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Emergency Medicine

#PWChat – Hospitals, Not Hotels: A Look at Global Budgets

Joshua Sharfstein, MD, will co-host a tweetchat with PW on August 24, at 9:00pm ET on the issues with comparing hospitals to hotels.

Delirium, Advanced Cancer, & ED Visits | Feature

Delirium is a serious cognitive disturbance in which patients have impaired thinking and awareness, and some studies suggest that the condition often goes unrecognized in EDs. “Few

Shared Decision Making in the ED | Feature

Physicians propose a new conceptual model to guide clinicians in determining when shared decision making is appropriate in the ED. They offer three factors that are necessary and sufficient to determine whether shared decision making should be pursued for a given clinical scenario.

Implementing In-Hospital 3D Printing | Feature

A team of surgeons is using low-cost, 3D-printed anatomical models to help trauma surgeons prepare for difficult surgeries. They have found that use of these models appears to significantly increase observer agreement in classifying acetabular fractures.

John Hopkins Study Confirms Most Prescribed Opioid Pills Go Unused | News Brief

In a review of half a dozen published studies in which patients self-reported use of opioids prescribed to them after surgery, researchers at Johns Hopkins report that

Is Outpatient Care Quality Improving Over Time? | Feature

More than a decade ago, landmark studies found that adults in the United States only received slightly more than half of the recommended healthcare services they should

Primary Hyperparathyroidism Guidelines | Feature

Primary hyperparathyroidism (pHPT) is a common clinical problem for which surgery has been deemed the only definitive treatment.

Reducing Obstructive Sleep Apnea Emergencies | Feature

Throughout the United States, rapid response systems (RRS) are commonly used safety protocols in hospitals that are designed to help decrease risks for the potentially fatal deterioration of patients.

Assessing Appropriate Use of Vascular Access Devices | Feature

The Michigan Appropriateness Guide to Intravenous Catheters has been developed to help clinicians appropriately select vascular access devices. These efforts are important to limiting the risk of complications in critically-ill patients.

CME/CE: Guideline Update for Heart Failure Treatment | Feature

Experts in cardiology have updated a major guideline to reflect the addition of new types of drug options for heart failure (HF). With treatments for patients with HF expanding, there appears to be more hope than ever before for these individuals.

Doctor and Patient Relationships: Empathy & Litigation | Feature

Research has shown that emergency physicians (EPs) with better interpersonal skills and who spend more time with patients appear to have fewer malpractice claims filed against them.

The Overuse of NSAIDs | Feature

Research suggests that despite widespread use, NSAIDs appear to be associated with several side effects when misused or overused that may make use of these medications dangerous in certain populations and in combination with other drugs.

CME/CE: Filling Prescriptions After Opioid-Related Hospitalizations | Feature

New data suggest that greater efforts are needed to ensure that patients who are hospitalized for opioid addiction or misuse receive recommended services for post-treatment.

#PWChat Recap: Defensive Medicine & Related Costs | Feature

The Physician’s Weekly #PWChat series continued last night with an energetic discussion focusing on defensive medicine and related costs. It was co-hosted by Jeff Segal, MD, JD,

The Paradigm Shifts Needed in Healthcare | Medical Blog

There’s a lot wrong with healthcare today. Especially the medications they have now a days and all the side effects. Just like the prescription xarelto, check out

Defining Operative Emergency General Surgery | Feature

A national study has found that the vast majority of all operative volume, complications, deaths, and costs associated with emergency general surgery are attributable to seven procedures. The findings may help hospitals focus prevention efforts and quality improvement initiatives.

Rate of Medication Errors Resulting in Serious Medical Outcomes Rising | News Brief

Researchers advise parents to keep medication logs and store all medications up, away, and out of sight.

Managing Risk Associated with Contaminated Heater-Cooler Devices Used in Cardiac Surgery | Feature

Between 2010 and 2015, the Food and Drug Administration (FDA) received 32 Medical Device Reports of patient infections associated with heater-cooler devices and 25 of these cases were reported during 2015 alone.

Malaria Drug Protects Fetuses from Zika Infection | News Brief

Devastating consequences of Zika virus infection are suffered in the womb, where the virus can cause brain damage and sometimes death. Studying pregnant mice, researchers at Washington

Making the Case for Suicide Screening in Emergency Departments | Feature

Universal suicide risk screening in the ED appears to be feasible and may increase the detection of people at risk, according to a study. EDs are encouraged to tailor suicide screening protocols to their available resources in order to optimize outcomes.

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