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Dr. Josh Mugele
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LEADERTHE
When you are at your weakest we are at our strongestVOL 2 ISSUE 1
QUESTION + aNSWERwith Dr Josh Mugele The Path Less Traveled in Emergency Medicine
CaREY CHISHOLMreceives Lifetime
Achievement Award
JEff KLINErecieves Bantz-Petronio Award
CLINICaL STaTISTICSYear End Statistics
DaN RUSYNIaK recieves outstanding contribution to Medical Toxioclogy Research award
EDITOR IN CHIEFDaniel Rusyniak
MANAGING EDITORMegan Palmer
EXECUTIVE EDITORPamela Durant
CREATIVE DIRECTORLauren Hernandez
PRESENTaTIONS Leading in
presentations
AWARDSleading in
Danrsquos Richness of AwardsDan Rusyniak was the recipient of the 2014 American College of Medical Toxicologists (ACMT) Outstanding Contribution to Medical Toxicology Research Award This award honors a member of ACMT who has made a significant research contribution in the field of medical toxicology and was given at their national meeting in March 2014
Dan has also been awarded the 2014 Early Career Achievement Award from the IU School of Medicine Alumni Association In 2006 the Medical Alumni Association established this annual recognition for the outstanding accomplishments by medical alumni who have graduated within 15 years of the award presentationfinished his residency in 1999 and receives the award at the 2014 Strawberry Shortcake Alumni Luncheon held on Saturday May 17 2014 at 1115 Bring on the strawberriesestablished this annual recognition for outstanding accomplishments by medical alumni who have graduated within 15 years of the award presentation Danfinished his residency in rsquo99 and will be presented the award at the 2014 Strawberry Shortcake Alumni Luncheon on Saturday May 17 2014 at 1115 am
Carey Chisholm receives Lifetime Achievement AwardWhen Terez Malka saw the American Academy of Emergency Medicine-RSA (AAEM-RSA) announcement for nominees for Program Director of the Year she knew that that just wasnrsquot enough for Carey Chisholmmdashhis accomplishments were beyond the scope of that award So she came up with the idea for a Life-Time Achievement Award (even though hersquos far from either being dead or done) What started as an idea to accumulate funny anecdotes grew into glowing tributes from the people whose lives Carey has impacted
In accepting his award he graciously thanked many including all who have made his career so enjoyable over the years especially Kevin Rodgers
A teacher even as he accepted the award he still had lessons to teach
bull Lesson 1 - Invest in your family CDC had a big thanks for his wife (of 34 years) Robin and their two daughters Kelsey and Tyler
bull Lesson 2 - Get on the right bus it is best to work for great bosses and organizations
bull Lesson 3 ndash Surround yourself with people who are better than you are they will push you to be better than you aremdashand he considers himself to work with amazing faculty and one great class of residents after another He added them up and hersquos worked with over 500
At first Jeff Kline was thrilled to learn that he was awarded the second annual Bantz-Petronio Translating Research into Practice (TRIP) Award and then he realized that hersquod have to receive it wearing a cap and gown The award will be presented at the IUPUI Chancellorrsquos Academic Honors Convocation on Friday April 25 2014 The ceremony which takes place in Hine Hall is a celebration of outstanding achievements by IUPUI faculty and students
Jeff Kline won the award for his interdisciplinary research and the positive impact it makes on peoplersquos lives There is not enough room in this newsletter to report all of his innovations for instance he has 12 patents His work has been truly translation taking insights from his clinical trials and
laboratory experiments and providing emergency physicians throughout the US with the tools to better diagnose and treat patients with thromboembolic disease In recent years the IU School of Medicine and IUPUI have placed a great emphasis on translational work This award is a tangible sign that in this research area Jeff and the ED are leaders
Jeff Kline to recieve Bantz-Petronio Award
leading in AWARDS
James H Jones and Jennifer N Choi (assistant professor of clinical surgery) were selected by the IUSM Faculty Steering Committee to serve as IUrsquos representatives on the Association of American Medical Collegesrsquo Council of Faculty and Academic Societies
The AAMC CFAS represents academic faculty within the governance structure of the organization Each AAMC member medical school appoints two representatives a faculty member within 10 years of initial career faculty appointment and a department leader
ldquoThis is an important role for Drs Choi and Jonesrdquo said Stephen P Bogdewic PhD executive associate dean for faculty affairs and professional development ldquoThey will have an opportunity to advance cross-disciplinary perspectives and a venue to discuss issues of importance to medical school faculty at-largerdquo
James Jones amp Jennifer Choi selected as IU representatives
Early in 2014 six Indianapolis EMS employees were honored at the Department of Public Safetyrsquos first annual Recognition of Excellence Ceremony After nominations were submitted from across DPS these individuals were chosen in various categories for their dedication to their work and consistently going above and beyond their daily duties Mayor Greg Ballard and Public Safety Director Troy
Riggs spoke at the ceremony thanking the award winners for their unyielding dedication and their contributions to the city of Indianapolis
Congratulations go to
bull Jeremiah Cook
bull Chuck Ford
bull Patrick Hutchison
bull Tawanna Montgomery
bull Dr Dan OrsquoDonnell
bull AJ Warren
EMS employees recognized for excellence
Congrats to Bo (otherwise known as William-May Bollinger Stubblefield) on being awarded an EMRA travel scholarship to SAEM
Dan OrsquoDonnell passed his EMS subspecialty certification exam making him part of the first class of Board Certified EMS Physicians
Ben Hunter and Brian Sloan were named ACEP fellows
Mary Verghese won a Red Shoes award at Riley Hospital in February 2014
Congratulations
Question + Answer with
Q
Q
Q
Q
Q
A
A
A
A
A
I hear you had an unusual childhood
I grew up all over but mostly in southern Mexico in the state of Chiapas This meant growing up without running water electricity or indoor plumbing My mom homeschooled me and as part of this would send me outside with orders like ldquoFind ten different bugs and categorize themrdquo
What brought you to Chiapas
My parents worked for the Wycliffe organization whose goal is to create a written language for indigenous groups so that people can read the Bible in their own language My parents worked with the Chientec in Mexico My father is a linguist and mom was a nurse She did a lot of clinic work down there So I picked up phrases in Chinentec like ldquodo you have diarrhea ldquo When did you returned to the states
I went to high school in Texas then a liberal arts college in Tennessee I started out a Chemistry and Biology major then switched to Chemistry and English because I decided I was going to be a famous writer In fact I started Grad school in creative writing But as you know plans change Jody and I were expecting our first child so I put grad school on hold to get a real job On advice of my father we went out to California and I started working for a software company
Was this during the boom
Yes I was there for the high times and low times I moved out there in 1997 I worked for Oracle for a bit and then I was in at the ground level for a company called Semio I was the 5th employee in what would become a 150-person company We were working with natural language processing software We looked at how computers understand English language text and make sense of it I was an analyzer who grew into a product developer I was a designer not a programmer
So yoursquore in Silicon Valley and times are good
It was great until the bust Semio went belly up--me and everyone else were looking for work I was out of work for eight months The rumor going around was that U-Haul was paying people to drive their trucks back to the Bay area because so many people were leaving It was a desperate time and I needed something more stable We stayed with my wifersquos family in Brownsburg and I started studying for the MCATs I applied to Medical Schools and got accepted at the University of Michigan Around the same time one of the original investors in Semio asked that I join him in a new start up As if Med School wasnrsquot enough and proving lrsquom a glutton for punishment I collaborated with him on the new company Tablus which ultimately became successful
JOSH MUGELETHE PATH LESS TRAVELED IN EMERGENCY MEDICINE
McDonald called this new area the ER-ICU for the acute people So we trained the nurses I even had a doctor shadow me so he could see triage in action I could see ldquolight bulbsrdquo coming on At the end of the week we had everything set up Dr McDonald had a big ribbon cutting ceremony with the national newspaper and radio there
Q Their Emergency Department is busy
A They have a huge volume of patients and lots of trauma The country is becoming modernized One of the ways you can see that is by all the young men who buy motorcycles or as they call them pin-pins Apparently the drivers constantly honk or pin so they are called pin-pins Traffic is horrendous and many people get injured riding pin-pins
Q Tell me about your wife and daughters
I met my wife Jody in college She grew up in Brownsburg and currently manages a group of editors at an Internet marketing
company She has written a couple of young adult novels and has an agent shopping them around Shersquos now writing the third Irsquom proud of her Jody has researched the publishing houses and understands much more about the business than I ever did My older daughter Eleanor is in the 10th grade at Herron High School She is an excellent violinist and we are excited that shersquos a member of the New World Youth Symphony You can go to wwwnwysoorg for upcoming performance dates Like her mom Eleanor is a writer My younger daughter is Magnolia and at 12 shersquos
has a little more of a typical teenager experience than her sister Shersquos going to a Washington township school and then will go to Herron High School
Q As someone who has been all over the world is there an Indy restaurant yoursquod recommend
A My favorite hole in the wall is a place called Guatalinda It is on Layfayette Rd south of 34th It has the best tacos and papusas For me it is comfort food When we lived in Michigan there was no real Mexican food My mom would make a bunch of tamales pack them in dry ice and ship them up to me That and bottles of Mexican Coke
Q + A with JOSH MUGELEQ How did you end up in Emergency Medicine
A For me it was an obvious choice I hate being bored I need constant stimulation That is a big fear in my life to be bored and run out of things to do I would hate a job where 20 years down the road I was doing the same thing everyday I just couldnrsquot do that
Q What was your decider to come to IUSM
A The program Carey Chisholm sold me on it He insisted that he would push us He said it wouldnrsquot be easy but we would be better doctors I wasnrsquot planning on living in Indy when we lived in California we had a view of the ocean from our apartment but I was willing to come here for three years as long as we didnrsquot have to live in the suburbs We enjoy living downtown
Q How did the disaster medicine fellowship come about
I like finding my own niche and something I can do on my own After discussions with Dan OrsquoDonnell he and I came up with the idea of Disaster Medicine This allowed me to stay with the program and find some unique opportunities Through Dan OrsquoDonnell Irsquove come to know about MESH (a local coalition focused on disaster management and surge control) Within Indianapolis this has helped me connect with people and learn about projects and disaster management Skills you want to have but hope you never use For example MESH and the Mass Casualty Response Team have created a protocol to help coordinate things like routing patients to different hospitals in Indianapolis
Q Does this fellowship have you traveling
A Last fall I went to Africa with the CEO of MESH to help get a new project started in Liberia We are treating it as a resource-depleted environment One of the goals of my year in the disaster medicine was to find a resource-depleted environment where they would let us work with them to develop a disaster preparedness system We made contact with Dr McDonald (a PhD from the IU School of Nursing) the CEO of a hospital in Monrovia Liberia She invited us to come for a weeklong fact-
finding tour When I go back in June for a month we will pursue possible projects and collaborations Monroviarsquos JFK Memorial Hospital is the referral hospital for the entire nation This hospital does not have consistently running water they have regular electrical outages weekly fires and regular floods Most of the hospital is not air-conditioned Resource-depleted hospital is really the best way to describe it They lack basic things like gloves tape alcohol wipes and hand sanitizer I will have to figure out what I can take with me when I go back there in June
Q Does JFK Hospital have the equipment they need
A Actually that was one thing we were able to help with on our scouting mission Dr McDonald wanted us to look at the area set aside for acute care She had some donated beds and equipment--but no one had ever trained them on how to use the monitors or ventilators
For example one of our first patients was a woman with congestive heart failure We were pumping her full of nitro and watching the monitor to see her 02 stats go upmdashbut they didnrsquot That made us realize that the oxygen machine she was hooked to was the problem With a switch to another machine she pinked up Proper use of the monitor was the game changer that helped save her life and they hadnrsquot been able to use them before
Q You worked with the local doctors
A Yes The doctors and nurses had good medical training but no one had ever explained the acute care process to them They needed help with the logistics Dr
CLINICAL SERVICEleading in
SERVICE PUBLICATIONS
CLINICAL STATISTICS year end numbers
WishardEskenazi
Methodist Riley IU
Leading in Legislative process
From Lindsay Weaver comes news that Emily McIssac Emily Fitz Matt Noland Sarah Hemming-Meyer and Kyle Yoder participated in another successful legislative reception On January 14 2014 in the Indiana State Capital building members of the emergency medical community had the privilege of talking with Rep Tim Brown the Chair of The Ways And Means Committee Rep Brown practices emergency medicine and has always been a big supporter of our issues The residents presented talks about ldquoEMs Role in Healthcare Cost Savingsrdquo ldquoExpansion of the Lifeline Lawrdquo ldquoOpiate abuse in Indianardquo and ldquoThe Current State of Mental Healthrdquo to multiple legislators-- including the chairs of both the senate and house health committees As most of you know the committee chairs control what bills are going to be heard and can significantly influence whether a bill gets passed The fact that they participated in our reception is testament to our working relationship and the wonderful job our residents have done over the years Lindsay sends thanks to all the faculty INACEP members and the community physicians who participated in our now 5th annual IUEMINACEP Legislative Reception
Kline JA Insulin for calcium channel toxicity Ann Emerg Med 6392-93 2014 PMID24355376
Adams D Welch JL Kline JA Clinical Utility of an Age-Adjusted D-dimer in the Diagnosis of Venous Thromboembolism Ann Emerg Med Online Jan 15 2014 PMID24439717
Handel DA Fu R Vu E Augustine JJ Hsia RY Shufflebarger CM Sun B Association of Emergency Department and Hospital Characteristics with Elopements and Length of Stay Online Jan 21 2014 PMID 24462026
Warrick BJ Hill M Hekman K Christensen R Goetz R Casavant MJ Wahl M Mowry JB Spiller H Anderson D Aleguas A Gummin D Thomas R Nezlek C Smolinske S A 9-state analysis of designer stimulant ldquobath saltrdquo hospital visits reported to poison control centers Ann Emerg Med 62244-251 PMID 23540815
Mowry JB Spyker DA Cantilena LR Jr Bailey JE Ford M 2012 Annual Report of the American Association of Poison Control Centersrsquo National Poison Data System (NPDS) 30th Annual Report Clin Toxicol (Phila) 51949-1229 PMID24359283
Gardner A Schneider SM Future of Emergency Medicine Summit II Participants including Hobgood C The future of emergency medicine update 2011 Ann Emerg Med 61624-630 2013 PMID 23394842
Hourmozdi JJ Hawley DA Hadi CM Tahir B Seupaul RA Streptococcal Necrotizing Myositis A Case Report and Clinical Review J Emerg Med Online Oct 23 2013 PMID24161226
Hunter BR Keim SM Seupaul RA Hern G Are plain radiographs sufficient to exclude cervical spine injuries in low-risk adults J Emerg Med 46257-263 2014 PMID 24342907
Kiefer CS Colletti JE Phlegmasia cerulea dolens in a patient with an inferior vena cava filter J Emerg Med 44e95-e97 2013 PMID 22406023
Kanis JM Timm NL Chlorpromazine for the treatment of migraine in a pediatric emergency department Headache 54335-342 2014
Wakai A McCabe A Kidney R Brooks SC Seupaul RA Diercks DB Salter N Fermann GJ Pospisil C Nitrates for acute heart failure syndromes Online Aug 6 2013 PMID 23922186
Stehman CR and Mycyk MBA rational approach to the treatment of alcohol withdrawal in the ED Am J Emerg Med 31734-42 2013 PMID 23399338
Fitz Emily The Indiana Lifeline Law EM Pulse 232 And 2014 Legislative Reception a Resounding Success EM Pulse 2312 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
Sracic J Leflore A with images from Minnigan H A Case of Ectopic Pregnancy Complicated by Pelvic Abscess EM Pulse 234-5 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
103569102916
36763
14045
EDUCATION amp RESEARCHleading in
EDUCATION PUBLICATIONSCheck it outTo be a LeadER in Medicine physicians need to keep up with the latest information Here at IUSM wersquore lucky to have the Ruth Lilly Medical Library a great facility staffed with librarians who are willing to help you in person or online They have set up a page of resources specifically for us They really want this to be a useful page and for it to continue to grow so if you want them to add a section on Evidence- Based-Medicine ultrasound or the latest app please contact Tom Emmett MD MLS Clinical Informationist temmettiuedu
You can find links to a wealth of information at your fingertips if you visitlibrarymedicineiueduaudiencefaculty-and-residentsemergency-
medicine
Evidence-based resources
bull Summaries Synopses and
Systematic reviews
bull Guidelines from national EM
organizations
bull Primary research studies
bull Meta-Search engine TRIP
Journals and Books (links to full text)
Drugs and Toxicology
bull Lexi-Comp for drugs and
interactions
bull Micromedex for drug identification
bull Johns Hopkins Antibiotic guide
bull Poisoning and Drug Overdose
guide
Specialized topics
bull Bioterrorism
bull Disaster Medicine
bull Travel amp Wilderness Medicine
Resources and Tools
bull Mobile Apps
bull Differential Diagnosis
bull Coding Manuals
bull Calculators
bull Patient information amp
education
bull Procedure Videos
bull McGill Emergency Medicine
OrsquoNeil J Steele GK Weinstein E Collins R Talty J Bull MJ Ambulance Transport of Noncritical Children Emergency Medical Service Providersrsquo Knowledge Opinions and Practice Clin Pediatr (Phila) 53250-255 PMID 24408898
Korte RC Beeson MS Russ CM Carter WA Emergency Medicine Milestones Working Group Reisdorff EJ The emergency medicine milestones a validation study Acad Emerg Med 20730-735 2013 PMID 23859587
RESEARCH PUBLICATIONS
Tepper B Brice JH Hobgood CD Evaluation of radiation exposure to pediatric trauma patients J Emerg Med 44646-652 2013 PMID23246000
Lamantia MA Messina FC Hobgood CD Miller DK Screening for Delirium in the Emergency Department A Systematic Review Ann Emerg Med Online Dec 16 2013 PMID24355431
Kline JA Past present and future of emergency care research Emerg Med Australas 268-13 2014 PMID 24495056
Kline JA Jones AE Shapiro NI Hernandez J Hogg MM Troyer J Nelson RD Multicenter randomized trial of quantitative pretest probability to reduce unnecessary medical radiation exposure in emergency department patients with chest pain and dyspnea Circ Cardiovasc Imaging 766-73 2014 PMID24275953
Kline JA Nordenholz KE Courtney DM Kabrhel C Jones AE Rondina MT Diercks DB Klinger JR Hernandez J Treatment of submassive pulmonary embolism with tenecteplase or placebo cardiopulmonary outcomes at three months (TOPCOAT) Multicenter double-blind placebo-controlled randomized trial J Thromb Haemost Online Jan 31 2014 PMID 24484241
