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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 28.

Standards for children and young people in emergency care settings
This revised guideline provides healthcare professionals, providers and service planners with measurable and auditable standards of care applicable to all urgent and emergency care settings in the UK. This updated edition reflects changes in the way care is delivered: there is a new chapter focusing on mental health and substance misuse and the document takes a 'pathway' approach to aid a multi-professional workforce.  Guideline RCPCH - press release
Source: Health Management Specialist Library - May 3, 2012 Category: UK Health Authors: The King's Fund Information & Library Service Source Type: blogs

Trauma! Extremity Injuries
Life in the Fast Lane Medical Blog Trauma! Extremity Injuriesaka Trauma Tribulation 029A 35 year-old man is brought in by ambulance following a motor vehicle crash. He was the passenger in a car that tipped over onto the passenger’s side. Unfortunately, your patient had his left arm hanging outside of the front passenger window and it was trapped under the vehicle. His arm was released by bystanders when they pushed the car back onto its wheels. The paramedics are understandably concerned about the man’s arm.The trauma team get to work straight away, feeling secure in the knowledge that you, the team leader, ar...
Source: Life in the Fast Lane - May 2, 2012 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Clinical Case Emergency Medicine Featured Health Trauma amputation arterial injury crush injury degloving neurological injury trauma tribulation Source Type: blogs

A doctor has difficulty making sense of medical bills
Rarely do people think about medical costs when there is a medical emergency or an urgent need for a test. Recently, I was in such a situation.A few days after a 22-hour international flight, the calf muscle in my right leg began to ache. If it were not for the recent flight, or if I were not a doctor, I would have just let it pass.But long periods of sedentary inactivity, whether sitting on an international flight or lying in bed after a hip surgery, can lead to a blood clot in the leg. This clot can then travel up to the heart, pass the valves and lodge in the lungs, causing a pulmonary embolus. More than 300,000 people ...
Source: Kevin, M.D. - Medical Weblog - May 2, 2012 Category: Family Physicians Authors: Kevin Tags: Physician Health reform Primary care Radiology Specialist newtag Source Type: blogs

The Book of Nurses: Jacky.
OK then, to start off tell us what country/area you live in, how long you have been nursing for, what areas you have worked in and the specialty you currently work in. I am Australian and live on the Gold Coast in Qld, I have been nursing 21 years and most of that has been Intensive Care and Emergency and I am currently working in ICU.  What made you decide to become a nurse? In year 10 I knew nursing was where I wanted to be, but got a little waylaid by the temptation of boys, mates, a drivers licence and the call of the wild (night clubs) and ended up falling out of school and into what ever job would support all of the...
Source: impactEDnurse - May 2, 2012 Category: Nurses Authors: impactEDnurse Tags: not just a nurse. Source Type: blogs

Survival Aid: Pencil Kindling to Get a Fire Going
If you need emergency tinder, use a pencil as kindling.Contributor: Leanna TeaguePublished: May 02, 2012
Source: Most Recent Health Wellness - Associated Content - May 2, 2012 Category: Other Conditions Source Type: blogs

ASHPE Award
Dear friends and readers!  My Emergency Medicine News column, Second Opinion, has won a Silver Award for Best Regular Column, from the American Society of Healthcare Publications Editors. I’m very grateful to Ms. Lisa Hoffman, my editor at EMN, for submitting my work to this competition. SILVER Emergency Medicine News Second Opinion February, April, December 2011 Here’s a link to the complete list: http://www.ashpe.org/pdf/2012-winners.pdf Have a great day! Edwin
Source: edwinleap.com - May 2, 2012 Category: Emergency Medicine Doctors Authors: Edwinlea Tags: EM News column awards Source Type: blogs

Antivaccine activists try to flog Rep. Dan Burton's fear mongering about an "autism epidemic"
Oh, goody. Remember last week, when I took note of how organized quackery's best friend in Congress, not to mention a shining example of crank magnetism, Representative Dan Burton of Indiana, was taking the opportunity of his having announced that he would not be running for reelection this year to write a typically brain dead post on his Congressional blog about the "autism epidemic"? In that post, Burton bought into the mythology of the "autism epidemic" and defended his previous efforts to root out that dreaded mercury in vaccines (and, of course, vaccines themselves) as the cause of this "autism epidemic." And now, t...
Source: Respectful Insolence - May 2, 2012 Category: Surgeons Tags: Medicine Source Type: blogs

