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Submissions from 2025

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403 Management of Emergency Department Patients With Low-Risk Deep Vein Thrombosis in the United States, Oluwademilade Adeniran, Gabrielle Krambeck, Rahaf Assofi, Leonard V. Bunting, Gino Etta, and Zachary Jarou

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Correlation between metabolic derangements and serum valproate concentrations in critically ill poisoned patients, David Carroll, Aria Darling, Varun Vohra, Brandtly Yakey, Bram Dolcourt, and Andrew King

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The safety of enteral guanfacine as an adjunct sedative and treatment for iatrogenic α2 withdrawal in an ICU cohort, David Carroll, Aria Darling, Varun Vohra, Brandtly Yakey, Andrew Isaacson, and Andrew King

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Monocyte Distribution Width Performance in Emergency Department Patients that Undergo Surgery, Bernard Cook, Melissa Naiman, Zachary Montomery, Sabine Chalhoub, Jasreen Gill, Ian Wilson, Debra Veryser, Sunita Ghosh, Nadia Obeid, Rupen Shah, Emanuel Rivers, and Anja K. Jaehne

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Just because it's natural doesn't mean it's safe: A case of pediatric toxicity from topical and herbal remedies, Aria Darlinga, David Carroll, Lauren Harvey, Dylan Meyer, Brandtly Yakey, Varun Vohra, and Andrew King

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404 Association of Troponin Delta With 30-Day Major Adverse Cardiovascular Events, Joshua O. Emakhu, Kegham Hawatian, Jacob E. Tuttle, Egbe-Etu Etu, David Berger, Bory Kea, Simon A. Mahler, and Joseph B. Miller

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124 Resident Physician Awareness of Barriers to Post-Discharge Care From the Emergency Department, Seraj Farhat, Thomas Hagerman, Maryam Nour, Jo-Ann K. Rammal, Tiara B. Lang, and Joseph B. Miller

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368 Hypertension Severity and Indeterminate High-Sensitivity Cardiac Troponin, Kegham Hawatian, Joshua O. Emakhu, Thayer Morton, Jacob E. Tuttle, Munir Sidani, Hashem N. Nassereddine, Seth Krupp, Bernard Cook, Howard Klausner, James McCord, and Joseph B. Miller

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579 Communicating Crowding Status: Developing and Validating a Traffic Light Framework for Surge Scores, Namita Jayaprakash, Satheesh Gunaga, Jennifer Stevenson, Jacob Sinkoff, Ryan Spencer, Jennifer Stephens-Hoyer, Steven Rockoff, and Gust Bills

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544 Study of the Impact of Virtual Simulation on Umbilical Vein Catheterization Among Emergency Medicine Residents, Ala’a Khattab, Kenan Alhayek, Peter Vajda, Christopher Clark, John Joseph, Rupinder Sekhon, Alexis Maroney, Joseph B. Miller, and Jasmine Mitchell

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508 Temporal Trends in Use of Social Determinants of Health Diagnoses in Emergency Department Patients, Gustavo A. Mirabal and Zachary Jarou

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Understanding Antibiotic Delays in Patients With Sepsis-Induced Hypotension at Michigan Hospitals, E. S. Munroe, A. Conlon, M. Heath, H. Bhanderi, A. Gupta, J. K. Horowitz, Namita Jayaprakash, N. Kuhl, A. N. Malani, E. McLaughlin, P. Posa, S. P. Taylor, S. A. Flanders, and H. C. Prescott

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230 Evaluating Pediatric Behavioral Health Emergency Visits Before and After the COVID-19 Pandemic, Jennifer Peltzer-Jones, Joshua O. Emakhu, Egbe-Etu Etu, Alec LaBadie, R. W. Kouam, Brunda R. Lakshmish-Kumar, D. Moore, Joseph B. Miller, Satheesh Gunaga, and Abe Al-Hage

