final program - American Academy of Emergency Medicine

17th Annual American Academy of Emergency Medicine Scientific Assembly

FEBRUARY 28–MARCH 2, 2011

AssemblyScientific17TH ANNUAL

FINAL PROGRAM

Orlando,FloridaThe American Academy of Emergency Medicine (AAEM) is the specialty society of emergency medicine. A democratic

organization with more than 6,500 members, AAEM is committed to establishing board certification as the standard for

specialists in EM and to securing fair and equitable work environments throughout the EM community.

17th Annual Scientific Assembly FEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 1


Plenary SessionsPlaza International Ballroom I-K

7:45am

Howard Blumstein, MD FAAEMAAEM PresidentWelcome, Opening Remarks

8:00am

Lisa Sanders, MDKeynote SpeakerA 22 Year Old Woman with Fever, Jaundice and Bloody Diarrhea: A Case of Diagnostic Error

9:00amCorey Slovis, MD FAAEM Literature Update: Best of the Rest

10:00am BREAK

10:15am

Peter DeBlieux, MD FAAEMLiterature Update: Critical Care

11:15am

Ghazala Sharieff, MD FAAEMLiterature Update: Pediatrics

12:15pmLUNCH (on your own)

Visit the Exhibit Hall in Plaza International G & H

Conference ScheduleMonday, February 28, 2011



Track A Track B Track C Track D Track E

When the Shift Hits the Fan, Cringe-Inducing Triage Notes Plaza International Ballroom I-K

Emergency ImagingFlorida Ballroom A

PediatricsFlorida Ballroom B

Subspecialty Panels Florida Ballroom C

Resident Research ForumPlaza International Ballroom D

1:00pm

Amal Mattu, MD FAAEM55 y/o Male: “CP, recent negative stress test.”

David Newman, MD Understanding Diagnostic Testing

Ghazala Sharieff, MD FAAEM4 week old: “He’s not breathing right.”

EMS PanelRoger Stone, MD FAAEMModeratorRichard Joe Ybarra, MDEvolution of Private Emergency Medicine Practices: Independent Freestanding EDs and Interface with EMSBrian J. Browne, MD FAAEMThe Hospital Satellite Freestanding ED: Planning and Implementation of a New Facility and its Role within a Greater EMS SystemMarvin A. Wayne, MD FACEP FAAEMImproved Neurologic Outcomes after Pre-hospital Resuscitative Efforts: Results of the “ResQ Pod” (Impedance Device) TrialDavid K. Tan, MD FAAEMThe Approval of EMS as our Newest Sub-Specialty: Implications for the Emergency Physician

Moderator/Judge:Stephen R. Hayden, MD FAAEMJudges:Howard Blumstein, MD FAAEMRobert McNamara, MD FAAEMDavid Slattery, MD FAAEM

1:30pm

Stuart Swadron, MD FAAEM65 y/o Male: “Bleeding from tracheotomy.”

Scott Melanson, MD FAAEMWhich Pancreatitis Patient Needs CT Scanning?

Dave Nelson, MD FAAEMSubQ Rehydration: Should I Be Doing It?

2:00pm Manish Garg, MD FAAEM84 y/o Female: “Weak and dizzy.”

Bart Besinger, MD FAAEM Subtle Radiographs with Major Implications

Andrea Marmor, MD Mononucleosis: New Look at an Old Problem

2:30pm

Stuart Swadron, MD FAAEM67 y/o Male: “Coughed up some blood.”

Michael Epter, DO FAAEM Can Head CT and CT Angiography Really Rule out SAH?

Elizabeth Weinstein, MD FAAEMBeyond Bactrim and the CT Scanner - What the EM Physician MUST Know about Evaluating Hematuria in the Pediatric Patient

3:00pmBREAK

Visit the Exhibit Hall in Plaza International G & H

3:30pmPeter DeBlieux, MD FAAEM My Vented Patient is Still Hypoxemic

Kevin Reed, MD FAAEM 24 y/o Female: Vaginal bleeding, 34 weeks pregnant

Dave Nelson, MD FAAEM A Funny Looking Kid: Does it Change Evaluation?

Clinical Toxicology Update — 2011: Four Antidotes that You Need to Know!

Pralidoxime for Organophosphate Poisoning

Intravenous Sylibinin for Amatoxin Poisoning

Intralipid Emulsion Therapy

Hyrdoxocobalamin for Cyanide Toxicity

Ziad Kazzi, MD FAAEMS. Todd Mitchell, MD MPHTammi Schaeffer, DO FAAEMCharles McKay, MDJosef Thundiyil, MD FAAEM

4:00pm

Peter DeBlieux, MD FAAEM I Think This Patient is Sick but I Can’t Prove It

Michael Epter, DO FAAEM Beyond the Obvious; What CT Findings Preclude the Use of tPA in Acute Ischemic Strokes

David Newman, MD Why Do We Treat for Strep Throat?

4:30pm

Kevin Reed, MD FAAEM19 y/o Female: Pregnant, “Foot sticking out of vagina.”

Paul Sierzenski, MD RDMS FAAEM Ultrasound in Kids: Are They Just Little Adults?

Andrea Marmor, MD PCV-13 Vaccine: What Does it Mean for Fever Without a Source?

5:00pm

Manish Garg, MD FAAEM Chicken Pox: Who Gets Treated

Paul Sierzenski, MD RDMS FAAEM What’s the RUSH? Using Ultrasound in Undifferentiated Shock

Elizabeth Weinstein, MD FAAEMScary: The Sickle Cell Child in Shock

5:30pmAwards CeremonyFlorida Ballroom A

6:30pmOpening Reception

Plaza International Ballroom G & H

8:00pmAAEM Movie Screening “21 and a Wakeup”

Regal Pointe Orlando

Monday, February 28, 2011

Conference Schedule



Track A

Plenary SessionsPlaza International Ballroom I-K

7:45amAmal Mattu, MD FAAEM Literature Update: Cardiology

8:45am

Seung Ho Kim, MDPast President, Korean Society of Emergency MedicineTBA

9:00amJim Roberts, MD FAAEM Literature Update: Neurology

10:00am BREAK

10:30am

Arjun Chanmugam, MD FAAEM Literature Update: Infectious Disease

11:30am

S. V. Mahadevan, MD FAAEMLiterature Update: Trauma

12:30pmLunch and Annual Business Meeting

Plaza International I-K

Conference ScheduleTuesday, March 1, 2011



Track A Track B Track C Track D Track F

Is This a Piece of Your Brain?Plaza International Ballroom I-K

Why is Pain Such a Pain: The ED ParadoxFlorida Ballroom A

When the Shift Hits the Fan: Cringe-Inducing Triage NotesFlorida Ballroom B

The Best of Morbidity and Mortality Florida Ballroom C

Resident TrackPlaza International F

2:30pmAmal Mattu, MD FAAEMThe Integration of EKG into Your Practice

3:00pm

Chad Kessler, MD FAAEM* What Does “Questionable Loss of Consciousness” Mean?(Retrograde vs. Anterograde Amnesia)

Larry Raney, MD FAAEM Should We Be Using Agonist-Antagonist Pain Meds in the Emergency Department?

Christopher Lee, MD FAAEM18 y/o Male: “Stabbed in chest, just lost pulse.” (EMS call)

Mark Favot, MDA. Joseph Garcia, MDBut He Presented with Hematemesis!

Paul Sierzenski, MD RDMS FAAEMThe Integration of Ultrasound into Your Practice

3:30pm

Bart Besinger, MD FAAEMFine Tuning Treatment of the Injured Brain: Position, Sugar, Temperature, Blood Pressure

Karl Nibbelink, MDI Suspect My Colleague is Using Drugs: What Should I Do?

Maureen McCollough, MD6 week old: “Seizing for the past 30 minutes”

Sneha H. Shah, MD Rodney Omron, MD MPH The Difficult Psychiatric Patient

Michael Epter, DO FAAEMCV Workshop

4:00pm

Kevin Rodgers, MD FAAEMReversing Anticoagulants in the Patient with Brain Trauma

Karl Nibbelink, MD My Colleague is Back from Rehab: How Should I Act?

Karen Santucci, MD9 y/o Female: (Mother) “I think her father is abusing her.”

Jairo Ulloa, MDJairo Santanilla, MD37 year old Female with Abdominal Pain

Elizabeth Hall, MD FAAEMImproving Patient Satisfaction

4:30pm

Scott Melanson, MD FAAEM Which Neck Injuries Require Vascular Imaging?

Sergey Motov, MD FAAEM“My Doctor is on Vacation and I Ran Out of Percocet.” Dealing with Suspected Drug Diverters

Chandra Aubin, MD 24 y/o Female: “Caught in house fire.”

Caroline Molins, MDPitfalls in the “Inappropriate” Patient

Arjun Chanmugam, MD FAAEMFinding Your Niche in EM

5:00pm Brian Lin, MD FAAEM* Is Head Injury Protection RSI a Myth?

Larry Raney, MD FAAEM How Effective Are Non-Opioid Pain Relievers?

Maureen McCollough, MD2 y/o old male: “He took some of grandma’s pills.”

Richard Kirkpatrick, MDDennis Hernandez, MD FAAEMNeonatal Fever

5:15pmCarey Chisholm, MD FAAEMMaking the Transition from Resident to Faculty...Successfully

5:30pm

Chandra Aubin, MDIdiopathic Intracranial Hypertension: All You Need to Know in the Emergency Department

Sergey Motov, MD FAAEMPain Management in the Addicted Patient: Now What?

Karen Santucci, MD 7 y/o Female: “Can’t swallow, voice sounds funny.”

Jill Ward, MD Jason Sniffen, DO Septic Cavernous Sinus Thrombosis

6:00pmABEM Town Hall Meeting

Florida Ballroom A

7:00pm ADJOURN

Tuesday, March 1, 2011

Conference Schedule



Track A Track B Track C Track D

Managing Critical Patients in the EDPlaza International Ballroom I-J

Abdominal Complaints: What’s in the “Black Box?”Florida Ballroom A

Clinical Questions?Florida Ballroom B

Nuts and Bolts of Running an ERFlorida Ballroom C

8:00am

Evie Marcolini, MD FAAEM Does Antibiotic Choice Change Outcomes in Sepsis? Gorillacillin and Cephakillemol: Who Needs Big Gun Antibiotics?

Angela Mills, MD FAAEMIs this Really Peritonitis?

Harsh Sule, MD FAAEM Abscess Treatment: Who Needs Antibiotic? Who Needs Repacking? Can We Do Primary Closure?

Gary Gaddis, MD FAAEM How Do I Get Propofol in My ED?

8:30am

Evie Marcolini, MD FAAEMDoes Pressor Choice or Use Change Outcomes in Sepsis?

Jack Perkins, MD FAAEM*Do “Belly Labs” Ever Help?

Ingrid Lim, MD FAAEMDo Prophylactic Antibiotics Make any Difference in Wounds?

Mark Reiter, MD MBA FAAEMHow Can I Maximize My RVUs…Honestly?

9:00am

Michael Winters, MD FAAEMWhat Does CORTICUS Tell Us about Steroids and Sepsis?

Jack Perkins, MD FAAEM*Are PPIs Really Better Than H2 Blockers?

Joe Lex, MD FAAEM Saline vs. NAC vs. Bicarb vs. Vitamin C: How Important is CIN? Can We Prevent it in the ED?

Robert McNamara, MD FAAEM Is the AMA Relevant to EM?

9:30am

Heatherlee Bailey, MD FAAEM CPAP and BiPAP? Who Might I Hurt? Why Would I Choose One Over the Other? Pre-Hospital?

Chad Kessler, MD FAAEM*Who Really Needs a Rectal Exam?

Lisa Moreno-Walton, MD FAAEM* Bell’s Palsy: Steroids? Antivirals? Both? Neither?

Leslie Zun, MD FAAEM Optimizing the ED: Mid-levels, Extenders, Scribes

10:00am

Tim Ellender, MD Low-Molecular Weight Heparin vs. Unfractionated Heparin: When does it Matter

Angela Mills, MD FAAEMWho Really Needs an NG Tube?

Harsh Sule, MD FAAEM HyperK: What Really Works?

William T. Durkin, MD MBA FAAEMImpact of LEAN Techniques on EM Management

10:30am

Lisa Moreno-Walton, MD FAAEM* Should We be Using Tranexamic Acid in Trauma Patients?

Ingrid Lim, MD FAAEM Belly Pain in the Immunocompromised: Does this Change Everything?

Andrew Johnson, MD FAAEM* Complications of In Vitro Fertilization

Larry Weiss, MD JD FAAEM High Points of the Mandatory Insurance Legislation

11:00amHeatherlee Bailey, MD FAAEM Is Hypoxemia Dangerous?

Brian Lin, MD FAAEM* The Liver Transplant Patient: What’s Different?

Leslie Zun, MD FAAEM The Rational Clearance for Psychiatric Care

Robert McNamara, MD FAAEM Does Burnout Still Exist?

11:30am

Michael Winters, MD FAAEMWhat are the New Sepsis Biomarkers: Can They Help in the Emergency Department?

Tim Ellender, MDCan I Diagnose SBP without Tapping the Belly?

Andrew Johnson, MD FAAEM* Why an EM Physician is Ideal for Directing Disaster Relief

Mark Reiter, MD MBA FAAEMNo Waiting Room:Risks and Benefits

12:00pm ADJOURN

Conference Schedule

*Previous Open Mic Winners

Wednesday, March 2, 2011



Conference Schedule - Detailed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Open Mic Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

General Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Statements of Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Exhibit Hall Directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Support Acknowledgement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Hotel Floor Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Certificate of Workplace Fairness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Table of Contents



Conference Schedule

7:00am Registration Opens

Plenary

Plaza International Ballroom I-K

7:45am - 8:00am Welcome, Opening RemarksHoward Blumstein, MD FAAEMAAEM President

8:00am - 9:00am A 22 Year Old Woman with Fever, Jaundice and Bloody Diarrhea: A Case of Diagnostic Error.Lisa Sanders, MDAssistant Clinical Professor, Yale School of Medicine; Clinician Educator, Yale Primary Care Internal Medicine Residency ProgramLearning Objectives1. Understand the frequency of diagnostic error.2. Recognize the multiple causes of diagnostic error.3. Appreciate strategies for prevention of diagnostic

error.

