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1 Biomarker Prediction of 14-Day Mortality in Emergency Department Patients Presenting With the Symptom of Acute Shortness of Breath
Biomarkers predict short term mortality in patients presenting to the emergency department (ED) with acute heart failure (acute heart failure) but none have been analyzed for their ability to forecast...
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R.M. Nowak,
F. Peacock,
S. DiSomma,
S.X. Neath,
C. Mueller,
O. Hartman,
C. Hogan,
N. Morgenthaler,
S.D. Anker,
A. Maisel
et al.
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S177
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2 Evaluation of Mid-Regional Pro-Adrenomedullin, Mid-Regional Pro-atrial Natriuretic Peptide, and Procalcitonin for the Diagnosis and Risk Stratification of Emergency Department Patients With Dyspnea
Several newly described pro-hormones may aid in diagnosis and prognosis in emergency department (ED) patients with dyspnea: mid-regional pro-adrenomedullin (MR-proANP) as a marker of congestive heart ...
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O. Cinar,
E. Cevik,
A. Acar,
C. Kaya,
S. Ardic,
B. Comert,
M. Yokusoglu,
C. Bilgi,
T. Madsen
et al.
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S178
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3 Point-of-Care Beta-Hydroxybutyrate Testing for Assessing Diabetic Ketoacidosis Severity Prior to Treatment in the Emergency Department
According to current American Diabetes Association guidelines, diagnosing DKA and estimating DKA severity is accomplished by measuring laboratory values of blood pH, bicarbonate and anion gap. Evidenc...
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S. Arora,
M.A. Probst,
C. Agy,
M. Menchine
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S178
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4 The Usefulness of Bedside Ultrasonography for Acute Epiglottitis in Emergency Department: Preliminary Study
Acute epiglottitis is a serious, fatal disease characterized by inflammation of supraglottic structures. Early diagnosis is most important because of the rapid and progressive course. If clinicians ha...
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D. Ko,
J. You,
Y. Chung,
Y. Park,
I. Park
et al.
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S178-S179
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5 Sickle Cell Disease in the Emergency Department, Predictors of Adverse Outcomes: A Prospective Cohort Study
Current evidence does not provide a clear risk stratification strategy for sickle cell disease patients in the emergency department (ED).
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A. Al-Reesi,
I. Stiell,
G. Wells,
A. Tinmouth,
N. Al-Zadjali,
A. Al-Shibli,
A. Al-Balushi
et al.
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S179
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6 Prognostic Accuracy of Pulmonary Embolism Rule-out Criteria: A Systematic Review and Meta-Analysis
To perform a systematic review and meta-analysis of studies conducted in emergency department to define prognostic performance of pulmonary embolism rule-out criteria (pulmonary embolism rule-out crit...
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D. Agarwal,
B. Singh,
A. Parsiak,
A. Surana,
S. Chandra
et al.
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S179
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7 Skipping Lines: Predicting Unattempted Thoracic Central Venous Catheterization in Septic Patients Eligible for Early Goal-Directed Therapy
Implementation of the Rivers protocol of early goal-directed therapy has been demonstrated to reduce morbidity, mortality, and health care resource consumption in patients with severe sepsis and septi...
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D.R. Vinson,
D.W. Ballard,
M.D. Stevenson,
M.E. Reed,
A.S. Rauchwerger,
U.K. Chettipally,
S.R. Offerman
et al.
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S179-S180
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8 Does Chest CT Detect Clinically Significant Injuries Missed on Chest X-Rays in Blunt Trauma Patients?
Although computed tomography (CT) has been shown to detect more injuries than plain radiography in blunt trauma patients, it is unclear whether these injuries truly change patient management.
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B. Kea,
R. Gamarallage,
H. Vairamuthu,
G. Prager,
J. Fortman,
G.W. Hendey,
R.M. Rodriguez
et al.
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S180
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9 Decreased Alpha-1 Glycoprotein Acid Related to Mortality of Septic Patients in the Emergency Department
To determine the utility of alpha-1 glycoprotein acid (AGP) as a novel biomarker of mortality in patients with severe sepsis.
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R.B. Sousa,
F.O. Souto,
R.R. Lobo,
P.R. Mendonça,
R. Memoria Junior,
F. Spiller,
F.d. Cunha,
A. Pazin-Filho
et al.
