ACEP Frontline - Emergency Medicine

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.

In this edition of ACEP’s Frontline, Dr. Ryan Stanton and Dr. K Kay Moody discuss social media and wellness in Emergency Medicine. Dr. Moody started emDocs to help improve EM physician wellness by giving docs a place to connect and share their struggles and triumphs. The site morphed into a full information exchange and FOAMed environment. Now, with 17K members on the emDocs site, Dr. Moody has launched a new effort in EM Physician Wellness – and it's about as far away from technology as you can get. Listen in and learn how she’s helping physicians focus on their wellbeing. http://www.emdocs.net/ Twitter: @KKayMoodyDOMPH

This week on ACEP's Frontline, Dr. Ryan Stanton talks with ACEP Board member Dr. Gillian Schmitz about diversity in EM Leadership. Dr. Schmitz has been involved at ACEP since her second year in residency and shares her insights about the importance of diversity in leadership. Find out how to increase your leadership potential and get involved. Whether your goal is the Board of Directors, the C-Suite or Committee Chair, it's time to start making a difference!

This year we celebrate 50 years in EM and the 50th anniversary of ACEP. In this edition of ACEP’s Frontline, Dr. Ryan Stanton had the opportunity to talk to Dr. Don Stader, editor-in-chief of the ACEP’s 50th anniversary book, “Bring ‘em All”. This visually stunning book captures the equally stunning stories in emergency medicine shared by providers who create the mosaic which is true to the history of emergency medicine. Hear how the book was conceived and produced in an effort that celebrates emergency medicine’s commitment to do whatever it takes to care for patients and communities. Bring ‘em All: Chaos. Care. Stories from Medicine’s Front Line. https://www.acep.org/who-we-are/50Years/50thBook/ Order your copy: http://bookstore.acep.org/bring-em-all-509619

Dr. Ryan Stanton talks to Dr. Alexis LaPietra, DO, FACEP, and Dr. Mark Rosenberg, DO, FACEP, about being better stewards of opioids and the emergency departments role in the opioid crisis. They discuss innovations in pain management and how to safely and more effectively treat the patient without opioids. At St Joseph Regional Medical Center in NJ, they have seen an 82% reduction in the prescriptions of opioids using ALTO (Alternatives to Opioids). “Its real simple, if you’re not part of the solution, you’re part of the problem.” Find out how to be part of the solution on this episode of ACEP’s Frontline.

ACEP Frontline host Dr. Ryan Stanton talks to Dr. Jim Augustine about drug shortages in the US. Why is this unprecedented issue happening and what can you do when the drug you need for your patient isn’t on the shelf?

ACEP’s Frontline, host Dr. Ryan Stanton and Dr. Marianne Gausche-Hill discuss emergent delivery in the ED. Listen in as they discuss prolapsed cords, breech deliveries and shoulder dystocia and more.

On this special edition of ACEP’s Frontline, host Dr. Ryan Stanton and Dr. David Rehr, of the Antonin Scalia Law School at George Mason University, get you ready to talk to your legislator before you head to Washington, DC for ACEP’s Leadership and Advocacy Conference. Whether you head to Capitol Hill or to your state legislator’s office, be prepared to talk to your elected official with these tips for success. Ideas to build relationships with elected officials: http://media.mycrowdwisdom.com.s3.amazonaws.com/acep/ACEP%20Frontline/Ideas%20to%20build%20relationships%20with%20elected%20officials.docx

Today on ACEP’s Frontline, host Dr. Ryan Stanton talks to Dr. Tim Horeczko about when to get and EKG for the pediatric patient. They discuss five major killers that you can save a life with by diagnosing just by sight.

Today on ACEP's Frontline, host Dr. Ryan Stanton talks to Dr. Sean Fox about significant traumatic events in the pediatric patient.

Today on ACEP's Frontline, host Dr. Ryan Stanton continues his series recorded at the Advanced Pediatric Emergency Medicine Assembly. Dr. Stanton talks to Dr. Richard Cantor about the latest literature in Pediatric Emergency Medicine. Tune in to hear what the experts are saying about evidence based medicine on topics like fever, urine collection, LPs, and more.

On this episode of ACEP Frontline, host Dr. Ryan Stanton talks to Dr. Kathy Shaw about making diagnostic Errors in Pediatric Emergency Medicine. All providers make errors, but they can have a greater impact on the pediatric patient. Listen in to find out how to reduce the chance of error.

Today on ACEP’s Frontline, tune in for the 4th segment from the 2018 Advanced Pediatric Emergency Medicine Assembly. Dr. Ryan Stanton and Dr. Chris Amato talk about pediatric dermatology and the visual diagnosis of rashes and skin changes in the pediatric patient.

ACEP Frontline host, Dr. Ryan Stanton continues his series recorded at the Advanced Pediatric Emergency Medicine Assembly in Orlando, Florida. Today Dr. Stanton discusses pediatric orthopedics with Dr. Chris Amato. Find out what they have to say about breaks, growth plates and imaging for the pediatric patient.

Today, ACEP Frontline host Dr. Ryan Stanton continues his pediatric series recorded at ACEP’s Advanced Pediatric Emergency Medicine Assembly in Orlando, Florida. Dr. James (Jim) Homme talks about “The Red Number Two”. What do you do when your young pediatric patient presents with blood in the stool?