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Recommended Features of Hospital Sepsis Programs Are Associated With Improved Sepsis Management and Outcomes, H. C. Prescott, M. Heath, E. McLaughlin, J. Horowitz, J. Blamoun, P. Bozyk, Megan Cahill, L. Hsaiky, Namita Jayaprakash, M. Tamae Kakazu, A. Malani, S. P. Taylor, S. Flanders, and P. Posa

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543 Sonographer and Radiologist Agreement for DVT and Gallbladder Ultrasound in the Emergency Department, R. Saba, Zachary Jarou, Veronica J. Miles, Thomas Olinger, and Duncan L. McGuire

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361 Quantifying Changes in Daily Census Across Emergency Departments in 2018 and 2023: A Call to Action, Peter Vajda, Christine Chien, Victoria Al Karaki, Satheesh Gunaga, Namita Jayaprakash, Howard Klausner, Joseph B. Miller, Jo-Ann K. Rammal, Steven Rockoff, Jacob Sinkoff, and Brittany A. Betham

Submissions from 2024

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When the Critical Illness Dominoes Fall, Unforeseen Events Post BRTO, B. Allen, M. Millard, N. Ashburn, A. Snavely, Richard M. Nowak, B. Mumma, T. Madsen, R. G. Wilkerson, R. Christenson, J. Stopyra, and S. Mahler

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PYOPNEUMOPERICARDITIS SECONDARY TO ENTERO-PERICARDIAL FISTULA: A RARE ETIOLOGY OF DYSPNEA, Tyler Q. Andrews, Connor Bunch, Mir Babar Basir, and Joseph Miller

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39 Comparing outcomes of mechanical and manual cardiopulmonary resuscitation in out-of-hospital cardiac arrest: A retrospective cohort study, Margaret Beyer, Fabrice I. Mowbray, Nicole Wanis, David A. Berger, Christine M. Brent, Robert Dunne, Theresa A. Shields, Matthew T. Ball, Joseph Miller, and Howard A. Klausner

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29 Resonant acoustic rheometry predicts transfusion requirements and correlates to clauss fibrinogen and thromboelastography results, Connor M. Bunch, Weiping Li, Sufyan Zackariya, Jimmy Nehme, Shaun Condon, Christine Chien, Jacob E. Tuttle, Saadeddine Haidar, Kevin Lin, Matthew Walsh, Bernard Cook, Ileana Lopez-Plaza, James Hayward, Hau Kwaan, Joseph Miller, Mark Walsh, Timothy Hall, Jan Stegemann, and Cheri Deng

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Value Of Monocyte Distribution Width In Bacteremia Assessment In Emergency Department Patients, Bernard Cook, Anja K. Jaehne, M. Naiman, Ian Wilson, Debra Veryser, W. Kelly, Sharmila Ghosh, and Emanuel Rivers

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90 Increasing naloxone prescriptions through electronic medical record best practice advisory alerts, Thomas Fagan, John Joseph, Heather J. Faraone, Joseph Miller, and Jacob Manteuffel

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530 Standardized evaluation of duration of loss of consciousness may aid in risk stratification for traumatic brain injury, Joel Glotfelty, Yinyao Ji, Haley Stritzel, Megan E. Huibregtse, Stacey L. House, Francesca L. Beaudoin, John P. Haran, Alan B. Storrow, Christopher Lewandowski, Paul I. Musey, Phyllis L. Hendry, Christopher W. Jones, and Samuel A. McLean

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486 Comparing emergency department patient care hours in pre-COVID-19 and post-COVID-19 eras, Ronald Goubert, Mit Patel, Peter Vajda, Brittany A. Betham, Nicole Wanis, and Howard A. Klausner

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Temporal Impact of Hospice and Palliative Medicine Consults on End-of-Life Outcomes in Emergency Department and Hospitalized Patients, Satheesh Gunaga, Abe Al-Hage, Alyssa Buchheister, Jessica Corcoran, Etu Egbe-Etu, Michael Welchans, Kirby Swan, Brunda R. Lakshmish-Kumar, Fabrice Mowbray, and Joseph Miller