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S180
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10 Clinical Decision Rules to Improve the Detection of Adverse Drug Events in Emergency Department Patients
Adverse drug events are unintended and harmful effects of medications. They account for up to 1.7 million emergency department (ED) visits in Canada each year (Zed et al, 2008). Patients presenting to...
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C.M. Hohl,
E. Yu,
G.S. Hunte,
J.R. Brubacher,
F. Hosseini,
C.P. Argent,
W.W. Chan,
M.O. Wiens,
S. Sheps,
J. Singer
et al.
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S180-S181
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11 Is Ambulance Diversion Associated With Increased Mortality for Emergency Department Patients Who Are Admitted?
Diversion has been well studied in terms of description, but little has been done to connect the relationship between diversion and patient outcomes. Our goal was to determine if there is an empirical...
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R.Y. Hsia,
S.M. Asch,
R.E. Weiss,
D. Zingmond,
L. Liang,
W. Han,
H. McCreath,
B.C. Sun
et al.
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S181
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12 Development of a Real-Time Patient Satisfaction Survey for Emergency Departments
Conventional patient satisfaction surveying techniques are limited by poor response rates, patient memory decay, selection bias, delay to results, poor specificity to the emergency department (ED), an...
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J. Green,
A. Schwartz,
S. Anand,
A. Wilkis,
M. Denny,
P. Glynn,
R. Gerkin
et al.
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S181
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13 Quality Improvement Strategies and the Link to Performance on Percutaneous Intervention for Acute Myocardial Infarction
In an effort to encourage quality improvement in emergency care, a number of organizations (eg, Institute of Medicine, Joint Commission, American College of Emergency Physicians) have recommended that...
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M. McHugh,
R. Kang,
J. Restuccia,
A. Cohen,
R. Hasnain-Wynia
et al.
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S181-S182
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14 Cranial CT Use for Minor Head Trauma in Children Is Associated With Race/Ethnicity
Racial disparities in health care are well documented and adversely affect the care provided to African American and Hispanic adults; this includes care provided in emergency departments (EDs). Less i...
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J.E. Natale,
J.G. Joseph,
A.J. Rogers,
P. Mahajan,
D. Wisner,
M.L. Miskin,
J.D. Hoyle,
S.M. Atabaki,
P.S. Dayan,
J.F. Holmes,
N. Kuppermann
et al.
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S182
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15 Ultrasound Detection of Long Bone Fractures in Pediatric Emergency Department Patients
Long bone fractures represent 1 of the most commonly sustained injuries following trauma and account for nearly 4% of emergency department (ED) visits in the United States each year. These fractures a...
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I. Barata,
R. Spencer,
C. Raio,
M. Ward,
A. Sama
et al.
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S182-S183
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16 EMFPrimary Parental Language Is Associated With Potential Medication Safety Risks After Discharge From the Pediatric Emergency Department
Safe and effective care at home after discharge from the emergency department (ED) requires a parent to possess adequate knowledge and skills to implement the plan of care. Language barriers may impac...
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M.E. Samuels-Kalow,
A.M. Stack,
S.C. Porter
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S183
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17 Temporal Artery Thermometry Use Is Incompatible With the ACEP Clinical Practice Guideline on Fever in Children <36 Months
Fever is among the most common presenting complaints of children and infants presenting to the emergency department (ED). A critical aspect of management of children in the ED is assessment for the pr...
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R.J. Hoffman
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S183
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18 EMFThe Development of the Brief Confusion Assessment Method for Older Emergency Department Patients
Delirium occurs in 10% of older emergency department (ED) patients and is an independent predictor of mortality, and accelerated functional and cognitive decline. Emergency physicians miss this form o...
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J. Han,
A. Wilson,
A. Shintani,
J. Schnelle,
K. Miller,
R. Dittus,
A. Storrow,
E.W. Ely
et al.
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S183-S184
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19 Jolt Accentuation of Headache: Sensitive Enough for Pleocytosis to Rule-Out Need for a Lumbar Puncture in Diagnosing Meningitis?
Jolt accentuation is a physical finding that is believed to assess for meningeal irritation. Exacerbation of the baseline headache with horizontal rotation of the neck (2-3 times/second) is considered...
