The Pulse Summer 2025

SUMMER 2025

50 Years Strong: A Legacy of Leadership in Emergency Medicine

PRESIDENT’S REPORT

RSO UPDATE

PRACTICE ADVOCACY COMMITTEE UPDATE

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The Pulse VOLUME LV No. 2 EDITORIAL STAFF Victoria Selley, MS, DO, FACOEP, Editor Benjamin Godfrey, DO, FACOEP, Assistant Editor Amanda Mahan, MA, ACOEP Executive Director Megan Heller, ACOEP Association Manager Claire Krzyzewski, Graphic Designer

The Pulse is a copyrighted quarterly publication distributed at no cost by ACOEP to its Members, Colleges of Osteopathic Medicine, sponsors, exhibitors, and liaison associations recognized by the national offices of ACOEP. The Pulse and ACOEP accept no responsibility for the statements made by authors, contributors, and/ or advertisers in this publication; nor do they accept responsibility for consequences or response to an advertisement. All articles and artwork remain the property of The Pulse and will not be returned.

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TABLE OF CONTENTS 4

PRESIDENT’S REPORT Jennifer Axelband, DO, FACOEP, FCCM

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A MESSAGE FROM THE PRESIDENT-ELECT John Dery, DO FACOEP-Dist, FACEP, FAWM

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EXECUTIVE DIRECTOR’S DESK Amanda Mahan, MA

10 ACOEP 50TH ANNIVERSARY 12 2025 SCIENTIFIC ASSEMBLY 14 RSO UPDATE WOMENS COMMITTEE UPDATE 18 Jacqueline M. Dziedzic, DO, FACEP, FACOEP WELLNESS COMMITTEE UPDATE 20 AAO’s Osteopathic Education Service at SA25 ACOEP PRACTICE ADVOCACY COMMITTEE UPDATE 22 Jeremy Selley, DO, FACOEP SPRING SEMINAR 24 2025 FOEM COMPETITION AWARD WINNERS

27 SPRING SEMINAR HIGHLIGHTS 28 2026 SPRING SEMINAR SAVE THE DATE!

SUMMER 2025 THE PULSE

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PRESIDENT’S REPORT

Jennifer Axelband, DO, FACOEP, FCCM

CHEERS TO 50 YEARS AND BEYOND!

O

ur 50th birthday has arrived, or we have arrived at our 50th birthday? It is a curious thing, this intersection of chronology and consciousness, where milestone and memory meet. Whether we chase time or it carries us, what matters is recognizing how we grow and change with each passing year.

We write our own story, shaping each new moment with the wisdom of what has been and the hope of what is yet to become.

Consider the span of 50 years. Over five decades, there have been developments in the world, advancements in medicine, transformation in emergency medicine, and evolution within ACOEP. ACOEP is 50 and fabulous!

Walk Down Memory Lane: Where We Started.

Emergency medicine was in its early stages of development. Fifty years ago, hospital emergency departments typically operated on a rotation system involving family physicians, general surgeons, internists, and other specialists. In smaller emergency departments, nurses managed patient triage and called in specialists depending on the patient’s condition. Larger hospitals often assigned interns or residents from established training programs to care for patients arriving in the emergency department. The formation of

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BRUCE HORTON, DO, FACOEP 1975-1980

ROBERT L. HAMBRICK, DO, FACOEP 1980-1982

DONALD CUCCHI, DO, FACOEP 1982-1983

JOHN W. BECHER, JR., DO, FACOEP 1983-1985

ROBERT D. ARANOSIAN, DO, FACOEP 1987-1989

EDWARD J. SARAMA, DO, FACOEP 1989-1991

BEN H. CHLAPEK, DO, FACOEP 1991-1993

GEORGE J. MILLER, DO, FACOEP 1993-1995

THEODORE A. SPEVACK, DO, FACOEP 1998-2000

JOSEPH J KUCHINSKI, DO, FACOEP 2000-2002

VICTOR J. SCALI, DO, FACOEP 2002-2004

PAULA WILLOUGHBY DEJESUS, DO, FACOEP 2004-2006

THOMAS BRABSON, DO, FACOEP 2008-2011

GREGORY M. CHRISTIANSEN, DO, MED, FACOEP 2011-2013

MARK A. MITCHELL, DO, MED, FACOEP 2013-2015

JOHN C. PRESTOSH, DO, FACOEP 2015-2017

TIMOTHY CHESLOCK, DO, FACOEP-D 2022-2023

BRANDON LEWIS, DO, MBA, FACOEP, FACEP 2023-2024

ROBERT E. SUTER, DO, MHA, FACOEP-D G. JOSEPH BEIRNE, DO, FACOEP-D 2019-2021 2021-2022

emergency medicine as a specialty occurred in response to public demand and evolving healthcare needs.

ACOEP was established by leaders committed to shaping the future of emergency medicine through innovation in practice and education. On October 5th, 1975, ACOEP was officially founded and its inaugural Board of Directors was elected: Bruce D. Horton, D.O., President; Anthony Gerbasi, D.O., Vice President; Richard Ballinger, D.O., Secretary; and Robert L. Hambrick, D.O., Treasurer. It is a privilege to continue building upon the JAMES GRATE, DO, FACOEP foundation set by 1985-1987 these pioneering members of ACOEP. Our Present Position: Where We Are Now BENJAMIN A. FIELD, DO, FACOEP 1995-1998

PETER BELL, DO, FACOEP 2006-2008

CHRISTINE GIESA, DO, FACOEP-D 2017-2019

JENNIFER AXELBAND, DO, FACOEP, FCCM 2024-2025

Emergency medicine is a commanding force in the house of medicine, encompassing 288 residency training programs and offering over 3,000 first-year residency positions. An amazing achievement in the past 50 years. In 2025, osteopathic medical students secured 1,113 PGY-1 positions, the highest representation to date with 36% of all first-year emergency medicine residents graduating from osteopathic medical schools.

Our specialty continues to expand.

Currently, fellowship

opportunities are accessible in areas such as critical care, palliative care, emergency medical services, toxicology, pediatric emergency medicine, sports medicine, and addiction medicine. Beyond clinical expertise, as a specialty we encompass a significant role in advocacy, public health systems and patient and workplace safety initiatives.

ACOEP has played a pivotal role in the evolution of emergency medicine, continually contributing to advancements in the field.

As an engaged member of the emergency medicine community, ACOEP has actively participated in comprehensive EM meetings, fostering collaboration among all stakeholders to shape the future direction of emergency medicine practice. A topic of great interest is the role of augmented intelligence in emergency medicine. ACOEP and RSO have represented osteopathic medicine on the Resident Review Committee’s Emergency Medicine Taskforce, reviewing current training standards and considering updates for the benefit of future physicians.

The organization continues to advocate for its members and the broader osteopathic community, participating in initiatives such as DO Day on the Hill, representing ACOEP at the AOA House of Delegates, and serving on AOA committees dedicated to affiliate support as well as medical student and resident development. At both national and local levels, ACOEP remains committed to supporting its membership and the wider community. Most recently, ACOEP pledged to collaborate with local first responders during conferences to enhance educational opportunities and extend community outreach.

Seize the Day: Where We Are Headed Emergency medicine, as a specialty, is experiencing a stage of growth reminiscent of its formative years five decades ago, with numerous opportunities on the horizon. Physicians within this field are at the forefront of shaping the future of emergency medicine.

Ongoing advancements in both training and clinical practice are expected. Emerging areas include entrepreneurial and concierge medicine, correctional healthcare, fellowships focused on advanced cardiovascular support with e-CPR and ECMO management, wellness initiatives, global health, and the development of EM hospital proceduralist roles. Additionally, non-clinical pathways in politics, administration, operations, augmented intelligence in healthcare and education are becoming increasingly accessible to emergency medicine. The potential achievements within this specialty are virtually limitless.

ACOEP is committed to serving as a foundational resource for the future of osteopathic emergency medicine. We will maintain our advocacy on behalf of our members and continue to support our professional community. Our students and residents represent the next generation of leadership, guiding us into the coming decades.

As in all areas of emergency medicine, ACOEP’s potential for achievement remains without limit.

The past is to be reflected upon and honored, the present is to be embraced and lived and the future is to be imagined and seized.

Cheers to 50 years and beyond! –•– Jennifer Axelband, DO, FACOEP, FCCM President, ACOEP

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THE ON-DECK CIRCLE

By John Dery DO FACOEP-Dist, FACEP, FAWM President-Elect

FROM BATTLEFIELDS TO BREAKTHROUGHS HONORING 50 YEARS OF OSTEOPATHIC EMERGENCY MEDICINE AND FORGING THE FUTURE

T

his fall, as the amber skies of Nashville roll in with the Tennessee breeze, we will gather to celebrate not only our annual Scientific Assembly, but a milestone that few specialties get to witness – the 50th anniversary of the American College of Osteopathic Emergency Physicians. For five decades, ACOEP has stood at the intersection of clinical excellence, osteopathic identity, and unshakeable emergency medicine “grit.” What started as a bold vision in the shadows of a young growing specialty has now matured into a powerful force shaping acute care delivery across the United States.

It’s fitting then, that our Fall Scientific Assembly (Sept 21st – 25th, 2025) will be hosted in Nashville, Tennessee, a city known for reinvention and harmony, as we

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take a moment to honor our roots – and light the fire for our future.

