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Roger Zemek photo of Roger Zemek
Scientist, CHEO Research Institute
Director of Clinical Research Unit
Director Evidence to Practice Research Program
Physician, Division of Pediatric Emergency Medicine, CHEO
Associate Professor, Departments of Pediatrics and Emergency Medicine, Faculty of Medicine, University of Ottawa
Chair, Pediatric Concussion Guideline Development,
Ontario Neurotrauma Foundation
Co-Chair: Diagnosis and Early Education Working Group, Ontario Concussion/Mild Traumatic

rzemek@cheo.on.ca
613-737-7600 Ext. 2318
Research Practice Areas:
Current Research:
Dr. Zemek’s research is focused on pediatric concussion and prognosticators of post-concussive syndrome following pediatric minor traumatic head injury. He is also involved with research studies on pediatric asthma; specifically, the Determinants of Oral Corticosteroid Responsiveness in Wheezing Asthmatic Youth (DOORWAY) and nurse-administered oral corticosteroids at triage. Other projects include pediatric mental health, Validation of the HEADS-ED for use with pediatric mental health patients in the emergency department, as well as a randomized control trial investigating the treatment of generalized tonic-clonic status epilepticus in children in the Emergency Department.

Research Team:
Biography:
Dr. Zemek is a pediatric emergency researcher with experience in multicenter studies, randomized controlled trials, and systematic reviews. He has research experience in pediatric asthma, including systematic reviews of pediatric asthma action plan, provincial plan development, and efficacy trials. He also had conducted trials of corticosteroids utilizing medical directives. Dr. Zemek is on the Ontario provincial-wide expert working group for acute pediatric asthma guideline development. He also is active in research in emergency pediatric brain injuries, specifically concussion, and is leading the development of a national research program on pediatric concussion.
Achievements:
Dr. Roger Zemek received the Terry Klassen Young Investigator Award. This national award, presented annually at the national Pediatric Emergency Research Canada (PERC) meeting, is given to the young researcher whose research is novel, original and of the highest caliber and who embodies the spirit of interpersonal and interdisciplinary collaboration as envisioned by Dr. Terry Klassen and PERC.

He also led an international team of experts to create the world's first comprehensive pediatric concussion guidelines.
Sample Publications:
Curran J, Murphy A, Newton M, Zemek R, Hartling L, Plint A, McPhee S, Campbell S, Jabbour M, Chorney J, Boliver D, Petrie D, Colwell R, MacWilliams K, Nolan A. Discharge instructions for caregivers in the context of pediatric emergency care: A narrative synthesis protocol.  Systematic Reviews 2014;14,3(1):26

Alnaji F, Zemek R, Barrowman N, Plint A. PRAM score as predictor of pediatric asthma hospitalization. (accepted to Academic Emergency Medicine March 2014).

Chamberlain J, Okada P, Holsti M, Mahajan P, Brown K, Vance C, Gonzalez V, Lichenstein R, Stanley R, Brousseau D, Grubenhoff J, Zemek R, Johnson D, Clemons T, Baren J for the Pediatric Emergency Care Applied Research Network (PECARN). Lorazepam versus diazepam for pediatric status epilepticus. JAMA. 2014;311(16):1652-1660. doi:10.1001/jama.2014.

Ducharme F, Zemek R, Gravel J, Chalut D, Poonai N, Laberge S, Quach C, Krajinovic M, Guimont C, Lemiere C, Guertin MC. Determinants of Oral Corticosteroid Responsiveness in Wheezing Asthmatic Youth (DOORWAY): protocol for a prospective multicentre cohort study of children with acute moderate-to-severe asthma exacerbations. BMJ Open 2014:e004699.

Zemek R, Eady K, Moreau K, Farion K, Solomon B, Weiser M, Dematteo C. Pediatric Emergency Knowledge of Concussion Diagnosis and Initial Management. (accepted to CJEM December 2013)

Zemek R, Osmond M, Barrowman N for PERC Concussion Team. Predicting and Preventing Postconcussive Problems in Pediatrics (5P) Study: protocol for a prospective multicenter clinical prediction rule derivation study in children with concussion. BMJ Open 2013; 3(8) 003550. Impact: 1.583

Zemek R, Clarkin C, Farion K, Vassilyadi M, Barrowman N, Anderson P, et al. Parental anxiety at initial ED presentation is not predictive of prolonged symptoms following pediatric concussion. Academic Emergency Medicine 2013;20: 1041-1049. Impact: 1.757

Harman S, Zemek R (supervisor), Duncan MJ, Ying Y, Petrcich W. The GLUE trial (Gluing Lacerations Utilizing Epinephrine): a randomized, controlled trial pre-treating lacerations for tissue adhesive repair with topical LET. CMAJ 2013;185(13):E629-E634. Impact 8.2

Zemek RL, Farion KJ, Sampson M, McGahern C. Prognosticators of persistent symptoms following pediatric concussion: a systematic review. JAMA Pediatr. 2013 167(3):259-65.

Zemek R, Plint A, Osmond M, Kovesi T, Correll R, Perri N, Barrowman N. Triage nurse-initiation of corticosteroids in pediatric asthma is associated with improved ED efficiency. Pediatrics 2012;129(4):671-80.

Schuh S, Zemek R, Plint A, Black K, Freedman S, Porter R, Gouin S, Johnson D. Practice patterns in asthma discharge pharmacotherapy in pediatric emergency departments: A Pediatric Emergency Research Canada study. Academic Emergency Medicine 2012;19(9):E1019-26.

Schuh S, Zemek R, Plint A, Black K, Freedman S, Porter R, Gouin S, Hernandez A, Johnson D. Magnesium use in asthma pharmacotherapy: A Pediatric Emergency Research Canada Study. Pediatrics 2012;129(5):852-9.

Cappelli M, Gray C, Zemek R, Cloutier P, Glennie E, Doucet G, Lyons J. The HEADS-ED: A rapid mental health screening tool for pediatric patients in the Emergency Department. Pediatrics 2012; 130(2):e321-327.

Cappelli M, Glennie EJ, Cloutier P, Kennedy A, Vloet M, Zemek R, Gray C. Physician management of pediatric mental health patients in the emergency department. Ped Emerg Care 2012 Sep; 28(9):835-41.

Ducharme, FM, Zemek RL, Chalut D, McGillivray D, Noya FJ, Resendes S, Khomenko L, Rouleau R, Zhang X. Written action plan in the pediatric emergency room improves asthma prescribing, adherence and control. Am J Respir Crit Care Med 2011;183:195-203.

Zemek R, Szyszkowicz M, Rowe BH. Air Pollution and Emergency Department Visits for Otitis Media: A Case-Crossover Study in Edmonton, Canada. Environ Health Perspect 2010. doi:10.1289/ehp.0901675.

Zemek R, Bhogal S, Ducharme FM. Systematic Review of Randomized Controlled Trials Examining Written Action Plans in Children: What Is the Plan? Arch Pediatr Adolesc Med. 2008 Feb;162(2):157-63.

Ducharme FM, Noya F, McGillivray D, Resendes S, Ducharme-Bénard S, Zemek R, Bhogal SK, Rouleau R. Two for one: a self-management plan coupled with a prescription sheet for children with asthma. Can Resp Journal. 2008 Oct 15(7):347-54.

Bhogal S, Zemek R, Ducharme FM. Written action plans for asthma in children. Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.: CD005306. DOI: 10.1002/14651858.CD005306.pub2.

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