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J.H. Nakao,
F. Jafri,
D. Newman,
P. Homel
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S184
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20 Efficacy of High-Flow Oxygen Therapy in All Types of Headache: A Prospective, Randomized, Placebo-Controlled Trial
The utility of oxygen inhalation therapy in cluster headaches is well established and it is used routinely in this area. However, the efficacy of oxygen in the treatment of other types of headaches in...
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B. Ozkurt,
O. Cinar,
E. Cevik,
A. Acar,
D. Arslan,
E. Eyi,
O. Oz,
T. Madsen
et al.
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S184
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21 Aggressive Blood Pressure Control in Intracranial Hemorrhage: The ABC ICH Trial
Spontaneous intracranial hemorrhage accounts for one-fifth of all strokes and is associated with significant morbidity and mortality. A continuously high blood pressure in patients with intracranial h...
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H.A. Sloas,
Y. Chathampally,
R. Malkani,
N. Sangha
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S184-S185
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22 Incidence and Risk Factors of Post-Rewarming “Rebound Hyperthermia” in Cardiac Arrest Patients Undergoing Therapeutic Hypothermia
Guidelines recommend initiating therapeutic hypothermia as soon as possible after return of spontaneous circulation in patients with witnessed cardiac arrest. However, the incidence of complications, ...
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K. Wolf,
S. Winters,
E. Seif,
S. Kettinger,
J.S. Jones
et al.
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S185
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23 Emergency Physician Knowledge and Practice Habits When Evaluating Youth Sports-Related Concussion in the Emergency Department
Sports-related concussions are frequently evaluated in the emergency department (ED), with an estimated 100,000 visits/year in ages 8-19. Despite a 200% increase in sports-related concussions in the p...
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K. Buchanan,
D.E. Slattery,
K. Klauer
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S185
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24 Optic Nerve Sheath Diameter Changes on Ascent to High Altitude
Acute mountain sickness is a syndrome affecting upwards of 40% of the tens of millions who rapidly ascend above 8250' elevation in the United States annually. Pathogenesis of acute mountain sickness h...
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G.S. Lipman,
N. Kanaan,
B. Constance,
P. Holck,
E. Grimm,
G. Jeffrey,
S. Williams
et al.
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S185-S186
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25 EMFA Comparison of Phase II Approaches for a Therapy Potentially Efficacious in Multiple Stroke Syndromes
Intensive insulin therapy has potential efficacy in diabetic patients who present with acute ischemic stroke (acute ischemic stroke), intracranial hemorrhage (intracranial hemorrhage) or subarachnoid ...
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H. Kwok,
R.J. Lewis
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S186
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26 EMFOut-of-Hospital Intubation in Moderate to Severe Head Injury Is Associated With Worse Outcomes
Traumatic brain injury (TBI) is the leading cause of death and permanent disability among children and young adults in the United States. Many studies have documented the adverse effects of secondary ...
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J.A. Vogel,
T. Hurtado,
R.L. Syyny,
M. Liao,
A. Eberhardt,
C. Gravitz,
J.S. Haukoos
et al.
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S186-S187
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27 Patients Prefer Boarding in Inpatient Hallways: Correlation With the National Emergency Department Overcrowding Score (NEDOCS)
The boarding of patients in emergency department (ED) hallways when no inpatient beds are available contributes to ED crowding. One solution is to board admitted patients in an inpatient setting rathe...
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J. Richards,
R. Derlet,
M. Notash,
P. Sokolove,
G. Ozery,
E. Panacek
et al.
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S187
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28 The Effect of Crowding on the Workload and the Perception of Workload in a Community Emergency Department
Crowding of emergency departments (EDs) adversely affects patient safety, staff turnover and patient satisfaction. Our objective was to measure the changes in workload and perception of workload durin...
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S.M. Schneider,
K. Coles,
E. Rantanen,
R.J. Fairbanks
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S187
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29 Boarding Inpatients in the Emergency Department Increases Discharged Patient Length of Stay
Boarding of inpatients in the emergency department (ED) has been widely recognized as a major contributor to ED crowding and as cause of medical error and adverse outcomes. We hypothesize that the del...
