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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:
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.
Ashley Booth-Norse, M.D. FACEP
Note to our members currently participating on committees: We ask that you please also submit a committee interest form to renew your committee membership.
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 >>
EMERGENCY MEDICINE IN THE NEWS — AROUND FLORIDA
Hep C drugs cost Florida Medicaid $30M so far
Health News Florida
Florida Medicaid has spent at least $30.6 million in the past year on costly drug treatments for Hepatitis C, according to records from the Agency for Health Care Administration.
Most of the spending was for Sovaldi, an antiviral approved by the Food and Drug Administration in December 2013. It was fast-tracked after clinical trials showed it had a high cure rate for patients in advanced stages of liver disease who were infected with the most common strain of the Hepatitis C virus.
4 area hospitals named 'top performers' by the Joint Commission
The Florida-Times Union
Memorial Hospital, Orange Park Medical Center, St. Vincent’s Medical Center Riverside and St. Vincent’s Medical Center Southside are among the 1,224 hospitals in the United States to be named a 2013 Top Performer on Key Quality Measures by The Joint Commission, a leading accreditor of health care organizations in the United States.
The Top Performer program recognizes hospitals for improving performance in ways that increase the chances of healthy outcomes for patients. The results are based on data reported by more than 3,300 Joint Commission accredited hospitals.
EMERGENCY MEDICINE IN THE NEWS — NATIONAL
The role of simulation in the reduction of medical errors
By Joan Spitrey
If you have taken a CPR class in the last few decades, you are familiar with Resusci Anne, the manikin used for learning CPR. The first Anne was invented to provide life-like training in the 1960s, and her soft helpless face was to inspire the rescuer to want to help the "dead" person.
Today, the use of simulation has evolved way beyond the initial revolutionary thoughts of the first creators of Anne. The use of simulations is now an integral part of most healthcare providers' curricula.
Hospitals nationwide improvise defenses vs. Ebola
What does it take to Ebola-proof a hospital?
Over the past few months, U.S. medical centers have spent millions of dollars putting together a plan to treat patients with the scary, but extremely rare disease.
To a large extent, it has been an exercise in improvisation.
New battery coating could prevent injury if swallowed
The Boston Globe
Gift-giving season is approaching, and with it comes a twinge of worry for parents of young children: The toys and gadgets that bring joy on holiday mornings often include small parts that can wind up in little ones’ mouths.
Researchers at the Massachusetts Institute of Technology, Brigham and Women’s Hospital, and Massachusetts General Hospital say they believe their latest invention can take the danger out of at least one of those parts — the button- and coin-cell batteries that power watches, musical greeting cards, and some playthings.
The shifting Ebola epidemic
The New York Times (opinion)
Recent gains in controlling the Ebola epidemic in West Africa have been encouraging, but they offer no reason for complacency. In Liberia, the hardest-hit country, the rate of new infections has declined in some areas, and several treatment units have been reporting empty beds for more than a month. But in adjacent Sierra Leone the number of new cases has shot upward, while in Guinea, where the epidemic started, the incidence of new cases appears to have stabilized over all, with growth in some districts and declines in others. All told, Ebola has infected more than 14,000 people in West Africa and killed more than 5,000 of them.
Improving communications: What can hospitals learn from hotels?
Archita Datta Majumdar
We live in an age where communication can make or break a deal. Doing it right has never been so important, yet there are more misunderstandings and misinterpretations all around. Ironic, isn't it? Since most have us become slaves to technology and instant communication, things actually can go wrong faster than ever before.
There's a lesson to be learned here. And who better to learn from than the hospitality industry, which works on the basis of effective communication around the clock? At least that's what the healthcare industry is quickly figuring out.
Needles no more: Say hello to a tube of squeezable biologics
Drug companies are looking for ways to put biologics in topical creams or "zap" them into skin using electricity as more large molecules come off patent. Until now, topical biologics have been unpopular among developers because of permeation problems. But advances in technology and a push to stay competitive as patents expire have led drugmakers to identify new delivery methods, according to contact research organizations Kemwell and Tergus Pharma.
Paradox lost: Speedier heart attack treatment saves more lives after all, study suggests
A national effort to shave minutes off emergency heart attack treatment time has increased the chance that each patient will survive, a new study suggests. But yet the survival rate for all patients put together hasn't budged.
It seems like a paradox. But wait, say the authors of the new report: the paradox vanishes with more detailed analysis of exactly who has been getting this treatment.
