Annals of Emergency Medicine an International Journal
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Supplement to Annals of Emergency Medicine An International Journal volume 70 number 4 october 2017 ACEP RESEARCH FORUM October 29-31, 2017 Walter E. Washington Convention Center Washington, DC 2A Schedule of Presentations 18A Index of Presenters S1 Oral Presentations S7 Electronic Posters S147 Teaching Fellowship Abstracts www.annemergmed.com YMEM_v70_i4_sS_COVER.indd 1 06-09-2017 14:41:50 01-09-2017 14:27:0601-09-2017 14:27:06 Annals of Emergency Medicine volume 70 number 4 october 2017 supplement pages s1-s172 YMEM_v70_i4_sS_COVER.indd 2YMEM_v70_i4_sS_COVER.indd 2 OCTOBER 2017 VOLUME 70 NUMBER 4S ACEP Supplement to Annals of Emergency Medicine RESEARCH Journal of the American College of Emergency Physicians FORUM October 29-31, 2017 Walter E. Washington Convention Center Washington, DC Annals of Emergency Medicine is owned by the American College of Emergency Physicians 2017 Research Committee/Research Forum Subcommittee (www.acep.org). Manuscript submissions and editorial correspondence should be sent to the Phillip Levy, MD, MPH, FACEP, Research Committee Chair Editorial Office. Alexander Limkakeng, MD, FACEP, Research Forum Subcommittee Co-Chair Joseph Piktel, MD, FACEP - Research Forum Subcommittee Co-Chair Annals ACEP 2017 Research Forum Abstract Reviewers PO Box 619911 Srikar Adhikari, MD Phillip Levy, MD, MPH, FACEP Dallas, TX 75261-9911 Peter D. Akpunonu, MD Patrick Meloy, MD, FACEP 4950 W. Royal Lane John Bailitz, MD, FACEP, RDMS Joseph Miller, MD Irving, TX 75063-2524 Justin Belsky, MD Lisa Mills, MD, FACEP Hansoti Bhakti, MD, FACEP Trevor Mills, MD, FACEP 800-803-1403 David Blehar, MD David P. Milzman, MD, FACEP Fax 972-580-0051 Robert M. Bramante, MD, FACEP Alice Mitchell, MD, FACEP Joshua Broder, MD, FACEP Nathaniel Minnick, MD Business correspondence (subscriptions, perm- Aaron Brody, MD Tiffany Moadel, MD ission, and reprint requests, advertising sales Kathleen Brown, MD, FACEP Nicholas Mohr, MD, FACEP and production) should be sent to Elsevier Jerry Castleberry, DO, FACEP John Nagurney, MD, FACEP Inc., 1600 John F. Kennedy Boulevard, Suite Shu B. Chan, MD, MS, FACEP Sandra Najarian, MD Mary Chang, MD Brian O’Neil, MD, FACEP 1800, Philadelphia, PA 19103-2888, tele- Neeraj Chhabra, MD James Patel, MD phone 800-523-4069. Chad Darling, MD, FACEP James Paxton, MD, MBA, FACEP Copyright © 2017 by the American College of Bruce Derrick, MD, FACEP Jesse Pines, MD, MBA, MSCE, FACEP Emergency Physicians. All rights reserved: No Bram Dolcourt, MD, FACEP Marc Probst, MD Brian Driver, MD Matthew Pirotte, MD part of this publication may be reproduced, Robert Dunne, MD, FACEP Mike Puskarich, MD, FACEP stored, or transmitted in any form or by any Joshua Easter, MD Martin Reznek, MD, FACEP means, electronic or mechanical, including Robert Ehrman, MD Robert Rosenthal, MD, FACEP photocopy, recording, or any information stor- Mark Favot, MD, FACEP Mohsen Saidinejad, MD, MBA, FACEP age and retrieval system, without permission Caroline Freiermuth, MD, FACEP Bisan Salhi, MD in writing from the Publisher. Benjamin Friedman, MD Jon Schrock, MD, FACEP Jessica Galarraga, MD, MPH Kinjal Sethuraman, MD Neither Annals of Emergency Medicine nor Boris Garber, MD, FACEP Robert Sherwin, MD the Publisher accepts responsibility for state- Romolo Gaspari, MD, MS, FACEP David Sklar, MD, FACEP ments made by contributors or advertisers. Michael Gottlieb, MD Michael Smith, MD, MBA, CPE, FACEP Acceptance of an advertisement for placement Munish Goyal, MD, FACEP Mark Sochor, MD, FACEP in Annals in no way represents endorsement Matt Gratton, MD, FACEP Zachary Soucy, DO of a particular product or service by Annals of Marna R. Greenberg, DO, MPH, FACEP Catherine Staton, MD Richard Griffey, MD, MPH, FACEP Todd Taylor, MD Emergency Medicine, the American College Emily Gundert, MD N. Seth Trueger, MD of Emergency Physicians, or the Publisher. Jeremiah Hinson, MD, PhD J. Scott Van Epps, MD, FACEP Ming-Shun Hsieh, MD Jody Vogel, MD, Sarathi Kalra, MD Rade B. Vukmir, MD, JD, FACEP Kathryn Kellogg, MD, MPH Muhammad Waseem, MD, FACEP Lauren Klein, MD Lori Weichenthal, MD, FACEP Kevin Kotkowski, MD Matthew Wheatley, MD Vijaya Kumar, MD Lance Wilson, MD, FACEP Anthony T. Lagina, MD, FACEP Kabir Yadav, MDCM, MS, MSHS, FACEP Sangil Lee, MD RESEARCH FORUM EDUCATIONAL PROGRAM 2017 SUNDAY, OCTOBER 29, 2017 30 qSOFA Outperforms CRB, CRB-65 and CRB-65 Plus: A Multicenter US Observational Study Mark K, University of Florida, Gainesville, FL 9:00 AM - 9:50 AM ELECTRONIC PRESENTATIONS 31 Performance of a Novel Computer-Based Clinical Decision Support Alert and the Impact of Patient Partitioning and Optimization to Identify Septic Patients in an Urban Administration / Practice Management Emergency Department