Research

The BerbeeWalsh Department of Emergency conducts innovative clinical and translational research in emergency care and fosters the successful development of investigators dedicated to generating new knowledge.

The Blue Ridge Institute for Medical Research ranked the Department of Emergency Medicine 12th in 2019 NIH research funding among medical school emergency medicine departments, an exceptional achievement from being unranked in 2014.

Our faculty and staff are developing original research ideas, obtaining competitive funding support, publishing high impact papers, and serving in consequential leadership roles with many societies and organizations within our specialty.  Core areas of research with significant grant funding, publications, and ongoing efforts include antimicrobial stewardship, emergency care for infectious diseases, geriatric emergency medicine, predictive analytics, and prehospital medicine.  For more detailed information, please see our Research Programs pages.

Our faculty and staff are also dedicated to collaborating with academic and industry partners. If you are interested in conducting research in the emergency department, please contact Dr. Manish N. Shah, Vice Chair of Research, at mnshah@medicine.wisc.edu.

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Recent News & Announcements

Dr. Pulia honored with regional Distinguished Service Award

Michael Pulia, MD, MS is the recipient of this year’s Distinguished Service Award from the Wisconsin Chapter of the American College of Emergency Physicians. This award recognizes Dr. Pulia’s extraordinary contributions to the field of emergency medicine and his commitment to improving patient care through advancing antimicrobial stewardship in the ED. 

Learn more about Dr. Pulia’s research here.
 

UW Research Division announces 2021 Research Forum award winners

The BerbeeWalsh Department of Emergency Medicine hosted the 29th annual Wisconsin Emergency Medicine Research Forum today in partnership with the Department of Emergency Medicine at the Medical College of Wisconsin (MCW) and the Wisconsin chapter of the American College of Emergency Physicians (WACEP). This one-day event celebrating regional scholarship takes place during the WACEP Annual Spring Symposium and featured virtual oral and poster presentations from emergency medicine physicians, fellows, residents, medical students, and other health care professionals.

The following presentations received conference honors:

  • Best Overall Oral Presentation: Dr. Michael Pulia for a study titled, "Comparison of Skin Surface Temperature Measurements between Patients with Cellulitis and Pseudocellulitis in the Emergency Department"
  • Best Resident/Fellow Presentation: Dr. Christopher Ryba for a study titled, "Coping Strategies Utilized by Prehospital EMS Providers during the COVID-19 Pandemic"
  • Best Student Presentation: Derek Steck for a study titled, "Exploring Staff Understanding of Code Status and Treatment Limitations at UW Health"

A full list of presentations by UW researchers is available here.

The Department of Emergency Medicine congratulates all participants and presenters for the impressive showing of high quality and high impact research being conducted between UW and MCW. We are looking forward to meeting in Milwaukee in 2022!

Dr. Pulia's DRS plenary session voted People’s Choice for Best Presentation

Dr. Pulia invited to give the opening plenary session at the Dysphagia Research Society's 29th Annual Meeting, an international meeting with over 700 participants attending from more than 30 countries. The session discussed COVID epidemiology, transmission, and infection control and was voted People’s Choice for Best Presentation by attendees selecting from more than 80 invited speakers. Pulia was also invited to give an oral research presentation on the second day of the conference regarding his work on dysphagia profiles and management patterns in emergency department patients with COVID-19.

Dr. Repplinger becomes first EM faculty at UW to pass Addiction Medicine board exam

Dr. Michael Repplinger recently sat for and passed the Addiction Medicine board exam, becoming board certified in the specialty. Dr. Repplinger has significant research and clinical interest in how emergency physicians can better care for individuals with opioid use disorder and currently co-chairs the WPA-WACEP Emergency Psych Task Force.

Using team science and dissemination/implementation research skills learned from his emergency radiology core research program, Dr. Repplinger has joined other research groups at UW Health to improve the care of patients with opioid use disorder in the Madison area. Current projects aim to increase co-prescribing of naloxone with opioids from the emergency department as well as increasing the use of buprenorphine for opioid withdrawal symptoms and long-term addiction treatment.

In 2019, he was also interviewed by Fox 47 News in Madison for its reporting series 'The Addiction Front.'

