SAEM 1995 Annual Meeting Program

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INDEX

Genera l In format ion. . . . . . . . . . . . . . . . . . . . . . . . . . ,1Special Guest Speakers . . . . . . . . . . . . . , . , . , . . . .3Schedule of Events (Day-at-a-Glance) ...............4AACEM, ACEP, CORD and EMRA Meet ings. . . , . , . , . , . , . . . ; . . . . . , . . . . . . . . . . . . . . . . . , .8Fundamentals of Research Series , . , . , . . . . , . . . . , . . . . . . . .9Care of the Elder Person Course .....1i)May 21, Activities

Didact ic Sess ions . . . . . . . . . . . , . . , . , . .11Ora l Papers . . . . . . . . . . . . . . . . . . . . . . , . . . . . 72

May 22 ActivitiesDidact ic Sess ions . . . . . . . . . . . . . . . . . . .74Oral Papers. . . . . . . . . . . . . . . . . . .75Posters . . . . . . . , . , .18AACEM Agenda . . . . . . . . . . . . . . . . . . . . .27CORD Agenda ......22

May 23 ActivitiesDidact ic Sess ions . . . . . . . . . . . . . . . . . . .23Ora l Papers . . . . . . . . . . , . , . . . . . . . . . . . . . . . 25Pos te rs . . . , . . . . . . . . . , . . . , , 25Annual Business Meeting Agenda .................29

Award Presentat ions. . . . . . . . . . . . . . . , . , . . . . .30Academic Excellence Award .....,.....31Leadership AwardSlate of Nominees ., , . , . , . . . .33Const i tu t ion & Bylaws. . . . , . . . . . . . . . , . , . , . , . , ,36

May 24 ActivitiesDidactic Sessions ..,...,41,Ora l Papers. . , . , . , . , . . , . . . . . .43Pos te rs , . , . , . . . . . . . . . . . . . . , 44

Exhibitors . . . . . . . . . . . .47Posit ions Avai lable . , . , . , . , , . , . , . . , . ,50Call For Abstracts . . . . . . . . . . . . . , , . .55Meeting Room Floor Plans ..,..Inside Back CoverEvaluation Form ,.,.,Center 4 Pages

All attendees are urged to complete the evaluation form published in thecenter of this program. Completed evaluation forms should be

returned to the SAEM Registration deskbefore leaving SanAntonio.Feedback is critical to the development of successfrrl Annual Meetings.

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GEI\ERAI IMORMAilONRegistration and InformationAll registrants must check in at the SAEM Registration Desk topick up name badges which are required for admission into allAnnual Meeting sessions. The Registration Desk will be openduring the times listed below:

May 20 11:00 am-7:00 pm

May 21. 7:00 am-12:00 noon1:00-5:00 pm

May 22 7:00 am-12:00 noon1:00-5:00 pm

May 23 7:00 am-12:00 noon1:00-5:00 pm

May 24 7:00 am-12:00 noon1:00-4:00 pm

Continuing Medical EducationThe 1995 SAEM Annual Meeting will not be accredited for Care-gory I credit of the Physicians Recognition Award of the Amer-ican Medical Association. However, the Board of Directors andProgram Committee stands behind the meeting and its educa-tional content. Certificates of attendance verifying the number ofeducational hours at the Annual Meeting will be issued to eachregistrant immediately following the conference. The Societywill also document the quality and educational benefits of thesessions. Many state Boards will accept such verification by anestablished specialty society for meeting required documenta-tion of CME hours for licensure renewal. This decision was adifficult one and unforhrnately may create a hardship for someattendees. This issue will be monitored and your comments andsuggestions are encouraged.

Issues ForumAll members are invited to participate in an Issues Forum onSunday, May 2I from 5:30-6:30 pm in Salon C. During this in-formal session Board members, committee chairs, and otherswill be available to discuss some of the major issues confrontingthe Society and specialty. These issues include:

1. Subspecialty Guidelines and Development2. Development of Emergency Medicine at Academic Medical

Centers3. Research Directions Conference4. Manpower Task Force5. Informed Consent6. JCAHO Liaison Committee

Members are urged to discuss these and any other issues at thissession.

Poster ReproductionsAs was done at last year's Annual Meeting, all poster presenterswill be provided with reproductions of their poster fordistribution to the Annual Meeting attendees. During the dayand evening prior to each poster session, posters will be repro-duced, printed, and placed in distribution racks mounted oneach poster board. The Poster Reproduction Center is located inthe Exhibit Hall and the hours of operation are: May 21, 22, and23, 7:00 am-9:00 pm; and May 24,7:00 am-1.2:00 noon. Toensure that posters will be reproduced and available for distri-bution in time for the opening of each poster session, presentersshould take their posters to the Poster Reproduction Center onthe day before their scheduled presentation.

1995 SAEM Annual Meeting

Saturday, May 2Oz Schedule of Events8:00 am-5:00 pm Regional CPC Competitions

\festem Region, SalonAMidwest Region, Salon CSouthern Region, Salon DCentral Region, Conference Rooms 1 E 2Eastem Region, Conference Rooms 3 O 4

11:00 am-2:00 pm Academic Emergency MedicineEditonalBoard, Conference Room. 17

2:00-5:00 pm SAIM Board of Directors, Conference Rcnm 18

5:30-6:30 pm CPC Reception, Salon I

5:00-8:00 pm Meeting of the Board and Chairs ofCommittees. Task Forces. and InterestGroups, Conference Rooms 13 & 14

6:00-8:00 pm Geriatric Course Faculty Meeting,Conference Room 6

Opening Cocktail ReceptionSAEM is hosting an opening cocktail reception on Sunday, May2'1. from 6:30-8:00 pm in Salon E immediately following the IssuesForum. AII Annual Meeting registrants are invited to attend. Horsd'oeurves will be served and a cash bar will be available.

ExhibitsExhibits will be avatlable for viewing on May 22 and 23 in theExhibit Hall. The poster sessions, Innovations in EmergencyMedicine Education exhibits, photography competition, coffeebreaks, and the registration desk will also be located in the Ex-hibit Hall. Please take an opportunity ro view the exhibits dur-ing the scheduled coffee breaks and exhibit hours.

Annual Business MeetingThe Society will hold its Annual Business Meeting from 1130-3:00 pm on Tuesday, May 23 in Salons B and F. At this meetingDavid Sklar, MD, will introduce incoming president LewisGoldfrank, MD. Agenda items for the business meeting will in-clude election of officers, Board and committee members, pre-sentation of awards, amendments to the Constitution and By-laws, officers' report, and other items of business presented bythe membership. All members of the Society are urged toattend, however, only active members are eligible to vote.

EMRA ReceptionResidents, faculty and friends are invited to attend a receptionon Monday, May 22 from 7:00-8:00 pm in Conference Rooms 17and 18. The highlight will be the presentation of rhree awards:the L995 Jean Hollister Memorial Award for Excellence in EMSand Prehospital Care, sponsored by Coastal Emergenry Services;the 1995 Academic Excellence Award, sponsored by EmCare;and the EMRA Dedication Award, sponsored by \i(eatherbyHealth Care, Inc. EMRA gratefully acknowledges receptionsponsors, California Emergency Physicians Medical Group andDaniel Stem & Associates.

Board of Directors MeetingThe SAEM Board of Directors will meet on Saturday, May 20 from2:00-5:00 pm in Conference Room 18 and Tuesday, May 23 from7:00-10:00 pm in Conference Room 11. All interested membersand others are invited to attend this and all meetinss of the Board.

Recycling Name BadgesAnnual Meeting attendees are encouraged to recycle their namebadges when they leave the conference. Name badges can bereturned to the SAEM Registration Desk and at the Banquet.

Placement ServiceA bulletin board with be maintained on May 21,22,23, and 24in the Exhibit Hall for persons wishing to post positions andphysicians available listings. Each listing may be no iarger than8 1./2" x 11". Also, positions available are published in this on-site program.

Message BoardA message board will be maintained at the Registration Desk.Phone messages can be left at the SAEM Registration Desk bycalling the Marriott Rivercenter Hotel at (210) 223-1000 andrequesting the SAEM Registration Desk.

Photography CompetitionThe photo entries received for the photography competition willbe displayed in the Exhibit Hall on May 22,23, and 24, Approx-imately 150 photos were received and awards for the top threephotographs in four categories (Clinical, Emergency MedicalServices, A Day in the Life of Emergency Medicine, and Com-puter Generated Residency Logo) will be announced on May 2J.

Financial SupportSAEM is very grateful to Ohmeda Pharmaceuticals for its finan-cial support which has made the poster reproductions possiblethis year. These reproductions greatly enhance the moderatedposter sessions and SAEM is pleased to be able to offer themagain this year.

In addition, the following companies provided educational grantswhich have contributed to the success of the 1995 Annual Meeting:

The Upjohn CompanyClinical Communications, Inc.\Tilford Hall Medical Center

Ohmeda Pharmaceuticals

SAEM is also grateful for the financial suppoft of many of theAnnual Meeting awards:

Physio Control Corporation:Physio Control/SAEM EMS Fellowship

MICROMEDEX, Inc.: Best Oral Clinicai Science Presentation

\Veatherby Health Care: Best Education PresentationPediatric Emergency & Critical Care:

Best Pediatric Emergency and Critical Care AwardRonald Reagan Institute of Emergency Medicine:

Best Medical Student Presentation AwardEmergency Medicine Residents' Association:

Best Resident/Fellow Oral AwardMatrx Medical: Best Technology Award

Speakers' Ready RoomA speakers' ready room (Conference Room 19) will be availablefor those who wlsh to check their slides in advance of theirpresentation.

BanquetThe Annual Meeting Banquet will be held on \(ednesday, May24, in the Marriott Rivercenter in Salons C, D, and E. Dress iscasual. A cocktail reception beginning at 6:30 pm until 7:75 pmwill preceed the banquet. Each attendee will receive tlvo com-plimentary drink tickets and a cash bar will also be avarlable.

The evening's entefiainment is two-fold. First, last year's ImagoObscura Award recipient, Dr. Norm Paradis, with the assistanceof several previous esteemed award winners, will present thisyear's nominees and announce the 1995 recipient of the ImagoObscura Award. Therefore, please do not be alarmed if some ofyour slides turn up "missing" after your presentation. Pastwinners of the Imago Obscura Award "collect entries" through-out the meeting. Slides are returned by SAEM staff after theAnnual Meeting.

Act II consists of the annual Ridiculous Abstract Comoetition.Twenty-seven abstracts were submitted lrying for the honor ofacting silly. Go figure! It was a brain numbing experience, how-ever, the brave reviewers narrowed the field to the followingsemi-finalists:"Phantom CME Credits," Leslie \X/olf, MD

"Improving Out-of-Hospital Cardrac Arrest Survival in a MajorUrban Setting: Phase I Trial - Early Defibri l lation by theHomeless," Jay Lance Kovar, MD"The Rochester Plan for Academic Promotion," Linda Spillane, MD"Do 'Wedgies' Cause Petechiae?," Jerry Balentine, DO"Arming Tactical Emergency Medicine Services (TEMS) Para-medics with Semi-Automatic Weapons: The Impact on an UrbanEMS System," S. Marshal Isaacs, MD

"As Time Goes By: A Meta-Analysis of Consult Arrival Time bySubspecialty," Howard Smithline, MD

By the way, if reading this has made you say, "To heck with myshift - I'm going to the banquet!", tickets are $15 for active, as-sociate, and international members; $35 for residents and med-ical student members of SAEM; and $45 for non-members. Mem-bers are entltled to one ticket at the discounted rate. There willbe a limited number of tickets available for purchase on-site andall tickets absolutely must be purchased by May 22. Also, if youchange your mind, unfortunately, there are no refunds sincemeal counts are required a week in advance of the banquet.

Senior Olympics in San AntonioFrom May 17-24 the 1995 U.S. National Senior Sports Classic V,The Senior Olympics, will be held in San Antonio. This event isexpected to draw 8,000 athletes age 55 + and wil l featureeighteen different sports, including archery, basketball, and golf.The various events will take place at Trinity University, Fort SamHouston, and other sites around San Antonio. The schedule ofevents and other pefiinent information will be available at theSAEM booth for interested Dersons.

All presented research must be approved by Institutional Review Boards forHuman Studies or Animal Care Committees and is so certified by authors upon abstract submission.


SPECIAL GIIEST SPEAKERSKENIIEDY TECTURE

L. Thompson Bowles, MD, PhD

L. Thompson Bowles, MD, PhD, is the ideal individual toreview the importance of the Josiah Macy Jr. Foundation Confer-ence on the Role of Emergency Medicine in the Future ofAmerican Medicai Care. His breadth of educational and adminis-trative experience is unmatched. Dr. Bowles' early years were asa graduate of Duke University Medical School in 1957, a grad-uate of the general surgery program at New York University andBeller,r,re Hospital Center in 1)62, a New York Heart AssociationFellow and a Cardiovascular Fellow atBaylor Medical School. AtGeorge Xfashington University he was Professor of Surgery andAdministrative Medicine, Dean for Academic Affairs and VicePresident for Medical Affairs and Executive Dean.

Dr. Bowles has held multiple leadership roles including Chair-man aI the National Board of Medical Examiners (NBME), multi-ple leadership roles at the Association of American Medical Col-leges (AAMC), Counci l on Graduate Medical Educat ion(COGME), the National Ltfuary of Medicine and the NationalCommittee on Foreign Medical Education and Accreditation. L.Thompson Bowles has studied medical education, gerontology,minority education, cardiovascular surgery and in the past sev-eral years the role of emergency medicine. Dr. Bowles' broadvision of our Society, medicine and human beings made him theideal Chairman of the Macy Foundation Meeting and the ultimatespokesman for the implementation of the conference objectives.


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KEYNOTE SPEAKER"The Emergency Depaf,tment as the Safety Net

for Non-Emergency Caf,e

RonJ. Anderson, MD

Ron J. Anderson, MD, is President and Chief Executive Officerof Parkland Memorial Hospital, the general public hospital forDallas County, Texas and the primary teaching hospital for TheUniversity of Texas Southwestern Medical Center at Dallas.Parkland was the first hospital in Texas to be officially recog-nized by the Texas Department of Health as a Level I TraumaCenter and is aiso a major referal center for many specializedmedical services. Dr. Anderson became Chief Executive Officerof Parkland in January, 1982. He previously serued as Parkland'smedical director for Ambulatory Care and Emergency Services.He served concurently as head of the Division of AmbulatoryCare which became the Division of General Internal Medicineunder his guidance in the Department of Internal Medicine atSouthwestern. Dr. Anderson has remained on the faculty of theMedical School as Professor of Internal Medicine and continuesto see patients and teach house staff physicians at Parkland. Hehas authored and co-authored nearly 200 articles on medicine,ethics, and health policy issues.

Dr. Anderson was the 1988 recipient of the James E. Pear,yAward, the highest honor bestowed by the Texas Public HealthAssociation, for contributions to the field of public health, andthe 1989 McGovern Award, the highest honor bestowed by theTexas School Health Association for his contributions topreventive medicine, health education, and health promotion, In1990 he received the Texas Nurses Association (District Four)Award as "Health Care Professional of the Year." He also re-ceived the 1990 Safety Net Award from the National Associationof Public Hospitals for the Communiry Oriented Primary CareProgram which he initiated at Parkland. This innovative conceptin preventive medicine has generated international interest andwas instrumental in Parkiand being honored as the 1.994recipient of the Foster G. McGaw Award for community service.Dr. Anderson received the 7992 Earl M. Collier Award for Dis-tinguished Hospital Administration, the highest honor bestowedby the Texas Hospital Association; Distinguished Human ServiceProfessional of the Year Award from the Community Council ofGreater Dailas; and an honorary Doctor of Public Service degreeawarded by the University of North Texas. He is also the 1993recipient of the Prism Award from the Mental Health Associationof Greater Dallas. In September, 1994, he was honored at theNational Primary Care Conference as a finalist for the PrimaryCare Achievement Award given by the Pew Health ProfessionsCommission. In October, 1994, he received another awardnamed after Dr. John P. McGovern. This award for humanitarianmedicine was presented by the Association of Academic HealthCenters "for his lifelong commitment to public health, preven-tive medicine , and care for poor and underserued populations."

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1995 SAEM Annual Meeting 7

TAACEM, ACER CORD andEMRA MEETINGS

Corncn or EurncnNcy MnnrcnrERnsmnNcy Dnncrons

CORD Meeting(see agenda on page 22)

May ZZ!290_5230 pm

Salon B g F

Board of DirectorsMay ZJ

t2:00-L:30 pmConference Suite 530

Cur:riculum Task ForceMay 2j

9:00-L0:00 amConference Suite 530

EunncnNcy MnorcnrnRnsronNrs' AssocrefioN

Board of DirectorsMay 20

7:00 pm-12t00 midnightConference Room 11

May 2l5:00-8:00 pm

Conference Room 2

EMRA Representative CouncilMay 2l

12:00-2:00 pmConferenceRoomlg2

EMRA ReceptionMay 22

7:00-8:00 pmConference Room 17 E 1g

1995 SAEM Annual Meetmg

AssocrnuoN oF Aceonurc CrrnnsOF EMERGENcY Mnorcnrn

AACEM Meeting(see agenda on page 21)

May 228:30-11.:15 am

Conference Rooms 13 6 14

Annual Business Meetingand Lunch

May 2211:30 am-l:00 pm

Conference Rooms 13 6 14

AACEM BanquetMay 227:00 pm

Aunnrcan Courcn orEunncnNcy prrysrcrexs

Scientific Review panelMay 22

3:00-6:00 pmConference Room 10

EMF/ACEp Teaching FellowshipWine and Cheese Reception

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May 224130-6:00 pm

Conference Room g

Academic Affairs CommiffeeMay 24

7z3O-9230 amConference Room 14

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FT]NDAMENTATS OF RESEARCH SERIESMay 22,23 &24

These presentations are aimedat the novice researcher (particularly residents and junior faculty), and will attempt to identify, define andclarify some basic research concepts. Each session will concentrate on a particular concept, and develop it from tire standpoint of the newinvestigator. The approach will center on "how to" learn, understand, and apply the concept to the research setting. Each presenter is anexperienced researcher in emergency medicine, and is willing to share "tricks of the trade." Even individuah w[o never intend to doresearch may benefit from knowing how these basic concepts are applied in the research that eventually touches their clinical practice.

Mav 22Fundamentals of Researth: Getting Started inResearchMichelle Biros, MS, MD, Hennepin County Medical Center\(e are all motivated to do research for different reasons, andour sources of inspiration for a research question vary. How-ever, researchers all possess a basic desire to learn and to know.This session will discuss defining a research question, translatingthe question into a project, and taking the first steps to start aresearch project or a research career.

Fundamentals of Research: Research Desrgn part 1:The Research Question and Hypotlresis GenerationNorrnan A. Parad,is, MD, Columbia UniuersityThe speaker will discuss how to identify an appropriate re-search question, keeping in mind that an appropriate researchquestion must be important, definable in terms of measurablequantities, and answerable given the experience and resourcesof the investigator.

May 2JFundamentals of Research: Research Design part2: Specific Research DesignsEdward Panaceh, MD, Uniuersity of Califoruia, DauisTransforming a specific research question into a research proto-col requires a knowledge of the basic types of research design.There are a number of different design types and ways of cate-gorizing them. This lecture will present a standardized systemfor understanding the spectrum of research designs. It will alsogo over each design type and explain its advantages, disadvan-tages, limitations and ideal application to research questions.The focus will be on clinical research, though design types ap-plicable to basic research will be listed. This session is designedto be very practtcal and will illustrate examples using actualemergency medicine studies.

Fundamentals of Research: Critical Reading ofthe Medical LiteratureM, Andrew Leurtt, DO, Higbland General HospitalOne of the most important steps in any research project is criticalreading of the literature, with the goal of identi$ring weaknessesand omissions in the work akeadv performed. The soeaker willdiscuss specific characteristics oh published studiei that mayreduce the reliability of the conclusions, and how these problemsmay be detected by the discerning reader. This session willdiscuss how to read critically to obtain the knowledge base toconvince others of the significance and novelty of the questionyou propose to address with original and relevant research.

Fundamentals of Research: Basic StatisticsRogerJ. Iewis, MD, PhD, Harbor-UCLAMedical CenrcrEarly in the course of planning a project a researcher needs tomake an appraisal of the outcome parameters to be measured,the feasibility of doing the study in a given parient population,the number of patients needed for statistical comparison, and

1995 SAEM Annual Meering

the analytical means of addressing the research question. Earlystatistical consultation can assist with these questions, but theresearcher must provide the information the statistician needsfor critical and analyrcal review of the proposal. This sessionwill concentrate on those statistical conceDts and methods thatmust be understood if the investigator is to be able to commun-icate with a biostatistician and productively collaborate in thedesign and analysis of a clinical study.

Fundamentals of Research: Archival DataResearch: How to do a Chart ReviewSteuen R, Iowenstein, MD, MPH, Uniuersity of ColoradoChart reviews are often used to conduct research in emergencymedicine. However, the reliability of data abstracted by chart re-views is seldom examined critically. This session will focus onthe research use of medical record data. Pitfalls and oroblems.such as missing charts, missing or confl icting data, poorlytrained abstractors, blinding, bias, and interrater agreement willbe discussed. Published afticles from the emergency medicineliterature will be used to illustrate methodologic errors. This ses-sion will then present eight critical strategies that can improvethe validity and reproducibility of medical record reviews.

Mav 24Fundamentals of ResearAh: EthicalConsiderations in Human Subject Researchkffrey W. Runge, MD, Carolinas Medical CenterThe mechanics of initiating a research project go beyond the de-velopment of a research protocol. It is essential to obtain researchapprovals and consent from your institution as well as from in-dividuals who may volunteer to become your research subjects. Inthe enthusiastic quest for knowiedge, researchers may sometimesoverlook or forget basic principles of human rights and welfare.This session will focus on the ethical aspects of human research.

Fundamentals of Research: Abstract Thinking:HowtoWrite anAbstractJamesJ. Menegazzi, PhD, Uniuersity of PittsburghThis session will cover the presentation of research findings in al>sffact form. The structured abstract format will be emphasized. Eightessential components of a successful abstract will be presented,along with ten simple rules for writing a good abstract. Examples ofwell written abstracts and their counterparts, will be given.

Fundamentals of Research: The Art of theScientific PresentationMichelle Biros, MS, MD, Hennepin County Medical CenterThere is an art to the oral or graphic presentation of researchfindings. \X/hile experience is the best teacher and practice makesperfect, there are some mistakes that one can leam to avoid fromothers who have made them! This presentation will focus on thedevelopment of a good research presentation. Based on oneresearcher's personal mistakes, observations, and contemplation,this session will discuss common errors and misconceotionsabout research presentations, and how to avoid them.

o

THE EMERGENCY CARE OF THE ETDER PERSON:

A COURSE FOR TEACHERSMay 2l &22

Anbur B. Sand.ers, MD, uniuersity of Arizona; Edward Bernstein'

MD, Boston (Jniuersity; Rawden Euans, MD' PhD, {Jniuersity of

Uichtgan; Norm XalbJteiscb, MD, Oregon ,Healtb Sciences Uni-

uersiti;Joseph LaMaitia, MD, Long kland,Jewish Medical Cen-

ter; iloien McNamara, MD, Medical Colleg.e of Pennsyluania;

Donald witzke, PhD, LlniuersitJt of Kentucky; Robert woolard''

MD, Brown Uniuersity

Elder persons represent a significant and ra.pidly growing seg-

rrr.nt of the patients needing emergency medical care Older pa-

tients, simila; to young chiliren, iu," u unique physiology and

disease patterns and presentations. The model of emergency

medical'care used foi children is different than rhe medical

model used for adult patients The SAEM Geriatric Emergency

Medicine Task Force his worked for two years to develop prin-

ciples of geriatric emergency medicine and a new model of

"rn"rg.n.! care for elder persons' This eight-hour didactic

.orr# -iif introduce participants to the unique issues of geri-

atric emergency medicine. The goals of the course are:

1. To understand the changes in anatomy, physiology, pharma-

cology and psychology that occur with age'

2. To learn the overall principles of managing the geriatric pa-

tient in an emergency care environment'

3. To learn the concept of functional status as the interaction of

age, disease and environment'

4. To learn the pathophysiology ancl emergency lreatment of

e lder ly pat ients wi i f r common medical , neurologic '

psychologic and surgical diseases'

The initial course at the SAEM Annual Meeting is for teachers in

...rg.n.y medicine who will be willing to -use the material to

[^.tt""tnl,* at their home institutions Each person attending

will receive a prepublication copy of a textbook of geriatric

"t.rg"n.y med'icine as well as a packet of teaching materials to

enabie thlm to adapt the course to their home environment'

The course will be lase based and interactive, making use.of

overheads, videotapes, and a teaching manual Didactic ele-

ments covered in thb course and textbook material include:

I . \fuy do older patients represent a special population for

emergency medicine?a. DemograPhics, aging and EMS

b. nhysiologic changes/diagnostic tests and aging

c. PharmacologY and agingd. Ethical issues - advance directives, futility, etc'

e. Attitudes/ageism

Model for emergency care of the elder patient'

Specific instruments for the emergency department

assessment of the elder Patient'a. ED mentai status examb. ED functional assessmentsc. Case finding

IV. Emergency department approach to specific geriatric clinical

issues.a. Altered mental statusb. Functional declinec. TraumalFallsd. Elder mistreatmente. Acute mYocardial infarctionf. Acute abdomens. Infectionsf,. Cerebral vascular accidenti. Dizziness

The format for the course will include two videotapes, _an audio-

tup., Jit."ttions and demonstrations Six of the eight hours will

be cievoted to interactive, case based discussions The course is

limited to 48 attendees. Pre-registration is required'

Course Objectives:1. Demonstrate a sensitivity to the needs of elderly patients

and respect for their ability to make decisions'

2. Recognize the diversity in health and lifestyles of older per-

sons "and

understand ihat the maiottty of elder persons live

active, productive, meaningful lives'

3. liscuss which commo., diseuses (appendicitis, myocatdial.

infarction, etc.) present in elderly patients with atypical

signs and symptoms that are different than the presentations

in younger Patients4. Oiscuss-which laboratory tests are physiologically altered

with aging and which tests are not changed'

5. l"."fitoi" the ability to do a formal mental status exam for

the elderly patient in the emergency department environment'

6. o.rnont,iui" the ability to do functional assessments evalu-

ating activities of daily living (ADL) of elderly patients in an

emergency dePartment setting

7. DemSnstrate the ability to define and diagnose dementia

and delirium in elderlY Patients'8. D"rnonrtrut" the abiliiy to diagnose and treat myocardial in-

farction in elderly patients; discuss the importance ol myo-

iutiiu,t salvage foi elderiy patients with acute myocardial

infarction.9. Discuss the etiologies and pathophysiology of falls in the el-

derly; demonstrate the abiliqr to care for the elderly fall victim'

10. Demonstrate the ability to detect and marlage elder mistreat-

ment, including physical abuse, sexual-assault, physical ne-

glect, and psychological abuse and neglect

11. bemonstrate'the ability to diagnose and manage tauma and

acute abdominal emeigencies in the elderly patient; discuss

the differences in the ipproach to elderly patients with sur-

gical emergencies compared to the non-eldedy'

12. bemonstraie the ability to manage elderly patients present-

ing with altered mental status, functional decline, and acute

infections.13. Demonstrate the ability to address the psychosocial .needs

of the eldedy being diicharged from the emergency depart-

ment, demonstrat6 the use of community resources and

multidisciplin ary approachto some problems

I I .

T1


DIDACTIC SESSIONSPerformance Based Assessment of ResidentslYrilliam Burdick, MD, Medical College of PennsyluaniaEmil Petrusa, PbD, Duke UniuersityUsing videotapes and case examples, the panelists will describethe development and implementation of a pedomance basedassessment of emergency medicine residents' clinical skills. Reli-ability and validity of performances based assessment will beexamined in the context of the education theory that underpinsthis type of evaluation.

Undergraduate Educatofs' Luncheon: EducationResearch-What is it? How do you do it?William Burdick, MD, Medical College of PennsyluaniaEmil Petrusa, PbD, Duke UniuersityEducators in Emergency Medicine need to critically examine thetechniques used to teach graduates and undergraduates, and thenpublish results in peer-reviewed journals. This luncheon willdiscuss the basic research tools needed for education research, aswell as the forums available for presentation of this research.

Luncheon: International Emersency Medicine -Opportunities for Education add PracticeModerator: Tbomas D, Kirscb, MD, MPH, Jobns Hopkins Schoolof MedicineAntbony Good, MBBS, Royal Hospital, Iiuerpool, EnglandJosepb Epstein, MBBS, Director of Emergency Medicine,

'Western

Hospital of AustraliaSigrid Jarue klug, Mustamae Hospital, Pallin, Eston iaRamzi S. Musbarafiyyeb, MD, Director, Emergency Unit,American Uniuersity of BeirutKaja Pukk, Mustamae Hospital, Pallin, EstoniaNour Sirker, Baptist Hospital, Managua, NicaraguaA panel of international emergency physicians will discuss emer-gency medicine in their respective countries. Specific questionsregarding emergency department function, the prehospitalsystem, physician training, the strengths and weaknesses of emer-gency medicine and how SAEM and U.S. emergency physicianscan assist them will be addressed to the oanel bv Dr. Kirsch. Theaudience will also be invited ro quesrion ihe panel members.

