78 Implementation of a Resident-Driven Diversity Committee at an Urban County Emergency Department

Abstract

In multivariate analysis, presence of soft palate swelling (OR 4; p¼0.03) and base of tongue edema (OR 4.5; p¼0.02) increased the likelihood of supraglottic or glottic edema on exam. However, there was no significant correlation between lip swelling (r¼ -0.09 ), soft palate swelling (r¼0.3), anterior tongue swelling (r¼0.18), floor of mouth swelling (r¼0.32) or base of tongue swelling (r¼0.39) with supraglottic or glottic swelling.Conclusion: This is a large study of patients with AAIA who underwent fiberoptic exams. Our study suggests that a significant portion of patients without upper aerodigestive tract swelling may still have supraglottic or glottic swelling. Since supraglottic and/or glottic swelling is considered a significant risk factor for predicting airway interventions, physicians should not use absence of upper aerodigestive tract swelling to reliably predict absence of supraglottic and/or glottic swelling.

Race, racism, and antiracism in emergency medicine: A scoping review of the literature and research agenda for the future

“…Of these, one study evaluated the impact of implementing an equity framework on patient perspectives of discrimination, 25 two evaluated educational interventions to raise awareness about racial bias or discrimination, 26,27 one evaluated a multifaceted intervention to reduce implicit bias, 28 another was a secondary analysis of broad intervention aimed at improving sedation and pain control in the ICU setting, 29 and one described interventions aimed at increasing historically underrepresented in medicine recruitment within a single EM residency. 30 Several other observational cohort studies attempted to explore the impact of policy changes or insurance expansion on racial inequities. 31,32 These findings led to Research Question 7 regarding assessment of interventions for mitigating racism in emergency care (Table 3).…”

“…142,143 Racial inequities in faculty representation and academic appointments persist in EM. 144 Multiple residencies are implementing measures to try and close this gap, 30 with important educational initiatives under way in several departments aimed to address structural competency and uplift health equity. 27,145 In considering these findings as well as the evidence previously presented, the consensus conference participants felt that establishing a research agenda focused on advancing equity for EM physicians and other health care providers was beyond the scope of our consensus process.…”