Beyond the Books–Continuing EMS Information Resources

From EMS1:

Although the educational world is changing, printed textbooks remain a core feature of EMS education. There are four or five good EMT-level textbooks out there, and several paramedic textbooks. Writing and publishing a paramedic textbook, such as my books Paramedic Care: Principles an Practices and Essentials of Paramedic Care, are gargantuan tasks that involve my co-authors and a whole gaggle of editors, artists, and similar professionals. The time it takes to write a textbook as comprehensive as ours takes years — literally. A textbook revision in which the book is updated can take many months. It is not a fast process.

However, textbooks do have their limitations. There is no way that a textbook can keep you abreast of the changing science and practices in EMS. The best source for current EMS science is the scholarly journals. Scholarly journals are peer-reviewed publications. Articles submitted to these journals undergo a rigorous review process and must meet certain guidelines. The principal peer-review journal for EMS is Prehospital Emergency Care. It is coordinated through the National Association of EMS Physicians and is published quarterly. Other emergency medicine journals such as Annals of Emergency Medicine, Academic Emergency Medicine, and American Journal of Emergency Medicine are also good sources of EMS science and practices.

Many in EMS find it difficult to access the scientific literature. The best source is an Internet database called PubMed. This service is provided by the United States National Library of Medicine and the National Institutes of Health and possesses over 18 million citations. The system is easily searchable using key words and Boolean logic. Generally, when you enter a keyword, you will get numerous “hits” of articles that match your keyword. You can look through these entries to find the articles that meet your needs. When you click on these articles, the citation and abstract is displayed. Some of the full text articles are accessible through PubMed (either as PDF files or HTML files), while others are not.

As House and Senate Negotiate, Obama Fine-Tunes His Pitch

From the Washington Post:

President Obama on Wednesday will take his plea for health-care reform to audiences in North Carolina and southwest Virginia, armed with a bullet-point-style message that his aides are hoping will be persuasive.

The re-tooled pitch highlights eight ways that, the White House says, health-care consumers would be treated better by insurance companies if reform efforts pass. It isn’t exactly prime sound-bite material — the catchiest title we could come up with is ‘Eight No’s, an Extension and a Guarantee,’ which doesn’t exactly roll off the tongue.

But the message is the latest attempt by the White House to cut through dense policy discussions in a way that busy, distracted citizens can understand.

Obama is also increasingly adding personal details to his pitch, telling an audience of retirees Tuesday about the experiences of his late mother and grandmother when they were seeking health care and revealing that he and first lady Michelle Obama both have living wills.

As the president tries to sell his reform message, lawmakers from both houses of Congress continue to debate different proposals for how to reform the health-care system. House leaders emerged from nearly seven hours of closed-door talks late Tuesday without a deal, while a bipartisian group of senators
moved closer to consensus.

Obama has struggled mightily to articulate why he believes that people who already have insurance will benefit from changes to the system, which would cover millions of uninsured people and attempt to lower overall health-care costs to the government and society.

On his travels Wednesday — to an audience at a high school in Raleigh, N.C., and at a supermarket in Bristol, Va. — the president will unveil the eight-part message, designed to convince the insurance masses that reform will be good for them. Here, according to White House aides, are the key points:

* No Discrimination for Pre-Existing Conditions: Insurance companies will be prohibited from refusing you coverage because of your medical history.

* No Exorbitant Out-of-Pocket Expenses, Deductibles or Co-Pays: Insurance companies will have to abide by yearly caps on how much they can charge for out-of-pocket expenses.

* No Cost-Sharing for Preventive Care: Insurance companies must fully cover, without charge, regular checkups and tests that help you prevent illness, such as mammograms or eye and foot exams for diabetics.

* No Dropping of Coverage for Seriously Ill: Insurance companies will be prohibited from dropping or watering down insurance coverage for those who become seriously ill.

* No Gender Discrimination: Insurance companies will be prohibited from charging you more because of your gender.

* No Annual or Lifetime Caps on Coverage: Insurance companies will be prevented from placing annual or lifetime caps on the coverage you receive.

* Extended Coverage for Young Adults: Children would continue to be eligible for family coverage through the age of 26.

* Guaranteed Insurance Renewal: Insurance companies will be required to renew any policy as long as the policyholder pays their premium in full. Insurance companies won’t be allowed to refuse renewal because someone became sick.

