UCSF Department of Emergency Medicine Newsletter

October/November 2018 - Issue #78

ACHIEVEMENTS
Dr. Nicolaus Glomb, Assistant Clinical Professor of Emergency Medicine and Pediatrics, received the 2017-2018 Maxine Papadakis Award for Faculty Professionalism and Respect at UCSF School of Medicine. He was nominated for this award by third- and fourth-year medical students and was presented with the award at the UCSF School of Medicine Teaching Awards Ceremony on October 30.
Dr. Christopher (Toff) Peabody, Assistant Clinical Professor of Emergency Medicine, received the 2017-18 Bridges Curriculum Foundations 1 and 2 Teaching Award for Outstanding Coach. This award reflects high esteem and deep appreciation felt by medical students for his exemplary efforts as an educator. The award was presented on behalf of the UCSF Medical Student Classes of 2020 and 2021 at the UCSF School of Medicine Teaching Awards Ceremony on October 30.
Dr. Nicolaus Glomb
Dr. Toff Peabody
Dr. Ingrid Lim, Volunteer Assistant Clinical Professor of Emergency Medicine, received the 2018 Charlotte Baer Memorial Award from the UCSF Volunteer Clinical Faculty Advisory Board at the Teaching Awards Ceremony on October 30. This award is presented annually to a member of the volunteer clinical faculty of the School of Medicine in recognition of distinguished service.

Dr. Starr Knight, Associate Clinical Professor of Emergency Medicine, was chosen by the School of Medicine, Class of 2019 Alpha Omega Alpha Honor Medical Society to be inducted into the UCSF chapter of AOA this spring. Each year, 27 members of the graduating class are inducted into AOA based on outstanding scholarship, leadership, professionalism and service. These 27 students then nominate and vote for faculty and housestaff who exemplify these same characteristics and this year chose Dr. Knight.
Dr. Ingrid Lim
Dr. Starr Knight
Dr. Will Shyy, Assistant Clinical Professor of Emergency Medicine (UCSF), and Dr. Toff Peabody, Assistant Clinical Professor of Emergency Medicine (ZSFG), won the 2018-2019 1st Quarter Bedside Teaching Award.
FACULTY ANNOUNCEMENTS
Dr. Esther Chen, Professor of Emergency Medicine, has been named the Graduate Medical Education (GME) Site Director for UCSF at Zuckerberg San Francisco General Hospital (ZSFG) in recognition of her substantial service to GME at ZSFG.

Dr. Mary Mercer, Associate Clinical Professor of Emergency Medicine, has accepted the position of EMS Fellowship Director in the Department of Emergency Medicine at UCSF/ZSFG beginning January 1, 2019.

Dr. Toff Peabody, Assistant Clinical Professor of Emergency Medicine, co-chaired The Osher Mini Medical School on "Innovators and Innovations at UCSF: The shape of things to come." Six classes were offered in October, November and December. Dr. Andi Tenner, Assistant Clinical Professor of Emergency, presented "UCSF and the World Health Organization: Collaborating to Improve Emergency Care Around the Globe" on November 29.
The DEM was a platinum sponsor of the 2018 FIX (FeminEM Idea Exchange)
Conference held in New York City in October
RESEARCH ANNOUNCEMENTS
Dr. Carol Chen, Assistant Clinical Professor of Emergency Medicine and Pediatrics, and Dr. Katherine (Kat) Osborne, Pediatric Emergency Medicine Fellow, are the first recipients of the Harleen Dimarco Research Award. They will be conducting the study: "Evaluation of a Novel Child Passenger Safety App in Acceptability and Increasing Caregiver Knowledge in the Emergency Department." Ensuring correct use of child restraints is an important advocacy topic for Pediatrics and PEM and their project uses an innovative app-based approach aimed at improving knowledge and hopefully behavior.