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695 Quantifying emergency medical services encounters in patients receiving hospice and palliative medicine consults (Palliative Medicine Interest Group), Satheesh Gunaga, Abe Al-Hage, Michael Welchans, Alyssa Buchheister, Jessica Corcoran, Mahmoud Awada, Brent Smiles, Jaime Weber, Brunda R. Lakshmish Kumar, Kirby Swan, Egbe-Etu Etu, and Joseph Miller

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Emergency Departments as the Portal of Entry for Inpatient Geriatric Hospice and Palliative Medicine Consults, Satheesh Gunaga, Abe Al-Hage, Michael Welchans, Alyssa Buchheister, Jessica Corcoran, Kim Meeker, Brooke Buckley, Etu Egbe-Etu, Joseph Miller, and Chandana Banerjee

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680 Impacts of a mobile paramedicine home visit program after emergency department evaluation for hypertensive crisis, Thomas K. Hagerman, Kegham Hawatian, Amanda Rodriguez, Tiffany Chu, Yasin Almri, Sean Drake, Matthew T. Ball, Satheesh Gunaga, and Joseph Miller

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403 Description and impact of an emergency department opt-out HIV screening program, Thomas K. Hagerman, Jo-Ann Rammal, Christian A. Loszewski, Jacob E. Tuttle, Indira Brar, Shannon Payne, Sharon Zahul, Joseph Miller, Howard A. Klausner, Katherine M. Joyce, and Jacob Manteuffel

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546 Implementing an effective code sepsis process to save lives for septic shock, Saadeddine Haidar, Daniel Lewandowski, Megan Cahill, Omar Francis, Ryan M. Spencer, Jean O. Kokochak, and Namita Jayaprakash

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88 Economic evaluation of a cluster randomized trial for an accelerated, high-sensitivity cardiac troponin protocol, Kegham Hawatian, Shooshan Danagoulian, Hashem Nassereddine, Thayer J. Morton, Bernard Cook, Howard A. Klausner, Satheesh Gunaga, Phillip Levy, Simon A. Mahler, Seth S. Krupp, James McCord, and Joseph Miller

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280 Exploring the value of nonspecific electrocardiogram findings in the setting of low high-sensitivity troponin levels, Arqam Husain, Kegham Hawatian, Joshua O. Emakhu, Thayer J. Morton, Bernard Cook, Nathan Klausner, Emily Schwab, Hashem Nassereddine, Jacob E. Tuttle, Nicole Wanis, Yasin Almri, Howard A. Klausner, Satheesh Gunaga, Seth S. Krupp, James McCord, and Joseph Miller

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Value of Monocyte Distribution Width in Bacteremia Assessment in Emergency Department Patients, Anja Kathrina Jaehne, M. Naiman, Bernard Cook, Ian Wilson, Debra Veryser, W. Kelly, Sunita Ghosh, and Emanuel P. Rivers

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82 Emergency department bacteremia incidence by age and monocyte distribution width value, Anja K. Jaehne, Melissa I. Naiman, Bernard Cook, Ian Wilson, Debra Versyer, William G. Kelly, Sunita Ghosh, and Emanuel P. Rivers

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621 Acute exacerbation of chronic abdominal pain: A multicenter prospective observational study, Andrew C. Meltzer, Ryan Heidish, Aditya Loganathan, Soroush Shahamatdar, Taylor Bolden, Tarun Loganathan, Joseph Miller, Husna Mohammed, Christine Chien, Amy O'Regan, Lin Chang, and Stephanie A. Eucker

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141 Rates of filled buprenorphine prescriptions after initiation in the emergency department, Azmina Mohammed, Mit Patel, Christian Loszewski, Jacob E. Tuttle, Christine Chien, Shaun Condon, Jo-Ann Rammal, Yasin Almri, Joseph Miller, and Jacob Manteuffel

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Variation in Initial Fluid Resuscitation Volume and Type in Patients With Sepsis Across Michigan Hospitals, E. Munroe, D. Nielsen, M. Heath, J. K. Horowitz, E. S. McLaughlin, E. Creutz, S. J. Bernstein, B. Digiovine, P. D. Bozyk, Namita Jayaprakash, S. P. Taylor, S. A. Flanders, and H. C. Prescott