Bedside Observation of Residents - How Often?How Formal?IYtilliam Burdick, MD, Medical College of PennsyluaniaRita K. Cydulka, MD, MetroHealtb Medical CenterKurt Kleinscbmidt, MD, Uniuersity of Texas SoutbwestentIVilliam P. Rennie, MD, Long IslandJewisb Medical CenterOne method of clinical skill assessment is direct obseruation atthe bedside. The panelists will discuss the implicarions of thesuruey conducted by the National Consensus Group on ClinicalSkills on the frequency of resident observation. Pros and cons ofa structured observation of residents' bedside interactive andprocedural skills will be discussed by the panelists using theirown programs as examples. An overview of the use of directobservation in other specialties will also be presented.

Fundamentals of Dealing with News Media inAcademic Emergency Medicine - Pafi lzAnatomy, Physiology and Basic Strategies forInteractionModerator: Roben Scbaferrneyer, MD, Carolinas Medical CenterPatti Dracos, News Producer, NBC Affiliate KI,|OL-TV, San AntonictDauid Glodt, Former Executiue Producer, ABC Weekend News


-

May 2l

and Tbis lVeek witb Dauid BrinkleyDauid Goldberg, News Director, CBS Affiliate KHOU-W, HoustonNancy Holland, Senior Reponer, CBS Affiliate KHOLI-W, HoustonRebecca Nieto, News Producer, ABC ffiliate KABC-ry los AngelesPaul Pepe, MD, Baylor College of MedicineDespite routine interaction with the various news media, fewphysicians are famihar with the actual structure, hierarchy anddecision-makers in a news organization and their subsequentnews production. The purpose of this session wiil be to providea basic insight into those key entities/processes and, accord-ingly, provide strategies that will help academic emergency phy-sicians to: 1) best focus their energies for promoting emergencyhealth care information as well as illness/injury prevention; 2)become more proactive with public education through thevarious media; and 3) learn Ten Golden Rules for achievingbetter medical communication and interaction with the newsmedia. Various expefis from the electronic news media will pro-vide both didactic and video presentation as well as panel dis-cussions regarding the material presented.

Fundamentals of Dealing with News Media inAcademic Emergency Medicine - Part tr:Communication Objectives and InterviewWorkshop for the Academic Emergency PhysicianModerator: Paul Pepe, MD, Baylor College of MedicinePatti Dracos, News Producer, NBC Affiliate KI,IOL-ry San AntonioDauid Glodt, Former Executiue Producer, ABC \{/eekend Newsand This Week witb Dauid BrinklejtDauid Goldberg, News Director, CBS Affiliate KHOU-W, HoustonStephen IV, Hargartery MD, MPH, Medical College of WisconsinNancy Holland, Senior Reporter, CBS Affiliate KHOU-W, HoustonRebecca Nieto, News Producer, ABC Affiliate KABC-TV, Ios AngelesRobert Schafermeyer, MD, Carolinas Medical CenterIn this follow-up to Part I, various SAEM members will presentsome of their own experiences with the media and, in turn,make specific proposals for future communication objectives foracademic emergency physicians. An expert panel of media rep-resentatives and decision-makers will react to and discuss thoseperspectives. The remainder of the session will then be devotedto an interactive (live) interview workshop in which audiencemembers can volunteer to undergo mock interviews by themedia experts (using actual emergency medicine topics). Livetaping and playback of interviews will be conducted and inter-viewees will receive immediate feedback from other audiencemembers and the panel of experts (attendance at Pafi I is con-sidered a pre-requisite for this part of the session).

Faculty Development Environment, Promotionand TenufeGloriaJ. Kuhn, DO, Grace HospitalJobn C. Moorbead, MD, Oregon Healtb Sciences (lniuersityDouglas A. Rund, MD, Obio State UniuersityNicholas J. Jouriles, MD, Case Western Reserue l-lniuersityV. Gail Ray, MD, Uniuersity of ArkansasFaculty development is a key component of a maturing spe-cialty. This panel will highlight how academic chairs developfaculty. Topics specifically addressed will include developmentof new faculty, development of senior faculty, sabbaticals andhow to set up a program at a brand new academic depafiment.In addition, there will be discussion on how to develop yourown skills. From this panel, the learner should learn both thebasics of faculty development and several successful tools.

1 1

May 2l ORAI PAPERS

Scientific Papers 1: Plenary (8:0f10:00 am) 016

Mod.erator: Michelle H. Biros, MS, MD, Hennepin County

Med:ical Center001 Prospective Validation of a Decision Rule for the Use of

Radi,cgraphy in Acute Knee Iniuries, Ian G. Stiell, MD,

Uniuersity of Onawa

002 Relationship Between Effectiveness of Bystander CPR and

Survival from Cardiac Artest, Paul Gennis, MD' Alben Ein-

stein College of Medicine

003 Efficacy of Intravenous Magnesium in Moderate to Severe

Asthma in Pediatric Patients, Andrew H. Sauer, MD, Har-

uard Medical Scbool

004 Reliability of Performance Based Assessment of Emer-

gency Medicine Residents, Ix/illiam P' Burdick, MD, Medi-

cal College of PennsYluania

005 \(orkforce Projections for Emergency Medicine: How

Many Emergency Physicians do we Need?, C / Holliman,

MD, PennsYluania State UniuersitY

005 The Sensitivity, Specificity and Accuracy of ED Echocardi-

ography, Daue Plummer, MD, Hennepin County Medical

Center

007 24 Hours in the Life of an ED: Ambulatory Patients at 56Emergency Departments, Gary P. Young, MD, Higbland

HosDttal

008 Determining the Correlation of Demographic Factors and

Insurance Status with Patient's Frequency of Emergency

Department Yisits, Valda R' Crowder, MD, Cooper Hospital

Scientific Papers 2; lniury Prevention/Control(10:30-12:00 noon)Mod.erator: Stepbanie B, Abbuhl, MD, uniaersity of Penn'

sybaniaOOq Can Three Brief Questions Detect Domestic Violence in 025

the Emergency Department, Kim M. I;eldbaus, MD, Den-

uer General HosDital

010 Safety Restraint Law Reduces Soft Tissue Injuries and ED/

Hospital Charges, Bruce Welkouicb, MD, Boston City Hospital

011 Weapons Involvement in Home Invasion Crimes, Arthttr

I. Kellermann, MD, MPH, Emory Uniuersity

012 Behavioral Risks in Emergency Department Patients: A

Multl-Site Study, Steuen R. Iowenstein, MD, MPH, Uniuer-

sity cf Colorado

013 The Effect of Legalized Gaming on Traffic Safety in Colo-

rado, Jane Koziol-Mclain, kN, MS, Llniuersity of Colorado

014 Personal Safety and Ownership of Firearms Among Emer-

gency Physicians, Marc Eckstein' MD, Ios Angeles County/

Uniuersity of Soutbem California

Scientific Papers 3: Toxicology/Environmental(10:30-12:00 Noon)Mod,erator: Sandra M. Scbneider, MD, Unittersity of

Rocbester01,5 Increased Glutathione and Glutathione Disulfide in Severe

Carbon Monoxide Poisoning, Stephen R Thom, MD, PhD,

LIn iuersity of P ennsY lu an ia

1 2

Comparison of Hyperbaric Oxygen and Dapsone Therapy

for Loxesceles Invenomation in a Swine Model , Gregory

D. Hobbs, MD, Scott E \Vhite Memorial Hospital

Direct Noninvasive Assessment of the Effect of Hydrox-

ocobalamin on Cyanide Toxicity, Edwqrd C' Cetaruk, MD,

Uniuersitv of Colorado

018 Prevalence of the Use of Cocaine in Patients with Chest

Pain, Knox Todd, MD, MPH, Llniuersity Medical Center,

Stony Brook

019 A Prospective Evaluation of the Electrocardiographic Man-

ifestatibns of Hypothermia, Susi Vassallo, MD, Belleuue

HosPital Center

020 Cocaine Causes Dose Dependent Cardiac Toxicity in an

Animal Model of Cocaine Abuse, Lance D Wilson, MD,

Mt. Sinai Med,ical Center

Scientific Papers 4z lmaging/Diagnostics(1:3f3:00 Pm)Moderator:Joseph F. Waeckele, MD tlnhtersity of Missouri,

Kansas City021 Sensiiivity of New Generation Computer Tomography in

Detecting Subarachnoid Hemorrhage, Tbomas A' Sames,

MD,IYrilford Hall Medical Center

022 Computed Tomography (CT) in the Dlagnosis of. Sub-

arachnoid Hemorrhage: Is Spinal Fluid Analysis always

Needed when the CT is Normal?, Robeft D' Sidman, MD,

Rbode Island HosPital

The Reliability of Estimating intraperitoneal Fluid Volume

with Ultrasound, Scott'W, Branney, MD, Denuer General

Hospital

Radiographic Misreads as a Function of Level of Training,

Howard Freed, MD, Albany Medical College

The Incidence of Clinically Significant Discrepancies in

Emergency Department Radiograph Interpretation when

Emergency Physicians are Confident, Cra|6 A. Manicks,

MD, Hennepin Crtunty Medical Center

High Negative Predictive Value of Bedside Measurement

of'b-aimer for Gram-Negative Bacterenia, Gary Quick,MD, tlniuersity of Oklahoma

Scientific Papers 5: CardiopulmonaryResuscitation (L :30-3:00 Pm)Moderator:James T. Niemqnq MD, Harbor-UCI-A

027 Validation of Criteria for Termination of Resuscitative Ef-

forts in Out-of-Hospital Cardiac Atrcsq Gaty lombardi,

MD, Albefi Einstein College of Medicine

Selective Aortic Arch Perfusion (SMP) During Cardiac Ar-

rest: Enhanced Resuscitation Using Sequential Pulsed Dia-

stolic Infusions of Oxygenated Autologous Blood, James E'

Manning, MD, Llniuersity of North Carolina at Cbapel Hill

Effects of Graded Doses of Vasopressin on Median Fibril-

lation Frequency in a Porcine Model of CardiopulmonaryResuscitation, H.LI, Strobmenger, MD, uniuersity of Um

The Effects of Endothelin-1 on Resuscitation Hemody-

namics During Cardiac Lrtest, Daniel J. DeBebnke' MD,

Medical College ol lXlisconsin

0r7

023

024

026

028

029

030

i995 SAEM Annual Meeting

031 Serum-Neuron Enolase As Additional Predictor for CNS-Failure in Cardiac Arrest Survivors, Patrick R. Martens,MD, A.Z. St.-Ian Hospital, Belgiurn

032 Effect of Selective Aortic Arch Perfusion on Median Fre-quency and Peak Amplitude of Ventricular Fibrillation in aCanine Model, Cbristopber W. Barton, MD, tlniuersity ofNortb Carolina at Cbapel Hill(See erata below)

Scientific Papers 6: Health Care Delivery(3:30-5:00 pm)Moderator: Teretrce Valenzuela, MD, (Iniuerstty of Arizona,033 Inadequate Functional Health Literary Among Patients at Two

Public Hospitals, Mark V.'Villiams, MD, Emory tlniuersitlt

034 Is the American College of Emergency Physicians' (ACEP)Calculated Number of Practicing Emergency physiciansUnderestimating Curent Needs?, Carolyn E. Haase, MD,IVasbington Uniuersity, St. Louis

035 Inappropriate Emergency Department Use: The Eye of theBeholder, Marc J. Sbapiro, MD, Rhode Island Hospital

036 Impact of Emergency Medicine Residency Training on theEvaluation of Atraumatic Chest Pain in the Emergency De-partment, Robin Mantootb, MD, Joint Military MedicalCenters

May 2l

037 The Effect of Managed Care on the Number of EmergencyDepartment Yisits, Stephen K. Epstein, MD, MPP, Henne-pin Count! Medical Center

038 How Much Do \fle Save From One Less Emergency Depart-ment Visit?, Robert L. Wears, MD, MS, (Iniuercity of Florida

Scientific Papers 7: Education (3:3f5:00 pm)Moderq.tor: Mary Ann Cooper, MD, Uruiaersity of lllilnis039 How Often are Emergency Medicine Residents Observed

at the Bedside?, lVilliam P. Burdich, MD, Medical Collegeof Pennsyluania

040 Emergency Medicine in US Medical Schools, BarbaraBarzansky, PbD, AmeNcan Medical Association

041 EM Residency Training as Evaluated by Practicing ResidenryGraduates, Kent N. Hall, MD, tlniuersity of Cincinnati

042 How Current is the Current Emergency Medicine Litera-ture?, John E. Gougb, MD, East Carolina tlniuersity

043 Rapid Consensus Development, Michelle Biros, MD, MS,Hennepin County Medical Center

044 A Computer Tracking Program for Resident Patient En-counters to Monitor Clinical Experiences in EmergencyMedicine: Description and Psychometric Assessment,GregoryJ. Mosdossy, MD, Sudbury General Hospital

*The table in the abstract was incomect in the May issue of AEfuI. The corected tableis published below:

Pre-SAAP (12 min) Deffb-l (12.8 min) Defib-2 (13.S min)Group MF (Hz) PA (mV) MF (Hz) pA (mV) MF (Hz) pA (mV)Control 7.8 1 1.8 0.38 ! .1.4 7.3 t L.4 0.39 t .7i 7.Z t 0.Z 0.58 t 0.09SAAP 7.3 t 0.7 0.56 t .13 9.6 ! 0.4* 0]4 r .27* 7.3 r 1.0 1,.03 ! 0.34*

* p < 0.05 vs Control. t-test

1995 SAEM Annual Meering 13

May 22

Faculty Development: Research CareersMichelle Biros, MS, MD, Hennepin County Medical Center

Jerris Hedges, MD, MS, Oregon Healtb Sciences Uniuersity

John Marx, MD, Carolinas Medical Center

Jobn Younger, MD, Uniuersity of Micbigan

This panel will discuss the development of research careerswithin Emergency Medicine. Several viewpoints will be pre-sented. Dr. John Younger is a current Research Fellow and willdiscuss what conffibuted to his decision to pursue a fellowshipinstead of directly entering clinical practice. He will also talkabout his perceptions of existing fellowships. Dr. John Marx willpresent the perspective of a departmental chief on how aca-demic emergency departments can suppofi the development ofthe research careers of academic staff. As a profile researcherand editor of Academic Ernergency Medicine, Dr. Jerris Hedgesis in the unique position to present a btoad overview of the de-velopment of the research of our specialry, and suggest what wecan do to further advance this aspect of our academic lives.

Advanced Statistics: Multiple ComparisonsRogerJ, Iewis, MD, PbD, Harbor-UCU Medical CenterRobert Wears, MD, Uniuersity of Florida

Each time one conducts a statistical test, there is a chance of ob-taining a statistically significant tesult, even if there is really nodifference between the two groups being compared. This risk ofa false positive result becomes overwhelming if many compari-sons are made using multiple statistical tests. In this advancedstatistics lecture, the speakers will review the most common sta-tistical methods for dealing with this problem, including theBonferroni correction, analysis of variance (ANOVA), and post-hoc multiple comparisons tests, and describe the benefits andlimitations of these procedures.

EMRA/SAEM Resident Leadership ForumModerator: Dauid Magid, MD, Uniuersity of 'il/asbington

Carejt Cbisbolm, MD, Metbodist Hospital of IndianaMarcus Martin MD, Allegbeny General HospitalTeresita Hogan, MD, Uniuersity of lllinois, ChicagoArtbur Kellermann, MD, Emory UniuersityLouis Ling, MD, Hennepin Count! Medical CenterCarol Scott, MD, [Jniuersity of Maryland

James Scott, MD, George Wasbington UniuersityRebecca Smitb- Coggins, MD, Stanford UniuersityAhmed Stowers, MD, George Washington Uniuersity

This session is open to all residents but is designed specificallyfor residents who anticipate an active leadership role during thecourse of their training. The forum will start with a lecture byhow to be a good teacher with particular emphasis on how tobe an effective teacher in the emergency department. Our sec-ond session will be a panel discussion on ethnicity issues inmedicine. This session will address sensitive issues related toethnicity and gender that a resident might encounter. The finalsession will be a panel discussion that will focus on a vaiety oftopics of importance to chief residents in an emergency medi-cine residency program. Some of the issues that the panel willaddress are building morale, teamwork, motivating residents,conflict resolution, and scheduling hints. Continental breakfastcompliments of 'Xteatberby Health Care.

I4

DIDACTIC SESSIONSState-of-the-Art: Evolving Concepts in andManagement of Hemoffhagic HypotensionWilliam Bickell, MD, Llniuersity of OklahomaSusan Stent, MD, Uniuersity of MichiganPaul Pepe, MD, Baylor College of MedicineThomas Scalea MD, Kings County Hospital - SUNY Brooklyn

This 90-minute course will cover the historical perspectives, mil-itary obseruations and early laboratory models of hemorrhagichypotension. Investigators will also discuss recent developmentsin laboratory models of uncontrolled hemorrhage and the con-troversy regarding appropriate end points of resuscitation.Finally, the results of the latest clinical trials assessing the man-agement of hemorrhagic hypotension and a perspective onfuture clinical research directions on this impofiant topic wili bediscussed.

Luncheon: Acute Asthma Research State-of-the-ArtModerator: Emil Skobeloff, MD, Medical College of PennsyluaniaE.R. McFadden, Jr, MD, Uniuersity Hospitals of CleuelandRicbard M, Nowak, MD, Henry Ford Hospital

Dr. Regis McFadden, an internationally renowned asthma re-searcher will be the featured speaker at the Asthma InterestGroups' luncheon. Given his vast experience in airways re-search, he will review new advances in the understanding of thepathophysiology of acute asthma, with particular emphasis.onbmergency medicine research opportunities from a multi-disciplinary approach. He will also discuss his overall vision ofthe role of the emergency physician in the care of the asthmaticpatient and how Emergency Medicine can develop linkages*ith other national organizations. Dr. McFadden's remarks willbe followed by an open forum, question and answer period. Itis anticipated that this lunchtime symposium will be as livelyand interactive as last year's,

Luncheon: Disaster Medicine - Impact ofCurrent Research and Implications for theFutureKristi L, Koenig, MD, Higbland General HospitalPaul Rotb, MD, Uniuersity of IVew MexicoCarl H. Scbultz, MD, Harbor-UCIA

After an overview by the moderator, the panelists will discussthree important issues in disaster medicine research and educa-tion. Using eafthquakes as an example, the speakers will reviewrecent research data describing the problems faced in providingmedical care following a catastrophic disaster. They will furtherdiscuss how the Medical Disaster Response (MDR) protect, as a

Dotential solution, utilizes this data to construct a directed medi-cal response and address many of these issues. In addition, pan-

elists will present the rationale for use of epidemiologic model-ing as a methodology to investigate disaster related injuries, ill-nesses, and other medical problems and describe how the meth-odology is used to obtain research data. L^stly, speakers willDresent work to date on disaster medicine curriculum recom-mendations. Also to be discussed is the establishment of thiscuniculum at the undergraduate level and the oppofiunity thisrepresents for emergency medicine.


EMRA/SAEM Villiam H. Spivey. MD. ResidentResearch Forum: Evidenc? Balad ubdicalDecision MakingGlenn Hamilton, MD, Wrtgbt State UniuersityClinicians regularly confront dilemmas when ordering and inter-preting diagnostic tests or when making treatrnent decisions fortheir patients. This session will demonstrate an approach tomaking optimal use of the information that is published in themedical literature. Dr. Hamilton will discuss how to determinewhether the results of a study arc valid, how to interpret theresults, and whether the infomation will benefit your patients.Ligbt refresbments corupliments of Marion Merrell Dow,

Firearm Related Iniuries and Deaths: A State-of-the-Art Session on Clinical. Research and PublicPolicy IssuesVincent DiMaio, MD, Regional Crime Laboratory, County ofBexar, TexasArtbur Kellermann, MD, MPH, Emory UniuersityGaren \Vintemute, MD, MPH, Uniuersity of Caffirnia, DauisFirearm-related deaths and injuries are continuing to increase,Already firearm-related deaths outnllmber motor vehicle crashdeaths in several states. Firearm-related soinal cord iniuries areemerging as a leading cause of permanent disability. Advancesin clinical care, research, and public policy have been limited inacademic emergency medicine. This didactic session bringsthree national experts together to discuss state-of-the-art issuesin the areas of acute care, research, and public policy. This ses-sion promises to be useful for academic emergency physiciansin the development of successful firearms-related research intheir institutions.

Regulatory Issues Update - Issues of Consent inEmergency ResearchModerator: Micbelle Biros, MS, MD, Hennepin County MedicalCenterCbris Doherty, JD, Fox, Bennett E TurnerRogerJ. Iewis, MD, PhD, Harbor-UCU Medical CenterJeffrey W. Runge, MD, Carolinas Medical Center

Recent controversy has arisen between the fecierai reguiatorsand the resuscitation research communitv over interpretation of

May 22

the curent federal regulations guiding research studies involv-ing patients who are unable to give prospective informed con-sent. Many studies which attempt to use waiver of consent orexception to informed consent have been placed on hold orcompletely stopped by the Food and Drug Administration or Of-fice of Protection from Risk Research. I7e will discuss the issuesand politics involved in this controversy, and provide an updateon the move (spearheaded by SAEM) to develop new regula-tions that wili allow ethical acute resuscitation and critical carehuman research when patients are unable to give consent.

Fractals and Beyond: Chaos and Non-linearDynamics in Emergency Medicine ResearchCbarles G, Brown, MD, Ohio State UniuersityCharles B. Caints, MD, Uniuersitl of ColoradoThis session will address recent developments in chaos theoryand its application to emergency medicine research. Specifictopics to be covered include the use of neural nefworks in thediagnosis of acute myocardial infarction, fractal dynamics inEKG analysis, and non-equilibrium thermodynamics in ischemiareperfusion research.

Lar ge Databank ResearchJerris Hedges, MD, MS, Oregon Healtb Sciences tlniuersityClay Mann, PbD, Oregon Healtb Sciences (IniuersityAndreu Zechnicb, MD, Oregon Health Sciences UniuersityThe speakers will review the basic principles behind designingand implementing large database research. The discussion willinclude the following topics: the advantages and disadvantagesof using large databases in health seryices research, locating andacquiring access to existing data sources, issues related to themanagement and analysis of \arge databases, approaches totechnological barriers, common pitfalls of large database re-search, and security and ethical issues. Examples will be givenfrom the speakers' experience with database research in trialssuch as Oregon rurai trauma research and anaiysis of drug inter-actions using Medicaid claims data.

1995 SAEM Annual Meetins 1.5

May 22

Scientific Papers 8: Trauma (8:00-10:00 am)Moderator: Tbomas M. Scalea, MD, State Unhtersity ofNew York, Brooklyn045 Neurologic Deficit and Cervical Spine Injury in Patients

with Gunshot Vounds to the Neck and Face, Cbailes J.Hauel, Jr, MD, Medical College of lVisconsin

046 A New Model of Uncontrolled Intra-Abdominal Hemor-rhage Allows Stratification of Iniury Severity and DirectCorrelation of Blood Pressure and Rate of Hemorrhage,Robefi Silberglert, MD, Medical College of Pennsyluania

047 Prospective Evaluations of the American College of Emer-gency Physicians (ACEP) Truuma Triage Guidelines in theRural Setting, William H. Bickell, MD, lYarren Clinic

048 Noninvasive Assessment of Tissue Metabolism in CriticallyInjured Trawa Patients, Charles B. Cairns, MD, Uniuersityof Colorado

049 The Effect of Prehospital Blood Transfusion on PatientOutcomes in Blunt Tratma, Robert L, Brown, MD, Gei-singer Medical Center

050 Use of a Neural Nefwork to Predict Inttactanial Injury inBlunt Head Tratma, Pierre Borczuk, MD, MassachusettsGeneral Hospital

051 Use of a Dual-Level Trauma Response in the EmergencyDepartment to More Rapidly Identify and Treat PatientsRequiring Admission, Glen H. Tinkoff, MD, Medical Centerof Delaware

052 Is Closed Diagnostic Peritoneal Lavage Contraindicated inPatients with Previous Abdominal Surgery?, GregoryMoore, MD, Metbodist Hospital of Indiana

Scientific Papers 9: EMS (8:00-L0:00 am)Mod,erqtor: Vincent P, Verdlle, MD, Albany Medical College053 Prospective Validation of Prehospital Spinal Clearance Cri-

teia, Robert M. Domeier, MD, Uniuersity of Michigan

054 Survival Variation in Cardiac Arrest Occurring After EMSArival as a Means of Assessing Personnel Performance In-dependent of System Factors, E. Jobn Gallagber, MD,Albert Einstein College of Medicine

055 Demographic Correlation of Urban EMS System Utihza-tron, Tbeodore R, Delbridge, MD, MPH, Uniuersity ofPittsburgb

056 Initial Experience of an EMT-based Pediatric ImmunizationOutreach Program, Cai Glwbak, MD, Uniuersity of Cbicago

057 The Efficacy of Treatment of Unstable AtrioventricularBlock and Bradycardia in Patients with Acute MyocardialInfarction, WilliamJ. Brady, MD, tlniuersity of Virginia

058 Retrospective Prehospitai Validation of the Acute Cardiac Is-chemia - Time Insensitive Predictive Instrument (ACI-TIPI),

Tom P. Aufderbeide, MD, Medical College of Wisconsin

059 Prehospital Paralysis and Endotracheal Intubation of thePediatric Patient, Ronald F. Sing, DO, Uniuersity of Penn-qtluania

060 Ambulance Use in the Inner City: The Role of Conveni-ence Issues, Mindy Stimell-Raucb, MD, Albert EinsteinCollege of Medicine

76

Scientific Papers 10: Pediatrics(10:3H2:00 noon)Mod,erator: Susan Fuchs, MD, IJniaersity of Pittsburgb051 Effects of Medicaid Managed Care on Infant Emergency

ORAL PAPERS

072

uoz

063

064

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056

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07r

Department lJse, Eualine A. Alessandrini, MD, Cbild'ren'sHospk al of Ph il ade lPh ia

Intramuscular Ketamine is Superior to Meperidine, Pro-methazine and Chlorpromazine for Pediatric EmergencyDepartment Sedation, Emory M. Petrack, MD, MPH, Case'V/estern

Resetae Uniuersity

Factors Contributing to Preferential Use of the ED forNonurgent Pediatric Care, Norman C. Christopber, MD,MetroHeahh Medical Center

Neonatal Fever: Validation of the Rochester Criteria in Deter-mining which Neonates are at Low-Risk for Serious BacterialInfections, Peter C, Fercert, MD, Albany Medical College

Do Oral Antibiotics Prevent Meningitis in Children withOccult Pneumococcal Bacteremia? A Meta-Analysis, SteuenG. Rothrock, MD, Oilando Regional Medical Center

Pediatric Drug Therapy in the Emergency Department:Does it Meet FDA-Approved Prescribing Guidelines?,

leffry P.McKinzie, MD, Vanderbilt Uniuersity

Scientific Papers 11: ResPiratory(10:30-12:00 noon)Moderator: Cbarlcs L Enxerma'n, MD, MetroHeahb MedicalCenter057 A Comparison of Standard Dose Albuterol with High Dose

Albuterol for the Treatment of Status Asthmatics in AdultEmergency Center Patients, Gail S. Rudnitsky, MD, Med-ical College of Pennsyluania

Estrogen $flithdrawal Alters the Bronchodilation Responsein the Asthmatic Rabbit, lVayne A. Satz, MD, Medical Col-lege of Pennsyluania

The Effects of Combined Intravenous and Inhaled Steroidsin the Emergency Department Treatment of Acute Asthma,Alex Guttman, MD, McGill Uniuersity

Impact of Routine Pulse Oximetry Screening on MedicalManagement, William R. Mower, MD, UCU

A Prospective Comparison of Bilevel Positive Airway Pres-sure (BIPAP) and CPAP in the ED Treatment of CHF,Rene A, Hipona, MD, Rhode Island Hospital

Phrenic andLaryngeal Motor Nerve Activity During Exper-imental Cortical Seizures in Piglets, Thomas E. Terndrup,MD, State Uniuersity of New York, Syracuse

Scientific Papers 1.2: Shock (1:3f3:00 pm)Moderator: LI Andrew Leuifi, DO, HighlandGeneralHospital073 A Comparison of Two Rapid Rewarming Methods in a

Canine Hypothermia Model , Dauid M. Kam, MD,Butterwortb Hosoital/Mich ipan State Uniuersity

Uncontrolled Hemorrhagic Shock in Rats: Limited FluidResuscitation Using Colloid Solutions, Antonio Capone,MD, Uniuersity of Pittsburgb

