Read More »
Dear TIPS members,
I am delighted for the opportunity to serve you and the section. As a community practice physician of 14 years and former health IT administrator, I look forward to investigating further opportunities to advance trauma and injury prevention strategies within community and academic clinical practices.
Firearm-related trauma and injury prevention have been recurrent topics within TIPS over the years, which speaks to an unmet need within our specialty to understand emergency physicians’ roles in reducing the incidence and health consequences of firearm-related violence. Conversations about firearm injury prevention have a tendency to digress into sociopolitical discussions about “gun control”, which distract us from more productive conversations about the objective issues relevant to our patients and our practices. This is not surprising: sociopolitical distractions were common to many, analogously complex, biosocial health concerns before being successfully addressed by our profession, from pediatric maltreatment in the 1960s and 1970s, to HIV in the 1980s, to opioids now. However, by maintaining our focus on the relevant medical issues, we will eventually succeed in developing comprehensive strategies to improve firearm-related health outcomes as well.
Firearms and Suicide
1 Suicide prevention requires a comprehensive strategy incorporating identification and intervention across the life span, and emergency physicians know just how difficult it can be to determine an individual patient’s risk for imminent self-harm.September is National Suicide Prevention Awareness month, a much-needed opportunity to shed light on and reduce stigma about a leading cause of death. While violent death rates have declined overall since the 1990s, suicide rates appear to be rising, and suicide is now the 10th leading cause of death in the United States.Read More »
ACEP SECTION GRANT AWARD – Fall Prevention for Older Adults
Falls among older adults are frequent;1 older adults make more than 2 million visits to the emergency department (ED) for injurious falls each year,2 and fall-related emergencies are likely to rise as the population ages. The ED is an ideal location at which to intervene as it optimizes a teachable moment.3 Implementing tactics to reduce falls in the older patient could impact care and patient injuries downstream and prevent future ED visits. We recently were awarded an ACEP Section Grant to create a brief, professionally produced video aimed at increasing awareness among older adults and their families about the risk of falls and actions they can take to reduce their fall risk.Read More »
Imaging Patients with Chest Trauma – Using Injury Prevalence to Guide Shared Decision Making
Patients with trauma often require imaging and for some – especially those who sustain significant trauma and obvious injuries – this decision is a simple one. However, for those patients with less significant trauma and potentially occult injuries, the decision of whether or not to image is much more complex. A number of decision instruments (DIs) regarding the use of imaging in these patients exist, with the latest focusing on chest imaging (1). The NEXUS Chest DI is a simple rule – if patients have none of its seven criteria, they do not need to be imaged. However, like many other DIs, physicians and their patients are left with the question of whether the converse is true: do patients who have one or more criteria truly need imaging?Read More »