Dr. Brenda Oiyemhonlan, Assistant Clinical Professor of Emergency Medicine, received a heart's grant award in October to address disparities in learning opportunities for our nurse practitioner group at ZSFG for about $27,000. 
INVITED PRESENTATIONS
Dr. Renee Hsia, Professor of Emergency Medicine, was invited by Massachusetts General Hospital in Boston on October 16 to present grand rounds at the Department of Emergency Medicine titled " 'Hate the Game, Not the Player': How the Emergency Care System Fails Us." She also presented " 'Where Your Deep Gladness and the World's Hunger Meet': A Career in Academic Medicine," at the Harvard Affiliated Emergency Medicine Residency.

Dr. Nicolaus Glomb, Assistant Clinical Professor of Emergency Medicine and Pediatrics, and Dr. Jacqueline Grupp-Phelan, Professor of Emergency Medicine and Pediatrics, presented "Adolescent Mental Health Screening" on September 13 for an EMSC (Emergency Medicine Services for Children) webinar.

Dr. Nicolaus Glomb, Assistant Clinical Professor of Emergency Medicine and Pediatrics, and Dr. Corey Bills, Assistant Clinical Professor of Emergency Medicine, presented "Global Health in Emergency Medicine," a lecture for the Health Sciences Global Health Interest Group on October 17.

Several DEM faculty gave lectures at the African Conference on Emergency Medicine (AfCEM) in Kigali, Rwanda, in November.  Dr. Nicolaus Glomb, Assistant Clinical Professor of Emergency Medicine and Pediatrics, spoke on: Update of Botswana Ministry of Health Emergency Medical Services and Evaluation of practice changes after simulation-based training program of prehospital providers in Botswana; Dr. Andrea Tenner, Assistant Clinical Professor of Emergency Medicine, spoke on Building Scalable Systems; and Dr. Ellen Weber, Professor of Clinical Emergency Medicine and Editor in Chief of the Emergency Medicine Journal, spoke on  Ten Commandments for Getting Published.

Dr. Andrea Tenner, Assistant Clinical Professor of Emergency Medicine, presented "Emergency Care Systems Implementation: The Collaborating Centre Perspective" at the launch of the WHO Basic Emergency Care Course at the 13th World Conference on Injury Prevention and Safety Promotion in Bangkok, Thailand, on November 5. She also presented "Occupational Health: The Ebola Perspective" at the PHS 240 Global Occupational Health Course at University of California, Berkeley School of Public Health on November 14.

Dr. Robert Rodriguez, Clinical Professor of Emergency Medicine, presented g rand rounds at the Duke Department of Emergency Medicine on November 15. The lecture was "The Precision Approach to CT in Blunt Trauma."

Dr. Brenda Oiyemhonlan was a keynote speaker and workshop leader for suturing and ultrasound at the Student National Medical Association Region 1 Conference on November 17 at UCLA.
RESEARCH ABSTRACT PRESENTATIONS
Du A, Amaniyo L, Lipnick M, Bills CB. Barriers to Lay First Responders in Kampala, Uganda. Partners Health Global Health Symposium in collaboration with Brigham and Women's and Massachusetts General Hospital, Boston, October 2018.

Valdovinos EM, Niedzwiecki M, Guo J, Hsia RY. The Medicaid Expansion and Access, Treatment, and Outcomes After Acute Myocardial Infarction. American College of Emergency Physicians, Annual Meeting, Scientific Assembly, San Diego, CA, October 1, 2018 (presented by Valdovinos EM).

Valdovinos EM, Niedzwiecki M, Guo J, Hsia RY. The Medicaid Expansion and Racial Disparities in Transfers to Hospitals Capable of Performing Percutaneous Coronary Intervention After Acute Myocardial Infarction. American College of Emergency Physicians, Annual Meeting, Scientific Assembly, San Diego, CA, October 1, 2018 (presented by Valdovinos EM).
MEDIA COVERAGE
Dr. Renee Hsia, Professor of Emergency Medicine, was interviewed by Axios in a video, " The Average Sticker Price for U.S. Childbirth: $32,093," which was posted on October 14, 2018.

Dr. Chris Colwell, Professor of Emergency Medicine, was quoted in a cnet article " Electric scooters are now disrupting wrists, elbows and heads" published on November 28.

