ACEP news

C . . L . . . . - / ' 1 " - I I . . . . " / I I I I I I I I I

I I I D . . - - - • ~ . . , ~ . . ~ ~ , . ~ . o ~ . . , ~ . , ~ o . . ~ , . . . . . , ~ , , ~ . . . . . . , , . , ~ , ~ - . . . . . . . . - ~ , . - ° . . . I

/ ~ . . . = . . . . . . . , ~ . = - ~ , = = = ~ ~ . . . . = = = - - ~ - : - . - • M e m b e r s I .~. . . p . . . . . . . . . • • : . . . . . . . . . " M e e t i n g s N e w s :Education

. . . . . . • " '~ -. - - ' C h a p t e r s

AcEP.HOL:DS::S.YM POSlU M AN D. wORKSHOP: I-N :PA rM:S P. R I NGs

~ e ~ ' 9 7 5 ~ C E P Wintei~ Workshop |nd Symp°sium-w-ill b e h~-]d--March ,17 through" 20 at the Riviera Hotel and Cou'nti~Y i2-1ul~'in Palm" Spring?.. c=lifo~!a'." The'tlieme l'or tile Sympo- " gum m_ Nexus,..meanmg a con ec- don, jo~inl~'d~ ~om!.ng together.:.Thd., program's" organizcrs hope that the presentatidns..~Y leading s~.ke.smen 'from a val'iety of fields will. create a j0ining of ex~ridnce and" idea~."

Monday and Tuesday-, March 17 and 18,.will ~ t~ken up.with open • ACEP committ~ee, meetings. The ACEP Board of Directors will meet on_ ,Friday, March'2"I:AI[ACEP membe.rs. =re welcome and urged to attend. The Symposium programs are scheduled

, for Wed nesday. and. Thursday, March 19 and 20. A listing of topie~, speak-

'ers, and pa.nelsfo!!o _ws,. :: . . . . . . . . . . . . . . .

t tLeetures

The E M S Communicat ion Sys tem -- David Bovd, MD

The Hardwaf'e o f ttie Communica- twn System - Fred Vogt. MD

A u d i t i n g Q u a l i t y Core zn lhe Emergency Department - - John Murray, MD

Setting S t a n d a r d s for Phys ic ian Practice - - John Wiegenstein. MD

The Federal Govern men t and Emer- gency Medic ine - - David Boyd,

Federal Control o f Communicat ions Stanley Zydlo, MD

Law and the "Emergency Depart- rnent: Protecting the Physician - - James George. MD, JD

Latv and the E m e r g e n c y Depart- ment: Protecting the Patient -- Mar'shall Segal, MD. JD

Workshops "

P'ud~'ctEnlry to the System ~ Harris

" G'fave~', MD, moderator Pa'nel ~-- Kenneth Mattox. MD; " Ell'iott Salenger, MD

Communicat ions Hardware - - J.C. Findei~a,'MD, moderator

• " Panel Larry Connell Ffeld Problem's~ - - Georl~e'Podgor-

ny, MD, moderator Panel - - Carl Jeienko III, MD;

Allen Klippel, ]~D; Stanley Zydlo. MD

Second Career Education - - Karl Mangold, MD. moderator

Panel -- Gerald Wyker, MD; " " James Dineen, MD Pritnary Career Physician Educa-

tion -- Robert D~iiley, MD, moderator

Panel -- Mike Tomlanovich, MD; Torn BIum, MD; Peter Rosen, MD

Emergency Department Record - - R.R. Hannas, MD, moderator Panel -- A.L. Jenkins, MD;

James Mills, MD; James George, MD, JD

Integration into the Sys tem - - Stan- ley Zydlo, MD, moderator

"Panel m Fred Vogt, MD; Rob- er t Donald, MD; Allen Klip- pel, MD

Subs id i z ing Health Care - - John Rupke, MD, moderator

Panel - - Ronald White, MD; Walter Edwards, MD

The E M S Act ~ David Boyd, MD. moderator

Panel -- David Nelson, MD; Charles Frey, MD

The Las t A n g r y Pat ien t - - Earl Donelan, MD, moderator

Panel - - Beverly Fauman, M D; Peter Rosen, MD

Malpractice and the Emergency De- partment - - James George, MD,. JD. moderator

Panel m John Rogers, MD; Karl Mangold, MD

INDIANA ACEP CH A PTER officers presented Governor Otis Bowen, MD. an award for personally guid ing their state E M S plan through the Indiana Legisla- ture. The lndtana Chapter ha,~ been active in recogmzing persons who have made major contributions toward =mprdving emergency medwa/ sert,wes. On hand for the preseniations were: (left to right): Forest Kendall, MD, secretary.; Harry Tunnell , HI, .~ID: president-elect: Joseph McPikc. MD. president; Otis Bowen, MD, governor o f Indiana: and Michael Vwtor. MD.

t4ar!A~" 1975 .. Journal of the American College of Emergency Physicians Page 165

ar~d. P h y s ~ c ~ a n s ~ . : ~ : : : pEER-~s . - a r~ e d u c a t i o n ~ e ~ : ~ a ~ m a 3 . - " ' ~ - ~ ' A C E P o - a n d ° - E D N A ~ a t m ~ a t leade~ ( - . ~ - : : O b t i a t i o n s - a n d - R i g - h t s - - - Mar:- - : t i b ~ ~ d e ~ i g n e 4 t 6 e ~ b l ~ pl~:~siciafis- '~d::)-<~i~:wiI1 b ~ e p r e g 6 n t d d b:~ W i t h a ,,: ~_'=~ - . - s l ~ M L S e g M ; . M D , - J D , . : m b ~ e ~ a t o r : . L -. p e r ~ o n a t l ' y r g ~ a l ~ a ~ t l ~ e l r ~ e d I ~ : ~ :- H a ~ k . . M D , - , - A C E P P r e m d e n t a ~ : : : : -_ P a f f e t : " R-ober~-:Dail~y-- ;"MD~ ' ~ d i ~ o n a l ' t ~ a i ~ n ~ i w ~ m ~ r g e ~ f f c y ~ i i e d [ - : ' : " 'N[ i ld~-ed:K. V i n c k e , RN:, E D N A Pres~.