Top stories in health and medicine this morning, May 2, 2012
This series is brought to you by MedPage Today.1. Most ICD Patients Die of Heart Failure. Patients with implantable defibrillators (ICDs) or resynchronization devices with defibrillator (CRT-Ds) were most likely to die of heart failure or noncardiac causes, not sudden death.2. Hospital Debt Collector Draws Scrutiny. Rep. Pete Stark (D-Calif.) is calling for a full-scale investigation into the reportedly questionable debt collection practices of a company accused of harassing patients in emergency rooms into paying their bills.3. Breast Screening in 40s Proposed Based on Risk. Breast cancer screening starting at age 40 may ...
Source: Kevin, M.D. - Medical Weblog - May 2, 2012 Category: Family Physicians Authors: Kevin Tags: News Source Type: blogs

Blame the DSM?
In the Washington Post, April 27, 2012, "Psychiatry's Bible, the DSM, is doing more Harm than Good," Paula J. Caplan writes: About a year ago, a young mother called me, extremely distressed. She had become seriously sleep-deprived while working full-time and caring for her dying grandmother every night. When a crisis at her son’s day-care center forced her to scramble to find a new child-care arrangement, her heart started racing, prompting her to go to the emergency room. After a quick assessment, the intake doctor declared that she had bipolar disorder, committed her to a psychiatric ward and started her on da...
Source: Shrink Rap - May 2, 2012 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Be a Guidewire Guru!
Life in the Fast Lane Medical Blog Be a Guidewire Guru!Emergency Physician Dr Brett Nelson from sinaiem.us (a great ultrasound website) recently shared his neat little demonstration of how to straighten a guidewire with one hand. An essential skill if you want to be a guidewire guru!This is Brett’s description of the trick:With one hand, you can straighten out the curved end of a guidewire. This is useful when you need to insert the guidewire into the hub of a catheter or needle, and you have already taken the guidewire out of its sheath.The guidewire actually consists of a coiled wire over a central wire core. Stabi...
Source: Life in the Fast Lane - May 1, 2012 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: eLearning Emergency Medicine Intensive Care Video brett nelson guidewire sinaiem.us straighten trick Source Type: blogs

I’m so old that…
Life in the Fast Lane Medical Blog I’m so old that…aka American ER Doc Gone Walkabout… 015During rounds, especially during rounds of drinks, I get a certain amount of incredulity from my residents with the stories of “I’m so old that……”Often when trying to develop a narrative to give a flavor to the differences in the experience of the practice Emergency Medicine in the States compared with practice Down Under, the sensation is one of: “that feels like it did 10 years ago in the States.” But, I go back further than that and, not surprisingly, I perceive far greater difference...
Source: Life in the Fast Lane - May 1, 2012 Category: Emergency Medicine Doctors Authors: Rick Abbott Tags: American ER Doc Gone Walkabout Emergency Medicine Featured bradycardia hypertension medical history rick abbott supraventricular tachycardia Source Type: blogs

Letter to the editor from the NMBA.
Im not sure if this is more a celebration of the nursing and midwifery professions or a self promoting, positive spin add for the Nursing and Midwifery Board of Australia. It appeared in yesterdays letters to the editor of the Surf Coast Times but I am assuming it was sent out blunderbuss style to many newspapers. Dear Editor, The Nursing and Midwifery Board of Australia (the national board) recognises that May is an important month for Australia’s 340,000 enrolled and registered nurses, nurse practitioners, midwives and eligible midwives. The International Day of the Midwife on May 5 and International Nurses Day on May ...
Source: impactEDnurse - May 1, 2012 Category: Nurses Authors: impactEDnurse Tags: piss and vinegar Source Type: blogs

A tough problem . . .
. . . but there are solutions, or at least ways to improve the situation. A newly recognized consequence of the epidemic of prescription opioid abuse in the U.S. is a huge increase in the number of babies born addicted. Most, though not all (for reasons not well understood) of the babies born to women who are chronic opioid users will go through withdrawal (called Neonatal Abstinence Syndrome, NAS). Doctors give them opioid replacement, such as methadone, and wean them off gradually. They end up spending typically 16 days in the hospital at a cost of over $50,000, mostly paid for by Medicaid.Stephen Patrick et al, in the l...
Source: Stayin' Alive - May 1, 2012 Category: Health Medicine and Bioethics Commentators Source Type: blogs

