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ACEP continued its Fair Coverage Campaign with the release of a new public poll by Morning Consult. To view that poll, CLICK HERE.
ACEP also provided a link to a video addressing the results and features ACEP president Dr. Jay Kaplan advising what every American should do.
CLICK HERE to view the press release and web page that addresses this growing national issue.
EMLRC’s Street Drugs Webinar Series project is a series of webinars that will present one street drug per month for up to a 12 month period. Funded via by an educational grant from the Florida Department of Health, each webinar will be created by experts in the field of emergency medicine and/or toxicology and will review the following but not limited to: signs & symptoms; presentations; common forms; and on-site treatment of a particular street drug.
Webinars will be offered FREE of charge to all licensed EM professionals in Florida and will also offer an opportunity to earn continuing education credits.
Each webinar will be initially broadcasted live and then made available for playback for 29-30 days after the initial live presentation.
The second webinar will be ...
“Has anyone seen Molly?”, MDMA & other Empathogens
October 19, 2016 at 1:00 p.m. EST
Presented by Alfred Aleguas Jr., BS Pharm, PharmD, D.ABAT, FAACT
Live 60-minute webinar available through ReadyTalk
This 60-minute webinar will delve into the history, prevalence, and clinical presentation of MDMA (3,4-methylenedioxymethamphetamine) and other empathogens. We will also review the management of MDMA and other empathogens and the challenges that may arise with treatment.
For full details and continuing education information for the live webinar, CLICK HERE!
CLICK HERE TO REGISTER FOR THIS WEBINAR!
FCEP joins with FMA and other specialty society leaders for legislative reception held at the EMLRC.
New! Higher pay rates and generous sign-on bonus! Florida Emergency Physicians is looking for excellent EM Physicians to staff EDs near Orlando, FL. Comprehensive benefits package, leadership opportunities, and relocation assistance available. Send cover letter and resume to: email@example.com.
This webinar will delve into the history behind the recent heroin epidemic and how we arrived at the current state. It will discuss particular aspects of Florida and the demographics most heavily affected in our state. It will explore the massive healthcare impact that has occurred from this epidemic. It will focus on treatment priorities not only for the individual practitioner but also for a healthcare system as a whole.
Presented by Josef G. Thundiyil, MD, MPH, FACMT, FACEP
Associate Residency Director
Orlando Regional Medical Center
Associate Professor of Emergency Medicine
University of Central Florida, College of Medicine
If you missed this really powerful webinar, it will still be available for viewing for 30 days (September 26, 2016 thru October 22, 2016).
VIEW THE PLAYBACK VIDEO
Target Audience: All licensed EM professionals in Florida and other allied health professionals treating patients affected by street drugs. Offered FREE of charge with CME.
For full details and continuing education information for the playback webinar, CLICK HERE!
Wednesday, November 16, 2016 in Orlando at EMLRC
9 – 10 a.m.
Medical Economics and Government Affairs Committee
10 a.m. – 12 p.m.
Membership & Professional Development Committee
12:30 – 1:30 p.m.
Education and Academic Affairs Committee
1:30 – 2:30 p.m.
2:30 – 3:30 p.m.
Thursday, November 17, 2016 in Orlando at EMLRC
FCEP Board Meeting
9 a.m. – 12 p.m.
FEMF Board Meeting
12 – 3 p.m.
The Emergency Medicine Payment Reform Summit is a two-day event that will feature national faculty who will address Macra and ACA Reform, help develop solutions to address models for payment, and allow for audience interaction with speakers. Registration will be opening soon at EMLRC.org!
Need a quick and easy reference for pediatric nasal medications, procedural sedation dosing, or nerve blocks? Then check out the free PAMI Pain Management and Dosing Guide poster. The poster is organized by medication type or indication, age, and route. It includes information on Intranasal, Topical, Transdermal, Neuropathic, and Procedural Sedation Medications; Opioid Prescribing Guidelines and Equianalgesic Chart; Patient Safety and Discharge Considerations and more! Dosing ranges should be used as a general guide and adapted to specific patient characteristics such as age and co-morbidities. A free downloadable PDF of the dosing guide or poster can be accessed by CLICKING HERE. To obtain a poster for your ED, please email us at firstname.lastname@example.org or call (904) 244-8617. Include your mailing address and hospital name.