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B.A. White,
P.D. Biddinger,
C. Yuchiao,
B. Greene,
S. Carignan,
D.F. Brown
et al.
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S187
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30 Reducing Length of Stay for Discharged Patients During Peak Weekday Times in the Emergency Department
Prior studies at our institution demonstrated advanced triage by a physician/nurse team is successful in reducing left without being seen rates and improving throughput. However, during peak ED census...
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J. Dubin,
H. Blumenthal,
D. Roseman
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S187-S188
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31 Physician Assistants' Productivity in a High-Acuity Emergency Department
Emergency departments (ED) have utilized physician assistants (PAs) to augment delivery of care for decades. Although physician assistants are predominately tasked with the care of low-acuity rather t...
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K. Hamden,
M. Silberman,
D. Jeanmonod,
R. Jeanmonod
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S188
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32 Just Give It Some Time: Emergency Department Staff's Attitudes Towards Computerized Physician Order Entry at Five and Seventeen Months
Computerized physician order entry is rapidly replacing standard order entry in emergency departments (ED) across the country. At our institution, we previously described the detrimental effect of com...
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A. Bastani,
B. Shaqiri,
T. Thomas,
R. Walch,
D. Bonanno,
W. Anderson
et al.
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S188
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33 Physician and Nurse Perceptions of Non-Urgent Communication in the Emergency Department
Accurate communication affects both the work environment in the emergency department (ED) and patient safety. Although prior studies have examined communication and interruptions in the ED, few focus ...
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S.R. Morgan,
M. Kawar,
S. Rahman,
J.S. Gatewood,
R.J. Fairbanks
et al.
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S189
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34 Lack of Sex Disparity in Cardiovascular Testing After Coronary CTA
It is known that there is a sex disparity in cardiovascular care in this country; it is unclear how much of this can be accounted for by differences in presentation and risk. We assessed whether there...
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C.T. Ginty,
A. Chang,
A.C. Matsuura,
K.M. Walsh,
J. Le,
C. Decker,
M. Green,
J.E. Hollander
et al.
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S189
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35 Comparison of Cardiac Risk Scores in Emergency Department Patients With Potential Acute Coronary Syndrome
The ability to risk stratify patients presenting to the ED with potential acute coronary syndrome is critical. Several risk scores for patients with definite acute coronary syndrome have been develope...
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B. Lee,
A. Chang,
A.C. Matsuura,
S. Marcoon,
J.E. Hollander
et al.
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S189-S190
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36 Concomitant Measurement of Copeptin and High Sensitivity Troponin for Fast and Reliable Rule Out of Acute Myocardial Infarction
Newer assays (high sensitive troponin, HsTnT) and biomarkers (copeptin) recently improved the management of chest pain in the emergency department. Their combination could allow a rapid rule out with ...
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Y. Freund,
C. Chenevier-Gobeaux,
F. Leumani,
B. Doumenc,
Y. Claessens,
C. Cosson,
B. Riou,
P. Ray
et al.
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S190
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37 Variability of Emergency Physicians' Utilization of Chest Pain Units for “Very Low Risk” Chest Pain Patients
To quantify the variability in emergency physicians' utilization of a chest pain unit (CPU) for patients with very low pre-test probability for acute coronary syndrome.
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S.A. Mahler,
D.C. Goff,
J.W. Hoekstra,
C.D. Miller
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S190
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38 Exercise Treadmill Is an Appropriate Risk Stratification Tool in Low Risk Chest Pain Patients
Access to advanced stress test imaging is limited in many observation units (OU). Electrocardiogram treadmill testing (ETT) with calculation of the Duke Treadmill Score (DTS) is easy to perform but th...
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A. Chandra,
A.T. Limkakeng,
J. Barowski,
D. Freeman,
W. Drake,
G. Mani
et al.
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S190
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39 Value of 2D-Echocardiography in Patients With Chest Pain and Suspected Acute Coronary Syndromes
Chest pain is a major reason for admission to the emergency department (ED). Traditional risk stratification strategy still results in a proportion of patients being inadequately evaluated and dischar...
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T.F. Lascala,
A. Pazin-Filho,
M.M. Dias Romano,
O.C. Almeida Filho,
A. Schmidt,
J. Marin Neto,
B.C. Maciel
et al.
