The “OBED”: Physician-Staffed Emergency Department for Pregnancy-Related Health Problems

From KSMU:

The COX OBED is staffed 24/7 by board-certified, emergent care OB/GYNs.

Rhonda Donnelly is nurse manager in Labor and Delivery OBED and PCU at Cox Health.  She says the department is for women experiencing problems with their pregnancies.

“Decreased fetal movement, ‘I think I’m in labor, I think my water’s broke,’ those kinds of issues–pregnancy-related issues–high blood pressure, things like that,” she said.

Violence on the rise in emergency departments

From the Missoulian:

Violence in the workplace is an increasing problem in the United States, especially in health care settings. The emergency department is one of the most vulnerable settings in the health care industry.

Health care workers face an increased risk of work-related assaults stemming from several factors. These include:

• Prevalence of handguns and other weapons among patients, increasing use of hospitals by police for criminal holds and the care of acutely disturbed, violent individuals.

• The increasing number of acute and chronic mentally ill patients being released from hospitals without follow-up care.

• Long waits in emergency or clinic areas leading to patient frustration over an inability to obtain needed services promptly.

• The increasing presence of drug or alcohol abusers, trauma patients or distraught family members.

Australian man impaled in skull aided own rescue

From 9News:

The 19-year-old was breaking concrete with a 21-tonne excavator at the Lindfield site, in Sydney’s north, on Friday morning.

A one-metre piece of steel rod rocketed from the debris and embedded at least six centimetres between his eyes.

Emergency crews rushed to the site about 10am (AEST) and stabilised the man, who remained conscious and coherent.

He held on to the rod as crews worked to free him from the excavator.

NPs, PAs Trending Away from Primary Care

From MedPage Today:

Nurse practitioners (NPs) and physician assistants (PAs) are increasingly choosing subspecialty practices and could come up short in helping fill the shortage of primary care physicians, according to the research arm of the American Academy of Family Physicians (AAFP).

“Many nurse practitioners graduate with family, adult, or pediatric degrees but then go on to work in subspecialty offices, similar to the preponderance of physicians entering residency in internal medicine or pediatrics at the end of medical school who go on to further training and practice in subspecialties,” the study published Thursday in American Family Physicianfound.