Are low acuity patients congesting the ED?

From Movin’ Meat:

The point in contention is an interesting one: we know the nation’s ERs are overwhelmed and overcrowded. That’s old news. We also know a big driver of this is boarding of admitted patients in the ER due to limited inpatient beds. If you’re a 20-bed ER and you’re boarding 5 patients, you’ve lost 25% of your throughput capacity. Common sense that this is a big issue. But, the argument hinged on, what is the contribution of the proportion of ER patients who “don’t need to be there,” the patients whose care could have better been delivered elsewhere?

Heart Association Mission:Lifeline Program in North Dakota Receives $7.1M Grant

From Public News Service:

Press Release (PDF)

A major initiative to save the lives of heart attack victims in North Dakota is more than halfway to its goal. The American Heart Association says since Mission: Lifeline began one year ago September, new diagnostic equipment has now been added to the equipment in 81 rural ambulances in the state, with 64 to go.

Noelle Riehl at MedCenter One in Bismarck says the ability to get a diagnosis from the field will save time and lives.

“They’re going to be able to, by the click of a button, transmit heart rhythm into the hospital, into our physicians. And those ERs are going to be able to diagnose a patient with an acute heart attack and be able to start the line of treatment that is needed for these patients that are coming to our facility.”

Scotsman Gets Head Stuck in Trash Bin

From JEMS:


ABERDEEN, Scotland — A 52-year-old man was taken to hospital last night — after getting his head stuck in a bin.

The unusual incident happened at the Castlegate, Aberdeen, around 5:45 p.m., when passers-by noticed the man struggling to break free.

Worried onlookers called 999, and all three emergency services attended.

Grampian Fire and Rescue officers used a high-powered saw to cut off the top of the bin and he was freed within 15 minutes.

Jury finds for ED Physician in Malpractice Case

From the Hawkeye:

A Des Moines County jury determined Tuesday that emergency room physician James “Toby” Vandenberg and Great River Medical Center acted properly in treating a 68-year-old Burlington man who died from respiratory failure in 2009.

The six men and two women on the jury deliberated six hours and 15 minutes before deciding there was no negligence involved in the care and treatment of William “Bill” Thye, who died two days after being treated and released from the medical center’s emergency room.