RESOLVED, That ACEP support research on ED-initiated overdose education with Naloxone distribution to determine the efficacy and effectiveness of a diverse number of programs to prevent both fatal and non-fatal overdose.

Testimony
The majority of the testimony was in support of the first two Resolveds. There was concern about the use of the word “all,” because it would place an undue burden on first responders. Concern was raised that the third Resolved was too broad, substance abuse services are not always available, and expense could become a burden as an unfunded mandate. Concern was expressed about the fourth Resolved because of its broad scope and cost. This is the final resolveds adopted by the Council.

Resolution 42 Reverse an Overdose, Save a Life (as amended)

RESOLVED, That ACEP advocates and supports training and equipping first responders, including police, fire, and EMS personnel, to use injectable and nasal spray naloxone; and be it further

RESOLVED, That ACEP advocates and supports the availability of naloxone being dispensed over the counter with overdose education by a pharmacist.

Dr. Klauer is director of the Center for Emergency Medical Education and chief medical officer for Emergency Medicine Physicians, Ltd., Canton, Ohio; on the board of directors for Physicians Specialty Limited Risk Retention Group; assistant clinical professor at Michigan State University College of Osteopathic Medicine; speaker of the ACEP Council and chair of the Council Steering Committee; and medical editor in chief of ACEP Now.

Summary of 2014 Council Resolutions

Resolutions Not Adopted (NA) or Withdrawn (W)

10 Subspecialty Certification and ACEP Fellow Status (NA)
14 National and Chapter Dues Waived First Six Months (NA)
15 Communication Rules for Fair and Open Dialogue (W)
16 Freedom of Speech (NA)
19 Cannabis Recommendations by Emergency Physicians (NA)
27 National Decriminalization of Possession of Marijuana for Personal and Medical Use (NA)
34 Clinical and Academic Equivalence Among Pediatric Emergency Physicians (NA)
35 CME for Nurse Practitioners and Physician Assistants (NA)
37 Emergency Departments as Primary Sites for Organ Donation Registration (NA)
40 Pain Management in the Emergency Department (NA)

Referred Resolutions

8 Fellow Status Continued vs. Continuous Membership
17 Advocacy for Professional Licensure of EMS Providers
38 Geriatric Emergency Department Accreditation

Non-Bylaws Resolutions

Requires a 3/4 vote to amend or overrule.
1 Commendation for Marilyn Bromley, RN
2 Commendation for W. Calvin Chaney, JD, CAE
3 Commendation for Andrew E. Sama, MD, FACEP
4 In Memory of Ben C. Corballis, MD, FACEP
5 In Memory of Noelle A. Rotondo, DO, FACEP
12 Affiliate Membership Feasibility Study (as amended)
13 Medical Student Voice in ACEP Council (as amended)
18 Assistant Physician Designation (as amended)
20 ED Information System Safety Issue Recognition and Management
21 ED Mental Health Information Exchange (as substituted)
22 EMTALA-Related Liability Reform (as amended)
23 Examination of Stark Law Potential Implications
24 Future Funding for ACEP Report Cards in the Emergency Care Environment (as amended)
25 Human Trafficking (as amended)
26 Impact of High Deductible Insurance Plans (as amended)
28 Parity in Reimbursement for Telemedicine Services (as amended)
29 Safe Citizen Day (as amended)
30 Sexual Assault Victims’ DNA Bill of Rights (as amended)
31 Single-Payer Health Insurance (as substituted)
32 Anonymous Expert Physician Testimony for a State Medical Licensing Board (as amended)
33 Bariatric Emergency Department Guidelines
36 Development of Telemedicine Policy for Emergency Medicine
39 Naloxone Prescriptions by Emergency Physicians (as amended)
41 Pedestrian Injuries Are Preventable
42 Reverse an Overdose, Save a Life (as amended)
43 State Medical Licensing Board Anonymous Complaint (as amended)
44 Support for Clinical Pharmacists as Part of the Emergency Medicine Team
45 Trauma Center Certification Task Force (as amended)
46 Triage Screening Questions (as amended)
47 In Memory of Karl Ambroz, MD
48 In Memory of George Podgorny, MD, FACS, FACEP
49 In Memory of Otto Floyd Rogers III, MD, FACEP
50 In Memory of Francis M. Fesmire, MD, FACEP
51 In Memory of Richard V. Aghababian, MD, FACEP
52 In Memory of Gail V. Anderson Sr., MD