edward p. sloan, md, mph associate professor department of emergency medicine university of illinois...

Edward P. Sloan, MD, MPH

Associate Professor

Department of Emergency MedicineUniversity of Illinois College of Medicine

Chicago, IL

Attending PhysicianEmergency Medicine

University of Illinois HospitalOur Lady of the Resurrection Hospital

Chicago, IL

Overview

Overview Overview

Mission StatementMission StatementThe Foundation for the Education and Research in

Neurological Emergencies is an independent not-for

profit organization committed to the following principles:

• Patients with neurologic emergencies deserve quality emergency care.

• The emergency care for neurologic emergencies can be enhanced through quality scientific research.

• Emergency medical care providers can provide optimal medical care for patients with neurological emergencies through participation in quality medical education that highlights state-of-the-art neurologic care.

Overview Overview GoalsGoals

• Increased access to quality care

• Improved patient advocacy

• Improved patient care

• Enhanced diagnostic skills

• Optimal acute management

• Cost-effective Emergency Medicine

• Enhanced practice of Emergency Medicine

Overview Overview GoalsGoals

FERNE plans to achieve these goals through:

• Development of educational curricula • Training of Emergency Medicine

professionals • Development of a network of collaborators• Collaboration with • Universities• Hospitals• Clinicians• Researchers

Administrative

AdministrativeAdministrativeIncorporationIncorporation

• Initial grant from Parke-Davis• Incorporated in Delaware, 1997• Not-for-profit organization (501-C3)• Registered to do business in Illinois • Registered as non-profit organization in Illinois

AdministrativeAdministrativeBoard of DirectorsBoard of Directors

Edward P. Sloan, MD, MPH, FACEPBoard Chairman and President Associate ProfessorDepartment of Emergency MedicineUniversity of Illinois School of Medicine

Attending PhysicianEmergency Medical ServiceUniversity of Illinois Hospital, Chicago

Andy Jagoda, MD, FACEPTreasurer ProfessorDepartment of Emergency MedicineMount Sinai School of Medicine

Attending PhysicianDepartment of Emergency MedicineMount Sinai School of Medicine, New York, NY

AdministrativeAdministrativeBoard of DirectorsBoard of Directors

AdministrativeAdministrativeBoard of DirectorsBoard of Directors

J. Steven Huff, MD, FACEPSecretary

Associate ProfessorEmergency Medicine and NeurologyUniversity of Virginia

Attending PhysicianDepartment of Emergency MedicineUniversity of Virginia

AdministrativeAdministrativeBoard of DirectorsBoard of Directors

William G. Barsan, MD, FACEP

Professor and Chair

Department of Emergency Medicine

University of Michigan, Ann Arbor

Attending Physician

Department of Emergency Medicine

University of Michigan, Ann Arbor

AdministrativeAdministrativeBoard of DirectorsBoard of Directors

Michelle Biros, MS, MD, FACEP

Associate Professor

Department of Emergency Medicine

University of Minnesota

Senior Associate Physician

Department of Emergency Medicine

Hennepin County Medical Center, Minneapolis, MN

AdministrativeAdministrativeBoard of DirectorsBoard of Directors

E. Bradshaw Bunney, MD, FACEP

Associate Professor

Department of Emergency Medicine

University of Illinois School of Medicine

Attending Physician

Emergency Medical Service

University of Illinois Hospital, Chicago

AdministrativeAdministrativeBoard of DirectorsBoard of Directors

Steven C. Dronen, MD, FACEP

Associate HeadSection of Emergency MedicineDepartment of SurgeryUniversity of Michigan

Staff PhysicianEmergency DepartmentUniversity of Michigan Medical Center, Ann Arbor, MISt. Joseph Mercy Medical Center, Ypsilanti, MI

AdministrativeAdministrativeBoard of DirectorsBoard of Directors

James R. Roberts, MD, FACEP

Chairman

Department of Emergency Medicine

Mercy Health Systems, Philadelphia, PA

Professor of Emergency Medicine

Allegheny University of the Health Sciences

Medical College of Pennsylvania/Hahnemann University

AdministrativeAdministrativeInfrastructureInfrastructure

• Dell PowerEdge 1400 Server

• Canon XL1 digital camcorder

• Adobe Video Editing Software

• Real-One Video Streaming Software

• CD-ROM Burners

• www.FERNE.org website

• Listserve of interested participants

AdministrativeAdministrativeBrochureBrochure

AdministrativeAdministrativeBrochureBrochure

AdministrativeAdministrativeFERNE BoothFERNE Booth

AdministrativeAdministrativeNewsletterNewsletter

• Quarterly• Distribution: ACEP, SAEM, NEIG, AAEM, EMRA• Future meetings• Research updates• Collaborations• Grants

