Public Release: 

Latest emergency medicine research highlights social issues

Diabetes, obesity, substance abuse and firearms injuries are featured

American College of Emergency Physicians

WASHINGTON ― Leading researchers in emergency medicine will present more than 400 studies during ACEP13-Scientific Assembly, the annual meeting of the American College of Emergency Physicians in Seattle, Washington. Sponsored by the American College of Emergency Physicians, the Research Forum will be held on Level 3, The Conference Center from 7:00 am to 5:00 pm on Monday, October 14th and Tuesday, October 15th. The Conference Center is part of the Washington State Convention Center.

Researcher physicians will present their latest findings in emergency medicine research, focusing on topics ranging from pediatrics to geriatrics, including toxicology, pain, injury prevention and public health. To search Research Forum by topic, presenter, title and time, visit:

From noon to 1:00 p.m. on Monday, October 14th, in room 302 of The Conference Center, the Research Forum Awards Luncheon will feature a session on the Patient Centered Outcomes Research Institute's push for comparative effectiveness research with speaker Eric Hess, MD.

At 4:00 p.m. on Monday, October 14th, in room 301 of Level 3 of The Conference Center, Dr. Jeremy Brown, the Director of the Office of Emergency Care Research (OECR) at the National Institutes of Health (NIH), will deliver the keynote address. An ACEP member and emergency physician, Dr. Brown will discuss how this new research center is organized and how it can help emergency care researchers. The OECR coordinates and fosters basic, clinical and translational research and research training for the emergency setting. The NIH is the largest federal agency dedicated to medical research. The formation of the OECR in 2012 was heralded as a significant advance for emergency medicine investigators and emergency patients and the fulfillment of a longstanding goal of ACEP and SAEM.

Each day of the Research Forum will feature a special "state-of-the-art" presentation in room 301 of The Conference Center: Ed Panacek, MD, FACEP, will moderate the presentation on Monday, October 14th at 1:00 p.m.; and Don Yealy, MD, FACEP, will moderate the presentation on Tuesday, October 15th at 8:00 a.m.

The Research Forum will close with a panel session, Cutting Edge: Highlights of Emergency Medicine Research, highlighting some of the most significant emergency medicine research, from 4 p.m. to 5:30 p.m. on Tuesday, October 15th, in room 301. The session will be moderated by Deborah Diercks, MD, FACEP and panelists for this event will include Judd Hollander, MD, FACEP, William Mallon, MD, FACEP and Scott Weingart, MD, FACEP.

Members of the news media can pre-register until September 30th at

Obtain credentials (and the latest daily news about the conference) in the Media Relations Office located at the Washington State Convention Center in room 212. An adjoining News Media Workroom is available for use by the press, and has telephones, internet connections (computers not provided) and workspace to conduct interviews. Members of the media who display ACEP13-Scientific Assembly press credentials have access to all educational sessions, the general session, the Research Forum, and the Exhibit Hall.


Media Relations Office Hours:

Sunday, Oct. 13 1:30 p.m. - 5:30 p.m.
Monday, Oct. 14 7:30 a.m. - 6:00 p.m.
Tuesday, Oct. 15 7:30 a.m. - 6:00 p.m.
Wednesday, Oct. 16 7:30 a.m. - 6:00 p.m.
Thursday, Oct. 17 7:30 a.m. - 11:30 a.m.

For additional information, contact Julie Lloyd at, Laura Gore at, Mike Baldyga at, or Elaine Salter at

ACEP is the national medical specialty society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies.

OCTOBER 14-15, 2013

Monday, October 14, 2013

8:00 a.m. - 9:00 a.m.
Poster presentations

An Innovative Solution to Reduce ED Recidivism Among Substance Abuse and Psychiatric Patients (#25)
Presenter: A. Joshua, University of California San Diego, San Diego, Calif.
Partnering with a community non-medical detox programs may be a cost-effective way to reduce repeat ER visits by patients who suffer from substance abuse dependence.

Reducing Emergency Department Admission Wait Times: Two Successful Approaches (#27)
Presenter: P.B. Patel, Kaiser Permanente, Roseville, Calif.
Two strategies combined to reduce wait times for admitted patients significantly increased the percentage of patients admitted to the hospital from the emergency
department within 60 minutes.

10:45 a.m. - 11:45 a.m.
Poster presentations

Emergency Medical Service Provider Hand Washing Practices (#122)
Presenter: J. Bucher, University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School, New Brunswick, N.J.
EMS provider hand hygiene is less than ideal: among other findings, only 13 percent of providers reported cleaning their hands before patient contact.

Outcomes of a Pilot Senior ED Program (#138)
Presenter: S.T. Wilber, Summa Akron City Hospital, Akron, Ohio
A pilot geriatric emergency department program reduced hospital admissions without increasing length of stay or revisits resulting in admission or observation.

2:30 p.m. - 4:00 p.m.
Poster presentations

Variation in Charges for ED Visits in California (#158)
Presenter: D. Ravikumar, University of California San Francisco, San Francisco, Calif.
The wide variation in charges for emergency department visits makes it difficult for patients to act as rational consumers of emergency care.

Cost Savings Associated with Transfer of Trauma Patients within an Accountable Care Organization (#163)
Presenter: B. Geyer, Brigham and Womens'/Massachusetts General Hospitals, Boston, Mass.
Trauma patients transferred from within an accountable care organization had significantly lower cost of hospitalization than those transferred from outside the system.

Decreased Imaging Use Associated with Transfer of Trauma Patients within an Accountable Care Organization (#176)
Presenter: B. Geyer, Brigham and Womens/Massachusetts General Hospitals, Boston, Mass.
Compared to trauma patients transferred from outside the accountable care organization, those transferred from within an accountable care organization had significantly fewer imaging studies performed.

