Our co-hosts discuss the effect of falling call volumes on EMS staffing levels and how agencies can prepare for the future
The South Carolina firefighter-EMT and other good Samaritans helped free one person; a second person was revived after 20 minutes submerged
Chris Cebollero and Greg Friese, MS, NRP, discuss EMS MCI response lessons learned from protests turned violent in Ferguson and Dallas
Always make sure you secure pediatric patients in a pediatric specific car seat during transport
A random encounter with a Latvian prompted my commitment to learn something new every day
Implementing body-worn cameras and body armor to support EMS safety strategy
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Abstract East-Central Asia is one of the most vulnerable and sensitive regions to climate change, and the variability of extreme precipitation attracts great attention due to the large population and the importance of its economy. Here, three special runs with the Community Earth System Model (CESM) are used to project the changes in representative extreme precipitation indices (Rx1day, Rx5day, R95p, SDII) over East-Central Asia under the 1.5 °C and 2 °C Paris Agreement limits....
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Children may experience an acute cardiac decompensation from the severe inflammatory state following SARS-CoV-2 infection, termed multisystem inflammatory syndrome in children (MIS-C), a study says. Medscape Medical News
A Veterans Affairs study fails to confirm the results of an earlier Canadian, population-based, nested case-control study, researchers say. Medscape Medical News
US Medicare beneficiaries with diabetes will be able to cap their out-of-pocket cost for insulin starting in January 2021 under a new coverage option. Medscape Medical News
Thirteen lots of the combination T4/T3 product have been voluntarily recalled as they may contain 115% of the labeled amount of T3. Patients should not stop taking the pills without medical advice. News Alerts
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Abstract People are able to rapidly extract summary statistical information about common patterns, or ensembles, that may exist in a scene, such as repeated textures or colors. Here we examined the extent to which such an ensemble perception can occur in the absence of focal visual attention using a method that has some advantages over methods previously used to study the issue. In particular, we assessed the extent to which ensembles can be processed without attention by measuring...
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WebMD Chief Medical Officer John Whyte talks with Dr Luciana Borio about the failures of the US response to the coronavirus pandemic and how much longer physical distancing will be necessary. WebMD
One physician's thoughts on how to loosen visitation restrictions responsibly during the COVID-19 pandemic. Medscape Internal Medicine
Patients who switched to another high-efficacy therapy had improved disability and inflammatory outcomes. Medscape Medical News
The rate of severe COVID-19 requiring pediatric intensive care admission among hospitalized children was higher than previous data suggested, researchers found. Medscape Medical News
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The objective of this study was to evaluate the outcome of a short interposition using a small-diameter prosthetic graft as a flow-limiting procedure to manage symptomatic high-flow arteriovenous fistula.
Complex abdominal aortic aneurysms (cAAAs) have traditionally been treated with an open surgical repair (OSR). Over the past decade, fenestrated endovascular graft repair (FEVAR) has emerged as a viable option. Hospital procedural volume to outcome relationship for OSR of cAAAs has been well established but the impact of procedural volume on FEVAR outcomes remains undefined. This study investigates the outcomes of OSR and FEVAR for the treatment of cAAAs and examines the hospital volume-outcome relationship...
Cost-effectiveness analysis of new interventions is increasingly required by policy makers. For intact complex aortic aneurysms (CAA), fenestrated-branched endovascular aortic repair (F-BEVAR) offers a minimally invasive alternative option for patients who are physically ineligible for open surgical repair (OSR). Thus, F-BEVAR is increasingly used, but whether it represents a cost-effective treatment option remains unknown.
Immediate access arteriovenous grafts (IAAVGs), or early cannulation arteriovenous grafts, are more expensive than standard grafts (sAVGs) but can be used immediately after placement, reducing the need for a tunneled dialysis catheter (TDC). We hypothesized that a decrease in TDC-related complications would make IAAVGs a cost-effective alternative to sAVGs.
In the current era of cost containment, the financial impact of high-cost procedures such as endovascular aortic repair (EVAR) remains an area of intensive interest. Prior reports suggest slim to negative operating margins with EVAR, prompting widespread initiatives to reduce cost and improve reimbursement. In 2015, the Centers for Medicare and Medicaid Services (CMS) announced the reclassification of EVAR to more specific diagnosis-related group (DRG) coding and predicted an overall increase in...
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Eric Rubin is the Editor-in-Chief of the Journal. Lindsey Baden is a Deputy Editor of the Journal. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. E.J. Rubin, L.R. Baden, and S. Morrissey. Audio Interview: New Data on Remdesivir in Covid-19. N Engl J Med 2020;382:e94.
Dr. Lisa Rosenbaum is a national correspondent for the Journal. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. L. Rosenbaum. Harnessing Our Humanity — How Washington’s Health Care Workers Have Risen to the Pandemic Challenge. N Engl J Med 2020;382:2069-2071.
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Abstract Purpose To identify perioperative factors that are significantly associated with complications requiring interventional radiology (IR) treatment after hepatectomy. Methods We retrospectively reviewed data from 11,243 patients in the USA who underwent hepatectomy from 2014 to 2016 using the National Surgical Quality Improvement Program database. Data...
Abstract Background Transfusion guidelines have been established for severe anemia, but limited data is available regarding the utility of preoperative transfusion. This study evaluates the predictive factors and relative value of preoperative transfusion in oncologic patients with moderate anemia undergoing abdominal surgery. Methods Using the American College...
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