AdministrativeAdministrativeNewsletterNewsletter

AdministrativeAdministrativeCollaborationsCollaborations

• American Association of Emergency Medicine (AAEM)• American Stroke Association (ASA)• American College of Emergency Physicians (ACEP)• Emergency Medicine Foundation (EMF)• Emergency Medicine Residents’ Association (EMRA)• International Brain Injury Association (IBIA)• Society for Academic Emergency Medicine (SAEM)

AdministrativeAdministrativeFuture CollaborationsFuture Collaborations

• National Association of EMS Physicians (NAEMSP)

• EMedHome.com

• ePocrates.com

Education

Education Education Primary Intended AudiencesPrimary Intended Audiences

• Emergency Medicine practitioners

• Emergency Medicine residents

• Emergency Medicine educators

EducationEducationIntended AudiencesIntended Audiences

• Non-physician providers of emergency care

• Advocacy Groups

• Emergency Medicine Organizations

• Government and Public Health Organizations

• Industry Sponsors

• Neurologic Emergency patients and their families

EducationEducationCurriculum DevelopmentCurriculum Development

• Standardize training of EM residents

• SAEM’s Neurologic Interest Group

• ACEP Clinical Policies Committee

EducationEducationEducational MeetingsEducational Meetings

• Residents’ Case-based Courses

• Teach-the-Teachers’ Courses

• Practitioners’ Courses

EducationEducationBranded ProductBranded Product

• Uniform case-based content

–Cases

–Introductions

–Case outcomes

–References

–Annotated bibliography

–Questions and answers to test knowledge

EducationEducationCourse HandoutsCourse Handouts

• Binders– Cases, introductions, case outcomes,

references, annotated bibliographies

– PowerPoint presentation handouts– Course evaluation forms

• CD-ROM– Power Point presentations

EducationEducationBranded Product: BinderBranded Product: Binder

EducationEducationCD-ROMsCD-ROMs

• Material from educational courses

• Annotated PowerPoint slides

• Stroke materials, Spring 2002

• Seizure materials, Spring 2003

• TBI materials, Spring 2004

EducationEducationBranded Product: CD-RomBranded Product: CD-Rom

EducationEducationFERNE CoursesFERNE Courses

• Fit into the larger meeting’s agenda

• 90-120 minute presentations

• Presentations on the latest guidelines

• Rational use of resources

• Optimize patient outcomes

EducationEducationInternational EM MeetingsInternational EM Meetings

• Mediterranean EM Congress, Stresa, 2001

• ACEP Clinical Policies, Amsterdam, 2002

• UIC EM, Havana, 2003

• Mediterranean EM Congress, Barcelona, 2003

EducationEducationNational EM MeetingsNational EM Meetings

• American Academy of Emergency Medicine (AAEM)• American College of Emergency Physicians (ACEP)• National Association of EMS Physicians (NAEMSP)• Society for Academic Emergency Medicine (SAEM)

EducationEducationCMECME

• Web-based CME pending

• CME at national educational meetings

• CME at state and local meetings

• CME: University of Illinois at Chicago

EducationEducationWeb-based LearningWeb-based Learning

• Case-of-the-Month

• Videostreaming course materials

• Downloadable slide-based lectures

• Abstract search vehicle

EducationEducationCase-of-the-MonthCase-of-the-Month

• Neurological emergency case-of-the-month. • PowerPoint presentation• Cases, introduction, case outcomes,

references, annotated bibliography, and question and answer section

• Interactive • Grant money available• eMedhome.com: 250,000 hits/month 

EducationEducation2002 FERNE Courses2002 FERNE Courses

• TBI & Stroke Lectures, AAEM, March 2002, SF, CA • CPC & EBM Course, ACEP, April 2002, Amsterdam• Seizure Symposium, SAEM, May 2002, St. Louis, MO• Pediatric Case Course, SAEM, May 2002, St. Louis, MO• Stroke Palm Course, SAEM, May 2002, St. Louis, MO• Case Studies Course, ACEP, Oct 2002, Seattle, WA • Seizure Symposium, ACEP, Oct 2002, Seattle, WA

