NIH roundtable on opportunities to advance research on neurologic and psychiatric emergencies

Gail D'Onofrio, Edward Jauch, Andrew Jagoda, Michael H. Allen, Deirdre Anglin, William G. Barsan, Rachel P. Berger, Bentley J. Bobrow, Edwin D. Boudreaux, Cheryl Bushnell, Yu Feng Chan, Glenn Currier, Susan Eggly, Rebecca Ichord, Gregory L. Larkin, Daniel Laskowitz, Robert W. Neumar, David E. Newman-Toker, James Quinn, Katherine ShearKnox H. Todd, Douglas Zatzick, Walter J. Koroshetz, Jane Pearson, Robin Conwit, Rosemarie Filart, Giovanna Guerrero, Amy B. Goldstein, Carol Nicholson, Elizabeth Wehr, Carol Blaisdell, Daofen Chen, Basil Eldadah, Marian Emr, Michael Handrigan, Lauren Hill, Petra Jacobs, Scott Janis, Kelly Johnson, Dan Kavanaugh, Jeffrey Kopp, Jukka Korpela, Nathan Kuppermann, Raul Mandler, David Marcozzi, Alice Mascette, Xi Sheng, Joel Sherrill

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Study objective The Institute of Medicine Committee on the Future of Emergency Care in the United States Health System (2003) identified a need to enhance the research base for emergency care. As a result, a National Institutes of Health (NIH) Task Force on Research in Emergency Medicine was formed to enhance NIH support for emergency care research. Members of the NIH Task Force and academic leaders in emergency care participated in 3 Roundtable discussions to prioritize current opportunities for enhancing and conducting emergency care research. We identify key research questions essential to advancing the science of emergency care and discuss the barriers and strategies to advance research by exploring the collaboration between NIH and the emergency care community. Methods Experts from emergency medicine, neurology, psychiatry, and public health assembled to review critical areas in need of investigation, current gaps in knowledge, barriers, and opportunities. Neurologic emergencies included cerebral resuscitation, pain, stroke, syncope, traumatic brain injury, and pregnancy. Mental health topics included suicide, agitation and delirium, substances, posttraumatic stress, violence, and bereavement. Results Presentations and group discussion firmly established the need for translational research to bring basic science concepts into the clinical arena. A coordinated continuum of the health care system that ensures rapid identification and stabilization and extends through discharge is necessary to maximize overall patient outcomes. There is a paucity of well-designed, focused research on diagnostic testing, clinical decisionmaking, and treatments in the emergency setting. Barriers include the limited number of experienced researchers in emergency medicine, limited dedicated research funding, and difficulties of conducting research in chaotic emergency environments stressed by crowding and limited resources. Several themes emerged during the course of the roundtable discussion, including the need for development of (1) a research infrastructure for the rapid identification, consent, and tracking of research subjects that incorporates innovative informatics technologies, essential for future research; (2) diagnostic strategies and tools necessary to understand key populations and the process of medical decisionmaking, including the investigation of the pathobiology of symptoms and symptom-oriented therapies; (3) collaborative research networks to provide unique opportunities to form partnerships, leverage patient cohorts and clinical and financial resources, and share data; (4) formal research training programs integral for creating new knowledge and advancing the science and practice of emergency medicine; and (5) recognition that emergency care is part of an integrated system from emergency medical services dispatch to discharge. The NIH Roundtable "Opportunities to Advance Research on Neurological and Psychiatric Emergencies" created a framework to guide future emergency medicinebased research initiatives. Conclusion Emergency departments provide the portal of access to the health care system for most patients with acute neurologic and psychiatric illness. Emergency physicians and colleagues are primed to investigate neurologic and psychiatric emergencies that will directly improve the delivery of care and patient outcomes.