:: - " ~ e l I : : M D . ~- _ - . ~_ _ n a t i o n i ~ ' f o p r o ~ d e _ [ h d p h y s i e i [ m W f ~ - ; = : :./.:_:: '.::~i-"_~.i--- ..2~- / -- :7"::<:..~ :.-

• - - . . - . . - . - - . . . . . ~:_ 2 . . . . ,-~- .- : - "_.--~u-vCm -msc~ass"-errors-~m , r u m p l e wou~d " S t a t u ~ a f ~ h e S e l f - A s s e s s m e n t E x a m : - C o m p f f ~ e ~ s c o r m g m a k e s ~t p o s s i b l e ' t o . . . . . - :-- . . -~ . - . . . . . . . . - i n a t w r ( : - ~ J a m b s D i r ~ e ~ , h/[D - p r o R r a e - e a e n : e x a m i n e e , w~m. a. core r - . . . - - ,~.--= . ...... ~.. .~- . ; - . ~ _ . - =

-R.R-. Hannas, M D . " . " enderSeft i e ~ ( °e fofiowih~:_ardag;~-.-:S-~ ..... ,~'- -J;-.: :-5: -~._ !~- . :- "

Teleplioh~ registrations may. be. Co2d~o-ib~ :. " -,;::':::.: : ~ :<'.:-3:: "::-~5"¢,=::'~~:.~'J:,ff'~:S~:~J-:,~:~:::::~":.

-- - C " O T L I N E - .- . -- -- ............... " : ": ~ _.- - ~mmeala~e~y-ptmz"m- m e assembly, m a d g b y ~ a I l i i ~ g t h e A E P H _ " . D ~ r m a t 0 1 6 g ~ - . :-:- . :.:_~- ..... :~"-" <'-~: ~-:"-~h~-G~6r~:;~?/~CEI~.: C-.Ka*'~er wi l l ~ - =

- "2 544 " - - " - " ' ~-: " -::~-" --"=--;%"->~- " ~ ~ : ~- ' ::~" ~" aol~ (517) 33 -6 .= " - - . . . . . . " - Otolaryngoloaw _. -~ ~ ....... ~: .-~- o..._~o.. ~u~:~ .... .::~ ~ = ..... . ~,,= • - " " " .,~ .-:-.-,o-~,.-:-4~-, ~.::- :: ... :~-~ ~ - : ~ ; : - ~ r s ~ ' a n n u a l : j m e e u n g - . ~ P r ~ i . z u , : a t 3'0~

• . - - . " " . " ~eneral: Nlealclne .~ :,. ," " -'-" ~--" : ~.~- :- : ~ ° .... ~ ~ "- - - " - .-= - .-- . . " - -~-. -~ ~. _:>- :-~':: -':-.-- "~::~:.-:'.-o--'~ :PM:a[: t h e - FM~h~-ht- C616ny-Square-

- " " -" =-" -":" " o - - .............. -~ ~ ........... H ~ I m AtNfi~a. T~e mare order of ALABAMA ACEP CHAPTER L e g a l M e d i c i n e

ORGANIZES~ ELECTS OFFICERS

S t u a r t K . B e a n , M D , o f B i r m i n g - h a m , w a s e l e c t e d p r e s i d e n t d u r i n g t h e o r g a n i z a t i o n a l m e e t i n g o f t h e A l a b a m a C h a p t e r o f A C E P . T h e m e e t - i ng , h e l d D e c e m b e r 7 i n B i r m i n g h a m ,

N e u r o l o g y o r N e u r o s u r g e r y O b s t e t r i c s / G y n e c o l o g y

O p h t h a l m o l o g y " O r t h o p a e d i c S u r g e r y • P e d i a t r i c s - P s y c h i a t r y R a d i o l o g y

b u s i n e s s w i l l b e e l e c t i o n o f c h a p t e r of. f e e r s a n d c o u n c i l l o r s for t h e coming y e a r ,

F o r f u r t h e r i n f o r m a t i o n a n d regis. t r a t i o n c o n t a c t L. M. H a d d a d , MD, M e m o r i a l M e d i c a l C e n t e r , Savannah , G e o r g i a 3 1 4 0 5 (912) 354-4910 .

a t t r a c t e d o v e r 20 p h y s i c i a n s , w h o ...... ~ ~_ .,.- < ..__ _.:::.:.-:~__-. : ~ "~.-~2:~:~. ~ ...--_._.-.-- :_. _:.-- -

- - ~ ] ~ ; . ~ ] :~,,i?~:,-a ~ d ~ 6 n d ~ c t ~ d - a b u s - -..only t h e pe.rson t ~ k m g tt~e-e~am.~ a-.-. = ,...---;.~ ~ :._ ~- _,.-. :..- --= :..

fic~rs'W~f6=elect~d v .:"..- " ......... - -~- s o I i i t ~ " c o h f i d ~ n t i a l i ~ i S ~ rh~ifftained- .--: .. ,~ ..... - . . . . . . . - - : " - :=-= ...... "- ....... ~:----: :----- , := .......... ;: ...... - ~ - ~ .~-;CJ' -SCIENTIFIC ASSEMBLY - - =

• - :-- - -- - C -: " --: .~-. . :hndthere-~s-no :w~cy.fo~ anyone ~o--- . :..~-~: .-~..~._ ,- ~.: .- - - :~

- . . . . . . . . . . - ~ - - . . . . . - - ~ d e ~ i f ~ a n y I f f ~ ' ~ i l s c o r e ~ f i~ess , - -_ . : . T h e i n d m n a C t / a p t e r s o f A C E P a n ~ : - _ ~- - __---- - -. -=- -~: - " - - t h e e x a ~ m ~ . p ~ w ~ g F f : " ~ . . . . . : . . - - z E D ] : ~ w f l ~ ' h o f - d t h e ~ f o u r t h . a n n u a l

- t h e h a n d s o f v i c e - p r e s i d 6 n t , St~anley " - ~ . - :~ ~ , : : ~ : i ~ < ~ - ~ - ~ _ - ~ - ~ ( ; - ~ : : - - : 5 ~ % ~ : < ~ - ~ ' ; - ~ ¢ ~ i ~ m ~ = A : d ~ h l . G ~.,,: W Gri~fii~, M D , o f D o t h a n , a n d s e c r e - - T h ~ s ~ l f : a s s e s s m e n t = packKge- - m ~ - - - u . : : , - ~,'...-~-.,;+% .... .: -~ .~- . . . . . :. ; :