EducationEducation2001 FERNE Courses2001 FERNE Courses

• Stroke Course, ACEP, October 2001, Chicago, IL • Residents' Course, ACEP, October 2001, Chicago, IL • Seizure Symposium, ACEP, October 2001, Chicago, IL• Case Studies Course at the First Mediterranean

Emergency Medicine Congress, September 2001, Stresa, Italy

• Stroke Symposium, SAEM, May 2001, Atlanta, GA • Residents' Course, SAEM, May 2001, Atlanta, GA

EducationEducation1999-2000 FERNE Courses1999-2000 FERNE Courses

• Stroke Symposium, ACEP, October 2000, Philadelphia, PA

• Residents' Course, ACEP, October 2000, Philadelphia, PA

• Residents' Course, SAEM, May 2000, San Francisco, CA

• Residents’ Course, ACEP, May 1999, Boston, MA

• Residents’ Course, ACEP, October 1999, Las Vegas, NV

EducationEducationFERNE Supported LecturesFERNE Supported Lectures

• Blood Can Be Very Bad, Part I: Head CT Interpretations for Emergency Physicians

Jeff Kline, MD, Carolinas Healthcare System, Charlotte, North Carolina

• Blood Can Be Very Bad, Part II: Head CT Interpretations for Emergency Physicians

Andrew Perron, MD, University of Virginia Health System,

Charlottesville, Virginia • Use of AEDs in Seizure & Migraine Disorders

ACEP, Philadelphia, PA, October 2000

• Brain Injury Symposium at the World International Brain Injury Congress

Turin, Italy, May 2001

EducationEducationFERNE CoursesFERNE Courses

EMRA/FERNE Resident’s CourseACEP, October 2001, Chicago, IL

• The Neurologic Exam in ED Patients With Suspected TIA/CVA Edward Sloan, MD, MPH, FACEP

• A Case of Sudden Severe Headache Andy Jagoda, MD, FACEP

• A Case of Eye Pain and Confusion Daniel Murphy, MD, FACEP

• A Case of Dizziness William Barsan, MD, FACEP

EducationEducationFERNE CoursesFERNE Courses

EMRA/FERNE/ASA Stroke SymposiumACEP, October 2001, Chicago, IL• Transient Ischemic Attacks Rodney

Smith, MD

• Ischemic Anterior Circulation Stroke Edward Jauch, MD, MS

• Ischemic Posterior Circulation Stroke Christopher Lewandowski, MD

• Hemorrhagic Stroke Andrew Asimos, MD

• Subarachnoid Hemorrhage Nina Gentile, MD

• Clinical Use of tPA With Stroke Edward Sloan, MD, MPH

EducationEducationFERNE CoursesFERNE Courses

FERNE Seizure SymposiumACEP, October 2001, Chicago, IL

• Developing Clinical Guidelines Andy Jagoda, MD

• Seizure Recognition/EEG Use in the ED J. Stephen Huff, MD

• New Onset Seizures Andy Jagoda, MD

• Managing Sub-therapeutic AED Levels: Oral Versus IV Loading Edwin Kuffner, MD

• First-line Therapy in Acute Seizure Management William Dalsey, MD

• Status Epilepticus: Medication Alternatives Edward Sloan, MD, MPH

EducationEducationFERNE CoursesFERNE Courses

FERNE Case Studies CourseSeptember 2001, Stresa, Italy

• The Neurologic Examination for the Emergency Physician Andy Jagoda, MD

• New Onset Headache: Diagnosis and Management Michelle H. Biros, MD, MS

• Spontaneous Vertebral Artery Dissection William Barsan, MD

• Status Epilepticus (SE): Diagnosis and Management Edward P. Sloan, MD, MPH

EducationEducationFERNE CoursesFERNE Courses

Brain Injury SymposiumMay 2001, Turin, Italy

• Epidemiology of Traumatic and Ischemic Brain Injuries G. Citerio, MD

• Guidelines for the Management of Minor Head Injuries in Adults Ivo Casagranda, MD

