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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 Emergency Physicians Pediatric Opportunities
FEP seeks board certified Pediatric Emergency Medicine physicians to staff Florida Hospital's new pediatric emergency departments. Competitive compensation package, excellent benefits and relocation assistance. MORE
Accuracy + No Drops + No Calibration = ER Friendly
Icare tonometry provides accuracy, speed and care patients need when it matters the most. For more information or demo, call 813.505.3495, email MORE


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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Contact the US Senators regarding SGR repeal legislation
ACEP expects the U.S. Senate to take up SGR Repeal legislation in the near future. The vote has not yet been scheduled by the Senate leadership, but indications are that it will be considered soon after they return from their Spring recess period on April 13.

The House of Representatives voted overwhelmingly (392-37) in favor of the legislation, H.R.2. the Medicare Access and CHIP Reauthorization Act" (MACRA), on Thursday, March 26.

Now, Congress is closer than ever before to permanently repealing the flawed SGR formula and replacing it with a payment system that rewards quality, efficiency and innovation.

Amplifying emergency physicians’ voice on this issue now is critical.

Please contact your two U.S. Senators to urge them to vote YES on this legislation when they return to Washington on April 13 after the Spring recess period.

The President has stated his support for the bill approved by the House and said he would sign the measure if it reaches his desk.

You can take action quickly and easily by sending an email to their U.S. Senators through the ACEP Grassroots Advocacy Site or They will need their ACEP member log-in information.

You can also call their legislators via the AMA’s Physicians Grassroots Network hotline at (800) 833-6354.
    The key points to stress with the Senators are:
  • For at least 12 years, Congress has recognized the imperative of reforming the Medicare physician payment system. Now that a bipartisan, bicameral policy has been developed, it’s time to stop thinking about the problem and seize the opportunity to solve it.
  • Congress must avoid continuing the fiscally irresponsible cycle of short-term patches that contribute to the Medicare program’s instability and do nothing to solve the underlying problem.
  • Physicians will face about a 21 percent reduction in Medicare reimbursement rates unless Congress acts.
  • Emergency physicians are very concerned that the continued use of the Sustainable Growth Rate (SGR) formula will drive other physicians out of Medicare leaving the emergency department as the only viable alternative for seniors to access the nation's healthcare system.
  • Furthermore, the U.S. faces a significant expansion of Medicare as 78 million baby boomers begin in the next few years. America's emergency departments already treat more than 136 million patients a year and nearly 18 percent of those visits were by individuals ages 65 and older.
The $213 billion deal would replace the SGR, as well as provide a two-year extension of the Children's Health Insurance Program. Funding for the package would come in part through $70 billion in spending reductions split between cuts to Medicare benefits and reductions in provider payments.

Please contact Brad Gruehn, ACEP Congressional Affairs Director or Jeanne Slade, NEMPAC and Grassroots Advocacy Director if you have questions about the legislation or this request.

Thank you for your help and support!

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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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Join Your Colleagues at ACEP's Legislative Advocacy Conference and Leadership Summit
On May 3-6, in Washington, D.C., more than 500 emergency physicians will learn how to become effective leaders and visit with lawmakers about policies related to health care and emergency medicine. Don’t miss this opportunity to lend your voice — See you at LAC.
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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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ACEP and NAEMSP are planning to again partner and offer the EMS Subspecialty Board Review courses before the ABEM exam in the Fall. We are looking at offering the review course at 3 locations, Atlanta, Dallas, and then in Boston the weekend before the ACEP15 educational courses begin on October 23-25. We don’t have exact dates on the Atlanta or Dallas course yet but will post them as soon as they are finalized.

Rick Murray, EMT-P
Director, Dept of EMS and Disaster Preparedness
American College of Emergency Physicians