9:00am - 10:00am Literature Updates: Best of the RestCorey Slovis, MD FAAEMProfessor of Emergency Medicine and Medicine, Medical Director, Metro Nashville Fire Department and Nashville International AirportLearning Objectives1. Become familiar with use of video laryngoscope.2. Understand the potential role of dropeidol for

aggitated ED patients.3. Know when to consider not performing an L.P. for

suspected subarachnoid hemorrhage.4. Be facile with newer methods of managing atrial

fibrillation.

10:00am - 10:15am Break – Please visit Exhibitors in the Plaza International Ballroom G & H

10:15am - 11:15am Literature Update: Critical CarePeter DeBlieux, MD FAAEMLSUHSC Professor of Clinical Medicine, LSUHSC New Orleans Director of Emergency Medicine Services ILPH, LSUHSC Emergency Medicine Director of Faculty and Resident DevelopmentLearning Objectives1. Improve vasopresor use in sepsis.2. Understand hypotension risks in trauma.3. Improve dosing of vancomycin.

11:15am - 12:15pm Literature Updates: PediatricsGhazala Sharieff, MD FAAEM FAAP FACEPDirector of Pediatric Emergency Medicine, Palomar-Pomerado Health System/California Emergency Physicians; Professor, University of California San DiegoLearning Objectives1. To be familiar with the latest literature in the field of

pediatric emergency medicine.

Concurrent Sessions Begin

Track A – When the Shift Hits the Fan, Cringe-Inducing Triage Notes


1:00pm - 1:30pm 55 y/o Male: “CP, recent negative stress test.”Amal Mattu, MD FAAEMProfessor and Residency Director, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MarylandLearning Objectives1. Understand the limitations of stress testing.2. Understand how new knowledge of atherogenesis is

changing our understanding regarding how reliable stress tests are.

3. Understand the utility of invasive testing.

1:30pm - 2:00pm 65 y/o Male: “Bleeding from tracheotomy.”Stuart Swadron, MD FRCP FAAEMVice-Chair for Education, Department of Emergency Medicine, Los Angeles County/USC Medical Center; Associate Professor, Keck School of Medicine, University of Southern CaliforniaLearning Objectives1. To know the differential diagnosis of bleeding from a

tracheostomy.2. To have a simple clinical approach to the patient with

a bleeding or obstructed tracheostomy.

2:00pm - 2:30pm 84 y/o Female: “Weak and dizzy.”Manish Garg, MD FAAEMAssociate Professor of Clincal Emergency Medicine, Associate Residency Program Director, Department of Emergency Medicine, Temple University Hospital; Director of Global Health Education, Temple University School of MedicineLearning Objectives1. Apply new principles to improve their everyday

practice of emergency medicine. 2. Increase their understanding of the emergency

medicine workplace.

2:30pm - 3:00pm 67 y/o Male: “Coughed up some blood.”Stuart Swadron, MD FRCP FAAEMVice-Chair for Education, Department of Emergency Medicine, Los Angeles County/USC Medical Center; Associate Professor, Keck School of Medicine, University of Southern CaliforniaLearning Objectives1. To have a simple clinical approach to the patient with

massive hemopytsis.

3:00pm - 3:30pm Break – Please visit Exhibitors in the Plaza International Ballroom G & H

3:30pm - 4:00pm My Vented Patient is Still HypoxemicPeter DeBlieux, MD FAAEMLSUHSC Professor of Clinical Medicine, LSUHSC New Orleans Director of Emergency Medicine Services ILPH, LSUHSC Emergency Medicine Director of Faculty and Resident Development

Conference ScheduleFebruary 28, 2011



Conference Schedule

Learning Objectives1. Understand oxygen saturation goals for hypoxic

patients.2. Generate a functional differential for hypoxic patients

on mechanical ventilation.3. Understand a logical clinical approach to the hypoxic

patient on mechanical ventilation.

4:00pm - 4:30pm I Think This Patient is Sick but I Can’t Prove It?Peter DeBlieux, MD FAAEMLSUHSC Professor of Clinical Medicine, LSUHSC New Orleans Director of Emergency Medicine Services ILPH, LSUHSC Emergency Medicine Director of Faculty and Resident DevelopmentLearning Objectives1. Understand limitations of vital signs in shock

assessment.2. Generate a differential diagnosis for shock.3. Understand the clinical value of bed side ultrasound

in assessing shock.

4:30pm - 5:00pm 19 y/o Female: Pregnant, “Foot sticking out of vagina.”Kevin Reed, MD FAAEMAssistant Professor of Emergency Medicine, Georgetown University and Washington Hospital Center, Emergency Medicine ResidencyLearning Objectives1. Review the various risk factors for and types of fetal

breech presentations.2. HELP!!! Who should you call to assist in an

emergency delivery?3. Review what equipment is needed and the most

common method for a successful footling breech delivery in the ED setting.

5:00pm - 5:30pm Chicken Pox: Who Gets Treated?Manish Garg, MD FAAEMAssociate Professor of Clincal Emergency Medicine, Associate Residency Program Director, Department of Emergency Medicine, Temple University Hospital; Director of Global Health Education, Temple University School of MedicineLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

5:30pm - 6:30pm Awards Ceremony Florida Ballroom A

6:30pm - 7:30pm Opening Reception Please join us for an Opening Reception in the Exhibit

Hall in Plaza International Ballroom G & H

Track B – Emergency Imaging

Florida Ballroom A

1:00pm - 1:30pm Understanding Diagnostic TestingDavid Newman, MDLearning Objectives1. Understand how to use a diagnostic test.2. Understand how to interpret and use likelihood ratios.3. Understand the test threshold.

1:30pm - 2:00pm Which Pancreatitis Patient Needs CT Scanning?Scott Melanson, MD FAAEMResidency Program Director, Emergency Medicine Residency, St. Luke’s Hospital, Bethlehem, PA; Associate Professor of Emergency Medicine, Temple University School of Medicine, Philadelphia, PALearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

2:00pm - 2:30pm Subtle Radiographs with Major ImplicationsBart Besinger, MD FAAEMAssistant Professor of Clinical Emergency Medicine, Indiana University School of Medicine, Department of Emergency MedicineLearning Objectives1. Describe the radiographic appearance of abnormal

gas collections within the abdomen.2. Identify some subtle radiographic signs of fracture

and identify artifacts that might mimic fracture on X-ray.

3. Recognize subtle CT findings of cerebral venous thrombosis.

2:30pm - 3:00pm Can Head CT and CT Angiography Really Rule out SAH?Michael Epter, DO FAAEMAssociate Professor, Program Director, Emergency Medicine Residency Program, University of NevadaLearning Objectives1. Discuss the current diagnostic paradigm in the

workup of patients with subarachnoid hemorrhage (SAH).

2. Appraise the value of CTA in the diagnostic workup of worst headache of life presentations – specifically, SAH.

3. Utilizing best evidence, formulate a diagnostic strategy for the management of patients with potential SAH.


3:30pm - 4:00pm 24 y/o Female: “Vaginal bleeding, 34 weeks pregnant.”Kevin Reed, MD FAAEMAssistant Professor of Emergency Medicine, Georgetown University and Washington Hospital Center, Emergency Medicine Residency

February 28, 2011



Conference Schedule

Learning Objectives1. Review the differential for life-threatening and non-

life-threatening causes of vaginal bleeding in the third trimester.

2. Highlight historical clues and physical exam findings that should raise your concern for an obstetric emergency.

3. Review pre-hospital care, initial ED evaluation and management, and ultimate disposition in patients with third trimester vaginal bleeding.

4:00pm - 4:30pm Beyond the Obvious; What CT Findings Preclude the Use of tPA in Acute Ischemic StrokesMichael Epter, DO FAAEMAssociate Professor, Program Director, Emergency Medicine Residency Program, University of NevadaLearning Objectives1. Identify and distinguish radiographic features of early

ischemic changes (EIC) on CT scan. 2. Discuss best evidence of what findings on CT scan

may increase the risk of hemorrhagic transformation after administering tPA.

4:30pm - 5:00pm Ultrasound in Kids: Are They Just Little Adults?Paul Sierzenski, MD RDMS FAEMLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

5:00pm - 5:30pm What’s the RUSH? Using Ultrasound in Undifferentiated ShockPaul Sierzenski, MD RDMS FAAEMLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.




Track C – Pediatrics

Florida Ballroom B

1:00pm - 1:30pm 4 week old: “He’s not breathing right.”Ghazala Sharieff, MD FAAEM FAAP FACEPDirector of Pediatric Emergency Medicine, Palomar-Pomerado Health System/California Emergency Physicians; Professor, University of California San DiegoLearning Objectives1. To be familiar with the management of bronchiolitis

in infants.2. To know the management guidelines for asthma.

1:30pm - 2:00pm SubQ Rehydration: Should I Be Doing It?Dave Nelson, MD FAAEMAssistant Professor of Emergency Medicine, Director of Pediatrics Emergency Medicine Residency, University of Nevada School of MedicineLearning Objectives1. Review the history of subcutaneous hydration.2. Discuss the current literature and analyze the results

(briefly).3. Describe/demonstrate the procedure for

subcutaneous rehydration.4. Discuss the ease, practicality and the acceptability of

this procedure by staff and patients.

2:00pm - 2:30pm Mononucleosis: New Look at an Old ProblemAndrea Marmor, MDAssistant Professor of Pediatrics, University of California, San Francisco, San Francisco General HospitalLearning Objectives1. Describe the indications and options for serologic

testing for mononucleosis in children/teens.2. Recognize signs and symptoms that suggest

mononucleosis in children of different ages.3. Recommend/prescribe appropriate and effective

medications for symptom control for children/teens with mononucleosis.

4. List three possible complications of mononucleosis and describe how they can be prevented or managed.

2:30pm - 3:00pm Beyond Bactrim and the CT Scanner - What the EM Physician MUST Know about Evaluating Hematuria in the Pediatric PatientElizabeth Weinstein, MD FAAEM FAAPIndiana University School of MedicineLearning Objectives1. Develop a rational approach to the evaluation of

hematuria in the pediatric patient.2. Develop a rational approach to the management of

hematuria in the pediatric patient.3. Develop a rational approach to the disposition of the

pediatric patient with hematuria.4. Recognize the diverse presentations of post

streptococcal glomerulonephritis, as well as the important aspects of evaluation and management.

5. Recognize presentations of hemolytic uremic syndrome and understand critical aspects of stabilization and management.


3:30pm - 4:00pm A Funny Looking Kid: Does it Change Evaluation?Dave Nelson, MD FAAEMAssistant Professor of Emergency Medicine, Director of Pediatrics Emergency Medicine Residency, University of Nevada School of Medicine

February 28, 2011



Conference Schedule

Learning Objectives1. Review common conditions and syndromes that

dysmorphic children may have, including Down’s Syndrome and other genetic conditions.

2. Discuss the potential medical problems that these children (from infancy through adolescence) may encounter when ill or after trauma.

3. Preparing for the critically ill dysmorphic child – anticipating difficulties relating to airway, musculoskeletal and metabolic abnormalities.

4:00pm - 4:30pm Why Do We Treat for Strep Throat?David Newman, MDLearning Objectives1. Review and understand the goals of therapy for

streptococcal pharyngitis.2. Become familiar with the trial literature of antibiotics

versus placebo for streptococcal pharyngitis.3. Review the harms and benefits of antibiotic therapy

for streptococcal pharyngitis.

4:30pm - 5:00pm PCV-13 Vaccine: What Does it Mean for Fever with a Source?Andrea Marmor, MDAssistant Professor of Pediatrics, University of California, San Francisco, San Francisco General HospitalLearning Objectives1. Describe the impact of the PCV-7 vaccine and the

basis for development of PCV-13.2. Employ an evidence-based strategy of selective

testing in young infants/children with fever without a source.

3. Estimate the likelihood of pyelonephritis and other occult serious bacterial infection (bacteremia, meningitis) in a young infant with fever without a source.

5:00pm - 5:30pm Scary: The Sickle Cell Child in ShockElizabeth Weinstein, MD FAAEM FAAPIndiana University School of MedicineLearning Objectives1. Recognize the unique causes of shock in the

pediatric patient with sickle cell disease.2. Understand the management priorities for the sickle

cell patient with acute chest syndrome.3. Understand indications for emergent simple

transfusion and exchange transfusion for the ill patient with sickle cell disease.

4. Recognize and correctly manage acute splenic sequestration crisis.

5. Understand nuances in management and evaluation of the pediatric patient with sickle cell disease and fever.




Track D – Subspecialty Panels

Florida Ballroom C

1:00pm - 3:00pm EMS PanelRoger Stone, MD FAAEMClinical Assistant Professor, Emergency Medicine, University of Maryland School of Medicine; EMS Medical Director, Montgomery Co Fire Rescue; Medical Director, Caroline Co EMS Programs; Associate EMS Medical Director, Carroll Co Emergency ServicesLearning Objectives1. To present new topics which effect our specialists

and their interface with out-of-hospital (EMS) providers.

2. To familiarize the audience about emerging trends in the delivery of emergency care outside of traditional hospitals.

3. To present different models of Freestanding Emergency Medicine practices, private and hospital satellite, and interface issues with EMS.

4. To present data about promising new technologies in EMS that effect patient care by our physicians.

5. To provide practicing AAEM members with and without EMS involvement with an update about our newest subspecialty.

Evolution of Private Emergency Medicine Practices: Independent Freestanding EDs and Interface with EMSRichard Joe Ybarra, MDLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

The Hospital Satellite Freestanding ED: Planning and Implementation of a New Facility and its Role within a Greater EMS SystemBrian Browne, MD FAAEMChairman and Professor of Emergency Medicine, University of Maryland School of MedicineLearning Objectives1. Review the community problems, specifically the lack

of a hospital and emergency care facility and strain on the local EMS resources.

2. Review the major collaboration involved in developing the free standing ED.

3. Review the first three months of clinical operations and the financial impact.

4. Review the next steps for the free standing ED, the local parent hospital, and the university health care system.

February 28, 2011



Conference Schedule

Improved Neurologic Outcomes after Pre-hospital Resuscitative Efforts: Results of the “ResQ Pod” (Impedance Device) TrialMarvin Wayne, MD FAAEMAssociate Clinical Professor, University of Washington; EMS Medical Program Director, Whatcom County, Washington; Attending, Department of Emergency Medicine, PeaceHealth St. Joseph Medical Center, Bellingham, WashingtonLearning Objectives1. Describe current state of cardiac arrest and CPR.2. Discuss the physiology of CPR and how it might be

improved.3. Describe the outcome of the multi-center ResQ Trial-

device vs standard CPR.4. Describe the use of therapeutic hypothermia for post

resuscitation care.

