The American College of Emergency Physicians
Annual Meeting: Scientific Assembly
Chicago, Illinois

Monday, October 27, 2008

2:00 P.M. ( CDT ) presentation - Peter Viccellio, MD, FACEP, Adam Singer, MD, FACEP, Jesse Pines, MD, FACEP (Moderator)

EMERGENCY DEPARTMENT “BOARDING” SOLUTION IS ASSOCIATED WITH
LOWER MORTALITY RATES AND LOWER INTENSIVE CARE UNIT ADMISSIONS

Emergency patients who were admitted to the hospital and held in in-patient hallways to wait for a bed, instead of the more typical practice of being “boarded” in the emergency department to wait, had mortality rates and intensive care unit (ICU) admission rates of less than half that of patients in normal rooms. Boarding admitted patients in the emergency department has been established as harmful for both the patients who are boarded and new patients coming to the emergency department who suffer long delays in care because emergency physicians are still monitoring the boarded patients. This research offers a solution and evidence that it does not compromise care.

3:00 P.M. ( CDT ) presentation - Marc Eckstein, MD, MPH, FACEP, Cai Glushak, MD, FACEP (Moderator)

NEW ADVANCED CARDIAC LIFE SUPPORT PROTOCOL FOR CARDIAC ARREST
DRAMATICALLY IMPROVES RESTARTED HEART IN THE FIELD
A new cardiopulmonary resuscitation/advanced cardiac life support protocol implemented by the Los Angeles Fire Department resulted in a 70-percent improvement in return of spontaneous circulation, or a re-started heart.  Cardiac arrest in the out-of- hospital setting has notoriously poor outcomes because of the challenge of restarting the heart within a narrow window of time. When EMS in Los Angeles treated cardiac arrest patients with the new protocol, which emphasizes 20 minutes of advanced life support efforts on the scene prior to transport, they restored a heart beat 29 percent of the time, versus 17 percent of the time under the old protocol.  While there is unquestionably room for improvement, this is a big step forward in treating out-of-hospital cardiac arrest.



Peter Viccellio, MD, FACEP
Vice Chairman, Department of Emergency Medicine
School of Medicine
State University of New York at Stony Brook
Stony Brook, NY
Adam Singer, MD, FACEP
Professor and Vice Chairman for Research, Department of Emergency Medicine
Stony Brook University and Medical Center
Stony Brook, NY
Jesse Pines, MD, FACEP, MBA, MSCE
Department of Emergency Medicine
University of Pennsylvania School Of Medicine
Philadelphia, Pennsylvania

Marc Eckstein, MD, MPH, FACEP
Medical Director
Los Angeles Fire Department
Associate Professor of Emergency Medicine
University of Southern California School of Medicine
Los Angeles, California


Cai Glushak

Cai Glushak, MD, FACEP
International Medical Director
AXA Assistance
Chicago, Illinois
Former EMS Medical Director, University of Chicago, 1987-2006

Nicholas Jouriles, MD, FACEP
President of ACEP

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2:00 P.M. ( CDT ) presentation
Windows Media (audio-only)

3:00 P.M. ( CDT ) presentation
Windows Media (audio-only)
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