Division Highlights

 

You can view earlier Division Highlights here.

 

  • Congratulations to Herbie Duber, MD, MPH, who was recently awarded a grant from the Bill & Melinda Gates Foundation.  Evaluating Effectiveness, Efficiency and Cost of ART Service Delivery Models in Uganda and Zambia is a US$4 million grant from the Bill and Melinda Gates Foundation that will closely examine facility-based ART care.  The primary objective is to understand the determinants of high quality, low cost care in limited-resource settings.  Currently, there exist many different models of ART delivery.  However, there is no consensus on best practices with regard to management, structure, ancillary services, drug and supply acquisition or other key components of the overall delivery system.  This study will examine facility effectiveness in terms of both retention and HIV RNA viral load suppression, a novel means of assessing program performance.  We will use innovative methods for determining facility efficiency and estimate the cost for ART services at the facility level.  The knowledge gained through the research will assist governments and donors as they continue to scale-up HIV services, allowing for more evidence-based decision making. 

  • Kudos to Amber Sabbatini, MD, MPH, who was chosen for the UW K12 program in Patient Centered Outcomes Research, a mentored career development training program in patient-centered outcomes and comparative effectiveness research, funded jointly through the Patient-Centered Outcomes Research Institute (PCORI) and the Agency for Health Research and Quality (AHRQ). Dr Sabbatini will focus on evaluating the effectiveness and impact of acute-care delivery models and alternatives to hospital admission on the quality and safety of care delivered to emergency patients.

  • Congratulations to Jamie Shandro, MD, Emergency Medicine Clerkship Co-Director, who has been selected to lead a group of UW School of Medicine educators whose job it is to explore the theme of communications and interprofessionalism in the medical school curriculum. Her group is charged with developing content and exploring options for integrating it into the curriculum as part of the Medical School Curriculum Renewal and Development Project.

  • Kudos to Rose Fernandez, MD, and Jon Ilgen, MD, both of whom have articles publications cited in the "Critical Appraisal of EM Education Research: Best Publications of 2013" article in the November issue of Academic Emergency Medicine (AEM). The stated goal of the AEM article is to “highlight the methodologically superior studies that are pertinent to teaching and education in emergency medicine." You can view the articles here: http://onlinelibrary.wiley.com/doi/10.1111/acem.12507/pdfEvaluation of a computer-based educational intervention to improve medical teamwork and performance during simulated patient resuscitations. Fernandez R, Pearce M, Grand JA, Rench TA, Jones KA, Chao GT, Kozlowski SW. Crit Care Med. 2013 Nov; 41(11):2551-62.  Link:  http://www.ncbi.nlm.nih.gov/pubmed/23949473Comparing diagnostic performance and the utility of clinical vignette-based assessment under testing conditions designed to encourage either automatic or analytic thought. Ilgen JS, Bowen JL, McIntyre LA, Banh KV, Barnes D, Coates WC, Druck J, Fix ML, Rimple D, Yarris LM, Eva KW. Acad Med. 2013 Oct;88(10):1545-51. ].  Link: http://www.ncbi.nlm.nih.gov/pubmed/23969355

  • Congratulations  to Alex St. John, MD, Senior Fellow, who received the 2014 Young Investigator Award from the American Heart Association Resuscitation Science Symposium for his presentation entitled, Description of Dilutional Coagulopathy during Crystalloid Fluid Resuscitation in Hemorrhagic Shock. Dr St. John received his award at the November 15-18 symposium in Chicago. A significant number of other EM faculty, residents, researchers, and  & nurses contributed co-authored presentations at this same event. Click here to see a list of those presentations and authors. Kudos to all.

  • Congratulations to four EM faculty who recently received UW PRAISE awards. PRAISE (Patient Reported Assessment In Satisfaction and Excellence) awards (Patient Reported Assessment In Satisfaction and Excellence awards) reflect patient comments and are given to healthcare providers who have been rated among the top in the nation for their listening and communication skills. EM faculty recipients are Adeyinka Adedipe, MD; Jason Heiner, MD; Bryce Meeker, MD; and Stephen Morris, MD, MPH.

  • Nathan White, MD, MS was appointed Associate Scientific Advisor for the magazine Science Translational Medicine.

