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EM Days 2015 Hotel Information
Hotel Duval, Tallahassee, Florida
Group rate: $215/night
Hotel Reservation Deadline EXTENDED until Feb. 16
Reservation Link: Book your group rate: EM Days 2015 >>
Pediatric Resuscitation: Before You Hit the ER Doors
Presented by Presented by John Misdary, M.D.
Launch date: Feb. 17, 2015
The webinar will be available to view 30 days post launch,
however, registration is still required for CME purposes.
Target Audience: EMS Professionals
Offered FREE of charge with CME.
For details and registration, click here.
Pediatric General Assessment, presented by Dr. Shiva Kalidindi,
will be available until Feb. 28, 2015.
SAVE THE DATE
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.
The 1st webinar is scheduled for Feb. 24, 2015.
Stay tuned for registration details.
EMERGENCY MEDICINE IN THE NEWS — AROUND FLORIDA
FLORIDA CHAPTER COUNCILLOR ALLOCATIONS
Florida increased membership in 2014 to over 1500 members. ACEP has notified us that 16 Councillors slots have been allocated. Please watch in upcoming ENews for call for 2015 councillors.
For your information, a complete list of Councillors allocated for chapters and sections is found here.
Reports not good for Florida's 'safety-net' hospitals
In Highlands County, the need to provide charity medical care is not uncommon.
According to the 2013 U.S. Department of Health and Human Services, about 20 of the county’s approximately 99,000 residents live below the Florida poverty line of $11,490 annually, making getting medical care difficult.
And that might even become harder by the summer.
In reports released in January by Florida Legal Services, a non-profit organization founded in 1973 to provide civil legal assistance to indigent persons who would not otherwise have the access to a lawyer, the state’s healthcare providers for low-income residents could lose $2 billion a year. The loss would come due to federal funding that is scheduled to end June 30.
Senate Health Panel tries again on telemedicine
Health News Florida
Pointing to a need to increase access to health care in areas such as rural communities, a bipartisan group of House and Senate leaders expressed confidence they will reach agreement this year on a plan to boost the use of telemedicine in Florida.
Sometimes called "telehealth," telemedicine involves using the Internet and other technology to provide care to patients remotely.
As a basic example, a physician could use a video link to consult with a patient who is at home.
Grass-roots efforts boost healthcare sign-ups in Florida
More than 1.3 million Floridians have obtained healthcare coverage under the Affordable Care Act during the latest enrollment period, significantly surpassing last year's total, federal data released shows.
The metro area encompassing Miami, Fort Lauderdale and West Palm Beach accounts for nearly half the total, but statistics from the Health and Human Services Department indicate a wide swath of sign-ups as well in Orlando, Tampa and other large metro areas.
Anxiety over Supreme Court's latest dive into healthcare
The Associated Press via ABC News
Nearly five years after President Barack Obama signed his health care overhaul into law, its fate is yet again in the hands of the Supreme Court.
This time it's not just the White House and Democrats who have reason to be anxious. Republican lawmakers and governors won't escape the political fallout if the court invalidates insurance subsidies worth billions of dollars to people in more than 30 states.
MISS AN ISSUE OF THE FCEP EMNEWS? |
Click here to visit The FCEP EMnews archive page.
5th Annual National Hospital Disaster Planning, Preparations and Response Symposium: An All-Hazards Approach
Friday, Feb. 13, 2015
This symposium is jointly sponsored by Jackson Health System and the University of Miami Miller School of Medicine. Click here to learn more.
EMRA Awards and Leadership Opportunities
EMRA has numerous leadership opportunities and awards for medical students and residents – even EM faculty! The spring is laden with options for involvement, with one cohesive deadline of Feb. 15.
EMRA awards almost $80,000 annually in awards and travel scholarships to residents and medical students — and we want members in your state to apply for these funds! Attached is a jpg image to help you promote these awards in your communications.
MEDICAL STUDENT COUNCIL:
Know stellar medical students looking to match into Emergency Medicine? Encourage them to apply for this prestigious committee!
COMMITTEE & DIVISION VICE CHAIRS:
EMRA is looking for its next batch of leaders to guide our workgroups. This is a two-year commitment, with one year spent as Vice Chair and then succession to Chair.
FCEP COMMITTEE MEETINGS — FEB. 18, 2015
FEP Board Room
500 Winderley Place
Maitland, FL 32751
10:00am Medical Economics
11:30am Government Affairs (Working lunch)
1:00pm Professional Development
2:00pm Pediatric EMS
3:00pm Education and Academic Affairs
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.
EMERGENCY MEDICINE IN THE NEWS — NATIONAL
When a state blocks Obamacare, ERs close: The lesson of Louisiana
Los Angeles Times
Baton Rouge, Louisiana, is about to lose one of its crucial hospital emergency rooms, and the reason is clear: The administration of Gov. Bobby Jindal has refused to expand Medicaid under the Affordable Care Act, and won't put up any other money to keep the facility open.
Because of the scheduled closure of the ER of Baton Rouge General Medical Center-Mid City, patients needing emergency treatment will have to travel as much as 30 minutes longer to reach the nearest ERs.
Too many hospitalized heart failure patients on IV fluids
Potentially harmful intravenous (IV) fluids are being given to too many patients with severe heart failure, according to a new study published in the Feb. 1 issue of JACC: Heart Failure. In the study, a research team looked at data from 131,430 hospitalizations of severe heart failure patients. All of the patients received IV fluids during their first two days in hospital, and 11 percent were treated with IV fluids in addition to diuretics.
