17th Annual American Academy of Emergency Medicine Scientific Assembly FINAL PROGRAM

Scientific17TH ANNUAL Assembly FEBRUARY 28–MARCH 2, 2011

The American Academy of Emergency Medicine (AAEM) is the specialty society of emergency medicine. A democratic organization with more than 6,500 members, AAEM is committed to establishing board certification as the standard for Orlando,Floridaspecialists in EM and to securing fair and equitable work environments throughout the EM community.

17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule Monday, February 28, 2011

Plenary Sessions Plaza International Ballroom I-K Howard Blumstein, MD FAAEM 7:45am AAEM President Welcome, Opening Remarks Lisa Sanders, MD Keynote Speaker A 22 Year Old Woman 8:00am with Fever, Jaundice and Bloody Diarrhea: A Case of Diagnostic Error Corey Slovis, MD FAAEM 9:00am Literature Update: Best of the Rest 10:00am BREAK Peter DeBlieux, MD FAAEM 10:15am Literature Update: Critical Care Ghazala Sharieff, MD FAAEM 11:15am Literature Update: Pediatrics LUNCH (on your own) 12:15pm Visit the Exhibit Hall in Plaza International G & H

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 1 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule Monday, February 28, 2011

Track A Track B Track C Track D Track E When the Shift Hits the Emergency Imaging Pediatrics Subspecialty Panels Resident Research Forum Fan, Cringe-Inducing Florida Ballroom A Florida Ballroom B Florida Ballroom C Plaza International Triage Notes Ballroom D Plaza International Ballroom I-K Amal Mattu, MD FAAEM David Newman, MD Ghazala Sharieff, MD EMS Panel Moderator/Judge: 55 y/o Male: “CP, recent Understanding Diagnostic FAAEM Roger Stone, MD FAAEM 1:00pm Stephen R. Hayden, MD negative stress test.” Testing 4 week old: “He’s not Moderator FAAEM breathing right.” Richard Joe Ybarra, MD Judges: Evolution of Private Emergency Stuart Swadron, MD Scott Melanson, MD Dave Nelson, MD FAAEM Howard Blumstein, MD Medicine Practices: FAAEM FAAEM SubQ Rehydration: Should I FAAEM 1:30pm Independent Freestanding EDs 65 y/o Male: “Bleeding Which Pancreatitis Patient Be Doing It? Robert McNamara, MD and Interface with EMS from tracheotomy.” Needs CT Scanning? FAAEM Brian J. Browne, MD FAAEM David Slattery, MD Manish Garg, MD FAAEM Bart Besinger, MD FAAEM Andrea Marmor, MD The Hospital Satellite FAAEM 2:00pm 84 y/o Female: “Weak and Subtle Radiographs with Mononucleosis: New Look Freestanding ED: Planning dizzy.” Major Implications at an Old Problem and Implementation of a New Facility and its Role within a Stuart Swadron, MD Michael Epter, DO FAAEM Elizabeth Weinstein, MD Greater EMS System FAAEM Can Head CT and CT FAAEM Marvin A. Wayne, MD FACEP 67 y/o Male: “Coughed up Beyond Bactrim and the Angiography Really Rule FAAEM some blood.” out SAH? CT Scanner - What the Improved Neurologic Outcomes EM Physician MUST Know after Pre-hospital Resuscitative about Evaluating Hematuria 2:30pm Efforts: Results of the “ResQ in the Pediatric Patient Pod” (Impedance Device) Trial David K. Tan, MD FAAEM The Approval of EMS as our Newest Sub-Specialty: Implications for the Emergency Physician BREAK 3:00pm Visit the Exhibit Hall in Plaza International G & H Peter DeBlieux, MD Kevin Reed, MD FAAEM Dave Nelson, MD FAAEM Clinical Toxicology Update 3:30pm FAAEM My Vented Patient 24 y/o Female: Vaginal A Funny Looking Kid: Does — 2011: Four Antidotes is Still Hypoxemic bleeding, 34 weeks pregnant it Change Evaluation? that You Need to Know! Peter DeBlieux, MD Michael Epter, DO FAAEM David Newman, MD Pralidoxime for FAAEM Beyond the Obvious; What Why Do We Treat for Strep Organophosphate Poisoning 4:00pm I Think This Patient is Sick CT Findings Preclude Throat? Intravenous Sylibinin for but I Can’t Prove It the Use of tPA in Acute Amatoxin Poisoning Ischemic Strokes Intralipid Emulsion Therapy Kevin Reed, MD FAAEM Paul Sierzenski, MD Andrea Marmor, MD Hyrdoxocobalamin for 19 y/o Female: Pregnant, RDMS FAAEM PCV-13 Vaccine: What Does 4:30pm Cyanide Toxicity “Foot sticking out of Ultrasound in Kids: Are They it Mean for Fever Without a vagina.” Just Little Adults? Source? Ziad Kazzi, MD FAAEM S. Todd Mitchell, MD MPH Manish Garg, MD FAAEM Paul Sierzenski, MD Elizabeth Weinstein, MD Tammi Schaeffer, DO Chicken Pox: Who Gets RDMS FAAEM FAAEM FAAEM 5:00pm Treated What’s the RUSH? Scary: The Sickle Cell Child Charles McKay, MD Using Ultrasound in in Shock Josef Thundiyil, MD Undifferentiated Shock FAAEM Awards Ceremony 5:30pm Florida Ballroom A Opening Reception 6:30pm Plaza International Ballroom G & H AAEM Movie Screening “21 and a Wakeup” 8:00pm Regal Pointe Orlando

2 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule Tuesday, March 1, 2011

Track A Plenary Sessions Plaza International Ballroom I-K Amal Mattu, MD 7:45am FAAEM Literature Update: Cardiology Seung Ho Kim, MD Past President, 8:45am Korean Society of Emergency Medicine TBA Jim Roberts, MD 9:00am FAAEM Literature Update: Neurology 10:00am BREAK Arjun Chanmugam, MD FAAEM 10:30am Literature Update: Infectious Disease S. V. Mahadevan, MD FAAEM 11:30am Literature Update: Trauma Lunch and Annual Business Meeting 12:30pm Plaza International I-K

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Conference Schedule Tuesday, March 1, 2011

Track A Track B Track C Track D Track F Is This a Piece of Your Why is Pain Such a Pain: When the Shift Hits the The Best of Morbidity Resident Track Brain? The ED Paradox Fan: Cringe-Inducing and Mortality Plaza International F Plaza International Florida Ballroom A Triage Notes Florida Ballroom C Ballroom I-K Florida Ballroom B Amal Mattu, MD FAAEM 2:30pm The Integration of EKG into Your Practice Chad Kessler, MD Larry Raney, MD FAAEM Christopher Lee, MD Mark Favot, MD Paul Sierzenski, MD FAAEM* Should We Be Using FAAEM A. Joseph Garcia, MD RDMS FAAEM What Does “Questionable Agonist-Antagonist Pain 18 y/o Male: “Stabbed But He Presented with The Integration of 3:00pm Loss of Consciousness” Meds in the Emergency in chest, just lost pulse.” Hematemesis! Ultrasound into Your Mean? Department? (EMS call) Practice (Retrograde vs. Anterograde Amnesia) Bart Besinger, MD Karl Nibbelink, MD Maureen McCollough, Sneha H. Shah, MD Michael Epter, DO FAAEM I Suspect My Colleague is MD Rodney Omron, MD MPH FAAEM Fine Tuning Treatment of Using Drugs: What Should 6 week old: “Seizing for The Difficult Psychiatric CV Workshop 3:30pm the Injured Brain: Position, I Do? the past 30 minutes” Patient Sugar, Temperature, Blood Pressure Kevin Rodgers, MD Karl Nibbelink, MD Karen Santucci, MD Jairo Ulloa, MD Elizabeth Hall, MD FAAEM My Colleague is Back 9 y/o Female: (Mother) “I Jairo Santanilla, MD FAAEM 4:00pm Reversing Anticoagulants from Rehab: How Should think her father is abusing 37 year old Female with Improving Patient in the Patient with Brain I Act? her.” Abdominal Pain Satisfaction Trauma Scott Melanson, MD Sergey Motov, MD Chandra Aubin, MD Caroline Molins, MD Arjun Chanmugam, MD FAAEM FAAEM 24 y/o Female: “Caught Pitfalls in the FAAEM Which Neck Injuries “My Doctor is on in house fire.” “Inappropriate” Patient Finding Your Niche in EM 4:30pm Require Vascular Vacation and I Ran Out of Imaging? Percocet.” Dealing with Suspected Drug Diverters 5:00pm Brian Lin, MD FAAEM* Larry Raney, MD FAAEM Maureen McCollough, Richard Kirkpatrick, MD Is Head Injury Protection How Effective Are Non- MD Dennis Hernandez, MD Carey Chisholm, MD RSI a Myth? Opioid Pain Relievers? 2 y/o old male: “He took FAAEM 5:15pm FAAEM some of grandma’s pills.” Neonatal Fever Making the Transition Chandra Aubin, MD Sergey Motov, MD Karen Santucci, MD Jill Ward, MD from Resident to Faculty... Idiopathic Intracranial FAAEM 7 y/o Female: “Can’t Jason Sniffen, DO Successfully 5:30pm Hypertension: All You Pain Management in the swallow, voice sounds Septic Cavernous Sinus Need to Know in the Addicted Patient: Now funny.” Thrombosis Emergency Department What? ABEM Town Hall Meeting 6:00pm Florida Ballroom A 7:00pm ADJOURN

4 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule Wednesday, March 2, 2011

Track A Track B Track C Track D Managing Critical Abdominal Complaints: Clinical Questions? Nuts and Bolts of Patients in the ED What’s in the “Black Florida Ballroom B Running an ER Plaza International Box?” Florida Ballroom C Ballroom I-J Florida Ballroom A Evie Marcolini, MD Angela Mills, MD FAAEM Harsh Sule, MD FAAEM Gary Gaddis, MD FAAEM FAAEM Is this Really Peritonitis? Abscess Treatment: Who How Do I Get Propofol in Does Antibiotic Choice Needs Antibiotic? Who My ED? Change Outcomes in Needs Repacking? Can 8:00am Sepsis? Gorillacillin We Do Primary Closure? and Cephakillemol: Who Needs Big Gun Antibiotics? Evie Marcolini, MD Jack Perkins, MD Ingrid Lim, MD FAAEM Mark Reiter, MD MBA FAAEM FAAEM* Do Prophylactic Antibiotics FAAEM 8:30am Does Pressor Choice or Do “Belly Labs” Ever Make any Difference in How Can I Maximize My Use Change Outcomes in Help? Wounds? RVUs…Honestly? Sepsis? Michael Winters, MD Jack Perkins, MD Joe Lex, MD FAAEM Robert McNamara, MD FAAEM FAAEM* Saline vs. NAC vs. Bicarb FAAEM 9:00am What Does CORTICUS Tell Are PPIs Really Better vs. Vitamin C: How Is the AMA Relevant to Us about Steroids and Than H2 Blockers? Important is CIN? Can We EM? Sepsis? Prevent it in the ED? Heatherlee Bailey, MD Chad Kessler, MD Lisa Moreno-Walton, Leslie Zun, MD FAAEM FAAEM FAAEM* MD FAAEM* Optimizing the ED: Mid- CPAP and BiPAP? Who Who Really Needs a Bell’s Palsy: Steroids? levels, Extenders, Scribes 9:30am Might I Hurt? Why Would Rectal Exam? Antivirals? Both? I Choose One Over the Neither? Other? Pre-Hospital? Tim Ellender, MD Angela Mills, MD FAAEM Harsh Sule, MD FAAEM William T. Durkin, MD Low-Molecular Weight Who Really Needs an NG HyperK: What Really MBA FAAEM 10:00am Heparin vs. Unfractionated Tube? Works? Impact of LEAN Heparin: When does it Techniques on EM Matter Management Lisa Moreno-Walton, Ingrid Lim, MD FAAEM Andrew Johnson, MD Larry Weiss, MD JD MD FAAEM* Belly Pain in the FAAEM* FAAEM 10:30am Should We be Using Immunocompromised: Complications of In Vitro High Points of the Tranexamic Acid in Does this Change Fertilization Mandatory Insurance Trauma Patients? Everything? Legislation Heatherlee Bailey, MD Brian Lin, MD FAAEM* Leslie Zun, MD FAAEM Robert McNamara, MD 11:00am FAAEM The Liver Transplant The Rational Clearance FAAEM Is Hypoxemia Dangerous? Patient: What’s Different? for Psychiatric Care Does Burnout Still Exist? Michael Winters, MD Tim Ellender, MD Andrew Johnson, MD Mark Reiter, MD MBA FAAEM Can I Diagnose SBP FAAEM* FAAEM What are the New Sepsis without Tapping the Belly? Why an EM Physician No Waiting Room: 11:30am Biomarkers: Can They is Ideal for Directing Risks and Benefits Help in the Emergency Disaster Relief Department? 12:00pm ADJOURN

*Previous Open Mic Winners

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 5 17th Annual American Academy of Emergency Medicine Scientific Assembly

Table of Contents

Conference Schedule - Detailed ...... 7 Open Mic Schedule ...... 21 General Information ...... 22 Statements of Disclosure ...... 24 Exhibit Hall Directory ...... 26 Support Acknowledgement ...... 35 Hotel Floor Plans ...... 36 Certificate of Workplace Fairness ...... 37

6 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule February 28, 2011 7:00am Registration Opens Concurrent Sessions Begin

