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2014 Emergency Medicine "Life After Residency" Workshop
Tuesday, Sept. 30 - Wednesday, Oct. 1
Embassy Suites Orlando- Downtown
191 East Pine Street
Orlando, Florida 32801
Located next to Lake Eola and a short walk to Orlando nightlife.
Make your reservations early!
Call 1-800-809-9708 and ask for the "Florida Emergency Medicine Foundation" group rate. The room rate is $139.00 plus tax.
Hotel reservation DEADLINE: Sept. 1
The "Life After Residency" event is sponsored through the Florida College of Emergency Physicians (FCEP) and is offered to all residency programs. For more information, including the workshop topics that will be covered, CLICK HERE.
Confirm your participation in the 2014 Emergency Medicine Life After Residency workshop by contacting your residency program coordinator.
Emergency Care of Stroke Patients 2014:
Defining the State of the Art and the Science
November 13-14, 2014
All providers involved with acute care as well as hospital managers and administrators will benefit from this dynamic program that provides a comprehensive overview of best practices in acute stroke care.
EMERGENCY MEDICINE IN THE NEWS
Medicare Speaks 2014, in Panama City on Nov. 5-6, 2014
Learn what’s trending now in Medicare.
First Coast Service Options (First Coast), the Medicare administrative contract (MAC) for Florida, Puerto Rico and U.S. Virgin Islands, invites you to join our signature education event: Medicare Speaks 2014.
This event is for Part A and B Medicare providers and their billing and compliance representatives. You will benefit from data-driven content based on the latest Medicare changes that you need to know to bill Medicare the right way, the first time.
Former ACEP Member Killed in Car Crash
A doctor who saved many patients in the Central Florida Regional Hospital Emergency Room died in an early morning crash Aug. 23. Dr. David Briones was on his way home from his night shift when a vehicle going the wrong way on SR 417 collided with his car.
Briones, and the 30-year old driver of the other car, Noel Torres Alvarado, died at the scene. The Florida Highway Patrol says the two drivers were the only occupants of their vehicles.
2 US hospitals report patients undergoing Ebola tests
Blood samples from two patients at separate U.S. hospitals are being tested for Ebola as countries in West Africa struggle to contain the worst-ever outbreak of the disease. Health officials from both states said neither person is likely to have the disease.
Officials at the hospitals, in New Mexico and California, said yesterday that as a precaution they are sending the samples to the Centers for Disease Control and Prevention in Atlanta to rule out the presence of the virus.
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Futile treatment makes other ill patients needing medical attention to wait for critical care beds
Providing futile treatment in the intensive care unit sets off a chain reaction that causes other ill patients needing medical attention to wait for critical care beds, according to a study by researchers from UCLA and RAND Health.
The study is the first to show that when unbeneficial medical care is provided, others who might be able to benefit from treatment are harmed, said study lead author Dr. Thanh Huynh, an assistant professor of medicine in the division of pulmonary and critical care medicine at the David Geffen School of Medicine at UCLA.
When patients read what their doctors write
The woman was sitting on a gurney in the emergency room, and I was facing her, typing. I had just written about her abdominal pain when she posed a question I'd never been asked before: "May I take a look at what you're writing?"
At the time, I was a fourth-year medical resident in Boston. In our ER, doctors routinely typed visit notes, placed orders and checked past records while we were in patients' rooms. To maintain at least some eye contact, we faced our patients, with the computer between us.
Study: Patients with 2 or more ED visits in 1 year account for disproportionate costs
Almost one-third of acute heart failure syndrome patients seen in hospital emergency departments (EDs) in Florida and California during 2010 had ED visits during the following year, findings that suggest a lack of appropriate outpatient care. A study by Massachusetts General Hospital (MGH) investigators also finds that patients with frequent ED visits for the syndrome accounted for more than half of all such ED visits and hospitalizations, contributing to significant healthcare costs.
Bronchiolitis, deception in research and clinical decision making
Bronchiolitis is a viral lower respiratory tract infection characterized by increased respiratory effort and wheeze in young infants. Optimal clinical management has been difficult to define because bronchiolitis is a heterogeneous clinical condition and definitive research is lacking. During the past 3 decades, racemic epinephrine, bronchodilators, oral corticosteroids, inhaled corticosteroids, normal saline and hypertonic normal saline have been suggested as potential therapeutic options for bronchiolitis, but a single best practice has not emerged.
