Maine Medical Center

GENERAL PEDIATRICS - ORAL ABSTRACTS Thursday, May 15, 4:00 - 6:30 pm in Houston Ballroom A

Moderator: 459 A Randomized Clinical Trial of Jet Injected Lidocaine (J Tip) to Reduce Venipuncture Pain for Young Children Maren M. Lunoe, MD, Medical College of Wisconsin 97 National Assessment of Pediatric Readiness of Emergency Departments Marianne Gausche-Hill, MD, Los Angeles County-Harbor-UCLA Medical Center 460 Derivation of a Clinical Decision Rule to Predict Infants at Early Risk of Central Apnea Paul Walsh, MB BCh, UC Davis 461 Epidemiology and Clinical Predictors of Biphasic Reactions in Children with Anaphylaxis Waleed Alqurashi, MD, Children’s Hospital of Eastern Ontario 462 Emergency Department Recidivism in Early Childhood is not a Risk Factor for Child Maltreatment Emily MacNeill, MD, Carolinas Medical Center 463 Impact of Triage Nurse Ordered Distal Extremity X-Rays on Emergency Department Length of Stay: a Randomized Controlled Trial Huda Adam, MRCPCH, King Fahad Medical City 464 A Randomized Double-blind Trial Comparing the Effect on Pain of An Oral Sucrose Solution Versus Placebo in Children 1 to 3 Months Old Needing Venipuncture Marie-Pier Desjardins, CHU Ste-Justine, Montréal, QC, Canada 465 Information Needs and Preferences of Healthcare Providers and Healthcare Consumers in 32 General Emergency Departments in Canada: Findings from the Translating Emergency Knowledge for Kids (TREKK) Knowledge Mobilization Initiative Shannon D. Scott, PhD, University of Alberta

466 Balanced Crystalloid or Saline in Pediatric Gastroenteritis: a Randomized Controlled Trial Coburn H. Allen, MD, UT Southwestern at Austin, Dell Children’s Medical Center 467 Risk Factors Associated with Emergency Department Return Visits Following Trauma System Discharge.

Timothy K. Ruttan, MD, UT Southwestern at Austin

EDUCATION - MODERATED POSTERS Thursday, May 15, 4:00 - 6:00 pm in Pearl 5

Moderator: 468 Team Leadership in Emergency Medicine: a Systematic Review Alisha E. Brown, MD, University of Washington 469 Correlation Between the National Board of Medical Examiners Advanced Clinical Exam in Emergency Medicine and the National 4th-Year CDEM Online Exams Emily S. Miller, MD, Harvard School of Medicine 470 Under Treatment of Adrenal Crisis Preeti Dalawari, MD. MSPH, Saint Louis University Hospital 471 Measuring Patient Satisfaction for Emergency Medicine Residents Using Press Ganey Juliet E. Seery, MD, Northwestern University Feinberg School of Medicine 472 A Process for Developing Procedural Competency Assessment Tools Justin Ryel, MD, Maimonides Medical Center 473 Creating a Novel Pharmacy Curriculum for Emergency Medicine Resident Physicians Nathan Olson, MD, Northwestern University Feinberg School of Medicine 474 Reduction in Complications of Central Line Placement using Individual and Group Simulation-Based Training Joseph Peters, DO, University of Illinois College of Medicine at Peoria 475 Introducing the CDOT: a Direct Observation Checklist to Assess Emergency Medicine Residents on Multiple Milestones during Critical Resuscitations Raashee Kedia, MD, Mount Sinai School of Medicine

PEDIATRICS - INFECTIOUS DISEASE - MODERATED POSTERS Thursday, May 15, 4:00 - 6:00 pm in Pearl 4

Moderator: 476 Elevated Lactate Levels Are Associated with Positive Blood Cultures in Children with Active Oncologic Conditions with Suspected Infection Jay G. Ladde, MD, Orlando Health 477 Uropathogen Resistance in the Pediatric Emergency Department Dhaval B. Patel, MD, University of Florida College of Medicine 478 Narrowing Antimicrobial Coverage Based on Local Sensitivities for Uncomplicated Urinary Tract Infections in the Pediatric Emergency Department Scott Herskovitz, MBBS, Our Lady of the Lake Pediatric Residency Program 479 Urinary Tract Infection in Outpatient Febrile Infants Younger than 30 Days of Age: a 10-year Evaluation Gary Maida, MD, Maimonides Medical Center 480 Performance Characteristics of Routine Blood Screening Tests for Detecting Bacterial Infections in the Evaluation of Febrile Infants at 90 Days of Age: a Meta-Analysis Ameer Hassoun, MD, Downstate Medical Center/Kings County Hospital Center 481 Risk Factors for Emergency Department Revisits in Children with Community-Acquired Pneumonia Todd A. Florin, MD, MSCE, Cincinnati Children’s Hospital Medical Center 482 Comparison of HIV Risky Behaviors and Knowledge Reported by Adolescents and Parents Presenting to a Pediatric Emergency Medicine Department Worth Barbour, MD, University of Alabama at Birmingham 483 Peripheral Blood microRNAs May Differentiate Bacterial from Viral Febrile Illness in Infants.

Ronan G. O’Sullivan, MB, FRCSI, FCEM, MBA, Cork University Hospital

2014 INNOVATIONS THURSDAY, May 15, 2014 Innovations - Lightning Innovations I 8:00 - 9:00 am in Seminar Theater

10 Patient Experience Training for the Emergency Medicine Resident: Developing Students into Coaches

Sofie R. Morgan, Karim Ali, Nicole Franks. Emory University School of Medicine, Atlanta, GA 11 The Development of a Longitudinal Curriculum for Calling Consults Andrew Golden1, Christine Babcock2, Sara Hock2, Sarah Donlan3, Shannon Martin2, Keme Carter2. 1University of Chicago Pritzker School of Medicine, Chicago, IL; 2University of Chicago, Chicago, IL; 3NorthShore University HealthSystem, Evanston, IL 12 Flipping the Clerkship Classroom

Stella H. Yiu. University of Ottawa, Department of Emergency Medicine, Ottawa, ON, Canada 13 An Integrative Approach to Clinical Reasoning in the Pre-Clinical Years

Annette Dorfman. Albany Medical Center, Albany, NY 14 Evidence-based Emergency Medicine: EBM at The Point Of Care; A Capstone EBM Course For a 4Th Year Emergency Medicine Rotation Dan Mayer, Dan Mayer. Albany Medical College, Albany, NY

Innovations - Lightning Presentation II 9:00 - 10:00 am in Seminar Theater

Innovations - Lightning Presentations V 4:00 - 5:00 pm in Seminar Theater

34 Emergency Medicine Resident Education in Provider-in-Triage Operations Shawn London, Cynthia Price, Kenneth Robinson. Hartford Hospital/ University of Connecticut School of Medicine, Hartford, CT 36 Development of a Small-group Concept Mapping Didactic for Early First-year Medical Students to Fill a Scheduling Gap during a Four-Hour Simulation-based Experience

Michael Cassara1, Gino Farina2. 1North Shore University Hospital / Hofstra North Shore-LIJ School of Medicine, Manhasset, NY; 2Long Island Jewish Medical Center / Hofstra North Shore-LIJ School of Medicine, New Hyde Park, NY 37 REFLECT Curriculum for Emergency Medicine Residents

Jordana J. Haber, David Saloum. Maimonides Medical Center, Brooklyn, NY 38 “Vulnerable Patients in the ED” Didactic Curriculum: Using Patient Voices to Increase Empathy And Knowledge For Emergency Medicine Residents

Anne Whitehead, Lee Wilbur, Jennifer D. Walthall. Indiana University, Indianapolis, IN 35 Medical Student Ethics Essays as Faculty Development Tools

Nik Theyyunni, Joseph House, Andrew Barnosky, Sally Santen. University of Michigan, Department of Emergency Medicine, Ann Arbor, MI

DALLAS, TEXAS

20 A Multi-Modal Curriculum for Emergency Medicine Residents to Maximize Value of Attendance at a National Conference

Alicia Blazejewski1, Tony Rosen1, Mary Mulcare1, Daniel Golden2, Sunday Clark3. 1New York Presbyterian, New York, NY; 2Weill-Cornell Medical College, New York, NY; 3Weill Cornell Medical College, New York, NY 21 An Asynchronous Educational Curriculum for Resident Flight Physician Orientation

Jeffery M. Hill. University of Cincinnati, Cincinnati, OH 22 SonoRoundtable - A Live Interactive Online Academic Educational Series for Ultrasound Fellowships

Stephen Leech1, Jason Nomura2, Resa Lewiss3, Srikar Adhikari4, Rajesh Geria5, Jillian Davison1, Robert Huang1. 1Orlando Regional Medical Center, Orlando, FL; 2Christiana Care Health System, Newark, DE; 3St. Luke’s Roosevelt Hospital Center, New York, NY; 4University of Arizona, Tuscon, AZ; 5Robert Wood Johnson Medical Center, New Brunswick, NJ 23 Procedure Learning Bundle (PLB): An Innovative Curriculum to Enhance the Procedural Competency of Emergency Medicine Residents

John Eicken1, Andrew Eyre1, Nadia Huancahuari1, Todd Thomsen2, Danny Pallin1, David A. Meguerdichian1. 1Brigham and Women’s Hospital, Boston, MA; 2Mount Auburn Hospital, Cambridge, MA

25 Team-Based Learning Curriculum as an Alternative to a Traditional Emergency Medicine Residency Didactic Curriculum

Tiffany Moadel, Scott Johnson. SUNY Stony Brook University Hospital, Stony Brook, NY 26 Encouraging Educational Research

Marcia A. Perry, Laura Hopson, Samantha Hauff, Margaret Wolff, Joseph House, Suzanne Dooley-Hash, Michele Nypaver, Cemal Sozener, Sally Santen. University of Michigan, Ann Arbor, MI 27 A Novel Computer-based Model to Improve a Resident’s Skills of Triage, Time/resource Management and Medical Decision-making

Nestor Rodriguez, Kevin Wyne. University of Wisconsin School of Medicine and Public Health, Middleton, WI 28 System Dynamics as a Tool to Understand the Operations of an Emergency Department

Nupur Garg1, Robert Wears2. 1Mount Sinai School of Medicine, New York, NY; 2University of Florida, Jacksonville, FL 29 Anatomy “Speed Dating”: A Clinical Integration Respiratory Anatomy Lab For Emergency Medicine Residents

Mary Hughes1, David Castle2, David Betten2, Aaron Beger1, Frances Kennedy1, James Rechtien1, Lori Schiess3, Rebecca Pratt1. 1MSU-COM, E. Lansing, MI; 2Sparrow EM Residency, Lansing, MI; 3San Juan College, Farmington, NM

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Innovations - Lightning Presentations III 10:30 - 11:30 am in Seminar Theater

Innovations - Lightning Presentations IV 11:30 am- 12:30 pm in Seminar Theater

MAY 13-17, 2014

15 Improved Efficiency and Effectiveness of the Emergency Medicine Residency Applicant Review and Rank Process via Utilization of iOS Technology, Database Software and Cloud Storage Nara Shin, Ronald Hall, Bernard L. Lopez, Richard Massone, Harsh Sule.

Thomas Jefferson, Philadelphia, PA 16 Two for One: Residency Leadership Team Rounding to Assess/Improve the Patient Experience and Gain Emergency Medicine Resident Patient Feedback

Michael Bohrn, Elizabeth Hall. WellSpan York Hospital, York, PA 17 Establishing Innovation as a Structured Component of an Emergency Medicine Residency Jude Kieltyka, Sanjeev Malik, David Salzman, Michael Schmidt, Michael Gisondi. Northwestern University, Department of Emergency Medicine, Chicago, IL 18 Utilizing Protected Education Conference Time For Teaching And Milestone Evaluation

Paul Jhun1, Jan Shoenberger1, Taku Taira1, Guenevere Burke2, Daniel Cheng3, Jonathan Wagner1, Jessica Osterman1, Stuart Swadron1, Aaron Bright1, Mel Herbert1. 1University of Southern California, Los Angeles, CA; 2George Washington University, Washington, DC; 3Queen’s Medical Center, Honolulu, HI 19 Integrating Peer Review into the Emergency Medicine Residency Curriculum

Raashee Kedia, Reuben J. Strayer, Bradley D. Shy. Mount Sinai School of Medicine, New York, NY

24 Sonoindex: A Novel Tool to Assess Emergency Ultrasound Skills

Srikar Adhikari, Albert Fiorello. University of Arizona Medical Center, Tucson, AZ

Innovations - Spotlight: Global Medicine 2:00 - 3:00 pm in Seminar Theater

30 Low-Cost, High-Fidelity Simulator Using Off-The-Shelf Components for Global Medicine

Jeffrey A. Nielson, David W. Laubli. Summa Akron City Hospital, Akron, OH 31 International Emergency Medicine Academy: A Resident-Directed Global Health Curriculum

Laura Janneck1, David Beversluis1, Hanni Stoklosa2, Patricia Henwood2, Emily Aaronson1, Amico Kendra1, Parveen Parmar2. 1Harvard Affiliated Emergency Medicine Residency BWH/MGH, Boston, MA; 2Brigham and Women’s Hospital, Boston, MA 32 Development of a Standardized Needs Assessment Tool for Resuscitation Education in Resource-Limited Low- and Middle-Income Countries

Amanda Crichlow, Julie Rice, Nicole Shilkofski, Julianna Jung. Johns Hopkins University, Baltimore, MD 33 Ultrasound beyond the Walls of the Emergency Department

Chanel E. Fischetti, Bryan Sloane, Lance Beier, Patrick Leehan, Heather Marino, John Christian Fox. UC Irvine, Irvine, CA

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FRIDAY, MAY 16, 2014 Dallas B CMC

Dallas C CMC

Dallas A1

DS069: Mechanical Treatment of Stroke

8 AM

DS077: Respecting Pulmonary Embolism

DS074: Incentives to Participate in Clinical Trials

Society for Academic Emergency Medicine

10:30 AM

74

DS085: After Words …

Managing the Aftermath of Adverse Events

DS084: Point-of-Care Ultrasound in Pediatric Emergency Medicine

3 PM

DS073: Emergency Ultrasound for Airway Management

DS070: LearnerCentered Feedback

DS071: Redesigning Emergency Care Delivery

DS075: Developing a Curriculum in Advocacy for Emergency Medicine

DS076: Opioid Prescribing from Our EDs

DS080: Federal Funding Streams for Global Health Research

DS097: Controversies in Emergency Ultrasound

DS081: Gun Injury: Reframing the Public Health Debate

DS086: The Top Global Emergency Medicine Articles of 2013

DS087: Top 10 Tips for Getting Started in Research

DS088: Congratulations!

You are the Research Director!

Now What?

Lunch – 12:30 - 2:00 pm

12:30 PM

2:00 PM

Dallas D1

Dallas D2

Dallas D3

DS072: Diagnostic Imaging and Radiation Exposure DS078: Ethical Dilemmas in International Emergency Medicine

DS079: Emergency Department Evaluation and Management of Pediatric Concussion

Power Break in the Exhibit Hall – 10:00 - 10:30 am

10 AM

11:30 AM

Dallas A3

AM Coffee – 7:00 - 8:00 am

7 AM

9 AM

Dallas A2

Keynote Speaker Dr. Nivet

Keynote Speaker Dr. Nivet

2pm-3pm

2:00 - 3:00 pm in Dallas B/C

SAEM Business Meeting

SAEM Business Meeting

3pm-4:30 pm

3:00 - 4:30 pm in Dallas B/C

DS082: Building from Experience

DS083: Current Controversies in Post-Cardiac Arrest Care

DS089: DS090: Getting Your Recent Advances in Evaluation and Qualitative Emergency Management of the Febrile Medicine Research Published Young Infant Jansen Closing the Gap Phrombotic Event Symposium 12:30 - 1:30 pm

FRIDAY, MAY 16, 2014 Lone Star C1

Lone Star C2

Lone Star C3

Lone Star C4

Lone Star B

Houston C

San Antonio A

San Antonio B

Austin 1-2-3

AM Coffee – 7:00 - 8:00 am

Geriatrics Oral Abstracts 506-513

EMS Out-of-Hospital Cardiac Arrest Oral Abstracts

Abdomen/GI Oral Abstracts 484-491

EMS Out-of-Hospital Cardiac Arrest Oral Abstracts 500-505

492-499

DS068: A Cadaver-Based Curriculum for Ultrasound-Guided Applications and Procedures

Poster Session 3 Friday Poster Abstracts

EMRA

8:00am-12:00pm 8:00am-12:00pm 575-724 143

Power Break in the Exhibit Hall – 10:00 - 10:30 am

ADIEM Business Meeting 8:00am-12:00pm MSS 8:00am-2:00pm

Ultrasound

Length of Stay

Education

Oral Abstracts

Oral Abstracts

Oral Abstracts

551-558

543-550

530-537

EMS/Outof-Hospital Cardiac Arrest Oral Abstracts 538-542

Lunch – 12:30 - 2:00 pm Keynote Speaker Dr. Nivet 2:00 - 3:00 pm in Dallas B/C SAEM Business Meeting 3:00 - 4:30 pm in Dallas B/C

FRIDAY, MAY 16, 2014 Atrium

Majestic 1

Lone Star Pre-Con Area 2nd Floor

Seminar Theater

Pearl 4

Pearl 5

Live Oak

AM Coffee – 7:00 - 8:00 am

7 AM

Innovations Spotlight: Technology 39-42

Clinical Operations

Innovations

Moderated Posters

SIM Academy Business Meeting

Spotlight: Assessment

8:00am-12:00pm

43-46

Including breakout groups for projects & networking

Junior Faculty Development Forum 8:00am-2:00pm

8 AM ED Utilization Moderated Posters 522-529

514-521

9 AM

Power Break in the Exhibit Hall – 10:00 - 10:30 am

10 AM

Innovations Oral Presentations 47-50

Oral Presentations

Moderated Posters 559-566

Psych/Social Issues

10:30 AM

Moderated Posters 567-574

11:30 AM

51-54

Keynote Speaker Dr. Nivet

2 PM

2:00 - 3:00 pm in Dallas B/C SAEM Business Meeting

3 PM

DALLAS, TEXAS

12:30 PM

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Lunch – 12:30 - 2:00 pm

MAY 13-17, 2014

Innovations

Geriatrics

3:00 - 4:30 pm in Dallas B/C

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FRIDAY, MAY 16, 2014

Society for Academic Emergency Medicine

Friday, May 16, 2014 – SAEM and Committee/Task Force/Academy/Interest Group/Board Meetings 7:00-9:00am

AEM Editorial Board Meeting Breakfast-By Invitation only

Majestic 5 (Hotel-37th Floor)

7:00-8:00am

SAEM Past Presidents Breakfast-By Invitation Only

Majestic 3 (Hotel-37th Floor)

7:00-8:30am

International EM Fellowship Consortium Meeting

State Room 1 (Conf. Center-3rd Floor)

7:30-8:00am

Program Committee Daily Meeting

Majestic 4 (Hotel-37th Floor)

8:00-9:00am

SAEM Development Committee Meeting

Cityview 3 (Hotel-4th Floor)

8:00am-12:00pm

SIM Simulation Academy - Business Meeting

Atrium Room (Hotel-2nd Floor)

8:00am-12:00pm

ADIEM Academy for Diversity & Inclusion in Emergency Medicine - Business Meeting

San Antonio Ballroom B (Conf. Center-3rd Floor)

9:00-10:00am

Joint SAEM Foundation & ACEP EMF officers BOD Meeting

Majestic 2 (Hotel-37th Floor)

9:00-10:00am

SAEM Awards Committee Meeting

Trinity 5 (Hotel-3rd Floor)

9:00-10:00am

SAEM Resident & Medical Student Advisory Committee Meeting

Cityview 2 (Hotel-4th Floor)

10:00am-12:00pm

2015 SAEM Program Committee Planning Meeting

Majestic 4 (Hotel-37th Floor)

11:00am-12:30pm

SAEM Medical Education Research IG Meeting

Trinity 5 (Hotel-3rd Floor)

1:00-2:00pm

SAEM Pediatric Emergency Medicine IG Meeting

Trinity 5 (Hotel-3rd Floor)

1:00-2:00pm

SAEM Health Services & Outcomes IG Meeting

Cityview 1 (Hotel-4th Floor)

1:00-2:00pm

SAEM Academic Informatics IG Meeting

Cityview 3 (Hotel-4th Floor)

5:00-7:00pm

EM Leadership Thank you Reception-Invitation only

Presidential Suite

5:30-7:30pm

Women in Emergency Medicine Mixer-AWAEM/AAWEP

Atrium (Hotel-2nd Floor)

Friday, May 16, 2014 – Affiliated Meetings

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7:00-8:00am

Satellite Symposium/Advanced Antiplatelet Therapy Session

Dallas Ballroom D3 (Conference Center 1st floor)

7:00-10:00am

National ED/HIV Testing Consortium Meeting

Cityview 1 (Hotel-4th Floor)

8:00am-2:00pm

AAEM/RSA Board of Directors Meeting-By Invitation Only

Majestic 9 (Hotel-37th Floor)

8:00am-5:00pm

CORD Meetings

Majestic 10 (Hotel-37th Floor)

9:00am-5:00pm

EMRA BOD Meeting & Committee Updates

Trinity 1 (Hotel-3rd Floor)

12:30-1:30pm

Satellite Symposium/Janssen- Closing the Gap on Thrombotic Events

Dallas Ballroom D3 (Conference Center 1st floor)

SAEM 2014 ANNUAL MEETING DIDACTIC PRESENTATIONS MAY 14-17, 2014 — DALLAS, TEXAS FRIDAY, MAY 16TH DS068: A Cadaver-Based Curriculum for UltrasoundGuided Applications and Procedures: A Promising Alternative in Emergency Ultrasound Education

Society for Academic Emergency Medicine

Friday, May 16 - 8:00 - 9:00 am Location: San Antonio Ballroom A Objectives: At the completion of this session, participants should be able to: 1. Define what is required to successfully incorporate a cadaver-based educational curriculum. 2. Present an effective, safe method by which trainees can practice procedures and detect pathologic findings. 3. Examine how this curriculum can bolster research that addresses improvement in student learning, comprehension of anatomical structures and pathology, retention of information, and clinical performance.

Description: As point-of-care ultrasound (POC US) continues to expand within our practice, the need for an effective educational model that trains residents to become competent in POC US grows as well. The current POC US training method (live model scanning) is limited due to the lack of abnormal or pathologic findings found during scan sessions. Additionally, invasive procedures cannot be performed on live models, and cannot be repeated on patients. Thus, educational curriculums that highlight pathologic findings and allow for safe procedural practice can be very useful for trainees. During this course, participants will learn how to successfully incorporate a cadaver-based educational model. Sample US cadaverbased curriculums with lectures on lab experiences; saline injection into the abdominal cavity, thorax, veins, and joints; creation of bony fractures, MSK injuries, and foreign bodies; US-guided endotracheal intubations; and major organs and soft tissues will be presented. Participants should learn how to start the process of creating a curriculum, how to collaborate other specialties and government offices. Participants should also be able to answer three basic questions regarding areas of research that result from this type of teaching: 1) How this curriculum is more beneficial to the learner than the regular US teaching or anatomy course; 2) Ways to test whether this type of learning improves comprehension and retention of material; and 3) Ways to test improvement of technical/proceduralskill.

Kristin Carmody New York University School of Medicine, New York, NY - Submitter Tarina Kang LAC + USC Medical Center, Los Angeles, CA - Presenter Laleh Gharahbaghian Stanford University, Stanford, CA - Presenter Matthew Dawson University of Kentucky, Lexington, KY - Presenter Dina Seif LAC + USC Medical Center, Los Angeles, CA – Presenter

DS069: Mechanical Treatment of Stroke: Update on Recent Clinical Trials and Future Directions. Putting Clinical Trials in Perspective: Pro-Con Debate Friday, May 16 - 8:00 - 9:00 am Location: Dallas Ballroom C Objectives: At the completion of this session, participants should be able to: 1. Define the available endovascular treatment modalities for acute ischemic stroke and the patient population that is hypothesized to benefit from these modalities. 2. Summarize the findings of recent clinical trials and describe the limitations in terms of application of these treatments. 3.

Compare and contrast the opposing positions on the future of mechanical treatment in acute ischemic stroke.

Description: Systemic thrombolytic therapy continues to be the only FDAapproved treatment available for patients with acute ischemic stroke.

While its use has increased over the past decade, less than 10% of eligible

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patients receive this therapy. The main limitation to the use of thrombolysis continues to be the narrow time-window for treatment. As a result, there has been significant focus on endovascular treatment of stroke with the hope of improving outcomes while allowing for a longer time-window. There have been multiple recent trials (such as the Synthesis, IMS III, and Rescue trials) evaluating the effectiveness of these modalities on outcome. So far, the results are far from conclusive. At the same time, endovascular treatment has become increasingly more common in the clinical setting.

This raises the debate about whether patients are being managed in an appropriate and evidence-based manner. This presentation will review the findings of these trials and discuss future directions of research, focusing on whether we should continue utilizing these technologies and search for the optimal application versus whether we should shift away from the mechanical treatments.

Pratik Doshi University of Texas Health Science Center, Houston, Houston, TX Submitter, Presenter Bill Barsan University of Michigan, Ann Arbor, MI - Presenter William Meurer University of Michigan, Ann Arbor, MI - Presenter Art Pancioli University of Cincinnati, Cincinnati, OH – Presenter

DS070: Learner-Centered Feedback: Time To Change the Conversation Friday, May 16 - 8:00 - 9:00 am Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Examine the feedback literature to understand better the change of focus from teacher to learner. 2. Outline steps required to provide effective feedback within the new conceptual framework. 3. Implement strategies to improve learner receptiveness to feedback regarding their clinical teaching practice.

Description: While educators view providing feedback as a crucial step towards improving learner performance, the emphasis is shifting from delivering effective feedback to impacting personal factors that affect learner responsiveness to feedback. In fact, many experts now view learner responsiveness to feedback as one of the most important aspects of the feedback encounter. This session will build on previous sessions focused on feedback presented at the SAEM Annual Meeting. We will draw upon seminal articles in the feedback literature to both enable the participant to understand the psychological impact of feedback from the receiver’s perspective, and empower participants to employ practical strategies to successfully engage the learner in accepting feedback. This workshop will focus on several resident issues, such as poor self-confidence, overconfidence, poor self-assessment, lack of motivation, and fear. The session will utilize a combination of short didactic presentations intermixed with small-group activities. The workshop will utilize large- and small-group exercises to allow the participant to understand key concepts surrounding the area of feedback responsiveness and identify strategies to successfully address these issues. Facilitators will include David Manthey, MD; Robin Hemphill, MD, MPH; Josh Kornegay, MD; and Thomas Terndrup, MD. Sorabh Khandelwal The Ohio State University, Columbus, OH - Submitter, Presenter Marcia Perry University of Michigan, Ann Arbor, MI - Presenter Lalena Yarris Oregon Health & Science University, Portland, OR - Presenter Sally Santen University of Michigan, Ann Arbor, MI – Presenter

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

DS071: Redesigning Emergency Care Delivery to Optimize Patient Care and Grow the Academic Mission Friday, May 16 - 8:00 - 9:00 am Location: Dallas Ballroom A3

Objectives: At the completion of this session, participants should be able to: 1.Discuss the radiation dosing associated with various imaging modalities commonly ordered in the emergency department and the implications for different patient populations. 2. Identify strategies to minimize unnecessary use of medical imaging, including the use of electronic clinical decision support and alternatives to modalities that confer radiation. 3.

Describe strategies to minimize radiation dosing that can be discussed with participants’ radiology departments.

Description: The United States health care system has seen a rise in the use of diagnostic imaging, without commensurate improvement in patientcentered outcomes. Emergency departments (EDs) are responsible for a large percentage of this growth. In many instances, modalities that use radiation, such as CT scans, are the optimal diagnostic modality in the ED; however, at times these examinations are unnecessary, and there can be significant drawbacks. Recently, the cancer risk associated with diagnostic radiation has been rigorously studied and publicized in the media. Consequently, physicians should be knowledgeable about the current understanding of the risks associated with medical radiation, and the up-to-date strategies involved in minimizing the unnecessary use of this modality, as well as techniques available to minimize radiation dosing.

This didactic will review the current knowledge regarding diagnostic imaging and radiation, critically discuss how to incorporate this knowledge into emergency medicine practice, and discuss state-of-the-art research examining methods to decrease the unnecessary use of medical imaging.

Objectives: At the completion of this session, participants should be able to: 1. Describe the appearance of essential airway structures on ultrasound.

2. Understand the technical approach to performing airway ultrasound. 3.

Understand the indications for airway ultrasound. 4. Describe ultrasound findings correlating with: prediction of difficult intubation, assessment of correct tube size, confirmation of tube placement, safe postprandial stomach size, landmarks for surgical airways and airway nerve blocks. 4.

Discuss future directions in airway ultrasound.

Description: Ensuring a patent airway during resuscitation of an emergency patient remains one of the most critical procedures for emergency physicians. Despite extensive training and an armamentarium of devices for airway management, there is ongoing morbidity and mortality from airway complications. Challenges remain in predicting difficult intubations and correct endotracheal tube size, limiting aspiration, confirming correct tube position and establishing last-resort surgical airways. Bedside ultrasound of the airway is emerging as a powerful new tool in emergency airway assessment and management. Despite an emerging body of literature, most emergency physicians remain unfamiliar with the powerful applications of bedside ultrasound in airway management. Our session will begin with an orientation to the sonographic appearance of important airway structures.

We then provide an up-to-date literature summary and practical “howto” approach for emerging bedside ultrasound applications for airway management, including: prediction of difficult intubation and appropriate endotracheal tube size, evaluation of stomach contents, confirmation of correct endotracheal tube placement, and ultrasound guidance for both surgical airway procedures and upper-airway nerve blocks (for awake intubation). This didactic will provide images and videos from actual clinical experiences to illustrate these techniques and findings. We will describe our novel approach to airway ultrasound simulation and how to develop a simple and inexpensive airway ultrasound phantom model. There will also be a discussion on future research directions as we share our experience in designing and implementing research protocols in this exciting new area.

Kristin Carmody New York University School of Medicine, New York, NY - Submitter Mark O. Tessaro Maimonides Medical Center, Brooklyn, NY - Presenter Eric H. Chou Maimonides Medical Center, Brooklyn, NY – Presenter

DALLAS, TEXAS

Friday, May 16 - 8:00 - 9:00 am Location: Dallas Ballroom D2

Friday, May 16 - 9:00 - 10:00 am Location: Dallas Ballroom A1

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DS072: Diagnostic Imaging and Radiation Exposure: How Much is Too Much?

DS073: Emergency Ultrasound for Airway Management

MAY 13-17, 2014

Objectives: At the completion of this session, participants should be able to: 1. Understand how modern process improvement tools can fundamentally redesign emergency care. 2. Understand the importance of analytics. 3.

Integrate educational and research needs of an academic department into the care redesign process.

