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MD Anesthesiologists: Victims Of Their Own Excellence

February 14, 2011 5:28 am | by Jeffrey Parks, MD | Comments

The New York Times has jumped all over a couple of recent scientific articles asserting that certified registered nurse anesthetists (CRNA’s) provide equivalent care as MD anesthesiologists. Already, it is legal in 15 states for CRNA’s to dispense anesthesia without the overarching supervision of a physician.

When Patients Share Their Stories, Health May Improve

February 11, 2011 4:27 am | by Pauline W. Chen, MD | Comments

A gifted artist in his early 60s, the patient was a liver transplant candidate who learned he had hepatitis B some 20 years earlier. Despite the worsening fatigue that accompanied his liver failure, he threw himself into preparing for his transplant. He read everything he could about the procedure and the postoperative care, drilled doctors with endless questions and continued to drag himself to the gym each day in the hopes of being better prepared to withstand the rigors of the operation.

The Golden Hour And The Difference Between Life And Death

February 9, 2011 5:22 am | Comments

An excerpt from Surviving the Emergency Room . by Ron Clark, MD With regard to emergency trauma care, a few minutes can mean the difference between life and death. This first hour of definitive medical care is called the “golden hour.” It is usually this first hour where the patient’s medical fate is sealed.


Closing The Complex Open Abdomen: Rethinking The Management of Acute And Chronic Giant Ventral Hernias: The Cook County Experience

February 9, 2011 5:22 am | by Andrew Dennis, DO, FACOS | Comments

Managing giant ventral hernias after traumatic injury and operation has become a dilemma plaguing trauma surgeons in recent years. The post-traumatic open abdomen presents either in the acute phase, days-to-weeks post-injury, or in the delayed chronic phase, years after the application of a skin graft directly over bowel or over an absorbable mesh.

Guidelines For Preventing Perioperative Pressure Ulcers

February 8, 2011 5:37 am | by Susan Scott-Williams, MSN, RN, CWOCN | Comments

It is estimated that it takes an average of 17 years for evidence to be put into practice (Balas & Boren 2000). Implementation of evidence-based practice (EBP) should be the goal for all perioperative professionals. However, where evidence is scant, we must rely on all practices that constitute EBP.


Caring For The Chart Or The Patient?

February 8, 2011 5:37 am | by Theresa Brown, RN | Comments

At a recent medical conference in Miami, I sat spellbound as Dr. Stephen Ferrara, a commander in the Navy, delivered a keynote address describing his work in a mobile hospital in Afghanistan. Dr. Ferrara is an interventional radiologist, a doctor who uses medical images — CT scans, ultrasounds and the like — to treat abscesses, biopsy hard-to-reach masses, check blood flow and cauterize bleeds.

Why Female Physicians Make Less Money Than Male Doctors

February 7, 2011 6:28 am | by Kevin Pho, MD | Comments

How Aggressive Is Your Hospital?

February 4, 2011 5:35 am | by Pauline W. Chen, MD | Comments

One morning during my training, I noticed that the belly of a patient in the I.C.U. had grown rounder and tighter overnight. The patient had gone through a difficult liver transplant a day earlier and was bleeding, it seemed, into his abdomen. I was the newest member of the transplant team, but even so, I knew what had to be done right away: We had to take this man back to the operating room.


A Life Lesson Learned In Medical School

January 31, 2011 9:57 am | by Maggie Kozel, MD | Comments

It was in my second year of medical school that I learned one of the most important lessons of my career: That it can be hard to distinguish truth from a perfectly good answer. Certainty was what I craved the most back then, poised as I was on the threshold of my medical career. But my first patient would cure me of certainty forever.

Case Study: Standardizing A System For PPE

January 31, 2011 9:35 am | Kimberly-Clark Health Care | Comments

WakeMed Health & Hospitals is an 870-bed private, not-for-profit healthcare system based in Raleigh, N.C. Its system includes two full-service hospitals, two stand-alone emergency departments, Children’s Emergency Department, Children’s Hospital, Rehab Hospital, Heart Center as well as multiple outpatient centers and rehabilitation facilities.

Patient Safety Lapses In The Hospital

January 31, 2011 5:19 am | by David Nash, MD, MBA, FACP | Comments

Earlier this month, at the third annual American Medical Student Association Patient Safety and Quality Leadership Institute, I listened with sympathy — and, frankly, a certain amount of discomfort — to a fourth-year medical student’s account of his grandmother’s recent hospitalization at a well regarded inpatient facility in New York City.

Physician Demand For iPad EMRs Is Growing. Are Vendors Ready?

January 31, 2011 5:19 am | by Austin Merritt, Chief Operating Officer at Software Advice | Comments

January 31, 2011 The answer to that question is a surprisingly resounding “No!” The medical software industry is far from supporting the iPad on a meaningful scale. Buyers would think that vendors eager to grow market share would quickly adopt new, flashy technologies, but software vendors are surprisingly slow to react.

The Missing Ingredient In Accountable Care

January 28, 2011 4:29 am | by Pauline W. Chen, MD | Comments

This past week while spending time with nonmedical friends, I found myself referring to what health care experts have been touting as the system’s best hope for the future. My friends, eager to learn more and always game for any clarification of the health care system, leaned in to hear me expound on accountable care organizations, or A.

Preventing Infection With Technology

January 28, 2011 4:28 am | by Interview by Amanda Hankel, editor | Comments

With the increasing concern about healthcare-associated infections (HAI), health care facilities are looking to new technology to help them prevent infection. Here, Surgical Products talks with Valerie Martinez, RN, Head of Infection Control for Palomar Pomerado Health System (PPH) as its facilities begin using the Xenex Disinfection System , a pulsed xenon UV room disinfection technology that has been proven effective in deactivating and removing infection-causing bacteria, viruses, mold, fungus and spores from both surfaces and the air.


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