In April, Drs. Clement Yeh and Tomas Diaz joined a group of UCSF Health professionals who went to NYC to provide care at New York Presbyterian hospitals for a month-long deployment. Dr. Yeh will work at NYP Queens Hospital, and Dr. Diaz will work at Weil Cornell Medical Center and NYP Lower Manhattan Hospital.

UCSF Health assembled this team very rapidly, and volunteers were given only a couple of days to prepare for deployment. Many faculty stepped forward to volunteer to provide assistance, and this deployment would not be possible without support from the entire department. Thank you to all and best wishes to our physicians for a successful mission and safe return!
UCSF-ZSFG responds to COVID-19
A snapshot from February at ZSFG's faculty N95-respirator fit testing session to ensure up-to-date, effective protection in response to the coronavirus pandemic. On the left is Dr. Toff Peabody , on the right is Dr. Lily Muldoon .

In March, UCSF erected two specialized structures known as Accelerated Care Units (ACUs), outside our hospital at Parnassus. (Photo by Dr. Jahan Fahimi )

Drs. Ellen Weber and Alan Gelb joined the San Francisco Department of Public Health COVID activation as part of the Information and Guidance Branch. The branch ensures that key sources of information are monitored, reviewed, and summarized to inform external audiences (e.g., public, clinicians, special settings); and coordinates internal dissemination.
(Below)  Drs. Mary Mercer  and  Jeremy Lacocque  on duty March 19 at the City's Emergency Operations Center (EOC), now moved to Moscone Center as it has become quite large. The other gentleman in the picture is Captain Andy Zanoff. Dr. Mercer is the Medical Section Branch Chief for the DPH Department Operations Center, and she, Dr. Lacocque and Captain Zanoff were working on the development of the City's emergency medical care surge plans for both fixed facilities (hospitals/clinics/SNF's) and EMS. Along with other UCSF physicians, including  Drs. Andi Tenner, David Malmud, Clement Yeh and  Eric Silverman,  they are providing needed expertise to the City's Health Officer, all levels of health care facilities and EMS provider agencies as they provide daily emergency care for residents and visitors in San Francisco.

(Left to right)  Drs. Eddie Grom  (R3),  Judy Klein  (faculty attending) and  John Brown teach the MS IV sub interns splinting remotely from our Field Care Clinic site #1 at Southeast Health Center. Dr. Brown reports that we had about 15 remote (medical students) and 5 in-person (clinic staff) attend the hybrid virtual / in-person splinting class which took place on April 6.
The zsfgCOVID platform, accessible on any device with internet connection, is a clinician-driven resource, specific for COVID-19 care at ZSFG. It provides ultra-quick access to the most current ED guidelines for everything from Shock Trauma to PPE and Testing to AMA. It is updated daily in coordination with ED leadership, includes links to the ZSFG ED Protocols Box, and will continue to evolve as time goes on. Involved in developing the zsfgCOVID digital support tool:

Dr. Nicholas Stark (R2)
Dr. Madeline Grade (R1)
Dr. Winnie Chan (R4)
Dr. Toff Peabody (Faculty)
Dr. Malini Singh (Faculty / Sponsor)
Resident  Drs. Olga Diaz , Josh Bukowski  and  Shirin Kasturia  (pictured left to right) assisted SF EMS Agency in inventorying and restocking 20 rapid deployment packs of medical supplies and equipment for San Francico's Alternate Care Site system for pandemic related surge. Thanks to these seniors for taking on an onerous task of inspection, inventory and replenishment and turning into a better response system for San Francisco's disaster response (prototype end result is this orange pack).

Dr. Andi Tenner is the Director of the Alternative Care Sites (field hospital, field clinics and medical shelters) for SFDPH.
Achievements
Our EM residents honor faculty members quarterly (EM) and semi-annually (PEM) for their teaching abilities. The bedside teaching award is for the ED attending at each clinical site who stands out for their bedside teaching skills and ability to provide constructive feedback to the EM residents. This award can only be awarded once per academic year to any given individual.

