UCSF Department of Emergency Medicine Newsletter

December 2018/January 2019 - Issue #79

Dr. Gene Kallsen, former Chief of Emergency Medicine at UCSF Fresno, retired from UCSF in December 2018. Dr. Kallsen wore numerous hats during his 40 years with UCSF, starting as a resident in the UCSF Fresno EM program in 1977. His legacy will continue through the Gene W. Kallsen, MD, Endowed Chair in Emergency Medicine.

Dr. Kenny Banh, Associate Professor of Clinical Emergency Medicine and Assistant Dean of Undergraduate Medical Education, launched the UCSF-Fresno Health Education and Learning (HEal) mobile clinic which has the three-part mission of improving access to care in the San Joaquin Valley, training the next generation of physicians and increasing diversity in the medical profession. Dr. Bahn received the California Medical Association's (CMA) Compassionate Service Award for 2018 at the 147th annual CMA House of Delegates on October 14 in Sacramento, an award that honors a physician member who best illustrates the association's commitment to community and charity care.

The ZSFG ED Social Medicine Team, led by Dr. Hemal Kanzaria , Associate Professor of Clinical Emergency Medicine, received the statewide 2018 California Association of Public Hospitals and Health Systems (CAPH)/California Health Care Safety Net Institute (SNI) Quality Leaders Award. The ZSFG ED Social Medicine team is changing how ZSFG and the San Francisco Health Network (SFHN) care for vulnerable patients by assessing and treating patients' self-identified social needs and providing safe alternatives to hospitalization. The team's work was showcased at the annual CAPH/SNI conference on December 6, 2018, as well as in the 2018 UCSF Chancellor's State of the University Address on October 30, 2018.

Dr. Susan Lambe, Associate Professor of Emergency Medicine (UCSF), and Dr. Michelle Lin, Professor of Clinical Emergency Medicine (SFGH), won the 2018-2019 2nd Quarter Bedside Teaching Award. Dr. Sonny Tat, Assistant Clinical Professor of Emergency Medicine and Pediatrics won the semi-annual Bedside Teaching Award at Mission Bay.

Dr. Juan Carlos Montoy and Dr. Brenda Oiyemhonlan , Assistant Professors of Emergency Medicine, received Dean's Diversity Fund awards from the School of Medicine and join the 2018 class of John A. Watson Faculty Scholars. Applicants were selected based on their commitment to advancing diversity, inclusion and equity in academic medicine. The awards provide three-year, $75,000-per-year grants to help advance careers and support mentoring. 

Dr. Shruti Kant, Associate Clinical Professor of Emergency Medicine and Pediatrics, and her team were awarded the Best Innovation Award for ACEP Simbox from the Society for Simulation in Healthcare, Pediatric Section Awards.

The Sepsis Team at ZSFG received the Patient Safety Hero Award on December 7 in Carr Auditorium. This is a real testament to the hard work of all the nurses in the ED to increase the quality of our sepsis care. 
Dr.  Eric Isaacs, Clinical Professor of Emergency Medicine, was selected from many qualified applicants to assume the role of Bridges Curriculum Site Director at ZSFG. 

Dr. Hemal Kanzaria, Associate Professor of Emergency Medicine, was invited to serve on an advisory committee for Tipping Point and John Snow Inc to direct philanthropy for behavioral health needs and homelessness in San Francisco. He was also named a Senior Reviewer for Annals of Emergency Medicine.

Dr. David Malmud , Assistant Clinical Professor of Emergency Medicine, was invited to serve on the Board of Directors for the Yosemite Medical Education Foundation (YMEF), which hosts the Emergency Medicine in Yosemite CME conference, now in its 41st year.

Dr. Brenda Oiyemhonlan , Assistant Clinical Professor of Emergency Medicine, and Dr. Rosny Daniel , Medical Education Fellow, attended the Sinkler Miller Medical Association Scholarship Gala with Dr. Renee Navarro, Vice Chancellor for Diversity and Outreach, on October 20. The group raised over $20k in scholarship monies for minority college and medical school students.

 Dr. Daniel (far left), Dr. Oiyemhonlan (fourth from right), Dr. Navarro (second from right)
Dr. Nicolaus Glomb, Assistant Clinical Professor of Emergency Medicine and Pediatrics, was selected as a 2019 APA Research Scholar. This research fellowship provides training, mentoring and networking for up-and-coming pediatric researchers over the next three years. The selection committee commented on his "very impressive application." Dr. Jacqueline Grupp-Phelan, Professor of Emergency Medicine and Pediatrics, will be one of his mentors.

