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Online registration will close on Thursday, March 26, at 12 p.m.
On-site registration will be available.

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.

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Pediatric Concussion
Presented by Nazeema Khan, M.D.
Launch Date: April 23 at 1 p.m. ET
Target Audience: EMS Professionals
Offered FREE of charge with CME.
For details and registration, click here.

Pediatric Seizures
Presented by Presented by Todd Wylie, M.D.
This webinar will be available to view until April 14,
however, registration is still required for CME purposes.

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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.

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 second live session,
the recording of the session will be available until April 24, 2015.
Feel free to review the FAQs on the registration site
or email with any questions or concerns.
To register, click here.

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Florida Legislative Tracking Report
Below is a link to your most recent state legislative tracking report. The link will open a report that contains direct links to any bills we are tracking that have either been introduced or progressed through the legislative process since you received your last report.

Click here to see your most recent state legislative tracking report.

Please remember that these reports are based on limited key word searches. They are not likely to uncover every piece of legislation that you might be interested in, so you are encouraged to utilize any other sources for state legislative information, such as state medical societies, other legislative contacts and the news media.

Here are the general categories we try to search: Emergency physician/department, Quality initiatives, Liability reform. Physician reimbursement, Private payer issues (balance billing, assignment of benefits), Health care reform, Disaster preparedness, Auto safety and Motorcycle helmet legislation.

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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, 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.

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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 no later than April 15, 2015.

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Emergency Preparedness for Clinicians — From Guidelines to the Front Line
March 26 — 2-3 p.m. EST
Natural disasters, industrial accidents, terrorism attacks, and pandemics all have the capacity to result in large numbers of critically ill or injured patients. A barrage of patients with various clinical needs can quickly exhaust the care delivery capacity of a healthcare system. It is important for clinicians to have a disaster response plan that addresses approaches to maintaining quality care during times of patient surge and resource scarcity. During this COCA Call, participants will learn about the series of suggestions that focus on the management of multiple critically ill patients during a disaster or pandemic, and the importance of collaboration among front-line clinicians, hospital administrators, professional societies, and public health or government officials.

