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To operate or not: Surgical choices and end-of-life care
General Surgery News
Peter K. Kim, M.D., a surgeon at Albert Einstein College of Medicine, in New York City, faced a surgical dilemma: to treat or not to treat? An 80-year-old man had come to the hospital from a local nursing home. He had dementia. His body was covered with necrotic pressure ulcers that needed to be debrided. One fetid foot required amputation.
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AAEM NEWS


Call for Educational Proposals: Apply to Speak at AAEM16!
Deadline: June 22, 11:59pm CST

AAEM is gearing up for another stand-out Scientific Assembly featuring top speakers and cutting edge educational topics. Now is your chance to add your voice and contribute to the 22nd Annual Scientific Assembly in Las Vegas! Learn more and submit a proposal.
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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.
 


Volunteer to Review Content on PEPID PEM — Receive a FREE Two Month Subscription!
AAEM and PEPID are looking for volunteers to test and review content on their new PEPID Pediatric Emergency Medicine (PEM) product. Volunteers are expected to review all of the content in their assigned topics by June 15, 2015. In exchange for your time, volunteers will receive a two month free subscription to PEPID PEM and a free AAEM gift! Learn more and sign-up today!
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Exceptional EM Education — Join us at MEMC-GREAT 2015!
Learn about the Pre-Congress Course Options

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! Learn more about MEMC-GREAT competitions.
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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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Prepare for Written Boards with AAEM — Register today!
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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HEALTHCARE POLICY NEWS


Hospitals expected more of a boost from health law
The Wall Street Journal
The health law's expansion of Medicaid in many states hasn't benefited nonprofit hospitals in those states as expected, according to a new report by Moody's Investors Service. Hospitals in the mostly blue states that expanded Medicaid were largely expected to benefit from fewer unpaid bills and more paying customers, but that hasn't generally translated into better operating margins or cash flow, Moody's found.
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Telemedicine saves money for rural ERs
Futurity
Rural emergency departments that use telemedicine to consult with pediatricians at larger hospitals save money in the long run. Even though the systems are expensive to install and maintain, they more than pay their way, saving an average of $4,662 per use.
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Engaging physicians and patients across generations
Hospitals & Health Networks
Linda MacCracken is an expert on generational differences among physicians. She spoke with H&HN about how doctors can cross age gaps to find common language with colleagues and patients.
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NATIONAL NEWS


ER coding changes: More red tape or an improvement?
Standard Examiner
Emergency medicine may be facing its own business emergency this fall when a changeover in how medical diagnoses are coded takes place. The new international disease classification system, known as ICD-10, will be fully implemented Oct. 1. It includes more than 68,000 diagnostic codes, compared to the current 14,000 in the ICD-9.
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How can we do less, when more is SOP?
MedPage Today
Author Fred N. Pelzman, M.D., writes: Today, during afternoon practice, one of the residents came to my office to present a patient, an initial visit being seen for establishment of care after a recent emergency room visit. The patient was a healthy young man in his 40s, without any significant prior medical history, who experienced a popping sensation in his abdomen several days earlier after lifting a heavy object at work.
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Calming dementia patients without powerful drugs
MedPage Today
Diane Schoenfeld comes every Friday to the Chaparral House nursing home in Berkeley, California, to spend time with her aunt, Lillie Manger. "Hi Aunt Lill!" she says, squatting down next to her aunt's wheelchair, meeting her at eye level. Manger is 97. She has straight white hair pulled back in a neat bun today. It's tied with a green scarf, a stylish reminder of the dancer she used to be.
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TBI linked to Parkinson's risk in patients aged 55 years and older
HealthDay News via Medical Xpress
Patients aged 55 years and older presenting to an inpatient/emergency department setting with traumatic brain injury (TBI) have an increased risk of developing Parkinson's disease (PD), according to a study published in the June issue of the Annals of Neurology.
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Psychopharmacology: When drugs are right for treating mental illness
By Dr. Abimbola Farinde
Psychopharmacology in the treatment of mental illnesses is gradually gaining more attention among mental health providers because they are beginning to incorporate more balanced therapeutic approaches into their interventions. For instance, a therapist might only comfortable with using psychotherapeutic, nonpharmacological interventions to treat bipolar disorder, while completely disregarding the beneficial effects that psychotropic drugs can have on the patient's mood, cognition and behavior.
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Hospital staffers race to keep up as 'victims' of mass casualty pour in
Health Canal
Dr. Mark Morocco, UCLA emergency department physician, calls for transport of a critically injured “patient” to a CT scanner as part of the disaster drill conducted June 8. Monday was anything but a slow start to the work week for 150 UCLA staffers from 28 different departments at Ronald Reagan UCLA Medical Center. At 8:55 a.m., the first patient injured in a plane crash at Los Angeles International Airport was wheeled into the Emergency Department. The 25-year-old man was moaning in pain and bleeding profusely from several open fractures. His blood pressure was dangerously low.
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Spinal cord injuries drop among young, but rise among older Americans
HealthDay News via U.S. News & World Report
While the overall rate of traumatic spinal cord injuries was stable from 1993 to 2012, an increasing number of older Americans have experienced this injury, a new study finds. "Spinal cord injury is a catastrophic injury that often results in permanent disability," said lead researcher Dr. Nitin Jain, an associate professor of physical medicine and rehabilitation at Vanderbilt University School of Medicine in Nashville, Tennessee.
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How to improve patient portal use in emergency care
EHR Intelligence
Initiatives around patient engagement and the push toward widespread patient portal use are continually being developed throughout the medical care sector. With the federal government establishing meaningful use objectives on patient engagement and requesting clinicians to report electronic clinical quality measures based on their patient care outcomes, healthcare providers are obligated to work toward increasing patient engagement with wellness and overall health on an ongoing basis.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    EHR roadblocks holding docs back (Healthcare IT News)
Work-life balance in healthcare: Addressing the system (By Catherine Iste)
To be sued less, doctors should consider talking to patients more (The New York Times)
How distractions cause stress and impede your ability to function (By Michael S. Haro, Ph.D.)
New rapid-deployment plasma protocol for trauma care effectively treats patients quicker in the emergency room (Medical Xpress)

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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