• Management of Moderate and Severe Head Injuries Ignacio Previgliano, MD

• Acute Stroke Identification and Treatment: ‘Time is Brain’ Andy Jagoda, MD

• Pathophysiology of Brain Injury F. Della Corte, MD

• Traumatic Brain Injury Case Scenario Workshop Maurizio Berardino, MD

EducationEducationFERNE CoursesFERNE Courses

EMRA/FERNE Residents’ CourseMay 2001, Atlanta, GA

• The Focused Neurologic Exam Arjun Chanmugam, MD

• Pediatric Seizure Edward Sloan, MD, MPH

• Low Back Pain E. Bradshaw Bunney, MD

• Amnesia Allan Wolfson, MD

• Violent Patients Scot Hill, MD

EducationEducationFERNE CoursesFERNE Courses

ASA/FERNE Stroke SymposiumMay 2001, Atlanta, GA• Epidemiology of Stroke Dexter L. Morris, MD,

PhD

• Pathophysiology of Stroke Sid Shah, MD

• The Focused Neurologic Exam in Stroke Arjun Chanmugam, MD

• Transient Ischemic Attacks Rodney Smith, MD

• Ischemic Anterior Circulation Stroke Edward Jauch, MD, MS

• Ischemic Posterior Circulation Stroke Christopher Lewandowski, MD

• Hemorrhagic Stroke Andrew Asimos, MD

EducationEducationFERNE CoursesFERNE Courses

ASA/FERNE Stroke SymposiumMay 2001, Atlanta, GA

• Subarachnoid Hemorrhage Nina Gentile, MD

• Systems in Acute Stroke Care Andy Jagoda, MD

• Pre-hospital Care in Stroke Todd Crocco, MD

• Neuroimaging of Stroke Andrew Perron, MD

• Clinical Use of tPA With Stroke Edward Sloan, MD, MPH

• Research Horizons/Future Therapies E. Bradshaw Bunney, MD

EducationEducationFERNE CoursesFERNE Courses

EMRA/FERNE Residents’ CourseACEP, October 2000, Philadelphia, PA

• The Neurologic Exam Andy Jagoda, MD

• The Case of the Comatose Prisoner James Roberts, MD

• Hemiparesis: The Emerging Role of the Emergency Physician in Stroke Management Edward Sloan, MD, MPH

• Double Vision: Differentiating Emergent from Non-emergent Processes J. Stephen Huff, MD

• Mild Traumatic Brain Injury: Diagnosis and Management Andy Jagoda, MD

EducationEducationFERNE CoursesFERNE Courses

FERNE Stroke SymposiumACEP, October 2000, Philadelphia, PA

• The Focused Neurologic Exam in Stroke Arjun Chanmugam, MD

• Transient Ischemic Attacks Rodney Smith, MD

• Ischemic Anterior Circulation Stroke Edward Jauch, MD, MS

• Hemorrhagic Stroke Andrew Asimos, MD

• Ischemic Posterior Circulation Stroke Christopher Lewandowski, MD

• Subarachnoid Hemorrhage Nina Gentile, MD

EducationEducationFERNE CoursesFERNE Courses

FERNE Residents’ CourseSAEM, May 2000, San Francisco, CA

• The Focused Neurologic Exam Andy Jagoda, MD

• Hemiparesis: The Emerging Role of the Emergency Physician in Stroke Management Edward Sloan, MD, MPH

• Double Vision: Differentiating Emergent from Non-emergent Processes J. Stephen Huff, MD

• Thunderclap Headache: A Challenge in Clinical Decision Making Michael Gerardi, MD

• Weakness: Using a Systematic Approach to Localizing Pathology Peter Shearer, MD

EducationEducationFERNE CoursesFERNE Courses

FERNE Stroke SymposiumSAEM, May 2000, San Francisco, CA

• Hemiparesis: The Emerging Role of the Emergency Physician in Stroke Management Edward Sloan, MD, MPH

• Double Vision: Differentiating Emergent from Non-emergent Processes J. Stephen Huff, MD

• Thunderclap Headache: A Challenge in Clinical Decision Making Michael Gerardi, MD

• Weakness: Using a Systematic Approach to Localizing Pathology Peter Shearer, MD