  • Dr Andrew McCoy, fellow (Emergency Medicine) is featured in “Testing and building skills, one emergency at a time” in Health Sciences NewsBeat

  • Congratulations to the new Interim Co-Medical Directors of the Washington Poison Center, Drs Betty Chen and Matt Valento, whose appointments were effective August 1, 2014.  A huge thank you as well to Dr William Hurley, who served as the WAPC Medical Director for seven years and as Associate Medical Director since 1994.  Read the WAPC news release here.

  • Congratulations go to Jared Strote, MD, MS, and Patrick Maher, MD, for their recent article and report, “Medical conditions and restraint in patients experiencing excited delirium,” published in theJournal of Emergency Medicine 32 (2014), 1093-1096.  You can view the article here

  • Herbie Duber, MD, MPH will be a featured speaker at the international conference, “Harnessing the Power of Big Data for Decision Making:  IeDEA (International Epidemiologic Databases to Evaluate Aids)/NIH Collaboration,” on March 7, 2014 in Bethesda, Maryland.  The purpose of this meeting is to describe the potential of large/big data to conduct implementation science and public health surveillance, and is drawing on a wide range of international speakers.  Dr. Duber will be speaking on the “Global Burden of Disease.” For more about IeDEA, click here. 

  • Nathan White, MD, and his research team are featured in the UW Health Sciences’ Newsbeat in the article, “Small-scale Clot Detector, Big Value to Trauma Patients.” Coagulation defects occur rapidly following trauma and critical illness, and the current methods for detecting such deficits in a timely manner are neither sensitive nor accurate. This device, currently in development, is a POC method of detecting clot strength.  Nathan White and Nathan Sniadecki, UW Associate Professor of Mechanical Engineering and Lead Investigator, have built a tremendous team of researchers and have made incredible progress over a very short period of time. You can view the article here.

  • Lauren Whiteside, MD, is featured in the UW Health Sciences’ Newsbeat in the article, “Recognizing Emotional Wounds That Come with Traumatic Injury.” Lauren is part of a research team, led by Dr. Doug Zatzick, UW Professor of Psychiatry & Behavioral Sciences, that is investigating the effect of psychological distress following trauma on physical recovery and the impact of specific patient centered treatment of post-traumatic stressors on recovery. Their work is funded by the Patient Centered Outcomes and Research Institute (PCORI).  You can view the article here.

  • Kudos to Jeremy BranzettiMD, who was accepted into the University of Washington’s Technology Teaching Fellows program, offered through the Office of the Provost in cooperation with the Center for Teaching and Learning Scholars Program. Dr. Branzetti's project, “Implementation of a Hybrid Learning Model for Emergency Medicine Residency Didactics,” seeks to utilize new technologies to develop novel methods for group learning activities and to provide educational opportunities tailored to an individual’s strengths and weaknesses.  The learnings from this project will significantly enhance the EM curriculum and educational experiences as well as those of the broader GME community.

  • Fiona Gallahue, MD, FACEP, was promoted to Associate Professor effective July, 2014. Dr. Gallahue joined the  faculty in the Division of EM in 2008. Initially primarily working in the Harborview ED, she has been an exceptional contributor to the clinical and academic missions of the institution from the start.  Fiona currently serves as the inaugural Program Director (PD) of the UW EM Residency, and has led the way for our many early successes. Dr. Gallahue’s scholarly work has focused in three areas over the past several years: emergency care of the abused, learner evaluation, and, most recently, transitions of care. Her work has resulted in publication of the book, Emergency Care of the Abused in 2008  and the Standardized Direct Observation Tool, developed by the CORD Standardized Assessment Committee which was chaired by Dr. Gallahue. This tool is now used by many residency programs across the country.

  • Kudos go to Jason Heiner, MD, for a new book chapter to be released during the month of February: Heiner JD, Chin EJ. “Use of Ultrasound in War Zones.” In Lumb, Karakitsos, eds. Critical Care Ultrasound. Philadelphia, PA: Saunders Elsevier: 2014; 254-257.  Congratulations!