- . . . . . . . -_ - . . . . . ; -~ _ - . M a y - ' 7 - 1 0 . T h e - A s s e m b l y sess ion ~ M D . o f F m r f i e I d - " key_: ~o: ~or.&¢ide--~mmedmte, fe~edbhck-~--. ; -- . . ~ : ~ : . ~-~ .~ . - . . . . . . " ~ - - . ~-,~

- -_ - - - u_ -- :--. -- - -- wl~il~:- ~/np~t~r, -g~'oring:ev~lfl~m~::<..* .= ~-. :- - : ~.~ " ~ ~ - A _ - n u m b e r o f - C a s k f o r c e s w e r e or..--::> .~: .-~. ~-~ . ~ , ; J z _ ~ - - . ~ _ ~ : : _ ~ _ ~ . s : _ % ~ o x . m ~ I ~ d ~ n a ~ o l ~ G = = - ~ . : : . _ = . -- ~;. _ . .

- .-~ -- - -- -: • . " .... - o: p~ovmeg ~t~r~. g6~erm-~ aa~m upo~o --~ ..:- -~-- ~o .... - .- --- - : : g a m z e d : a n d t h e - f o l l o w i n g cl ia~rmer~ - =_ - ~ - ~ .-= :: .:..~-~ ~-- ,~_~ ~:~ j ~ . . . . . ~ . ~ .. - - : - ~ - : ~-, - -.~ : " - - -- - . ,

. . . . . . - . : , ,_-h_~: , _ _ _ d - . ~ e - m . - , : ._ := whick : fu t~ i re_ :¢of l tmUing .me~dica i e d f i _ G ~ : :. ~ !is~ b~ffa_culty= a n d . pa r t i c , pan !~ __w~re a p p m n ~ _ ? > y _n~a_ m :1 - : - : : ~ - ~ . c : h t ~ b ~ - ~ i ~ i n ~ e - a ~ 5 ~ : ~ a ~ C : . : : ? - :~>~. inclhd~g- g e p ~ e s e f i t a t i v e g _ f r o m many

" ~;: ~ """ : ~ ~-~;~ >" ~~ ~ ~ - f ~ - =:~"~-~°'~'~ ~=~< °~"" ~" ~~:"~ :r i~ ~ ~ :~-~0sp~al--/~socm~mn; 'ann Larry: ~ l:~yBicl~is ~ v a l u - ~ ~a-.Ed-ffcas~'~/~,prl-tZ~-=-z~,sponsorea-bY:~e -~eO g ~"----. . ~-~,~-.~:: ~- =~: -d;,-.- ;-,__~

• t m ~ a l R e w e ~ - ( P E E R ) , i X E ~ e r g e ~ c y - : = c ~ a p t e r o f : A C E B m c o o r d m a t m n w~th..-:.o.-:.- -_~: ~ . . . . .- , . . . . . . . . : -- ~,~-- ke Me( t f c~ne nave= o 6 ° e n " ~ e c e _ t v ~ a = b ~ . : ~ h ~ . ~ : ~ e o r g m ~ D ~ , , - : w z ~ t - e m p n a s ~ z e con=:_°::._- . . . . . . :: ~,~-:-~.--% -- u :_- _-:< _ - . :~

. A ~ n e ~ i e a n : C o l l e g - 6 , o~_ E m e t k ~ f i c y . : , > fi~i~i~g::~'d~ca[iofit_ f0 )~an42gg_ emer-~%. Aprese----n"~gn-s~:Ji : ; : t : : : - _ tL_C.

-ph~ysidiaflK T h e : e ~ a n ~ m a ~ i o f f e ~ n ~ : -q .~geh~6y:~hy~ic i~s /~nh ~ U : ~ e S ] I ~ c l u ' d e ~ -:~L- FSr .~cMi t ]~f la l i n f o r r h a t i o ~ , a n d reg~

P h p s i c f a n R 6 c o g M t i o m A w at-el,: ~r~ --- \ a l I 2 a a ~ - c 6 u r s e 6 f f p e d i a t r i c ~n~erge~n'-.:-~ G r a b e f , : . M D 6 f J o s e p h D : McPike_~ - . " - : . . ~_ ..:i - :" ~-'-~"" "" :°: " - : " :" " :" "'=~ " *'~:>~- " :'° -"~: -:M~" :-:~[ndlana ~ -'~- ":Chapte~=~ : - "ACEP,-°'~ 391~ Ca~ggo~y 5 : D : Tke 'g f f -m~ ~ f o u r I~mi~s c i ~ , - a p 6 ~ t - ~ a d f f ~ t e c o u r s e o n - t r a u m a " ..

appl:¢i-towara t -h 'e c o n t i n u i n g : eddca:~> ~-" a i ~ t 'a ' : -mini~te°ct 'ure"6~ :-~he-st t r a u ~ f a "-: - ~-Dtmdee: Dri°vG I n d i ~ n a p b l i s ~ I n d i a , ~ t loh" ÷ 6 q u i r e ~ n e n t o~ ~ : C E P : . . ~ ' : / : ": . -" :an-d°: th~ :d~i-o£~hg~-t~iBeg:~: ;~"J : . : - % ' - : ~:~62°27 - ( 8 i 7 ) 7 8 7 - 8 6 3 3 o r ~46: '3985,

""•: ..... ':--: : - --> ,-2: • %= (Pa~e i66:-- (.- ~.-: :"--- - .-J~i-Urnal ot'th=4"Am~icawC'611~gg:of=E~ierg-erf~Y WnyslcianS::-:. ...... -. MaffApr-197~

~sCF[IMINATORy pRACTICES[: , ,7f5C-"A~qrdf i i} t ¢ - J o h a ~ . Rfipke,-MD; " A ~ I N S T E D P H Y S I C I A N S ' % ; - L " .- : Cha i rman of t h e A C E P S6eio-Eeo;

