Emergency medicine's role in Opioid Crisis draws overflowing crowd Dr. Chris Holstege, MD, FACEP’s keynote address “The Opioid Crisis Reality & Emergency Medicine’s Role in Braking a Runaway Train” drew a record crowd at VACEP’s Annual CME Conference at the Omni Homestead. “We had 70 physicians and 64 residents register” announced Drs. Bruce Lo and Stephen Wolf, Education Co-Chairs. All the presentations will soon be on VACEP’s website.
O'Shea Receives Dr. Forrest D. McCoig Career Achievement Award Dr. Jeremiah O’Shea, MD, FACEP (far right) holds the first Career Achievement Award named after VACEP’s first chapter President Dr. Forrest McCoig (center). VACEP President Dr. Bruce Lo (left) announced “Dr. O’Shea spearheaded the transition of a new executive director with a disciplined focus on fiscal management and increased member involvement and was instrumental in the establishment of the Emergency Department Information Exchange.” The chapter honored Dr. McCoig for his leadership as VACEP’s first chapter president from 1971-1974.
Middle-aged woman presents with rapidly progressive bilateral ptosis and diplopia A 56-year-old woman presented to Tufts Medical Center with a 2-day history of rapid-onset binocular horizontal diplopia and an inability to open her eyes. Her double vision was initially present in left gaze only but soon involved all directions of gaze. She noted the inability to open her left upper eyelid 2 days before presentation, which was soon followed by involvement of the right upper eyelid 1 day later. Her vision was otherwise stable. She denied any eye pain or other ophthalmic complaints.
VCU Wins Resident Jeopardy Under the leadership of Resident Director Dr. Joel Moll MD ,FACEP, VCU won back the trophy from EVMS. VCU amassing an impressive 10,199 points answering medical questions while competing against Virginia’s resident programs at Carilion, EVMC, UVA and the U.S. Navy.
Pictured, Drs. Clare, Billet and Brooks make Resident Director Joel Moll (2nd from the right) proud after their victory.
CDC: Children experiencing fewer asthma attacks Children with asthma experienced fewer asthma attacks between 2001 and 2016, according to a recent Vital Signs report from the Centers for Disease Control and Prevention.
The percentage of children with asthma who experienced one or more asthma attacks in the preceding 12 months fell from 61.7 percent in 2001 to 53.7 percent in 2016, according to the report. The decline was seen in both boys and girls and all races and ethnicities, Anne Schuchat, MD, RADM, USPHS, acting director of the CDC, reported at a press conference.
Infuse Summit — May 5-6 The Medical Society of Virginia, VACEP and other medical specialties joined forces two years ago to develop a program to help stressed physicians in their delivery of care nationwide. With the expedited rate of healthcare changes, and the increasing burden that seems to be placed on physicians, there is rarely (if ever) a time for pause.
Infuse 2018 provides an intentional moment for physicians to think about themselves, explore their passions, and connect with the joy in practicing medicine. Infuse presents an exciting lineup of speakers ranging from Virginia influencers to national innovators.
The summit infuses panels discussions, creative demonstrations, artistic fusion and culinary offerings to create an experience that is unlike any other conference. Disrupt your thinking; join us on the path to possibilities at Infuse 2018. Click here to learn more.
Assaults among young people fall to lowest rate in 15 years The rate of non-fatal assault injuries dropped by more than a quarter among young people from 2011 to 2015, researchers found.
Rates of young people ages 10 to 24 treated for non-fatal assault injuries in emergency departments fell 27.5% from 2011 to 2015, with the 2015 rate the lowest in 15 years (753.2 per 100,000 in 2015 versus 1,179.7 in 2001), reported Corrine F. David-Ferdon, PhD, of the CDC, and colleagues.
