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Significant portion of US population does not have access to trauma care
The Medical News
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A significant portion of the U.S. population does not have access to trauma care within an hours' drive, with certain vulnerable groups at higher risk of worse access, according to a report in the January issue of Archives of Surgery, one of the JAMA/Archives journals.
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CMS relaxes anesthesia guidelines, allows ED exception
ACEP
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Noting the unique environment of the emergency department, CMS has responded to ACEP's concerns and now says that hospitals can use ACEP's guidelines on procedural sedation in the ED, according to a Jan. 19 notice from the agency. ACEP, along with ENA and AAEM, met with CMS last year and express the concerns of our members, which led to the flexibility
provided in the updated guidelines. CMS is expected to post the guidelines and FAQs on their site within the next few days.
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'Selective Strategy' recommended for CT scans in emergency department
Medical News Today
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Emergency medicine researchers with the University of Cincinnati (UC) are advocating a new strategy for diagnosing a common but dangerous condition in the emergency room.
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Old-fashioned weapons against MRSA may be best
HealthNewsDigest.com
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Thorough hand washing may be the most cost-effective way to reduce the spread of MRSA in the emergency department and everywhere else. For patients who already have a MRSA infection, incision and
drainage is a more effective treatment than ultrasound-guided needle aspiration, according to a new randomized, controlled trial.
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To reduce ER overcrowding, think outside the box
FierceHealthcare
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Treatment areas with recliners and community health workers to help guide patients are just two of several creative methods highlighted by Kaiser Health News that various hospitals around the nation are using to stem emergency room overcrowding, a problem that likely will increase as more patients gain health coverage through reform.
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Barriers to screening and intervention for ED patients at risk for undiagnosed or uncontrolled hypertension
PubMed
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We describe clinician-reported knowledge of the Joint National Committee (JNC7) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure definitions of Stage I hypertension; perceived causes of elevated blood pressure; barriers to blood pressure re-assessment; risk of adverse events associated with the elevated blood pressure.
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Warfarin use may raise risk of death from
traumatic injuries
MedlinePlus
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New research shows that the risk of dying after suffering a traumatic injury is much higher for people taking warfarin, the most commonly used blood
thinner in America.
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Anti-fibrinolytic use for minimising
perioperative allogeneic blood transfusion
The Cochrane Library
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Concerns regarding the safety of transfused blood have led to the development of a range of
interventions to minimise blood loss during major surgery. Anti-fibrinolytic drugs are widely used, particularly in cardiac surgery, and previous reviews have found them to be effective in reducing blood loss, the need for transfusion, and the need for re-operation due to continued or recurrent bleeding.
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Oseltamivir compounding in the hospital pharmacy during the (H1N1) influenza pandemic
PubMed
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Pandemics impose large demands on the health care system. The supply of appropriate chemotherapeutic agents, namely oseltamivir solution, presented a serious challenge in the recent influenza
pandemic. This study reports on the rational series of pharmacotechnical steps that were followed to appropriately handle bulk oseltamivir powder to meet the increased demand.
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Prevention of awareness during anesthesia
The Medical News
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Out of every 1000 patients, two at most wake up during their operation. Unintended awareness in the patient is thus classified as an occasional complication of anesthesia -- but being aware of things happening during the operation, and being able to recall them later, can leave a patient with long-term psychological trauma.
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Risk assessment in the first fifteen minutes: a prospective
cohort study of a simple physiological scoring system in the emergency department
PubMed
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The survival of patients admitted to an emergency department is determined by the severity of acute illness and the quality of care provided. The high number and the wide spectrum of severity of illness of admitted patients make an immediate assessment of all patients unrealistic. The aim of this study is to evaluate a scoring system based on readily available physiological parameters immediately after admission to an
emergency department (ED) for the purpose of identification of at-risk patients.
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Researchers assess accuracy of radiology readings in EDs
Becker's Hospital Review
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Physicians at Georgetown University and George Washington University, both in Washington D.C., assessed radiology discrepancies resulting from radiograph interpretations that occur in hospital emergency departments and analyzed the types of errors made by emergency physicians, according to an article published in The American Journal of Emergency Medicine.
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House votes to repeal health care reform
Pacific Business News
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By a vote of 245-189, the U.S. House of Representatives has voted to repeal the federal health care reform law approved by Congress last year.
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Physicians bearish on health care reform: Poll
HealthLeaders Media
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A national survey of 2,958 physicians indicates "frustration and dismay in a time of change," according to a report by Thomson Reuters and HCPlexus.
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Efforts aimed at decreasing the spread of infections from
patient to patient by health care providers continue to evolve. The medical community is very aware of the efforts of the Joint Commission to promote hand washing in helping to prevent nosocomial infections. MORE |
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Ohio, Wisconsin, 4 more states, join
challenge to Obama health care
Bloomberg
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Ohio, Wisconsin, Iowa, Kansas, Wyoming and Maine won permission to join a Florida lawsuit challenging
the constitutionality of President Barack Obama's health care reform legislation.
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Pediatric emergency center nearly ready at Wake Forest Baptist
The
Business Journal
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Construction of the $19 million pediatric emergency department at Wake Forest University Baptist Medical Center in Winston-Salem, N.C., is in its final phases, putting the new department on
target for an April 11 opening.
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Acute care hospital in Florida awarded LEED certification
HC+O News
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St. Joseph's Hospital-North recently achieved LEED certification for its $225 million facility. The three-story, 350,000-square-foot hospital and adjacent 50,000-square-foot physician office building features private patient suites, labor recovery suites and a 30-bed full-service Emergency Department.
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At NYU Langone, emergency department
triples
Crain's News York Business
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NYU Langone Medical Center is tripling the square footage in its emergency department in an $80.8
million renovation. The expansion was planned well before the closure of St. Vincent's Hospital.
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Patients rank St. Anthony emergency department among nation's best
Northwest Indiana Times
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St. Anthony Medical Center's emergency department ranks in the top 10 percentile in the nation for patient service and satisfaction, according to surveys by the industry's recognized leader in health care performance improvement.
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Myrtle Beach, SC, hospital opens new ER department
The Sun News
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Grand Strand Regional Medical Center opened the first phase of its $12.9 million emergency department expansion. The first phase includes 17 new rooms, including two new trauma rooms. All emergency patients are triaged in the new phase, but some beds in the old emergency department will continue to be used.
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Mentally ill wait longer in EDs
The News & Observer
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A North Carolina statewide analysis shows that the long waits for people with mental illness in North Carolina's emergency rooms are growing even longer. On average, people in the midst of a
mental crisis can expect to languish in a medical hospital's emergency department for 2.8 days before gaining admission to a state psychiatric hospital. That is up about four hours since a similar study released last summer by the Wake County chapter of the National Alliance on Mental Illness.
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