Cartoon: A Typical Friday Night In The Emergency Department
Latest Posts
ER Doc Considers Some Of The Issues That Arise With iOS 5 In Emergency Medicine
I’ve been using my iPad in the ED, with my white coat’s sewn-in iPad-sized pocket, for some time now — mostly for patient and resident education, and to look up dosages or rashes. Hitting up my Evernote database or Dropbox documents is also useful. Occasionally I’ll use my iPhone, for its LED light (when the otoscope can’t reach to where I need to see) or rarely, its camera (in compliance with my hospital and department photo policy, naturally).
Our ED’s EHR isn’t quite accessible enough via iPad for me to quickly check results or place orders at the bedside — right now it’s just too cumbersome. But there’s been progress — enough so that I start to wonder about the flip side: instead of reviewing iOS medical apps and pining for an optimized EHR experience on the iPad, what if there are features of the iPad that could limit the utility of medical apps?
Well, there are some product design issues, like impact resistance and bacterial colonization, that have been discussed. But the operating system, iOS 5, has some quirks, too. Some have received a lot of attention. Some are maddening in their capriciousness. Read more »
*This blog post was originally published at Blogborygmi*
Little Evidence For ER Wait Time Marketing Claims And Other Health News
ER Waits: Hospitals’ marketing claims of short waits for emergency room care aren’t backed up by any evidence, John Dorschner reports for the Miami Herald.
Chronic Fatigue: The editors of prestigious journal Science have retracted a controversial paper linking chronic fatigue syndrome to the XMRV virus; critics of the study believe contamination of samples was to blame for the results, which have not been replicated by other scientists, Ivan Oransky reports for Reuters.
Environmental Health: Tough new EPA rules on mercury emissions from oil- and coal-burning power plants are being Read more »
*This blog post was originally published at Reporting on Health - The Reporting on Health Daily Briefing*
Holiday Decoration-Related ER Visits: Are These Statistics Sending The Wrong Message?
Yesterday’s ACEP Member Communication email (entitled Emergency Medicine Today, in affiliation with BulletinHealthcare) had this as its top story: Injuries Linked to Holiday Decorating on the Rise, from a website called HealthDay News. The reported cites a US Consumer Product Safety Commission press release, crafted with help from Underwriter Laboratories (the wire engineers). They claim:
In November and December 2010, more than 13,000 people were treated in U.S. emergency departments for injuries involving holiday decorations, up from 10,000 in 2007, and 12,000 in 2008 and 2009, according to the U.S. Consumer Product Safety Commission (CPSC).
“A well-watered tree, carefully placed candles, and carefully checked holiday light sets will help prevent the joy of the holidays from turning into a trip to the emergency room or the loss of your home,” said CPSC chairman Inez Tenenbaum in an agency news release.
Good advice. Though it’s been said many times, many ways. So when it came time for CPSC and UL to raise the topic, did we need the very questionable statistics to justify it? Read more »
*This blog post was originally published at Blogborygmi*
Paying Diabetes The Attention It Deserves
Two weeks ago, I was in the emergency room for some severe stomach pain, down on the lower right hand side of my abdomen. After consulting with Dr. Google, I realized that it could be appendicitis. Knowing I was heading to Toronto the next afternoon, I didn’t want to take any chances with this pain. So I headed off to the ER (conveniently, the one my best friend works at) to check things out.
Looooong story made Twitter-esque short, I didn’t have appendicitis. I just had some rogue stomach pain. However, while I was at the hospital, I asked to have my A1C run. I figured I was there, they were already drawing blood, so what’s one more vial?
“Can you guys grab an A1C while you’re at it?” I asked.
“Is your diabetes under control?” asked the doctor.
“Um … define control? I wear a pump, I wear a CGM, and I’m very aware of my disease. But I’ve been having a hard time juggling things lately, on just about every level, so I’m pretty sure my A1C is crap.”
The doctor shot me a very rude, very judgmental look. I shot one back at him.
“I’m asking you to run an A1C because Read more »
*This blog post was originally published at Six Until Me.*
