ED nurses fired for taking “patient selfies”

From DW:

Though no details of the published material were officially released, the daily Aachener Zeitung reported they concerned dementia patients who had been “made to look foolish with silly clothes and makeup.”

Couple gets emergency room surprise — it’s a baby

From KCRG:

Misty Beaty said some who hear their story may question how she could be pregnant for months and not know it.

“I didn’t have the weight gain, didn’t have the nausea and none of the morning sickness that goes along with pregnancy. Nothing,” Beaty said adding she gained only 10 pounds total this year and most of that was the baby.

A Software Glitch Disconnected the Entire State of Washington From 911

From Gawker:

The FCC says a software glitch that made it impossible for the entire state of Washington to call emergency services for six hours “could have been prevented.”

The April 9 outage actually affected 11 million people across seven states. According to theWashington Post, close to six thousand people tried to call 911 but were unable to complete the call.

U.S. issues new protocols for treating Ebola patients

From Reuters:

The United States issued stringent new protocols on Monday for health workers treating Ebola victims, directing medical teams to wear protective gear that leaves no skin or hair exposed when caring for patients infected with the virus.

The new guidelines from the U.S. Centers for Disease Control and Prevention in Atlanta come as 43 people who were exposed to the first patient diagnosed in the United States were declared risk free, easing a national sense of crisis over the spread of Ebola.

The health problems facing rural and urban poor in Illinois

From WBEZ:

Each year, researchers at the University of Wisconsin’s Population Health Institute put out the County Health Rankings. The rankings show how counties across the country match up on things like life expectancy and residents’ health.

Julie Willems Van Dijk is one of the directors.

“The reason we do it is to raise awareness about how healthy our communities are, and how healthy they’re not. To do so in a way that piques people’s interest by comparing them to other counties in their community. And ultimately in a way that helps everybody see … that health in your community is not just about what the doctors and nurses do. But it really is about decisions that are made by businesses, by government,” Willems Van Dijk says.

Rural Primary Care Challenges Extend Beyond Physician Supply

From HealthLeaders Media (Hat Tip: AJ):

Increasing access to primary care services in poor and rural communities means approaching the issue on multiple fronts, including telemedicine, patient engagement, and coordinated care, a payer’s report suggests.

Chest compression depth and survival in out-of-hospital cardiac arrest

From Resuscitation:

AIM:

Outcomes from out-of-hospital cardiac arrest (OHCA) may improve if rescuers perform chest compressions (CCs) deeper than the previous recommendation of 38-51mm and consistent with the 2010 AHA Guideline recommendation of at least 51mm. The aim of this study was to assess the relationship between CC depth and OHCA survival.

METHODS:

Prospective analysis of CC depth and outcomes in consecutive adult OHCA of presumed cardiac etiology from two EMS agencies participating in comprehensive CPR quality improvement initiatives. Analysis: Multivariable logistic regression to calculate adjusted odds ratios (aORs) for survival to hospital discharge and favorable functional outcome.

RESULTS:

Among 593 OHCAs, 136 patients (22.9%) achieved return of spontaneous circulation, 63 patients (10.6%) survived and 50 had favorable functional outcome (8.4%). Mean CC depth was 49.8±11.0mm and mean CC rate was 113.9±18.1CCmin(-1). Mean depth was significantly deeper in survivors (53.6mm, 95% CI: 50.5-56.7) than non-survivors (48.8mm, 95% CI: 47.6-50.0). Each 5mm increase in mean CC depth significantly increased the odds of survival and survival with favorable functional outcome: aORs were 1.29 (95% CI 1.00-1.65) and 1.30 (95% CI 1.00-1.70) respectively.

CONCLUSION:

Deeper chest compressions were associated with improved survival and functional outcome following OHCA. Our results suggest that adhering to the 2010 AHA Guideline-recommended depth of at least 51mm could improve outcomes for victims of OHCA.

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