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LATEST NEWS IN VIRGINIA EMERGENCY MEDICINE

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New Virginia law led by VACEP and physician legislator will improve fairness in Virginia Board of Medicine reviews
New Virginia law led by VACEP and physician legislator will improve fairness in Virginia Board of Medicine reviews

For many physicians, receiving notice of a Virginia Board of Medicine complaint can be one of the most stressful experiences of their career — even when the complaint is unfounded and ultimately dismissed. Here’s a new law that will help improve the process, along with a handbook you can use in the event you are served with a complaint.

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EBM Review Series: Picking the Right Chest Tube, Does Size Matter?
EBM Review Series: Picking the Right Chest Tube, Does Size Matter?

A thirty-year-old male presents to the emergency department (ED) as the unrestrained driver of a rollover motor vehicle accident. During his trauma assessment, the patient becomes progressively more dyspneic, and you are unable to auscultate breath sounds on the right chest wall. Do you reach for the pigtail catheter (PTC) (</=14 French) or the large bore catheter (LBC) that you were trained to place for a hemothorax (28-32 French)?

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New Virginia law delays release of certain test results
New Virginia law delays release of certain test results

A Virginia law will change how and when certain diagnostic results are released to patients. It’s a shift that could have significant implications for emergency departments. Here’s what it means for emergency physicians and health systems.

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Governor signs new laws affecting emergency care, workforce and patient communication
Governor signs new laws affecting emergency care, workforce and patient communication

Gov. Abigail Spanberger has signed several bills into law that carry implications for emergency physicians, hospital operations, and patient care across Virginia. See how medicine in Virginia has changed.

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EBM Review Series: End-Tidal CO2 Measured at Triage Outperforms Standard Vital Signs – Potential Utility and Value of ETC02
EBM Review Series: End-Tidal CO2 Measured at Triage Outperforms Standard Vital Signs – Potential Utility and Value of ETC02

A patient is brought to the emergency department (ED) by emergency medical services (EMS) with concern for sepsis. The patient has a history of urosepsis but is oriented with vital signs in the normal range. You - the physician - are deciding if it is appropriate to sepsis alert the patient now, or if you should first collect more data. What other information could be used to better inform this decision?

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Joint Statement from the American College of Emergency Physicians and Virginia College of Emergency Physicians on Due Process, Transparency, and Due Diligence in Emergency Medicine Contracting
Joint Statement from the American College of Emergency Physicians and Virginia College of Emergency Physicians on Due Process, Transparency, and Due Diligence in Emergency Medicine Contracting

ACEP and VACEP outline transparency, due process, and patient care priorities amid Valley Health’s emergency medicine contract transition.

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ATTEST TO ADVANCED PRACTICE COMPETENCIES

Virginia Nurse Practitioners can practice independently after three years of training and collaboration with a physician in the specialty in which they seek to treat patients. We encourage all emergency physicians to review our list of competencies and attest to any NP’s skills before signing off on autonomous practice in the ED. Get our letter and find our list of required competencies.

Ask VACEP is our confidential service for Virginia’s emergency physicians that taps into the collective minds of Virginia’s emergency medicine community for answers to clinical questions. Ask VACEP a question now.

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