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Since its first clinical description in 1829 by Sir Charles Bell in England, Bell's Palsy has been surrounded by therapeutic controversy and its etiology has been shrouded in mystery. Recent literature, however, features evidence-based trials that enable emergency department clinicians to recommend more advanced treatment than ever before.
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The ECG in the Figure was obtained from a 61-year-old woman who was being treated with flecainide for arrhythmia. Her tracing was interpreted as showing sinus tachycardia with 1° AV block, with the conduction disturbance being seen best in lead V1. How would you interpret this ECG?
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The following are brief summaries of nine abstracts presented at the Society for Academic Emergency Medicine (SAEM) 2003 Annual Meeting in Boston. Editorial board members who attended selected these topics because of their interesting content and importance to the field of emergency medicine research. Because these are abstracts and not peer-reviewed publications, results and conclusions should be considered preliminary.
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Philadelphias Presbyterian Medical Center, part of the University of Pennsylvania Health System, is dramatically reducing the number of accounts on hold in its DNFB and OPEX queues and freeing up the revenue they represent with multidisciplinary teamwork and the development of review and monitoring reports on Excel spreadsheets.
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Health care organizations aware of their need for systemic change but short on the capital required increasingly are taking a two-pronged approach: Make some quick revenue-producing hits first, and then implement the longer-term solutions. Thats just one of the strategies in place at Parkland Health and Hospital System in Dallas.
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Implementation of the Health Insurance Portability and Accountability Act privacy rule appears to be going surprisingly well, thanks to extensive planning and a public already used to being informed about privacy practices. Thats the consensus of a sampling of access managers who spoke with Hospital Access Management about their hospitals experience with the regulation.
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Access managers with responsibility for emergency department registration will want to be aware of the proposed new ED overcrowding standard from the Joint Commission on Accreditation of Healthcare Organizations that could become effective in early 2004.
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This column runs occasionally in Hospital Access Management and addresses questions regarding the Emergency Medical Treatment
and Labor Act.
