Research and Scholarly Activity

Although our primary focus is to teach each resident the necessary skills to understand research methods and to critically evaluate the scientific literature, we also provide opportunity for residents to participate in laboratory and clinical research projects in a variety of areas including cardiac resuscitation, pain management, airway management, anxiety disorders, headache, radiograph interpretation, administration, and aeromedical transport. Resident participation in research has resulted in several publications and presentations at the annual Emergency Medicine scientific meetings, including the 5th and 12th Annual Ohio/Midwest Regional Emergency Medicine Research Symposium which were hosted by our program.

The fundamentals of research methodology are provided in a series of didactic lectures by Dr. Michael Plewa. These concepts are emphasized with examples during our monthly journal club meetings. In addition, residents participate in a research workshop rotation involving computer-assisted literature searching, composition of a research proposal and consent form, an open-book examination on statistical methods, and critique of a poster and mock manuscript. The goals of this rotation are to understand basic statistical methods, study design, ethical issues such as consent, animal use, fraud and authorship, and develop the necessary computer skills for word processing, slide-making, and searching the literature.

To fulfill the research requirement, each resident should:

  1. Attend and participate in monthly journal club discussions
  2. Attend and participate in the grand rounds lecture series on Emergency Medicine Research Methodology
  3. Participate in at least one academic research project from the following categories:
    • Case report with literature review (requirement is a literature search, case presentation, and outline)
    • Topic review
    • Retrospective clinical investigation
    • Laboratory or animal study
    • Chapter author
    • Computer model (requirement is a synopsis)
    • Other as approved by research committee

RECENT PUBLICATIONS

Ledrick D, Omori M, Caudell M. The economic impact of a medical adventure race. Wilderness Environ Med. 2015 Mar;26(1):104-5. doi: 10.1016/j.wem.2014.07.013. No abstract available. PMID:25712303

McMaster S, Ledrick DJ, Stausmire JM, Burgard K. Evaluation of a simulation training program for uncomplicated fishhook removal. Wilderness Environ Med. 2014 2014 Dec;25(4):416-24. doi: 10.1016/j.wem.2014.06.001. Epub 2014 Oct 1.PMID:25282182

Omori M. Herpetic whitlow. Emergency Medicine, eMedicine from Medscape Reference. Updated March 05, 2014. Available at http://emedicine.medscape.com/article/788056-overview

McMaster S, Ledrick DJ, Stausmire JM, Burgard K. Evaluation of a simulation training program for uncomplicated fishhook removal. Wilderness Environ Med. 2014 Oct 1. pii: S1080-6032(14)00185-9. doi: 10.1016/j.wem.2014.06.001. [Epub ahead of print]

Omori M. Herpetic whitlow. Emergency Medicine, eMedicine from Medscape Reference. Updated March 05, 2014. Available at http://emedicine.medscape.com/article/788056-overview

Omori M. Mononucleosis in emergency medicine. Emergency Medicine, eMedicine from Medscape Reference. Updated April 23, 2014. Available at http://emedicine.medscape.com/article/784513-overview

Wolfram W. Nursemaid elbow. Emergency Medicine, eMedicine from Medscape Reference. Updated February 07, 2014. Available at http://emedicine.medscape.com/article/803026-overview

King RW. Staphylococcal scalded skin syndrome. Emergency Medicine, eMedicine from Medscape Reference. Updated February 06, 2014. Available at http://emedicine.medscape.com/article/788199-overview

Plewa MC. Male Urethritis. Emergency Medicine, eMedicine from Medscape Reference. Updated February 06, 2014. Available at http://emedicine.medscape.com/article/778374-overview

Khan M, Brauner ME, Plewa MC, Kutala VK, Angelos M, Kuppusamy P. Effect of pulmonary-generated reactive oxygen species on left-ventricular dysfunction associated with cardio-pulmonary ischemia-reperfusion injury. Cell Biochem Biophys. 2013 Nov;67(2):275-80. doi: 10.1007/s12013-011-9299-9.

Hymel G. Theophylline toxicity. eMedicine at Medscape Reference. Updated March 8, 2013. Available at http://emedicine.medscape.com/article/818847-overview

Wolfram W. Coping with the death of a child in the ED. eMedicine at Medscape Reference. Updated October 03, 2013. Available at http://emedicine.medscape.com/article/806223-overview

Venkatesh AK, Kline JA, Courtney DM, Camargo CA, Plewa MC, Nordenholz KE, Moore CL, Richman PB, Smithline HA, Beam DM, Kabrhel C. Evaluation of pulmonary embolism in the emergency department and consistency with a national quality measure: Quantifying the opportunity for improvement. Arch Intern Med. Jul 9, 2012;172(13):1028-32. doi: 10.1001/archinternmed.2012.1804.

Plewa MC. Repolarization abnormalities in previous electrocardiograms of adult victims of non-traumatic sudden cardiac death.  Acad Emerg Med. 2012;19:S103.

Plewa MC, Hymel G, Halbeisen A. Randomization, allocation concealment and blinding in published studies of animal research in the last decade of emergency medicine literature. Acad Emerg Med, 2012;19:S314.