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Prevalence of People With HIV Visiting the Emergency Department and Linkage to Care Status, Mihir Patel, Dalton Bender, Sharon Zahul, Shannon Payne, Thomas Hagerman, Jo-Ann K. Rammal, Howard Klausner, Joseph B. Miller, Indira Brar, and Jacob Manteuffel

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Does Emergency Department Treatment Daily Census Correlate With Patient-Hours of Care Provided: A Comparison of Data from Pre-COVID-19 (2018) to Post-COVID-19 (2022), Mihir Patel, Peter Vajda, Howard Klausner, Nicole Wanis, and Brittany A. Betham

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362 Mismatch of empiric treatment and thiamine deficiency in emergency department patients without alcohol dependence, Jo-Ann Rammal, Kegham Hawatian, Brandon Page, Christine Chien, Yasin Almri, Katherine M. Joyce, Thayer J. Morton, and Joseph Miller

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Comparative Analysis of Emergency Department Utilization Patterns During the COVID-19 International Pandemic: Frequent Users vs General Population, David Shih, Kegham Hawatian, Brandon Page, Jo-Ann K. Rammal, Joseph Miller, Howard Klausner, and Stephanie Stokes-Buzzelli

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Mycoplasma genitalium positivity and co-infection with Chlamydia trachomatis and/or Neisseria gonorrhoeae at various care sites across the United States, B. Van Der Pol, R. Arcenas, C. Boraas, S. Chavoustie, L. L. Crane, N. d’Empaire, A. C. Ermel, G. Harnett, F. Hinestrosa, S. House, R. Lillis, Joseph B. Miller, A. Mills, R. Poblete, and S. A. Young

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Clinical Performance Evaluation of the Polymerase Chain Reaction (PCR)-Based cobas CT/NG/MG Test for Use on the cobas liat System in a Clinical Laboratory Setting and Point-of-Care (POC) Location, B. Van Der Pol, R. Arcenas, C. Boraas, S. Chavoustie, L. L. Crane, N. d'Empaire, A. C. Ermel, G. Harnett, F. Hinestrosa, S. House, R. Lillis, Joseph Miller, A. Mills, R. Poblete, and S. A. Young

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243 Host response severity score for intensive care unit-level care prediction in emergency patients with suspected sepsis, Natalie Whitfield, Edward A. Michelson, Jay Steingrub, Roger Humphries, Jasreen Gill, Alexandra J. Weissman, Evangelos J. Giamarellos-Bourboulis, David W. Wright, and Oliver Liesenfeld

Submissions from 2023

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Performance of the High-STEACS Early Rule-Out Pathway for High Sensitivity Cardiac Troponin T at 30-days in a US population, B. Allen, M. Millard, N. Ashburn, A. Snavely, Richard M. Nowak, B. Mumma, T. Madsen, R. G. Wilkerson, R. Christenson, J. Stopyra, and S. Mahler

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Low-Cost, Case-Based Ultrasound Training Utilizing Immersive Virtual Reality, Christopher R. Clark, Yah Kamei, Maximilian Hawkins, Andrew Loftus, Samer A. Arbid, Julian Suszanski, Caroline Dowers, and Abigail Brackney

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Outcomes of Patients That Rule Out Within One Hour Using High-Sensitivity Cardiac Troponin Protocols, Sophie Connor, Hashem Nassereddine, Thayer Morton, Howard A. Klausner, Bernard Cook, Jacob Tuttle, Nicole Wanis, Satheesh Gunaga, Nicole Xu, Sophie Wittenberg, Seth S. Krupp, James McCord, and Joseph B. Miller

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A Machine Learning Approach for Enhancing the Prediction of Acute Coronary Syndrome, Joshua O. Emakhu, Hashem Nassereddine, Leslie Monplaisir, Celestine Aguwa, Suzan Arslanturk, Sara Masoud, Etu Egbe-Etu, Imokhai Tenebe, and Joseph Miller

