Yes. A major goal of our department is to encourage and facilitate faculty and resident research. At any given time there are approximately 15 active research projects in progress. Our department also participates in national, multi-center trials. Residents may participate in ongoing faculty research or design and complete research ideas of their own.
During the PGY-2 year, each resident completes a research curriculum, during which they learn about reading the medical literature, basic research design, statistics, and writing, and they participate in research and IRB meetings. In addition, one advantage of a four year program is having more elective time to complete projects.
We have a faculty Research Director, Greg Hendey, MD (firstname.lastname@example.org) who is responsible for facilitating research by the residents and other faculty. We also have a full-time Research Coordinator, and a departmental budget for funding projects. Through UCSF Fresno we have local access to a statistician, epidemiologist, and a medical media center for posters and illustrations. We also have plenty of computer hardware and software, along with access to great databases from the hospital, trauma system, and EMS. Our department fully funds trips to present research abstracts at state and national meetings, and our residents and faculty present at state and national meetings such as SAEM, ACEP, Western SAEM, and CAL/ACEP every year.
Our Assistant Research Director is Patil Armenian, MD. She is board certified in Emergency Medicine and Toxicology and is an active researcher, working on projects in Fresno and collaborating with researchers in San Francisco. She is an enthusiastic teacher and adds a fresh perspective to our research team.
Svetlana Bagdasarov, MPH is our Research Coordinator. She joins us after finishing work as a program coordinator for the NIH-sponsored project, Research Infrastructure in Minority Institutions. She completed her undergraduate work and Masters in Public Health at Fresno State, and we’re fortunate to have her organizing our research program.
Yes. There are basic science laboratory and animal research facilities available through Veteran's Hospital in Fresno. These sites are supported by UCSF. Further the opportunity to perform large animal research is available through the veterinary program at California State University, Fresno.
CITI Human Subjects Protection Training
Everyone involved in a research program needs to complete an educational module on the ethical treatment of human subjects in a research study, and the one recommended by our IRB can be found at the following link: https://www.citiprogram.org/default.asp
You'll need to register with a user name and password so that it can keep track of your progress through the module.
Scroll down to UCSF in section 1, and choose the "basic human subjects - biomedical" course. Good luck!
The research interests of the faculty are diverse and include topics within the areas of EMS, toxicology, wilderness medicine, ultrasound, diagnostic testing, and various clinical emergency medicine projects. Examples of current research projects include:
Lo JC, Darracq MA, Clark RF: A Review of Methylene Blue Treatment for Cardiovascular Collapse. The Journal of Emergency Medicine 2014 Feb 6 [Epub ahead of print] PMID: 24508113
Riddell J, Case A, Wopat R, Beckham S, Lucas M, McClung C, Swadron S: Sensitivity of Emergency Bedside Ultrasound to Detect Hydronephrosis in Patients with Computed Tomography-proven Stones. Western Journal of Emergency Medicine 2014;15(1):96-100. PMID 24578772.
Platts-Mills TF, Owens ST, McBride JM: A Modern-Day Purgatory: Older Adults in the Emergency Department with Nonoperative Injuries. Journal of the American Geriatrics Society 2014 Jan 21 [Epub ahead of print].