A Legacy Worth Celebrating Emergency Medicine as a specialty is only 55 years old, and ACOEP was born just five years into the journey. We were forged by early trailblazers who weren’t afraid to practice outside the box – many of whom operated in emergency departments that weren’t yet recognized as specialties, with no residencies, no structured academic pathways, and certainly no robust CME pipelines. Those early osteopathic pioneers brought a philosophy of whole-patient care into the chaos of the trauma bays and resuscitation rooms.

They didn’t just respond to emergencies – they redefined them.

Let us never forget that many of the values we now embrace as

“best practices” – interdisciplinary teamwork, bedside empathy, wellness advocacy, community outreach, trauma-informed care, emergency medical services – were part of the osteopathic emergency physician’s mindset long before they became everyday policy.

Expanding Frontiers: The Rise and Reach of Osteopathic Emergency Medicine From a modest gathering in Toledo, Ohio, in October 1975 – where foundational leaders like Bruce Horton (first President), Anthony Gerbasi (inaugural Vice President), Richard Ballinger (first Secretary), and Robert Hambrick (initial Treasurer) charted the future of the ACOEP – the organization quickly transitioned into a nationwide movement. That same momentum catalyzed the launch of the first

osteopathic EM training program under Gerald Reynolds at PCOM in 1979 and followed by the AOA’s approval of the first residencies – across Chicago, Detroit, Grand Rapids, and Philadelphia – ushered in a new era of formalized training, culminating in the establishment of the AOBEM and the first written board exam in 1981 followed by the oral exam in 1982. By the mid 90s, with over 100 EM residents annually and the launch of The Pulse newsletter in 1986 under editors David Brown, and the first Charter Fellows – including Robert Aranosian, John Becher, Donald Cucchi, Anthony Gerbasi, Bruce Horton, Edward Sarama, among others – being honored in 1984.

During the early 1990s, the osteopathic EM programs expanded their scope – lengthening training from two to three years, introducing combined EM/IM tracks, and formally recognizing student and resident chapters under leaders like Cary Schneider and Paula Willoughby who continued to “lead from the front” and never stop innovating.

By the late 90’s, ACOEP surpassed 1,000 members, launched its philanthropic Foundation of Osteopathic Emergency Medicine (FOEM), and spun off its Scientific Assembly from the AOA into a standalone event – a clear sign of its institutional maturity.

The lineage of presidents reflects this storied history: from foundational leaders like Horton and Hambrick through subsequent stewards such as Cucchi, Becher, Grate, Aranosian, Sarama, Chlapek, Miller, Field, Spevack, Kuchinski, Scali, and WilloughbyDeJesus; up to more recent leaders including Bell, Brabson, Christiansen, Mitchell, Prestosh, Giesa, Suter, Beirne, Cheslock, Lewis, and our current President, Jennifer Axelband. ACOEP has proven through the test of time, it is not only a professional home – it continues to foster scholarship, research, leading-edge medical care, and community across the country.

The Crucible of COVID: Defining a Generation of Emergency Physicians If there was ever a test of our resolve as emergency physicians – osteopathic or otherwise – it came during the COVID-19 pandemic.

As businesses shuttered, cities emptied, and global healthcare systems strained under the weight of uncertainty, emergency departments became the front lines of a war without rules. We operated in a fog of incomplete data, evolving guidelines, and harrowing shortages. Yet in that chaos, our specialty stood unflinching. While much of the world stayed home we showed up. We donned makeshift PPE, intubated in parking lots, resuscitated without family at the bedside and bore witness to the grief and isolation in their rawest forms. Our osteopathic heritage – rooted in whole-person care, adaptability, and community trust – was never more relevant. We treated not just lungs and fevers, but fear itself. We cared for the ill, the lonely, and the forgotten. Day after day, we did what many could not – or would not – do. We stayed.

And while we emerged bruised, beaten, and in many cases broken, we also emerged transformed – more connected, more resilient, and more determined than ever to rebuild a system worthy of the people we serve. The pandemic may not have defined us, but it has undoubtedly refined us. And we continue – healing, learning, and moving forward.

The Future is Fast, and It’s Already Here As we launch into our sixth decade, ACOEP is not simply looking to survive the wave of change – we’re shaping it. Over the last six months, we’ve seen a swell in member-driven momentum around issues like: 1. Moral injury and psychological resilience, especially in the wake of rising violence in the ED and continued national staffing shortages.

2. The demand for ultraaccessible CME, with a growing emphasis on microlearning, asynchronous education, and real-time clinical updates through platforms like the ACOEP Digital Classroom and Virtual Grand Rounds Summer Series and the EM OverEasy podcasts as new informative and available platforms to enhance our members’ education.

3. The expansion of different “hands-on” (and sometimes tasting!) learning opportunities led by our incredible ResidentStudent Organization (RSO) leadership integrating unique concepts focusing on trauma, disaster medicine, and even wilderness settings – a natural alignment with our osteopathic values and real-world grit.

4. Emergency Medicine is once again front and center in the national spotlight, with documentary-style series like The Pitt offering an unfiltered, hour-by-hour look into the relentless chaos, ethical tension, and human cost borne by emergency physicians every shift, every day.

Our North Star Remains the Same Whether you’re entering your first residency shift or wrapping up your third board recertification, this moment belongs to all of us. At a time when headlines confuse with stories about burnout, litigation, and AI disruption, we have a unique opportunity to reflect and realign.

What unites us isn’t just our credentials – it’s our calling.

The call to show up in the worst moments of a person’s life. The call to remain and create calm, leading under pressure surrounded by chaos. The call to stay whole while holding broken stories in a broken system.

This fall in Nashville, let’s not just attend another meeting – let’s reignite our mission.

See you in the Music City. –•–

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THANK YOU EXHIBITORS + SPONSORS

EXECUTIVE DIRECTOR’S DESK

Amanda Mahan, MA Executive Director

ROOTED IN LEGACY, RISING TO THE FUTURE: CELEBRATING 50 YEARS OF ACOEP Greetings ACOEP Family, This year, as ACOEP celebrates its 50th anniversary, we find ourselves at a powerful intersection: reflecting on a legacy of resilience and community while building a vision for the next generation of osteopathic emergency physicians.

I made a commitment as a newcomer to ACOEP to listen and learn in order to rise to this challenge of meeting the moment and helping you towards our shared future. At the Spring 2025 meeting, I interviewed members and had the privilege of hearing stories from members new and old—stories that reaffirm what has always made ACOEP special. Again and again, one theme emerged: family. “It felt like home,” one student told me. “ACOEP is where family meets science,” said another. It’s clear to me that this sentiment echoes throughout our history. I’ve heard and observed we are a place where physicians look out for one another, where mentorship is offered generously, and where leadership potential is seen and nurtured.

It’s also clear that we are a community grounded in educational excellence. Since the beginning, ACOEP has elevated osteopathic emergency medicine through innovation and investment—launching our first oral board review in 1995, and the first video learning series in 1996.

While the path hasn’t always been easy, our commitment to raising standards and advancing clinical knowledge has never wavered.

I’ve also heard loud and clear that our smaller size has always been our strength: it gives us the agility to lead and the heart to care.

In this community, you don’t have to fight for space—you already have a voice here. ACOEP has long served as an incubator for leadership and a launchpad for future trailblazers.

As we honor the past, we must also remember: our story has never been one of easy acceptance—it’s one of courage. At the AOA House of Delegates meeting Ronnie B. Martin, DO delivered this year’s A.T. Still Memorial Lecture and many of his points were a powerful reminder to me of the profession’s history and its strengths. From the struggle for federal and military recognition in the 1960s, to the near-erasure of DOs in California in 1961, our profession has survived because it refused to be forgotten. Those 14,000 DOs who said “no” to being rewritten showed us what grit looks like. Today, we don’t just have a seat at the table—we’ve earned the right to lead it with DOs serving as the Physician to the President and in countless other prestigious places.

The danger today is not in being overlooked by others—it’s in forgetting who we are.

In my nearly ten years working with osteopathic physicians, I’ve learned that your strength lies not just in your clinical skill, but in your philosophy—treating patients as whole people, not just symptoms.

That approach is more needed now than ever, as the physician-

patient relationship is challenged by depersonalized systems and outside pressures.

We are entering a new era, and the next generation will one day look back on this moment. They will measure us by our response—by whether we stayed rooted in our values, and whether we had the conviction and courage to lead.

ACOEP is committing to meeting that challenge headon. We are investing in students, creating new leadership pathways, expanding our advocacy voice, and reaffirming our mission: to be the home for emergency medicine physicians who believe in wholeperson care, lifelong learning, and the strength of shared purpose.

We have evolved—but our mission endures. Our ideals, rooted in truth, will not fail unless we abandon them. Now is the time to revive, to lead with clarity, and to recommit—together.

Here’s to the next 50 years of action, unity, and purpose.

Let’s build it, together. –•– Warmly, Amanda Mahan Executive Director, ACOEP Amandam@affinity-strategies.com SUMMER 2025 THE PULSE

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SUBMIT YOUR ACOEP STORIES As we prepare to celebrate ACOEP’s 50th Anniversary at the 2025 Scientific Assembly, we’re inviting all members to share their memories, reflections, and hopes for the future.

Your stories will help us honor our rich history in the 2026 Summer issue of The Pulse and may be featured during our conference and anniversary celebration.

We’d love to hear from you!

Thank you for being part of the ACOEP community and for helping shape its legacy.

Scan/click QR code to tell your story!

Hear Peter Bell, DO, FACOEP, along with other ACOEP Past Presidents and members, share their ACOEP stories!

