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As 2013 comes to a close, FCEP would like to wish its members, partners and other industry professionals a safe and happy holiday season. As we reflect on the past year for the industry, we would like to provide the readers of the EMnews a look at the most accessed exclusive content articles from the year. Our regular publication will resume next Wednesday, Jan. 8.


From February 6-10, 2014, The Florida College of Emergency Physicians and Ohio ACEP are partnering to host the most-respected emergency medicine board review course in the nation in Orlando, Florida!

For 30 years, Ohio ACEP has grown the reputation of its EM Board Review Course by building a faculty of some of the most respected names in emergency medicine education, including:

Amal Mattu, MD, FACEP
Faculty bio

Sharon Mace, MD,

Faculty bio

Joseph Martinez,

Faculty bio
Full list of Ohio ACEP Emergency Medicine Board Review faculty and affiliations

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Registration Now Open for Emergency Medicine Days

Emergency Medicine Days (EM Days) in Tallahassee is the premier advocacy event each year for The Florida College of Emergency Physicians.

Each Spring, all FCEP members are invited to our state capital for face time with legislators. FCEP members gather with their colleagues lobbying for legislation to provide better access to quality care for our patients.

Registration is FREE for all FCEP members and special hotel rates are available for a limited reservation period.

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5 good things the Affordable Care Act imposed on healthcare
By Mike Wokasch
From Sept. 5: The U.S. healthcare market is well entrenched with operational complexity, an inefficient cost structure and serious quality issues. The diversity of treatment, along with huge, inexplicable variability in costs and how care is paid for make the Affordable Care Act even more challenging to implement. Whether or not you are a fan of "Obamacare," this government-driven initiative has already facilitated five major changes to healthcare.
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How much are you leaving on the table? Improving your practice's after-tax financial efficiency
David B. Mandell, JD, MBA, and Carole Foos, CPA
From Oct. 2: Most emergency physicians strive to achieve two goals in their practice — to "do good," by being a quality practitioner and helping patients; and to "do well" in terms of financial rewards. Unfortunately, as to the second goal, many emergency physicians do not operate their practices with optimal after-tax efficiency. In fact, we often see doctors leaving tens of thousands of dollars "on the table" each year — which can equate to nearly $1 million of lost wealth over a career. The good news is that many of you reading this can likely improve your post-tax bottom line in a number of ways and this article provides doctors a number of ideas to make such improvements in 2013.
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How ICD-10 implementation affects ED physicians
By Tom Ward, M.D., FACEP
From Nov. 6: Time is precious in the emergency department, where patients arrive unscheduled, the broad scope of medicine is fully encountered and rapid decisions are frequently made — in some cases with great impact on a patient's survival. Adding greater burdens on physicians in this setting is both unproductive and unwise. The transition to ICD-10 may present yet another burden on the ED physician, but picking the right approach for generating ICD-10 codes can make a big difference.
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Getting a handle on ER violence
By Iris Forester
From Aug. 22: Emergency room violence is a familiar concern in large urban hospitals, but violent situations can also break out in normally quiet suburban settings as a result of individual human responses to stress. According to Bureau of Labor Statistics, healthcare and social service workers are the victims of 60 percent of all workplace violence, most often at the hands of patients.
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ICD-10 for the ED
By Elizabeth Morgenroth and J. Thomas Ward
From Aug. 28: The ICD-10 compliance deadline of October 2014 is fast approaching. With approximately 55,000 new codes, hospitals need to ensure they're ready for the transition — and prepared for the impact to revenue and productivity. ICD-10-CM will affect emergency departments more than any other specialty. Emergency medicine encounters have the potential to utilize multiple specialty codes that have been significantly impacted by the code expansion of ICD-10-CM — because the ED takes care of everyone who walks through the door, regardless of the condition.
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Music therapy in the ED: Helping children deal with painful procedures
By Dorothy L. Tengler
From Aug. 7: Imagine how scary it is for young children to process the activities in a busy emergency department, especially in view of the critical injuries crashing through the ED doors, not to mention the child's own injuries. Parents sit with them in this environment, providing — if they can — some semblance of comfort and reassurance. That said, what would help these traumatized youngsters deal with whatever uncomfortable or downright painful procedures they might be facing in an emergency setting? A recent Canadian study suggests music may help distract children who need to undergo painful procedures in the ED.
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Self-care for the caregiver
By Karen Childress
From Sept. 25: Do you follow you own good advice? Healthcare professionals are notorious for putting the well-being of others ahead of their own. If you’ve fallen into poor habits related to self-care, consider engaging in one or two of the following practices — all of which require only modest change using a 30-day trial approach — and then adding others when the time feels right.
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Current therapeutic strategies for the treatment of acute bronchiolitis
By Dr. Afsaneh Motamed-Khorasani
From Sept. 12: The hospital admission rate of children suffering from bronchioloitis has doubled over the past 10 to 15 years. Despite this increase, the optimal treatment method for bronchiolitis is still under controversy. Bronchodilators and corticosteroids are the commonly used drugs for the treatment of this disease. However, corticosteroids are not effective for bronchioloitis. Recently, nebulized epinephrine has demonstrated a marked relief in bronchioloitis patients.
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Breaking the ED enterprise myth
By Dr. Robert Hitchcock
From Aug. 14: A dangerous myth is circulating among us. It can drain your finances, reduce revenue and negatively impact patients. This myth is built on the notion that a hospital's emergency department should go enterprise. Enterprise systems can cause issues in an ED for many reasons. The ED is so different from the inpatient or ambulatory outpatient environment that there's a need for a specialized system. You wouldn't take an office-based system and put it in your inpatient environment. Why would you put an inpatient system in your ED?
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The growing need for psychiatric EDs
By Dorothy L. Tengler
From Nov. 20: In 2010, there were 129.8 million emergency department visits. However, not all of these visits were injury-related. A January 2012 American Hospital Association TrendWatch reported that there were more than 5 million visits to EDs by patients with a primary diagnosis of mental illness or a substance abuse disorder. Even more alarming, the rate of mental health visits has increased seven times more than overall ED visits. What is the answer? Communities need specially-designed psychiatric EDs.
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Colby Horton, Vice President of Publishing, 469.420.2601
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Lisa Smith, Senior Content Editor, 469.420.2644  
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Priscilla Lauture, FCEP Communications Specialist, 407.281.7396, ext. 232  
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