We are stoked to announce our new group of interns, the Class of 2019! Welcome to Yale!

Class of 2019

Congratulations to the new Chief Residents, Drs. Ryan Coughlin, Dan Savage, Susan Varga, and Anneli von Reinhart!

SAEM’s national meeting will be held May 12-15, 2015 in San Diego, California.

 

All told Yale Emergency Medicine residents and faculty contributed to the academic work behind 9 oral presentations and 15 posters.  Their names are in bold below.  Strong work everyone!  See you in San Diego!

 

Oral Abstracts

Understanding Overuse Of CT For Minor Head Injury In The ED: A Triangulated Qualitative Study. (Plenary) Edward R. Melnick1, Katherine Shafer1, Nayeli Rodulfo1, Joyce Shi2, Erik P. Hess3, Robert L. Wears4, Rija A. Qureshi5, Lori A. Post1. 1Yale School of Medicine, New Haven, CT; 2Yale University, New Haven, CT; 3Mayo Clinic, Rochester, MN; 4University of Florida, Jacksonville, FL; 5Ziauddin Medical University, Karachi, Pakistan

 

Do Chief Complaints Allow Targeting Of Alcohol And Drug Use Screening, Brief Intervention, And/or Referral For Treatment (SBIRT) In The ED? Ryan P. McCormack1, Martina Pavlicova2, Mei-Chen Hu2, Gail D’Onofrio3, Michael Bogenschutz4, Raul Mandler5, Phoebe R. Gauthier1, Bridget McClure1, Lauren J. Moy1, David A. Thompson6, Edward V. Nunes2, John Rotrosen1. 1New York University School of Medicine, New York, NY; 2Columbia University Medical Center, New York, NY; 3Yale University School of Medicine, New Haven, CT; 4University of New Mexico School of Medicine, New Mexico, NM; 5National Institute on Drug Abuse, Bethesda, MD; 6Northwestern University School of Medicine, Chicago, IL

 

Sonography in Cardiac Arrest: Real-time Assessment and Evaluation with Sonography – Outcomes Network (REASON). Romolo Gaspari1, Srikar Adhikari2, Vicki Noble3, Jason Nomura4, Christopher Raio5, Daniel Theodoro6, Anthony Weekes7, Michael Woo8, Paul Atkinson9, David Blehar1, Samuel Brown10, Terrell Caffery11, Ashley Crimmins12, Samuel Lam13, Michael Lanspa10, Margaret Lewis7, Otto Liebmann14, Alexander Limkakeng15, Fernando Lopez15, Elke Platz16, Michelle Mendoza1, Hal Minnigan17, Christopher Moore12, Joseph Novik18, Louise Rang19, Will Scruggs20, Daniel Shogilev15, Paul Sierzenski4, Marsia Vermeulen18. 1University of Massachusetts Medical School, Worcester, MA; 2University of Arizona, Tucson, AZ; 3Massachusetts General Hospital, Boston, MA; 4Christiana Medical Center, Newark, DE; 5North Shore University Hospital, Manhasset, NY; 6Washington University School of Medicine, St Louis, MO; 7Carolinas Medical Center, Charlotte, SC; 8University of Ottawa, Ottawa, ON, Canada; 9St John Regional Hospital, Halifax, NS, Canada; 10University of Utah, Salt Lake City, UT; 11LSU Health Sciences Center, Baton Rouge, LA; 12Yale University School of Medicine, New Haven, CT; 13Advocate Christ Medical Center, Chicago, IL; 14Brown University, Providence, RI; 15Duke University School of Medicine, Durham, NC; 16Brigham and Women’s Hospital, Boston, MA; 17Indiana University, Tiptin, IN; 18NYU Bellevue Hospital, New York, NY; 19Kingston General Hospital, Kingston, ON, Canada; 20Castle Hospital, Kailua, HI

 

Opening of Observation Unit Decreases Psychiatric ED Boarding and Length of Stay. Bradford Tinloy, Vivek Parwani, Matthew Goldenberg, William Sledge, Gail D’Onofrio.

 

Concordance Between Serum Assays Performed in ED Point-of-Care and Hospital Core Laboratories. Meir L. Dashevsky, Steven L. Bernstein, Carol L. Barsky, Richard A. Taylor.

 

Improving Emergency Physician Performance Using Audit And Feedback: A Systematic Review And Meta-analysis To Identify Features Critical To Success. R. LeGrand Rogers1, Yizza Narvaez1, Arjun K. Venkatesh1, William Fleischman1, M. Kennedy Hall1, R. Andrew Taylor1, Rija A. Qureshi2, Denise Hersey1, Lynn Sette1, Edward R. Melnick1. 1Yale School of Medicine, New Haven, CT; 2Ziauddin Medical University, Karachi, Pakistan

 

Texting to Promote Tobacco Abstinence in Emergency Department Smokers: A Pilot Study. Steven L. Bernstein, June Rosner, Benjamin Toll.

