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ANNIVERSARY2014 ANNUAL MEETINGJointly provided by the University of CincinnatiThe Sheraton Dallas HotelMay 13-17, 2014


TABLE OF CONTENTSSociety for Academic Emergency MedicineGeneral Information 2 - 3“Diversity 101”: Closing the Diversity Gap 4Senior Leadership Faculty Forum 5-6Grant Writing Workshop 7Planning for a Safer Decade of ED Analgesia 8Academia and the Practice of Community-Based Emergency Medicine 9AEM Consensus Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Lifesaving Ultrasound in the Critically Ill Patient 11Train the Trainer: Advancing Simulation for Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12NIH Sessions 13Resident Academic & Leadership Forum 16Ignite! SAEM 17National Medical Student Symposium 19Junior Faculty Development Forum 20-21SAEM Annual Business Meeting 22Maximize Your Time at the SAEM Annual Meeting 31Daily Schedule Grid, Meetings and Presentations 32-99Tuesday 32-35Wednesday 32-50Thursday 52-73Friday 74-90Saturday 92-99Photography Exhibit & Visual Diagnosis Contest 96Annual Meeting Moderators 101Gallery of Excellence Nominees 102-103Abstract Reviewers 104-105Disclosures 106-109Exhibitor Announcements 111-113The Sheraton Dallas Hotel 114-117SAEM is not responsible for printing errors or omissions.


SAEMSociety for AcademicEmergency Medicine2014 ANNUAL MEETINGThe Sheraton Dallas HotelMay 13-17, 2014WELCOME TO THE SAEM ANNUAL MEETING!Welcome to the 25th-Anniversary SAEM Annual Meeting. Twenty-five years ago our founders would never have guessed that thisorganization would blossom and grow into the premier organization and venue for knowledge creation and translation for all of theresearch, clinical and educational facets of emergency medicine. This week you will be surrounded by the best and brightest minds in ourspecialty. Furthermore, this is the largest and most robust program our Society has ever presented at an Annual Meeting. I encourageyou to immerse yourself, engage, network, ponder and learn from all that is around you. I promise you will not be disappointed. This is youropportunity 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, MDPresident, SAEMHAPPY ANNIVERSARY SAEM! 25 YEARS AND COUNTING…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 ourspecialty is growing, and of our increasingly prominent presence in medicine. The 2014 SAEM Annual Meeting will once again bring togetherthe 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 proudto showcase not one, but two keynote speaker sessions. Dr. Marc Nivet, chief diversity officer for the Association of American MedicalColleges, will be the main keynote speaker at our Business Meeting, discussing the vital role of diversity as a component of health systemsinnovation and the advancement of health care equity. Dr. Atul Grover, Mr. Gordon Wheeler, and Dr. Jeremy Brown will be back, following upthe 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-scoringabstracts from our extensive peer-review process. Registrants will be able to browse the best of SAEM at their leisure with the comfortsof 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 HowGender 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 thepotential 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 aspecific program to those interested in their niche within emergency medicine. Besides the familiar Grant Writing Workshop and ConsensusConference, there will be a community-based academic physician session, simulation and ultrasound teaching sessions, a senior leadershipforum, a program directors’ session, an ED analgesia session, an evidence-based diagnostic workshop, and a diversity workshop too. SAEMcontinues to provide opportunities for our specialty to grow, and with so many different avenues to explore, this will hopefully be just thestart 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 andjunior faculty forums, a resident leadership forum, a medical student symposium, ABEM updates, NIH sessions… this list just can’t dojustice 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 mobileapp will keep you informed of the latest, and give you your own personal planner, links to the Annual Meeting website, Twitter feeds, emailupdates, 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 otherevents 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 thesenew online CME service, streamable and downloadable via computer or mobile device, either during pre-meeting registration, at onsiteregistration 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 returnhome afterwards with new knowledge, a new colleague and friend, a new idea, a new way to improve patient care, and with a renewedappreciation of what we have achieved the short span of 25 years.Thanks for coming to the 2014 SAEM Annual Meeting in Dallas.Christopher Ross MDChair of the 2014 Program Committee, SAEM1MAY 13-17, 2014 | DALLAS, TEXAS


GENERAL INFORMATION2Society for Academic Emergency MedicineWelcome to the 25th Annual Meeting of the Society for Academic Emergency Medicine. You will notice many significant innovationsand additions to this special anniversary meeting.REGISTRATIONFor the cost of the basic registration fee, attendees may attend all paper, poster and didactic sessions, except those which havelimited enrollment or require an additional registration fee. For those who have preregistered to attend a session which requirespreregistration be sure to arrive a few minutes early.CONTINUING MEDICAL EDUCATIONTarget 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 inacademic 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 thetranslation 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 AccreditationCouncil for Continuing Medical Education through the joint providership of the University of Cincinnati and Society forAcademic Emergency Medicine.The University of Cincinnati is accredited by ACCME to provide continuing medical education for physicians. The Universityof Cincinnati designates this live activity for a maximum of 30 AMA PRA Category 1 Credit(s). Physicians should only claimcredit 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 anycommercial interest related to this activity. The existence of these interests or relationships is not viewed as implying bias ordecreasing the value of the presentation, and any conflict of interest is resolved prior to the activity. All educational materialsare 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 prospectivefaculty members’ significant relationships with drug or device manufacturer(s). The University of Cincinnati is committed toretaining only those speakers with financial interests that can be reconciled with the goals and educational integrity of theCME activity.


PLENARY SESSIONThe plenary session this year will be held on Wednesday, May 14, 2014, from 3:00 - 5:00 pm, Dallas Ballroom B-C (Conf. Center-1stFloor). The following awards will be given prior to the plenary: Excellence in Research Award – Paul E. Pepe, MD, MPH, Universityof 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 MedicineAward – Deborah B. Diercks, MD, MSc, University of California, Davis, School of Medicine. Young Investigator Award: WillardW. Sharp, MD, University of Chicago; Andrew Miller, MD, SUNY Downstate/Kings County Hospital; Esther K. Choo, MD, BrownUniversity/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 CountyANNUAL BUSINESS MEETINGThe Annual Business Meeting will be held on Friday, May 16, 2014 from 2:00 – 4:30 pm, in the Dallas B-C Conference Roomson the first floor of the Sheraton Dallas Hotel. Dr. Marc Nivet, chief diversity officer for the Association of American MedicalColleges, will be the main keynote speaker at our Business Meeting, discussing the vital role of diversity as a component ofhealth 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 bepresented during the meeting.Outgoing SAEM president Alan E. Jones, MD, will present his summary address to the membership. Incoming president RobertS. Hockberger, MD, will then be introduced and address the membership with his preview of the coming year.SOCIAL EVENTS:Opening Reception and Gallery of ExcellenceJoin 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 greatopportunity to network with other SAEM members and attendees, while enjoying hors d’oeuvres and a cash bar.SAEM Foundation Event at the Sixth Floor MuseumCome and celebrate SAEM’s 25th anniversary at the SAEM Foundation event from 6:00-10:00pm at the Sixth FloorMuseum at Dealey Plaza – the museum that chronicles the life and legacy of President John F. Kennedy. Gather your friendsand colleagues to enjoy delicious food and drinks, bid on unique items at the silent auction, and support EM research andeducation. Transportation from the Sheraton Hotel to the Museum is provided.Academy for Women in Academic EM (AWAEM) LuncheonThe 5th Annual AWAEM Luncheon will be held on Thursday, May 15, 2014 from 12:00 - 1:30 pm, in Majestic Room 6-7 (Hotel-37th 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.Global EM Project ShowcaseSAEM’s Global Emergency Medicine Academy is proud to host the 1st annual Global EM Project Showcase on Friday, May16, 2014 from 8:00 - 10:00 am, Majestic Room 6-7 (Hotel-37th Floor), and would like to invite all faculty, fellows, studentsand residents interested in international EM and global health to participate in this special networking session. During thesession, participants will have the opportunity to present one slide and speak for five minutes about their internationalactivities, project needs and challenges. Afterwards, time will be reserved for networking. The goal is to connect people ofall levels of training who share geographical or intellectual common ground.The Resident and Student Advisory Committee Reception and Scavenger Hunt Award CeremonyThe Resident and Student Advisory Committee reception to be held on Friday, May 16, 2014, from 5:30 - 7:30pm in theRemington Room (Hotel-4th Floor), is an opportunity for residents and students to network with peers and learn aboutopportunities 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 EmergencyConsultants, Inc. (ECI). Representatives from the RSAC. Many resident-and student-oriented committees and groups willbe on hand to provide information about their plans for the coming year. Grab a drink, nibble on some tasty snacks, meetsome new friends, and see why you are the future of emergency medicine.33MAY 13-17, 2014 | DALLAS, TEXAS


“DIVERSITY 101”: CLOSING THE DIVERSITY GAPTUESDAY, MAY 13 – 8:00 AM - 12:00 PM — ATRIUM (HOTEL-2ND FLOOR)4Society for Academic Emergency MedicineIdentification of the Education Gap:Diversity & Inclusion affects not only our workforce andworkplace internally but also our patients, community andspecialty externally. This proposed program addresses several ofthe key aspects of improving diversity at our own institutions andwithin our specialty.We will provide a brief historical overview of diversity (faculty/residents, URM/LGBT) within medicine, including EM; highlighting itsimportance and setting the stage for the rest of the day. Throughour interactive panel discussions and workshops, we will providetangible and practical strategies to improve recruitment, hiringand retention, curriculum development and research.More specifically, as it relates to diversifying the workforce/workplace, we will present tools to recruit and hire with diversityin mind, whether looking to diversify your department or residencyand whether you are at a diverse geographical area or not. We willhighlight current practices that have been successful in varioussettings. We will also address potential challenges that these effortscould face and provide tools to problem solve them. We will alsodiscuss ways to retain and promote the diverse individuals you havesuccessfully recruited and hired.In addition, we will discuss different types of curriculums as it relatesto diversity. Through small group exercises we will look at what thesecurriculums entail, how to implement them, and how to gage theireffectiveness. We again will highlight current curriculums that existand that are being used effectively.2014 ANNUAL MEETING PROGRAM COMMITTEEHarrison Alter, MDAlameda County Medical Center -Highland HospitalGillian Beauchamp, MDUniversity of CincinnatiSteve Bird, MDUniversity of MassachusettsJennifer Carey, MDUniversity of MassachusettsRob Cloutier, MDOregon Health & Science UniversityMoira Davenport, MDAllegheny General HospitalKevin Ferguson, MDUniversity of FloridaBarbra ForneyCompliance Program ManagerUniversity of CincinnatiChris Ghaemmaghami, MDUniversity of VirginiaEric Gross, MDHennepin County Medical CenterSanjey Gupta, MDNew York Hospital QueensTodd Guth, MDUniversity of DenverTarlan Hedayati, MDCook County HospitalCarolyn Holland, MDUniversity of FloridaJeffrey Hom, MDStony Brook UniversitySchool of MedicineJason Hoppe, MDUniversity of ColoradoLaura Hopson, MDUniversity of MichiganLauren Hudak, MDEmory UniversityJennifer Lee Jenkins Levy, MDJohns Hopkins UniversityJonathan Jones, MDUniversity of MississippiMedical CenterGabor Kelen, MDJohns Hopkins UniversityHollynn Larrabee, MDWest Virginia UniversityLuan Lawson, MDBrody School of Medicineat East Carolina UniversityJo Anna Leuck, MDCarolinas Medical CenterJason Liebzeit, MDEmory University School of MedicineBrandon Maughan, MDUniversity of PennsylvaniaSimilarly, we will highlight current research being done and addressongoing needs. We will provide strategies to assist in conducting thistype of research, whether you are thinking about doing it or havebeen doing it.From this program, we hope to develop working groups that willcontinue to work together long after this session had ended.Program AgendaDiversity and inclusion are subjects that involve all of us, notonly among our workforce and in our workplaces, but also forour patients, community and specialty. The SAEM Academy forDiversity and Inclusion in Emergency Medicine invites everyoneto attend the interactive half- ‐day session “Diversity 101: Closingthe Diversity Gap” for a practical approach to issues that mostprograms struggle with in regards to recruiting, retaining, anddeveloping a diverse group of faculty members and residents.This session is meant to be interactive! Participants will be dividedinto 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 toolsand resources that anyone could use to create and sustain a diverseclimate at their institution, as it relates to education, scholarship,and service. We will subsequently come together as a largergroup to discuss best practices and begin to work on addressingknown gaps.Erin McDonough, MDUniversity of CincinnatiHenderson McGinnis, MDWake Forest Baptist HealthJoseph Miller, MDHenry Ford HospitalAngela Mills, MDUniversity of PennsylvaniaJoel Moll, MDUniversity of MichiganLewis Nelson, MDNew York UniversityJason Nomura, MDChristiana Care Health SystemCharissa Pacella, MDUniversity of PittsburghDaniel Pallin, MDBrigham and Women’s Hospital /Harvard Medical SchoolPeter Pryor, MDDenver HealthAli Raja, MDBrigham and Women’s Hospital /Harvard Medical SchoolLinda Regan, MDJohns Hopkins UniversityKevin Rodgers, MDIndiana UniversityChristopher Ross, MDCook County Hospital(Program Committee chair)Cynthia Santos, MDMount Sinai Medical CenterStacy Sawtelle, MDUCSF Fresno MedicalEducation ProgramTodd Seigel, MDBrown UniversitySneha Shah, MDUniversity of MassachusettsRichard Sinert, MDSUNY-Downstate Medical CenterHoward Smithline, MDBaystate Medical CenterLorraine Thibodeau, MDAlbany Medical CenterR. Jason Thurman, MDVanderbilt UniversityJody Vogel, MDDenver Health Medical CenterJustin Williams, MDUniversity of TexasHealth Sciences Center- San AntonioRobert Woolard, MDTexas Tech UniversityHealth Sciences Center


2014 SAEM SENIOR FACULTY LEADERSHIP FORUMDAY ONE – TUESDAY, MAY 13 — 8:00 AM - 5:00 PMDAY TWO - WEDNESDAY, MAY 14 — 8:00 AM - 12:00 PMSAN 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 leadersin academic emergency medicine seeking a fundamental understanding of the issues related to leading an academic EMdepartment. 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 ONETUESDAY, MAY 13 — 8:00 AM - 5:00 PMEffective Leaders – Nature, Nurture, and ContinuousLeadership EducationBrian Zink, MD, Alpert Medical School, Brown UniversityLeadership traits and qualities may be innate or developed, buttrue effectiveness as a leader depends on an ability to learn,adapt and strengthen your leadership over time. This session willcover the core traits of leadership and consider how favorableinnate leadership qualities can be enhanced, and unfavorable onesdiminished. We will then focus on how leadership skills are learnedover the course of a career and the concept of “continuous leadershipeducation”. Participants will be provided information on resources,reading materials, suggested training programs, and approaches toleadership development.Objectives:Upon completion of this course the participant should be able to:1. Explain how innate or “natural” leadership characteristics can beenhanced.2. Discuss how to make a continuous leadership education plan as adeveloping leader.3. Locate the resources and programs that are available fordeveloping leaders.The Balanced Scorecard – from Strategy to ActionKate Heilpern, MD, Emory University School of MedicineThe Balanced Scorecard is a tool designed to transparentlydemonstrate organizational goals and the metrics by which tomeasure goal achievement. In one or two pages, the scorecardshould attempt to visually display the organization’s answers to thefollowing 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 anoperating unit, department and/or organization2. List the attributes that contribute to a successful BalancedScorecard3. Develop and deploy a leadership communication plan that allowsyou, as the leader, to use this tool to manage up and throughoutyour organization.Hiring, Firing and Evaluating: Human Resource Issues inEmergency MedicineLeslie Zun, MD, Mount Sinai HospitalEmergency physicians frequently struggle with human resourcesissues in emergency medicine. The challenge of hiring the rightperson, evaluating the staff and remediating them is a keycomponent in the management of the department. This course fillsthe gap in ensuring that many chairs need to ensure that their facultysupports the mission of the department.Objectives:Upon completion of this course the participant should be able to:1. Explain what motivates people2. Use the best approach in hiring, firing, compensating, andadvancing3. Describe how to deal with difficult staff membersHow to Develop and Manage the WorkforceBill Barsan, MD, University of MichiganDuring this presentation we will discuss a process for recruitingfaculty from a more faculty-centric rather than a department-centricapproach and describe how to focus faculty academic development.We will also discuss how to manage career development with facultyincluding setting goals, providing resources and changing prioritieswhen appropriate. Department Chairs need to advocate for theirfaculty on an institutional level and promote faculty candidatesfor institutional roles and national leadership roles as well asdepartmental roles.Objectives:Upon completion of this course the participant should be able to:1. Develop career plans for new faculty2. Monitor progress in faculty careers3. Advocate leadership roles for facultyCommunication Skills Workshop 2014Ann Chinnis, MD, West Virginia University School of MedicineParticipants will provide an email address and will be enrolledelectronically in a communication assessment (DiSC assessment) inadvance of the lecture. They will receive their results electronicallyupon completion of the assessment. The lecture will provide anoverview of communication styles using the DiSC methodology.Students will participate in small group work to facilitateunderstanding of their preferred mode of communication. Theywill acquire strategies to communicate more effectively withthose who have different DiSC styles. They will be provided with anunderstanding 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 individualswho are different DiSC styles.4. Describe how to interpret a team DiSC and have an appreciation ofits use in team development.5MAY 13-17, 2014 | DALLAS, TEXAS


2014 SAEM SENIOR FACULTY LEADERSHIP FORUM6Society for Academic Emergency MedicineLeadership versus Management: Philosophy andSkills for SuccessCarey Chisholm, MD, Indiana UniversityAcademic institutions are governed through a hierarchy thatis complex. In order to access higher impact roles (CommitteeChairs, Directorships, Chair, Dean), one must develop leadershipand management skills - and know which to bring to bear to solve aproblem. This session identifies and differentiates key personal andprofessional leadership and management techniques.Objectives:Upon completion of this course the participant should be able to:1. Explain the difference between personal and professionalleadership and management skill sets.2. Describe attributes of good leaders and good managers.3. Discuss situations appropriate for the use of leadership versusmanagement.DAY TWOWEDNESDAY, MAY 14 — 8:00 AM - 12:00 PMBuilding a Team & Sailing through the High C’sTodd Crocco, MD, West Virginia University School of MedicineThis presentation will discuss the conventional approaches tobuilding a team and differentiate it from teamwork. Ten importantconsiderations of team building will also be reviewed. Commonmistakes and strategic opportunities for building a successful teamwill be presented.Objectives:Upon completion of this course the participant should be able to:1. Explain the purpose of a team;2. Explain the difference between teamwork and establishing aneffective team;3. Discuss the essential elements of team buildingStrategic PlanningGabe Kelen, MD, FRCP(C), Johns Hopkins University School ofMedicineThis session will provide a framework for how to create, andimplement, and assess a strategic plan. However, personal strategicplanning 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 plan2. Describe the process of developing a strategic plan and getting“buy-in”3. Describe how to monitor a strategic plan and adjust tactics4. Discuss the role of leadership in effecting a strategic planBeyond the Department of Emergency Medicine: LeadershipRoles for Emergency Physicians in the Academic MedicalCenterBrian Gibler, MD, University of Cincinnati College of MedicineEmergency physician leaders often target Departmental positionssuch as Chair, Residency Program Director, or Research Directorsfor their career pathway. In many Academic Medical Centers,emergency physician leaders are being tapped to serve as hospitalChief Executive Offices, Chief Medical Officers, Chief QualityOfficers, Physician Group Practice Leaders, or as Medical SchoolDeans. For this presentation, the background and reasons forthis health system leadership trend in academic medicine will bediscussed. Information will also be provided to help the participantoptimize personal education, training, and career experiences forpursuit of this pathway in health system leadership.Objectives:Upon completion of this course the participant should be able to:1. Discuss the fundamental leadership skills needed to pursue acareer in Departmental leadership.2. Describe the trend of emergency physician leaders beingidentified and hired as academic health system leaders includingChief Executive Officers, Chief Medical Officers, Chief QualityOfficers, and Physician Group Practice Leaders and Deans ofmedical schools.3. Identify the key educational, training, and career experiencesnecessary to be eligible to pursue these positions.Leading Gen X, Y, ZTracy Sanson, MD, University of South Florida College of MedicineOur ED’s and academic departments currently employ 4 generationsof workers, each with their unique developmental history and viewof the future. We will discuss the expectations of and how to bestrecruit, engage and retain these varied practitioners. We’ll discussdeep and complex issues such as loyalty, feedback/evaluation,career plans and work patterns. We will use the embracing ofinformatics as a case study to describe and differentiate, “TheSilents, Baby Boomers, and Generations X and Y.”Objectives:Upon completion of this course the participant should be able to:1. Describe the generational characteristics of the four majorworking generations2. Explain how to work with and lead the different generationalgroups by understanding work styles, and generational values.3. Recognize how to generationally approach conflict and findcommonality.Title: Strategic PlanningDescription: This session will provide a framework for how to create,and implement, and assess a strategic plan. However, personalstrategic 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 plan6. Discuss the process of developing a strategic plan and getting“buy-in”7. Describe how to monitor a strategic plan and adjust tactics8. Explain the role of leadership in effecting a strategic plan


GRANT WRITING WORKSHOPTUESDAY, MAY 13 — 8:00 AM - 5:00 PMSAN ANTONIO AThis workshop is designed to improve investigators’ skills insuccessful grant writing through didactics, panel discussions,and focused small group sessions. The course faculty includesfederally funded investigators and NIH staff.ONE-DAY WORKSHOP ON EVALUATINGAND USING MEDICAL TESTS FOREMERGENCY PHYSICIANS, EDUCATORS,EDITORS, AND POLICY MAKERSTUESDAY, MAY 13, 2014 — 8:00 AM - 5:00 PMAUSTIN BALLROOM 3 AT THE SHERATON DALLASCME will be provided Info: www.ebd.studysites.netWORKSHOP FACULTYMichael A. Kohn, MD, MPPAssociate Professor of Epidemiology Biostatistics, UCSFEmergency Physician, Mills-Peninsula Medical Center, Burlingame, CACourse Director: UCSF Evidence-Based Diagnosis WorkshopCo-author: Evidence-Based Diagnosis, Cambridge University Press, 2009Christopher R. Carpenter, MD, MScDirector, Evidence-Based Medicine, Washington University Schoolof Medicine, St. LouisAssociate Editor, Academic Emergency MedicineCo-author: Evidence-Based Emergency Care (2ed), Wiley–Blackwell 2013Dan Mayer, MDProfessor of Emergency Medicine, Albany Medical CollegeCourse director: Evidence Based Health Care (longitudinal course)Author: Essential Evidence Based Medicine (2ed), CambridgeUniversity Press, 2010Diagnosis and diagnostic testing are fundamental to our practice and teaching.When and how should we use a rapid antigen test for influenza? How should weinterpret BNP for CHF, D-Dimer for PE, or serum lactate for severe sepsis? Is therea physical finding that distinguishes that rare posterior circulation stroke fromrun-of-the-mill peripheral vertigo? In this all-day, interactive workshop, we willdiscuss using the evidence to evaluate and interpret diagnostic tests. We will coverdichotomous tests, multilevel and continuous tests, ROC curves, interval likelihoodratios, 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 andsolve real-world diagnostic testing problems in small groups.AGENDA7:30 am Continental Breakfast8:00 am Developing Your Funded EM Research ProgramRichard Summers, MD,University of Mississippi Medical Center9:00 am The Anatomy of a GrantMark Angelos, MD, The Ohio State University9:30 am NIH Review Session - What HappensOnce I Submit?Jeremy Brown, MD, Office of Emergency Care Research10:15 am Break10:30 am Writing the Specific Aims Section of the GrantJeffrey Kline, MD, Indiana University11:00 am Developing the Grant Budget: managing theproject requirements within the budget restrictionsJames Holmes, MD, MPH, UC Davis11:30 am Responding to Reviews and ResubmittingAlan Jones, MD,University of Mississippi Medical Center12:00 pm Networking LunchCourse Faculty1:00 pm Small Group Session*Course Faculty2:30 pm Career Development AwardsManish Shah, MD, University of Rochester3:00 pm Career Development Grant Panel DiscussionManish Shah, MD, University of Rochester, moderator3:30 pm Wrap-up & transition to Optional Break-Out Session3:45 pm Optional Break-Out Session**Course Faculty5:00 pm Close*Small Group Session: Participants will rotate through four 20-minuteskill-building stations which will each focus on a specific aspect ofsuccessful 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 optionalsession, participants that have submitted a grant for feedback willhave the opportunity to speak one-on-one with a reviewer to discusshow they can improve their application.7MAY 13-17, 2014 | DALLAS, TEXAS


PLANNING FOR A SAFER DECADE OF ED ANALGESIATUESDAY, MAY 13 – 1:00 - 5:00 PM — AUSTIN 2Pain relief is an integral component of quality care in the ED. An emergency physician must be particularly adept at selectingappropriate 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 constructa consensus-based strategy to set future curricular and research priorities, and to potentially publish our efforts in a whitepaper. These efforts should ultimately allow provision of both effective and safe pain relief that has a patient-centered focus yetare attentive to public health concerns.8Society for Academic Emergency MedicinePain 101: Teaching the Fundamentals of AnalgesicsJason A Hoppe, DOAssistant ProfessorUniversity of Colorado School of MedicineUnintended Consequences:Understanding the Adverse Effects of AnalgesicsLewis S. Nelson, MDProfessor of Emergency MedicineDirector, Fellowship in Medical ToxicologyNew York University School of MedicineNew York City Poison Control CenterStudying History: Literature Review of Existing PainCurriculaScott G. Weiner, MD, MPHAssociate ProfessorDirector of Clinical Research, Emergency MedicineTufts University School of MedicineThe Baby and the Bath Water:Balancing under- and over-use of opioids in the EDDonald M. Yealy, MDProfessor and Chair of Emergency MedicineUniversity of Pittsburgh / University of Pittsburgh PhysiciansUsing Milestones to Assess Curricular SuccessMichael S. Beeson, MD, MBAProfessor of Emergency MedicineEmergency Medicine Residency Program DirectorAkron General Medical Center/Northeast Ohio Medical UniversityChair, Emergency Medicine Milestones Working GroupThe Use of Simulation to Teach Pain Management PrinciplesMargaret K. Sande, MD MSAssistant ProfessorUniversity of Colorado School of MedicineMedical Director, Work, Education, & Lifelong Learning Simulation(WELLS) CenterOpen Access Medical Education to Reinforce PainManagement CurriculumJeanmarie Perrone, MDProfessor of Emergency MedicineDirector, Division of Medical ToxicologyPerelman School of Medicine at the University of PennsylvaniaSimultaneous BreakoutsSymposium Faculty and:Knox H. Todd, MD, MPHProfessor, Department of Emergency MedicineThe University of Texas MD Anderson Cancer Center1. Determine current needs and future direction for developmentof a focused didactic residency curriculum for safe and effectiveanalgesic use.2. Determine the research needed for development of acomprehensive pain management curriculum.Recap:Group discussion, outline and timeline of future plans.SAEM ANNUAL MEETING SPECIAL SESSIONTUESDAY, MAY 13, 2014 - 8:00 AM - 12:00 PM — IN THE ATRIUMDIVERSITY 101: CLOSING THE DIVERSITY GAPDiversity and inclusion are subjects that involve all of us, not only among our workforce and in our workplaces, but alsofor 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 approachto issues that most programs are challenged with in regards to recruiting, retaining, and developing a diverse group offaculty 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 willdiscuss 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 withthe group coming together to discuss best practices and share strategies to address barriers faced by our institutions.


ACADEMIA AND THE PRACTICE OF COMMUNITY-BASEDEMERGENCY MEDICINETUESDAY, 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 sponsoredby the SAEM Community-Based Academic Physician Task Force. While most medical students and residents will graduateand enter into a community practice, it is typically the university hospital of the medical school that receives the majority offunding, basic infrastructure for education/research, and support for mentoring of future leaders. However, the communityhospital serves a powerful role not only in teaching the residents of the future, but also as a force of health care change. Thisseminar, intended for faculty and residents, will foster an environment in which participants can actively learn from the successof both their community-based colleagues and academic chairs who also oversee community emergency departments. Topicswill 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 suchtopics as what to expect during their community rotation and how to get the most out of the experience.8:30-9:00amIntroduction9:00-10: 00am Faculty Compensation and ProductivityJim Adams, MDTravis Schmitz10:00-11:00am The Growing Gap Between HospitalAdministration and the EM Bedside:Illusion or Reality?Michael Hochberg, MD11am-12:00pm FOAM as a Means to IncorporateState-of-the-Art Research andDisseminate Evidence-Based MedicineJason Nomura, MD and Ryan Radecki, MD (TheUniversity of Texas Medical School at Houston)12:00-1:00pm This is your Career. Welcome to it: FindingGuidance, Mentorship, and CareerAdvancement For All Stages.Gus Garmel, MD1:00-2:00pm Lunch2:00-3:00pm Something from Nothing: BuildingInfrastructure in SimulationErnie Wang, MD3:00-4:00pm From Boardroom to Bedside: PerformingQuality Research on ED Operations, Accessto Care, and Cost SavingsDustin Ballard, MD4:00-5:00pm One Department, One Residency: Integratingthe Community Academic Affiliate into thePrimary University Site/Medical SchoolJim Hoekstra, MDResident break-out2:00-3:00pm Do Emergency Medicine ResidencesAdequately Prepare Graduates to Work inthe Medical Community?Al Sacchetti, MD and Michael Hochberg, MD3:00-4:00pm The Community Setting as an AcademicEmergency Medicine CareerMatthew Silver, MD and Steve Nazario, MD4:00-5:00pm Your Community Affiliate Rotation: What toExpect and How to Maximize the ExperienceDaniel Keyes, MD9MAY 13-17, 2014 | DALLAS, TEXAS


2014 SAEM FUN RUNTHURSDAY, MAY 15, 2014 6:00 AM — MEET IN THE MAIN HOTEL LOBBYTake a break from the business of the Annual Meeting and get out on the streets of Dallas withSAEM’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 theirspeeds on a pre-mapped and marked route. Pick your own pace and have fun! Water and towelswill be provided for registered runners.On-site Registration — $40.00MAY 13-17, 2014 | DALLAS, TEXASSAEMF Event at the Sixth Floor MuseumThursday, May 15, 20146:00 – 10:00 pmCome and celebrate SAEM’s 25 th anniversary at the SAEM Foundation event at the SixthFloor Museum at Dealey Plaza – the museum that chronicles the life and legacy ofPresident John F. Kennedy. Gather your friends and colleagues to enjoy delicious foodand drinks, bid on unique items at the silent auction, and support EM research andeducation.Admission: AACEM Members: $1000, Faculty: $250, Residents & Students: $100All but $50.00 of the cost of admission is tax-deductible. Transportation from the Sheraton Hotel to the museum will be provided.www.saemfoundation.org15


STOP BY THE SAEMRESIDENCY & FELLOWSHIP FAIRFRIDAY, MAY 16, 2014 — 4:30-6:30 PMLONESTAR BALLROOMSHERATON DALLAS CONFERENCE CENTER (2ND FLOOR)The SAEM Residency & Fellowship Fair is open toall medical students and residents at the SAEM2014 Annual Meeting in Dallas, TX. This is a greatnetworking event for those seeking a residency orSociety for Academic Emergency Medicinea fellowship.WOMEN IN EMERGENCY MEDICINE MIXERFRIDAY, MAY 16, 2014 — 5:30 - 7:30 PMATRIUM ROOMAAWEM, AAWEP, and EMRA look forward to welcoming you to the second annual Women InEmergency Medicine Mixer at this year’s SAEM Meeting in Dallas. Get to know outstandingfemale physician leaders from all three of these organizations over a glass of wine.18


2014 SAEM NATIONAL MEDICAL STUDENT SYMPOSIUMFRIDAY, 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 theirfuture specialty but is also valuable for students still contemplating specialty choice. The symposium includes presentationsform seasoned EM educators, roundtable discussions geared for more individuated guidance, lunch with residency programdirectors, and a panel discussion with current EM Residents. Major themes for the symposium include highlighting applicationand selection process. The program is followed by the residency/fellowship fair representing most EM programs across thecountry.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:7:45-7:50am7:50–8:30am8:30–8:50am8:50-9:00am9–10:00am10–10:20amWelcomeTodd Guth, MD, University of ColoradoAssistant Clerkship DirectorEmergency Medicine– Career Paths and Your FutureJason Liebzeit, MD, Emory University,Medical Student Elective Course DirectorHerbert Hern, MD, Alameda County MedicalCenter – Highlands Residency ProgramDirectorQ&A with Speakers about career choiceand career pathsBreakStrategic Planning forYour EM ApplicationJames Colletti, MD, Mayo Clinic,Residency Program DirectorCynthia Price, MD, University of Connecticut,Associate Residency Program DirectorJeffrey Barrett, MD, Temple University,Assistant Clerkship DirectorQ&A with Speakers about StrategicPlanning for EM applications11:30–11:50am11:50am-12:00pm12:00-1:30pm1:30-2:00pm4:30–6:00pmQ&A with Speakers from Getting Readyfor Interview Day: Reflections andRecommendationsIntroduction to the Residency andFellowship FairLunch with Program DirectorsQ & A with Emergency MedicineResident PanelSAEM Resident/Student Advisory Committee:Megan Cloutier, MD- Emory UniversityAnn Tsung, MD- University of Florida, GainesvilleAAEM-RSA Residents:Terez Malka, MD, Indiana UniversityMeaghan Mercer, DO,University of Nevada Las VegasNicole Piela, MD, Thomas JeffersonUniversityEMRA Residents:David Diller, MD, St. Luke’s- RooseveltJessica Best, MD, UTSW – AustinSAEM Residency and Fellowship FairLone Star Ballroom Pre-Convene Area(Conference Center 2nd floor)MAY 13-17, 2014 | DALLAS, TEXAS10:20-10:30am10:30–11:30amBreakGetting Ready for Interview Day:Reflections and RecommendationsMichael Gisondi, MD, NorthwesternUniversity, Residency Program DirectorMaria Moreira, MD, Denver Health MedicalCenter, Residency Program DirectorBrian Levine, MD, Christiana Care HealthSystem, Residency Program Director19


2014 SAEM JUNIOR FACULTY DEVELOPMENT FORUMFRIDAY, MAY 16 - 8:00 AM - 1:30 PM — MAJESTIC ROOM 1 (HOTEL-37TH FLOOR)Society for Academic Emergency Medicine20Consistent with our mission of advancing professional development in academic emergency medicine, SAEM is pleasedto present the third annual Junior Faculty Development Forum (JFDF) at its 2014 Annual Meeting in Dallas, TX. The JFDFwill take place on Friday, May 16 and will be a half-day program intended to provide junior faculty with guidance that willenable them to become the next generation of leaders in our field. Intended for fellows and junior faculty who have recentlysecured a faculty job within academic emergency medicine, this program will feature focused didactic presentations fromleaders 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 anddevelop strategies for promotion, productivity and academic advancement.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 institutionsAt the end of this program, participants will1. Understand the structure of a career in academic emergency medicine, including a general overview of the promotion process2. Receive an overview of three major career pathways in academic EM: administration, research and education3. Gain insight into the skills and steps required for success in EM administration4. Review strategies for success in medical education, including mechanisms for more effective teaching and feedback5. Understand fundamental skills for creating a career in EM research, including a review of funding mechanisms6. Receive specific advice for successful professional development from current leaders in the field8:00-8:40am – Overview of Academic Medicine:How to Survive & ThriveSession time: 40 minutes, Speaker: 30 minutes, Q&A: 10 minutesOBJECTIVES:• 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 variationsby institution• Discuss factors to consider in selecting a career track andhow to be successfulSTRUCTURE: 1 speaker, 30 minutes – 10 minute Q&ASPECIFIC 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, includingsecuring 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 managementPROSPECTIVE SPEAKER(S): Terry Kowalenko, MD8:40-9:50am – Developing Skills in EMAdministrationSession time: 70 minutes, Speaker: 30 minutes, Q&A: 10 minutesOBJECTIVES:• Review ED Administration positions and potential avenues to reachthese positions/careers• Highlight the pros and cons of ED Administration roles• Describe leadership principles and characteristics necessary for EDAdministrationSTRUCTURE: 2 speakers, 30 minutes – 10 minute Q&ASPECIFIC CONTENT OUTLINE:Careers in EM Adminsitration• What is a career in EM administration?• Review of the roles and responsibilities of common administrativepositions with departments and academic medical centers• Challenges and advantages to a career in administrationAchieving Success in Administration• Leadership and management principles of effective administrators• How to become involved with administration• How to effect change as a junior faculty memberPROSPECTIVE SPEAKER(S): Daniel Wu,MD, Eric Gross, MD9:50-10:00am – Break10:00-11:10am – Developing Skills in EM EducationSession time: 70 minutes, Speaker: 30 minutes, Q&A: 10 minutesOBJECTIVES:• Gain a basic understanding of the continuum of medical educationand relevant accreditation agencies and requirements• Examine educational leadership opportunities in medical education• Identify the diverse venues and learners faculty teach atAcademic 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 poorperforming residentsSTRUCTURE: 2 speakers, 30 minutes – 10 minute Q&ASPECIFIC 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 schoolStrategies 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)PROSPECTIVE SPEAKER(S): Fiona Gallahue, MD, Brian Stettler,MD11:10am–12:20pm – Developing Skillsin EM ResearchSession time: 70 minutes, Speaker: 30 minutes,Q&A: 10 minutesOBJECTIVES:• Provide a general overview of funding structures for AcademicMedicine 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 successfulpublicationSTRUCTURE: 2 speakers, 30 minutes – 10 minute Q&ASPECIFIC 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 independentfundingStrategies for Success: Project Creation and Publication• Writing for publication• Strategies for maximizing efficiency and productivity• Avenues to further develop research skills (MERC, MPH, EMBERSlikecourses)PROSPECTIVE SPEAKER(S): Jason Haukoos,MD, David Cone,MD12:20-12:30pm – Break to grab lunch12:30-1:30pm – Lessons Learned:If I knew then what I know now…Session time: 60 minutesOBJECTIVES:• Learn from senior faculty the opportunities, support, resources andrelationships that will foster a successful academic career.• Understand the benefits and the logistics of identifying and workingwith a mentorSTRUCTURE: Panel Q&ASPECIFIC CONTENT OUTLINE:Panel of senior faculty who have successfully navigated the academicwaters; 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 thebenefits of this relationshipPROSPECTIVE SPEAKER(S): Jim Adams,MDRobert Hockberger, MDCherri Hobgood, MDJill Baren, MDMAY 13-17, 2014 | DALLAS, TEXASCLOSING THE GAP ON THROMBOTIC EVENTSFRIDAY, MAY 16, 2014 — 12:30 – 1:30 PMRICHARD D. SHIH, MDRESIDENCY PROGRAM DIRECTORDEPARTMENT OF EMERGENCY MEDICINE, MORRISTOWN MEMORIAL HOSPITAL, MORRISTOWN, NEW JERSEYThis lecture will discuss treatment options for patients with deep vein thrombosis and pulmonaryembolism, and how they can reduce the risk of recurrent thrombotic events.Supported by Janssen Pharmaceuticals, IncThis 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 FDArequirements for communication about its medicines.21


2014 SAEM ANNUAL BUSINESS MEETINGFRIDAY, MAY 16, 2014KEYNOTE 2:00 - 3:00 PM — BUSINESS MEETING 3:00 - 4:30 PMSheraton Dallas Hotel, Dallas, TX — Room: Dallas B-C Conference Rooms, 1st FloorAll SAEM members are urged to attendKEYNOTE SPEAKER:Marc Nivet, MD, Chief Diversity Officer for the Association of American Medical CollegesGRANT PRESENTATIONSEducation Fellowship Grant – Margaret Kramer Sande, MD, MS, University of Colorado, DenverResearch Training Grant – John P. Haran, MD, University of MassachusettsEducation Research Grant – Christopher Hicks, MD, Med, St. Michael’s HospitalSociety for Academic Emergency MedicineSAEM ACADEMY AWARDSAcademy 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 AWARDSBest Faculty Presentation - Chris Moore, MD, RDMS, Yale University School of MedicineBest Young Investigator Presentation - Catherine M. Wares, MD, Carolinas Medical CenterBest Basic Science Presentation - Vikhyat S. Bebarta, MD, San Antonio Military Medical CenterBest Resident Presentation - Hendry R. Sawe, MD, Muhimbili University of Health and Allied SciencesBest Fellow Presentation - Simon G.A. Brown, MBBS, PhD, FACEMWestern Australian Institute for Medical Research, Royal Perth Hospital and the University of Western AustraliaBest Medical Student Presentation - Austin Kilaru, Perelman School of Medicine at the University of PennsylvaniaRECOGNITION OF THE 2013-2014 OUTGOING COMMITTEE & TASK FORCE CHAIRSSAEM ANNUAL BUSINESS MEETINGAEM ReportTreasurer’s ReportElection ResultsRecognition of Board of Director members whose terms are expiringRemarks of Outgoing President – Alan E. Jones, MDIntroduction of 2014-15 SAEM President – Robert S. Hockberger, MDNEW BUSINESSADJOURNMENT22Note: Award, fellowship, grant recipients, elected members of the BOD and Nominating and Consultation & Bylaws Committees are asked to remain after the meeting to participatein a brief photo session. Photos will be published in upcoming issues of the SAEM Newsletter.


All are invited to attend these sessions:Atrium Room (Hotel 2nd Floor)Thursday, May 14, 1:00 - 5:00 pm1:00–2:00 pm Evaluating Your Job Offers in Academic EMKirsten Rounds, RN, MS, Alpert Medical School, Brown UniversityLooking for your first job? Thinking about switching jobs? This session will give you tips, hints and a handyreminder tool to make sure you have evaluated all the factors to make the best decision.2:00–3:00 pm Results of the AACEM/AAAEM Benchmarks & Salary SurveyJames Scheulen, MBA, Johns Hopkins UniversityEvery year the AAAEM conducts a survey of its members, collecting a wide variety of operational anddepartmental 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 PlanningLinda Davis-Moon RN, MSN, Thomas Jefferson UniversityNone of us will be in our jobs forever: whether you are an administrator, a chair, a program director or haveanother role in your department, it is important to think about who might take your place when you moveup, move into a new role, or retire. Get important tips on how to begin this process in your department.ABOUT USFounded in 2009, the Academy of Administratorsin Academic Emergency Medicine (AAAEM) is anAcademy of SAEM for individuals managing theadministrative and business functions of anacademic department or division of emergencymedicine. Many of our members represent thenation’s leading university medical centers.AAAEM was formed to advance the professionof individuals serving as administrators withinemergency medicine academic programs andto provide a forum for our members tocommunicate, share ideas, and generatesolutions to common problems.Executive Committee Meeting will be held from 4:00 - 5:00pm–All AAAEM members are invited to attendMAY 13-17, 2014 | DALLAS, TEXAS23


Society for Academic Emergency MedicineSAEM ADIEM LGBTSUB-COMMITTEE MIXERTUESDAY, MAY 13 — 5:00 - 7:00 PMMAJESTIC 5 ROOM(37TH FLOOR OF THE SHERATON HOTEL)The SAEM Academy for Diversity and Inclusion inEmergency Medicine (ADIEM) invites you to attend agathering and mixer of the Lesbian, Gay, Bisexual andTransgender (LGBT) Committee on Tuesday, May 13, 2014from 5:00pm – 7:00pm in the Majestic 5 room on the 37thfloor of the Sheraton Hotel.The LGBT committee is developing curriculum, pursuingscholarly work, and seeking to set up a mentoring networkrelating to LGBT health issues and career guidance.We seek all members of SAEM interested in inclusionand diversity - you do not need to be LGBT to attend orparticipate. 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.24


In 15 years, the number of older adults in your ED will DOUBLE...ARE YOU READY?Wednesday, May 14 Dallas Ballroom A1 (1st Floor)10:30 - 11:30 am "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-basedscreening for cognitive impairment, risk of falls, and functional decline"(Christopher Carpenter, MD, MSc; Timothy F. Platts-Mills, MD)Thursday, May 15State Room 1 (3rd Floor)8:00 - 9:15 am 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 updates9:15 - 9:30 am Break9:30 - 10:00 am Breakout AGEM workgroupsEducation/Fellowship, Journal Club, Delirium, Research, Metrics10:00 - 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, educationinitiatives, conferences)(Christopher Carpenter, MD, MSc; Jeffrey Caterino, MD, MPH; UlaHwang, MD, MPH)MAY 13-17, 2014 | DALLAS, TEXAS10:45 - 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 existingGeriatric ED directors - Gallane Abraham, MD; Amer Aldeen, MD;Denise Nassisi, MD; Scott Wilber, MD, MPH)Saturday, May 17Dallas Ballroom A1 (1st Floor)10:00 - 11:00 am "So You Want to Start a (non-ACGME) Accredited Fellowship?" (KevinBiese, MD, MAT; Ian Martin, MD; Charles Reese, MD; Michael Stern,MD)Geriatrics-related oral presentationsWednesday May 14 8:00 am - 12:00 pm Lone Star Ballroom B Poster AbstractsFriday May 16 8:00 am - 10:00 am Lone Star Ballroom C1 Oral AbstractsFriday May 16 10:30 am - 12:30 pm Pearl 4 Moderated Posters25


Activities 2014Society for Academic Emergency MedicineTuesday, May 13Lifesaving Ultrasound in theTuesday, Critically Ill May Patient 13Lone Star Ballroom (C3 & C4)8:00 am – 5:00 pm (Fee $500)Lifesaving Ultrasound in theCritically Ill PatientLone Star Ballroom (C3 & C4)Wednesday, 8:00 am – 5:00 pm May (Fee $500) 14AEUS Business MeetingWednesday, May 14Room: Atrium Room (2nd Floor)8:00 am – 12:00 pmAEUS Business MeetingRoom: Thursday, Atrium Room May (2nd 15 Floor)8:00 am – 12:00 pmAEUS Didactic SessionsThursday, May 15Didactic: Ultrasound in Resource Limited Settings:Discussion of use, benefits, research and sustainableprogram design(8am-9am) Room: Dallas Ballroom D2AEUS Didactic SessionsDidactic: Ultrasound in Resource Limited Settings:Didactic: Point-of-Care Ultrasound for PediatricDiscussion of use, benefits, research and sustainableGlobal Health: A 21st Century Technology forprogram designMeeting the United Nations Millennium(8am-9am) Room: Dallas Ballroom D2Development Goals 4 Decreasing Global Under-5MortalityDidactic: Point-of-Care Ultrasound for Pediatric(11:30am-12:30pm) Room: Dallas Ballroom A2Global Health: A 21st Century Technology forMeeting the United Nations MillenniumDevelopment Goals 4 Decreasing Global Under-5MortalitySonoGames ® 2014(11:30am-12:30pm) Room: Dallas Ballroom A2Room: Lone Star Ballroom (Conf. Center-2nd Floor) 12:00 pm – 5:00 pmSonoGames ® 2014Join us for the 3Room: Lone Star rd annual SonoGamesBallroom (Conf. Center-®and watch teams compete to be the2nd Floor) 12:00 pm – 5:00 pmnation’s top sonologists.Friday, Activities May 162014AEUS Didactic SessionsFriday, May 16Didactic: A Cadaver-Based Curriculum forUltrasound---Guided Applications and Procedures:A AEUS Promising Didactic Alternative Sessionsin Emergency UltrasoundEducation(8:00am-9:00am) Room: San Antonio Ballroom ADidactic: A Cadaver-Based Curriculum forUltrasound---Guided Applications and Procedures:Didactic: Emergency Ultrasound for AirwayA Promising Alternative in Emergency UltrasoundManagementEducation(9:00am-10:00am) Room: Dallas Ballroom A1(8:00am-9:00am) Room: San Antonio Ballroom ADidactic: Controversies in Emergency UltrasoundDidactic: Emergency Ultrasound for AirwayII: The Debate Rages OnManagement(10:30am-11:30am) Room: Dallas Ballroom A2(9:00am-10:00am) Room: Dallas Ballroom A1Didactic: Important Applications for Point-of-CareDidactic: Controversies in Emergency UltrasoundUltrasound in Pediatric Emergency MedicineII: The Debate Rages On(10:30am-12:30pm) Room: Dallas Ballroom C(10:30am-11:30am) Room: Dallas Ballroom A2Didactic: Important Applications for Point-of-CareUltrasound Saturday, in Pediatric May Emergency 17 Medicine(10:30am-12:30pm) Room: Dallas Ballroom CAEUS Didactic SessionsSaturday, May 17Didactic: Do-it-yourself Simulation – Cutting EdgeSimulation on a Shoe-String Budget(8:00am-9:00am) Room: Dallas Ballroom CAEUS Didactic SessionsDidactic: Do-it-yourself Simulation – Cutting EdgeSimulation on a Shoe-String Budget(8:00am-9:00am) Room: Dallas Ballroom CJoin us for the 3 rd annual SonoGames ®and watch teams compete to be thenation’s top sonologists.www.saem.org/academy-emergency-ultrasound26www.saem.org/academy-emergency-ultrasound


MAY 13-17, 2014 | DALLAS, TEXAS27


Clerkship Directors in Emergency MedicineCDEM Sponsored Educational ProgramsMentorship in Emergency Medicine: From Near-Peers to TiersWednesday May 14, 2014 9:00- 10:00amDallas Ballroom D1 (Conf. Center-1st Floor)Drs. Nick Kman and Sarah Ronan-BentleSociety for Academic Emergency MedicineRescuing the Learner Struggling with Clinical Reasoning: Can we do it? How do we do it?Thursday May 15, 2014 8:00-10:00amDallas Ballroom D1 (Conf. Center-1st Floor)Dr. Todd GuthEntrustable Professional Activities (EPA’s) in Undergraduate Medical EducationThursday May 15, 2014 10:30a-12:30pmState Room 2 (Conf. Center-3rd Floor)Dr. Mike Beeson and panelLearner Centered Feedback: Time to Change the ConversationFriday May 16, 2014 8:00-9:00amDallas Ballroom A2 (Conf. Center-1st Floor)Dr. Sorabh KhandelwalCDEM Business MeetingThursday May 15, 2014 1:00 – 5:00pm Dallas Ballroom D1 (Conf. Center-1st Floor)1:00pm1:45pm2:00pm3:00pm4:00pmPresident’s AddressCDEM AwardsSLOE Updates (Drs. Jeff Love, Sarah Ronan, and Nicole Deiorio)NBME Update and SAEM TestsWorkgroups:CDEMcurriculum.orgClerkship Director Challenges and NetworkingSocial Media/Technology: Twitter and iTunes28


An Academy of the Society for Academic Emergency MedicineGEMA in DallasWednesday, May 148:00am-10:00am International Emergency Medicine - Oral AbstractsThursday, May 158:00am-9:00am Ultrasound in Resource-Limited Settings (with AEUS)What GEMA Has Donei. GEMA has represented SAEM at major international EMconferences around the world.ii. GEMA has sponsored high-quality didactic sessions at theSAEM Annual Meeting focusing on teaching and highlightingthe best global EM research from around the worldiii. GEMA-sponsored publications, including a guide to safelysending trainees to other countries and a Code of Conduct forassisting in resource-limited settings, were designed to provideguidance to teachers of EM internationally.iv. Every year we highlight different International EM fellowshipsand assist in collaboration between fellowships. We arealso proud to help establish the annual European Society forEmergency Medicine (EuSEM) Showcase at Annual Meetingsand SAEM Showcase at EuSEM meetings.Friday, May 169:00am-10:00am Ethical Dilemmas in International EM (with Ethics)10:30am-11:30am Federal Funding for Global Health11:30am-12:30pm Global EM Literature Review5:00pm-7:00pm Special Networking Session - Global EM Projects ShowcaseSaturday, May 178:00am-9:30am GEMA Business Meeting9:30am-10:30am GEMA Annual Fellowship Showcase10:30am-12:00pm GEMA Strategic Planning MeetingWhat GEMA Is Doingi. Following the successful Academic Emergency JournalConsensus Conference on Global Health that we co-sponsored,many GEMA members are writing up several manuscriptsthat will help set a research agenda for the specialty.ii. We will sponsor useful networking sessions at ACEP’smeeting and other venues to encourage collaboration andmentorship.iii. Our active committees are working on new teachingresources, gathering an open-source curriculum program,designing a course on research in resource-limited settingsand using social media to help global EM progress.iv. Quarterly newsletters highlight conferences and memberaccomplishmentsiv. Upcoming programming will include course on how tofind funding for a global EM career, ultrasound in the resource-limitedsetting and more!Join GEMA at www.saem.orgMAY 13-17, 2014 | DALLAS, TEXAS29


Your Simulation Academy is comprised ofemergency medicine physicians who arecommitted to enhancing education, research,and patient safety through the use of simulationTRAIN THE TRAINER: ADVANCING SIMULATION FOR EDUCATIONTuesday, May 13th — 8:00 am - 5:00 pm | Lone Star Ballroom, Sheraton DallasACADEMY BUSINESS MEETING AT SAEMFriday, May 16th — 8:00 am to 12:00 pm | Atrium Room 2nd Floor of Conference HotelThere will be 1-2 hours of business, followed by breakout groups to work on projects and networkingSociety for Academic Emergency MedicineSIMULATION DIDACTICSTHURSDAY MAY 15THDS049: Achieving your Milestones through SimulationFaculty: J Siegelman (Sim Acad), D Hart (Sim Acad)Dallas Ballroom D1 (Conf. Center-1st Floor) — 10:30 - 11:30 amDS056 Team Leadership in Emergency Medicine:Opportunities for Measurement and AssessmentFaculty: E. Rosenman, J Branzetti (CORD), and R Fernandez (Sim Acad)Dallas Ballroom D1 (Conf. Center-1st Floor) — 11:30 am - 12:30 pmSATURDAY MAY 17THDS092: Do-it-yourself Simulation: Cutting-edge Simulation on a Shoe-String BudgetFaculty: 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 amDS102: Watch a Doctor Get Sued: A Live MedicoLegal SimulationFaculty: M Smith (Sim Acad)Dallas Ballroom B (Conf. Center-1st Floor) — 10:00 am - 12:00 pmSIM WARSEMRA/SAEM Simulation Academy Resident Sim WarsWed May 14, 2014 — 8:00 am – 12:00 pmLone Star Ballroom C1-C2-C3-C4 (Conf. Center-2nd Floor)30


MAXIMIZE YOUR TIME AT THE 2014 SAEM ANNUAL MEETING:A GUIDE BROUGHT TO YOU BY THE RESIDENT AND STUDENT ADVISORY COMMITTEEWelcome to Dallas as we celebrate SAEM’s 25th anniversary!For 25 years, the Society for Academic Emergency Medicine’sAnnual Meeting has provided a venue for researchers andeducators to showcase innovative and cutting-edge research.This year’s meeting promises to be bigger and better than ever,in true Texas style.This year, the SAEM Resident and Student AdvisoryCommittee (RSAC) has two events developed specificallyfor emergency medicine residents and students to provideopportunities to learn, network, and share ideas. The RSACsponsoredAbstract Scavenger Hunt on May 14-16 will allowteams of 2-3 medical students and residents to seek outabstracts in the Gallery of Excellence. Participants mustanswer questions using QR codes and their own smart phones.The team answering the most abstract questions correctlywill win exciting prizes, including free registration to the2015 SAEM Annual Meeting and gift cards to Starbucks andAmazon.com. May the best team win! Join us at the Residentand Student Advisory Committee Reception on May 16 for theannouncement of the winning team.The Resident and Student Advisory Committee Receptionwill be held on Friday, May 16 from 5:30 - 7:30 pm, following theResidency and Fellowship Fair. This inaugural event will be a greatchance to network with colleagues from across the country whilemingling with leaders from SAEM committees and task forces asthey highlight opportunities for medical students and residentsto become involved in emergency medicine at a national levelearly in your career. This reception, open only to medical studentsand residents, is sponsored by ECI, which will provide free drinktickets at their booth in the exhibit hall.May 14 offers cutting-edge sessions on sepsis (The Early Careof Septic Shock: New Data and How Does it Fit?) and heartfailure (Can We Improve Outcomes in Acute Heart Failure?2014 Update on Acute Heart Failure Research). Join faculty andresident presenters in “Teaching 101” for Young Educators, aworkshop designed to enhance learning through skills to improvethe interaction among educators, learners, and the content beingtaught. Learn more about the impact of the Affordable Care Actfrom the panel of speakers in Emergency Medicine: Challengesand Opportunities Under the Affordable Care Act.The inaugural session of IGNITE SAEM! on May 15 will be a blast,as colleagues speak for five minutes on a variety of topics nearand dear to emergency medicine. The Resident Leadership Forumtakes place on May 15 as well. All participating residents will beginthe day in the Resident Leadership Track, before breaking intoeither the Chief Resident Forum Track or the Academic PrimerTrack. These sessions will provide you with leadership and teachingskills necessary in the practice of academic emergency medicine.May 16 includes the Annual Meeting’s highlight for medicalstudents: the SAEM Medical Student Symposium, tailored tomedical students applying to EM. Panel discussions with currentEM residents, roundtable discussions, and lunch with EM programdirectors will prep EM-bound students for the application andselection process. Always a hot topic, Diagnostic Imaging andRadiation Exposure: How Much is Too Much? will discuss the risksof medical radiation exposure and examine methods to decreasethe use of unnecessary medical imaging. Join Dr. Marc Nivet, theAnnual Meeting keynote speaker, to discover the role of diversityand inclusion in promoting innovation in academic emergencymedicine. The Residency and Fellowship Fair is a great place tonetwork with program directors, faculty, and residents from EMresidency and fellowship programs from across the country. Makethe most of this opportunity to ask questions or identify awayrotation options while getting a feel for individual programs youmay not have otherwise considered. Discover the winners of theResident and Student Advisory Committee Scavenger Hunt at thereception following the Residency and Fellowship Fair.Finally, on May 17, discover how the new official subspecialtyof clinical informatics promotes safe and efficient patient care.Emergency Informatics Research: Interesting, ApproachableProjects for Residents or the Career Scientist will explore futuredirections for research.The SAEM Annual Meeting promises to captivate you withcutting-edge innovations and practice-shaping sessions. Evenif you are not up for the battle, check out the SonoGames ®and SimWars battles for supremacy. The poster sessions andoral abstracts will offer something for every interest. We lookforward to seeing you in the didactics sessions, social events,and scavenger hunt, which all promise incredible learning andnetworking opportunities.MAY 13-17, 2014 | DALLAS, TEXAS31


TUESDAY, MAY 13, 2014DallasA1DallasD3Lone Star C1-C2Lone StarC3-C47 AM Coffee Break in Exhibit Hall – 7:00 - 8:00 am8 AMBODOrientation Meeting12:00 - 5:00 pmProgram Directors Session8:00 am - 5:00 pmSimulation - Train the Trainer8:00 am - 5:00 pmLifesaving Ultrasound8:00 am - 5:00 pm5:30 PMWEDNESDAY, MAY 14, 2014Dallas BCMCDallas CCMCDallasA1DallasA2DallasA3DallasD1DallasD2DallasD3Society for Academic Emergency Medicine7 AM Coffee Break in Exhibit Hall – 7:00 - 8:00 am8 AM9 AMDS004:“Teaching101” for YoungEducatorsDS014:EstablishingYour NicheDS009:Not AnotherBoring Lecture!DS001:Maximize YourCareer PotentialDS011:Taking YourAcademicWriting Skills tothe Next LevelDS002:EmergencyDepartmentDischargesDS012:DiagnosingDizzinessDS003:Fulfillingthe ResidentScholarly ProjectRequirementDS013:CommunityParamedicineDS005:Early Care ofSeptic ShockDS015:Mentorshipin EmergencyMedicine10 AM Power Break in Exhibit Hall – 10:00 - 10:30 am10:30 AM11:30 AMDS026:Leading ThroughChange:Becoming aChange AgentDS025:Home Treatmentwith Target-specificAnticoagulants(TSAs) for Patientswith VenousThromboembolism(VTE) Diagnosedin the EmergencyDepartmentDS019:Innovations forPreventing HospitalAdmissions andReadmissionsDS029:Building a GeriatricEmergency Dept.Risk StratificationToolboxDS020:UltrasoundEducationDS030:Development ofworkplace-basedAssessment Toolsin the EDDS021:Super Utilizers:Patient-CenteredCareDS031:Ethical Issues inthe Managementof PotentialOrgan DonorsDS027:Principlesof MedicalPhotographyand the Use ofClinical Imagesin MedicalEducationDS006:Can We ImproveOutcomes inAcute HeartFailure?DS016:ExploringTraditional andNontraditionalTrainingDS022:Improve YourTeaching byDebunkingEducation MythsDS032:Is thePatient Safe?DS007:Stroke onthe FringesDS017:Where is theEvidence IVDS023:Bringing SportsMedicine tothe EmergencyPhysicianDS033:You took what???ToxicologicPublic HealthOutbreaks12:30 PM Lunch – 12:30 - 1:30 pm1:30 PMGrover/Wheeler/Brown-Emergency Medicine: Challenges and Opportunities under the Affordable Care Act1:30 - 3:00 pm in Dallas B/C3 PMPlenary Abstracts3:00 pm - 5:00 pm in Dallas B/C1-55:30 PM7:00 PMLone Star Ballroom — PreconveneOpening Reception5:30 - 7:30 pm32


TUESDAY, MAY 13, 2014HoustonA-B-CSan AntonioASan AntonioBAustin 1 Austin 2 Austin 3Coffee Break in Exhibit Hall – 7:00 - 8:00 amAEM CC8:00 am - 5:00 pmGrantsWorkshop8:00 am - 5:00 pmSr. Faculty LeadershipForum8:00 am - 5:00 pmAcademia and CommunityBased EM8:00 am - 5:00 pmPlanning for a SaferDecade of ED Analgesia12:00 - 5:00 pmAdvanced Evidence-BasedDiagnosis Workshop8am-5pmWEDNESDAY, MAY 14, 2014Lone StarC1-C2-C3-C4Lone StarBHoustonAHoustonBHoustonCSan AntonioASan AntonioBAustin1Austin2Coffee Break in Exhibit Hall – 7:00 - 8:00 amSIM WARS8am-12pmPoster Session 1WednesdayPoster Abstracts8am-12pm73-205796-797___________CVA & HAOral Abstracts14-21DS008:NIHResearchTrainingProgramsDS018:Making the Leapto ResearchIndependenceInternationalEmergencyMedicineOral Abstracts22-29CV-BasicScienceOral Abstracts6-13Power Break in Exhibit Hall – 10:00 - 10:30 amSr. FacultyLeadershipForumCDPSessionCombinedEMRA8am-12:30pmEMRA8am-12:30pmInnovationAbstracts1-98am-12:30pmAnesthesia andAnalgesiaOral AbstractsDS024:Funding forEM ResearchFellowshipsEMS Non-Cardiac-ArrestOral AbstractsResearchMethodsOral Abstracts8am-12pm38-46NIHJeremy Brownof OCER47-5556-64Lunch – 12:30 - 1:30 pmGrover/Wheeler/Brown-Emergency Medicine: Challenges and Opportunities under the Affordable Care Act1:30 - 3:00 pm in Dallas B/CPlenary Abstracts3:00 pm - 5:00 pm in Dallas B/C1-5Lone Star Ballroom — PreconveneOpening Reception5:30 - 7:30 pm