A study by Dr. Michael Darracq, Associate Professor of Clinical Emergency Medicine and Toxicologist, and Dr. Steven Riccoboni, Clinical Instructor, titled "Does the U Stand for Useless? The Urine Drug Screen and Emergency Department Psychiatric Patients" was cited by Emergency Medicine News as one of the top three toxicology articles published in 2018. After reviewing the charts of patients transferred to a behavioral health hospital, the authors concluded that drug screens were of little benefit for acute psychiatric patients.

Dr. Ralph Wang, Associate Professor of Emergency Medicine, is enrolling patients in a Learning Healthcare Systems clinical trial called "Ultrasound First Clinical Decision Support for Suspected Nephrolithiasis" in the Parnassus ED. 
Dr.  Ellen Weber, Professor of Emergency Medicine, was a visiting professor at Indiana University and gave an ED grand rounds on "ED crowding: Causes, Consequences and Possible Solutions" in December 2018.

Dr. Debbie Madhok, Assistant Clinical Professor of Emergency Medicine, gave a UCSF Insights presentation in conjunction with the Office of University Development and Alumni Relations for the theme of Partnering to Achieve Health Equity: Radically Rethinking Care. She presented "Mission Stroke: Time is Brain" on December 5, 2018.

Dr. Dina Wallin, Assistant Clinical Professor of Emergency Medicine and Pediatrics, delivered an invited workshop called "Penny for Your Thoughts: Introversion in Emergency Medicine" for the Children's Hospital of Los Angeles Pediatric Emergency Medicine fellowship monthly conference on January 25, 2019.
Dr. Renee Hsia, Professor of Emergency Medicine, received media attention for her publication in JAMA Network Open from numerous media outlets, including Reuters, HealthDay News, Modern Healthcare, Minnesota Post, and Becker's Hospital Review. Dr. Hsia was also heard on BBC World Service Health Check on December 12, 2018, discussing "Why Does It Take Longer to Get to Hospitals in Poorer Areas of America?" with Helena Selby. Dr. Hsia was quoted in a CNN article entitled, "ERs 'Flooded' With Mentally Ill Patients With No Place Else To Turn," by Susan Scutti on January 4, 2019.

Dr. Renee Hsia was selected as the "Editor in Chief Pick of the Month" for the February 2019 issue of Academic Emergency Medicine (AEM) for her AEM article "Access to Federally Qualified Health Centers and Emergency Department Use Among Uninsured and Medicaid-insured Adults: California, 2005 to 2013."

Dr. Hemal Kanzaria received media attention from Physician's Weekly for his publication in JAMA Internal MedicineUnrecognized Cardiovascular Emergencies Among Medicare Patients. 

Dr. Jacqueline Grupp-Phelan, Professor of Emergency Medicine and Pediatrics, received media attention for her article published in Pediatrics from MedPageToday on January 15,  NEJM Journal Watch on January 22,  Healio.com on January 14, and  UPI Health News on January 15.

Dr. Jahan Fahimi, Associate Professor of Clinical Emergency Medicine, was interviewed by ABC7News about an Oakland 6-year-old shot by a stray bullet on New Year's Eve hospitalized at UCSF Benioff Children's Hospital.

Dr. Maria RavenAssociate Professor of Clinical Emergency Medicine, was interviewed by KPIX5 on December 30 about EDIE as a response to "Frequent Flier" abuse of emergency services.

Dr. Kenny Banh, Associate Professor of Clinical Emergency Medicine, was interviewed by KSEE 24's Kaile Hunt about doctors in Fresno seeing patients with the flu. Dr. Banh explained why it's important to get a flu shot on KSEE24 News Fresno on January 8.

Dr. Patil Armenian, Associate Professor of Emergency Medicine, was quoted in an NBC News article titled " Cluster of California fentanyl overdoses alarms authorities" published on January 17, and appeared in a video posted on Facebook discussing opioid exposure.

Dr. Susanne Spano , Associate Professor of Emergency Medicine, appeared on the Central Valley News reacting to a local philanthropist helping Fresno search and rescue volunteers at the Paradise Camp Fire in November.
Dr. Daniel Rosny, Medical Education Fellow, completed the Diversity, Equity and Inclusion Champion Training on January 18.

