The 50th annual meeting of the American College of Emergency Physicians (ACEP 2018) was the most well-attended meeting yet, topping out at over 6,800 attendees.
Just got word that we broke our attendance record and #ACEP18 is now the largest EM meeting of all-time beating Las Vegas 4 day attendance registration numbers. #SanDiegoRocks Congratulations to @EmergencyDocs @ACEPNow pic.twitter.com/EPHXbnvA4v
— Paul Kivela (@drkivela) October 2, 2018
Given that emergency departments are open 24/7, many of us had to stay behind and man the hospitals. What is one to do? Follow virtually via Twitter, of course. Here are some themes I found most interesting.
EM Docs Remember When We Didn’t Exist (and Pay Homage to Those Who Made EM Possible)
Day 1 of ACEP 2018 was all about the “Titans of the American College of Emergency Physicians” where the first members of ACEP were honored, including a former colleague of mine who I never knew was one of the first members of ACEP!
Titans of Emergency Medicine and the founders of the specialty. Hundreds of millions of people owe their lives to these people #ACEP18 @EmergencyDocs @emresidents pic.twitter.com/QJlM70tZQd
— Angie Mattke (@diverdowndoc) October 1, 2018
The founding mother of EM and first female EM resident Pam Benson MD was honored with the Trailblazer Award created in her honor.
The very moment Dr. Pam Bensen found out they were naming an award after her - the Trailblazer Award. 😭😭😭 @icd10MD #ACEP18 https://t.co/h8UUf0Gig4
— ACEP - Members (@ACEPNow) September 29, 2018
Scooters Were a Huge Hit
For San Diego, being a sunny, warm city 99% of the year apparently means that electric scooters are the ideal way to get around.
The natural predator of the EM doctor resting, ready for another day. #ACEP18 pic.twitter.com/v0jfIxutkt
— GruntDoc (@gruntdoc) October 2, 2018
At least that’s what several Twitter feeds suggested.
For the safety of the public I have personally confirmed that while at #acep18 and attending #EMRAatACEP18 events, riding the local electric scooters is a convenient and fun way to get around town.*
— EMinHiding (@EM_EBM) <a href="https://twitter.com/EM_EBM/status/1046160792909828096?ref_src=twsrc%5Etfw">September 29, 2018
*side effects may include TBI and/or death.
There were even bets being discussed as to how many EM docs would wind up as casualties. The number I saw quoted was one, so I guess EM docs are a pretty coordinated bunch. The lack of helmets being worn, however, suggests that we’re not always the best at practicing what we preach.
Diversity and Inclusion Were High-Profile Subjects
The diversity and inclusion section meeting was a standing room only event, growing to 120 members in a short 5 months! Data shared during this section meeting showed that patient outcomes are actually improved when there is a diverse workforce.
It is standing room only at the #ACEP18 Diversity and Inclusion Section meeting - this is what momentum looks like. This room looks like the future of EM to me. pic.twitter.com/QkOd2PQRCZ
— Dara Kass (@darakass) October 2, 2018
Ongoing attention was given to gender disparities, in a large part due to work by Drs. Esther Choo and Dara Kass.
The amazing @choo_ek presenting on the last day of #ACEP18 on “building a better workplace: gender equity in emergency medicine”@EmergencyDocs Next year put this lecture in prime time! pic.twitter.com/05gpfhIkkv
— Jeremiah Schuur, MD (@JSchuurMD) October 4, 2018
A thoughtful discussion about benevolent sexism was tweeted by EM resident @mcsassmd. Benevolent sexism refers to a positively oriented bias like saying “women are more organized” or “they’re more nurturing” suggesting that women should be “cherished/protected,” which only reinforces subordinanation. Benevolent sexism is used as a reward for conforming to the female gender role whereas hostile sexism is punishment for not conforming.
What’s the problem with benevolent sexism? @feminemtweets #ACEP18 (#FOAMtox represent) pic.twitter.com/j9zGgBjPyE
— Sass, MD (@mcsassymd) October 1, 2018
Ketamine is Apparently Good for Everything
It’s good for the following:
- Status asthmaticus
Ketamine can be your savior in a anxious status asthmaticus that's threatening intubation.
