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Attention FCEP members, for clarification FCEP and FEMF are not co-sponsoring the Ohio ACEP Written Board Course being scheduled in Tampa, Florida, early 2015.


FCEP NEWS


FCEP/FEMF Capital Campaign Update

Great progress has been made in the construction of the new EMLRC, future home of FCEP and FEMF. This would not have been possible without the generous contributions of individuals and groups who are passionately committed to furthering emergency medicine. We are so grateful to all who have supported our cause!

The Capital Campaign still has a long way to go to raise 2 million in 3 years. We cannot reach our goal without the continued support of all FCEP members, and everyone who values lifesaving education and advocacy for emergency medicine professionals. All FCEP members should have received a “call-to-action” letter and pledge card from FCEP president, Dr. Ashley Booth-Norse. Please consider carefully what you ought to give.


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FCEP COMMITTEE AND BOARD MEETINGS


MEETING LOCATION

Orlando Marriott Lake Mary
1501 International Pkwy
Lake Mary, FL 32746

Make hotel reservations by calling 1-800-380-7724 and mentioning the EMLRC 2014 Stroke Program. The cut-off date for room block reservations is Oct. 23, 2014.

MEETING SCHEDULE

COMMITTEE MEETINGS - Wednesday, Nov. 12
    9 a.m. — EMS/Trauma
    10 a.m. — Medical Economics
    11:30 a.m. — Government Affairs
    1 p.m. — Membership & Professional Development
    2 p.m. — EMRAF
    3 p.m. — FCEP/FEMF Education and Academic Affairs
Lunch will be served.

BOARD MEETINGS - Thursday, Nov. 13
    9 a.m. — FCEP Board of Directors
    1 p.m. — FEMF Board of Directors
Lunch will be served.

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Why should you attend this program?
Listen to what program chair, Dr. Jay Falk has to say ...



REGISTER NOW!

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


Nov. 13-14, 2014
Orlando, FL
Hotel reservation deadline has been extended to Oct. 30

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. To view the brochure for this event, click here.

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CALL FOR FCEP COMMITTEE MEMBERS
Participation on an FCEP Committee is an essential part of our program activity. Committees help us with important initiatives such as setting our legislative and regulatory priorities. They also help us to identify clinical issues affecting patients and our members.

I encourage you to consider serving on an FCEP Committee. It is a great way to learn about how others are dealing with hospital ED issues and to help FCEP remain strong in so many areas.

Committees typically meet quarterly, in conjunction with FCEP Board meetings:

WHEN and WHERE:
Nov. 12, 2014 — Orlando Marriott Lake Mary
Feb. 18, 2015 — FCEP Offices, Orlando
May 20, 2015 — FCEP Offices, Orlando
Aug. 6, 2015 — Symposium by the Sea, Amelia Island

Please use these links to connect to the Committee Interest Form and view the Committee Objectives.

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SAVE THE DATE!


EM Days 2015 Hotel Information
Hotel Duval, Tallahassee, Florida
Group rate: $215/night
Hotel Reservation Deadline: Feb. 10, 2015
Reservation Link: Book your group rate: EM Days 2015 >>

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EMERGENCY MEDICINE IN THE NEWS — AROUND FLORIDA


Representing Florida through the ACEP Committee
FCEP wishes to congratulate members who have been recently appointed by incoming ACEP President Dr. Gerardi to serve on an ACEP Committee.
To see the entire list of members, click here.

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Be sure to Vote ... Election Day is rapidly approaching
FCEP would like to share a list of candidates we are supporting through our Political Action Committees, Physicians for Emergency Care (PEC) and Emergency Care for Florida (ECF).

To see the list of State Senator General Election 2014, click here.
To see the list of State Representative General Election 2014, click here.

If you would like to contribute to our PAC’s, here is the link to the FCEP website/PC, click here.

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Hearings set to resolve hospitals, AHCA dispute
Health News Florida
A statewide coalition of hospitals is challenging the Florida Agency for Health Care Administration over payments for emergency care for undocumented immigrants through the Medicaid program, the News Service of Florida reports. The legal challenge filed last week contends AHCA is out of bounds in its limit on when payments for treatment should end, the News Service reports. Hearings are scheduled for Nov. 12 and Nov. 13.
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EMERGENCY MEDICINE IN THE NEWS — NATIONAL


