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Life After Residency Retreat: Thriving Beyond Medicine
September 19-20, 2019
Sirata Beach Resort
St. Pete Beach, FL
By Christine Sexton
VAPI. It isn't the latest internet slang. It's an acronym for what health officials are calling "vaping associated pulmonary injury." It has potentially affected 450 people in 33 states, including Florida, and caused five deaths as of Friday, according to the federal Centers for Disease Control and Prevention.
To date, the CDC investigation has not uncovered evidence that vaping-related illnesses are infectious. Symptoms include coughing, shortness of breath, chest pain, nausea, vomiting, diarrhea, fatigue, fever, and weight loss. Patients have reported histories of e-cigarette use, which has led health officials to suspect the illnesses are being caused by a chemical exposure. On Friday, the CDC asked that consumers consider not using e-cigarette products during the investigation.
The CDC is encouraging clinicians to report possible cases of illness to county health departments or state health departments.
FCEP/FEMF invites you to our new and improved Payment Reform conference:
Emergency Medicine Reimbursement & Innovation Summit
February 27-28, 2020
Approved for AMA PRA Category CreditsTM
Join us and other industry leaders for expert discussions on:
Stay tuned for more information
- Creating the efficient ED
- Federal & state issues impacting EM
- Use of telehealth and partnering with hospitals
and much more
Meetings this week:
Full Schedule Here
- Palm Beach County on Sept. 11 at 1:00 pm in West Palm Beach
- Pinellas County on Sept. 12 at 9:00 am in Clearwater
- Martin County on Sept. 12 at 10:00 am in Stuart
- Seminole County on Sept. 13 at 1:00 pm in Sanford
31st Annual Emergency Medicine Days
January 27-29, 2020
Hotel Duval in Tallahassee, FL
Stay tuned for more information
Interested in attending a Regular Session day in Tallahassee? Apply to be a "Doctor of the Day!"
The Doctor of the Day program delivers a vital professional service to the members of the Florida Legislature while giving physicians access to real-time politics. When not taking care of staff members who may need medical assistance, the Doctor of the Day may sit with his sponsoring chamber and local delegation, attend committee meetings or visit legislators' offices.
Learn More | Download Registration Form
Questions? Contact FCEP CEO Beth Brunner at email@example.com.
Suggested reading from FCEP's Government Affairs Committee: NDP Analytics has published a white paper examining the Congressional Budget Office's assessment of the Lower Health Care Costs Act (S. 1895, Section I). The Act was intended to address surprise medical bills, but in doing so sets price controls for all physicians. The CBO cost-savings estimate is based on unrealistic assumptions and fails to account for the negative impact on the number of physicians nationwide. The unintended consequences are significant. The number of available physicians will drop. Patient quality will be reduced. Healthcare expenses will rise.
The EMLRC is requesting presentations for its 46th annual Clinical Conference, CLINCON. We are seeking dynamic and challenging clinical content geared towards the EMS/emergency medicine community.
The conference will provide:
If you are interested in submitting an application to present at CLINCON 2020, please complete this online application or email the PDF version to Niala Ramoutar, Director of Education, at firstname.lastname@example.org by October 31, 2019.
- "Pre-cons:" workshops before the conference (4 or 8 hours)
- General & Breakout Sessions (45-55 minutes)
- Skills Labs (90-120 minutes)
Save the date for CLINCON 2020: July 8-11, 2020 at the DoubleTree by Hilton—Universal in Orlando, FL. Learn More
The Health Resources and Services Administration (HRSA) seeks information about measuring access to health care in rural communities. This request for information (RFI) seeks to identify the needs of rural communities, how to meet those needs, and what HHS policy changes can address those needs.
Read the RFI Here
Comments are due on October 9, 2019 by 11:59 p.m. EST. Responses must be provided via email to email@example.com and must reference "Rural Access to Health Care Services RFI" in the title.
Wednesday, September 25, 2019
8:00 am – 4:30 pm
Marriott Orlando Downtown
400 W Livingston St., Orlando, FL
Hosted by: AdventHealth, Federal Bureau of Investigations (FBI) and the Department of Energy
You are invited to participate in a terrorist weapons of mass destruction (WMD) tabletop exercise (TTX) called "Stolen Thunder" on Wednesday, September 25. The exercise will present a training scenario that involves terrorists attempting to acquire and use weapons of mass destruction (WMD). The event allows leaders from all responding and stakeholder organizations to exercise their crisis and consequence management capabilities in a no-fault setting.
View Flyer | Learn More
Tuesday, September 24, 2019
1:00-2:00 pm EST | Free
Speakers: Sarah Wakeman, MD and Ali Raja, MD, MBA
Hosted by American Hospital Association's (AHA) Physician Alliance
To improve the health of patients struggling with addiction, learn how one program engages patients at multiple points of care through an in-house addiction team and clinic — all working in coordination with emergency department staff.
