| Research Forum Abstracts |
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Article Title |
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1: Ultrasonography Evaluation for Appendicitis In Children: Can We Safely Reduce CT Scan Utilization?
Appendicitis is the most common pediatric condition requiring emergency surgery. Although CT scan is the most accurate diagnostic modality for this illness, the risks of radiation exposure are not ide...
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S. Bentley,
B. Nelson,
L. Zahn
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Abstract
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page S1
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2: Liquid Pediatric Medication Dosing Cups Are Inaccurate
To compare the accuracy of over the counter pediatric liquid medication measuring cups with a standard graduated cylinder.
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A. Tadros,
M. Long,
S.M. Davis
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Abstract
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pages S1-S2
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3: Prevalence and Prediction of Deterioration After Drowning In the Emergency Department
Fears of decompensation in the well-appearing drowned patient present a unique challenge to the emergency physician. Lack of evidence-based guidelines result in prolonged emergency department (ED) obs...
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K. Weber,
C. Denney,
J. Thundyil,
P. Giordano
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Abstract
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page S2
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4: The Lack of Utility of Acute Phase Reactant Testing for Predicting Occult Bacteremia In the Well-Appearing Febrile Infant: A Meta-Analysis and Bayesian Evaluation of Hematologic Testing In the Vaccine Era
The diagnosis and treatment of occult bacteremia (OB) in the well-appearing febrile infant is commonly based on acute phase reactant (APR) testing including WBC (white blood cell count), ANC (absolute...
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Y. Chathampally,
S. Prater,
R. Malkani
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Abstract
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page S2
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5: Rehydration Therapy: Hyaluronidase-Facilitated Subcutaneous Recombinant Human Hyaluronidase Versus Intravenous In Children
Establishing intravenous (IV) access can be difficult in dehydrated children, who often have small, volume-depleted veins. Hyaluronidase-facilitated subcutaneous (HFSC) rehydration therapy with recomb...
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P.J. Okada,
S.E. Mace,
P.R. Spandorfer,
K. Friend,
G. Harb
et al.
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Abstract
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pages S2-S3
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6: Does Ultrasonography Measurement of Inferior Vena Cava and Inferior Vena Cava/Aorta Ratio Correlate With Fluid Therapy In Clinically Dehydrated Children With Gastroenteritis?
Dehydration is commonly encountered in the ED and is a leading cause of morbidity and mortality among children. Accurate assessment is important. The standard is to use clinical signs and symptoms; ho...
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I. Barata,
L.A. Houdek,
M.B. O'Donnell,
M. Akerman,
C. Raio,
M.F. Ward,
A. Sama
et al.
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Abstract
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page S3
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7: Efficacy of Topical Lidocaine Preparations In Spontaneous Rupture of Uncomplicated Skin Abscesses
To determine the incidence of spontaneous drainage of superficial skin abscesses following the application of a topical lidocaine preparation (TLP), and whether management of these infections with man...
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J.W. Ordun,
J.F. Anders,
G.K. Siberry,
A.E. Chen
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Abstract
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page S3
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8: In Pediatric Trauma, Does Insurance Play a Role In Transfer of Patients to OR, ICU or Another Institution?
Previous studies on disparities in pediatric trauma patients have demonstrated increased mortality in uninsured patients compared to insured. Reasons for this disparity remain unclear and may be relat...
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W. Hakmeh,
J.S. Barker,
R. Takla,
S. Szpunar,
C.B. Irvin
et al.
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Abstract
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page S3
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9: Why Do Parents Use Pediatric Emergency Department During Regular Office Hours?
Improved access to primary care is thought to reduce ED visits, particularly the non-urgent ones. Most children in NYC have access to their primary care provider (PCP). However, a number of patients a...
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N. Kondamudi,
P. Tatachar,
V. Bansilal,
M. Sharma,
P. Jain
et al.
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Abstract
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page S4
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10: Propofol Dosing for Pediatric Patients Undergoing Procedural Sedation In the Emergency Department
The objective of this study was to determine if patient age is an independent predictor of the propofol dose required for induction of sedation for procedures performed in the emergency department (ED...
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K.D. Jasiak,
H. Phan,
C.J. Edwards,
A.E. Patanwala
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Abstract
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page S4
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11: Emergent Brain Imaging Prior to Stroke Center Transfer Delays Care and Worsens Outcomes In Patients With Stroke
The primary objective of this study was to identify if emergent brain imaging prior to transfer to a regional stroke center has an impact on thrombolysis eligibility and final outcome. The secondary o...
