Podcasts about emergency physicians acep

Beloved past-president of the American College of Emergency Physicians, Dr. Gillian Schmitz joins us to discuss an emergency department accreditation program that aims to address systemic problems and reduce burnout in emergency medicine. The program proposes different levels of accreditation based on criteria such as staffing, supervision, social work support, and patient care resources. The goal is to improve the practice environment and ensure physician-led care. Dr. Schmitz emphasizes the importance of physician involvement and advocacy in driving change and creating a better future for emergency medicine. She invites hospitals to participate in the pilot program and encourages physicians to provide feedback and support the initiative. Gillian Schmitz, MD, FACEP is a board certified Emergency Physician and Associate Professor in the Department of Military and Emergency Medicine at USUHS. She works clinically in the Emergency Department and serves as the Vice Chair of Education at Brooke Army Medical Center in San Antonio, TX. She is a nationally renowned educator and leader, currently serving on the National Board of Directors for the American College of Emergency Physicians (ACEP). Within USUHS, Dr. Schmitz is the clerkship site director for SAMMC, the Program Director for the Advanced Life Support Program, and faculty for Bushmaster, ACME, and Gunpowder.Dr. Schmitz has served in numerous national leadership positions within the American College of Emergency Physicians (ACEP) and serves on the Board of Directors. She is a former Chair of the Academic Affairs Committee, subcommittee Chair for the Medical Legal Committee, Chair for the Young Physicians Section, and former Board member for the Emergency Medicine Resident's Association (EMRA). She has been a leader in the Government Services Chapter, serving as President from 2015-2016.Dr.Schmitz has also been involved with emergency medicine research and is a former Emergency Medicine Foundation and DoD research grant recipient, published author, and reviewer for several medical journals. Her research interest is wound care, skin infections, and infectious disease.Dr. Schmitz has received awards for her leadership roles including the prestigious National Mentorship Award, the National Early Career Faculty Award from the Academy for Women in Academic Emergency Medicine (AWAEM), the Early Career Achievement Award from the Loyola Stritch School of Medicine, and numerous teaching and mentoring awards from her residents and students. Keywords: emergency department accreditation, systemic problems, burnout, physician-led care, staffing, supervision, social work support, patient care resources, physician involvement, advocacy Takeaways An emergency department accreditation program is being developed to address systemic problems and reduce burnout in emergency medicine. The program proposes different levels of accreditation based on criteria such as staffing, supervision, and social work support. Physician involvement and advocacy are crucial in driving change and improving the practice environment. Hospitals are invited to participate in the pilot program and provide feedback to help refine the accreditation standards. Sound Bites "80% of burnout stems from systemic problems" "Staffing and supervision are key differentiators in emergency department accreditation" "Physician wellness is a focus of the accreditation program" Chapters 00:00 Introduction and Background 02:52 Emergency Department Accreditation Program 08:07 Criteria for Accreditation 12:06 Levels of Accreditation 15:54 Physician Involvement and Advocacy 23:03 Getting Involved and Providing Feedback https://www.acep.org/edap GillianMD@gmail.com

Dr. Dockendorf is an emergency room physician with over 23 years experience. He graduated from the University of Utah with a Bachelors of Science degree in human biology, while at the same time earning a commission as an Air Force officer through the Reserve Officer Training Corps (ROTC). He then received his medical degree from Des Moines University in Iowa.His post-graduate years consisted of a surgical internship at Wright State University, Dayton Ohio, followed by completion of a three year post-graduate emergency medicine residency under the San Antonio Uniformed Services Health Education Consortium (SAUSHEC), earning his board certification though the American College of Emergency Physicians (ACEP). During his military career, he served as a flight surgeon, ER medical director, and Critical Care Air Transport Director (CCATT), eventually retiring from the Air Force Reserves with the rank of Lieutenant Colonel.Dr. Dockendorf is currently affiliated with the largest and busiest emergency/trauma department in Fort Walton Beach, Florida. His discipline and dedication to healthcare has been acknowledged with Aqua Vitae being voted the Best in Destin.Website www.luxelifediscovered.com Youtube Roku Amazon Fire TV

Have you considered ways to elevate patient care and physician well-being? In this episode, Dr. Gillian Schmitz delves deep into the intricacies of emergency department, hospital, and physician group accreditation. In this enlightening discussion, she explores the significance of accreditation in ensuring quality care and safety standards for both patients and physicians. I can't think of anything more important than our ability to define what those standards should be for patients, for us to prevent burnout, to ensure we're given quality care. - Dr. Gillian Schmitz.My special guest is Gillian Schmitz.Gillian Schmitz is the former president of the American College of Emergency Physicians (ACEP). With a strong dedication to enhancing patient care and advocating for the well-being of physicians, Dr. Schmitz is at the forefront of the emergency department accreditation process. Her focus on implementing evidence-based policies and practices reflects her commitment to elevating medical standards. Dr. Schmitz's experience and progressive approach make her an invaluable asset, highlighting the importance of continuous improvement and adherence to the best medical practices in pursuing accreditation excellence.The resources mentioned in this episode are:Become a member of ACEP to support advocacy efforts and have a voice in shaping emergency medicine standards and policies.Encourage your group or hospital to apply for accreditation through ACEP to ensure high-quality care and fair, productive work environments for all physicians.Connect with Dr. Schmitz and visit ACEP's websiteTwitterACEPTreat yourself to a dreamy weekend away with women physicians. Join us for the April 5-7 Revitalize Physician Retreat in Huntington Beach, CA. The first 50 people who register will get a free 6-month membership to the Revitalize Community, a $999 annual value, too! Use REVDOC100 at checkout for $100 off. Treat yourself to a dreamy weekend away with women physicians, certified physician coaches, & established thought leaders in medicine. Join us for the April 5-7 Revitalize Physician Retreat in Huntington Beach, CA. The first 50 people who register will get a free 6-month membership to the Revitalize Community, a $999 annual value, too! MicroSkills is built on one core, easy-to-learn principle: every big goal, complicated task, healthy habit, and, yes, even what we think of as character traits, can be broken down into small, learnable, skills that can be practiced, and incorporated real-time. Pre-order wherever you buy your books or on Amazon; launches Apr 16.Support the showConnect with us: X: https://twitter.com/RevitalizeWomenLinkedIn: https://www.linkedin.com/company/revitalize-womens-mastermind-groupWebsite: https://www.peoplealwayshcc.com/revitalizeConnect with Andrea on IG about the show and more: https://www.instagram.com/revitalizingdoc/

Nutrition has vast effects on individual and population health—impacting obesity rates, chronic conditions, and quality of life. Yet despite its proven, wide-reaching effects, nutrition remains largely overlooked as a social determinant of health. Dr. Livia Santiago-Rosado, MD, Commissioner of the Dutchess County (NY) Department of Behavioral and Community Health, joins Dr. Enrique Enguidanos to discuss this important topic and how communities can work together to make small tweaks and big impacts. Bio:Dr. Santiago-Rosado has been Commissioner of the Dutchess County Department of Behavioral Health since her appointment in December 2021. Following completion of a BA in Biological Anthropology summa cum laude from Harvard University, she attended medical school at Columbia University. Having completed residency training at Mount Sinai and Elmhurst Hospitals in New York City, has practiced Emergency Medicine in New York for over two decades, working in emergency departments (EDs) in diverse settings including urban, suburban, rural, public and private. She holds an academic appointment as Distinguished Visiting Professor at New York Medical College and Adjunct Associate Professor at the Touro School of Osteopathic Medicine.Dr. Santiago has dedicated her career to working with and enhancing the care of underserved populations. Prior to moving to Dutchess County, she spent 15 years as a clinical leader in New York City's public hospital system, Health + Hospitals (H+H), where she helped found a novel ED Care Management program for highly vulnerable patients and the first ED-based observation unit in H+H. Prior to her current appointment, Dr. Santiago was the Medical Director and inaugural Chair of Emergency Medicine at Vassar Brothers Medical Center in Poughkeepsie, NY. Dr. Santiago is an active member of the New York State Association of County Health Officials (NYSACHO) and sits on its Emerging Issues committee. She also currently serves as a Councilor representing New York at the American College of Emergency Physicians (ACEP) and has served two terms on the Board of Directors for the New York Chapter of ACEP. She also serves on ACEP practice committees at both the State and national levels. Throughout her career, she has led and participated in policy development, education, informatics and data analytics, quality improvement, change management, and research in Emergency Medicine, social determinants, and population health at the local, state, and national levels. Lastly, since local health commissioners in New York are required to have a master's degree in public health (or related field) in addition to a medical doctorate, she is currently enrolled in the MPH program at the University at Albany.