ULT INLEGAL ACTION: 2 - ~ . - notate commi t t ee , similar si tuations ~,- ...~ --.- , - - -~- ~ - exist in New Jersey, New York, Flor-

~ghe cal i fornia: Chapter~ of A C E P - - id~ T e x a s . . . . . . " ' - : . - ~- - ~ . - ¢ aria wasnlngton.

has filed smt agmns t the State of Cak-- ..-~ " . . . . ~, .- .. .- . :- ifornia alleging discriminatory finan-:. ]:"~LLIOT SAIENGER, MD NAMED "

eial practices ggdlnSt%inei'~e~ncy~phy - : HEAD OF LOS ANGELES CO UNTY The format for the Scientific Papers sici ans'Wal~erT~Edwffr~ls'MD'pr~esi" EMER~ENCYSERVICESPRO~RAM - Session will be the same as last year, dent of tl~e: Catifdtnia~Chalhter; fO-? .-

rted on th~ ~ smt . . . . . in the- CaVfforn'm- : Eltiot Salenger, MD, MPH h a s b e e n " Each presentat ion will be limited to po!__~ newslet ter for DgOember-, " " appo in ted Medical Directm- for the ten minutes, followed by a five-minute

i~7:Edw~trds n6t6d, t.&t~:~he.; the[.. DimVi:: oil.: f :~e ;g : n~y uM~n ~yd ,~ae] pSaYr~ d~scussion period. In addition, a com- pleted manuscr ip t is to be handed in at

i Medicaid Act was 6~iginalIy passed; =~ m¢n$ of HeaI th Services. ~ " " the time of the meet ing for considera- the hop~ W-as:t l ihf ' inedidai:da¥oW.6uldj~ ~2 i~r::oSa]ei:/~er has~ dii~eet responsi : : t ion for publication in an appropr i a t e reachthose~vh-°f0¥merlyc°uId-n°taf: : ibil]~y fo/"coordinafing thgp lann ing , journal. ford it:~H~effe.i',fma~-:phys~c~iafls--_~ imlblemefltatibfi,.

'have refused to accept Medicaid pa- and evaluat ion of tients because of dissatisfaction with the amount and manner of reimburse- ment, according to Edwards. There- fore, many Medicaid pa t ien t s have turned to emergency depar tments for primary heal th care.

medical programs for all compo- n e n t s o f emer - g e n c y med ica l se rv ices in Los

- Angeles County.

merit of/~ specific injury or disease, etc.). Members are par t icular ly en- couraged to submit abstracts of com- pleted or ongoing laboratory or clini- cal resehrch. The deadl ine for the submission of abstracts is March 15, 1975.

According. to Dr. E d w a r d s , the These resp ons- "~- state gdv~r-nmOht '~took note of th is ibilities include paramedic training~ fac~ and a r b i t r a r i l X dec ided ~ t h a t ; : - d tsas-ter services, emergency a id pro-

: emergency i~hysie ians16ad no ~ ove r - - : gram, public information and educa- head and, therefore, wergen t i t l ed to - t ion on 6merge~cy medical services, :0nly 60.% o f t h e - a l r e a d y r e d u c e d r e i m - - ~ emerge~icy medical communications, bursOmo~/t giv6n physicians ~rt p r i : : hospital emergency depar tments and

~vate[office practice. Thls action Was amlJulance services. He also serves as taken withOUt an3~chan$6 in ?egula- - an- ass is tant professor of medicine, fions-6¥ chan-ge in law." " -- - pOblic health, a n d ~ m e r g e n c y medi-

: -;- . . . . . . . . . . . . : ~.i ~ : - - . c~ri~ at tile UCLA Schools of Medicine The Chapfor B o a r d : o f D i r e c t o r s . and Public Health.

[deCided- to ~file- silit- at: t h e i r October.: A ~at ive :of New York , Dr. Sal. ~mee~ir/g, after a t tempts to negotiate : ~. . enSer pre-¢iousty served on the fac-

~w~th t h e C a l i f o r n i a Depar tmen t ~ of-: u l t f 0 f th~e~Harvard School of Public Healtl~ had failed. At about the same -

.... , . . . . - Heal th , His profess ional member - ume severm organizations ot wetmre:- _ _ , -~ . ~ _ . , _ . . ,~ , , : ~ " • . / - ~ ~ - - ~ . . . , . s n i p s I n c l u o e ~ne ~ m e r m a n t ~ o t l e ~

~eg:~Pnstn[h:St5 $ 0fmC:li;::~n°:_~n-;:7~ of-Emergency Physicians, Amer ican ~- .- - -.¢ , < - - . . . . " . , ; College of Physicians, Amer ican Pub~ !:::;man~:tg:y.tf~a~'scD~:d:l::r;:tei::ts =. lic Hea l th Association, Univers i ty As- [h " - - -~ . : : : s o c i a t i o n for E m e r g e n c y Medical ~- ave: been deniod mair i s t re~m meai=< 7 .;.~-- . . - -=. : - . . . . . : Serwces, Amerman Tr~auma Socmty ~ C : a ~ ~ r C h ~ : : ~ S s ° 2 _ ~ ~:~:+ :-an 4 Metrolholi~an E m e r g e n c y 0oor- . . . . . : , , - : dinathi~S Ad~odldtion: ~amornia ACEP-chose--~b;joir~~his : ._ _ . ; suiL~ ~ ~-- ~ - ~ ;._. -.~.~ ~-- ..--:--~. . . . . : Dr , -Salenger serves as a ° consult-

.... = . : -'3 :7 : : ~• :.Z-~--. ? C-ant t 0 t h d Office of I n t e rna tmna lAd- . Afi, Ad Hoc Cofr/mittee fins been'up- ]:-: ministratior~: Depar tmenVof Health, p0inted to~ work :/vit]x legai:-obfincit:f .? Edfication= and Welfare. - Committee-membei~s a r e R o y Siam- " . . . . . . - . - . ' " : baugh, MD,-cha i rmaf i , :T~ ~ h e l t 0 n - ~ : SCIENTil~iC PAPERS REQUESTED Powers, MD; John McCab6~ M~D affd ..... FOR UA/EMS ANNUALMEETING

