ACEP News, December 2009

December 2009 ACEP News in full digital format
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State health departments and the Centers for Disease Control and Prevention have begun to tap into a near real-time compilation of U.S. influenza case data compiled by Cerner, a Kansas City, Mo.-based, electronic medical records company.

The sustainable growth rate (SGR) has dictated how physicians are paid by Medicare since the mid-1990s. For the last 7 years, the formula has required a reduction in physician fees, but each of those years, Congress has voted to reverse the cuts.

Some Medicaid patients with chronic illnesses would move out of emergency departments and inpatient beds and into more appropriate community care settings, under legislation unveiled in October.

The best dosage of the anti-influenza drug oseltamivir for babies aged 9-11 months appears to be 3.5 mg/kg twice daily, while the best dosage for infants aged 0-8 months appears to be 3.0 mg/kg twice daily, based on pharmacokinetic results from 64 children collected by a team of U.S. pediatric infectious diseases experts.

Believe it or not, malnutrition could send obese patients to the emergency department if they have a history of bariatric surgery, Dr. Joshua Broder said at the Scientific Assembly of the American College of Emergency Physicians.

Pulmonary embolism may not originate as deep vein thrombosis in trauma patients, according to a report in the October issue of the Archives of Surgery.

Initial serum lactate measurements are not reliable predictors of major injuries in children with severe blunt trauma, based on data from a prospective study of 200 children in a university pediatric emergency department.

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