This epsiode reviews the new clinical policy from the American College of Emergency Physicians (ACEP) on medication for acutely agitated patients needing parenteral sedation. Show notes / references: FOAMcast.org Thanks for listening! Lauren Westafer

Kanamalar travmalarla ilişkili ölümlerin önde gelen nedenidir ve bu hastaların yarısından fazlası hastane öncesi dönemde ölmektedir. Bu nedenle üç dernek (American College of Surgeons Committee on Trauma, the American College of Emergency Physicians [ACEP], and the National Association of EMS Physicians [NAEMSP]) bir araya gelerek, hastane öncesinde kanama kontrolü teknikleri ve hemostatik resüsitasyon konusunda ortak rehberlik sunmak ve aynı zamanda ilk yardımcılara da yol gösterici olmak için bir konsensüs bildirgesi yayınladılar. Bu yazıda rehber (Klinisyenler Tarafından Hastane Öncesinde Kanama Kontrolü ve Tedavisi: Ortak Tutum Bildirgesi) önerilerinden bir özet bulacaksınız.​1​ Uzun süredir askeri alanda kanama durdurmak için packing (yara içi tampon), kavşak turnikeleri ve hemostatik emdirilmiş örtüler kullanılmaktadır. Yine savaş alanı tecrübesi kan ürünlerinin hastane öncesinde kullanımını desteklemektedir. Bu bildirgede benzer uygulamaların sivil hayatta kullanımına dair radikal öneriler yapıldı. Elbette tüm kılavuzlar bölgesel faktörler göz önünde bulundurularak oluşturulur. Umarım kısa süre içinde ülkemizde hem güvenlik güçlerimizin yaralanmalarında taktik alanda, hem de sivil hayatta daha etkili müdahaleler yapmak konusunda yerel rehberler oluşturarak hastane öncesi bakım kalitemizi güçlendirebiliriz. BİLDİRGE ORTAK KARAR NOKTALARI Elbette kanamalı hastaların kanama kontrolü için halen ilk seçenek olarak doğrudan baskı uygulanması öneriliyor. Direkt basının hastaların çoğunda kanamayı etkili olarak kontrol altına aldığı vurgulanmış. Kanama kontrolü için öncelikle kanamanın kaynağının ve hayati tehlike oluşturup oluşturmadığının belirlenmesi önerilmiş. Diğer öneriler; Doğrudan bası ile kanama kontrol altına alınamıyor veya alınması mümkün değilse, yarayı sarmak için gazlı bez ve/veya hemostatik emdirilmiş pansumanların kullanılması ve sıkıştırılabilir arteriyel kanamayı kontrol altına alabilmek için ekstremitelerde turnike kullanılması önerilir. Gövdeye birleşim bölgelerinden (boyun, omuz/koltuk altı ve kasık) kaynaklanan kanamalar doğrudan bası ve yara içi tampon ve/veya bir birleşim bölgesi -KAVŞAK turnikesi- (yalnızca koltuk altı veya kasık için) kullanılarak kontrol edilebilir. Yara içi tampon, yaranın içindeki damarlara doğrudan basıncı artırır. Bir travmatik yarayı doldurmak için temiz bir bez, gazlı bez veya hemostatik içeren pansuman derinlemesine ve sıkı bir şekilde yaraya bastırılır. Yara tamamen dolana kadar tampon uygulanırken doğrudan bası yapılmaya devam edilir. Tampon sonrasında yara bir pansumanla kapatılmalı ve her iki elle ciddi baskı uygulanarak başlangıçta hemostaz sağlanana kadar baskı sürdürülmelidir  Saçlı deri yaralanmaları ciddi hayati tehlikeli kanamalara neden olabilir ve doğrudan baskı uygulanarak veya hızla dikiş atılarak kontrol edilebilir. Hayati tehlike oluşturan dış kanamalar için kanama kontrol algoritması aşağıdaki şekilde gösterilmiştir. NOT: Bu noktada taktik tıbbında geçmişte de sık kullanılan 'yara içi tampon' önerisine dikkat çekmek istiyorum. Kanama doğrudan bası ile kontrol alınamadığında ikinci basamak müdahale olarak ekstremitelerde turnike uygulaması, bunun mümkün olmadığı vücut birleşim yerlerinde ise tampon ya da kavşak turnikesi kullanılması önerilmiş. 3. Lokal hemostatik içeren örtüler: Lokal hemostatik içeren örtüler faktör konsantratörleri, mukoadezifler ve prokoagülanlar içerebilir. ÖNERİ: Hemostatik emdirilmiş örtülerin en az 3 dakika doğrudan baskı uygulandıktan sonra uygulanması önerilmiş. 4. Turnike için Öneriler Hayati tehlike oluşturan kanamaları olan hastaların ekstremite travmalarında, vaktinde uygulanan turnike sağkalım şansını artırır. Bu nedenle ticari turnikelerin hızlı erişilebilecek yerde bulundurulması önerilmiş. Bu rehberde el yapımı turnikeler yerine ticari turnikelerin tercih edilmesinin üzerinde durulmuş. Ekstremite Turnike Tekniği: Yaranın en az 5-8 cm (2-3 inch) proksimalinden ...

Sleep is so important, we are bringing back an episode from last year focusing on tools to help you sleep better! Here are some additional resources from the NAMI (National Alliance for the Mentally Ill). Learn about sleep and shift work tips from the American College of Emergency Physicians (ACEP) and UCLA Health. Set boundaries around sleep and your sleep schedule. Practice sleep hygiene, turn off electronics and ensure that friends and family know not to disturb you. Harvard's Division of Sleep Medicine provides information on how to improve health, work and life with simple steps to get good sleep, including success stories for managing sleep and shift work. Make use of a wide variety of apps to help track sleep, improve relaxation and help with circadian rhythm. Sleep Foundation offers tips for healthy sleep habits when working shifts. -------- Today's episode is all about sleep! Yes, sleep. Especially when you're having a hard time doing it. You lay down after a long day with lots of thoughts in your head, a lot of anxiety and you just can't fall asleep.  What if there was a way that you could use a type of yoga to make it easy to fall asleep and make your brain happier?

Gillian Schmitz, MD, FACEP is an Associate Professor at the Uniformed Services University and an emergency physician at the Brooke Army Medical Center in San Antonio, TX. She currently serves as the Immediate Past President and a member of the Board of Directors of the American College of Emergency Physicians (ACEP).We discuss surprise billing and what the No Surprises Act was designed to do. Dr. Schmitz highlights the implementation challenges, including that many insurance companies are not reimbursing physicians fairly or even showing up to arbitration, as the law requires. We discuss how organized medicine amplifies the voice of individual physicians. We discuss that a powerful antidote to burnout is to get involved and make changes. Dr. Schmitz debunks some of the myths around ACEP, specifically that it kowtows to private equity. We'd encourage listeners to check out ACEP's policy statement on private equity and corporate investment in emergency medicine. To learn more about the benefits of ACEP, check this link. We discuss the potential for ACEP to implement an emergency department accreditation system. The aims of this system would include raising the bar on quality and ensuring that the working conditions are sustainable and just for emergency physicians. We end our discussion on the importance of physician involvement and engagement in policy and advocacy. We discuss the importance of civility and encourage listeners to reach out to ACEP leadership when they have a question or concern. ACEP's membership page is a great place to start.We encourage you to check out AAWEP's in-person pre-conference, Power Up: Women in Emergency Medicine Leadership on April 30th in Washington, DC.  Has the pandemic left you wondering about your future in emergency medicine? Join us for an engaging and interactive pre-conference to reinvent and reinvigorate your passion for medicine and leadership. Leave empowered to transform your own career and with the tools to connect and energize your colleagues.This podcast is a project of Revitalize Women Physician Circle. We are dedicated to helping you go from surviving to thriving as a woman physician. Reach out today to schedule an individual consultation to learn about individual and group coaching options. Check out our upcoming Women Physician Leadership Mastermind!Your support makes it possible for Dr. Austin to bring you heartwarming and inspiring conversations with medical trailblazers. Consider a donation today to offset the costs associated with this podcast! Revitalize Women Physician Circle is dedicated to paying it forward to make medicine better for physicians and patients. Consider becoming a monthly sponsor; even $1 Support the showConnect with us: Twitter: https://twitter.com/RevitalizeWomenLinkedIn: https://www.linkedin.com/company/revitalize-womens-mastermind-groupWebsite: https://www.peoplealwayshcc.com/revitalize

Gillian Schmitz, MD, FACEP is an Associate Professor at the Uniformed Services University and an emergency physician at the Brooke Army Medical Center in San Antonio, TX. She currently serves as the Immediate Past President and a member of the Board of Directors of the American College of Emergency Physicians (ACEP).In this episode, we discuss our career paths in military medicine, including being professors at The Uniformed Services University. Civilians can work as contractors and civil servants for the military, VA, and other government organizations. To learn more about government positions, check out USA jobs.  We discussed an early career setback that spurred Gillian to consider a different career path. This ultimately led to her running for the ACEP board. She ultimately became ACEP President. We discuss the importance of physician leadership, current policy challenges, and the future of emergency medicine.We deep dive into the EM workforce report and how many of the initial factors that went into the report are now obsolete.  Check out the Workforce homepage to learn about the latest updates and projections for the EM workforce. We talk about ACEP successes, including The Dr. Lorna Breen Health Care Provider Protection Act, which aims to reduce and prevent suicide, burnout, and mental and behavioral health conditions among healthcare professionals. We discuss the recent changes to EM billing and how ACEP is helping EM physicians understand the changes. The changes are meant to align better with what is necessary for an ED chart! We encourage you to check out AAWEP's in-person pre-conference, Power Up: Women in Emergency Medicine Leadership on April 30th in Washington, DC.  Has the pandemic left you wondering about your future in emergency medicine? Join us for an engaging and interactive pre-conference to reinvent and reinvigorate your passion for medicine and leadership. Leave empowered to transform your career and with the tools to connect and energize your colleagues.This podcast is a project of Revitalize Women Physician Circle. We are dedicated to helping you go from surviving to thriving as a woman physician. Reach out today to schedule an individual consultation to learn about individual and group coaching options. Check out our upcoming Women Physician Leadership Mastermind!Support the showConnect with us: Twitter: https://twitter.com/RevitalizeWomenLinkedIn: https://www.linkedin.com/company/revitalize-womens-mastermind-groupWebsite: https://www.peoplealwayshcc.com/revitalize

