University of Nebraska Medical Center

Department of Emergency Medicine

Faculty Activity Report

2014-15

Grants

New

$ 117,471 Principle Investigator- Wesley Zeger, Subcontract from University of Massachusetts, National Institutes of Health, “Emergency Department Suicide Screening and Intervention Trial 2” 09/2015-05/2020.

$ 47,214 Principal Investigator- Wesley Zeger, Co-Investigators- Michael Wadman and Thang Nguyen. Vietnam Education Foundation, ““Introduction to Clinical Emergency Medicine at Thai Binh Medical University.” -US Faculty Scholars Program. 10/01/2014-09/30/2015.

$100,000 Co-Principal Investigator-James McClay, Nebraska Tobacco Settlement Biomedical Research Development Fund (NTSBRDF). Support of the Clinical Data Research Network Project. 07/01/2014-06/30/2015.

$2,000 Principal Investigator(s): Chad Branecki and Thang Nguyen, Vietnam Ministry if Science and Technology grant. Vietnam Ministry of Health. Foundation for telemedicine education and procedural training at HMU. January 2015.

On-Going

$ 1,331,650 Principle Investigator- Yu-Long Li, National Institutes of Health, “Dysfunction of Baroreceptor Neurons in Heart Failure: Cellular and Molecular Mechanisms Aortic baroreceptor neurons in nodose ganglia play an important role on arterial baroreflex impairment, a complication of chronic heart failure (CHF).” 07/2010-06/2015.

$ 856,340 Site Principal Investigator-James McClay, PCORI, “The Greater Plains Collaborative (GPC)” 04/24/2014-9/6/2015.

$ 508,389 Principle Investigator- Wesley Zeger, Subcontract from University of Massachusetts, National Institutes of Health, “Emergency Department Suicide Screening and Intervention Trial (EDSSIT)” 09/2009-05/2014.

$ 301,022 Co-Investigator-Yu-Long Li, National Institutes of Health, “Molecular and Cellular Determinants of the Exercise Pressor Reflex in CHF. 08/01/2013-07/31/2017.

$ 238,625 Co-Investigator-Michael Wadman, DHHS/HRSA, “Advancing Rural Emergency and
Acute care (AREA) Program for Family Nurse Practitioners (FNPs),

07/01/2013 - 06/30/2016.

Pending

$ 250,000 Principal Investigator-Yulong Li, National Institutes of Health, Anit-inflammation and
Recovery of Skeletal Muscle Function after IR Injury. 07/01/2015-06/30/2020.

$ 143,000 Principal Investigator-Yulong Li, American Heart Association-Midwest Affiliate. “Role of
ventricular vagal dysfunction om ventricular arrhythmogenesis in heart failure.
07/01/2015-06/30/2017.

$ 250,000 Co-Investigator-Yulong Li, National Institutes of Health, Novel Target Mechanisms to
Reduce Sodium Retention in Chronic Heart Failure. 04/01/2015-03/31/2020.

Publications

Journal Articles (Published)

Barksdale A., Hackman J., Bonham A. Gratton M. “Cardiology clinic follow-up did not decrease return visits ti the ED for chest pain patients. AM J Emerg Med. 2014 Oct; 32(10):1208-11.PMID:25124026

Daniel NJ, Wadman MC, Branecki CE.” Milk-alkali-induced Pancreatitis in a Chronically Hypocalcemic Patient with DiGeorge Syndrome.” J Emerg Med. 2015 Mar; 48(3) e63-6. PMID: 25498850

Buzalko, R. J., Minchella, K., & Zeger, W. “The benefits of crew resource management training: Improving performance in a hospital setting.” Talent Development: Web Exclusive. 2014 Dec.

