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_outlineDr. 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?
Objectives:
- Explore how nutrition affects the health of patients in the ED
- Identify factors that contribute to patient’s nutritional status
- Understand how to effectively and efficiently address nutrition with ED patients
Take-home points:
- Food insecurity can play a critical role in the health outcomes of ED patients in the following ways:
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- Food insecurity can lead to poor quality diet with health consequences
- Patients with food insecurity may have competing demands. If you are worrying about paying for meals, you might have to decide between food and important issues like housing or medications, all of which can affect your health.
- High levels of stress related to food can put a strain on a patient’s mental and physical health.
- Know your hospital and community’s ability to address food insecurity. If a patient screens positive on the Hunger Vital Sign, you can link them to community resources like food pantries, SNAP or WIC.
- Consider screening your patients for food insecurity using the Hunger Vital Sign (see link in references).
- Low income neighborhoods have less access to lots of things, including grocery stores. Many stores in these neighborhoods limit options for healthy eating.
- Nutrition education for your patients can make a difference. Recognize that nutrition education may be the limiting factor as to why your patients are not eating nutritious food, so taking a moment to talk about it can make a difference.
- Be mindful of how food access may affect your treatment plan for your patient, particularly with food-sensitive conditions like diabetes.
Additional Resources:
- Food Deserts and the Causes of Nutritional Inequality, Alcott et al.
- Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017, The Lancet.
- The Hunger Vital Sign
- Gattu RK, Paik G, Wang Y, Ray P, Lichenstein R, Black MM. The Hunger Vital Sign Identifies Household Food Insecurity among Children in Emergency Departments and Primary Care. Children (Basel). 2019;6(10):107. Published 2019 Oct 2. doi:10.3390/children6100107
- SNAP-ED
Guests:
Dr. Seth Berkowitz is an assistant professor in the division of general medicine and clinical epidemiology of medicine at the University of North Carolina and has done extensive research on food insecurity and its relation to human health, particularly in low-income patients and patients suffering from type II diabetes.
Hunt Allcott is an Associate Professor of Economics at NYU whose research includes investigation on consumer behavior. He recently co-authored a 2018 study entitled “Food Deserts and the Causes of Nutritional Inequality”.
Contributors:
- Bobby Needleman
- Dennis Hsieh
- Shannon Moffett
- Tony Spadaro