Description: The process of delivering emergency care has remained unchanged for many decades, yet the practice of emergency medicine has changed dramatically. As most emergency departments are redesigning care delivery models to meet the needs of patients by focusing on the patient experience and efficiency, academic departments often struggle to balance the drive for efficiency with the need to maintain or grow opportunities for education and research. By taking a data-driven, patient-centered approach to care redesign, utilizing tools from modern process-improvement methodologies, academic emergency departments can redesign care to be efficient and patient-centered while enhancing the academic mission. This session will include experts in ED operations, process improvement, quality, safety and education. Dr. Zane will moderate the session, which will begin with a joint lecture addressing the application of process-improvement methodology to care redesign and emergency medicine, developing performance excellence metrics in a meaningful actionable format while recognizing the unique needs and mission of an academic ED. There will be a question-and-answer session with audience participation after the discussion.

Richard Zane University of Colorado School of Medicine, Aurora, CO - Submitter, Presenter Derek Birznieks University of Colorado Hospital, Aurora, CO - Presenter Erik Barton University of Utah, Salt Lake City, UT - Presenter Ali Raja Harvard Medical School / Brigham and Women’s Hospital, Boston, MA - Presenter Jennifer L. Wiler University of Colorado School of Medicine, Aurora, CO - Presenter

Jennifer Marin University of Pittsburgh School of Medicine, Pittsburgh, PA - Submitter, Presenter Kimberly Applegate Emory University School of Medicine, Atlanta, GA - Presenter Angela Mills University of Pennsylvania School of Medicine, Philadelphia, PA - Presenter

DS074: Incentives to Participate in Clinical Trials: Practical and Ethical Considerations Friday, May 16 - 9:00 - 10:00 am Location: Dallas Ballroom C Objectives: At the completion of this session, the participants should be able to: 1. Discuss incentives commonly used to recruit subjects into clinical trials and retain them for follow-up. 2. Understand the ethical issues surrounding the nature, scope, and amount of these incentives.

Description: The success of clinical trials depends on the recruitment and retention of sufficient numbers of subjects. Providing token compensation in the form of cash, gift cards, or vouchers is a common strategy used for recruitment and retention. The challenge is to design a program where the incentives are sufficiently large and salient to attract potential subjects, but not large enough to be considered coercive. Investigators must decide on the size of incentives, their timing, and whether to vary the incentive based on the effort required or inconvenience to the subject. In addition, incentives must be sensitive to the constraints of grant budgets. The presenters of this program will review the current status of incentives used in clinical

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trials of emergency department-based interventions. The first speaker, Dr. Bernstein, is an experienced investigator who has conducted multiple clinical trials in the ED. He will survey the current literature to review the types of incentives used in published EM trials, along with practical pointers from his own work. Dr. Feldman, a member of the Institutional Review Board at Boston Medical Center, will discuss ethical considerations regarding clinical trial incentives, with a focus on how IRBs determine whether incentives are coercive, and whether they can be scaled to subjects’ socioeconomic status.

Examples from completed trials will be discussed.

Steven L. Bernstein Yale School of Medicine, New Haven, CT - Submitter, Presenter James Feldman Boston University School of Medicine, Boston, MA – Presenter

DS075: Developing a Curriculum in Advocacy for Emergency Medicine

Society for Academic Emergency Medicine

Friday, May 16 - 9:00 - 10:00 am Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Define advocacy as it pertains to medical professionalism in EM. 2.

Understand and apply basic principles of advocacy curriculum development in emergency medicine residency programs.

Description: Emergency physicians hold the unique position of caring for patients of all ages and all walks of life, often when they are at their most vulnerable. On the front lines of medicine, emergency physicians have both a ground-level and a bird’s-eye view of the individual patient and the community at large as they are affected by social determinants of health, such as socioeconomic status, education, employment, and mobility. This makes academic emergency departments well positioned to train future emergency physicians in how to navigate the complex landscape of health care for the betterment of the profession, patients, and society at large.

Given the rapid changes in the health care environment and the likelihood that emergency physicians will need to be prepared to care for a greater proportion of vulnerable patients during this delicate transition, it has never been more imperative for trainees and their faculty educators and mentors to be comfortable with community engagement, resources, and health policy. The advancement and dissemination of this knowledge should be embraced in the academic setting. This didactic session will introduce the principles of patient-centered advocacy in the emergency department, with a shift in focus beyond individual patients to inclusion of communities and policies as defined in the ecologic model of public health.

Participants will learn how to define advocacy in our unique setting, and will learn introductory principles of curriculum development from experienced leaders in advocacy education.

Jennifer Walthall Indiana University, Indianapolis, IN - Submitter Peter Sokolove University of California, San Francisco, CA - Presenter Sean Thompson Indiana University, Indianapolis, IN - Presenter Adam Sharp Los Angeles Medical Center, Los Angeles, CA – Presenter

DS076: Opioid Prescribing from Our EDs: Where Do We Go from Here?

Friday, May 16 - 9:00 - 10:00 am Location: Dallas Ballroom A3 Objectives: At the completion of this session, participants should be able to: 1. List several of the ED prescribing guidelines that are currently available and the benefits and limitations of each. 2. Describe medications and medication combinations that constitute high-risk ED prescribing.

3. Highlight the research on opioid analgesic safety and existing gaps in outcome-based research related to ED prescribing.

Description: Prescription opioid misuse is responsible for more than 350,000 visits to our EDs annually, and has caused so many deaths that the CDC has proclaimed it to be an epidemic. There is no doubt that our EDs have been and continue to be an important source of prescription opioids that are used nonmedically. ED providers have been placed in the difficult

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position of being expected to aggressively identify and treat pain while safely prescribing pain medications in an environment of limited time and resources, to a population that is likely at high risk of nonmedical opioid use. To address this complicated situation, emergency physicians need to be aware of the role ED prescribing plays in the current epidemic, and the guidance that is available to help in decision-making. This session will bring together experts in opioid safety, medical toxicology and ED prescribing.

The session will be moderated by Dr. Lewis Nelson, an editor of Goldfrank’s Toxicologic Emergencies. There will be two presentations (Drs. Hoppe and Perrone) of 15 minutes each: 1) A review of baseline ED prescribing data, opioid prescribing rates, and available ED pain management guidelines and how they are accessed and utilized, and 2) A discussion of recent changes in drug labeling, REMS programs, and high-risk features. Both speakers will include a description of the available outcomes data on ED opioid prescribing and research gaps. This will be followed by a brief question-andanswer session.

Jason Hoppe University of Colorado, Aurora, CO - Submitter, Presenter Jeanmarie Perrone University of Pennsylvania, Philadelphia, PA - Presenter Lewis Nelson New York University School of Medicine, New York, NY – Presenter

DS077: Respecting Pulmonary Embolism: Treating the Spectrum of Disease from Outpatient Management to Systemic Thrombolytics Friday, May 16 - 9:00 - 10:00 am Location: Dallas Ballroom B Objectives: At the completion of this session, participants should be able to: 1. Discuss the importance of pulmonary embolism risk stratification in the emergency department. 2. Describe the general patient characteristics currently understood to be safe for short-term observation and outpatient management vs. those deserving consideration for advanced therapies. 3.

Identify the variations and challenges in managing pulmonary embolism. 4.

Describe future research directions in treatment of pulmonary embolism.

Description: Pulmonary Embolism (PE) is a potentially life-threatening diagnosis often made in the emergency department (ED). However, the size and location of a PE, as well as numerous patient factors, make treating the spectrum of PE challenging. In recent years, research efforts have focused on risk-stratifying PE in order to identify both those who might be safe for outpatient management and those who would benefit from either systemic or catheter-directed thrombolytics. In practice there is significant variation in care, and for emergency medicine providers, recognizing the need for risk stratification and individualized treatment options is important in order to prevent short-term mortality and long-term morbidity from PE. Emergency physicians are uniquely positioned to impact the treatment of patients diagnosed with PE. As pressure builds to send more patients home from the ED, observation or clinical-decision units may be well-suited to arrange safe discharge of patients with small, low-risk PEs. This session will involve discussion of current treatment controversies for PE and present important knowledge gaps requiring further study.

Kelly N. Sawyer William Beaumont Hospital, Royal Oak, MI - Submitter, Presenter Pawan Suri Virginia Commonwealth University, Richmond, VA - Presenter Jeffrey Kline Indiana University, Indianapolis, IN – Presenter

DS078: Ethical Dilemmas in International Emergency Medicine Friday, May 16 - 9:00 - 10:00 am Location: Dallas Ballroom D1 Objectives: At the completion of this session, participants should be able to: 1. Identify common ethical dilemmas in international emergency medicine.

2. Describe the ethical concepts applicable to international emergency medicine. 3. Discuss different approaches to ethical dilemmas. 4. Develop a practical solution for real-life ethical challenges commonly encountered in international emergency medicine.

Description: How should emergency physicians approach ethical dilemmas when working globally? Short-term relief work is more popular than ever before. Medical mission trips and electives have become an integral part of medical school and residency curricula. Global health/international emergency medicine fellowships are becoming increasingly popular. Many practicing physicians volunteer for relief work, take time off from work, use their vacation time or become involved with NGOs to provide hands-on care in resource-limited environments. Despite good will and humanitarian idealism, ethical problems are routinely encountered. They affect not only the relief worker (cultural competency, safety, credentialing), but also local health care workers (cooperation with outside personnel), the affected patients (appropriate qualifications, consent, language barriers), their families and the community at large (effects on local health care infrastructure). This didactic session will start with a short overview of common ethical dilemmas, and will engage a panel of speakers with unique qualifications and backgrounds to discuss real-life ethical scenarios.

Through this discussion, the speakers will engage the audience and will develop practical strategies to appropriately manage such ethical dilemmas in international emergency medicine.

Torben Becker University of Michigan, Ann Arbor, MI - Submitter, Presenter Ian B.K. Martin University of North Carolina at Chapel Hill, Chapel Hill, NC - Presenter Edward Otten University of Cincinnati, Cincinnati, OH – Presenter

Friday, May 16 - 9:00 - 10:00 am Location: Dallas Ballroom D2

Friday, May 16 - 10:30 - 11:30 am Location: Dallas Ballroom A1 Objectives: At the completion of the session, the participant should be able to: 1. Understand the various federal funding opportunities available to support emergency physicians conducting international research. 2.

Friday, May 16 - 10:30 - 11:30 am Location: Dallas Ballroom A3 Objectives: At the completion of this session, participants should be able to: 1. Apply the public health model to firearm injury prevention. 2. Describe three ways to influence public opinion and policy about gun-related injuries.

3. Develop three strategies to apply in their own communities for prevention of firearm-related injuries.

Description: As emergency physicians struggle with the mounting medical problem of gun violence and its aftermath, we are increasingly called to step outside of the ED and take a role in the forum of public debate and policy development. Some emergency physicians (EPs) embrace this role, others shun it, but the fact is that in many settings we are viewed by our communities as experts. In this session, EPs who have looked at gun injury in a larger context will share their research and experience in advocacy. Topics will include advocating for a coordinated public health approach to gun violence; how EPs can influence legislation and how legislation can influence gun violence; and how to navigate the politics of public health advocacy in such a fraught realm as firearms.

Harrison Alter Alameda Health System - Highland Hospital, Oakland, CA - Submitter Eric Fleegler Boston Children’s Hospital, Boston, MA - Presenter Megan Ranney Warren Alpert Medical School of Brown University, Providence, RI - Presenter Jason Wilson University of South Florida, Tampa, FL – Presenter

DALLAS, TEXAS

DS080: Federal Funding Streams for Global Health Research

DS081: Gun Injury: Reframing the Public Health Debate

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

Describe the principles of diagnosis and management of pediatric concussion.

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

Description: Concussion is a disruption in normal brain function caused by the impact of biomechanical forces on the head or the body. Approximately 100,000-140,000 children and adolescents present to the emergency department for concussion each year in the United States. Immediate recognition of concussion and prompt initiation of treatment in the form of complete cognitive and physical rest is essential to promote recovery, and to prevent prolonged physical, cognitive, and emotional symptoms.

While emergency departments frequently serve as the initial point of entry for the care of pediatric concussion patients, providers may not have adequate training or tools necessary to provide standardized and evidence-based care. For this didactic session, the presenters will discuss the diagnosis, management, and after-care of concussion. A growing body of basic and clinical research has provided the evidence for standardized evaluation of concussion and prompt treatment with physical and cognitive rest. General awareness of concussion and a growing number of state laws requiring medical clearance before return to activity have resulted in a significant increase in concussion-related visits in a variety of clinical settings, including the emergency department. The presenters will provide updates on the science, policy, and evidenced-based best practices for pediatric concussion that emergency physicians can readily implement in their everyday practice. Following the formal didactic presentation, there will be allotted time for questions and discussion.

Mark Zonfrillo Children’s Hospital of Philadelphia, Philadelphia, PA - Submitter, Presenter Matthew Eisenberg Boston Children’s Hospital, Boston, MA – Presenter

MAY 13-17, 2014

DS079: Update on Emergency Department Evaluation and Management of Pediatric Concussion

Understand Fulbright and Fogarty program support of US physicians working and conducting research abroad. 3. Understand the application and review process for various federal funding opportunities that support global health research. 4. Understand the qualifications of successful grant proposals and applicants seeking funding to support global health research.

Description: Funding for global health has grown significantly over the past two decades. In 1990, an estimated US$5.6 billion was spent on development assistance for global health; this amount had grown to approximately US$27.7 billion as of 2011. While most funding has been earmarked for program development and implementation, there has also been a steady growth in research funding. However, much of this research funding has been directed towards specific disease processes, and little has been focused on emergency care research. Funding for emergency care research in the global health context is challenging, as few grants are overtly geared towards emergency care research. The 2013 AEM Consensus Conference on Global Health Research Agendas led to the creation of goals to strengthen global emergency care research funding. These included quantifying the funding opportunities for global health and emergency care research, improving understanding of current research priorities, and identifying barriers to current research funding. In this session, three academic emergency physicians will discuss their perspectives, experience and insight regarding federal funding streams for global health. First, Dr. Jeremy Brown, director of the Office of Emergency Care Research (OECR), will present an overview of federal funding opportunities.

The OECR is housed within the National Institute of General Medical Sciences and is tasked with coordinating and fostering basic, clinical and translational research and research training for the emergency setting. The second panelist, Dr. Robert Hoffman, is a former reviewer of Fulbright applications and will review the awards, the application process, and the characteristics of successful applications and applicants. The third panelist, Dr. Adam Levine, has successfully secured a K-award from the Fogarty International Center and will review the pearls and pitfalls of a successful NIH application. Time will be allocated at the end of the session for audience questions.

Bhakti Hansoti Johns Hopkins University, Baltimore, MD - Submitter Robert Hoffman Mount Sinai School of Medicine, New York, NY - Presenter Jeremy Brown NIH, Bethesda, MD - Presenter Adam C. Levine Alpert Medical School of Brown University, Providence, RI – Presenter

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DS082: Building from Experience: Creating Sustainable Bridges between Emergency Medicine Researchers and Invested Public Health Agencies

Society for Academic Emergency Medicine

Friday, May 16 - 10:30 - 11:30 am Location: Dallas Ballroom D1 Objectives: At conclusion of this session participants should be able to: 1.

Identify key public health issues at the forefront of emergency medicine. 2.

Describe the role of public health agencies in promoting health. 3. Formulate an agenda for advancing key partnerships between EM and public health.

Description: The ED is called upon to advance public health programs and new research initiatives. EM-public health shared areas of expertise have resulted in a variety of partnerships, with funding from key agencies including CDC, HHS, and state health departments. This didactic will showcase successful cuttingedge innovations between EM investigators and public health. Recognizing the ever-changing funding environment, it is essential that academic emergency physicians make connections to respond to continued needs at the EM-public health interface. This is a two-part session. Part 1: Three invited panelists will deliver 8-minute presentations from distinct areas describing development and outcomes associated with one EM-public health collaboration, focusing on lessons learned and evolving opportunities. Examples will include: an EDbased network for infectious disease surveillance; a multi-center program to translate priorities into community-based injury research to the ED; and the role of EM in preparedness capability. Part 2: The organizers will present a proposed web-based platform for creating permanent bridges to optimize opportunities for sustaining and growing EM-public health partnerships.

A moderated discussion will be directed towards developing consensusbased recommendations for this platform. Notes: The platform content and format will be based on advanced literature review and snowball sampling for the three areas highlighted at the session and will serve as a prototype for shared EM-public health partnerships, with the platform to be launched and sustained by the SAEM Public Health Interest Group. Consensus-building will begin at the annual meeting and with the completion of post-meeting surveys.

Larissa May The George Washington University, Washington, DC - Submitter Richard Rothman Johns Hopkins University, Baltimore, MD - Presenter Gregory Moran University of California Los Angeles, Los Angeles, CA - Presenter Deb Houry Emory University, Atlanta, GA - Presenter David Marcozzi US Department of Health and Human Services, Washington, DC - Presenter David Sugerman Centers for Disease Control and Prevention, Atlanta, GA – Presenter

DS083: Current Controversies in Post-Cardiac Arrest Care Friday, May 16 - 10:30 - 11:30 am Location: Dallas Ballroom D2 Objectives: At the completion of this session, participants should be able to: 1. Compare and contrast emerging non-invasive monitoring available for use during resuscitation. 2. Discuss the evidence for steroids, neuromuscular blockade, emergent coronary intervention, and mechanical support in the peri-arrest period. 3. Understand the ongoing gaps in post-arrest treatment practices. 4. Describe future research directions within cardiac resuscitation, including temperature management in the post-arrest period.

Description: Cardiac resuscitation research continues to surge, as researchers strive to identify factors associated with “good” outcomes after cardiac arrest. Yet many questions remain regarding applying temperature management, monitoring the quality of resuscitation, using medication adjuncts during resuscitation, and augmenting cardiac output with mechanical support in the peri-arrest period. These are just a few examples of current controversies in post-cardiac arrest care. Ongoing concerns regarding emergent coronary intervention in patients who have uncertain neurologic status limit the availability of this resource to many patients.

The fact that patients who suffer cardiac arrest have a high likelihood of acute coronary occlusion may suggest we revisit the usefulness of systemic thrombolytics in patients unable to go to the catheterization laboratory.

This session will discuss the most recent cutting-edge controversies in postarrest care and suggest areas in need of attention for the 2015 guidelines.

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Kelly N. Sawyer William Beaumont Hospital, Royal Oak, MI - Submitter, Presenter Michael Kurz Virginia Commonwealth University, Richmond, VA - Presenter Teresa Camp-Rogers UT Health Science Center at Houston, Houston, TX – Presenter

DS097: Controversies in Emergency Ultrasound II: The Debate Rages On Friday, May 16 - 10:30 - 11:30 am Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Describe cutting-edge and controversial issues in emergency ultrasound today. 2. Discuss current evidence in support of and against ultrasound use.

3. List areas for future research.

Description: This session will feature a debate-style format, with discussants utilizing an evidence-based approach to discuss two controversial topics in emergency ultrasound. Session will be evidencebased, drawing on pertinent literature to support viewpoints.

Christopher Raio North Shore University Hospital, Manhasset, NY - Submitter Andrew Liteplo Massachusetts General Hospital, Boston, MA - Presenter Michael P. Mallin University of Utah, Salt Lake City, UT - Presenter Jason T. Nomura Christiana Healthcare System, Newark, DE – Presenter

DS084: Important Applications for Point-of-Care Ultrasound in Pediatric Emergency Medicine Friday, May 16 - 10:30 am - 12:30 pm Location: Dallas Ballroom C Objectives: At the conclusion of this session participants should be able to: 1. Illustrate how POCUS can assist with the management of pediatric emergency medicine patients. 2. Understand how to develop proficiency in the ultrasound techniques for common pediatric conditions. 3. Become familiar with the evidence surrounding POCUS for each of the indications and procedures discussed.

Description: Point-of-care ultrasound (POCUS) is rapidly expanding into the field of pediatric emergency medicine. Recent advances in pediatric ultrasound include applications that aid in the evaluation and management of common pediatric clinical conditions and in the guidance of invasive procedures. In this session, we will discuss novel POCUS applications in the management of common pediatric complaints encountered by emergency providers. Specifically, the application of POCUS in the management of the febrile infant, pediatric abdominal pain, musculoskeletal injuries, and respiratory distress will be presented. In addition, the session will include a demonstration of ultrasound techniques, a discussion of common pearls and pitfalls, and a review of the most up-to-date evidence-based approaches for each POCUS application. At the end of this session, participants should be equipped with the knowledge to integrate POCUS into clinical decisionmaking and the management of pediatric patients.

Kristin Carmody New York University School of Medicine, New York, NY - Submitter James Tsung Mount Sinai School of Medicine, New York, NY - Presenter Lorraine Ng Columbia University School of Medicine, New York, NY - Presenter Jennifer Marin Children’s Hospital of Pittsburgh, Pittsburgh, PA – Presenter

DS085: After Words … Managing the Aftermath of Adverse Events Friday, May 16 - 10:30 am - 12:30 pm Location: Dallas Ballroom B

Objectives: At the end of this session, participants should: 1.Become familiar with the most recent high-quality global emergency medicine research being conducted around the world. 2.Improve their understanding of evidence-based practices and the current standard of care in global emergency medicine. 3. Be better-prepared to conduct their own ethical and high-quality global emergency medicine research, having learned from the experience of recent investigators.

Torben Becker University of Michigan, Ann Arbor, MI - Submitter, Presenter Adam C. Levine Alpert Medical School of Brown University, Providence, RI – Presenter

DS087: Top 10 Tips for Getting Started in Research Friday, May 16 - 11:30 am - 12:30 pm Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Define an achievable research question. 2. Identify 2-3 potential mentors to help them achieve their research goals. 3. Outline a timeline and next steps to initiate their research project.

Description: As mentors and researchers, we often hear the question, “How do I get started in research?” In this didactic, we will provide the answer for those who have enthusiasm but minimal prior research experience. The speakers, experienced research mentors, will discuss the key elements necessary for success in: defining your overall goals for research; finding an appropriate mentor or mentor team; defining a focused research question; creating a realistic research timeline; navigating the IRB and other

Friday, May 16 - 11:30 am - 12:30 pm Location: Dallas Ballroom A3 Objectives: At the completion of this session, participants should be able to: 1. Describe the role of research director in a variety of institutional settings.

2. Compare and contrast the various descriptions of the research director.

3. List obstacles they may face while developing/maintaining a research program at their own institution.

Description: While the title of “director of clinical research” is commonly seen in emergency medicine programs, the role and job description vary based upon the clinical and academic setting, resources, and institutional culture, and success in this role is dependent on these various factors. Some research directors primarily mentor resident scholarly activity, while others manage faculty. Often, a young faculty member is thrust into this role based upon early research successes. Others may inherit the role based upon a department’s needs and staffing. Lastly, some may develop into the role and have had the chance to be groomed for success. This session is intended to provide attendees with information that will help them to decide on pursuing the role of research director, and, when in the role, be successful.

During this session, a panel composed of current research directors will address the following topics: 1. Description of their current setting and main roles. 2. Major challenges in their role. 3. Top 5 tips for success. After each topic presentation, there will be 3-4 minutes for questions and answers from the audience. After the conclusion of all topics, the remaining time will be used for lessons learned and/or questions. The panelists will come from the following settings: 1.A university ED with a well-established EM research program with significant extramural funding. 2. A university ED with a midlevel clinical research program. 3. A university ED with a brand-new research program. 4. A community hospital ED with a medical school affiliation.

Preeti Dalawari Saint Louis University School of Medicine, Saint Louis, MO - Submitter, Presenter Bernard Lopez Thomas Jefferson Medical College, Philadelphia, PA - Presenter Judd Hollander University of Pennsylvania, Philadelphia, PA - Presenter Tania D. Strout. Maine Medical Center, ME – Presenter

DALLAS, TEXAS

Friday, May 16 - 11:30 am - 12:30 pm Location: Dallas Ballroom A1

DS088: Congratulations! You are the Research Director!

Now What?

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DS086: The Top Global Emergency Medicine Articles of 2013: Highlights from the Global Emergency Medicine Literature Review

research preparatory tasks; pursuing opportunities to publish and present; developing specific research skills; and planning long-term trajectories for research. After a brief discussion by the speakers, each topic will then be discussed in a small-group format facilitated by experienced research faculty.

Megan Ranney Alpert Medical School of Brown University, Providence, RI - Submitter, Presenter Brendan G. Carr University of Pennsylvania, Philadelphia, PA - Presenter Esther Choo Alpert Medical School of Brown University, Providence, RI – Presenter

MAY 13-17, 2014

Objectives: At the completion of this session, participants should be able to: 1. List the advantages of a proactive, comprehensive approach to crises.

2. Describe innovative ways to reconcile demands for accountability with requirements for learning and considerations of compassion and justice.

3. Describe a comprehensive approach to organizational learning about hazards in care.

Description: You’ve just heard that a pregnant woman discharged from your ED after a low-impact auto accident delivered a stillborn secondary to an abruption some hours after discharge. The EMR notes good fetal heart tones and fetal movements, but an addendum notes FHT of 190, which you failed to see. Or… you’ve just heard that an elderly patient you treated for an eyebrow laceration returned with endophthalmitis, leading to enucleation due to unrecognized rupture of the globe. The chart is missing visual acuity. In both these cases, state agencies are pressing for investigation and punishment. Now what? The emergency department is a high-risk environment for adverse outcomes – some inevitable, and some preventable. This interactive panel discussion will provide examples of how such tragedies can be better managed, to support the patients and families (first victims), the caregivers involved (second victims), and to help the care-delivery organization improve (third victims). Panelists will use case examples from their own work in four important activities: (1) explanation and apology to the patient and family, along with medical, social and economic assistance as needed; (2) support for the “second victim,” the medical staff involved in the error; (3) a technically sophisticated analysis, looking for hazards in the system of care that were revealed in the accident; and (4) a means for balancing calls for greater transparency and external accountability with the psychological safety needed for learning and justice.

Robert L. Wears University of Florida, Jacksonville, FL/ Imperial College London, London, UK - Submitter, Presenter Rollin (Terry) J. Fairbanks Medstar Health, Georgetown University, Washington, DC - Presenter Rob Robson Healthcare System Safety and Accountability, Inc., ON, Canada - Presenter Thomas H. Gallagher University of Washington School of Medicine, Seattle, ßWA – Presenter

DS089: Getting Your Qualitative Emergency Medicine Research Published Friday, May 16 - 11:30 am - 12:30 pm Location: Dallas Ballroom D1 Objectives: At the completion of this session, participants should be able to: 1. Select appropriate and efficient analysis techniques for qualitative data.

2. Be familiar with frequent journal reviewer concerns regarding qualitative manuscripts and strategies to address these.3. Be familiar with several alternate dissemination techniques for qualitative research.

Description: Qualitative research seeks to develop concepts to better understand complex social phenomena in natural settings. Qualitative study designs commonly use in-depth interviews, focus groups, and field observation. Qualitative methods are particularly relevant in emergency medicine, where research questions often have little existing research background and outcomes are difficult to measure. Yet investigators face

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Society for Academic Emergency Medicine

considerable challenges publishing such research. This session will enhance participants’ capacity to appropriately design, analyze and disseminate qualitative research. Session faculty are emergency physician researchers with experience in qualitative methods and will use their projects to highlight concepts. Dr. Grudzen will discuss how to build an analytic team when coding transcripts from semi-structured interviews and focus groups, and how to effectively publish results in the peer-review literature. She will use examples from her work regarding palliative care. Dr. Rhodes will discuss use of a tentative thematic framework to conduct content analyses with qualitative data and selectively code for broad themes, and will provide examples of published qualitative methods sections. She will use examples from work on ED provider-patient communication around psychosocial issues and access to care. Dr. Schuur will discuss how he used interviews and focus groups to identify successful infection-prevention strategies in EDs. He will discuss how to prepare a qualitative manuscript for peer review and will review frequent journal reviewer concerns regarding qualitative manuscripts, offering tips to avoid and answer these. A question-andanswer session will follow.

Jeremiah Schuur Brigham and Women’s Hospital, Boston, MA - Submitter, Presenter Corita Grudzen Icahn School of Medicine at Mount Sinai, New York, NY - Presenter Karin Rhodes University of Pennsylvania, Philadelphia, PA – Presenter

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DS090: Recent Advances in Evaluation and Management of the Febrile Young Infant: Viral Infections and Biosignatures Friday, May 16 - 11:30 am - 12:30 pm Location: Dallas Ballroom D2

2014 INNOVATIONS FRIDAY, May 16, 2014 Innovations - Spotlight: Technology 8:00 - 9:00 am in Seminar Theater

Objectives: At the completion of this session, participants should be able to: 1. Explain the role of enterovirus testing in the febrile young infant. 2.

Describe the epidemiology of neonatal herpes simplex virus infection and when to test and initiate acyclovir therapy. 3. Describe the role of immune responses in pathogen identification. 4. Understand rudiments of microarray analysis for disease detection in clinical settings.

Description: The febrile young infant aged 0-60 days is commonly encountered in the emergency department. These infants are at high risk for serious bacterial infection and often undergo a full sepsis evaluation. Enterovirus is a common pathogen that causes febrile illness in young infants. Despite availability of rapid enterovirus PCR testing, there is wide variability in enterovirus testing in febrile infants, even with recent studies demonstrating benefits of routine testing. Neonatal herpes simplex virus (HSV) is a life-threatening infection that is difficult to diagnose clinically, and therefore controversy exists as to which neonates should be tested and empirically treated. Importantly, novel diagnostic methods including biosignatures (RNA expression analysis) are being investigated to improve identification of fever-inducing pathogens.

In this session, the most recent advances in the management of the febrile young infant will be presented. The presenters will discuss the epidemiology of enterovirus and neonatal HSV infections, and will review the evidence-based approach to viral testing in the febrile young infant, including an upcoming multicenter study. Additionally, novel approaches to diagnosis, including transcriptional biosignatures, will be discussed. Following a brief introduction to novel diagnostic techniques currently being used in the evaluation of a young febrile infant, a more detailed description of one of the more promising technologies will be presented. RNA expression analysis is the study of the host response to the presence of a pathogen. Analysis of unique host response patterns can potentially lead to identification of fever etiology, thus obviating the reliance on sub-optimal reference standards, including cultures.

Paul L. Aronson Yale School of Medicine, New Haven, CT - Submitter, Presenter Prashant Mahajan Children’s Hospital of Michigan, Detroit, MI – Presenter 46 Entrustable Professional Activities (EPAs) - A Framework for the EM Milestones

Michael S. Beeson, Daniel Kobe, Amber Bradford, Steven J. Warrington.

Akron General Medical Center, Akron, OH

Innovations - Oral Presentations 10:30 - 11:30 am in Seminar Theater

39 Sensitivity and Specificity Smartphone Application

Timothy W. Jolis1, Waihong Chung2, Dan M. Mayer1. 1Albany Medical College, Albany, NY; 2Warren Alpert Medical School of Brown University, Providence, RI 40 Mobile Simulated Patient Encounters (MoSPE) - Take Interactive Clinical Simulation Cases Anywhere

Karthikeyan Muthuswamy, Rishi Madhok. Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 41 Transvenous Pacing Video Model for Facilitated, Successful Transvenous Pacemaker Insertion in the Emergency Department

Josh Laird, Bryan F. Darger, Sara Miller, Samuel Luber, Yash Chathampally.