Dr. Hemal Kanzaria, Associate Professor of Clinical Emergency Medicine, received media coverage from AJMC Managed Markets Network for his article " Factors associated with emergency department use by patients with and without mental health diagnoses" published in JAMA Network Open (see below). 


Our EDIE program was highlighted at the Chancellor's State of the University address on October 30 as part of the efforts that UCSF is undertaking to address homelessness. The EDIE program identifies frequent users of emergency departments, many of whom have housing and other social needs.
ACEP SCIENTIFIC ASSEMBLY 2018
The American College of Emergency Physicians (ACEP) Scientific Assembly 2018 was held in San Diego, California, on October 1 to October 4.
Dr. Eric Isaacs chaired the Palliative Medicine section meeting and moderated the research forum on Venous Thromboembolism

Drs. Hemal Kanzaria and Jahan Fahimi co-chaired the SAEM Social EM and Population Health Interest Group meeting

Dr. Chris Fee sat on the Program Director Panel: What Makes an Application Stand Out (part of the EMRA Medical Student Forum 2018)

Drs. Jeanne Noble and Brenda Oiyemhonlan taught the Pediatric Procedures Lab

Drs. Nancy Anaya, Carol Chen, Shruti Kant, Margaret Lin, Jeanne Noble, Brenda Oiyemhonlan, Evelyn Porter, Dina Wallin, Ellen Weber and Heidi Werner taught the Pediatric Simulation Lab

Drs. Nancy Anaya, Joe Brown, Kavita Gandhi, Starr Knight, Liz Kwan and Nate Teismann taught the Ultrasound-guided Regional Anesthesia Lab

Dr. Corey Bills taught the Slit Lamp Skills Lab

Dr. Steven Bin taught the Advanced Airway Techniques Lab and Clinical Cases

Dr. Jessica Mason taught the Clinical Scenario: Advanced Invasive Procedural Skills and Cadaver Labs

The following presentations were made by DEM faculty and residents.

Dr. Corey Bills: (1) Bills CB, Newberry JA, Matheson L, Rao R, Mahadevan SV, Strehlow MC. Acute Respiratory Illness among a Prospective Cohort of Pediatric Patients Using Emergency Medical Services in India: Demographic, Environmental, and Out-of-Hospital Clinical Predictors of Mortality in a High-Risk Population; (2)  Newberry JA, Mahadevan SV, Matheson L, Bills CB , Rao S, Rao GR, Strehlow MC. Connecting Children to Emergency Care: Pediatric Utilization of the World's Largest Emergency Medical Service from 2013 to 2015; (3)  Daggubati V, Del Pozo RE, Pham H, Peabody CR, Bills CB , Fazio J. A Nurse-Led Bedside Coaching Approach to Improve Sepsis Bundle Compliance at a Large Academic Trauma Center; and (4)  Abebe B, Kalanzi J, Bills CB , Reynolds T, Kivlehan S. Descriptive Analysis of Out-of-Hospital Emergency Care in Kampala, Uganda

Dr. Remy Bizimungu: Thoracic Spine Fracture in the Pan Scan Era

Dr. Joe Brown: Bedside Triple-Point Ultrasound for Suspected Pulmonary Embolism: A Strategy to Reduce the Use of Contrast CT

Dr. Danielle Campagne: (1) Difficult Dislocations; (2) Orthopedic Reductions and Regional Blocks; and (3) Master Clinician Workshop: The Rapid, High-Yield Ortho Exam in the ED

Drs. Danielle Campagne and James McCue: Master Clinician Workshop: High Yield MSK Exam and Frx/Dislocation Reduction

Dr. Brian Chinnock: Sensitivity of a Bedside Reagent Strip for the Detection of Spontaneous Bacterial Peritonitis in ED Patients with Ascites

Dr. Chris Colwell: (1) Cruising the Literature: Trauma 2018; (2) Fast Facts: Let's Chat about Adult Trauma; (3) ED Thoracotomy: When, Who and How; and (4) Clear as Mud: C-Spine Clearance 2018

