Emergency Medicine Network

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Presentation transcript:

Emergency Medicine Network Founded in 1996 Mission: To advance public health objectives through diverse projects in emergency care, particularly multicenter clinical research MARC, NEDI-USA, other projects Funding: government (>90%), foundations, industry 619 publications (as of Oct 2018); all age groups, diverse topics www.EMNet-USA.org 1

Massachusetts General Hospital Established 1811 Harvard teaching hospital Emergency Department Level 1 Trauma Center (children & adults) Level 1 Burn Center 110,000 ED visits / year Harvard-Affiliated EM Residency (HAEMR) www.emnet-usa.org 2

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EMNet Steering Committee Carlos Camargo, MD, DrPH (chair) – Boston, MA Jeffrey Caterino, MD, MPH – Columbus, OH Sunday Clark, MPH, ScD – New York, NY Kohei Hasegawa, MD, MPH – Boston, MA Robert Freishtat, MD, MPH – Washington, DC Jonathan Mansbach, MD, MPH – Boston, MA www.emnet-usa.org

EMNet Coordinating Center

EMNet Sites (204 US and 41 International = 245 sites) Oct 2018 Oct 2016 9 www.emnet-usa.org

EMNet Research Focuses on three areas: Respiratory/allergy emergencies Health Services Research (HSR) Other public health www.emnet-usa.org 7

1. Research – MARC Examples Asthma COPD Bronchiolitis Anaphylaxis Food allergy Stinging insect Angioedema Pneumonia Smoking cessation Inappropriate use of antibiotics Pulmonary hypertension www.emnet-usa.org 8

2. Research – HSR 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 Pediatric emergency care Telemedicine Health-related social needs (HRSN) www.emnet-usa.org 9

3. Research – Other Public Health Examples Suicide prevention (ED-SAFE) Opioid epidemic Other mental health issues Depression Screening Acute psychiatric services Health literacy Medical interpreters Diabetes Healthcare-associated infections www.emnet-usa.org 10

Large Dataset Analyses Examples Am Hosp Assoc (AHA) HCUP KID HCUP NEDS HCUP NIS HCUP SEDD/SID Medicare NHAMCS – ED NHDS www.emnet-usa.org 11

Publications, 1997-2018 (as of October 13, 2018) # of manuscript publications: 619 # of investigators with manuscript publications: ~710 # sites with manuscript publications: ~175 Top 4 journals: Acad Emerg Med (~75), Ann Emerg Med (~35), J Allergy Clin Immunol (~35), Ann Allergy Asthma Immunol (~25) www.emnet-usa.org

Education n~25 Research Fellowship Pre-doctoral 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 n~25 n~30 n~75 n~10 www.emnet-usa.org/education.htm 13

Community (examples) ED Alert Network (2001-2002) Annual 5k Run for Asthma (2003-2005) EMNet findERnow (2010-present) www.emnet-usa.org 14

EMNet findERnow Developed by EMNet at MGH (www.emnet-usa.org) Locates closest ERs and provides directions Available for free for both iPhone and Android Pediatric version ($0.99) released in March 2017 15

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 16

www.emnet-usa.org