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FCEP NEWS


A letter from the Florida Department of Health
The 2013-2014 flu season appears to have peaked, with 37 counties reporting decreased influenza activity in the week ending March 8, and another 28 counties indicating activity is at a plateau.

Read the letter from the Surgeon General Here.

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Monday, March 25, House HHS Appro passed HB 751 to expand the use of telemedicine
"This is an obvious innovation that our citizens really need," Representative John Wood, R-Winter Haven, said to the other members of the House Health Care Appropriations Subcommittee.

Some had concerns about out-of-state doctors using telemedicine for patients in Florida. "I am very, very concerned about liability and the accountability of out-of-state providers," said Representative Elaine Schwartz, D-Hollywood. Rep. Matt Gaetz, R-Fort Walton Beach, and Rep. Jose Felix Diaz, R-Miami, also voted no.

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Graduate medical education programs
The subcommittee passed a plan to conduct annual surveys on graduate medical education programs to help expand and create new ones throughout the state. Increasing graduate medical education and residency program funding is one strategy for alleviating a physician shortage and it is the favorite option for Senate President Don Gaetz, R-Niceville. Members voted unanimously for HB 7109 which now heads to the chamber floor.
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Bill expanding medical powers for nurses passes Senate committee
The Florida Current
The Senate Health Policy Committee just barely voted in favor of a bill that would expand medical authority to advanced practice registered nurses despite staunch opposition from some panelists.

SB 1352, by Sen. Denise Grimsley, R-Sebring, passed the committee on Tuesday with a vote of 5-4 after roughly 30 people chiefly from various nursing associations spoke in favor of it. Grimsley's proposal gives advanced practice nurses authority to prescribe controlled substances and initiate the Baker Act on a patient who may require an involuntary psychiatric evaluation. Also, the bill would allow nurses to release patients brought in for the involuntary test.

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Bill helping Pasco, Manatee trauma centers
WUSF News
A House panel Monday overwhelmingly approved a proposal (HB 7113) that would ensure the continued operation of three hospital trauma centers that are threatened by long-running legal challenges.

The House Health Care Appropriations Subcommittee voted 11-2 to approve the bill, sponsored by Rep. Jason Brodeur, R-Sanford, which is designed to keep open Blake Medical Center in Manatee County, Regional Medical Center Bayonet Point in Pasco County and Ocala Regional Medical Center in Marion County.

Supporters argue that additional trauma centers, all owned by the for-profit HCA Healthcare chain, provide better access to care. "I think the closer we can get care to the people who need it, the better,'' said Rep. Matt Gaetz, a Fort Walton Beach Republican who voted for the bill.

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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 THIS Friday, March 28, 2014.

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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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Upcoming webinar
Please join the ACEP Trauma and Injury Prevention Section and the White House Office of National Drug Control Policy (ONDCP) for a co-sponsored webinar entitled ‘Naloxone Distribution from the ED for patients at-risk for Opioid Overdose’ on Friday, April 25th at 2 p.m. EDT.

Poisoning or drug overdose recently surpassed motor vehicle crash as the number one cause of injury-related death in the United States. There has been a rapid increase in fatal overdose since the mid-1990's which is largely attributable to the increase in prescribed opioids as well as prescription opioid misuse and abuse. Additionally, heroin-related overdose deaths are also increasing and many new-initiates of heroin report first misusing prescription opioids. Along with this rise in fatal overdose, there has also been an increase in opioid related ED visits secondary to non-fatal overdose or misuse.

The distribution of naloxone, an opioid agonist, has been associated with a with a decline in fatal overdoses in population based studies, has been long used by community-based/public health programs and is increasingly used in medical settings including primary care and emergency departments. This webinar will discuss recent research and programs on provision of take-home naloxone to ED patients at risk for opioid overdose, as part of a strategy to reduce opioid related harms and substance abuse. Lastly, we will highlight a successful take-home Naloxone program to discuss the real-world application and implementation of a take-home Naloxone program. At the end of the webinar, there will be time for a question and answer period and we hope to generate conversation and enthusiasm around this important topic.

Please register here
Registration URL: https://attendee.gotowebinar.com/register/7507287630181846274

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Save the date!
April 8, 2014 FCEP Board Conference Call
May 7, 2014 FCEP Committee Meetings
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
Aug. 7-8, 2014 FCEP Committee Meetings

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SAVE THE DATE!
August 7-10, 2014



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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


Can Google Glass transform medical education?
HIT Consultant
Google Glass looks exciting for the medical world, and presents a particularly powerful opportunity for medical education. A white paper by the Department of Emergency Medicine, Singapore General Hospital says, "simulation-based training has opened up a new educational application in medicine. It can develop health professionals' knowledge, skills and attitudes, whilst protecting patients from unnecessary risks." Google Glass is taking simulation to the next level and making it more real, as the patients treated are real.
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More than 10 percent of ER visits involving energy drinks result in hospitalization
The Washington Post
More than 10 percent of emergency room visits by people age 12 or older for problems involving energy drinks are serious enough to result in hospitalization, the federal government recently warned. The Substance Abuse and Mental Health Services Administration said that 20,783 people visited emergency rooms in 2011 for difficulties involving the high-caffeine drinks, which are heavily marketed to youths and young adults. Eleven percent of them were hospitalized.
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4 ways to prepare EMTs for violent patients
EMS1
There is no denying the fact that EMS professionals deal with violence on the job. So the question becomes, what do you do you prepare for it? When dealing with violence on the job, those in EMS, firefighters on an EMS call and emergency department nurses for that matter, are in a unique environment. Unlike any other person placed in a perceived self-defense situation, EMS professionals have to recognize, in a split-second, whether they are dealing with a person who is really trying to harm them or not.
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Looking for similar articles? Search here, keyword(s): Training for violent patients.


Study: ER use of narcotic painkillers up almost 50 percent
CBS News
More and more Americans are being prescribed powerful narcotic drugs when they visit the emergency department for problems such as low back pain or a pounding headache, a new study finds. Between 2001 and 2010, emergency departments in the United States showed a 49 percent increase in prescriptions for narcotic painkillers — also known as opiates. That was despite the fact that there was only a small increase in the percentage of visits for painful conditions.
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10 ways to safely push ketamine in the ED
MedPage Today
Reuben Strayer, MD, led a "We should do ____ more often" session at a recent American Academy of Emergency Medicine meeting. The blank was, as you've probably guessed, "push ketamine," the N-methyl-D-aspartate receptor antagonist originally used in horses, but notorious as a street drug often called "Special K." Clinically, ketamine has an established presence among anesthesiologists, psychiatrists, pediatric EDs, and has even spread to rural Uganda. Now, it seems physicians in the general ED have started to push ketamine more often. Richard Levitan, MD, recently called it a "comeback kid."
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EXCLUSIVE CONTENT


What's the right solution for ER overuse?
By Trina McMillin
In nearly every emergency room across the country, there are patients waiting to be seen that do not require urgent care. This problem leads to overuse of the emergency department, contributing to ever-increasing healthcare costs. A 2011 survey conducted by the Centers for Disease Control and Prevention reports nearly 50 percent of the patient respondents were in the ED because they did not know where else to go. Discussions related to the misuse and overuse of ERs have continued for 40 years. The following is a look at some of the problems and possible solutions surrounding this issue.
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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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