A Six-Year Retrospective Review of Pediatric Firearm Injuries (#184)
Presenter: P.L. Hendry, University of Florida College of Medicine, Jacksonville, Fla.
Firearm injuries differ in younger victims and adolescents: Younger victims were more likely to be shot at home than in a public setting.

Childhood Obesity: Assessing the Parents' Perception of Children's Weight as a Health Risk (#191)
Presenter: E. Josephson, Lincoln Medical & Mental Health Center, Bronx, N.Y.
Even parents who recognize that their children were overweight did not perceive it to be a significant risk to their well-being.

Clinical and Demographic Characteristics Associated with Opioid Overdose Visits to United States Emergency Departments (#193)
Presenter: M. Yokell, Stanford University School of Medicine, Stanford, Calif.
For every fatal overdose from opiates visit to emergency departments in the United States, there are 63 non-fatal overdose visits.

Increasing Prevalence of Adult-Onset Diabetes Mellitus in Patients Seeking Care in the Emergency Department (#196)
Presenter: S. Sterling, University of Mississippi Medical Center, Jackson, Miss.
Between 2006 and 2011, the percentage of emergency department patients with adult-onset diabetes mellitus (diabetes) increased from 8.4 percent to 12.5 percent, and the percentage of diabetes for all patient visits increased from 10.7 percent to 16.1 percent.

Tuesday, October 15, 2013

9:30 a.m. - 11:30 a.m.
Poster presentations

Initial Patient Evaluation of Physicians, Based on Attire (#222)
Presenter: A. Burgess, University Hospitals Case Medical Center, Cleveland, Ohio
Patients preferred physicians to be wearing scrubs (55.63 percent) under their white coats to jeans (8.2 percent).

Characteristics of Patients Leaving an Emergency Department Against Medical Advice: Analysis of a National Database (#230)
Presenter: T. Peterson, University of Alabama at Birmingham, Birmingham, Ala.
Patients who leave the emergency department against medical advice are more likely to be male and more likely to visit the emergency department for chest pain than for an injury.

Increased Body Mass Index among Women Correlates with Increased Rates of Urine Contamination (#234)
Presenter: M. Zwank, Regions Hospital, Saint Paul, Minn.
Contamination in urine samples obtained at the emergency department is much higher among obese women than among women of average body weight.

Characteristics of "Doctor-Shopping" Patients in the Emergency Department (#251)
Presenter: S. Weiner, Tufts Medical Center, Boston, Mass.
Emergency physicians identified features common to patients who seek prescription drugs in the emergency department: they were more likely to report an allergy to non-narcotic pain relievers, to request a narcotic by name, to have multiple visits for the same complaint and to have pain out of proportion to the physical exam

The Impact of a Health Information Exchange on Resource Use and Medicare-Allowable Charges at Eleven Emergency Departments Operated by Four Major Hospital Systems in a Midsized Southeastern City: an Observational Study Using Clinical Estimates (#266)
Presenter: S. Saef, Medical University of South Carolina, Charleston, S.C.
Enrollment in health information exchanges reduced Medicare-allowable charged by an average of $1,947 per patient, principally due to avoided radiology studies and hospital admissions.

A Short Trauma Course for Physicians in a Resource-Limited Setting: Is Low-Cost Simulation Effective? (#274)
Presenter: J. Mackey, Brown University, Providence, R.I.
Participants in a 5-day trauma course in Nicaragua - where trauma is the leading cause of lost years of productive life - improved their scores on a written test by an average of 91.4 percent when taught by low-cost simulation training.

1:00 p.m. - 2:30 p.m.
Poster presentations

Injury Patterns of Mixed Martial Arts (MMA) Athletes in the United States (#299)
Presenter: D. Ross, University of Illinois College of Medicine at Peoria, Peoria, Ill.
Practitioners of the increasingly popular mixed martial arts are frequently treated for sprains, muscle strains and bruises in the emergency department; professional athletes are more likely to be injured than amateurs.

Are One-Day Admissions Better than ED Observation in Syncope Patients? (#312)
Presenter: K. Volz, Beth Israel Deaconess Medical Center, Boston, Mass.
Older, sicker patients are more likely to be hospitalized for syncope (fainting) but emergency department observation appears to be a safe way to evaluate these patients.

Care Plans Can Reduce Emergency Department Visits for Those with Drug-Seeking Behavior (#353)
Presenter: A. Flannery, Morristown Medical Center, Morristown, N.J.
Emergency department staff, in cooperation with primary care physicians, were able to reduce drug-seeking emergency patients' ER visits by 65 percent by creating tailored care plans for each patient.

Changing Incidence in Emergency Department Visits for Stroke (#369)
Presenter: K. Edwards, Morristown Medical Center, Morristown, N.J.
Between 1999 and 2008, the incidence of stroke in patients older than 65 decreased significantly, but among women age 35 to 44 it increased by 60 percent, which researchers speculate is due to increasing obesity.

2:30 p.m. - 3:30 p.m.
Poster presentations

The Effect of Emergency Department Crowding and Time of Day upon the Adherence to Early Goal-Directed Therapy (#395)
Presenter: A. Agrawal, University of Pennsylvania, Philadelphia, Penn.
During times when emergency departments are crowded, administration of critical interventions, such as intravenous fluids and antibiotics, is delayed.

The Impact of a New Freestanding Emergency Department on a County Emergency Medical Services System (#402)
Presenter: C. Tupe, University of Maryland, Baltimore, Md.
A new freestanding emergency department in a rural area 20 miles from the nearest hospital-based emergency department increased the efficiency of the local EMS system.

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