WASHINGTON — Leading researchers in emergency medicine will present nearly 500 studies during the Research Forum at ACEP18-Scientific Assembly, the annual meeting of the American College of Emergency Physicians (ACEP) at the San Diego Convention Center from October 1-3, 2018.
The Research Forum takes place on October 1st from 9:00 AM - 5:00 PM ; October 2nd from 9:00 AM to 6:00 PM; and on October 3rd from 9:00 AM-4:00 PM in Rooms 23A, 24A, 25A, 32A and 32B.
Experts will present their data on topics ranging from pediatrics to geriatrics, opioids, mental illness, diagnostic imaging, toxicology, cardiology and more. Many of the poster presentations will be featured in a special supplement to Annals of Emergency Medicine. The Research Forum will also feature special presentations located in Sails Pavilion each day that are accredited for CME:
October 1st at 1:00 PM Sails Pavilion
State-of-the Art: Social Media and Research: How Do We Talk Science in the Age of Fake News?
Presented by: Esther Choo, MD; Megan Ranney, MD, MPH, FACEP; Seth Trueger, MD, MPH, FACEP
October 2nd at 2:00 PM Sails Pavilion
State-of-the Art: Telemedicine: What We All Will Be Doing 30 Years from Now? Presented by: Judd Hollander, MD, FACEP
October 3rd at 1:00 PM Sails Pavilion
Emergency Care Research Crossing the Boundary of Specialties
Presented by: Richard Gordon, MD, FACEP
The Research Forum closes with an accredited panel session located in Sails Pavilion, “Prime Time Practice Changers: Highlights of Research Forum,” moderated by Joe Piktel, MD, FACEP, at 4:00 PM on October 3rd.
For media credentials, contact Steve Arnoff email@example.com or register online here.Visit the Media Relations Office onsite in Room 27A beginning at 1:00 PM on Sunday, Sept.30th. Credentialed media can access all educational sessions, the general session, the Research Forum and the Exhibit Hall. Registration fees are waived for credentialed members of the news media. To register, you must have valid press credentials or identification from a valid news organization. Select studies are highlighted below. Contact Steve Arnoff firstname.lastname@example.org for a full list of abstracts.
2018 RESEARCH FORUM HIGHLIGHTS
Monday, October 1, 2018 9:00 AM - 10:15 AM
Use of Cognitive Task Analysis to Understand Decisionmaking for Management of Blunt Abdominal Trauma in Children
Ahluwalia, T; Toy, S; Kennedy, C; Children's Mercy Hospital, Kansas City, MO; John Hopkins, Baltimore, MD; Children's Mercy, Kansas City, MO
This study examines whether cognitive task analysis is effective for critical decisionmaking steps in management of pediatric blunt abdominal trauma.
Room of Horrors: A Pilot Curriculum to Enhance Nurses' Patient Safety Awareness
Olson, AS; Olson, N; Wilson, JL; Muck, AE; Garcia, R; Balhara, KS; University of Texas Health San Antonio, San Antonio, TX; Uniformed Services University of Health Sciences, San Antonio, TX; University Health System, San Antonio, TX
This analysis of patient safety education tools involved emergency nurses tasked with identifying and correcting safety hazards in a simulated emergency department
Trends in Emergency Department Mental Health Visits from 2009-2015
Santillanes, G; Lam, CN; Axeen, S; Menchine, MD; Keck School of Medicine of USC, Los Angeles, CA
This study describes recent trends in mental health emergency visits for patients of different ages. Mental health emergency visits are rising and contribute to crowding. These patients may benefit from alternative care models and a more comprehensive approach to treatment in multiple care settings.
Influential Predictors of Suicide Attempt among Suicidal Ideators Following an Emergency Department Visit
Knorr, AC; Ammerman, BA; Hileman, B; Kraus, C; Nemoianu, A; Strony, R; Geisinger Medical Center, Danville, PA; University of Notre Dame, Notre Dame, IL
The study aimed to identify influential predictors of future suicide among patients who presented to the emergency department with suicidal thoughts.
A Novel Transitional Care Strategy Improving Health Care Utilization in Diabetes Patients
Ho, A; John Peter Smith Hospital, Integrative Emergency Services, Dallas, TX
The study investigates whether a novel transitional care strategy improves patient compliance, follow-through and quality of care.
Monday, October 1, 2018 10:45 AM - 12:00 PM
Insurance Coverage and Cost of Patients Enrolled in an Acute Care At-Home Pilot Project for Emergency Department Patients
Kreshak, AA; Tolia, VM; Chan, TC; Killeen, JP; Castillo, EM; University of California, San Diego, San Diego, CA
This study describes the impact of patients treated at home as an alternative to hospital admission for acute medical conditions.
