Access to safe abortions in the post-Roe era
Announce
Dr. Monica Saxena JD, MD joins us to discuss the recent overturning of Roe v. Wade. How will this affect access to abortions, particularly for marginalized communities? What relevance does this ruling have to the role of the EM physician in caring for emergencies in pregnancy? What role with the emergency department play in states that allow and don't allow abortions? What actions may we take for our patients, in the ED and outside the ED? Objectives 1. Explore the changing landscape of safe abortion access in the US 2. Learn how your practice in the emergency department may...
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Nutrition and Food Insecurity
Announce
Dr. Seth Berkowitz and Economist Hunt Alcott join us to discuss nutrition, food insecurity, and their relevance to emergency medicine. What questions can we ask to identify food insecurity quickly? What resources can we offer patients? How might it affect our clinical decision making?
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Alcohol
Announce
Drs. Otis Warren and Shannon Smith-Bernardin join us to discuss how alcohol relates to social issues. What more can we do for patients that are brought in drunk? What solutions exist at both the individual ED and healthcare system level?
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Health Disparities in the Time of COVID
Announce
Across the US, LatinX and Black people are dying from COVID-19 at twice the rate of their white counterparts. In this special episode of Announce, hosts Drs. Ayesha Khan & Quincy Moore explore some of the issues underlying these disparities and what EM providers need to be aware of to combat them.
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Race
Announce
Drs. Sheryl Heron and Camara Phyllis Jones join us to discuss race and how it affects our practice in the ED.
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Happy New Year!
Announce
Our team took a breather for the holidays. Tune in February 1st for another episode!
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Homelessness
Announce
In the U.S., a homeless person’s lifespan is 25 years less than average. In this episode, hosts Dr. Ayesha Khan & Dr. Quincy Moore explore how the EM providers can be pivotal in improving health outcomes for those that lack basic shelter with Dr. Kelly Doran and Stephen Brown.
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Structural determinants of health and unmet social needs
Announce
Drs. Lewis Goldfrank and Phil Levy join us to discuss structural determinants of health, unmet social needs, and what we can do to address them in the emergency department.
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Opioids
Announce
Drs. Gail D’Onofrio and Lewis Nelson join us to discuss the most up to date and practical topics related to opioids in the emergency department.
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Firearm Violence
Announce
Drs. Megan Ranney and Emmy Betz discuss the role of the emergency physician in treating firearm violence, with focus on both interpersonal violence and suicide.
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Explain what it means to view firearm violence as a public health problem.
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Describe the roles of the emergency physician in addressing firearm violence.
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Recognize that access to firearms make suicide attempts more likely to succeed.
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Identify barriers to conducting research on firearm violence
Resources:
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Provider resources:
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What Can You Do: UC Davis Violence Prevention Research Program: https://www.ucdmc.ucdavis.edu/vprp/WYCD.html
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American Association of Pediatrics: Addressing Gun Violence https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Pages/Unintentional-Injury-in-Practice.aspx
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Resources for talking to patients about gun safety: Office of the Attorney General of Massachusetts. https://www.mass.gov/lists/resources-for-talking-to-patients-about-gun-safety
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Firearm research and publications
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Wintemute GJ, Betz M, Ranney M. Yes, You Can: Physicians, Patients and Firearms. Ann Intern Med. 2016;165(3):205-213. http://annals.org/aim/fullarticle/2522436/yes-you-can-physicians-patients-firearms
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Carter PM, Walton MA, Zimmerman MA, Chermack ST, Roche JS, Cunningham RM. Efficacy of a Universal Brief Intervention for Violence Among Urban Emergency Department Youth. Acad Emerg Med. 2016 Sep;23(9):1061-70. doi: 10.1111/acem.13021. Epub 2016 Sep 7. https://www.ncbi.nlm.nih.gov/pubmed/27265097
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Ranney ML, et al. A Consensus-Driven Agenda for Emergency Medicine Firearm Injury Prevention Research. Ann Emerg Med. 2017 Feb;69(2):227-240. https://www.ncbi.nlm.nih.gov/pubmed?term=A+consensus-driven+agenda+for+emergency+medicine+firearm+injury+prevention+research&TransSchema=title&cmd=detailssearch
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Pallin R, Spitzer S, Ranney M, Betz M, Wintemute GJ. Preventing Firearm-Related Death and Injury. Ann Intern Med. 2019;170(11):ITC81-ITC96.
https://annals.org/aim/fullarticle/2735389/preventing-firearm-related-death-injury
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Take-home points:
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As emergency physicians, we are directly exposed to the toll of firearm violence, but also uniquely positioned to address it.
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Although mass shootings are a serious problem and attract a lot of media attention, the majority of firearm deaths in the USA are actually suicides.
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Firearm violence is a public health problem like drunk driving, and needs to be addressed on multiple levels of prevention.
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Research has been limited by political constraints on funding, and more data is needed to find the most effective solutions.
Contributors:
- Risha Cohen
- Vidya Eswaran
- Erik Kramer
- Aislinn D. Black
Guests:
Dr Marian Emmy Betz is an Associate Professor of Emergency Medicine and in the School of Public Health at the University of Colorado. You may have seen her TedX talk on how to talk about guns and suicide which highlights her interests in both suicide prevention and injury prevention. She also has an extensive research background.
Dr Megan Ranney is an Associate Professor of both Emergency Medicine and Health Services Policy and Practice at Brown University. She has an extensive research background and is the chief research officer for Affirm (The American Foundation for Firearm Injury Reduction in Medicine).