Medicaid News: Minn. Effort To Expand Program Praised

From Kaiser Health News:

MinnPost: Effort To Expand Access To Minnesota’s Medical Assistance Program Praised
Human Services Commissioner Lucinda Jesson praised lawmakers and the Dayton administration on Wednesday for working to enroll more low-income Minnesotans on public health programs available under the federal reform law. Democrats are moving forward quickly with legislation this session to expand eligibility for the state’s Medical Assistance program to offer 145,000 Minnesotans improved health care, Jesson said during a conference call with reporters (Nord, 1/30).

Drowning related out-of-hospital cardiac arrests: characteristics and outcomes

From Resuscitation:


There are few studies on drowning-related out-of-hospital cardiac arrest (OHCA) in which patients are followed from the scene through to hospital discharge. This study aims to describe this population and their outcomes in the state of Victoria (Australia).


The Victorian Ambulance Cardiac Arrest Registry was searched for all cases of OHCA with a precipitating event of drowning attended by Emergency Medical Services (EMS) between October 1999 and December 2011.


EMS attended 336 drowning-related OHCA during the study period. Cases frequently occurred in summer (45%) and the majority of patients were male (70%) and adult (77%). EMS resuscitation was attempted on 154 (46%) patients. Of these patients, 41 (27%) survived to hospital arrival and 12 (8%) survived to hospital discharge (5 adults [6%] and 7 [12%] children). Few patients were found in a shockable rhythm (6%), with the majority presenting in asystole (79%) or pulse-less electrical activity (13%). An initial shockable rhythm was found to positively predict survival (AOR 48.70, 95%CI:3.80-624.86) while increased EMS response time (AOR 0.73, 95%CI:0.54-0.98) and salt water drowning (AOR 0.69, 95%CI:0.01-0.84) were found to negatively predict survival.


Rates of survival in OHCA caused by drowning are comparable to other OHCA causes. Patients were more likely to survive if they did not drown in salt water, had a quick EMS response and they were found in a shockable rhythm. Prevention efforts and reducing EMS response time are likely to improve survival of drowning patients.

Gangnam Style Parody: ED Style

Hat Tip: Impacted Nurse.

“This recording was made as one of the many actions that have been taken to support the work of improving the journey for patients through the Emergency Department at Waikato Hospital in order that they can be seen, treated and discharged within the Ministry of Health Target of 6 hours- Excellent Emergency Care On time Everytime”

‘Community paramedics’ keep elderly Minnesotans out of the ED

From the Advisory Board:

The Minneapolis Star Tribune this week spotlighted the nation’s first team of “community paramedics,” which launched last summer in Minnesota to keep elderly residents out of the ED through preventive services.

The program—which is funded and run by North Memorial Medical Center in Robbinsdale, Minn. –allows physicians and health clinics to schedule at-home visits for patients with one of nine certified community paramedics. During the scheduled visits, community paramedics perform various services—such as blood tests or arranging meals—to ensure patients are correctly managing their chronic illness.

Grope dope manhandles woman as she sleeps in the ER at Kings County Hospital: cops

From the (duh) NY Daily News:

A patient at a Brooklyn hospital molested a woman as she dozed in the emergency room awaiting treatment, authorities said Wednesday.

Gregory Campfield, 52, was groping the 27-year-old woman’s breasts as she woke up in a partitioned area inside the ER of Kings County Hospital around 3:45 a.m. Tuesday, court papers said.

Employed Physicians = Physicians’ Unions?

From the Wall Street Journal (Opinion):

As the country moves toward the effective start date of the Affordable Care Act in 2014, the operational and economic elements of this vast legislation are becoming clearer. Yet one likely outcome of the act that will directly affect the quality of patient care, and could affect its cost, has gone virtually unnoticed and unreported: the increasing trend for physicians to become employees, rather than self-employed. This development represents a potentially radical factor in the transformation of health care—the doctor as union worker.

AHA Full Code Pro 3.0 App

From the American Heart Association

(The app is available from the ITunes Store on February 4th)

The AHA’s Full Code Pro App is a free, easy-to-use, mobile application that allows  healthcare providers to quickly document critical interventions during cardiac arrest resuscitation events. This app enables providers to focus on the patient without sacrificing proper documentation.

This real-time app makes recording during codes easy. It can also simplify data entry and helps providers increase the availability and accuracy of documentation. The information that providers log enables more robust data for review, debriefing and resuscitation quality improvement.

This app complements other AHA tools that help build an effective quality-improvement program, such as the AHA guidelines for CPR and ECC, classroom-based and online training courses, continuing education programs and Get With The Guidelines® -Resuscitation.

Man Steals Ambulance and 2 Cars, Tries But Fails to Steal 2 Horses

From Gawker:

Police say it all began when Todd was arrested for DUI after a car crash. He was taken to Marshall Medical Center South for treatment. Police say while at the hospital, he walked out, got into a running ambulance and drove away.

“He walked across a pasture and got into a barn where he tried to saddle up two horses,” says Boaz Assistant Chief Todd Adams. “One was too wild for him and the other he appeared to be too intoxicated to properly saddle the horse.”

Interhospital Helicopter Transport for Stroke

From the Air Medical Journal:


The safety, cost efficacy, and time-to-treatment benefit of air transport of stroke patients have been acknowledged. We describe stroke patients transported to our facility by helicopter emergency medical services (HEMS) from a large rural area and compare 2 consecutive 3-year periods.


A retrospective chart review was conducted of all patients transferred by HEMS to our facility over 6 years. Data collected included patient demographics, pretransport imaging interpretation, final diagnosis, treatment, and outcomes. Trends between period 1 (January 1, 2003’December 31, 2005) and period 2 (January 1, 2006’December 31, 2008) were examined.


A total of 347 acute stroke patients were transported by HEMS to our facility. The final diagnosis was intracerebral hemorrhage in 44%, subarachnoid hemorrhage in 24%, subdural hematoma in 14%, ischemic stroke or transient ischemic attack in 9%, and a nonstroke diagnosis in 7% of patients. Conventional cerebral angiography was performed in 28% of patients, and neurosurgical intervention, hematoma evacuation, or aneurysm clipping was performed in 32%. A final diagnosis of ischemic stroke or transient ischemic attack increased 3 times (4% vs. 12%, P < .05) from period 1 to 2. There was also a significant increase in the number of patients receiving intravenous tissue plasminogen activator before transport (0% vs. 3%, P < .01).


The majority of our patients transported by HEMS for the management of acute stroke undergo urgent specialized diagnostics or interventions. This supports the role of interhospital HEMS transport in extending access to care in rural communities.

Ringadoc Raises $1.2M To Connect Doctors With Patients On-Demand

From TechCrunch:

Ringadoc has a pretty big vision: To be the “frontline of primary care,” to let anyone and everyone pay a flat fee to instantly talk to a real doctor at any hour of the day. In pursuit of perfecting on-demand medicine, the startup announced today that it has raised $1.2 million in seed financing, led by Founders Fund’s seed vehicle, FF Angel. The raise marks the close of the second half of its seed funding, following the $750K the startup announced last June from Founders Fund, bringing its total to just over $1.2 million.