Apps that find the least busy ER are on the wrong track
By Alan Kelsky
Emergency departments would do well to tell their potential patient population that smartphone apps featuring which neighborhood ER is the least busy are generally a waste of money.
For patients with the sniffles, this might be useful information — although it is a waste of money and the ER's time for such a minor ailment. Go to an urgent care center. Public service announcements that all ERs sponsor should carry this message.
Are clinicians ready for ICD-10 documentation requirements?
Over the past two years, hospitals have invested in modifying applications and workflows to fit the demands of ICD-10. And many have ramped up training on the detailed documentation that the new coding system requires. But a February survey by the Medical Group Management Association indicated that only 10 percent of physician practices were prepared for the change, and a lack of familiarity with the new documentation demands was part of the issue. Documentation remains an Achilles heel for many hospital ICD-10 conversion plans.
Why emergency room visits by asthmatic kids peaks in September
During the third week of September, just as kids get back into the routine of school, the number of children with asthma who are taken to hospital emergency rooms spikes, according to the Lung Association.
Roughly 16 percent of Canadian children under the age of 12 have asthma, a common condition which can make breathing incredibly difficult when it flares up.
Asthma symptoms can often be triggered by allergens – like mold, dust, pets or ragweed – and irritants like cold air, smoke or air pollution.
Informatics shows pain leads to repeated emergency department visits
The primary culprit in postoperative visits to the emergency department is pain, according to a recent analysis by North Carolina researchers who used medical informatics to identify and improve shortcomings in patient care.
“There’s a lot in the news lately about improving health care outcomes,” said Dinesh J. Kurian, M.D., a resident at Duke University Medical Center, in Durham, North Carolina “At our institution, we’ve noticed that some of our patients are high emergency department utilizers — people who keep coming back over and over without ever seeming to get their problems solved.
Stem cell treatment presents challenges in neurology
By Dr. Afsaneh Motamed-Khorasani
In most neurologic conditions, injury to neural cells is followed by an immune response to the damage and consequential neurodegeneration. However, due to different genetic backgrounds, the disease manifestation could be different in each individual. Therefore, it would be ideal to design individualized therapy for each patient suffering the relevant signs and symptoms.
Repairing the central nervous system (CNS) and the reconstruction of the damaged neural network require the removal of etiological factors in the first place, followed by inflammatory response modulation, protection of neural cells from degeneration, and rebuilding the network connections.
More hospitals use the healing powers of public art
The Wall Street Journal
Researchers are learning more about the precise ways paintings and other works of art help patients and families in the healing process. With studies showing a direct link between the content of images and the brain's reaction to pain, stress, and anxiety, hospitals are considering and choosing artworks based on the evidence and giving it a higher priority than merely decoration for sterile rooms and corridors.
AHA clarifies when non-MDs may supervise cardiac stress tests
Medscape (free login required)
Nonphysicians with appropriate training and sufficient experience may safely conduct and oversee cardiac stress tests without a physician being present in the room, but a physician must be there when a high-risk patient is being tested. This recommendation is spelled out in a new AHA scientific statement on the supervision of clinical exercise testing by nonphysicians — which includes clinical exercise physiologists, registered nurses, nurse practitioners, physician assistants and physical therapists.
Common coding mistakes hospitalists should avoid
Medical decision-making (MDM) mistakes are common. The author lists the coding and documentation mistakes hospitalists make most often, along with some tips on how to avoid them.
New hydrogel drug delivery helps prevents transplant rejection
By Lynn Hetzler
Clinicians currently use systemic immunosuppression in vascularized composite allotransplantation (VCA). While VCA can be a superior method of restoring the function and aesthetics of transplants, it can also cause significant side effects and negatively affect the quality of life for transplant patients.
Scientists have now developed a means to administer immunosuppressant drugs locally. Furthermore, the researchers found a way to package the immunosuppressant drugs to release medication only when prompted by inflammation.
Missed last week's issue? See which articles your colleagues read most.
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