A 40-year-old man is brought in by ambulance after sustaining a single
stab wound to the left lower abdomen. The patient is asymptomatic with
stable vitals, a negative FAST exam, no obvious evisceration and no
clinical evidence of peritonitis on exam. On local wound exploration
with the trauma surgery team, the wound violates the peritoneum.
Last January, emergency medicine icon Raed Arafat resigned from his post
in the Romanian Ministry of Health, sparking unprecedented public
protests in defense of Romania’s emergency care system.
Health Care Providers (HCPs) are trained to recognize victims of elder
abuse, child abuse and general domestic violence. When it comes to
identifying victims of sex trafficking, however – an area where clues
can be very subtle – there is a marked lack of practical education. A
study by Barrows and Finger in 2008 demonstrated that only 13% of HCPs
felt confident they could identify a trafficked victim, and only 3% of
medical personnel had received any training on identifying victims.
No mistakes! That’s the mantra these days for medical care in the United
States. Another term for reducing error rates to near zero is “Six
Sigma” a business strategy developed by Motorola back in the ‘80s, and
popularized by Jack Welch at General Electric in the mid-‘90s. Six Sigma
is about removing the causes for errors by minimizing the variation in
how specific tasks get done.
Jesse Pines sits down with executive editor Mark Plaster to discuss upcoming books, goals concerning publication, myths, examples of admission decisions, urgent matters, Affordable Care Act and lowering healthcare costs.
Dave Packo sits down with Greg Henry to discuss controversy of staffing, issue of funding, staff roles moving on, residency training and the future of contraction medicare.
Why aren’t health information systems subjected to the same rigorous research as are other complicated clinical procedures?
Mark Reiter sits down with executive editor Mark Plaster to discuss benchmarks, patients' evaluation process, staff satisfaction, empowerment & transparency and AAEM & informatics
Gillian Schmitz sits down with Oh Henry author Greg Henry to discuss post litigation stress, personal struggles with lawsuits, duration of lawsuits, overcoming post litigation stress, protecting residents and resources for physicians under stress.
Gary Gaddis sat down with executive editor Mark Plaster to discuss the secretary of health and human services, OP-15, change in leadership and hospital incentive payments.