ACEP Frontline - Emergency Medicine

On this episode of “ACEP’s Frontline”, host Dr. Ryan Stanton and his guest, Dr. Stefanie Simmons, discuss physician burnout, career engagement, wellness and how all of these can help to improve the patient experience. Supporting physicians in their jobs and providing the opportunity for mentoring and coaching can help the physician succeed when they face frustration and burnout in the ED.

Today on ACEP Frontline, host Dr. Ryan Stanton talks to Dr. Mark Rosenberg about the patient’s end-of-life care. When asked “how do you want to die”, most relatively healthy people will say, “in my sleep” or “I just want to drop dead”, but the reality is, 6.4% of population in North American will die from a sudden death episode. Statistically the rest of the population will die from a cancer trajectory, organ failure trajectory, or dementia. Each of these areas can benefit from palliative care. Studies show that people live longer and had better quality of life when provided with palliative care than those get aggressive treatment. Listen in as Dr. Rosenberg and Dr. Stanton talk about how to care for the end-of-life patient and their loved ones when they come into the emergency department.

Today, Dr. Ryan Stanton talks with Dr. Anna McFarlin about pediatric head injury and pediatric fever. They discuss tools use to assess suspected concussion and the parameters for recovery and a follow-up, including return to play options for the younger athlete. Also, in this episode, learn about pediatric fever. What are the guidelines for the under three-months old vs. over three-months old? What is the magic number for fever? Find out on this episode of ACEP Frontline. Additional resources: Pediatric Head Injury Guidelines: https://www.acep.org/globalassets/uploads/uploaded-files/acep/advocacy/federal-issues/equal/pediatric-head-injury-2plus-pathway-ema-april-2016.pdf ACEP Clinical Policy for Children Younger Than Three Years Presenting to the Emergency Department with Fever: https://www.acep.org/globalassets/uploads/uploaded-files/acep/clinical-and-practice-management/clinical-policies/pediatrics.pdf

On today’s ACEP Frontline, Dr. Ryan Stanton discusses the MAT 3-Rule for prescribing buprenorphine for the opioid use disorder patient. Recorded live at LAC18, ACEP experts Dr. Eric Ketcham and Dr. Kathryn Hawk talk about how helping the patient with opioid withdrawal symptoms, they are more likely to continue on a path to help and recovery. Listen in to this critical discussion to learn what you need to know about care for this growing population. Resource: COWS Score https://www.mdcalc.com/cows-score-opiate-withdrawal Survey Results: http://media.mycrowdwisdom.com.s3.amazonaws.com/acep/ACEP%20Frontline/%28STR-TA%29%20EMPRN%20-%20Buprenorphine%2C%203-day%20rule-Waiver%20training%2C%20and%20OUD%20survey%20.pdf Funding for this initiative was made possible (in part) by grant no. 1H79TI080816-01 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

What’s the difference between wealth and income? Find out on this episode of ACEP Frontline. Dr. Ryan Stanton takes todays topic out of the ED and discusses physician finances with White Coat Investor, Dr. Jim Dahle. Find out the top three things residents and attending physicians can do to help build wealth. Also, learn how to avoid some of the biggest mistakes that many physicians make with their money. This is one episode you literally can’t afford to miss! For more information about The White Coat Investor, visit: https://www.whitecoatinvestor.com/

On today’s ACEP Frontline, Dr. Ryan Stanton discusses Medication Assisted Treatment for patients with opioid use disorder. Recorded live at LAC18, ACEP experts Dr. Eric Ketcham and Dr. Kathryn Hawk share the results of a survey from the Emergency Medicine Practice Research Network (EMPRN) about current practices for patients with an addiction disorder. Survey Results: http://media.mycrowdwisdom.com.s3.amazonaws.com/acep/ACEP%20Frontline/%28Indivior%29%20EMPRN%20-%20Buprenorphine%2C%203-day%20rule-Waiver%20training%2C%20and%20OUD%20survey.pdf Funding for this podcast was made possible (in part) by an unrestricted educational grant from Indivior Inc. For more information about EMPRN visit: https://www.acep.org/get-involved/emprn---make-your-voice-count/

Dr. Ryan Stanton talks with Dr. Sandy Schneider, Dr. Mark Rosenberg, and Dr. Kevin Biese on this edition of “ACEP Frontline”. The group discusses “Why GEDA? Why ACEP, and why is a geriatric ED important?” This podcast covers the evolution of care for older adults, how four EM organizations came together to spearhead and document standards of care to the point of achieving the ACEP accreditation program. Hear about the journey, the patient benefit, and stakeholder value. Check out the webpage for more information on GEDA: https://www.acep.org/by-medical-focus/geriatrics/

On this edition of "ACEP Frontline", Dr. Kevin Biese talks with Dr. Ryan Stanton, on "Why Geriatrics and Emergency Medicine?" This podcast addresses the broader needs of seniors in the ED and what is being done today to improve value-based care. Click the following link for more information on GEDA: https://www.acep.org/by-medical-focus/geriatrics/

On today’s ACEP Frontline, host Dr. Ryan Stanton talks to Dr. David Wilcox about LAC18. ACEP started hosting a Leadership Conference in the Dallas area, years ago. In 1987, they determined that there also needed to be political advocacy for the patient and started the Advocacy Conference in, Washington, DC. There were only a handful of participants at the first Advocacy Conference. Now, in the combined Leadership and Advocacy Conference (LAC) there are 500-600 attendees. Hear what the conference is about and why it’s so valuable to ACEP members and the patients you care for. Get Involved: https://www.acep.org/federal-advocacy/federal-advocacy-overview/

The popularity of NOACs has grown. Numerically, though they are safe, it’s likely that the Emergency Physician will see more and more bleeds, especially in a trauma situation. In early May, Portola Pharmaceuticals got FDA approval for the targeted reversal agent, Andexanet, as indicated for the reversal of Eliquis and Xarelto. Dr. Williams breaks down the research on this episode of ACEP’s Frontline. Support for this segment was provided in-part by Portola Pharmaceuticals.