ACEP's Viral Video Campaign to Expose Anthem Policy ACEP recently launched a video campaign to expose Anthem Blue Cross Blue Shield for denying coverage to emergency patients, based on an undisclosed list of diagnoses, for conditions the insurance giant considers non-urgent. For a copy of the full press release, please contact Michael Baldyga, ACEP Senior Public Relations Manager. This policy is active in six states – Georgia, Indiana, Kentucky, Missouri, New Hampshire and Ohio – but more Anthem states will follow, and more health insurance companies, if this effort isn’t stopped. Anthem’s policy is unlawful, because it violates the prudent layperson standard that is in federal law and 47 state laws.
Special thanks to ACEP video cast members Dr. Jay Kaplan, Dr. Alison Haddock, Dr. Ryan Stanton and Dr. Supid Bose – and ACEP staffers Mike Baldyga, Elaine Salter, Darrin Scheid and Rekia Speight!
Help us make the video go viral and top last year’s that generated nearly 300,000 views on YouTube and Facebook! Please post it to Facebook pages, e-mail it to colleagues and Tweet about it using #FairCoverage and #StopAnthemBCBS.
Scientists identify new approach to enhance bone healing When a patient breaks a bone, there’s a possibility the fracture won’t heal properly or quickly — even with the aid of pins, plates or a cast. And use of another restorative tactic known as bone morphogenetic proteins, or BMPs, is increasingly less likely. Designed to promote spinal fusion and bone repair more than a decade ago, these molecules can overperform, causing excessive or misdirected bone growth, studies have shown. The divide recently inspired a team of scientists to examine a new therapeutic approach.
FDA declares kratom an opioid The U.S. Food and Drug Administration has classified kratom, a botanical substance widely used as a painkiller despite agency approval, as an opioid. FDA Commissioner Scott Gottlieb released a statement referencing the FDA’s concerns about the plant substance and its health consequences, which they said include death. Since they’ve been keeping tally, there have been 44 deaths reported that are considered associated with kratom, an increase from the 36 that had been reported in a November 2017 FDA advisory document.
Stroke, TIA quality of care varies across facilities Care quality for patients with transient ischemic attack (TIA) or minor stroke varies substantially across elements of care and facilities, according to a study published in JAMA Neurology.
Dawn M. Bravata, MD, from the Department of Veterans Affairs (VA) Health Services Research and Development Stroke Quality Enhancement Research Initiative in Washington, DC, and colleagues examined the quality of guideline-recommended care for 8201 patients with TIA or minor stroke receiving care in the Veterans Health Administration system during federal fiscal year 2014.
Sexual harassment from patients prevalent, poll shows In responding to a Medscape poll asking whether they had been sexually harassed by a patient, many more nurses (71 percent) than physicians (47 percent) said yes.
The poll questions were posed December 20 by Medscape Medical News. Responses totaled 1045 and included 569 nurses, 408 physicians, and 68 other healthcare providers (HCPs).
People with diabetes account for a quarter of ER visits in US About 1 in 4 people aged 45 and older who made emergency department (ED) visits in 2015 in the United States had diabetes, new government data show.
According to the 2015 National Hospital Ambulatory Medical Care Survey (NHAMCS), an estimated 12 million ED visits that year were by patients aged 45 and older, representing 24 percent of ED visits by people in that age group and 80 percent of all ED visits by people with diabetes.
Post-partum depression: A clinical, not legal, issue A nurse who called law enforcement on a patient out of concern that she could harm her newborn infant could be a sign of a wider problem related to provider education about post-partum depression, experts said.
According to Kaiser Health News, a California woman sought care at a women’s clinic to discuss options for treating what she suspected was post-partum depression. The nurse handling her case called the police after the patient mentioned that she had violent thoughts relating to herself and her baby. The police escorted the woman and baby to the emergency department, where both were put under observation.
Fusion vs. decompression alone for degenerative spondylolisthesis patients: 5 insights Stanford (Calif.) University Medical Center researchers compared decompression alone against fusion for treating degenerative spondylolisthesis.
The study included administrative discharge records from California, Florida and New York inpatient, ambulatory and emergency department environments between 2005 and 2011. The researchers assessed 75,024 patients with spondylolisthesis, with 6,712 receiving decompression alone and 68,312 undergoing fusion.