EMpulse Spring 2021

Page 18

FEATURE

Two Florida Health Systems Receive SAMHSA Grants to Implement ED Alternatives to Opioids Program By Natalie Spindle, MS, CHES®

Health Educator, UF College of Medicine – Jacksonville

FAAP, FACEP

FACEP

Assistant Professor, UF College of Medicine – Jacksonville

The number of U.S. deaths and overdoses from opioids continues as a top public health concern, even after the opioid epidemic was declared a public health emergency in 2017. Legislation limiting opioid prescribing has driven a shift from prescription to illicit use, with increases in synthetic opioid use. This troubling problem has been a key issue for the U.S. Department of Health and Human Services and its agencies like the Substance Abuse and Mental Health Services Administration (SAMHSA). National and state data indicate an alarming increase in opioid and other substance abuse overdoses and deaths since the beginning of the COVID-19 pandemic. The pandemic is now being referred to as a national relapse trigger.

18

By Phyllis Hendry, MD,

By Sophia Sheikh, MD,

Professor & Associate Chair for Research, UF College of Medicine – Jacksonville

During the height of this pandemic, UF Health Jacksonville and Broward Health emergency departments were selected to receive $2.96 million in funding for the new SAMHSA Emergency Department Alternatives to Opioids Demonstration Program. The purpose of this funding is to develop and implement alternatives to opioids for pain management in emergency settings. Only 10 grants were awarded across the U.S. in the first grant cycle.

UF HEALTH JACKSONVILLE PAMI ED-ALT PROGRAM The Pain Assessment and Management Initiative (PAMI) at the University of Florida College of Medicine – Jacksonville is creating a new patient- and provider-focused pain EMpulse Spring 2021

By Michelle Krichbaum, PharmD

Pain Management Clinical Coordinator, Broward Health Medical Center

management model. The PAMI EDALT project team is a collaboration between emergency medicine, nursing, rehabilitative services, pharmacy and pain management specialities targeting pain conditions such as musculoskeletal and back pain, renal colic, and headaches in adolescents and adults. The PAMI ED-ALT program includes the implementation of new, comprehensive EMR order panels offering all pharmacologic and nonpharmacologic pain management options in one place and new discharge planning educational materials. New order panels improve providers’ access to a menu of pain management options. Additional key program components include development of a pain coaching


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Articles inside

Death by Procainamide: Medication Errors and Toxicity

5min
pages 44-45

Case Report: Acute Monocular Painless Vision Loss in an Elderly Man

2min
pages 38-39

The Reds and the Blues of COVID Vaccine Hesitancy

3min
page 50

Leveraging AI to improve patient safety in the emergency department

2min
page 35

Medical Student Council

1min
page 26

EMS/Trauma

2min
page 14

Pediatric EM Committee

2min
page 9

Membership & Professional Development Committee

2min
page 8

Musings from a Retired Emergency Physician: The Reds and the Blues of COVID Vaccine Hesitancy By Dr. Wayne Barry

4min
page 50

From Scribing Notes to Saving Lives: The transition from scribing in the Emergency Department to medical school and beyond By Patrick Anderson, OMS-III

7min
pages 48-49

Education Corner: Expanding the Menu Beyond the Sandwich: Defining Effective Feedback By Drs. Carmen J. Martinez and Caroline M. Molins

5min
pages 46-47

UCF at Greater Orlando Dr. Amber Mirajkar Aventura Hospital Dr. Scarlet Benson

4min
page 33

Ultrasound Zoom: The VExUS Score: Fluid Status, Reconsidered By Ernesto H. Weisson, Dr. Joshua Goldstein, Duyen Vo, MS; edited by Dr. Leila Posaw

6min
pages 40-41

Disruptive Innovation in Emergency Medicine

5min
pages 36-37

UCF/HCA Ocala Drs. Jean Laubinger, Emily Clark & Caroline Smith Orange Park Medical Center Dr. Cody Russell Mount Sinai Medical Center Dr. Stephanie Fernandez

4min
page 34

USF Morsani Dr. Mikhail Marchenko Kendall Regional Medical Center Drs. Tina Drake, Ibrahim Hasan & Sara Zagroba

2min
page 32

Brandon Regional Hospital Dr. Rashmi Jadhav St. Lucie Medical Center Dr. Shelby Guile

3min
page 31

FSU at Sarasota Memorial Dr. Courtney Kirkland Oak Hill Hospital Dr. Ryan Johnson UF Health Jacksonville Drs. Chris Phillips and Richard Courtney

4min
page 30

North Florida Regional Dr. Jayden Miller UF Health Gainesville Dr. Megan Rivera

4min
page 28

Advocating for our Health Care Heroes By Mary Mayhew

2min
page 12

Two Florida Health Systems Receive SAMHSA Grants to Implement ED Alternatives to Opioids Program By Dr. Phyllis Hendry, Natalie Spindle, Dr. Sophia Sheikh and Michelle Krichbaum,PharmD

4min
pages 18-19

Case Report: An unrecognized opportunity to diagnose Hepatitis C Virus (HCV) and decrease transmission in people who inject drugs (PWID) By Heather Henderson, Dr. Jason Wilson and Kaitlyn Pereira

6min
pages 20-21

Florida Atlantic University By Dr. Tony Bruno AdventHealth East Orlando Dr. Tyler Mills

3min
page 27

EMRAF President’s Message By Dr. Elizabeth Calhoun Medical Student Council By Dan Schaefer

2min
page 26

Government Affairs: Florida Legislative Session 2021 By Dr. Blake Buchanan

6min
pages 10-11

FCEP President’s Message By Dr. Kristin McCabe-Kline

2min
page 6

ACEP President’s Message: Future Emergency Physician Workforce Considerations & Potential Next Steps By Dr. Mark Rosenberg

5min
pages 7-8
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EMpulse Spring 2021 by Florida College of Emergency Physicians - Issuu