Uber Cofounder Is Launching On Demand Healthcare for the 1%

From ValleyWag:

Sources tell Valleywag that after housing and transportation, the latest slice of public infrastructure to get the VIP, front-of-the-line treatment is healthcare. We hear Oscar Salazar,an Uber cofounder who helped design and implement the e-hailing prototype, is working on a startup that will offer personalized house calls from doctors. It plans to launch imminently.

Uptick in Medical Helicopter Crashes Shines Spotlight on Safety

From JEMS:

A rise in the number of fatal medical helicopter crashes in 2013 has many people in and outside of the industry looking for ways to make this critical part of the prehospital care system safer.

Two Killed in Norwegian Air Ambulance Crash

From JEMS:

Norwegian rescue officials say that an ambulance helicopter has crashed en route to the scene of a road accident, killing two people on board.

Emergency Rooms Are Front Line For Enrolling New Obamacare Customers

From Kaiser Health News:

Some 5,000 uninsured people come into O’Connor Hospital’s emergency department each year, and now it is Araceli Martinez’s job to help them find coverage. In an office just down the hall from the ER, Martinez runs the Health Benefits Resource Center which has beefed up staffing and hours, with funding from Covered California, in response to the Affordable Care Act. Martinez says prior to 2014, uninsured patients had few options to pay off hefty hospital bills or enroll in health coverage. Now when they come in through the emergency room and are faced with a bill, “they’re saying at that time, ‘Well, maybe I can afford [some coverage].’”

Some Medical Schools Shaving Off A Year Of Training

From Kaiser Health News:

Some medical school administrators and policymakers see three-year programs as a way to produce physicians, particularly primary-care doctors, faster as the new health-care law funnels millions of previously uninsured patients into the medical system. Enormous student loans are cited as one reason some newly minted doctors choose lucrative specialties such as radiology or dermatology, which pay twice as much as pediatrics or family medicine.

But debt and the shortage of primary-care doctors are not the only factors fueling interest in accelerated programs.

Some influential experts are raising questions about the length of medical school in part because much of the fourth year is devoted to electives and applying for a residency, a process that typically takes months. (Similar questions are being raised about the third year of law school.)

Long-term Retention of Cardiopulmonary Resuscitation Skills After Shortened Chest Compression–only Training and Conventional Training

From Academic Emergency Medicine:

Objectives

It is unclear how much the length of a cardiopulmonary resuscitation (CPR) training program can be reduced without ruining its effectiveness. The authors aimed to compare CPR skills 6 months and 1 year after training between shortened chest compression–only CPR training and conventional CPR training.

Methods

Participants were randomly assigned to either the compression-only CPR group, which underwent a 45-minute training program consisting of chest compressions and automated external defibrillator (AED) use with personal training manikins, or the conventional CPR group, which underwent a 180-minute training program with chest compressions, rescue breathing, and AED use. Participants’ resuscitation skills were evaluated 6 months and 1 year after the training. The primary outcome measure was the proportion of appropriate chest compressions 1 year after the training.

Results

A total of 146 persons were enrolled, and 63 (87.5%) in the compression-only CPR group and 56 (75.7%) in the conventional CPR group completed the 1-year evaluation. The compression-only CPR group was superior to the conventional CPR group regarding the proportion of appropriate chest compression (mean ± SD = 59.8% ± 40.0% vs. 46.3% ± 28.6%; p = 0.036) and the number of appropriate chest compressions (mean ± SD = 119.5 ± 80.0 vs. 77.2 ± 47.8; p = 0.001). Time without chest compression in the compression-only CPR group was significantly shorter than that in the conventional CPR group (mean ± SD = 11.8 ± 21.1 seconds vs. 52.9 ± 14.9 seconds; p < 0.001).

Conclusions

The shortened compression-only CPR training program appears to help the general public retain CPR skills better than the conventional CPR training program.