Plenary Track A – When the Shift Hits the Fan, Cringe-Inducing Triage Notes Plaza International Ballroom I-K Plaza International Ballroom I-K 7:45am - 8:00am Welcome, Opening Remarks 1:00pm - 1:30pm 55 y/o Male: “CP, recent negative stress test.” Howard Blumstein, MD FAAEM Amal Mattu, MD FAAEM AAEM President Professor and Residency Director, Department of 8:00am - 9:00am A 22 Year Old Woman with Fever, Jaundice and Bloody Emergency Medicine, University of Maryland School of Diarrhea: A Case of Diagnostic Error. Medicine, Baltimore, Maryland Lisa Sanders, MD Learning Objectives Assistant Clinical Professor, Yale School of Medicine; 1. Understand the limitations of stress testing. Clinician Educator, Yale Primary Care Internal Medicine 2. Understand how new knowledge of atherogenesis is Residency Program changing our understanding regarding how reliable Learning Objectives stress tests are. 1. Understand the frequency of diagnostic error. 3. Understand the utility of invasive testing. 2. Recognize the multiple causes of diagnostic error. 1:30pm - 2:00pm 65 y/o Male: “Bleeding from tracheotomy.” 3. Appreciate strategies for prevention of diagnostic Stuart Swadron, MD FRCP FAAEM error. Vice-Chair for Education, Department of Emergency 9:00am - 10:00am Literature Updates: Best of the Rest Medicine, Los Angeles County/USC Medical Center; Corey Slovis, MD FAAEM Associate Professor, Keck School of Medicine, University Professor of Emergency Medicine and Medicine, Medical of Southern California Director, Metro Nashville Fire Department and Nashville Learning Objectives International Airport 1. To know the differential diagnosis of bleeding from a Learning Objectives tracheostomy. 1. Become familiar with use of video laryngoscope. 2. To have a simple clinical approach to the patient with 2. Understand the potential role of dropeidol for a bleeding or obstructed tracheostomy. aggitated ED patients. 2:00pm - 2:30pm 84 y/o Female: “Weak and dizzy.” 3. Know when to consider not performing an L.P. for Manish Garg, MD FAAEM suspected subarachnoid hemorrhage. Associate Professor of Clincal Emergency Medicine, 4. Be facile with newer methods of managing atrial Associate Residency Program Director, Department of fibrillation. Emergency Medicine, Temple University Hospital; Director 10:00am - 10:15am Break – Please visit Exhibitors in the Plaza of Global Health Education, Temple University School of International Ballroom G & H Medicine Learning Objectives 10:15am - 11:15am Literature Update: Critical Care 1. Apply new principles to improve their everyday Peter DeBlieux, MD FAAEM practice of emergency medicine. LSUHSC Professor of Clinical Medicine, LSUHSC New 2. Increase their understanding of the emergency Orleans Director of Emergency Medicine Services ILPH, medicine workplace. LSUHSC Emergency Medicine Director of Faculty and Resident Development 2:30pm - 3:00pm 67 y/o Male: “Coughed up some blood.” Learning Objectives Stuart Swadron, MD FRCP FAAEM 1. Improve vasopresor use in sepsis. Vice-Chair for Education, Department of Emergency 2. Understand hypotension risks in trauma. Medicine, Los Angeles County/USC Medical Center; 3. Improve dosing of vancomycin. Associate Professor, Keck School of Medicine, University of Southern California 11:15am - 12:15pm Literature Updates: Pediatrics Learning Objectives Ghazala Sharieff, MD FAAEM FAAP FACEP 1. To have a simple clinical approach to the patient with Director of Pediatric Emergency Medicine, Palomar- massive hemopytsis. Pomerado Health System/California Emergency Physicians; Professor, University of California San Diego 3:00pm - 3:30pm Break – Please visit Exhibitors in the Plaza Learning Objectives International Ballroom G & H 1. To be familiar with the latest literature in the field of 3:30pm - 4:00pm My Vented Patient is Still Hypoxemic pediatric emergency medicine. Peter DeBlieux, MD FAAEM LSUHSC Professor of Clinical Medicine, LSUHSC New Orleans Director of Emergency Medicine Services ILPH, LSUHSC Emergency Medicine Director of Faculty and Resident Development

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 7 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule February 28, 2011

Learning Objectives Track B – Emergency Imaging 1. Understand oxygen saturation goals for hypoxic patients. Florida Ballroom A 2. Generate a functional differential for hypoxic patients 1:00pm - 1:30pm Understanding Diagnostic Testing on mechanical ventilation. David Newman, MD 3. Understand a logical clinical approach to the hypoxic Learning Objectives patient on mechanical ventilation. 1. Understand how to use a diagnostic test. 2. Understand how to interpret and use likelihood ratios. 4:00pm - 4:30pm I Think This Patient is Sick but I Can’t Prove It? Peter DeBlieux, MD FAAEM 3. Understand the test threshold. LSUHSC Professor of Clinical Medicine, LSUHSC New 1:30pm - 2:00pm Which Pancreatitis Patient Needs CT Scanning? Orleans Director of Emergency Medicine Services ILPH, Scott Melanson, MD FAAEM LSUHSC Emergency Medicine Director of Faculty and Residency Program Director, Emergency Medicine Resident Development Residency, St. Luke’s Hospital, Bethlehem, PA; Associate Learning Objectives Professor of Emergency Medicine, Temple University 1. Understand limitations of vital signs in shock School of Medicine, Philadelphia, PA assessment. Learning Objectives 2. Generate a differential diagnosis for shock. 1. Apply new principles to improve their everyday 3. Understand the clinical value of bed side ultrasound practice of emergency medicine. in assessing shock. 2. Increase their understanding of the emergency medicine workplace. 4:30pm - 5:00pm 19 y/o Female: Pregnant, “Foot sticking out of vagina.” 2:00pm - 2:30pm Subtle Radiographs with Major Implications Kevin Reed, MD FAAEM Bart Besinger, MD FAAEM Assistant Professor of Emergency Medicine, Georgetown Assistant Professor of Clinical Emergency Medicine, University and Washington Hospital Center, Emergency Indiana University School of Medicine, Department of Medicine Residency Emergency Medicine Learning Objectives Learning Objectives 1. Review the various risk factors for and types of fetal 1. Describe the radiographic appearance of abnormal breech presentations. gas collections within the abdomen. 2. HELP!!! Who should you call to assist in an 2. Identify some subtle radiographic signs of fracture emergency delivery? and identify artifacts that might mimic fracture on 3. Review what equipment is needed and the most X-ray. common method for a successful footling breech 3. Recognize subtle CT findings of cerebral venous delivery in the ED setting. thrombosis. 5:00pm - 5:30pm Chicken Pox: Who Gets Treated? 2:30pm - 3:00pm Can Head CT and CT Angiography Really Rule out Manish Garg, MD FAAEM SAH? Associate Professor of Clincal Emergency Medicine, Michael Epter, DO FAAEM Associate Residency Program Director, Department of Associate Professor, Program Director, Emergency Emergency Medicine, Temple University Hospital; Director Medicine Residency Program, University of Nevada of Global Health Education, Temple University School of Learning Objectives Medicine 1. Discuss the current diagnostic paradigm in the Learning Objectives workup of patients with subarachnoid hemorrhage 1. Apply new principles to improve their everyday (SAH). practice of emergency medicine. 2. Appraise the value of CTA in the diagnostic workup 2. Increase their understanding of the emergency of worst headache of life presentations – specifically, medicine workplace. SAH. 3. Utilizing best evidence, formulate a diagnostic 5:30pm - 6:30pm Awards Ceremony strategy for the management of patients with Florida Ballroom A potential SAH. 6:30pm - 7:30pm Opening Reception 3:00pm - 3:30pm Please join us for an Opening Reception in the Exhibit Break – Please visit Exhibitors in the Plaza Hall in Plaza International Ballroom G & H International Ballroom G & H 3:30pm - 4:00pm 24 y/o Female: “Vaginal bleeding, 34 weeks pregnant.” Kevin Reed, MD FAAEM Assistant Professor of Emergency Medicine, Georgetown University and Washington Hospital Center, Emergency Medicine Residency

8 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule February 28, 2011

Learning Objectives 1:30pm - 2:00pm SubQ Rehydration: Should I Be Doing It? 1. Review the differential for life-threatening and non- Dave Nelson, MD FAAEM life-threatening causes of vaginal bleeding in the Assistant Professor of Emergency Medicine, Director of third trimester. Pediatrics Emergency Medicine Residency, University of 2. Highlight historical clues and physical exam findings Nevada School of Medicine that should raise your concern for an obstetric Learning Objectives emergency. 1. Review the history of subcutaneous hydration. 3. Review pre-hospital care, initial ED evaluation and 2. Discuss the current literature and analyze the results management, and ultimate disposition in patients (briefly). with third trimester vaginal bleeding. 3. Describe/demonstrate the procedure for subcutaneous rehydration. 4:00pm - 4:30pm Beyond the Obvious; What CT Findings Preclude the 4. Discuss the ease, practicality and the acceptability of Use of tPA in Acute Ischemic Strokes this procedure by staff and patients. Michael Epter, DO FAAEM Associate Professor, Program Director, Emergency 2:00pm - 2:30pm Mononucleosis: New Look at an Old Problem Medicine Residency Program, University of Nevada Andrea Marmor, MD Learning Objectives Assistant Professor of Pediatrics, University of California, 1. Identify and distinguish radiographic features of early San Francisco, San Francisco General Hospital ischemic changes (EIC) on CT scan. Learning Objectives 2. Discuss best evidence of what findings on CT scan 1. Describe the indications and options for serologic may increase the risk of hemorrhagic transformation testing for mononucleosis in children/teens. after administering tPA. 2. Recognize signs and symptoms that suggest mononucleosis in children of different ages. 4:30pm - 5:00pm Ultrasound in Kids: Are They Just Little Adults? 3. Recommend/prescribe appropriate and effective Paul Sierzenski, MD RDMS FAEM medications for symptom control for children/teens Learning Objectives with mononucleosis. 1. Apply new principles to improve their everyday 4. List three possible complications of mononucleosis practice of emergency medicine. and describe how they can be prevented or 2. Increase their understanding of the emergency managed. medicine workplace. 2:30pm - 3:00pm Beyond Bactrim and the CT Scanner - What the EM 5:00pm - 5:30pm What’s the RUSH? Using Ultrasound in Physician MUST Know about Evaluating Hematuria in Undifferentiated Shock the Pediatric Patient Paul Sierzenski, MD RDMS FAAEM Elizabeth Weinstein, MD FAAEM FAAP Learning Objectives Indiana University School of Medicine 1. Apply new principles to improve their everyday Learning Objectives practice of emergency medicine. 1. Develop a rational approach to the evaluation of 2. Increase their understanding of the emergency hematuria in the pediatric patient. medicine workplace. 2. Develop a rational approach to the management of 5:30pm - 6:30pm Awards Ceremony hematuria in the pediatric patient. Florida Ballroom A 3. Develop a rational approach to the disposition of the 6:30pm - 7:30pm Opening Reception pediatric patient with hematuria. Please join us for an Opening Reception in the Exhibit 4. Recognize the diverse presentations of post Hall in Plaza International Ballroom G & H streptococcal glomerulonephritis, as well as the important aspects of evaluation and management. Track C – Pediatrics 5. Recognize presentations of hemolytic uremic syndrome and understand critical aspects of Florida Ballroom B stabilization and management. 1:00pm - 1:30pm 4 week old: “He’s not breathing right.” 3:00pm - 3:30pm Break – Please visit Exhibitors in the Plaza Ghazala Sharieff, MD FAAEM FAAP FACEP International Ballroom G & H Director of Pediatric Emergency Medicine, Palomar- Pomerado Health System/California Emergency 3:30pm - 4:00pm A Funny Looking Kid: Does it Change Evaluation? Physicians; Professor, University of California San Diego Dave Nelson, MD FAAEM Learning Objectives Assistant Professor of Emergency Medicine, Director of 1. To be familiar with the management of bronchiolitis Pediatrics Emergency Medicine Residency, University of in infants. Nevada School of Medicine 2. To know the management guidelines for asthma.

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 9 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule February 28, 2011

Learning Objectives Track D – Subspecialty Panels 1. Review common conditions and syndromes that Florida Ballroom C dysmorphic children may have, including Down’s Syndrome and other genetic conditions. 1:00pm - 3:00pm EMS Panel 2. Discuss the potential medical problems that these Roger Stone, MD FAAEM children (from infancy through adolescence) may Clinical Assistant Professor, Emergency Medicine, encounter when ill or after trauma. University of Maryland School of Medicine; EMS Medical 3. Preparing for the critically ill dysmorphic child Director, Montgomery Co Fire Rescue; Medical Director, – anticipating difficulties relating to airway, Caroline Co EMS Programs; Associate EMS Medical musculoskeletal and metabolic abnormalities. Director, Carroll Co Emergency Services Learning Objectives 4:00pm - 4:30pm Why Do We Treat for Strep Throat? 1. To present new topics which effect our specialists David Newman, MD and their interface with out-of-hospital (EMS) Learning Objectives providers. 1. Review and understand the goals of therapy for 2. To familiarize the audience about emerging trends in streptococcal pharyngitis. the delivery of emergency care outside of traditional 2. Become familiar with the trial literature of antibiotics hospitals. versus placebo for streptococcal pharyngitis. 3. To present different models of Freestanding 3. Review the harms and benefits of antibiotic therapy Emergency Medicine practices, private and hospital for streptococcal pharyngitis. satellite, and interface issues with EMS. 4:30pm - 5:00pm PCV-13 Vaccine: What Does it Mean for Fever with a 4. To present data about promising new technologies in Source? EMS that effect patient care by our physicians. Andrea Marmor, MD 5. To provide practicing AAEM members with and Assistant Professor of Pediatrics, University of California, without EMS involvement with an update about our San Francisco, San Francisco General Hospital newest subspecialty. Learning Objectives Evolution of Private Emergency Medicine Practices: 1. Describe the impact of the PCV-7 vaccine and the Independent Freestanding EDs and Interface with EMS basis for development of PCV-13. Richard Joe Ybarra, MD 2. Employ an evidence-based strategy of selective Learning Objectives testing in young infants/children with fever without a 1. Apply new principles to improve their everyday source. practice of emergency medicine. 3. Estimate the likelihood of pyelonephritis and other 2. Increase their understanding of the emergency occult serious bacterial infection (bacteremia, medicine workplace. meningitis) in a young infant with fever without a source. The Hospital Satellite Freestanding ED: Planning and Implementation of a New Facility and its Role within 5:00pm - 5:30pm Scary: The Sickle Cell Child in Shock a Greater EMS System Elizabeth Weinstein, MD FAAEM FAAP Brian Browne, MD FAAEM Indiana University School of Medicine Chairman and Professor of Emergency Medicine, Learning Objectives University of Maryland School of Medicine 1. Recognize the unique causes of shock in the Learning Objectives pediatric patient with sickle cell disease. 1. Review the community problems, specifically the lack 2. Understand the management priorities for the sickle of a hospital and emergency care facility and strain cell patient with acute chest syndrome. on the local EMS resources. 3. Understand indications for emergent simple 2. Review the major collaboration involved in developing transfusion and exchange transfusion for the ill the free standing ED. patient with sickle cell disease. 3. Review the first three months of clinical operations 4. Recognize and correctly manage acute splenic and the financial impact. sequestration crisis. 4. Review the next steps for the free standing ED, the 5. Understand nuances in management and evaluation local parent hospital, and the university health care of the pediatric patient with sickle cell disease and system. fever. 5:30pm - 6:30pm Awards Ceremony Florida Ballroom A 6:30pm - 7:30pm Opening Reception Please join us for an Opening Reception in the Exhibit Hall in Plaza International Ballroom G & H

