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Recommendations made by President George Bush during his recent State of the Union address didnt exactly follow those from two recent studies, including one released by the Institute of Medicine (IOM) on the uninsured.
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A community health care program that started in Memphis, TN, 16 years ago to serve the working poor has become a model for efforts
in many other places around the country. Some 15 clones of the Church Health Center have started in several states, and the center now holds monthly workshops to teach representatives from other communities how to replicate the program.
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Malpractice insurance premiums in states that cap awards are 17.1% lower than in states that dont, according to a study by Kenneth Thorpe, health policy professor at Emory University in Atlanta.
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The decision of the U.S. Supreme Court last fall to let stand an appeals court ruling that the federal government may not investigate, threaten, or punish doctors who recommend marijuana as a medical treatment for their patients has lifted a cloud that was over the heads of many people, says Bruce Mirken, communications director for the Marijuana Policy Project (MPP) in Washington, DC.
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A dramatic overhaul of the emergency department (ED) process at Paradise Valley Hospital in National City, CA, began with a single question from the director of emergency medicine.
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Creating the most efficient staffing arrangement possible along with fostering effective working relationships with those outside the access department was integral to the development of a financially successful patient access department, says Patti Daniel, MS, CCM, LPC, LMSW/AP.
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The purpose for this study, carried out at nine Canadian tertiary care hospitals, was to prospectively compare the NEXUS low-risk criteria to the Canadian c-spine rules for accuracy, reliability, clinical acceptability, and potential outcomes in patient care and radiography utilization.
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While ST segment changes (both elevation and depression) are associated with an acute coronary syndrome, numerous other clinical entities manifest ST segment depression. Appropriate management partially is dependent upon differentiating these various causes of ST segment depression on the ECG.
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The 12-lead ECG and accompanying rhythm strip in the Figure were obtained from an 84-year-old man who presented to the emergency department with acute dyspnea from pneumonia and heart failure. Whats going on? Is RBBB (right bundle-branch block) among the findings?
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Trauma to the thoracic cavity is responsible for approximately 10-25%
of all trauma-related deaths, with the majority of these deaths
occurring after arrival at the emergency department. The mortality for
isolated chest injury is relatively low (less than 5%); however, with
multiple organ system involvement, the mortality approaches 30%. This
article dissects the critical aspects of thoracic trauma and highlights
acute care management strategies.
