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FCEP NEWS



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.

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REGISTER NOW!



Emergency Care of Stroke Patients 2014:
Defining the State of the Art and the Science


November 13-14, 2014
Orlando, FL

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.

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EMERGENCY MEDICINE IN THE NEWS


A NURSE'S TAKE ON SYMPOSIUM BY THE SEA
An opportunity to share a learning experience with the clinicians of FCEP is rare and I found Symposium by the Sea enlightening. Each topic had practical applications for anyone in emergency care, nurses and prehospital providers included. There were a number of subjects which were new to me as an ER nurse of 30+ years including the efforts of the Florida College of Emergency Physicians to improve CMS's appreciation of reimbursement issues, as well as championing initiatives which offer hope in improving several of the primary challenges ERs face today, such as the limited availability of mental health resources. It was also interesting to hear numerous clinicians laud specific ENA objectives, particularly in the continuing discussion of nurses administering propofol. This was a wonderful collaborative experience and one which I hope I'll be sharing with more colleagues in 2015!

Florida Emergency Nurses Association’s Lisa Louis RN, CEN, CPEN

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American College of Emergency Physicians report finds Medicaid patients are users not abusers of the ER
Insurance News Net
A new report from the Medicaid and CHIP Payment and Access Commission (MACPAC) finds that Medicaid enrollees visit the emergency department appropriately like most patients, but they have generally more complex health needs and less access to primary care than their privately insured counterparts. According to a release from ACEP, the following is a statement from Alex Rosenau, DO, FACEP, president of the American College of Emergency Physicians (ACEP).
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Hospitals in the US get ready for Ebola
The New York Times
Hospitals nationwide are hustling to prepare for the first traveler from West Africa who arrives in the emergency room with symptoms of infection with the Ebola virus. Dr. Thomas R. Frieden, director of the Centers for Disease Control and Prevention, has said such a case is inevitable in the United States, and the agency this month issued the first extensive guidelines for hospitals on how recognize and treat Ebola patients. The recommendations touch on everything from the safe handling of lab specimens to effective isolation of suspected Ebola patients. But one piece of advice in particular has roused opposition from worried hospital administrators.
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Heparin in stent patients: New love for an old friend
MedPage Today
Among patients with ST-elevation myocardial infarction undergoing percutaneous coronary intervention (PCI), bivalirudin (Angiomax)-based anticoagulation may increase the relative risk of acute stent thrombosis or recurrent MI when compared with similar patients treated with heparin. The trade-off, according to Matthew A. Cavender, M.D., and Marc S. Sabatine, M.D., of the TIMI Study Group at Brigham and Women's Hospital in Boston — analyzing data from 16 trials involving almost 34,000 PCI patients — is an apparent decrease in bleeding with bivalirudin.
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Devices slice time, distance for patients via telemedicine
Medical Xpress
Concerned about a growth on his face, Mt. Lebanon, Pennsylvania, resident, Robert Johnston could have made an appointment with the dermatologist already treating him for other reasons. Instead, he snapped photos of himself and the affected area, uploaded them to the doctor's website and waited. "I got feedback from him the same day. It was probably within three, four hours," Johnston, 52, who required follow-up care at the doctor's office, said.
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To improve patient satisfaction, hospital supply chain units need to be more like ant hills
MedCity News
Shahid Shah writes: I've been looking at hospital supply chain automation and the IT surrounding it for a number of years now. Starting with Cardinal Health but then moving on to help a number of other vendors in the space, I’ve felt that there’s not been enough next-generation tech being applied to the low margin, high volume business of hospital supply management. Hospitals often spend tens of millions of dollars on EHRs and other IT systems that have little direct cost reduction capability but they ignore, often at their peril, supply management systems that can save immediate dollars.
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Scientists uncover key clue for protecting hearts against deadly arrhythmia
Medical News Today
A study, funded by the British Heart Foundation and Medical Research Council has shed new light on how carbon monoxide could be used to protect against life-threatening arrhythmias after a heart attack. Restoring blood flow to the heart following a heart attack can leave patients with ventricular fibrillation, a dangerous heart rhythm that puts people at greater risk of sudden cardiac death. Previous research has shown carbon monoxide, which is produced naturally in heart cells, can guard against ventricular fibrillation, however the mechanism behind why this happens was unknown.
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Limited access to primary care increases ED use among Medicaid patients, report finds
Medical Economics
Only 10 percent of emergency department (ED) visits by Medicaid patients are for non-urgent care, according to a new report from the Medicaid and Children’s Health Insurance Program Payment and Access Commission (MACPAC), which sought to fact-check several commonly-held beliefs about Medicaid. MACPAC, a non-partisan federal advisory committee, analyzed several recent studies of ED use and found that the vast majority of ED visits by Medicaid enrollees are medically necessary.
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Patients who rely on pacemakers and defibrillators run risk of serious health complications
News-Medical
Patients who rely on pacemakers and defibrillators to maintain a normal heart rhythm run the risk of serious health complications if they don't fully understand how the devices work and what to do when they experience an irregular heartbeat. But a study from Columbia University School of Nursing published this month in the Journal of Cardiovascular Nursing found that 40 percent of patients with these devices had little to no ability to understand information about their cardiac health.
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Insomnia drug linked to doubling of ED visits
Medscape (free login required)
New analysis from the Substance Abuse and Mental Health Services Administration (SAMHSA) shows that overmedicating with the insomnia drug zolpidem led to a near doubling of emergency department (ED) visits in the United States during the periods 2005-2006 and 2009-2010. The new Drug Abuse Warning Network (DAWN) report from SAMHSA shows that there were 21,824 ED visits in the earlier time range vs 42,274 visits in the latter.
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Most older emergency department patients are malnourished
Science World Report
The new study, led by researchers at the University of North Carolina Health Care, found that more than half of the older emergency department patients — seen during an 8-week period — were either malnourished or faced a high risk of malnutrition. These malnourished patients had not been diagnosed earlier. One of the common problems among older adults is malnutrition. The researchers were surprised to see that those who were malnourished were not informed about their health status.
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Robin Williams' death shines spotlight on mental illness
By Jessica Taylor
We cannot fathom what was going on in Robin Williams' personal life, nor will we likely ever know. But the actor's now-public struggles have society thinking about the difficulties based upon mental health. According to the National Institute of Health, "people who try to commit suicide are often trying to get away from a situation that seems impossible to deal with."
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    The question doctors can't ask (The Atlantic)
Some health insurers raise 2015 Florida exchange rates (The Associated Press via WTVT-TV)
New test predicts individual's risk of a second kidney stone (Health eCareers)
Emergency department visits, hospitalizations due to insulin (The Hospitalist)
With health law, emergency rooms still packed (The Inquirer via Philly.com)

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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