Latest Emergency Medicine Research Highlights The Evolving Emergency Medical Care Landscape - Oct 12, 2017

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Latest Emergency Medicine Research Highlights The Evolving Emergency Medical Care Landscape
Oct 12, 2017

WASHINGTON, Oct. 12, 2017 /PRNewswire-USNewswire/ -- Leading researchers in emergency medicine will present nearly 500 studies during ACEP17-Scientific Assembly, the annual meeting of the American College of Emergency Physicians (ACEP) in Washington, D.C., running from Sunday, October 29th through Tuesday, October 31st. Sponsored by ACEP, the Research Forum will be held in Rooms 154A, 154B, 155, 159A and 159B on Level 1 of the Walter E. Washington Convention Center (WCC) at 801 Mount Vernon Place, NW, from 9:00 am to 5:00 pm on Sunday, October 29th and Monday, October 30th, and from 9:00 am to 4 pm on Tuesday, October 31st.

ACEP Logo. (PRNewsFoto/American College of Emergency Physicians) (PRNewsfoto/ACEP)

Researcher physicians will present their latest findings in emergency medicine research, focusing on topics ranging from pediatrics to geriatrics, including cardiology, mental illness, toxicology, telemedicine and opiates. The abstracts on which poster presentations at Research Forum are based are published in a special supplement to Annals of Emergency Medicine.

Each day of the Research Forum will feature a special "state-of-the-art" presentation in Room 149AB of the WCC from 1:00 pm to 1:50 pm.  Sunday's topic is "Clinical Guidelines: From Emergency Care Research to Bedside," with Joseph Piktel, MD, FACEP and Clifton W. Callaway, MD, PhD., FACEP. Monday's topic is "The Opioid Crisis: How Government Representatives and Emergency Providers Work Together to Improve Patient Care," with Joseph Piktel, MD, FACEP.  Tuesday's topic is "The Landmark Article: From Research Idea to Game-Changing Manuscript," with Phil Levy, MD, MPH, FACEP and Jerome Hoffman, MD, FACEP.

The Research Forum will close with a panel session, "Prime Time Practice Changers: Highlights of Research Forum," highlighting some of the most significant emergency medicine research, from 4:00 pm to 5:00 pm on Tuesday, October 31st in Room 149AB of the WCC. The session will be moderated by Alex Limkakeng, MD, FACEP, Judd Hollander, MD, FACEP and Dave Milzman, MD, FACEP.

Obtain credentials (and the latest daily news about the conference) in the Media Relations Office located at street level in WCC 141, beginning Saturday, October 15th at 10:00 am. A news media workroom in WCC 142, next to the Media Relations Office, is available for use by the press and has telephones, internet connections (computers not provided) and workspace to conduct interviews. Members of the media who display ACEP17-Scientific Assembly press credentials have access to all educational sessions, the general session, the Research Forum and the Exhibit Hall.

News Media

Registration fees are waived for credentialed members of the news media.  Reporters are invited to attend all the sessions and courses during ACEP 17, as well as the Research Forum and Exhibit Hall.  To register, you must have valid press credentials or identification from a valid news organization. The deadline for news media to pre-register is October 15, 2017.  You can do that that by going to or onsite during the conference at the Media Relations Office.

The Media Relations Office and News Media Workroom are side-by-side at: WCC 141 and WCC 142 on the street level of the Walter E. Washington Convention Center, beginning the day before ACEP 17.  The onsite phone number during the below office hours is (202) 249-4009. 

Saturday, October 28 

10:00 am - 1:30 pm

Sunday, October 29

7:30 am – 5:30 pm

Monday, October 30

8:00 am – 5:30 pm

Tuesday, October 31

8:00 am – 5:30 pm

Wednesday, November 1

8:00 am – 11:30 am 

ACEP staff will be available to provide information and help coordinate interviews with faculty and ACEP members.  The adjoining News Media Workroom will be available for use by the press.  The workroom will have telephones, internet connections (computers not provided) and workspace to conduct interviews.

OCTOBER 29-31, 2017
Rooms 154A, 154B, 155, 159A AND 159B

Sunday, October 29, 2017

9:00 – 9:50 am

Rooms 154A, 154B, 155, 159A and 159B

A Simple Algorithm Reduced Mortality in Near-Hanging Patients (#28)
Presenter: Muralitharan, T., Meenakshi Mission Hospital, Madurai, India
Early intubation, timely management of hypo-perfusion and targeted temperature management reduces mortality and morbidity in partial hanging patients.

Time Is Money: The True Cost of Helicopter EMS (#35)
Presenter: Rogich, J., University of Massachusetts Medical School, Worcester, MA
While helicopter transport of critically ill patients decreased time to care over ambulance transport, it had no effect on in-hospital mortality.