The Approval of EMS as our Newest Sub-Specialty: Implications for the Emergency PhysicianDavid K. Tan, MD FAAEMAssistant Professor and Chief, EMS Section, Division of Emergency Medicine, Washington University School of Medicine; Chair, Operational EMS Committee, National Association of EMS PhysiciansLearning Objectives1. Describe the approval process of EMS as a

subspecialty.2. Describe the anticipated board certification process

for EMS.3. Discuss the anticipated timeline for board

certification in EMS.4. Review the significance of official specialty

recognition by ABEM and ABMS.


3:30pm - 5:30pm Clinical Toxicology Update – 2011: Four Antidotes that You Need to Know

Pralidoxime for Organophosphate PoisoningLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

Intravenous Sylibinin for Amatoxin PoisoningLearning Objectives1. The under appreciated worldwide scope and impact

of amatoxin mushroom poisoning.2. Rapid ED identification and triage of potential

amatoxin mushroom poisoning.3. ED management of the amatoxin poisoned patient.

Do’s and don’ts.4. New developments in the clinical management of

amatoxin mushroom poisoning.5. The importance of aggressive hydration in the ED

and early referral for admission for preventing early renal failure.

Intralipid Emulsion TherapyLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

Hyrdoxocobalamin for Cyanide ToxicityLearning Objectives1. Be able to discuss the mechanism of action of

cyanide.2. Be able to discuss the mechanism of action of

hydroxocobalamin in reversing cyanide toxicity.3. Be able to list some of the adverse effects

and laboratory interferences associated with hydroxocobalamin administration.

Faculty: Ziad Kazzi, MD FAAEMAssistant Professor, Department of Emergency Medicine-Section of Medical Toxicology; Director, International Toxicology Post-doctoral Fellowship, Emory University; Assistant Medical Director, Georgia Poison Center

Charles McKay, MD Medical Director, Department of Occupational Health Services Section; Chief, Division of Medical Toxicology; Associate Medical Director, Connecticut Poison Control Center; Associate Professor of Emergency Medicine University of Connecticut School of Medicine; Board of Directors, American College of Medical Toxicology

S. Todd Mitchell, MD MPHAssistant Professor, Department of Emergency Medicine-Section of Medical Toxicology; Director, International Toxicology Post-doctoral Fellowship, Emory University; Assistant Medical Director, Georgia Poison Center

Tammi Schaeffer, DO FAAEMAssistant Clinical Professor, University of Colorado-Denver, School of Medicine; Rocky Vista University College of Osteopathic Medicine, Rocky Mountain Poison and Drug Center, Denver Health, Denver, CO

February 28, 2011



Conference Schedule

Josef Thundiyil, MD FAAEMAttending Physician in Emergency Medicine and Medical Toxicology, Assistant Residency Program Director, Orlando Regional Medical Center; Department of Emergency Medicine, Clinical Assistant Professor; Florida State University, College of Medicine; University of Central Florida, College of Medicine; University of Florida, College of Medicine


6:30pm - 7:30pm Opening Reception

Please join us for an Opening Reception in the Exhibit Hall in Plaza International Ballroom G & H

Track E – AAEM/JEM Competition

Plaza International D

1:00pm - 5:30pm AAEM/JEM Resident and Student Original Research CompetitionModerator/Judge:Stephen R. Hayden, MD FAAEMProfessor of Clinical Medicine, Department of Emergency Medicine, UCSD Medical Center, San Diego, CA; Editor-in-Chief, Journal of Emergency Medicine

Judges:Howard Blumstein, MD FAAEMWake Forest University School of Medicine, Emergency Department

Robert McNamara, MD FAAEMProfessor and Chairman, Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PA

David Slattery, MD FAAEMAssistant Professor and Research Director, Department of Emergency Medicine, University of Nevada School of Medicine




February 28, 2011



Conference Schedule

Plenary


7:45am - 8:45am Literature Update: CardiologyAmal Mattu, MD FAAEMProfessor and Residency Director, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MarylandLearning Objectives1. List the most recent updates in the 2010

AHA Guidelines.2. Describe optimal care of the cardiac arrest patient as

well as post-arrest care.3. Understand the utility of the San Francisco Syncope

Rules.

8:45am - 9:00am TBASeung Ho Kim, MDPast President, Korean Society of Emergency Medicine

9:00am - 10:00am Literature Update: NeurologyJim Roberts, MD FAAEMProfessor, Emergency Medicine, Drexel University College of Medicine; Chair, Department of Emergency Medicine, Mercy Catholic Medical Center, Philadelphia, PALearning Objectives1. Understand advances in the presentation and

treatment of various necrologic disorders presenting to the ED.

2. Update the knowledge base for the acute treatment of stroke.

10:00am - 10:30am Break – Please visit Exhibitors in the Plaza International Ballroom G & H

10:30am - 11:30am Literature Updates: Infectious DiseaseArjun Chanmugam, MD FAAEMAssociate Professor, Department of Emergency Medicine, Johns Hopkins University School of MedicineLearning Objectives1. Gain familiarity with the important developments that

occurred in 2010 in infectious disease.2. Understand the impact of antibiotic resistance on

current practice.3. Review the controversy regarding mask choice for

use in managing influenza.4. Review the treatment of C. Difficile and MRSA.5. Understand the impact of dengue fever.

11:30am - 12:30pm Literature Updates: TraumaS.V. Mahadevan, MD FAAEMAssociate Professor of Surgery/Emergency Medicine, Associate Chief, Division of Emergency Medicine, Medical Director, Stanford University Emergency DepartmentLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

12:30pm - 2:30pm Lunch and Annual Business Meeting

Concurrent Sessions Begin

Track A – Is This a Piece of Your Brain?


3:00pm - 3:30pm What Does “Questionable Loss of Consciousness” Mean? (Retrograde vs. Anterograde Amnesia)Chad Kessler, MD FAAEMSection Chief, Emergency Medicine, Jesse Brown VA Medical Center; Assistant Professor Emergency Medicine, University of Illinois-Chicago College of MedicineLearning Objectives1. Understand what is meant by “Questionable Loss of

Consciousness.”2. Know how to manage these patients in the

emergency department.3. Clear understanding of mild traumatic brain injury.

3:30pm - 4:00pm Fine Tuning Treatment of the Injured Brain: Position, Sugar, Temperature, Blood PressureBart Besinger, MD FAAEMAssistant Professor of Clinical Emergency Medicine, Indiana University School of Medicine, Department of Emergency MedicineLearning Objectives1. Describe the importance of proper positioning of the

head-injured patient.2. Identify optimal body temperature goals.3. Examine the role of glucose management.4. Identify strategies for optimal blood pressure

management.

4:00pm - 4:30pm Reversing Anticoagulants in the Patient with Brain TraumaKevin Rodgers, MD FAAEMProfessor of Clinical Emergency Medicine and Co-Program Director, Emergency Medicine Residency, Indiana UniversityLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

4:30pm - 5:00pm Which Neck Injuries Require Vascular Imaging?Scott Melanson, MD FAAEMResidency Program Director, Emergency Medicine Residency, St. Luke’s Hospital, Bethlehem, PA; Associate Professor of Emergency Medicine, Temple University School of Medicine, Philadelphia, PALearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

5:00pm - 5:30pm Is Head Injury Protection RSI a Myth?Brian Lin, MD FAAEMAttending Physician, Kaiser Permanente, San Francisco, Department of Emergency Medicine; Assistant Clinical Professor, UCSF Department of Emergency Medicine

March 1, 2011



Conference Schedule

Learning Objectives1. The dogma. Review of major emergency medicine

texts and expert recommendations regarding pre-medication to protect patients with increases in intracranial pressure during RSI.

2. Where’s the evidence? A critical look at the evidence driving current recommendations.

3. Head injury protection and the practice of emergency medicine: Examination of what’s really being done in EM practice, barriers to following recommendations, and the future of pre-medication in RSI.

5:30pm - 6:00pm Idiopathic Intracranial Hypertension: All You Need to Know in the Emergency DepartmentChandra Aubin, MDAssistant Professor, Assistant Residency Director, Emergency Medicine, Washington University School of MedicineLearning Objectives1. Understand the pathophysicology of IIH.2. Understand the diagnostic criteria.3. Understand of the treatment of IIH, including weight

loss, acetozolamide and surgical therapies.4. Understand of complications of untreated IIH, which

is primarily vision loss.5. Understand of potential complications of VP shunt.

6:00pm - 7:00pm ABEM Town Hall Meeting Florida Ballroom A

Track B – Why is Pain Such a Pain: The ED Paradox

Florida Ballroom A

3:00pm - 3:30pm Should We Be Using Agonist-Antagonist Pain Meds in the Emergency Department?Larry Raney, MD FAAEMAssociate Professor, Emergency Medicine, Medical University of South CarolinaLearning Objectives1. Review pharmacology of agonist-antagonists.2. Compare efficacy of same.3. Apply the above to emergency medicine.

3:30pm - 4:00pm I Suspect My Colleague is Using Drugs: What Should I Do?Karl Nibbelink, MDEmergency Physician, Mercy Hospital, Janesville, WILearning Objectives1. Understand the scope of the problem.2. Identify warning signs of substance abuse.3. Identify barriers to referral/treatment.4. Develop an intervention/referral strategy.

4:00pm - 4:30pm My Colleague is Back from Rehab: How Should I Act?Karl Nibbelink, MDEmergency Physician, Mercy Hospital, Janesville, WILearning Objectives1. Understand the treatment program.2. Identify specific needs in the early return to work

period.3. Discuss aftercare and relapse.4. Know the long-term prognosis for physicians.

4:30pm - 5:00pm “My Doctor is on Vacation and I Ran out of Percocet.” Dealing with Suspected Drug DivertersSergey Motov, MD FAAEMDepartment of Emergency Medicine, Maimonides Medical CenterLearning Objectives1. Define the problem of drug diversion in the ED.2. Identify the behavioral profile of drug diverters in the ED.3. Describe the strategies to minimize drug diversion in

the ED.

5:00pm - 5:30pm How Effective are Non-Opioid Pain Relievers?Larry Raney, MD FAAEMAssociate Professor, Emergency Medicine, Medical University of South CarolinaLearning Objectives1. Review non-opiod choices.2. Review efficacy of same.3. Review utility for these in the emergency department.

5:30pm - 6:00pm Pain Management in the Addicted Patient: Now What?Sergey Motov, MD FAAEMDepartment of Emergency Medicine, Maimonides Medical CenterLearning Objectives1. Describe the strategies to minimize drug diversion in

the ED.2. Review the common characteristic of a drug addicted

patient in the ED.3. Discuss the practical methods of treating acute pain

in the addicted person in the ED.


Track C – When the Shift Hits the Fan: Cringe-Inducing Triage Notes

Florida Ballroom B

3:00pm - 3:30pm 18 y/o Male: “Stabbed in chest, just lost pulse.” (EMS call)Christopher Lee, MD FAAEMAssistant Professor, Department of Emergency Medicine, Director, Center for International Emergency Medicine, Stony Brook University Medical CenterLearning ObjectiveTo understand the concept of emergency department treatment of thoracic trauma. To understand the controversies regarding emergency department thoracotomy.

March 1, 2011



Conference Schedule

3:30pm - 4:00pm 6 week old: “Seizing for the past 30 minutes.”Maureen McCollough, MDAssociate Professor of Emergency Medicine and Pediatrics, Keck USC School of Medicine; Director, Pediatric Emergency Medicine, Department of Emergency Medicine, Los Angeles County USC Medical CenterLearning Objectives1. Understand the etiologies of seizures in very young

infants.2. Recognize seizure activity in a very young infant.3. Understand the management of status epilepticus in

very young infants.

4:00pm - 4:30pm 9 y/o Female: (Mother) “I think her father is abusing her.”Karen Santucci, MDAssociate Professor of Pediatrics, Medical Director and Section Chief of Pediatric Emergency Medicine, Yale-New Haven Children’s HospitalLearning Objectives1. At the completion of the session, participants will

have an appreciation for when to suspect the possibility of non-accidental injury in pediatrics.

2. Participants will gain insight into the essentials of appropriate documentation of the history and physical.

3. Participants will gain an understanding of who a mandated reporter is and when to report.

4. Participants will explore and gain appreciation for the most common masqueraders of abuse.

5. Participants will gain appreciation for useful strategies during the assessment of a possible abuse case and when called to court.

4:30pm - 5:00pm 24 y/o Female: “Caught in house fire.”Chandra Aubin, MDAssistant Professor, Assistant Residency Director, Emergency Medicine, Washington University School of MedicineLearning Objectives1. Update on current guidelines for volume resuscitation

in burn injuries and potential complications.2. Update on current recommendations/controversy

regarding treatment of CO poisoning.3. Update on management and potential complications

of inhalation injuries.4. Update on current recommendations for wound care

of burns.

5:00pm - 5:30pm 2 y/o Male: “He took some of grandma’s pills.”Maureen McCollough, MDAssociate Professor of Emergency Medicine and Pediatrics, Keck USC School of Medicine; Director, Pediatric Emergency Medicine, Department of Emergency Medicine, Los Angeles County USC Medical Center

March 1, 2011

Learning Objectives1. Know the limited list of medications that are toxic to

small children even in small quantities.2. Understand the differences between the presentation

of these toxins in children compared to adults.3. Understand the initial management of pediatric

patients manifesting signs or symptoms of these toxins.

5:30pm - 6:00pm 7 y/o Female: “Can’t swallow, voice sounds funny.”Karen Santucci, MDAssociate Professor of Pediatrics, Medical Director and Section Chief of Pediatric Emergency Medicine, Yale-New Haven Children’s HospitalLearning Objectives1. Participants will gain an appreciation for the

etiologies of throat pain and change in voice quality in a child.

2. At the completion of the session, participants will know the potential complications of a variety of throat infections.

