High concentrations of supplemental oxygen during resuscitation after cardiac arrest associated with increased inhospital mortality

From Kevin MD:

Administering high concentrations of supplemental oxygen during resuscitation after cardiac arrest is associated with increased inhospital mortality, researchers said.

So-called blood hyperoxia resulting from being given pure oxygen after cardiac arrest was associated with an 80% increase in the risk of death, compared with patients whose blood gases were normal on admission to the intensive care unit (ICU), according to Stephen Trzeciak, MD, of Cooper University Hospital in Camden, N.J., and colleagues.

ACEP Responds to HealthGrades Report

From ACEP:

A new report from HealthGrades analyzes mortality data from the records of Medicare patients who were admitted in hospitals across the United States, but is not a measure of emergency care, according to the American College of Emergency Physicians (ACEP).

“Efforts to gather data on emergency medicine are critical, especially as the nation embarks on health care reform,” said Dr. Angela Gardner, president of ACEP. “This new report makes several critical points about the negative effects of delays in care and anticipated increases in emergency visits. However, the mortality rates in this report are a measure of inpatient hospital care, not just emergency care.”

EPINEPHrine pre-filled syringe shortage

From the American Society of Health-System Pharmacists

EPINEPHrine emergency syringes 1 mg/10 mL (0.1 mg/mL) are currently on backorder from the sole manufacturer of this product. Although the shortage is expected to resolve later this summer, practitioners should be aware of risk for error created by the shortage.

CMS proposes 6.1% cut in Medicare payments to docs for January

From Modern Healthcare:

Physicians would receive a 6.1% cut to their Medicare payments starting Jan. 1, 2011, under a proposed rule issued by the CMS. That reduction would be in addition to a projected 23.5% cut that is scheduled to take effect Dec. 1, provided that Congress doesn’t act to change it.

The latest intervention came on June 24, when the House approved legislation to replace a 21.2% Medicare physician pay cut with a 2.2% raise through November. The measure was swiftly signed into law.

If Congress doesn’t act later this year, however, that 21.2% cut will reappear on Dec. 1, a CMS spokeswoman said. Taking into account the 2.2% increase physicians will receive through November, the net result will be more like a 23.5% cut, she said.

Combine the 2010 reduction with the 2011 projected cut, and physicians potentially face a nearly 30% SGR cut in January, Cecil Wilson, president of the American Medical Association, has predicted.

Minnesota nurses set strike date: July 6

From Modern Healthcare:

It’s official: hospital nurses in Minnesota have put 14 hospitals on notice that they intend to stage what they say is the largest nurse walkout in U.S. history, starting on July 6 and continuing for a indefinite amount of time.

From the AP:

Some 12,000 nurses are poised to launch an open-ended strike on July 6 in a dispute with 14 Minnesota hospitals over staffing, pensions and other issues.

The Minnesota Nurses Association on Friday filed its required 10-day notice setting the strike date after negotiations Thursday went nowhere. The nurses already staged a 24-hour walkout earlier this month.

Staffing levels are the top issue in the contract dispute. The union is seeking fixed nurse-to-patient ratios, calling it a matter of patient safety. But the 14 Twin Cities area hospitals involved say that would raise their costs by $250 million a year and wouldn’t improve the quality of care.

The next negotiations are scheduled for Tuesday, and the union on Friday also announced strike preparation meetings for Wednesday.