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Prolonged Serotonin Toxicity after Massive Duloxetine Overdose, Patrick Fann, Andrew R. Taylor, and Andrew New

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365 Trends in Hospice and Palliative Medicine Consults Initiated in the Emergency Department: A Seven-Year Utilization Analysis, Satheesh Gunaga, Abe Al Hage, Alyssa Buchheister, Michael Welchans, M. Awada, Brent Smiles, Amanda Savage, Katie A. Latack, Lonni Schultz, and Joseph B. Miller

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190 Health Disparities in Emergency Department Administration of Buprenorphine for Treatment of Opioid Use Disorder, S. Koerber, David Huynh, Sydney Farrington, Kylie Springer, Mit Patel, and Jacob Manteuffel

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Enhancing an Expedited Partner Therapy Program With an Electronic Alert System in the Emergency Department, Christian Loszewski, Jo-Ann Rammal, Hashem Nassereddine, Joseph Miller, Nancy C. MacDonald, Howard A. Klausner, Bianca Clarke, and Jacob Manteuffel

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National ED Utilization and Admission for Hypertensive Disorders in Pregnancy and Postpartum, (2006-2019), LeAnn A. Louis, Li Jiang, Martina T. Caldwell, Erica Marsh, and Courtney Townsel

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Feasibility of a Preventative Intervention to Reduce Posttraumatic Stress in Motor Vehicle Collision Survivors, Lindsay Macchio, Renae Owen, Brandon Page, Danielle C. Ferdinand, Nolan Menze, Brian Till, Jackson H. Lee, William Rehder, Akash Ray, Stacey L. House, Paul I. Musey, Christopher Lewandowski, Phyllis L. Hendry, John P. Haran, Johanna Thompson-Hollands, Brian Marx, Samuel McLean, and Sarah Stoycos

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Analysis of National Emergency Department Utilization for Endometriosis by Rac and Socioeconomic Status (2019), Emma Manuel, Emily Vogt, Charley Jiang, Martina T. Caldwell, and Erica Marsh

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ACCELERATED PROTOCOL FOR MYOCARDIAL INFARCTION (MI) RULE-OUT WITHIN 1-HOUR OF PRESENTATION REDUCES HEALTHCARE RESOURCE UTILIZATION - SECONDARY ANALYSIS OF RACE-IT TRIAL, James McCord, Bernard Cook, Raef Fadel, Chaun M. Gandolfo, Sachin Parikh, Howard A. Klausner, Khaled Abdul-Nour, Aaron Lewandowski, Michael P. Hudson, Giuseppe Perrotta, Bryan Zweig, Satheesh Gunaga, David E. Lanfear, Ryan Gindi, Phillip D. Levy, Nicholas L. Mills, Simon Mahler, Henry Kim, Shooshan Danagoulian, Hashem N. Nassereddine, Erika Todter, Sophie Wittenberg, Nicole Xu, Catriona Keerie, and Joseph B. Miller

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30-Day Performance of High-Sensitivity Troponin in the Evaluation of Patients With Acute Coronary Syndrome, Early Rule-Out Pathway for Cardiac Troponin T in a United States Population, Marissa Millard, Nicklaus P. Ashburn, Anna C. Snavely, Brandon R. Allen, Robert Christenson, Richard M. Nowak, R. Gentry Wilkerson, Bryn E. Mumma, Troy Madsen, Jason P. Stopyra, and Simon A. Mahler

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Sex-Specific High Sensitivity Troponin Thresholds Do Not Rule Out Cardiac Events in Patients With Coronary Disease, Connor Montgomery, Richard M. Nowak, Nicklaus P. Ashburn, Anna C. Snavely, Brandon R. Allen, Robert Christenson, R. Gentry Wilkerson, Bryn E. Mumma, Troy Madsen, Jason P. Stopyra, and Simon A. Mahler

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Identifying Potentially Preventable Death From Sepsis, E. Munroe, T. Basu, M. E. O'Malley, E. McLaughlin, J. K. Horowitz, P. Posa, Namita Jayaprakash, J. Blamoun, S. A. Flanders, D. C. Angus, and H. C. Prescott