Original languageEnglish (US)
Pages (from-to)551-564
Number of pages14
JournalAnnals of Emergency Medicine
Volume56
Issue number5
DOIs
StatePublished - Nov 2010

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National Institutes of Health (U.S.)
Nervous System
Psychiatry
Emergencies
Emergency Medical Services
Research
Emergency Medicine
Advisory Committees
Delivery of Health Care
Research Subjects
Advance Directives
Bereavement
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Crowding
Informatics
Health Services Accessibility
Continuity of Patient Care
Translational Medical Research
Emergency Treatment
Delirium

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

D'Onofrio, G., Jauch, E., Jagoda, A., Allen, M. H., Anglin, D., Barsan, W. G., ... Sherrill, J. (2010). NIH roundtable on opportunities to advance research on neurologic and psychiatric emergencies. Annals of Emergency Medicine, 56(5), 551-564. https://doi.org/10.1016/j.annemergmed.2010.06.562

NIH roundtable on opportunities to advance research on neurologic and psychiatric emergencies. / D'Onofrio, Gail; Jauch, Edward; Jagoda, Andrew; Allen, Michael H.; Anglin, Deirdre; Barsan, William G.; Berger, Rachel P.; Bobrow, Bentley J.; Boudreaux, Edwin D.; Bushnell, Cheryl; Chan, Yu Feng; Currier, Glenn; Eggly, Susan; Ichord, Rebecca; Larkin, Gregory L.; Laskowitz, Daniel; Neumar, Robert W.; Newman-Toker, David E.; Quinn, James; Shear, Katherine; Todd, Knox H.; Zatzick, Douglas; Koroshetz, Walter J.; Pearson, Jane; Conwit, Robin; Filart, Rosemarie; Guerrero, Giovanna; Goldstein, Amy B.; Nicholson, Carol; Wehr, Elizabeth; Blaisdell, Carol; Chen, Daofen; Eldadah, Basil; Emr, Marian; Handrigan, Michael; Hill, Lauren; Jacobs, Petra; Janis, Scott; Johnson, Kelly; Kavanaugh, Dan; Kopp, Jeffrey; Korpela, Jukka; Kuppermann, Nathan; Mandler, Raul; Marcozzi, David; Mascette, Alice; Sheng, Xi; Sherrill, Joel.

In: Annals of Emergency Medicine, Vol. 56, No. 5, 11.2010, p. 551-564.