University of Texas Medical School at Houston, Houston, TX 42 Med Sketch: Anatomy Drawing App for the Iphone and Ipad - A Fun And Engaging Tool To Improve Clinical Communication And Bedside Education

Karim Ali, Adeeb Zaer. Emory University School of Medicine, Atlanta, GA

47 Flipping the Clerkship

Corey Heitz1, Melanie Prusakowski1, George Willis2. 1Virginia Tech Carilion School of Medicine, Roanoke, VA; 2University of Maryland, Baltimore, MD 48 Integration of an Audience Response System into Simulation-Based Training: An Educational Technology Enhancement

Margaret K. Sande. University of Colorado Denver, Aurora, CO 49 Generation of “SMART” Learning Goals after Simulation to Promote the Completion of Educational Actions

Richard Bounds1, Amish Aghera2, Colleen Bush3, Matthew Emery3, Nestor Rodriguez4, Brian Gillett2, Sally A. Santen5. 1Christiana Care Health System, Newark, DE; 2Maimonides Medical Center, Brooklyn, NY; 3Michigan State University, East Lansing, MI; 4University of Wisconsin, Madison, WI; 5University of Michigan Health System, Ann Arbor, MI 50 Teaching Value in Emergency Medicine: A Resident-Based Educational Initiative

Michelle Lin1, Larissa Laskowski2. 1Brigham and Women’s Hospital, Boston, MA; 2New York University Medical Center, New York, NY

Innovations - Spotlight: Assessment 9:00 - 10:00 am in Seminar Theater

Innovations - Oral Presentations 11:30 am - 12:30 pm in Seminar Theater

43 A Mobile Application for Direct Observation Evaluation of Resident Physicians using ACGME Next Accreditation System Milestones

Daniel Michael O’Connor1, Arjun Dayal2. 1The University of Pennsylvania, Philadelphia, PA; 2The University of Chicago, Chicago, IL 44 A Novel Method of Evaluating Residents Based on the Emergency Medicine Milestone Project

Mira Mamtani, Rishi Madhok, Francis J. DeRoos, Lauren W. Conlon. Hospital of the University of Pennsylvania, Philadelphia, PA 45 A Web-based Milestone Evaluation System Providing Real-time Analysis of Resident Performance

Rishi Madhok, Lauren W. Conlon, Mira Mamtani, Francis J. DeRoos. Hospital of the University of Pennsylvania, Philadelphia, PA

51 A Leadership Pipeline: an Innovative Fellowship for Medical Students Tina Wu, Rahul Sharma, Robert Femia. Bellevue Hospital, NYU, New York, NY 52 Teaching Leaderships and Communication Competencies using an Austere Medicine Setting

Thomas D. Kirsch, Michael Millin, Susan Peterson. Johns Hopkins University, Baltimore, MD 53 Simulation to Learn Emergency Department (ED) Management

Nupur Garg1, Robert Wears2, Nicholas Genes1. 1Mount Sinai School of Medicine, New York, NY; 2University of Florida, Jacksonville, FL 54 Description and Outcomes of a Resident Quality Improvement Curriculum Involving a Root Cause Analysis Tool

Julie B. McCausland, Deborah Simak. University of Pittsburgh, Pittsburgh, PA

SAEM 2014 ANNUAL MEETING ABSTRACTS MAY 14-17, 2014 — DALLAS, TEXAS

Listed below are the title, presenter name, and presenter institution for the 834 abstracts that have been selected for presentation at the 2014 SAEM Annual Meeting from 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers do not correspond to the original abstract numbers given at time of submission. *SAEM Gallery of Excellence Nominees 2014

FRIDAY, May 16th, 2014 ABDOMEN/GI - ORAL ABSTRACTS Friday, May 16, 8:00 - 10:00 am in Lone Star Ballroom C3

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

GERIATRICS - ORAL ABSTRACTS Friday, May 16, 8:00 - 10:00 am in Lone Star Ballroom C1

Moderator: 506 Emergency Department Predictors of Hospital Acquired Delirium Maura Kennedy, MD, MPH, Beth Israel Deaconess Medical Center 507 GEDI WISE: Initial Effects on Admissions at a Hospital with a Geriatric Emergency Department (ED) Kristen Ng, BA, Icahn School of Medicine at Mount Sinai 508 Impaired Arousal at Initial Presentation Predicts 6-month Mortality: An Analysis of 1,084 Older Emergency Department Patients Jin Ho Han, MD, MSc, Vanderbilt University 509 Reasons for Emergency Department Utilization among the Oldest Old: Comparing Patients Aged 85 to Younger Geriatric Patients Tony Rosen, MD, MPH, Emergency Medicine Residency, New YorkPresbyterian Hospital 510 Treating Pain in Geriatric Blunt Trauma Patients Preeti Dalawari, MD, MSPH, Saint Louis University Hospital 511 Analgesic Prescribing for Older Adults in U.S. Emergency Departments: 2001 to 2010 Erin Marra, MD, Children’s National Medical Center 512 Elderly ED Fallers: What Type of Evaluation Do They Receive?

Gregory Tirrell, BS, Massachusetts General Hospital 513 An Evaluation of Single-Item Delirium Screening Questions in Older Emergency Department Patients Jin H. Han, MD, MSc, Vanderbilt University

DALLAS, TEXAS

Moderator: 492 Metropolitan vs. Non-metropolitan Location is an Independent Predictor of Return of Spontaneous Circulation in Out-of-Hospital Cardiac Arrest Holbrook H. Stoecklein, MD, University of Utah 493 Duration of Resuscitation and Medical Futility in Out-of-Hospital Cardiac Arrest Sumitro Harjanto, BSc (Honours), MD (candidate), Duke-NUS Graduate Medical School Singapore 494 Primary EMS Transport to a 24-hr PCI Center is Associated with Increased Survival in Patients with Out of Hospital Cardiac Arrest Benton R. Hunter, MD, Indiana University School of Medicine 495 Evaluation of Bystander Perceptions of CPR following a Statewide Chest-Compression-Only CPR Initiative.

Lisa Goldberg, BS, University of Arizona 496 Accuracy of a Read-Through Chest Compressions Cardiac Rhythm Algorithm in Out-of-Hospital Cardiac Arrest Heemun Kwok, MD, MS, University of Washington 497 Association Between Pre-arrest Medication Use and Presenting Rhythm in Cardiac Arrest David D. Wagner, MD, JD, University of Utah 498 Effect of Time from Collapse to Return of Spontaneous Circulation on Survival and Functional Recovery in Out-of-Hospital Cardiac Arrest Sumitro Harjanto, BSc (Honours), MD (candidate), Duke-NUS Graduate Medical School Singapore

Moderator: 500 Compressions During Defibrillator Charging Shortens Shock Pause Duration and Improves Chest Compression Fraction During Shockable Out of Hospital Cardiac Arrest.

Sheldon Cheskes, MD CCFP (EM) FCFP, University of Toronto 501 Thrombolytic Therapy for Victims of Sudden Cardiac Arrest: a Metaanalysis Keith A. Marill, MD, University of Pittsburgh Medical Center 502 Prevalence and Characteristics of Pre-hospital Pediatric Cardiac Arrests in a High-density Pediatric Region Adam Blanchard, MD, University of Utah 503 Effect of Therapeutic Hypothermia on Survival to Hospital Discharge in Out of Hospital Cardiac Arrest Secondary to Non-shockable Rhythms Kishan Patel, BS, University of Texas Health Science Center at Houston 504 Effect of 2010 American Heart Association Guidelines on Automated External Defibrillator Use During Pediatric Out-of-Hospital Cardiac Arrest M. Austin Johnson, MD, PhD, Denver Health Medical Center 505 When Is a Cardiac Arrest Noncardiac?

Ryan M. Carter, MD, MPH MPP, Yale University

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EMS OUT-OF-HOSPITAL CARDIAC ARREST - ORAL ABSTRACTS Friday, May 16, 8:00 - 10:00 am in Lone Star Ballroom C2

EMS/OUT-OF-HOSPITAL CARDIAC ARREST - ORAL ABSTRACTS Friday, May 16, 8:00 - 10:00 am in Lone Star Ballroom C

MAY 13-17, 2014

Moderator: 484 Rising Rates of Proton Pump Inhibitor Prescribing in U.S. Emergency Departments Maryann Mazer-Amirshahi, PharmD, MD, Children’s National Medical Center 485 Birth Cohort HCV Screening in an Emergency Department - an Analysis of Risk in Antibody Positive Patients.

Pamela J. Green, RN, BSN, Memorial Hermann Healthcare System - Texas Medical Center 486 History, Physical Exam plus Laboratory Testing and Ultrasonography for the Diagnosis of Cholecystitis: An Evidence-Based Review Ashika Jain, MD, Downstate Medical Center 487 History, Physical Exam plus Laboratory Testing and Ultrasonography for the Diagnosis of Appendicitis: An Evidence-Based Review John Kilpatrick, MD, Downstate Medical Center 488 Automated Generation of Problem Lists using Probabilistic Modeling Steven Horng, MD, MMSc, Beth Israel Deaconess Medical Center / Harvard Medical School 489 Sterile Pyuria in Acute Appendicitis and Diverticulitis Victor Chan, MD, Emergency Medicine Residency, Resurrection Medical Center 490 Prevalence and Patient Predictors in Admission of Diverticulitis Margaret B. Greenwood-Ericksen, MD, MPH, Brigham and Women’s Hospital 491 CT Scan Use in Patients Presenting with a First Episode vs. Prior History of Kidney Stone in the ED Ralph C. Wang, MD, University of California, San Francisco

499 Is Troponin a Marker for Acute Coronary Occlusion and Patient Outcome Following Cardiac Arrest?

David A. Pearson, MD, Carolinas Medical Center

CLINICAL OPERATIONS - MODERATED POSTERS Friday, May 16, 8:00 - 10:00 am in Pearl 5

Moderator: 514 Rapid Medical Assessment Team in Triage: Overall Effect and Subgroup Analysis Stephen Traub, MD, Mayo Clinic Arizona 515 The Predictability of Emergency Department Admissions Eric Goldlust, MD, Ph.D., Brown University

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516 Association Between Emergency Department Care and Access to Primary Care Mark A. Smiley, MD, MBA, East Carolina University Brody School of Medicine, Departments of Emergency Medicine and Public Health 517 Quality Measures for Urine Pregnancy Testing in the Emergency Department Alison Hester, Doctor of Osteopathy, Virginia Tech-Carilion Department of Emergency Medicine 518 Emergency Department Triage Pain Protocol Reduces Time to Receiving Analgesics in Patients with Painful Conditions Aaron N. Barksdale, MD, University of Nebraska Medical Center 519 Patient Input in the Emergency Department Triage Process Christian Fromm, MD, Maimonides Medical Center 520 Comparison of Attending only and Resident with Attending Supervision Press Ganey Scores in ED Patients James Ziadeh, MD, William Beaumont Hospital 521 Serum Lactate Levels and Age as Predictors of Mortality in Emergency Department Patients Seth A. Purcell, MD, University of Kansas Hospital

Society for Academic Emergency Medicine

ED UTILIZATION - MODERATED POSTERS Friday, May 16, 8:00 - 10:00 am in Live Oak

Moderator: 522 Should Rural Hospitals be Concerned about Frequent Users of Emergency Department Resources?

James P. Killeen, MD, University of California, San Diego 523 Effect of Formation of an Accountable Care Organization on Characteristics of Emergency Department Visits Michael H. Lee, MD MS, Alpert Medical School of Brown University 524 Urgencies and Emergencies: the Differential Impact of Urgent Care Centers on Emergency Department Visits from Low-severity, Privatelyinsured Patients Ari B. Friedman, BA, MS, Leonard Davis Institute of Health Economics University of Pennsylvania 525 Rural Primary Care Access for Semi-Urgent Medical Concerns and the Relationship of Distance to an Emergency Department Ashley N. Parks, BS, Virginia Tech Carilion School of Medicine 526 Travelling Super Users of California Emergency Departments Jesse J. Brennan, MA, University of California, San Diego 527 Reasons for why Medicaid Patients Frequently use the Emergency Department (ED) Use: a Qualitative Study.

Roberta Capp, MD, MHS, University of Colorado, Denver 528 Characteristics and Resource Utilization by Frequent Emergency Department Users Jestin N. Carlson, MD, MSc, Saint Vincent Hospital 529 Safety Net Hospitals: Are Medical Homes the Answer to Overcrowding Emergency Departments?

Brian Raffetto, MD, MPH, LAC-USC Department of Emergency Medicine

EDUCATION - ORAL ABSTRACTS Friday, May 16, 10:30 am - 12:30 pm in Lone Star Ballroom C3

Moderator: 530 The Impact of the 2008 Council of Emergency Residency Directors (CORD) Panel on Emergency Medicine Resident Diversity Dowin H. Boatright, MD, MBA, Denver Health Department of Emergency Medicine 531 Inter-rater Reliability among Four Raters Scoring Emergency Medicine Residents in An Objective Structured Clinical Examination (OSCE) Benjamin Ying, MD, New York Hospital Queens 532 Improvement in Non-technical Skills using an In-situ Multidisciplinary Simulation-based Trauma Team Training (T3) Curriculum Jason Murray, MD, University of Michigan 533 Structured Teaching Shifts in the Emergency Medicine Clinical Clerkship: Impact on ED Length of Stay Lisa Shepherd, MD, Western University 534 QSAT - Validation of a Competency Based Resuscitation Assessment Tool - a National Multi-Centered Study Karen G. H. Woolfrey, MD, FRCPC, ABEM, FACEP, Western University 535 Have First Year Emergency Medicine Residents Achieved Level 1 on CareBased Milestones?

Michael Bond, MD, University of Maryland School of Medicine

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536 Testing the Utility of a Novel Education Model for Training Emergency Medicine Residents in Delivery of Death Notification: a Randomized Controlled Trial James Willis, MD, SUNY Downstate 537 Update on the National EM M4 Examinations Emily Miller, MD, Harvard Medical School

EMS/OUT-OF-HOSPITAL - CARDIAC ARREST - ORAL ABSTRACTS Friday, May 16, 10:30 am - 12:30 pm in Lone Star Ballroom C

Moderator: 538 Burden of Non-traumatic Out-of-hospital Cardiac Arrest in Karachi, Pakistan: Estimation Through the Capture-recapture Method Mina Z. Mawani, MSc. Epidemiology and Biostatistics, the Aga Khan University Hospital 539 Uninterrupted Chest Compressions Were Seen in the Majority of Cases of Prehospital Endotracheal Intubations Using the VividTrac Video Laryngoscopy Device Alexei M. Wagner, MD, MBA, Stanford University 540 Are There Differences in Clinical Outcomes of Patients with Out of Hospital Cardiac Arrest Between Physician Led Prehospital Team Versus Paramedic Led Prehospital Team?

AI SEKI, MD, Tokyo Bay Urayasu/Ichikawa Medical Center 541 Cardiac Resuscitation in Situ Simulation in EMS Adam C. Sawyer, MD, Eastern Virginia Medical School 542 Variation in Out of Hospital Cardiac Arrest Airway Management Jason Jones, MD, University of Florida

LENGTH OF STAY - ORAL ABSTRACTS Friday, May 16, 10:30 am - 12:30 pm in Lone Star Ballroom C2

Moderator: 543 Understanding an Emergency Departmentâ&#x20AC;&#x2122;s Radiology Throughput: Trends in Radiology Studies Ordered and Radiology Result Turnaround Times Nupur Garg, MD, Mount Sinai School of Medicine 544 Modeling the Dwell Time for Emergency Department Patients Nathan Hoot, MD, PhD, University of Texas Health Science Center at Houston 545 Emergency Physician Perceptions of Unnecessary Advanced Diagnostic Imaging: a National Survey Study Hemal K. Kanzaria, MD, Robert Wood Johnson Foundation Clinical Scholars Program 546 The Association between Advanced Diagnostic Imaging and Emergency Department Length of Stay Hemal K. Kanzaria, MD, Robert Wood Johnson Foundation Clinical Scholars Program 547 The Effect of Access to Electronic Health Records on Throughput Efficiency and Imaging Utilization in the Emergency Department David A. Guss, MD, UC San Diego Medical Center 548 Patientsâ&#x20AC;&#x2122; Length of Time in Emergency Departments: Variation Across Clinical Conditions Brian Moore, PhD, Truven Health Analytics 549 Comparing Perceived Success with Actual Change in a Lean-Type Initiative to Improve ED Patient Length of Stay: a Quantitative Analysis Jeremy Rose, MD, University of Toronto 550 The Impact of Rotating Students on Length of Stay in the Emergency Department at an Academic Medical Center Erin Dehon, Ph.D., University of Mississippi Medical Center

ULTRASOUND - ORAL ABSTRACTS Friday, May 16, 10:30 am - 12:30 pm in Lone Star Ballroom C1

Moderator: 551 Ultrasound Measurement of Carotid Flow Time Changes with Volume Status David C. Mackenzie, MD, CM, Maine Medical Center 552 Comparison of Lung Ultrasound Techniques to Identify Clinically Significant Pneumothorax Gregg Helland, MD, University of Massachusetts Medical School 553 Impact of Point-of-Care Ultrasound in High Acuity Patients with Dyspnea Richard A. Taylor, MD, Yale University 554 Does Bedside Ultrasound Improve Diagnostic Accuracy for Patients Presenting to the Emergency Department with Acute Dyspnea?

Peter Keenan, MD, University of Connecticut

555 Image Acquisition and Interpretation Learning Curves in Emergency Ultrasound David J. Blehar, MD, University of Massachusetts Medical School 556 Focused Lung Ultrasound in Dyspnea (FLUID) for the Diagnosis of Acute Decompensated Heart Failure Alan T. Chiem, MD, MPH, Olive View-UCLA 557 An Improved Flush the Line and Ultrasound the Heart (FLUSH) Technique? Manual Versus Stopcock Agitated Saline in Confirming Central Venous Line Placement in Children Russ Horowitz, MD, RDMS, Ann and Robert H. Lurie Childrenâ&#x20AC;&#x2122;s Hospital of Chicago 558 Ultrasound Confirmation of Central Venous Catheter Placement Petra Duran-Gehring, MD, University of Florida College of Medicine, Jacksonville; Department of Emergency Medicine

GERIATRICS - MODERATED POSTERS Friday, May 16, 10:30 am - 12:30 pm in Pearl 4

DALLAS, TEXAS

Moderator: 567 Gender Differences in Psychological Stressors and Pain in Emergency Department Patients Andrew C. Fischer, MD, University of Massachusetts Medical School, Department of Emergency Medicine 568 Care Plans Have Continued Effects on Reducing Emergency Department Visits in Those with Drug Seeking Behavior Renee Riggs, DO, Rutgers, Robert Wood Johnson Medical School 569 Excellent Concordance Between Timeline Follow-Back and Single Question Assessment of Self-Reported Smoking in a Clinical Trial Steven L. Bernstein, MD, Department of Emergency Medicine, Yale School of Medicine 570 County-Level Determinants of Emergency Department Visits for Mental Health and Substance Abuse-Related Conditions, California, 2005-2011.

Sophie Terp, MD, MPH, Keck School of Medicine, University of Southern California 571 Stress Biomarkers in Patients Undergoing Treatment for Severe Agitation and Confusion in the Emergency Department James Miner, MD, Hennepin County Medical Center

575 Predictors of Infection from Dog Bite Wounds: Which Patients Would Benefit from Prophylactic Antibiotics?

Meg Tabaka, MPH, Stanford University School of Medicine 576 Perceived Mechanical Fall Risk and Openness to Communication with Providers Marna R. Greenberg, DO, MPH, Lehigh Valley Hospital 577 Epidemiology of Accident Types and Injuries in Elite Motorcycle Racing John Bedolla, MD, UT Southwestern 578 Trends in Age of Patients Presenting with Traumatic Brain Injury Erik Kulstad, MD, MS, Advocate Christ Medical Center 579 Prehospital End-tidal Carbon Dioxide Predicts In-hospital Mortality in Trauma Patients Kelsey Childress, MD, University of Central Florida School of Medicine 580 Feasibility of Modified Quick Brain MRI for Acute Pediatric Head Trauma Ari R. Cohen, MD, Massachusetts General Hospital 581 Do Physicians Identify Clinically Significant Fractures of the Hip and Pelvis in Stable, Alert Patients after Blunt Trauma?

Jackeline Hernandez, MD, Carolinas Medical Center 582 Variability in the Use of Early Do Not Resuscitate Orders among Patients with Traumatic Brain Injury and Impact on Outcomes Dylan Dean, MD/PhD, Oregon Health & Science University 583 How Well Do Physicians Predict Lumbar Spine Fracture in Stable, Alert Trauma Patients?

Stacy L. Reynolds, MD, Carolinas Medical Center 584 Description of Found Down Adult Patients Presenting to the Emergency Department as Trauma Anna Nguyen, MD, University of California Davis 585 Increased Risk of Volume Overload with Plasma Compared to 4-Factor Prothrombin Complex Concentrate for the Emergency Reversal of Vitamin K Antagonist Therapy Majed A. Refaai, MD, University of Rochester Medical Center 586 Traumatic Injury Mechanisms and Severity in Karachi, Pakistan: a Single Center Prospective Study Irum Qamar. Khan, MBBS, FCPS, Department of Emergency Medicine; Aga Khan University Hospital 587 Diagnosis and Work-Up of Cardiac Contusion among Trauma Patients with Sternal Fracture Michael R. Perez, BS, the University of California San Francisco 588 Temporal Trends in the Influence of Gender on Outcomes of Traumatic Brain Injury Erik Kulstad, MD, MS, Advocate Christ Medical Center 589 The Impact of Providing Care in the Emergency Department: Resilience and Secondary Traumatic Stress in Emergency Medicine Providers John S. Garrett, MD, Baylor University Medical Center 590 Efficacy of a Massive Transfusion Protocol for Hemorrhagic Trauma Resuscitation George Lim, MD, Icahn School of Medicine at Mount Sinai 591 Factors Associated with Burnout During Emergency Medicine Residency Edward A. Ramoska, MD, MPH, Drexel University College of Medicine 592 Use of Cognitive Debriefing Tool in the Peer Review Process of an Urban, Academic Emergency Department Jeffery M. Hill, MD, University of Cincinnati 593 Influence of Society of Academic Emergency Medicine (SAEM) Grant Mechanisms on Post-award Academic Productivity Basmah Safdar, MD, MSc, Yale University

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PSYCH/SOCIAL ISSUES - MODERATED POSTERS Friday, May 16, 10:30 am - 12:30 pm in Live Oak

POSTER SESSION 3 - FRIDAY - POSTER ABSTRACTS Friday, May 16, 8:00 am - 12:00 pm in Lone Star Ballroom B

MAY 13-17, 2014

Moderator: 559 GEDI WISE: Geriatric-Specific Assessment and Intervention in the Emergency Department is Associated with Differences Between Initial and Final Disposition Amer Z. Aldeen, MD, Northwestern University 560 Emergency Department and Outpatient Treatment of Acute Injuries among Older Adults in the United States, 2009-2010 Marian E. Betz, MD, MPH, University of Colorado School of Medicine 561 Injury Patterns in Physical Elder Abuse: Secondary Analysis of a Cohort of Victims Presenting to the Emergency Department Tony Rosen, MD, MPH, Emergency Medicine Residency, New YorkPresbyterian Hospital 562 Evaluation of Emergency Department Patient and Visitor Understanding of Advanced Directives Mary C. Bhalla, MD, Summa Akron City Hospital 563 Educating Emergency Medicine Providers about Appropriate Indwelling Urinary Catheter Placement and Management in Older Adults Mary R. Mulcare, MD, New York-Presbyterian Hospital/Weill Cornell Medical Center 564 Prehospital Under-triage of Older Adults: a Mixed Methods Analysis to Explain Disparities in Trauma Triage Courtney Marie Cora Jones, PhD, MPH, University of Rochester Medical Center 565 The Emergency Department as the Primary Source of Hospital Admission for Older (but not Younger) Adults Peter W. Greenwald, MD MS, Division of Emergency Medicine, Weill Cornell Medical College 566 Antibiotic Treatment and Diarrhea Occurrence among Adults Treated in an Emergency Department Observation Unit Andrew C. Fischer, MD, University of Massachusetts Medical School, Department of Emergency Medicine

572 Does Law Enforcement Use Different Levels of Force if the Subject Appears to be Mentally Impaired?

Edward M. Castillo, PhD, MPH, University of California, San Diego 573 The Impact of Reading Achievement on Bedside Neuropsychological Testing Metrics in Emergency Department Patients Katherine Newell, Medical Student, Emory University School of Medicine 574 Association Between Intensity of Quitline Services and Probability of Smoking Abstinence Steven L. Bernstein, MD, Department of Emergency Medicine, Yale School of Medicine

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Society for Academic Emergency Medicine 88

594 Use of a Scoring System in the Construction of the NRMP Rank Order List B. James Connolly, MD, Drexel University College of Medicine 595 Leadership, Faculty and Residents’ Gender in Academic Emergency Medicine Departments Foluso Agboola, MD, Harvard School of Public Health 596 Assistant Professor Esther Choo, MD, MPH, Brown University 597 Paramedic Selection Process: One System’s Review of a Novel Vetting Technique Mark Escott, MD, Baylor College of Medicine 598 Professional Email Usage among Physicians: a Multi-Disciplinary Survey Sarah T. Malka, MD, Indiana University 599 A Somatization Scale Does Not Predict Poor One Week Outcomes After An ED Visit for Low Back Pain Benjamin W. Friedman, MD, Albert Einstein College of Medicine 600 The Effect of Passengers on All-Terrain Vehicle Crash Mechanisms and Injuries Charles A. Jennissen, MD, University of Iowa Carver College of Medicine 601 A Review of Septic Joint Arthritis in a Level 1 Trauma Center, and Factors that Influence Length of Stay Claire Pearson, MD, MPH, Wayne State University 602 Emergency Medicine Resident Training for Fracture and Joint Reductions: Do Our Residents Achieve High Success Rates?

Brian Burgess, MD, Christiana Care Health System 603 DNA Recovery from Rape Kits Ralph J. Riviello, MD,MS, DUCOM 604 A Bedside Screen: Diagnostic Utility of Nitrazine Paper to Screen for Vaginal Infections in the Emergency Department Jacob B. Rabe, MD, Department of Emergency Medicine, UICOMP OSF Saint Francis Medical Center 605 Systematic Review and Meta-analysis of the Risk of Pregnancy on the Rate of Diagnosed Venous Thromboembolism among Symptomatic Outpatients Evaluated for Pulmonary Embolism Jeffrey A. Kline, MD, Indiana University School of Medicine 606 Utility of Pelvic Examination in the Evaluation of Threatened Abortion Laura Hagopian, MD, FAWM, Boston Medical Center 607 Title: Abdominal Aortic Compression Does Not Benefit from Additional Leg Compression Mark Hauswald, MS, MD, University of New Mexico 608 The Prevalence of Pseudo-gestational Sac in Symptomatic 1st Trimester Patients Presenting to the Emergency Department Ralph C. Wang, MD, University of California, San Francisco 609 Validation of ICD-9 Codes for Cases of Stable Miscarriage Presenting to the Emergency Department Kelly E. Quinley, MD, Highland Hospital Department of Emergency Medicine 610 Inhaled Loxapine and Lorazepam in Healthy Volunteers: Results of a Randomized, Placebo-controlled Drug-drug Interaction Study Daniel A. Spyker, PhD, MD, Alexza Pharmaceuticals, Inc. 611 The Utility of a Lumbar Puncture After a Negative Head CT in the Emergency Department Evaluation of Subarachnoid Hemorrhage Harman S. Gill, MD, Yale New Haven Hospital 612 The Utility of Physical Examination, Medical History, and Triage Screening Tests in Predicting EEG Abnormalities in Emergency Department Patients with Altered Mental Status Shahriar Zehtabchi, MD, State University of New York, Downstate Medical Center 613 Lack of Gender Disparities in ED Triage of Ischemic Stroke Patients Tracy E. Madsen, MD, Alpert Medical School of Brown University 614 Factors Associated with Delayed Evaluation of Patients with Acute Ischemic Stroke in United States Emergency Departments Jestin N. Carlson, MD, MSc, Saint Vincent Hospital 615 Implementation of a Magnetic Resonance Imaging Protocol for Patients with Transient Ischemic Attack in an Emergency Department Observation Unit Matthew S. Siket, MD, MS, Alpert Medical School of Brown University 616 A Potential Novel Biomarker of Injury Observed Through Activation of the Coagulation Cascade in Mild Traumatic Brain Injury Jonathan J. Ratcliff, MD, MPH, University of Cincinnati

617 Elevated Blood Pressure and Headache in US EDs: a NHAMCS Analysis Benjamin Friedman, MD, Albert Einstein College of Medicine 618 Before the Bleed: Identifying High Risk Patients for Spontaneous Intracranial Hemorrhage Marie C. Vrablik, MD, Indiana University 619 Repeat Neuroimaging of Mild Traumatic Brain Injured Patients with Acute Traumatic Intracranial hemorrhage: Clinical Outcomes and Radiographic Features Natalie P. Kreitzer, MD, University of Cincinnati 620 Emergency Department Volume Does Not Impact Functional Status After Stroke Jestin N. Carlson, MD, MSc, Saint Vincent Hospital 621 Electroencephalography Findings in Patients Presenting to the ED for Evaluation of Seizures William A. Knight, MD, University of Cincinnati 622 Customized Swallow Screening Tool to Exclude Aspiration Pneumonia Risk in Acute Stroke Patients Jason T. Nomura, MD RDMS, Christiana Care Health System 623 Why the Need for Speed?-- ATVs, Speed and Brain Injuries Charles A. Jennissen, MD, University of Iowa Carver College of Medicine 624 Comparative Graphical Analysis of Prehospital Stroke Scales Ethan S. Brandler, MD, MPH, FACEP, SUNY Downstate Medical Center 625 An Evaluation of Two Conducted Electrical Weapons Using a Swine Comparative Cardiac Safety Model Donald M. Dawes, MD, Lompoc Valley Medical Center 626 Cancer Is Associated with Increased 30-Day Mortality in ED Patients with New-Onset Atrial Fibrillation Thomas Lardaro, MD, MPH, Vanderbilt University Medical Center 629 Trends and Patient Predictors of Hospital Admission for Atrial Fibrillation among U.S. EDs 2006-2010 Michelle P. Lin, MD, MPH, Brigham and Women’s Hospital 630 A Low CHADS2 Or CHA2D2VASc Score Predicts Normal Diagnostic Testing in Emergency Department Patients with an Acute Exacerbation of Previously Diagnosed Atrial Fibrillation Tyler W. Barrett, MD MSCI, Vanderbilt University Medical Center 631 Intravenous Enalaprilat for Treatment of Acute Hypertensive Heart Failure Craig M. Sharkey, MD, Detroit Receiving Hospital 632 Risk Stratification of Pulmonary Embolism in the Emergency Department: There is Room for Improvement Kelly N. Sawyer, MD, MS, William Beaumont Hospital 633 Renal Impairment in Acute Heart Failure: Insights from a Managed Care Database Wing W. Chan, MS, Novartis Pharmaceuticals Corporation 634 Cardioversion in the Emergency Department: Can It Be Done Safely and Effectively?