Armenian P, Kearney TE. Pediatric ergot alkaloid exposures reported to the California Poison Control System: 1997-2008. Clin Toxicol (Phila). 2014 Feb 16. [Epub ahead of print] PMID: 24528175
Lipman GS, Weichenthal L, Harris NS, McIntosh SE, Cushing T, Caudell MJ, Macias DJ, Weiss EA, Lemery J, Ellis MA, Spano S, McDevitt M, Tedeschi C, Dow J, Mazzorana V, McGinnis H, Gardner AF, Auerbach PS. Core Content for Wilderness Medicine Fellowship Training of Emergency Medicine Graduates. Academic Emergency Medicine 2014; PMID: 24438590
Spano SJ, Reagle Z, Evans T: Symptomatic hypotonic hyponatremia presenting at high altitude. Wilderness Environ Med. 2014 Mar;25(1):69-74. PMID: 24411978
Spano SJ, Dimock B: They Had Me in Stitches: A Grand Canyon River Guide's Case Report and a Review of Wilderness Wound Management Literature. Wilderness Environ Med. 2014 Jan 10. [Epub ahead of print] PMID: 24418453
Spano SJ, Vohra R, Macias F: Long-Term Complications of Rattlesnake Bites: A Telephone Survey From Central California. Wilderness Environ Med. 2014 Feb 4. [Epub ahead of print] PMID: 24507436
Weichenthal L, Alhadi S: Where wilderness, medicine, technology, and religion collide. Wilderness Environ Med. 2014 Mar;25(1): 56-9. PMID: 24388858
Alhadi SA, Ruegner R, Snowden B, Hendey GW: Urinalysis is an Inadequate Screen for Rhabdomyolysis. American Journal of Emergency Medicine 2013 Nov 4. [Epub ahead of print] PMID: 24332910
Kessler C, Shakeel F, Hern HG, Jones JS, Comes J, Kulstad C, Gallahue FA, Burns BD, Knapp BJ, Gang M, Davenport M, Osborne B, Velez LI. A Survey of Handoff Practices in Emergency Medicine. Am J Med Qual. 2013 Sep 26. PMID: 24071713
Young MF, Hern HG, Alter HJ, Barger J, Vahidnia F. Racial differences in receiving morphine among prehospital patients with blunt trauma. J Emerg Med 2013 Jul;45(1):46-52.
Ilgen JS, Bowen JL, McIntyre LA, Banh KV et al. Comparing Diagnostic Performance and the Utility of Clinical Vignette-Based Assessment Under Testing Conditions Designed to Encourage Either Automatic or Analytic Thought. Acad Med 2013 Oct;88(10):1545-1551.
Alhadi S, Tiwari A, Vohra R, Gerona R, Acharya J, Bilello K. High times, low sats: diffuse pulmonary infiltrates associated with chronic synthetic cannabinoid use. J Med Toxicol. 2013 Jun;9(2):199-206.
Basnet B, Vohra R, Bhandari A, Pandey S. Road traffic accidents in Kathmandu--an hour of education yields a glimmer of hope. Scand J Trauma Resusc Emerg Med. 2013 Mar 21;21:19.
Rodriguez RM, Anglin D, Langdorf MI, Baumann BM, Hendey GW, Bradley RN, Medak AJ, Raja AS, Juhn P, Fortman J, Mulkerin W, Mower WR: NEXUS Chest: Validation of a Decision Instrument for Selective Chest Imaging in Blunt Trauma. JAMA Surgery 2013 Aug 7 [Epub ahead of print]. PMID: 23925583
Kea B, Gamarallage R, Vairamuthu H, Fortman J, Lunney K, Hendey G, Rodriguez R: What is the Clinical Significance of Chest Computed Tomography When the Chest X-ray Result is Normal in Patients with Blunt Trauma? American Journal of Emergency Medicine 2013 Jun 21. [Epub ahead of print]
Vajner JE 3rd, Lung D: Case Files of the University of California San Francisco Medical Toxicology Fellowship: Acute Chlorine Gas Inhalation and the Utility of Nebulized Sodium Bicarbonate. Journal of Medical Toxicology 2013 May 30. [Epub ahead of print].
Spano S, Macias F, Snowden B, Vohra R: Snakebite Survivors Club: Retrospective Review of Rattlesnake Bites in Central California. Toxicon. 2013;69:38–41.
Schmitt ER, Ngai SS, Gausche-Hill M, Renslo R: Twist and Shout! Pediatric Ovarian Torsion Clinical Update and Case Discussion. Pediatric Emergency Care. 2013 Apr;29(4):518-523.
Chinnock B, Hendey G, Minnigan H, Butler J, Afarian H: Clinical Impression and Ascites Appearance Do Not Rule Out Bacterial Peritonitis. Journal of Emergency Medicine 2013 Mar 6. [Epub ahead of print]. PMID 23473819.