Research output: Contribution to journalArticle

D'Onofrio, G, Jauch, E, Jagoda, A, Allen, MH, Anglin, D, Barsan, WG, Berger, RP, Bobrow, BJ, Boudreaux, ED, Bushnell, C, Chan, YF, Currier, G, Eggly, S, Ichord, R, Larkin, GL, Laskowitz, D, Neumar, RW, Newman-Toker, DE, Quinn, J, Shear, K, Todd, KH, Zatzick, D, Koroshetz, WJ, Pearson, J, Conwit, R, Filart, R, Guerrero, G, Goldstein, AB, Nicholson, C, Wehr, E, Blaisdell, C, Chen, D, Eldadah, B, Emr, M, Handrigan, M, Hill, L, Jacobs, P, Janis, S, Johnson, K, Kavanaugh, D, Kopp, J, Korpela, J, Kuppermann, N, Mandler, R, Marcozzi, D, Mascette, A, Sheng, X & Sherrill, J 2010, 'NIH roundtable on opportunities to advance research on neurologic and psychiatric emergencies', Annals of Emergency Medicine, vol. 56, no. 5, pp. 551-564. https://doi.org/10.1016/j.annemergmed.2010.06.562
D'Onofrio, Gail ; Jauch, Edward ; Jagoda, Andrew ; Allen, Michael H. ; Anglin, Deirdre ; Barsan, William G. ; Berger, Rachel P. ; Bobrow, Bentley J. ; Boudreaux, Edwin D. ; Bushnell, Cheryl ; Chan, Yu Feng ; Currier, Glenn ; Eggly, Susan ; Ichord, Rebecca ; Larkin, Gregory L. ; Laskowitz, Daniel ; Neumar, Robert W. ; Newman-Toker, David E. ; Quinn, James ; Shear, Katherine ; Todd, Knox H. ; Zatzick, Douglas ; Koroshetz, Walter J. ; Pearson, Jane ; Conwit, Robin ; Filart, Rosemarie ; Guerrero, Giovanna ; Goldstein, Amy B. ; Nicholson, Carol ; Wehr, Elizabeth ; Blaisdell, Carol ; Chen, Daofen ; Eldadah, Basil ; Emr, Marian ; Handrigan, Michael ; Hill, Lauren ; Jacobs, Petra ; Janis, Scott ; Johnson, Kelly ; Kavanaugh, Dan ; Kopp, Jeffrey ; Korpela, Jukka ; Kuppermann, Nathan ; Mandler, Raul ; Marcozzi, David ; Mascette, Alice ; Sheng, Xi ; Sherrill, Joel. / NIH roundtable on opportunities to advance research on neurologic and psychiatric emergencies. In: Annals of Emergency Medicine. 2010 ; Vol. 56, No. 5. pp. 551-564.
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title = "NIH roundtable on opportunities to advance research on neurologic and psychiatric emergencies",
abstract = "Study objective The Institute of Medicine Committee on the Future of Emergency Care in the United States Health System (2003) identified a need to enhance the research base for emergency care. As a result, a National Institutes of Health (NIH) Task Force on Research in Emergency Medicine was formed to enhance NIH support for emergency care research. Members of the NIH Task Force and academic leaders in emergency care participated in 3 Roundtable discussions to prioritize current opportunities for enhancing and conducting emergency care research. We identify key research questions essential to advancing the science of emergency care and discuss the barriers and strategies to advance research by exploring the collaboration between NIH and the emergency care community. Methods Experts from emergency medicine, neurology, psychiatry, and public health assembled to review critical areas in need of investigation, current gaps in knowledge, barriers, and opportunities. Neurologic emergencies included cerebral resuscitation, pain, stroke, syncope, traumatic brain injury, and pregnancy. Mental health topics included suicide, agitation and delirium, substances, posttraumatic stress, violence, and bereavement. Results Presentations and group discussion firmly established the need for translational research to bring basic science concepts into the clinical arena. A coordinated continuum of the health care system that ensures rapid identification and stabilization and extends through discharge is necessary to maximize overall patient outcomes. There is a paucity of well-designed, focused research on diagnostic testing, clinical decisionmaking, and treatments in the emergency setting. Barriers include the limited number of experienced researchers in emergency medicine, limited dedicated research funding, and difficulties of conducting research in chaotic emergency environments stressed by crowding and limited resources. Several themes emerged during the course of the roundtable discussion, including the need for development of (1) a research infrastructure for the rapid identification, consent, and tracking of research subjects that incorporates innovative informatics technologies, essential for future research; (2) diagnostic strategies and tools necessary to understand key populations and the process of medical decisionmaking, including the investigation of the pathobiology of symptoms and symptom-oriented therapies; (3) collaborative research networks to provide unique opportunities to form partnerships, leverage patient cohorts and clinical and financial resources, and share data; (4) formal research training programs integral for creating new knowledge and advancing the science and practice of emergency medicine; and (5) recognition that emergency care is part of an integrated system from emergency medical services dispatch to discharge. The NIH Roundtable {"}Opportunities to Advance Research on Neurological and Psychiatric Emergencies{"} created a framework to guide future emergency medicinebased research initiatives. Conclusion Emergency departments provide the portal of access to the health care system for most patients with acute neurologic and psychiatric illness. Emergency physicians and colleagues are primed to investigate neurologic and psychiatric emergencies that will directly improve the delivery of care and patient outcomes.",
author = "Gail D'Onofrio and Edward Jauch and Andrew Jagoda and Allen, {Michael H.} and Deirdre Anglin and Barsan, {William G.} and Berger, {Rachel P.} and Bobrow, {Bentley J.} and Boudreaux, {Edwin D.} and Cheryl Bushnell and Chan, {Yu Feng} and Glenn Currier and Susan Eggly and Rebecca Ichord and Larkin, {Gregory L.} and Daniel Laskowitz and Neumar, {Robert W.} and Newman-Toker, {David E.} and James Quinn and Katherine Shear and Todd, {Knox H.} and Douglas Zatzick and Koroshetz, {Walter J.} and Jane Pearson and Robin Conwit and Rosemarie Filart and Giovanna Guerrero and Goldstein, {Amy B.} and Carol Nicholson and Elizabeth Wehr and Carol Blaisdell and Daofen Chen and Basil Eldadah and Marian Emr and Michael Handrigan and Lauren Hill and Petra Jacobs and Scott Janis and Kelly Johnson and Dan Kavanaugh and Jeffrey Kopp and Jukka Korpela and Nathan Kuppermann and Raul Mandler and David Marcozzi and Alice Mascette and Xi Sheng and Joel Sherrill",
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month = "11",
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language = "English (US)",
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pages = "551--564",
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TY - JOUR

