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Today is your last chance to register online for Symposium by the Sea 2019. Registering in advance saves you 15 minutes at the registration desk, and prices increase for on-site registration.
Register Now for Symposium by the Sea
Call for Photos: What do you do to promote and practice wellness? Send in photos of you celebrating wellness to firstname.lastname@example.org by Friday, July 26. We'll be sharing them during Symposium by the Sea 2019.
Agenda at a Glance:
Thursday, August 1, 2019:
8:00–9:00 am: Membership & Professional Development Committee
9:00–10:00 am: Education & Academic Affairs Committee
10:00–11:00 am: Medical Economics Committee
11:00–12:00 pm: Government Affairs Committee
12:00–1:00 pm: Lunch
1:00–2:00 pm: EMS/Trauma Committee
1:00–3:00 pm: Council of EM Residency Program Directors & Core Faculty Meeting
2:00–3:00 pm: Pediatric EM Committee
3:00–5:30 pm: FCEP Board of Directors Meeting
5:30–6:30 pm: Reception for Rep. Paul Renner
6:30–8:00 pm: Incoming President's Reception (invitation-only)
Friday, August 2, 2019:
7:00–12:00 pm: LLSA for Today
8:00–9:00 am: Product Showcase: Mask-Free NIV for Spontaneously Breathing Patients
9:00–12:00 pm: Pediatric Track
10:00–12:00 pm: CORD Track
10:30–12:00 pm: FEMF Board of Directors Meeting
11:30–4:30 pm: Exhibit Hall Opens
12:00–1:00 pm: Treating Hemophilia A in the ED
12:30–2:00 pm: Rapid Fire Sessions
12:30–4:30 pm: SimWARS Competition
3:00–4:00 pm: Improving Emergency Care for Patients with Sickle Cell Disease
5:00–6:00 pm: EMRAF Reception (residents only)
6:00–8:00 pm: Wine, Beer & Cheese Reception + Research Poster Abstract presentations
Saturday, August 3, 2019:
7:30–8:30 am: Eliquis Product Showcase
8:30–10:00 am: EM Town Hall Session
9:00–1:00 pm: Exhibit Hall Open
10:00–11:00 am: Product Showcase: Clinical Collaboration to ID & Support Complex Patients
11:00–12:00 pm: FL Independent EM Group Meeting
11:00–1:30 pm: Case Presentation Competition (CPC)
11:30–1:30 pm: Rapid Fire Sessions
1:30–2:30 pm: Past Presidents' Luncheon (invitation only)
1:30–2:30 pm: EMRAF Committee Meeting
1:30–3:30 pm: Medical Student Forum
2:30–3:30 pm: Women in Medicine Meeting
3:00–5:00 pm: Annual Volleyball Game
8:00–11:00 pm: Casino Night: Cheeseburger & Margarita Paradise (wear your best flip flops & Key West attire!)
Sunday, August 4, 2019:
9:00–10:00 am: Pediatric Procedural Sedation
9:00–11:15 am: SonoRace Competition
10:00–11:00 am: New Speakers' Forum
11:30–12:00 pm: Awards Ceremony (must be present to win!)
Full Details in Brochure Here
See you next week at the Boca Raton Resort & Club!
Can't wait? Read the digital edition now.
Next Issue: EMpulse Fall 2019
Learn more at emlrc.org/empulse and contact managing/design editor Samantha League with questions at email@example.com.
Congress is in the midst of making decisions on surprise billing that could have major ramifications for your profession, your earnings, and your patients. All stakeholders agree that patients must be taken out-of-the middle in any solution, but if not done right, there is potential for significant over-reach of government authority into physician practices. At risk are your livelihood as a physician (both in terms of sharp reductions in salaries and reimbursement expected, and reducing opportunities on where you can practice), and continued access to quality care for your patients.
In the Senate, a bill was passed out of the HELP Committee last month that would cap out-of-network payments at the median contracted rate for that insurer in that geographic area. ACEP opposed this and we need your help in making sure this proposal does not continue to consideration by the full Senate without significant improvements.
House of Representatives Action:
In the House, the Energy and Commerce Committee recently considered the "No Surprises Act," which contains a bench-marking approach that caps reimbursement for out-of-network care at the median in-network rate for that geographic area. Pressure from stakeholders like ACEP and congressional supporters of an independent dispute resolution (IDR) model, precipitated a last-minute change to the bill that added an IDR mechanism. Although we appreciate the change, the revised proposal is structured so that over 99% of the care provided by emergency physicians will be ineligible for IDR. This leaves emergency physicians confined to the original legislation's bench-marked caps.
We must continue to advocate for the better alternative used in HR 3502, legislation introduced by Representatives Raul Ruiz, MD (D-CA) and Phil Roe, MD (R-TN). Please urge your legislators to support the IDR approach in this bill. The bill is up to 65 co-sponsors and we need to keep the momentum going.
Contact your U.S. legislators now before the August recess to advocate for the best solution to protect patients and ensure that the future of the specialty and your livelihood is protected.
