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UCSF Department of Emergency Medicine Newsletter
September 2016 Issue #61
ACHIEVEMENTS
Dr. John Brown, Associate Clinical Professor of Emergency Medicine,received the California ACEP Humanitarian Award at its annual meeting onSeptember 20. This award is given to a member who has dedicated orvolunteered a significant amount of their time and expertise to the service ofunderserved patients or those affected by disasters or significant worldevents. Dr. Brown has made eleven trips to Haiti working in village clinics.
Dr. Shruti Kant, Assistant Clinical Professor of Clinical EmergencyMedicine, graduated from the 2016 Teaching Scholars Program(TSP) and received a completion certificate from Dean TalmadgeKing. Also present were department chair Dr. Peter Sokolove, codirectors of the program, Drs. David Irby and Pat O'Sullivan, andformer TSP graduate Dr. Chris Fee.
FACULTY ANNOUNCEMENTS
Dr. Jahan Fahimi, Assistant Clinical Professor of Emergency Medicine, has taken a position inthe School of Medicine Bridges Curriculum as Violence Topic Steward to integrate alongitudinal violence curriculum for students.
Dr. Peter Sokolove, Professor of Emergency Medicine, lectured as faculty for the NationalEmergency Medicine Board Review course in Las Vegas and Baltimore in August.
Dr. Rais Vohra, Associate Clinical Professor of Emergency Medicine, is Director of MiniMedSchool 101, a series of healthrelated lectures hosted by the Academic Senate at UCSFFresno held on Tuesdays from September 6 through October 11. Dr. Susanne J. Spano,Assistant Clinical Professor of Emergency Medicine, will present "Is there a Doctor on Board?Emergency Medicine at 30,000 Feet." Dr. Danielle Campagne, Associate Professor ofEmergency Medicine, will present "Lost in the Wild: A Story of Search and Rescue." Dr. StacySawtelle Vohra, Assistant Clinical Professor of Emergency Medicine, and Dr. Stuart Maxwell,Associate Clinical Professor of Emergency Medicine, will present "Simulation in MedicalEducation: Hands on Experiences."
RESEARCH FUNDING AWARDS
Dr. Shruti Kant, Assistant Clinical Professor of Emergency Medicine, and Dr. Ellen Laves,Assistant Professor of Pediatrics, received an education research grant from the UCSF Centerfor Faculty Educators for their proposal "Learning Lumbar Punctures Aha! Moments andCognitive Thought Processes."
Dr. Hemal Kanzaria, Assistant Clinical Professor of Emergency Medicine, received the 2016Hearts Grant Award. Dr. Delphine Huang, PGY3, and Dr. Louis Yu, PGY2, are members ofthe grant team, and together they are exploring issues related to lowacuity ED visits and outofnetwork ED visits among San Francisco Health Network patients.
Dr. William Whetstone, Clinical Professor of Emergency Medicine, has received two grantsas CoPI: one from the Department of Defense for Early Critical Care Decisions and Outcomesafter Spinal Cord Injury, and the other from the Neilsen Spinal Cord Injury Foundation for aClinical Center of Excellence in Spinal Cord Injury.
INVITED PRESENTATIONS
Dr. Susanne Spano, Assistant Clinical Professor of Emergency Medicine, presented threelectures at the annual Northern California Search and Rescue Exercise (SAREX) sponsoredby California Governor's Office of Emergency Services: (1) "Who Dies and Why: Lost PersonBehavior Facilitated Discussion"; (2) "Building Your Own Wilderness First Aid Kit"; and (3)"Patient Assessment Movement & Treatment Exercise."
Dr. Danielle Campagne, Associate Professor of Clinical Emergency Medicine, presented"Orthopedic Fractures and Dislocations" also at SAREX in September.
Dr. Megann Young, Assistant Clinical Professor of Emergency Medicine, spoke at the nationalWMS (Wilderness Medical Society) Conference in Telluride, Colorado, on "Topics in MountainRescue: US National Parks." She also gave Grand Rounds at Highland Hospital in August.
Dr. Andi Tenner, Assistant Clinical Professor of Emergency Medicine, was invited to give akeynote talk at the International Emergency Care Course in Melbourne, Australia, onSeptember 7 and 8. She helped lead a preconference workshop on developing globalemergency care projects and delivered a talk entitled "Improving Emergency Care: The WHOStrategy." She was also invited by the United States Department of State's AntiTerrorismAssistance unit to present a talk on mass casualty incident management to a delegation fromPakistan, including top military, police, and political leaders. The talk was part of a weeklongSenior Crisis Management Seminar held in the Washington DC area.