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Thank You to Our Donors! $2,500 – Kevin Franks, DO

$1,000 – Christopher Posey, Sr., DO, FACOEP

$1,000 – G. Joseph Beirne, DO, FACOEP-D

$1,000 – V ictoria Selley, MS, DO, FACOEP & Jeremy Selley, DO, FACOEP

$1,000 – Peter Bell, DO, FACOEP-D $1,000 – Tim Cheslock, DO, FACOEP-D

$1,000 – R obert Suter, DO, MHA, FACEP, FAAEM, FACOEP-D and Michele Suter

$1,000 – J ohn Dery, DO, FACOEP-D, FACEP, FAWM

$500 – William Bograkos, MA, DO, FACOEP

$1,000 – B randon Lewis, DO, MBA, FACOEP, FACEP

$500 – Mark A. Mitchell, DO, MEd, FACOEP-D

ACOEP is turning 50!

$250 – John C. Prestosh, DO, FACOEP-D

Giving Levels and Recognition: Legacy Leader $1,000+

Celebrating those who shaped our legacy and lead us forward.

Join us in commemorating five decades of advancing osteopathic emergency medicine.

• Access to the ACOEP VIP Lounge at the Anniversary Bash (exclusive seating, early access, lounge perks)

Your donation will help us celebrate our rich history, support our mission, and ensure we continue serving our members, profession, and patients for the next 50 years.

Founders Circle $500–$999

We invite you to make a 50th Anniversary Commemorative Contribution and be recognized for your support of ACOEP’s mission and community.

• Name listed on event signage and in The Pulse special anniversary issue • Special gift commemorating ACOEP’s 50th anniversary • Recognition on ACOEP website and social media

Honoring our founders and the foundation they laid for 50 years of impact.

• Name listed in The Pulse anniversary issue • VIP perks at the Anniversary Event, including early access • Special edition ACOEP 50th commemorative pin or gift • Recognition on ACOEP website

Friends of ACOEP $250–$499

For members and friends advancing the next 50 years of EM. • Special edition ACOEP 50th swag • Recognition on ACOEP website

Anniversary Supporter

$50–$249

Join us in celebrating this milestone moment.

• Admission to the 50th Anniversary Bash on Monday evening (for non-conference attendees; registered attendees receive admission automatically)

Scan/click QR code to donate

• Recognition on ACOEP website as a supporter of our 50th year • Your contribution supports ACOEP’s ongoing mission and future impact • Suggested donation of $50 per guest (e.g., $100 for two attendees) SUMMER 2025 THE PULSE

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Schedule and Agenda Pre-Conference Sunday, September 21, 2025 12:30-1:00pm

How to Read a Study for the Community Doc

1:00-1:30pm

What to Scan and Where to Go in Pediatric Trauma Care

1:30-2:00pm

Disaster Response: Lessons Learned

2:00-2:30pm

Can I Send the Patient Home on That?

2:30-3:30pm

When the Airway is Anatomically and Physiologically Difficult

3:30-4:00pm

Routing 9-1-1 Calls: Telehealth Utilization in an EMS System

4:00-4:30pm

Managing the Trauma Airway

4:30-5:00pm

My Life as a TV Consultant

Day 2 Monday, September 22, 2025 7:00­­-7:30am

A Systematic Approach to the Dizzy Patient

7:30­­-8:30am

Prehospital Near Misses

8:00-8:30am

Breakfast in Exhibit Hall

8:30-9:00am

Who is Hospice for Anyways?

9:00-9:30am

Emergency Diagnosis and Management of Encephalitis: Part I

9:30-10:00am

Break in Exhibit Hall

10:00-10:30am

Emergency Diagnosis and Management of Encephalitis: Part II

10:30-11:00am

EKGs that Scare Me

11:00-11:30am

The Value of Values in Goal Directed Decision Making

11:30am-12:00pm

From Submersion to Survival: Emergency Care of the Drowning Patient

12:00-1:00pm

Lunch

1:00-1:30pm

Session Title TBD

1:30-2:00pm

The Unshockables: Big 4 Endocrine + Metabolic Arrests: When the Rhythm’s Not the Reason

2:00-2:30pm

Communicating with Compassion: Tips and Tricks for Better Communication with Serious Illness

2:30-3:00pm

STEMI Equivalents

3:00-3:30pm

Break in Exhibit Hall

3:30-4:00pm

Brace Yourselves: Thyroid Storm is Coming

4:00-4:30pm

Is There a Doctor on Board: In-Flight Emergencies

4:30-5:00pm

Session Title TBD

5:00-5:30pm

Cardiac Arrest Debrief: What We’re Still Getting Wrong

6:00-8:00pm

ACOEP 50th Anniversary Party

Day 3 Tuesday, September 23, 2025 7:00­­-7:30am

Legal Lessons: Part I

7:30­­-8:00am

Session Title TBD

8:00-8:30am

Breakfast in Exhibit Hall

8:30-9:30am

Day 4 Wednesday, September 24, 2025 7:00­­-7:30am

Trauma Updates

7:30­­-8:00am

From Cadavers to Chatbots: How AI is Transforming Medical Practice and Education

Cardiometabolic Disease in the ED (AOA Grant Session)

8:00-8:30am

Breakfast in Exhibit Hall

9:30-10:00am

Break in Exhibit Hall

8:30-9:30am

10:00­­-10:30am

BRUEs In the ED

Tales from the Community EM Doc: A Panel

9:30-10:00am

Break in Exhibit Hall

10:30­­-11:00am

Legal Lessons: Part II 10:00­­-11:00am

Keynote Session: You Can’t Stop the Waves But You Can Learn to Surf: Finding FLOW in Emergency Medicine

11:00­­-11:30am

AI in EM Documentation

11:00am-12:00pm

ACOEP Member Meeting

12:00-1:00pm

Lunch

1:00­­-1:30pm

Ortho Tricks of the Trade

1:30­­-2:00pm

Pediatric DKA

2:00­­-2:30pm

Maximizing Billing and Covering Yourself Legally

2:30­­-3:00pm

Vasculars Access in the ED

3:00-3:30pm

Break in Exhibit Hall

3:30-4:00pm

Near Misses with the Community Doc

4:00-4:30pm

Pediatric Lac Repair Tips and Tricks

4:30-5:00pm

ECMO in 2025: Who, What, When, Where, and Why?

11:30am­­-12:00pm

POCUS Panel

12:00-1:00pm

Lunch

1:00­­-2:00pm

EM Over Easy Live Show

2:00­­-2:30pm

Beyond the Golden Hour: Stroke Care in 2025

2:30­­-3:00pm

Balancing the Competing Interests in the ED: Keeping Your Staff and C-Suite Happy

3:00-3:30pm

Break in Exhibit Hall

3:30­­-4:00pm

Critical Care Panel

Workshop Details

Date/Time

Member

NonMember

4:00-4:30pm

Beyond the Usual: New Tools and Treatments in Acute Neurologic Care

Med Ed Workshop

Wednesday Sept 24 6-9PM

$400

$450

4:30-5:00pm

Troubleshooting the Vent

5:00­­-5:30pm

Promoting Healthy Physician/Nurse Communication in the ED

Thursday Sept 25 7:30am-12PM

$400

$450

6:00-9:00pm

Med Ed Workshop

Thursday Sept 25 1-5:30PM

$300

$350

POCUS Workshop

Critical Care Workshop

Day 5 Thursday, September 25, 2025 7:30am-12:00pm 1:00-5:30pm

POCUS Workshop Critical Care Workshop

CME Statement: The American College of Emergency Physicians (ACOEP) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. The ACOEP designates this program for a maximum of 37.0 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.

Register Today for the 2025 Scientific Assembly!

Click or scan QR code

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Osteopathic Family Physicians (ACOFP) and ACOEP. ACOFP is accredited by the ACCME to provide continuing medical education for physicians.

ACOFP designates this blended learning activity for a maximum of 37.0 AMA PRA Category 1 Credits™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

ACOEP RSO BOARD

Savannah Volkert, DO, PGY-2 ACOEP-RSO President

RSO UPDATE

HELLO FROM THE RSO!

W

e are excited to provide you with an update on what we have been working on this past semester! The Resident Student Organization continues to look ahead towards building the future of our specialty and our organization.

We have been hosting nearly monthly mentorship calls geared towards our mission of supporting our osteopathic medical student members. These calls have included topics such as “Navigating and Acing Your EM Audition”, “What I Wish I Would Have Known Intern Year”, and a personal statement geared lecture, among other topics.

These calls have been well received and well attended by our medical student members.

We continue to host quarterly calls with the “Emergency Medicine Interest Groups” or EMIGs from each osteopathic medical school.

In these calls we hold space for medical students from all over the nation to collaborate and share what they have been up to.

This strengthens our EMIGs and our specialty as these emerging leaders learn from each other and bring innovative ideas back to their individual schools.

Finally, we are currently looking forward to our fall conference in “Music City” where we have exciting lectures, skills labs, networking happy hours, and a teaching competition planned.

We are also excited to present our Fall Leadership Academy

event which will be a CV-worthy experience for students to build relationships, leadership skills, and explore Nashville. We will draw local residents who will be assisting with teaching skills labs and participating in conference events. The RSO cannot wait for this truly smashing 50th anniversary event!

