Table of Contents
COMMONSENSE
Regular Features TM
Officers President Lisa A. Moreno, MD MS MSCR FIFEM President-Elect Jonathan S. Jones, MD Secretary-Treasurer Robert Frolichstein, MD Immediate Past President David A. Farcy, MD FCCM Past Presidents Council Representative Joseph Wood, MD JD Board of Directors L.E. Gomez, MD MBA Bobby Kapur, MD MPH CPE Bruce Lo, MD MBA RDMS Evie Marcolini, MD FCCM Sergey M. Motov, MD FAAEM Terrence Mulligan, DO MPH Vicki Norton, MD Carol Pak-Teng, MD YPS Director Phillip Dixon, MD MPH AAEM/RSA President Haig Aintablian, MD Editor, JEM Ex-Officio Board Member Stephen R. Hayden, MD Editor, Common Sense Andy Mayer, MD Executive Director Missy Zagroba, CAE Executive Director Emeritus Kay Whalen, MBA CAE AAEM/RSA Executive Director Madeleine Hanan, MSM Common Sense Editors Mehruba Anwar Parris, MD, Assistant Editor Adriana Coleska, MD, Resident Editor Cassidy Davis, Managing Editor Articles appearing in Common Sense are intended for the individual use of AAEM members. Opinions expressed are those of the authors and do not necessarily represent the official views of AAEM or AAEM/RSA. Articles may not be duplicated or distributed without the explicit permission of AAEM. Permission is granted in some instances in the interest of public education. Requests for reprints should be directed to AAEM, 555 East Wells Street, Suite 1100, Milwaukee, WI 53202, Tel: (800) 884-2236, Fax: (414) 276-3349, Email: info@aaem.org AAEM is a non-profit, professional organization. Our mailing list is private.
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COMMON SENSE JULY/AUGUST 2020
President’s Message: Doing the Right Thing..................................................................................................................3 AAEM Member Bulletin..................................................................................................................................................4 From the Editor’s Desk: Making a Difference.................................................................................................................6 Dollars & Sense: Disability and Life…Another Option!...................................................................................................8 Foundation Donations..................................................................................................................................................10 PAC Donations.............................................................................................................................................................10 LEAD-EM Donations....................................................................................................................................................11 Upcoming Conferences ...............................................................................................................................................13 AAEM/RSA President’s Message: Lend a Helping Hand. Let’s Make EM More Inclusive............................................20 Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)........................21 Medical Student Council President’s Message: 2020-2021 AAEM/RSA Medical Student Council Introduction...........25 AAEM/RSA Editor: Managing Stress during a Pandemic ............................................................................................41 Job Bank......................................................................................................................................................................62
Special Articles Wellness: Interruptions in the Emergency Department and the Myth of Multitasking...................................................15 Critical Care Medicine Section: What Is the Best Sedative Agent for NIV Intolerance?................................................17
AAEM Tales of COVID-19 Feature From the Editor’s Desk: The Moral Dilemma of COVID-19..........................................................................................28 Decision making: Combining the Emotion and Reason................................................................................................30 Operations Management: Crisis Management.............................................................................................................32 Wellness: Promoting Social Connection during COVID-19...........................................................................................34 Palliative Care: COVID-19 Pandemic Draws Palliative Care into the ED......................................................................36 Emergency Ultrasound Section: Ultrasound Education in the COVID-19 Era..............................................................37 Women in EM Section: Embracing Femininity in a Pandemic.......................................................................................38 Young Physicians Section: YPS Photo Collage of Life during COVID-19.....................................................................40 AAEM/RSA Wellness: A Medical Student/Paramedic’s Perspective on COVID-19.......................................................42 JAFERDs Can Do It.....................................................................................................................................................44 The Sun Is Rising.........................................................................................................................................................44 Is There Opportunity Amid a Pandemic?.....................................................................................................................45 The Role of Quarantined Medical Students.................................................................................................................46 One Month...................................................................................................................................................................47 Class of 2020: Match Day during a Pandemic.............................................................................................................50 The COVID-19 Experience Outside of the Epicenters.................................................................................................51 Dehumanized...............................................................................................................................................................54 COVID-19 Has Made Emergency Physicians the Default Leaders of Medicine...........................................................55 I’m Not Really a Hero...................................................................................................................................................56 The Reasoned Response to the PPE Debacle.............................................................................................................57 My Life was Turned Upside Down by a COVID-19 Antibody Test.................................................................................58 Should the 12-Hour Shift be of Historical Interest Only?..............................................................................................60 The Black Death..........................................................................................................................................................61 Mission Statement
The American Academy of Emergency Medicine (AAEM) is the specialty society of emergency medicine. AAEM is a democratic organization committed to the following principles: 1. Every individual should have unencumbered access to quality emergency care provided by a specialist in emergency medicine. 2. The practice of emergency medicine is best conducted by a specialist in emergency medicine. 3. A specialist in emergency medicine is a physician who has achieved, through personal dedication and sacrifice, certification by either the American Board of Emergency Medicine (ABEM) or the American Osteopathic Board of Emergency Medicine (AOBEM). 4. The personal and professional welfare of the individual specialist in emergency medicine is a primary concern to the AAEM. 5. The Academy supports fair and equitable practice environments necessary to allow the specialist in emergency medicine to deliver the highest quality of patient care. Such an environment includes provisions for due process and the absence of restrictive covenants. 6. The Academy supports residency programs and graduate medical education, which are essential to the continued enrichment of emergency medicine and to ensure a high quallity of care for the patients. 7. The Academy is committed to providing affordable high quality continuing medical education in emergency medicine for its members. 8. The Academy supports the establishment and recognition of emergency medicine internationally as an independent specialty and is committed to its role in the advancement of emergency medicine worldwide.
Membership Information
Fellow and Full Voting Member (FAAEM): $525* (Must be ABEM or AOBEM certified, or have recertified for 25 years or more in EM or Pediatric EM) Affiliate Member: $365 (Non-voting status; must have been, but is no longer ABEM or AOBEM certified in EM) Associate: $150 (Limited to graduates of an ACGME or AOA approved emergency medicine program within their first year out of residency) or $250 ( Limited to graduates of an ACGME or AOA approved emergency medicine program more than one year out of residency) Fellow-in-Training Member: $75 (Must be graduates of an ACGME or AOA approved emergency medicine program and be enrolled in a fellowship) Emeritus Member: $250 (Please visit www.aaem.org for special eligibility criteria) International Member: $150 (Non-voting status) Resident Member: $60 (voting in AAEM/RSA elections only) Transitional Member: $60 (voting in AAEM/RSA elections only) International Resident Member: $30 (voting in AAEM/RSA elections only) Student Member: $40 (voting in AAEM/RSA elections only) International Student Member: $30 (voting in AAEM/RSA elections only) Pay dues online at www.aaem.org or send check or money order to: AAEM-0320-464 AAEM, 555 East Wells Street, Suite 1100, Milwaukee, WI 53202 Tel: (800) 884-2236, Fax: (414) 276-3349, Email: info@aaem.org