This episode covers the 2022 American College of Emergency Physicians (ACEP) clinical policy on acute heart failure syndromes with a special focus on high dose nitrates References and Show Notes: FOAMcast.org Thanks for listening! Lauren Westafer

Christina Miller, MD, FACEP, is double board-certified in emergency and integrative medicine. After spending ten years in the emergency department and serving as president of Colorado ACEP (American College of Emergency Physicians), she radically changed her practice to health promotion, due to her own health concerns and being overwhelmed by the amount of chronic disease and illness seen in the ED. She studied nutritional science and plant-based nutrition, completed a fellowship in integrative medicine, and now focuses exclusively on nutrition and lifestyle changes to get to the root cause of disease and illness, while promoting wellness and longevity in each individual. Instead of treating emergencies in the ED, she is now helping to prevent and reverse chronic illnesses and empower people to live with vitality. She enjoys teaching plant-based, nutrient-dense cooking classes to both groups and individuals, and helped establish a free clinic outside of Aspen, Colorado for the underserved. She lectures locally, has spoken around the country with Younger Next Year best-selling author Chris Crowley, as well as in corporate wellness programs promoting good nutrition and healthy lifestyle. She has contributed significantly to the nutrition chapter for the American College of Emergency Physicians (ACEP) handbook and wrote wellness-promoting tips for the emergency physician. She is founder of Eat and Live Healthfully website and blog and served as the medical director of Aspen Valley Hospital creating their Integrative Medicine program. She was also selected to be a member of the Pitkin County Board of Health, where she helped with policy and public health concerns. In 2019, she moved to New Hampshire, worked at an integrative clinic in Vermont seeing patients, teaching classes, giving lectures, and reaching out to the local community. She is now proud to be part of the start-up company, Plantbasedtelehealth.com, offering plant-based telemedicine services to patients across the country, reaching people who otherwise wouldn't have access. Her goal is to continue to share the information and the resources necessary to help empower people to take back their health, prevent and even reverse chronic illness, and create long-lasting true health and vitality. One of her favorite mantras is, “Together we are healthier”. On a personal note, I also have my own story, as I was diagnosed with lupus in 2009,. I had initially presented with joint pains, which rapidly progressed to heart, lung, blood vessel, and kidney involvement. I was on 6 medications, including high dose prednisone and immunosuppressants, and chemo drugs. I had to quit my job in the ER at this time, because I was so immunocompromised. It was a very depressing and dark time in my life, and I was scared for my health. This is when I googled diet for lupus patients, and learned about plant-based whole food diets. I transitioned immediately after learning about it, but my healing was still a long course. I was not one of those people who went plant-based and all of my medical problems went away. I tweaked the diet quite a bit to a full autoimmune healing diet, developed a comprehensive mind-body program to calm my nervous system and stress hormones, improved my sleep, and made other lifestyle adjustments. I also had to eliminate toxins completely and overhaul many aspects of my life. It's been quite a journey, and I live a very different, much more awake, aware, and present life, for which I'm ultimately grateful. This is what I am so passionate, about and what I work so hard to share with my patients. I am very grateful for you inviting me to come speak with you and share the importance of diet, lifestyle, community, and maintaining hope as people heal from chronic illness, as well as about our new telemedicine practice at plantbasedtelehealth.com, where we get the opportunity to reach patients all over the country. www.eatandlivehealthfully.com

WoundZipper® is an innovative wound closure device, which incorporates magnets to effectively close wounds. Intended primarily for emergency department use, the device is designed by a board-certified emergency department physician, Dr. Moustafa H. Moustafa.WoundZipper® employs powerful, flexible magnets encased in a proprietary medical-grade coating, designed to adhere to each side of the wound using a hypoallergenic adhesive. The WoundZipper® can be employed to close wounds in a fraction of the time required usingconventional methods. Unlike sutures, staples, and steri strips, WoundZipper® achieves uniform closure along the entire wound to speed healing and reduce scarring. It takes less than a minute to apply, does not require local anesthetic, and is painless.As a new wound closure solution, WoundZipper® was on display IncubatED program at the American College of Emergency Physicians (ACEP) conference at the Walter E. Washington Convention Center in Washington D.C. (Table #2807-i-8 in the IncubatED section). TheIncubatED program showcases incubator and/or early-stage healthcare products in the emergency department.What I have often witnessed in the emergency department is a couple with a small child who has a laceration that is bleeding, Dr. Moustafa said. The child is upset, the parents are upset, but because it's not life-threatening, staff do not consider it a high priority. This results in frustration for all involved. I designed WoundZipper® to offer an instant solution.”WoundZipper® makes the process of treating and healing a wound fast and effective and increases medical provider efficiency,” Moustafa said. The magnets are pre-aligned as part of the package unit. This provides instant wound approximation since the magnets are immediatelyattracted to each other as soon as the removable layer is taken away.” Faster than staples or sutures. Less traumatic for infants and children. No painful injection. Easy to inspect the wound and reclose. Perfect for high anxiety emergencies. No disposable accessories.The intellectual property associated with WoundZipper® is available for licensing. Visit www.woundzipper.com or watch this video: https://www.youtube.com/watch?v=7ttyFIp6wbg--------------------------------------------About Got Invention Show:Welcome to the Got Invention Show!Listen to inventors interviews sharing their invention story to the world!Are you patent pending?Do you have a prototype to show and demonstrate?Are you looking to earn royalties from your invention?Are you looking for a manufacturer?Do you want to raise money or find an investor?Do you want to sell your invention?Learn from other inventors or let's see and hear about your big invention idea! Show & tell us about your invention, have your very own video interview to be proud of!Your video can be used to:Post to your social mediaAdd on your websiteSend to bloggers & editorsPitch to licensees or investorsListen to inventor interviews or sign up: www.gotinventionshow.comYour Host of Got Invention Show, Brian Fried. Brian is the host of Got Invention Radio, with interviews of high profile guests including the U.S. Patent & Trademark Office, Lori Greiner from ABC's Shark Tank, & over 150 individual interviews. www.gotinvention.comBrian connects and guides inventors to earn royalties from their inventions to licensees and brand properties looking for new ideas and intellectual property to expand existing or add to new product lines. Inventor Smart: www.inventorsmart.com Host Inventor Expert and Mentor Brian Fried: www.brianfried.com

Dr. Baruch Fertel is the Director of Operations for the Emergency Services Institute and all of the Cleveland Clinic Emergency Departments. He has a strong interest in high reliability, process improvement, utilization, standardization, opioid stewardship and Peer Review/QA. Dr. Fertel is also Associate Chief Quality Officer- Regulatory Affairs for Enterprise Quality & Safety where he provides clinical oversight and leadership for Cleveland Clinic's interaction with various regulatory agencies, as well as oversight of professional practice evaluation (Peer Review, OPPE, FPPE). Previously, he was Medical Director in the IT Division/ Clinical Systems Office with oversight over the Electronic Health Record (EPIC-ASAP) and other aspects of Clinical Informatics for the Emergency Services Institute and was also the Quality Improvement Officer for the Emergency Services Institute. Clinically, Dr. Fertel sees patients in both the General and Pediatric ED's. He is a teacher to residents, PA and medical students. He holds the academic rank of Associate Professor of Emergency Medicine at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and was also part of the faculty at the PA program at Case Western. Academic accomplishments include more than 80 published abstracts, manuscripts and book chapters. In addition he has made numerous media (TV/Radio/Print) appearances locally and nationally. He is an active member of the American College of Emergency Physicians (ACEP) both nationally and locally, sits on the ACEP Membership Committee, ACEP EM Practice Committee and is Chair of the Ohio ACEP Government Affairs Committee. Dr. Fertel is also Medical Director of the Forensic Nursing Program at Cleveland Clinic.

Rolling Stone published a blockbuster investigation that directly connects a number of GOP Congresspeople and the Trump Administration itself to the planning of the Capitol Attack of January 6th, 2021 - we go over the report in detail. Then, if you wondered how Emergency Room visits get to be so expensive, a lobbying group called the American College of Emergency Physicians (ACEP) have spent decades now twisting the regulations and then flouting even THOSE to make an illegal profit for the capitalists who back it. All that and much more on TMI for Friday, October 29, 2021 - listen in for YOUR Cure for the Common Media!

