1. 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 1

2. 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

3. 3

4. 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
Ashley F. Sullivan, MS, MPH – Boston, MA

5. EMNet Coordinating Center

6. EMNet Sites (204 US and 42 International = 246 sites)
Oct 2018
Oct 2016 9

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

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

9. 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) 9

10. 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 10

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

12. 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)

13. 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 13

14. Community (examples) ED Alert Network (2001-2002)
Annual 5k Run for Asthma ( )
EMNet findERnow (2010-present) 14

15. 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 2017 15

16. 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