Key Recommendations from the AHA CPR Quality Consensus Statement

From JEMS:

… we believe this consensus statement is a resuscitation game changer for five key reasons:

1. Working a code is at the core of prehospital medicine;
2. CPR is the cornerstone of successful cardiac resuscitation;
3. CPR quality is the most critical aspect of CPR;
4. Our understanding of CPR quality has dramatically improved in the past few years; and
5. CPR monitors/defibrillators and other related technologies are advancing rapidly.

Ambulance Transport of Noncritical Children: Emergency Medical Service Providers’ Knowledge, Opinions, and Practice

From Clinical Pediatrics:

Purpose. Safe ambulance transport of children presents unique challenges. Our study describes child passenger restraint practices during ambulance transport, Emergency Medical Service (EMS) providers’ knowledge, training, and use of child passenger restraint devices (CRD).

Methods. A child passenger safety technician (CPST) recorded restraint used for pediatric ambulance transport. The CPST assessed and documented type of CRD used, securement, and whether the child was properly restrained. EMS providers’ knowledge, training, and CRD use for ambulance transport were assessed.

Results. The study period spanned July 2009 to July 2010; 63 EMS personnel were interviewed and 40 children were observed. Approximately 75% of emergency medical technicians surveyed felt their knowledge of pediatric transport was adequate. Fourteen percent allowed a stable patient to be transported via parent’s lap. Twelve percent were transported unrestrained. None of the 11 patients, birth to 3 years, were found to be transported correctly.

Conclusion. Study findings supports education and training of EMS personnel to improve the safe ambulance transport of children.

School violence lands more than 90,000 a year in the ER

From NBC News:

Despite all the lip service given to battling bullying, many kids are still being seriously hurt while on school grounds, a new study shows. Each year more than 90,000 school children suffer “intentional” injuries severe enough to land them in the emergency room, according to the study published in Pediatrics.

The “Padding” on Obese Patients is not Protective in Blunt Trauma

From Emergency Medicine Literature of Note:

Everyone has an anecdotal tale of a morbidly obese patient who suffered penetrating injury that transversed only adipose tissue, leaving the small person living beneath unharmed.  However, these isolated incidents do not appear to apply to blunt trauma.

Emergency rooms try to free doctors to aid urgent patients

From the Toledo Blade:

Emergency departments at Toledo-area hospitals are caught between two different realities.

There is a renewed focus on customer service as emergency rooms strive to make themselves as attractive as possible to potential patients. At the same time, emergency room doctors and administrators hope changes in the nation’s health-care system will move some of the poorest patients away from the pattern of turning to the busy ER for help — instead of visiting a private doctor.

US short 90,000 physicians by 2020 and 130,000 physicians by 2025

From Becker’s:

The nation will be short more than 90,000 physicians by 2020 and 130,000 physicians by 2025, according to projections by the Association of American Medical Colleges. Here are eight facts and statistics on what will cause the drastic shortage, provided by Barton Associates.

Shrinking supply

• 1 in 3 practicing physicians in the U.S. is over the age of 55 and close to retirement
• 6 in 10 physicians say it is likely many colleagues will retire in the next one to three years