Members of the Maryland delegation to this year’s annual meeting of the National Association of EMS Physicians, held in New Orleans last week, received top honors for their poster presentation, “Preliminary and Potential Impacts of a Multi-Phase Intervention Utilizing an EMS-Human Services Partnership on Call Volumes Generated by EMS Super-Users.” The poster presented results of a study of call volumes received by the Montgomery County Fire and Rescue Service before and after partnership with the county’s Department of Health and Human Services. By connecting “super-users” with community care resources, the partnership reduced this vulnerable group’s call volume by 64%. The study was conducted by members of the fire and rescue service, working in collaboration with Roger Stone, MD, MS, Clinical Assistant Professor and Medical Director, Montgomery County Fire and Rescue Service, Ben Lawner, DO, MS, EMT-P, Assistant Professor (now Director of Prehospital Services, Allegheny General Hospital), and Jon Mark Hirshon, MD, MPH, PhD, Professor, Department of Emergency Medicine.
Elizabeth Phillips, MD, MA, has been appointed chair of the Committee on Ethics and Judicial Affairs for MedChi (The Maryland State Medical Society). This committee considers questions of medical ethics, especially in relation to social policy issues, interprofessional relations, hospital relations, confidentiality, advertising, communications with the media, fees and charges, record practice matters and professional rights and responsibilities.
Another article from our EM research group: Jasjeet Bhullar, PhD, Postdoctoral Fellow, Veena Bhopale, MPhil, PhD, Lab Manager, Ming Yang, MD, Research Associate, Kinjal Sethuraman, MD, MPH, Associate Professor, and Stephen R. Thom, MD, PhD, Professor, published the article titled “Microparticle Formation by Platelets Exposed to High Gas Pressures – An Oxidative Stress Response” in the December issue of Free Radical Biology & Medicine.
Michael D. Witting, MD, MS, and Mak Moayedi, MD, along with Kathy Dunning (a student at the University of Maryland School of Medicine) and colleagues from MidMichigan Medical Center and Mercy Medical Center, published the article titled “Power Injection Through Ultrasound-Guided IV Lines: Safety and Efficacy Under an Institutional Policy” in the January issue of The Journal of Emergency Medicine. Their study demonstrated the safety of an institutional protocol that allows high-speed injection through proximal arm ultrasound-guided IV lines, provided the line is inspected and tested with 10 mL of saline before injection.
Ben Lawner, DO, MS, EMT-P, with co-authors J.V. Nable, MD, EMT-P, and William Brady, MD, published a review of recent emergency medical services articles in the November issue of the American Journal of Emergency Medicine. Their article focuses on trends in prehospital care and medical conditions at the intersection of EMS and emergency medicine, addressing the following topics: acute myocardial infarction, behavioral emergencies, cardiac arrest, sepsis, stroke, and trauma.
Laura Bontempo, MD, MEd, Michael Bond, MD, and Bryan Hayes, PharmD, with colleagues from the School of Pharmacy (Michelle C. Hines, PharmD, Brent Reed, PharmD, and Vijay Ivaturi, PhD), published the article titled “Diltiazem Versus Metoprolol for Rate Control in Atrial Fibrillation with Rapid Ventricular Response in the Emergency Department” in the December issue of the American Journal of Health-System Pharmacy (73:2068?2076). Based on their retrospective review of 100 patients’ records, the authors found that the most significant predictor of medication selection in the ED was the drug class used for rate control before the ED admission.
Dr. Amal Mattu and his colleagues from the University of Virginia, the University of California San Francisco, and Oregon Health & Sciences University, have back-to-back electrocardiographic case reports in the December issue of Annals of Emergency Medicine. The first article (68:671?3) describes the assessment of a woman with Wolff-Parkinson-White syndrome, who came to the emergency department when she experienced palpitations and weakness. The second report (68:674?7) describes a woman with hypertension and diabetes mellitus, who sought emergency treatment for chest pain, nausea, dyspnea, and diaphoresis. This column in Annals starts with a description of patients’ presentations, including the ECG, and asks the reader to reach a diagnosis before reading the experts’ analysis.