Episode 54 Amie Varley, Sara Fung, and Gina Lopez on Violence in the Health Care Workspace The Gritty nurse podcast Amie Varley, RN, BN, MScN- CP Women's Health, received her Bachelor's degree from the University of New Brunswick in Nursing and her Masters Degree in Nursing from the University of Toronto (U of T). She also completed a collaborative Masters Degree program with the Dalla Lana School of Public Health  at U of T in Women's Health. Amie is a dynamic speaker, advocate and activist for nursing as a profession, mental health, health equity, Womxn's health and Womxn's rights. Her Master's degree focused on the mental health of postpartum Womxn and transgender medicine.  She has worked as a nurse in many roles; Labour and Delivery Nurse, Maternal Child Nurse, Educator, Professional Practice Clinician, College/University Faculty and in Quality Improvement. Sara Fung, RN, BScN, MN,  received her Bachelor's of Science in Nursing from Western University and her Master's of Nursing from the University of Toronto.  Her expertise is in maternal child health, with clinical experience in obstetrics and the NICU. She has worked in both academic and community hospitals and home health as a bedside nurse, educator, advanced practice nurse and professional practice specialist. In addition to working full time, she is also a mother of 2, resume writer/interview coach, and podcaster!Sara is passionate about issues such as bullying and incivility, diversity and inclusion, and helping nurses find their career paths in a profession with so many opportunities! Gina Lopez, MD, MPH received her Bachelor's of Science from the City College of New York and graduated from Albany Medical College as a Doctor of Medicine. She completed her Master of Public Health with a concentration in operations management from Harvard T. H. Chan School of Public Health. She is a practicing board certified Emergency Physician working at Boston Medical Center, which is the busiest provider of trauma and emergency services in New England. As an assistant professor at Boston University School of Medicine, she has special interests in trauma, team dynamics, work-life integration and resilience as well as diversity and inclusion. She is the director of workplace safety for the emergency department and active in policy and procedures development and training related to workplace violence and management of escalation. Clinically, she strives to be an empathic listener and holistic care provider and personally, she is an involved mother of three and supportive wife. Emergency Nurses Association Workplace Violence Violence in the Emergency Department: Resources for a Safer Workplace Emergency Doctors and Nurses Team Up on No Silence on ED Violence Campaign ACEP Policies Protection from Violence in the Emergency DepartmentThe American College of Emergency Physicians (ACEP) believes that workplace violence is a preventable and significant public health problem and that optimal patient care can be achieved only when patients, health care workers, and all other persons in the emergency department are protected against violent acts occurring within the department. Emergency Department Violence: An Overview and Compilation of Resources 

Perhaps 100 young people may be prescribed opioid pain killers for extracts wisdom teeth or a broken bone and only a handful may feel a strong pull of addiction after a single pill.  The problem is we do not know who that vulnerable handful is.  That is why prevention of exposure is important. It does not mean prohibition of opioids, but it does mean innovations in pain management that avoid opioids when possible. The opioid epidemic has a silver lining. It engaged the medical community in solution. All medical specialties have been activated in the issue of addiction and pain. And the medical community is rallying – with solutions and innovation in managing pain better with less addiction. Alexis M. LaPietra, DO, FACEP Dr. Alexis LaPietra is System Chief for Pain Management and Addiction Medicine as well as the Fellowship Director of the Emergency Medicine Pain Management Fellowship and Emergency Medicine Addiction Medicine Fellowship at St Joseph's Health in NJ. She created the St Joseph's Health Alternatives to Opioids (ALTO SM) program and founded the Pain Management/Addiction Medicine Section of the American College of Emergency Physicians (ACEP). She has been involved in multiple national educational initiatives with ACEP and is the current Chair for the PACED (Pain and Addiction Care in the ED) Accreditation Program. In 2016 she received the Emergency Care Innovation of the Year Award from G.W. University Center for Healthcare Innovation as well as the American College of Osteopathic Emergency Physicians Practice Innovation Award. Dr. LaPietra's work has been highlighted in The Annals of Emergency Medicine, NPR, NBC, The New York Times, Fox News, and CNN. Her work was the basis for the “ALTO in the ED Act,” part of the legislation included in the H.R.6- SUPPORT for Patients and Communities Act signed into law by President Trump in October 2018.

Evie Marcolini, MD is an Assistant Professor of Emergency Medicine and Neurocritical Care.  She has clinical appointments in the Department of Emergency Medicine and the Department of Neurology; and is core faculty in the Emergency Department as well as the Division of Neurocritical Care and Emergency Neurology at Yale. She has board certifications in Emergency Medicine and Neurocritical Care, and is fellowship-trained in Surgical Critical Care from the R Adams Cowley Shock Trauma Center in Baltimore, Maryland.   Evie is Medical Director for the SkyHealth Critical Care helicopter transport service that is shared between Yale-New Haven Health System and Northwell Health. She is a Fellow of the American College of Critical Care Medicine, American Academy of Emergency Medicine (AAEM) and American College of Emergency Physicians (ACEP), and is a member of the Board of Directors for AAEM. She is the past Chair of the Critical Care Section of ACEP, and active in all three societies, with a goal of bringing emergency physicians to the forefront of critical care in all realms. Evie is an active educator and speaker, with an interest in neurocritical care topics as they relate to emergency medicine and bioethics as it relates to emergency medicine and critical care patients. She has, and continues to lecture nationally and internationally, and has won the ACEP Junior Faculty Teaching Award. Evie is very active in bioethics, as a member of the Yale-New Haven Health Ethics Committee and the Society for Critical Care Medicine (SCCM) Ethics committee, and teaches ethics seminars in the ethics of neuroscience and of emergency medicine annually for the Sherwin B. Nuland Summer Institute in Bioethics at Yale. She has been awarded the Grenvik Family Ethics Award from SCCM. Evie is a co-editor of the textbook: Emergency Department Resuscitation of the Critically Ill, which is now in its second edition, is a co-author of an upcoming book on mechanical ventilation in emergency medicine. She has been active as faculty for Wilderness Medical Associates International since 1992, and teaches wilderness medical courses to medical students, residents, faculty and allied health professionals nationally and internationally, as well as having served as Faculty Advisor to wilderness medicine interest groups at the University of Maryland and Yale. When not involved in academic pursuits, Evie loves to spend her time running and skijoring with her two Siberian Huskies. Please leave us your thoughts and comments, we'd love to dig further into this topic.  Make sure to leave @EMS_Nation a 5 star review wherever you listen to podcasts and to share the episode with friends and colleagues to pass along this #FOAMed resource. Checkout the blog at EMSNation.org and say hello to Dr. Faizan H. Arshad on Twitter and Instagram @emscritcare. Wishing everyone a safe tour!

In this episode, Dr. Archana Shrestha discusses medical journalism and medical broadcasting with Dr. Leigh Vinocur, a board-certified emergency physician. Dr. Vinocur is also a national spokesperson for the American College of Emergency Physicians (ACEP) and appears regularly on national media outlets such as the Today Show, CNN, Headline News, the Fox News Channel and the popular syndicated Dr. Oz Show. She was a health contributor and columnist for the widely read online newspaper the Huffington Post. She also developed and hosted the Dr. Leigh Vinocur Show: Health from the OutsideIN on RadioMD.com. Are you a physician who is dissatisfied in your current job? Have you been thinking about pivoting and making a career move? Or maybe you have realized medicine isn’t quite so stable and that you need additional sources of income? Since so many doctors are wanting to pivot in their careers right now, we just hosted a Women in White Coats Virtual Summit called Women Docs Thinking Outside the Box. It was an AMAZING Summit !!! Attendees heard from a phenomenal line-up of guest experts who are all women docs thinking outside the box, living life and practicing medicine on their own terms. They shared their best tips for making a transition into everything from Telemedicine and Locums to Physician Leadership, Lifestyle Medicine and Medical Media and Coaching. We even had experts talking about how to get started in Real Estate and Stock Investing and entrepreneurship. Even though you missed the LIVE launch of the Summit you can still gain all the wisdom and insight by watching all the recording. Just Go to womeninwhitecoats.com/virtualsummit and get registered today.

The Past President of the American College of Emergency Physicians (ACEP), President at Team Parker and a practicing Emergency Physician, my guest today has a resume studded with awards for her leadership roles in an illustrious career.  She is an expert on practice management topics and has been invited to speak nationally and internationally on these topics as well as coding, reimbursement, health policy reform, professional development, diversity and inclusion and innovation.She has received multiple awards for her leadership roles, including Fierce Healthcare's Women of Influence in 2019 and was a Finalist in 2016 for Modern Healthcare's 50 Most Influential Physician Executives. Her work in Diversity and Inclusion while President of ACEP is well recognized and continues to advance today.We discuss many topics in this episode, including the meaning of being a leader, how  women physicians can get started on their own leadership journey, the challenges she faced and the lessons she learnt as a physician, a mom and a leader.Stay tuned till the end for a surprise fact about Dr. ParkerRATE, REVIEW AND SUBSCRIBE on Apple Podcasts or Google PlayIf you found this valuable, I'd appreciate a 5-Star Review ;) Let me know what you liked and what you would like to hear more of in the future.And if you haven't done so already, do Subscribe and Share with a friend or two.For more nuggets, visit www.theleadershipRx.com

Since 1968, the American College of Emergency Physicians (ACEP) has united and amplified the collective voice of emergency physicians across the world. In response to President Trump's baseless claims about physicians miscounting deaths due to COVID-19, the American College of Emergency Physicians (ACEP) released the following statement: “On behalf of the nation's emergency physicians, ACEP is appalled by President Trump's reckless and false assertions that physicians are overcounting deaths related to COVID-19. read more --- Send in a voice message: https://anchor.fm/etn/message Support this podcast: https://anchor.fm/etn/support

Marisa Dowling, MD, MPP is the GW Health Policy Fellow for the Class of 2021. Dr. Dowling graduated from Stanford University with a B.A. in Human Biology. She then attended Duke University for medical school and earned a Master in Public Policy degree from the Harvard Kennedy School of Government. Dr. Dowling completed residency training in Emergency Medicine at the University of Maryland in Baltimore. Aisha T. Terry, MD, MPH, FACEP is an Associate Professor of Emergency Medicine and Health Policy at the George Washington University School of Medicine and Milken Institute School of Public Health in Washington, DC. There, she serves as Co-Director of the Department of Emergency Medicine’s Health Policy Fellowship, which trains physicians to be future public health and health policy leaders. She also serves as a Learning Community Leader, Clinical Public Health Mentor, Professional Development Mentor, and Clinical Skills and Reasoning Instructor in the School of Medicine. Dr. Terry has always been very active in the American College of Emergency Physicians (ACEP) and was most recently elected to the ACEP Board of Directors. MK Dowling, AT Terry, NL Kirilichin, JS Lee, JC Blanchard. United States Congressional COVID-19 Legislation: Recent Laws and Future Topics. Western Journal of Emergency Medicine 21 (5), 1037. Link: https://escholarship.org/uc/item/748005vg