#Disablism: The Invisible ‘ism’. By Dawni #badd #mhuk #wrb #ukmh #disability @badd
“Oiii, you, you mental fat c*nt” she shouted and I thought, ‘wow people swear in the street, how common’. Not because I never swear, just because I never swear in the streets. What surprisingly didn’t occur to me immediately as I walked away, smarting from the embarrassment, was that this person, my neighbour, a woman then in her late forties, thought it was acceptable to abuse me because of my mental health diagnosis. I imagine you thinking what did she do to bring about such a vicious comment, and I would hope you would be shocked to learn that I’d merely confided in another neighbour,...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - May 1, 2012 Category: Mental Illness Authors: Dawn Willis Tags: Mental Health, The News & Policies. Source Type: blogs

When a heart attack is textbook perfect, it can be a beautiful thing
Participating in a patient’s first heart attack can be an extremely stressful event. Thirty years ago, I was an ER doc.  At the end of a typical shift, I would come home to my wife and, often, would remark about how nervous family docs got when dealing with emergencies like heart attacks.Thirty years later, I’m the family doc and heart attacks are unnerving.  Yes, I know what to do.  We have an emergency protocol and handle heart attacks well.  It’s still unnerving.Read the rest of When a heart attack is textbook perfect, it can be a beautiful thing on KevinMD.com.Category: Conditions | Tags: Emergency, Heart, Sp...
Source: Kevin, M.D. - Medical Weblog - May 1, 2012 Category: Family Physicians Authors: Kevin Tags: Conditions Emergency Heart Specialist newtag Source Type: blogs

A.M. Vitals: Heart Device Wiring Problem Persists for St. Jude
Here’s what’s making health news this morning: St. Jude Wiring Problem Persists (WSJ): The rate of a key failure in the Riata-series leads — wires that connect a defibrillator to the heart — rose 17% from the last company report in November. Facebook is Urging Members to Add Organ Donor Status (NY Times): The social networking is encouraging users to add their organ donor status as a way of using peer pressure to increase the numbers who sign up to donate organs at motor vehicle departments or online registries. Pitting Employees Against Each Other… For Health (WSJ): Workplace wellness program...
Source: WSJ.com: Health Blog - May 1, 2012 Category: Health Medicine and Bioethics Commentators Authors: Shirley S. Wang Tags: Drugs Breast cancer Emergency medicine Hospitals Medical devices Organ donation Painkillers WSJ Source Type: blogs

Asking about price is an essential part of a patient’s responsibility
My husband and I have been self-employed for many years, and though our income is quite limited, we have always been careful with our finances,  have always managed to live within our means, and have always paid our bills without assistance.  We had private health insurance coverage and saw premium increases each year. Then to avoid further increases, coverage of office visits outside of deductible was dropped, and our deductible was raised to $4500.  Finally, about seven years ago, the cost became prohibitive for us; when yet one more increase was announced, our monthly premium payment would amount to approximate...
Source: Kevin, M.D. - Medical Weblog - May 1, 2012 Category: Family Physicians Authors: Kevin Tags: Patient Health reform Patients newtag Source Type: blogs

Medscape Physician Compensation Report Physicians Skeptical of ACO Model
Medscape, WebMD’s flagship site for medical professionals, issued a report in the end of April highlighting the opinions of 24,000 U.S. physicians regarding their compensation, and opinions on healthcare reform, including Accountable Care Organizations (ACOs) and treatment guidelines.  The survey was conducted from Feb. 1-17, 2012 via an online survey from a third-party collection site. The respondents represented 25 different physician practice areas.  Below is a summary of findings.  Medscape Physician Compensation Report  ACO’s: Currently, only about 3% of physicians participate with ACOs, which are a type of ...
Source: Policy and Medicine - May 1, 2012 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

Triage of the pregnant female. Part 1.
Triage of the pregnant patient. My partner Kelly (also an ED nurse and a Midwife) is presenting a talk tomorrow at our triage workshop. She has kindly consented to me posting a bulletpoint summary of her presentation for your midwifical edification. Remember, this is just a summary (and any errors or non-sencicals are more likely to be from my transcription than Kelly’s presentation)…but her talks are always well received so I thought you might get some useful tidbits from reading over it. I will split the presentation over 2 posts. Part 1 covers the initial evaluation at Triage and the physiological changes that occur...
Source: impactEDnurse - April 30, 2012 Category: Nurses Authors: impactEDnurse Tags: clinical skills Source Type: blogs