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208 Diagnostic Performance of Cardiac Stress Testing Following Exclusion of Acute Myocardial Infarction With a 0/1-Hour, High-Sensitivity Cardiac Troponin Protocol, Hashem Nassereddine, Bernard Cook, Howard Klausner, Satheesh Gunaga, Thayer Morton, Jacob E. Tuttle, Husna Mohammed, Arqam Husain, James McCord, and Joseph B. Miller

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411 Emergency Department and Hospital Utilization After Emergency Department-Initiated Buprenorphine for Opioid Use Disorder, Mit Patel, David Marshall, Jacob Manteuffel, Joseph B. Miller, S. Krieger, Jo-Ann K. Rammal, Christian A. Loszewski, Hashem Nassereddine, Jacob E. Tuttle, and Yasin Almri

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Avoiding Repeat Computed Tomography in Patients With Recurrent Abdominal Pain, Paige Pieczarka, Kylie Huitsing, Saadeddine Haidar, Nicholas Cusmano, and Joseph B. Miller

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Presence of Delirium in Emergency Department Fall Patients on Antithrombotic Agents, Jo-Ann K. Rammal, Brandon Page, Hashem Nassereddine, Nicole Wanis, Sabryn Leidlein, Jimmy Nehme, Jacob Manteuffel, Stephanie Stokes, Ronny Otero, David A. Berger, Joseph B. Miller, and Howard A. Klausner

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Using Electronic Medical Record Flags to Reconnect Patients Lost to Follow-Up in Hepatitis C Virus Screening Program, Jo-Ann Rammal, Christian Loszewski, Hashem Nassereddine, Jimmy Nehme, Jacob Tuttle, Brandon Page, Howard A. Klausner, Joseph B. Miller, and Jacob Manteuffel

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Running Up That Hill: A Case of Nighttime Arm Pain in a High School Cross-Country Runner, Dylan Rogers and Laura Owczarek

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European Society of Cardiology 0/1-Hour, High-Sensitivity Troponin T Algorithm Performance for 90-Day Cardiac Events Among Patients With Known Coronary Disease, Anna C. Snavely, Nicklaus P. Ashburn, Brandon R. Allen, Robert Christenson, Richard M. Nowak, R. Gentry Wilkerson, Bryn E. Mumma, Troy Madsen, Jason P. Stopyra, and Simon A. Mahler

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Performance of the High-Sensitivity Cardiac Troponin T 0/2-h Accelerated Diagnostic Protocol at 90 day, Michael Supples, Anna C. Snavely, Nicklaus P. Ashburn, Brandon R. Allen, Robert Christenson, Richard M. Nowak, R. Gentry Wilkerson, Bryn E. Mumma, Troy Madsen, Jason P. Stopyra, and Simon A. Mahler

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404 Emergency Department Length of Stay, Patient Boarding, Door-to-Doctor Time, and Percent of Patients Left Without Completing Service to Evaluate if There Is Any Correlation Among These Metrics, Peter Vadja, Howard Klausner, Brittany A. Betham, Nicole Wanis, and Ronald Goubert

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370 Accuracy of Clinical Assessment in Predicting Source of Infection for Septic Patients in the Emergency Department, Nicole Wanis, Jo-Ann K. Rammal, Hashem Nassereddine, Yasin Almri, Margaret Beyer, David Berger, Sheilla A. Sandoval, Joseph B. Miller, Ronny Otero, and Howard Klausner

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A G-Tube Placed in the Side of Neck: Percutaneous Transesophageal Gastrostomy (PTEG) for Palliation of Malignant Bowel Obstruction (Sci201), Sarah Zamamiri and David R. Henkin

Submissions from 2022

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Nosocomial endocarditis of an asd occluder device caused by suppurative septic thrombophlebitis, Sophia Binz, Randi Connor-Schuler, and Gina Hurst

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Assessing the Impact of the COVID-19 Pandemic on Stroke and Emergency Department Volumes, Jessica L. Corcoran, Jason Venet, Samuel Gray, Satheesh Gunaga, Linda J. Andreoli, Katie Latack, and Lonni Schultz

