EMNet Overview

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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

– Funding: government, industry, foundations

– 373 peer-reviewed papers
  (all age groups, diverse topics)

– www.EMNet-USA.org
Massachusetts General Hospital

• Established 1811
• Emergency Department
  – Level 1 Trauma Center
  – Level 1 Burn Center
  – 90,000 ED visits / year
  – Harvard-Affiliated EM Residency (HAEMR)
  – EMNet Coordinating Center, www.emnet-usa.org
EMNet Coordinating Center

• Director: Carlos Camargo, MD, DrPH
• Associate Director: Ashley Sullivan, MS, MPH
• Program Coordinator: Erica Eagan
• Epidemiologist-Biostatistician: Janice Espinola, MPH
                                  Sarah Ting, PhD
• Research Fellow: Kohei Hasegawa, MD
• Project Coordinators: Anna Condella
                        Dinah Chen
                        Sara Mills
                        Courtney Tierney, MPH
• Investigators, Consultants, and RAs
                                          www.emnet-usa.org
EMNet   (177 US and 40 International sites = 217 sites)




                                             Nov 2012



                                             www.emnet-usa.org
EMNet Steering Committee

• Carlos Camargo, MD, DrPH (chair) – Boston, MA

• Jeffrey Caterino, MD, MPH, FACEP – Columbus, OH
• Sunday Clark, ScD – Pittsburgh, PA
• Jonathan Mansbach, MD – Boston, MA
• Ashley Sullivan, MS, MPH – Boston, MA




                                          www.emnet-usa.org
EMNet Research


Focuses on three areas:

  – Respiratory/allergy emergencies

  – Health policy

  – Other public health




                                      www.emnet-usa.org
Research - MARC
Examples
•   Asthma
•   COPD
•   Bronchiolitis
•   Anaphylaxis
    – Food allergy
    – Stinging insect
•   Angioedema
•   Smoking cessation
•   Pneumonia
•   Inappropriate use of antibiotics

                                       www.emnet-usa.org
Research – Health Policy
Examples
• Childhood Health Insurance Program (CHIP)
• National ED Safety Study (NEDSS)
• National ED Inventories (NEDI)
   – USA, including 9 states
   – International
• Informed consent
• Pediatric emergency care
• Observation units
• EM workforce
                                     www.emnet-usa.org
Research – Other Public Health
Examples
• Mental health
   – Depression
   – Acute psychiatric services
   – Suicide prevention (ED-SAFE)
• Health literacy
• Fall prevention
• HIV screening
• Diabetes
• Healthcare-associated infections
• Federal datasets (eg, NHAMCS)
                                     www.emnet-usa.org
Publications, 1997-2012               (as of Oct 3, 2012)




• # of manuscript publications: 373
• # of investigators with manuscript publications: 470
• # sites with manuscript publications: 134


• Top 3 journals:
   – Academic Emergency Medicine (63)
   – Annals of Emergency Medicine (28)
   – Journal of Allergy and Clinical Immunology (22)



                                             www.emnet-usa.org
Publications, 1997-2012   (as of Oct 3, 2012)




                          multiple NIH grant
                            applications

                                 www.emnet-usa.org
Education
• Research Fellowship
   – Started 1996 … folded into the ED fellowship ~2006
   – Dr Camargo serves as faculty on multiple NIH training grants

• Pre-doctoral Research Fellowship
   – Started 2002
   – Duration: 12 months (June to May)

• Summer Research Fellowship
   – Started 1999
   – Duration: 8 weeks (June to August)

• Visiting Researcher


                                                  www.emnet-usa.org
Community (examples)
• ED Alert Network (2001-2002)




• Annual 5k Run for Asthma (2003-2005)
• EMNet findER
                                         www.emnet-usa.org
EMNet findER

• Developed by the Emergency
  Medicine Network at MGH
  (www.emnet-usa.org)

• Locates closest ER and
  provides directions

• Free app available for Android,
  and iPhone / iPad
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

				
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