— Puneet Gupta (@EMdocinabox) October 3, 2018
.2mg/kg bolus
.5 mg/kg/hour for 2 hours #ACEP18 #Pediatrics #FOAMed @ketaminh
2. Agitated trauma patients
Hayes: trauma drugs
— Manrique Umana (@umanamd) October 4, 2018
“Use lower doses of ketamine to control de agitated patient…”#ACEP18 pic.twitter.com/NxnnZx7fid
3. Alcohol withdrawal
Ketamine use in trauma & the ED. Great talk from @PharmERToxGuy #Acep18 pic.twitter.com/4yR56xtsSG
— Katelyn Dervay (@Katelyn_EMPharm) October 4, 2018
There’s an Increased Role for Social Media in EM
Mention was made of Twitter-famous women in emergency medicine like Drs. Esther Choo, Megan Ranney, and Dara Kass.
Hey @jeremyfaust the admiration is mutual. Together we change the world! #HeForShe #acep18 pic.twitter.com/udeLx1H3dI
— Megan Ranney MD MPH (@meganranney) October 3, 2018
There were also formal Twitter ambassadors, like Dr. Justin Hensley, live-tweeting the conference.
Coming soon. #ACEP18 pic.twitter.com/vOftn3TZwL
— Justin Hensley (@EBMgoneWILD) September 27, 2018
At least 3 different EM podcasts were represented at ACEP, including ACEP Frontline hosted by Dr. Ryan Stanton…
Got the first podcast for #acep18 in the books today with Dr. Levine talking about antibiotics, antimicrobial management, and the @emresidents EMRA Antibiotic Guide. It will hit devices Monday! pic.twitter.com/FsQ3vrY21i
— Ryan Stanton MD (@EverydayMed) September 30, 2018
FOAMcast…
First met at ACEP 13 now podcasting for our 5th year at #ACEP18
— FOAMcast (@FOAMpodcast) October 1, 2018
Find a work partner like this, y’all pic.twitter.com/RY6ie9DxgH
And EM:RAP.
We are very pleased to present our 2018 #EMRAPgo fellows! #emrap #acep18 #EMRAPLive18 pic.twitter.com/JZxyBm0x0b
— EM:RAP GO (@EMRAPGO) October 3, 2018
EM Docs Apparently Know How to Throw a Party
From closing down a street in the Gaslight District for the opening party to launching actual fireworks for the closing party, EM docs know how to have a good time!
Apparently ER docs can shut a street down #ACEP18 pic.twitter.com/hiq4DxpHxo
— edward lew (@elewMD) October 2, 2018
Who doesn’t like fireworks?
— Manrique Umana (@umanamd) October 4, 2018
(ok, pets 😬)#ACEP18 closing party! pic.twitter.com/0j8NE7sOdz
I want to end this recap with some insight from, Mel Hebert MD, a keynote speaker at ACEP 2018 who shared her reasons for why we do EM:
- You get to do cool sh*t w/ cool drugs + it’s legal
- You are the most interesting person at the party
- We get to ponder life + death every day
- We make a difference, every day
#ACEP18 @MelHerbert Why Do We Do EM?
— Anand Swaminathan (@EMSwami) October 1, 2018
1. You get to do cool sh*t w/ cool drugs + it's legal
2. You are the most interesting person at the party
3. We get to ponder life + death every day
4. We make a difference, every day
5. It makes us superheroes
5. It makes us superheroes. And we get to say, “I did something useful with my life… I worked in the ER.”
The keynote speech by doctor @MelHerbert during the first day of #ACEP18. Absolutely incredible. pic.twitter.com/SDIJIR5cW9
— Ahmad Maqadmi (@A_Maqadmi) October 2, 2018
Although I couldn’t attend #ACEP18 this year, I still feel like I got to hang out with my people, a group of professionals I count myself lucky to be a member of. Maybe next year I’ll get to experience it in person!
Dr. Irene Tien is a board-certified Emergency Medicine and Pediatric Emergency Medicine physician who still loves to help patients in the emergency department. She creating a space to connect with patients via her telemedicine service and blog My Doctor Friend.
Dr. Tien is a 2018–2019 Doximity Author.