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P1251955589DbAWQ

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Initial grant from Parke-Davis. Incorporated in Delaware, 1997 ... James R. Roberts, MD, FACEP. Chairman ... Seizure Symposium, SAEM, May 2002, St. Louis, MO ... – PowerPoint PPT presentation

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Title: P1251955589DbAWQ


1

2
Edward P. Sloan, MD, MPHAssociate
ProfessorDepartment of Emergency
MedicineUniversity of Illinois College of
MedicineChicago, IL
3
Attending PhysicianEmergency
MedicineUniversity of Illinois HospitalOur
Lady of the Resurrection HospitalChicago, IL
4
  • Overview

5
Overview Mission Statement
  • The 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.

6
Overview Goals
  • 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

7
Overview Goals
  • 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
  •   

8
  • Administrative

9
AdministrativeIncorporation
  • 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

10
AdministrativeBoard of Directors
  • Edward P. Sloan, MD, MPH, FACEP
  • Board Chairman and President
  •  
  • Associate Professor
  • Department of Emergency Medicine
  • University of Illinois School of Medicine
  • Attending Physician
  • Emergency Medical Service
  • University of Illinois Hospital, Chicago

11
AdministrativeBoard of Directors
  • Andy Jagoda, MD, FACEP
  • Treasurer
  •  
  • Professor
  • Department of Emergency Medicine
  • Mount Sinai School of Medicine
  • Attending Physician
  • Department of Emergency Medicine
  • Mount Sinai School of Medicine, New York, NY

12
AdministrativeBoard of Directors
  • J. Steven Huff, MD, FACEP
  • Secretary
  • Associate Professor
  • Emergency Medicine and Neurology
  • University of Virginia
  • Attending Physician
  • Department of Emergency Medicine
  • University of Virginia

13
AdministrativeBoard 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

14
AdministrativeBoard 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

15
AdministrativeBoard 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

16
AdministrativeBoard of Directors
  • Steven C. Dronen, MD, FACEP
  • Associate Head
  • Section of Emergency Medicine
  • Department of Surgery
  • University of Michigan
  • Staff Physician
  • Emergency Department
  • University of Michigan Medical Center, Ann Arbor,
    MI
  • St. Joseph Mercy Medical Center, Ypsilanti, MI

17
AdministrativeBoard 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

18
AdministrativeInfrastructure
  • 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

19
AdministrativeBrochure
20
AdministrativeBrochure
21
AdministrativeFERNE Booth
22
AdministrativeNewsletter
  • Quarterly
  • Distribution ACEP, SAEM, NEIG, AAEM, EMRA
  • Future meetings
  • Research updates
  • Collaborations
  • Grants

23
AdministrativeNewsletter
24
AdministrativeCollaborations
  • 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)

25
AdministrativeFuture Collaborations
  • National Association of EMS Physicians (NAEMSP)
  • EMedHome.com
  • ePocrates.com

26
  • Education

27
Education Primary Intended Audiences
  • Emergency Medicine practitioners
  • Emergency Medicine residents
  • Emergency Medicine educators

28
EducationIntended 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

29
EducationCurriculum Development
  • Standardize training of EM residents
  • SAEMs Neurologic Interest Group
  • ACEP Clinical Policies Committee

30
EducationEducational Meetings
  • Residents Case-based Courses
  • Teach-the-Teachers Courses
  • Practitioners Courses

31
EducationBranded Product
  • Uniform case-based content
  • Cases
  • Introductions
  • Case outcomes
  • References
  • Annotated bibliography
  • Questions and answers to test knowledge

32
EducationCourse Handouts
  • Binders
  • Cases, introductions, case outcomes,
    references, annotated bibliographies
  • PowerPoint presentation handouts
  • Course evaluation forms
  • CD-ROM
  • Power Point presentations

33
EducationBranded Product Binder
34
EducationCD-ROMs
  • Material from educational courses
  • Annotated PowerPoint slides
  • Stroke materials, Spring 2002
  • Seizure materials, Spring 2003
  • TBI materials, Spring 2004