Thanks for listening, and that’s all for now! Cheers! –•– Savannah Volkert, PGY-1 ACOEP-RSO President Creighton University-Phoenix Resident

Scientific Assembly 2025 RSO Schedule Day 3 Tuesday, September 23, 2025

Day 4 Wednesday, September 24, 2025

7:30-8:00am

ACOEP RSO Welcome Address

7:00­­-8:00am

So You Think You Can Teach

8:00-8:30am

Resident Student Organization Mentorship Breakfast

8:30-9:00am

Transesophageal Echocardiography: Resuscitation Tools of the Future

8:30-9:00am

5 Habits of Successful Med Student

9:00-9:30am

9:00-9:30am

Final Girls: Scream Queens Don’t Cry

Intro to Trauma in the ED: Systems, Priorities, and Student Roles

9:30-10:00am

Break in Exhibit Hall

9:30-10:00am

Break in Exhibit Hall

10:00-10:30am

A Quick Vent Sesh: Basics of Vent Management

11:00-11:30am

Beyond the Benign: Headache in the ED

10:30-11:00am

Point-of-Care Ultrasound: Core Skills for the Aspiring EM Physician

12:00-1:00pm

Lunch

1:00-1:30pm

Board Elections

1:30-5:00pm

Skills Lab & Leadership Academy

14 | THE PULSE SUMMER 2025

11:30am-12:00pm 12:00pm

Event Medicine: Stories and Lessons from the Front Lines Lunch

2:00-5:00pm

Residency Fair and Speed Dating

3:30-4:30pm

Residency Fair Open Tables

SPRING SEMINAR RSO ACTIVITY WILDERNESS MED OUTING MAKES THE NEWS

Watch on YouTube!

Click Here for More Details

RSO AT THE 2025 SPRING SEMINAR

Join Us at the ACOEP-RSO Residency Fair!

Scientific Assembly 2025 – Nashville, TN Wednesday, September 24, 2025 | 2:00-4:30 PM The Westin Nashville at Music City Center Registration is Open Now – Don’t Miss Out! Spots are limited, so register today:

Register Here

• Recruit Top Talent: Meet driven and passionate students eager to join Emergency Medicine.

• Promote Your Program: Share what makes your residency unique in both structured and casual settings.

• Build Connections: Participate in our fast-paced Residency Speed Dating session for meaningful, focused interactions, followed by open networking during the tabling hour.

For questions, contact: Janelle DePriest, OMS III Graduate Medical Education Chair, ACOEP-RSO jdepriest@mail.kansashsc.org | gme.rso@acoep.org

WOMEN’S COMMITTEE UPDATE

ACOEP WOMEN IN EM COMMITTEE

Jacqueline M. Dziedzic, DO, FACEP, FACOEP Chairwoman

A FORCE OF NATURE: WOMEN IN EMERGENCY MEDICINE Miranda Kennedy, OMS III Student Conference Chair

M

otherhood, like medical education, forces you to be adaptable and rapidly teaches you resiliency. The first week with a newborn is about pure survival. The second week is when sleep deprivation begins to set in. And precisely at the witching hour, when you are standing with one eyelid open in a dimly lit kitchen cursing at how slowly the bottle is warming while you soothe your howling newborn, you might ask yourself, “How in the world am I going to keep doing this and work full-time?” Or, “How in the world does anyone do this and work fulltime?” Then you are pummeled by all the questions in retrospect you wish you had addressed months

18 | THE PULSE SUMMER 2025

“ Becoming a mother is

ago. You find yourself spiraling down the metaphorical rabbit hole thinking, “But I am in medicine, and I am a mom. Shouldn’t I know this, or at least innately know what ‘the right answer’ is?” And it goes on and on, until one day it dawns on you that the idea of “the right answer” is a myth. You don’t realize how important it is to feel the steadfast support from a community of women until you are standing in that dimly lit kitchen at 3 o’clock in the morning. Becoming a mother is a profoundly beautiful form of sacrifice and just one of the many challenges female physicians face. The ACOEP’s Women in EM Committee is filled with inspiring female emergency medicine

a profoundly beautiful form of sacrifice and just one of the many challenges female physicians face.

physicians, residents, and medical students who champion one another and provide a welcoming community for Women in EM. These are some of their stories.

For more information about joining Women in EM, please visit: https://acoep.org/about-acoep/ committees/ –•–

DR. ANGELA CARRICK

DR. CHRISTINE GIESA

DR. PAULA DEJESUS

DR. JACQUELINE DZIEDZIC

DR. NICKY OTTENS

Who are you?

What inspires you?

• “I’m a wife and mother of three, a full time nocturnist in the ER, and a less than professional runner, triathlete, gardener and traveler.” (Dr. Nicky Ottens, DO, FACOEP, Former Chair of Women in EM)

• “Wanting to be a good role model for my children and to live out the dreams younger me had as a child.” (Dr. Nicky Ottens)

• “One person in a big world.” (Dr. Paula DeJesus, DO, MHPE, FACOEP-D, Past President of ACOEP) • “In the process of retiring. I need to find my non-physician self again.”

(Dr. Christine Giesa, DO, FACOEP-D, Past President of ACOEP, Founder of Women in EM) • “I’m a woman, mom, wife, daughter, vegan, physician, teacher, and associate dean—each role shaping how I lead, care, and grow.” (Dr. Angela Carrick, DO, FACOEP, FACEP, Costin Scholar) • “I’m a mom, wife and EM doc. I’m my mom’s daughter in so many ways. I’m the “big” sister and a loyal friend. I am someone who cares for others.”

(Dr. Jacqueline Dziedzic, DO, FACEP, FACOEP, Chair of Women in EM)

What is a significant obstacle you have faced in medicine?

How did you overcome it?

• “Getting the opportunity to be in medicine.” (Dr. Paula DeJesus) • “EM physicians practice in a fishbowl and every specialty thinks they can tell us how to practice - especially when we are young. It takes MANY years, but eventually this practice can be changed. I carried myself with confidence and a quiet countenance…” (Dr. Christine Giesa) • “I had to work very hard to study and learn material throughout my schooling. It’s taken me a long time to not be ‘slow’. I’ve always tried to connect with my patients so that’s made me a little less efficient but as I gained more confidence in myself, I’ve been able to speed it up some.” (Dr. Jacqueline Dziedzic)

• “…Working beside a young attending on very busy, high acuity day and knowing that I helped train that young physician. As clinical faculty I always said, ‘the day that this is no longer fun, is the day I have to leave.’” (Dr. Christine Giesa)

Why do you love emergency medicine?

• “It’s impromptu nature and being able to see patients that span the ages.” (Dr. Paula DeJesus) • “I love emergency medicine because it’s where people come seeking answers—and I find deep purpose in helping them find those answers.

There’s no better feeling than being able to say, ‘I know what’s going on, and here’s how we can help.’ That moment—of clarity, relief, and direction—is what drives me.” (Dr. Angela Carrick)

What sparked your interest in being a member of the ACOEP’s Women in EM Committee?

• “As one of the original members and first few chairs of the organization, there was a huge need for this committee. Women are the fastest growing demographic in emergency medicine and our needs and roles require a different type of support than our male colleagues. I have been blessed to personally know the pioneering women in our field- Dr Tintinelli, Dr. Giesa, Dr. Willoughby DeJesus, Dr. Sabry, etc. and to be able to follow in their footsteps and stand on their shoulders to raise our organization and our committee to the next level was something I couldn’t pass up.” (Dr. Nicky Ottens) • “It was the warmth and inclusiveness during a scientific assembly years ago that got me hooked.”

(Dr. Jacqueline Dziedzic)

If you could share a piece of advice with other female osteopathic emergency physicians or aspiring physicians, what would it be?

• “You can have it all. But it may take some time and some rearranging and compromise to get it all. Surround yourself with strong women who want to raise you up not tear you down. Light another woman’s candle- there’s plenty of it to share. Find a supportive partner and build a tribe of people to help you, because you will need their help and it’s OK to let people help you.” (Dr. Nicky Ottens) • “Be passionate about your life’s work. Advocate for your profession and your pt even if it is not popular. Be true to yourself and your ethics, that is what will sustain you. Be humble, approachable and be teachable.” (Dr. Paula DeJesus)

SUMMER 2025 THE PULSE

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NEW OFFERING AT SCIENTIFIC ASSEMBLY PROVIDED WITH INPUT FROM THE ACOEP WELLNESS COMMITTEE

OSTEOPATHIC EDUCATIONAL SERVICE Tuesday 9/23 & Wednesday 9/24 9AM-3:30PM Exhibit Hall Provided in partnership with the American Academy of Osteopathy (AAO).

About this free offering: • The AAO’s Osteopathic Education Service provides personalized hands-on demonstrations of osteopathic manipulative treatment. DOs from all specialties are invited to volunteer and demonstrate their diagnostic and treatment techniques. Volunteers receive 0.5 credit of AOA Category 1-B CME for each demonstration.

All attendees are invited to take

ACOEP SPRING SEMINAR INTRODUCES AESTHETICS WORKSHOP TO EXPAND EM PRACTICE OPTIONS

20 | THE PULSE SUMMER 2025

A

advantage of OES to learn more about osteopathic manipulative medicine.

• To volunteer or ask questions, please contact Llarse Clemons at membership@ academyofosteopathy.org

t the 2025 Spring Seminar, more than 20 emergency physicians participated in ACOEP’s first-ever Aesthetics Workshop—designed to help EM docs expand their skill set and explore new practice opportunities. The session combined clinical didactics, hands-on product demonstrations (in partnership with Merz), and business insights from Moxie to offer a comprehensive introduction to aesthetic medicine. This innovative session marks the beginning of an ongoing effort to help emergency physicians diversify their careers and elevate their professional toolkit.

We plan to expand these offerings at future events. Let us know if you have suggestions!