Campbell WS, Campbell JR, West WW, McClay JC, Hinrichs SH. “Semantic analysis of SNOMED CT for a post-coordinated database of histopatholgy findings.” JAMIA, 2014 Sept-Oct; 21(5):885-92. PMID: 24833774

Araz OM, Bentley D, Muelleman RL. “Using Google Flu Trends data in forecasting influenza-like-illness related ED visits in Omaha, Nebraska. Am J Emerg Med, 2014 Sep; 32(9):1016-23. PMID: 25037278

Adhikari S, Morrison D, Lyon M, Zeger W, Krueger A, Utility of point-of-care biliary ultrasound in the evaluation of emergency patients with isolated acute non-traumatic epigastric pain. Intern Emerg Med. 2014 Aug; (9)583-7. PMID: 24442493

Srikar Adhikari, MD, MS ; Wes Zeger, DO; Christopher Thom, MD; Matthew J. Fields, MD, Isolated Deep Venous Thrombosis: Implications for 2-point Compression Ultrasonography of the Lower Extremity, Ann Emerg Med. 2014 Nov 20. [E-pub ahead of print] PMID: 25465473.

McClay JC, Park P, Janczewski M, Langford L; Standard for Improving Emergency Information Interoperability: The HL7 Data Elements for Emergency Department Systems (DEEDS). J Am Med Inform Assoc.2015 Marc 13. PMID: 25769684

Smith-Coggins R, Marco CA, Baren JM, Beeson MS, Carius ML, Counselman FL, Heller BN, Kowalenko T, Muelleman RL, Nelson LS, Wahl RP, Korte RC, Joldersma KB; Research Committee, American Board of Emergency Medicine. Ann Emerg Med. 2015 May; 65(5):584-94. PMID: 25910762

Zhang D, Liu J, Zheng H, Tu H, Muelleman RL, Li YL. Effect of angiotension II on voltage-gated sodium currents in aortic baroreceptor neurons and arterial baroreflex sensitivity in heart failure rats. J Hypertens 2015; Mar 30. PMID: 25827427

Wadman MC, Schwedhelm SS, Watson S, Swanhorst J, Gibbs SG, Lowe JJ, Iwen PC, Hayes AK, Needham S, Johnson DW, Kalin DJ, Zeger WG, Muelleman RL. Emergency Department Processes for the Evaluation and Management of Persons under Investigation for Ebola Virus Disease. Ann Emerg Med. 2015 May 20. Pii: S0196-0644(15)00326-1. PMID: 26003001

Book Chapters

Barthold C, Oakes J., Serotonin Re-Uptake Inhibitors and the Serotonin Syndrome, Harwood Nuss' Clinical Practice of Emergency Medicine 6th Edition, Wolters Kluwer, 343,p1460-63, 2015.

Abstracts Published

Kirschner RI, Lander L, Smith LM, Nomogram line crossing in acetaminophen combination product overdose, Clinical Toxicology, 52(695) 2014 Aug.

Seifert SA, Kirschner RI, Martin TG, Schrader RM, Karwoski K, Anaradian PC, Acetaminophen levels prior to 4 hours: Don’t just do something. Stand there! Clinical Toxicology, 52(696) 2014 Aug.

McVoy JF, Fladby CM, Kirschner RI, Somebody’s watching me, Clinical Toxicology, 52(720) 2014 Aug.

Hammack JM, Jacobitz KL, Kirschner RI, Home management or unintentional pediatric aripiprazole and quetiapine exposures, Clinical Toxicology, 52(745) 2014 Aug.

Abstracts Published Continued

Daniel N, Kirschner R, Lander L, Smith LM, Outcomes in suspected “missed” acetaminophen overdose. Clinical Toxicology, 52(764) 2014 Aug.

McClay JC, Langford LH; “Developing HL7 Standards to Improve Clinical Research in Emergency Medicine: The Common Model of Emergency Care Information” AMIA CRI Summit, March 26, 2015, San Francisco, CA

Li YL, Liu J, Zhang D, Tu H, Muelleman RL. Intra-cardiac ganglion neuron dysfunction in type 2 diabetes. FASEB J 2015 Apr; 29(1): 651.1

Dunn AR, Barksdale AN, High R, Wadman M. Comparison of Novel Suction Device versus Traditional Yankauer in Managing Difficult Airways in Human Cadavers. Acad Em Med May 2015; 22: S348.

