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Yesterday in Orlando, First Lady Casey DeSantis and Gov. Ron DeSantis were one of many distinguished guests at 'Hope for the Opioid Crisis': a gathering of local business & community leaders who are ready to take action on the opioid epidemic.
"Government is just one piece of the puzzle," First Lady DeSantis reminded the audience as she advocated for collaborative and community-based solutions.
"If the community is engaged in people’s lives, that makes all the difference," Gov. DeSantis said.
FCEP & EMLRC are proud partners of Project Opioid. Read more about their goals & how to get involved at bit.ly/hopepr.
By The News Service of Florida
The number of hepatitis A cases in Florida continues to climb, according to a Florida Department of Health report that showed the state has had 2,266 reported cases this year.
The News Service of Florida analyzed DOH data over the last four weeks and found that the six counties with the highest number of reported hepatitis A cases between July 23 and August 17 are:
Only 11 counties in Florida have no reported cases of hepatitis A. Here are the number of cases reported in 2019 for all counties:
- Volusia: 34
- Brevard: 23
- Manatee: 21
- Pinellas: 21
- Pasco: 19
- Lee: 16
- Pasco: 374
- Pinellas: 344
- Volusia: 208
- Orange: 150
- Hillsborough: 122
- Marion: 113
- Manatee: 103
- Hernando: 101
- Lake: 98
- Brevard: 85
- Lee: 54
- Palm Beach: 54
- Sarasota: 44
- Seminole: 40
- Citrus: 39
- Martin & St. Lucie: 33
- Sumter & Polk: 31
- Osceola: 30
- Miami-Dade: 27
- Charlotte: 17
- Broward & Santa Rosa: 13
- Duval & Okeechobee: 9
- Indian River: 8
- Levy: 7
- Bay & St. Johns: 6
- Alachua, Flagler, Okaloosa & Taylor: 5
- Collier & Jackson: 4
- Clay, Columbia, Escambia, Leon & Nassau: 3
- DeSoto, Glades, Hendry, Putnam, Wakulla & Walton: 2
- Franklin, Gilchrist, Hamilton, Hardee, Liberty, Madison, Suwannee, Monroe & Washington: 1
- Baker, Bradford, Calhoun, Dixie, Gadsden, Gulf, Highlands, Holmes, Jefferson, Lafayette & Union: 0
Have you heard? The EMRA Quiz Show is coming to Life After Residency Retreat! Residents, gather your teams of four, brush up on your medical and wacky trivia knowledge, and register now (for free!).
Life After Residency Retreat: Thriving Beyond Medicine
September 19-20, 2019
Sirata Beach Resort
St. Pete Beach, FL
The summer heat is reaching its peak, and it's important to educate patients on heat-related emergencies and precautions. Central Florida Regional Hospital is hosting heat emergency podcasts to help educate the general public. Listen to FCEP member Dr. Gary Goodman talk about heat stroke here.
Novartis Pharmaceuticals Corporation is hosting a live, educational broadcast on sickle cell disease on September 5. Join us at the live event or watch online.
Clinical and Patient Perspectives on Sickle Cell Disease
Thursday, Sept. 5, 2019 at 6:00 pm EST
Ruth's Chris Steakhouse
610 Orlando Ave., Winter Park, FL 32789
Hosted by: Novartis Pharmaceuticals Corporation
Leading experts in sickle cell disease will discuss the history, pathophysiology and complexities of SCD, and patients will share their journeys managing this disease. Featured speakers include Ifeyinwa Osunkwo, MD, MPH, James Eckman, MD and Alexis Thompson, MD, MPH. View Flyer
Register to Attend or Watch Online
ACEP Now's new feature, "FACEPs in the Crowd," highlights our FACEP members' non-medical lives. Do you have an interesting hobby outside of the ED that deserves to be featured? Contact email@example.com.
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.
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
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.