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Research staff COVID-19 pandemic response survey: Results from the nhlbi petal network, Jasreen Gill, Aaron Cook, Anja K. Jaehne, Sheri Renaud, Jacqueline Day, Gordon Jacobsen, Kristine Nelson, Jennifer Swiderek, Arielle H. Gupta, Mark Williams, and Robert L. Sherwin

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A Four-Year Multi-Center Retrospective Observational Study of Pediatric Emergency Medical Services Utilization in a Large Metropolitan Health System, Satheesh Gunaga, Abe Al Hage, Michael Welchans, Hassan Hamadi, Andrew Broome, Gregory Muller, Zachary Mauro, Jessica L. Corcoran, Lois Vandercook, Spencer Solomon, Katie Latack, Lonni Schultz, and Joseph B. Miller MD

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Patient Satisfaction and Likelihood to Recommend Between Academic Teaching and Community Emergency Departments, Michael B. Holbrook, Ross Touriel, Justin Bright, Matthew Haugh, Ilan Rubinfeld, Satheesh Gunaga, Seth Krupp, and Joseph B. Miller MD

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Utilizing indirect calorimetry to assess oxygen consumption in shock patients, Anja K. Jaehne, Aaron Cook, Jasreen Gill, and Emanuel Rivers

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Centenarian lactate, Anja K. Jaehne, William Dobson, Gregory Maruca, and Emanuel Rivers

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Voting is a public health issue: An intervention to address trainee voter participation in state and federal elections, Katherine Joyce, Emily Irvin, Taher Vohra, Sam Champagne, and Nikhil Goyal

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P624. Risk Prediction for Posttraumatic Stress Symptoms Following Trauma Exposure, Raphael Kim, Lauren McKibben, Tina Lin, Gehao Pang, Andrew S. Tungate, Phyllis L. Hendry, Michael C. Kurz, David A. Peak, Jeffrey Jones, Niels K. Rathlev, Robert A. Swor, Robert M. Domeier, Marc-Anthony Velilla, Christopher A. Lewandowski, Elizabeth Datner, Claire Pearson, David C. Lee, Patricia Mitchell, Samuel A. McLean, and Sarah D. Linnstaedt

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16 The Impact of an Emergency Department Alternatives to Opiates (ALTO) Program on Opiate Administration, Diahann Marshall, Seth S. Krupp, Rami Khoury, Nancy MacDonald, Glenn Tokarski, Charles Makowski, Joseph B. Miller, and Jacob Manteuffel

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Health Care Resource Utilization: A Cluster Randomized Trial of a Rapid, High-Sensitivity Cardiac Troponin Protocol, Joseph B. Miller MD, Bernard Cook, Satheesh Gunaga, Chaun M. Gandolfo, Seth Krupp, Hashem N. Nassereddine, Giuseppe Perrotta, Howard A. Klausner, Aaron Lewandowski, Morton Thayer, Nicole Xu, Sophie Wittenberg, Philip Levy, Shooshan Danagoulian, Amy Tang, Sachin Parikh, Ryan Gindi, Michael Hudson, Bryan Zweig, David E. Lanfear, Khaled Abdul-Nour, Simon A. Mahler, Catriona Keerie, Nicholas Mills, and James McCord

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49 Comparing the Safety and Efficacy of a Rapid High-Sensitivity Cardiac Troponin I Protocol Between Hospital-Based and Free-Standing Emergency Department, Joseph B. Miller MD, Satheesh Gunaga, Seth Krupp, Howard A. Klausner, Elizabeth Plemmons, Hashem N. Nassereddine, Jacob E. Tuttle, A. Husain, Bernard Cook, and James McCord

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20 Outcome Study of Mild Traumatic Brain Injury Patients Integrating a Brain Electrical Activity-Based Decision Rule, Joseph B. Miller, Stacy L. House, Edward A. Michelson, Christopher R. Clark, and Brian P. O'Neil