Dr. Evelyn Porter, Assistant Clinical Professor of Emergency Medicine, Dr. Raj Daftary,Assistant Clinical Professor of Emergency Medicine, and Dr. Steven Bin, Associate ClinicalProfessor of Emergency Medicine, were invited to participate in a session on "Careers in
Critical Care" at the annual Pediatrics Residency retreat held at the Marconi ConferenceCenter in Point Reyes, California, on September 13.
MEDIA COVERAGEDr. Renee Hsia, Professor of Emergency Medicine, received media attention from Health Dayfor a study appearing in the September issue of the journal Health Affairs on the length of stayfor mental health patients seen in emergency departments (see publication below).
Dr. Craig Smollin, Professor of Emergency Medicine, gave a press conference regarding anoutbreak of poisoning due to gummy candies containing marijuana that sickened children inSan Francisco's Mission District.
RESIDENT ANNOUNCEMENTS
Dr. Maria Beylin, 2016 graduate of the UCSFSFGH Emergency MedicineResidency Program, received the Exceptional Physician Award from UCSFHealth for displaying the characteristics of our core values of PRIDE Professionalism, Respect, Integrity, Diversity and Excellence.
Dr. Shelby Murphy, PGY4, Dr. Gabe Sudario, PGY3, and Dr. ChloeThomas, PGY3, (below) taught at City College of San Francisco Paramedic
Training Program during their EMS rotation on August 17. This is their newest class ofparamedics with about 30 students.
Residents, ZSFG nurses, and EM faculty attended aGiants game on Tuesday, September 13, during theirSBP/Wellness outing. This was a welldeserved and muchappreciated event and a good time was had by all.
PUBLICATIONS
Abujaber S, Chang CY, Reynolds TA, Mowafi H, Obermeyer Z. Developing metrics foremergency care research in low and middleincome countries. African Journal ofEmergency Medicine. 2016; 6:11624.
Arens AM, van Wijk XM, Vo KT, Lynch KL, Wu AH, Smollin CG. Adverse effects fromcounterfeit alprazolam tablets. JAMA Internal Medicine. 2016; 176(10):15545.
Armenian P, Olson A, Anaya A, Kurtz A, Ruegner R, Gerona RR. Fentanyl and a novelsynthetic opioid U47700 masquerading as street "norco" in Central California: a casereport. Annals of Emergency Medicine. 2016 Jul 20. PMID: 27473610.
Catapano JS, John Hawryluk GW, Whetstone W, Saigal R, Ferguson A, Talbott J,Bresnahan J, Dhall S, Pan J, Beattie M, Manley G. Higher mean arterial pressure valuescorrelate with neurological improvement in patients with initially complete spinal cord injuries.World Neurosurgery. 2016; 96:729.
Chan TM, Thoma B, Krishnan K, Lin M, Carpenter C, Astin M, Kulasegaram K. Derivationof two critical appraisal scores for trainees to evaluate online educational resources: aMETRIQ study. Western Journal of Emergency Medicine: Integrating Emergency Care withPopulation Health; 2016; 17(5):57484.
Desautels T, Calvert J, Hoffman J, Jay M, Kerem Y, Shieh L, Shimabukuro D, Chettipally U,Feldman MD, Barton C, Wales DJ, Das R. Prediction of sepsis in the intensive care unitwith minimal electronic health record data: a machine learning approach. JMIR MedicalInformatics. 2016 Sep 30; 4(3):e28.
Donkor J, Armenian P, Hartman IN, Vohra R. Analysis of gastric lavage reported to astatewide poison control system. Journal of Emergency Medicine. 2016 Aug 29; 51(4):394400.
Kanzaria HK, BookerVaughns J, Itakura K, Yadav K, Kane B, Gayer C, Lin G, LeBlanc A,Gibson R, Chen EH, Williams P, Carpenter CR. Dissemination and implementation ofshared decisionmaking into clinical practice: a research agenda. Academic EmergencyMedicine. 2016 Aug 26. PMID: 27561951.
Kanzaria HK, Hoffman JR. Hotspotters aren't "the problem" ... but they are emblematic ofthe failure of U.S. healthcare. Journal of General Internal Medicine. 2016 Sep 6. PMID:27599488.
Langdorf MI, Lin M. Emergency medicine scholarship in the digital age. Western Journal ofEmergency Medicine. 2016 Sep; 17(5):51112.
LumbaBrown A, Tat S; Auerbach MA, Kessler DO, Alletag M, Grover P, Schnadower D,Macias CG, Chang TP. PEMNetwork: barriers and enablers to collaboration and multimediaeducation in the digital age. Pediatric Emergency Care. August 2016; 32(8):5659.