TUESDAY, MAY 13, 2014Atrium State Room 1 State Room 2 Majestic 1Coffee Break in Exhibit Hall – 7:00 - 8:00 am7 AMDiversity 101 Closing theDiversity GapAEM CC BreakoutRoomMERCSession8 AM8am-12pm8am-5pm8am-5pmAEM CC Networking Event5:30 -7:00 pm5:30 PMWEDNESDAY, MAY 14, 2014AtriumSeminar TheaterPearl4Live OakCoffee Break in Exhibit Hall – 7:00 - 8:00 am7 AMAEUSBusinessMeeting8am-12pmDS010: Emergency MedicineWebsitesPower Break in Exhibit Hall – 10:00 - 10:30 amDS028:Beyond Google: InformationMastery at the Point of Care inthe Era of Evidence Syntheses:an E-classroom ExperienceEMSNon-Cardiac-ArrestModerated Posters65-72Health CostsModerated Posters30-378 AM9 AM10 AM10:30 AM11:30 AMMAY 13-17, 2014 | DALLAS, TEXASLunch – 12:30 - 1:30 pm12:30 PMGrover/Wheeler/Brown-Emergency Medicine: Challenges and Opportunities under the Affordable Care Act1:30 - 3:00 pm in Dallas B/C1:30 PMPlenary Abstracts3:00 pm - 5:00 pm in Dallas B/C1-53 PMLone Star Ballroom — PreconveneOpening Reception5:30 - 7:30 pm5:30 PM7:30 PM34


TUESDAY - WEDNESDAY, MAY 13-14, 2014The following SAEM Committees and Interest Groupswill 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 GroupTuesday, May 13, 2014 – SAEM and Committee/Task Force/Academy/Interest Group/Board Meetings10:00am-12:00pm SAEM Committee of Academy Leaders Meeting (COAL) Majestic 5 (Hotel-37th Floor)12:00-5:00pm New SAEM BOD Orientation Meeting Dallas Ballroom A1 (Conf. Center-1st Floor)3:00-5:00pm Program Committee- Subcommittee Meeting and Medical Student Ambassadors Meeting Majestic 4 (Hotel-37th Floor)5:30-7:00pm AEM CC Networking Event State Room 2 (Conf. Center-3rd Floor)5:00-7:00pm SAEM ADIEM LGBT Subcommittee Meeting Majestic 5 (Hotel-37th Floor)Society for Academic Emergency MedicineTuesday, May 13, 2014 – Affiliated Meetings8:00am-5:00pm Peer-Reviewed Lectures (PeRLs)-AWAEM Professional Development Cityview 1 (Hotel-4th Floor)8:00am-5:00pm MERC Session Majestic 1 (Hotel-37th Floor)9:00am-5:00pm EMRA BOD Meeting Trinity 1 (Hotel-3rd Floor)5:00-6:30pm Community VOICES 3 Investigator Meeting Cityview 4 (Hotel-4th Floor)Wednesday, May 14, 2014 – SAEM and Committee/Task Force/Academy/Interest Group/Board Meetings7:00-8:00am Program Committee Daily Meeting Majestic 4 (Hotel-37th Floor)7:00-8:00am SAEM Research Committee Meeting Trinity 5 (Hotel-3rd Floor)8:00am-12:00pm AEUS Academy of Emergency Ultrasound-Business Meeting Atrium Room (Hotel-2nd Floor)9:30-11:00am SAEM/ABEM Executive Committee Meeting Majestic 3 (Hotel-37th Floor)11:00am-12:00pm SAEM Membership Committee Meeting Majestic 2 (Hotel-37th Floor)11:00am-12:00pm SAEM Disaster Medicine IG Meeting Trinity 5 (Hotel-3rd Floor)11:30am-12:30pm SAEM New Chairs Orientation Meeting Majestic 6 (Hotel-37th Floor)11:30am-1:00pm AEM Reviewers Workshop Luncheon-By Invitation Only Majestic 4-5 (Hotel-37th Floor)12:00-1:30pm SAEM International EM Fellowship Consortium Meeting Cityview 8 (Hotel-4th Floor)12:30-1:30pm SAEM CME Committee Meeting Cityview 2 (Hotel-4th Floor)Wednesday, May 14, 2014 – Affiliated Meetings8:00am-5:00pm CORD Meetings Majestic 10 (Hotel-37th Floor)9:00am-12:00pm EMRA BOD Meeting Trinity 1 (Hotel-3rd Floor)9:30-11:00am SAEM/ABEM Executive Committee Meeting Majestic 3 (Hotel-37th Floor)10:00am-2:00pm ACEP Research Forum Abstracts Subcommittee Meeting Majestic 7 (Hotel-37th Floor)12:00-1:30pm EMCREG-International Steering Committee Cityview 3 (Hotel-4th Floor)12:30-1:30pm Syncope Risk Stratification Study Meeting Majestic 1 (Hotel-37th Floor)1:30-2:30pm EMRA Committee Chair/Vice Chair Orientation Meeting Trinity 2 (Hotel-3rd Floor)1:30-2:30pm EMRA Regional Representation Committee Meeting Trinity 3 (Hotel-3rd Floor)1:30-5:30pm EMRA Medical Student Governing Council Meeting Trinity 4 (Hotel-3rd Floor)2:30-3:00pm EMRA Conference Committee Orientation Meeting State Room 3 (Conf. Center-3rd Floor)3:00-4:00pm EMRA Reference Committee Public Hearing Meeting State Room 1-2 (Conf. Center-3rd Floor)4:00-5:00pm EMRA Reference Committee Work Meeting State Room 1-2 (Conf. Center-3rd Floor)5:00-7:00pm EMRA Quiz Show Austin Ballroom 2 (Hotel 2nd Floor)7:00-8:30pm Brown University Reception (By Invitation only) Remington Room (Hotel-4th Floor)35


SAEM 2014 ANNUAL MEETING DIDACTIC PRESENTATIONSMAY 14-17, 2014 — DALLAS, TEXASSociety for Academic Emergency Medicine36WEDNESDAY, MAY 14THDS001: Maximize Your Career Potential:Strategies to Increase Your Academic ProductivityWednesday, May 14 - 8:00 - 9:00 amLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be able to:1. Identify strategies from the session that will increase their scholarlyproductivity,2. List 3 strategies that will increase their potential for career advancement.Description: Staying productive in research or other scholarly work ischallenging for EM physicians, who often have many other personal andprofessional responsibilities competing for their time. However, careeradvancement in academic emergency medicine depends on scholarlyproductivity. Maintaining a successful publishing track record whilebalancing clinical shifts, educational responsibilities, and personal prioritiesrequires planning and strategizing. We have many leaders in academicemergency medicine who have consistently maintained their productivitythroughout their careers. In this session, junior and senior EM researcherswill learn strategies from those who have been successful in our field. Thesession will be a 50-minute panel presentation with three panelists. Therewill be a brief introduction as well as a period for questions at the end. Eachpanelist will have 10 minutes to discuss strategies they use for maintainingtheir academic productivity. Examples of strategies may include building asupportive writing team, increasing productivity through collaboration withcolleagues with similar interests, and building regular writing days into yourclinical schedule.Tracy MadsenAlpert Medical School of Brown University, Providence, RI - SubmitterEsther ChooAlpert Medical School of Brown University, Providence, RI - PresenterDavid C. ConeYale School of Medicine, CT - PresenterLalena YarrisOregon Health and Science University, Portland, OR – PresenterJill M. Baren, MDPerelman School of Medicine, Philadelphia, PA - PresenterDS002: Emergency Department Discharges:Education-based Solutions to Address aSignificant Patient Safety IssueWednesday, May 14 - 8:00 - 9:00 amLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Describe the major threats to safety surrounding patient dischargeprocesses in the emergency department. 2. Describe a training interventionthat targets emergency department patient discharge processes. 3. Listseveral mechanisms for evaluating the impact of a discharge-relatedtraining intervention.Description: The process of discharging a patient from the emergencydepartment presents a significant threat to patient safety due to patient-,hospital-, and practitioner-related factors. While this issue exists inother areas of health care, the dynamic, time-pressured, highly variableenvironment of the emergency department presents additional challengesand inhibits safety mechanisms demonstrated to be effective in othersettings. Faculty will begin this session with a short interactive discussionto engage the audience. Faculty will query attendees about dischargepractices and practitioner education in their institutions. Session leaderswill present an overview of the discharge process literature, focusing onemergency medicine. They will specifically highlight patient-, environment-,and practitioner-related factors that are potential targets for dischargerelatedinterventions. Faculty will present an educational interventionthat targets all three (practitioner, patient, and environment) barriersto effective discharges. They will draw from both the communicationand patient safety literature to support their approach and will presenta mechanism to evaluate training effectiveness. They will end with afacilitated, interactive discussion focused on how to further this line ofinquiry and create an educational agenda around discharge processes.Fiona GallahueUniversity of Washington, Seattle, WA – Submitter, PresenterAmy E. BetzUniversity of Washington, WA - PresenterH. Gene HernAlameda Health System - Highland, CA - PresenterDS003: Fulfilling the Resident Scholarly ProjectRequirement: Solutions from Both Program and ResearchDirectorsWednesday, May 14 - 8:00 - 9:00 amLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be ableto: 1. Define the resident scholarly activity requirement 2. Identify feasibleresident research and academic projects. 2. Understand how departmentalresearch infrastructures can be adapted to complete resident researchand scholarly activities. 3. Increase their knowledge of how to overcomechallenges assisting residents and faculty mentors in executing high-qualityresident research and scholarly projects.Description: Resident research and scholarly activity represent both achallenge and an opportunity for departments or divisions of emergencymedicine. An important objective of emergency medicine residencyprograms is to educate residents on the mechanics of clinical research andother forms of scholarly activity. Participation in research and scholarlyactivity may inspire residents to pursue an academic career. However,meeting the scholarly activity requirement can be difficult for both residentsand faculty. Residents may perceive the scholarly activity requirement asa burden with resultant output of little academic value. Faculty mentorsmay be diverted from working on their long-term career goals for whichdepartment resources are allocated. As a result, academic departmentsof emergency medicine may struggle to identify feasible projects, mentorsand resources for resident research and scholarly activity.Dr. Garmel will introduce the session by providing an overview of the residentscholarly requirement and how feasible projects can be identified, focusingon early mentorship of residents and pairing residents with faculty whoshare the resident’s career interest. Dr. Venkat will discuss how academicdepartments of emergency medicine can identify resources for residentresearch and scholarly activity, including how to adapt existing researchinfrastructures for this purpose. Dr. Baumann will conclude the course byoutlining her department’s hybrid model of non-research and researchscholarly activities. She will also provide examples of successful scholarlyprojects from residents who pursued community and academic careers andwill discuss how to improve faculty and resident motivation.Arvind VenkatWest Penn Allegheny Health System, Pittsburgh, PA - Submitter, PresenterBrigitte M. BaumannCooper Medical School of Rowan University, NJ - PresenterGus M. GarmelStanford University School of Medicine, Kaiser Permanente, CA –PresenterDS004: “Teaching 101” for Young EducatorsWednesday, May 14 - 8:00 - 9:00 amLocation: Dallas Ballroom BObjectives: 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 teachingsession utilizing their particular leadership/teaching style. 3. Learn tocommunicate clear expectations to help promote knowledge acquisition.4. Learn how to teach content so that learners understand and retain thematerial in a more meaningful way.Description: Educators are continuously charged to develop innovativeapproaches to enhance student learning. In fact, the ability to effectivelyeducate others is one of the distinguishing features of an outstandingphysician. Yet, many do so without any formal training or direction, makinglearning a trial-and-error process. Currently, the demand for highly skilledmedical educators is ever increasing. As such, all educators must have aframework for teaching to ensure learners are learning and retaining what istaught to them. This workshop will address 4 aspects of teaching: learningclimate, control of session, communication of goals, and promotion ofunderstanding and retention. This workshop will provide skills to improvethe interaction between the educator, the learner and the content beingtaught.Nestor RodriguezUniversity of Wisconsin, Madison, WI - Submitter, PresenterMegan CloutierEmory University, GA - PresenterMary WestergaardUniversity of Wisconsin, WI – PresenterDS005: Early Care of Septic Shock:New Data and How Does it Fit?Wednesday, May 14 - 8:00 - 9:00 amLocation: Dallas Ballroom D1Objectives: At the completion of this session, participants should be ableto: 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 EDbasedseptic shock research studies. 4. Name at least two approaches toimproving early septic shock care.Description: A recently completed NIH-funded multi-site, ED-based RCTof early septic shock care released results. These data, along with thoseavailable over the past decade, bring into focus the key role of emergencycare in improving outcomes of patients with septic shock. In this session,experts will review the current data and design, including limits; elicitexpert opinion on the current evidence and the impact on care and on futureresearch; and discuss the policy implications of the current knowledge base.Donald M. YealyUniversity of Pittsburgh, Pittsburgh, PA - Submitter, PresenterEmanuel P. RiversHenry Ford Hospital, MI - PresenterStephen TrzeciakCooper Hospital/University Medical Center, Camden, NJ - PresenterAlan JonesUniversity of Mississippi Medical Center, Jackson, MS - PresenterDS006: Can We Improve Outcomes in Acute Heart Failure?2014 Update on Acute Heart Failure ResearchWednesday, May 14 - 8:00 - 9:00 amLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should be ableto: 1. Understand the epidemiology of AHF related to the ED. 2. Describeboth current and emerging biomarkers and therapies. 3. Describe potentialalternative strategies to hospitalization. 4. Understand the role of the EDregarding national quality metrics. 5. Describe key unanswered researchquestions.Description: This state-of-the-art session will focus on the pivotal roleof emergency medicine in acute heart failure (AHF). The role of the EDregarding HF quality measures will also be discussed. New and emergingbiomarkers, updates on emerging therapies along with novel strategiesto reduce morbidity and mortality will also be presented. Key futurehypotheses to advance the field will be discussed and debated.Peter PangNorthwestern University FSM, Chicago - Submitter, PresenterPhillip LevyWayne State University, MI - PresenterSean CollinsVanderbilt University, Nashville - PresenterGregory J. FermannUniversity of Cincinnati, OH – PresenterDS007: Stroke on the Fringes: Update on Management ofWake-Up Stroke, Rapidly Improving/Minor Strokes, andThrombolysis in the Setting of Oral Anti-CoagulantsWednesday, May 14 - 8:00 - 9:00 amLocation: Dallas Ballroom D3Objectives: Upon completion of this course, participants should be ableto: 1. Define wake-up stroke, and summarize the present understandingof the pathophysiology of wake-up stroke 2. Define who may benefit fromthrombolysis after wake-up stroke. 3. Define rapidly improving/minorstroke and summarize the present outcomes. 4. Describe the futuredirection of research for management of rapidly improving/minor stroke.5. Summarize the different types of anticoagulants that the patients withacute ischemic stroke (AIS) may be on and their implication in the setting ofthrombolysis.Description: Intravenous thrombolytic therapy continues to be the onlyFDA-approved acute treatment available for patients with AIS. The goal ofthis session is to discuss three stroke syndromes that blur the indication forthrombolysis: 1) Wake-up Stroke, 2) Rapidly improving/minor strokes, and3) 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 subsequentlyawaken with findings of acute stroke. These patients have traditionallybeen challenging in terms of their eligibility, because of an undefined time ofonset. New research suggests that the time of awakening may be consideredthe onset time of the stroke. The goal of this session will be to discuss wakeupstroke management, what the research indicates, and where the cuttingedgeresearch is headed. Rapidly improving/minor strokes are defined asNIHSS < 5 or rapidly improving symptoms. Because these patients wereinitially excluded from the NINDS-tPA trial, information regarding efficacyand safety in these groups was limited. However, multiple studies havesuggested poor outcomes for these patients. The goal of this session willbe discuss the findings leading to the debate on optimal treatment in thissetting, and current definitions and future research that may be able toanswer this question. Patients with AIS in the setting of anticoagulation,especially with the new generation of anticoagulants, present anotherchallenge to the bedside clinician in deciding on thrombolysis. The goal ofthis session will be to address the newer generation anticoagulants and theapproach to management of these patients.Pratik DoshiUniversity of Texas Health Science Center, Houston, Houston, TX - SubmitterPeter PanagosWashington University, St Louis, MO - PresenterJoshua GoldsteinHarvard Medical School, Boston, MA - PresenterLaura HeitschWashington University, MO - PresenterEdward JauchMedical University of South Carolina, Charleston, SC – PresenterDS008: National Institutes of Medicine (NIH) ResearchTraining Programs or How to Jumpstart a Research Career!Wednesday, May 14 - 8:00 - 9:00 amLocation: Houston Ballroom BObjectives: At the completion of this session, participants should be ableto: 1. Describe the organization of NIH and understand that many institutessupport extramural research training programs. 2. Understand how NIHpostdoctoral training mechanisms, fellowships, and early-career facultyawards help build independent research careers. 3. Describe opportunitiesfor training on the NIH campus (NIH intramural training programs). 4.MAY 13-17, 2014 | DALLAS, TEXAS37


Society for Academic Emergency MedicineRecognize that a loan repayment program exists for some clinicians whopursue NIH research training.Description: One of National Institutes of Health’s (NIH’s) critical missionsis to ensure that there are scientists to meet this country’s biomedicalresearch needs in the future. The goal of this session is to provide anoverview of NIH and its training programs with emphasis on programsavailable to clinicians wishing to pursue scientific careers. Topics willinclude institutional postdoctoral training programs (T32 grants), as wellas fellowship programs (F grants), and early career development awards (Kgrants). Training programs in the NIH intramural labs will also be discussedas well as NIH loan repayment programs that support scientists who studyspecific areas. And <strong>final</strong>ly, the conversation will cover NIH online resourcesand personnel who are available to provide additional information as youstart to investigate a research training program.Jane D. ScottNHLBI, NIH, Bethesda, MD - Submitter, PresenterDS009: Not Another Boring Lecture!Wednesday, May 14 - 8:00 - 10:00 amLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be able to:1. Recognize examples of less effective instruction. 2. Demonstrate a basicunderstanding of modern learning theories and their role in instructionaldesign. 3. Employ new teaching tools effective for their environment.Description: This session will challenge participants to branch out oftheir comfort zone by demonstrating and encouraging the use of moderninstruction. Learners only retain 10-30% of what they hear in standardlectures, often because little attention is paid to learning theories andprinciples of instructional design that promote improved attention andknowledge retention. During the session, participants will participatein several methods of interactive teaching that demonstrate dynamicopportunities for the teacher to engage the learner. These will includecooperative learning, modified team-based learning, and computerassistedlearning. At the completion of the session, participants will be ableto incorporate new teaching methods into their practice.Meg WolffUniversity of Michigan, MI - Submitter, PresenterAmish AgheraMaimonides Medical Center, Albert Einstein College, NY - PresenterSteve CicoNorthwestern University Feinberg School of Medicine, Chicago, IL - PresenterSally SantenUniversity of Michigan, Ann Arbor, MI – PresenterDS010: Emergency Medicine Websites: A Review, theFuture and a “How-To” GuideWednesday, May 14 - 8:00 - 10:00 amLocation: Seminar TheaterObjectives: At the completion of this session, participants should be ableto: 1. Describe emergency medicine topic-specific public websites andresources. 2. Discuss goals and barriers to creating a website, blog, video/audiocast, or a social media feed. 3. Review goals, development and trafficdetails of redpod.org. 4. Provide a step-by-step guide for how to contributeto or create a web space with a limited budget.Description: The volume of emergency medicine material available onthe web has changed how we practice and how we teach. Individuals,residency programs and nonprofits are contributing greatly to this nexusof information. Join us for a review of how our community is contributing.We will summarize our own experiences with creating, composing, andsharing key concepts online for self-motivated learners (www.redpod.org). We will analyze the limitations and challenges we have faced, and howwe have worked together as a multidisciplinary team to create a locallywell-utilized website oriented toward the interests of our followers. Forindividuals interested in contributing to or creating their own website, blog,video/audiocast, or social media feed, we will discuss the key first steps tolaunching such a venture with a limited budget.Oli FrancisUniversity of Connecticut, CT - Submitter, PresenterLalaynya DobrowolskyHartford Hospital, CT - PresenterGabrielle JackninMemorial Hospital - University of Colorado Health, CO – PresenterDS011: Taking Your Academic Writing Skills to the NextLevel: Tips from the ExpertsWednesday, May 14 - 9:00 - 10:00 amLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be able touse tools they have learned to improve their academic writing skills by moreeffectively communicating the outcomes of EM research to the researchcommunity, the media, and the public.Description: Scholarly writing is a skill that is essential for EM researchersto master in order to effectively communicate the results of their work.Without high-quality academic writing, research in our field cannot betranslated into recommendations for clinical practice or public policychanges, and the lay public will not learn about studies that may affecttheir health. In addition, career advancement in academic EM depends onphysicians’ abilities to write and publish in a variety of formats. Furthermore,many EM physicians have never received any formal training in academicwriting. The session will be a 50-minute panel presentation with threepanelists. There will be a brief introduction and a brief period for questionsat the end. Each panelist will focus on a specific area of academic writingand will have 12 minutes to communicate practical tools to help improvethe quality of writing by EM researchers and clinicians. The three areas offocus will be research manuscripts, clinically oriented review articles in EMpublications, and pieces written to communicate EM research to the mediaand/or lay public.Tracy MadsenAlpert Medical School of Brown University, Providence, RI – Submitter, PresenterDeb HouryEmory University School of Medicine, Atlanta, GA - PresenterKevin KlauerEmergency Medicine Physicians, Canton, OH - PresenterChristopher Carpenter (tentative)Washington University School of Medicine, St. Louis, MO – PresenterDS012: Diagnosing Dizziness – A Fresh ApproachWednesday, May 14 - 9:00 - 10:00 amLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Understand the basis for and the intrinsic limitations of the traditional“symptom quality” diagnostic approach to dizziness. 2. Describe a newapproach for the diagnosis of acutely dizzy patients based on symptom“timing and triggers.” 3. Apply targeted bedside eye examination teststo help reduce misdiagnosis of posterior circulation stroke. 4. List thelimitations of brain imaging (both CT and MRI) in diagnosing dizzy patients.Description: Two nationally known experts on neurological emergencieswho have published cutting-edge research on the diagnosis of acutely dizzypatients in the emergency department (ED) will present a new diagnosticparadigm. This is not simply a discussion about how to diagnose the dizzypatient, but rather a critical review of up-to-date research that suggests thevery foundation upon which we diagnose dizzy patients is faulty. Importantly,this is not just a session for trainees: even the most experienced clinicianwill be able to learn and implement this new diagnostic paradigm that hasthe potential to change practice and improve care. The moderator is JoshGoldstein. Jonathan A. Edlow will review the original study upon which the“symptom quality” diagnostic paradigm was based and recent research thatundercuts the basic premises of the symptom quality approach. Dr. Edlowwill present data that suggests that a new diagnostic paradigm based ondizziness “timing and triggers” and a bedside oculomotor exam is far moreconsistent with our current evidence base. David Newman-Toker will focuson solutions. Imaging can be misleading. CT is rarely the best test for a dizzypatient, and even MRI can miss up to 12% of posterior circulation strokes38


in the first 48 hours. Current evidence suggests that we can make moreprecise diagnoses using a targeted bedside exam, and ongoing researchusing video-goggles opens the possibility that soon, we may be able toautomate the bedside oculomotor exam and have an “EKG of the eyes.”Jonathan EdlowBeth Israel Deaconess Medical Center, Boston, MA - SubmitterDavid Newman TokerJohns Hopkins Medical School, Baltimore, MD - PresenterJosh GoldsteinMassachusetts General Hospital, MA – PresenterDS013: Community Paramedicine: A Novel Strategy toDecrease ED Crowding and CostsWednesday, May 14 - 9:00 - 10:00 amLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be ableto: 1. Describe the proportion of 911 dispatches and ambulance transportsfor non-emergent complaints, and the costs associated with this useof the EMS system. 2. Describe the goals, practices, and outcomes ofexisting community paramedicine programs. 3. Understand the effects of acommunity paramedicine program on ED crowding and ambulance diversion.4. Explain the major research methodologies available for outcomes-basedand cost-efficacy evaluation of community paramedicine programs.Description: Many patients that access the EMS system and aretransported to emergency departments could be managed at home or inlower-acuity settings. The Affordable Care Act creates opportunities forhealth care services research focusing on alternate prehospital deliverymodels that may be more efficient and effective for patients needingunscheduled but non-emergent care. While legislative or regulatory reliefwould be required in most states before implementation, one such model,community paramedicine, would expand paramedic scope of practiceto include management and referral of appropriate patients withouttransport, or transport of patients to destinations other than emergencydepartments. If broadly implemented, community paramedicine couldmarkedly decrease ED crowding. In addition, the model could create newcareer pathways for emergency physicians. Many have voiced concernsregarding paramedics’ ability to determine emergent vs. non-emergentpatient presentations, and the ability of EMS systems to create, evaluate,and administer such programs safely and effectively. This didactic sessionuses brief presentations and a panel discussion by EMS leaders to exploredata supporting development of community paramedicine, as well as currentexamples of existing projects. Additionally, it details select methodologiesfor program design and evaluation that may be successfully applied to thisnew field.Shira SchlesingerUniversity of California, Irvine, Orange, CA - Submitter, PresenterMike WilcoxSt. Paul, MN - PresenterJeff BeesonMedStar Mobile Healthcare, Dallas, TX - PresenterKristi L. KoenigCenter for Disaster Medical Sciences,University of California, Irvine, CA – PresenterDS014: Establishing Your Niche: The First Five YearsWednesday, May 14 - 9:00 - 10:00 amLocation: Dallas Ballroom BObjectives: At the completion of this session, participants should be ableto: 1. Establish a timeline of activities for the first five years of their careerand develop a professional mission statement. 2. Identify the importanceof mentoring relationships and their role in establishing such relationships.3. Define the importance of establishing a career focus niche, and how tonurture required skills. 4. Describe the fine balance between universalfaculty obligations and individual career development. 5. List general facultydevelopment opportunities common across all departmental faculty.Description: Entry-level and junior faculty members frequently encounter aperplexing workplace that may not overtly provide the guidance or tools tochart an organized faculty development and professional career pathway.There are many conflicting demands on newly hired faculty, and a reluctanceto say “no” may further compromise career goals. Establishing a timelinefor the first five years and developing a professional mission statement areextremely important tasks for junior faculty. Developing short-term andlong-term SMART career goals is also of utmost importance. These topicsand others will be discussed.Carey ChisholmIndiana University School of Medicine,Indiana University Indianapolis, IN - Submitter, PresenterJohn MaOregon Health and Science University, Portland, OR – PresenterDS015: Mentorship in Emergency Medicine: From Near-Peers to TiersWednesday, May 14 - 9:00 - 10:00 amLocation: Dallas Ballroom D1Objectives: At the completion of this session, participants should be ableto: 1. Describe the mentoring models that exist for medical students andresidents. 2. List several benefits specific to residents in these mentorshiprelationships. 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 workenvironment between an advanced career incumbent (mentor) and abeginner (mentee) intended to promote professional development andcareer advancement. Despite the well-known benefits of mentorship, only40% of medical students have identified a mentor. Additionally, formalmentoring programs for medical students and residents are lacking in mostcountries. 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 studentswho have participated in mentorship programs. Two types of groupmentoringmodels, both involving students, residents and faculty, will bepresented to participants. The structure of the mentorship relationships inboth programs includes residents as mentors to students, providing uniquebenefits to all involved in the mentorship programs. Successes and failuresin mentorship will be discussed. Pros and cons of group mentoring, genderspecificmentoring, and assigned mentoring will also be discussed.Sarah Ronan-BentleUniversity of Cincinnati, Cincinnati, OH - Submitter, PresenterNicholas KmanThe Ohio State University Dept. of Emergency Medicine, OH – PresenterDS016: Exploring Traditional and Nontraditional TrainingOpportunities in Emergency Health Services ResearchWednesday, May 14 - 9:00 - 10:00 amLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should be ableto: 1. List the various graduate and post-doctoral training opportunitiesavailable in health services research. 2. Describe how a research trainingprogram is structured. 3. Describe how to locate and secure a fellowshipwith a tailored research experience, including working with programdirectors 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 acadre of trained researchers with the expertise to answer timely questionsregarding the delivery and financing of the health care system. Healthservices research (HSR) is a growing field that studies how social factors,financing systems, organizational structures and processes, and healthbehaviors affect access to health services, health outcomes, and thequality and cost of health care. Over the past decade, there has been anincrease in training opportunities for HSR available to physicians. Theseprograms include AHRQ-funded institutional training grants (T32), NIHfundedinstitutional grants for emergency research (K12), and the RobertWood Johnson Clinical Scholars Program. Our goal is to provide participantswith an overview of the types of programs available and paint a picture ofwhat 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 HSRMAY 13-17, 2014 | DALLAS, TEXAS39


Society for Academic Emergency Medicinefor the audience. The first speaker, Dr. Newgard, director of the K12 researchfellowship at OHSU, will discuss the features of formal training programs,including but not limited to length, clinical work expectations, salary andservice obligations, and publications and grants typical during and after aresearch fellowship. He will also emphasize what to look for in a mentor andhow to build a mentorship team. For the second portion of the talk, Dr. Barsanwill discuss his experiences with HSR fellows as chair of a department ofemergency medicine and describe how to work with departmental chairsto design an individual fellowship, including contract negotiation, clinical/departmental responsibilities, salary and expectations for grant support,and balancing clinical work with research.Amber SabbatiniUniversity of Michigan, Ann Arbor, MI - Submitter, PresenterEsther ChooWarren Alpert Medical School of Brown University, Providence, RI - PresenterWilliam BarsanUniversity of Michigan, MI – PresenterDS017: Where is the Evidence IV: The ABCs of PediatricRespiratory InfectionsWednesday, May 14 - 9:00 - 10:00 amLocation: Dallas Ballroom D3Objectives: At the completion of this session, participants should be able to:1. Accurately stratify severity of illness in the ED for each respiratory illnessin order to appropriately institute therapy. 2. Develop evidence-basedED treatment strategies for each of these common pediatric respiratoryinfections.Description: Children with respiratory diseases frequently present toemergency departments. Asthma, bronchiolitis, and croup all pose uniquechallenges and clinical dilemmas for the emergency physician. Acute asthmarequires intensive therapy and assessments, which can lead to prolongedED length of stay and high admission rates. Bronchiolitis remains amongthe most difficult clinical entities to manage in the ED setting, owing to lackof efficacious therapies and the highly changeable nature of respiratorydistress and hypoxemia. Croup, on the other hand, has known therapies thatare effective, yet recognition of correct application of treatment in the EDsetting is not always the rule. Treatment dilemmas remain for each of thesecommonly 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 treatmentin the ED. In this session, the up-to-date evidence for ED management ofacute asthma, bronchiolitis, and croup will be presented, including synthesisof current literature for each condition. We will review the latest evidencebasedapproach and treatment for each respiratory illness, and discussupcoming research and potential future ED interventions.Rakesh MistryChildren’s Hospital Colorado, Denver, CO - Submitter, PresenterRichard RuddyCincinnati Children’s Hospital, OH - PresenterTodd A. FlorinCincinnati Children’s Hospital Medical Center, OH – PresenterDS018: Making the Leap to Research Independence: NIHCareer Development AwardsWednesday, May 14 - 9:00 - 10:00 amLocation: Houston Ballroom BObjectives: At the completion of this session, participants should be ableto: 1. Describe the objectives of NIH individual career development awards.2. Understand the differences between institutional (K12, KL2) awards andindividual awards (K08/K23 award). 3. Understand how the awards helpyoung faculty develop areas of research expertise 4. Identify why K awardsare critical in developing research independence.Description: The goal of the session will be to provide an overview of NIHInstitutional Career Development Awards (K12, KL2) as well as the individualcareer development awards (K08, K23). The panel includes current andformer K- awardees who are emergency medicine faculty. Investigators willdiscuss their experiences in applying for the K awards, the benefits of theaward, and will comment on how the award helped them in their researchcareers. 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. ScottNHLBI, NIH, Bethesda, MD - Submitter, PresenterLance B. BeckerUniversity of Pennsylvania Health System,Center for Resuscitation Science, PA - PresenterJeffrey A. GlassbergMount Sinai, New York, NY – PresenterDS019: Innovations for Preventing Hospital Admissionsand ReadmissionsWednesday, May 14 - 10:30 - 11:30 amLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be ableto: 1. Discuss evidence-based alternatives to hospitalization from the EDfocusing on clinical prediction rules and other criteria to guide decisions. 2)Explain novel strategies such as Hospital at Home and transitional care toreduce admissions. 3) Describe options for patients with uncertain follow-up.Description: Emergency department utilization is increasing as thepopulation ages, and a disproportionate number of older patients whopresent to emergency departments are admitted to the hospital. Thereasons for this are varied, and include provider discomfort with dischargeplanning, insufficient coordination with outpatient providers, and perceivedlack of support or resources at home. Hospital admission, particularly forolder patients, is fraught with complications such as hospital-acquiredinfections, exacerbations of delirium, and falls, all of which are associatedwith significant morbidity and financial burden. Avoiding hospital admissionand readmission is an attractive goal, as it may reduce these complicationsand lead to safer, more effective, and better-quality patient care. In thissession, we will examine evidence-based alternatives to hospitalizationfrom the ED, focusing on clinical prediction rules to guide decision-making,alternative strategies such as Hospital at Home, improving transitionsin care to prevent unnecessary readmissions, and exploring options forpatients with uncertain follow-up.Marian BetzUniversity of Colorado School of Medicine, Aurora, CO - SubmitterMary TanskiOregon Health and Science University, Portland, OR - PresenterJesse PinesGeorge Washington University School of Medicine, Washington, DC – PresenterDS020: Developing an Effective Curriculum forIncorporating Ultrasound Education into the GrossAnatomy Course in Medical SchoolWednesday, May 14 - 10:30 - 11:30 amLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Discuss key components for developing a comprehensive ultrasoundcurriculum in gross anatomy. 2. Develop a systematic approach forincorporating basic and advanced ultrasound imaging applications intothe gross anatomy course. 3. Describe effective methods of evaluatinglearner competencies. 4. Discuss challenges associated with programimplementation. 5. Recognize the importance of collaboration with thegross anatomy instructor to accomplish the educational objectives.Description: This course will provide participants with the necessary toolsto develop effective ways of implementing a curriculum for incorporatingultrasound education into the medical school gross anatomy course.The course content will include examples of curriculum documents usedat the Wayne State University School of Medicine since 2006, and tips ondeveloping more effective teaching methods using ultrasound to enhancethe medical student’s understanding of gross anatomy. The course will alsofocus on developing appropriate and practical objectives for implementinga curriculum for teaching gross anatomy. Unique aspects of courseimplementation will also be discussed, including recruiting enough qualified40


instructors and how to develop student interest in ultrasound very earlyin the preclinical years. Participants will also learn about effective ways ofevaluating medical student competencies in ultrasound image acquisitionand interpretation, and how to partner with the gross anatomy professor tofacilitate course implementation.David AmponsahHenry Ford Hospital, Detroit, MI - Submitter, PresenterMark IrelandWayne State University School of Medicine, Detroit, MI - PresenterJulian SuszanskiHenry Ford Hospital, Detroit, MI - PresenterGregory HaysHenry Ford Hospital, Detroit, MI - PresenterSudhir BaligaHenry Ford Hospital, Detroit, MI – PresenterDS021: Super Utilizers: Patient-Centered CareWednesday, May 14 - 10:30 - 11:30 amLocation: Dallas Ballroom A3Objectives: On completion of this session, participants should be able to:1. Describe the utility of a patient-centered care committee for ED superutilizers. 2. Recognize the resources in their community to aid in the careof the super utilizer. 3. Explore the implications of super utilizers on thehospital. 4. Review ways to access community outreach and resources.Description: The emergency department (ED) is packed, trauma patientsare coming in by air and ground, and here comes James, stumbling in, for histhird visit today. Call it what you may: “super utilizer,” “uber-user,” “populationmanagement,” or “complex case management,” EDs often serve as the superutilizer’s primary source for health care. This is an untenable situation:health care systems are attempting to improve quality of care, reducecosts, and provide EMTALA-mandated care while many other resources arestill fragmented or inaccessible. The speaker will discuss the “complex casesuper utilizer” committee and its mission in a Level 1 urban-based traumahospital. The speaker will review the resources and community outreachthat have come together to champion this population and will review thesteps to reduce use of the ED, decrease unnecessary admissions, supportpatients through community resources, and improve patient outcomes. Thespeaker will present several case-based experiences discussing complexcase management with patient-centered plans for patients with chronicillnesses and will discuss how the super utilizers have acclimated to acommunity-based health care system. Finally, the speaker will describe thekey components to assessing eligibility for enrollment services throughfederal, state, and community resources.Ashlee MelendezUniversity of Louisville, Louisville, KY - Submitter, PresenterKirsten RoundsAlpert Medical School of Brown University, Providence, RI - PresenterKenneth A. MarxUniversity of Florida, Gainesville, FL – PresenterDS022: Improve Your Teaching by Debunking EducationMyths: Evidence-based Teaching Workshop Using ArticlesThat Will Change Your Teaching PracticeWednesday, May 14 - 10:30 - 11:30 amLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should be able to:1. Explain several limitations associated with traditional teaching. 2. Discussevidence for optimizing educational techniques from the teaching andlearning literature. 3. Apply the evidence to develop strategies to changeand improve their teaching practice.Description: RATIONALE: In the same way that clinicians apply evidencebasedchanges to their practice, medical educators should use evidencebasedconclusions from pedagogical literature and incorporate it intotheir teaching practice. CONTENT: This workshop will help participantstranslate evidence from some landmark education articles: 1) urban legendsof learning styles; 2) multi-tasking and applications to teaching; 3) learningretention; and 4) technology and learning. Each year, this highly rated sessionincorporates the most recent literature to inspire changes in teachingpractice. The evidence will be briefly presented; the participants will thendivide up into small groups to plan learning or assessment exercises basedon their own settings. The workshop will be highly interactive, requiringparticipants both to use the evidence and to apply it to their teaching,learning and assessment practices. The workshop will incorporate largeandsmall-group exercises to understand the concepts and to develop waysto improve each participant’s teaching skills. The participants will gain abetter understanding of the available evidence for effective teaching andassessment, take home strategies for improving their teaching, and developa plan for incorporating the evidence into their teaching practice.Sally SantenUniversity of Michigan, Ann Arbor, MI - Submitter, PresenterSusan E. FarrellPartners Healthcare International,Harvard Medical School, Boston, MA - PresenterRobin HemphillVeterans Association, Ann Arbor, MI - PresenterLaura R. HopsonUniversity of Michigan, Ann Arbor, MI – PresenterDS023: Bringing Sports Medicine to the EmergencyPhysicianWednesday, May 14 - 10:30 - 11:30 amLocation: Dallas Ballroom D3Objectives: At the completion of this session, participants should be ableto: 1. Recognize the growing demand for emergency care of athletic injuriesand identify the unique challenges and opportunities involved in providingthis care. 2. Understand the role of the emergency physician in advancingcare through research and resident education in sports medicine. 3. Identifyareas of scholarly concentration for the non-fellowship-trained emergencyphysician with an interest in sports medicine.Description: While increasing numbers of emergency physicians arepursuing fellowship training in sports medicine, many more are staffing massparticipation events, covering athletic sidelines, and facing sports medicinechallenges in the emergency department. Management of sports-relatedconcussion, injury prevention in youth sports, and sudden cardiac arrest inathletes are hot topics in the sports medicine community with particularrelevance to emergency medicine. This session will highlight controversialclinical issues surrounding care of the athlete, opportunities for researchand resident education, and recommendations for the emergency physiciandesiring greater involvement in sports medicine. Each speaker practicesacademic emergency medicine, clinical sports medicine, or team medicinein settings encompassing high school, college, and professional sports.Jeffrey Feden, MD, will provide a brief overview of controversies in sportsmedicine and their importance to the emergency physician (10 minutes).Moira Davenport, MD, associate EM residency director at AlleghenyGeneral Hospital and team physician for the Pittsburgh Pirates baseballteam, will highlight opportunities for advancing concussion care throughresearch and peer education (15 minutes). Anna Waterbrook, MD, associatefellowship director and team physician at the University of Arizona, willdiscuss methods to enhance EM resident education in orthopedics andsports medicine (10 minutes). The program will conclude with a collectivereview of practical considerations for the emergency physician interestedin developing professionally in this growing field (10 minutes). A briefquestion-and-answer session will follow (5 minutes).Jeffrey FedenAlpert Medical School of Brown University,Providence, RI – Submitter, PresenterAnna WaterbrookUniversity of Arizona, Tucson, AZ - PresenterMoira DavenportAllegheny General Hospital, Pittsburgh, PA – PresenterMAY 13-17, 2014 | DALLAS, TEXAS41


Society for Academic Emergency MedicineDS024: Funding for EM Research Fellowships: NIH Post-Doc Institutional Training Grants (T32)Wednesday, May 14 - 10:30 - 11:30 amLocation: Houston Ballroom BObjectives: At the completion of this session, participants should be ableto: 1. Understand that NIH T32 training is a fundamental building block indeveloping research careers. 2. Describe how the NIH T32 postdoctoraltraining grants can be aligned in conjunction with EM fellowship programs. 3.Describe the attributes of successful T32 programs, and be better preparedto write a T32 grant application.Description: The National Institutes of Health have a long history offunding Institutional Training Programs (T32 grants) that provide pre- andpostdoctoral research training. T32 postdoctoral programs are frequentlyaligned with clinical fellowship programs and provide postdoctoral traineestipends, tuition, travel, and training-related expenses. Most importantly,the stipends provide 90% protected time to pursue research. T32 traininggenerally 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 careerdevelopment 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, emergencymedicine has had very limited success in translating these fellowshipguidelines into the T32 mechanism. Several years ago, the SAEM FellowshipTask Force established guidance for clinical and health services research EMfellowships. The Task Force recommendations addressed training length,protected time, courses, ethics, grant writing, publications, mentoring andmetrics. The Fellowship criteria are clear, specific, and challenging, and the<strong>final</strong> result is that EM research fellowship requirements are now comparableto many T32 postdoctoral research training programs. The purpose of thissession is to provide an overview of NIH T32 programs, explore how thesetraining grants might benefit EM research fellowships, and discuss ways tomaximize application success. Discussion will include program structure,leadership, mentoring, coursework and metrics of program success.Jane D. ScottNHLBI, NIH, Bethesda, MD - SubmitterJudd HollanderUniversity of Pennsylvania, Philadelphia, PA - PresenterCynthia D. MorrisOregon Health & Science University, Portland, OR - PresenterDouglas B. SawyerVanderbilt K12 Program in Emergency Medicine, Nashville, TN - PresenterLynne D. RichardsonIcahn School of Medicine at Mount Sinai, New York, NY – PresenterDS025: Home Treatment with Target-specificAnticoagulants (TSAs) for Patients with VenousThromboembolism (VTE) Diagnosed in the EmergencyDepartmentWednesday, May 14 - 10:30 am - 12:30 pmLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be ableto: 1. Describe how to initiate an outpatient treatment protocol for venousthromboembolism using TSAs in the emergency department. 2. Explain thebarriers to and patient- and hospital-oriented implications of initiating thisprotocol.Description: This session seeks to generalize a standard care protocolof home treatment for low-risk patients with VTE, including PE, with TSAagents. The workshop comprises three sessions: lecture, breakouts andsummary. The lecture session will present the protocol and outcomes fromone 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, accessand adherence to NOAC therapy; iii. The mechanism for follow-up, includingan EM-run clinic, what needs to be monitored and when; iv. Via Skype, livetestimonial of opinions and preferences from VTE patients from our clinic,comparing this experience to “Coumadin clinic”; v. Operationalizing theprotocol; and vi. Pitfalls and Setbacks. 2) Economics: i. Case-control costdata comparing our patients to matched controls treated with warfarin; ii.Economic value of this approach to patients and hospitals with under fourhypothetical payer assumptions: Patient self-pay, Medicare, Medicaid, orprivate health insurance. 3) Academic advancement: i. Funding opportunitiesfrom industry, PCORI and CMS; ii. This model as a platform to train researchfellows in the policy and science of expanded home treatment in emergencycare. 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 includereversal protocols. In the summary session, all participants will reviewthe themes of the breakout sessions and, as needed, ask questions of theorganizers and the patient participant.Jeffrey KlineIndiana University School of Medicine, Indianapolis, IN - Submitter,PresenterDaren M. BeamIndiana University School of Medicine, Indianapolis, IN - PresenterZachary P. KahlerIndiana University School of Medicine, Indianapolis, IN – PresenterDS026: Leading Through Change: Becoming a ChangeAgentWednesday, May 14 - 10:30 am - 12:30 pmLocation: Dallas Ballroom BObjectives: 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 startexercising immediately. 3. Discuss techniques to manage individuals andcreate a culture of change.Description: This session will provide participants with practical toolsand advice by which to 1) establish “buy-in” with change, 2) understandthe culture of a true learning organization, 3) uncover opportunities forsuccessful interactions and positive change, 4) interact with and learn fromSAEM leaders in a small-group setting. In the initial brief introduction, Drs.Blomkalns and Clyne will describe the obstacles met when leading change inan organization and identify key skills typical of successful change agents.The short introduction will be followed by facilitated roundtable discussionswith SAEM leaders at individual tables. Roundtable participants in the pasthave included Alan Jones, Deb Houry, Brian Gibler, James Hoekstra, CherriHobgood, Kate Heilpern, Deb Diercks, Arthur Pancioli, Robert Hockbergerand Brian Zink. An updated list for the 2014 meeting will be posted atregistration.Andra BlomkalnsUniversity of Cincinnati, Cincinnati, OH - Submitter, PresenterBrian ClyneAlpert Medical School of Brown University, Providence, RI – PresenterDS027: Principles of Medical Photography and the Use ofClinical Images in Medical EducationWednesday, May 14 - 10:30 am - 12:30 pmLocation: Dallas Ballroom D1Objectives: At the conclusion of this session, participants should be ableto: 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 establishpermanence of clinical teaching opportunities. In order to maximize thesharing experience and opportunities for learning from clinical photographs,the educator should strive to obtain medical images of the highest possiblequality. This session consists of a series of short lectures addressing a) theessential equipment needed to produce excellent clinical images, b) thefundamentals of medical photography, including explanations of exposure,lighting, establishment of view, reproduction ratios, and management ofdistortion, c) the use of clinical images to augment teaching, and d) clinicalapplications of medical photography. Following the lecture segment, thefaculty will teach a hands-on workshop so that participants can practicenewly learned techniques. During the workshop, the faculty will use digital42


SLR cameras and projection equipment to demonstrate how propertechnique generates high-quality images, as well as how improper techniquemay result in poorer-quality images. Participants are encouraged to bringtheir own personal digital SLR cameras, but cameras will be provided duringthe workshop for participants’ use.R. Jason ThurmanVanderbilt University, Nashville, TN - Submitter, PresenterSuzanne Dooley-HashUniversity of Michigan, Ann Arbor, MI - PresenterKevin KnoopNaval Medical Center, Portsmouth, VA - PresenterLawrence StackVanderbilt University, Nashville, TN – PresenterDS028: Beyond Google: Information Mastery at the Pointof Care in the Era of Evidence Syntheses: an E-classroomExperienceWednesday, May 14 - 10:30 am - 12:30 pmLocation: Seminar TheaterObjectives: At the completion of this session, participants should be able to:1. Harness the power of unique search engines designed to deliver conciseand user-friendly evidence syntheses at the point of care. 2. Navigateand practice using such resources for purposes of emergency medicinedecision-making.Description: Single studies are rarely (if ever) the source of truth for whatworks in emergency medicine. The Institute of Medicine has made clear inits 2011 report that decision-making by clinicians and their patients shouldbe informed by systematic reviews. Specifically, systematic reviews andhigh-quality clinical practice guidelines based upon them need to synthesizethe totality of relevant clinical research, while mitigating the risks of biasin study design and execution - but where to find that research? Suitableelectronic resources are often readily available to clinicians within theirinstitution, as are sophisticated search engines that can facilitate timelyaccess. However, knowledge and effective use of these resources areoften limited. Using the unique e-classroom facility available at the SAEMconference hotel, participants will engage in a hands-on and practicalproblem-solving workshop that will highlight cutting-edge evidence-basedsearch engines, e.g. the Trip database, MacPLUS Federated Search, andNational Guidelines Clearinghouse. It will showcase online resources thatserve as repositories for high-quality evidence syntheses. Specifically,participants will work from purposely designed clinical cases that highlightknowledge gaps and provide context for learning to use such resources.The session format will promote team learning and interactivity, whilefaculty will provide guidance and information on the online resources thatwill be explored. Participants will work from a single home-base webpagewith links to high-impact resources that they will navigate to inform themanagement of critical problems in emergency care.Eddy LangUniversity of Calgary, Calgary, AB, Canada - SubmitterPeter WyerColumbia University, New York, NY - PresenterMichael BrownMichigan State University, Grand Rapids, MI - PresenterRawle SeupaulUniversity of Arkansas for Medical Sciences, Little Rock, AR – PresenterDS029: Building a Geriatric Emergency Department RiskStratification Toolbox: Evidence-Based Screening forCognitive Impairment, Risk of Falls, and Functional DeclineWednesday, May 14 - 11:30 am - 12:30 pmLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be able to:1. Understand the research methods and quality assessment of diagnosticor prognostic systematic reviews in geriatric emergency medicine. 2. Usesystematic review methodology to find and incorporate valid, reliableemergency department appropriate instruments to screen older adultpatient populations for dementia, delirium, fall-risk, and antecedentfunctional decline. 3. Develop strategies to overcome common barriers towidespread geriatric syndrome screening for these four conditions in thecontemporary emergency department.Christopher CarpenterWashington University, St. Louis, MO - Submitter, PresenterTimothy Platts-MillsUniversity of North Carolina at Chapel Hill, Chapel Hill, NC – PresenterDS030: Development of Workplace-based AssessmentTools in the Emergency DepartmentWednesday, May 14 - 11:30 am - 12:30 pmLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be able to:1. Understand the processes for developing workplace-based assessmenttools. 2. Describe the concepts of reliability and validity of workplacebasedassessment. 3. Identify potential difficulties with implementation ofworkplace-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 bothcompetency and developmental milestones. Development of these tools iscomplicated by variations within ED workplaces. Knowledge of the conceptsof workplace-based assessment and understanding of the variables tobe assessed are the keys to successful evaluation development. Thisworkshop will present a step-by-step method for developing a workplacebasedassessment of trainees to meet these requirements, while takinginto account specific training environmental factors. The concepts ofvalidity and reliability of assessment tools will be presented and evaluated.Factors that influence these two concepts during tool developmentwill be presented and discussed. Potential implementation difficultieswhen utilizing workplace-based direct assessments of the ACGME EMmilestones will be considered. After the workshop, participants shouldhave an understanding of the requirements for effective workplace-basedassessment tools and an understanding of how to develop these tools fortheir own programs.Thomas K. SwobodaLSU Health Sciences Center, Shreveport, LA - Submitter, PresenterSusan PromesUCSF School of Medicine, San Francisco, CA - PresenterSally SantenUniversity of Michigan School of Medicine, Ann Arbor, MI – PresenterDS031: Ethical Issues in the Management of PotentialOrgan Donors in the Emergency DepartmentWednesday, May 14 - 11:30 am - 12:30 pmLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be ableto: 1. Describe the organ donor management protocols in the emergencydepartment. 2. Review ethical concerns in the areas of donor identification,referral and treatment associated with current methods of organprocurement. 3. Describe how ethical tensions in the management ofpotential organ donors can be overcome in the emergency department.Description: Transplantation is a beneficial medical intervention forpatients whose lives are threatened by organ failure. In the United States,the primary source of organ donation is patients who have been declareddead by either neurologic or cardiac criteria. The emergency departmentserves as a common point of entry for the presentation of individuals whoare most likely to transition from being salvageable to being a potentialorgan donor. As a result, emergency physicians play a critical role in theidentification, referral and treatment of patients who are potentialorgan donors. This course will provide an overview of how organ donormanagement can raise ethical concerns for emergency physicians and howthese tensions can be resolved. Dr. Venkat will introduce the session byproviding an overview of the current protocols for organ donation underneurologic and cardiac criteria and the role that emergency physicians playin their execution. Dr. Schears will discuss how these protocols can presentethical dilemmas for emergency physicians, with particular focus on theperceived transition of physician obligations from patient treatment todonor management. Dr. Michael will highlight the difficulties posed by theneed for early patient referral to local organ procurement organizationsand the logistical challenges of managing an organ donor in the emergencyMAY 13-17, 2014 | DALLAS, TEXAS43


Society for Academic Emergency Medicinedepartment under the current constraints of law and practice. Drs. Michaeland Venkat will conclude the session by presenting a point-counterpointanalysis of how emergency physicians can resolve potential ethicaldilemmas during identification, referral and treatment of organ donors inthe emergency department.Arvind VenkatAllegheny Health Network, Pittsburgh, PA - Submitter, PresenterRaquel SchearsMayo Clinic, Rochester, MN - PresenterJeremy SimonColumbia University, New York, NY – PresenterDS032: Is the Patient Safe? Assessing ProceduralCompetenceWednesday, May 14 - 11:30 am - 12:30 pmLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should be able to:1. Discuss the needs, benefits, and limitations of assessment of proceduralcompetency. 2. Discuss the educational rationale behind assessmentof skills. 3. Identify methods that optimize use of available resources toperform procedural assessment on trainees. 4. Develop a plan to implementan assessment of procedural skills in a variety of scenarios.Description: Procedural skills involve a complex combination of cognitiveand technical skills. The ACGME milestones and, potentially, conditionsfor maintenance of certification are increasingly requiring that learnersand practitioners be formally assessed for procedural competency. Inaddition, assessment also provides an opportunity for feedback to enhanceskill development. Both of these goals require use of effective and validtools. This session will review the evidence supporting the use of variousassessment modalities, including self-assessment, direct observation, useof non-physician evaluators, and simulation. It will also review availableassessment tools such as the OSATS instrument. The session will coverissues related to determining the validity of an assessment and developinga toolbox. Through the use of case examples and small-group activities,participants will practice use of common assessment instruments andstrategies for their implementation. Due to the interactive nature of thesmall-group sessions, additional facilitators will be employed for thesesections of the workshop, including: Alyssa Bryant, MD; Jared Novack, MD;Cemal Sozener, MD; and Nikhil Theyyuni, MD.Samantha HauffUnviersity of Michigan, Ann Arbor, MI - SubmitterLaura R. HopsonUniversity of Michigan, Ann Arbor, MI - PresenterDouglas AnderEmory University, Atlanta, GA - PresenterErnest WangNorthShore University Health System, Evanston, IL – PresenterDS033: You took what??? Toxicologic Public HealthOutbreaks: Lessons from Synthetic Cannabinoid, BathSalt, and Acetyl Fentanyl Experiences of 2013Wednesday, May 14 - 11:30 am - 12:30 pmLocation: Dallas Ballroom D3Objectives: At the completion of this session, participants should be ableto: 1. List resources available to ED providers concerned about an outbreakrelated to a new drug of abuse. 2. Describe the steps in identification of anew drug of abuse. 3. Identify the process of a public health response to anemerging toxicologic epidemic.Description: Designer drugs of abuse (DOAs) and “legal” drug alternativeshave become a significant public health issue over the past decade. Due tothe nature of these agents, the initial presentation of cases is most often toEMS and emergency departments (EDs). ED providers are on the front lineswhen a community is confronted by a novel DOA. As such, we are placedin the difficult position of being expected to care for these cases whilesimultaneously 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 howto collaborate with public health officials and law enforcement to bestcontrol the epidemic.This session will bring together experts in emergency medicine, medicaltoxicology and public health. There will be two brief presentationsdiscussing the novel DOA outbreaks in 2013: synthetic cannabinoids(SC), bath salts, and acetyl fentanyl. Dr. Andrew Monte will discuss theSC outbreak in Colorado and how local hospitals, law enforcement, thedepartment of public health, and the CDC collaborated to identify thecausative agent and minimize patient exposure. Dr. Edward Boyer willdiscuss the outbreaks of acetyl fentanyl in Rhode Island and bath salts inBoston, with emphasis on rapid identification by emergency physicians andforensic toxicologic investigation. Dr. Alvin Bronstein will supplement thepanel with informal discussion of the National Poison Database System,public health resources, and the roles of the EM physician and toxicologistin surveillance. A discussion about the identification of the causativeagents, how to facilitate cooperation between partners with differentobjectives and different time constraints, and what resources are availablefor EM physicians during an outbreak will follow. We will close with a panelquestion-and-answer session led by the moderator, with opportunities foraudience participation.Andrew MonteUniversity of Colorado, Aurora, CO - Submitter, PresenterAlvin C. BronsteinRocky Mountain Poison & Drug Center, Denver, CO - PresenterEdward Wright BoyerUniversity of Massachusetts School of Medicine, Worcester, MA - PresenterJason HoppeUniversity of Colorado, Aurora, CO – Presenter44


SAEM 2014 ANNUAL MEETING ABSTRACTSMAY 14-17, 2014 — DALLAS, TEXASListed below are the title, presenter name, and presenter institution for the 834 abstracts that have been selected for presentation at the2014 SAEM Annual Meeting from 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers donot correspond to the original abstract numbers given at time of submission.*SAEM Gallery of Excellence Nominees 2014WEDNESDAY, May 14th, 2014PLENARY ABSTRACTSWednesday, May 14, 3:00 - 5:00 pm in Dallas Ballroom BCModerator:1 Lorazepam versus Diazepam for Pediatric Status Epilepticus: Results ofa Randomized Clinical TrialJill M. Baren, MD, MBE, Perelman School of Medicine2 Decrease in the Prescription of Opioids in a Large Public HospitalSystem: Effect of Prescribing Guidelines.Eric Legome, MD, Kings County Hospital3 Low-Dose Ketamine Improves Pain Relief in Patients ReceivingIntravenous Opioids for Acute Pain in the Emergency Department:Results of a Randomized Double-Blind Clinical TrialFrancesca L. Beaudoin, MD, MS, Rhode Island Hospital/ Brown University4 Thermal Augmentation of Vancomycin against Staphylococcal BiofilmJohn Younger, MS, MD, University of Michigan5 Use of a Condition-Specific Electronic Health Record Order Set forEmergency Department Stroke Patients is Associated with ImprovedOutcomesDustin W. Ballard, MD MBE, Kaiser Permanente San Rafael Medical CenterCV -BASIC SCIENCE - ORAL ABSTRACTSWednesday, May 14, 8:00 - 10:00 am in San Antonio Ballroom AModerator:6 Thromboelastography (TEG) Shows Variation Depending on SampleSource in Fibrinolysis in a Large-Animal Model of Pulmonary EmbolismNathan J. Alves, PhD, Indiana School of Medicine7 Wide Variability with Clot Induction to Achieve Submassive PulmonaryEmbolism in an Extremely Controlled Animal Model.Daren M. Beam, MD, MS, Indiana School of Medicine8 Inhibition of the Mitochondrial Fission Protein Dynamin Related Protein1 (Drp1) Improves Myocardial Hemodynamics and Survival in a MurineModel of Cardiac ArrestWillard W. Sharp, MD, PhD, University of Chicago9 The RV/LV Ratio Shows Poor Correlation and Agreement with PulmonaryVascular Resistance in a Submassive Pulmonary Embolism ModelDaren M. Beam, MD, MS, Indiana School of Medicine10 Effects of Therapeutic Hypothermia on Amiodarone DispositionYukio Sato, MD, Keio University School of Medicine11 Probiotics Decrease the Response to Induced Vascular InflammationAdrien Mann, BS, University of Cincinnati12 Thymosin Upregulates MicroRNA Expression in Rat EmbryonicOligodendrocytesDaniel Morris, MD, Henry Ford Health System13 Critical Role of Sphingosine-1-Phosphate Receptor 2 in Sepsis Morbidityand MortalityTeresa Sanchez, PhD, Beth Israel Deaconess Medical CenterCVA & HA - ORAL ABSTRACTSWednesday, May 14, 8:00 - 10:00 am in Houston Ballroom AModerator:14 Temporal Trends in ED-Based Migraine Management: a NHAMCSAnalysisBenjamin W. Friedman, MD, Albert Einstein College of Medicine15 A Randomized Double-blind Comparison of Single-DoseProchlorperazine Versus Acetaminophen, Aspirin and Caffeine for theTreatment 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.16 Trends in Opioid Prescribing for Acute Headache inU.S. Emergency DepartmentsMaryann Mazer-Amirshahi, PharmD, MD,Children’s National Medical Center17 Use of MigraineBox Head and Neck Cooling Bath for Treatment ofPrimary Headaches in the Emergency DepartmentJames Miner, MD, Hennepin County Medical Center18 Thymosin for the Treatment of Sub-Acute Stroke: Optimizing theTreatment WindowDaniel Morris, MD, Henry Ford Health System19 Post-tPA Intracranial Hemorrhage: INSTINCT Community Hospitals vsPooled Analysis DataCemal B. Sozener, MD, University of Michigan20 Clinical Factors Associated with Mortality after Intracranial HemorrhageMarie C. Vrablik, MD, Indiana University21 Hurry Acute Stroke Treatment and Evaluation (HASTE) 2: STAT! StrokePathway, Reducing the Time to Hyperacute Stroke Treatment Using a SixSigma ApproachDevika Kashyap, BA, Foothills Medical CentreINTERNATIONAL EMERGENCY MEDICINE - ORAL ABSTRACTSWednesday, May 14, 8:00 - 10:00 am in Houston Ballroom CModerator:22 Training Emergency Care Practitioners and Creating Access to AcuteCare Services in Uganda: the Pilot PhaseBradley Dreifuss, MD, University of Arizona, Department of EmergencyMedicine23 ED Quality and Safety Indicators in Resource-Limited Settings: AnEnvironmental SurveyEmily L. Aaronson, MD, Harvard-Affiliated Emergency Medicine Residency24 The Impact of Airway Management in Traumatic Brain Injury atKilimanjaro Christian Medical Center, Moshi, TanzaniaCatherine A. Lynch, MD, MScGH, Duke School of Medicine25 Systematic Development of a Gender-Based Violence Screening Toolkit(ASIST-GBV): Evidence from Female Refugees in Ethiopia and FemaleInternally Displaced Persons in ColombiaMary P. Chang, MD, Johns Hopkins University26 HIV Prevalence and Testing among Emergency Department Patients at aRural District Hospital in UgandaAndrew Abrass, MD, MPH, St. Rose Hospital Department of EmergencyMedicine27 HIV Counseling and Testing Practices for Children Presenting to theEmergency Department of Muhimbili National Hospital, Dar Es Salaam,TanzaniaHendry R. Sawe, MD, MBA, Muhimbili National Hospital28 Epidemiology and Clinical Presentation of Traumatic Brain InjuryPatients at Kilimanjaro Christian Medical Center, Moshi, TanzaniaCatherine Lynch, MD, MScGH, Duke School of Medicine29 Trauma Capacity in the Central Plateau Department of HaitiJonathan Goss, BS, MPH, Emory School of MedicineHEALTH COSTS - MODERATED POSTERSWednesday, May 14, 8:00 - 10:00 am in Live OakModerator:30 Durable Medical Equipment: Prosthetic Orthopedic Supplies Representa Significant and Overlooked Source of Revenue Capture for EmergencyDepartmentsAveh Bastani, MD, Troy Beaumont Hospital31 Immediate Discharge of Low-Risk Venous Thromboembolism: a Cost andSafety AnalysisZachary P. Kahler, MD, Indiana UniversityMAY 13-17, 2014 | DALLAS, TEXAS45