We’re all in this Together: COVID-19 Allies in Infection Prevention This podcast series will focus on the collaborative efforts and opportunities for different disciplines to address and confront the COVID-19 pandemic. This episode focuses on collaborations between healthcare epidemiology and emergency physicians in a discussion with the American College of Emergency Physicians (ACEP). Speakers: - William Jaquis, MD, ACEP President - Bhagyashri Navalkele, MD (moderator)

COVID-19 causes STEMI’s, arrhythmias and myocarditis?!? Emergency medicine and cardiology guru Amal Mattu, MD chats with Mizuho Morrison, DO on the cardiovascular effects of COVID-19. They discuss: the known pathophysiology of how viral infections affect the heart; Review the new consensus statement from the Society of Cardiovascular Angiography and interventions (SCAI), American College of Cardiology (ACC), and the American College of Emergency Physicians (ACEP) on how to manage STEMIs; and lastly discuss how cardiac arrest management differs in this COVID era.    To view the references and show notes from this podcast Click here

COVID-19 causes STEMI’s, arrhythmias and myocarditis?!? Emergency medicine and cardiology guru Amal Mattu, MD chats with Mizuho Morrison, DO on the cardiovascular effects of COVID-19. They discuss: the known pathophysiology of how viral infections affect the heart; Review the new consensus statement from the Society of Cardiovascular Angiography and interventions (SCAI), American College of Cardiology (ACC), and the American College of Emergency Physicians (ACEP) on how to manage STEMIs; and lastly discuss how cardiac arrest management differs in this COVID era.    To view the references and show notes from this podcast Click here

COVID-19 causes STEMI’s, arrhythmias and myocarditis?!? Emergency medicine and cardiology guru Amal Mattu, MD chats with Mizuho Morrison, DO on the cardiovascular effects of COVID-19. They discuss: the known pathophysiology of how viral infections affect the heart; Review the new consensus statement from the Society of Cardiovascular Angiography and interventions (SCAI), American College of Cardiology (ACC), and the American College of Emergency Physicians (ACEP) on how to manage STEMIs; and lastly discuss how cardiac arrest management differs in this COVID era.    To view the references and show notes from this podcast Click here

COVID-19 causes STEMI’s, arrhythmias and myocarditis?!? Emergency medicine and cardiology guru Amal Mattu, MD chats with Mizuho Morrison, DO on the cardiovascular effects of COVID-19. They discuss: the known pathophysiology of how viral infections affect the heart; Review the new consensus statement from the Society of Cardiovascular Angiography and interventions (SCAI), American College of Cardiology (ACC), and the American College of Emergency Physicians (ACEP) on how to manage STEMIs; and lastly discuss how cardiac arrest management differs in this COVID era.      Promo code for 3 month trial of ERcast in intro segment Hippo education COVID resource site: Link   References:  Mahjid, M. Payam, S. et al. Potential Effects of Coronaviruses on the Cardiovascular System: A Review [published online ahead of print, 2020 Mar 27]. JAMA Cardiol. PMID 32219363 Mahmud E, Dauerman HL, et al.  Management of Acute Myocardial Infarction During the COVID-19 Pandemic,CONSENSUS STATEMENT from the Society of cardiovascular angiography and interventions (SCAI), American College of Cardiology (ACC), and the American College of Emergency Physicians (ACEP). Journal of the American College of Cardiology (2020), doi https://doi.org/10.1016/j.jacc.2020.04.039. PMID:32330544 Edelson D, Sasson C. et al. Interim Guidance for Basic and Advanced Life support in Adults, Children and Neonates with suspected or confirmed COVID-19. Circulation AHA April 2020. PMID: 32270695 Stefanini GG, Azzolini E, et al. Critical Organizational Issues for Cardiologists in the COVID-19 Outbreak: A Frontline Experience From Milan, Italy [published online ahead of print, 2020 Mar 24]. Circulation 2020. PMID: 32207994

In this episode of Veggie Doctor Radio, I talk with Dr. Chris about lifestyle telemedicine and how it might be able to help so many. If you are wishing you could get a consult from an intelligent and well-trained plant-based physician to help you prevent or potentially reverse disease, your opportunity has arrived!   About featured guest: Christina Miller, MD, FACEP, is double board-certified in emergency and integrative medicine.  After spending ten years in the emergency department and serving as president of Colorado ACEP (American College of Emergency Physicians), she radically changed her practice to health promotion, due to her own health concerns and being overwhelmed by the amount of chronic disease and illness seen in the ED.  She studied nutritional science and plant-based  nutrition,  completed a fellowship in integrative medicine, and now focuses exclusively on nutrition and lifestyle changes to get to the root cause of disease and illness, while promoting wellness and longevity in each individual.  Instead of treating emergencies in the ED, she is now helping to prevent and reverse chronic illnesses and empower people to live with vitality.    She enjoys teaching plant-based, nutrient-dense cooking classes to both groups and individuals, and helped establish a free clinic outside of Aspen, Colorado for the underserved. She lectures locally, has spoken around the country with Younger Next Year best-selling author Chris Crowley, as well as in corporate wellness programs promoting good nutrition and healthy lifestyle.  She has contributed significantly to the nutrition chapter for the American College of Emergency Physicians (ACEP) handbook and wrote wellness-promoting tips for the emergency physician. She is founder of Eat and Live Healthfully website and blog and served as the medical director of Aspen Valley Hospital creating their Integrative Medicine program. She was also selected to be a member of the Pitkin County Board of Health, where she helped with policy and public health concerns. In 2019, she moved to New Hampshire, worked at an integrative clinic in Vermont seeing patients, teaching classes, giving lectures, and reaching out to the local community. She is now proud to be part of the start-up company, Plantbasedtelehealth.com, offering plant-based telemedicine services to patients across the country, reaching people who otherwise wouldn’t have access. Her goal is to continue to share the information and the resources necessary to help empower people to take back their health, prevent and even reverse chronic illness, and create long-lasting true health and vitality. One of her favorite mantras is, “Together we are healthier”.     Dr. CHRIS MILLER https://plantbasedtelehealth.com   Disclaimer: The information on this blog, website and podcast is for informational purposes only. It is not meant to replace careful evaluation and treatment. If you have concerns about your or your child’s eating, nutrition or growth, consult a doctor.   Mentions: Sign up for #DrYamiSaladChallenge at doctoryami.com/saladchallenge   A Parent’s Guide to Intuitive Eating: How to Raise Kids Who Love to Eat Healthy by Dr. Yami   Leave an 'Amazon Review'   MORE LISTENING OPTIONS Apple Podcasts: http://bit.ly/vdritunes Spotify: http://bit.ly/vdrspotify   NEWSLETTER SIGN UP https://doctoryami.com/signup OR Text 'FIBER' to 668-66     FIND ME AT Doctoryami.com Instagram.com/thedoctoryami Facebook.com/thedoctoryami Veggiefitkids.com         * * * * MORE FROM ME Read - http://veggiefitkids.com/blog Listen: http://bit.ly/vdrpodcast Watch - http://bit.ly/vfkvideos TEDx Talk - http://bit.ly/DOCTORYAMITEDX   * * * * Questions? Email me: Yami@doctoryami.com

AAMC Chief Scientific Officer Ross McKinney, Jr., MD, and Arthur R. Derse, MD, JD, FACEP, director of the Medical College of Wisconsin Center for Bioethics and Medical Humanities, join AAMC President and CEO David Skorton, MD, in this engaging podcast discussion that explores the emerging clinical guidelines that inform rationing of care and equipment and the inherent challenges of balancing bioethics with health equity.Full transcript available on SimpleCast or via the AAMC's website.Episode GuestsArthur Derse, MD, JD, FACEP, is the director of the Center for Bioethics and Medical Humanities in the Institute for Health & Equity, Julia and David Uihlein Chair in Medical Humanities, and Professor of Bioethics and Emergency Medicine at the Medical College of Wisconsin. Dr. Derse is member of the board of the American Society for Law, Medicine and Ethics (ASLME) and of the board of the Association of Bioethics Program Directors (ABPD). He is a member and past chair of the Ethics Committee of the American College of Emergency Physicians (ACEP). He serves on the Administrative Board of the Council for Faculty and Societies (CFAS) of the Association of American Medical Colleges (AAMC).Ross McKinney, MD, AAMC Chief Scientific Officer, is an infectious disease specialist and a member of the Duke University faculty for over 30 years. During his time at Duke, he was director of the Division of Pediatric Infectious Diseases, vice dean for research at Duke University School of Medicine, and director of the Trent Center for Bioethics, Humanities, and History of Medicine. Dr. McKinney leads the AAMC programs that support medical research and the training of physician-scientists in academic medicine.You Might Be Interested In“A nightmare approaches: Hospitals painfully prepare for life and death decisions” (AAMCNews, April 7, 2020)"The Toughest Triage — Allocating Ventilators in a Pandemic" (New England Journal of Medicine,  March 23, 2020)"If Covid-19 gets bad, triage will be needed. Are we ready for that?" (STAT, March 10, 2020)CreditsHosted by David Skorton, MD, president and CEO of the AAMC; produced by Stephanie Weiner, AAMC manager of digital strategy, and Kathy A. Gambrell, AAMC senior digital content strategist; edited by Laura Zelaya, AAMC production manager.