Chest Pain and Gender: A Retrospective Analysis of Gender Differences in Patients Admitted to the CDU With Concern for Acute Coronary Syndrome
Thoppil, J; Montgomery, C; Gupta, S; Davis, F; Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY
This study finds that gender differences do exist when evaluating patients with low risk chest pain. These results suggest that male sex may be another factor to consider when risk stratifying patients with low-risk chest pain in the ED.
Monday, October 1, 2018 2:00 PM - 3:00 PM
Sails Pavilion (Plenary Session)
Reporting Persons With Mental Health Issues: Prospective Study on Gun Control Innovation
Milzman, D; Neustadtl, A; Larkin, G; GWU, Washington DC, DC; U Maryland, College Park, MD; GUSOM, Wash, DC; Royal Society of Health, London, United Kingdom
Aside from political leanings and pre-survey expectations, this survey will better define whether physicians can be useful and reliable to report patients with mental health to authorities to be sure they do not possess or make future plans for keeping guns out of the hands of mentally unstable individuals.
Monday, October 1, 2018 3:00 PM– 4:00 PM
Can Home Blood Pressure Monitoring Assist in the Detection of Undiagnosed Hypertension among Emergency Department Patients With Elevated Blood Pressure?
Goldberg, EM; Wilson, T; Marks, SJ; Merchant, RC; Brown University, Providence, RI; Harvard University, Boston, MA
This study examines whether home blood pressure monitoring after emergency discharge could be a valuable tool to confirm hypertension.
Emergency Providers’ Attitudes Towards Opioid Use Disorder and Emergency Department-Initiated Buprenorphine Treatment: A Mixed-methods Study
Im, DD; Chary, A; Condella, A; Vongsachang, H; Carlson, L; Vogel, L; Martin, A; Kunzler, N; Weiner, S; Samuels-Kalow, M; Massachusetts General Hospital, Boston, MA; Brigham and Women's Hospital, Boston, MA
A survey examines the attitudes of emergency physicians toward providing buprenorphine in the emergency department.
Effect of Medicaid Expansion on Reasons for Emergency Department Use
Chou, S; Gondi, S; Weiner, SG; Schuur, JD; Sommers, BD; Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA; Harvard T.H. Chan School of Public Health, Boston, MA
Studies examining changes in emergency department utilization following Medicaid expansion have produced conflicting results. This study looks at whether expansion of Medicaid eligibility was associated with changes in ED utilization by low-income US adults.
Patient Preference for Receiving Their Discharge Instructions from the Emergency Department
Sheele, JM; Mandac, E; Bhangu, J; Wilson, A; University Hospitals Cleveland Medical Center, Cleveland, OH; Case Western Reserve University, Cleveland, OH
Misunderstanding aftercare instructions is associated with adverse outcomes. The objective of this study was to determine the method that patients preferred to receive their discharge instructions.
Monday, October 1, 2018 4:00 p.m. - 5:00 p.m
Diagnostic Accuracy of Magnetic Resonance Imaging for the Evaluation of Acute Female Pelvic Pathology
Repplinger, MD; Bracken, RL; Chiu, AH; Markhardt, B; Lubner, MG; Ziemlewicz, TJ; Pickhardt, PJ; Harringa, JB; Reeder, SB; University of Wisconsin School of Medicine and Public Health, Madison, WI; University of Wisconsin - Madison, MADISON, WI
In an effort to both avoid radiation and unnecessary imaging, this study evaluates the diagnostic accuracy of MRI for the evaluation of female pelvic pathology in emergency department (ED) patients presenting with lower abdominal pain.
Tuesday, October 2, 2018 9:00 AM - 10:15 AM
Predictors of 30-day Return Visits among Octogenarians Presenting to the Emergency Department
Bellolio, M; Stanich, JA; Walker, LE; Campbell, RL; Espinoza, NR; Jeffery, MM; Mayo Clinic, Rochester, MN
This study evaluates factors associated with 30-day return ED visits among patients aged 80 years and older in an ED that has not yet implemented ACEP recommendations consistent with its geriatric ED accreditation program.
Epidemiology of Emergency Department Sepsis: A National Cohort Study between 2002 and 2012
Yo, C; Lee, C; Far Eastern Memorial Hospital, Taipei, Taiwan; National Taiwan University Hospital, Taipei, Taiwan
This study examined 11 years of sepsis incidents and compared mortality and length of hospital stay among patients admitted from the emergency department to those from other routes.
