Research Forum Educational Program 2007

RESEARCH FORUM EDUCATIONAL PROGRAM 2007 MONDAY, OCTOBER 8, 2007

8†

1:00 - 1:30 PM State-of-the-art Presentation

The Effects of Emergency Department (ED) Ambulance Diversion on Pediatric Mortality in a Large Metropolitan Area Shenoi R, Texas Children’s Hospital, Houston, TX

MONDAY, OCTOBER 8, 2007

Trauma—Robert E. Rosenthal, MD—Room 616-17, Washington State Convention and Trade Center 1:30 - 2:30 PM

8:00 - 9:00 AM Poster Session 1 Airway 9

Emergency Department Capnographic Confirmation of Endotracheal Tube Position in Out-of-Hospital Cardiac Arrest Patients Silvestri S, Orlando Regional Medical Center, Orlando, FL

10†*

Comparing Intubation Success Rates of the Glidescope Videolaryngoscope vs Macintosh Direct Laryngoscope by Novice Operators: A Mannequin Simulated Difficult Airway Study Ng Y, Singapore General Hospital, Singapore, Singapore; Singhealth, Singapore, Singapore

11

The Difficult Airway in the Emergency Department Wong E, Singapore General Hospital, Singapore, Singapore

12

The Use of the Laryngeal Tube is Preferred to Endotracheal Intubation in Manikin-Simulated Cardiac Arrest Resucitations Wong E, Singapore General Hospital, Singapore, Singapore

13

NEAR Misses: An Analysis of Unreported Intubations Myers D, UC Davis MedicalCenter, Sacramento, CA

14EMF

The Relationship Between the Capnogram Waveform and Clinical Signs of Respiratory Depression During Procedural Sedation Hubbard D, Hennepin County Medical Center, Minneapolis, MN

Oral Presentations—Trauma—Room 616-17, Washington State Convention and Trade Center Moderator: Robert E. Rosenthal, MD Recombinant activated factor VII (rFVIIa) Upon Arrival in the Emergency Department in the Severely Injured Trauma Patient Mehta SG, Brooke Army Medical Center, Ft. Sam Houston, TX

1

*

2

Radiographs versus CT for the Initial Diagnosis of Blunt Cervical Spine Injury: A Prospective Comparison Bailitz J, Cook County Hospital, Chicago, IL

3

Prospective Evaluation of Etomidate With and Without the Addition of Succinylcholine for Rapid Sequence Intubation of Head Injured Patients in the Out-of-Hospital Setting O’Connor RE, Christiana Care Health System, Newark, DE

4

The Accuracy of Trauma Ultrasound in a Pediatric Population With Stratification by Age and Trauma Code Status Price RN, Tayal VS, Carolinas Medical Center, Charlotte, NC

Basic Science 15

Minimum Ischemic Time to Produce Mitochondriopathy in an Acute Murine Hind Limb Ischemia/Reperfusion Tran TP, University of Nebraska Medical Center, Omaha, NE

16†

15-Second Conducted Electrical Weapon Application Does Not Impair Basic Respiratory Parameters, Venous Blood Gases, or Blood Chemistries and Does Not Increase Core Body Temperature Dawes DM, Lompoc District Hospital, Lompoc, CA

17*

Unraveling the Inotropic Effects of Pyruvate Torres CA, The Ohio State University, Columbus, OH

18

Permissive Hypercapnia Promotes the Disassociation of Oxygen From Hemoglobin Dickson EW, University of Iowa Carver College of Medicine, Iowa City, IA

19

A Swine Model for Poison-Induced Cardiac Arrest Using Intravenous Potassium Cyanide Bebarta VS, Department of Emergency Medicine, Wilford Hall Medical Center, San Antonio, TX

EMF-1

Thioredoxin Nitration by Peroxynitrite: Contribution to Cardiomyocyte Apoptosis Lau WB, Thomas Jefferson University Hospital, Philadelphia, PA

TUESDAY, OCTOBER 9, 2007 8:00 - 8:30 AM State-of-the-art Presentation

ED Crowding—Brent Asplin, MD, MPH—Room 616-17, Washington State Convention and Trade Center 8:30 - 9:30 AM

Oral Presentations—ED Crowding—Room 616-17, Washington State Convention and Trade Center Moderator: Brent Asplin, MD, MPH 5

Nursing Workload is Associated With Mean Emergency Department Length of Stay Rathlev NK, Boston University, Boston, MA

6EMF*

Racial Disparities In ED Wait Time Prior To Physician Evaluation and Boarding Times in the United States Pines JM, University of Pennsylvania, Philadelphia, PA

7EMF*

The Impact Of Emergency Department Crowding On Cardiac Outcomes In ED Patients With Potential Acute Coronary Syndromes Pines JM, University of Pennsylvania, Philadelphia, PA

Volume , .  : September 

Cardiology 20

CT Coronary Angiography During Initial Visit Decreases Rate of Return Visits Relative To Standard Care Chang A, University of Pennsylvania, Philadelphia, PA

Annals of Emergency Medicine 3A

Research Forum Educational Program 2007 MONDAY, OCTOBER 8—cont’d 21†

Efficacy and Safety of Vernakalant Hydrochloride Injection (RSD1235) for the Conversion of Acute Atrial Fibrillation in Patients Presenting to the Emergency Department Within 48 Hours of Onset Stiell I, University of Ottawa, Ottawa, ON, Canada

22

Troponin as an Independent Risk Factor in Patients With Transient ST-Elevation Acute Coronary Syndrome: From the CRUSADE Quality Improvement Initiative Garvey JL, Carolinas Medical Center, Charlotte, NC

23

Cocaine and Testing in Acute Coronary Syndromes McMullin ND, Cleveland Clinic, Cleveland, OH

24†

IV Clevidipine for Hypertension: Safety, Efficacy, and Transition to Oral Therapy Peacock WF, The Cleveland Clinic, Cleveland, OH

25

Reduction in Door-to-Balloon Time: Implementation of an Improvement Program at a Hospital Already Achieving An Average 90-Minute Target Time Paige PG, University of Massachusetts Medical School, Worcester, MA

26

Abstract Withdrawn

27

Knowledge of Angiogram Results: Patient Recall of Coronary Angiogram Results is Inaccurate Slattery DE, University of Nevada School of Medicine, Las Vegas, NV

Disaster/NBC 36

A Survey of Emergency Preparedness in Michigan Klausner HA, Henry Ford Hospital, Detroit, MI

37*

Comparison of Mass Casualty Incident Triage Acuity Status Accuracy by Traditional Paper Method, Electronic Tag, and Provider PDA Algorithm Buono CJ, University of California, San Diego, San Diego, CA

38

Does the Simple Triage and Rapid Treatment Method Appropriately Triage Patients Based On Trauma Injury Severity Score? Hong R, Christiana Care Health System, Newark, DE

39*

Multicenter Emergency Department Disaster Drill: A Test of New York City Syndromic Surveillance Using Severe Acute Respiratory Syndrome Model Wallace DJ, Kings County Hospital, Brooklyn, NY

40*

The Impact of the September 11 Terrorist Attack on Suicide Rates in New York City Larkin GL, Yale University, New Haven, CT

41*

Simulation in a Disaster Drill: Comparison of High-Fidelity Simulators vs Trained Actors Peckler B, University of South Florida, Tampa, FL

42

Increasing the Value of Mandatory Emergency Response Exercises Martens KA, Loyola University Chicago - Stritch School of Medicine, Maywood, IL

43

Singapore General Hospital’s Semi-Automated Hospital Decontamination Station Oh J, Singapore General Hospital, Singapore, Singapore

Diagnosis/Treatment 28*

29†

30

31

32*

33

The Efficacy of Tamsulosin in the Treatment of Ureteral Stones in Emergency Department Patients Ferre RM, Wilford Hall Medical Center, San Antonio, TX

Education 44

Incompatibility Between RRC Requirements and Actual Number of Emergent Procedures in Trauma Patients Garra G, Stony Brook University, Stony Brook, NY

45

Factors Affecting Resident Stress in the ED Lorenzen BC, Vanderbilt University Medical Center, Nashville, TN

46

BNP as a Modifier for the ADHERE Risk Tree: A Bedside Tool for Mortality Risk Stratification in Emergency Department Patients With Decompensated Heart Failure Requiring Hospital Admission Stevens AC, Michigan State University Emergency Medicine Residency, Lansing, MI

A Two Year Experience of Integrating Simulation Into an Emergency Medicine Residency Curriculum Wittels KA, Brigham and Women’s Hospital/Massachusetts General Hospital, Boston, MA

47

Optimal Positioning for Lumbar Puncture: Lateral Decubitus or Sitting? Thundiyil JG, Orlando Regional Medical Center, Orlando, FL

Comparison of Traditional Advanced Cardiac Life Support (ACLS) Course Instruction vs. Scenario-based, Performance–Oriented Team Instruction (SPOTI) Method to Korean Paramedic Students Lee CC, Stony Brook University, Stony Brook, NY

48

Diagnosing Dizziness in the Emergency Department: Physicians May Rely Too Heavily on Symptom Quality. Results of a Multicenter, Quantitative Survey Lovett P, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY

Selection of Target Age for School Education in Cardiopulmonary Resuscitation Chung S, Yongdong Severance Hospital, Yonsei University Medical College, Seoul, Republic of Korea

49*

Morbidity and Mortality Conference Use in Emergency Medicine McGillicuddy DC, Beth Israel Deaconess Medical Center, Boston, MA

50

Patient Perceptions of Medical Students Involved in Their Health Care: How Much Do First Impressions Count? Wald DA, Temple University School of Medicine, Philadelphia, PA

51*

A Standardized Orientation Course on Central Line Placement Leads to Persistent Knowledge Improvement Miller A, Lehigh Valley Hospital, Allentown, PA

The Diagnostic Utility of Heart-type Fatty Acid Binding Protein in Patients With Possible Acute Coronary Syndromes Presenting to the Emergency Department Lindsell CJ, University of Cincinnati, Cincinnati, OH A Simple Clinical Decision Rule to Predict Bacterial Meningitis in Patients Presenting to the Emergency Department Drumheller BC, North Shore University Hospital, Manhasset, NY

34

Post Gastric Bypass Patient Admissions Via the Emergency Department: The Incidence of Internal Hernias Geiger T, University of Missouri-Columbia, Columbia, MO

35

Demographic Survey of Emergency Department Patients With “Spider Bite” Lesions Suchard JR, University of California, Irvine Medical Center, Orange, CA