Our 2019-2020 2nd Quarter Bedside Teaching Award winners were Dr. Nancy Anaya at Parnassus, and Dr. Kavita Gandhi at ZSFG. At Mission Bay, the semi-annual bedside teaching award was presented to Dr. Shruti Kant . Congratulations!
Dr. Lily Muldoon and her team at Something Labs received and implemented a $17,800 grant from the Rotary Club of San Francisco to produce and distribute face shields, PAPR masks and intubation boxes. Many physicians and nurses contributed to the design of this specialized PPE including Drs. Andi Tenner, Nida Degesys, Jeanne Noble, Bahar Mogjani, Malini Singh and Joe Brown.
Activities
(Above)  Drs. Jackie Grupp-Phelan  and  Aaron Kornblith  at Pediatric Emergency Care Applied Research Network (PECARN)'s first conference of 2020 in Arlington, Virginia.   Drs. Kornblith  and  Nick Glomb  (not pictured) both participated in the PECARN Future Investigator Program and had a chance to learn more about identifying funding opportunities, writing grants, running multi-center research trials and early career trajectory tips.
In late February,  Dr. Carol Chen  traveled to Dar es Salaam, Tanzania to partner with Dr. Upendo George to conduct a refresher training (pictured above) of AFEM's (African Federation for Emergency Medicine) pediatric emergency medicine curriculum to nurses working at Muhimbili National Hospital (MNH), the country's national referral hospital. Dr. George is the head of the recently completed Pediatric Emergency Department at MNH. Dr. Chen and the UCSF PEM Division will provide support to this new department.
In February and March, the following physicians participated in the next cohort training for EMS6 Community Paramedicine program at SFFD:   Drs. Clement Yeh, Chris Colwell, John Brown, Mary Mercer, Jeremy Lacocque, Lauren Hart.
On March 8, Project FRIEND trained University of San Francisco EMTs and Public Safety to distribute naloxone to members of the community as part of the EMS and First Responder protocol.
Dr. Hemal Kanzaria was a panelist at Battery Powered Foundation's " Response to COVID-19 Pandemic" on March 25, and at Twitter for Good's "Frontline Response to COVID in San Francisco" on April 24, both events in San Francisco.
SAEM and PAS 2020 before cancellations due to COVID
SAEM 2020 - Accepted for presentation:

Dr. Margaret Lin-Martore:  "Diagnostic Accuracy of Point-of-Care Ultrasound for Intussusception: A Multicenter Study" (Oral Presentation)



SAEM 2020 - Accepted for presentation:

Dr. Scott Fruhan:  "An Unsuccessful Discharge: Evaluating Disparities in Patient Understanding and Follow-up Post-Emergency Department Care" and "Risk of Return: Using Provider Assessment to Predict Short-Term Patient Bounce Backs to the Emergency Department" (Lightning Oral Presentations)
Pediatric Academic Societies (PAS) 2020 
Accepted for presentation:

  • Dr. Riham Alwan: "A Novel Community Based Pediatric Refugee Care Coordination Model" (Poster Presentation)
  • Drs. Mahnoosh Nik-Ahd & Shruti Kant (not pictured): "Can an intervention influence the growth vs. fixed mindset of pediatric interns?" (Poster Presentation)
  • Drs. Nick Glomb & Jackie Grupp-Phelan: "Behavioral Emergencies in Alameda County: Patient Characteristics and Safety of Pre-hospital medical clearance, 2011-2016" (Poster Presentation)
  • Drs. Alexander Werne (not pictured) & Carol Chen: "Effectiveness of a Pediatric Emergency Medicine Curriculum at a Public Referral Hospital in Libera, a Follow-up Comparison" (Poster Presentation)
  • Dr. Nisa Atigapramoj (co-author): "A Survey of Emergency Medicine Physicians' Screening for Physical Child Abuse in Infants with Skull Fractures" (Poster Presentation)
  • Dr. Carol Chen (site PI): "Invasive Bacterial Infections and Adverse Events in Afebrile Infants Aged 90 Days and Younger with Clinically-Diagnosed Acute Otitis Media" (Platform Presentation)
Invited Presentations
Drs. Jackie Grupp-Phelan Nisa Atigapramoj and  Kevan McCarten-Gibbs  (not pictured) were invited speakers at the UCSF Benioff Children's Hospital Oakland (BCHO)'s Grand Rounds, presenting "How UCSF Benioff Children's Hospitals use the Pediatric Emergency Applied Research Network to Improve Emergency Care." 

On April 9,  Dr. Robert Rodriguez  joined "Emotional Resilience During the COVID-19 Crisis" as an invited speaker on a webinar sponsored by the UCSF Department of Psychiatry. The webinar series features mental health and emotional wellness experts showing how health care providers can reduce personal stress during the COVID-19 outbreak.

Dr. Debbhie Madhok  gave two presentations in February at the International Stroke Conference:

Keenan K, Smith W, Cole S, Martin C, Hemphill JC, Madhok DY(2020). "Prediction Scale Thresholds Selected to Rule Out Large Vessel Occlusion Stroke Result in Very Low Positive Predictive Values and Many False Positives." (Oral presentation)

Mangasarian P, Keenan K, Hemphill JC, Kim AS, Madhok, DY (2020). "A Comparison of Time to Treatment Between an Emergency Department-Focused Stroke Protocol and Mobile Stroke Units." (Poster Presentation)
Media Coverage
On March 24,  Dr. Ellen Weber  recorded a podcast (above) for the Emergency Medicine Journal, released April 6, with two emergency physicians in Singapore, Dr. Khai Pin Lee and Dr. Gene Yong-Kwang Ong, from the Dept of Paediatric Emergency Medicine, Kandang Kerbau Hospital, about how they have managed to keep COVID at bay in their island nation.