Dog-Assisted Therapy in the Emergency Department: Identifying Potential Risks of Clinically Significant Microbial Transmission
Eustache, KL; LaBond, V; Genesys Regional Medical Center, Grand Blanc, MI
This study looks at whether therapy dogs pose clinical harm to patients in the emergency department.
Everyone Loves a Popsicle: A Simple and Affordable Intervention to Improve Patient Satisfaction
Voelkel, J; Finn, R; Wiswell, J; Bellolio, M; Mayo Clinic, Rochester Mn, MN; Mayo Clinic, Rochester, MN
This study gauges whether popsicles for eligible pediatric emergency department patients resulted in an increase in patient satisfaction and discusses whether low-cost interventions might significantly impact perceived health care quality.
Utility of Unmanned Aircraft Systems (Drones) in Inner City Emergent Response during Peak Rush Hour
Hanna, M;SUNY Downstate, NY, NY
This study aims to determine the demand for, feasibility of, and risks associated with the use of drones to intervene, assist, and observe acute medical situations both outside and within hospitals, mass casualty scenes, and simulated medical situations in times of critical demand.
Tuesday, October 2, 2018 10:45 AM – 12:00 PM
National Trends in Geriatric Emergency Department Visits: Demographics, Morbidities, and Hospital Admission Factors, 2011-2015
Huang, D; Kleiman, S; Wasserman, J; Oakland University William Beaumont School of Medicine, Rochester Hills, MI; Beaumont Hospital System Emergency Department, Troy, MI
Analysis of national trend data shows growth in utilization by the elderly and an increase in psychiatric complaints. The geriatric ED population is dynamic and benefits from effective multidisciplinary care coordination.
Missed Opportunities: Integrating Palliative Care into the Emergency Department for Older Adults Presenting as Level 1 Triage Priority from Long-Term Care Facilities
Mogul, A; Cline, D; Gabbard, J; Bryant, C; Stony Brook University Hospital, Stony Brook, NY; Wake Forest School of Medicine, Winston Salem, NC
This study assesses which patients are appropriate for palliative care initiated by the emergency department. Early introduction of palliative care can change the course of treatment and improve end-of-life care.
Point-of-Care Ultrasound Use Changes Care When Utilized by Flight Medics
Wagner, B; Kaczmarczyk, C; Robidoux, M; Kolbet, K; Hick, J; Hennepin County Medical Center, Minneapolis, MN; Thomas Jefferson University, Philadelphia, PA; Lifelink III, Minneapolis, MN
This retrospective study evaluates whether point-of-care ultrasound use by flight nurses and paramedics aids with earlier diagnosis and changes in care.
Identifying Patient-Centered Interventions to Reduce Asthma-Related Pediatric Acute Care Utilization:A Mixed Methods Study
Abir, M; Truchil, A; Forman, J; Koegel, P; Wiest, D; Lozon, M; Levites-Adababa, E; Douglass-Bright, A; Hammond, S; Lam, V; Brenner, J; University of Michigan, Ann Arbor, MI; Camden Coalition of Healthcare Providers, Camden, NJ; VA Ann Arbor Healthcare System, Ann Arbor, MI; RAND Corportation, Santa Monica, CA; CAMcare Health Corporation, Camden, NJ; Cooper Health, Camden, NJ; United Healthcare, Camden, NJ
This study identifies patient-centered interventions that hold the most promise for reducing asthma-related pediatric emergency visits.
Every Second Counts: Time to Epinephrine and Return of Spontaneous Circulation after Pediatric Cardiac Arrest
Banerjee, P; Vera, AE; Ganti, L; Singh, A; Dub, L; Wallen, M; Tsau, J; Polk County Fire Rescue, Bartow, FL, Bartow, FL; University of Central Florida/ HCA GME Emergency Medicine Residency Program of Greater Orlando, Orlando, FL
This study analyzes the impact of on-scene prompt epinephrine administration in pediatric cardiac arrest and its role in improving the rate of return of spontaneous circulation.
Prevalence of Pediatric Pain-Related Visits and Opioid Use in the Emergency Department
Anderson, JL; Funni, S; Bellolio, MF; Jeffrey, MM; Mayo Clinic, Rochester, MN; Mayo Clinic, Health Sciences Research, Rochester, MN
A look at the prevalence of pediatric pain-related visits and use of opioids in the emergency department using the 2014 National Hospital Ambulatory Medical Survey Analysis. This study looks at the half of pediatric emergency visits that were pain related and the rate of opioid, nonopioid and combination therapies administered.