UPCOMING FCEP & EMLRC EVENTS
|SEPT. 19-20, 2019
||Life After Residency Retreat | Learn More
||St. Pete Beach
|OCT. 22-24, 2019
||EMS Advisory Council & Constituent Group Meetings | Learn More
|JAN. 27-29, 2020
||Emergency Medicine Days
To see the full calendar, click here.
Florida is 1 of 9 states that have taken on unexpected health care bills by passing comprehensive regulations. Still, a recent study by the Kaiser Family Foundation found that patients in the state are among the most likely to get surprise bills. That's because some health insurance plans fall under federal regulation. These plans are typically provided by large companies or unions, which hire major insurers to administer them. The plans are self-funded, meaning they pay claims out of their own funds.
American Medical Association
An emergency department in Albuquerque, New Mexico, struggled with the culture of their medical group. To address this, one doctor created an annual review program to maintain a healthy emergency department culture while maximizing quality of care and physician well-being. It is a relatively simple step that has produced dramatic results.
Association of American Medical Colleges
Nearly 80% of doctors have experienced a distressing patient event in the last year, and many go on to suffer from depression, anxiety and PTSD. Now, a growing number of medical schools and teaching hospitals are giving doctors resources to handle difficult scenarios.
AI is nearing clinical use in many arenas, from detecting cancer in lung scans and a stroke from brain CT images to providing early warning of sepsis or kidney failure in hospitalized patients. Traumatic brain injuries raise the stakes for these technologies: Can they be relied on when the need for speed is so great and the consequences of a wrong decision are so catastrophic? Turning to AI in these cases also raises ethical questions.
By Lynn Hetzler
Physicians who work in pediatric emergency medicine are at risk for developing burnout, compassion fatigue, and low compassion satisfaction, according to the results of a new study. PEM physicians provide medical care for acutely ill children and work closely with families during a time of heightened stress. Providers may be able to improve the management of the unique challenges and emotional stressors facing pediatric emergency department physicians and help PEM physicians achieve higher satisfaction levels.
U.S. News & World Report
A growing physician shortage nationwide, which is hitting impoverished urban and rural regions hardest, is projected to create a deficit of up to 120,000 doctors by 2030 and seriously undermine patient care, according to a 2018 report by the Association of American Medical Colleges. Not surprisingly, mortality rates are lower in counties with more family doctors, and life expectancy is longer: almost two months for each 10 additional primary care physicians per 100,000 people, according to a 2019 study in JAMA Internal Medicine. At the same time, the shuttering of struggling hospitals in rural America has exacerbated shortages in many communities.
Vital signs are important data elements in the pediatric emergency department. The presence of unexplained tachycardia at discharge has been associated with patient return to the PED and subsequent admission. The aim for this study was to increase the percentage of patients discharged with a complete set of vital signs, when indicated, from 22% to 95% by June 30, 2018.
MedPage Today (opinion)
Edwin Leap, MD, writes, "Many years ago, it was called the emergency room. Now we call it the emergency department. However, unlike so many departments in the world, the emergency department has almost too many purposes, duties and mandates to number. However, in the process of being the underfunded safety net for American healthcare, it has also become a place of remarkable danger where medical and nursing staff, support personnel, and even patients face the threat of violence every single day. "
Becker's Hospital Review
Americans living in rural communities are struggling to access emergency care after a slew of hospital closures, according to a joint report from NPR and Kaiser Health News. Over 100 rural hospitals have closed since 2010. After each closure, local emergency workers must navigate shrinking city budgets and uncertainty about where to take patients. These changes often translate into longer response times and longer ambulance rides for patients.
Hypertensive older adults did not benefit from escalating their usual blood pressure medications after hospital stays for non-cardiac conditions, researchers found. Compared with peers who did not receive a prescription at discharge for a new or higher-dose antihypertensive than was being used previously, those who did tended to suffer worse clinical outcomes as they had higher rates of hospital readmission and serious adverse events.
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