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Cholecystitis on CT, check ultrasound before treating
Medscape (free login required)
For patients with acute cholecystitis, CT is not yet accurate enough to go straight from a scan to a treatment plan, new research shows. "My personal hypothesis was that CT was going to be the be all and end all — that if the scan was positive, the patient could be treated directly," said Helena Gabriel, M.D., from the Northwestern University Feinberg School of Medicine in Chicago.
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AAEM NEWS


LAST DAY! — Special Enrollment 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. Enrollment ends April 30!
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MEMC-GREAT 2015 — Call for Abstracts and CPC Competition Submissions
Join us in Rome, Italy from Sept. 5-9, 2015, for the Mediterranean Emergency Medicine Congress in conjunction with the Italian GREAT Network Congress. Register for the congress, submit an abstract and book your hotel! Look for more details to be announced soon. Learn more and register today!
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PRODUCT SHOWCASE
  Merck Manual/AAEM Video Project

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.
 


Registration Now Open! — AAEM Fall Oral Board Review Course
Join us for the highly recommended Oral Board Review Course! NEW hands-on simulation practice. Be confident on exam day — prepare with the experts for the new format. Learn more and register.
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Save the Date — AAEM Written Board Review Course
Join us in Orlando Aug. 18-21! Up to 27 lecture hours of intense review of EM board materials, taught by experienced emergency medicine faculty. This course is a comprehensive review of emergency medicine for all emergency physicians and is ideal for exam-takers or for physicians seeking quality review materials. Learn more!
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Help us customize for you — Update your AAEM or AAEM/RSA profile!
Log into your account to let us know about any address, email, phone number updates, training & certification information, and professional practice work environment/setting information. Visit the AAEM member login or the AAEM/RSA member login today! Any problems logging in? Get in touch with us at info@aaem.org or 800-884-2236.
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Call for Coalition on Psychiatric Emergencies (COPE) Working Group Nominations
Join a COPE Working Group! If you’d like more information or to submit a nomination, contact us at info@aaem.org.
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HEALTHCARE POLICY NEWS


Addiction research and care collide with federal privacy rules
The New York Times
Researchers who want to study Medicare or Medicaid patients with substance-use disorders — and illnesses disproportionately affecting them like H.I.V. and hepatitis C — are, at best, working with biased data. At worst, they’re flying blind. That’s because agencies within the Department of Health and Human Services, without public notice and because of patient privacy concerns, decided in 2013 to remove researchers’ access to certain types of Medicare and Medicaid data.
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ACA incentives driving healthcare transition improvements in hospitals
News-Medical
Regardless of one's views on the Affordable Care Act, it has succeeded in placing long-overdue attention on improving management of patient transitions from one care setting to another, according to a leading health care policy analyst speaking today at the National Quality Summit, sponsored by the National Association for Healthcare Quality.
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RECENT STUDIES


Feasibility and utility of population-level geospatial injury profiling: prospective, national cohort study
The Journal of Trauma and Acute Care Surgery
This study demonstrates the feasibility and power of describing the geographic distribution of a group of injured patients. The methodology described has potential application for injury surveillance and trauma system design and evaluation.
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Patient experience of expanded-scope-of-practice musculoskeletal physiotherapy in the emergency department: A qualitative study
Australian Health Review
The study found that the perceptions of participants from two vastly different geographic locations were remarkably similar and that participants were very receptive to seeing a physiotherapist instead of a doctor. The emergent themes highlight what is important to people when they attend the ED and indicate that participants seen by a musculoskeletal physiotherapist had a positive experience regardless of whether it was in a metropolitan or remote hospital. What are the implications for practitioners?
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NATIONAL NEWS