~ < c --:-': - C :; : .=. - The UA/EMS 'Program commit tee • Dr. Edwards- expressed the concern " wi l t considei ' .anyorigir~al contribu-

that, if this situation cont inues un- tion relat ing to the field of emergency ~challenged in California, i t is possi- medica l care ( inc lud ing o rgan iza -

ble that o ther states will take similar tibhal aspects of emergency medicine, discriminatory action: - - . . . . . . pathogenesis~ diagnosis and treat-

~ . ; ~ -°Abst rac tsshouId be: (1) l imited to. ~ ~ ~ ~ " ~ : ~250 words, typed double spacedon 8½"

" • x 11" bond paper, (2) authored, eo- .: ~ ! ~ : : authored or sponsored by a member. "

~ - ' ~ • The name and address of each author should be shown on the abs t rac t , (3)

" ~ ~ .~ ~"~ st~bmitted (3 copies) to:

Peter C. Canizaro, MD Universi ty of Washington School of Medicine Depar tment of Surgery Seattle, Washington 98195

Abstracts selected for presentat ion will be published in the printed program, which will be available to all members prior to the meeting.

NATIONAL EMS COMMITTEE HOLDS FIRST MEETING

The first meet ing of the Department of Health, Education and Welfare In- teragency Committee on Emergency Medical Services was held in Wash- ington, DC on December 5. Among the five public members of the commit tee at the mee t ing were ACEP members David S. Nelson, MD: chairman of the Depar tment of Emergency Medicine at F0rsyth Memorial Hospi- tal i n Winston-Salem, Nor th Carolina and Peter Safar, MD, chai rman of the Depar tmen t of Anesthesiology and Critical Care Medicine at the Univer- sity of Pi t tsburgh, Pennsylvania. kLlso serving on the ~ committee is EDNA member Bh~:bara Watts, RN, coordinator of Emergency Services for the Alexandria Hospital in Alexandria, Virginia. The other public members are John M. Waters, who is director of the Depar tment of Public Safety f o r the city of Jacksonville, Florida and Kenneth Kimball, MD, a practicing physician in Kearney, Nebraska.

~a¢/Apr 1975 Journal of the American College of Emergency Physicians Page 167

- = The f ive ~ w e r e p r e s e n t e d w i t h Pres i - den t i a l C o m m i s s i o n s by H E W U n d e r Secre ta ry , F r a n k Car lucc i .

The func t ion of t he c o m m i t t e e as s t a ted in i ts c h a r t e r is to " e v a l u a t e the adequacy and t echn ica l s o u n d n e s s of al l f e d e r a l p r o g r a m s a n d ac t i v i t i e s wh ich r e l a t e to e m e r g e n c y med ica l se rv ices and provide for t h e c o m m u n i - ca t ion and e x c h a n g e of i n f o r m a t i o n necessa ry to m a i n t a i n t h e coordina- t ion and e f f e c t i v e n e s s of such pro- g r a m s and ac t iv i t i es , and i t sha l l m a k e r e c o m m e n d a t i o n s to t h e s e c r e t a r y re- s p e c t i n g t h e a d m i n i s t r a t i o n o f t he p r o g r a m of g r a n t s and con t rac t s u n d e r

pugt]~'i~eaith a d v i c e ' s u c h as~'I-f0~{o ~ Check the Spread of RingwormS' to emergency information such as "First Aid for Electrical Shock."

This public health education system is called Tel-Med, and is operated by Memorial HoSpital Medical Center, Long Beach. Tel-Med utilizes audio tapes developed and approved by the hospital medical staff and equipment donated by the medical staff. The telephone information service is staffed by volunteers. A gift of $16,000 from the Memorm] and Chil- dren's Medical Center Foundation funded the eqmpment and operation

Oregon h a v e Te l -Med sy s t ems a n d l eas t 17 o t h e r c i t i e s a re in the beg~! n i n g or p l a n n i n g s tages ,

A r e l a t e d p r o g r a m , Tel-Hospital is be ing t e s t ed in two S a n Bernadia~ h o s p i t a l s w i t h a t e l e p h o n e switch. board a r r a n g e m e n t des igned for inpa, t i e n t use.

EMS INFORMATION COMPUTERIZED

A compute r -based i n fo rma tmn re. t r i e v a l sy s t em des igned for use by per. sons i nvo lved in e m e r g e n c y medical

Ti t le XI t of t he Pub l i c H e a l t h S e r v m e expenses for t h e f i r s t y e a r of service , se rv ices is now offered b . . . .

a ¢ ~ S e d a y - b n g , m e e t ~ r i g w e r e t h e ' d e ; .. ,hstingoth~ t a p e ~ b ~ h t T ~ ~:~: -- - : - " M~ll~gan,pro$~t[gs-~}51idgr~aP~h~c in~.

-cay ~rvlces* sraRldaras,- ~heAcernnca ..... 5 T~I M e / r ~ ; ~ , ~ e d " i ~ ~/}k~r~:-fr :o~;J ~ e m e r g e q d y : c m e a m a c S e r w c e s for EM~

--,. , .. - . _ :. :.-:.: x-;..; ..=_,...:o..-- = . - :±u~:m;±~z, rapes--anc~a:~o~ai"Oi o~,a~o -----~--- . :.o ...... - . --- ~: ~-. a. ~.

'llc~nsure•offqehicles;:the::establ~shi",-~:-.>,..,~.~ -A~:-~.: .... L.: ....... w ,.-.,.--:-";~,:;'-~-:,~: .......... -\--:---:" -:. - ~ -~ • , . . . . . '" ...... - - - " : -.- - - :-z " " . requesr~ mr. l m o r m a ~ m n was- n-analea . ,--~-- ~ : . e . ~:enver~- was-. o r g a n f z e a i~ - - - . . L . - . : - , ~ ¢_ :_; ~: ~-~.<?- -- . ~;°.. - - - -" b~L¢tie .serYtCe, . r : remc~aoty, :me. most~: . . .darcaary, . 1974, t h r o u g h a-gran~ to the a-creat ion oFreaerai 'cove~agF. I~iri~'l~elmu - - ' - " ÷ - ---'" ~-~ . . . . -- "4"~Y" " o. = -- --: ' , ,": ...... - ~ , ' " ? - " - - ": . . . . . . ~