EducationEducationFERNE CoursesFERNE Courses

FERNE Residents’ CourseSAEM, May 1999, Boston, MA• Acute Dizziness and Vertigo: Diagnosis, Assessment, and Management

Gregory Bergey, MD

• Altered Mental Status/Confusion J. Stephen Huff, MD

• Mild Traumatic Brain Injury Andy Jagoda, MD

• Status Epilepticus (SE): Diagnosis and Management Edward Sloan, MD, MPH

• The Case of the Comatose Prisoner James Roberts, MD

• The Neurologic Screening for the Non-Neurologist Andy Jagoda, MD

EducationEducationFERNE.orgFERNE.org

• All lectures videostreamed

• All PowerPoint slide shows

• Possibility for web-based CME

• Planned collaboration with EMedHome.com

EducationEducationFERNE Website ContentFERNE Website Content

• Download with PDF ssoftware

• Enhanced printing capabilities

• PowerPoint shows allow easy viewing

• Redistribution at your own institutions

• Greater number of physician learners

EducationEducationStroke SeriesStroke Series

• American Stroke Association (ASA)• France Foundation

EducationEducationAEM SupplementAEM Supplement

• Material from educational courses

• Michelle Biros-Editor of AEM

• Stroke materials, Spring 2002

• Seizure materials, ??Spring 2003

• Pain materials, ??Spring 2004

EducationEducationHandheld TechnologyHandheld Technology

• Use of tPA

• NIH Stroke Scale

• Written by a team at Mount Sinai, New York– Funded by a FERNE grant

• Planned collaboration with ePocrates.com: 250,000 visits/month

EducationEducationStroke CardStroke Card

• EMRA

• NIH Stroke Scale

Research

ResearchResearchGrant OpportunitiesGrant Opportunities

Research support is provided by FERNE

via three mechanisms:

• FERNE/EMF $50,000 Directed Neurologic Emergencies Research Grant  

• FERNE RFP's• Seed grants for unsolicited proposals

ResearchResearchDirected Neurological Emergencies Research GrantDirected Neurological Emergencies Research Grant

• 2002-2003 recipient: Edward Jauch, MD, MS

University of Cincinnati

Cincinnati, OH

Functional Proteomics Identification of Serum Proteins Associated with Intracerebral Hemorrhage Following Thrombolytic Therapy for Acute Ischemic Stroke

ResearchResearchDirected Neurological Emergencies Research GrantDirected Neurological Emergencies Research Grant

• 2002-2003 recipient: John E. Duldner, Jr., MD

Akron General Medical Center

Akron, OH

Spontaneous Intracerebral Hemorrhage: Compliance, Hyperacute Management, and Mortality After Published Guidelines

ResearchResearchDirected Neurological Emergencies Research GrantDirected Neurological Emergencies Research Grant

• 2001-2002 recipient: Kevin M. Curtis, MD,

Hospital of the University of PA

Philadelphia, PA

Characterizing and quantifying the delayed mitochondrial calcium overload in the hippocampus after trauma and after global ischemia.

ResearchResearchUnsolicited ProposalsUnsolicited Proposals

• John Duldner, MD, received a $5,000 seed grant from FERNE for his research on Subarachnoid Hemorrhage (SAH)

• Johns Hopkins University: Emergency Evaluation of the ED Dizzy Patient, $5,000 pending

• Mt. Sinai Hospital, $5,000 for palm stroke application development

ResearchResearchSeed GrantsSeed Grants

• Up to $5,000 grants

• Promote new research

• Help secure future funding

Opportunities With the SAEM NEIG and WEIG

SAEM NEIGSAEM NEIGOpportunitiesOpportunities

• Grant writing and participation

• New participation in education

• New content areas

• Operational support

• Administrative oversight

• Grant support

SAEM WEIGSAEM WEIGOpportunitiesOpportunities

• Teaching others how to use web

• Develop new web content

• Live transmission of events

• Administrative oversight for projects

• Grant writing and support

ConclusionsConclusionsLargest ChallengesLargest Challenges

• Ongoing funding

• New participants in the teaching process

• More learners

• Better technology

• More time

ConclusionsConclusionsFERNEFERNE

• Good educational materials

• Use of new technologies

• Opportunity to support research

• Opportunity to participate

• www.FERNE.org

Questions?Questions?

edsloan@uic.edu312 413 7490