4A Annals of Emergency Medicine

Volume , .  : September 

Research Forum Educational Program 2007 MONDAY, OCTOBER 8—cont’d Health Care Policy 52

Ambiguous Definition of “Working Diagnosis” of Pneumonia in CMS Core Measure Guidelines Leads to Overuse of Antibiotics in the Emergency Department Thompson K, Mayo Clinic, Jacksonville, FL

53

Patient Advocacy Through Legal and Medical Support Services in the Emergency Department Stanley RM, University of Michigan, Ann Arbor, MI Implementation of Alert Protocols in the Emergency Department for Myocardial Infarction, Community Acquired Pneumonia and Acute Cerebrovascular Accident and its Impact on Core Performance Measures Cassidy D, Orlando Regional Medical Center, Orlando, FL

54

55EMF†*

Trends in Charges and Payments for Outpatient Pediatric Visits to the Emergency Department from 1996-2003 Hsia RY, Stanford University Hospital and Clinics, Stanford, CA

56

Patient Characteristics By Source Of Admission: Who Is Affected When the ED Gets Crowded? Smulowitz PB, Beth Israel Deaconess Medical Center, Boston, MA

57

Identification of Factors That Enhance Career Satisfaction Among Female Emergency Physicians Clem KJ, Duke University Medical Center, Durham, NC

58

Likelihood of Recurrent High Utilization by Uninsured Emergency Department Patients Salazar TB, University of New Mexico School of Medicine, Albuquerque, NM

66

Informatics 67

Verbal Order Rates Decrease With Adjustments in Clinical Provider Order Entry in the ED DeFlitch C, Penn State Hershey Medical Center, Hershey, PA

68

Primary Care Referral to the Emergency Department as an Indicator for Hospital Admission Mathew RG, Thomas Jefferson University, Philadelphia, PA

69

Implementation of Electronic Documentation and its Effect on Unbillable Units in the Emergency Department MacKenzie R, Lehigh Valley Hospital, Allentown, PA

70

Patient Age as Predictor of Resource Utilization Nathanson LA, BIDMC, Boston, MA

71

Medical Error and Task Completion Analysis In Emergency Department Computer Assisted versus Conventional Drug Dosing and Administration Calculations Yamamoto LG, University of Hawaii John A. Burns School of Medicine, Honolulu, HI

72

Mandated Work Injury Reporting Improves with Electronic Medical Record and Documentation Killeen JP, University of California, San Diego Medical Center, San Diego, CA

73

Information Technology Resources in Massachusetts EDs in 2006 Pallin DJ, Brigham and Women’s Hospital, Boston, MA

74*

Comparison of Lab and X-ray Turnaround Times Before and After Implementation of Computerized Physician Order Entry in an Emergency Department Henstrom MJ, Oregon Health & Science University, Portland, OR

Infectious Diseases 59*

Does Introduction of a Sepsis Protocol Reduce Time to Antibiotics or Improve Outcomes for Critical Septic Patients? A Before and After Study McGrath ME, Boston Medical Center, Boston, MA Emergency Department Sepsis Risk Factors Predictive of Clinical Decompensation and Intensive Care Unit Transfer Within 72 Hours of Hospital Admission Drumheller BC, North Shore University Hospital, Manhasset, NY

60

Elevated Point-of-Care Lactate at Triage is Predictive of Admission Among Sepsis Patients Presenting to the Emergency Department Drumheller BC, Hospital of the University of Pennsylvania, Philadelphia, PA

Laboratory 75

Can Urine Dipstick and Brief Questionnaire Predict Abnormal Serum Creatinine in Emergency Department Patients? Firestone D, UCSD, San Diego, CA

76

Can Urine Dip Predict an Elevated Serum Creatinine? Shah K, St. Luke’s-Roosevelt Hospital, New York, NY

61†

Reduction in the Risk of Pneumonia and Otitis Media Following Oseltamivir Use for Influenza: Results from a Health Claims Database (2001⫺2006) Pelletier EM, IMS Heatlh, Watertown, MA

77

Point-of-Care Testing for Coagulation Studies in an Emergency Department Stroke Protocol: A Time-Saving Innovation Drescher MJ, Hartford Hospital/University of Connecticut, Hartford, CT

62*

Does the Addition of an Observation Unit Change the Rate of Admission For Pyelonephritis? Schrock JW, MetroHealth Medical Center, Cleveland, OH

78

63

The Effect of Time to Antibiotic Administration on Mortality in Patients Presenting to the Emergency Department in Septic Shock Engineer RS, The Cleveland Clinic Foundation, Cleveland, OH

Analysis of Xanthochromia in Patients with Hemorrhagic Cerebrospinal Fluid: A National Survey of Laboratory Changes Implemented During the Past Eight Years Alexander C, Grand Rapids MERC/Michigan State University, Grand Rapids, MI

80*

Point-of-Care versus Laboratory Rh(D) Typing in the Emergency Department Wei JA, Michigan State University Emergency Medicine Residency, Ingham Regional Medical Center, Lansing, MI

64*

*

65

Before-After Study of a Standardized Written Protocol for the Management of APN: Effect on Admission Rate and Cost Kim K, Seoul National University Bundang Hospital, Seongnam-si, Gyeongi-do, Republic of Korea Mortality Rate in Septic Patients Treated Initially on the Inpatient Floor vs. ICU Miyake C, University of Rochester, Rochester, NY

Volume , .  : September 

Toxicology 81

Effective Topical Treatment and Post Exposure Prophylaxis of Poison Ivy: Objective Confirmation Stankewicz H, St. Lukes Hospital, Bethlehem, PA

Annals of Emergency Medicine 5A

Research Forum Educational Program 2007 MONDAY, OCTOBER 8—cont’d 82

Onset of Systemic Effects from Bites of the Texas Coral Snake (Micrurus tener) Morgan DL, Scott and White, Temple, TX

83

Intravenous Calcium Administration in Digoxin Toxic Patients Levine M, Harvard-Affiliated Emergency Medicine Residency, Boston, MA

84*

Alcohol: A Significant Risk Factor for Head Injury Johnston Sr. JJ, Sunderland Royal Hospital, Newcastle, United Kingdom

85

Cocaine-Associated Seizures and Incidence of Status Epilepticus Shih RD, Morristown Memorial Hospital, Morristown, NJ

10:45 - 11:45 AM Poster Session 2 Cardiology 86*

Society of Chest Pain Centers Accreditation Improves ACC/AHA Guidelines Compliance for NSTEMI Chandra A, Duke University Medical Center, Durham, NC

87

The Impact of Real-Time Cardiology 12-Lead ECG Review on ED Triage and Treatment Decisions in Patients With Suspected Acute Coronary Syndrome: A Prospective Pilot Study Rebholz CM, Boston University, Boston, MA

88*

89*

90*

91

92

93

Delays in ED Fibrinolytic Therapy as Primary Reperfusion Therapy for ST-Elevation Acute Myocardial Infarction Glickman SW, Duke Clinical Research Institute, Durham, NC Delta Measurements, Using An Ultrasensitive Troponin I Assay, Reliably Diagnose Acute Coronary Syndromes and Predict Adverse Cardiac Events Within 30 Days of ED Visits Thomas JJ, University of Virginia, Charlottesville, VA Evaluation of the Rates of Cardiac Catheterization and Interventions After a Positive Stress Test Based on Patient Location Schrock JW, MetroHealth Medical Center, Cleveland, OH Comprehensive Study of Myocarditis in the Emergency Department (COSMED I): Clinical, Electrocardiographic, Laboratory Presentation and Outcome Bentancur AG, Sheba Medical Center, Tel Hashomer, Israel Comprehensive Study of Myocarditis in the Emergency Department (COSMED III): Elevated N-terminal proBNP Differentiates Acute Myocarditis and Acute Ischemia from Acute Pericarditis in the Emergency Department Bentancur AG, Sheba Medical Center, Tel Hashomer, Israel

97*

Are Emergency Medicine Residents Adrenaline Junkies? A Comparison of Risk Taking Traits and Behaviors between Emergency Medicine and Family Practice Residents Bascom E, St. John Hospital and Medical Center and St. John Oakland Hospital, Detroit, MI

98†*

National Survey of Pediatric Emergency Department Observation Units Ojo AO, Baylor College of Medicine/Texas Childrens Hospital, Houston, TX

99

Gap Analysis Can Aid in the Selection Of Human Patient Simulation Cases for Emergency Medicine Rotations Reed T, Loyola University Chicago - Stritch School of Medicine, Maywood, IL

100

A Computer-Based, Self-Learning Module for New Resident Physicians in the Interpretation of CT Scans for Appendicitis Wallo E, York Hospital, York, PA

101

Targeted Information Provision to Increase and Improve Goal Setting Discussions in the ED Eskandari S, Wayne State University, Detroit, MI

Neurology 102

Impact of Treatment on Individual Patients in the NINDS Trial: A Graphic Representation Based on Change in NIHSS Score Hoffman JR, UCLA, Los Angeles, CA

103

Hematoma Shape is Not Significantly Influenced by Warfarin Use in Patients With Intracerebral Hemorrhage Cushing TA, Massachusetts General Hospital, Boston, MA

104*

TIMI Flow Obtained After Mechanical Embolectomy for Acute Ischemic Stroke and Its Impact on Functional Outcome Yassa AS, Mayo Clinic College of Medicine, Division of Emergency Medicine Research, Rochester, MN

106

Differentiation of Intracranial Hemorrhage From Traumatic Lumbar Puncture Across the Age Spectrum Andrews-Dickert R, Grand Rapids MERC/Michigan State University, Grand Rapids, MI

107

The Clinical Utility of Serum NR2 Peptide Assay in the Diagnosis of Patients Presenting to the Emergency Department With Acute Cerebrovascular Ischemic Events Glynn T, Michigan State University Emergency Medicine Residency, Department of Emergency Medicine, Ingham Regional Medical Center, Lansing, MI

109†*

Screening Electroencephalograms in the Emergency Department Bastani A, Troy Beaumont Hospital, Troy, MI

Abstract Withdrawn

Pain Management Education 94

95

96

Does a “Faculty Preceptor” Increase the Number of Procedures Performed by Medical Students During Their Elective in Emergency Medicine? Perez E, St. Lukes’/Roosevelt Hospital, New York, NY Comparison of Automated External Defibrillator Training Methods in High School Students: Traditional Live Instructor Teaching Versus DVD-Based Method Young LL, University of Hawaii John A. Burns School of Medicine, Honolulu, HI Critical Misinterpretations of Key Electrocardiographic Entities by Senior Medical Students Wald DA, Temple University School of Medicine, Philadelphia, PA

