Emergency Medicine Network

– Founded in 1996

– Mission: To advance public health objectives through diverse projects in emergency care, particularly multicenter clinical research

– MARC, NEDI, ED-SAFE, other projects

– Funding: government (~95%), industry, foundations

– 485 publications (as of Oct 2015); all age groups, diverse topics

– www.EMNet-USA.org

Massachusetts General Hospital

• Established 1811• Harvard teaching hospital• Emergency Department

– Level 1 Trauma Center(children & adults)

– Level 1 Burn Center

– 108,000 ED visits / year

– Harvard-Affiliated EM Residency (HAEMR)

www.emnet-usa.org

EMNet Coordinating Center• Director: Carlos Camargo, MD, DrPH• Associate Director: Ashley Sullivan, MS, MPH• Program Coordinator: Erica Ruggles• Investigators: Janice Espinola, MPH

Kohei Hasegawa, MD, MPH TBN (EM health policy) TBN (statistician)

• Research Fellows: Diana Balekian, MD, MPHTadahiro Goto, MD

• Biorepository Manager: Courtney Tierney, MPH• Sr. Project Coordinators: Jane Bittner, MPH

Catalina Gimenez-Zapiola Daphne Suzin

• Project Coordinators: Rishi Goel Katie Tedesco Elie Mitri David Zheng

• Students, Residents, and Visiting Researcherswww.emnet-usa.org

EMNet (194 US and 41 International sites = 235 sites)

Oct 2015

www.emnet-usa.org

EMNet Steering Committee

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

• Jeffrey Caterino, MD, MPH – Columbus, OH

• Sunday Clark, MPH, ScD – New York, NY

• Robert Freishtat, MD, MPH – Washington, DC

• Jonathan Mansbach, MD, MPH – Boston, MA

• Ashley Sullivan, MS, MPH – Boston, MA

www.emnet-usa.org

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 antibiotics

www.emnet-usa.org

Research – Health Policy

Examples

• Childhood Health Insurance Program (CHIP)• National ED Safety Study (NEDSS)• National ED Inventories (NEDI)

– USA, 2001 to present– 13 states & Indian Health Service– International (multiple)

• EM Workforce– Emergency Physicians– PAs and NPs

• Pediatric emergency care

www.emnet-usa.org

Research – Other Public Health

Examples

• Mental health– Depression– Acute psychiatric services– Opioid overdose– Suicide prevention (ED-SAFE)

• Health literacy• Diabetes• Healthcare-associated infections• Large dataset analyses (eg, NHAMCS,

NEDS, SEDD/SID, Medicare)

www.emnet-usa.org

Publications, 1997-2015 (as of Oct 23, 2015)

• # of manuscript publications: 485• # of investigators with manuscript publications:

631• # sites with manuscript publications: 159• Top 4 journals: Acad Emerg Med (67), Ann Emerg Med (30),

J Allergy Clin Immunol (30), Ann Allergy Asthma Immunol (24)

www.emnet-usa.org

Education

• Research Fellowship– Started 1996 … folded into the MGH ED fellowship ~2006– Dr Camargo serves as faculty on multiple NIH training grants

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

• 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 iPhone; Will re-launch Android in 2016

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