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Emergency department staff not immune to traumatic stress
Medscape (free login required)
Physicians in the emergency department should be aware that they are at risk for post-traumatic stress disorder (PTSD), and should be prepared to take steps to deal with it if they find that they have symptoms.
"We don't have good numbers, but the incidence of PTSD in emergency physicians is probably around 17 percent," said Leslie Zun, M.D., from Mount Sinai Hospital in Chicago.
The rate is "similar to that in trauma surgeons, where the incidence is 15 percent, and to that in emergency medicine nurses, where the incidence is 18 percent. We are right in the middle," he told Medscape Medical News.
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New Special Enrollment Period (SEP) for the AAEM Health Insurance Exchange!
The Federal Government has announced there will be a special enrollment period this year for those who didn't realize they had to buy health insurance when they did their taxes. Learn more.
AAEM Oral Board Review Course — Register today!
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Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.
CLICK HERE to learn more.
Online Learning Library
Superb, AAEM-quality educational content with AMA PRA Category 1 Credits™ available. Online learning optimized for your convenience. Get started today with the 2014 Scientific Assembly or 2014 Written Board Review Course. Look for information about the 2015 Scientific Assembly coming soon!
Do emergency medicine physicians and EMS providers understand Physicians Orders for Life-Sustaining Treatment (POLST) documents?
On March 1, the Journal of Patient Safety released the results of the TRIAD VI & VII studies revealing concerns for understanding among providers and potential risk for patient safety. Learn more.
March Madness at EMresource.org!
For all of March you and your students or residents can get 50% off two great EM pocketbooks written by the author of the Tarascon Emergency Department Quick Reference Guide. Log in to the AAEM Member Center to get started!
As Supreme Court weighs health law, GOP is planning to replace it
The New York Times
The legal campaign to destroy President Obama’s health care law may be nearing its conclusion, but as the Supreme Court deliberates over the law’s fate, the search for a replacement by Republican lawmakers is finally gaining momentum.
Senior Republicans in Congress hope that by June, the Supreme Court will invalidate the subsidies that 7.5 million Americans in 34 states have been given to purchase health insurance through the federal website Healthcare.gov. But the prospects of legal victory have also raised practical and political fears that Republicans will take the blame for the health care crisis that would follow.
House passes bill requiring ERs to document forced seclusion of mental patients
The Lund Report
The Oregon House passed a bill that will require physicians working in hospital emergency rooms and other temporary settings to document every time they order a patient to be isolated because of a mental health crisis.
House Bill 2363, is designed to enable an orderly, constructive process that minimizes the use of forced seclusion to manage such patients.
Comparative effectiveness of high-dose versus standard-dose influenza vaccines in US residents aged 65 years and older from 2012 to 2013 using Medicare data: A retrospective cohort analysis
A high-dose trivalent inactivated influenza vaccine was licensed in 2009 by the U.S. Food and Drug Administration (FDA) on the basis of serological criteria. Researchers sought to establish whether high-dose inactivated influenza vaccine was more effective for prevention of influenza-related visits and hospital admissions in U.S. Medicare beneficiaries than was standard-dose inactivated influenza vaccine.
Analysis of tissue plasminogen activator eligibility by sex in the greater cincinnati/northern kentucky stroke study
Sex differences in recombinant tissue-type plasminogen activator (r-tPA) administration are present in some populations. It is unknown whether this is because of eligibility differences or the modifiable exclusion criterion of severe hypertension. Our aim was to investigate sex differences in r-tPA eligibility, in individual exclusion criteria, and in the modifiable exclusion criterion, hypertension.
Osteopathic manipulative treatment use in the emergency department: A retrospective medical record review
Journal of the American Osteopathic Association
Although the use of osteopathic manipulative treatment (OMT) appears to be declining, data on the use of OMT in the emergency department (ED) are not available.
Preparation and foresight key to treating Ebola safely
Medscape (free login required)
Colin Bucks, M.D., treated 65 Ebola patients and never got sick. None of his staff working at the International Medical Corps Ebola Treatment Unit in Bong County, Liberia, got sick either. That's because they were prepared to deal with the deadly disease.