Molkov YI Zaretskaia MV Zaretsky DV Meth Math Modeling Temperature Responses to Methamphetamine Am J Physiol Regul Integr Comp Physiol available Online PMID 24500434
Banks ML Worst TJ Rusyniak DE Sprague JE Synthetic Cathinones (ldquoBath Saltsrdquo) J Emerg Med Online Feb 22 2014 PMID24565885
Peitz GW Troyer J Jones AE Shapiro NI Nelson RD Hernandez J Kline JAAssociation of Body Mass Index With Increased Cost of Care and Length of Stay for Emergency Department Patients With Chest Pain and DyspneaCirc Cardiovasc Qual Outcomes 7292-298 2014 PMID24594550
PRESENTATIONSleading in
Laura Tormoehlen gave a presentation entitled ldquoDeclaring Brain Death in the Toxicology Patientrdquo
Dan Rusyniak (with Howard Greller) presented ldquoTechno TATS Tricks Apps and Tipsrdquo
Laura Tormoehlen gave a didactic on ldquoAdvanced Neuroimaging and Toxicologyrdquo
Louise Kao organized the meeting and spoke at the ResidentStudent Luncheon on ldquoWhy Medical Toxicologyrdquo
Jeffrey Kline Gender-specific research in EM Care how gender
affects outcomemdashldquoDiagnostic Imagingrdquo
Nathan Alves Thromboelastography (TEG) shows variation depending on sample
source in Fibrinolysis in a large animal model of Pulmonary Embolism
Daren Beam Wide variability with clot induction to achieve submassive Pulmonary Embolism in an extremely controlled animal model
Daren Beam The RVLV ratio shows poor correlation and agreement with pulmonary vascular resistance in a submassive pulmonary embolism model
Marie Vrablik Clinical factors associated with mortality after Intracranial hemorrhage
Zachary Kahler Immediate discharge of low-risk venous thromboembolism A cost and safety analysis
Society for Academic Emergency Medicine (SAEM) Annual Meeting May 13 - 17 in Dallas TX
Stevens A Turner J Cooper D Soultz M ldquoA novel simulation program to train paramedic students in safe EMS patient handoffrdquo Poster at IMSH on Jan 27 2014
Wilbur L Carr D Jones M Milgrom L Ferraris E Jasiak K Ranft D Turner J Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate health professionsrdquo Poster at IMSH on Jan 27 2014
Leuck J Pearson D Clarke S Swaminathan A Mahoney H Medwid K Kegg J Byars D Getto L Turner J Cooper D Bullard M Anderson W ldquoA comparison of evaluation metrics for high-fidelity ACLS-based simulation cases for PGY-1 and PGY-3 level emergency medicine residents a pilot studyrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Woodyard C ldquoThe standardized (patient) jury An insight into deliberations for law students during a mock medical malpractice trialrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Scolaro K Durham C Shelly J and Hobgood CD ldquob-SAFER A systematic approach to delivering effective interprofessional handoffsrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Chatterji D Cowherd S Durham C Scolaro K Barrick J and Shelly J ldquoTeaching interprofessional root cause analysis using simulationrdquo Poster at IMSH on Jan 27 2014
Turner J and Cooper D ldquoIncrease the Fidelity How to Create A Multiple-Patient Simulationrdquo Podium Presentation at IMSH on Jan 28 2014
The International Meeting on Simulation in Healthcare (IMSH)January 27 in San Francisco CA
2014 Annual Scientific meeting of the American College of Medical Toxicology March 28-30 in Pheonix AZ
Frances Russell Diagnosing acute heart failure in patients with undifferentiated DyspneamdashA novel lung and cardiac ultrasound protocol
Rob Ehrman (Presented by Frances Russell) Can Emergency Physicians accurately diagnose and correctly classify diastolic dysfunction using bedside echocardiography
Peter Pang (future ED faculty)ldquoCan we improve outcomes in acute heart failure 2014 update on acute heart failure research
Carey Chisholm with John Ma ldquoEstablishing your niche The first five yearsrdquo Jason Schaffer Sphenopalatine Ganglion anesthesia for acute headache in the Emergency Department using a novel delivery device
ACEP Advanced Pediatric Emergency Medicine Assembly May 18 - 20 in New York City NY
SAEM Annual Meeting Continued
Jeffrey Kline
Tim Ellender CVP and Lactate Should Be Used to Guide Sepsis Treatment
Jeffrey Kline Manage PE as an Outpatient
Kevin Rodgers MacGyver in My ER
Elizabeth Weinstein Febrile Seizures in 2013
Tim Ellender When All Else Fails Pearls for the Critically Ill Patient with Refractory Hypoxemia
Kevin Rodgers Emergency Transfusions (including TEG)
Cherri Hobgood National Societies and Curriculum Development
Cherri Hobgood Panel Discussion Communication and Interaction between Societies at an International Level
Jennifer Walthall Altered Adolescents
Kevin Rodgers Resident In-Training Exam Review
Elizabeth Weinstein Head Injury in Kids
Jeffrey Kline Rule Out PE mdash Are We Doing the Right Thing for Our Patients
Jennifer Walthall Dealing With Autism in the ED
Ferraris E Turner J and Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate
health professionsrdquo
EC Moore SymposiumApril 4 in Indianapolis IN
leading in PRESENTATIONS
OrsquoDonnell D Savory E Mancera M Christopher S Roumpf S Schaffer J presented The availability of prior EKGrsquos improves paramedic accuracy in identifying STEMIrsquos at the NAEMSP 2014 Annual meeting in Tuscon AZ January 16-18 2014
Walthall J and Etter D Changing the Culture of the Culture Book A Pediatric Emergency Department Patient Safety Project Using Quality Improvement Process Analysisrdquo will be presented at the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Walthall J Showalter C and Thompson S Rough Riders An Educational Intervention in ATV Safety for Rural Children and Familiesrdquo abstract 755716 to the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Daren Beam and Zachary KahlerldquoHome treatment with target-specific anticoagulants (TSAs) for patients with venous thromboembolism (VTE) diagnosed in the Emergency Departmentrdquo
Jennifer Walthall Rough Riders An educational intervention to increase self-efficacy and knowledge of all-terrain vehicle safety among children and parents in a rural Indiana Community
Jeffrey Kline and others ldquoShark Tankrdquo Real world Research Proposalsrdquo
Carey Chisholm and Marie Vrablik ldquoA CLER plan Implementing a patient safety Council for residents and fellowsrdquo
Jamie Jones and others ldquoDemystifying ABEMrsquos maintenance of certification programrdquo
Jeffrey Kline and others ldquoCoping with rejection in research Resiliency strategies to effectively move forward after a setbackrdquo
Jennifer Walthall and Anne Whitehead ldquoVulnerable patients in the EDrdquo Diadactic curriculum Using patient voices to increase empathy and knowledge for Emergency Medicine residents
Other PresentationsHamed and JT Finnell Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data
Jianmin and JT Finnell Emergency Department Opiates and Mortality
Marie Vrablik Before the Bleed Identifying high risk patients for spontaneous intracranial hemorrhage
Terez Malka Professional Email Usage Among Physicians A Multi-Disciplinary Survey
Terez Malka Weapons Retrieved After the Implementation of Emergency Department Metal Detection
Ben Hunter Primary EMS Transport to a 24-hr PCI center is associated with increased survival in patients with out of hospital cardiac arrest
Jennifer Walthall Sean Thomas and others ldquoDeveloping a curriculum in advocacy for Emergency Medicinerdquo Jeffrey Kline and others ldquoRespecting Pulmonary Embolism Treating the spectrum of disease from outpatient management to systemic thrombolytics
Terez Malka Medical Student Symposium Q amp A with EM Resident Panel
Alice Mitchell ldquoEmergency Department Recidivism in Early Childhood is not a risk Factor for Child Maltreatmentrdquo
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
AWARDSleading in
Danrsquos Richness of AwardsDan Rusyniak was the recipient of the 2014 American College of Medical Toxicologists (ACMT) Outstanding Contribution to Medical Toxicology Research Award This award honors a member of ACMT who has made a significant research contribution in the field of medical toxicology and was given at their national meeting in March 2014
Dan has also been awarded the 2014 Early Career Achievement Award from the IU School of Medicine Alumni Association In 2006 the Medical Alumni Association established this annual recognition for the outstanding accomplishments by medical alumni who have graduated within 15 years of the award presentationfinished his residency in 1999 and receives the award at the 2014 Strawberry Shortcake Alumni Luncheon held on Saturday May 17 2014 at 1115 Bring on the strawberriesestablished this annual recognition for outstanding accomplishments by medical alumni who have graduated within 15 years of the award presentation Danfinished his residency in rsquo99 and will be presented the award at the 2014 Strawberry Shortcake Alumni Luncheon on Saturday May 17 2014 at 1115 am
Carey Chisholm receives Lifetime Achievement AwardWhen Terez Malka saw the American Academy of Emergency Medicine-RSA (AAEM-RSA) announcement for nominees for Program Director of the Year she knew that that just wasnrsquot enough for Carey Chisholmmdashhis accomplishments were beyond the scope of that award So she came up with the idea for a Life-Time Achievement Award (even though hersquos far from either being dead or done) What started as an idea to accumulate funny anecdotes grew into glowing tributes from the people whose lives Carey has impacted
In accepting his award he graciously thanked many including all who have made his career so enjoyable over the years especially Kevin Rodgers
A teacher even as he accepted the award he still had lessons to teach
bull Lesson 1 - Invest in your family CDC had a big thanks for his wife (of 34 years) Robin and their two daughters Kelsey and Tyler
bull Lesson 2 - Get on the right bus it is best to work for great bosses and organizations
bull Lesson 3 ndash Surround yourself with people who are better than you are they will push you to be better than you aremdashand he considers himself to work with amazing faculty and one great class of residents after another He added them up and hersquos worked with over 500
At first Jeff Kline was thrilled to learn that he was awarded the second annual Bantz-Petronio Translating Research into Practice (TRIP) Award and then he realized that hersquod have to receive it wearing a cap and gown The award will be presented at the IUPUI Chancellorrsquos Academic Honors Convocation on Friday April 25 2014 The ceremony which takes place in Hine Hall is a celebration of outstanding achievements by IUPUI faculty and students
Jeff Kline won the award for his interdisciplinary research and the positive impact it makes on peoplersquos lives There is not enough room in this newsletter to report all of his innovations for instance he has 12 patents His work has been truly translation taking insights from his clinical trials and
laboratory experiments and providing emergency physicians throughout the US with the tools to better diagnose and treat patients with thromboembolic disease In recent years the IU School of Medicine and IUPUI have placed a great emphasis on translational work This award is a tangible sign that in this research area Jeff and the ED are leaders
Jeff Kline to recieve Bantz-Petronio Award
leading in AWARDS
James H Jones and Jennifer N Choi (assistant professor of clinical surgery) were selected by the IUSM Faculty Steering Committee to serve as IUrsquos representatives on the Association of American Medical Collegesrsquo Council of Faculty and Academic Societies
The AAMC CFAS represents academic faculty within the governance structure of the organization Each AAMC member medical school appoints two representatives a faculty member within 10 years of initial career faculty appointment and a department leader
ldquoThis is an important role for Drs Choi and Jonesrdquo said Stephen P Bogdewic PhD executive associate dean for faculty affairs and professional development ldquoThey will have an opportunity to advance cross-disciplinary perspectives and a venue to discuss issues of importance to medical school faculty at-largerdquo
James Jones amp Jennifer Choi selected as IU representatives
Early in 2014 six Indianapolis EMS employees were honored at the Department of Public Safetyrsquos first annual Recognition of Excellence Ceremony After nominations were submitted from across DPS these individuals were chosen in various categories for their dedication to their work and consistently going above and beyond their daily duties Mayor Greg Ballard and Public Safety Director Troy
Riggs spoke at the ceremony thanking the award winners for their unyielding dedication and their contributions to the city of Indianapolis
Congratulations go to
bull Jeremiah Cook
bull Chuck Ford
bull Patrick Hutchison
bull Tawanna Montgomery
bull Dr Dan OrsquoDonnell
bull AJ Warren
EMS employees recognized for excellence
Congrats to Bo (otherwise known as William-May Bollinger Stubblefield) on being awarded an EMRA travel scholarship to SAEM
Dan OrsquoDonnell passed his EMS subspecialty certification exam making him part of the first class of Board Certified EMS Physicians
Ben Hunter and Brian Sloan were named ACEP fellows
Mary Verghese won a Red Shoes award at Riley Hospital in February 2014
Congratulations
Question + Answer with
Q
Q
Q
Q
Q
A
A
A
A
A
I hear you had an unusual childhood
I grew up all over but mostly in southern Mexico in the state of Chiapas This meant growing up without running water electricity or indoor plumbing My mom homeschooled me and as part of this would send me outside with orders like ldquoFind ten different bugs and categorize themrdquo
What brought you to Chiapas
My parents worked for the Wycliffe organization whose goal is to create a written language for indigenous groups so that people can read the Bible in their own language My parents worked with the Chientec in Mexico My father is a linguist and mom was a nurse She did a lot of clinic work down there So I picked up phrases in Chinentec like ldquodo you have diarrhea ldquo When did you returned to the states
I went to high school in Texas then a liberal arts college in Tennessee I started out a Chemistry and Biology major then switched to Chemistry and English because I decided I was going to be a famous writer In fact I started Grad school in creative writing But as you know plans change Jody and I were expecting our first child so I put grad school on hold to get a real job On advice of my father we went out to California and I started working for a software company
Was this during the boom
Yes I was there for the high times and low times I moved out there in 1997 I worked for Oracle for a bit and then I was in at the ground level for a company called Semio I was the 5th employee in what would become a 150-person company We were working with natural language processing software We looked at how computers understand English language text and make sense of it I was an analyzer who grew into a product developer I was a designer not a programmer
So yoursquore in Silicon Valley and times are good
It was great until the bust Semio went belly up--me and everyone else were looking for work I was out of work for eight months The rumor going around was that U-Haul was paying people to drive their trucks back to the Bay area because so many people were leaving It was a desperate time and I needed something more stable We stayed with my wifersquos family in Brownsburg and I started studying for the MCATs I applied to Medical Schools and got accepted at the University of Michigan Around the same time one of the original investors in Semio asked that I join him in a new start up As if Med School wasnrsquot enough and proving lrsquom a glutton for punishment I collaborated with him on the new company Tablus which ultimately became successful
JOSH MUGELETHE PATH LESS TRAVELED IN EMERGENCY MEDICINE
McDonald called this new area the ER-ICU for the acute people So we trained the nurses I even had a doctor shadow me so he could see triage in action I could see ldquolight bulbsrdquo coming on At the end of the week we had everything set up Dr McDonald had a big ribbon cutting ceremony with the national newspaper and radio there
Q Their Emergency Department is busy
A They have a huge volume of patients and lots of trauma The country is becoming modernized One of the ways you can see that is by all the young men who buy motorcycles or as they call them pin-pins Apparently the drivers constantly honk or pin so they are called pin-pins Traffic is horrendous and many people get injured riding pin-pins
Q Tell me about your wife and daughters
I met my wife Jody in college She grew up in Brownsburg and currently manages a group of editors at an Internet marketing
company She has written a couple of young adult novels and has an agent shopping them around Shersquos now writing the third Irsquom proud of her Jody has researched the publishing houses and understands much more about the business than I ever did My older daughter Eleanor is in the 10th grade at Herron High School She is an excellent violinist and we are excited that shersquos a member of the New World Youth Symphony You can go to wwwnwysoorg for upcoming performance dates Like her mom Eleanor is a writer My younger daughter is Magnolia and at 12 shersquos
has a little more of a typical teenager experience than her sister Shersquos going to a Washington township school and then will go to Herron High School
Q As someone who has been all over the world is there an Indy restaurant yoursquod recommend
A My favorite hole in the wall is a place called Guatalinda It is on Layfayette Rd south of 34th It has the best tacos and papusas For me it is comfort food When we lived in Michigan there was no real Mexican food My mom would make a bunch of tamales pack them in dry ice and ship them up to me That and bottles of Mexican Coke
Q + A with JOSH MUGELEQ How did you end up in Emergency Medicine
A For me it was an obvious choice I hate being bored I need constant stimulation That is a big fear in my life to be bored and run out of things to do I would hate a job where 20 years down the road I was doing the same thing everyday I just couldnrsquot do that
Q What was your decider to come to IUSM
A The program Carey Chisholm sold me on it He insisted that he would push us He said it wouldnrsquot be easy but we would be better doctors I wasnrsquot planning on living in Indy when we lived in California we had a view of the ocean from our apartment but I was willing to come here for three years as long as we didnrsquot have to live in the suburbs We enjoy living downtown
Q How did the disaster medicine fellowship come about
I like finding my own niche and something I can do on my own After discussions with Dan OrsquoDonnell he and I came up with the idea of Disaster Medicine This allowed me to stay with the program and find some unique opportunities Through Dan OrsquoDonnell Irsquove come to know about MESH (a local coalition focused on disaster management and surge control) Within Indianapolis this has helped me connect with people and learn about projects and disaster management Skills you want to have but hope you never use For example MESH and the Mass Casualty Response Team have created a protocol to help coordinate things like routing patients to different hospitals in Indianapolis
Q Does this fellowship have you traveling
A Last fall I went to Africa with the CEO of MESH to help get a new project started in Liberia We are treating it as a resource-depleted environment One of the goals of my year in the disaster medicine was to find a resource-depleted environment where they would let us work with them to develop a disaster preparedness system We made contact with Dr McDonald (a PhD from the IU School of Nursing) the CEO of a hospital in Monrovia Liberia She invited us to come for a weeklong fact-
finding tour When I go back in June for a month we will pursue possible projects and collaborations Monroviarsquos JFK Memorial Hospital is the referral hospital for the entire nation This hospital does not have consistently running water they have regular electrical outages weekly fires and regular floods Most of the hospital is not air-conditioned Resource-depleted hospital is really the best way to describe it They lack basic things like gloves tape alcohol wipes and hand sanitizer I will have to figure out what I can take with me when I go back there in June
Q Does JFK Hospital have the equipment they need
A Actually that was one thing we were able to help with on our scouting mission Dr McDonald wanted us to look at the area set aside for acute care She had some donated beds and equipment--but no one had ever trained them on how to use the monitors or ventilators
