Center for Policy and Research in Emergency Medicine (CPR-EM)

8/19/2020 - OHSU begins C3PO trial in COVID-19 Positive patients. OHSU C3PO Press release

7/30/2020 - Congratulations to CPR-EM Research Fellow Dr. Liliya Kranov, who has been selected as the awardee for the Medical Research Foundation: Spring 2020 Early Clinical Investigator Award for her grant titled "Emergency care mental health visits among adolescents on Oregon Medicaid: current status and impact of a state-wide law to strengthen linkage to outpatient care" 

7/1/2020 Congratulations to Dr. Esther Choo, EM Research Fellowship Director, who was promoted to Professor of Emergency Medicine today.  Dr. Choo is an incredibly productive researcher and a strong advocate for many issues impacting our community including gender and race inequities, substance use disorders, and health disparities.

7/1/2020 Congratulations to Dr. Bory Kea who was promoted to Associate Professor of Emergency Medicine. Dr. Kea also serves as the Director of Clinical Trials, and currently leads a number of research projects in Emergency Medicine.  

Overview

The OHSU Center for Policy and Research in Emergency Medicine's breakthrough research leads to new standards of care and a better understanding of important issues involving emergency medicine, disaster preparedness, and toxicology.

The CPR-EM was established to promote several long-term goals:

  1. Partner with policy-makers locally, state-wide and nationally, in identifying areas in which high-quality research can contribute to important health policy issues.
  2. Increase the contribution of Emergency Medicine faculty members to important health policy issues facing our community, our state and our nation.
  3. Enhance the research activities of the Department of Emergency Medicine, seeking external funding to facilitate this goal.

In the Media

Craig Newgard

“Oregon Emergency Care Research Multidisciplinary Training Program”

Sponsor: National Heart, Lung, and Blood Institute (NHLBI), National Institute of Mental Health (NIMH), National Institute of Nursing Research (NINR) - 1K12HL133115

Award Dates: 08/15/16-06/30/21

Role: Principal Investigator

“The Value of Pediatric Readiness in the Emergency Care of Injured Children”

Sponsor: Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHHD) - 1R24HD085927

Award Dates: 09/30/17-06/30/22

Role: Principal Investigator

“A Multi-State Evaluation of Emergency Department Pediatric Readiness: Guideline Uptake and Association with Quality, Outcomes, and Cost”

Sponsor: Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau - 1H34MC332430100

Award Dates: 09/01/19-08/31/23

Role: Principal Investigator

“Comparative Effectiveness of Trauma Center Care for Older Americans”

Sponsor: Brigham and Women's Hospital Inc (BWH) via National Institute on Aging (NIA) - 1R56AG048452-01A1

Award Dates: 09/30/17-08/31/19

Role: Site Principal Investigator / Co-Investigator

Additional emergency medicine research statistics can be found on the OHSU Research Expertise website. 
 

Esther Choo

“Implementation, Outcomes, and Cost of a Novel Medicaid Policy to Reduce
Opioids for Back Pain”

Sponsor: National Institute on Drug Abuse (NIDA) - 1R01DA044284

Award Dates: 08/15/18-05/31/23

Role: Principal Investigator

“Risk of Motor Vehicle Crashes from Cannabis Use in Emergency Department
Patients”

Sponsor: Insurance Institute for Highway Safety (IIHS)

Award Dates: 11/01/16-04/30/20

Role: Principal Investigator

“Virtual Coaching in Making Informed Choices on Elder Abuse/Neglect Self-Disclosure (VOICES)”

Sponsor: Yale University via NIA - 1R01AG060084

Award Dates: 09/01/18-08/31/22

Role: Site Principal Investigator / Co-Investigator

Matthew Hansen

“Improving the Safety and Efficacy of Out-of-Hospital Pediatric Airway Management”

Sponsor: National Heart, Lung, and Blood Institute - 1K23HL131440

Award Dates: 09/26/16-08/31/20

Role: Principal Investigator

“Charlotte, Houston, and Milwaukee Prehospital (CHaMP) Research Node”

Sponsor: Health Resources and Services Administration (HRSA) Bureau of Health Professions - 5H34MC26201

Award Dates: 09/01/17-08/31/20

Role: Site Principal Investigator / Co-Investigator

“The Charlotte, Houston, and Milwaukee Prehospital (CHaMP) Research Node”

Sponsor: Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau - U03MC33154

Award Dates: 09/01/19-08/31/23

Role: Site Principal Investigator / Co-Investigator

Bory Kea

“Optimal Anticoagulation Strategies for Acute Atrial Fibrillation”

Sponsor: National Heart, Lung, and Blood Institute - 1K08HL140105

Award Dates: 12/15/17-11/30/20

Role: Principal Investigator

“Specimen Collection in the Emergency Department for the Assessment of Clinical Performance of the Siemens PBNP Assay”

Sponsor: Siemens Healthcare Diagnostics

Award Dates: 06/12/19-06/30/22

Role: Principal Investigator

“BUILD EXITO Y6”