Dr. Jahan Fahimi  was quoted in a news article in the April 6 issue of the San Francisco Chronicle, entitled "A glimmer of hope in the Bay Area: New coronavirus cases slowing".  


Dr. Hemal Kanzaria (pictured with fellow ZSFG Social Medicine team leaders Dr. Jack Chase and Jenna Bilinski, RN) was featured in the following media pieces:

Publications
Body R, Carlton E, Carley S, Dawood M, Leech C, Smith SS, Weber EJ.  Global crisis: EM and EMJ respond . Emergency Medicine Journal. 2020 Apr 13. doi:10.1136/emermed-2020-209679

DesLauriers NR, Ogola E, Ouma G, Salmen M, Muldoon L, Pederson BL, Hines K, Ssenkusu JM, Mattah B, Okeyo R, Okinyi P, Magerenge R, Friberg N, McCoy M, Prasad S, Ndunyu L, Salmen CR. T he MOMENTUM study: Putting the 'Three Delays' to work to evaluate access to emergency obstetric and neonatal care in a remote island community in Western Kenya . Global Public Health. 2020 Mar 17. doi:10.1080/17441692.2020.1741662

Glober NK, Hern G, McBride O, Mercer MP.  Variations in the California Emergency Medical Services Response to Opioid Use Disorder . Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health. 2020 Apr 16.

Hsia RY, Mannix RC, Guo J, Kornblith AE, Lin F, Sokolove PE, Manley GT.  Revisits, readmissions, and outcomes for pediatric traumatic brain injury in California, 2005-2014 . PLOS ONE. 2020 Jan 24. doi:10.1371/journal.pone.0227981

Kornblith AE, Graf J, Addo N, Newton C, Callcut R, Grupp-Phelan J, Jaffe DM. T he Utility of Focused Assessment With Sonography for Trauma Enhanced Physical Examination in Children With Blunt Torso Trauma . Academic Emergency Medicine. 2020 Mar 11. doi: 10.1111/acem.13959. [Epub ahead of print]

Yue JK, Phelps RRL, Winkler EA, Deng H, Upadhyayula PS, Vassar MJ, Madhok DY,Schnyer DM, Puccio AM, Lingsma HF, Yuh EL, Mukherjee P, Valadka AB, Okonkwo DO, Manley GT;  TRACK-TBI Investigators. Substance use on admission toxicology screen is associated with peri-injury factors and six-month outcome after traumatic brain injury: A TRACK-TBI Pilot study . Journal of Clinical Neuroscience. 2020 Mar 12. pii: S0967-5868(19)32544-5. doi: 10.1016/j.jocn.2020.02.021.
Residency And Fellowship Activities
Congratulations 2020-2021 Chief Residents!
Drs. David Dillon, Kevin Hanley, Emily Neill
Welcome Emergency Medicine Residency Class of 2024!
Pictured left to right: Abdurrasheed (Rasheed) Alhadi (UCSF), Caroline Burke (Brown University), Laura Checkley (UCSF), Kirsten Douglass (UC Davis), Michaela Gonzalez (OHSU), Elaine Hsiang (UCSF), Erik Kramer (Yale), Solomiya Kryshtafovych (UC San Diego), Rene Monzon (UC Davis), Reginald Nguyen (Oakland University), Alyssa Nip (UCSF), Kristie Taguma (Albany Medical College), Alexander Tran (Saint Louis University), Tajah Tubbs (UCLA), Haley Vertelney (UCLA)

Welcome 2020-2021 Incoming Fellows!
Left to right: Drs. Gurvijay Bains (EMS & Disaster Medicine), Amelia Breyre (EMS & Disaster Medicine), Vidya Eswaran (Research – NCSP), Amye Farag (Global Health), Christine Ju (Medical Education), Mukuka (Muki) Kangwa (Pediatric Emergency Medicine), Sonia Mehta (Pediatric Emergency Medicine), Kevin Padrez (Ultrasound), Samuel Wagner (Medical Toxicology), Nathaniel West (Medical Toxicology)
Save The Date
Emotional Well-Being During the COVID-19 Crisis for Health Care Providers
Thursdays from 12pm to 1pm via Zoom (Advance Registration Required)



Wed May 13 from 10am to 2pm at Parnassus

Wed May 20 from 10am to 2pm at Parnassus

Wed Jun 24 from 10am to 2pm at Mission Bay

Wed Jul 15 from 10am to 2pm at Laurel Heights

Wed Jul 22 from 10am to 2pm at Mission Bay

Wed Jul 29 from 10am to 2pm at Parnassus