Updated Recommendations, Levels of Care Categorized for Pediatric ICUs
Three levels of care include community-based, tertiary, and quaternary or specialized PICUs.
Emergency Medicine Information Center
Analgesic Ceiling Dose of Ibuprofen for Acute Pain in the ED Determined
Ibuprofen doses of 400, 600, and 800 mg were found to provide comparable analgesia in adult patients seen in the emergency department with moderate to severe acute pain.
Updated Physician Assistant Research Agenda to Reflect Impact of Profession
The National Physician Assistant Research Agenda has been updated to accurately reflect the profession’s impact on health outcomes as seen by other healthcare professionals.
NP, PA Workforce Swiftly Expands in North Carolina
Investigators provide an overview of demographics, location, and primary vs specialty care data trends among nurse practitioners, physician assistants, and physicians practicing in North Carolina.
Hawaii Legislation Repeals Physician Chart Reviews for Practicing PAs
Hawaii Governor David Ige signed the SB 1406 bill on July 2, 2019, which repealed the state’s outdated requirement for 100% chart review by a physician and included other changes to physician assistant laws currently in place in Hawaii.
More Primary Care Appointments Scheduled With Advanced Providers
Researchers from the Robert Wood Johnson Foundation conducted a secret shopper study to measure the number of primary care appointments scheduled with advanced providers before, during, and after the implementation of the Affordable Care Act.
Substituting Physicians With NPs or PAs in Nursing Homes
Researchers sought to gain insight into how substitution of elderly care physicians by nurse practitioners, physician assistants, or registered nurses in nursing homes contributed to the perceived quality of healthcare.
Combo of Mental Disorders and Physical Illness Ups ED Visits
Mental disorders interact with physical multimorbidity to increase odds of frequent ED visits.
Shorter ICU Rotations Cut Physician Burnout
Increased job fulfillment, decreased burnout seen for critical care physicians working 7-day rotations.
Rate of Pediatric Emergency Department Use After ACA Implementation
The slope of emergency department visit rates over time did increase significantly in 2014 to 2016 compared with previous trends but these effects were independent of insurance coverage.
Mortality Not Higher With Transfusions From Female Donors
Findings seen for red blood cells from female, previously pregnant, or sex-discordant donors.
Many Young Children Treated in ED for Injuries From Personal Care Products
During 15-year study period, 64,686 children younger than 5 treated in emergency departments.
High Intake of Vitamin B Associated With Risk for Hip Fracture in Postmenopausal Women
Vitamin supplementation is popular among US adults; however, both insufficient and excess intakes of a nutrient may be harmful and lead to unexpected adverse effects. Results from a study of female registered nurses demonstrated that excessive intake of vitamins B6 and B12 was associated with an increased risk for hip fracture, according to JAMA Network…
Maine Abortion Law Authorizes Advanced Practice Providers to Administer Procedure
Nurse practitioners and physician assistants in Maine will now be permitted to perform abortions after passage of a law signed by Democratic Governor Janet T. Mills on June 10, 2019.
FDA: Dietary Supplement Ingredient May Cause Miscarriage, Fetal Harm
Results showed vinopocetine decreased fetal weight and increased the chance for miscarriage in pregnant animals.
Healthcare Costs Associated With Emergency Department Visits
Dr Marzouka discusses the fact that patients cannot shop around for a better deal when going to the emergency department and are almost never presented with the cost of care prior to receiving it.
Advanced Practice Provider Fellowship Programs in Hospital Medicine Increasing
A survey was administered to directors of advanced practice provider fellowship programs in hospital medicine to characterize the existing fellowships.
Many Lives Could Be Saved if All Hospitals Had Grade A Rating
Patients at D, F hospitals have 91.8% increased risk for avoidable death compared with A hospitals.
Buprenorphine Initiation in the Emergency Department Beneficial for Opioid Withdrawal
Researchers conducted a literature search to identify whether buprenorphine initiation in the emergency department would reduce mortality rates in patients suspected of opioid withdrawal.
Blood Lead Level Screening in Children, Pregnant Women: Updated Guidelines From the USPSTF
The USPSTF concluded that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children and pregnant women.
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