Branecki, C.; Boedeker, B.; Schwedhelm, M.; Beam, E.; Popa, C.; Turabi, A.; Nessen, S.; Boedeker, D., "Use of transatlantic telebroncoscopy to confirm proper endotracheal tube placement during a simulated chemical, biological, radiological or nuclear or explosive (CBRNE) event,"Science and Information Conference (SAI), 2014, vol., no., pp.1011,1013, 27-29 Aug. 2014.

C.E. Branecki, LTC C. Popa, Major A.A. Turabi, Colonel S. Nessen, K. Morris, R.A. Walker,D.H. Boedeker, V. Wadman, B.H. Boedeker, Colonel, MC-USAFR-RET3. Confirmation of Proper Endotracheal Tube Placement Using Telemedical Technology: a Technique to Improve Far Forward Airway Management. Science and Information (SAI) Conference Proceedings- International Journal of Advanced Computer Science and Applications. Global Telemedicine and eHealth Updates: Knowledge Resources. Vol. 7, p 112. 2014 Apr.

C. Branecki, Nguyen T, V. Wadman, D.H. Boedeker, B.H. Boedeker. Using Transcontinental Telementoring to Train Laryngoscopy to Medical Students in Hanoi from Omaha Nebraska. Med e Tel 2015. In press Jan 2015 (CD proceedings)

Thang Nguyen, Chad Branecki, David Boedeker, Michael Wadman, Ben Boedeker. Teaching Video Otoscopy Using Telementoring: A Cost Effective Method to Support Training Pertnerships in Developing Countries. Med e Tel 2015. In press Jan 2015 (proceedings)

Invited Presentations

International

Cooper, J:

§  Continuous Bladder Irrigation in the Monoplace Hyperbaric Chamber, Treatment of Carbon Monoxide Intoxication/Encephalopathy with Hyperbaric Oxygen Therapy - 26 Years’ experience, Quebec, Canada. 6/19/2015

National

Cooper, J:

§  Accreditation Survey, HBO Peacehealth, Springfield, OR. 3/9/2015

§  Accreditation Survey, HBO Peacehealth, Kansas City, MO 6/3/2015

Li Y:

§  Effect of a novel anti-inflammatory drug (dexamethasone liposome) on long-term recovery of ischemia/reperfusion-injured mouse skeletal muscle. Military Health System Research Symposium (MHSRS), Fort Lauderdale, FL 8/18-8/21/2014

McClay J:

§  Information standards to improve emergency care: the HL7 data elements for Emergency Department Systems (DEEDS), Military Health System Research Symposium (MHSRS), Fort Lauderdale, FL 8/18-8/21/2014

§  The HL7 Common Model of Emergency Care Information: Driving innovation through Standardization, ACEP Informatics Ground Rounds, Dallas, TX 12/9/2014

§  “FHIR in the real world—the clinical perspective” Interoperability Technical Forum, Epic Expert Group Meetings, March 25, 2015: Verona, WI

National Continued

Muelleman R:

§  USC Residency Visit and Grand Rounds Lecture, USC Medical Center, Los Angeles, CA 11/19/2014

§  Presence Resurrection Medical Center Residency Visit, Presence Resurrection Medical Center, Chicago, IL. 1/15/2015

Wadman, M:

§  Funding for graduate medical education in academic centers: a proposed model for the evolving healthcare environment. Academic Surgical Congress, Las Vegas, Nevada, February 2015.

Regional

Barksdale:

§  Abstract Poster Presentation Judge, Society of Academic Emergency Medicine Great Plains Regional Conference, Kansas City, Mo, September 6, 2014

Cooper, J

§  HBO, NE AORN, Omaha, NE 11/12/2014

McClay J:

§  Comparative effectiveness Research and the patient experience, Learning Engagement Kickoff, Kansas City, KS. 8/18/2014

Muelleman R:

§  Effect of a novel anti-inflammatory drug (Dexamethasone liposome) on long-term recovery of ischemia/reperfusion injured mouse skeletal muscle, 2014 Great Plains Regional Conference, Kansas City, MO 9/6/2014.

