Below you will find brief descriptions of a sample of the exciting and innovative projects being conducted by current NewYork-Presbyterian Emergency Medicine residents.
Rapid Cardiology Follow-Up
Objectives are: (1) Development and implementation of a 24 hour/day system for Rapid Outpatient Cardiology (ROC) follow-up allowing ED physicians to safely discharge "low-risk" chest pain patients with scheduled rapid cardiology follow-up. (2) Decrease hospital admission for "low-risk" chest pain. (3) Monitor ROC follow-up system for safety (e.g. no missed myocardial infarctions) and for patient and provider compliance with scheduled follow-up.
Patients inherently experience and describe their disease process through narratives, the same narratives we glean information from to diagnose, prognosticate, and form a therapeutic bond. The simple act of analyzing and discussing narratives from literature is training for this skill devoid of the need to make medical decisions. Writing and sharing our experiences furthers this skill set by creating a cohesive and reflective framework from which to grow from the varied trials and tribulations that residency training entails. This project builds a collaboration with Narrative Medicine faculty to implement and study the impact of these exercises on residency training.
Video Consent vs. Traditional Informed Consent in the Emergency Department
This study aims to assess whether a video presented on an iPad vs. standard informed consent improves patient's knowledge and satisfaction. This pilot study focuses on the lumbar puncture but will hopefully eventually be used to address other common procedures performed in our ED.
Solar Water Disinfection Using Wilderness Equipment
The Solar water disinfection (SODIS) technique, which takes advantage of both solar heat and ultraviolet radiation to kill microorganisms, has not been examined using water containers usually available to the backcountry traveler, in typical wilderness conditions. The aim of this pilot study is to assess the feasibility of using materials and equipment typically available to the outdoor enthusiast to carry out the SODIS technique to disinfect drinking water.
Agitated Delirium in Older Adults in the Emergency Department
The goal of this study is to evaluate the impact of a comprehensive, evidence-based, multi-disciplinary protocol for the management of agitated delirium in older adults. This project assesses baseline attitudes, knowledge, and practice of emergency department providers, as well as the immediate and long-term impact of the protocol, including adherence and whether its implementation has had an impact on practice change.