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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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Readmission fines hit Florida hospitals
Kaiser Health News via Space Coast Daily
Medicare is fining a record number of hospitals – including more than 140 in Florida – for having too many patients return within a month for additional treatments, newly released federal records show. Even though the nation’s readmission rate is dropping, Medicare’s average fines will be higher, with 39 hospitals receiving the largest penalty allowed, including the nation’s oldest hospital, Pennsylvania Hospital in Philadelphia. In Florida, 148 of the 167 hospitals assessed will pay some fine, the Kaiser Health News analysis showed. The highest fine, to Jacksonville’s St. Vincent’s Medical Center Southside, ranks 49th out of the record-breaking 2,610 fines issued.
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Health expansion moves on in Senate
Health News Florida
Defending the possible acceptance of billions of dollars in federal money, a Senate panel Tuesday unanimously approved a plan that would extend health-care coverage to about 800,000 low-income Floridians. The plan (SB 7044), backed by the Senate Health and Human Services Appropriations Subcommittee, appears to be moving quickly in the Senate. But House Republican leaders, who for the past two years have flatly rejected accepting federal money to expand coverage through Medicaid or another program, have given no indication they will go along with the Senate.
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How teamwork, trust and improved communication reduce mistakes in the ER
It's so easy to think you've communicated a message clearly. After all, you understand the instructions, so it only stands to reason that the person receiving them must also understand what you meant. And though most misunderstandings can be cleared up quickly in everyday situations, studies show that they pose a significant danger for patients when signals get crossed. In fact, an estimated 80 percent of the most serious medical errors in hospitals are linked to miscommunications.
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Most patients don't visit nearest ER
Fewer than half of emergency department (ED) visits are to the patient's local emergency room, according to a new data brief from the Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS). After analyzing data on ED visits between 2009 and 2010, Amy M. Brown of the NCHS and colleagues found the average visit involved an ED that was located 6.8 miles from the patient's home even though the nearest ED was on average only 3.9 miles from his or her home.
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Little agreement among four hospital rating systems
Medscape (free login required)
There is scant agreement among the four most prominent national systems used to rate the quality and safety of care provided by U.S. hospitals, concludes a comparative study published in the March issue of Health Affairs. "The differences across rating systems may reflect true differences in quality and safety across different indicators. However, the divergent ratings of hospitals may also reflect poorly defined concepts as well as idiosyncratic issues of measure selection or data quality (for example, measurement error, missing data)," write the investigators, led by J. Matthew Austin, Ph.D., an assistant professor at the Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, Maryland.
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Transcatheter aortic valve replacement: When invasive surgery is not an option
Aortic stenosis is a common problem that typically results from calcification and degenerative changes of the aortic valve that occur with advancing age. Because medical therapies have no clinically proven role, the management of severe aortic stenosis has primarily been surgical. For patients who are too high-risk for surgical aortic valve repair, transcatheter aortic valve repair (TAVR), approved by the FDA in 2011, may be an option. This article outlines what clinicians need to know about TAVR.
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Rural hospitals, one of the cornerstones of small town life, face increasing pressure
Kaiser Health News via U.S. News & World Report
Despite residents’ concerns and a continuing need for services, the 25-bed hospital that served this small East Texas town for more than 25 years closed its doors at the end of 2014, joining the ranks of dozens of other small rural hospitals that have been unable to weather the punishment of a changing national health care environment. For the high percentages of elderly and uninsured patients who live in rural areas, closures mean longer trips for treatment and uncertainty during times of crisis. “I came to the emergency room when I had panic attacks,” said George Taylor, 60, a retired federal government employee. “It was very soothing and the staff was great. I can’t imagine Mount Vernon without a hospital.”
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Kidney stones can send patients to hospital more than once
HealthDay News via U.S. News & World Report
One in nine patients discharged from the emergency department after being treated for kidney stones may return with the same problem, a new study suggests. The analysis of 128,000 kidney stone-related visits to ERs in California over two years also found that symptoms that cause patients to return included uncontrolled pain, severe vomiting resulting in dehydration, and infections.
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Telehealth's true success starts behind the scenes
By Karen R. Thomas
For the last few years, telehealth has been one of the biggest buzzwords in the healthcare industry. With recent predictions indicating that the number of patients using telehealth will hit 7 million by the year 2018, businesses are scrambling to create devices that can keep up with the high demand. Telemonitoring technologies make it possible for healthcare providers to monitor symptoms and measure vital signs remotely, and they also make it easier for patients, employees and others to manage their own healthcare better and more affordably.
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Duke researchers identify factors that correlate with repeat ER visits for kidney stones
One in nine patients released from the emergency department after treatment for a kidney stone will face a repeat visit, according to findings by Duke Medicine researchers. In a study published online in the journal Academic Emergency Medicine, Duke researchers and their colleagues have identified multiple factors that correlate with repeat emergency room visits for kidney stones. The findings may provide physicians and patients with a blueprint for how to improve care for a condition that is both painful and costly.
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Early X-rays might not help elderly with new back pain
Older people with a new episode of back pain shouldn't be sent right away for X-rays or other imaging studies, new research suggests. They won't be any better off, and they'll end up with bigger bills, the researchers say. Guidelines suggest that young people with new back pain should wait a while before getting X-rays, magnetic resonance imaging (MRI) or computed tomography (CT), but the same guidelines make exceptions for older people since there could be more serious underlying conditions.
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Helmet bests mask for infant CPAP
MedPage Today
Infants with bronchiolitis who were treated with a continuous positive airway pressure (CPAP) helmet did not need to be intubated as often compared with those who used a CPAP facial mask, according to a small Italian study. The CPAP helmet also was associated with lower rates of treatment failure versus a CPAP mask, reported Giovanna Chidini, M.D., of Fondazione IRCCS Ca'Granda, Opesdale Maggiore Policlinico in Milan, and colleagues.
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Missed last week's issue? See which articles your colleagues read most.

    Doctors warn against new synthetic drug 'flakka' (WTJV-TV)
New protocol can help emergency departments evaluate patients with acute chest pain (EurekAlert!)
Report: Rural hospitals received billions in extra Medicare funds (The Associated Press via Health News Florida)
Intermittent pulse oximetry OK for kids receiving room air (Medscape (free login required))
The use of bed-side ultrasound is growing — but are ERs ready? (By Dr. Afsaneh Motamed-Khorasani)

Don't be left behind. Click here to see what else you missed.


Colby Horton, Vice President of Publishing, 469.420.2601
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Jessica Taylor, Senior Medical Editor, 202.684.7169  
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