Sponsor: EXITO Institutional Core

Award Dates: 11/01/19-06/30/20

Role: Principal Investigator

“VITROS® Immunodiagnostic Products hs Troponin I US Sample Collection Protocol”

Sponsor: Ortho-Clinical Diagnostics Inc

Award Dates: 06/18/18-06/30/21

Role: Principal Investigator

Brandon Maughan

“Sex-Based Differences in Risk Stratification and Diagnostic Imaging for Diagnosis of Pulmonary Embolism”

Sponsor: Oregon Emergency Care Research Multidisciplinary Training Program - National Heart, Lung, and Blood Institute - 5K12HL133115

Award Dates: 07/01/18-08/30/21

Role: Scholar

David Sheridan

“West Coast Consortium for Technology and Innovation in Pediatrics”

Sponsor: Children's Hospital Los Angeles (CHLA) via FDA - 1P50FD006425

Award Dates: 09/01/18-08/31/23

Role: Site Principal Investigator / Co-Investigator

“Solace: A Wearable Continuous Early Suicide Warning System for Adolescents”

Sponsor: Oregon Emergency Care Research Multidisciplinary Training Program

National Institute of Mental Health / National Heart, Lung, and Blood Institute - 5K12HL133115

Award Dates: 07/01/18-06/30/21

Role: Scholar

“SRA-19-145 ProMedix, Inc.”

Sponsor: ProMedix, Inc.

Award Dates: 08/01/19-07/31/20

Role: Principal Investigator

“Physiologic Parameters Related to Suicidality in Adolescent Mental Health”

Sponsor: Welch Allyn

Award Dates: 01/01/19-01/31/22

Role: Principal Investigator

Andrew Moore

“A Randomized Controlled Trial of Usual Care Plus Mobile Cardiac Telemetry Versus Usual Care Alone for Unexplained Syncope in Older Adults Evaluated in the Emergency Department”

Sponsor: Medical Research Foundation (MRF) Early Clinical Investigator (ECI) Award

Award Dates: 04/01/20-03/31/21

Role: Principal Investigator

Mohamud Daya

Strategies to Innovate EmeRgENcy Care Clinical Trials Network (SIREN) -
Network Clinical Center (Award Hub)”

Sponsor: National Institute of Neurological Disorders and Stroke (NINDS) - 1U24NS100657

Award Dates: 07/15/17-05/31/22

Role: Principal Investigator

“Characterizing Prehospital Delay and Outcomes in Patients Treated for Potential Acute Coronary Syndrome in the Emergency Department”

Sponsor: University of California, Los Angeles (UCLA) via National Heart, Lung, and Blood Institute - 1R21HL140277

Award Dates: 08/01/18-07/31/20

Role: Site Principal Investigator / Co-Investigator

Due to the COVID-19 Pandemic, some of the ED research projects listed below are currently suspended from enrolling subjects, however our research teams continue to engage in research activities that can be accomplished.

With a tumultuous last few months, 2020 is a year unlike any other. Your resiliency in the face of these crises and continued willingness to serve our community makes me proud to be part of the ED team. We’re in this together, and we’re not done yet. As the ED is at the forefront of care, we have the opportunity to change the trajectory of care. Research studies are up and running again with some modified protocols, and we have several active or soon-to-be active COVID-19 research studies—both diagnostic and interventional studies. Thank you to every member of our healthcare team.

- Bory Kea, MD, MCR, FACEP - Director of Clinical Trial, Department of Emergency Medicine

Current Newsletter

Previous Study Updates

Recent Publications

Not all protected bike lanes are the same: Infrastructure and risk of cyclist collisions and falls leading to emergency department visits in three U.S. cities.

Cicchino JB, McCarthy ML, Newgard CD, Wall SP, DiMaggio CJ, Kulie PE, Arnold BN, Zuby DS. Accid Anal Prev. 2020 May 6;141:105490. doi: 10.1016/j.aap.2020.105490. Online ahead of print. PMID: 32388015

Endotracheal Intubation in the Pharmaceutical-Poisoned Patient: a Narrative Review of the Literature.

Burket GA, Horowitz BZ, Hendrickson RG, Beauchamp GA. J Med Toxicol. 2020 May 11. doi: 10.1007/s13181-020-00779-3. Online ahead of print. PMID: 32394224

In reply: Is it time to initiate venothromobolism prophylaxis for acute and ambulatory outpatients with lower limb immobilisation?

Cois A, Kea B. Emerg Med J. 2020 Jun;37(6):390. doi: 10.1136/emermed-2020-209741. Epub 2020 May 12. PMID: 32398232

Chest compressions induce errors in end-tidal carbon dioxide measurement.

Leturiondo M, Ruiz de Gauna S, Gutiérrez JJ, Alonso D, Corcuera C, Urtusagasti JF, González-Otero DM, Russell JK, Daya MR, Ruiz JM. Resuscitation. 2020 Aug;153:195-201. doi: 10.1016/j.resuscitation.2020.05.029. Epub 2020 May 31. PMID: 32492455

Unconditional Care in Academic Emergency Departments.