CHECK OUT ACOEP’S DIGITAL CLASSROOM WHEN YOU NEED ON-DEMAND CME CREDITS

Digital Classroom Link

Are You Following EM Over Easy?

Make sure to listen to the official podcast of ACOEP wherever you listen to podcasts.

Listen Now! SUMMER 2025 THE PULSE

| 21

ACOEP PRACTICE ADVOCACY COMMITTEE

PRACTICE ADVOCACY COMMITTEE UPDATE

By Jeremy Selley, DO, FACOEP Chair, ACOEP Practice Advocacy Committee

STAYING SANE IN THIS CRAZY WORLD OF POLITICS

A

COEP was formed 50 years ago, in 1975, by leaders in our field that recognized the need. Today, we all need to stand up to help the US Congress pass legislation that will positively impact and sustain physician reimbursement and the ability to provide life sustaining care for the next 50 years.

In 2024 the US election resulted in re-electing D.J. Trump and Republicans regaining control of the US Senate and keeping control of the US House. It was clearly evident from the beginning of the administration that nobody wanted to make waves and be labeled as “trouble makers.” July 4, 2025 the “Big Beautiful Bill,” President Trump’s key piece of congressional legislation, was signed into law. This legislation resulted in the scale back of Medicaid in states that participated in the recent expansion. The downstream effect is millions more patients are now without Medicaid and will show up to our EDs for care that will need to be provided “regardless of ability to pay.”

Additionally, there was no “Doc Fix” to the Physician Fee Schedule included in the BBB. We still need help! Now that the BBB has been signed into law, we are hopeful we can get some relief during this Congress.

The RAND report was released in April 2025 and has four takehome messages: 1. EM Physicians provide twothirds (66%) of all uninsured acute care, even though we only represent 4% of physicians.

2. Independent and larger groups are at increased financial risk. Commercial insurance reimbursement fell 10.9% for in-network care and 3.8% for Medicare and Medicaid payments from 2018-2022 only, per the study.

CMS also fell another 2% in 2023, 1.69% in 2024 and 2.8% in 2025 for 6.49% or 10.29% from 2018-2025.

Make a goal TODAY to email or call your US House and US Senate offices to speak to their Healthcare Legislative Aide and state you are a EM Physician Constituent and ask how you can be of service. State you would like to go over the RAND report with them and how critical the service is we provide and how fragile the system is and that we need their help today! –•–

3. With the existing payment model EM Physicians provide $5.9 billion in uncompensated care.

ADVOCACY & INVOLVEMENT LINKS ACOEP ADVOCACY UPDATES

ATTEND NATIONAL ADVOCACY EVENTS

acoep.org/advocacy-update

D.O. Day on the Hill (AOA)

JOIN THE PRACTICE ADVOCACY COMMITTEE

ACEP Leadership & Advocacy Conference

acoep.org/about-acoep/committees

TAKE ACTION NOW

DONATE TO A PAC

ACEP 911 Grassroots Network

NEMPAC (ACEP) | OPAC (AOA)

KNOW YOUR LEGISLATORS Find Your Rep/Senator

22 | THE PULSE SUMMER 2025

4. New policy solutions are necessary to ensure fair timely reimbursement for EM services including EMTALA related care, disaster care and preparedness, public health prevention that we provide that the CMS fee schedule was never designed for.

AOA Grassroots Action Center

A community built by DOs, for DOs

?

WHAT IS IT? A first-of-its-kind digital hub and online community fostering connection, collaboration, and knowledge-sharing to strengthen the shared philosophy and values that define the osteopathic profession.

TWO LIVE FEATURES

1

INSIGHTS Search and compare osteopathic residency programs all in one place, featuring the latest public data and real time input from residents and program directors to help make a well-informed decision on your career path.

2

MENTOR PROGRAM State of the art technology pairs mentees & mentors together to create meaningful and long-lasting relationships with the opportunity for 1:1 matching or 1 to many.

?

HOW CAN YOU JOIN? Scan the QR code below to become part of this dynamic community today!

?

WHO IS IT FOR? Students, residents, fellows, early career and practicing DOs, and program directors.

www.aoiassn.org/emergingdo

Thank you again for your participation!

FOEM Spring Competition

Award Winners Spring Seminar

Best wishes in your future research endeavors.

Case Study Poster Competition 1ST PLACE

2ND PLACE

Samantha Cook, M.D.; Christian Spano, M.D.; and Thomas Liu, D.O. “Nontraumatic Pneumorrhachis Secondary to Cannabinoid Hyperemesis Syndrome” Nontraumatic Pneumorrhachis Secondary to Cannabinoid Hyperemesis Syndrome

• Pneumorrhachis is a rare finding, and is usually asymptomatic. Current literature supports conservative management of asymptomatic pneumorrhachis.1 • Symptomatic pneumorrhachis (back/neck pain, radiculopathy, sensory deficits, or motor deficits) may require further treatment or neurosurgical intervention for spinal decompression (e.g. intravenous dexamethasone2, administration of high concentrations of inspired oxygen 3, percutaneous decompression of the epidural space with needle air aspiration4, or surgical decompression5).

Figure 1a: CT CAP with IV and PO contrast, sagittal view.

Pneumorrhachis throughout the cervical and thoracic spine.

HPI: 26-year-old male, with no past medical or surgical history, presenting to the Emergency Department with 5 days of nausea and vomiting. He also endorsed generalized abdominal discomfort and chills. He denied headache, neck or back pain, chest pain, shortness of breath, numbness/tingling, or focal weakness. He was a daily marijuana smoker and had episodes of cyclical vomiting in relation to his marijuana use in the past.

Figure 1b: CT CAP with IV and PO contrast, axial view. Pneumorrhachis and pneumomediastinum.

• Initial Vitals: BP 89/50, HR 120, RR 18, SpO2 98%, T 98F. • Physical Exam: dry mucous membranes and mild diffuse abdominal tenderness • Labs: WBC 12.2 (ANC 8,601), Hgb 18.3 (MCV 82.3), platelets 366, Na 127, K 1.9, Mg 2.6, Cl 70, CO2 30, glucose 143, Cr 1.96, BUN 33, AG 27, Troponin 0.05, CK 354, LA >10.0, and COVID/Flu/RSV swab negative.

• EKG: prolonged QTc (601) that complicated treatment of CHS

• Pneumorrhachis is often accompanied by pneumomediastinum. It is hypothesized that the absence of fascial barriers between the posterior mediastinum and the epidural space allow free air to travel from the mediastinum → paraspinal tissues → through the neural foramina alongside the neurovascular bundle → epidural space.6

• In the setting of recurrent and forceful vomiting it is important to rule out additional dangerous differentials including esophageal rupture. It is also important to rule out air spreading into the brain causing pneumocephalus, as that can further exacerbate symptoms of nausea and vomiting.

If pneumorrhachis is asymptomatic, conservative management is the mainstay of treatment. This case is important to highlight for emergency medicine providers to bring attention to a finding that, though normally benign and self-limiting, can have significant “can’t miss” sequela and can result from a very common ED diagnosis of cannabinoid hyperemesis syndrome.

REFERENCES

Figure 2a: Portable AP Chest XR. Pneumomediastinum.

Case Report

Abstract Introduction

Spontaneous splenic vein rupture is a rare condition with high mortality, usually associated with underlying risk factors or trauma.

Case Report A 64-year-old male presented to the ED with abdominal pain and a rigid abdomen. Diagnostic testing demonstrated acute blood loss anemia secondary to splenic vein rupture and retroperitoneal hemorrhage.

Conclusion This case underscores the importance of maintaining a high clinical suspicion in patients with acute, unexplained abdominal pain. This case provides valuable insight into the presentation and management of spontaneous splenic vein rupture in previously healthy individuals, thereby enhancing clinical awareness of this rare and lifethreatening condition.

Discussion

History of Present Illness ▪ 64-year-old male presented to the ED for acute-onset, diffuse abdominal pain.

▪ Denied abdominal trauma.

▪ Denied fever, vomiting, diarrhea, hematochezia, melena, syncope, or weakness.

▪ Past medical history included HTN and HLD. Physical Examination ▪ Afebrile and hemodynamically stable.

▪ Rigid abdomen with guarding.

Diagnostic Workup ▪ Hgb12.8 g/dL; repeat Hgb10.9 g/dL. ▪ CT: suggestive of splenic vein rupture with extensive retroperitoneal hemorrhage (Fig 1).

▪ CTA: confirmed splenic vein with active extravasation (Fig 2).

Emergency Department Management ▪ IV fluids, Zofran, Pepcid, morphine, and Dilaudid.

▪ Emergent surgical and IR consultation.

▪ Admitted to the surgical ICU in stable condition.

Hospital Course and Management ▪ The surgical team initially opted for conservative management given hemodynamic stability.

▪ Clinical deterioration and acute blood loss anemia prompted an emergent surgical intervention.

▪ Operation 1: exploratory laparotomy and IR embolization.

▪ Operation 2: reopening laparotomy, washout, and closure.

▪ Discharged home after 10 days of steady recovery with no complications.

Spontaneous splenic vein rupture (SSVR) is a rare life-threatening condition characterized by sudden rupture of the splenic vein, leading to significant retroperitoneal hemorrhage and hypovolemic shock.

With only a few documented cases in medical literature, the etiology remains unclear. However, reported predisposing conditions include vascular anomalies, liver cirrhosis, and pregnancy. This report presents a rare case of SSVR in a previously healthy patient with no identifiable risk factors.

1.Oertel MF, Korinth MC, Reinges MH, et al. Pathogenesis, diagnosis and management of pneumorrhachis. Eur Spine J. 2006 Oct;15 Suppl 5(Suppl 5):636-43.