Society for Academic Emergency Medicine32 Health Status and Prevalence of Chronic Disease among Patientsin an Urban Safety Net ED Likely to Remain Uninsured FollowingImplementation of the Patient Protection and Affordable Care ActSophie Terp, MD, MPH, Keck School of Medicine, University of SouthernCalifornia33 An Analysis of Reimbursement per Work Relative Value Unit (wRVU) forEmergency Physician Professional Services in Relation to EmergencyDepartment (ED) Visit ComplexityUchenna Onyekwere, BS, Temple University School of Medicine34 Emergency Department Visits for Non-Traumatic Dental Problems inOregonBenjamin Sun, MD, MPP, Oregon Health and Science University35 Complications and Estimated Costs of Patients Eligible for OutpatientDVT Management at a Public HospitalStephanie Tseeng, MD, Cook County Hospital36 An Analysis of the Impact of Race and Gender on the Reimbursementof Emergency Physician Professional Services among Insured AdultEmergency Department (ED) PatientsUchenna Onyekwere, BS, Temple University School of Medicine37 The Out-of-Pocket Costs of Emergency Department Visits According toPatient Insurance StatusAri Friedman, BS, MA, Leonard Davis Institute of Health EconomicsANESTHESIA AND ANALGESIA - ORAL ABSTRACTSWednesday, May 14, 10:30 am - 12:30 pm in Houston Ballroom AModerator:38 Can We Decrease the Pain of Peripheral Intravenous Line Placementin Adults by the Use of Vapocoolant Spray? Preliminary Results of aProspective, Randomized, Blinded, Placebo-Controlled TrialSharon E. Mace, MD, Cleveland Clinic39 Intravenous Sub-dissociative Dose Ketamine Versus Morphine forAnalgesia in the Emergency Department: a Prospective, Randomized,Double-blind Study.Bradley Rockoff, MD, Maimonides Medical Center40 Ketamine-Propofol vs Propofol Alone for Procedural Sedation in theEmergency Department: a Systematic Review and Meta-analysis.Justin Yan, MD, MSc, the University of Western Ontario41 ED Clinician Response to a Prompt in the Electronic Medical Record forAnalgesic Intervention in ED Patients with Severe Pain: What Do WeChoose?Thomas Nguyen, MD, Beth Israel Medical Center, NY42 Sphenopalatine Ganglion Anesthesia for Acute Headache in theEmergency Department Using a Novel Delivery DeviceJason T. Schaffer, MD, Indiana University43 Language Barrier Is Associated with Delayed First AnalgesicAdministration in Emergency DepartmentShujun Xia, MD, PhD, Jacobi Medical Center44 Pilot Study on Association of Single-Nucleotide Polymorphisms withHydromorphone Analgesia in Emergency DepartmentShujun Xia, MD, PhD, Jacobi Medical Center45 Trends in the Use of Intravenous Meperidine, Morphine, andHydromorphone in US Emergency Departments: Evidence from theNational Hospital Ambulatory Medical Survey 1993 to 2010Polly E. Bijur, PhD, Albert Einstein College of Medicine46 Differences in Intubation Skills between Experienced and InexperiencedIntubators: a High-Fidelity Manikin Simulation StudyTadahiro Goto, MD, Department of Emergency Medicine, University ofFukui HospitalEMS NON-CARDIAC-ARREST - ORAL ABSTRACTSWednesday, May 14, 10:30 am - 12:30 pm in Houston Ballroom CModerator:47 A Randomized Trial of Intravenous Hydroxocobalamin Compared toWhole Blood for Hemorrhagic Shock Resuscitation in a PrehospitalSwine ModelVikhyat S. Bebarta, MD, San Antonio Military Health System48 The Effect of a Multifaceted Code STEMI Protocol on Door-in to Door-outTime for STEMI Patients Requiring Interhospital Helicopter TransferMichael A. Schneider, BS, University of Cincinnati Medical Center49 King Vision Video Laryngoscopy Improves Intubation First Pass SuccessRates among Paramedics.Jeffrey L. Jarvis, MD, EMT-P, FACEP, Scott & White Healthcare/Texas A&MHealth Science Center50 Investigation of Intravenous Hydroxocobalamin Compared to Control forHemorrhagic Shock Resuscitation in a Swine ModelVikhyat S. Bebarta, MD, San Antonio Military Health System51 An Advanced-Practice Paramedic Program Can Safely and EffectivelyDivert Acute Mental Health Patients from the ED to a Community MentalHealth CenterSeth Glickman, MD, University of North Carolina52 Prehospital and En-Route Aeromedical Cricothyroidotomy Performed inthe Combat Setting: a Prospective, Multicenter, Observational StudyEd B. Barnard, BM BS FCEM, 59th MDW/ST53 The Impact of Chest Compression Release Velocity on Outcomes fromOut-of-Hospital Cardiac ArrestSheldon Cheskes, MD, CCFP(EM) FCFP, University of Toronto54 Intubation Success Rates By EMS Providers in a Simulated DifficultAirway Using a Low-cost Disposable Video Laryngoscopy SystemBarry Knapp, MD, Eastern Virginia Medical School55 A Role for End-tidal Carbon Dioxide in the Out-of-hospital Diagnosis ofSepsisCarolina Pereira, MD, Orlando Regional Medical CenterRESEARCH METHODS - ORAL ABSTRACTSWednesday, May 14, 10:30 am - 12:30 pm in San AntonioBallroom AModerator:56 A Bayesian Two-part Random Effects Model with Right Truncation withApplication to Multisite Ambulance Diversion DataRongwei (Rochelle) Fu, PhD, Oregon Health & Science University57 Truth Survival in Emergency Medicine Literature - About 32 YearsJeremy Brown, MD, Office of Emergency Care Research, National Institutesof Health58 Congruency of Disposition after Emergency Department Intubation in aRegional DatabaseYaniv Kerem, MD, University of Chicago Emergency Medicine Residency59 Systematic Reviews Published in Emergency Medicine Journals Do NotRoutinely Search Clinical Trials Registries: a Cross-Sectional AnalysisLukas G. Keil, BS, University of North Carolina School of Medicine60 Emergency Medicine Trials Registered in ClinicalTrials.govJames D. Dziura, PhD, Yale School of Medicine61 Yield of Screening in the Ed: Effectiveness versus EfficacyLucia S. Derks, MD, University of Cincinnati62 Feasibility of a Scribe Research Associate Program (S-RAP) to FacilitateED ResearchMelanie K. Prusakowski, MD, Virginia Tech Carilion School of Medicine,Department of Emergency Medicine63 Proof-of-Concept Application to Extract Structured Chief ComplaintsUsing an Ontology-Based MethodMark Sutherland, BS, Jefferson Medical College64 Differences in Prevalence Assessment Using Prospective Enrollmentversus Collection of Discarded Laboratory RemnantsJoshua A. Denney, MD, University of CincinnatiEMS NON-CARDIAC-ARREST - MODERATED POSTERSWednesday, May 14, 10:30 am - 12:30 pm in Pearl 4Moderator:65 Determinants of EMS Use by Older Adults: a State-wide PopulationbasedAnalysisTimothy F. Platts-Mills, MD, University of North Carolina at Chapel Hill66 Emergency Medical Services Feedback by Hospitals as a Means toImprove Pre-Hospital Stroke CareBryan Y. Choi, MA, the Warren Alpert Medical School of Brown University67 Readmissions and Return ED Visits among Patients Transported Homeby Ambulance after DischargeKevin Munjal, MD, MPH, Icahn School of Medicine at Mount Sinai68 Prehospital IV Placement Success and On-Scene Time in PediatricPatients with Seizures46


Jenna Reichel, BA, Medical College of Wisconsin69 Factors that Impact Naloxone Administration by Emergency MedicalService Providers following a Drug OverdoseMark Faul, PhD, MA, Centers for Disease Control and Prevention70 Patient and Trauma Center Characteristics Associated with HelicopterTransports for Minor Injury in the United StatesBrian H. Cheung, PhD, Stanford University School of Medicine71 No EMS Time Delays for Limited-English-Proficiency PatientsNatalie R. Weiss, BA, University of New Mexico72 The Effect of Prehospital Intravenous Fluids on Mortality in UrbanPenetrating-Trauma PatientsSam A. Bores, BS, University of PennsylvaniaPOSTER SESSION 1 - WEDNESDAY - POSTER ABSTRACTSWednesday, May 14, 8:00 am - 12:00 pm in Lone Star Ballroom B73 A Cornstarch-based Ultrasound Gel Alternative for Low-ResourceSettingsChristine Riguzzi, MD, Alameda Health System – Highland General Hospital74 Utility of a 4-hour Educational Module in DemonstratingTransesophageal Echocardiography (TEE) to TEE-Naive Acute CareProviders.Jacob Pace, MD, University of Western Ontario75 Point-of-care Ultrasonography Is Associated with Decreased Length ofStay in Children Presenting to the Emergency Department with Soft-Tissue InfectionMargaret J. Lin, MD, Harvard-Affiliated Emergency Medicine Residency -Beth Israel Deaconess Medical Center76 Correlating Bedside Lung Ultrasound with Tachypnea in Bronchiolitis: aPilot StudySara B. Cortes, MD, New York Methodist Hospital77 Screening of Young Athletes for Hypertrophic Cardiomyopathy usingEchocardiographySuzi Klaus, BS, University of California, Irvine78 Use of Bedside Ocular Ultrasound to Identify Optic Disc Swelling inChildrenRonald F. Marchese, MD, Children’s Hospital of Philadelphia79 Focused Echocardiograms by Emergency Physicians for the RiskStratification of Patients with Chest PainSarah deLoizaga, MS, University of Connecticut80 Systematic Review: Lung Ultrasound for the Diagnosis of Pneumonia inthe Emergency DepartmentNeil Christopher, MD, Downstate Medical Center81 The Utility of Cranial Ultrasound for Detection of IntracranialHemorrhage in InfantsJoseph Sirody, MS, Eastern Virginia Medical School82 What Is the Delay in Care Caused By Inability to Obtain IV Access?Nicole E. Piela, MD, Thomas Jefferson University83 Emergency Physicians with Prior Trans-Thoracic EchocardiographyExperience Rapidly Learn to Perform and Interpret Trans-EsophagealEchocardiography Using a High-Fidelity Echocardiography SimulatorStephen Leech, MD, Orlando Regional Medical Center84 PylorU.S. Imaging: Learning Curve for Pediatric Emergency MedicineFellowsNatasha A. Tejwani, MD, Newark Beth Israel Medical Center85 ED Physicians’ versus Patients’ Perceptions of Transvaginal Ultrasoundin the ED for Complications of First-Trimester PregnancyDaniel Jafari, MD, MPH, University of Pennsylvania86 Using Carotid Left-Ventricular Outflow Tract and Femoral VelocityChanges to Predict Fluid Responsiveness: a Preliminary Study.Alan T. Chiem, MD, Olive View-UCLA87 Ultrasound Evaluation for Jugular Venous Distention in Patients withDyspneaMichael D. Zwank, MD, Regions Hospital88 A Cost-effectiveness Analysis to Determine the Utility of the CardiacComponent of FAST in Blunt Trauma: Is It Really Necessary?M. Kennedy. Hall, MD, Yale University School of Medicine89 Army Special Forces Medic Ability to Identify Wooden Foreign Bodies byPortable UltrasoundJonathan Ellement, MD, Madigan Army Medical Center90 Clinician-Performed Bedside Ultrasound in Improving DiagnosticAccuracy in Patients Presenting to the Emergency Department withAcute DyspneaDimitrios Papanagnou, MD, MPH, Thomas Jefferson University Hospital91 Use of Musculoskeletal Ultrasound to Improve Specificity of FractureDiagnosis in Ottawa-Ankle-Rules-Positive Patients Presenting to theEmergency Department with Blunt Ankle and Mid-foot Injuries.David Amponsah, MD, RDCS, Henry Ford Hospital92 Assessing Disparities among Emergency Medicine Residents andEmergency Medicine Attending Physicians in Interpreting andPerforming the FAST ExamMichael Felicetta, DO, New York Methodist Hospital93 Emergency Medicine Ultrasound Research at a National Conference: aFifteen-Year Summary 1999-2013John Riester, MD, The Ohio State University94 Ultrasonography for Confirmation of Endotracheal Tube Placement: aSystematic Review and Meta-analysisEric H. Chou, MD, Maimonides Medical Center95 Sonographic Measurement of Optic Nerve Sheath Diameter: Is CoronalTechnique Superior?Richard Amini, MD, University of Arizona Medical Center96 Evaluation of a Fingertip Linear Transducer for Ultrasound-guidedVascular AccessRachel Liu, MD, Yale University School of Medicine98 Does An Educational Pediatric CPR Video Given to Parents andCaregivers to View on An Electronic Device During Their Visit to thePediatric Emergency Room Improve CPR Knowledge?Friedrich T. Drescher, MD, Orlando Health99 The Use of Camera Phones for the Follow-up of Soft-Tissue Injuries inPediatric Emergency Department Patients: a Feasibility StudyErica Michaels, MD, MSU College of Human Medicine100 Do Pediatric Emergency Medicine Physicians Adhere to the Centersfor Disease Control and Prevention Guidelines for Sexually ActiveAdolescents?Michelle Pickett, MD, Medical College of Wisconsin101 Implementation of a Procedural Sedation Safety ChecklistLindsay Kahlenberg, DO, Akron Children’s Hospital102 Health Care Utilization following Pediatric Out-of-Hospital CardiacArrestErica A. Michiels, MD, Michigan State University103 Is the Broselow Tape (BT) an Accurate Predictor of Weight in PediatricPatients Stratified by Race?Lisa Moreno-Walton, MD, Louisiana State University Health SciencesCenter-New Orleans104 Pediatric Visits to United States Emergency Departments for ForeignBody IngestionsJustine A. Pagenhardt, MD, West Virginia University105 Pediatric Airway Management and Prehospital Patient Safety: Resultsof a National Delphi Survey by the CSI-EMSCMatthew L. Hansen, MD, MCR, OHSU106 Epidemiology of Visits to US Emergency Departments for Mental Healthand Self-harm By Children, 2006-2010.Susan M. Walters, BS, Georgetown University School of Medicine107 Educational Needs Assessment for Prehospital Pediatric Care: Results ofa National Delphi Survey Performed By the CSI-EMSCMatthew L. Hansen, MD, MCR, OHSU108 Use of Needle-Free Jet Injection of Lidocaine in Conjunction withVibration and Cold Device to Alleviate Pain in Pediatric Blood Draw andIV Starts in the Emergency RoomSheryl E. Yanger, MD, LAC+USC109 Determinants of Long-Term Prescription Opioid Use After Acute Traumain AdolescentsLauren K. Whiteside, MD, University of Washington110 Psychiatric Utilization of the Pediatric Emergency DepartmentDavid C. Sheridan, MD, Oregon Health & Science University111 Impact of Pediatric Labeling Changes on Prescribing Patterns of Overthe-CounterCough and Cold MedicationsMaryann Mazer-Amirshahi, PharmD, MD,Children’s National Medical CenterMAY 13-17, 2014 | DALLAS, TEXAS47


Society for Academic Emergency Medicine112 Evaluation of a Pediatric Emergency Department Sepsis Screening ToolLaura L. Chapman, MD, Brown University113 Asthma Spacers - the Effect of Repeated Washing on Drug DeliveryRonan G. O’Sullivan, MB, FRCSI, FCEM, MBA, National Children’s ResearchCentre114 Improving Discharge Instructions in a Pediatric ED: Impact of a QualityInitiativeBolanle T. Akinsola, MD, Emory University School of Medicine115 Skin and Skin Structure Infections (SSSIs) in the EmergencyDepartment (ED): Who Gets Admitted?Alexandra Khachatryan, MPH, Pharmerit International116 Evaluation of Daptomycin for the Emergency Department Treatment ofCellulitisGeorge J. Shaw, MD, PhD, University of Cincinnati117 Utility and Cost Effectiveness of Throat Culture in the Treatment ofPatients with Negative Rapid Strep Screens.Khaled Almulhem, MD, Central Michigan University School of Medicine118 Assessing Antimicrobial Susceptibility of E. Coli in UncomplicatedCystitis in the Emergency Department: Is the Hospital Antibiogram anAppropriate Clinical Tool?S. Christian Smith, BA, the Ohio State University College of Medicine119 ED Screening Programs for HIV: Is the Yield Worth the Effort?Thomas Nguyen, MD, Beth Israel Medical Center, NY120 Linkage to Care Methods and Rates in U.S. Emergency Department-Based HIV Testing Programs - a Systematic Review and Meta-AnalysisYu-Hsiang Hsieh, PhD, Johns Hopkins University121 Renal Dosing of Medications in the Emergency DepartmentJesse L. Mecham, MD, MS, Washington University122 Next-Generation Sequencing in Sepsis: RNA Seq of the Host ResponseSimon Skibsted, MD, MPH, Beth Israel Deaconess Medical Center &Harvard Medical School123 An Opportunity for Real-Time Guidance: Suboptimal AntibioticPrescribing Patterns among Emergency Physicians for UncomplicatedUTIs and PyelonephritisAveh Bastani, MD, Troy Beaumont Hospital124 Abnormal Urinalysis Results Are Common, Regardless of SpecimenCollection Technique, in Women Without Urinary Tract InfectionsBradley Frazee, MD, Alameda Health System - Highland Hospital125 Missed Opportunities? Prior Health Care Use among Patients NewlyDiagnosed with HIV via an Emergency Department Screening ProgramMolly Snow Brady, MD, LAC+USC Medical Center126 Routine Use of Blood Cultures Has Limited Utility in theUndifferentiated Adult Emergency Department PopulationBryan B. Kitch, MD, East Carolina University127 Post Assault Behavioral Profile of Sexual Assault Survivors in theEmergency DepartmentKathryn Bradburn, BA, North Shore University Hospital128 Ability to Contact Low-Income Smokers by Telephone Varies by Time ofMonthKathryn Hawk, MD, Department of Emergency Medicine, Yale School ofMedicine129 Cell Phone Ownership and Service Plans among Low-Income Smokers:the Hidden Cost of QuitlinesSteven L. Bernstein, MD, Department of Emergency Medicine, Yale Schoolof Medicine130 Hypotensive Effects of Risperidone Are Not Increased When Used inConjunction with Benzodiazepines or in Alcohol Intoxicated Patients butMay Increase in Elderly PatientsAustin Hopper, BS, UC San Diego131 Health Care Provider Perception of Patient Self-Reported Anxiety Levelin the EDKaitlin R. McCarter, BA, Thomas Jefferson University132 Gender Differences in Symptoms of Post-Traumatic Stress Disorderafter Violent Injury among Participants of an Urban, Pediatric HospitalbasedViolence Intervention ProgramJonathan Purtle, DrPH(c), MPH, MSc, Drexel University College of Medicine133 Implementation of a Statewide Opiate Prescribing Policy Is NotAssociated with a Significant Decrease in Number of Opiates Prescribedfrom the Emergency DepartmentJonathan D. McGhee, DO, Christiana Care Health System134 Prevalence and Correlates of Prescription Stimulant Misuse amongYouth in the Emergency DepartmentLauren Whiteside, MD, University of Washington135 Alcohol and Drug Screening in the Emergency Department:Kiosk vs. In-Person Screening - a Comparison of Patient Preferences andDisclosure RatesDebra Houry, MD, MPH, Emory University136 Neighborhood Social Cohesion and Emergency Department Utilization inCalifornia, 2011-2012Brian Johnson, MD, MPH, Alameda Health System - Highland Hospital137 Successful Tobacco Dependence Treatment Achieved viaPharmacotherapy and Motivational Interviewing in Low-IncomeEmergency Department PatientsSteven L. Bernstein, MD, Department of Emergency Medicine, Yale Schoolof Medicine138 Impact of Childhood Sexual Abuse on the Severity of Psychosocial Risksamong Female ED PatientsMelissa A. Rodgers, BA, University of Pennsylvania139 Empiric Treatment of Gonorrhea and Chlamydial Infection in the ED: AreWe Overtreating?Thuy V. Pham, Medical Degree, University of Maryland Medical Center140 Administration of IV Fluids and Subcutaneous Insulin is Not Associatedwith Significant Glucose Reduction in ED Patients with SevereHyperglycemiaBrian E. Driver, MD, Hennepin County Medical Center141 Clinical and Demographic Factors Associated with Repeat EmergencyDepartment Visits among Patients with Abdominal PainBrian W. Patterson, MD, MPH, University of Wisconsin142 Preference for Topical Anesthesia Prior to Painful Needle ProceduresMichael K. Kim, MD, University of Wisconsin School of Medicineand Public Health144 Creating CPAP Using High-flow Nasal Cannula with a Bag-valve-maskwith a Peep ValveNeil Singh, MD, Department of Emergency Medicine,Mount Sinai School of Medicine145 Comparing Cricothyroid Membrane Identification Methods: Assessingthe Reliability and Accuracy of Three Different Methods of CricothyroidMembrane IdentificationRupinder Chima, MD, University of California, Davis146 Evaluation of DX-88 (Ecallantide) for Treatment of Angiotensin EnzymeInhibitor Induced Angioedema in the Emergency DepartmentJoseph Moellman, MD, University of Cincinnati147 Procedural Sedation in the Emergency Department:Does NPO Status Matter?Sharon E. Mace, MD, Cleveland Clinic148 Pain Perception Differences Associated with Age for Typical PainfulDiagnosis in the Emergency Department: a Multicenter StudyRaoul Daoust, MD, MSc, Université de Montréal149 Is There a Relationship Between Discharge Prescriptions and Recidivismin Patients Presenting to the Ed with Chronic Back PainRajesh Patel, MD, Sinai Grace Hospital150 Supraglottic Airway Device Use and Return of Spontaneous Circulationin Cardiac Arrest Patients: a Retrospective Cohort StudyRecep Gezer, MA, BC EMERGENCY HEALTH SERVICES151 Safety and Efficacy of Low-dose Ketamine Infusion for EmergencyDepartment Patients with Acute Severe PainTerence L. Ahern, MD, Alameda County Medical Center - Highland Hospital152 Stress Biomarkers in Patients Undergoing Treatment for Severe Painfrom Extremity FracturesJames Miner, MD, Hennepin County Medical Center153 Nasotracheal Intubation with Real-Time Transtracheal UltrasoundGuidance: An Old Technique with a New TwistJeremy Hutchins, DO, York Hospital154 Pre-Hospital Extra-Glottic Device Use Does Not Increase Risk ofVentilator Associated Pneumonia in Trauma PatientsMichael T. Steuerwald, MD, University of Cincinnati155 The Association of Gender with Pain MeasurementsRoma Patel, MPH, Hennepin County Medical Center48


199 Malnutrition among Older Emergency Department PatientsGreg F. Pereira, BSPH, University of North Carolina Chapel Hill200 Gedi Wise: Concordance of Advance Care Planning Documentation withInpatient Directives for Older Adults Admitted from the EmergencyDepartmentCorita R. Grudzen, MD, MSHS, Mount Sinai School of Medicine201 Provider Perspectives on Use of Indwelling Urinary Catheters in OlderAdults in the Emergency Department: a Valuable First Step in theDevelopment of a Clinical ProtocolMary Mulcare, MD, New York-Presbyterian Hospital/Weill Cornell MedicalCenter202 GEDI WISE: Identification of Seniors at Risk (ISAR) score to PredictInpatient Admission and Near Term Adverse Outcomes among GeriatricEd PatientsD. Mark. Courtney, MD MSCI, Northwestern University203 Nexus in the Elderly Fall Patient: What is Distracting?Daniel Evans, DO, St. Luke’s Hospital and Health Network204 Comparison of Absolute Pain Scores and Change in These Scores amongElderly and Nonelderly ED Patients with Acute PainJyoti Elavunkal, MD, Albert Einstein College of Medicine205 Self-Reported vs. Performance-Based Assessments of Physical Functionamong Older Adults in the Emergency DepartmentTimothy F. Platts-Mills, MD, University of North Carolina Chapel Hill796 Can Emergency Physicians Accurately Diagnose and Correctly ClassifyDiastolic Dysfunction Using Bedside Echocardiography?Robert R. Ehrman, MD, The John Stroger Hospital of Cook County797 Diagnosing Acute Heart Failure in Patients with UndifferentiatedDyspnea: A Novel Lung and Cardiac Ultrasound ProtocolFrances M. Russell, MD, Indiana University, Indianapolis, IN2014 INNOVATIONSSociety for Academic Emergency MedicineInnovations - Exhibits8:00 am - 12:30 pm in Lone Star Ballroom B1 Easy Bedside Positive Pressure Apneic Oxygenation Using ANasopharyngeal AirwayBradley C. Ching1, Benjamin D. Wiederhold2. 1Alameda County MedicalCenter--Highland General Hospital, Oakland, CA; 2St. Joseph’s MedicalCenter, Stockton, CA2 An Innovative Approach to Simulating Emergent GenitourinaryProceduresSonal Batra, Nicholas Greek, Claudia Ranniger, Colleen Roche. GeorgeWashington University, Washington, DC3 A Hand-On Model for Teaching Extensor Tendon Laceration RepairKelly Barringer. Regions Hospital/Health Partners Institute of MedicalEducation, St. Paul, MN4 The “Cost Affordable” Cric TrainerHarold Andrew Sloas, Sara Singhal, Roger L. Humphries, Farhad Aziz. TheUniversity of Kentucky, Lexington, KY5 Pediatric Intussusception Ultrasound Training ModelAlexander C. Arroyo. Maimonides Medical Center, Brooklyn, NY6 A Knee’d to Fill: An Inexpensive Model for ArthrocentesisMichael Cabezon, Theodore Gaeta. New York Methodist Hospital, Brooklyn, NY7 TITUS (Thoracic Intervention Training Unit Simulator) - Making ChestTube Thoracostomy Training Realistic, Efficient, and AffordableAndrew Eyre, John Eicken, David A. Meguerdichian. Brigham and Women’sHospital, Boston, MA8 Novel Task-Trainer for Lateral Canthotomy ProcedureKelly Medwid, Maureen Gang, Robert Rosenwald. New York University/Bellevue, New York, NY9 Trephination without Trepidation: A Novel Method for Teaching BurrHoles to Emergency PhysiciansBiren Bhatt1, Anthony Rosen2, Sunday Clark3, Osman Sayan1, Joel Berezow1.1Columbia University Medical Center, New York, NY; 2NewYork-PresbyterianHospital, New York, NY; 3Weill Cornell Medical Center, New York, NY50


“CEP America gave methe chance to explore manyleadership opportunities.”“I’m very fortunate that I chose a groupthat makes me happy and whose leadershipI respect and want to be a part of.”—Tiffany Hackett, MDED Medical DirectorSan Leandro HospitalFind out why CEP America is different.Visit our booth #21Find out at why SAEM’s CEP Annual America Meeting is different. orVisit us go.cep.com/saem2014at SEC’s Annual Meeting.Goodbye FlippingYour Life. Your Career. Your Partnership.Goodbye ScrollingMAY 13-17, 2014 | DALLAS, TEXASHello KnowledgeMore than 1500 institutions and over half of all medical schools license VisualDx.Come nd out why, visit us in Booth #5 at SAEM ’14.51


THURSDAY, MAY 15, 2014Dallas BCMCDallas C CMCDallasA1DallasA2DallasA3DallasD1DallasD27 AM Coffee Break in Exhibit Hall – 7:00 - 8:00 am8 AM9 AMDS038:“Shark Tank”DS035:Care of the CriticallyIll, Morbidly ObesePatientDS041:Teaching inthe WildDS034:Perception andMetacognitionDS040:Evidence-basedOperationsIGNITE! SAEMDS036:The Impact ofCivil Rights Lawon Diversityand Disparity inthe EmergencyDepartmentDS042:A CLER PlanDS039:Rescuing theLearner Strugglingwith ClinicalReasoningDS037:Ultrasound inresource - limitedsettingsDS043:Catapulting to thePinnacle of BestEvidence10 AM Power Break in the Exhibit Hall – 10:00 - 10:30 amSociety for Academic Emergency Medicine10:30 AM11:30 AMDS048:Across Genders andGenerationsDS055:TeachingEmergencyMedicine Residentsto Choose WiselyDS045:GeneratingScholarshipthrough IndustryPartnershipsDS052:ResearchAssociatesProgramsDS044:Demystifyingthe ABEM’sMaintenanceof CertificationProgramDS051:MedicationManagementDS046:Research Methodsfor Studying SocialDeterminants ofHealth in EMDS053:Point-of-CareUltrasound forPediatric GlobalHealth12:30 PM Lunch – 12:30 - 1:30 pm1:30 PM2:30 PMDS060:The Affordable CareAct and EmergencyCareDS057:The Value ofNon-AccreditedFellowshipsDS062:Talking Your Wayto a More Satisfiedand CompliantPatientDS058:How (and Why)to Peer-Review aManuscriptDS063:Predatory Journals3:30 PM Visit Exhibit Hall – 3:30 - 4:00 pmDS047:How to Build aCareer in AcademicWildernessMedicineDS054:EnhancingEmergencyMedicine TrainingDS059:The Why, The What,The How Developing“Physician asEducator” ProgramsDS064:Policy Change 102DS049:Achieving yourMilestones ThroughSimulationDS056:Defining andAssessing TeamLeadership inEmergencyMedicineCDEMBusinessMeeting1:00 - 5:00 pm2:00 - 3:00 pmSLOE Updates3:00 - 4:00 pmNBME Update& SAEM TestsDS050:Advancing YourCareer as anEducatorDS061:PCORI Made Easy4 PMDS066:Training Pathwaysfor EducatorsDS065:Coping withRejection inResearch4:00 - 5:00 pmWorkgroupsDS067:From Twitterto Tenure5 PM6 pm6:30 PMSAEM Foundation Eventat Sixth Floor Museum - Transportation Provided6:00 - 10:00 pm52


THURSDAY, MAY 15, 2014Pearl4Pearl5Live Oak State Room 1 State Room 2Majestic6 & 7Coffee Break in Exhibit Hall – 7:00 - 8:00 am7 AMCritical CareModerated Posters230-235Pediatric ImagingModerated Posters236-241AGEMBusinessMeeting8am-12pmBest of CORDAcademic Assembly20148 AM9:30-10amBreakoutworkgroups9 AMPower Break in the Exhibit Hall – 10:00 - 10:30 am10-10:45amNew GeriatricED Guidelines10 AMAirwayModerated Posters267-273Lunch – 12:30 - 1:30 pmCardiovascularClinical ResearchModerated Posters439-44610:45-11:45amThe Business Casefor Geriatric ED;Nuts & Bolts ofCreating Geriatric EDBest of CORDAcademic Assembly2014AWEAMLuncheon12pm-1:30pm10:30 AM11:30 AM12:30 PM1:30 PM2:30 PMMAY 13-17, 2014 | DALLAS, TEXASVisit Exhibit Hall – 3:30 - 4:00 pm3:30 PMPediatrics InfectiousDiseaseModerated Posters476-483EducationModerated Posters468-4754 PM5 PMSAEM Foundation Eventat Sixth Floor Museum - Transportation Provided6:00 - 10:00 pm6 PM6:30 PM54


Society for Academic Emergency Medicine55THURSDAY, MAY 15, 2014Thursday, May 15, 2014 – SAEM and Committee/Task Force/Academy Interest Group/Board Meetings7:30-8:00am Program Committee Daily Meeting Majestic 4 (Hotel-37th Floor)8:00-9:00am SAEM Public Health IG Meeting Majestic 3 (Hotel-37th Floor)8:00-9:30am SAEM Ethics Committee Meeting State Room 3 (Conf. Center-3rd Floor)8:00-10:00am EX. Leadership Meeting for All EM Organizations Meeting Majestic 1 (Hotel-37th Floor)8:00am-12:00pm AGEM Academy of Geriatric Emergency Medicine-Business Meeting State Room 1 (Conf. Center-3rd Floor)8:00am-12:00pm AWAEM Academy for Women in Academic Emergency Medicine-Business Meeting Atrium Room (Hotel-2nd Floor)9:00-10:00am SAEM Trauma IG Meeting Majestic 3 (Hotel-37th Floor)9:00-10:30am SAEM Faculty Development Committee Meeting Majestic 2 (Hotel-37th Floor)10:00-11:00am SAEM Observation Medicine IG Meeting Cityview 3 (Hotel-4th Floor)10:00-11:30am SAEM GME Committee Meeting Cityview 4 (Hotel-4th Floor)10:00am-12:00pm SAEM/ACEP Federal Research Funding Work Group (RWG) Meeting Cityview 7-8 (Hotel-4th Floor)10:30-11:30a SAEM Operations IG Meeting Cityview 2 (Hotel-4th Floor)10:30am-12:00pm AEM CC 2015 Planning Meeting Majestic 4 (Hotel-37th Floor)11:00am-12:00pm SAEM External Collaborations Committee Meeting State Room 3 (Conf. Center-3rd Floor)11:30am-12:30pm SAEM Web Evolution Committee Meeting Cityview 2 (Hotel-4th Floor)11:30am-1:30pm SAEM Grants Committee Meeting Cityview 3 (Hotel-4th Floor)12:00-1:00pm SAEM Sports Medicine IG Meeting Majestic 8 (Hotel-37th Floor)12:00-1:30pm AWAEM Academy for Women in Academic Emergency Medicine-Luncheon Majestic 6-7 combined (Hotel-37th Floor)12:00-1:00pm SAEM Consultation Services Committee Meeting Majestic 3 (Hotel-37th Floor)12:00-2:00pm SAEM Foundation Board Luncheon-By Invitation only Executive Boardroom (Hotel 2nd Floor)12:30-1:30pm SAEM Toxicology IG Meeting Cityview 4 (Hotel-4th Floor)12:30-4:00pm SAEM Fellowship Approval Committee Meeting State Room 3 (Conf. Center-3rd Floor)1:00-2:00pm SAEM Research Directors IG Meeting Majestic 5 (Hotel-37th Floor)1:00-5:00pmAAAEM Academy of Administrators in Academic Emergency Medicine-Business MeetingAtrium Room (Hotel-2nd Floor)1:00-5:00pm CDEM Clerkship Directors in Emergency Medicine -Business Meeting Dallas Ballroom D1 (Conf. Center-1st Floor)1:30-2:30pm SAEM Patient Safety IG Meeting Cityview 2 (Hotel-4th Floor)1:30-3:00pm SAEM Evidence Based Healthcare & Implementation (EMB) IH Meeting Majestic 8 (Hotel-37th Floor)2:30-3:30pm SAEM Airways IG Meeting Majestic 2 (Hotel-37th Floor)3:30-5:00pm SAEM Social Media Committee Meeting Majestic 2 (Hotel-37th Floor)4:00-5:00pm ACEP/SAEM Joint GME Workforce Group Meeting-By Invitation Only Cityview 7-8 (Hotel-4th Floor)4:00-5:00pm SAEM Palliative Care IG Meeting Majestic 5 (Hotel-37th Floor)4:00-5:00pm SAEM Wilderness Medicine Meeting State Room 3 (Conf. Center-3rd Floor)Thursday, May 15, 2014 – Affiliated Meetings7:00-8:00am ECTRC (CTSA research network) Meeting Cityview 2 (Hotel-4th Floor)8:00-8:30am EMRA Rep. Council Welcome Breakfast & Registration Houston Ballroom C (Conf. Center-3rd Floor)8:00-10:00am ACEP Academic Affairs Committee Meeting Cityview 7-8 (Hotel-4th Floor)8:00am-5:00pm CORD Meetings Majestic 10 (Hotel-37th Floor)8:00am-5:00pm AAEM/RSA Strategic Planning Meeting-By invitation only Majestic 9 (Hotel-37th Floor)8:30am-12:00pm EMRA Rep. Council Meeting and Town Hall Houston Ballroom C (Conf. Center-3rd Floor)10:00am-12:00pm SAEM/ACEP Federal Research Funding Work Group (RWG) Meeting Cityview 7-8 (Hotel-4th Floor)10:30am-1:30pm Western Journal of Emergency Medicine Editorial Board Meeting Majestic 2 (Hotel-37th Floor)12:00-1:00pm ACEP Scientific Review Sub-Committee Meeting Cityview 7-8 (Hotel-4th Floor)1:00-2:30pm ACEP Research Committee Meeting Cityview 7-8 (Hotel-4th Floor)1:30-3:30pm EMRA International Committee Meeting Trinity 1 (Hotel-3rd Floor)1:30-3:30pm EMRA Awards Committee Meeting Trinity 2 (Hotel-3rd Floor)1:30-3:30pm EMRA Research Committee Meeting Trinity 3 (Hotel-3rd Floor)1:30-3:30pm EMRA Critical Care Committee Meeting Trinity 4 (Hotel-3rd Floor)1:30-3:30pm EMRA Technology Committee Meeting Trinity 5 (Hotel-3rd Floor)3:30-5:30pm EMRA Educational Committee Meeting Trinity 1 (Hotel-3rd Floor)3:30-5:30pm EMRA Health Policy Committee Meeting Trinity 2 (Hotel-3rd Floor)3:30-5:30pm EMRA EMS Committee Meeting Trinity 3 (Hotel-3rd Floor)3:30-5:30pm EMRA Wilderness Medicine Committee Meeting Trinity 4 (Hotel-3rd Floor)3:30-5:30pm EMRA EM Resident Advisory committee Meeting Trinity 5 (Hotel-3rd Floor)3:30-5:30pm EMRA Ultra Sound Committee Meeting Cityview 1 (Hotel-4th Floor)4:00-5:00pm ACEP/SAEM Joint GME Workforce Group Meeting-By Invitation Only Cityview 7-8 (Hotel-4th Floor)5:30-7:00pm ACEP Teaching Fellowship/EMBERS Alumni Reception Cityview 7-8 (Hotel-4th Floor)6:00-7:00pm EMRA Spring Awards Reception Houston Ballroom C (Conf. Center-3rd Floor)


SAEM 2014 ANNUAL MEETING DIDACTIC PRESENTATIONSMAY 14-17, 2014 — DALLAS, TEXASSociety for Academic Emergency MedicineTHURSDAY, MAY 15THDS034: Perception and Metacognition - Thinking AboutHow You ThinkThursday, May 15 - 8:00 - 9:00 amLocation: Dallas Ballroom A1Objectives: 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 clinicaldecision-making.Description: Both perception and cognition are neglected aspects ofmedical education and training. Yet both of these complex processes arecritical to medical decision-making and providing high-quality medicalcare. In this session we will demonstrate (using examples from disparatefields such as film animation, basketball, various medical specialties, andinteractive videos) limits to perception and how such limits affect medicaldecision-making. In the second half of the session, we will introduce anddiscuss metacognition – that is, thinking about how we think. Throughthe use of examples (from disparate fields such as competitive chess andtrauma radiology), the audience will be introduced to the limitations ofspecific cognitive forcing strategies to assist clinicians in improving theirmedical decision-making.Steve BirdUniversity of Massachusetts Medical School, Worcester, MA - Submitter, PresenterKavita BabuUniversity of Massachusetts Medical School, Worcester, MA - PresenterDS035: Care of the Critically Ill, Morbidly Obese PatientThursday, May 15 - 8:00 - 9:00 amLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be ableto: 1. List key physiologic changes in the cardiovascular, respiratory andgastrointestinal systems of morbidly obese patients. 2. Recognize importantdifferences in medication pharmacokinetics and pharmacodynamics in themorbidly obese patient. 3. Describe effective resuscitation interventionsunique to the obese patient. 4. List relevant complications in obese patientspresenting with traumatic injuries or burns.Description: Obesity and morbid obesity are growing in prevalence inthe North American population at an astounding rate. Estimates place24.1% of Canadian adults and 35.9% of American adults as obese, andapproximately 3% as morbidly obese. This patient population has importantbaseline physiologic changes to their cardiovascular, respiratory, andgastrointestinal systems that can have profound ramifications for clinicalmanagement. In addition, drug pharmacokinetics and pharmacodynamicscan be dramatically altered in these patients for a multitude of reasons. In alecture format, this presentation will provide important insight for cliniciansinto these physiologic and pharmacologic changes in the obese patient. Keylearning points and techniques for patient resuscitation and managementthat have come from the recent anesthesia and critical care literature willbe highlighted in a didactic and case-based format. Specifically, airwaytechniques, fluid resuscitation and pharmacologic principles unique to theobese patient will be highlighted. Clinicians will be guided through some ofthe 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 BarbicSunnybrook Health Sciences Centre,Toronto, ON, Canada - Submitter, PresenterAndra L. BlomkalnsUniversity of Cincinnati, Cincinnati, OH – PresenterDS036: The Impact of Civil Rights Law on Diversity andDisparity in the Emergency DepartmentThursday, May 15 - 8:00 - 9:00 amLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be able to:1. Define Title VI of the Civil Rights Act. 2. Discuss possible discriminatoryactions under Title VI. 3. Describe how OCR can address disparities resultingfrom bias. 4. Partner with interdisciplinary teams when Title VI complianceissues arise. 5. Strengthen physician advocacy to raise awareness of healthcare disparities caused by discrimination/bias, in alignment with SAEM’smission to “lead the advancement of emergency care through education andadvocacy in academic emergency medicine.”Description: While medical school students and residents are typicallyexposed to cutting-edge treatments and technologies, they are rarelymade aware of federal civil rights laws that impact the institutions wherethey practice. To address this critical deficiency, the U.S. Department ofHealth & Human Services, Office for Civil Rights (OCR), collaborated withStanford University School of Medicine and the National Consortiumfor Multicultural Education for Health Professionals (Consortium) indeveloping a curriculum focused on providing an educational framework formedical/health professionals to better understand and appreciate racial/national origin bias/discrimination. The curriculum has been most recentlyaugmented and presented at the Emory University School of Medicine andthe University of Colorado School of Medicine.By introducing participants to potential racial/national origin bias/discrimination, the curriculum seeks to empower them to address theseissues throughout their careers. After attending this session, participantsshould also be inspired to learn more about providing health care thatreduces disparities and advances advocacy and communication acrossinterdisciplinary groups.Jason LiebzeitEmory University, Atlanta, GA - Submitter, PresenterSheryl HeronEmory University, Atlanta, GA - PresenterParitosh KaulUniversity of Colorado, Denver, CO - PresenterVelveta HowellOffice of Civil Rights, US Department of HHS, Denver, CO - PresenterKenneth D. JohnsonOffice of Civil Rights, US Department of HHS, Washington, DC - PresenterJeffrey DruckUniversity of Colorado, Aurora, CO – PresenterDS037: Ultrasound in Resource-limited Settings:Discussion of Use, Benefits, Research and SustainableProgram DesignThursday, May 15 - 8:00 - 9:00 amLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should be able to:1. Describe the unique uses of ultrasound and findings of disease processescommon in the developing world. 2. Understand trends and future directionsin research involving ultrasound in the developing world. 3. List some of theunique challenges and key components for success in development of anultrasound 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 ofcare in emergency departments across the developed world. As the fieldof global emergency medicine continues to push further into resourcelimitedsettings to meet the needs of an increasing unaddressed burdenof 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, thathave proven their utility in the developed world continue to show similar, ifnot increased, clinical utility in the resource-limited setting, with its limitedaccess to advanced diagnostic imaging such as CT scanning. Given that themajority of the world’s population is low-income and resides in resourcepoorlocations, and that US is a relatively inexpensive technology that isbecoming increasingly durable and portable, without the risks of ionizingradiation, there is a selective pressure to expand ultrasound training inthe developing world, in addition to the variety of clinical indications forUS globally. In this didactic, four experts with unique experience in globalhealth and diagnostic ultrasound will discuss these novel training programsand uses of US, along with the research that has, and could, stem from theseunique investigations. We will also discuss how the use of US in conjunctionwith local epidemiologic data can provide fertile areas of novel clinicalapplications and research. Lastly, we will describe tips for and traits of asustainable US program in the resource-limited setting, including optionsfor monitoring and evaluation.Kristin CarmodyNew York University School of Medicine, New York, NY - SubmitterSachita ShahUniversity of Washington School of Medicine, Seattle, WA - PresenterStephen DunlopHennepin County Medical Center, Minneapolis, MN - PresenterTrish HenwoodBrigham and Women’s Hospital, Harvard University, Boston, MA - PresenterAdam C. LevineAlpert Medical School of Brown University, Providence, RI – PresenterDS038: “Shark Tank”: Real-world Research ProposalDevelopmentThursday, May 15 - 8:00 - 10:00 amLocation: Dallas Ballroom BObjectives: At the completion of this session, participants should be ableto:1. Identify 5 critical elements and 4 basic structural components of asuccessful study proposal. 2. Describe, and avoid, 4 key mistakes madeby junior researchers in study design and proposal. 3. Understand how tomaximize 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 studyproposals. Many senior investigators believe that creating and getting funding fora research proposal is similar to the entrepreneurial process of developing andfunding a business proposal. Drawing on the innovative and humorous format ofthe popular “Shark Tank” television show, this didactic’s panel of senior emergencymedicine researchers will provide real-time guidance on this model of proposaldevelopment. The didactic will begin with a brief presentation on the 5 criticalelements of a grant proposal. We will introduce the 4 basic structural componentsof a successful proposal: the concept (the unmet need); the plan (how they aregoing 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 topresent their study ideas to our “Shark Tank” panel. (Proposals will be solicited inadvance from the SAEM Research Fellowship Committee listserv; we will also savespace for impromptu presentations from audience members.) Each proposal willbe presented using a standard format. It will then be critiqued by panelists. For themost successful proposals, we will offer a true “investment” in the form of distancementorship by panel members, as well as the opportunity to obtain priority reviewwith Academic Emergency Medicine and/or Annals of Emergency Medicine.Megan RanneyAlpert Medical School of Brown University, Providence, RI - Submitter,PresenterJudd HollanderUniversity of Pennsylvania, Philadelphia, PA - PresenterJeff KlineIndiana University, Indianapolis, IN - PresenterDavid ConeYale School of Medicine, New Haven, CT - PresenterDebra HouryEmory University, Atlanta, GA - PresenterDonald M. YealyUniversity of Pittsburgh, Pittsburgh, PA – PresenterDS039: Rescuing the Learner Struggling with ClinicalReasoning: Can We Do It? How Do We Do It?Thursday, May 15 - 8:00 - 10:00 amLocation: Dallas Ballroom D1Objectives: At the completion of this session, participants should be ableto: 1. Diagnose and assess undergraduate and graduate medical educationlearners struggling with clinical reasoning skills. 2. Develop educationalplans and remediation strategies using a framework to assist learnersstruggling with clinical reasoning. 3. Develop a list of best practices andpossible tools for the identification, assessment, and remediation oflearners struggling with clinical reasoning.Description: The acquisition of clinical reasoning skills by physiciansis central to undergraduate and graduate medical education, but howthese skills are acquired, assessed and remediated in struggling learnersrepresents an important challenge to medical educators. This workshopwill introduce a framework to identify, assess, diagnose and remediatelearners struggling with clinical reasoning difficulties. Presenters willaddress the difficulties for educators in identifying such learners andwill provide a framework that both diagnoses the learner and suggestsremediation strategies to pursue. The workshop will illustrate how thepresenters have diagnosed and remediated these kinds of learners usingthe suggested framework and actual learner cases. Participants are askedto bring their own cases and any strategies for diagnosing or remediatingthem for discussion at the workshop. The session will conclude by compilingbest practices of methods for the diagnosis and assessment of learnersstruggling with clinical reasoning as well as remediation strategies formedical educators seeking to assist them.Todd GuthUniversity of Colorado, Anschutz Medical Campus,Aurora, CO - Submitter, PresenterDavid GordonDuke University, Chapel Hill, NC - PresenterJoshua WallensteinEmory University, Atlanta, GA – PresenterDS040: Evidence-based Operations: Using Discrete-eventSimulation to Enhance ED Operations ResearchThursday, May 15 - 9:00 - 10:00 amLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be able to:1. Describe discrete event simulation (DES) and contrast its strengths andlimitations with other methodological approaches. 2. Discuss how the useof DES can enhance the efficiency and performance of modern emergencycaresystems. 3. Describe the steps necessary to build an effective and validDES model of an emergency-care environment.Description: Discrete event simulation (DES) is a well-establishedmethodological approach to analyzing inefficiencies in operationalpractices, but to date DES has been infrequently applied to emergencycare. DES is a means of modeling and visualizing ED processes and offersnovel means to address difficult “what if” questions, such as: A) What isthe most effective strategy to meet the latest core measure? B) Whatare the effects of two different strategies on patient waiting time? andC) If staffing resources are limited, where would we most effectively usethose resources? Other statistical methods, such as regression modelingand queuing theory, cannot handle the complexities of highly variablepatient flow experienced in the ED. DES offers significant advantages forED operations research in its ability to evaluate alternative operationalstrategies and their effect on ED patient flow, prior to potentially expensiveand hazardous process implementations. A team of emergency physicianswith expertise in operations research and computer science will discusshow to effectively work with a modeler, necessary steps and commonpitfalls in building robust models, and how to effectively use DES to enhancepatient flow in your ED. Presenters will review prior research applying DESto ED environments, promising research opportunities using DES, and howto critically review reports of DES in the literature. Finally, presenters willdescribe first steps in developing such an enterprise, identifying partnerswithin and beyond their home institutions.MAY 13-17, 2014 | DALLAS, TEXAS57


Society for Academic Emergency MedicineEric GoldlustAlpert Medical School of Brown University/UEMF, Providence, RI -Submitter, PresenterNathan HootUniversity of Texas Health Science Center, Houston, TX - PresenterMichael WardVanderbilt University, Nashville, TN – PresenterDS041: Teaching in the Wild: How to Teach and AssessStudents and Residents in the Out-of-Hospital SettingThursday, May 15 - 9:00 - 10:00 amLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be ableto:1. Design and implement simulation and standardized patient-basededucational programs for the out-of-hospital setting. 2. Develop and utilizeassessment tools to evaluate individual skills and effective teamwork, withparticular focus on assessment related to the ACGME’s Milestones project.Description: This course will provide instruction on the development ofeducational programs for the purpose of teaching skills for the care ofpatients in resource-limited, austere, or out-of-hospital environments.The course will present the framework for scenario design utilizingstandardized patients and high-fidelity manikins in the in-situ or simulationlab environment. Also, methods for didactic design for the “outside”locations will be presented. Additionally, this course will provide instructionon methods to teach individual skills, improvisational procedural skills,and teamwork training for resource-limited settings. The developmentand utilization of assessment tools will be discussed, with particular focuson incorporating EM-Milestones-focused assessment of cognitive andbehavioral performance standards and procedural skills competencies intothe traditional critical action checklists, behavioral ratings, and algorithmcompliance ratings. Further, this course will delineate how scenario-basedteaching can be used as a platform to instruct residents on educationaltheory and how to hone bedside teaching skills. Lastly, this course willdiscuss modified debriefing techniques and the utilization of portabletechnology for teaching and debriefing in the out-of-hospital setting.Sanjey GuptaNew York Hospital Queens, Flushing, NY - Submitter, PresenterHenderson D. McGinnis.Wake Forest Baptist Health, Winston-Salem, NC - PresenterN. Stuart HarrisMassachusetts General Hospital, Boston, MA – PresenterDS042: A CLER Plan: Implementing a Patient SafetyCouncil for Residents and FellowsThursday, May 15 - 9:00 - 10:00 amLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be ableto: 1. Describe CLER objectives. 2. Implement a resident- and fellow-drivenPatient Safety Council to demonstrate trainee involvement in patientsafety and quality improvement.Description: In response to the Clinical Learning Environment Reviewprogram established by the ACGME, residencies and institutions will needto demonstrate their trainees’ engagement in patient safety and qualityimprovement. To accomplish these goals, the graduate medical officeat Indiana University looked internally to the leaders of patient safetyin resident education, the Emergency Medicine Residency Program. Weestablished 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 Committeeestablished 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 ACGME2011 updates, including the CLER initiative. We will then share the planningthat successfully launched the Patient Safety Council, and how we maintainownership by the residents while guiding the direction of the Council’sobjectives through faculty advisors. We will also share current projectsand long-term goals of the Council, and demonstrate how this Council hasassisted our program in meeting the CLER objectives. The last half of thesession will involve small-group discussion on QIPS activities ongoing atparticipants’ institutions, using guided question worksheet and scenariosto guide the table discussions and increase the potential for take-homelearning, as well as brainstorming for potential resident projects and councilobjectives. Best practice sharing, responses to scenarios, and Q & A will beinteractive and participatory.Marie VrablikIndiana University, Indianapolis, IN - Submitter, PresenterCarey ChisholmIndiana University, Indianapolis, IN – PresenterDS043: Catapulting to the Pinnacle of Best Evidence:Conducting a Systematic Review and Meta-Analysis toJumpstart your Research CareerThursday, May 15 - 9:00 - 10:00 amLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should beable to: 1. List the resources and mentorship team necessary to conduct asystematic review. 2. Select a research question and work with a medicallibrarian to design a database query. 3. Perform independent review, analyzeresults using statistical concepts of pooling and heterogeneity, and submita manuscript report of the systematic review/meta-analysis. 4. Discuss therole of the systematic review in advancing a professional research career.Description: Systematic reviews and meta-analyses have exploded in themedical literature since 2000, with almost 10,000 systematic reviews beingpublished in the last 4 years alone. This specialized formal technique affordsthe reader a comprehensive answer to a clinical question, but conductingthe review correctly requires specialized training and mentorship. Thissession will be led by two experts in systematic review methodology, andwill focus on how to conduct and publish a first systematic review. At theend of the session, participants will be able to demonstrate how to build ateam of collaborators, work with a medical librarian to formulate a rigorousdatabase search, perform independent review, analyze results usingstatistical concepts of pooling and heterogeneity, and submit a manuscriptdeveloped using the guidelines of the PRISMA statement. Participants willbe exposed to examples of both diagnostic and therapeutic reviews andshould expect to be able to conduct a systematic review/meta-analysiswith mentorship at the conclusion of this session. Presenters will useexamples from their own experience in conducting systematic reviews/meta-analyses to highlight the strengths and pitfalls of these methods, andspeakers will discuss the use of a systematic review and meta-analysis inadvancing a professional research career.Nicholas M. MohrUniversity of Iowa Carver College of Medicine,Iowa City, IA - Submitter, PresenterChristopher CarpenterWashington University School of Medicine, St. Louis, MO - PresenterAbel WakaiBeaumont Hospital, Dublin, and Royal College of Surgeons in Ireland,Dublin, Ireland – PresenterDS044: Demystifying the American Board of EmergencyMedicine’s Maintenance of Certification ProgramThursday, May 15 - 10:30 - 11:30 amLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be able to:1. Describe the components of the ABEM MOC program and how and whento complete them. 2. Analyze the evidence supporting the elements of theMOC program. 3. Be capable of designing a research project to evaluate ifthe MOC program can improve physician knowledge and improve patientand system outcomes.Description: Select members of the ABEM Board of Directors will providea brief history and rationale for the ABMS MOC program. They will thendescribe the current ABEM MOC requirements. This will be followed bya presentation of current evidence that supports MOC as it pertains tophysician knowledge and improved patient and/or system outcomes. Finally,there will be an interactive discussion with the audience on strategies fordeveloping research pertaining to MOC.58


Terry KowalenkoBeaumont Health System, Royal Oak, MI - Submitter, PresenterMichael CariusNorwalk Hospital, Norwalk, CT - PresenterJames H. JonesIndiana University, Indianapolis, IN – PresenterDS045: Generating Scholarship through IndustryPartnershipsThursday, May 15 - 10:30 - 11:30 amLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be ableto: 1. List ways to creatively partner with industry to accomplish academicgoals. 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 legitimatescholarship.Description: Emergency medicine researchers face many challengeswhen conducting research. Industry-funded research can be a meansto accomplish research objectives. Such endeavors can be valuablecomponents of academic EM research missions, but they also presentunique challenges. These include approaches to access such funds,limitations on types of studies conducted, financial or legal implications ofconducting such research, and issues related to academic freedom,such aspublication rights, data ownership, patents and copyright. The purpose ofthis didactic is to discuss how to find and leverage industry relationships toaccomplish academic goals, how to ensure such efforts result in legitimatescholarship, and how to manage such relationships to maintain integrity. Inthis session, a panel of researchers with experience working with industrywill describe the general workflow of an industry-funded project, provideexamples of successful investigator-initiated proposals, demonstratehow industry-initiated studies can lead to scholarship, explain how tonavigate legal hurdles during the contracting process, and advise on howto maintain academic integrity during such research. Short presentationson each of these topics will alternate with panel input and discussion.Novice researchers and seasoned veterans alike should benefit from thesepresentations and discussion.Alexander LimkakengDuke University, Durham, NC - Submitter, PresenterDaniel J. PallinBrigham and Women’s Hospital, Boston, MA - PresenterJudd HollanderUniversity of Pennsylvania, Philadelphia, PA – PresenterDS046: Research Methods for Studying SocialDeterminants of Health in Emergency MedicineThursday, May 15 - 10:30 - 11:30 amLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Describe social determinants of health and their impact on emergencycare. 2. Identify research modalities that can be used to study the socialdeterminants of health impacts in emergency medicine. 3. Develop aresearch agenda that focuses on identifying the roots of disparities inemergency care.Description: Healthy People 2020 has selected social determinants asa Leading Health Indicator in an effort to recognize that an individual orpopulation’s environment plays a crucial role in influencing health outcomes.Additionally, policy makers, clinicians, and researchers have begun toanalyze with a renewed focus the root causes of diseases in Americans. Asthe emergency department often provides the safety net for our healthcare system, emergency physicians have unique insight into the socialcauses of disease and are frequently afforded opportunities to study andmonitor these effects. Health services and social science researchers haveplayed an integral part in demonstrating the role of social determinants onhealth care utilization and access. With the implementation of the PatientProtection and Affordable Care Act (PPACA), emergency care researchersare leading the way in determining its impact on access to care. This didacticwill enhance participants’ understanding of the social determinants ofhealth, such as education, poverty, neighborhood environment, and race/ethnicity as they relate to emergency medicine, and how to scientificallystudy this area with appropriate methods, thereby exposing the rootdrivers of America’s health disparities. Panelists include leaders in healthservices research who will explain how their work highlights the impact thatsocial determinants have on emergency medicine. The session will end withan audience-directed question-and-answer period.Enesha CobbUniversity of Michigan, Ann Arbor, MI - SubmitterManya NewtonUniversity of Michigan, Ann Arbor, MI - PresenterRobert A. LoweOregon Health and Science University, Portland, OR - PresenterLynne D. RichardsonIcahn School of Medicine at Mount Sinai, New York, NY – PresenterDS047: How to Build a Career in Academic WildernessMedicineThursday, May 15 - 10:30 - 11:30 amLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be ableto: 1. Give a detailed description of steps needed to develop a robust andproductive career as an academic emergency physician specializing inwilderness medicine. 2. Describe how the skill set of wilderness medicine canbenefit other emergency medicine subspecialties (disaster, international,and ultrasound). 3. Recognize and avoid hazards to a productive researchand teaching career.Description: This workshop will give practical, concrete instruction onhow to create a productive career as an academic emergency physicianwho specializes in wilderness medicine. It will be taught as a workshop bythe leading faculty of nationally known wilderness medicine fellowshipprograms. We will describe detailed measures required to advanceindividual careers and the specialty of wilderness medicine within academicEM. Our “how-to” format will have three primary foci: 1) Developing clinicalcare 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 theymay develop an individualized road map to succeed in their careers. We willhighlight how to build productive relationships within emergency medicine(with disaster, international, and ultrasound expertise) as well as with otherspecialties and experts.N. Stuart HarrisMassachusetts General Hospital, Boston, MA - Submitter, PresenterTracy CushingDenver General Hospital, University of Colorado, Denver, CO – PresenterDS048: Across Genders and Generations: EffectiveFeedback and Communication in Emergency MedicineThursday, May 15 - 10:30 - 11:30 amLocation: Dallas Ballroom BObjectives: At the conclusion of this session, participants should be ableto: 1. Understand the importance of effective feedback on patient careand career satisfaction. 2. Identify gender and generational differences infeedback and conflict resolution. 3. Use provided strategies to overcomegender and generational barriers to effective communication and feedback.4. Acknowledge that individuals equipped to recognize, appreciate andmanage these differences will have an advantage in the modern workplace.Description: Have you ever been reluctant to approach an older malephysician with a patient care question because you just heard him swear atthe EMR? Have you felt like you were walking a tightrope by giving feedbackto a young female resident because you were worried that she may becomevisibly upset? Been approached by a medical student who is afraid to voicehis or her response to an offensive comment made by another attending?Feedback and effective team communication are vital for reductionof medical errors, staff morale, patient satisfaction and professionaldevelopment. Both can be challenging, especially given the potentialMAY 13-17, 2014 | DALLAS, TEXAS59


