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Emergency Medicine Days 2015
EM Days Session
Drs. Aaron Wohl, Cliff Findeiss and Vidor Friedman
FCEP President Dr. Ashley Booth Norse and Ed Tellechea, Chief Assistant Attorney General
FCEP’s 2015 Legislative Priorities
APRN Expanded Scope of Practice
Florida Medicaid Savings
Graduate Medical Education
REGISTRATION NOW OPEN!
CLICK HERE TO REGISTER!
Learn to recognize the signs of this type of modern-day slavery, and have the means to respond
This FREE, one-day program is designed for the continuum of emergency medicine providers.
Approximately thirty percent of human trafficking victims will encounter an Emergency Medicine (EM) professional during their time of enslavement, unfortunately none of them are freed as a result of their encounter. Emergency medicine professionals play a key role in recognizing the signs that a patient is being victimized by human trafficking and are afforded a unique window of opportunity by which to offer help. This comprehensive educational program will focus on the pre-hospital and hospital encounters in an effort to elevate the knowledge base of EM professionals, allowing for proper identification and subsequent intervention. Providing EM professionals with the tools to understand the wide-ranging problem of trafficking, including when and how to act, can lead to the freedom of many of those currently enslaved. Learn more.
Presented by Todd Wylie, M.D.
Launch Date: March 17 at 1 p.m. ET
Target Audience: EMS Professionals
Offered FREE of charge with CME.
For details and registration, click here.
Pediatric Resuscitation: Before You Hit the ER Doors
Presented by Presented by John Misdary, M.D.
This webinar will be available to view until March 17,
however, registration is still required for CME purposes.
EMTs | Paramedics | Nurses | Physicians
5 cutting-edge webinars, hosted through ReadyTalk,
specially designed to train and educate EMS professionals
on how to identify and respond to the latest infectious diseases.
Presented from February to June, 2015.
March 24, 2015 — 1 pm ET
April 28, 2015 — 1 pm ET
May 26, 2015 — 1 pm ET
June 23, 2015 — 1 pm ET
If you weren’t able to attend the first live session,
the recording of the session will be available until March 24, 2015.
Feel free to review the FAQs on the registration site
or email firstname.lastname@example.org with any questions or concerns.
To register, click here.
SAVE THE DATES
EMERGENCY MEDICINE IN THE NEWS — AROUND FLORIDA
FCEP Councilor Positions Available for the Upcoming ACEP Council
Interested members wishing to be considered as an FCEP Councilor for the ACEP Council are encouraged to submit letter (email) of interest. The council will meet at the ACEP Scientific Assembly in Boston, Oct. 26 – 29, 2015. There are currently 9 two-year slots available.
Per FCEP Bylaws:
Candidates must meet the following criteria:
1. Member of Chapter for at least two years prior to nomination.
2. Active involvement in Chapter as evidenced by committee membership and/or attendance at
the meetings of the Board of Directors.
3. Plans to attend Councilor meetings for two-year
term. Councilors will be elected for two-year term with term beginning immediately upon
Should a Councilor resign or be elected to office that is a designated Councilor, then the remaining Councilors will elect an Alternate Councilor to fill the unexpired term. If there are no Alternate Councilors available to be seated, then the Executive Committee shall have the right to name Alternate Councilors to be seated or designated as Councilors.
Please email email@example.com no later than April 15, 2015.
ACEP Committee Interest 2015-16
Committee interest for FY 2015-16 is now open. Various ACEP publications will outline the process for members and information is also on the ACEP website. Members interested in serving on a committee, and who are not currently serving on a national committee, must submit a completed committee interest form and CV by May 18, 2015.
The CV and any letters of support from the chapter can be attached to the online form (preferred), emailed to me at firstname.lastname@example.org, or mailed to me at ACEP headquarters. Chapter input is invaluable to this process. If you have personal knowledge of the level of commitment and talent exhibited by the interested member, please consider submitting a letter of support.
The online application form is found here. After completion of the form, you should receive an acknowledgement that your committee interest form has been submitted. If you do not receive this message, please contact me by email or phone.
The committee selection process will occur in mid-June and applicants will be notified by the end of July. Members chosen to serve on committees will serve a minimum of one year, beginning with the committee’s organizational meeting held during the annual meeting in Chicago, Oct. 27-30, 2014. (Funding is not provided to attend the organizational meeting.)
PLEASE NOTE: Current committee members DO NOT need to complete a committee interest form. Current committee members will soon receive the annual committee evaluation form and will have the opportunity to indicate their preference for next year.
2015 EDPMA Solutions Summit Agenda Highlights
Join us at the Omni Plantation, Amelia Island, Florida, April 26-29, 2015! The Emergency Department Practice Management Association's Solutions Summit is the premier conference for those in the business of emergency medicine.
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Click here to visit The FCEP EMnews archive page.
Hospitals fret amid state-federal Medicaid fight
A standoff between the state and federal governments over Medicaid funds for low-income and uninsured people has Orlando hospital leaders feeling like they are in limbo. "We are sitting in the middle of the road while chicken is being played between the [Florida] House leadership and the federal government," Florida Hospital CEO Lars Houmann said Wednesday in Tallahassee.
Painkiller-addicted babies a growing US concern, especially in Florida
Doctors in the United States are seeing more infants born addicted to narcotic painkillers — a problem highlighted by a new Florida-based report.
