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Registration Deadline is TODAY!



Only 6 Days until Emergency Medicine Days!

Emergency Medicine Days (EM Days) in Tallahassee is the premier advocacy event each year for The Florida College of Emergency Physicians.

Each spring, all FCEP members are invited to our state capital for face time with legislators. FCEP members gather with their colleagues lobbying for legislation to provide better access to quality care for our patients.

Registration is FREE for all FCEP members and special hotel rates are available for a limited reservation period.

Approved for 6.75 AMA PRA Category 1 Credits™

REGISTER TODAY!

DOWNLOAD AGENDA!

Hotel Information


Book your room today at Aloft Hotel, in the heart of the Capital City!

Aloft: 200 North Monroe Street, Tallahassee
Reservations: (850) 513-0313
Group code: FEC10A

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Dear FCEP Members,

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.

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 election.

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 bbrunner@fcep.org no later than March 28, 2014.

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'Moral Monday' ushers in 2014 session


The 2014 legislative session opened Tuesday, with about 400 Floridians that rallied in the Capitol Courtyard on Monday for what was billed as "Moral Monday."

Speakers at the rally called for lawmakers to expand Medicaid, stop the state's voter purge and roll back the "stand your ground" self-defense law.

None is likely to occur during the impending legislative session, but the protestors vowed to carry their concerns to the polls in the midterm elections this fall.

U.S. Representative Corinne Brown, a Jacksonville Democrat, led the crowd in a chant of "It's not working" – a dig at Gov. Rick Scott, who has adopted the slogan "It's working" about his agenda of jobs and tax cuts.

"We are sick and tired of reverse Robin Hood ... robbing from the poor and working people to give tax breaks to the rich!" said Brown.

The "Moral Monday" idea comes from voting-rights protests in North Carolina last year, and has spread to Georgia and Florida this year.

Later on Monday, the conservative Americans for Prosperity group held a rally to deliver a different message. House Speaker Will Weatherford thanked them for supporting his priorities: tax cuts, pension reform and increased school choice.

Weatherford, R-Wesley Chapel, led the House's opposition to Medicaid expansion last year.

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Is the tele bill dangerous?

A Florida House bill that would promote "telehealth" - patient care from a distance - passed a key committee Monday by a unanimous vote.

The bill, (HB 751), would allow patients to be diagnosed and treated from afar using high-quality video linkups without requiring clinicians to first get a Florida license, a time-consuming and expensive chore. As long as the practitioners were licensed in their home state and registered with the state of Florida, the bill would let them practice telehealth.

The bill passed the House Select Committee on Work Force Innovation unanimously, with many members acknowledging it needs tightening up. Its co-sponsors, Jacksonville Democrat Mia Jones and Orange Park Republican Travis Cummings, promised to help address objections.

Jones appeared to surprise the doctors lobby group by introducing a "strike-all" amendment to her own bill, stripping out provisions that might put barriers in the way of developing the technology and a market for it.

Doctors' groups have asked for telehealth legislation that would regulate the practice, but in their comments at hearings they have said they want lawmakers to:
  • Limit it to M.D.'s or D.O.'s, doctors of osteopathic medicine.
  • Require a telehealth doctor to obtain a Florida license to consult in or treat Florida patients.
  • Mandate that insurers pay for telehealth sessions, preferably at the same rate as face-to-face visits. Some insurers have been reluctant to set up payment structures for a type of practice that doesn't exist in Florida law.
The bill skips any mention of pay requirements. Sponsors said they didn't want to cripple the natural growth of a market that should develop on its own, given the demand.

Jones said she has faith that it will, given what she saw on a trip to Alaska three years ago. There, she talked to doctors and nurse practitioners who frequently treated patients hundreds of miles away.

"I heard them speak of a world I could only wish for my state," she said. "It was at that point that I began to work on telemedicine moving forward in Florida.

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Follow @FCEP and @FCEPprez on Twitter

FCEP has been working to grow our social media reach using popular channels; one of those is Twitter, twitter.com/fcep.

We intend to use Twitter as a means of communication; most tweets will be done in conjunction with the latest news regarding FCEP's legislative hot topics and to let you know of any changes happening around here.

Connect with FCEP:           

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Save the date!
March 10-12, 2014 Emergency Medicine Days
March 11, 2014 FCEP Board of Directors Meeting
April 8, 2014 FCEP Board Conference Call
May 7, 2014 FCEP Committee Meeting
May 8, 2014 FCEP Board Meeting at FCEP
May 18-21, 2014 ACEP Leadership and Advocacy Conference
June 10, 2014 FCEP Board Conference Call
June 16, 2014 FCEP Board Conference Call
July 17-20, 2014 ClinCon
Aug. 7-10, 2014 Symposium by the Sea
Aug. 7, 2014 FCEP Board of Directors Meeting

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SAVE THE DATE!
July 17-20, 2014



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Saint Luke's Health System is sponsoring their 7th Annual Forensic Investigations Conference, May 14-16, in Kansas City, MO! ACEP is trying to improve the availability of specific medical-forensic content for ACEP members (sexual assault, domestic violence, elderly and child abuse), as well as our forensic colleagues in nursing, criminal justice and advocacy. Last year we had over 480 participants who came to KC for forensic education, fun and great BBQ!