Society for Academic Emergency Medicinemisunderstandings surrounding gender and generational stereotypesand differences. This session will highlight a handful of common genderand generational differences, as well as personality traits that may affecteffective team communication and feedback. The session will also providethe learner with tools to effectively identify and manage these gaps.The session will be a 50-minute moderated, case-based session that willdiscuss multiple scenarios in which there is a gender, generational, orpersonality mismatch between the evaluator’s and evaluatee’s perceptionsand expectations. An expert panel consisting of gender, generation andfeedback specialists will then elucidate the roots of these mismatches andprovide concrete tips to help bridge differences and identify shared desiredoutcomes. Cases will then be “rerun” to model reframing and wording.Tracy MadsenAlpert Medical School of Brown University, Providence, RI - SubmitterTracy G. SansonUniversity of South Florida College of Medicine, Tampa, FL - PresenterJames G. AdamsNorthwestern University Feinberg School of Medicine, Chicago, IL - PresenterJeannette WolfeTufts University School of Medicine/Baystate, Springfield, MA – PresenterDS049: Achieving your Milestones Through SimulationThursday, May 15 - 10:30 - 11:30 amLocation: Dallas Ballroom D1Objectives: At the completion of this session, participants should be ableto: 1. Describe a method of creating milestone-based simulation scenariosfrom existing scenarios 2. Describe the process for implementing asimulation-based assessment. a3. Determine the resources required forimplementation at their particular institution.Description: With the implementation of the Next Accreditation Systemthis academic year, residency leadership is confronted with a challenge andan opportunity to drastically alter how residents are assessed. Specifically,all residents must be assessed using criterion-referenced milestonestwice annually. Simulation is now widely used for education and formativefeedback in emergency medicine residency programs, but there has beenno prior experience with simulation for milestone-specific assessment. Agroup of simulation experts nationwide has endeavored to design, validate,and pilot scenarios and assessment tools to fill this gap. This session willbegin with a presentation of a tool to convert existing simulation scenariosinto robust milestone-linked assessment tools. Panelists will then discusstheir experiences in implementing large-scale milestone assessmentsin their residency programs, with a focus on resource needs, faculty andresident buy-in, and logistical considerations.Jeffrey SiegelmanEmory University, Atlanta, GA - SubmitterEric A. BrownPalmetto Health - USC School of Medicine Simulation Center,Columbia, SC - PresenterDaniel G. MillerUniversity of Iowa, Iowa City, IA - PresenterDanielle HartHennepin County Medical Center, Minneapolis, MN - PresenterMichael BeesonNortheast Ohio Medical University, Akron, OH – PresenterDS050: Advancing Your Career as an EducatorThursday, May 15 - 10:30 - 11:30 amLocation: Dallas Ballroom D2Objectives: At the conclusion of this session, participants should be ableto: 1. Describe two potential ways to turn their own educational activitiesinto scholarship. 2. Describe how to increase research productivity throughteams. 3. Identify which educational opportunities are the most high-yieldfor strengthening one’s CV.Description: Many medical educators spend the majority of their time onclinical education, often at the expense of other activities that would helpthem build a portfolio for promotion and/or advancement within theirinstitution. The list of areas encouraged for promotion includes: clinicaland didactic teaching, curriculum/assessment/evaluation development,leadership, mentorship, scholarly teaching, research/scholarship, service,awards and honors. How are educators to address these missions whilecontinuing to excel in teaching? In this session, we will investigate howincreasing productivity in these other areas will lead to successful careeradvancement and promotion. This workshop will be presented by the CORDAcademy for Scholarship in Education in Emergency Medicine, whosemembers have been selected as national top-tier faculty in the areas ofeducation scholarship, education leadership, teaching and evaluation,and enduring educational materials. The session will be highly interactive,requiring participants to call upon their own context, responsibilitiesand priorities. First, two academy members will deliver a short didacticpresentation and introduce a large-group discussion. Anticipated topicswill include turning an education into scholarship and other high-visibilityprojects, how to increase research productivity through teams, thinkingabout one’s teaching portfolio, and time management. Participants will thenengage in facilitated small-group discussions with an Academy memberto allow individualized mentoring, in order to plan individual increasedproductivity. Finally, each group will report out important lessons learnedfor the benefit of the large audience.Nicole DeIorioOregon Health and Science University, Portland, OR - SubmitterMichael T. FitchWake Forest School of Medicine, Winston-Salem, NC - PresenterSally SantenUniversity of Michigan, Ann Arbor, MI – PresenterDS051: Medication Management: A Niche in Patient Safetyfor Emergency PhysiciansThursday, May 15 - 11:30 am - 12:30 pmLocation: Dallas Ballroom A1Objectives: At the end of this session, participants should be able to:1. Define medication management (MM) and related terms. 2. Discussknowledge gaps in MM in the academic medical center and ED and potentialresearch needed to address these limitations. 3. Describe medication safetycurricular needs for faculty, residents, nurses, and pharmacists, with a focuson how medication safety can be used to support faculty development inassessing and implementing important patient safety and quality conceptsrequired by ACGME’s CLER program. 4. Identify opportunities to focus onED MM as a career niche.Description: Emergency physicians (EPs) are increasingly stakeholdersin the process of safe and effective medication use (i.e., medicationmanagement, or MM) due to the expanding spectrum of medications usedin the ED, drug shortages, use of high-alert medications (HAMs), and careof populations with high-risk co-morbid conditions. There are importantmeans by which EPs can enhance the quality, safety, and efficiency ofpatient 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 toadvance a curriculum on medication safety specific to EM. Standardand innovative techniques should teach residents, faculty, nurses, andpharmacists about safe and appropriate use of HAMs, integration of newmedications into clinical practice, drug shortages, conservative prescribing,and the epidemiology and management of adverse drug events (ADEs) andmedication errors (MEs). This approach can be integrated into the trainingcurriculum to highlight relevant tools, such as event reporting, root causeanalysis, and team training, allowing a residency to meet the ACGMErequirements to demonstrate proficiency in patient safety and qualityimprovement during CLER assessments.The second part will describe the importance of active involvement inrelevant 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 ADEsand MEs, and enhancing computerized order entry. We will also discusshow to incorporate a collaborative, multidisciplinary institutional anddepartmental focus on safety rounds, and explore opportunities for clinicalpharmacists and mid-level providers to impact quality and safe medicationuse.The last part will discuss the role of involvement outside of the medicalcenter with local, state, and national groups that focus on quality and60


safety. This will include how developing a focus on MM can lead to academicsuccess, satisfaction, and promotion.Brenna FarmerWeill-Cornell Medical College, New York, NY - Submitter, PresenterJeanmarie PerronePerelman School of Medicine, University of Pennsylvania,Philadelphia, PA – PresenterLewis NelsonNew York University School of Medicine, New York, NY – PresenterDS052: Research Associates Programs: Making ThemBetter.Thursday, May 15 - 11:30 am - 12:30 pmLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be ableto: 1.Understand the broader value of an EM research associates program(EMRAP) to support EM research activities. 2.Describe ways to addressnew/increased IRB requirements that impact RA programs. 3. Explainsuccessful strategies for expanding the scope and effectiveness ofEMRAPs. 4. List multiple best practices to incorporate into EMRAPs.Description: Performing underfunded research in the emergencydepartment is a challenge. Many emergency departments have developedresearch or academic associates (RA) programs, usually with undergraduateor recent postgraduate students as unpaid research assistants in theED. The number of RA programs has grown substantially in the past 10years. However, most existing RA programs are relatively small, manyare struggling, and few take advantage of their full potential to supportresearch activities. In this session, speakers with extensive experience indeveloping and running these programs will describe their best practices,insights and suggestions to creatively broaden the range of researchactivities in a program while also avoiding some of the pitfalls that mayoccur. Topics to be covered will include: meeting new IRB requirements thatimpact RA programs; negotiating sufficient support from your department;running the program with a positive financial balance sheet; structuringthe program to minimize administrative demands on the faculty and staff;creative approaches to providing educational sessions; roles in assistingwith industry-sponsored clinical trials; legal regulation pitfalls to avoid; andexpanded RA roles beyond subject screening in the ED.Edward PanacekUC Davis, Sacramento, CA - SubmitterJudd HollanderUniversity of Pennsylvania, Philadelphia, PA - PresenterKeith BradleySt. Vincent’s Hospital, Bridgeport, CT – PresenterDS053: Point-of-Care Ultrasound for Pediatric GlobalHealth: A 21st-Century Technology for Meeting the UnitedNations Millennium Development Goals for DecreasingGlobal Under-5 Mortality0214Thursday, May 15 - 11:30 am - 12:30 pmLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Review the U.N. Millennium Development Goals for 2015. 2. Define howpoint-of-care ultrasound can help manage the leading causes of mortalityand morbidity in children worldwide. 3. Discuss future directions for pointof-careultrasound in global health.Description: Pneumonia and diarrhea are the leading killers of the world’schildren under 5 years of age and are targets for the U.N. MillenniumDevelopment Goals for 2015. The World Health Organization estimates thatover two-thirds of the world’s population lacks access to any diagnosticimaging technologies, especially in developing countries in places such assub-Saharan Africa and South Asia. Point-of-care ultrasound is a feasibleand sustainable solution in addressing this worldwide disparity. This didacticwill focus on point-of-care ultrasound applications that can be applied tothe leading causes of mortality and morbidity in children worldwide. Byaddressing methods to overcoming barriers in settings that lack ultrasoundtrainedhealth care professionals as well as presenting technologiessuch as telemedicine and tele-ultrasound, workshop participants shouldbe equipped with the knowledge and resources necessary to promoteultrasound in pediatric global health. Topics discussed will include: 1. Pointof-careUltrasound: 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 InferiorVena Cava Ultrasound. 4. Ultrasound Assessment of MusculoskeletalTrauma: Extended Focused Assessment with Sonography in Trauma(eFAST) and MSK Ultrasound.Kristin CarmodyNew York University School of Medicine, New York, NY - SubmitterJoni RabinerAlbert Einstein College of Medicine, Bronx, NY - PresenterLorraine NgColumbia University School of Medicine, New York, NY - PresenterJames TsungMount Sinai School of Medicine, New York, NY – PresenterDS054: Enhancing Emergency Medicine Training in MedicalSchools and Developing Baseline Metrics for Milestonesthrough Clinical CapstonesThursday, May 15 - 11:30 am - 12:30 pmLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be able to:1. Recognize the value of medical school capstone courses as foundationsfor the ACGME Milestones while further expanding emergency medicine’srole in undergraduate medical education. 2. Articulate the key goals andobjectives of a capstone course. 3. Provide examples of learner-centeredapproaches to enhance the effectiveness of capstone courses.Description: There is no quantitative difference in the knowledge or skills ofphysicians-in-training on the last day of medical school and the first day ofresidency, yet their degree of responsibility is markedly different. Residentsserve as problem-solvers and first responders for many emergenciesthat occur throughout the hospital, yet there is little guarantee traineeshave adequate experience in dealing with common emergencies. Clinicalcapstones serve as an opportunity to address this gap in experience byreviewing high-yield clinical concepts that underlie emergencies commonlyexperienced by residents. While capstone courses demonstrate thepractical application of emergency-medicine training outside the ED, theyare also important opportunities to ensure learners are prepared to enterresidency at Level 1 of the Milestones described in the Next AccreditationSystem by the ACGME. Capstone courses ideally serve as a multi-purposetool to: 1) allow students to synthesize and apply major themes and learningpoints from their medical training; 2) offer an opportunity to remediate andaddress deficiencies; 3) provide an assessment of the learners’ readinessfor residency; and 4) offer an evaluation of the overall medical schoolcurriculum. Our workshop will introduce the concept of and evidence forclinical capstones while emphasizing resource creation and sharing amongparticipants. We will describe curricular content around topics such asshock 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 thatare experienced in the design and implementation of capstones currentlyoffered at several institutions.Matthew StullUniversity of Cincinnati College of Medicine, Cincinnati, OH – Submitter,PresenterSusan M. DunmireUniversity of Pittsburgh School of Medicine, Pittsburgh, PA - PresenterSarah Ronan-BentleUniversity of Cincinnati College of Medicine, Cincinnati, OH – PresenterDS055: Teaching Emergency Medicine Residents toChoose Wisely: Incorporating Cost-ConsciousPractices into TrainingThursday, May 15 - 11:30 am - 12:30 pmLocation: Dallas Ballroom BMAY 13-17, 2014 | DALLAS, TEXAS61


Society for Academic Emergency Medicine62Objectives: At the completion of this session, participants should be ableto: 1. Describe methods by which cost-conscious educational initiatives havebeen incorporated into medical training. 2. Describe barriers and potentialsolutions to incorporating cost-effectiveness education into residenttraining. 3. Identify emergency medicine practices for which adoption ofmore evidence-based cost-effective approaches would have greatestimpact. 4. Describe how to assess knowledge retention and impact onclinical practice.Description: As ED visits increase and account for a growing share of hospitaladmissions, strategies to contain emergency medical costs are increasinglyimportant. Recent studies have shown that increased blood testing, IVmedications, and radiography contribute to increased length of stay and EDcrowding, which can be associated with adverse outcomes and higher ratesof errors. Additionally, variation in hospital admission from the ED has beendocumented among emergency physicians. Incorporating evidence-basedcost-conscious practices into residency training is important because ofits potential to shape future practice patterns. The purpose of this didacticsession is to help attendees understand how to incorporate educationregarding cost-conscious care into their training programs. We willintroduce examples of existing educational initiatives that have addressedthis subject in emergency medicine and other specialties. We will examinebarriers to implementation and potential solutions that address how thesemight be overcome. Finally, we will discuss assessment methods to evaluatethe effectiveness of these educational initiatives. Dr. Schuur will moderatethe session and give a brief overview of the imperative for cost-consciouscare. Dr. Shah will discuss the Teaching Value Project and efforts to educatehealth care providers on costs across various medical specialties. Dr. Linwill discuss how to adapt evidence-based cost-conscious education toemergency medicine training, using the example of a curriculum that sheintroduced as a senior resident. There will be 10 minutes for questions.Michelle LinBrigham and Women’s Hospital, Boston, MA - Submitter, PresenterNeel ShahBeth Israel Deaconess Medical Center, Boston, MA - PresenterJeremiah SchuurBrigham and Women’s Hospital, Boston, MA – PresenterDS056: Defining and Assessing Team Leadership inEmergency MedicineThursday, May 15 - 11:30 am - 12:30 pmLocation: Dallas Ballroom D1Objectives: At the completion of this session, participants should be able to:1. Describe the current status of team leadership assessment in emergencyhealth care teams. 2. Understand how team science can be applied toleadership assessment in emergency health care teams. 3. Discuss theassessment of team leadership in terms of the current AccreditationCouncil for Graduate Medical Education (ACGME) milestones. 4. Identifywhere opportunities for team leadership assessment research might exist.Description: Team leadership is critical to the effective performance ofhealth care teams, especially those that function in highly variable, dynamicsituations. Undergraduate and graduate medical educators recognize theneed to assess leadership competency. However, while team leadershipskills are represented within the current ACGME Milestones for EmergencyMedicine, scientifically grounded mechanisms for assessment have notbeen clearly delineated. Faculty will begin this session by presentingthe results of a comprehensive systematic review to highlight currentpractices in health care team leadership assessment. They will note gapsin knowledge and evidence, pointing out where research is needed tobetter define best practices. Faculty will examine the current ACGMEMilestones and identify areas where leadership skills are combined withother components of trainee assessment. This will then be discussed from ameasurement and assessment science perspective. Faculty will describe aleadership model and assessment framework that support the assessmentof team leadership in health care teams, highlighting the potential for futureresearch.Rosemarie FernandezUniversity of Washington, Seattle, WA - Submitter, PresenterElizabeth D. RosenmanUniversity of Washington, Seattle, WA - PresenterJeremy B. BranzettiUniversity of Washington, Seattle, WA – PresenterDS057: The Value of Non-Accredited Fellowships for theModern Academic Emergency PhysicianThursday, May 15 - 1:30 - 2:30 pmLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be ableto: 1. Identify the short-term pros and cons of pursuing non-accreditedfellowship training. 2. Describe the impact of fellowship training onacademic job prospects and future career goals. 3. Evaluate the variousofferings included in non-accredited fellowship training and their impactupon 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, CriticalCare, Palliative Care, and EMS). The rest of the available experiences varygreatly in the length and breadth of training, protected time, salary, workhours, research support, and future opportunities for career development.Weighing the benefits of these offerings against the opportunity cost ofreduced salary during training is daunting for the graduating or recentlygraduated resident. Each member of the panel has graduated from a nonaccreditedfellowship and is at a different stage in their career (immediate,two, three, and six years post fellowship) and will discuss their motivationsin selecting training, the pros/cons of their decision, and how that decisionhas affected their academic career. Specific emphasis will be placed uponevaluating potential non-accredited fellowships and their offerings (i.e.salary, curricula, lengths of training, locations of training, off-serviceexperiences, protected time, on-call requirements, shift obligations, workhours, benefits, advanced degree programs, research support).Michael KurzVirginia Commonwealth University, Richmond, VA - Submitter, PresenterLauren SoutherlandOhio State University, Columbus, OH - PresenterDeborah KleimanUniversity of IL at Chicago, Chicago, IL - PresenterTeresa Camp-RogersUniversity of Texas at Houston, Houston,TX – PresenterDS058: How (and Why) to Peer-Review a ManuscriptThursday, May 15 - 1:30 - 2:30 pmLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Describe the role of peer review in the advancement of the scientificliterature. 2. List four key components of a high-quality peer review. 3.Specify two ways in which performing peer review can contribute toprofessional development.Description: Academic emergency physicians with scholarship experienceand expertise are well-positioned to serve as peer reviewers for scientificjournals. High-quality peer reviews help ensure the quality of the researchthat guides the clinical practice of emergency care, and can contributeto the professional development of the reviewer. This session will brieflyreview how peer review contributes to the advancement of the scientificliterature, 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 beginconducting peer reviews with minimal mentoring.David ConeYale School of Medicine, New Haven, CT - Submitter, PresenterBrian HiestandWake Forest University School of Medicine, Winston-Salem, NC - PresenterDS059: The Why, the What and the How of Developing“Physician as Educator” Programs for Medical Studentsand ResidentsThursday, May 15 - 1:30 - 2:30 pmLocation: Dallas Ballroom A3Objectives: 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 includein the development of a “physician as educator” curriculum. 3. Recognizethe importance of providing opportunities for learners to practice theirclinical 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 hisor her role as healer. The LCME and the ACGME require medical schools andresidency programs to provide opportunities for both residents and medicalstudents to develop themselves as educators. This interactive sessionseeks to discuss a rationale and impetus for developing “medical studentas educator” and “resident as educator” programs, a suggested curriculumfor topics that may provide the initial structure for these programs, and thelogistical challenges in implementing such programs. In particular, medicaleducators must not only create a curriculum of topics, but also providethe supportive environment in which learners can successfully practicetheir teaching skills. Ideally, these experiences should be supervisedby an experienced educator who provides meaningful feedback to thelearner about their teaching. Presenters will solicit participants for theirexperiences with instituting “physician as educator” programs, highlight thesuccesses and hurdles of developing these curricula at their institutions, andcreate a list of best practices among presenters and audience participants.Todd GuthUniversity of Colorado, Anschutz Medical Campus, Aurora, CO - Submitter,PresenterSneha H. ShahUniversity of Massachusetts Medical School, Worcester, MA - PresenterMichael EpterUniversity of Nevada, Las Vegas, NV - PresenterDS060: The Affordable Care Act and Emergency Care:The Impact of ACOs and Other Shared-risk Models on theQuality, Cost, and Practice of Emergency MedicineThursday, May 15 - 1:30 - 3:30 pmLocation: Dallas Ballroom BObjectives: At the completion of the session, participants should be able to:1. Understand the impact of shared-risk models on the delivery of emergencycare. 2. Define shared-risk models, accountable care organizations, andpayment reform. 3. Conceptualize how quality and cost should be measuredin emergency care. 4. Explore the implications of shared-risk models on thepractice of emergency medicine.Description: Shared-risk models are designed to distribute the risk of costsamong several participants in an enterprise. The passage of the PatientProtection and Affordable Care Act has accelerated the development ofaccountable care organizations (ACOs), which involve risk-sharing betweenpayers and providers in an effort to create financial incentives for highvaluecare. In particular, reimbursement for health services is evolving topay for the quality of care instead of the quantity. This session will includea discussion of several aspects of health reform’s impact on the delivery ofemergency care. We will first begin with an overview of shared-risk models,and ACOs in particular. We will then consider the role of emergency medicinein ACO quality measurement, specifically the effect of emergency care oncurrent and potential ACO measures, and on balancing the need for targetedED measures with ACO population measures. Next, we will focus on paymentreform. The transition to ACOs and non-fee-for-service-based methods ofpayment will require a better understanding of both the cost of emergencycare and the role the ED plays in reducing both ED and downstream healthcare expenditures. We will focus on the financing of emergency care,potential strategies for the reduction of costs associated with emergencycare, and the unique role of the ED within global payment systems. Lastly,we will conclude by examining the impact of shared-risk models on thepractice of emergency medicine. Specifically, we will address how thesechanges in health care delivery are relevant to emergency providers andresearchers and discuss strategies for being proactive and not reactive topolicy mandates that are likely forthcoming.Keith KocherUniversity of Michigan, Ann Arbor, MI - SubmitterKarin V. RhodesUniversity of Pennsylvania, Philadelphia, PA - PresenterDavid NilasenaCenters for Medicare and Medicaid Services, Dallas, TX - PresenterAdam SharpKaiser Permanente Southern California, Pasadena, CA - PresenterTimothy A. PetersonUniversity of Michigan, Ann Arbor, MI - PresenterArjun VenkateshRWJF Clinical Scholars Program/Yale School of Medicine, New Haven, CT -PresenterBrent AsplinCatholic Health Partners, Cincinnati, OH - PresenterPeter SmulowitzBeth Israel Deaconess Medical Center, Boston, MA – PresenterDS061: PCORI Made Easy: An Insider’s Guide to thePatient-Centered Outcomes Research InstituteThursday, May 15 - 1:30 - 3:30 pmLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should be able to:1. Define the mission and scope of PCORI. 2. Describe how an emergency careresearcher can conduct patient-centered outcomes research. 3. Use PCORImethods 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 majorsource of funding now and for the foreseeable future for patient-orientedcomparative effectiveness research. It has unique relevance for emergencycare and emergency care research. Over $500 million in grants are expectedto be distributed annually. Those who are interested in learning about PCORIopportunities must first understand the unique approach PCORI takes tofunding and developing projects in this arena. This panel discussion will bean insider’s guide to the PCORI enterprise, featuring members of the grantsreview committee, an emergency medicine PCORI principal investigator,and patient advisors who have participated in the essential patient rolein developing and executing PCORI projects. It will be moderated by anemergency physician who currently holds a contract to work with PCORIto enhance dissemination of PCOR standards. In accordance with PCORI’smission, it is essential for this didactic to include the perspectives of not justcurrent investigators, but also reviewers and patients themselves. ZacharyMeisel (moderator) will introduce the session with a “primer on PCORImethods and standards.” Erik P. Hess will speak on the “Nuts and Bolts ofa Successful PCORI Grant.” Michel Demers and Annie LeBlanc will speak onthe process of contributing patient and caregiver voices to PCORI researchprojects. Judd E. Hollander will compare and contrast the approaches togrant writing between PCORI and other funding sources. Deborah B. Dierckswill speak on “What Really Goes on at PCORI Grants Review Sessions.”Zachary MeiselPerelman School of Medicine, University of Pennsylvania, Philadelphia,PA - SubmitterErik P. HessMayo Clinic, Rochester, MN - PresenterJudd HollanderPerelman School of Medicine, University of Pennsylvania, Philadelphia,PA - PresenterDeborah DiercksUniversity of California at Davis, Sacramento, CA - PresenterMichel DemersMayo Clinic, Rochester, MN - PresenterAnnie LeBlancMayo Clinic, Rochester, MN – PresenterDS062: Talking Your Way to a More Satisfied andCompliant Patient: How Can the Literature Help Us RefineOur Communication Skills?Thursday, May 15 - 2:30 - 3:30 pmLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be able to:1. Discuss the barriers to effective communication that an ED provider canexperience. 2. Explain key communication strategies that can enhance theMAY 13-17, 2014 | DALLAS, TEXAS63


Society for Academic Emergency Medicinepatient-provider encounter. 3. Classify high-risk communication times anddiscuss strategies to maximize the chance of a good outcome. 4. Examinethe available literature on ED provider communication and its effect onpatient satisfaction and compliance.Description: In an era of ED crowding, throughput measurements, andpatient satisfaction scores, the conflict for providers between providingefficient, cost-effective care and still having satisfied patients hascontinued to grow. Provider time with the patient is short, and this sessionwill focus on how to make the most of it. Providers at any level can takesomething away from this session. This didactic will cover the current stateof the patient experience as documented in the literature. How much timedo we spend with our patients? Do you know what patients expect whenthey come to see you? Is spending more time with the patient the onlyway to make them happy? What are the most important parts of a patientencounter, and how are we doing with them? Can you maximize them to helppatients take better care of themselves when they leave? Are there highyieldcommunication times that should have focused training? The speakerswill explore the literature available on these topics and discuss challenges,barriers for residents, and solutions for having a more effective patientencounter and a more satisfied patient.Linda ReganJohns Hopkins Medical Institutions, Baltimore, MD - Submitter, PresenterTina M. LatimerEmergency Medicine Associates, P.A., P.C., Germantown, MD – PresenterDS063: Predatory Journals: The Landscape of Peer-Reviewed Publication in the Open-Access EraThursday, May 15 - 2:30 - 3:30 pmLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Analyze the relative advantages and disadvantages of open-accesspublication. 2. Describe the definition of a predatory journal. 3. Take 3 stepsto avoid being taken advantage of by predatory journals.Description: Open-access journals have widely proliferated in the pastseveral years. Originally, these journals were heralded as transforming thefield of academic publishing, bringing scientific advances to a wide globalaudience. However, this publication model is facing new funding models,including “pay to publish,” in which revenue to support the journal comesfrom publication fees charged to authors, rather than from advertising,subscription fees, or society dues. A subset of open-access journals, theso-called “predatory journals,” exists only to make money from publicationfees. They often have similar names as high-level academic journals, andsolicit manuscripts through spam e-mail without disclosure of their fees.As discussed in a recent editorial in Annals of Emergency Medicine, thesepredatory 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 thestate of open-access publishing in today’s academic landscape. He willprovide his perspective on the market impact of open-access publishing,and will discuss publication strategies for researchers at various careerstages. Jeffrey Beall, manager of “Beall’s List,” a frequently updated list ofpredatory journals, has presented his work internationally and is considereda world expert on the issue. He will discuss the impetus for establishinghis list, review the methods used for determining which are journals are“predatory” and which are “legitimate,” and specify how to avoid becomingprey for these academically dishonest companies.Andrew MonteUniversity of Colorado, Aurora, CO - Submitter, PresenterDavid ConeYale School of Medicine, New Haven, CT - PresenterJeffrey BeallUniversity of Colorado Denver, Denver, CO – PresenterDS064: Policy Change 102: Public Scholarship forEmergency PhysiciansThursday, May 15 - 2:30 - 3:30 pmLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be able to:1.Define public scholarship and its role in emergency medicine. 2. Articulatehow to get involved with the primary current formats for public scholarship:online op-eds, Twitter, and the blogosphere. 3. Design a plan for personalinvolvement in public scholarship, including a way to receive academic creditfor one’s efforts.Description: In “Policy Change 101,” we discussed the basics of health carepolicy and how emergency physicians can incorporate advocacy into theiracademic work. This year we will expand our discussion to focus on publicscholarship, which will give our participants the skill sets needed to maketheir advocacy ideas a reality. Public opinion is increasingly shaped bynon-traditional sources, such as online news magazines, blogs, and socialnetworking sites (including Facebook and Twitter). Active involvement inthese media through “public scholarship” therefore has the potential to havea huge impact on medical care, public health, and health care policy. Althoughmany emergency physicians participate in online medical educationdiscussions (“FOAMed”), fewer are actively involved in public scholarship. Inthis didactic, three emergency physicians who are actively involved in thisnovel form of scholarship will discuss ways that our specialty can contributeto the public discussion of critical health issues. We will begin with adiscussion of the concept of public scholarship. We will then discuss therelative advantages and disadvantages of blogs (Radecki), Twitter (Ranney),and online Op-Eds (Houry) for disseminating research, influencing publicopinion, and creating community dialogues. For each form of scholarship, wewill 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 witha question-and-answer panel discussion session. Throughout the session,we will live-tweet our discussion using the #SAEM14 hashtag, to increasewider EM community involvement in the discussion.Lauren HudakEmory University School of Medicine, Atlanta, GA - SubmitterMegan RanneyAlpert Medical School of Brown University, Providence, RI - PresenterDebra HouryEmory University School of Medicine, Atlanta, GA - PresenterRyan P. RadeckiTexas Health Science Center at Houston, Houston, TX – PresenterDS065: Coping with Rejection in Research: ResiliencyStrategies to Effectively Move Forward After a SetbackThursday, May 15 - 4:00 - 5:00 pmLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be able to:1. Understand that rejection is a part of doing research. 2. Describe specificpractical techniques for addressing reviewer comments and revising grantapplications/manuscripts to maximize success. 3. Identify and adoptstrategies 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 theserejections. Moving forward after a rejection requires both psychologicalfortitude and a practical plan. The purpose of this didactic is to discussways to cope with rejection and specific practical techniques for movinga project forward after a setback. The discussion will focus on two maintopics: 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 amanuscript was rejected, using specific examples from their careers. Thediscussion on grants will include: performing preliminary studies, revisinga grant application in response to reviews, bringing on collaborators, andtargeting a re-application to the goals of the funding agency. The discussionon manuscript preparation will describe how to read reviews constructively,incorporate comments (or not), write with reviewers in mind, and target are-submission to the most appropriate journal. 2) Psychological aspectsof coping with rejection. While the rejection of a grant or manuscript mayreflect institutional priorities, finances, or other external factors, it is easyto view a rejection as a personal comment on one’s intelligence or promiseas a researcher. Researchers may be tempted to abandon valuable projectsrather than face the criticism of reviewers and the feeling of having “wastedtime” on work that was not funded or accepted. This discussion will addressways to cope with these feelings, when to seek advice, and steps for movingforward.64


Christopher KabrhelMassachusetts General Hospital,Harvard University, Boston, MA - Submitter, PresenterJeffrey KlineIndiana University, Indianapolis, IN - PresenterMark CourtneyNorthwestern University Hospital, Chicago, IL - PresenterJudd HollanderUniversity of Pennsylvania, Philadelphia, PA – PresenterDS066: Training Pathways for Educators: A PanelDiscussionThursday, May 15 - 4:00 - 5:00 pmLocation: Dallas Ballroom BObjectives: At the completion of this session, participants should be ableto: 1. Compare the four pathways to obtaining formal training in healthprofessions education. 2. Assess the utility of the various educationalformats presented in relation to participants’ individual career goals. 3.Describe strategies for obtaining funding and protected time in order tocomplete a formal education program.Description: While education is a core mission of all medical disciplines andis carried out on a daily basis both at the bedside and in the classroom, therehas historically been a lack of emphasis on “teaching the teachers.” Thispanel will serve to highlight the options available to emergency physiciansseeking formal training in leadership, educational theories and modalities,curriculum development and assessment, and education research. Thepanel will be comprised of EM physicians who are currently participating inor have recently completed the following education programs: Fellowship inMedical Education, Master’s in Healthcare Professions Education (MHPE),SAEM Education Fellowship Grant, and ACEP Teaching Fellowship. Thesemembers will speak about their career paths, the resources they used toattend formal education programs, as well as their personal experienceswith these programs and how they relate to their academic goals andachievements.Jo Anna LeuckCarolinas Medical Center, Charlotte, NC - Submitter, PresenterSean M. FoxCarolinas Medical Center, Charlotte, NC - PresenterSamuel ClarkeUC Davis, Sacramento, CA - PresenterSorabh KhandelwalThe Ohio State University, Columbus, OH - PresenterDS067: From Twitter to Tenure:Use of Social Media to Advance Your Academic CareerThursday, May 15 - 4:00 - 5:00 pmLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should be able to:1. Describe how social media can fulfill academic responsibilities and relateto their institution’s promotion/tenure requirements. 2. List ways socialmedia can lead to career advancement opportunities, including program,institutional, local, and national levels. 3. Explain opportunities for socialmedia-related research and collaboration.Description: Social media has grown in popularity and has become anengaging tool for educators, trainees, and researchers; however, manyparticipants are concerned that their academic activities on blogs, Twitterand podcasts may not earn the same regard and appreciation from promotioncommittees as traditional forms of scholarship. The panelists will discusshow their work in social media has advanced their academic careers, in partby leading to traditional measures of accomplishment such as committeepositions, speaking opportunities and publications. Presenters will alsodiscuss how advancement is possible thanks to the increasing adoption ofmodern, progressive definitions of influence and audience.Jason NomuraChristiana Care Health System, Newark, DE - Submitter, PresenterMichelle LinUniversity of California San Francisco, San Francisco, CA - PresenterNicholas GenesIcahn School of Medicine at Mount Sinai, New York, NY - PresenterRobert R. CooneyConemaugh Memorial Medical Center, Johnstown, PA – PresenterMAY 13-17, 2014 | DALLAS, TEXAS65


SAEM 2014 ANNUAL MEETING ABSTRACTSMAY 14-17, 2014 — DALLAS, TEXASListed below are the title, presenter name, and presenter institution for the 834 abstracts that have been selected for presentation at the2014 SAEM Annual Meeting from 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers donot correspond to the original abstract numbers given at time of submission.*SAEM Gallery of Excellence Nominees 2014Society for Academic Emergency MedicineTHURSDAY, May 15th, 2014COMPUTER TECHNOLOGY - ORAL ABSTRACTSThursday, May 15, 8:00 - 10:00 am in San Antonio Ballroom AModerator:206 The Effect of Data Errors on Emergency Department PerformanceMetrics: a Monte Carlo SimulationMichael J. Ward, MD, MBA, Vanderbilt University207 You’ve Got Mail...And Need Follow-UpBrian Sharp, MD, University of Wisconsin208 Automated Outcome Classification of CT Imaging Reports for PediatricTraumatic Brain InjuryKabir Yadav, MDCM MS MSHS, the George Washington University209 Unintended Adverse Consequences of Electronic Health RecordIntroduction to a Mature Universal HIV Screening ProgramLaura N. Medford-Davis, MD, Baylor College of Medicine210 A Rules Based Method to Generate Problem Lists Using MedicationReconciliationJoshua W. Joseph, MD, Beth Israel Deaconess Medical Center / HarvardMedical School211 Default Versus Open-Text Narcotic Prescription Writing in theEmergency Department Electronic Medical RecordMichael D. Zwank, MD, Regions Hospital212 There’s an App for That? Highlighting the Difficulty in Finding ClinicallyRelevant Apps for Use in the Emergency Department.Shannon Toohey, MD, UC Irvine213 Designing Real-time Decision Support for Trauma ResuscitationsKabir Yadav, MDCM MS MSHS, the George Washington UniversityCV-CLINICAL - ORAL ABSTRACTSThursday, May 15, 8:00 - 10:00 am in Houston Ballroom BModerator:214 Copeptin Provides Prognostic Value in Emergency Department PatientsPresenting with Acute Undifferentiated Chest PainRichard M. Nowak, MD, Henry Ford Health System627 Prospective Validation of the Ottawa Subarachnoid Hemorrhage Rule inHeadache PatientsJeffrey J. Perry, MD, MSc, CCFP-EM, University of Ottawa215 Mid-regional Pro-adrenomedullin Predicts Six Month Mortalityin Emergency Department Patients Presenting with AcuteUndifferentiated Chest Pain: Results from the CHOPIN TrialRichard M. Nowak, MD, Henry Ford Health System216 Can a Second Measurement of Copeptin Improve Acute MyocardialInfarction Rule Out?William Peacock, MD, Baylor College of Medicine217 Electrocardiographic Predictors of Adverse Cardiovascular Events inAcute Drug Overdose: a Validation StudyAlex F. Manini, MD, MS, FACMT, the Icahn School of Medicine at MountSinai218 Effects of Blood Pressure Decrease on 180 Day Mortality from theRELAX-AHF TrialPeter S. Pang, MD, Northwestern University FSM219 Performance of the 2- Hour Accelerated Diagnostic Protocol within theAmerican College of Radiology Imaging Network PA 4005 CohortSimon A. Mahler, MD, MS, Wake Forest School of Medicine220 An ED Rhythm Control Method for Recent Onset Atrial FibrillationImproves Outcomes Compared to Standard Therapy.Jennifer L. White, MD, Doylestown Hospital221 ST Depression in Lead I Is Not a Reliable Predictor of Right VentricularInfarction in Inferior STEMIJohanna E. Bischof, MD, Hennepin County Medical CenterINFECTIOUS DISEASE - ORAL ABSTRACTSThursday, May 15, 8:00 - 10:00 am in Houston Ballroom AModerator:226 Clinical Risk Factors Predict Antimicrobial-Resistant Urinary Pathogensin the Emergency DepartmentNicholas M. Mohr, MD, University of Iowa Carver College of Medicine222 Salivary Cortisol as a Marker of Acute Respiratory Infection SeverityWesley H. Self, MD, MPH, Vanderbilt University Medical Center223 Screening in Emergency Department Identifies a Large Cohort ofUnrecognized Chronic Hepatitis C Virus Infection among Baby BoomersJames W. Galbraith, MD, University of Alabama at Birmingham224 Clinical Performance of Rapid Polymerase Chain Reaction (PCR)-basedInfluenza Testing with Xpert FluAndrea F. Dugas, MD, Johns Hopkins225 Rapid PCR Identification of MRSA in Emergency Department PurulentSoft Tissue Infections: An Interim Feasibility StudyDaniel Colby, MD, UC Davis227 Diagnosis and Management of Influenza in the Emergency DepartmentAndrea F. Dugas, MD, Johns Hopkins228 Who Dies In-Hospital After ED Admission? Guiding Recognition and EarlyIntervention for High-Risk Patients with Time-Dependent IllnessDylan Dean, MD/PhD, Oregon Health & Science University229 Redefining Fever: Body Temperature As a Predictor of Infection in theEmergency DepartmentEvan Small, MD, Ph. D., Mayo ClinicCRITICAL CARE - MODERATED POSTERSThursday, May 15, 8:00 - 10:00 am in Pearl 4Moderator:230 Lactate and Need for Vasopressors Predicts Mortality After Out-of-Hospital Cardiac ArrestBrian Saindon, BS, Beth Israel Deaconess Medical Center231 Pyruvate Dehydrogenase Activity is Inhibited in Cardiac Arrest Patientsand in Animal Brain Tissue Post-Cardiac ArrestLars W. Andersen, MD, Beth Israel Deaconess Medical Center232 Administration of Dextrose During In-hospital Cardiac Arrest isAssociated with Increased Mortality and Neurologic MorbidityTeng J. Peng, BS, Beth Israel Deaconess Medical Center233 The Forgotten Blood Tube: Does Lactate Concentration Elevate If Left atRoom Temperature for An Extended Period of Time?Joseph L. D’Orazio, MD, Einstein Medical Center234 Timing of Paralytics Impacts Door-To-Cool Time in Post-Cardiac ArrestPatientsKatherine A. Mayer, MD, Carolinas Medical Center235 Non-Invasively Monitored Presenting Stroke Volume Index Predicts 30-Day Mortality in Emergency Department Patients with Suspected AcuteHeart Failure, Sepsis and StrokeRichard M. Nowak, MD, Henry Ford Health SystemPEDIATRIC IMAGING - MODERATED POSTERSThursday, May 15, 8:00 - 10:00 am in Live OakModerator:236 Operating Characteristics of History, Physical Examination, LaboratoryMarkers and Bedside Ultrasound, in Diagnosing Pediatric Appendicitis: AMeta-Analysis.Ameer Hassoun, MD, Downstate Medical Center66*Disclaimer: Abstracts are placed in the program how they were submitted to SAEM.


237 Imaging Rates (CT and US) for Suspected Appendicitis: Variation BetweenTwo Different Practice Models within a Single Health Care SystemMargaret Menoch, MD, William Beaumont Hospital238 Evaluation of a Clinical Score for Skull Radiography of Young Childrenwith Isolated Head Trauma.jSerge Gouin, MD, CHU Sainte-Justine239 Feasibility and Safety of Substituting Lung Ultrasound for Chest X-raywhen Diagnosing Pneumonia in Children: a Randomized Controlled TrialBrittany P. Jones, MD, Mount Sinai240 Non-Clinical Factors Associated with Advanced Imaging in PediatricPatients with Abdominal PainAmy L. Jones, BA, University of Pittsburgh School of Medicine241 Children with Arachnoid Cysts Who Sustain Blunt Head Trauma: Injurymechanisms and outcomesAngela E. Thelen, BS, University of MichiganCLINICAL PROCESSES - ORAL ABSTRACTSThursday, May 15, 10:30 am - 12:30 pm in San Antonio Ballroom AModerator:242 Controlled Substance Prescribing for Discharged Emergency Patients:Effects of a Prescription Reporting Initiative on Physician PrescribingJohn Burton, MD, Carilion Clinic243 Effect of Automated, Real Time, Electronic Health Record SIRS andSevere Sepsis Alerts on Bundle Compliance and MortalityChristopher Fee, MD, University of California San Francisco244 Evaluation of the Addition of a Pharmacist to the Quality AssuranceProcess in the Emergency Department to Reduce the Inappropriatenessof Revised Antimicrobial Prescription in Discharged Adult PatientsKimberly Miller, Pharm.D, Allegheny Health Network245 The Effect of Ongoing Professional Practice Evaluation on Physicians’Utilization of CT Imaging in the Emergency DepartmentJameel Abualenain, MD, MPH, the George Washington University246 Utility and Perceptions of Patient Feedback for Healthcare ProvidersKathleen Saxon, MD, Exempla St Joseph Hospital247 Using Big Data Analytics to Better Understand Drivers of Length of Stayin an Academic Emergency DepartmentWeldon Diana, MD, MBA, University of Virginia School of Medicine248 Split Flow Process in a Pediatric Emergency DepartmentToni Gross, MD, MPH, University of Arizona College of Medicine Phoenix249 Intravenous Line Use and Success Rates for Intravenous Lines in theEmergency Department: Do the Position - Paramedic Or Nurse - andYears of Experience Matter?Sharon E. Mace, MD, Cleveland Clinic250 Sickle Cell Disease in the Adult Emergency Department: a StructuredProtocol to Improve Pain Control and Length of Stay for Vaso-OcclusivePain CrisisTariq Khan, MD, Medstar Georgetown University/WHCHEALTH POLICY, OPERATIONS AND ADMISSIONS - ORALABSTRACTSThursday, May 15, 10:30 am - 12:30 pm in Houston Ballroom AModerator:251 Variation in Hospital Admissions After Ed Visits, Massachusetts 2010-2011Jeremiah D. Schuur, MD, MHS, Brigham and Women’s Hospital252 Variation in Common Emergency Department Admissions and ItsImplications for Health Care SpendingKeith E. Kocher, MD, MPH, University of Michigan253 A Novel Population Based Approach to Identifying Geographic Coalitionsof Hospitals that Care for Unplanned Critical IllnessAustin S. Kilaru, BA, Perelman School of Medicine at the University ofPennsylvania254 Throughput Performance among US Emergency Departments: a CrosssectionalAnalysisChristopher W. Jones, MD, Cooper Medical School of Rowan University255 The Distribution of Outpatient Emergency Department Expendituresand Low-Intensity Diagnostic TestingMichael H. Lee, MD MS, Alpert Medical School of Brown University256 Thirty-day Readmissions through the Emergency Department in a LargeMetropolitan RegionTheodore C. Chan, MD, University of California, San Diego257 Thirty-day Rehospitalizations and Return Emergency Department Visitsafter Hospitalization for COPD ExacerbationChu-Lin Tsai, MD, ScD, Massachusetts General Hospital258 Predicting Emergency Department Re-visits Using Observational Dataon Patient Characteristics and Hospital OperationsPeter S. Pang, MD, Northwestern University FSMSIMULATION - ORAL ABSTRACTSThursday, May 15, 10:30 am - 12:30 pm in Houston Ballroom BModerator:259 Implementation of a Pediatric Mock Code Blue Program at a Tertiary CareFacility: Does It Improve Code Performance, Confidence or Teamwork?Mark J. Bullard, MD, Carolinas Medical Center/Carolinas Simulation Center260 Examining the Variability among Residents at Different Levels ofTraining in Their Decision to Terminate Care During a Cardiac ArrestResuscitation Using High Fidelity Human Simulation.Timothy J. Fortuna, DO, Virginia Tech Carilion261 High Fidelity Simulation Results in Improving Clinician Performance inthe Management of Massive Hemorrhage CasesArielle Levy, MD, MEd, FRCPC, Department of Paediatrics, Division ofEmergency Medicine262 A Comparison of Performance for High-fidelity ACLS-based SimulationCases for PGY-1 and PGY-3 Level Learners at Two InstitutionsJo Anna Leuck, MD, Carolinas Medical Center263 Electronic Tablet Augmented Simulation: a pilot studyShane Peterson, MD, New York-Presbyterian Hospital264 Longitudinal Intern-year Emergency Procedure Workshop: Experience,Utility, and ConfidenceLillian Wong, MD, NYU School of Medicine265 Unifying Performance: a Transition in Critical Care from PGY1-2:Increasing Learner Confidence with An Interdisciplinary InternSimulation CurriculumMark J. Bullard, MD, Carolinas Medical Center/Carolinas Simulation Center266 Simulation Conducted in Situ Versus at a Simulation Center: a PilotStudy of Participant Satisfaction and Costs.Edward A. Ullman, MD, Beth Israel Deaconess Medical CenterAIRWAY - MODERATED POSTERSThursday, May 15, 10:30 am - 12:30 pm in Pearl 5Moderator:267 Respiratory Failure from Acute Drug Overdose: Incidence,Complications, and Risk FactorsAngela Hua, MD, Icahn School of Medicine at Mount Sinai268 Intubations in Elderly Patients Have Decreased from 2000 Through2011--Results of a Multi-center Cohort StudyJames Seger, DO, Morristown Memorial Hospital269 Are Higher Mallampati Scores or Obesity Associated with an IncreasedRate of Adverse Events During Procedural Sedation in the PediatricEmergency Department?Maya S. Iyer, MD, Children’s Hospital of Pittsburgh of UPMC270 Long-term Opioid Use After Emergency Department Discharge.Howard S. Kim, MD, Denver Health Medical Center271 Does the Consensus-based Practice of Reduction of Opioid Dose by Halfin Older Patients Contribute to Inadequate Pain Relief in the Elderly?Andrew C. Yoon, MD, Albert Einstein College of Medicine272 ED Airway Management of Severe Angioedema: a Single Center’s ExperienceBrian Driver, MD, HCMC273 Ketamine Versus Etomidate for ED Rapid Sequence IntubationBrian Driver, MD, Hennepin County Medical CenterPOSTER SESSION 2 - THURSDAY - POSTER ABSTRACTSThursday, May 15, 8:00 am - 12:00 pm in Lone Star Ballroom B274 Evaluating for Seasonal Variation in ACEI/ARB Induced AngioedemaMatthew Wilson, MD, Washington Hospital Center275 Trends in Opioid Prescribing in U.S. Emergency Departments Based onProvider Level of TrainingMaryann Mazer-Amirshahi, PharmD, MD, Children’s National Medical Center276 Emergency Physicians’ Experiences Using Prescription Drug MonitoringPrograms - a Qualitative StudyAustin S. Kilaru, BA, Perelman School of Medicine at the University ofPennsylvaniaMAY 13-17, 2014 | DALLAS, TEXAS67


Society for Academic Emergency Medicine68277 6-Minute Walk Test as a Predictor of Summit Success on Mount McKinleyKate Shea, MD, Stanford University278 Virtual Examination is a Feasible Alternative to Traditional Mock OralExamination for Evaluation of Emergency Medicine ResidentsJillian L. McGrath, MD, the Ohio State University Wexner Medical Center279 Development of a National Simulation Curriculum: What do ResidentsThink?Allison McConnell, MD, MKin, the University of Western Ontario280 A Comprehensive Simulation Platform to Quantify and Manage Site-Specific Emergency Department CrowdingJoshua E. Hurwitz, BS, University of Florida Department of Mathematics281 Effect of Shift Work Fatigue on Clinical Performance of PGY-3Emergency Medicine Residents as Measured During High FidelitySimulation CasesJo Anna Leuck, MD, Carolinas Medical Center282 Comparison of Haptic Technology Versus Traditional MannequinSimulation for Resident Training in Pelvic UltrasoundJessica Schmidt, MD, MPH, Yale University School of Medicine283 An Affordable, Effective Gelatin-Based Thoracentesis ModelAli H. Al Khulaif, MD, University of California, Davis284 Emergency Airway Simulation Based Training Changes Clinical Behaviorsof Emergency PhysiciansMichiko Mizobe, MD, Tokyo Bay Urayasu/Ichikawa Medical Center285 What Do Patients Think About Staff Training for Emergencies?Kim Yates, MBChB, MMedSc, PGCertClinEd, FACEM, Waitemata DistrictHealth Board286 Simulation Training to Maintain Neonatal Resuscitation and PediatricSedation Skills for Emergency Medicine FacultyJoshua Ross, MD, University of Wisconsin School of Medicine and PublicHealth287 Pig’s Feet Are Better than Bananas as a Model for Suture TrainingEdward A. Ramoska, MD, MPH, Drexel University College of Medicine288 Airway Contractility in the Cryopreserved Precision Cut Lung SliceRamaswamy Krishnan, Ph.D., Beth Israel Deaconess Medical Center289 Outcomes of Allergy Follow Up After Emergency Department Evaluationof AnaphylaxisMichael Kueber, MD, Mayo Clinic290 Dosing of Oral Prednisone and Emergency Department Outcomes in AcuteAsthma Exacerbation, a Retrospective Review of the Current GuidelinesChristie C. Pickrell, MD, Newark Beth Israel Medical Center291 Should the D-dimer Cut-off Level Be Increased in ED Patients withSuspected Pulmonary Embolism?Thaison P. Tran, MD, George Washington University292 Trends in Severity of Illness of Emergency Department Asthma PatientsJohn R. Allegra, MD, PhD, Morristown Medical Center293 Quality of Care for Acute Asthma in 40 US Emergency DepartmentsKohei Hasegawa, MD, MPH, Massachusetts General Hospital294 Clinical Characteristics and Outcomes of Community-acquiredPneumonia Detected Only By Computed Tomography Compared withPneumonia Detected By Chest X-rayWesley H. Self, MD, MPH, Vanderbilt University Medical Center295 HIV Screening in Adult ED Patients: Does a Quality ImprovementIntervention and Nurse/Patient Gender Affect This Process?Jeanne Basior, MD, University at Buffalo296 Early, ED-Based Palliative Care Consults: An Analysis of Feasibility andPotential ImpactEmmett Kistler, BA, Icahn School of Medicine at Mount Sinai297 The Impact of Emergency Department Observation Units on UnitedStates Emergency Department Admission Rates.Roberta Capp, MD, MHS, University of Colorado298 Forecasting Hourly Patient Volumes in the Emergency DepartmentSeven Months in AdvanceLauren Laker, MBA, University of Cincinnati299 Return Visits to the Emergency Department: the Patient PerspectiveKristin L. Rising, MD, University of Pennsylvania300 EMS Access to Naloxone - a National Systematic Legal ReviewMichael W. Dailey, MD, Albany Medical Center302 Thinking Outside the Box: How Well Do Emergency DepartmentProviders Understand Their Patients?Dennis Hsieh, MD, JD, Alameda Health System Highland General Hospital303 Ambulatory Care Sensitive Mental Health and Substance Abuse-Related Conditions: Evaluating the Association Between the EmergencyDepartment Visit Rate and County-Level Outpatient Psychiatrist SupplySophie Terp, MD, MPH, Keck School of Medicine, University of SouthernCalifornia304 Heterogeneous Effects of Post ED-visit Text Message AppointmentReminders Based on Language Preference and Appointment TypeSanjay Arora, MD, Keck School of Medicine of the University of SouthernCalifornia305 Validating Health Information Exchanges Data for Quality MeasurementAcross Four HospitalsNupur Garg, MD, Mount Sinai School of Medicine306 Emergency Department Management of Atrial Fibrillation/Flutter andPatient Quality of Life at One Month Post-VisitDustin W. Ballard, MD, MBE, Kaiser Permanente San Rafael Medical Center307 The Impact of Admission Time on Long-term Mortality in Patients withAcute Myocardial Infarction: the Atherosclerosis Risk in Communities StudySarah A. Sterling, MD, University of Mississippi Medical Center308 Intimate Partner Violence Victim’s Nationwide Emergency DepartmentUtilizationRobyn M. Hoelle, MD, University of Florida309 The Relationships Between Health Literacy, Education Level, andPreferred Method of Learning in Emergency Department PatientsBreena R. Taira, MD, MPH, Olive View UCLA Medical Center310 Availability and Utilization of Cardiac Resuscitation Centers in CaliforniaBryn E. Mumma, MD, MAS, UC Davis311 Healthy Food Availability is Associated with Neighborhood Incidence ofEmergency Department Visits for Diet-Related IllnessesBjorn Westgard, MD, MA, Regions Hospital312 Emergency Department Vital Signs and Short-Term UnfavorableOutcomes Following DischargeGelareh Z. Gabayan, MD, MSHS, UCLA313 Epidemiology and Variation in Clinical Management of Palpitationsin the Emergency Department: An Analysis of the National HospitalAmbulatory Medical Care Survey.Marc A. Probst, MD, UCLA314 Feasibility Analysis of Emergency Department Key PerformanceIndicators in Ireland: An Interim AnalysisAileen McCabe, MBBChBAO, Royal College of Surgeons in Ireland (RCSI)315 Variation and Predictors of Admission for Atrial Fibrillation After EDVisits among U.S. Hospitals 2010Michelle P. Lin, MD, MPH, Brigham and Women’s Hospital316 A Comparison of Two Brief Intimate Partner Violence Screening Tools inthe Emergency DepartmentRobyn M. Hoelle, MD, University of Florida317 The Association between Limited English Proficiency and UnplannedEmergency Department Revisit within 72 hoursKa Ming G. Ngai, MD, MPH, Icahn School of Medicine at Mount Sinai318 Adherence and Health Disparities Associated with Common ClinicalPractice Guidelines in the Emergency DepartmentStacy A. Trent, MD, MPH, Denver Health Medical Center319 Impact of a Concussion Education Program on the Management ofConcussionsShabnam Jain, MD, MPH, Emory University320 Treating Acute Medical Conditions in Settings Outside of an InpatientHospital Unit: a Systematic Review of the ScienceJared Conley, MPH (MD/PhD candidate), Stanford University School ofMedicine321 Boarding Hotspots: Regional Variation in ED Boarding Times Across the USJennifer S. Love, AB, Perelman School of Medicine at the University ofPennsylvania322 The Demand for Emergency Care: a Geographic Analysis of Population-Based DeterminantsDavid C. Lee, MD, University of Pennsylvania323 Health Status and ED Utilization Amongst Foreign-Born and US-BornLatino Patients with DiabetesEmily Neill, MSII, University of Southern California324 Access to Primary Care Affecting Emergency Department UtilizationPatternsJeffrey Nakashioya, MS2, Keck School of Medicine, University of SouthernCalifornia


325 Do Patient Satisfaction Scores Predict Which Patients Will Return to theEmergency Department?Shannon Essler, BS Chemistry, Texas A&M Health Science Center Collegeof Medicine326 U.S. Hospital Variation in Rates of Admission in Diverticular Disease, 2010Margaret B. Greenwood-Ericksen, MD, MPH, Brigham and Women’sHospital327 Patient Follow-up After ED Visit for Orthopaedic Injury: Can ED CareInfluence No-Show?Laura N. Medford-Davis, MD, Baylor College of Medicine328 Can Data from a Health Information Exchange Be Used to DescribePatients Who Visit Multiple Emergency Departments within a Region?Christine M. Carr, MD, Medical University of South Carolina329 Missed Diagnosis of Stroke in the Emergency Department: a CrosssectionalAnalysis of a Large Population-based SampleDavid E. Newman-Toker, MD PhD, Johns Hopkins University School ofMedicine330 Evaluating Knowledge of the Affordable Care Act and Likelihood ofQualification for Medicaid Expansion among Uninsured ED Patients atLos Angeles’s Largest Safety-Net HospitalSophie Terp, MD, MPH, Keck School of Medicine, University of SouthernCalifornia331 The Potential Impact of Safety-Net Hospital Closure on Patients andSurrounding Emergency Departments with the Implementation of theAffordable Care ActSophie Terp, MD, MPH, Keck School of Medicine, University of SouthernCalifornia332 Impact of Nurse-Initiated Protocols on Timeliness of Care in High-riskEmergency Department (ED) PatientsShabnam Jain, MD, MPH, Emory University333 The Myth of Randomization; Reasons Why Your Clinical Trial Can FailBess Tortolani, MD, New York Methodist Hospital334 A Feasibility and Acceptability Study: Enrollment of Medicaid FrequentED Users in a Navigation Program to decrease Barriers to Outpatient CareRoberta Capp, MD, MHS, University of Colorado335 Understanding Health Beliefs of Frequent Users of the EmergencyDepartmentKaitlin R. McCarter, BA, Thomas Jefferson U.336 Factors That Influence the Acceptance Or Refusal of An HIV Test in the EDBenjamin Wie, BA, North Shore University Hospital337 ED Assault Injured Youth: Two-year Prospective Cohort Study of ViolentInjury and MortalityRebecca Cunningham, MD, University of Michigan Injury Center338 What Happens to Your ED When the Hospital Next Door Closes?Modeling the Effects of the Closure of An NYC Hospital on a NearbyHospitalNupur Garg, MD, Mount Sinai School of Medicine339 Effectiveness of a Post-Emergency Department Automated Telephone-Call on Follow-Up Appointment Compliance and Association ofCompliance with Subsequent HospitalizationSteven H. Saef, MD, MSCR, Medical University of South Carolina340 Length of Wound Study: a Study of the Accuracy of Wound LengthEstimation by Physicians.Vicken Y. Totten, MD MS, University Hospitals Case Medical Center341 Improving Physician to Patient Communication in the EmergencyDepartment to Increase Patient Satisfaction: a Checklist for theEmergency PhysicianKathia Damiron, MD, CCRC, Einstein Healthcare Network342 Can Hospital Service Areas Be Used to Model the Geography ofEmergency Department Utilization?Austin S. Kilaru, BA, Perelman School of Medicine at the University ofPennsylvania343 A Model for the Implementation of Cervical Cancer Screening and HPVVaccination in the Emergency Department: a Pilot StudyAlicia Devine, JD, MD, Eastern Virginia Medical School344 Safe and Effective Change: Critical Elements of Introducing a SuccessfulPaediatric Procedural Sedation Programme in the EmergencyDepartmentSiobhan C. McCoy, Bsc (Hons) Nursing, Paediatric Emergency ResearchUnit (PERU), National Children’s Research Centre345 Severe IV Access Difficulty in Two Urban EDsMichael D. Witting, MD, MS, University of Maryland346 Emergency Physician Perceptions on Barriers to Shared DecisionMaking: a National Survey StudyHemal K. Kanzaria, MD, Robert Wood Johnson Foundation Clinical ScholarsProgram347 Adolescent Trends in Ambulatory Care and Variation by RaceAdrianne Haggins, MD, MS, University of Michigan348 Performance of An ED-based Care Coordination Intervention: FactorsAssociated with Linkage to Primary Care and Observation of PostinterventionED UtilizationSean D. Foster, MD, University of Cincinnati349 Assessment of the effect of Patient Volume on Diagnostic Testing in theEmergency DepartmentDave Milzman, MD, Georgetown U School of Medicine350 The Secular Trends in Head Trauma Visits to United States EmergencyDepartmentsJennifer R. Marin, MD, MSc, University of Pittsburgh School of Medicine351 Characteristics of Asian Subgroups Using the Emergency Department atan Urban Safety-net HospitalChun Nok Lam, MPH, Keck School of Medicine, University of SouthernCalifornia352 The Efficacy of Radiofrequency Tracking Devices Placed on CognitivelyImpaired Patients Under the Age of 65Erin L. Simon, D.O., Akron General Medical Center353 Enrollment in a Patient-centered Medical Home Modifies theRelationship Between Adherence and Blood Pressure Control amongPrimary Care Patients in the Emergency DepartmentCandace McNaughton, MD, MPH, Vanderbilt University354 Does Patient Connectedness to a Usual Source of Care Impact FrequentEmergency Department Use?Nicole Piela, MD, Thomas Jefferson U.355 Factors Impacting ED Patients’ Understanding of Medicaid Expansionthrough the Affordable Care ActSophie Terp, MD, MPH, Keck School of Medicine, University of SouthernCalifornia356 The Impact of High Hospital Census on Inpatient OutcomesMahshid Abir, MD, MSc, University of Michigan357 Do Dental Patients Presenting to the Emergency Department DuringDental Office Hours Have More Financial Barriers to Definitive Care?Forest Walker, MD, University of Kentucky358 Zinc Oxide Nanoparticles Inhibit Staphylococcal Growth andBiofilm AdhesionJ. S. VanEpps, MD, PhD, University of Michigan359 Assessment of Emergency and Urgent Care Capacity in Western KenyaR. Eleanor Anderson, MD, Massachusetts General Hospital, HarvardMedical School360 Development of the Assessment Screen to Identify Survivors Toolkit forGender Based Violence (ASIST-GBV) for male refugees living in UgandaMary Chang, MD, Johns Hopkins University361 Emergency Department Overcrowding in FijiJames Holmes, MD, MPH, UC Davis School of Medicine362 A Systematic Review of Pediatric Triage Tools in Low Resource Settings:Components and Scientific EvidenceBhakti Hansoti, MBChB, MPH, Johns Hopkins University363 Assessment Framework for Low-Resource Emergency Medical Services(EMS) SystemsNee-Kofi Mould-Millman, MD, University of Colorado, Denver364 Prevalence of Road Traffic Injuries in Sub-Saharan Africa: Initial Resultsof a Systematic Review and Meta-AnalysisElizabeth Krebs, MD, Duke University365 A Study of the Workforce in Emergency Medicine in Israel: 2012Michael J. Drescher, MD, University of Connecticut366 Emergency Department Resource Utilization during Ramadan in Abu DhabiKamna S. Balhara, MD, Johns Hopkins Hospital367 A Larger Percentage of Elderly Emergency Department Patients withSyncope Are Hospitalized in the United States than in South KoreaJohn R. Allegra, MD, PhD, Morristown Medical CenterMAY 13-17, 2014 | DALLAS, TEXAS69


