Opinion Article

Charge Awareness & Pediatric Appendectomy

Charge Awareness & Pediatric Appendectomy | Opinion Article

Consumers can typically compare prices before making purchases for most industries in the United States, but the same is not necessarily true in healthcare, a sector of the economy that accounts for more than 17% percent of the U.S. Gross Domestic Product.…

ED Closures & Nearby Hospital Mortality Risk | Opinion Article

According to current estimates, the annual number of ED visits in the United States increased by 51% between 1996 and 2009. During that time, the number of EDs nationwide decreased by 6%. “Throughout the country, ED closures are placing significant strains on emergency healthcare because they decrease access to care,” says Charles Liu.…

Psychiatric Care Inaccessible

Psychiatric Care Inaccessible | Opinion Article

Recent estimates show that fewer than 40% of Americans who suffer from mental illness—or about 11 million people—get the psychiatric care they need, and access to psychiatrists has been identified as part of the problem. In an issue of Psychiatric Services, J.…

Team Approach Benefits ED Residents

Team Approach Benefits ED Residents | Opinion Article

Emergency medicine (EM) faculty physicians are often challenged to develop clinical experiences that meet patients’ needs as well as trainees’ educational requirements during residency. EM residency programs need to take full advantage of the limited amount of time they have to teach physicians-in-training.…

Anesthesia-Related Injuries & Mortality

Anesthesia-Related Injuries & Mortality | Opinion Article

There have been significant improvements in patient safety with the administration of anesthesia, and research has shown there has been a decline in anesthesia-related deaths. However, some studies suggest that patterns of anesthesia-related injuries are evolving. “While these events are infrequent, it’s important to understand the mechanisms of these injuries in order to improve outcomes,” says Darrell Ranum, JD, CPHRM.…

Managing CKD in Patients With HIV

Managing CKD in Patients With HIV | Opinion Article

Studies indicate that up to one-third of people with HIV has abnormal kidney function. Chronic kidney disease (CKD) in this patient population increases morbidity and mortality risks, making it imperative to recognize CKD early and diagnose its underlying causes. Recently, the Infectious Diseases Society of America (IDSA) published an update to its 2005 guideline for the management of CKD in patients with HIV in Clinical Infectious Diseases.…

Addressing Cultural Differences in Diabetes

Addressing Cultural Differences in Diabetes | Opinion Article

Patients often remain strongly influenced by their cultural background, even if they’ve been in the United States for many years. Because culture often impacts how health is perceived, healthcare providers need to be sensitive to these influences when treating patients with diabetes.…

Hip Fracture Surgery: Costs & Benefits

Hip Fracture Surgery: Costs & Benefits | Opinion Article

According to current estimates, more than 300,000 patients—mostly people aged 65 and older—sustain a hip fracture each year in the United States, and the annual incidence is expected to exceed 500,000 by 2040. Hip fractures often result in nursing home stays, higher mortality, and lower quality of life.…

Updated Guidelines for NSTE-ACS

Updated Guidelines for NSTE-ACS | Opinion Article

Recently, the American College of Cardiology and American Heart Association (ACC/AHA) updated their guideline on the management of patients with non-ST-elevation acute coronary syndrome (NSTE-ACS). “This guideline is the first full revision of previous recommendations since 2007,” says Ezra A. Amsterdam, MD, FACC, who co-chaired the ACC/AHA writing committee.…

Assessing Aspirin Use for CVD Prevention

Assessing Aspirin Use for CVD Prevention | Opinion Article

Aspirin is used as a primary strategy to help prevent a first occurrence of cardiovascular disease (CVD). It can also be used as secondary prevention for survivors of heart attacks and strokes to prevent additional cardiovascular events.

The American Heart Asso­ciation recommends daily low-dose aspirin for people at high risk of heart attacks and regular use of low-dose aspirin for heart attack survivors.…

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