3. Participants will have an understanding of differences in the presentation of throat infections across age groups.

4. Participants will know which labs/studies to order to make an appropriate diagnosis.

5. Participants will gain an understanding of treatment plans for infections of the throat in pediatrics.


Track D – The Best of Morbidity and Mortality

Florida Ballroom C

3:00pm - 3:30pm But He Presented with Hematemesis!Mark Favot, MDA. Joseph Garcia, MDHenry Ford Hospital

3:30pm – 4:00pm The Difficult Psychiatric Patient Sneha H. Shah, MD Rodney Omron, MD MPH Johns Hopkins Hospital, Department of Emergency Medicine

4:00pm - 4:30pm 37 year old Female with Abdominal PainJairo Ulloa, MDJairo Santanilla, MDLouisiana State University, New Orleans

4:30pm - 5:00pm Pitfalls in the “Inappropriate” PatientCaroline Molins, MDFlorida Hospital

5:00pm - 5:30pm Neonatal FeverRichard Kirkpatrick, MDDennis Hernandez, MD FAAEMFlorida Hospital



Conference Schedule

5:30pm - 6:00pm Septic Cavernous Sinus ThrombosisJill Ward, MD Jason Sniffen, DOFlorida Hospital


Track F – Resident Track

Plaza International Ballroom F

2:30pm - 3:00pm The Integration of EKG into Your PracticeAmal Mattu, MD FAAEMProfessor and Residency Director, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MarylandLearning Objectives1. Identify how the morphology of the ST segments can

help distinguish between STEMI vs. pericarditis.2. Identify how the evaluation of reciprocal changes can

help distinguish between STEMI vs. pericarditis.3. Identify how the evaluation of clinical factors help in

the distinction between STEMI vs. pericarditis.

3:00pm - 3:30pm The Integration of Ultrasound into Your PracticePaul Sierzenski, MD RDMS FAAEMLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

3:30pm - 4:00pm CV WorkshopMichael Epter, DO FAAEMAssociate Professor, Program Director, Emergency Medicine Residency Program, University of NevadaLearning Objectives1. Identify the key elements of a CV.2. Provide participants with pearls and pitfalls when

compiling their CV.

4:00pm - 4:30pm Improving Patient SatisfactionElizabeth Hall, MD FAAEMPhysician Champion of Patient Satisfaction; AAEM YPS Secretary/Treasurer; Assistant Residency Director, Clinical Assistant Professor, York Hospital, York PALearning Objectives1. Explain why patient satisfaction is important.2. Discuss the challenges faced by emergency

physicians.3. Discuss key factors that impact patient satisfaction in

the ED.4. Provide techniques to improve patient satisfaction in

the ED.

4:30pm - 5:15pm Finding Your Niche in EMArjun Chanmugan, MD FAAEMAssociate Professor, Department of Emergency Medicine, Johns Hopkins University School of MedicineLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

5:15pm - 6:00pm Transition from Resident to Faculty...SuccessfullyCarey Chisholm, MD FAAEMProfessor of Emergency Medicine, Indiana University School of MedicineLearning Objectives1. Understand the issues that new graduates find most

challenging.2. Provide management recommendations to avoid

pitfalls and to better assimilate into the new workplace/role.


March 1, 2011



Conference Schedule

Track A – Managing Critical Patients in the ED

Plaza International Ballroom I-J

8:00am - 8:30am Does Antibiotic Choice Change Outcomes in Sepsis? Gorillacillin and Cephakillemol: Who Needs Big Gun Antibiotics?Evadne Marcolini, MD FAAEMAssistant Professor, Department of Emergency Medicine and Critical Care, Yale University School of MedicineLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

8:30am - 9:00am Does Pressor Choice or Use Change Outcomes in Sepsis?Evadne Marcolini, MD FAAEMAssistant Professor, Department of Emergency Medicine and Critical Care, Yale University School of MedicineLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

9:00am - 9:30am What Does CORTICUS Tell Us about Steroids and Sepsis?Michael Winters, MD FAAEMAssistant Professor of Emergency Medicine and Medicine, Co-Director, Combined EM/IM/Critical Care Program, University of Maryland School of Medicine; Medical Director, Adult Emergency Department, University of Maryland Medical CenterLearning Objectives1. Describe the CORTICUS study and list the pertinent

results.2. Compare and contrast the CORTICUS study with

previous trials evaluating the use of corticosteroids in patients with sepsis.

3. Discuss the current recommendations for the administration of corticosteroids to emergency department patients with sepsis.

9:30am - 10:00am CPAP and BiPAP? Who Might I Hurt? Why Would I Choose One Over the Other? Prehospital?Heatherlee Bailey, MD FAAEMDirector of Critical Care Education, Division of Emergency Medicine, Duke University Medical CenterLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

10:00am - 10:30am Low-Molecular Weight Heparin vs. Unfractionated Heparin: When Does It Matter?Tim Ellender, MDAssistant Professor of Clinical Emergency Medicine, Indiana University Department of Emergency Medicine; Emergency Medicine and Critical Care, IC-EM:Clarian Health/Methodist HospitalLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

10:30am - 11:00am Should We be Using Tranexamic Acid in Trauma Patients?Lisa Moreno-Walton, MD FAAEMAssociate Professor, Emergency Medicine, LSU-New Orleans; Assistant Professor, Research Genetics, LSU-New Orleans; Assistant Professor, Medicine Research- LSU-New Orleans; Associate Residency Program Director, Emergency Medicine; Clinical Research SchoolLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

11:00am - 11:30am Is Hypoxemia Dangerous?Heatherlee Bailey, MD FAAEMDirector of Critical Care Education, Division of Emergency Medicine, Duke University Medical CenterLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

11:30am - 12:00pm What are the New Sepsis Biomarkers: Can They Help in the Emergency Department?Michael Winters, MD FAAEMAssistant Professor of Emergency Medicine and Medicine, Co-Director, Combined EM/IM/Critical Care Program, University of Maryland School of Medicine; Medical Director, Adult Emergency Department, University of Maryland Medical CenterLearning Objectives1. Identify the use of biomarkers in the identification,

risk stratification, treatment and prognostication of ED patients with sepsis.

2. Discuss the use of interleukin-6, C-reactive protein and procalcitonin in the evaluation and management of ED patients with sepsis.

3. Describe the use of biomarker panels in the management of septic patients.

March 2, 2011



Conference Schedule

Track B – Abdominal Complaints: What’s in the “Black Box?”

Florida Ballroom A

8:00am - 8:30am Is this Really Peritonitis?Angela Mills, MD FAAEMAssistant Professor of Emergency Medicine, University of PennsylvaniaLearning Objectives1. To understand the etiology of acute peritonitis.2. To understand the key historical and physical

examination components in the diagnosis of acute peritonitis.

3. To understand the available key diagnostic testing for the evaluation of acute peritonitis.

8:30am - 9:00am Do “Belly Labs” Ever Help?Jack Perkins, MD FAAEMLearning Objectives1. Identify the elderly as high-risk patients with

abdominal pain.2. Understand that serum lactate levels should not be

used as screening tests in undifferentiated abdominal pain.

3. The WBC is not sufficiently sensitive nor specific to help identify patients with surgical disease.

4. Lipase should only be used in the context of a history and physical exam suggesting pancreatitis.

5. Performing serial abdominal examinations and improving the quality of our discharge instructions will help improve the care of patients with undifferentiated abdominal pain.

9:00am - 9:30am Are PPIs Really Better Than H2 Blockers?Jack Perkins, MD FAAEMLearning Objectives1. Understand physiology of PPI’s and H2-blockers.2. Realize H2-blockers have no role in treatment of

UGIB.3. PPI are treatment of choice for UGIB.4. PPI are superior to H2-blockers for GERD, but

over-the-counter PPI’s may be just as effective as prescription PPI.

5. Either PPI or H2-blocker is reasonable first treatment of PUD.

9:30am - 10:00am Who Really Needs a Rectal Exam?Chad Kessler, MD FAAEMSection Chief, Emergency Medicine, Jesse Brown VA Medical Center; Assistant Professor Emergency Medicine, University of Illinois-Chicago College of MedicineLearning Objectives1. Understand when to do a rectal exam in the

emergency department, when not to, and the evidence that supports those decisions.

2. Understand the controvery and lack of evidence-based medicine for this age-old practice.

10:00am - 10:30am Who Really Needs an NG Tube?Angela Mills, MD FAAEMAssistant Professor of Emergency Medicine, University of PennsylvaniaLearning Objectives1. To understand the indications and contraindications

of nasogastric tubes in emergency medicine practice.2. To understand the complications of nasogastric tube

placement and use.3. To understand the available evidence for the use of

nasogastric tubes

10:30am - 11:00am Belly Pain in the Immunocompromised: Does This Change Everything?Ingrid Lim, MD FAAEMKaiser Permanente, San Francisco Medical Center, Department of Emergency Medicine, Chief, Continuing Medical Education; Assistant Clinical Professor, University of California, San FranciscoLearning Objectives1. Recognize the classifications of immunocompromise

and how they influence the abdominal pain workup.2. Diagnose diseases that are unique to the severely

compromised patient with AIDS, malignancy, neutropenia and post-transplant.

11:00am - 11:30am The Liver Transplant Patient: What’s Different?Brian Lin, MD FAAEMAttending Physician, Kaiser Permanente, San Francisco, Department of Emergency Medicine; Assistant Clinical Professor, UCSF Department of Emergency MedicineLearning Objectives1. A brief review of liver transplantation including

history, current scope of the problem, and where we stand today.

2. Management of early & late complications of liver transplant that may present to your emergency department, including an overview of immunosuppressive medications.

3. New techniques, issues and challenges in liver transplantation relevant to the practice of emergency medicine.

11:30am - 12:00pm Can I Diagnose SBP without Tapping the Belly?Tim Ellender, MDAssistant Professor of Clinical Emergency Medicine, Indiana University Department of Emergency Medicine; Emergency Medicine and Critical Care, IC-EM:Clarian Health/Methodist HospitalLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

March 2, 2011



Conference Schedule

Track C – Clinical Questions?

Florida Ballroom B

8:00am - 8:30am Abscess Treatment: Who Needs Antibiotic? Who Needs Repacking? Can We Do Primary Closure?Harsh Sule, MD FAAEMAssistant Professor of Emergency Medicine, Associate Residency Director, Director, International Emergency Medicine; Co-Director, Global Health FellowshipLearning Objectives1. Discuss whether antibiotics are necessary in the

treatment of routine cutaneous abscesses.2. Discuss the need and options for antibiotic treatment

in light of MRSA infections.3. Review the literature regarding the need for packing

an abscess, repacking and repeat ED visits for wound checks.

4. Explore the possibility of primary closure.5. Present a practical algorithm for abscess

management in the ED.

8:30am - 9:00am Do Prophylactic Antibiotics Make Any Difference in Wounds?Ingrid Lim, MD FAAEMKaiser Permanente, San Francisco Medical Center, Department of Emergency Medicine, Chief, Continuing Medical Education; Assistant Clinical Professor, University of California, San FranciscoLearning Objectives1. Discuss the evidence behind use of prophylactic

antibiotics for wound care in the ED.2. Identify wound types that are at high risk for infection

and prescribe appropriate antibiotics.3. Employ other strategies to minimize wound infection

that may be more effective than prescribing antibiotics alone.

9:00am - 9:30am Saline vs. NAC vs. Bicarb vs. Vitamin C: How Important in CIN? Can We Prevent it in the ED?Joe Lex, MD FAAEMAssociate Professor of Emergency Medicine, Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PALearning Objectives1. Define contrast-induced nephropathy (CIN).2. Discuss the incidence of CIN in emergency

department patients.3. Discuss the role, if any, of n-acetylcysteine in

preventing CIN in ED patients.4. Discuss the role, if any, of sodium bicarbonate in

preventing CIN in ED patients.

9:30am - 10:00am Bell’s Palsy: Steroids? Antivirals? Both? Neither?Lisa Moreno-Walton, MD FAAEMAssociate Professor, Emergency Medicine, LSU-New Orleans; Assistant Professor, Research Genetics, LSU-New Orleans; Assistant Professor, Medicine Research- LSU-New Orleans; Associate Residency Program Director, Emergency Medicine; Clinical Research School

Learning Objectives1. Discuss the evidence behind use of prophylactic

antibiotics for wound care in the ED.2. Identify wound types that are at high risk for infection

and prescribe appropriate antibiotics.3. Employ other strategies to minimize wound infection

that may be more effective than prescribing antibiotics alone.

10:00am - 10:30am HyperK: What Really Works?Harsh Sule, MD FAAEMAssistant Professor of Emergency Medicine, Associate Residency Director, Director, International Emergency Medicine; Co-Director, Global Health FellowshipLearning Objectives1. Review, in brief, the pathophysiology of how

hyperkalemia is a life-threatening emergency.2. Emphasize that EKG changes do not correlate reliably

with the degree of hyperkalemia.3. Understand the three basic mechanisms of action

in managing hyperkalemia and relevant agents involved.

4. Discuss controversies regarding the treatment of hyperkalemia - including the use of ion-exchange resins and sodium bicarbonate.

10:30am - 11:00am Complications of In Vitro FertilizationAndrew Johnson, MD FAAEMAcademic Chairman, Department of Emergency Medicine, Naval Medical Center PortsmouthLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

11:00am - 11:30am The Rational Clearance for Psychiatric CareLeslie Zun, MD FAAEMProfessor and Chair, Department of Emergency Medicine, Chicago Medical School; Chair, Department of Emergency Medicine, Mount Sinai Hospital, Chicago, ILLearning Objectives1. To understand the medical clearance process.2. To understand the controversy that surrounds

laboratory testing of the psychiatric patient.3. To use protocols in the evaluation of psychiatric

patients.

11:30am - 12:00pm Why an EM Physician is Ideal for Directing Disaster ReliefAndrew Johnson, MD FAAEMAcademic Chairman, Department of Emergency Medicine, Naval Medical Center PortsmouthLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

March 2, 2011



Conference Schedule

Track D – Nuts and Bolts of Running an ER

Florida Ballroom C

8:00am - 8:30am How Do I Get Propofol in My ED?Gary Gaddis, MD FAAEMSt. Luke’s/Missouri Endowed Chair for Emergency Medicine, St. Luke’s Hospital of Kansas City and the University of Missouri-Kansas City School of MedicineLearning Objectives1. Why propofol is a relatively safe procedural sedation

agent in an emergency department, when proper patient monitoring and proper medication dosing is employed.