 

Risk-Benefit Analysis of Reduced Dose CT for Uncomplicated Renal Colic. Karri Weisenthal1, R. Andrew Taylor1, Monica Ghita2, Chris Moore1. 1Yale University School of Medicine, New Haven, CT; 2Virginia Commonwealth University Medical Center, Richmond, VA

 

Clinical Decision Rules For Pulmonary Embolism Do Not Resolve The Burden Of Unnecessary Imaging In Women. Alice M. Mitchell1, Andreia Alexander2, Chris Moore3, Jeffrey Kline1. 1Indiana University School Of Medicine, Indianapolis, IN; 2Rutgers New Jersey Medical School, Newark, NJ; 3Yale University School of Medicine, New Haven, CT

 


 

Poster Abstracts

Development of a Mass Casualty Triage Algorithm Validation Tool. J. Joelle Donofrio1, Amy Kaji1, Ilene Claudius2, Todd Chang3, Genevieve Santillanes2, Mark Cicero4, Saranya Srinivasan5, Marianne Gausche-Hill1. 1Harbor UCLA Medical Center, Torrance, CA; 2Keck School of Medicine of University of Southern California and Los Angeles County Medical Center, Los Angeles, CA; 3Children’s Hospital of Los Angeles, Los Angeles, CA; 4Yale School of Medicine, New Haven, CT; 5Children’s Hospital of Los Angeles, Los Angeles, CA

 

Interdisciplinary Bedside Rounds: Does a Bedside, Team-Based Approach Improve Patient Perception of Communication? Kar-mun Woo1, Nicole Yuzuk1, Christine Lee1, Catherine Dangremond2, Catherine Coughlin1, Joanne Deguia1, Regina Bacchus1, Shari Weisburd1, Matthew Colantoni1, Harinder Singh1, Paul Krieger1. 1Mount Sinai Beth Israel, New York, NY; 2Yale-New Haven Health System, New Haven, CT

Rate of Reporting of RRC-Required Procedures by Emergency Medicine Residents in an Electronic Health Record as Compared to Online Reporting Software Platform. Richard A. Taylor, Dan F. Savage, Carol Barsky.

 

The Effect of Interruptions on Patient Care: A Prospective Simulation-Based Study. Daniel Hart, Leigh Evans, Kelly Dodge, James Dziura, Alina Tsyrulnik, James Bonz.

 

Cadaveric Grafting: A Novel Procedural Simulation Adjunct. Ryan F. Coughlin, John C. Binford, James W. Bonz, David C. Hile.

Asthma Knowledge Gained After An Educational Video Designed For Limited English Proficiency Asthma Caregivers. Antonio Riera, Agueda Ocasio, Sandra Trevino, Federico Vaca

 

If At First You Don’t Succeed: The Fate Of Manuscripts Rejected By Academic Emergency Medicine. William Grant1, David Cone2. 1SUNY Upstate Medical University, Syracuse, NY; 2Yale, New Haven, CT

 

Overuse Targets For Choosing Wisely: Do Emergency Providers And Nurses Agree? April T. Anderson, Ian Schwartz, Vivek Parwani, Marc J. Shapiro, Harry Moscovitz, Mark Sevilla, Arjun K. Venkatesh.

 

Exploring Emergency Medical Education on Twitter: A Social Network Analysis. Richard A. Taylor1, Michelle Lin2. 1Yale University, New Haven, CT; 2University of California San Francisco, San Francisco, CA

 

Inventory Of U.S. Freestanding EDs And Analysis Of Freestanding ED Location In Texas, 2014. Jeremiah Schuur1, Olesya Baker1, Jaclyn Freshman2, Michael Wilson1, David Cutler3. 1Brigham and Women’s Hospital, Boston, MA; 2Yale University, New Haven, CT; 3Harvard University, Cambridge, MA

 

Validation of an Automated Charlson Comorbidity Index Calculator Using ICD-9 Codes. Seth M. Luty1, Michael K. Hall1, Richard A. Taylor1, Joseph R. Pare1, Isabel E. Allen2, Chris L. Moore1. 1Yale University, New Haven, CT; 2UCSF, San Fransico, CA

 

How Can One ED Make and Lose Money at the Same Time? Cost Accounting and ED Profitability. Nir J. Harish1, Steven L. Bernstein1, Darria Long Gillespie2, Carol L. Barsky1. 1Yale School of Medicine, New Haven, CT; 2Emory University School of Medicine, Atlanta, GA

 

Utilization of Point-of-care Ultrasound in the Emergency Department: Insights from the Medicare National Payment Dataset. Michael Kennedy Hall, Jane Hall, Cary P. Gross, Nir J. Harish, Rachel Liu, Sean Maroongroge, Chris L. Moore, Richard Andrew Taylor.

 

Comparison Of ED Scoring Systems For The Prediction Of In-hospital Mortality. Richard A. Taylor, Michael Kennedy Hall, Seth Luty, Christopher L. Moore.

 


 

Innovation Abstract

A Low-Cost, High-Fidelity Lumbar Puncture Simulation Model. Frank A. Moore1, Jessica Singh1, Brian Rice2, Hani Mowafi1. 1Yale-New Haven Hospital, New Haven, CT; 2New York University, New York, NY

 
 
Sorry to have initially confused this list with those presenting at NERDS in Newton, MA!