Dr. Cortlyn Brown, PGY-3, was awarded one of the spots in the AAEM/JEM Resident and Student research competition. This competition was designed to recognize outstanding research achievements by residents and students in emergency medicine. Dr. Brown's poster titled "The Updated Google Translate Algorithm with Emergency Department Discharge Instructions" will be presented at the American Academy of Emergency Medicine's 25th Annual Scientific Assembly in March.

The  UCSF Emergency Medicine Interest Group  (EMIG) and the Department of Emergency Medicine hosted the 5th annual NorCal Emergency Medicine Symposium on December 8 at UCSF. There were over 100 participants. The event was organized by EMIG leadership .
Dr. Lily Hitchner , PGY-4, was recognized as a Health Care Hero by Ben Wiele, American Ambulance Paramedic.

Dr. Manavjeet Sidhu, PGY-3, talked to  KSEE24  Central Valley Today on September 21 about saving costs on health care in 2019.

UCSF Fresno Emergency Medicine PA Residency faculty and residents prepared and served lunch to nearly 400 at Poverello House for #emdayofservice.

Jeannine Ruggeiro, MSW, has joined our EDIE team on a full-time basis. Originally from Sonoma County, Jeannine graduated from San Jose State University with a master's degree in social work. She has worked previously with individuals experiencing homelessness in the shelter setting. Jeannine did her social work internship at the Parnassus ED in 2017-2018 and we are delighted to have her return in this new position. She will be working closely with Marina Rosenberg and the rest of our ED social work staff.

Virginia Chan, Clinical Research Coordinator, has been accepted into the Winter 2019 UCSF Diversity and Inclusion Certificate Program. The goal of the certificate program is to develop a more capable workforce by enhancing staff competencies relevant to diversity, equity and inclusion. It is a four-month self-directed program that focuses on exploring foundational concepts essential to enhancing an inclusive work environment through lecture, experiential and independent activities.

Caroline Cawley, Whole Person Care Research Associate, appeared on Jeopardy on January 17. Caroline's work on homelessness in San Francisco was accepted to the National Healthcare for Homeless Conference, with an invitation to lead an entire workshop for attendees. 
Brahmbhatt K, Grupp-Phelan J. Parent-adolescent agreement about adolescent's suicidal thoughts: A divergence. Pediatrics. 2019 Jan 14. pii: e20183071.

Brandehoff N, Smith CF, Buchanan JA, Mackessy SP, Bonney CF. First reported case of thrombocytopenia from a Heterodon nasicus envenomation. Toxicon. 2019 Jan; 157:12-17.

Brown JF, Raven MC, Tangherlini NL, Hall MK. Frequent users of 9-1-1 emergency medical services: Sign of success or symptom of impending failure? Prehospital Emergency Care. 2018 Aug; 21:1-3.

Dilunga GD, Sawe HR, Kulola IB, Mfinanga JA, Lucumay NJ, Mulesi EM, Weber EJ. Pain assessment and management of trauma patients in an emergency department of a tertiary hospital in Tanzania. BMC Safety in Health, 2018 Nov; 4:12.

Graglia S, Huang C, Shokoohi H, Liteplo AS. Faculty opinions concerning ultrasound utilization in the emergency department. The American Journal of Emergency Medicine. 2018 Dec 12; pii: S0735-6757(18)30983-5. Epub ahead of print.

Hengehold T, Boyd S, Liddy-Hicks S, Bridge J, Grupp-Phelan J. Utility of the "no response" option in detecting youth suicide risk in the pediatric emergency department. Annals of Emergency Medicine. 2018 Nov 28. pii: S0196-0644(18)31386-6.

Hsia RY, Huang D, Mann NC, Colwell C, Mercer MP, Dai M, Niedzwiecki MJ. A U.S. national study of the association between income and ambulance response time in cardiac arrest. JAMA Network Open. 2018; 1(7):e185202. 

Lai S, Jain A, Mason J, Grock A. Beyond ATLS: Demystifying the expert resuscitationist. Annals of Emergency Medicine. 2018 Sep; 72(3):299-301. 

Lin M. Bring 'Em All: Chaos. Care. Stories from Medicine's Front Line. By Eugene Richards. Dallas, TX: American College of Emergency Physicians, 2018; 208 pp; $95 (hardcover). Academic Emergency Medicine. 2019 Jan 13; doi: 10.1111/acem.13686. Epub ahead of print.

Marombwa NR, Sawe HR, George U, Kilindimo SS, Lucumay NJ, Mjema KM, Mfinanga JA, Weber EJ. Performance characteristics of a local triage tool and internationally validated tools among under-fives presenting to an urban emergency department in Tanzania. BMC Pediatrics. 2019 Feb 1; 19(1):44.

