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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