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Audrey T Bowen, MD, FACEP
Vegas Brown, MD
Cristina Bultron-Rodriguez, MD
Tabitha Anne Campbell, MD
Damian E Caraballo, MD
Jason DeLeon, MD
Michael A Duchesneau, MD
Hanna Eadeh, MD
Marshall A Frank, DO
Frank Alan Fraunfelter, MD
Rita M Gillespie, DO
D Eliot Goldner, MD
Andrew David Housholder, MD
Edwin Yi-chaio Hsu, MD
Christopher L Hunter, MD
Saundra A Jackson, MD
Alison G Killelea, MD|
John D Kimpel, MD
Jeremy F Kirtz, MD
Omayra Mansfield, MD
Carmen J Martinez, MD
Jaime Massucci, MD, MBA
Pia Myers, MD, FACEP
Rachel E O'Malley, MD
Yadira Ramos-Arias, MD, FACEP
Danyelle Redden, MD
Richard Rodriguez, MD
Sophia Sheikh, MD
Veronica Sikka, MD, PhD, MHA, MPH
Rewadee Soontharothai, MD
L Kendall Webb, MD
Alexander Williams, MD
Since the passage of Florida’s comprehensive prescription drug legislation and subsequent implementation of the Prescript Drug Monitoring Program coupled with local law enforcement and regulatory changes, the number of illegal pill mills within the state has decreased and along with it the number of prescription related deaths. Unfortunately, with this decrease in pill mills there’s been an alarming increase in the usage of illegal drug, specifically heroin, as many individuals who have become addicted to opiates now seek cheaper alternatives.
In Orange County alone, law enforcement has seen a 400% increases in heroin submissions and according to the Florida Medical Examiner’s Office there’s been an 84% increase in heroin related deaths. Mayor Teresa Jacobs has formed the Orange County Heroin Task Force (OCHTF) who’s tasked with defining the extent of the heroin problem in Orange County, reviewing best practices, educating and engaging community stakeholders.
The OCHTF’s Healthcare Subcommittee, co-chaired by Drs. Josef Thundiyil and Kevin Sherin, will review current naloxone legislation, review current educational and training needs for medical students, resident physicians, physicians, nurses and other medical staff regarding: heroin use, prescription opioid abuse; pain management; safe prescribing practices; medication assistant treatment options and recovery support resources that are available within the community. They will work with the other formed subcommittees (Law Enforcement, Treatment, and Education) in a multi-jurisdictional effort to provide a viable solution that will prevent heroin related deaths and decrease usage in the county. The next meeting of the OCHTF is schedule for Friday, September 18th at 10:30am in the Orange County Administration Building.
Sept. 29, 5:30 p.m., through Sept. 30, 2:45 p.m.
Sweetwater Branch Inn, Gainesville, FL
This year’s workshop will be hosted by the University of Florida Residency Program, under the direction of program chairs, Adrian Tyndall, M.D., and Michael Falgiani, M.D. The workshop is open to all emergency medicine residency programs. Residents, confirm your participation by contacting your residency program coordinator.
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
Jan. 18–20, 2016
Hotel Duval, Tallahassee, FL
Emergency Medicine Days is the premier advocacy event for the Florida College of Emergency Physicians. It takes place during the legislative session, and is a valuable opportunity for Florida’s emergency physicians to get to know their state legislators and discuss the key issues currently affecting emergency medicine. It is also a wonderful opportunity to earn continuing medical education (CME) credit.
Registration will open Oct. 1, 2015 along with more details!
Part of FCEP’s mission is to advance emergency medicine and improve access to emergency care through advocacy. Help to further this cause by supporting these Political Action Committees (click on the link to donate):
Physicians for Emergency Care (PEC) and Emergency Care for Florida
Save the date and mark your calendar with FCEP's upcoming events! Click here to see the 2015-16 calendar.
ACEP wants to tell your story of why you chose EM and how it has impacted your life. Grab your smart phone and record a 30–second to 1-minute video answering two questions: Why you practice EM? One case or experience in your practice that impacted you or your life? Record yourself at home, in your ED, in your car or anywhere you feel like sharing your story. We want to hear about real moments – with a patient, with a coworker, alone – that crystallize why emergency medicine. Your video could be heart-touching. Could be funny. Could be a failure.
But we are looking for the emotional response that you had to a singular moment or event. We think you can help inspire others with your stories. Just think of it as talking to a co-worker about that one reason why you come back, shift after shift. We want to share your video on our website and at ACEP15 in Boston.
