As the weather turns colder in Missouri, your MOCEP board and office would like to wish you a safe and happy holiday season! However, even though we are looking forward to spending the upcoming holidays with our family and friends, your colleagues at MOCEP are also anxiously watching the approaching winter storm in Jefferson City (also known as the new legislative session). Several topics have caught our attention this year, most notably the never ending saga of the “avoidable ED visit.”
MOCEP is in the process of improving our website by adding an online directory viewable to members only. You should have received an email from the website system explaining that your password had been reset. Please use this new password provided to log in to the MOCEP.org site and update your profile. You can add your photo, subspecialty and additional information.
The deadline for the Bill Jermyn MOCEP Advocacy Grant for residents is December 15. The goal of this grant is to encourage Emergency Medicine Residents to become active in the legislative activities of MOCEP and provide them with knowledge to advocate on behalf of Emergency Medicine in the future.
So it’s finally that time of year. The leaves are falling, the thermometers are dropping, and the heaters are being turned on. Unfortunately, this also means toxicity or fires from either faulty heaters or using inappropriate heat sources. What does this mean for the emergency physician? It means you need to worry about carbon monoxide (CO) and cyanide toxicity.
Written by: Kevin Baumgartner PGY-III, Washington University in St. Louis
As emergency physicians, we’re all too familiar with the opioid epidemic. And unfortunately, we’re getting all too familiar with treating opioid overdoses: some shifts, it seems our classic A-B-Cs take a backseat to “N” for “Narcan.” Some of our overdose patients require advanced airway management, prolonged observation, or a trauma workup, but most do just fine with supportive care and naloxone.
Written by Ken Milne, MD, and Chris Carpenter, MD
“I fell into a burnin’ ring of fire / I went down, down, down / And the flames went higher
And it burns, burns, burns / The ring of fire, the ring of fire”
Ring of Fire – Johnny Cash
This month we are going to talk about physician burnout. Our job is emotionally demanding as we often manage multiple patients and families on the worst day of their lives in a pressure cooker where the clock is always ticking to see the next patient and keep the waiting room empty while also assuming the role of transcriptionist (with our complex billing-driven EMR), primary care physician, psychiatrist and addiction specialist.
Mindfulness meditation has been shown to be help people manage stress and to help maintain attentional focus. Dr. John Paul Minda and Dr. Ken Milne at the University of Western Ontario, along with Dr. Diane Birnbaumer at Harbor UCLA Medical Center are conducting a research study on the effects of mindfulness meditation and psychological well-being among emergency practitioners. Enrollment in the study will commence in early 2018.
A study comparing the effectiveness of two pharmacologically distinct medications used to treat opioid use disorder – a buprenorphine/naloxone combination and an extended release naltrexone formulation – shows similar outcomes once medication treatment is initiated, according to a news release from the National Institute of Drug Abuse (NIDA). Among active opioid users, however, it was more difficult to initiate treatment with the naltrexone. Study participants were dependent on non-prescribed opioids: 82 percent of them on heroin, and 16 percent on pain medications. The research, published in The Lancet,1 was conducted at eight sites within the NIDA Clinical Trials Network (NIDA CTN). NIDA is part of the National Institutes of Health.