Violence in America’s emergency departments is increasing, causing harm to physicians, staff and patients, according to new research. Nearly half (47 percent) of emergency physicians report having been physically assaulted while at work, with 60 percent saying those assaults occurred in the past year. Nearly 8 in 10 also say that patient care is being affected, with 51 percent of those saying that patients also have been physically harmed.
The following individuals have recently become Fellows of the American College of Emergency Physicians. MOCEP congratulates you on receiving this designation and thanks you for your commitment to emergency medicine.
- Eli Denney, DO, FACEP – Branson
- Kellie D. Hughes, MD, FACEP – St. Louis
- Albert Kim, MD, FACEP – St. Louis
- Bradley Kinder, MD, FACEP – Fort Leonard Wood
- Michael J. Klevens, MD, FACEP – St. Louis
- Juke Ruthstrom, MD, FACEP – Lee’s Summit
- Sean Smith, DO, FACEP – Carthage
If you would like to learn more about becoming a Fellow click here.
Gaddis Receives IFEM Award
Gary Gaddis MD, PhD, was honored in June 2018 with the Order of the IFEM award by the International Federation for Emergency Medicine (IFEM) at their 2018 International Congress in Mexico City. This award is presented to a member of an IFEM member organization who has demonstrated an extensive and continuous commitment to the specialty of emergency medicine in their own country and has made significant contributions to supporting the development and advancement of the IFEM. Dr. Gaddis, one other American physician and three emergency physicians from other nations received this award for 2018. Dr. Gaddis is a professor of Emergency Medicine at the Washington University School of Medicine, and a MOCEP member.
Written by Evan Schwarz, MD, FACEP, FACMT
In early October, letters containing ricin were sent to the President, Secretary of Defense, and FBI Director. They were traced back to a former seaman in the Navy. Fortunately, no one was hurt. From reports in the media, the letters actually contained a castor bean concoction (whatever that exactly means), which ricin comes from, and not actually ricin. But wait, doesn’t castor oil come from castor beans? And hasn’t castor oil been used to treat constipation for a long time? So why is that not harmful but ricin is so dangerous?
In case you haven’t heard, ACEP is celebrating 50 years and reflecting on the moments that matter most for our specialty, our members, our patients – moments that matter most to you.
Written by: Kevin Baumgartner MD , Resident Physician, Emergency Medicine
Washington University in St. Louis / Barnes-Jewish Hospital
35 year-old man with left leg swelling. Lives in a facility, usually bedbound. No other DVT risk factors, but the immobility and calf swelling make me want a Duplex.
OK, Duplex is negative, no signs of cellulitis, stable vitals, no trauma. I think he can go with close PMD follow-up. I just need to check with the att…
I am the attending.
The following information papers and resources were recently reviewed by the ACEP Board of Directors:
- Advocating for a Minimum Benefit Standard Linked to the 80th Percentile of a FAIR Health-Type Usual & Customary Charge Database
- Emergency Ultrasound Standard Reporting Guidelines
- Medicaid ED Copayments: Effects on Access to Emergency Care and the Practice of Medicine
Sam Shahid, MBBS, MPH
Practice Management Manager, ACEP
ACEP would like to provide you with very brief synopses of the latest articles in Annals of Emergency Medicine. Some of these have not appeared in print. These synopses are not meant to be thorough analyses of the articles, simply brief introductions. Before incorporating into your practice, you should read the entire articles and interpret them for your specific patient population.
As many of you may know in March, the Department of Health and Senior Services (DHHS) and Department of Mental Health (DMH) announced a new program, the Opioid Prescribing Intervention (OPI). The plan was to send letters to physicians if a prescription they wrote was flagged due to violating 1 of 12 quality indicators for prescribing opioids and benzodiazepines. In actuality, the program was not new. The state had previously been sending letters due to concerning prescriptions, but you were free to either never read them or just throw them away. What was new was that they required a response within 20 days of receiving the letter or they could refer you to the Board of Healing Arts (BHA) or the Bureau of Narcotics and Dangerous Drugs (BNDD).