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During Emergency Medicine Days 2019, FCEP Board of Directors officially endorsed the initiation of medication-assisted treatment (MAT) in the ED for opioid use disorder patients as a best practice, and strongly encourages physicians to obtain their x-waiver to facilitate treatment.
MAT induction in the ED allows emergency physicians to begin treatment while staff coordinate next steps with community treatment providers. This is especially critical when patients seeking help present during evenings and weekends when treatment providers are closed.
Per federal law, physicians must obtain a DEA x-waiver to prescribe a patient for outpatient buprenorphine for addiction treatment. An 8-hour training is required to apply for this x-waiver. Modifying this cumbersome requirement is on ACEP’s radar, but until then, emergency physicians can take this course for free online.
Take the Online MAT Waiver Training Here
EMpulse Spring 2019 will hit mailboxes in April! Have you moved since December 2018? Make sure you update your address in ACEP’s portal by Monday, March 25.
|Is Your Mailing Address Up to Date?
Using Toxidromes to Identify New Street Drug Use in the Field
By Paula Mueller, MD
1 hour | 1.0 CE | Free!
Accredited by ACCME | FBON | FPA | FEMS | CAPCE
Expires tomorrow, March 21, 2019
The early bird deadline for discounted rates on CLINCON 2019 exhibit booths is this Friday, March 22, 2019. Read our Sponsor & Exhibitor Prospectus here and contact Melissa Keahey at firstname.lastname@example.org to reserve your space ASAP. Booths are first-come, first-serve!
Florida's Premier EMS/Fire Conference
July 17-19, 2019
DoubleTree by Hilton — Universal Studios
Stay up-to-date with developments from Washington, D.C. that affect emergency physicians and patients with ACEP’s weekly video update.
This week’s update covers:
- The latest on ACEP's battle regarding out-of-network billing, including a Capitol Hill visit by ACEP's president
- An ACEP member talks to Congress about the opioid crisis
- An ACEP-supported gun purchase background check bill passes the House
- ACEP's plan to meet new members of the 116th Congress
- LAC 2019 is right around the corner. Find out what's ahead
Today at 11:00 am EST, the National Academies of Sciences, Engineering, and Medicine will release a new report by the Committee on Medication-Assisted Treatment for Opioid Use Disorder.
What does the science say about medications used to treat opioid use disorder and the role they may play in stemming the opioid crisis? In what populations and settings can they be effectively delivered, and what barriers prevent their use? Members of the expert committee will present their findings and conclusions.
Register for the webinar
ACEP President Dr. Vidor Friedman invites you to an evening honoring Congressman Raul Ruiz, MD (D-CA) of California's 36th Congressional District on:
Wednesday, April 24, 2019
EMLRC in Orlando, FL
3717 S. Conway Rd., Orlando, FL 32812
Dr. Ruiz was elected in 2012 and is the only emergency physician currently serving in Congress. He sits on the Energy and Commerce committee, which has oversight for health care in the House. ACEP has been working closely with Dr. Ruiz to formulate a bill to address out-of-network billing in the House as a counterpart to Senator Cassidy's Price Transparency Work Group's efforts in the Senate.
Suggested contributions are listed below and can be mailed to Dr. Raul Ruiz for Congress at PO Box 3433, Palm Desert, CA 92261 or online here:
(Contributions are not tax-deductible)
Please RSVP to Anna LoSecco at (574) 261-8651 or via email at email@example.com if you plan on attending.
By Elaine Salter, ACEP
The producers from "Untold Stories of the ER" have reached out to ACEP for storylines for their upcoming season. We're proud to have had many of our members on the series, showcasing some of their more interesting and memorable cases in the ED.
This is not an ACEP partnership with Untold Stories or the Learning Channel and ACEP has no editorial or creative control of content in any way. This is also not just for ACEP members, so please circulate this information to anyone else who might be interested.
Read the Flyer Here
Interested parties should email Ann Hassett directly at firstname.lastname@example.org and CC Elaine Salter at email@example.com.
The Florida PEDReady Program is a statewide initiative that focuses on enhancing pediatric emergency care, "readiness" and preparation in all Florida EDs and EMS agencies. In effort to keep everyone informed on advances and research, Florida PEDReady is launching a weekly enews called PE2ARL: Pediatric Emergency Education, Advances, Research & Literature.
Topics will include things such as:
Subscribe to PEDReady PE2ARL Here
- Upcoming conferences or new policy statements
- Infant mortality safety tips
- What's new in neonatal resuscitation
- Acute transverse myelitis
- And more!
FCEP members must opt-in to receive updates
Are you interested in contributing? Contact Dr. Phyllis Hendry at firstname.lastname@example.org for more information.
The FL Department of Health is now accepting nominations for the 2019 State EMS Awards. These awards pay tribute to the many agencies and brave medical professionals that strive to ensure the health and safety of Floridians and visitors in times of an emergency.
Nominations must be emailed or postmarked by March 31, 2019. Download the application here and learn more on DOH's website at this link.
First Coast Service Options, Florida’s Medicare Administrative Contractor (MAC) for the traditional Medicare program, requests your opinion of our service by taking the MAC Satisfaction Indicator (MSI) survey. Your feedback goes directly to the Centers for Medicare & Medicaid Services and helps them understand how they can better service you. This survey should only take about 10 minutes of your time. To take the survey, click on the link below:
Click Here to Take 10-Minute Survey
Read about how last year’s feedback resulted in changes here.
University Behavioral Center in Orlando, FL is hosting an experiential open house for providers that will showcase their inpatient medication-assisted induction program. The goal is to show providers "a day in the life" of a patient coming in for MAT induction.