Major US hospitals adopting Apple HealthKit healthcare technology to monitor patients
The Westside Story
Major hospitals in the U.S. are already piloting or are in the process of piloting Apple's HealthKit, a healthcare technology service that allows for remote monitoring of patients. According to a Reuters survey, at least 14 out of the 23 top healthcare providers in the U.S. have made contacts with Apple with regards to HealthKit implementation. Apple's early lead with HealthKit comes at a time when its rivals Google and Samsung Electronics are only getting started in their efforts to reach out to medical partners and hospitals for the adoption of their healthcare systems. HealthKit and similar healthcare systems seek to allow healthcare providers to monitor patients with chronic conditions such as hypertension and diabetes for quick intervention.
Medication issues behind 1 in 12 pediatric emergency room visits
Healthcare Professionals Network
At one Canadian children's hospital, medication-related problems accounted for one in 12 emergency department visits over a year. And about two-thirds of those incidents were preventable, the researchers concluded. The findings have been published online Feb. 2 in Pediatrics. The study findings are based on 2,028 children and teenagers — average age 6 — who arrived at a pediatric emergency department in Halifax, Nova Scotia, over the course of a year. Overall, 8 percent were considered to have "medication-related" symptoms.
Enhancing care of older adults in the emergency department: Old problems and new solutions
The dramatic increase in the number of older adults in our society is creating greater demand for age-appropriate healthcare services. Because older adults use proportionally more emergency services than any other age group, it is important to address problems and find solutions to emergency care for this vulnerable population. Older adults often need specialized care to meet complex physical and psychological needs in an emergency department (ED).
Study: Some with kidney stones might have calcium buildup in blood vessels
Some people who develop recurring kidney stones may also have high levels of calcium deposits in their blood vessels, and that could explain their increased risk for heart disease, new research suggests. "It's becoming clear that having kidney stones is a bit like having raised blood pressure, raised blood lipids [such as cholesterol] or diabetes in that it is another indicator of, or risk factor for, cardiovascular disease and its consequences," said study co-author Robert Unwin, M.D., of University College London. Unwin is currently chief scientist with the AstraZeneca cardiovascular and metabolic diseases innovative medicines and early development science unit, in Molndal, Sweden.
New report highlights lessons-learned from flu vaccination programs
National Foundation for Infectious Diseases
National Foundation for Infectious Diseases (NFID), has developed a new report, "Flu Care in Day Care: The Impact of Vaccination Requirements," which distills experiences from mandatory flu vaccination programs in New Jersey, Connecticut and New York City into lessons learned and best practices. Additionally, NFID has created a webpage including educational resources for schools and day care.
What healthcare providers need to know about measles
By Joan Spitrey
Many who work in healthcare today are too young to remember the measles epidemics of years past. Therefore, their knowledge and care of this previously eradicated disease is extremely limited and quick identification of infected individuals could be limited. As we learned last year from our Ebola exposures, our lack of knowledge of uncommon, yet highly communicative diseases is our Achilles’ heel. As healthcare providers, we owe it to ourselves and our patients to remain informed of such diseases.
RA patients on Actemra may have increased CVD risk
Higher indices of disease activity during treatment with tocilizumab (Actremra), and a higher baseline atherogenic index, were associated with a greater risk of major adverse coronary events in rheumatoid arthritis, according to a post-hoc analysis of registry studies. Out of 50 independently adjudicated cases of major adverse coronary events (MACE) documented during 14,683 patient-years of follow-up, older age, a history of cardiac disorders, a higher Disease Activity Score in 28 joints (DAS28) and a higher total cholesterol-HDL ratio were independently associated with MACE in multivariable models (P<0.05 for all risk factors).
Blood flow 'reducer' provides relief for some angina patients
A new study finds that an experimental device implanted in the heart can relieve the chest pain of heart disease in people who aren't candidates for stents or surgery. Instead of opening up a blood vessel, the novel device narrows it. It's called the Reducer, and it restricts the flow of blood leaving the heart, causing blood to back up into areas of the heart muscle that aren't getting enough nourishment, which relieves the angina.
How is the measles outbreak affecting the healthcare industry?
By Danielle Wegert
Douglas Coupland once said, "Adventure without risk is Disneyland." However, he clearly wasn’t considering the health risks of high-volume amusement parks, like Disneyland. But, these places are a breeding ground for disease, as was made apparent by the recent measles outbreak stemming from the theme park.
The outbreak began in December and, to date, there are 119 confirmed cases in the country.
Drug combinations a good approach for infectious fungus, research shows
Researchers at the University of Toronto have discovered that Candida albicans — a leading cause of potentially fatal hospital-acquired infections — rarely develops resistance to combination drug therapy and, when it becomes resistant, it also becomes less dangerous. The team may also have found a new way to eliminate Candida albicans in humans. By testing combination therapies in Candida albicans, the researchers found that only a few strains of this fungus became drug-resistant, and that resistance came at a cost to the fungus.
Anti-epilepsy drug preserves brain function after stroke
New research suggests that an already-approved drug could dramatically reduce the debilitating impact of strokes, which affect nearly a million Americans every year. In the study, one dose of the anti-epilepsy drug, retigabine, preserved brain tissue in a mouse model of stroke and prevented the loss of balance control and motor coordination. Researchers from the School of Medicine at The University of Texas Health Science Center at San Antonio conducted the study, which was published Feb. 3 in The Journal of Neuroscience.
FDA's investigation into patients being injected with simulated IV fluids continues
Centers for Disease Control and Prevention
The U.S. Food and Drug Administration and the Centers for Disease Control and Prevention are continuing to investigate multiple instances of Wallcur simulated saline solution being administered to patients. To date, we are aware of more than 40 patients who have received infusions of the simulated saline products. Some of the patients experienced adverse events associated with these products including fever, chills, tremors and headache.
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