10 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule February 28, 2011

Improved Neurologic Outcomes after Pre-hospital Intravenous Sylibinin for Amatoxin Poisoning Resuscitative Efforts: Results of the “ResQ Pod” Learning Objectives (Impedance Device) Trial 1. The under appreciated worldwide scope and impact Marvin Wayne, MD FAAEM of amatoxin mushroom poisoning. Associate Clinical Professor, University of Washington; 2. Rapid ED identification and triage of potential EMS Medical Program Director, Whatcom County, amatoxin mushroom poisoning. Washington; Attending, Department of Emergency 3. ED management of the amatoxin poisoned patient. Medicine, PeaceHealth St. Joseph Medical Center, Do’s and don’ts. Bellingham, Washington 4. New developments in the clinical management of Learning Objectives amatoxin mushroom poisoning. 1. Describe current state of cardiac arrest and CPR. 5. The importance of aggressive hydration in the ED 2. Discuss the physiology of CPR and how it might be and early referral for admission for preventing early improved. renal failure. 3. Describe the outcome of the multi-center ResQ Trial- Intralipid Emulsion Therapy device vs standard CPR. Learning Objectives 4. Describe the use of therapeutic hypothermia for post 1. Apply new principles to improve their everyday resuscitation care. practice of emergency medicine. The Approval of EMS as our Newest Sub-Specialty: 2. Increase their understanding of the emergency Implications for the Emergency Physician medicine workplace. David K. Tan, MD FAAEM Hyrdoxocobalamin for Cyanide Toxicity Assistant Professor and Chief, EMS Section, Division of Learning Objectives Emergency Medicine, Washington University School of 1. Be able to discuss the mechanism of action of Medicine; Chair, Operational EMS Committee, National cyanide. Association of EMS Physicians 2. Be able to discuss the mechanism of action of Learning Objectives hydroxocobalamin in reversing cyanide toxicity. 1. Describe the approval process of EMS as a 3. Be able to list some of the adverse effects subspecialty. and laboratory interferences associated with 2. Describe the anticipated board certification process hydroxocobalamin administration. for EMS. Faculty: 3. Discuss the anticipated timeline for board Ziad Kazzi, MD FAAEM certification in EMS. Assistant Professor, Department of Emergency Medicine- 4. Review the significance of official specialty Section of Medical Toxicology; Director, International recognition by ABEM and ABMS. Toxicology Post-doctoral Fellowship, Emory University; 3:00pm - 3:30pm Break – Please visit Exhibitors in the Plaza Assistant Medical Director, Georgia Poison Center International Ballroom G & H Charles McKay, MD 3:30pm - 5:30pm Clinical Toxicology Update – 2011: Four Antidotes Medical Director, Department of Occupational Health that You Need to Know Services Section; Chief, Division of Medical Toxicology; Associate Medical Director, Connecticut Poison Control Pralidoxime for Organophosphate Poisoning Learning Objectives Center; Associate Professor of Emergency Medicine 1. Apply new principles to improve their everyday University of Connecticut School of Medicine; Board of practice of emergency medicine. Directors, American College of Medical Toxicology 2. Increase their understanding of the emergency S. Todd Mitchell, MD MPH medicine workplace. Assistant Professor, Department of Emergency Medicine- Section of Medical Toxicology; Director, International Toxicology Post-doctoral Fellowship, Emory University; Assistant Medical Director, Georgia Poison Center Tammi Schaeffer, DO FAAEM Assistant Clinical Professor, University of Colorado- Denver, School of Medicine; Rocky Vista University College of Osteopathic Medicine, Rocky Mountain Poison and Drug Center, Denver Health, Denver, CO

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 11 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule February 28, 2011

Josef Thundiyil, MD FAAEM Attending Physician in Emergency Medicine and Medical Toxicology, Assistant Residency Program Director, Orlando Regional Medical Center; Department of Emergency Medicine, Clinical Assistant Professor; Florida State University, College of Medicine; University of Central Florida, College of Medicine; University of Florida, College of Medicine 5:30pm - 6:30pm Awards Ceremony Florida Ballroom A 6:30pm - 7:30pm Opening Reception Please join us for an Opening Reception in the Exhibit Hall in Plaza International Ballroom G & H

Track E – AAEM/JEM Competition Plaza International D 1:00pm - 5:30pm AAEM/JEM Resident and Student Original Research Competition Moderator/Judge: Stephen R. Hayden, MD FAAEM Professor of Clinical Medicine, Department of Emergency Medicine, UCSD Medical Center, San Diego, CA; Editor-in- Chief, Journal of Emergency Medicine Judges: Howard Blumstein, MD FAAEM Wake Forest University School of Medicine, Emergency Department Robert McNamara, MD FAAEM Professor and Chairman, Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PA David Slattery, MD FAAEM Assistant Professor and Research Director, Department of Emergency Medicine, University of Nevada School of Medicine 5:30pm - 6:30pm Awards Ceremony Florida Ballroom A 6:30pm - 7:30pm Opening Reception Please join us for an Opening Reception in the Exhibit Hall in Plaza International Ballroom G & H

12 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule March 1, 2011 Plenary Concurrent Sessions Begin Plaza International Ballroom I-K Track A – Is This a Piece of Your Brain? 7:45am - 8:45am Literature Update: Cardiology Plaza International Ballroom I-K Amal Mattu, MD FAAEM Professor and Residency Director, Department of 3:00pm - 3:30pm What Does “Questionable Loss of Consciousness” Emergency Medicine, University of Maryland School of Mean? (Retrograde vs. Anterograde Amnesia) Medicine, Baltimore, Maryland Chad Kessler, MD FAAEM Learning Objectives Section Chief, Emergency Medicine, Jesse Brown VA 1. List the most recent updates in the 2010 Medical Center; Assistant Professor Emergency Medicine, AHA Guidelines. University of Illinois-Chicago College of Medicine 2. Describe optimal care of the cardiac arrest patient as Learning Objectives well as post-arrest care. 1. Understand what is meant by “Questionable Loss of 3. Understand the utility of the San Francisco Syncope Consciousness.” Rules. 2. Know how to manage these patients in the emergency department. 8:45am - 9:00am TBA 3. Clear understanding of mild traumatic brain injury. Seung Ho Kim, MD Past President, Korean Society of Emergency Medicine 3:30pm - 4:00pm Fine Tuning Treatment of the Injured Brain: Position, Sugar, Temperature, Blood Pressure 9:00am - 10:00am Literature Update: Neurology Bart Besinger, MD FAAEM Jim Roberts, MD FAAEM Assistant Professor of Clinical Emergency Medicine, Professor, Emergency Medicine, Drexel University College Indiana University School of Medicine, Department of of Medicine; Chair, Department of Emergency Medicine, Emergency Medicine Mercy Catholic Medical Center, Philadelphia, PA Learning Objectives Learning Objectives 1. Describe the importance of proper positioning of the 1. Understand advances in the presentation and head-injured patient. treatment of various necrologic disorders presenting 2. Identify optimal body temperature goals. to the ED. 3. Examine the role of glucose management. 2. Update the knowledge base for the acute treatment 4. Identify strategies for optimal blood pressure of stroke. management. 10:00am - 10:30am Break – Please visit Exhibitors in the Plaza 4:00pm - 4:30pm Reversing Anticoagulants in the Patient with Brain International Ballroom G & H Trauma 10:30am - 11:30am Literature Updates: Infectious Disease Kevin Rodgers, MD FAAEM Arjun Chanmugam, MD FAAEM Professor of Clinical Emergency Medicine and Co- Associate Professor, Department of Emergency Medicine, Program Director, Emergency Medicine Residency, Johns Hopkins University School of Medicine Indiana University Learning Objectives Learning Objectives 1. Gain familiarity with the important developments that 1. Apply new principles to improve their everyday occurred in 2010 in infectious disease. practice of emergency medicine. 2. Understand the impact of antibiotic resistance on 2. Increase their understanding of the emergency current practice. medicine workplace. 3. Review the controversy regarding mask choice for 4:30pm - 5:00pm Which Neck Injuries Require Vascular Imaging? use in managing influenza. Scott Melanson, MD FAAEM 4. Review the treatment of C. Difficile and MRSA. Residency Program Director, Emergency Medicine 5. Understand the impact of dengue fever. Residency, St. Luke’s Hospital, Bethlehem, PA; Associate 11:30am - 12:30pm Literature Updates: Trauma Professor of Emergency Medicine, Temple University S.V. Mahadevan, MD FAAEM School of Medicine, Philadelphia, PA Associate Professor of Surgery/Emergency Medicine, Learning Objectives Associate Chief, Division of Emergency Medicine, Medical 1. Apply new principles to improve their everyday Director, Stanford University Emergency Department practice of emergency medicine. Learning Objectives 2. Increase their understanding of the emergency 1. Apply new principles to improve their everyday medicine workplace. practice of emergency medicine. 5:00pm - 5:30pm Is Head Injury Protection RSI a Myth? 2. Increase their understanding of the emergency Brian Lin, MD FAAEM medicine workplace. Attending Physician, Kaiser Permanente, San Francisco, 12:30pm - 2:30pm Lunch and Annual Business Meeting Department of Emergency Medicine; Assistant Clinical Professor, UCSF Department of Emergency Medicine

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Conference Schedule March 1, 2011

Learning Objectives 4:00pm - 4:30pm My Colleague is Back from Rehab: How Should I Act? 1. The dogma. Review of major emergency medicine Karl Nibbelink, MD texts and expert recommendations regarding pre- Emergency Physician, Mercy Hospital, Janesville, WI medication to protect patients with increases in Learning Objectives intracranial pressure during RSI. 1. Understand the treatment program. 2. Where’s the evidence? A critical look at the evidence 2. Identify specific needs in the early return to work driving current recommendations. period. 3. Head injury protection and the practice of emergency 3. Discuss aftercare and relapse. medicine: Examination of what’s really being done in 4. Know the long-term prognosis for physicians. EM practice, barriers to following recommendations, 4:30pm - 5:00pm “My Doctor is on Vacation and I Ran out of Percocet.” and the future of pre-medication in RSI. Dealing with Suspected Drug Diverters 5:30pm - 6:00pm Idiopathic Intracranial Hypertension: All You Need to Sergey Motov, MD FAAEM Know in the Emergency Department Department of Emergency Medicine, Maimonides Medical Chandra Aubin, MD Center Assistant Professor, Assistant Residency Director, Learning Objectives Emergency Medicine, Washington University School of 1. Define the problem of drug diversion in the ED. Medicine 2. Identify the behavioral profile of drug diverters in the ED. Learning Objectives 3. Describe the strategies to minimize drug diversion in 1. Understand the pathophysicology of IIH. the ED. 2. Understand the diagnostic criteria. 5:00pm - 5:30pm How Effective are Non-Opioid Pain Relievers? 3. Understand of the treatment of IIH, including weight Larry Raney, MD FAAEM loss, acetozolamide and surgical therapies. Associate Professor, Emergency Medicine, Medical 4. Understand of complications of untreated IIH, which University of South Carolina is primarily vision loss. Learning Objectives 5. Understand of potential complications of VP shunt. 1. Review non-opiod choices. 6:00pm - 7:00pm ABEM Town Hall Meeting 2. Review efficacy of same. Florida Ballroom A 3. Review utility for these in the emergency department.

Track B – Why is Pain Such a Pain: The ED Paradox 5:30pm - 6:00pm Pain Management in the Addicted Patient: Now What? Sergey Motov, MD FAAEM Florida Ballroom A Department of Emergency Medicine, Maimonides Medical 3:00pm - 3:30pm Should We Be Using Agonist-Antagonist Pain Meds in Center the Emergency Department? Learning Objectives Larry Raney, MD FAAEM 1. Describe the strategies to minimize drug diversion in Associate Professor, Emergency Medicine, Medical the ED. University of South Carolina 2. Review the common characteristic of a drug addicted Learning Objectives patient in the ED. 1. Review pharmacology of agonist-antagonists. 3. Discuss the practical methods of treating acute pain 2. Compare efficacy of same. in the addicted person in the ED. 3. Apply the above to emergency medicine. 6:00pm - 7:00pm ABEM Town Hall Meeting 3:30pm - 4:00pm I Suspect My Colleague is Using Drugs: Florida Ballroom A What Should I Do? Karl Nibbelink, MD Track C – When the Shift Hits the Fan: Cringe-Inducing Triage Notes Emergency Physician, Mercy Hospital, Janesville, WI Florida Ballroom B Learning Objectives 3:00pm - 3:30pm 18 y/o Male: “Stabbed in chest, just lost pulse.” 1. Understand the scope of the problem. (EMS call) 2. Identify warning signs of substance abuse. Christopher Lee, MD FAAEM 3. Identify barriers to referral/treatment. Assistant Professor, Department of Emergency Medicine, 4. Develop an intervention/referral strategy. Director, Center for International Emergency Medicine, Stony Brook University Medical Center Learning Objective To understand the concept of emergency department treatment of thoracic trauma. To understand the controversies regarding emergency department thoracotomy.

14 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Conference Schedule March 1, 2011

3:30pm - 4:00pm 6 week old: “Seizing for the past 30 minutes.” Learning Objectives Maureen McCollough, MD 1. Know the limited list of medications that are toxic to Associate Professor of Emergency Medicine and small children even in small quantities. Pediatrics, Keck USC School of Medicine; Director, 2. Understand the differences between the presentation Pediatric Emergency Medicine, Department of Emergency of these toxins in children compared to adults. Medicine, Los Angeles County USC Medical Center 3. Understand the initial management of pediatric Learning Objectives patients manifesting signs or symptoms of these 1. Understand the etiologies of seizures in very young toxins. infants. 5:30pm - 6:00pm 7 y/o Female: “Can’t swallow, voice sounds funny.” 2. Recognize seizure activity in a very young infant. Karen Santucci, MD 3. Understand the management of status epilepticus in Associate Professor of Pediatrics, Medical Director and very young infants. Section Chief of Pediatric Emergency Medicine, Yale-New 4:00pm - 4:30pm 9 y/o Female: (Mother) “I think her father is abusing Haven Children’s Hospital her.” Learning Objectives Karen Santucci, MD 1. Participants will gain an appreciation for the Associate Professor of Pediatrics, Medical Director and etiologies of throat pain and change in voice quality Section Chief of Pediatric Emergency Medicine, Yale-New in a child. Haven Children’s Hospital 2. At the completion of the session, participants will Learning Objectives know the potential complications of a variety of 1. At the completion of the session, participants will throat infections. have an appreciation for when to suspect the 3. Participants will have an understanding of differences possibility of non-accidental injury in pediatrics. in the presentation of throat infections across age 2. Participants will gain insight into the essentials groups. of appropriate documentation of the history and 4. Participants will know which labs/studies to order to physical. make an appropriate diagnosis. 3. Participants will gain an understanding of who a 5. Participants will gain an understanding of treatment mandated reporter is and when to report. plans for infections of the throat in pediatrics. 4. Participants will explore and gain appreciation for the 6:00pm - 7:00pm ABEM Town Hall Meeting most common masqueraders of abuse. Florida Ballroom A 5. Participants will gain appreciation for useful strategies during the assessment of a possible abuse Track D – The Best of Morbidity and Mortality case and when called to court. Florida Ballroom C 4:30pm - 5:00pm 24 y/o Female: “Caught in house fire.” Chandra Aubin, MD 3:00pm - 3:30pm But He Presented with Hematemesis! Assistant Professor, Assistant Residency Director, Mark Favot, MD Emergency Medicine, Washington University School of A. Joseph Garcia, MD Medicine Henry Ford Hospital Learning Objectives 3:30pm – 4:00pm The Difficult Psychiatric Patient 1. Update on current guidelines for volume resuscitation Sneha H. Shah, MD in burn injuries and potential complications. Rodney Omron, MD MPH 2. Update on current recommendations/controversy Johns Hopkins Hospital, Department of Emergency regarding treatment of CO poisoning. Medicine 3. Update on management and potential complications 4:00pm - 4:30pm 37 year old Female with Abdominal Pain of inhalation injuries. Jairo Ulloa, MD 4. Update on current recommendations for wound care Jairo Santanilla, MD of burns. Louisiana State University, New Orleans 5:00pm - 5:30pm 2 y/o Male: “He took some of grandma’s pills.” 4:30pm - 5:00pm Pitfalls in the “Inappropriate” Patient Maureen McCollough, MD Caroline Molins, MD Associate Professor of Emergency Medicine and Florida Hospital Pediatrics, Keck USC School of Medicine; Director, Pediatric Emergency Medicine, Department of Emergency 5:00pm - 5:30pm Neonatal Fever Medicine, Los Angeles County USC Medical Center Richard Kirkpatrick, MD Dennis Hernandez, MD FAAEM Florida Hospital