6A Annals of Emergency Medicine

110

Tissue Adhesive, 2-Octyl Cyanoacrylate, is an Effective Emergency Department Treatment for Pain Associated With Dental Caries Wiand D, St. Lukes Hospital, Bethlehem, PA

111

Randomized Evaluation of Octreotide versus Prochlorperazine for Emergency Department Treatment of Migraine Headache Miller MA, Darnall Army Medical Center, Ft. Hood, TX

112

Patient-Controlled Analgesia for Sickle Cell Patients in the Emergency Department Results in Early Pain Management and Increased Patient Satisfaction Thornton VL, Duke University Medical Center, Durham, NC

113†

Efficacy of Needlefree Powder Lidocaine Delivery System In Pediatric Patients Undergoing Venipuncture or Peripheral Venous Cannulation: The COMFORT-003 and -004 Trials Krane E, Stanford School of Medicine, Stanford, CA

Volume , .  : September 

Research Forum Educational Program 2007 MONDAY, OCTOBER 8—cont’d 114

Chronic or Recurrent Pain in the Emergency Department: A National Telephone Survey of Patient Experience Todd KH, Pain and Emergency Medicine Institute, New York, NY

115†

Tolerability of Needlefree Powder Lidocaine Delivery System In Pediatric Patients Undergoing Venipuncture or Peripheral Venous Cannulation: The COMFORT-003 and -004 Trials Krane E, Stanford School of Medicine, Stanford, CA

129

Computerized Feedback to Emergency Physicians Improves Rates of Identification and Psychosocial Referral for Suicidal Ideation Larkin GL, Yale University, New Haven, CT

130

Attitudes and Barriers to Physicians Receiving Assistance for Personal and Professional Struggles: A Survey of Emergency Physicians, Anesthesiologists, and Surgeons Fix ML, Brigham and Women’s Hospital, Boston, MA

131

Changes in Utilization of Emergency Department by Psychiatric Patients Zun L, Mount Sinai Hospital, Chicago, IL

Pediatrics 116*

Comparison of RSV-A RNA Recovery by PCR Using Different Methods of Specimen Preservation Walsh P, Kern Medical Center, Bakersfield, CA

132

Patients Who Leave Prior to Evaluation: A Comparison of Patients With Psychiatric and Non-Psychiatric Chief Complaints Peress DA, North Shore University Hospital, Manhasset, NY

117*

Pneumococcal Bacteremia and Meningitis in Febrile Infants in the Post PCV7 Era Carstairs KL, Naval Medical Center San Diego, San Diego, CA

133

Differences in Computer-Prompted Self-Report and PhysicianElicited Responses in Screening of Emergency Department Patients for Substance Use and Abuse Hamann CJ, Yale University, New Haven, CT

118*

Leukocytosis and Height of Fever as Predictors of Serious Bacterial Infections in Febrile Infants Presenting to the Emergency Department Rudinsky SL, NMCSD, San Diego, CA

119

121

122

123

Public Health 134

Tracheal Intubation Practice and Maintaining Skill Competency: Survey of Pediatric Emergency Department Medical Directors Losek JD, Medical University of South Carolina, Charleston, SC

Discharge Diagnosis at the Emergency Department and Risk of Suicide Gunnarsdottir OS, Landspitali University Hospital, Reykjavik, Iceland

135*

Sedation after Intubation Using Etomidate and a Long-Acting Neuromuscular Blocker Kendrick DB, University of Alabama at Birmingham, Birmingham, AL

Measured and Perceived Adult Health Literacy in an Urban Emergency Department Cowan E, Jacobi Medical Center/Albert Einstein College of Medicine, New York, NY

136

Smoking Cessation Interventions Among Motivated-To-Quit Smokers in the Emergency Department Llovera I, North Shore University Hospital, Manhasset, NY

137

Efficacy of a Brief Intervention to Improve Emergency Physicians’ Smoking Cessation Counseling Skills, Knowledge and Attitudes Bernstein SL, Albert Einstein College of Medicine, Bronx, NY

138*

Does Insurance Matter for Emergency Department Follow-up Care and Can a Simple Intervention Improve Uninsured ED Follow-up Rates? Bascom E, St. John Hospital and Medical Center and St. John Oakland Hospital, Detroit, MI

139

Online Health Information Impacts Patients’ Decisions to Seek Emergency Department Care Sikka N, The George Washington University, Washington, DC

140

National Study of Numeric Literacy Among Emergency Department Patients With Acute Asthma Delaney KE, Massachusetts General Hospital, Boston, MA

141

Patient Perceptions of ED HIV Testing Brown J, The George Washington University, Washington, DC

Powered Needle Insertion Provides Safe and Effective Vascular Access for Pediatric Emergency Patients Beamer CL, Christus Santa Rosa Children’s Hospital, San Antonio, TX A Study on the Accuracy of Weight Estimation Using the Broselow Tape in Korean Children Im T, Hanyang University, College of Medicine, Seoul, Republic of Korea

Pharmacology 124*

Pharmacist Review of Emergency Department Medication Orders: How Long Does It Take? Underwood M, Akron General Medical Center, Akron, OH

125

Daily Antihypertensive Therapy Results in Milder Stroke and More Favorable Outcomes Vaidyanathan L, Mayo Clinic College of Medicine. Division of Emergency Medicine Research, Rochester, MN

126

Safety and Effectiveness of Intravenous Low-Dose Prochlorperazine for Nausea and Vomiting in the Emergency Department Flannigan M, Grand Rapids MERC/Michigan State University, Grand Rapids, MI

127

Targeted Feedback Through BMI to Influence Emergency Physician Prescribing Patterns for Appropriate Treatment of Uncomplicated Bronchitis and Upper Respiratory Infection Milzman DP, Washington Hospital Center/Georgetown EM Residency, Washington, DC

Psychiatry 128*

Health Care and Posttraumatic Stress Disorder Following a Major Natural Disaster Macht M, Tulane University, New Orleans, LA

Volume , .  : September 

Research Issues 142EMF†

Validation of Coding Algorithm to Improve Identification of Hypoglycemia Visits Ginde AA, Beth Israel Deaconess Medical Center, Boston, MA

143

Impact of Emergency Department Occupancy and Patient Boarding on Registered Nurse Work Patterns and Subjective Ratings of Workload and Quality Dale C, Vanderbilt University School of Medicine, Nashville, TN

Annals of Emergency Medicine 7A

Research Forum Educational Program 2007 MONDAY, OCTOBER 8—cont’d 144*

Exemption From Informed Consent: Consent in Advance—A Survey Investigating an Alternative to Informed Consent for Use in Emergency Research Conley HL, Akron General Medical Center, Akron, OH

145

A Pilot Study to Examine Research Subjects’ Perception of Participating in Research in the Emergency Department Phelan MP, Cleveland Clinic, Cleveland, OH Agreement Between a Computerized Medical Record, Procedural Sedation Registry, and Nurse and MD Documentation of Adverse Events Shaver KJ, University of New Mexico, Albuquerque, NM

146

*

147

The Proportion of Female Authorship in Emergency Medicine Journals is the Same as the Proportion of Females Practicing Academic Emergency Medicine Tinjum B, Christiana Care Health System, Newark, DE

148EMF*

Pediatric Patients Are Less Likely to be Eligible and to Consent to Participate Than Adult Patients in an Acute Brain Injury Study Stanley L, Duke University Medical Center, Durham, NC

149

The “Gender Gap” in Authorship in Emergency Medicine: A 20Year Perspective Baumann BM, UMDNJ-RWJMS, Camden, NJ

2:30 - 4:00 PM Poster Session 3 Cardiology 150*

Cost Analysis of CT Coronary Angiography in Observation Unit Patients after Positive or Indeterminate Stress Tests Powell ES, Northwestern University, Chicago, IL

151

Using a “Triple Rule-Out” 64-Slice Multidetector CT Scan Protocol to Evaluate Low-to-Moderate Risk Emergency Department Patients Suspected of Having Acute Coronary Syndrome Takakuwa KM, Thomas Jefferson University, Philadelphia, PA

152†*

Audicor S3 Outperforms Emergency Physicians’ Ability to Diagnose Acute Heart Failure at the Bedside Collins SP, University of Cincinnati, Cincinnati, OH

153*

The Cost of Unnecessary Cardiac Catheterization: Creating a Case for Better Evaluation of Low Risk Chest Pain Patients Venkatesh AK, Northwestern University, Chicago, IL

154

A Randomized Clinical Trial of the Utility of Serum BNP in the Emergency Department (ED) to Predict the Diagnosis of CHF Schears RM, Mayo Clinic, Rochester, MN

155

Paramedic-Initiated Out-of-Hospital Cardiac Catheterization Lab Activation for Acute ST-Segment Elevation Myocardial Infarction Patients Hokanson J, Abbott Northwestern Hospital, Minneapolis, MN

156

157*

158

159

Comprehensive Study of Myocarditis in the Emergency Department (COSMED II): Cardiac-MRI and Electrocardiography in Acute Myocarditis Bentancur AG, Sheba Medical Center, Tel Hashomer, Israel

Diagnosis/Treatment 160*

Describing Cerebrospinal Fluid Red Blood Cell Counts in Patients With Subarachnoid Hemorrhage Arora S, Keck School of Medicine, USC, Los Angeles, CA

161

Utility of the Laboratory Risk Indicator for Necrotizing Fasciitis Score in Discriminating Necrotizing Fasciitis from Cellulitis Upon Initial Presentation Glynn T, Michigan State University Emergency Medicine Residency, Ingham Regional Medical Center, Lansing, MI

162

Incidence of Hypokalemia in Patients Presenting to the Emergency Department With Diabetic Ketoacidosis Swartzberg J, University of California at Los Angeles, Los Angeles, CA

163

Emergency Department Tachypnea Predicts In-Hospital Adverse Outcomes Gies JW, Christiana Care Health System, Newark, DE

164

Nasogastric Tube Placement Verification: Use of an Esophageal Detector Device Moghadam D, The Brooklyn Hospital Center, Brooklyn, NY

165

Are Prescribing Patterns For Treatment of Pain Different by Physician Assistants With and Without DEA Registration? Sabatino M, Good Samaritan Hospital Medical Center, West Islip, NY