Urdaneta A, Stroh G, Teng J, Snowden B, Barrett T, Hendey G: Cervical Spine Injury: Analysis and Comparison of Patients by Mode of Transportation. Journal of Emergency Medicine 2013;44(2):287-291. Epub 2012 Aug 20. PMID: 22917652
Dart RC, Bogdan G, Heard K, Bartelson BB, Garcia-Ubbelohde W, Bush S, Arnold T, Clark RC, Hendey GW, Holstege C, Spradley EA: A Randomized, Double-Blind, Placebo-Controlled Trial of a Highly Purified Equine F(ab)2 Antibody Black Widow Spider Antivenom. Annals of Emergency Medicine 2013 Feb 1. [Epub ahead of print] PMID: 23380292.
Rodriguez R, Anglin D, Langdorf M, Baumann B, Hendey G, Bradley R, Medak A, Raja A, Juhn P: NEXUS Chest: Validation of a Decision Instrument for Selective Chest Imaging in Blunt Trauma (abstract). Academic Emergency Medicine 2013;20(5):S5.
Raja A, Anglin D, Langdorf M, Baumann B, Hendey G, Bradley R, Medak A, Mower W, Rodriguez R: Derivation of a Decision Instrument for Selective Chest Imaging in Patients with Falls from Standing (abstract). Academic Emergency Medicine 2013;20(5):S50-51.
Rodriguez R, Langdorf M, Anglin D, Kea B, Baumann B, Bradley R, Raja A, Medak A, Mower W, Hendey G: Diagnostic Yields of Chest Imaging in Blunt Trauma (abstract). Academic Emergency Medicine 2013;20(5):S57.
Bailitz J, Hoffman B, Nolting L, Budhram G, Cosby K, Bengiamin R, Baty G, Summers S, Ferre R, Hunt P: Accuracy of Emergency Medicine Residents during Completion of the American College of Emergency Physicians Minimum Ultrasound Training Benchmarks: A Multicenter Multiple Application Longitudinal Validation Study (abstract). Academic Emergency Medicine 2013;20(5):S9.
Spano S, Shalit M, Stroh G: Intranasal Midazolam is a Viable Alternative to Intravenous Midazolam for Prehospital Seizure (abstract). Academic Emergency Medicine 2013;20(5):S21.
Banh K: Diagnosis: Facial Ischemia after Hyaluronic Acid Injection. Journal of Emergency Medicine 2013;(44)1:169-170. PMID: 21958454
Heppner J, Vohra R: Household "Hazmat" Pediatric Emergency Care 2013 Jun;29(6):773-7. PMID: 23736077
Kessler C, Shakeel F, Hern G, Jones JS, Comes J, Kulstad C, Gallahue FA, Burns BD, Knapp BJ, Gang M, Davenport M, Osborne B, Velez LI. An Algorithm for Transition of Care in the Emergency Department. Academic Emergency Medicine 2013;20:605-610 PMID 23758308
Comes JC. Ankle Dislocations. In Reichman EF, Emergency Medicine Procedures. 2nd ed, McGraw-Hill, 2013, 577-582.
Lewiss R, Pearl M, Nomura J, Baty G, Bengiamin R, Duprey K, Stone M, Theodoro D, Akhtar S: CORD?AEUS: Consensus Document for the Emergency Ultrasound Milestone Project. Academic Emergency Medicine 2013;20:740-745.
Manternach S, Armenian P: Finger injury. Emergency Medicine Journal 2013 Aug 30. [Epub ahead of print] PMID: 23996790
Ackerman SL, Tebb K, Stein JC, Frazee BW, Hendey G, Schmidt LA, Gonzales R: Benefit or Burden? A Sociotechnical Analysis of Diagnostic Computer Kiosks in Four California Hospital Emergency Departments. Social Science and Medicine 2012;75(12):2378-2385. Epub 2012 Sep 26. PMID: 23063214
Wu AH, Gerona R, Armenian P, French D, Petrie M, Lynch KL. Role of liquid chromatography-high-resolution mass spectrometry (LC-HR/MS) in clinical toxicology. Clin Toxicol (Phila). 2012 Aug 13. [Epub ahead of print] PMID: 22888997
Armenian P, Mamantov TM, Tsutaoka BT, Gerona RR, Silman EF, Wu AH, Olson KR. Multiple MDMA (Ecstasy) Overdoses at a Rave Event: A Case Series. J Intensive Care Med. 2012 May 28. [Epub ahead of print] PMID: 22640978
Banh K, James S, Hendey G, Snowden B, Kaups K: Single-Dose Etomidate for Intubation in the Trauma Patient. Journal of Emergency Medicine 2012;43(5):e277-282. PMID: 22560133
Hakkarinen DK, Banh KV, Hendey GW: Magnetic Resonance Imaging Identifies Occult Hip Fractures Missed by 64-slice Computed Tomography. Journal of Emergency Medicine 2012;43(2):303-307. PMID: 22459594
Weichenthal L, Spano S, Horan B, Miss J: Improvised Traction Splints: A Wilderness Medicine Tool or Hindrance? Wilderness and Environmental Medicine 2012;23:61-64.