Airway Registry & Checklists in Audio
Life in the Fast Lane Medical Blog Airway Registry & Checklists in Audioaka Own the Airway in Audio 003OK Airway freaks, the next installment of Minh Le Cong‘s ‘Own the Airway Audio’ podcast is here!This month RFDS’s airway kung fu master talks to Dr Toby Fogg from Royal North Shore Hospital about his work on an Australasian ED Registry: www.airwayregistry.org.au. Cliff Reid had a great Resus.ME post on Toby’s work recently, triggered by Toby’s response to the recent LITFL blogpost featuring George Douros and the Austin’s RSI Checklist and Action Plan.This interview discusses:...
Source: Life in the Fast Lane - April 30, 2012 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Anaesthetics Australia Emergency Medicine Featured Intensive Care Podcast Pre-hospital / Retrieval australasian airway registry checklist emergency inubation minh le cong Own the Airway Audio rapid sequence intubation RSI toby Source Type: blogs

These bastards want us dead…
Reblogged from Ron's Rants...: And by us, I mean the chronically sick and disabled. Doctors back denial of treatment for smokers and the obese, says the Guardian, going on to say that “Survey finds 54% of doctors think the NHS should have the right to withhold non-emergency treatment.” Smokers I have little sympathy for – you made that decision, in the face of all the evidence that it’s not just seriously harmful to you, but to everyone around you, so I’m sorry, but you get to live with the consequences. Read more… 593 more words Many people using psychotropic medication to maintain their mental well...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - April 30, 2012 Category: Mental Illness Authors: Dawn Willis Tags: *Special Guest Writers* Source Type: blogs

You can beat the feeling
Life in the Fast Lane Medical Blog You can beat the feelingaka Metabolic Muddle 006It’s a busy night shift in the ED (as always) and one of the Interns comes to present a case to you. He’s seen a 23 yr old female who has presented with lethargy and weakness. While you’re listening to the Intern your phone rings — it’s the lab calling to tell you the patient’s potassium is 1.9 mmol/L.QuestionsQ1. What are the clinical features of hypokalaemia ?Answer and interpretationexpand(document.getElementById('ddet808603834'));expand(document.getElementById('ddetlink808603834'))The clinical features of hypokalaemi...
Source: Life in the Fast Lane - April 29, 2012 Category: Emergency Medicine Doctors Authors: John Larkin Tags: Clinical Case Emergency Medicine Featured coa cola hypokalaemia hypokalemia metabolic muddle Source Type: blogs

CITFL with Casey Parker
Life in the Fast Lane Medical Blog CITFL with Casey ParkerConversations in the Fast Lane (CITFL)…Early days yet, but thought it would be fun to record some of the conversations I have with the awesome people currently working to provide medical education through social media.Brief conversations and pertinent questions directed at unwitting guests to hopefully reveal a little bit of insight into the minds of the unassuming altruists and social media evangelists lurking on the interwebs.This week we interview Dr Casey Parker of BroomeDocs famePlease bear with us as we explore the medium of audio…as my wife kee...
Source: Life in the Fast Lane - April 29, 2012 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: CITFL Education Emergency Medicine Featured Networking Podcast Social Media Twitter Web Culture BroomeDocs Dr Casey Parker Source Type: blogs

The Book of Nurses: Rebecca.
The Book of Nurses will soon be closed. Send me your page now in celebration of International Nurses Week this year (May 6-12). Your story matters. Here’s How. ————————————————– OK then, to start off tell us what country/area you live in, how long you have been nursing for, what areas you have worked in and the specialty you currently work in. I live in Brisbane, Australia. I’ve been nursing for 9 years, working in a city hospital. Started off in general medicine before getting involved in case management and discharg...
Source: impactEDnurse - April 29, 2012 Category: Nurses Authors: impactEDnurse Tags: not just a nurse. Source Type: blogs

Using a computer called “Blue Balls” to track whether ED patients seeking care paid their bills
I could not make this up if I tried regarding hardball tactics to collect money when patients are at their most vulnerable. From Bloomberg News: Accretive Says It’s Working to Address Minnesota Concern By Dan Hart and Alex Wayne - Apr 29, 2012 Accretive Health Inc. (AH), a hospital billings-collection company, said it’s working with advisers to address concerns raised by the Minnesota attorney general’s office that it puts bedside pressure on patients to pay bills.The claims “grossly distort and mischaracterize” its revenue cycle services, the company said today in a statement. The suggestion A...
Source: Health Care Renewal - April 29, 2012 Category: Health Medicine and Bioethics Commentators Tags: Fairview Health Services medical debt collection Accretive Health Inc. Source Type: blogs