Kline JA, Burton JH, Carpenter CR, Meisel ZF, Miner JR, Newgard CD, Quest T, Martin IBK, Holmes JF, Kaji AH, Bird SB, Coates WC, Lall MD, Mills AM, Ranney ML, Wolfe RE, Dorner SC. Acad Emerg Med. 2020 Jun;27(6):527-528. doi: 10.1111/acem.14010. Epub 2020 Jun 8. PMID: 32407561

Envisioning Graduate Medical Education in 2030.

Simpson D, Sullivan GM, Artino AR Jr, Deiorio NM, Yarris LM. J Grad Med Educ. 2020 Jun;12(3):235-240. doi: 10.4300/JGME-D-20-00292.1. PMID: 32595834

Sudden cardiac arrest with shockable rhythm in patients with heart failure.

Woolcott OO, Reinier K, Uy-Evanado A, Nichols GA, Stecker EC, Jui J, Chugh SS. Heart Rhythm. 2020 Jun 4:S1547-5271(20)30536-1. doi: 10.1016/j.hrthm.2020.05.038. Online ahead of print. PMID: 32504821

Indigenous populations: left behind in the COVID-19 response.

Curtice K, Choo E. Lancet. 2020 Jun 6;395(10239):1753. doi: 10.1016/S0140-6736(20)31242-3. PMID: 32505246

Statewide Real-Time Tracking of Beds and Ventilators During Coronavirus Disease 2019 and Beyond.

Merkel MJ, Edwards R, Ness J, Eriksson C, Yoder S, Gilliam S, Ellero K, Barreto-Costa C, Graven P, Terry JR, Heilman J. Version 2. Crit Care Explor. 2020 Jun 11;2(6):e0142. doi: 10.1097/CCE.0000000000000142. eCollection 2020 Jun. PMID: 32696005

Effect of the Coronavirus Disease 2019 (COVID-19) Pandemic on the U.S. Emergency Medical Services System: A Preliminary Report.

Lerner EB, Newgard CD, Mann NC. Acad Emerg Med. 2020 Jun 17:10.1111/acem.14051. doi: 10.1111/acem.14051. Online ahead of print. PMID: 32557999

Out-of-hospital Circulatory Measures to Identify Patients With Serious Injury: A Systematic Review.

Newgard CD, Cheney TP, Chou R, Fu R, Daya MR, O'Neil ME, Wasson N, Hart EL, Totten AM. Acad Emerg Med. 2020 Jun 17. doi: 10.1111/acem.14056. Online ahead of print. PMID: 32558073

Remodeling of the 12-lead electrocardiogram in immediate survivors of sudden cardiac arrest.

Held EP, Reinier K, Uy-Evanado A, Nakamura K, Chugh HS, Jui J, Chugh SS. Resuscitation. 2020 Aug;153:169-175. doi: 10.1016/j.resuscitation.2020.06.017. Epub 2020 Jun 20. PMID: 32574652

Improving response to out-of-hospital cardiac arrest: The verified responder program pilot.

Blackwood J, Mancera M, Bavery S, Carbon C, Daya M, VanKeulen B, Alteneder DN, Helm J, Robertson J, Charbonneau J, Nania JM, Schaeffer B, Lopez M, Loncon T, Collins B, Charter M, Jorgenson DB, Gao M, Price R, Rea T. Resuscitation. 2020 Jun 21;154:1-6. doi: 10.1016/j.resuscitation.2020.06.015. Online ahead of print. PMID: 32580006

Out-of-hospital Respiratory Measures to Identify Patients With Serious Injury: A Systematic Review.

Daya MR, Cheney TP, Chou R, Fu R, Newgard CD, O'Neil ME, Wasson N, Hart EL, Totten AM. Acad Emerg Med. 2020 Jun 22. doi: 10.1111/acem.14055. Online ahead of print. PMID: 32569406

Dana Zive

It is with a heavy heart that we announce the passing of our esteemed colleague,  Dana Zive, Sunday, September 30, 2018.

 Dana was the Director of the Oregon POLST Registry, Associate Director of the OHSU Center for Ethics in Health Care, and a Research Assistant Professor in the OHSU Department of Emergency Medicine and CPR-EM.  She earned her B.S. in Environmental Chemistry and Toxicology at the University of Nevada, Reno, and her M.P.H. in Public Health Education and Biostats/Epidemiology from San Jose State University.  Dana joined OHSU in 2004, and her areas of focus included end-of-life care and emergency care research. 

 Dana was integrally involved in many DEM research efforts, including the Resuscitation Outcomes Consortium (many out-of-hospital interventional trials in cardiac arrest and trauma) and the Physician Orders for Life-Sustaining Treatment Program (POLST).  She was key in developing and implementing the Oregon electronic POLST registry, including legislated state funding. Dana has been a fundamental member of CPREM throughout our years of building infrastructure and growth.  She had a true research mind and a passion for data. She was our colleague and friend and will be dearly missed. 

Dana is survived by her husband and daughter (Lola, 8).   If you have a story about Dana you would like to share with her family, please send your thoughts to cookjen@ohsu.edu