166

The Swollen Leg: Who Needs A Duplex? Sela I, Staten Island University Hospital, Staten Island, NY

167

Risk of Venous Thromboembolism in Patients with Borderline Quantitative D-dimer Levels Singer AJ, Stony Brook University, Stony Brook, NY

168*

Assessment of Diagnostic Radiation Exposure in Victims of Blunt Trauma Winslow III JE, Wake Forest University Health Sciences, Winston-Salem, NC

169EMF†

Emergency Department Visits for Hypoglycemia: Epidemiology, Patient Education and Outcomes Ginde AA, Beth Israel Deaconess Medical Center, Boston, MA

Emergency Medical Services 170

CODE STEMI: Does It Work When The Cath Lab Is Closed? Ardolic B, Staten Island University Hospital, Staten Island, NY

Reviewer Determination of Paramedic Performance in Recognition of ST Segment Elevation Acute Myocardial Infarction (STEMI): Performance Measurement Depends on the Reviewer Chawla N, Brown University School of Medicine, Providence, RI

171

Role of Coronary CT Angiography in the Evaluation of the Patients With Chest Pain at Emergency Department According to Pre-test Risk Group Kang J, Seoul National University College of Medicine, Seoul, Republic of Korea

Needle Versus Tube Thoracostomy in a Swine Model of Traumatic Tension Hemopneumothorax Morton MJ, University of Pennsylvania School of Medicine, Philadelphia, PA

172

Patient Characteristics Associated With Ambulance Utilization for Non-Emergent Medical Conditions Michael GE, University of Virginia - Department of Emergency Medicine, Charlottesville, VA

173

Physiologic Effects of the TASER on Human Subjects After Exercise Vilke GM, University of California, San Diego Medical Center, San Diego, CA

Quicker Door-to-Balloon Times at a Large Urban Hospital are Driven by Improved ED Throughput Rather Than Quicker Cath Lab Response Time Fermann GJ, University of Cincinnati, Cincinnati, OH

8A Annals of Emergency Medicine

Volume , .  : September 

Research Forum Educational Program 2007 MONDAY, OCTOBER 8—cont’d 174*

The Relationship Between Functional Health Literacy and Adherence to Emergency Department Discharge Instructions Among Spanish-Speaking Patients Smith PC, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC

189EMF

175

Impact of an EMS Rapid Dispatch Program on 911 Call Processing and Response Times Eckstein M, Keck School of Medicine, USC, Los Angeles, CA

190EMF

Cerebral Oximetry as an Indicator of Cerebral Autoregulation in Out-of-Hospital Cardiac Arrest Patients O’Neil BJ, William Beaumont Hospital, Royal Oak, MI

176

Impact of Paramedic Transport with Out-of-Hospital 12 Lead ECG on Door-to-Balloon Times for ST Segment Myocardial Infarction (STEMI) Patients Eckstein M, Keck School of Medicine, USC, Los Angeles, CA

191†*

An Alternative Field Hemostatic Agent? Comparison of a New Chitosan Granule Dressing to Existing Chitosan Wafer, Zeolite and Standard Dressings, in a Lethal Hemorrhagic Groin Injury Kozen B, Naval Medical Center, Portsmouth, VA

177*

EMS Workplace Violence and Disaster Preparedness: A Safety and Readiness Survey in South East Michigan Bascom E, St. John Hospital and Medical Center and St. John Oakland Hospital, Detroit, MI

192*

178

Implementation of STEMI-Receiving Centers in a Large EMS System Eckstein M, Keck School of Medicine, USC, Los Angeles, CA

Performance of the Mortality in Emergency Department Sepsis (MEDS) Score for Predicting In-hospital Mortality Among Emergency Department Patients With Severe Sepsis and Septic Shock Jones AE, Carolinas Medical Center, Charlotte, NC

193EMF*

Utility of Resistive Index in the Evaluation of Impaired Renal Function and Prognosis in Patients Resuscitated After Cardiac Arrest Oh S, Dankook University Hospital, Cheon-an, Republic of Korea

194

Effect of Preservative Hypothermia Using Hypothermic Carotid Arterial Flush in Canine Cardiac Arrest Model Heo T, Chonnam National University Hospital, Gwangju, Republic of Korea

Resuscitation

Out-of-Hospital Use of Intravenous Ondansetron Zuver C, Orlando Regional Medical Center, Orlando, FL

179

Low Levels of MRSA Nasal Carriage in Emergency Physicians and their Household Contacts Nardi A, University of Maryland, Baltimore, MD

Infectious Diseases 180*

Trimethoprim-sulfamethoxazole Resistance in CommunityAcquired Methicillin Resistant Staphylococcus aureus Moriarity R, University of Mississippi Medical Center, Jackson, MS

195

Improving Length-Based Weight Estimates by Adding a Body Habitus (Obesity) Icon Yamamoto LG, University of Hawaii John A. Burns School of Medicine, Honolulu, HI

181

What is the Incidence of MRSA and Antimicrobial Sensitivities of Isolates from Patients Presenting to the ED With a Subcutaneous Abscess? Haydel MJ, Louisiana State University Health Science Center, New Orleans, LA

196*

Prognosis of Patients With Non-traumatic Out-of-Hospital Cardiac Arrest and Early Serum Levels of S100B Protein Jeong J, Seoul National University College of Medicine, Seoul, Republic of Korea

197*

182

Packing Simple Cutaneous Abscesses After Incision and Drainage is Painful and Probably Unnecessary O’Malley GF, Albert Einstein Medical Center, Philadelphia, PA

Witnessed Arrest With Bystander-Initiated Cardiopulmonary Resuscitation Increases the Incidence of Ventricular Fibrillation Found By First Responders Vadeboncoeur TF, Mayo Clinic, Jacksonville Beach, FL

183

Trends in U.S. Emergency Department Visits for Skin and Soft Tissue Infections in the Age of Methicillin-Resistant Staphylococcus aureus, 1993-2004 Egan DJ, St. Vincent’s Hospital Manhattan, New York, NY

198*

Paramedic Performance of Resuscitation in the Setting of Standardized Guidelines Tran M, Maricopa Medical Center, Phoenix, AZ

199†*

Between-country and Between-specialty Differences in Approach to Early Septic Shock Reade MC, CRISMA Laboratory, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA

Do Patients With MRSA Isolated from Their Cutaneous Abscess Have a Distinct Clinical Presentation or Have a Different Rate of Hospitalization? Haydel MJ, Louisiana State University Health Science Center, New Orleans, LA

184

*

Trauma

185

Utility of Triage Heart Rate and Shock Index in Predicting Infection in Emergency Department Patients With Systemic Inflammatory Response Syndrome Criteria Barrett JA, Duke University Medical Center, Durham, NC

200

End-Tidal CO2 Correlates With, But May Not be an Early Predictor of, Central Hypovolemia in Humans Morton MJ, University of Pennsylvania School of Medicine, Philadelphia, PA

186*

Is it Cost Effective to Screen for Syphilis in Cases of Presumed Gonococcal and/or Chlamydial Infections? Nibhanipudi Sr. KV, New York Medical College Metropolitan Hospital Center, Scarsdale, NY

201

The Effect of Altitude Changes on Middle Ear Pressure in Skydivers Gutovitz S, Orlando Regional Medical Center, Orlando, FL

202

Near-Infrared Spectroscopy During Resuscitation of Trauma Patients Predicts Future Development of Multiple Organ Dysfunction Nicks BA, Wake Forest University Health Sciences, Winston Salem, NC

203*

Use of a Clinical Sobriety Assessment Tool in Blunt Trauma Patients is More Sensitive Than Physician Judgment in Determining Sobriety Pattani S, LSUHSC-Shreveport, Shreveport, LA

187†

Outcomes With and Compliance to Nursing Home Acquired Pneumonia Guidelines Medado P, William Beaumont Hospital, Royal Oak, MI

188

The Prevalence of Methicillin-Resistant Staphylococcus aureus on Frequently Touched Objects in an Urban Emergency Department Kei J, University of California at Davis Medical Center, Sacramento, CA

Volume , .  : September 

Annals of Emergency Medicine 9A

Research Forum Educational Program 2007 MONDAY, OCTOBER 8—cont’d 222*

Perimortem Hyperkalemia in a Porcine Model of Trauma Resuscitation Hsu CK, The Brooklyn Hospital Center, Brooklyn, NY

Emergency Department Length of Stay and Predictive Demographic Characteristics Handel DA, Oregon Health & Science University, Portland, OR

223*

206

Low Risk Criteria for Pelvic Radiography in Pediatric Blunt Trauma Patients Wong AT, St. Barnabas Hospital, Bronx, NY

Using Computer Simulation to Evaluate the Effect of Point-of-Care Testing on Emergency Department Patient Flow Powell ES, Northwestern University, Chicago, IL

224

207

Epidemiology of Burns in the ED, 1996-2004 Singer AJ, Stony Brook University, Stony Brook, NY

Somewhere in Time: Time Documentation Variation in Hospital Setting May Have Risk Management, Medical Error and Quality Improvement Implications Espinosa JA, Kennedy Health System, Stratford, NJ

208

Ski Injuries in the United States: Before and After the Introduction of the Shape Ski Goldberg J, Resurrection Medical Center, Chicago, IL

225

Impact of Electronic Medication Reconciliation on Triage Times for Patients Seen in the Emergency Department Chan TC, University of California, San Diego Medical Center, San Diego, CA

226

Does Ambulance Diversion Allow Staff to Create a Barrier to Care for Ambulatory Patients? Crane PW, University of Rochester, Rochester, NY

227

Care Coordination in the Emergency Department: Avoiding Inappropriate Hospital Admissions Kulkarni R, Yale University School of Medicine, New Haven, CT

228

Characterization of Patients Who Leave an Emergency Department Without Being Seen McKinney C, University of Connecticut, Hartford, CT

204

Injury Profile of Electrical Conducted Energy Weapons Bozeman WP, Wake Forest University, Winston Salem, NC

205

Ultrasound 209

A Survey of Ultrasound Use by Emergency Physicians in California River G, University of California San Francisco, San Francisco, CA

210*

Gastrostomy Tube Replacement and Confirmation Under Ultrasound Guidance Wu TS, Orlando Regional Medical Center, Orlando, FL

211

The Right Intercostal Window in Bedside Ultrasonography for IVC Measurements is an Alternative to Traditional Subxiphoid Views Hayden G, University of Pennsylvania, Philadelphia, PA

