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Many stories are emerging from the EDs and field hospitals responding to patient needs following Hurricane Katrina, but few have been as moving as the e-mail by Hemant H. Vankawala, MD, an emergency physician with Questcare partners in Dallas, Denton (TX) Regional Medical Center, and the downtown Dallas Baylor University Medical Center, sent to several of his colleagues.
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An accelerated triage process developed by the ED staff at University of California San Diego (UCSD) Medical Center has reduced the frequency of patients who left without being seen by a physician by almost 50% from about 8% to 4%.
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Joe DiMaggio Childrens Hospital in Hollywood, FL, improved patient satisfaction from the 81st percentile in March 2005 to the 99th percentile in June 2005, and it has remained at that level. At newly opened Memorial Hospital in Miramar, FL, satisfaction rates rose from 85% to 99% in one quarter.
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A recent study in the Annals of Emergency Medicine finds that patients with traumatic brain injuries who are transported by medical helicopters have higher chances of survival and better recoveries than ground-transported patients.
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Hurricane Katrina, clearly, was a health care disaster of unimaginable proportions. In the wake of the storm, Gulf Coast hospital emergency generators were rendered inoperable by rising floodwaters.
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Hurricane Katrinas impact was felt far beyond those areas that received the storms direct fury. From Alabama to Texas, EDs that already were overcrowded had to deal with a sudden influx of transfers that, in most cases, doubled their normal censuses.
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The recent fining of Behavioral Hospital of Lutcher (LA) for allegedly failing to appropriately accept transfers of two patients suffering psychiatric emergencies may have offered a bit of consolation to ED managers who are increasingly frustrated by their inability to successfully transfer such patients, but it was also a sober reminder of the severity of the problem.
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Hypothermia causes 700-800 deaths per year in the United States alone. Half of those who die are older than 65 years. Many patients are hypothermic when they arrive in the emergency department (ED), but hypothermia may result from or be aggravated by failing to protect the patient from heat loss, administering room temperature or chilled IV fluids or blood, or using drugs that suppress shivering.
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Bacterial resistance to antibiotic treatment has concerned the medical community since the introduction of the first antibiotics in the 1920s. Development of new anti-infective agents has been precipitated by increasing resistance to older agents and classes of agents.