Dr. Rosny Daniel: Can't We All Just Get Along: A Generational Survival Guide

Dr. Leyla Farshidpour: Point of Care Synovial Lactate to Distinguish between Septic and Aseptic Arthritis

Dr. Eric Isaacs: InnovatED presentation - Improving Work Flow for Hospice-Eligible Patients Presenting to the ED

Dr. Starr Knight: (1) Chest Tubes - Pearls and Pitfalls; (2) Fast Facts: Considering the Kidneys; and (3) Fast Facts: Glands Gone Bad! Metabolic Emergencies

Dr. Jessica Mason: (1) Keynote Speaker: Brian's Story (EMRAP Live Event); (2) Acute Pulmonary Edema; and (3) Transvenous Pacemakers

Dr. Evelyn Porter: Big Hurts, Small People: Pain Management of the Pediatric Trauma Patient

Dr. Robert Rodriguez: Combining qSOFA Criteria and Lactate Levels for Screening of Septic Patients for Critical Illness

Dr. Manavjeet Sidhu: 20 in 6

Dr. Jeff Tabas: (1) ACEP Connect: The Heart of the Matter - Risk Stratification Tools, Cardiac Imaging, and Latest Treatments; (2) ACS Risk Assessment: A Point-Counterpoint Dialogue of the Heart Pathway and Other Risk Stratification Tools; and (3) Number Needed to Treat: Pinpointing ED Interventions That Matter Most

Dr. Lori Weichenthal: Do Not Harm (film panel)

Dr. Fred Wu: Advanced Practice Providers: Coming to an ED Near You!

Dr. Clement Yeh: EMS and Sobering Center Coordination
RESIDENT/FELLOW ANNOUNCEMENTS
Three residents wrote chapters in CEMRO Essentials: Procedure Quick Guide for Emergency Medicine Residents, W. Johnson & D. Teoli (eds.), Los Angeles, CA: Southcrest House (2018):
  1. Dr. Cortlyn Brown, PGY-3 - Ear Foreign Bodies and Nasal Foreign Bodies (Dr. Evelyn Porter faculty reviewer)
  2. Dr. Jessica Chow, PGY-3 - Pericardiocentesis (Dr. Toff Peabody faculty reviewer)
  3. Dr. Lily Muldoon, PGY-4 - Peri-mortem Cesarean Section
The UCSF+SFGH Team won the mixed gender section of Ragnar on November 3. This is a 200-mile relay race over 25 hours going from San Francisco to Napa Valley. Our team of twelve included ED residents, nurses, alumni, pharmacist and fellow and came in first out of 170 teams!


Dr. Tomas Diaz, PGY-4, wrote a narrative essay on diversity and representation in medicine which he submitted to the San Francisco Marin Medical Society's Medical Trainee Writing Contest which was published in the September issue of San Francisco Marin Medicine
STAFF ANNOUNCEMENTS


Angela Wong , Clinical Research Coordinator, received a WINGS Grant in November 2018. She will be taking an introduction to biology course.
PUBLICATIONS
Barata I, Auerbach M, Badaki-Makun O, Benjamin L, Joseph MM, Lee MO, Mears K, Petrack E, Wallin D, Ishimine P, Denninghoff KR. A research agenda to advance pediatric emergency care through enhanced collaboration across Emergency Departments. Academic Emergency Medicine. 2018 Dec; 25(12):1415-26.

Dilunga GD, Sawe HR, Kulola I, 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. Safety in Health. 2018; 4:12.

Glomb NW, Kosoko AA, Doughty CB, Rus MC, Shah MI, Cox M, Galapi C, Parkes PS, Kumar S, Laba B. Needs assessment for simulation training for prehospital providers in Botswana. Prehospital and Disaster Medicine. 2018 Nov 13:1-6. Epub ahead of print.

Klig JE, Fang A, Fox SM, Hom J, Strobel A, Tat S, Wall JJ, Bhat R, Weinberg E, Deninghoff KR, Ishmine P, Kou M. 2018 Academic Emergency Medicine Consensus Conference: Advancing pediatric emergency medicine education through research and scholarship. Academic Emergency Medicine. November 2018.