Healthcare Update 04-30-2012
Back from a rough week. Satellite Editions of this week’s update at ER Stories and at Medbloggers.org. As always, if you’re interested in posting here or at Medbloggers, drop me an e-mail. Not a laughing matter. Not even a smiling matter … especially for the patient. Man goes to see dentist for a toothache. Dentist just happens to be the girlfriend that he broke up with three days earlier for another woman. While patient was under anesthesia, the dentist pulls the affected tooth … and all his other teeth as well. Now patient’s new girlfriend dumped him and dentist faces three years in prison. Former med m...
Source: WhiteCoat's Call Room - April 29, 2012 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

Psychotherapy as a Model for Positive Relationships
One of our regular readers wrote in a comment that she's read how the psychotherapeutic relationship is supposed to  model a healthy relationship for the patient.  I hope I got this right, I can't seem to find the comment.   So I think I missed that lecture in residency.  It seems to me that while psychotherapy is about having an honest, trusting relationship (and that is usually a good thing),  it is very different from the relationships we have in our real lives.  Psychotherapy is about the patient's life.  In some ways, it's a rather narcissistic endeavor (and I don't mean that in a...
Source: Shrink Rap - April 29, 2012 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Every emergency medicine shift teaches something
Tonight a 17 year-old boy came to the emergency room complaining of headache. As I entered his room, in my usual hurry to do an assessment as expeditiously as possible, so as to get on to the next case and attempt to avoid the inevitable backup of patients so common in our ER, I was struck by the vulnerable demeanor of the patient before me. The triage nurse’s report assured me that the temperature and other vital signs were normal (unlikely to be the dreaded meningitis, I thought) and that no trauma has prompted this visit.Read the rest of Every emergency medicine shift teaches something on KevinMD.com.Category: Physici...
Source: Kevin, M.D. - Medical Weblog - April 28, 2012 Category: Family Physicians Authors: Kevin Tags: Physician Emergency Neurology newtag Source Type: blogs

Bersih 3.0 Medical Team
Today is the day that the third Bersih rally, Bersih 3.0, will be held, as Malaysians come together to call for free and fair elections in this country. We would like to wish our medical brethren who are participating as a Bersih 3.0 Medical Team all the best. We sincerely hope though that there will be no medical emergencies during the rally and that everyone keeps a cool head. from the Malaysian Medical ResourcesBersih 3.0 Medical Team
Source: Malaysian Medical Resources - April 27, 2012 Category: Health Medicine and Bioethics Commentators Authors: Palmdoc Tags: - Nation - Palmdoc Bersih Source Type: blogs

Funtabulously Frivolous Friday Five 086
Life in the Fast Lane Medical Blog Funtabulously Frivolous Friday Five 086FFFF is running a little late this week – so let’s keep it short and sweet – the 86th edition is now at your service!Question 1Can a patient with an ectopic pregnancy have a negative serum BhCG?Reveal the funtabulous answer!expand(document.getElementById('ddet1348454550'));expand(document.getElementById('ddetlink1348454550'))Yes – never say never.It is sufficiently rare that I’ve only been able to find two case reports:Grynberg M, Teyssedre J, Andre C, Graesslin O. Rupture of ectopic pregnancy with negative serum beta-hC...
Source: Life in the Fast Lane - April 27, 2012 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Featured Frivolous Friday Five coffee conundrums FFFF funtabulously frivolous Friday Medical quiz Medical Trivia medicine Q&A Quotations Source Type: blogs

Friday Inspiration 017
Life in the Fast Lane Medical Blog Friday Inspiration 017The latest in the Friday Inspiration series features the Symphony of Science“We Are All Connected” was made from sampling Carl Sagan’s Cosmos, The History Channel’s Universe series, Richard Feynman’s 1983 interviews, Neil deGrasse Tyson’s cosmic sermon, and Bill Nye’s Eyes of Nye Series, plus added visuals from The Elegant Universe (NOVA), Stephen Hawking’s Universe, Cosmos, the Powers of 10, and more. It is a tribute to great minds of science, intended to spread scientific knowledge and philosophy through the medium of...
Source: Life in the Fast Lane - April 26, 2012 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: Blog News Friday inspiration Science carl sagan feynman symphony of science we are all connected Source Type: blogs

Whose Team Are You On?
It couldn't have been worse. The complaints in the office were unsolvable. The regulars came late to their appointments. The "oh, by the way doctor" questions required more then cursory explanations offered from the doorway. I sat down during a stolen moment for lunch only to be harassed by a call from the emergency department that needed urgent attention.It was the kind of day where office visits were interrupted by mobile phone calls that were interrupted by a beeping pager. By the end of clinic, I was ready to hang up my stethoscope. I was physically and emotionally exhausted. These were the times that tested one's will...
Source: In My Humble Opinion - April 26, 2012 Category: Family Physicians Source Type: blogs