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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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As pressure mounts, health care talks delayed
Miami Herald
Federal health care officials are temporarily suspending negotiations with Florida over a $2.2 billion program that helps safety-net hospitals, the state Agency for Health Care Administration said Wednesday. Agency Secretary Elizabeth Dudek called the news “sudden and disappointing.” Dudek said Florida’s conversations with the federal government over the so-called Low Income Pool program “had been productive and positive until this point,” and suggested the move “could signal the abrupt end of this federal healthcare program in Florida.”
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Illness outbreak at Bloomingdale High School: Florida Department of Health
The Florida Department of Health is warning about an outbreak of illness at Bloomingdale High School. Symptoms include vomiting, stomach ache, nausea, fever, headache and diarrhea. Any student with gastrointestinal symptoms cannot return to school until they have been symptom-free for 24 hours. The Department of Health said to inform your healthcare provider if your child has been in school with students with similar symptoms. Request a stool test for enteric illnesses and norovirus.
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Practitioners not waiting for telemedicine laws
Health News Florida
It was 1964. The New York World's Fair. And a young Tony Napolitano saw his first video phone at the Bell Telephone pavilion. The boy marveled that people could connect visually from remote locations. Fast forward to 2015. Napolitano, now a pediatric neonatologist, is about to make this connection an ordinary part of practicing medicine at All Children’s Hospital in St. Petersburg.
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Pulmonary embolism risk scoring could guide treatment, ease burden on EDs
Medical Xpress
An analysis led by University of Cincinnati (UC) emergency medicine researchers shows that a simplified severity scoring tool for pulmonary embolism could be used in emergency departments to guide treatment decisions and, ultimately, ease the burden placed on emergency departments and hospitals. "Patients with symptoms of pulmonary embolism who enter emergency departments in the United States are overwhelmingly admitted to the hospital," says Gregory Fermann, M.D.
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Emergency department burden of constipation in the US from 2006 to 2011
American Journal of Gastroenterology
Although constipation is typically managed in an outpatient setting, there is an increasing trend in the frequency of constipation-related hospital visits. The aim of this study was to analyze trends related to chronic constipation in the United States with respect to emergency department visits, patient and hospital characteristics, and associated costs. Between 2006 and 2011, the frequency of constipation-related ED visits increased by 41.5 percent, from 497,034 visits to 703,391 visits, whereas the mean cost per patient rose by 56.4 percent, from $1,474 in 2006 to $2,306 in 2011.
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Recommendations for point-of-care ultrasound in peds ER
HealthDay News via Medical Xpress
Pediatric emergency medicine (PEM) physicians should be trained in point-of-care ultrasonography, according to a policy statement published online March 30 in Pediatrics. Point-of-care ultrasonography is increasingly being used to facilitate accurate and timely diagnoses and guide procedures. With this in mind, Jennifer R. Marin, M.D., from the American Academy of Pediatrics' Committee on Pediatric Emergency Medicine, and colleagues developed recommendations for use of point-of-care ultrasonography among PEM physicians caring for patients in the emergency department.
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Emergency medical info: There's an app for that
People with allergies, bleeding disorders and other medical conditions have long used medical ID bracelets, wallet cards or other tangible objects to alert physicians caring for them in an emergency. A Bronx, New York, physician says she has a better idea: cell phone apps. These can be accessed by physicians or other medical personnel and the apps are automatically downloaded on some cell phones' operating systems or are low-cost apps for purchase on others.
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Why is it so difficult to recruit patients to research in emergency care? Lessons from the AHEAD study
Emergency Medical Journal
Many of the barriers to recruiting patients for research studies encountered by research nurses have previously been reported in the literature, but there remain consistent problems. Until solutions are found, researchers will continue to miss recruitment targets and this will have implications for the efficiency and quality of emergency medicine research in the U.K.
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Data is no less secure even as HIPAA enforcement is here
By Lindy Benton
The headlines are endless and ever-growing: Healthcare data is at risk. Exposure is happening because a scourge of people worldwide is illegally trying to benefit from the information; because of improper protection of sensitive information; or because of some other sort of breach. However, despite continued efforts to address security loopholes across the sector, simply "taking action" to mitigate damage is not an effective strategy, and it won't work long term.
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Collaboration between nurses and physicians decreases rates of HAIs in critical care
Collaborative relationships between nurses and physicians decrease rates of healthcare-associated infections (HAIs) in critical care, according to an article in the April issue of Critical Care Nurse (CCN). The article, "Nurse-Physician Collaboration and Hospital-Acquired Infections in Critical Care," examines the association between nurses' perception of their working relationships with physicians and the rates of two of the most common HAIs.
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New stroke prevention efforts may be paying off
HealthDay News
Fewer people are being treated in U.S. emergency rooms for strokes caused by blood clots in the brain, which experts read as a sign that current stroke prevention methods are working. The rate of emergency department visits for either a stroke or a mini-stroke (transient ischemic attack) decreased dramatically between 2001 and 2011, according to a new U.S. Centers for Disease Control and Prevention report. Such ER visits declined 35 percent for adults 18 and older, and 51 percent for those 55 to 74, said the report from the CDC's National Center for Health Statistics.
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FDA issues draft guidance on abuse-deterrent opioids
U.S. Food and Drug Administration
The U.S. Food and Drug Administration issued a draft guidance document to assist industry in developing new formulations of opioid drugs with abuse-deterrent properties. The document "Guidance for Industry: Abuse-Deterrent Opioids — Evaluation and Labeling," explains the FDA's current thinking about the studies that should be conducted to demonstrate that a given formulation has abuse-deterrent properties, how those studies will be evaluated by the agency and what labeling claims may be approved based on the results of those studies.
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Missed last week's issue? See which articles your colleagues read most.

    ER doctor: What it's like to lose a patient (The Blaze (opinion))
New stent devices can limit stroke damage, says neurosurgeon (Medical Xpress)
Emergency physicians urge colleagues to help prevent gun violence (Medical Xpress)
St. Johns County ranked healthiest county in Florida (FCN-TV)

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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