Society for Academic Emergency Medicine70368 When and who needs North American style Emergency Medicine inJapanese Medical fields?Takashi Shiga, MD, MPH, Tokyo Bay Uraysu Ichikawa Medical Center369 Are Frequent Presenters’ Characteristics the Same Internationally?Characteristics Identified in Japanese PopulationShinya Takeuchi, MD, Tokyo Bay Urayasu/Ichikawa Medical Center370 Morbidity and Mortality Following Traditional Uvulectomy amongChildren Presenting to the Muhimbili National Hospital EmergencyDepartment in Dar Es Salaam, TanzaniaHendry R. Sawe, MD, MBA, Muhimbili National Hospital371 P.A.S.S. - a Simple Rule to Identify Ed Patients with SymptomaticUreteral Stones Unlikely to Require Urologic Intervention.Brock Daniels, MD, MPH, Yale New Haven Hospital372 Comparative Accuracy of Point of Care Ultrasound for Acute Lower LimbDVT Against Risk Stratification and Selective Radiology-PerformedUltrasoundGabriel E. Blecher, MBBS(Hons) PDM CCPU FACEM MSc, Monash Health373 Utility of Computed Tomography Urography in Renal ColicGabriel E. Blecher, MBBS(Hons) PDM CCPU FACEM MSc, Monash Health374 Reliability and Utility of Point-of-Care Creatinine in the EmergencyDepartment: Can it Decrease Emergency Department Length of Stay?Simran Vahali, MD, George Washington University375 Emergency Physician Self-awareness of Variation in ComputerizedTomography Ordering, and Predictors ThereofAmjed Kadhim-Saleh, MSc, University of Ottawa, Department ofEmergency Medicine376 Questioning the Benefit of Immediate Computerized TomographyScanning in Suspected Renal Colic: a Retrospective Chart Review ofPatients Age 50 and Under Presenting with Flank PainElizabeth M. Schoenfeld, MD, Baystate Medical Center377 A Brief Educational Intervention Improves Medication Safety inGrandparents of Young Children: a Pilot StudyManeesha Agarwal, MD, Carolinas Medical Center378 Proning: Outcomes of Use of Force Followed with Prone RestraintEdward M. Castillo, PhD, MPH, University of California, San Diego379 Computerized Assessment of Alcohol Use and Readiness to Change inDifferent Ethnicities.Victor Cisneros, BS, University California, Irvine School of Medicine,Department of Emergency Medicine380 Do You Really Want to Ride Shotgun? a Decade Analysis of Safest Seatin SUVs in Fatal Crashes.Dave Milzman, MD FACP C, Georgetown U School of Medicine381 Retrospective Analysis of Driver Crash Severity FollowingImplementation of the HANS Device and SAFER BarriersDrew Blasco, BA, Arizona State University382 Hispanic vs. Non-Hispanic Patient Knowledge of Radiation ExposureRisk from Medical Imaging: a Survey of Emergency Department PatientsAfton McNierney, DO, Christus Spohn/Texas A&M School of Medicine383 Cross-Validation of a Prescription Opioid Abuse Risk Tool andPrescription Drug Monitoring Data in the Emergency DepartmentScott G. Weiner, MD, MPH, Tufts Medical Center384 California Prescription Drug Monitoring System (PDMP) and Its Effect onPhysician Prescribing Behavior among Patients Presenting with ChronicPain in the Emergency DepartmentBharath Chakravarthy, MD, MPH, University of California, Irvine School ofMedicine385 Emergency Department Providers’ Attitudes on Naloxone Distribution forTreatment of Opioid Overdose: a Single Institutional Preliminary StudyLinda Sinclair, MD, Albany Medical Center386 Variations in the Quality and Type of Data Collected about FirearmInjuries in Statewide Trauma Registries: a Content AnalysisJonathan Purtle, DrPH(c), MPH, MSc, Drexel University College of Medicine387 Rough Riders: An Educational Intervention to Increase Self-efficacyand Knowledge of All-Terrain Vehicle (ATV) Safety among Children andParents in a Rural Indiana CommunityJennifer Walthall, MD, MPH, Indiana University388 Save-a-life at the Ballpark: 10-minute Spectator Training AchievesProficiency in Cardiac Arrest ResponseMarina Del Rios, MD, MSc, University of Illinois at Chicago389 The Use of Sedating Medication among Elderly Emergency DepartmentPatients Injured in a Motor Vehicle Crash.Jonathan J. Lee, MEdT, Alpert Medical School of Brown University390 New York State Emergency Department Providers’ Attitudes on NaloxoneDistribution for Treatment of Opioid Overdose: a Preliminary StudyLinda Sinclair, MD, Albany Medical Center391 Does the Rank List Position Correlate with Success in EmergencyMedicine Residencies?Michael Williams, MD pending, UT-Houston Health Sciences Center392 Emergency Medicine Residents and Faculty Assess Medical StudentPerformance using Similar Numerical ScoresJoshua Wallenstein, MD, Emory University393 Introduction of a Novel Evidence Based Medicine Curriculum inEmergency MedicineBenjamin H. Slovis, MD, Mount Sinai Medical Center394 Facilitating Instruction of Direct Laryngoscopy with Video Assistance:A Pilot StudyEric Chou, MD, Maimonides Medical Center395 Evaluation of a Flipped Classroom Approach to Designing a Point-of-Care Ultrasound Pilot Curriculum for Medical StudentsRachel Liu, MD, Yale University School of Medicine396 How Do We Effectively Measure the Milestones?Samantha R. Hauff, MD, University of Michigan397 Education Scholarship Fellowships in Emergency Medicine: a FormalNational Needs Assessment.Jaime Jordan, MD, Harbor-UCLA Medical Center398 Characterization of Utilization of Clinical Assessment Tools inEmergency Medicine Medical Student EducationLuan Lawson, MD, Brody School of Medicine at East Carolina University399 Implementation of a Team-Based Physician Staffing Model at anAcademic Emergency DepartmentJose V. Nable, MD, NRP, University of Maryland School of Medicine400 Emergency Medicine Milestone Shift Evaluations OverestimateResidents’ Proficiency LevelErin Dehon, PhD, University of Mississippi Medical Center401 The Use of a SLOR Composite Score and its Relationship to Rank OrderList PositionErin Dehon, PhD, University of Mississippi Medical Center402 Evaluating the Emergency Medicine Milestone Project: ProceduralCompetence in the Incoming PGY1 ResidentJay G. Ladde, MD, Orlando Health403 Frequency of Agreement among SLOR Writers: Does the Writer Matter?Erin Dehon, PhD, University of Mississippi Medical Center404 What Study Materials and Study Habits Correlate with High Abem IntrainingExamination Scores?Walter L. Green, MD, University of Texas Southwestern405 Assessment of Resident Physician Understanding and Application ofEvidence-Based Medicine Core ConceptsAdaira I. Landry, MD, New York University School of Medicine, BellevueHospital Center406 Are Emergency Medicine Residents Missing Central Line Training?Retrospective Review of Central Venous Catheters Placed in and Out ofthe Emergency DepartmentNicholas Daniel, D.O., University of Nebraska Medical Center407 REACH: a Novel Process to Collate Resident Performance MetricsMichelle Slezak, MD, Henry Ford Hospital408 Early Integration of Basic and Clinical Sciences through a TubeThoracostomy ModuleKene Chukwuanu, MD, Saint Louis University409 Multi-Metric Analysis of the Utility of Asynchronous Learning versusConventional Learning for Medical Student FAST Exam TrainingNik Theyyunni, MD, University of Michigan, Department of EmergencyMedicine410 What does Remediation and Probation Status Mean to EmergencyMedicine Residencies? a Survey of EM Program DirectorsJessica L. Smith, MD, Alpert Medical School of Brown University/RhodeIsland Hospital411 Utilization of Banana Peels as an Alternative Model for Suture EducationSara S. Singhal, MD, University of Kentucky412 How Does Your EM Program Structure Your Clinical Competency Committee?Christopher I. Doty, MD, University of Kentucky413 Osteopathic Emergency Medicine Programs Infrequently Publish in HighImpact Emergency Medicine JournalsJestin N. Carlson, MD, MSc, Saint Vincent Hospital


PSYCHIATRY - ORAL ABSTRACTSThursday, May 15, 1:30 - 3:30 pm in Houston Ballroom AModerator:415 The Emergency Department Safety Assessment and Follow-upEvaluation (ED-SAFE): the Impact of Implementing Universal SuicideRisk ScreeningEdwin D. Boudreaux, PhD, the University of Massachusetts Medical School416 A Meta-analysis of Risk Factors for Near Term Suicide Risk in theOutpatient and Emergency Department SettingBernard P. Chang, MD, PhD, Columbia University Medical Center-Division ofEmergency Medicine417 A Comparison of the Disposition of Psychiatric Patients By theEmergency Physician and the PsychiatristNadine T. Thompson-Carlton, MD, East Carolina University, Brody Schoolof Medicine418 Trends in Emergency Department Utilization for Mental Health andSubstance Abuse-Related Conditions in California Following Passage ofthe Mental Health Services Act (Proposition 63)Sophie Terp, MD, MPH, Keck School of Medicine, University of SouthernCalifornia419 Characterizing Demographic and Health Data of Self- poisonings withSuicide Intent in Patients Between the Ages of 0-21 Years Reported toFlorida Poison Centers from 2003-2012Sophia Sheikh, MD, University of Florida College of Medicine- Jacksonville,Department of Emergency Medicine420 Lethal Means Restriction for Suicide Prevention: Change in ProviderBeliefs and Behaviors during ED Process ImprovementMarian E. Betz, MD, MPH, University of Colorado School of Medicine421 Characteristics of Pediatric Psychiatric Visits at Two Emergency DepartmentsBharath Chakravarthy, MD, MPH, University of California, Irvine School ofMedicine422 Mental Health Characteristics of ED Patients in Los Angeles CountyWho Will Remain Uninsured Following Implementation of the PatientProtection and Affordable Care ActSophie Terp, MD, MPH, Keck School of Medicine, University of SouthernCaliforniaTOXICOLOGY - ORAL ABSTRACTSThursday, May 15, 1:30 - 3:30 pm in Houston Ballroom BModerator:423 Intramuscular Cobinamide Versus Intravenous Cobinamide in the Treatmentof Acute Cyanide Toxicity and Apnea in a Swine (Sus Scrofa) ModelVikhyat S. Bebarta, MD, San Antonio Military Medical Center; AF EnrouteCare Research Center424 Failure of Aminocaproic Acid and Tranexamic Acid to ReverseDabigatran-induced CoagulopathyMichael Levine, MD, Department of Emergency Medicine, University ofSouthern California425 Detection, Measurement and Characterization of Unhealthy,Environment-derived Aerosols in An Emergency Department:Preliminary Results from the AETHER2 StudyLeo Kobayashi, MD, Alpert Medical School of Brown University426 A Randomized Controlled Trial of Trypsin to Treat Brown Recluse SpiderBites in Guinea PigsWyman W. Cabaniss, MD, Brody School of Medicine at East CarolinaUniversity427 Timecourse of Neuromuscular Junction Failure After Acute ParathionPoisoningSteven B. Bird, MD, University of Massachusetts Medical School428 Outcomes of Patients Resuscitated from Cardiac Arrest Due to DrugOverdose.Alexander Katz, MD, Department of Emergency Medicine, Perelman Schoolof Medicine at the University of Pennsylvania429 Metformin Inhibits Pyruvate Dehydrogenase at High Dosages: aPotential Mechanism for Lactic AcidosisMichael Donnino, MD, Beth Israel Deaconess Medical Center430 Incidence and Outcomes of Adult Cardiac Arrest Associated with ToxicExposure Treated with Therapeutic Hypothermia (ToxiCool)Katharine L. Modisett, MD, Carolinas Medical CenterTRAUMA - ORAL ABSTRACTSThursday, May 15, 1:30 - 3:30 pm in San Antonio Ballroom AModerator:431 Association of Patient Race/Ethnicity with Use of ComputedTomography among Children with Blunt Torso TraumaJames Holmes, MD, MPH, University of California, Davis432 Yield and Clinical Predictors of Thoracic Spine Injury from ChestComputed Tomography for Blunt TraumaMark I. Langdorf, MD, University of California, Irvine433 Prevalence and Clinical Import of Thoracic Injury Identified by Chest CTbut not Chest X-ray in Blunt Trauma PatientsMark I. Langdorf, MD, MHPE, University of California, Irvine434 Prior CT Imaging History for Patients Who Undergo Pan CT for AcuteTraumatic InjuryJeremy Kenter, DO, Christus Spohn/Texas A&M School of Medicine435 Low Mortality with Current CT Diagnosis of Sternal FractureRobert Rodriguez, MD, UCSF/San Francisco General Hospital436 Characteristics and Disposition of Severely Injured Elderly PatientsPresenting to U.S. Non-Trauma Centers with Falls Versus OtherMechanisms of InjuryM. Kit Delgado, MD, MS, University of Pennsylvania Perelman School ofMedicine437 Prothrombin Complex Concentrates (PCC) are Effective to Reduce BloodLoss in a Dabigatran-Anticoagulated Polytrauma Pig ModelMarkus Honickel, MD, RWTH Aachen University Hospital438 An Evaluation of Factors Associated with Hospital Length of StayGreater Than Seven Days in Admitted Geriatric Trauma Patients -Derivation of a Risk Assessment ToolJohn M. O’Neill, MD, Allegheny General HospitalCARDIOVASCULAR - CLINICAL RESEARCH - MODERATED POSTERSThursday, May 15, 1:30 - 3:30 pm in Live OakModerator:439 Comparison of a Heart Rate Variability Model and the TIMI risk score inthe Prediction of Adverse Cardiac Events in Patients Presenting withChest Pain in the Emergency Department.Marcus AB. Lee, BEng, Duke-NUS Graduate Medical School440 Inter-Observer Reliability and Test Characteristics of the HEART Scorein Predicting Low Risk Admissions to an Observation Unit for CardiacEvaluationMichael C. Plewa, MD, Mercy St. Vincent Medical Center441 In-Hospital Bioimpedance Measures Are Associated with Readmission inED Patients with Acute Heart FailureGregory J. Fermann, MD, University of Cincinnati442 Recent-onset Atrial Fibrillation and 6-month Cardiovascular-related EDVisit and ReadmissionCarol L. Clark, MD, William Beaumont Hospital443 Anticoagulant Use in Recent Onset Atrial Fibrillation Patients in a LargeSuburban ED Before Novel Anticoagulants Became Easily AvailableCarol L. Clark, MD, William Beaumont Hospital444 Chromosome 4q25 Risk Allele Modulates Response to Ventricular RateControl Therapy in Emergency Department Patients with Atrial FibrillationBrian S. Wasserman, MD, Vanderbilt University Medical Center445 Validation of a Simple Clinical Prediction tool to identify Isolated RightVentricular Dysfunction in Short of Breath PatientsFrances M. Russell, MD, Indiana University446 Emergency Physicians’ Perceptions and Decision-making for PatientsPresenting with PalpitationsMarc A. Probst, MD, UCLACLINICAL DECISION RULES - ORAL ABSTRACTSThursday, May 15, 4:00 - 6:30 pm in Houston Ballroom BModerator:447 Validation of the Refined Denver HIV Risk Score Using a National HIVTesting CohortJason Haukoos, MD, MSc, Denver Health Medical Center795 Multicentre Implementation of the Canadian C-Spine Rule by EmergencyDepartment Triage NursesIan G. Stiell, MD, University of OttawaMAY 13-17, 2014 | DALLAS, TEXAS71


Society for Academic Emergency Medicine628 Prospective Validation of the Ottawa Heart Failure Risk ScaleIan G. Stiell, MD, University of Ottawa, Department of Emergency Medicine448 Addition of Renal Point-of-Care Limited Ultrasound Improves a ClinicalPrediction Score for Uncomplicated Ureteral Stones in EmergencyDepartment Patients with Suspected Renal Colic: the S.T.O.N.E. PLUS Score.Brock Daniels, MD, MPH, Yale New Haven Hospital449 Emergency Department Clinician Adherence to Clinical Decision Policyfor Head Computed Tomography in Adult Traumatic Brain InjuryJennifer R. Marin, MD, MSc, University of Pittsburgh School of Medicine450 Observation Versus Admission in Syncope: Can We Predict ShortLength-Of-Stays?Margaret J. Lin, MD, Harvard Affiliated Emergency Medicine Residency-Beth Israel Deaconess Medical Center451 Predicting Adverse Outcomes in Emergency Department PatientsExhibiting Abnormal Vital Signs Without ShockDaniel J. Henning, MD, Beth Israel Deaconess Medical Center452 Comparative Performance of the Wells and Amuse Scores for ExcludingDVT in Emergency Department PatientsGabriel E. Blecher, MBBS(Hons) PDM CCPU FACEM MSc, Monash Health453 The ED Utilization of Treatment Guidelines for Chronic Pain PatientsMelissa A. Saad, D. O., University of Connecticut454 Establishing a Testing Threshold for Lumbar Puncture in the Diagnosisof Subarachnoid Hemorrhage - a Decision AnalysisRichard A. Taylor, MD, Yale New Haven HospitalETHICS - ORAL ABSTRACTSThursday, May 15, 4:00 - 5:00 pm in San Antonio Ballroom AModerator:455 Written Informed Consent for Computerized Tomography Decreases CTUtilization in Low Risk Emergency Department PatientsLisa H. Merck, MD, MPH, Alpert School of Medicine at Brown University456 Actual Treatment Choices of Patients with Do-Not-Resuscitate/Do-Not-Intubate Orders: a Two-year Follow-up StudyJohn E. Jesus, MD, Christiana Care Health System457 To Err is Human but Disclosure Must Be Taught: Divulgence ofMedical Errors Falls Short of Recognized Standards in a ProspectiveSimulation StudyAshley C. Crimmins, MD, Yale School of Medicine458 Emergency Physician Responses to the Surprise Question andIdentification of Unmet Palliative Care NeedsAlicia G. Bond, MD, Maine Medical CenterGENERAL PEDIATRICS - ORAL ABSTRACTSThursday, May 15, 4:00 - 6:30 pm in Houston Ballroom AModerator:459 A Randomized Clinical Trial of Jet Injected Lidocaine (J Tip) to ReduceVenipuncture Pain for Young ChildrenMaren M. Lunoe, MD, Medical College of Wisconsin97 National Assessment of Pediatric Readiness of Emergency DepartmentsMarianne Gausche-Hill, MD, Los Angeles County-Harbor-UCLA Medical Center460 Derivation of a Clinical Decision Rule to Predict Infants at Early Risk ofCentral ApneaPaul Walsh, MB BCh, UC Davis461 Epidemiology and Clinical Predictors of Biphasic Reactions in Childrenwith AnaphylaxisWaleed Alqurashi, MD, Children’s Hospital of Eastern Ontario462 Emergency Department Recidivism in Early Childhood is not a RiskFactor for Child MaltreatmentEmily MacNeill, MD, Carolinas Medical Center463 Impact of Triage Nurse Ordered Distal Extremity X-Rays on EmergencyDepartment Length of Stay: a Randomized Controlled TrialHuda Adam, MRCPCH, King Fahad Medical City464 A Randomized Double-blind Trial Comparing the Effect on Pain of AnOral Sucrose Solution Versus Placebo in Children 1 to 3 Months OldNeeding VenipunctureMarie-Pier Desjardins, CHU Ste-Justine, Montréal, QC, Canada465 Information Needs and Preferences of Healthcare Providers andHealthcare Consumers in 32 General Emergency Departments in Canada:Findings from the Translating Emergency Knowledge for Kids (TREKK)Knowledge Mobilization InitiativeShannon D. Scott, PhD, University of Alberta466 Balanced Crystalloid or Saline in Pediatric Gastroenteritis:a Randomized Controlled TrialCoburn H. Allen, MD, UT Southwestern at Austin, Dell Children’s MedicalCenter467 Risk Factors Associated with Emergency Department Return VisitsFollowing Trauma System Discharge.Timothy K. Ruttan, MD, UT Southwestern at AustinEDUCATION - MODERATED POSTERSThursday, May 15, 4:00 - 6:00 pm in Pearl 5Moderator:468 Team Leadership in Emergency Medicine: a Systematic ReviewAlisha E. Brown, MD, University of Washington469 Correlation Between the National Board of Medical Examiners AdvancedClinical Exam in Emergency Medicine and the National 4th-Year CDEMOnline ExamsEmily S. Miller, MD, Harvard School of Medicine470 Under Treatment of Adrenal CrisisPreeti Dalawari, MD. MSPH, Saint Louis University Hospital471 Measuring Patient Satisfaction for Emergency Medicine Residents UsingPress GaneyJuliet E. Seery, MD, Northwestern University Feinberg School of Medicine472 A Process for Developing Procedural Competency Assessment ToolsJustin Ryel, MD, Maimonides Medical Center473 Creating a Novel Pharmacy Curriculum for Emergency Medicine ResidentPhysiciansNathan Olson, MD, Northwestern University Feinberg School of Medicine474 Reduction in Complications of Central Line Placement using Individualand Group Simulation-Based TrainingJoseph Peters, DO, University of Illinois College of Medicine at Peoria475 Introducing the CDOT: a Direct Observation Checklist to AssessEmergency Medicine Residents on Multiple Milestones during CriticalResuscitationsRaashee Kedia, MD, Mount Sinai School of MedicinePEDIATRICS - INFECTIOUS DISEASE - MODERATED POSTERSThursday, May 15, 4:00 - 6:00 pm in Pearl 4Moderator:476 Elevated Lactate Levels Are Associated with Positive Blood Cultures inChildren with Active Oncologic Conditions with Suspected InfectionJay G. Ladde, MD, Orlando Health477 Uropathogen Resistance in the Pediatric Emergency DepartmentDhaval B. Patel, MD, University of Florida College of Medicine478 Narrowing Antimicrobial Coverage Based on Local Sensitivities forUncomplicated Urinary Tract Infections in the Pediatric EmergencyDepartmentScott Herskovitz, MBBS, Our Lady of the Lake Pediatric Residency Program479 Urinary Tract Infection in Outpatient Febrile Infants Younger than 30Days of Age: a 10-year EvaluationGary Maida, MD, Maimonides Medical Center480 Performance Characteristics of Routine Blood Screening Tests forDetecting Bacterial Infections in the Evaluation of Febrile Infants at 90Days of Age: a Meta-AnalysisAmeer Hassoun, MD, Downstate Medical Center/Kings County HospitalCenter481 Risk Factors for Emergency Department Revisits in Children withCommunity-Acquired PneumoniaTodd A. Florin, MD, MSCE, Cincinnati Children’s Hospital Medical Center482 Comparison of HIV Risky Behaviors and Knowledge Reported byAdolescents and Parents Presenting to a Pediatric Emergency MedicineDepartmentWorth Barbour, MD, University of Alabama at Birmingham483 Peripheral Blood microRNAs May Differentiate Bacterial from ViralFebrile Illness in Infants.Ronan G. O’Sullivan, MB, FRCSI, FCEM, MBA, Cork University Hospital72


2014 INNOVATIONSTHURSDAY, May 15, 2014Innovations - Lightning Innovations I8:00 - 9:00 am in Seminar Theater10 Patient Experience Training for the Emergency Medicine Resident:Developing Students into CoachesSofie R. Morgan, Karim Ali, Nicole Franks. Emory University School ofMedicine, Atlanta, GA11 The Development of a Longitudinal Curriculum for Calling ConsultsAndrew Golden1, Christine Babcock2, Sara Hock2, Sarah Donlan3, ShannonMartin2, Keme Carter2. 1University of Chicago Pritzker School of Medicine,Chicago, IL; 2University of Chicago, Chicago, IL; 3NorthShore UniversityHealthSystem, Evanston, IL12 Flipping the Clerkship ClassroomStella H. Yiu. University of Ottawa, Department of Emergency Medicine,Ottawa, ON, Canada13 An Integrative Approach to Clinical Reasoning in the Pre-Clinical YearsAnnette Dorfman. Albany Medical Center, Albany, NY14 Evidence-based Emergency Medicine: EBM at The Point Of Care; ACapstone EBM Course For a 4Th Year Emergency Medicine RotationDan Mayer, Dan Mayer. Albany Medical College, Albany, NYInnovations - Lightning Presentation II9:00 - 10:00 am in Seminar Theater15 Improved Efficiency and Effectiveness of the Emergency MedicineResidency Applicant Review and Rank Process via Utilization of iOSTechnology, Database Software and Cloud StorageNara Shin, Ronald Hall, Bernard L. Lopez, Richard Massone, Harsh Sule.Thomas Jefferson, Philadelphia, PA16 Two for One: Residency Leadership Team Rounding to Assess/Improve thePatient Experience and Gain Emergency Medicine Resident Patient FeedbackMichael Bohrn, Elizabeth Hall. WellSpan York Hospital, York, PA17 Establishing Innovation as a Structured Component of an EmergencyMedicine ResidencyJude Kieltyka, Sanjeev Malik, David Salzman, Michael Schmidt, MichaelGisondi. Northwestern University, Department of Emergency Medicine,Chicago, IL18 Utilizing Protected Education Conference Time For Teaching AndMilestone EvaluationPaul Jhun1, Jan Shoenberger1, Taku Taira1, Guenevere Burke2, DanielCheng3, Jonathan Wagner1, Jessica Osterman1, Stuart Swadron1, AaronBright1, Mel Herbert1. 1University of Southern California, Los Angeles, CA;2George Washington University, Washington, DC; 3Queen’s Medical Center,Honolulu, HI19 Integrating Peer Review into the Emergency Medicine Residency CurriculumRaashee Kedia, Reuben J. Strayer, Bradley D. Shy. Mount Sinai School ofMedicine, New York, NYInnovations - Lightning Presentations III10:30 - 11:30 am in Seminar Theater20 A Multi-Modal Curriculum for Emergency Medicine Residents to MaximizeValue of Attendance at a National ConferenceAlicia Blazejewski1, Tony Rosen1, Mary Mulcare1, Daniel Golden2, SundayClark3. 1New York Presbyterian, New York, NY; 2Weill-Cornell MedicalCollege, New York, NY; 3Weill Cornell Medical College, New York, NY21 An Asynchronous Educational Curriculum for Resident Flight PhysicianOrientationJeffery M. Hill. University of Cincinnati, Cincinnati, OH22 SonoRoundtable - A Live Interactive Online Academic Educational Seriesfor Ultrasound FellowshipsStephen Leech1, Jason Nomura2, Resa Lewiss3, Srikar Adhikari4, RajeshGeria5, Jillian Davison1, Robert Huang1. 1Orlando Regional Medical Center,Orlando, FL; 2Christiana Care Health System, Newark, DE; 3St. Luke’sRoosevelt Hospital Center, New York, NY; 4University of Arizona, Tuscon,AZ; 5Robert Wood Johnson Medical Center, New Brunswick, NJ23 Procedure Learning Bundle (PLB): An Innovative Curriculum to Enhancethe Procedural Competency of Emergency Medicine ResidentsJohn Eicken1, Andrew Eyre1, Nadia Huancahuari1, Todd Thomsen2, DannyPallin1, David A. Meguerdichian1. 1Brigham and Women’s Hospital, Boston,MA; 2Mount Auburn Hospital, Cambridge, MA24 Sonoindex: A Novel Tool to Assess Emergency Ultrasound SkillsSrikar Adhikari, Albert Fiorello. University of Arizona Medical Center,Tucson, AZInnovations - Lightning Presentations IV11:30 am- 12:30 pm in Seminar Theater25 Team-Based Learning Curriculum as an Alternative to a TraditionalEmergency Medicine Residency Didactic CurriculumTiffany Moadel, Scott Johnson. SUNY Stony Brook University Hospital,Stony Brook, NY26 Encouraging Educational ResearchMarcia A. Perry, Laura Hopson, Samantha Hauff, Margaret Wolff, JosephHouse, Suzanne Dooley-Hash, Michele Nypaver, Cemal Sozener, SallySanten. University of Michigan, Ann Arbor, MI27 A Novel Computer-based Model to Improve a Resident’s Skills of Triage,Time/resource Management and Medical Decision-makingNestor Rodriguez, Kevin Wyne. University of Wisconsin School of Medicineand Public Health, Middleton, WI28 System Dynamics as a Tool to Understand the Operations of anEmergency DepartmentNupur Garg1, Robert Wears2. 1Mount Sinai School of Medicine, New York,NY; 2University of Florida, Jacksonville, FL29 Anatomy “Speed Dating”: A Clinical Integration Respiratory Anatomy LabFor Emergency Medicine ResidentsMary Hughes1, David Castle2, David Betten2, Aaron Beger1, FrancesKennedy1, James Rechtien1, Lori Schiess3, Rebecca Pratt1. 1MSU-COM,E. Lansing, MI; 2Sparrow EM Residency, Lansing, MI; 3San Juan College,Farmington, NMInnovations - Lightning Presentations V4:00 - 5:00 pm in Seminar Theater34 Emergency Medicine Resident Education in Provider-in-Triage OperationsShawn London, Cynthia Price, Kenneth Robinson. Hartford Hospital/University of Connecticut School of Medicine, Hartford, CT36 Development of a Small-group Concept Mapping Didactic for EarlyFirst-year Medical Students to Fill a Scheduling Gap during a Four-HourSimulation-based ExperienceMichael Cassara1, Gino Farina2. 1North Shore University Hospital / HofstraNorth Shore-LIJ School of Medicine, Manhasset, NY; 2Long Island JewishMedical Center / Hofstra North Shore-LIJ School of Medicine, New HydePark, NY37 REFLECT Curriculum for Emergency Medicine ResidentsJordana J. Haber, David Saloum. Maimonides Medical Center, Brooklyn, NY38 “Vulnerable Patients in the ED” Didactic Curriculum: Using Patient Voicesto Increase Empathy And Knowledge For Emergency Medicine ResidentsAnne Whitehead, Lee Wilbur, Jennifer D. Walthall. Indiana University,Indianapolis, IN35 Medical Student Ethics Essays as Faculty Development ToolsNik Theyyunni, Joseph House, Andrew Barnosky, Sally Santen. University ofMichigan, Department of Emergency Medicine, Ann Arbor, MIInnovations - Spotlight: Global Medicine2:00 - 3:00 pm in Seminar Theater30 Low-Cost, High-Fidelity Simulator Using Off-The-Shelf Components forGlobal MedicineJeffrey A. Nielson, David W. Laubli. Summa Akron City Hospital, Akron, OH31 International Emergency Medicine Academy: A Resident-Directed GlobalHealth CurriculumLaura Janneck1, David Beversluis1, Hanni Stoklosa2, Patricia Henwood2,Emily Aaronson1, Amico Kendra1, Parveen Parmar2. 1Harvard AffiliatedEmergency Medicine Residency BWH/MGH, Boston, MA; 2Brigham andWomen’s Hospital, Boston, MA32 Development of a Standardized Needs Assessment Tool for ResuscitationEducation in Resource-Limited Low- and Middle-Income CountriesAmanda Crichlow, Julie Rice, Nicole Shilkofski, Julianna Jung. Johns HopkinsUniversity, Baltimore, MD33 Ultrasound beyond the Walls of the Emergency DepartmentChanel E. Fischetti, Bryan Sloane, Lance Beier, Patrick Leehan, HeatherMarino, John Christian Fox. UC Irvine, Irvine, CAMAY 13-17, 2014 | DALLAS, TEXAS73


FRIDAY, MAY 16, 2014Dallas BCMCDallas CCMCDallasA1DallasA2DallasA3DallasD1DallasD2DallasD37 AM AM Coffee – 7:00 - 8:00 am8 AMDS069:MechanicalTreatmentof StrokeDS070:Learner-CenteredFeedbackDS071:RedesigningEmergencyCare DeliveryDS072:DiagnosticImaging andRadiationExposure9 AMDS077:RespectingPulmonaryEmbolismDS074:Incentives toParticipate inClinical TrialsDS073:EmergencyUltrasoundfor AirwayManagementDS075:Developing aCurriculum inAdvocacy forEmergencyMedicineDS076:OpioidPrescribingfrom Our EDsDS078: EthicalDilemmas inInternationalEmergencyMedicine10 AM Power Break in the Exhibit Hall – 10:00 - 10:30 amDS079:EmergencyDepartmentEvaluation andManagement ofPediatric ConcussionSociety for Academic Emergency Medicine10:30 AM11:30 AMDS085:After Words …Managing theAftermath ofAdverse EventsDS084:Point-of-CareUltrasoundin PediatricEmergencyMedicineDS080:Federal FundingStreams forGlobal HealthResearchDS086:The Top GlobalEmergencyMedicine Articlesof 2013DS097:Controversiesin EmergencyUltrasoundDS087:Top 10 Tips forGetting Startedin ResearchDS081:Gun Injury:Reframing thePublic HealthDebateDS088:Congratulations!You are theResearchDirector!Now What?12:30 PM Lunch – 12:30 - 2:00 pm2:00 PM3 PMKeynote SpeakerDr. Nivet2pm-3pmSAEMBusiness Meeting3pm-4:30 pmKeynote SpeakerDr. Nivet2:00 - 3:00 pm in Dallas B/CSAEMBusiness Meeting3:00 - 4:30 pm in Dallas B/CDS082:Building fromExperienceDS089:Getting YourQualitativeEmergencyMedicine ResearchPublishedDS083:CurrentControversiesin Post-CardiacArrest CareDS090:Recent Advancesin Evaluation andManagement ofthe FebrileYoung InfantJansen Closing theGap PhromboticEvent Symposium12:30 - 1:30 pm74


FRIDAY, MAY 16, 2014Lone StarC1Lone StarC2Lone StarC3Lone StarC4Lone StarBHoustonCSan AntonioASan AntonioBAustin 1-2-3AM Coffee – 7:00 - 8:00 amGeriatricsOral Abstracts506-513EMSOut-of-HospitalCardiac ArrestOral Abstracts492-499Abdomen/GIOral Abstracts484-491EMSOut-of-HospitalCardiac ArrestOral Abstracts500-505Power Break in the Exhibit Hall – 10:00 - 10:30 amPoster Session 3FridayPoster Abstracts8:00am-12:00pm575-724143EMRA8:00am-12:00pmDS068:A Cadaver-BasedCurriculum forUltrasound-GuidedApplications andProceduresADIEMBusinessMeeting8:00am-12:00pmMSS8:00am-2:00pmUltrasoundOral Abstracts551-558Length of StayOral Abstracts543-550EducationOral Abstracts530-537EMS/Outof-Hospital-Cardiac ArrestOral Abstracts538-542Lunch – 12:30 - 2:00 pmKeynote SpeakerDr. Nivet2:00 - 3:00 pm in Dallas B/CSAEMBusiness Meeting3:00 - 4:30 pm in Dallas B/C


FRIDAY, MAY 16, 2014Atrium Majestic 1Lone StarPre-Con Area2nd FloorSeminarTheaterPearl4Pearl5Live OakAM Coffee – 7:00 - 8:00 am7 AMInnovationsSIM AcademyBusinessMeeting8:00am-12:00pmSpotlight:Technology39-42InnovationsSpotlight:Assessment43-46ClinicalOperationsModeratedPosters514-521ED UtilizationModeratedPosters522-5298 AM9 AMIncludingbreakout groupsfor projects& networkingJunior FacultyDevelopmentForum8:00am-2:00pmPower Break in the Exhibit Hall – 10:00 - 10:30 amInnovationsOralPresentations47-50InnovationsOralPresentations51-54Lunch – 12:30 - 2:00 pmKeynote SpeakerDr. Nivet2:00 - 3:00 pm in Dallas B/CSAEMBusiness Meeting3:00 - 4:30 pm in Dallas B/CGeriatricsModeratedPosters559-566Psych/SocialIssuesModeratedPosters567-57410 AM10:30 AM11:30 AM12:30 PM2 PM3 PMMAY 13-17, 2014 | DALLAS, TEXAS76


FRIDAY, MAY 16, 2014Friday, May 16, 2014 – SAEM and Committee/Task Force/Academy/Interest Group/Board Meetings7:00-9:00am 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-12:00pmADIEM 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)Society for Academic Emergency Medicine9:00-10:00am 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 Suite5:30-7:30pm Women in Emergency Medicine Mixer-AWAEM/AAWEP Atrium (Hotel-2nd Floor)Friday, May 16, 2014 – Affiliated Meetings7:00-8:00am 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)77


SAEM 2014 ANNUAL MEETING DIDACTIC PRESENTATIONSMAY 14-17, 2014 — DALLAS, TEXASSociety for Academic Emergency MedicineFRIDAY, MAY 16THDS068: A Cadaver-Based Curriculum for Ultrasound-Guided Applications and Procedures: A PromisingAlternative in Emergency Ultrasound EducationFriday, May 16 - 8:00 - 9:00 amLocation: San Antonio Ballroom AObjectives: At the completion of this session, participants should be ableto: 1. Define what is required to successfully incorporate a cadaver-basededucational curriculum. 2. Present an effective, safe method by whichtrainees can practice procedures and detect pathologic findings. 3. Examinehow this curriculum can bolster research that addresses improvement instudent learning, comprehension of anatomical structures and pathology,retention of information, and clinical performance.Description: As point-of-care ultrasound (POC US) continues to expandwithin our practice, the need for an effective educational model that trainsresidents to become competent in POC US grows as well. The currentPOC US training method (live model scanning) is limited due to the lack ofabnormal or pathologic findings found during scan sessions. Additionally,invasive procedures cannot be performed on live models, and cannotbe repeated on patients. Thus, educational curriculums that highlightpathologic findings and allow for safe procedural practice can be very usefulfor trainees. During this course, participants will learn how to successfullyincorporate a cadaver-based educational model. Sample US cadaverbasedcurriculums with lectures on lab experiences; saline injection intothe abdominal cavity, thorax, veins, and joints; creation of bony fractures,MSK injuries, and foreign bodies; US-guided endotracheal intubations; andmajor organs and soft tissues will be presented. Participants should learnhow to start the process of creating a curriculum, how to collaborate otherspecialties and government offices. Participants should also be able toanswer three basic questions regarding areas of research that result fromthis type of teaching: 1) How this curriculum is more beneficial to the learnerthan the regular US teaching or anatomy course; 2) Ways to test whetherthis type of learning improves comprehension and retention of material; and3) Ways to test improvement of technical/proceduralskill.Kristin CarmodyNew York University School of Medicine, New York, NY - SubmitterTarina KangLAC + USC Medical Center, Los Angeles, CA - PresenterLaleh GharahbaghianStanford University, Stanford, CA - PresenterMatthew DawsonUniversity of Kentucky, Lexington, KY - PresenterDina SeifLAC + USC Medical Center, Los Angeles, CA – PresenterDS069: Mechanical Treatment of Stroke: Update on RecentClinical Trials and Future Directions. Putting Clinical Trialsin Perspective: Pro-Con DebateFriday, May 16 - 8:00 - 9:00 amLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be ableto: 1. Define the available endovascular treatment modalities for acuteischemic stroke and the patient population that is hypothesized to benefitfrom these modalities. 2. Summarize the findings of recent clinical trialsand describe the limitations in terms of application of these treatments. 3.Compare and contrast the opposing positions on the future of mechanicaltreatment in acute ischemic stroke.Description: Systemic thrombolytic therapy continues to be the only FDAapprovedtreatment available for patients with acute ischemic stroke.While its use has increased over the past decade, less than 10% of eligiblepatients receive this therapy. The main limitation to the use of thrombolysiscontinues to be the narrow time-window for treatment. As a result, therehas been significant focus on endovascular treatment of stroke with thehope of improving outcomes while allowing for a longer time-window. Therehave been multiple recent trials (such as the Synthesis, IMS III, and Rescuetrials) evaluating the effectiveness of these modalities on outcome. Sofar, the results are far from conclusive. At the same time, endovasculartreatment has become increasingly more common in the clinical setting.This raises the debate about whether patients are being managed in anappropriate and evidence-based manner. This presentation will review thefindings of these trials and discuss future directions of research, focusingon whether we should continue utilizing these technologies and searchfor the optimal application versus whether we should shift away from themechanical treatments.Pratik DoshiUniversity of Texas Health Science Center, Houston, Houston, TX -Submitter, PresenterBill BarsanUniversity of Michigan, Ann Arbor, MI - PresenterWilliam MeurerUniversity of Michigan, Ann Arbor, MI - PresenterArt PancioliUniversity of Cincinnati, Cincinnati, OH – PresenterDS070: Learner-Centered Feedback: Time To Change theConversationFriday, May 16 - 8:00 - 9:00 amLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Examine the feedback literature to understand better the change offocus from teacher to learner. 2. Outline steps required to provide effectivefeedback within the new conceptual framework. 3. Implement strategies toimprove learner receptiveness to feedback regarding their clinical teachingpractice.Description: While educators view providing feedback as a crucial steptowards improving learner performance, the emphasis is shifting fromdelivering effective feedback to impacting personal factors that affectlearner responsiveness to feedback. In fact, many experts now view learnerresponsiveness to feedback as one of the most important aspects of thefeedback encounter. This session will build on previous sessions focusedon feedback presented at the SAEM Annual Meeting. We will draw uponseminal articles in the feedback literature to both enable the participantto understand the psychological impact of feedback from the receiver’sperspective, and empower participants to employ practical strategiesto successfully engage the learner in accepting feedback. This workshopwill focus on several resident issues, such as poor self-confidence,overconfidence, poor self-assessment, lack of motivation, and fear. Thesession will utilize a combination of short didactic presentations intermixedwith small-group activities. The workshop will utilize large- and small-groupexercises to allow the participant to understand key concepts surroundingthe area of feedback responsiveness and identify strategies to successfullyaddress these issues. Facilitators will include David Manthey, MD; RobinHemphill, MD, MPH; Josh Kornegay, MD; and Thomas Terndrup, MD.Sorabh KhandelwalThe Ohio State University, Columbus, OH - Submitter, PresenterMarcia PerryUniversity of Michigan, Ann Arbor, MI - PresenterLalena YarrisOregon Health & Science University, Portland, OR - PresenterSally SantenUniversity of Michigan, Ann Arbor, MI – Presenter78*Disclaimer: Didactics are placed in the program how they were submitted to SAEM.


DS071: Redesigning Emergency Care Delivery to OptimizePatient Care and Grow the Academic MissionFriday, May 16 - 8:00 - 9:00 amLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be able to:1. Understand how modern process improvement tools can fundamentallyredesign emergency care. 2. Understand the importance of analytics. 3.Integrate educational and research needs of an academic department intothe care redesign process.Description: The process of delivering emergency care has remainedunchanged for many decades, yet the practice of emergency medicine haschanged dramatically. As most emergency departments are redesigningcare delivery models to meet the needs of patients by focusing on the patientexperience and efficiency, academic departments often struggle to balancethe drive for efficiency with the need to maintain or grow opportunities foreducation and research. By taking a data-driven, patient-centered approachto care redesign, utilizing tools from modern process-improvementmethodologies, academic emergency departments can redesign care to beefficient and patient-centered while enhancing the academic mission. Thissession will include experts in ED operations, process improvement, quality,safety and education. Dr. Zane will moderate the session, which will beginwith a joint lecture addressing the application of process-improvementmethodology to care redesign and emergency medicine, developingperformance excellence metrics in a meaningful actionable format whilerecognizing the unique needs and mission of an academic ED. There willbe a question-and-answer session with audience participation after thediscussion.Richard ZaneUniversity of Colorado School of Medicine,Aurora, CO - Submitter, PresenterDerek BirznieksUniversity of Colorado Hospital, Aurora, CO - PresenterErik BartonUniversity of Utah, Salt Lake City, UT - PresenterAli RajaHarvard Medical School / Brigham and Women’s Hospital,Boston, MA - PresenterJennifer L. WilerUniversity of Colorado School of Medicine, Aurora, CO - PresenterDS072: Diagnostic Imaging and Radiation Exposure: HowMuch is Too Much?Friday, May 16 - 8:00 - 9:00 amLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should be able to:1.Discuss the radiation dosing associated with various imaging modalitiescommonly ordered in the emergency department and the implicationsfor different patient populations. 2. Identify strategies to minimizeunnecessary use of medical imaging, including the use of electronic clinicaldecision support and alternatives to modalities that confer radiation. 3.Describe strategies to minimize radiation dosing that can be discussed withparticipants’ radiology departments.Description: The United States health care system has seen a rise in theuse of diagnostic imaging, without commensurate improvement in patientcenteredoutcomes. Emergency departments (EDs) are responsible fora large percentage of this growth. In many instances, modalities that useradiation, such as CT scans, are the optimal diagnostic modality in theED; however, at times these examinations are unnecessary, and therecan be significant drawbacks. Recently, the cancer risk associated withdiagnostic radiation has been rigorously studied and publicized in themedia. Consequently, physicians should be knowledgeable about thecurrent understanding of the risks associated with medical radiation, andthe up-to-date strategies involved in minimizing the unnecessary use ofthis modality, as well as techniques available to minimize radiation dosing.This didactic will review the current knowledge regarding diagnosticimaging and radiation, critically discuss how to incorporate this knowledgeinto emergency medicine practice, and discuss state-of-the-art researchexamining methods to decrease the unnecessary use of medical imaging.Jennifer MarinUniversity of Pittsburgh School of Medicine,Pittsburgh, PA - Submitter, PresenterKimberly ApplegateEmory University School of Medicine, Atlanta, GA - PresenterAngela MillsUniversity of Pennsylvania School of Medicine, Philadelphia, PA - PresenterDS073: Emergency Ultrasound for Airway ManagementFriday, May 16 - 9:00 - 10:00 amLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be ableto: 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 ultrasoundfindings correlating with: prediction of difficult intubation, assessmentof correct tube size, confirmation of tube placement, safe postprandialstomach 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 emergencypatient remains one of the most critical procedures for emergencyphysicians. Despite extensive training and an armamentarium of devices forairway management, there is ongoing morbidity and mortality from airwaycomplications. Challenges remain in predicting difficult intubations andcorrect endotracheal tube size, limiting aspiration, confirming correct tubeposition and establishing last-resort surgical airways. Bedside ultrasoundof the airway is emerging as a powerful new tool in emergency airwayassessment and management. Despite an emerging body of literature, mostemergency physicians remain unfamiliar with the powerful applications ofbedside ultrasound in airway management. Our session will begin with anorientation 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 airwaymanagement, including: prediction of difficult intubation and appropriateendotracheal tube size, evaluation of stomach contents, confirmation ofcorrect endotracheal tube placement, and ultrasound guidance for bothsurgical airway procedures and upper-airway nerve blocks (for awakeintubation). This didactic will provide images and videos from actual clinicalexperiences to illustrate these techniques and findings. We will describeour novel approach to airway ultrasound simulation and how to develop asimple and inexpensive airway ultrasound phantom model. There will alsobe a discussion on future research directions as we share our experience indesigning and implementing research protocols in this exciting new area.Kristin CarmodyNew York University School of Medicine, New York, NY - SubmitterMark O. TessaroMaimonides Medical Center, Brooklyn, NY - PresenterEric H. ChouMaimonides Medical Center, Brooklyn, NY – PresenterDS074: Incentives to Participate in Clinical Trials: Practicaland Ethical ConsiderationsFriday, May 16 - 9:00 - 10:00 amLocation: Dallas Ballroom CObjectives: At the completion of this session, the participants should be ableto: 1. Discuss incentives commonly used to recruit subjects into clinical trialsand retain them for follow-up. 2. Understand the ethical issues surroundingthe nature, scope, and amount of these incentives.Description: The success of clinical trials depends on the recruitment andretention of sufficient numbers of subjects. Providing token compensationin the form of cash, gift cards, or vouchers is a common strategy used forrecruitment and retention. The challenge is to design a program where theincentives are sufficiently large and salient to attract potential subjects, butnot large enough to be considered coercive. Investigators must decide onthe size of incentives, their timing, and whether to vary the incentive basedon the effort required or inconvenience to the subject. In addition, incentivesmust be sensitive to the constraints of grant budgets. The presenters ofthis program will review the current status of incentives used in clinicalMAY 13-17, 2014 | DALLAS, TEXAS79


Society for Academic Emergency Medicinetrials of emergency department-based interventions. The first speaker, Dr.Bernstein, is an experienced investigator who has conducted multiple clinicaltrials in the ED. He will survey the current literature to review the types ofincentives used in published EM trials, along with practical pointers fromhis own work. Dr. Feldman, a member of the Institutional Review Board atBoston Medical Center, will discuss ethical considerations regarding clinicaltrial incentives, with a focus on how IRBs determine whether incentives arecoercive, and whether they can be scaled to subjects’ socioeconomic status.Examples from completed trials will be discussed.Steven L. BernsteinYale School of Medicine, New Haven, CT - Submitter, PresenterJames FeldmanBoston University School of Medicine, Boston, MA – PresenterDS075: Developing a Curriculum in Advocacy forEmergency MedicineFriday, May 16 - 9:00 - 10:00 amLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Define advocacy as it pertains to medical professionalism in EM. 2.Understand and apply basic principles of advocacy curriculum developmentin emergency medicine residency programs.Description: Emergency physicians hold the unique position of caring forpatients of all ages and all walks of life, often when they are at their mostvulnerable. On the front lines of medicine, emergency physicians haveboth a ground-level and a bird’s-eye view of the individual patient and thecommunity at large as they are affected by social determinants of health,such as socioeconomic status, education, employment, and mobility. Thismakes academic emergency departments well positioned to train futureemergency physicians in how to navigate the complex landscape of healthcare for the betterment of the profession, patients, and society at large.Given the rapid changes in the health care environment and the likelihoodthat emergency physicians will need to be prepared to care for a greaterproportion of vulnerable patients during this delicate transition, it hasnever been more imperative for trainees and their faculty educators andmentors to be comfortable with community engagement, resources, andhealth policy. The advancement and dissemination of this knowledgeshould be embraced in the academic setting. This didactic session willintroduce the principles of patient-centered advocacy in the emergencydepartment, with a shift in focus beyond individual patients to inclusion ofcommunities and policies as defined in the ecologic model of public health.Participants will learn how to define advocacy in our unique setting, and willlearn introductory principles of curriculum development from experiencedleaders in advocacy education.Jennifer WalthallIndiana University, Indianapolis, IN - SubmitterPeter SokoloveUniversity of California, San Francisco, CA - PresenterSean ThompsonIndiana University, Indianapolis, IN - PresenterAdam SharpLos Angeles Medical Center, Los Angeles, CA – PresenterDS076: Opioid Prescribing from Our EDs: Where Do We Gofrom Here?Friday, May 16 - 9:00 - 10:00 amLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should beable to: 1. List several of the ED prescribing guidelines that are currentlyavailable and the benefits and limitations of each. 2. Describe medicationsand medication combinations that constitute high-risk ED prescribing.3. Highlight the research on opioid analgesic safety and existing gaps inoutcome-based research related to ED prescribing.Description: Prescription opioid misuse is responsible for more than350,000 visits to our EDs annually, and has caused so many deaths that theCDC has proclaimed it to be an epidemic. There is no doubt that our EDshave been and continue to be an important source of prescription opioidsthat are used nonmedically. ED providers have been placed in the difficultposition of being expected to aggressively identify and treat pain whilesafely prescribing pain medications in an environment of limited time andresources, to a population that is likely at high risk of nonmedical opioiduse. To address this complicated situation, emergency physicians need tobe aware of the role ED prescribing plays in the current epidemic, and theguidance that is available to help in decision-making. This session will bringtogether experts in opioid safety, medical toxicology and ED prescribing.The session will be moderated by Dr. Lewis Nelson, an editor of Goldfrank’sToxicologic Emergencies. There will be two presentations (Drs. Hoppe andPerrone) of 15 minutes each: 1) A review of baseline ED prescribing data,opioid prescribing rates, and available ED pain management guidelines andhow they are accessed and utilized, and 2) A discussion of recent changesin drug labeling, REMS programs, and high-risk features. Both speakerswill include a description of the available outcomes data on ED opioidprescribing and research gaps. This will be followed by a brief question-andanswersession.Jason HoppeUniversity of Colorado, Aurora, CO - Submitter, PresenterJeanmarie PerroneUniversity of Pennsylvania, Philadelphia, PA - PresenterLewis NelsonNew York University School of Medicine, New York, NY – PresenterDS077: Respecting Pulmonary Embolism: Treating theSpectrum of Disease from Outpatient Management toSystemic ThrombolyticsFriday, May 16 - 9:00 - 10:00 amLocation: Dallas Ballroom BObjectives: At the completion of this session, participants should be ableto: 1. Discuss the importance of pulmonary embolism risk stratification inthe emergency department. 2. Describe the general patient characteristicscurrently understood to be safe for short-term observation and outpatientmanagement 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-threateningdiagnosis often made in the emergency department (ED). However, the sizeand location of a PE, as well as numerous patient factors, make treating thespectrum of PE challenging. In recent years, research efforts have focusedon risk-stratifying PE in order to identify both those who might be safe foroutpatient management and those who would benefit from either systemicor catheter-directed thrombolytics. In practice there is significant variationin care, and for emergency medicine providers, recognizing the need forrisk stratification and individualized treatment options is important inorder to prevent short-term mortality and long-term morbidity from PE.Emergency physicians are uniquely positioned to impact the treatment ofpatients diagnosed with PE. As pressure builds to send more patients homefrom the ED, observation or clinical-decision units may be well-suited toarrange safe discharge of patients with small, low-risk PEs. This session willinvolve discussion of current treatment controversies for PE and presentimportant knowledge gaps requiring further study.Kelly N. SawyerWilliam Beaumont Hospital, Royal Oak, MI - Submitter, PresenterPawan SuriVirginia Commonwealth University, Richmond, VA - PresenterJeffrey KlineIndiana University, Indianapolis, IN – PresenterDS078: Ethical Dilemmas in International EmergencyMedicineFriday, May 16 - 9:00 - 10:00 amLocation: Dallas Ballroom D1Objectives: 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 emergencymedicine. 3. Discuss different approaches to ethical dilemmas. 4. Developa practical solution for real-life ethical challenges commonly encountered ininternational emergency medicine.80


Description: How should emergency physicians approach ethical dilemmaswhen working globally? Short-term relief work is more popular than everbefore. Medical mission trips and electives have become an integral partof medical school and residency curricula. Global health/internationalemergency medicine fellowships are becoming increasingly popular. Manypracticing physicians volunteer for relief work, take time off from work,use their vacation time or become involved with NGOs to provide hands-oncare in resource-limited environments. Despite good will and humanitarianidealism, ethical problems are routinely encountered. They affect notonly the relief worker (cultural competency, safety, credentialing), butalso local health care workers (cooperation with outside personnel), theaffected patients (appropriate qualifications, consent, language barriers),their families and the community at large (effects on local health careinfrastructure). This didactic session will start with a short overview ofcommon ethical dilemmas, and will engage a panel of speakers with uniquequalifications and backgrounds to discuss real-life ethical scenarios.Through this discussion, the speakers will engage the audience and willdevelop practical strategies to appropriately manage such ethical dilemmasin international emergency medicine.Torben BeckerUniversity of Michigan, Ann Arbor, MI - Submitter, PresenterIan B.K. MartinUniversity of North Carolina at Chapel Hill, Chapel Hill, NC - PresenterEdward OttenUniversity of Cincinnati, Cincinnati, OH – PresenterDS079: Update on Emergency Department Evaluation andManagement of Pediatric ConcussionFriday, May 16 - 9:00 - 10:00 amLocation: Dallas Ballroom D2Objectives: 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 initiatingcognitive and physical rest, and recommending appropriate follow-up.Description: Concussion is a disruption in normal brain function caused bythe impact of biomechanical forces on the head or the body. Approximately100,000-140,000 children and adolescents present to the emergencydepartment for concussion each year in the United States. Immediaterecognition of concussion and prompt initiation of treatment in the formof 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 ofentry for the care of pediatric concussion patients, providers may nothave adequate training or tools necessary to provide standardized andevidence-based care. For this didactic session, the presenters will discussthe diagnosis, management, and after-care of concussion. A growing bodyof basic and clinical research has provided the evidence for standardizedevaluation of concussion and prompt treatment with physical and cognitiverest. General awareness of concussion and a growing number of statelaws requiring medical clearance before return to activity have resultedin a significant increase in concussion-related visits in a variety of clinicalsettings, including the emergency department. The presenters will provideupdates on the science, policy, and evidenced-based best practices forpediatric concussion that emergency physicians can readily implement intheir everyday practice. Following the formal didactic presentation, therewill be allotted time for questions and discussion.Mark ZonfrilloChildren’s Hospital of Philadelphia, Philadelphia, PA - Submitter, PresenterMatthew EisenbergBoston Children’s Hospital, Boston, MA – PresenterDS080: Federal Funding Streams for Global HealthResearchFriday, May 16 - 10:30 - 11:30 amLocation: Dallas Ballroom A1Objectives: At the completion of the session, the participant should beable to: 1. Understand the various federal funding opportunities availableto support emergency physicians conducting international research. 2.Understand Fulbright and Fogarty program support of US physiciansworking and conducting research abroad. 3. Understand the applicationand review process for various federal funding opportunities that supportglobal health research. 4. Understand the qualifications of successful grantproposals and applicants seeking funding to support global health research.Description: Funding for global health has grown significantly over the pasttwo decades. In 1990, an estimated US$5.6 billion was spent on developmentassistance for global health; this amount had grown to approximately US$27.7billion as of 2011. While most funding has been earmarked for programdevelopment and implementation, there has also been a steady growth inresearch funding. However, much of this research funding has been directedtowards specific disease processes, and little has been focused on emergencycare research. Funding for emergency care research in the global healthcontext is challenging, as few grants are overtly geared towards emergencycare research. The 2013 AEM Consensus Conference on Global HealthResearch Agendas led to the creation of goals to strengthen global emergencycare research funding. These included quantifying the funding opportunitiesfor global health and emergency care research, improving understandingof current research priorities, and identifying barriers to current researchfunding. In this session, three academic emergency physicians will discuss theirperspectives, experience and insight regarding federal funding streams forglobal health. First, Dr. Jeremy Brown, director of the Office of Emergency CareResearch (OECR), will present an overview of federal funding opportunities.The OECR is housed within the National Institute of General Medical Sciencesand is tasked with coordinating and fostering basic, clinical and translationalresearch and research training for the emergency setting. The secondpanelist, Dr. Robert Hoffman, is a former reviewer of Fulbright applicationsand will review the awards, the application process, and the characteristicsof successful applications and applicants. The third panelist, Dr. Adam Levine,has successfully secured a K-award from the Fogarty International Center andwill review the pearls and pitfalls of a successful NIH application. Time will beallocated at the end of the session for audience questions.Bhakti HansotiJohns Hopkins University, Baltimore, MD - SubmitterRobert HoffmanMount Sinai School of Medicine, New York, NY - PresenterJeremy BrownNIH, Bethesda, MD - PresenterAdam C. LevineAlpert Medical School of Brown University, Providence, RI – PresenterDS081: Gun Injury: Reframing the Public Health DebateFriday, May 16 - 10:30 - 11:30 amLocation: Dallas Ballroom A3Objectives: At the completion of this session, participants should be ableto: 1. Apply the public health model to firearm injury prevention. 2. Describethree ways to influence public opinion and policy about gun-related injuries.3. Develop three strategies to apply in their own communities for preventionof firearm-related injuries.Description: As emergency physicians struggle with the mounting medicalproblem of gun violence and its aftermath, we are increasingly called tostep outside of the ED and take a role in the forum of public debate andpolicy development. Some emergency physicians (EPs) embrace this role,others shun it, but the fact is that in many settings we are viewed by ourcommunities as experts. In this session, EPs who have looked at gun injury ina larger context will share their research and experience in advocacy. Topicswill include advocating for a coordinated public health approach to gunviolence; how EPs can influence legislation and how legislation can influencegun violence; and how to navigate the politics of public health advocacy insuch a fraught realm as firearms.Harrison AlterAlameda Health System - Highland Hospital, Oakland, CA - SubmitterEric FleeglerBoston Children’s Hospital, Boston, MA - PresenterMegan RanneyWarren Alpert Medical School of Brown University, Providence, RI - PresenterJason WilsonUniversity of South Florida, Tampa, FL – PresenterMAY 13-17, 2014 | DALLAS, TEXAS81


Society for Academic Emergency MedicineDS082: Building from Experience: Creating SustainableBridges between Emergency Medicine Researchers andInvested Public Health AgenciesFriday, May 16 - 10:30 - 11:30 amLocation: Dallas Ballroom D1Objectives: 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. Formulatean agenda for advancing key partnerships between EM and public health.Description: The ED is called upon to advance public health programs and newresearch initiatives. EM-public health shared areas of expertise have resultedin a variety of partnerships, with funding from key agencies including CDC, HHS,and state health departments. This didactic will showcase successful cuttingedgeinnovations between EM investigators and public health. Recognizing theever-changing funding environment, it is essential that academic emergencyphysicians make connections to respond to continued needs at the EM-publichealth interface. This is a two-part session. Part 1: Three invited panelists willdeliver 8-minute presentations from distinct areas describing developmentand outcomes associated with one EM-public health collaboration, focusingon lessons learned and evolving opportunities. Examples will include: an EDbasednetwork for infectious disease surveillance; a multi-center programto translate priorities into community-based injury research to the ED; andthe role of EM in preparedness capability. Part 2: The organizers will presenta proposed web-based platform for creating permanent bridges to optimizeopportunities for sustaining and growing EM-public health partnerships.A moderated discussion will be directed towards developing consensusbasedrecommendations for this platform. Notes: The platform content andformat will be based on advanced literature review and snowball sampling forthe three areas highlighted at the session and will serve as a prototype forshared EM-public health partnerships, with the platform to be launched andsustained by the SAEM Public Health Interest Group. Consensus-building willbegin at the annual meeting and with the completion of post-meeting surveys.Larissa MayThe George Washington University, Washington, DC - SubmitterRichard RothmanJohns Hopkins University, Baltimore, MD - PresenterGregory MoranUniversity of California Los Angeles, Los Angeles, CA - PresenterDeb HouryEmory University, Atlanta, GA - PresenterDavid MarcozziUS Department of Health and Human Services, Washington, DC - PresenterDavid SugermanCenters for Disease Control and Prevention, Atlanta, GA – PresenterDS083: Current Controversies in Post-Cardiac Arrest CareFriday, May 16 - 10:30 - 11:30 amLocation: Dallas Ballroom D2Objectives: At the completion of this session, participants should be able to:1. Compare and contrast emerging non-invasive monitoring available for useduring resuscitation. 2. Discuss the evidence for steroids, neuromuscularblockade, emergent coronary intervention, and mechanical support inthe peri-arrest period. 3. Understand the ongoing gaps in post-arresttreatment practices. 4. Describe future research directions within cardiacresuscitation, including temperature management in the post-arrest period.Description: Cardiac resuscitation research continues to surge, asresearchers strive to identify factors associated with “good” outcomes aftercardiac arrest. Yet many questions remain regarding applying temperaturemanagement, monitoring the quality of resuscitation, using medicationadjuncts during resuscitation, and augmenting cardiac output withmechanical support in the peri-arrest period. These are just a few examplesof current controversies in post-cardiac arrest care. Ongoing concernsregarding emergent coronary intervention in patients who have uncertainneurologic status limit the availability of this resource to many patients.The fact that patients who suffer cardiac arrest have a high likelihood ofacute coronary occlusion may suggest we revisit the usefulness of systemicthrombolytics in patients unable to go to the catheterization laboratory.This session will discuss the most recent cutting-edge controversies in postarrestcare and suggest areas in need of attention for the 2015 guidelines.Kelly N. SawyerWilliam Beaumont Hospital, Royal Oak, MI - Submitter, PresenterMichael KurzVirginia Commonwealth University, Richmond, VA - PresenterTeresa Camp-RogersUT Health Science Center at Houston, Houston, TX – PresenterDS097: Controversies in Emergency Ultrasound II:The Debate Rages OnFriday, May 16 - 10:30 - 11:30 amLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be able to:1. Describe cutting-edge and controversial issues in emergency ultrasoundtoday. 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, withdiscussants utilizing an evidence-based approach to discuss twocontroversial topics in emergency ultrasound. Session will be evidencebased,drawing on pertinent literature to support viewpoints.Christopher RaioNorth Shore University Hospital, Manhasset, NY - SubmitterAndrew LiteploMassachusetts General Hospital, Boston, MA - PresenterMichael P. MallinUniversity of Utah, Salt Lake City, UT - PresenterJason T. NomuraChristiana Healthcare System, Newark, DE – PresenterDS084: Important Applications for Point-of-CareUltrasound in Pediatric Emergency MedicineFriday, May 16 - 10:30 am - 12:30 pmLocation: Dallas Ballroom CObjectives: At the conclusion of this session participants should be ableto: 1. Illustrate how POCUS can assist with the management of pediatricemergency medicine patients. 2. Understand how to develop proficiencyin the ultrasound techniques for common pediatric conditions. 3. Becomefamiliar with the evidence surrounding POCUS for each of the indicationsand procedures discussed.Description: Point-of-care ultrasound (POCUS) is rapidly expanding intothe field of pediatric emergency medicine. Recent advances in pediatricultrasound include applications that aid in the evaluation and managementof common pediatric clinical conditions and in the guidance of invasiveprocedures. In this session, we will discuss novel POCUS applications in themanagement of common pediatric complaints encountered by emergencyproviders. Specifically, the application of POCUS in the management ofthe febrile infant, pediatric abdominal pain, musculoskeletal injuries, andrespiratory distress will be presented. In addition, the session will include ademonstration of ultrasound techniques, a discussion of common pearls andpitfalls, and a review of the most up-to-date evidence-based approachesfor each POCUS application. At the end of this session, participants shouldbe equipped with the knowledge to integrate POCUS into clinical decisionmakingand the management of pediatric patients.Kristin CarmodyNew York University School of Medicine, New York, NY - SubmitterJames TsungMount Sinai School of Medicine, New York, NY - PresenterLorraine NgColumbia University School of Medicine, New York, NY - PresenterJennifer MarinChildren’s Hospital of Pittsburgh, Pittsburgh, PA – PresenterDS085: After Words … Managing the Aftermath ofAdverse EventsFriday, May 16 - 10:30 am - 12:30 pmLocation: Dallas Ballroom B82


