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EMERGENCY MEDICINE IN THE NEWS — AROUND FLORIDA


FCEP member, Nabil El Sanadi, MD, is selected as the President of the North Broward Hospital District
Broward Health
The Board of Commissioners today selected Nabil El Sanadi, M.D. as the next President/CEO of the North Broward Hospital District (NBHD) which operates under the Broward Health name. The Board received 80 applications for the position and interviewed six finalists at a public meeting on Tuesday. Pending his acceptance, El Sanadi will replace Broward Health President/CEO Frank Nask.
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Tampa General, Florida Hospital form new company to offer wider range of care
Tampa Bay Times
Tampa General Hospital and Florida Hospital are teaming up to build a $60 million outpatient center in Brandon, launch a home care agency and create a hospice program. Their jointly owned partnership, called West Florida Health, is driven by a changing health care economy that favors big systems that can care for patients at all stages of sickness and health.
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Florida remain wary to expand Medicaid
FierceHealthPayer
As many Republican-led states propose Medicaid expansion plans, the two largest non-expansion states, Texas and Florida, have yet to throw their hats into the ring. Texas would benefit greatly from Medicaid expansion, according to a new report from Code Red Task Force. Not expanding the program has cost the state $3.6 billion so far, and that sum will most likely reach $66 billion over 10 years. What's more, the decision to not expand affects nearly 1 million Texans who are not receiving coverage.
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Legislative delegation meetings
FCEP encourages members to participate in their local legislative delegation meetings. These sessions provide a great opportunity for FCEP members to learn about their individual legislator’s priorities as well as to contribute to the discussion. FCEP would be happy to provide talking points on our 2015 legislative priorities.

Background:
County Legislative Delegations are nonpartisan groups of members of the Florida Senate and House of Representatives who represent each of Florida's 67 counties in Tallahassee.

The delegation is responsible for holding annual meetings in each county; developing the county's legislative program which includes all local bills, community appropriation requests and county and municipal legislative priorities; and serving as a liaison between the Florida Legislature and local governments and community organizations.

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5th Annual National Hospital Disaster Planning, Preparations and Response Symposium: An All-Hazards Approach
Friday, Feb. 13, 2015
Miami, Florida
This symposium is jointly sponsored by Jackson Health System and the University of Miami Miller School of Medicine. Click here to learn more.

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Florida Board of Medicine — Are you renewal ready?
Florida Board of Medicine
The Florida Department of Health will now verify your continuing education records when you renew your professional license. You are invited to join live webinars hosted by the Department so you can better understand this change. You will learn how the process will impact your license renewal. You will also see a demonstration of the continuing education tracking system, including how to create a Free Basic Account, view your course history and report continuing education. Participants will be able to ask questions at the end of the session.
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EMERGENCY MEDICINE IN THE NEWS — NATIONAL


