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Trauma and Injury Prevention Section Newsletter - Autumn 2014

Chair’s Corner

Welcome back from what was hopefully a delightful summer. I have been excited to hear about all of your work on various trauma and injury prevention initiatives this year, and am happy to share some final updates from my term as Chair.

Important Dates for the Scientific Assembly 

Our annual TIPS Meeting: MONDAY, October 27th, 1:00 p.m.-3:00 p.m. CT
: McCormick Place South
Room: S 104, Level 1

We will begin with a one-hour round table discussion of violence intervention programs, led by Dr. Jennifer Casaletto of EMP, and co-organized by Dr. Kyle Fischer of University of Maryland 

News from the Section

We are proud to have had a Section Grant awarded, in conjunction with the Peds EM section, to adapt the American Academy of Pediatrics’ “Asking Saves Kids” (ASK) initiative for emergency medicine. The award is being led by Dr. Jeffrey Sankoff, with collaboration from Dr. Kate Hawk of Yale and Dr. Rebecca Cunningham of University of Michigan. 

We have co-sponsored 2 resolutions on naloxone access for patients at risk of opioid-overdose. These will be discussed at the Council meeting in October.

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GRADEing the Evidence: TIPS and EAST

AliRajaEarlier this year, TIPS decided to offer our members’ expertise to guidelines committees outside of ACEP. While the ACEP Clinical Policies Committee does outstanding work, many external committees charged with authoring guidelines related to the management of ED patients lack substantive emergency physician input. After a review of societies focusing on injury prevention and trauma management, we decided to approach the Eastern Association for the Surgery of Trauma (EAST) first, both because of the strength of the guidelines they produce and also because of their willingness and desire to assemble multispecialty guideline development teams.

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Violent Injury: How the ACA Changes the Dynamic of Injury Prevention

KyleFisherAfter a year of debate, several years of planning and a Supreme Court review, portions of the Affordable Care Act are finally beginning to see the light of day. For emergency physicians, the most obvious change for our patients is the emergence of the Medicaid expansion and individual mandate. Although the Supreme Court gave states the option to opt-out of the Medicaid Expansion, the Congressional Budget Office still estimates that 11 million adults will become newly insured as a result of the law (1).

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Substance Abuse and Mental Health Services Administration (SAMHSA) Releases Opioid Overdose toolkit for Prescribers

This 12-page handbook covers various aspects of opioid overdose including assessment, informed consent agreements, treatment, legal and liability issues, and coding and billing. Additional topics include provision of naloxone, especially for patients with long term pain management needs, and circumstance when physicians should consider stopping prescriptions. SAMHSA also provides links to additional resources including free CME.

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Educational Session at ACEP 2014- Chicago

Most victims of violent injury are treated in the emergency department solely for physical injuries without attention to upstream factors that led to the assault, leaving patients discharged without an adequate link to vital support services. Without intervention, victims of violent injury are at increased risk of becoming future perpetrators. Hospital-based violence intervention programs provide a multifaceted approach to injury prevention and have been shown to reduce re-injury, retaliation, emergency department recidivism for violent injury, and future involvement in the criminal justice system.

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SUICIDE AWARENESS AND SCREENING: For patients and physicians

ElizabethJohnsonSeptember 10th was Suicide Awareness Day. With everything else going on in the world, most people were probably unaware of this. What did gain more attention was the suicide of Robin Williams. In addition to shocking fans around the world, this final act by Williams brought this issue of suicide to headlines. His battles with addiction and depression in the past had been publicized but his friends, family, and fans were all under the impression that he was recovering, if not “happy.” It makes one wonder…were there signs and if so, could it have been prevented?

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Original Research by TIPS Members

Readiness to Change and Reasons for Intended Reduction of Alcohol Consumption in Emergency Department vs. Trauma Population

Published in Western Journal of Emergency Medicine, 2014
PMID: 24829617

Craig Harrison, MPH*
Wirachin Hoonpongsimanont, MD*
Craig Anderson, MPH, PhD*
Samer Roumani, BS*
Jie Weiss, PhD**
Bharath Chakravarthy, MD, MPH*
Shahram Lotfipour, MD, MPH*

* Center for Trauma and Injury Prevention Research, Department of Emergency Medicine, University of California, Irvine, School of Medicine, Irvine, California, USA
** Department of Health Science, California State University, Fullerton, Fullerton, California, USA

Study objectives: The primary objective was to identify the most common reasons for intending to cut back on alcohol use, in emergency department (ED) and trauma patient populations. The secondary objective was to determine the association between reason to cut back on alcohol and education level.

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