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From: EMRA Sent: Friday, August 10, 2012 11:37 AM To: Alicia Hendricks Subject: What's Up in Emergency Medicine - July 2012

Opportunities Don't Miss This EMRA Photo Contest! EMRA's New Committees! Hit us with your best shot! If you've been inspired EMRA's Board of Directors, through the efforts of to capture images from an away rotation, the passionate members, approved the formation of changing of the seasons, or the sights of your two new committees: the Wilderness Emergency city, we want to see! Visit the EMRA Website to Medicine Committee and the EMS Committee. upload your submission. Deadline: August 1 The EMRA Wilderness Medicine Committee will be the gateway for all EMRA members who EMRA Fall Awards aspire to practice medicine in austere EMRA is once again honoring residents for their environments. We will provide you with an countless achievements, and encouraging their introduction to Wilderness Medicine, information education through a variety of financial awards. on how to become involved, networking Eight awards, which will offer support for opportunities, resident/student rotation teaching, leadership, and travel to major availability, a list of fellowships, and many other conferences, will be presented at ACEP's facets of this unique sub-specialty. Scientific Assembly in October! Apply or nominate a fellow resident today! EMS Committee Deadline: August 15 With EMS being recognized as an official subspecialty of Emergency Medicine, EMRA EMRA Rep Council Resolution members with an interest in a career in EMS, A resolution is a directive for EMRA to take a prehospital work or EMS research are certain action or to form a policy. Submit your encouraged to apply. The new committee will resolutions to be presented at the EMRA also provide general resources and information Representative Council meeting held at ACEP's on EMS for all EM residents. Scientific Assembly. Deadline: August 24 To become a member of either the Wilderness Medicine or EMS Committee, apply online at: QIPS Resident Quality Award 2012 http://www.emra.org/Content.aspx?ekfrm=766 QIPS has established an annual QIPS Resident Quality Award for 2012 graduating resident Legislative Corner emergency physicians or fellows who The big policy news this past month was the demonstrate excellence in, and a passion for, action of the Supreme Court, which ruled on June quality improvement. Submitted projects will be 28th to uphold the individual mandate, a critical judged on their overall importance, innovation, component of the Affordable Care Act. So the approach and applicability to the general ED ACA is left standing - but it is weakened by the community. Award recipients will receive a free 1- Supreme Court’s additional decision to limit the year QIPS membership, be recognized at the expansion of Medicaid under the ACA. This QIPS Annual Meeting at ACEP's Scientific could have a huge impact on emergency Assembly, and enjoy a brief synopsis of their work in our newsletter. A nomination form physicians and patients, as it could significantly can be found here. increase the number of Americans who remain Deadline: September 1 uninsured after the law takes effect. The Medicaid expansion was expected to cover 17 Run for the EMRA Board of Directors million of the estimated 30 million people who will EMRA elections take place this fall at the get insurance under the law, but now states may Representative Council Meeting during ACEP's choose not to participate in the expansion, Scientific Assembly. This year we are electing a potentially leaving millions without coverage. To new President-Elect, Vice Speaker, Legislative learn more about the Supreme Court’s decision Advisor, ACEP Rep and Member at Large. about the ACA, read this month’s advocacy Election information is available on EMRA's corner article. Website. Deadline: September 10 In other exciting news for emergency medicine, President Obama has now signed into law Sim Wars Competition legislation which includes critical measures to The second annual Great Plains Medical Student control drug shortages and ban synthetic drugs. Sim Wars Competition will be held September This legislation has been a key target of support 29, 2012 at Washington University School of for ACEP’s members who are active in advocacy, Medicine in St. Louis! Applications are now including the residents who attended this year’s being accepted for teams of four students. Leadership and Advocacy Conference. The new Contact Jonathan Heidt or Christopher Sampson law (“Food and Drug Administration Safety and for more information or to apply. Innovation Act”) will require shortages of Deadline: September 17 drugs that are used in emergency medical care to be reported to the FDA six months in advance, to Section Connection allow hospitals and providers to prepare and Find your niche. Build your network in develop alternatives. The law initiates an Emergency Medicine. Join a Section! investigation into the causes of drug shortages, and improves the ability of the FDA to ban Sections provide a forum for members with a synthetic drugs, such as bath salts and “spice”. special interest to speak as a unified group, and These provisions were actively supported by a pathway for professional leadership ACEP and the dedicated emergency physician development. ACEP’s 32 Sections have over members of the organization, and will help 14,000 members. Sections cover diverse areas protect emergency patients for years into the of interest, ranging from Critical Care Medicine to future. International Emergency Medicine and Toxicology. SPONSORED MESSAGE: As a section member, you are automatically subscribed to the section’s e-list, which gives section members the opportunity to communicate about timely issues relevant to its members. Section websites are filled with information related to the section’s goals and objectives.

