I thought I had caught him. Logging onto our prescription monitoring system, I found recently filled prescriptions for hundreds of doses of Oxycodone, Morphine, and Hydromorphone from multiple emergency departments and pain management specialists, all under my patient’s name.
There is a rural healthcare crisis due to alarming closure rates of Critical Access Hospitals (CAHs) in sparsely populated communities.
Patients presenting with chest pain associated with normal EKGs, negative cardiac enzymes, and few cardiac risk factors are designated “low-risk,” and can often be safely to discharge from the emergency department (ED) for early patient follow-up if no emergent conditions are found.
Level of consciousness (LOC) is a measurement of arousal and response to external stimuli. An altered (from individual baseline) LOC can be caused by insufficient oxygenation, traumatic injury, or changes to the chemical environment of the brain.
A recent article in The British Medical Journal highlights the impact of a web based aid to help in the decision for either admission for observation or referral for outpatient workup in those with chest pain.
A new article by Nagurney et al. in press in the Annals of Emergency Medicine examined association between emergency department (ED) visits and functional decline in the community-living geriatric population.
Last month, Health Affairs published new research on hepatitis C treatment in American prisons.
Every day in the United States, 60 people die from opioid overdoses (44 from prescription painkillers and 16 from heroin (1). Opioid addiction is an epidemic that has far-reaching societal impacts. U.S.