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What’s Your Endgame? The Future of Healthcare

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Residency

Several years ago, physician graduate medical education, also known as residency, went through a revolutionary change and restrictions were placed on the number of work hours residents could work in a week. In a profession traditionally programmed to work in excess of 110-130 hours per week to gain the exposure necessary to adequately practice medicine, capping hours at 80 hours per week was a controversial change, and brought into question the validity of shortened education. While the verdict is still out regarding the current generation of residency graduates – related to knowledge base, work ethic, professional expectations, and patient relevance – there is no change in sight for resident work hours.

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Needle Decompression: Size Matters

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Needle decompression

What Size Needle Should You Use?

At a recent course this past weekend, we were asked which size needle should you use while performing a needle decompression procedure. The automatic response was large bore needle…typically 14-gauge angiocatheter. But that is only half the answer! What about catheter length? The standard 14-g angiocath is 5cm long and its catheter is only 4.5cm long. This was causing concern about a high failure rate. With the primary source of procedure failure being a failure of the needle to reach the pleural space, the standard angiocath would only reach the pleural space in 53% of the population.

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“I’m not putting my license on the line”

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putting medical license on the line

How many times have you heard this mentioned in casual conversation amongst healthcare providers?Perhaps during a heated exchange on television, or when talking about doing things we aren’t comfortable doing to our patients. Perhaps you have even mentioned it yourself.

The fact is, it takes a lot – A LOT – to lose a medical license or license to practice. Yes, bumps along the road in our career can happen, but realistically speaking, what licensing board would have a vested interest in removing providers from an already strained healthcare system?

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Age Adjusted D-Dimer

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Age Adjusted D-Dimer

Current Healthcare Education

One of the challenges of deciding what content to provide your online community is the amount and frequency of new information that is being published. As healthcare providers, the task is daunting just to keep up with what is going on in your specialty, even more so if you are reviewing your profession in general. One of the benefits of Provider Practice Essentials workshops for attendees is the personalized attention provided by faculty. This not only includes hands on workshops but plenty of Q & A opportunities. In one of my recent discussions with Course Director, Rachel Beatty she shared some of the numerous questions asked by attendees. One of the most pressing questions surrounded the topic of “age adjusted d-dimer”.

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Minor Pediatric Head Injuries

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minor pediatric head injuries tools and info

Head Injury Actions

You will or have seen a multitude of pediatric head injuries come into your practice setting with sometimes frantic parents/caretakers with great concern over their loved one’s wellbeing. The first determination to make, which may be done quickly, is taking immediate action or rather reassure and prevent unnecessary intervention/radiation exposure. In situations such as this, there are available evidence-based clinical tools/algorithms to help assist your plan of care.

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Syncope (2007)

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Inclusion: Adult Exclusion: Children or for patients whom episode of syncope is thought to be secondary to another disease process Level A: History and PE consistent with heart failure help identify patients at high risk for an adverse outcome. Standard 12-lead ECG Level B: High risk of AE: Older age, structural heart disease, history of CAD Low risk of …

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