Submissions from 2023


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


69 Initiation of an Emergency Department Buprenorphine Induction and Medication-Assisted Treatment Referral Program in the COVID-19 Pandemic, Daniel Lewandowski, Jacob Manteuffel, Joseph B. Miller, Jo-Ann K. Rammal, Timothy Asmar, Hashem N. Nassereddine, Margaret Beyer, Michael Flynn, S. Kreiger, and David Marshall


202 All Initial High Sensitivity Cardiac Troponin I Values Are Prognostic for 28 Day Survival in Coronavirus-19 Disease Patients, Richard Nowak, Michele L. Moyer, Gordon Jacobsen, David Lanfear, Linoj P. Samuel, and Bernard Cook

Standardizing emergency department hyperkalemia management: The PLATINUM study, Zubaid Rafique, Basmah Safdar, Youyou Duanmu, Stephen Boone, Jason J. Bischof, David G. Beiser, James d'Etienne, Brian E. Driver, Gregory J. Fermann, Howard A. Klausner, Anthony Lagina, David Robinson, Adam J. Singer, Jason P. Stopyra, and Frank Peacock

Impact of missing data on measurement of cardiac arrest outcomes according to race, Nicholas Rykulski, David Berger, James Paxton, Howard A. Klausner, Graham C. Smith, Nai-Wai Chen, and Robert A. Swor

An unsolved mystery: idiopathic thallium exposure resulting in clinically significant toxic effects, Varun Vohra, Cynthia Aaron, Saira Syed, and Lydia Baltarowich


A descriptive case series of a single poison center's experience of Gyromitra spp. ingestions over a 19-year period, V Vohra and Lydia Baltarowich

Prisoner of the Heart - Primary Unresectable Cardiac Angiosarcoma in an African American Man, J Yahya, D Henkin, Joseph Montecalvo, and Rami A. Khoury

Submissions from 2020

Interrater reliability among primary care sports medicine fellowship application reviewers, Roy Akarakian, N White, Melissa Nayak, Bradley Jaskulka, and Christopher Guyer

European society of cardiology 0-hour/1-hour high-sensitivity troponin algorithm performance in a United States cohort, B Allen, R Christenson, S A. Cohen, Richard M. Nowak, R G. Wilkerson, B E. Mumma, T Madsen, James McCord, M H. T'Veld, M Massoomi, J P. Stopyra, C Montero, M Weaver, K Yang, and S A. Mahler

One and Done? Performance of a single, low high-sensitivity troponin in a multisite United States cohort, B Allen, R Christenson, S A. Cohen, Richard M. Nowak, R G. Wilkerson, B E. Mumma, T Madsen, James McCord, M H. T'Veld, M Massoomi, J P. Stopyra, C Montero, M Weaver, K Yang, and S A. Mahler

Suppression of tumorigenicity 2 (st2) turbidimetric immunoassay and enzyme-linked immunosorbent assay: Predicting risk in heart failure, Lindsey Aurora, John Snider, Edward L. Peterson, Timothy Bryson, Hongsheng Gui, James McCord, and David E. Lanfear

Utility of amazon-inspired algorithm for resident procedure logging, Ali Bacharouch and Nikhil Goyal

Heroin overdose trends in a high volume urban emergency department over a 4-year period: 2014-2017, Lydia Baltarowich, Diana Dean, Jessalyn Fontana, Ahsan Akram, Sami Shayya, and Joseph B. Miller

Immune Profile in the Immediate Aftermath of MVC and its Prediction of APNS, C E. Barton, M C. Mauck, S D. Linnstaedt, M C. Kurz, P L. Hendry, C Pearson, B J. O'Neil, Christopher A. Lewandowski, E Datner, I Liberzon, R M. Domeier, and S A. McLean

The highest risk for hypoglycemia after treatment for hyperkalemia is in the emergency department, Sophia Binz, Nicholas P. Konowitz, Stephanie Bennett, and Joseph Miller

Evaluating electronic medical record based screening protocol on hepatitis c screening and linkage to care, Rebecca Bussa, Noor Sabagha, Kaleem Chaudhry, Jacob Ross, Karthik Sridasyam, T Theoharis, L R. Johnson, Howard A. Klausner, Joseph B. Miller MD, and Jacob Manteuffel