Wolfram W. Enterobiasis. eMedicine from Medscape Reference. Updated June 26, 2013. Available at: http://emedicine.medscape.com/article/997814-overview

Plewa MC. Pediatric Aphthous Ulcers. eMedicine from Medscape Reference. Updated April 23, 2013. Available at: Http://emedicine.Medscape.com/article/909213-overview

King RW. Osteomyelitis in emergency medicine. eMedicine at Medscape Reference. Updated July 25, 2013. Available at http://emedicine.medscape.com/article/785020-overview

Plewa MC. Pediatric Aphthous Ulcers. eMedicine from Medscape Reference. Updated March 28, 2012. Available at: Http://emedicine.Medscape.com/article/909213-overview

PRESENTATIONS

Plewa MC, Hynes AM, Brown CE, Mohan N: Assessment of internet videos of anterior shoulder dislocation reduction techniques. Presented at the 2016 Midwest Regional SAEM Meeting, Indianapolis, IN, September 9, 2016

Rufe AH, Walsh L, Parmar J, Ellis CR, Plewa MC: Timing of sedation following intubation of the emergency department patient. Presented at the 2016 Midwest Regional SAEM Meeting, Indianapolis, IN, September 9, 2016

Jafry Z, Wolfram W: Case Report: Mature Cystic Teratoma in a 16F Identified on Point of Care Ultrasound. Presented at the 2016 Mercy Health- Research Symposium, Toledo, OH, May 10, 2016.

Kopp T. Survey of illnesses and injuries in offshore Great Lakes sailboat racing. 15th Annual Mercy Research Symposium, Toledo, OH. May 12, 2015.

Plewa MC, Fries K, Herrera B. Utility of mediastinal width measurements on chest radiography in suspected acute thoracic aortic dissection. 15th Annual Mercy Research Symposium, Toledo, OH. May 12, 2015 and 5th Annual Ohio Osteopathic Association Poster Competition and Exhibition, Columbus OH. April 25, 2015.

Krebs W, Russ J, Moussa M. Avram R. Ultrasound diagnostics:Krebs research day What can it add to the Ottawa Ankle Rules in conjunction with radiology? 15th Annual Mercy Research Symposium, Toledo, OH. May 12, 2015.

Herrera B, Hymel G, Vyas N. Sexually transmitted infections: Description of clinical practice patterns in the Emergency Department for identification and treatment of sexually transmitted diseases in females utilizing retrospective data. 15th Annual Mercy Research Symposium, Toledo, OH. May 12, 2015.

Flora A, Kanjira A, Jedrzejczyk A, Maher A, Melia D, Berry D, Plewa MC. Emergency Department documentation of components of the low risk criteria for pulmonary embolism with the introduction of an electronic medical record. 15th Annual Mercy Research Symposium, Toledo, OH. May 12, 2015.

Plewa MC, Hymel G. Concern for malpractice litigation and the ordering of computed tomography imaging by emergency physicians: An example of defensive medicine. 24th Annual Midwest Regional SAEM meeting, Detroit, MI. September 11, 2014.

Kopp T. Survey of illnesses and injuries in offshore Great Lakes sailboat racing. 14th Annual Mercy Research Symposium, Toledo, OH. May 16, 2014.

Wolfram W, Ford R, Himes J, Kreuger J, Strugalski R. Parent/caretaker impressions of pediatric emergency department procedural sedation. 14th Annual Mercy Research Symposium, Toledo, OH. May 16, 2014.

Wolfram W, Ford R, Himes J, Kreuger J, Strugalski R. Emergency department procedural sedation: A case series. 14th Annual Mercy Research Symposium, Toledo, OH. May 16, 2014.

Plewa MC, Gibson D, Bingham S, Fries K. Inter-observer reliability and test characteristics for the HEART score in predicting low-risk admissions to an observation unit for cardiac evaluation. 2014 SAEM Annual meeting, Dallas, TX. May 15, 2014.

Russell FM, Moore CL, Kabrhel C, Richman PB, Smithline HA, Nordenholz KE, Courtney DM, O’Neil BJ, Plewa MC, Kline JA. Validation of a simple clinical prediction tool to identify isolated right ventricular dysfunction in short of breath patients. 2014 SAEM Annual meeting, Dallas, TX. May 15, 2014.

Plewa MC, Ewing M, Vyas N, Mutnick R, Graber S, Knotts FB. A clinical rule for predicting massive transfusion in trauma victims. 23rd Annual Midwest regional SAEM meeting, Akron, OH. November 8, 2013.

Plewa MC, Gibson D, Bingham S, Fries K. Inter-observer reliability and test characteristics of the HEART score in predicting low risk admission to an observation unit for cardiac evaluation. 23rd Annual Midwest regional SAEM meeting, Akron, OH. November 8, 2013.

Plewa MC, Ewing M, Vyas N, Mutnick R, Graber S, Knotts FB. A clinical rule for predicting massive transfusion in trauma victims. ACEP Research Forum, Seattle, WA. October 14, 2013.

Plewa MC, Ewing M, Vyas N, Mutnick R, Graber S, Knotts FB. Transfusion of blood products in trauma victims: Effects of fresh frozen plasma and platelet to packed red blood cell ratios on survival. ACEP Research Forum, Seattle, WA. October 14, 2013.

 

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