For example one of our first patients was a woman with congestive heart failure We were pumping her full of nitro and watching the monitor to see her 02 stats go upmdashbut they didnrsquot That made us realize that the oxygen machine she was hooked to was the problem With a switch to another machine she pinked up Proper use of the monitor was the game changer that helped save her life and they hadnrsquot been able to use them before
Q You worked with the local doctors
A Yes The doctors and nurses had good medical training but no one had ever explained the acute care process to them They needed help with the logistics Dr
CLINICAL SERVICEleading in
SERVICE PUBLICATIONS
CLINICAL STATISTICS year end numbers
WishardEskenazi
Methodist Riley IU
Leading in Legislative process
From Lindsay Weaver comes news that Emily McIssac Emily Fitz Matt Noland Sarah Hemming-Meyer and Kyle Yoder participated in another successful legislative reception On January 14 2014 in the Indiana State Capital building members of the emergency medical community had the privilege of talking with Rep Tim Brown the Chair of The Ways And Means Committee Rep Brown practices emergency medicine and has always been a big supporter of our issues The residents presented talks about ldquoEMs Role in Healthcare Cost Savingsrdquo ldquoExpansion of the Lifeline Lawrdquo ldquoOpiate abuse in Indianardquo and ldquoThe Current State of Mental Healthrdquo to multiple legislators-- including the chairs of both the senate and house health committees As most of you know the committee chairs control what bills are going to be heard and can significantly influence whether a bill gets passed The fact that they participated in our reception is testament to our working relationship and the wonderful job our residents have done over the years Lindsay sends thanks to all the faculty INACEP members and the community physicians who participated in our now 5th annual IUEMINACEP Legislative Reception
Kline JA Insulin for calcium channel toxicity Ann Emerg Med 6392-93 2014 PMID24355376
Adams D Welch JL Kline JA Clinical Utility of an Age-Adjusted D-dimer in the Diagnosis of Venous Thromboembolism Ann Emerg Med Online Jan 15 2014 PMID24439717
Handel DA Fu R Vu E Augustine JJ Hsia RY Shufflebarger CM Sun B Association of Emergency Department and Hospital Characteristics with Elopements and Length of Stay Online Jan 21 2014 PMID 24462026
Warrick BJ Hill M Hekman K Christensen R Goetz R Casavant MJ Wahl M Mowry JB Spiller H Anderson D Aleguas A Gummin D Thomas R Nezlek C Smolinske S A 9-state analysis of designer stimulant ldquobath saltrdquo hospital visits reported to poison control centers Ann Emerg Med 62244-251 PMID 23540815
Mowry JB Spyker DA Cantilena LR Jr Bailey JE Ford M 2012 Annual Report of the American Association of Poison Control Centersrsquo National Poison Data System (NPDS) 30th Annual Report Clin Toxicol (Phila) 51949-1229 PMID24359283
Gardner A Schneider SM Future of Emergency Medicine Summit II Participants including Hobgood C The future of emergency medicine update 2011 Ann Emerg Med 61624-630 2013 PMID 23394842
Hourmozdi JJ Hawley DA Hadi CM Tahir B Seupaul RA Streptococcal Necrotizing Myositis A Case Report and Clinical Review J Emerg Med Online Oct 23 2013 PMID24161226
Hunter BR Keim SM Seupaul RA Hern G Are plain radiographs sufficient to exclude cervical spine injuries in low-risk adults J Emerg Med 46257-263 2014 PMID 24342907
Kiefer CS Colletti JE Phlegmasia cerulea dolens in a patient with an inferior vena cava filter J Emerg Med 44e95-e97 2013 PMID 22406023
Kanis JM Timm NL Chlorpromazine for the treatment of migraine in a pediatric emergency department Headache 54335-342 2014
Wakai A McCabe A Kidney R Brooks SC Seupaul RA Diercks DB Salter N Fermann GJ Pospisil C Nitrates for acute heart failure syndromes Online Aug 6 2013 PMID 23922186
Stehman CR and Mycyk MBA rational approach to the treatment of alcohol withdrawal in the ED Am J Emerg Med 31734-42 2013 PMID 23399338
Fitz Emily The Indiana Lifeline Law EM Pulse 232 And 2014 Legislative Reception a Resounding Success EM Pulse 2312 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
Sracic J Leflore A with images from Minnigan H A Case of Ectopic Pregnancy Complicated by Pelvic Abscess EM Pulse 234-5 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
103569102916
36763
14045
EDUCATION amp RESEARCHleading in
EDUCATION PUBLICATIONSCheck it outTo be a LeadER in Medicine physicians need to keep up with the latest information Here at IUSM wersquore lucky to have the Ruth Lilly Medical Library a great facility staffed with librarians who are willing to help you in person or online They have set up a page of resources specifically for us They really want this to be a useful page and for it to continue to grow so if you want them to add a section on Evidence- Based-Medicine ultrasound or the latest app please contact Tom Emmett MD MLS Clinical Informationist temmettiuedu
You can find links to a wealth of information at your fingertips if you visitlibrarymedicineiueduaudiencefaculty-and-residentsemergency-
medicine
Evidence-based resources
bull Summaries Synopses and
Systematic reviews
bull Guidelines from national EM
organizations
bull Primary research studies
bull Meta-Search engine TRIP
Journals and Books (links to full text)
Drugs and Toxicology
bull Lexi-Comp for drugs and
interactions
bull Micromedex for drug identification
bull Johns Hopkins Antibiotic guide
bull Poisoning and Drug Overdose
guide
Specialized topics
bull Bioterrorism
bull Disaster Medicine
bull Travel amp Wilderness Medicine
Resources and Tools
bull Mobile Apps
bull Differential Diagnosis
bull Coding Manuals
bull Calculators
bull Patient information amp
education
bull Procedure Videos
bull McGill Emergency Medicine
OrsquoNeil J Steele GK Weinstein E Collins R Talty J Bull MJ Ambulance Transport of Noncritical Children Emergency Medical Service Providersrsquo Knowledge Opinions and Practice Clin Pediatr (Phila) 53250-255 PMID 24408898
Korte RC Beeson MS Russ CM Carter WA Emergency Medicine Milestones Working Group Reisdorff EJ The emergency medicine milestones a validation study Acad Emerg Med 20730-735 2013 PMID 23859587
RESEARCH PUBLICATIONS
Tepper B Brice JH Hobgood CD Evaluation of radiation exposure to pediatric trauma patients J Emerg Med 44646-652 2013 PMID23246000
Lamantia MA Messina FC Hobgood CD Miller DK Screening for Delirium in the Emergency Department A Systematic Review Ann Emerg Med Online Dec 16 2013 PMID24355431
Kline JA Past present and future of emergency care research Emerg Med Australas 268-13 2014 PMID 24495056
Kline JA Jones AE Shapiro NI Hernandez J Hogg MM Troyer J Nelson RD Multicenter randomized trial of quantitative pretest probability to reduce unnecessary medical radiation exposure in emergency department patients with chest pain and dyspnea Circ Cardiovasc Imaging 766-73 2014 PMID24275953
Kline JA Nordenholz KE Courtney DM Kabrhel C Jones AE Rondina MT Diercks DB Klinger JR Hernandez J Treatment of submassive pulmonary embolism with tenecteplase or placebo cardiopulmonary outcomes at three months (TOPCOAT) Multicenter double-blind placebo-controlled randomized trial J Thromb Haemost Online Jan 31 2014 PMID 24484241
Molkov YI Zaretskaia MV Zaretsky DV Meth Math Modeling Temperature Responses to Methamphetamine Am J Physiol Regul Integr Comp Physiol available Online PMID 24500434
Banks ML Worst TJ Rusyniak DE Sprague JE Synthetic Cathinones (ldquoBath Saltsrdquo) J Emerg Med Online Feb 22 2014 PMID24565885
Peitz GW Troyer J Jones AE Shapiro NI Nelson RD Hernandez J Kline JAAssociation of Body Mass Index With Increased Cost of Care and Length of Stay for Emergency Department Patients With Chest Pain and DyspneaCirc Cardiovasc Qual Outcomes 7292-298 2014 PMID24594550
PRESENTATIONSleading in
Laura Tormoehlen gave a presentation entitled ldquoDeclaring Brain Death in the Toxicology Patientrdquo
Dan Rusyniak (with Howard Greller) presented ldquoTechno TATS Tricks Apps and Tipsrdquo
Laura Tormoehlen gave a didactic on ldquoAdvanced Neuroimaging and Toxicologyrdquo
Louise Kao organized the meeting and spoke at the ResidentStudent Luncheon on ldquoWhy Medical Toxicologyrdquo
Jeffrey Kline Gender-specific research in EM Care how gender
affects outcomemdashldquoDiagnostic Imagingrdquo
Nathan Alves Thromboelastography (TEG) shows variation depending on sample
source in Fibrinolysis in a large animal model of Pulmonary Embolism
Daren Beam Wide variability with clot induction to achieve submassive Pulmonary Embolism in an extremely controlled animal model
Daren Beam The RVLV ratio shows poor correlation and agreement with pulmonary vascular resistance in a submassive pulmonary embolism model
Marie Vrablik Clinical factors associated with mortality after Intracranial hemorrhage
Zachary Kahler Immediate discharge of low-risk venous thromboembolism A cost and safety analysis
Society for Academic Emergency Medicine (SAEM) Annual Meeting May 13 - 17 in Dallas TX
Stevens A Turner J Cooper D Soultz M ldquoA novel simulation program to train paramedic students in safe EMS patient handoffrdquo Poster at IMSH on Jan 27 2014
Wilbur L Carr D Jones M Milgrom L Ferraris E Jasiak K Ranft D Turner J Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate health professionsrdquo Poster at IMSH on Jan 27 2014
Leuck J Pearson D Clarke S Swaminathan A Mahoney H Medwid K Kegg J Byars D Getto L Turner J Cooper D Bullard M Anderson W ldquoA comparison of evaluation metrics for high-fidelity ACLS-based simulation cases for PGY-1 and PGY-3 level emergency medicine residents a pilot studyrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Woodyard C ldquoThe standardized (patient) jury An insight into deliberations for law students during a mock medical malpractice trialrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Scolaro K Durham C Shelly J and Hobgood CD ldquob-SAFER A systematic approach to delivering effective interprofessional handoffsrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Chatterji D Cowherd S Durham C Scolaro K Barrick J and Shelly J ldquoTeaching interprofessional root cause analysis using simulationrdquo Poster at IMSH on Jan 27 2014
Turner J and Cooper D ldquoIncrease the Fidelity How to Create A Multiple-Patient Simulationrdquo Podium Presentation at IMSH on Jan 28 2014
The International Meeting on Simulation in Healthcare (IMSH)January 27 in San Francisco CA
2014 Annual Scientific meeting of the American College of Medical Toxicology March 28-30 in Pheonix AZ
Frances Russell Diagnosing acute heart failure in patients with undifferentiated DyspneamdashA novel lung and cardiac ultrasound protocol
Rob Ehrman (Presented by Frances Russell) Can Emergency Physicians accurately diagnose and correctly classify diastolic dysfunction using bedside echocardiography
Peter Pang (future ED faculty)ldquoCan we improve outcomes in acute heart failure 2014 update on acute heart failure research
Carey Chisholm with John Ma ldquoEstablishing your niche The first five yearsrdquo Jason Schaffer Sphenopalatine Ganglion anesthesia for acute headache in the Emergency Department using a novel delivery device
ACEP Advanced Pediatric Emergency Medicine Assembly May 18 - 20 in New York City NY
SAEM Annual Meeting Continued
Jeffrey Kline
Tim Ellender CVP and Lactate Should Be Used to Guide Sepsis Treatment
Jeffrey Kline Manage PE as an Outpatient
Kevin Rodgers MacGyver in My ER
Elizabeth Weinstein Febrile Seizures in 2013
Tim Ellender When All Else Fails Pearls for the Critically Ill Patient with Refractory Hypoxemia
Kevin Rodgers Emergency Transfusions (including TEG)
Cherri Hobgood National Societies and Curriculum Development
Cherri Hobgood Panel Discussion Communication and Interaction between Societies at an International Level
Jennifer Walthall Altered Adolescents
Kevin Rodgers Resident In-Training Exam Review
Elizabeth Weinstein Head Injury in Kids
Jeffrey Kline Rule Out PE mdash Are We Doing the Right Thing for Our Patients
Jennifer Walthall Dealing With Autism in the ED
Ferraris E Turner J and Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate
health professionsrdquo
EC Moore SymposiumApril 4 in Indianapolis IN
leading in PRESENTATIONS
OrsquoDonnell D Savory E Mancera M Christopher S Roumpf S Schaffer J presented The availability of prior EKGrsquos improves paramedic accuracy in identifying STEMIrsquos at the NAEMSP 2014 Annual meeting in Tuscon AZ January 16-18 2014
Walthall J and Etter D Changing the Culture of the Culture Book A Pediatric Emergency Department Patient Safety Project Using Quality Improvement Process Analysisrdquo will be presented at the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Walthall J Showalter C and Thompson S Rough Riders An Educational Intervention in ATV Safety for Rural Children and Familiesrdquo abstract 755716 to the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Daren Beam and Zachary KahlerldquoHome treatment with target-specific anticoagulants (TSAs) for patients with venous thromboembolism (VTE) diagnosed in the Emergency Departmentrdquo
Jennifer Walthall Rough Riders An educational intervention to increase self-efficacy and knowledge of all-terrain vehicle safety among children and parents in a rural Indiana Community
Jeffrey Kline and others ldquoShark Tankrdquo Real world Research Proposalsrdquo
Carey Chisholm and Marie Vrablik ldquoA CLER plan Implementing a patient safety Council for residents and fellowsrdquo
Jamie Jones and others ldquoDemystifying ABEMrsquos maintenance of certification programrdquo
Jeffrey Kline and others ldquoCoping with rejection in research Resiliency strategies to effectively move forward after a setbackrdquo
Jennifer Walthall and Anne Whitehead ldquoVulnerable patients in the EDrdquo Diadactic curriculum Using patient voices to increase empathy and knowledge for Emergency Medicine residents
Other PresentationsHamed and JT Finnell Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data
Jianmin and JT Finnell Emergency Department Opiates and Mortality
Marie Vrablik Before the Bleed Identifying high risk patients for spontaneous intracranial hemorrhage
Terez Malka Professional Email Usage Among Physicians A Multi-Disciplinary Survey
Terez Malka Weapons Retrieved After the Implementation of Emergency Department Metal Detection
Ben Hunter Primary EMS Transport to a 24-hr PCI center is associated with increased survival in patients with out of hospital cardiac arrest
Jennifer Walthall Sean Thomas and others ldquoDeveloping a curriculum in advocacy for Emergency Medicinerdquo Jeffrey Kline and others ldquoRespecting Pulmonary Embolism Treating the spectrum of disease from outpatient management to systemic thrombolytics
Terez Malka Medical Student Symposium Q amp A with EM Resident Panel
Alice Mitchell ldquoEmergency Department Recidivism in Early Childhood is not a risk Factor for Child Maltreatmentrdquo
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
At first Jeff Kline was thrilled to learn that he was awarded the second annual Bantz-Petronio Translating Research into Practice (TRIP) Award and then he realized that hersquod have to receive it wearing a cap and gown The award will be presented at the IUPUI Chancellorrsquos Academic Honors Convocation on Friday April 25 2014 The ceremony which takes place in Hine Hall is a celebration of outstanding achievements by IUPUI faculty and students
Jeff Kline won the award for his interdisciplinary research and the positive impact it makes on peoplersquos lives There is not enough room in this newsletter to report all of his innovations for instance he has 12 patents His work has been truly translation taking insights from his clinical trials and
laboratory experiments and providing emergency physicians throughout the US with the tools to better diagnose and treat patients with thromboembolic disease In recent years the IU School of Medicine and IUPUI have placed a great emphasis on translational work This award is a tangible sign that in this research area Jeff and the ED are leaders
Jeff Kline to recieve Bantz-Petronio Award
leading in AWARDS
James H Jones and Jennifer N Choi (assistant professor of clinical surgery) were selected by the IUSM Faculty Steering Committee to serve as IUrsquos representatives on the Association of American Medical Collegesrsquo Council of Faculty and Academic Societies
The AAMC CFAS represents academic faculty within the governance structure of the organization Each AAMC member medical school appoints two representatives a faculty member within 10 years of initial career faculty appointment and a department leader
ldquoThis is an important role for Drs Choi and Jonesrdquo said Stephen P Bogdewic PhD executive associate dean for faculty affairs and professional development ldquoThey will have an opportunity to advance cross-disciplinary perspectives and a venue to discuss issues of importance to medical school faculty at-largerdquo
James Jones amp Jennifer Choi selected as IU representatives
Early in 2014 six Indianapolis EMS employees were honored at the Department of Public Safetyrsquos first annual Recognition of Excellence Ceremony After nominations were submitted from across DPS these individuals were chosen in various categories for their dedication to their work and consistently going above and beyond their daily duties Mayor Greg Ballard and Public Safety Director Troy
Riggs spoke at the ceremony thanking the award winners for their unyielding dedication and their contributions to the city of Indianapolis
Congratulations go to
bull Jeremiah Cook
bull Chuck Ford
bull Patrick Hutchison
bull Tawanna Montgomery
bull Dr Dan OrsquoDonnell
bull AJ Warren
EMS employees recognized for excellence
Congrats to Bo (otherwise known as William-May Bollinger Stubblefield) on being awarded an EMRA travel scholarship to SAEM
Dan OrsquoDonnell passed his EMS subspecialty certification exam making him part of the first class of Board Certified EMS Physicians
Ben Hunter and Brian Sloan were named ACEP fellows
Mary Verghese won a Red Shoes award at Riley Hospital in February 2014
Congratulations
Question + Answer with
Q
Q
Q
Q
Q
A
A
A
A
A
I hear you had an unusual childhood
I grew up all over but mostly in southern Mexico in the state of Chiapas This meant growing up without running water electricity or indoor plumbing My mom homeschooled me and as part of this would send me outside with orders like ldquoFind ten different bugs and categorize themrdquo
What brought you to Chiapas
My parents worked for the Wycliffe organization whose goal is to create a written language for indigenous groups so that people can read the Bible in their own language My parents worked with the Chientec in Mexico My father is a linguist and mom was a nurse She did a lot of clinic work down there So I picked up phrases in Chinentec like ldquodo you have diarrhea ldquo When did you returned to the states
I went to high school in Texas then a liberal arts college in Tennessee I started out a Chemistry and Biology major then switched to Chemistry and English because I decided I was going to be a famous writer In fact I started Grad school in creative writing But as you know plans change Jody and I were expecting our first child so I put grad school on hold to get a real job On advice of my father we went out to California and I started working for a software company
Was this during the boom
Yes I was there for the high times and low times I moved out there in 1997 I worked for Oracle for a bit and then I was in at the ground level for a company called Semio I was the 5th employee in what would become a 150-person company We were working with natural language processing software We looked at how computers understand English language text and make sense of it I was an analyzer who grew into a product developer I was a designer not a programmer
So yoursquore in Silicon Valley and times are good
It was great until the bust Semio went belly up--me and everyone else were looking for work I was out of work for eight months The rumor going around was that U-Haul was paying people to drive their trucks back to the Bay area because so many people were leaving It was a desperate time and I needed something more stable We stayed with my wifersquos family in Brownsburg and I started studying for the MCATs I applied to Medical Schools and got accepted at the University of Michigan Around the same time one of the original investors in Semio asked that I join him in a new start up As if Med School wasnrsquot enough and proving lrsquom a glutton for punishment I collaborated with him on the new company Tablus which ultimately became successful
JOSH MUGELETHE PATH LESS TRAVELED IN EMERGENCY MEDICINE
McDonald called this new area the ER-ICU for the acute people So we trained the nurses I even had a doctor shadow me so he could see triage in action I could see ldquolight bulbsrdquo coming on At the end of the week we had everything set up Dr McDonald had a big ribbon cutting ceremony with the national newspaper and radio there