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Conference Schedule March 1, 2011 5:30pm - 6:00pm Septic Cavernous Sinus Thrombosis 4:00pm - 4:30pm Improving Patient Satisfaction Jill Ward, MD Elizabeth Hall, MD FAAEM Jason Sniffen, DO Physician Champion of Patient Satisfaction; AAEM YPS Florida Hospital Secretary/Treasurer; Assistant Residency Director, Clinical Assistant Professor, York Hospital, York PA 6:00pm - 7:00pm ABEM Town Hall Meeting Learning Objectives Florida Ballroom A 1. Explain why patient satisfaction is important. Track F – Resident Track 2. Discuss the challenges faced by emergency physicians. Plaza International Ballroom F 3. Discuss key factors that impact patient satisfaction in 2:30pm - 3:00pm The Integration of EKG into Your Practice the ED. Amal Mattu, MD FAAEM 4. Provide techniques to improve patient satisfaction in Professor and Residency Director, Department of the ED. Emergency Medicine, University of Maryland School of 4:30pm - 5:15pm Finding Your Niche in EM Medicine, Baltimore, Maryland Arjun Chanmugan, MD FAAEM Learning Objectives Associate Professor, Department of Emergency Medicine, 1. Identify how the morphology of the ST segments can Johns Hopkins University School of Medicine help distinguish between STEMI vs. pericarditis. Learning Objectives 2. Identify how the evaluation of reciprocal changes can 1. Apply new principles to improve their everyday help distinguish between STEMI vs. pericarditis. practice of emergency medicine. 3. Identify how the evaluation of clinical factors help in 2. Increase their understanding of the emergency the distinction between STEMI vs. pericarditis. medicine workplace. 3:00pm - 3:30pm The Integration of Ultrasound into Your Practice 5:15pm - 6:00pm Transition from Resident to Faculty...Successfully Paul Sierzenski, MD RDMS FAAEM Carey Chisholm, MD FAAEM Learning Objectives Professor of Emergency Medicine, Indiana University 1. Apply new principles to improve their everyday School of Medicine practice of emergency medicine. Learning Objectives 2. Increase their understanding of the emergency 1. Understand the issues that new graduates find most medicine workplace. challenging. 3:30pm - 4:00pm CV Workshop 2. Provide management recommendations to avoid Michael Epter, DO FAAEM pitfalls and to better assimilate into the new Associate Professor, Program Director, Emergency workplace/role. Medicine Residency Program, University of Nevada 6:00pm - 7:00pm ABEM Town Hall Meeting Learning Objectives Florida Ballroom A 1. Identify the key elements of a CV. 2. Provide participants with pearls and pitfalls when compiling their CV.

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Conference Schedule March 2, 2011

Track A – Managing Critical Patients in the ED 10:00am - 10:30am Low-Molecular Weight Heparin vs. Unfractionated Plaza International Ballroom I-J Heparin: When Does It Matter? Tim Ellender, MD 8:00am - 8:30am Does Antibiotic Choice Change Outcomes in Sepsis? Assistant Professor of Clinical Emergency Medicine, Gorillacillin and Cephakillemol: Who Needs Big Gun Indiana University Department of Emergency Medicine; Antibiotics? Emergency Medicine and Critical Care, IC-EM:Clarian Evadne Marcolini, MD FAAEM Health/Methodist Hospital Assistant Professor, Department of Emergency Medicine Learning Objectives and Critical Care, Yale University School of Medicine 1. Apply new principles to improve their everyday Learning Objectives practice of emergency medicine. 1. Apply new principles to improve their everyday 2. Increase their understanding of the emergency practice of emergency medicine. medicine workplace. 2. Increase their understanding of the emergency medicine workplace. 10:30am - 11:00am Should We be Using Tranexamic Acid in Trauma Patients? 8:30am - 9:00am Does Pressor Choice or Use Change Outcomes in Lisa Moreno-Walton, MD FAAEM Sepsis? Associate Professor, Emergency Medicine, LSU-New Evadne Marcolini, MD FAAEM Orleans; Assistant Professor, Research Genetics, LSU- Assistant Professor, Department of Emergency Medicine New Orleans; Assistant Professor, Medicine Research- and Critical Care, Yale University School of Medicine LSU-New Orleans; Associate Residency Program Director, Learning Objectives Emergency Medicine; Clinical Research School 1. Apply new principles to improve their everyday Learning Objectives practice of emergency medicine. 1. Apply new principles to improve their everyday 2. Increase their understanding of the emergency practice of emergency medicine. medicine workplace. 2. Increase their understanding of the emergency 9:00am - 9:30am What Does CORTICUS Tell Us about Steroids and medicine workplace. Sepsis? 11:00am - 11:30am Is Hypoxemia Dangerous? Michael Winters, MD FAAEM Heatherlee Bailey, MD FAAEM Assistant Professor of Emergency Medicine and Director of Critical Care Education, Division of Emergency Medicine, Co-Director, Combined EM/IM/Critical Care Medicine, Duke University Medical Center Program, University of Maryland School of Medicine; Learning Objectives Medical Director, Adult Emergency Department, University 1. Apply new principles to improve their everyday of Maryland Medical Center practice of emergency medicine. Learning Objectives 2. Increase their understanding of the emergency 1. Describe the CORTICUS study and list the pertinent medicine workplace. results. 2. Compare and contrast the CORTICUS study with 11:30am - 12:00pm What are the New Sepsis Biomarkers: Can They Help previous trials evaluating the use of corticosteroids in in the Emergency Department? patients with sepsis. Michael Winters, MD FAAEM 3. Discuss the current recommendations for the Assistant Professor of Emergency Medicine and administration of corticosteroids to emergency Medicine, Co-Director, Combined EM/IM/Critical Care department patients with sepsis. Program, University of Maryland School of Medicine; Medical Director, Adult Emergency Department, University 9:30am - 10:00am CPAP and BiPAP? Who Might I Hurt? Why Would I of Maryland Medical Center Choose One Over the Other? Prehospital? Learning Objectives Heatherlee Bailey, MD FAAEM 1. Identify the use of biomarkers in the identification, Director of Critical Care Education, Division of Emergency risk stratification, treatment and prognostication of Medicine, Duke University Medical Center ED patients with sepsis. Learning Objectives 2. Discuss the use of interleukin-6, C-reactive protein 1. Apply new principles to improve their everyday and procalcitonin in the evaluation and management practice of emergency medicine. of ED patients with sepsis. 2. Increase their understanding of the emergency 3. Describe the use of biomarker panels in the medicine workplace. management of septic patients.

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Conference Schedule March 2, 2011 Track B – Abdominal Complaints: What’s in the “Black Box?” 10:00am - 10:30am Who Really Needs an NG Tube? Angela Mills, MD FAAEM Florida Ballroom A Assistant Professor of Emergency Medicine, University of 8:00am - 8:30am Is this Really Peritonitis? Pennsylvania Angela Mills, MD FAAEM Learning Objectives Assistant Professor of Emergency Medicine, University of 1. To understand the indications and contraindications Pennsylvania of nasogastric tubes in emergency medicine practice. Learning Objectives 2. To understand the complications of nasogastric tube 1. To understand the etiology of acute peritonitis. placement and use. 2. To understand the key historical and physical 3. To understand the available evidence for the use of examination components in the diagnosis of acute nasogastric tubes peritonitis. 10:30am - 11:00am 3. To understand the available key diagnostic testing for Belly Pain in the Immunocompromised: Does This the evaluation of acute peritonitis. Change Everything? Ingrid Lim, MD FAAEM 8:30am - 9:00am Do “Belly Labs” Ever Help? Kaiser Permanente, San Francisco Medical Center, Jack Perkins, MD FAAEM Department of Emergency Medicine, Chief, Continuing Learning Objectives Medical Education; Assistant Clinical Professor, University 1. Identify the elderly as high-risk patients with of California, San Francisco abdominal pain. Learning Objectives 2. Understand that serum lactate levels should not be 1. Recognize the classifications of immunocompromise used as screening tests in undifferentiated abdominal and how they influence the abdominal pain workup. pain. 2. Diagnose diseases that are unique to the severely 3. The WBC is not sufficiently sensitive nor specific to compromised patient with AIDS, malignancy, help identify patients with surgical disease. neutropenia and post-transplant. 4. Lipase should only be used in the context of a history 11:00am - 11:30am and physical exam suggesting pancreatitis. The Liver Transplant Patient: What’s Different? Brian Lin, MD FAAEM 5. Performing serial abdominal examinations and Attending Physician, Kaiser Permanente, San Francisco, improving the quality of our discharge instructions Department of Emergency Medicine; Assistant Clinical will help improve the care of patients with Professor, UCSF Department of Emergency Medicine undifferentiated abdominal pain. Learning Objectives 9:00am - 9:30am Are PPIs Really Better Than H2 Blockers? 1. A brief review of liver transplantation including Jack Perkins, MD FAAEM history, current scope of the problem, and where we Learning Objectives stand today. 1. Understand physiology of PPI’s and H2-blockers. 2. Management of early & late complications 2. Realize H2-blockers have no role in treatment of of liver transplant that may present to your UGIB. emergency department, including an overview of 3. PPI are treatment of choice for UGIB. immunosuppressive medications. 4. PPI are superior to H2-blockers for GERD, but 3. New techniques, issues and challenges in liver over-the-counter PPI’s may be just as effective as transplantation relevant to the practice of emergency prescription PPI. medicine. 5. Either PPI or H2-blocker is reasonable first treatment 11:30am - 12:00pm of PUD. Can I Diagnose SBP without Tapping the Belly? Tim Ellender, MD 9:30am - 10:00am Who Really Needs a Rectal Exam? Assistant Professor of Clinical Emergency Medicine, Chad Kessler, MD FAAEM Indiana University Department of Emergency Medicine; Section Chief, Emergency Medicine, Jesse Brown VA Emergency Medicine and Critical Care, IC-EM:Clarian Medical Center; Assistant Professor Emergency Medicine, Health/Methodist Hospital University of Illinois-Chicago College of Medicine Learning Objectives Learning Objectives 1. Apply new principles to improve their everyday 1. Understand when to do a rectal exam in the practice of emergency medicine. emergency department, when not to, and the 2. Increase their understanding of the emergency evidence that supports those decisions. medicine workplace. 2. Understand the controvery and lack of evidence- based medicine for this age-old practice.

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Conference Schedule March 2, 2011

Track C – Clinical Questions? Learning Objectives Florida Ballroom B 1. Discuss the evidence behind use of prophylactic antibiotics for wound care in the ED. 8:00am - 8:30am Abscess Treatment: Who Needs Antibiotic? Who 2. Identify wound types that are at high risk for infection Needs Repacking? Can We Do Primary Closure? and prescribe appropriate antibiotics. Harsh Sule, MD FAAEM 3. Employ other strategies to minimize wound infection Assistant Professor of Emergency Medicine, Associate that may be more effective than prescribing Residency Director, Director, International Emergency antibiotics alone. Medicine; Co-Director, Global Health Fellowship Learning Objectives 10:00am - 10:30am HyperK: What Really Works? 1. Discuss whether antibiotics are necessary in the Harsh Sule, MD FAAEM treatment of routine cutaneous abscesses. Assistant Professor of Emergency Medicine, Associate 2. Discuss the need and options for antibiotic treatment Residency Director, Director, International Emergency in light of MRSA infections. Medicine; Co-Director, Global Health Fellowship 3. Review the literature regarding the need for packing Learning Objectives an abscess, repacking and repeat ED visits for 1. Review, in brief, the pathophysiology of how wound checks. hyperkalemia is a life-threatening emergency. 4. Explore the possibility of primary closure. 2. Emphasize that EKG changes do not correlate reliably 5. Present a practical algorithm for abscess with the degree of hyperkalemia. management in the ED. 3. Understand the three basic mechanisms of action in managing hyperkalemia and relevant agents 8:30am - 9:00am Do Prophylactic Antibiotics Make Any Difference in involved. Wounds? 4. Discuss controversies regarding the treatment of Ingrid Lim, MD FAAEM hyperkalemia - including the use of ion-exchange Kaiser Permanente, San Francisco Medical Center, resins and sodium bicarbonate. Department of Emergency Medicine, Chief, Continuing Medical Education; Assistant Clinical Professor, University 10:30am - 11:00am Complications of In Vitro Fertilization of California, San Francisco Andrew Johnson, MD FAAEM Learning Objectives Academic Chairman, Department of Emergency 1. Discuss the evidence behind use of prophylactic Medicine, Naval Medical Center Portsmouth antibiotics for wound care in the ED. Learning Objectives 2. Identify wound types that are at high risk for infection 1. Apply new principles to improve their everyday and prescribe appropriate antibiotics. practice of emergency medicine. 3. Employ other strategies to minimize wound infection 2. Increase their understanding of the emergency that may be more effective than prescribing medicine workplace. antibiotics alone. 11:00am - 11:30am The Rational Clearance for Psychiatric Care Leslie Zun, MD FAAEM 9:00am - 9:30am Saline vs. NAC vs. Bicarb vs. Vitamin C: How Professor and Chair, Department of Emergency Medicine, Important in CIN? Can We Prevent it in the ED? Joe Lex, MD FAAEM Chicago Medical School; Chair, Department of Emergency Associate Professor of Emergency Medicine, Department Medicine, Mount Sinai Hospital, Chicago, IL of Emergency Medicine, Temple University School of Learning Objectives Medicine, Philadelphia, PA 1. To understand the medical clearance process. Learning Objectives 2. To understand the controversy that surrounds 1. Define contrast-induced nephropathy (CIN). laboratory testing of the psychiatric patient. 2. Discuss the incidence of CIN in emergency 3. To use protocols in the evaluation of psychiatric department patients. patients. 3. Discuss the role, if any, of n-acetylcysteine in 11:30am - 12:00pm Why an EM Physician is Ideal for Directing Disaster preventing CIN in ED patients. Relief 4. Discuss the role, if any, of sodium bicarbonate in Andrew Johnson, MD FAAEM preventing CIN in ED patients. Academic Chairman, Department of Emergency Medicine, Naval Medical Center Portsmouth 9:30am - 10:00am Bell’s Palsy: Steroids? Antivirals? Both? Neither? Lisa Moreno-Walton, MD FAAEM Learning Objectives Associate Professor, Emergency Medicine, LSU-New 1. Apply new principles to improve their everyday Orleans; Assistant Professor, Research Genetics, LSU- practice of emergency medicine. New Orleans; Assistant Professor, Medicine Research- 2. Increase their understanding of the emergency LSU-New Orleans; Associate Residency Program Director, medicine workplace. Emergency Medicine; Clinical Research School