ACEP Frontline’s host Dr. Ryan Stanton talks kids in pain with Dr. Jim Homme. Listen is as they discuss Ketamine as an analgesic in pediatric emergency medicine.

ACEP Frontline host Dr. Ryan Stanton talks to Dr. Michael Gerardi about reducing the risk of being sued as an advanced practice provider.

ACEP Frontline host Dr. Ryan Stanton talks with Dr. John Greenwood about the development of the small but mighty EMRA Pressor Decks.

Host Dr. Ryan Stanton talks to Dr. Brian Fengler about the evidence of medicine the resources available for clinical decision support in the ED.

ACEP Frontline’s host Dr. Ryan Stanton is talks to Dr. Chris Baugh about his work on an atrial fibrillation panel and the tools they are working on to help you manage these patients.

Today host Dr. Ryan Stanton talks to Dr. Christopher Russi about the clinical integration and communication among Emergency Departments including the usage of telemedicine.

Host Dr. Ryan Stanton talks to Dr. Jon Mark Hirshon about emergency department sickle cell care collaborative and how we can do sickle cell care better.

Host Dr. Ryan Stanton talks to Dr. Anne Zink about practicing emergency medicine in Alaska.

Today ACEP Frontline host, Dr. Ryan Stanton, talks with Andy Little, DO, Tanner Gronowski, DO, and Drew Kalnow, DO EMT-P from EM Over Easy.

Today Dr. Ryan Stanton talks with ACEP's Dr. Aisha Liferidge about ACEP's Diversity and Inclusion Taskforce. Learn how ACEP is leading the way this very important initiative.

ACEP Frontline host Dr. Ryan Stanton talks about emergency physician wellness with Dr. Rita Manfredi.

Host Dr. Ryan Stanton talks to Dr. David Pigott on the ins and outs of flu season.

Host Dr. Ryan Stanton and guests Dr. Danya Khoujah and Dr. Wendy Chang discuss CDEM (Critical Decisions in Emergency Medicine)-- ACEP's official CME publication and brand-new podcast series

Host Dr. Ryan Stanton talks to David Pecora, MS, PA-C on the challenges faced in rural emergency medicine, particularly in regards to difficult patient transfers.

Host Dr. Ryan Stanton talks to Dr. Joe Habboushe about EMRA's new publication, "Basics of Emergency Medicine, 3rd Edition." http://bookstore.acep.org/emra-products/emra-basics-of-emergency-medicine-3rd-edition-900400

Host Dr. Ryan Stanton talks to Dr. Al Saccheti on pediatric fever presentations in the ED.

Locums...a growing interest in emergency medicine and an opportunity to add a little more variety to your practice. ACEP Frontline talks with two locums physicians on the life in this type of practice.

Host Dr. Ryan Stanton talks to Dr. Jack Iwashyna at DAS SMACC about why patients get stuck in the ICU, and what we can do to improve their care. https://www.smacc.net.au/speaker/jack-iwashyna/

Host Dr. Ryan Stanton talks to Dr. Jennifer Wiler on alternative payment models.

Host Dr. Ryan Stanton and Dr. Jim Williams discuss a comprehensive, team-based educational approach to VTE care to minimize recurrence of VTE and improve anticoagulation therapy adherence. By targeting a team of health care providers including emergency room personnel and those engaged in continuation of treatment following a VTE occurrence, a true team-based approach for patients can be modeled for and implemented by program attendees.

Host Dr. Ryan Stantons talks to SGEM Host Dr. Ken Milne on practicing evidence-based medicine.

Host Dr. Ryan Stanton talks to Dr. Resa Lewiss at DAS SMACC about her lecture, "FOUR TRAGIC DOG DEATHS: LESSONS IN PROGRAM DESIGN AND DEVELOPMENT." "Academic programs are built on four main pillars: clinical excellence, research, education, and administration. These apply whether you build and design an u/s program or division, a simulation program, a toxicology or pre-hospital program and even an academic department. You never forget when your childhood dog dies. And I will never forget how all four of my childhood dogs died. These 4 tragic, dramatic, and traumatic experiences provided fantastic lessons on how an academic program can fail." (https://www.smacc.net.au/speaker/resa-lewiss-17/)

Host Dr. Ryan Stanton talks to Dr. Krystin Thomas, a resident physician and rape crisis advocate. She talks about the assessment and approach to the sexual assault victim in the ED.

Host Dr. Ryan Stanton talks to Dr. Pik Mukerji on the evolution and "diagnosis" of atypical chest pain in the ED.

Host Dr. Ryan Stanton talks to Dr. Michael Myers about the growing concerns over physician depression and suicide. Dr. Myers is Professor of Clinical Psychiatry and immediate past Vice-Chair of Education and Director of Training in the Department of Psychiatry & Behavioral Sciences at SUNY-Downstate Medical Center in Brooklyn, NY. -- http://www.michaelfmyers.com/

Host Dr. Ryan Stanton talks to Dr. Joe Waeckerle on his involvement with concussion treatment in athletes from youth sport leagues to the NFL sidelines and how ED docs can be prepared when they encounter their next mTBI.

Host Dr. Ryan Stanton talks to Paul Gowens about the progressive aspects of pre-hospital care.

Dr. Paul Young from DasSMACC talks about the righting the wrongs of modern critical care research.