Weichenthal L, Monarrez L: Acute Vision Loss. Annals of Emergency Medicine 2012;59(4):e7-8.
Spano S, Burg M. An Unusual Case of Otorrhagia. Journal of
Emergency Medicine 2012;42(6): e149–e150.
Hendey G: In reply to The Captain Morgan Technique for the Reduction of the Dislocated Hip (letter). Annals of Emergency Medicine 2012;60(1):135-136.
Diffley M, Armenian P, Gerona R, Reinhartz O, Avasarala K. Catecholaminergic polymorphic ventricular tachycardia found in an adolescent after a methylenedioxymethamphetamine (MDMA) and marijuana-induced cardiac arrest.
Critical Care Medicine 2012;40(7):2223-6. PMID: 22584762
Le H, Burg M. An Unusual Case of Otorrhagia. Journal of Emergency Medicine 2012;42(6):e129–e131.
H.G. Hern, C. Kessler, B. Burns, J. Comes, M. Davenport, F. Gallahue, M. Gang, J. Jones, B. Knapp, C. Kulstad: 35 Current Handoff Practices in EM Residencies: A Targeted Needs Assessment and Opportunities for Future Education: Is There a Need for Transition? Annals of Emergency Medicine, Volume 60, Issue 5, November 2012, Pages S174-S175
Vohra R, Bengiamin R, Rangan C: Sonographic signs of Snakebite. Clinical Toxicology. 2012;50, New York, NY.
Armenian P, Gerona RR, Blanc PD, Wu AH, Mookherjee S: 5-Oxoprolinemia Causing Elevated Anion Gap Metabolic Acidosis in the Setting of Acetaminophen Use. J Emerg Med. 2011 Oct 4. [Epub ahead of print] PMID: 21978879
Weichenthal L, Allen J, Davis KP, Campagne D, Snowden B, Hughes S: Lightning Safety Awareness of Visitors in Three California National Parks. Wilderness& Environmental Medicine 2011;22(3):257-61. Epub 2011 Jul 21. PMID: 21778092
Sullivan C, Murano T, Comes J, Smith JL, Katz ED: Emergency Medicine Directors’ Perceptions on Professionalism: A Council of Emergency Medicine Residency Directors Survey. Academic Emergency Medicine 2011;18(10):S97-103. PMID: 21999565
Stein JC, Navab B, Frazee B, Tebb K, Hendey G, Maselli J, Gonzales R: A Randomized Trial of Computer Kiosk-expedited Management of Cystitis in the Emergency Department. Academic Emergency Medicine 2011;18(10):1053-9. PMID: 21996070
Rubio S, Weichenthal L, Andrews J: Motion Sickness: Comparison of Metoclopramide and Diphenhydramine to Placebo. Prehosp Disaster Med 2011; 26(4):1-5. PMID: 22008228
Hendey G, Avila A: The Captain Morgan Technique for the Reduction of the Dislocated Hip. Annals of Emergency Medicine 2011;58(6):536-540. Epub 2011 Aug 12. PMID: 21839540
Vohra R, Seefeld A, Cantrell FL, Clark RF: Salvia Divinorum: Exposures Report to a Statewide Poison Control System Over 10 Years. Journal of Emergency Medicine 2011; 40(6):643-650. PMID: 19765944
Rodriguez RM, Hendey G, Mower W, Kea B, Fortman J, Merchant G, Hoffman JR: Derivation of a Decision Instrument for Selective Chest Radiography in Blunt Trauma. Journal of Trauma 2011;71(3):549-553. PMID: 21045745
Hendey G, Dery RA, Barnes RL, Snowden B, Mentler P: A Prospective, Randomized, Trial of Phenobarbital Versus Benzodiazepines for Acute Alcohol Withdrawal. American Journal of Emergency Medicine 2011;29(4):382-5. Epub 2010 Mar 25. PMID: 20825805
