December 9th, 2009 by Paul Auerbach, M.D. in Better Health Network, Health Tips, Research
Tags: Emergency MedicineAnd Rehabilitation, Head Injury, Helmet, Injury, Motorcycle Helmet, Neurology, Physical Medicine And Rehabilitation, TBI, wilderness medicine
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The National Highway Traffic Safety Administration reported an analysis of motorcycle helmet use in fatal crashes. What was discovered is not surprising – namely, that in states in which there is not a state helmet law, the odds of a rider in a single-vehicle (e.g., the motorcycle) crash wearing a helmet was 72% less than in states with a helmet law. So, absent a law, people are not particularly inclined to wear a helmet.
One needs to couple this information with the facts about the benefits of wearing motorcycle helmets. First, motorcyle fatalities and fatality rates are increasing at a time when motorcycle riding is becoming more popular. Second, the average age of motorcycle fatalities has moved up to 39 years, from 30 years nearly 20 years ago, probably because the age of motorcycle riders has increased. Third, motorcycles expose the drivers more directly to lethal forces than do enclosed vehicles. Helmets are essential to prevent brain injuries and deaths. Read more »
This post, Motorcycle Helmets: Why Don’t People Wear Them?, was originally published on
Healthine.com by Paul Auerbach, M.D..
December 9th, 2009 by KevinMD in Better Health Network, Health Policy, Opinion
Tags: Cost, Electronic Medical Records, EMR, Finance, Primary Care, Quality, Safety, Technology
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Have electronic medical records made a difference in patient care?
According to a study looking at digital medical record adoption of 3,000 hospitals, electronic records have made little difference in cost or quality of care.
That’s discouraging, considering that the government is investing billions of dollars into the technology.
Very few physicians use electronic record systems effectively. For instance, many are simply scanning paper records into a computer, which provides minimal benefit. It’s difficult to track quality improvement data doing that. The problem is further compounded by the archaic interfaces that the current generation of EMRs have, which is akin to a user interface circa Windows 95.
It’s no wonder that most doctors find electronic medical systems actually slows them down. The next generation of systems needs to focus on facilitating the doctor-patient encounter, rather than being an impediment. Taking a few lessons from Google, and improving the user interface would be a good start.
Only then can EMRs realize the potential relied upon by the government and health reformers.
*This blog post was originally published at KevinMD.com*
December 8th, 2009 by Bongi in Better Health Network, True Stories
Tags: Colostomy, Gastroenterology, General Surgery, Leak, Reversal, Sepsis
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I have already spoken about the hazards of doing favours, but recently I was reminded of another example when I was still a registrar where I only just escaped the proverbial falling anvil.
It was not an unusual case but still fairly challenging for a registrar like myself. The old man presented with an acutely tender abdomen and free air revealed on x-rays. If you ignore the outside horses for a while, this is either a perforated peptic ulcer or complicated diverticulitis (some people would throw complicated appendicitis into the mix, but I’m going to leave it in the stable with the outside horses if there are no objections). The patient needed an operation and soon. So with the sun shining happily over Australia somewhere, I took him to theater. Read more »
*This blog post was originally published at other things amanzi*
December 8th, 2009 by Berci in Better Health Network, News, True Stories
Tags: Facebook, Inappropriate, Legal, Patients, Sexual Advances, Social Media, Surgery, Web 2.0
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There is an interesting article in E-Health Europe about how patients try to contact doctors on Facebook, the popular social networking site, and how doctors shouldn’t respond to them. In my “Medicine and Web 2.0” university credit course, we cover this important issue several times and I try to provide students with useful pieces of advice about how to avoid such problems.
The Medical Defence Union said it was aware of a number of cases where patients have attempted to proposition doctors by sending them an unsolicited message on Facebook or similar sites.
The medical defence body said it would be “wholly inappropriate” to respond to a patient making an advance in such a way. Read more »
*This blog post was originally published at ScienceRoll*
December 8th, 2009 by DrCharles in Better Health Network, Book Reviews
Tags: A Pediatric Surgeon In Iraq, Coppola, Iraq, Medic, Pediatric Surgery, Surgery, War
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War can paradoxically bring out the best in people. Despite the violence, tragedy, and pain, there are moments of kindness, compassion, and brave camaraderie. Soldiers band together as brothers and sisters under terrible
circumstances to offer their lives in support of a nation they deem just and vulnerable. Often they are terribly wounded. Families on both sides of the conflict suffer and grieve sickening losses. The reasons for war seldom justify the human misery it causes, but perhaps one type of soldier has the luxury of always being on the right side. Consider the medic, nurse, or military doctor. Read more »
*This blog post was originally published at The Examining Room of Dr. Charles*
The National Highway Traffic Safety Administration reported an analysis of motorcycle helmet use in fatal crashes. What was discovered is not surprising – namely, that in states in which there is not a state helmet law, the odds of a rider in a single-vehicle (e.g., the motorcycle) crash wearing a helmet was 72% less than in states with a helmet law. So, absent a law, people are not particularly inclined to wear a helmet.
