The majority of hospitals in the United States use the ESI triage tool. This tool Acad Emerg Med. 2010 Mar;17(3):238-43. doi: 10.1111/j.1553-2712.2010.00670.x.Accuracy of the Emergency Severity Index triage instrument for identifying elder emergency department patients receiving an immediate life-saving intervention. Platts-Mills TF1, Travers D, Biese K, McCall B, Kizer S, LaMantia M, Busby-Whitehead J, Cairns… Read More
This is another article that talks about the ridiculous amount of time that is consumed with documenting on electronic medical records. This study from the February 2016 Journal of Graduate Medical Education reports that interns spend 41 minutes per patient working on medical records. As the interns and residents learn the system this time drops to 30 minutes… Read More
Telemedicine is expanding rapidly and there and every year there are additional proposals to further expand its use. Many of the opponents question whether the quality of care will suffer via telemedicine. Telemedicine has been shown to be of value in remotely assessing psychiatric patients, radiological studies, and dermatological conditions. Previously many opponents also… Read More
I always enjoy speaking to and reading Dr. William Sullivan’s work and opinions in the field of medical legal issues. I think that he is truly a thought leader in emergency medicine. His February 2016 article in Emergency Physicians Monthly is very thought provoking. In this article, he explores the use of the phrase “standard… Read More
The private-equity backed urgent-care developer GoHealth Urgent Care will enter its California to develop 10 centers with Dignity Health. Dignity’s deal with GoHealth is its latest aimed at expanding its operations beyond its 39 hospitals into clinics, workplaces and other ambulatory locations. Dignity acquired U.S. HealthWorks, an occupational health and urgent-care company, in 2013 for $445… Read More
The Patient Protection and Affordable Care Act (PPACA) and later shorted to the Affordable Care Act (ACA) and commonly referred to as ObamaCare professed to provide universal coverage for all Americans. Unfortunately even with legal and financial mandates, there are still a tremendous number of uninsured Americans. This number does not include the number of… Read More
Researchers have identified a genetic signature that is common to five different types of cancer including colon, stomach, breast, lung, and endometrial. The biomarker called ZNF154 hopefully will lead to the development of a blood test that could be used to diagnose a variety of cancers at early stages. Source: NIH researchers identify striking genomic… Read More
Zika virus is a flavivirus transmitted by Aedes mosquitoes. Clinical manifestations of Zika virus infection occur in approximately 20 percent of patients and include acute onset of low-grade fever with maculopapular rash, small joint arthralgia , nonpurulent conjunctivitis.The greatest threat is that Zika virus infection has also been associated with congenital microcephaly and fetal demise.… Read More
TThis sought to determine how quality of life and survival would be affected if a palliative care consultation was started in the emergency department rather then The report, published in JAMA Oncology February 2016, found that the ED consultation led to improved quality of life with no statistically significant effect on survival rates. For the study, a New… Read More
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