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  • Tips for Improving an ASC’s Public Image

    ASC directors and physicians can act proactively in building a positive public image for their center. There’s no need to wait until bad news occurs or a disaster strikes to think about public relations.

  • Leaders Seek Balanced View of Surgery Center Safety Records

    Ambulatory surgery center officials are clamoring for a more balanced view after a recent USA Today article highlighted tales of patient deaths following outpatient surgery. Reeling over the potential loss of goodwill, executives point to quality and safety statistics that paint a more complete picture of overall surgery success rates.

  • Injectable Opioid Shortages Causing Adverse Consequences for Some Physicians, Patients

    It’s ironic that even while the country is confronting a dangerous opioid epidemic, providers report that they are having trouble getting their hands on the powerful pain killers — a situation that is dangerous as well. The shortage, which primarily involves injectable opioid painkillers, is reportedly caused by drug manufacturing difficulties as well as the government’s efforts to address addiction by clamping down on drug production. However, the problem is resulting in adverse consequences for clinicians and patients.

  • Colorado Program Significantly Reduces Opioid Prescribing in 10 EDs During Six-month Period

    A pilot group of 10 EDs in Colorado has shown impressive reductions in opioid prescribing by encouraging the use of alternatives to opioids (ALTO) in the care of five key pain pathways. Between June and November 2017, the pilot sites reduced the use of opioids by 36% when compared to the same six-month period in 2016. The Colorado Hospital Association, which championed the initiative, is moving to expand the ALTO approach used in the pilot to other hospitals in the state.

  • Surgeon General: Clinicians Must End Addiction Stigma, Use Evidence-based Care

    During a recent town hall, the surgeon general stressed the importance of recognizing that substance use disorder is a chronic disease that must be treated with the same skill, compassion, and urgency that clinicians use to treat other chronic health conditions.

  • Alarming Increases in ED Visits for Opioid Overdoses Highlight Need for Robust Solutions

    While it is clear that more action must be taken to address the problem, some states already have taken steps to respond to the epidemic in a coordinated way.

  • Skin Infestations: Fungal and Scabies

    Although cutaneous fungal infections rarely are life-threatening, they are common, and they are irritating. This article provides an in-depth look at common rashes caused by fungi and scabies.

  • What Form of AV Block?

    The long lead II rhythm strip shown in the figure was obtained from a hemodynamically stable patient. The rhythm was diagnosed as showing second-degree AV block, Mobitz Type II. Do you agree with that assessment?

  • Clinical Briefs

    In this section: comparing GLP-1 agonists; weighing two treatments for extended venous thromboembolism; and considering fracture risks possibly associated with inhaled corticosteroids.

  • Ibalizumab-uiyk Injection (Trogarzo)

    Ibalizumab-uiyk, in combination with other antiretrovirals, is indicated for the treatment of HIV-1 in heavily treatment-experienced adults with multidrug-resistant HIV infections failing their current regimens.