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

– 442 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

– 105,000 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 Ruggles• Investigators: Sarah Arias, PhD

Janice Espinola, MPH Kohei Hasegawa, MD, MPH Chu-Lin Tsai, MD, ScD

• Research Fellows: Diana Balekian, MDRachel Linnemann, MD

Orianne Dumas, PhD• Biorepository Manager: Courtney Tierney, MPH• Sr. Project Coordinator: Jane Bittner, MPH

Catalina Gimenez-Zapiola Daphne Suzin

• Project Coordinators: Emily Hu Tarina Quraishi Katie Tedesco

• Research Assistants www.emnet-usa.org

EMNet (186 US and 40 International sites = 226 sites)

www.emnet-usa.org

Dec 2013

EMNet Steering Committee

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

• Jeffrey Caterino, MD, MPH – Columbus, OH

• Sunday Clark, ScD – New York, NY

• Jonathan Mansbach, MD, MPH – Boston, MA

• Ashley Sullivan, MS, MPH – Boston, MA

www.emnet-usa.org

EMNet Research

Focuses on three areas:

1. Respiratory/allergy emergencies

2. Health policy

3. 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 antibioticswww.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, 1997-2014 (as of October 19, 2014)

• # of manuscript publications: 442

• # of investigators with manuscript publications: 564

• # sites with manuscript publications: 146

• Top 3 journals:– Academic Emergency Medicine (66)– Annals of Emergency Medicine (30)– Journal of Allergy and Clinical Immunology (27)

www.emnet-usa.org

multiple NIH grant applications

www.emnet-usa.org

Publications, 1997-2014 (as of October 19, 2014)

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