Epub 2006 Jul 12.

2.Nay PG, Milaszkiewicz R, Jothilingam S. Extradural air as a cause of paraplegia following lumbar analgesia. Anaesthesia. 1993 May;48(5):402-4.

3.Overdiek N, Grisales DA, Gravenstein D, et al. Subdural air collection: a likely source of radicular pain after lumbar epidural. J Clin Anesth. 2001 Aug;13(5):392-7.

4.Kennedy TM, Ullman DA, Harte FA, Saberski LR, Greenhouse BB. Lumbar root compression secondary to epidural air. Anesth Analg. 1988 Dec;67(12):1184-6.

5.Oertel MF, Korinth MC, Reinges MH, Gilsbach JM. Pneumorrhachis of the entire spinal canal. J Neurol Neurosurg Psychiatry. 2005 Jul;76(7):1036.

6.Vanmali A, Daji KD. Pneumorrhachis: An uncommon radiological entity. SA J Radiol.

2021 Nov 29;25(1):2255.

This case underscores the importance of considering SSVR in patients presenting with acute, unexplained abdominal pain in the absence of trauma. The pathophysiology remains unclear; however, predisposing conditions may include splenic vein aneurysm or thrombosis, liver cirrhosis, and pregnancy. Clinical features include acute abdominal pain, hypotension, and hemorrhagic shock. [1-5] Ultrasound and CT are the primary imaging modalities utilized.[7-8] Initial management includes stabilization and resuscitation in the ED. Surgery and interventional radiology should be consulted immediately. Conservative treatment is appropriate if the patient is hemodynamically stable. Surgical intervention is necessary in cases of hemodynamic instability or rapid decompensation.9

Conclusion This case report contributes to the limited body of research on SSVR in previously healthy individuals with no identifiable predisposing factors. This case highlights the critical role of emergency medicine physicians in the prompt recognition and management of spontaneous vascular injuries to improve patient outcomes and prevent further morbidity and mortality.

Introduction

CONCLUSION

In addition to severe dehydration with hypokalemia, hyponatremia, hypochloremia, lactic acidosis, and severe AKI, the patient was also found to have spontaneous pneumomediastinum and pneumorrhachis on CT imaging (Figure 1a, 1b).

Neurosurgery was consulted and in the setting of asymptomatic pneumorrhachis, he was managed nonoperatively and discharged after a few days of observation and fluid/electrolyte optimization. Serial chest x-ray demonstrated resorption of the pneumomediastinum (Figure 2a, 2b).

Claudine Feliciano, DO Loyola University Medical Center

DISCUSSION

Pneumorrhachis is characterized by the presence of air within the spinal canal. It is a rare finding that is usually benign and self-resolving, but can become symptomatic and require intervention in severe cases. There are traumatic, iatrogenic, and non-traumatic causes associated with pneumorrhachis. To our knowledge, we report only the second case of pneumorrhachis in the setting of cannabinoid hyperemesis syndrome (CHS). CHS is an increasingly prevalent diagnosis that is most commonly encountered in the emergency room setting so it is important to highlight its rare complications.

CASE REPORT

Ventriculoperitoneal Shunt Failure: An Uncommon Reason for Shunt Failure

Brittany Franco, DO, PGY-1; Amanda Karski, MD, PGY-1; Kevin Boehm, DO, MSc, FACOEP, FACEP, FAAEM Department of Emergency Medicine, Broward Health North, Deerfield Beach, FL

Garnet Health Medical Center, Emergency Medicine1; Touro College of Osteopathic Medicine, Middletown, NY 2

IMAGING

Claudine Feliciano, D.O. “Ventriculoperitoneal Shunt Fracture: An Uncommon Reason for Shunt Failure”

Spontaneous Splenic Vein Rupture: A Rare Case Presentation

Cook, Samantha M.D.1; Spano, Christian, M.D.1,2; Liu, Thomas D.O.1,2

INTRODUCTION

3RD PLACE

Brittany Franco, D.O.; Amanda Karski, M.D.; and Kevin Boehm, D.O. “Spontaneous Splenic Vein Rupture: A Rare Case Presentation”

References

Figure 1: Abnormal dilatation of the splenic vein (arrow) with large volume surrounding fluid of varying densities.

Figure 2: Focal contrast blush just anterior to the celiac artery (arrow).

1. Turan N, Oghan F, Boran T. Spontaneous rupture of splenic vein in a pregnant woman during a religious ritual. J Forensi c Leg Med. 2007;14(7):440-443.

2. Fleury L, McEnnan C. Fatal hemoperitoneum secondary to a spontaneous splenic vein rupture. Acad Forensic Pathol. 2024;14(3):112-118.

3. Abbadi K, Shrateh ON, Musleh A, et al. Life-saving intervention following spontaneous rupture of splenic vein in a young patient: A case report and review of the literature. Int J Surg Case Rep. 2023;112:108952.

4. Kane D, Keaney JM, Tunney E, et al. Splenic vein rupture in pregnancy: A case report and systematic review of the literature. Int J Gynaecol Obstet . 2025 Jan;168(1):63-68.

5. Nomura T, Keira N, Urakabe Y, et al. Fatal splenic laceration in a young woman caused by idiopathic isolated splenic vein thrombosis. Intern Med. 2009;48(11):907-10.

6. Cai H, Zhang L, Xiang H. Expert consensus on interventional therapy for traumatic splenic bleeding. J Intervent Med. 2020;3(3):109-117.

7. Genthon A, Frasure S, Kinnaman K, et al. Bedside ultrasound diagnosis of a spontaneous splenic hemorrhage after tissue plasminogen activator administration. Am J Emerg Med. 2014;32(12)1553.e1-1553.e2 8. Verma N, Steigner ML, Suranyi PS, et al. ACR Appropriateness Criteria® Suspected Retroperitoneal Bleed. J Am Coll Radiol. 2021;18(11 Suppl):S482-S487.

9. Leung E, Maingard J, Yeh J, et al. Contemporary endovascular management of splenic vascular pathologies. Clin Radiol. 2020;75(12):960.e23-960.e34.

Introduction

Discussion

Conclusions

Ventriculoperitoneal (VP) shunts are a common treatment for hydrocephalus. One of the less common etiologies of shunt malfunction is fracture of the shunt catheter. Unrecognized fracture could lead to continued rise in the intracranial pressure (ICP) which would lead to further neurologic deficits and pain for the patient.

Hydrocephalus is the excess accumulation of cerebrospinal fluid in the cerebral ventricles. In can be due to excess production, obstruction in flow, or issues with absorption into the venous system. This can lead to increased intracranial pressure, eventually resulting in transependymal extravasation of CSF into the brain parenchyma. This leads to pressure-induced atrophy. 1 As such, intervention to decrease the ICP is needed to avoid untoward effects including headaches, psychomotor slowing, vomiting, visual changes, unsteady gait, memory problems, developmental delays, and other potentially devastating issues.

Patients with VP shunts, which are the most common locations for CSF shunting in the treatment of hydrocephalus, are unfortunately prone to various malfunctions of the shunt. One of the less common etiologies is fracture of the shunt. Emergency physicians should be aware of this pathology and ensure continuity of the shunt via imaging as discussed.

Case Report Patient is a 28-year-old male with a history of hydrocephalus with placement of right occipital ventriculoperitoneal shunt status post four previous revisions who presented to the Emergency Department with headaches, nausea and vomiting, abdominal pain, unsteady gait, and worsening altered mental status over the last few days.

Surgical interventions like shunts to divert CSF from the ventricles to the cardiac atrium, pleural cavity, or most commonly the peritoneum offer a more longterm management of hydrocephalus. 4 Shunts have 3 basic parts – the ventricular catheter placed in the lateral ventricle, a programmable valve regulating flow of CSF out of the ventricles, and a distal catheter that terminates into a cavity where the CSF will exit and be absorbed into the tissues. 2

Physical exam showed significant somnolence, disorientation, and difficulty participating in the neurologic exam. He required significant assistance to transfer from the wheelchair to the bed, whereas normally he was fully independently mobile.

Complication rates range from 2-20%. 4 Complications include obstruction, infection, malpositioning, and shunt malfunction including disconnection, obstruction and fracture. 4 With one study reporting a 23-67% rate of shunt failure inclusive of all shunt types, need for revision is not uncommon. 6

VP shunt series X-rays showed the VP shunt distal catheter to be disconnected distal to the shunt valve. The catheter was not visualized in the neck, chest or abdomen; it was found coiled within the pelvis. CT head showed enlarged ventricles concerning for hydrocephalus when compared to previous imaging.

Fractures or discontinuities of VP shunts are an uncommon cause of VP shunt failure, accounting for 8-15% of failures.8 Literature specifying fracture versus disconnection of the shunt as the etiology of failure is inconsistent so it is difficult to accurately describe the frequency of VP shunt catheter fractures specifically. The most frequent locations of fractures/discontinuities in one study were in the cervical region and the distal valve junction. 7

Patient was urgently transported to the operating room where the distal catheter was found to be fractured a few millimeters distal to the valve tip. The shunt was then revised. The patient was able to be discharged home on postoperative day 2 at his baseline mental status.

Head CT. Left is day of presentation with current ventricular catheter (red arrow) and older ventricular catheter (blue arrow) showing hydrocephalus. Right is CT the year prior.

It is important to follow the entire expected course of the distal shunt catheter as a fracture can occur anywhere along the length of the catheter. Symptoms and exam findings will suggest increasing intracranial pressure. Neurosurgical consultation is of the greatest importance as the patient will need operative management to revise the shunt.