A rare case of spontaneous asymptomatic ventricular tachycardia due to arrhythmogenic right ventricular dysplasia (ARVD), Carina Dagher, Sunjay Modi, Nitesh Gandhi, Sophia Binz, and Bobak T. Rabbani

Derivation and validation of the ED-SAS score for early prediction of mortality in acute pancreatitis, Jad Dandashi, Yu Wu, Naureen Farook, R Safa, Guneet Ahluwalia, Georgiana Marusca, and Joseph B. Miller MD

Characteristics of pediatric lead admissions seen by medical toxicology service, Diana J. Dean, E Jacobs, A M. King, Eric Malone, and C K. Aaron

Prolonged and severe CNS depression and truncal ataxia in an accidental pediatric perampanel ingestion, Diana J. Dean and A Schoenling

A pilot trial of topical capsaicin cream for treatment of cannabinoid hyperemesis, Diana Dean, Noor Sabagha, K Rose, A Weiss, Timothy S. Asmar, JoAnn Rammal, and Margaret Beyer

Adherence to Canadian computed tomography head rule is associated with improved hospital performance metrics, B J. Dennis, K E. Kocher, M M. Nypaver, M Bolton, E White, and Seth Krupp

Safety of evaluating for acute coronary syndrome in the emergency department using a modified heart score, Anh P. Do, Ryhm Radjef, Lindsey Aurora, Ashina Singh, A Tawney, David Kraus, Gordon Jacobsen, and James McCord

Prospective Randomized Study of Prophylactic Ciprofloxacin Versus Levofloxacin in Hematopoietic Stem Cell Transplant Patients: An Interim Report, Shatha Farhan, Georgiana Marusca, Michael Bazydlo, Klodiana Neme, Nancy Mikulandric, Josena K. Stephen, Nada Kortam, R Mayur, Danielle L. Pelland, Nada Zagar, Mary A. Trapp, Elizabeth A. Henne, Scott R. Rohrer, Sarah Szymanski, Josephine Emole, Edward Peres, and Nalini Janakiraman

Three-dimensional printed model for cricothyroidotomy training, Jessalyn Fontana, J Coursen, Daniel Hrabec, and Seth S. Krupp

Utility of gender-specific HS-troponin I cut-points for AMI diagnosis, Georgi Fram, Michael P. Hudson, James McCord, Michele Moyer, Gordon Jacobsen, and Richard M. Nowak

A machine learning algorithm to predict acute myocardial infarction over 30 minutes., Joseph J. Gibbs, James McCord, Michele Moyer, Gordon Jacobsen, and Richard M. Nowak

196 Comparing Response Times, Intensity of Care and Outcomes between Private versus Municipal Emergency Medical Services Systems, Satheesh Gunaga, J Nippert, M Kerr, B Young, G Muller, A Charping, K Goeller, and R Jarski

Evaluation of acute myocardial infarction using a change in high-sensitivity cardiac troponin i over 1 hour, Aeman Hana, James McCord, Michael Hudson, Bernard Cook, C Mueller, Joseph B. Miller MD, Michele Moyer, Gray Akoegbe, Gordon Jacobsen, and Richard M. Nowak

Longterm Survival on LVAD Support: Limitations Driven by Development of Device Complications and End-Organ Dysfunction, Imad M. Hariri, Todd Dardas, Manreet Kanwar, Rebecca Cogswell, Igor Gosev, Ezequiel Molina, Susan L. Myers, James K. Kirklin, Palak Shah, Francis D. Pagani, and Jennifer A. Cowger

A 29 messenger RNA host response signature identifies bacterial and viral infections among emergency department patients, R Humphries, E Giamarellos-Bourboulis, D W. Wright, Emanuel Rivers, J Steingrub, A Weissman, J Wacker, O Liesenfeld, T E. Sweeney, and E Michelson

The caterpillars are coming!, E T. Jacobs, Diana J. Dean, C K. Aaron, and Eric R. Malone

First double lung transplant secondary to suspected e-cigarette vaping-associated lung injury, E T. Jacobs, Diana J. Dean, C K. Aaron, B D. Tilford, J S. Schneider, J A. Clark, and A M. King

Revisiting the impact of endotoxin clearance on survival in the euphrates trial, Anja K. Jaehne, Jasreen Gill, D M. Foster, and Emanuel Rivers