Sherwin R, Wayne State University, Detroit, MI 16 Serum vs Urine Pregnancy Test: The Effect on Emergency Department Disposition Times in Females With Abdominal Pain 32 Predictors of Mortality Among Head Trauma Patients Reaching ICU Requiring Radiographic Study Beniameen M, Faculty of Medicine, Cairo, Egypt Fuentes R, Henry Ford Wyandotte Hospital, Wyandotte, MI 33 Procalcitonin Trend Predicts Discharge to Home in Severe Sepsis 17 Emergency Radiology Utilization and Optimization and Septic Shock Patients Hemmert K, Northwestern Memorial Hospital, Chicago, IL Kramer N, University of Central Florida/HCA GME Emergency Medicine Residency Program of Greater Orlando, Orlando, 18 Scan, Admit, or Both? Is There a Correlation Between Admission FL Rate and Computed Tomography Utilization? Shanin D, Yale University School of Medicine, New Haven, CT 19 Collaborative Application of Guidelines Changes Imaging Utilization Disaster and Impacts Length of Stay in Acute Renal Colic 34 Thom C, University of Virginia, Charlottesville, VA Does an In-Hospital START Protocol Predict Admission at the Time of Earthquakes? 20 Optimizing Magnetic Resonance Imaging Utilization in the Emergency Otaka S, Japanese Red Cross Kumamoto Hospital, Kumamoto, Department Japan Koda A, Southern Illinois University School of Medicine, 35 Springfield, IL Time is Money: The True Cost of Helicopter EMS Rogich J, University of Massachusetts Medical School, 21 Success of a Strategy to Reduce Unnecessary White Blood Cell Worcester, MA Differentials in the Emergency Department 36 fi Eastin C, University of Arkansas for Medical Sciences, Little The Safety and Ef cacy of Nitroglycerin Use by Paramedics for Rock, AR Treatment of ST Elevation Myocardial Infarction Bosson N, Los Angeles County EMS Agency, Los Angeles, CA 37 Supraglottic Airway Use vs Endotracheal Intubation Pre/Post Airway Deployment of the i-gel Supraglottic Airway Device in a Large Ground- and Air-based Emergency Medical 22 Apneic Oxygenation via Conventional Nasal Cannula to Prevent Services Agency Oxygen Desaturation during Rapid Sequence Intubation in the Lyng J, North Memorial Health Hospital, Robbinsdale, MN Emergency Department and Intensive Care Unit: A Systematic Review and Meta-analysis. 38 Does EMS Transport of Septic Patients Improve Downstream West J, Lincoln Medical and Mental Health Center, Bronx, NY Processes of Care? Hofmann E, Los Angeles County, University of Southern 23EMF Mastery Standards for Emergency Medicine Comprehensive Airway California Medical Center, Los Angeles, CA Management Panchal A, The Ohio State University, Columbus, OH 39 Feasibility of Bystander Administration of Public Access Naloxone for Opioid Overdose 24 PRIER: Patient Recall in Emergency Rapid Sequence Intubation Goldberg S, Brigham & Women’s Hospital, Boston, MA Juhasz K, UPMC Hamot, Erie, PA 25 Inclined Position Does Not Improve First Pass Success or Laryngoscopic Viewi In Patients Undergoing Endotracheal Cardiovascular Intubation in the Out-of-Hospital Setting 40 Murphy D, University of Washington, DC Development of a Health-Literate Decision Instrument for Low-Risk Chest Pain in the ED 26 Is Transient Hypoxemia During Intubation a Patient-Centered Moore T, University of Arkansas for Medical Sciences, Little Outcome? Rock, AR Driver B, Hennepin County Medical Center, Minneapolis, MN 41 A Baseline and 30-Minute Algorithm for Rapid Rule-out of Acute 27 Rapid Sequence Intubation: Should the Sedative or Paralytic Agent Myocardial Infarction: Does It Get Any Better Than This? Be Administered First? Nowak R, Henry Ford Health System, Detroit, MI Driver B, Hennepin County Medical Center, Minneapolis, MN 42 Is the European Society of Cardiology 0- and 1-Hour Algorithm Guidelines for Rapid Evaluation of Acute Myocardial Infarction Critical Care Effective at 0 hour and 30 Minutes? McCord J, Henry Ford Health System, Grosse Pointe Park, MI 28 A Simple Algorithm Reduced Mortality In Near-Hanging Patients 43 Etiology of Myocardial Ischema in Emergency Department Chest Muralitharan T, MMHRC, Madurai, India Pain Patients With Two Negative Initial Troponins, Non-Ischemic 29 Predicting Mortality in the Emergency Department Using an ECG, and Nonconcerning Vital Signs Automated Physiologic Scoring System Casey M, Icahn School of Medicine at Mount Sinai, Connor-Schuler R, Henry Ford Hospital, Detroit, MI New York, NY 2A Annals of Emergency Medicine Volume 70, no. 4s : October 2017 Research Forum Educational Program 2017 SUNDAY, OCTOBER 29, 2017 —cont'd 44 Modified HEART Score Using the Derived 12-Lead Electrocardiogram Critical Care and Cardiac Electrical Biomarker EMF Schreck D, Atlantic Health System, Morristown, NJ 58 The Association of Plasma Syndecan-1 and Mortality in Patients With Septic Shock fi 45 Effectiveness of Modi ed Heart Score Versus Emergency Nandi U, University