To learn more about how you can advocate at home on the surprise billing issue during the Congressional recess in August, please click here to register for ACEP's upcoming "ACEP Townhall: Advocating on Surprise Billing in the August Recess" on Aug 5, 2019 at 1:00 PM Eastern Time.
Wilderness Considerations for MCIs
By Benjamin Abo, DO, EMT-P, FAWM
1 hour & 10 minutes | 1.0 CE
Accredited by ACCME | FBON | FEMS | FPA | CAPCE
Free & available until July 29, 2019
About: Florida is no stranger to MCIs. In such an "outdoor state," wilderness-related MCIs should be expected. We will discuss aspects of wilderness-related MCIs in Florida and wilderness-related topics that can lead to MCIs, even in cities.
The EMS report cards for VF witnessed cardiac arrest survival are in, and the results are dismal. Many large U.S. cities average less than 10%. Yet, there is hope: Seattle and King County, WA report over 60% survival — among the highest in the world. Why is this? What can your community do to improve?
The Florida Resuscitation Academy teaches high-performance CPR to EMS personnel, hospitalists and local health care providers through a free, one-day training program. This course will transform the way you think about and manages cardiac arrests. View Agenda Here
There are five upcoming sessions in Florida:
- Taylor County: July 29
- Columbia County: July 30
- Highlands County: August 15
- Monroe County: August 16
- Walton County: August 21
Contact Brittany Myers at firstname.lastname@example.org or 386-462-1551 x105 for more information.
According to a Florida Department of Health report posted on Monday, Florida has had 1,978 reported cases of hepatitis A this year. View Numbers by County, provided by The News Service of Florida.
DOH recommends that health care providers offer the hepatitis A vaccine to all persons at risk of hepatitis A infection who have not been vaccinated or do not know their vaccination status. The authority for a paramedic to perform immunizations exist in Florida Statute 401.27. This statute places EMS agencies in a unique situation to make a difference in this outbreak, and DOH is offering assistance in implementing EMS immunization programs.
DOH has identified 4 models of EMS Immunization Programs:
These programs would be implemented in partnership with your local County Health Department (CHD). The EMS Section will facilitate the implementation with your local CHD if needed. Sample training documents and a sample Memorandum of Understanding (MOU) are being developed for those that already have an established relationship with their CHD.
- EMS Community Paramedicine Immunization Programs: These programs perform vaccination clinics in the community events such as footballs games, fairs, festivals, etc.
- EMS Community Paramedicine Integrated Into 911 Response Immunization Program: These programs identify high risks patients during their 911 emergency calls and send community paramedics to their location to vaccinate soon after the 911 encounter.
- EMS/Fire Station Programs: These programs maintain a small supply of vaccine at the EMS/Fire Stations and perform vaccinations on patients that wish to be vaccinated.
- 911 Response Immunization Program: These programs carry refrigerated vaccine on 911 responding ambulances and perform vaccinations in non-emergency situations.
If you are interested in implementing an EMS Immunization Program, please complete this brief, 3-question survey.
The Opioid Use Disorder Technical Expert Panel (TEP) has produced an Environmental Scan Report and is requesting public comments by Friday, July 26 at 6:00 pm. Learn more about this project here.
Implementing Warm Hand-Offs Between EDs & Treatment Providers for Patients with Opioid Use Disorder
By Aaron Wohl, MD, FACEP; Mark Stavros, MD, FACEP; Nancy McConnell, MSW, MCAP, CRPS-A; Chief Judge Frederick J. Lauten
Produced in collaboration with FADAA
1.5 hours | 1.5 CME
Accredited by ACCME | FBON | FEMS | FPA | CAPCE
Audience: Anyone (if you do not have a license #, type in n/a)
Free & available until November 30, 2019
Patients suffering from opioid use disorder (OUD) present unique and unprecedented challenges to emergency care providers, who are on the front lines of this national opioid epidemic. This webinar discusses misconceptions about treatment and the disease itself; introduces the concept of warm hand-offs between EDs and treatment providers; reviews legal issues surrounding opioid overdose cases; and talks about the important role of peer specialists in recovery.
Reach emergency medicine residents who are actively seeking employment by sponsoring Life After Residency 2019. Find details in our sponsorship brochure and contact Melissa Keahey at email@example.com to secure your sponsorship!
Per HB 851 passed in Florida's 2019 Legislative Session, all healthcare providers must complete 1-hour of CME on human trafficking as part of their existing hours. EMLRC has an online course that satisfies this requirement.
Human Trafficking and Emergency Medicine
By Danyelle Redden, MD, MPH, FACEP
$20 | 2.0 hours of CME
Accredited by ACCME, FBON, FEMS
Take it Now
Subscribe to Florida PEDReady's weekly newsbrief, the PE2ARL: Pediatric Emergency Education, Advances, Resources & Literature. Brush up on your pediatric emergency education in just 10 minutes a week!