"Take a Walk in My Shoes": Experiential Open House
Friday, April 5, 2019
8:00 am to 9:30 pm OR 12:00 pm to 1:30 pm
(Monthly CE training occurs from 10:00 am to 12:00 pm)
University Behavioral Center
2500 Discovery Drive
Orlando, FL 32826
Learn More and Register Here
In honor of their 45th anniversary, EMRA is hosting the 45 Under 45: Influencers in Emergency Medicine award to celebrate those who are shaping the future of EM by making a difference in their communities, hospitals and EM specialty.
The only requirements are that the individual must be 45 years old or younger on December 31, 2019 and be an attending, fellow or resident in emergency medicine. Nominations are due July 15, 2019.
The Florida Department of Health will conduct an annual EMS Leadership Orientation on April 16-18, 2019 at the Embassy Suites by Hilton Boca Raton. The purpose of this program is to orientate new and current EMS leaders to relevant EMS topics and issues. This year's leadership orientation will once again be integrated with the EMS Advisory Council, which gives attendees the opportunity to network with EMS leaders and see how concepts taught are directly applied to the statewide EMS system.
Find the EMS Leadership Orientation Draft Agenda Here
There is no cost to attend. Only two participants allowed per agency. Seating is limited to the first 50 registrants and a waiting list will begin after that. 10 hours of CEU and a course completion certificate will be awarded for full attendance.
Please make hotel reservations at the Embassy Suites by Hilton Boca Raton via telephone at 561-994-8200 or online here by April 5, 2019. The group conference rate of $149 is reserved under "EM2."
Please contact Ina Leinas at (850) 558-9536 if you have any questions.
UPCOMING FCEP & EMLRC EVENTS
|APRIL 24, 2019
||Evening Honoring Congressman Raul Ruiz, MD — 6 - 8 p.m.
||EMLRC in Orlando
|MAY 2-3, 2019
||APP Skills Camp 2019 | Register Now
|MAY 22, 2019
||FCEP Committee Meetings — 9 a.m. - 4 p.m.
|MAY 23, 2019
||FCEP Board Meeting — 9 a.m. - 1 p.m.
|JULY 17-19, 2019
||CLINCON: Premier EMS/Fire Conference | Register Now
|JULY 18-19, 2019
||Bill Shearer ALS/BLS Competition
|AUG. 1-4, 2019
||Symposium by the Sea 2019 | Learn More
To see the full calendar, click here.
As physicians, whether or not we hold a formal position of power or leadership, we are all informal leaders in our daily practices. We guide our patients and their often-complicated treatment plans. We lead our team of nurses and medical assistants. We direct the development and implementation of clinical trials. In emergency situations, we lead by running a code to resuscitate a patient. In the operating room and emergency room, we lead teams to implement effective patient care. We guide the next generation of physicians through training, mentorship, and education. Physicians are meant to be leaders.
McKnight's Long-Term Care News
Emergency room visits by seniors who have misused opioids more than tripled between 2006 and 2014, according to a new study.
The misuse of painkillers has had a snowball effect for seniors, leading to an increase in the number of chronic conditions, greater injury risk and higher rates of mental health diagnoses, researchers with Towson University found.
Nearly 52,000 children under age 6 were treated at emergency rooms for medicine poisonings across the U.S. in 2017, according to a new report. Although that's a decline since 2010, the report identifies some reasons why children may continue to be poisoned by medicines, offering key lessons for other parents. Researchers conducted 90-minute interviews with groups of six to eight parents from urban, suburban and rural settings in Maryland, 42 parents total.
Emergency room doctors often have only a few minutes to determine which patients are in need of a blood transfusion.
But currently doctors have no direct method to assess the health of one of the most critical component of the blood: platelets. These tiny blood cells play a huge role in helping blood clot after an injury.
Now researchers at the University of Washington have created a novel system that can measure platelet function within two minutes and can help doctors determine which trauma patients might need a blood transfusion upon being admitted to a hospital.
David A. Talan writes: If we’re the safety net we claim to be, I think emergency physicians should confront the increasing number of parents who refuse to vaccinate their kids based on nonmedical exemptions, even in the face of states increasingly requiring vaccination.
When I spoke about this at a past ACEP Scientific Assembly, I was surprised there was some resistance to this idea, particularly in light of the measles outbreaks in New York, California, Minnesota, and most recently in Washington state, or the nationwide increase in kindergarten nonmedical exemption rates over the past decade or so. I therefore want to revisit this contentious topic, beginning with a real case.
The misuse of prescription drugs and over-the-counter medications resulted in an estimated 358,000 trips to U.S. emergency departments in 2016 — and almost half of those cases involved young people ages 15 to 34, according to a new study based on a national public health surveillance system.
Overall, two pharmaceuticals played a part in most of the cases, either alone or with other substances. Nearly 47 percent of ER visits involved misuse of benzodiazepines, while prescription opioids were implicated in 36 percent.
American Medical Association
An overflowing inbox, repeated clicks to complete one task and feeling burned out. These are things some physicians face as the result of their electronic health record. To address these inefficiencies within the EHR issues and improve professional satisfaction, the Northeast’s largest nonprofit independent medical group collaborated with their IT department to cut 23 clicks per encounter — about 50 million clicks a year.
Frequency of emergency department visits for older adults was strongly predicted by their number of comorbidities, researchers said.
In an analysis of a geriatric population, the presence of three or more clinical conditions was tied to an over seven times higher odds of being a "frequent" ED user, reported Edward M. Castillo, Ph.D., MPH, of University of California San Diego, and colleagues.
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