"If we can do it in West Africa, we should be able to safely do this in the United States with some foresight and preparation," Dr Bucks, from Stanford University School of Medicine in California, told Medscape Medical News.
Lupus: Hospitalizations for infections continue to rise
The rate of hospitalization for serious infections among patients with systemic lupus erythematosus (SLE) has been on the rise in recent decades, and has increased to a greater extent than for individuals without SLE, a national study found. In 1996 the age-adjusted relative risk of hospitalization for pneumonia among SLE patients was 5.7 (95 percent CI 5.5-6) compared with the general population, while the relative risk for admission for urinary tract infection was 9.8 (95 percent CI 9.1-10.7), according to researchers.
Needle stick-injured Ebola doctor free of virus after vaccination
Medical News Today
The physician, given the vaccine 43 hours after the needle stick injury, went on to show a clinical syndrome "consistent with vaccination response, and no evidence of Ebola virus infection was detected."
Known as VSVΔG-ZEBOV, the treatment was injected into the doctor-patient's muscle as he was boarded onto a flight back to the U.S.
During transit 12 hours after the injection, malaise, nausea and fever set in. Care following at the special clinical studies unit of the National Institutes of Health in Bethesda, Maryland, observed this sequence.
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ED docs well placed to give positive info about vaccination
Medscape (free login required)
Because so many children are seen in the emergency department, emergency physicians are in a good position to screen for vaccinations and help parents understand information about vaccines, said Zachary Repanshek, M.D., speaking at the American Academy of Emergency Medicine 21st Annual Scientific Assembly in Austin, Texas.
"We're not primary care doctors or pediatricians, but when we find a child who has not been vaccinated, we should ask why," Dr Repanshek, from Temple University School of Medicine in Philadelphia, told Medscape Medical News.
Has the AMA lost its mojo?
Healthcare DIVE (opinion)
As the mainstream media has begun to realize that organized physicians groups are doing all they can to resist adopting EHRs, the coverage of the dispute has revealed just how little impact their efforts — led by the AMA — are achieving in accomplishing their goals.
The AMA has come out vehemently against the Meaningful Use program and the high velocity with which the HHS and Congress want doctors to adopt EHRs, and they have written countless letters, position papers and blueprints for reform to announce their displeasure.
Hospitalizations after severe blood infections may be preventable
HealthDay News via U.S. News & World Report
When people survive life-threatening blood infections, it's common for them to land back in the hospital within a few months. But a new study suggests that could often be avoided.
The research, published in the March 10 issue of the Journal of the American Medical Association, focused on older Americans who were hospitalized for a severe blood infection, also known as sepsis.
Campbell, Southeastern Health to create emergency medicine residency program
Campbell University in North Carolina is partnering with Southeastern Health to create a new emergency medicine residency program for its Jerry M. Wallace School of Osteopathic Medicine.
"This is the first emergency medicine residency created in collaboration with the school and will supply caring and expert emergency department physicians the state so desperately needs," said Dr. Robert Hasty, associate dean of postgraduate affairs at Campbell, in an announcement.
Study singles out cerebral blood flow as potential biomarker for concussion
Physical Therapy Products
Recent research indicates that cerebral blood flow recovery in the brain may serve as a biomarker of outcomes in patients post-concussion. The study appears online in JAMA Neurology. The study's background singles out reduced cerebral blood flow (CBF) as a marker of concussion severity in animal models, according to a news release issued by the JAMA Network Journals.
New study finds digital clinical decision support tools save lives of pneumonia patients
A new study by Intermountain Medical Center researchers in Salt Lake City found that using advanced clinical decision support tools reduces mortality for the 1.1 million patients in the Unites States who are treated for pneumonia each year. Data from the new year-long study showed the tool saved up to 12 lives in hospitals where the tool was utilized, compared to routine care standards. More than 50,000 Americans die each year due to pneumonia.
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