Tuesday, October 2, 2018 12:00 PM – 1:45 PM
Emergency Medicine Foundation Showcase Luncheon: Characterization of Telemedicine Use among US Emergency Departments
Zachrison, KS; Hayden, E; Boggs, KM; Espinola, JA; Camargo Jr, CA; Massachusetts General Hospital, Boston, MA
This study notes that telemedicine was used in 58 percent of emergency departments nationwide in 2016, especially for stroke/neurology and psychiatry. Further research is needed to understand the clinical value of telemedicine, various applications, and barriers to implementation.
Tuesday, October 2, 2018 3:00 PM - 4:00 PM
Plenary Session: Boarding Psychiatric Patients in the Emergency Department Is Associated With Increased Emergency Department Violence
Costumbrado, J; Nikroo, N; Guldner, G; Riverside Community Hospital / University of California Riverside, Riverside, CA; University of California Riverside, Riverside, CA
This study seeks to determine if ED psychiatric holds also contribute to increased violence in the emergency department. A secondary objective was to determine if other variables, such as weather or proximity to the first day of the month (when financial assistance funds arrive), could predict ED violence.
Tuesday, October 2, 2018 5:00 PM - 6:00 PM
Patterns of Opioid Prescriptions in a Children’s Hospital from 2012 to 2016
Jamasbi, A; Saadat, S; Titze, N; Bhargava, R; Chakravarthy, B; University of California, Irvine, Orange, CA; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of; Long Beach Memorial Medical Center, Long Beach, CA
Data shows that there is a decrease in opioid prescriptions amongst pediatric patients.
Assessing the Impact of Telemedicine on Nursing Home Transfers
Kaufman, M; Conte, J; Francis, M; Han, M; Chen, A; Unadkat, D; Khan, M; Cubero, I; Trivedi, M; Truong, J; Wickremesinghe, P; Station MD Telemedicine, New York, NY; Staten Island PPS, Staten Island, NY; ArchCare, New York, NY; Albany Medical College, Albany, NY
A pilot telemedicine program in the nursing home setting was analyzed and the effect of telemedicine in reducing preventable hospital transfers was measured.
Wednesday, October 3, 2018 10:45 AM - 12:00 PM
Does the Closure of a Homeless Shelter Increase the Prevalence of Homelessness in the Emergency Department?
Bolton, T; Moran, T; Jackson, T; Ackerman, J; Salhi, B; Emory University School of Medicine, Atlanta, GA; Emory University, Atlanta, GA
Noting the prevalence of homeless patients in the emergency department after Atlanta’s largest homeless shelter closed, this study suggests that EDs should expand and integrate services to improve the health of these patients and to mitigate their reliance on emergency care.
Evaluation of Fosphenytoin Loading Doses in Obese Patients
Wex, N; Van Matre, E; Jacknin, G; Paavola, N; University of Colorado Hospital, Aurora, CO; University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO
This study takes issue with the 2016 Epilepsy Guidelines for treating obese patients,specifically, the recommendation of capping fosphenytoin dosing at 1500 mg.
Characteristics of Posts of Opioid Users on Reddit, an Online Social Media Forum, an Area for Improved Harm Reduction
Overbeek, D; Janke, A; University of Michigan, Ann Arbor, MI; Yale, New Haven, CT
This study notes that some online forums advertise themselves as harm reduction forums. But, these forums glorify unsafe drug use. Certain sites may impede patient education on opiate use disorder and safe use and effective treatment.
Wednesday, October 3, 2018 2:00 PM - 3:00 PM
Plenary Session: In an Emergency, Get Fined for Being Fine: Accuracy and Insurance Policy to Retrospectively Deny Emergency Department Coverage Based on Discharge Diagnoses
Chou, S; Venkatesh, AK; Gondi, S; Baker,O; Schuur, JD; Brigham and Women's Hospital, Handen, CT; Yale School of Medicine, New Haven, CT; Harvard Medical School, Boston, MA; Brigham and Women's Hospital, Boston, MA
Anthem Inc., a large national insurer that covers one in eight Americans, recently began denying coverage for emergency visits if the final visit diagnosis was among a pre-specified list of “non-emergent” diagnoses. The insurer implemented this policy in 6 states and is expanding to others. We examine the impact to emergency patients if all commercial insurers adopt similar policies of retroactive coverage denial for emergency care.
Wednesday, October 3, 2018 3:00 PM-4:00 PM
Artificial Turf vs Grass in NCAA Football: Increased Knee Injuries Traded for Cost Savings to Schools
Milzman, D; Loughran, G; Vulpis, C; Murphy, J; Paik, M; GW Dept of EM, Washington DC
Knee injuries make up a significant portion of injuries in NCAA football and turf is the playing surface for more than 80 percent of Division I football games. Overall, knee injury rates increase on turf compared to grass, this study finds.
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.
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