Doctors Find Bullet in Head of Florida Teen Complaining of Headache

From Gawker:

When 19-year-old Juanye Jones visited a Daytona Beach hospital Wednesday night, his chief concern was his nagging headache. Doctors ended up finding something a bit more serious, however: a fragmented bullet lodged in his head.

Jimmy Kimmel Invites Real Doctors on ‘Jimmy Kimmel Live’ to Talk About the Effectiveness of Vaccines

During a recent episode of Jimmy Kimmel Live, host Jimmy Kimmel talked about his views on the anti-vaccine movement and then invited several real doctors to deliver a very clear public service announcement about the effectiveness and necessity of vaccines.

Waiting Rooms Could Spread Illness

From WSAZ:

A new study from the Journal Infection Control and Hospital Epidemiology shows your child is more likely to come down with flu-like illnesses in the two weeks following their well-child visits.

Researchers followed data from 84,595 families who participated in this study between 1996 and 2008. Researchers found that having a child younger than age six going to the doctor for a well-child visit was associated with a higher probability of the child getting flu-like illness in the next two weeks.

Studies find emergency doctors and paramedics commonly misinterpret documents for end-of-life care choices

From Medical Xpress:

Emergency care providers vary in their understanding of a type of medical order intended to communicate seriously ill patients’ choices for life-sustaining treatments, according to a pair of studies in the March Journal of Patient Safety.

The studies show “significant confusion” among emergency physicians and prehospital care providers in interpreting the universal end-of-life care documents, called Physicians Orders for Life Sustaining Treatment (POLST). “Our data suggest that POLST orders can be confusing for Pennsylvania emergency physicians, and likely for physicians nationwide,” write Dr. Ferdinando L. Mirarchi of UPMC Hamot, Erie, Pa., and colleagues.

Stanford study shows rural disadvantages under Obamacare

From Stanford:

“Small and rural regions appear to attract fewer entrants. Insurers also charge higher premiums to rural residents,” wrote Michael J. Dickstein, an assistant professor of economics, in a policy brief for the Stanford Institute for Economic Policy Research.

Dickstein suggested that states can encourage greater numbers of insurers to participate in the ACA’s marketplaces and, in particular, to serve rural markets, by grouping these rural markets into coverage regions with larger urban markets.

Why Your CEO Needs to Fix ED Holding

From EP Monthly:

And, in fact, the ED has always been a mess and is easily viewed as a necessary evil. There are all of those uninsured and Medicaid patients. The hospital loses money even on the Medicare patients. The medical staff wants ridiculous stipends to take call, if they are willing to take call under any circumstances. And, of course, there all of those EMTALA risks, and the ED is a disproportionate source of complaints, medical errors and lawsuits. Who needs it?

Simply put, the ED is important, not because it generates head-turning revenue, but because, like Jeter was to the Yankees, it’s the face of the franchise. I wouldn’t be surprised if about half of all patients admitted to hospitals come through the ED.

That’s just one reason why your CEO needs to be on top of — and do something about — the ED holding issue

Painkiller abuse sparking HIV outbreak in southern Indiana

From Reuters:

An outbreak of HIV among people injecting prescription drugs prompted health officials in southern Indiana to step up warnings on Wednesday against needle sharing and unprotected sex.

Since mid-December, the Indiana State Department of Health has confirmed 26 cases of HIV, the virus that causes AIDS, and four other people have been preliminarily diagnosed with the virus.

Department spokeswoman Amy Reel said the cases had popped up in Clark, Jackson, Scott and Washington counties, all north of Louisville, Kentucky, and Perry County, an hour west of Evansville.

Many of the cases in the five counties are tied to people injecting themselves with the prescription painkiller opana, which officials said was more potent than oxycontin.

Queensland Video: Emergency Departments are for Emergencies

Hat tip: Dr. White.

This Idea Has Kept Tens Of Thousands Out Of Emergency Rooms And Saved One State Millions Of Dollars

From the Huffington Post:

If your infant has a high fever or you’re experiencing an unusual pain in your abdomen and you live in New Mexico, you may want to call the NurseAdvice line before you do anything else.

New Mexico is the only state with a 24/7 registered nurse call center that is free to all residents, whether insured or not. In operation since 2006, it has kept tens of thousands of New Mexicans out of emergency rooms and saved the state more than $68 million in health care expenses.

New bill would expand insurance coverage to include telemedicine

From the Minnesota Hospital Association (hat tip: AJ):

Representatives of Minnesota hospitals stood with legislators today in support of legislation that will bring new access to high-quality, cost-effective health care to all of Minnesota’s most remote citizens. Sen. Julie Rosen (R – Vernon Center) and Rep. Tara Mack’s (R – Apple Valley) legislation would expand health insurance coverage to include telemedicine visits, coverage that is inconsistent currently.

Telemedicine is an increasingly used technology to bring health care resources, including specialists, to people and communities that otherwise would have difficulty accessing them. The technology has been shown to increase access to health care services, improve health outcomes for patients and reduce health care costs.

“Telehealth is a critical tool, not only for greater Minnesota but also for the entire state,” said Sen. Rosen, ranking member of the Senate Health and Human Services Finance Committee. “Whether allowing home-bound seniors to check in with their doctor or connecting rural clinics to physicians at emergency room trauma centers many miles away, these are technologies that are improving our state’s health care system.”