Local

Bott K:

§  Abdominal Pain, 2nd year medical students, COM, UNMC, Omaha, NE 2/13/2015.

Cooper J:

§  HBO, Transplant & Oncology Conference, Omaha, NE 7/9/2014

§  HBO, Surgery Residents Orientation, Nebraska Medicine, Omaha, NE 7/16/2014

§  HBO, Annual Nebraska Nurse Practitioner Conference, Omaha, NE 7/17/2014

§  HBO, Private Hospitalist, Nebraska Medicine, Omaha, NE 8/11/2014

§  HBO, Oncology Care Coordinators, Nebraska Medicine, Omaha, NE 9/19/2014

§  HBO, Alegent Home Health, Omaha, NE 9/11/2014

§  HBO, UNMC Internal Medicine Morning Report, Omaha, NE 9/29/2014

§  HBO, UNMC Pulm./Critical Care Fellowship Meeting, Omaha, NE 9/26/2014

§  HBO, UNMC EM Medical Students. Omaha, NE 10/6/2014

§  CO, NE Legislature Testify on LB34, Lincoln, NE 1/29/2015

§  Chest Pain, UNMC ICE, M2 students, UNMC, Omaha, NE 3/4/2015

§  HBO, Oral Maxillofacial Surgery Grand Rounds, UNMC, Omaha, NE 3/25/2015

§  HBO, Zoo Volunteer Divers, Omaha’s Henry Doorly Zoo, Omaha, NE 5/2/2015

Ernest, E:

§  Neck Trauma, Creighton University Trauma Symposium, Omaha, NE 9/26/2014

Local Continued

Kirschner R:

§  Poisoning Basics, Nebraska Medicine Critical Care Nurses, Omaha, NE 8/4/2014

§  Shock, Nebraska Medicine Critical Care Nurses, Omaha, NE 8/4/2014

§  Approach to the Poisoned Patient, Clarkson & UNMC Family Medicine Residents, Omaha, NE 8/25/2014

§  Non-prescription analgesic overdose, Clarkson & UNMC Family Medicine Residents, Omaha, NE 8/27/2014

§  Update on drugs of abuse, Bryan Medical Center Trauma Symposium, Lincoln, NE 9/19/2014

§  Pediatric Ingestions, Infectious Disease Grand Rounds, St. Luke’s, Boise, ID. 1/21/2015

§  DOA update, Infectious Disease Grand Rounds, St. Luke’s , Boise, ID 1/21/2015

§  OTC Analgesic OD, VAMC, Boise, ID. 1/22/2015

§  New(ish) antidotes, St. Aphonsus, Boise, ID. 1/22/2015

§  DOA update, St. Aphonsus, Boise, ID 1/23/2015

§  Recognition of Drug Intoxication, Metro Chiefs Association, Omaha, NE 1/28/2015

§  Clinical Toxicology, UNMC College of Public Health, Omaha, NE 1/28/2015

§  Recognition of intoxication, Douglas County Jail, Omaha, NE 2/18/2015

§  Poisoning Basics and Shock, CCM nurses, UNMC, Omaha, NE 2/23/2015

§  Medication safety in children, Creighton University Medical Center, Omaha, NE 2/27/2015

§  Envenomations, 2nd year medical students, UNMC, Omaha, NE 3/4/2015

§  Clinical Toxicology 1: Intro, 2nd year Pharmacy students, UNMC, Omaha, NE 3/5/2015

§  Clinical Toxicology 2: Meds & Natural Toxins, 2nd year Pharmacy students, UNMC, Omaha, NE 3/6/2015

§  CUMC Tox Review for Omaha Area EMS, Bellevue Fire Department, Bellevue, NE. 3/8/2015

§  Clinical Toxicology 3: Cardiovascular Drugs, 2nd year Pharmacy students, UNMC, Omaha, NE 3/10/2015

§  Clinical Toxicology 4: Chem./Radiation Agents, 2nd year Pharmacy students, UNMC, Omaha, NE 3/11/2015

§  Drugs of Abuse Update, Family Medicine Grand Rounds, UNMC, Omaha, NE. 3/11/2015.

