Latest Emergency Medicine Research Highlights The Evolving Emergency Medical Care Landscape
BOSTON, Oct. 22, 2015 /PRNewswire-USNewswire/ -- Leading researchers in emergency medicine will present more than 400 studies during ACEP15-Scientific Assembly, the annual meeting of the American College of Emergency Physicians (ACEP) in Boston, Mass. Sponsored by ACEP, the Research Forum will be held in Exhibit Hall B2 of The Boston Convention and Exhibition Center (BCEC) at 415 Summer Street from 7:00 a.m. to 5:00 p.m. on Monday, October 26th and from 7:00 a.m. to 5:00 p.m. on Tuesday, October 27th.
Researcher physicians will present their latest findings in emergency medicine research, focusing on topics ranging from pediatrics to geriatrics, including cardiology, mental illness, Ebola, toxicology, injury prevention and public health. To search Research Forum by topic, presenter, title and time, visit the online abstract database. 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 Exhibit Hall B2 of the BCEC. Jay Falk, MD, FACEP and Emanuel Rivers, MD will moderate the presentation on Monday, October 26th at 11:30 a.m. on the topic "Resuscitation Goals or Chaos?" Judith Tintinalli, MD, MS, FACEP and Scott Weingart, MD, FACEP will moderate the presentation on Tuesday, October 27th at 10:00 a.m. on the topic "Books, Blogs and The Diamond Age of Emergency Medicine."
The Research Forum will close with a panel session, "Prime Time Practice-Changers: Highlights of the 2015 Research Forum," highlighting some of the most significant emergency medicine research, from 3:00 p.m. to 4:00 p.m. on Tuesday, October 27th, in Exhibit Hall B2 of the BCEC. The session will be moderated by Phillip Levy, MD, FACEP and panelists for this event will include Chris Barton, MD, FACEP and Alex Limkakeng, MD, FACEP.
Obtain credentials (and the latest daily news about the conference) in the Media Relations Office located in Room 150 of the BCEC. A nearby news media workroom (BCEC Room 154) 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 ACEP15-Scientific Assembly press credentials have access to all educational sessions, the general session, the Research Forum and the Exhibit Hall.
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.
HIGHLIGHTS FROM 2015 RESEARCH FORUM
OCTOBER 26-27, 2015
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
THE BOSTON CONVENTION AND EXHIBITION CENTER, EXHIBIT HALL B2
Monday, October 26, 2015
9:30 – 10:30 a.m.
The Relationship between Emergency Department Utilization and Health Care Professional Referrals (#38)
Presenter: Fertel, B., The Cleveland Clinic Foundation, Cleveland, Ohio
Health care providers generally directed patients appropriately to the emergency department but some patients who should have been referred to the emergency department were not.
Describing the Evolution of Mobile Technology Usage for Latino Patients and Comparing Findings to National mHealth Estimates (#43)
Presenter: Ford, K., USC Keck School of Medicine, Los Angeles, Calif.
Researchers dispute widely cited findings of a Pew Research Center Report on mobile technology use by Latino patients, especially by those who are older and less educated.
Can an "Ultrasound First" Policy Reduce Incidence of CT Scan Use and Radiation Exposure in Pediatric Patients Presenting to the Emergency Department for Evaluation of Abdominal Pain? (#61)
Presenter: Behan, L, New York Methodist Hospital, Brooklyn, N.Y.
Implementation of an "ultrasound first" policy for the evaluation of acute appendicitis in children coming to the emergency department is associated with a significant reduction in CT use.
Tourniquet Use in a Civilian Prehospital Setting: The Los Angeles Experience (#74)
Presenter: Mindlin, D., USC Keck School of Medicine, Los Angeles, Calif.
The Los Angeles Fire Department, which provides emergency medical services, were able to rapidly stop bleeding in 95 percent of penetrating trauma and bleeding dialysis patients using tourniquets.
