Emergency Medicine Network –Founded in 1996 –Mission: To advance public health objectives through diverse projects in emergency care, particularly multicenter clinical research –MARC, NEDI, ED-SAFE, other projects –Funding: government (~95%), industry, foundations –511 publications (as of May 2016); all age groups, diverse topics –

Massachusetts General Hospital Established 1811 Harvard teaching hospital Emergency Department –Level 1 Trauma Center (children & adults) –Level 1 Burn Center –108,000 ED visits / year –Harvard-Affiliated EM Residency (HAEMR)

EMNet Coordinating Center Director: Carlos Camargo, MD, DrPH Associate Director: Ashley Sullivan, MS, MPH Program Coordinator: Erica Ruggles Sr. Investigator: Kohei Hasegawa, MD, MPH Investigators: Krislyn Boggs, MPH Janice Espinola, MPH Kamal Faridi, MPH Research Fellows: Diana Balekian, MD, MPH Tadahiro Goto, MD Biorepository Manager: Courtney Tierney, MPH Sr. Project Coordinators: Catalina Gimenez-Zapiola Daphne Suzin Project Coordinators:Julia ChungloKatie Tedesco David ZhengElie Mitri Students, Residents, and Visiting Researchers 3

EMNet (194 US and 41 International sites = 235 sites) Dec

EMNet Steering Committee Carlos Camargo, MD, DrPH (chair) – Boston, MA Jeffrey Caterino, MD, MPH – Columbus, OH Sunday Clark, MPH, ScD – New York, NY Robert Freishtat, MD, MPH – Washington, DC Jonathan Mansbach, MD, MPH – Boston, MA Ashley Sullivan, MS, MPH – Boston, MA

EMNet Research Focuses on three areas: 1.Respiratory/allergy emergencies 2.Health policy 3.Other public health

Research - MARC Examples Asthma COPD Bronchiolitis Anaphylaxis –Food allergy –Stinging insect Angioedema Smoking cessation Pneumonia Inappropriate use of antibiotics

Research – Health Policy Examples Childhood Health Insurance Program (CHIP) National ED Safety Study (NEDSS) National ED Inventories (NEDI) –USA, 2001 to present –13 states & Indian Health Service –International (multiple) EM Workforce –Emergency Physicians –PAs and NPs Pediatric emergency care

Research – Other Public Health Examples Mental health –Depression –Acute psychiatric services –Opioid overdose –Suicide prevention (ED-SAFE) Health literacy Diabetes Healthcare-associated infections Large dataset analyses (eg, NHAMCS, NEDS, SEDD/SID, Medicare)

Publications, (as of May 2, 2016) # of manuscript publications: 511 # of investigators with manuscript publications: 667 # sites with manuscript publications: 167 Top 4 journals: Acad Emerg Med (68), Ann Emerg Med (31), J Allergy Clin Immunol (30), Ann Allergy Asthma Immunol (24)

Education Research Fellowship –Started 1996 … folded into the MGH ED fellowship ~2006 –Dr Camargo serves as faculty on multiple NIH training grants Pre-doctoral Research Fellowship –Started 2002 –Duration: 12 months (June to June) Summer Research Fellowship –Started 1999 –Duration: 8 weeks (June to August) Visiting Researcher

Community (examples) ED Alert Network ( ) Annual 5k Run for Asthma ( ) EMNet findER

EMNet findER Developed by EMNet at MGH ( Locates closest ERs and provides directions Available for free for both iPhone and Android Pediatric version under development (99 cents) 14

Clinical (examples) Asthma Education in the ED (2001) AHRQ-sponsored conference at NY Academy of Medicine National Guidelines –NIH anaphylaxis (2004, 2005) –NIH asthma (2007) –NIH food allergy (2010) AANMA Posters