Virtual Consultations With Doctors Speed Up Non-Emergency ER Visits At Area Hospital

From CBS Local New York:

Have you ever gone to the emergency room for a cut or a sprain, or maybe if you were running a fever? Chances are you waited a pretty long time to be seen and treated.

But as CBS2’s Dr. Max Gomez reported, one hospital is now using telemedicine to make the ER visits faster and less stressful. And the doctor does not even have to be in the room.

How Emergency Services are Getting Ready for the Eclipse

From WLTX:

There is no doubt. The total solar eclipse is going to be a big event. People are coming from all over to see the spectacle.

The South Carolina Emergency Management Division said the Columbia area may see anywhere from 140,000 to half a million people and our state could see over one million visitors. Or even more.

That’s a lot of people and a lot of cars on the roads, so what’s the plan if there is an emergency?

The Department of Transportation, Department of Natural Resources, South Carolina Highway Patrol, HAM Radio and South Carolina Emergency Management Division will be on stand by with extra staff.


State-by-state breakdown of 80 rural hospital closures

From Becker’s:

Of the 26 states that have seen at least one rural hospital close since 2010, those with the most closures are located in the South, according to research from the North Carolina Rural Health Research Program.

Thirteen hospitals in Texas have closed since 2010, the most of any state. Tennessee has seen the second-most closures, with eight hospitals closing since 2010. In third place is Georgia with six closures, followed by Alabama and Mississippi, which have each seen five hospitals close over the past six years.

Eclipse 2017: Southern Illinois prepares for an influx of visitors

From the Pantagraph:

With just one week to go before the 2017 total solar eclipse, municipalities, businesses and organizations are all gearing up for additional traffic and people.

Southern Illinois Healthcare has increased staff at all locations and is preparing for parking. The public is asked to not to park in SIH clinic and hospital lots.

“We want to keep those spaces open for patients and ambulances,” said Rosslind Rice, communications coordinator for SIH.

All SIH locations have been participating in disaster drills over the past several months to prepare for the types of incidents that might occur.

Doctor saves woman overdosing on flight; plane makes emergency landing in Buffalo

From New York Upstate:

A female passenger was slumped over in her seat and didn’t have a pulse, turning grey after reportedly spending an extended amount of time in the plane’s bathroom.

The cardiologist told the TV station that he and an OBGYN nurse also on the flight discovered a needle hidden in her bra. An opioid overdose was suspected, and the plane made an emergency landing in Buffalo.

The woman was “completely unresponsive,” Punjabi said. He and the nurse gave her mouth-to-mouth CPR to keep her alive until they could get naloxone, a drug also known as Narcan that revives overdose victims.

Epidemiology of Sepsis Among Adolescents at Community Hospital Emergency Departments

From JAMA (subscription required for Full Text):

In 2012, Rory Staunton, a healthy 12-year-old boy, presented to the emergency department (ED) of a community hospital in New York with symptoms that, in retrospect, were determined to be caused by sepsis. He was seen, discharged, and subsequently died of septic shock. Consequently, the governor introduced Rory’s Regulations, which mandated that hospitals in New York implement protocols to recognize and treat sepsis according to evidence-based guidelines. These efforts may result in large public health benefits for patients.1 However, crucial to Rory’s case was that his diagnosis was missed. Efforts to avoid missed or delayed diagnosis are greatly enhanced by knowledge of the frequency and course of similar cases, yet such data are unknown. We therefore examined the electronic health records of healthy adolescents who presented to 12 community hospital EDs in southwestern Pennsylvania during the same period (January 1, 2010, through December 31, 2012) with signs and symptoms similar to those of Rory Staunton.

Risk Factors for Malpractice

From Urgent Matters:

This article shows that emergency medicine physicians who have practiced longer and who see more patients are more likely to be named in a malpractice lawsuit.  Malpractice claims are, unfortunately, inevitable due to the environment that emergency medicine physicians operate in.  Malpractice litigation also places a heavy burden on both the health system and the providers.  As with many things in medicine, one of the first steps is identifying who is at risk.  This article helps advance our understanding of which physicians are at a higher risk; knowing this will be invaluable in developing strategies for making the healthcare system safer and hopefully reducing the number of malpractice claims filed.