Covid-19 is a rapidly spreading pandemic that has already had worldwide ramifications. As Emergency Rooms and Hospitals quickly get overwhelmed by ill patients, the Urgent Care and Primary Care setting play critical roles in appropriately triaging patients that can go home vs those that need to be transferred to the Emergency Department for further evaluation and treatment. The ability to act as levies to the large number of patients during this pandemic will help preserve the ED and Hospital “resources” for those critically ill patients that need it most.  In order to help UC and PC providers make these decisions the College of Urgent Care Medicine (CUCM) and the American College of Emergency Physicians (ACEP) have published a set of criteria that break suspected Covid-19 patients into 2 categories. Category 1, who can go home; and Category 2, who should be transferred to the ED. To view the references and show notes from this podcast Click Here

Covid-19 is a rapidly spreading pandemic that has already had world wide ramifications. As Emergency Rooms and Hospitals quickly get overwhelmed by ill patients, the Urgent Care and Primary Care setting play critical roles in appropriately triaging patients that can go home vs those that need to be transferred to the Emergency Department for further evaluation and treatment. The ability to act as levies to the large number of patients during this pandemic will help preserve the ED and Hospital “resources” for those critically ill patients that need it most.  In order to help UC and PC providers make these decisions the College of Urgent Care Medicine (CUCM) and the American College of Emergency Physicians (ACEP) have published a set of criteria that break suspected Covid-19 patients into 2 categories. Category 1, who can go home; and Category 2, who should be transferred to the ED. To view the references and show notes from this podcast Click Here

If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 2: Opioid Overview In this episode we explore what the opioid crisis is, who it impacts, and why we care as emergency medicine providers. We discuss the options that are out there and what our experts believe is the best for the ED setting. If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep. Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC Davis Sarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEP Dr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San Francisco Dr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey Peninsula Resources: California ACEP Medication Assisted Treatment Resources California Bridge “We're developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.” Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources Apply for your DEA-X Waiver! SAMHSA GetWaivered.com *** This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources. California ACEP is a wealth of information. Check out our website, californiaacep.org, where you'll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more. Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise. Also, a big thanks to Kelsey McQuaid for all of your hard work on this project. EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast. Thanks to OM Audio Productions for audio production services.  

If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. Episode 1: Kayce was my daughter The opioid crisis is a reality for all of us. In this series, we go in-depth on what YOU can do about it in your emergency department (ED). This is the first of six episodes brought to you by California ACEP on medication assisted treatment or MAT. Dr. Steve Anderson, an experienced emergency physician, tells his own compelling story of why he is leading the charge in his ED to combat opioid addiction. If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep. Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC Davis Sarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC Davis Guest: Stephen H. Anderson, MD, FACEP. Emergency Medicine Physician, and Chair of the National ACEP Board of Directors. Resources: California ACEP Medication Assisted Treatment Resources California Bridge “We're developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.” “Steve's Story: Fighting for Kayce” Real Talk Podcast. Recorded Apr 4th 2019 at the Washington ACEP “Summit to Sound” Conference in Seattle. Speaker: Steve Anderson, MD, FACEP with Alicia Kurtz, MD. https://www.vituity.com/realtalk Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources Apply for your DEA-X Waiver! SAMHSA GetWaivered.com *** Thank you to Dr. Alicia Kurtz and Marco Gonzalez from Real Talk Podcast for facilitating this recording. Real Talk is a space for doctors and other healthcare professionals to share their real, human experiences from working in medicine. Thank you to Dr. Steve Anderson for sharing his personal story. This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources. California ACEP is a wealth of information. Check out our website, californiaacep.org, where you'll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more. Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise. Also, a big thanks to Kelsey McQuaid for all of your hard work on this project. EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast. Thanks to OM Audio Productions for audio production services.

If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 5: Implementation   We've covered why we should treat opioid use disorder in the ED, how to identify, then approach patients who might benefit from MAT, and lastly how to appropriately use buprenorphine. You're ready to change your practice, but where do you start? Our experts offer their advice for how to get buy-in from leadership and your colleagues, as well as some specifics on how to start a MAT program in your ED. If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep. Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC Davis Sarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEP Dr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San Francisco Dr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey Peninsula Resources: California ACEP Medication Assisted Treatment Resources California Bridge “We're developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.” Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources “The Game Has Changed”. Featuring Dr. Gail D'Onofrio. EM Pulse Podcast. 2018 March 15. https://ucdavisem.com/2018/03/15/the-game-has-changed-episode-4/ Apply for your DEA-X Waiver! SAMHSA GetWaivered.com *** This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources. California ACEP is a wealth of information. Check out our website, californiaacep.org, where you'll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more. Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise. Also, a big thanks to Kelsey McQuaid for all of your hard work on this project. EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast. Thanks to OM Audio Productions for audio production services.  

If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 3: Treatment Options In this episode, our experts discuss various treatment options available for opioid use disorder. What do you need to know? How do you approach a patient? What do you need from the patient? Turns out all you need from them is to be willing! If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep. Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC Davis Sarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEP Dr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San Francisco Dr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey Peninsula Resources: California ACEP Medication Assisted Treatment Resources California Bridge “We're developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.” Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources “The Game Has Changed”. Featuring Dr. Gail D'Onofrio. EM Pulse Podcast. 2018 March 15. https://ucdavisem.com/2018/03/15/the-game-has-changed-episode-4/ Apply for your DEA-X Waiver! SAMHSA GetWaivered.com *** This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources. California ACEP is a wealth of information. Check out our website, californiaacep.org, where you'll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more. Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise. Also, a big thanks to Kelsey McQuaid for all of your hard work on this project. EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast. Thanks to OM Audio Productions for audio production services.

If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 4: Treating with Buprenorphine   In the fourth episode of our series, we get into the nitty gritty of MAT in the ED. Our experts cover appropriate dosing, potential side effects and contraindications, and so more. See below for links to the California ACEP MAT Toolkit and other resources. If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep. Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC Davis Sarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEP Dr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San Francisco Dr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey Peninsula Resources: California ACEP Medication Assisted Treatment Resources California Bridge “We're developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.” Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources “The Game Has Changed”. Featuring Dr. Gail D'Onofrio. EM Pulse Podcast. 2018 March 15. https://ucdavisem.com/2018/03/15/the-game-has-changed-episode-4/ Apply for your DEA-X Waiver! SAMHSA GetWaivered.com *** This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources. California ACEP is a wealth of information. Check out our website, californiaacep.org, where you'll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more. Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise. Also, a big thanks to Kelsey McQuaid for all of your hard work on this project. EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast. Thanks to OM Audio Productions for audio production services.  

If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 6: MAT FAQ   In the final episode of this series, our experts answer some of the most frequently asked questions about MAT. You should now have all the tools and information you need to get started with MAT in your ED. See the links below for more resources and reach out to California ACEP with any questions. Remember Kayce's story and commit to saving a life! If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep. Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC Davis Sarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEP Dr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San Francisco Dr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey Peninsula Resources: California ACEP Medication Assisted Treatment Resources California Bridge “We're developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.” Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources “The Game Has Changed”. Featuring Dr. Gail D'Onofrio. EM Pulse Podcast. 2018 March 15. https://ucdavisem.com/2018/03/15/the-game-has-changed-episode-4/ Apply for your DEA-X Waiver! SAMHSA GetWaivered.com *** This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources. California ACEP is a wealth of information. Check out our website, californiaacep.org, where you'll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more. Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise. Also, a big thanks to Kelsey McQuaid for all of your hard work on this project. EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast. Thanks to OM Audio Productions for audio production services. References (from Dr. Snyder): (https://discovery.cdph.ca.gov/CDIC/ODdash/). Nationally, deaths from the opioid epidemic annually exceed those at the peak of the HIV epidemic. We've had more drug overdose deaths in 2017 than Americans that died in the entire Vietnam war (https://www.economist.com/briefing/2019/02/23/tens-of-thousands-of-americans-die-each-year-from-opioid-overdoses). Here's a cool graph that trends ED visits https://www.hcup-us.ahrq.gov/faststats/OpioidUseServlet?radio-3=on&location1=CA&characteristic1=01&setting1=ED&location2=US&characteristic2=01&setting2=ED&expansionInfoState=hide&dataTablesState=hide&definitionsState=hide&exportState=hide Kashef Z. Starting opioid addiction treatment in the ED is cost-effective, says study. Yale News. August 16, 2017. Health media overview of landmark Yale MAT study and its effectiveness in guiding patients to treatment. Initiating medication-assisted treatment for patients presenting with opioid withdrawal. ED Management. August 1, 2017. Health media overview of the effectiveness of MAT with a focus on the experiences of a program initiated in Washington state. Emergency department initiation of medication-assisted treatment for opioid addiction: Strategies for success. California Health Care Foundation. Published August 2016. Report on launching an opioid addiction treatment program with visual guide to setting up an effective MAT program. Emergency department treatment and follow-up strategies for opioid use disorder. Centers for Medicare & Medicaid Services. December 13, 2017. PowerPoint presentation outlining CMS-sponsored lectures on ED treatment and follow-up planning for patients presenting with opioid use disorder. Robeznieks A. For patients struggling with opioids, ED visit can mark new start. AMA Wire. November 22, 2017. Brief AMA article outlining MAT therapy in the ED at Washington University Medical Center in St. Louis. Frazier WT. Medication-assisted treatments and opioid use response to opioid overdose sentinel events. Master essay, University of Pittsburgh. Comprehensive overview of MAT response to opioid overdose to determine treatment utilization before and after nonfatal overdose using a longitudinal retrospective cohort of the Pennsylvania Medicaid population 2008-2013. Martin A, Kunstler NM. Opinion: We have effective treatments for opioids addiction - why don't we use them?” ACEPNow. December 12, 2017. Article on some barriers to the widespread adoption of MAT and a call to overcome these barriers for the sake of our patients. Addressing the opioid crisis - an ACH collaboration. Washington State Hospital Association, Washington State Medical Association. Set of strategies outlined by the Accountable Communities of Health for communities, hospitals, and providers to better combat the opioid epidemic, of which MAT is a main component. Research D'Onofrio G, O'Connor PG, Pantalon MV, et al. Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial. JAMA. 2015 Apr 28;313(16):1636-44. “The D'Onofrio Trial,” a randomized clinical trial performed at Yale showing the effectiveness of ED initiated MAT. Does initiating medication assisted treatment in the emergency room result in better outcome? Recovery Research Institute. An organized breakdown and summary of the D'Onofrio study highlighting the effectiveness of ED initiated MAT. Protocols SBIRT and Buprenorphine/Naloxone Administration in the ED for Acute Withdrawal: St Agnes Hospital (PDF). California ED-Bridge/ Emergency Buprenorphine Treatment Project: Guide for Emergency Buprenorphine Treatment (PDF). ED Initiation of Buprenorphine in the Emergency Department: Natividad Medical Center (PDF). Opioid Withdrawal Protocol: Zuckerberg San Francisco General Hospital and Trauma Center (PDF includes pocket card).  

