Christina Creel-Bulos, MD, was selected to receive the 2018 Missouri College of Emergency Physicians’ (MOCEP) R.R. Hannas Resident of the Year Award. She was nominated by her peer, Sonya Naganathan, from the Barnes-Jewish Hospital/Washington University Emergency Medicine Resident Program. The award will be presented to Dr. Creel-Bulos at the MOCEP Annual General Membership Meeting on April 26, 2018, in Springfield, Mo.
Patients routinely present to emergency departments seeking help with opioid withdrawal and — all too often — needing emergency resuscitation for opioid overdose. ED physicians are uniquely positioned to literally change the life trajectory of patients who present to a hospital due to opioid dependence, and can serve as a portal to bring high-risk patients into treatment. There is strong evidence to suggest that treatment of opioid misuse and dependence by physicians will significantly increase access to medication-assisted substance abuse treatment.[i] [ii]
Written by Evan Schwarz, MD, FACEP
Harm reduction is the idea that we want to try to keep drug users as safe as possible while they come to terms with their disease. It would be great if everyone were instantly ready to quit. However, we know it is not as easy as just wanting this and some people are going to continue to use drugs. Through harm reduction efforts, we try to decrease morbidity and mortality until the person is ready to stop using. Increasing access to naloxone is a form of harm reduction. When you’re not breathing, seconds count. While our EMS is fantastic, it still takes them at least a few minutes to get to the scene of an overdose. Even the best emergency system imaginable will not be as fast as a bystander with naloxone.
Written by Lauren Nystrom, MD, PGY-2, University of Missouri – Columbia
Florida school shooting leaves 17 dead, wounds 17 more. Headlines like this one seem entirely too common, and that’s because they are. Since 2008 the number of active shooting events has tripled from 5 per year (on average) to nearly 16 per year according to the Federal Bureau of Investigation. These horrific acts and the media frenzy surrounding them force us as part of the global medical community, and as part of early response teams, to consider our preparedness for and our response to acts of terrorism and intentional harm. And while active shooters and suicide bombers capture the attention of the media, we in our daily work take care of countless victims of smaller scale traumas forever altering the lives of those involved.
© The Joint Commission, 2018. Reprinted with permission.
When a patient suffers an adverse event, many people are affected — the patient, his or her family, and the health care providers. The provider most directly involved in the event becomes the “second victim.” While the patient’s and family’s needs become the priority for the health care organization, the provider may be emotionally traumatized by the event, and have lasting effects that persist for months or years afterward.1 If not treated, a second victim experience can harm the emotional and physical health of the individual and subsequently compromise patient safety.2 Continue Reading
Sandy Schneider, MD, FACEP
ACEP Associate Executive Director, Practice, Policy and Academic Affairs
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.
Community Emergency Medicine Excellence Award
We are pleased to announce that the ACEP Board of Directors approved a new award to recognize individuals who have made a significant contribution in advancing emergency care and/or health care within the community in which they practice. While the College currently has a number of awards to recognize excellence in emergency medicine this award is focused on the emergency physician who has made a significant contribution to the practice of emergency medicine in their community. Examples of significant contributions to the specialty and community may include, but are not limited to, community outreach, public health initiatives, or exemplary bedside clinical care.
Nominees must be an ACEP member for a minimum of five years and not received a national ACEP award previously. Entries are due no later than May 14, 2018. The nomination form and additional information can be found here.
MOCEP held their annual Advocacy Day on January 24, 2018, in Jefferson City. Nearly 30 members (attendings, residents and students) attended the event and heard from Sen. Bob Onder, MD, MOCEP President Jonathan Heidt, MD, MHA, FACEP, and Jorgen Schlemeier, MOCEP legislative liaison. The legislation regarding emergency department claim denials and the PDMP were two of the issues discussed as the attendees visited with the legislators in the afternoon. Please save the date for the 2019 MOCEP Advocacy Day, Tuesday, January 22.
Congratulations are in order for Marlee Thomas, first year medical student at Kirksville College of Osteopathic Medicine/A.T. Still University. She was the recipient of the MOCEP Student Advocacy Grant. The grant will provide funding for her to attend the ACEP Leadership and Advocacy Conference in Washington, DC, May 20-23, 2018. Marlee attended MOCEP’s Advocacy Day on January 24 and visited with her legislators and other MOCEP members.
Four residents from two Missouri programs are the recipients of the Bill Jermyn Grant. Kayla Donnawell, MD, St. Louis University; Kevin Baumgartner, MD, Washington University; Sahar Morkos El Hayek, MD, Washington University; and Lauren O’Grady, Washington University, will receive funding from MOCEP to attend the ACEP Leadership and Advocacy Conference (LAC) in Washington, DC, May 20-23, 2018. Thank you to all who applied, and please look for future articles from these recipients about their experience at LAC.