Feasibility of Bystander Administration of Public Access Naloxone for Opioid Overdose (#39)
Presenter: Goldberg, S., Brigham & Women's Hospital, Boston, Mass.
In a simulation of bystander intervention for a patient overdosed on opiates, 98 percent administered naloxone successfully.

10:00 am10:50 am

Rooms 154A, 154B, 155, 159A and 159B

Impact of an All ABEM Staffing Model and Enhanced Front End Patient Flow Strategies in a Rural Critical Access Hospital (#47)
Presenter: Allegra, P., University of Miami Medical School, Miami, Fla.
A rural critical access emergency department markedly improved its quality metrics and market share after improving its front-end strategies and staffing the ED entirely with board-certified emergency physicians.

Cost Benefit Analysis of Physician-in-Triage Model at Community Hospital Emergency Department (#50)
Presenter: Bastani, A., William Beaumont Oakland University School of Medicine, Rochester Hills, Minn.
Adding a physician to triage during peak hours significantly decreased the rate of patients who leave without being seen.

Dr. Admit: Reducing Admission Decision Time for Clinically Ill Patients (#51)
Presenter: Spiegel, T., University of Chicago, Chicago, Ill.
The introduction of a "Dr. Admit" program, designed to speed up admission to the hospital of critically ill patients, reduced average time to admission by more than two hours.

11:00 am11:50 am

Rooms 154A, 154B, 155, 159A and 159B

Reduced Emergency Department Visits, Hospital Days, and Costs After Implementation of Individualized Care Plans for "Frequent Flyers" (#79)
Presenter: Podolsky, S., Cleveland Clinic Health System, Cleveland, Ohio
When individualized care plans were developed for 145 patients who visited the emergency department frequently (more than six visits per year), ED visits decreased from 1,713 to 965.

Grady Memorial Hospital Emergent Dialysis Program (#80)
Presenter: Oiyemhonlan, B., Emory University, Atlanta, Ga.
Following the introduction of an emergent dialysis program at an urban emergency department, average patient time in the ED went from 342 minutes to "essentially zero" minutes.

Gender at the Head of the Bed: Does Gender Bias Exist in the Evaluation of Emergency Medicine Residents' Leadership Skills During Medical Resuscitations? (#83)
Presenter: Weichenthal, L., UCSF-Fresno, Fresno, Calif.
While female and male emergency medicine residents were viewed as being equally effective as leaders (in a study of medical resuscitations), female residents were more likely to be described as active and collaborative.

Safety and Efficacy of Dantrolene Sodium (250 mg/5 mL) in Patients with Exertional Heat Stroke (EHS) (#95)
Presenter: Hepner, A, Eagle Pharmaceuticals, Woodcliff Lake, N.J.
In a randomized, controlled clinical trial, dantrolene sodium combined with standard body cooling demonstrated greater clinically meaningful improvement in neurologic functions for patients suffering from exertional heat stroke (a rare, life-threatening condition).

Safety of Prehospital Midazolam in Behavioral Emergencies (#97)
Presenter: Hern, H., Highland Hospital, Berkeley, Calif.
Prehospital midazolam for sedation in acute behavioral emergencies does not appear to be associated with respiratory events.

Adverse Childhood Events (ACE) Scores in Opioid Misusing Patients Presenting to the Emergency Department (#226)
Presenter: Brucker, K., Indiana University School of Medicine, Indianapolis, Ind.
A substantial portion of patients who visit the emergency department with opioid misuse-related problems have some type of mental illness and high rates of early childhood trauma exposure.

4:00 pm4:50 pm

Rooms 154A, 154B, 155, 159A and 159B

Frequency and Effect of Interruptions on Resident Workload in the Emergency Department (#141)
Presenter: Jones, D., Mayo Clinic, Rochester, Minn.
Nearly one hour of residents' clinical time was spent dealing with interruptions, which led to increasing cognitive demand and slower reaction times over the course of a shift.

Monday, October 30, 2017

9:00 – 9:50 am

Rooms 154A, 154B, 155, 159A and 159B

Effect of New York State Electronic Prescribing Mandate on Opioid Prescribing Patterns (#168)
Presenter: Danovich, D., State Island University Hospital, Staten Island, N.Y.
Following the implementation of the New York State electronic prescribing of controlled substances mandate, one emergency department had a significant decline of prescribed opioids.