T1 - NIH roundtable on opportunities to advance research on neurologic and psychiatric emergencies

AU - D'Onofrio, Gail

AU - Jauch, Edward

AU - Jagoda, Andrew

AU - Allen, Michael H.

AU - Anglin, Deirdre

AU - Barsan, William G.

AU - Berger, Rachel P.

AU - Bobrow, Bentley J.

AU - Boudreaux, Edwin D.

AU - Bushnell, Cheryl

AU - Chan, Yu Feng

AU - Currier, Glenn

AU - Eggly, Susan

AU - Ichord, Rebecca

AU - Larkin, Gregory L.

AU - Laskowitz, Daniel

AU - Neumar, Robert W.

AU - Newman-Toker, David E.

AU - Quinn, James

AU - Shear, Katherine

AU - Todd, Knox H.

AU - Zatzick, Douglas

AU - Koroshetz, Walter J.

AU - Pearson, Jane

AU - Conwit, Robin

AU - Filart, Rosemarie

AU - Guerrero, Giovanna

AU - Goldstein, Amy B.

AU - Nicholson, Carol

AU - Wehr, Elizabeth

AU - Blaisdell, Carol

AU - Chen, Daofen

AU - Eldadah, Basil

AU - Emr, Marian

AU - Handrigan, Michael

AU - Hill, Lauren

AU - Jacobs, Petra

AU - Janis, Scott

AU - Johnson, Kelly

AU - Kavanaugh, Dan

AU - Kopp, Jeffrey

AU - Korpela, Jukka

AU - Kuppermann, Nathan

AU - Mandler, Raul

AU - Marcozzi, David

AU - Mascette, Alice

AU - Sheng, Xi

AU - Sherrill, Joel

PY - 2010/11

Y1 - 2010/11

N2 - Study objective The Institute of Medicine Committee on the Future of Emergency Care in the United States Health System (2003) identified a need to enhance the research base for emergency care. As a result, a National Institutes of Health (NIH) Task Force on Research in Emergency Medicine was formed to enhance NIH support for emergency care research. Members of the NIH Task Force and academic leaders in emergency care participated in 3 Roundtable discussions to prioritize current opportunities for enhancing and conducting emergency care research. We identify key research questions essential to advancing the science of emergency care and discuss the barriers and strategies to advance research by exploring the collaboration between NIH and the emergency care community. Methods Experts from emergency medicine, neurology, psychiatry, and public health assembled to review critical areas in need of investigation, current gaps in knowledge, barriers, and opportunities. Neurologic emergencies included cerebral resuscitation, pain, stroke, syncope, traumatic brain injury, and pregnancy. Mental health topics included suicide, agitation and delirium, substances, posttraumatic stress, violence, and bereavement. Results Presentations and group discussion firmly established the need for translational research to bring basic science concepts into the clinical arena. A coordinated continuum of the health care system that ensures rapid identification and stabilization and extends through discharge is necessary to maximize overall patient outcomes. There is a paucity of well-designed, focused research on diagnostic testing, clinical decisionmaking, and treatments in the emergency setting. Barriers include the limited number of experienced researchers in emergency medicine, limited dedicated research funding, and difficulties of conducting research in chaotic emergency environments stressed by crowding and limited resources. Several themes emerged during the course of the roundtable discussion, including the need for development of (1) a research infrastructure for the rapid identification, consent, and tracking of research subjects that incorporates innovative informatics technologies, essential for future research; (2) diagnostic strategies and tools necessary to understand key populations and the process of medical decisionmaking, including the investigation of the pathobiology of symptoms and symptom-oriented therapies; (3) collaborative research networks to provide unique opportunities to form partnerships, leverage patient cohorts and clinical and financial resources, and share data; (4) formal research training programs integral for creating new knowledge and advancing the science and practice of emergency medicine; and (5) recognition that emergency care is part of an integrated system from emergency medical services dispatch to discharge. The NIH Roundtable "Opportunities to Advance Research on Neurological and Psychiatric Emergencies" created a framework to guide future emergency medicinebased research initiatives. Conclusion Emergency departments provide the portal of access to the health care system for most patients with acute neurologic and psychiatric illness. Emergency physicians and colleagues are primed to investigate neurologic and psychiatric emergencies that will directly improve the delivery of care and patient outcomes.

