This is a two-part article on the treatment of massive hemorrhage, which is something that can be seen in any emergency department, small or large, rural or urban. There have been recent changes in the use of blood and adjuvant therapies, in part from our military advances. These articles will review the current recommendations for massive transfusion. Part II of the article will review adjunct therapies, scoring systems, and complications of massive transfusion.
As a Level 1 trauma center, Lutheran Medical Center treats a lot of patients who come in unconscious, appear to be homeless, or are confused as to their identify.
As part of its efforts to facilitate post-acute care for unfunded patients who no longer meet inpatient criteria, Sentara Healthcare has developed an Indigent Care Agreement for Post Acute Services that sets out four levels of bundled payments to the health system's seven skilled nursing facilities when patients who can't pay are transferred.
Patients at Medical City Dallas Hospital who are likely to have discharge challenges are assigned a dedicated social worker who spends time with patients and family members and starts to identify resources early in the stay.
In emergent situations, paperwork is often the last thing on a patient's mind.
Patient access managers must stay in contact with their assigned provider representatives and establish a good working relationship with these individuals.