For more information visit the Pain Assessment and Management Initiative (PAMI). Follow PAMI on Facebook.
Photos from SBS2016 will be uploaded to EMLRC.org and FCEP's Facebook.
Save the dates and mark your calendar with all of FCEP's upcoming events!
Click here to see the 2016-2017 FCEP Annual Calendar!
Join today the premier grassroots network for emergency physicians and help make a difference on legislation impacting emergency medicine and patients. CLICK HERE to join today!
| || EMERGENCY MEDICINE IN THE NEWS — NATIONAL|
For in-hospital cardiac arrest, the use of therapeutic hypothermia was associated with poorer survival rates and worse neurologic outcomes, Get With The Guidelines registry data showed. In a propensity-score matched analysis, therapeutic hypothermia was associated with a relative 12 percent lower likelihood of in-hospital survival compared with usual care (27.4 percent versus 29.2 percent, P=0.01), researchers found.
Since the 1980's, intramuscular (IM) haloperidol has been a mainstay of emergency rooms (ERs) and psychiatric facilities. Frequently given as part of a cocktail with lorazepam (often known as the “B-52” or “HAC”), it has been a default treatment, along with physical restraints, for patients with acute agitation in these settings.
By Jessica Taylor
The Centers for Disease Control and Prevention confirmed 50 cases this year of acute flaccid myelitis, or AFM, in 24 states as of Aug. 31 — nearly double the number from 2015 when 21 cases were reported for the whole year. Health officials nationwide are worried that the rising number of cases of the mysterious, polio-like illness could reach the level of 2014, when AFM paralyzed 120 children. In any case, it's never too early for health practitioners to be alert for symptoms of AFM.
Injuries involving radiation sources and radioactive reactions are rare. Nevertheless, they can be catastrophic for the patient while simultaneously exposing the first responder to great risk. This work will focus on radiation-related injuries as well as thermal burns produced by nuclear reactions. It will also address radiation injuries that may have burn injury characteristics.
Researchers from the University of Utah School of Medicine have reported a case in which it is likely that a patient contracted the Zika virus from the sweat or tears of another infected individual. In correspondence with The New England Journal of Medicine, the researchers describe two cases they conclude indicate the spectrum of those at risk for Zika infection "may be broader than previously recognized." They added that those who are not severely immunocompromised or chronically ill may also be at risk for a fatal infection.
Of the 10 million prescriptions for antibiotics that emergency department physicians in the U.S. write each year, many are prescribed for known viral infections, such as acute bronchitis and upper respiratory infections, which do not respond to antibiotics.
Hospitals have become creative with their strategies to reduce emergency department crowding. Among the latest solutions: "Bed czars" who monitor ED throughput.
Sharp Grossmont Hospital in La Mesa, California uses their “bed czars” to ensure that patients who will stay overnight at the hospital are moved from the ED to their hospital rooms in a timely manner and monitor discharges, according to an article from The San Diego Union-Tribune.
Medical Device and Diagnostic Industry
Step into an ICU and you will experience a world of hustle and bustle, but also one of noise — most notably loud and piercing alarms, emanating from multiple bedside devices. These alarms, most of which have little clinical value or are simply ignored, are at best frustrating to the clinical staff and at worst harmful to the patient. While they can overwhelm nurses and cause what is referred to as "alarm fatigue," they can also interrupt the patient’s sleep, which is essential for their recovery. So much for creating a healing and comforting ICU environment!
The Clinical Advisor
A report published in Allergy identified the knowledge gaps that should be addressed to appropriately identify patients who have the highest risk of severe food-induced allergic reactions. Severe allergic reactions can be very similar to mild or moderate reactions at onset, and many individuals who experience life-threatening reactions may not initially realize the potential severity of the reaction. Therefore, researchers reviewed the evidence and examined the factors that could be used to identify patients with the highest risk of allergic reactions.
New guidelines for the management of severe traumatic brain injury (TBI) provide an update of all available evidence and recommendations since the third edition of the guidelines was published in 2007, researchers reported -- but, sadly, it lacks answers to many key clinical questions.
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