Loyola ED Expert Conducts Simulation Training in India

From Newswise:

Trent Reed, DO, Department of Emergency Medicine, at Loyola University Health System, had his own passage to India to the Tamilnadu Dr. M.G.R. Medical University Simulation Training in Health Care conference in Chennai, the southern city formerly known as Madras.

“This was my first trip to India and my first overseas speaking opportunity and I was fascinated to learn from my multinational colleagues,” said Reed, director of clinical simulation, Loyola University Chicago Stritch School of Medicine, who has taught at Loyola for seven years. “Loyola is so technically advanced as far as medical equipment and protocols; it provided a sharp contrast to the facilities in India.”

Developing the skill of endotracheal intubation: implication for emergency medicine

From CiteULike:

Background Securing the airway by means of endotracheal intubation (ETI) represents a fundamental skill for anaesthesiologists in emergency situations. This study aimed to evaluate the time needed by first-year anaesthesiology residents to perform 200 ETIs and assessed the associated success rates and number of attempts until successful ETI.

Methods This prospective single centre study evaluated the number of working days, the success rate, the attempts needed until successful ETI in consecutive blocks of 25 ETI procedures and the related difficulties and complications.

Results From 2007 to 2010, 21 residents were evaluated consecutively. These residents needed a mean (mean ± standard deviation) of 15.6 ± 3.0 days for 25 ETIs. Out of all residents 52% reached the target value of 200 ETIs after 50.2 ± 14.8 weeks of total working time. The ETI success rate after the first 25 ETIs increased steadily to the results after 200 ETIs (ETI success rate within one ETI attempt: 67% vs. 83%, P = 0.0001; ETI success rate within all ETI attempts: 82% vs. 92%, P = 0.0001). The number of attempts required until successful ETI decreased from 1.6 ± 0.8 after the first 25 ETIs to 1.3 ± 0.6 after 200 ETIs (P = 0.0001).

Conclusion The increasing rate of relative ETI success and the decreasing rate of necessary attempts for successful airway management suggest a steadily increasing gain in ETI experience. The complications that developed during the first 200 ETI procedures justify supervision by a specialist in the field or a senior physician. Moreover, these results may influence the minimum requirement for qualification in anaesthesiology and emergency medicine.

Hooked on opiates: Doctors face quandary of relieving pain, without feeding addiction

From the Pioneer Press:

A growing number of health care groups in the Twin Cities are investing in strategies to make sure doctors don’t serve as unwitting spigots of medications for addicts. But there’s also concern that increased regulation could prompt physicians to stop prescribing medications to patients with legitimate pain-control needs.

“It’s a two-edged sword,” said Dr. Alfred Anderson, a pain specialist in St. Louis Park.

“Every organization is trying to get on board to do something about this abuse situation. … It’s gotten too easy for people to get these medications,” Anderson said. “But what do you do for the patient in severe pain who can’t function without pain medication? This is the dilemma in treating the small percentage of patients who suffer from severe chronic pain.”

Insurers push more doctors onto webcams

From MSN Money:

Virtual doctor visit services — which connect patients from their homes with physicians whom they meet via online video or phone — are moving into the mainstream, as insurers and employers are increasingly willing to pay for them.

In the latest sign, WellPoint, the nation’s second-biggest health insurer, plans to offer a new service in all of its employer and individual plans that will allow people to consult with physicians on-demand, using laptop webcams or video-enabled tablets and smartphones.