Wake Forest University Baptist Medical Center Emergency Medicine Residency

Check out new article (WestJEM) by Wake Forest EM faculty about teaching chest pain risk stratification in a multi-disciplinary workshop.

3 for the Price of 1: Teaching Chest Pain Risk Stratification in a Multidisciplinary, Problem-based Learning Workshop Author(s): Alley, William D.; Burns, Cynthia; Hartman, Nicholas D.; Askew, Kim; Mahler, Simon A. | Abstract: Introduction: Chest pain is a common chief complaint among patients presenting to health systems and often leads to complex and intensive evaluations. While these patients are often cared for...

Arr! Scurvy was not just a condition unique to 17th century sailors. Drs. Page, Manthey & Zavitz and MS4 Megan Perry of Wake Forest describe a case of severe vitamin C deficiency in modern America.

Scurvy: Dietary Discretion in a Developed Country Although the causes have changed, scurvy (vitamin C deficiency) is still diagnosed in developed countries. We report a case of an 18-year-old female who presented to our emergency department with thrombocytopenia, sinus tachycardia, hypotension, fatigue, gingival hyperplasia, knee effusion, petechia...

Guest speaker, Dr. Jo Shapiro from Brigham Women's, points out that institutional culture is powerful. A negative culture undermines the best strategy. Culture must align with goals & values, it starts w/ leadership & it must triumph at every level.
To our leaders - Thank you!

Wake Forest Baptist Health prioritizes physician wellness & supportive working/learning environments. Peer support initiative led by Cormac O'Donovan reminds us that we are all in this together.

~3% older adults w/ syncope have serious cardiac arrhythmia not recognized on initial ED evaluation. Specific abnormalities on initial ED ECG increased risk for 30-day serious cardiac arrhythmias.

Have you seen “ECG Predictors of Cardiac Arrhythmias in Older Adults With Syncope” co-authored by Wake Forest EM's Dr. Bret Nicks?
Annals of Emergency Medicine

ECG Predictors of Cardiac Arrhythmias in Older Adults With Syncope Cardiac arrhythmia is a life-threatening condition in older adults who present to the emergency department (ED) with syncope. Previous work suggests the initial ED ECG can predict arrhythmia risk; however, specific ECG predictors have been variably specified. Our objective is to identify specific EC...

New article on “Prehosp Administration of Epi in Ped Anaphylaxis” co-authored by Wake Forest EM Drs. Hiestand & Winslow, in Prehosp Emergency Care. https://t.co/zRPFWV6Kpx
Missed opportunities included young children w/ anaphylaxis (increased odds for not receiving prehosp Epi)

Prehospital Administration of Epinephrine in Pediatric Anap Timely administration of epinephrine is critical in the treatment of anaphylaxis. This study sought to determine the frequency of administration of epinephrine

Authors worked to standardize assessment practices, and develop a common, valid, specialty-specific tool for EM educators and students. Check it out here:

The National Clinical Assessment Tool for Medical Students in the Emergency Department (NCAT-EM) Introduction: Clinical assessment of medical students in emergency medicine (EM) clerkships is a highly variable process that presents unique challenges and opportunities. Currently, clerkship directors use institution-specific tools with unproven validity and reliability that may or may not address...

New publication co-authored by Wake Forest EM's Dr. David Manthey about “The National Clinical Assessment Tool for Medical Students in the Emergency Department (NCAT-EM)” in Western Journal of EM.

HEART score had 94% sens & 98% NPV for MACE at 30d.
Next step: investigate the best way for prehospital providers to use modified HEART score in the field.

New article in Prehospital & Disaster Medicine by Wake EM's Drs. Stopyra, Winslow, Mahler, Nelson, Miller, Alson, Davis, Harper on
"Modified HEART Score Predictive of 30-Day Adverse Cardiac Events”.

Prehospital Modified HEART Score Predictive of 30-Day Adverse Cardiac Events | Prehospital and Disaster Medicine | Cambridge Core Prehospital Modified HEART Score Predictive of 30-Day Adverse Cardiac Events - Jason P. Stopyra, William S. Harper, Tyson J. Higgins, Julia V. Prokesova, James E. Winslow, Robert D. Nelson, Roy L. Alson, Christopher A. Davis, Gregory B. Russell, Chadwick D. Miller, Simon A.....

Awesome “Hot Topic Debate” with Drs. Manthey & Pariyadath during Wake EM conf. When is oxygen therapy harmful? Don’t insist on 100% sat in COPD exac (deadspace, incr CO2). Also some evidence of harm in normoxic acute MI.