Responding to Non-Emergency Emergencies Makes You a Hero

From JEMS:

“Don’t be silly,” he bemoaned, apparently insulted by my insinuation. “I can remove a stupid splinter by myself. It’s just that the utility company turned off my electricity for lack of adequate funds on my part. Thus, I cannot see the infringing unsolicited sliver of timber imbedded within my being. I simply need a light to procure this unwelcome fragmentation.” It was all I could do to restrain my emotions, including suggesting an offer of penlight engagement (much less the police officer’s Maglite) within a cavity unrelated to his offending impediment. I walked away bewildered by this fraction of our social order oblivious to the term common sense.

Patient Satisfaction: Better Methods, Better Numbers

From Emergency Physicians Monthly:

My colleagues and I believe this entire measurement construct needs re-thinking. We want to improve the patient experience, and we must have better data to make that happen. Our new company, Bivarus, has taken a step in that direction by creating a cloud-based system that leverages email and smartphones to deliver brief, customized surveys to ED patients shortly after their visits. We’ve re-engineered patient satisfaction surveying in 4 simple yet critical ways.

Dumb Ways to Die

From Metro Trains Melboune. There’s a cool (and free) iOS app as well.

Assessing the Validity of the Cincinnati Prehospital Stroke Scale and the Medic Prehospital Assessment for Code Stroke

From Prehospital Emergency Care:

Objectives. The primary objective of this study was to assess the effectiveness of two prehospital stroke screens in correctly classifying patients suspected of having a stroke. Secondarily, differences in the sensitivity and specificity of the two screening tools were assessed. Methods. We performed a retrospective assessment of the Cincinnati Prehospital Stroke Scale (CPSS) and the Medic Prehospital Assessment for Code Stroke (Med PACS) between March 1, 2011, and September 30, 2011, in a single emergency medical services (EMS) agency with seven local hospitals all classified as stroke-capable. We obtained data for this analysis from the EMS electronic patient care reports (ePCRs) and the Get With The GuidelinesStroke (GWTG-S) registries maintained by the two local health care systems by matching on patient identifiers. The Med PACS was developed specifically for the EMS agency under study by a local team of neurologists, emergency physicians, and paramedics. All of the physical assessment elements of the CPSS were included within the Med PACS. Two additional physical assessment items, gaze and leg motor function, were included in the Med PACS. We classified patients as CPSS-positive or -negative and Med PACS-positive or -negative if any one of the physical assessment findings was present. We determined the presence of a hospital discharge diagnosis of stroke from GWTG-S. We calculated sensitivity and specificity with resultant 95% confidence intervals. Results. We enrolled 416 patients in this study, of whom 186 (44.7%) were diagnosed with a stroke. The Med PACS scale demonstrated a sensitivity of 0.742 (95% confidence interval [CI] 0.672-0.802), while the sensitivity for the CPSS was 0.790 (95% CI 0.723-0.845). The sensitivity of the CPSS was significantly higher than that of the Med PACS, with a difference of 0.048 (95% CI 0.009-0.088; p = 0.011). The specificities of these two scales were low, Med PACS 0.326 (95% CI 0.267-0.391) vs. CPSS 0.239 (95% CI 0.187-0.300), and the specificity of the Med PACS was significantly higher compared with the CPSS, with a difference in specificity of 0.086 (95% CI 0.042-0.131), p < 0.001. Conclusion. The two stroke scales under study demonstrated low sensitivity and specificity, with each scale performing marginally better in one of the two metrics assessed.

Belligerent, intoxicated woman taken to emergency room

From Cleveland:

A tavern employee requested police assistance for a belligerent, intoxicated customer on June 8. The woman, who passed out and was unresponsive, was taken to the emergency room for evaluation.

Stench Engulfs Phebe’s Emergency Room, Patients Stay Living Nightmare

From allAfrica:

Ed. Most epic headline ever?

Unbearable stench has engulfed the emergency room of Phebe Hospital in Suakoko, Bong County, forcing relatives of patients to leave earlier than usual.

The stench is borne out of faucal matter discharging in front of the stores section of the emergency room and along the maternity ward.

Our reporter who visited the hospital Tuesday reported that the stink is so disgusting that many people who come into contact with the environment there blame authorities for not acting promptly.

A relative of a patient, James Jallah, described the scene as terribly bad and said flies are flying all over the place; a not too good vision. Another, Peter Thompson, also described the scene as bad and called on the hospital authorities to do something about it.

One dead in medical helicopter crash

From Tulsa World:

 One person was killed and three others were reported injured when a medical helicopter crashed outside a hospital Tuesday night, officials said.

The EagleMed helicopter was carrying four occupants when it went down at Choctaw Nation Hospital near Talihina at 6:30 p.m, according to spokeswoman Brandy Griffin.

Two of the injured were treated at the hospital, she said. Another person was flown in critic