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S.S. Ali,
K. Cockroft,
V. Chinchilli,
T.A. Lloyd
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Abstract
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page S4
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12: Implementation of Early Goal-Directed Therapy and the Surviving Sepsis Campaign Resuscitation Bundle In Asia Is Associated With Decreased Mortality: Analysis of a Team Versus Non-Team Model of Care for the ATLAS Investigators
Evidence from America and Europe suggests that successful implementation of the Surving Sepsis Campaign severe sepsis resuscitation bundle including early goal-directed therapy is associated with sign...
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S. Na,
M. Mahadevan,
M. Joshi,
C. Li,
A. Varma,
S. Chen,
S. Ray,
L. Yiming,
H. Nguyen
et al.
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Abstract
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pages S4-S5
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13: Out-of-Hospital Initiation of Therapeutic Hypothermia With Cold Saline Improves Survival In Patients With Return of Spontaneous Circulation In the Field
To determine the impact of out-of-hospital initiation of therapeutic hypothermia as a standard post-resuscitation care protocol on survival in patients with return of spontaneous circulation (ROSC) in...
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J.G. Cabanas,
R. Lewis,
V.J. De Maio,
B. Myers,
R. Lee,
D. Licatese,
G. Snyder
et al.
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Abstract
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page S5
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14 EMF: Human Recombinant Low Molecular Weight Fibroblast Growth Factor 2 Protects the Heart From Reperfusion Injury Through Activation of FGF Receptors and Nitric Oxide Signaling
Fibroblast growth factors (FGFs) protect against cardiac ischemia-reperfusion injury when given prior to an ischemic insult, but their efficacy after the onset of ischemia and the role of individual p...
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S.L. House,
G. Newman,
J.J. Schultz
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Abstract
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page S5
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15: Impact of Daily Pollen Levels on Emergency Department Visits for Asthma
Asthma imposes a significant public health burden and required 1.8 million emergency department (ED) visits in 2004. Incidence of asthma exacerbations is driven by environmental exposures, including a...
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J. Hess,
L. Darrow,
M. Klein,
P. Tolbert,
S. Sarnat
et al.
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Abstract
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pages S5-S6
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16: National Trends In Emergency Department Testing and Treatment and Its Impact on Length of Stay: 1998-2007
There has been increasing concern regarding crowding in our nation's emergency departments (ED) and some evidence suggesting the degree of crowding has been escalating over time. Testing and treatment...
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K.E. Kocher
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Abstract
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page S6
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17: The Impact of Specific Surveillance System Methodology on Influenza-Like Illness Prevalence Rates
Influenza surveillance allows the Centers for Disease Control and Prevention (CDC) and local public health departments (PHD) to monitor for an influenza outbreak and track related illness and deaths. ...
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D.P. Rumoro,
S.C. Shah,
G.S. Gibbs,
J.C. Silva,
J.D. Bayram,
M.M. Hallock,
M.J. Waddell
et al.
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Abstract
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pages S6-S7
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18: Impact of an Urban Screening, Brief Intervention, and Referral to Treatment Program
Approximately 4% of the U.S. population is alcohol dependent but 25% consume alcohol at risky levels. Risky users incur more adverse consequences and costs at the population level and often do not see...
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K.B. Broderick,
R. Diedrich,
M. Richmond
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Abstract
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page S7
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19: Prospective Study of the Incidence of Contrast-Induced Nephropathy Among Patients Evaluated for Pulmonary Embolism by Contrast-Enhanced Computed Tomography
The use of contrast-enhanced computed tomography of the pulmonary arteries (CTPA) to evaluate patients with suspected pulmonary embolism (PE) in the acute setting is rapidly increasing. However, the r...
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A.M. Mitchell,
A.E. Jones,
J.A. Tumlin,
J.A. Kline
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Abstract
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page S7
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20: A Clinical Microsystem Approach to Improving Emergency Department Flow
Clinical Microsystem (CM) analysis is a proven method for identifying and improving patient care processes. As part of an institution-wide practice improvement initiative, an Emergency Department Clin...
