More Detail About the Maine Epinephrine Overdose

From the Bangor Daily News:

Fatal medication error sparks policy reviews

Anaphylaxis, the life-threatening condition that brought 51-year-old Timothy Harvey into the emergency department at Mayo Regional Hospital in Dover-Foxcroft earlier this month, is “the most severe and potentially deadly” of all allergic reactions, according to Dr. Eric Steele.

Harvey, a resident of Atkinson, died early in the morning of June 5 — not from the anaphylactic reaction itself but from a tenfold overdose of epinephrine, the synthetic hormone that is the standard treatment for the condition. The cause of his death was released last week by the state medical examiner’s office and by officials at the hospital. The incident is under investigation by the state Department of Health and Human Services.

Another article from the Bangor Daily News: Mayo hospital admission of death the ‘right thing’

Tranexamic Acid Reduces Trauma Deaths

From MedPage Today:

An inexpensive drug approved for treatment of abnormally heavy menstrual flow significantly reduced fatal bleeding in trauma patients, researchers reported.

Telemedicine Credentialing

From Beth Cesta:

A proposed rule published in the May 26 Federal Register would ease the credentialing process for physicians providing telemedicine services at hospitals and critical access hospitals (CAHs). Starting July 15, 2010, the Joint Commission will begin enforcing CMS requirements on privileging physicians and practitioners, including at the accredited hospitals that provide or receive telemedicine. Hospitals and CAHs with small staffs were concerned about the burden of privileging hundreds of specialty physicians and practitioners made available to them by large academic medical centers. Under the proposed rule, the facilities can rely on information from the hospital providing the telemedicine service. To read the rule, visit AIS’s [ http://www.aishealth.com/Compliance/HCFAIGLibrary.html ] Government Resources, and click on “2010 Federal Register.”

Ten year old girl wins award for standing up to (ED) doctors on mom’s behalf

From the Patriot Ledger:

The emergency-room doctors said her mother was OK to go home, but 10-year-old Isabella Randazzo knew better. She spoke up and insisted that the doctors at South Shore Hospital take more tests.

Those tests led to the discovery of a fibroid tumor in her mother’s uterus. And on Monday, the Bridgewater Fire Department recognized Isabella’s actions with a surprise commendation at the Williams Intermediate School.

“Isabella did something that was very, very important to her mother,” Bridgewater Fire Department Deputy Chief Tom Levy told the class. “Her mother had a medical emergency that ultimately needed surgery. She stayed by her mother’s side, she helped her, she cleaned her up, and when they got to the hospital, she told the doctors and nurses what was wrong with her mother.”

Isabella is accustomed to her mother having medical problems, but she said she could tell their Feb. 15 hospital visit was different.

“I could tell my mom was still sick,” said Isabella. “The doctors said she had to go home and I said, ‘You can’t send her home’ because she was still really sick. I could tell. She was still bleeding and was really weak.”