212

An Observational Study of Emergency Medicine Bedside Ultrasound in a Far-Forward Deployed Military Operational Environment Mehta SG, Brooke Army Medical Center, Ft. Sam Houston, TX

Cardiology 229

Comprehensive Study of Myocarditis in the Emergency Department (COSMED V): Endothelial Activation, Oxygen Stress, and NTproBNP in Acute Myocarditis Bentancur AG, Sheba Medical Center, Tel Hashomer, Israel

230†

Utility of BNP Level to Predict Outcomes in a Heart Failure Observation Unit Population Jois-Bilowich P, Cleveland Clinic, Cleveland, OH

213

Emergency Gallbladder Ultrasonography: Does Fasting Matter? Giordano MT, Christiana Care Health System, Newark, DE

214

Can Emergency Physicians Identify Fractures in an Animal Model? Barata IA, North Shore University Hospital, Manhasset, NY

215

Transverse and Longitudinal Inferior Vena Cava Measurements are Equally Accurate and Useful Hayden G, University of Pennsylvania, Philadelphia, PA

231

Inferior Vena Cava Measurements by Intensivists are Different from those of Echocardiologists Hayden G, University of Pennsylvania, Philadelphia, PA

216

Bedside Ultrasound in the Detection and Management of Abscess Gupta S, New York Hospital Queens, Flushing, NY

232†*

217*

An Unseen Danger: Frequency Of Posterior Vessel Wall Penetration By Needles During Ultrasound Guided Internal Jugular Vein Central Line Placement Blaivas M, Northside Hospital Forsyth, Atlanta, GA

The Audicor S3: Use in the BNP Indeterminate Zone and Impact on Physician Clinical Confidence in Acute Heart Failure Collins SP, University of Cincinnati, Cincinnati, OH

233

The Utility of Bedside Ultrasound in the Detection of a Ruptured Globe in a Porcine Model Chandra A, New York Hospital Queens, Flushing, NY

Do Acute Coronary Syndrome Patients With a Higher Body Mass Index Receive More Aggressive Treatments? Drumheller BC, North Shore University Hospital, Manhasset, NY

234

Comparison of Echocardiographic Parameters in Patients With Heart Failure and Positive Urine Toxicologic Screens for Methamphetamine or Cocaine Diercks DB, UC Davis Medical Center, Sacramento, CA

235

The Effect of Temperature on Illness Severity in Emergency Department Congestive Heart Failure Patients Allegra JR, Morristown Memorial Hospital, Morristown, NJ

236

Time to Disposition of a “Triple Rule-Out” Multidetector CT Scan Compared to Traditional Stress Testing for Emergency Department Observation Patients Being Ruled Out for Acute Coronary Syndrome Takakuwa KM, Thomas Jefferson University, Philadelphia, PA

237

Rate of Conversion from Atrial Fibrillation to Normal Sinus Rhythm Using Diltiazem in the Emergency Department Brennick DL, Michigan State University, Lansing, MI

218

TUESDAY, OCTOBER 9, 2007 9:30 - 11:30 AM Poster Session 4 Administration 219EMF*

The Use of an Express Admit Unit to Alleviate ED Crowding Hong R, Christiana Care Health System, Newark, DE

220

Productivity: Do 8-9 Hour Shifts Make a Difference? Hart A, Christus Spohn Memorial, Corpus Christi, TX

221

The Effect of a Doctor in Triage on Press Ganey Patient Satisfaction Scores Crane PW, University of Rochester, Rochester, NY

10A Annals of Emergency Medicine

Volume , .  : September 

Research Forum Educational Program 2007 TUESDAY, OCTOBER 9—cont’d 238†

Does Time to IV Diuretic Matter in the Emergency Treatment of Acute Decompensated Heart Failure? Peacock WF, The Cleveland Clinic, Cleveland, OH

252*

Thermal Abuse of Succinylcholine on EMS Vehicles Troncoso A, Morristown Memorial Hospital, Morristown, NJ

358‡

Improving Door-to-ECG Time in ST-Elevation Myocardial Infarction (STEMI) Phelan MP, Cleveland Clinic, Cleveland, OH

253

Description and Efficacy of Treatment of Hemodynamically Significant Bradycardia in a Large, Urban, Pacing-capable EMS System Marsan Jr. RJ, University of California, San Diego Medical Center, San Diego, CA

254

Is Female Sex Associated With Emergency Department Delays to Diagnosis of Appendicitis in the CT Era? Donlan SM, Northwestern University, Feinberg School of Medicine, Chicago, IL

Incarceration and Out-of-Hospital Care: EMS Response to Correctional Facilities Lamba S, UMDNJ, New Jersey Medical School, Newark, NJ

255

Effect of Changing Triage Acuity Scales on the Triage Distribution of Patients Presenting With Chest Pain James II A, Washington University, Saint Louis, MO

A Treatment of Fire Ant Stings: A Randomized, Double-Blinded, Placebo-Controlled Trial Using a Topical Spray Tauferner DH, Carl R Darnall Medical Center, Fort Hood, TX

256

Resident Training in Constricting Band Removal: Motorized Cutting Sung S, The Brooklyn Hospital Center, Brooklyn, NY

Agreement on Trauma System Activation Among Transporting Paramedics and Emergency Physicians in an Urban Trauma Center Wydro GC, Temple University School of Medicine, Philadelphia, PA

257

Does the Amount of Urine Output After Foley Catheter Placement Correlate With an Elevation in Creatinine in Cases of Urinary Retention? Shah H, North Shore University Hospital, Manhasset, NY

Utilization of Emergency Lights and Sirens by Urban Paramedics: Analysis of Indications for Their Use Wydro GC, Temple University School of Medicine, Philadelphia, PA

258

Out-of-Hospital Placement of Adult Intraosseous Access Using the EZ-IO Device Harrington LL, Boston Medical Center, Boston, MA

Diagnosis/Treatment 239

240

241

242

*

243

Inadequacy of Temperature and White Blood Cell Count in Predicting Sepsis and Septic Shock Seigel TA, Beth Israel Deaconess Medical Center, Boston, MA

244

A Prospective Evaluation of Carnett’s Test for Acute Abdominal Pain in the Emergency Department Young SE, Darnall Army Medical Center, Fort Hood, TX

245

246

Resuscitation 259*

Can Clinical Parameters Differentiate Severity of Diverticular Disease in Emergency Department Patients? Fiorini MM, North Shore University Hospital, Manhasset, NY

LIFE Campaign: Implementation of Sepsis Bundle Results in Significant Cost Savings Becker ML, St. Luke’s Medical Center, Milwaukee, WI

260

Absence of Fever and Elevated White Blood Count Does Not Exclude the Diagnosis of Diverticulitis as Determined by CT in the Emergency Department Mounday AD, Washington University in St. Louis, Saint Louis, MO

Time to Physician Affects Mortality in Patients Presenting to the Emergency Department With Septic Shock Engineer RS, The Cleveland Clinic Foundation, Cleveland, OH

261

Discrepancy Between Rates of Emergency Medical Dispatcher and First Response Unit Personnel Reported Bystander CPR Silvestri S, Orlando Regional Medical Center, Orlando, FL

247

Is Non-invasive Impedance Cardiography Recording for Shock Patient in the Emergency Department Useful for Outcome Analysis? Kashyap R, Mayo Clinic College of Medicine. Division of Emergency Medicine Research, Rochester, MN

262

Knowledge and Attitudes Toward Performance of Cardiac Resuscitation Within a Cohort of Layperson Workers at a Mass Gathering Venue Shimmin S, Mayo Clinic Arizona, Scottsdale, AZ

248

Prognostic Value of Plasminogen Activator Inhibitor-1 and Tissue Plasminogen Activator in the Evaluation of Patients With Chest Pain Glynn T, Michigan State University Emergency Medicine Residency, Department of Emergency Medicine, Ingham Regional Medical Center, Lansing, MI

263

Pre-resuscitation Predictors of Event Mortality in 49,130 InHospital Cardiac Arrests: A Report from the National Registry for Cardiopulmonary Resuscitation Larkin GL, Yale University, New Haven, CT

264

EMF-2

Randomized Trial of Pretest Probability in Low Risk Patients with Chest Pain Kline JA, Carolinas Medical Center, Charlotte, NC

Preliminary Cost Estimation of Goal Directed Protocol Treatment of Sepsis: What is the Role of the ED in Generating Costs Relative to Total Hospital Costs? Venkatesh AK, Northwestern University, Feinberg School of Medicine, Chicago, IL

265*

Can Feedback by Using Audible Sound Improve Performance of Cardiopulmonary Resuscitation in Simulated Cardiac Arrest? Oh J, Chung-Ang University Hospital, Seoul, Republic of Korea

266

Rapid Response Team Intervention for Unstable Patients in a Community Hospital System Morton MJ, University of Pennsylvania School of Medicine, Philadelphia, PA

267*

Emergency Health Care Providers’ Adaptation to a Hospital-Wide Guideline for the Mechanically Ventilated Patients Arbelaez C, Brigham and Women’s Hospital, Boston, MA

Emergency Medical Services 249

Out-of-Hospital Physiologic Predictors of Sepsis Outcomes Wilcox SR, Brigham and Women’s Hospital/Harvard Medical School, Boston, MA

250

Comparing Differences in the Triage Distribution of Emergency Department Patients Using Two Different 5-tier Triage Acuity Scales James II A, Washington University, Saint Louis, MO

251

Impact of Intubation on Out-of-Hospital Cardiac Arrest Survival Swor R, William Beaumont Hospital, Royal Oak, MI

Volume , .  : September 

Annals of Emergency Medicine 11A

Research Forum Educational Program 2007 TUESDAY, OCTOBER 9—cont’d 268EMF†* Innovative Methods of Dispatcher-Assisted Cardiopulmonary

Resuscitation, Mobile Movie Assisted: A Preliminary Study Seol S, Ajou University School of Medicine, Suwon, Republic of Korea

283

Critical Metrics in the Management of an ED Observation Unit Oswald N, William Beaumont Hospital, Royal Oak, MI

284

Reassessment of Emergency Physician Workforce Needs Camargo Jr. CA, Massachusetts General Hospital, Boston, MA

285

A Multi-Center Analysis of Time Spent Boarding Inpatients in the ED Lucas R, George Washington University, Washington, DC

286

Use of Lean Techniques to Simplify Admission Procedures and Decrease ED Process Time Schuur JD, RWJ Clinical Scholars Program, VA Medical Center & Yale University School of Medicine, New Haven, CT