Far more people are getting emergency angioplasty and stents for heart attacks now than before. That number now includes more people with more complicated health issues that can put them at higher risk for dying in the hospital or soon after.
Study: Extended anti-clotting therapy cut heart attacks after stent
Patients who took two anti-clotting drugs for 30 months after undergoing a heart stent placement significantly cut their risk of heart attacks and blood clots in the stent compared with patients receiving the dual therapy for the standard 12 months, a clinical trial showed. In this five-year study of nearly 10,000 patients who had received drug-coated stents in an artery clearing procedure, the rate of heart attacks was 2.1 percent for those who received dual anti-clotting therapy for 30 months. The rate was 4.1 percent for those who got aspirin and a placebo after 12 months of dual therapy, researchers reported. That translated to 20 fewer heart attacks per 1,000 patients treated.
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Managing disruptive behavior by patients and physicians: A responsibility of the dialysis facility medical director
Clinical Journal of the American Society of Nephrology
The Centers for Medicare & Medicaid Services' Conditions for Coverage make the medical director of an ESRD facility responsible for all aspects of care, including high-quality health care delivery. Because of the high-pressure environment of the dialysis facility, conflicts are common. Conflict frequently occurs when aberrant behaviors disrupt the dialysis facility. Patients, family members, friends, and, less commonly appreciated, nephrology clinicians may manifest disruptive behavior. Disruptive behavior in the dialysis facility impairs the ability to deliver high-quality care.
Cocaine's heart damage often undetectable
Using cocaine can damage the heart's smallest vessels, but this problem doesn't show up on routine medical tests, according to a new study.
"We see many emergency room admissions because patients experience chest pain following cocaine use," said study researcher Dr. Varun Kumar, an internist at Mount Sinai Hospital in Chicago.
Hospital job growth continues its revival
Fierce Health Finance
Hospital hiring continues to rouse itself from its slumber, with another 3,500 jobs added to payrolls in October, according to new data from the U.S. Bureau of Labor Statistics. About 25,200 more people are working at the nation's hospitals than they were a year ago, for a total of about 4.8 million hospital employees.
Toward more accurate detection of fever in children
Advance for NPs & PAs
Fever is a common parental concern that results in numerous medical visits to both outpatient clinics and emergency departments. It has been widely documented that poor, urban communities have less access to medical care, less educational attainment and lower health literacy than their wealthier counterparts. Studies have demonstrated that although fever knowledge deficits and fears about its management and consequences, referred to as "fever phobia," are prevalent across all socioeconomic classes, caregivers' educational attainment is inversely related to increased utilization of the ED for fever.
Most hospitalizations for gout are preventable
HealthDay News via Monthly Prescribing Reference
Most hospitalizations for a primary diagnosis of gout are preventable, according to a study presented at the annual meeting of the American College of Rheumatology, held from Nov. 14 to 19 in Boston. Researchers examined hospitalizations related to gout and assessed whether these were preventable. Data were collected in a retrospective cohort of 79 adult patients with a primary discharge diagnosis of gout.
Step away from that nurse! Violence in healthcare continues unabated
Medscape (free login required)
A nurse approached a patient's bedside to remove an intravenous (IV) catheter in preparation for discharge from the hospital. He lunged at her, hitting her with an IV pole and knocking her to the ground, stomping on her head, and beating her repeatedly until she became unconscious. The nurse suffered head trauma and multiple fractures to her face. She survived the attack but required neurosurgery and was in critical condition for some time. The patient, who was not known to be dangerous, apparently became angry when told he was being discharged from the hospital.
Icatibant spares invasive airway maneuver for angioedema
Medscape (free login required)
Subcutaneous icatibant (Firazyr, Shire) in the emergency department can eliminate the need for invasive airway management in patients with life-threatening angioedema due to cardiac medications, according to a new study.
In all seven patients who received the drug, angioedema visibly decreased within an hour of administration, reported lead investigator Mark DeBard, M.D., from the Ohio State University Wexler Medical Center in Columbus.
Deaths from heart disease down, up for blood pressure, irregular heartbeat
Deaths from heart disease are dropping, but deaths related to high blood pressure and irregular heartbeats are on the rise, a new government study finds.
From 2000 to 2010, the overall death rate from heart disease dropped almost 4 percent each year, the U.S. Centers for Disease Control and Prevention, researchers found. At the same time, death rates linked to high blood pressure-related heart disease increased 1.3 percent a year, according to the study. The researchers also found that deaths tied to irregular heartbeats rose 1 percent a year.
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