Symptoms of shunt fracture (or generally any failure to drain) would be those consistent with increased ICP as discussed above. 1 Imaging for evaluation of VP shunt malfunction generally includes plain CT of the head to evaluate for hydrocephalus as well as the ventricular catheter, valve and proximal portion of the distal catheter, as well as a shunt series x-ray to include the skull, neck, chest, abdomen and pelvis to follow the the course of the distal catheter.

Lumboperitoneal shunts require imaging of the lumbar spine as the shunt proximal catheter is located in the lumbar thecal sac. 5

Pelvis X-Ray. Left is day of presentation with VP shunt distal catheter coiled in the pelvis (red arrow); right image is previous x-ray with intact catheter in place, coursing through the abdomen/pelvis with a small amount coiled in the pelvis (blue arrows).

Fracture or discontinuity of the shunt requires surgical revision of the VP shunt, generally in an urgent/emergent manner depending on the severity of the patient’s symptoms.9

Skull X-Ray. Left is day of patient presentation with the fracture site indicated by white arrow; right image is following revision of the shunt with the catheter in place (blue arrow).

References 1. Koleva M. Hydrocephalus. StatPearls [Internet]. August 23, 2023. Accessed March 21, 2025. https://www.ncbi.nlm.nih.gov/books/NBK560875/.

2. Hochstetler A, Raskin J, Blazer-Yost BL. Hydrocephalus: Historical analysis and considerations for treatment. European Journal of Medical Research. 2022;27(1). doi:10.1186/s40001-022-00798-6 3. Tully HM, Doherty D, Wainwright M. Mortality in pediatric hydrocephalus. Developmental Medicine & Child Neurology.

2021;64(1):112-117. doi:10.1111/dmcn.14975 4. Fowler JB. Ventriculoperitoneal shunt. StatPearls [Internet]. August 23, 2023. Accessed March 21, 2025. https://www.ncbi.nlm.nih.gov/books/NBK459351/.

5. Yadav Y, Parihar V, Sinha M. Lumbar peritoneal shunt. Neurology India. 2010;58(2):179. doi:10.4103/0028-3886.63778 6. Brune AJ, Girgla T, Trobe JD. Complications of ventriculoperitoneal shunt for idiopathic intracranial hypertension: A single-institution study of 32 patients. Journal of Neuro-Ophthalmology. 2021;41(2):224-232. doi:10.1097/wno.0000000000000922 7. Erol FS, Ozturk S, Akgun B, Kaplan M. Ventriculoperitoneal shunt malfunction caused by fractures and disconnections over 10 years of follow-up. Child’s Nervous System. 2017;33(3):475-481. doi:10.1007/s00381-017-3342-0 8. Patel P, Arshad H, Jefferys K, Gernsback J. Does valve design affect the tensile strength of ventriculoperitoneal shunts? Operative Neurosurgery. 2024;28(2):210-218.

9. Browd SR, Ragel BT, Gottfried ON, Kestle JRW. Failure of cerebrospinal fluid shunts: Part I: Obstruction and mechanical failure. Pediatric Neurology. 2006;34(2):83-92. doi:10.1016/j.pediatrneurol.2005.05.020

RESEARCH POSTER PRESENTATION DESIGN © 2019

www.PosterPresentations.com

Click on the images for a closer look!

New Innovations in Emergency Medicine Competition 1ST PLACE

Ying Wu, D.O. and Doris Ilic, D.O. “Point-of-Care Ultrasound in the Hands of Fourth-Year Medical Students: Knowledge, Accuracy, and Informed Decisions” Point-of-Care Ultrasound in the Hands of Fourth-Year Medical Students: Knowledge, Accuracy, and Informed Decisions

2ND PLACE

Morganne O’Brien, D.O.; D. Dearmon-Moore, M.D.; S. Strash, MS2; and M. Graber, M.D., Ph.D. “Enhancing Confidence and Understanding in Point-of-Care Ultrasound” Enhancing Confidence and Understanding in Point-of-Care Ultrasound

Ying Wu, DO; Doris Ilic, DO; Nicole Yuzuk, DO; Jerome Balbin, MD

M. O’Brien, DO, D. Dearmon-Moore, MD, S. Strash, MS2, M. Graber, MD PhD

3RD PLACE

Matthew Merchant, D.O.; David Funk, D.O.; Zachary Taylor, D.O.; Rachelle Pichot; Renee Dryer; and Matthew Hysell, M.D. “Effect of Racial Discordance Upon Smoking Cessation Between Advisors and Emergency Department Patients”

Abrazo Health Emergency Medicine Residency, Abrazo Health Network, Goodyear, AZ

Backgroun

• Ultrasound is a crucial tool in emergency d medicine due to its non-invasive, portable, and real-time imaging capabilities.

• This study aims to improve medical students' ultrasound knowledge and skills during their emergency medicine rotation.

Result s

Limitation s

Knowledge Questions Result Summary

Fig. 1 Attached graphic for test question

Objectiv • The objective of the study is to evaluate e the impact of a point-of-care ultrasound

(POCUS) curriculum on students' knowledge, application, and decisionmaking in the emergency department (ED).

Conclusion

This table exemplifies the average of correct answers from pre-test and post-test results of each multiple choice question with p-values. Statistically significant (p-value <0.05) knowledge improvement is seen in questions assessing the normal measurement of a common bile duct and the normal measurement of a gallbladder wall.

Overall Knowledge Improvement

Fig. 2 Attached graphic for test question

Overall Comfort Assessment

Methodology Pre-course questionnaire

Fourth-year medical students begin their 4-week ED ultrasound curriculum with an initial survey.

Curriculum

Curriculum includes blend of didactic lectures, hands-on sessions, and on-shift training.

Post-course After 4 weeks, students complete a final survey with questions identical questionnaire to initial survey.

• The study may be limited by its sample size (n=30) • Pre-test exposure to questions might have influenced post-test scores (pre-test familiarity).

• Self-reported comfort levels on Likert scales are subjective.

• Assessments focused on limited areas (e.g., eFAST, renal/biliary), potentially not capturing the full impact on overall ultrasound proficiency.

The curriculum resulted in a significant knowledge gain, as evidenced by average test scores rising from 75.5% pre-test to 88.9% post-test (p<0.001).

This represents a significant overall improvement of 13.4% in correct answers.

The curriculum significantly improved students' comfort with ultrasound equipment, eFAST exams, and renal/biliary knowledge based on Likert scale responses (p<0.01).

While their confidence and technical skills improved, their already high appreciation for the importance of ultrasound did not change significantly.

• The curriculum effectively enhanced s and understanding of students’ knowledge ultrasound concepts and procedures.

• Overall performance significantly improved from a pre-test average of 75.5% to a post-test average of 88.9% (p < 0.001).

Additionally, increases in comfort with using the ultrasound machine (p=0.002), finding eFAST landmarks (p=0.008), and their renal/biliary ultrasound knowledge (p<0.001).

• While awareness of ultrasound's utility was high initially and did not change significantly, the hands-on and instructional components were key in improving specific knowledge and comfort.

• Overall, the curriculum successfully improved student knowledge and confidence, though refinements in specific content areas could enhance future impact.

Introduction

Survey Questions

• Confidence and understanding in point-of-care ultrasound (POCUS) empowers physicians to utilize this valuable tool effectively, benefiting both themselves and their patients.

• Which residency are you entering? o Emergency medicine o Family medicine o Internal medicine o Transitional year

• Residency programs may benefit from implementing an ultrasound (US) training course into the curriculum of their incoming first-year residents..

Objectives 1) Offer a 1.5-day US training course that equips incoming first-year residents with the essential skills needed for effective use of POCUS. 2) Analyze pre- and post-course survey data to evaluate the effectiveness of the US course in enhancing confidence in using POCUS.

Results

Pre- and Post-Course Survey Data

Methods • Day 1: Core faculty US directors lead a half-day series of presentations covering key POCUS topics (basic knobology, probe selection, FAST exam, cardiac views, identifying a pneumothorax, etc.).

• Day 2: Participants engage in a full-day, in-person hands-on ultrasound training course. They rotate through 18 interactive stations to practice scanning techniques and image interpretation.

• Station Format: Led primarily by senior residents and core faculty. Volunteers serve as live models for scanning practice. Participants spend 15–20 minutes per station. The day concludes with a wrap-up discussion and topic review.

• Pre-Course Survey: Administered to assess Prior POCUS training, anticipated POCUS use during and after residency, self-reported confidence in using POCUS (see above “survey questions”) and confidence assessment.

• Confidence Assessment: Survey also includes 11 Likert-scale questions (1 = least confident, 5 = most confident) assessing confidence in performing various POCUS exams.

• Post-Course Survey: Identical to pre-course survey. Median confidence scores increased to 4 across all categories (see Table 1).

Matthew Merchant MD 1,2, David Funk DO 1,2, Zachary Taylor DO 1,2, Rachelle Pichot 1, Renee Dryer 1, Matthew Hysell MD 1,2 1. Corewell Health Lakelan d, Gr aduate Medical Edu cation (if from multiple disciplines), OR Emerg ency Medicine Pro gram, Internal Medicine Pro gram, 2. Michigan State University College of Osteopathic Medicine

Background

Results

Conclusion

• Tobacco use is overrepresented in patients of lower socioeconomic status which is overrepresented in minority patients. Racial concordance or discordance between patients and providers has been shown to affect follow-through by patients in other situations.