. . . . . : --~. . . . . . . . . . . . - . . . . . . . . . . -:- ~ q ~ t e d : t a ~ e ~ S - - M a r l ~ u a n a , -the~/~: Michigan: C h a p t e r ~ o f ' A C E B from th~ :- , .,; . . . . . _; . . . . . . . -, . . . . . : -- seco~ct-mos~-popma!:,, , ,rm, dus~ 'l'irea~+---_ wncnigano As~oci~ition-for. .-Regiora[ • otponcyl~el'~/tlVe~OCOllj0f~Etunalrig~f'. - ~ - - - ; r - ; , : - . w ' ; : -:.. ; C . %- -o t~" • • - . . . . ; • , . . , 4 . ; ~ , ; . - ; ; . . - ~ . - : , - . . . . . . - , - - . - - . ; ,

,~ ...... •--_:: ~,:--: ~-; ~ . .~ . . . . . . . . -_uocmr~ ~-a~a-:rne mfrCpiace~went - . tb . - -./vie(ileAl r rog~a t l i s ..... - --- . . . . - ' y ~i~ . systems. The goal o f t h e E M S Infbrmati0~

S i n c e T e l - M e d w a s d e v e l o p e d in C e n t e r is to p r o v i d e h t e r a t u r e In add i t ion to t h e f ive pub l ic m e m -

bers, t he c o m m i t t e e is composed of 22 r e p r e s e n t a t i v e s f rom v a r i o u s federa l agenc ie s i nvo lved in some aspec t of e m e r g e n c y m e d i c a l s e r v i c e s . T h e c o m m i t t e e is a d m i n i s t e r e d by the Di- v is ion of E m e r g e n c y Medica l Se rv ices of H E W ' s H e a l t h Se rv ices A d m i n i s - t r a t i o n u n d e r t h e 1973 E m e r g e n c y Med ica l Se rv ices S y s t e m s Act.

H a r o l d O. B u z z e l l , c o m m i t t e e c h a i r m a n a n d a d m i n i s t r a t o r of t he H e a l t h Se rv ices A d m i n i s t r a t i o n , as- ser ted in his open ing r e m a r k s t h a t "This is an exce l l en t oppor tun i ty , w i t h a good s t a t u t o r y base , for m e m b e r s of the profession, the g e n e r a l publ ic and the federa l e s t a b l i s h m e n t to w o r k to- g e t h e r u n d e r one c o m m i t t e e w i t h one c o m m o n purpose - - t h e d e v e l o p m e n t of be t t e r e m e r g e n c y m e d i c a l se rv ice in c o m m u n i t i e s t h r o u g h o u t t h e n a - t ion."

HEALTH INFORMATION BY PHONE

In L o n g B e a c h . Ca l i fo rn ia , a te le- phone cal l wi l l ob t a in i n f o r m a t i o n on

1972 by t h e San B e r n a d i n o C o u n t y M e d i c a l S o c i e t y , t h e s y s t e m h a s sp read across t he count ry . Ind ianapo- lis, I nd i ana ; Wich i t a , Kansas ; S t a t e College, P e n n s y l v a n i a and Po r t l and ,

s ea rches on d e m a n d , by author , title, or subject, t h e n fu rn i sh bibliographies s i m i l a r to those offered by the Na. t i o n a I L i b r a r y of M e d i c i n e ' s MED. L I N E sys tem. The C e n t e r ' s data base

a wide r a n g e o f h e a l t h c a r e toptcs. T E L ' M E D V O L U N T E E R S a n d t a p e s ° n h a n d t ° r e s p ° n d t ° r e q u e s t s f ° r m e d i " |

Subjec t m a t t e r r a n g e s f rom rou t i ne c a l e d u c a t i o n m e s s a g e s . • j

J

[ e~tge~ 1 ~68~; ~ :~, :-.,.;~: ~-~ "~:Jb u rn~l- 6 f~he- A m e n car~ Co l l ege Of E~mergency_Pi~ys~cjans ~ ~- :" ~.~ ~. Ma r /~# r : l ~

I I I - F ' I [ - :TF;t: I t r i~. F F [ [ ttttFll F :

i,ff411 IJFIFF F;'-,, IttF.tH rl

,-rl IHE: I t l t F * J J i ' - I t ~ * l L ~ I I ' F ~ t ~ F t l t ' , ' i l F [ ' t l - t t " , F t~

i t II I4F E . i l F [ ! I . ' , i t t L I - ., I ~- F L~

I ~ [ I F : I l l i , I l l l l l " FI - t11t1"1, - " .L ]

I~ -F4 F t l f F h E . t'l~:',' i l F [ ~ l t ' l , lt. [ F I I t t F ' ,, u, l~- ~ r l l~ I [ .E , F I t F I [ t l , F r E F t ] E r l t " F f F ~ t f ' I l l t ,,' FF:FI,-,, I- I t l [ t lL.. i- l t- l t E [ , E - I G H , I - r l E F l d [ - ~ l ' , ' F I F r ~ l l F l [ l F I F ~ t l I z~-,ll: , F [ , l l I . H r l l ~ t l , F'l. l[t I~

i l l / f f l l l i - I I I l - q T r l l H , r l F - [ l l V l - I t l F F l - - I r r l F i t ~ , , ' f - l t l ' F t ~ F l ~ i r r l ~ t t itF- I I I l l , I l l , , F [ I F ' , [ , t l , i ~ [ I }k, HI "~'[I-F.-.: FLIT, I ,"11, I , i l . l~[tl tf '~ t [ II1[ , kl~ [[[1"I I I [ , , I I IFI t I[ I 1 , , Ir-ll [ - I [ ' . : F rF -r ( t r l q , iiF Hrl [.~ FII I l [q[ [I'1 - , , i t{}'[~ I I I ] H 1 Ill tlF II ~ ' E : ~ ' F , i t~F [ i r l l F , I I [ r l l I t l F I F " ' FFS, . l l , i - : J " IF ' ]FFnH. , I I F F = I E F F L h I I t I H , ~ ~ l f r° i r~:~ l FIFFF : c l , , IH I "F rr'~-q Ft'EFI~F-14~ .... I l-IF,E,, ~ l F[- [ Kit.l,. k i~lll . l[i - , t i i r , [ [ E ' l-tItll t FI[ []11[ [ ! , F i I [ FIeF rl~ " F E F~F ~ - , , l-F-tl , I F L E . F H V d - I E . " , FIFL. I~t~F"rF-F F l t l [ I f L l - i f l t f ' , F I I [ 'F I I ~ . IFF I .4 ' , I I [ [ F t r - I l . f fF l . P