Prediction of Co-Morbid Chronic Pain and Posttraumatic Stress: Results of a Pilot Analysis of Clinical and MicroRNA Data From a Longitudinal Cohort of African American Trauma Survivors, R Kim, Y Pan, M Kurz, P Hendry, C Pearson, B O'Neil, Christopher A. Lewandowski, E Datner, Y Liu, S A. McLean, and S Linnstaedt

Testing for sexually transmitted infections using vaginal swabs is noninferior to testing using endocervical swabs, Andrew Krause, Jacob Manteuffel, and Joseph Miller

Invisible wounds: Adverse posttraumatic neuropsychiatric sequelae among patients discharged from 29 emergency departments, M McGrath, F L. Beaudoin, S House, Christopher A. Lewandowski, P L. Hendry, P I. Musey, S Sheikh, A B. Storrow, C W. Jones, R A. Swor, M C. Kurz, J P. Haran, N Gentile, K Mohiuddin, A M. Chang, C Pearson, R Domeier, R C. Merchant, B J. O'Neil, E Datner, and S McLean

High sensitivity troponin values rapidly rule-out myocardial infarction and allow for ed discharge in a higher risk patient population compared to contemporary practice, Richard M. Nowak, R H. Christenson, Gordon Jacobsen, F Apple, James McCord, A Limkakeng, A Singer, W F. Peacock, and C R. DeFilippi

Patients with low high-sensitivity troponin i values have similar outcomes whether discharged or hospitalized, Richard M. Nowak, F Peacock, R Christenson, A Limkakeng, Gordon Jacobsen, James McCord, F S. Apple, A J. Singer, and C DeFilippi

The diagnostic yield of alternative findings on computed tomography for pulmonary embolism, J H. Paxton, E White, M L. Macy, R R. Ehrman, B J. O'Neil, Seth S. Krupp, K E. Kocher, and M M. Nypaver

Insights from patient experience: An analysis of free text comments from the advancing understanding of recovery after trauma (AURORA) study, C Pearson, L Shawver, V Kazan, B Punches, Christopher A. Lewandowski, M S. Lyons, F L. Beaudoin, S House, P L. Hendry, S Sheikh, P I. Musey, A Storrow, C W. Jones, R A. Swor, M C. Kurz, J Haran, N Gentile, M McGrath, J Stevens, L Hudak, and S McLean

At-risk opioid use following a trauma-related emergency department visit: The role of emergency department opioid analgesics, B Punches, U Stolz, C E. Freiermuth, R M. Ancona, S McLean, R C. Kessler, K J. Ressler, K C. Koenen, S House, F L. Beaudoin, Christopher A. Lewandowski, P L. Hendry, S Sheikh, P I. Musey, A B. Storrow, C W. Jones, R A. Swor, M C. Kurz, J P. Haran, and M S. Lyons

Peritraumatic Circulating 17β-Estradiol as a Resiliency Factor for Chronic Pain Outcomes in Women Following Trauma, E Son, A S. Tungate, M C. Mauck, Y Pan, K Witkemper, M C. Kurz, P L. Hendry, C Pearson, Christopher A. Lewandowski, E Datner, B A. Cairns, S A. McLean, and S D. Linnstaedt

Implementing the canadian computed tomography head rule in an urban united states emergency department: A retrospective chart review, J Szafranski, M Slezak, Heather J. Faraone, K E. Kocher, B Griffith, Rebecca Bussa, A Tang, G Mitchell, M M. Nypaver, E White, and Seth S. Krupp

Short-Term Mental Health Outcomes Among Individuals Enrolled at the Emergency Department After Physical Assault, C Taheri, N Ziemba, C Jones, C Agala, A Soward, S House, F Beaudoin, Christopher A. Lewandowski, P L. Hendry, P Musey, R C. Kessler, K C. Koenen, K Ressler, and S A. McLean

Hospital factors that influence ICU admission decision-making: An ethnographic study of six hospitals, T S. Valley, L Miles, Harish Kinni, T J. Iwashyna, and C R. Cooke

Submissions from 2019

Intervention during wait time: Identification and referral of individuals nonadherent for colorectal screening, B Abar, P Dalawari, C Ogedegbe, Howard A. Klausner, D Adler, K Bradley, and K N. Sethuraman