Madhok DY, Vitt JR, Nguyen AT. Overview of neurovascular physiology. Current Neurology and Neuroscience Reports. 2018; 18(12):99.

Mundenga MM, Diango K, Mbanjumucyo G, Kabongo D, Tenner AG. African Federation for Emergency Medicine's Francophone Working Group May 2018 report. African Journal of Emergency Medicine. 2018; 8(3):123-5.

Niedzwiecki MJ, Sharma PJ, Kanzaria HK, McConville S, Hsia RY. Factors associated with emergency department use by patients with and without mental health diagnoses. JAMA Network Open. 2018; 1(6):e183528. 

Rao A, Huynh E, Royston T, Kornblith A, Roy S. Acoustic methods for pulmonary diagnosis. IIEE Reviews in Biomedical Engineering. 2018; PP(99):1-1.

Raven MCInvited Commentary | Health Policy:  Policies that limit emergency department visits and reimbursements undermine the emergency care system. Instead, let's optimize it. JAMA Network Open. 2018; 1(6):e183728. 

Rodriguez, RM, Canseco K, Baumann BM, Mower WR, Langdorf MI, Medak AJ, Anglin DR, Hendey GW, Addo N, Nishijima D, Raja AS. Pneumothorax and hemothorax in the era of frequent chest computed tomography for the evaluation of adult patients with blunt trauma. Annals of Emergency Medicine. 2018; 73(1):58-65.

Staats K, Mercer MP, Bosson N, Donofrio JJ, Schlesinger S, Sanko S, Kazan C, Brown J, Loza-Gomez A, Eckstein M, Gausche-Hill M. The Digital EMS California Academy of Learning: One state's innovative approach to EMS fellow education. AEM Education and Training. 2018; 00:1-4.

Stoner MJ, Mahajan P, Bressan S, Lam SHF, Chumpitazi CE, Kornblith AE, Linakis SW, Roland D, Freedman SB, Nigrovic LE, Denninghoff K, Ishimine P, Kuppermann N. Pediatric emergency care research networks: A research agenda. Academic Emergency Medicine. 2018 Dec; 25(12):1336-44.
TEXTBOOKS, BOOK CHAPTERS, ONLINE TOOLS
Bills CB. Acute Kidney Injury. In LA Wallis and TA Reynolds, eds. AFEM Handbook of  Acute and Emergency Care, Second Edition. Oxford University Press-Southern Africa, 2018.
Bills CB, Section Editor. Haematology and Oncology. In LA Wallis, TA Reynolds, K Checkett, eds. AFEM Handbook of Acute and Emergency Care, Second Edition. Oxford University Press-Southern Africa, 2018.

George U, Bills CB. Coagulopathies. In LA Wallis and TA Reynolds, eds. AFEM Handbook of Acute and Emergency Care, Second Edition. Oxford University Press-Southern Africa, 2018.

Kulola I, Bills CB. Emergency Use of Blood Products. In LA Wallis and TA Reynolds, eds. AFEM Handbook of Acute and Emergency Care, Second Edition. Oxford University Press-Southern Africa, 2018.

Shochat G, Nemer J. Relief of Choking and Acute Upper Airway Foreign Body Removal. Chapter 224 in: EF Reichman, ed. Reichman's Emergency Medicine Procedures, Third Edition. New York, NY: McGraw-Hill, 2019. 

Shochat G, Nemer J, Walner DL, Anderson Jr. ME. Airway Foreign Body Removal. Chapter 207 in: EF Reichman, ed. Reichman's Emergency Medicine Procedures, Third Edition. New York, NY: McGraw-Hill, 2019.
SAVE THE DATE
Feb. 17-21  High Risk EM Hawaii - Early Bird Registration by Jan. 16, 2019

Feb. 21 11:00am-12:30pm Grand Rounds, Dr. Judd Hollander (Associate Dean for Strategic Health Initiatives at the Sidney Kimmel Medical College of Thomas Jefferson University and Vice Chair of Finance and Healthcare Delivery in the Department of Emergency Medicine), MCB, 1855 Folsom Street