Another medical issue with overweight patients: Intramuscular injections. An Epi-Pen may not work in patients who are obese since the distance through the subcutaneous fat to the muscle is greater than the length of the needle. This study showed that in more than 4 of 5 obese children, the subcutaneous fat layer was too thick for an IM injection one quarter of the way down the thigh. In nearly 1 of 5 obese children, the subcutaneous fat layer was too thick three quarters of the way down the thigh. In those patients, the study suggested injecting the calf.
I suppose the manufacturer could be forced to make autoinjectors with longer needles, but then non-obese patients would theoretically risk getting a bone marrow injection of epinephrine.
How good are emergency physicians at dispositioning psychiatric patients when compared to psychiatrists? Not horrible, not great.
95% of patients assessed as “definitely admit” were admitted by the psychiatrist. For other emergency department psychiatric patients, there was an 87-90% concordance rate.
Sugary drinks may kill 25,000 people each year. That’s nothing. SALT [allegedly]causes one out of 10 deaths in this country each year and more than 2.3 million deaths worldwide in 2010.
Wonder what that sphincter Michael Bloomberg is going to do with this information. Salt tax? Force NY City hospitals to draw serum sodium levels on all patients? Outlaw salt shakers in restaurants? Or maybe he could just go after the salt shakers with the larger holes and call them “asSALT” weapons.
Bwaaaaaahahaha. Sometimes I crack myself up.
Another nice article by Alicia Gallegos at AM News. Liability involving patients who overdose on medications is increasing. Families of suicidal patients who overdose on medications are blaming physicians who prescribe the medications … and winning.
According to the article, physicians are having also disciplinary actions taken against them if they prescribe medications to a “doctor shopper”.
This is getting ridiculous.
When pain patients complain that they are treated like “drug seekers,” this is part of the problem why.
Maybe the next step should be forcing all patients to sign a statement requiring them to list any doctors that have prescribed them medications, any medication that they have at home or have access to at home, and any medications or street drugs they are using or have used in the past 12 months.
Lawsuits involving robotic surgeries increasing after patients suffer bad outcomes related to the machines. Intuitive Surgical’s da Vinci machines are common targets. This news in the wake of the ACOG recommendation against using robotic surgeries for certain gynecologic procedures. “[T]here is no good data proving that robotic hysterectomy is even as good as—let alone better—than existing, and far less costly, minimally invasive alternatives.”
Yet hospitals spend $1.5 million on these machines and a lot more in advertising them to the public.
Where are our patient safety advocates the Joint Commission amid all of these patient safety issues? [crickets]But they’ll sure cite you and make you come up with an action plan if holiday peel off stickers are on the windows of trauma bay rooms, though.
Would you pay several thousand dollars more for your surgeon to use a robot on you?
US Supreme Court nixes North Carolina state law declaring that one third of a Medicaid beneficiary’s medical malpractice lawsuit recovery is attributable to medical expenses and therefore may be taken by the state. Justices called the law too arbitrary.
New lethal strain of meningitis concerning New York City health officials. Thus far it seems to be largely confined to men who have sex with other men. The NYC Health Department released a warning that men “who regularly have intimate contact with other men through a Web site, digital application or at a bar or party” should be vaccinated for meningitis. Men who have intimate contact with other men through a digital application can get meningitis? Wow. Talk about a computer “virus”.
Scary video of how a lifeless child was resuscitated by a shopper in an Australian grocery store. Not unlike a pediatric code in an emergency department – just with less medical equipment. Notice the tension during the event and how the rescuer keeps his cool. Outstanding job, mate!
Sixty percent of patients in the UK wait more than 48 hours to see a primary care physician. Patients who need cataract surgery, hip replacements and knee replacements are facing “rationing” of resources as the government tries to cut costs. Coming to a health care system near you?
More on why ObamaCare should be renamed the UnAffordable Care Act.
Cost explosions and several other facts we have learned about ObamaCare since it was signed into law three years ago.
Insurance rates for individual policies could more than double while those for small businesses could rise by 50%
Another article about insurance premiums doubling.
Also, a funny quote I read on Twitter (but I can’t find the tweet to credit the source). How is the Affordable Care Act like stool? You have to pass them to see what’s in them and neither one smells very good.
Want some advice? If you still have insurance and are considering having an elective procedure performed, get it done now. 2014 is going to be ugly.
Influenza killed 105 children this year … and most of those children had not been vaccinated against the flu. But … the flu vaccine didn’t protect much against the circulating strains of flu this year. So were the childrens’ deaths preventable?
Legislators from both sides of the aisle are in favor of repealing a medical device tax that was implemented with ObamaCare.
CVS creates a “better mouse/better mousetrap” conundrum. If ObamaCare forces employers to offer employees insurance, employees are going to have to jump through a lot more hoops to get it — such as revealing a lot of personal health information. Want to keep your information private? You’ll have to pay a $600 annual penalty. Or you can always go and get health care somewhere else …
Now will legislators have add a few hundred more pages to Obamacare to prevent requiring such disclosures?
New EM blog up – from an emergency nurse. I overlook the name of the blog because the content is good. Hope he can keep up his pace.