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Authors: Joseph B et al., JAMA Surg 2014 Jun 11; Older trauma patients who were frail were more likely to have in-hospital complications and adverse discharge dispositions than those who were not frail. Although advancing age is associated with worse outcomes in trauma patients (NEJM JW Emerg Med Oct 27 2004 and NEJM JW Emerg […]
Read MoreAll healthcare stakeholders are on the same page when it comes to using value-based payments, two leaders fromCigna said yesterday at the National Bundled Payment Summit in the District of Columbia. But insurers can’t have only one type of value-based program. Providers have different capabilities, ownership and risk tolerance, so payers must meet doctors where […]
Read MoreThis is for our followers who practice in the ICU. Authors: Jabre P et al., Intensive Care Med 2014 May 23; Grief, post-traumatic stress, and depression at 1 year were reduced when family members were permitted to witness resuscitation of loved ones. Despite data that suggest benefit to family members from allowing them to observe […]
Read MoreThere’s new evidence of the “weekend effect and it’s worth examining a phenomenon of why patients don’t want to get sick on a Saturday: The increased chance they’ll face complications. New research published this week from a Johns Hopkins Children’s Center team found simple emergency surgeries can be deadlier for kids on the weekends, raising […]
Read MoreAuthors: Donnino MW et al., BMJ 2014 May 20; 348:g3028 Inpatients who experience nonshockable cardiac arrest are more likely to survive when epinephrine is administered early. A large and increasing percentage of patients with cardiac arrests exhibit initial nonshockable rhythms (asystole or pulseless electrical activity [PEA]; 82% in 2009 vs. 69% in 2000; NEJM JW […]
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