Objectives: At the completion of this session, participants should be ableto: 1. List the advantages of a proactive, comprehensive approach to crises.2. Describe innovative ways to reconcile demands for accountability withrequirements for learning and considerations of compassion and justice.3. Describe a comprehensive approach to organizational learning abouthazards in care.Description: You’ve just heard that a pregnant woman discharged fromyour ED after a low-impact auto accident delivered a stillborn secondaryto an abruption some hours after discharge. The EMR notes good fetalheart 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 youtreated for an eyebrow laceration returned with endophthalmitis, leadingto enucleation due to unrecognized rupture of the globe. The chart ismissing visual acuity. In both these cases, state agencies are pressing forinvestigation and punishment. Now what? The emergency department is ahigh-risk environment for adverse outcomes – some inevitable, and somepreventable. This interactive panel discussion will provide examples ofhow such tragedies can be better managed, to support the patients andfamilies (first victims), the caregivers involved (second victims), and tohelp the care-delivery organization improve (third victims). Panelists willuse case examples from their own work in four important activities: (1)explanation and apology to the patient and family, along with medical, socialand economic assistance as needed; (2) support for the “second victim,” themedical 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 externalaccountability with the psychological safety needed for learning and justice.Robert L. WearsUniversity of Florida, Jacksonville, FL/ Imperial College London, London,UK - Submitter, PresenterRollin (Terry) J. FairbanksMedstar Health, Georgetown University, Washington, DC - PresenterRob RobsonHealthcare System Safety and Accountability, Inc., ON, Canada - PresenterThomas H. GallagherUniversity of Washington School of Medicine, Seattle, ßWA – PresenterDS086: The Top Global Emergency Medicine Articles of2013: Highlights from the Global Emergency MedicineLiterature ReviewFriday, May 16 - 11:30 am - 12:30 pmLocation: Dallas Ballroom A1Objectives: At the end of this session, participants should: 1.Becomefamiliar with the most recent high-quality global emergency medicineresearch being conducted around the world. 2.Improve their understandingof evidence-based practices and the current standard of care in globalemergency medicine. 3. Be better-prepared to conduct their own ethical andhigh-quality global emergency medicine research, having learned from theexperience of recent investigators.Torben BeckerUniversity of Michigan, Ann Arbor, MI - Submitter, PresenterAdam C. LevineAlpert Medical School of Brown University, Providence, RI – PresenterDS087: Top 10 Tips for Getting Started in ResearchFriday, May 16 - 11:30 am - 12:30 pmLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be able to:1. Define an achievable research question. 2. Identify 2-3 potential mentorsto help them achieve their research goals. 3. Outline a timeline and nextsteps to initiate their research project.Description: As mentors and researchers, we often hear the question, “Howdo I get started in research?” In this didactic, we will provide the answer forthose who have enthusiasm but minimal prior research experience. Thespeakers, experienced research mentors, will discuss the key elementsnecessary for success in: defining your overall goals for research; findingan appropriate mentor or mentor team; defining a focused researchquestion; creating a realistic research timeline; navigating the IRB and otherresearch preparatory tasks; pursuing opportunities to publish and present;developing specific research skills; and planning long-term trajectoriesfor research. After a brief discussion by the speakers, each topic will thenbe discussed in a small-group format facilitated by experienced researchfaculty.Megan RanneyAlpert Medical School of Brown University, Providence, RI - Submitter,PresenterBrendan G. CarrUniversity of Pennsylvania, Philadelphia, PA - PresenterEsther ChooAlpert Medical School of Brown University, Providence, RI – PresenterDS088: Congratulations! You are the Research Director!Now What?Friday, May 16 - 11:30 am - 12:30 pmLocation: Dallas Ballroom A3Objectives: 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 researchprogram at their own institution.Description: While the title of “director of clinical research” is commonlyseen in emergency medicine programs, the role and job description varybased upon the clinical and academic setting, resources, and institutionalculture, and success in this role is dependent on these various factors. Someresearch directors primarily mentor resident scholarly activity, while othersmanage faculty. Often, a young faculty member is thrust into this role basedupon early research successes. Others may inherit the role based upon adepartment’s needs and staffing. Lastly, some may develop into the roleand have had the chance to be groomed for success. This session is intendedto provide attendees with information that will help them to decide onpursuing the role of research director, and, when in the role, be successful.During this session, a panel composed of current research directors willaddress the following topics: 1. Description of their current setting and mainroles. 2. Major challenges in their role. 3. Top 5 tips for success. After eachtopic presentation, there will be 3-4 minutes for questions and answersfrom the audience. After the conclusion of all topics, the remaining time willbe used for lessons learned and/or questions. The panelists will come fromthe following settings: 1.A university ED with a well-established EM researchprogram with significant extramural funding. 2. A university ED with a midlevelclinical research program. 3. A university ED with a brand-new researchprogram. 4. A community hospital ED with a medical school affiliation.Preeti DalawariSaint Louis University School of Medicine, Saint Louis, MO - Submitter,PresenterBernard LopezThomas Jefferson Medical College, Philadelphia, PA - PresenterJudd HollanderUniversity of Pennsylvania, Philadelphia, PA - PresenterTania D. Strout. Maine Medical Center, ME – PresenterDS089: Getting Your Qualitative Emergency MedicineResearch PublishedFriday, May 16 - 11:30 am - 12:30 pmLocation: Dallas Ballroom D1Objectives: 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 qualitativemanuscripts and strategies to address these.3. Be familiar with severalalternate dissemination techniques for qualitative research.Description: Qualitative research seeks to develop concepts to betterunderstand complex social phenomena in natural settings. Qualitativestudy designs commonly use in-depth interviews, focus groups, and fieldobservation. Qualitative methods are particularly relevant in emergencymedicine, where research questions often have little existing researchbackground and outcomes are difficult to measure. Yet investigators faceMAY 13-17, 2014 | DALLAS, TEXAS83


Society for Academic Emergency Medicine84considerable challenges publishing such research. This session will enhanceparticipants’ capacity to appropriately design, analyze and disseminatequalitative research. Session faculty are emergency physician researcherswith experience in qualitative methods and will use their projects tohighlight concepts. Dr. Grudzen will discuss how to build an analytic teamwhen coding transcripts from semi-structured interviews and focus groups,and how to effectively publish results in the peer-review literature. Shewill use examples from her work regarding palliative care. Dr. Rhodes willdiscuss use of a tentative thematic framework to conduct content analyseswith qualitative data and selectively code for broad themes, and will provideexamples of published qualitative methods sections. She will use examplesfrom work on ED provider-patient communication around psychosocialissues and access to care. Dr. Schuur will discuss how he used interviewsand focus groups to identify successful infection-prevention strategies inEDs. He will discuss how to prepare a qualitative manuscript for peer reviewand will review frequent journal reviewer concerns regarding qualitativemanuscripts, offering tips to avoid and answer these. A question-andanswersession will follow.Jeremiah SchuurBrigham and Women’s Hospital, Boston, MA - Submitter, PresenterCorita GrudzenIcahn School of Medicine at Mount Sinai, New York, NY - PresenterKarin RhodesUniversity of Pennsylvania, Philadelphia, PA – PresenterDS090: Recent Advances in Evaluation and Managementof the Febrile Young Infant: Viral Infections andBiosignaturesFriday, May 16 - 11:30 am - 12:30 pmLocation: Dallas Ballroom D22014 INNOVATIONSFRIDAY, May 16, 2014Innovations - Spotlight: Technology8:00 - 9:00 am in Seminar Theater39 Sensitivity and Specificity Smartphone ApplicationTimothy W. Jolis1, Waihong Chung2, Dan M. Mayer1. 1Albany MedicalCollege, Albany, NY; 2Warren Alpert Medical School of Brown University,Providence, RI40 Mobile Simulated Patient Encounters (MoSPE) - Take Interactive ClinicalSimulation Cases AnywhereKarthikeyan Muthuswamy, Rishi Madhok. Perelman School of Medicine atthe University of Pennsylvania, Philadelphia, PA41 Transvenous Pacing Video Model for Facilitated, Successful TransvenousPacemaker Insertion in the Emergency DepartmentJosh Laird, Bryan F. Darger, Sara Miller, Samuel Luber, Yash Chathampally.University of Texas Medical School at Houston, Houston, TX42 Med Sketch: Anatomy Drawing App for the Iphone and Ipad - A Fun AndEngaging Tool To Improve Clinical Communication And Bedside EducationKarim Ali, Adeeb Zaer. Emory University School of Medicine, Atlanta, GAInnovations - Spotlight: Assessment9:00 - 10:00 am in Seminar Theater43 A Mobile Application for Direct Observation Evaluation of ResidentPhysicians using ACGME Next Accreditation System MilestonesDaniel Michael O’Connor1, Arjun Dayal2. 1The University of Pennsylvania,Philadelphia, PA; 2The University of Chicago, Chicago, IL44 A Novel Method of Evaluating Residents Based on the EmergencyMedicine Milestone ProjectMira Mamtani, Rishi Madhok, Francis J. DeRoos, Lauren W. Conlon. Hospitalof the University of Pennsylvania, Philadelphia, PA45 A Web-based Milestone Evaluation System Providing Real-time Analysisof Resident PerformanceRishi Madhok, Lauren W. Conlon, Mira Mamtani, Francis J. DeRoos. Hospitalof the University of Pennsylvania, Philadelphia, PAObjectives: At the completion of this session, participants should be ableto: 1. Explain the role of enterovirus testing in the febrile young infant. 2.Describe the epidemiology of neonatal herpes simplex virus infectionand when to test and initiate acyclovir therapy. 3. Describe the role ofimmune responses in pathogen identification. 4. Understand rudiments ofmicroarray analysis for disease detection in clinical settings.Description: The febrile young infant aged 0-60 days is commonly encounteredin the emergency department. These infants are at high risk for serious bacterialinfection and often undergo a full sepsis evaluation. Enterovirus is a commonpathogen that causes febrile illness in young infants. Despite availability ofrapid enterovirus PCR testing, there is wide variability in enterovirus testingin febrile infants, even with recent studies demonstrating benefits of routinetesting. Neonatal herpes simplex virus (HSV) is a life-threatening infectionthat is difficult to diagnose clinically, and therefore controversy exists as towhich neonates should be tested and empirically treated. Importantly, noveldiagnostic methods including biosignatures (RNA expression analysis) arebeing investigated to improve identification of fever-inducing pathogens.In this session, the most recent advances in the management of the febrileyoung infant will be presented. The presenters will discuss the epidemiology ofenterovirus and neonatal HSV infections, and will review the evidence-basedapproach to viral testing in the febrile young infant, including an upcomingmulticenter study. Additionally, novel approaches to diagnosis, includingtranscriptional biosignatures, will be discussed. Following a brief introductionto novel diagnostic techniques currently being used in the evaluation of ayoung febrile infant, a more detailed description of one of the more promisingtechnologies will be presented. RNA expression analysis is the study of thehost response to the presence of a pathogen. Analysis of unique host responsepatterns can potentially lead to identification of fever etiology, thus obviatingthe reliance on sub-optimal reference standards, including cultures.Paul L. AronsonYale School of Medicine, New Haven, CT - Submitter, PresenterPrashant MahajanChildren’s Hospital of Michigan, Detroit, MI – Presenter46 Entrustable Professional Activities (EPAs) - A Framework for theEM MilestonesMichael S. Beeson, Daniel Kobe, Amber Bradford, Steven J. Warrington.Akron General Medical Center, Akron, OHInnovations - Oral Presentations10:30 - 11:30 am in Seminar Theater47 Flipping the ClerkshipCorey Heitz1, Melanie Prusakowski1, George Willis2. 1Virginia Tech CarilionSchool of Medicine, Roanoke, VA; 2University of Maryland, Baltimore, MD48 Integration of an Audience Response System into Simulation-BasedTraining: An Educational Technology EnhancementMargaret K. Sande. University of Colorado Denver, Aurora, CO49 Generation of “SMART” Learning Goals after Simulation to Promote theCompletion of Educational ActionsRichard Bounds1, Amish Aghera2, Colleen Bush3, Matthew Emery3, NestorRodriguez4, Brian Gillett2, Sally A. Santen5. 1Christiana Care HealthSystem, Newark, DE; 2Maimonides Medical Center, Brooklyn, NY; 3MichiganState University, East Lansing, MI; 4University of Wisconsin, Madison, WI;5University of Michigan Health System, Ann Arbor, MI50 Teaching Value in Emergency Medicine: A Resident-Based EducationalInitiativeMichelle Lin1, Larissa Laskowski2. 1Brigham and Women’s Hospital, Boston,MA; 2New York University Medical Center, New York, NYInnovations - Oral Presentations11:30 am - 12:30 pm in Seminar Theater51 A Leadership Pipeline: an Innovative Fellowship for Medical StudentsTina Wu, Rahul Sharma, Robert Femia. Bellevue Hospital, NYU, New York, NY52 Teaching Leaderships and Communication Competencies using anAustere Medicine SettingThomas D. Kirsch, Michael Millin, Susan Peterson. Johns Hopkins University,Baltimore, MD53 Simulation to Learn Emergency Department (ED) ManagementNupur Garg1, Robert Wears2, Nicholas Genes1. 1Mount Sinai School ofMedicine, New York, NY; 2University of Florida, Jacksonville, FL54 Description and Outcomes of a Resident Quality Improvement CurriculumInvolving a Root Cause Analysis ToolJulie B. McCausland, Deborah Simak. University of Pittsburgh, Pittsburgh, PA


SAEM 2014 ANNUAL MEETING ABSTRACTSMAY 14-17, 2014 — DALLAS, TEXASListed below are the title, presenter name, and presenter institution for the 834 abstracts that have been selected for presentation at the2014 SAEM Annual Meeting from 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers donot correspond to the original abstract numbers given at time of submission.*SAEM Gallery of Excellence Nominees 2014FRIDAY, May 16th, 2014ABDOMEN/GI - ORAL ABSTRACTSFriday, May 16, 8:00 - 10:00 am in Lone Star Ballroom C3Moderator:484 Rising Rates of Proton Pump Inhibitor Prescribing in U.S. EmergencyDepartmentsMaryann Mazer-Amirshahi, PharmD, MD, Children’s National MedicalCenter485 Birth Cohort HCV Screening in an Emergency Department - an Analysisof Risk in Antibody Positive Patients.Pamela J. Green, RN, BSN, Memorial Hermann Healthcare System - TexasMedical Center486 History, Physical Exam plus Laboratory Testing and Ultrasonography forthe Diagnosis of Cholecystitis: An Evidence-Based ReviewAshika Jain, MD, Downstate Medical Center487 History, Physical Exam plus Laboratory Testing and Ultrasonography forthe Diagnosis of Appendicitis: An Evidence-Based ReviewJohn Kilpatrick, MD, Downstate Medical Center488 Automated Generation of Problem Lists using Probabilistic ModelingSteven Horng, MD, MMSc, Beth Israel Deaconess Medical Center / HarvardMedical School489 Sterile Pyuria in Acute Appendicitis and DiverticulitisVictor Chan, MD, Emergency Medicine Residency, Resurrection MedicalCenter490 Prevalence and Patient Predictors in Admission of DiverticulitisMargaret B. Greenwood-Ericksen, MD, MPH, Brigham and Women’sHospital491 CT Scan Use in Patients Presenting with a First Episode vs. Prior Historyof Kidney Stone in the EDRalph C. Wang, MD, University of California, San FranciscoEMS OUT-OF-HOSPITAL CARDIAC ARREST - ORAL ABSTRACTSFriday, May 16, 8:00 - 10:00 am in Lone Star Ballroom C2Moderator:492 Metropolitan vs. Non-metropolitan Location is an Independent Predictorof Return of Spontaneous Circulation in Out-of-Hospital Cardiac ArrestHolbrook H. Stoecklein, MD, University of Utah493 Duration of Resuscitation and Medical Futility in Out-of-HospitalCardiac ArrestSumitro Harjanto, BSc (Honours), MD (candidate), Duke-NUS GraduateMedical School Singapore494 Primary EMS Transport to a 24-hr PCI Center is Associated withIncreased Survival in Patients with Out of Hospital Cardiac ArrestBenton R. Hunter, MD, Indiana University School of Medicine495 Evaluation of Bystander Perceptions of CPR following a StatewideChest-Compression-Only CPR Initiative.Lisa Goldberg, BS, University of Arizona496 Accuracy of a Read-Through Chest Compressions Cardiac RhythmAlgorithm in Out-of-Hospital Cardiac ArrestHeemun Kwok, MD, MS, University of Washington497 Association Between Pre-arrest Medication Use and Presenting Rhythmin Cardiac ArrestDavid D. Wagner, MD, JD, University of Utah498 Effect of Time from Collapse to Return of Spontaneous Circulation onSurvival and Functional Recovery in Out-of-Hospital Cardiac ArrestSumitro Harjanto, BSc (Honours), MD (candidate), Duke-NUS GraduateMedical School Singapore*Disclaimer: Abstracts are placed in the program how they were submitted to SAEM.499 Is Troponin a Marker for Acute Coronary Occlusion and Patient OutcomeFollowing Cardiac Arrest?David A. Pearson, MD, Carolinas Medical CenterEMS/OUT-OF-HOSPITAL CARDIAC ARREST - ORAL ABSTRACTSFriday, May 16, 8:00 - 10:00 am in Lone Star Ballroom CModerator:500 Compressions During Defibrillator Charging Shortens Shock PauseDuration and Improves Chest Compression Fraction During ShockableOut of Hospital Cardiac Arrest.Sheldon Cheskes, MD CCFP (EM) FCFP, University of Toronto501 Thrombolytic Therapy for Victims of Sudden Cardiac Arrest: a MetaanalysisKeith A. Marill, MD, University of Pittsburgh Medical Center502 Prevalence and Characteristics of Pre-hospital Pediatric Cardiac Arrestsin a High-density Pediatric RegionAdam Blanchard, MD, University of Utah503 Effect of Therapeutic Hypothermia on Survival to Hospital Discharge inOut of Hospital Cardiac Arrest Secondary to Non-shockable RhythmsKishan Patel, BS, University of Texas Health Science Center at Houston504 Effect of 2010 American Heart Association Guidelines on AutomatedExternal Defibrillator Use During Pediatric Out-of-Hospital CardiacArrestM. Austin Johnson, MD, PhD, Denver Health Medical Center505 When Is a Cardiac Arrest Noncardiac?Ryan M. Carter, MD, MPH MPP, Yale UniversityGERIATRICS - ORAL ABSTRACTSFriday, May 16, 8:00 - 10:00 am in Lone Star Ballroom C1Moderator:506 Emergency Department Predictors of Hospital Acquired DeliriumMaura Kennedy, MD, MPH, Beth Israel Deaconess Medical Center507 GEDI WISE: Initial Effects on Admissions at a Hospital with a GeriatricEmergency Department (ED)Kristen Ng, BA, Icahn School of Medicine at Mount Sinai508 Impaired Arousal at Initial Presentation Predicts 6-month Mortality: AnAnalysis of 1,084 Older Emergency Department PatientsJin Ho Han, MD, MSc, Vanderbilt University509 Reasons for Emergency Department Utilization among the Oldest Old:Comparing Patients Aged 85 to Younger Geriatric PatientsTony Rosen, MD, MPH, Emergency Medicine Residency, New York-Presbyterian Hospital510 Treating Pain in Geriatric Blunt Trauma PatientsPreeti Dalawari, MD, MSPH, Saint Louis University Hospital511 Analgesic Prescribing for Older Adults in U.S. Emergency Departments:2001 to 2010Erin Marra, MD, Children’s National Medical Center512 Elderly ED Fallers: What Type of Evaluation Do They Receive?Gregory Tirrell, BS, Massachusetts General Hospital513 An Evaluation of Single-Item Delirium Screening Questions in OlderEmergency Department PatientsJin H. Han, MD, MSc, Vanderbilt UniversityCLINICAL OPERATIONS - MODERATED POSTERSFriday, May 16, 8:00 - 10:00 am in Pearl 5Moderator:514 Rapid Medical Assessment Team in Triage: Overall Effect and SubgroupAnalysisStephen Traub, MD, Mayo Clinic Arizona515 The Predictability of Emergency Department AdmissionsEric Goldlust, MD, Ph.D., Brown UniversityMAY 13-17, 2014 | DALLAS, TEXAS85


Society for Academic Emergency Medicine516 Association Between Emergency Department Care and Access toPrimary CareMark A. Smiley, MD, MBA, East Carolina University Brody School ofMedicine, Departments of Emergency Medicine and Public Health517 Quality Measures for Urine Pregnancy Testing in the Emergency DepartmentAlison Hester, Doctor of Osteopathy, Virginia Tech-Carilion Department ofEmergency Medicine518 Emergency Department Triage Pain Protocol Reduces Time to ReceivingAnalgesics in Patients with Painful ConditionsAaron N. Barksdale, MD, University of Nebraska Medical Center519 Patient Input in the Emergency Department Triage ProcessChristian Fromm, MD, Maimonides Medical Center520 Comparison of Attending only and Resident with Attending SupervisionPress Ganey Scores in ED PatientsJames Ziadeh, MD, William Beaumont Hospital521 Serum Lactate Levels and Age as Predictors of Mortality in EmergencyDepartment PatientsSeth A. Purcell, MD, University of Kansas HospitalED UTILIZATION - MODERATED POSTERSFriday, May 16, 8:00 - 10:00 am in Live OakModerator:522 Should Rural Hospitals be Concerned about Frequent Users ofEmergency Department Resources?James P. Killeen, MD, University of California, San Diego523 Effect of Formation of an Accountable Care Organization onCharacteristics of Emergency Department VisitsMichael H. Lee, MD MS, Alpert Medical School of Brown University524 Urgencies and Emergencies: the Differential Impact of Urgent CareCenters on Emergency Department Visits from Low-severity, PrivatelyinsuredPatientsAri B. Friedman, BA, MS, Leonard Davis Institute of Health EconomicsUniversity of Pennsylvania525 Rural Primary Care Access for Semi-Urgent Medical Concerns and theRelationship of Distance to an Emergency DepartmentAshley N. Parks, BS, Virginia Tech Carilion School of Medicine526 Travelling Super Users of California Emergency DepartmentsJesse J. Brennan, MA, University of California, San Diego527 Reasons for why Medicaid Patients Frequently use the EmergencyDepartment (ED) Use: a Qualitative Study.Roberta Capp, MD, MHS, University of Colorado, Denver528 Characteristics and Resource Utilization by Frequent EmergencyDepartment UsersJestin N. Carlson, MD, MSc, Saint Vincent Hospital529 Safety Net Hospitals: Are Medical Homes the Answer to OvercrowdingEmergency Departments?Brian Raffetto, MD, MPH, LAC-USC Department of Emergency MedicineEDUCATION - ORAL ABSTRACTSFriday, May 16, 10:30 am - 12:30 pm in Lone Star Ballroom C3Moderator:530 The Impact of the 2008 Council of Emergency Residency Directors(CORD) Panel on Emergency Medicine Resident DiversityDowin H. Boatright, MD, MBA, Denver Health Department of EmergencyMedicine531 Inter-rater Reliability among Four Raters Scoring Emergency MedicineResidents in An Objective Structured Clinical Examination (OSCE)Benjamin Ying, MD, New York Hospital Queens532 Improvement in Non-technical Skills using an In-situ MultidisciplinarySimulation-based Trauma Team Training (T3) CurriculumJason Murray, MD, University of Michigan533 Structured Teaching Shifts in the Emergency Medicine ClinicalClerkship: Impact on ED Length of StayLisa Shepherd, MD, Western University534 QSAT - Validation of a Competency Based Resuscitation AssessmentTool - a National Multi-Centered StudyKaren G. H. Woolfrey, MD, FRCPC, ABEM, FACEP, Western University535 Have First Year Emergency Medicine Residents Achieved Level 1 on Care-Based Milestones?Michael Bond, MD, University of Maryland School of Medicine536 Testing the Utility of a Novel Education Model for Training EmergencyMedicine Residents in Delivery of Death Notification: a RandomizedControlled TrialJames Willis, MD, SUNY Downstate537 Update on the National EM M4 ExaminationsEmily Miller, MD, Harvard Medical SchoolEMS/OUT-OF-HOSPITAL - CARDIAC ARREST - ORAL ABSTRACTSFriday, May 16, 10:30 am - 12:30 pm in Lone Star Ballroom CModerator:538 Burden of Non-traumatic Out-of-hospital Cardiac Arrest in Karachi,Pakistan: Estimation Through the Capture-recapture MethodMina Z. Mawani, MSc. Epidemiology and Biostatistics, the Aga KhanUniversity Hospital539 Uninterrupted Chest Compressions Were Seen in the Majority of Casesof Prehospital Endotracheal Intubations Using the VividTrac VideoLaryngoscopy DeviceAlexei M. Wagner, MD, MBA, Stanford University540 Are There Differences in Clinical Outcomes of Patients with Out ofHospital Cardiac Arrest Between Physician Led Prehospital Team VersusParamedic Led Prehospital Team?AI SEKI, MD, Tokyo Bay Urayasu/Ichikawa Medical Center541 Cardiac Resuscitation in Situ Simulation in EMSAdam C. Sawyer, MD, Eastern Virginia Medical School542 Variation in Out of Hospital Cardiac Arrest Airway ManagementJason Jones, MD, University of FloridaLENGTH OF STAY - ORAL ABSTRACTSFriday, May 16, 10:30 am - 12:30 pm in Lone Star Ballroom C2Moderator:543 Understanding an Emergency Department’s Radiology Throughput:Trends in Radiology Studies Ordered and Radiology Result TurnaroundTimesNupur Garg, MD, Mount Sinai School of Medicine544 Modeling the Dwell Time for Emergency Department PatientsNathan Hoot, MD, PhD, University of Texas Health Science Center atHouston545 Emergency Physician Perceptions of Unnecessary Advanced DiagnosticImaging: a National Survey StudyHemal K. Kanzaria, MD, Robert Wood Johnson Foundation Clinical ScholarsProgram546 The Association between Advanced Diagnostic Imaging and EmergencyDepartment Length of StayHemal K. Kanzaria, MD, Robert Wood Johnson Foundation Clinical ScholarsProgram547 The Effect of Access to Electronic Health Records on ThroughputEfficiency and Imaging Utilization in the Emergency DepartmentDavid A. Guss, MD, UC San Diego Medical Center548 Patients’ Length of Time in Emergency Departments: Variation AcrossClinical ConditionsBrian Moore, PhD, Truven Health Analytics549 Comparing Perceived Success with Actual Change in a Lean-TypeInitiative to Improve ED Patient Length of Stay: a Quantitative AnalysisJeremy Rose, MD, University of Toronto550 The Impact of Rotating Students on Length of Stay in the EmergencyDepartment at an Academic Medical CenterErin Dehon, Ph.D., University of Mississippi Medical CenterULTRASOUND - ORAL ABSTRACTSFriday, May 16, 10:30 am - 12:30 pm in Lone Star Ballroom C1Moderator:551 Ultrasound Measurement of Carotid Flow Time Changes with Volume StatusDavid C. Mackenzie, MD, CM, Maine Medical Center552 Comparison of Lung Ultrasound Techniques to Identify ClinicallySignificant PneumothoraxGregg Helland, MD, University of Massachusetts Medical School553 Impact of Point-of-Care Ultrasound in High Acuity Patients with DyspneaRichard A. Taylor, MD, Yale University554 Does Bedside Ultrasound Improve Diagnostic Accuracy for PatientsPresenting to the Emergency Department with Acute Dyspnea?Peter Keenan, MD, University of Connecticut86


555 Image Acquisition and Interpretation Learning Curves in EmergencyUltrasoundDavid J. Blehar, MD, University of Massachusetts Medical School556 Focused Lung Ultrasound in Dyspnea (FLUID) for the Diagnosis of AcuteDecompensated Heart FailureAlan T. Chiem, MD, MPH, Olive View-UCLA557 An Improved Flush the Line and Ultrasound the Heart (FLUSH)Technique? Manual Versus Stopcock Agitated Saline in ConfirmingCentral Venous Line Placement in ChildrenRuss Horowitz, MD, RDMS, Ann and Robert H. Lurie Children’s Hospital ofChicago558 Ultrasound Confirmation of Central Venous Catheter PlacementPetra Duran-Gehring, MD, University of Florida College of Medicine,Jacksonville; Department of Emergency MedicineGERIATRICS - MODERATED POSTERSFriday, May 16, 10:30 am - 12:30 pm in Pearl 4Moderator:559 GEDI WISE: Geriatric-Specific Assessment and Intervention in theEmergency Department is Associated with Differences Between Initialand Final DispositionAmer Z. Aldeen, MD, Northwestern University560 Emergency Department and Outpatient Treatment of Acute Injuriesamong Older Adults in the United States, 2009-2010Marian E. Betz, MD, MPH, University of Colorado School of Medicine561 Injury Patterns in Physical Elder Abuse: Secondary Analysis of a Cohortof Victims Presenting to the Emergency DepartmentTony Rosen, MD, MPH, Emergency Medicine Residency, New York-Presbyterian Hospital562 Evaluation of Emergency Department Patient and Visitor Understandingof Advanced DirectivesMary C. Bhalla, MD, Summa Akron City Hospital563 Educating Emergency Medicine Providers about Appropriate IndwellingUrinary Catheter Placement and Management in Older AdultsMary R. Mulcare, MD, New York-Presbyterian Hospital/Weill CornellMedical Center564 Prehospital Under-triage of Older Adults: a Mixed Methods Analysis toExplain Disparities in Trauma TriageCourtney Marie Cora Jones, PhD, MPH, University of Rochester MedicalCenter565 The Emergency Department as the Primary Source of HospitalAdmission for Older (but not Younger) AdultsPeter W. Greenwald, MD MS, Division of Emergency Medicine, Weill CornellMedical College566 Antibiotic Treatment and Diarrhea Occurrence among Adults Treated inan Emergency Department Observation UnitAndrew C. Fischer, MD, University of Massachusetts Medical School,Department of Emergency MedicinePSYCH/SOCIAL ISSUES - MODERATED POSTERSFriday, May 16, 10:30 am - 12:30 pm in Live OakModerator:567 Gender Differences in Psychological Stressors and Pain in EmergencyDepartment PatientsAndrew C. Fischer, MD, University of Massachusetts Medical School,Department of Emergency Medicine568 Care Plans Have Continued Effects on Reducing Emergency DepartmentVisits in Those with Drug Seeking BehaviorRenee Riggs, DO, Rutgers, Robert Wood Johnson Medical School569 Excellent Concordance Between Timeline Follow-Back and SingleQuestion Assessment of Self-Reported Smoking in a Clinical TrialSteven L. Bernstein, MD, Department of Emergency Medicine, Yale Schoolof Medicine570 County-Level Determinants of Emergency Department Visits for MentalHealth and Substance Abuse-Related Conditions, California, 2005-2011.Sophie Terp, MD, MPH, Keck School of Medicine, University of SouthernCalifornia571 Stress Biomarkers in Patients Undergoing Treatment for SevereAgitation and Confusion in the Emergency DepartmentJames Miner, MD, Hennepin County Medical Center572 Does Law Enforcement Use Different Levels of Force if the SubjectAppears to be Mentally Impaired?Edward M. Castillo, PhD, MPH, University of California, San Diego573 The Impact of Reading Achievement on Bedside NeuropsychologicalTesting Metrics in Emergency Department PatientsKatherine Newell, Medical Student, Emory University School of Medicine574 Association Between Intensity of Quitline Services and Probability ofSmoking AbstinenceSteven L. Bernstein, MD, Department of Emergency Medicine, Yale Schoolof MedicinePOSTER SESSION 3 - FRIDAY - POSTER ABSTRACTSFriday, May 16, 8:00 am - 12:00 pm in Lone Star Ballroom B575 Predictors of Infection from Dog Bite Wounds: Which Patients WouldBenefit from Prophylactic Antibiotics?Meg Tabaka, MPH, Stanford University School of Medicine576 Perceived Mechanical Fall Risk and Openness to Communication withProvidersMarna R. Greenberg, DO, MPH, Lehigh Valley Hospital577 Epidemiology of Accident Types and Injuries in Elite Motorcycle RacingJohn Bedolla, MD, UT Southwestern578 Trends in Age of Patients Presenting with Traumatic Brain InjuryErik Kulstad, MD, MS, Advocate Christ Medical Center579 Prehospital End-tidal Carbon Dioxide Predicts In-hospital Mortality inTrauma PatientsKelsey Childress, MD, University of Central Florida School of Medicine580 Feasibility of Modified Quick Brain MRI for Acute Pediatric Head TraumaAri R. Cohen, MD, Massachusetts General Hospital581 Do Physicians Identify Clinically Significant Fractures of the Hip andPelvis in Stable, Alert Patients after Blunt Trauma?Jackeline Hernandez, MD, Carolinas Medical Center582 Variability in the Use of Early Do Not Resuscitate Orders among Patientswith Traumatic Brain Injury and Impact on OutcomesDylan Dean, MD/PhD, Oregon Health & Science University583 How Well Do Physicians Predict Lumbar Spine Fracture in Stable, AlertTrauma Patients?Stacy L. Reynolds, MD, Carolinas Medical Center584 Description of Found Down Adult Patients Presenting to the EmergencyDepartment as TraumaAnna Nguyen, MD, University of California Davis585 Increased Risk of Volume Overload with Plasma Compared to 4-FactorProthrombin Complex Concentrate for the Emergency Reversal ofVitamin K Antagonist TherapyMajed A. Refaai, MD, University of Rochester Medical Center586 Traumatic Injury Mechanisms and Severity in Karachi, Pakistan: a SingleCenter Prospective StudyIrum Qamar. Khan, MBBS, FCPS, Department of Emergency Medicine; AgaKhan University Hospital587 Diagnosis and Work-Up of Cardiac Contusion among Trauma Patientswith Sternal FractureMichael R. Perez, BS, the University of California San Francisco588 Temporal Trends in the Influence of Gender on Outcomes of TraumaticBrain InjuryErik Kulstad, MD, MS, Advocate Christ Medical Center589 The Impact of Providing Care in the Emergency Department: Resilienceand Secondary Traumatic Stress in Emergency Medicine ProvidersJohn S. Garrett, MD, Baylor University Medical Center590 Efficacy of a Massive Transfusion Protocol for Hemorrhagic TraumaResuscitationGeorge Lim, MD, Icahn School of Medicine at Mount Sinai591 Factors Associated with Burnout During Emergency Medicine ResidencyEdward A. Ramoska, MD, MPH, Drexel University College of Medicine592 Use of Cognitive Debriefing Tool in the Peer Review Process of an Urban,Academic Emergency DepartmentJeffery M. Hill, MD, University of Cincinnati593 Influence of Society of Academic Emergency Medicine (SAEM) GrantMechanisms on Post-award Academic ProductivityBasmah Safdar, MD, MSc, Yale UniversityMAY 13-17, 2014 | DALLAS, TEXAS87


Society for Academic Emergency Medicine594 Use of a Scoring System in the Construction of the NRMP Rank Order ListB. James Connolly, MD, Drexel University College of Medicine595 Leadership, Faculty and Residents’ Gender in Academic EmergencyMedicine DepartmentsFoluso Agboola, MD, Harvard School of Public Health596 Assistant ProfessorEsther Choo, MD, MPH, Brown University597 Paramedic Selection Process: One System’s Review of a Novel VettingTechniqueMark Escott, MD, Baylor College of Medicine598 Professional Email Usage among Physicians: a Multi-Disciplinary SurveySarah T. Malka, MD, Indiana University599 A Somatization Scale Does Not Predict Poor One Week Outcomes AfterAn ED Visit for Low Back PainBenjamin W. Friedman, MD, Albert Einstein College of Medicine600 The Effect of Passengers on All-Terrain Vehicle Crash Mechanisms andInjuriesCharles A. Jennissen, MD, University of Iowa Carver College of Medicine601 A Review of Septic Joint Arthritis in a Level 1 Trauma Center, and Factorsthat Influence Length of StayClaire Pearson, MD, MPH, Wayne State University602 Emergency Medicine Resident Training for Fracture and JointReductions: Do Our Residents Achieve High Success Rates?Brian Burgess, MD, Christiana Care Health System603 DNA Recovery from Rape KitsRalph J. Riviello, MD,MS, DUCOM604 A Bedside Screen: Diagnostic Utility of Nitrazine Paper to Screen forVaginal Infections in the Emergency DepartmentJacob B. Rabe, MD, Department of Emergency Medicine, UICOMP OSFSaint Francis Medical Center605 Systematic Review and Meta-analysis of the Risk of Pregnancy on theRate of Diagnosed Venous Thromboembolism among SymptomaticOutpatients Evaluated for Pulmonary EmbolismJeffrey A. Kline, MD, Indiana University School of Medicine606 Utility of Pelvic Examination in the Evaluation of Threatened AbortionLaura Hagopian, MD, FAWM, Boston Medical Center607 Title: Abdominal Aortic Compression Does Not Benefit from AdditionalLeg CompressionMark Hauswald, MS, MD, University of New Mexico608 The Prevalence of Pseudo-gestational Sac in Symptomatic 1st TrimesterPatients Presenting to the Emergency DepartmentRalph C. Wang, MD, University of California, San Francisco609 Validation of ICD-9 Codes for Cases of Stable Miscarriage Presenting tothe Emergency DepartmentKelly E. Quinley, MD, Highland Hospital Department of EmergencyMedicine610 Inhaled Loxapine and Lorazepam in Healthy Volunteers: Results of aRandomized, Placebo-controlled Drug-drug Interaction StudyDaniel A. Spyker, PhD, MD, Alexza Pharmaceuticals, Inc.611 The Utility of a Lumbar Puncture After a Negative Head CT in theEmergency Department Evaluation of Subarachnoid HemorrhageHarman S. Gill, MD, Yale New Haven Hospital612 The Utility of Physical Examination, Medical History, and TriageScreening Tests in Predicting EEG Abnormalities in EmergencyDepartment Patients with Altered Mental StatusShahriar Zehtabchi, MD, State University of New York, Downstate MedicalCenter613 Lack of Gender Disparities in ED Triage of Ischemic Stroke PatientsTracy E. Madsen, MD, Alpert Medical School of Brown University614 Factors Associated with Delayed Evaluation of Patients with AcuteIschemic Stroke in United States Emergency DepartmentsJestin N. Carlson, MD, MSc, Saint Vincent Hospital615 Implementation of a Magnetic Resonance Imaging Protocol forPatients with Transient Ischemic Attack in an Emergency DepartmentObservation UnitMatthew S. Siket, MD, MS, Alpert Medical School of Brown University616 A Potential Novel Biomarker of Injury Observed Through Activation ofthe Coagulation Cascade in Mild Traumatic Brain InjuryJonathan J. Ratcliff, MD, MPH, University of Cincinnati617 Elevated Blood Pressure and Headache in US EDs: a NHAMCS AnalysisBenjamin Friedman, MD, Albert Einstein College of Medicine618 Before the Bleed: Identifying High Risk Patients for SpontaneousIntracranial HemorrhageMarie C. Vrablik, MD, Indiana University619 Repeat Neuroimaging of Mild Traumatic Brain Injured Patients withAcute Traumatic Intracranial hemorrhage: Clinical Outcomes andRadiographic FeaturesNatalie P. Kreitzer, MD, University of Cincinnati620 Emergency Department Volume Does Not Impact Functional StatusAfter StrokeJestin N. Carlson, MD, MSc, Saint Vincent Hospital621 Electroencephalography Findings in Patients Presenting to the ED forEvaluation of SeizuresWilliam A. Knight, MD, University of Cincinnati622 Customized Swallow Screening Tool to Exclude Aspiration PneumoniaRisk in Acute Stroke PatientsJason T. Nomura, MD RDMS, Christiana Care Health System623 Why the Need for Speed?-- ATVs, Speed and Brain InjuriesCharles A. Jennissen, MD, University of Iowa Carver College of Medicine624 Comparative Graphical Analysis of Prehospital Stroke ScalesEthan S. Brandler, MD, MPH, FACEP, SUNY Downstate Medical Center625 An Evaluation of Two Conducted Electrical Weapons Using a SwineComparative Cardiac Safety ModelDonald M. Dawes, MD, Lompoc Valley Medical Center626 Cancer Is Associated with Increased 30-Day Mortality in ED Patientswith New-Onset Atrial FibrillationThomas Lardaro, MD, MPH, Vanderbilt University Medical Center629 Trends and Patient Predictors of Hospital Admission for AtrialFibrillation among U.S. EDs 2006-2010Michelle P. Lin, MD, MPH, Brigham and Women’s Hospital630 A Low CHADS2 Or CHA2D2VASc Score Predicts Normal DiagnosticTesting in Emergency Department Patients with an Acute Exacerbationof Previously Diagnosed Atrial FibrillationTyler W. Barrett, MD MSCI, Vanderbilt University Medical Center631 Intravenous Enalaprilat for Treatment of Acute Hypertensive Heart FailureCraig M. Sharkey, MD, Detroit Receiving Hospital632 Risk Stratification of Pulmonary Embolism in the EmergencyDepartment: There is Room for ImprovementKelly N. Sawyer, MD, MS, William Beaumont Hospital633 Renal Impairment in Acute Heart Failure: Insights from a Managed CareDatabaseWing W. Chan, MS, Novartis Pharmaceuticals Corporation634 Cardioversion in the Emergency Department: Can It Be Done Safely andEffectively?Sharon E. Mace, MD, Cleveland Clinic635 Determining the Prevalence and Chronicity of Hyperlipidemia in PatientsAdmitted to An Emergency Department Based Chest Pain ObservationUnitNathan Hudepohl, MD, MPH, MS, Brown University636 Correlation between Subclinical Heart Disease and CardiovascularRisk Profiles in an Urban Emergency Department Population withAsymptomatic Hypertension: a Pilot StudyHeather M. Prendergast, MD, MPH, University of Illinois637 Safety and Efficiency of Emergency Department Interrogations ofCardiac DevicesWilliam Peacock, MD, Baylor College of Medicine638 Health Outcomes among US Managed Care Enrollees Hospitalizedwith Acute Heart Failure: Variations Based on Age and Comorbid AtrialFibrillationWing W. Chan, MS, Novartis Pharmaceuticals Corporation639 QT Prolongation: Quantitative Association with Predictive FactorsKeith A. Marill, MD, University of Pittsburgh Medical Center640 Concurrent and Predictive Validity of Dyspnea Severity as an OutcomeMeasure for Acute Heart Failure: a Pilot StudyHoward Smithline, MS, MD, Baystate Medical Center641 Significance of An Initial Indeterminate Troponin I Measurement inPatients Evaluated in An Emergency Department Observation Unit forChest PainAngus Beal, MD, University of Utah88


642 Feasibility of Remote Monitoring for Arrhythmias and Heart FailureDecompensation in ED Patients with Acute Heart FailureGregory J. Fermann, MD, University of Cincinnati643 Multivariate Hemodynamic Analysis Using Machine LearningClassification Predicts Prolonged Hospitalization or 30 Day Mortality inAcutely Ill ED PatientsRichard M. Nowak, MD, Henry Ford Health System644 Disposition and Treatment of Recent-Onset Atrial Fibrillation in a USEmergency DepartmentRobert A. Swor, DO FACEP, William Beaumont Hospital645 Safety and Efficacy of Emergency Department Treatment ofAsymptomatic HypertensionAaron M. Brody, MD, Wayne State University646 Clinical Use of Cardiac Troponin Assays in US Emergency Departments:NHAMCS Subset Analysis of Race and GenderSopagna Kheang, MD, Duke University School of Medicine647 Predicting Conversion to Sinus Rhythm Following Intravenous DiltiazemTherapy in Emergency Department Patients with Atrial Fibrillation andRapid Ventricular RateBrian S. Wasserman, MD, Vanderbilt University Medical Center648 Impact of Mandatory Cardiology Consultation on Patient Testing andOutcomes in an Emergency Department Observation UnitTamara Moores, MD, University of Utah649 Calcium Channel Blockers versus Beta-Blockers for Acute Rate Controlof Atrial Fibrillation with Rapid Ventricular Response: a SystematicReviewJennifer L. Martindale, MD, SUNY Downstate/Kings County Hospital650 Cardiac Biomarker Assay Use in Us Emergency Departments: AnNHAMCS AnalysisAlexander T. Limkakeng, MD, Duke University651 Effect of a Reduced Troponin I Cutoff in Low-level Troponin Elevation:Increased Resource Utilization Without Improved OutcomesBrent Becker, MD, WellSpan York Hospital652 The Noninvasive Hemodynamic Phenotyping of Patients Presenting tothe Emergency Department with Acute Heart Failure: Prognostic andTherapeutic ImplicationsRichard M. Nowak, MD, Henry Ford Health System653 Effects of Gender, Race and Presenting Complaint (Typical versusAtypical for ACS) on Initial ECG Times on Patient Ultimately Admittedfor Chest PainRobin Naples, MD, Temple University654 Identification of Low Risk Acute Decompensated Heart Failure Patientsfor the Observation Unit.Chad E. Darling, MD, UMass Medical School655 Emergency Physicians Assessment of Opiate Risk from PrescriptionDrug Monitoring Program DataHamed Abedtash, PharmD, School of Informatics and Computing, IndianaUniversity656 How Do Physicians Adopt and Apply Opioid Prescription Guidelines inthe Emergency Department? a Qualitative StudyAustin S. Kilaru, BA, Perelman School of Medicine at the University ofPennsylvania657 Validation of the TRAINS Scoring System for Predicting Acute TraumaticAortic InjuryJ Austin. Thompson, MD, East Carolina University658 The Testing Threshold for CT in Minor Head InjuryJoshua Keegan, MD, Yale659 The Effect of Opioid Prescribing Guidelines on “Left Without BeingTreated” RatesJohn Richards, MD, UC Davis Medical Center660 Performance of an Augmented Pulmonary Embolism Severity Index inIdentifying ED Patients at Low Risk for 5-day Inpatient Adverse EventsCarrieann E. Drenten, MD, University of California Davis Department ofEmergency Medicine661 GEDI WISE: Notifications about Geriatric ED Visits via HealthInformation Exchange is Feasible and May Reduce AdmissionsNicholas Genes, MD, PhD, Icahn School of Medicine at Mount Sinai662 Does Emergency Department Interrogation Reduce ED Time for Patientswith Pacemakers or ICDs?James P. Killeen, MD, University of California, San Diego663 Emergency Department Opiates and MortalityJianmin Wu, PhD, MS, Regenstrief Institute664 Pump Up the Volume! Boosting Procedure Numbers Through AutomationEmil Soleyman-Zomalan, MD, Maimonides Medical Center665 Introduction of Evidence-Based Diagnostic Order Sets in an ElectronicMedical Record is Associated with an Increase in Laboratory OrdersBryan G. Kane, MD, Lehigh Valley Health Network/USF Morsani College ofMedicine666 Prediction of Long-Term Sepsis RiskHenry E. Wang, MD, MS, University of Alabama at Birmingham667 National Study of Variability and Trends in Emergency Department Useof Vasoactive MedicationsMichael L. Ruygrok, MD, Denver Health Medical Center668 Impact of Clinical Pharmacists on Time to Antibiotic Administration forSeptic Patients in the Emergency DepartmentJ M. Rosini, PharmD, Christiana Care Health System669 Initial Cardiac Rhythm and Presence of Pulse on ED Arrival areAssociated with Survival Rates in Patients who Suffer out of hospitalCardiac ArrestTanya Dall, BS, Georgetown University School of Medicine670 The Effect of a Hemoglobin-Based Oxygen Carrier vs. Hextend onOxygen Kinetics and Organ-Specific Blood Flow in a Porcine Model ofHemorrhagic ShockPatrick J. Maher, MD, University of Washington671 Does a Portable Non-invasive Hemoglobin Monitor Correlate with aVenous Blood Sample in Acutely Ill or Injured Patients?Benjamin A. von Schweinitz, MD, San Antonio Military Medical Center672 Placement of Central Venous Lines for Sepsis in the Elderly Has IncreasedBrandon Close, DO, Christus Spohn/Texas A&M School of Medicine673 Delayed Awakening is Not Uncommon After Post-Cardiac-ArrestTherapeutic HypothermiaRobert Swor, DO, William Beaumont Hospital674 Prognostic Factors Associated with Short-Term Decompensation ofSepsis Patients in the Emergency DepartmentStephanie Haddad, MD, North Shore University Hospital675 Location of Arrest and Epinephrine Dose Are Predictors of Quick Arousalin Post-cardiac Arrest PatientsAnne V. Grossestreuer, MS, University of Pennsylvania676 Performance of Two Clinical Decision Support Tools to Identify SepsisPatients in the Emergency DepartmentRobert Sherwin, MD, FACEP, FAAEM, Sinai Grace Hospital/DetroitReceiving Hospital677 Metabolomics Lends Insight into the Metabolic Differences BetweenPotential Responders and Non-responders to L-Carnitine Treatment inSeptic ShockMichael A. Puskarich, MD, University of Mississippi Medical Center678 Effect of Genetic Variations within the Promoter Region of the OrganicCation / Carnitine Transporters OCTN1 and OCTN2 on Clinical Outcomeof Patients with Septic Shock Treated with L-carnitineMichael A. Puskarich, MD, University of Mississippi Medical Center679 The DISPARITY Study: Factors Associated with Time to Antibiotics inthe Surviving Sepsis Campaign (SSC) DatabaseTracy E. Madsen, MD, Alpert Medical School of Brown University680 Factor Eight Inhibitor Bypassing Activity (FEIBA) for the Rapid Reversalof Major Bleeding in Patients with Warfarin Induced CoagulopathyDavid Barounis, MD, Stanford University681 Gender Disparities in Cardiac Arrest and Post-cardiac Arrest Care in thePenn Alliance for Therapeutic Hypothermia RegistrySarah M. Perman, MD, MSCE, University of Colorado682 Relationship Between Renal Function and Resuscitation Outcome amongOut-of-Hospital Ventricular Fibrillation Patients (interim Analysis fromSOS-KANTO 2012 Study)Masaru Suzuki, MD, PhD, Keio University683 Cytochrome C Levels Are Elevated in Post-cardiac Arrest PatientsMichael Donnino, MD, Beth Israel Deaconess Medical Center684 The St02 Non-Invasive Tissue Hypoperfusion Monitor as a ScreeningTool for Early Sepsis Detection in the Emergency DepartmentZachary A. Kopelman, BA, North Shore University HospitalMAY 13-17, 2014 | DALLAS, TEXAS89


Society for Academic Emergency Medicine685 The Effect of Liver Disease on Lactate Normalization in Severe Sepsisand Septic ShockSarah A. Sterling, MD, University of Mississippi Medical Center686 End-tidal CO2 As a Predictor for In-hospital Cardiac ArrestNour Rifai, MD, Christiana Care Health System687 The Relationship of Fluid Type, Volume, and Chloride-content to SerumCreatinine in Patients with Severe Sepsis Or Septic ShockFaheem W. Guirgis, MD, University of Florida College of Medicine,Jacksonville; Department of Emergency Medicine688 The Noninvasive Hemodynamic Phenotyping of Patients Presenting tothe Emergency Department with Sepsis: Prognostic and TherapeuticImplicationsRichard M. Nowak, MD, Henry Ford Health System689 Emergent Warfarin Reversal by Low Dose Three-Factor ProthrombinComplex Concentrate (PCC) in Severe and Intracranial HemorrhageJayaram Chelluri, MD, Icahn School of Medicine at Mt. Sinai690 Risk Factors for Poor Early In-Hospital Clinical Outcomes in SepsisPatients Admitted to a General Medical Ward.Robert Sherwin, MD, FACEP, FAAEM, Sinai Grace Hospital691 Predictors of Patients who Present to the Emergency Department withSepsis and Develop Septic Shock between 4 and 48 Hours of ED Arrival.Roberta Capp, MD, MHS, University of Colorado692 Poverty and Storm Amplitude are Associated with Increased FatalityRates in Caribbean HurricanesAndrew Milsten, MD, MS, University of Massachusetts Medical School693 Improved Flow Associated with Streaming in An Enlarged ED Withoutchanges in StaffingDrew B. Richardson, MBBS(Hons) FACEM MD, Australian NationalUniversity694 Increased Door to Hospital Admission Bed Time is Associated withProlonged Throughput Times for Patients Discharged Home from theEmergency DepartmentAfton McNierney-Moore, DO, Texas A&M University695 Operational Improvements Associated with an Algorithmic PatientAssignment SystemStephen Traub, MD, Mayo Clinic Arizona696 An Analysis of the Association Between Emergency Department (ED)Daily Census and Current Procedural Terminology (CPT) Coding forEmergency Physician Professional ServicesUchenna Onyekwere, BS, Temple University School of Medicine697 Variation in Emergency Department Acuity Between a Tertiary CareCenter and Three Freestanding Emergency DepartmentsErin L. Simon, D.O., Akron General Medical Center698 Emergency Department Physician and Nurse Assessment of PatientSatisfactionMatthew DeLaney, MD, University of Alabama at Birmingham699 Severe Sepsis/Septic Shock ED Treatment Bundle Compliance ByPrimary Provider Profession, Specialty, and Year of Training.Christopher Fee, MD, University of California San Francisco700 The Impact of a Resident Physician on the Care of Patients Who BounceBackBrian Walsh, MD, MBA, Morristown Medical Center701 The Utility of Tracking Patients Transferred within 24 Hours ofAdmission from a Hospital Ward to an Intensive Care Unit as a Marker forEmergency Department Quality of CareJoshua J. Solano, MD, Beth Israel Deaconess Medical Center702 Patient Insurance Profiles: a Tertiary Care versus Three FreestandingEmergency DepartmentsErin L. Simon, D.O., Akron General Medical Center703 Effect of a New Physician-in-triage Shift: Objective and SubjectiveAnalysisJohn Richards, MD, UC Davis Medical Center704 The Association between having a Primary Care Provider and HospitalAdmission in the Emergency Department: a Quantitative AnalysisMary Grzybowski, PhD, MPH, East Carolina University705 Reducing Emergency Department Boarding Time: a Quality ImprovementInitiativeNicole S. Sroufe, MD, M.P.H., University of Michigan706 Inaccurate Weight-based Dosing of Enoxaparin By Emergency PhysiciansSamantha P. Jellinek-Cohen, PharmD, Beth Israel Medical Center707 Can Chart Reviewers Reliably Identify Errors and Adverse Events in theEmergency Department?Lee S. Jacobson, MD, Ph.D., Beth Israel Deaconess Medical Center708 Association Between Patients and Emergency Department OperationalCharacteristics and Patient Satisfaction Scores in a Pediatric PopulationJonathan R. Nichol, BS, Midwestern University Arizona College ofOsteopathic Medicine709 How Efficient are Emergency Physicians at Stratifying Risk WhenOrdering Stress Tests from the Emergency Department (ED)?Lisa Moreno-Walton, MD, Louisiana State University Health SciencesCenter-New Orleans710 The Impact of Post-Discharge Patient Call Back on Patient Satisfactionwith the Emergency Department and Doctors and Nurses in TwoAcademic Emergency DepartmentsDavid A. Guss, MD, UC San Diego Medical Center711 Reducing Hospital Length of Stay for Diabetic Ketoacidosis Using aNovel ED Observation PathwayTerrance Lee, MD, Beth Israel Deaconess Medical Center712 Significant Improvement in Door-to-Room Time Following Redesign ofEmergency Department Workflow and Infrastructure to AccommodateTriage Surge and Vertical Patient CareScott P. Krall, MD MBA, Christus Spohn/Texas A&M School of Medicine713 Impact of an Electronic Medical Record Transition on EmergencyDepartment OperationsRoshanak Didehban, MHS, FACHE, Mayo Clinic714 Does the Use of An EMR-based Template During Resident HandoffResult in a More Comprehensive Transition of Care?Kar-mun Woo, MD, Beth Israel Medical Center715 Increased Speed Equals Increased Wait: the Impact of a Reduction in EDUltrasound Processing TimeMichael H. Lee, MD MS, Alpert Medical School of Brown University716 Assessing Quality of Care in the ED: Lack of Consensus in AssessingResource Utilization in the Emergency DepartmentLee S. Jacobson, MD, Ph.D., Beth Israel Deaconess Medical Center717 Weapons Retrieved After the Implementation of Emergency DepartmentMetal DetectionSarah T. Malka, MD, Indiana University718 The Effect of Variations in Decision Rules on Length of Stay and BedUsage in a Chest Pain UnitEric J. Goldlust, MD, Ph.D., Brown University719 Handover in the Emergency Department Phase 2a: Emergency PhysicianPerceptions of HandoverChrista Dakin, MD, University of Ottawa, Department of EmergencyMedicine720 Patient Perceptions of Urgency, Costs, and Anticipated Wait Time:a Cross-Sectional Study in a Large Urban Academic County HospitalEmergency DepartmentHany Atallah, MD, Emory University721 Implementation of the EMO Triage Score Reduces Cost of Health Care: aRandomized Controlled TrialMichael P. Mallin, MD, University of Utah722 A Qualitative Analysis of the Incorporation of Screening, BriefIntervention and Referral to Treatment (SBIRT) into the NormalWorkflow of the Emergency Department for Patients with At-RiskBehavior Related to Drug and Alcohol AbuseArvind Venkat, MD, Allegheny General Hospital723 Decreasing Time: Effects of a Streamlined Computer-based Version ofthe Esi Algorithm on Triage Time.Stephen E. Villa, Bachelor of Science, University of California, SanFrancisco724 The Delta Inflection Point: a Unique Metric for Emergency DepartmentProductivityRichard Martin, MD, Temple University143 Assessment of the C-Mac Video Laryngoscope in Pre-Hospital TrachealIntubationsKevin Murphy, MD, UC Davis Medical Center90


Immediate Capnography atYour FingertipsEMMA Mainstream Capnometer> Compact, portable, light weight mainstream capnometer> Virtually no warm up time> Short-term monitoring of EtCO2 and respiratory rate> Provides a continuous capnographVisit the Masimo booth to learn more.8517A_AD_EMMA_Capnography_SAEM_2014_7.5x4.75.indd 1© 2014 Masimo Corporation. All rights reserved. 1 EMMA Users Manual.Caution: Federal law restricts this device to sale by or on the order of a physician.800-257-3810 | www.masimo.com2/6/14 10:45 AMMAY 13-17, 2014 | DALLAS, TEXAS91


SATURDAY, MAY 17, 2014Dallas BCMCDallas C CMCDallasA1DallasA28 AMDS092:Do-it-yourself SimulationDS091: Delivering Public Healththrough EMSDS093:How to Effectively Supervise andTeach Residents9 AMDS098:Getting the Right Treatment to theRight PatientDS095:Emergency Informatics ResearchDS096:Bringing Patient Safety IntoYour ProgramSociety for Academic Emergency Medicine10 AM11 AMDS102:Watch a Doctor Get Sued:A Live MedicoLegal SimulationDS101:Taking Advantage of the TeachableMoment: A Workshop for Efficient,Learner-Centered Clinical TeachingDS099:So You Wantto Start a(Non-ACGME)-accreditedFellowship?DS100:WhatMillennialsWant92


SATURDAY, MAY 17, 2014DallasD3HoustonAHoustonBHoustonCSan AntonioADS094:Law, Ethics, and Truth Caringfor LGBT Patients in the ED.Introduction to a Module from aNovel Curriculum on LGBT Healthin Emergency MedicineHealth Policy/OpiatesOral Abstracts751-758Critical CareOral Abstracts725-732Diagnostic Technology andRadiologyOral Abstracts733-740Disease and Injury PreventionOral Abstracts741-750ED RevisitsDisaster MedicineOral Abstracts779-786Oral Abstracts771-778UltrasoundOral Abstracts787-794


SATURDAY, MAY 17, 2014AtriumPearl4Live Oak8 AMPulmonary EmbolismModerated Posters759-762TraumaModerated Posters763-770GEMABusiness Meeting8am-12pm9 AM9:30-10:30amAnnual Fellowship Showcase10 AM11 AMMAY 13-17, 2014 | DALLAS, TEXAS94


Saturday, May 17, 2014 – SAEM and Committee/Task Force/Academy/Interest Group/Board Meetings7:00am-5:00pm SAEM New BOD Meeting Executive Boardroom (Hotel 2nd Floor)8:00am-12:00pm GEMA Global Emergency Medicine Academy-Business Meeting Atrium Room (Hotel-2nd Floor)9:00-10:00am SAEM EMS IG Meeting Trinity 2 (Hotel-3rd Floor)Saturday, May 17, 2014 – Affiliated Meetings9:00am-12:00pm EMRA BOD Meeting Trinity 1 (Hotel-3rd Floor)SAEM 2014 ANNUAL MEETING DIDACTIC PRESENTATIONSMAY 14-17, 2014 — DALLAS, TEXASSociety for Academic Emergency MedicineSATURDAY, MAY 17THDS091: Delivering Public Health through EMSSaturday, May 17 - 8:00 - 9:00 amLocation: Dallas Ballroom A1Objectives: At the completion of this session, participants should be able to:1. Describe the financial and legal barriers impeding prior EMS involvementin public health. 2. Describe existing best practices of EMS-based publichealth activities. 3. Describe the existing opportunities to expand the roleof EMS in public health.Description: Emergency medical services (EMS) systems predominantlyfocus on transportation. However, EMS agencies frequently interact withour most vulnerable patients, both before and after acute injuries or illness.There are many instances when EMS might be well positioned to smooththe transition of care or perform public health outreach to disadvantagedor vulnerable populations. The EMS community has been interested for along time in moving beyond basic transportation services toward becominga more flexible, patient-centered, clinically integrated mobile healthservice, working with partners in the medical and public health communitiesto support population health. However, few innovations have been putinto general practice, largely because of legal constraints and financialincentives that favor the status quo. Given macro trends in health care policytoward 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 suchpublic health areas as fall and injury prevention, personal preparedness,public vaccination programs and more. This session will feature threeleaders in the EMS community who will update us on the latest public healthinnovations in the practice of EMS.Kevin MunjalMount Sinai Medical Center, New York, NY - Submitter, PresenterDavid SugermanCenters for Disease Control and Prevention, Atlanta, GA - PresenterThomas JudgeLifeFlight of Maine, Bangor, ME – PresenterDS092: Do-it-yourself Simulation: Cutting-edgeSimulation on a Shoe-String BudgetSaturday, May 17 - 8:00 - 9:00 amLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be ableto: 1. Discuss the costs associated with establishing simulation in a residentcurriculum. 2. Describe the literature on DIY simulation and demonstrate avariety of models: vascular access, soft-tissue infection, pericardiocentesis,among others. 3. Take home various “recipes” for simulators so they may trythem on their own.Description: There are many different medical simulators commerciallyavailable; however, they come at a significant cost. Most educators havelimited budgets and relatively high operating costs. The goal of this didacticis to discuss the costs associated with simulation, from a basic to anadvanced level, and to give educators the resources to make quality lowcostsimulators for physician education.Kristin CarmodyNew York University School of Medicine, New York, NY - SubmitterWilliam BondLehigh Valley Health Network, Allentown, PA - PresenterNova PanebiancoUniversity of Pennsylvania School of Medicine, Philadelphia, PA - PresenterDaniela E. MoratoUniversity of Pittsburgh School of Medicine, Pittsburgh, PA – PresenterDS093: How to Effectively Supervise and Teach Residents:Entrustment and AutonomySaturday, May 17 - 8:00 - 9:00 amLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be ableto: 1. Describe the factors affecting autonomy. 2. Be prepared to navigatethe barriers to entrustment. 3. Appropriately facilitate resident autonomyand grant trainee-suitable entrustment of patient care to enhance residenteducation.Description: The goal of residency is to train residents to manage patientsindependently but also safely as they learn. The role of the attendingvaries between supervision and allowing autonomy. This concept has beentermed entrustment. Entrustment is essential for implementation of themilestones. As residents progress along the milestones, the role of thesupervising physician is to grant incremental responsibilities of patientcare to residents, with concurrent reduction in clinical oversight. Thisentrustment of professional activities to each resident varies based onmultiple 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 understandingof how leveraging entrustment can create an effective learningenvironment. We will explore resident perceptions of autonomy, the learningenvironment, and strategies for faculty to enhance resident learning withinthis framework. This workshop was presented at SAEM in 2013 to very goodreviews. We have incorporated feedback received from that session intothe design of this didactic. Additional small-group facilitators include FelixAnkel, MD; Emily Mills, MD; and Josh Glazer, MD.Margaret WolffUniversity of Michigan, Ann Arbor, MI - Submitter, PresenterBen BassinUniversity of Michigan, Ann Arbor, MI - PresenterSally SantenUniversity of Michigan, Ann Arbor, MI - PresenterSheryl HeronEmory University, Atlanta, GA – PresenterDS094: Law, Ethics, and Truth: Caring for LGBT Patients inthe ED. Introduction to a Module from a Novel Curriculumon LGBT Health in Emergency MedicineSaturday, May 17 - 8:00 - 10:00 amLocation: Dallas Ballroom D395*Disclaimer: Didactics are placed in the program how they were submitted to SAEM.