Dr. Shah ranked among top emergency medicine researchers in the United States

Manish N. Shah, MD, MPH has been ranked among the top 20 most highly awarded emergency medicine researchers in the United States according to the 2020 NIH funding report from the Blue Ridge Institute for Medical Research.

Dr. Shah is a professor in the BerbeeWalsh Department of Emergency Medicine, where he serves as Vice Chair of Research and holds the John & Tashia Morgridge Chair of Emergency Medicine Research. In addition to his departmental roles, Dr. Shah co-leads the Care Research Core at the Wisconsin Alzheimer's Disease Research Center (ADRC), as well as serving as director of the Career Development KL2 Research Scholars Program at the UW Institute for Clinical and Translational Research. His primary areas of focus include emergency care for aging populations, community paramedicine, and training junior faculty researchers from various disciplines.

Dr. Shah is also a recipient of the prestigious Gerson-Sanders Award from the Academy of Geriatric Emergency Medicine for his significant contributions to improving geriatric emergency care.

Dr. Shah co-leads $7.5 million dementia research grant from National Institutes of Health

The BerbeeWalsh Emergency Department is one of four sites awarded a total of $7.5 million from the National Institutes of Health (NIH) to conduct research that could lead to improved care in emergency departments for people with dementia.

The effort aims to leverage expertise in emergency medicine, geriatrics and Alzheimer’s disease and related dementias to identify gaps in emergency care for people with dementia and address those gaps, according to Manish Shah, MD, MPH, professor of emergency medicine and co-principal investigator.

For example, many commonly used medications are problematic for people with dementia. Better understanding which medications are safest for this vulnerable population would help clinicians better care for them, he said.

“The emergency department is not an ideal care setting for people with dementia,” Shah said. “What we want to do is find better ways to care for one of our most vulnerable populations, namely older adults with cognitive impairment.”

The funds will support Geriatric Emergency Care Applied Research Network 2.0 – Advancing Dementia Care (GEAR 2.0 ADC), which is a collaboration between SMPH, Yale School of Medicine, Feinberg School of Medicine at Northwestern University and Washington University School of Medicine in St. Louis. All four institutions are home to an NIH-National Institute on Aging-designated Alzheimer’s Disease Research Center. Ula Hwang, MD, MPH, at Yale, is serving as co-principal investigator.

The study has two phases. In phase one, the co-principal investigators will convene a panel of experts to review current research related to dementia patient care in emergency departments, identify areas where more research is needed, and create an infrastructure in which care researchers across the country can conduct this research.

In phase two, the research will commence. With joint support from numerous partners, GEAR 2.0-ADC will award more than $1.1 million to fund nine pilot study awards. Phase two will also see the deployment of resources and mentoring support to help researchers successfully execute their research projects.

The network’s executive committee, task force and advisory committee members hail from more than 35 academic medical centers across the United States. GEAR 2.0 community partners include the American Geriatrics Society, American Federation on Aging Research/Clin-STAR, Alzheimer’s Association, Emergency Medicine Foundation, Family Caregiver Alliance, Geriatric Emergency Department Collaborative, IMPACT Collaboratory, NIA Research Coordination Center Network, Patient Family Center Care and West Health Institute.

Novel geriatric research initiative featured on Dementia Matters podcast

Visiting the emergency department can be a challenging experience for individuals with memory loss and their caregivers. Manish Shah, MD, MPH joined the Dementia Matters podcast, a product of the Wisconsin Alzheimer's Disease Research Center, to discuss the difficulties people with dementia face in the emergency department and offers tips for making the most out of a visit.

The episode also takes a look at Dr. Shah's work on the Geriatric Emergency Care Applied Research Network 2.0 – Advancing Dementia Care (GEAR 2.0 ADC), in which he serves as co-principal investigator. The BerbeeWalsh Emergency Department is one of four sites awarded a total of $7.5 million from the National Institutes of Health to conduct research that could lead to improved care in emergency departments for people with dementia.

Listen:Emergency care for people with dementia
Read:6 tips for emergency department visits for people with dementia

Guest: Manish Shah, MD, MPH, professor, BerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health

UW Emergency Medicine awarded COVID-19 Response Grant to support virus surveillance & training in EDs statewide

Researchers from the BerbeeWalsh Department of Emergency Medicine led by Manish N. Shah, MD, MPH have been awarded a COVID-19 Response Grant from the Wisconsin Partnership Program to develop and test an advanced EHR-based surveillance system aimed at facilitating early, targeted public health and health system operational responses to COVID-19 and help prepare for future waves of the virus.

