Medical Student Research Forum Posters

Patient experience surveys (PES) may be used to evaluate emergency department (ED) physician performance PES quantitative scores may be subject to gender biasFew studies have evaluated PES free-text comments.

There is significant variability in methods used to perform neurological examination in poorlyresponsive patients. Inconsistent and poor inter-examiner reliability may lead to poor,consequential clinical decision-making and care. Noxious stimuli are routinely administered to elicit motoric responses to determine the depth of unresponsiveness in comatose patients. However, no study has tested the reliability of noxious stimuli delivery (NSD) method or quantified applied force that elicit motor responses in patients with coma.

Patient experience in healthcare is of growing importance and is the heart of a patient-centered care. Positive patient experience correlates with betterhealth outcomes.

Press Ganey (PG) surveys are a common measure of patient satisfaction often used in physician performance and promotions. Patients may have unconscious biases when filling out surveys. Few studies exist on the free-text comments about physicians in Press Ganey Surveys.

The overall rate of Chlamydia trachomatis in pregnant women in the United States was found to be 1843 per 100,000 births from 2016 to 2018 and had a 2% increase from 2016 to 2018. Untreated Chlamydia infection of the cervix in pregnant women can be transmitted vertically and lead to preventable adverse birth outcomes including preterm delivery, low birth weight, neonatal conjunctivitis, and neonatal pneumonia. Current recommendations from the CDC include screening of all pregnant women <25 years of age and older pregnant women at increased risk for infection at the first prenatal visit, in addition to rescreening in the third trimester if <25 years of age or if the patient is at continued high risk. The emergency  department (ED) is a point of contact for prenatal care, especially for many patients whohave not yet seen a provider or may be unable to; however, no formal guidelines from the American College of Emergency Physicians (ACEP) exist as to when to screen for chlamydia in the ED setting.

The COVID-19 pandemic has caused Americans to adjust to a new normal of quarantines, remote learning, and working from home. With nearly 45 million cases and 719,000 deaths since January 2020, the direct effects of the virus are more commonly known. Previous research has showed a positive correlation between societal and economic stressors and intimate partner violence. Related research has also found that rates of domestic violence increased significantly after environmental disasters. Recent articles have shown a significant increase in National Domestic Violence Hotline calls, as well as increases in selfreported intimate partner violence on surveys during the COVID-19 pandemic. Many have hypothesized that the societal and economic pressures of the COVID-19 pandemic would result in secondary effects that are less researched such as crime, interpersonal violence, and domestic violence. This study aims to investigate the incidence of violent injury encounters at the Community Regional Medical Center (CRMC) emergency department. We hypothesize there has been an increase in the rate of violent injury encounters in the emergency department during the pandemic in comparison to prior years.

The overall rate of Chlamydia trachomatis in pregnant women in the United States was found to be 1843 per 100,000 births from 2016 to 2018 and had a 2% increase from 2016 to 2018. Untreated Chlamydia infection of the cervix in pregnant women can be transmitted vertically and lead to preventable adverse birth outcomes including preterm delivery, low birth weight, neonatal conjunctivitis, and neonatal pneumonia. Current recommendations from the CDC include screening of all pregnant women. To determine if emergency department providers are screening patients with positive pregnancy tests for chlamydia according to CDC guidelines. To examine patient characteristics that may help lead to developing criteria for screening for chlamydia in pregnant patients in the ED setting

Adolescents with complications from opioid use disorder (OUD) regularly present to the emergency department (ED) for medical stabilization. Little data exists on pediatric emergency medicine (PEM) physicians’ confidence in caring for these patients. Investigate PEM physician confidence in assessing and managing opioid and/or substance use-related complaints among adolescents presenting to the ED.  Assess barriers to prescribing buprenorphine to patients in the pediatric ED.

As wildfires and air pollution become more common across the United States, it is increasingly important to understand the burden they place on public health. Previous studies have noted relationships between air quality and use of emergency medical services (EMS), but until now these papers have focused on dayto-day air quality. Our goal is to investigate the effect of sustained periods of poor air quality on EMS call type and volume.

Delirium is an acute, fluctuating condition with an alteration in level of consciousness associated with inattention and disorganized thinking, significantly impacting mortality, morbidity and hospital length of stay. Delirium is the most common complication afflicting hospitalized patients ages 65 years and older, affecting more than 2.6 million older adults each year in the United States. 1 This study will evaluate the effects of the total time spent in the emergency department (ED), the number of times a patient is moved from one bed space to another during their ED stay, the number of hours a patient spends boarding after admission orders have been placed, on the development of delirium as an inpatient.

-Neisseria gonorrhaeae (NG) and Chlamydia trachomatis (CT) are the two most common sexually transmitted infections (STIs) in the United States and increasing steadily with over 500,000 and 1.7 million cases in 2018, respectively.

-Standard of care for NG/CT diagnosis is testing with a nucleic acid amplification test (NAAT) and sample collection via provider-performed endocervical sampling (PPES).

-PPES can add significant delay in a busy emergency department (ED) setting in which exam room and/or provider availability is limited.

-Prior research in non-emergency department settings on self-obtained vaginal swabs (SOVS), where the patient collects their own vaginal sample using the NAAT swab, has shown favorable results. However, another study has shown a patient preference for PPES over VSS.

-If VSS was found to have noninferior sensitivity compared to PPES in the ED, with good patient acceptability, this would allow for earlier collection of samples and another diagnostic option for patients where a pelvic exam cannot be performed.