Delaney KA, Givens ML, Vohra RB: Use of RIFLE Criteria to Predict the Severity and Prognosis of Acute Kidney Injury in Emergency Department Patients with Rhabdomyolysis. Journal of Emergency Medicine, 2011 May 4. [Epub ahead of print]. PMID: 21549548
Menchine MD, Wiechmann W, Peters AL, Arora S: Trends in Diabetes-related Visits to US EDs from 1997-2007. American Journal of Emergency Medicine 2011, May 11. [Epub ahead of print]. PMID: 21570241
Chinnock B, Khaletskiy A, Kuo K, Hendey G: Ultrasound-guided Reduction of Distal Radius Fractures. Journal of Emergency Medicine 2011;40(3):308-312. Epub 2009 Dec 3. PMID: 19959315
Weichenthal L, Hendey G: The Effect of Mandatory Nurse Ratios on Patient Care in an Emergency Department. Journal of Emergency Medicine 2011;40:76-81. Epub 2009 Apr 3. PMID: 19345043
Chinnock B, Gomez R, Hendey G: Peritoneal Fluid Cultures Rarely Alter Management in Patients with Ascites. Journal of Emergency Medicine 2011;40(1):21-21. Epub 2008 Sep 23. PMID: 19959315
Lung D, Lynch K, Agrawal S, Armenian P, Banh K: Adult Female With Rash on Lower Extremities. Images. Annals of Emergency Medicine 2011;57(3):307-311. PMID: 21353913
Schmitt, Comes J: Book Review of “Critical Decision in Emergency and Acute Care Electrocardiography,” Brady WJ, Truwit JD. Journal of Emergency Medicine 2011;40(6):719.
Schmitt E, Stroh G, Shalit M, Campagne D. Intraosseous Access for Neonatal and Newborn Resuscitation in the National Park Service. Letter to the Editor, Prehospital and Disaster Medicine; July-August Issue 2011. PMID: 22107779
Sullivan C, Murano T, Comes J, Smith JL, Katz ED: Emergency Medicine Directors’ Perceptions on Professionalism: A Council of Emergency Medicine Residency Directors Survey (abstract). Academic Emergency Medicine 2011;18:S57.
Banh K. Diagnosis: Facial Ischemia after Hyaluronic Acid Injection. Journal of Emergency Medicine. 2011 Sep 27. [Epub ahead of print]. PMID: 21958454
Oyama LC, Kwon M, Fernandez MA, Fernández-Frackelton M, Campagne DD, Castillo EM, Lin M: Inaccuracy of the Global Assessment Score in the Emergency Medicine Standard Letter of Recommendation. Academic Emergency Medicine 2010;17:S38–S41.
Takhar SS, Hendey G: Orthopedic Illnesses in Patients with HIV. Emergency Medicine Clinics of North America 2010;28:335-342.
Platts-Mills TF, Hendey G, Ferguson B: Teleradiology Interpretations of Emergency Department Computed Tomography Scans. Journal of Emergency Medicine 2010;38:188-195.
Fox JC, Anderson CL, Ahmed SS, McDonough J, Wiechmann W, Waters M, Barajas G, Lotfipour S: Effect of a medical student emergency ultrasound clerkship on number of emergency department ultrasounds. Western Journal of Emergency Medicine 2010;11(1):31-4.
Gharahbaghian L, Hindiyeh R, Langdorf M, Vaca F, Anderson C, Kahn J, Wiechmann W, Lotfipour S: The effect of emergency department observational experience on medical student interest in emergency medicine. Journal of Emergency Medicine 2010 April 8 [Epub ahead of print].
Spano S, Burg MD: Book Review of “Evidence-based Emergency Care, Diagnostic Testing and Clinical Decision Rules,” Pines J, Everett W. Journal of Emergency Medicine 2010;38:408–410.
Ruegner R, Bengiamin RN: Inferior Vena Cava Thrombosis in a Postpartum Patient with Abdominal Pain. Academic Emergency Medicine 2010 Apr 13.