These infants experience what's called neonatal abstinence syndrome as they undergo withdrawal from the addictive drugs their mothers took during pregnancy. Most often these are narcotic painkillers, such as oxycodone, morphine or hydrocodone, according to the report from the U.S. Centers for Disease Control and Prevention.
EMERGENCY MEDICINE IN THE NEWS — NATIONAL
5 most commonly broken bones that are frequent in ERs
Broken bones are among the most common reasons people visit the emergency room (ER). The national average wait time patients spend in the ER before being seen by a doctor is 24 minutes, while the average wait time to receive pain medications for broken bones is 55 minutes, according to the nonprofit organization ProPublica.
Luckily, while patients wait to receive medical assistance, bones immediately begin depositing calcium at the site of the fracture.
ED protocol for acute chest pain patients reduces cardiac testing, doubles early discharge
A protocol called the HEART Pathway safely and effectively identifies patients presenting to the emergency department (ED) with acute chest pain who can safely be sent home early, according to single-center study published online March 3, ahead of print in Circulation: Cardiovascular Quality and Outcomes. The HEART score, a preexisting decision aid, consists of five components (history, ECG, age, risk factors and troponin) that are measured on a scale of 0-2. Patients with overall scores below 4 are considered low-risk, whereas those with scores of 4 and higher are high-risk. The HEART Pathway adds serial troponin measurements, assessing the biomarker not only at zero hours but also at three hours after presentation.
Emergency department staff not immune to traumatic stress
Medscape (free login required)
Physicians in the emergency department should be aware that they are at risk for post-traumatic stress disorder (PTSD), and should be prepared to take steps to deal with it if they find that they have symptoms.
"We don't have good numbers, but the incidence of PTSD in emergency physicians is probably around 17 percent," said Leslie Zun, M.D., from Mount Sinai Hospital in Chicago.
Lupus: Hospitalizations for infections continue to rise
The rate of hospitalization for serious infections among patients with systemic lupus erythematosus (SLE) has been on the rise in recent decades, and has increased to a greater extent than for individuals without SLE, a national study found. In 1996 the age-adjusted relative risk of hospitalization for pneumonia among SLE patients was 5.7 (95 percent CI 5.5-6) compared with the general population, while the relative risk for admission for urinary tract infection was 9.8 (95 percent CI 9.1-10.7), according to researchers.
Lyme disease with classic sudden symptoms of stroke
A Swiss teenager, recently returned home from a discotheque, came to the emergency department with classic sudden symptoms of stroke, only to be diagnosed with Lyme disease. The highly unusual case presentation was published online last Thursday in Annals of Emergency Medicine.
"Everything about her symptoms indicated stroke: speech deficits, poor comprehension and right-sided face and arm weakness, so we considered treating her with clot-busting drugs" said lead study author Arseny Sokolov, M.D., of the Department of Clinical Neuroscience, Centre Hospitalier Universitaire Vaudois in Lausanne, Switzerland.
House passes bill requiring ERs to document forced seclusion of mental patients
The Lund Report
The Oregon House passed a bill that will require physicians working in hospital emergency rooms and other temporary settings to document every time they order a patient to be isolated because of a mental health crisis.
House Bill 2363, is designed to enable an orderly, constructive process that minimizes the use of forced seclusion to manage such patients.
Obese older adults have higher rate of hospitalizations, ER admissions
Obesity is associated with substantial increases in older adults' hospitalizations, emergency room admissions and use of outpatient health care services, according to a new study of 172,866 Medicare Advantage members throughout the U.S. Results of the one-year study will be presented at the Endocrine Society's 97th annual meeting in San Diego.
What is the weakest link in the Chain of Survival?
By Brian Duffield
The critical few steps to perform during a sudden cardiac arrest to have the best chances of a good outcome are commonly known as the "Chain of Survival." They are to be performed in order, quickly and with lots of communication with those around the event. First, let's define the Chain of Survival we're talking about. I've seen the chain have anywhere from four to six links, depending on the authority doing the publishing.
Anemia linked to adverse outcomes in atrial fibrillation
For patients with atrial fibrillation receiving anticoagulant treatment, the presence of anemia is associated with increased risk of thromboembolic events, bleeding complications, and mortality, according to research published online in the Journal of Thrombosis and Haemostasis. Researchers examined whether anemia is associated with thromboembolic events and bleeding in patients with atrial fibrillation. The authors conducted a retrospective analysis of the RE-LY trial database that randomized 18,113 atrial fibrillation patients with a risk of stroke to receive dabigatran or warfarin.
What does the future hold for Nina Pham?
By Joan Spitrey
Nurse Nina Pham recently filed a lawsuit against her employer, Texas Health Resources, for negligent training and a violation of privacy in the wake of the Ebola incident in Dallas. Pham helped take care of Thomas Eric Duncan, who walked into a Dallas community hospital infected with the Ebola virus he contracted in Liberia, and she became the first person to contract Ebola in the United States. Pham's future in healthcare may be challenging. It will be interesting to see where her career takes her.
Study singles out cerebral blood flow as potential biomarker for concussion
Physical Therapy Products
Recent research indicates that cerebral blood flow recovery in the brain may serve as a biomarker of outcomes in patients post-concussion. The study appears online in JAMA Neurology. The study's background singles out reduced cerebral blood flow (CBF) as a marker of concussion severity in animal models, according to a news release issued by the JAMA Network Journals.
Missed last week's issue? See which articles your colleagues read most.
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