2. The difference between definitions of sedation used commonly by emergency physicians, versus by the Centers for Medicare and Medicaid Services (CMS), to enhance understanding of the current regulatory interest in propofol by CMS.

3. State which type of physician group must oversee anesthesia services at any hospital in the United States and from where that authority derives.

4. Easily find references, many of which will be discussed in this talk, that cite why emergency physicians properly assert that propofol is highly safe when dosed appropriately in a setting with proper patient monitoring, so that these emergency physicians are more likely to be able to persuade physicians from other medical specialties that propofol is the best agent currently available for procedural sedation of emergency department patients undergoing painful procedures.

8:30am - 9:00am How Can I Maximize My RVUs…Honestly?Mark Reiter, MD MBA FAAEMDirector of Medical Student Education, Deptartment of Emergency Medicine, St. Luke’s Hospital; Clinical Assistant Professor, Temple University Medical SchoolLearning Objectives1. Discuss strategies to increase your productivity.2. Discuss strategies to increase your RVUs for the work

you are already doing.

9:00am - 9:30am Is the AMA Relevant to EM?Robert McNamara, MD FAAEMChair, Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PALearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

9:30am - 10:00am Optimizing the ED: Midlevels, Extenders, ScribesLeslie Zun, MD FAAEMProfessor and Chair, Department of Emergency Medicine, Chicago Medical School; Chair, Department of Emergency Medicine, Mount Sinai Hospital, Chicago, ILLearning Objectives1. Understand the training and competency of midlevel

providers.2. Learn about the role in emergency medicine for

various midlevel providers.3. Evaluate the advantages and limitations of midlevel

providers in the emergency department.

10:00am - 10:30am Impact of LEAN Techniques on EM ManagementWilliam Durkin, MD MBA FAAEMLearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

10:30am - 11:00am High Points of the Mandatory Insurance LegislationLarry D. Weiss, MD JD FAAEMProfessor of Emergency Medicine, University of Maryland School of Medicine; AAEM Immediate Past PresidentLearning Objectives1. Participants will understand the general initiatives

passed by Congress under the 2009 health care reform legislation.

2. Participants will understand how these initiatives will change the practice of medicine.

3. Participants will understand the impact of this legislation on emergency medicine.

11:00am - 11:30am Does Burnout Still Exist?Robert McNamara, MD FAAEMChair, Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PALearning Objectives1. Apply new principles to improve their everyday


medicine workplace.

11:30am - 12:00pm No Waiting Room Risks and BenefitsMark Reiter, MD MBA FAAEMDirector of Medical Student Education, Deptartment of Emergency Medicine, St. Luke’s Hospital; Clinical Assistant Professor, Temple University Medical SchoolLearning Objectives1. Describe how to create a “no-waiting room” ED.2. Discuss the advantages and disadvantages of a “no-

waiting room” ED.

March 2, 2011



AAEM’s Tenth Annual Open Mic PresentationsOpen Mic Directors: Andrew Johnson, MD and Chad Kessler, MD

Tuesday, March 1, 2011, Plaza International Ballroom D

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

Time Presenter Title of Talk

7:30am

8:00am Camiron Pfennig Beyond the Gatorade® Basics

8:30am

9:00am Mike Ybarra Healthcare in America

9:30am

10:00am Joelle Borhart Sexually Transmitted Infections

10:30am

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

11:30am

12:00pm Priya Kuppusamy A Great Mimicker of Sepsis

LUNCH BREAK 12:30pm – 2:30pm

2:30pm

3:00pm Michael Wilson Agitation and the Emergency Physician

3:30pm

Break 4:00-4:15pm

4:15pm Carolyn Phillips Ultrasound in the Hypotensive Patient

4:45pm

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



AAEM Board of DirectorsPresidentHoward Blumstein, MD FAAEM

Vice PresidentWilliam T. Durkin, Jr., MD MBA FAAEM

Secretary-TreasurerMark Reiter, MD MBA FAAEM

Past PresidentLarry D. Weiss, MD JD FAAEM

Past Presidents Council RepresentativeRobert M. McNamara, MD FAAEM

At-Large MembersKevin Beier, MD FAAEMMichael Epter, DO FAAEMChristopher C. Lee, MD FAAEMAndrew P. Mayer, MD FAAEMLisa Mills, MD FAAEMJoel Schofer, MD RDMS FAAEMAndy Walker, MD FAAEMJoanne Williams, MD FAAEM

YPS DirectorDavid Vega, MD FAAEM

AAEM/RSA PresidentRyan Shanahan, MD

JEM Editor – Ex-Officio Board MemberStephen R. Hayden, MD FAAEM

General InformationAAEM Education CommitteeChairKevin Rodgers, MD FAAEM

Scientific Assembly Co-ChairJoe Lex, Jr., MD FAAEM

MembersHoward Blumstein, MD FAAEMWilliam Brady, MD FAAEMRoger Chirurgi, MD FAAEMJames Colletti, MD FAAEMGaston Costa, MDJonathan Davis, MD FAAEMRob Dickson, MD FAAEMChristopher Doty, MD FAAEMWilliam Durkin, Jr., MD MBA FAAEMMichael Epter, DO FAAEMGary Gaddis, MD FAAEMRobert Glatter, MD FAAEMMitchell Goldman, DO FAAEMStephen Hayden, MD FAAEMKen Iserson, MD FAAEMMichael D. Jones, MD FAAEMJennifer Kanapicki, MDA. Antoine Kazzi, MD FAAEMChad Kessler, MD FAAEMMichael Klevens, MD FAAEMChristopher C. Lee, MD FAAEMMichael Levine, MD FAAEMMichael LeWitt, MD FAAEMBruce Lobitz, MD FAAEMShahram Lotfipour, MD MPH FAAEM

Everett Lyn, MD FAAEMJohn Madden, MD FAAEMJennifer Martindale, MDAmal Mattu, MD FAAEMLisa Moreno-Walton, MD FAAEMUsamah Mossallam, MD FAAEMLillian Oshva, MD FAAEMMichael Pulia, MD FAAEMDan Quan, DO FAAEMNadeem Qureshi, MDLarry Raney, MD FAAEMKevin Reed, MD FAAEMKevin Rodgers, MD FAAEMRobert Rogers, MD FAAEMJoel Schofer, MD RDMS FAAEMIndrani Sheridan, MD FAAEMRichard Shih, MD FAAEMMichael Silverman, MD FAAEMNounou Taleghani, MD FAAEMJacob Ufberg, MD FAAEMDavid Vega, MD FAAEMElizabeth Weinstein, MD FAAEMJoanne Williams, MD FAAEMMichael Winters, MD FAAEMLeslie Zun, MD FAAEM

Onsite AAEM Staff MembersJody Bath, Communications and RSA Program Manager – [email protected] Derenne, Program Manager – [email protected] Filipiak, Meetings & CME Manager – [email protected] Kuhl, Congress Meetings Director – [email protected] Whalen, Executive Director – [email protected] Wilson, Associate Executive Director – [email protected]

Accreditation StatementThe American Academy of Emergency Medicine (AAEM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation StatementThe American Academy of Emergency Medicine (AAEM) designates this educational activity for a maximum of 19.00 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AOA Accreditation Statement and Designation StatementAAEM designates this live activity for a maximum of 19.00 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AAEM has been approved to provide (AOA) Category 2A Credit by the American Osteopathic Association. Participants should contact the AOA at (800) 621-1773 for instructions on submitting a credit certificate.

Disclosure PolicyAll faculty and planning committee members participating in continuing medical education programs sponsored by AAEM have disclosed to the audience any real or apparent conflicts of interest to the content of their presentation. AAEM’s Education Committee and ACCME Subcommittee have established procedures to resolve conflicts of interest.



Educational NeedsIn order to maintain their medical practice at the highest possible level, emergency physicians need up-to-date information on a variety of topics in emergency medicine, including both clinical and workplace issues. This conference will meet those needs by providing cutting edge information in several relevant areas.

When planning activities, the AAEM Education Committee uses the 2007 Model of the Clinical Practice of Emergency Medicine to determine the education needs of the emergency physicians attending Scientific Assembly. The Model of the Clinical Practice of Emergency Medicine details the core content of emergency medicine and undergoes an on-going review.

Target AudienceThis activity is designed for: (1) Full voting members and potential full voting members of AAEM, defined as physicians certified by the American Board of Emergency Medicine (ABEM) or the American Osteopathic Board of Emergency Medicine (AOBEM); (2) Physicians engaged in the practice of emergency medicine who are seeking the most current information in the field, presented at a skill level appropriate to the educational needs of the board certified emergency physician.

Learning ObjectivesUpon completion of this activity, participants will be able to apply new principles to improve their everyday practice of emergency medicine and to increase their understanding of the emergency medicine workplace.

CME CertificatesCME Certificates will not be available onsite. An online CME link will be emailed to all conference participants within 30 days following the conference.

EvaluationsPlease take time to complete the evaluation forms which will be placed on the chairs in all opening sessions each day and at the registration desk. Your input and comments are essential in planning future educational activities. Be sure to return your completed evaluation forms to a member of the AAEM staff prior to your departure.

ExhibitsExhibitors will be located in the Plaza International Ballroom G & H at the Peabody Hotel. The exhibit hall will be open as follows:

Monday, February 28, 2011 – 7:00am – 8:00amMonday, February 28, 2011 – 9:00am – 3:30pm*Monday, February 28, 2011 – 6:30pm – 7:30pmTuesday, March 1, 2011 – 7:30am – 12:00pm* Exhibit hall open for opening night reception.

Please allow adequate time in your daily schedule to visit the exhibits. Take time to speak with the representatives of companies that provide services or market products directly related to your professional and personal interests. The participation of exhibitors is vital to the success of the Scientific Assembly. Let them know you appreciate their support.

Open Microphone Session — Sponsored by YPS(Plaza International Ballroom D, Tuesday, March 1, 2011, 7:30am-6:15pm)Don’t forget to sign up for Open Mic sessions at the AAEM registration desk. Spaces will be available for speakers to showcase their presentation skills to the membership and members of the Education Committee. The top speakers will be invited to present during the general sessions of the 2012 AAEM Scientific Assembly at The Hotel Del Coronado in San Diego, CA.

Registration DeskName badges and conference materials will be available for all Scientific Assembly delegates at the AAEM registration desk. Delegates not pre-registered for the Assembly should register onsite at the registration desk. AAEM staff will be available at the desk throughout the conference to answer questions and to respond to delegate concerns.

Young Physician Section (YPS) ActivitiesBoard of Directors MeetingAll attendees are invited to attend an open meeting of the YPS on Monday, February 28th, from 1:00pm-3:00pm in Challenger 38.

AAEM/Resident and Student Association (AAEM/RSA) Activities Resident and Student Association Board MeetingAll residents and students are invited to attend an open meeting of the AAEM Resident and Student Association on Monday, February 28th, from 4:00pm-5:30pm in Challenger 38.

Student Planned TrackSunday, February 27th, will feature presentations geared especially for emergency medicine students, but all are welcome. The Student Track begins at 8:00am and concludes at 1:00pm. All of these sessions will be held in the Florida Ballroom C. CME will not be available for this session.

Resident/YPS Planned TrackTuesday, March 1st, will feature presentations geared especially for emergency medicine residents and young physicians, but all are welcome. The track begins at 2:30pm and concludes at 6:00pm. All of these sessions will be held in Plaza International Ballroom F.

AAEM/JEM Resident and Student Original Research CompetitionAAEM and The Journal of Emergency Medicine are pleased to present their 13th Annual Resident and Student Original Research Competition, which will be held on Monday, February 28th, from 1:00pm-5:00pm in the Plaza International Ballroom D. A total of eight oral abstracts authored by EM residents will be presented at this forum. The presenter of the oral abstract judged to represent the most outstanding research achievement will receive a $3,000 honorarium. $1,500 and $500 honoraria will go to the presenters of the second and third place oral abstracts, respectively.

Orlando InformationThe Peabody Orlando is located on Orlando’s famous International Drive. International Drive offers hundreds of entertainment and dining options for your pleasure. Orlando’s I-RIDE trolley offers an inexpensive way to get around International Drive. The trolley stops directly in front of the Peabody Orlando Hotel. Tickets can be purchased at the Peabody Orlando Valet or on the trolley.

The Peabody Orlando Hotel also offers shuttle service to Disney Theme Parks. Tickets are $10 per person round trip and must be purchased a day in advance from the hotel.

Within walking distance from the Peabody Hotel is Pointe Orlando, a shopping/dining complex. Pointe Orlando has a variety of specialty shops, restaurants, live entertainment and a movie theatre.

General Information



Statements of DisclosureThe American Academy of Emergency Medicine (AAEM) endorses the guidelines for continuing medical education programs as set forth in the Accreditation Council for Continuing Medical Education (ACCME). This activity has been planned and implemented in accordance with the Essential Areas and Elements (including the Standards for Commercial Support) and Accreditation Policies. AAEM maintains control over the development of its educational programs and the selection of topics and presenters.

A full disclosure of relevant financial relationships is required of all presenters and faculty members and the presence of any such relationship will be reported to all program attendees. AAEM defines relevant financial relationships as those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds) or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

In accordance with these policies, AAEM would like to make the following information known to all conference participants.

