Left: Dr. Anthony Cirillo, newly elected member of the ACEP Board of Directors met with VACEP President Dr. Bruce Lo, MD, MBA, FACEP. Right: Dr. William Jaquis, President-Elect stopped by the Mid-Atlantic Reception to thank his supporters.
Rare, polio-like condition appears in US again A puzzling condition that causes partial paralysis in children is back on the uptick in parts of the U.S., with six cases under investigation in Minnesota and 14 reported in Colorado, health officials said Monday. The children have acute flaccid myelitis or AFM, a weakening of the nerves that resembles polio. It was first identified in 2014, when 120 children were diagnosed.
Top: VACEP’s Councillors were joined by Virginians Dr. Peter Fahrney, MD, FACEP 1st Council Speaker (1974-1974) and Dr. Pam Bensen, MD, MS, FACEP 1st woman elected to ACEP’s Board of Directors.
One-third of older adults die after emergency intubation Of older adults who undergo intubation in the emergency department, 33 percent die during the index hospitalization, according to a study published recently in the Journal of the American Geriatrics Society. Researchers conducted a retrospective cohort study involving adults aged 65 years and older intubated in the emergency department during 2008 to 2015 at 262 U.S. hospitals
Do you have a passion to make a difference in emergency medicine? VACEP Leadership Nominations are now open. Have you ever considered entering your name as a candidate for VACEP’s Board of Directors? Only 6-8 percent of members of any nonprofit association traditionally are interested in governance and leadership. Interested emergency physicians can contact any Board member to discuss what is required. Nominations will be accepted until Nov. 16, 2018.
ICD-10 change allows healthcare providers to track human trafficking It wouldn’t surprise most health providers to know they’ve likely interacted with a victim of human trafficking. Research has shown healthcare providers are often among the first or only points of contact for trafficked individuals. But how does healthcare even track the problem to begin getting a handle on how to address it? There really hasn’t been a way, said Mindy Hatton, AHA’s general counsel.
How EMR emergency alerts are changing the game — and saving costs and lives — in Virginia Working with the Virginia Department of Health, Utah-based Collective Medical implemented EDie across emergency departments in health systems statewide. EDie plugs directly into the existing EMR and alerts emergency physicians of high-utilizer patients, prescription “shoppers,” and those with complex needs. If there have been previous security events or there is presence of a patient care plan, the EDie will tell the provider. Here are two examples of what are certainly thousands of similar stories since EDie was implemented this summer, as shared from the Virginia College of Emergency Physicians.
– A middle-aged patient presented with abdominal pain, representing a “Crohn’s flare” (what he described as severe). However, while he did not come forward with information that he had previously visited 10 other emergency department visits from other health systems within the past several months, the EDie alert did. On review of outside records, physicians could see that the patient had four recent CT scans done of his abdomen, and for the same complaint – the most recent being several days prior. This made it easy to forgo a CT during the visit, and physicians were able to instead re-iterate the care plan that was given to him for his follow-up visit, which had already been arranged. Best of all, no narcotic prescriptions were given.
– A dialysis patient who had over 80 emergency department visits over the past 12 months presented in the ED for chest pain. The EDie alert allowed the physician to quickly understand the patient’s medical history and discuss why he was visiting the emergency department again. The patient’s chest pain was chronic and unchanged, the alert indicated, which bypassed the need for an extensive cardiac workup — which he’d already had weeks prior. The physician and patient also had a discussion about the proper times to get dialysis through the costly emergency department versus using a more cost-effective dialysis center. In fact, the patient was at the ED to get dialysis as a convenience — he’d skipped his dialysis day so he could visit a friend in the area, something EDie showed that the patient had done a number of times throughout Virginia and even in neighboring West Virginia. When initially presented, the patient was not forthcoming with any of this information.
Wave of complex street drugs complicates diagnosis of overdose Drug overdoses are increasingly common and more lethal in nearly every area of the country. New research provides a snapshot of regional illegal drug use. The report also highlights the complexity of detecting and treating severe drug-related events at emergency departments. The study focuses on identifying illicit drugs causing patient overdoses at two hospital EDs in Maryland.
ER staffers under assault due to opioid crisis Emergency departments are becoming increasingly violent places as doctors bear the brunt of fallout from the opioid epidemic, a new survey shows. Nearly half of American emergency physicians said they have been physically assaulted at work, and three in five report those assaults happened during the past year, according to a new poll commissioned by the American College of Emergency Physicians.
Non-fatal injuries cost about $1.8 trillion in United States Nonfatal injuries in the United States totaled more than $1.8 trillion in costs stemming from hospital visits in one year, according to an analysis. Researchers found that about one in 10 individuals in the United States was treated for an injury at a hospital in 2013. An analysis of data on the injuries was published Oct. 8 in the journal Injury Epidemiology.
Virginia health officials report 'record number' of cases of human West Nile virus The Virginia Department of Health has announced that it has identified 38 human cases of West Nile virus this year, a record. The cases, reported as of Oct. 1, were from multiple regions across the state. “These cases serve as a reminder that mosquitoes that transmit WNV can be active as late as the end of October here in Virginia, and so we are advising the public to avoid mosquito bites until the first frost,” State Health Commissioner M. Norman Oliver said in a statement.
Managing dementia in the ambulatory care setting Managing dementia in older patients can be among the hardest things doctors face in ambulatory care, says Dr. Barak Gaster, a primary care physician and professor of medicine at the University of Washington in Seattle. Incidence is high, especially in patients over 85. An estimated 6 million Americans have Alzheimer’s disease, the most common form of dementia, while another 12 million have mild cognitive impairment.
Telemedicine network helps Virginia hospitals coordinate care A new telemedicine platform is giving northern Virginia’s Culpeper Medical Center the opportunity to triage patients with cardiac or vascular issues before sending them, if necessary, on to the experts at UVA Medical Center. Culpeper Medical Center is using connected care technology to link its emergency department with specialists at UVA’s Heart & Vascular Center in Charlottesville, roughly an hour away.
Headache specialists dissatisfied with emergency department headache care The majority of headache specialists are dissatisfied with the care patients receive during a headache-related emergency department visit, according to survey results published in Headache. Members of the American Headache Society were surveyed about the prevention of headache-related emergency department visits, the creation and implementation of headache protocols in the emergency department, and communication between the clinician and the emergency department.