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Leapfrog’s Latest Hospital Report Shows Improvement
The most recent Hospital Safety Grades from The Leapfrog Group, an independent nonprofit focused on patient safety, show improvement in key areas. The fall 2024 report evaluated nearly 3,000 hospitals on their ability to prevent medical errors, accidents and infections.
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California Court Rules Nurse Lacks Qualifications as Expert Witness in TBI Case
The California Court of Appeal addressed the importance of expert witness qualifications in a medical malpractice case stemming from a wrongful death claim. The lawsuit was brought by the father of a young man in his 20s who experienced a severe traumatic brain injury after a motor vehicle accident. The father alleged that the hospital’s negligent treatment and failure to follow appropriate protocols during the patient’s care contributed to his son’s death.
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California Affirms No Duty of Care Without Physician-Patient Relationship
The Court of Appeal for California’s Third District recently upheld a summary judgment in favor of a cardiologist in a medical malpractice case. The lawsuit was brought by the adult children of a patient who died after experiencing a cardiac emergency at a Sacramento County hospital. The plaintiffs alleged that the defendant, the on-call interventional cardiologist, negligently refused to provide care, ultimately contributing to their father’s death.
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Preventing, Identifying, and Managing Pediatric Malaria
Malaria has infested every continent except Antarctica and is ranked as the third-leading cause of death for children 1 month to 5 years of age globally. Acute care providers need to be able to identify and manage a child with malaria.
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Acoramidis Tablets (Attruby)
The U.S. Food and Drug Administration has approved acoramidis, an oral drug for the treatment of transthyretin-related amyloid cardiomyopathy.
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Intravenous Tenecteplase for Stroke After 4.5 Hours Does Not Improve Outcome
Standard therapy for acute ischemic stroke is intravenous thrombolysis within 4.5 hours from onset of symptoms. Alteplase has been the standard medication, but in recent years, tenecteplase has supplanted alteplase because of its ease of administration as a single intravenous bolus and lower cost.
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Parasites and Poverty in the South
Parasite contamination of soil remains prevalent in some areas of the southern United States.
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Withholding Intubation in Some Acutely Poisoned Coma Patients May Help
In this unblinded, randomized trial of adults presenting with acute poisoning and a Glasgow Coma Scale score less than 9, those for whom intubation was withheld unless emergently indicated had decreased intensive care unit and hospital lengths of stay and a lower rate of pneumonia.
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Post-Traumatic Epilepsy and the Risk of Dementia
A subset of people with head injury will develop post-traumatic epilepsy (PTE). This prospective cohort study demonstrated a 4.5-fold increased risk of dementia in those with PTE compared to people without head trauma or epilepsy, and that this risk exceeds that observed in people with head trauma or epilepsy alone.
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Pink Eye: Do Antibiotics Matter?
Acute infectious conjunctivitis, commonly referred to as pink eye, is common in children and is caused by bacteria more often than by viruses. Nonetheless, neither the clinical course of uncomplicated cases nor the spread of infection to peers is significantly altered by treatment with topical antibiotics or by exclusion of infected children from daycare and school settings.