Speakers Who Have Disclosed No Relevant Financial RelationshipsChandra Aubin, MDHeatherlee Bailey, MD FAAEMBart Besinger, MD FAAEMBrian Browne, MD FAAEMCarey Chisholm, MD FAAEMPeter DeBlieux, MD FAAEMWilliam Durkin, Jr., MD MBA FAAEMTim Ellender, MDMichael Epter, DO FAAEMManish Garg, MD FAAEMElizabeth Hall, MD FAAEMAndrew Johnson, MD FAAEMZiad Kazzi, MD FAAEMChad Kessler, MD FAAEMChristopher Lee, MD FAAEMJoe Lex, MD FAAEMBrian Lin, MD FAAEMIngrid Lim, MD FAAEMEvadne Marcolini, MD FAAEMAndrea Marmor, MDAmal Mattu, MD FAAEMMaureen McCollough, MDRobert McNamara, MD FAAEM

Scott Melanson, MD FAAEMCharles McKay, MDLisa Moreno-Walton, MD FAAEMSergey Motov, MD FAAEMDave Nelson, MD FAAEMDavid Newman, MDKarl Nibbelink, MDJack Perkins, MD FAAEMKevin Reed, MD FAAEMKevin Rodgers, MD FAAEMLisa Sanders, MDKaren Santucci, MDTammi Schaeffer, DO FAAEMGhazala Sharieff, MD FAAEM FAAP FACEPCorey Slovis, MD FAAEMRoger Stone, MD FAAEMHarsh Sule, MD FAAEMDavid K. Tan, MD FAAEMJosef Thundiyil, MD FAAEMElizabeth Weinstein, MD FAAEM FAAPLarry D. Weiss, MD JD FAAEMMichael Winters, MD FAAEM

Speakers Who Have Disclosed Relevant Financial RelationshipsArjun Chanmugam, MDCambridge University Press, EditorElsiever, EditorOakstone Medical Publications, Editor

Gary Gaddis, MD FAAEMJohnson and Johnson Company, Common Stock HolderUniversity of the West Indies, Bridgetown, Barbados, West Indies, Honorarium

S.V. Mahadevan, MD FAAEMEconomedics, Advisory BoardPelagique, LLC, Ownership Interest

Angela Mills, MD FAAEMAspenBio Pharma, Inc, Research FundingBecker & Associates Consulting, Inc., ConsultantSiemens, Research Funding

S. Todd Mitchell, MD MPHRottaPharm-Madaus, Consultant

Larry Raney, MD FAAEMOmniflight Helicopters, Inc, Medical Director

Mark Reiter, MD MBA FAAEMMedscape, Group FacilitatorEmergency Excellence, Owner

Jim Roberts, MD FAAEMMerck Pharmaceutical Co., Speaker Honorarium

Paul Sierzenski, MD RDMS FAAEMEmergency Ultrasound Consultants, LLC, Owner SonoSite, Inc., Equipment Support Zonare, Inc., Equipment Support

Stuart Swadron, MD FRCP FAAEMEmergency Medicine Reviews and Perspectives, Honorarium

Marvin Wayne, MD FAAEMVidacare, Inc., ExpensesNational Institute of Health NHBI, Principal InvestigatorCincinnati Sub Zero, Expenses

Richard Joe Ybarra, MDEmergence Medicine, Owner

Leslie Zun, MD FAAEMAlexza Pharma, Consultant



Statements of DisclosurePlanning Committee members who have disclosed no relevant financial relationships.

The Following Planning Committee Members Have Disclosed Relevant Financial Relationships Gary Gaddis, MD FAAEMJohnson & Johnson, Stock Ownership

Nounou Taleghani, MD FAAEMVivid Medical, Stock Options

Larry Raney, MD FAAEMOmniflight Helicopters, Salary

Jacob Ufberg, MD FAAEMVapotherm, research fundingJoel Schofer

Joel Schofer, MD FAAEMMedscape.com, honorariumSonosite, Inc., honorarium

Kay WhalenExecutive Director, Inc., Ownership Interest

Leslie Zun, MD FAAEMAlexza Pharma, Consultant

Jody Bath Marcia BlackmanHoward Blumstein, MD FAAEMWilliam Brady, MD FAAEMRoger Chirurgi, MD FAAEMJames Colletti, MD FAAEMGaston Costa, MDGinger CzajkowskiJonathan Davis, MD FAAEMTom DerenneRob Dickson, MD FAAEMChristopher Doty, MD FAAEMWilliam Durkin, Jr., MD MBA FAAEMMichael Epter, DO FAAEMKate FilipiakRobert Glatter, MD FAAEMMitchell Goldman, DO FAAEMMelissa Halliday, DOStephen Hayden, MD FAAEMKen Iserson, MD FAAEMHeather Jimenez, MDMichael D. Jones, MD FAAEMJennifer Kanapicki, MDA. Antoine Kazzi, MD FAAEMChad Kessler, MD FAAEMMichael Klevens, MD FAAEMAmy KuhlChristopher C. Lee, MD FAAEMMichael Levine, MD FAAEMMichael LeWitt, MD FAAEMJoseph Lex, Jr., MD FAAEMBruce Lobitz, MD FAAEM

Shahram Lotfipour, MD MPH FAAEMEverett Lyn, MD FAAEMJohn Madden, MD FAAEMJennifer Martindale, MDAmal Mattu, MD FAAEMLisa Moreno-Walton, MD FAAEMUsamah Mossallam, MD FAAEMLillian Oshva, MD FAAEMKetan Patel, MDMichael Pulia, MD FAAEMBrian Potts, MD MBA FAAEMDan Quan, DO FAAEMNadeem Qureshi, MDKevin Reed, MD FAAEMZachary Repanshek, MDKevin Rodgers, MD FAAEMRobert Rogers, MD FAAEMBrett RosenTeresa Ross, MDJoel Schofer, MD RDMS FAAEMRyan Shanahan, MDIndrani Sheridan, MD FAAEMRichard Shih, MD FAAEMMichael Silverman, MD FAAEMSandra Thomasian, MDDavid Vega, MD FAAEMElizabeth Weinstein, MD FAAEMLeana Wen, MDJoanne Williams, MD FAAEMJanet WilsonMichael Winters, MD FAAEM Michael Ybarra, MD



Exhibitor DirectoryThe following organizations will exhibit at the AAEM 17th Annual Scientific Assembly in the Plaza International Ballroom G & H at The Peabody Orlando.

Exhibit Hours:The schedule of exhibit hours will be as follows:

Monday, February 28, 2011 – 7:00am – 8:00am*Monday, February 28, 2011 – 9:00am – 3:30pm*Monday, February 28, 2011 – 6:30pm – 7:30pm**Tuesday, March 1, 2011 – 7:30am – 12:00pm

* Breakfast and breaks will be served in the exhibit hall. ** The opening reception will be held in the exhibit hall.

AAEM State Chapters555 East Wells Street, Suite 1100Milwaukee, WI 53202Phone: (800) 884-2236Email: [email protected] members can make an impact on the local level by forming a state chapter of AAEM. Although emergency physicians are encouraged to join both their state chapter and national AAEM, there is no requirement that they do. Those physicians who wish to belong solely to an AAEM state chapter are free to do so. The following states have established chapters: California, Delaware Valley, Florida, Iowa, Nevada, New York, Tennessee, Texas, Wisconsin and Uniformed Services. If you are interested in developing a state chapter in your state, please contact us at [email protected].

A-Life Medical6195 Lusk Blvd, Suite 120San Diego, CA 92121Phone: (858) 795-1701A-Life Medical is the pioneer and leading provider of computer-assisted coding products and services for the health care industry. Using its proprietary and patented Natural Language Processing (NLP) technology, A-Life deciphers electronic transcribed patient encounters via the internet through its data center, which are then appropriately coded for reimbursement purposes.

Allscripts222 Merchandise Mart, Suite 2024Chicago, IL 60654Phone: (800) 334-8534Website: www.allscripts.comAllscripts (NASDAQ: MDRX) provides innovative solutions that empower all stakeholders across the health care continuum to deliver world-class outcomes. The company’s clinical, financial, connectivity and information solutions for hospitals, physicians and post-acute organizations are the essential technologies that enable a connected health care community. To learn more about Allscripts, please visit www.allscripts.com.

Applied Medical Services, LLCPO Box 15133Durham, NC 27707Phone: (800) 334-6606Applied Medical Services offers coding, billing, transcription and practice management solutions. AMS provides hands-on involvement by senior-level staff, customizable software solutions, dashboard reporting, proactive management of patient accounts, knowledge of all regulations, meticulous procedures and immediate response to inquiries. All of this results in quality service, customer satisfaction and outstanding collection results. Profit from our experience.

Bassett Healthcare Network – Bassett Medical CenterOne Atwell RoadCooperstown, NY 13326Phone: (607) 547-4815 Bassett Healthcare Network is the largest provider of emergency services in central New York. Bassett Medical Center, located in Cooperstown, is an area trauma center, a designated stroke center, and our Heart Care Institute offers cardiac surgery, PCI and state-of-the-art diagnostics and therapies. Cooperstown is a beautiful, historic village located on Otsego Lake, with year round cultural and recreational opportunities. It is a family-oriented community with excellent schools. It is home to the National Baseball Hall of Fame, the Fenimore Art Museum and the internationally acclaimed Glimmerglass Opera. For more information, contact Colleen Donnelly, (607) 547-4815 or [email protected].

BTG International Inc.5214 Maryland Way, Suite 405Brentwood, TN 37027Phone: (615) 963-4507Website: www.btgplc.comBTG is an international specialty pharmaceuticals company that is developing and commercializing products targeting critical care, cancer, neurological and other disorders. The company is also seeking to acquire new products to develop and market to hospital specialists, and is building a sustainable business financed by revenues from sales of its critical care products and from royalties and milestone payments on partnered products. For more information, please visit our website at www.btgplc.com.

ByteBloc Software, LLC2152 Rock GlenEscondido, CA 92026Phone: (760) 510-9900Website: www.bytebloc.comWe offer two scheduling products for physicians. EPSKED, the emergency physician-scheduling program, has automated scheduling in hundreds of emergency departments worldwide since 1989. EPSKED saves time, money and aggravation! A free two-month trial of EPSKED is available for download at www.bytebloc.com. WebSked allows providers to enter their requests online. Providers can see who is available for shifts, swap shifts, confirm hours and maintain an accurate schedule, all on the website. Please contact us at [email protected] or by calling (760) 510-9900 to arrange an online demonstration.

*Carolina Care215 Red Bay Road Elgin, SC 29045Website: www.carolinacare.com Columbia South Carolina Democratic Group is incorporating a new emergency medicine setting into our 15 year old practice. We currently oversee 100,000+ patients in our level one trauma setting and residency program along with our downtown community hospital. We are looking for BC/BP EM physicians to help build an additional two facility community hospital seeing 60,000 patients.



*CEP America2100 Powell Street, Suite 900Emeryville, CA 94608Phone: (800) 842-2619Website: www.cep.comCEP America, the national entity established by California Emergency Physicians Medical Group, is a true democratic, physician-owned partnership where all physicians are partners and owners. CEP America now has over 60 contracts in California, Arizona, Georgia, Illinois, Oregon, Washington and Texas. We are seeking BC/BP emergency physicians who want to participate in the exceptional growth opportunities that CEP America enjoys. Contact CEP America Careers at (800) 842-2619 or email [email protected]. Visit our website at www.cep.com.

Comprehensive Medical Billing Solutions9301 S. Western Ave.Oklahoma City, OK 73139Phone: (866) 733-2954Fax: (405) 419-8001Website: www.cmbs.bizComprehensive Medical Billing Solutions (CMBS) provides billing, coding, accounts receivable management, practice management and consulting services to emergency physicians from coast to coast. CMBS clients enjoy a comprehensive package of services directed by a team of experienced management professionals. To obtain information regarding the services of CMBS, please contact Craig Deitch at (866) 733-2954 or via email at [email protected].

Comprehensive Medical Management11821 Mason-Montgomery RoadCincinnati, OH 45249Phone: (859) 291-4800Comprehensive Medical Management provides medical billing and practice management services for hospital based physicians, specializing in ED groups. A seasoned team of professionals address all facets of the billing process from coding through registration, claims submission, aggressive insurance negotiations and follow up. Combined with a monthly 100% audit process that identifies insufficient documentation that can cause lost revenue, Comp-Med offers full service billing solutions to competitively position your practice for the future.

Discharge 1-2-3 - Callibra, Inc.150 N. Martingale Road, Suite 838Schaumburg, IL 60173Phone: (847) 605-2125Computerized discharge instructions and prescription writing – Discharge 1-2-3 is an exceptionally clinician-friendly, customizable software solution for a single workstation to an entire ED, urgent care or multiple hospitals. It automates the entire discharge process including instructions, prescriptions and more. One-click design provides unsurpassed speed, reduces medication errors, litigation and accelerates throughput. DC 1-2-3 combines Best-of-Breeds software and high-standards content. It is extremely stable, customizable and interfaces seamlessly with other systems in the IT enterprise. Contact [email protected].

DST Health SolutionsPhysician Revenue Cycle Management and Billing Solutions2400 Thea Drive Harrisburg, PA 17110Phone: (717) 703-6015Designed to optimize profitability, DSTHS, revenue cycle management (RCM) applications and reporting tools work in tandem with provider staff to provide operational control and enhance decision-making capabilities. DSTHS’ comprehensive suite of integrated RCM solutions has helped our provider client organizations achieve improved business efficiency, reduced operational costs, consistent processing environments and enhanced transparency. DSTHS’ outsourcing (BPS) and ASP delivery model allows provider organizations to execute quickly, achieve economies of scale and mitigate risk.

DuvaSawko1530 Cornerstone Blvd, Suite 200Daytona Beach, FL 32117Phone: (888) 311-8760 ext. 7840Owned & operated by former emergency physicians & experienced practice managers Dr. Charles Duva and Dr. Bill Sawko, DuvaSawko has developed an unmatched proprietary coding, billing and A/R management process that will revolutionize your revenues! Our compliant system with web-based reporting will close all loopholes for lost revenue and dramatically add to your bottom line. Call (888) 311-8760, ext. 7840 for a free analysis.

Elsevier, Inc.1600 JFK Blvd, Suite 1800Philadelphia, PA 19103Phone: (215) 239-3491Elsevier is proud to present The Journal of Emergency Medicine (JEM), an international, peer-reviewed publication, featuring original contributions of interest to both the academic and practicing emergency physician. JEM is the official journal of the American Academy of Emergency Medicine. Please visit our booth to view the latest copy of JEM and our other related products in the emergency medicine field.

*Elsevier Health Careers360 Park Avenue SouthNew York, NY 20009Phone: (215) 633-3158Elsevier Health Careers has the largest collection of health care and medical job listings from all around the world. Search for your next health care job by specialty or discover available medical jobs within a geographic region. Elsevier publishes more than 25% of all health care research worldwide. Physicians, surgeons, nurses and allied professionals, in every branch and specialty of health care, turn to us daily to stay current, and to use our practice support tools. Elsevier Health Careers is the premier platform that connects physician recruiters and job seekers. ElsevierHealthCareers.com was built to put you in control of every aspect of career planning – searching, interviewing and even continuing education.