ACEP will offer a specific Pre-Conference, an "Advanced Sexual Assault Medical-Forensic Course for Physicians," on May 12 & 13. This ACEP Category I CME approved course has been well received by physicians, residents and program directors across the country and it concentrates not only on up-to date necessary clinical forensic skills, but important sexual assault program medical director, court room and legal issues. This intense 2-day presentation is taught by physician colleagues with over 50 years of experience in these medical-forensic areas.

Please click on the below link to access the full conference brochure details and registration.

www.saintlukeshealthsystem.org/forensic

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EMERGENCY MEDICINE IN THE NEWS


Toothaches a headache for Florida EDs
The News-Press
Hospital EDs can't fix dental problems, but they are increasingly the medical destination for the state's under-insured, a new study finds. More than 139,000 Floridians with toothaches, oral sores, cavities and related complaints sought out the emergency departments in 2012, a 6.4 percent increase over the previous year, according to the Florida Public Health Institute. The price: about $141 million.
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Skill, dedication: Emergency room staff plays a key role in care
The Houston Chronicle
When an accident occurs, an injury occurs in the home or other medical emergency happens, today's patients turn to — and depend on — the skills, experience and expertise of a hospital emergency room staff. Somewhat surprisingly, the field of emergency medicine is a comparatively young medical discipline. As the number of patients seeking immediate, unscheduled medical care for emergency conditions grew, by the 1960s, it became clear that physicians lacked necessary skills to deliver the care needed for ER patients.
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Observation before CT in pediatric head trauma
HealthDay News via MPR
Children with minor blunt head trauma who present with isolated vomiting may not need a computed tomography scan to look for traumatic brain injury, according to research recently published in the Annals of Emergency Medicine. "Traumatic brain injury on CT is uncommon, and clinically important traumatic brain injury is very uncommon in children with minor blunt head trauma when vomiting is their only sign or symptom," the authors write. "Observation in the emergency department before determining the need for CT appears appropriate for many of these children."
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Looking for similar articles? Search here, keyword(s): Pediatric trauma.


Feds to fine state over limit on Medicaid patients' ER visits
The Miami Herald
Florida has been limiting Medicaid patients to six emergency room visits a year even though federal officials consider such a cap illegal. As a result, the federal government intends to penalize the state by withholding a portion of Medicaid funding. "We hope the state will realign their Medicaid program with federal standards to avoid this penalty," said Emma Sandoe, a spokeswoman for the Centers for Medicare and Medicaid Services. The Florida Agency for Health Care Administration is in the midst of an appeal of the federal government's rejection of the six-visit limit. A September hearing is scheduled.
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Emergency nurses must be trained to recognize symptoms of meningococcal septicaemia
The Medical News
Nurses working in emergency care environments must be trained to recognize the atypical signs and symptoms of meningococcal septicaemia. A case study, published in Emergency Nurse, reveals how easy it is for such symptoms to be missed, delaying diagnosis and treatment of a patient with the life-threatening condition. The article states the patient had some signs and symptoms of bacterial meningitis but not typical ones such as headache, neck stiffness and light sensitivity.
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Using storytelling to combat the prescription opioid abuse epidemic
Medical Xpress
In the fight against a nationwide prescription opioid abuse epidemic, Penn Medicine researchers are using storytelling to help doctors recall important, potentially lifesaving national guidelines on how to prescribe these medications. Opioid overdose is the second leading cause of unintentional injury death in the U.S., and many of these fatalities can be attributed to patients taking too much a legally prescribed pain medication. Nearly half of patients presenting to an emergency department have painful conditions, yet emergency patients are also considered at high risk for opioid abuse. To deliver patient-centered care, emergency physicians are often challenged to identify — during only brief interactions — the best pain regimens to prescribe.
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Medical groups issue new geriatric ED guidelines
FierceHealthcare
Four medical groups issued new standardized geriatric emergency care guidelines that outline how to set up programs and deliver care to this growing population. The guidelines, developed by the American College of Emergency Physicians, the American Geriatrics Society, the Emergency Nurses Association and the Society for Academic Emergency Medicine, address various problems common in aging patients, including delirium, falls, medication management, catheter use and dementia.
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FCEP EMnews

Colby Horton, Vice President of Publishing, 469.420.2601
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Lisa Smith, Senior Content Editor, 469.420.2644  
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Priscilla Lauture, FCEP Communications Specialist, 407.281.7396, ext. 232  
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