Prevalence and Survival Impact of Bystander Cardiopulmonary Resuscitation in Sudden Cardiac Arrest Victims Treated by a Large, Urban Emergency Medical Services System in North America (#85)
Presenter: Goodloe, J., University of Oklahoma School of Community Medicine, Tulsa, Okla.
In a large group of out-of-hospital sudden cardiac arrest victims studied over a 21-year period, bystander cardiopulmonary resuscitation (CPR) promoted neurologically intact survival with statistically significant results.
1:00 – 2:00 p.m.
The Cost of Safety: Implementation, Maintenance and Patient Care Expenses of an Emergency Department Ebola Extended Treatment Area (#98)
Presenter: Ripper, J., Rutgers New Jersey Medical School, Newark, N.J.
The cost of establishing and maintaining an extended Ebola treatment area for 100 patient care hours was $767,000.
The Effect of Helmet Use on Emergency Department Costs in Central Florida (#151)
Presenter: Vaizer, J., University of Central Florida College of Medicine, Orlando, Fla.
Inconsistent use of helmets significantly impacts Central Florida emergency department costs and leads to increased risk of serious and fatal injuries in motorcycle riders.
Applying Network Adequacy Standards to Emergency Medicine (#152)
Presenter: Dorner, S., Harvard T.H. Chan School of Public Health, Boston, Mass.
One in five qualified health plans lacked in-network emergency physicians; the same is true of hospitals.
You Googled What??? Describing Online Health Information Search Patterns of Emergency Department Patients and Correlation with Final Diagnoses (#157)
Presenter: Scott, G., Northwestern University, Chicago, Ill.
Of the patients who searched the internet for health information prior to visiting the emergency department, only a minority searched for the diagnosis they eventually received.
2:00 – 3:00 p.m.
Reduced Head CT Utilization for Pediatric Mild Head Injury after Implementation of Decision Support Tools and Shared Decision Making (#7)
Presenter: Engineer, R., The Cleveland Clinic Foundation, Cleveland, Ohio
The use of shared decision-making (between clinicians and parents) and decision support tools can significantly reduce head CT use in children coming to the emergency department with mild head injury.
3:00 – 4:00 p.m.
National Shortages of Drugs Used in the Emergency Department, 2002-2014 (#180)
Presenter: Chen, S., Yale School of Medicine, New Haven, Conn.
Half of all reported drug shortages between 2002 and 2014 involve acute care drugs used in the emergency department and these shortages are increasingly frequent and prolonged.
Costs Attributable to Emergency Department Care by Diagnosis (#188)
Presenter: Slutzman, J., University of Massachusetts Medical School, Worcester, Mass.
A small number of diagnoses represented over 50 percent of all emergency department costs, with chest and abdominal pain at the top of the list.
Tuesday, October 27, 2015
8:00 – 9:00 a.m.
Triage of Low-Acuity Emergency Department Patients to a Primary Care Clinic and Medical Home: A Utilization and Cost Effectiveness Analysis (#242)
Presenter: Liferidge, A., George Washington University School of Medicine, Washington D.C.
Triage of low-acuity emergency patients to a primary care clinic and patient-centered medical home increases subsequent use of health care services, including emergency department visits, hospital admissions and primary care visits, as well as costs.
Effect of Antimicrobial Disinfectant Wipes on Bacteria on Computer Equipment in the Emergency Department (#255)
Presenter: Glenn, A., St. Luke's University Health Network, Bethlehem, Pa.
Sanitizing a hospital-based computer mouse using a disinfectant wipe appeared to have a lasting benefit, with four out of five showing lower contamination after 5 hours of use than prior to being cleaned with an antibacterial wipe.
Cocaine and Alcohol Result in Worse Outcomes in Trauma Patients than Amphetamines and Alcohol (#261)
Presenter: Armenian, P., University of California San Franscisco-Fresno, Fresno, Calif.
Trauma patients who tested positive for cocaine and alcohol had worse injuries and lower intensive care unit and hospital stays than trauma patients who tested positive for amphetamines and alcohol.
9:00 – 10:00 a.m.