Comoarison of the Effect of Bolus versus Slow Infusion of

7.5% Hypertonic Saline-Dextran on Blood Flow andSurvival in Acute Hemorrhage, Susan A. Stern, MD,Uniuersity of Micbigan

0 / 4

075


076 Hypothermic (Hth) Minimal Fluid Resuscitation (FR)Extends the Golden Hour of Uncontrolled HemonhagicShock (UHS) in New Ourcome Model in Rats, Seung H,Kim, MD, Uniuersity of Pittsburgb

077 The Effect of Crystalloid Infusion Rare on HemorrhageVolume and Mortaliry in a Porcine Model of Splenic In-jury, Cail R. Cbudnofsky, MD, [Jniuersity of Michigan

078 The Use of Diaspirin Cross-Linked Hemoglobin (DCtHb)Solution in the HospitaL Management of Hemorrhagic Hy-povolemic Shock, Edward P. Sloan, MD, MpH, Uniuersityof lllinois at Cbicago

Scientific Papers 13: Clinical Practice(1:30{:00 pm)Modcrator W Brian Grbler, tr[D, Untaerstty of Ctnctnnatt079 Ruling Out Acute Myocardial Infarction in a Chest pain

Center without Hospital Admission: potential Utilirv of a

May 22

Protocol Requiring Stat Exercise Testing, Robert J.Zalenski, MD, Cook County Hospital

Phase 4 - Implementation of an Outpatient MyocardialInfarction Rule Out Program at a Pilot Hospital, LouiSGraff, MD, New Britain General HoEital

ED Visits by Patients Suspected of Drug Seeking Behavior,Andrew D. Zechnich, W, Oregon Healtb Sciences tlnircrcity

Lorazepam Prevents the Recurrence of Alcohol-RelatedSeizures, Gail D'Onofrio, MD, Boston City HoEital

A Two-Step Model to Identifr Community-Acquired pneu-monia Patients at Low Risk for Hospital Mortality, ThomasE. Auble, PhD, Uniuersity of Pinsburgh

Evaluation of a Strategy for Cost Effective Utilization of theCCU for Rule-Out Acute Myocardial Infarction, Gerard X,Brogan, !r, MD, Uniuersity Medical Center at Stony Brook

080

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May 22 POSTER SESSION AThe Poster Session will be held in the Exhibit Hall from 3:30-6:00 pm. Moderated poster sessions will be held from 4:30-5:30 pm as listedbelow:

Topic/AbstractsInfectious Disease (Abstracts 145-1.55)

Resplratory (Abstracts 156-1,63)

Toxicology/Envlronrnental (Abstracts 164-17 5)

Computer Methodology/Modelingand Technology (Abstracts 176-180 and 188-193)

Shock (Abstracts 181-187)

Trauma (Abstracts 194-204)

Education (Absrracrs 205-21.5)

Education (Absrracrs 216-226)

Moderator Meeting RoomDavidA. Talan, MD, UCLA-OllveVlew Conference Room 1

Rlchard M. Nowak, MD, Henry Ford Hospltal Conference Room 2

IouisJ. Ling, MD, Hennepln County Medical Center Conference Room 3

DietrichJehle, MD, State Unlversity of NewYork, Buffalo Conference Room 4

Bernard L,l,rlrpez, MD, ThomasJefferson Univ. Hospltal Conference Room 9

John A. Marx, MD, Carolinas Medical Center Conference Room 12

Gloria Kuhn, DO, Wayne State Universlty/Grace Hospital Conference Room 13

Wllllam P. Burdick, MD, Medlcal College of Pennsylvania Conference Room 14

Infectious Disease145 Incidence of PPD Positivity in the Emergency Department,

Ricbard D. Sbib, MD, Newark Beth Israel Medical Center

146 Tuberculosis Exposure in the Emergency Department,AmyJ. Bebrman, MD, Uniuersity of Pennsyluania

147 Seroprevelence of Hepatitis B & C in the Urban Emer-gency Department Population, Brian M. Huettl, MD, Mt.Sinai Medical Center

1,48 Feasibility of ED-Based HIV Screening Program UtilizingOn-Site Rapid Testing, Michael J. Moore, Jobns HopkinsUniuersity

149 Predictors of Positive Blood Cultures in Adult HIV PatientsPresenting to the Emergency Department, Simong S.Youmans, MD, Carolinas Medical Center

150 Incision and Drainage of Cutaneous Abscesses is not As-sociated with Bacteremra, Bentley J. Bobrow, MD, MaN-copa Medical Center

1,51, A Comparison of a Recombinant Endotoxin NeutralizingProtein Versus a Recombinant Bactericidal/Permeability In-creasing Protein Yaiant for the Treatment of E. Coli Sepsisin the Rat, Anne M. Stack, MD, Haruard Medical Scbool

1,52 The'Bacterial Pathogens of Community Acquired Pneu-monia - Coexistence of Typical and Atypicals, Iala M.Dunbar, MD, PbD, Louisiana State Uniuersity, New Orleans

153 Extracranial Sites of Infections in Adult Patients with Bac-terial Meningitis, Kabang Chan, MD, Iong Island JewisbMedical Center

$4 High Prevalence of Occult Sexually Transmitted Diseasesin'Women Undergoing Pelvic Exams and Discharged withPresumed Isolated Urinary Tract Infections, Elijah Berg,MD, St.Jobn Hospital and Medical Center

55 N-2-Butylcyanoacrylate: Risk of Bacterial Contaminationwith an Appraisal of its Antimicrobial Effects, Martin H.Osmond, MD, Uniuersity of OUawa

18

Respiratory1,56 End Tidal CO2 Xflaveforms Detect Bronchospasm and the

Response to B-Agonist Therapy in Adult Ed Patients withAsthma, Paul Padyk, MD, Uniuersitlt of Colorado

The Pathophysiology of Tension Pneumothorax in Ventil-ated Patients: A Swine Model, Erik D. Bafton, MD, MS,Uniuersity of California, San Diego

Asthma in the Emergency Department: An Opportunityfor Education and Intervention, Robert M. McNamara,MD, Medical College of Pennsltluania

Comparing the Borg Dyspnea Index to Pulmonary Func-tion Testing in Patients with Acute Asthma, Robert A.Siluerman, MD, Iong IslandJewisb Medical Center

Endotrol Directional-tip Endotracheal Tubes for NasotrachealIntubation, EdmondA. Hooker, MD, Uniuasity of louisuille

Estrogen \flithdrawal Diminishes the Effectiveness ofIpratropium in the Asthmatic Rabbit, V(ayne A. Satz, MD,Medical College of Pennsyluania

An In-Vitro Analysis of Magnesium as a Bronchodilator inNormal, Asthmatic, and Estrogen \Tithdrawal AsthmaticRabbits, Wayne A. Satz, MD, Medical College of Penn-syluania

Prehospital Management of Reactive Airway Disease:Comparative Analysis of Metered Dose Inhaler and Nebul-ized Aerosol Treatments, Russ Firman, MD. Akron Gen-eral Medical Center

Toxicology/Environmental1,64 In-Vitro Cell Culture Assays May Replace Animal Studies

in Toxin-Antidote Evaluation, Dauid R. Duncan, MD, Uni-uersity of California, Dauis

165 Haloperidol Produces Greater Electromechanical Depres-sion than Lotazepam in Ethanol Perfused Rat Hearts,Ricbard P. Medlin, MD, Carolinas Medical Center

166 Use of Sodium Polystyrene Sulfonate (SPS) for Reductionof Chronically Elevated Serum Lithium Concentrations inMice, Daniel I. Sauitt, MD, Brown Uniuersity

1.57

158

1.59

160

r51.

162

163


167 Effects of Cocaethylene and Cocaine in Isolated RatHearts, John P. Riordan, MD, Carolinas Medical Center

168 Verapamil Shock Inhibits Myocardial Fany Acid Uprake,Jeffrey A. Kine, MD, Carolinas Medical Center

169 Glucagon and Phenylephrine Combination versus Gluca-gon Alone in Experimental Verapamil Overdose, StepbenH. Tltomas, MD, Uniuersity of Kentucky

170 Naphthalene-Induced Acute Hemolytic Anemia in Chil_dren with Glucose-5-phosphate Dehydrogenase (G_6_pD)Deficiency - An Overlooked Inner City Toxin, Karen A.Santucci, MD, Brown Llniuersity

171 The Clinical Utility of Toxicologic Screening in Code IIITrauma, Alan B. Stonow, MD, Joint Military Medical Centerc

172 Chlorpromazine, a protectant Against Cyanide Toxicity, In_hibits the Generation of Endothelium-Derived Nitric Oxide,Dale S. Birenbaum, MD, TbomasJffirson (Jniuersity

173 Thermal Effects of Neurralizarion Therapy for Acute AlkaliExposure in an In Vivo Canine Modei Clark S. Homan,MD, Slate Uniuersity of New york, Stony Brook

174 Overdose wirh'Extended-Relief Acetaminophen: Is a NewApproach Necessary?, Daniel R. Douglas, MD, OregonHealtb Sciences Uniuersity

175 Assessing Yariation in Toxic Self-Ingestions Using Corres_gon!9nce Analysis, N. Clay Mann, pbD, MS, OregonH e a I t h S ciences tln iuersity

Computer Methodology/Modeling176 An Artificial Neural Network in the biagnosis of Ectopic

Pregnancy, Andrew T. McAfee, MD, Brigbam andIX/omen's Hospkal, Boston

177 Improved Bayesian Clinical Trial Design Using a NewComputational Method, RogerJ. Iewis, MD, pbD, Harbor_UCU Medical Center

178 A Criteria Based Expert System to Evaluate Chest pain inthe Emergency Department, Alan J. Hirsbberg, MD, MpH,Pennsy lu a n ia St ale Uniue rs ity

179 Validated Computer Model for Measuring Clinical Reason_ing Proficiency, Strategy, Thoroughnes's and Efficiency,Dane M. Cbapman, MD, pbD, york Hospital

180 Determination of the Utility of Biochemical Markers in theEarly Diagnosis of Acute Myocardial Infarction by DecisionAnalysis, Steue M. Hudson, MD, tlniuersity of Mississtppi

Shock181 Blood Pressure is a poor predictor of Oxygen lJtilization

Following Brief Hemorrhagic Shock, Jobn G. younger,MD, Uniuersity of Michigan

182 Shock Index as a Marker for Significant Injury in TraumaPatients, Randall King, MD, St. Vincent Medical Center

183 Elevation of the Shock Index is a Correlate of GlobalIschemia During the Resusciration of the Critically Ill inthe Emergency Department, Mohamed y. Rady, MD, pbD,Cleueland Clinic Foundation

1,84 Extending the Golden Hour of Voiume Controlled Hemor_rhagic Shock (\tIS) in Awake Rats with Oxygen (O2) plusModerare Hypothermia (Hth), S. Wiltiam Stezoski, MD,Uniuersity of Pittsburgb

1995 SAEM Annual Meerinq

May 22

185 In Vivo Longitudinal Expression of Three Classes of pMNCell Surface Receptors as Determined by X(hole BloodFlow Cytometry in University Hospital Trauma patients,Teresa M. Ainswortb, MD, tlniuersity of Rochester

186 High Pressure Delivery of Resuscitation Fluid ThroushBone Marow, tY/illiam C. IVatson, BS, Uniuersity of TeiasMedical Brancb Galueston

187 Effect of Activated prorein C on Endotoxin Shock in Rab_bits, Ricbard Saladino, MD, Cbildren,s Hospital, Boston

Technology188 Use of Enzymatic Assay Device for Serum Ethanol Mea_

surement, Mark Keim, MD, Albany Medical College189 Effect of Skin Pigmentation of pulse Oximeter Accuracy

and Function in the Emergency Departmefit, IonatbanAd.ler, MD, Hantard Medical Scbool

1.90 LighrGuided Inrubation for Emergency Airway Manage_ment: Clinical Trial of a New Lightwand Devrce, BraceMunay, MD, Butterwortb Hospital

I97 Prehospital Use of a protorype Esophageal Detection De_vice: A -Word of Caution!, Cbarles D. Madey, DO, HanouerGeneral Hospital

1,92 Lighted Stylet Im-proves Efficiency of Emergent DirecrLaryngoscopic Ordtracheal Inrubation, Ricbard, G. Abood,MD, St. John Hospital and Medical Center

193 Initial Assessment of a pC-Based Emergency TelemedicineSystem in the Management of patients at a Short_TermCorrectional Facility, Dauid G. Ellis, MD, State Uniuersityof New York, Buffalo

Trauma194 Comparison of Poloxamers 188 and 407 Treatment on

Burn \Vound Healing, Paul lXt. paustian, DSc, MD, Med._ical College of Georgia

1.95 A Comparison of the Tensile Strength of LacerationsClosed with Cyanoacrylate Tissue Adhesive to LacerationsClosed with Suture, Keuin A. Bresnaban, MD, GeorgetownUniuersitlt Hospital

196 Both Topical and Intravenous Application of Local Anesthe_tics Improve Microvascular perfusion Following Burn In_jury, Bo Tomas Brofeldt, MD, uniuersity of Catifoitia, Dauis

1,97 Differences in Hemodynamic Data Between Geriatric andYounger Adult Trauma patients, Cbrtsnpber Colwell, MD,Denuer General Hospital

198 Diagnosis of Significant Head Injury in Eldedy parienrswith Blunt Trauma, Gregory I. Almond, MD, Metro7olitanHospital Center

199 Incidence and Corelation of Alcohol and Illicit Drus Usein Urban Intentional and Non-Intentional Fatal Iniuries.Scon Hill, MD, Uniuersity of lllinois

200 Hemodynamic Effects of Etomidate for Rapid SequenceIntubation (RSI) in Emergency Depaftment (ED) TraumaPatients, Iee L \Voodard, MD, {Jniuersity of pittsburgb

201, Selection of Patients Requiring Acute Care Using HospitalDischarge Index, ly'. Clay Mann, pbD, MS, Oregaon HeahbSciences Uniuersity

202 Ultrasound for the Detection of Intraperitoneal Fluid: TheRole of Trendelenburg positioning, Earbara Abrams, MD,State Uniuersity of New york, Buffalo

1.9

May 22

Syphilis Serologic Screening in Emergency DepartmentTrauma Patients, Azita A. Toussi, MD, Denuer GeneralHosprtal

Routine Laboratory Testing in Emergency DepartmentTrauma Patients at Level-I Trauma Centers: A NationalSurvey, Jobn H. Burton, MD, tlniuersity of pittsburgb

Education205 Education and Evaluarion of Dearh Notification Skills in

an ACLS Course, Marc Pollack, MD, york Hosprtal

206 Survivor Notification of Sudden Death in the Emergency De-partrnent, Iames L Scoft, MD, George Wasbington tlniuersity

207 Do General Problem-Solving Skills Enhance Clinical Diag-nose's of Difficult Emergency Cases?, Rajtwin R. Huang,PbD, lVajtne State UniuersitJ)

208 The Performance of Non-Emergency Medicine Residentsin an Academic Emergency Department, C. Keitb Stone,MD, Uniuersity of Kentucky

209 Learning Preferences of Emergency Medicine Residents:Implication for Educators, Cail M. Ferraro, MD, uniuersityof lllinois

210 Neural Network and Linear Regression Models in Res-idency Selectton, Stepben L Pilon, MD, Ilniuersity of NewMexico

21,1, Peopie \Who Leave Academic positions: A Comparison ofThree Specialities, Harold Thomas, Jr, MD, Oregon HealtbSciences Uniuersitlt

272 Longevity of Emergency Medicine Residency Directors,Lowell W. Gerson, PbD, Nortbenstern Obio UniuersitiesCollege of Medicine

21,3 Why do Students Choose a Career in Emergency Medicine?,Cbristel M. Zeumer, MD, Harbor-UCIA Medical Center

2I4 Teaching the Business of Emergency Medicine in EM Resi-dency Programs, Kent N. H6ll, MD, Uniuersity of Cincinnati

Normothermic Intestinal Reperfusion after Two Hours ofIschemia V/orsens the Outcome in Rats, Feng Xiao, MD,Louisiana State Uniuersity

Reperfusion after 30 Minutes of Intestinal Ischemia doesnot Influence Plasma Cytokine Levels in Rats, Feng Xiao,MD, Iouisiana Stale Uniuersity

) 1 <

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203 ED Intubations in an Emergency Medicine Residency: TheSelection and Performance of Intubators, Cbarles M.Martinez, MD, Albeft Einstein College of Medicine

The Cost of an Emergency Medicine Student Rotation,Iawrence Kass, MD, Albany Medical College

The Value of Self-Estimated Scholastic Standing in ResidenrySelection, Dauid P. Sklar, MD, uniuersity of New Mexico

The Need for Structured EM Curriculum and Managementof Domestic Violence and Sexual Assault, Dauid I. Leuine,MD, Boston Crty Hospital

A Validity Study of Cognitive Style Measures for Identifyingwho would most Benefit from Problem-Based Learntngand Computer-Assisted Instruction, Dane M, Cbapman,MD, PhD, York Hospital

A Methodology to Maximize Resident Input in Improvinga Pediatric Emergency Department Rotation, NicholasTsarouhas, MD, Cbildren's Hospital of pbiladelpbia

Injury Prevention in Medical Student Education, DeirdreAnglin, MD, IAC/USC Medical Center

Emergency Medicine Residency Training of physicianswith Prior Experience: Perspective of the Program Direc-tors, Robert M, McNamara, MD, Medical College of penn-syluania

Cosmetic Appearance of Lacerations Repaired by EM prac-titioners with Various Levels of Training, Adam J. Singer,MD, Uniuersity Medical Center, Stony Brook

Computer Literacy in Emergency Medicine Training: ASurvey of Residency Programs, Alan J. Sorkey, MS, MD,Malcolm Grow USAF Medical Center

Use of an Instructional Systems Design Model to TeachEmergency Medicine to Second Year Medical Students,NicbolasJ. Jouriles, MD, MetroHealtb Medical Cenrer

Enhancing the Value of Journal Club: Use of a StructuredReview Instrument, Jonatban Burstein, MD, LlniuersityMedical Center, Stony Brook

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20 1995 SAEM Annual Meeting

ffiffi

8:00-8:30 am

8:30-9:00 am

9:00-1.0:00 am

10:00-10:L5 am

10:1.5-L1:L5 am

L1.:30am-1.:00 pm

7:00 pm

ASSOCIATION OF ACADEMIC CHAIRSOF EMERGENCY MEDICINE

901 N. washington Avenue, Lansing, Michigan 48906-5137 (517) 485-5484 FAX (512) 485-0801

AACEM AGENDAANI\UAI MEETING

May 22,1995Conference Rooms 13 €/ 14

Marriott Rivercenter HoteL San Antonio

AGENDA

Continental Breakfast

"Is the Academic Emergency Medicine Department Ready forCapitated and Manage d Cate? "

Discussion led by Brooks Bock, MD, with commentsfrom, tbe membership

*Faculty Appointment, Promotion, and Tenure Requirements in EmergencyMedicine"Results of a national suruey and discussion led byJobn Prescott, MD, witb com,mentsfrom tbe membership

Break

"Academic Departments of Emergency Medicine:Where Are We Now and Where Can We Go?"Results of a national suruey and discussion led by Steue Stapczynski, MD, witb conxmentsfrom the membership

Annual Business Meeting and Lunch

Annual Banquet at Restaurant BIGA

Mav 22


May 22

CORD AGENDAMonday, May 22,1995

l2$O-5230 pmSalans B e F

Marriott Rivercenter Hotel

AGENDA

l2:30-2zOO pm Business Meeting

1. Introduction of New Programs2. President's Address/Introduction of New President

3. ABEM Report, Ricbard Braen, MD4. RRC Report, Vince Markouchick, MD

5. Secretary/Treasurer's Report, Dauid Kramer, MD

5. Committee/Task Force ReportsA. Constitution & Bylaws Committee, Debra Pedna, MDB. Slide Bank Task Force, Keuin Rodgers, MDC. Question and Answer Bank Task Force, Marcus Martin, MD/Glenn Hamilton, MDD, Cumiculum Task Force, Dan Sauitt, MDE. Awards Task Force, Mark Steele, MDF. Nominating Committee, Steue Dronen, MDG. CPC Task Force, Steue Dronen, MD

7. Didactic Curriculum Survey Report, Tim Maclean, MD

2:00-3:30 pm Educational Session

Managed Care Its Effects on Graduate Medical EducationModerator Sam Keim, MD, Uniuersity of Arizona

Keitb \Vrenn, MD, Vanderbilt UniuersityEd Panacek, MD, Uniuersity of CaliforniaRicbard Wolfe, MD, Haruard Uniuersity

Computers in Medical Education: An Orthopedic TutorialDiane Hallinen, MD, Uniuersity of Micbigan

Emergency Medicine Curriculum, DAn Sauitt, MD, Brown uniuersity

3z3O-3245 pm Break

3245 pm Elections and Awards Presentations, Steue Dronen, MD

4:00-5:30 pm Round Table Discussions

A. Pediatric Training for EM Residents, Gwen Hoffman, MDB, Managing the Problem Residents, Bnt'ce Thonxpson, MDC. Procedural Competency and Credentialing, Ed Panaceh, MDD. Managed Care, Sam Keim, MD


ACIS: Is the Standard of Consensus Tdy State ofthe Art?Mod,erator: Afibur B. Sanders, MD, (lniuersity of ArizonaIance Becker, MD, Uniuersity of ChicagctJantes T. Niemann, MD, Harbor-UCIA Medical CenterNorman A. Paradis, MD, Columbia {JniuersityThere are significant differences between the American HeartAssociation's Advanced Cardiac Life Support (ACLS) courseguidelines and state-of+he-art resuscitation as it is understoodand practiced by individual authorities in the field. This sessionwill delineate and expose those differences, ask how theyevolved, and question whether the ACLS consensus documentcan ever become state-of-the-art. The panel members will notonly discuss these issues and their significance in clinical man-agement, but also potential mechanisms for resolving these con-flicts. The group will specifically focus on potential researchefforts that may achieve this resolution.

The Interface of Managed Carc with AcademicEmergency MedicineModerator: Steuen Stapczynski, MD, Llniuersity oJ' KentuckyJos@h Clinton, MD, Hennepin County Medical CenterBrian Holroyd, MD, Uniuersitjt of AlbenaAcademic emergency medicine has traditionally responded to asocietal imperative to provide patient care, education, training,and research. This multiplicity of roles renders the academicarm of our specialty, and that of academic medical centers ingeneral, relatively non-competitive in a price-sensitive managedcare marketplace targeted at minimizing health care expendi-tures. Academic emergency medicine is practiced and taught atthe interface between the growing number of managed carenetworks and the front door of the teaching hospital. Some ofthe important issues that arise at this interface include priorauthorization, retrospective denial of reimbursement based uponoutcome rather than presentation, effect on ED volume and casemix, and impact on student education and residency training.

Clinical PhotographyDan R. Patton, RBP, FBPA, Obio State UniuersityLawrence B. Stack, MD, MAJ, MC, Joint Military Medical CentersAlan B. Storrow, MD, CPT, MC, Joint Military Medical CentersPhotography in the emergency department requires an expe-dient, portable, adaptable, and relatively simple camera systemto take advantage of fleeting opportunities for recording visuallyeducational material. The prerequisites are different from thosefor traditional medical photography, for which relatively plenti-ful time and advanced equipment are routinely available. A1-though no single system or technique is optimal in all theseareas, the speakers find certain components and approacheswork well. This workshop will provide information to help aca-demic clinicians take better clinical photographs for teachingand publication purposes. Features of this lecture-discussionsession will include photographic equipment, film, lighting tech-niques, radiographs, copy work, close-up photography, lectur-ing tips, and the newer technologies of digital imaging andcomputer manipulation. These topics will be presented withemphasis on the emergency department and emergency medi-cine residency environments. A critique of selected photographsfrom the Clinical Photography Competition will provide sug-gestions for improving photographic technique. Awards for thePhotography Competition will be presenred immediately follow-


DIDACTIC SESSIONS May 23

ing the workshop. Following the awards presentation, a meetingfor individuals interested in starting a "photography interestgroup" will be conducted.

'Inapprop riate' ED UtilizationModerator: Judith C. Brillman, MD, {Jniuersitj.t of New MexicoRobert W. Derlet, MD, Uniuersity of Califoruia, DauisE.John Gallagher, MD, Bronx Municipal HospitalBarry Wolcott, MD, In"formed Access SysternsThe moderator will review the literature on inappropriate EDvisits, including: definitions, quality of numerical estimates andoutcomes studies. The panel members, all emergency physicians,have been chosen to represent different philosophical andexperiential perspectives on whether a population of inappropri-ate'ED patients can be defined. The panel members have exper-ience with proprietary triage systems, managed care, Medicaid,and public, urban and teaching hospitals. Each panel memberwill present their perspective and will have an opportunity torespond to the others. rVe anticipate a spirited discussion.

Cost Effectiveness Research in EmergencyMedicineRobert A, Loute, MD, MPH, Uniuersity of PennslyuaniaDauid Magid, MD, Uniuersity of WasbingtonRobefi Wears, MD, MS, Uniuersity of FloridaCosreffectiveness analysis is becoming increasingly important indeveloping clinical practice guidelines and in making ED man-agement decisions, but many cost-effectiveness studies are seri-ously flawed. This session will cover common problems withcurrent cost-effectiveness studies, basic methods of analysis, andmethods of clbtaining internal cost information from hospital in-formation systems.

Research Directors'Luncheon: The Pros andCons of Resident ResearchModerator: Michelle Biros, MS, MD, Hennepin County MedicalCenterIVilliam Cordell, MD, Methodist Hospitnl of IndianaSteuen C. Dronen, MD, Uniuersity of MicbiganCbarles Pollack, MD, Maricopa Medical CenterDauid P, Sklar, MD, Uniuercity of New MexicoSome residency programs require residents to complete a re-search project prior to completing the residency. Other resi-dency programs 'strongly encourage', 'expect', or 'suggest' thatresidents do research. What is the value of resident research?Should it be mandatory? If residents are not required to do a re-search project, how can research principles be taught in compli-ance with the RRC requirements? These issues, as well as manymore, will be discussed during this session.

Luncheon: Managed Care at the State Level-Impact on Academic Emergency MedicineModerator: Viuek Tayal, MD, Carolinas Medical CenlerRobert Dobefiy, MD, tlniuersity of MatylandJohn Guisto, MD, Uniuersity of ArizonaPatrick O'Brien, MD, Tennessee Cbapter, ACEPAlthough heaith care reform failed in \Tashington, DC last yearthe states have been reforming Medicaid reimbursement usingmanaged care mechanisms. Arizona's Medicaid managed careplan has proved relatively successful whereas Tennessee'sMedicaid managed care plan has not. State legisiation also

) 7

May 2J

lmpacts upon the practice of emergency medicine. Maryland,semergency physicians successfully passed their definition on anemergency. SAEM's Governmental Affairs Committee sponsorsthis panel discussion to educate academic emergency physiciansabout the impact of state managed."." upon" the praitice ofemergency medicine because all academii emergency physi_cians depend upon clinical revenue and state fundiis.

Should EMS be a Subspecialty?Iouis Ling, MD, Henn@in County Medical CenterHaruey Meislin, MD, Uniuersity of ArizonaPeter Pons. MD, Denuer Genera[ HosOitalRobert Swor, DO, t$/itliam Beaumoni HospitalThe issue of subspecializatjon in medicine as a whoie andEmergency.Medicine in particular has generated a great deal ofinterest and controversy. The topic of EMS as a subspecialtv isone arca where no consensus has developed within "...g"n.ymedicine. The members on the panel wili address the proi and

cons of EMS subspecializatton, and of subspecialization to emer_gency medicine.

Mechanisms of Multicentered ResearchMod.erator: W. Brian Gibler, MD, Uniuersity of CincinnatiWlliam Bnrsan, MD, Uniuercity of Micbigan"Dauid Talan, MD, Oliue Vieut-UCIAThis session will focus on severar issues which arise durins theexecution of muiticentered clinicai trials. Topics for discuisioninc lude hypothesis generat ion, protoc; l development ,communication between the principal investigators at eich site,dat"a and safety monitoring, regulatory iompliance, andmanuscript development. The panelists have had experiencewith cardiovascular, neurovascular, and infectious diseasemulticentered trials. This panel wil l allow participants tounderstand the intricacies of collaborative multiientered studiesincluding not only participation in such trials, but also how tocoordinate these efforls.