287*

Using Computer Simulation as an ED Operations Tool and Research Resource Powell ES, Northwestern University, Chicago, IL

288

Are Procedures Performed by Emergency Medical Services Personnel Used by the Pediatric Emergency Department? Mun ˜iz AE, The University of Texas Medical School at Houston, Houston, TX

Ultrasound 269

Analysis of Lawsuits Filed Against Emergency Physicians Over Bedside Emergency Ultrasound Examination Performance or Interpretation Over a 20-Year Period Blaivas M, Northside Hospital Forsyth, Atlanta, GA

270

Ultrasound-Guided Peripheral Venous Access by Emergency Medical Technicians in Patients With Difficult Access White S, University of Utah, Salt Lake City, UT

271*

Can the Degree of Hydronephrosis on Focused Emergency Ultrasound Predict Kidney Stone Size? Goertz JK, Long Island Jewish Medical Center, New Hyde Park, NY

272

Can Emergency Medical Services Personnel Identify Pneumothorax on Focused Ultrasound Examinations? Modayil V, North Shore University Hospital, Manhasset, NY

273

Evaluation of Emergency Medicine Resident Introductory Ultrasound Rotation by a Multimedia Testing Competency Tool Tayal VS, Carolinas Medical Center, Charlotte, NC

274

Utilizing FAST and Laboratory Testing to Exclude Intra-Abdominal Injuries in Emergency Department Patients With Blunt Abdominal Trauma Keith J, University of Mississippi Medical Center, Jackson, MS

275*

Multi-Center Assessment of Sonography for Abdominal Pain Wang CT, UCLA-Olive View, Los Angeles, CA

276†

Emergency Physicians Who Use Ultrasound Demonstrate Higher Performance Parameters Compared To Colleagues Who Are Rare Users, Independent of the Clinical Hours or Shift Type Worked Sierzenski PR, Christiana Care Health System, Newark, DE

277*

278

A Prospective Comparison of Emergency Physician-Performed Limited Venous Ultrasound and CT Venography of the Lower Extremity for Deep Venous Thrombosis Shiver SA, Medical College of Georgia, Augusta, GA Ultrasound-Guided Peripheral Venous Access by Emergency Medical Technicians Sturges Z, University of Utah, Salt Lake City, UT

1:00 - 2:30 PM Poster Session 5 Administration 279

Short Stay Admissions: Emergency Department (ED) Observation Unit (OBS) Compared to In Hospital Norton RL, Oregon Health & Science University, Portland, OR

280

Computer Simulation Enriched Process Re-engineering: Reducing Antibiotic Delivery Cycle Time in Community Hospital Pneumonia in Geriatric Patients and in Patients of All Ages Espinosa JA, Kennedy Health System, Stratford, NJ

281EMF*

282

ED Crowding Has No Impact on Time to Antibiotics or Survival in Septic Patients Receiving Early Goal-Directed Therapy Pines JM, University of Pennsylvania, Philadelphia, PA Modeling Competition for Inpatient Cardiac Care: Impact on Emergency Department Boarding Times Levin S, Vanderbilt University, Nashville, TN

12A Annals of Emergency Medicine

Emergency Medical Services 289

Impact of a Restraint Training Module on Paramedic Students’ Knowledge and Likelihood to Use Emergency Restraints Campbell M, University of New Mexico, Albuquerque, NM

290

Agreement Between Written Documentation and Verbal Notification by Out-of-Hospital Advanced Life Support Providers of ST Segment Elevation Acute Myocardial Infarction (STEMI) Feldman J, Boston University, Boston, MA

291†

Improving Intubation Success Rates in a Low Volume EMS System through Best Practice Training and Performance Levitan RM, Albert Einstein Medical Center, Philadelphia, PA

292

Capnography as a Determinant of Ventilatory Status for Out-ofHospital Obtunded Patients Martin DL, Orlando Regional Medical Center, Orlando, FL

293*

Out-of-Hospital Blood Administration in an Air Medical Program Tilney PV, University of New England College of Osteopathic Medicine, Biddeford, ME

294

Arrival by EMS as a Predictor of Admission in Pediatric Patients Soto F, Morristown Memorial Hospital, Morristown, NJ

295*

There is No Difference in Percent of Patients With Acute Cerebrovascular Accident Transported by Ambulance in Urban vs. Suburban or Rural Hospitals Feinstein S, Morristown Memorial Hospital, Morristown, NJ

296*

External Validation of Out-of-Hospital Stroke Evaluation Criteria for EMT-Basics Suh D, Seoul National University College of Medicine, Seoul, Republic of Korea

Geriatrics 297*

Emergency Services Utilization and its Correlates Among Community-dwelling Older Adults Receiving Aging Services Richardson TM, University of Rochester, Rochester, NY

298

Vision Screening in Elderly Emergency Department Patients Lee DC, North Shore University Hospital, Manhasset, NY

299*

Emergency Department Recognition of Cognitive Impairment in the Elderly Hwang U, Mount Sinai School of Medicine, New York, NY

Volume , .  : September 

Research Forum Educational Program 2007 TUESDAY, OCTOBER 9—cont’d 300EMF

Use of ADReS Screening Tool in an ED Population of Older Drivers Fender T, Summa Health System/Northeastern Ohio Universities College of Medicine, Akron, OH

301

Quality of Information Transfer During Patient Transitions from Skilled Nursing Facility to the Emergency Department Hustey FM, Cleveland Clinic, Cleveland, OH

302*

Use of Intoxicants in Elderly Trauma Patients in Southwestern Florida Paula Jr. R, University of South Florida, Tampa, FL

303

A Screening Protocol to Identify Unmet Palliative Care and Hospice Needs of Elderly Patients in the ED Lawson R, Pain and Emergency Medicine Institute, New York, NY

304*

Diagnostic Accuracy of Pneumonia and Timing to Antibiotic Differ in Geriatric Patients With Pneumonia Chandra A, Duke University Medical Center, Durham, NC

305*

Awareness of Stroke Symptoms in the Highest Risk Group: The Elderly Bellolio MF, Mayo Clinic College of Medicine. Division of Emergency Medicine Research, Rochester, MN

306

DNR in Emergency Patients Hogan TM, Resurrection Medical Center, Chicago, IL

307

Plain Chest Radiography is an Inadequate Screening Tool in Elderly Blunt Trauma Patients Paula Jr. R, University of South Florida, Tampa, FL

315

Evidence Behind the 4-Hour Rule for Initiation of Antibiotic Therapy in Community-Acquired Pneumonia (CAP) Yu KT, New York-Presbyterian Hospital, New York, NY

EMF-3

Physiologically Based Pharmacokinetic Modeling of Staphylococcus Epidermidis Bloodstream Infection Clearance Reveals Multi-organ Filtration Defects in Neutropenia Chung H, University of Michigan, Ann Arbor, MI

Injury Prevention 316

DIAL: A Telephone Intervention for High-Risk Alcohol Use With Injured ED Patients Mello MJ, Rhode Island Hospital, Brown University, Providence, RI

317*

Disparities in Pedestrian Crashes Using Geographic Information System (GIS) Data in a Large Southern California County Chakravarthy B, University of California, Irvine, Orange, CA

318

Injured and Uninjured ED Patients: Alcohol and Marijuana Use, Risky Behavior, and Readiness to Change Becker BM, Rhode Island Hospital, Providence, RI

319

The Relationship Between Facial Bone Fractures With Accompanied Injuries and the Helmet Types of the Motorcyclists in Traffic Accidents Liu CH, Chia-Yi Christian Hospital, Chia-Yi, Taiwan

320*

Association between Socioeconomic Status and the Incidence and Severity of Traumatic Brain Injury Shin S, Seoul National University College of Medicine, Seoul, Republic of Korea

321*

Motorcycle Helmet Use in the Dominican Republic Kessler D, Mount Sinai Medical Center, New York, NY

322EMF

Project Integrate: Translating Screening and Brief Interventions for Alcohol to a Community Emergency Department Mello MJ, Rhode Island Hospital, Brown University, Providence, RI

323

Effect of an Educational Intervention on the Knowledge and Use of Child Car Safety Restraints in Parents of 4-12-Year-Old Children Jackson AT, University of California-Davis, Sacramento, CA

324

Risk Factors for Dive Injury Beckett A, Resurrection Medical Center, Chicago, IL

Infectious Diseases 308

Experience of Emergency Medical Personnel in Medical Mission Trips to Central America: Patients’ Complaints are Mostly Similar to US Patients Mun ˜iz AE, The University of Texas Medical School at Houston, Houston, TX

309

Short-Term Implementation of a Non-clinical Physician Pneumonia Czar Leads to Significant Improvement in Attainment of the 4Hours-to -Antibiotic JCAHO/CMS Core Quality Measure in the Treatment of Community-Acquired Pneumonia: A Novel Approach Jerrard DA, University of Maryland, Baltimore, MD

310*

311

312*

313

314

Simplified Acute Physiology Score II, pH, and Serum Lactate as Predictors of Hospital Mortality in Severe Sepsis and Septic Shock Patients Lee S, Korea University Ansan Hospital, Ansan Kyunggi-do, Republic of Korea

Neurology 325

Incision and Drainage With or Without Antibiotics for the Treatment of Community-Acquired, Methicillin-Resistant Staphylococcus aureus Skin and Soft Tissue Infections in the Emergency Department Gregory T, Christiana Care Health System, Newark, DE

Implementation of a Transient Ischemic Attack Clinical Pathway: A Pilot Study in Knowledge Translation Brown MD, Grand Rapids MERC/Michigan State University, Grand Rapids, MI

326

Early Antibiotic Treatment to Severe Sepsis/Septic Shock Patients in the Emergency Department Does Not Improve Survival Mullen M, University of Massachusetts, Worcester, MA

Effect of Blood Pressure Hemodynamics on Outcome After Intracerebral Hemorrhage Enduri S, Mayo Clinic College of Medicine, Division of Emergency Medicine Research, Rochester, MN

327

Retrospective Validation of a Clinical Decision Rule to Safely Rule Out Subarachnoid Hemorrhage in Emergency Department Headache Patients Hart D, Hennepin County Medical Center, Minneapolis, MN

328

Perihematomal Edema Growth is Not Associated With Hemodynamic Variables Jauch EC, University of Cincinnati, Cincinnati, OH

329

Automated Activation of a Stroke Team and Radiology Reduces Time to Evaluation and Brain Imaging Baer A, Stony Brook University, Stony Brook, NY

