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Two recent studies conducted at the University of Michigan in Ann Arbor bring into stark relief the differences between men and women when it comes to the triage and diagnosis of acute myocardial infarction. In a study by Moscucci et al.,1 here are some of the key findings.
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ED managers should note two areas of the recently released 2004 Annual Report from the National Trauma Data Bank (NTDB) of the American College of Surgeons (ACS): the aging population and falls, and the number of self-pay payments.
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This column addresses readers questions about the Emergency Medical Treatment and Labor Act (EMTALA). Question: How Does EMTALA apply to law enforcement requests for services in the ED?
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Encouraging patients not to come to your ED? Building a new ED with no waiting room? These are among the creative, and perhaps controversial, strategies adopted by two ED managers determined to address surge capacity in new and more effective ways.
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The ED patient, lying in bed in her own private room, picks up the all-in-one telephone handset and remote control beside her and calls her husband to tell him shes been in a car accident. She clicks on the 12-inch TV monitor, watches for a while, and then decides to switch over to the radio for some calming music.
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A recent study by a University of Michigan cardiologist on behalf of a Michigan-wide angioplasty research group produced a sobering statistic: Of 1,551 heart attack patients who had emergency angioplasty at hospitals in Michigan, women waited on average more than 118 minutes before treatment began, compared with 105 minutes for men.
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An intensive face-to-face care management program for severely ill Medicare patients with advanced congestive heart failure and/or complex diabetes has paid off for XLHealth, a Baltimore-based disease management firm. The company has reduced spending by as much as 26% after 24 months of intervention for private HMO patients and has reduced lower limb amputations by more than 60%.
