Obesity is epidemic in the United States. It is a simple problem, American have larger portions, eat more processed food, and exercise less. Source: Obesity in America – PublicHealth.org… Read More
This study conducted by the Mayo Clinic in Minnesota and published in the January 2016 Medicine Journal looked at emergency department utilization by obese patients (those with a high BMI) and concluded that this group are substantially higher utilizers of emergency department services compared to their peers particularly in younger adult age groups. This is… Read More
The June 2015 issue of Trauma and Acute Care Surgery recommends that TXA should be considered for use in the prehospital EMS care of trauma patients. Tranexamic Acid is is sold in the US under the brand names Cyklokapron and Lysteda. It is considered an antifibrinolytic agent, an antihemophilic agent, a hemostatic agent and a lysine… Read More
It is crazy the amount of money that attorneys are paid. Where as in medicine even the highest paid emergency physicians are paid only a fraction of that amount. How can people complain how much physicians earn when they look at attorneys, actors, and athletes. Raising rates ensures that law firms keep up with the competition… Read More
With reports of burnout and forced retirement mandated for U.S. pilots, and military personnel, the question is whether forced retirement should be mandated for physicians as well. The AMA’s Council on Medical Education wrote a report that says “physicians should be allowed to remain in practice as long as patient safety is not endangered.” But physicians should… Read More
Ecocommuting can insulate you from the arbitrary and seasonal fluctuations of gas prices due to California refinery practices. The slide in California’s gasoline prices could abruptly end Friday, with prices possibly jumping 30 cents a gallon because of seasonal changes in the state’s refinery operations, a consumer group predicted Thursday. Prices often climb in California… Read More
This is an article in the February 20,2016 Daily Republic that features Medic Ambulance’s Community Paramedicine Integrated Healthcare Program that is one of the 12 California Pilot Programs. This program looks at post hospital discharge of patients with pneumonia, COPD and CHF and works to keep them from having to return to the hospital VACAVILLE… Read More
Many people talk about the safety of marijuana. This study in the February 24, 2016 issue of NEJM explores ED Visits and compares those from Colorado vs those visiting. Because Colorado is one of the few states where there is complete legalization of marijuana, there are reports of marijuana tourism. This article explores the differences… Read More
Nurse Practioners are arguing for greater scope of practice and independence from physicians to practice medicine. Because of physician shortages, a growing number of states are granting advanced practice nurses broader practice authority. From the article A 2010 Institute of Medicine report titled “The Future of Nursing: Leading Change, Advancing Health” recommended that nurses be given… Read More
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