Q Their Emergency Department is busy
A They have a huge volume of patients and lots of trauma The country is becoming modernized One of the ways you can see that is by all the young men who buy motorcycles or as they call them pin-pins Apparently the drivers constantly honk or pin so they are called pin-pins Traffic is horrendous and many people get injured riding pin-pins
Q Tell me about your wife and daughters
I met my wife Jody in college She grew up in Brownsburg and currently manages a group of editors at an Internet marketing
company She has written a couple of young adult novels and has an agent shopping them around Shersquos now writing the third Irsquom proud of her Jody has researched the publishing houses and understands much more about the business than I ever did My older daughter Eleanor is in the 10th grade at Herron High School She is an excellent violinist and we are excited that shersquos a member of the New World Youth Symphony You can go to wwwnwysoorg for upcoming performance dates Like her mom Eleanor is a writer My younger daughter is Magnolia and at 12 shersquos
has a little more of a typical teenager experience than her sister Shersquos going to a Washington township school and then will go to Herron High School
Q As someone who has been all over the world is there an Indy restaurant yoursquod recommend
A My favorite hole in the wall is a place called Guatalinda It is on Layfayette Rd south of 34th It has the best tacos and papusas For me it is comfort food When we lived in Michigan there was no real Mexican food My mom would make a bunch of tamales pack them in dry ice and ship them up to me That and bottles of Mexican Coke
Q + A with JOSH MUGELEQ How did you end up in Emergency Medicine
A For me it was an obvious choice I hate being bored I need constant stimulation That is a big fear in my life to be bored and run out of things to do I would hate a job where 20 years down the road I was doing the same thing everyday I just couldnrsquot do that
Q What was your decider to come to IUSM
A The program Carey Chisholm sold me on it He insisted that he would push us He said it wouldnrsquot be easy but we would be better doctors I wasnrsquot planning on living in Indy when we lived in California we had a view of the ocean from our apartment but I was willing to come here for three years as long as we didnrsquot have to live in the suburbs We enjoy living downtown
Q How did the disaster medicine fellowship come about
I like finding my own niche and something I can do on my own After discussions with Dan OrsquoDonnell he and I came up with the idea of Disaster Medicine This allowed me to stay with the program and find some unique opportunities Through Dan OrsquoDonnell Irsquove come to know about MESH (a local coalition focused on disaster management and surge control) Within Indianapolis this has helped me connect with people and learn about projects and disaster management Skills you want to have but hope you never use For example MESH and the Mass Casualty Response Team have created a protocol to help coordinate things like routing patients to different hospitals in Indianapolis
Q Does this fellowship have you traveling
A Last fall I went to Africa with the CEO of MESH to help get a new project started in Liberia We are treating it as a resource-depleted environment One of the goals of my year in the disaster medicine was to find a resource-depleted environment where they would let us work with them to develop a disaster preparedness system We made contact with Dr McDonald (a PhD from the IU School of Nursing) the CEO of a hospital in Monrovia Liberia She invited us to come for a weeklong fact-
finding tour When I go back in June for a month we will pursue possible projects and collaborations Monroviarsquos JFK Memorial Hospital is the referral hospital for the entire nation This hospital does not have consistently running water they have regular electrical outages weekly fires and regular floods Most of the hospital is not air-conditioned Resource-depleted hospital is really the best way to describe it They lack basic things like gloves tape alcohol wipes and hand sanitizer I will have to figure out what I can take with me when I go back there in June
Q Does JFK Hospital have the equipment they need
A Actually that was one thing we were able to help with on our scouting mission Dr McDonald wanted us to look at the area set aside for acute care She had some donated beds and equipment--but no one had ever trained them on how to use the monitors or ventilators
For example one of our first patients was a woman with congestive heart failure We were pumping her full of nitro and watching the monitor to see her 02 stats go upmdashbut they didnrsquot That made us realize that the oxygen machine she was hooked to was the problem With a switch to another machine she pinked up Proper use of the monitor was the game changer that helped save her life and they hadnrsquot been able to use them before
Q You worked with the local doctors
A Yes The doctors and nurses had good medical training but no one had ever explained the acute care process to them They needed help with the logistics Dr
CLINICAL SERVICEleading in
SERVICE PUBLICATIONS
CLINICAL STATISTICS year end numbers
WishardEskenazi
Methodist Riley IU
Leading in Legislative process
From Lindsay Weaver comes news that Emily McIssac Emily Fitz Matt Noland Sarah Hemming-Meyer and Kyle Yoder participated in another successful legislative reception On January 14 2014 in the Indiana State Capital building members of the emergency medical community had the privilege of talking with Rep Tim Brown the Chair of The Ways And Means Committee Rep Brown practices emergency medicine and has always been a big supporter of our issues The residents presented talks about ldquoEMs Role in Healthcare Cost Savingsrdquo ldquoExpansion of the Lifeline Lawrdquo ldquoOpiate abuse in Indianardquo and ldquoThe Current State of Mental Healthrdquo to multiple legislators-- including the chairs of both the senate and house health committees As most of you know the committee chairs control what bills are going to be heard and can significantly influence whether a bill gets passed The fact that they participated in our reception is testament to our working relationship and the wonderful job our residents have done over the years Lindsay sends thanks to all the faculty INACEP members and the community physicians who participated in our now 5th annual IUEMINACEP Legislative Reception
Kline JA Insulin for calcium channel toxicity Ann Emerg Med 6392-93 2014 PMID24355376
Adams D Welch JL Kline JA Clinical Utility of an Age-Adjusted D-dimer in the Diagnosis of Venous Thromboembolism Ann Emerg Med Online Jan 15 2014 PMID24439717
Handel DA Fu R Vu E Augustine JJ Hsia RY Shufflebarger CM Sun B Association of Emergency Department and Hospital Characteristics with Elopements and Length of Stay Online Jan 21 2014 PMID 24462026
Warrick BJ Hill M Hekman K Christensen R Goetz R Casavant MJ Wahl M Mowry JB Spiller H Anderson D Aleguas A Gummin D Thomas R Nezlek C Smolinske S A 9-state analysis of designer stimulant ldquobath saltrdquo hospital visits reported to poison control centers Ann Emerg Med 62244-251 PMID 23540815
Mowry JB Spyker DA Cantilena LR Jr Bailey JE Ford M 2012 Annual Report of the American Association of Poison Control Centersrsquo National Poison Data System (NPDS) 30th Annual Report Clin Toxicol (Phila) 51949-1229 PMID24359283
Gardner A Schneider SM Future of Emergency Medicine Summit II Participants including Hobgood C The future of emergency medicine update 2011 Ann Emerg Med 61624-630 2013 PMID 23394842
Hourmozdi JJ Hawley DA Hadi CM Tahir B Seupaul RA Streptococcal Necrotizing Myositis A Case Report and Clinical Review J Emerg Med Online Oct 23 2013 PMID24161226
Hunter BR Keim SM Seupaul RA Hern G Are plain radiographs sufficient to exclude cervical spine injuries in low-risk adults J Emerg Med 46257-263 2014 PMID 24342907
Kiefer CS Colletti JE Phlegmasia cerulea dolens in a patient with an inferior vena cava filter J Emerg Med 44e95-e97 2013 PMID 22406023
Kanis JM Timm NL Chlorpromazine for the treatment of migraine in a pediatric emergency department Headache 54335-342 2014
Wakai A McCabe A Kidney R Brooks SC Seupaul RA Diercks DB Salter N Fermann GJ Pospisil C Nitrates for acute heart failure syndromes Online Aug 6 2013 PMID 23922186
Stehman CR and Mycyk MBA rational approach to the treatment of alcohol withdrawal in the ED Am J Emerg Med 31734-42 2013 PMID 23399338
Fitz Emily The Indiana Lifeline Law EM Pulse 232 And 2014 Legislative Reception a Resounding Success EM Pulse 2312 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
Sracic J Leflore A with images from Minnigan H A Case of Ectopic Pregnancy Complicated by Pelvic Abscess EM Pulse 234-5 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
103569102916
36763
14045
EDUCATION amp RESEARCHleading in
EDUCATION PUBLICATIONSCheck it outTo be a LeadER in Medicine physicians need to keep up with the latest information Here at IUSM wersquore lucky to have the Ruth Lilly Medical Library a great facility staffed with librarians who are willing to help you in person or online They have set up a page of resources specifically for us They really want this to be a useful page and for it to continue to grow so if you want them to add a section on Evidence- Based-Medicine ultrasound or the latest app please contact Tom Emmett MD MLS Clinical Informationist temmettiuedu
You can find links to a wealth of information at your fingertips if you visitlibrarymedicineiueduaudiencefaculty-and-residentsemergency-
medicine
Evidence-based resources
bull Summaries Synopses and
Systematic reviews
bull Guidelines from national EM
organizations
bull Primary research studies
bull Meta-Search engine TRIP
Journals and Books (links to full text)
Drugs and Toxicology
bull Lexi-Comp for drugs and
interactions
bull Micromedex for drug identification
bull Johns Hopkins Antibiotic guide
bull Poisoning and Drug Overdose
guide
Specialized topics
bull Bioterrorism
bull Disaster Medicine
bull Travel amp Wilderness Medicine
Resources and Tools
bull Mobile Apps
bull Differential Diagnosis
bull Coding Manuals
bull Calculators
bull Patient information amp
education
bull Procedure Videos
bull McGill Emergency Medicine
OrsquoNeil J Steele GK Weinstein E Collins R Talty J Bull MJ Ambulance Transport of Noncritical Children Emergency Medical Service Providersrsquo Knowledge Opinions and Practice Clin Pediatr (Phila) 53250-255 PMID 24408898
Korte RC Beeson MS Russ CM Carter WA Emergency Medicine Milestones Working Group Reisdorff EJ The emergency medicine milestones a validation study Acad Emerg Med 20730-735 2013 PMID 23859587
RESEARCH PUBLICATIONS
Tepper B Brice JH Hobgood CD Evaluation of radiation exposure to pediatric trauma patients J Emerg Med 44646-652 2013 PMID23246000
Lamantia MA Messina FC Hobgood CD Miller DK Screening for Delirium in the Emergency Department A Systematic Review Ann Emerg Med Online Dec 16 2013 PMID24355431
Kline JA Past present and future of emergency care research Emerg Med Australas 268-13 2014 PMID 24495056
Kline JA Jones AE Shapiro NI Hernandez J Hogg MM Troyer J Nelson RD Multicenter randomized trial of quantitative pretest probability to reduce unnecessary medical radiation exposure in emergency department patients with chest pain and dyspnea Circ Cardiovasc Imaging 766-73 2014 PMID24275953
Kline JA Nordenholz KE Courtney DM Kabrhel C Jones AE Rondina MT Diercks DB Klinger JR Hernandez J Treatment of submassive pulmonary embolism with tenecteplase or placebo cardiopulmonary outcomes at three months (TOPCOAT) Multicenter double-blind placebo-controlled randomized trial J Thromb Haemost Online Jan 31 2014 PMID 24484241
Molkov YI Zaretskaia MV Zaretsky DV Meth Math Modeling Temperature Responses to Methamphetamine Am J Physiol Regul Integr Comp Physiol available Online PMID 24500434
Banks ML Worst TJ Rusyniak DE Sprague JE Synthetic Cathinones (ldquoBath Saltsrdquo) J Emerg Med Online Feb 22 2014 PMID24565885
Peitz GW Troyer J Jones AE Shapiro NI Nelson RD Hernandez J Kline JAAssociation of Body Mass Index With Increased Cost of Care and Length of Stay for Emergency Department Patients With Chest Pain and DyspneaCirc Cardiovasc Qual Outcomes 7292-298 2014 PMID24594550
PRESENTATIONSleading in
Laura Tormoehlen gave a presentation entitled ldquoDeclaring Brain Death in the Toxicology Patientrdquo
Dan Rusyniak (with Howard Greller) presented ldquoTechno TATS Tricks Apps and Tipsrdquo
Laura Tormoehlen gave a didactic on ldquoAdvanced Neuroimaging and Toxicologyrdquo
Louise Kao organized the meeting and spoke at the ResidentStudent Luncheon on ldquoWhy Medical Toxicologyrdquo
Jeffrey Kline Gender-specific research in EM Care how gender
affects outcomemdashldquoDiagnostic Imagingrdquo
Nathan Alves Thromboelastography (TEG) shows variation depending on sample
source in Fibrinolysis in a large animal model of Pulmonary Embolism
Daren Beam Wide variability with clot induction to achieve submassive Pulmonary Embolism in an extremely controlled animal model
Daren Beam The RVLV ratio shows poor correlation and agreement with pulmonary vascular resistance in a submassive pulmonary embolism model
Marie Vrablik Clinical factors associated with mortality after Intracranial hemorrhage
Zachary Kahler Immediate discharge of low-risk venous thromboembolism A cost and safety analysis
Society for Academic Emergency Medicine (SAEM) Annual Meeting May 13 - 17 in Dallas TX
Stevens A Turner J Cooper D Soultz M ldquoA novel simulation program to train paramedic students in safe EMS patient handoffrdquo Poster at IMSH on Jan 27 2014
Wilbur L Carr D Jones M Milgrom L Ferraris E Jasiak K Ranft D Turner J Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate health professionsrdquo Poster at IMSH on Jan 27 2014
Leuck J Pearson D Clarke S Swaminathan A Mahoney H Medwid K Kegg J Byars D Getto L Turner J Cooper D Bullard M Anderson W ldquoA comparison of evaluation metrics for high-fidelity ACLS-based simulation cases for PGY-1 and PGY-3 level emergency medicine residents a pilot studyrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Woodyard C ldquoThe standardized (patient) jury An insight into deliberations for law students during a mock medical malpractice trialrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Scolaro K Durham C Shelly J and Hobgood CD ldquob-SAFER A systematic approach to delivering effective interprofessional handoffsrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Chatterji D Cowherd S Durham C Scolaro K Barrick J and Shelly J ldquoTeaching interprofessional root cause analysis using simulationrdquo Poster at IMSH on Jan 27 2014
Turner J and Cooper D ldquoIncrease the Fidelity How to Create A Multiple-Patient Simulationrdquo Podium Presentation at IMSH on Jan 28 2014
The International Meeting on Simulation in Healthcare (IMSH)January 27 in San Francisco CA
2014 Annual Scientific meeting of the American College of Medical Toxicology March 28-30 in Pheonix AZ
Frances Russell Diagnosing acute heart failure in patients with undifferentiated DyspneamdashA novel lung and cardiac ultrasound protocol
Rob Ehrman (Presented by Frances Russell) Can Emergency Physicians accurately diagnose and correctly classify diastolic dysfunction using bedside echocardiography
Peter Pang (future ED faculty)ldquoCan we improve outcomes in acute heart failure 2014 update on acute heart failure research
Carey Chisholm with John Ma ldquoEstablishing your niche The first five yearsrdquo Jason Schaffer Sphenopalatine Ganglion anesthesia for acute headache in the Emergency Department using a novel delivery device
ACEP Advanced Pediatric Emergency Medicine Assembly May 18 - 20 in New York City NY
SAEM Annual Meeting Continued
Jeffrey Kline
Tim Ellender CVP and Lactate Should Be Used to Guide Sepsis Treatment
Jeffrey Kline Manage PE as an Outpatient
Kevin Rodgers MacGyver in My ER
Elizabeth Weinstein Febrile Seizures in 2013
Tim Ellender When All Else Fails Pearls for the Critically Ill Patient with Refractory Hypoxemia
Kevin Rodgers Emergency Transfusions (including TEG)
Cherri Hobgood National Societies and Curriculum Development
Cherri Hobgood Panel Discussion Communication and Interaction between Societies at an International Level
Jennifer Walthall Altered Adolescents
Kevin Rodgers Resident In-Training Exam Review
Elizabeth Weinstein Head Injury in Kids
Jeffrey Kline Rule Out PE mdash Are We Doing the Right Thing for Our Patients
Jennifer Walthall Dealing With Autism in the ED
Ferraris E Turner J and Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate
health professionsrdquo
EC Moore SymposiumApril 4 in Indianapolis IN
leading in PRESENTATIONS
OrsquoDonnell D Savory E Mancera M Christopher S Roumpf S Schaffer J presented The availability of prior EKGrsquos improves paramedic accuracy in identifying STEMIrsquos at the NAEMSP 2014 Annual meeting in Tuscon AZ January 16-18 2014
Walthall J and Etter D Changing the Culture of the Culture Book A Pediatric Emergency Department Patient Safety Project Using Quality Improvement Process Analysisrdquo will be presented at the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Walthall J Showalter C and Thompson S Rough Riders An Educational Intervention in ATV Safety for Rural Children and Familiesrdquo abstract 755716 to the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Daren Beam and Zachary KahlerldquoHome treatment with target-specific anticoagulants (TSAs) for patients with venous thromboembolism (VTE) diagnosed in the Emergency Departmentrdquo
Jennifer Walthall Rough Riders An educational intervention to increase self-efficacy and knowledge of all-terrain vehicle safety among children and parents in a rural Indiana Community
Jeffrey Kline and others ldquoShark Tankrdquo Real world Research Proposalsrdquo
Carey Chisholm and Marie Vrablik ldquoA CLER plan Implementing a patient safety Council for residents and fellowsrdquo
Jamie Jones and others ldquoDemystifying ABEMrsquos maintenance of certification programrdquo
Jeffrey Kline and others ldquoCoping with rejection in research Resiliency strategies to effectively move forward after a setbackrdquo
Jennifer Walthall and Anne Whitehead ldquoVulnerable patients in the EDrdquo Diadactic curriculum Using patient voices to increase empathy and knowledge for Emergency Medicine residents
Other PresentationsHamed and JT Finnell Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data
Jianmin and JT Finnell Emergency Department Opiates and Mortality
Marie Vrablik Before the Bleed Identifying high risk patients for spontaneous intracranial hemorrhage
Terez Malka Professional Email Usage Among Physicians A Multi-Disciplinary Survey
Terez Malka Weapons Retrieved After the Implementation of Emergency Department Metal Detection
Ben Hunter Primary EMS Transport to a 24-hr PCI center is associated with increased survival in patients with out of hospital cardiac arrest
Jennifer Walthall Sean Thomas and others ldquoDeveloping a curriculum in advocacy for Emergency Medicinerdquo Jeffrey Kline and others ldquoRespecting Pulmonary Embolism Treating the spectrum of disease from outpatient management to systemic thrombolytics
Terez Malka Medical Student Symposium Q amp A with EM Resident Panel
Alice Mitchell ldquoEmergency Department Recidivism in Early Childhood is not a risk Factor for Child Maltreatmentrdquo
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
Question + Answer with
Q
Q
Q
Q
Q
A
A
A
A
A
I hear you had an unusual childhood
I grew up all over but mostly in southern Mexico in the state of Chiapas This meant growing up without running water electricity or indoor plumbing My mom homeschooled me and as part of this would send me outside with orders like ldquoFind ten different bugs and categorize themrdquo
What brought you to Chiapas
My parents worked for the Wycliffe organization whose goal is to create a written language for indigenous groups so that people can read the Bible in their own language My parents worked with the Chientec in Mexico My father is a linguist and mom was a nurse She did a lot of clinic work down there So I picked up phrases in Chinentec like ldquodo you have diarrhea ldquo When did you returned to the states
I went to high school in Texas then a liberal arts college in Tennessee I started out a Chemistry and Biology major then switched to Chemistry and English because I decided I was going to be a famous writer In fact I started Grad school in creative writing But as you know plans change Jody and I were expecting our first child so I put grad school on hold to get a real job On advice of my father we went out to California and I started working for a software company
Was this during the boom
