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Johns Hopkins and CDC prepare emergency department staff to care for patients with infectious disease
Four Web-based training modules developed by Johns Hopkins Medicine for emergency department personnel who treat patients with infectious diseases are now available on the Centers for Disease Control and Prevention's (CDC) YouTube channel. Titled Ebola Preparedness: Emergency Department Guidelines, the learning series prepares health care workers to safely and efficiently identify, triage and briefly manage the care of patients who might have Ebola. In addition, the modules showcase important planning processes, provider-patient communication techniques and cross-discipline teamwork principles that can be used to successfully prepare for emerging infectious diseases.
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21st Annual Scientific Assembly — On-site Registration Available!
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AAEM Oral Board Review Course — Register today!
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Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.
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2015 AAEM Board of Directors Elections — Cast your vote online!
Learn more about elections and the AAEM Candidates’ Forum.
Online voting closes March 1 at 11:59 p.m. CT.
Online Learning Library
Superb, AAEM-quality educational content with AMA PRA Category 1 Credits™ available. Online learning optimized for your convenience. Get started today with the 2014 Scientific Assembly or 2014 Written Board Review Course.
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AAEM Insurance Program Open Enrollment: Group Personal Excess and Umbrella Liability Policy
The next enrollment period for the Group Personal Excess and Umbrella Liability Policy is under way! This benefit is available to all members of AAEM. The policy provides additional protection above and beyond what is covered by your current auto, homeowners and/or watercraft & recreational vehicle insurance and is underwritten by Crum & Forster Specialty Insurance Company (“A” Rated).
Do You Know PA Fellows in Your ED? Invite them to the PA Challenge Bowl at AAEM15!
We need your help! Join forces with other EM interests and support a PA Fellowship Team for the 2nd Annual PA Fellowship Challenge Bowl. Learn more.
Hospitals face closures as 'a new day in healthcare' dawns
As hospitals increasingly lose patients to medical care delivered in clinics and home settings, hospital operators are escalating their efforts to shrink capacity. Hospitals are operating with fewer beds or closing outright, in some cases to make way for new ambulatory-care centers. In Lakewood, Ohio, where chronic conditions such as heart disease and diabetes are just as prevalent as in the rest of the country, the city is about to close its only hospital, whose 200 beds are typically half empty.
Are medical scribes standing in way of EHR innovation?
Depending on who you talk to these days, medical scribes are either seen as the saving grace for physicians dissatisfied with the poor usability of electronic health records, or scribes are viewed as “workarounds” impeding much-needed improvements to EHRs.
The growth of the medical scribe industry has been nothing short of astonishing. At least 22 companies currently provide scribe services in 44 states.
The rise of the specialty emergency department
More than 10 percent of Mount Sinai Hospital's 110,000 emergency department visits each year involve patients over age 65. Three years ago, the 1,048-bed New York City hospital — which is participating in a Medicare shared-savings accountable care organization — opened a dedicated geriatric ED designed to help coordinate care for these higher-risk patients.
“There's sort of a silver tsunami approaching,” said Dr. Denise Nassisi, director of geriatric emergency medicine at Mount Sinai. “We planned it because we knew that geriatric patients really do require special handling.”
Derivation and initial application of a standard population for out-of-hospital cardiac arrest (SPOHCA)
A case-based standard population provides for more practical interpretation of reported OHCA outcomes. We encourage a more widespread effort involving multiple stakeholders to further explore the effects of adjusting OHCA outcomes using the proposed SPOHCA instead of population-based demographics.
A 2-week elective experience provides comparable training as longitudinal exposure during residency for pelvic sonography
Journal of Ultrasound in Medicine
The accuracy of pelvic sonography for first-trimester pregnancy was comparable between physicians who participated in a 2-week emergency ultrasound elective and those who performed the same number of examinations over a longer period during residency training.
Decision making in trauma settings: Simulation to improve diagnostic skills
Simulation in Healthcare
This preliminary study indicates that teams led by more senior residents received higher scores when managing heuristic scenarios but were less effective when managing the scenarios that require a more analytic approach. Simulation can be used to provide teams with decision-making experiences in trauma settings and could be used to improve diagnostic skills as well as study the decision-making process.
'Superbug' surfaces at UCLA — What you need to know
By Joan Spitrey
According to recent reports, UCLA's Ronald Reagan Medical Center in Los Angeles has potentially infected nearly 180 patients with the "superbug" known as carbapenem-resistant Enterobacteriaceae, or CRE. UCLA has traced the source of the spread to duodenoscopes that are used for endoscopic retrograde cholangiopancreatography. The outbreak was initially discovered last month, and the hospital immediately began notify patients who had been treated as far back as October to offer them medical tests. At least two deaths have been attributed to the current outbreak.
Hospitals see alarming increase in suicidal children
Here's a troubling thought: more kids and young adults are intentionally hurting themselves — sometimes lethally. "The biggest news here is that there is a startling jump in the number of kids hospitalized for suicide and self injury between 2006 and 2011," said Celeste Torio, Ph.D., MPH, scientific review officer, Office of Extramural Research Education and Priority Populations (OEREP) at the Agency for Healthcare Research and Quality (AHRQ).
Study: 1 in 5 sore throats tied to potentially dangerous bacteria
A potentially deadly bacteria is responsible for one in five sore throats in young adults, a new study suggests.
Patients with this bacteria — Fusobacterium necrophorum — can get negative results on a strep test, but be at risk of an abscess that blocks the airway, researchers report.
In this study of young people aged 15 to 30, researchers found that more than 20 percent of the sore throats were caused by F. necrophorum — more than the number caused by group A streptococcal bacteria.
Prescription painkiller abuse: A worst drug overdose epidemic in history
The Centers for Disease Control calls prescription painkiller abuse "one of the worst drug overdose epidemics in history."
New studies on prescription painkillers show that from 1999 to 2011, the consumption of hydrocodone more than doubled and oxycodone use increased by 500 percent. During that time, opioid pain reliever (OPR) overdose nearly quadrupled.
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