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S.A. Haydar,
N. Swan,
S.M. RN,
T.D. Strout
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Abstract
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pages S7-S8
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21: Computerized Prescriber Order Entry Does Not Decrease Medication Errors Upon Implementation In a Community Hospital Emergency Department
Current literature has demonstrated a reduction in medication errors with the implementation of Computerized Prescriber Order Entry (CPOE) in academic centers, especially in the pediatric population. ...
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H. Patel,
J. Pilotto,
R. Walch,
W. Anderson,
A. Bastani
et al.
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Abstract
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page S8
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22: Implementation of “Lean” Methodologies Are Effective In Reducing Throughput In Pediatric Emergency Department
To evaluate the impact of utilizing the “Lean” method in improving emergency department throughput and reducing time wasted in a tertiary care pediatric emergency department (ED).
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N.S. Khan,
L.M. Jones,
H.K. Simon
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Abstract
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page S8
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23: Prolonged Emergency Department Length of Stay Is Not Associated With Worse Neurologic Outcomes In Patients With Intracerebral Hemorrhage
Spontaneous intracerebral hemorrhage (ICH) is the most devastating form of acute stroke, with a mortality rate of 30-50%. Specialized care in neurologic intensive care units (ICUs) reduces mortality a...
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J. Elmer,
D.J. Pallin,
S. Liu,
C. Pearson,
Y. Chang,
S.M. Greenberg,
J. Ros,
J. Goldstein
et al.
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Abstract
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pages S8-S9
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24: Beneficial Effect of Calcium Treatment for Hyperkalemia Is Mediated by Calcium-Dependent Conduction, Not “Membrane Stabilization”
Hyperkalemia (↑K) is a common life threatening condition resulting in severe electrophysiologic derangements and fatal arrhythmias. The beneficial effects of calcium (Ca) treatment for the electrophys...
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J.S. Piktel,
X. Wan,
M. Infeld,
D.S. Rosenbaum,
L.D. Wilson
et al.
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Abstract
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page S9
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25: Investigating Depression Among Emergency Medicine Residents
Minimal data exists investigating clinical depression among emergency medicine (EM) residents, allowing EM programs to effectively address residents struggling with depression during their training. T...
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M. Shah,
E. Katz,
M. Dorfman,
L.E. Kass,
A.T. Sadosty,
C. Cundiff,
A. Desai,
S.B. Chan
et al.
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Abstract
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page S9
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26: Educational Effectiveness of Computerized Patient Simulation: A Randomized Trial
To measure the educational effectiveness of computerized patient simulation when compared to traditional paper-based learning.
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T.J. McLaughlin,
J.R. Dunne,
N.E. Seymour,
J. Cannon-Bowers,
C. Bowers,
C.L. McDonald
et al.
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Abstract
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pages S9-S10
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27: Recent Prescription Opioid History of Patients Prescribed Opioids In the Emergency Department
Prescription opioid drug abuse is a major public health problem in the United States. Our state's prescription drug monitoring programs (PDMP) tracks a patient's previous narcotic prescription history...
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J.E. Houghl,
J. Hoppe,
A. Zosel,
K. Heard
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Abstract
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page S10
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28: Does Coronary Artery Calcium Score of 0 Identify All Patients With Freedom From Coronary Artery Disease
Both CT coronary artery calcium scoring (CACS) and coronary angiography (CTA) have been shown to identify ED patients with potential ACS who are at low risk of adverse cardiovascular events. However, ...
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N.A. Ridge,
C.M. McCusker,
K.M. Walsh,
H.I. Litt,
J.E. Hollander
et al.
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Abstract
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page S10
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29: Inpatient Mortality for Sepsis Patients From the Emergency Department Versus Direct Admission: A Nationwide Cross-Sectional Study
Early aggressive resuscitation in patients with sepsis decreases mortality. Evidenced-based guidelines exist for both resuscitation in the emergency department (ED) and for care-environments outside o...
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E.S. Powell,
R.K. Khare,
J. Feinglass
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Abstract
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pages S10-S11
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30: Applying the Theory of Constraints to Emergency Department Workflow: Reducing Ambulance Diversion Through Basic Business Practice
Despite an increasing body of literature that attempts to explain emergency department (ED) crowding and ambulance diversion, there has been only minimal emphasis on applying fundamental operational m...
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C. Strear,
R. Vissers,
E. Yoder,
H. Barnett,
T. Shanks,
L. Jones
et al.
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Abstract
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page S11
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31: A Lean-Based Process Redesign and Its Impact on Provider Productivity: The SPEED Trial
Lean-based processes have been utilized by manufacturing industries to evaluate systems and identify waste, inefficiencies and over-processing. Health care has adopted these processes to improve opera...
