There Should Be a Dress Code for Doctors

From Gizmodo:

Regardless of profession, we all play out the sartorial ritual of considering colors, textures, and garments for work, school and play.

Clothing for doctors is more than just a matter of personal style: it is an emblem of their specialty, training and culture.

Report Urges Major Steps to Help Victims of Cardiac Arrest

From the AP:

On Tuesday, the IOM called for a major public education effort to teach people how to recognize and react to cardiac arrest – including making CPR training a graduation requirement for high school. According to the American Heart Association, Connecticut just became the 24th state to pass legislation to do that.

State and local health departments should team with health groups to create “a culture of action,” the IOM recommended. It also urged employers to stock defibrillators and train workers to use them, and expanded access to CPR training for people over age 65 and their caregivers.

ER doctor dies of cardiac arrest after working 24-hour shift

From Fox News:

beloved doctor at one of China’s top hospitals has died of sudden cardiac arrest after working a 24-hour shift, prompting medical staff to question workers’ hours and staffing at the facility, Central European News (CEN) reported.

Dr. Li Jing, 43, was the head of the emergency department at the Guangzhou Red Cross Hospital in Guangzhou, capital of south China’s Guangdong Province. According to CEN, Jing died at home with his wife after reportedly undergoing excess physical fatigue.

Emergency Medicine, the Rising Need in Healthcare

From Indian Express:

Emergency Medicine, the speciality of the 21st century, is emerging in India at a very rapid pace. It is interdisciplinary in nature; designed to deal exclusively with emergency conditions of each and every branches of modern medicine. It is the bridging specialty between medicine and surgery. The branch of Emergency Medicine is well established in developed nations, especially in UK, USA and Australia involving air ambulances, robotics and all other essential paraphernalia, with well trained personnel for speedy and effective interventions. It will take a minimum of 10 years for this specialty to get streamlined in India; as there is an acute shortage of MD Emergency Medicine doctors in government and private sector medical colleges and hospitals. At present, there are only 48 MCI permitted/approved/recognised MD seats in the entire India, out of which eight are in Kerala.

Facing huge ER costs, Houston replaces some ambulance rides with videochatting and cabs

From Fusion:

If you call 911 for a stubbed toe in most of the U.S., you could get an ambulance ride and an emergency room visit, costing the system thousands of dollars for something that’s hardly an emergency. But if you try to do the same thing in Houston, you might get told to hitch a cab.

A new medical program in the city has saved more than $1 million by having doctors triage emergency patients over videochat and preventing patients with non-urgent cases from taking an ambulance or going to the ER.

Under the program, known as ETHAN, emergency responders in ambulances carry tablets equipped with video cameras. If responders find a case that isn’t obviously urgent, a doctor videochats with the patient, asking them questions and observing them to try to determine how sick or injured they actually are. If they aren’t facing something drastic, the doctor will schedule them a clinic appointment in the next day, and a cab paid for by city the will take them there.

North Dakota’s emergency room on wheels aimed at disasters

From the Times:

North Dakota health officials on Tuesday unveiled a new self-contained emergency room on wheels that can be used during floods, tornadoes and other statewide disasters.

The Mobile Medical Unit is 53-foot-long semitrailer converted into rolling hospital that can accommodate up to 16 patients, said Tim Wiedrich, chief of the Health Department’s emergency preparedness and response section. It’s designed to be used in areas where hospital emergency services are unavailable.

Wiedrich said the mobile emergency facility – equipped with a generator, X-ray machine, laboratory equipment and water and wastewater system – will be an “extremely useful tool.”

CMS will modify—not scrap—’two-midnight’ rule

From Modern Healthcare (hat tip: Dr. Menadue)

The CMS plans to soften but keep the controversial “two-midnight” rule governing short hospital stays in spite of aggressive calls from providers and policy experts to abandon the policy.

In a proposed payment rule posted Wednesday, the Obama administration said it plans to allow physicians to exercise judgment to admit patients for short hospital stays on a case-by-case basis. The CMS also said it would remove oversight of those decisions from its recovery audit contractors and instead ask quality improvement organizations to enforce the policy.

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