Scientific Papers t4z Paim Management(8:00-10:00 am)Mod.erator: Robert H. Woolard, MD, Brown Uniaersity085 A Prospective, Double-Blind Evaluation of prochlorpera-

zine versus Sumatriptan for the Emergency DepafimentTreatment of Migraine Headache, MargaretJ. Kantes, DO,Uniuersity of Texas AEM

086 Intramuscular Ketorolac versus Oral Ibuorofen in AcuteMusculoskeletal Pain, Micbael A. Tur"turro, MD, MercyHospital of Pittsburgh

087 Intravenous Ketorolac vs Meperidine vs Both ('BalancedAnalgesia') for Renai Colic, William H. Cordell, MD, Metb-odist Hospital of Indiana

088 Resident Education Increases the Frequency of DischargeAnalgesic Prescribing, William A. IVaIson, PbarmD, LIni-uersily of Missouri, Kansas City

089 Family Member Presence During Pediatric Procedures inthe Emergency Departmenr, Richard Licbenstein, MD,Uniuersity of Maryland

090 The Safety and Efficacy of Flumazenil in Reversing Con-scious Sedation in the Emergency Department, Carl R.Chudnofsky, MD, Uniuersitlt of Micbigan

091. The Clinical Significance of Reported Changes in painSeverity, Katbleen G. Funk, MD, Emory Uniuersity

092 Intramuscular Ketorolac Compared to Oral Indomethacinfor the Treatment of Acute Gouty Arthrit is, Dauid I.Morgan, MD, Uniuersity of Texas Southwesterw

Scientific Papers L5: Health CareDelivery/Administration (8:0f10:00 am)Moderator: John E McCabe, MD State Ilniuersitlt of NewYork, Syracuse093 Triaging Patients with Abdominal Pain Out of the Emer-

gency Department: Three Month Feasibility Sttdy, RobenW, Derlet, MD, Uniuersity of Califumia, Dauis

094 \(hat Happens to Managed Care Patients who are DeniedCare in the ED?, Stephanie B. Abbubl, MD, Uniuersity ofPennsyluania

095 Nrican Americans in Managed Care Plans Are Denied EDCare More Often than are \7hites, Robert A. Lowe, MD,MPH, Uniuersity of Pennsyluania

096 An Analysis of Federally Imposed Penalties for COBMViolations, RobertJ. Leuine, MD, Uniuersity of Arizona

097 How Accurate are the \X/aiting Time Estimates of Patientsln the Emergency Department?, Stephen L Adams, MD,Nort b w e ste rn Uniuersity

098 Can the Use of Continuous Quality Improvement ToolsImprove Compliance with an ED Inter-Hospital TransferProtocol?, James A. Espinosa, MD, Ouedook Hospital

May 2J

099 An Expanded Statewide Profile of Emergency DeparrmentUttlization in a Medicaid Population, Steuen M. Cheraow,MD, Uniuersity of Colorado

100 Patient-Specific Predictors of Ambulance tJse, Donald W.Rucker, MD, MS, MBA, Beth Israel Hospital

Scientific Papers 16: Geriatrics(10:3f12:00 noon)Moderator: Robert M. McNamara, MD, Med,ical Collcge ofPennsylaania

101 Depression in Elderly Emergency Department Patients:Prevalence and Recognition, Stepben W. Meld,on, MD,MetroHealtb Medical Center

1.02 Seroprevalence of Antibody Levels to Tetanus in AdultsOver 65 Years of Age, Kumar Ala,gappan, MD, Albert Ein-stein College of Med,icine

103 The Geriatric Obstacle Course. Recognizing Stereotypesand Misconceptions Among Prehospital Care Providers,Felice Fleisher, MD, Akron General Medical Center

104 Improvement in the Qualiry of Patient Transfers from SkilledNursing Facilities through an Audit and Report eualityAssurance Program, Harry C, Moscouitz, MD, Yale uniuercity

105 Age-related Differences in the ICD-9 Diagnoses within anEmergency Department Geriatric Population, A. Ciccone,DO, Morristown MemoNal Hospital

106 Plain Abdominal Radiography in rhe Derecrion of MajorDisease in the Elderly, V. Robert Scott, MD, OrlandoRegional Medical Center

Scientific Papers 17: Pediatrics(10:3fl2:0dnoon)Mod.erator: LarryJ. BarafJ, MD, IICUI1,07 Accuracy of Pediatric Assessment by EMT-Basics, Dauid S.

Markenson, MD, AWT-P, Belleuue Hospital Center

108 Effectiveness of I.M. Penicillin vs P.O. Amoxicillin in theEarly Treatment of Outpatient Pediatric Pneumonia,Nicbolas Tsaroubas, MD, Cbildren's Hospkal of philadelpbia

109 Fever and Petechiae are Associated with a Very Low Inci-dence of Bacteremia, Kenneth D. Mandl, MD, Cbildren'sHospital, Boston

110 Predictive Value of Plasma Cltokines for S. PneumoniaeBacteremia in Febrile Children 0-3 Years Old: A pilotStudy, Ricbard T. Strait, MD, Uniuersity of Cincinnati

111 The Cost of Providing Immunization in an Emergency De-partment, Sandra J, Cunningbam, MD, Albefi EinsteinCollege of Medicine

1I2 Fast Tracking Lower Acuity Patients in the Pediatric Emer-gency Department, Harold. K. Simon, MD, Emory Uniuercity

ORAI PAPERS

i ' 1995 SAEM Annual Meeting

iI

l i

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May 2i POSTER SESSION BThe Poster Session will be held in the Exhibit Hall from 3:30-6:00 pm. Moderated poster sessions will be held from 4:30-5:30 pm as listedbelow:

Topic/AbstractsInnovations in Emergency Medicine Exhibits(Abstracts 227-239)

Innovations in Emergency Medicine Exhibits(Abstracts 240-252)

Ischemia/Reperfusion (Absrracrs 253-258 & 261-262)

Pediatrlc Emergency Medicine (Abstracts 263-27 I)

Pediatrlc Emergency Medlcine (Abstracrs 272-279)

Health Care Delivery/Administration(Absrracts 280-293)

Health Care Dellvery/Administration(Abstracts 294-308)

ModeratorMarcus Martin, MD, Medical College of Pennsylvaniaand Hahnemann University, Allegheny Campus

Glenn C. Hamilton, MD, Wright State Universlty

Norman A. Paradis, MD, Columbia University

Thomas E. Terndrup, MD, State Unlversityof NewYork, Syracruse

Steven G. Rothrock, MD,Odando Regional Medical Center

Arthur L. Kellermann, MD, MPH, Emory University

E.John Gallagher, MD, Bronx Municipal Hospltal

Meeting Room

Conference Room 4

Parior Room

Conference Room 9

Conference Room 10

Conference Room 13

Conference Room 14

Conference Room 16

Innovations in Em€rgency Medicine EducationExhibits227 A Randomized Controlled Trial of the Utilization of Anes-

thetized Swine for Instructing Paramedic Students to Per-form Orotracheal Intubation, James J. Menegazzi, PbD,Centerfor Emergency Medicine of \Vestern Pennsyluania

228 Teaching Death-Telling Skills to EM Residents, Ronald.Benenson, MD, York Hospital

229 Recently Amputated Lower Extremities: A New Model forTeaching Saphenous Vein Cutdowns, Jobn P, McDermott,DO, York Hospital

230 Direct Laryngoscopy Video System, Richard M, Ieuitan,MD, New York Medical College

231, Assessing Clinical Skills and Effectiveness of Problem-Based Learning Curriculum Using Patient ManagementComputer Simulations, Dane M. Cbapman, MD, PbD,York Hospital

232 Enhancing Resident Recruitment Through Blinded, Struc-tured Interviews with Critical Incident Scenarios, Dane M,Cbapman, MD, PhD, York Hospital

233 Evidence Based Medicine: A Proposed Curriculum for anEmergency Medicine Residency, Stephen R. Hayden, MD,Uniuersity of Califoruia, San Diego

234 Innovation in Emergency Medicine Education: Outreachto the Homeless Populat ion, Brenda Merr i t t , MD,Columbia-Presbyterian Me dical Cenler

235 Anatomy Review Course for Emergency Medicine Resi-dents: An Initiative in Curriculum Design and Interdisci-plinary Collaboration, Timothy A. Maclean, DO, WrigbtState Uniuersity

236 A Novel Method for Teaching Research Methodology,Lesa D. Fraker, MD, PbD, Uniuersity of Illinois at Cbicago

237 Speeding Tickets: A Model for Emergency Medicine Resi-dent Evaluations and Follow-up, Peter Viccellio, MD, StateUniuersity ofNew York, Stony Brook

238 Research Oral Exams for Emergency Medicine Residents,RobenJ. Rydman, PbD, Cook County Hospital

239 An Emergency Medicine Computer-Based InterestingCase/RadiographLrbrary, Dauid Seaberg, MD, Mercy Hos-pital of Pittsburyh

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240 Development of a Computer Database for Documentationof Resident Performed Procedures, Stepben Hecbt, MD, St.Vincent Medical Center

241 The Use of Videotape Review in Trauma ResuscitationChief Training for Senior Emergency Medicine Residents,Jobn W. Becber, DO, Albert Einstein Medical Center

242 A Palmtop Emergency Medicine Reference Database,Mark Rosenbloorn, MD, MBA, Nor"tbwestern tlniuercrty

243 A Novel Computerized Evaluation of EM Residents at Dif-ferent Levels of Training, Georges R, Ramalanjaona, MD,PbD, Brooklyn Hospital Center

244 A University Hospital ED-Based Bicycle Helmet Promotion:B-HIP: The Stanford University Birycle Helmet InterventionProgram, Brad,ley Zlotnick, MD, Stanford/Kaiser Hospital

245 Outcome Testing of Emergency Medicine Instruction forRotating Interns, Collette D. V/yte, MD, Northwestern Uni-uersi$t Medical school

246 A Preliminary Report of a Unique Four Year MedicalSchool Program to Teach Technical (Manipulative Clin-ical) Skills Sponsored by the Department of EmergencyMedicine, Arlo F. Wehge, MD, Uniuersity of Texas, Houston

247 Trauma and EMS Research and Education Scholars Pro-gram for 1st Year Medical Students, Bartbolomew J.Tortella, MD, MTS, FACS, NewJersqt Trauma Center

248 Development and Implementation of an Emergency Medi-cine Subinternship as a Required Fourth Year MedicalSchool Experience, Mary C. O'Brien, MD, Cooper Hospital

249 A Methodologically Sound Form for Evaluation of MedicalStudents and Residents, Mark Hauswald, MD, uniuersityof New Mexico

250 Teamwork Training for Emergency Department Staff: Ap-plication of a Behavioral Aircrew Cockpit Resource Man-agement Model to Emergency Medicine Teams, GregoryD Jay, MD, PhD, Rbode Island Hospital

251. Emergency! An Interactive, Multimedia Patient Simulator,Jeffrey M. Hoffman, MD, Children's Mercy Hospital

252 The Career Development Track - A Faculty Develop-ment Program for Emergency Medicine Faculty withoutSabbatical Opportunities, Rodney IYt. Smrtb, MD, St. JosepbMercy Hosbital


Ischemia/Reperfusion253 High Doses of Magnesium Impah Cardiac Oxidative Metab-

olism, Antbony Ferroggiaro, MD, uniuersity of Colorado

254 Superoxide Dismutase Reverses the Deleterious Effects ofPeroxynitrite in Myocardial Reperfusion Injury in Crystal-loid-Perfused Rat Hearts, Xin-liang Ma, MD, PhD, ThomasJffirson Uniuersitjt

255 Free Radical Scavenging Protects Against Superoxide-In-duced Endothelial Dysfunction, Bernard L. Iopez, MD,Tb om as Jffi rs on Uniu ersitlt

256 Antioxidant Treatment Protects the Myocardium from Rep-erfusion Injury in a Hypercholesterolemia Rabbit Model,Bernard L. Lopez, MD, Tltomastffirson Uniuersity

257 Reperfusion Accelerates Cell Death in a CardiomyocyteModel of Ischemia/Reperfusion, Terry L Vand,enHoek,MD, Uniuersity of Cbicago

258 Oxidative Phosphorylation Maxima and ThermodynamicEfficiencies are Organ Specific, Charles B. Cairns, MD,Uniuersity of Colorado

26I Hypoxia/Reoxygenation Enhances the Vasorelaxation Re-sponse to Peroxynitrite in the Rat Aorta, ConstantinaPippis-Nester, MD, Tb omas Jefferson Uniuersity

262 Distinct Effects of Peroxynitrite on Repefusion Injury inCrystalloid-Perfused vs Blood-Perfused Rat Hearts, Xin-liangMa, MD, PbD, Tbomastffirson uniuersity

NOTE: Abstracts 259 and 260 will be presented on May 22.

Pediatric Emergency Medicine263 Laceration Repair Using a Tissue Adhesive in a Children's

Emergency l)epartment, Tbomas B. Bruns, MD, EmoryUniuersity

264 Superiority of EMLA Compared wirh TAC for TopicalAnesthesia of Extremity \Tounds in Children, William T.Zempsky, MD, Cbildren\ Hospital of Pittsburgh

265 Emergency Department Predictors of Child Abuse: Charac-teristics of the ED Yisit, SusanJ. Duffy, MD, Rbod,e IslandHosprtal

266 A Comparison of Oral Transmucosal Fentanyl Citrate andIntramuscular Meperidine, Promethazine and Chlorproma-zine for Conscious Sedation of Children, Sara Scbutzman,MD, Cbildren's Hospital, Boston

267 Rectally Administered Methohexital for Pediatric Sedarionin the Emergency Department, Robert M. Bowers, MD,Scott & lVbite Memorial Hospital

268 Ketamine Use in a Pediatric Emergency Room, Donna M.Moro-Sutbeiland, MD, Baylor College of Medicine

269 Effect of Dispensing Asthma Medications in the Emer-gency Department (ED) on Subsequenr Visits to Health-care Providers, Andrew H. Sauer, MD, Haruard MedicalScbool

270 Pediatric Reactive Airway Disease Treatment Protocol: Ef-fects on the Efficiency of Patient Care in the EmergencyDepartment, /obn H. Myers, MD, Baylor College of Medicine

271, Clinical Effect of Aerosolized Glycopyrrolate in \X/heezingInfants, Norman C. Christopber, MD, MetroHealtb MedicalCenter


May 2J

272 A Novel Measurement Technique for Pulsus Paradoxus:Utility in Acute Childhood Aithma, Dale Steele, MD,Brown Uniuersity

273 Emergency Department (ED) Based Asthma EducationalIntervention to Increase the Frequency of Primary Pro-vider (PP) Follow-up Visits (FU), Justin O. Ogbeuoen, MD,'[/as h ington Un iuersity

274 Effects of Parental Presence During Children's Venipunc-ture, R. IVayne Wolfram, MD, MPH, Eastent Virginia Med-ical School

275 Temperature (T) Total \fhite Cell (\fBC) and BandCounts as Indicators of S. Pneumoniae (SP) Occult Bac-teremia (OB), Dauid M, Jalfe, MD, Vasbington tlniuersity

276 The Changing Bacteriology of periorbital Cellulitis, GaryScbwartz, MD, Vanderbilt uniuersity

277 Observational Variables and Subjective Judgement: Pedi-atric Triage in a Non-Children's Hospital ED, Norruan C.Cbristopher, MD, MetroHealth Medical Center

278 Flexion-Extension Cervical Spine Radiography in PediatricBlunt Trauma, IY/illiam Brady, MD, tlniuersity of Virginia

279 Clinical Impact of Differences in Radiograph Interpretationby Pediatric Emergency Physicians and Pediatric Radiolo-gists, Harold K. Simon, MD, Emory tJniuersity

Health Care Delivery/Administration280 An Analysis of Physician Dependent Costs Between Fam-

ily Practitioners, Internists, and Emergency Physicians,Wayne A. Satz, MD, Medical College of Pennsyluania

281. Survival and Quality of Life After Cardiac Arcest, CarolCallicot, Uniuersity of ANzona

282 Formal Quality-of-tife Testing of Survivors of Outof-Hospital Cardiac Arrest Comelates Poorly with CommonlyUsed Neurological Outcome Measures, Judy Hsu, BA, UCI.4

283 Effect of Periodic \flaiting Time Announcements on Pa-tient Walk-Outs in a Municipal Hospital ED, NorbertElsner, MD, Albert Einstein College of Medicine

284 Cost-Effectiveness Analysis of the Ottawa Ankle Rules,I6n G. Stiell, MD, Uniuersity of Onawa

285 Medicaid Managed Healthcare: Compliance with Pre-screener Notification in the Emergency Department, KellyAnne Foley, MD, Eastern Virginia Graduate School ofMedicine

286 Does Ethnicity andLanguage Affect Triage Agreement andAbility to Predict Admissions, Mario Quintero, MD, Uni-uersity of New Mexico

287 Survey of Undocumented Aliens using the Emergency De-partment, Theodore Cban, MD, tlniuersity of Califurnia,San Diego

288 Medical Communication: Do our Patients Understand?,Dauid Janicke, MD, PbD, State (lniuersity of New York,Buffalo

289 Abbreviated Health Status Indices Useful for Assessing Im-pact of Restricted (Managed) Care on Community and Pa,tient Populations, Dane M. Cbapman, MD, PhD, YorkHospilal

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May 23

290 Utilization of Emergency Medical Services by HomelessAdults in San Francisco: Effects of Social Demographic Fac_tors, Russ Braun, MD, MpH, Higbland General Hospital

291 Emergency Depafiment HIV Testing and Advocacy pro_gram, Min Cba, MD, Belleuue Hospital Center

292 Persons \7ho Identify the Emergency Depafiment as TheirUsual Source of Care, Marc J. Sbapiro, MD, Rbode Island,HoErtal

293 Patient Understanding of Access to Emergency CareUnder TennCare, Carolyn M. Socba, Vand.erbilt Uniuersity

294 A Simple Intervention to Improve Telephone Contact ofPatients Discharge from an Emergency Department, HninKbine, MD, Children's Hospital of pittsburgb

295 Emergency Department physician Staffing Needs as aFunction of Patient Volume, peter Viccellio, MD. StateUniuersity of New york, Stony Brook

296 Emergency Department 'Do Not Resuscitate, Orders: Nextof Kin Response to the EM physician , Narasinga Rao, DO,St. Barnabas Hospital

297 The Impact of Managed Carc Organizations on EmergencyDepartments, Robert IV. Derlet, MD, []niuersity of-Cali_fornia, Dauis

298 Project ASSERT: A Model for Emergency Department pre_ventive Intervention, Edward Bernstein, MD, Boston CityHospital

299 Physicians' (MD's) and Nurses' (RN,s) Knowledge of andAttitude Towards Advanced Directives: Experience andPreference, Bruce M. Becker, MD, Rbod,e hland HosDital

Queuing Theory Predicrs the porential Benefit to Emer-gency Department Patients of Strategies to provide Altem_ate Sites of Care to Patients with Nonurgent Complaints,Nic b olas Schwartz, yale tJniuersity

Patients who Leave without Being Seen: Do They KnowBest?, Sarab A. Stabmer, MD, Uniuersity of pennsyluania

ED Staffing Characterisrics in St. Louis and Kansas City -Does the Presence of an EM Residency program Make aDifference?, Mark T. Steele, MD, Uniuersity of Missouri,Kansas City

Factors Affecting Patient Throughput Times in an Aca-

99.]. !*.Fency Departmert, Keuin Reilly, MD, AlbanyMedical College

Continuous Quality Improvement Facilitates patient FlowThrough the Triage/Fast-Track Areas of an Emergency De-partment, Cbristopber M.B. Fernandes, MD, St. paul'sHospital

Sustained Effect of a Simple Requisition Form in LimitingUnnecessary Ordering of Lumbo-Sacral Spine Films in theED, Sam Trotzfoi, BA, Albert Einstein College of Medicine

Do Admitted Patients Xfaiting in the ED for Inpatient BedsHave an Impact on the Throughput Time of Non-Admitted Patients?, kffrey I Baza4an, MD, uniuersity ofRocbester

Chief Complaint Coding in the Emergency Department,John T. DiPasquale, MD, Carolinas Medical Center

Patients who Leave 'Against Medical Advice, from theEmergency Department, Cailos A. Camargo, Jr, MD, MpH,M as s ac b usetts G enera I H os2it al

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301.

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308


May 23

1995 Hal Jayne Academic Excellence Award\filliam G. Barsan, MD, University of Michigan

1995 Iradership AwardLouis J. Ling, MD, Hennepin Counfy Medical Center

1995 Physio Control EMS FellowshipPaula Willoughby, DOInstitution: University of IllinoisThis $50,000 fellowship is funded by Physio Control Corporation

1995 SAXM/EMF Innovations in Medical Education Grants"Development and Implementation of an Emergency MedicineCurriculum on the Wodd \(ide \fleb Utilizing a MOO-BasedCollaborative Hypermedia System," Daniel L. Savitt, MD, RhodeIsland Hospital/Brown University

"Use of Objective Structured Clinical Examination (OSCE) to Eval-uate Pediatric Emergency Medicine Training of Emergency Medi-cine Residents ," Mary E. Metrou, MD, University of Michigan

"Teaching Patients Interview Skills in the Emergency Depart-ment Using Videotaped Feedback and Assessment Scores,"Patrick Brunett, MD, Oregon Health Sciences University

1995-96 SAEM/EMF Medical Student Research Grants"The Duration of Effects After Inhalation of 500/o Nitrous Oxide:50%o Oxygen for Forty-Five Minutes"Medical Student: Craig S. Cohen, BAPreceptor: James Menegazzi, PhDInstitution: University of Pittsburgh

"lmproving Pediatric Patient Triage \(ith Admission LactateLevels in the Emergency Department"Medical Student: Nader FakhimiPreceptor: David Milzman, MDInstitution: Georgetown University

"Evaluation of a Personal Computer-Based Telemedicine Systemfor Radiographic Assessment of Emergency Medical Conditions"Medical Student: Gordon WingardPreceptor: David Ellis, MDInstitution: Erie County Medical Center

199 4 Anlirlual Meetlng AwardsBest Oral Cltnical Sclence Presentation"A Comparison of Immediate versus Delayed Fluid Resuscitationfor Hypotensive Patients with Penetrating Torso Injury," XflilliamH. Bickell, MD, Bayior College of Medicine

"A Multicenter Clinical Trial to Implement the Ottawa AnkleRules," Ian Stiell, MD, Universiry of Ottawa

Best Oral Basic Sclence Presentation"High Dose Endotoxin Neutralizing Protein Improves Survival inRabbits E. Coli Sepsis," Anne Stack, MD, Haward Medical School

Best Poster"Bariers Facing Patients Seeking Acute Care at a Public Hos-pital," Mark V. \X/'illiams, MD, Emory University

Best Innovations in Ernergency Medicine Education Exhibit"Effectively Communicating with Consultants - An InstructionalModule," WilliamJ. Frohna, MD, Madigan Army Medical Center

Selected to be Presented at the AAMC Annual Meeting"Physical Examination Skills of Emergency Medicine and In-ternal Medicine Residents," Salvatore Mangione, MD, MedicalCollege of Pennsylvania

"Can Academic Medical Centers Vhich Do Not Have an Emer-gency Medicine Residency Meet the Residency Review Commit-tee's Requirements to Start an Emergency Medicine Residency?,"C. James Holliman, MD, MS, Hershey Medical Center

Best Education Presentation"Physical Examination Skills of Emergency Medicine and In-ternal Medicine Residents," Salvatore Mangione, MD, MedicalCollege of Pennsylvania

Best Oral Resident/Fellow Presentation"Different Preconditioning Stimuli Protect Myocardial MechanicalFunction after Ischemia Reperfusion Injury," Diane C. Barta, MS,MD, University of Colorado

Best ResidentAellow Poster"Estrogen Xfithdrawl Alters the Neutrophil-Lymphocyte Ratio inRabbits," Emil Skobeloff, MD, Medical College of Pennsylvania

Best Pediatric Emergency and Critical Care Presentation"Nebulized Dexamethasone Versus Oral Prednisone in theEmergency Department Treatment of Acute Asthma in Chil-dren," RichardJ. Scarfone, MD

Best Medical Student Presentation"Lower Esophageal Sphincter Pressure During Prolonged Car-diac Arrest and Resuscitation," Frederick P. Bowman, BS, Centerfor Emergency Medicine of Western Pennsylvania

Best Technology Presentation"Median Frequency of Ventricular Febrillation Reflects Myo-cardial Blood Flow and the Chance of Successful Resuscitation,"H.U. Strohmenger, MD, University of Ulm

AWARD PRESENT{TIONS


HAt JAYNE ACADEMIC EXCELTENCE AWARD

William G. Barsan, MD

Dr. Villiam G. Barsan began his career in Emergency Medicine in 1977 when he became a resident at the University of Cincinnati.Upon completion of his residency he joined the faculty at Cincinnati at the rank of Assistant Professor and took the lead in de-veloping one of the specialry's first large animal research labs. Early work in this lab included development of a canine asphyxialanest model and evaluation of drug delivery during CPR.

In 1981, Dr. Barsan assumed responsibility for directing the emergency medicine residency at Cincinnati. Under his leadership, thisresidency developed a reputation as one of the premier academic programs in the country. During his tenure, Dr. Barsanrecognized the challenge of teaching the entire breadth and depth of emergency medicine in three years, particularly if substantialtime is committed to a resident's academic development. Consequently, he developed plans for what would ultimately become thenation's first four-year emergency medicine program, a model that is now followed at many other academic centers.

ln 1984, Dr. Barsan stepped down from the program director position to devote additional time to his interest in the acute treat-ment of stroke. He became a founding member of the Greater Cincinnati/Nofthern Kentucky Stroke Team, a group that soughtto use a multidisciplinary approach to both the clinical management of stroke and the study of new therapeutic interventions.This was a difficr"rlt task that involved changing the pessimistic perceptions of stroke held by both health professionals and thelay public. It also involved convincing ftrnding agencies that the acute treatment of stroke was an area deserving additionalinvestment of research dollars. The stroke team was successful in heightening public awareness of the need for earlyintervention and in developing a network of local hospitals committed to rapidly evaluating and treating these patients. Thisteam was awarded numerous NIH grants that supported investigation of early pharmacological interventions for this devastatingdisorder. An invaluable member and in many ways the driving force responsible for the success of the stroke team, Dr. Barsanwas able to demonstrate to these more established researchers the unique expertise, perspective and talent of the emergencyphysician. He is now a nationally recognized authority on the early management of stroke, a well-funded principal investigatorand the author of numerous original research publications on the topic.

Dr. Barsan's most recent achievement was his appointment in 1,992 as Professor and Head of the Section of Emergency Medicineat the University of Michigan. Michigan is a very traditional medical center and one that many thought would never recognizethe need for emergency medicine. However, Dr. Barsan rapidly won the respect and support of the institution and has estab-lished a strong faculty, a productive research prograni and what will surely become another first class, academically-orientedemergency medicine residency.

Impressive though these accomplishments may be, Dr. Barsan's greatest achievement has been his ability to share his successwith others. He is a warm and generous individual who possesses a unique blend of enthusiasm, energy and intellectual curi-osity. These traits have attracted countless students, residents and junior faculty for whom he has served as a role model, amentor, and a motivator. Residents who were trained by Dr. Barsan are currently working in academic positions al1 across thecountry. Several are successful researchers who have become leaders in the academic community. There is no doubt that manyof them would not have accomplished what they have without Dr. Barsan pointing the way. By this accomplishment more thanany other, Dr. \flilliam G. Barsan has contributed to both the present and future strength of emergency medicine as an academicdiscipline. SAEM is proud to recognize him as this year's recipient of the HaI Jayne Academic Excellence award.

Steuen C. Dronen, MD

May 2J

1995 SAEM Annual Meetine

May 23


TEADERSHIP AWARD

LouisJ. Ling, MD

Dr. Louis Ling is a 1980 graduate of the University of Minnesota Medical School. Following a flexible intemship at Hennepin

County trledical Center, hi completed his training in the emergency medicine residency at the Universrry of Chicago Hospitals

and Clinic. His career is marked by steady achievement and an always increasing circle of friends who have had the opportunity

to share in his activities.

Organizations which have benefited from Dr. Ling's leadership have included the American College of Emergency Physicians(AaEP), ACEP's Minnesota Chapter, the ACGME, the Society for Academic Emergency Medicine (SAEM), the Minnesota Medical

Association, the American Academy of Clinical Toxicology, and, I am happy to add, Hennepin County Medical Center. He has

demonstrated important leadership in each of these organizations, the scope of which is beyond the space allotted for this

tribute. Therefore, some of the high points will be covered.

Dr. Ling has always been a leader. He was honored with the University of Minnesota Leadership Award for his work in student

government and for serving as President of his class. He continued his leadership activities as a resident in emergency medicine

inder the late Hal Jayne's guidance, he became a founder and charter member of the Emergency Medicine Residents of Illinois.

Later, he served as a member of the Board of Directors of the Emergency Medicine Residents' Association (EMM)' His activities

in EM1]d led him to be recognized as a worthy representative to serve in the lone resident position on the Residency Review

Commirtee for Emergenry l,ledicine (RRC-EM) of the Accreditation Council for Graduate Medical Education (ACGME). His stellar

performance as a resldent brought him to the attention of organizations who would enlist his talent upon residency graduation.