Society for Academic Emergency MedicineObjectives: 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 LGBTpatients. 3. Describe components of federal and state laws that impactLGBT patient care, access to care, advanced directives, and visitation. 4.Identify biases that serve as barriers to effective communication and canadversely affect care of LGBT patients.Description: Original research presented last year at SAEM on behalfof ADIEM demonstrated a need for and desire on the part of programdirectors for LGBT health care-related residency education. The LGBTsubcommittee of ADIEM has developed a module-based curriculum foruse by EM residency programs. After a brief introduction and overviewof the curriculum components, an individual module that focuses on thelegal and ethical challenges in the physician-patient relationship for LGBTpatients will be explored. Participants in this session will be divided intosmall groups to consider case-based scenarios that will facilitate discussionbetween EM physicians and their patients. Specifically, the dilemmas,management, and resources available to successfully navigate these legaland ethical challenges in the physician-patient interaction will be examined.At the conclusion of the session, we will bring the groups back together for adebriefing to summarize challenges, solutions, and future needs.Joel MollUniversity of Michigan, Ann Arbor, MI - Submitter, PresenterEllen SlavenLouisiana State University, New Orleans, LA - PresenterThea JamesBoston University, Boston, MA - PresenterPaul KriegerBeth Israel, New York, NY – PresenterDS095: Emergency Informatics Research: Interesting,Approachable Projects for the Resident or the CareerScientistSaturday, May 17 - 9:00 - 10:00 amLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be able to:1. Describe the current status of emergency informatics research. 2. Discussthe design of several informatics research projects that could be performedby non-technical researchers.Description: Clinical Informatics is a new official subspecialty availableto emergency medicine diplomates and is an exciting area of medicineexperiencing rapid change. We are seeing government mandates forelectronic health records in most of the developed world. Patients expecttheir records to be complete and accessible. Physicians expect thesystems 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 researchersfocus on technical aspects; however, we will focus on areas that do notrequire significant technical knowledge. This research is achievable byany emergency physicians or residents. More must be done to assure thatchanges being made truly help promote safe and effective patient care. Wewill focus on several key areas of informatics research that directly relateto emergency medicine: workflow analysis, EHR usability, alerting/clinicaldecision support, and pre-hospital informatics. This session will consistof (1) four panel members presenting short literature reviews of existingareas of emergency informatics research, together with future directions,followed by (2) a panel discussion regarding the generation of research ideasand suggestions for study design, accompanied by practical suggestions.Jeffrey NielsonSumma Akron City Hospital/NEOMED, Akron, OH - SubmitterJason ShapiroIcahn School of Medicine at Mount Sinai, New York, NY - PresenterAdam LandmanBrigham and Women’s Hospital, Boston, MA - PresenterNicholas GenesIcahn School of Medicine at Mount Sinai, New York, NY – PresenterDS096: Bringing Patient Safety Into Your ProgramSaturday, May 17 - 9:00 - 10:00 amLocation: Dallas Ballroom A2Objectives: At the completion of this session, participants should be able to:1. Describe the Just Culture and its application to improving patient safetywithin a residency. 2. Apply important concepts about patient safety toimprove ED culture and enhance resident participation in safety practices.Description: RATIONALE: Patient safety is increasingly important, butresidents and students may not understand the role they can play indelivering safe care and improving the environment of care. CONTENT:This workshop should help participants translate the evidence relatedto safety culture into (1) methods to enhance and engage residentparticipation in patient safety; (2) methods to improve success in meetingcore competencies related to patient safety. FORMAT: The Just Culturewill be briefly presented; then, in small groups, the participants will planlearning or assessment exercises for their own setting. The workshop willbe highly interactive, requiring participants to both understand patientsafety concepts and apply them to their teaching, learning and assessmentpractices. The workshop will incorporate large- and small-group exercisesto understand the concepts and develop ways to improve each participant’sability to incorporate key concepts of culture and safety into ED practice.INTENDED OUTCOMES: Participants should be able to understand the JustCulture and its application to patient safety, and incorporate the importantconcepts about patient safety into teaching practice and the ED clinicalsetting.Robin HemphillVeterans Health Affairs, Washington, DC - Submitter, PresenterBenjamin BassinUniversity of Michigan, Ann Arbor, MI - PresenterFelix Karl AnkelHealthPartners, Saint Paul, MN - PresenterSally A. SantenUniversity of Michigan, Ann Arbor, MI – PresenterDS098: Getting the Right Treatment to the Right Patient:Phenotyping in the Era of Personalized Emergency CareSaturday, May 17 - 9:00 - 10:00 amLocation: Dallas Ballroom BObjectives: At the completion of this session, participants should be ableto: 1. Describe three common approaches to genomics, metabolomics, andproteomics research studies. 2. Identify areas of emergency medicine thatare currently or soon will be the subject of this area of research. 3. Articulatepotential clinical applications of -omics.Description: The -omics revolution promises improved care throughgenome-specific diagnostics and personalized treatments. These methodsinclude genomics (genome-wide association studies, gene expressionanalysis, whole transcriptome sequencing), proteomics, and metabolomics.These methods are increasingly being applied to acute care conditions foridentification of specific conditions requiring time-sensitive treatments,treatment selection and prognosis. Further, they represent a newparadigm in the development of standard laboratory-based diagnosticsand treatments. NIH leaders have identified -omics research as one of thenatural fits for emergency medicine research within the federal researchmission. In this didactic, Ephraim Tsallick will provide a broad overviewof these methods and how they work. He will provide a brief descriptionof his own work with infectious disease diagnostics. Andrew Monte willthen describe the applications, and limitations, of -omics in personalizedmedicine, using his own genomic and metabolomic work with opioids andaltitude-induced hypoxia as examples. Finally, Charles Cairns will outline anagenda for how these methods will fit in the future of EM care.Alexander LimkakengDuke University, Durham, NC - SubmitterEphraim L. TsalikDurham VA Medical Center, Durham, NC - PresenterAndrew MonteUniversity of Colorado Denver, Denver, CO - PresenterCharles CairnsUniversity of North Carolina at Chapel Hill, Chapel Hill NC – PresenterDS099: So You Want to Start a(Non-ACGME)-accredited Fellowship?Saturday, May 17 - 10:00 - 11:00 amLocation: Dallas Ballroom A196


Objectives: At the completion of this session, participants should be ableto: 1. Illustrate those aspects of a department and institution that make it anappropriate host for a fellowship. 2. Describe how to construct a fellowshipcurriculum incorporating Milestones and clearly defined objectives. 3.Identify commonly encountered obstacles and pitfalls in starting a non-ACGME-accredited fellowship.Description: This didactic will be a panel discussion focused on giving theaudience the fundamental constructs for developing an excellent (non-ACGME-accredited) fellowship. Emergency medicine residency graduateshave multiple fellowship opportunities available to them, only the minorityof which are ACGME-accredited. Ensuring that fellowships are optimallydesigned and executed benefits both the fellows and the departmentshosting the fellowships. Remarkably, however, for non-ACGME fellowships,there is little to no standardization or clarity regarding what the learnershould expect for his or her investment of time and energy. What definesa non-ACGME-approved fellowship? How does a department determine ifit is ready to start a fellowship in an area of expertise? What are possiblefunding sources? What educational opportunities should be made availableto the fellows? How do we ensure a rich educational environment withoutACGME guidelines and credentialing? Is there a role for Milestones andclear learning objectives even without ACGME oversight, and how wouldthis be created? What resources should be made available to the fellowshipdirector by the department? A panel of experienced directors of fellowshipsincluding administration, global health, and geriatric emergency medicinewill discuss these topics as they describe how they started and run theirrenowned fellowships.Kevin BieseUniversity of North Carolina at Chapel Hill,Chapel Hill, NC - Submitter, PresenterIan B.K. MartinUniversity of North Carolina at Chapel Hill, Chapel Hill, NC - PresenterCharles ReeseChristiana Care Health System, Newark, DE - PresenterMichael SternNew York Presbyterian Hospital/Weill Cornell Medical Center,New York, NY – PresenterDS100: What Millennials Want: Reshaping Your Residencyfor a New Generation of Learners in the NASSaturday, May 17 - 10:00 - 11:00 amLocation: Dallas Ballroom A2Objectives: At the end of the session the participant should be able to:1. Describe the positive and negative attributes and generational valuesof the Millennial generation, as well as how these values and attributesimpact the success of residency programs. 2. Discuss why professionalismand communication issues arise frequently with Millennials and bringback specific ideas to develop behavioral expectations. 3. Implementcurriculum changes that increase success of the learner without changingthe underlying content, including interprofessional simulation, role-playing,and the formal use of social media.Description: This session will focus on using knowledge of Millennialgeneration attributes and value systems to further refine multiple aspectsof residency program management, including recruitment, orientation,didactic curriculum, and integration of non-traditional educationalmethods. The session will begin with a detailed introduction to Millennialattributes, both positive and negative, focusing on how these values impacttheir education, in both the clinical and the nonclinical realm. This will befollowed by a review of specific methods of incorporating Millennial idealsinto the residency, beginning with more effective recruitment strategies.The session will conclude with a discussion of perceived differences inprofessionalism and communication skills and how to develop expectationsthat will be met by younger generations via expectation development, useof reflection, and leadership development.Hollynn LarrabeeWest Virginia University, Morgantown, WV - Submitter, PresenterMegan FixUniversity of Utah, Salt Lake City, UT – PresenterDS101: Taking Advantage of the Teachable Moment:A Workshop for Efficient, Learner-CenteredClinical TeachingSaturday, May 17 - 10:00 am - 12:00 pmLocation: Dallas Ballroom CObjectives: At the completion of this session, participants should be able to:1. Discuss barriers to effective clinical teaching. 2. Identify characteristics ofideal 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 withcompeting priorities, clinical teaching may be sacrificed for the sake ofpatient flow and throughput. An organized, efficient approach to clinicalteaching based upon constructivist educational theory helps focus theteaching on what the learner needs at that moment, incorporates regularfeedback, keeps the department on track, and prevents over-teaching.In this interactive workshop, participants will be engaged in a discussionabout barriers to teaching in the emergency department, learn aboutcharacteristics of teachers appreciated by learners, explore basicprinciples of learner-centered education, practice a number of teachingmodels such as OMP, SNAPPS, ED STAT! and ultimately should be able totake these skills and apply them to their interactions with learners in theclinical setting. Videos illustrating examples of effective and ineffectiveteaching encounters will serve as an adjunct to the discussion.At the end of this workshop, participants should be prepared to seizethe teachable moment and provide timely and learner-centered clinicaleducational encounters.Sneha ShahUniversity of Massachusetts, Worcester, MA, Submitter, PresenterTodd GuthUniversity of Colorado, Aurora, CO - PresenterMichael EpterMaricopa Medical Center, Phoenix, AZ - PresenterElise LovellAdvocate Christ Medical Center, Oak Lawn, IL – PresenterDS102: Watch a Doctor Get Sued:A Live Medicolegal SimulationSaturday, May 17 - 10:00 am - 12:00 pmLocation: Dallas Ballroom BObjectives: 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 exampleof an expert being deposed. 4. Participate in a question-and-answer periodwith practicing attorneys during the debriefing of the simulations. 5. Walkaway from this simulation feeling a little bit more prepared for the potentialof being deposed.Description: Being sued is probably one of the most stressful life eventsthat an emergency physician can experience, and the probability is highthat the physician will be sued during her career. This live simulationdemonstration will allow the audience to vicariously experience a realisticmedical malpractice deposition with practicing attorneys. Examples willinclude depositions of a chief resident a long-tenured department chair.Both will be debriefed by the attorneys, with time for audience questionsand answers. What to look out for, how to react, and what’s important willbe highlighted by the attorneys and will be contrasted with emergencyphysician perceptions of the same.Michael D. SmithMetroHealth Medical Center, Cleveland, OH - Submitter, PresenterAdam DavisReminger Attorneys at Law, Cleveland, OH - PresenterCharles EmermanCase Western Reserve University, Cleveland, OH - PresenterMarilena DisilvioReminger Attorneys at Law, Cleveland, OH - PresenterBryan E. BaskinMHMC, OH - PresenterMAY 13-17, 2014 | DALLAS, TEXAS97


SAEM 2014 ANNUAL MEETING ABSTRACTSMAY 14-17, 2014 — DALLAS, TEXASListed below are the title, presenter name, and presenter institution for the 834 abstracts that have been selected for presentation at the2014 SAEM Annual Meeting from 1,224 abstract submissions. Please note the abstracts are listed in presentation order. These numbers donot correspond to the original abstract numbers given at time of submission.*SAEM Gallery of Excellence Nominees 2014Society for Academic Emergency Medicine98SATURDAY, May 17th, 2014CRITICAL CARE - ORAL ABSTRACTSSaturday, May 17, 8:00 - 10:00 am in Houston Ballroom BModerator:725 The Anticoagulant Effects of Dabigatran can be Reversed with a SpecificAntidote (idarucizumab) in a Pig Model with Blunt Liver InjuryMarkus Honickel, MD, RWTH Aachen University Hospital726 Does Post-cardiac Arrest Illness Severity Affect the AssociationBetween Immediate Cardiac Catheterization and Improved Outcome?Joshua C. Reynolds, MD, MS, Michigan State University College of HumanMedicine727 Ability to Activate the Eicosanoid and Polyunsaturated Fatty AcidPathways Predicts Survival after Cardiac ArrestLars W. Andersen, MD, Beth Israel Deaconess Medical Center728 Identification of Septic Patients at Risk for the Development of AcuteRespiratory Distress Syndrome in the Emergency DepartmentSen-Kuang Hou, MD, Brigham and Women’s Hospital729 Heparin-binding Protein Is a Predictor of Progressive Organ Dysfunctionin Emergency Department Sepsis PatientsRyan Arnold, MD, Christiana Care Health Center730 Initial Cytokine Levels Are Associated with Outcome After CardiacArrestLars W. Andersen, MD, Beth Israel Deaconess Medical Center731 Incidence of Coronary Artery Disease Receiving Intervention in CardiacArrest Survivors Without Shockable Initial Rhythms Or Evidence ofSTEMIMatthew Wilson, MD, Washington Hospital Center732 Correlation of Arterial Blood Gas and Venous Blood Gas in theUndifferentiated Shock PatientKristine Schultz, MD, Christiana Care Health SystemDIAGNOSTIC TECHNOLOGY AND RADIOLOGY - ORAL ABSTRACTSSaturday, May 17, 8:00 - 10:00 am in Houston Ballroom CModerator:733 Does Placement of An MRI in the ED Increase Utilization and What Arethe Downstream Effects?Vanessa V. Redd, MD, Johns Hopkins University734 Implementation of an Ultra-Low-Dose CT Protocol for ED Patients withSuspected Kidney StoneChris Moore, MD, RDMS, Yale University School of Medicine735 Gender Differences in Diagnostic Yield and Intervention with CT forSuspected Renal ColicChris Moore, MD, RDMS, Yale University School of Medicine736 Evidence-Based Diagnostics: Blunt Thoracolumbar Spine TraumaChristopher R. Carpenter, MD, MSc, Washington University in St. Louis737 Prediction of Cardiac Complications within 72 hours in PatientsPresenting with Chest Pain in the Emergency Department using a HeartRate Variability Model.Marcus AB. Lee, BEng, Duke-NUS Graduate Medical School738 Lactate Levels in Venous and Intraosseous Blood Correlate; ProthrombinTime/INR Levels Do NotDiana Montez, BSN, Vidacare Corporation739 Performance of Temporal Artery ThermometryDouglas Barnaby, MD, Albert Einstein College of Medicine740 Performance of Pronto 7 and I-Stat Non-Invasive HemoglobinDetermination Compared to Standard Central Laboratory BloodHemoglobin MeasurementMichael Touger, MD, Jacobi Medical CenterDISEASE AND INJURY PREVENTION - ORAL ABSTRACTSSaturday, May 17, 8:00 - 10:30 am in San Antonio Ballroom A*Disclaimer: Abstracts are placed in the program how they were submitted to SAEM.Moderator:741 Models of ED-initiated Treatment Protocols for Opioid Dependent PatientsGail D’Onofrio, MD, MS, Yale University742 Firearm Violence among High-risk Emergency Department Youth:Outcomes from a Two-year Prospective Cohort StudyPatrick M. Carter, MD, University of Michigan - Injury Center743 Does a Brief Intervention Increase HIV/HCV Screening among DrugusingEmergency Department Patients?Roland C. Merchant, MD, MPH, ScD, Rhode Island Hospital744 Gender Differences in Perceptions and Self-Reported Driving Behaviorsamong TeenagersChadd K. Kraus, DO, MPH, Lehigh Valley Health Network745 Implementation of a Comprehensive Intervention to Violence AgainstHealthcare Workers in the Emergency DepartmentTerry Kowalenko, MD, Beaumont Health System746 History of Sexually Transmitted Infections (STIs) among AdolescentsPresenting to the Emergency DepartmentMartina T. Caldwell, MD, University of Michigan747 Identifying Patients with Problematic Drug Use in the EmergencyDepartment: Results of a Multi-Site StudyWendy L. Macias Konstantopoulos, MD, MPH, Massachusetts GeneralHospital748 Ecologic Factors Relating to Firearm Injuries and Gun Violence in ChicagoJude Kieltyka, MD, MPH, Northwestern University749 Latent Profiles of Tobacco Users among Patients and Visitors in theEmergency DepartmentBeau Abar, PhD, University of Rochester Medical Center750 Effects of a Web-based Educational Module on Pediatric EmergencyMedicine Physicians’ Knowledge, Attitudes, and Behaviors RegardingYouth ViolenceTracy E. Madsen, MD, Alpert Medical School of Brown UniversityHEALTH POLICY/OPIATES - ORAL ABSTRACTSSaturday, May 17, 8:00 - 10:00 am in Houston Ballroom AModerator:751 Emergency Department Frequent Users: Hold the Narcotics Please!Jennifer M. Peltzer-Jones, PsyD, RN, Henry Ford Health System752 Qualitative Evaluation of the New York City Emergency DepartmentDischarge Opioid Prescribing GuidelinesFrederick W. Nagel, MD, New York City Department of Health and MentalHygiene753 Opioid Prescribing in United States Emergency Departments, 2006-2010Bory Kea, MD, Oregon Health & Science University754 Improving Patient Knowledge and Safe Use of Opioids: a RandomizedControlled TrialDanielle M. McCarthy, MD MS, Northwestern University755 The Effect of a Statewide Prescription Monitoring Program on EDPrescribing of Controlled SubstancesThomas Nguyen, MD, Beth Israel Medical Center, NY756 Emergency Department Contribution to the National Prescription OpioidEpidemicMichael Menchine, MD, MPH, Keck School of Medicine of the University ofSouthern California757 Trends in Opioid Analgesic Prescribing in U.S. Emergency Departmentsfor Low-Acuity VisitsMaryann Mazer-Amirshahi, PharmD, MD, Children’s National Medical Center758 Gender Differences in Prescription Medication AbuseJennifer Carey, MD, University of MassachusettsPE - MODERATED POSTERSSaturday, May 17, 8:00 - 10:00 am in Pearl 4Moderator:759 Derivation of a Decision Rule to Detect Right Ventricular DysfunctionAfter Negative Computed Tomographic Pulmonary Angiography (CTPA)Jeffrey A. Kline, MD, Indiana University School of Medicine


760 Pre-existing Anticoagulation with Warfarin is Not Associated witha Reduced Likelihood of Venous Thromboembolism Diagnosis in theEmergency DepartmentMichael R. Marchick, MD, University of Florida, Gainesville761 Family History and the Risk of Diagnosis of Acute Pulmonary Embolismin the Emergency DepartmentChad Agy, MD, University of Utah762 Evaluation of the Utility of D-dimer Measurement in Pregnant andPostpartum Emergency Department Patients Evaluated for VenousThromboembolismMichael R. Marchick, MD, University of Florida, GainesvilleTRAUMA - MODERATED POSTERSSaturday, May 17, 8:00 - 10:00 am in Live OakModerator:763 Derivation of a Clinical Decision Instrument to Identify Adult Patientswith Mild Traumatic Intracranial Hemorrhage at Low Risk for RequiringICU AdmissionDaniel K. Nishijima, MD, MAS, University of California, Davis764 In Children with Head Injury Glial Fibrillary Acidic Protein (GFAP)Distinguishes Mild Traumatic Brain Injury from Trauma Controls andPredicts Intracranial Injuries on CTLinda Papa, MD, MSc, Orlando Regional Medical Center765 The Ability of the Field Triage Decision Scheme to Identify High-riskOlder Adults Who Need Trauma Center ResourcesCourtney Marie Cora Jones, PhD, MPH, University of Rochester MedicalCenter766 Mild Traumatic Brain Injury in Children: Rates of CT Findings,Hospitalization, and InterventionJackeline Hernandez, MD, Carolinas Medical Center767 Serum GFAP Out-Performs S100B in Detecting Traumatic IntracranialLesions on CT in Children with Suspected Mild Traumatic Brain InjuryLinda Papa, MD, MSc, Orlando Regional Medical Center768 Cost-effectiveness of the PECARN Rules in Children with Minor Head TraumaDaniel K. Nishijima, MD, MAS, University of California, Davis769 Analysis of Injury Severity Associated with Pattern and Location ofSeatbelt Induced External InjuryThomas Hartka, MD, MS, University of Virginia770 Correlation of Level of Trauma Activation with Emergency DepartmentInterventionMichael C. Cooper, MD, University of Texas SouthwesternDISASTER MEDICINE - ORAL ABSTRACTSSaturday, May 17, 10:00 am - 12:00 pm in Houston Ballroom BModerator:771 The Association of College Football Game Day Characteristics on CollegeAge ED Utilization for Alcohol IntoxicationBrian Sharp, MD, University of Wisconsin772 Efficacy of Utilizing Clinicians from Neighboring Institutions during aNatural Disaster: Do Visiting EM Attendings and Physician AssistantsReally Help?Liza Escobedo, MD, Beth Israel Medical Center773 Respiratory Emergency Department Visits Increased the Most FollowingHurricane SandyKerrie Tidwell, MD, MSc, Morristown Medical Center774 The Impact of Hurricane Sandy on Emergency Department VolumeDavid C. Lee, MD, University of Pennsylvania775 Temporal Effects of a Natural Disaster with Flooding, Blackout, andMultiple ED Closures on Patient Volume, Patient Acuity and PatientBilling as Measured by Resource Value Units (RVUs).Mason Shieh, MD, MBA, Beth Israel Medical Center776 The Cost of Epidemic Care: Exposure to Contaminated Epidural SteroidInjectionsJanet Young, MD, Carilion Clinic777 Health and Wellbeing of Children presenting to the EmergencyDepartment with Acute ILI SymptomatologyIan Portelli, PhD, MSc, New York University778 Developments in Surge Research Priorities: a Systematic Review ofthe Literature following the Academic Emergency Medicine ConsensusConference, 2007-2012Melinda J. Morton, MD, MPH, Johns Hopkins School of MedicineED REVISITS - ORAL ABSTRACTSSaturday, May 17, 10:00 am - 12:00 pm in Houston Ballroom AModerator:779 ED Repeat Repeaters and Their Tear-To-Year Visit Patterns: IsIntervention Really Needed?Brown June, MD, Southern Illinois University School of Medicine780 Decreased Emergency Department Utilization by Young Adult FrequentUsers under Healthcare ReformCarson Burns, BA, Stanford University School of Medicine782 Hospital Readmissions and the Potential Impact of Admission ReductionStrategies Implemented Through the Emergency Department.Rebecka Lopez, MD, Southern Illinois University School of Medicine781 Do Admissions for Chest Pain from the ED Predict Re-visits to the EDwithin 30 Days?Brian W. Patterson, MD, MPH, University of Wisconsin783 CT vs. No CT: 30 day Return Visits among Emergency DepartmentPatients Presenting with HeadacheBrian W. Patterson, MD, MPH, University of Wisconsin784 Multiple Emergency Department Use and 30-day ED VisitsEdward M. Castillo, PhD, MPH, University of California, San Diego785 Relationship between Rates of Revisits within Three Days to EmergencyDepartments (ED) and Rates of Admission During the Index ED VisitReena Duseja, MD, MS, University of California, San Francisco786 Variation in Post-Surgical Readmission Rates Associated with Use of theEmergency DepartmentSharmistha Dev, MD, MPH, Henry Ford HospitalULTRASOUND - ORAL ABSTRACTSSaturday, May 17, 10:00 am - 12:00 pm in San Antonio Ballroom AModerator:787 Prognostic Value of Asymmetric Ureteral Jets in SuspectedNephrolithiasis: a Prospective Cohort StudyDaniel Jafari, MD, MPH, University of Pennsylvania788 Diagnosis of Acute Appendicitis By Bedside Ultrasound in theEmergency DepartmentMichael Mallin, MD, Univerisy of Utah789 Evaluating the Oblique Technique for Ultrasound-Guided Peripheral andCentral Venous Cannulation in Phantom ModelsDaniela Morato, MD, University of Pittsburgh790 Rapid Internet-Based Review of Point-of-Care Ultrasound Studies at aRemote Hospital in UgandaDavid L. Polan, MD, University of Massachusetts791 How Accurate Is Ultrasound in Diagnosing Pneumonia? a Meta-analysisSrikar Adhikari, MD, MS, University of Arizona Medical Center792 Tracheal Rapid Ultrasound Saline Test (TRUST) for Endotracheal TubeDepth in ChildrenMark O. Tessaro, MD, Maimonides Medical Center793 Central Venous Catheterization: Are We Using Ultrasound Guidance?Srikar Adhikari, MD, MS, University of Arizona Medical Center794 A Prospective Review of Survival Rates of Ultrasound Guided PeripheralIntravenous CathetersSteven Joseph, MD, William Beaumont HospitalMAY 13-17, 2014 | DALLAS, TEXAS99


PHOTOGRAPHY EXHIBIT & VISUAL DIAGNOSIS CONTESTThere were 60 cases and photos submitted to the ProgramCommittee for consideration of presentation at the AnnualMeeting. Selected photos and cases will be displayed intwo formats.Medical students and residents will be invited to participatein the Visual Diagnosis Contest. Winners in both medicalstudent and resident categories will be awarded a one-yearmembership in SAEM, including subscription to AcademicEmergency Medicine Journal (AEM), a free registrationto attend the 2015 SAEM Annual Meeting in San Diego, amajor Emergency Medicine textbook, and a subscription tothe SAEM Newsletter. Recipients will be announced in theJuly/August issue of the SAEM Newsletter.Society for Academic Emergency Medicine“Clinical Pearls” photos will be displayed alongside theVisual Diagnosis Contest images. These photos willinclude a case history, as well as the diagnosis and “takehome” points. SAEM is proud to display original photos ofeducational value and gratefully acknowledges the effortsof the individuals who contributed to this year’s ClinicalPearls and Visual Diagnosis Contest entries as well asthe patients who graciously allowed themselves to bephotographed for our educational benefit.PHOTOGRAPHY EXHIBIT & VISUAL DIAGNOSIS PARTICIPANTSNoah Abbas, MDUniversity of MississippiMedical Center Department of Emergency MedicineFarhad AzizUniversity of Kentucky Medical CenterLydia Luangruangrong, MDBarnes-Jewish HospitalWashington Universit in St. LouisWalter Green, MD,Fernando Benitez MDUniversity of TexasSouthwestern Medical School Dallas, TexasChristine Ngaruiya, MDGlobal Health/ International Emergency MedicineFellow Department of Emergency MedicineYale New Haven HospitalsDanielle Matilsky, MD; Resa Lewiss, MD,Turandot Saul, MD, Michael Whalen, MDDepartment of Emergency Medicine EmergencyUltrasound Division St. Luke’s / Roosevelt HospitalCenter; Department of Urology New York PresbyterianHospital Columbia University College of Physicians andSurgeonsTaneisha Wilson, MD, Jason Hack, MDDepartment of Emergency Medicine,Alpert Medical School, Brown UniversityMeaghen Finan, MDSt. Luke’s Emergency MedicineColleen Smith, MDMaimonides Medical CenterGillian Beauchamp, MDUniversity of CincinnatiDepartment of Emergency MedicineCeline Thum, MDMaimonides Medical Center Emergency MedicineNamita Jayaprakash, Robert Prinzi, Jason FoltHenry Ford Hospital Emergency MedicineBrandon Conine, MDUniversity of CincinnatiDepartment of Emergency MedicineJohn RayUniversity of MichiganDepartment of Emergency MedicineNeal Freed, Jordan SpectorBoston Medical CenterSangil Lee, MDMayo ClinicAdam Isacoff, MDUniversity of Louisville School of MedicineJacqueline Bober, DOSUNY Donwstate Medical Center andKings County Hospital Center, Brooklyn, NYDaisy Ciener, MDMedical College of Wisconsin,Children’s Hospital of WisconsinJessica Smith, MD, FACEPAlpert Medical School of Brown UniversityRhode Island Hospital/The Miriam HospitalJustin Rose, DOUniversity of Kentucky Emergency MedicineNur-Ain Nadir, MDUniversity of Illinois College of Medicine PeoriaAlison BarrowTexas Tech University Health Science Center at El Paso2013 SAEM Photography & Visual Diagnosis ExhibitDan Miller, MDUniversity of Iowa, Department of EMMichael DeVisserWayne State University in DetroitGabriel WardiUniversity of California San DiegoSara Singhal, MD, Alicia Shirakbari, MDUniversity of Kentucky Medical CenterAmit MohindrooEastern Virginia Medical School’s EMJoseph Pare, MD, RDMSBoston Medical CenterMegan Johnson,Manish Garg, MD, FAAEMMSIV Temple UniversitySchool of MedicineArwen Declan, M.D., Ph.D.University of Cincinnati Dept. of Emergency MedicineDaisi Choi, MD, David Milzman, MDGeorgetown University Hospital/Washington Hospital CenterDebjeet Sarkar, MD,Arjun Chanmugam, MD, MBAHoward County General HospitalJeffrey HoidaUniversity of South Florida - College of MedicineNicole Sneed, MD,Sabrina Taylor, MD FAAEMTexas Tech UniversityPaul L. Foster School of Medicine100


SAEM 2014 ANNUAL MEETING MODERATORSKavita M. BabuThe Alpert Medical School of BrownUniversitySteven B. BirdUniversity of Massachusetts Medical SchoolDiane BirnbaumerLos Angeles County-Harbor-UCLAMark BisanzoUniversity of MassachusettsDavid J. BleharUniversity of Massachusetts Medical SchoolEdwin BoudreauxUniversity of Massachusetts Medical SchoolEdward Wright BoyerUniv of Massachusetts Medical SchoolJane BriceUniversity of North CarolinaDavid F. BrownMassachusetts General HospitalMichael BrownMichigan State UniversityChristopher R. CarpenterWashington University in St. LouisJason CohenAMC, 1, AKDavid ConeYale University School of MedicineD. M. CourtneyNorthwestern UniversityRebecca CunninghamUniversity of Michigan, Ann Arbor, MIChad E. DarlingUMass Medical SchoolNicholas GenesMount Sinai School of MedicineCharles GerardoDuke Global Health Residency/FellowshipChris A. GhaemmaghamiUniversity of Virginia School of MedicineDaniel HandelOregon Health & Science UniversitySchool of MedicineGreg HendeyUniversity of California,San Francisco (Fresno)Steven HorngBeth Israel Deaconess Medical Center /Harvard Medical SchoolJeffrey KlineIndiana University School of MedicineKeith E. KocherUniversity of MichiganEric LegomeKings County HospitalJennifer MarinChildren’s Hospital of PittsburghNathan Woodburn MickMaine Medical CenterJames MinerHennepin County Medical CenterRakesh MistryChildren’s Hospital ColoradoSergey M. MotovMaimonides Medical Center, Brooklyn, NYVicky NoblePartnersDaniel J. PallinBrigham and Women’s HospitalTimothy F. Platts-MillsUniversity of North Carolina Chapel HillMegan RanneyAlpert Medical School, Brown UniversityChristopher RossCook County HospitalMichael RunyonCarolinas Medical CenterTom ScalettaEdward Hospital/Smart-ERJeremiah SchuurBrigham and Women’s HospitalAlan B. StorrowVanderbilt UniversityLorraine ThibodeauAlbany Medical CollegeStephen TrzeciakCooper Hospital/University Medical CenterArjun K. VenkateshBrigham and Women’s Hospital-Massachusetts General HospitalLee WilburUniversity of Arkansas for Medical SciencesRichard ZaneUniversity of Colorado School of MedicineDOWNLOADING THE SAEM2014 MOBILE APP IS EASY!MAY 13-17, 2014 | DALLAS, TEXASSIMPLY SCAN THE QR CODE(ALL DEVICE TYPES)SEARCH THE APP STOREFOR SAEM 2014(ANDROID AND IOS)ORDIRECT YOUR MOBILE DEVICE’S BROWSER TO:HTTP://M.CORE-APPS.COM/SAEM2014101


SAEM GALLERY OF EXCELLENCE NOMINEES 2014 – ABSTRACTSSociety for Academic Emergency MedicineAmbulatory Care Sensitive Mental Health and Substance Abuse-RelatedConditions: Evaluating the Association Between the Emergency Department VisitRate and County-Level Outpatient Psychiatrist SupplyJohn Romley, PhD, Leonard D. Schaeffer Center for Health Policy andEconomics, University of Southern CaliforniaThe Effect Of A Multifaceted Code Stemi Protocol On Door-in To Door-out Time ForStemi Patients Requiring Interhospital Helicopter TransferWilliam R. Hinckley, MD, University of Cincinnati Medical CenterNational Assessment of Pediatric Readiness of Emergency DepartmentsElizabeth Edgerton, MD, MPH, EMSC and Injury Prevention, Maternal and ChildHealth Bureau, Health Resources and Services AdministrationEmergency Department Visits for Non-Traumatic Dental Problems in Oregon StateEmerson Ong, MS, Office for Oregon Health Policy and ResearchIntravenous Sub-dissociative Dose Ketamine Versus Morphine For Analgesia In TheEmergency Department: A Prospective, Randomized, Double-blind Study.Christian Fromm, MD, FACEP, Maimonides Medical CenterLethal Means Restriction for Suicide Prevention: Change in Provider Beliefs andBehaviors during ED Process ImprovementJanice A. Espinola, MPH, Massachusetts General HospitalIncreased Risk of Volume Overload with Plasma Compared to 4-Factor ProthrombinComplex Concentrate for the Emergency Reversal of Vitamin K Antagonist TherapyTruman J. Milling Jr, MD, Seton/UT Southwestern Clinical Research Instituteof Austin, Dell Children’s Medical Center, University Medical Center atBrackenridgeMid-regional Pro-adrenomedullin Predicts Six Month Mortality in EmergencyDepartment Patients Presenting with Acute Undifferentiated Chest Pain: Resultsfrom the CHOPIN TrialChristopher deFilippi, MD, University of MarylandSuccessful Tobacco Dependence Treatment Achieved via Pharmacotherapy andMotivational Interviewing in Low-Income Emergency Department PatientsStephanie O’Malley, PhD, Department of Psychiatry, Yale School of MedicineImpact of Triage Nurse Ordered Distal Extremity X-Rays on Emergency DepartmentLength Of Stay: A Randomized Controlled TrialKhajista Qazi, MD, King Fahad Medical CityControlled Substance Prescribing for Discharged Emergency Patients: Affects of aPrescription Reporting Initiative on Physician PrescribingJohn Burton, MD, Carilion ClinicThymosin &#946;4 for the Treatment of Sub-Acute Stroke: Optimizing theTreatment WindowLi Zhang, MD, Henry Ford Health SystemPeripheral Blood microRNAs May Differentiate Bacterial From Viral Febrile IllnessIn Infants.Sinead M. O’Donnell, MB, BCh, BAO, MRCPI (Paeds), MSc (PEM), Our Lady’sChildren’s HospitalIntramuscular Cobinamide Versus Intravenous Cobinamide In The Treatment OfAcute Cyanide Toxicity And Apnea In A Swine (Sus Scrofa) ModelSusan Boudreau, RN, BSN, Department of Emergency Medicine, San AntonioMilitary Medical Center; CREST Research ProgramCopeptin Provides Prognostic Value in Emergency Department Patients Presentingwith Acute Undifferentiated Chest PainAlan Maisel, MD, VA Healthcare SystemMulticentre Implementation of the Canadian C-Spine Rule by EmergencyDepartment Triage NursesSherry Armstrong, RN, BScN, St. Michael’s HospitalDecrease In The Prescription Of Opioids In A Large Public Hospital System: EffectOf Prescribing Guidelines.Ruth Cadet, MPH, Health and Hospitals CorporationEcologic Factors Relating to Firearm Injuries and Gun Violence in ChicagoMarie Crandall, MD, MPH, Northwestern UniversityPrimary EMS Transport to a 24-hr PCI Center is Associated With Increased Survivalin Patients With Out of Hospital Cardiac ArrestJeffrey A. Kline, MD, Indiana University School of MedicineHIV Counseling And Testing Practices For Children Presenting To The EmergencyDepartment Of Muhimbili National Hospital, Dar Es Salaam TanzaniaMichael S. Runyon, MD, Carolinas Medical CenterModels of ED-initiated Treatment Protocols For Opioid Dependent PatientsGail D’Onofrio, MD, MS, Yale UniversityDerivation Of A Clinical Decision Rule To Predict Infants At Early Risk Of CentralApneaJoe Baal, BS, Kern Medical CenterTemporal Trends In ED Based Migraine Management: A NHAMCS AnalysisJason West, MD, Albert Einstein College of MedicineImplementation Of A Statewide Opiate Prescribing Policy Is Not Associated WithA Significant Decrease In Number Of Opiates Prescribed From The EmergencyDepartmentJonathan D. McGhee, DO, Christiana Care Health SystemEmergency Department Contribution to the National Prescription Opioid EpidemicMichael Menchine, MD, MPH, Keck School of Medicine of the University ofSouthern CaliforniaMorbidity And Mortality Following Traditional Uvulectomy Among ChildrenPresenting To The Muhimbili National Hospital Emergency Department In Dar EsSalaam, TanzaniaJuma Mfinanga, MD, Muhimbili National HospitalThe Distribution of Outpatient Emergency Department Expenditures and Low-Intensity Diagnostic TestingPaul Cheung, MD, MPH, Alpert Medical School of Brown UniversityVariation in Common Emergency Department Admissions and Its Implications forHealth Care SpendingAmber K. Sabbatini, MD, MPH, University of MichiganMetropolitan vs. Non-metropolitan Location is an Independent Predictor of Returnof Spontaneous Circulation in Out of Hospital Cardiac ArrestHolbrook H. Stoecklein, MD, University of UtahUltrasound Measurement of Carotid Flow Time Changes With Volume StatusAndrew S. Liteplo, MD, Massachusetts General HospitalValidation of the Refined Denver HIV Risk Score Using a National HIV TestingCohortRichard Rothman, MD, PhD, Johns Hopkins UniversityDoes a Brief Intervention Increase HIV/HCV Screening among Drug-usingEmergency Department Patients?Lynn E. Taylor, MD, Brown UniversityEmergency Department Predictors of Hospital Acquired DeliriumRichard A. Enander, MS, Beth Israel Deaconess Medical CenterZinc Oxide Nanoparticles Inhibit Staphylococcal Growth and Biofilm AdhesionJ. S. VanEpps, MD, PhD, University of MichiganThe Impact of the 2008 Council of Emergency Residency Directors (CORD) Panel onEmergency Medicine Resident DiversityJava Tunson, MD, Denver Health Department of Emergency MedicineA Randomized Clinical Trial Of Jet Injected Lidocaine (J Tip) To Reduce VenipuncturePain For Young ChildrenRaymond G. Hoffmann, PhD, Medical College of WisconsinShould Rural Hospitals be Concerned about Frequent Users of EmergencyDepartment Resources?Renee Y. Hsia, MD, MSc, University of California, San FranciscoDuration of Resuscitation and Medical Futility in Out-of-Hospital Cardiac ArrestBenjamin A. Haaland, PhD, Duke-NUS Graduate Medical School SingaporeSalivary Cortisol as a Marker of Acute Respiratory Infection SeverityKathryn M. Edwards, MD, Vanderbilt University Medical CenterLorazepam Versus Diazepam For Pediatric Status Epilepticus: Results Of ARandomized Clinical TrialDavid C. Brousseau, MD, MPH, Medical College of WisconsinUse of a Condition-Specific Electronic Health Record Orderset for EmergencyDepartment Stroke Patients is Associated With Improved OutcomesUli K. Chettipally, MD, MPH, Kaiser Permanente South San Francisco MedicalCenterImplementation 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 CenterEmergency Department Recidivism in Early Childhood is not a Risk Factor for ChildMaltreatmentJames Norton, PhD, Carolinas Medical CenterKing Vision Video Laryngoscopy Improves Intubation First Pass Success RatesAmong Paramedics.Jeffrey L Jarvis, MD, EMT-P, FACEP, Scott & White Healthcare/Texas A&M HSC COM102


Can We Decrease the Pain of Peripheral Intravenous Line Placementin Adults by the Use of Vapocoolant Spray? Preliminary Results of aProspective, Randomized, Blinded, Placebo-Controlled TrialSharon E Mace, MD, Cleveland ClinicLow Dose Ketamine Improves Pain Relief in Patients Receiving IntravenousOpioids for Acute Pain in the Emergency Department: Results of aRandomized, Double-Blind, Clinical TrialFrancesca L. Beaudoin, MD, MS, Rhode Island Hospital/ BrownUniversityImpact DEPARTMENT of Childhood Sexual Abuse on OF the Severity EMERGENCYof Psychosocial Risksamong Female ED PatientsMEDICINEFrances S. Shofer, PhD, University of PennsylvaniaKetamine-propofol RESIDENCY Vs Propofol Alone For PROGRAMProcedural Sedation In TheEmergency Department: A Systematic Review And Meta-analysis.Shelley McLeod, MSc,DIRECTORThe University of Western OntarioAssociation of University Patient Race/Ethnicity of California, With Use San Of Computed Francisco TomographyAmong Children With Blunt Torso TraumaThe Department of Emergency Medicine at the University of California,Bema Bonsu, MD, Nationwide Children’s HospitalSan Francisco (UCSF), seeks outstanding candidates for the position ofResidency Investigation Program of Intravenous Director. Hydroxocobalamin The residency program Compared is to a Control fully-accreditedforfour-year Hemorrhagic program Shock with Resuscitation 48 residents in a and Swine plans Model to expand in the near future.Residents Maria are G. exposed Castaneda, to a MS, diverse San Antonio patient Military population Health with System a combined totalof A approximately Randomized Trial 93,000 of Intravenous patient Hydroxocobalamin visits a year at Compared their primary to Whole sites.Residents Blood for rotate Hemorrhagic at UCSF Shock Medical Resuscitation Center, in San a Prehospital Francisco Swine General Model Hospitaland Trauma Susan Center, M. Boudreau, San Francisco BSN, San Antonio VA Medical Military Center, Health System Children's Hospital& Epidemiology Research Center and Clinical Oakland, Predictors and of Kaiser Biphasic Permanente Reactions in Children San Francisco withHospital. Anaphylaxis In 2015, the new UCSF Benioff Children’s Hospital will open inMission Gina Bay, Neto, and MD, a Children’s new hospital Hospital will of Eastern open at Ontario San Francisco GeneralHospital, each with a dedicated pediatric ED.Improving Patient Knowledge And Safe Use Of Opioids: A RandomizedTheControlledDepartmentTrialof Emergency Medicine serves as the primary teachingsite for Kenzie the A. residency Cameron, PhD, program, MPH, Northwestern providing comprehensive University emergencyservices Update to on The a large National local EM and M4 Examinationsreferral population at both UCSF MedicalCenter and Emily San Miller, Francisco MD, Harvard General Medical Hospital. School The UCSF Medical Center isranked The Anticoagulant among the Effects nation’s of Dabigatran 10 best hospitals can be Reversed by U.S. with News a Specific & WorldReport. Antidote SFGH (idarucizumab) is a level-1 in a Pig trauma Model center, with Blunt paramedic Liver Injury base station andtraining Hugo center. ten Research Cate, MD PhD, is a major Maastricht priority University of the department, with over 50ongoing studies and 100 peer-reviewed publications in the past year. ThereElectrocardiographic Predictors of Adverse Cardiovascular Events in Acuteare opportunities for leadership and growth within the Department andDrug Overdose: A Validation StudyUCSF School of Medicine.Rajesh Vedanthan, MD, The Icahn School of Medicine at Mount SinaiApplicants Does Placement for this Of position An MRI In must The have ED Increase a minimum Utilization of five And years What educationalAre Theleadership Downstream experience, Effects? three years experience as a core faculty member atan ACGME-approved Amanda Creel, BS, Emergency The Johns Hopkins Medicine Carey Residency Business School Program, and beboard Epidemiology certified by and the Clinical American Presentation Board of Traumatic Emergency Brain Medicine. Injury Patients Candidatesmust at Kilimanjaro have strong Christian interpersonal Medical skills Center, and Moshi, be able Tanzania to work cooperatively andcongenially Mark with Mvungi, a diverse MD, Kilimanjaro academic Christian and clinical Medical environment. Center Candidateswith leadership skills and a vision for enhancing the educational andacademic missions of the department are especially encouraged to apply.Appointment level and rank will be commensurate with experience andqualifications. Opportunities exist for an expanded leadership role in thedepartment for qualified candidates.FUTURE SAEMANNUAL MEETINGSThe University of California, San Francisco, is one of the nation’s top fivemedical schools and demonstrates excellence in basic science and clinicalresearch, global health sciences, policy, advocacy, and medical educationscholarship. The San Francisco Bay Area is well-known for its great food,mild climate, beautiful scenery, vibrant cultural environment, and itsoutdoor recreational activities.MAY 12-16, 2015SHERATON Send cover SAN letter DIEGO and curriculum HOTEL vitae & MARINAto:Ellen SAN Weber, DIEGO, MD, Vice CAChairc/o Natalya KhaitUCSF Department of Emergency Medicine533 Parnassus Avenue, Suite U575MAY 10-14, 2016San Francisco, CA. 94143-0749SHERATON Natalya.khait@emergency.ucsf.eduNEW ORLEANS HOTELNEW ORLEANS, LAUCSF seeks candidates whose experience, teaching, research, orcommunity service has prepared them to contribute to our commitment todiversity and excellence. UCSF is an Equal Opportunity/AffirmativeMAY 16-20, 2017HYATT REGENCY ORLANDOORLANDO, FLAction Employer. The University undertakes affirmative action to assureequal employment opportunity for underutilized minorities and women, forpersons with disabilities, and for covered veterans. All qualified applicantsare encouraged to apply, including minorities and women. For additionalinformation, please visit our website at http://emergency.ucsf.edu/.ACKNOWLEDGMENT OFABSTRACT REVIEWERSAND MODERATORSThe Department of Emergency Medicine at the University ofRochester Medical Center is seeking a director for its EmergencyMedicine Ultrasound Program. The ideal candidate will be boardI certified want to in personally Emergency Medicine thank you and for fellowship the significant trained in time, Emergency effort,and Medicine resources Ultrasound you with devoted qualifications to reviewing or eligibility and for the moderating RDMSthe certification. many This abstracts position will submitted fulfill the role for of program the SAEM director Annual andfellowship director of the ultrasound program.Meeting this year. This was once again a record-breakingThe Department of Emergency Medicine at the University of Rochesteryear for submissions in sheer numbers, so your service wasis an established 3-year residency program with 36 residents. Emergencyappreciated ultrasound is featured more than in the clinical ever. It and is training only through programs of your effortsthat residents, the rotating SAEM residents, Annual medical Meeting students continues and fellows. to Collaborativebe the bestopportunities are present within the hospital and prehospital setting. Thepeer-reviewed forum for research in emergency medicine.emergency ultrasound rotation is incorporated into the curriculum for allThe emergency continued residents success and ongoing of these certification important is offered academic to faculty. endeavorsdepends University on of Rochester your continued is located in enthusiasm upstate New York in supporting and has theSAEM faculty mission. from across the nation. Our medical leadership supports theinstitutional use of ultrasound, allowing this established modality to beThanks used throughout again, the ED and institution. Our department cares for over100,000 patients yearly at a single tertiary site and has 2 communityChristopher affiliates. Our Ross, research MDinfrastructure is significant with multiple grantson for behalf technology of and innovation.Program Committee, For more 2014 information SAEM Annual please Meeting contact:Michael Kamali, MD, FACEPChair, Department of Emergency MedicineUniversity of Rochester Medical CenterRochester, New York 14642Michael_kamali@urmc.rochester.eduEMERGENCY MEDICINEDepartment of SurgerySaint Louis UniversitySaint Louis University, a Catholic,Jesuit institution dedicated to studentlearning, research, healthcare andservice is seeking qualified applicantsfor full-time faculty positions in theDivision of Emergency Medicine. Thesepositions offer both clinical, teachingand research opportunities.The Emergency Department sees over 40,000 patients yearlyand is a Level I Trauma Center, staffed by dedicated academicEmergency Medicine faculty in the School of Medicine. Applicantsmust be Emergency Medicine board certified or eligible.Interested candidates must submit a cover letter, application andcurrent curriculum vitae to http://jobs.slu.edu. An initial letter ofinterest and curriculum vitae should be sent to:Laurie Byrne, M.D.Director, Emergency Medicine DivisionSaint Louis University School of MedicineSaint Louis University Hospital3635 Vista Avenue at Grand BoulevardSt. Louis, MO 63110-0250Saint Louis University is an affirmative action, equal opportunityemployer and encourages applications of women and minorities.MAY 13-17, 2014 | DALLAS, TEXAS52 Council of Emergency Medicine Residency Directors103


2014 ABSTRACT REVIEWERSSociety for Academic Emergency Medicine104Srikar Adhikari, MD, MS, RDMS, RPVIUniversity of Arizona Medical CenterAbdallah Ajani, MDSinai-Grace Hospital/DetroitMedical CenterHarrison Alter, MDAlameda County Medical CenterGina Ambrose, MDChristiana Care Health SystemJohn Ashurst, DOLehigh Valley Health NetworkJohn Bailitz, MD, FACEP, RDMSCook County Hospital (Stroger)Willie Baker, MDBoston Medical Center/Boston UniversityDaren M. Beam, MDIndiana School of MedicineGillian Beauchamp, MDUniversity of CincinnatiTorben Becker, MDUniversity of MichiganCarl Berdahl, MDYale School of MedicineDavid Berger, MDWilliam Beaumont Hospital(Royal Oak, MI)Rachel Berkowitz, MDBellevue/NYUSteve B. Bird, MDUniversity of MassachusettsMedical SchoolDowin Boatright, MDDenver Health Department ofEmergency MedicineScott Bonnono, MDJohn H Stroger Jr Hospital ofCook CountyBill Brady, MDUniversity of VirginaIrina Brennan, MDUniversity of FloridaJonathan Bronner, MDCarolinas Medical CenterJ. Reed Caldwell, MDNY Methodist HospitalMartina Caldwell, MDUniversity of MichiganCaleb Canders, MDDavid Geffen School of Medicineat UCLAHolly Caretta-Weyer, MDUniversity of WisconsinHospital and ClinicsJennifer Carey, MDUniversity Of MassachusettsMedical SchoolDylan Carney, MD, MPHUniversity of CaliforniaSan FranciscoBrendan Carr, MDUniversity of PennsylvaniaAnna Marie Chang, MDHospital of the University ofPennsylvaniaJeffrey Chien, MDThomas Jefferson UniversityHospital & Methodist HospitalRobert Cloutier, MDOHSUAbigail Dahlberg, MDWest Virginia UniversityBrock Daniels, MDYale New Haven Hospital/YaleUniversity School of MedicineMoira Davenport, MDAllegheny General HospitalBrandon Dawson, MDUniversity of MississippiMedical CenterErin Dehon, PhDUniversity of MississippiMedical CenterJoanna DelVecchio, MDCooper University HospitalMatthew Dettmer, MDWashington University St. LouisSharmistha Dev, MDHenry Ford HospitalBrian Driver, MDHCMCSean Dyer, MDCook County Hospital (Stroger)Kelsey Echols, MDUniversity of MinnesotaBrad Efune, MDCarolinas Medical CenterMarcus Emebo, MDJohn H. Stroger, Jr. Hospital ofCook CountyAmy Ernst, MDUniversity of New MexicoAndrew Eyre, MDBrigham and Women’s Hospital/Massachusetts General HospitalKevin Ferguson, MDUniv of FLoridaGregory Fermann, MDUniversity of CincinnatiCarolina Freire, MDThomas Jefferson UniversityHospital & Methodist HospitalSusan Fuchs, MDLurie Children’s Hospital Of ChicagoStephanie Garbern, MDBeth Israel DeaconessMedical CenterRomolo Gaspari, MDUniversity of MassachusettsMedical SchoolChris A. Ghaemmaghami, MDUniversity of VirginiaSchool of MedicineAndrew Glass, MDUniversity of MississippiMedical CenterElizabeth Goldberg, MDBrown UniversityPrasanthi Govindarajan, MDUCSFEric Gross, MDHennepin County Medical CenterJay Gupta, MDNew York Hospital QueensTodd Guth, MDUniversity of ColoradoKathryn Hawk, MDYale School of MedicineJeffery M. Hill, MDUniversity of CincinnatiCarolyn Holland, MDUniversity of Florida, GainesvilleBenjamin Honigman, MDUniversity of ColoradoSchool of MedicineEdmond Hooker, MDUniversity of CincinnatiJason Hoppe, MDUniversity of ColoradoCindy Hsu, MDUniversity of PennsylvaniaSchool of MedicineAngela Hua, MDMount Sinai HospitalLauren Hudak, MDEmoryUla Hwang, MDIcahn School of Medicineat Mount SinaiKyle Irby, MDVCU Health SystemGabrielle Jacquet, MD, MPHBoston UniversitySchool of MedicineAnuj Jani, MDGeorgia Regents UniversityJohn E. Jesus, MDChristiana Care Health CenterRussell Johanson, MDUMASSMichael Joyce, MDVCU Health SystemChristopher Kabrhel, MDMassachusetts General HospitalManas Kaushik, MD, MS, ScDBoston University School of MedicineGabe Kelen, MDJohns Hopkins UniversitySchool of MedicineMichael Keller, MDCarolinas Medical CenterDaniel Keyes, MDUniv of MichiganEM Residency ProgramEmeen Kiureghian, MDEinstein Healthcare NetworkSean Kivlehan, MDUCSF - SFGHAlexander Kogan, MDCook County Hospital (Stroger)Rebecca Kornas, MDHennepin County Medical CenterChadd Kraus, MDLehigh Valley Health NetworkNatalie Kreitzer, MDUniversity of CincinnatiCollege of MedicineAdaira Landry, MDBellevue/NYU Emergency MedicineResidency ProgramHollynn Larrabee, MDWest Virginia UniversityJeffrey Leiter, MDUniversity of MarylandMedical CenterJoAnna Leuck, MDCarolinas Medical CenterJason Liebzeit, MDEmory University School of MedicineRob Loflin, MDVirginia Tech Carilion EmergencyMedicine ResidencyKaren Lommel, MDUniversity of Kentucky-ChandlerMedical CenterKory Londn, MDUniversity of MichiganMonika Lusiak, MDUniversity of Texas-Suthwestern -Parkland HospitalCatherine Lynch, MD MScGHDuke School of MedicineFraser Mackay, MDBaystate Medical CenterAngleos Mark, MD, FAHAOhio State UniversityVik Marocha, MDJefferson Medical CollegeKristi Maso, MD, MPHDetroit Receiving HospitalLarissa May, MDThe George Washington UniversityApril McClellan, MDGeisingerErin McDonough, MDUniversity of CincinnatiCollege of MedicineHenderson McGinnis, MDWake Forest Baptist HealthZachary Meisel, MDUniversity of PennsylvaniaChris Merritt, MD, MPH, FAAPHasbro Children’s Hospital AlpertMedical School, Brown University


Chadwick Miller, MDWake Forest UniversityHealth SciencesJoe Miller, MDHenry Ford HospitalDave Milzman, MDGeorgetown U School of MedicineRakesh Mistry, MDChildren’s Hospital ColoradoP. Quincy Moore, MDCook County Hospital (Stroger)Melinda Morton, MDJohns Hopkins School of MedicineEva Moses, MDBarnes-Jewish Hospital/St. LouisChildren’s Hospital/ WashingtonUniversity in St. LouisLaura Mulvey, MDMaimonides Medical CenterMary Murphy, MDYale University School of MedicineJason Murray, MDUniversity of MichiganMark Mycyk, MDNorthwestern Memorial HospitalJohn Nagurney, MDHarvard Medical SchoolUtsav Nandi, MDUniversity of MississippiMedical CenterDaniel Nishijima, MDUniversity of California, DavisJoanna Noelker, MDWashington University St LouisJason Nomura, MDChristiana Care Health SystemErik Nordquist, MDCook County Hospital (Stroger)Alicia Oberle, MDWashington UniversityEmergency MedicineSean O’Shea, MDEinstein Healthcare NetworkCharissa Pacella, MDUniversity of PittsburghDanny Pallin, MDBrigham and Women’s HospitalJoseph Pare, MDBoston Medical CenterSteven Polevoi, MDUniversity of California,San FranciscoAvital Porat, MDMount Sinai- New YorkMatthew Poremba, DOAllegheny General HospitalPeter Pruitt, MDBrigham and Women’s/MassachusettsGeneral Hospital Harvard AffiliatedEmergency Medicine ResidencyPeter Pryor, MDDenver HealthNa Rae Ju, MDHospital of the Universityof PennsylvaniaAli Raja, MDBrigham and Women’s Hospital,Harvard Medical SchoolMegan Ranney, MDAlpert Medical School,Brown UniversityJohn Ray, MDUniversity of MichiganLinda Regan, MDJohns Hopkins UniversitySchool of MedicineRebecca Roberts, MDCook County Hospital (Stroger)Kevin Rodgers, MDIndiana UniversityRobert Rodriguez, MDUCSF/San FranciscoGeneral HospitalSarah Ronan, MDUniv. Cincinnati Coll of MedicineDept. EmergencyPedro Roque, MDMaricopa Medical CenterBrett Rosen, MDYork HospitalChristopher Ross, MDCook County Hospital (Stroger)Marta Rowh, MDTemple UniversitySchool of MedicinePeter Samuel, MDNorthwestern UniversityWill Sanderson, MDUniversity of WisconsinHospital & ClinicsDebjeet Sarkar, MDHoward County General HospitalJordan Schooler, MD, PhD, EMT-PVirginia Tech CarilionLisa Schweigler, MDThe Warren Alpert Medical School ofBrown UniversityTodd Seigel, MDBrown University/Rhode Island HospitalJessica Shackman, MD, PhDGeorgetown EMKrystle Shafer, MDWellSpan York HospitalWillard Sharp, MD, PhD FACEP,FAAEMUniversity of ChicagoSuzanne M. Shepherd, MDHospital of the Universityof PennsylvaniaKristina Sikes, MDUniversity of MississippiMedical CenterLuz Silverio, MDUCSF-SFGH Emergency MedicineResidency ProgramJonathan Slutzman, MDHarvard Affiliated EmergencyMedicine Residency-BWH/MGHHoward Smithline, MDBaystate Medical CenterMeghan Spyres, MDNYU Langone Medical CenterJustin Stowens, MDChristiana Care Health SystemBrett Sweeny, MDNew York Medical CollegeRobert Swor, DOWilliam Beaumont HospitalJoseph Tagliaferro, MDMetroHealth Medical CenterSukhjit Takhar, MDHarvard UniversityElizabeth ter Haar, MDUniversity of WisconsinHospital & ClinicsLorraine Thibodeau, MDAlbany Medical CollegeJason Thurman, MDVanderbilt UniversitySchool of MedicineKeegan Tupchong, MDBellevue/NYU Emergency MedicineResidency ProgramTim Vanderkooy, MDUniversity of MichiganShawn Varney, MDSan Antonio Military Medical CenterArvind Venkat, MDAllegheny General HospitalJody Vogel, MDDenver Health Medical CenterJosh Wallenstein, MDEmory UniversityLeonysia Watson, MDUniversity of North CarolinaEmergency MedicineScott Weiner, MDTufts Medical CenterSteven Weiss, MDUniversity of New MexicoMichael Wilson, MD PHDBrigham and Women’s HospitalMatthew Wong, MDHarvard UniversityRobert Woolard, MDTexas Tech University (El Paso)Kabir Yadav, MDThe George Washington UniversityDavid Young, MDHarvard Affiliated EmergencyMedicine Residency-BWH/MGHMichele Zell Kanter, MDCook County Hospital (Stroger)MAY 13-17, 2014 | DALLAS, TEXAS105


