Critical Access
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Mobile Stroke Units, Teleneurology Units Accelerate Time to Treatment
Investigators recently published evidence that appears to support the efficacy of mobile stroke units (MSU), specially equipped ambulances that essentially bring treatment to patients experiencing ischemic strokes. In a multicenter trial, researchers found patients treated on an MSU received clot-busting medication faster and demonstrated better health at 90 days than patients who were transferred to the hospital for treatment via traditional ambulance.
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Medicaid Expansion Helped Young Adults with Traumatic Injuries
Better insurance coverage led to wider access to rehab resources, chipped away at certain racial, socioeconomic disparities.
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Protocols for Scarce Resources Draw on Ethical Principles, Empirical Data
The combination of ethical principles and empirical data is critical. The protocol is not derived only from ethical principles. The empiricist developing the protocol must understand the ethics.
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Study: More Than Half of DNR ED Patients Resuscitated Against Their Wishes
Of 419 cardiac arrest patients, 65 were DNR status. Of this group of DNR patients, 38 were resuscitated against their wishes. Not adhering to a patient’s wishes not only violates their autonomy, but it is arguably not acting in the patient’s best interest — and may in fact be causing them harm.
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The Steep Costs of Operating Under Crisis Standards of Care
New data shine a harsh light on what can happen when hospitals become so overcrowded that they have to resort to crisis standards of care, a level of care where practice standards are relaxed under the strain of scarce resources.
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Report: U.S. Hospitals Could Sustain $54 Billion Net Income Loss for 2021
Higher expenses, fewer outpatient visits, and sicker patients have put many healthcare facilities in the red.
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Nurses Appreciate Training on End-of-Life Care
It is difficult for nurses to remain hopeful and honest when caring for someone at the end of life. Still, families need physical, psychological, and spiritual care that nurses must be adept in providing.
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Hybrid ED/ICU Setting Cuts Critical Care Admission Rates
For patients and families, a combination ED-ICU means avoiding costly ICU admissions that do not align with care goals. For health systems, it means alleviating ICU capacity strain. -
Chaplains Play Unique Role in Advance Care Planning
Ninety percent of 585 of board-certified healthcare chaplains said advance care planning is important to their work, 70% regularly help patients complete paperwork after discussions, 90% facilitate discussions with patients about their preferences, and 45% reported they were not consistently included in team discussions on decision-making. -
EDs Boost COVID-19 Vaccination Efforts
Some emergency providers may view COVID-19 vaccinations as another task piled on an already-full plate. However, EDs are uniquely positioned to reach many underserved and high-risk populations that have yet to receive protection from COVID-19.