New noninvasive method of intracranial pressure monitoring Researchers report preliminary findings that show a noninvasive method of monitoring intracranial pressure (ICP) that could rival the gold standards of invasive intraventricular and intraparenchymal monitoring. The device uses advanced signal analysis algorithms to evaluate properties of acoustic signals that pass through the brain in order to determine ICP values.
Medical emergency: ER costs skyrocket, leaving patients in shock No matter how advanced medical technology gets, for many patients modern health care begins in a hospital emergency room and ends with an unexpectedly huge bill. On average, emergency-room bills for out-of-network care is 4.4 times higher than what Medicare allows for the same services, costing consumers more than $3 billion a year, according to a nationwide study by the Johns Hopkins School of Medicine, recently published in the Journal of the American Medical Association Internal Medicine.
Anthem withdraws from exchange in Virginia VACEP’s Board of Directors anticipated Anthem dropping out of the healthcare exchange so they retained professional communication assistance to make sure the emergency medicine’s story would be heard. Increased visits to the ED are expected so telling the proper emergency medicine story is critical. VACEP hired Kelley Communication to help craft and tell emergency medicine’s story to those who care, those who buy and those who need emergency medicine.
Caring for patients who have experienced stillbirth An estimated 2.6 million stillbirths occur worldwide annually, and each year about 24,000 (1 in 160 pregnancies) babies are stillborn in the United States. As frequent of an occurrence that it is, many studies have reported that patients are often left to suffer in silence. It’s inevitable that having these parents go through life and death simultaneously is a delicate situation, but it’s one that needs to be addressed.
Blue Cross and Shield of Georgia asking emergency department patients to self-diagnose By requiring patients to self-diagnose or risk being stuck with a big bill BCBS of Georgia is ignoring the Prudent Layperson Standard to control use of emergency departments. This action is expected to discourage even those with genuine emergencies from seeking necessary care. And it’s asking them to take on a task that often confounds even experienced doctors and nurses.
Zero coronary calcium a 'gatekeeper' screen in acute chest pain? A large, single-center, retrospective study of patients who presented to the emergency department with acute chest pain and low- to intermediate-risk of acute coronary syndrome (ACS) showed that a coronary artery calcium (CAC) score of zero was highly predictive of not having obstructive coronary artery disease (CAD).
You are an important piece of this puzzle! Mark your calendar for Feb. 9-11, 2018 to join your emergency peers at the Omni Homestead for VACEP’s Annual CME Conference. Early career residents, nurses, Physician Assistance and Nurse Practioners will enjoy the educational sessions, exhibits of new products and services and fun times. Skiers receive complimentary ski passes.
VACEP is looking for passionate emergency physicians to share their stories
Virginia’s largest health insurance carrier is changing Virginia’s healthcare landscape. To make sure the results of their changes are properly presented, VACEP is looking for emergency physicians willing to tell their stories. “We can tell our stories better than anyone, so we’re looking for passionate emergency physicians to join VACEP’s new Speakers Bureau,” commented Dr. Bruce Lo, MD, MBA, FACEP and VACEP President. Let Bob Ramsey (email@example.com) know if you are interested. VACEP is offering specialized training to maximize your message delivery.
Ohio study examines effectiveness of opioid guidelines In the face of the ongoing tragedy of the current U.S. opioid epidemic, multiple groups are attempting to create guidelines that influence opioid prescribing behavior. Guidelines are easy and inexpensive to create and don’t require legislation or enforcement. But the question remains: Do guidelines work, and if so, what is the magnitude of their effect? To answer this question, we studied the Ohio Prescription Drug Monitoring Program.
Risk factors for early return ED visits for UTI identified Relapsing and recurrent urinary tract infection (UTI) has an economic impact on the healthcare system and can be associated with significant morbidity and mortality. Identification of risk factors for early return visits (ERV) to the emergency department (ED) in patients with UTI can help to mitigate against suboptimal treatment.
A technique to look inside dangerous blood clots Each year, 100,000 to 300,000 deaths occur from blood clots, such as deep vein thrombosis. This is greater than the total number of people who lose their lives each year to AIDS, breast cancer and motor vehicle crashes combined. Diagnosing a blood clot after physical examination may include ultrasounds, angiographies, CT scans and X-rays, all depending on the suspected location of the clot. But what if there were an even better way to evaluate blood clots?
Guidelines to caring for patients with sepsis: Promise or progress? The Surviving Sepsis Campaign was launched in 2002 by representatives from the Society of Critical Care Medicine and the European Society of Intensive Care Medicine. The Surviving Sepsis Guidelines were published soon thereafter, in 2004, with revisions in 2008, 2012, and 2016. Moreover, as revisions occurred the definition of sepsis has continued to evolve.
Do concussions affect women differently than men? In a study published earlier this year in the journal Glia, researchers concluded that male and female mice responded to traumatic brain injury (TBI) in different ways.
After experiencing a TBI, male mice had a “faster and more robust” inflammatory response than female mice.
As a result, male mice showed more signs of brain tissue loss in the first week following injury.
First, do no harm? A failure of stethoscope hygiene Although studies have illustrated the importance of stethoscope hygiene and guidelines have been established, healthcare professionals rarely comply. Failure to disinfect stethoscopes could be as serious as ignoring hand hygiene, and healthcare providers are rarely performing stethoscope hygiene between patients. The question remains: How can we change this? Standard education may not be the answer to the problem.
Emergency medicine-primary care partnership seeks to improve health of rural populations Emergency physicians in Michigan propose a new health care delivery model for rural populations that depends on a partnership between emergency medicine and primary care and seeks to reverse the trend of failing health in underserved parts of the country. Their proposal was published online yesterday in Annals of Emergency Medicine (“An Emergency Medicine-Primary Care Partnership to Improve Rural Population Health: Expanding the Role of Emergency Medicine”).
The shoulder dilemma: So versatile, yet so prone to injury The shoulder is the body’s most mobile joint area. It allows humans to do amazing things like move their arms gracefully in complex patterns, pull their bodies up a steep rock face or power a ball at blazing speeds. It also lets people do ordinary things like shrug, take food out of the freezer and make a bed.
What makes the shoulder so wonderful also makes it more prone to injury than any other joint in the body. Due to its mobile nature, it’s also quite unstable.