ACEP News, September 2009

September 2009 ACEP News in full digital format
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 The health care reform debate in Congress is reaching a critical stage as the Senate Finance Committee begins its long awaited markup of health system reform legislation. 

On Sept. 21, 2009, ACEP launched a national media campaign to educate people about the need to strengthen emergency departments as part of health care reform and to dispel the myths about emergency care.

The hard work of health reform lies in front of Congress as it heads back to work after its 5-week summer recess.

Managing mental illness at the community level can keep the mentally ill out of jail and out of the emergency department, illustrated by the success of a collaborative program in Bexar County, Tex.

Prehospital initiation of therapeutic cooling in comatose patients resuscitated from out-of-hospital cardiac arrest speeds time to goal temperature--but whether it improves clinical outcomes will require further study.

Working in a "customer service" job is stressful. We know that more than anyone. We perform in the customer service Olympics every day. We are customer service gurus.

The best predictors of in-hospital deterioration of patients diagnosed with acute pulmonary embolism in the emergency department are a shock index greater than 1 and a pulmonary embolism severity index score more than 100, according to data from the EMPEROR registry.

Among elderly patients, survival after in-hospital CPR has not improved in recent years, according to a report in the New England Journal of Medicine.

Recent anecdotal reports suggest that the diagnosis of novel influenza A(H1N1) should not be ruled out by a negative upper respiratory tract specimen in a patient with pneumonia.

The Food and Drug Administration approved the antiplatelet agent prasugrel to reduce the risk of clotting during percutaneous coronary intervention, with labeling that includes a boxed warning about the potential for significant and sometimes fatal bleeding.

No athlete under the age of 18 who experiences a concussion should ever be allowed to return to play on the same day, according to recent consensus recommendations arising from the Third International Conference on Concussion in Sport.

Missed acute coronary syndrome is one of the top five reasons emergency physicians are sued for malpractice, accounting for 20% of malpractice costs.

Expansion of the Accreditation Council for Continuing Medical Education guidelines means significant changes for providers, including a requirement to increase surveys of participants.

Acute ischemic stroke (AIS) is defined as permanent brain injury secondary to disruption of blood flow. The incidence of AIS is approximately 700,000 per year, with about 61,000 deaths.

The lecture was titled, "So you've been sued." You've seen that title. Maybe you've heard the lecture. The subject of this article is one little slice of that ordeal.

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