I t l

I'F

Bi~" L~QGRA~R!.C~RI~T~OUT frb/n EMS ~Informa~ti6n ~enter c-~khputer, i/~clud,%g autl~dt,: title,jO~triml w[th'page

;is lin 4-i½ed [5~ahd c0ver~ {n depth, ~ h e : : t i nued r e f i n e m e n t o f ihefeomp~uter g ran t s of up to $600,000 wil l be c o n - ] i t e r a t ) ~ £ f e m d r g e n c y medic ine a n d sys tem a n d er~larg#ment_-ot~.resource • . s idered i n t e s t i ng the feas ib i l i ty of EMS: MEDLINE cloes/not:,c6rr~enl:ly'-: ::•: fi]es ,•~.; - • ' - - - • ; " . - . ~-;this approach. :• " ' " " • - meluae- t ~ e dubj6c~. . . . . . . . . . . . . . . . . . . . . " . . . . . . . . " lSead/ia'gs ne6~s- 5. . . " F O e fu r t he r irifoi~maH0n, abOiat the -- A l is t o fqua l i f ica t i0ns has been de- :sary for a• titera~t~r6 seare5 oia-EMS: :i: - E M S : i n f o r m a t i o h Cen~er;• e~onta6t " .vetoped for hospi ta l s seekingfou~ada: topids(r{~Jr does ~t in-dex manyj-ournats ~: . . . . -:~ " - " " . . . . * - . - . " . . . . . . . . . . . . . . . . . . . . . . . J u d i t h Rudolph, Informatmz~Specml- - ~ibn ass~s~ariee. T h e qua l i f i c a t i ons relevant to r e sea rch -m ~he field - -== - ,- ~ - , ~ , ' - ; "~*'= ....... ~ - • . . . . . ; . " - - "

Re'cent]~y,'the Centgr Wafirequestec[ ...... E?'S~git//iW, Eas t Lhnsing, Michigarr - . . . . . . . . . . . . . . to provide informat ion about the ef- 48823. fects of in i t ia l t r e a t m e n t of myocard ia l infarct ion by e m e r g e n c y m e d i c a l technicians. Since MEDLINE does not include s u b j e c t h e a d i n g s for ca r - d i o p u l m o n a r y r e s u s c i t a t i o n or emergency med ica l t e c h n i c i a n s , i t could not provide such information. The EMS Informat ion Cen te r is speci- fically des igned to provide bibl iog- raphies o r i e n t e d to t hese k i n d s of topics.

The Center is a founding m e m b e r of the Nat ional Emergency Medical Ser- vices I n f o r m a t i o n G r o u p (JACEP, July/August 1974), an organ iza t ion of individuals and ins t i tu t ions involved in d i s s e m i n a t i n g i n f o r m a t i o n on emergency medic ine and EMS. Each member organiza t ion offers EMS information services, such as the Na- tional E m e r g e n c y Medica l Services Information C l e a r i n g h o u s e (NEM- SIC), which provides informat ion pac- kets on specific topics in EMS, and the National H ighway Traffic Safe ty Ad- n~inistration's Rescue and Emergency Medical Service Division which coI- lects informat ion on EMS systems.

The Center has recent ly submi t t ed a request to the Na t iona l L ib ra ry of Medicine for funding to suppor t con-

N O R T H C A R O L I N A F O U N D A T I O N S A N N O U N C E F U N D I N G P R O G R A M

Three N o r t h C a r o l i n a c h a r i t a b l e f o u n d a t i o n s , w i t h e n c o u r a g e m e n t from the s ta te ' s hospi ta l associat ion and medical society, a r e cons ider ing suppor t i ng fu l l - t ime phys i c i an cov- e rage in emergency depa r tmen t s as a possible so lu t ion to t h e p rob lem of access to p r i m a r y hea l t h services. •

Uneven d is t r ibu t ion of h e a l t h care p e r s o n n e l a n d r i s i n g d e m a n d for hea l t h services have resul ted in a lack of p r i m a r y h e a l t h care for cer ta in por- t ions of the Nor th Caro l ina popula- tion. A major need is emergency care on nights and weekends which is eas- i ly accessibIe to all.

Two of t he th ree foundat ions, the Ka te B. Reynolds Hea l t h Care Trus t and the Z. S m i t h Reynolds Founda- tion, have a l r eady agreed to suppor t ful l - t ime emergency phys ic ian cover- age in a selected number of hospi tals . The Duke Endowmen t is expect.ed to provide f i nanc i a l a s s i s t ance as the p r o g r a m evolves . A p p l i c a t i o n s for

AVOID FAILURES

/ ,

qth the new

DEFIBRILLATOR C H E C K E R model 400 New mexpenswe and safe dev ice that tests the proper funchonmg of anyde f ib rd la to r A C o r D C • Easy to use by anyone ONLY • Needs no main tenance A ~ I I ~ • Mounts In m inu tes $ 5 0 4 7 • Guaranteed for 5 years r Ca/ /o r wr i te Row Fre lqht incl

Phone (516) 437-5119 32 Cherry Lane Floral Park N Y 11001

i .. A P ( 4 . 9 7 5 ~ / : ? : : \ : :.• . J o u y o a [ of.:!he•$m.e~ica.noC6!l~gd6f E m e + r g e f l c y P b y s i o i a n s ~ : • - : ~ P a g e 1 6 9

We inventedit.

We improvedit.

The Pan American Medical Associ- atiqn’s 50th Anniversary Congress ‘_ will be held in Hollywood, Florida, O& tober 24-29; 1978 -

; . Thy& eA&!&‘a 55 di&erent me&i: -. , caI%&& virtually all branches. of; i medicine and surgery wi.11 be covered. Th& Executive Committee of the Set-

‘-tion-on Emergency Medicine, invites physiciatis ts submit papers or offer to.