§  Management of Overdose, College of Public Health, UNMC, Omaha, NE.4/13/2015

§  OTC Analgesic Overdose, Nursing Grand Rounds, UNMC, Omaha, NE 5/6/2015

McClay J:

§  "Big Data" and Clinical Informatics, UNMC MD/PhD Scholars Program, Omaha, NE 11/6/2014

§  “The Greater Plains Collaborative: Developing the National PCORnet Comparative Effectiveness Research Network." The Department of Neurological Sciences Mind and Brain Health Series, Nebraska Medicine, Omaha, NE 2/4/2015.

§  “The Greater Plains Collaborative: Simplifying Comparative Effectiveness Research.” UNMC DEM Research Conference, UNMC, Omaha 2/13/2015

§  "Secondary Use of Clinical Data for Population Health" EPI835 Health Information & Surveillance for Public Health Practice, College of Public Health, Omaha, NE 4/6/2015

Wadman, M:

§  Graduate Medical Education Funding Model, UNMC Department of Surgery Grand Rounds, Nebraska Medicine, Omaha, NE 01/7/2015.

Grand Rounds

Barthold C. –Serotonin Syndrome 2/18/2015

Buzalko R. – Medical Professionalism: ACGME Requirement and Way of Life 9/17/2014

Ernest E. - New Skills with Drills 10/15/2014

Kirschner R. - Approach to the agitated/combinative patient 11/19/2014

Patents & Licenses

NIN / Date / Title / Inventors / Status
15047 / 4/2/2015 / Irrigation Pad with Built In Suction (SuckChuck) / Thang Nguyen, Michael Wadman, Vincent Morris, Richard Morris, Wesley Zeger / Additional Research Needed
15025 / 12/3/2014 / Oto-out Ear Canal Foreign Body Extractor / Thang Nguyen, Michael Wadman, Vincent Morris, Richard Morris / Closed
15043 / 3/23/2015 / Flexible Wound Irrigation Splash Guard (MorDry Shield) / Thang Nguyen, Michael Wadman, Vincent Morris, Richard Morris / Closed
15046 / 4/1/2015 / Ear Canal Foreign Body Extracting Gel (Oto-Gel) / Thang Nguyen, Michael Wadman, Vincent Morris, Richard Morris / Closed
15045 / 4/1/2015 / Portable Wound Irrigation System (MorCO2 Irrigator) / Thang Nguyen, Michael Wadman, Vincent Morris, Richard Morris / Evaluation
15053 / 5/6/2015 / Rapid Coagulation Wound Dressing Pad (NgUDressing) / Thang Nguyen, Michael Wadman, Vincent Morris, Richard Morris / Evaluation
15048 / 4/17/2015 / Nasal Insert for Epitaxis Treatment (NasalWad) / Thang Nguyen, Michael Wadman, Richard Morris, Vincent Morris / Market
15019 / 10/9/2014 / Flexible Tip Suction Device / Michael Wadman, Thang Nguyen, Vincent Morris, Richard Morris / Market / Protect
15029 / 12/16/2014 / Continuous Variable Pressure PSI Wound Irrigation System with Finger Regulator / Thang Nguyen, Michael Wadman, Vincent Morris, Richard Morris / Market / Protect
15038 / 3/3/2015 / Oral Airway Bite Block with Device Holder (OraMor) / Thang Nguyen, Michael Wadman, Vincent Morris, Richard Morris / Market / Protect

Version 5/5/2015