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work with patients and their often understandable (even if based on #misinformation) to help get them the best care #ACEP26

#misonformation summary from Dr. Bernice Fokum, MD, MPP #ACEP26

we do a LOT of reproductive health care in the ER aortic dissection, PTX, tamponade, ruptured AAA: each *well* below 1% of ED visits each ER doc treats 800 patients with early pregnancy loss in their career #ACEP26

we don’t choose what crises we face if patients don’t have access to other care, they come to the ER #ACEP26

SCOTUS’ Dobb’s decision means states are going to revisit birth control access adolescents especially are at high risk for poor access, unintended pregnancy and reproductive-related health risks #ACEP26

the post-Dobbs landscape means worse health care for miscarriages and other reproductive care, not “just”elective pregnancy terminations state laws adds legal risks to necessary medical care #ACEP26

EMTALA supersedes state abortion bans BUT it’s often legally unclear what carve outs for ectopic pregnancies, often unclear what “medically necessary” or missing technical details (eg c section scar ectopics) worse care means more transfusions and deaths #ACEP26

mifepristrone is under attack, despite being standard of care for early pregnancy loss, making medical care difficult #ACEP26

reproductive care resources for ED docs: FemInEM Access Bridge UCSF Hotline ACEP! #ACEP26

ACEP supports reproductive health carre training for residents, including early pregnancy loss care #ACEP26

“manual vacuum aspiration is a life-saving procedure for patients in hemorrhagic shock and we should teach this like we teach pericardiocentesis” (para) #ACEP26

ACEP supports POCUS education to *diagnose early pregnancy loss*, not just “rule out ectopic” #ACEP26

@drdebhoury.bsky.social EM as leadership Colin C. Rorrie, Jr. Lecture at #ACEP26

7 leadership habits for EM or anything from @drdebhoury.bsky.social at #ACEP26

Decisions cannot wait for perfect information do the best we can with the data we have and adapt to new evidence @drdebhoury.bsky.social #ACEP26

we shouldn’t be the smartest people in the room, we should work with experts and apply the best expertise #ACEP26

clear, simple communication without jargon, and data *with a story* refocus on what matters — work together to achieve shared priorities @drdebhoury.bsky.social #ACEP26

ER docs advocate *constantly* because we see things first because we have to @drdebhoury.bsky.social #ACEP26

“if I do/don’t do this, will I be able to sleep at night?” @drdebhoury.bsky.social #ACEP26

“know when to call the code” @drdebhoury.bsky.social #ACEP26

we can’t just restore, we need to rebuild stronger & better @drdebhoury.bsky.social #ACEP26

inspiring talk from @drdebhoury.bsky.social at #ACEP26

audience member asks about potential hope in partnering with MAHA to advance public health: @drdebhoury.bsky.social : the MAHA *people* are generally reasonable (<10% are antivax) but the MAHA leaders are conflicted (selling supplements etc) or lying about data (RFKjr) [para] #ACEP26