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S191
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40 Prospective Evaluation of the Use of the Thrombolysis in Myocardial Infarction (TIMI) Score as a Risk Stratification Tool for Chest Pain Patients Admitted to an Emergency Department Observation Unit
Several studies have demonstrated the utility of the Thrombolysis in Myocardial Infarction (TIMI) score in predicting both 30-day and 1-year outcomes among emergency department (ED) patients with pote...
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J. Holly,
D. Hamilton,
M. Mallin,
K. Black,
R. Robbins,
V. Davis,
E. Barton,
T. Madsen
et al.
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S191
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41 Prospective Evaluation of Outcomes in Geriatric Chest Pain Patients Admitted to an Emergency Department Observation Unit
Emergency department (ED) observation units are an important tool to help emergency physicians safely and efficiently evaluate and risk-stratify patients with chest pain. However, due to concerns of h...
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E. Johnson,
J. Holly,
D. Hamilton,
K. Black,
R. Robbins,
V. Davis,
E. Barton,
T. Madsen
et al.
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S191
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42 Acquisition and Retention of Knowledge and Skills in Basic Life Support Among Emergency Medicine Residents
Survival of patients in cardiac arrest depends more on effective basic life support rather than advanced treatment. Unfortunately, previous studies have shown that acquisition and retention of basic l...
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F.K. Gloria
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S191-S192
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43 Full-Scale Human Simulation Is Effective in Educating Preclinical Medical Students on Basic Acute Care Skills
In a recent study assessing curricular needs for preclinical medical students, Lee et al discovered that students prefer “hands-on” workshops, while emergency medicine faculty favor workshops that emp...
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M.D. Yashar,
S.O. Clarke,
S. Uijtdehaage,
W.C. Coates
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S192
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44 The Effect of a Brief Educational Intervention on Length of Stay for Critically Ill Emergency Department Patients
Avoiding prolonged length of stay of critically ill emergency department (ED) patients may reduce overall ED crowding and improve patient care. For emergency medicine training programs, teaching ways ...
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A. Pourmand,
H. Shokoohi,
R. Lucas,
K. Yadav,
M. Tanski
et al.
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S192
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45 Assessment of Clinical Teaching During Oral Case Presentations in a Busy Academic Emergency Department
Significant impediments to effective emergency department (ED) teaching compromise what could otherwise be an excellent learning environment. Attending physicians must balance the need to quickly devi...
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A. Brown,
W. Kurtz,
J. Boss,
M. Dull,
K. Kuper,
S. LaPonsie,
D. Ray,
J.S. Jones
et al.
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S192-S193
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46 Perceptions of Graduates From Africa's First Emergency Medicine Training Program at the University of Cape Town/Stellenbosch University
Annual in-training exams are used both to track residents' academic proficiency and to predict success when taking written boards. We sought to determine if these exams predict clinical productivity, ...
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L.S. Wen,
H.I. Geduld,
J.T. Nagurney,
L.A. Wallis
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S193
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47 Limitations to International Health Electives Encountered by Emergency Medicine Residents: A Survey of Emergency Medicine Residents in Ohio
In recent years there has been an increase in the number of countries who recognize emergency medicine as a specialty as well as an increase in the number of international health electives available t...
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J. Moore,
K. Brickman
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S193
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48 Do Annual In-Training Exams Predict Clinical Productivity in Emergency Medicine Residents?
Annual in-training exams are used both to track residents' academic proficiency and to predict success when taking written boards. We sought to determine if these exams predict clinical productivity, ...
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C. Bendas,
R. Jeanmonod
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S193-S194
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49 Analysis of Faculty Evaluation Metrics and Their Impact on the Summative Evaluations of Emergency Medicine Residents
Despite the universal use of faculty evaluation in emergency medicine residency training, little research describes the characteristics of faculty evaluators and the impact of these metrics on the res...
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J.G. Ryan,
D. Barlas
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S194
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50 Emergency Department Gallbladder Ultrasounds: Correlation With Pathology
Our goal was to perform a retrospective analysis of all emergency bedside gallbladder ultrasounds (EBU) performed by appropriately trained emergency physicians over a 30-month period. Study patients w...