Sharon E. Mace, MD, Cleveland Clinic 635 Determining the Prevalence and Chronicity of Hyperlipidemia in Patients Admitted to An Emergency Department Based Chest Pain Observation Unit Nathan Hudepohl, MD, MPH, MS, Brown University 636 Correlation between Subclinical Heart Disease and Cardiovascular Risk Profiles in an Urban Emergency Department Population with Asymptomatic Hypertension: a Pilot Study Heather M. Prendergast, MD, MPH, University of Illinois 637 Safety and Efficiency of Emergency Department Interrogations of Cardiac Devices William Peacock, MD, Baylor College of Medicine 638 Health Outcomes among US Managed Care Enrollees Hospitalized with Acute Heart Failure: Variations Based on Age and Comorbid Atrial Fibrillation Wing W. Chan, MS, Novartis Pharmaceuticals Corporation 639 QT Prolongation: Quantitative Association with Predictive Factors Keith A. Marill, MD, University of Pittsburgh Medical Center 640 Concurrent and Predictive Validity of Dyspnea Severity as an Outcome Measure for Acute Heart Failure: a Pilot Study Howard Smithline, MS, MD, Baystate Medical Center 641 Significance of An Initial Indeterminate Troponin I Measurement in Patients Evaluated in An Emergency Department Observation Unit for Chest Pain Angus Beal, MD, University of Utah

| DALLAS, TEXAS

663 Emergency Department Opiates and Mortality Jianmin Wu, PhD, MS, Regenstrief Institute 664 Pump Up the Volume! Boosting Procedure Numbers Through Automation Emil Soleyman-Zomalan, MD, Maimonides Medical Center 665 Introduction of Evidence-Based Diagnostic Order Sets in an Electronic Medical Record is Associated with an Increase in Laboratory Orders Bryan G. Kane, MD, Lehigh Valley Health Network/USF Morsani College of Medicine 666 Prediction of Long-Term Sepsis Risk Henry E. Wang, MD, MS, University of Alabama at Birmingham 667 National Study of Variability and Trends in Emergency Department Use of Vasoactive Medications Michael L. Ruygrok, MD, Denver Health Medical Center 668 Impact of Clinical Pharmacists on Time to Antibiotic Administration for Septic Patients in the Emergency Department J M. Rosini, PharmD, Christiana Care Health System 669 Initial Cardiac Rhythm and Presence of Pulse on ED Arrival are Associated with Survival Rates in Patients who Suffer out of hospital Cardiac Arrest Tanya Dall, BS, Georgetown University School of Medicine 670 The Effect of a Hemoglobin-Based Oxygen Carrier vs. Hextend on Oxygen Kinetics and Organ-Specific Blood Flow in a Porcine Model of Hemorrhagic Shock Patrick J. Maher, MD, University of Washington 671 Does a Portable Non-invasive Hemoglobin Monitor Correlate with a Venous Blood Sample in Acutely Ill or Injured Patients?

Benjamin A. von Schweinitz, MD, San Antonio Military Medical Center 672 Placement of Central Venous Lines for Sepsis in the Elderly Has Increased Brandon Close, DO, Christus Spohn/Texas A&M School of Medicine 673 Delayed Awakening is Not Uncommon After Post-Cardiac-Arrest Therapeutic Hypothermia Robert Swor, DO, William Beaumont Hospital 674 Prognostic Factors Associated with Short-Term Decompensation of Sepsis Patients in the Emergency Department Stephanie Haddad, MD, North Shore University Hospital 675 Location of Arrest and Epinephrine Dose Are Predictors of Quick Arousal in Post-cardiac Arrest Patients Anne V. Grossestreuer, MS, University of Pennsylvania 676 Performance of Two Clinical Decision Support Tools to Identify Sepsis Patients in the Emergency Department Robert Sherwin, MD, FACEP, FAAEM, Sinai Grace Hospital/Detroit Receiving Hospital 677 Metabolomics Lends Insight into the Metabolic Differences Between Potential Responders and Non-responders to L-Carnitine Treatment in Septic Shock Michael A. Puskarich, MD, University of Mississippi Medical Center 678 Effect of Genetic Variations within the Promoter Region of the Organic Cation / Carnitine Transporters OCTN1 and OCTN2 on Clinical Outcome of Patients with Septic Shock Treated with L-carnitine Michael A. Puskarich, MD, University of Mississippi Medical Center 679 The DISPARITY Study: Factors Associated with Time to Antibiotics in the Surviving Sepsis Campaign (SSC) Database Tracy E. Madsen, MD, Alpert Medical School of Brown University 680 Factor Eight Inhibitor Bypassing Activity (FEIBA) for the Rapid Reversal of Major Bleeding in Patients with Warfarin Induced Coagulopathy David Barounis, MD, Stanford University 681 Gender Disparities in Cardiac Arrest and Post-cardiac Arrest Care in the Penn Alliance for Therapeutic Hypothermia Registry Sarah M. Perman, MD, MSCE, University of Colorado 682 Relationship Between Renal Function and Resuscitation Outcome among Out-of-Hospital Ventricular Fibrillation Patients (interim Analysis from SOS-KANTO 2012 Study) Masaru Suzuki, MD, PhD, Keio University 683 Cytochrome C Levels Are Elevated in Post-cardiac Arrest Patients Michael Donnino, MD, Beth Israel Deaconess Medical Center 684 The St02 Non-Invasive Tissue Hypoperfusion Monitor as a Screening Tool for Early Sepsis Detection in the Emergency Department Zachary A. Kopelman, BA, North Shore University Hospital

MAY 13-17, 2014

642 Feasibility of Remote Monitoring for Arrhythmias and Heart Failure Decompensation in ED Patients with Acute Heart Failure Gregory J. Fermann, MD, University of Cincinnati 643 Multivariate Hemodynamic Analysis Using Machine Learning Classification Predicts Prolonged Hospitalization or 30 Day Mortality in Acutely Ill ED Patients Richard M. Nowak, MD, Henry Ford Health System 644 Disposition and Treatment of Recent-Onset Atrial Fibrillation in a US Emergency Department Robert A. Swor, DO FACEP, William Beaumont Hospital 645 Safety and Efficacy of Emergency Department Treatment of Asymptomatic Hypertension Aaron M. Brody, MD, Wayne State University 646 Clinical Use of Cardiac Troponin Assays in US Emergency Departments: NHAMCS Subset Analysis of Race and Gender Sopagna Kheang, MD, Duke University School of Medicine 647 Predicting Conversion to Sinus Rhythm Following Intravenous Diltiazem Therapy in Emergency Department Patients with Atrial Fibrillation and Rapid Ventricular Rate Brian S. Wasserman, MD, Vanderbilt University Medical Center 648 Impact of Mandatory Cardiology Consultation on Patient Testing and Outcomes in an Emergency Department Observation Unit Tamara Moores, MD, University of Utah 649 Calcium Channel Blockers versus Beta-Blockers for Acute Rate Control of Atrial Fibrillation with Rapid Ventricular Response: a Systematic Review Jennifer L. Martindale, MD, SUNY Downstate/Kings County Hospital 650 Cardiac Biomarker Assay Use in Us Emergency Departments: An NHAMCS Analysis Alexander T. Limkakeng, MD, Duke University 651 Effect of a Reduced Troponin I Cutoff in Low-level Troponin Elevation: Increased Resource Utilization Without Improved Outcomes Brent Becker, MD, WellSpan York Hospital 652 The Noninvasive Hemodynamic Phenotyping of Patients Presenting to the Emergency Department with Acute Heart Failure: Prognostic and Therapeutic Implications Richard M. Nowak, MD, Henry Ford Health System 653 Effects of Gender, Race and Presenting Complaint (Typical versus Atypical for ACS) on Initial ECG Times on Patient Ultimately Admitted for Chest Pain Robin Naples, MD, Temple University 654 Identification of Low Risk Acute Decompensated Heart Failure Patients for the Observation Unit.

Chad E. Darling, MD, UMass Medical School 655 Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data Hamed Abedtash, PharmD, School of Informatics and Computing, Indiana University 656 How Do Physicians Adopt and Apply Opioid Prescription Guidelines in the Emergency Department? a Qualitative Study Austin S. Kilaru, BA, Perelman School of Medicine at the University of Pennsylvania 657 Validation of the TRAINS Scoring System for Predicting Acute Traumatic Aortic Injury J Austin. Thompson, MD, East Carolina University 658 The Testing Threshold for CT in Minor Head Injury Joshua Keegan, MD, Yale 659 The Effect of Opioid Prescribing Guidelines on â&#x20AC;&#x153;Left Without Being Treatedâ&#x20AC;? Rates John Richards, MD, UC Davis Medical Center 660 Performance of an Augmented Pulmonary Embolism Severity Index in Identifying ED Patients at Low Risk for 5-day Inpatient Adverse Events Carrieann E. Drenten, MD, University of California Davis Department of Emergency Medicine 661 GEDI WISE: Notifications about Geriatric ED Visits via Health Information Exchange is Feasible and May Reduce Admissions Nicholas Genes, MD, PhD, Icahn School of Medicine at Mount Sinai 662 Does Emergency Department Interrogation Reduce ED Time for Patients with Pacemakers or ICDs? James P. Killeen, MD, University of California, San Diego

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685 The Effect of Liver Disease on Lactate Normalization in Severe Sepsis and Septic Shock Sarah A. Sterling, MD, University of Mississippi Medical Center 686 End-tidal CO2 As a Predictor for In-hospital Cardiac Arrest Nour Rifai, MD, Christiana Care Health System 687 The Relationship of Fluid Type, Volume, and Chloride-content to Serum Creatinine in Patients with Severe Sepsis Or Septic Shock Faheem W. Guirgis, MD, University of Florida College of Medicine, Jacksonville; Department of Emergency Medicine 688 The Noninvasive Hemodynamic Phenotyping of Patients Presenting to the Emergency Department with Sepsis: Prognostic and Therapeutic Implications Richard M. Nowak, MD, Henry Ford Health System 689 Emergent Warfarin Reversal by Low Dose Three-Factor Prothrombin Complex Concentrate (PCC) in Severe and Intracranial Hemorrhage Jayaram Chelluri, MD, Icahn School of Medicine at Mt. Sinai 690 Risk Factors for Poor Early In-Hospital Clinical Outcomes in Sepsis Patients Admitted to a General Medical Ward.

Robert Sherwin, MD, FACEP, FAAEM, Sinai Grace Hospital 691 Predictors of Patients who Present to the Emergency Department with Sepsis and Develop Septic Shock between 4 and 48 Hours of ED Arrival.

Roberta Capp, MD, MHS, University of Colorado 692 Poverty and Storm Amplitude are Associated with Increased Fatality Rates in Caribbean Hurricanes Andrew Milsten, MD, MS, University of Massachusetts Medical School 693 Improved Flow Associated with Streaming in An Enlarged ED Without changes in Staffing Drew B. Richardson, MBBS(Hons) FACEM MD, Australian National University 694 Increased Door to Hospital Admission Bed Time is Associated with Prolonged Throughput Times for Patients Discharged Home from the Emergency Department Afton McNierney-Moore, DO, Texas A&M University 695 Operational Improvements Associated with an Algorithmic Patient Assignment System Stephen Traub, MD, Mayo Clinic Arizona 696 An Analysis of the Association Between Emergency Department (ED) Daily Census and Current Procedural Terminology (CPT) Coding for Emergency Physician Professional Services Uchenna Onyekwere, BS, Temple University School of Medicine 697 Variation in Emergency Department Acuity Between a Tertiary Care Center and Three Freestanding Emergency Departments Erin L. Simon, D.O., Akron General Medical Center 698 Emergency Department Physician and Nurse Assessment of Patient Satisfaction Matthew DeLaney, MD, University of Alabama at Birmingham 699 Severe Sepsis/Septic Shock ED Treatment Bundle Compliance By Primary Provider Profession, Specialty, and Year of Training.

Christopher Fee, MD, University of California San Francisco 700 The Impact of a Resident Physician on the Care of Patients Who Bounce Back Brian Walsh, MD, MBA, Morristown Medical Center 701 The Utility of Tracking Patients Transferred within 24 Hours of Admission from a Hospital Ward to an Intensive Care Unit as a Marker for Emergency Department Quality of Care Joshua J. Solano, MD, Beth Israel Deaconess Medical Center 702 Patient Insurance Profiles: a Tertiary Care versus Three Freestanding Emergency Departments Erin L. Simon, D.O., Akron General Medical Center 703 Effect of a New Physician-in-triage Shift: Objective and Subjective Analysis John Richards, MD, UC Davis Medical Center 704 The Association between having a Primary Care Provider and Hospital Admission in the Emergency Department: a Quantitative Analysis Mary Grzybowski, PhD, MPH, East Carolina University 705 Reducing Emergency Department Boarding Time: a Quality Improvement Initiative Nicole S. Sroufe, MD, M.P.H., University of Michigan 706 Inaccurate Weight-based Dosing of Enoxaparin By Emergency Physicians Samantha P. Jellinek-Cohen, PharmD, Beth Israel Medical Center

707 Can Chart Reviewers Reliably Identify Errors and Adverse Events in the Emergency Department?

Lee S. Jacobson, MD, Ph.D., Beth Israel Deaconess Medical Center 708 Association Between Patients and Emergency Department Operational Characteristics and Patient Satisfaction Scores in a Pediatric Population Jonathan R. Nichol, BS, Midwestern University Arizona College of Osteopathic Medicine 709 How Efficient are Emergency Physicians at Stratifying Risk When Ordering Stress Tests from the Emergency Department (ED)?

Lisa Moreno-Walton, MD, Louisiana State University Health Sciences Center-New Orleans 710 The Impact of Post-Discharge Patient Call Back on Patient Satisfaction with the Emergency Department and Doctors and Nurses in Two Academic Emergency Departments David A. Guss, MD, UC San Diego Medical Center 711 Reducing Hospital Length of Stay for Diabetic Ketoacidosis Using a Novel ED Observation Pathway Terrance Lee, MD, Beth Israel Deaconess Medical Center 712 Significant Improvement in Door-to-Room Time Following Redesign of Emergency Department Workflow and Infrastructure to Accommodate Triage Surge and Vertical Patient Care Scott P. Krall, MD MBA, Christus Spohn/Texas A&M School of Medicine 713 Impact of an Electronic Medical Record Transition on Emergency Department Operations Roshanak Didehban, MHS, FACHE, Mayo Clinic 714 Does the Use of An EMR-based Template During Resident Handoff Result in a More Comprehensive Transition of Care?

Kar-mun Woo, MD, Beth Israel Medical Center 715 Increased Speed Equals Increased Wait: the Impact of a Reduction in ED Ultrasound Processing Time Michael H. Lee, MD MS, Alpert Medical School of Brown University 716 Assessing Quality of Care in the ED: Lack of Consensus in Assessing Resource Utilization in the Emergency Department Lee S. Jacobson, MD, Ph.D., Beth Israel Deaconess Medical Center 717 Weapons Retrieved After the Implementation of Emergency Department Metal Detection Sarah T. Malka, MD, Indiana University 718 The Effect of Variations in Decision Rules on Length of Stay and Bed Usage in a Chest Pain Unit Eric J. Goldlust, MD, Ph.D., Brown University 719 Handover in the Emergency Department Phase 2a: Emergency Physician Perceptions of Handover Christa Dakin, MD, University of Ottawa, Department of Emergency Medicine 720 Patient Perceptions of Urgency, Costs, and Anticipated Wait Time: a Cross-Sectional Study in a Large Urban Academic County Hospital Emergency Department Hany Atallah, MD, Emory University 721 Implementation of the EMO Triage Score Reduces Cost of Health Care: a Randomized Controlled Trial Michael P. Mallin, MD, University of Utah 722 A Qualitative Analysis of the Incorporation of Screening, Brief Intervention and Referral to Treatment (SBIRT) into the Normal Workflow of the Emergency Department for Patients with At-Risk Behavior Related to Drug and Alcohol Abuse Arvind Venkat, MD, Allegheny General Hospital 723 Decreasing Time: Effects of a Streamlined Computer-based Version of the Esi Algorithm on Triage Time.

Stephen E. Villa, Bachelor of Science, University of California, San Francisco 724 The Delta Inflection Point: a Unique Metric for Emergency Department Productivity Richard Martin, MD, Temple University 143 Assessment of the C-Mac Video Laryngoscope in Pre-Hospital Tracheal Intubations Kevin Murphy, MD, UC Davis Medical Center

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| DALLAS, TEXAS 91

SATURDAY, MAY 17, 2014 Dallas B CMC

8 AM

9 AM

DS098: Getting the Right Treatment to the Right Patient

Dallas C CMC

Dallas A1

Dallas A2

DS092: Do-it-yourself Simulation

DS091: Delivering Public Health through EMS

DS093: How to Effectively Supervise and Teach Residents

Society for Academic Emergency Medicine

10 AM

92

DS102: Watch a Doctor Get Sued: A Live MedicoLegal Simulation 11 AM

DS096: Bringing Patient Safety Into Your Program

DS095: Emergency Informatics Research

DS101: Taking Advantage of the Teachable Moment: A Workshop for Efficient, Learner-Centered Clinical Teaching

DS099: So You Want to Start a (Non-ACGME)-accredited Fellowship?

DS100: What Millennials Want

SATURDAY, MAY 17, 2014 Dallas D3

DS094: Law, Ethics, and Truth Caring for LGBT Patients in the ED. Introduction to a Module from a Novel Curriculum on LGBT Health in Emergency Medicine

Houston A

Houston B

Houston C

Health Policy/Opiates

Critical Care

Diagnostic Technology and Radiology

Oral Abstracts

Oral Abstracts

751-758

725-732

San Antonio A

Oral Abstracts

Disease and Injury Prevention

733-740

Oral Abstracts 741-750

ED Revisits

Disaster Medicine

Oral Abstracts

Oral Abstracts

Ultrasound

779-786

771-778

Oral Abstracts 787-794

SATURDAY, MAY 17, 2014 Atrium

Pearl 4

Live Oak

8 AM

GEMA Business Meeting

Pulmonary Embolism

Trauma

Moderated Posters

Moderated Posters

759-762

763-770 9 AM

8am-12pm 9:30-10:30am Annual Fellowship Showcase

10 AM

MAY 13-17, 2014

11 AM

| DALLAS, TEXAS 94

Saturday, May 17, 2014 – SAEM and Committee/Task Force/Academy/Interest Group/Board Meetings 7:00am-5:00pm 8:00am-12:00pm 9:00-10:00am

SAEM New BOD Meeting GEMA Global Emergency Medicine Academy-Business Meeting SAEM EMS IG Meeting

Executive Boardroom (Hotel 2nd Floor) Atrium Room (Hotel-2nd Floor) Trinity 2 (Hotel-3rd Floor)

Saturday, May 17, 2014 – Affiliated Meetings 9:00am-12:00pm

EMRA BOD Meeting

Trinity 1 (Hotel-3rd Floor)

SAEM 2014 ANNUAL MEETING DIDACTIC PRESENTATIONS MAY 14-17, 2014 — DALLAS, TEXAS SATURDAY, MAY 17TH DS091: Delivering Public Health through EMS

Society for Academic Emergency Medicine

Saturday, May 17 - 8:00 - 9:00 am Location: Dallas Ballroom A1 Objectives: At the completion of this session, participants should be able to: 1. Describe the financial and legal barriers impeding prior EMS involvement in public health. 2. Describe existing best practices of EMS-based public health activities. 3. Describe the existing opportunities to expand the role of EMS in public health.

Description: Emergency medical services (EMS) systems predominantly focus on transportation. However, EMS agencies frequently interact with our most vulnerable patients, both before and after acute injuries or illness.

There are many instances when EMS might be well positioned to smooth the transition of care or perform public health outreach to disadvantaged or vulnerable populations. The EMS community has been interested for a long time in moving beyond basic transportation services toward becoming a more flexible, patient-centered, clinically integrated mobile health service, working with partners in the medical and public health communities to support population health. However, few innovations have been put into general practice, largely because of legal constraints and financial incentives that favor the status quo. Given macro trends in health care policy toward greater coordination of care and population health management, there may be new opportunities available for EMS (out-of-hospital care) systems to expand their role beyond emergency care delivery into such public health areas as fall and injury prevention, personal preparedness, public vaccination programs and more. This session will feature three leaders in the EMS community who will update us on the latest public health innovations in the practice of EMS. Kevin Munjal Mount Sinai Medical Center, New York, NY - Submitter, Presenter David Sugerman Centers for Disease Control and Prevention, Atlanta, GA - Presenter Thomas Judge LifeFlight of Maine, Bangor, ME – Presenter

DS092: Do-it-yourself Simulation: Cutting-edge Simulation on a Shoe-String Budget Saturday, May 17 - 8:00 - 9:00 am Location: Dallas Ballroom C Objectives: At the completion of this session, participants should be able to: 1. Discuss the costs associated with establishing simulation in a resident curriculum. 2. Describe the literature on DIY simulation and demonstrate a variety of models: vascular access, soft-tissue infection, pericardiocentesis, among others. 3. Take home various “recipes” for simulators so they may try them on their own.

Description: There are many different medical simulators commercially available; however, they come at a significant cost. Most educators have limited budgets and relatively high operating costs. The goal of this didactic is to discuss the costs associated with simulation, from a basic to an advanced level, and to give educators the resources to make quality lowcost simulators for physician education.

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

Kristin Carmody New York University School of Medicine, New York, NY - Submitter William Bond Lehigh Valley Health Network, Allentown, PA - Presenter Nova Panebianco University of Pennsylvania School of Medicine, Philadelphia, PA - Presenter Daniela E. Morato University of Pittsburgh School of Medicine, Pittsburgh, PA – Presenter

DS093: How to Effectively Supervise and Teach Residents: Entrustment and Autonomy Saturday, May 17 - 8:00 - 9:00 am Location: Dallas Ballroom A2 Objectives: At the completion of this session, participants should be able to: 1. Describe the factors affecting autonomy. 2. Be prepared to navigate the barriers to entrustment. 3. Appropriately facilitate resident autonomy and grant trainee-suitable entrustment of patient care to enhance resident education.

Description: The goal of residency is to train residents to manage patients independently but also safely as they learn. The role of the attending varies between supervision and allowing autonomy. This concept has been termed entrustment. Entrustment is essential for implementation of the milestones. As residents progress along the milestones, the role of the supervising physician is to grant incremental responsibilities of patient care to residents, with concurrent reduction in clinical oversight. This entrustment of professional activities to each resident varies based on multiple elements, including attending factors (characteristics, experience, confidence), resident factors (proficiency, level of training, characteristics), patient factors (severity of illness, complexity) and environment (volume, service expectations). In this session, we will discuss use our understanding of how leveraging entrustment can create an effective learning environment. We will explore resident perceptions of autonomy, the learning environment, and strategies for faculty to enhance resident learning within this framework. This workshop was presented at SAEM in 2013 to very good reviews. We have incorporated feedback received from that session into the design of this didactic. Additional small-group facilitators include Felix Ankel, MD; Emily Mills, MD; and Josh Glazer, MD. Margaret Wolff University of Michigan, Ann Arbor, MI - Submitter, Presenter Ben Bassin University of Michigan, Ann Arbor, MI - Presenter Sally Santen University of Michigan, Ann Arbor, MI - Presenter Sheryl Heron Emory University, Atlanta, GA – Presenter

DS094: Law, Ethics, and Truth: Caring for LGBT Patients in the ED. Introduction to a Module from a Novel Curriculum on LGBT Health in Emergency Medicine Saturday, May 17 - 8:00 - 10:00 am Location: Dallas Ballroom D3

Society for Academic Emergency Medicine

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

Locate the new resource curriculum on LGBT health. 2. Discuss challenges, resources, and future needs regarding legal and ethical concerns for LGBT patients. 3. Describe components of federal and state laws that impact LGBT patient care, access to care, advanced directives, and visitation. 4.

Identify biases that serve as barriers to effective communication and can adversely affect care of LGBT patients.

Description: Original research presented last year at SAEM on behalf of ADIEM demonstrated a need for and desire on the part of program directors for LGBT health care-related residency education. The LGBT subcommittee of ADIEM has developed a module-based curriculum for use by EM residency programs. After a brief introduction and overview of the curriculum components, an individual module that focuses on the legal and ethical challenges in the physician-patient relationship for LGBT patients will be explored. Participants in this session will be divided into small groups to consider case-based scenarios that will facilitate discussion between EM physicians and their patients. Specifically, the dilemmas, management, and resources available to successfully navigate these legal and ethical challenges in the physician-patient interaction will be examined.

At the conclusion of the session, we will bring the groups back together for a debriefing to summarize challenges, solutions, and future needs.

Joel Moll University of Michigan, Ann Arbor, MI - Submitter, Presenter Ellen Slaven Louisiana State University, New Orleans, LA - Presenter Thea James Boston University, Boston, MA - Presenter Paul Krieger Beth Israel, New York, NY – Presenter

Objectives: At the completion of this session, participants should be able to: 1. Describe the Just Culture and its application to improving patient safety within a residency. 2. Apply important concepts about patient safety to improve ED culture and enhance resident participation in safety practices.

Description: RATIONALE: Patient safety is increasingly important, but residents and students may not understand the role they can play in delivering safe care and improving the environment of care. CONTENT: This workshop should help participants translate the evidence related to safety culture into (1) methods to enhance and engage resident participation in patient safety; (2) methods to improve success in meeting core competencies related to patient safety. FORMAT: The Just Culture will be briefly presented; then, in small groups, the participants will plan learning or assessment exercises for their own setting. The workshop will be highly interactive, requiring participants to both understand patient safety concepts and apply them 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 ability to incorporate key concepts of culture and safety into ED practice.

INTENDED OUTCOMES: Participants should be able to understand the Just Culture and its application to patient safety, and incorporate the important concepts about patient safety into teaching practice and the ED clinical setting.

Robin Hemphill Veterans Health Affairs, Washington, DC - Submitter, Presenter Benjamin Bassin University of Michigan, Ann Arbor, MI - Presenter Felix Karl Ankel HealthPartners, Saint Paul, MN - Presenter Sally A. Santen University of Michigan, Ann Arbor, MI – Presenter

DS095: Emergency Informatics Research: Interesting, Approachable Projects for the Resident or the Career Scientist

DS098: Getting the Right Treatment to the Right Patient: Phenotyping in the Era of Personalized Emergency Care

Saturday, May 17 - 9:00 - 10:00 am Location: Dallas Ballroom C Objectives: At the completion of this session, participants should be able to: 1. Describe the current status of emergency informatics research. 2. Discuss the design of several informatics research projects that could be performed by non-technical researchers.

Description: Clinical Informatics is a new official subspecialty available to emergency medicine diplomates and is an exciting area of medicine experiencing rapid change. We are seeing government mandates for electronic health records in most of the developed world. Patients expect their records to be complete and accessible. Physicians expect the systems to be usable for decision support and to be helpful and timely.

The transformation of health information into electronic formats (EHR) is outpacing the research in the field. Many informatics researchers focus on technical aspects; however, we will focus on areas that do not require significant technical knowledge. This research is achievable by any emergency physicians or residents. More must be done to assure that changes being made truly help promote safe and effective patient care. We will focus on several key areas of informatics research that directly relate to emergency medicine: workflow analysis, EHR usability, alerting/clinical decision support, and pre-hospital informatics. This session will consist of (1) four panel members presenting short literature reviews of existing areas of emergency informatics research, together with future directions, followed by (2) a panel discussion regarding the generation of research ideas and suggestions for study design, accompanied by practical suggestions.

Jeffrey Nielson Summa Akron City Hospital/NEOMED, Akron, OH - Submitter Jason Shapiro Icahn School of Medicine at Mount Sinai, New York, NY - Presenter Adam Landman Brigham and Women’s Hospital, Boston, MA - Presenter Nicholas Genes Icahn School of Medicine at Mount Sinai, New York, NY – Presenter

DS096: Bringing Patient Safety Into Your Program Saturday, May 17 - 9:00 - 10:00 am Location: Dallas Ballroom A2

96

Saturday, May 17 - 9:00 - 10:00 am Location: Dallas Ballroom B Objectives: At the completion of this session, participants should be able to: 1. Describe three common approaches to genomics, metabolomics, and proteomics research studies. 2. Identify areas of emergency medicine that are currently or soon will be the subject of this area of research. 3. Articulate potential clinical applications of -omics.

Description: The -omics revolution promises improved care through genome-specific diagnostics and personalized treatments. These methods include genomics (genome-wide association studies, gene expression analysis, whole transcriptome sequencing), proteomics, and metabolomics.

These methods are increasingly being applied to acute care conditions for identification of specific conditions requiring time-sensitive treatments, treatment selection and prognosis. Further, they represent a new paradigm in the development of standard laboratory-based diagnostics and treatments. NIH leaders have identified -omics research as one of the natural fits for emergency medicine research within the federal research mission. In this didactic, Ephraim Tsallick will provide a broad overview of these methods and how they work. He will provide a brief description of his own work with infectious disease diagnostics. Andrew Monte will then describe the applications, and limitations, of -omics in personalized medicine, using his own genomic and metabolomic work with opioids and altitude-induced hypoxia as examples. Finally, Charles Cairns will outline an agenda for how these methods will fit in the future of EM care.

Alexander Limkakeng Duke University, Durham, NC - Submitter Ephraim L. Tsalik Durham VA Medical Center, Durham, NC - Presenter Andrew Monte University of Colorado Denver, Denver, CO - Presenter Charles Cairns University of North Carolina at Chapel Hill, Chapel Hill NC – Presenter

DS099: So You Want to Start a (Non-ACGME)-accredited Fellowship?

Saturday, May 17 - 10:00 - 11:00 am Location: Dallas Ballroom A1

DS100: What Millennials Want: Reshaping Your Residency for a New Generation of Learners in the NAS

Objectives: At the completion of this session, participants should be able to: 1. Discuss barriers to effective clinical teaching. 2. Identify characteristics of ideal clinical teachers. 3. Describe principles of learner-centered education.

4. Practice a variety of evidence-based teaching models in small groups. 5.

Incorporate learner-centered teaching techniques into clinical practice.

Description: When working in a chaotic emergency department with competing priorities, clinical teaching may be sacrificed for the sake of patient flow and throughput. An organized, efficient approach to clinical teaching based upon constructivist educational theory helps focus the teaching on what the learner needs at that moment, incorporates regular feedback, keeps the department on track, and prevents over-teaching.