Exhibitor Directory



Emergency Groups’ Office444 East Huntington Drive, Suite 300Arcadia, CA 91006Phone: (877) 346-2211Website: www.emergencygroupsoffice.comEmergency Groups’ Office provides a full range of billing and coding management services to emergency medicine groups and hospitals. Registered nurses experienced in emergency medicine and knowledgeable in reimbursement accurately code the services provided by the emergency physician. The company, started in 1990, continues to provide superior results as demonstrated by the fact that Emergency Groups’ Office bills for more than 1,600,000 visits annually for clients in seven states. For more information, contact James Blakeman at [email protected].

*Emergency Medicine Associates, P.A., P.C.20010 Century Blvd, Suite 200Germantown, MD 20874Phone: (240) 686-2300Fax: (240) 686-2334Emergency Medicine Associates, P.A., P.C. (EMA) is a well-established, regional, democratic physician-managed group that provides staffing to eleven suburban community emergency departments in northern Virginia, Maryland and Washington, D.C. Since the company’s founding in 1971, our ongoing provision of uncompromising quality emergency medical care has resulted in 100% contract stability. EMA is a participatory professional corporation that offers partnership to qualified physicians and staffs our contracted facilities with a team of superbly qualified emergency medicine physicians, physician assistants, nurse practitioners and medical scribes.

*Emergency Service Partners6300 La Calma Drive, Suite 200Austin, TX 78752Phone: (512) 610-0315ESP is a democratic physician-owned group with over 20 hospital partners across Central and East Texas. Our partner sites include Dallas/Ft. Worth, Austin, Bryan/College Station, San Antonio area and the Texas Hill Country, and we will work to find the right position for you. With compensation models to maximize income, fair scheduling, paid malpractice and tail, mentoring/leadership programs and partnership opportunity, we truly have our physician’s best interests at heart.

EPBS-Intermedix3303 South Meridian AvenueOklahoma City, OK 73119Phone: (800) 962-3303 or (405) 682-3303Fax: (405) 682-1586Website: www.intermedix.com EPBS-Intermedix is the nation’s leading provider of billing, coding and practice management services for emergency physicians, hospitalists and urgent care centers. For more than 28 years, EPBS-Intermedix has served hospital-based providers across the United States, processing millions of emergency department visits annually and making sure every dollar earned is a dollar collected. Isn’t it time your practice had a success story? At EPBS-Intermedix, we take care of business so you can practice medicine.

EPOWERdoc, Inc.PO Box 241642Omaha, NE 88124Phone: (515) 965-8040Email: [email protected]: www.epowerdoc.comEPOWERdoc is a leading supplier of electronic and template emergency department documentation systems. EPOWERdoc’s EMRDoc™ is a revolutionary electronic patient tracking and documentation system that incorporates the unique EPOWERdoc template formats into an EMR module that is specifically designed for ED physicians and clinicians. EMRDoc™ is the fastest and easiest EDIS product on the market today.

EvolveMed175 West 200 South, Suite 4004Salt Lake City, UT 84101Phone: (801) 301-4901 ext. 105EvolveMed is a leading provider of electronic medical documentation solutions. EvolveMed was conceived over 20 years ago by ED physicians who were in need of a better, more flexible, charting solution. EvolveMed’s primary goal is to give physicians unmatched charting flexibility while slashing documentation costs and increasing efficiency at the front end. EvolveMed’s unique web and tablet-based emergency medicine charting solution, PeerCharts Online, will be on display at the 2011 AAEM Scientific Assembly. Stop by and check out our new IPAD app. For more information, please call 800-301-4901 ext. 105.

ExitCare, LLC8519 Eagle Point Blvd, Suite #105Lake Elmo, MN 55042Phone: (651) 379-0485 Patient education so well done that patients actually read it. Over 2,000 English topics to cover all ED patients. Med Recon easily completed in under a minute. Macros to pick a title, document meds and a work release form in two mouse clicks. JCAHO compliant instructions, edit and save templates, permanent archive of printed instructions, questions to test comprehension, ten languages, graphics, interface to registration system, drug interactions and much more.

Fisher & Paykel Healthcare, Inc.15365 Barranca ParkwayErving, CA 92619Phone: (949) 453-4000Fisher & Paykel Healthcare is a world leader in design and manufacture of heated humidification and gas delivery systems and patient interfaces for non-invasive application. We are introducing OptiFlow™NHF™, a nasal interface and oxygen delivery system for humidified high flow applications. The OptiFlow nasal interface delivers humidified oxygen to 60 LPM. OptiFlow™NHF™ has been shown to provide low level positive airway pressure, control of delivered FiO2, provide low level positive airway pressure, control of delivered FiO2, improve mucociliary clearance and improved comfort and compliance.

Exhibitor Directory



*Group Health Permanente320 Westlake Avenue N, Suite 100Seattle, WA 98109Phone: (206) 448-2947Group Health Permanente, the largest group practice in the Northwest, is a multi-specialty, integrated medical group on the cutting edge of clinical medicine and research. Not only do we pride ourselves on providing the best quality coordinated care, but Group Health Permanente encourages its staff to maintain care-focused patient relationships and manage innovative practices, while advocating a well-balanced life and personal health. As a practitioner at Group Health Permanente you will join a collaborative team in a professionally satisfying, patient-centered environment. Please come by our booth to learn more about the great opportunities awaiting you today at Group Health!

Gulfcoast Ultrasound Institute4615 Gulf Blvd, #205St. Pete Beach, FL 33706Phone: (800) 619-1900Website: www.gcus.comGulfcoast Ultrasound Institute is a leading provider of AMA PRA Category 1 CME™ courses and self-directed study products for emergency physicians. More than 27,000 medical professionals have participated in our hands-on seminars since 1985. In addition, GUI is the publisher for the largest line of ultrasound self-directed educational materials. Gulfcoast’s student-to-instructor ratio rarely exceeds 3:1 and is often smaller. Onsite training and ultrasound webinars are also offered. Call (800) 619-1900 or visit www.gcus.com.

Lippincott Williams & Wilkins5311 Carson StreetSaint Cloud, FL 34771Phone: (407) 625-6375Website: www.lww.comLippincott Williams & Wilkins is a worldwide publishing company, focusing on publications and software for physicians, nurses, students and specialized clinicians. Products include drug guides, medical journals, nursing journals, medical textbooks and medical PDA software. Make Lippincott Williams & Wilkins your online medical, nursing and allied health profession resource!

Lotus Wealth Solutions4185 Ashland CircleDouglasville, GA 30135Phone: (404) 386-7641Stop getting ripped off by financial advisors! Welcome to low fees! Make smart financial decisions and take control of your financial life. That’s what we do EXCLUSIVELY for physicians. We charge one of the LOWEST investment advisor fees in the country. WE are paid ONLY by clients so we put YOUR best interests first. LOW COST, fee-only, investment management and financial planning purely for physicians. Setu Mazumdar, MD, President and board certified emergency medicine physician.

Lundbeck Inc.Four Parkway North Deerfield, IL 60015Phone: (847) 282-1000 Website: www.lundbeckinc.comLundbeck Inc. is a leader in addressing unmet medical needs in rare diseases. Headquartered in Deerfield, Illinois, Lundbeck Inc. is dedicated to developing an innovative pipeline of CNS, hematology and hospital compounds, with a steadfast commitment to ensuring access to specialty therapies. To learn more, please visit www.lundbeckinc.com.

Masimo40 ParkerIrvine, CA 92618Phone: (949) 297-7000Masimo is a global medical technology company that develops and manufactures innovative noninvasive monitoring technologies, including medical devices and a wide array of sensors that enable earlier detection and treatment of potentially life-threatening conditions. A key medical technology innovator, Masimo is responsible for the invention of award-winning noninvasive technologies that are revolutionizing patient monitoring, including Masimo SET® pulse oximetry, Masimo Rainbow SET® Pulse CO-Oximetry, Masimo noninvasive and continuous total hemoglobin (SpHb™), and Masimo Patient SafetyNet™.

*MEA Management, LLC1 TransAm Plaza Drive, Suite 360Oakbrook Terrace, IL 60181Phone: (630) 785-9170Website: www.mea911.comMEA Management, LLC or Midwest Emergency Associates is a physician owned and operated emergency department management company providing emergency medicine services to our hospital partners. One of the keys to our success is quality patient care and error reduction resulting in excellent patient satisfaction. Visit us today at www.mea911.com.

MedAmerica, Inc.2100 Powell Street, Suite 900Emeryville, CA 94608Phone: (510) 350-2670Website: www.medamerica.comMedAmerica is a nationally recognized physician practice management organization that has successfully supported independent emergency physician group practices for more than 30 years. We offer original and proven solutions in an increasingly complex health care environment. State-of-the-art programs and systems are coupled with a forward-thinking, innovative management team. Our strength and reputation are based upon the management, billing and consulting services we provide to more than 100 emergency medical group practices we currently support.

MedData, Inc.3741 Douglas Boulevard, Suite 170Roseville, CA 95661Phone: (800) 877-8577Website: www.meddata.com For more than three decades MedData has garnered a reputation among physicians for providing quality revenue cycle management services. MedData provides coding, billing, collection and consulting services for nearly 2,000 physicians concentrating in emergency medicine, hospitalist and multi-specialty services throughout the United States. MedData optimizes physician reimbursement through a proprietary, compliance-driven coding system with expansive auditing processes that includes ongoing, personalized consultative feedback to ensure proper and expedited reimbursement.

Exhibitor Directory



MEDHOST, Inc.5055 Keller Springs, Suite 400Addison, TX 75093Phone: (972) 560-3100MEDHOST is dedicated to advancing health care IT by developing user-friendly software solutions that improve productivity and throughput, as well as enhance the patient care experience. The MEDHOST product suite has proven to dramatically improve house-wide patient flow, financial performance and patient satisfaction. MEDHOST EDIS version 4.2 is certified under Drummond Group’s Electronic Health Records ONC-ATCB program and includes real time Patient Tracking, Nurse Charting, Physician Documentation, Order Entry and comprehensive reporting.

*Medical Emergency Professionals (MEP)20251 Century Blvd, Suite 130Germantown, MD 20874Phone: (301) 944-0049MEP was founded in 1997 by physicians who are passionate about emergency medicine. We attract some of the brightest and most qualified emergency physicians and mid-level providers in the country. Currently, we treat more than 350,000 patients annually at six facilities in Maryland. Quality and efficiency are at the core of our practice model. MEP has earned national recognition as a high-performance emergency care organization that is poised for growth and continual development.

Medical Management Specialists4100 Embassy DriveKentwood, MI 49546Phone: (616) 975-1845Website: www.mms.med.proMedical Management Specialists (MMS), founded in 1993 by emergency physicians provides a full range of services to emergency medicine, urgent care and anesthesia. Our breadth of services includes coding, physician documentation education, chart audits, payroll, practice management, credentialing and enrollment, contract negotiation and compliance. We help physician groups protect their income while abiding by the highest ethical standards and staying ahead of emerging industry trends and regulations.

Mindray North America800 MacArthur BlvdMahwah, NJ 07430Phone: (201) 995-8269Mindray North America is headquartered in New Jersey. Mindray has been providing medical solutions to medical professionals, worldwide, for over 18 years. Our major product lines include patient monitors, anesthesia delivery systems and ultrasound imaging systems. Mindray M series ultrasound imaging systems are effective bed side evaluation tools for emergency medicine clinicians.

*Navajo Area Indian Health Services (NAIHS)PO Box 9020Window Rock, AZ 86515Phone: (928) 871-5884The Navajo Area Indian Health Service (NAIHS) is a major health care provider in the southwestern United States (U.S.) in northeastern Arizona, northwestern New Mexico, and southern Utah and serves a population of over 250,000. Health care services are provided in the area spanning over 25,000 square miles. The NAIHS network consists of five hospitals, five health centers, and health stations. NAIHS provided over one million outpatient visits and 18,000 hospitalizations for our service population.

NeilMed Pharmaceuticals601 Aviation BlvdSanta Rosa, CA 95403Phone: (877) 477-8633 Website: www.neilmed.com• NeilMed Sinus Rinse™, saline nasal irrigation system• NeilMed NasaFlo®, gravity flow method Neti Pot • NeilMed NasoGel®, moisturizing and soothing saline gel spray or tube• NeilMed NasaMist®, buffered, preservative-free nasal spray• NeilMed NasaDrops™, saline solution in single use ampoules • NeilMed NasaMist® All in One, buffered, preservative-free saline nasal spray• NeilMed SinuFLO® Ready Rinse™, premixed rinse for convenience • NeilMed’s SinuSurf® Surfactant, additive for extra strength nasal cleansing

Nicka & Associates, Inc.5501 Independence Parkway, Suite 316Plano, TX 75023Phone: (972) 964-5330 Website: www.nicka-associates.comNicka & Associates, Inc. is a nationally recognized expert provider of emergency medicine coding, compliance, consulting and education services. We serve physician groups, nursing staff, coders, hospital administration, urgent care centers, billing companies and practice management groups with our excellent array of quality services. Please visit our website for additional information at www.nicka-assoicates.com.

PEPID1840 Oak Avenue, Suite 100Evanston, IL 60201Phone: (847) 491-9100PEPID Emergency Physician (ED) Suite is the only point-of-care resource that truly supports decisions in the emergency room. PEPID ED gives you instant access to thousands of disease profiles, life-saving protocols, evidence-based medicine, drug database and drug interaction checker. Available online for your entire department, on any mobile device or integrated into your EDIS, PEPID is available when and where you need it most. PEPID ED is developed in partnership with AAEM.

Physicians Business Networks10950 Grandview, Suite 200Overland Park, KS 66210Phone: (800) 288-4901Physicians Business Network (PBN), a proven leader in helping physicians optimize their practice’s financial performance, specializes in billing and follow-up, contract negotiation, coding, practice audits, training, provider credentialing, accounting and consulting services. Proprietary software, a full time compliance officer and strong client advocacy make PBN a business partner our clients rely on to help them navigate complex payer reimbursement rules. Call (800) 288-4901 for additional information. It’s proof…not promises.