Yes I was there for the high times and low times I moved out there in 1997 I worked for Oracle for a bit and then I was in at the ground level for a company called Semio I was the 5th employee in what would become a 150-person company We were working with natural language processing software We looked at how computers understand English language text and make sense of it I was an analyzer who grew into a product developer I was a designer not a programmer
So yoursquore in Silicon Valley and times are good
It was great until the bust Semio went belly up--me and everyone else were looking for work I was out of work for eight months The rumor going around was that U-Haul was paying people to drive their trucks back to the Bay area because so many people were leaving It was a desperate time and I needed something more stable We stayed with my wifersquos family in Brownsburg and I started studying for the MCATs I applied to Medical Schools and got accepted at the University of Michigan Around the same time one of the original investors in Semio asked that I join him in a new start up As if Med School wasnrsquot enough and proving lrsquom a glutton for punishment I collaborated with him on the new company Tablus which ultimately became successful
JOSH MUGELETHE PATH LESS TRAVELED IN EMERGENCY MEDICINE
McDonald called this new area the ER-ICU for the acute people So we trained the nurses I even had a doctor shadow me so he could see triage in action I could see ldquolight bulbsrdquo coming on At the end of the week we had everything set up Dr McDonald had a big ribbon cutting ceremony with the national newspaper and radio there
Q Their Emergency Department is busy
A They have a huge volume of patients and lots of trauma The country is becoming modernized One of the ways you can see that is by all the young men who buy motorcycles or as they call them pin-pins Apparently the drivers constantly honk or pin so they are called pin-pins Traffic is horrendous and many people get injured riding pin-pins
Q Tell me about your wife and daughters
I met my wife Jody in college She grew up in Brownsburg and currently manages a group of editors at an Internet marketing
company She has written a couple of young adult novels and has an agent shopping them around Shersquos now writing the third Irsquom proud of her Jody has researched the publishing houses and understands much more about the business than I ever did My older daughter Eleanor is in the 10th grade at Herron High School She is an excellent violinist and we are excited that shersquos a member of the New World Youth Symphony You can go to wwwnwysoorg for upcoming performance dates Like her mom Eleanor is a writer My younger daughter is Magnolia and at 12 shersquos
has a little more of a typical teenager experience than her sister Shersquos going to a Washington township school and then will go to Herron High School
Q As someone who has been all over the world is there an Indy restaurant yoursquod recommend
A My favorite hole in the wall is a place called Guatalinda It is on Layfayette Rd south of 34th It has the best tacos and papusas For me it is comfort food When we lived in Michigan there was no real Mexican food My mom would make a bunch of tamales pack them in dry ice and ship them up to me That and bottles of Mexican Coke
Q + A with JOSH MUGELEQ How did you end up in Emergency Medicine
A For me it was an obvious choice I hate being bored I need constant stimulation That is a big fear in my life to be bored and run out of things to do I would hate a job where 20 years down the road I was doing the same thing everyday I just couldnrsquot do that
Q What was your decider to come to IUSM
A The program Carey Chisholm sold me on it He insisted that he would push us He said it wouldnrsquot be easy but we would be better doctors I wasnrsquot planning on living in Indy when we lived in California we had a view of the ocean from our apartment but I was willing to come here for three years as long as we didnrsquot have to live in the suburbs We enjoy living downtown
Q How did the disaster medicine fellowship come about
I like finding my own niche and something I can do on my own After discussions with Dan OrsquoDonnell he and I came up with the idea of Disaster Medicine This allowed me to stay with the program and find some unique opportunities Through Dan OrsquoDonnell Irsquove come to know about MESH (a local coalition focused on disaster management and surge control) Within Indianapolis this has helped me connect with people and learn about projects and disaster management Skills you want to have but hope you never use For example MESH and the Mass Casualty Response Team have created a protocol to help coordinate things like routing patients to different hospitals in Indianapolis
Q Does this fellowship have you traveling
A Last fall I went to Africa with the CEO of MESH to help get a new project started in Liberia We are treating it as a resource-depleted environment One of the goals of my year in the disaster medicine was to find a resource-depleted environment where they would let us work with them to develop a disaster preparedness system We made contact with Dr McDonald (a PhD from the IU School of Nursing) the CEO of a hospital in Monrovia Liberia She invited us to come for a weeklong fact-
finding tour When I go back in June for a month we will pursue possible projects and collaborations Monroviarsquos JFK Memorial Hospital is the referral hospital for the entire nation This hospital does not have consistently running water they have regular electrical outages weekly fires and regular floods Most of the hospital is not air-conditioned Resource-depleted hospital is really the best way to describe it They lack basic things like gloves tape alcohol wipes and hand sanitizer I will have to figure out what I can take with me when I go back there in June
Q Does JFK Hospital have the equipment they need
A Actually that was one thing we were able to help with on our scouting mission Dr McDonald wanted us to look at the area set aside for acute care She had some donated beds and equipment--but no one had ever trained them on how to use the monitors or ventilators
For example one of our first patients was a woman with congestive heart failure We were pumping her full of nitro and watching the monitor to see her 02 stats go upmdashbut they didnrsquot That made us realize that the oxygen machine she was hooked to was the problem With a switch to another machine she pinked up Proper use of the monitor was the game changer that helped save her life and they hadnrsquot been able to use them before
Q You worked with the local doctors
A Yes The doctors and nurses had good medical training but no one had ever explained the acute care process to them They needed help with the logistics Dr
CLINICAL SERVICEleading in
SERVICE PUBLICATIONS
CLINICAL STATISTICS year end numbers
WishardEskenazi
Methodist Riley IU
Leading in Legislative process
From Lindsay Weaver comes news that Emily McIssac Emily Fitz Matt Noland Sarah Hemming-Meyer and Kyle Yoder participated in another successful legislative reception On January 14 2014 in the Indiana State Capital building members of the emergency medical community had the privilege of talking with Rep Tim Brown the Chair of The Ways And Means Committee Rep Brown practices emergency medicine and has always been a big supporter of our issues The residents presented talks about ldquoEMs Role in Healthcare Cost Savingsrdquo ldquoExpansion of the Lifeline Lawrdquo ldquoOpiate abuse in Indianardquo and ldquoThe Current State of Mental Healthrdquo to multiple legislators-- including the chairs of both the senate and house health committees As most of you know the committee chairs control what bills are going to be heard and can significantly influence whether a bill gets passed The fact that they participated in our reception is testament to our working relationship and the wonderful job our residents have done over the years Lindsay sends thanks to all the faculty INACEP members and the community physicians who participated in our now 5th annual IUEMINACEP Legislative Reception
Kline JA Insulin for calcium channel toxicity Ann Emerg Med 6392-93 2014 PMID24355376
Adams D Welch JL Kline JA Clinical Utility of an Age-Adjusted D-dimer in the Diagnosis of Venous Thromboembolism Ann Emerg Med Online Jan 15 2014 PMID24439717
Handel DA Fu R Vu E Augustine JJ Hsia RY Shufflebarger CM Sun B Association of Emergency Department and Hospital Characteristics with Elopements and Length of Stay Online Jan 21 2014 PMID 24462026
Warrick BJ Hill M Hekman K Christensen R Goetz R Casavant MJ Wahl M Mowry JB Spiller H Anderson D Aleguas A Gummin D Thomas R Nezlek C Smolinske S A 9-state analysis of designer stimulant ldquobath saltrdquo hospital visits reported to poison control centers Ann Emerg Med 62244-251 PMID 23540815
Mowry JB Spyker DA Cantilena LR Jr Bailey JE Ford M 2012 Annual Report of the American Association of Poison Control Centersrsquo National Poison Data System (NPDS) 30th Annual Report Clin Toxicol (Phila) 51949-1229 PMID24359283
Gardner A Schneider SM Future of Emergency Medicine Summit II Participants including Hobgood C The future of emergency medicine update 2011 Ann Emerg Med 61624-630 2013 PMID 23394842
Hourmozdi JJ Hawley DA Hadi CM Tahir B Seupaul RA Streptococcal Necrotizing Myositis A Case Report and Clinical Review J Emerg Med Online Oct 23 2013 PMID24161226
Hunter BR Keim SM Seupaul RA Hern G Are plain radiographs sufficient to exclude cervical spine injuries in low-risk adults J Emerg Med 46257-263 2014 PMID 24342907
Kiefer CS Colletti JE Phlegmasia cerulea dolens in a patient with an inferior vena cava filter J Emerg Med 44e95-e97 2013 PMID 22406023
Kanis JM Timm NL Chlorpromazine for the treatment of migraine in a pediatric emergency department Headache 54335-342 2014
Wakai A McCabe A Kidney R Brooks SC Seupaul RA Diercks DB Salter N Fermann GJ Pospisil C Nitrates for acute heart failure syndromes Online Aug 6 2013 PMID 23922186
Stehman CR and Mycyk MBA rational approach to the treatment of alcohol withdrawal in the ED Am J Emerg Med 31734-42 2013 PMID 23399338
Fitz Emily The Indiana Lifeline Law EM Pulse 232 And 2014 Legislative Reception a Resounding Success EM Pulse 2312 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
Sracic J Leflore A with images from Minnigan H A Case of Ectopic Pregnancy Complicated by Pelvic Abscess EM Pulse 234-5 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
103569102916
36763
14045
EDUCATION amp RESEARCHleading in
EDUCATION PUBLICATIONSCheck it outTo be a LeadER in Medicine physicians need to keep up with the latest information Here at IUSM wersquore lucky to have the Ruth Lilly Medical Library a great facility staffed with librarians who are willing to help you in person or online They have set up a page of resources specifically for us They really want this to be a useful page and for it to continue to grow so if you want them to add a section on Evidence- Based-Medicine ultrasound or the latest app please contact Tom Emmett MD MLS Clinical Informationist temmettiuedu
You can find links to a wealth of information at your fingertips if you visitlibrarymedicineiueduaudiencefaculty-and-residentsemergency-
medicine
Evidence-based resources
bull Summaries Synopses and
Systematic reviews
bull Guidelines from national EM
organizations
bull Primary research studies
bull Meta-Search engine TRIP
Journals and Books (links to full text)
Drugs and Toxicology
bull Lexi-Comp for drugs and
interactions
bull Micromedex for drug identification
bull Johns Hopkins Antibiotic guide
bull Poisoning and Drug Overdose
guide
Specialized topics
bull Bioterrorism
bull Disaster Medicine
bull Travel amp Wilderness Medicine
Resources and Tools
bull Mobile Apps
bull Differential Diagnosis
bull Coding Manuals
bull Calculators
bull Patient information amp
education
bull Procedure Videos
bull McGill Emergency Medicine
OrsquoNeil J Steele GK Weinstein E Collins R Talty J Bull MJ Ambulance Transport of Noncritical Children Emergency Medical Service Providersrsquo Knowledge Opinions and Practice Clin Pediatr (Phila) 53250-255 PMID 24408898
Korte RC Beeson MS Russ CM Carter WA Emergency Medicine Milestones Working Group Reisdorff EJ The emergency medicine milestones a validation study Acad Emerg Med 20730-735 2013 PMID 23859587
RESEARCH PUBLICATIONS
Tepper B Brice JH Hobgood CD Evaluation of radiation exposure to pediatric trauma patients J Emerg Med 44646-652 2013 PMID23246000
Lamantia MA Messina FC Hobgood CD Miller DK Screening for Delirium in the Emergency Department A Systematic Review Ann Emerg Med Online Dec 16 2013 PMID24355431
Kline JA Past present and future of emergency care research Emerg Med Australas 268-13 2014 PMID 24495056
Kline JA Jones AE Shapiro NI Hernandez J Hogg MM Troyer J Nelson RD Multicenter randomized trial of quantitative pretest probability to reduce unnecessary medical radiation exposure in emergency department patients with chest pain and dyspnea Circ Cardiovasc Imaging 766-73 2014 PMID24275953
Kline JA Nordenholz KE Courtney DM Kabrhel C Jones AE Rondina MT Diercks DB Klinger JR Hernandez J Treatment of submassive pulmonary embolism with tenecteplase or placebo cardiopulmonary outcomes at three months (TOPCOAT) Multicenter double-blind placebo-controlled randomized trial J Thromb Haemost Online Jan 31 2014 PMID 24484241
Molkov YI Zaretskaia MV Zaretsky DV Meth Math Modeling Temperature Responses to Methamphetamine Am J Physiol Regul Integr Comp Physiol available Online PMID 24500434
Banks ML Worst TJ Rusyniak DE Sprague JE Synthetic Cathinones (ldquoBath Saltsrdquo) J Emerg Med Online Feb 22 2014 PMID24565885
Peitz GW Troyer J Jones AE Shapiro NI Nelson RD Hernandez J Kline JAAssociation of Body Mass Index With Increased Cost of Care and Length of Stay for Emergency Department Patients With Chest Pain and DyspneaCirc Cardiovasc Qual Outcomes 7292-298 2014 PMID24594550
PRESENTATIONSleading in
Laura Tormoehlen gave a presentation entitled ldquoDeclaring Brain Death in the Toxicology Patientrdquo
Dan Rusyniak (with Howard Greller) presented ldquoTechno TATS Tricks Apps and Tipsrdquo
Laura Tormoehlen gave a didactic on ldquoAdvanced Neuroimaging and Toxicologyrdquo
Louise Kao organized the meeting and spoke at the ResidentStudent Luncheon on ldquoWhy Medical Toxicologyrdquo
Jeffrey Kline Gender-specific research in EM Care how gender
affects outcomemdashldquoDiagnostic Imagingrdquo
Nathan Alves Thromboelastography (TEG) shows variation depending on sample
source in Fibrinolysis in a large animal model of Pulmonary Embolism
Daren Beam Wide variability with clot induction to achieve submassive Pulmonary Embolism in an extremely controlled animal model
Daren Beam The RVLV ratio shows poor correlation and agreement with pulmonary vascular resistance in a submassive pulmonary embolism model
Marie Vrablik Clinical factors associated with mortality after Intracranial hemorrhage
Zachary Kahler Immediate discharge of low-risk venous thromboembolism A cost and safety analysis
Society for Academic Emergency Medicine (SAEM) Annual Meeting May 13 - 17 in Dallas TX
Stevens A Turner J Cooper D Soultz M ldquoA novel simulation program to train paramedic students in safe EMS patient handoffrdquo Poster at IMSH on Jan 27 2014
Wilbur L Carr D Jones M Milgrom L Ferraris E Jasiak K Ranft D Turner J Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate health professionsrdquo Poster at IMSH on Jan 27 2014
Leuck J Pearson D Clarke S Swaminathan A Mahoney H Medwid K Kegg J Byars D Getto L Turner J Cooper D Bullard M Anderson W ldquoA comparison of evaluation metrics for high-fidelity ACLS-based simulation cases for PGY-1 and PGY-3 level emergency medicine residents a pilot studyrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Woodyard C ldquoThe standardized (patient) jury An insight into deliberations for law students during a mock medical malpractice trialrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Scolaro K Durham C Shelly J and Hobgood CD ldquob-SAFER A systematic approach to delivering effective interprofessional handoffsrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Chatterji D Cowherd S Durham C Scolaro K Barrick J and Shelly J ldquoTeaching interprofessional root cause analysis using simulationrdquo Poster at IMSH on Jan 27 2014
Turner J and Cooper D ldquoIncrease the Fidelity How to Create A Multiple-Patient Simulationrdquo Podium Presentation at IMSH on Jan 28 2014
The International Meeting on Simulation in Healthcare (IMSH)January 27 in San Francisco CA
2014 Annual Scientific meeting of the American College of Medical Toxicology March 28-30 in Pheonix AZ
Frances Russell Diagnosing acute heart failure in patients with undifferentiated DyspneamdashA novel lung and cardiac ultrasound protocol
Rob Ehrman (Presented by Frances Russell) Can Emergency Physicians accurately diagnose and correctly classify diastolic dysfunction using bedside echocardiography
Peter Pang (future ED faculty)ldquoCan we improve outcomes in acute heart failure 2014 update on acute heart failure research
Carey Chisholm with John Ma ldquoEstablishing your niche The first five yearsrdquo Jason Schaffer Sphenopalatine Ganglion anesthesia for acute headache in the Emergency Department using a novel delivery device
ACEP Advanced Pediatric Emergency Medicine Assembly May 18 - 20 in New York City NY
SAEM Annual Meeting Continued
Jeffrey Kline
Tim Ellender CVP and Lactate Should Be Used to Guide Sepsis Treatment
Jeffrey Kline Manage PE as an Outpatient
Kevin Rodgers MacGyver in My ER
Elizabeth Weinstein Febrile Seizures in 2013
Tim Ellender When All Else Fails Pearls for the Critically Ill Patient with Refractory Hypoxemia
Kevin Rodgers Emergency Transfusions (including TEG)
Cherri Hobgood National Societies and Curriculum Development
Cherri Hobgood Panel Discussion Communication and Interaction between Societies at an International Level
Jennifer Walthall Altered Adolescents
Kevin Rodgers Resident In-Training Exam Review
Elizabeth Weinstein Head Injury in Kids
Jeffrey Kline Rule Out PE mdash Are We Doing the Right Thing for Our Patients
Jennifer Walthall Dealing With Autism in the ED
Ferraris E Turner J and Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate
health professionsrdquo
EC Moore SymposiumApril 4 in Indianapolis IN
leading in PRESENTATIONS
OrsquoDonnell D Savory E Mancera M Christopher S Roumpf S Schaffer J presented The availability of prior EKGrsquos improves paramedic accuracy in identifying STEMIrsquos at the NAEMSP 2014 Annual meeting in Tuscon AZ January 16-18 2014
Walthall J and Etter D Changing the Culture of the Culture Book A Pediatric Emergency Department Patient Safety Project Using Quality Improvement Process Analysisrdquo will be presented at the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Walthall J Showalter C and Thompson S Rough Riders An Educational Intervention in ATV Safety for Rural Children and Familiesrdquo abstract 755716 to the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Daren Beam and Zachary KahlerldquoHome treatment with target-specific anticoagulants (TSAs) for patients with venous thromboembolism (VTE) diagnosed in the Emergency Departmentrdquo
Jennifer Walthall Rough Riders An educational intervention to increase self-efficacy and knowledge of all-terrain vehicle safety among children and parents in a rural Indiana Community
Jeffrey Kline and others ldquoShark Tankrdquo Real world Research Proposalsrdquo
Carey Chisholm and Marie Vrablik ldquoA CLER plan Implementing a patient safety Council for residents and fellowsrdquo
Jamie Jones and others ldquoDemystifying ABEMrsquos maintenance of certification programrdquo
Jeffrey Kline and others ldquoCoping with rejection in research Resiliency strategies to effectively move forward after a setbackrdquo
Jennifer Walthall and Anne Whitehead ldquoVulnerable patients in the EDrdquo Diadactic curriculum Using patient voices to increase empathy and knowledge for Emergency Medicine residents
Other PresentationsHamed and JT Finnell Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data
Jianmin and JT Finnell Emergency Department Opiates and Mortality
Marie Vrablik Before the Bleed Identifying high risk patients for spontaneous intracranial hemorrhage
Terez Malka Professional Email Usage Among Physicians A Multi-Disciplinary Survey
Terez Malka Weapons Retrieved After the Implementation of Emergency Department Metal Detection
Ben Hunter Primary EMS Transport to a 24-hr PCI center is associated with increased survival in patients with out of hospital cardiac arrest
Jennifer Walthall Sean Thomas and others ldquoDeveloping a curriculum in advocacy for Emergency Medicinerdquo Jeffrey Kline and others ldquoRespecting Pulmonary Embolism Treating the spectrum of disease from outpatient management to systemic thrombolytics