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90 Economic Impact: A Cluster Randomized Trial of a Rapid, High-Sensitivity Cardiac Troponin I Protocol, Joseph B. Miller, Hashem N. Nassereddine, K. Jennings, S. Connor, Shalini Modi, Jerry Yan, James McCord, Bernard Cook, and Shooshan Danagoulian

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101 Differentiating Type 1 from Type 2 Acute Myocardial Infarction in the Emergency Department Using the N-terminal Pro B-type Natriuretic Peptide/High-sensitivity Cardiac Troponin T Ratio, Richard M. Nowak, S. Mahler, T. Madsen, R. Christenson, G. Wilkerson, B. Mumma, F. Yi, and B. Alloen

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35 Increasing Naloxone Prescriptions Through Electronic Medical Record Best Practice Advisory Alerts, Spencer Printen, Joseph B. Miller, Glenn Tokarski, and Jacob Manteuffel

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273 Use of an Electronic Medical Record Flag to Reconnect with Patients Lost to Follow-Up in a Hepatitis C Virus Screening Program, Jo-Ann Rammal, Hashem N. Nassereddine, Christian A. Loszewski, Joseph B. Miller, and Jacob Manteuffel

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Intracranial hemorrhage during the use of venovenous ecmo in COVID 19: A case series, Amreeta Sharma, Jayne Gardner-Gray, and Gina Hurst

Submissions from 2021

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29 Comparison of Risk Factors and Outcomes for Blunt Trauma Patients on Anticoagulants or Antiplatelet Agents Evaluated in Urban and Suburban Settings, Margaret Beyer, Stephanie Stokes, Joseph B. Miller, Ronny Otero, and Howard Klausner

Slack intern curriculum supports intern preparedness and bridges curriculum gaps due to COVID-19 pandemic, Jonathan C. Chan, Moira Davenport, Thaddeus W. Schmitt, Herman M. Lee, Tazeen Abbas, Alisa K. Hayes, Frosso J. Adamakos, Daniel J. Axelson, and Michaela B. Salvo

A RARE CASE OF EARLY CARDIAC TAMPONADE CAUSED BY SEVERE POSTOPERATIVE HYPOTHYROIDISM TWO YEARS AFTER OPERATION, Anh P. Do and Michael B. Holbrook

Health care provider absences and intervenable areas during a COVID-19 surge, Daniel C. Grahf, Jad Dandashi, Taher Vohra, John Deledda, and Phyllis Vallee

Prevalence of adversities related to social determinants of health among children with multiple emergency department visits, Thomas K. Hagerman

Improving linkage to care in an emergency department hepatitis C screening program with text messaging, Thomas K. Hagerman, Mary Lee, Joseph Miller, and Jacob Manteuffel

Connecting patients diagnosed with human immunodeficiency virus in the emergency department to care during the COVID-19 pandemic, Thomas K. Hagerman, Kimberly Mumby, Indira Brar, Norman Markowitz, Joseph B. Miller, and Jacob Manteuffel

Effect of a longitudinal preclinical point-of-care ultrasound course on medical student performance, David Haidar, Neil Khanna, Christopher Fung, John C. Burkhardt, Nik R. Theyyunni, and Rob Huang

Voting is a public health issue: Addressing voter participation and engagement among trainees, Katherine Joyce, Emily M. Irvin, Taher Vohra, Sam Champagne, and Nikhil Goyal

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208 Alternatives to Opioids in the Emergency Department: The Henry Ford Health System Experience, Katherine Joyce, Jacob Manteuffel, Seth Krupp, Rami Khoury, Nancy C. MacDonald, Elizabeth Plemmons, Glenn Tokarski, Michael Bloome, and Charles Makowski

Review of patient care at the TCF Center Alternative Care Facility during the COVID-19 pandemic, Howard A. Klausner, Steven Rockoff, Margaret Beyer, and Pratt Clayton

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366 Detroit City Mass Vaccination Site Template, Andrew L. Leamon, Jeffrey Van Laere, Matthew Ball, Margaret Beyer, D. Gorelick, Howard Klausner, and Robert Dunne