Costs and effects of interventions targeting frequent presenters to the emergency department: a systematic and narrative review

From BMC Emergency Medicine:

Background

Previous systematic reviews have examined the effectiveness of interventions for frequent presenters to the Emergency Department (ED) but not the costs and cost-effectiveness of such interventions.

Method

A systematic literature review was conducted which screened the following databases: Pubmed, Medline, Embase, Cochrane and Econlit. An inclusion and exclusion criteria were developed following PRISMA guidelines. A narrative review methodology was adopted due to the heterogeneity of the reporting of the costs across the studies.

Results

One thousand three hundred eighty-nine papers were found and 16 were included in the review. All of the interventions were variations of a case management approach. Apart from one study which had mixed results, all of the papers reported a decrease in ED use and costs. There were no cost effectiveness studies.

Conclusion

The majority of interventions for frequent presenters to the ED were found to decrease ED use and cost. Future research should be undertaken to examine the cost effectiveness of these interventions.

Proximity to Retail Clinic Cuts Emergency Department Utilization

From PatientEngagementHIT:

Living close to a retail clinic can curb emergency department (ED) utilization for low-acuity health needs, according to a research note authored by economists from the Federal Reserve Bank of Chicago, Princeton University, and Northwestern University.

This comes as the medical industry rethinks primary and preventive care and how those two factors can cut high healthcare spending for preventable, high-acuity care. When a patient can access affordable, convenient treatment in a primary care setting, it may prevent higher acuity and more expensive health episodes down the road.

An Iowa doctor raises more than $8,000 for pediatric mental health

From CBS2:

Dr. Brown is a doctor of emergency medicine at UnityPoint Hospitals.

After seeing the success of King’s fundraiser, he wanted to do the same, but this time focusing on raising money and awareness for children with psychiatric problems.

“I saw kids waiting days and days for inpatient psychiatric care, often times in a windowless ER, not receiving care while they wait and that was something really heartbreaking for me,” shared Dr. Brown.

What’s inside an airplane’s emergency medical kit?

From The Points Guy:

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Emergency rooms expect spike in Christmas present related injuries

(Not humor)

From Fox13:

The most wonderful time of the year can also be one of the most dangerous.

The Consumer Product Safety Commission reports in 2018 there were more than 166,000 toy related emergency department-treated injuries.

And in the 2017 holiday season, about 18,000 people were treated in Emergency Rooms due to holiday decorating-related injuries.

The Emergency Room Medical Director at St. Francis Bartlett said the two main contributing factors are knives and alcohol

ERs Overwhelmed by Life-Threatening, Wrapping Paper-Related Paper Cuts

(Humor)

From the GomerBlog:

What should be a Christmas morning filled with celebration and cheer has turned to horror and bloodshed: life-threatening wrapping paper-related paper cuts have sent millions of Americans to emergency departments, completely overwhelming the health care system this morning.

No deaths have been reported, but at least 20 million are listed in critical condition.

“No money, no problem”: Guaranteeing emergency care for all

From Stanford:

Today if anyone walks into Stanford Hospital’s Marc and Laura Andreessen Emergency Department — or any other emergency department in the United States — they can receive emergency or stabilizing care, even if they have no money.

The law that guaranteed that access — the Emergency Medical Treatment and Labor Act (EMTALA) — passed in 1986. It prevented hospitals from turning away patients in emergencies or transferring unstable patients to other facilities if they couldn’t provide proof of payment.

But that legislation created new problems, problems that Stanford emergency physician Michael Bresler, MD, played a key role in resolving.