Terez Malka Medical Student Symposium Q amp A with EM Resident Panel
Alice Mitchell ldquoEmergency Department Recidivism in Early Childhood is not a risk Factor for Child Maltreatmentrdquo
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
McDonald called this new area the ER-ICU for the acute people So we trained the nurses I even had a doctor shadow me so he could see triage in action I could see ldquolight bulbsrdquo coming on At the end of the week we had everything set up Dr McDonald had a big ribbon cutting ceremony with the national newspaper and radio there
Q Their Emergency Department is busy
A They have a huge volume of patients and lots of trauma The country is becoming modernized One of the ways you can see that is by all the young men who buy motorcycles or as they call them pin-pins Apparently the drivers constantly honk or pin so they are called pin-pins Traffic is horrendous and many people get injured riding pin-pins
Q Tell me about your wife and daughters
I met my wife Jody in college She grew up in Brownsburg and currently manages a group of editors at an Internet marketing
company She has written a couple of young adult novels and has an agent shopping them around Shersquos now writing the third Irsquom proud of her Jody has researched the publishing houses and understands much more about the business than I ever did My older daughter Eleanor is in the 10th grade at Herron High School She is an excellent violinist and we are excited that shersquos a member of the New World Youth Symphony You can go to wwwnwysoorg for upcoming performance dates Like her mom Eleanor is a writer My younger daughter is Magnolia and at 12 shersquos
has a little more of a typical teenager experience than her sister Shersquos going to a Washington township school and then will go to Herron High School
Q As someone who has been all over the world is there an Indy restaurant yoursquod recommend
A My favorite hole in the wall is a place called Guatalinda It is on Layfayette Rd south of 34th It has the best tacos and papusas For me it is comfort food When we lived in Michigan there was no real Mexican food My mom would make a bunch of tamales pack them in dry ice and ship them up to me That and bottles of Mexican Coke
Q + A with JOSH MUGELEQ How did you end up in Emergency Medicine
A For me it was an obvious choice I hate being bored I need constant stimulation That is a big fear in my life to be bored and run out of things to do I would hate a job where 20 years down the road I was doing the same thing everyday I just couldnrsquot do that
Q What was your decider to come to IUSM
A The program Carey Chisholm sold me on it He insisted that he would push us He said it wouldnrsquot be easy but we would be better doctors I wasnrsquot planning on living in Indy when we lived in California we had a view of the ocean from our apartment but I was willing to come here for three years as long as we didnrsquot have to live in the suburbs We enjoy living downtown
Q How did the disaster medicine fellowship come about
I like finding my own niche and something I can do on my own After discussions with Dan OrsquoDonnell he and I came up with the idea of Disaster Medicine This allowed me to stay with the program and find some unique opportunities Through Dan OrsquoDonnell Irsquove come to know about MESH (a local coalition focused on disaster management and surge control) Within Indianapolis this has helped me connect with people and learn about projects and disaster management Skills you want to have but hope you never use For example MESH and the Mass Casualty Response Team have created a protocol to help coordinate things like routing patients to different hospitals in Indianapolis
Q Does this fellowship have you traveling
A Last fall I went to Africa with the CEO of MESH to help get a new project started in Liberia We are treating it as a resource-depleted environment One of the goals of my year in the disaster medicine was to find a resource-depleted environment where they would let us work with them to develop a disaster preparedness system We made contact with Dr McDonald (a PhD from the IU School of Nursing) the CEO of a hospital in Monrovia Liberia She invited us to come for a weeklong fact-
finding tour When I go back in June for a month we will pursue possible projects and collaborations Monroviarsquos JFK Memorial Hospital is the referral hospital for the entire nation This hospital does not have consistently running water they have regular electrical outages weekly fires and regular floods Most of the hospital is not air-conditioned Resource-depleted hospital is really the best way to describe it They lack basic things like gloves tape alcohol wipes and hand sanitizer I will have to figure out what I can take with me when I go back there in June
Q Does JFK Hospital have the equipment they need
A Actually that was one thing we were able to help with on our scouting mission Dr McDonald wanted us to look at the area set aside for acute care She had some donated beds and equipment--but no one had ever trained them on how to use the monitors or ventilators
For example one of our first patients was a woman with congestive heart failure We were pumping her full of nitro and watching the monitor to see her 02 stats go upmdashbut they didnrsquot That made us realize that the oxygen machine she was hooked to was the problem With a switch to another machine she pinked up Proper use of the monitor was the game changer that helped save her life and they hadnrsquot been able to use them before
Q You worked with the local doctors
A Yes The doctors and nurses had good medical training but no one had ever explained the acute care process to them They needed help with the logistics Dr
CLINICAL SERVICEleading in
SERVICE PUBLICATIONS
CLINICAL STATISTICS year end numbers
WishardEskenazi
Methodist Riley IU
Leading in Legislative process
From Lindsay Weaver comes news that Emily McIssac Emily Fitz Matt Noland Sarah Hemming-Meyer and Kyle Yoder participated in another successful legislative reception On January 14 2014 in the Indiana State Capital building members of the emergency medical community had the privilege of talking with Rep Tim Brown the Chair of The Ways And Means Committee Rep Brown practices emergency medicine and has always been a big supporter of our issues The residents presented talks about ldquoEMs Role in Healthcare Cost Savingsrdquo ldquoExpansion of the Lifeline Lawrdquo ldquoOpiate abuse in Indianardquo and ldquoThe Current State of Mental Healthrdquo to multiple legislators-- including the chairs of both the senate and house health committees As most of you know the committee chairs control what bills are going to be heard and can significantly influence whether a bill gets passed The fact that they participated in our reception is testament to our working relationship and the wonderful job our residents have done over the years Lindsay sends thanks to all the faculty INACEP members and the community physicians who participated in our now 5th annual IUEMINACEP Legislative Reception
Kline JA Insulin for calcium channel toxicity Ann Emerg Med 6392-93 2014 PMID24355376
Adams D Welch JL Kline JA Clinical Utility of an Age-Adjusted D-dimer in the Diagnosis of Venous Thromboembolism Ann Emerg Med Online Jan 15 2014 PMID24439717
Handel DA Fu R Vu E Augustine JJ Hsia RY Shufflebarger CM Sun B Association of Emergency Department and Hospital Characteristics with Elopements and Length of Stay Online Jan 21 2014 PMID 24462026
Warrick BJ Hill M Hekman K Christensen R Goetz R Casavant MJ Wahl M Mowry JB Spiller H Anderson D Aleguas A Gummin D Thomas R Nezlek C Smolinske S A 9-state analysis of designer stimulant ldquobath saltrdquo hospital visits reported to poison control centers Ann Emerg Med 62244-251 PMID 23540815
Mowry JB Spyker DA Cantilena LR Jr Bailey JE Ford M 2012 Annual Report of the American Association of Poison Control Centersrsquo National Poison Data System (NPDS) 30th Annual Report Clin Toxicol (Phila) 51949-1229 PMID24359283
Gardner A Schneider SM Future of Emergency Medicine Summit II Participants including Hobgood C The future of emergency medicine update 2011 Ann Emerg Med 61624-630 2013 PMID 23394842
Hourmozdi JJ Hawley DA Hadi CM Tahir B Seupaul RA Streptococcal Necrotizing Myositis A Case Report and Clinical Review J Emerg Med Online Oct 23 2013 PMID24161226
Hunter BR Keim SM Seupaul RA Hern G Are plain radiographs sufficient to exclude cervical spine injuries in low-risk adults J Emerg Med 46257-263 2014 PMID 24342907
Kiefer CS Colletti JE Phlegmasia cerulea dolens in a patient with an inferior vena cava filter J Emerg Med 44e95-e97 2013 PMID 22406023
Kanis JM Timm NL Chlorpromazine for the treatment of migraine in a pediatric emergency department Headache 54335-342 2014
Wakai A McCabe A Kidney R Brooks SC Seupaul RA Diercks DB Salter N Fermann GJ Pospisil C Nitrates for acute heart failure syndromes Online Aug 6 2013 PMID 23922186
Stehman CR and Mycyk MBA rational approach to the treatment of alcohol withdrawal in the ED Am J Emerg Med 31734-42 2013 PMID 23399338
Fitz Emily The Indiana Lifeline Law EM Pulse 232 And 2014 Legislative Reception a Resounding Success EM Pulse 2312 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
Sracic J Leflore A with images from Minnigan H A Case of Ectopic Pregnancy Complicated by Pelvic Abscess EM Pulse 234-5 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
103569102916
36763
14045
EDUCATION amp RESEARCHleading in
EDUCATION PUBLICATIONSCheck it outTo be a LeadER in Medicine physicians need to keep up with the latest information Here at IUSM wersquore lucky to have the Ruth Lilly Medical Library a great facility staffed with librarians who are willing to help you in person or online They have set up a page of resources specifically for us They really want this to be a useful page and for it to continue to grow so if you want them to add a section on Evidence- Based-Medicine ultrasound or the latest app please contact Tom Emmett MD MLS Clinical Informationist temmettiuedu
You can find links to a wealth of information at your fingertips if you visitlibrarymedicineiueduaudiencefaculty-and-residentsemergency-
medicine
Evidence-based resources
bull Summaries Synopses and
Systematic reviews
bull Guidelines from national EM
organizations
bull Primary research studies
bull Meta-Search engine TRIP
Journals and Books (links to full text)
Drugs and Toxicology
bull Lexi-Comp for drugs and
interactions
bull Micromedex for drug identification
bull Johns Hopkins Antibiotic guide
bull Poisoning and Drug Overdose
guide
Specialized topics
bull Bioterrorism
bull Disaster Medicine
bull Travel amp Wilderness Medicine
Resources and Tools
bull Mobile Apps
bull Differential Diagnosis
bull Coding Manuals
bull Calculators
bull Patient information amp
education
bull Procedure Videos
bull McGill Emergency Medicine
OrsquoNeil J Steele GK Weinstein E Collins R Talty J Bull MJ Ambulance Transport of Noncritical Children Emergency Medical Service Providersrsquo Knowledge Opinions and Practice Clin Pediatr (Phila) 53250-255 PMID 24408898
Korte RC Beeson MS Russ CM Carter WA Emergency Medicine Milestones Working Group Reisdorff EJ The emergency medicine milestones a validation study Acad Emerg Med 20730-735 2013 PMID 23859587
RESEARCH PUBLICATIONS
Tepper B Brice JH Hobgood CD Evaluation of radiation exposure to pediatric trauma patients J Emerg Med 44646-652 2013 PMID23246000
Lamantia MA Messina FC Hobgood CD Miller DK Screening for Delirium in the Emergency Department A Systematic Review Ann Emerg Med Online Dec 16 2013 PMID24355431
Kline JA Past present and future of emergency care research Emerg Med Australas 268-13 2014 PMID 24495056
Kline JA Jones AE Shapiro NI Hernandez J Hogg MM Troyer J Nelson RD Multicenter randomized trial of quantitative pretest probability to reduce unnecessary medical radiation exposure in emergency department patients with chest pain and dyspnea Circ Cardiovasc Imaging 766-73 2014 PMID24275953
Kline JA Nordenholz KE Courtney DM Kabrhel C Jones AE Rondina MT Diercks DB Klinger JR Hernandez J Treatment of submassive pulmonary embolism with tenecteplase or placebo cardiopulmonary outcomes at three months (TOPCOAT) Multicenter double-blind placebo-controlled randomized trial J Thromb Haemost Online Jan 31 2014 PMID 24484241
Molkov YI Zaretskaia MV Zaretsky DV Meth Math Modeling Temperature Responses to Methamphetamine Am J Physiol Regul Integr Comp Physiol available Online PMID 24500434
Banks ML Worst TJ Rusyniak DE Sprague JE Synthetic Cathinones (ldquoBath Saltsrdquo) J Emerg Med Online Feb 22 2014 PMID24565885
Peitz GW Troyer J Jones AE Shapiro NI Nelson RD Hernandez J Kline JAAssociation of Body Mass Index With Increased Cost of Care and Length of Stay for Emergency Department Patients With Chest Pain and DyspneaCirc Cardiovasc Qual Outcomes 7292-298 2014 PMID24594550
PRESENTATIONSleading in
Laura Tormoehlen gave a presentation entitled ldquoDeclaring Brain Death in the Toxicology Patientrdquo
Dan Rusyniak (with Howard Greller) presented ldquoTechno TATS Tricks Apps and Tipsrdquo
Laura Tormoehlen gave a didactic on ldquoAdvanced Neuroimaging and Toxicologyrdquo
Louise Kao organized the meeting and spoke at the ResidentStudent Luncheon on ldquoWhy Medical Toxicologyrdquo
Jeffrey Kline Gender-specific research in EM Care how gender
affects outcomemdashldquoDiagnostic Imagingrdquo
Nathan Alves Thromboelastography (TEG) shows variation depending on sample
source in Fibrinolysis in a large animal model of Pulmonary Embolism
Daren Beam Wide variability with clot induction to achieve submassive Pulmonary Embolism in an extremely controlled animal model
Daren Beam The RVLV ratio shows poor correlation and agreement with pulmonary vascular resistance in a submassive pulmonary embolism model
Marie Vrablik Clinical factors associated with mortality after Intracranial hemorrhage
Zachary Kahler Immediate discharge of low-risk venous thromboembolism A cost and safety analysis
Society for Academic Emergency Medicine (SAEM) Annual Meeting May 13 - 17 in Dallas TX
Stevens A Turner J Cooper D Soultz M ldquoA novel simulation program to train paramedic students in safe EMS patient handoffrdquo Poster at IMSH on Jan 27 2014
Wilbur L Carr D Jones M Milgrom L Ferraris E Jasiak K Ranft D Turner J Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate health professionsrdquo Poster at IMSH on Jan 27 2014
Leuck J Pearson D Clarke S Swaminathan A Mahoney H Medwid K Kegg J Byars D Getto L Turner J Cooper D Bullard M Anderson W ldquoA comparison of evaluation metrics for high-fidelity ACLS-based simulation cases for PGY-1 and PGY-3 level emergency medicine residents a pilot studyrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Woodyard C ldquoThe standardized (patient) jury An insight into deliberations for law students during a mock medical malpractice trialrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Scolaro K Durham C Shelly J and Hobgood CD ldquob-SAFER A systematic approach to delivering effective interprofessional handoffsrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Chatterji D Cowherd S Durham C Scolaro K Barrick J and Shelly J ldquoTeaching interprofessional root cause analysis using simulationrdquo Poster at IMSH on Jan 27 2014
Turner J and Cooper D ldquoIncrease the Fidelity How to Create A Multiple-Patient Simulationrdquo Podium Presentation at IMSH on Jan 28 2014
The International Meeting on Simulation in Healthcare (IMSH)January 27 in San Francisco CA
2014 Annual Scientific meeting of the American College of Medical Toxicology March 28-30 in Pheonix AZ
Frances Russell Diagnosing acute heart failure in patients with undifferentiated DyspneamdashA novel lung and cardiac ultrasound protocol
Rob Ehrman (Presented by Frances Russell) Can Emergency Physicians accurately diagnose and correctly classify diastolic dysfunction using bedside echocardiography
Peter Pang (future ED faculty)ldquoCan we improve outcomes in acute heart failure 2014 update on acute heart failure research
Carey Chisholm with John Ma ldquoEstablishing your niche The first five yearsrdquo Jason Schaffer Sphenopalatine Ganglion anesthesia for acute headache in the Emergency Department using a novel delivery device
ACEP Advanced Pediatric Emergency Medicine Assembly May 18 - 20 in New York City NY
SAEM Annual Meeting Continued
Jeffrey Kline
Tim Ellender CVP and Lactate Should Be Used to Guide Sepsis Treatment
Jeffrey Kline Manage PE as an Outpatient
Kevin Rodgers MacGyver in My ER
Elizabeth Weinstein Febrile Seizures in 2013
Tim Ellender When All Else Fails Pearls for the Critically Ill Patient with Refractory Hypoxemia
Kevin Rodgers Emergency Transfusions (including TEG)
Cherri Hobgood National Societies and Curriculum Development
Cherri Hobgood Panel Discussion Communication and Interaction between Societies at an International Level
Jennifer Walthall Altered Adolescents
Kevin Rodgers Resident In-Training Exam Review
Elizabeth Weinstein Head Injury in Kids
Jeffrey Kline Rule Out PE mdash Are We Doing the Right Thing for Our Patients
Jennifer Walthall Dealing With Autism in the ED
Ferraris E Turner J and Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate
health professionsrdquo
EC Moore SymposiumApril 4 in Indianapolis IN
leading in PRESENTATIONS
OrsquoDonnell D Savory E Mancera M Christopher S Roumpf S Schaffer J presented The availability of prior EKGrsquos improves paramedic accuracy in identifying STEMIrsquos at the NAEMSP 2014 Annual meeting in Tuscon AZ January 16-18 2014
Walthall J and Etter D Changing the Culture of the Culture Book A Pediatric Emergency Department Patient Safety Project Using Quality Improvement Process Analysisrdquo will be presented at the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Walthall J Showalter C and Thompson S Rough Riders An Educational Intervention in ATV Safety for Rural Children and Familiesrdquo abstract 755716 to the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Daren Beam and Zachary KahlerldquoHome treatment with target-specific anticoagulants (TSAs) for patients with venous thromboembolism (VTE) diagnosed in the Emergency Departmentrdquo
Jennifer Walthall Rough Riders An educational intervention to increase self-efficacy and knowledge of all-terrain vehicle safety among children and parents in a rural Indiana Community
Jeffrey Kline and others ldquoShark Tankrdquo Real world Research Proposalsrdquo
Carey Chisholm and Marie Vrablik ldquoA CLER plan Implementing a patient safety Council for residents and fellowsrdquo
Jamie Jones and others ldquoDemystifying ABEMrsquos maintenance of certification programrdquo
Jeffrey Kline and others ldquoCoping with rejection in research Resiliency strategies to effectively move forward after a setbackrdquo
Jennifer Walthall and Anne Whitehead ldquoVulnerable patients in the EDrdquo Diadactic curriculum Using patient voices to increase empathy and knowledge for Emergency Medicine residents
Other PresentationsHamed and JT Finnell Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data
Jianmin and JT Finnell Emergency Department Opiates and Mortality
Marie Vrablik Before the Bleed Identifying high risk patients for spontaneous intracranial hemorrhage
Terez Malka Professional Email Usage Among Physicians A Multi-Disciplinary Survey
Terez Malka Weapons Retrieved After the Implementation of Emergency Department Metal Detection
Ben Hunter Primary EMS Transport to a 24-hr PCI center is associated with increased survival in patients with out of hospital cardiac arrest
Jennifer Walthall Sean Thomas and others ldquoDeveloping a curriculum in advocacy for Emergency Medicinerdquo Jeffrey Kline and others ldquoRespecting Pulmonary Embolism Treating the spectrum of disease from outpatient management to systemic thrombolytics
Terez Malka Medical Student Symposium Q amp A with EM Resident Panel
Alice Mitchell ldquoEmergency Department Recidivism in Early Childhood is not a risk Factor for Child Maltreatmentrdquo
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
CLINICAL SERVICEleading in
SERVICE PUBLICATIONS
CLINICAL STATISTICS year end numbers
WishardEskenazi
Methodist Riley IU
Leading in Legislative process
From Lindsay Weaver comes news that Emily McIssac Emily Fitz Matt Noland Sarah Hemming-Meyer and Kyle Yoder participated in another successful legislative reception On January 14 2014 in the Indiana State Capital building members of the emergency medical community had the privilege of talking with Rep Tim Brown the Chair of The Ways And Means Committee Rep Brown practices emergency medicine and has always been a big supporter of our issues The residents presented talks about ldquoEMs Role in Healthcare Cost Savingsrdquo ldquoExpansion of the Lifeline Lawrdquo ldquoOpiate abuse in Indianardquo and ldquoThe Current State of Mental Healthrdquo to multiple legislators-- including the chairs of both the senate and house health committees As most of you know the committee chairs control what bills are going to be heard and can significantly influence whether a bill gets passed The fact that they participated in our reception is testament to our working relationship and the wonderful job our residents have done over the years Lindsay sends thanks to all the faculty INACEP members and the community physicians who participated in our now 5th annual IUEMINACEP Legislative Reception