Subscribe to the PEDReady PE2ARL Here
FCEP members must opt-in to receive updates
Interested in contributing? Contact Dr. Phyllis Hendry at firstname.lastname@example.org for more information.
Life After Residency Retreat
September 19-20, 2019
Sirata Beach Resort
St. Pete Beach, FL
2:00-4:00 pm: Presentations & Workshops
4:00-5:00 pm: EMRA Quiz Show
5:00-6:30 pm: Welcome Reception with Sponsors
6:30-8:30 pm: Dinner, sponsored by Envision
8:30-11:00 pm: After Party, sponsored by TeamHealth
8:00-2:00 pm: Presentations & Workshops
Learn More & Register Now
UPCOMING FCEP & EMLRC EVENTS
|AUG. 1-4, 2019
||Symposium by the Sea 2019 | Register Now
|SEPT. 19-20, 2019
||Life After Residency Retreat | Learn More
||St. Pete Beach
To see the full calendar, click here.
A former Democratic candidate who dropped out of a Florida state House race in June has admitted to lying about being a doctor who treated victims of the 2016 Pulse nightclub shooting, according to multiple local reports. The Florida Department of Health is charging Elizabeth McCarthy with violating state law by lying about being a doctor, the outlet reported. She has reportedly been fined $3,094.95 for misrepresenting herself as a medical professional and is barred from telling anyone else that she is a doctor.
U.S. News & World Report
The staggering amount of money the U.S. spends on health care each year — expected to reach about $6 trillion by 2027 — is being driven in part by patients who get treatment in hospital emergency departments with problems a primary care doctor likely could solve, according to a data analysis released Monday by UnitedHealth Group. And while the poor and uninsured may be unable to afford or without access to a primary care doctor, the analysis by the health insurer of its own data and claims found that of 27 million emergency department visits annually by patients with private insurance, two-thirds are "avoidable" and "not an actual emergency." The average cost of such visits for common conditions that could have been remedied through primary care tops $2,000.
Society for Academic Emergency Medicine via Medical Xpress
Pediatric emergency medicine physicians are at risk for developing compassion fatigue, burnout, and low compassion satisfaction, but proactive awareness of these phenomena and their predictors may allow providers to better manage the unique challenges and emotional stressors of the pediatric ED to enhance personal well-being and professional performance, according to a newly published study. The authors suggest that while CO, BO, and CS are distinct phenomena, there are degrees of overlap among their predictive factors that may be ripe for intervention.
Clinical Pain Advisor
The use of opioids in emergency departments for the management of migraine pain in adolescents and young adults was found to be common and to be associated with biases, according to study results presented at the 61st Annual Scientific Meeting of the American Headache Society. In this study, data from the Cerner Health Facts for the 2010 to 2016 period were examined. A total of 14,494 unique ED encounters from 180 EDs were identified. Opioids were prescribed within 12 hours of ED admission in 23.1% of all encounters, and these medications were ordered as first-line treatment in 58% of cases.
An unusual state regulation that dictates how doctors need to treat a specific disease appears to be paying off in New York, according to a study published in JAMA. The disease is sepsis, which is the most common cause of death in hospitals. And the regulations came into being after the story of 12-year-old Rory Staunton became a cause célèbre.
Medscape (free login required)
Providing comprehensive remote care via telemedicine to older adults with dementia significantly cuts emergency department visits, new research suggests. During a period of about 3 years, access to a unique telemedicine program reduced ED visits in seniors with dementia by about 24% per year.
A survey from the American College of Emergency Physicians last year reported that 93% of 247 gauged emergency doctors did not believe their emergency departments were fully prepared for capacity surge of patients in the event of a major disaster or casualty indecent. Another 70% agreed with the statement that drug shortages had "increased a lot" in the past year, and about 90% reported they've been taken away from patient care to seek out alternative medications and care due to shortages. The crux of ED drug shortage issue falls on critical but regulated therapies such as anesthesia, as well as generic therapy options. New resolutions are necessary, and policy should be shaped by evidenced, collaborated discussion.
Right now, health care professionals only have that one way to measure a patient's pain, and it's completely subjective. Subjectivity is a problem because people rank the same pain differently, which results in different medical care. In other words, the same numerical ranking might get treated differently, depending on the patient. But now, a pair of advances in technology could change this by giving physicians objective ways to measure patients' pain.
A new survey shows several of the primary characteristics of physicians who are interested in pursuing telemedicine opportunities. The lead author of a new survey published this week by San Francisco-based Doximity says the data sheds light on the kinds of physicians who are interested in practicing telemedicine. "The main takeaway is there has been a focus on the patient side of telemedicine and not much on the other side of the screen. So, it's interesting in our survey to see there is variation in the types of doctors who are engaged with telemedicine, and as more patients turn to telemedicine there are more telemedicine opportunities for doctors," Christopher Whaley, Ph.D., an assistant adjunct professor at University of California-Berkeley's School of Public Health, told HealthLeaders.
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