More Than a Year Later, New AMA Conflicts Policy Still in Works

From the WSJ Health Blog:

For more than a year, the American Medical Association has been drafting a new ethics policy aiming to limit industry influence on continuing education for doctors.

Apparently that’s not enough time.

Early this month, Sen. Herb Kohl sent  a letter to the AMA for a status report. The AMA  wrote back saying it is still at work. The organization’s House of Delegates has rejected two proposals, and its ethics committee will take up the issue again in late August, the group said.

“There is often more than one round of revisions,” AMA Executive Vice President Michael D. Maves wrote. An AMA spokeswoman said the organization didn’t have “anything else to add.”

The  first proposal from the AMA’s ethics committee recommended that doctors and others “must not accept industry funding to support professional education activities.” The reason: “existing mechanisms to manage potential conflicts and influences are not sufficient” to address concerns.

Drug company funding of CME quadrupled between 1998 and 2006 to $1.2 billion, almost half of CME’s total income, according to a 2008 article in the Journal of the American Medical Association. The sums involved, and examples of doctors’ failures to disclose industry funding, has sparked criticism that patient care is suffering because of skewed financial interests.

The letters were provided by the Senate Special Committee on Aging, which Kohl chairs and is holding a hearing today on conflicts in continuing medical education.

Kohl, a Wisconsin Democrat, has been investigating conflicts of interest in medicine and, with Sen. Charles Grassley, pushing legislation that would require public disclosure of industry gifts and payments to physicians.

Ike-damaged UTMB emergency room to reopen Saturday

From the Houston Chronicle:

The emergency room at the Hurricane Ike-devastated University of Texas Medical Branch is scheduled to reopen Saturday.

“It’s been a long time coming,” said Mike Hill, associate chief operating officer.

Ike hit Galveston on Sept. 13, swamping parts of the island and forcing thousands of residents to flee.

Hill says the reopening will take some of the burden off Houston hospitals that have been accepting UTMB patients since the emergency room was closed.

The UTMB complex suffered more than $1 billion in damages from Ike and insurance covered only about $100 million.

MyGlucoHealth Adds SMS, Email Messaging Capabilities

From Medgadget:

Entra Health Systems out of San Diego, CA has been rolling out its Bluetooth powered glucose meter which can synchronize data with a computer or other devices. The firm has just announced that the MyGlucoHealth system, with which the company’s meter interacts, can now send updates of patient’s historical glucose trends, as well as reminders to check glucose or stock up on more strips.

See article here.

Medical Ultrasound Technology Expected to Flourish as it Enters New and Unique Medical Markets

Press release from Marketstrat via eMediaWire:

The world Medical Ultrasound equipment, accessories, and maintenance services market is expected to reach $4.7 billion by 2012. Higher growth rates towards the end of this period are projected as economic conditions stabilize around the world leading to sizeable increases in healthcare expenditures, particularly in high-end capital equipment acquisition.

Growth in the ultrasound market will be driven by demand for hand-carried ultrasound devices and penetration of emerging geographic and clinical markets. Overall growth in medical imaging will also continue due to growing populations of elderly people worldwide, with a concurrent rise in chronic disease rates, which presents new opportunities for growth and expansion. Main restraints in the ultrasound market include the sluggish economy in many countries, reimbursement restrictions and competition from MRI and CT in areas of overlapping application.

The new report published by Marketstrat Inc. discusses these and other trends in the Medical Ultrasound market worldwide, with market estimates and forecasts for the 2008-2016 period. The report discusses the contribution of technological innovation in driving the ultrasound market forward, with hand-carried ultrasound (HCU) systems being the most significant. After Sonosite Inc. first introduced hand-carried ultrasound in 1999, the global leader in medical imaging GE, jumped on board, quickly establishing a broad base in the compact and hand-carried device segment with a wide range of HCUs. The original devices were focused on providing portability and minimizing storage space, although image quality was compromised. The latest HCUs with much improved resolution are now poised to capture a large share of the ultrasound market across the globe. As the leaders in HCU, GE and Sonosite expand their range and offer greater functionality and improved performance at a lower cost, other imaging giants such as Philips, Siemens and Toshiba are launching new products to tap into this market, competing against well-established niche players such as Aloka, Esaote, Zonare, etc.

Rest of article here.