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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%), foundations, industry 526 publications (as of Oct 2016); all age groups, diverse topics 1
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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) 2
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EMNet Sites (204 US and 41 International = 245 sites)
Oct 2016 9
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EMNet Research Focuses on three areas: Respiratory/allergy emergencies
Health policy Other public health 4
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Research - MARC Examples Asthma COPD Bronchiolitis Anaphylaxis
Food allergy Stinging insect Angioedema Smoking cessation Pneumonia Inappropriate use of antibiotics 5
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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 NPs and PAs Pediatric emergency care 6
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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) 7
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Publications, 1997-2016 (as of October 1, 2016)
# of manuscript publications: 526 # 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) To date
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Education n=17 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=17 n=27 n=60 n=8 9
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Community (examples) ED Alert Network (2001-2002)
Annual 5k Run for Asthma ( ) EMNet findERnow (2010-present) 10
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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) will be released in Nov/Dec 2016 11
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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 12
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EMNet Coordinating Center
Director: Carlos Camargo, MD, DrPH Associate Director: Ashley Sullivan, MS, MPH Investigators: Kohei Hasegawa, MD, MPH Maggie Samuels-Kalow, MD, MPhil Biostatisticians: Janice Espinola, MPH & Kamal Faridi, MPH Research Fellows: Leili Behrooz, MD, MPH & Tadahiro Goto, MD Grant and Finance Manager: Kathryn Entner, MBA Biorepository Manager: Courtney Tierney, MPH Program Coordinator: Erica Ruggles Sr. Project Coordinators: Krislyn Boggs, MPH Catalina Gimenez-Zapiola Daphne Suzin Project Coordinators: Vebhav Garg, Elie Mitri, David Zheng Students, Residents, and Visiting Researchers 13
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EMNet Coordinating Center
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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 Robert Freishtat, MD, MPH – Washington, DC Jonathan Mansbach, MD, MPH – Boston, MA Ashley Sullivan, MS, MPH – Boston, MA
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