A Pilot Application of Automatic Tweet Detection of Alcohol Use @ a Music Festival (#14)
Presenter: Smith, S., NYU School of Medicine, Department of Population Health, New York, N.Y.
Using a program of language analysis that analyzed tweets and Instagram posts geo-tagged within 5 miles of Randall's Island, a machine model automatically identified alcohol use at the Electric Zoo Music Festival on New York City's Randall Island.
10:30 – 11:30 a.m.
Effect of Adipose-Derived Mesenchymal Stem Cells and Therapeutic Induction of Mild Hypothermia on Transient Global Cerebral Ischemia (#301)
Presenter: Chung, T., CHA University Bundang Medical Center, Gyeonggi-Do, Republic of Korea
Administration of mesenchymal stem cells after a patient has suffered transient global cerebral ischemia has a prominent protective effect on delayed neuron death, even compared with mild hypothermia, currently recommended as a mainstay of standard post-cardiac arrest care.
Pill Counts in Opioid Prescription by Specialty in Ohio, 2012-2014 (#316)
Presenter: Weiner, S., Brigham and Women's Hospital, Boston, Mass.
In general, family medicine, internal medicine and anesthesiology/pain physicians prescribe large amounts of pills per prescription and emergency medicine physicians prescribe low amounts per prescription.
Effectiveness of the Center for Disease Control and Prevention (CDC) "Heads Up!" to Youth Sports Campaign on Coaches of Pediatric Sports (#335)
Presenter: Stead, T., North Florida/South Georgia VA Medical Center, Gainesville, Fla.
Only about half of youth sports coaches across the United States are aware of the CDC's "Heads Up!" toolkit, but among those who did use these guidelines, there was a decrease in the total number of concussions over the season.
Then and Now: Psychosocial Emergencies in the Elderly (#337)
Presenter: Halasa, R., College of Human Medicine, Michigan State University, Grand Rapids, Mich.
Over a 24-year period, the rate at which elderly patients with psychosocial emergencies require a change in their living situation upon discharge from the emergency department has nearly doubled.
Bicyclists Struck by Motor Vehicles: Impact of Bike Lanes and Protected Paths on Injury Severity (#345)
Presenter: Wall, S., Bellevue Hospital Center, NYU School of Medicine, New York, N.Y.
Installation of dedicated bicycle lanes was associated with an increase in severe injuries among bicyclists coming to a New York City trauma center.
1:00 – 2:00 p.m.
Electronic Cigarette Vapor Exposure and Symptoms: Hey, Doc, Is that E-Cig Making Me Sick? (#389)
Presenter: Gartner, M., Celerion, Lincoln, Neb.
Short-term second-hand exposure to electronic cigarette vapor in a small space is unlikely to produce significant uptake of e-liquid substances, and healthy adults near where these products are being used are unlikely to experience symptoms associated with nicotine or propylene glycol toxicity.
ED Visits for Sexual Assault by College-Aged Woman: Is Alcohol a Factor? (#391)
Presenter: Tadros, A., West Virginia University, Morgantown, W. Va.
Of college-age woman under the legal drinking age of 21 who visited an emergency department following a sexual assault, 70.4 percent reported alcohol consumption around the time of the assault.
Predicting Flow in the Pediatric ED: Are Holidays Lighter? (#396)
Presenter: Agoritsas, K., SUNY Downstate Medical Center, Brooklyn, N.Y.
Fewer pediatric patients visit in the ER on Thanksgiving and Christmas as well as during the late afternoon and evening on several other holidays.
Time Is of the Essence: Early Intravenous Fluid Resuscitation in Patients with Severe Sepsis and Septic Shock (#415)
Presenter: Leisman, D., North Shore University Hospital, Manhasset, N.Y.
Fluid resuscitation within 30 minutes of sepsis diagnosis was associated with significant reductions in mortality, length-of-stay and intensive care unit days for patients with severe sepsis and septic shock.
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SOURCE American College of Emergency Physicians (ACEP)
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