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Conference Schedule March 2, 2011

Track D – Nuts and Bolts of Running an ER 9:30am - 10:00am Optimizing the ED: Midlevels, Extenders, Scribes Florida Ballroom C Leslie Zun, MD FAAEM Professor and Chair, Department of Emergency Medicine, 8:00am - 8:30am How Do I Get Propofol in My ED? Chicago Medical School; Chair, Department of Emergency Gary Gaddis, MD FAAEM Medicine, Mount Sinai Hospital, Chicago, IL St. Luke’s/Missouri Endowed Chair for Emergency Learning Objectives Medicine, St. Luke’s Hospital of Kansas City and the 1. Understand the training and competency of midlevel University of Missouri-Kansas City School of Medicine providers. Learning Objectives 2. Learn about the role in emergency medicine for 1. Why propofol is a relatively safe procedural sedation various midlevel providers. agent in an emergency department, when proper 3. Evaluate the advantages and limitations of midlevel patient monitoring and proper medication dosing is providers in the emergency department. employed. 2. The difference between definitions of sedation used 10:00am - 10:30am Impact of LEAN Techniques on EM Management commonly by emergency physicians, versus by the William Durkin, MD MBA FAAEM Centers for Medicare and Medicaid Services (CMS), Learning Objectives to enhance understanding of the current regulatory 1. Apply new principles to improve their everyday interest in propofol by CMS. practice of emergency medicine. 3. State which type of physician group must oversee 2. Increase their understanding of the emergency anesthesia services at any hospital in the United medicine workplace. States and from where that authority derives. 10:30am - 11:00am High Points of the Mandatory Insurance Legislation 4. Easily find references, many of which will be Larry D. Weiss, MD JD FAAEM discussed in this talk, that cite why emergency Professor of Emergency Medicine, University of Maryland physicians properly assert that propofol is highly School of Medicine; AAEM Immediate Past President safe when dosed appropriately in a setting with Learning Objectives proper patient monitoring, so that these emergency 1. Participants will understand the general initiatives physicians are more likely to be able to persuade passed by Congress under the 2009 health care physicians from other medical specialties that reform legislation. propofol is the best agent currently available for 2. Participants will understand how these initiatives will procedural sedation of emergency department change the practice of medicine. patients undergoing painful procedures. 3. Participants will understand the impact of this legislation on emergency medicine. 8:30am - 9:00am How Can I Maximize My RVUs…Honestly? Mark Reiter, MD MBA FAAEM 11:00am - 11:30am Does Burnout Still Exist? Director of Medical Student Education, Deptartment Robert McNamara, MD FAAEM of Emergency Medicine, St. Luke’s Hospital; Clinical Chair, Department of Emergency Medicine, Temple Assistant Professor, Temple University Medical School University School of Medicine, Philadelphia, PA Learning Objectives Learning Objectives 1. Discuss strategies to increase your productivity. 1. Apply new principles to improve their everyday 2. Discuss strategies to increase your RVUs for the work practice of emergency medicine. you are already doing. 2. Increase their understanding of the emergency medicine workplace. 9:00am - 9:30am Is the AMA Relevant to EM? Robert McNamara, MD FAAEM 11:30am - 12:00pm No Waiting Room Risks and Benefits Chair, Department of Emergency Medicine, Temple Mark Reiter, MD MBA FAAEM University School of Medicine, Philadelphia, PA Director of Medical Student Education, Deptartment Learning Objectives of Emergency Medicine, St. Luke’s Hospital; Clinical 1. Apply new principles to improve their everyday Assistant Professor, Temple University Medical School practice of emergency medicine. Learning Objectives 2. Increase their understanding of the emergency 1. Describe how to create a “no-waiting room” ED. medicine workplace. 2. Discuss the advantages and disadvantages of a “no- waiting room” ED.

20 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

AAEM’s Tenth Annual Open Mic Presentations Open Mic Directors: Andrew Johnson, MD and Chad Kessler, MD Tuesday, March 1, 2011, Plaza International Ballroom D

Please sign up at the AAEM Registration Desk if you are interested in one of the remaining open spots.

Time Presenter Title of Talk

7:30am

8:00am Camiron Pfennig Beyond the Gatorade® Basics

8:30am

9:00am Mike Ybarra Healthcare in America

9:30am

10:00am Joelle Borhart Sexually Transmitted Infections

10:30am

11:00am Michael Abraham Holster that tPA Cowboy: Mistakes You Don’t Want to Make

11:30am

12:00pm Priya Kuppusamy A Great Mimicker of Sepsis

LUNCH BREAK 12:30pm – 2:30pm

2:30pm

3:00pm Michael Wilson Agitation and the Emergency Physician

3:30pm

Break 4:00-4:15pm

4:15pm Carolyn Phillips Ultrasound in the Hypotensive Patient

4:45pm

5:15pm Siamak Moayedi You Don’t Need ENT for That!

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 21 17th Annual American Academy of Emergency Medicine Scientific Assembly

General Information AAEM Board of Directors AAEM Education Committee President Chair Howard Blumstein, MD FAAEM Kevin Rodgers, MD FAAEM Scientific Assembly Co-Chair Vice President Joe Lex, Jr., MD FAAEM William T. Durkin, Jr., MD MBA FAAEM Members Secretary-Treasurer Howard Blumstein, MD FAAEM Everett Lyn, MD FAAEM Mark Reiter, MD MBA FAAEM William Brady, MD FAAEM John Madden, MD FAAEM Past President Roger Chirurgi, MD FAAEM Jennifer Martindale, MD Larry D. Weiss, MD JD FAAEM James Colletti, MD FAAEM Amal Mattu, MD FAAEM Gaston Costa, MD Lisa Moreno-Walton, MD FAAEM Past Presidents Council Representative Jonathan Davis, MD FAAEM Usamah Mossallam, MD FAAEM Robert M. McNamara, MD FAAEM Rob Dickson, MD FAAEM Lillian Oshva, MD FAAEM At-Large Members Christopher Doty, MD FAAEM Michael Pulia, MD FAAEM Kevin Beier, MD FAAEM William Durkin, Jr., MD MBA FAAEM Dan Quan, DO FAAEM Michael Epter, DO FAAEM Michael Epter, DO FAAEM Nadeem Qureshi, MD Christopher C. Lee, MD FAAEM Gary Gaddis, MD FAAEM Larry Raney, MD FAAEM Andrew P. Mayer, MD FAAEM Robert Glatter, MD FAAEM Kevin Reed, MD FAAEM Lisa Mills, MD FAAEM Mitchell Goldman, DO FAAEM Kevin Rodgers, MD FAAEM Joel Schofer, MD RDMS FAAEM Stephen Hayden, MD FAAEM Robert Rogers, MD FAAEM Andy Walker, MD FAAEM Ken Iserson, MD FAAEM Joel Schofer, MD RDMS FAAEM Joanne Williams, MD FAAEM Michael D. Jones, MD FAAEM Indrani Sheridan, MD FAAEM Jennifer Kanapicki, MD Richard Shih, MD FAAEM YPS Director A. Antoine Kazzi, MD FAAEM Michael Silverman, MD FAAEM David Vega, MD FAAEM Chad Kessler, MD FAAEM Nounou Taleghani, MD FAAEM Michael Klevens, MD FAAEM Jacob Ufberg, MD FAAEM AAEM/RSA President Christopher C. Lee, MD FAAEM David Vega, MD FAAEM Ryan Shanahan, MD Michael Levine, MD FAAEM Elizabeth Weinstein, MD FAAEM JEM Editor – Ex-Officio Board Member Michael LeWitt, MD FAAEM Joanne Williams, MD FAAEM Stephen R. Hayden, MD FAAEM Bruce Lobitz, MD FAAEM Michael Winters, MD FAAEM Shahram Lotfipour, MD MPH FAAEM Leslie Zun, MD FAAEM

Onsite AAEM Staff Members AOA Accreditation Statement and Designation Statement Jody Bath, Communications and RSA Program Manager – [email protected] AAEM designates this live activity for a maximum of 19.00 AMA PRA Category 1 Tom Derenne, Program Manager – [email protected] Credits™. Physicians should only claim credit commensurate with the extent of Kate Filipiak, Meetings & CME Manager – [email protected] their participation in the activity. Amy Kuhl, Congress Meetings Director – [email protected] AAEM has been approved to provide (AOA) Category 2A Credit by the American Kay Whalen, Executive Director – [email protected] Osteopathic Association. Participants should contact the AOA at (800) 621- Janet Wilson, Associate Executive Director – [email protected] 1773 for instructions on submitting a credit certificate. Accreditation Statement Disclosure Policy The American Academy of Emergency Medicine (AAEM) is accredited by the All faculty and planning committee members participating in continuing medical Accreditation Council for Continuing Medical Education (ACCME) to provide education programs sponsored by AAEM have disclosed to the audience continuing medical education for physicians. any real or apparent conflicts of interest to the content of their presentation. Designation Statement AAEM’s Education Committee and ACCME Subcommittee have established The American Academy of Emergency Medicine (AAEM) designates this procedures to resolve conflicts of interest. educational activity for a maximum of 19.00 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

22 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

General Information Educational Needs Registration Desk In order to maintain their medical practice at the highest possible level, Name badges and conference materials will be available for all Scientific emergency physicians need up-to-date information on a variety of topics Assembly delegates at the AAEM registration desk. Delegates not pre- in emergency medicine, including both clinical and workplace issues. This registered for the Assembly should register onsite at the registration desk. conference will meet those needs by providing cutting edge information in AAEM staff will be available at the desk throughout the conference to answer several relevant areas. questions and to respond to delegate concerns. When planning activities, the AAEM Education Committee uses the 2007 Model Young Physician Section (YPS) Activities of the Clinical Practice of Emergency Medicine to determine the education Board of Directors Meeting needs of the emergency physicians attending Scientific Assembly. The Model All attendees are invited to attend an open meeting of the YPS on Monday, of the Clinical Practice of Emergency Medicine details the core content of February 28th, from 1:00pm-3:00pm in Challenger 38. emergency medicine and undergoes an on-going review. AAEM/Resident and Student Association (AAEM/RSA) Target Audience Activities This activity is designed for: (1) Full voting members and potential full voting Resident and Student Association Board Meeting members of AAEM, defined as physicians certified by the American Board of All residents and students are invited to attend an open meeting of the AAEM Emergency Medicine (ABEM) or the American Osteopathic Board of Emergency Resident and Student Association on Monday, February 28th, from 4:00pm- Medicine (AOBEM); (2) Physicians engaged in the practice of emergency 5:30pm in Challenger 38. medicine who are seeking the most current information in the field, presented at a skill level appropriate to the educational needs of the board certified Student Planned Track emergency physician. Sunday, February 27th, will feature presentations geared especially for emergency medicine students, but all are welcome. The Student Track begins Learning Objectives at 8:00am and concludes at 1:00pm. All of these sessions will be held in the Upon completion of this activity, participants will be able to apply new principles Florida Ballroom C. CME will not be available for this session. to improve their everyday practice of emergency medicine and to increase their Resident/YPS Planned Track understanding of the emergency medicine workplace. Tuesday, March 1st, will feature presentations geared especially for emergency CME Certificates medicine residents and young physicians, but all are welcome. The track begins CME Certificates will not be available onsite. An online CME link will be emailed at 2:30pm and concludes at 6:00pm. All of these sessions will be held in Plaza to all conference participants within 30 days following the conference. International Ballroom F. AAEM/JEM Resident and Student Original Research Competition Evaluations AAEM and The Journal of Emergency Medicine are pleased to present their Please take time to complete the evaluation forms which will be placed on the 13th Annual Resident and Student Original Research Competition, which will be chairs in all opening sessions each day and at the registration desk. Your input held on Monday, February 28th, from 1:00pm-5:00pm in the Plaza International and comments are essential in planning future educational activities. Be sure to Ballroom D. A total of eight oral abstracts authored by EM residents will be return your completed evaluation forms to a member of the AAEM staff prior to presented at this forum. The presenter of the oral abstract judged to represent your departure. the most outstanding research achievement will receive a $3,000 honorarium. Exhibits $1,500 and $500 honoraria will go to the presenters of the second and third Exhibitors will be located in the Plaza International Ballroom G & H at the place oral abstracts, respectively. Peabody Hotel. The exhibit hall will be open as follows: Orlando Information Monday, February 28, 2011 – 7:00am – 8:00am The Peabody Orlando is located on Orlando’s famous International Drive. Monday, February 28, 2011 – 9:00am – 3:30pm International Drive offers hundreds of entertainment and dining options for *Monday, February 28, 2011 – 6:30pm – 7:30pm your pleasure. Orlando’s I-RIDE trolley offers an inexpensive way to get around Tuesday, March 1, 2011 – 7:30am – 12:00pm International Drive. The trolley stops directly in front of the Peabody Orlando * Exhibit hall open for opening night reception. Hotel. Tickets can be purchased at the Peabody Orlando Valet or on the trolley. Please allow adequate time in your daily schedule to visit the exhibits. Take time The Peabody Orlando Hotel also offers shuttle service to Disney Theme Parks. to speak with the representatives of companies that provide services or market Tickets are $10 per person round trip and must be purchased a day in advance products directly related to your professional and personal interests. The from the hotel. participation of exhibitors is vital to the success of the Scientific Assembly. Let Within walking distance from the Peabody Hotel is Pointe Orlando, a shopping/ them know you appreciate their support. dining complex. Pointe Orlando has a variety of specialty shops, restaurants, Open Microphone Session — Sponsored by YPS live entertainment and a movie theatre. (Plaza International Ballroom D, Tuesday, March 1, 2011, 7:30am- 6:15pm) Don’t forget to sign up for Open Mic sessions at the AAEM registration desk. Spaces will be available for speakers to showcase their presentation skills to the membership and members of the Education Committee. The top speakers will be invited to present during the general sessions of the 2012 AAEM Scientific Assembly at The Hotel Del Coronado in San Diego, CA.

