Resa E Lewiss1, Kathleen Y Ogle2, Yonathan Freund3,4. 1. Thomas Jefferson University Hospital, Philadelphia, Pennsylvania. 2. George Washington University School of Medicine and Health Sciences, Washington, DC. 3. Sorbonne University, Emergency Department, Hôpital Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris. 4. IMProving Emergency Care Federation - IMPEC FHU, Paris, France.