Threat of paediatric hyperthermia in an enclosed vehicle: a year-round study

From Injury Prevention:

Objective To describe temperature change throughout the workday in an enclosed vehicle in Austin, Texas across the calendar year while accounting for heat index.

Methods In this observational study, vehicular temperature was measured 1 day per month during 2012 in Austin, Texas. Data were recorded at 5-min intervals via an EL-USB-1-PRO digital temperature sensor from 8:00 to 16:00. Selected days were primarily cloud-free (with ‘clear’ or ‘few clouds’) with a predicted ambient temperature high within ±20°F of the 30-year normal high. Referent temperature and 30-year normal data were collected via the nearest National Weather Service (NWS) weather station. The NWS heat index and corresponding hazard levels were used as a guideline for this study.

Results Per NWS guidelines, the enclosed vehicle temperature rose to ‘danger’ levels of ≥105°F (41°C) in all months except January and December and to ‘extreme caution’ levels of ≥90°F (32°C) in every month of the year. In June, the vehicle rose to ≥105°F (41°C) by 9:25. The hottest vehicular temperature achieved was 137°F (58°C). In 9 months of the year, the vehicle reached ≥90°F (32°C) by noon. We also found that an ambient temperature as low as 68°F was associated with vehicular temperatures ≥105°F (41°C).

Conclusions Infants and children in states that experience mild winter temperatures face the threat of vehicular hyperthermia disability and death across the calendar year. Prevention efforts that focus on awareness of a childhood heat vulnerability, parental perception of susceptibility to forgetting a child in a vehicle and universal availability of vehicular safety devices may reduce paediatric vehicular hyperthermia death.

Four of the ten least expensive Health Insurance Marketplaces are in Minnesota

From Kaiser Health News:

People in much of Minnesota, northwestern Pennsylvania and Tucson, Ariz., are getting the best bargains from the health care law’s new insurance marketplaces: premiums half the price or less than what insurers in the country’s most expensive places are charging.

The 10 regions with the lowest premiums in the nation also include Salt Lake City, all of Hawaii and eastern Tennessee. This ranking is based on the lowest cost of a “silver” plan, the mid-range plan most consumers are choosing.

EMTs Make House Calls to Reduce 911 Calls

From MedPage Today:

he healthcare community in this town of nearly 6,000 people — 90 miles west of Columbia, the state’s capital — has now taken steps to prevent these so-called “frequent fliers.”

Late last year, they started a program under which paramedics would visit patients in their homes under a physician’s orders to support them in managing their chronic diseases and help them to access community resources. The goal is to wean these high utilizers off 911, reduce unnecessary emergency department (ED) visits, and get them the care they need.

Rethinking The Emergency Department

From Healthcare Design:

Emergency departments across the nation are constantly faced with increasing and unpredictable patient volumes. At the same time, there’s the constant need to improve quality and efficiency while enhancing the value of medical care provided to emergency patients. Lehigh Valley Hospital–Muhlenberg (LVH-M), a community hospital in Bethlehem, Pa., was in this very predicament, challenged by a growing patient volume that exceeded its ED capacity.