In this interactive workshop, participants will be engaged in a discussion about barriers to teaching in the emergency department, learn about characteristics of teachers appreciated by learners, explore basic principles of learner-centered education, practice a number of teaching models such as OMP, SNAPPS, ED STAT! and ultimately should be able to take these skills and apply them to their interactions with learners in the clinical setting. Videos illustrating examples of effective and ineffective teaching encounters will serve as an adjunct to the discussion.

At the end of this workshop, participants should be prepared to seize the teachable moment and provide timely and learner-centered clinical educational encounters.

Sneha Shah University of Massachusetts, Worcester, MA, Submitter, Presenter Todd Guth University of Colorado, Aurora, CO - Presenter Michael Epter Maricopa Medical Center, Phoenix, AZ - Presenter Elise Lovell Advocate Christ Medical Center, Oak Lawn, IL – Presenter

DS102: Watch a Doctor Get Sued: A Live Medicolegal Simulation Saturday, May 17 - 10:00 am - 12:00 pm Location: Dallas Ballroom B Objectives: At the conclusion of this session, participants should be able to: 1. Vicariously experience the stress of a physician being sued and deposed.

2. Witness an example of a newcomer being deposed. 3. Witness an example of an expert being deposed. 4. Participate in a question-and-answer period with practicing attorneys during the debriefing of the simulations. 5. Walk away from this simulation feeling a little bit more prepared for the potential of being deposed.

Description: Being sued is probably one of the most stressful life events that an emergency physician can experience, and the probability is high that the physician will be sued during her career. This live simulation demonstration will allow the audience to vicariously experience a realistic medical malpractice deposition with practicing attorneys. Examples will include depositions of a chief resident a long-tenured department chair.

Both will be debriefed by the attorneys, with time for audience questions and answers. What to look out for, how to react, and what’s important will be highlighted by the attorneys and will be contrasted with emergency physician perceptions of the same.

Michael D. Smith MetroHealth Medical Center, Cleveland, OH - Submitter, Presenter Adam Davis Reminger Attorneys at Law, Cleveland, OH - Presenter Charles Emerman Case Western Reserve University, Cleveland, OH - Presenter Marilena Disilvio Reminger Attorneys at Law, Cleveland, OH - Presenter Bryan E. Baskin MHMC, OH - Presenter

DALLAS, TEXAS

Objectives: At the end of the session the participant should be able to: 1. Describe the positive and negative attributes and generational values of the Millennial generation, as well as how these values and attributes impact the success of residency programs. 2. Discuss why professionalism and communication issues arise frequently with Millennials and bring back specific ideas to develop behavioral expectations. 3. Implement curriculum changes that increase success of the learner without changing the underlying content, including interprofessional simulation, role-playing, and the formal use of social media.

Description: This session will focus on using knowledge of Millennial generation attributes and value systems to further refine multiple aspects of residency program management, including recruitment, orientation, didactic curriculum, and integration of non-traditional educational methods. The session will begin with a detailed introduction to Millennial attributes, both positive and negative, focusing on how these values impact their education, in both the clinical and the nonclinical realm. This will be followed by a review of specific methods of incorporating Millennial ideals into the residency, beginning with more effective recruitment strategies.

The session will conclude with a discussion of perceived differences in professionalism and communication skills and how to develop expectations that will be met by younger generations via expectation development, use of reflection, and leadership development.

Hollynn Larrabee West Virginia University, Morgantown, WV - Submitter, Presenter Megan Fix University of Utah, Salt Lake City, UT – Presenter

Saturday, May 17 - 10:00 am - 12:00 pm Location: Dallas Ballroom C

|

Saturday, May 17 - 10:00 - 11:00 am Location: Dallas Ballroom A2

DS101: Taking Advantage of the Teachable Moment: A Workshop for Efficient, Learner-Centered Clinical Teaching

MAY 13-17, 2014

Objectives: At the completion of this session, participants should be able to: 1. Illustrate those aspects of a department and institution that make it an appropriate host for a fellowship. 2. Describe how to construct a fellowship curriculum incorporating Milestones and clearly defined objectives. 3.

Identify commonly encountered obstacles and pitfalls in starting a nonACGME-accredited fellowship.

Description: This didactic will be a panel discussion focused on giving the audience the fundamental constructs for developing an excellent (nonACGME-accredited) fellowship. Emergency medicine residency graduates have multiple fellowship opportunities available to them, only the minority of which are ACGME-accredited. Ensuring that fellowships are optimally designed and executed benefits both the fellows and the departments hosting the fellowships. Remarkably, however, for non-ACGME fellowships, there is little to no standardization or clarity regarding what the learner should expect for his or her investment of time and energy. What defines a non-ACGME-approved fellowship? How does a department determine if it is ready to start a fellowship in an area of expertise? What are possible funding sources? What educational opportunities should be made available to the fellows? How do we ensure a rich educational environment without ACGME guidelines and credentialing? Is there a role for Milestones and clear learning objectives even without ACGME oversight, and how would this be created? What resources should be made available to the fellowship director by the department? A panel of experienced directors of fellowships including administration, global health, and geriatric emergency medicine will discuss these topics as they describe how they started and run their renowned fellowships.

Kevin Biese University of North Carolina at Chapel Hill, Chapel Hill, NC - Submitter, Presenter Ian B.K. Martin University of North Carolina at Chapel Hill, Chapel Hill, NC - Presenter Charles Reese Christiana Care Health System, Newark, DE - Presenter Michael Stern New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY – Presenter

97

SAEM 2014 ANNUAL MEETING ABSTRACTS MAY 14-17, 2014 — DALLAS, TEXAS

Listed below are the title, presenter name, and presenter institution for the 834 abstracts that have been selected for presentation at the 2014 SAEM Annual Meeting from 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers do not correspond to the original abstract numbers given at time of submission. *SAEM Gallery of Excellence Nominees 2014

SATURDAY, May 17th, 2014

Society for Academic Emergency Medicine

CRITICAL CARE - ORAL ABSTRACTS Saturday, May 17, 8:00 - 10:00 am in Houston Ballroom B

Moderator: 725 The Anticoagulant Effects of Dabigatran can be Reversed with a Specific Antidote (idarucizumab) in a Pig Model with Blunt Liver Injury Markus Honickel, MD, RWTH Aachen University Hospital 726 Does Post-cardiac Arrest Illness Severity Affect the Association Between Immediate Cardiac Catheterization and Improved Outcome?

Joshua C. Reynolds, MD, MS, Michigan State University College of Human Medicine 727 Ability to Activate the Eicosanoid and Polyunsaturated Fatty Acid Pathways Predicts Survival after Cardiac Arrest Lars W. Andersen, MD, Beth Israel Deaconess Medical Center 728 Identification of Septic Patients at Risk for the Development of Acute Respiratory Distress Syndrome in the Emergency Department Sen-Kuang Hou, MD, Brigham and Women’s Hospital 729 Heparin-binding Protein Is a Predictor of Progressive Organ Dysfunction in Emergency Department Sepsis Patients Ryan Arnold, MD, Christiana Care Health Center 730 Initial Cytokine Levels Are Associated with Outcome After Cardiac Arrest Lars W. Andersen, MD, Beth Israel Deaconess Medical Center 731 Incidence of Coronary Artery Disease Receiving Intervention in Cardiac Arrest Survivors Without Shockable Initial Rhythms Or Evidence of STEMI Matthew Wilson, MD, Washington Hospital Center 732 Correlation of Arterial Blood Gas and Venous Blood Gas in the Undifferentiated Shock Patient Kristine Schultz, MD, Christiana Care Health System

DIAGNOSTIC TECHNOLOGY AND RADIOLOGY - ORAL ABSTRACTS Saturday, May 17, 8:00 - 10:00 am in Houston Ballroom C

Moderator: 733 Does Placement of An MRI in the ED Increase Utilization and What Are the Downstream Effects?

Vanessa V. Redd, MD, Johns Hopkins University 734 Implementation of an Ultra-Low-Dose CT Protocol for ED Patients with Suspected Kidney Stone Chris Moore, MD, RDMS, Yale University School of Medicine 735 Gender Differences in Diagnostic Yield and Intervention with CT for Suspected Renal Colic Chris Moore, MD, RDMS, Yale University School of Medicine 736 Evidence-Based Diagnostics: Blunt Thoracolumbar Spine Trauma Christopher R. Carpenter, MD, MSc, Washington University in St. Louis 737 Prediction of Cardiac Complications within 72 hours in Patients Presenting with Chest Pain in the Emergency Department using a Heart Rate Variability Model.

Marcus AB. Lee, BEng, Duke-NUS Graduate Medical School 738 Lactate Levels in Venous and Intraosseous Blood Correlate; Prothrombin Time/INR Levels Do Not Diana Montez, BSN, Vidacare Corporation 739 Performance of Temporal Artery Thermometry Douglas Barnaby, MD, Albert Einstein College of Medicine 740 Performance of Pronto 7 and I-Stat Non-Invasive Hemoglobin Determination Compared to Standard Central Laboratory Blood Hemoglobin Measurement Michael Touger, MD, Jacobi Medical Center

DISEASE AND INJURY PREVENTION - ORAL ABSTRACTS Saturday, May 17, 8:00 - 10:30 am in San Antonio Ballroom A 98

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

Moderator: 741 Models of ED-initiated Treatment Protocols for Opioid Dependent Patients Gail D’Onofrio, MD, MS, Yale University 742 Firearm Violence among High-risk Emergency Department Youth: Outcomes from a Two-year Prospective Cohort Study Patrick M. Carter, MD, University of Michigan - Injury Center 743 Does a Brief Intervention Increase HIV/HCV Screening among Drugusing Emergency Department Patients?

Roland C. Merchant, MD, MPH, ScD, Rhode Island Hospital 744 Gender Differences in Perceptions and Self-Reported Driving Behaviors among Teenagers Chadd K. Kraus, DO, MPH, Lehigh Valley Health Network 745 Implementation of a Comprehensive Intervention to Violence Against Healthcare Workers in the Emergency Department Terry Kowalenko, MD, Beaumont Health System 746 History of Sexually Transmitted Infections (STIs) among Adolescents Presenting to the Emergency Department Martina T. Caldwell, MD, University of Michigan 747 Identifying Patients with Problematic Drug Use in the Emergency Department: Results of a Multi-Site Study Wendy L. Macias Konstantopoulos, MD, MPH, Massachusetts General Hospital 748 Ecologic Factors Relating to Firearm Injuries and Gun Violence in Chicago Jude Kieltyka, MD, MPH, Northwestern University 749 Latent Profiles of Tobacco Users among Patients and Visitors in the Emergency Department Beau Abar, PhD, University of Rochester Medical Center 750 Effects of a Web-based Educational Module on Pediatric Emergency Medicine Physicians’ Knowledge, Attitudes, and Behaviors Regarding Youth Violence Tracy E. Madsen, MD, Alpert Medical School of Brown University

HEALTH POLICY/OPIATES - ORAL ABSTRACTS Saturday, May 17, 8:00 - 10:00 am in Houston Ballroom A

Moderator: 751 Emergency Department Frequent Users: Hold the Narcotics Please!

Jennifer M. Peltzer-Jones, PsyD, RN, Henry Ford Health System 752 Qualitative Evaluation of the New York City Emergency Department Discharge Opioid Prescribing Guidelines Frederick W. Nagel, MD, New York City Department of Health and Mental Hygiene 753 Opioid Prescribing in United States Emergency Departments, 2006-2010 Bory Kea, MD, Oregon Health & Science University 754 Improving Patient Knowledge and Safe Use of Opioids: a Randomized Controlled Trial Danielle M. McCarthy, MD MS, Northwestern University 755 The Effect of a Statewide Prescription Monitoring Program on ED Prescribing of Controlled Substances Thomas Nguyen, MD, Beth Israel Medical Center, NY 756 Emergency Department Contribution to the National Prescription Opioid Epidemic Michael Menchine, MD, MPH, Keck School of Medicine of the University of Southern California 757 Trends in Opioid Analgesic Prescribing in U.S. Emergency Departments for Low-Acuity Visits Maryann Mazer-Amirshahi, PharmD, MD, Children’s National Medical Center 758 Gender Differences in Prescription Medication Abuse Jennifer Carey, MD, University of Massachusetts

PE - MODERATED POSTERS Saturday, May 17, 8:00 - 10:00 am in Pearl 4

Moderator: 759 Derivation of a Decision Rule to Detect Right Ventricular Dysfunction After Negative Computed Tomographic Pulmonary Angiography (CTPA) Jeffrey A. Kline, MD, Indiana University School of Medicine

760 Pre-existing Anticoagulation with Warfarin is Not Associated with a Reduced Likelihood of Venous Thromboembolism Diagnosis in the Emergency Department Michael R. Marchick, MD, University of Florida, Gainesville 761 Family History and the Risk of Diagnosis of Acute Pulmonary Embolism in the Emergency Department Chad Agy, MD, University of Utah 762 Evaluation of the Utility of D-dimer Measurement in Pregnant and Postpartum Emergency Department Patients Evaluated for Venous Thromboembolism Michael R. Marchick, MD, University of Florida, Gainesville

TRAUMA - MODERATED POSTERS Saturday, May 17, 8:00 - 10:00 am in Live Oak

ULTRASOUND - ORAL ABSTRACTS Saturday, May 17, 10:00 am - 12:00 pm in San Antonio Ballroom A Moderator: 787 Prognostic Value of Asymmetric Ureteral Jets in Suspected Nephrolithiasis: a Prospective Cohort Study Daniel Jafari, MD, MPH, University of Pennsylvania 788 Diagnosis of Acute Appendicitis By Bedside Ultrasound in the Emergency Department Michael Mallin, MD, Univerisy of Utah 789 Evaluating the Oblique Technique for Ultrasound-Guided Peripheral and Central Venous Cannulation in Phantom Models Daniela Morato, MD, University of Pittsburgh 790 Rapid Internet-Based Review of Point-of-Care Ultrasound Studies at a Remote Hospital in Uganda David L. Polan, MD, University of Massachusetts 791 How Accurate Is Ultrasound in Diagnosing Pneumonia? a Meta-analysis Srikar Adhikari, MD, MS, University of Arizona Medical Center 792 Tracheal Rapid Ultrasound Saline Test (TRUST) for Endotracheal Tube Depth in Children Mark O. Tessaro, MD, Maimonides Medical Center 793 Central Venous Catheterization: Are We Using Ultrasound Guidance?

Srikar Adhikari, MD, MS, University of Arizona Medical Center 794 A Prospective Review of Survival Rates of Ultrasound Guided Peripheral Intravenous Catheters Steven Joseph, MD, William Beaumont Hospital

DALLAS, TEXAS

Moderator: 771 The Association of College Football Game Day Characteristics on College Age ED Utilization for Alcohol Intoxication Brian Sharp, MD, University of Wisconsin 772 Efficacy of Utilizing Clinicians from Neighboring Institutions during a Natural Disaster: Do Visiting EM Attendings and Physician Assistants Really Help?

Liza Escobedo, MD, Beth Israel Medical Center 773 Respiratory Emergency Department Visits Increased the Most Following Hurricane Sandy Kerrie Tidwell, MD, MSc, Morristown Medical Center 774 The Impact of Hurricane Sandy on Emergency Department Volume David C. Lee, MD, University of Pennsylvania 775 Temporal Effects of a Natural Disaster with Flooding, Blackout, and Multiple ED Closures on Patient Volume, Patient Acuity and Patient Billing as Measured by Resource Value Units (RVUs).

Mason Shieh, MD, MBA, Beth Israel Medical Center 776 The Cost of Epidemic Care: Exposure to Contaminated Epidural Steroid Injections Janet Young, MD, Carilion Clinic

Moderator: 779 ED Repeat Repeaters and Their Tear-To-Year Visit Patterns: Is Intervention Really Needed?

Brown June, MD, Southern Illinois University School of Medicine 780 Decreased Emergency Department Utilization by Young Adult Frequent Users under Healthcare Reform Carson Burns, BA, Stanford University School of Medicine 782 Hospital Readmissions and the Potential Impact of Admission Reduction Strategies Implemented Through the Emergency Department.

Rebecka Lopez, MD, Southern Illinois University School of Medicine 781 Do Admissions for Chest Pain from the ED Predict Re-visits to the ED within 30 Days?

Brian W. Patterson, MD, MPH, University of Wisconsin 783 CT vs. No CT: 30 day Return Visits among Emergency Department Patients Presenting with Headache Brian W. Patterson, MD, MPH, University of Wisconsin 784 Multiple Emergency Department Use and 30-day ED Visits Edward M. Castillo, PhD, MPH, University of California, San Diego 785 Relationship between Rates of Revisits within Three Days to Emergency Departments (ED) and Rates of Admission During the Index ED Visit Reena Duseja, MD, MS, University of California, San Francisco 786 Variation in Post-Surgical Readmission Rates Associated with Use of the Emergency Department Sharmistha Dev, MD, MPH, Henry Ford Hospital

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DISASTER MEDICINE - ORAL ABSTRACTS Saturday, May 17, 10:00 am - 12:00 pm in Houston Ballroom B

ED REVISITS - ORAL ABSTRACTS Saturday, May 17, 10:00 am - 12:00 pm in Houston Ballroom A

MAY 13-17, 2014

Moderator: 763 Derivation of a Clinical Decision Instrument to Identify Adult Patients with Mild Traumatic Intracranial Hemorrhage at Low Risk for Requiring ICU Admission Daniel K. Nishijima, MD, MAS, University of California, Davis 764 In Children with Head Injury Glial Fibrillary Acidic Protein (GFAP) Distinguishes Mild Traumatic Brain Injury from Trauma Controls and Predicts Intracranial Injuries on CT Linda Papa, MD, MSc, Orlando Regional Medical Center 765 The Ability of the Field Triage Decision Scheme to Identify High-risk Older Adults Who Need Trauma Center Resources Courtney Marie Cora Jones, PhD, MPH, University of Rochester Medical Center 766 Mild Traumatic Brain Injury in Children: Rates of CT Findings, Hospitalization, and Intervention Jackeline Hernandez, MD, Carolinas Medical Center 767 Serum GFAP Out-Performs S100B in Detecting Traumatic Intracranial Lesions on CT in Children with Suspected Mild Traumatic Brain Injury Linda Papa, MD, MSc, Orlando Regional Medical Center 768 Cost-effectiveness of the PECARN Rules in Children with Minor Head Trauma Daniel K. Nishijima, MD, MAS, University of California, Davis 769 Analysis of Injury Severity Associated with Pattern and Location of Seatbelt Induced External Injury Thomas Hartka, MD, MS, University of Virginia 770 Correlation of Level of Trauma Activation with Emergency Department Intervention Michael C. Cooper, MD, University of Texas Southwestern

777 Health and Wellbeing of Children presenting to the Emergency Department with Acute ILI Symptomatology Ian Portelli, PhD, MSc, New York University 778 Developments in Surge Research Priorities: a Systematic Review of the Literature following the Academic Emergency Medicine Consensus Conference, 2007-2012 Melinda J. Morton, MD, MPH, Johns Hopkins School of Medicine

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PHOTOGRAPHY EXHIBIT & VISUAL DIAGNOSIS CONTEST There were 60 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.

Society for Academic Emergency Medicine

Medical students and residents will be invited to participate in the Visual Diagnosis Contest. Winners in both medical student and resident categories will be awarded a one-year membership in SAEM, including subscription to Academic Emergency Medicine Journal (AEM), a free registration to attend the 2015 SAEM Annual Meeting in San Diego, a major Emergency Medicine textbook, and a subscription to the SAEM Newsletter. Recipients will be announced in the July/August issue of the SAEM Newsletter.

“Clinical Pearls” photos will be displayed alongside the Visual Diagnosis Contest images. 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 as well as the patients who graciously allowed themselves to be photographed for our educational benefit.

PHOTOGRAPHY EXHIBIT & VISUAL DIAGNOSIS PARTICIPANTS Noah Abbas, MD University of Mississippi Medical Center Department of Emergency Medicine Farhad Aziz University of Kentucky Medical Center Lydia Luangruangrong, MD Barnes-Jewish Hospital Washington Universit in St. Louis Walter Green, MD, Fernando Benitez MD University of Texas Southwestern Medical School Dallas, Texas Christine Ngaruiya, MD Global Health/ International Emergency Medicine Fellow Department of Emergency Medicine Yale New Haven Hospitals Danielle Matilsky, MD; Resa Lewiss, MD, Turandot Saul, MD, Michael Whalen, MD Department of Emergency Medicine Emergency Ultrasound Division St. Luke’s / Roosevelt Hospital Center; Department of Urology New York Presbyterian Hospital Columbia University College of Physicians and Surgeons Taneisha Wilson, MD, Jason Hack, MD Department of Emergency Medicine, Alpert Medical School, Brown University Meaghen Finan, MD St. Luke’s Emergency Medicine Colleen Smith, MD Maimonides Medical Center Gillian Beauchamp, MD University of Cincinnati Department of Emergency Medicine

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2013 SAEM Photography & Visual Diagnosis Exhibit

Celine Thum, MD Maimonides Medical Center Emergency Medicine

Dan Miller, MD University of Iowa, Department of EM

Namita Jayaprakash, Robert Prinzi, Jason Folt Henry Ford Hospital Emergency Medicine

Michael DeVisser Wayne State University in Detroit

Brandon Conine, MD University of Cincinnati Department of Emergency Medicine

Gabriel Wardi University of California San Diego

John Ray University of Michigan Department of Emergency Medicine Neal Freed, Jordan Spector Boston Medical Center Sangil Lee, MD Mayo Clinic Adam Isacoff, MD University of Louisville School of Medicine Jacqueline Bober, DO SUNY Donwstate Medical Center and Kings County Hospital Center, Brooklyn, NY Daisy Ciener, MD Medical College of Wisconsin, Children’s Hospital of Wisconsin Jessica Smith, MD, FACEP Alpert Medical School of Brown University Rhode Island Hospital/The Miriam Hospital Justin Rose, DO University of Kentucky Emergency Medicine Nur-Ain Nadir, MD University of Illinois College of Medicine Peoria Alison Barrow Texas Tech University Health Science Center at El Paso

Sara Singhal, MD, Alicia Shirakbari, MD University of Kentucky Medical Center Amit Mohindroo Eastern Virginia Medical School’s EM Joseph Pare, MD, RDMS Boston Medical Center Megan Johnson, Manish Garg, MD, FAAEM MSIV Temple University School of Medicine Arwen Declan, M.D., Ph.D. University of Cincinnati Dept. of Emergency Medicine Daisi Choi, MD, David Milzman, MD Georgetown University Hospital/ Washington Hospital Center Debjeet Sarkar, MD, Arjun Chanmugam, MD, MBA Howard County General Hospital Jeffrey Hoida University of South Florida - College of Medicine Nicole Sneed, MD, Sabrina Taylor, MD FAAEM Texas Tech University Paul L. Foster School of Medicine

SAEM 2014 ANNUAL MEETING MODERATORS

DOWNLOADING THE SAEM 2014 MOBILE APP IS EASY!

DALLAS, TEXAS

Sergey M. Motov Maimonides Medical Center, Brooklyn, NY Vicky Noble Partners Daniel J. Pallin Brigham and Women’s Hospital Timothy F. Platts-Mills University of North Carolina Chapel Hill Megan Ranney Alpert Medical School, Brown University Christopher Ross Cook County Hospital Michael Runyon Carolinas Medical Center Tom Scaletta Edward Hospital/Smart-ER Jeremiah Schuur Brigham and Women’s Hospital Alan B. Storrow Vanderbilt University Lorraine Thibodeau Albany Medical College Stephen Trzeciak Cooper Hospital/University Medical Center Arjun K. Venkatesh Brigham and Women’s HospitalMassachusetts General Hospital Lee Wilbur University of Arkansas for Medical Sciences Richard Zane University of Colorado School of Medicine

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Chad E. Darling UMass Medical School Nicholas Genes Mount Sinai School of Medicine Charles Gerardo Duke Global Health Residency/Fellowship Chris A. Ghaemmaghami University of Virginia School of Medicine Daniel Handel Oregon Health & Science University School of Medicine Greg Hendey University of California, San Francisco (Fresno) Steven Horng Beth Israel Deaconess Medical Center / Harvard Medical School Jeffrey Kline Indiana University School of Medicine Keith E. Kocher University of Michigan Eric Legome Kings County Hospital Jennifer Marin Children’s Hospital of Pittsburgh Nathan Woodburn Mick Maine Medical Center James Miner Hennepin County Medical Center Rakesh Mistry Children’s Hospital Colorado

MAY 13-17, 2014

Kavita M. Babu The Alpert Medical School of Brown University Steven B. Bird University of Massachusetts Medical School Diane Birnbaumer Los Angeles County-Harbor-UCLA Mark Bisanzo University of Massachusetts David J. Blehar University of Massachusetts Medical School Edwin Boudreaux University of Massachusetts Medical School Edward Wright Boyer Univ of Massachusetts Medical School Jane Brice University of North Carolina David F. Brown Massachusetts General Hospital Michael Brown Michigan State University Christopher R. Carpenter Washington University in St. Louis Jason Cohen AMC, 1, AK David Cone Yale University School of Medicine D. M. Courtney Northwestern University Rebecca Cunningham University of Michigan, Ann Arbor, MI

SIMPLY SCAN THE QR CODE (ALL DEVICE TYPES)

SEARCH THE APP STORE FOR SAEM 2014 (ANDROID AND IOS) OR DIRECT YOUR MOBILE DEVICE’S BROWSER TO:

HTTP://M.CORE-APPS.COM/SAEM2014 101

Society for Academic Emergency Medicine

SAEM GALLERY OF EXCELLENCE NOMINEES 2014 – ABSTRACTS

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mbulatory Care Sensitive Mental Health and Substance Abuse-Related A Conditions: Evaluating the Association Between the Emergency Department Visit Rate and County-Level Outpatient Psychiatrist Supply John Romley, PhD, Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California The Effect Of A Multifaceted Code Stemi Protocol On Door-in To Door-out Time For Stemi Patients Requiring Interhospital Helicopter Transfer William R. Hinckley, MD, University of Cincinnati Medical Center National Assessment of Pediatric Readiness of Emergency Departments Elizabeth Edgerton, MD, MPH, EMSC and Injury Prevention, Maternal and Child Health Bureau, Health Resources and Services Administration Emergency Department Visits for Non-Traumatic Dental Problems in Oregon State Emerson Ong, MS, Office for Oregon Health Policy and Research Intravenous Sub-dissociative Dose Ketamine Versus Morphine For Analgesia In The Emergency Department: A Prospective, Randomized, Double-blind Study.

Christian Fromm, MD, FACEP, Maimonides Medical Center Lethal Means Restriction for Suicide Prevention: Change in Provider Beliefs and Behaviors during ED Process Improvement Janice A. Espinola, MPH, Massachusetts General Hospital Increased Risk of Volume Overload with Plasma Compared to 4-Factor Prothrombin Complex Concentrate for the Emergency Reversal of Vitamin K Antagonist Therapy Truman J. Milling Jr, MD, Seton/UT Southwestern Clinical Research Institute of Austin, Dell Children’s Medical Center, University Medical Center at Brackenridge Mid-regional Pro-adrenomedullin Predicts Six Month Mortality in Emergency Department Patients Presenting with Acute Undifferentiated Chest Pain: Results from the CHOPIN Trial Christopher deFilippi, MD, University of Maryland Successful Tobacco Dependence Treatment Achieved via Pharmacotherapy and Motivational Interviewing in Low-Income Emergency Department Patients Stephanie O’Malley, PhD, Department of Psychiatry, Yale School of Medicine Impact of Triage Nurse Ordered Distal Extremity X-Rays on Emergency Department Length Of Stay: A Randomized Controlled Trial Khajista Qazi, MD, King Fahad Medical City Controlled Substance Prescribing for Discharged Emergency Patients: Affects of a Prescription Reporting Initiative on Physician Prescribing John Burton, MD, Carilion Clinic Thymosin &#946;4 for the Treatment of Sub-Acute Stroke: Optimizing the Treatment Window Li Zhang, MD, Henry Ford Health System Peripheral Blood microRNAs May Differentiate Bacterial From Viral Febrile Illness In Infants.

Sinead M. O’Donnell, MB, BCh, BAO, MRCPI (Paeds), MSc (PEM), Our Lady’s Children’s Hospital Intramuscular Cobinamide Versus Intravenous Cobinamide In The Treatment Of Acute Cyanide Toxicity And Apnea In A Swine (Sus Scrofa) Model Susan Boudreau, RN, BSN, Department of Emergency Medicine, San Antonio Military Medical Center; CREST Research Program Copeptin Provides Prognostic Value in Emergency Department Patients Presenting with Acute Undifferentiated Chest Pain Alan Maisel, MD, VA Healthcare System Multicentre Implementation of the Canadian C-Spine Rule by Emergency Department Triage Nurses Sherry Armstrong, RN, BScN, St. Michael’s Hospital Decrease In The Prescription Of Opioids In A Large Public Hospital System: Effect Of Prescribing Guidelines.

Ruth Cadet, MPH, Health and Hospitals Corporation Ecologic Factors Relating to Firearm Injuries and Gun Violence in Chicago Marie Crandall, MD, MPH, Northwestern University Primary EMS Transport to a 24-hr PCI Center is Associated With Increased Survival in Patients With Out of Hospital Cardiac Arrest Jeffrey A. Kline, MD, Indiana University School of Medicine HIV Counseling And Testing Practices For Children Presenting To The Emergency Department Of Muhimbili National Hospital, Dar Es Salaam Tanzania Michael S. Runyon, MD, Carolinas Medical Center Models of ED-initiated Treatment Protocols For Opioid Dependent Patients Gail D’Onofrio, MD, MS, Yale University

Derivation Of A Clinical Decision Rule To Predict Infants At Early Risk Of Central Apnea Joe Baal, BS, Kern Medical Center Temporal Trends In ED Based Migraine Management: A NHAMCS Analysis Jason West, MD, Albert Einstein College of Medicine Implementation Of A Statewide Opiate Prescribing Policy Is Not Associated With A Significant Decrease In Number Of Opiates Prescribed From The Emergency Department Jonathan D. McGhee, DO, Christiana Care Health System Emergency Department Contribution to the National Prescription Opioid Epidemic Michael Menchine, MD, MPH, Keck School of Medicine of the University of Southern California Morbidity And Mortality Following Traditional Uvulectomy Among Children Presenting To The Muhimbili National Hospital Emergency Department In Dar Es Salaam, Tanzania Juma Mfinanga, MD, Muhimbili National Hospital The Distribution of Outpatient Emergency Department Expenditures and LowIntensity Diagnostic Testing Paul Cheung, MD, MPH, Alpert Medical School of Brown University Variation in Common Emergency Department Admissions and Its Implications for Health Care Spending Amber K. Sabbatini, MD, MPH, University of Michigan Metropolitan vs. Non-metropolitan Location is an Independent Predictor of Return of Spontaneous Circulation in Out of Hospital Cardiac Arrest Holbrook H. Stoecklein, MD, University of Utah Ultrasound Measurement of Carotid Flow Time Changes With Volume Status Andrew S. Liteplo, MD, Massachusetts General Hospital Validation of the Refined Denver HIV Risk Score Using a National HIV Testing Cohort Richard Rothman, MD, PhD, Johns Hopkins University Does a Brief Intervention Increase HIV/HCV Screening among Drug-using Emergency Department Patients?