For emergency room patients, self-reported drug ingestion history poor
HealthDay News via Healthcare Professionals Network
For patients presenting to the emergency department, self-reported drug ingestion histories are poor when confirmed by urine comprehensive drug screen (CDS), according to a study published in the January issue of The Journal of Clinical Pharmacology. Andrew A. Monte, M.D., from the University of Colorado Department of Emergency Medicine in Aurora, and colleagues examined the accuracy of self-reported drug ingestion histories in 55 patients presenting to an urban academic emergency department.
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Glucose level in emergency room could aid heart failure prognosis
HealthDay News via Healthcare Professionals Network
The measurement of blood glucose levels in patients arriving at emergency departments with acute heart failure could provide useful prognostic information and help improve outcomes in these patients, according to new research published online Jan. 8 in the European Heart Journal. Douglas Lee, M.D., Ph.D., senior scientist at the Institute for Clinical Evaluative Sciences and an associate professor of medicine at the University of Toronto, and colleagues reviewed data on 16,524 patients, aged 70 to 85, treated for acute heart failure at hospital emergency departments in Ontario, Canada, between 2004 and 2007.
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Staff makeup plays key role in hospitals' productivity
FierceHealthcare
Healthcare facilities can employ a diverse array of staffing patterns into their organizations in order to increase their productivity and better meet the needs of their communities, a new study suggests. The study, published in the January 2015 edition of Health Affairs, tracked staffing patterns and characteristics at 1,191 community health centers operating at 8,900 clinical sites in 2012. These centers provide primary care to low-income patients and typically experience the physician shortages that plague healthcare organizations in underserved communities. However, the authors note that lessons learned from studying community health centers can be translated to all types of healthcare organizations.
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FDA grants waiver for 15-minute flu test
Becker's Infection Control & Clinical Quality
The U.S. Food and Drug Administration has granted a Clinical Laboratory Improvement Amendments waiver to allow a nucleic acid-based influenza test to be used in physician offices, emergency departments, health department clinics and other healthcare facilities. The Alere i Influenza A & B test — which can be performed in the presence of the patient — uses a nasal swab sample and can provide results in as little as 15 minutes. Although negative results do not completely rule out an influenza virus infection, the test can aid physicians and healthcare professionals in their diagnosis and evaluation processes.
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Recognizing and addressing antiepileptic drug side effects
Neurology Advisor
For some people with epilepsy, side effects of antiepileptic drugs (AEDs) may affect quality of life even more than seizures. Because all AEDs suppress neuronal excitability or neurotransmission to control seizures, they also have an effect on cognitive brain functions. Common side effects include depressed cognition, somnolence, distractibility, and dizziness. Children with depressed cognition may exhibit aggression and hyperactivity.
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Heart patients urged to exercise their calf muscles
Science Network WA via Medical Xpress
Scientists have a strange tip for heart disease sufferers: make sure you exercise your ankles. University of Western Australia sports biomechanics scientist Fausto Panizzolo studied the walking style of people suffering from chronic heart failure and compared their stride to healthy, age- and fitness-matched volunteers. His team found people with heart failure chose to walk at the same speed and in the same way as their healthy counterparts, except their ankle muscles work much harder to keep up.
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Major study sends clear safety message to prevent brain injury in children
Medical Xpress
An exhaustive analysis of data from more than 40,000 cases of brain trauma in children — published by the authoritative New England Journal of Medicine — provides convincing evidence that protecting children in advance from head injuries is the key to reducing their severity.
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Flu season on track to be worst since 2008
Becker's Infection Control & Clinical Quality
On any day in December 2014, an average of 4 percent of Americans reported having the flu, according to Gallup — one of the highest rates of flu in the U.S. in the last seven years. The all-time high flu rate was in January 2013, when an average of 4.7 percent of Americans reported having the flu. Flu seasons typically peak in January or February, so this flu season could be one of the worst ever since Gallup started measuring the flu in 2008, according to Gallup.
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Tight control lowers death in Type 1 diabetes
MedPage Today
Tight glucose control has a legacy effect of reduced mortality, researchers reported. In long-term follow-up data from the DCCT/EDIC study, patients who had intense control for 6 1/2 years had a lower risk of death over nearly 30 years than those who had standard care, Trevor Orchard, M.D., of the University of Pittsburgh, and colleagues reported online in the Journal of the American Medical Association.
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Can social media depict mental illnesses?
By Jessica Taylor
Social media is a tool for users to express themselves, check on their friends and spread news. Now, researchers are trying to use this primary source of communication to determine if individuals show signs of mental illness. Using social media and technology to track mental health could be a scary thought, because unlike measuring glucose levels, there is no direct way to measure mental illness.
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Uninsured rate falls to 12.9 percent
Becker's Hospital CFO
The uninsured rate among adults in the U.S. for the fourth quarter of 2014 averaged 12.9 percent, which is a significant drop from the uninsured rate for the same period one year ago of 17.1 percent, according to Gallup. The uninsured rate in the fourth quarter of 2014 was only slightly down from the 13.4 percent uninsured rate in the third quarter of 2014.
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CDC: About 1 in 7 older adults has some form of lung disease
HealthDay News
Nearly 15 percent, or about one out of seven, middle-aged and older U.S. adults suffer from lung disorders such as asthma or chronic obstructive pulmonary disease (COPD), health officials said. While 10 percent of those people experience mild breathing problems, more than one-third of them report moderate or severe respiratory symptoms, the U.S. Centers for Disease Control and Prevention reported.
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Higher opioid doses associated with increase in depression
Internal Medicine News
Patients taking daily opioid medication for pain had double the risk of depression over time at dosages of 50 mg or more per day, a new study has shown. "We already know that depressed patients, over time, take more opioids. But we've been questioning whether this high-dose opioid use is really one of the reasons pain patients have higher rates of depression," Jeffrey Scherrer, Ph.D., said at the annual meeting of the North American Primary Care Research Group.
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The wearable bandwagon: Should providers jump on?
Healthcare Dive
The annual Consumer Electronics Show in Las Vegas this year is all about wearable technology, which the Consumer Electronics Association says represents a billion-dollar market in America. And as excitement over Apple's smart watch and other innovations brews, there's a lot of talk about the potential of mobile wearables and health-tracking mobile apps to improve consumer health by engaging people in their own health. However, while mobile tracking and cool-looking health gadgetry holds a lot of promise, can it really make a dent in what physicians must increasingly consider — quality improvement scores? And has the technology evolved enough for providers to incorporate wearables into their care strategy?
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    CDC: Flu has reached epidemic levels, 15 child deaths so far (USA Today)
Dehydration, poor diet fuel painful kidney stones (Las Vegas Review-Journal)
Can Medicaid expansion advocates get a Florida win in 2015? (News-Press)
Limiting rest is found to help young concussion patients (The New York Times)
ED bed coordinator speeds patient admissions (Medscape (free login required))

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



FCEP EMnews

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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