  • Congratulations to Sean Nguyen, MD, and Joshua Jauregui, MD, whose abstract, “A Flipped Classroom Approach to an Emergency Medicine Clerkship,” has been accepted for a poster presentation (Dr. Nguyen) and for an oral abstract presentation (Dr. Jauregui) at the 2014 Council of Emergency Medicine Residency Directors (CORD) annual meeting, March 31-April 2, in New Orleans.  The presentations will be presented in conjunction with Curricular Innovations in Medical Student Education, part of CORD’s Academic Assembly Advances in Education Research and Innovations Forum.

  • Two new publications have been produced by Nathan White, MD, MS: one in the Journal of Trauma and Acute Care Surgery: "Cryoprecipitate use in the PROMMTT study" and another in Hematology"Mechanisms of trauma-induced coagulopathy." Congrats!

  • Kudos to Lauren Whiteside, MD, for her recent publication in Pediatrics: "Nonmedical prescription opioid and sedative use among adolescents in the emergency department."

  • Jason Heiner, MD, is first author on a publication this month in Wilderness and Environmental Medicine: "Clinical Effects and Antivenom Use for Snake Bite Victims Treated at Three US Hospitals in Afghanistan." 

  • Congratulations to Herbie Duber, MD, MPH, for two recent publications in Academic Emergency Medicine: "Emergency Care Research Funding in the Global Health Context: Trends, Priorities, and Future Directions" and "A Research Agenda for Acute Care Services Delivery in Low- and Middle-income Countries." 

  • A kudos goes out to Stephanie CooperMD, MS, whose article entitled "We Need to Cut the Neck!”: Confronting Psychological and Moral Distress during Emergency Cricothyrotomy," was recently published in the journal, Inquiry in Bioethics.

  • Shannon O'Keefe, MD, has recently published a manuscript in Annals: "No Diversion”: A Qualitative Study of Emergency Medicine Leaders in Boston, MA, and the Effects of a Statewide Diversion Ban Policy" (Authors: Shannon D. O’Keefe, MD; Salma Bibi, MPH; Julia E. Rubin-Smith, MSPH; James Feldman, MD, MPH).  This is an important addition to the medical literature in this quality and safety area.

  • Our application to begin an EMS Fellowship was just approved by the ACGME. Michael Sayre, MD, Fellowship Program Director, developed and submitted the UW application,  putting together a comprehensive curriculum that takes advantage of the extensive resources available through UW, Seattle Medic One EMS and training programs, King County Medic One, and ALNW. Our fellows will receive outstanding didactic and practical experiences during their training. We will be recruiting our first fellow to begin in July 2014; more info on EMS Fellowship page.

  • The 8th edition of Rosen's Emergency Medicine: Concepts and Clinical Practice is now available. Jason Heiner, MD, coauthored a chapter entitled "The Combative Patient."

  • Jonathan Ilgen, MD, MCR, is first author of the publication "Comparing Diagnostic Performance and the Utility of Clinical Vignette-Based Assessment Under Testing Conditions Designed to Encourage Either Automatic or Analytic Though," in Academic Medicine.

  • Michael Sayre, MD, has been quoted in NBC News Health. Dr. Sayre discusses the advantages of why prolonged CPR works.

  • Herbie Duber, MD, MPH, and Stephen Morris, MD, MPH, are co-authors of the article "Global Emergency Medicine: A Review of the Literature From 2012," published in Academic Emergency Medicine.

  • Nathan White, MD, MS, was awarded a grant entitled “Validation of a New Hemorrhage Control Device-iTClamp™,”  funded by Innovative Trauma Care. The iTClamp™ Hemorrhage Control System is a temporary wound closure device to control severe bleeding within seconds of application to a penetrating injury.

  • Lauren Whiteside, MD, has been awarded a grant from the EMF/NIDA for her proposal entitled Development and Validation of a Risk Prediction Screening Tool for Prescription Opioid Misuse Using Health Information Technology in an ED Sample.” The study proposes to derive and validate a risk prediction screening tool for prescription opioid misuse (POM) using health information technology among patients in the ED.

  • The August edition of the Journal of Trauma and Acute Care Surgery features an article co-authored by Jason Heiner, MD: "The Remote Trauma Outcomes Research Network: Rationale and methodology for the study of prolonged out-of-hospital transport intervals on trauma patient outcome."

  • CNN quotes Michael Sayre, MD, in an article discussing CPR survival rates.