Kline JA Insulin for calcium channel toxicity Ann Emerg Med 6392-93 2014 PMID24355376
Adams D Welch JL Kline JA Clinical Utility of an Age-Adjusted D-dimer in the Diagnosis of Venous Thromboembolism Ann Emerg Med Online Jan 15 2014 PMID24439717
Handel DA Fu R Vu E Augustine JJ Hsia RY Shufflebarger CM Sun B Association of Emergency Department and Hospital Characteristics with Elopements and Length of Stay Online Jan 21 2014 PMID 24462026
Warrick BJ Hill M Hekman K Christensen R Goetz R Casavant MJ Wahl M Mowry JB Spiller H Anderson D Aleguas A Gummin D Thomas R Nezlek C Smolinske S A 9-state analysis of designer stimulant ldquobath saltrdquo hospital visits reported to poison control centers Ann Emerg Med 62244-251 PMID 23540815
Mowry JB Spyker DA Cantilena LR Jr Bailey JE Ford M 2012 Annual Report of the American Association of Poison Control Centersrsquo National Poison Data System (NPDS) 30th Annual Report Clin Toxicol (Phila) 51949-1229 PMID24359283
Gardner A Schneider SM Future of Emergency Medicine Summit II Participants including Hobgood C The future of emergency medicine update 2011 Ann Emerg Med 61624-630 2013 PMID 23394842
Hourmozdi JJ Hawley DA Hadi CM Tahir B Seupaul RA Streptococcal Necrotizing Myositis A Case Report and Clinical Review J Emerg Med Online Oct 23 2013 PMID24161226
Hunter BR Keim SM Seupaul RA Hern G Are plain radiographs sufficient to exclude cervical spine injuries in low-risk adults J Emerg Med 46257-263 2014 PMID 24342907
Kiefer CS Colletti JE Phlegmasia cerulea dolens in a patient with an inferior vena cava filter J Emerg Med 44e95-e97 2013 PMID 22406023
Kanis JM Timm NL Chlorpromazine for the treatment of migraine in a pediatric emergency department Headache 54335-342 2014
Wakai A McCabe A Kidney R Brooks SC Seupaul RA Diercks DB Salter N Fermann GJ Pospisil C Nitrates for acute heart failure syndromes Online Aug 6 2013 PMID 23922186
Stehman CR and Mycyk MBA rational approach to the treatment of alcohol withdrawal in the ED Am J Emerg Med 31734-42 2013 PMID 23399338
Fitz Emily The Indiana Lifeline Law EM Pulse 232 And 2014 Legislative Reception a Resounding Success EM Pulse 2312 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
Sracic J Leflore A with images from Minnigan H A Case of Ectopic Pregnancy Complicated by Pelvic Abscess EM Pulse 234-5 Winter 2013Spring 2014 wwwinaceporgemPulseCurrentpdf
103569102916
36763
14045
EDUCATION amp RESEARCHleading in
EDUCATION PUBLICATIONSCheck it outTo be a LeadER in Medicine physicians need to keep up with the latest information Here at IUSM wersquore lucky to have the Ruth Lilly Medical Library a great facility staffed with librarians who are willing to help you in person or online They have set up a page of resources specifically for us They really want this to be a useful page and for it to continue to grow so if you want them to add a section on Evidence- Based-Medicine ultrasound or the latest app please contact Tom Emmett MD MLS Clinical Informationist temmettiuedu
You can find links to a wealth of information at your fingertips if you visitlibrarymedicineiueduaudiencefaculty-and-residentsemergency-
medicine
Evidence-based resources
bull Summaries Synopses and
Systematic reviews
bull Guidelines from national EM
organizations
bull Primary research studies
bull Meta-Search engine TRIP
Journals and Books (links to full text)
Drugs and Toxicology
bull Lexi-Comp for drugs and
interactions
bull Micromedex for drug identification
bull Johns Hopkins Antibiotic guide
bull Poisoning and Drug Overdose
guide
Specialized topics
bull Bioterrorism
bull Disaster Medicine
bull Travel amp Wilderness Medicine
Resources and Tools
bull Mobile Apps
bull Differential Diagnosis
bull Coding Manuals
bull Calculators
bull Patient information amp
education
bull Procedure Videos
bull McGill Emergency Medicine
OrsquoNeil J Steele GK Weinstein E Collins R Talty J Bull MJ Ambulance Transport of Noncritical Children Emergency Medical Service Providersrsquo Knowledge Opinions and Practice Clin Pediatr (Phila) 53250-255 PMID 24408898
Korte RC Beeson MS Russ CM Carter WA Emergency Medicine Milestones Working Group Reisdorff EJ The emergency medicine milestones a validation study Acad Emerg Med 20730-735 2013 PMID 23859587
RESEARCH PUBLICATIONS
Tepper B Brice JH Hobgood CD Evaluation of radiation exposure to pediatric trauma patients J Emerg Med 44646-652 2013 PMID23246000
Lamantia MA Messina FC Hobgood CD Miller DK Screening for Delirium in the Emergency Department A Systematic Review Ann Emerg Med Online Dec 16 2013 PMID24355431
Kline JA Past present and future of emergency care research Emerg Med Australas 268-13 2014 PMID 24495056
Kline JA Jones AE Shapiro NI Hernandez J Hogg MM Troyer J Nelson RD Multicenter randomized trial of quantitative pretest probability to reduce unnecessary medical radiation exposure in emergency department patients with chest pain and dyspnea Circ Cardiovasc Imaging 766-73 2014 PMID24275953
Kline JA Nordenholz KE Courtney DM Kabrhel C Jones AE Rondina MT Diercks DB Klinger JR Hernandez J Treatment of submassive pulmonary embolism with tenecteplase or placebo cardiopulmonary outcomes at three months (TOPCOAT) Multicenter double-blind placebo-controlled randomized trial J Thromb Haemost Online Jan 31 2014 PMID 24484241
Molkov YI Zaretskaia MV Zaretsky DV Meth Math Modeling Temperature Responses to Methamphetamine Am J Physiol Regul Integr Comp Physiol available Online PMID 24500434
Banks ML Worst TJ Rusyniak DE Sprague JE Synthetic Cathinones (ldquoBath Saltsrdquo) J Emerg Med Online Feb 22 2014 PMID24565885
Peitz GW Troyer J Jones AE Shapiro NI Nelson RD Hernandez J Kline JAAssociation of Body Mass Index With Increased Cost of Care and Length of Stay for Emergency Department Patients With Chest Pain and DyspneaCirc Cardiovasc Qual Outcomes 7292-298 2014 PMID24594550
PRESENTATIONSleading in
Laura Tormoehlen gave a presentation entitled ldquoDeclaring Brain Death in the Toxicology Patientrdquo
Dan Rusyniak (with Howard Greller) presented ldquoTechno TATS Tricks Apps and Tipsrdquo
Laura Tormoehlen gave a didactic on ldquoAdvanced Neuroimaging and Toxicologyrdquo
Louise Kao organized the meeting and spoke at the ResidentStudent Luncheon on ldquoWhy Medical Toxicologyrdquo
Jeffrey Kline Gender-specific research in EM Care how gender
affects outcomemdashldquoDiagnostic Imagingrdquo
Nathan Alves Thromboelastography (TEG) shows variation depending on sample
source in Fibrinolysis in a large animal model of Pulmonary Embolism
Daren Beam Wide variability with clot induction to achieve submassive Pulmonary Embolism in an extremely controlled animal model
Daren Beam The RVLV ratio shows poor correlation and agreement with pulmonary vascular resistance in a submassive pulmonary embolism model
Marie Vrablik Clinical factors associated with mortality after Intracranial hemorrhage
Zachary Kahler Immediate discharge of low-risk venous thromboembolism A cost and safety analysis
Society for Academic Emergency Medicine (SAEM) Annual Meeting May 13 - 17 in Dallas TX
Stevens A Turner J Cooper D Soultz M ldquoA novel simulation program to train paramedic students in safe EMS patient handoffrdquo Poster at IMSH on Jan 27 2014
Wilbur L Carr D Jones M Milgrom L Ferraris E Jasiak K Ranft D Turner J Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate health professionsrdquo Poster at IMSH on Jan 27 2014
Leuck J Pearson D Clarke S Swaminathan A Mahoney H Medwid K Kegg J Byars D Getto L Turner J Cooper D Bullard M Anderson W ldquoA comparison of evaluation metrics for high-fidelity ACLS-based simulation cases for PGY-1 and PGY-3 level emergency medicine residents a pilot studyrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Woodyard C ldquoThe standardized (patient) jury An insight into deliberations for law students during a mock medical malpractice trialrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Scolaro K Durham C Shelly J and Hobgood CD ldquob-SAFER A systematic approach to delivering effective interprofessional handoffsrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Chatterji D Cowherd S Durham C Scolaro K Barrick J and Shelly J ldquoTeaching interprofessional root cause analysis using simulationrdquo Poster at IMSH on Jan 27 2014
Turner J and Cooper D ldquoIncrease the Fidelity How to Create A Multiple-Patient Simulationrdquo Podium Presentation at IMSH on Jan 28 2014
The International Meeting on Simulation in Healthcare (IMSH)January 27 in San Francisco CA
2014 Annual Scientific meeting of the American College of Medical Toxicology March 28-30 in Pheonix AZ
Frances Russell Diagnosing acute heart failure in patients with undifferentiated DyspneamdashA novel lung and cardiac ultrasound protocol
Rob Ehrman (Presented by Frances Russell) Can Emergency Physicians accurately diagnose and correctly classify diastolic dysfunction using bedside echocardiography
Peter Pang (future ED faculty)ldquoCan we improve outcomes in acute heart failure 2014 update on acute heart failure research
Carey Chisholm with John Ma ldquoEstablishing your niche The first five yearsrdquo Jason Schaffer Sphenopalatine Ganglion anesthesia for acute headache in the Emergency Department using a novel delivery device
ACEP Advanced Pediatric Emergency Medicine Assembly May 18 - 20 in New York City NY
SAEM Annual Meeting Continued
Jeffrey Kline
Tim Ellender CVP and Lactate Should Be Used to Guide Sepsis Treatment
Jeffrey Kline Manage PE as an Outpatient
Kevin Rodgers MacGyver in My ER
Elizabeth Weinstein Febrile Seizures in 2013
Tim Ellender When All Else Fails Pearls for the Critically Ill Patient with Refractory Hypoxemia
Kevin Rodgers Emergency Transfusions (including TEG)
Cherri Hobgood National Societies and Curriculum Development
Cherri Hobgood Panel Discussion Communication and Interaction between Societies at an International Level
Jennifer Walthall Altered Adolescents
Kevin Rodgers Resident In-Training Exam Review
Elizabeth Weinstein Head Injury in Kids
Jeffrey Kline Rule Out PE mdash Are We Doing the Right Thing for Our Patients
Jennifer Walthall Dealing With Autism in the ED
Ferraris E Turner J and Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate
health professionsrdquo
EC Moore SymposiumApril 4 in Indianapolis IN
leading in PRESENTATIONS
OrsquoDonnell D Savory E Mancera M Christopher S Roumpf S Schaffer J presented The availability of prior EKGrsquos improves paramedic accuracy in identifying STEMIrsquos at the NAEMSP 2014 Annual meeting in Tuscon AZ January 16-18 2014
Walthall J and Etter D Changing the Culture of the Culture Book A Pediatric Emergency Department Patient Safety Project Using Quality Improvement Process Analysisrdquo will be presented at the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Walthall J Showalter C and Thompson S Rough Riders An Educational Intervention in ATV Safety for Rural Children and Familiesrdquo abstract 755716 to the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Daren Beam and Zachary KahlerldquoHome treatment with target-specific anticoagulants (TSAs) for patients with venous thromboembolism (VTE) diagnosed in the Emergency Departmentrdquo
Jennifer Walthall Rough Riders An educational intervention to increase self-efficacy and knowledge of all-terrain vehicle safety among children and parents in a rural Indiana Community
Jeffrey Kline and others ldquoShark Tankrdquo Real world Research Proposalsrdquo
Carey Chisholm and Marie Vrablik ldquoA CLER plan Implementing a patient safety Council for residents and fellowsrdquo
Jamie Jones and others ldquoDemystifying ABEMrsquos maintenance of certification programrdquo
Jeffrey Kline and others ldquoCoping with rejection in research Resiliency strategies to effectively move forward after a setbackrdquo
Jennifer Walthall and Anne Whitehead ldquoVulnerable patients in the EDrdquo Diadactic curriculum Using patient voices to increase empathy and knowledge for Emergency Medicine residents
Other PresentationsHamed and JT Finnell Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data
Jianmin and JT Finnell Emergency Department Opiates and Mortality
Marie Vrablik Before the Bleed Identifying high risk patients for spontaneous intracranial hemorrhage
Terez Malka Professional Email Usage Among Physicians A Multi-Disciplinary Survey
Terez Malka Weapons Retrieved After the Implementation of Emergency Department Metal Detection
Ben Hunter Primary EMS Transport to a 24-hr PCI center is associated with increased survival in patients with out of hospital cardiac arrest
Jennifer Walthall Sean Thomas and others ldquoDeveloping a curriculum in advocacy for Emergency Medicinerdquo Jeffrey Kline and others ldquoRespecting Pulmonary Embolism Treating the spectrum of disease from outpatient management to systemic thrombolytics
Terez Malka Medical Student Symposium Q amp A with EM Resident Panel
Alice Mitchell ldquoEmergency Department Recidivism in Early Childhood is not a risk Factor for Child Maltreatmentrdquo
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
EDUCATION amp RESEARCHleading in
EDUCATION PUBLICATIONSCheck it outTo be a LeadER in Medicine physicians need to keep up with the latest information Here at IUSM wersquore lucky to have the Ruth Lilly Medical Library a great facility staffed with librarians who are willing to help you in person or online They have set up a page of resources specifically for us They really want this to be a useful page and for it to continue to grow so if you want them to add a section on Evidence- Based-Medicine ultrasound or the latest app please contact Tom Emmett MD MLS Clinical Informationist temmettiuedu
You can find links to a wealth of information at your fingertips if you visitlibrarymedicineiueduaudiencefaculty-and-residentsemergency-
medicine
Evidence-based resources
bull Summaries Synopses and
Systematic reviews
bull Guidelines from national EM
organizations
bull Primary research studies
bull Meta-Search engine TRIP
Journals and Books (links to full text)
Drugs and Toxicology
bull Lexi-Comp for drugs and
interactions
bull Micromedex for drug identification
bull Johns Hopkins Antibiotic guide
bull Poisoning and Drug Overdose
guide
Specialized topics
bull Bioterrorism
bull Disaster Medicine
bull Travel amp Wilderness Medicine
Resources and Tools
bull Mobile Apps
bull Differential Diagnosis
bull Coding Manuals
bull Calculators
bull Patient information amp
education
bull Procedure Videos
bull McGill Emergency Medicine
OrsquoNeil J Steele GK Weinstein E Collins R Talty J Bull MJ Ambulance Transport of Noncritical Children Emergency Medical Service Providersrsquo Knowledge Opinions and Practice Clin Pediatr (Phila) 53250-255 PMID 24408898
Korte RC Beeson MS Russ CM Carter WA Emergency Medicine Milestones Working Group Reisdorff EJ The emergency medicine milestones a validation study Acad Emerg Med 20730-735 2013 PMID 23859587
RESEARCH PUBLICATIONS
Tepper B Brice JH Hobgood CD Evaluation of radiation exposure to pediatric trauma patients J Emerg Med 44646-652 2013 PMID23246000
Lamantia MA Messina FC Hobgood CD Miller DK Screening for Delirium in the Emergency Department A Systematic Review Ann Emerg Med Online Dec 16 2013 PMID24355431
Kline JA Past present and future of emergency care research Emerg Med Australas 268-13 2014 PMID 24495056
Kline JA Jones AE Shapiro NI Hernandez J Hogg MM Troyer J Nelson RD Multicenter randomized trial of quantitative pretest probability to reduce unnecessary medical radiation exposure in emergency department patients with chest pain and dyspnea Circ Cardiovasc Imaging 766-73 2014 PMID24275953
Kline JA Nordenholz KE Courtney DM Kabrhel C Jones AE Rondina MT Diercks DB Klinger JR Hernandez J Treatment of submassive pulmonary embolism with tenecteplase or placebo cardiopulmonary outcomes at three months (TOPCOAT) Multicenter double-blind placebo-controlled randomized trial J Thromb Haemost Online Jan 31 2014 PMID 24484241
Molkov YI Zaretskaia MV Zaretsky DV Meth Math Modeling Temperature Responses to Methamphetamine Am J Physiol Regul Integr Comp Physiol available Online PMID 24500434
Banks ML Worst TJ Rusyniak DE Sprague JE Synthetic Cathinones (ldquoBath Saltsrdquo) J Emerg Med Online Feb 22 2014 PMID24565885
Peitz GW Troyer J Jones AE Shapiro NI Nelson RD Hernandez J Kline JAAssociation of Body Mass Index With Increased Cost of Care and Length of Stay for Emergency Department Patients With Chest Pain and DyspneaCirc Cardiovasc Qual Outcomes 7292-298 2014 PMID24594550
PRESENTATIONSleading in
Laura Tormoehlen gave a presentation entitled ldquoDeclaring Brain Death in the Toxicology Patientrdquo
Dan Rusyniak (with Howard Greller) presented ldquoTechno TATS Tricks Apps and Tipsrdquo
Laura Tormoehlen gave a didactic on ldquoAdvanced Neuroimaging and Toxicologyrdquo
Louise Kao organized the meeting and spoke at the ResidentStudent Luncheon on ldquoWhy Medical Toxicologyrdquo
Jeffrey Kline Gender-specific research in EM Care how gender
affects outcomemdashldquoDiagnostic Imagingrdquo
Nathan Alves Thromboelastography (TEG) shows variation depending on sample
source in Fibrinolysis in a large animal model of Pulmonary Embolism
Daren Beam Wide variability with clot induction to achieve submassive Pulmonary Embolism in an extremely controlled animal model
Daren Beam The RVLV ratio shows poor correlation and agreement with pulmonary vascular resistance in a submassive pulmonary embolism model
Marie Vrablik Clinical factors associated with mortality after Intracranial hemorrhage
Zachary Kahler Immediate discharge of low-risk venous thromboembolism A cost and safety analysis
Society for Academic Emergency Medicine (SAEM) Annual Meeting May 13 - 17 in Dallas TX
Stevens A Turner J Cooper D Soultz M ldquoA novel simulation program to train paramedic students in safe EMS patient handoffrdquo Poster at IMSH on Jan 27 2014
Wilbur L Carr D Jones M Milgrom L Ferraris E Jasiak K Ranft D Turner J Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate health professionsrdquo Poster at IMSH on Jan 27 2014
Leuck J Pearson D Clarke S Swaminathan A Mahoney H Medwid K Kegg J Byars D Getto L Turner J Cooper D Bullard M Anderson W ldquoA comparison of evaluation metrics for high-fidelity ACLS-based simulation cases for PGY-1 and PGY-3 level emergency medicine residents a pilot studyrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Woodyard C ldquoThe standardized (patient) jury An insight into deliberations for law students during a mock medical malpractice trialrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Scolaro K Durham C Shelly J and Hobgood CD ldquob-SAFER A systematic approach to delivering effective interprofessional handoffsrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Chatterji D Cowherd S Durham C Scolaro K Barrick J and Shelly J ldquoTeaching interprofessional root cause analysis using simulationrdquo Poster at IMSH on Jan 27 2014
Turner J and Cooper D ldquoIncrease the Fidelity How to Create A Multiple-Patient Simulationrdquo Podium Presentation at IMSH on Jan 28 2014
The International Meeting on Simulation in Healthcare (IMSH)January 27 in San Francisco CA
2014 Annual Scientific meeting of the American College of Medical Toxicology March 28-30 in Pheonix AZ
Frances Russell Diagnosing acute heart failure in patients with undifferentiated DyspneamdashA novel lung and cardiac ultrasound protocol
Rob Ehrman (Presented by Frances Russell) Can Emergency Physicians accurately diagnose and correctly classify diastolic dysfunction using bedside echocardiography
Peter Pang (future ED faculty)ldquoCan we improve outcomes in acute heart failure 2014 update on acute heart failure research
Carey Chisholm with John Ma ldquoEstablishing your niche The first five yearsrdquo Jason Schaffer Sphenopalatine Ganglion anesthesia for acute headache in the Emergency Department using a novel delivery device
ACEP Advanced Pediatric Emergency Medicine Assembly May 18 - 20 in New York City NY
SAEM Annual Meeting Continued
Jeffrey Kline
Tim Ellender CVP and Lactate Should Be Used to Guide Sepsis Treatment
Jeffrey Kline Manage PE as an Outpatient
Kevin Rodgers MacGyver in My ER
Elizabeth Weinstein Febrile Seizures in 2013
Tim Ellender When All Else Fails Pearls for the Critically Ill Patient with Refractory Hypoxemia
Kevin Rodgers Emergency Transfusions (including TEG)
Cherri Hobgood National Societies and Curriculum Development
Cherri Hobgood Panel Discussion Communication and Interaction between Societies at an International Level
