Hospital to become community health clinic

From the WC Messenger:

Wise Regional Health System will convert its Bridgeport campus to an urgent care/ambulatory surgery center Jan. 1.

The change, which will shut down the emergency room, was discussed at Monday evening’s at a hospital board meeting and announced to employees Tuesday.

It was just a little more than two years ago, on Nov. 8, 2012, that North Texas Community Hospital in Bridgeport declared bankruptcy. The hospital, which opened in 2008, had been in default on $59.1 million in bonded debt for several years.

After submitting the only bid, Wise Regional bought the hospital in federal bankruptcy court for $20 million and took ownership March 24, 2013. It reopened May 7 as Wise Regional Bridgeport – a fully-staffed, fully-licensed inpatient hospital.

After continuing to absorb steep losses, they closed down the medical/surgical inpatient unit and the ICU last December, leaving only the ER and outpatient services in operation.

The latest move will close the ER and convert the facility to an urgent-care clinic, staffed by nurse-practitioners and operated under Wise Clinical Care Associates.

Meet Chicago’s real top ER doc… (Spoiler alert: He’s from Cork)

From the Journal:

Seeing more than 1,000 patients a year with gunshot wounds makes a person an expert on street violence and Dr John Barrett uses a medical analogy when talking about this week’s gun crimes in America.

“Guns are the vector of violence. Malaria is spread by mosquitos. What we say in this case is, ‘Control the vector – control the thing that spreads it and then you control it’. The same is true for weaponry.”

Dr Barrett is no ordinary voice on this issue.

The Cork native headed up the trauma unit of Cook County Hospital in Chicago for decades. That name may trigger bells in your head – it was the inspiration for ER’s County General in the same city.

Why The ER Doctor Asks Patients What’s Happening At Home

From IdeaStream:

Some would argue that the ER isn’t the right place to deal with people’s personal problems. But even now, many of our patients don’t see another doctor. These ER visits give us a chance to help them regain their health and also put them on the way toward addressing the underlying issues that affect their well-being.

Sometime we’re able to connect patients with people who can help them find safe housing, affordable medications and nutritious food. Often we’re able to identify those at risk for abuse and self-harm.

Mechanical CPR Takes a Thumping

From EP Monthly:

If you listen to proponents of auto-resuscitation devices, you’d think they’re clearly superior to manual CPR. A review of the literature suggests otherwise.

There are still arguments to be made for mechanical CPR devices – when longer transport times are anticipated, or when there are barriers to applying consistent, high-quality manual compression. But it’s flat-out wrong to assert superior outcomes with mechanical devices; the best evidence yet suggests only equivalency.