Hands-Only CPR Saves More Lives

From MedPage Today:

The chances of surviving cardiac arrest with good brain function are better when bystanders focus CPR efforts on chest compression without mouth-to-mouth rescue breathing, a nationwide Japanese study affirmed.

When bystanders performed chest compression-only CPR and used a public-access defibrillator, 40.7% of out-of-hospital cases survived at least a month without needing assistance in daily living, Taku Iwami, MD, PhD, of the Kyoto University Health Service in Kyoto, Japan, and colleagues found.

Britain’s Tallest Paramedic Serves as Human Ladder in Rescue, Named Paramedic of the Year

From JEMS:

A heroic ambulance man used his 6’8″ frame as a human ladder to rescue a couple from a burning building.

Hospital CEO’s incentivized based on patient satisfaction

From Fierce Healthcare:

On average, incentives make up 10 percent of CEO pay, with 80 percent consisting of salary and the other 10 percent in retirement and other benefits,HealthLeaders noted. Hospital CEOs listed operating margin (67 percent), patient satisfaction (60 percent), clinical quality (54 percent) and financial efficiency (44 percent) as the four top factors for their current incentive payments.

Chicago man jumps out of ambulance, dies

From UPI:

Chicago Fire Department spokesman Larry Langford said that at some point during the ride, Reynoso, who was strapped in a gurney, told the medics that he needed to vomit.

“So they would have handed him the vessel and unbuckled the top strap as he sat up in order to deal with it,” Langford said.

After the top straps were undone, Reynoso unstrapped his legs and jumped out the back of the moving ambulance, Langford said.

Immigration Agents Arrest Man Accused of Booting Ambulance

From JEMS:

The Mid-City convenience store employee who last week put a parking boot on an in-service ambulance was arrested late Tuesday for violating federal immigration law.

Nebraska confronting rural doctor shortage

From the Kearney Hub:

Seller is among a declining number of Nebraska doctors who work full-time in rural areas, a key point of debate for Nebraska lawmakers when they address the federal health care law next year.

Lawmakers will decide whether to extend Medicaid coverage to more residents, an idea that Gov. Dave Heineman staunchly opposes. But amid all the debate, Nebraska faces a more immediate problem with no easy answers: The state doesn’t have enough doctors to treat all the new patients who will become insured when new pieces of the law take effect in 2014.

Eating Disorders in the Emergency Department

From Brain Blogger:

Eating disorders cover a range of conditions that involve either too much or too little food intake. Many cases of eating disorders are associated with mental health and psychiatric conditions and eating disorders have the highest mortality rate among mental illnesses. Unfortunately, many eating disorders go unrecognized and undiagnosed – and untreated. Now, a new study sponsored by the National Institute on Alcohol Abuse and Alcoholism reports that teenagers and young adults with eating disorders present to the emergency department (ED) at higher rates than previously thought. This provides an opportunity for emergency physicians to identify risk factors and symptoms associated with eating disorders and offer early intervention and treatment.