The grant titled “WIsconsin Real-time Emergency Department surveillance and Responsive Training (WIRED-RT),” will use predictive analytics linked to a just-in-time, simulation-based training infrastructure to identify COVID-19 hot spots across Wisconsin and develop training for hospitals to take better care of patients earlier in the course of the disease. Read more about the team's approach...

The grant is in collaboration with UW Health, the UW-Madison College of Engineering, and the Marshfield Clinic.

While this project responds to the COVID-19 pandemic, their approach applies to other public health emergencies identifiable through the emergency department, including opioid overdoses, which have accelerated in Wisconsin and across the country in recent months.

Recent Publications

COVID-19 research published in Annals of Internal Medicine, October 2020

"Effect of Timing of and Adherence to Social Distancing Measures on COVID-19 Burden in the United States: A Simulation Modeling Approach"
Annals of Internal Medicine; 27 October 2020.

Brian Patterson, MD, MPH et al

Read online

COVID-19 research published in WestJEM, August 2020

Pulia M, Wolf I, Schulz L, Pop-Vicas A, Schwei R, and Lindenauer P. COVID-19: An Emerging Threat to Antibiotic Stewardship in the Emergency Department.
Western Journal of Emergency Medicine. (2020). 

Read online

COVID-19 literature review article published in Frontiers in Aging Neuroscience, March 2021

Shraddha Mainali, Marin E. Darsie. Neurologic and Neuroscientific Evidence in Aged COVID-19 Patients. Frontiers in Aging Neuroscience. 2021. https://doi.org/10.3389/fnagi.2021.648662

Drs. Mainali and Darsie were also published in Practical Neurology in January 2021: 

Neurologic Manifestations & Associations of COVID-19
Read online (open access) | Download PDF

Invited commentary published in JAMA Network Open, January 2021

Abernethy M. Patient Outcomes From Ground vs Helicopter Emergency Medical Services: The Challenges of an Accurate Comparison. JAMA Netw Open. 2021;4(1):e2033362. doi:10.1001/jamanetworkopen.2020.33362

Perspective article published in Journal of Graduate Medical Education, February 2021

Charles A. Brown, Corlin Jewell, David A. Haidar, Zachary Forcade, Benjamin H. Schnapp, Mary R. C. Haas, Laura R. Hopson, Michael Gisondi; Best Practices for Video-Based Branding During Virtual Residency Recruitment. J Grad Med Educ 1 February 2021; 13 (1): 6–10.

Read online   | Download PDF  

Research published in the American Journal of Emergency Medicine, March 2021

Lykins V J, Kuttab H, Rourke E, Hughes M, Keast E, Kopec J, Ward B, Pettit N, Ward MA. The effect of delays in second-dose antibiotics on patients with severe sepsis and septic shock. Am J Emerg Med. 2021 Mar 22;47:80-85. doi: 10.1016/j.ajem.2021.03.057. Epub ahead of print. PMID: 33784532.

Research published in Emergency Radiology, March 2021

Harringa, J.B., Bracken, R.L., Markhardt, B.K., ...Repplinger, M. et al. Magnetic resonance imaging versus computed tomography and ultrasound for the diagnosis of female pelvic pathology. Emerg Radiol (2021). https://doi.org/10.1007/s10140-021-01923-4

Research published in the American Journal of Emergency Medicine, January 2021

Dretske D, Schulz L, Werner E, Sharp B, Pulia M. Effectiveness of oritavancin for management of skin and soft tissue infections in the emergency department: A case series. The American Journal of Emergency Medicine. 2021;43(77-80). https://doi.org/10.1016/j.ajem.2021.01.050.

Research published in WestJEM, December 2020

Lum M, Sheehy L, Lai J, Tillman D, Damewood S, and Schmidt J. (2021). Integration of Lung Point-of-care Ultrasound into Clinical Decision Making for Medical Students in Simulated Cases. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 22(1). Retrieved from https://escholarship.org/uc/item/9qx6t8q1

Questions? Please email demresearch@medicine.wisc.edu
Tel: 608-263-6690
Fax: 608-265-8241