ABSTRACTS – NOTHING TO DISCLOSESociety for Academic Emergency MedicineEmily L. Aaronson, MDBeau Abar, PhDHamed Abedtash, PharmDMahshid Abir, MD MScAndrew Abrass, MD MPHJameel Abualenain, MD MPHHuda Adam, MRCPCHSrikar Adhikari, MD MSBrian Adkins, MDManeesha Agarwal, MDFoluso Agboola, MDAmish Aghera, MDChad Agy, MDTerence L. Ahern, MDBolanle T. Akinsola, MDAli H. Al Khulaif, MDAmer Z. Aldeen, MDJohn R. Allegra, MD PhDCoburn H. Allen, MDKhaled Almulhem, MDWaleed Alqurashi, MDNathan J. Alves, PhDRichard Amini, MDDavid Amponsah, MD RDCSPeter H. Anastopoulos, MDLars W. Andersen, MDR. Eleanor Anderson, MDRyan Arnold, MDSanjay Arora, MDHany Atallah, MDKamna S. Balhara, MDSudhir Baliga, MDDustin W. Ballard, MD MBEWorth Barbour, MDJill M. Baren, MD MBEAaron N. Barksdale, MDDouglas Barnaby, MDEd B. Barnard, BM BS FCEMDavid Barounis, MDJeanne Basior, MDAveh Bastani, MDAngus Beal, MDDaren M. Beam, MD MSFrancesca L. Beaudoin, MD MSVikhyat S. Bebarta, MDBrent Becker, MDJohn Bedolla, MDSteven L. Bernstein, MDMary C. Bhalla, MDPolly E. Bijur, PhDSteven B. Bird, MDJohanna E. Bischof, MDAdam Blanchard, MDDrew Blasco, B.A.Gabriel E. Blecher,MBBS(Hons) PDM CCPU FACEM MScDavid J. Blehar, MDDowin H. Boatright, MD MBAAlicia G. Bond, MDMichael Bond, MDSam A. Bores, BSEdwin D. Boudreaux, PhDKathryn Bradburn, BAMolly Snow Brady, MDEthan S. Brandler, MD MPH FACEPJesse J. Brennan, MAAaron M. Brody, MDAlisha E. Brown, MDJeremy Brown, MDMark J. Bullard, MDBrian Burgess, MDCarson Burns, BAJohn Burton, MDRichard G. Byrne, MDWyman W. Cabaniss, MDMary R. Calderone, BAMartina T. Caldwell, MDRoberta Capp, MD MHSJennifer Carey, MDJestin N. Carlson, MD MScChristopher R. Carpenter, MD MScChristine M. Carr, MDRyan M. Carter, MD MPH MPPEdward M. Castillo, PhD MPHBharath Chakravarthy, MD MPHTheodore C. Chan, MDVictor Chan, MDBernard P. Chang, MD Ph.D.Mary P. Chang, MDLaura L. Chapman, MDJayaram Chelluri, MDBrian H. Cheung, PhDAlan T. Chiem, MD MPHKelsey Childress, MDRupinder Chima, MDAnne Chipman, MDBryan Y. Choi, MAEsther Choo, MD MPHEric H. Chou, MDNeil Christopher, MDKene Chukwuanu, MDVictor Cisneros, BSCarol L. Clark, MDBrandon Close, DOAri R. Cohen, MDDaniel Colby, MDJared Conley, MPH (MD/PhD candidate)B. James Connolly, MDMichael C. Cooper, MDSara B. Cortes, MDJennifer Cotton, B.S.D. Mark. Courtney, MD MSCIAshley C. Crimmins, MDRebecca Cunningham, MDMichael W. Dailey, MDChrista Dakin, MDPreeti Dalawari, MD. MSPHTanya Dall, BSKathia Damiron, MD CCRCNicholas Daniel, DOBrock Daniels, MD MPHRaoul Daoust, MD MScDylan Dean, MD/PhDErin Dehon, Ph.D.Ken Deitch, DOMarina Del Rios, MD MScMatthew DeLaney, MDM. Kit Delgado, MD MSSarah deLoizaga, MSJoshua A. Denney, MDLucia S. Derks, MDSharmistha Dev, MD MPHAlicia Devine, JD MDWeldon Diana, MD MBARoshanak Didehban, MHS FACHEMichael Donnino, MDGail D’Onofrio, MD MSJoseph L. D’Orazio, MDChristopher I. Doty, MDCarrieann E. Drenten, MDFriedrich T. Drescher, MDMichael J. Drescher, MDBrian E. Driver, MDPetra Duran-Gehring, MDReena Duseja, MD MSJames D. Dziura, PhDDebra Eagles, MDJonathan Ellement, MDLiza Escobedo, MDMark Escott, MDShannon Essler, BS ChemistryDaniel Evans, DOMark Faul, PhD MAChristopher Fee, MDMichael Felicetta, DOAndrew C. Fischer, MDTodd A. Florin, MD MSCETimothy J. Fortuna, DOSean D. Foster, MDBradley Frazee, MDNeal A. Freed, MDAri B. Friedman, BA MSBenjamin W. Friedman, MDChristian Fromm, MDRongwei (Rochelle) Fu, PhDGelareh Z. Gabayan, MD MSHSJames W. Galbraith, MDNupur Garg, MDJohn S. Garrett, MDMarianne Gausche-Hill, MDNicholas Genes, MD PhDRecep Gezer, MAHarman S. Gill, M.DSeth Glickman, MDLisa Goldberg, BSEric J. Goldlust, MD Ph.D.Jonathan Goss, B.S. M.P.HTadahiro Goto, MDSerge Gouin, MDCM FRCPCPamela J Green, RN BSNWalter L. Green, MDMarna R. Greenberg, DO MPHPeter W. Greenwald, MD MSMargaret B. Greenwood-Ericksen, MD MPHToni Gross, MD MPHAnne V. Grossestreuer, MSCorita R. Grudzen, MD MSHSMary Grzybowski, PhD MPHFaheem W. Guirgis, MDDavid A. Guss, MDStephanie Haddad, MDAdrianne Haggins, MD MSLaura Hagopian, MD FAWMM. Kennedy. Hall, MDJin H. Han, MD MScJin Ho Han, MD MScMatthew L. Hansen, MD MCRBhakti Hansoti, MBChB MPHSumitro Harjanto, BSc (Honours) M.D(candidate)Katrina Harper, MDThomas Hartka, MD MSKohei Hasegawa, MD MPHAmeer Hassoun, MDSamantha R. Hauff, MDMark Hauswald, MS MDKathryn Hawk, MDGregg Helland, MDDaniel J. Henning, MDJackeline Hernandez, MDScott Herskovitz, MBBSAlison Hester, Doctor of OsteopathyJeffery M. Hill, MDRobyn M. Hoelle, MDJames Holmes, MD MPHNathan Hoot, MD PhDAustin Hopper, BSSteven Horng, MD MMScRuss Horowitz, MD RDMSSen-Kuang Hou, MDDennis Hsieh, MD JDYu-Hsiang Hsieh, PhDAngela Hua, MDNathan Hudepohl, MD MPH MSBenton R. Hunter, MDChristopher L. Hunter, MD Ph.D.Joshua E. Hurwitz, B.S.Jeremy Hutchins, DOMaya S. Iyer, MDLee S. Jacobson, MD Ph.D.Daniel Jafari, MD MPHAshika Jain, MDShabnam Jain, MD MPHJeffrey L. Jarvis, MD EMT-P FACEPSamantha P. Jellinek-Cohen, PharmDCharles A. Jennissen, MDJohn E. Jesus, MDBrian Johnson, MD MPHM. Austin Johnson, MD PhDAmy L. Jones, BABrittany P. Jones, MDChristopher W. Jones, MDCourtney Marie Cora Jones, PhD MPHJason Jones, MDJaime Jordan, MDJoshua W. Joseph, MDSteven Joseph, MDBrown June, MDAmjed Kadhim-Saleh, MScLindsay Kahlenberg, DOZachary P. Kahler, MDBryan G. Kane, MDHemal K. Kanzaria, MDDevika Kashyap, BAAlexander Katz, MDBory Kea, MDRaashee Kedia, MDJoshua Keegan, MDPeter Keenan, MDLukas G. Keil, BSJohn Kelly, DO FACEPMaura Kennedy, MD MPHJeremy Kenter, DOYaniv Kerem, MDIrum Qamar. Khan, MBBS FCPSTariq Khan, MDSopagna Kheang, MDJude Kieltyka, MD MPHAustin S. Kilaru, BAJames P. Killeen, MDJohn Kilpatrick, MDHoward S. Kim, MDMichael K. Kim, MDEmmett Kistler, BABryan B. Kitch, MDSuzi Klaus, B.S.Barry Knapp, MDWilliam A. Knight, MDLeo Kobayashi, MDKeith E. Kocher, MD MPHErik Kochert, MDZachary A. Kopelman, BAScott P. Krall, MD MBAElizabeth Krebs, MDNatalie P. Kreitzer, MDPaul Krieger, MDRamaswamy Krishnan, Ph.D.Kurt Krumperman, PhDMichael Kueber, MDErik Kulstad, MD MSJay G. Ladde, MDLauren Laker, MBAChun Nok Lam, MPHAdaira I. Landry, MDMark I. Langdorf, MD MHPELuan Lawson, MDChris Lee, MDDavid C. Lee, MDJonathan J. Lee, MEdTMarcus AB. Lee, BEngMichael H. Lee, MD MSTerrance Lee, MDStephen Leech, MDEric Legome, MDMichael Levine, MDArielle Levy, MD MEd FRCPCMargaret J. Lin, MDMichelle P. Lin, MD MPHRachel Liu, MDRebecka Lopez, MDJennifer S. Love, ABJeffrey H. Luk, MD MSMaren M. Lunoe, MDDavid C. Mackenzie, MD CMEmily MacNeill, MDTracy E. Madsen, MDPatrick J. Maher, MDGary Maida, MDSarah T. Malka, MDMichael P. Mallin, MDNeal Mangalat, MDAlex F. Manini, MD MS FACMTAdrien Mann, Bachelor of ScienceRonald F. Marchese, MDMichael R. Marchick, MDKeith A. Marill, MDJennifer R. Marin, MD MScRichard Martin, MDJennifer L. Martindale, MDMinaz Z. Mawani, MSc.Epidemiology and BiostatisticsKatherine A. Mayer, MDMaryann Mazer-Amirshahi, PharMD MDAileen McCabe, MBBChBAOKaitlin R. McCarter, BADanielle M. McCarthy, MD MSAllison McConnell, MD MKinSiobhan C. McCoy, Bsc (Hons) NursingJonathan D. McGhee, DOJillian L. McGrath, MDAfton McNierney, DOLaura N. Medford-Davis, MDMichael Menchine, MD MPHMargaret Menoch, MDLisa H. Merck, MD MPHErica A. Michiels, MDEmilly S. Miller, MDKimberly Miller, Pharm.DAndrew Milsten, MD MSDave Milzman, MD FACP CJames Miner, MDMichiko Mizobe, MDKatharine L. Modisett, MDNicholas M. Mohr, MDBrian Moore, PhDChris Moore, MD RDMSTamara Moores, MDDaniela Morato, MDLisa Moreno-Walton, MDMelinda J. Morton, MD MPHNee-Kofi Mould-Millman, MDMary R. Mulcare, MDBryn E. Mumma, MD MASKevin Murphy, MDJason A. Murray, MDJose V. Nable, MD NRPFrederick W. Nagel, MDJeffrey Nakashioya, MS2Emily Neill, MSIIKatherine Newell, Medical StudentDavid E. Newman-Toker, MD PhDKa Ming G. Ngai, MD MPHAnna Nguyen, MDThomas Nguyen, MDJonathan R. Nichol, BSDaniel K. Nishijima, MD MASJason T. Nomura, MD RDMSJessica M. Noonan, MDRichard M. Nowak, MDNathan Olson, MDJohn M. O’Neill, MDUchenna Onyekwere, BSRonan G. O’Sullivan, MB FRCSI FCEM MBAJacob Pace, MDJustine A. Pagenhardt, MDPeter S. Pang, MDDimitrios Papanagnou, MD MPHJoseph R. Pare, MDAshley N. Parks, BSDhaval B. Patel, MDKishan Patel, BSRajesh Patel, MDRoma Patel, MPHBrian W. Patterson, MD MPHAshley M. Pavlic, MDClaire Pearson, MD MPHDavid A. Pearson, MDTeng J. Peng, BSCarolina Pereira, MDGreg F. Pereira, BSPHMichael R. Perez, B.S.Sarah M. Perman, MD MSCEJeffrey J. Perry, MD MSc CCFP-EM106


Joseph Peters, DOShane Peterson, MDThuy V. Pham, Medical DegreeMichelle Pickett, MDChristie C. Pickrell, MDNicole Piela, MDNicole E. Piela, MDTimothy F. Platts-Mills, MDMichael C. Plewa, MDDavid L. Polan, MDIan Portelli, PhD MScheather M. prendergast, MD MPHMarc A. Probst, MDMarc A. Probst, MDMelanie K. Prusakowski, MDSeth A. Purcell, MDJonathan Purtle, DrPH(c) MPH MScKelly E. Quinley, MDJacob B. Rabe, MDBrian Raffetto, MD MPHEdward A. Ramoska, MD MPHJonathan J. Ratcliff, MD MPHVanessa V. Redd, MDJenna Reichel, BAJoshua C. Reynolds, MD MSStacy L. Reynolds, MDJohn Richards, MDDrew B. Richardson, MBBS(Hons)FACEM MDJohn Riester, MDNour Rifai, MDRenee Riggs, DOChristine Riguzzi, MDKristin L. Rising, MDRalph J. Riviello, MD MSBradley Rockoff, MDMelissa A. Rodgers, BAJeremy Rose, MDTony Rosen, MD MPHJ M. Rosini, PharmDJoshua Ross, MDFrances M. Russell, MDTimothy K. Ruttan, MDMichael L. Ruygrok, MDJustin Ryel, MDMelissa A. Saad, D. O.Steven H. Saef, MD MSCRBasmah Safdar, MD MScBrian Saindon, BSTeresa Sanchez, PhDYukio Sato, MDHendry R. Sawe, MD MBAAdam C. Sawyer, MDKelly N. Sawyer, MD MSKathleen Saxon, MDJessica Schmidt, MD MPHBenjamin H. Schnapp, MDMichael A. Schneider, BSElizabeth M. Schoenfeld, MDKristine Schultz, MDDavid Scordino, MDShannon D. Scott, PhDJuliet E. Seery, MDJames Seger, DOAI SEKI, MDWesley H. Self, MD MPHBrian Sellers, MDCraig M. Sharkey, MDBrian Sharp, MDWillard W. Sharp, MD PhD.Kate Shea, MDSophia Sheikh, MDLisa Shepherd, MDDavid C. Sheridan, MDRobert Sherwin, MD FACEP FAAEMMASON SHIEH, MD MBATakashi Shiga, MD MPHMatthew S. Siket, MD MSErin L. Simon, DOLinda Sinclair, MDLinda Sinclair, MDRichard Sinert, DONeil Singh, MDSara S. Singhal, MDJoseph Sirody, MSSimon Skibsted, MD MPHMichelle Slezak, MDBenjamin H. Slovis, MDEvan Small, MD Ph. D.Mark A. Smiley, MD MBAJessica L. Smith, MDS Christian Smith, BAHoward Smithline, MS MDJoshua J. Solano, MDEmil Soleyman-Zomalan, MDCemal B. Sozener, MDNicole S. Sroufe, MD M.P.H.Zach Stamile, MDMichael T. Steuerwald, MDIan G. Stiell, MDHolbrook H. Stoecklein, MDJena Sussex, BSMark Sutherland, BSABSTRACTS WITH RELEVANT FINANCIAL DISCLOSURESLaura K. Belland, AFAR Medical StudentTraining in Aging Research (MSTAR)Scholarship (Grant), SAEM MedicalStudent Grant (Grant)Marian E. Betz, American Foundationfor Suicide Prevention; NationalInstitute on Aging (Grant), AmericanFoundation for Suicide Prevention;Suicide Prevention Resource Center(Committee)Roberta Capp, KL2 Translation researchaward (Grant), National Center forResearch Resources (NCRR) andthe National Center for AdvancingTranslational Science (NCATS)components of the National Institutesof Health (NIH) and NIH roadmapfor Medical Re (Grant) NIH carrerdevelopment award KL2 TR001080(Grant) UL1 RR024139 (Grant)Patrick M. Carter, CDC 1R49CE002099(Grant), R01 DA024646 02 (Grant)Jason Swindle, Novartis PharmaceuticalsCorp (Committee)Sheldon Cheskes, CPR quality (Officer)NIH Co-PI resuscitation outcomesconsortium (Grant), Zoll Medical(Officer)Chad E. Darling, ADHF (Grant), NHLBIK23 grant (Grant)Donald M. Dawes, Conducted ElectricalWeapons (Committee, Shareholder),TASER International (Committee,Shareholder)Andrea F. Dugas, Clinical ResearchScholars (KL2) (Grant)Andrew K. Chang, K23 awardee (Grant),NIH (Grant)Gregory J. Fermann, Cardiorentis (Officer),Janssen (Advisory Board) Medtronic(Officer) Novartis (Officer) Pfizer(Advisory Board) Radiometer (Officer)The Medicines Company (Officer)Jason Haukoos, Academic EmergencyMedicine (Non-Commercial) AmericanCollege of Emergency Physicians (Non-Commercial) Annals of EmergencyMedicine (Non-Commercial) DenverHealth and Hospital Authority(Employee) National Institute ofAllergy and Infectious Diseases (Grant)Society for Academic EmergencyMedicine (Non-CommercialOliver Grottke, Boehringer Ingelheim(Advisory Board, Consultant)Katherine M. Hunold, AmericanFederation for Aging Research (Grant),NIA 5-T35-AG038047-04 - UNC-CHSummer Research in Aging for MedicalStudentsJeffrey A. Kline, CP Diagnostics LLC(Shareholder), Diagnostica Stago(Committee), Janssen Genentech(Advisory Board) NIH Ikaria (Grant)Terry Kowalenko, Genetech (Employee),Genetech/Roche Biogen Idec IncAmgen (Shareholder), Iam Directorfor American Board of EmergencyMedicine (Officer) Rituxan forWegerner’s (Employee) Wegener’sGranulomatosis (Employee) Wife ownsstock (Shareholder) Wife works forGenetech (Employee)JoAnna Leuck, (Non-Commercial)Program Committee EFG recipient(Non-Commercial), SAEM (Non-Commercial)Alexander T. Limkakeng, ACS (Grant),Diagnostics (Grant), Roche Diagnostics(Grant)Catherine A. Lynch This project wasmade possible by the MRTP incollaboration with the HRSA-fundedKCMC MEPI grant # T84HA21123-02;U.S. National Institutes of Health.(Grant)Sharon E. Mace, Durata (Advisory Board),Gebauer (Grant, Shareholder), LuitpoldPharmaceuticals (Grant), Masimo(Advisory Board)Wendy L. Macias Konstantopoulos, NIDAMcLean Hospital (Grant)Simon A. Mahler, AAMC andDonaghue Foundation (Grant) AHAClinical Research Program (Grant)Commonwealth of Pennsylvania andthe ACR Foundation Fund for ImagingInnovation. (Officer) NIH; NHLBI (Grant)Jennifer R. Marin, Diagnostic imaging(Grant), NIH NHLBI (Grant), Researchfunds (Grant)Candace McNaughton, CardeneIV (Advisory Board) CornerstoneTherapeutics (Advisory Board)Jesse L. Mecham, EMRA - ResidentResearch Grant - No Commercialaffiliation (Grant)Roland C. Merchant, Grant funding(Grant), National Institutes of Health(Grant)Corey Heitz, EM Advanced Clinical Exam(Non-Commercial)James Miner, Taser International (Grant)Joseph Moellman, CSL Behring(Committee), CSL Behring, DyaxSantarus and Shire (Committee), Dyax(Non-Commercial)Lisa Moreno-Walton, Gilead Sciences(Grant)Daniel Morris, Provisional Patent onThymosin beta 4 for use in Neurologicaldisorders (Intellectual property)Kevin Munjal, NIH-NHLBI, K12 CareerDevelopment Award (Grant), NewYork Mobile Integrated HealthcareAssociation, Founder Chair, Non-Commercial)Evan H. Suzuki, BAMasaru Suzuki, MD PhDRobert A. Swor, DO FACEPLisa Sylvester, DOMeg Tabaka, MPHBreena R. Taira, MD MPHShinya Takeuchi, MDRichard A. Taylor, M.DNatasha A. Tejwani, MDSophie Terp, MD MPHSophie Terp, MD MPHMark O. Tessaro, MDAngela E. Thelen, BSNik Theyyunni, MDJ Austin. Thompson, MDNadine T. Thompson-Carlton, MDKerrie Tidwell, MD MScGregory Tirrell, BSShannon Toohey, MDBess Tortolani, MDVicken Y. Totten, MD MSThaison P. Tran, MDStacy A. Trent, MD MPHChu-Lin Tsai, MD ScDStephanie Tseeng, MDEdward A. Ullman, MDSimran Vahali, MDJ. S. VanEpps, MD PhDJulie VanRaemdonck, RNArvind Venkat, MDStephen E. Villa, Bachelor of ScienceBenjamin A. von Schweinitz, MDMarie C. Vrablik, MDAlexei M. Wagner, MD MBARobin Naples, Teva Pharmaceuticals(Shareholder)Kristen Ng, AFAR Medical StudentTraining in Aging Research Grant(Grant)John A. Oostema, Blue Cross BlueShield of Michigan Foundation(Grant), Emergency Care Specialists(Shareholder), Independent EmergencyMedicine group (Shareholder),Recipient of investigator initiatedaward for this project (Grant)Sinead M. O’Donnell, Monetary fundingreceived from the National Children’sResearch Centre Crumlin Dublin 12Ireland. (Grant)Peter S. Pang, AF VTE AHF HTN(Committee) AF VTE and AHF(Advisory Board) American Collegeof Cardiology (Non-Commercial)Associate Editor (Non-Commercial),Editorial Board (Non-Commercial)Heart Failure Society of America(Non-Commercial) HF (Grant)Janssen Medtronic Novartis TrevenaSpringLeafTx (Pharmaceuticals), BGMedicine Cornerstone Therapeutics(Committee), Janssen MedtronicNovartis Trevena SpringLeafTx(Advisory Board) Journal of CardiacFailure (Non-Commercial) Journal ofthe American College of Cardiology:Heart Failure (Non-Commercial) NIH/NCATS (Grant)Linda Papa, Banyan Biomarkers Inc.(Committee), Biomarker development(Committee)William Peacock. ACS HF Arrhythmias(Committee) Implantable CardiacDevices (Committee) Medtronic(Committee)Michael A. Puskarich, EmergencyMedicine Foundation (Grant)David D. Wagner, MD JDJoshua Wallenstein, MDBrian Walsh, MD MBAPaul Walsh, MB BChSusan M. Walters, BSJennifer Walthall, MD MPHHenry E. Wang, MD MSRalph C. Wang, MDMichael J. Ward, MD MBAScott G. Weiner, MD MPHNatalie R. Weiss, BABjorn Westgard, MD MAJennifer L. White, MDLauren K. Whiteside, MDBenjamin Wie, BAMichael Williams, MDJames Willis, MDMatthew Wilson, MDMichael D. Witting, MD MSLillian Wong, MDKar-mun Woo, MDKaren G. H. Woolfrey, MD FRCPC ABEMFACEPJianmin Wu, PhD MSShujun Xia, MD PhDKabir Yadav, MDCM MS MSHSJustin Yan, MD MScSheryl E. Yanger, MDKim Yates, MBChB MMedScPGCertClinEd FACEMBenjamin Ying, MDJanet Young, MDAdeeb Zaer, MDJames Ziadeh, MDMichael D. Zwank, MDMajed A. Refaai, Coagmeter (Committee)CSL Behring (Advisory, Committee,Officer, Shareholder) Kcentra(Advisory, Committee, Officer,Shareholder), Triology (Committee),Vascoelastic ©Robert Rodriguez, Centers for DiseaseControl: RO-1 1 R01/CE001589-01(Grant)Tim Platts-Mills, American Federationfor Aging Research (Grant), NIA 5-T35-AG038047-04 - UNC-CH SummerResearch in Aging for Medical Students(Grant)Jeremiah D. Schuur, United HealthCare(Advisory Board)George J. Shaw, Complicated Skin andSoft Tissue Infection (Grant), CubistPharmaceutical (Grant) Daptomycin(Grant)Sarah A. Sterling, NIH T32HL105324-03(Grant)Benjamin Sun, Oregon Oral HealthFunders Coalition (Grant)Sophie Terp, AHRQ F32 IndividualPostdoctoral Fellowship (Grant)Stephen Traub, Editorial Board Up-To-Date (Officer), Eka Hospital; BSD CityIndonesia ©Brian S. Wasserman, National Institutesof Health (Grant)John Younger, NIH NSF (Grant)Shahriar Zehtabchi, NIH 1RC3NS070658(Grant)MAY 13-17, 2014 | DALLAS, TEXAS107


DIDACTIC PRESENTERS AND SUBMITTERS WITH DISCLOSURESSociety for Academic Emergency Medicine108H. Backer- California Emergency MedicalServices Authority, DirectorB. Barsan - NIH. Grant RecipientD.M. Beam: Emergency MedicineFoundation. Grant RecipientL.B. Becker: Philips Medical Systems,Seattle, WA, NIH Data Safety MonitoringBoard and Protocol Review Committee,Bethesda, MD, Helar Technology.Consultant; American Heart Association,Volunteer, The AHA sells trainingmaterials worldwide on resuscitationtechniques; Shareholder – Helar;Grant Recipient - Philips MedicalSystems, Seattle, WA, NIH, Bethesda,MD, BeneChill Inc., San Diego, CA, ZollMedical Corp, Boston, MA, MedtronicFoundation, Minneapolis, MN. Speaker’sBureau; Intellectual Property/Patents- Patents including 7 issued patentsand several pending patents involvingthe use of med slurries as a humancoolant, devices to create slurries,, andreperfusion cocktails; NIH Data SafetyMonitoring Board and Protocol ReviewCommittee, Bethesda, MD.S. Bird: SAEM Program Committee.A. Blomkalns - NIH NHLBI K08 Grant;EMCREG International; Grant Recipient;SAEM, DirectorE.W. Boyer: NIDA. Grant RecipientE.A. Brown: Metrics Medicus, Inc.. Officer,Committee, or Board MemberM. Brown: PCORI grant reviewer, Annals ofEmergency Medicine Editorial BoardC. Cairns: bioMerieux. Advisory BoardM. Carius: American Board of MedicalSpecialties, American Board ofEmergency Medicine, Officer,Committee, or Board MemberB.G. Carr: EMF Board; NIH,AHRQ,CDC,EMF, AHA - Grant RecipientS. Collins: Novartis, The MedicinesCompany, Medtronic, Trevena; NHLBI,Medtronic, Radiometer, Novartis,Trevena, The, The Medicines Company.Grant Recipient;J. Druck: Central line catheters. ConsultantC. Emerman: Durata Pharmaceuticals;Pharma. Advisory Board; Various legalfirms. ConsultantM. Epter: CORD. Officer, Committee, orBoard MemberG.J. Fermann; Pfizer, Janssen, AdvisoryBoard; Novartis, The Medicines Company,Cardiorentis, Radiometer, GrantRecipientD. Finefrock, The Sullivan Group,Commercial Entity(ies), Organization,Agency, CompanyO. Francis, Symantec, CommercialEntity(ies), Organization, Agency,CompanyG. Garmel, Cambridge University Press,Commercial Entity(ies), Organization,Agency, CompanyE. Goldlust - NHLBI (K12HL109019), GrantRecipientL. Heitsch: American Heart Association.Grant RecipientT. Henwood: Physicians Ultrasound inRwanda Education Initiative. GrantRecipientB. Hiestand: Janssen. Advisory Board;Rivaroxaban. Advisory Board; MotiveMedical Intelligence, Consultant;Radiometer, Cardiorentis, Dyax;Ularatide, Ecallantide. Grant Recipient;Clinical condition related to this productor service or N/A if not applicable; Heartfailure, Heart Failure, ACE Inhibitorinduced angioedema; AcademicEmergency Medicine Journal, Annalsof Emergency Medicine, Journal ofEmergency Medicine, European Journalof Emergency Medicine, Internal andEmergency Medicine, Member of boardor committee, grant reviewer, officer,founding memberJ. Hollander: Behring, Janssen. AdvisoryBoard; ACS. Consultant; Radiometer,Instrument Laboratories. GrantRecipient; Alere, Abbott, Siemens, Trinity.Grant RecipientD. Houry: Society for Advancement ofViolence and Injury Research. AdvisoryBoard; NIH, CDC, Verizon Foundation.Grant RecipientK. Iserson, Galen Press, Ltd. - CommercialEntity(ies), Organization, Agency,Company, O; Author of “Iserson’s GettingInto a Residency”A. Jones: SAEM, SAEMF, EMF. Officer,Committee, or Board Member; NIH,Thermoscientific. Grant RecipientT. Judge: LifeFlight of Maine. EmployeeC. Kabrhel: Genentech, DiagnosticaStago, LitPulse Inc., Diagnostica Stago,Commercial Entity(ies), Organization,Agency, Company, etcD.O. Kessler: SonoSim. Consultant;J. Kline, Jansenn, Genentech, Rivaroxaban;Janssen, Daiichi, Stago Diagnostica,Commercial Entity(ies), Organization,Agency, Company, etc.; AHRQ, NIH, Ikaria,Grant RecipientK. Kocher, Magellan Health Services, Inc.,Commercial Entity(ies)K.L. Koenig: NEJM Journal Watch EditorialBoard, Massachusetts Medical Society,Cambridge University Press.T. Kowalenko: Spouse works for Genetech/Roche; Wegener’s Granulomatosis.Shareholder; Spouse Amgen/Biogen andGenetech/Roche stocks. Shareholder;American Board of Emergency Medicine,Board MemberJ. Leuck, Program Committee SAEM -Name of Self Spouse/Partner (Enter onlyif financial relationships are cited)


INNOVATIONS SPEAKERS – NOTHING TO DISCLOSEHarold Andrew Sloas,DO, RDMS, FAAEMTina Wu, MD, MBABryan F . Darger, BS, MSIIIKelly Barringer, MDTimothy W. . Jolis, MDRaashee Kedia, MDJulie B . McCausland, MD, MS, FACEPDan Mayer, MDNupur Garg, MDStella H. . Yiu, MDJennifer D . Walthall, MD MPHAlicia Blazejewski, MDSonal Batra, MDJeffery M . Hill, MDBiren Bhatt, MDAmish Aghera, MDMary Hughes, DORishi Madhok, MDAlexander C . Arroyo, MDMichelle Lin, MD, MPHBradley C . Ching, MDNestor Rodriguez, MDNara Shin, MDCorey Heitz, MDAnnette Dorfman, M.D.Mira Mamtani, MDMargaret K . Sande, MD MSAmanda Crichlow, MDKarthikeyan Muthuswamy, BSAndrew Eyre, MDChanel E . Fischetti, B.A.Nik Theyyunni, MDJude Kieltyka, MD, MPHNupur Garg, MDMichael Cabezon, MD, FACEPStephen Leech, MDShawn London, MDMichael S . Beeson, MD, MBAJeffrey A . Nielson, MD, MSSrikar Adhikari, MD, MSMichael Cassara, DOThomas D . Kirsch, MD, MPHMarcia A . Perry, MDJohn Eicken, MDKeme Carter, MDLaura Janneck, MD, MPHMichael Bohrn, MDTiffany Moadel, MDJordana J . Haber, MDKarim Ali, MDSofie R . Morgan, MD MBAKelly Medwid, MDINNOVATIONS SPEAKERS – WITH DISCLOSURESD.M. O’ConnorEmployee, Monte Carlo Software LLC; Medical Education Software; Co-founder, EmployeeArjun DayalEmployee, Monte Carlo Software, LLC; Medical Education Software; Co-founder, EmployeeDIVERSITY 101: CLOSING THE DIVERSITY GAPDISCLOSURESLisa Moreno-Walton, MD-LSUHSCGrant Recipient-Gilhead Sciences, INC. Grant Funding-HIVADVANCED EVIDENCE-BASED DIAGNOSIS WORKSHOPDISCLOSURESDaniel Mayer, MD-Albany Medical CollegeAAEM-legal Committee, Medical Legal Consultation, Albany Medical College/Medical Education andHealth care.Author: Essential Evidence Based Medicine-Cambridge University Press second edition 2010-EMBtextbook2014 JR. FACULTY DEVELOPMENT FORUMDISCLOSURESEric Gross, MD-Hennepin County Medical CenterCommercial Entity: Forests Labs- Taflaro- Pneumonia Skin InfectionTerry Kowalenko, MD- University of Michigan Medical SchoolSpouse is Employee & Shareholder : Genentech/Biogen/Amgen-Product-Rituxam/Wegener’sPLANNING FOR A SAFER DECADE OF ED ANALGESIAMichael Beeson, MD-Akron General Medical Center/Northeast Ohio Medical UniversityShareholder/BOD Member:EasyEMS, INC. online testingKnox Todd, MD-The University of Texas MD Anderson Cancer CenterGrant recipient- Dep. Med-Lezands-PainAdvirosy BOD-CVS-Pharmacy/SO Vig-PainLIFESAVING ULTRASOUND IN THE CRITICALLY ILLPATIENT: A CASE-BASED APPROACH DISCLOSURESNone of the speakers in this session have anything to discloseTRAIN THE TRAINER: ADVANCING SIMULATION FOREDUCATION DISCLOSURESNone of the speakers in this session have anything to disclose2014 SENIOR FACULTY LEADERSHIP FORUMDISCLOSURESAnn Chinnis, MD-West Virginia University School of MedicineAdvisory Board- Divurgent Consulting-IT consultingTracy Sanson, MD-University of South Florida College of MedicineTeamHealth Employee-CMGTodd Crocco, MD-West Virginia University School of MedicineGenetech-Stroke website CreationHealth Net University Health Associates-Clinical CareVindico-Stroke CareLeslie Zun, MD-Mount Sinai HospitalTeva Pharmaceutical-Adasuve/AgitationW. Brian Gibler, MD-University of Cincinnati College of MedicineAdvisory Board-Astra ZenecaConsultant-Aldea Pharma-Pro scan ImagingShareholder-Siloma2014 JR. FACULTY DEVELOPMENT FORUMDISCLOSURESEric Gross, MD-Hennepin County Medical CenterCommercial Entity: Forests Labs- Taflaro- Pneumonia Skin InfectionTerry Kowalenko, MD- University of Michigan Medical SchoolSpouse is Employee & Shareholder : Genentech/Biogen/Amgen-Product-Rituxam/Wegener’sAEM CONSENSUS CONFERENCE - NOTHING TO DISCLOSEThe following speakers and planning committee members have no relationships to disclose.Ayodola Anise, MHS, Patient Centered Outcomes Research Institute; Jeremy Brown, OECR; EstherChoo, MD, MPH, Brown University/Rhode Island Hospital; David C. Cone, MD, Yale University Schoolof Medicine; Rosemarie Filart, NIH/NCATS; Nina Gentile, MD; Marna Greenberg, DO, Lehigh ValleyHealth Network; Debra E. Houry, MD, MPH, Emory University; Marianne Legato, MD, FACP, ColumbiaUniversity College of Physicians & Surgeons; Alyson McGregor, MD, Brown University; ChristopherMoore MD, RDMS, RDCS, Yale University School of Medicine; Lena Napolitano, MD, University ofMichigan; Megan Ranney, MD, MPH, Brown University; Basmah Safdar, MD, Yale University Schoolof Medicine; Jane Scott, NIH/NHLBI; Knox H. Todd, MD, MPH, The University of Texas, MD AndersonCancer Center; Federico Vaca, Yale University School of Medicine;AEM CONSENSUS CONFERENCE - WITH DISCLOSURESThe 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 inMedicine; Institutional Research: Radiometer, Cardiorentis, Novartis, DOD.Roger Benton Fillingim, PhD, University of Florida College of Dentistry, Officer or Board Member andShareholder: Algynomics; Grant recipient, PfizerW. Frank Peacock, MD, FACEP, Baylor College of Medicine, Consultant: Abbott, Atene, Brahms NovartisRochel, The Machine’s Co, BG; Officer or Board Member: Emergencies in Medicine, ComprehensiveResearch 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 systemdiseases 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 ResusDevices; Other: Helar Inc.Edwin Boudreaux, Consultant: Polaris Health Directors; Intellectual Property/Patents: Polaris HealthDirectorsDavid W. Wright, MD, Emory University Intellectual Property/Patents: Progesterone for TBI inventor onpatent with Emory University; Licensed to BHR Pharma DETECT inventor on patent no LC.GRANT WRITING WORKSHOP - NOTHING TO DISCLOSEThe following speakers and planning committee members have no relationships to disclose.Prasanthi Govindarajan, MD, MAS, UCSF; Brendan Carr, MD, University of Pennsylvania; Barb ForneyUniversity of Cincinnati; Mark Angelos, MD, The Ohio State University; James Holmes, MD, MPH, UCDavis School of MedicineGRANT WRITING WORKSHOP - WITH DISCLOSURESThe 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, MerckJeffrey 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 GeorgeWashington University).Michael Puskarich, MD, University of Mississippi Medical Center, Grant recipient: EMFAlan Jones, MD, University of Mississippi Medical Center, Officer or Board Member: SAEM, SAEMF, EMF;Grant recipient: NIH2014 ACADEMIA AND THE PRACTICE OF COMMUNITY-BASED EMERGENCY MEDICINE DISCLOSURESJason Nomaura, MD-Christiana Care Health SystemConsultant-EUS Consultants LLC US Officer/ Board Member -Nomura Consulting LLC-MedicalEducationDaniel Keyes, MDEmployee Self/Emergency Physician Medical GroupMAY 13-17, 2014 | DALLAS, TEXAS109


“EmCare offers a fulfilling andchallenging career with roomfor growth. There is never adull moment at EmCare.”~ Harsh Bhakta, DOBaylor Medical Center at McKinneyMcKinney, TexasQuality people. Quality care. Quality of LIFE.Hundreds of Jobs NationwideEmCare is the nationwide leader in emergency medicine and is a company that is making healthcare work better, especially for physicians. EmCare provides the resources and support you need soyou can focus on patient care. EmCare currently has hundreds of opportunities available foremergency medicine physicians. The company offers:• Communities from coast-to-coast – small towns to major urban areas• Several practice settings – small, rural and critical access hospitals to major academicfacilities, including children’s hospitals• Competitive compensation• A-rated professional liability insuranceYour exciting new adventure awaits!Society for Academic Emergency MedicineCALL: (855) 367-3650 (Use Reference Code “SAEM”)EMAIL: Recruiting@EmCare.comSearch hundreds of opportunities at www.EmCare.com/Recruiting.aspxEM Academic OpportunitiesWEST VIRGINIA: Charleston — EM Physician/Ultrasound EducatorExcellent opportunity within EM Residency program for BP/BC EM physician with ultrasound fellowship orsignificant 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 trainingwithin simulation laboratory.Contact Rachel Klockow, Premier Physician Services, (800) 406-8118, rklockow@premierdocs.com.TOLEDO: Ohio — Clinician/Faculty within EM Residency ProgramCandidates must be EM residency trained and BC. High-acuity, Level I facility, pediatric trauma center, sees65,000 patients per year. The program is recognized for training within the LifeFlight program. Appealingpackage includes competitive remuneration.Contact Amy Spegal, Premier Physician Services, (800) 726-3682 ext. 8118, aspegal@premierdocs.comFlexible Benefit Packages | Leadership Opportunities | In-House CME | More...erdocsalary.com110


EXHIBITOR ANNOUNCEMENTSChiesi USA, IncBooth 3Linda Jenkins1255 Crescent Green DrSuite 250Cary, NC 27518linda.jenkins@crtx.comSheridan HealthcareSheridan Healthcare, Inc. is a leading hospitalbasedphysician services company in thecountry, providing outsourced clinical andmanagement services in emergency medicinesince 1994. Since then, Sheridan EmergencyServices has been providing metric-drivensolutions to healthcare systems seeking tointegrate the Emergency Department into theinstitution’s care delivery model. Operatinghospital-based programs in adult and pediatricemergency medicine, Sheridan is recognized bythe National Committee for Quality Assuranceas a certified physician organization.Booth 19Robin Block1613 N Harrison PkwySuite 200Sunrise, FL 33323robin.block@sheridanhealthcare.comEducation ManagementSolutions IncSIMULATIONiQ CaseMaster (patent pending)is a cloud-based interactive training tool formedical practitioners to master new skillsthrough repetition, deliberate practice, andinstant feedback. CaseMaster includes morethan 10,000 real clinical orders enabling acommunity of authors to collaborate andcreate numerous medical cases based on actualcare pathways. Learners can practice fromanywhere and on any device – with no physicalmedical simulation center or mannequinrequired. Visit Booth #2 for a demo andwww.simulationiq.com to learn more.Booth 2Rachel Karp436 Creamery WaySuite 300Exton, PA 19341rachel.karp@ems-works.comBiodynamic Research CorpDo you have an engineering degree? Are youlooking for a career change? BRC may be theplace for you! *use medical and engineeringtraining *analyzing injuries and mechanismsof injuries * no patient care *competitivecompensation and benefits package. BRCemploys full-time consultants who specializein the analysis of the human body’s responseto forces and accelerations, in order todetermine if or how injuries are caused.Booth 1Jesse Sanchez5711 University Heights Blvd#107San Antonio, TX 78249Jsanchez@BRCOnline.comEmergency Consultants IncPhysAssist Scribes IncMar-MedEmergency Service Partners LPIn 1972, ECI Healthcare Partners was foundedwith a single, cherished principle: Qualityhealthcare is achieved by valuing people.Over the years, having efficiently managedthe care of over 27 million patients in over 30states, we have prospered into a network ofprofessionalBooth 7Karen Herriman4075 Copper Ridge DriveTraverse City, MI 49684koren.herriman@ecihp.comEstablished in 1995, PhysAssist Scribes, Inc.improves both the physician and patientsatisfaction in the emergency departmentsand clinics we serve. Training innovations(I AM SCRIBE University), complianceunderstanding, leadership, and performanceimprovement management, have resulted insatisfied clients nationwide. Always Quality -our #1 Focus.Booth 11Scott Hagood6451 Brentwood Stair RdFt Worth, TX 76112scott@iamscribe.comThe Tourni-Cot by Mar-Med is a simple andelegant digit tourniquet, which makes itsafe and easy to create hemostasis on fingersand toes. By exsanguinating and occludingvessels during application the Tourni-Cotis reliable and efficient, unlike improvisedmethods. Used throughout the United Statesand internationally for over 20 years by topinstitutions, we invite you to sample theTourni-Cot as well.Booth 12Jerry Marogil333 Fuller Ave NEGrand Rapids, MI 49503jerry@marmedco.comEmergency Service Partners, L.P. is a 100%physician-owned, democratic emergencymedicine partnership. For more than 25years, we’ve earned an excellent reputationfor delivering high-quality clinical care atmore than 25 facilities across Texas. Ourphysicians serve as faculty for the new UTSouthwestern Austin Emergency MedicineResidency program, as well as a new PediatricEM Fellowship in Austin. Visit us online atwww.eddocs.com and learn why you belonghere at ESP!Booth 13Brian Sparks6300 La Calma Drive#200Austin, TX 78752bsparks@eddocs.comMAY 13-17, 2014 | DALLAS, TEXASEmergency Medical AssociatesEmergency Medical Associates is oneof the country’s most respected, trulydemocratic emergency medicine physiciangroups. Widely recognized for clinicalexcellence, EM research, our physicians enjoyexceptional life-work balance, outstandingcompensation and unlimited growthopportunities. We are currently seeking BC/BE EM physicians for career positions on theeast coast.Booth 16Dana Criscuolo3 Century DriveParsippany, NJ 07054criscuolod@ema.netB-Line MedicalB-Line Medical is a leader in medicalsimulation technologies specifically designedto capture and evaluate training activities.With a 98% client retention rate and theability to integrate with the broadest rangeof devices in the industry, B-Line Medicalenhances quality and efficiency by providingpowerful tools for data capture/analysis.Booth 15Patrick Kantakerich1300 19th StSuite 100Washington DC 20036daniel.henig@blinemedical.comTerasonTerason continues to revolutionize ultrasoundwith the latest developments in highperformance portable systems. Our uSmartproducts provide exceptional imagingcapability and the advanced features andfunctionality you have come to expectfrom Terason. These complete ultrasoundsolutions optimize workflow, enhanceclinical efficacy, and increase productivity foreveryday clinical needs.Booth 4Nancy Bax77 Terrace Hall AveBurlington, MA 01803ncbax@terason.comNicka & AssociatesNicka & Associates has proven industryknow how to mazimize appropriatereimbursement and minimize compliancerisk. Emergency medicine is our specialty– YOUR business is OUR business! We areproudly American owned and 10% operatedin the USA. Excellence in *Coding *Consulting*Compliance *Education.Visit us at www.nicka-associates.comBooth 9Beth Graves5501 Independence PkwySTE 316Plano, TX 75023bgraves@nick-associates.com111


EXHIBITOR ANNOUNCEMENTSTexas Tech Health SciencesCenter at El PasoTTUHSC at El Paso is seeking Board CertifiedPhysicians in the area of emergency medicineto become part of its team of professionals.The Department of Emergency Medicine staffsthe Emergency Room of University MedicalCenter El Paso, a level one trauma centerwith approximately 60,00 visits annually. Thedepartment also assists in training medicalstudents from the TTUHSC Paul L Foster SOM.Appointments will be at an assistant professorlevel or above, as deemed appropriate.Booth 30Christine Carbajal4801 Alberta AveSuite B3200El Paso, TX 79905christine.carbajal@ttuhsc.eduTian Medical LLCTx 360 is specially designed for use in adultsto deliver small amounts of fluid selected bya healthcare professional to the anatomicalstructures along nasal pathway. This deviceallows easy, safe, and instant access to theinner most hidden areas of the nasal pathway.In particular it allows professionals to easilyand accurately reach the Sphenopalatineforamen which is essential when performinga Sphenopalatine Ganglion nerve block. It isthe only device in the world for this purpose.Booth 36Tian Xia244 E Roosevelt RdLombard, IL 60148tianx@yahoo.comVectraCorDetect ECG changes suggestive of a heartattack in real-time and derive a 15-22lead ECG with the VectraplexECG System.VectraCor’s disruptive and patentedtechnology is the only ECG machine/monitorwith a non-invasive Cardiac ElectricalBiomarker, CEB®, for the real-time detectionof ECG changes suggestive of an AMI, plusthe capability to derive the ECG (15-22 leads)with only 5 electrodes (V2 & limbs). Thiscould help physicians with the world’s #1killer, CVD, and potentially save heart muscleand lives. FDA-cleared and CE-Marked.Booth 17785 Totowa Rd Suite 100Totowa NJ 07512www.vectracor.comRosh ReviewYour emergency medicine board reviewis about to change. Expert questionwriters, high yield content, comprehensiveexplanations…all in a simple, user friendlyinterface. For Program Directors we launcheda comprehensive PD Dash to track, overseeand analyze your residents performance withbuilt-in milestones.Booth 35Adam Rosh10515 Talbot AveHuntington Woods, MI 48070adam@roshreview.comSociety for Academic Emergency MedicineHealthcare Cost &Utilization Project (HCUP)HCUP is a family of health care database,software tools, and products developedthrough a Federal-State-Industry partnership.Sponsored by the Agency for HealthcareResearch and Quality (AHRQ), HCUP databaseprovide the largest collection of all-payer,longitudinal hospital care data in theUnited States.Booth 27Jennifer Podulka540 Gaither RoadRockville, MD 20850HCUP@AHRQ.GOVCoding NetworkThe Coding Network provides four primaryproducts: 1) remote coding services (ongoingor temporary) for both professional andfacility services, 2) coding accuracy andcompliance reviews, 3) coding helplineservices, and 4) provider code selection anddocumentation training. Our coders/auditorsare all U.S. based and certified. We alsooffer ICD-10 Gap Analysis audits and ICD-10documentation training classes.Booth 29Neal Green324 Palm DriveBeverly Hills, CA 90272ngreen@codingnetwork.comACEP BookstoreSwing by the ACEP Bookstore Booth 31, May13 - 17 during exhibit hours and check outthe new clinical and educational referencesavailable.Show specials — PEER VIII: Physician’sEvaluation and Educational Review inEmergency Medicine; and APLS: The PediatricEmergency Medicine Resource, 5th Ed. &Instructor’s Toolkit CD-ROMBooth 31Nicole Tidwell1125 Executive CircleIrving, TX 75038ntidwell@acep.orgShift AdministratorsShiftAmin is a 100% web-based schedulemanagement system serving over 900facilities over 15,000 providers. TheShiftAdmin system includes an extremelypowerful schedule generation algorithm thatis easy to use. The system also allows you tomanage schedules for one or many facilities,and its features include shift posting/trading/splitting, schedule requests, automaticsyncing with external calendar software,private and public URL options, extensivestates and reporting and much more.Booth 34Megan Louis2818 Canterbury RdColumbia, SC 29204info@shiftadmin.comKowa Optimed IncSince the launch of its first retinal camera in 1962,Kowa Optimed has been devoted to producing themost innovative optical products and integratedtechnology solutions in the world. Kowa is themarket leader in numerous areas, includinghandheld slit lamps. Our latest design is utilizednot only in eye care, but also in ERs, ORs, pediatrics,neurology, general medicine, veterinary medicine,and ophthalmic research worldwide. Despitehaving the lowest cost of ownership, Kowa productsfrequently outlast those of our competitors. KowaOptimed attributes its record of success to its abilityto introduce products with key features, innovation,and functions that meet specific user needs.Booth 33Aletha Vassilakis20001 South Vermont AveTorrance, CA 90502aletha@kowa.comQuestcareQuestcare is a physician-owned EmergencyMedicine organization with an academicfocus on quality medicine. We are ademocratic group with an entrepreneurialvision and dedication to career growthand development. Questcare delivershigh-quality emergency care in twentyoneultra-modern facilities in Dallas-FortWorth, San Antonio, El Paso, and OklahomaCity. Questcare focuses on supporting andestablishing successful emergency medicinecareers for new physicians.Booth 25Lisa Parker12221 Merit DrSuite 1500Dallas, TX 75251lisa.parker@questcare.comEmCareQuality people. Quality Care. Quality LIFE.EmCare is the nation’s leading physicianpractice management company. It is knownfor developing local practices, supportingaffiliated clinicians with regionally-locatedclinical leadership and operational personnel,and providing them access to unprecedentednational resources. Opportunities existat small and large hospitals in locationsnationwide. EmCare offers competitive payand exceptional benefits. Call (855) 367-3650or search jobs at www.EmCare.com. EmCareis…Making Health Care work Better.Booth 26Heidi Wilson13737 Noel RdSte 1600Dallas, TX 75240heidi_wilson@emcare.comValley EmergencyPhysicians (VEP)Offering the highest quality of emergencymedical services and hospital programs toour partner hospitals and their communities.Over 90% of our physicians are board certifiedor board eligible in emergency medicine orprimary care. Our client hospitals range fromurban trauma centers to rural communityhospitals. Our dedication to excellence isreflected in our long term relationships with30 hospitals.Booth 20April Mazur1990 N California BlvdSte 400Walnut Creek, CA 94596aprilmazur@valleyemergencycom112


EXHIBITOR ANNOUNCEMENTSJanssen Pharmaceuticals– PROUD SPONSOR OF AEM CCThe Janssen Pharmaceutical Companiesof Johnson & Johnson are dedicated toaddressing and solving some of the mostimportant unmet medical needs of our timein oncology, immunology, neuroscience,infectious diseases and vaccines, andcardiovascular and metabolic diseases.Booth 32Jamie Decuba1000 Route 202Raritan, NJ 08869jdecuba@its.jnj.comMasimoMasimo is a global medical technologycompany responsible for the invention ofaward-winning nonivasive technologies,medical devices, and sensors that arerevolutionizing patient monitoring, includingMasimo SET, Masimo rainbow SET PulseCO-Oximetry, noninvasive and continuoushemoglobin (SpHb), acoustic respiration rate(RRa), Masimo SafetyNet, and SEDLine, (EEGbased)Brain Function Monitors.Booth 24/28Tammy Russo40 ParkerIrvine, CA 92618trusso@masimo.comCEP AmericaCEP America is among the largestindependent, democratic physician groupsin the U.S., offering highly satisfying careeropportunities within a Partnership structure.CEP America is owned and managed by itsphysician Partners. Our integrated practicemodel includes careers in emergency andhospital medicine, and urgent care. We arededicated to providing the best practicelocations and management support for ourPartners. Our physicians have a voice in thePartnership from day one!Booth 21Allie Tupman2100 Powell StSuite 900Emeryville, CA 94608tupmana@medamerica.comInfinite TherapeuticsThe infinity IT-8800 offers state of theart roller foot reflexology. Thigh and hipmassage, an amazing spinal decompressionstretch, sensors for customized targetedmassage, lumbar heat and music. Endlessluxury, ultimate massage.Booth 23Sandy Smith68 Route 125Kingston, NH 03848info@infinitetherapeutics.comElite Medical ScribesSonoSimLogical ImagesGreenville Health SystemElite is the premier scribe training, staffing,and management company for hospitals,physician groups, and clinics across the nation.With established methods and techniquesrefined through countless hours of clinicalexperience we created a unique program,which maximizes efficiency of patient careand enhances the overall quality of healthcare.With Elite there is no hassle in establishinga new scribe program, or enhancing yourexisting program. For recruitment, to trainingand management Elite has you covered.Booth 8Mallory Hernandez8011 34th Ave SSte 242Bloomington, MN 55425malloryh@elitemedicalscribes.comSonoSim creates the SonoSim UltrasoundTraining Solution, a revolutionary, realpatientbased ultrasound training product. Ituses a laptop computer training environmentto deliver unparalleled didactic content,knowledge assessment and hands-ontraining. The refreshingly engaging learningexperience allows users the freedom to learnanything -anywhere.Booth 14Dimitry Boym1738 Berkeley StSanta Monica, CA 90404info@sonosim.comVisualDx is used at over 50% of all medicalschools and more than 1,500 hospitals in theUS. As the clinician co-pilot, it allows searchby symptoms, medications, diagnoses,medical history, or all of the above to buildthe most accurate differential diagnosispossible. Then it combines this search witha database of nearly 30,000 images andmedical knowledge from experts to helpwith diagnosis, treatment, self-educationand patient communication.Booth 53445 Winton PlaceSuite 240Rochester NY 14623800.357.7611Greenville Health System, the largesthealthcare provider in South Carolina, seeksEM physicians to staff its academic Level 1Trauma Center and 3 community hospitalED’s in the newly established Departmentof Emergency Medicine. Grow with us ascore or clinical faculty as the departmentincorporates an emergency medicineresidency program in the near future.Booth 67 Independence PointeSuite 120Greenville SC 29615MAY 13-17, 2014 | DALLAS, TEXASVenaxisVenaxis, Inc. is an in vitro diagnostic companyfocused on the clinical development andcommercialization of its CE Marked APPY1Test, a rapid, protein biomarker-based test forpatients with suspected acute appendicitis.This unique appendicitis test has projectedhigh sensitivity and negative predictivevalue. Venaxis has filed a submission withthe FDA for the APPY1 Test; until clearancethe test is not available for sale in the U.S.For more information visit Booth #10 orwww.venaxis.com.Booth 101585 South Perry StreetCastle Rock, CO 80104www.venaxis.comBesins Critical Care– PROUD SPONSOR OF AEM CCBesins Critical Care, a division of BesinsHealthcare, is a pharmaceutical companycommitted to providing advancements inthe field of traumatic brain injury (TBI). Aglobal, Phase 3, multi-center trial of BHR-100 (i.v. progesterone infusion) is currentlyongoing to investigate the safety and efficacyof progesterone in patients with severe TBI.Booth 37607 Herndon Pkwy Ste 110Herndon WA 20170Emergency MedicinePhysiciansFor 20 years, our physician group model hasallowed us to forge the best relationshipswith each other and our hospital partners. Wenavigate the changing waters of healthcarewith our servant’s heart and owner’s mind.We relate and innovate. And we always enjoythe ride.Booth 38Phebe Dave4535 Dressler Road NWCanton OH 44714800-828-0898Challenger CorporationChallenger provides learning and testingtools for program directors and institutions toquantify the skill sets of residents and Pas intraining. Challenger’s reporting system yieldscompliance, performance and remediationdata on individual users, program years, andfor your entire program. These statisticaloutputs permit client institutions to provecompliance and effectiveness to certifyingorganizations.Booth 395100 Popular Ave, Suite 1410Memphis, TN 38137901-762-8449113


ird FloorTHE SHERATON DALLAS HOTELConference Center First FloorCONFERENCE CENTER 1ST FLOORPreconveneRollingDoorConference CenterEntranceA1A2A3BDallas BallroomGrand HallCSociety for Academic Emergency Medicine3StateRoom4Sky Bridgeto Westin Hotel& Plaza of theAmericasPearlD1 1 2 3D2 D3Pearl4PreconvenePreconvene Austin Ballroom1 2 3Conference Center Second FloorCONFERENCE CENTER 2ND FLOORPearl5Skywalkto hotelPressClubClient’s Office& RegistrationAtriumBrassrieBusinessCenterLive OakLoadingDock Executive2 Bays BoardroomSkywalkto hotelSeminarTheaterConferencA1 A2 A3 A4Lone Star BallroomPreconveneBC1 C2C3 C4114


THE SHERATON DALLAS HOTELConference Center Third FloorSkywalkto hotelCONFERENCE CENTER 3RD FLOORConference Center FirAPreconveneSan AntonioBallroomA1A2BPreconvene1StateRoom2BDallas BallroomCHOTEL 2ND FLOORHotel Second FloorAHoustonBallroomBC3StateRoom4D1MAY 13-17, 2014 | DALLAS, TEXASD2PreconveneHotel Third FLive OakTrinity1Sky Bridgeto Westin Hotel& Plaza of theAmericas1Pearl23Pearl4PreconveneAustin Ballroom1 2 3Pearl5PressClubAtriumBrassrieExecutiveBoardroomSeminarTheaterSkywalkto hotelClient’s Office& RegistrationBusinessCenterTrinity5TrSkywalkto hotelTrinity4115Tr


Hotel Fourth FloorTHE SHERATON DALLAS HOTELHOTEL 3RD FLOOR – TRINITYHotel Third FloorCityView6CityView5CityView4Live OakTrinity1PressClubAtriumBrassrieExecutiveBoardroomCityView7RemingtonSeminarTheaterCityView8CourtyardSociety for Academic Emergency Medicineient’s OfficeRegistrationird Floor A4BusinessCenterSkywalkto hotelHOTEL 4TH FLOOR – CITY VIEWHotel Fourth FloorCityView6CityView5CityView4Trinity5Trinity4Trinity2Trinity3ityCityView3CityView2CityView1CityViewPreconvene7RemingtonCityView8CourtyardFitnessCentery116Trinity2 C4Hotel 37th Floor


THE SHERATON DALLAS HOTELHOTEL 37TH FLOOR – MAJESTICHotel 37th FloorMajestic1 23 4 511 109876MAY 13-17, 2014 | DALLAS, TEXAS117


Kick Your Learning Into High Gear withSAEM OnDemandNEW THIS YEAR:Full-Motion Videos of the Annual Meeting PresentationsSociety for Academic Emergency Medicine★ Unlimited online access to up to 75 educational sessions –synchronized slides & audio★ Convenient mobile access from your iPad ® , iPhone ® andAndroid device★ Earn CME credits★ Downloadable PDFs of presenter slides and audio MP3» See a Demo & Purchase Today at the SAEM OnDemandSales Booth, Grand Hall, 1st FloorThis activity has been approved for AMA PRA Category 1 Credit(s)Special Onsite DiscountsSAVE $200!Pricing: Members – $200Nonmembers – $300saem.org/ondemand118


yEVERTHING’S BIGGERIN TEXAS.EMERGENCY CONSULTANTSproudly sponsors this year’sSAEM ANNUAL MEETINGSHINDIGResidents and medical students, you’re invitedto an exclusive soiree at the Society for AcademicEmergency Medicine conference!Friday, May 164 p.m. to 7 p.m.Sheraton Hotel’s Remington RoomEnjoy cocktails* and hors d’oeuvres*To nab access and your complimentary drink ticket, flash your residentor medical student badge at the Emergency Consultants booth.FREE DRINKTICKETPROUD SPONSORS:AT BOOTHNo. 7We take care of the peoplewho take care of patients.EmergencyConsultants.com


See You In San Diego, CAMay 2015www.saem.org

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