Ruegner R, Alhadi S, Snowden B, Hendey G: Alanine Aminotransferase and Aspartate Aminotransferase As Screening Tests for Rhabdomyolysis (abstract). Academic Emergency Medicine 2010;17:S49.
Urdaneta A, Teng J, Stroh G, Barrett T, Hendey G, Snowden B: A Comparison of Cervical Spine Injury Patterns in Patients Transported to the Emergency Department by EMS and Private Vehicle (abstract). Academic Emergency Medicine 2010;17:S78.
Snowden B, James S, Banh K, Hanifi A: Single-dose Etomidate for Intubation in the Trauma Patient (abstract). Academic Emergency Medicine 2010;17:S76.
Ruegner R, Alhadi S, Snowden B, Hendey G: Urinalysis Is an Inadequate Screen for Rhabdomyolysis (abstract). Academic Emergency Medicine 2010;17:S45.
Campagne D, Stroh G, Shalit M, Purgason C, Snowden B: Wilderness Preparedness in High-Altitude Sojourners in Sequoia and Kings Canyon National Parks (abstract). Academic Emergency Medicine 2010;17:S171.
Snowden B, Pitcher T, Bethel D, Shalit S, Stroh G: Standard Ring Cutters Are Ineffective for Removing Modern Hard Metal Rings (abstract). Academic Emergency Medicine 2010;17:S81.
Jones C, Bengiamin R. Review of Challenger Fundamentals: EM Ultrasound, by Deutchman, Kendall, and Stahmer. Journal of Emergency Medicine 2010;39:126-127.
Regacho K. Review of Plastic Surgery Emergencies: Principles and Techniques, by Bullocks, Hsu, Izaddoost, Hollier, Stal. Journal of Emergency Medicine 2010;39:127.
Spano S: Book Review of “Patient Safety in Emergency Medicine,” Croskerry P, Crosby K, Schenkel S, Wears R. Journal of Emergency Medicine 2010;39:267.
Weichenthal L, Spano S, Horan B, Schmitt E: EMS in Rural and Wilderness Areas. In Tintinalli J, et al. (ed): EMS, A Practical Global Guidebook, Shelton, Conneticut, People's Medical Publishing House--USA, 2010:575-587.
Spano S, Burg MD: An Unusual Case of Otorrhagia. Journal of Emergency Medicine 2010 July 7. [Epub ahead of print]
Vohra R, Wananukul W, Dawson AH. Postcards from Beijing: Annual Meeting Abstracts. Journal of Medical Toxicology, 6(3), pp 360-366.
Vohra R, Salazar A, Cantrell FL, Fernando R, Clark RF: The poison pen: bedside diagnosis of urinary diquat. Journal of Medical Toxicology 2010 Mar;6(1):35-6.
Jones L, Wei G, Sevcikova S, Phan V, Jain S, Shieh A, Wong JC, Li M, Dubansky J, et al.: Gain of MYC un derlies recurrent trisomy of the MYC chromosome in acute promyelocytic leukemia. Journal of Experimental Medicine 2010;207(12):2581-94.
Oshita MR, Wiechmann W: Use Bedside Ultrasound Instead of Needle Aspiration in the Assessment of Soft Tissue Infections. In Mattu A, et al. (ed): Avoiding Common Errors in the Emergency Department. Philadelphia, Lippincott, Williams and Wilkins, 2010:856-859.
Weichenthal L, Armenian P, Campagne D, Snowden B, Kallsen G: The Impact of an Intake Model on Patient Care, Resident Education, and Staff Satisfaction at an Academic Emergency Department (abstract). Annals of Emergency Medicine 2010;56(3):S17.
Ruegner R, Bengiamin R: Inferior Vena Cava Thrombosis in a Postpartum Patient with Abdominal Pain. Academic
Emergency Medicine 2010;17:e32-e32.
Emergency Medicine Publications Archive
Captain Morgan makes national news!
A recently published article on the Captain Morgan technique of hip reduction was picked up by national news agencies.
For more info, follow the links to:
and it's the featured article this month in Annals of EM http://www.annemergmed.com/webfiles/images/journals/ymem/gwhendey.pdf