With or without fiberoptic assistance, nasal intubation remains a
valuable technique in some emergency airway situations, despite its
overall decline in use. It is best in patients who are not critically
hypoxic and in whom there is obvious oral pathology making intubation
and ventilation through the mouth problematic.
In this series, much space has been dedicated to explaining the changes
coming to emergency medicine as hospitals try to qualify for federal
stimulus dollars, by demonstrating meaningful use of electronic health
records. But as these changes unfold, another tech revolution is taking
place in health care – the way patients interact with each other, and
with health organizations, using social media.
“It’s like a drug. First, it makes you feel better even though your
situation isn’t any different. Second, and worse, it’s addicting.” Chuck Shufflebarger, MD, said this to me about ambulance
diversion last summer as I was preparing a talk about concepts in
The emergency department is undoubtedly the area of the hospital that most frequently requires the services of interpreters. As of January 1, 2011, the Joint Commission requires the use of “qualified translators” in the emergency department 24/7.
In this installment of "Rick's Picks" Rick Bukata discusses a couple law suits resulting from excessive emergency department wait times. Should the Joint Commission step in?
Are you writing or thinking about writing a book? Do you want to get
published but have no idea how to go about it? As someone who got my
first book published last year, I can tell you it is a confusing and
sometimes arduous process, but one that can be navigated with a little
direction. This article is going to focus on non-fiction writing. The
rules are completely different if you are writing fiction.
When the Office of Inspector General (OIG) released its 2011 Workplan – a
formal announcement of the areas it plans to investigate – it boldly
brought physicians under increased scrutiny for fraud, based solely on
what may be an unintended consequence of the evolution of documentation
Could HHS’s new payment structure really save Medicare as much as $960 million over the next three years?
The management of patients with upper gastrointestinal bleeds (UGIB)
presenting in extremis is enough to make any physician have melena. In
an effort to preserve your own clothes, make your life easier by
classifying the condition in terms of variceal versus nonvariceal.
Emergency physicians have historically been ambivalent about
inappropriate ED utilization. We deplore it but are reluctant to address
it because we believe that there may be no alternative for these
patients, that excessive risk or the threat of an EMTALA violation are
prohibitive, or that it may cost us practice revenue. But failing to
address an issue of critical importance to our hospital customer is the
first step on the path toward losing the contract.