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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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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:

DATES AND LOCATIONS:
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.

Sincerely,

Ashley Booth-Norse, M.D. FACEP
President

Note to our members currently participating on committees: We ask that you please also submit a committee interest form to renew your committee membership.

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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.

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

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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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


New Florida POLST Article
The latest (Sept./Oct. 2014) issue of AgeWise, the official publication of the Florida Council on Aging, contains on Page 3 an article by me advocating adoption of the POLST Paradigm in Florida. The issue is available here. A similar piece appeared on Page 9 in the July/August 2014 issue of Pulse, the publication of the Florida Health Care Association, available here. Please share these articles with your colleagues, friends, local media and public officials, and other people who may be interested in supporting the Florida POLST effort financially, politically, educationally, and otherwise.
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Updates on Telemedicine
Florida Board of Medicine
Continuing the ongoing effort to broaden the scope of Telemedicine regulations in the state of Florida, the Board of Medicine has recently implemented additional changes to the existing Telemedicine rules. Effective Oct. 26, 2014, Rule 64B8-9.014, F.A.C. — Standards for Telemedicine Prescribing Practice has been repealed.
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Health First ER manager thrives under pressure
Florida Today
Palm Bay Hospital emergency department manager Penny Leonard is a native of Brevard County, caring for the community just a few miles from where her family put down roots generations ago. "I'm proud of the fact that I'm from here," she said. "I always tease that I never got far in life, but I travel a lot — everywhere and anywhere.''
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Some southern states expanding Medicaid
Health News Florida
The University of Kentucky’s Chandler Hospital has seen its inpatient numbers rise by 5 percent and its outpatient numbers rise by 10 percent since July. But its number of uninsured patients has dropped, from about 9 percent to 2.5 percent.
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4.1 percent jump in hospital admissions brings extra revenue to HCA
RevCycle Intelligence
A significant jump in the number of hospital admissions helped to bump up reported revenue during the third quarter for Hospital Corporation of America (HCA) Holdings, one of the largest hospital chains in the nation. Same-facility admissions increased 2.8 percent over the past year, HCA said in a press release, while same facility equivalent admissions rose 4.1 percent, helping to drive a 9 percent increase in overall revenue. Milton Johnson, President and CEO of HCA, attributed about one-third of the corporation’s $1 billion growth over the past year to Affordable Care Act (ACA) reforms and the remaining two-thirds to improved cash flow from core operations.
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EMERGENCY MEDICINE IN THE NEWS — NATIONAL


Even small clusters of Ebola cases could overwhelm parts of US medical care system
The Associated Press via U.S. News & World Report
The U.S. healthcare apparatus is so unprepared and short on resources to deal with the deadly Ebola virus that even small clusters of cases could overwhelm parts of the system, according to an Associated Press review of readiness at hospitals and other components of the emergency medical network. Experts broadly agree that a widespread nationwide outbreak is extremely unlikely, but they also concur that it is impossible to predict with certainty, since previous Ebola epidemics have been confined to remote areas of Africa.
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For kids with broken bones, ibuprofen is safer and just as effective as morphine
Reuters via The Huffington Post
The narcotic drug morphine is not the best choice for pain relief in kids with broken bones, a new study suggests. Kids in the study took either morphine or ibuprofen by mouth. The morphine was associated with side effects like drowsiness, nausea and vomiting – but it wasn’t any better than ibuprofen at relieving pain.
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Who relapses after emergency room visit for asthma?
MedicalResearch.com
The study was designed to evaluate non-pharmacological issues associated with relapse following discharge from the emergency department with acute asthma. Many years of high-quality research have shown that systemic and inhaled corticosteroids (ICS) in combination are required to reduce relapse. In this study all patients received systemic corticosteroids and the majority received inhaled corticosteroids (either as mono-therapy or in combination with long-acting beta-agonists​ {LABA}).
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To quarantine or not? A question of trust
By Joan Spitrey
As the debate rages on regarding quarantines ordered by state governors, Kaci Hickox — the nurse who was ordered home quarantine — refuses to comply. So the national conversation continues. As a nurse, Hickox needs to set an example. It appears she wants to make a point that she is not infectious, but her message is not being heard through its delivery of selfishness. Although all do not agree upon the current course of action, there are a few things we all agree on.
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Under Obamacare, mental health lacking
U.S. News & World Report
A flood of patients who have become newly insured under the Affordable Care Act are visiting doctor's offices and hospitals, causing some health workers to worry about how they can provide care to everyone in need. One group, however, isn't lining up for care: People with mental health issues or substance use disorders.
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US moves to end patchwork of policies on returning Ebola workers
The New York Times
The federal government announced a new set of monitoring guidelines for people arriving from West Africa that stopped short of the tough measures instituted in New York and New Jersey recently, an effort to bring uniformity to a messy patchwork of responses by states. The new policy, which federal health officials said was an effort to strike a balance between safety and civil liberties, would require returning heath care workers, or people who had been near Ebola patients, to submit to an in-person checkup and a phone call from a local public health authority.
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For emergency workers, sadness follows fatal crashes, as does a sense of doing good
The Day
After a workday he could only describe in battle metaphors, John Gavin retreated to a room in his Old Lyme home with his acoustic guitar to sing his favorite Bruce Cockburn song, finding solace in familiar lyrics that gave voice to the pain and anguish he'd just witnessed. "I just strummed my guitar and prayed until I felt a release, and let it go," said Gavin, 56, a Lawrence + Memorial Hospital paramedic for 25 years. "I believe in God, and I believe it's not up to me who lives and who dies. Sometimes I do the very best I can and they still die."
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Hospital architects find ways to build in safety features
Modern Healthcare
Designers of new hospitals want to make them look more like luxury hotels. But that can be a challenge as heightened concerns about protecting staff and patients from physical violence force designers to build in more security features. Healthcare architects are being asked to create healing, homey environments that also keep people safe — while avoiding the use of obvious, anxiety-provoking security measures like barbed wire fences.
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Study: Prescription drugs account for majority of opioid-related ER visits
New York Daily News
The majority of opioid-related visits to hospital emergency rooms are due to prescription drugs, according to a new study in the journal JAMA Internal Medicine. Overdoses on methadone and other prescription opioids were responsible for 67.8 percent of ER opioid visits, while heroin and other nonprescription drugs made up the remainder of overdoses, Stanford researchers found.
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Psych boarding ACEP top priority
MedPage Today
MedPage Today caught up with Michael J. Gerardi, M.D., who began his year as the new president of the American College of Emergency Physicians here at the scientific session. We asked about hot button issues like Ebola, his top priorities, and new Choosing Wisely recommendations for members of the college.
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Germs are germs, and why not take a risk? patients' expectations for prescribing antibiotics in an inner-city emergency department
Medical Decision Making
Our findings suggest that recent public health campaigns that have focused on educating patients about the differences between viruses and bacteria omit a key motivation for why patients expect antibiotics, supporting fuzzy-trace theory's predictions about categorical gist. The implications for public health and emergency medicine are discussed.
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Do all children with suicidal ideation receive a significant psychiatric intervention?
Pediatric International
Over half (50.6 percent) of the children presenting with a label of suicidal ideation did not receive significant psychiatric intervention. This study calls into question the accuracy of suicide labeling in children referred to the ED.
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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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