• 83 patients, mean age 53 (range 20-78), with racial distribution 38 black, 44 white, 1 multi-racial were enrolled. Nicotine consumption varied with ranges of 1-40 cigarettes/day.

• We did not find differences between quit rates of black and white patients despite the smoking cessation video being voiced only by white voices. Despite this finding we are implementing a more inclusive video and will re-evaluate.

Objective

• How often do you expect to use POCUS during/after your residency? o Daily, monthly, weekly, etc.

• How comfortable are you in using POCUS for patient care currently? o No prior experience o Not comfortable o Comfortable but would not incorporate in practice o Comfortable and would incorporate in practice

Effects of Racial Discordance Upon Smoking Cessation Between Advisors and Emergency Department Patients

(median values)

• What prior training do you have with POCUS? o Medical school o Conferences o Online o Other

• Our goal is to understand the role of racial con/discordance between patients and providers with regards to smoking cessation.

Methods Table 1.

Conclusion • Key Finding: • A statistically significant increase in overall confidence scores suggests that our structured ultrasound course effectively enhances incoming first-year residents’ confidence in using POCUS. • Study Limitations: • Sample size: Relatively small (n = 76), which may limit generalizability.

• Data collection method: Self-reported surveys may introduce recall bias and social desirability bias.

• Methods: IRB approval was obtained. A convenience sample of adult smokers were recruited when study personnel were available in the ED. Written informed consent was obtained. Patients were shown an informational video implemented system-wide about tobacco cessation and were offered prescription for nicotine replacement therapy (NRT) prior to discharge. This video turned out to contain only Caucasians in graphics and voices. Patients were contacted at 30 and 60 days via phone (up to 3 times) to assess primary and secondary outcomes. Primary outcome was tobacco cessation; secondary outcomes were decrease in tobacco use and NRT use. Chi squared and Fisher exact testing were used for analysis.

• At 30 days, data were obtained in 45/83 (54%) of patients, (22/38 (58%) black and 22/44 (50%) white patients, p=.47). Smoking cessation at 30 days was achieved in 4/45 (9%) of patients (3/22 (14%) black and 1/22 (5%) white patients, p=.61). Decreased smoking at 30 days was additionally achieved in 32/40 (80%) patients (16/19 (84%) black and 16/21 (76%) white patients, p=.70). NRT use occurred in 17/44 patients at 30 days (8/22 (36%) black and 9/22 (41%) white patients, p=.76).

• At 60 days, data were obtained in 34/83 (41%) of patients, (13/38 (34%) black and 21/44 (48%) of white patients, p=.21). Smoking cessation at 60 days was achieved in 4/34 (12%) of patients (2/13 (15%) black and 2/21 (10%) white patients, p=.54). One black patient and one white patient who quit at 60 days were new to follow-up and had been lost at 30 days. Decreased smoking was additionally achieved in 17/30 (57%) of patients at 60 days (7/11 (64%) black and 10/19 (53%) white patients, p=.71). The secondary outcome of NRT attempt or use occurred in 22/34 (65%) of patients (8/13 (62%) of black patients, 14/21 (67%) of white patients, p=.76).

• We have found most patients who the ER are open to watching a smoking cessation and express interest in cessation. Our follow-up with these participants yielded reassuring results that patients who are willing to quit smoking show improvement within 30- and 60-day increments. Even more so, those who fill their anti-nicotine prescriptions have an even higher likelihood of decreasing their smoking habits than those who watched the video only. From this study we can deduce that educational videos and anti-nicotine medications are beneficial to all patients regardless of their ethnicity within a 30- and 60-day period.

• At 30 or 60 days 30/48 patients filled NRT (11/22 (50%) of black patients, 18/25 (72%) of white patients). In patients filling NRT, 21/30 (70%) decreased or quit smoking (9/11 (81%) of black patients, 12/19 (63%) of white patients, p=.24). In patients not filling NRT 10/18 (56%) decreased or stopped smoking (7/11 (64%) of black patients, 3/7 (42%) of white patients, p=.63)

• Next Steps: • Continue offering our annual POCUS training course.

• Share and adapt our training model with other residency programs.

• Aim to expand POCUS confidence and competence among a broader group of incoming interns.

The Board of Trustees of the Foundation for Osteopathic Emergency Medicine thanks you for participating in the competition and hope that you will participate in future events like this as a Resident or apply for research grants as a physician.

The Foundation is here to help serve the research needs of the specialty of emergency medicine and hopes that you have found the creation of a research paper a worthwhile experience worthy of repeating in the future.

FOEM PRESIDENT’S DESK

HONORING 27 YEARS OF ADVANCING OSTEOPATHIC EMERGENCY MEDICINE:

John Ashurst, DO FOEM President

THE FOEM LEGACY

T

wenty-seven years ago, a small group of visionary osteopathic emergency physicians set out to change the future of their specialty. They saw the need for a dedicated space to support research, education, and leadership development within osteopathic emergency medicine—and in 1998, they founded the Foundation for Osteopathic Emergency Medicine (FOEM). Since then, FOEM has become a cornerstone of academic and professional development in the field, helping generations of students, residents, and earlycareer physicians turn curiosity into discovery and potential into purpose.

A Platform for Discovery Research has always been at the heart of FOEM’s mission. Over the years, the Foundation has provided critical support through research grants, academic competitions, and funded research internships that allow trainees to engage in hands-on investigation early in their careers. For many, these programs represent their first steps into academic medicine— and the launchpad for a lifelong contribution to emergency care.

In recent years, FOEM has also developed a Research Network that unites emergency medicine programs together with a common goal. By encouraging multi-center collaboration, the network helps strengthen the scientific foundation of emergency medicine and enables broader, more impactful studies across institutions. One compelling illustration of this network’s power was the publication of the study “Multisite assessment of emergency medicine residents’ knowledge of evidence-based medicine” in the Journal of Osteopathic Medicine.

Further amplifying scholarly voices, ACOEP and FOEM have partnered with the Western Journal of Emergency Medicine (WestJEM), creating new avenues for research dissemination and peer-reviewed publication. Through this collaboration, the work of FOEM-supported researchers reaches an even wider audience and contributes to the evidence base shaping emergency medicine practice nationwide.

Showcasing Talent and Inspiring Growth One of FOEM’s most visible and impactful contributions comes through its national competitions.

Every year at the ACOEP Scientific Assembly and Spring Seminar, students, residents, and attending physicians take the stage to present their original research, clinical cases, and innovative ideas. From the Case Study Poster Competition to the prestigious Clinical Pathological Case (CPC) Contest, these events not only celebrate academic excellence, but they build confidence, visibility, and community within the profession.

As FOEM celebrates its 27th anniversary, the Foundation looks back on more than two decades of impact and ahead to an even more promising future. From funding research interns and building research infrastructure, to expanding academic partnerships and mentoring future leaders, FOEM continues to uphold its founding vision with clarity and purpose.

What began as a dream in 1998 has grown into a thriving network of researchers, educators, and leaders, all united by a shared commitment to advancing osteopathic emergency medicine. –•– This article was written with the assistance of AI.

Meet FOEM’s Summer Research Intern: Kiratpreet Sraa, OMS-II

A

s the 2025 FOEM Research Fellow, Kiratpreet Sraa, OMS-II at Arizona College of Osteopathic Medicine, conducted a retrospective review of 180 central line placements in the emergency department to assess how patient-specific factors influence line selection and mechanical complications. The study examined associations between vein site, laterality, comorbidities, and the occurrence of complications such as pneumothorax, hematoma, and arterial puncture. While the right internal jugular (RIJ) vein was the most commonly selected site, it also

accounted for the highest number of documented complications.

The project was completed through the Foundation of Osteopathic Emergency Medicine (FOEM) Summer Research Internship under the mentorship of Dr. John Ashurst at Kingman Regional Medical Center.

Sraa’s findings support existing literature on the value of ultrasound guidance while emphasizing the importance of individualized line placement strategy and limiting the number of insertion attempts. Her research adds to the growing body of work advocating for patient-centered procedural decision-making in emergency medicine and highlights opportunities to further reduce iatrogenic risk.

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CALL FOR

GUEST EDITORS In collaboration with WestJEM

Help us publish case reports from ACOEP’s annual meetings in WestJEM each year.

Email us at info@acoep.org

SPRING SEMINAR PHOTO FLASHBACK! Thank You for an Unforgettable 2025 Spring Seminar!

A huge thank you to our attendees, speakers, and presenters for making this year’s Spring Seminar one to remember! From engaging Hippo Education sessions to a full day dedicated to the best in emergency medicine podcasts, this event was packed with learning, connection, and innovation.

We saw hands-on workshops, two full days of Resident Student Organization (RSO) programming, and a residency fair that welcomed over 30 programs.

The excitement continued with four FOEM competitions, showcasing the next generation of emergency medicine leaders, and we capped it all off with an inspiring awards and fellowship ceremony.

We’re already looking ahead to Spring Seminar 2026 in Orlando, Florida April 19-23—don’t miss out! Register now to take advantage of early bird savings!

Register Here

SUMMER 2025 THE PULSE

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Join Our ACOEP Network!

Stay connected with the ACOEP family and enhance your networking opportunities by following us on social media! Whether you’re seeking to foster professional relationships, explore exciting events like our Scientific Assembly and Spring Seminar, or connect with fellow emergency medicine professionals, our social media channels offer a vibrant community and valuable updates. Join us as we build a supportive network that celebrates growth and collaboration in emergency medicine.

Follow us today and be part of our journey toward collective success!

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