Team resource management: cutting the swiss cheese.
An important article in this months Emergency Medicine Journal (abstract only, subscription required)  looks at the new, and increasingly popular exploration of leadership and followship skills in emergency department roles. Although concerned mainly with emergency department physicians, these skills transpose well to nurses working in any clinical team environment. You can also listen to a podcast on the topic here. Training in these non-technical competencies (also known as Crew Resource Management (CRM) or NOTECHS) develops interpersonal and cognitive skills, attitudes, behaviours and situational awareness that give st...
Source: impactEDnurse - April 26, 2012 Category: Nurses Authors: impactEDnurse Tags: tips and tricks Source Type: blogs

The Book of Nurses: Angie.
I would really REALLY like you to contribute to the Book of Nurses in celebration of International Nurses Week this year (May 6-12). Your story matters. Here’s How. ————————————————– OK then, to start off tell us what country/area you live in, how long you have been nursing for, what areas you have worked in and the specialty you currently work in. HI, I’m Angie, I live and work in northern NSW, Australia. I work in the emergency dept. of a rural hospital. This is my 8th year of nursing (which means I will now be refe...
Source: impactEDnurse - April 26, 2012 Category: Nurses Authors: impactEDnurse Tags: not just a nurse. Source Type: blogs

Smiths Medical’s ViaValve Safety I.V. Catheter Coming This Summer to U.S.
Smiths Medical just got approval from the FDA to introduce its ViaValve Safety I.V. Catheter in the US, a device that promises to help prevent blood exposure and needlestick injuries.Workings of the device according to Smiths:Read More
Source: Medgadget - April 26, 2012 Category: Technology Consultants Authors: Gene Ostrovsky Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Military Medicine Pediatrics Surgery Source Type: blogs

Which Doctors Get Paid How Much?
Medscape has released the results of a survey of physicians on pay, and found that though income in general declined, some of the top-earning specialties remained the same as in the 2011 survey. In 2012, radiologists and orthopedic surgeons topped the list at $315,000, followed by cardiologists ($314,000), anesthesiologists ($309,000), and urologists ($309,000). Previously, radiologists and orthopedic surgeons led the pack, at a mean income of $350,000 each, followed by anesthesiologists and cardiologists (both at $325,000). The bottom-earning specialties in this year’s survey were pediatrics, family medicine, and i...
Source: Pharmalot - April 26, 2012 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Iowa Kansas Medscape Missouri Nebraska Northeast pay Physicians Reimbursement specialties Source Type: blogs

Physicians and pay: some better, some worse
Medscape has released the results of a survey of physicians on pay, and found that though income in general declined, some of the top-earning specialties remained the same as in the 2011 survey. In 2012, radiologists and orthopedic surgeons topped the list at $315,000, followed by cardiologists ($314,000), anesthesiologists ($309,000), and urologists ($309,000). Previously, radiologists and orthopedic surgeons led the pack, at a mean income of $350,000 each, followed by anesthesiologists and cardiologists (both at $325,000). The bottom-earning specialties in this year’s survey were pediatrics, family medicine, and i...
Source: Pharmalot - April 26, 2012 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Iowa Kansas Medscape Missouri Nebraska Northeast pay Physicians Reimbursement specialties Source Type: blogs

R&R in the FASTLANE 017
Life in the Fast Lane Medical Blog R&R in the FASTLANE 017The 17th edition of our series of eminence-based evidence:A free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.This edition contains 8 recommended reads. Find out more about the R&R in the FASTLANE project here and check out the team of contributors from all around the world.This week’s ‘R&R Hall of FamersReiter DA, Lakoff DJ, Trueger NS, Shah KH. Individual Interac...
Source: Life in the Fast Lane - April 26, 2012 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Evidence Based Medicine Featured Intensive Care R&R in the FASTLANE critical care literature recommendations research and reviews Source Type: blogs

BBC News - Widen over-the-counter pill access, says NHS report
26 April 2012 Last updated at 00:53 Share this page Email Print Widen over-the-counter pill access, says NHS report Pharmacies used bold posters to show the pill was available Continue reading the main story Related Stories Government stands by pill trial Over-the-counter pill for girls The contraceptive pill should be available at pharmacies without a GP prescription, including to some under-16s, suggests an NHS report. A pilot scheme found a significant drop in emergency contraception after the launch of over-the-counter pill access. The ...
Source: PharmaGossip - April 26, 2012 Category: Pharma Commentators Authors: insider Source Type: blogs

