Protocols Mean No One Has to Think
Let me say up front that I do not object to protocols in principle. I have been responsible for...
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Articles
Neck Manipulation & Stroke Risk
Cervical dissections (CD) of the arteries—small tears in the layers of the arterial walls in the...
Read MoreAllegations of the 1960s: A Throwback Surgeon?
Here’s a story seemingly from the old days of surgical residency training, but it occurred this year. A 2014 graduate of Ohio State University’s urology training program is suing the department chairman, the program...
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Making the Case for Meningococcal Disease Prevention
While relatively rare, meningococcal disease is a serious cause of morbidity and mortality, even...
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Presiding Over The Death of a Child
Last night, I presided over the death of a child. To the world he was a young man of 20, but as...
Read MoreMed Student “White Coat Die-Ins” – Professional?
Today, medical students at more than 70 medical schools held nationwide “white coat die-ins” to protest the lack of indictments for police killings in Ferguson, Mo., and New York, and to spotlight racial bias as a public health...
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Healthcare Harms Patients with Uncommon Diseases
There is a common saying in medical education that if you hear hoof steps, think horses not...
Read MoreSurgery in Space: I Foresee Problems
The astronauts are halfway to Mars when suddenly one of them develops abdominal pain and requires surgery. What will they do? According to NASA, a miniature robot capable of assisting in surgery has been developed, tested in...
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Logistics Programs Benefit ED Wait Times
A Focus on Improving Patient Flow With ED crowding continuing to be an important public health...
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Recommendations for Transcatheter Valve Programs
As new technologies continue to emerge, transcatheter techniques have become part of the treatment...
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Diagnosing Stroke in the ED
Studies suggest that there are missed opportunities to diagnose cerebrovascular causes for stroke...
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CPR Knowledge & Performance in the ED
Despite advances in cardiopulmonary resuscitation (CPR), survival and recovery for patients...
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Reducing Post-Op VTE Complications
At Boston Medical Center, researchers learned in 2009 that their institution was a high outlier...
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Health-Related Web Searches: Examining Quality
Most adults in the United States seek health information online, and many report that these...
Read MoreEasing the Sting for Patients Waiting in Line
Line management systems reduce the frustration for queued patients in an increasingly large number of medical facilities. Every administrator, office manager, doctor, nurse, lab technician, scheduler, clinic director or...
Read MoreAdverse Events in California Hospitals: Look at the Data
According to a Bay Area television station’ s investigative exposé, California hospitals reported 6,282 adverse events to the state over the last 4 fiscal years combined. It sounds like a lot until you realize that there...
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Cancer Care as a Business Decision
My wife is a Primary Care Nurse Practitioner. She works with a very good Internist who gives her a...
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Genetic Breakthroughs: Hurdles to the Exam Room
Every day, we are hearing about new genetic discoveries, from finding the loci of various diseases...
Read MoreExamples of Annoying Medical Reporting
1. An article in Time magazine is headlined “It’s Not You, Doctors Are Just Rude.” The first sentence of the article is “Doctors-in-training are in need of a dose of compassion.” It describes a...
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