Hospitals struggle to beat back serious infections
NPR
While Ebola stokes public anxiety, more than 1 in 6 hospitals — including some top medical centers — are having trouble stamping out less exotic but sometimes deadly infections, federal records show. Nationally, about 1 in 25 hospitalized patients gets an infection. Some 75,000 people die each year from them — more than from car crashes and gunshots combined. A Kaiser Health News analysis found 695 hospitals with higher than expected rates for at least one of the six types of infections tracked by the federal Centers for Disease Control and Prevention.
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9 ways to solve hospital communication problems that inhibit patient care
Healthcare Global
Proper communication amongst doctors, nurses and all care staff is vital to optimum patient care and satisfaction. Spok, a leader in critical communications in health care, compiled the nine biggest problems occurring in hospital communication today and ways to solve them.
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Could enteroviruses be behind rising rates of Type 1 diabetes?
Healthline
The current outbreak of enterovirus D68 has called attention to the wide range of problems viral infections can cause. In adults, the virus tends to have no effect at all. In children, it generally causes a cold-like illness, but sometimes triggers a severe respiratory infection or even partial paralysis. Researchers also suspect that enterovirus infections may raise a child’s risk of Type 1 diabetes.
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Is surgery safer at a teaching hospital?
U.S. News & World Report
Like anything, it takes time and practice to become a qualified surgeon. But what is the appropriate balance of allowing residents to gain experience and giving patients the best care possible? U.S. News explored the risks and benefits to surgery at teaching hospitals: Do the benefits of surgery at a major academic institution outweigh the costs of patients being used as a teaching tool? Is care from a surgical resident of lesser quality than care from an attending surgeon? While opinions vary among patients and medical professionals, the majority agree patients should be well-informed before making any major health care decisions.
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Overcoming organizational challenges to fight Ebola
Forbes
When news broke that a Texas healthcare worker had become infected with Ebola, Centers for Disease Control (CDC) Director Dr. Thomas Frieden blamed the transmission on a “breach in protocol.” The unidentified breach may have been a failure by the nurse to wear or to properly remove personal protective equipment. Or, perhaps ineffective environmental infection control resulted in inadvertent exposure to infectious materials. But even if a protocol breach is to blame, Dr. Frieden’s explanation does not capture the systemic and organizational factors that might contribute to such an accident.
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Healthcare media hype: Have you jumped on the bandwagon?
By Jessica Taylor
Mass media is a substantial power in modern culture, especially in America. We live in a mediated culture — where news both reflects and creates the culture. Our society is continuously bombarded with messages from a multitude of sources promoting not only products, but moods, attitudes and a sense of what is and isn't important in the world. So, is the media really honing in on what you want? Or are you jumping on the media-hype bandwagon? Let's take the most recent news stories of Ebola, for example.
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Skin patch could replace the syringe for disease diagnosis
Medical News Today
Drawing blood and testing it is standard practice for many medical diagnostics. As a less painful alternative, scientists are developing skin patches that could one day replace the syringe. In the ACS journal Analytical Chemistry, one team reports they have designed and successfully tested, for the first time, a small skin patch that detected malaria proteins in live mice. It could someday be adapted for use in humans to diagnose other diseases, too. Researchers note that while blood is rich with molecular clues that tell a story about a person's health, withdrawing it is often painful. It also requires trained personnel and expensive lab equipment and facilities for analysis.
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1st ER morphine designed to deter abuse when crushed
Monthly Prescribing Reference
The Food and Drug Administration has approved new labeling for Embeda (morphine sulfate and naltrexone HCl; Pfizer) extended-release (ER) capsules to include abuse-deterrence studies. Embeda is indicated for the treatment of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate. The new abuse-deterrent labeling includes data indicating that the drug has properties that are expected to reduce oral and intranasal abuse when it is crushed, though abuse by these routes is still possible.
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10 ways to apply social tools for an improved patient experience
By Christina Thielst
The pressures and drivers to reduce costs, improve quality, emphasize prevention and increase access are making social media and the underlying technologies more attractive to healthcare leaders. They can be effective and efficient tools for the delivery of communications to targeted individuals and/or populations. As a result, those leaders who recognize that we must change the way care is provided are starting to explore new ways of engaging patients across the continuum of care.
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Emergency room nurses pay price for parked psych patients
Orange County Register
Laura Arguija still remembers the taste of the blood in her mouth from the time she was attacked by a psychiatric patient in the emergency room of a large hospital in San Bernardino County, where she worked as a trauma nurse. “I had long hair, and she wrapped her hand in it and started wailing on my face,” the 38-year old Laguna Hills resident recalls. “She was high on meth and she was a psych patient. It wasn’t a good combination.”
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Easing the pain of sickle cell disease
The New York Times
They often turn up in the emergency room in severe pain, pleading for relief. A drug that can help reduce their flare-ups is readily available — yet too rarely used. The patients, many of them children, have sickle cell disease, a debilitating and sometimes life-threatening blood disorder. It is relatively rare, so physicians may not know how to treat it. For patients, the results are devastating, including severe pain that often requires hospitalization and can last for days. A new set of guidelines for managing the disease, published recently in JAMA, aims to change that.
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Flu season here; health officials urge vaccine
Chicago Tribune
Flu season has officially begun, and though the risk of catching the disease is low this early in the season, health officials emphasize that everyone 6 months and older should get a flu shot as soon as possible. "Now is a great time to get vaccinated because we don't know when the flu season will hit" in earnest, said Julie Morita, chief medical officer for the Chicago Department of Public Health. Although there has been a slight delay in the distribution of the vaccine, according to the federal Centers for Disease Control and Prevention, there is enough vaccine to go around. Manufacturers anticipate that most of their flu vaccine will be distributed by the end of October.
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Different routes of central venous catheterization and their relative risks
By Dr. Afsaneh Motamed-Khorasani
Central venous catheterization or central line placement is a technique where a tube is inserted beneath the patient's skin in order to create a simple, pain-free way of providing medications and nutrients to the patient. Central venous access catheters have been widely used in hospital settings, and more than 3.4 million of them are placed for patients per year. Some of the benefits of this technique as compared to peripheral access include: greater longevity without infection, avoidance of phlebitis, line security and a potential route for nutritional support as well as fluid administration.
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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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