AB - Study objective The Institute of Medicine Committee on the Future of Emergency Care in the United States Health System (2003) identified a need to enhance the research base for emergency care. As a result, a National Institutes of Health (NIH) Task Force on Research in Emergency Medicine was formed to enhance NIH support for emergency care research. Members of the NIH Task Force and academic leaders in emergency care participated in 3 Roundtable discussions to prioritize current opportunities for enhancing and conducting emergency care research. We identify key research questions essential to advancing the science of emergency care and discuss the barriers and strategies to advance research by exploring the collaboration between NIH and the emergency care community. Methods Experts from emergency medicine, neurology, psychiatry, and public health assembled to review critical areas in need of investigation, current gaps in knowledge, barriers, and opportunities. Neurologic emergencies included cerebral resuscitation, pain, stroke, syncope, traumatic brain injury, and pregnancy. Mental health topics included suicide, agitation and delirium, substances, posttraumatic stress, violence, and bereavement. Results Presentations and group discussion firmly established the need for translational research to bring basic science concepts into the clinical arena. A coordinated continuum of the health care system that ensures rapid identification and stabilization and extends through discharge is necessary to maximize overall patient outcomes. There is a paucity of well-designed, focused research on diagnostic testing, clinical decisionmaking, and treatments in the emergency setting. Barriers include the limited number of experienced researchers in emergency medicine, limited dedicated research funding, and difficulties of conducting research in chaotic emergency environments stressed by crowding and limited resources. Several themes emerged during the course of the roundtable discussion, including the need for development of (1) a research infrastructure for the rapid identification, consent, and tracking of research subjects that incorporates innovative informatics technologies, essential for future research; (2) diagnostic strategies and tools necessary to understand key populations and the process of medical decisionmaking, including the investigation of the pathobiology of symptoms and symptom-oriented therapies; (3) collaborative research networks to provide unique opportunities to form partnerships, leverage patient cohorts and clinical and financial resources, and share data; (4) formal research training programs integral for creating new knowledge and advancing the science and practice of emergency medicine; and (5) recognition that emergency care is part of an integrated system from emergency medical services dispatch to discharge. The NIH Roundtable "Opportunities to Advance Research on Neurological and Psychiatric Emergencies" created a framework to guide future emergency medicinebased research initiatives. Conclusion Emergency departments provide the portal of access to the health care system for most patients with acute neurologic and psychiatric illness. Emergency physicians and colleagues are primed to investigate neurologic and psychiatric emergencies that will directly improve the delivery of care and patient outcomes.

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