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J.J. Williams,
R. Rifenburg,
C. Dorgan,
S.B. Chan
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S194
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51 Accuracy of Emergency Physicians Using Ultrasound Measurement of Crown-Rump Length to Estimate Gestational Age in Pregnant Females
To evaluate the accuracy of emergency providers of various levels of training in determination of gestational age (GA) in pregnant patients using bedside ultrasound measurement of crown-rump length (C...
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C. Bailey,
J. Carnell,
F. Vahidinia,
S. Shah,
M. Stone,
M. Adams,
A. Nagdev
et al.
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S194
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52 Emergency Department Patients Evaluated by Bedside Biliary Ultrasonography: Does Radiology Ultrasonography Alter Disposition?
The primary objective is to determine if radiology biliary (GB) ultrasonography changes the disposition of adult emergency department (ED) patients who already received emergency physician-performed b...
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D.G. Conway,
E. Baden,
K. Anderson,
S. Summers
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S195
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53 Emergency Sonography of the Gallbladder: Is Measurement of the Common Bile Duct Necessary?
Measurement of the common bile duct (CBD) is considered an integral part of gallbladder sonography, but can be difficult especially for novice sonographers. This study examined the incidence of isolat...
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B.A. Becker,
E. Mervis,
E. Chin,
J.C. Fox,
C. Anderson,
R. Oshita,
M. Menchine,
S. Hata,
A. Stacy,
N. Nguyen
et al.
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S195
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54 Estimating Stomach Volume With Bedside Ultrasound
The volume of stomach contents in the emergency department is often important to clinical management, yet there is currently no accepted objective means of their estimation. Here we test the idea that...
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P. Lindberg,
L. Jin,
E. Beck,
D. Villines,
T. Foster
et al.
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S195
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55 Cardiac Index Measurements by Emergency Physicians Using Bedside Ultrasound Compared to Pulse Contour Analysis and Echocardiographer
Measuring cardiac index (CI) in the emergency department (ED) setting may facilitate resuscitation of the critically ill patients. In this study, our objective was to compare CI measurements obtained ...
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V. Dinh,
S. Ko,
R. Rao,
R. Bansal,
H. Nguyen
et al.
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S195-S196
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56 Accuracy of Emergency Physician-Performed Transthoracic Echocardiography in the Evaluation of the Thoracic Aorta
Thoracic aortic aneurysm (TAA) and thoracic aortic dissection (TAD) are related and potentially deadly diseases that present with nonspecific symptoms. Transthoracic echocardiography (TTE) may detect ...
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R.A. Taylor,
R. Van Tonder,
I. Oliva,
J. Dziura,
C.L. Moore
et al.
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S196
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57 Are Research Participants Truly Informed? Changes in Readability of Informed Consent Over Time
Informed consent documents present highly complex information that must be understood by research subjects. This complexity is a major barrier to comprehension for the approximately 1 quarter of Ameri...
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A.E. Penny,
L. Foster,
K.R. Robinson,
C. Sutliffe,
J.S. Jones
et al.
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S196
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58 Factors Determining Patient Willingness to Participate in Clinical Research Studies in the Emergency Department: A Pilot Study
The array of patients and clinical conditions presenting to emergency departments provide a diverse population for clinical research, however, patients in the emergency department (ED) have been ident...
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D.J. Woodyard,
F. Shofer,
P. Prabhakar,
K. Howard,
A. Felton,
C.D. Hobgood
et al.
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S196-S197
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59 An Alternative Approach to Community Consultation for Emergency Research Without Informed Consent
Critically ill or injured patients often cannot give informed consent to be enrolled in clinical trials. In 1996, the US government passed a rule (21 CRF 50.24) to allow research without informed cons...
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G. Pedrizet,
B. Eskin,
J.R. Allegra,
M. Kraynak,
S. Shapiro,
C. Pocoroba,
F. Simons
et al.
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S197
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60 Use of Text-Messaging Drinking Assessments to Minimize Missing Data in an Interventional Clinical Trial
Follow-up of subjects in emergency medicine clinical trials is poor, compromising the validity of the results. Subject attrition in especially common in interventional studies for substance use disord...
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B. Suffoletto,
J. Kristan,
C. Callaway
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S197
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