Medscape Physician Compensation Report 2014

From Medscape:

Over 24,000 physicians in 25 specialties responded to this year’s Medscape Compensation Report and described their compensation, number of hours worked, practice changes resulting from healthcare reform, and adaptations to the new healthcare environment.

With Google Glass, the Doctor Can See You Now

From CIO:

As an emergency room physician rushes to a patient, he glances at a QR code by the door to the patient’s room and immediately can see the man’s medical history and the nurse’s notes.

The information, which the the doctor can see without ever looking away from the patient, may help save the patient’s life, and was accessed on Google Glass .

FAA Final Rule Creates Stricter Safety and Equipment Regulations for Helicopter Air Ambulance Operations

From EMS World:

New rules from the Federal Aviation Administration (FAA) will have a significant impact on helicopter air ambulance services.  These regulations implement new operational procedures and require additional equipment for helicopter air ambulances in response to an increase in fatal helicopter air ambulance accidents.  The new rules identify four common factors in those accidents- inadvertent flight into Instrument Meteorological Conditions, loss of control, controlled flight into terrain, and night conditions.

Misdiagnosed: Docs’ Mistakes Affect 12 Million a Year

From NBC:

At least one in every 20 adults who seeks medical care in a U.S. emergency room or community health clinic may walk away with the wrong diagnosis, according to a new analysis that estimates that 12 million Americans a year could be affected by such errors.

Of those misdiagnosis mistakes, about 6 million could potentially cause harm, according to patient safety expert Dr. Hardeep Singh, who is the first to provide robust population-level data on the impact of the problem in outpatient settings.

No Benefit to Prehospital Initiation of Therapeutic Hypothermia in Out-of-hospital Cardiac Arrest: A Systematic Review and Meta-analysis

From Academic Emergency Medicine:

Objectives

The aim of this review was to define the effect of prehospital therapeutic hypothermia (TH) on survival and neurologic recovery in patients who have suffered out-of-hospital cardiac arrest (OHCA).

Methods

Included in this review are randomized trials assessing the effect of prehospital TH in adult patients suffering nontraumatic OHCA. Trials assessing the effect of in-hospital TH were excluded. Only studies with a low risk of bias were eligible for meta-analysis. A medical librarian searched PubMed, Ovid, EMBASE, Ovid Global Health, the Cochrane Library, Guidelines.gov, EM Association Websites, CenterWatch, IFPMA Clinical Trial Results Portal, CINAHL, ProQuest, and the Emergency Medical Abstracts Database without language restrictions. Clinicaltrials.gov was searched for unpublished studies. Bibliographies were hand searched and experts in the field were queried about other published or unpublished trials. Using standardized forms, two authors independently extracted data from all included trials. Results from high-quality trials were pooled using a random-effects model. Two authors, using the Cochrane risk of bias tool, assessed risk of bias independently.

Results

Of 740 citations, six trials met inclusion criteria. Four trials were at a low risk of bias and were included in the meta-analysis (N = 715 patients). Pooled analysis of these trials revealed no difference in overall survival (relative risk [RR] = 0.98, 95% CI = 0.79 to 1.21) or good neurologic outcome (RR = 0.96, 95% CI = 0.76 to 1.22) between patients randomized to prehospital TH versus standard therapy. Heterogeneity was low for both survival and neurologic outcome (I2 = 0).

Conclusions

Randomized trial data demonstrate no important patient benefit from prehospital initiation of TH. Pending the results of ongoing larger trials, resources dedicated to this intervention may be better spent elsewhere.

Hospitals sue Medicare over ‘two-nights’ rule

From Philly:

The “two-midnights” rule “has deprived and will deprive hospitals of Medicare reimbursement for reasonable, medically necessary care they provide to patients. And the rule is arbitrary and capricious,” the lawsuit said.

Doctors, medical staff on drugs put patients at risk

From USA Today:

America’s prescription drug epidemic reaches deep into the medical community. Across the country, more than 100,000 doctors, nurses, technicians and other health professionals struggle with abuse or addiction, mostly involving narcotics such as oxycodone and fentanyl. Their knowledge and access make their problems especially hard to detect. Yet the risks they pose — to the public and to themselves — are enormous.

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