Author: Dr. Clemens

Uncategorized Published - 5 September, 2014    By - Dr. Clemens
Hands Off! Stand Clear for Defib

A cadaver study identifies risks to rescuers from hands-on defibrillation. Hands-on defibrillation minimizes pauses in cardiac compressions. But are rescuers who use this technique at risk for exposure to electric shock? To find out, investigators obtained voltage measurements while rescuers performed defibrillation on cadavers. Rescuers were exposed to between 200 and 827 volts, depending on […]

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Uncategorized Published - 5 September, 2014    By - Dr. Clemens
60 things to know about healthcare reform

Health reform is and has been a hot-button issue for both politicians and healthcare leaders for the last few years, though talk of significant, government-led reform has been discussed for decades. In the wake of the Patient Protection and Affordable Care Act, healthcare reform is a highly contested and very politically polarizing issue. It is […]

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Uncategorized Published - 5 September, 2014    By - Dr. Clemens
U.S. Senator: For-profit hospitals drive up care costs

For-profit hospitals and hospital chains change the way healthcare is delivered in the U.S., and often drive up the cost of care, according to Connecticut’s junior senator. Sen. Chris Murphy (D) released a report late last week contending that for-profit hospitals cherry-pick the kinds of care being delivered to patients and drive up Medicare costs. […]

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Uncategorized Published - 5 September, 2014    By - Dr. Clemens
More Data to Be Withheld from Database of Physician Payments

I wanted to share this with our readers. The federal government won’t release data next month on some research payments to doctors. Health officials had acknowledged previously that the database wouldn’t include one-third of payments made by pharmaceutical and medical device companies. A new problem has emerged with the federal government’s Open Payments system, which […]

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Uncategorized Published - 5 September, 2014    By - Dr. Clemens
100 things to know about Medicare reimbursement

All of our readers take care of Medicare patients so I wanted to share this with them. It’s often said that where Medicare goes, private payers will follow. For hospitals, health systems and other providers, it has been the most influential healthcare program for the industry in recent decades. Medicare continues to play a prominent […]

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Uncategorized Published - 4 September, 2014    By - Dr. Clemens
Data suggest surgery prices are skyrocketing

The per capita surgery rate in the United States is some 50 percent higher than in the European Union countries, and that higher demand is apparently driving up prices dramatically. The prices for procedures such as gallbladder surgery–which is now an outpatient procedure that does not require a multi-day hospital stay–rose more than 20 percent […]

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Uncategorized Published - 4 September, 2014    By - Dr. Clemens
ASA Sends Formal Letter to FDA Supporting Development of Appropriately Sized Vials

ASA continues to strongly support the availability of vial sizes appropriate for the labeled use and dosing of the product.  Fresenius Kabi, for example, recently released Diprivan® in 10 mL single patient  infusion vials.  In a June 12, 2014 formal comment letter to the Food and Drug Administration (FDA), ASA emphasized that critical anesthesia drugs […]

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Uncategorized Published - 4 September, 2014    By - Dr. Clemens
Don’t make these common mistakes when something hurts

Managing pain can be tough, whether you’re one of the 100 million Americans with chronic pain, or only suffer from the occasional backache or headache. September is National Pain Awareness Month, the perfect time to make sure you’re managing your pain the best way possible. While many people can manage pain on their own, or […]

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Uncategorized Published - 4 September, 2014    By - Dr. Clemens
Nurse anesthetist care not equal to physician anesthesiologist-led care, comprehensive evidence-based review finds, American Society of Anesthesiologists® calls for further examination

I received this from the ASA so I wanted to share it with our readers. A recent literature review by the Cochrane Collaboration found no scientific evidence that care provided by a nurse anesthetist is as safe and effective as patient-centered, physician-led anesthesia care, prompting the American Society of Anesthesiologists (ASA®) to call for further […]

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Uncategorized Published - 4 September, 2014    By - Dr. Clemens
Neck Manipulation and Cervical Arterial Dissection: A Smoking Gun?

Authors: Biller J et al., Stroke 2014 Aug 7; A statement from the AHA/ASA notes an association, but causation is unclear. Recent epidemiologic studies have suggested a rising frequency of stroke in young adults. Arterial dissection is one of the leading causes of stroke in young adults. Several activities involving hyperextension of the neck have […]

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