35
EducationBranded Product CD-Rom
36
EducationFERNE Courses
  • Fit into the larger meetings agenda
  • 90-120 minute presentations
  • Presentations on the latest guidelines
  • Rational use of resources
  • Optimize patient outcomes

37
EducationInternational EM Meetings
  • Mediterranean EM Congress, Stresa, 2001
  • ACEP Clinical Policies, Amsterdam, 2002
  • UIC EM, Havana, 2003
  • Mediterranean EM Congress, Barcelona, 2003

38
EducationNational 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)

39
EducationCME
  • Web-based CME pending
  • CME at national educational meetings
  • CME at state and local meetings
  • CME University of Illinois at Chicago
  •  

40
EducationWeb-based Learning
  • Case-of-the-Month
  • Videostreaming course materials
  • Downloadable slide-based lectures
  • Abstract search vehicle

41
EducationCase-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 

42
Education2002 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

43
Education2001 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

44
Education1999-2000 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

45
EducationFERNE 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

46
EducationFERNE Courses
  • EMRA/FERNE Residents Course
  • ACEP, 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

47
EducationFERNE Courses
  • EMRA/FERNE/ASA Stroke Symposium
  • ACEP, 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

48
EducationFERNE Courses
  • FERNE Seizure Symposium
  • ACEP, 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

49
EducationFERNE Courses
  • FERNE Case Studies Course
  • September 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

50
EducationFERNE Courses
  • Brain Injury Symposium
  • May 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

51
EducationFERNE Courses
  • EMRA/FERNE Residents Course
  • May 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

52
EducationFERNE Courses
  • ASA/FERNE Stroke Symposium
  • May 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

53
EducationFERNE Courses
  • ASA/FERNE Stroke Symposium
  • May 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

54
EducationFERNE Courses
  • EMRA/FERNE Residents Course
  • ACEP, 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

55
EducationFERNE Courses
  • FERNE Stroke Symposium
  • ACEP, 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

56
EducationFERNE Courses
  • FERNE Residents Course
  • SAEM, 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

57
EducationFERNE Courses
  • FERNE Stroke Symposium
  • SAEM, 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

58
EducationFERNE Courses
  • FERNE Residents Course
  • SAEM, 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

59
EducationFERNE.org
  • All lectures videostreamed
  • All PowerPoint slide shows
  • Possibility for web-based CME
  • Planned collaboration with EMedHome.com

60
EducationFERNE Website Content
  • Download with PDF ssoftware
  • Enhanced printing capabilities
  • PowerPoint shows allow easy viewing
  • Redistribution at your own institutions
  • Greater number of physician learners

61
EducationStroke Series
  • American Stroke Association (ASA)
  • France Foundation

62
EducationAEM Supplement
  • Material from educational courses
  • Michelle Biros-Editor of AEM
  • Stroke materials, Spring 2002
  • Seizure materials, ??Spring 2003
  • Pain materials, ??Spring 2004

63
EducationHandheld 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

64
EducationStroke Card
  • EMRA
  • NIH Stroke Scale

65
  • Research

66
ResearchGrant 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

67
ResearchDirected 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

68
ResearchDirected 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

69
ResearchDirected 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.

70
ResearchUnsolicited 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

71
ResearchSeed Grants
  • Up to 5,000 grants
  • Promote new research
  • Help secure future funding

72
  • Opportunities
  • With the SAEM
  • NEIG and WEIG

73
SAEM NEIGOpportunities
  • Grant writing and participation
  • New participation in education
  • New content areas
  • Operational support
  • Administrative oversight
  • Grant support

74
SAEM WEIGOpportunities
  • Teaching others how to use web
  • Develop new web content
  • Live transmission of events
  • Administrative oversight for projects
  • Grant writing and support

75
ConclusionsLargest Challenges
  • Ongoing funding
  • New participants in the teaching process
  • More learners
  • Better technology
  • More time

76
ConclusionsFERNE
  • Good educational materials
  • Use of new technologies
  • Opportunity to support research
  • Opportunity to participate
  • www.FERNE.org

77
Questions?
edsloan_at_uic.edu 312 413 7490
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