Potent 'spice' drug fuels rise in visits to emergency room
The New York Times
A sharp rise in visits to emergency rooms and calls to poison control centers nationwide has some health officials fearing that more potent and dangerous variations of a popular drug known as spice have reached the nation’s streets, resulting in several deaths. In the first three weeks of April, state poison control centers received about 1,000 reports of adverse reactions to spice — the street name for a family of synthetic substances that mimic the effects of marijuana — more than doubling the total from January through March, according to the American Association of Poison Control Centers.
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Nursing homes are starting to supplant hospitals as focus of basic healthcare
The New York Times
The notion that a hospital remains the safest place for old patients dies hard. Many families still believe their aging relatives belong in a hospital when they’re ailing. But 20-plus years of research have documented the risks of hospitalization for older adults, particularly those frail or ill enough to need nursing home care.
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Physician assistants grow, expand value-based care role
Forbes
The profile of the nation’s physician assistant is geared up for the move away from fee-for-service medicine as the team-based approach to providing medical care takes hold, a new report shows. The statistical profile of the profession from the National Commission on Certification of Physician Assistants shows these healthcare providers growing in number and taking on a greater role as a younger, diverse partner to medical doctors who are increasingly leaning on PAs to treat an influx of millions of newly insured Americans under the Affordable Care Act.
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Many hospital ERs aren't ready to treat children
The Wall Street Journal
When a child has a medical emergency, the first instinct is to rush to the nearest hospital ER. But, many emergency rooms are ill-equipped to treat infants and children and they are staffed with doctors and nurses who may not be trained in the specifics of pediatric care. Of 30 million children 18 years old and under who end up in emergency rooms each year, close to 90 percent are treated in general community hospitals, which often have no pediatric unit.
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Reducing readmissions among geriatric patients
Hospitals & Health Networks
The challenge for hospitals is that fragility fracture patients are often dealing with more than just a broken bone. Fragility fractures in the most common sites, such as the hip and vertebra, are associated with increased disability, reduced quality of life, and a downward spiral in physical and mental health. Additionally, these patients tend of have other underlying and sometimes untreated medical conditions that complicate their care.
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A look ahead: Most women physicians feel financially prepared
By Cait Harrison
For women physicians, life never slows down. Patient appointments, lab results, medical records, prescription refill requests — it's all in a day's work, and the list could go on. And that's not including the kids and household chores when you get home. But one day it won't be as busy — if you can dream far enough into the future to retirement, that is. Have you thought about that?
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Physician compensation, dissatisfaction ratchet up
Health Leaders Media
An annual survey of nearly 20,000 physicians finds a modest increase in average compensation, but a dip in job satisfaction across 26 medical specialties. Physician compensation has seen modest gains since last year — but satisfaction has not risen along with pay, data from Medscape's Annual Physician Compensation Report shows. The report is analyzes how compensation influences physician career considerations and job satisfaction.
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New technology may make blood tests convenient, painless
FierceHealthIT
At the University of Wisconsin-Madison a new tool may make it easier for patients to pull blood samples from home. The device would extract blood by only being held up against the skin for about two minutes, according to an UW-Madison announcement. The process — in which a vacuum within the device enables a small sample of blood to flow into an attached sample tube — is virtually pain-free, the announcement cites users as saying.
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Reducing sepsis mortality
Hospitals & Health Networks
Since the 1999 release of the Institute of Medicine report "To Err Is Human," we have been called to reduce the sobering number of preventable injuries and deaths that occur each year in U.S. hospitals. Unlike the airline or nuclear energy industries that have highly automated safety processes, effective healthcare depends not only on the human connection, but even more so on the interaction of teams and their interface with technology. Coordination and measurement of teamwork is foundational to a culture of safety and high reliability. Most critically, high-performing teams deploy evidence-based measures in a culture where these strategies can be successfully implemented.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    Doctors: We need to delay ICD-10 again (By Scott E. Rupp)
Medscape Physician Compensation Report 2015 (Medscape (free login required))
New synthetic drug 'flakka' triggers crazed behaviors (HealthDay News)
ER visits can help reduce opioid deaths with education,
rescue kits
(Psych Central (opinion))
Emergency psychiatry experience, resident burnout, and future plans to treat publicly funded patients (Psychiatric Services)

Don't be left behind. Click here to see what else you missed.


 



AAEM Insights
Colby Horton, Executive Vice President of Publishing, 469.420.2601
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Jessica Taylor, Senior Medical Editor, 202.684.7169   
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