Lynn E. Taylor, MD, Brown University Emergency Department Predictors of Hospital Acquired Delirium Richard A. Enander, MS, Beth Israel Deaconess Medical Center Zinc Oxide Nanoparticles Inhibit Staphylococcal Growth and Biofilm Adhesion J. S. VanEpps, MD, PhD, University of Michigan The Impact of the 2008 Council of Emergency Residency Directors (CORD) Panel on Emergency Medicine Resident Diversity Java Tunson, MD, Denver Health Department of Emergency Medicine A Randomized Clinical Trial Of Jet Injected Lidocaine (J Tip) To Reduce Venipuncture Pain For Young Children Raymond G. Hoffmann, PhD, Medical College of Wisconsin Should Rural Hospitals be Concerned about Frequent Users of Emergency Department Resources?

Renee Y. Hsia, MD, MSc, University of California, San Francisco Duration of Resuscitation and Medical Futility in Out-of-Hospital Cardiac Arrest Benjamin A. Haaland, PhD, Duke-NUS Graduate Medical School Singapore Salivary Cortisol as a Marker of Acute Respiratory Infection Severity Kathryn M. Edwards, MD, Vanderbilt University Medical Center Lorazepam Versus Diazepam For Pediatric Status Epilepticus: Results Of A Randomized Clinical Trial David C. Brousseau, MD, MPH, Medical College of Wisconsin Use of a Condition-Specific Electronic Health Record Orderset for Emergency Department Stroke Patients is Associated With Improved Outcomes Uli K. Chettipally, MD, MPH, Kaiser Permanente South San Francisco Medical Center Implementation of a Pediatric Mock Code Blue Program at a Tertiary Care Facility: Does It Improve Code Performance, Confidence or Teamwork?

Chad Scarboro, MD, Carolinas Medical Center Emergency Department Recidivism in Early Childhood is not a Risk Factor for Child Maltreatment James Norton, PhD, Carolinas Medical Center King Vision Video Laryngoscopy Improves Intubation First Pass Success Rates Among Paramedics.

Jeffrey L Jarvis, MD, EMT-P, FACEP, Scott & White Healthcare/ Texas A&M HSC COM

DEPARTMENT OF EMERGENCY MEDICINE RESIDENCY PROGRAM DIRECTOR

SHERATON SAN DIEGO HOTELvitae & MARINA Send cover letter and curriculum to: Ellen Weber, MD, Vice SAN DIEGO, CAChair

c/o Natalya Khait UCSF Department of Emergency Medicine 533 Parnassus Avenue, Suite U575 San Francisco, CA. 94143-0749 Natalya.khait@emergency.ucsf.edu SHERATON NEW ORLEANS HOTEL

MAY 10-14, 2016

NEWwhose ORLEANS, UCSF seeks candidates experience,LAteaching, research, or community service has prepared them to contribute to our commitment to diversity and excellence. UCSF is an Equal Opportunity/Affirmative Action Employer. The University undertakes affirmative action to assure equal employment opportunity for underutilized minorities and women, for HYATT REGENCY ORLANDO persons with disabilities, and for covered veterans. All qualified applicants ORLANDO, FLand women. For additional are encouraged to apply, including minorities information, please visit our website at http://emergency.ucsf.edu/.

MAY 16-20, 2017

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Council of Emergency Medicine Residency Directors

Meeting this year. This was once again a record-breaking The Department of Emergency Medicine at the University of Rochester year for submissions in sheer numbers, so your service was is an established 3-year residency program with 36 residents. Emergency appreciated more than ever. Itandistraining only through your ultrasound is featured in the clinical programs of our efforts residents, students and fellows. that the rotating SAEM residents, Annual medical Meeting continues to Collaborative be the best opportunities are present within the hospital and prehospital setting. The peer-reviewed forum for research in emergency medicine. emergency ultrasound rotation is incorporated into the curriculum for all The continued success of these important academic endeavors emergency residents and ongoing certification is offered to faculty. depends your continued in supporting the Universityon of Rochester is located inenthusiasm upstate New York and has facultymission. from across the nation. Our medical leadership supports the SAEM institutional use of ultrasound, allowing this established modality to be

used throughout Thanks again, the ED and institution. Our department cares for over 100,000 patients yearly at a single tertiary site and has 2 community

Christopher MDinfrastructure is significant with multiple grants affiliates. OurRoss, research technology onforbehalf of and innovation.

Program Committee, 2014 SAEM Annual For more information pleaseMeeting contact:

Michael Kamali, MD, FACEP Chair, Department of Emergency Medicine University of Rochester Medical Center Rochester, New York 14642 Michael_kamali@urmc.rochester.edu

EMERGENCY MEDICINE Department of Surgery Saint Louis University Saint Louis University, a Catholic, Jesuit institution dedicated to student learning, research, healthcare and service is seeking qualified applicants for full-time faculty positions in the Division of Emergency Medicine. These positions offer both clinical, teaching and research opportunities.

DALLAS, TEXAS

MAY 12-16, 2015

Rochester Medical Center is seeking a director for its Emergency Medicine Ultrasound Program. The ideal candidate will be board I certified want toinpersonally thank you the significant effort, Emergency Medicine andfor fellowship trained in time, Emergency Medicine Ultrasound qualifications or eligibility and for themoderating RDMS and resources youwith devoted to reviewing certification. position will fulfill the role directorAnnual and the many This abstracts submitted forof program the SAEM fellowship director of the ultrasound program.

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FUTURE SAEM ANNUAL MEETINGS

The University of California, San Francisco, is one of the nation’s top five medical schools and demonstrates excellence in basic science and clinical research, global health sciences, policy, advocacy, and medical education scholarship. The San Francisco Bay Area is well-known for its great food, mild climate, beautiful scenery, vibrant cultural environment, and its outdoor recreational activities.

ACKNOWLEDGMENT OF ABSTRACT REVIEWERS The Department of Emergency Medicine at the University of AND MODERATORS

MAY 13-17, 2014

Can We Decrease the Pain of Peripheral Intravenous Line Placement in Adults by the Use of Vapocoolant Spray? Preliminary Results of a Prospective, Randomized, Blinded, Placebo-Controlled Trial Sharon E Mace, MD, Cleveland Clinic Low Dose Ketamine Improves Pain Relief in Patients Receiving Intravenous Opioids for Acute Pain in the Emergency Department: Results of a Randomized, Double-Blind, Clinical Trial Francesca L. Beaudoin, MD, MS, Rhode Island Hospital/ Brown University Impact of Childhood Sexual Abuse on the Severity of Psychosocial Risks among Female ED Patients Frances S. Shofer, PhD, University of Pennsylvania Ketamine-propofol Vs Propofol Alone For Procedural Sedation In The Emergency Department: A Systematic Review And Meta-analysis.

Shelley McLeod, MSc, The University of Western Ontario of California, San Francisco Association ofUniversity Patient Race/Ethnicity With Use Of Computed Tomography Among Children With Blunt Torso Trauma The Department of Emergency Medicine at the University of California, Bema Bonsu, MD, Nationwide Children’s Hospital San Francisco (UCSF), seeks outstanding candidates for the position of Investigation of Intravenous Compared for Residency Program Director.Hydroxocobalamin The residency program istoa Control fully-accredited Hemorrhagic Shockwith Resuscitation in aand Swine Model four-year program 48 residents plans to expand in the near future.

Maria Castaneda, San Antonio Health System Residents areG.exposed to aMS, diverse patientMilitary population with a combined total Randomized Trial93,000 of Intravenous to Wholesites. ofA approximately patientHydroxocobalamin visits a year atCompared their primary Residents at UCSF Medical Center, in San Francisco Swine General Hospital Blood forrotate Hemorrhagic Shock Resuscitation a Prehospital Model and Trauma San Francisco VA Medical Children's Hospital SusanCenter, M. Boudreau, BSN, San Antonio MilitaryCenter, Health System & Epidemiology Research Center Oakland, andof Kaiser San Francisco and Clinical Predictors BiphasicPermanente Reactions in Children with Hospital.

In 2015, the new UCSF Benioff Children’s Hospital will open in Anaphylaxis MissionGina Bay, and new hospital will open at San Francisco General Neto, MD,a Children’s Hospital of Eastern Ontario Hospital, each with a dedicated pediatric ED. Improving Patient Knowledge And Safe Use Of Opioids: A Randomized Controlled Trial of Emergency Medicine serves as the primary teaching The Department Cameron, PhD, MPH, Northwestern University site forKenzie the A. residency program, providing comprehensive emergency Update to on The National M4 Examinations services a large localEMand referral population at both UCSF Medical EmilySan Miller, MD, Harvard Medical School The UCSF Medical Center is Center and Francisco General Hospital. ranked among the Effects nation’s 10 best hospitals

by U.S. & World The Anticoagulant of Dabigatran can be Reversed withNews a Specific Report.

SFGH is a level-1 trauma paramedic base station and Antidote (idarucizumab) in a Pig Modelcenter, with Blunt Liver Injury trainingHugo center. is a major priority of the department, with over 50 tenResearch Cate, MD PhD, Maastricht University ongoing studies and 100 peer-reviewed publications in the past year. There Electrocardiographic Predictors of Adverse Cardiovascular Events in Acute are opportunities for leadership and growth within the Department and Drug Overdose: A Validation Study UCSF School of Medicine.

Rajesh Vedanthan, MD, The Icahn School of Medicine at Mount Sinai Does Placement An MRI In The have ED Increase Utilization Andyears Whateducational Are The Applicants for thisOfposition must a minimum of five Downstream Effects? three years experience as a core faculty member at leadership experience, Amanda Creel, BS,Emergency The Johns Hopkins CareyResidency Business School an ACGME-approved Medicine Program, and be board certified by American Board of Traumatic Emergency Medicine.

Candidates Epidemiology andthe Clinical Presentation Brain Injury Patients must have strong interpersonal and be able to work cooperatively and at Kilimanjaro Christian Medicalskills Center, Moshi, Tanzania congenially a diverse academic and clinical Candidates Markwith Mvungi, MD, Kilimanjaro Christian Medicalenvironment.

Center with leadership skills and a vision for enhancing the educational and academic missions of the department are especially encouraged to apply.

Appointment level and rank will be commensurate with experience and qualifications. Opportunities exist for an expanded leadership role in the department for qualified candidates.

The Emergency Department sees over 40,000 patients yearly and is a Level I Trauma Center, staffed by dedicated academic Emergency Medicine faculty in the School of Medicine. Applicants must be Emergency Medicine board certified or eligible.

Interested candidates must submit a cover letter, application and current curriculum vitae to http://jobs.slu.edu. An initial letter of interest and curriculum vitae should be sent to: Laurie Byrne, M.D. Director, Emergency Medicine Division Saint Louis University School of Medicine Saint Louis University Hospital 3635 Vista Avenue at Grand Boulevard St. Louis, MO 63110-0250 Saint Louis University is an affirmative action, equal opportunity employer and encourages applications of women and minorities.

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2014 ABSTRACT REVIEWERS Srikar Adhikari, MD, MS, RDMS, RPVI University of Arizona Medical Center Abdallah Ajani, MD Sinai-Grace Hospital/Detroit Medical Center Harrison Alter, MD Alameda County Medical Center Gina Ambrose, MD Christiana Care Health System John Ashurst, DO Lehigh Valley Health Network John Bailitz, MD, FACEP, RDMS Cook County Hospital (Stroger) Willie Baker, MD Boston Medical Center/ Boston University Daren M. Beam, MD Indiana School of Medicine

Society for Academic Emergency Medicine

Gillian Beauchamp, MD University of Cincinnati Torben Becker, MD University of Michigan Carl Berdahl, MD Yale School of Medicine David Berger, MD William Beaumont Hospital (Royal Oak, MI) Rachel Berkowitz, MD Bellevue/NYU Steve B. Bird, MD University of Massachusetts Medical School Dowin Boatright, MD Denver Health Department of Emergency Medicine Scott Bonnono, MD John H Stroger Jr Hospital of Cook County Bill Brady, MD University of Virgina Irina Brennan, MD University of Florida Jonathan Bronner, MD Carolinas Medical Center J. Reed Caldwell, MD NY Methodist Hospital Martina Caldwell, MD University of Michigan Caleb Canders, MD David Geffen School of Medicine at UCLA Holly Caretta-Weyer, MD University of Wisconsin Hospital and Clinics Jennifer Carey, MD University Of Massachusetts Medical School Dylan Carney, MD, MPH University of California San Francisco

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Brendan Carr, MD University of Pennsylvania

Anna Marie Chang, MD Hospital of the University of Pennsylvania

Andrew Glass, MD University of Mississippi Medical Center

Jeffrey Chien, MD Thomas Jefferson University Hospital & Methodist Hospital

Elizabeth Goldberg, MD Brown University

Robert Cloutier, MD OHSU Abigail Dahlberg, MD West Virginia University Brock Daniels, MD Yale New Haven Hospital/Yale University School of Medicine

Prasanthi Govindarajan, MD UCSF Eric Gross, MD Hennepin County Medical Center Jay Gupta, MD New York Hospital Queens Todd Guth, MD University of Colorado

Moira Davenport, MD Allegheny General Hospital

Kathryn Hawk, MD Yale School of Medicine

Brandon Dawson, MD University of Mississippi Medical Center

Jeffery M. Hill, MD University of Cincinnati

Erin Dehon, PhD University of Mississippi Medical Center Joanna DelVecchio, MD Cooper University Hospital Matthew Dettmer, MD Washington University St. Louis Sharmistha Dev, MD Henry Ford Hospital

Carolyn Holland, MD University of Florida, Gainesville Benjamin Honigman, MD University of Colorado School of Medicine Edmond Hooker, MD University of Cincinnati Jason Hoppe, MD University of Colorado

Brian Driver, MD HCMC

Cindy Hsu, MD University of Pennsylvania School of Medicine

Sean Dyer, MD Cook County Hospital (Stroger)

Angela Hua, MD Mount Sinai Hospital

Kelsey Echols, MD University of Minnesota

Lauren Hudak, MD Emory

Brad Efune, MD Carolinas Medical Center

Ula Hwang, MD Icahn School of Medicine at Mount Sinai

Marcus Emebo, MD John H. Stroger, Jr. Hospital of Cook County Amy Ernst, MD University of New Mexico Andrew Eyre, MD Brigham and Women’s Hospital/ Massachusetts General Hospital

Kyle Irby, MD VCU Health System Gabrielle Jacquet, MD, MPH Boston University School of Medicine Anuj Jani, MD Georgia Regents University

Kevin Ferguson, MD Univ of FLorida

John E. Jesus, MD Christiana Care Health Center

Gregory Fermann, MD University of Cincinnati

Russell Johanson, MD UMASS

Carolina Freire, MD Thomas Jefferson University Hospital & Methodist Hospital

Michael Joyce, MD VCU Health System

Susan Fuchs, MD Lurie Children’s Hospital Of Chicago Stephanie Garbern, MD Beth Israel Deaconess Medical Center Romolo Gaspari, MD University of Massachusetts Medical School Chris A. Ghaemmaghami, MD University of Virginia School of Medicine

Emeen Kiureghian, MD Einstein Healthcare Network Sean Kivlehan, MD UCSF - SFGH Alexander Kogan, MD Cook County Hospital (Stroger) Rebecca Kornas, MD Hennepin County Medical Center Chadd Kraus, MD Lehigh Valley Health Network Natalie Kreitzer, MD University of Cincinnati College of Medicine Adaira Landry, MD Bellevue/NYU Emergency Medicine Residency Program Hollynn Larrabee, MD West Virginia University Jeffrey Leiter, MD University of Maryland Medical Center JoAnna Leuck, MD Carolinas Medical Center Jason Liebzeit, MD Emory University School of Medicine Rob Loflin, MD Virginia Tech Carilion Emergency Medicine Residency Karen Lommel, MD University of Kentucky-Chandler Medical Center Kory Londn, MD University of Michigan Monika Lusiak, MD University of Texas-Suthwestern Parkland Hospital Catherine Lynch, MD MScGH Duke School of Medicine Fraser Mackay, MD Baystate Medical Center Angleos Mark, MD, FAHA Ohio State University Vik Marocha, MD Jefferson Medical College Kristi Maso, MD, MPH Detroit Receiving Hospital Larissa May, MD The George Washington University

Christopher Kabrhel, MD Massachusetts General Hospital

April McClellan, MD Geisinger

Manas Kaushik, MD, MS, ScD Boston University School of Medicine

Erin McDonough, MD University of Cincinnati College of Medicine

Gabe Kelen, MD Johns Hopkins University School of Medicine

Henderson McGinnis, MD Wake Forest Baptist Health

Michael Keller, MD Carolinas Medical Center

Zachary Meisel, MD University of Pennsylvania

Daniel Keyes, MD Univ of Michigan EM Residency Program

Chris Merritt, MD, MPH, FAAP Hasbro Children’s Hospital Alpert Medical School, Brown University

Peter Samuel, MD Northwestern University

Joe Miller, MD Henry Ford Hospital

Steven Polevoi, MD University of California, San Francisco

Will Sanderson, MD University of Wisconsin Hospital & Clinics

Dave Milzman, MD Georgetown U School of Medicine

Avital Porat, MD Mount Sinai- New York

Debjeet Sarkar, MD Howard County General Hospital

Rakesh Mistry, MD Children’s Hospital Colorado

Matthew Poremba, DO Allegheny General Hospital

Jordan Schooler, MD, PhD, EMT-P Virginia Tech Carilion

Peter Pruitt, MD Brigham and Women’s/Massachusetts General Hospital Harvard Affiliated Emergency Medicine Residency

Lisa Schweigler, MD The Warren Alpert Medical School of Brown University

P. Quincy Moore, MD Cook County Hospital (Stroger) Melinda Morton, MD Johns Hopkins School of Medicine Eva Moses, MD Barnes-Jewish Hospital/St. Louis Children’s Hospital/ Washington University in St. Louis

Jason Murray, MD University of Michigan Mark Mycyk, MD Northwestern Memorial Hospital John Nagurney, MD Harvard Medical School Utsav Nandi, MD University of Mississippi Medical Center Daniel Nishijima, MD University of California, Davis Joanna Noelker, MD Washington University St Louis Jason Nomura, MD Christiana Care Health System Erik Nordquist, MD Cook County Hospital (Stroger) Alicia Oberle, MD Washington University Emergency Medicine Sean O’Shea, MD Einstein Healthcare Network Charissa Pacella, MD University of Pittsburgh Danny Pallin, MD Brigham and Women’s Hospital

Ali Raja, MD Brigham and Women’s Hospital, Harvard Medical School Megan Ranney, MD Alpert Medical School, Brown University John Ray, MD University of Michigan Linda Regan, MD Johns Hopkins University School of Medicine Rebecca Roberts, MD Cook County Hospital (Stroger) Kevin Rodgers, MD Indiana University Robert Rodriguez, MD UCSF/San Francisco General Hospital Sarah Ronan, MD Univ. Cincinnati Coll of Medicine Dept. Emergency Pedro Roque, MD Maricopa Medical Center Brett Rosen, MD York Hospital Christopher Ross, MD Cook County Hospital (Stroger) Marta Rowh, MD Temple University School of Medicine

Jason Thurman, MD Vanderbilt University School of Medicine Keegan Tupchong, MD Bellevue/NYU Emergency Medicine Residency Program Tim Vanderkooy, MD University of Michigan Shawn Varney, MD San Antonio Military Medical Center

Jessica Shackman, MD, PhD Georgetown EM

Arvind Venkat, MD Allegheny General Hospital

Krystle Shafer, MD WellSpan York Hospital

Jody Vogel, MD Denver Health Medical Center

Willard Sharp, MD, PhD FACEP, FAAEM University of Chicago

Josh Wallenstein, MD Emory University

Suzanne M. Shepherd, MD Hospital of the University of Pennsylvania Kristina Sikes, MD University of Mississippi Medical Center Luz Silverio, MD UCSF-SFGH Emergency Medicine Residency Program Jonathan Slutzman, MD Harvard Affiliated Emergency Medicine Residency-BWH/MGH Howard Smithline, MD Baystate Medical Center Meghan Spyres, MD NYU Langone Medical Center Justin Stowens, MD Christiana Care Health System Brett Sweeny, MD New York Medical College

Leonysia Watson, MD University of North Carolina Emergency Medicine Scott Weiner, MD Tufts Medical Center Steven Weiss, MD University of New Mexico

DALLAS, TEXAS

Mary Murphy, MD Yale University School of Medicine

Na Rae Ju, MD Hospital of the University of Pennsylvania

Todd Seigel, MD Brown University/ Rhode Island Hospital

Lorraine Thibodeau, MD Albany Medical College

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Laura Mulvey, MD Maimonides Medical Center

Peter Pryor, MD Denver Health

Elizabeth ter Haar, MD University of Wisconsin Hospital & Clinics

MAY 13-17, 2014

Joseph Pare, MD Boston Medical Center

Chadwick Miller, MD Wake Forest University Health Sciences

Michael Wilson, MD PHD Brigham and Women’s Hospital Matthew Wong, MD Harvard University Robert Woolard, MD Texas Tech University (El Paso) Kabir Yadav, MD The George Washington University David Young, MD Harvard Affiliated Emergency Medicine Residency-BWH/MGH Michele Zell Kanter, MD Cook County Hospital (Stroger)

Robert Swor, DO William Beaumont Hospital Joseph Tagliaferro, MD MetroHealth Medical Center Sukhjit Takhar, MD Harvard University

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ABSTRACTS – NOTHING TO DISCLOSE

106

Emily L. Aaronson, MD Beau Abar, PhD Hamed Abedtash, PharmD Mahshid Abir, MD MSc Andrew Abrass, MD MPH Jameel Abualenain, MD MPH Huda Adam, MRCPCH Srikar Adhikari, MD MS Brian Adkins, MD Maneesha Agarwal, MD Foluso Agboola, MD Amish Aghera, MD Chad Agy, MD Terence L. Ahern, MD Bolanle T. Akinsola, MD Ali H. Al Khulaif, MD Amer Z. Aldeen, MD John R. Allegra, MD PhD Coburn H. Allen, MD Khaled Almulhem, MD Waleed Alqurashi, MD Nathan J. Alves, PhD Richard Amini, MD David Amponsah, MD RDCS Peter H. Anastopoulos, MD Lars W. Andersen, MD R. Eleanor Anderson, MD Ryan Arnold, MD Sanjay Arora, MD Hany Atallah, MD Kamna S. Balhara, MD Sudhir Baliga, MD Dustin W. Ballard, MD MBE Worth Barbour, MD Jill M. Baren, MD MBE Aaron N. Barksdale, MD Douglas Barnaby, MD Ed B. Barnard, BM BS FCEM David Barounis, MD Jeanne Basior, MD Aveh Bastani, MD Angus Beal, MD Daren M. Beam, MD MS Francesca L. Beaudoin, MD MS Vikhyat S. Bebarta, MD Brent Becker, MD John Bedolla, MD Steven L. Bernstein, MD Mary C. Bhalla, MD Polly E. Bijur, PhD Steven B. Bird, MD Johanna E. Bischof, MD Adam Blanchard, MD Drew Blasco, B.A. Gabriel E. Blecher, MBBS(Hons) PDM CCPU FACEM MSc David J. Blehar, MD Dowin H. Boatright, MD MBA Alicia G. Bond, MD Michael Bond, MD Sam A. Bores, BS Edwin D. Boudreaux, PhD Kathryn Bradburn, BA Molly Snow Brady, MD Ethan S. Brandler, MD MPH FACEP Jesse J. Brennan, MA Aaron M. Brody, MD Alisha E. Brown, MD Jeremy Brown, MD Mark J. Bullard, MD Brian Burgess, MD Carson Burns, BA John Burton, MD Richard G. Byrne, MD Wyman W. Cabaniss, MD Mary R. Calderone, BA Martina T. Caldwell, MD Roberta Capp, MD MHS Jennifer Carey, MD Jestin N. Carlson, MD MSc Christopher R. Carpenter, MD MSc

Christine M. Carr, MD Ryan M. Carter, MD MPH MPP Edward M. Castillo, PhD MPH Bharath Chakravarthy, MD MPH Theodore C. Chan, MD Victor Chan, MD Bernard P. Chang, MD Ph.D. Mary P. Chang, MD Laura L. Chapman, MD Jayaram Chelluri, MD Brian H. Cheung, PhD Alan T. Chiem, MD MPH Kelsey Childress, MD Rupinder Chima, MD Anne Chipman, MD Bryan Y. Choi, MA Esther Choo, MD MPH Eric H. Chou, MD Neil Christopher, MD Kene Chukwuanu, MD Victor Cisneros, BS Carol L. Clark, MD Brandon Close, DO Ari R. Cohen, MD Daniel Colby, MD Jared Conley, MPH (MD/PhD candidate) B. James Connolly, MD Michael C. Cooper, MD Sara B. Cortes, MD Jennifer Cotton, B.S. D. Mark. Courtney, MD MSCI Ashley C. Crimmins, MD Rebecca Cunningham, MD Michael W. Dailey, MD Christa Dakin, MD Preeti Dalawari, MD. MSPH Tanya Dall, BS Kathia Damiron, MD CCRC Nicholas Daniel, DO Brock Daniels, MD MPH Raoul Daoust, MD MSc Dylan Dean, MD/PhD Erin Dehon, Ph.D. Ken Deitch, DO Marina Del Rios, MD MSc Matthew DeLaney, MD M. Kit Delgado, MD MS Sarah deLoizaga, MS Joshua A. Denney, MD Lucia S. Derks, MD Sharmistha Dev, MD MPH Alicia Devine, JD MD Weldon Diana, MD MBA Roshanak Didehban, MHS FACHE Michael Donnino, MD Gail D’Onofrio, MD MS Joseph L. D’Orazio, MD Christopher I. Doty, MD Carrieann E. Drenten, MD Friedrich T. Drescher, MD Michael J. Drescher, MD Brian E. Driver, MD Petra Duran-Gehring, MD Reena Duseja, MD MS James D. Dziura, PhD Debra Eagles, MD Jonathan Ellement, MD Liza Escobedo, MD Mark Escott, MD Shannon Essler, BS Chemistry Daniel Evans, DO Mark Faul, PhD MA Christopher Fee, MD Michael Felicetta, DO Andrew C. Fischer, MD Todd A. Florin, MD MSCE Timothy J. Fortuna, DO Sean D. Foster, MD Bradley Frazee, MD Neal A. Freed, MD

Ari B. Friedman, BA MS Benjamin W. Friedman, MD Christian Fromm, MD Rongwei (Rochelle) Fu, PhD Gelareh Z. Gabayan, MD MSHS James W. Galbraith, MD Nupur Garg, MD John S. Garrett, MD Marianne Gausche-Hill, MD Nicholas Genes, MD PhD Recep Gezer, MA Harman S. Gill, M.D Seth Glickman, MD Lisa Goldberg, BS Eric J. Goldlust, MD Ph.D. Jonathan Goss, B.S. M.P.H Tadahiro Goto, MD Serge Gouin, MDCM FRCPC Pamela J Green, RN BSN Walter L. Green, MD Marna R. Greenberg, DO MPH Peter W. Greenwald, MD MS Margaret B. Greenwood-Ericksen, MD MPH Toni Gross, MD MPH Anne V. Grossestreuer, MS Corita R. Grudzen, MD MSHS Mary Grzybowski, PhD MPH Faheem W. Guirgis, MD David A. Guss, MD Stephanie Haddad, MD Adrianne Haggins, MD MS Laura Hagopian, MD FAWM M. Kennedy. Hall, MD Jin H. Han, MD MSc Jin Ho Han, MD MSc Matthew L. Hansen, MD MCR Bhakti Hansoti, MBChB MPH Sumitro Harjanto, BSc (Honours) M.D (candidate) Katrina Harper, MD Thomas Hartka, MD MS Kohei Hasegawa, MD MPH Ameer Hassoun, MD Samantha R. Hauff, MD Mark Hauswald, MS MD Kathryn Hawk, MD Gregg Helland, MD Daniel J. Henning, MD Jackeline Hernandez, MD Scott Herskovitz, MBBS Alison Hester, Doctor of Osteopathy Jeffery M. Hill, MD Robyn M. Hoelle, MD James Holmes, MD MPH Nathan Hoot, MD PhD Austin Hopper, BS Steven Horng, MD MMSc Russ Horowitz, MD RDMS Sen-Kuang Hou, MD Dennis Hsieh, MD JD Yu-Hsiang Hsieh, PhD Angela Hua, MD Nathan Hudepohl, MD MPH MS Benton R. Hunter, MD Christopher L. Hunter, MD Ph.D. Joshua E. Hurwitz, B.S. Jeremy Hutchins, DO Maya S. Iyer, MD Lee S. Jacobson, MD Ph.D. Daniel Jafari, MD MPH Ashika Jain, MD Shabnam Jain, MD MPH Jeffrey L. Jarvis, MD EMT-P FACEP Samantha P. Jellinek-Cohen, PharmD Charles A. Jennissen, MD John E. Jesus, MD Brian Johnson, MD MPH M. Austin Johnson, MD PhD Amy L. Jones, BA Brittany P. Jones, MD Christopher W. Jones, MD

Courtney Marie Cora Jones, PhD MPH Jason Jones, MD Jaime Jordan, MD Joshua W. Joseph, MD Steven Joseph, MD Brown June, MD Amjed Kadhim-Saleh, MSc Lindsay Kahlenberg, DO Zachary P. Kahler, MD Bryan G. Kane, MD Hemal K. Kanzaria, MD Devika Kashyap, BA Alexander Katz, MD Bory Kea, MD Raashee Kedia, MD Joshua Keegan, MD Peter Keenan, MD Lukas G. Keil, BS John Kelly, DO FACEP Maura Kennedy, MD MPH Jeremy Kenter, DO Yaniv Kerem, MD Irum Qamar. Khan, MBBS FCPS Tariq Khan, MD Sopagna Kheang, MD Jude Kieltyka, MD MPH Austin S. Kilaru, BA James P. Killeen, MD John Kilpatrick, MD Howard S. Kim, MD Michael K. Kim, MD Emmett Kistler, BA Bryan B. Kitch, MD Suzi Klaus, B.S. Barry Knapp, MD William A. Knight, MD Leo Kobayashi, MD Keith E. Kocher, MD MPH Erik Kochert, MD Zachary A. Kopelman, BA Scott P. Krall, MD MBA Elizabeth Krebs, MD Natalie P. Kreitzer, MD Paul Krieger, MD Ramaswamy Krishnan, Ph.D. Kurt Krumperman, PhD Michael Kueber, MD Erik Kulstad, MD MS Jay G. Ladde, MD Lauren Laker, MBA Chun Nok Lam, MPH Adaira I. Landry, MD Mark I. Langdorf, MD MHPE Luan Lawson, MD Chris Lee, MD David C. Lee, MD Jonathan J. Lee, MEdT Marcus AB. Lee, BEng Michael H. Lee, MD MS Terrance Lee, MD Stephen Leech, MD Eric Legome, MD Michael Levine, MD Arielle Levy, MD MEd FRCPC Margaret J. Lin, MD Michelle P. Lin, MD MPH Rachel Liu, MD Rebecka Lopez, MD Jennifer S. Love, AB Jeffrey H. Luk, MD MS Maren M. Lunoe, MD David C. Mackenzie, MD CM Emily MacNeill, MD Tracy E. Madsen, MD Patrick J. Maher, MD Gary Maida, MD Sarah T. Malka, MD Michael P. Mallin, MD Neal Mangalat, MD Alex F. Manini, MD MS FACMT