: serve.as G-panelist or be members of a.. round table discussion within this.

: Secti0n. Karl G. Mangold; MD, ACEP- secretary/treasUrer, serves as president of the Section, : New Pocket Masks

From Laerdal. --- With or without Oxygen Inlet Valve.

Presenting two improved pocket resusci- tators. One has an oxygen inlet valve: easily connects to oxygen so you can provide oxygen enrichment with mouth- to-mouth resuscitation.

Both have a soft vinyl cuff (already permanently inflated). And pliable trans- parent dome that fits face snugly.. . gives clear view of nose and mouth. (Model with oxygen inlet valve also has head- strap.) Resuscitation is more effective because an enters nose and mouth simul- taneously. You work more confidently and effectively because there’s no mouth- to-mouth contact.

To l&e a’- scientific,.paper consi-:

dered, submit the title and an abstract; not to -exceed 200 words, to Jostiph J. ERer, MD, director general, Pair American MedicaI Association, 745 Fifth Avenue, New York, New York 10022-

.-. _ -<. .

ED tii~AiM&~ GUIDE FOR CONTACT LENS WEARERS

4- -ii &i$&&, && thg h&&f&i~ gon-- i profit, that application for grants be approved by the hospital board offtrus- tees and medical staff,-that grants apply only. to full-time physician services and that the hospital agree not- to- deny attention -to any patient on. the initial visit to. the emergency de-. partment.

&EiiTiik Pii’ERS‘SOUGHT - FOR 1976 P/Vi/IA CONGRESS

Easy to use. ideal for ambulances, fire and police departments, schools, hospitals, first aid stations, life guards, Tested and approved by leading authori- ties in the field of resuscitation in the U.S. and Europe. Wrote today.

Masks collapse and frt into sturdy pocket- size plastic cases. Under three ounces.

One Labrmla Court Armonk tn Canada Sstety supply co Toronto ant BranCheS coast-to-coast

As contact lenses increase in popu- larity, emergency department per- sonne1 are seeing growing numbers of contact lens wearers. Proper technique in removing the lenses can avoid possibie eye damage.

The American Optometric Associa- tion advises removal of the contact lenses as a safety precaution. Allow- ing the lenses to remain in the eye for any length of time when the wearer’s natural blinking mechanism is not functioning normally might result in cornea1 abrasion or other serious prob- lems. However, improper removal of the lenses can cause eye injuries, the Association cautions.

Step-by-step instructions for removal of the lenses are offered in a newly revised ‘“Contact Lens Emergency Care Information and In-

_ -__ .1 .~ :-_- >- --i &;&$;~ p&@~,~"i‘h~ &j&r;atea in

struction sheet covers-every step fpDq deter?&&&~?f the $ctiti~- is wearia& contact ler+aes to- the: $Gnoval of th6 various kinds of lensebanclwhat to do after they have been removed,

The ins&&ion p’acket^ is aV$l&k

for 50 cents Gach froni tl&F%blic ln. formation Divisioti? American op. tdmetric -A&ociatFon,.-7000 Cl&pew, Street, St. Louis, l%sOU$631L9.

.I~ .

The TUTOR@ Audio/Visual Training System re- creates on any scope, EGG Arrhythmias tape recorded from actual patients wrth concurrent narration by a cardrologist providmg mterpre- tatron. Characteristrcs of all arrhythmras are thoroughly explamed

All factors in the TUTOR Programs can be mastered by playing the Cartrrdges agam and agam as necessary

29 Programs are currentlv avarlable and soon new Programs for Paramedics and Emergency Department personnel.

Write or call for detarls or a no obltgatlon demonstration.

PHYSIOLlB@CAL TRAINING COMPANY

d/vision of Wolff industries 2485 Huntington Drive

San Manno, Cahfornta 91100 1213) 793-9149

NEWS/Continued from page 170

For information about these films or any of the 10 film programs in the American College of Physicians Library, contact ROCOM, One Sunset Avenue, Montclair, New Jersey 07042, (201) 785-6700, ext., 354.

AMRA REAFFIRMS PATIENT RIGHT OF PRIVACY

Confidentiality of patient records was reaffirmed by action taken at the American Medical Record Association House of Delegates during its 46th Annual Meeting in San Francisco, California.

Their position paper stated “while the patient does not have the property right to his record, he does have the protected right of information . . . unless the patient can feel assured that the highly sensitive and personal information he shares with health care professionals will remain confidential, he may withhold information critical to his treatment, thereby diminishing the quality of care provided him.”

The AMRA attributed much of the erosion of trust be- tween patient and physician, or other health care professionals, to the high growth of computerized health data and interlocking record systems. A contributing factor is increasing demand for patient information by third party payers to substantiate claims for payment. AMRA ac- knowledged the need for patient health information to substantiate payment and evaluate care, but asserted that release of identifiable medical information must occur only with the authorization of the patient or legal agent.

CHICAGO OFFICE WORKERS RECEIVE CPR TRAINING

Thirty Chicago office workers in the 24-story Old Repub- lic Insurance building have been trained to give life- sustaining aid in the crucial first five minutes to persons stricken with heart attacks.

In October, the 30 volunteers attended their first three- hour clinic sponsored and taught by the Public Safety Officers Foundation (PSOF). They were taught a simple technique of cardiopulmonary resuscitation (CPR), re- ceived an orientation in basic anatomy, and were trained to deal with airway obstructions, pulmonary arrest, car- diac seizures and serious threats to life resulting from electric hazards and water accidents.

Jan Schwettman, executive coordinator of PSOF, ex- plained, “We are aiming our course mainly at people who work in high rise ,buildings because emergency medical teams often find it impossible to reach victims of heart arrest at these locations within the crucial first five minutes of an attack.”

According to Ms. Schwettman, the American Medical Association is among the organizations requesting that the PSOF offer a CPR clinic for its employees.

JOURNAL OF TRAUMA NAMES NEW EDITOR

John H. Davis, MD, has been named to succeed William T. Fitts, MD, as editor of The Journal of Trauma. Dr. Davis is chairman of the Department of Surgery at the Univer- sity of Vermont College of Medicine in Burlington.

Page 181

Documents

ACEP news