New telemedicine is keeping patients out of the ER

From WINKNews:

The number of patients being admitted to the emergency room for “non-emergency” issues happens more than you think. That’s why Lee Memorial Health System has a new program in place to cut down on what’s called “preventable returns.” The goal is to keep patients out of the E.R. and in their own homes. This system keeps tabs on their health while keeping their hospital tab down.

Mechanical Thrombectomy for Strokes – Promising, But Still Unsafe

From Emergency Merdicine Literature of Note:

This article is just a retrospective, consecutive case series from Spain reporting outcomes and adverse events from mechanical thrombectomy in acute stroke.  Most of their patients are significantly disabled from their strokes, with NIHSS ranging from 12 to 20 – unlikely to have great outcomes – but 14% developed intraparenchymal hemorrhage and 25% were deceased at 90 days.  Six patients had vessel wall perforation from the thrombectomy device.

The key sentence is the last sentence:
“Clinical efficacy of this approach compared with standard medical therapy remains to be demonstrated in prospective, randomized controlled trials.”

Incidence and Cost of Injury Among Youth in Agricultural Settings, United States, 2001–2006

From Pediatrics:

OBJECTIVE: Estimate the annual US incidence and cost of fatal and nonfatal youth injury in agricultural settings.

METHODS: We used 2001–2006 Childhood Agricultural Injury Survey data to estimate the incidence of nonfatal injury and 2001–2006 Multiple Cause of Death data to estimate the incidence of fatal injury. To estimate the costs for injuries suffered by youth working/living in agricultural settings, we multiplied the number of injuries times published unit costs by body part, nature of injury, and age group.

RESULTS: An average of 26 655 agricultural injury incidents occurred annually to youth (ages 0–19) in the United States during the period 2001–2006 (95% confidence interval [CI]: 24 263–29 046). These injuries cost society an estimated $1.423 billion per year in 2005 dollars (95% CI: $1.333 billion–$1.513 billion). Fatalities alone cost an estimated $420 million per year. Work related injuries annually cost $347 million or 24.4% of the total cost (95% CI: 20.3%–28.5%). Most agricultural youth injuries were not work related.

CONCLUSIONS: We found that, similarly to adult agricultural injuries, youth agricultural injuries tend to be more severe and more costly than nonagricultural injuries. Only 1.4% of injured youth in the United States were hospitalized in 2000, but 14% of youth injured in agriculture were hospitalized in 2001–2006. To address this serious problem, prevention should focus on better controlling both child access to agricultural recreational activities and child assignment to agricultural work tasks that exceed developmental norms.

Injury Rates from Children Falling Down Stairs Decrease

From MedPage Today:

Although stair-related injuries among young children have become less frequent, they are still a common source of injury in the U.S., researchers found.

Over a recent 10-year period, a child younger than 5 was treated in an emergency department for a stair-related injury every six minutes, on average, according to Gary Smith, MD, DrPH, of the Research Institute at Nationwide Children’s Hospital in Columbus, Ohio, and colleagues.