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 23 17th Annual American Academy of Emergency Medicine Scientific Assembly

Statements of Disclosure The American Academy of Emergency Medicine (AAEM) endorses the guidelines for continuing medical education programs as set forth in the Accreditation Council for Continuing Medical Education (ACCME). This activity has been planned and implemented in accordance with the Essential Areas and Elements (including the Standards for Commercial Support) and Accreditation Policies. AAEM maintains control over the development of its educational programs and the selection of topics and presenters. A full disclosure of relevant financial relationships is required of all presenters and faculty members and the presence of any such relationship will be reported to all program attendees. AAEM defines relevant financial relationships as those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds) or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner. In accordance with these policies, AAEM would like to make the following information known to all conference participants. Speakers Who Have Disclosed No Relevant Financial Relationships Speakers Who Have Disclosed Relevant Financial Relationships Chandra Aubin, MD Scott Melanson, MD FAAEM Arjun Chanmugam, MD Heatherlee Bailey, MD FAAEM Charles McKay, MD Cambridge University Press, Editor Bart Besinger, MD FAAEM Lisa Moreno-Walton, MD FAAEM Elsiever, Editor Brian Browne, MD FAAEM Sergey Motov, MD FAAEM Oakstone Medical Publications, Editor Carey Chisholm, MD FAAEM Dave Nelson, MD FAAEM Gary Gaddis, MD FAAEM Peter DeBlieux, MD FAAEM David Newman, MD Johnson and Johnson Company, Common Stock Holder William Durkin, Jr., MD MBA FAAEM Karl Nibbelink, MD University of the West Indies, Bridgetown, Barbados, West Indies, Honorarium Tim Ellender, MD Jack Perkins, MD FAAEM Michael Epter, DO FAAEM Kevin Reed, MD FAAEM S.V. Mahadevan, MD FAAEM Manish Garg, MD FAAEM Kevin Rodgers, MD FAAEM Economedics, Advisory Board Elizabeth Hall, MD FAAEM Lisa Sanders, MD Pelagique, LLC, Ownership Interest Andrew Johnson, MD FAAEM Karen Santucci, MD Angela Mills, MD FAAEM Ziad Kazzi, MD FAAEM Tammi Schaeffer, DO FAAEM AspenBio Pharma, Inc, Research Funding Chad Kessler, MD FAAEM Ghazala Sharieff, MD FAAEM FAAP Becker & Associates Consulting, Inc., Consultant Christopher Lee, MD FAAEM FACEP Siemens, Research Funding Joe Lex, MD FAAEM Corey Slovis, MD FAAEM S. Todd Mitchell, MD MPH Brian Lin, MD FAAEM Roger Stone, MD FAAEM RottaPharm-Madaus, Consultant Ingrid Lim, MD FAAEM Harsh Sule, MD FAAEM Evadne Marcolini, MD FAAEM David K. Tan, MD FAAEM Larry Raney, MD FAAEM Andrea Marmor, MD Josef Thundiyil, MD FAAEM Omniflight Helicopters, Inc, Medical Director Amal Mattu, MD FAAEM Elizabeth Weinstein, MD FAAEM FAAP Mark Reiter, MD MBA FAAEM Maureen McCollough, MD Larry D. Weiss, MD JD FAAEM Medscape, Group Facilitator Robert McNamara, MD FAAEM Michael Winters, MD FAAEM Emergency Excellence, Owner Jim Roberts, MD FAAEM Merck Pharmaceutical Co., Speaker Honorarium Paul Sierzenski, MD RDMS FAAEM Emergency Ultrasound Consultants, LLC, Owner SonoSite, Inc., Equipment Support Zonare, Inc., Equipment Support Stuart Swadron, MD FRCP FAAEM Emergency Medicine Reviews and Perspectives, Honorarium Marvin Wayne, MD FAAEM Vidacare, Inc., Expenses National Institute of Health NHBI, Principal Investigator Cincinnati Sub Zero, Expenses Richard Joe Ybarra, MD Emergence Medicine, Owner Leslie Zun, MD FAAEM Alexza Pharma, Consultant

24 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Statements of Disclosure Planning Committee members who have disclosed no relevant financial The Following Planning Committee Members Have Disclosed Relevant relationships. Financial Relationships Jody Bath Shahram Lotfipour, MD MPH FAAEM Gary Gaddis, MD FAAEM Marcia Blackman Everett Lyn, MD FAAEM Johnson & Johnson, Stock Ownership Howard Blumstein, MD FAAEM John Madden, MD FAAEM Nounou Taleghani, MD FAAEM William Brady, MD FAAEM Jennifer Martindale, MD Vivid Medical, Stock Options Roger Chirurgi, MD FAAEM Amal Mattu, MD FAAEM James Colletti, MD FAAEM Lisa Moreno-Walton, MD FAAEM Larry Raney, MD FAAEM Gaston Costa, MD Usamah Mossallam, MD FAAEM Omniflight Helicopters, Salary Ginger Czajkowski Lillian Oshva, MD FAAEM Jacob Ufberg, MD FAAEM Jonathan Davis, MD FAAEM Ketan Patel, MD Vapotherm, research fundingJoel Schofer Tom Derenne Michael Pulia, MD FAAEM Joel Schofer, MD FAAEM Rob Dickson, MD FAAEM Brian Potts, MD MBA FAAEM Medscape.com, honorarium Christopher Doty, MD FAAEM Dan Quan, DO FAAEM Sonosite, Inc., honorarium William Durkin, Jr., MD MBA FAAEM Nadeem Qureshi, MD Michael Epter, DO FAAEM Kevin Reed, MD FAAEM Kay Whalen Kate Filipiak Zachary Repanshek, MD Executive Director, Inc., Ownership Interest Robert Glatter, MD FAAEM Kevin Rodgers, MD FAAEM Leslie Zun, MD FAAEM Mitchell Goldman, DO FAAEM Robert Rogers, MD FAAEM Alexza Pharma, Consultant Melissa Halliday, DO Brett Rosen Stephen Hayden, MD FAAEM Teresa Ross, MD Ken Iserson, MD FAAEM Joel Schofer, MD RDMS FAAEM Heather Jimenez, MD Ryan Shanahan, MD Michael D. Jones, MD FAAEM Indrani Sheridan, MD FAAEM Jennifer Kanapicki, MD Richard Shih, MD FAAEM A. Antoine Kazzi, MD FAAEM Michael Silverman, MD FAAEM Chad Kessler, MD FAAEM Sandra Thomasian, MD Michael Klevens, MD FAAEM David Vega, MD FAAEM Amy Kuhl Elizabeth Weinstein, MD FAAEM Christopher C. Lee, MD FAAEM Leana Wen, MD Michael Levine, MD FAAEM Joanne Williams, MD FAAEM Michael LeWitt, MD FAAEM Janet Wilson Joseph Lex, Jr., MD FAAEM Michael Winters, MD FAAEM Bruce Lobitz, MD FAAEM Michael Ybarra, MD

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 25 17th Annual American Academy of Emergency Medicine Scientific Assembly

Exhibitor Directory The following organizations will exhibit at the AAEM 17th Annual Scientific Bassett Healthcare Network – Bassett Medical Center Assembly in the Plaza International Ballroom G & H at The Peabody Orlando. One Atwell Road Exhibit Hours: Cooperstown, NY 13326 The schedule of exhibit hours will be as follows: Phone: (607) 547-4815 Bassett Healthcare Network is the largest provider of emergency services Monday, February 28, 2011 – 7:00am – 8:00am* in central New York. Bassett Medical Center, located in Cooperstown, is an Monday, February 28, 2011 – 9:00am – 3:30pm* area trauma center, a designated stroke center, and our Heart Care Institute Monday, February 28, 2011 – 6:30pm – 7:30pm** offers cardiac surgery, PCI and state-of-the-art diagnostics and therapies. Tuesday, March 1, 2011 – 7:30am – 12:00pm Cooperstown is a beautiful, historic village located on Otsego Lake, with year * Breakfast and breaks will be served in the exhibit hall. round cultural and recreational opportunities. It is a family-oriented community ** The opening reception will be held in the exhibit hall. with excellent schools. It is home to the National Baseball Hall of Fame, the Fenimore Art Museum and the internationally acclaimed Glimmerglass Opera. AAEM State Chapters For more information, contact Colleen Donnelly, (607) 547-4815 or colleen. 555 East Wells Street, Suite 1100 [email protected]. Milwaukee, WI 53202 Phone: (800) 884-2236 BTG International Inc. Email: [email protected] 5214 Maryland Way, Suite 405 AAEM members can make an impact on the local level by forming a state Brentwood, TN 37027 chapter of AAEM. Although emergency physicians are encouraged to join both Phone: (615) 963-4507 their state chapter and national AAEM, there is no requirement that they do. Website: www.btgplc.com Those physicians who wish to belong solely to an AAEM state chapter are free BTG is an international specialty pharmaceuticals company that is developing to do so. The following states have established chapters: California, Delaware and commercializing products targeting critical care, cancer, neurological Valley, Florida, Iowa, Nevada, New York, Tennessee, Texas, Wisconsin and and other disorders. The company is also seeking to acquire new products Uniformed Services. If you are interested in developing a state chapter in your to develop and market to hospital specialists, and is building a sustainable state, please contact us at [email protected]. business financed by revenues from sales of its critical care products and from royalties and milestone payments on partnered products. For more information, A-Life Medical please visit our website at www.btgplc.com. 6195 Lusk Blvd, Suite 120 San Diego, CA 92121 ByteBloc Software, LLC Phone: (858) 795-1701 2152 Rock Glen A-Life Medical is the pioneer and leading provider of computer-assisted coding Escondido, CA 92026 products and services for the health care industry. Using its proprietary and Phone: (760) 510-9900 patented Natural Language Processing (NLP) technology, A-Life deciphers Website: www.bytebloc.com electronic transcribed patient encounters via the internet through its data We offer two scheduling products for physicians. EPSKED, the emergency center, which are then appropriately coded for reimbursement purposes. physician-scheduling program, has automated scheduling in hundreds of emergency departments worldwide since 1989. EPSKED saves time, money Allscripts and aggravation! A free two-month trial of EPSKED is available for download 222 Merchandise Mart, Suite 2024 at www.bytebloc.com. WebSked allows providers to enter their requests Chicago, IL 60654 online. Providers can see who is available for shifts, swap shifts, confirm Phone: (800) 334-8534 hours and maintain an accurate schedule, all on the website. Please contact Website: www.allscripts.com us at [email protected] or by calling (760) 510-9900 to arrange an online Allscripts (NASDAQ: MDRX) provides innovative solutions that empower all demonstration. stakeholders across the health care continuum to deliver world-class outcomes. The company’s clinical, financial, connectivity and information solutions *Carolina Care for hospitals, physicians and post-acute organizations are the essential 215 Red Bay Road technologies that enable a connected health care community. To learn more Elgin, SC 29045 about Allscripts, please visit www.allscripts.com. Website: www.carolinacare.com Columbia South Carolina Democratic Group is incorporating a new emergency Applied Medical Services, LLC medicine setting into our 15 year old practice. We currently oversee 100,000+ PO Box 15133 patients in our level one trauma setting and residency program along with our Durham, NC 27707 downtown community hospital. We are looking for BC/BP EM physicians to help Phone: (800) 334-6606 build an additional two facility community hospital seeing 60,000 patients. Applied Medical Services offers coding, billing, transcription and practice management solutions. AMS provides hands-on involvement by senior- level staff, customizable software solutions, dashboard reporting, proactive management of patient accounts, knowledge of all regulations, meticulous procedures and immediate response to inquiries. All of this results in quality service, customer satisfaction and outstanding collection results. Profit from our experience.

26 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Exhibitor Directory *CEP America DST Health Solutions 2100 Powell Street, Suite 900 Physician Revenue Cycle Management and Billing Solutions Emeryville, CA 94608 2400 Thea Drive Phone: (800) 842-2619 Harrisburg, PA 17110 Website: www.cep.com Phone: (717) 703-6015 CEP America, the national entity established by California Emergency Physicians Designed to optimize profitability, DSTHS, revenue cycle management (RCM) Medical Group, is a true democratic, physician-owned partnership where all applications and reporting tools work in tandem with provider staff to provide physicians are partners and owners. CEP America now has over 60 contracts operational control and enhance decision-making capabilities. DSTHS’ in California, Arizona, Georgia, Illinois, Oregon, Washington and Texas. We comprehensive suite of integrated RCM solutions has helped our provider client are seeking BC/BP emergency physicians who want to participate in the organizations achieve improved business efficiency, reduced operational costs, exceptional growth opportunities that CEP America enjoys. Contact CEP consistent processing environments and enhanced transparency. DSTHS’ America Careers at (800) 842-2619 or email [email protected]. Visit outsourcing (BPS) and ASP delivery model allows provider organizations to our website at www.cep.com. execute quickly, achieve economies of scale and mitigate risk. Comprehensive Medical Billing Solutions DuvaSawko 9301 S. Western Ave. 1530 Cornerstone Blvd, Suite 200 Oklahoma City, OK 73139 Daytona Beach, FL 32117 Phone: (866) 733-2954 Phone: (888) 311-8760 ext. 7840 Fax: (405) 419-8001 Owned & operated by former emergency physicians & experienced practice Website: www.cmbs.biz managers Dr. Charles Duva and Dr. Bill Sawko, DuvaSawko has developed an Comprehensive Medical Billing Solutions (CMBS) provides billing, coding, unmatched proprietary coding, billing and A/R management process that will accounts receivable management, practice management and consulting revolutionize your revenues! Our compliant system with web-based reporting services to emergency physicians from coast to coast. CMBS clients enjoy will close all loopholes for lost revenue and dramatically add to your bottom a comprehensive package of services directed by a team of experienced line. Call (888) 311-8760, ext. 7840 for a free analysis. management professionals. To obtain information regarding the services of CMBS, please contact Craig Deitch at (866) 733-2954 or via email at craig. Elsevier, Inc. [email protected]. 1600 JFK Blvd, Suite 1800 Philadelphia, PA 19103 Comprehensive Medical Management Phone: (215) 239-3491 11821 Mason-Montgomery Road Elsevier is proud to present The Journal of Emergency Medicine (JEM), an Cincinnati, OH 45249 international, peer-reviewed publication, featuring original contributions of Phone: (859) 291-4800 interest to both the academic and practicing emergency physician. JEM is the Comprehensive Medical Management provides medical billing and practice official journal of the American Academy of Emergency Medicine. Please visit management services for hospital based physicians, specializing in ED groups. our booth to view the latest copy of JEM and our other related products in the A seasoned team of professionals address all facets of the billing process emergency medicine field. from coding through registration, claims submission, aggressive insurance negotiations and follow up. Combined with a monthly 100% audit process that *Elsevier Health Careers identifies insufficient documentation that can cause lost revenue, Comp-Med 360 Park Avenue South offers full service billing solutions to competitively position your practice for the New York, NY 20009 future. Phone: (215) 633-3158 Elsevier Health Careers has the largest collection of health care and medical Discharge 1-2-3 - Callibra, Inc. job listings from all around the world. Search for your next health care job 150 N. Martingale Road, Suite 838 by specialty or discover available medical jobs within a geographic region. Schaumburg, IL 60173 Elsevier publishes more than 25% of all health care research worldwide. Phone: (847) 605-2125 Physicians, surgeons, nurses and allied professionals, in every branch and Computerized discharge instructions and prescription writing – Discharge 1-2-3 specialty of health care, turn to us daily to stay current, and to use our practice is an exceptionally clinician-friendly, customizable software solution for a single support tools. Elsevier Health Careers is the premier platform that connects workstation to an entire ED, urgent care or multiple hospitals. It automates physician recruiters and job seekers. ElsevierHealthCareers.com was built to the entire discharge process including instructions, prescriptions and more. put you in control of every aspect of career planning – searching, interviewing One-click design provides unsurpassed speed, reduces medication errors, and even continuing education. litigation and accelerates throughput. DC 1-2-3 combines Best-of-Breeds software and high-standards content. It is extremely stable, customizable and interfaces seamlessly with other systems in the IT enterprise. Contact info@ discharge123.com.