Adrien Mann, Bachelor of Science Ronald F. Marchese, MD Michael R. Marchick, MD Keith A. Marill, MD Jennifer R. Marin, MD MSc Richard Martin, MD Jennifer L. Martindale, MD Minaz Z. Mawani, MSc. Epidemiology and Biostatistics Katherine A. Mayer, MD Maryann Mazer-Amirshahi, PharMD MD Aileen McCabe, MBBChBAO Kaitlin R. McCarter, BA Danielle M. McCarthy, MD MS Allison McConnell, MD MKin Siobhan C. McCoy, Bsc (Hons) Nursing Jonathan D. McGhee, DO Jillian L. McGrath, MD Afton McNierney, DO Laura N. Medford-Davis, MD Michael Menchine, MD MPH Margaret Menoch, MD Lisa H. Merck, MD MPH Erica A. Michiels, MD Emilly S. Miller, MD Kimberly Miller, Pharm.D Andrew Milsten, MD MS Dave Milzman, MD FACP C James Miner, MD Michiko Mizobe, MD Katharine L. Modisett, MD Nicholas M. Mohr, MD Brian Moore, PhD Chris Moore, MD RDMS Tamara Moores, MD Daniela Morato, MD Lisa Moreno-Walton, MD Melinda J. Morton, MD MPH Nee-Kofi Mould-Millman, MD Mary R. Mulcare, MD Bryn E. Mumma, MD MAS Kevin Murphy, MD Jason A. Murray, MD Jose V. Nable, MD NRP Frederick W. Nagel, MD Jeffrey Nakashioya, MS2 Emily Neill, MSII Katherine Newell, Medical Student David E. Newman-Toker, MD PhD Ka Ming G. Ngai, MD MPH Anna Nguyen, MD Thomas Nguyen, MD Jonathan R. Nichol, BS Daniel K. Nishijima, MD MAS Jason T. Nomura, MD RDMS Jessica M. Noonan, MD Richard M. Nowak, MD Nathan Olson, MD John M. O’Neill, MD Uchenna Onyekwere, BS Ronan G. O’Sullivan, MB FRCSI FCEM MBA Jacob Pace, MD Justine A. Pagenhardt, MD Peter S. Pang, MD Dimitrios Papanagnou, MD MPH Joseph R. Pare, MD Ashley N. Parks, BS Dhaval B. Patel, MD Kishan Patel, BS Rajesh Patel, MD Roma Patel, MPH Brian W. Patterson, MD MPH Ashley M. Pavlic, MD Claire Pearson, MD MPH David A. Pearson, MD Teng J. Peng, BS Carolina Pereira, MD Greg F. Pereira, BSPH Michael R. Perez, B.S. Sarah M. Perman, MD MSCE Jeffrey J. Perry, MD MSc CCFP-EM

Bradley Rockoff, MD Melissa A. Rodgers, BA Jeremy Rose, MD Tony Rosen, MD MPH J M. Rosini, PharmD Joshua Ross, MD Frances M. Russell, MD Timothy K. Ruttan, MD Michael L. Ruygrok, MD Justin Ryel, MD Melissa A. Saad, D. O. Steven H. Saef, MD MSCR Basmah Safdar, MD MSc Brian Saindon, BS Teresa Sanchez, PhD Yukio Sato, MD Hendry R. Sawe, MD MBA Adam C. Sawyer, MD Kelly N. Sawyer, MD MS Kathleen Saxon, MD Jessica Schmidt, MD MPH Benjamin H. Schnapp, MD Michael A. Schneider, BS Elizabeth M. Schoenfeld, MD Kristine Schultz, MD David Scordino, MD Shannon D. Scott, PhD Juliet E. Seery, MD James Seger, DO AI SEKI, MD Wesley H. Self, MD MPH Brian Sellers, MD Craig M. Sharkey, MD Brian Sharp, MD

Willard W. Sharp, MD PhD. Kate Shea, MD Sophia Sheikh, MD Lisa Shepherd, MD David C. Sheridan, MD Robert Sherwin, MD FACEP FAAEM MASON SHIEH, MD MBA Takashi Shiga, MD MPH Matthew S. Siket, MD MS Erin L. Simon, DO Linda Sinclair, MD Linda Sinclair, MD Richard Sinert, DO Neil Singh, MD Sara S. Singhal, MD Joseph Sirody, MS Simon Skibsted, MD MPH Michelle Slezak, MD Benjamin H. Slovis, MD Evan Small, MD Ph. D. Mark A. Smiley, MD MBA Jessica L. Smith, MD S Christian Smith, BA Howard Smithline, MS MD Joshua J. Solano, MD Emil Soleyman-Zomalan, MD Cemal B. Sozener, MD Nicole S. Sroufe, MD M.P.H. Zach Stamile, MD Michael T. Steuerwald, MD Ian G. Stiell, MD Holbrook H. Stoecklein, MD Jena Sussex, BS Mark Sutherland, BS

Evan H. Suzuki, BA Masaru Suzuki, MD PhD Robert A. Swor, DO FACEP Lisa Sylvester, DO Meg Tabaka, MPH Breena R. Taira, MD MPH Shinya Takeuchi, MD Richard A. Taylor, M.D Natasha A. Tejwani, MD Sophie Terp, MD MPH Sophie Terp, MD MPH Mark O. Tessaro, MD Angela E. Thelen, BS Nik Theyyunni, MD J Austin. Thompson, MD Nadine T. Thompson-Carlton, MD Kerrie Tidwell, MD MSc Gregory Tirrell, BS Shannon Toohey, MD Bess Tortolani, MD Vicken Y. Totten, MD MS Thaison P. Tran, MD Stacy A. Trent, MD MPH Chu-Lin Tsai, MD ScD Stephanie Tseeng, MD Edward A. Ullman, MD Simran Vahali, MD J. S. VanEpps, MD PhD Julie VanRaemdonck, RN Arvind Venkat, MD Stephen E. Villa, Bachelor of Science Benjamin A. von Schweinitz, MD Marie C. Vrablik, MD Alexei M. Wagner, MD MBA

David D. Wagner, MD JD Joshua Wallenstein, MD Brian Walsh, MD MBA Paul Walsh, MB BCh Susan M. Walters, BS Jennifer Walthall, MD MPH Henry E. Wang, MD MS Ralph C. Wang, MD Michael J. Ward, MD MBA Scott G. Weiner, MD MPH Natalie R. Weiss, BA Bjorn Westgard, MD MA Jennifer L. White, MD Lauren K. Whiteside, MD Benjamin Wie, BA Michael Williams, MD James Willis, MD Matthew Wilson, MD Michael D. Witting, MD MS Lillian Wong, MD Kar-mun Woo, MD Karen G. H. Woolfrey, MD FRCPC ABEM FACEP Jianmin Wu, PhD MS Shujun Xia, MD PhD Kabir Yadav, MDCM MS MSHS Justin Yan, MD MSc Sheryl E. Yanger, MD Kim Yates, MBChB MMedSc PGCertClinEd FACEM Benjamin Ying, MD Janet Young, MD Adeeb Zaer, MD James Ziadeh, MD Michael D. Zwank, MD

ABSTRACTS WITH RELEVANT FINANCIAL DISCLOSURES Robin Naples, Teva Pharmaceuticals (Shareholder)

John A. Oostema, Blue Cross Blue Robert Rodriguez, Centers for Disease Shield of Michigan Foundation Control: RO-1 1 R01/CE001589-01 (Grant), Emergency Care Specialists (Grant) (Shareholder), Independent Emergency Medicine group (Shareholder), Tim Platts-Mills, American Federation Recipient of investigator initiated for Aging Research (Grant), NIA 5-T35award for this project (Grant) AG038047-04 - UNC-CH Summer Research in Aging for Medical Students Sinead M. O’Donnell, Monetary funding (Grant) received from the National Children’s Research Centre Crumlin Dublin 12 Jeremiah D. Schuur, United HealthCare Ireland. (Grant) (Advisory Board) Peter S. Pang, AF VTE AHF HTN (Committee) AF VTE and AHF (Advisory Board) American College of Cardiology (Non-Commercial) Associate Editor (Non-Commercial), Editorial Board (Non-Commercial) Heart Failure Society of America (Non-Commercial) HF (Grant) Janssen Medtronic Novartis Trevena SpringLeafTx (Pharmaceuticals), BG Medicine Cornerstone Therapeutics (Committee), Janssen Medtronic Novartis Trevena SpringLeafTx (Advisory Board) Journal of Cardiac Failure (Non-Commercial) Journal of the American College of Cardiology: Heart Failure (Non-Commercial) NIH/ NCATS (Grant)

Genetech/Roche Biogen Idec Inc Roland C. Merchant, Grant funding Amgen (Shareholder), Iam Director (Grant), National Institutes of Health for American Board of Emergency (Grant) Sheldon Cheskes, CPR quality (Officer) Medicine (Officer) Rituxan for NIH Co-PI resuscitation outcomes Corey Heitz, EM Advanced Clinical Exam Wegerner’s (Employee) Wegener’s consortium (Grant), Zoll Medical (Non-Commercial) Granulomatosis (Employee) Wife owns (Officer) stock (Shareholder) Wife works for James Miner, Taser International (Grant) Genetech (Employee) Chad E. Darling, ADHF (Grant), NHLBI Joseph Moellman, CSL Behring K23 grant (Grant) JoAnna Leuck, (Non-Commercial) (Committee), CSL Behring, Dyax Program Committee EFG recipient Donald M. Dawes, Conducted Electrical Santarus and Shire (Committee), Dyax (Non-Commercial), SAEM (NonWeapons (Committee, Shareholder), (Non-Commercial) Commercial) TASER International (Committee, Linda Papa, Banyan Biomarkers Inc. Lisa Moreno-Walton, Gilead Sciences Shareholder) Alexander T. Limkakeng, ACS (Grant), (Committee), Biomarker development (Grant) Diagnostics (Grant), Roche Diagnostics Andrea F. Dugas, Clinical Research (Committee) (Grant) Daniel Morris, Provisional Patent on Scholars (KL2) (Grant) Thymosin beta 4 for use in Neurological William Peacock. ACS HF Arrhythmias Catherine A. Lynch This project was Andrew K. Chang, K23 awardee (Grant), (Committee) Implantable Cardiac disorders (Intellectual property) made possible by the MRTP in NIH (Grant) Devices (Committee) Medtronic collaboration with the HRSA-funded Kevin Munjal, NIH-NHLBI, K12 Career (Committee) Gregory J. Fermann, Cardiorentis (Officer), KCMC MEPI grant # T84HA21123-02; Development Award (Grant), New Janssen (Advisory Board) Medtronic U.S. National Institutes of Health.

Michael A. Puskarich, Emergency York Mobile Integrated Healthcare (Officer) Novartis (Officer) Pfizer (Grant) Medicine Foundation (Grant) Association, Founder Chair, Non(Advisory Board) Radiometer (Officer) Commercial) The Medicines Company (Officer) Jason Swindle, Novartis Pharmaceuticals Corp (Committee)

DALLAS, TEXAS

Kristen Ng, AFAR Medical Student Training in Aging Research Grant (Grant)

Majed A. Refaai, Coagmeter (Committee) CSL Behring (Advisory, Committee, Officer, Shareholder) Kcentra (Advisory, Committee, Officer, Shareholder), Triology (Committee), Vascoelastic ©

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Jason Haukoos, Academic Emergency Sharon E. Mace, Durata (Advisory Board), Medicine (Non-Commercial) American Gebauer (Grant, Shareholder), Luitpold College of Emergency Physicians (NonPharmaceuticals (Grant), Masimo Commercial) Annals of Emergency (Advisory Board) Medicine (Non-Commercial) Denver Wendy L. Macias Konstantopoulos, NIDA Marian E. Betz, American Foundation Health and Hospital Authority McLean Hospital (Grant) for Suicide Prevention; National (Employee) National Institute of Institute on Aging (Grant), American Allergy and Infectious Diseases (Grant) Simon A. Mahler, AAMC and Foundation for Suicide Prevention; Society for Academic Emergency Donaghue Foundation (Grant) AHA Suicide Prevention Resource Center Medicine (Non-Commercial Clinical Research Program (Grant) (Committee) Commonwealth of Pennsylvania and Oliver Grottke, Boehringer Ingelheim the ACR Foundation Fund for Imaging Roberta Capp, KL2 Translation research (Advisory Board, Consultant) Innovation. (Officer) NIH; NHLBI (Grant) award (Grant), National Center for Katherine M. Hunold, American Research Resources (NCRR) and Jennifer R. Marin, Diagnostic imaging Federation for Aging Research (Grant), the National Center for Advancing (Grant), NIH NHLBI (Grant), Research NIA 5-T35-AG038047-04 - UNC-CH Translational Science (NCATS) funds (Grant) Summer Research in Aging for Medical components of the National Institutes Students of Health (NIH) and NIH roadmap Candace McNaughton, Cardene for Medical Re (Grant) NIH carrer IV (Advisory Board) Cornerstone Jeffrey A. Kline, CP Diagnostics LLC development award KL2 TR001080 Therapeutics (Advisory Board) (Shareholder), Diagnostica Stago (Grant) UL1 RR024139 (Grant) (Committee), Janssen Genentech Jesse L. Mecham, EMRA - Resident (Advisory Board) NIH Ikaria (Grant) Patrick M. Carter, CDC 1R49CE002099 Research Grant - No Commercial (Grant), R01 DA024646 02 (Grant) affiliation (Grant) Terry Kowalenko, Genetech (Employee), Laura K. Belland, AFAR Medical Student Training in Aging Research (MSTAR) Scholarship (Grant), SAEM Medical Student Grant (Grant)

MAY 13-17, 2014

Joseph Peters, DO Shane Peterson, MD Thuy V. Pham, Medical Degree Michelle Pickett, MD Christie C. Pickrell, MD Nicole Piela, MD Nicole E. Piela, MD Timothy F. Platts-Mills, MD Michael C. Plewa, MD David L. Polan, MD Ian Portelli, PhD MSc heather M. prendergast, MD MPH Marc A. Probst, MD Marc A. Probst, MD Melanie K. Prusakowski, MD Seth A. Purcell, MD Jonathan Purtle, DrPH(c) MPH MSc Kelly E. Quinley, MD Jacob B. Rabe, MD Brian Raffetto, MD MPH Edward A. Ramoska, MD MPH Jonathan J. Ratcliff, MD MPH Vanessa V. Redd, MD Jenna Reichel, BA Joshua C. Reynolds, MD MS Stacy L. Reynolds, MD John Richards, MD Drew B. Richardson, MBBS(Hons) FACEM MD John Riester, MD Nour Rifai, MD Renee Riggs, DO Christine Riguzzi, MD Kristin L. Rising, MD Ralph J. Riviello, MD MS

George J. Shaw, Complicated Skin and Soft Tissue Infection (Grant), Cubist Pharmaceutical (Grant) Daptomycin (Grant) Sarah A. Sterling, NIH T32HL105324-03 (Grant) Benjamin Sun, Oregon Oral Health Funders Coalition (Grant) Sophie Terp, AHRQ F32 Individual Postdoctoral Fellowship (Grant) Stephen Traub, Editorial Board Up-ToDate (Officer), Eka Hospital; BSD City Indonesia © Brian S. Wasserman, National Institutes of Health (Grant) John Younger, NIH NSF (Grant) Shahriar Zehtabchi, NIH 1RC3NS070658 (Grant)

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DIDACTIC PRESENTERS AND SUBMITTERS WITH DISCLOSURES

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H. Backer- California Emergency Medical Services Authority, Director B. Barsan - NIH. Grant Recipient D.M. Beam: Emergency Medicine Foundation. Grant Recipient L.B. Becker: Philips Medical Systems, Seattle, WA, NIH Data Safety Monitoring Board and Protocol Review Committee, Bethesda, MD, Helar Technology.

Consultant; American Heart Association, Volunteer, The AHA sells training materials worldwide on resuscitation techniques; Shareholder – Helar; Grant Recipient - Philips Medical Systems, Seattle, WA, NIH, Bethesda, MD, BeneChill Inc., San Diego, CA, Zoll Medical Corp, Boston, MA, Medtronic Foundation, Minneapolis, MN. Speaker’s Bureau; Intellectual Property/Patents - Patents including 7 issued patents and several pending patents involving the use of med slurries as a human coolant, devices to create slurries,, and reperfusion cocktails; NIH Data Safety Monitoring Board and Protocol Review Committee, Bethesda, MD. S. Bird: SAEM Program Committee.

A. Blomkalns - NIH NHLBI K08 Grant; EMCREG International; Grant Recipient; SAEM, Director E.W. Boyer: NIDA. Grant Recipient E.A. Brown: Metrics Medicus, Inc.. Officer, Committee, or Board Member M. Brown: PCORI grant reviewer, Annals of Emergency Medicine Editorial Board C. Cairns: bioMerieux. Advisory Board M. Carius: American Board of Medical Specialties, American Board of Emergency Medicine, Officer, Committee, or Board Member B.G. Carr: EMF Board; NIH,AHRQ,CDC, EMF, AHA - Grant Recipient S. Collins: Novartis, The Medicines Company, Medtronic, Trevena; NHLBI, Medtronic, Radiometer, Novartis, Trevena, The, The Medicines Company.

Grant Recipient;

J. Druck: Central line catheters. Consultant C. Emerman: Durata Pharmaceuticals; Pharma. Advisory Board; Various legal firms. Consultant M. Epter: CORD. Officer, Committee, or Board Member G.J. Fermann; Pfizer, Janssen, Advisory Board; Novartis, The Medicines Company, Cardiorentis, Radiometer, Grant Recipient D. Finefrock, The Sullivan Group, Commercial Entity(ies), Organization, Agency, Company O. Francis, Symantec, Commercial Entity(ies), Organization, Agency, Company G. Garmel, Cambridge University Press, Commercial Entity(ies), Organization, Agency, Company E. Goldlust - NHLBI (K12HL109019), Grant Recipient L. Heitsch: American Heart Association.

Grant Recipient T. Henwood: Physicians Ultrasound in Rwanda Education Initiative. Grant Recipient B. Hiestand: Janssen. Advisory Board; Rivaroxaban. Advisory Board; Motive Medical Intelligence, Consultant; Radiometer, Cardiorentis, Dyax; Ularatide, Ecallantide. Grant Recipient; Clinical condition related to this product or service or N/A if not applicable; Heart failure, Heart Failure, ACE Inhibitor induced angioedema; Academic Emergency Medicine Journal, Annals of Emergency Medicine, Journal of Emergency Medicine, European Journal of Emergency Medicine, Internal and Emergency Medicine, Member of board or committee, grant reviewer, officer, founding member J. Hollander: Behring, Janssen. Advisory Board; ACS. Consultant; Radiometer, Instrument Laboratories. Grant Recipient; Alere, Abbott, Siemens, Trinity.

Grant Recipient

D. Houry: Society for Advancement of Violence and Injury Research. Advisory Board; NIH, CDC, Verizon Foundation.

Grant Recipient K. Iserson, Galen Press, Ltd. - Commercial Entity(ies), Organization, Agency, Company, O; Author of “Iserson’s Getting Into a Residency” A. Jones: SAEM, SAEMF, EMF. Officer, Committee, or Board Member; NIH, Thermoscientific. Grant Recipient T. Judge: LifeFlight of Maine. Employee C. Kabrhel: Genentech, Diagnostica Stago, LitPulse Inc., Diagnostica Stago, Commercial Entity(ies), Organization, Agency, Company, etc D.O. Kessler: SonoSim. Consultant; J. Kline, Jansenn, Genentech, Rivaroxaban; Janssen, Daiichi, Stago Diagnostica, Commercial Entity(ies), Organization, Agency, Company, etc.; AHRQ, NIH, Ikaria, Grant Recipient K. Kocher, Magellan Health Services, Inc., Commercial Entity(ies) K.L. Koenig: NEJM Journal Watch Editorial Board, Massachusetts Medical Society, Cambridge University Press.

T. Kowalenko: Spouse works for Genetech/ Roche; Wegener’s Granulomatosis.

Shareholder; Spouse Amgen/Biogen and Genetech/Roche stocks. Shareholder; American Board of Emergency Medicine, Board Member J. Leuck, Program Committee SAEM Name of Self Spouse/Partner (Enter only if financial relationships are cited) <; P. Levy: Cornerstone Therapeutics, Novartis Pharmaceuticals, Trevena, Inc. Advisory Board; Cardene (nicardipine), Serelaxin, TRV120027. Advisory Board; Cornerstone Therapeutics, Novartis Pharmaceuticals, Trevena, Inc, Bayer Schering Pharma AG. Consultant; Cardene (nicardipine), Serelaxin, TRV120027, Cinaciguat; Society of Cardiovascular Patient Care. Officer, Committee, or Board Member; Chair of

Heart Failure Committee (and President Elect). Officer, Committee, or Board Member; Novartis Pharmaceuticals.

Grant Recipient; A. Limkakeng: Roche Diagnostics, Inc, Abbott Laboratories, Cempra Pharmaceuticals, Siemens Aptiv, The Medicines Company. Grant Recipient; M. Lin: DynaMed. Other Relationships L. May, Durata A. Monte: EMF Teaching Fellowship Grant.

Grant Recipient G. Moran: Astra Zeneca, Durata, Forest Labs, Cempra, Centers for Disease Control and Prevention, National Institutes of Health. Grant Recipient L. Moreno-Walton, Gilead Sciences, Inc, Commercial Entity(ies), Organization, Agency, Company C.D. Morris: Chair of Observational Monitoring Board for pediatric cardiomyopathry study.

Advisory Board; NIH. Advisory Board; NIH, Grant Recipient D.E. Newman Toker: GN Otometrics, Interacoustics, Member of board or committee, grant reviewer, officer, founding member D. Nilasena: Roche Diagnostics. Employee J. Nomura, Nomura Consulting LLC, Principal/owner D.J. Pallin: Shire Pharmaceuticals, Inc., Magnolia Medical Technologies, Inc. N. Panebianco: 3rd Rock Ultrasound The Emergency Ultrasound Course.

Consultant; P. Pang: Janssen, Medtronic, Novartis, Trevena, SpringLeafTx, Cornerstone Therapeutics. Advisory Board T. Platts-Mills: National Institute on Aging.

Grant Recipient; K23AG038548. Grant Recipient S. Promes: Emergency Medicine RRC, Board Member C. Raio: ; Zonare Medical Systems A. Raja: Medical+Intelligence, LLC. Advisory Board; EMR. Advisory Board

M. Ranney: SAEM; ACEP. Member of board or committee, grant reviewer, officer, founding member; SAEM Research Training Grant, NIMH K23. Grant Recipient L. Regan: CORD, Board of Directors.

J. Riordan: EM APP, Commercial Entity(ies), Organization, Agency, Company, etc.

R. Ruddy: HRSA / Maternal Child Health Bureau. Grant Recipient T.G. Sanson: TeamHealth, Employee.

K.N. Sawyer: Site Principle Investigator for the APEX study, sponsored by Portola, no personal financial relationship or benefit; American Heart Association volunteer for the ECC Science Subcommittee.

Travel for meetings twice per year are covered for this service; Site Principle Investigator for Cool-Arrest, sponsored

by Zoll Medical Corp. I receive no direct financial relationships or benefits.

S. Schlesinger: Orange County Fire Chiefs Association Community Paramediciine Pilot Project; Committee Member.

J. Schuur: United HealtCare. Advisory Board D. Seif: SonoSite. Speaker’s Bureau.

L. Stack: McGraw Hill Education.

Consultant E.L. Tsalik: Ephraim Tsalik. Grant Recipient; Roche Diagnostics, Cempra Pharmaceuticals, GenMark Diagnostics, Cubist Pharmaceuticals, Novartis Pharmaceuticals.

A. Venkat, West Penn Allegheny Health System Commercial Entity; Allegheny General Hospital, Ethics Consultant and Committee Chair, Ethics, Arvind Venkat, SAEM, ACEP, Ethics Committees Member, Ethics.

J. Wolfe: EP Monthly Magazine.

Advisory Board; P. Wyer: PCORI Reviewer D.M. Yealy: NIGMS; NHLBI, Grant Recipient.; Annals of Emergency Medicine, Deputy Editor.

Daniel G. Miller, MD Angela Mills, MD Rakesh Mistry, MD, MS Nicholas M. Mohr, MD Joel Moll, MD Andrew Monte, MD Daniela E. Morato, MD Kevin Munjal, MD, MPH Lewis Nelson, MD Lorraine Ng, MD Jeffrey Nielson, MD Edward Otten, MD Edward Panacek, MD, MPH Art Pancioli, MD Jeanmarie Perrone, MD Marcia Perry, MD Timothy A. Peterson, MD, MBA Jesse Pines, MD, MBA, MSCE Joni Rabiner, MD Ryan P. Radecki, MD, MS Megan Ranney, MD MPH Charles Reese, MD Linda Regan, MD Karin V. Rhodes, MD, MS Lynne D. Richardson, MD, FACEP Emanuel P. Rivers, MD, MPH Hoffman Robert, MD, MS Rob Robson, MDCM, MSc, FRCP(C) Nestor Rodriguez, MD Sarah Ronan-Bentle, MD MS Elizabeth D. Rosenman, MD Richard E. Rothman, MD, PhD Kirsten Rounds, Amber Sabbatini, MD, MPH Sally Santen, MD, PhD Douglas B. Sawyer, MD, PhD Kelly Sawyer, MD Raquel Schears, MD Shira Schlesinger, MD, MPH Jeremiah Schuur, MD, MHS Jane D. Scott, Rawle Seupaul, MD Neel Shah, MD, MPP Sachita Shah, MD

Sneha H. Shah, MD Jason Shapiro, MD Adam Sharp, MD, MS Jeffrey Siegelman, MD Jeremy Simon, MD PhD Ellen Slaven, MD Michael D. Smith, MD, MBA Peter Smulowitz, MD, MPH Peter Sokolove, MD Lauren Southerland, MD Michael Stern, MD Tania D. Strout, PhD, RN, MS Matthew J. Stull, MD David Sugerman, MD, MPH Pawan Suri, MD Julian Suszanski, MD Thomas K. Swoboda, MD, MS Mary Tanski, MD Mark O. Tessaro, MD Sean Thompson, MD R. Jason Thurman, MD Stephen Trzeciak, MD James Tsung, MD, MPH Arjun Venakatesh, MD, MBA Arvind Venkat, MD Marie Vrablik, MD Abel Wakai, MD Joshua Wallenstein, MD Jennifer Walthall, MD MPH Ernest Wang, MD Michael Ward, M.D., M.B.A. Anna Waterbrook, Robert L. Wears, MD, MS, PhD Mary Westergaard, MD Mike Wilcox, Jennifer L. Wiler, MD, MBA Jason Wilson, MD Margaret Wolff, MD Lalena Yarris, MD, MCR Donald M. Yealy, Professor and Chair of Emergency Medicin Richard Zane, MD Mark Zonfrillo, MD, MSCE

DIDACTIC PRESENTERS AND SUBMITTERS - NOTHING TO DISCLOSE James G. Adams, MD Amish Aghera, MD Harrison Alter, MD, MS David Amponsah, MD Douglas Ander, MD Felix Karl. Ankel, Kimberly Applegate, MD, MS Paul L. Aronson, MD Brent Asplin, MD, MPH Kavita Babu, MD Sudhir Baliga, MD David Barbic, MD MSc FRCP Erik Barton, MD, MS, MBA Bryan E. Baskin, DO Ben Bassin, MD Brigitte M. Baumann, MD, MSCE Jeffrey Beall, MA, MSLS Torben Becker, MD Michael Beeson, MD Steven L. Bernstein, MD Amy E. Betz, MD Marian Betz, MD, MPH Kevin Biese, MD Derek Birznieks, MBA William Bond, MD Keith Bradley, MD Jeremy B. Branzetti, MD Alvin C. Bronstein, MD, FACEP Jeremy Brown, MD Teresa Camp-Rogers, MD MS Kristin Carmody, MD Christopher Carpenter, MD, MSc, FACEP, FAAEM, AGSF Carey D. Chisholm, MD Esther Choo, MD MPH Stephen John. Cico, MD, MEd Samuel Clarke, MD Megan Cloutier, MD Brian Clyne, MD Enesha Cobb, MD, MSc, MTS David C. Cone, MD Robert R. Cooney, MD, RDMS Mark Courtney, MD Tracy Cushing, MD MPH

Preeti Dalawari, MD, MPSH Moira Davenport, MD Adam Davis, JD Matthew Dawson, MD Nicole Deiorio, MD Michel Demers,MD Deborah Diercks, MD Marilena Disilvio, JD Lalaynya Dobrowolsky, RN Suzanne Dooley-Hash, MD Pratik Doshi, MD Stephen Dunlop, MD Susan M. Dunmire, MD Matthew Eisenberg, MD Rollin (Terry) J. Fairbanks, MD, MS Brenna Farmer, MD Susan E. Farrell, MD, MEd Jeffrey Feden, MD James Feldman, MD, MPH Rosemarie Fernandez, MD Michael T. Fitch, MD, PhD Megan Fix, MD Eric Fleegler, MD, MPH Todd A. Florin, MD, MSCE Sean M. Fox, MD Oli Francis, MD, MSEM, BSEE Fiona Gallahue, MD Nicholas Genes, MD PhD Laleh Gharahbaghian, MD Jeffrey A. Glassberg, Eric Goldlust, M.D., Ph.D. Joshua Goldstein, MD, PhD David Gordon, MD Corita Grudzen, MD, MSHS Sanjey Gupta, MD Todd Guth, MD Bhakti Hansoti, MBchB MPH N. Stuart Harris, MD MFA Danielle Hart, MD Samantha Hauff, MD Gregory Hays, MD Robin Hemphill, MD, MPH H. Gene Hern, MD Sheryl Heron, MD, MPH

Erik P. Hess, MD, MSc Nathan Hoot, M.D., Ph.D. jason hoppe, DO Laura R. Hopson, MD Velveta Howell, JD Lauren Hudak, MD, MPH Mark Ireland, PhD Gabrielle Jacknin, Pharm.D., BCPS Thea James, MD Kenneth D. Johnson, JD James H. Jones, MD Zachary P. Kahler, MD Tarina Kang, MD Paritosh Kaul, MD Sorabh Khandelwal, MD Nicholas Kman, MD Kevin Knoop, MD Terry Kowalenko, MD Paul Krieger, MD Michael Kurz, MD MS FACEP Adam Landman, MD, MS, MIS, MHS Eddy Lang, MDCM CCFP(EM) Hollynn Larrabee, MD Annie LeBlanc, PhD Adam C. Levine, MD, MPH, FACEP Jason Liebzeit, MD Alexander Limkakeng, MD Michelle Lin, MD, MPH Andrew Liteplo, MD Bernard Lopez, MD Elise Lovell, MD Robert A. Lowe, MD, MPH John Ma, MD Tracy Madsen, MD Prashant Mahajan, MD, MBA, MPH Michael P. Mallin, MD David Marcozzi, MD, MPH Jennifer Marin, MD, MSc Ian B.K.. Martin, MD Kenneth A. Marx, M.A., M.B.A. Henderson D. McGinnis, MD Ashlee Melendez, MSPH, BSN, CHPE, CCRC William Meurer, MD

INNOVATIONS SPEAKERS – NOTHING TO DISCLOSE Harold Andrew Sloas, DO, RDMS, FAAEM Tina Wu, MD, MBA Bryan F . Darger, BS, MSIII Kelly Barringer, MD Timothy W. . Jolis, MD Raashee Kedia, MD Julie B . McCausland, MD, MS, FACEP Dan Mayer, MD Nupur Garg, MD Stella H. . Yiu, MD

Jennifer D . Walthall, MD MPH Alicia Blazejewski, MD Sonal Batra, MD Jeffery M . Hill, MD Biren Bhatt, MD Amish Aghera, MD Mary Hughes, DO Rishi Madhok, MD Alexander C . Arroyo, MD Michelle Lin, MD, MPH Bradley C . Ching, MD

Nestor Rodriguez, MD Nara Shin, MD Corey Heitz, MD Annette Dorfman, M.D. Mira Mamtani, MD Margaret K . Sande, MD MS Amanda Crichlow, MD Karthikeyan Muthuswamy, BS Andrew Eyre, MD Chanel E . Fischetti, B.A. Nik Theyyunni, MD

Jude Kieltyka, MD, MPH Nupur Garg, MD Michael Cabezon, MD, FACEP Stephen Leech, MD Shawn London, MD Michael S . Beeson, MD, MBA Jeffrey A . Nielson, MD, MS Srikar Adhikari, MD, MS Michael Cassara, DO Thomas D . Kirsch, MD, MPH Marcia A . Perry, MD

John Eicken, MD Keme Carter, MD Laura Janneck, MD, MPH Michael Bohrn, MD Tiffany Moadel, MD Jordana J . Haber, MD Karim Ali, MD Sofie R . Morgan, MD MBA Kelly Medwid, MD

INNOVATIONS SPEAKERS – WITH DISCLOSURES

AEM CONSENSUS CONFERENCE - NOTHING TO DISCLOSE

D.M. O’Connor Employee, Monte Carlo Software LLC; Medical Education Software; Co-founder, Employee Arjun Dayal Employee, Monte Carlo Software, LLC; Medical Education Software; Co-founder, Employee

The following speakers and planning committee members have no relationships to disclose.