Characteristics and Outcomes of Patients With Spinal Epidural Abscess Jones J, Wayne State University School of Medicine, Detroit, MI Do CA-MRSA Risk Factors Predict Those Patients with CA-MRSA Abscesses Who Will Fail Outpatient Management? Glover WB, Wake Forest University Health Sciences, Winston Salem, NC

Volume , .  : September 

Annals of Emergency Medicine 13A

Research Forum Educational Program 2007 TUESDAY, OCTOBER 9—cont’d Low Frequency of Overly Rapid Serum Sodium Correction During Treatment of Euvolemic or Hypervolemic Hyponatremia With Conivaptan Wagoner LE, University Hospital, Cincinnati, OH

330

343

Ultrasound Measurements of Lower Extremity Interstitial Fluid Thickness May Be Used as an Early Indicator of Dehydration Summers RL, University of Mississippi Medical Center, Jackson, MS

344*

Focused Training of Emergency Medicine Residents in Bedside Thoracic Ultrasound: Assessment for Pneumothorax Adhikari S, University of Nebraska Medical Center, Omaha, NE

345†

Ultrasound Measurement of Cardiac Activity During Conducted Electrical Weapon Application in Exercising Adults Ho JD, Hennepin County Medical Center, Minneapolis, MN

346

Location of the Median Nerve: A Comparison of Anatomic Landmarks to Ultrasound Lopez F, Morristown Memorial Hospital, Morristown, NJ

347

The Safety and Efficacy of Ultrasound-Assisted Thoracentesis in the Emergency Department Aguilera P, Martin Luther King Jr./Drew Medical Center, Los Angeles, CA

348

Atrial Fibrillation as an Independent Predictor of Poor Outcome After Ischemic Stroke Bellolio MF, Mayo Clinic College of Medicine. Division of Emergency Medicine Research, Rochester, MN

Ultrasonographic Determination of Pubic Symphyseal Widening in Trauma: The FAST-PS Study Bauman M, University of New Mexico, Albuquerque, NM

349

Comparing the FOUR Score and Glasgow Coma Scale Performed by Diverse Evaluators Nash DL, Mayo Clinic College of Medicine. Division of Emergency Medicine Research, Rochester, MN

Estimation of Central Venous Pressure Using Ultrasound Imaging of Inferior Vena Cava Jeung K, Chonnam National University Hospital, Gwangju, Republic of Korea

350

Correlation Between Emergency Physician Performed IntimalMedial Thickness Measurement of the Common Carotid Artery and Stress Echocardiography Results in Low Risk Patients Evaluated for Chest Pain in an ED Observation Unit Blaivas M, Northside Hospital Forsyth, Atlanta, GA

351

The Effect of Compression on Ultrasound Archival Video Lyon M, Medical College of Georgia, Augusta, GA

ELISA D-dimer Assay of Cerebrospinal Fluid for the Diagnosis of Subarachnoid Hemorrhage Alexander C, Grand Rapids MERC/Michigan State University, Grand Rapids, MI

331

The New FOUR Score Coma Scale as a Predictor of Functional Outcome at Hospital Discharge Following ED Presentation for Neurologic Complaint Bhagra A, Mayo Clinic College of Medicine. Division of Emergency Medicine Research, Rochester, MN

332

333

Acute Ischemic Stroke: An Indian Perspective Joshi M, Apollo Hospital, Hyderabad, Andhra Pradesh, India

334*

Sex Bias in Intervention for Acute Ischemic Stroke? Yassa AS, Mayo Clinic College of Medicine, Division of Emergency Medicine Research, Rochester, MN

79‡

Serum Magnesium as a Predictor of Stroke Severity Kashyap R, Mayo Clinic College of Medicine, Division of Emergency Medicine Research, Rochester, MN

105*‡

108‡

Ultrasound

Trauma 335*

Severe Traumatic Brain Injury: Stabilization or Definitive Care Hsu A, Christiana Care Health System, Newark, DE

336

Trends in Operative Interventions for Adults With Splenic and/or Hepatic Injuries Schiller J, Stony Brook University, Stony Brook, NY *

337

Development and Validation of the Excess Mortality Ratio-adjusted Injury Severity Score Using International Classification of Disease 10th Edition Shin S, Seoul National University College of Medicine, Seoul, Republic of Korea

2:30 - 3:30 PM Poster Session 6 Airway 352†*

Emergency Video-Assisted Laryngoscopy National Emergency Airway Registry (NEAR) V: An Initial Report of 81 Intubations Brown III CA, Brigham and Women’s Hospital, Boston, MA

353†

Comparison of the Airtraq® Optical Laryngoscope to Direct Laryngoscopy in a Manikin Model for Easy and Difficult Intubations Dziedzic M, University of Connecticut, Hartford, CT

354

Epidemiology of Acute Respiratory Failure and Mechanical Ventilation in U.S. Emergency Departments, 1993-2004 Schuur JD, VA Medical Center, New Haven, CT

355

Intubation Success Rates by Emergency Medicine Resident Year of Training Utilizing National Emergency Airway Registry (NEAR) as a Benchmark Yuen H, MetroHealth Medical Center, Cleveland, OH

338

Emergent Operative Trends in Major Adult Trauma Patients Irvin CB, St. John Hospital and Medical Center, Detroit, MI

339*

Cervical Spine Fractures: A Consequence of Mounted Operations in Iraq Holder AD, Wilford Hall Medical Center, Lackland AFB, TX

340

Trends in Injury Severity Scores and Mortality Rates after Motor Vehicle Collisions Tarsia V, Stony Brook University, Stony Brook, NY

341*

The Reliability of Triage Classification as a Predictor of Severity in Major Trauma Torres Jr. HC, Lincoln Medical Center, New Hyde Park, NY

356

Endotracheal Intubation With a Handheld Videoscope: A Prospective Study for Combat and Out-of-Hospital Medical Care Dooley MJ, SAUSHEC Wilford Hall, San Antonio, TX

342EMF*

Variability in Pediatric Utilization of Trauma Facilities in California: 1999-2005 Wang NE, Stanford University School of Medicine, Palo Alto, CA

357

The Medication-Assisted Intubation Matrix©: A Literature Review and Evidence-Based Guidelines Horvath II PR, Kalamazoo Center for Medical Studies, Kalamazoo, MI

14A Annals of Emergency Medicine

Volume , .  : September 

Research Forum Educational Program 2007 TUESDAY, OCTOBER 9—cont’d Cardiology 359

Subsequent Adverse Event Following Syncope: Who Is at Highest Risk? Sandefur BJ, Mayo Clinic College of Medicine. Division of Emergency Medicine Research, Rochester, MN

360

Electrocardiographic Predictors of Short-term (1 month) and Longterm (1 year and 3 years) Mortality in Elderly and Non-elderly Patients with Syncope Marinsek M, Celje General Hospital, Celje, Slovenia

361

The Triple Workup for Emergency Department Patients with Acute Chest Pain: How Often Does it Occur? Rogg JG, Tufts University School of Medicine, Boston, MA

362

Coronary Artery Disease in Patients Younger than 50 Years of Age Presenting Through the Emergency Department Paula Jr. R, University of South Florida, Tampa, FL

363

Pericarditis: Incidence and Clinical Presentation Gleason M, University of Mississippi Medical Center, Jackson, MS

364

365

The Utility of 80-lead as Compared to 12-lead ECG in Detecting Infarction in Patients Undergoing Cardiac Catheterization Lindsell CJ, University of Cincinnati, Cincinnati, OH Retrospective Study of Delayed Diagnosis of Acute Myocardial Infarction (AMI) at the Emergency Department (ED) in a Japanese Community Hospital Sumida Y, Shonan Kamakura General Hospital, Kamakura, Japan

Education Emergency Staff’s Knowledge of Ischemic Stroke Therapy: Impact of a Brief Educational Intervention Lamba S, UMDNJ, New Jersey Medical School, Newark, NJ

367

Emergency Medicine Residency Applicants’ Perceptions About Being Contacted After Interview Day Yarris LM, Oregon Health & Science University, Portland, OR

369

Variation in Use of Observation Status Evaluation in Massachusetts Acute Care Hospitals, 2003-2005 Schuur JD, RWJ Clinical Scholars Program, VA Medical Center & Yale University School of Medicine, New Haven, CT

375

The Frequency and Economic Burden of Ambulance Utilization for Non-Emergent Medical Conditions Michael GE, University of Virginia - Department of Emergency Medicine, Charlottesville, VA

376*

The Barriers Affecting Health Care Providers’ Willingness to Perform Routine HIV Testing in the Emergency Department Arbelaez C, Brigham and Women’s Hospital, Boston, MA

377

The Effect of Same-Day Referral to an Urgent Access Clinic of Ambulatory Emergency Department Patients on Emergency Department Volume, Length of Stay, and Patient Wait Time to Initial Physician Evaluation Hedayati T, Keck School of Medicine, USC, Los Angeles, CA

378

Higher Level of Care Transfers in California Emergency Departments Menchine MD, University of California, Irvine, Orange, CA

379*

Patient Usage of the University Emergency Department in Kosovo OHanlon K, University of Rochester, Rochester, NY

EMF-4

The Operational and Financial Impact of an Observation Unit in an Emergency Department Sikka V, Virginia Commonwealth University, Richmond, VA

Imaging

366

368*

374*

Central Line Emergency Access Registry: A Multi-Center Study to Determine Resident Competency With Central Venous Catheter Insertion Balls A, Maricopa Medical Center, Phoenix, AZ Is Education on Breathing Necessary in Mass CPR Education for Laypersons?: Results of Video Self-instruction Training Executed with CPR Anytime™ Im T, Hanyang University, College of Medicine, Seoul, Republic of Korea

370

Are We Teaching the Right Things? A Survey of EM Post-Residency Self-Assessment of Procedural Needs Druck J, University of Colorado, Denver, CO

371

A National Survey of Bedside Teaching in Emergency Medicine Residency Programs Mehta SG, Brooke Army Medical Center, Ft. Sam Houston, TX

372

University of Puerto Rico Emergency Medicine Program and the Impact Throughout the Country Ruiz DL, University of Puerto Rico School of Medicine, San Juan, Puerto Rico

380

Reformatting of Computed Tomography Scans in the Detection of Thoracic and Lumbar Spine Fractures Gross EA, Hennepin County Medical Center, Minneapolis, MN

381

A Brief Training Module Improves Recognition of Echocardiographic Wall Motion Abnormalities by Emergency Physicians Kerwin C, Advocate Christ Medical Center, Oak Lawn, IL