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 27 17th Annual American Academy of Emergency Medicine Scientific Assembly

Exhibitor Directory Emergency Groups’ Office EPOWERdoc, Inc. 444 East Huntington Drive, Suite 300 PO Box 241642 Arcadia, CA 91006 Omaha, NE 88124 Phone: (877) 346-2211 Phone: (515) 965-8040 Website: www.emergencygroupsoffice.com Email: [email protected] Emergency Groups’ Office provides a full range of billing and coding Website: www.epowerdoc.com management services to emergency medicine groups and hospitals. EPOWERdoc is a leading supplier of electronic and template emergency Registered nurses experienced in emergency medicine and knowledgeable department documentation systems. EPOWERdoc’s EMRDoc™ is a in reimbursement accurately code the services provided by the emergency revolutionary electronic patient tracking and documentation system that physician. The company, started in 1990, continues to provide superior results incorporates the unique EPOWERdoc template formats into an EMR module as demonstrated by the fact that Emergency Groups’ Office bills for more than that is specifically designed for ED physicians and clinicians. EMRDoc™ is the 1,600,000 visits annually for clients in seven states. For more information, fastest and easiest EDIS product on the market today. contact James Blakeman at [email protected]. EvolveMed *Emergency Medicine Associates, P.A., P.C. 175 West 200 South, Suite 4004 20010 Century Blvd, Suite 200 Salt Lake City, UT 84101 Germantown, MD 20874 Phone: (801) 301-4901 ext. 105 Phone: (240) 686-2300 EvolveMed is a leading provider of electronic medical documentation solutions. Fax: (240) 686-2334 EvolveMed was conceived over 20 years ago by ED physicians who were in Emergency Medicine Associates, P.A., P.C. (EMA) is a well-established, need of a better, more flexible, charting solution. EvolveMed’s primary goal is regional, democratic physician-managed group that provides staffing to eleven to give physicians unmatched charting flexibility while slashing documentation suburban community emergency departments in northern Virginia, Maryland costs and increasing efficiency at the front end. EvolveMed’s unique web and and Washington, D.C. Since the company’s founding in 1971, our ongoing tablet-based emergency medicine charting solution, PeerCharts Online, will be provision of uncompromising quality emergency medical care has resulted in on display at the 2011 AAEM Scientific Assembly. Stop by and check out our 100% contract stability. EMA is a participatory professional corporation that new IPAD app. For more information, please call 800-301-4901 ext. 105. offers partnership to qualified physicians and staffs our contracted facilities with a team of superbly qualified emergency medicine physicians, physician ExitCare, LLC assistants, nurse practitioners and medical scribes. 8519 Eagle Point Blvd, Suite #105 Lake Elmo, MN 55042 *Emergency Service Partners Phone: (651) 379-0485 6300 La Calma Drive, Suite 200 Patient education so well done that patients actually read it. Over 2,000 English Austin, TX 78752 topics to cover all ED patients. Med Recon easily completed in under a minute. Phone: (512) 610-0315 Macros to pick a title, document meds and a work release form in two mouse ESP is a democratic physician-owned group with over 20 hospital partners clicks. JCAHO compliant instructions, edit and save templates, permanent across Central and East Texas. Our partner sites include Dallas/Ft. Worth, archive of printed instructions, questions to test comprehension, ten languages, Austin, Bryan/College Station, San Antonio area and the Texas Hill Country, graphics, interface to registration system, drug interactions and much more. and we will work to find the right position for you. With compensation models to maximize income, fair scheduling, paid malpractice and tail, mentoring/ Fisher & Paykel Healthcare, Inc. leadership programs and partnership opportunity, we truly have our physician’s 15365 Barranca Parkway best interests at heart. Erving, CA 92619 Phone: (949) 453-4000 EPBS-Intermedix Fisher & Paykel Healthcare is a world leader in design and manufacture of 3303 South Meridian Avenue heated humidification and gas delivery systems and patient interfaces for non- Oklahoma City, OK 73119 invasive application. We are introducing OptiFlow™NHF™, a nasal interface Phone: (800) 962-3303 or (405) 682-3303 and oxygen delivery system for humidified high flow applications. The OptiFlow Fax: (405) 682-1586 nasal interface delivers humidified oxygen to 60 LPM. OptiFlow™NHF™ has Website: www.intermedix.com been shown to provide low level positive airway pressure, control of delivered EPBS-Intermedix is the nation’s leading provider of billing, coding and practice FiO2, provide low level positive airway pressure, control of delivered FiO2, management services for emergency physicians, hospitalists and urgent improve mucociliary clearance and improved comfort and compliance. care centers. For more than 28 years, EPBS-Intermedix has served hospital- based providers across the United States, processing millions of emergency department visits annually and making sure every dollar earned is a dollar collected. Isn’t it time your practice had a success story? At EPBS-Intermedix, we take care of business so you can practice medicine.

28 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Exhibitor Directory *Group Health Permanente Masimo 320 Westlake Avenue N, Suite 100 40 Parker Seattle, WA 98109 Irvine, CA 92618 Phone: (206) 448-2947 Phone: (949) 297-7000 Group Health Permanente, the largest group practice in the Northwest, is Masimo is a global medical technology company that develops and a multi-specialty, integrated medical group on the cutting edge of clinical manufactures innovative noninvasive monitoring technologies, including medicine and research. Not only do we pride ourselves on providing the best medical devices and a wide array of sensors that enable earlier detection quality coordinated care, but Group Health Permanente encourages its staff to and treatment of potentially life-threatening conditions. A key medical maintain care-focused patient relationships and manage innovative practices, technology innovator, Masimo is responsible for the invention of award-winning while advocating a well-balanced life and personal health. As a practitioner at noninvasive technologies that are revolutionizing patient monitoring, including Group Health Permanente you will join a collaborative team in a professionally Masimo SET® pulse oximetry, Masimo Rainbow SET® Pulse CO-Oximetry, satisfying, patient-centered environment. Please come by our booth to learn Masimo noninvasive and continuous total hemoglobin (SpHb™), and Masimo more about the great opportunities awaiting you today at Group Health! Patient SafetyNet™. Gulfcoast Ultrasound Institute *MEA Management, LLC 4615 Gulf Blvd, #205 1 TransAm Plaza Drive, Suite 360 St. Pete Beach, FL 33706 Oakbrook Terrace, IL 60181 Phone: (800) 619-1900 Phone: (630) 785-9170 Website: www.gcus.com Website: www.mea911.com Gulfcoast Ultrasound Institute is a leading provider of AMA PRA Category 1 MEA Management, LLC or Midwest Emergency Associates is a physician CME™ courses and self-directed study products for emergency physicians. owned and operated emergency department management company providing More than 27,000 medical professionals have participated in our hands-on emergency medicine services to our hospital partners. One of the keys to our seminars since 1985. In addition, GUI is the publisher for the largest line of success is quality patient care and error reduction resulting in excellent patient ultrasound self-directed educational materials. Gulfcoast’s student-to-instructor satisfaction. Visit us today at www.mea911.com. ratio rarely exceeds 3:1 and is often smaller. Onsite training and ultrasound webinars are also offered. Call (800) 619-1900 or visit www.gcus.com. MedAmerica, Inc. 2100 Powell Street, Suite 900 Lippincott Williams & Wilkins Emeryville, CA 94608 5311 Carson Street Phone: (510) 350-2670 Saint Cloud, FL 34771 Website: www.medamerica.com Phone: (407) 625-6375 MedAmerica is a nationally recognized physician practice management Website: www.lww.com organization that has successfully supported independent emergency physician Lippincott Williams & Wilkins is a worldwide publishing company, focusing group practices for more than 30 years. We offer original and proven solutions on publications and software for physicians, nurses, students and specialized in an increasingly complex health care environment. State-of-the-art programs clinicians. Products include drug guides, medical journals, nursing journals, and systems are coupled with a forward-thinking, innovative management medical textbooks and medical PDA software. Make Lippincott Williams & team. Our strength and reputation are based upon the management, billing Wilkins your online medical, nursing and allied health profession resource! and consulting services we provide to more than 100 emergency medical group practices we currently support. Lotus Wealth Solutions 4185 Ashland Circle MedData, Inc. Douglasville, GA 30135 3741 Douglas Boulevard, Suite 170 Phone: (404) 386-7641 Roseville, CA 95661 Stop getting ripped off by financial advisors! Welcome to low fees! Make smart Phone: (800) 877-8577 financial decisions and take control of your financial life. That’s what we do Website: www.meddata.com EXCLUSIVELY for physicians. We charge one of the LOWEST investment advisor For more than three decades MedData has garnered a reputation among fees in the country. WE are paid ONLY by clients so we put YOUR best interests physicians for providing quality revenue cycle management services. MedData first. LOW COST, fee-only, investment management and financial planning provides coding, billing, collection and consulting services for nearly 2,000 purely for physicians. Setu Mazumdar, MD, President and board certified physicians concentrating in emergency medicine, hospitalist and multi- emergency medicine physician. specialty services throughout the United States. MedData optimizes physician reimbursement through a proprietary, compliance-driven coding system with Lundbeck Inc. expansive auditing processes that includes ongoing, personalized consultative Four Parkway North feedback to ensure proper and expedited reimbursement. Deerfield, IL 60015 Phone: (847) 282-1000 Website: www.lundbeckinc.com Lundbeck Inc. is a leader in addressing unmet medical needs in rare diseases. Headquartered in Deerfield, Illinois, Lundbeck Inc. is dedicated to developing an innovative pipeline of CNS, hematology and hospital compounds, with a steadfast commitment to ensuring access to specialty therapies. To learn more, please visit www.lundbeckinc.com.

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Exhibitor Directory MEDHOST, Inc. NeilMed Pharmaceuticals 5055 Keller Springs, Suite 400 601 Aviation Blvd Addison, TX 75093 Santa Rosa, CA 95403 Phone: (972) 560-3100 Phone: (877) 477-8633 MEDHOST is dedicated to advancing health care IT by developing user-friendly Website: www.neilmed.com software solutions that improve productivity and throughput, as well as • NeilMed Sinus Rinse™, saline nasal irrigation system enhance the patient care experience. The MEDHOST product suite has proven • NeilMed NasaFlo®, gravity flow method Neti Pot to dramatically improve house-wide patient flow, financial performance and • NeilMed NasoGel®, moisturizing and soothing saline gel spray or tube patient satisfaction. MEDHOST EDIS version 4.2 is certified under Drummond • NeilMed NasaMist®, buffered, preservative-free nasal spray Group’s Electronic Health Records ONC-ATCB program and includes real time • NeilMed NasaDrops™, saline solution in single use ampoules Patient Tracking, Nurse Charting, Physician Documentation, Order Entry and • NeilMed NasaMist® All in One, buffered, preservative-free saline nasal spray comprehensive reporting. • NeilMed SinuFLO® Ready Rinse™, premixed rinse for convenience • NeilMed’s SinuSurf® Surfactant, additive for extra strength nasal cleansing *Medical Emergency Professionals (MEP) 20251 Century Blvd, Suite 130 Nicka & Associates, Inc. Germantown, MD 20874 5501 Independence Parkway, Suite 316 Phone: (301) 944-0049 Plano, TX 75023 MEP was founded in 1997 by physicians who are passionate about emergency Phone: (972) 964-5330 medicine. We attract some of the brightest and most qualified emergency Website: www.nicka-associates.com physicians and mid-level providers in the country. Currently, we treat more than Nicka & Associates, Inc. is a nationally recognized expert provider of emergency 350,000 patients annually at six facilities in Maryland. Quality and efficiency medicine coding, compliance, consulting and education services. We serve are at the core of our practice model. MEP has earned national recognition as physician groups, nursing staff, coders, hospital administration, urgent care a high-performance emergency care organization that is poised for growth and centers, billing companies and practice management groups with our excellent continual development. array of quality services. Please visit our website for additional information at www.nicka-assoicates.com. Medical Management Specialists 4100 Embassy Drive PEPID Kentwood, MI 49546 1840 Oak Avenue, Suite 100 Phone: (616) 975-1845 Evanston, IL 60201 Website: www.mms.med.pro Phone: (847) 491-9100 Medical Management Specialists (MMS), founded in 1993 by emergency PEPID Emergency Physician (ED) Suite is the only point-of-care resource that physicians provides a full range of services to emergency medicine, urgent truly supports decisions in the emergency room. PEPID ED gives you instant care and anesthesia. Our breadth of services includes coding, physician access to thousands of disease profiles, life-saving protocols, evidence-based documentation education, chart audits, payroll, practice management, medicine, drug database and drug interaction checker. Available online for credentialing and enrollment, contract negotiation and compliance. We help your entire department, on any mobile device or integrated into your EDIS, physician groups protect their income while abiding by the highest ethical PEPID is available when and where you need it most. PEPID ED is developed in standards and staying ahead of emerging industry trends and regulations. partnership with AAEM. Mindray North America Physicians Business Networks 800 MacArthur Blvd 10950 Grandview, Suite 200 Mahwah, NJ 07430 Overland Park, KS 66210 Phone: (201) 995-8269 Phone: (800) 288-4901 Mindray North America is headquartered in New Jersey. Mindray has been Physicians Business Network (PBN), a proven leader in helping physicians providing medical solutions to medical professionals, worldwide, for over 18 optimize their practice’s financial performance, specializes in billing and follow- years. Our major product lines include patient monitors, anesthesia delivery up, contract negotiation, coding, practice audits, training, provider credentialing, systems and ultrasound imaging systems. Mindray M series ultrasound accounting and consulting services. Proprietary software, a full time imaging systems are effective bed side evaluation tools for emergency compliance officer and strong client advocacy make PBN a business partner our medicine clinicians. clients rely on to help them navigate complex payer reimbursement rules. Call (800) 288-4901 for additional information. It’s proof…not promises. *Navajo Area Indian Health Services (NAIHS) PO Box 9020 PracticeLink Window Rock, AZ 86515 415 Second Ave. Phone: (928) 871-5884 Hinton, WV 25951-2427 The Navajo Area Indian Health Service (NAIHS) is a major health care provider Phone: (800) 776-8383 in the southwestern United States (U.S.) in northeastern Arizona, northwestern Website: www.PracticeLink.com New Mexico, and southern Utah and serves a population of over 250,000. PracticeLink.com is a free online job bank for physicians – and the most cost- Health care services are provided in the area spanning over 25,000 square effective way to hire other physicians to your practice. At PracticeLink.com, miles. The NAIHS network consists of five hospitals, five health centers, and you can search thousands of jobs, recruit for your own practice and receive health stations. NAIHS provided over one million outpatient visits and 18,000 PracticeLink Magazine for free. PracticeLink is not a search firm. hospitalizations for our service population.