Trends in Site of Care for Low-Acuity Conditions Among Those with Commercial Insurance, 2008-2015 (#172)
Presenter: Poon, S., Brigham and Women's Hospital, Boston, Mass.
Over an 8-year period, urgent care center use increased by 93 percent, retail clinic use increased by 183 percent and emergency department use for non-urgent reasons decreased by 31 percent.

The Association of State Gun Laws with Pediatric Mortality from Firearms (#187)
Presenter: Goyal, M., Children's National Medical Center, Bethesda, Md.
State laws requiring universal background checks for firearm and ammunition purchases were associated with lower state-level firearm-related pediatric mortality rates, while state laws requiring firearm identification were not.

Impact of Implementation of Emergency Medicine Training on Emergency Department Mortality in Kigali, Rwanda: An Interrupted Time-Series Quasi-Experimental Design (#193)
Presenter: Aliusio, A., Brown University Alpert Medical School, Providence, R.I.
Following introduction of an emergency medicine training program at the University Teaching Hospital of Kigali, in Rwanda, mortality dropped from 6.8 percent of patients to 1.2 percent of patients.

10:00 – 10:50 am

Rooms 154A, 154B, 155, 159A and 159B

Impact of a Communication Process Improvement Program on Ambulance Use by Patients with Known Mental Health Diagnoses (#198)
Presenter: Cianelli, J., Midtown Community Health Center, Indianapolis, Ind.
After implementation of a quality improvement program to safely reduce overuse of EMS services by known mental health patients, the number of ambulance runs decreased by 76 percent.

Unexpected Benefits of ED-Based Social Support Intervention for Patients with Diabetes (#202)
Presenter: Burner, E., USC Keck School of Medicine, Los Angeles, Calif.
A social support initiative, which included text messages sent to selected family members of diabetes patients, had unintended benefits of improved family members' health behaviors and strengthened family relationships.

Long-Term Outcomes Following Pediatric Traumatic Brain Injury Presentations to the Emergency Department (#219)
Presenter: Gupta, N., Icahn School of Medicine at Mount Sinai, New York, N.Y.
Despite poor neurological status at the time of hospital discharge following treatment for traumatic brain injury, many children improved in the long-term, though that was most likely with children who had suffered falls and least likely with those who had been in a motor vehicle collision.

Adherence to the PECARN Head CT Rule: 2013 to 2015 (#220)
Presenter: Myers, K., Rutgers New Jersey Medical School, Newark, N.J.
Overall adherence to the Pediatric Emergency Care Applied Research Network (PECARN) rule for head computed tomography (CT) in patients with mild traumatic brain injury improved by 60 percent between 2013 and 2015, to an absolute adherence of nearly 95 percent by 2015.

Effect of the Affordable Care Act Medicaid Expansion on Psychiatric Boarding Times in the Emergency Department (#223)
Presenter: Moore, P., The University of Chicago Medical Center, Chicago, Ill.
As the number of enrollees in the Affordable Care Act's Medicaid expansion program in Illinois, CountyCare, increased, average emergency department boarding times for all patients admitted to psychiatric hospitals decreased.

"13 Reasons Why" Pediatric Psychiatric Presentations to an ED in Relation to Release Date (#224)
Presenter: Salo, D., Morristown Medical Center, Morristown, N.J.
After the suicide-themed TV series "13 Reasons Why" aired, there was a statistically significant increase in emergency department visits for psychiatric evaluations for patients between 11 and 18 years old.

11:00 am11:50 am

Rooms 154A, 154B, 155, 159A and 159B

EMS Can Safely Transport Patients to a Sobering Center as an Alternate Destination (#229)
Presenter, Smith-Bernardin, S., University of California-San Francisco, San Francisco, Calif.
The San Francisco Sobering Center was an appropriate alternate destination to the emergency department for paramedics transporting acutely intoxicated patients.

Mortality of Motor Vehicle Accidents by Elderly Drivers: A Nationwide Hospital-Based Registry in Japan (#239)
Presenter: Matsuyama, T., Kyoto Prefectural University of Medicine, Kyoto, Japan
The proportion of motor vehicle accidents caused by drivers age 65 and older increased substantially between 2004 and 2015.

Food Insecurity and Frequent Emergency Department Use (#251)
Presenter: Estrella, A., New York University, New York, N.Y.
More than half (51.1 percent) of patients in an emergency department (ED) reported food insecurity, with rates of food insecurity being highest among patients who visited the ED four or more times within the previous year.

Long-Term Mortality in Pediatric Firearm Assault Survivors: A Retrospective, Multi-Center, Comparative Cohort Study (#255)
Presenter: Shaahinfar, A., University of California-San Francisco Benioff Children's Hospital Oakland, Oakland, Calif.
Young adolescents who survive after exposure to assault, either with or without a firearm, have increased long-term mortality compared to those who survive unintentional, non-violent trauma.