Email your short video to our producer, Jonathan Holt, at email@example.com. If you file is too big he can send you instructions on how to submit it to a Drop Box account. It would be helpful to have your video submission no later than Sept. 21.
| || EMERGENCY MEDICINE IN THE NEWS — AROUND FLORIDA|
Jordan Bellar rushed her 9-year-old son, Devon, to Health Central's Emergency Room in Florida for an elevated heart rate. "They said it would be a four- to five-hour wait, and it was very crowded in the waiting room," Bellar said. We've all been there, patiently waiting to be seen at a hospital ER. You may have even seen hospital billboards posting ER wait times.
Erin Segerstrom said she’s spotted a few.
“I see them on 75 and 4 and they're like four minutes, six minutes, and I’m like, 'Wow," she said.
The Daytona Beach News-Journal
It happens every day in the emergency room at Florida Hospital Flagler.
Children arrive who have swallowed their grandparents' pills. Drug addicts push their limits and overdose. The elderly get confused and take too much of their medication.
Thousands of Volusia and Flagler residents called Florida's Poison Control Centers in 2014, and the organization's redesigned website provides insight into why and how often Floridians are calling.
Health News Florida
About 9.9 million people have signed up and paid for health insurance under President Barack Obama's healthcare law, the administration said, a slight dip from a previous count but on track toward the administration's year-end goal of 9.1 million. The U.S. Department of Health and Human Services said that 84 percent of those, or more than 8.3 million, were receiving tax subsidies to help with the cost. A Supreme Court decision earlier this summer upheld insurance subsidies in all 50 states, a major victory for the White House.
In Central Florida, bike injuries reported to law enforcement during the same 16-year period spiked by more than 51 percent, according to transportation records. In 1998, there were 486 bicycle injuries reported in Lake, Orange, Osceola and Seminole counties. In 2013, there were 736 incidents.
Health News Florida
A new model of healthcare run by doctors and hospitals is growing and saving money in the taxpayer-funded Medicare program, according to a new report from the federal government. However, experts say most patients still don’t understand how an Accountable Care Organization works. And while early data shows financial improvements, experts say it’s too early to know the long-term financial impact.
| || EMERGENCY MEDICINE IN THE NEWS — NATIONAL|
Six-year-old Nhaijah Russell swallowed three or four squirts of seemingly innocuous liquid hand sanitizer at school. It tasted good, she said, like strawberry.
It also contained enough alcohol to make her dangerously drunk. She arrived at the emergency room slurring her words and unable to walk.
Patient satisfaction typically isn't the most important issue for emergency room doctors when dealing with life-and-death cases and a waiting room packed full of sick patients. But it must become a higher priority, especially when the ER is busier than usual.
Stroke centers worldwide recognize the concept “Time is Brain,” which encourages rapid stroke intervention to maximize patient outcomes. In an acute stroke setting, intervention with chemo-thrombolysis — as supported by the NINDS trial — or combined intravenous-tissue plasminogen activator intrarterial intervention are essential tools in arresting stroke progression.
Black children with acute appendicitis — a clearly painful emergency — are less likely than white children to get painkillers in the emergency room, researchers reported Monday.
And nearly as troubling, only about half of any of the kids got painkillers, even though they're strongly recommended in cases of appendicitis, the researchers found.
The lowly tricycle can be a dangerous ride, sending more than 9,300 children to U.S. emergency rooms each year, a new study finds.
Kids 1 and 2 years old accounted for 52 percent of those tricycle-related ER visits in 2012-2013, researchers found. Boys were injured more often than girls, and most injuries involved cuts, usually on the face.
Vitamin D supplementation may reduce exacerbation of asthma in children, according to study results. Bruno D. Riverin, MSc, of the department of pediatrics at Montreal Children's Hospital at McGill University Health Centre, and colleagues performed a systematic review of randomized controlled trials in which vitamin D supplementation was used as a treatment for childhood asthma.
The Huffington Post
The patient was a toddler with a temperature of 105 degrees. About a week after returning from a vacation, he was coughing, vomiting and had diarrhea. His illness could have been any number of things: the common cold, the flu, or just plain exhaustion. At this time last year, Michelle Warren, the triage nurse answering the phone at the general pediatrics clinic of Children's Hospitals and Clinics of Minnesota, would have asked his mom to make an appointment at any one of the doctor’s offices in the network.
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