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Professional burnout is a psychological syndrome in response to chronic interpersonal stressors on the job. In order to determine the prevalence of burnout among physicians working in ICUs, and to investigate associated factors, the investigators carried out a nationwide one-day survey study in the adult ICUs of 189 French public hospitals.
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Carbon monoxide poisoning is a treatable condition when recognized prior to devastating consequences. Early on, carbon monoxide (CO) poisoning may be subtle and elusive, with vague, nonspecific symptoms that may be inappropriately contributed to other conditions.
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The evaluation of the ill traveler must include a detailed travel history in addition to the traditional past medical, surgical, and family history. It is paramount to include the extent of travel preparation and review immunizations and compliance with prophylactic medications.
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Non-healing wounds represent a significant cause of morbidity and mortality for a large portion of the adult population. Wounds that fail to heal are entrapped in a self-sustaining cycle of inflammation. Treatments are aimed at the underlying cause of the wounds.
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The Working Group on Emergency Mass Critical Care has released recommendations to help EDs meet the accreditation standard that requires their facilities to prepare to respond to an influx, or the risk of an influx, of infectious patients.1 The recommendations include the following:
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Garnering patient satisfaction scores in the 95th percentile is impressive, but doing it for 10 consecutive years really makes people sit up and take notice.
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The EDs at three Toronto area hospitals Mount Sinai, Toronto Western, and Toronto General now are able to perform beside ultrasounds using a hand-held device.
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The ED management team at Botsford General Hospital in Chesterfield, MO, has adopted and adapted quality improvement principles from The Studer Group, a quality improvement consulting organization in Gulf Breeze, FL, to boost its patient satisfaction rates from the high 80s to the 99th percentile.
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A July 13, 2006, letter from Thomas E. Hamilton, the director of the Centers for Medicare & Medicaid Services (CMS) Survey and Certification Group, about proper handling of EMS ambulance patients has caused a stir in emergency medicine circles that still reverberates today, as confusion remains about exactly what CMS meant.