We review the American College of Emergency Physicians (ACEP) clinical policy on headache from June 2019, most of which revolves around the diagnosis of subarachnoid hemorrhage.  Show notes and references at FOAMcast.org Thanks for listening! Jeremy Faust and Lauren Westafer

Dr. Dara Kass is an Assistant Clinical Professor at Columbia University School of Medicine, the director of Equity and Inclusion of Columbia’s Emergency Department, and the founder of FemInEM, an advocacy & resource site for women in emergency medicine. Previously, she was the director Undergraduate Medical Education at NYU and an Assistant Program Director at Staten Island University Hospital. She is active in both the Academy of Women in Academic Emergency Medicine (SAEM) and the American Association of Emergency Physicians (ACEP).

In this episode covering the American College of Emergency Physicians (ACEP) 2019, we cover common black box warnings including fluoroquinolones midazolam droperidol NSAIDs and more   Thanks for listening! Jeremy Faust and Lauren Westafer

This episode of Something Positive for Positive People features Dr. Matthew Bruckel, President, Founder and CEO of Total Access Urgent Care. Bio at the bottom. I reached out to some social groups for some good questions to ask a doctor about herpes. Something Positive for Positive People is evolving into more than a safe place for people living with herpes to share their experience and more than a place for newly diagnosed people to find hope through the insights of others. People like Dr. Bruckel, are helping turn this podcast into a useful sex health tool for any and everyone seeking understanding of STIs in general. I'm looking to have more medical professionals on the show to help present facts along with the experiences of individuals living with STIs. Some of our topics discussed are: - What is herpes - The similarities between HSV-1 and HSV-2 - Who has herpes and how common is it - Is there a cure or vaccine for herpes - Why don't we test for herpes in the standard tests - How being diagnosed without symptoms can play out For more information on stis in general, please visit the Center for Disease Control's website: https://www.cdc.gov/ To find the nearest Total Access Urgent Care in St. Louis, visit: https://www.totalaccessurgentcare.com/ Dr. Matthew Bruckel founded Total Access with the goal of changing the landscape of health care in St. Louis. The insights gained during Dr. Bruckel's decade-long service as an Emergency Physician fuel his desire to optimize every patient's experience; he begins by hiring the best staff and providing a cost-effective alternative to the traditional health care system. Dr. Bruckel proudly serves as the President, Founder, and Chief Executive Officer of Total Access Urgent Care. In this role, Dr. Bruckel is responsible for recruiting and hiring top-notch Physicians, strategic market growth, and improving every patient's experience at the best Urgent Care organization in the St. Louis area. Dr. Bruckel's vast Emergency Department experience, coupled with an Emergency Medicine Board Certification and his ER residency-trained background, provides a "lead by example" image for the entire Total Access Urgent Care team of physicians. Dr. Bruckel's commitment to exceptional care correlates to an outcomes-driven practice model and quantifiably high patient satisfaction. Dr. Bruckel is a Fellow of both the American College of Emergency Physicians (ACEP) and the American Academy of Emergency Medicine (AAEM), and is also a member of the Urgent Care Association of America (UCAOA). Utilizing these experiences, Dr. Bruckel actively incorporates Evidence-Based Practice as a central component of Total Access Urgent Care's Mission. Academically, Dr. Bruckel earned a B.S. in Biochemical Sciences (Summa Cum Laude) from Auburn University in 1993, Doctor of Medicine from Washington University School of Medicine in 1997, and served as Chief Resident at the University of Maryland / Shock Trauma Medical Center in Baltimore, MD. Additionally, Dr. Bruckel proudly served overseas and in combat zones as an Emergency Physician and Lieutenant Commander in the Medical Corps of the United States Navy. I'm on social media @HOnMyChest. Please continue to rate and review the podcast on your podcast player. Stay Positive!

This episode of Something Positive for Positive People features Dr. Matthew Bruckel, President, Founder and CEO of Total Access Urgent Care. Bio at the bottom. I reached out to some social groups for some good questions to ask a doctor about herpes. Something Positive for Positive People is evolving into more than a safe place for people living with herpes to share their experience and more than a place for newly diagnosed people to find hope through the insights of others. People like Dr. Bruckel, are helping turn this podcast into a useful sex health tool for any and everyone seeking understanding of STIs in general. I'm looking to have more medical professionals on the show to help present facts along with the experiences of individuals living with STIs. Some of our topics discussed are: - What is herpes - The similarities between HSV-1 and HSV-2 - Who has herpes and how common is it - Is there a cure or vaccine for herpes - Why don't we test for herpes in the standard tests - How being diagnosed without symptoms can play out For more information on stis in general, please visit the Center for Disease Control's website: https://www.cdc.gov/ To find the nearest Total Access Urgent Care in St. Louis, visit: https://www.totalaccessurgentcare.com/ Dr. Matthew Bruckel founded Total Access with the goal of changing the landscape of health care in St. Louis. The insights gained during Dr. Bruckel's decade-long service as an Emergency Physician fuel his desire to optimize every patient's experience; he begins by hiring the best staff and providing a cost-effective alternative to the traditional health care system. Dr. Bruckel proudly serves as the President, Founder, and Chief Executive Officer of Total Access Urgent Care. In this role, Dr. Bruckel is responsible for recruiting and hiring top-notch Physicians, strategic market growth, and improving every patient's experience at the best Urgent Care organization in the St. Louis area. Dr. Bruckel's vast Emergency Department experience, coupled with an Emergency Medicine Board Certification and his ER residency-trained background, provides a "lead by example" image for the entire Total Access Urgent Care team of physicians. Dr. Bruckel's commitment to exceptional care correlates to an outcomes-driven practice model and quantifiably high patient satisfaction. Dr. Bruckel is a Fellow of both the American College of Emergency Physicians (ACEP) and the American Academy of Emergency Medicine (AAEM), and is also a member of the Urgent Care Association of America (UCAOA). Utilizing these experiences, Dr. Bruckel actively incorporates Evidence-Based Practice as a central component of Total Access Urgent Care's Mission. Academically, Dr. Bruckel earned a B.S. in Biochemical Sciences (Summa Cum Laude) from Auburn University in 1993, Doctor of Medicine from Washington University School of Medicine in 1997, and served as Chief Resident at the University of Maryland / Shock Trauma Medical Center in Baltimore, MD. Additionally, Dr. Bruckel proudly served overseas and in combat zones as an Emergency Physician and Lieutenant Commander in the Medical Corps of the United States Navy. I'm on social media @HOnMyChest. Please continue to rate and review the podcast on your podcast player. Stay Positive!

In the later half of 2018, the American College of Emergency Physicians (ACEP) published their guidelines with non-ST-elevation myocardial infarction (NSTEMI) patients.  These guidelines were beneficial to support some current practices based on current evidence.  In this post, we review the guidelines and some of the supporting evidence.

We bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight: Myths in diagnostic imaging Torsion ultrasound is insensitive CTPA for PE is not perfect. There are false positives AND false negatives Myths in pediatrics Response to antipyretics does NOT make viral infection more likely Juice in kids with gastroenteritis is a great way to rehydrate them Kids don't have to wait 24 hours on antibiotics for strep throat before returning to school, if they got 50 mg/kg amoxicillin prior to 5pm the night before, they're fine Thanks for listening! Jeremy Faust and Lauren Westafer

We bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight: Problems with CYA (Cover your a$$) medicine such as admissions Problems with lactate, procalcitonin, and other biomarkers Thanks for listening! Jeremy Faust and Lauren Westafer

We bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight: Severe pediatric brain injury, tips for management and preventing badness Aortic dissection diagnostics Chest tube pearls Thanks for listening! Jeremy Faust and Lauren Westafer

Bret P. Nelson, MD, RDMS, FACEP Courtesy of Bret Nelson Twitter: @bretpnelson Website: SinaiEM.us YouTube: SinaiEMultrasound Bret Nelson is a Professor of Emergency Medicine, Chief of the Emergency Medicine Ultrasound Division at the Icahn School of Medicine at Mount Sinai, Chief Editor of the ultrasound education website, www.SinaiEM.us. He is on the board of directors of the Society for Clinical Ultrasound Fellowships and active in the American College of Emergency Physicians (ACEP)'s Ultrasound Section and is among the authors of ACEP's Emergency Ultrasound Guidelines. Served on the Board of Directors of the World Interactive Network Focused on Critical Ultrasound (WINFOCUS) and was Chair of the American Institute of Ultrasound in Medicine’s Point of Care Community of Practice Authored several books, Manual of Emergency and Critical Care Ultrasound, Emergency Medicine Oral Board Review Illustrated, Atlas of Handheld Ultrasound, and Acute Care Casebook. Dr. Nelson has lectured throughout the world on the use of point-of-care ultrasound to aid medical decision-making and improve patient safety. His research interests include ultrasound and medical education. Want to take a Ultrasound Guided Peripheral IV Intensive Course? We have one coming up! Saturday October 13, 2018 We're providing a 4:1 attendee to instructor ratio in a 4 hour training program so you get tons of hands on experience to learn this awesome skill! Spots are limited! Sign up and complete info here at EventBrite  Resus Nurse Podcast and Blog Discount: ResusNurse10 USG PIV Course10132018 PDF Missed 021 Nurses Placing Ultrasound Guided IV Access w/Bret Nelson, MD Episode? Click Here "This isn't some brand new skill. This is a technique through which you can optimize your existing skills in venous access." ~Bret Nelson How to Start a Nurse Ultrasound IV Training Program?! Nurse Driven Program Nurses interested in ultrasound should be the course director(s). Doesn't necessarily have to be the unit Nurse Educator. If working with MD, have multiple Course Directors or MD can be there to help out initially. Nurses can and should drive this program. Nurses teaching nurses a new skill offers insight that providers aren't able to provide. Only takes 1-2 Nurses to drive practice change within a unit! Multidisciplinary Course Directors and/or Instructors (RN and MD) Both nurses and physicians bring a lot of their own skills to the table. Combining skills, we learn from each other and ultimately become better at obtaining IV access with ultrasound use. ED Initiative for ED Nurses and ED Culture Utilizing Multidisciplinary Support A positive initiative that improves patient care. We created a culture where once a nurse finishes competency, they are able to place ultrasound-guided IV access on their own. Sometimes, you run into trouble and usually it's because the patient has limited veins, so they are still able to ask for help. Have another person look with the ultrasound. It's okay to ask for help! This has also increased more collegial respect between disciplines and increased teamwork. Nurse buy-in and Physician buy-in We decided to make this program optional for nurses. Currently we only have this program for our adult population in the ED. Nurses love the program and so do our patients! Support from Nursing and Physician Leadership Talk to your Nursing and Physician Directors of your department. Keep them in the loop. I have found Leadership to be extremely supportive and helpful. Nursing Policy and Nursing Education Written policy for nurses is important to have in writing within your department/institution. Work with your Nursing Director and/or Nursing Education in order to develop policy if it's not already written or change/expand existing policy. Know your policy. Some may restrict this skill to nurses working in specific departments.

Bret P. Nelson, MD, RDMS, FACEP Courtesy of Bret Nelson Twitter: @bretpnelson Website: SinaiEM.us YouTube: SinaiEMultrasound Bret Nelson is a Professor of Emergency Medicine, Chief of the Emergency Medicine Ultrasound Division at the Icahn School of Medicine at Mount Sinai, Chief Editor of the ultrasound education website, www.SinaiEM.us. He is on the board of directors of the Society for Clinical Ultrasound Fellowships and active in the American College of Emergency Physicians (ACEP)'s Ultrasound Section and is among the authors of ACEP's Emergency Ultrasound Guidelines. Served on the Board of Directors of the World Interactive Network Focused on Critical Ultrasound (WINFOCUS) and was Chair of the American Institute of Ultrasound in Medicine’s Point of Care Community of Practice. Authored several books, Manual of Emergency and Critical Care Ultrasound, Emergency Medicine Oral Board Review Illustrated, Atlas of Handheld Ultrasound, and Acute Care Casebook. Dr Nelson has lectured throughout the world on the use of point-of-care ultrasound to aid medical decision-making and improve patient safety. His research interests include ultrasound and medical education. "10 years ago a patient will say, 'Only Mary on the 9th floor is going to get near my vessels'....now the patients say, 'I'm a tough stick, so use ultrasound.' It's almost like anyone can get a pass from the patient's perspective...ultrasound is the great equalizer." ~Bret Nelson Can RNs perform USG PIV safely? Yes! Within Nursing Scope of Care!! Yes!! American Institute of Ultrasound in Medicine (AIUM) White Paper in conjunction with: American Academy of Physician Assistants (AAPA) American Association of Critical Care Nurses (AACN) American Association of Nurse Anesthetists (AANA) American Society of Diagnostic and Interventional Nephrology (ASDN) American College of Emergency Physicians (ACEP) American Society of Echocardiography (ASE) Association of Physician Assistants in Cardiovascular Surgery (APACS) Association for Vascular Access (AVA) Infusion Nurses Society (INS) Renal Physicians Association (RPA) Society of Diagnostic Medical Sonography (SDMS) Society for Vascular Ultrasound (SVU) Emergency Nurses Association (ENA) Clinical Practice Guideline for Difficult IV Access Why Nurses? Nurses are masters at IV insertions Ultrasound is another tool in the tool belt for difficult IV access. Ultrasound is a natural progression for nurses who are experienced in obtaining IV access Nurses have the best tricks to get those tough IV lines like applying heat. Nurses already use other technology including infrared light, LED, and head lamps Journal articles show high success rate! ~85 after approximately 10-15 attempts ~95% after approximately 20-25 attempts Too many articles - click here for dropbox link and easy download. Empowering nurses with an advanced skill Nurses are able to identify a patient as a hard stick and obtain IV access with ultrasound without waiting for a physician to place the IV. Nurses who need to develop their IV skills have a skill to strive for. Patient Satisfaction Nurses are able to identify patients who are a hard stick. Patients have reduced failed attempts prior to an ultrasound guided placed IV access. Essentially, patients get stuck less but get good results. Patients know they are a hard stick - they are happy. Who Should be getting USG PIV? Patients who have difficult intravenous access. *If you can place an IV in a conventional or traditional method, do it. ~Yun Cee Identified difficult IV access populations: Oncology/Chemotherapy Sickle Cell Renal/Hemodialysis Obese Repeat Hospital Admissions Shock IV Drug Abuse Diabetic Edematous Dehydration Pediatric Reduces CLABSI by NOT placing central venous lines because you have peripheral IV ac...

We bring you pearls from the American College of Emergency Physicians (ACEP) 2017 Scientific Assembly. We cover in-flight emergencies, need for contrast enhanced CT scans, bronchiolitis and sucrose for infants Thanks for listening! Jeremy Faust and Lauren Westafer

We bring you pearls from the American College of Emergency Physicians (ACEP) 2017 Scientific Assembly. Pearls on H. Pylori from: It's Alimentary - Poo-Pourri of Conditions From the Mouth to Rectum - Dr. Adebayo, Dr. Batra, Dr. Bavokek Emerging Infections: Zika and Its Friends - Dr. Joan Noelker High Yield Toxicology - Dr Erickson, Dr Traub, Dr. Perrone  

​We have two previous guests today that are returning to talk about a familiar topic: sepsis.  There has been a lot of coverage recently but we want to cover it from a different angle by getting back to basics while including some of the key updates from recent literature and guidelines.  This recording was originally made for the Emergency Quality Network (E-QUAL) which is part of the American College of Emergency Physicians (ACEP).  It was our pleasure to work with ACEP to provide this content and we hope you enjoy it, as well.

Host: Matt Birnholz, MD Only a decade ago, emergency medicine was largely considered an afterthought in large-scale clinical trials. This oversight persisted for years despite the fact that a wide variety of time-sensitive clinical conditions under frequent study were diagnosed and treated predominantly in emergency departments. However, the last several years have witnessed a rapid evolution within this specialty, such that departments nationwide are now granted the means and resources to dedicate efforts exclusively toward advancing emergency medicine research. From the floors of the American College of Emergency Physicians (ACEP) annual meeting in Boson, Dr. Matt Birnholz speaks with Dr. Philip Levy, Professor of Emergency Medicine & Physiology and Associate Chair for Research in the Department of Emergency Medicine at Wayne State University School of Medicine. Dr. Levy is Chair of the ACEP Research Forum, whose efforts to date have helped put emergency medicine research in the limelight. The two discuss origins, present objectives, and future horizons for this forum and its impact on clinical research advancement in the field.

Host: Matt Birnholz, MD Dr. Matt Birnholz is joined by Dean Wilkerson, Executive Director for American College of Emergency Physicians (ACEP). Mr. Wilkerson provides an overview of ACEP's highest priority initiatives and ongoing efforts from the organization's leadership to help advance emergency medical care nationwide. Topics of discussion include the following: Increasing awareness toward outcomes measures and reporting for improved quality of emergency care. Defining emergency medicine's vital role in the 'Medical Neighborhood' models of patient care. Understanding the controversies over balance billing in emergency departments, how this affects both patients and clinicians, and what can be done about it. For more information about ACEP's strategic goals and activities, visit www.acep.org.