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J. Mink,
K. Eanes,
B. Levine,
J.F. Reed,
C.L. Reese,
T. Sweeney,
H.L. Farley,
N. Jasani
et al.
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Abstract
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page S11
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32: A Lean-Based Process Redesign: Resource Utilization In the SPEED Trial
Lean principles have been used in manufacturing processes for many years and have been associated with improved quality and success. Recently Lean principles have been applied to health care and, in p...
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J. Mink,
A. Werzen,
J.N. Wescott,
B. Levine,
J.F. Reed,
C.L. Reese,
T. Sweeney,
H. Farley,
N. Jasani
et al.
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Abstract
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page S12
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33: Emergency Department Personnel Perception of Their Role In Patient Experience
Prior studies have assessed patients' perceptions of emergency department (ED) care and identified key elements factoring into their experience. Investigators examined ED clinical providers' perceptio...
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L. Kobayashi,
L.A. Sweeney,
A.C. Cousins,
K.S. Bertsch,
F.G. Gardiner,
N.M. Tomaselli,
R.M. Boss,
F.J. Gibbs,
G.D. Jay
et al.
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Abstract
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page S12
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34: A Tool for Emergency Department Throughput: Using Maximum Emergency Department Bed Time to Reduce Wait Times and the Number of Left Without Being Seen Patients
Improving emergency department (ED) throughput (EDT) is vital to improving patient satisfaction, reducing wait time (WT) and the number of left without being seen (LWBS) patients. By utilizing a tool ...
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A. Joshua,
T. Chan,
E. Castillo
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Abstract
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pages S12-S13
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35: Impact of Emergency Department Management of Atrial Fibrillation on Hospital Resource Utilization
Emergency department cardioversion (EDCV) and discharge of patients with recent onset atrial fibrillation or atrial flutter (AF) has been shown to be a safe and effective management strategy. This stu...
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J. Williams,
A. Sacchetti,
S. Levi,
D. Akula
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Abstract
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page S13
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36: Out-of-Hospital Initiated Reperfusion for ST-Elevation Myocardial Infarction Patients: Successful Implementation of an Out-of-Hospital Thrombolytic Strategy Coupled With Urgent PCI for Reducing Myocardial Ischemic Time In an Urban Environment
ST segment elevation myocardial infarction (STEMI) patients receiving reperfusion during the first two hours of ischemic time have been shown to have a significant reduction in mortality. The current ...
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D.P. Kelly,
J.J. McCarthy,
T. Weirick,
D.E. Persse,
C.M. Barker,
H.V. Anderson,
A.E. Denktas,
S. Sdringola,
Y. Chathampally,
R.W. Smalling
et al.
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Abstract
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page S13
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37: Acute Heart Failure Patients Needing Antibiotic Therapy Can Be Identified by Procalcitonin Measurements: Observational Results From the BACH Multinational Trial
Procalcitonin (PCT) measurements have been used to diagnose bacterial infection and sepsis. Additionally PCT has been suggested as a surrogate marker reflecting the response to a clinically relevant b...
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R.M. Nowak,
W.F. Peacock,
O. Hartmann,
J. Landsberg,
C. Mueller,
C. Hogan,
S.X. Neath,
N.A. Morganthaler,
J. McCord,
A. Maisel
et al.
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Abstract
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pages S13-S14
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38: Continuous Daily Utilization of Coronary CTA for Exclusion of CAD In Emergency Department Patients With Low Risk Chest Pain: A One-Year Experience
Sixty-four-slice multi-detector rows coronary computed tomography angiography (CCTA) has been shown in small clinical trials to be as accurate and safe as standard nuclear stress imaging for excluding...
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A.J. Singer,
A. Domingo,
H.C. Thode,
M. Daubert,
S. Ferraro,
A. Minton,
M.C. Henry,
M. Poon
et al.
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Abstract
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page S14
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39: Peri-Partum Spontaneous Coronary Artery Dissection: Patient Characteristics, Management Choices and Long-Term Prognosis
Acute coronary syndromes rarely occur in women during the peri-partum period and, when they do, are most often associated with premature atherosclerotic vascular conditions. Peri-partum spontaneous co...
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G.L. Higgins,
J.H. Sisemoore,
T.D. Strout,
T.S. Cochran,
C.B. Irish
et al.
