ferne

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

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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.

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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

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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
•   

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• Administrative

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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AdministrativeBrochure
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AdministrativeBrochure
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AdministrativeFERNE Booth
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AdministrativeNewsletter

• Quarterly
• Distribution ACEP, SAEM, NEIG, AAEM, EMRA
• Future meetings
• Research updates
• Collaborations
• Grants

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AdministrativeNewsletter
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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)

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AdministrativeFuture Collaborations

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

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• Education

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Education Primary Intended Audiences

• Emergency Medicine practitioners
• Emergency Medicine residents
• Emergency Medicine educators

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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

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EducationCurriculum Development

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

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EducationEducational Meetings

• Residents Case-based Courses
• Teach-the-Teachers Courses
• Practitioners Courses

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EducationBranded Product

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

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EducationCourse Handouts

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

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EducationBranded Product Binder
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EducationCD-ROMs

• Material from educational courses
• Annotated PowerPoint slides
• Stroke materials, Spring 2002
• Seizure materials, Spring 2003
• TBI materials, Spring 2004

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EducationBranded Product CD-Rom
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EducationFERNE Courses

• Fit into the larger meetings agenda
• 90-120 minute presentations
• Presentations on the latest guidelines
• Rational use of resources
• Optimize patient outcomes

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EducationInternational EM Meetings

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

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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)

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EducationCME

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

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EducationWeb-based Learning

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

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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 

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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

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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

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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

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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
  

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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EducationFERNE.org

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

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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

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EducationStroke Series

• American Stroke Association (ASA)
• France Foundation

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EducationAEM Supplement

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

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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

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EducationStroke Card

• EMRA
• NIH Stroke Scale

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• Research

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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

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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

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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

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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.

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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

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ResearchSeed Grants

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

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• Opportunities
• With the SAEM
• NEIG and WEIG

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SAEM NEIGOpportunities

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

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SAEM WEIGOpportunities

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

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ConclusionsLargest Challenges

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

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ConclusionsFERNE

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

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Questions?
edsloan_at_uic.edu 312 413 7490