The ACGME wasted little time in recalling Dr. Ling to service as a member following his residency graduation. He returned to

the RRC after a two-year hiatus to serve for six years as a member, including a period as chairman. He began a comprehensive

review of the Speciai Requirements for Emergency Medicine during his chairmanship and settled controversy over emerging fel-

lowships in emergency medicine. His easy manner led to speedy resolution of potentially divisive issues. He contributed to

SAEM in many ways, on multiple committees, as newsletter editor, on the Board from 1988-94, and by serving as President in

19g2-1993. SAEM experienced rapid growth during his tenure as a Board Member and President. Its meetings became

progressively more suicessful and the decision to publish its own journal, now a reality, was made.

Clinical Toxicology is another beneficiary of Dr. Ling's leadership largess. He is the Medical Director of the Hennepin Regional

Poison Center in Minneapolis, having served in this capacity since 1986. He has participated in the activities of the American

Academy of Clinical Toxiiology since t994. His leadership of our Poison Center has allowed for the steady growth and success

which seems to characterize all the organiztrtions with which he is involved.

Other activities have included membership on the Minnesota ACEP board as secretary-treasurer and alternate councillor. He has

chaired the Academic Affairs Committee and the Graduate Medical Education Committee for national ACEP. He was associate

editor of PEER IV and served on the 1990 Core Content Task Force. The list goes on . . .

As busy as Dr. Ling has remained, he contributes locally more so than nationally, He served as the Director of our Office of Aca-

demic Affairs from-I99l.-1993 and is now our Associate Medical Director for Academic Affairs at Hennepin Country Medical Center.

In this capacity, he is heavily involved with the issues facing graduate medical education in our competitive environment.

Louis Joseph Ling, MD, is one of the most affable arrd industrious leaders we have the good fortune to include in our specialty

Hls logicai mind-allows him to focus on the heart of issues and bring them to resolution without the tangential inefficiencies of

less tJented leaders. Perhaps that explains the imbalance between the breadth of his accomplishments and his relative youth.'

The good news is that he continues his contributions at an undiminished pace. !0'e can take comfort that our specialty and

mediiine in general will benefit from them for many years to come. SAEM is proud to recognize him as the recipient of its 1995

Leadership Award.

Josepb E. Clinton, MD

SIATE OF NOMII{EES May 23The Nominating Committee and Board of Directors are pleased to present this slate of candidates for election at the annual business

meeting on May 23. The following general guidelines were used by the Nominating Committee.1. Nominations were sought from the membership through advertisements in the Newsletter.2. All members who responded to the "Call for Nominations" in the Newsletter were considered.3.

'$flhenever possible, a slate of two or more candidates is presented to the membership for each position. It is the Board,s opinion that

the membership should be given choices of well qualified candidates whenever possible.4' The Board believes it is important to have a single ballot for each position undei consideration rather than pairing up nominees. Thus,

the most qualifed candidates for each position can be selected by the membership.5 Each position will be open for additional nominations from the floor at the annui business meetrng.6 Biographical information regarding each nominee is presented to the membership prior to the elections.

PRESIDENT-ELECTSteven C. Dronen, MD, is AssociateProfessor of Emergency Medicine andAssociate Head and Residency Directorof the Section of Emergency Medicineat the University of Michigan. Dr.Dronen has served as a member of theSAEM Board of Directors since 1991and s ince 1993 as the Secretary/Treasurer. He is the President of theCouncil of Emergency Medicine Resi-dency Directors (7993-95). He has

Sandra M. Schneider, MD, is Profes-sor and Chair of the Department ofEmergency Medicine at the Universityof Rochester . S ince 1993 Dr.Schneider has been a member of theSAEM Board of Directors and hasserued as Board Liaison for the Ultra-sound Task Force, Technology Com-mittee, Disaster Task Force and theInternat ional Commit tee. She hasbeen a member of the TechnologyCommittee (1,988-199r, a member ofbeen a member on the SAEM Journal

Task Force, the Residency Aid Committee and the Curriculum De-velopment Task Force. He has served as the coordinator of theSAEM Residency Consulting Service for five years. Dr. Dronen isan Editorial Board member for Academic Emergency Meclicineand Yearbooh of Emergency Medicine, a Reviewer for Annals oJ'Eruergency Medicine and the American Journal of Emergencl,Medicine, and is an Examiner for the American Board of Emer-gency Medicine. Dr. Dronen graduated from medical school in1977 from the University of Illinois and completed an EmergencyMedicine Residency in 1980 ar Henry Ford Hospital in Detroit.

the Constitution and Bylaws Commitee (j990-g, and Chair ofthat Committee (1992-9i. Dr. Schneider is a Site Surveyor forthe RRC-EM, as well as an Editorial Board member for the Jour-nal of Prebospital and Disaster Medicine, Emergency MedicineReports, and the Journal of Procedures in Emergency Medicine.She is alscr a reviewer for Academic Emergenqt Medicine, An-nals of Emergency Medicinq and the American Journal of Medi-cine. She graduated from the University of pittsburgh MedicalSchool in 1975 and completed an Internal Medicine Residencyfrom the Presbyterian University Hospital in 1978.

BOARD OF DIRECTORS

rently P.I. for a US DHH SAMHSA Cen-ter of Substance Abuse Treatment Grant at Boston Citv Hospital.He has served as a reviewer for Academic Emergency Medicine,Annak of Emergency Med,icine, and Substance Abuse, has been aGuest Editor for Health Eclucation euarterly, and is currentlyediting a case-based lext: Public Heatth Issues in EmergencyMedicine to be published early in 1995. From 1985-88 he de-veloped and directed the EM Residency at the University of NewMexico. He was the New Mexico ACEp Chapter Officer andserved as President from 7982 until 1986, and was Chaitperson ofthe STEM Public Education Committee (1986-3g). Dr. Bernstein isa graduate of Stanford University School of Medicine.

Edward Bernstein, MD, is AssociateProfessor of Emergency Medicine andPublic Health at Boston UniversitySchool of Medicine and Boston CityHospital. Since 1991 he has serued asChair of the SAEM Public Health andEducation Committee. He has servedon the Geriatric Task Force and Geri-atric Education Panel since 1991, andis a member of the PatienrPhysicianCommunication Task Force. He is cur-

Michelle Biros, MS, MD, is Senior As-sociate Physician in the Department ofEmergency Medic ine at HennepinCounty Medical Center and AssistantProfessor of Neurosurgery al the Uni-versity of Minnesota. Dr. Biros hasbeen a member of the Research Com-mittee since 1989 and has served asthe chair slnce 1992. Since 1992, shehas been the Chair of the ResearchDidactic Task Force, a member of theSAEM/EMF Medical Srudent Review

Committee, and a member of the Program Committee (1992-9r.In 7985, Dr. Biros was the recipient of the Best Basic SciencePaper, and in1990, the Best Oral Basic Science paper. Dr. Biros isa member of the ACEP Research Sec(ion and an SAEM reoresen-tative to the EMF Board of Trustees. She is an Ad Hoc Reviewerfor Annals of Emergenqt Medicine, and an Associate Editor forAcademic Emergency Medicine. Dr. Biros graduated from the Uni-versity of Minnesota Medical School in 1982, and completed anEmergency Medicine Internship/Residency at the University ofCincinnati in 1986. She also completed an Emergency MedicineResearch Fellowship at the University of Cincinnati.


May 2J

Terri Schmidt, MD, MS, is an Asso-ciate Professor in the Deoartment ofEmergency Medicine at Oregon HealthSciences University. Dr. Schmidt hasbeen a member of the SAEM EthicsCommittee since 1990 and has beenthe Chair of that committee since1993. She is the Assistant Director atthe Center for Ethics in Health Care atOHSU. In 1992, she participated in theCertificate Program for Health CareEthics at the University of lfashington,

and from 1990-1991, she served on the NAEMSP Ethics Commit-tee. Dr. Schmidt graduated from medical school in 1985 fromOHSU. comoleted an Internal Medicine Internshio from OHSU in1986, and il i988, completed an Emergency Medicine Residencyfrom Oregon Health Sciences University.

BOARD OF DIRECTORS (continued)

RESEARCH COMMITTEE CHAIR-ELECT

J. Stephan Stapczynski, MD, isAssociate Professor and Chairman ofthe Department of Emergency Med-icine at the University of KentuckyCollege of Medicine. Dr. Stapczynskihas served on the SAEM Injury Con-trol Task Force, the AAMC LiaisonCommittee, and the Nominating Com-mittee. He has been on the ACEP Ed-ucational Meetings Committee (1984-88) as weli as the ACEP Home StudyTask Force (1991-9r. Dr. Stapczynski

is the current President of the Association of Academic Chairs ofEmergency Medicine. In addition, he is a Journal Reviewer forthe American Journal of Emergency Medicine and AcademicEmergency Medicine as well as a Consulting Editor for Annalsof Emergency Medicine. Dr. Stapczynski graduated from medicaischool at UCLA in 1976 and completed an Internal MedicineResidency from Harbor UCLA Medical Center in 1979, and in1979 was Board Certified in Internal Medicine, and EmergencyMedicine in 1987.

M. Andrew Levltt, DO, is an Assis-tant Clinical Professor of Medicine inthe Division of Emergency Medicineat the University of California, SanFrancisco and Director of Research inthe Department of Emergency Medi-cine at Highland General Hospital. Dr.Levitt has participated on the SAEMProgram Committee (7993-95) and,the Research Committee (1989-1994).He has also participated on the Cali-fornia ACEP Education Committee

(I990-9r, was the Co-Chairman for the \trinter Scientific Sympo-sium (1990-9J), was Chairman of the CA ACEP Subcommitteeon Pharmaceutical Financial Support in Medical Education(1991-9r, and the Research Committee since 1994. Since 1991,he has been an instructor for the Center for Prehospital Careand Research, and from 1988 to 1994, he participated on theEMF Medical Student Grant Review Committee. Dr. Levitt is aReviewer for Academic Emergenqt Medicine, American Journalof Emergency Medicine, and Annals of Emergency Medicine. Hegraduated from the University of Osteopathic Medicine andHealth Sciences medical school in 1980 and completed an Emer-gency Medicine Residency in 1984 at the University of ArizonaHealth Science Center.

RogerJ. Irwls, MD, PhD, is Directorof Research in the Department ofEmergency Medicine, Harbor-UCLAMedical Center and Assistant Professorof Medicine at the UCLA School ofMedicine. Dr. Lewis has been a mem-ber of the SAEM Research Committee(1992-95), and the SAEM NationalEmergency Medicine Database TaskForce (1991-93). Dr. Lewis is a Con-sulting Reviewer for Acad,emic Emer-gency Medicine, Annals of Emergency

Medicine, AmeNcan Journal of Emergency Medicine, Biometrics,and JAMA. In addition, Dr. Lewis is the Medical Director of theCalifornia Chapter of Basic Trauma Life Support, as well as therecipient of the 1.993-94 EMF Career Development Award. In1.987, Dr. Lewis graduated from Stanford University MedicalSchool, receiving both his MD and a PhD in biophysics. Hecompleted an Emergency Medicine Internship from Harbor-UCLA Medical Center, and completed an Emergency MedicineResidency from the same institution in 1990. Dr. Lewis' arca ofresearch interest is the statistical design and analysis of clinicaltrials.


May 23

Carey Chishokn, MD, is the Emer-gency Medicine Residency Director atMethodist Hospital of Indrana and aClinical Associate Professor of Emer-gency Medicine at Indiata UniversitySchool of Medicine. He served on theSAEM EMS Committee from 1986-1991,and on the Residency Aid Committeefrom 1989-1995, and since 1992 hasseryed as the Chair of the ResidencyAid Committee. Since 1988, he hasbeen a special site surveyor for the

RRC-EM. Dr. Chisholm is a member of the SAEM Program Com-minee (1991-94), a member of the ACEP Academic Affairs Com-mittee, and since 1991, has served on the CORD Board of Direc-tors, and is the President-Elect of CORD. He has been an Editorialreviewer for Annals of Emergency Medicine since 1989 and anEditorial reviewer f.or llEtul since 1992 and sjnce 1994 a reviewerfor Academic Emergency Medicine. ln additron, he has served onthe Indiana Chapter of ACEP Board of Directors as well the ACEpChapter Board of Directors for Government Services. Dr.Chisholm graduated from the Medical College of Virginia in 1980,completed a transitional internship in 1981 and an EmergencyMedicine Residency in 7983 from Madigan Army Medical Center.

Paul E. Pepe, MD, is a Professor inthe Departments of Medicine, Surgeryand Pediatrics at Baylor College ofMedicine and the Ben Taub GeneralHospi ta l in Houston. He is theDirector of the Ci ty of HoustonEmergency Medical Services Systemand is an Associate Professor of Emer-gency Medicine at the University ofTexas Medical School in Houston. Herepresented SAEM on the AMA Com-mission for Emergency Medical Ser-

vices from 1985-1.990, served on the SAEM EMS Committee from1988-1997, and since 1992 on the Program Committee. Since

NOMINAIING COMMITTEE

CONSTITUTION AI\D BYTAWS COMMITTEE

1994, Dr. Pepe has been active as an Associate Editor of Aca-demic Emergency Medicine. He has previously served as pres-ident of the National Association of EMS Physicians and also asa member of the National Advanced Cardiac Life Support Sub-committee of the American Heart Association. Among severalgovernmental appointments he has served on the Trauma andEMS Advisory Committee for the U.S. Department of Health andHuman Seruices. Dr. Pepe graduated from the University of Cali-fornia, San Francisco School of Medicine in 1976, completed anintemal medicine residency at the University of Xflashington, Se-attle, then completed several Clinical and Research Fellowshipsincluding Pulmonary-Critical Care (1979-81,) and Trauma (1981-82) at the Departments of Medicine and Surgery at the U\X/ andthen Surgical

'Critical Care in 1982 in the Department of Surgery

at the University of Miami/Jackson Memorial Hospital.

William A. Robinson, MD, is Pro-fessor and Chair of the Department ofEmergency Medicine at the Universityof Missouri-Kansas City School ofMedicine/Truman Medical Center. Dr.Robinson has been a member of theSAEM International Committee (1994-95), and is the SAEM representative tothe Core Content Task Force. He isPresident-Elect of the Association ofAcademic Chairs of Emergency Med-icine and has served as a member of

the Missouri Chapter of ACEP Board of Direcrors (1987-1990).Inaddition, Dr. Robinson has been an Editorial Board member andSection Co-Editor for \Vilderness and Enuironmental Medicineand is assuming the role of the editor for this journal. He hasalso served as a Section Co-Editor and sonsulting reviewer forAnnals of Emergency Medicine, and as a Consulting Editor forthe Journal of Emergency Nursing. He is a Board member of theInternational Medical Corps (1986-199). Dr, Robinson gradu-ated from medical school at Tulane University in 1975 and com-pleted a Residency in Emergency Medicine from TrumanMedical Center in 1978.

Iouis Graff, MD, is Associate Professorof Clinical Medicine, Assistant Professorof Surgery at the University of Connecti-cut, and Associate Director of Emer-gency Medicine at New Britain GeneralHospital. Dr. Graff has served on theSAEM Membership Recruitment Com-mittee, Public Health & Education Com-mittee, and the Research Committee. Heserved as Chair of the SAEM Observa-tion Medicine Committee (1.989-199L)and Chair of the Research Didactics

Subcommittee e993-9r. He has also served as a Reviewer forAcademic Emeryency Medicine. Dr. Graff is the ACEP ObservarionServices Section Chatr, a member of the ACEP Practice Manage-ment Committee, and the Board of the Connecticut Chapter ofACEP. Dr. Graff graduated from Haward Medical School in t976,completed an Intemal Medicine Residency from St. Vincent Hos-pital in Massachusetts in 7979, and a Nephrology Fellowship fromthe University of Massachusetts Medical Center in 1981.

Charles V. PoflackJr, MA, MD, is theResearch Director in the Depatment ofEmergency Medicine at Maricopa Medi-cal Center in Phoenix. Since 1993, Dr.Pollack has been a member of the SAIMEducation Committee and has served asa member of the ACEP Research Com-mittee (1990-94), as well as the ACEPScientific Review Panel. Dr. Pollack is aregular faculqr member for ACEP in A-sential Topics, \ffinter Symposium, andScientific Assembly. He is a Reviewer for

Annab of Emergmcy Medicine and is on the Editorial Board for theJournal of Emergency Medicine. In 1992, Dr. Pollack received rheEMRA Academic Achievement Award. In 1984, he graduated frommedical school at Tulane University School of Medicine, completed aGeneral Surgery Intemship from the U.S. Naval Hospital, San Diegoin 1985, and n 1992 completed an Emergency Medicine Residencyfrom the University of Mississippi Medical Center.

35

May 23

ARTICLE I-NAMEThe name of this organization shall be, "The Society for Aca-

demic Emergency Medicine," hereinafter referred to as, "The

Association."

ARTTCLE rr-OBJECTTVESSection 1; The objective of this Association is to improve the

care of the acutely ill or injured patient by promoting research,educating health care professionals and the public, fostering re-lationships with organizations with a similar purpose, and sup-pofiing the specialized or multidiscipline care of such patientsthrough research and education. The Association will functionas a scientific and educational organrzation as defined in Section501 (c) (3) of the Internal Revenue Code, as amended.

Section 2: The Association shall pursue its purpose by: (1)sponsoring forums for the presentation of peer-reviewed scien-tific and educational investigations, (2) sponsoring and conven-ing educational programs for health care professionals and thelay public, (3) promoting academic development and educationof its membership through specialized programs, (4) serving inan academic capaciry to develop and promote further the mostappropriate measures for the care of the acutely ill or injuredpatient, (5) deveioping liaisons with other organizations with asimilar purpose, and (6) publishing research and educationaldata in the scientific and educational literature and other mediaavailable to the lay public.

Section 3: A, This corporation is organized exclusively foreducational and scientific purposes, including, for such pur-poses, the making of distributions to organizations that qualifyas exempt organizations under Section 501 (c) (3) of the In-ternal Revenue Code of 1954 (or the coresponding provision ofany future United States Intemal Revenue Law).

B. No part of the net earnings of the corporation shall inure tothe benefit of, or be distributable to its members, Directors, Of-ficers or other private persons, except that the corporation shallbe authorized and empowered to pay reasonable compensationfor services rendered and to make payments and distributions infurtherance of the purposes set forth 1n paragraph A hereof. Nosubstantial part of the activities of the corporation shall be thecarrying on of propaganda, or otherwise attempting tO influencelegislation, and the corporation shall not participate in, or inter-vene in (including the publishing or distribution of statements)any political campaign on behalf of any candidate for publicoffice. Notwithstanding any other provision of these articles, thecorporation shall not carry on any other activities not permittedto be carried on (a) by a corporation exempt from Federal In-come tax under Section 501 (c) (3) of the Internal RevenueCode of 7954 (or conesponding provision of any future UnitedStates Revenue Law) or (b) by a corporation, contributions towhich are deductible under Section I70(c) (2) of the InternalRevenue Code of 1954 (or the corresponding provision of anyfuture United States Internal Revenue Law).

ARTICLE III-MEMBERSHIPSection 1: Classificatiors. There shall be seven classes of mem-

bership: active, associate, emerifns, resident/fellow, honorary, in-temational active and intemational associate, and medical student.

Section 2: Qualifications. (1) Candidates for active member-ship shall be (a) individuals with an advanced degree (MD, DO,PhD, PharmD, DSc, or equivalent) who hold a medical schoolor university faculty appointment and who activeiy participate in

35

acute, emergency, or critical care in an administrative, teaching,or research capacity, or (b) individuals with similar degrees inactive military service (U.S. or abroad) who actively participate inacute, emergency, or critical care in an administrative, teaching,or research capacity. Individuals who otherwise meet qualifica-tions for active membershio as defined above but who do nothold a university faculty appointment may petition the Member-ship Committee for consideration for active membership status.(2) Candidates for associate membership shall be health profes-sionals, educators, govemment officials, members of lay or civicgroups, or members of the public at large who may have an in-terest or desire to participate in pursuing the purposes and objec-tives of the Association. (3) Candidates for emeritus membershipshall be (a) active members who seek such status and who havegiven 15 continuous years of active service to the Association andhave attained the age of 65 years or (b) other active memberswho under special circumstances are invited for such emeritusstatus by the Membership Committee. (4) Candidates for resi-dent/fellow membership must be residents or fellows in res-idency programs who have an interest in emergenry medicine.(5) Candidates for honorary membership shall be individuals whohave made outstanding research or educational contributions tothe purpose and objectives of the Association. (5) Candidates forintemational membership shall be individuals who reside outsidethe U.S. and who meet qualifications for active or associatemembership as described above. Such candidates may apply foractive, associate, or other membership in the Association. (7)Candidates for medical student membershio must be medicalstudents who have an interest in emergency medicine.

Section 3: Mernber Rigbts and Priuileges, All members mayhave the privilege of the floor and of serving on the committeesof the Association, and serving as committee chairs. Only activeand associate members may serve on the Board of Directors.Only active members shall have voting rights and may seffe asofficers of the Association.

Section 4; The Association shall not discriminate, on the basisof race, sex, creed, religion or national origin.

ARTICII N-OFFICERS, BOARD OF DIRECTORS,EXECUTIVE COMMITTEE, E)GCUTIVE DIRECTOR

Section 7; The officers shall be the President, President-Elect,and S ecr etary / Treasurer.

Section 2: The Board of Directors shall serve as the govemingbody. The Board of Directors shall consist of the above officers,the Immediate Past President, and six Members-at-Large.

Section J; The Executive Committee shall consist of the Pres-ident, President-Elect, Past President and Secretary/Treasurer.

Section 4: The Executive Director recommends and partici-pates in the formulation of new policies and makes decisionswithin existing policies as they have been approved by theBoard of Directors.

ARTICLE V- COMMITTEESThe standing committees shall be: (1) Nominating Committee,

(2) Membership Committee, (J) Program Committee, (4) Constitution and Bylaws Committee, (5) Education Committee, (6) Re-search Committee, (7) Liaison Committee to the Association ofAmerican Medical Colleges, (8) Governmental Affairs Commit-tee, and (9) Committee on International Affairs. Additionalcommittees may be created by the Board of Directors and adhoc committees and task forces may be created by the Presidentto aid in the Association's efforts to achieve and further its goals.

CONSTITUTION


ARTICLE VI - ANNUAL MEETINGSection 1: There shall be an annual meeting of the Associa-

tion. This meeting shall consist of an educational and scientificprogram and a business session.

Section 2: The Board of Directors, by majority vote, may call,upon 30 days notice, a special meeting of the membership orstanding committee to conduct any business that the Board of Dir-ectors shall place before the membership or standing committee.

Section 3: A special meeting may be called by the member-ship upon petition by 100 or more active members stating thereason(s) for the meeting. The Secretary/Treasurer shall callsuch a meeting within 30 days of receiving the petition at a timeand place designated by the President.

Section 4: The Board of Directors may call and conduct anyspecial meeting by mail. For purposes of notice, the meetingdate shall be a date set for the return of mail ballots and it shallbe called the voting date. Adoption of any proposal, resolutionor amendment by mail ballot sha1l be achieved by affirmativevote of a majority of voting active members unless otherwiseprovided by another provision of this constitution. Only thosemail ballots received at the business office of the Associationwithin 30 days subsequent to the voting date shal1 be counted.

ARTICLE VII - ADOPTION OFAMENDMENTS

Section 1; The constitution and bylaws may be adopted oramended at any annual or special meeting of the membership.

Section 2; Proposed amendments to the constitution andbylaws shall be submitted in writing to the Secretary/Treasurer

May 2J

by at least three members at least 60 days prior to the meetingat which they are to be considered. The Secretary/Treasurershall mail the proposed amendments to the membership at least30 days prior to that meeting.

Section -ir The Board of Directors may, by resolution, proposeamendments to the constitution and bylaws; provided theproposed amendments are mailed to the membership at least 30days prior to the meeting at which they are to be considered.

Section 4; Adoption of a constitution and bylaws amendmentshall be l>y a maiority vote of the active members present andvoting at any annual or special meeting.

ARTICIT YIII - DISSOLUTIONUpon the dissolution of the corporation, the Board of Directors

shall, after paying or making provision for the payment of all ofthe liabilities of the corporation dispose of all of the assets ofthe corporation exclusively for the purposes of the corporationin such manner, or to such organizat ions organized andoperated exclusively for charitable, educational, religious orscientific purposes as shall at the time qualify as an exemptorganization or organ\zations under Section 5Ol(c) (3) of theInternal Revenue Code of 1954 (or the conesponding provisionof any future United States Internal Revenue Law), as the Boardof Directors shall determine. Any such assets not so disposed ofshall be disposed by a Court of Competent Jurisdiction in theCouncil in which the principal office of the corporation is thenlocated exclusively for such purposes or to such organization ororgan\zations, as said court shall determine, which areorganized and operated exclusively for such purposes.

BYLAWSARTICLE I-MEMBERSHIP

Section 1: Application Process. Membership application formsmay be obtained from the Executive Director of the Association.The Applicant must return the completed application forms andsupporting letters to the Executive Director. The qualifications ofapplicants for membership will be reviewed by the ExecutiveDirector and Secretary/Treasurer. Approval of applicants by theExecutive Director and Secretary/Treasurer shall constitute elec-tion to one of the membership categories, effective immediately.

Section 2: Dues. Annual dues for active, associate, resi-dent/fellow, medical student, and international members will beestablished by the Board of Directors. Honorary and emeritusmembers will not pay dues. Membership in the Association maybe terminated for nonpayment of dues.

ARIICI.E tr-BOARD OF DIRECTORSSection 1: Mernbers. The Board of Directors shall consist of

the President, the President-Elect, the Immediate Past President,the Secretary/Treasurer, and six Members-at-Large. EMRA,AACEM, and CORD may each appoint an ex-officio member tothe Board.

Section 2: Responsibilities. Members of the Board will meetregularly to perform the business of the Association. AII scien-tific and educational meetings of the Association are to be ap-proved by the Board. Members of the Board may serve on com-mittees of the Association, but no Board member may serue as a


committee chair, with the exceptions of the President-Elect serv-ing as Chair of the Nominating Committee and the Secretary/Treasurer serving as Chair of the Membership Committee. Theentire Board serves as the Membership Committee. Members ofthe Board may be appointed to serye as Chairs of ad hoc Com-mittees and Task Forces.

Section 3: Election of Officers. (a) The President-Elect shall beelected for a term of one year with automatic succession toPresident the following year. During this two-year period, theelected member will serve as an officer of the Association. Fol-lowing terms of President-Elect and President, this member willautomatically assume the position of Immediate Past President.Election as President-Elect shall confer Board of Directors mem-bership for a minimum of three years. (b) The Secretary/Trea-surer shall be elected to a three year term. An active membermay not serve consecutive terms as Secretary/Treasurer,President-Elect, President, or Past President.

Section 4: Election of Members-at-Large. Members-at-Largeshall be elected to three-year tetms, the terms being staggered.Members-at-Large may not serve more than two termsconsecutively.

Section 5: Nominees for Election. Nominees for the aboveoffices shall be selected by the Nominating Committee and musthave agreed to stand for election prior to their formal nomina-tion for election at the business session of the annual meeting'

37

May 23

Alternative nominations may be offered from the floor. Suchnominees must also agree to stand for election. Election shall beby majority vote of the active members present and voting atthe business session of the annual meeting.

Section 6: Terms of Office. Terms of office will begin at theconclusion of the annual business meeting. The President shallappoint eligible Association members to fill vacancies andunexpired terms on the Board of Directors and standing and adhoc committees until the next scheduled election.

Section 7: Meetings. Meetings of the Board of Directors orExecutive Committee will be convened in accordance with thePolicies and Procedures Manual. Special meetings may be con-vened at the President's discretion or by petition of six membersof the Board of Directors. A final notice of time and place ofsuch meetings shall be sent to all members of the Board by theSecretary/Treasurer at least 7 days before the meeting. Six mem-bers of the Board of Directors will constitute a quorum. AnyMember of the Association may submit agenda items. Suchitems must be submitted within 30 days of the meeting date.Meetings of the Board of Directors are open to all members ofthe Association and to the public. Closed meetings of the Boardand Executive Committee and Executive Director may be con-vened by order of the President.

Section 8: Duties of tbe President. The President shall serve asthe spokesperson for the Association and preside over the edu-cational program and business session of the annual meeting ofthe Association, and the meetings of the Board of Directors. Itshall be the duty of the President to see that the rules of orderand decorum are properly enforced in all deliberations of theAssociation, to sign the approved minutes of each meeting, andto execute all documents which may be required for the Associ-ation, unless the Board of Directors shall have expressly author-ized some other person to perform such execution. The Presi-dent shall make executive decisions regarding committee posi-tions, committee tasks, inter-organizational activities and Boardtasks. The President shall oversee and take ultimate resoonsibil-ity for an annual evaluation of the executive director. The Pres-ident shall serve as Chair of the Board of Directors and with theSecretary/Treasurer shall set the agenda for the Board meetingsand the annual business meeting. The President shall serve asan ex-officio member of all committees. The President shali ao-point members to fill vacancies and unexpired terms on theBoard of Directors and standing and ad hoc Committees untilthe next scheduled election. The President shall appoint a Boardliaison to each committee. The President may appoint taskforces with limited specific goals.