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Abstract
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page S14
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40: Changes In the Neurohormonal Profile of Patients Hospitalized for Acute Heart Failure Syndromes During the Early Post-Discharge Period According to Early, Late, or No Heart Failure Re-Hospitalization or Mortality Events: Analysis From the EVEREST Trials
The majority of patients admitted with acute heart failure syndromes (AHFS) improve in terms of signs and symptoms during hospitalization, with associated improvements in natriuretic peptide levels. D...
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P.S. Pang,
F. Zannad,
M. Konstam,
J. Burnett,
J. Udelson,
K. Swedberg,
L. Grinfeld,
A.P. Maggioni,
T. Cook,
M. Gheorghiade
et al.
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Abstract
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pages S14-S15
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41: Utility of Cardiac Stress Testing In Young Patients In an Observation Unit
Acute coronary syndrome remains an important and common disease in the United States. Determining which patients presenting to the emergency department (ED) require further workup for this condition c...
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S. Ely,
A. Chandra,
A. Reinstein,
A.T. Limkakeng
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Abstract
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page S15
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42: The Nature and Resources Utilized In the Evaluation of Neurological Complaints In the Emergency Department
Neurological disorders have diverse presentations with a wide diagnostic spectrum, often requiring complex evaluation and neurologic consultation. Neurological complaints such as stroke, seizure and h...
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C.K. Hansen,
J. Fisher,
C.E. Dyott,
N.K. Joyce,
J.A. Edlow
et al.
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Abstract
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page S15
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43: Emergency Medicine Residents' Knowledge In Key Concepts In Hospice and Palliative Care Before and After an Educational Intervention
The objectives are to determine: 1) residents' knowledge base in key concepts in hospice and palliative care; 2) residents' comfort level in discussing end-of-life care and managing end-of-life sympto...
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T.E. DeVader,
R. Jeanmonod
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Abstract
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pages S15-S16
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44: Emergency Physicians' Experiences With Patient Death
There is a growing awareness of patient death on physician well-being and the importance of cultural and educational changes to improve coping mechanisms. The objective of this study is to explore bot...
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J. Strote,
E.D. Schroeder,
J.P. Lemos,
R. Paganelli,
J. Solberg,
H. Hutson
et al.
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Abstract
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page S16
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45: 360-Degree Evaluation of Emergency Medicine Residents: Maybe Once Is Enough?
360-degree evaluations of resident performance are recommended by the ACGME. The necessity of repeat evaluation is unknown. Our objective was to determine longitudinal changes in professionalism betwe...
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G. Garra,
A. Wackett,
H.C. Thode
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Abstract
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page S16
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46: Is There Is a Sex Bias In Descriptions of Applicants In Standard Letters of Recommendation for Emergency Medicine Residencies?
Each year thousands of fourth year medical students apply to emergency medicine residency programs across the country hoping to be chosen for an interview and ultimately, match into a program. An inte...
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V. Tucci,
R. Merritt,
K. Somai,
P. Cheng,
K. O'Keefe,
T. Sanson
et al.
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Abstract
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pages S16-S17
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47: Observing the Effects of Medical Students on Patient Length of Stay and Time to Disposition In the Emergency Department
The objective of this study was to observe the impact of fourth-year medical students (MS) on patient overall emergency department (ED) length of stay (LOS) and time to disposition (dispo).
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N. Roy,
H.L. Farley,
D. Resurreccion,
J. Reed
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Abstract
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page S17
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48: The Impact of an Intake Model on Patient Care, Resident Education, and Staff Satisfaction at an Academic Emergency Department
To evaluate an intake model at an academic emergency department (ED) in regards to a decrease in time to provider (TTP), length of stay (LOS), left without being seen rates (LWBS), patient and staff s...
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L. Weichenthal,
P. Armenian,
D. Campgane,
B. Snowden,
G. Kallsen
et al.
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Abstract
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page S17
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49: Emergency Department Contrast Practices for Abdominal/Pelvic CT: A National Survey
Controversy exists in the medical literature regarding the need for oral, intravenous (IV), and/or rectal contrast for abdominal/pelvic computed tomography (CT) in a variety of clinical scenarios. We ...