Jennifer Walthall Altered Adolescents
Kevin Rodgers Resident In-Training Exam Review
Elizabeth Weinstein Head Injury in Kids
Jeffrey Kline Rule Out PE mdash Are We Doing the Right Thing for Our Patients
Jennifer Walthall Dealing With Autism in the ED
Ferraris E Turner J and Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate
health professionsrdquo
EC Moore SymposiumApril 4 in Indianapolis IN
leading in PRESENTATIONS
OrsquoDonnell D Savory E Mancera M Christopher S Roumpf S Schaffer J presented The availability of prior EKGrsquos improves paramedic accuracy in identifying STEMIrsquos at the NAEMSP 2014 Annual meeting in Tuscon AZ January 16-18 2014
Walthall J and Etter D Changing the Culture of the Culture Book A Pediatric Emergency Department Patient Safety Project Using Quality Improvement Process Analysisrdquo will be presented at the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Walthall J Showalter C and Thompson S Rough Riders An Educational Intervention in ATV Safety for Rural Children and Familiesrdquo abstract 755716 to the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Daren Beam and Zachary KahlerldquoHome treatment with target-specific anticoagulants (TSAs) for patients with venous thromboembolism (VTE) diagnosed in the Emergency Departmentrdquo
Jennifer Walthall Rough Riders An educational intervention to increase self-efficacy and knowledge of all-terrain vehicle safety among children and parents in a rural Indiana Community
Jeffrey Kline and others ldquoShark Tankrdquo Real world Research Proposalsrdquo
Carey Chisholm and Marie Vrablik ldquoA CLER plan Implementing a patient safety Council for residents and fellowsrdquo
Jamie Jones and others ldquoDemystifying ABEMrsquos maintenance of certification programrdquo
Jeffrey Kline and others ldquoCoping with rejection in research Resiliency strategies to effectively move forward after a setbackrdquo
Jennifer Walthall and Anne Whitehead ldquoVulnerable patients in the EDrdquo Diadactic curriculum Using patient voices to increase empathy and knowledge for Emergency Medicine residents
Other PresentationsHamed and JT Finnell Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data
Jianmin and JT Finnell Emergency Department Opiates and Mortality
Marie Vrablik Before the Bleed Identifying high risk patients for spontaneous intracranial hemorrhage
Terez Malka Professional Email Usage Among Physicians A Multi-Disciplinary Survey
Terez Malka Weapons Retrieved After the Implementation of Emergency Department Metal Detection
Ben Hunter Primary EMS Transport to a 24-hr PCI center is associated with increased survival in patients with out of hospital cardiac arrest
Jennifer Walthall Sean Thomas and others ldquoDeveloping a curriculum in advocacy for Emergency Medicinerdquo Jeffrey Kline and others ldquoRespecting Pulmonary Embolism Treating the spectrum of disease from outpatient management to systemic thrombolytics
Terez Malka Medical Student Symposium Q amp A with EM Resident Panel
Alice Mitchell ldquoEmergency Department Recidivism in Early Childhood is not a risk Factor for Child Maltreatmentrdquo
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
PRESENTATIONSleading in
Laura Tormoehlen gave a presentation entitled ldquoDeclaring Brain Death in the Toxicology Patientrdquo
Dan Rusyniak (with Howard Greller) presented ldquoTechno TATS Tricks Apps and Tipsrdquo
Laura Tormoehlen gave a didactic on ldquoAdvanced Neuroimaging and Toxicologyrdquo
Louise Kao organized the meeting and spoke at the ResidentStudent Luncheon on ldquoWhy Medical Toxicologyrdquo
Jeffrey Kline Gender-specific research in EM Care how gender
affects outcomemdashldquoDiagnostic Imagingrdquo
Nathan Alves Thromboelastography (TEG) shows variation depending on sample
source in Fibrinolysis in a large animal model of Pulmonary Embolism
Daren Beam Wide variability with clot induction to achieve submassive Pulmonary Embolism in an extremely controlled animal model
Daren Beam The RVLV ratio shows poor correlation and agreement with pulmonary vascular resistance in a submassive pulmonary embolism model
Marie Vrablik Clinical factors associated with mortality after Intracranial hemorrhage
Zachary Kahler Immediate discharge of low-risk venous thromboembolism A cost and safety analysis
Society for Academic Emergency Medicine (SAEM) Annual Meeting May 13 - 17 in Dallas TX
Stevens A Turner J Cooper D Soultz M ldquoA novel simulation program to train paramedic students in safe EMS patient handoffrdquo Poster at IMSH on Jan 27 2014
Wilbur L Carr D Jones M Milgrom L Ferraris E Jasiak K Ranft D Turner J Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate health professionsrdquo Poster at IMSH on Jan 27 2014
Leuck J Pearson D Clarke S Swaminathan A Mahoney H Medwid K Kegg J Byars D Getto L Turner J Cooper D Bullard M Anderson W ldquoA comparison of evaluation metrics for high-fidelity ACLS-based simulation cases for PGY-1 and PGY-3 level emergency medicine residents a pilot studyrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Woodyard C ldquoThe standardized (patient) jury An insight into deliberations for law students during a mock medical malpractice trialrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Scolaro K Durham C Shelly J and Hobgood CD ldquob-SAFER A systematic approach to delivering effective interprofessional handoffsrdquo Poster at IMSH on Jan 27 2014
Woodyard DJ Chatterji D Cowherd S Durham C Scolaro K Barrick J and Shelly J ldquoTeaching interprofessional root cause analysis using simulationrdquo Poster at IMSH on Jan 27 2014
Turner J and Cooper D ldquoIncrease the Fidelity How to Create A Multiple-Patient Simulationrdquo Podium Presentation at IMSH on Jan 28 2014
The International Meeting on Simulation in Healthcare (IMSH)January 27 in San Francisco CA
2014 Annual Scientific meeting of the American College of Medical Toxicology March 28-30 in Pheonix AZ
Frances Russell Diagnosing acute heart failure in patients with undifferentiated DyspneamdashA novel lung and cardiac ultrasound protocol
Rob Ehrman (Presented by Frances Russell) Can Emergency Physicians accurately diagnose and correctly classify diastolic dysfunction using bedside echocardiography
Peter Pang (future ED faculty)ldquoCan we improve outcomes in acute heart failure 2014 update on acute heart failure research
Carey Chisholm with John Ma ldquoEstablishing your niche The first five yearsrdquo Jason Schaffer Sphenopalatine Ganglion anesthesia for acute headache in the Emergency Department using a novel delivery device
ACEP Advanced Pediatric Emergency Medicine Assembly May 18 - 20 in New York City NY
SAEM Annual Meeting Continued
Jeffrey Kline
Tim Ellender CVP and Lactate Should Be Used to Guide Sepsis Treatment
Jeffrey Kline Manage PE as an Outpatient
Kevin Rodgers MacGyver in My ER
Elizabeth Weinstein Febrile Seizures in 2013
Tim Ellender When All Else Fails Pearls for the Critically Ill Patient with Refractory Hypoxemia
Kevin Rodgers Emergency Transfusions (including TEG)
Cherri Hobgood National Societies and Curriculum Development
Cherri Hobgood Panel Discussion Communication and Interaction between Societies at an International Level
Jennifer Walthall Altered Adolescents
Kevin Rodgers Resident In-Training Exam Review
Elizabeth Weinstein Head Injury in Kids
Jeffrey Kline Rule Out PE mdash Are We Doing the Right Thing for Our Patients
Jennifer Walthall Dealing With Autism in the ED
Ferraris E Turner J and Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate
health professionsrdquo
EC Moore SymposiumApril 4 in Indianapolis IN
leading in PRESENTATIONS
OrsquoDonnell D Savory E Mancera M Christopher S Roumpf S Schaffer J presented The availability of prior EKGrsquos improves paramedic accuracy in identifying STEMIrsquos at the NAEMSP 2014 Annual meeting in Tuscon AZ January 16-18 2014
Walthall J and Etter D Changing the Culture of the Culture Book A Pediatric Emergency Department Patient Safety Project Using Quality Improvement Process Analysisrdquo will be presented at the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Walthall J Showalter C and Thompson S Rough Riders An Educational Intervention in ATV Safety for Rural Children and Familiesrdquo abstract 755716 to the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Daren Beam and Zachary KahlerldquoHome treatment with target-specific anticoagulants (TSAs) for patients with venous thromboembolism (VTE) diagnosed in the Emergency Departmentrdquo
Jennifer Walthall Rough Riders An educational intervention to increase self-efficacy and knowledge of all-terrain vehicle safety among children and parents in a rural Indiana Community
Jeffrey Kline and others ldquoShark Tankrdquo Real world Research Proposalsrdquo
Carey Chisholm and Marie Vrablik ldquoA CLER plan Implementing a patient safety Council for residents and fellowsrdquo
Jamie Jones and others ldquoDemystifying ABEMrsquos maintenance of certification programrdquo
Jeffrey Kline and others ldquoCoping with rejection in research Resiliency strategies to effectively move forward after a setbackrdquo
Jennifer Walthall and Anne Whitehead ldquoVulnerable patients in the EDrdquo Diadactic curriculum Using patient voices to increase empathy and knowledge for Emergency Medicine residents
Other PresentationsHamed and JT Finnell Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data
Jianmin and JT Finnell Emergency Department Opiates and Mortality
Marie Vrablik Before the Bleed Identifying high risk patients for spontaneous intracranial hemorrhage
Terez Malka Professional Email Usage Among Physicians A Multi-Disciplinary Survey
Terez Malka Weapons Retrieved After the Implementation of Emergency Department Metal Detection
Ben Hunter Primary EMS Transport to a 24-hr PCI center is associated with increased survival in patients with out of hospital cardiac arrest
Jennifer Walthall Sean Thomas and others ldquoDeveloping a curriculum in advocacy for Emergency Medicinerdquo Jeffrey Kline and others ldquoRespecting Pulmonary Embolism Treating the spectrum of disease from outpatient management to systemic thrombolytics
Terez Malka Medical Student Symposium Q amp A with EM Resident Panel
Alice Mitchell ldquoEmergency Department Recidivism in Early Childhood is not a risk Factor for Child Maltreatmentrdquo
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
ACEP Advanced Pediatric Emergency Medicine Assembly May 18 - 20 in New York City NY
SAEM Annual Meeting Continued
Jeffrey Kline
Tim Ellender CVP and Lactate Should Be Used to Guide Sepsis Treatment
Jeffrey Kline Manage PE as an Outpatient
Kevin Rodgers MacGyver in My ER
Elizabeth Weinstein Febrile Seizures in 2013
Tim Ellender When All Else Fails Pearls for the Critically Ill Patient with Refractory Hypoxemia
Kevin Rodgers Emergency Transfusions (including TEG)
Cherri Hobgood National Societies and Curriculum Development
Cherri Hobgood Panel Discussion Communication and Interaction between Societies at an International Level
Jennifer Walthall Altered Adolescents
Kevin Rodgers Resident In-Training Exam Review
Elizabeth Weinstein Head Injury in Kids
Jeffrey Kline Rule Out PE mdash Are We Doing the Right Thing for Our Patients
Jennifer Walthall Dealing With Autism in the ED
Ferraris E Turner J and Cooper D ldquoA simulation-based education experience that is innovative reproducible and broadly applicable for learners from graduate and undergraduate
health professionsrdquo
EC Moore SymposiumApril 4 in Indianapolis IN
leading in PRESENTATIONS
OrsquoDonnell D Savory E Mancera M Christopher S Roumpf S Schaffer J presented The availability of prior EKGrsquos improves paramedic accuracy in identifying STEMIrsquos at the NAEMSP 2014 Annual meeting in Tuscon AZ January 16-18 2014
Walthall J and Etter D Changing the Culture of the Culture Book A Pediatric Emergency Department Patient Safety Project Using Quality Improvement Process Analysisrdquo will be presented at the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Walthall J Showalter C and Thompson S Rough Riders An Educational Intervention in ATV Safety for Rural Children and Familiesrdquo abstract 755716 to the 2014 Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting in Vancouver BC Canada
Daren Beam and Zachary KahlerldquoHome treatment with target-specific anticoagulants (TSAs) for patients with venous thromboembolism (VTE) diagnosed in the Emergency Departmentrdquo
Jennifer Walthall Rough Riders An educational intervention to increase self-efficacy and knowledge of all-terrain vehicle safety among children and parents in a rural Indiana Community
Jeffrey Kline and others ldquoShark Tankrdquo Real world Research Proposalsrdquo
Carey Chisholm and Marie Vrablik ldquoA CLER plan Implementing a patient safety Council for residents and fellowsrdquo
Jamie Jones and others ldquoDemystifying ABEMrsquos maintenance of certification programrdquo
Jeffrey Kline and others ldquoCoping with rejection in research Resiliency strategies to effectively move forward after a setbackrdquo
Jennifer Walthall and Anne Whitehead ldquoVulnerable patients in the EDrdquo Diadactic curriculum Using patient voices to increase empathy and knowledge for Emergency Medicine residents
Other PresentationsHamed and JT Finnell Emergency Physicians Assessment of Opiate Risk from Prescription Drug Monitoring Program Data
Jianmin and JT Finnell Emergency Department Opiates and Mortality
Marie Vrablik Before the Bleed Identifying high risk patients for spontaneous intracranial hemorrhage
Terez Malka Professional Email Usage Among Physicians A Multi-Disciplinary Survey
Terez Malka Weapons Retrieved After the Implementation of Emergency Department Metal Detection
Ben Hunter Primary EMS Transport to a 24-hr PCI center is associated with increased survival in patients with out of hospital cardiac arrest
Jennifer Walthall Sean Thomas and others ldquoDeveloping a curriculum in advocacy for Emergency Medicinerdquo Jeffrey Kline and others ldquoRespecting Pulmonary Embolism Treating the spectrum of disease from outpatient management to systemic thrombolytics
Terez Malka Medical Student Symposium Q amp A with EM Resident Panel
Alice Mitchell ldquoEmergency Department Recidivism in Early Childhood is not a risk Factor for Child Maltreatmentrdquo
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
NEWwhatrsquos
Donald (Joey) Woodyard is now the official Vice Chair and Director of Finance amp Administration-- a position he had done in a interim capacity for the past year Joey came to IUSM from the University of North Carolina where he graduated in 2002 and worked from 2005-2013 Joey was a member of the teaching faculty at the UNC School of Medicine and the Director of Assessment He taught an interprofessional teamwork training course for medical nursing and pharmacy students as well several undergraduate pre-medical internships In his administrative role Joey oversaw four divisions of the UNC SoM including the Standardized Patient Program the Patient Simulation Center the Introduction to Clinical Medicine Courses and the Office of Continuing Professional Development (CME) He brings a vast array of experiences to us
As the chief fiscal and administrative officer for the department Joey intends to improve efficiencies and budget transparency while finding new sources of revenue for the academic mission He will work alongside the other Vice Chairs to help Dr Hobgood make this department the best it can be Joey currently splits his time between Indianapolis and St Louis with his fianceacutee Dr Jamie Shelly PharmD who recently took a faculty position at the St Louis College of Pharmacy Please feel free to call on Joey to help with anything you need - he can typically be found walking around in a Tar Heel jacket
Leading our Finances
Our Next LeadERsWe would like to thank you all very much for electing us to be chiefs for next year It is going to be a true honor to serve all of you We really appreciate everyone who stepped up and ran as well Anyone of them would have been an amazing chief Thank you all once again Please let us know if we can do anything for you Your Up Coming ChiefsKaty Ash Emily Fitz Alex Rhea Matt Rutz Beth Beard Kyle Yoder
IUEM welcomes Paul MuseyOnce he got the news in March that the chances for snow were getting down to a manageable level Paul Musey moved his family to Indianapolis This new faculty member comes to us from Charlotte NCmdashafter being born raised and going to medical school in Atlanta GA Please try to help guide him in the maze of the IU Med School including Eskenazi (which some people are still tempted to leave breadcrumbs to find their way around) and Indianapolis in general They are interested in checking out interesting restaurants and local brews
His arrival helps round out the department since now not only do we have a faculty member with an appreciation for balloon animals and someone with the middle initial I (stands for Idun) but he promises to play a more eclectic range of music than Chisholm (if possible) while he works Paul is an EM physician with an interest in pain and research Indianapolis is a place he should find plenty of both
The Perfect PoemBy Barbara Salomon
The perfect ED poem might beA symphony written by a madman
Performed by an orchestra in chaos
Mrs Kantowitz lost for 5 hoursIn the CT scan suite
Returns to ask ldquoWhat happenedrdquoAnd receives little answers
The shackled addict of room 13Heated with gin angry at GodSpits on the nursing student
Who learns Never lean in too closeMr Bennett repeats the
Gettysburg addressFrom grade school memoryHis current address lost in
cobwebsIf only Roosevelt really was
PresidentThe man could be released
The pirouettes of resuscitationThe team performing injecting
improvisingMovements constant unstrained
Done out of drill and habitRehearsed
How is it on any given nightAt any given hour
Such a collection of humanityDescends effortlessly faithfully
As if there were cures at allEloquence waits for admission
Tonightrsquos poem stinks and bleedsIt has a pulse and force
What poet could capture this violence
Or impersonal beautyCreated by sound and fed by
imageErased each day with new
charactersThe lost epic of a motherrsquos eyes
Her son shot by strangersWritten again by the baby
Born too soonToo fast in the backseat
No time to recite the rhymeOr parse the meter
The perfect ED poem is written sung
And destroyed every nightBy the hours of the clock
Reprinted from Ann Emerg Med 33239-240 Feb 1999
Used by permission of Elsevier
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
For a complete listings from the Office of Faculty Affairs and Professional Development go to httpfacultymedicineiuedu
Stepping Stones of Women in Leadership with Dr Jodi Smith
Wednesday April 23 from 1145AM - 100PM Fairbanks Hall (FS) Room 5005
Presenter Jodi Smith MD PhD Director of Pediatric Neurosurgery at Riley Hospital for Childrenfinding Inspiration and Resilience in Medicine (fIRM) Symposium
Friday April 25 from 830AM - 330PM Eskenazi Hospital Rapp Family Conference Center
Keynote by Dr Liselotte Dyrbye from the Mayo Clinic Breakout sessions by Mark Mutz Richard Frankel Debbie Smith and Stephen Bogdewic
Mark Brothers of South Bend Lecture Vascular Stability Inflammation and Cancer
Tuesday April 29 from 130PM - 230PM Walther Hall (R3) Room203
The 2014 Mark Brothers Award will be presented to Dean Y Li MD PhD Associate Vice President for Research and Chief Scientific Officer Health Sciences Vice Dean for Research School of Medicine Director University of Utah Molecular Medicine (U2M2) Program HA
EVENTSleading in
UPCOMING EVENTS
Student Outreach ClinicOur program has the privilege of staffing the Student Outreach Clinic on the Near East Side for the month of May Those who have participated previously have had a great experience The clinic runs from 930-3 each Saturday of the month We need one staff and two to three residents per clinic Please contact Haigo at hsetrakiiupuiedu there might even be a smoothie incentive offered
42nd Annual Post Graduate CourseAt the Indiana State Chapter of ACEP we will host a pre-meeting simulation course on Ultrasound and the difficult airways at Fairbanks on April 30 2014 The meeting will follow at the Keystone at the Crossing Marriott North on May 1st and 2nd For more information go to wwwinaceporgannualconf1html
Sheryl Allen amp Rose House on AWAEM panelSheryl Allen and Rose House will be participating on the Academy of Women in Academic Emergency Medicine (AWAEM) panel on Thursday May 15 from 9 to 1030 am The title of the panel is ldquoLife Happened Now What (Career Restructuring after a Major Life Event)
If you have a story poem pictures award or event you would like
featured in our next LeadER contact Lauren Hernandez at
hernanlriuedu
NOW aCCEPTING NEW MEMBERS FOR THE LEADER
EDITORIAL BOARD Contact Lauren Hernandez or visit
emergencymedicineiueduresourcesthe-leader