382

Pericardial Effusions Diagnosed by Bedside Emergency Department Ultrasound Drumheller BC, North Shore University Hospital, Manhasset, NY

383

Disparities in Computed Tomography Utilization for Adult Patients Presenting to the Emergency Department With Headache Harris B, Mount Sinai School of Medicine, New York, NY

384

Are Laboratory and Objective Clinical Data Predictive of Complicated Acute Diverticulitis in Emergency Department Patients? Barlas D, New York Hospital Queens, Flushing, NY

Pain Management 385*

Combining Ketamine and Propofol (“Ketofol”) for Procedural Sedation in the Emergency Department Arora S, Keck School of Medicine, USC, Los Angeles, CA

386*

Do Physician Assistants Administer and Prescribe Pain Medications Differently to Black Patients? Mellon TJ, Good Samaritan Hospital Medical Center, West Islip, NY

387

Measurement of Acute Pain With Word List Descriptors Fosnocht DE, University of Utah, Salt Lake City, UT

Health Care Policy 373

The Willingness of Patients With Non-Emergent Conditions Presenting to the Emergency Department to be Referred to a SameDay Appointment at an Affiliated Urgent Access Clinic Hedayati T, Keck School of Medicine, USC, Los Angeles, CA

Volume , .  : September 

Annals of Emergency Medicine 15A

Research Forum Educational Program 2007 TUESDAY, OCTOBER 9—cont’d 388*

Can Emergency Physicians Recognize Respiratory Depression in Patients Who Do Not Become Hypoxic During ED Procedural Sedation and Analgesia? Deitch K, Albert Einstein Medical Center, Philadelphia, PA

403*

Impact of Emergency Medicine Residents on Attending Physician Productivity: A Case-Control Study Akbar S, Lincoln Medical and Mental Health Center, Bronx, NY

389*

Does Radiographic Imaging Affect Pain Management in the ED? Nelson BP, Mount Sinai School of Medicine, New York, NY

404

390

Ease of Use, Utility and Accuracy of the 11 Point (0-10) Numeric Rating Scale Fosnocht DE, University of Utah, Salt Lake City, UT

Factors Related to Patients’ Acceptance of Hospital-at-Home Care from the Emergency Department: Is Their Clinical Condition Decisive? Sanchez M, Hospital Clinic, Barcelona, Spain

405

Emergency Department Crowding and Factors Influencing Patient Flow Birkhahn RH, New York Methodist Hospital, Brooklyn, NY

406

Adding a Drug to the Emergency Department Automated Medication Management System Does Not Always Increase its Use Conners GP, University of Rochester, Rochester, NY

391

Propofol for Procedural Sedation in a Rural Emergency Department Engel J, St. Claire Medical Center, Morehead, KY

Pediatrics 392

The Accuracy of Emergency Physician Prediction of and Resuscitation of Dehydration in the Pediatric Patient Gupta S, New York Hospital Queens, Flushing, NY

Public Health 407EMF†

The Correlation of the Percentage of Dehydration to the Serum Bicarbonate and Anion Gap of the Pediatric Patient Gupta S, New York Hospital Queens, Flushing, NY

Implementation of Hemoglobin A1c Testing to Identify Undiagnosed and Uncontrolled Diabetes in the Emergency Department Ginde AA, Beth Israel Deaconess Medical Center, Boston, MA

408*

394

The Accuracy of Pediatric Weight in the Emergency Department: Do Caregiver Weight Estimates Measure Up? Patel A, Advocate Christ Medical Center, Oak Lawn, IL

Who Has Not Been Tested for HIV? HIV Testing History Varies by Patient Demography Merchant RC, Brown Medical School, Providence, RI

409*

395

Follow-up in Children Presenting With First Time Seizure: Who Had a Greater Risk of Developing Epilepsy? Enduri S, Mayo Clinic College of Medicine, Division of Emergency Medicine Research, Rochester, MN

Intimate Partner Violence and Out-of-Hospital Intervention: A Public Health and Emergency Medical System Alliance Eliseo LJ, Boston University Medical Center, Boston, MA

410

The Availability of Data Elements in Electronic Medical Records to Investigate Syndromic Surveillance Signals Cochrane DG, Morristown Memorial Hospital, Morristown, NJ

411

Identifying Adolescents at Risk for Obesity in the Pediatric Emergency Department: Body Mass Index, Nutrition, and Exercise Choices Becker BM, Rhode Island Hospital, Providence, RI

412

The EMcounter Project: A Study of the Epidemiology of Medical Emergencies in India Anthony DR, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY

413*

Patient-Focused Care Plans are an Effective Way of Reducing Emergency Department Utilization Becker ML, St. Luke’s Medical Center, Milwaukee, WI

393

396

Guardian Availability When Children are Evaluated in the Emergency Department for Blunt Head Trauma Holmes Jr. JF, UC Davis School of Medicine, Sacramento, CA

397

The Prevalence of Overweight Children and Their Characteristics in a Pediatric Emergency Department Baumann BM, UMDNJ-RWJMS, Camden, NJ

398

Diagnostic Accuracy of an Abdominal Radiograph With Predictive Signs and Symptoms for Intussusception Mendez DR, Baylor College of Medicine, Houston, TX

120‡

Stroke in Children: Clinical Presentation and Demographics of the Hemorrhagic and Ischemic Stroke in the Emergency Department Enduri S, Mayo Clinic College of Medicine, Division of Emergency Medicine Research, Rochester, MN

Asthma Practice Management 399

Using an Accelerated Diagnostic Pathway to Disposition Patients With Suspected Acute Coronary Syndrome Haines E, New York Methodist Hospital, Brooklyn, NY

400

Physician-Directed Queuing (PDQ) Improves Health Care Delivery in the ED: Early Results DeFlitch C, Penn State Hershey Medical Center, Hershey, PA

401

Clinical Course and Associated Factor of Reexpansion Pulmonary Edema in Non-traumatic Spontaneous Pneumothorax Kim H, Wonju College of Medicine, Wonju, Republic of Korea

402

BEST “Better Early Stroke Treatment”: Implementation of an Acute Stroke Pathway Improves Emergency Department Throughput Hoff AM, Mayo Clinic College of Medicine, Division of Emergency Medicine Research, Rochester, MN

16A Annals of Emergency Medicine

414†*

Continuous Positive Airway Pressure Improves Respiratory Function in Acute Asthma Nelson BP, Mount Sinai School of Medicine, New York, NY

415†

Evaluation of the Slope of Phase III from the Volumetric Capnogram as a Non-effort Dependent Surrogate of Peak Expiratory Flow Rate in Acute Asthma Exacerbation Druck J, University of Colorado, Denver, CO

Pulmonary 416*

Prospective Evaluation of Cancer History as a Predictor Variable Associated With Venous Thromboembolism in ED Patients Being Tested for Pulmonary Embolism Courtney DM, Northwestern University, Chicago, IL

417*

Unsuspected Pulmonary Embolism in Observation Unit Patients Limkakeng Jr. AT, Duke University Medical Center, Durham, NC

Volume , .  : September 

Research Forum Educational Program 2007 TUESDAY, OCTOBER 9—cont’d 418†*

Evaluation of End-Tidal Carbon Dioxide Role in Predicting Elevated SOFA Scores and Lactic Acidosis McGillicuddy DC, Beth Israel Deaconess Medical Center, Boston, MA

419

JCAHO-CMS PN-5b: Does Compliance With the 4-Hour Antibiotic Rule Affect Outcomes in Pneumonia Patients? Maniago EM, Staten Island University Hospital, Staten Island, NY

420

Low Incidence of Pulmonary Embolism in Anticoagulated and Dialysis Patients: The Experience of an Urban Emergency Department Allegra PC, Hennepin County Medical Center, Minneapolis, MN

EMF-5

Application of the Pulmonary Embolism Rule Out Criteria in a Rural Population Beam DM, Brody School of Medicine at East Carolina University, Greenville, NC

Violence 421†

The Neuroendocrine Effects of the TASER X26 Conducted Electrical Weapon as Compared to Oleoresin Capsicum Dawes DM, Lompoc District Hospital, Santa Barbara, CA

422

Anogenital Injury Following Sexual Assault in Women After Recent Consensual Intercourse Stacey J, Grand Rapids MERC/Michigan State University, Grand Rapids, MI

423†

Breathing Parameters, Venous Blood Gases, and Serum Chemistries With Exposure to a New Wireless Projectile Conducted Electrical Weapon in Human Volunteers Dawes DM, Lompoc District Hospital, Lompoc, CA

424

Comparative Analysis of Incapacitated Versus Forcible Sexual Assault in a Community-Based Population Woolley B, Grand Rapids MERC/Michigan State University, Grand Rapids, MI

425

Human Immunodeficiency Virus Post-Exposure Prophylaxis Acceptance Among Sexual Assault Victims in the Emergency Department Peress DA, North Shore University Hospital, Manhasset, NY

Volume , .  : September 

426

Factors Associated With Prompt vs. Delayed Treatment-Seeking Among Sexual Assault Victims Peress DA, North Shore University Hospital, Manhasset, NY

427

Effect of Menstrual Bleeding on the Detection of Anogenital Injuries in Sexual Assault Victims Stevens J, Grand Rapids MERC/ Michigan State University, Grand Rapids, MI

428

Evaluation of the Use of the TASER and Elevated Force to Control Workplace Violence in a Health Care Environment Norton RL, Oregon Health & Science University, Portland, OR

4:00 - 5:30 PM Cutting-Edge: Highlights of Emergency Medicine Research

Moderator: Brian J. O’Neil, MD, FACEP Panelists: William G. Barsan, MD, FACEP; Michelle H. Biros, MD, MS, FACEP; Jerome R. Hoffman, MD, FACEP; Ian G. Stiell, MD, MSc, FRCPC A panel of experts will focus on the most interesting abstracts of Research Forum and the take-home message for practitioners and researchers alike. No badge or ticket is required to attend this event.

† In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards and the policy of the American College of Emergency Physicians, the presenters noted with an (†) have indicated they have a relationship which, in the context of their presentation, could be perceived by some as a real or apparent conflict of interest (eg, ownership of stock, honoraria, or consulting fees), but these presenters do not consider that it will influence their presentations. EMF Supported by an Emergency Medicine Foundation grant. *Young Investigator. ‡ These abstracts were recategorized after acceptance.

Annals of Emergency Medicine 17A