The Book of Nurses: Olivia.
I would really REALLY like you to contribute to the Book of Nurses in celebration of International Nurses Week this year (May 6-12). Your story matters. Here’s How. ————————————————– My name’s Olivia, and I noticed that you haven’t had a post for the Book of Nurses from a perioperative nurse, thought I might offer you my story. Sorry if it’s a bit long, but how I got to becoming a nurse isn’t a simple story. OK then, to start off tell us what country/area you live in, how long you have been nursi...
Source: impactEDnurse - April 25, 2012 Category: Nurses Authors: impactEDnurse Tags: not just a nurse. Source Type: blogs

Death arrives in many different packages
The sage doctor who stood at the bedside as I held my dying grandmother said, “We seem to die one organ at a time.” I, however, have come to believe that we are too focused on the failing of the organs to rightly perceive the dying of the person.Death comes in many different ways, in many different packages. Sometimes it arrives wrapped thoughtlessly in advanced dementia, other times the package is stained red with the blood of exsanguination. Usually, these packages are wrapped in a fashion that, for the careful observer, indicates the content. On occasion, the package arrives and is not recognized even by the most as...
Source: Kevin, M.D. - Medical Weblog - April 25, 2012 Category: Family Physicians Authors: Kevin Tags: Physician Emergency Palliative care newtag Source Type: blogs

Best use for a bougie?
Life in the Fast Lane Medical Blog Best use for a bougie?OK people, time to share.Following on from befriend the bougie! @MDaware shared a great tip about using the bougie to assist in intercostal catheter placement in obese patients. Indeed, I suggested that the bougie is so fantastic, if there is a hole, it is probably worth sticking a bougie in it one time or another. Whereupon @GrahamWalker claimed that the bougie-assisted rectal examination is not to be sniffed at (he may have been joking, it can be hard to tell with Americans…).Here are some cool pics that @GrahamWalker took in the SimLab demonstrating the use ...
Source: Life in the Fast Lane - April 25, 2012 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Competition Emergency Medicine Featured Intensive Care bougie graham walker seth trueger Source Type: blogs

Befriend the bougie!
Life in the Fast Lane Medical Blog Befriend the bougie!Much to our disgust EMCrit beat us to this one, hands down. But, given that the bougie is my favourite piece kit and best buddy in the resus room, I’ve gone ahead and reposted these videos on LITFL.They MUST be watched by all who perform (or assist with) emergency intubations.The first video by John McGill, from HQMEDED, has already featured on Own the Airway!:But the new video takes bougie trouble shooting to a whole new dimension of sophistication:There are some great comments on the EMCrit blogpost, and I’ve reproduced a couple here that echo my own thou...
Source: Life in the Fast Lane - April 25, 2012 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Anaesthetics eLearning Emergency Medicine Intensive Care Pre-hospital / Retrieval Resuscitation Video airway bill hinckley bougie emcrit emergency intubation hqmeded john mcgill scott weingart seth trueger Source Type: blogs

April 2012 Man of the Month: Don Mathis
By Laura Harwood. In January 2011 Disruptive Women interviewed Don Mathis, President and CEO of Community Action Partnership (CAP). CAP represents the interests of 1,100 Community Action Agencies (CAA’s) across the country that help 17 million low-income Americans annually to fight poverty and achieve economic security. In January, we introduced Don to our readers and focused on how CAP’s social service programs relate to health policy initiatives. This month, we focus on the intersection of health and environmental issues in conjunction with Earth Day, April 22nd. I recently caught up with Don to learn what the Partne...
Source: Disruptive Women in Health Care - April 25, 2012 Category: Health Medicine and Bioethics Commentators Authors: dw at disruptivewomen.net Tags: Access Advocacy Man of the Month Publc Health Clean technology Community Economic Development Earth Day Green economy Green job United States Source Type: blogs

If Shakespeare read LITFL…
Life in the Fast Lane Medical Blog If Shakespeare read LITFL…As we learned in FFFF 85, the works of Shakespeare are plentifully populated with medical musings. Tis unfortunate, however, that poor Bill did not have the benefit of accessing LITFL through some form of Elizabethan difference engine precursor. Sadly, the Bard only had access to stale tomes such as Pliny the Elder’s Natural History, Dr. William Clowes’s treatises on treatment of wounds and perhaps an early edition of Tintinalli…Things may well have been easier for the bard, and LITFL may well have in turn read quite differently, if things were ot...
Source: Life in the Fast Lane - April 25, 2012 Category: Emergency Medicine Doctors Authors: Michelle Johnston Tags: Emergency Medicine Intensive Care Literary Medicine Medical Humor humour michelle johnston shakespeare Source Type: blogs