310 IV Cetirizine Versus IV Diphenhydramine in Treatment of Acute Urticaria, B S. Abella, W Berger, M Blaiss, I Stiell, J Moellman, J Caterino, S Suner, A Kessler, J Du, and Howard A. Klausner

Intravenous injection cetirizine vs intravenous injection diphenhydramine in treatment of acute urticaria, B S. Abella, B William, B Michael, S Ian, J Moellman, Howard A. Klausner, J Caterino, S Suner, A Kessler, and J Du

83 Utilization of Ultrasound in Resuscitation Rooms in an Urban Level 1 Trauma Center, Timothy S. Asmar, T Theoharis, K Rose, N Klausner, Sudhir Baliga, Melissa Ball, Stephanie Stokes-Buzzelli, Christopher R. Clark, Caroline Dowers, Julian P. Suszanski, and Howard A. Klausner

The association between dysfunctional high density lipoprotein and bacterial infection type in sepsis and septic shock patients, L P. Black, S Reddy, M Henson, T Miller, F Moore, F Guirgis, and Namita Jayaprakash

Patients with acute pancreatitis who have SIRS and hypoxemia at presentation have evidence of severe systemic and pancreatic inflammation, C Bruen, Joseph B. Miller, C Mackey, M Dunn, K Stauderman, and S Hebbar

Unique risk factors for thiamine deficiency in patients without alcohol dependence, Jad Dandashi, Kaleem Chaudhry, Daniel Hrabec, Sam Tirgari, Jacob Ross, J France, JoAnn Rammal, Abraham Markin, and Joseph B. Miller MD

Double Whammy: A Fatal Case of Sodium Channel and Beta Blocker Overdose Unresponsive to VA-Ecmo, D Dean and Lydia Baltarowich

Lactic acidosis or not? A case of two acidotic siblings, M Dimovska, Lydia Baltarowich, and C Aaron

Disclosing Medical Errors and Coping With the Emotions That Follow, Caroline Dowers

Minor respiratory compromise and emergency department predictors of mortality in acute pancreatitis, Naureen Farook, M Baidoun, A Scott, S Bhatti, Vidhya Nair, H Mohammed, Angie Adhami, Harold Gomez, J Dueweke, Guneet Ahluwalia, Joseph B. Miller, and Namita Jayaprakash

Does supplemental oxygen reduce the incidence of hypoxia during procedural sedation in elderly patients?, K Fukano, Y Homma, Sahn-Ho Kim, H Takase, A Shimosato, T Norii, and Namita Jayaprakash

The ed-sed multicenter study of outcomes associated with sedation depth for mechanically ventilated patients, B M. Fuller, B Roberts, N M. Mohr, R D. Pappal, R Alunday, M Dettmer, M Goyal, B Levine, W A. Knight, Jayna Gardner-Gray, J Mosier, J Dargin, N J. Johnson, J Tonna, Z Qasim, C Harvey, C R. Carpenter, and Namita Jayaprakash

Small cell lung carcinoma with three paraneoplastic syndromes in one patient, Nitesh Gandhi, Alaa Abu Sayf, and Sam Tigari

Risk Stratification of Chest Pain in the Emergency Department: Incorporating a High-Sensitivity Troponin Assay Into Existing Risk Tools, Joseph J. Gibbs, W Frank Peacock, S Mahler, Richard M. Nowak, Christopher DeFilippi, Robert Christenson, Fred Apple, Gordon Jacobsen, and James McCord

280 Tracking Physical Activity and Sleep Patterns in Emergency Medicine Residents Using Wearable Activity Monitors, Satheesh Gunaga, J Park, Brian Obrycki, J Hashim, Ryan Spencer, and R Jarski

Intraosseous drug administration is associated with lower survival in out-of-hospital cardiac arrest, M Haman, Joseph B. Miller MD, J France, R Otero, R Swor, J H. Paxton, B J. O'Neil, R W. Neumar, R Dunne, Howard A. Klausner, and D Milzman

Physicians are inaccurate in predicting blunt trauma severity prior to imaging results, N Harrison, M Ball, Daniel Grahf, M Miller, Howard A. Klausner, R Otero, and A Ventura