3:00 pm3:50 pm

Rooms 154A, 154B, 155, 159A and 159B

The CHECK Trial: A Comparison of Headache Treatment in the ED: ProChlorperazine Versus Ketamine (#269)
Presenter: Zitek, T., University Medical Center of Southern Nevada, Las Vegas, Nev.
Prochlorperazine was superior to ketamine in reducing headache pain in the emergency department.

4:00 pm4:50 pm

Rooms 154A, 154B, 155, 159A and 159B

Treatment of Headache in the ED: Haloperidol in the Acute Setting (The-HA Study) (#294)
Presenter: McCoy, J., Western Michigan University, Kalamazoo, Mich.
The majority of headache patients in the emergency department experienced at least 50 percent pain relief within 60 minutes of being treated with haloperidol.

Who Gets tPA? Beyond the Basic Demographics (#298)
Presenter: Ganti, L., University of Central Florida, Orlando, Fla.
Patients in the emergency department diagnosed with acute ischemic stroke who were treated with tissue plasminogen activator (tPA) tended to be better educated, were more likely to be employed and had a significantly higher income than those who were not.

Early Transport versus On-Scene Management of Pediatric Out-of-Hospital Cardiac Arrest (#307)
Presenter: Banerjee, P., University of Central Florida, Orlando, Fla.
After a change in protocol involving increased treatment time at the scene before transport to the hospital, the rate of return of spontaneous circulation for children experiencing out-of-hospital cardiac arrest increased "dramatically."

Tuesday, October 31, 2017

9:00 – 9:50 am

Rooms 154A, 154B, 155, 159A and 159B

A Prospective Study of Stingray Injury and Envenomation Outcomes (#322)
Presenter: Myatt, T., UCSD School of Medicine, La Jolla, Calif.
The standard treatment for stingray injuries administered by lifeguards – immersion of the wounded area in hot water until pain has subsided – appears to be effective and have a low rate of complications.

10:00 – 10:50 am

Rooms 154A, 154B, 155, 159A and 159B

Trends in the Reports of Naloxone as Reported to a Regional U.S. Poison Center (#348)
Presenter: Rege, S., University of Virginia, Charlottesville, Va.
There was a significant increase in naloxone as therapy for opioid overdoses between 2011 and 2016.

11:00 – 11:50 am

Rooms 154A, 154B, 155, 159A and 159B

Lifevac – A Novel Device for the Resuscitation of the Adolescent Choking Victim (#382)
Presenter: Lih-Brody, L, ProHealth Care Associates, Rockville Centre, N.Y.
Using a simulator model of an adolescent child choking on a hotdog, researchers were able to remove the hotdog in 472 out of 500 attempts on the first try and all obstructions by the third try.

Sepsis Fun Facts: A Simple Way to Increase Sepsis Bundle Compliance (#388)
Presenter: Leon, L., University of Central Florida, Kissimmee, Fla.
Simple interventions such as sepsis criteria reminders and email blasts highlighting the importance of treating and recognizing sepsis were shown to influence emergency physicians and increase their awareness of sepsis.

One Year Mortality of Opioid Overdose Victims Who Received Naloxone by Emergency Medical Services (#402)
Presenter: Weiner, S., Brigham and Women's Hospital, Boston, Mass.
About 10 percent of patients treated with naloxone for opioid overdose had died within one year of treatment.

Geriatric Visits to California Emergency Departments from 2008 through 2014 (#403)
Presenter: Castillo, E., University of California San Francisco, San Francisco, Calif.
Emergency department visits for suicide and intentional self-inflicted injuries increased significantly among geriatric patients between 2008 and 2014, as did visits for substance abuse and mood disorders.

3:00 – 3:50 pm

Rooms 154A, 154B, 155, 159A and 159B

A Novel Protocol Increases the Proportion of Pulmonary Embolism Patients Safely Discharged from the Emergency Department without Hospital Admission (#410)
Presenter: Kabrhel, C., Massachusetts General Hospital, Boston, Mass.
After a protocol for treating pulmonary embolism patients was implemented, the percentage of those patients who were discharged from the emergency department instead of admitted to the hospital dropped from 14.8 percent to 10.5 percent.

Music in Emergent Settings: A Randomized Controlled Trial (#427)
Presenter: Tyndall, J., University of Florida, Gainesville, Fla.
Patients who were exposed to live music in the emergency department saw significant drops in blood pressure, heart rate and need for opiate pain control.

ACEP is the national medical specialty society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies. 

Media Contact: Mike Baldyga


SOURCE American College of Emergency Physicians (ACEP)