Why do medical teams at football matches still suck?
So, I am watching this big football match between Barcelona and Chelsea. Me, 100.000 people at the stadium, and millions at their homes across the World. No football fan would ever want to miss this semi final UEFA Champions League game, which is just a special treat. Anyway, during the first half an incident happens in the Barcelona’s penalty area. Didier Drogba, Chelsea attacker, was running towards Barcelona’s goal, trying to catch a ball passed to him. He was followed closely by Barcelona’s defender Gerard Pique. However, Barcelona’s goal keeper, Víctor Valdés, got to the ball first, and in t...
Source: Ivor Kovic, M.D. - April 24, 2012 Category: Internists and Doctors of Medicine Authors: Ivor Tags: medicine barcelona cardiac arrest cech champions CPR defibrillator emergency football game injury league live match muamba pique soccer sport trauma tv UEFA Source Type: blogs

Debt Collectors in the Emergency Room?
New York Times: (my favorite parts in bold) One of the nation’s largest medical debt-collection companies is under fire in Minnesota for having placed its employees in emergency rooms and other departments at two hospitals and demanding that patients pay before receiving treatment, according to documents released Tuesday by the Minnesota attorney general. The documents say the company also used patient health records to wrangle for more money on overdue bills. The company, Accretive Health, has contracts with dozens of...
Source: Dr. X's Free Associations - April 24, 2012 Category: Psychiatrists and Psychologists Authors: DrX Tags: Front Page Source Type: blogs

Health Information Technology And Quality Webinar: “Continuity And Resiliency For Health IT Systems, Preparing For Unforseen Events”
“Continuity and Resiliency for Health IT Systems: Preparing for Unforeseen Events” – Friday, April 27, 2012 – 2pm Eastern This webinar provides expert advice on how health information technology (IT) can help primary care and rural inpatient providers prepare for and overcome an unforeseen event.  When these events – such as a flood, data loss, power outage, snowstorm, or a public health crisis like an influenza outbreak – occurs, health IT systems can be a valuable tool to ensure continuity of patient care.  This is just one reason why it is critical to ensure that health IT systems a...
Source: BHIC - April 24, 2012 Category: Databases & Libraries Authors: Gail Kouame Tags: Conferences Emergency Preparedness Rural Source Type: blogs

VA Lied About Wait Times
Up until Monday, the Department of Veterans Affairs (VA) claimed that 95 percent of the vets are seen within 14 days after contacting them for mental health issues if not in crisis. We now know that’s a lie. Federal investigators revealed yesterday that half the veterans who seek out mental health care in the VA system waited about 50 days — not 14 — before receiving a full evaluation. That’s not just a tiny lie. That’s a lie covering up a wait time that is 350 percent greater than the VA’s original claims. A wait time that clearly demonstrates that demand is outstripping supply of quali...
Source: World of Psychology - April 24, 2012 Category: Psychiatrists and Psychologists Authors: John M. Grohol, PsyD Tags: General Mental Health and Wellness Military Policy and Advocacy Case Care Department Of Veterans Affairs Federal Investigator Federal Investigators Gist Initial Evaluation Measures Mental Health Care Mental Health Issues Mental H Source Type: blogs

The Morning Flap: April 24, 2012
This study found no evidence of adverse pricing of subprime loans by race or ethnicity and minority borrowers paid lower rates. A 2008 study by the U.S. Federal Reserve in Washington, D.C. found Southern California was the hot spot for the most subprime loans in all of the United States in 2005. And out of the top 10 cities with the most subprime loans, six were in California (percent of Hispanic population in parentheses): Riverside (45 percent), Bakersfield (45.5 percent), Stockton (37.6 percent), Modesto (35.5 percent), Fresno (50.3 percent) and Visalia (46.0 percent). Where Hispanics got into trouble had more to do wit...
Source: FullosseousFlap's Dental Blog - April 24, 2012 Category: Dentists Authors: Flap Tags: Pinboard Links The Morning Flap Alcohol ATT California California_Prisons Catholic Death_Penalty Democrats GOP Health Hispanics immigration Infants Initiative Jerry_Brown Latinos Mexico Obama President_2012 Running Source Type: blogs