PracticeLink415 Second Ave.Hinton, WV 25951-2427Phone: (800) 776-8383Website: www.PracticeLink.comPracticeLink.com is a free online job bank for physicians – and the most cost-effective way to hire other physicians to your practice. At PracticeLink.com, you can search thousands of jobs, recruit for your own practice and receive PracticeLink Magazine for free. PracticeLink is not a search firm.

Exhibitor Directory



*Premier Health Care Services, Inc.332 Congress Park DriveDayton, OH 45459Phone: (800) 406-8118Website: www.premierhcs.netPremier Health Care Services is one of the Midwest’s leading health care providers. We have successfully provided emergency medicine physician services and emergency department management since 1987. We are an employee-owned and operated physician group with a model that gives you control over your medical practice decisions and the satisfaction of a genuine career. Come by our booth #209 to learn more about Premier’s unique model, opportunities and benefits. Visit www.premierhcs.net or contact Rachel Klockow at (800) 406-8118.

PSR9229 LBJ FreewayDallas, TX 75243Phone: (866) 217-4440PSR provides state-of-the-art practice management services for independent emergency physician groups. Services include: group formation, financial, IT, human resources, scheduling, recruiting, credentialing, risk & litigation management, customer satisfaction assessment, incentive compensation development & management. PSR provides coding and billing company oversight for our clients to ensure maximum revenue and compliance. PSR – bringing all the pieces together for a successful practice.

*The Reading Hospital and Medical Center2561 Bernville RoadReading, PA 19605Phone: (610) 898-5640The Reading Hospital and Medical Center is a 700+ bed tertiary care facility located in West Reading, PA. The hospital is one of Pennsylvania’s busiest EDs, treating over 115,000 patients annually, with a Level II Trauma Center operated in partnership with the University of Pennsylvania. Reading Hospital has the highest financial rating possible for a nonprofit institution, ranked in the top 5% nationally for financial accreditation.

*St. Mary’s Medical Center3700 Washington AvenueEvansville, IN 47750Phone: (812) 485-7962Immediate opportunities are available for BE/BC emergency physicians. Our level II trauma center serves an area population of over 828,000. St. Mary’s emergency physicians work 1,675 hours per year, earn $170 per hour, ($180 per hour night shift), plus an outstanding benefit package. Enjoy working with a well-staffed, democratic group. Please contact Kathy Schenk, Director of Physician Development Services, at (812) 485-7962, [email protected] or Dr. Andrew Houseman at (812) 925-6388, [email protected].

St. Michael’s Emergency Room16062 Southwest FreewaySugar Land, TX 77479Phone: (281) 980.4357

Scribe Solutions4378 Richmond Park Drive EastJacksonville, FL 32224Phone: (904) 610-4242Headquartered in Jacksonville, Florida, Scribe Solutions meets the demands and challenges that emergency departments face with overcrowded waiting rooms and the rising cost of providing quality patient care in a timely manner. By providing emergency physicians with personal assistants to alleviate the timely burden of documentation and clerical duties, Scribe Solutions has been successful in developing staffing solutions to increase productivity and efficiency.

Shift Administrators, LLC2818 Canterbury RoadColumbia, SC 29204Phone: (888) 744-3840Shift Admin is a completely web-based schedule management system for emergency physicians. The system includes a world-class schedule generation algorithm that is extremely powerful and still easy to use. The system also allows you to manage schedules for one or many facilities, and features include user and administrative shift posting/trading/splitting, schedule requests, easy printing, automatic syncing with external calendar software, private and public URL options, extensive administrative controls, extensive stats and reporting and much more.

SonoSite21919 30th Drive SEBothell, WA 98021Phone: (877) 657-8050SonoSite has long recognized the very specific needs of emergency physicians, and it offers imaging and workflow solutions that are uniquely suited to provide increased capabilities at the bedside. Fast, high-quality imaging at the point of care increases patient safety and improves efficiency.

*The Southeast Permanente Medical Group, Inc.3495 Piedmont Road, Building NineAtlanta, GA 30305Phone: (404) 364-7290Founded in 1985, The Southeast Permanente Medical Group (TSPMG) is a physician-owned and managed multi-specialty medical group in Atlanta, Georgia. More than 450 TSPMG clinicians work exclusively with the Kaiser Foundation Health Plan to provide medical care to 250,000 members in metropolitan Atlanta. TSPMG offers 23 specialty practices which provide care at more than 20 metro Atlanta facilities and associated hospitals. Kaiser Permanente’s dedication to health care quality has been recognized with numerous awards, including being named as the Top Health Plan in Georgia by US News and World Report for six straight years, the Top Health Plan – South Atlantic Region by J.D. Power & Associates, and receiving the American Medical Association’s Preeminence Award.

Over the next five years, Kaiser Permanente will invest more than $400 million to significantly increase the number of facilities, services and specialty care throughout Atlanta. We are looking to recruit emergency medicine physicians for our new, state-of-the-art Comprehensive Medical Centers (CMCs) in the north Atlanta suburbs of Duluth and Kennesaw.

Exhibitor Directory



Southeast Practice Management 255 North CausewayNew Symrna Beach, FL 32169Phone: (877) 281-3001Southeast Practice Management is a Florida based group that focuses on managing medical practices including managed care contracting, staffing & HR needs, and billing and coding. Our commitment to quality and personal service starts with a thorough practice assessment which identifies key areas of your practice. Our flexible solutions range from “billing-only” services to “full-practice management” and human resource services. Our goal is to efficiently and cost-effectively create a smooth transition for you, your staff and your patients. We specialize in finding solutions to allow you to concentrate on what’s most important to the patient, and to you – their health.

Synergistic Systems, Inc.11726 Spruce Run DriveSan Diego, CA 92131Phone: (866) 536-8228Synergistic Systems, LLC is a leading provider of Revenue Cycle Management which brings together value innovation and interactive business solutions for Emergency Medicine Services. Services include: EMS Medically Trained Coders; Monthly Documentation Deficiency Report by Provider; Online Access to the Billing System; Client Specific Reporting Package; and High Touch Client Support. SYNERGISTIC SYSTEMS CHANGES THE PARADIGM: ONE EMERGENCY DEPARTMENT AT A TIME. For information contact Ed Allison @ 866-536-8228.

TASER International17800 N 85th StreetScottsdale, AZ 85255Phone: (480) 515-6319TASER International (NASDAQ: TASR) is a company committed to protect life and truth by providing advanced Electronic Control Devices and innovative secured digital evidence collection and management solutions for use in the law enforcement, medical, military, corrections, professional security and personal safety markets.

Telexy Healthcare5705 Evergreen Way, Suite 206Everett, WA 98203Phone: (425) 299-2049Telexy Healthcare provides web-based hardware and software solutions to simplify and automate health care processes. Q-path is a web-based point-of-care ultrasound application used to help manage credentialing, QA, billing, education storage and more. Q-path is offered as a standalone, hospital-hosted or cloud computing solution. Q-link is a rule-based protocol router used to communicate with the PACS, EMR, ADT and Q-path Cloud. Exams can be selectively routed to the PACS or EMR based on rules you define.

*Titan Emergency Group4311 Salisbury RoadJacksonville, FL 32216Phone: (904) 332-4322Titan Emergency Group is a democratic organization based in Jacksonville, FL, with over two decades of experience practicing emergency medicine at our partner hospitals across North Florida. We recruit and retain highly motivated, top tier physicians who excel in the areas of quality, efficiency and patient satisfaction. Stop by our booth, and find out why we are the leading choice for physicians.

The University of Tennessee Physician Executive MBA Program608 Stokely Management CenterKnoxville, TN 37996Phone: (865) 974-1772The #1 preferred physician executive MBA program at The University of Tennessee is an internationally accredited MBA offered exclusively for physicians seeking leadership skills and knowledge. By blending four one-week-long residency periods with live Internet-based distance learning, 320 physicians have completed this one-year-long MBA while maintaining clinical and leadership roles.

Vestagen Technical Textiles1301 W. Colonial DriveOrlando, FL 32804Phone: (407) 781-2396 Vestex high performance medical work-wear repels dangerous fluids, resists stains, wicks away perspiration and contains an antimicrobial to prevent degradation of the fabric from micro organisms and control odors. Liquids bead up and run off the fabric while it remains breathable and comfortable. Vestex keeps you clean, cool and dry.

The Watershed Addiction Treatment Programs200 Congress Park Drive, Suite 100Delray Beach, FL 33445Phone: (877) 416-9566The Life Savers Club Program is a community service of The Watershed Addiction Treatment Programs, Inc. This service is JCAHO Accredited and Florida State Licensed. Referrals are made to The Life Savers Club Program by medical, legal, and social service professionals. The Life Savers Club Program ensures that your patients receive the help they need to make informed treatment decisions. Let us assist you in maximizing your service quality while saving you valuable time.

*Weatherby Locums6440 South Millrock Drive, Suite 175Salt Lake City, UT 84121Phone: (801) 930-3452Website: www.weatherbylocums.com.Weatherby Locums is an elite physician staffing company providing superior personal service since 1995. We present the best temporary opportunities that enable each emergency medicine physician to focus on optimal patient care. We offer emergency medicine physicians the flexibility of working locum tenens and the ability to choose from hundreds of jobs nationwide. Contact us at (800) 586-5022 or visit www.weatherbylocums.com.

Wiley-Blackwell350 Main StreetMalden, MA 02148Phone: (888) 378-2537Website: www.wiley.com/wiley-blackwellWiley-Blackwell, the scientific, technical, medical and scholarly publishing business of John Wiley & Sons, publishes Academic Emergency Medicine, the official journal of SAEM. Stop by our booth to take advantage of our 20% savings on books and to pick up free journal samples. For more info, visit www.wiley.com/wiley-blackwell.

Exhibitor Directory



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

Exhibitor DirectoryZerowet, IncPO Box 4375Palos Verdes, CA 90274Phone: (310) 544-1600Zerowet revolutionized wound irrigation with the SPLASHIELD. Now, come see the new, improved SUPERSHIELD. It’s even faster…easier…BETTER! No wonder it’s the overwhelming favorite in EDs all across the country. And the KLENZALAC is perfect for quickly and effectively cleaning out the nastiest wounds. Come see them today!

Z-Medica Corporation4 Fairfield BlvdWallingford, CT 06492Phone: (203) 294-0000Website: www.z-medica.comZ-Medica Corporation is the innovator and manufacturer of QuikClot® products for hemostasis. QuikClot® hemostatic dressings, indicated for topical use, are impregnated with kaolin, a naturally occurring mineral, which is a proven initiator of the body’s natural coagulation cascade fostering active hemostasis. This technology has been tested extensively by both the U.S. Army’s Institute for Surgical Research (USAIR) and the Naval Medical Research Center (NMRC). As a result of this testing, QuikClot® was selected as the number one choice of hemostatic agents by all branches of the U.S. military. With the advent of a full line of acute care products, this life-saving technology has now made its way into the hospital. This comprehensive line of products for hemostasis includes QuikClot® Hemostatic Formula™, QuikClot® Emergency Dressing™, QuikClot® Combat Gauze™, and QuikClot® Interventional™, available for use by medical professionals for a variety of bleeding scenarios.

$20,000 Sign-On Bonus Full Benefits • Competitive Compensation

Education Loan Repayment • Relocation Assistance

The Reading Hospital and Medical Center seeks Board Eligible or Board Certified Emergency Medicine Physicians to help us serve a population of 400,000+ with state-of-the-art technology and services.

To learn more, please contact Ken Nichols, Manager,

Medical Staff Recruitment 610-898-5640

[email protected] www.readingdocs.org

www.readinghospital.org

EOE

n One of Pennsylvania’s busiest EDs with 50+ employed physicians treating over 115,000 patients annually; patient load of 1.4-2.0 patients per hour

n 84 specialty and multi-purpose rooms plus 24-bed Observation Unit and Adult and Pediatric Fast Track

n Partner with University of Pennsylvania to operate Level II Trauma Center

n Clinical and academic affiliations with major academic medical centers

n Ranked in the top 5% nationwide for patient safety – HealthGrades Distinguished Hospital Award

n Ranked in the top 5% of hospitals nationally for financial accreditation

Exceptional Medicine. Extraordinary Care.

Emergency Medicine Physicians

Visit our Booth #419 at the AAEM Scientific Assembly, Orlando, FL,

Feb. 28-March 1, 2011



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

Registration Bag Insert

Applied Medical Services, LLC

Lanyards

Medical Management Specialists



Hotel Floor Plan

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Certificate of Workplace FairnessThe American Academy of Emergency Medicine strongly supports fair working practices for emergency physicians. Consequently, it will certify that an emergency department meets standards for employment excellence if its physician employees are guaranteed the following five workplace conditions:

1. A reasonable due process policy.

2. A reasonable policy of financial transparency that protects physicians against financial exploitation.

3. A reasonable policy of financial equity that allows physicians to share in the department’s profits.

4. A reasonable policy of political equity that allows physicians to improve their own working conditions.

5. Employment arrangements that do not impose post-contractual restrictions.

Recognized as being in compliance with Certificate of Workplace Fairness Standards & Conditions

Organization State

Baltimore Washington Medical Center MD

Baptist Hospital, Nashville TN

Clear Lake Regional Medical Center TX

Emergency Physicians at Sumner, PLLC TN

Kern Medical Center CA

Madison Emergency Physicians-St. Mary’s Hospital WI

Middle Tennessee Medical Center TN

Mount Sinai Hospital IL

Newport Emergency Physicians, Inc RI

Reid Hospital/Emergency Medicine of Eastern Indiana IN

Southeast Emergency Consultants serving: Memorial Hospital Jacksonville, Orange Park Medical Center and Capital Regional Medical Center

FL

Southern Colorado Emergency Medical Associates CO

Southwestern Michigan Emergency Services, P.C. MI

St. Joseph Regional Medical Center IN

St. Luke’s Hospital IA

UCI Medical Center CA

Valley Emergency Physicians-South Bend IN

Watsonville Community Hospital CA

West Jefferson Emergency Physician’s Group LA



Notes

18 t h a n n u a lScientific Assembly

H o t e l D e l C o r o n a d o

s a n d i e g o

f e b r u a r y 8 - 1 0 , 2 0 1 2

final program - American Academy of Emergency Medicine

Documents

Transcript of final program - American Academy of Emergency Medicine