Section 9: Duties of tbe President-Elect. The President-Elect, inthe absence of the President shall be the spokesperson for theAssociation and supervise the Board. The PresidenrElect shallserve as Chair of the Nominating Committee and ex-officiomember of all committees. The President-Elect shall. in coniunc-tion with committee chairs. develoo committee tasks for thepresidency year, review committee member performance andmake committee membership appointments for the presidencyyear. The President-Elect shall also appoint the Chairs of thenon-elected standing committees and develop the long-rangeplanning session of the Board during the President-Elect year.

Section 10: Duties of tbe Secretary/Treasurer. It shall be theduty of the Secretary/Treasurer to be the spokesperson of theAssociation and to preside in the absence of both the Presidentand President-Elect. The Secretary/Treasurer shall keep a true

38

and correct record of the proceedings of the annual businessmeeting and meetings of the Board of Directors, shall preservedocuments belonging to the Association and issue notice of theannual business meeting and meetings of the Board of Direc-tors. The Secretary/Treasurer shall keep an account of the Asso-ciation with its members and maintlin a current register ofmembers with dates of their election to membership and pre-ferred mailing address. The Secretary/Treasurer shall be respon-sible for reporting unfinished business requiring action fromprevious meetings of the membership or Board of Directors andin conjunction with the President shall be responsible for theagenda of the annual business meeting and meetings of theBoard of Directors. The Secretary/Treasurer shall collect thedues of the Association, make disbursements of expenses, andoversee the financial accounts and records of the Association.The Secretary/Treasurer shall chair the Membership Committee.

The financial record will be presented to the membership atthe annual business meeting, biannually to the Board of bir-ectors, and at such times as requested by the President of theAssociation. The financial records of the Association shall be re-viewed annually by two other members of the Board of Dir-ectors appointed by the President, or a certified accountant orfinancial consultant retained by the Board of Directors.

Section 1 1 : Duties of Members-at-Iarge. Members-at-Largeshall represent the membership in conducting the Association'sbusiness, abide by the Constitution and Bylaws of the Associa-tion, and represent the Association in activities related to aca-demic emergency medicine.

Section 12: Duties of tbe Past President. The Past Presidentshall aid the Nominating Committee in identifying candidates forspecial recognition by the Society. The Past President shallassume whatever duties are assigned by the President or thePresidenrElect and otherwise serve as a Member of the Boardof Directors.

Section 13: Absenteeism/termination of ffice. Absences canbe approved or excused only by the President. Two unexcusedabsences from scheduled Board of Directors meetings, annualbusiness meeting, or special meetings of the Board of Directorsduring any term as a member of the Board of Directors shallconstitute a resignation. Such resignation shail be effective twoweeks after notification by the President. Any member of theBoard of Directors may voluntarily resign and such resignationwill become effective immediately.

Section 14: Duties of the Executiue Committee: The ExecutiveCommittee shall conduct the business of the Board of Directorsand act in lieu of the Board on routine issues. All actions by theExecutive Committee are subject to review and approval by thefull Board of Directors at their next meeting.

neard liaisen wilienit

aseirt the eemmit iens

ARTICLE M-MEETINGSSection 1, Annual business meeting. A formal business meet-

ing of the membership of the Association shall be convened an-


nually in conjunction with the annual scientific and educationalmeeting of the Association. Business items presented as infor-mational or for vote by active members shall include but not belimited to: (1) a financial report from the Secretary/Treasurer, (2)amendments to the Constitution and Bylaws of the Association,6) election of Officers, members of the Board of Directors, andthe Chairs and members of the appropriate standing committeesof the Association, (4) repofis of committee activities, (5) trans-action of other business which may come before the member-ship, and (6) a "State of the Assoclation" address by the pres-ident. Where dictated by the Constitution and Bylaws, theAssociation shall be governed by a majority vote of active mem-bers in attendance at the annual business meeting. The pres-ident of the Association shali preside over the meeting and theSecretary/Treasurer will circulate agenda items to the member-ship 30 days before the annual business meetinq. The Chairs ofthe Constitution and Bylaws Committee and N6minating Com-mittee will preside over the respective parts of the annual meet-ing. The annual business meeting shall be held at a time andplace determined by the Board of Directors of the Associationapproximately one year in advance.

Section 2r Between annual business meetings, within theguidelines of the Association's Policies and Procedures Manualand the Constitution and Bylaws, the Association shall begoverned by the Board of Directors. Actions of the Board ofDirectors shall be determined by a majority vote of those of itsmembers present at its meeting.

Section J: Annual scientific ancl educational assembly. TheAssociation shall sponsor an annual scientific and educationalmeeting or assembly to meet its purpose and objectives. Its mis-sion shall be to foster research and education in academic emer-gency medicine in accordance with tbe pohcies a.nd proce-dures mqnualeriginal researeh in the seierees and edueatienal methedelety;

r the

mitteesi+

tie+shsiness The research and educational programs of theannual meeting shall be open to the public and the generalmembership of the Association. All meetings of standing and adhoc committees are open to the public and members of the As-sociation. Programs for the annual meeting shall be arranged bythe Program Committee and approved by the Board. A finalnotice of the time, place, and program of the annual assemblyshall be sent to all members of the Association by the Secretary/Treasurer at least 30 days before the meeting.

Section 4: Special meetings sponsored or cosponsored by tbe Asso-ciation,The Association may sponsor or cosponsor other scientificor educational meetings of interest to the membership to meet itspupose and objectives. Such meetings shall be convened by thePresident, Board of Directors, and Program Committee Chair andpublicized at least 30 days in advance by the Secretary/Treasurer.

ARTICLE IV-FINANCESSection 1: The annual membership dues for all members shall

be determined by the Board of Dirictors. The annual member-ship will be payable within 30 days of request by the Secre-tarylTreasurer. The Board of Directors may establish proceduresand policies regarding nonpayment of dues and assessments.


May 2J

Section 2: The Board of Directors shall adopt such member-ship schedules as is necessary to encourage participation by theinterested public.

ARTICLE V - PARLIAMENTARY AI]THORITYRule of order. Any question of order or procedure not specif-

ically delineated or provided for by these bylaws and subse-quent amendments shall be determined by parliamentary usageas contained in Robert's Rules of Order (Revised).

ARTICLE VI- STANDING COMMITTEESSection 1: Duties of Committee Chairs. The Chairs-Elect and the

appointed Chairs shall assist the President-Elect in determiningthe committee goals for the coming year. and oaersee tbeircompletion

mittee me+

ittee memberi t a

riritten semi ̂ nnual and annurl repert as eutlined in the pelieies

preeideat-and*e€r#tiais€ft All Chairs are responsible to theBoard and may be removed for cause prior to completion ofterm of office by majority vote of the Board. yacant positionswill be filled by the President for the remainder of the term.

Seetien 2: D"#ia ef €enaneitiee {{entbetr, *Iembers sheyld prepesefoture€&.@e€h€iq-€affy eut assigrments gi'r'en b)-

Section 3 2 Terms of Office. Terms of office for CommirteeChairs and members will begin at the annual business meeting.The President shall appoint eligible Association members to fillvacancies and unexpired terms on standing and ad hoc commit-tees until the next scheduled election or appointment date.

Section 4 3 Nominating Committee. The Nominating Commirtee shall consist of the President-Elect, as Chair, the past pres-ident, a member of the Board of Directors elected for a one-yearterm by the Board, and three elected members who may not bemembers of the Board of Directors. The latter shall serve stag-gered two-year terms. It shall be the task of this commlree roselect a slate of officers to fill the naturally occuring vacancieson the Board of Directors and elected positions on the standingcommittees of the Association not otherwise designated andprovided for by these bylaws. The Nominating Committee willseek the candidates approval for formal nomination and shallplace their names in nomination before the membershio forelection at the business session of the annual meeting The Nom-inating Committee will also provide slates for any awardsoffered by the Board of Directors.

Section 5 4 Membership Committee. The Board of Directorsshall constitute the Membership Committee. The Secretary/Treasurer shall serve as Chair of the Membership Committee.The Membership Committee has rhe responsibility for establish-ing the qualifications for each membership classification. Appli-cants reviewed by the Executive Director and Secretary/Trea-surer not meeting the qualifications for election to a requestedclassification of membership shall require presentation to andapproval by the majority of the Membership Committee, beforemembership in that classification can be granted.

--4-

39

May 2J

Section65 Program Committee.The program Committee shallbe composed of a Chair, elected by the membership for a three-year teffi, with the first year of the term serued as Chair-Elect;and members appointed by the presidenr-Elect with input fromthe Board Liaison and the Committee Chair for one-year rermsand who may be reappointed for subsequent terms. A ResearchCommittee member and Education Committee member will bemembers of the Program Committee. Subcommittees shall beformed in accordance with the Policies and procedures Manual.Tbe committee Chair ma! not serae consecutiae ternts,

The duties of the committee shall be to arrange, in conformitywith instructions from the Board of Directors, the program forall meetings and select the formal participants. The duties of theProgram Committee Chair shall be in accord,ance witb tbePolicies and, Procedures Manual rr€lud€+{)4alri€fre-grafi--€€mnrttee meetin^s; (2\ ieff

ffaet st+Lm$ding emendments te

5) ever

nuat meeting te the@.

The committee members shall, under the direction of the pro-gram chair and with the assistance of the Executive Directorperforrn duties ln accordance with the policies and, proce-dures rnanual rag

(D legisrie

ireq and@ieies an+lfe€edufesRecommendations from the Program Committee Chair must beapproved by the Board of Directors by majority vote.

Section 16 Constitution and Bylaws Committee. The Consti-tution and Bylaws Committee shall consist of a Chair and rwoother members, elected for staggered three-year terms so thatthe member with the least remaining tenure shall serve as Chairduring their final year on the Committee. This Committee shallstudy the potential merits, adverse consequences and legal im-plications of all proposed constitutional amendments or changesin the bylaws and report their findings and recommendations tothe Board of Directors prior to formal consideration of the pro-posed changes by the membership. The members of the Cbm-mittee may suggest appropriate constitutional amendments andbylaws changes to the Board of Directors.

Section & 7 Education Commifiee, The Education Committeeshall consist of a Chair, elected to a three-year term by themembership, with the first year of the term served as Chair-Elect, and members appointed by the president-Elect with inputfrom the Board Liaison and by the committee Chair for one-y-ea,

terms and who may be reappointed for subsequent terms. TheCommittee shall foster education in emergency medicrne. Thecornmittee Chair may not serl)e consecuthte terms

Section 9 I Researcb Comnxittee. The Research Committeeshall consist of a Chair, elected to a three-year term bv themembership, with the first year of the term served as ihair-Elect, and members appointed by the president,Elect with inputfrom the Board Liaison and the committee Chair for one-ylatterms and who may be reappointed for subsequent terms. TheCommittee shall foster research in emergency medictne. Thecommittee Cbalr may not serae consecutioe tenns

Section 44 9 Liaison Committee to tbe Association ofAmerican Med.ical Colleges (AAMC). The Committee shall consiitof a Chair, appointed to a one-year term by the president-Electand who may be reappointed for up to three consecutive terms,and members appointed by the President-Elect with input fromthe Board Liaison and committee chair for one-year terms andwho may be reappointed for subsequent terms. The officialemergency medicine delegates to the MMC will be members ofthis committee. The Committee shall develop programs for theAssociation to be presented at the annual meeting of the AAMC.

Section 14 10 Gouentmental Affairs Committee. The Commit-tee shall consist of a Chair, appointed to a one-year term by thePresident-Elect and who may be reappointed for up to threeconsecutive terms and members appointed by the president-Elect with input from the Board Liaison and committee Chair forone-year terms and who may be reappointed for subsequentterms. The Committee shall foster federal and state support ofresearch and education in emergency nsediealeare medicine.

Section 9 11 Committee on Intemational Affairs. The Com-mittee shall consist of a Chan, appointed to a one-year term bythe President-Elect and who may be reappointed for up to threeconsecutive terms and members appointed by the president-Elect with input from the Board Liaison and the committee Chairfor one-year terms and who may be reappointed for subsequentterms. The Committee shall foster international recognition ofeducation and research in emergency trdi*€re medicine,

Section 41 12 liaisons to otber organizations. The presidentmay appoint liaison representatives to other organizations. Theliaison representative must be a member of the Association andbe aware of the Association's organizational positions, missions,policies, and structure. The liaison representative shall issue atleast biannual reports to the Board of Directors on organva-tional activities and issues relevant to the Association.

ARTICII YII-DISSOLUflON OF THE ASSOCIATIONSection 1r Dissolution of this Association can only be initiated

by a majority vote of all members of the Board of Directors andmust be approved by two-thirds of the active membershippresent and voting at any ar:lrtlral or special meeting.

Section 2: Dissolution shall be achieved in compliance withArticle MII of the constitution.


DIDACTICThe Internet for Academic Emergency physiciansR. Carter Clementq MD, Higbland General HospitalJobn t. Ellis. MD. Higbland General HospitalDauid K. English, MD, Higbtand Generat HospitalJosepb C. Howton, MD, Hightand General HospitalI/hat is the Internet? Vhat can it do for you? How can you useit without a degree in computer science? The Internet is a vastrepository of medical information. Unfortunatelv. it can bedaunting and incomprehensible to the average user. This ses_sion is designed to answer ali these questionJand more for thebusy academic emergency physician. \X/e will cover the basicstructure and functions of this hot topic, cover all the majorInternet selices, and demonstrate its use online in real time. allin plain language and in such a way thar makes it as simple aspossible. No matter what type of computer you use, you willfind useful infomation. Specific areas to be discussed are: TheInternet itself, tools for accesslng the Net (for all computertypes), what is available on the Net and how to get it, how tomake the Net as simple as possible, and future directions.

EMS: Responding to the Forefront of public Health{oderalor: SteuenJ. Dauidson, MD, Medical Coltege oJ'PennsyluaniaDouglas Key, MedStar EA,IS SystemDauid E. Persse, MD, Baylor College of MedicineJoseph L. R1tan, MD, Pinellas County EySB_qryk Woffi State of New Mexico Eureau oJ'primary Care andEMSEMS has been traditionally viewed as a emergency response/public safety organization. In recent years, it hn, i,r..crrn" ap_parent that EMS is evolving beyond a focus on single patient en_counters into more of a public health seruice model. In this eraof health care reform, EMS, like the emergency department, hasbeen the primary gateway into the healttr care system for thosevery persons (the indigent and underinsured) on whom healthcare reform has been focused. In addition, recent initiativeshave begun to recommend that paramedical personnel beroutinely delegated as primary health care providers who candeliver mrny puhlic health services. including screening exam_inations and widespread provision of immr,rnizations. Further_more, because prehospital care personnel are in the position tcrgather important epidemiological data, ranging from vehiculardamage to sociological circumstances of a midiial incident. thevhave become pivotal in the rapidly evolving field of injury andcritical illness surveillance. In turn, they have become essentialto the. injury/illness prevention movement, a ma1'or componenrof both managed care and health care reform. Tojav, manv EMSmedical directors are obtaining MpH or similar degree, ,.. prrtof their job description. The panel will discuss theiigrowing ex_perience wirh these evolving issues.

Evidence Based Medicine: Applications inEmergency MedicineS. Chris Pappas, MD, Metbodist Hospital of IndianaThis session will serve to introduce the concepts of eviclence_based medicine and review newer information resources andliterature searching techniques relevani to it. The streamlinedrules of evidence for the critical appraisal of literature describingtherapy, diagnosis, prognosis, causation and reviews/meta-_analyses. will be presented. Emergency medicine examples willbe employed and techniques describing the incorporation ofevidence-based medicine into clinical prictice and teaching will


be described. At the end of this session, participants will be ableto describe the concept of an rationale for evidence-based medi_cine and be familiar with information resources available. Theywill be able to critically appraise an article on therapy, diagnosis,prognosis, causation or meta-analysis using streamlined rules ofevidence. Paticipants will be able to incorporate these conceptsinto clinical practice, format rounds and other teaching forums.

lmerggngy Department Iniury Surveillance:State-of-the-Art StrategiesModerator: Stepben IV. Hargarten, MD, MpH, Medical Coltege ofIVisconsin

lelfrey H Coben, MD, Uniuersity ctf pinsburgbDaniel A. Pollock, MD, National Centerfor Injury preuentionand ControlIance E. Rodewald, MD, MS, Uniuersity of RochesterEmergency department data is now viewed as essential in theeffort to conduct epidemiologic assessments of populations atrisk for injury and to help guide the development and refine_ment of preventive and therapeutic interventions. The purposeof this session is to provide attendees with up-to-date informa_tion on emergency depar"tment surveillance methods and initia_tives. Dr Hargarten will moderate the session and orovide anoverview of emergency department injury surveii lance. Dr.Rodewald will discuss the local creation of an ED databaseusing existing data sources. Dr. Coben will present his experi_ence in_ developing an alliance with a public health departmentto conduct population-based ED injury surveillance. Dr. pollackwill discuss a national initiative to develop a consensus on EDdata. At the end of their presenrarions, thi faculty will respondto questions from the audience.

ABEM Synopsis for FacultyRichard Braen, MD, President, ABEIIBenson S. Munger, PhD, Executiue Director, ABEMDr. Braen and Dr. Munger will outline the changes in Boardpolicies that have taken place during the pasl 72 months. Manyof these changes have direct application to progrom. and fac_ulty. Emergency Medicine program faculty and other interestedindividuals are urged to attend. The topics which will be ad_dressed will include ABEM resear.ch prolects, resident transferpolicies, credit for training in non-Emergency Medicine pro-grams, the intraining examination, the resident tracking syst.m,and the development of additional subspecialt ies. betailedmaterials will be available and time will be allocated ro resDondto specific questions about these and other related topics.

Tecfnofogy Luncheon: Updates on NewTechnologies that Have an Impact on thePractice of Ernergency MedicineModerator; Dienich Jehle, MD, Erie County Medical CenterCharles Calrns. MD. Ltniuersity of CotoradoDauid. Ellis, MD, Erie County Med,ical CenterIV. Brian Gibler, MD, tlniuersity of CincinnatiSteuen Seifert, MD, Kinct HospitalThis session will be comprised of four 20 minute presentatlonsfollowed by a 10-minute question and answer perioS. Followingare the titles and speakers for each presentation. Near Infrared Spec_troscopy: Shedding New light on Oxygen Delivery and Metal>olism- Dr. Cairns; Technological Advances in the Treatment ofSnake Bites- Dr. Seifert; Inffoducrion to ICD prqection_ Dr. Ellis;and New Diagnostic Tests for Myocardial Ischemia- Dr. Gibler.

SESSIONS May 24

4 I

May 24

Luncheon: Ischemia and Reperfusion -Evolving Concepts in Resuscitation TechniquesMod.erator: Norman A. Paradis, MD, Columbia Uniuersity

James Manning, MD, (lniuersity of Nortb Carolina

James J. Menegazzi, PbD, Uniuersity of PrtBburghEm.anuel P. Riuers, MD, Henry Ford Hospital

Cunent techniques for providing resuscitation efforts for cardiac

affest patients may very well be too unidimensional in that, re-

gardless of arrest interval and other dynamic aspecls of card\a ar-

iest pathophysiology, most treatment protocols are applied to

almost all patients in a relatively uniform manner. This session

will: 1) re-visit our current knowledge regarding the dynamicphysiology of cardia arrest; 2) examine new, innovative tech-

niques for delivering basic life support; 3) disclose some new de-

velopments in invasive and non-invasive techniques for augment-

ing blood flow during CPR; and 4) demonstrate alternative ap-pr6aches to achieving restoration of spontaneous circulation with

pharmacological interventions. The speakers will also emphasize

the need to pay closer attention to more aggressive post-re-

suscitative monitoring and management of cardiac arest victims.

Teaching and Evaluating Interpersonal Skills inthe Emergency DepafrmentWilliamJ. Frobna, MD, Madigan Army Medical CenterConstance S. Greene, MD, Cook County HospitalHarold A. Tbornas, Jr, MD, Ponland VA Medical Center

Everyone agrees that effective interpersonal skills are essential

to success in emergency medicine. S(e all recognize poor inter-

personal skills yet many are unsure how to teach and evaluate

good performance. This course will begin with a 20 minute

aidacti. presentation on how to teach interpersonal skills. It will

be foilo*ed by a review of how the interpersonal relationshipscategory of part II of the boards has been developed and as-

sessed. A model curiculum (winner of the 1994 Innovations in

Medical Education Award) on how to interact with consultants

will be presented. There will be time for audience questions

and participation.

Faculty Development forWomen and MinoritiesModeraior' Juditb C. Brillman, MD, tlniuersity of New MexicoTeresita Hogan, MD, Uniuersity of Illinois, ChicagoNorm D. Kalbfleiscb, MD, Oregon Healtb Sciences UniuersityMarcus L. Martin, MD, Allegbeny General HospitalSandra M. Scbneider, MD, tlniuersity of RocbesterCarolJ. Scott, MD, MS Ed, Uniuersity of Maryland

This session will provide a personal account of issues en-

countered by the panelists in their professional development'

Each panelist will discuss issues arising from gender, minority

statui or sexual orientation which the panelist feels was

significant in his/her professional development. These issues

miy include mentoring, communication and conflict resolution'

The panelists will then present thoughts on how they have dealt

with these obstacles and suggest methods for department chairs

to deal with these issues. Questions and comments from the

audience will be encouraged.


ORAI PRESENT{NONSScientific Papers 18: Clinical practice(8:0f9:30 ain)Moderator: Dougla.s A. Rund MD Ohio State llniuersity113 High Yield Crireria Based on presenring Chief Complaint

to Triage Patienrs for a Rapid ('5 minute,) ECG, IouisGraff, MD, Neu B4tain General Hospital

11,4 Cervical Cancer Screening in a public Hospital EmergencyDepafimenr, Iinda p. Engektad, MD, Higbland GeneralHospkal

11,5 Physician Ordering of Coagulation Srudies in the EmergencyCenter; Impact of Instituting a LaboraIory Request Form,Gail S. Rudnitsky, MD, Medical College of pennsytuania

11.6 Interrater Agreement of Palpation Signs in Focal Abdom-inal Pain, Gregory B. Meador, MD, Scott E rX/hite MemorialHosprtal

117 The CBC and Reticulocyte Count in Acute VasoocclusiveSickle Cell Crisis - Are they Necessary?, Sbaron Griswold,MD, Tlt omas Jffirson Uniuersity

118 EMRS Abstract: Ultrasound Assessment of Children,sAnkle Injuries , M.L. Stuart, uniuersity of Mancbester

Scientific Papers L9: Cardiology (8:0f9:30 am)Moderator: Robert L Wears, MD, Uniaersity of Ftorida119 Emergency Department Chest Pain Evaluation with Dobu-

tamine Stress Echocardiography and Telemedicine, JamesA. T4ppi, MD, Metbodist Hospital of Indiana

120 Usefulness of Immediate Exercise Stress Testing in theEvaluation of Emergency Department patients with ChestPain, Daren Heesacker, MD, Buttenaortb Hospital

121 Mandatory Stress Testing in Chest pain Center patients,Michael G. Mikbail, MD, Llniuersity of Michigan

122 Isoforms of CK-MB are Sensitive and Specific for the EadyDiagnosis of Acute Myocardial Infarction in the EmergencyDepartment, Cbailes B. Caims, MD, Uniuersity of Colorad,o

123 Preferences of ED Patients and physicians for Manage-ment of Chest Pain with Low Risk for Myocardial Infarc-tion, MarkA. Dauis, MD, MS, UCU

124 Emergency Department use of Rapid Lactate to EvaluateAcute Chest Pain Patients, Dauid p, Milzrnan, MD,Georgetown Uniuersity

Scientific Papers 20: Neurology (10:0f11:00 am)Moderator: Iance B. Becker, MD, Uniaersity of CbicagoHospitals125 Neuoprotective Effects of Acetyl-L-Carnitine Foilowing

Focal Cerebral Ischemia (Stroke) in Rars, Milena Mi(kouiZLolic, MD, MS, George Wasbington Llniuersitlt

126 Effects of 21-Aminosteroid and/or Hyperbaric OxygenTreatments on Functional Recovery after ExperimentalBrain Injury, Micbelle Biros, MD, MS, Hennepin CountyMedical Center

127 Dextrose Plus las-ullg4lgr Car-dgg Ar{gsr (CA) Improvescerebral ou@ tz, MD, uniuer-sity of Pittsburgb

1.28 Effect of Ethanol on Brain Lipid peroxidarion in Experi-mental Traumatic Brain Injury, Brian J. Zink, MD, Uni-uersity of Micbigan


May 24

Scientific Papers 2L: Ethics (10:0f11:00 am)Moderator: Terri Schmidt, MD, Oregon Heahh ScierrcesUniaersityI29 lWaiver of Informed Consent, Micbael Gerstle, BA, Bay-

state Medical Center130 Advance Directives in the Emergency Department,

Kristina K. Ishibara, Vanderbilt uniuersitlt131. Getting Along with Your IRB: A National Survey of Institu-

tional Review Boards, RobertJ. Faflik, MD, Akron GeneralMedical Center

I32 Advanced Care Directives in Elderly Emergency Depart-ment Patients, Dolores A. Bailey, DO, Nortbeastent. ObioUniuersities College of Medicine

Scientific Papers 22zEMS (1:3f3:00 pm)Moderator: Tom Aufderbeide, MD, Medical Collcge ofWisconsin133 EMS System Developmenr: Results of the Statewide EMS

Technical Assessment Program, Ii l l M. Baren, MD,H arbor- UCLA Me di c al C enter

134 An Analysis of Ambulance Crashes in Kentucky, ly/iltiamR. Crumbley, MD, tlniuersity of Louisuille

1,35 The Effect of Introducing a !11 Teiephone Number ro Re-

:?:ffi m*Tqffi$ffi ,' ;"ff.#,?'; ::lMD, Sudbuty General Hospital

1.36 Real-Time Video Image Transmission by Emergency Med-ical Services, Stephen E. Holbrook, MD, Emory tlniuersity

L37 Impact of Advanced Life Support Personnel on Outcomeof Urban Ourof-Hospital Cardiac Arrest Victims Treatedby First Responders with Defibrillators, Cbristopber D.Madsen, Uniuersitlt of Cahfurmia, San Francisco

1.38 Vehicle 'Rollover' Is Not A Predictor of Severe Injury,Susan O'Malley, State Uniuersity of New york at Stony Brook

Scientific Papers 2J: Health CateDeli-very/Administration (L:30-3:00 pm)Moderator:John C Moorhead,, MD, Oregon HeahhSciences Uniaersity139 The Effects of Actual Vairing Time, perceived \X/aiting

Time, Information Delivery and Expressive euality onPatient Satisfaction in the Emergency Department, SlepbenL. Adams, MD, Northwestetn Uniuersitlt

140 Gatekeepers: A Missed Opportunity for Safe Transport,Sandra M. Scbneider, MD, {Iniuersity of Rochester

141 The Impact of Inadequate Functional Health Literacy onPatients' Understanding of Diagnosis, prescribed Medica-tions, and Compliance, Mark V. V/illiams, MD, EmoryUniuersity

142 Comparisons of Case Management and Emergency De-partment Referrals by Different Specialties - Implicationsfor Health Care Reform, C, J. Holliman, MD, pennsyluaniaStete UniuersityTime Factors in Patients \Who Leave The Emergency De-partment Vithout Being Seen, Edward. N. Cobill, phD,DO, Naual Medical Center, PortsmoutbTreatment Guidelines Alter Physicians Practice patterns inEmergency Department Patients, Kaueb llkhanipour, MD,Mercy Hospital of Pittsburgb

45

r43

1.44

May 24

The Poster Session will be held in the Exhibit Hall from

below:

Topic/AbstractsCPR (Abstracts 309 -315)

EMS (Abstrac ts 3L6-327)

Iniury Prevention (Abstra cts 328-340)

Cardiology ( Abstracts 34 | - 351)

Imaging/Diagnostics and Neurology(Abstracts 352-363)

Pain Management (Abstra cts 364-37 4)

Clinical Practice (Abstract s 37 5 -384)

Clinical Practice (Abstracts 385-394)

POSTER SESSION C

3:30'6:00 pm. Moderated poster sessions will be held from 4:30-5:30 pm as listed

ModeratorF-.-. M""" gazzi, PhD,University of Ptttsburgh

Brian S. Zachatiah, MD, Baylor University

Chades B. Cairns, Denver General Hospital

David T. Overton, MD, Michigan State Unlversity' Kalamazoo

Donald M. Yealy, MD, University of Pittsburgh

Scott Syverud, MD, Unlversity of Virginia

C. James Holliman, MD, Hershey Medical Center

Meeting RoomConference Room 4

Conference Room 5

Conference Room 7

Conference Room 8

Conference Room 9

Conference Room 10

Conference Room 15

Conference Room 16

CPR309 Pre-Hospital Invasive Hemodynamic Monitoring to Guide

Cardiopulmonary Resuscitation: Preliminary Experience of

a lhysician Response System, .lo*n: -E:,Manning' MD'

