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.
info_outlineDrs. 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?
Objectives:
- Understand the challenges in treating alcohol use disorder in the emergency department
- Understand alcohol use in the context of social determinants of health
- Learn about diversion/sobering centers and their potential impact on the treatment of alcohol use disorder and emergency departments
Take-home points:
- Alcohol use disorder is a chronic disease that should be treated as such. Many of the drivers of alcohol-related ED encounters, however, are driven by social factors.
- Sobering centers are an alternative to the emergency department or jail for people who are acutely intoxicated on alcohol.
- Diversion is a triage system that is based on an agreement between law enforcement and EMS allowing for diversion of intoxicated patients to sobering centers if they meet certain criteria.
Additional resources:
Warren O, Smith-Bernardin S, Jamieson K, Zaller N, Liferidge A. Identification and Practice Patterns of Sobering Centers in the United States. J Health Care Poor Underserved. 2016;27(4):1843‐1857. doi:10.1353/hpu.2016.0166
Smith-Bernardin SM, Kennel M, Yeh C. EMS Can Safely Transport Intoxicated Patients to a Sobering Center as an Alternate Destination. Ann Emerg Med. 2019;74(1):112‐118. doi:10.1016/j.annemergmed.2019.02.004
Smith-Bernardin S, Carrico A, Max W, Chapman S. Utilization of a Sobering Center for Acute Alcohol Intoxication. Acad Emerg Med. 2017;24(9):1060‐1071. doi:10.1111/acem.13219
Guests:
Shannon Smith-Bernardin
Dr. Smith-Bernardin is a professor at UCSF and has a PhD in nursing and health policy. She has extensive experience with sobering centers and diversion programs and has studied their safety, effectiveness, and implementation.
Otis Warren
Otis Warren is an Associate Professor of Emergency Medicine at Brown University. Dr. Warren has been a champion for sobering centers in and around Providence, RI. He and Dr. Smith-Bernadin authored "Identification and Practice Patterns of Sobering Centers in the United States" in the Journal of Health Care for the Poor and Underserved, helping launch the national debate on diversion of intoxicated patients away from emergency departments and to sobering centers.
Contributors:
- Charles Zhang
- Harrison Alter
- Livia Santiago-Rosado
- Austin Tam