Ayodola Anise, MHS, Patient Centered Outcomes Research Institute; Jeremy Brown, OECR; Esther Choo, MD, MPH, Brown University/Rhode Island Hospital; David C. Cone, MD, Yale University School of Medicine; Rosemarie Filart, NIH/NCATS; Nina Gentile, MD; Marna Greenberg, DO, Lehigh Valley Health Network; Debra E. Houry, MD, MPH, Emory University; Marianne Legato, MD, FACP, Columbia University College of Physicians & Surgeons; Alyson McGregor, MD, Brown University; Christopher Moore MD, RDMS, RDCS, Yale University School of Medicine; Lena Napolitano, MD, University of Michigan; Megan Ranney, MD, MPH, Brown University; Basmah Safdar, MD, Yale University School of Medicine; Jane Scott, NIH/NHLBI; Knox H. Todd, MD, MPH, The University of Texas, MD Anderson Cancer Center; Federico Vaca, Yale University School of Medicine;

DIVERSITY 101: CLOSING THE DIVERSITY GAP DISCLOSURES Lisa Moreno-Walton, MD-LSUHSC Grant Recipient-Gilhead Sciences, INC. Grant Funding-HIV

ADVANCED EVIDENCE-BASED DIAGNOSIS WORKSHOP DISCLOSURES Daniel Mayer, MD-Albany Medical College AAEM-legal Committee, Medical Legal Consultation, Albany Medical College/Medical Education and Health care.

Author: Essential Evidence Based Medicine-Cambridge University Press second edition 2010-EMB textbook

Eric Gross, MD-Hennepin County Medical Center Commercial Entity: Forests Labs- Taflaro- Pneumonia Skin Infection Terry Kowalenko, MD- University of Michigan Medical School Spouse is Employee & Shareholder : Genentech/Biogen/Amgen-Product-Rituxam/Wegener’s

PLANNING FOR A SAFER DECADE OF ED ANALGESIA

None of the speakers in this session have anything to disclose

TRAIN THE TRAINER: ADVANCING SIMULATION FOR EDUCATION DISCLOSURES None of the speakers in this session have anything to disclose

2014 SENIOR FACULTY LEADERSHIP FORUM DISCLOSURES Ann Chinnis, MD-West Virginia University School of Medicine Advisory Board- Divurgent Consulting-IT consulting Tracy Sanson, MD-University of South Florida College of Medicine TeamHealth Employee-CMG Todd Crocco, MD-West Virginia University School of Medicine Genetech-Stroke website Creation Health Net University Health Associates-Clinical Care Vindico-Stroke Care Leslie Zun, MD-Mount Sinai Hospital Teva Pharmaceutical-Adasuve/Agitation W. Brian Gibler, MD-University of Cincinnati College of Medicine Advisory Board-Astra Zeneca Consultant-Aldea Pharma-Pro scan Imaging Shareholder-Siloma

2014 JR. FACULTY DEVELOPMENT FORUM DISCLOSURES

GRANT WRITING WORKSHOP - NOTHING TO DISCLOSE The following speakers and planning committee members have no relationships to disclose.

Prasanthi Govindarajan, MD, MAS, UCSF; Brendan Carr, MD, University of Pennsylvania; Barb Forney University of Cincinnati; Mark Angelos, MD, The Ohio State University; James Holmes, MD, MPH, UC Davis School of Medicine

DALLAS, TEXAS

LIFESAVING ULTRASOUND IN THE CRITICALLY ILL PATIENT: A CASE-BASED APPROACH DISCLOSURES

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Michael Beeson, MD-Akron General Medical Center/Northeast Ohio Medical University Shareholder/BOD Member:EasyEMS, INC. online testing Knox Todd, MD-The University of Texas MD Anderson Cancer Center Grant recipient- Dep. Med-Lezands-Pain Advirosy BOD-CVS-Pharmacy/SO Vig-Pain

The following speakers and planning committee members have relationships to disclose.

Jeffrey A. Kline, MD, Indiana University School of Medicine, Advisory Board : Janssen Biotech; Consultant: Stago Diagnostica, Genentech; Employee: Indiana Health Partners; Shareholder: CP Diagnostics; Grant recipient: NIH, IKARIA; Intellectual Property/Patents: US patent numbers: 6,575,918; 6,881,193; 7,066,892; 7,083,574; 7,104,964; 7,344,497; 7,445,601; 7,547,285; 7,828,741; 7,998,084.

James Miner, MD, University of Minnesota, Advisory Board: CSL Behring.

Judd Hollander, MD, University of Pennsylvania, Advisory Board: Janssen, Luitpold, Behring; Consultant: Radiometer, Insys; Grant recipient: Abbott, Alere, Brahms, Siemens, Trinity.

Deborah B. Diercks, MD, MSc, University of California Davis, Advisory Board: Novartis, Daiichi Sankyo, Jenseen; Officer or Board Member: SAEM, Society of Cardiovascular Patient Care, Emergencies in Medicine; Institutional Research: Radiometer, Cardiorentis, Novartis, DOD. Roger Benton Fillingim, PhD, University of Florida College of Dentistry, Officer or Board Member and Shareholder: Algynomics; Grant recipient, Pfizer W. Frank Peacock, MD, FACEP, Baylor College of Medicine, Consultant: Abbott, Atene, Brahms Novartis Rochel, The Machine’s Co, BG; Officer or Board Member: Emergencies in Medicine, Comprehensive Research Assoc.

Donald G. Stein, MD, Emory University, Consultant: BHR Pharma; Grant Recipient: BHR Pharma, H. Allen & Company; Patent on the use of progesterone in the treatment of various central nervous system diseases and on the formulation of progesterone analogs.

Lance Becker, MD, University of Pennsylvania, Consultant: Phillips Medical; Grant recipient: Zoll, Phillips, Benechill, NIH, Medtronic Foundation; Intellectual Property/Patents: Patients - Resuscitation Resus Devices; Other: Helar Inc. Edwin Boudreaux, Consultant: Polaris Health Directors; Intellectual Property/Patents: Polaris Health Directors David W. Wright, MD, Emory University Intellectual Property/Patents: Progesterone for TBI inventor on patent with Emory University; Licensed to BHR Pharma DETECT inventor on patent no LC.

MAY 13-17, 2014

2014 JR. FACULTY DEVELOPMENT FORUM DISCLOSURES

AEM CONSENSUS CONFERENCE - WITH DISCLOSURES

GRANT WRITING WORKSHOP - WITH DISCLOSURES The following speakers and planning committee members have relationships to disclose.

Richard Summers MD, University of Mississippi Medical Center Advisory Board - AstraZeneca, Pfizer; Speaker’s Bureau - Genentech, Merck Jeffrey Kline, MD, Indiana University, Advisory Board: Janssen Biotech; Consultant: Stago Diagnostica, Genentech; Employee: Indiana Health Partners; Shareholder: CP Diagnostics; Grant recipient: NIH, IKARIA; Intellectual Property/Patents: US patent numbers: 6,575,918; 6,881,193; 7,066,892; 7,083,574; 7,104,964; 7,344,497; 7,445,601; 7,547,285; 7,828,741; 7,998,084.

Manish Shah, MD, MPH, University of Rochester, Grant recipient: Abbott Point of Care (via George Washington University).

Michael Puskarich, MD, University of Mississippi Medical Center, Grant recipient: EMF Alan Jones, MD, University of Mississippi Medical Center, Officer or Board Member: SAEM, SAEMF, EMF; Grant recipient: NIH

2014 ACADEMIA AND THE PRACTICE OF COMMUNITYBASED EMERGENCY MEDICINE DISCLOSURES Jason Nomaura, MD-Christiana Care Health System Consultant-EUS Consultants LLC US Officer/ Board Member -Nomura Consulting LLC-Medical Education Daniel Keyes, MD Employee Self/Emergency Physician Medical Group

Eric Gross, MD-Hennepin County Medical Center Commercial Entity: Forests Labs- Taflaro- Pneumonia Skin Infection Terry Kowalenko, MD- University of Michigan Medical School Spouse is Employee & Shareholder : Genentech/Biogen/Amgen-Product-Rituxam/Wegener’s

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“EmCare offers a fulfilling and challenging career with room for growth. There is never a dull moment at EmCare.”

Quality people. Quality care. Quality of LIFE.

~ Harsh Bhakta, DO Baylor Medical Center at McKinney McKinney, Texas

EmCare is the nationwide leader in emergency medicine and is a company that is making health care work better, especially for physicians. EmCare provides the resources and support you need so you can focus on patient care. EmCare currently has hundreds of opportunities available for emergency medicine physicians. The company offers:

Hundreds of Jobs Nationwide

• Communities from coast-to-coast – small towns to major urban areas • Several practice settings – small, rural and critical access hospitals to major academic facilities, including children’s hospitals • Competitive compensation • A-rated professional liability insurance

Society for Academic Emergency Medicine

Your exciting new adventure awaits!

CALL: (855) 367-3650 (Use Reference Code “SAEM”) EMAIL: Recruiting@EmCare.com Search hundreds of opportunities at www.EmCare.com/Recruiting.aspx

EM Academic Opportunities WEST VIRGINIA: Charleston — EM Physician/Ultrasound Educator Excellent opportunity within EM Residency program for BP/BC EM physician with ultrasound fellowship or significant proficiency. This three-hospital system has 100,000 annual ED visits and includes a Level 1 facility.

Role will include overseeing ultrasound training for 16/position EM program as well as assisting in training within simulation laboratory.

Contact Rachel Klockow, Premier Physician Services, (800) 406-8118, rklockow@premierdocs.com.

TOLEDO: Ohio — Clinician/Faculty within EM Residency Program Candidates must be EM residency trained and BC. High-acuity, Level I facility, pediatric trauma center, sees 65,000 patients per year. The program is recognized for training within the LifeFlight program. Appealing package includes competitive remuneration.

Contact Amy Spegal, Premier Physician Services, (800) 726-3682 ext. 8118, aspegal@premierdocs.com

Flexible Benefit Packages | Leadership Opportunities | In-House CME | More...

erdocsalary.com

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EXHIBITOR ANNOUNCEMENTS Chiesi USA, Inc

Sheridan Healthcare Sheridan Healthcare, Inc. is a leading hospitalbased physician services company in the country, providing outsourced clinical and management services in emergency medicine since 1994. Since then, Sheridan Emergency Services has been providing metric-driven solutions to healthcare systems seeking to integrate the Emergency Department into the institution’s care delivery model. Operating hospital-based programs in adult and pediatric emergency medicine, Sheridan is recognized by the National Committee for Quality Assurance as a certified physician organization.

Education Management Solutions Inc

Biodynamic Research Corp Do you have an engineering degree? Are you looking for a career change? BRC may be the place for you! *use medical and engineering training *analyzing injuries and mechanisms of injuries * no patient care *competitive compensation and benefits package. BRC employs full-time consultants who specialize in the analysis of the human body’s response to forces and accelerations, in order to determine if or how injuries are caused.

Booth 19 Robin Block 1613 N Harrison Pkwy Suite 200 Sunrise, FL 33323 robin.block@sheridanhealthcare.com

SIMULATIONiQ CaseMaster™ (patent pending) is a cloud-based interactive training tool for medical practitioners to master new skills through repetition, deliberate practice, and instant feedback. CaseMaster includes more than 10,000 real clinical orders enabling a community of authors to collaborate and create numerous medical cases based on actual care pathways. Learners can practice from anywhere and on any device – with no physical medical simulation center or mannequin required. Visit Booth #2 for a demo and www.simulationiq.com to learn more.

Booth 2 Rachel Karp 436 Creamery Way Suite 300 Exton, PA 19341 rachel.karp@ems-works.com

Emergency Consultants Inc

PhysAssist Scribes Inc

Mar-Med

Emergency Service Partners LP

In 1972, ECI Healthcare Partners was founded with a single, cherished principle: Quality healthcare is achieved by valuing people.

Over the years, having efficiently managed the care of over 27 million patients in over 30 states, we have prospered into a network of professional Booth 7 Karen Herriman 4075 Copper Ridge Drive Traverse City, MI 49684 koren.herriman@ecihp.com

Established in 1995, PhysAssist Scribes, Inc. improves both the physician and patient satisfaction in the emergency departments and clinics we serve. Training innovations (I AM SCRIBE University), compliance understanding, leadership, and performance improvement management, have resulted in satisfied clients nationwide. Always Quality our #1 Focus.

Booth 11 Scott Hagood 6451 Brentwood Stair Rd Ft Worth, TX 76112 scott@iamscribe.com

The Tourni-Cot by Mar-Med is a simple and elegant digit tourniquet, which makes it safe and easy to create hemostasis on fingers and toes. By exsanguinating and occluding vessels during application the Tourni-Cot is reliable and efficient, unlike improvised methods. Used throughout the United States and internationally for over 20 years by top institutions, we invite you to sample the Tourni-Cot as well.

Emergency Service Partners, L.P. is a 100% physician-owned, democratic emergency medicine partnership. For more than 25 years, we’ve earned an excellent reputation for delivering high-quality clinical care at more than 25 facilities across Texas. Our physicians serve as faculty for the new UT Southwestern Austin Emergency Medicine Residency program, as well as a new Pediatric EM Fellowship in Austin. Visit us online at www.eddocs.com and learn why you belong here at ESP! Booth 13 Brian Sparks 6300 La Calma Drive #200 Austin, TX 78752 bsparks@eddocs.com

Booth 3 Linda Jenkins 1255 Crescent Green Dr Suite 250 Cary, NC 27518 linda.jenkins@crtx.com

Terason

Nicka & Associates

Terason continues to revolutionize ultrasound with the latest developments in high performance portable systems. Our uSmart products provide exceptional imaging capability and the advanced features and functionality you have come to expect from Terason. These complete ultrasound solutions optimize workflow, enhance clinical efficacy, and increase productivity for everyday clinical needs.

Booth 4 Nancy Bax 77 Terrace Hall Ave Burlington, MA 01803 ncbax@terason.com

Nicka & Associates has proven industry know how to mazimize appropriate reimbursement and minimize compliance risk. Emergency medicine is our specialty – YOUR business is OUR business! We are proudly American owned and 10% operated in the USA. Excellence in *Coding *Consulting *Compliance *Education.

Visit us at www.nicka-associates.com

Booth 16 Dana Criscuolo 3 Century Drive Parsippany, NJ 07054 criscuolod@ema.net

Booth 15 Patrick Kantakerich 1300 19th St Suite 100 Washington DC 20036 daniel.henig@blinemedical.com

DALLAS, TEXAS

B-Line Medical B-Line Medical is a leader in medical simulation technologies specifically designed to capture and evaluate training activities.

With a 98% client retention rate and the ability to integrate with the broadest range of devices in the industry, B-Line Medical enhances quality and efficiency by providing powerful tools for data capture/analysis.

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Emergency Medical Associates Emergency Medical Associates is one of the country’s most respected, truly democratic emergency medicine physician groups. Widely recognized for clinical excellence, EM research, our physicians enjoy exceptional life-work balance, outstanding compensation and unlimited growth opportunities. We are currently seeking BC/ BE EM physicians for career positions on the east coast.

MAY 13-17, 2014

Booth 12 Jerry Marogil 333 Fuller Ave NE Grand Rapids, MI 49503 jerry@marmedco.com

Booth 1 Jesse Sanchez 5711 University Heights Blvd #107 San Antonio, TX 78249 Jsanchez@BRCOnline.com

Booth 9 Beth Graves 5501 Independence Pkwy STE 316 Plano, TX 75023 bgraves@nick-associates.com

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EXHIBITOR ANNOUNCEMENTS Texas Tech Health Sciences Center at El Paso TTUHSC at El Paso is seeking Board Certified Physicians in the area of emergency medicine to become part of its team of professionals.

The Department of Emergency Medicine staffs the Emergency Room of University Medical Center El Paso, a level one trauma center with approximately 60,00 visits annually. The department also assists in training medical students from the TTUHSC Paul L Foster SOM. Appointments will be at an assistant professor level or above, as deemed appropriate.

Society for Academic Emergency Medicine

Booth 30 Christine Carbajal 4801 Alberta Ave Suite B3200 El Paso, TX 79905 christine.carbajal@ttuhsc.edu

Healthcare Cost & Utilization Project (HCUP) HCUP is a family of health care database, software tools, and products developed through a Federal-State-Industry partnership.

Sponsored by the Agency for Healthcare Research and Quality (AHRQ), HCUP database provide the largest collection of all-payer, longitudinal hospital care data in the United States.

Booth 27 Jennifer Podulka 540 Gaither Road Rockville, MD 20850 HCUP@AHRQ.GOV

VectraCor

Rosh Review

Tx 360 is specially designed for use in adults to deliver small amounts of fluid selected by a healthcare professional to the anatomical structures along nasal pathway. This device allows easy, safe, and instant access to the inner most hidden areas of the nasal pathway.

In particular it allows professionals to easily and accurately reach the Sphenopalatine foramen which is essential when performing a Sphenopalatine Ganglion nerve block. It is the only device in the world for this purpose.

Detect ECG changes suggestive of a heart attack in real-time and derive a 15-22 lead ECG with the VectraplexECG System.

VectraCor’s disruptive and patented technology is the only ECG machine/monitor with a non-invasive Cardiac Electrical Biomarker, CEB®, for the real-time detection of ECG changes suggestive of an AMI, plus the capability to derive the ECG (15-22 leads) with only 5 electrodes (V2 & limbs). This could help physicians with the world’s #1 killer, CVD, and potentially save heart muscle and lives. FDA-cleared and CE-Marked.

Booth 17 785 Totowa Rd Suite 100 Totowa NJ 07512 www.vectracor.com

Your emergency medicine board review is about to change. Expert question writers, high yield content, comprehensive explanations…all in a simple, user friendly interface. For Program Directors we launched a comprehensive PD Dash to track, oversee and analyze your residents performance with built-in milestones.

Coding Network

ACEP Bookstore

Shift Administrators

The Coding Network provides four primary products: 1) remote coding services (ongoing or temporary) for both professional and facility services, 2) coding accuracy and compliance reviews, 3) coding helpline services, and 4) provider code selection and documentation training. Our coders/auditors are all U.S. based and certified. We also offer ICD-10 Gap Analysis audits and ICD-10 documentation training classes.

Swing by the ACEP Bookstore Booth 31, May 13 - 17 during exhibit hours and check out the new clinical and educational references available.

Show specials — PEER VIII: Physician’s Evaluation and Educational Review in Emergency Medicine; and APLS: The Pediatric Emergency Medicine Resource, 5th Ed. & Instructor’s Toolkit CD-ROM Booth 31 Nicole Tidwell 1125 Executive Circle Irving, TX 75038 ntidwell@acep.org

ShiftAmin is a 100% web-based schedule management system serving over 900 facilities over 15,000 providers. The ShiftAdmin system includes an extremely powerful schedule generation algorithm that is easy to use. The system also allows you to manage schedules for one or many facilities, and its features include shift posting/trading/ splitting, schedule requests, automatic syncing with external calendar software, private and public URL options, extensive states and reporting and much more.

Valley Emergency Physicians (VEP)

Booth 36 Tian Xia 244 E Roosevelt Rd Lombard, IL 60148 tianx@yahoo.com

Booth 29 Neal Green 324 Palm Drive Beverly Hills, CA 90272 ngreen@codingnetwork.com

Kowa Optimed Inc

Questcare

EmCare

Since the launch of its first retinal camera in 1962, Kowa Optimed has been devoted to producing the most innovative optical products and integrated technology solutions in the world. Kowa is the market leader in numerous areas, including handheld slit lamps. Our latest design is utilized not only in eye care, but also in ERs, ORs, pediatrics, neurology, general medicine, veterinary medicine, and ophthalmic research worldwide. Despite having the lowest cost of ownership, Kowa products frequently outlast those of our competitors. Kowa Optimed attributes its record of success to its ability to introduce products with key features, innovation, and functions that meet specific user needs.

Questcare is a physician-owned Emergency Medicine organization with an academic focus on quality medicine. We are a democratic group with an entrepreneurial vision and dedication to career growth and development. Questcare delivers high-quality emergency care in twentyone ultra-modern facilities in Dallas-Fort Worth, San Antonio, El Paso, and Oklahoma City. Questcare focuses on supporting and establishing successful emergency medicine careers for new physicians.

Quality people. Quality Care. Quality LIFE. EmCare is the nation’s leading physician practice management company. It is known for developing local practices, supporting affiliated clinicians with regionally-located clinical leadership and operational personnel, and providing them access to unprecedented national resources. Opportunities exist at small and large hospitals in locations nationwide. EmCare offers competitive pay and exceptional benefits. Call (855) 367-3650 or search jobs at www.EmCare.com. EmCare is…Making Health Care work Better™.

Booth 25 Lisa Parker 12221 Merit Dr Suite 1500 Dallas, TX 75251 lisa.parker@questcare.com

Booth 26 Heidi Wilson 13737 Noel Rd Ste 1600 Dallas, TX 75240 heidi_wilson@emcare.com

Booth 33 Aletha Vassilakis 20001 South Vermont Ave Torrance, CA 90502 aletha@kowa.com

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Tian Medical LLC

Booth 35 Adam Rosh 10515 Talbot Ave Huntington Woods, MI 48070 adam@roshreview.com

Booth 34 Megan Louis 2818 Canterbury Rd Columbia, SC 29204 info@shiftadmin.com

Offering the highest quality of emergency medical services and hospital programs to our partner hospitals and their communities.

Over 90% of our physicians are board certified or board eligible in emergency medicine or primary care. Our client hospitals range from urban trauma centers to rural community hospitals. Our dedication to excellence is reflected in our long term relationships with 30 hospitals.

Booth 20 April Mazur 1990 N California Blvd Ste 400 Walnut Creek, CA 94596 aprilmazur@valleyemergencycom

EXHIBITOR ANNOUNCEMENTS Janssen Pharmaceuticals – PROUD SPONSOR OF AEM CC The Janssen Pharmaceutical Companies of Johnson & Johnson are dedicated to addressing and solving some of the most important unmet medical needs of our time in oncology, immunology, neuroscience, infectious diseases and vaccines, and cardiovascular and metabolic diseases.

Booth 32 Jamie Decuba 1000 Route 202 Raritan, NJ 08869 jdecuba@its.jnj.com

Masimo

CEP America

Infinite Therapeutics

Masimo is a global medical technology company responsible for the invention of award-winning nonivasive technologies, medical devices, and sensors that are revolutionizing patient monitoring, including Masimo SET, Masimo rainbow SET Pulse CO-Oximetry, noninvasive and continuous hemoglobin (SpHb), acoustic respiration rate (RRa), Masimo SafetyNet, and SEDLine, (EEGbased) Brain Function Monitors.

CEP America is among the largest independent, democratic physician groups in the U.S., offering highly satisfying career opportunities within a Partnership structure.

CEP America is owned and managed by its physician Partners. Our integrated practice model includes careers in emergency and hospital medicine, and urgent care. We are dedicated to providing the best practice locations and management support for our Partners. Our physicians have a voice in the Partnership from day one!

The infinity IT-8800 offers state of the art roller foot reflexology. Thigh and hip massage, an amazing spinal decompression stretch, sensors for customized targeted massage, lumbar heat and music. Endless luxury, ultimate massage.

Booth 24/28 Tammy Russo 40 Parker Irvine, CA 92618 trusso@masimo.com

Booth 23 Sandy Smith 68 Route 125 Kingston, NH 03848 info@infinitetherapeutics.com

Booth 21 Allie Tupman 2100 Powell St Suite 900 Emeryville, CA 94608 tupmana@medamerica.com

Greenville Health System

Elite is the premier scribe training, staffing, and management company for hospitals, physician groups, and clinics across the nation.

With established methods and techniques refined through countless hours of clinical experience we created a unique program, which maximizes efficiency of patient care and enhances the overall quality of healthcare.

With Elite there is no hassle in establishing a new scribe program, or enhancing your existing program. For recruitment, to training and management Elite has you covered.

Booth 8 Mallory Hernandez 8011 34th Ave S Ste 242 Bloomington, MN 55425 malloryh@elitemedicalscribes.com

SonoSim creates the SonoSim Ultrasound Training Solution, a revolutionary, realpatient based ultrasound training product. It uses a laptop computer training environment to deliver unparalleled didactic content, knowledge assessment and hands-on training. The refreshingly engaging learning experience allows users the freedom to learn anything -anywhere.

VisualDx is used at over 50% of all medical schools and more than 1,500 hospitals in the US. As the clinician co-pilot, it allows search by symptoms, medications, diagnoses, medical history, or all of the above to build the most accurate differential diagnosis possible. Then it combines this search with a database of nearly 30,000 images and medical knowledge from experts to help with diagnosis, treatment, self-education and patient communication.

Greenville Health System, the largest healthcare provider in South Carolina, seeks EM physicians to staff its academic Level 1 Trauma Center and 3 community hospital ED’s in the newly established Department of Emergency Medicine. Grow with us as core or clinical faculty as the department incorporates an emergency medicine residency program in the near future.

Venaxis

Besins Critical Care – PROUD SPONSOR OF AEM CC

Emergency Medicine Physicians

Besins Critical Care, a division of Besins Healthcare, is a pharmaceutical company committed to providing advancements in the field of traumatic brain injury (TBI). A global, Phase 3, multi-center trial of BHR100 (i.v. progesterone infusion) is currently ongoing to investigate the safety and efficacy of progesterone in patients with severe TBI. Booth 37 607 Herndon Pkwy Ste 110 Herndon WA 20170

For 20 years, our physician group model has allowed us to forge the best relationships with each other and our hospital partners. We navigate the changing waters of healthcare with our servant’s heart and owner’s mind.

We relate and innovate. And we always enjoy the ride.

Booth 38 Phebe Dave 4535 Dressler Road NW Canton OH 44714 800-828-0898

Venaxis, Inc. is an in vitro diagnostic company focused on the clinical development and commercialization of its CE Marked APPY1 Test, a rapid, protein biomarker-based test for patients with suspected acute appendicitis.

This unique appendicitis test has projected high sensitivity and negative predictive value. Venaxis has filed a submission with the FDA for the APPY1 Test; until clearance the test is not available for sale in the U.S. For more information visit Booth #10 or www.venaxis.com.

Booth 10 1585 South Perry Street Castle Rock, CO 80104 www.venaxis.com

Booth 14 Dimitry Boym 1738 Berkeley St Santa Monica, CA 90404 info@sonosim.com

Booth 5 3445 Winton Place Suite 240 Rochester NY 14623 800.357.7611

Booth 6 7 Independence Pointe Suite 120 Greenville SC 29615

DALLAS, TEXAS

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MAY 13-17, 2014

Elite Medical Scribes

Challenger Corporation Challenger provides learning and testing tools for program directors and institutions to quantify the skill sets of residents and Pas in training. Challenger’s reporting system yields compliance, performance and remediation data on individual users, program years, and for your entire program. These statistical outputs permit client institutions to prove compliance and effectiveness to certifying organizations.

Booth 39 5100 Popular Ave, Suite 1410 Memphis, TN 38137 901-762-8449

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Sky Bridge to Westin Hotel & Plaza of the Americas

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Executive Boardroom Seminar Theater

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Kick Your Learning Into High Gear with

SAEM OnDemand

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Society for Academic Emergency Medicine

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y GGER I B S ’ HING EVERT AS. IN TEX

EMERGENCY CONSULTANTS proudly sponsors this year’s

SAEM ANNUAL MEETING SHINDIG Residents and medical students, you’re invited to an exclusive soiree at the Society for Academic Emergency Medicine conference!

Friday, May 16 4 p.m. to 7 p.m.

Sheraton Hotel’s Remington Room Enjoy cocktails* and hors d’oeuvres *To nab access and your complimentary drink ticket, flash your resident or medical student badge at the Emergency Consultants booth.

FRE ED TIC RINK AT B KET

PROUD SPONSORS:

OO No. TH 7

We take care of the people who take care of patients.

EmergencyConsultants.com

See You In San Diego, CA May 2015

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