Yale welcomes its first Emergency Medicine PA Residency class this June! Continue Reading

Bryce_Campbell

Bryce Campbell

Jordan Gleason

Jordan Gleason

Emergency Medicine Lectures will take place at Yale on Wednesday, March 25th at 464 Congress Avenue beginning at 9:00am

Breakfast will be served.

 

Time Topic Moderator
9:00am Simulation Simulation Faculty
Journal Club: Endovascular Treatment of Ischemic Stroke Varga, & Hwang
11:15am Residency Leadership Discussion DDG et al.
11:45am
PGY-3 Talk: Male GU Emergencies Koploy
PGY-4 Talk: Nephritic & nephrotic syndromes Shafer
Nephrolithiasis Harrison

 

This week’s Journal Club focuses on endovascular treatment of acute ischemic strokes. We will be joined by Dr. David Hwang from the Department of Neurology. This is still very much an area of active of emerging research. We will focus on only two articles, but the links to some of the others are included below as well. While not directly on the topics covered in our journal club, it is important to know that ACEP is currently revising its clinical policy on tPA for acute ischemic stroke.

 

Link to Box articles

 

Current Article: Berkhemer OA, Fransen PS, et al; MR CLEAN Investigators. A randomized trial of intraarterial
treatment for acute ischemic stroke. N Engl J Med. 2015 Jan 1;372(1):11-20. doi:
10.1056/NEJMoa1411587. Epub 2014 Dec 17. Erratum in: N Engl J Med. 2015 Jan
22;372(4):394. PubMed PMID: 25517348.

 

Classic Article: Broderick JP, Palesch YY, et al; Interventional Management of Stroke (IMS) III Investigators.
Endovascular therapy after intravenous t-PA versus t-PA alone for stroke. N Engl
J Med. 2013 Mar 7;368(10):893-903. doi: 10.1056/NEJMoa1214300. Epub 2013 Feb 7.
Erratum in: N Engl J Med. 2013 Mar 28;368(13):1265. PubMed PMID: 23390923; PubMed
Central PMCID: PMC3651875.

 

Other articles to consider reading:

MR. RESCUE, 3/7/2013

SYNTHESIS TRIAL, 3/7/2013

NINDS tPA for Stroke, 12/14/1995

NH Restaurant week 2015

Make sure to check out this year’s New Haven Restaurant Week, March 22-27! A bunch of great restaurants are having 3-course prix fixe menus for lunch and dinner. Make your resident dollar go further while enjoying some of the best eats in town.

Emergency Medicine Lectures at Yale on Wednesday, March 18th will start at 464 Congress Avenue beginning at 9:00am and will move to Harkness Auditorium at noon

Breakfast will be served.

Time Topic Moderator Location
9:00am Airway Management Bonz
Moadel
Dashevsky
464 Congress
12:00pm Pass the Pointer Ultrasound Division Harkness
1:00pm Morbidity and Mortality Tinloy
Congratulations to JESSICA BOD for being this month’s Resident of the Month!
jessica_linus
Jess, thank you for all of your handwork and dedication to patients and the residency. Here are a few selected comments from her nominations below:
 

“She always provides excellent patient care. Recently she took care of a sick patient who was admitted to the MICU. After her night shift, she went up to the MICU to follow up and make sure the patient is doing well. She takes initiative, has a great clinical acumen, is a pleasure to work with and overall an excellent resident.”

 
“In general, able to really let the students and junior level residents independently dip their feet into the world of acute care A side medicine, but she has their backs and the pts best interests and does whatever needs to be done and in a non-showy way.  She is appropriately assertive with consultants, diagnostic imaging etc.”

Emergency Medicine Lectures will take place at Yale on Wednesday, January 28th at 464 Congress Avenue beginning @ 9:00am.

Breakfast will be served.

Time Topic Moderator
9:00am Small Group Simulation Simulation Faculty
Journal Club: Acetaminophen Toxicity and Treatment Fontes & Tomassoni
11:15am Residency Leadership Discussion Della-Giustina
11:45am PGY-3 Talk: Toxic Alcohols Rodulfo
PGY-4 Talk: Anti-arrhythmics Zanin
Pediatric Abuse Tiyyagura

 

This week’s journal club is on Acetaminophen toxicity and treatment!

Link to Box Folder

Classic article: Acetaminophen poisoning and toxicity. Rumack BH, Matthew H. Pediatrics. 1975 Jun;55(6):871-6.

Current Article: Heard K, Rumack BH, Green JL, Bucher-Bartelson B, Heard S, Bronstein AC, Dart
RC. A single-arm clinical trial of a 48-hour intravenous N-acetylcysteine
protocol for treatment of acetaminophen poisoning. Clin Toxicol (Phila). 2014
Jun;52(5):512-8.

To help everyone adequately document the RRC-required patient follow-ups, we have added a “Patient follow-up” procedure to Medhub. Please utilize this procedure designation to log your interesting patient follow-ups, and comment in the “Procedure notes” section the findings of your follow-up, particularly what you learned from the case. You are required to perform 4 of these per ED block (Yale, Bridgeport, Pedi). This requirement is now active for Block 10.