Ilniuersity of woih Carolina at Chapel Hill

Ootimal Dutv CVcles and Abdominal Compression During

nii.t""f cin,'chartes F' Babbs, MD, PbD, Purdue

UniuersitY

The Effect of Post-Compression Remodeling, a Novel Me-

chanlcal Compression Technique in Cardiopulmonary Re-

suscitation, on Hemodynamics and Cardiac Resuscitation'

Gary L. Swart, MD, Medical College of tilisconsin

Selective Aortic Arch Perfusion (SMP) During Cardiac tu-

r.t* nff"o of Serial Infusions Using Continuous Followed

ty nut"a Diastolic Infusion of Oxygenated Perflubron

nmulsion in Combination with Aortic Arch Epinephrine-

Administration, James E' Manning, MD' uniuersity of

Nortb Carolina' at Cba7el Hill

End-Tidal Co2 Measurement in Patients with Out-of-

Hospital Cardiac Arrest: Active Compression-Decompres-

sion Resuscitation (CPR) Versus the Standard Manual CPR

iechniq,re, Dietmar Mauer, MD, Jobannes Gutenberg

UniuersitatPediatric Injuries Due to Cardiopulmonary Resuscitation'

Colleen M. busb, MD, Butterwortb Hospital

Analysis of Prehospital Asystole, Mi9lta.el R'^Gunderson'

nWtf p, Pinellas C;unry Ernergency Medical Seraices

Intubation Success Rates Improve for an Aeromedical

Prog.u* with Use of Neuromuscular Blocking Agents' O'

lobi ua, MD, Uniuercity of Nortb Carolina at Cbapel Hill

The Efficacy of Droperidol in the Prehospital Setting'

Carlo L. Rosen, MD, Denver General Hospital

The Effect of Population Density on the Patient Access

Interval, Jack P. Campbell, MD, Uniuersity of Missouri'

Kansas CitY

Secondary PSAP Call Processing Interval: An U*nmearsured

Comoonent of the Total 911 interval, Jack P' Campbell'

MD, (Jniuersity of Missouri, Kansas City

320 The Effect of Sublingual Nitroglycerin -on Systolic Blood

Pressure in the Diffeientiation of CHF from Other Causes

"iOVtp^", in the Prehospital Setting, Dauid B' Scbwind'

l,tS, l,tiCp, Morristown Memorial Hospital

32I The Usefulness of Photographs of Crash Vehicles in Motor

Vehicle Trauma, nlizabeth M' Orsay, MD, tlniuersity of

Illinois at Cbicago

322 Optimal Positioning for Cervical Immobilization' Robert A'

Delorenzo, MD, Wrigbt State Uniuersity

323 The Effect of Refresher Training on th€ Performance ot

-ricothyrotomy by Paramedics, Dauid R' Johnson' MD'

UniuersitY of New Mexico

324 The Prehospital Treatment of Heroin Overdoses' Kad A'

Sporer, MD, Uniuersity of California, San Francisco

325 Endotracheal Intubation can be Effectively Performed-in

u.t f.t-ftigttt EMS Helicoptet' Timotby H' Harrison' RN'

Boston MedFligbt

326 Failure of the Shock Index to Predict Mortality in the Pre-

hospital Setting, Steuen H' Saef, MD, Uniuersity of Miami

327 Effectiveness and Acceptance of Safety Intravenous

Catheter Use tn Prehospital Cate, Edward A' Stapleton'

EMT-P, Uniuersity Medical Center, Stony Brook

Iniurv Prevention#1"rn";ricViolence, Diurnal Mismatch Berween Need and

Availability of Service, Rama B' Rao, MD, Albert Einstein

College of Medicine

329 Domestic Violence Among Inner-City \(-omen Presenting

to the Emergency Department, Sberyl L' Ileron' MD' MPH'

Martin Lutber King/Cbailes Drew Medical Center

330 Safe at Home? Domestic Violence and Other Homicides

among Women in New Mexico, Mike Howard' MD' Uni-

uersilY of New Mexico

33t Effect of Statewide Trauma System on- Pediatric Outcomes'

Mary E. McCaskill, MD, Oregon Health Sciences Uniuersity

332 The Impact of a New State Law on Bicycle Heimet Use in

Children, Katbleen M Connors' MD, State uniuersity of

New York, SYracuse

333 The Effect of Ethanol on the Outcome of the Iniured

Ddver, Daniel L' Beskind, MD, Uniuersity of A4zona


310

3r1

312

313

414

315

EMS317

318

31.6

a 1 q

44

334 Effect of the Legal Sysrem on rhe Recidivism Rare inTrauma patients who Drive rJflhile Intoxicated, VirginiaM.Ribeiro, MD, Uniuersity of Massacbusetts

335 The Effect of Time of Day and Durarion into Shift on Haz-ardous Exposures.to Biological Fluids, iarryl J. Macias,MD, Uniuersity of New Mexiio

336 Reported Safety Restraint Utilization Does Not Corelatewith Actual Utilization Among Drivers S[ho Visit a pedi_atric Emergency Department, Vicki J. Ray, RN, RhodeIsland Hospitat

337 Alcohol Abuse/Dependence in Motor Vehicle Crash Vic_tims ?resenting to the Emergency Department: prevalenceand Patient Characteristics, Ronald F.'Maio, DO, MS, Uni_uersity of Michigan

338 Prospective Evaluation of Seat Belt Efficacy , Marle C.Henry, MD, Uniuersity Medical Center, Stony Brook339 Adolescent Suicide: The Lack of Emergerrcy Depafiment

Intervention, Bonnie L. McManus, frD, Cook^ CountyHosprtal

340 Relationship of Cigarette Smoking to Saf.ety RestraintUtilization, VickiJ. Ray, RN, Rbode ljand iospitat

Cardiology341 Tr91tmelt Seeking Behavior in Chest pain parients: poren_

nal lor_Uommunity Intervention, Susan Matbias, W, BSN,Mercy Hospital of pittsburyb

342 Reducing the Time to Thrombolltic Therapy in rhe Emer_gency Deparlment using a Continuous quufity Improve_ment Program, Scott p. Krall, UD, Me-dicai Ceiter o1Delaware

343 The Time to Thrombolytic Therapy in the Emergency De_partment is Reduced if the Decision to Treat is made with_ont Telephone Consultation, Robert E. O,Connor, MD,Medical Center of DelawareAn Assessment of Time Delays from Chest pain onset toHospital Arrival in Acute Myocardial Infarction patients,Tom P, Aufderbeide, MD, Medicat Coltege oliiiiorri,Reducing the Time to Thrombolytic Therapy in the Emer_C..:.LD.,p.lr..-T trlng a Thrombolyric Code Team, Sarur. Jurhertand. MD. Medical Center of DelawareST, Monitoring and the Early Diagnosis of MyocardialIschemia/Infarcrion in rhe Low Risk tnes pnln pi tient, JillHenzendo$ MD, Riuerside Metbodist HosDitalsProspective Study of Variance Cardiography in the EDEvaluation of Chest pain parients, lamis C. ;ie;er, Mich_igan S t at e Uniue rs i ty -S agin aw

348 goroyry Artery Disease in patients with Cocaine Asso_ciated Myocardial Infarction, Judd E. Hollander, MD, StateUniuersity ctf New york at Stony Brook

349 Elevated ED Serial CK-MB in patienrs wirhour AcuteMyocardial Infarction (AMI): Evidence for Cardiac EnzymeRelease in Unstable Angina, Joseph J. ioeltman, MD,Uniue rsity of C i n c inn a ti

350 Antioxidanr Therapy Auenuates Endothelial Dysfunctionin Hypercholesterolemia, Tlteodore A. Cbristopher, MD,Th omas Jffirson tlniuersity

351 Pharmacological Interactions of Glucagon and B_Blockersin.Rat Lung Tissue, Darryl Hoskins, MD, NottheasternObio Uniuersities College of Urdirfn,

'

1995 SAEM Annual Meerinq

May 24Imaging/Diagnostics352 Emergency Medicine Resident Inrerpretation of pediatric

Radiographs, J. Eric Brunswick, llb, Uercjt Aospitii i1pittsburgh

353 An Abbreviated Educational Session Improves Cranial CTScan_ Interpr.ru,ig:r_1.n. the _Emergency Departmenr,Rogelio Dawkins, MS, Highland Genelat Hospitit

354 Interobserver yariability in the Interpretation of Sono_qi?ry. Images of Morison,s pouch, Scott lV. Branney,MD, Denuer General Hospital

355 Color Doppler Ultrasound by Emergency physicians forthe Diagnosis of Acute Deep Venius thrombosis, g.Tilman Jolly, MD, George \Vash ington (Iniuersity

356 Intrasound Vibration Tesring in Acute Ankle Injuries,Raymond Otto, MD, St. Vincen Medical C:enter

357 Portable Fluoroscopy for the Evaiuation of Extremity In_juries in the Emerg-ency Department , Ronald Moscatf,' Ui,Stare Uniuersity of New VorE, Auffalo

358 Cervicai prevertebral Soft-Tissue Measurements in Intub_ated Trauma patienrs without Cervical Injury, KipJenifer,MD, St. Vincent Medical Center

Neurology359 Is Admission Necessary for all Head Injury patients with

Cerehral Contusion?, Erik Milter, MD, tlniuersity of Cali_.fomia, Dauis

360 Multiple Minor Head Trauma in Intoxicated patients,Michelle Biros, MD, MS, Hennepin County Medical Center

361, Hemoglobin Neurotoxicity in Cortical Cell Culture is Atten_uated by the Sodium/Calcium Exchange Inhibitor Benza_mil, Raymond F. Regan, MD, ThomasJelferson Lrniuersity

362 Ferritin protects Cortical Astrocytes from Heme_MediatedOxidative Injury in Vitto, Nidbi Kumar, Ihomaslrff;;;;;Uniuersity

363 Acute Spinal Cord Injury: Altered Methyiprednisolone(MP) Pli2ll26okinetics may Explain Equivocal Restorationof Useful Moror Function, Brian f Uaitby, MD, uniuersityof California, haine

Pain Management364 The Use of propofol for Conscious Sedation in the Emer_

gency Department, Eric R. Swanson, MD, Mercy Hospitalof Pittsburgb

365 Propofol in the ED, Hany Ross, MD, Hennepin CountyMedical Center

366 A Comparison of Four Injectable Anesthetics fbr Lacera_tion Repair, Amy A. Ernst, MD, Louisiana State {Jniuersity,lVew Orleans

367 Buffering of Diphenhydramine doesof Infiltration . Adan J. Singer. MD,Center, Stony Brook

369

344

345

346

347

368 Regional Anesthesia Duration of Lidocainerine, with and without Buffering, Dan G.John Hospital and, MedicalCentel

not Reduce the painUniuersity Medical

with Epineph-Snow, MD, St.

njTe;t of^tnlection Speed on pain of Lidocaine Infiltration,Ricbard S. Krawe, MD, State Uniuersi,tlt of Uew Voik, BulJittoA Double-Blind, Single Dose Comparison of IntravenousKetorolac Tromethamine and Mepeiidine in the Treatmenton Renal Colic, Jelfrey Gibbons, MD, york HosOitat

370

May 24

371 Two Point Discrimination in Ethanol Intoxicated Patients'

Pamela V' Cutler, MD, uniuersity of New Mexico

372 The Minimum Clinically Important Difference in Physician

Pain Assessmem, Josepib P' Funk' MD' Emory uniuersity

373 A Prospective, Double-blind, Single Dose Comparison ot

KetoroiacTromethamineasComparedwithMeperidineHyJio.f,fotid" uttJ iyatoxyzine Hydrochloride in the

Treatment of Acute Renal Coiic' Jack L Stump' MD' Christ

HosPitat and Medical Center

374 A Prospective Comparison of Transnasal Butorphanol andJ ' L

ivi"t"ivr-n coa"i'nt rot the Relief of Acute Musculoskel-

eial pain, Robert lY/ol,ford', MD' Michigan State Uniuersity'

Saginaw

Clinical Practice;7;"a;^;;rison of Pantomography to Mandibular Series for

theDetect ionotMandib leF'utnt t t t 'MarcD'Taub'MD'uniuersity of California, San Diego

376 Emergency Uepartment Protocol for the Sequential-Use of

Prog""rt.ron., HCG, and Ultrasound I?.Rule out Ectopic

i';d;;;.y' Robert Buckley' MD' Naual Medical Center san

Diego

377 B-hCG> 75,000 mlU/ml does not Exclude the Need for

Sonography it' patitnts with First Trimester Pain andlor

Bleed"ing, i<oben G' Dart, MD' Boston City Hospital

378 Ineffectiveness of Alkalinization as Monotherapy for NearJ t v

i"iiiuL uyp"tkalemia in the Non-Nephrectomized Dog'

jiiri" t iapltn, MD, Atbert Einstein Medical Center

379 Women's Perception of Pain ald f1s11ess During Intra-

ve nous Catheteitzation and Urethral Mini-Cathe ter rzation'

tinda C. Kelley, MD, Uniuersity of New Mexico

380 Orthostatic Change in Shock Index: Compartson*with Tra-

ditional Tilt Test befin\Iions, Micbael lvitting, MD, uniuer-

sitY of MarYland

381 fact< of Correlation Between Short Term and Long TermJwL

Ap;;;; of"iacerations Repaired in the ED' Barbara

Blasko, aS, Stati ii'uersity of New York at Stony Brook

A Randomized Double Blind Controlled Trial Compartng

noorn f"*p"rature Versus Heated Lidocaine for Digital

N.-" gfo.it , James V' Quinn, MD' Uniuersity of Onawa

Endotracheal Tube Size and Cricothyrotomy' Dauid R'

Jobnson, MD, UniuersitY of New Mexic

Prediction of Arterial Lactate Levels from Peripheral Ven-

""t gl""a, Keuin Rod'riguez, MD, Atbert Einstein College

of Medicine

Complication Rates of Tube Thoracostomy' Lisa Chan'

MD,' Alb anY Me dic al C olle ge

Emergency Department Management of Patients Escorted

ffi;il;,'tp ien H. croucb, i4D, carolinas Medical center

In Vivo Tissue Temperature Comparison 9{ Cryotherapy

with and without External Pressure' Dauid Barlas' MD''stitn

iniunrtlty of New Yoile, Stony Brook

The Effect of Length of Stay of Admitted.Cardiac Patients

held in the ED on Length of Hospitalization. and Adverse

Events, Carol A' Tenegino' MD' Cooper Hosptmt

Follow-Up \flithin 48 Hours: A Prospective Study of Dis-

.n"tg"a bD puti"nt, at Risk for Clinical Deterioration'

ii)Tt"nit "rtki, RN, NP-C, State uniuersity of New York'

Stony Brooh

The Chest Radiograph in Young Adults with Chest Pain -

fr^i i.."*u.y?,"Alan T' Forstater' MD' Tbomas Jffirson

UniuersitY

The Evaluation of Scrotal Pain in a Pediatric Emergency

irp^ni"ir, iotberine o' Perron' MD' Haruard uniuersity

Comparison of Inflight Intubation using Transillumination

versus Direct Laryngoscopy , Ricky A' Henderson' RN' East

Carolina UniuersitY

Adnexal Torsion: Clinical Features and-Presentation'-itiiitrn T' Suminski, MD, Nortbeastern ohio Uniuersities

382

383

384

385

386

387

388

389

390

391

392

393

394

College of Medicine

Comparison of StaPIesversus Suturing for Securing Cen-

Dauid, P. Higbtower, MD, EasItral Venous Catheters,Carolina UniuersitY

40


HGIIBITORSAcademic Pharmaceuticals, Inc.11-21 North Skokie Valley HighwaySuite 21-G3Iake Bluff, n-60044

(708)735-rr7o

Academic Pharmaceuticals, Inc. (API) is a new pharmaceuticalfirm dedicated to innovative research and the develooment ofcardiovascular drug products for their use in emergincy andcardiovascular medicine. Representatives from API will be avail-able to discuss their research and to speak with interested clin-ical investigators.

Alrcast, Inc.92 Rlver RoadSummit, NJ 07901

(800) 526-8785

Innovative orthopaedic devices that promote functional management.

Anerican Academy ofEmergency MedicineP.O. Box 1968Santa Fe, NM 87504

(8oo) 884-AAEM

The true democratic specialty organization of Emergenry Medicine

Annqk of Emergenqt Medicine (2r4) 55o-o971P.O. Box 619911Dallas,T){7526lAnnals of Emergency Medicine is the official joumal of the AmericanCollege of Emergency Physicians and the specialty's leading clinicaland scientific journal. Annals publishes the latest in research,clinical studies, case repofts, and issues in emergency medicine.

Boehringer IngelheimPharmaceuticals, Inc.P.O. Box 368Ridgeffeld, CT 06877

Cerenex Pharmaceuticals.Division of Glaxo, Inc.Five Moore Drive

(zoD798-4047

orD248-2468

Research Tdangle Park, NC 27709You are cordially invited to visit the Cerenex Pharmaceuticals ex-hibit where our representatives will be available to answer yourquestions and discuss the latest clinical information on our products.

Challenger Corporation5530 SummerAvenueMemphis, TI\ 38134

(901) 385-1840

Challenger Corporation is the publisher of Med-Challenger Com-prehensive for Acute Care & Emergency Medicine & Med-Chal-lenger for Pediatric Acute & Emergent Care. The products are clin-ical reference & educational tools for physicians. Come see us atour booth for the demonsffation of our new illustrated version 3.0.

Clinical Resource Systems, Inc.3701 North lamat Boulevard

(66512) 452-726r

Suite 207Austin, TX 78750Progressive hospitals rely on CRS's EmSTAT comprehensiveEmergency Department Information System. EmSTAT booststevenue, provides support for medicai teaching, improves pa-tient satisfaction, helps busy EDs marrage effectively, and inte-grates with existing systems. This OMCLE/UNIX client-serverapplication is modular, and includes patient and event tracking,clinical documentation, logs, statistics, and more.


Cybermedix, Inc.8230 Old Courthouse RoadSuite 300Vienna, YA22182-3853

(703D917-6600

The Cliniplex system is a comprehensive departmental automa-tion solution for clinicians focused on increasing productivity,reducing costs, minimizing risk and maximizing quality. See ourhigh-performance clinical decision suppofi system running onMicrosoft Windows NT, featuring wireless, pen-based data entry.Learn how this knowledge based expefi system easily comple-ments your existing hospital information systems environmentand suppofts the increasing growth of managed care.

Daniel Stern and AssociatesThe Medical Center East211 North Whitfield StreetPittsburgh, PA152A6

(8oo) 438-2476

Daniel Stern and Associates provides physician and physicianextender recruitment selices, EM consulting and medical staffdevelopment/analysis nationwide. The EM division has success-fully provided services within this specialty for the last 25 years.National Salary Survey Information and information about EMopportunities is available at our Booth +35.

Datascope Corporation580 Winters AvenueParamus, NJ 07653

(800) 288-2121

Datascope Corp. will display its complete line of physiologicalmonitoring systems.

Emergency MedicineResidents' Association1125 Executive CircleIrving, TX 75038

(800) 798-1822

The EMRA booth wi l l feature membership mater ia ls andinformation about this exciting 3,500 member organization forresidents and medical students interested in emerqency medicine.

EMF/ACEP Teaching Fellowship (800) 798-1822P.O. Box 619911Dallas, TX7526l

Encyclopaedla Bfitannkca-North America (312) 347 -7095

310 South Michigan AvenueChicago,[L60604Publisher of the NEXfl Encyclopaedia Britannica, The GreatBooks of the W'estern \World, Science and The Future Library;plus a complete line of educational accessories including thelatest Britannica on CD-ROM.

611382-1457T0WeilWayWilmington, OH 45177We are pleased to display the new Vivalink AED which we believemore closely addresses the recommendations of the American HeartAssociation than any other product. It is light weight, maintains itselfand canies a list price of $2800. This AED is worth seeing!

FluoroScan Imaging Systems, Inc. (7o8) 564-5400650 B Anthony TrailNorthbrook, IL 60062FluoroScan is a miniature Surgical C-arm specially designed foruse in the operating room, surgicenter, or in the office. It fea-tures a very low intensity x-ray beam that is tightly focused onthe image detector. The result is safety.

47

1

Glaxo Inc.5 Moore DriveResearch Triangle Park, NC 27709You are cordially invited to visit the Glaxo, Inc. exhibit whereour Sales Representatives will be available to answer your ques-tions and discuss the latest clinical information on the followingproducts, including but not limited to, Ceftin, Flonase, Serevent,Imitrex, and Zantac,

Hanley & Belfus, Inc.210 South 13th StreetPhiladebhfa, PA 19107

(2rr) 546-0313

Hanley & Belfus, Inc. is the publisher of Academic EmergencyMedicine, the official journal of the Society for Academic Emer-gency Medicine. Stop by the booth to meet some of the peoplewho make this journal possible.

Informed Access Systems4888 Pearl East Circle, #300W

(3,oD 443-4600

Boulder, CO 80301FirstHelprM is a system designed to safely provide the first levelof care over the telephone by having experienced registerednurses use risk assessment algorithms to assist the member infinding the appropriate level, type and timing of care needed.The result is a reduction in medically unnecessary and in-appropriate care, better matching of patient needs with providerservices, enhanced member satisfaction and lower overall costs.

International Medical Corps12233 Olympic BoulevardSuite 280

(310) 826-7800

Los Angeles, CA 90064The International Medical Corps is a private, non-sectarian, non-political, non-profit organization that provides emergency reliefand training in regions devastated by war. It seeks individualswith strong teaching skills who are interested in sharing theirexpertise with medical professionals who are rebuilding healthcare systems in countries experiencing civil strife.

J.B. tippincott Company227 East \/ aslrington SquarePhiladelphia, PA 19106

(2r) 238-4200

J.B. Lippincott publishes a variety of references for your infor-mation needs, including Emergency Medicine News, The NewsMagazine-for the Emergency Care Professional. Stop by to pickup your Iree copy.

Klek Specialty Systems1625 Cresent Cfucle, #225Carrollton, TX 75006

I^aerdal Medical Corp.1 Labriola CourtArmonk, NY 10504

Marion Merrell Dow, Inc.9300 Ward ParkwayKansas Citv.MO 64114

(2r4) 245-1600

(8oo) 431-1055

(816) 966-3313

Marion Merrell Dow Inc. invites you to visit our booth, where ourrepresentatives will be happy to discuss, Cardizem@ Injectable (dil-tiazem hydroctrloride), Cardizem@ CD (diltiazem hydrochloride).

48

Marquette Electronics8200 West Tower AvenueMilwaukee, W153223

(4r4) 362-2410

On display will be the Marquette@ ResponderrM 7250 and 1500defibrillator systems. TheMarquette Responder 1250 system is anAED which features continuous analysis and solid state recorderof all ECG and event data. The Marquette Responder 1500 sys-tems features an AED mode, external pacing and 1,2 SIMUL-TANEOUS LEAD ACQUISTION with a field proven 1ZSLrM ECGanalysis program.

MICROMEDEX,Inc.6200 South Syracuse WaySuite 300Englewood, CO S01�l1.-47 40

Gor 486-6400

The CCIS@ Computerized Clinical Information System containsinformation on drug therapy, emergency medicine, and toxi-cology. CCIS is used by physicians, pharmacists, nurses, andallied health professionals. Available in a variety of computer-ized delivery methods.

Mosby, Willlams & Wllkins402 CrestwindSan Antonio , TX78239

(2ro) 653-8755

A complete collection of the best books, journals, videos andnew CD-ROMS in emergency medicine.

Ohmeda Pharmaceutical Products Division (908) 604-7674110 Allen RoadLiberty Corner, NJ 07938Ohmeda Pharmaceutical Products Division is pleased to intro-duce REWXr' (nalmefene, hydrochloride injection).

Physicians for a Violence-Free Soclety (214) 590-8807P.O. Box 35528Dallas, Tx75235-0528

Physlo-Control Corp.11811 Willows Road, NortheastRedmond, WA 98052

(206) 867-4569

LIFEPAK@ 11 diagnostic cardiac monitor; LIFEPAK 10,qP defib-rillatorlmonitor/pacemaker; LIFEPAK 300 Automatic externaidefibrillator; Shock Advisory SystemrM,

RLIS, Inc.1.6 Ancient BendSan Antonio , TX78248

SafeVare, Inc.3633 136 PLace, SoutheastSuite 200Bellevue, WA 98006no summary listed

(2ro) 230-5239

(206) 644-6128

Society for Academic Emergency Medicine (577) 485-5484901 North Washington AvenueLansing, MI 48906Stop by the SAEM booth to preview the various educationalmaterials described on the back cover of this publication. Inaddition, SAEM membership information and publications willbe available.


Tangent Medical, Inc.l4Juniper AvenueWesterville, OH 43081

(61,4) 891.-3398

Discharge! is a \(indows-based patient discharge system for theED. \fith its mouse interface, Discharge! is fast and intuitive.Graphic buttons provide access to discharge instructions, scripts,physician followup, industrial injury instructions and school/work excuses. The results are personalized and professional,even printed with your hospital logo.

University of Texas, HoustonDepartment of Emergency Mediclne

(7rr792-4969

643r ranninM585.232Houston, TX 77030This will be a demonstration of a new Emergency MedicineIntemet t$(eb Site.

W.B. Saunders Companyl3z2OakPathSanAntonio, TX78258

(2r0) 497-3198

Visit our display of medical books and periodicals.

WeatherbyHealth Care25YanZantStreetNorwalk, CT 06855

(20r 866-1144

\(eatherby Health Care's Emergenry Medicine DMsion houses thenation's most effective staff of consultants dedicated solely to theplacement of emergency medicine physicians. \fleatherby is yourresource for investigating and securing the perfect practice op-portunity. Stop by our booth to pick-up your free copy of\(zeatherby Health Care's Best Fripnd's Guide to Finding an Emer-gency Medicine Practice and other important industry information.

Wellsoft Corp.J6Johnson RoadSomerset, NJ 08873Integrated Clinical Management System-Modules include Elec-tronic Patient Record, Patient Tracking, Physician and NursingDocumentation, Prescriptions, Staff Directory, Customized Re-port Generation, ICD-9 Coding, HomeEasy Discharge Instruc-tions included (nearly 2,000 illnesses, drugs, surgeries, and testsincluding Spanish sheets). Patient demographics automaticallydownloaded. Turnkey available (hardware and software installa-tion if desired). fuily networkable. User Friendly.

(800) 597-9909

1995 SAEM Annual Meeting 49

FELLOWSHIP POSITIONSEAST CAROLINA UNIVERSITY: Seeking accredi ted EM resi -

4"".V gr"A""te for one or two-year fellowship',Rank of instruc-

tor in i l inical EM, competit ive stipend' Individualized compo-

n"nir',r.1' as bench research, statistical research, teaching skil ls,

EMS, aeromedicine, administration, toxicology, or traumatology'

urri*i." i"alviJualized program/half-t ime ED attending phvsi-

cian. ED at Pitt County Memorial Hospital is Level I Regional

iruu.u Center; 50,000 visits annually; active helicopter service'

C;;i"a Nichoias 6unron, MD, Professor, Department of Emer-

e".l;-M"ai.ine, East Caiolina University School of Medicine'

breenvi l le , NC 27858-4354 or ca l l (919) 81 6-4757 '

HENRY FORD HOSPITAL-Weatherby Health Care Resuscita-

i ion i " t " i t .h Fel lowship: Posi t ion avai lable 7/95 ' This wel l

established fellowship program has received.permanent spon-

i"tinio from Weatheiby Health Care' Research activities center

il; i i"tut.itution of crit ically i l l patients including card.iac.ar-

iest victims. Clinical studies involve evaluation of pathophysiol-

. ; ; ; i shock and new therapeut ic in tervent ions ' Laboratory

r.ihi"i i ;"; l;" use of MR technology and molecular biology to

studv cerebral response in the crit i ial ly i l l and injured' Fellow

nur fption for clinical experience as stafffaculty in tertiary care

tO *itn residency program. Competit ive salary with excellent

["."i i i t. Contact'Richird Nowak, MD, Department of Emer-

g"..v M"ai.ine, Henrv. ro1! !91oitll127s9 w' Crand Blvd''betroit, Ml 48202 or call (31 3) 876-1909 '

PENNSYTVANIA STATE UNIVERSITY: An established two-year

feilowship in medical toxicology affi l iated with the emergency

medicine residency program' The fellow wil l develop expertise

through a program run 5y ABEM/ABMT certif ied faculty: A busy

inoati""nt admitting service, a certified regional poison center' a

toxicologv referral clinic, weekly educational conterences' ano

..it"i l i i . i- i research. Those interested in career development

uiu to*i.otogy please contact Keith K' Burkhart' MD' Fellowship

Director, Emergency Medicine, The Milton S' Hershey Medical

Cent"r , 'PO Bo."x 860, Hershey, PA' 17033 or ca l l 1-800-521-

oii o. nfitrnutive action/equal opportunity employer' Women

and minorit ies encouraged to apply'

RocKYMoUNTA|NPoIsoNCENTER:Two-yearfe| |owship ' inMedical Toxicology provides consultations for active clinical in-

o"ii"niS"rui." "ni ' i t committed to teaching and research in tox-

i-i"gv. i"t i"*i ulto provide medical-back-up for certif ied Poi-

sonCenter which handles over 120,000 cases annually. Affi l ia-

i ionr-in.tra" Level 1 Trauma Centers at Denver Ceneral Hospi-

iu l ;n ; Univers i ty of Colorado Heal th Sciences Center ' Ad-

;;";;; giuJuat" degrees; eg, PhD,, MPH, are available for inter-

;; i"J;t? q;alif ied"fellowtl ucusc is committed to equal op-

;;i l" it; and affirmative action' Send CV to Richard C' Dart'

[rro, Ff'b, Rocky Mountain Poison Center, 645 Bannock Street'

Denver, CO 80204.