30 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Exhibitor Directory *Premier Health Care Services, Inc. Scribe Solutions 332 Congress Park Drive 4378 Richmond Park Drive East Dayton, OH 45459 Jacksonville, FL 32224 Phone: (800) 406-8118 Phone: (904) 610-4242 Website: www.premierhcs.net Headquartered in Jacksonville, Florida, Scribe Solutions meets the demands Premier Health Care Services is one of the Midwest’s leading health care and challenges that emergency departments face with overcrowded waiting providers. We have successfully provided emergency medicine physician rooms and the rising cost of providing quality patient care in a timely manner. services and emergency department management since 1987. We are an By providing emergency physicians with personal assistants to alleviate the employee-owned and operated physician group with a model that gives you timely burden of documentation and clerical duties, Scribe Solutions has control over your medical practice decisions and the satisfaction of a genuine been successful in developing staffing solutions to increase productivity and career. Come by our booth #209 to learn more about Premier’s unique model, efficiency. opportunities and benefits. Visit www.premierhcs.net or contact Rachel Klockow at (800) 406-8118. Shift Administrators, LLC 2818 Canterbury Road PSR Columbia, SC 29204 9229 LBJ Freeway Phone: (888) 744-3840 Dallas, TX 75243 Shift Admin is a completely web-based schedule management system for Phone: (866) 217-4440 emergency physicians. The system includes a world-class schedule generation PSR provides state-of-the-art practice management services for independent algorithm that is extremely powerful and still easy to use. The system also emergency physician groups. Services include: group formation, financial, allows you to manage schedules for one or many facilities, and features include IT, human resources, scheduling, recruiting, credentialing, risk & litigation user and administrative shift posting/trading/splitting, schedule requests, easy management, customer satisfaction assessment, incentive compensation printing, automatic syncing with external calendar software, private and public development & management. PSR provides coding and billing company URL options, extensive administrative controls, extensive stats and reporting oversight for our clients to ensure maximum revenue and compliance. PSR – and much more. bringing all the pieces together for a successful practice. SonoSite *The Reading Hospital and Medical Center 21919 30th Drive SE 2561 Bernville Road Bothell, WA 98021 Reading, PA 19605 Phone: (877) 657-8050 Phone: (610) 898-5640 SonoSite has long recognized the very specific needs of emergency physicians, The Reading Hospital and Medical Center is a 700+ bed tertiary care facility and it offers imaging and workflow solutions that are uniquely suited to provide located in West Reading, PA. The hospital is one of Pennsylvania’s busiest EDs, increased capabilities at the bedside. Fast, high-quality imaging at the point of treating over 115,000 patients annually, with a Level II Trauma Center operated care increases patient safety and improves efficiency. in partnership with the University of Pennsylvania. Reading Hospital has the highest financial rating possible for a nonprofit institution, ranked in the top 5% *The Southeast Permanente Medical Group, Inc. nationally for financial accreditation. 3495 Piedmont Road, Building Nine Atlanta, GA 30305 *St. Mary’s Medical Center Phone: (404) 364-7290 3700 Washington Avenue Founded in 1985, The Southeast Permanente Medical Group (TSPMG) is a Evansville, IN 47750 physician-owned and managed multi-specialty medical group in Atlanta, Phone: (812) 485-7962 Georgia. More than 450 TSPMG clinicians work exclusively with the Kaiser Immediate opportunities are available for BE/BC emergency physicians. Our Foundation Health Plan to provide medical care to 250,000 members in level II trauma center serves an area population of over 828,000. St. Mary’s metropolitan Atlanta. TSPMG offers 23 specialty practices which provide emergency physicians work 1,675 hours per year, earn $170 per hour, ($180 care at more than 20 metro Atlanta facilities and associated hospitals. Kaiser per hour night shift), plus an outstanding benefit package. Enjoy working with Permanente’s dedication to health care quality has been recognized with a well-staffed, democratic group. Please contact Kathy Schenk, Director of numerous awards, including being named as the Top Health Plan in Georgia by Physician Development Services, at (812) 485-7962, [email protected] or US News and World Report for six straight years, the Top Health Plan – South Dr. Andrew Houseman at (812) 925-6388, [email protected]. Atlantic Region by J.D. Power & Associates, and receiving the American Medical Association’s Preeminence Award. St. Michael’s Emergency Room 16062 Southwest Freeway Over the next five years, Kaiser Permanente will invest more than $400 million Sugar Land, TX 77479 to significantly increase the number of facilities, services and specialty care Phone: (281) 980.4357 throughout Atlanta. We are looking to recruit emergency medicine physicians for our new, state-of-the-art Comprehensive Medical Centers (CMCs) in the north Atlanta suburbs of Duluth and Kennesaw.

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Exhibitor Directory Southeast Practice Management The University of Tennessee Physician Executive MBA 255 North Causeway Program New Symrna Beach, FL 32169 608 Stokely Management Center Phone: (877) 281-3001 Knoxville, TN 37996 Southeast Practice Management is a Florida based group that focuses on Phone: (865) 974-1772 managing medical practices including managed care contracting, staffing & The #1 preferred physician executive MBA program at The University of HR needs, and billing and coding. Our commitment to quality and personal Tennessee is an internationally accredited MBA offered exclusively for service starts with a thorough practice assessment which identifies key areas physicians seeking leadership skills and knowledge. By blending four one- of your practice. Our flexible solutions range from “billing-only” services to week-long residency periods with live Internet-based distance learning, 320 “full-practice management” and human resource services. Our goal is to physicians have completed this one-year-long MBA while maintaining clinical efficiently and cost-effectively create a smooth transition for you, your staff and and leadership roles. your patients. We specialize in finding solutions to allow you to concentrate on what’s most important to the patient, and to you – their health. Vestagen Technical Textiles 1301 W. Colonial Drive Synergistic Systems, Inc. Orlando, FL 32804 11726 Spruce Run Drive Phone: (407) 781-2396 San Diego, CA 92131 Vestex high performance medical work-wear repels dangerous fluids, resists Phone: (866) 536-8228 stains, wicks away perspiration and contains an antimicrobial to prevent Synergistic Systems, LLC is a leading provider of Revenue Cycle Management degradation of the fabric from micro organisms and control odors. Liquids bead which brings together value innovation and interactive business solutions up and run off the fabric while it remains breathable and comfortable. Vestex for Emergency Medicine Services. Services include: EMS Medically Trained keeps you clean, cool and dry. Coders; Monthly Documentation Deficiency Report by Provider; Online Access to the Billing System; Client Specific Reporting Package; and High Touch Client The Watershed Addiction Treatment Programs Support. SYNERGISTIC SYSTEMS CHANGES THE PARADIGM: ONE EMERGENCY 200 Congress Park Drive, Suite 100 DEPARTMENT AT A TIME. For information contact Ed Allison @ 866-536-8228. Delray Beach, FL 33445 Phone: (877) 416-9566 TASER International The Life Savers Club Program is a community service of The Watershed 17800 N 85th Street Addiction Treatment Programs, Inc. This service is JCAHO Accredited and Florida Scottsdale, AZ 85255 State Licensed. Referrals are made to The Life Savers Club Program by medical, Phone: (480) 515-6319 legal, and social service professionals. The Life Savers Club Program ensures TASER International (NASDAQ: TASR) is a company committed to protect life and that your patients receive the help they need to make informed treatment truth by providing advanced Electronic Control Devices and innovative secured decisions. Let us assist you in maximizing your service quality while saving you digital evidence collection and management solutions for use in the law valuable time. enforcement, medical, military, corrections, professional security and personal safety markets. *Weatherby Locums 6440 South Millrock Drive, Suite 175 Telexy Healthcare Salt Lake City, UT 84121 5705 Evergreen Way, Suite 206 Phone: (801) 930-3452 Everett, WA 98203 Website: www.weatherbylocums.com. Phone: (425) 299-2049 Weatherby Locums is an elite physician staffing company providing superior Telexy Healthcare provides web-based hardware and software solutions to personal service since 1995. We present the best temporary opportunities that simplify and automate health care processes. Q-path is a web-based point- enable each emergency medicine physician to focus on optimal patient care. of-care ultrasound application used to help manage credentialing, QA, billing, We offer emergency medicine physicians the flexibility of working locum tenens education storage and more. Q-path is offered as a standalone, hospital-hosted and the ability to choose from hundreds of jobs nationwide. Contact us at (800) or cloud computing solution. Q-link is a rule-based protocol router used to 586-5022 or visit www.weatherbylocums.com. communicate with the PACS, EMR, ADT and Q-path Cloud. Exams can be selectively routed to the PACS or EMR based on rules you define. Wiley-Blackwell 350 Main Street *Titan Emergency Group Malden, MA 02148 4311 Salisbury Road Phone: (888) 378-2537 Jacksonville, FL 32216 Website: www.wiley.com/wiley-blackwell Phone: (904) 332-4322 Wiley-Blackwell, the scientific, technical, medical and scholarly publishing Titan Emergency Group is a democratic organization based in Jacksonville, FL, business of John Wiley & Sons, publishes Academic Emergency Medicine, with over two decades of experience practicing emergency medicine at our the official journal of SAEM. Stop by our booth to take advantage of our 20% partner hospitals across North Florida. We recruit and retain highly motivated, savings on books and to pick up free journal samples. For more info, visit www. top tier physicians who excel in the areas of quality, efficiency and patient wiley.com/wiley-blackwell. satisfaction. Stop by our booth, and find out why we are the leading choice for physicians.

32 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Exhibitor Directory Zerowet, Inc PO Box 4375 Palos Verdes, CA 90274 Phone: (310) 544-1600 Zerowet revolutionized wound irrigation with the SPLASHIELD. Now, come see the new, improved SUPERSHIELD. It’s even faster…easier…BETTER! No wonder it’s the overwhelming favorite in EDs all across the country. And the KLENZALAC is perfect for quickly and effectively cleaning out the nastiest wounds. Come see them today! Z-Medica Corporation 4 Fairfield Blvd Wallingford, CT 06492 Phone: (203) 294-0000 Website: www.z-medica.com Z-Medica Corporation is the innovator and manufacturer of QuikClot® products for hemostasis. QuikClot® hemostatic dressings, indicated for topical use, are impregnated with kaolin, a naturally occurring mineral, which is a proven initiator of the body’s natural coagulation cascade fostering active hemostasis. This technology has been tested extensively by both the U.S. Army’s Institute for Surgical Research (USAIR) and the Naval Medical Research Center (NMRC). As a result of this testing, QuikClot® was selected as the number one choice of hemostatic agents by all branches of the U.S. military. With the advent of a full line of acute care products, this life-saving technology has now made its way into the hospital. This comprehensive line of products for hemostasis includes QuikClot® Hemostatic Formula™, QuikClot® Emergency Dressing™, QuikClot® Combat Gauze™, and QuikClot® Interventional™, available for use by medical professionals for a variety of bleeding scenarios.

*Indicates the exhibiting company has a signed attestation statement on file with AAEM stating that they are actively recruiting physicians on site and the position they are promoting provides a democratic and equitable work environment which includes provisions for due process and the absence of restrictive covenants. The position does not restrict potential employment for board-certified EPs based upon a requirement of EM residency training.

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Emergency Medicine Physicians

$20,000 Sign-On Bonus Full Benefits • Competitive Compensation Education Loan Repayment • Relocation Assistance

The Reading Hospital and Medical Exceptional Medicine. Center seeks Board Eligible or Board Certified Emergency Extraordinary Care. Medicine Physicians to help us serve a population of 400,000+ n One of Pennsylvania’s busiest EDs with state-of-the-art technology with 50+ employed physicians and services. treating over 115,000 patients annually; patient load of 1.4-2.0 To learn more, please contact patients per hour Ken Nichols, Manager, n 84 specialty and multi-purpose Medical Staff Recruitment rooms plus 24-bed Observation 610-898-5640 Unit and Adult and Pediatric Fast [email protected] Track www.readingdocs.org www.readinghospital.org n Partner with University of Pennsylvania to operate Level II Trauma Center Visit our Booth #419 at the AAEM n Scientific Assembly, Orlando, FL, Clinical and academic affiliations with major academic medical Feb. 28-March 1, 2011 centers n Ranked in the top 5% nationwide for patient safety – HealthGrades Distinguished Hospital Award n Ranked in the top 5% of hospitals nationally for financial accreditation EOE 17th Annual American Academy of Emergency Medicine Scientific Assembly

Support Acknowledgement The American Academy of Emergency Medicine would like to acknowledge the unrestricted grant and support from the following for the 2011 Scientific Assembly:

Registration Bag Insert Applied Medical Services, LLC

Lanyards Medical Management Specialists

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Hotel Floor Plan

Garden Terrace 53 49 52 50 51 Winter Park Tennis Court Breakout Rooms 54

RECREATION LEVEL Upper Pool Deck Orchid Room

Verandah

MEZZANINE LEVEL

48 46 44 47 ENTRY LEVEL 45 43

42 Discovery 41 Breakout Rooms 40 39 37 34 Peabody 38 36 35 Boardroom Open to Windermere Challenger Ballroom Below Breakout Rooms Columbia Breakout Rooms 23 24 25 22 26 27 21 30 29 31 28 20 32 19 33 18 17 Bayhill Breakout Rooms Open to Peabody Grand Ballroom Below

I Z II I Green Rooms Barrel II Y C Coral Windermere Spring Spring I II II I Ballroom B Florida Manatee Rock W Ballroom Spring A D Peacock Spring X E Plaza International Spring F Ballroom Celebration G 7 H K Breakout Rooms 8 J 9 L 6 10 Gulf I M 5 13 Orlando 12 Ballroom 14 11 N 4 15 Atlantic O 3 16 2 P 1 Peabody Grand R Ballroom CONVENTION LEVE L Registration Desk Q S V

Planning U Offices

I T II Blue I Spring II Rainbow I Spring Silver II Spring

36 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Certificate of Workplace Fairness The American Academy of Emergency Medicine strongly supports fair working practices for emergency physicians. Consequently, it will certify that an emergency department meets standards for employment excellence if its physician employees are guaranteed the following five workplace conditions: 1. A reasonable due process policy. 2. A reasonable policy of financial transparency that protects physicians against financial exploitation. 3. A reasonable policy of financial equity that allows physicians to share in the department’s profits. 4. A reasonable policy of political equity that allows physicians to improve their own working conditions. 5. Employment arrangements that do not impose post-contractual restrictions. Recognized as being in compliance with Certificate of Workplace Fairness Standards & Conditions Organization State Baltimore Washington Medical Center MD Baptist Hospital, Nashville TN Clear Lake Regional Medical Center TX Emergency Physicians at Sumner, PLLC TN Kern Medical Center CA Madison Emergency Physicians-St. Mary’s Hospital WI Middle Tennessee Medical Center TN Mount Sinai Hospital IL Newport Emergency Physicians, Inc RI Reid Hospital/Emergency Medicine of Eastern Indiana IN Southeast Emergency Consultants serving: Memorial Hospital FL Jacksonville, Orange Park Medical Center and Capital Regional Medical Center Southern Colorado Emergency Medical Associates CO Southwestern Michigan Emergency Services, P.C. MI St. Joseph Regional Medical Center IN St. Luke’s Hospital IA UCI Medical Center CA Valley Emergency Physicians-South Bend IN Watsonville Community Hospital CA West Jefferson Emergency Physician’s Group LA

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Notes

38 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly

Notes

17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 39 17th Annual American Academy of Emergency Medicine Scientific Assembly

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40 17th Annual Scientific AssemblyFEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando

18 t h a n n u a l Scientific Assembly february 8-10, 2012

Hotel Del Coronado s a n d i e g o