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{
    "pk": 53126,
    "title": "Environmental Advocacy by the American College of Emergency Physicians: A Brief History of Climate and Sustainability Resolutions",
    "subtitle": null,
    "abstract": "<p>Emergency physicians are on the front lines of climate-driven illness and disaster. Reducing healthcare’s carbon footprint and increasing sustainability can improve planetary and patient health, lower healthcare costs, and boost healthcare job satisfaction. Over the last decade, the American College of Emergency Physicians (ACEP) progressed from early recognition of climate impacts on health to actionable sustainability advocacy. Council resolutions—ACEP’s formal mechanism for policy development—reflects this trajectory, beginning with requests to study climate effects, advancing to coalition engagement, and culminating in operational guidance for reducing emergency department waste and carbon emissions. This paper summarizes the climate and sustainability resolutions presented to the ACEP Council, including brief descriptions and their outcomes. It provides emergency physicians and health system leaders a framework to track and implement ACEP’s sustainability advocacy, with the goal of reducing healthcare’s carbon footprint and improving both planetary and patient health.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Climate Change",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9tf465w0",
    "frozenauthors": [
        {
            "first_name": "Gayle",
            "middle_name": "",
            "last_name": "Galletta",
            "name_suffix": "",
            "institution": "University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Hillary",
            "middle_name": "",
            "last_name": "Irons",
            "name_suffix": "",
            "institution": "University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Dana",
            "middle_name": "",
            "last_name": "Matthew",
            "name_suffix": "",
            "institution": "Burrell College of Osteopathic Medicine, Melbourne, Florida",
            "department": ""
        },
        {
            "first_name": "Marc",
            "middle_name": "",
            "last_name": "Futernick",
            "name_suffix": "",
            "institution": "US Acute Care Solutions LLC, Canton, Ohio",
            "department": ""
        },
        {
            "first_name": "Juliana",
            "middle_name": "",
            "last_name": "Chang",
            "name_suffix": "",
            "institution": "Northwell Health, Department of Emergency Medicine, Summit, New Jersey",
            "department": ""
        },
        {
            "first_name": "Emily",
            "middle_name": "",
            "last_name": "Sbiroli",
            "name_suffix": "",
            "institution": "University of Colorado, Department of Emergency Medicine, Boulder, Colorado",
            "department": ""
        },
        {
            "first_name": "Tushara",
            "middle_name": "",
            "last_name": "Surapaneni",
            "name_suffix": "",
            "institution": "Yale College of Medicine, Department of Emergency Medicine, New Haven, Connecticut",
            "department": ""
        },
        {
            "first_name": "David",
            "middle_name": "",
            "last_name": "Terca",
            "name_suffix": "",
            "institution": "Royal Hobart Hospital, Department of Emergency Medicine, Tasmania, Australia",
            "department": ""
        },
        {
            "first_name": "Niki",
            "middle_name": "",
            "last_name": "Thran",
            "name_suffix": "",
            "institution": "Gifford Hospital, Department of Emergency Medicine, Randolph, Vermont",
            "department": ""
        }
    ],
    "date_submitted": "2025-10-11T22:12:38.981000Z",
    "date_accepted": "2025-11-03T16:59:03.768000Z",
    "date_published": "2026-02-27T16:10:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/53126/galley/49048/download/"
        }
    ]
}