Nath JB, Costigan S, Lin F, Vittinghoff E, Hsia RY. Access to federally qualified health centers and emergency department use among uninsured and Medicaid-insured adults: California, 2005 to 2013. Academic Emergency Medicine. 2019; doi: 10.1111/acem.13494.

Newberry JA, Bills CB, Pirrotta EA, Barry M, Ramana Rao GV, Mahadevan SV, Strehlow MC. Timely access to care for patients with critical burns in India: A prehospital prospective observational study. Emergency Medicine Journal. 2019 Jan 11. pii:emermed-2018-207900.

Niedzwiecki MJ, Kanzaria HK, Montoy JC, Hsia RY, Raven MC. Past frequent emergency department use predicts mortality. Health Affairs (Millwood). 2019; 38(1):155-8.

Paddock M, Cardy V, Grock A, Mason J. Asymptomatic and under pressure. Annals of Emergency Medicine. 2018 Nov; 72(5):544-6.

Raven MC, Kaplan LM, Rosenberg M, Tieu L, Guzman D, Kushel M. Mobile phone, computer, and internet use among older homeless adults: Results from the HOPE HOME cohort study. JMIR Mhealth Uhealth. 2018 Oct; 6(12):e10049.

Shu E, Tallman C, Frye W, Boyajian JG, Farshidpour L, Young M, Campagne D. Pre-hospital qSOFA as a predictor of sepsis and mortality. American Journal of Emergency Medicine. 2018 Sep. pii: S0735-6757(18)30759-9. 

Swift CP, Ekyinabah E, Graglia S, Adeiza MA. 'Never say never': The first successful management of a type A aortic dissection in Liberia. BMJ Case Reports. 2019 Jan 31; 12(1):e227511.

Vaughn LM, Sunny CE, Lindquist-Grantz R, King C, Brent D, Boyd S, Grupp-Phelan J. Successful suicide screening in the pediatric emergency department: Youth, parent, researcher, and clinician perspectives. Archives of Suicide Research. 2018 Dec 11:1-18.

Vayngortin T, Kant S. Identification and management of adolescent gynecologic emergencies in the emergency department. Pediatric Emergency Medicine Practice. 2019; 16(2):1-24.

Weber EJ. Editorial. Triage: Making the simple complex? Emergency Medicine Journal. 2019 Feb; 36(2):64-5.

Weber EJ, Carlton EW. Editorial. Side effects of decision rules, or the law of unintended consequences. Emergency Medicine Journal. 2019 Jan; 36(1):2-3.

Wong VSS, Avalos LN, Callaham ML. Industry payments to physician journal editors. PLoS ONE. 2019; 14(2):e0211495.

Young M, Kim T, Lessard E, Campagne D, Spano S, Farshidpour L, Stroh G. Emergency medical services and remote medical oversight in Sequoia and Kings Canyon national parks, 2011-2013. Wilderness & Environmental Medicine. 2018 Dec; 29(4):453-62.

Zupon A, Rothenberg C, Couturier K, Tan TX, Siddiqui G, James M, Savage D, Melnick ER, Venkatesh AK. An appraisal of emergency medicine clinical practice guidelines: Do we agree? International Journal of Clinical Practice. 2019 Feb; 73(2):e13289.
Benjamin Stephanie, MD.  San Bernardino, CA: Stephanie Benjamin, MD, 2018.

Chin, Rachel L. and Bradley W. Frazee, editors, Zlatan Coralic, associate editor. Emergency Management of Infectious Diseases, 2nd ed. New York, NY: Cambridge University Press, 2018.

Liang, Stephen Y. and Rachel Chin, editors. Emergency Medicine Clinics of North America - Infectious Disease Emergencies. Philadelphia, PA: Elsevier, 2018.

Mattu, Amal; Jeffrey A. Tabas, and William Brady, editors. Electrocardiography in Emergency, Acute and Critical Care, 2nd ed. Irving, TX: American College of Emergency Physicians, 2018.
Mar 5 PEM Faculty Retreat, NatureBridge

May 1-3 UCSF-Fresno High Sierra Wilderness and Travel Medicine Conference, The Pines Resort at Bass Lake, California

May 7 Spring Faculty Retreat, Aldea Center

May 22-27  MCI exercise, training, and camping with EMS/Disaster/Global Health and UCSF-Fresno EM Residency and Wilderness Medicine Fellowship/Park Medic Program at Sequoia/Kings Canyon National Park

June 11 Residency Graduation