  • Lauren Whiteside, MD, is the 2nd author on "Dating Violence: Outcomes Following a Brief Motivational Interviewing Intervention Among At-risk Adolescents in an Urban Emergency Department," published in the June issue of Academic Emergency Medicine.

  • Fiona Gallahue, MD, is co-author of "An Algorithm for Transition of Care in the Emergency Department," published in the June issue of Academic Emergency Medicine.

  • Michael Sayre, MD, is the recipient of a Medtronic Foundation Grant award titled "Online Resuscitation Academy: Improving Cardiac Arrest Survival Rates, One Community at a Time." The concept is to develop an online format based on the 2-day semi-annual Resuscitation Academy conference. The goal is to leverage the expertise developed in Seattle and King County so that EMS leaders around the country can use the information to increase cardiac arrest survival in their communities.

  • William Hurley, MD, has a timely editorial on the topic of pediatric exposure to marijuana in Colorado and Washington, published online in JAMA Pediatrics. Co-author is Dr. Suzan Mazor from Seattle Children's Hospital Pediatric Emergency Medicine.

  • Nathan White, MD, MS, has been awarded an ITHS Small Pilot Grant awarded for his application entitled “Fibrin-Targeted Polymers for Hemostatic Applications.” Dr. White’s research focuses on the acute coagulation defect that occurs early following critical injury or illness.


  • Congratulations to medical student EM award winners for 2013. Erica Nelson, MD, heads to Harvard as our SAEM award winner. WA/ACEP awards went to Cody Hood, MD, who will join the University of Utah EM program, and Paul Doetsch, MD, who becomes a member of our EM residency program in June.

  • Harborview has won the 2013 Qualis Health Award for Excellence in Health Care Quality. The award recognizes the Emergency Department High Utilizer Program. This programs works with high ED utilizers to connect them with community resources that address their medical needs. The resulting benefit provides better healthcare for patients while reducing healthcare costs.

  • Jason Heiner, MD’s imaging versus ultrasound study "Young man with fever and shortness of breath" is published in the April 2013 edition of Annals of Emergency Medicine.

  • Congratulations to Rosemarie Fernandez, MD, for being named as an Editorial Board member of the publication, Simulation in Healthcare. This honor is in recognition of Dr. Fernandez’s expertise and many accomplishments in the area of simulation.

  • Nathan White, MD, MS, received the award for Best Oral Presentation at the Annual Scientific Meeting for the Society of Emergency Medicine in Singapore. He presented his abstract entitled "Improved survival with less bleeding during limited resuscitation of uncontrolled hemorrhagic shock with fibrinogen concentrate as hemostatic agent."

  • Seattle and King County, WA report a 52% cardiac arrest survival rate, the highest in the world!  Discover how in the 2nd edition of Resuscitate!: How Your Community Can Improve Survival from Sudden Cardiac Arrest by Mickey Eisenberg, MD, director of King County EMS. This book details 15 steps that communities can take to improve survival rates. It is also the official textbook of the Resuscitation Academy.

  • Nathan White, MD, MS, will be the recipient of the 2013 SAEM Young Investigator’s Award. This Award recognizes those SAEM members who have demonstrated commitment and achievement in research during the early stage of their academic career. The Society’s core mission includes the creation of knowledge, and this award recognizes those who have achieved early success in this sphere."

  • In the February issue of Academic Emergency Medicine, several faculty have articles: Jonathan Ilgen, MD, MCR, for "Technology-enhanced Simulation in Emergency Medicine: A Systematic Review and Meta-Analysis." Heemun Kwok, MD, MS, is 2nd author of the article "Does Preexisting Antiplatelet Treatment Influence Postthrombolysis Intracranial Hemorrhage in Community-treated Ischemic Stroke Patients? An Observational Study." And in the same issue, two articles by our faculty, Jeremy Branzetti, MD and Jonathan Ilgen, MD, MCR, were cited as Best Medical Education Publication of 2011. These articles were: 1)  Branzetti: "A novel online didactic curriculum helps improve knowledge acquisition among non-emergency medicine rotating residents," and 2) Ilgen: "Adjusting our lens: can developmental differences in diagnostic reasoning be harnessed to improve health professional and trainee assessment?"  Congrats!

  • 2nd year resident Patrick Maher, MD, was recently published in the BMJ Case Report with his article entitled "Osgood-Schlatter Disease."