Massey K, Kant S, Violano P, Roney L, King W, Justice W, Mcfalls K, Monroe K. Evaluatingdistracted driving behaviors in parents of children in suburban and rural areas of Alabama.Journal of Trauma and Acute Care Surgery. 2016; 81(4):S447.
Meyer DJ, Young M. Expanding wilderness medicine fellowship eligibility beyondemergency medicine. Wilderness & Environmental Medicine. 2016 Jun; 27(2):33840.
Nath JB, Costigan S, Lin F, Vittinghoff E, Hsia RY. Federally qualified health center accessand emergency department use among children. Pediatrics. 2016; 138(4):e20160479.
Raja AS, Mower WR, Nishijima DK, Hendey GW, Baumann BM, Medak AJ, RodriguezRM. Prevalence and diagnostic performance of isolated and combined NEXUS chest CTdecision criteria. Academic Emergency Medicine. 2016 Aug; 23(8):8639.
Raven MC, Tieu L, Lee CT, Ponath C, Guzman D, Kushel M. Emergency department use ina cohort of older homeless adults: results from the HOPE HOME study. AcademicEmergency Medicine. 2016 Aug 13; doi: 10.1111/acem.13070. [Epub ahead of print]
Reynolds TA, Noble J, Paschal G, Sawe HR, Sohoni A, Shah S, Nicks B, Mwafongo V,Stein J. Bedside ultrasound training at Muhimbili National Hospital in Dar es Salaam,Tanzania and Hospital San Carlos in Chiapas, Mexico. African Journal of EmergencyMedicine. 2016; 6:12531.
Sporer K, Jacobs M, Derevin L, Duval S, Pointer J. Continuous quality improvement effortsIncrease survival with favorable neurologic outcome after outofhospital cardiac arrest.Prehospital Emergency Care. 2016 Sep; 14:16. [Epub ahead of print]
Sunde C, Spano S. Wilderness care of acute traumatic wounds curriculum. Trauma Casesand Reviews. 2016; 2:039. Tangherlini N, Villar J, Brown J, Rodriguez RM, Yeh C, Friedman BT, Wada P. TheHOME team: evaluating the effect of an EMSbased outreach team to decrease thefrequency of 911 use among high utilizers of EMS. Prehospital and Disaster Medicine. 2016;31(6):15.
Wang RC, SmithBindman R, Whitaker E, Neilson J, Allen IE, Stoller ML, Fahimi J. Effectof tamsulosin on stone passage for ureteral stones: a systematic review and metaanalysis.Annals of Emergency Medicine. 2016 Sep 7. doi: 10.1016/j.annemergmed.2016.06.044.[Epub ahead of print]
Weichenthal L, Crane D, Rond L. Needle thoracostomy in the prehospital setting: aretrospective observational study. Prehospital Emergency Care. 2016 MayJun; 20(3):399403.
Zaver F, Hansen M, Leibner E, Little A, Lin M. Blog and podcast watch: pediatricemergency medicine. Western Journal of Emergency Medicine. 2016; 17(5):51318.
Zhu JM, Singhal A, Hsia RY. Emergency department lengthofstay for psychiatric visitswas significantly longer than for nonpsychiatric visits, 200211. Health Affairs (Millwood).2016. 35(9):16981706.
POSTER PRESENTATIONS
Dr. Elizabeth Kwan, Assistant Clinical Professor of EmergencyMedicine, pictured with Dr. Peter Sokolove, Professor and Chairof the Department of Emergency Medicine, and Dr. StevePolevoi, Clinical Professor of Emergency Medicine, at the firstannual UCSF Health Improvement Symposium poster session.The CDU reduced short stay cardiology and medicine admissionsby 9% and 8% respectively. A conservative estimate based on
firstyear billing data is that the unit saved an average of four inpatient beds a day. If those fourbeds are then occupied (by average telemetry patients), the CDU should generate a netfinancial advantage of over $30 million over ten years.
Dr. Ellen Weber, Professor of Clinical Emergency Medicine, atthe Royal College of Emergency Medicine in BournemouthEngland presenting "Decision support tool in an EMR improvesordering for pulmonary embolus." The project was a multidisciplinary effort involving Department of Emergency Medicine(Dr. Maria Beylin, Dr. Ralph Wang, Dr. Esther Chen, Dr.Caterina Liu, Jersey Neilson) and Radiology (Dr. JohnMongan, Dr. Karen Ordovas, Dr. Rebecca SmithBindman) withAndrew Robinson from UCSF IT Services. The poster was alsopresented at the UCSF Health Improvement Symposium.
BOOK CHAPTERSSpano S. Medicine in the National Park Service in P. Auerbach, et al., ed. WildernessMedicine, 7th Edition. St. Louis, Missouri: Elsevier Health Sciences USA, 2016.
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