Thursday, September 26, 2019
2:00-3:00 pm EST | Free
Speakers: Ronald Chambers, MD, FAAFP and Jennifer Cox
Hosted by American Hospital Association's (AHA) Hospitals Against Violence
While health care systems have focused efforts on the identification and immediate response of victims, there remains a lack of models for long-term, integrated care of these same individuals — a component arguably just as important for sustained recovery and movement from victimization to survivorship. The Medical Safe Haven clinic provides a coordinated warm-hand access model of care for victims and survivors of human trafficking to receive full spectrum trauma-informed primary medical care and mental health services. Common issues ranging from prenatal care to PTSD management to pediatric care and more will be presented and discussed.
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
|NOV. 11, 2019
||FCEP Committee Meetings
||EMLRC in Orlando
|NOV. 12, 2019
||FCEP Board Meeting
||EMLRC in Orlando
|JAN. 27-29, 2020
||Emergency Medicine Days | Learn More
||Hotel Duval in Tallahassee
|FEB. 27-28, 2020
||Emergency Medicine Reimbursement & Innovation Summit | Learn More
To see the full calendar, click here.
University of Pennsylvania School of Medicine via EurekAlert
Simple button terminals — featuring "emoji" reflecting a range of emotions and sentiments — stationed around emergency departments are effective in monitoring doctor and patient sentiments in real time, a Penn Medicine study found. Traditionally, surveys are mailed or sent electronically to evaluate patient experiences, but response rates can be low and those that respond do so well after the visit. Using touch terminals could help inform immediate adjustments in the ED that would not just better serve patients but also the clinicians treating them.
The closure of emergency departments can lead to overcrowded conditions and poorer care for patients at other nearby EDs, according to a study published in the latest issue of Health Affairs. Conversely, while previous studies have examined emergency department closures and their effects on patient care, the study sponsored by Project HOPE also found the opening of an ED could positively impact conditions at already high-occupancy hospitals that are particularly sensitive to the closures and openings of nearby EDs.
The aging of America's population is slicing the healthcare industry in multiple ways. Americans are living longer and seemingly healthier lives — and requiring more care later into life. What's more, one-third of all doctors currently working will be older than 65 in the next decade, and retirements may squeeze supply.
A new national study done by researchers at Boston University School of Medicine and Boston Medical Center showed large differences in the emergency department and hospital destinations of minority (Black and Hispanic) patients who are transported by emergency medical services when compared with their non-Hispanic white counterparts. Using the national Medicare claims data, the study divided patients based on the ZIP code they lived in, and compared which EDs and hospitals non-Hispanic white, black and Hispanic patients living in the same zip code were brought to. The study also looked at how often the most frequently used destinations for white patients were also the destination for black and Hispanic patients.
By Chelsea Adams
According to a recent study, locating an intensive care unit inside the emergency department drastically increases survival rates for the sickest patients who arrive at ERs. The study, published in JAMA Network Open, examined outcomes from the University of Michigan Medical School's emergency department-based ICU. The study was carried out at the Massey Family Critical Care Center, which opened in 2015 and is housed adjacent to University Hospital's main adult emergency room.
Electric scooters — or e-scooters as they're often called — have skyrocketed in popularity over the past couple of years. Hundreds of cities are now home to thousands of the motorized scooters, which are often used by commuters and tourists as a cheap way to zip around town. However, since their roll out, e-scooters have sent a ton of people to the emergency room. Now, it turns out that a large portion of injured e-scooter riders were actually under the influence of either drugs or alcohol when they took a tumble.
A new study underscores the potential for effective collaboration between hospitals and services for the homeless. Published in the September issue of Health Affairs, the study looked at administrative records from New York City's municipal shelter system and an all-payer claims database of hospital visits in New York City to track emergency department use among first-time users of shelter facilities. Between 2009 and 2015, 39.3% of first-time shelter users either visited an ED or were hospitalized in the year before entering a shelter. In the year after they left the shelter, 43.3% either visited the ED or were hospitalized.
The Associated Press via Modern Healthcare
As heat and humidity increase, it becomes harder for sweat to evaporate and the human body to cool off. Under physical and mental stress people may struggle to maintain core organs and systems: their cardiovascular system, lungs, kidneys and brain. That helps explain why emergency medical calls for dehydration, respiratory distress, kidney disease, diabetes complications, heart attacks and heart failure spiked in Baltimore when the heat index rose above 103 degrees, according to a Howard Center data analysis.
New Medicaid patient in states that expanded the program under the Affordable Care Act increased hospital visits on average by about 20%, mostly with outpatient visits to the emergency department for deferrable conditions, according to new research from the Brookings Institution. Expansion did end up generally being well-targeted, meaning those receiving better access to services were those who previously had the highest unmet needs. Expansion under the ACA was more target efficient than previous attempts to broaden the program's eligibility, the authors wrote.
Millions of patients take blood thinners such as Coumadin to prevent blood clots that can cause strokes. But when such patients come to the emergency department with life-threatening bleeding, they may require a drug that counteracts the effect of blood thinners, thereby improving coagulation. Now a first-of-its-kind study by Loyola Medicine researchers has found that when a pharmacist is present in the ED, patients receive the coagulation drug much more quickly, resulting in less time in the intensive care unit and shorter hospital stays.
7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063