NYC – Bronx man sues city after medics throw his ear in the garbage

From the NY Daily News:

Bronx hospital and the city are really hearing it from a Bronx man whose ear was thrown in the garbage.

Eduardo Garcia, 67, filed a lawsuit after emergency service workers tossed out his ear – which was ripped off by a dog – because they feared it was too risky to reattach it.

“Now, he’s got a deformity,” said Garcia’s lawyer, Andrew Friedman. “They deprived him of an opportunity to have treatment.”

A bull terrier belonging to Garcia’s son bit off a large chunk of his upper ear on May 10, 2008, his lawyer said.

Emergency workers packed the salvaged ear on ice in the ambulance, but when the ambulance arrived at Montefiore Medical Center, the EMS workers threw the ear in the trash, according to the suit filed in Bronx Supreme Court.

AMA: Don’t Guarantee Naps for Residents On Overnight Shifts

From the Wall Street Journal Health Blog:

When medical residents work 30-hour shifts, should they be guaranteed a five-hour nap? The Institute of Medicine thinks so, but the AMA disagrees.

At its recent meeting, the AMA adopted a new policy to oppose the guaranteed sleep time. Mandatory naps could “have significant unintended consequences for continuity of patient care and safety, as well as being difficult and expensive to implement and monitor,” the AMA’s recommendations say.

The Institute of Medicine recommended the mandatory nap time for shifts longer than 16 hours in a report it issued late last year on resident work hours and patient safety.

Hospital Administrator and COO Face Charges on Checks Written with Insufficient Funds

From TodaysTHV

The administrator and chief operating officer of the Pike County Hospital have been arrested on felony hot check charges for allegedly writing bad checks to a physician.

Authorities say 61-year-old Robert Hicks of Oklahoma City and 63-year-old Arthur Clyde Benson Jr. of Richardson, Texas, wrote two checks for nearly $8,900 for salary payments to Dr. George Gray of Little Rock. Hicks serves as the chief operating officer for the hospital while Benson is the administrator.

The two checks were drawn on the First State Bank of De Queen for $3,000 and $5,838. Prosecutor Bryan Chesshir says his office has heard complaints about insufficient funds concerning the hospital, but few people have brought the checks to him.

Paramedic perceptions of their role, education, training and working relationships when attending cases of mental illness

From the Journal of Emergency Primary Health Care:

Objectives
This study explores the perceptions of paramedics regarding their role, education and training, organisational culture and interaction with allied professionals when attending suspected or known cases of mental illness. The study uses the South Australian Ambulance Service (SAAS) clinical data to establish a quantitative measure of workload in relation to cases that have been classified as psychiatric. It examines how paramedics perceive their use of the resources currently in place to support practice and their role when dealing with patients displaying mental illness.

Methods
Data were sourced from the SAAS clinical database, a survey and three focus groups. One hundred and fifty surveys were distributed to career paramedic staff in both metropolitan and regional centres of South Australia with a response rate of 49.3% (n=74). The survey was analysed using descriptive statistics to compare paramedics’ perceptions of workload and time-on-scene with the quantitative data from the SAAS Clinical Database. Thematic analysis was undertaken of the open questions from the survey and focus groups data.

Results
The analysis of workload and time-on-scene showed significant differences between the SAAS database and paramedic perceptions. The survey and focus groups discussed themes in relation to paramedic practice: the role of paramedics in managing mental illness, education and training, organisational culture and interdisciplinary relationships.

Conclusion
Mentally ill patients comprise a growing proportion of the workload of paramedics. This descriptive and exploratory study identifies issues in relation to their perception of workload, education and training, organisational culture and their working relationships with other services. Further research is recommended to understand how these perceptions affect paramedic practice in this area.

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