On January 28, 2011, 28-year-old single mom Courtney Capps brought her 5-year-old child to the emergency department at Huguley Medical Center in Burleson, TX for evaluation of paronychia. According to Ms. Capps, the emergency physician asked about the child’s race, and, when told that the child was bi-racial, grunted, then asked, “What does your family think about that?”
Long after the elected legislators have cast their votes, the agency administrators write the rules and regulations that interpret the law and give it meaning. The Accountable Care Act is poised to fundamentally change how we practice emergency medicine, but the scope and impact of those changes will be determined by the rule writers.
Healthcare reform threatens to usher in an era of complexity that could put small contract management groups at a distinct managerial disadvantage.
When a tubed patient is delivered by EMS with good oximetry and
capnographic readings (clear repeating wave forms), plus bilateral
breath sounds over the axillae and easy ventilation through the tube,
thank your EMS personnel for a job well done.
Given current budget woes, 2012 could be the year Congress finally allows the SGR to dictate massive cuts to physician payments
A 76-year-old man was diagnosed with appendicitis and placed on
levofloxacin, 300 mg/day for two weeks, post-operatively. At seven days,
he developed bilateral Achilles’ tendon pain. At day 14, the tendons
began to swell, and four days later they both spontaneously ruptured
while putting his pants on.
Mid-level providers, such as physician assistants and nurse practitioners, are gaining popularity – and authority – in the emergency department. To explore the issue of using mid-level providers to extend the reach of emergency physicians, we brought together four experts to take part in a dialogue, moderated by EPM executive editor Mark Plaster. Read the full transcript of the roundtable here.
Aging ED patients can be likened to the life cycle of a banana. When you
buy a bunch of bananas they are green and hard and if you drop them,
nothing happens. As time goes on, they become more yellow and if you
drop one of these, you might get some bruising on the skin, but once you
open the peal the inside of the banana is intact. As time goes on the
banana starts to accumulate brown spots very similar to aging spots.
When one of these gets dropped on the floor, the amount of damage is
Everyone seems to be talking about this new idea called Accountable Care
Organizations. However, the best way to look at these may be as a
Several years ago, during the last Joint Commission survey of our
hospital lab, we got dinged because we failed to routinely do a strep
culture whenever a “quickie” strep screening test was negative. And we
weren’t alone; I’ve heard from a colleague whose hospital got their
wrist slapped for the same thing.