UNIVERSITY OF CALIFORNIA, SAN DIEGO: The Div is ion of

V"Ji*f Toxicology at UCSD offers a two-year fellowship in

V"Ji.ut Toxicology available 711/96' Program fulf i l ls guidelines

"it"Of irn"a by tnJ'ncur. The Division of Medical Toxicology

includes the 3an Diego Regional Poison Center' Medical Toxi-

;"I;gy admitting ,"ri i ."t for both children and adults at two

"i""?tftpit"ft an"d consulting services at two other hospitals' out-

ouii"ni ,.ui"rrul clinic for toiic exposures, and ongoing clinical

; ; l -b ; " .h- , "search. Hyperbar ic Medic ine serv ice a lso under

Department of Emergency Medicine' Contact Richard F' Clark'

ff i , USCD tvtedicaT Center, 200 W' A1b91 Dr' ' #8676' San

Diego, CA 92103'8676 or call (619) 543-6463'

50

UNIVERSITY OF MASSACHUSETTS MEDICAI CENTER: Fellow-

+io in Medical Toxicology ' Two-year t ra in inS program of fers

.l i, i i ."f research and teaching experience..Toxicology Service

rrouiaut adulVpediatric in/out patient toxicology consultations at

Yv;;;;"; h;tiiiurt irso,o00 combined ED visits) and is staffed

r""thr*lgMiTnBEM diplomates' UMMC is a tertiary care Level

i 'T ; ; r ; , C"ni" r , Toxicology Treatment Center ' Burn.Center '

Renal Dialysis Center, and lias a Comprehensive Toxicology.La-

t';;; i";t ;; the oniv PICU in Central Massachusetts' Salarv

.orr"ltutute with PbY 4/5 level' Contact Bob Ferm' MD' De-

p" i i t " . t o f Emergency Medic ine, UYM-C:^| l Lake Avenue

frottn, Wot."ster, f1A OIOsS-ozzA or call (508) 856-4101 '

UNIVERSITY OF PITTSBURGH: The Div is ion of Emergency

Medicine offers a two-year fellowship in Medical Toxicology.

bunaiJ","t should have an MD/DO and completed an Emer-

i""iv-l,r"i l i in" n"tiJun.v (equivalent experience considered)'

ippointm"nt to Instructor in Medicine; non-tenure stream' Salary:

ebV+ salary. Experiences include adult, pediatric' and occupa-

tional toxicology, (inpatient and outpatient), research opportun-

it i"r-una Pittsb"urgh Poison Center' Starting July 1 of each year'

;i ;l bl i it ioi tr''u ft "a i.al Tox i col ogv Su b-board, u pon completion

olin" i"[to*tnip. Contact John Benitez, MD, Iellowship Director'

io*i.ofogy Treatment Program, Room, NE-583, MUH University

.ipl-rfrr.i'tf,r Medical Cenler, 200 Lothrop Street' Pittsburgh' PA

isZti or lall (a1 2) 648-6800' The University of Pittsburgh is an

Affirmative Action, Equal Opportu n ity Em ployer'

UN|VERS|TYoFPITTSBURGH:TheUnivers i tyofPi t tsburghAf-fifiuiuJ n"tia"ncy offers one-year fellowships in EMS and in basic

u"J "ppf i"a EM Research. Fellowships can be tailored to each

t"ril*tJ individual career goals, and can incorporate experience in

;;;; i lJulution and aii aspects of clinical care' Contact Allan

S.-Wotfton, MD, Center of Emergency Med-icine' 230 McKee

Fiu.u, St". SbO, eittsburgh, PA 15213 or call (412) s78-3180'


FACUTTY POSITIONSEAST CAROLINA UNIVERSITY: Faculty position - DepartmentoI Emergency Medicine. Full-t ime positions for academically qual-ified, board certified and/or board prepared emergency phyiiciansat the level of the instructor, assistant and associjte orofessor. pittCounty Memorial Hospital is a Level I Trauma Center with 50,000visits annually and an active helicopter service. Craduate teachinsprogram has 30 EM residents. Send CV to Nicholas Benson. MDIProfessor, Department of Emergency Medicine, East CarolinaUniversity School of Medicine, Creenvil le, NC 2ZB5S-43 54; (919\816-4757; FAX (919) 816-5014. East Carol ina Univers i ty is anAffi rmative Action/Equal Opportu n ity Em ployer.

ERIE COUNTY MEDICAT CENTER: With thE SUNY At BUffAIO,Department of EM is seeking full-t ime EM faculty. EM Residencv,protected academic time, Adult Level I Trauma/Burn Center forWestern NY, ongoing active research program, competitive sal-ary, CME, benefits, 42,00O ED visits/year, excellent communitv.schools and recreational opportunities. Attending staff positionsavailable. Contact Dietrich Jehle, MD or C. Richard Braen, MDat (716) B9B-4430 or send CV to Department of EmergencyMedicine, 462 Crider Street, Buffalo, Ny .l 4215. AA/EOE

HENNEPIN COUNTY MEDICAL CENTER: is seeking fu l l_ t imecl in ica l teaching facul ty . Residency t ra ined Emergeicy physi -cians interested in teaching are encouraged to apply. ,qgeM cer-tif ication attained or in process required. Currently the depart-ment sees 98,000 visits per year. lt is a Level 1 trauma center,and has a well established Emergency Medicine residency. Fac-ulty are scheduled in both the Main Emergency Department withoccasiorral coverage in the Urgent Care division of the depart-ment. Competit ive salary and practice plan with benefits pack_age that includes business expenses, retirement plan, maiprac-tice, health, disabil ity, and dental insurance is offered. pieasesend curriculum vitae to Joseph E. Clinton, MD, Chief of Emer_

gency Medicine, Hennepin County Medical Center, 7Ol parkAvenue, Minneapol is , Minnesota, 554j5. Telephone number(612) 347-s683; FAX (612) 337-7447.

l[LlNOlS/ Chicago: Associate Residency Director position avail-able at Michael Reese Medical Center . Requires res idencvtrained in EM with Board Certif ication and academic experience.This Level l l , 34,OOO volume facil i ty is qualifying to become anaccredited emergency residency program in the fall of 1995. Ex-cel lent compensat ion and benef i t package. Contact Jenni ferHymes, EMSA, 1200 South pine lsland, Suite 600, Ft. Lauder_dale, FL 33324-4460; 1-800-422-3672, ext . ZZ60; Fax (305)424-3270. EOE/AA/MIF

MEDICAI COttECE OF GEORGIA: Assistant/Associate profes-sor, Section of Emergency Medicine has openings for academicfaculty. Must be board certif ied, or prepared in emergency medi-cine. Level 1 Trauma Center. An established Emergency Medi-cine Residency program, now approved for B residents per year.Active research programs with good extramural support. Spa-c ious, new, u l t ramodern ED fac i l i t ies. The compensat ion andbenef i ts are excel lent and h ighly compet i t ive. Excel lent vear-round outdoor activit ies and pleasant environment. Interestedcandidates should submit CV or contact Elgin Hobbs, MD, Sec-tiol of Emergency Medicine, Medical College of Ceorgia, 112015th Street, Augusta, Ceorgia 309'12-4407 or call (Z-06) Z2l-3332 or fax (706) 721-7718.

MICHIGAN: Exceptional position as medical director with well-established emergency medicine group located in southeasternMichigan. This chal lenging opportuni ty combines c l in ica l andadministrative functions in a 62,000-visit department. Adminis_trative experience, excellent clinical skil ls, and strong interper-sonal skil ls required. Competit ive compensation pacKage (com-mensurate with experience) includes a strong monthly adminis_trative stipend, malpractice coverage, f lexible scheduling, relo_

EesrERN VrncrNrAMeprcAL Scrroor-The Department of Emergency Medicine ofEastern Virginia Medical School and EmergencyPhyslcians of Tidewater are seeking applicirionsfor a faculty posirion. Wb are an esiablishedacademlc deparrmenr with a 14 year-old, fullyaccredited PGY-II through PGY-IV emergencyme_dicine residency program. We are seeking anindividual with significanr research experience.Qual ifications inc I ude board certi [icatr,on /preparation in emergency medicine, interest rnteaching, and demonstrated success in basicscience and/or ciinical research. Ample protectedtime, outs[anding compensation and benefitsoffered. Beautifui area of the country withmoderate climate and beaches and mountainsnearby Submit CV to Francis Counselman, MD,Departmenr of Emergency Medicine, Room 206,Raleigh Building, 600 Gresham Dr., Norfolk, VA23507, or call 804/668-3397.

I\ ORmNDo REGIoNAL FIEAnHCARE SYSEM

Orlando Regional Medical CenterDepartment of Emergency Medicine

Orlando. Florida

EMERGENCY MEDICINE FACULTY POSITIONAvailable June. 1995

Due to expansion of services, one or more full-timefaculty positions at ORMC will be avaitable in June,1995. Candidates must be residency trained andboard certified in Emergency Medicinb. Candidateswith several years of practice in an academic environ-ment with a track record of scholarly activity and eligi-bility for. clinrcal appointment at the associbte profe!-sor levelat the University of Florida are preferr6d. Ourgroup provides emergency services for the ent ire,growing, Ollando Regional Healthcare System. Ourfully accre-dited Emergency Medicine Residency pro-gram has 30 residents and a fellow.

Inquires should be directed to:

Dr. Timothy B. Bullard, Chairman(407) 841 -s1 1 1 ext. 6279

orDr. Jay L. Falk, Program Director (407) 297-6929

511995 SAEM Annual Meerins

New Academic EmergencYIlledistne Program

ilount Slnal Sshool of tledislneNew Yorh Clty

. 9+ sites. I trauma centers

. Emergency medicine residency currently at one siter Seehin€ entry level faculty, residency site directors, re-

search associates and emergency medicine subspecialists. Highly competitive salary and benefits pachage. Supportive approach to faculty development and

interdisciplinarY activities

Please send or fax your CV to'Sheldon Jacobson, MD

Chairman, Dept. of Emergency Medicineor

Barbara Richardson' MDDirector, EmergencY Department

Mount Sinai Medical Center - Box 1149One Gustave L. LevY Place

New Yorh, NY 10029FAX, (912) 423-tO23

Stuart Kessler, MDDirector, EmergencY Department

Elmhurst HosPital79-01 Broadway

Elmhurst, NY 11373(718) 354-301s

ACADEMIC EMERGENCY MEDICINEATIANTA, GA

EMORY UNIVERSITY: The expanding Divi'sion of Emergency Medicine at Emory Uni'versity School of Medicine is actively recruit-ing faculty to pursue academic EmergencyMedicine in a maior university system. Inaddition to patient care, activities includeteaching and supervision in the principle af'filiate hospitals of the School of Medicine( inc lud ing a Level I Trauma Center) ' re 'search, and active involvement in the Emer'gency Medicine Residency Program. Exper'tise in Toxicology, Iniury Control, and clinicalresearch are of particular interest. Candi'dates should be board certified or preparedin Emergency Medic ine. P lease contactWilliam E. Davis, MD, FACEB Director' Divi'sion of Emergency Medicine, Department ofSurgery, Emory University School of Medi'cine, 69 Butler Street, SE, Atlanta' GA 30303.Emorq tJn ivers i ty is an Equal Oppor tuni tyEmployer.

cation assistance, CME allowances, and much more. lf you areinterested in this career opportunity, contact Emergency Physi-cians Medical Croup, Physician Resources Department at' l -800-

466-3764 or FAX vour confidential CV to (313) 995-2913.

MICHICAN STATE UNIVERSITY KALAMAZOO CENTER FORMEDICAI STUDIES: Seeking a qualif ied physician to serve asDirector of Pediatric Emergency Medicine, and to serve as aca-demic faculty for our Emergency Medicine and Pediatrics Resi-dency programs. Candidates should be BC/BP in emergencymedicine, as well as BCIBP in pediatrics or pediatric emergencymedicine. This exciting opportunity involves outstanding com-pensation and benefits, ample protected time,.and a delightfuluniversity community in which to l ive and work. Please contactDavid Overton, MD or Donald Creydanus, MD, Michigan StateUniversitv Kalamazoo Center for Medical Studies, 1000 OaklandDrive, Kalamazoo, Michigan 49008, (616) 337-6600.

MICHICAN STATE UNIVERSITY-Saginaw Campus: Director ofResearch sought for expanding community-based EmergencyMedicine Program. Responsible for teaching/supervising resi-dents and medical students, research, and clinical patient care'Application for Emergency Medicine Residency has been sub-mitted and site visit is completed. Family-oriented communityoffers wide-ranging entertainment and educational activit ies'Competitive rerrurnerations, excellent benefits package and pro-

tected time for research. For further information, contact RobertWolford, MD, Director, Department of Emergency Medicine,Saginaw Cooperative Hospitals, lnc., 1000 Houghton Ave', Sag-inaw, Mf 48602 or call (5.1 7) 771-6817.

NEW ENGTAND MEDICAI CENTER: Full-t ime positions avail-able for Board-Certified/Board-Prepared physicians as faculty forexpansion of new academic Depaftment.of Emergency Medicineat New England Medical Center, a 521-bed tertiary care{acil ityand majorleaching hospital for Tufts University School of Medi-

<)

Chairperson,I)epartment ofEmengency MedieineThe Hospital of Saint Raphael, located alongthe Con'

necticut seaboard, is a major affiliate of the Yale Uni'

versity School of MedicineThe Deoartment sees 45,000 patients annually

and is involved in training residents in Internal Medi-

cine, General Surgery and Pediatrics. The successful

candidate will be trained and Board Certified in EmeF

gency Medicine and have a minimum of five years expe-

rience in Emergency Medicine practice. Experience in

an academic setting with departmental administration

will be highly valued. opportunities for participation in

Emergency Medicine training may also exist.

Competitive salary and benefits including mal'

practice, life and health insurance. The successful can-

didate will qualiry for faculty appointment in the Yale

University School of Medicine.Send CV and letter of interest to Peter N.

Herbert, M.D.; Chair, E.D. Search Committee; Chair-

man, Department of Medicine; Hospital of Saint

Raohael; 1450 Chapel Street; New Haven' cT 06511'

Inqukles and appllcatlons must be tecelved by June

30,1995.Equal opportunity employer, M/F/D/Y. We are

a smokefree facility.

$=Hospital of=ffiz Saint Raphael

A member of the Saint Baphael Healthcare System


cine. Housestaff supervision, teaching, and administrative respon_sibil i t ies, with excellent research opportunities. Application forEmergency Medicine Residency submitted. New Emergency De_partment facil i ty scheduled for completion early 1995. Excellentinstitutional support and resources. Academic appointment withcomp_etit ive salary and benefits. Contact Charlotie S. yeh, MD,FACEP, Physician-in-Chief, Department of Emergencv Medicine.New England Medical Center, 250 Washington Street, Box 311.Boston, MA 02111. (617) 636-4720 or FAX (Oln o%_qzzl.

NORTHWESTERN MEMORTAL HOSptTAt: Full-time academic po_sition available in EM at Northwestern University Medical School(NUMS) and Northwestern Memorial Hospital (NMH). NMH seesapproximately 50,000 visits per year, and is a Level I trauma center.A fully accredited EM residency is in place. Completion of an EMresidency or EM board cer t i f icat ion is requi red. Malpract iceinsurance on an occurrence basis and competitive compensationpackage based upon experience are provided. Contact JamesMathews, MD, Chief, Emergency Medicine, 216 E. Superior St., 1stFloor , Chicago, lL 6061j or ca l l (3 j2) 90S-5129. NorthwesternUniversity is an Affirmative Action/Equal Opportunity Employer.Hiring is contingent upon eligibility to work in the United Staies.PRESBYTERIAN MEDICA|_ CENTER OF pHil_ADEtpHtA: AssistantProfessor/lnstructor. Stable faculty group seeking experienced,lgiri: Emergency Physician with strong intere-st in teaching.300-bed urban teaching hospital with ED annual census of 23,00"0adults. Resource facil i ty for international medical emergencies.P ro tec ted t ime and facu l t y appo in tmen t a t Un i ve i s i t y o fPennsylvania available. Excellent faculty coverage and dictaiionservice provided. Please send CV or contact Laurence J. Cavin,MD, FACEP, Presbyterian Medical Center of philadelphia, 39th &Market Streets, Philadelphia, pA 19104 or call (21 5) 662-9350.

UNIVERSITY OF KENTUCKy: Lexington, Department of Emer-gency Medicine recruiting full+ime faculty at Assistant professorlevel. Full academic department within the College of Medicine.

Board-Certified range $128,000-$152,000,commensurate with experience

. Blue Cross Health Insurance

. Dental Program

. Life Insuranceirrllf,lx . Disability plans"""11: . Retirement Plans

Four weeks paid vacationEight paid personal days (unlimited accrual)Ten paid holidavs

Expenses paid up to $2.500 per year with commensuratetime off-

'' , O..ur..n.. ralpractice paid by hospital

Send C.V. to Niels Rathlev, M.D., Department ofEmergency Med.icine, Camey Hospitai. 2l 00 DorchesterAvenue, Boston, MA 02124

Phone: (617) 296-4000, ext.4445

m carn€D/Hos'ital

The University of VirginiaEmergency Medicine.

UNIVERSITY OF VIRGINIA HEALTH SCIENCES CENTEREMERGENCY MEDICINE

CHAIR, DEPARTMENT OF EMERGENCY MEDICINE

School of Medicine invites applications for the position of chair of the new Department of

The university of Virginia Health sciences center is a tertiary care and level I trauma center located at the foot of the BlueRidge Mountains in Charlottesville, virginia. The ED ""rrru, is 59,000 including 14,000 children. The department includesactive air and ground transport programs and a poison control center. There are currently l l full-time faculty in thedepartment' The University of Virginia EM training program will start its first group of g residents this June.

Candidates must possess the administrative and leadership skills necessary to foster the growth and development of the newdepartment' Residency training in Emergency Medicine und ,trorrg credentials in the traditional three missions of an academicinstitution--teaching, research, and clinical practice--are essential. Due to the changes in the health environment, anunderstanding of managed care and integrated health care delivery systems is desirable.

The University of virginia is an affirmative action, equal opportunity employer. women, minorities, disabled persons, andveterans are encouraged to apply.

Inquiries and curriculum vitae should be directed to the Search Committee for Emergency Medicine, oflice of the Dean,University of Virginia School of Medicine, Box 395, McKim Hall, Charlottesville, V.l iZsoA.

1995 SAEM Annual Meerins53

Department has c l in ica l , educat ional , and research act iv i t ies.Up-to-date full-service emergency department in the UniversityHospital with an annual census of 36,000. Residency applicationbeing considered by RRC in August. Desire candidate for admin-istrative and educational activit ies as medical director of EMSEducation Center and state BTLS steering committee. Please con-tact Steve Stapczynski, MD, Chair, Department of EmergencyMedicine, UKMC Room M-53, B00 Rose Street, Lexington, KY40536-0084 or call (606) 323-5908. EOE

UNIVERSITY OF MICHICAN: The Section of Emergency Medi-cine is seeking a physician for a full-t ime academic position inEmergency Medic ine. Responsib i l i t ies inc lude house of f icertraining, research, and direct patient care in a setting providingboth primary and tertiary care experience. Protected time for re-search and education wil l be provided. UMMC is an AmericanCollege of Surgeons level one adult and pediatric trauma center.Applicants should have residency training and/or board certif ica-tion in Emergency Medicine. Excellent fringe benefit package.Send curriculum vitae to: Will iam C. Barsan, MD, Professor andSection Head, Emergency Medicine, UMMC, 1500 E. MedicalCenter Dr., Ann Arbor, Ml 48109-0014.

UNIVERSITY OF MICHIGAN: The Section of Emergency Medi-cine is seeking physicians for full-t ime clinical positions in Emer-gency Medicine. Academic rank wil l be determined by creden-tials. Clinical responsibil i t ies wil l include patient care activity atHur ley Hospi ta l in F l in t . Responsib i l i t ies inc lude house of f icertraining and providing direct patient care in a setting providingboth primary and tertiary care experience. Applicants shouldhave residency training and/or board certif ication in EmergencyMedicine. Excellent fringe benefit package. lf interested, pleasesend curriculum vitae to: Will iam C. Barsan, MD, Professor andSection Head, Emergency Medicine, UMMC, 1500 E. MedicalCenter Dr ive, Ann Arbor , Ml 48109-0014. The Univers i ty ofMichigan is an Equal Opportunity Affirmative Actlon Employer.

rHe crev'o'4ilR"?ir,['s ffi

Academic

Theway It Sbould Be PracticedIn a new, state-of-tbe-art emergency department.

Emergency medicine residency to be established,withina newly createdAcademic Department of Emergency

Medicine . Exc€llent compensation package withprotected academic time.

We are seeking board-certified/board-eligibleAttending Physicians at all academic levels

Please send CV to:Nofman S. Abramson, M.D., Chairman

Department of Emergency MedicineThe Cleveland Cllnlc Foundation, Elp

950o Euclld AvenueCleveland, Ohlo 44195

Fax;216/445-4552

The Clevelancl Clinic Founclation. a 1,008 becl multispecialtymedical center' is fecognizeda6 a Naff;iliixf,lf;il:,1,L:'

UNIVERSITY OF ROCHESTER MEDICAL CENTER: Associate Resi-dency Director - lmmediate opening for academic physician in-terested in associate residency director position. Established resi-dency program, pediatric emergency medicine fellowship pro-gram. Annual volume 60,000. Level 1 trauma center, aeromedicaltranspoft, EMS direction, toxicology. Contact Sandra M. Schneider,MD, FACEP, 601 Elmwood Avenue, Box 655, Rochester , NY14642 or call (716) 275-9490. Equal Opportunity Employer.

UNIVERSITY OF SOUTH ALABAMA: Department of EmergencyMedicine seeking physicians residency trained or board certif iedin Emergency Medicine. 50,000 patients in USA Hospital sys-tem. Subspecialty backup all disciplines. USAMC is a 400-bedLevel I Trauma Center with helicopter program. Mobile is lo-ca ted on the Cu l f Coas t w i t h wa rm c l ima te , ou t s tand ingbeaches, and low cost of l iving. USA has committed to the de-velopment of Emergency Medicine Residency Program. Clinicalresearch opportunities. Compensation and fringe benefits arecompetit ive. Contact Frank S. Pettyjohn, MD, Department ofEmergency Medicine, University of South Alabama, 2451 Fil l in-gim st., Mobile, AL 36617 or call (205) 470-1649.

WASHINGTON UNIVERSITY-BARNES HOSPITAI: is activelvseeking a residency director to develop and implement a resi-dency program in emergency medicine. Qualif ications includeresidency training/board certif ication in emergency medicinewith at least two years experience as a residency director or as-sociate residency director in a currently approved emergencymedicine residency program. Qualif ied applicants are eligiblefor academic advancement on the tenured or non-tenured track.Amp le p ro tec ted t ime , suppo r t space , and pe rsonne l a reavailable along with excellent salary and benefits package. Con-tact Lawrence M. Lewis, MD, Chief , Div is ion of EmergencyMedic ine, Washington Univers i ty School of Medic ine or ca l l(314) 362-4362; (314\ 362-2495 FAx.

@ WO*E EMERGENCY PHYSICIANS, PAv

Exceptional twenty-one member group seek-ing double-boarded emergency medi-cine/pediatric emergency medicine physi-cian to assume a combined academic andclinical position. Affi l iation with newlyforming Emergency Medicine Residencythrough University of North Carolina,Chapel Hill. Exciting practice/ good qualitylife-style in central NC, easily accessible tomountains and coast. Competitive salaryand benefit package.

For more information during the conference,contact David Cline, MD, Residency Direc-tor, at the Marriott River Center. After theconference send CV to Frantz Melio, MD,President, Wake Emergency Physicians, PA,3000 New Born Avenue, Raleigb NC 27610.


CALL FORABSTRACTS1996 Annual Meeting

May 6-9Adams Mark HotelDenver, Colorado

The Program Committee is accepting abstracts for review for oral and poster presenta-tion. Authors are urged to submit original work in all aspects of Emergency Medicineincluding cerebral resuscitation, pediatrics, cardiopul-onuty resusciiation, medicaltoxicology, administration, trauma, EMS, shock, basic science,injury prevention, healthpolicy reseatch, education, infectious disease, neurologic trauma, unO -.tfrodo1ogy.

Abstract submission forms arc avallable upon request to the SAEM office and will bepublished in the November 1995 issue of the SAEM newsletter. Abstracts not submittedon the official abstract form or not conforming to the instructions wilt not be considered.Call (5l7) 485-5484 to request an abstract form or obtain further information.

Abstracts submitted or the resultant manuscripts must not appear in a refereed journalprior to publication of the Annual Meeting abstracts in the Vtay 1996 issue of AcademicEmergency Medicine. Abstracts presented at other national meetings within 30 days ofthe 1996 SAEM Annual Meeting will be considered for presentation]

IAEM strongly recommends that authors submit their manuscripts to AcademicEmergency Medicine. Academic Emergency Medicine will notify authors of a decisionregarding publication within 60 days of receipt.

All abstracts must be submitted on the official abstract form, and must be receivedno later than January 10, 1996. Abstracts and correspondence should be sent to:

SAEM Annual Meeting Abstracts901 North Washington Avenue

Lansing, MI48906

Awards w_ill be given for the best abstracts in the following categories: Clinical Oral(Human Subjects), Basic Science Oral, Education, Resident/Fll low Oral, poster,Innovation in Medical Education Exhibit, Resident/Fellow Poster, Medical Student,Technology, and Pediatric Emergency & Critical Care. Awards wiil 6e presented at the1997 Annual Meetins.


NOTtrS


STOP BY TIIE SAEM BOOTH TO PREVMW

TtsXTBOOK - Care of the Elder PersonFrom the SAEM Geriatric Emergency Medicine Task Force, Arthur B. Sanders, MD, Editor

A comprehensive core textbook focusing on the multi-disciplinary tearn's needs for providing pre-hospital, ED, and follow-up emergency care based on the special needs of the elder population. Thesource for all health care professionals to read and to use as a reference.

. Publication is the result of the work of the SAEM Geriatric Emergency Medicine Task Force,with the generous support of the John A. Hartford Foundation of New york.

o Developed by the collaborative efforts of an interdisciplinary group of emergency physicians,geriatriciens, emergency nurses, and paramedics.

o Cotrsiders the unique physiology, atypical disease presentations, and psychosocial needs of elderpersons.

. Introduces a new model and principles for emergency care of the elder patient.

a Includes proven instruments for assessing elder persons in the emergency care environment.

. Presents practical informationon how to approach specific clinical issues in older patients such astrauma, infections, myocardial infarction, altered mental status, elder abuse, functional decline.abdominal pun, dizziness and cerebrovascular accidents.

INSTRUCTOR'S MANUAL - Emergency Care of the Elder PersonDesigned to be used by faculty to present an 8 hour training course in geriatric emergency care. It is tobe used in conjunction with the text, Emerency Care of the Elder Person.

o Provides instructors with the tools for using problem-based learning for teaching emergency careof elder people.

. Encourages active learning through the use of 6 case studies reflecting cornmon clinical problems.

. Each case corresponds to one or more chapters in the textbook and is accompanied bytransparencies.

o Each case reinforces the new model of care and principles of geriatric emergency medicine.

VIDEOTAPE - The Recognition of Delirium in the EDDeveloped by Douglas K. Miller, MD, assistant professor of geriatric medicine, Saint Louis UniversitySchool of Medicine in codunction with the SAEM Geriatric Emergency Medicine Task Force.

. 30 Minute running time.

. Demonstrates strategies for detecting, evaluating, and managing delirium in the elder emergencydeparbnent patient.

. Emphasizes the significance of mortality and morbidity associated with missed diagnosis.

. Demonstrates the use of assessment instruments currently available for differentiating delirium(acute confusional state) ftom dementia (chronic confusional state).

SAEM 1995 Annual Meeting Program

Documents

Transcript of SAEM 1995 Annual Meeting Program