Kiersten L Carter1, Gus M Garmel2. 1. Emergency Medicine Resident Physician at the Stanford/Kaiser Emergency Medicine Residency Program in CA. 2. Senior Emergency Physician at the Santa Clara Medical Center, Co-Program Director of the Stanford/Kaiser Emergency Medicine Residency Program, and Clinical Professor (Affiliate) of Surgery (Emergency Medicine) at Stanford University in CA. He is also a Senior Editor for The Permanente Journal. gus.garmel@kp.org.