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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 need federal public health, we need leadership from physicians & institutions @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

@arjunvenkatesh.bsky.social on all things boarding- why the ED is busy it’s hospital capacity (also related to nursing home & hospital nursing staffing) #ACEP26

ED crowding / boarding results from hospital o & health system dysfunction and lack of capacity (flow) it is NOT low acuity patients ED wait times have functionally replaced the Ottawa ankle rule @arjunvenkatesh.bsky.social #ACEP26

all sorts of factors in ED boarding and outcomes @arjunvenkatesh.bsky.social #ACEP26

ambulance diversion doesn’t help ED boarding, hurts patients physician in triage: some minor improvements with low acuity patients, LWBS but *worse* boarding @arjunvenkatesh.bsky.social #ACEP26

building more ED spaces doesn’t help ED LOS flow smoothly, ie surgical schedule smoothing, is great if you can convince surgeons to operate on Fridays / weekends, and the infrastructure for it (eg more transporters on weekends) @arjunvenkatesh.bsky.social #ACEP26

if you use ED obs really well (avoiding inpatient admissions) they can help boarding in practice it can be a lot of hospital-based outpatient care (eg specialty consults, imaging) that could be outpatient if the outpatient system worked @arjunvenkatesh.bsky.social #ACEP26

inpatient discharge lounges have face validity and should work but are understudied @arjunvenkatesh.bsky.social #ACEP26

inter campus load leveling can work (Yale’s are only a mile apart) but patients need to know they are getting the same level of care much easier to convince patients to be transferred to the other site IF the patient had boarded in the ED before @arjunvenkatesh.bsky.social #ACEP26