From ACEP’s The Central Line:
We at Urgent Matters are very pleased to bring you a brand-new podcast series of exclusive interviews with leaders in the health care field discussing policy issues facing the emergency care community. Each interview lasts about 10-12 minutes and explores a specific topic where the speaker is a topical expert.
Called the Rirakkuma, which, translated, is a punny combination of the words for “bear” and “relax,” this plush toy is also supposed to make it easier for kids to remember to grab their emergency supplies in the event of a disaster. It is of course available in Hello Kitty versions too, and inside you’ll find everything from emergency rations, to bottled water, to radios, to thermal blankets. And, last but not least, it also provides a little extra comfort which can be vital when you find yourself in a survival situation
From the European Journal of Emergency Medicine:
Background: In many Western countries, Helicopter Emergency Medical Services (HEMS) have become standard in the prehospital care of severely injured patients. Several studies have shown that HEMS have a positive effect on patient’s outcome, although it remains unclear which specific patients benefit most from its care. The aim of this study was to assess the effect of HEMS on the outcome of a large polytraumatized (Injury Severity Score≥16) population.
Methods: All polytraumatized patients treated at the scene of the accident by EMS and/or HEMS and presented in the VU University Medical Center during a period of 6 years were included and retrospectively analyzed. The total population was divided into two groups according to the presence of HEMS on-scene. Prehospital, in-hospital, and outcome parameters were compared. The Trauma Injury Severity Score method was used to calculate the probability of survival.
Results: Almost 60% of all included patients (n=1073) were treated only by an EMS crew on-scene. The remaining 446 patients received additional HEMS care. Significant differences between these two groups were observed in the demographic characteristics, showing that the HEMS group was more severely injured. The predicted survival was calculated using the Trauma Injury Severity Score method, as well as the observed survival, both showing a significantly higher outcome for the EMS group (0.88 vs. 0.66% and 87.7 vs. 71.3%). However, the Z-statistic showed a significant positive difference between the predicted and the observed survival for the HEMS group (P<0.005) and no significant differences for the EMS group (P>0.1), indicating that the chance of surviving in the HEMS group was higher. Per 100 HEMS dispatches, 5.4 additional lives were saved. A correlation of the observed survival with the first measured Revised Trauma Score on-scene showed a positive effect for the HEMS group when the Revised Trauma Score reached a value of 9 or lower.
Conclusion: On-scene HEMS care has a positive effect on the survival of polytraumatized patients, saving 5.4 additional lives per 100 HEMS deployments. This positive effect is especially observed in patients with abnormal vital signs (respiratory and hemodynamically). Research and revision of dispatch criteria are important to reach patients that benefit most from HEMS care.
From the Cowichan News Leader:
Local momma Nichole Allaire’s looking for answers and actions after a bad experience in the emergency department of CDH.
Wednesday, Feb. 13 Allaire’s 20-month-old son Michael cut his thumb open after sticking his hand in the top of an empty tin can.
Naturally, Nichole tried to stop the bleeding herself, but realized it wasn’t going to stop and the wound needed stitches.
From Code 3 Spots:
According to a 2008 National Study of the Emergency Medicine Workforce from the American College of Emergency Physicians, “family medicine (31%) and internal medicine (23%) were the most common backgrounds for non-emergency medicine-trained/emergency medicine board certified emergency physicians.”
This study also pointed out that in 1980, there were no board-certified emergency physicians and as of 2008, there were 22,000. Of the 39,061 clinically active emergency physicians in the 2008 study, 57% were emergency medicine board certified and 69% were emergency medicine trained or emergency medicine board certified.
“It’s very common, especially in rural areas,” said Dr. Grupas, of family and primary care physicians working in emergency medicine jobs. “I think family medicine brings a unique aspect to the emergency room, and I’m very grateful that I have a primary care background.”
Within the larger body of literature focused on professionalism among physicians lie a small but growing number of studies and opinion pieces addressing the particular issue of how physicians ought to dress. The study by Au and colleagues in this issue of the journal builds on this literature by focusing on the attire of physicians, specifically in intensive care units (ICUs), where the authors remind us that the acuity of the environment may make for a wider range of clothes worn and perhaps accepted. To assess patient and family preferences in this setting, Au and colleagues recruited family members of ICU patients to complete a questionnaire rating the importance of different aspects of physician appearance and then asked them to select the best physician from a panel of 4 photographs. These photographs depicted clothing that varied in formality (with scrubs or jeans being less formal and a white coat or business suit being more formal) and specificity to the health professions (with scrubs or white coats being specific and jeans or business attire being not specific). The study results were clear. When selecting among photographs, the specificity to the health professions was more important to family members of ICU patients than its formality.