All Sections meet during ACEP’s Scientific Assembly. Please plan to attend SA in Denver this October, and attend one or more section annual meetings. More information can be found here. Residency News Jellyfish Envenomation Remedies: A Stinging Emergency medicine resident members, medical Analysis students, and individuals in fellowship training A systematic review of literature regarding programs are eligible for one complimentary effective treatments against jellyfish stings by section membership, with additional researchers at the University of California San memberships available at $20 each. To explore Diego Medical Center has helped detail effective all of the ACEP Sections, please visit the section strategies among conflicting recommendations. catalog. Researchers examined 19 pertinent primary research articles on jellyfish stings, and found hot Upcoming Events water and lidocaine to be most effective in ACEP Teaching Fellowship reducing pain and further envenomation. Dallas, TX Contrary to popular belief, vinegar seemed to August 13 - 19, 2012 cause further discharge of nematocysts, causing increased pain; while urine, meat tenderizer, and EMRA Fall Awards Deadline other household caustic substances were shown August 15, 2012 to have no effect. Vinegar was, however, found to be helpful in only one particular species -- EMRA Fall Representative Council Physalia (aka the Portuguese man-o’-war). Resolutions Deadline Removal of nematocysts is recommended to be August 24, 2012 done with careful scraping using a plastic card (credit, etc.). If lidocaine and hot water are Advanced Emergency & Acute Care Medicine unavailable, nematocyst removal and salt water and Technology Conference irrigation is recommended as second-line Atlantic City, NJ therapy. Read the article here, and see other September 5 - 7, 2012 therapies examined by the authors.

EMRA Board of Directors Application One Quarter of CAP Patients Return to the ED Deadline Within the Month September 10, 2012 Researchers at the University of Alberta, Edmonton have examined community-acquired RRC-EM Meeting pneumonia (CAP) outcomes in 3,874 patients Chicago, IL that received care on an outpatient basis. Eurich September 21 - 22, 2012 et al. examined CAP patients presenting to the emergency department over the course of 2 EMRA Medical Student Forum years, who were discharged and then followed Denver, CO for up to 5 years. Patients excluded from the October 7, 2012 study were those who were admitted to hospital, those who could not be linked to the EMRA Residency Fair administrative database, or those who died or Denver, CO returned to the ED on the same day. The October 7, 2012 researchers found that 25% of the patients returned to the emergency department within the EMRA Resident Forum month, while 8% had been hospitalized, and 1% Denver, CO had died. This outpatient cohort CAP study helps October 8, 2012 to establish outcomes and resources used by this commonly seen population. The authors hope EMRA Job Fair this data will help contribute to finding novel Denver, CO prognostic indicators to help clinicians better October 8, 2012 manage these patients. Review the full article here for further details. ACEP's Scientific Assembly Denver, CO SPONSORED MESSAGE October 8 - 11, 2012

EMRA Rep Council Meeting Denver, CO October 9, 2012

ABEM Fall Oral Certification Exams October 27 - 29, 2012

EMBRS Workshop Dallas, TX November 5 - 12, 2012

AMA House of Delegates Interim Meeting Honolulu, HI November 10 - 13, 2012 ABEM Qualifying Exams November 12 - 18, 2012 Rep Council Corner Make a Difference! Write a Resolution! Writing a resolution is a way to turn an idea into SPONSORED MESSAGE: EMRA policy, and the deadline for resolutions to be discussed at our EMRA Representative Council Meeting at ACEP's Scientific Assembly will be the ast week in August. If you have an idea that you would like to turn into a resolution, but need a little help, email [email protected] we'd love to work with you!

Calling EMRA Leaders The EMRA Board of Directors will be holding elections for President-Elect, ACEP Representative, Vice-Speaker, Legislative Advisor and Member at Large during its Representative Council Meeting during ACEP's Scientific Assembly in Denver. If you are interested in being part of our leadership team, or would simply like to learn more about what a specific job entails, we encourage you to email the current EMRA board member who holds the position that piques your interest.

Medical Student News Mark your calendars! ACEP’s Scientific Assembly will be held in Denver this year. Click here to see a schedule for all EMRA events!

To push or not to push? We’ve all heard it before, whether on our favorite prime-time television show, or in real life: “push epi”. The phrase has become synonymous with cardiac arrest. But does adrenaline really make a difference? Click here to read more from the American Heart Association Resuscitation Science Symposium.

Submit to EM Resident We want to hear your voice...on paper. EM Resident is EMRA’s award-winning, bi-monthly magazine publication. Every issue proudly contains 4-5 medical student articles, and yours should be one of them! Opinions to voice or observations to make? Life lessons or advice to share? Let EM Resident be your podium. No word-length minimum or topic limitations; just your voice on paper! Click here to view previously published issues. We accept articles all year-round, so send your writings and a photo to [email protected].

Chief Editors: Cameron Decker, MD Suzanne Bryce, MD President-Elect Co-Chief Editor Baylor College of Medicine Vanderbilt University

Rep Council Corner Editor: Legislative Corner Editor: Matt Rudy, MD Alison Haddock, MD Vice Speaker of the Council Legislative Advisor Washington Univ. in St. Louis Tacoma Emergency Care Physicians

Contributing Authors Revathi Jyothindran, Student Editor Kael Duprey, MD, JD Rachel Inbanathan James Hartline Hashim Zaidi Theresa Tran

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