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J.S. Broder,
A.G. Hamedani,
S.W. Liu,
C.L. Emerman
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Abstract
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page S17
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50: Vascular Pedicle Width on CXR Correlates With Volume Overload: A Meta Analysis
Vascular pedicle width (VPW), a measurement obtained from a chest X-ray (CXR), is thought to be an indicator of circulating blood volume. To date there are but a handful of studies that demonstrate a ...
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J. Gaspard,
S. Mahler,
T. Arnold,
J. Gorchynski,
H. Wang
et al.
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Abstract
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page S18
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51: Computed Tomographic Head Scans In Emergency Medicine: Physicians Overestimate the Pre-Test Probability and Legal Risk of Significant Findings
This study focuses on pretest probability and pretest perception of legal risk as independent variables in the ordering of multi-detector computed tomography (MDCT) head scans. Physician test ordering...
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J. Herrick,
J.R. Baskerville
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Abstract
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page S18
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52: The Impact of Teleradiology Preliminary Reports on Emergency Department Patient Care
The use of remote teleradiology provides emergency physicians with preliminary interpretation of radiographic studies in hospitals unable to provide 24-hour on-site board-certified radiologist coverag...
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M. Campbell,
D.J. Castle,
M.J. Hughes,
D.P. Betten
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Abstract
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page S18
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53: MRI Utilization Trends In a Large Tertiary Care Pediatric Emergency Department
Although radiological imaging improves our diagnostic capabilities, it may result in some non-salutary effects on patient care and system performance. The use of magnetic resonance imaging has been dr...
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J. Ramirez,
J. Thundiyil,
K.J. Cramm-Morgan,
L. Papa,
C. Dobleman,
P. Giordano
et al.
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Abstract
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pages S18-S19
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54: Emergency Department Experience With Non-Oral Contrast In the Evaluation of Patients for Appendicitis
The American College of Radiology lists oral contrast as an institution-specific option in the evaluation of right lower quadrant pain. Prior literature indicates that an accurate assessment for appen...
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J. Glauser,
C. Emerman,
J. Siff
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Abstract
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page S19
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55: Impact of Replacing Radiology With CT In Routine Primary Screening for Cervical Spine Trauma on Estimated Population Risk of Cancer In Emergency Patients
Clinical decision rules (CDRs) have been validated to identify patients at very low risk for cervical spine injury who do not require imaging and claim to decrease imaging by up to 44%. Recently, the ...
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B.C. Chen,
R.T. Griffey
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Abstract
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page S19
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56: A Randomized, Placebo-Controlled Trial of Paracetamol Versus Morphine for the Treatment of Acute Painful Crisis of Sickle Cell Disease
This randomized controlled trial was conducted to evaluate the analgesic efficacy and safety of intravenous single-dose paracetamol and morphine for the treatment of acute painful crisis of sickle cel...
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R. Rehmani
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Abstract
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pages S19-S20
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57: A Retrospective Case-Control Review of the Use of Ketofol and Propofol In an Academic Emergency Department
Ketofol, a 1:1 mixture of ketamine and propofol, is increasingly used for emergency department (ED) procedural sedation. We conducted a retrospective case-control study of patients sedated with ketofo...
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V. Davis,
C. Wilson,
S. Youngquist,
D. Johnson,
T. Madsen,
M. Ahern,
E. Barton
et al.
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Abstract
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page S20
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58: Procedural Sedation and Analgesia With Ketamine and Midazolam In Adult Emergency Department Patients: A Randomized Controlled Trial
While the use of ketamine for procedural sedation and analgesia (PSA) in children is standard practice, its administration to adults remains controversial due to concerns regarding emergence reactions...
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S. Sener,
C. Eken,
C.H. Schultz,
M. Serinken,
M. Ozsarac
et al.
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Abstract
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page S20
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59: Self-Reported Pain Scores Are Not Affected by Language, Race and Ethnicity Among Adults Presenting to the Emergency Department With Long Bone Fractures
Pain is one of the most common complaints in the emergency department (ED). It is a subjective experience that is usually self-reported by patients upon presentation at triage typically using a numeri...
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F. Bautista,
J.G. Mejia,
N. Garg,
M.S. Radeos
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Abstract
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page S21
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60: Reliability and Validity of the Modified Preverbal, Early Verbal Pediatric Pain Scale In Emergency Department Pediatric Patients
Pain is an important impetus for patients to seek emergency care, with as many as 78% of emergency patients reporting the presence of pain. Despite this, clinicians continue to struggle to provide ade...
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T.D. Strout
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Abstract
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page S21
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