“As Virginia’s physician associations dedicated to primary and emergency care, we know well the benefit that access to a family physician, a pediatrician, and to emergency physicians can have on a patient’s health and well-being. We therefore urge the budget conference, under your leadership, to advance access to our services to Virginians in need of a helping hand and a physician’s care.”
“I cherish the times I’ve been permitted to shadow an emergency physician,” said VACEP’s Bob Ramsey, CAE. “Actually being in the ED to watch and understand the pace and processes helps me serve the needs of emergency physicians better,” Ramsey concluded.
A special thank you to Bon Secours and Dr. Sequeira for allowing me to observe their emergency department in action.
Caption: Dr. Joran Sequeira, MD, VACEP Councillor and Leadership & Advocacy Fellow speaks with Poison Control during her shift at Bon Secours Memorial Regional Medical Center.
Pain is typical reason for ER, urgent care visits after outpatient carpal tunnel release The unplanned ER or urgent care visits patients have within 7 days of undergoing outpatient carpal tunnel release are rare events that an investigator here said are measurable and can usually be avoided through better pain management practices.
According to a presentation by Abtin A. Foroohar, MD, at the American Academy of Orthopaedic Surgeons Annual Meeting, carpal tunnel release (CTR) was associated with fewer unplanned ER and urgent care visits vs. other common outpatient orthopedic procedures.
VACEP Receives Grant to Protect Virginia's Medical Safety Net Dr. Trisha Anest, MD, MPH, VACEP Leadership & Advocacy Fellow and Grant project leader announced VACEP has received an ACEP State Public Policy grant of $12,500. Matching funds will be raised by VACEP to advocate for fair coverage for patients. “Balance billing has become a term used by the media to describe bills patients receive due to gaps in insurance coverage for out-of-network healthcare so it’s imperative VACEP unite physicians to advocate for fair coverage for our patients,” stated Dr. Anest.
Poverty, criminal justice involvement, biggest risk factors for emergency department use among youth Living in poverty or involvement in the juvenile or criminal justice system were the social complexity risk factors that made children more likely to use EDs, according to findings published in Annals in Family Medicine.
“Screening for social determinants of health is challenging but critically important for optimizing child health outcomes,” Kimberly C. Arthur, MPH, of the Seattle Children’s Research Institute, and colleagues wrote. “We aimed to test the feasibility of using an integrated state agency administrative database to identify social complexity risk factors and examined their relationship to ED use.”
Tell ABMS what you really think about MOC Leaders of the boards that run the Maintenance of Certification (MOC) programs, now rebranded as Continuing Board Certification, have created a commission — the Vision for the Future Initiative — to develop “a set of recommendations about the future of continuing board certification.” The American Board of Medical Specialties (ABMS) consists of the boards that operate MOC programs.
The Vision Initiative says it wants to hear from practicing physicians. Here’s your chance.
The commission has opened an online survey inviting you to “help envision the future of continuing certification.” Among the open-ended questions:
What would you like the commission to consider in the coming months as it reviews specialty boards’ maintenance of certification programs?
Do you have ideas about the future of continuing certification? If so, what are they?
Do you have any other thoughts on board certification?
Before posing broader questions, the commission survey also asks: “Do you believe there is a difference in the quality of care provided by Board Certified physicians and non-Board Certified physicians?”
The Vision Initiative website says nothing about how long the survey will remain open, but the commission’s first meeting is scheduled for Tuesday, March 20. FMA President-Elect Corey Howard, M.D., will be attending this meeting to provide recommendations from the FMA.
So let loose. Now. How would you “envision the future of continuing certification?” Click here to take the survey and make your voice heard.
Undiagnosed CV events low for elderly patients in emergency department Cardiovascular emergencies such as ruptured abdominal aortic aneurysm (AAA), acute myocardial infarction (AMI), stroke, aortic dissection, or subarachnoid hemorrhage (SAH) are undiagnosed in fewer than 1 in 20 emergency department presentations, according to a study published in JAMA.
New test can diagnose heart attack within an hour hen Marc Hammer went to the emergency room feeling fatigued and dizzy, he had no idea his life was actually at risk. “I’m an avid cyclist and walk five to 15 miles a day,” said Hammer, “so you can imagine my shock when I found out I was facing a heart issue. It came out of the blue.” Doctors performed several tests to determine what was happening with Hammer’s heart. “We wanted to rule out blockages in his coronary arteries,” said Lori Daniels, MD, cardiologist at UC San Diego Health.
Improving medication safety in the ED: 18 recommendations reflect joint effort “My child died from a medication error.”
These words from a parent whose child died at a highly respected hospital silenced the multidisciplinary panel discussing pediatric medication safety in the emergency department (ED). The conference, convened by the AAP Committee on Pediatric Emergency Medicine and Emergency Medical Services for Children, resulted in recommendations from the Academy, the American College of Emergency Physicians and the Emergency Nurses Association.
Amid efforts to expand naloxone access, a controversial new study questions its value Amid a worsening opioid epidemic, the overdose-reversal drug naloxone has taken center stage. Fire and police departments across the country stock the drug; nonprofits aim to get it into the hands of millions of residents as a bystander intervention.
But a controversial new working paper has raised the question of whether the urgent push to expand naloxone access may be doing more harm than good.
Switching IV fluids could save thousands of lives, researchers say Replacing the saline in many IV bags with another solution could save lives, according to two studies published in the New England Journal of Medicine.
The sister studies — one on patients in the intensive care unit and one on adults who were not critically ill — showed that “balanced crystalloids,” solutions that are more similar to what’s in human blood, were less likely to result in major kidney problems in the month after they were enrolled in the study.
Technique developed to improve appendicitis care for pediatric patients Researchers from Children’s Minnesota (Children’s) and HealthPartners Institute have developed a new pediatric appendicitis risk calculator (pARC) to aid in the diagnosis of appendicitis. The calculator was developed as part of a $3.1 million, five-year grant from the National Institutes of Health (NIH). In the April issue of Pediatrics, the researchers describe a novel method to calculate a patient’s specific risk for appendicitis. With this new method, clinicians will be able to provide tailored medical and surgical guidance to a patient.
Acetaminophen overdosing common, especially in cold/flu season Researchers who asked more than 14,000 adults about their recent use of acetaminophen found significant numbers are exceeding the maximum adult daily dose of 4 g (4000 mg).
Saul Shiffman, PhD, and colleagues found that the odds of taking more than 4 g of acetaminophen in 1 day increased 24 percent in the cold/flu season compared with the off-season (6.5 percent during cold/flu season vs 5.3 percent).